Maxi Health Foundation Bundle

The Foundation Essentials That
You Need For Daily Good Health

Are You Doing It Right But Still Getting It Wrong?

Are you doing your best to be healthy but still not feeling quite as good as you know you could?

Let’s face it – keeping healthy can be hard work. Many people just give up and hope that conventional medicine can fix their health when it breaks – but if you are reading this, you’re not one of those people.

You care enough about your health to take charge, to be pro-active, to do the best you can – but maybe it just doesn’t seem to be enough. You know that if you could just find the right combination you could feel really, really healthy.

Are you trying hard to “eat right” but not sure that you are getting all the nutrition that you should be getting for true good health?

You are careful with your diet. You do your best to eat healthy. But you know that our foods are not as good for us as they should be. Our soils are depleted and vegetables have half the vitamins and nutrients that they did 50 years ago. Many foods are so heavily processed there is little real nutrition left in them. The chemials and synthetics that we are fed is frightning; preservatives, flavor enhancers, artificial flavors, artificial colors – all the things that make processed foods, well, processed.

Modern food preparation strips the nutrients, so foods must be “fortified” with synthetic vitamins. You’re right – these are not the healthy, nutritious foods that our grandparents enjoyed.

Do you try to get some meaningful exercise in on a regular basis, but find that it isn’t as easy as it once was?

Good for you – you try to exercise daily. You walk or run a few miles, or do some weight or resistance training, or dance for fitness, or enjoy a fitness sport. But your energy isn’t what you wish it was, and it isn’t so easy to get started – and the aches and pains afterward are getting more annoying. Exercise just seems to bring on inflammation and soreness – not the satisfied healthy feeling it used to. How did it get this way?

Are you frustrated trying to get all the right vitamins, minerals, antioxidants, essential fatty acids, plant foods, that you need for good health?

You pay attention to what the experts say. You read the latest research to improve your health. Every day it seems you are bombarded with news about this new vitamin, that new supplement, another new breakthrough formula – all promising to restore some part, or even all, of your health.

This mineral for your bones – no, wait, it’s that mineral. Try this for heart-health. Try that for joint health. And this is the best antioxidant – no, no, try our brand is. But wait a minute, who needs antioxidants at all – just take this new one-a day vitamin!

You know, instinctively, that you really need to be making up for what your diet is lacking – but the cacaphony and clamor of all the research and advice and sale-pitches is dizzying.

How can you be sure that you really are taking the right vitamins for health and not wasting your hard-earned money on supplements you don’t need?

You can make yourself crazy trying this vitamin and that. Or worse, not get enough of anything on a regular basis to do any good at all.

This vitamin was supposed to help the joints – you tried it, and felt no better, so half a bottle sits on your shelf, unused. Another new formula promised to put a spring in your step and make you feel young again – you tried it, and felt every one of your years, just like always, so another half a bottle sits on your shelf. And the heart-health vitamins didn’t seem to do much, so there they sit

Here’s a truth: The most expensive vitamins and supplements are the ones that don’t work. When they sit unused on the shelf they are just money wasted. It is better to have basic good quality supplements that you take faithfully than to have a cupboard full of a hodge-podge of different vitamins and formulas that you can’t remember what they are for and don’t take regularly anyway.

Are you sure that you are getting the optimal amounts of nutrients for best health? After all, you’re taking a “one-a-day” pill...

Okay, so even your conventional doctor has finally “seen the light” and grudgingly admits that maybe a daily multiple vitamin would be a good thing. That’s good advice. “Just take a one-a-day” he said… That’s bad advice.

Oh sure, a one-a-day vitamin pill is better than nothing, but not much. You just can’t squeeze optimal (or even meaningful) amounts of all the vitamins and minerals that a person needs for daily health into one pill – at least not into any one pill that a human being could swallow.

So, while that one-a-day vitamin pill has lots of “stuff” in it, according to the label on the bottle, the doses are tiny. You see, it doesn’t take very much of anything to provide the RDA (which stands for “Reccommended Daily Allowance” or “Really Dumb Advice” depending on your point of view) that the FDA allows. Here’s the truth of it: The RDA figures for nutrients are the minimum amounts of those nutrients that are required to prevent diseases like scurvey or rickets or beri-beri – not the doses required for optimal health.

One-a-day vitamins, and many other supplement “formulas” contain lots of “stuff” -and that looks good on the label. But the amonts of that “stuff” are what we call “fairy dust” – it’s there, but there’s not really enough of it to do much good. So, more money wasted – on a false sense of security.

Well, you are asking, what do I really need then?

How can I get all the nutrients and vitamins I need, in the optimal doses that I need for good health, and yet not break the bank or spend my whole day taking pills?

