Menopause Mastery

Adrenal Corticosteroids

Adrenal Corticosteroids: The general roadmap

1 Quiz

Adrenal Corticosteroids Roadmap Q60

Adrenal Corticosteroids: Dosing, Testing, Example

1 Quiz

More on Adrenal Corticosteroids Q61

Initial Follow-up Consultations & Dose Calculators

The 1st follow-up

1 Quiz

Initial Follow-up Q62

Tools to get it right

1 Quiz

Using the dose calculators for Progesterone

1 Quiz

Progesterone Dose Calculators Q64

That 3rd consultation

1 Quiz

3rd Consultation Q65

When it’s time to adjust the Bi-Est ratio

1 Quiz

Bi-Est Ratio Q66

Annual Follow-up Consultations

General Considerations

1 Quiz

General Considerations Q67

1 Quiz

Thyroid

Thyroid Basics + Biochemistry + Binding Proteins

1 Quiz

Thyroid Basics Q69

T4 to T3 Conversion. Fun Thyroid Factoids

1 Quiz

T4 to T3 Conversion Q70

Thyroid Hormone Biochemical Physiology

1 Quiz

Thyroid Hormone Physiology Q71

Why Thyroid Issues. Sex Steroids affect Thyroid

1 Quiz

Thyroid Issues Q72

Thyroid Effect on Fertility and BCa

1 Quiz

Effect on Fertility and BCa Q73

Clinical Thyroid: Symptoms & Signs

1 Quiz

Clinical Thyroid Q74

Thyroid Testing: General

1 Quiz

Thyroid Testing Q75

Thyroid Testing Reference Ranges and Examples

1 Quiz

Testing Ranges and Examples Q76

Rx of Hypothyroidism: Titration.T4.LAT3

1 Quiz

Titration.T4.LAT3 Q77

Rx of Hypothyroidism: Dessicated Thyroid. Review of Stress Effects on Hormones.T4 additives.

1 Quiz

Dessicated Thyroid Q78

Iodine Rx Effect on Thyroid. Thyroid & SHBG. Example of Hypothyroidism. ? Thyroiditis

1 Quiz

Thyroid & SHBG Q79

4 of 5

Progesterone Dose Calculators Q64

Menopause Mastery Using the dose calculators for Progesterone Progesterone Dose Calculators Q64

NOTE: select ALL right answers! If more than one answer sounds correct to you, select them both. If three sound correct… yep, select all three!

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Question 1 of 5

1. Question
A similar process is repeated on the 2nd Consultation Calculator for progesterone
- 1) The calculator is standardized to 6 drops h.s. of progesterone, because this the optimal amount of organic oils mix to apply daily
- 2) If a patient still has progesterone insufficiency symptoms at 6 drops per day of the initial 200 mg/ml, a change in route of administration is suggested
- 3) If the patient has progesterone insufficiency symptoms alleviated at less than 6 drops of the 200 mg/ml h.s., the calculator will lower the mg/ml in 2nd Rx's to conform to 6 gtts h.s.
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Question 2 of 5

2. Question
A change in progesterone administration procedure would be:
- 1) To transmucosal, beginning with 3 drops h.s. of the 200 mg/ml and gradually increasing to determine optimal transmucosal dosage.
- 2) To oral progesterone, starting with either 25 mg or 50 mg h.s. and gradually increasing to determine optimal oral dosage.
- 3) If oral progesterone is chosen, one approach is to prescribe one bottle of #30 of 25 mg + one bottle of #30 of 50 mg for oral dose determination
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Question 3 of 5

3. Question
Transmucosal progesterone can be administered to the external peri-anal mucosa or the intra labial or intravaginal mucosa. The choice depends:
- 1) Partially upon whether or not the patient is having intercourse
- 2) The frequency of intercourse
- 3) The amount of drops of oil required for symptom alleviation
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Question 4 of 5

4. Question
The 2nd consultation includes:
- 1) Giving a 24 hour urine hormone test kit, or having it shipped by the lab directly to patient
- 2) Instructing patient to follow the directions carefully when collecting urine for the test
- 3) Instructing patient that the optimal time for her to do the test is when she feel like she has arrived at her optimal dosages and she has been steady and accurate with her dosages for 7 days
- 4) Instructing patient to continue to take all hormones exactly as they usually do right on through the 24 hours of urine collection
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Question 5 of 5

5. Question
The 2nd consultation concludes with:
- 1) Writing the 2nd prescriptions for Bi-Est and progesterone for one month (8.5 ml) or 2 months (17 ml)
- 2) Choosing one month or two depends on when you estimate she will likely be symptom-alleviated and thus ready to test
- 3) Scheduling the next consultation based on adding one week to the date you estimate the patient will complete collection of the urine
- 4) Encouraging patient to schedule a brief consultation anytime challenges arise for her that she does not easily know how to handle
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