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ACOG Wrong on BioIdentical Hormones by Jeffrey Dach MD

Posted Feb 23 2009 10:11pm
Why ACOG is WRONG on Bioidentical Hormones by Jeffrey Dach MDWhy ACOG Is Wrong On BioIdentical Hormones

by Jeffrey Dach MD

The ACOG news release dated Feb 3, 2009, provides misleading and incorrect information about bioidentical hormones.  ACOG is partially funded by Wyeth and serves as a mouthpiece for the pharmaceutical industry.( 1 )

Here are the ACOG Statements in the News Release, with My Answers:

"In response to recent media attention being given to so-called bioidentical hormones (ie Oprah Winfrey and Suzanne Sommers) , The American College of Obstetricians and Gynecologists (ACOG) reiterates its position that:"

(1) ACOG says: there is no scientific evidence supporting the safety or efficacy of compounded bioidentical hormones.

My Answer:  There is a huge amount of scientific evidence and medical research on the safety and efficacy of bioidentical hormones. 

Here are two of many articles in the medical literature summarizing this scientific evidence for safety and efficacy of bioidentical hormones. ( 2 )( 3 ) :

Holtorf Bioidentical Hormones Jeffrey Dach MDThe Bioidentical Hormone Debate: Are Bioidentical Hormones (Estradiol, Estriol, and Progesterone) Safer or More Efficacious than Commonly Used Synthetic Versions in Hormone Replacement Therapy? by Kent Holtorf, MD Postgraduate Medicine, Volume 121, Issue 1, January 2009, 
( 2 )

Holtorf Bioidentical Hormones Erika Schwartz Hormones in Wellness and Disease Prevention:

Common Practices, Current State of the Evidence, and Questions for the Future

Erika T. Schwartz, MD, Kent Holtorf, MD.

Prim Care Clin Office Pract 35 (2008) 669–705 ( 3 )






(2) ACOG says: The FDA stated that the pharmacies' claims of safety and effectiveness were false, misleading, and a violation of federal law.

My Answer: The FDA is another cog in the big pharma machine.  See my article on the FDA and Bioidentical Hormones.  The FDA has passed their own unconstitutional rules preventing compounding pharmacies from giving truthful information to patients about the benefit and safety of bioidentical hormones.

However, the FDA cannot prevent physicians from giving you this information. So I will say it again. Bio-identical hormones are safe and effective, as concluded by Drs Holtorf and Schwartz in the above two articles in the mainstream medical literature.


(3) ACOG says: the bottom line is that most (bioidentical hormones) have not undergone rigorous clinical testing for safety or efficacy, nor are they approved by the FDA.

My Answer:  The following is a list of FDA-approved bio-identical hormone commercial products available at the drugstore commonly used to treat menopause and andropause.  In order to receive FDA approval, all of these bioidentical hormones went through the required testing process and results were submitted to the FDA for approval:

Alora (estradiol): FDA approved 1996 - Watson Labs
Climara (estradiol): FDA approved 1994 - Bayer
FemPatch : FDA approved 1997 - Parke Davis
Vivelle-Dot (estradiol): FDA approved 1994 - Novartis
Estraderm: FDA approved 1986 - Novartis
Esclim: FDA approved 1998 - Women's First Healthcare
Estrace (estradiol): FDA approved 1993 -Bristol Myers Squibb
Estring: FDA approved 1996 - Pharmacia UpJohn
Prometrium (natural progesterone): FDA approved 1998 - Solvay
Androgel (natural testosterone): FDA approved 2000 - Unimed Pharmaceuticals
Crinone: FDA approved 1997 - Columbia Labs

FDA approved Estradiol containing products:Estrace, Progynova, estrofem, Alora, Climara, Vivelle, Vivelle-Dot, Menostar, Estraderm TTS Estrasorb Topical, Estrogel, Elestrin, Lunelle Estring, Femring

FDA approved Progesterone products Prometrium, Utrogestan, Minagest, Microgest, CRINONE, PROCHIEVE, Cyclogest

FDA approved testosterone:Testoderm, Androderm, AndroGel

Testosterone has been FDA approved for both men and women for decades. FDA approved testosterone commercial products can be obtained at the corner drugstore.  Androgel, for example, is FDA approved and contains testosterone.  Estra-Test is an FDA approved hormone for women which contains testosterone.