Here’s what Dr. Myatt recommends to all her patients as their supplement “foundation”

An optimal dose multiple vitamin, mineral, antioxidant and bioflavonoid formula.

A green food formula that provides flavonoids and phytonutrients.

High-potency Omega-3 essential fatty acids.

That’s it – just three basic supplements to cover your bases for good health.

Sure, you can add “extras” if you want – specialty supplements for specific reasons like bone health or joint health or whatever else feels right – but without a solid foundation your best-laid intentions could come crashing down in a jumble of nutrient deficiencies. If you don’t have a solid foundation how will you know if the other supplements you are taking are doing anything? Are your joints sore because that super-duper “joint formula” isn’t working, or are you lacking the most basic vitamins and minerals that a strong nutritional foundation provides for healthy joints? Is your energy still low because you haven’t yet found the right specialty herb or formula, or is it just that you don’t have a solid foundation of the basic vitamins your body needs to feed it’s energy machinery?

Here are the three specific Health Foundation formulas that Dr. Myatt recommends:

Maxi Multi Optimal Dose Daily Multiple Vitamin / Mineral / Antioxidant Formula

Maxi Multi – The Daily Vitamin Foundation

Daily Multiple Formula Vitamin/Mineral/Antioxidant Optimal Dose Vitamins for Women and Men

This optimal potency multiple vitamin/mineral/trace mineral formula performs at least three important roles in maintaining your good health:

I.) Supplies high potency antioxidant nutrients including vitamins C and E, beta carotene, zinc, selenium, copper and manganese. Excess Radical Oxygen Species (ROS) are detrimental to good health.

II.) Multiple vitamins taken daily give your body the materials needed to improve and maintain health and vigor.

III.) Daily supplementation with optimal dose vitamins, minerals and trace minerals helps you to avoid the diseases of nutrient deficiency that our compromised food supply has made increasingly common.

Maxi Multi is a state-of-the-art formulation of vitamins, minerals, antioxidants and bioflavonoids with highly concentrated plant enzymes for optimal assimilation.

Maxi Multi contains target doses of the nutrients known to maintain good heath in both men and women.

Maxi Multi typically replaces at least five separate formulas:

  • High potency multiple vitamin /mineral / trace mineral supplement
  • High potency multiple B-complex vitamins
  • High potency antioxidants (A, carotenes, C, E, selenium, zinc)
  • High potency calcium / magnesium (1,000:400) plus other bone-building nutrients (boron, vitamin D)
  • Bioflavonoids

If you only take one daily multiple vitamin supplement, this should be THE ONE!

The addition of Plant Enzymes ensures absorption of nutrients. This formula is hypoallergenic, ultra pure and suitable for even highly sensitive individuals.Gluten-free and yeast-free.

The 270 capsule bottle is a one month supply for one person

Maxi Greens Complete Daily Plant Food Phytonutrient Formula

Maxi Greens – The Daily Phytonutrient Foundation

Complete Green Food / Flavonoid / Phytonutrient-Rich Daily Herb Formula

“The” daily multi formula of herbs and phytonutrients, Maxi Greens reflects the very latest research in holistic health and alternative medicine.

Maxi Greens is a complete herbal phytonutrient formula and contains a full spectrum of the most widely researched flavonoid herbs shown to reduce Radical Oxygen Species (R.O.S. or “free radicals”) and restore and enhance good health:

  • ginkgo biloba
  • Bilberry
  • green tea
  • milk thistle
  • grape seed and pine bark (pycnogenols)
  • PLUS: indole-containing herbs: broccoli and cauliflower
  • AND: High chlorophyll / mineral rich herbs: alfalfa, wheat grass, barley grass, wheat sprout.
  • With gut-healthy probiotics (good gut bacteria) and Fructooligosaccharides (FOS).

Stop guessing about which herbs to take for overall health maintenance and general health improvement.

Stop buying separate herbs to “cover the bases” of a solid herbal program.

Stop wondering if your herbs are the highest quality in optimal doses.

Start taking Dr. Myatt’s Maxi Greens every day. It provides extra phytonutrient herbs as part of a solid foundation for your good health.

The 270 capsule bottle is a one month supply for one person

Maxi Marine O-3 Omega-3 Essential Fatty Acids

Maxi Marine O-3 -The Daily EFA Foundation

Omega-3 Essential Fatty Acids AreAnti-Inflammatory And Are Vital For Heart Health, Neurological Health, and Hormone Health.

Maxi Marine O-3 Omega-3 Essential Fatty Acids are

  • Ultra-pure
  • Ultra-high potency
  • Harvested in pristine Norwegian Arctic waters
  • Purity assured by molecular distillation
  • Verified free of PCB’s, heavy metals and pesticides
  • Vitamin E added to maintain maximum freshness
  • Enteric coated to ensure no “fishy” after-taste

Omega-3 Essential Fatty Acids are an absolute requirement in the human diet and our American diet is grossly deficient in Omega-3 Essential Fatty Acids.

