On this Q&A plant-based doctors answer questions about risks of hormone replacement therapy, foods that help with cancer, and much more.
Questions Answered
- (00:03) – What do you think of thermography?
- (02:16) – Do mushrooms have the power to prevent and diminish breast cancer?
- (05:01) – How dangerous is HRT?
- (08:35) – So what can we do about hot flashes?
- (11:50) – I have unexplained uveitis, and I've had three flare ups during the pandemic while eating vegan whole food plant-based and SOS-Free, suggestions?
- (14:56) – Are there foods we should avoid if we have hyperthyroidism? How can we avoid losing weight because of hyperthyroidism?
- (19:45) – Has anybody seen improvement with non-diabetic peripheral neuropathy?
- (22:50) – Any advice for vulvodynia?
- (25:14) – What are the main lab tests we should do on an annual basis or twice a year for females?
- (30:11) – Are bioidentical hormones safe long term?
Complete Transcript
Dr. Kim Scheuer
(00:03)
[inaudible 00:00:03] good question. [inaudible 00:00:05] asking, “What do you think of thermography?”
Dr. Elisabeth Fontaine
(00:09)
Oh, gosh this is such a… I have to admit, I will say it very easily. I'm not necessarily familiar with the thermography. This is so much new things going on. I think I'm staying with the all work into the mammogram. You have to admit that even with the mammogram their recommendation are all over the place. I think that as much physician, as a patient, or don't know what to hear. So, I don't know if you guys have heard more of the thermography, but I'm waiting a little bit more about the literature and research on that.
Dr. Kim Scheuer
(00:47)
Right. I haven't seen any literature supporting it at this point, who either. If it for me, I wouldn't be doing it because I have a high risk. So I'd be going to mammogram. Yeah, I have found patients find their own breast cancers by doing breast exams, and also their partners have found it on people too.
Dr. Elisabeth Fontaine
(01:10)
Such a good point that you're bringing here, Kim. You know I used to teach my patient that, when I was teaching them, I said, “You know what? Your partner, is probably an excellent person to do your breast exam.” Sometimes people are uncomfortable, they think I'm funny, but you know, it is such an important… And there is actually quite a bit of individual that find their own lump. I mean, they're not all cancer. That's the thing. Finding the lump in your breast is not a direct correlation with breast cancer. There's a lot of benign breast mass or lump, certainly important to make sure that somebody is looking at it and do the proper examination and mammogram if it's indicated [inaudible 00:02:01]. But I think that there's still a good reason for you to take time to, or do your own exam, or at least make sure your partner is participating in helping you.
Dr. Kim Scheuer
(02:16)
Becca had a question about, “Do mushrooms have the power to prevent and diminish breast cancer?” And mushrooms are actually one of the GBOMBS. So the greens, beans, onions, both cooked and raw, mushrooms cooked, you want to cook them, berries and nuts and seeds all have anti-cancer properties. So does tomatoes, I would do GBOMBS tea because tomatoes also have an anticancer property with the lycopene.
Dr. Kim Scheuer
(02:47)
So those are, I think it's very, very important to do those every day. Especially if you have a high risk like me, I do that. And exercise, people forget that exercise is very important too in preventing cancer, but also if you have cancer to keep moving, because it helps with recurrence and it helps you get through treatment sometimes.
Dr. Elisabeth Fontaine
(03:12)
Oh, I wasn't familiar with your little acronym. This is amazing, always helpful. I think more important, and this is very important, what you just said. I think people forget about, we want to do all these amazing things about our diet, but what are the risks? So just being a woman is a very high risk and the more advancing age where the more risk we have.
Dr. Elisabeth Fontaine
(03:40)
And then also have breast cancer, it's not very likely as much as we do, but they do. And the biggest thing that we have to think about is what's happening? You know, of course we always concerned about this high level of estrogen and what we eat brings the level of estrogen pretty high, especially if we do concentrate on an animal diet, mainly alcohol, really high risk for breast cancer, non genetic, don't forget about that. If you have a family history, you're definitely at higher risk. And I am just like my sister had breast cancer, so we got to be paying more attention for us than anybody else.