(4) ACOGsays: also stresses that salivary testing of a woman's hormone levels is not useful because they vary within each woman depending on her diet, time of day, the specific hormone being tested, and other variables.

My Answer: Yes, hormone levels such as cortisol vary throughout the day. Typically, cortisol is highest in the morning and lowest before sleep.  That is why we use the 4 sample kit to chart hormone levels thoughout the day.  Salivary hormone levels are good enough for NASA to use on astronauts on the space shuttle. NASA has published a number of salivary hormone studies.  Why does ACOG have a problem with salivary hormones?  I  have no idea.

(5) ACOG says: Hormone therapy does not require customized dosing.

My Answer:  This ACOG statement defies common sense.  At our clinic, our practice is to start with a small dosage of hormone cream.  We then increase the dosage until symptoms are relieved.  This is called customized dosing.  We do it ALL THE TIME.

(6) ACOG says: There are a number of FDA-approved hormone therapy products available in a variety of formulations.

My Answer:  Yes this is correct.  Some of the FDA approved hormones are bio-identical, and some of them are chemically altered synthetic hormones that are the monsters peddled by Big Pharma.  Why doesn't ACOG tell their patients about this difference between chemically altered patented hormone monsters and the natural bioidentical hormones?  The reason is that ACOG is a COG in the Pharmaceutical Machine, and ACOG must serve their Pharma masters.  It would be politically incorrect to talk about the bioidentical competition.

The Real Reason ACOG is WRONG:

ACOG Is A Covert Front For the Pharmaceutical Industry

The American College of Obstetricians and Gynecologists (ACOG, funded in part by Wyeth), North American Menopause Society (NAMS) and The American Medical Women's Association (AMWA also a 'partner' of Wyeth) are nothing more than covert " fronts" for the pharmaceutical industry.  See this link for a more complete list of Wyeth's funding of medical  organisations like ACOG.

Related Content:

FDA Declares War on BioIdentical Hormones by Jeffrey Dach MD

The Importance of BioIdentical Hormones by Jeffrey Dach MD

The Safety Of Bio-Identical Hormones by Jeffrey Dach MD

The Battle for BioIdentical Hormones by Jeffrey Dach MD

BioIdentical Hormones, Cook Book or Tailor Made? by Jeffrey Dach MD

Breast Cancer Prevention and Iodine Supplementation by Jeffrey Dach MD

References

( 1 ) http://www.acog.org/from_home/publications/press_releases/nr02-03-09.cfm

ACOG NEWS RELEASE For Release: February 3, 2009 
ACOG Reiterates Stance on So-Called "Bioidentical" Hormones

Washington, DC -- In response to recent media attention being given to so-called bioidentical hormones, The American College of Obstetricians and Gynecologists (ACOG) reiterates its position that there is no scientific evidence supporting the safety or efficacy of compounded bioidentical hormones.

In November 2005, ACOG issued a committee opinion regarding "Compounded Bioidentical Hormones" that stated its concerns about bioidenticals. More recently, the US Food and Drug Administration (FDA) issued warning letters in 2008 to several pharmacies in the US that make compounded bioidentical hormones.

Some of these pharmacies claimed that compounded hormones were superior to FDA-approved hormone therapies and that they also prevented or treated serious diseases, such as Alzheimer's disease, stroke, and various cancers. The FDA stated that the pharmacies' claims of safety and effectiveness were false, misleading, and a violation of federal law. Women are encouraged to learn more by reading the FDA's consumer article "Bioidenticals: Sorting Myths from Facts" at www.fda.gov/consumer/updates/bioidenticals040808.html.

Despite celebrity testimonials touting scientifically unfounded benefits of compounded bioidentical hormones, the bottom line is that most have not undergone rigorous clinical testing for safety or efficacy, nor are they approved by the FDA.