Deficiencies of Omega-3 Essential Fatty Acids contribute to subtle body-wide inflammation which is associated with over 60 diseases including:

  • overweight and obesity
  • heart disease
  • cancer
  • arthritis
  • stroke
  • allergies
  • asthma
  • autoimmune disease
  • neurological disease
  • psoriasis and eczema
  • high blood pressure

Daily supplementation of Omega-3 Essential Fatty Acids is one of the healthiest choices you can make to prevent these many Essential Fatty Acid deficiency associated diseases.

The Essential Fatty Acids are SO important that the U.S. Government officially recommended in 2003 that Americans get more Omega-3 Essential Fatty Acids in their diet.

The EPA/DHA content of Maxi Marine O-3 (700mg total) is two and a half times more concentrated than most fish oils.

Marine Lipid Concentrate: 1000mg – which provides:
EPA (eicosapentaenoic acid) 420mg
DHA (docosahexaenoic acid) 280mg

The 120 softgel capsule bottle is a one month supply for one person

Dr. Myatt is committed to bringing you good health.

The best way to do that is to make basic daily supplementation affordable.

Thousands of customers come back month after month to buy these health-giving supplements at our regular prices.

Sorry – Temporarily Unavailable

 The Fertility Project

Bringing You A Synergy Of Conventional and Natural Approaches To Infertility Treatment

Fertility Restore is a collaborative project of Dr. Jeffrey Braverman, Reproductive Immunologist and Medical Director of Braverman Immunologic and Reproductive Medical Services and Dr. Dana Myatt, holistic physician, Chief Medical Officer of Dr. Myatt’s Wellness Club, and naturopathic researcher and educator.

With over 20 years of successful infertility treatment experience, Dr. Braverman has personally witnessed the beneficial effects that a naturopathic approach brings to his patients.

With the goal of offering the very best in natural treatment adjuncts to his patients, Dr. Braverman sought out the best minds in naturopathic medicine – and the collaboration between Dr. Braverman and Dr. Myatt was born.

With the experience gained from having overseen thousands of infertility treatment cycles and his knowledge of reproductive immunology combined with a number of successful experiences with vitamins, herbs, diet, and other natural treatments for infertility Dr. Braverman realized that a more exacting, clinical, and even scientific approach to natural treatments would bring greater benefits and increased success to his patients. Dr. Myatt brings that scientific, research-based approach, along with her extensive knowledge of herbs, vitamins, ancient Chinese and Eastern medicine, diet and a holistic, naturopathic approach to endocrinology and immunology to the partnership.

While there are plenty of supplements available to consumers which claim to be formulated to support fertility and pregnancy, none properly addressed the unique needs of men and women with infertility challenges to the satisfaction of either Dr. Braverman or Dr. Myatt, and none satisfied Dr. Myatt’s demanding standards for quality, purity, potency and formulation. Some even contained ingredients that might be harmful to fertility, conception, pregnancy or an unborn child in some cases! Consequently, Braverman and Myatt have worked together to develop a number of natural supplement products tailored specifically to target the unique needs of pre and peri-conceptual couples who are dealing with fertility issues.

These top-quality, specialized formulas bring increased hope to infertile couples, and we invite you to learn more about our specialized fertility supplements.

Please visit our Natural Fertility Knowledge Center for information on fertility related topics – discussed from a natural viewpoint.

You can learn more about Dr. Braverman here.

You can learn more about Dr. Myatt here.

Dr. Jeff Braverman is available to consult and discuss any of your infertility issues. His specialty is immunologic causes of recurrent pregnancy loss as well as the diagnosis and treatment  of previously  failed infertility cycles.

Consultations With Dr. Dana Myatt

Help Yourself To Good Health

Notice To New Patients:

Because of Dr. Myatt’s reputation of being the doctor to call when conventional medicine gives up she has been inundated with a number of extremely complicated patients.

In order that she may continue to provide all her patients the high levels of care and attention that they have come to rely upon she is accepting only very select new patients.

In order to determine suitability to be added to her caseload Dr. Myatt is requiring all those who wish to be taken on as new patients to first speak with her in a Brief Telephone Consultation.


