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Bioidentical Hormone Replacement Therapy in the Anti-Aging Clinical Setting: An Official Position St

10 years, 10 months ago

Posted on Aug 24, 2006, 3 p.m. By Bill Freeman

August 14, 2006 / CHICAGO Hormone replacement therapy (HRT) is the replacement of physiological levels of hormones that decline as a result of a specific disease state. The American Academy of Anti-Aging Medicine (A4M;, an international medical society of 18,500 physicians and scientists from 87 countries, is composed of physician members who are responsible for the daily medical care of millions of patients worldwide. It is the position of the A4M that the use of hormones in aging patients to replenish these levels to a youthful physiologic state, when conducted by qualified physicians trained in the practice of treating age-related hormonal declines, constitutes a legitimate and important life-enhancing, life-extending medical application.

[Reed KD. Natural hormone replacement therapy: what it is and what consumers really want. International Journal of Pharmaceutical Compounding. 2001;5(5):332-335; Drusko J. Natural isomolecular hormone replacement: an evidence-based medicine approach. International Journal of Pharmaceutical Compounding. 2000;4(6):414-442; Boothby L, et al. Bioindentical hormone therapy: a review. Menopause. 2004;11(3):356-367.]

Laboratory testing is essential to the safe and scientific application of anti-aging hormone replacement therapy. Just as it is substandard care for a physician to blindly administer insulin to a diabetic patient without regular monitoring and reliable laboratory analysis, so to would it be for any physician to administer hormone replacement therapy without appropriate monitoring and laboratory analysis.

Safe optimization of essential hormone levels in the deficient and symptomatic patient is the goal of anti-aging endocrinology. This requires careful monitoring of bio-available hormone levels. This also requires establishment of baseline laboratory data and regular analysis on at least a semi-annual basis in order to achieve the safest and most effective hormonal balance at the lowest possible dose.

The goal of BHRT is to optimize function and prevent morbidity with aging, and to enhance quality of life. With proper modification, adjustment, and titration by an experienced anti-aging physician, the benefits of BHRT far outweigh the risks. Anti-aging physicians remain steadfastly at the helm advancing bioidentical hormone replacement therapy, thereby providing crucial research data ultimately to negate the controversy and confirm the safety and efficacy of BHRT.

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