Dr. Elisabeth Fontaine
(04:21)
And obesity. It's such a high. So fat content has high level of estrogen, so it's before thinking about having to add some element like mushroom as an example, all the things I had mentioned before it is part of prevention. And we need to be careful about these elements. I may have not mentioned everything, but I just wanted to make sure and I completed what Dr… I'll say Dr. Kim, because it's hard to say your last name for a French Canadian.
Dr. Kim Scheuer
(04:56)
Dr. Kim is fine.
Dr. Elisabeth Fontaine
(04:58)
Dr. Kim. Because I'm going to destroy your last name.
Dr. Kim Scheuer
(05:01)
That's okay. There's a good question that I think people should hear about. And that's how dangerous is HRT?
Dr. Elisabeth Fontaine
(05:06)
Well, that you have to be extremely, I don't know. I didn't see the question, but an opinion that is slightly different than what the majority of the population has on it. So HRT, when I was a young resident, and this was a while ago, every woman was on estrogen. When you think about it, physiologically speaking, we as women are much higher risk of, let's say, cardiovascular disease when we hit menopause. What happened when we hit menopause or suddenly our own estrogen is going down? So there's a huge study that was done, WHI study, that was done with the typical synthetic hormone using Premarin and Provera. And suddenly this was stopped by a slight increase of breast cancer and maybe some cardiovascular disease.
Dr. Elisabeth Fontaine
(06:05)
Once this research was published in the general journal, it became a nightmare for every women and every physician. However, in the 15 years to 20 years that followed that there was huge research that were done to say that, “Oh, wait a minute. The research was done in women that were much older, 10 years after menopause that had diabetes, they had obesity, and that had many, many other problem that may not have been related to taking the hormones.”
Dr. Elisabeth Fontaine
(06:37)
And the other thing is that we realized that synthetic hormone, not so much estrogen, but the progesterone and the Provera was the culprit. So, we can do five hours on hormone replacement therapy. I just want to people to be aware and significantly careful about literature. Because sometimes, and you have to realize that some women are so symptomatic. They are definitely up to take some hormone, which I don't prescribe synthetic hormone, I do my best to prescribe some natural hormone and then understanding between physician and the patient what's the best. So I'm going to let you guys say what you think. Now that I say that [crosstalk 00:07:26].
Dr. Chris Miller
(07:28)
I don't really use a lot of hormone replacement therapy in most people. And so I save it for special cases. So people are individualized, of course, but it's not my go to, I try my hardest to do everything we can with food and lifestyle, and really try to get hormones in check on their own and not need it, or need it for the shortest time or the lowest doses. So I'm just always trying to be very safe. So while you have [crosstalk 00:07:53].
Dr. Kim Scheuer
(07:54)
[inaudible 00:07:54] the same thing. I think that I work on increasing soy, which is natural phytoestrogens. I work on exercise, which helps a lot, and sleep, but what I don't like is the people who are on it for years and years and years, and years, and years and years, because I think the risk outweighs the benefit for sure by then. And it's always a risk benefit ratio in medicine. So it is very individual and that's where we would need more information and things like that. But I tend towards what Dr. Chris Miller does.
Dr. Chris Miller
(08:33)
[crosstalk 00:08:33].
Dr. Elisabeth Fontaine
(08:34)
Sorry about that.
Dr. Chris Miller
(08:35)
Here's a question from Becca that's related. “So what can we do about hot flashes?” And so hot flash is… Actually, there's an interesting study that came out for those of you who get this good medicine from physicians committee for responsible medicine. And Dr. Neal Barnard and others did a study on women who are postmenopausal and having hot flashes. And they put them on a low fat vegan diet, which is what you're doing right now. What most of us are trying to follow. And gave them half a cup of actual soybeans a day, and they added it to their salad or their soup. And after 12 weeks, they reported 84% reduction in severe and moderate hot flashes. And 60% of people had no hot flashes at all. And the others were having maybe only one a day instead of five a day. So it's significantly reduced. And that was by adding half a cup of extra cooked soybeans is what they used in this study.