Member: American Association of Naturopathic Physicians (eligible)
President: ECAFH Foundation, Inc. (Exploring Complementary Answers for Health)
Author: A Physicians Diary
Professor: Atlantic University
Graduate: National College of Naturopathic Medicine

How May I Help You? Herbs Homeopathy Nutritional Evaluations Lifestyle Counseling Chinese Medicine Edgar Cayce Remedies Health Optimization Immune Enhancement Detoxification and Fasting Stress Reduction Health Education Weight Management


Special Programs

  • Executive Wellness & Longevity
  • Cardiovascular disease prevention and reversal / high cholesterol reversal
  • Overweight/obesity
  • CANCER prevention/options
  • Digestive difficulties and parasites
  • Allergies and hypersensitivities
  • Depression and anxiety
  • Viral Syndromes including HIV, herpes, Epstein Barr (EBV), hepatitis
  • Infertility (male and female)
  • Athletic performance

Help Yourself to Health

Click Here To Learn Why You Should Consult Dr. Myatt

click here to see Dr. Myatt’s telephone consult brochure

call 1-800-DRMYATT (1-800-376-9288)

Please also see: How Our Office Handles Insurance

Do Doctors Still Make House Calls?

Dr. Myatt And Nurse Mark Make “The Ultimate House Calls”!

Many of our private practice patents and Wellness Club Customers know that Dr. Myatt travels often to speak, teach, and lecture. When her travels bring her to areas where her patients live she is happy to schedule them for an in-person consultation, including examination and other therapeutic treatments. Patients may be seen in Dr. Myatt’s Wellness Club coach or even in the comfort of their own home. When visits can be scheduled to coincide with Dr. Myatt’s travel itinerary her customary consultation fees apply.

Your Own Private Naturopathic Doctor And Nurse – In Attendance:

For those who need the undivided attention of this unique doctor and nurse team, Dr. Myatt and Nurse Mark can travel to your location where they will attend to your holistic health needs 24/7 if need be. This may include not only intensive care for the patient, it may include teaching for family members and caregivers or for staff such as personal chefs, personal assistants, housekeepers, or security staff.

You can be assured of absolute, inviolate confidentiality and respect for your privacy when working with Dr. Myatt and Nurse Mark.

This is a unique and specialized service and it is not inexpensive. Not all patients will qualify for or benefit from this intensive in-home naturopathic medical care. Please contact Dr. Myatt for cost and availability and to determine your suitability for this ultimate health-restorative opportunity.

Is your situation more urgent?

Do you need Dr. Myatt and Nurse Mark to attend you more quickly than is possible with road travel? (for road travel figure 500 miles per day from northern Arizona to your location)

Dr. Myatt will not travel by commercial (public) air carrier. She will consent to travel by private business aircraft and there is an airfield near her location that will accommodate this class of aircraft. (KTYL) Contact The Wellness Club to discuss this option.

Dr Myatt can also arrange to travel to your location by private plane. Nurse Mark is a licensed Private Pilot and their airplane allows them to reach you quickly and discretely. Requirements for visitations of this kind will include a destination airport with adequate runways and secure tie-downs and available fuel, appropriate transportation arrangements on arrival and during the visit, and appropriate accomodations for Dr. Myatt and Nurse Mark while on location.

Piper Warrior II Private Airplane
Dr. Myatt and Nurse Mark can be at your side quickly if need be. Click on the picture above for more information about their aircraft.

Dr. Myatt’s Wellness Club Coach is 36 feet in length. She maintains contact with her patients and the internet via 2-way satellite. When in location she requires electrical service for her communications: 20 amps minimum.

Brief Consultations

Brief Consultations by telephone are available between 9 AM and 5 PM, Tuesday through Friday, Arizona time. When you checkout please tell us what times and dates would be best for your consultation – we will make every effort to accommodate your needs, subject to prior scheduling commitments. Please be sure that we have both a valid email and telephone number so we can contact you to arrange your appointment.

Please Note: Be sure that you are available at the telephone number you provide, at the time you have arranged, when Dr. Myatt calls you – there are no refunds for missed appointments!

In the very unlikely event that a medical emergency prevents Dr. Myatt from calling at your appointment time, you will be offered a full refund or a rescheduled appointment – your choice.

DO NOT send Dr. Myatt lab reports, medical records or summaries, or any other medical information unless you are booking a New Patient Visit Consultation! Any medical information that is received unsolicited will be treated as confidential medical records and will be destroyed immediately.

Medical records and other documentation can be sent to:

Dr. Myatts Wellness Club
Attn: Medical Records
PO Box 900
Snowflake, AZ 85937

It is of no benefit to send via “overnight” courier – USPS Priority Mail provides timely and inexpensive delivery to our location – usually as quickly as any “overnight” courier!

Bio-Identical Hormone Therapy

Bio-identical (Natural) Hormone Replacement Therapy
and Other Natural Hormone-Balancing Therapies

Which One is Right for You?


Are Your Symptoms Cause by Low or Imbalanced Hormones?

What is Bio-identical Hormone Replacement Therapy (bHRT)?

