(Pete Hueseman's 4th visit to Power Surge)


Dearest:   It's always a pleasure for me to welcome back Power Surge's 
Pharmaceutical Consultant, P E T E    H U E S E M A N

Pete has been a registered pharmacist for 25 years and exclusively involved 
in the area of women's health for the past six years  Pete brings his 
expertise and caring to Power Surge on behalf of his pharmacy, 
Bellevue Pharmacy Solutions, a pharmacy which compounds prescription natural 
hormones, such as progesterone, estradiol, estrone, tri-estrogen, DHEA, testosterone, 
pregnenolone and other compounds as well.

Pete Hueseman is professionally associated with NAMS -  the North American 
Menopause Society the Academy of Alternative Medicine, Alternative and 
Complementary Medicine Association- and is registered with various professional 
pharmacist's associations.

Pete, welcome back to Power Surge :)


Pete Hueseman:   It's great to be back.


Dearest:   Pete, is there any one particular protocol that's more popular 
among the women you work with?  


Pete Hueseman:   I do believe that the Biest & progesterone combination is more 
popular now.  The biest is gaining on Triest!


Dearest:   Can you share with those who don't know exactly what bi-est is 
and tri-est?


Pete Hueseman:   Biest is 80% estriol & 20% estradiol  and Triest is 80% estriol 
& 10% estradiol and 10% estrone.


Dearest:   Under what circumstances would you recommend one over the other?  


Pete Hueseman:   One thing I did learn in the last 2 weeks is that estrone 
is not necessarily bad for one, I recommend the biest when ones symptoms 
require a stronger estrogen to relieve the symptoms.


Dearest:   You find that bi-est is more effective than taking, say, estradiol 
alone?  


Pete Hueseman:   Not necessarily, but many women like the estriol along with their 
estradiol.


Dearest:   Does this provide more of a hormonal balance than taking just 
estradiol?  


Pete Hueseman:   I think it does help balance the system better, yes.


Dearest:   Thanks, Pete Let's go to our queue now.  Castle, go ahead 
with your question for our guest :)


Castle 812:   Does estradiol have the same effects as estriol?


Pete Hueseman:   No, estradiol is about 8 times stronger, therefore you need 
a smaller # for the mg dose.


PianoMary:   Pete, I know you've helped lots of women in Power Surge with 
their hormones  Do you also work with other medicines such as those for 
arthritis? 


Pete Hueseman:   Yes, at Bellevue Pharmacy we work with all diseases and conditions,
we have a full line of products.


PianoMary:   Thanks 


Dearest:   What, for example, would you prescribe for a menopausal woman 
with arthritis? 


Pete Hueseman:   I would have to know more about a particular condition, but we 
do lots of ibuprofen, and our penetran ointment to rub on as well as some 
special indocin, lidocaine, prilocaine gels and creams.


Longtime03:   Thanks for being here, Pete  What, if anything, can you tell 
us about soy-based natural HRT? 


Pete Hueseman:   It works well, it is the safest form to use as far as side 
effects and smaller incidence of causing cancers, usually tolerated quite 
well by most.


MAMAdee610:   Can premenopause cause constant dizziness that would have 
the same symptoms of having stress and anxiety? My doctor put me on Xanax 
and blood pressure pills.


Pete Hueseman:   Yes, it could, this is a sign that you need to balance your 
hormones properly with probably natural progesterone as well as natural 
estrogen (but make sure it is not do to high blood pressure, too).


Dearest:   Pete, what are your thoughts on estrogen dominance? 


Pete Hueseman:   Estrogen dominance can be awful, but we can help people with that by 
prescribing a little stronger dose of progesterone, exercise and a correct diet. 


Dearest:   What's the usual dose of progesterone you recommend? 


Pete Hueseman:   Progest 200mg sublingual tablets 2 times a day on days 13 thru 27 
of the cycle, may use 3 a day on days 20 thru 27 if necessary.


Dearest:   Thanks, Pete :)  DHu107, go ahead.


DHu1070513:   Are equal amounts of progesterone cream & sublingual tablets 
absorbed equally? 


Pete Hueseman:  No, the sublingual tab is absorbed the best, 2nd only to a 
rectal suppository, you lose about 50% going through the skin.