Dr. Chris Miller
(09:33)
So like Dr. [inaudible 00:09:35] was saying the soy is a phytoestrogen. It can really help with hot flashes as can things like green cruciferous vegetables and flax seeds can also have a similar effect. And then eating low fat is important as well. And then stress definitely plays a role, so stress, when you're stressed out your epinephrine and adrenaline and those hormones go up and it increases your hot flashes.
Dr. Chris Miller
(10:04)
Caffeine can increase it. So there's definitely lifestyle, not sleeping, not exercising. So if you can live the perfect, happy, easy life, well balanced, then I think you'll get your hot flashes under control. And there are some supplements that can be helpful as well, but that's kind of some ideas for you maybe.
Dr. Kim Scheuer
(10:24)
And I think getting rid of alcohol helps too.
Dr. Elisabeth Fontaine
(10:26)
Oh, absolutely, especially… Yeah, yeah. So just that I always love to be the devil's advocate here, so my two amazing follow here are primary care physician. And I totally agree with them regarding the change in lifestyle and insisting in plant food base, which an amazing study that no burner come out, “Hey, how many studies do we have finally have showing the importance of a plant food base could have on hot flashes?” So definitely, I believe into all this. And in like any specialist I'm usually at the end of it.
Dr. Elisabeth Fontaine
(11:02)
So once the primary care, and I'm sorry, I hope I don't… Once the primary care hit the wall, they usually send it to me. And that's where I have to be able to explain all the research and being able to offer some women that have done everything that they can, and they cannot improve their hot flashes. It's a nightmare for some women. You know, it's they can't sleep, they can't function, they're anxious. So for some women and a very small portion of them, there is an indication. So at the end of the row, unfortunately there's Dr. Fontane that have to be there to do something different, but definitely the first line is definitely our lifestyle, makes a huge difference absolutely.
Dr. Chris Miller
(11:50)
Wonderful. And here's a good question from Merrill, “I have unexplained uveitis, and I've had three flare ups during the pandemic while eating vegan whole food plant-based and SOS-Free suggestions.” So I can take that one. So uveitis is a form of inflammation of uvea in your eyes. And first of all, stress can affect it. So when you say pandemic, that's the first thing that comes to mind. There's been a lot of stress during this past two years. So getting in control of stress is one major factor.
Dr. Chris Miller
(12:23)
And then the next thing is just eating vegan whole food plant based and SOS-Free is not enough for people with severe inflammation. So you can go even more anti-inflammatory by really ramping up your raw leafy greens, your cruciferous vegetables, doing things like green smoothies, salads, juices, and increasing your omega-3 fatty acids for anti-inflammatory, so things like your flax seeds, chia seeds, hemp seeds, and making sure that you have a balance of more omega-3s to omega-6s so that you're not eating too many nuts or seeds or oils, but you said you're doing no oil, so not too many nuts and seeds.
Dr. Chris Miller
(13:01)
And then you can also make sure you don't have any foods that are irritating to you. So sometimes people eating certain grains or certain beans, or even certain fruits or vegetables, there can be trigger foods. And then there can be other triggers. So it can be air pollution, it can be something in your house, if you have a mold exposure or something, mercury from dental fillings. And then it adds in, they're all… It's not just one thing. So it could be the stress of the time, plus something you're eating, plus not enough raw leafy greens and that leads to inflammation.
Dr. Chris Miller
(13:36)
And then there's other reasons, so hopefully, your eye doctor is seeing you and making sure there's nothing else going on that you need to be aware of, but you may want to check your systemic inflammatory markers. And if you're not working with one of us, you can work with any of us and we can help you tease that through too. So hopefully that will help.