What are the advantages of bHRT?

Delivery System: Oral Versus Transdermal Hormones

How Best to Address Your Menopausal Symptoms and Concerns?

Dr. Myatt’s “Hormone Balance” Programs: Which One is Right for You?

Are Your Symptoms Caused by Low or Imbalanced Hormones?

Women and men both go through “the climacteric,” a period in mid-life when sex hormone production declines.

In women, this change is called “menopause.” In men, the change is often referred to as “andropause.” Many symptoms of the climacteric are similar in men and women.

In women, peri-menopause (“around the time of menopause”) symptoms can include mood swings, weight gain, fatigue, hot flashes, breast tenderness, vaginal dryness, decreased libido (sex drive), urinary leakage or urgency and sleep difficulties. Menstrual periods may becomes less frequent, irregular and farther apart OR they can become heavier and more frequent. Peri-menopause usually begins in a woman’s 40’s but can start as early as the 30’s or as late as the 50’s.

Menopause symptoms in women are similar to peri-menopause symptoms except that menstrual periods cease. Headaches, heart palpitations, cognitive decline and difficulty sleeping may also occur. Bone mineral loss is often accelerated during this time, leading to osteoporosis.

Andropause symptoms in men can include include night sweats, low libido (sex drive), weight gain, depression, anxiety, hot flashes, gynecomastia (enlarged male breasts), fatigue, irritability, and weight gain. Other male climacteric symptoms include erectile dysfunction, loss of stamina and lean muscle mass, cognitive decline and decreased bone mineral density. Men with lower testosterone have a higher risk of coronary artery disease. (1-4)

The change in men is more gradual than in women and symptoms are often attributed to “natural aging” instead of hormone decline.

What is Bio-identical Hormone Replacement Therapy (bHRT)?

Bio-identical Hormone Replacement Therapy (bHRT) is a way to resolve symptoms and/or restore sex hormones to more youthful levels using hormones that are identical to those produced by the human body. Bio-identical hormone replacement therapy (bHRT) differs from convention HRT (cHRT) which uses horse estrogens (Premarin = Pregnant Mares Urine), synthetic and semi-synthetic hormones that are different from human hormones.

Proponents of bHRT believe that many of the unwanted side effects of conventional HRT are due to the “foreignness” of the molecules, not to hormone replacement therapy itself. This may make bHRT a safer form of hormone replacement therapy. (5-10)

How is Bio-Identical HRT Different from Conventional HRT?

Bio-identical hormone replacement is different from conventional HRT in the following ways.

  1. “Identical to human” hormones are used in bHRT. Conventional HRT typically uses horse hormones and synthetic and semi-synthetic hormones. These hormones are not the same molecules as those produced by the human body.It should be noted that there are bio-identical FDA approved hormones available by prescription. Not all “bio-identical” hormones need to be “compounded,” or made up individually by a compounding pharmacist.
  2. Based on Testing. bHRT is prescribed based on individual hormone test results. Conventional HRT does not use testing but bases treatment on improvement of symptoms.
  3. “Pulsed dosing” is often used in bHRT to duplicate the natural rhythm of hormone production and release. Some studies have shown this pattern of use to be safer and just as effective as continuous HRT. (11-12) Conventional HRT typically uses continuous doses of hormones. Continuous doses are associated with higher risk of breast cancer in some studies. (13)

What are the advantages of bHRT?

Is bHRT Safer than conventional HRT?

Conventional hormone replacement therapy, especially in women, is associated with a number of increased health risks including heart disease, stroke, breast cancer, deep vein thrombosis, gallbladder disease and acid reflux. (14-20) Conventional HRT decreases the risk of osteoporosis and can alleviate some symptoms of menopause including hot flashes and vaginal dryness (21-22) but many experts do not believe these improvements justify the increased risks.

Proponents of bio-identical hormone replacement therapy believe that bHRT is safer than conventional hormone therapy and some studies have shown this. (5-10) However, the number of studies done with bHRT is small compared to the studies done with conventional HRT. Large-scale studies of safety and efficacy of bHRT are lacking.

In spite of a small number of studies confirming safety and efficacy, the case for bio-identical hormones also makes sense in theory. Consider these facts:

Conventional hormone replacement therapy typically employs estrogens from pregnant mare’s urine. Horse hormones are significantly different than human hormones. Conventional hormone replacement also typically uses synthetic progesterone. The difference in synthetic and bio-identical progesterone is  significant. It is therefore believed that most if not all of the negative side effects of conventional hormone replacement is due to their “foreign to humans” molecular structure, not to hormone replacement itself. Some studies on bio-identical versus non-bio-identical progesterone confirm that there is a different effect in humans with natural progesterone appearing to have less risk of associated cancers. (5-10)

Further, conventional hormone replacement is almost always prescribed as a “one-size-fits-all” recommendation without the use of any laboratory testing to verify hormone levels. Practitioners of bio-identical hormone replacement typically start with blood, saliva or urine hormone testing and customize hormone prescriptions based on an individual’s unique requirements. Testing can help guide the prescription and prevent levels of hormones from being excessive.

