Andrew Huberman· PhD
as well as the health of the urethra and so UTI like the best treatment for recurrent u in a menopausal patient is vaginal estrogen interesting not recurrent antibiotics
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The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
as well as the health of the urethra and so UTI like the best treatment for recurrent u in a menopausal patient is vaginal estrogen interesting not recurrent antibiotics
Every Sunday: the week’s new conflicts and verdict changes — and nothing else.
Native comments, Twitter mentions, and Reddit threads about this claim — surfaced together so the conversation isn't fragmented across platforms.
Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
Would love a "what would change this verdict" RSS feed. Sign me up if it exists.
I would like to restart her vaginal estrogen. And because menopause medicine is a tiny little field in a tiny little corner, they looked at me like I was an insane person. They said, "What do you mean? you can't this is this is like your mother's very sick right now. I said I know my mother's very sick right now and this is one thing I can control. I sort of did a do you know who I am because I'm on the guidelines committee for GSM for the American Neurologic Association. So for the transplant team I had to write up a whole I wrote up a whole SBAR of like here's why it's important. Here's the research. Here's all the literature. Here's the citations. And they said but but it'll increase her risk of blood clots. I said no it won't. Vaginal hormones don't increase your risk of blood clots. you're talking to my it's like a hydrocortisone cream but compared to a solumedrol right those were very different things so then they went to the ICU team they said no we can't give this to her to increase her risk of blood clots had to convince them then the pharmacy they finally got them to write the prescription I had to teach them how to write the prescription pharmacy wouldn't dispense it why it increases the risk of blood clots it says so right on the box so I had to call and yell right I'm trying to run a practice in Washington DC my brother and father are trying to advocate with me because they know that this This is they also follow me on social media. They know this is important. Finally, the pharmacy dispenses the tube of estrays. There's no applicator. The nurses don't know how to give it. I had to show them and teach them how to give my mother who was on ECMO and you know ultimately passed not from a UTI, thank goodness, but but had to show them how to dispense. I had to do all this being one of the leading educators on this topic. What does everybody else do? And guess what? The teams changed every week. We had to do this every week and to teach them why this was important and how to do this.