Dr. Elisabeth Fontaine
(13:52)
And you said all three were within days after stressful experiences. So that's a good example of, we all have our little weaknesses in our body. And for some of you from you, it could be uveitis, and for somebody else it would be something else. So obviously stress for you had a significant impact.
Dr. Chris Miller
(14:17)
Mm-hmm (affirmative). Yeah, no stress can definitely play a significant role. And it's so easy to talk… We talk about reduce your stress, but like how do you actually do that in the moment? And so there's so many tricks you can work on such as taking a time out and like separating yourself from the stress in the moment or doing your deep breathing that really helps me slow things down, walking away from it, like going outside for a minute, like for a mindful break I call it, not a cigarette break, but a mindful break. I look up at the sky, I breathe the fresh air and I feel like myself calm down. And then I can go back into the stressful environment. So working on things like that can be helpful.
Dr. Chris Miller
(14:56)
And looks like we've got some more questions. Let's see. Layla says, “Hi, are there foods we should avoid if we have hyperthyroidism? How can we avoid losing weight because of hyperthyroidism?” Anyone who want to jump in on that?
Dr. Elisabeth Fontaine
(15:14)
There's food that I'm familiar with that would stimulate the… I'm assuming, first of all, obviously, you have a diagnosis. So I'm assuming that your physician had diagnosed and put you on potential medication partenaire tell is it related to cancer or it's just really pure hyperthyroidism. And once you are on medication, usually that should help certainly to help with the weight loss. And of course, because your meet the barbarism metabolism with hyperthyroidism, is a little bit more active is to be able to eat maybe a little bit more, while you stabilize the thyroid.
Dr. Elisabeth Fontaine
(15:52)
And again, I will assume that if you talk to us is because you're already on the plant food based diet, which obviously for any pathology, including hyperthyroidism is definitely a good factor. What do you think Dr. Chris?
Dr. Kim Scheuer
(16:07)
Leading to another inflammatory thing, so you want to get your inflict generalized inflammation down, I agree 100%, get the hyperthyroidism under control with medication, and then as much anti-inflammatory, anti-stress diet as possible, in terms of losing weight, if you can, and you don't have other issues.
Dr. Kim Scheuer
(16:30)
The higher calorie dense, but nutrient dense foods, like avocados and nuts and seeds, if you… But be careful on the inflammation again, I tend to sometimes if I need to get more calories in, we'll do a smoothie, I won't drink it fast, because that will spike up your insulin levels, but I would drink it slow during the day. And you can get a lot more packed in a smoothie. So you get the calories that you need. But Dr. Miller, Chris, this is your field.
Dr. Chris Miller
(17:08)
Yeah, so with hyperthyroid, it's just like both of you guys were saying, it's an autoimmune disease too. So you do need medications for that if it's out of control, so that can become life threatening. So hopefully that's under control. And then your diet, a plant based whole food diet, be careful things like oils, definitely avoid oils and sugars, sweeteners, added food additives, make sure you have high enough omega-3s and you're eating the leafy greens, make sure your nutrients for the thyroid are okay, so that someone's keeping an eye on your iodine level and your zinc and your iron, selenium, some of these necessary nutrients, you're taking in enough amino acids, so you have a well balanced plant-based diet. And if all those are okay, and you're working on your inflammation, you're eating super clean, that is basically the best diet that for your thyroid.
Dr. Chris Miller
(17:56)
And then for weight gain, you want to make sure you're eating enough, you can eat things like whole grains, legumes, and you can eat avocados and make sure you're eating enough to maintain your weight and then keep an eye on that. So hopefully that will work for you. And again, you can work with one of us if you have questions on more specifically with that, but hopefully that will help you.