Finally, risks associated with hormone therapy can be monitored, but this is rarely if ever done in conventional hormone prescribing. However, risks such as total hormone levels, ratios of hormones to each other and hormone metabolites can be potent predictors of heart disease and cancer risks. Even without hormone replacement therapy, these risk factors may be worth monitoring in all middle-aged men and women.

To answer the question of safety, there are theoretical reasons to believe that bio-identical HRT should be safer than conventional HRTand some actual studies show better safety.

Is bHRT Effective?

Studies have verified the effectiveness of bHRT for relieving many of the symptoms of menopause. (7-9, 23-24)

My personal clinical experience over the past 23 years is that bHRT can achieve every positive effect that conventional HRT achieves with less risk of negative side effects. Because I monitor risk factors, I have also seen reductions in cardiac and cancer risk markers and improvements in bone mineral density.

Is bHRT Proven?

Studies have demonstrated the effectiveness of bio-identical hormone replacement therapy. (7-9, 23-28)

Anti-Aging Claims for bHRT

Proponents of bHRT claim that keeping hormones at “youthful” levels can extend life expectancy and help delay the effects of aging. These claims have been popularized by public figures like Suzanne Somers in her book “The Sexy Years.” In spite of these claims, there is no proof that continued use of sex hormones, especially estrogen and progesterone in women, have-extending properties. There IS evidence that DHEA in both men and women (25-28) and testosterone in men (29-33) may have a positive influence on health, longevity and hormone balance.

While claims of living better and longer with bHRT are numerous, proof is lacking. This leaves bHRT and its anti-aging effects in the realm of theory at this point.

Delivery System: Oral Versus Transdermal Hormones

In addition to the “form” (natural or synthetic) of hormone, the method of administration has been shown to make a significant difference in safety and efficacy.

Orally administered hormones, especially estrogens, can increase risk of blood clots and deep vein thrombosis, increase hs-CRP (a marker of inflammation), decrease free testosterone and thyroid hormone and increase cortisol.(34) Oral estrogen is also associated with an increased risk of gallbladder disease and acid reflux. (15,18)

Many hormones used transdermally — applied to the skin or mucous membranes — do not appear to have these unwanted effects. (35) Therefore, when considering bHRT, the form that it is used in is also of importance.

How Best to Address Your Menopausal Symptoms and Concerns?

Symptoms of peri-menopause and menopause in women and andropause in men are a sign from the body that something is “off kilter.” For example, hot flashes in women correspond to an increase in oxidative stress and decreased nitric oxide levels (NO), both risk factors for cardiovascular disease. (36-37)

These symptoms and resulting negative physical changes are not an inevitable part of aging and should not be ignored. They can be addressed and improved through a variety of means, including but not limited to bio-identical hormone replacement therapy.

Diet changes, exercise and personal health practices can all help to improve symptoms of menopause and andropause. (38-39) There are nutritional and herbal supplements are proven to help correct menopause and andropause symptoms. (40-42)  Bioidentical hormone replacement is one way to address declining hormone levels, but it is not the only way.

The decision to use bHRT is a personal one that should be made in conjunction with an holistic physician. Your degree of symptoms, personal thoughts about bHRT, willingness to make other lifestyle changes and use nutritional and herbal supplements should all factor into the “decision equation.” Here are some additional factors to consider when making this decision.

Possible “Pro’s” of bHRT

  1. Faster. Herbs and other factors can help balance hormones, but the effects of bHRT might be more dramatic and faster. (NOTE: I cannot find scientific studies to support this; it is my clinical observation — Dr. Myatt)
  2. Easier. Taking an Rx. may be easier than making lifestyle changes, although any good holistic physician should recommend positive lifestyle changes as part of an overall health program.
  3. Safer. Some studies point to the improved safety of bHRT over conventional HRT. (14-20)
  4. Better hormone balance. Some hormones such as DHEA and testosterone have independent health benefits. (25-33, 43) These hormones are typically not used in conventional HRT but may be prescribed by a physician who uses bHRT.

Possible “Cons” of bHRT

  1. Cost. bHRT is not necessarily expensive and can be as little as $30/month depending on what hormones are needed. However, an Rx. will represent an ongoing expense. Most practitioners prescribing bHRT require initial hormone testing (to customize your Rx.) and follow-up testing to ensure that your hormones are at optimal (safe and effective) levels. Testing plus the Rx. itself will be an ongoing expense.
  2. Safety. Although bHRT appears safer than conventional HRT, there is some evidence that no type of hormone replacement in women has been proven to be “protective” or safer than natural menopause.