ACOG also stresses that salivary testing of a woman's hormone levels is not useful because they vary within each woman depending on her diet, time of day, the specific hormone being tested, and other variables. Although monitoring salivary hormone levels is promoted by some as a means of 'tailoring' a hormone treatment to an individual, hormone therapy does not require customized dosing.

The decision of whether or not to take hormone therapy for menopausal symptoms is highly individualized, based on a woman's health, risk factors, and personal wishes. There are a number of FDA-approved hormone therapy products available in a variety of formulations. ACOG advises women to talk with their doctor about both the benefits and risks of HT.

# # #

The American College of Obstetricians and Gynecologists is the national medical organization representing over 52,000 members who provide health care for women. (ACOG is more importantly, a mouthpiece for the Drug industry)

(2) http://www.holtorfmed.com/nss-folder/pdf/BHRT-PGM-2009.pdf
The Bioidentical Hormone Debate: Are Bioidentical
Hormones (Estradiol, Estriol, and Progesterone) Safer
or More Efficacious than Commonly Used Synthetic
Versions in Hormone Replacement Therapy?
Postgraduate Medicine, Volume 121, Issue 1, January 2009,
ISN – 0032-5481, e-ISN – 1941-9260

(3) http://www.holtorfmed.com/nss-folder/printable_pdf/cfs/Holtorf_K._Med%20Clinics_
Hormones in Wellness and Disease Prevention: Common Practices,
Current State of the Evidence, and Questions for the Future Erika T. Schwartz, MDa,*, Kent Holtorf, MDb
Prim Care Clin Office Pract 35 (2008) 669–705

http://www.worldhealth.net/news/bio-identical_hormones_oprah_and_some_im

Sangeeta Pati, FACOG to reflect on the impact of Oprah's recent shows on HRT and give us her thoughts on bio-identical hormones.

Logic dictates that human identical, bio-identical products are the only acceptable products when we are restoring hormones or nutrients. Why use a product that acts like the real thing when you can get the real thing?

http://keepourword.org/?p=1134

New Study Reveals Bioidentical Hormone Replacement Therapy Reduces Breast Cancer

Posted by adminFebruary 9, 2009 Torrance, CA (PRWE February 9, 2009 — Bioidentical hormone replacement therapy is both more effective and has greater health benefits for women suffering with symptoms of menopause than hormone replacement therapy with synthetic hormones. Synthetic forms of hormone replacement therapy prescribe substances such as Premarin, Provera and Prempro and present real health risks with increased risks of breast cancer, stroke and heart attack.

The most comprehensive analysis to date, published in the Postgraduate Medical Journal, a leading peer-reviewed publication for practicing clinicians, showed that bioidentical hormones are associated with reduced health risks and are more efficacious than their synthetic counterparts. Conducted by a leading expert in hormone replacement, Kent Holtorf, M.D., medical director of the Holtorf Medical Group Center for Hormone Imbalance, Hypothyroidism and Fatigue, in Torrance, California ( www.HoltorfMed.com ), the paper reviewed and evaluated results from more than 200 physiological and clinical studies.

Jeffrey Dach MD
4700 Sheridan Suite T
Hollywood Fl 33021
954-983-1443
http://www.jeffreydach.com/
http://www.drdach.com/
http://www.naturalmedicine101.com/
http://www.truemedmd.com/

Disclaimer click here:http://www.drdach.com/wst_page20.html
The reader is advised to discuss the comments on these pages with
his/her personal physicians and to only act upon the advice of his/her personal physician.  Also note that concerning an answer which appears as an electronically posted question,  I am NOT creating a physician -- patient relationship. Although identities will remain confidential as much as possible, as I can not control the media, I can not take responsibility for any breaches of confidentiality that may occur.


Link to this article:
http://jeffreydach.com/2009/02/22/rebuttal-to-acog-on-bioidentical-hormones-by-j

(c) 2009 Jeffrey Dach MD All Rights Reserved
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