Dearest:   Pete, someone told me that when progesterone is taken orally 
that a large amount is lost in the first liver pass Is that true? 


Pete Hueseman:   That is true, that is why we developed the sublingual tab 
about 10 years ago, since the suppository isn't to pleasant to use, and 
the creams weren't studied yet.


Dearest:   Interesting. Thanks VpsIII, go ahead, please


VpsIII:   I have a question about DES, which is not natural Do you know the 
half life of DES, and as a perimenopausal woman should I avoid all estrogens?


Pete Hueseman:   It is not used any more except mostly in animals,  and I don't 
remember the 1/2 life of it, but it is long; and I do not believe that you 
have to avoid all estrogens in the future, but you must be careful of them.


Sja4home:   Is there a preferred recommendation for a young(er) woman 
(mid-30's) who has many years of replacement ahead of her  It would be 
strictly for hormone replacement (post meno with no meno symptoms at all)  


Pete Hueseman:   Natural is always better, but if you have something specific 
in mind, please call me at work and we can go over it.


JPLJAXX:   Can compounded prog 10% methyltes 5mg/ml cause staining between 
periods? A cause for concern?


Pete Hueseman:   It could, yes, have you been checked out internally by your 
doctor, the doses could be wrong and need adjusting if there is nothing 
else wrong, and therefore it may not be anything to be concerned about.


JPLJAXX:   Have an appointment in 2 weeks to review results of saliva 
study and internal evaluation.  Thanks - guess it needs to be checked out!


Pete Hueseman:   That is a good idea. Call me and let me know if I can help 
you and your doctor.


Dearest:   Yes, feel free to call Pete at 1-800-728-0288.


Dearest:   Pete, is it true we get a clearer reading of progesterone levels 
through saliva testing than blood tests? 


Pete Hueseman:   I do not believe that is necessarily true, most doctors prefer 
the blood test, but the saliva does work too.


Proftack:   Do you recommend any compounds that don't cause migraines? 
Thank you! 


Pete Hueseman:   Hopefully all my recommendations do not cause migraines, 
but sometimes it does happen, thankfully not very often, if it does this 
is a sign that you should communicate back to me & your doctor to fine 
tune or change the meds.


Dearest:   You can call Pete to ask about your concerns at 1-800-728-0288
or visit the Ask The Pharmacist area. 


Mahj Mar:   I am on Premarin 125 do you have something you think is better 
than that? 


Pete Hueseman:  Yes, I believe that the estradiol could replace it, and if you 
would like I could give you a suggestion of what amount of estriol to add 
to it too--call me this week at work.  typically it would be estradiol 
2mg ( maybe with estriol 4mg along with it).


Mahj Mar:   Thank you, I will call 


JILLY:   What has been the feedback on the new combi-patch? 


Pete Hueseman:   I haven't heard much about it since September, we don't use 
very much of it yet, the progestin in it is still synthetic, and that 
is usually what causes the problems.


Longtime03:   I had surgical menopause 4 yrs ago; have experienced severe 
menopausal symptoms since  My Dr. changes meds each visit (yearly); I'm 
now on Premarin 250.  It stops most symptoms, but has lots of side effects 
& kind of scary


Pete Hueseman:  Sounds like you need to try our 3 in one sublingual tbs, 
(progesterone & estradiol & testosterone and use it under the tongue twice 
daily--excellent absorption & results with very little side effects you 
definitely need to call me and see if your Dr. will let you try our sublingual 
for a month or two.


Longtime03:   Thanks, Pete--will do 


Dearest:   Pete, under what circumstances *shouldn't* a woman take any 
form of HRT? 


Pete Hueseman:   Probably only if she is in the beginning stages of breast 
cancer, I do believe I sent you a  new article to post about using estrogens 
even with breast cancer, new study out just last summer.


Dearest:   Only in the beginning stages of breast cancer? Is it your opinion that
it's okay if she has a family history of breast cancer? 


Pete Hueseman:   Yes, if the lady is totally uncomfortable a low dose of natural 
is ok, but go to the Dr. every 6 months, and do self testing frequently 
also, be sure to use it with natural progesterone.