Alternatives to bHRT

Hormone Testing: Saliva vs. Blood vs. Urine

Conventional hormone replacement does not use testing. The recommended “end point” (goal of treatment) is alleviation of symptoms. Therefore, when a woman has stopped having hot flashes, for example, the dose is considered to be correct.

Most bHRT practitioners begin treatment with some form of hormone testing, using either saliva, blood or urine to evaluate hormone levels. Although there are many claims about the superiority of one form of testing over another, scientific studies are lacking.

Saliva testing is the least accurate measure of sex hormones. Numerous studies have failed to find a reliable correlation between saliva hormone levels and physiologic (body) hormone levels with the exception of cortisol measurement. (17,44-54)

Blood testing does not reveal the hourly variation and 24-hour cyclical nature of hormone release but it has been better studied. For this reason, blood testing is probably the second-best method of hormone testing.

Twenty-four hour urine testing may be the preferred method of hormone testing. In addition to evaluating hormone output including the 24-hour variation (a “video” instead of a “snapshot,”), urine testing also looks at biochemical intermediates which are independent indicators of hormone levels and hormone metabolism. Some intermediates, such as the 2:16alpha-hydroxyestrone ratio, may be potent predictors of increased risk for hormone-related cancers. (55-56) Fortunately, once known, these risks can be modified.

Dr. Myatt’s Hormone Balance Programs:
Which One is Right for You?

All bHRT programs in both men and women begin with a Brief Telephone Consultation. Together, we determine which program is right for you.

Depending on your age, symptoms, beliefs and what you hope to achieve, we work together to design and implement a complete program to optimize both hormone balance and overall health.

For some men and women, this will include the use of bio-identical hormone replacement therapy, as determined by laboratory testing (24-hour urine). The form may differ depending on which hormones are needed, but usually include both transdermal and oral hormone replacements.

Hormone balance and relief of symptoms can often be achieved without the use of hormone replacement therapy. The decision to use hormones should not be taken lightly and should be made in consultation with a physician who is well-versed in both bHRT and non-hormonal methods of achieving hormone balance.

Which Hormone-Balancing Program is Right for You ?

 The Bronze program is for:

• Peri-menopausal women
• Post-menopausal women
• Men over 35

For women and men desiring better hormone balance  without  the use of
bio-identical hormone replacement.

You will receive a Personalized Health Report and Phone Follow-Up of 60 mins

The Silver program is for:

• Peri-menopausal women
• Post-menopausal women
• Men over 35

For women and men desiring better hormone balance AND bone mineral density protection without using
bio-identical hormone replacement.

You will receive a Personalized Health Report and Phone Follow-Up of 120 mins

The Gold program is for:

• Peri-menopausal women
• Post-menopausal women
• Men over 35

For women and men desiring sex hormone optimization and breast/prostate cancer risk reduction using bHRT.

You will receive a Personalized Health Report and Phone Follow-Up of 360 mins

The Platinum program is for:

• Peri-menopausal women
• Post-menopausal women
• Men over 35

For women and men desiring anti-aging, full-scope endocrine balancing (including sex, thyroid and adrenal hormones) and
breast /prostate cancer risk reduction using bHRT.

You will receive a Personalized Health Report and unlimited Phone Follow-Up

 * saliva hormone testing not available in New York state.


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16.)  Eilertsen AL, Høibraaten E, Os I, Andersen TO, Sandvik L, Sandset PM. The effects of oral and transdermal hormone replacement therapy on C-reactive protein levels and other inflammatory markers in women with high risk of thrombosis. Maturitas. 2005;52(2):111-118.

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19.) Jernström H, Bendahl PO, Lidfeldt J, Nerbrand C, Agardh CD, Samsioe G. A prospective study of different types of hormone replacement therapy use and the risk of subsequent breast cancer: the women’s health in the Lund area (WHILA) study (Sweden). Cancer Causes Control. 2003 Sep;14(7):673-80.

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21.) de Villiers TJ, Stevenson JC. The WHI: the effect of hormone replacement therapy on fracture prevention. Climacteric. 2012 Jun;15(3):263-6.

22.) Nelson HD, Humphrey LL, Nygren P, Teutsch SM, Allan JD. Postmenopausal hormone replacement therapy: scientific review. JAMA. 2002 Aug 21;288(7):872-81.

23.)  Cramer EH, Jones P, Keenan NL, Thompson BL. Is naturopathy as effective as conventional therapy for treatment of menopausal symptoms? J Altern Complement Med. 2003 Aug;9(4):529-38.