Dr. Elisabeth Fontaine
(18:18)
You know, the most fascinating thing that we discuss here is that when you think about it, there's so much to talk about inflammation, when you think about anything, even COVID, it touched the inflammation. So when you think about our body, that has an amazing system to take care of everything, especially when you are young. And then suddenly a little trick happen, whatever we do, and then it becomes in the middle, it's inflammation, whatever is going to happen. So inflammation has such an important issue and it's to try to control anything that has an impact on inflammation, especially your diet. I mean it's probably the basic, the most preventive action is to be able to feed yourself well and in just to say that you're eating “a potential plant based.”
Dr. Elisabeth Fontaine
(19:13)
And I'm sure they are two physician. When I review what people are eating, saying that they're plant based, I have to insist with them that you can't just say that you really have, we have to see the color and the plentiness, and the variation, and the variety of what you eat. So got to be careful to be eating the right nutrient.
Dr. Kim Scheuer
(19:38)
Dr. Miller, are there any questions on Facebook? I don't want to ignore [inaudible 00:19:42]?
Dr. Chris Miller
(19:43)
I'm looking at here right now. I'm not seeing any.
Dr. Kim Scheuer
(19:45)
We have another one. Has anybody seen improvement with non-diabetic peripheral neuropathy? And yes, again as Dr. Fontaine said, you've got to look at what you're eating. If you're having a high saturated fat plant-based diet, which is not healthy, you can have problems. So really, really dialing in how to improve your peripheral neuropathy, improving the blood flow to the areas by lots and lots of green leafy vegetables, high nitrate rich foods really make a difference. And making sure you're hydrated makes a difference too. Anybody else?
Dr. Chris Miller
(20:29)
Thank you. So diabetic neuropathy? Was that the question?
Dr. Kim Scheuer
(20:33)
Nondiabetic peripheral.
Dr. Chris Miller
(20:34)
Oh, non-diabetic. Yeah. Yeah. So non-non diabetic. So then you want to know what your cause is, you possibly don't know that they often don't, but alcohol can be a cause, nutrient deficiencies, poor diet, standard American diet. It can definitely happen. Toxin exposure, so you want to just eat and live super clean. And when we say plant-based like, Elizabeth was talking about here, Dr. Fontaine, it's a whole food plant based, so they're whole foods, it's a difference between eating a rice cracker and maybe brown rice. We'd rather you eat the brown rice than the rice cracker.
Dr. Chris Miller
(21:07)
And so when people eat a clean diet, and then there's a couple supplements that can be helpful. Like NAC has been shown to be a little bit helpful, N-acetyl cysteine. What else? There's a couple of them that we can use for nerve issues that can be helpful. So if you're still having problems after you've done the diet changes then you may want to try some of the supplements as well. But yes, many of peripheral neuropathy can improve. And it often takes a long time too. It's slow. So you'll start to feel better. Your energy will feel better. You may be losing weight or those things happen. And then it takes more time. Nerves are slow to heal, so stay patient and stay on it.
Dr. Elisabeth Fontaine
(21:53)
Such an important factor you just mentioned to be patient and understand that it may take a while before there's going to be reverse. So you know how we are as individual, when a quick fix me it's doctor, and I spend a lot of time to try to explain that it does take a, to immune disease. Just all these factors have been coming to your body very slowly, and we don't know it. So it will take a little bit of time. You got to be patient, but maintaining the good road, the small little road on the side, not necessarily the highway, it's like when you go biking, you got to hit just use the highway, you get to use the small little road. And eventually you get all the amazing thing to have. Good.
Dr. Chris Miller
(22:43)
Awesome. Is anyone seeing any questions on Facebook? I am looking at and I'm not seeing any comments?
Dr. Elisabeth Fontaine
(22:50)
So there's one here that probably for me, she said that… She's funny. She said she doesn't know she's spelling it right vulvodynia. So for the non-familiar, is pain around the vulva, talking about the genital area. It's actually, obviously, this is a condition that it's very annoying, but definitely a condition where the physician has to take time to do a good exam. So I cannot tell how often a patient will refer to me. And I'm not quite sure that the physician took time to really evaluate what was the condition and test for everything. You know, the simple thing that needs to be tested.
