Rhonda Patrick· PhD
um and and and this is something that people have asked me um what what do I do like how do I how do I you know get some benefits you know without actually taking you know estrogen progesterone um would you also give that person so there's two questions here there are yeah um great great question um we we handle each of those I hate to say this because it sounds like such an obvious cliche we handle each of those on a case-by Case basis um so I won't you know I won't sugarcoat it like we're not very comfortable doing initiating HRT and women who are 10 years out but at the same time we realize there are a lot of women who are 60 today who went through menopause at the height of the stupid around the Whi and as a result of that like they're worse off today than they would have been had they been on the appropriate hormones 10 years ago and we have to make a very difficult decision about whether it's worth additional risk and I say that because we don't know what the risk is um and so the way we handle that is we basically try to figure out what is your risk of AD a ascvd and cancer specifically breast cancer as it stands now and you know for example if a woman is especially high risk for one of those things particularly ad if she's a 33 um or even or even a 3444 and and or if she's very high risk of breast cancer we might be a little bit more reluctant to do so um or if we do it we do it at an even lower dose than we normally would and we have to increase our surveillance around those things um so not not an easy question