24.)  Ruiz AD, Daniels KR, Barner JC, Carson JJ, Frei CR. Effectiveness of compounded bioidentical hormone replacement therapy: an observational cohort study. BMC Womens Health. 2011 Jun 8;11:27.

25.) Genazzani AR, Pluchino N, Begliuomini S, Stomati M, Bernardi F, Pieri M, Casarosa E, Palumbo M, Genazzani AD, Luisi M. Long-term low-dose oral administration of dehydroepiandrosterone modulates adrenal response to adrenocorticotropic hormone in early and late postmenopausal women. Gynecol Endocrinol. 2006 Nov;22(11):627-35.

26.) Labrie F. DHEA, important source of sex steroids in men and even more in women.
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27.) Pluchino N, Ninni F, Stomati M, Freschi L, Casarosa E, Valentino V, Luisi S, Genazzani AD, Potì E, Genazzani AR. One-year therapy with 10mg/day DHEA alone or in combination with HRT in postmenopausal women: effects on hormonal milieu. Maturitas. 2008 Apr 20;59(4):293-303. Epub 2008 Apr 3.

28.) Stomati M, Monteleone P, Casarosa E, Quirici B, Puccetti S, Bernardi F, Genazzani AD, Rovati L, Luisi M, Genazzani AR. Six-month oral dehydroepiandrosterone supplementation in early and late postmenopause. Gynecol Endocrinol. 2000 Oct;14(5):342-63.

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35.)  L’hermite M, Simoncini T, Fuller S, Genazzani AR. Could transdermal estradiol + progesterone be a safer postmenopausal HRT? A review. Maturitas. 2008 Jul-Aug;60(3-4):185-201. Epub 2008 Sep 5.

36.) Leal M, Díaz J, Serrano E, Abellán J, Carbonell LF. Hormone replacement therapy for oxidative stress in postmenopausal women with hot flushes. Obstet Gynecol. 2000 Jun;95(6 Pt 1):804-9.

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41.) Kronenberg F, Fugh-Berman A. Complementary and alternative medicine for menopausal symptoms: a review of randomized, controlled trials. Ann Intern Med. 2002 Nov 19;137(10):805-13.

42.) Geller SE, Studee L.Botanical and dietary supplements for menopausal symptoms: what works, what does not. J Womens Health (Larchmt). 2005 Sep;14(7):634-49.

43.) Øverlie I, Moen MH, Holte A, Finset A. Androgens and estrogens in relation to hot flushes during the menopausal transition. Maturitas. 2002 Jan 30;41(1):69-77.

44.) Gröschl M. Current status of salivary hormone analysis. Clin Chem. 2008 Nov;54(11):1759-69. Epub 2008 Aug 29.

45.) Hagen J, Gott N, Miller DR. Reliability of saliva hormone tests. J Am Pharm Assoc . 2003 Nov-Dec;43(6):724-6.

46.) Davison S. Salivary testing opens a Pandora’s box of issues surrounding accurate measurement of testosterone in women. Menopause. 2009;16:630-631.

47.) Flyckt RL, Liu J, Frasure H, Wekselman K, et al. Comparison of salivary versus serum testosterone levels in postmenopausal women receiving transdermal testosterone supplementation versus placebo. Menopause. 2009 Jul-Aug;16(4):680-8.

48.) Granger DA, Shirtcliff EA, Booth A, et al. The “trouble” with salivary testosterone. Psychoneuroendocrinology. 2004 Nov;29(10):1229-40.

49.) Mörelius E, Nelson N, Theodorsson E. Saliva collection using cotton buds with wooden sticks: a note of caution. Scand J Clin Lab Invest. 2006;66(1):15-8.

50.)  6.Lewis JG. Steroid analysis in saliva: an overview. Clin Biochem Rev. 2006 Aug;27(3):139-46.

51.) Stanczyk FZ, Paulson RJ, Roy S. Percutaneous administration of progesterone: blood levels and endometrial protection. Menopause. 2005 Mar;12(2):232-7.

52.) Lewis JG, McGill H, Patton VM, et al. Caution on the use of saliva measurements to monitor absorption of progesterone from transdermal creams in postmenopausal women. Maturitas. 2002 Jan 30;41(1):1-6.

53.) Wren BG, McFarland K, Edwards L, et al. Effect of sequential transdermal progesterone cream on endometrium, bleeding pattern, and plasma progesterone and salivary progesterone levels in postmenopausal women. Climacteric. 2000 Sep;3(3):155-60.

54.) Wood P. Salivary steroid assays – research or routine? . Ann Clin Biochem. 2009 May;46(Pt 3):183-96. Epub 2009 Jan 28.

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