Dr. Elisabeth Fontaine
(23:33)
But some people really have you know, very difficult condition, like an older patient is going to be different than in younger population. Older people will have what we call, “lichens sclerosis, the traffickers” and the younger patient will have uveitis caused by other [inaudible 00:23:54]. You know very important to have a good exam. I'm not saying that the plant food based diet wouldn't be helpful, but I think that your granddaughter obviously is young, she needs to have a good exam. Granddaughter she must be young.
Dr. Elisabeth Fontaine
(24:12)
So believe it or not, some of the very young patient may actually need to have some estrogen cream on their labia. So we got to take time to good evaluation. So make sure you go and see a gynecologist that is more specialized into the exam of the vulva. We're a little far from the breast cancer [crosstalk 00:24:36].
Dr. Chris Miller
(24:36)
No, that's okay. We're taking any questions. It's open to anything. [crosstalk 00:24:40].
Dr. Elisabeth Fontaine
(24:42)
[inaudible 00:24:42] an exam of the labia on telehealth, but you go and see somebody local and I'm sure that they can do a good exam.
Dr. Chris Miller
(24:51)
Awesome. You guys are awesome. These questions are great. We have a few more minutes if anyone has a few more questions. I'm looking at Facebook too. I'm not seeing anything here.
Dr. Elisabeth Fontaine
(25:01)
Well, what's happening? Facebook don't ask question and that's interesting.
Dr. Chris Miller
(25:05)
They can post their too.
Dr. Elisabeth Fontaine
(25:07)
Yep. So we challenge you. Facebook, send us a question.
Dr. Chris Miller
(25:14)
Anything else? Let's see. Oh, here. “What are the main lab tests we should do on an annual basis or twice a year for females?” So lab tests that we check basically, at least once a year, if you're healthy more often, if there's any issues, basic labs, so like a chemistry CBC, especially if you're feeling any symptoms, if you're totally asymptomatic, you have a little leeway on how long you wait. But if you want to keep an eye on things, B12, to make sure that you're getting enough from your supplements, vitamin D, that is definitely variable depending on how much you take and how much sunshine you get. And how much you absorb and how much you make. So vitamin D is something we keep an eye on lipid panel.
Dr. Chris Miller
(26:03)
And again, once this gets dialed in, if you don't change anything, you don't necessarily need to change it. But if you haven't had it checked, or you're not sure, then this is something that we want to keep an eye on. We checked things like your omega-3 fatty acid profile, the balance of omega-3s to omega-6, which, depending on if you're symptomatic we'll check things like zinc levels or iron levels, if we notice anything, any deficiencies, we'll do a thyroid hemoglobin A1C, which looks at your blood sugar status over the past three months. A urinalysis can be helpful for people, especially if you're having any symptoms or to look, make sure you're not leaking any protein or anything. So those are sort of, am I missing anything?
Dr. Elisabeth Fontaine
(26:48)
It will depend also of your age and if you come to us, and as an example, you're a female that already have diabetes or high blood pressure, then suddenly it reorients a little bit of blood work that we may want to order. That probably on that, probably the biggest message is to say, not only are we looking for health, we're looking for optimal health, this is totally different than what we've been used to in the medical field, is just to have you and stabilize your health and make sure diabetes is well controlled. In the plant food based group, we're really looking at you and dialing in to make sure that we are in favor of your optimal health. So that's very important, I think.
Dr. Chris Miller
(27:35)
Mm-hmm (affirmative). Absolutely, that's true. And it depends on what your age is and what your situation is. We don't typically check female hormones unless we're looking for something specific or you have a reason for that. So that's not necessarily helpful as just a general screening. So I don't think there's anything really specific to females as opposed to men, unless through symptoms, and again that will vary. So with patient to patient.