MT1316:   Do you have anything better than Prempro, does not seem to help


Pete Hueseman:   Yes we make a natural Prempro it is (progesterone 100mg or 200mg 
plus estradiol 5mg or 1 mg ) all in one oil capsule and you take it once a 
day at bedtime  it works wonders for many thousands of women.


MAMAdee610:  Hormone test was ok on zanex and lopressor for palipationg 
dizziness is great with clogged ears palpitations sweats said it could be 
pre menopause but dizzy when the zanex wears off


Pete Hueseman:   I would go see a ENT specialist, or a cardiologist to be sure 
it is not something else, but if all is ok, you may still need a dose of 
natural estrogens with progesterone to solve it.


MAMAdee610:   Have done that, brain scans also  Will that help the dizziness


Pete Hueseman:   Please call me at work this week.


TogaGirl4U:   How does progesterone creme and sublingual tablets compare 
for absorption?  Are 100 mgs of each the same absorption?  


Pete Hueseman:   Yes, to balance your hormones can help anxiety and dizziness 
oftentimes, and No, you would use more cream to get the same results typically.


TogaGirl4U:   How much more? 


Pete Hueseman:   50mg sublingual tabs would work like 100mg/gram of cream.


JPLJAXX:   Should application of compound cream necessarily be scheduled 
according to cycle? Is daily too much? Possibly cause staining?


Pete Hueseman:   You would use it cyclically if you were still cycling, but 
could use it daily if you were post menopausal, if post -menopausal and 
you still stain, then the dose should be adjusted upward during the time 
the staining occurs.


JPLJAXX:   Shouldn't be using daily if not post menopausal?


Pete Hueseman:   No, daily is not necessarily, too much. 


JPLJAXX:   Even if not post menopausal?


Pete Hueseman:   Probably not 


JPLJAXX:   OK - thanks 



Sja4home:   What is the name of the 3-in-1 sublingual tabs so I can ask my 
doctor about it? Sounds intriguing! If it's only available through you, 
how can I get more info to bring to my endocrinologist? 


Pete Hueseman:   Progesterone 100mg & estradiol (or biest) & testosterone 
all in one sublingual tab --no short name sorry.


Dearest:   Anyone with additional questions can call Pete Hueseman at 
Bellevue Pharmacy's toll-free number, 1-800-728-0288.


Pete Hueseman:   Call me with your name & address and I will mail you the 
study to review with your doctor. 


Sue:   Are you finding more Doctors are understanding the role of the 
progesterones even for surgically meno women? 


Pete Hueseman:   Yes, the progesterone helps to balance the entire system, 
it has many benefits besides protecting the non-existent uterus yes, 
the doctors are becoming believers! 


Mom350:   Have you heard of Maca, herb to help with the libido? I want 
to enjoy sex again!!   Need information, thanks


Pete Hueseman:   I do not know about Maca, but we do sell a lot of testosterone 
in the natural form for that, and it works well safely! call me with your 
name & address & I will mail it. 


Dearest:   Pete, what tests should a woman take before determining if she 
should take hormones?  


Pete Hueseman:   I would test a baseline of estradiol, estriol, progesterone, 
testosterone, dhea. 


Dearest:   Thanks Proftrack, go ahead, please


Proftack:   What is most used compound for night sweats, lack of sexual 
desire, and protection for bones, heart, etc? 


Pete Hueseman:   Triest, Biest or estradiol, along with natural progesterone, 
and sometimes some testosterone, for those of you taking your daily dose 
of estrogen in the AM and still having night sweats, try moving to  after 
supper or at bedtime and see if it works better. 


Wcmarie2:   Is there anything I can do to lessen the effects of hair growth 
to the local skin area with 1% testosterone. I currently am taking triest 
25 with 25 mg progesterone 


Pete Hueseman:   Use a lower dose, 1% is 10mg and most women only need 25 mg 
per day. 


Wcmarie2:   By the way, the effects are wonderful


Pete Hueseman:   I still think you need to lower the dose, and get rid of the 
hair problem. 


JILLY:   Is Prometrium the same as what you use? are they both absorbed 
the same?


