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Bioidentical Hormone Therapy, Part 1: What’s Safe? What’s Smart?
I’ve been prescribing bioidentical hormone therapy since 1994. In the 25+ years since that first prescription for bioidentical hormones, we have evidence for and against their use. This has led to confusion, misinformation, and even guidelines from mainstream medical societies that are not consistently evidence-based.1 Fortunately, a masterful new book sets the record straight: Tapestry…
Hormone Therapy for Women: What Are the Known Risks?
Discussion about hormone therapy for perimenopause and menopause is complex. Questions about safety, timing, and duration typically require a nuanced conversation about a person’s history, diet, lifestyle, risk factors, genetics, blood tests, and cognitive function. This article illustrates why the discussions are complicated and how I approach them. I practice Precision Medicine, which means that…
How Do We Create Antiracist Healthcare?
I take respectful care of my patients regardless of skin color, but in the past few years, I’ve realized that is not enough. There are many sources of information and inspiration that have influenced me. First is my grandfather, my lifelong mentor, a biracial White/Black man from Texas who played college football and rose through…