Dr. Elisabeth Fontaine
(28:00)
[inaudible 00:28:00] mentioned from inflammation markers. So there's multiple one, I guess, guys know probably better than I do. So if you want to [inaudible 00:28:10] them and other than the protein C reactive.
Dr. Chris Miller
(28:13)
Yeah, so we would check inflammatory markers, and like hsCRP, that's a highly sensitive CRP, and that is going to help us for both joint pains and systemic inflammation as well as cardiovascular disease. So that's very helpful actually, with the lipid, that goes with the lipid panel.
Dr. Chris Miller
(28:31)
And then if you're having joint pains, or any reason that we would check a ESR, that's a sedimentation rate. And that is also inflammatory for systemic inflammation. It's… I don't necessarily check it on every single person, if they're not having any complaints and they're super energetic and feeling great. I might do an hsCRP because that would help me with their cardiovascular risk stratification. But the sed rate, I save that for people with any joint pains, the uveitis, or just not feeling well, then I might check the sed rate. So yes, that's a great thought.
Dr. Chris Miller
(29:06)
Great. Well, anything else you guys want to say about women's health breast cancer month, October fall, favorite foods for the fall, anything this time of year going on?
Dr. Elisabeth Fontaine
(29:20)
I think the important thing for the women is to be continuously careful about making sure that you do your follow up regarding mammogram, regarding exam, not to forget about these things. And in our health is our own responsibility. So you can't just think that the doctor is the one, you really have to be into it. So I can only congratulate you guys to be present into this discussion. That means how important it is. And please spread the word, tell your friend how important it is and the impact that you can have. And the last question is going to be another big, we can discuss that next time or they can talk to me. That's interesting. But the advocate, your friend to be careful what they're doing.
Dr. Chris Miller
(30:11)
Yeah, so we'll just take it real quick. [inaudible 00:30:13] says, “Are bioidentical hormones safe long term?” My thought is, no, I wouldn't recommend them long term, unless you're a special person who you actually have reason where you're deficient and you're really having problems, then you want to be on the lowest dose, but they're not necessarily safer. And so I'm not sure. I'm not someone who advocates for them unless you really are deficient and there's something going on, and then I send you to an expert, someone not myself who is much more experienced. And so Dr. Fontaine, that could be you. What are your thoughts on that?
Dr. Elisabeth Fontaine
(30:44)
So I think that for me, again, totally respectful of everything that needs to be done prior to thinking about hormones. Definitely, this is not the first thing that I observed, that I would suggest to any of my patient. However, because I took so much time to review literature, I am not against of any bioidentical hormones, it's very, very clear now that there's some really good opening and it takes time before the literature is going to hit everybody.
Dr. Elisabeth Fontaine
(31:17)
So I'm not blaming any of my other fellow physician, but they're doing the right thing. You know, they go with what they feel comfortable with. And when it's time to talk about something else that could be bioidentical pellet, they refer them to me, so I can discuss things and make a good decision with my patient.
Dr. Chris Miller
(31:37)
So it's patient to patient. So it would depend with your situation about on what's going on?
Dr. Elisabeth Fontaine
(31:44)
Yep.
Dr. Chris Miller
(31:45)
I want to thank everyone for joining us today. We did it without Dr. Marvis. She's off doing her thing and in North Carolina. So we really appreciate you guys spending the time with us today and asking us these awesome questions that are so thoughtful, and keeping us on our toes and helping each other. So it was a pleasure to be here today, and hopefully you guys got something out of this. And we'll be here in two weeks, and we're going to talk about treats for Halloween and how to start getting through with all the sugar in candy and sweets when temptation comes into our life, and how to stay healthy and optimize health.
Dr. Elisabeth Fontaine
(32:17)
Amazing. So much fun. [crosstalk 00:32:21].
Dr. Kim Scheuer
(32:22)
[inaudible 00:32:22] happy everyone.
Dr. Chris Miller
(32:23)
Yeah, take care everyone. [crosstalk 00:32:24]. Bye.
*Recorded on 10.14.21