Pete Hueseman:   Prometrium is progesterone 100mg in the oil capsule (peanut oil) 
it can cause many allergies, we use the safflower oil instead and have 
many less problems, we can also make it in a 25mg 50 mg 150mg or 200 mg capsule 
and yes they are absorbed the same way. 


Dearest:   Pete, how are your prescription "naturally compounded" hormones 
different from using phytoestrogens, aka soy? 


Pete Hueseman:   They by the way are processed from the soybean plant, and 
come out a pure prescription powder- very potent, the phytoestrogens must 
be absorbed in the body and attach to the estrogen receptor sites to show 
some estrogen like activity to then be of benefit they are much milder. 


Dearest:   Even if they contain very large amounts of soy isoflavones?  


Pete Hueseman:   The larger amounts that they contain, the better they seem to 
work but it is the same process. 


Dearest:   That's what I wanted to know. Thanks :)  Mom350, go ahead.


Mom350:   If I’m drinking revival do I also have to take estrogen in another 
form, what about  progesterone


Pete Hueseman:   Your Revival is strong and seems to help many women (and men). 


Dearest:   Yes, Revival has helped many women :)  


Pete Hueseman:   Mom, it depends on your symptoms if any, you could call me to 
discuss it in depth. 


Mom350:   Do I still have to take progesterone?


Pete Hueseman:   I would definitely use progesterone along with it. 


Dearest:   You can call Pete at 1-800-728-0288. Sja, go ahead.


Sja4home:   Do you have an e-mail address too, or would you rather receive 
phone calls? (I have a complicated story!) 


Dearest:   Right there, Sja  consultph@bpharmacysolutions.com


Pete Hueseman:   Phone calls at work are best, but my e-mail is consultph@bpharmacysolutions.com, 
the problem with e-mail is I may have a question for you and if you're not 
on-line at the same time it could take a week to solve the problem. 


Lizybear10:   I have been taking 3mg of sublingual estrogen, all of a sudden 
it is not enough insomnia is back and flashes and anxiety 


Pete Hueseman:   What kind of estrogen? estriol, estradiol or estrone or what 
combination, where do you  get it from? sounds like you need a dose adjustment 
though. Call me. 


Lizybear10:   From you.  Why would it change all of a sudden?


Pete Hueseman:   Call me at work tomorrow so I can review it! Yes it could 
change all of a sudden in some cases changes could be do to sudden stress, 
illness, other meds etc. 


Catalina5:   How effectively is transdermal progesterone absorbed by most women?


Pete Hueseman:   It usually works well, but it takes lots of effort, and sometimes 
is inconvenient to apply while at work, etc.,  but once you get the right 
dose figured out many really like it. 


Dearest:   Great info, Pete. Thanks.  Castle, your question?


Castle 812:   I understand that there have been new studies that document 
that estradiol is as safe as estriol in respect to cancer ?


Pete Hueseman:   It is safe for the most part, and much more beneficial to the 
bones, heart and vaso-motor symptoms, we do have a new study published 
last summer that supports this. 


Castle 812:   Thank you Pete you are the best!


Pete Hueseman:   If you would like a copy, call me at work with name & address 
and I can mail it to you, just remind me which article we talked about. 


Castle 812:   Yes thank you 


Dearest:   Pete, can you send me the article to include in the newsletter, 
please?  Thanks and the last question is from Bskcreed


Pete Hueseman:   I will send it this week to you, Dearest. 


Bskcreed:   What would you suggest for problems with absorption of HRT? 
Tried estrace with micro progesterone, vivelle plus prometrium and now 
combipatch  Estradiol is still low at 50! 


Pete Hueseman:   Please call me, I need specific doses of each and exactly 
what happened or did not happen, I would love to help you. 


Bskcreed:   Will do, thanks  


Dearest:   Pete, thanks so much for joining us in Power Surge tonight 
to field our questions about naturally compounded hormones Anyone interested 
in talking with Pete about her particular menopausal issues can reach 
him at his toll-free number of 1-800-728-0288. 


Pete Hueseman:   Thanks for having me, and I would welcome any other questions 
that may come up to the surgettes in the future. 

Dearest:   Great, Pete. You have to come visit us on the message boards, too, 
again soon :)

Pete Hueseman:   Thanks to all of you.  
Let's not make it such a long time in between visits.


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