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Inside this issue:
September 2009
Salivary vs. Blood 1
What is the difference between testing my hormone levels through saliva compared to blood?
picture from: Non-Bio-Identical 4
Why does saliva testing reveal imbalances when my blood levels were normal?
called “bio-availability”) rather Bio-identical Hormone Replacement
What is the difference between “Bio-Identical Hormones”
and Premarin, Provera or Prempro etc?

Are bio-identical hormones safer than synthetic hormones?
“The great
appeal of bio-
hormones is that
they are natural,
and our body can
metabolize them
as it was designed
to do, minimizing
side effects”
Side effects of BHRT?
Who shouldn’t go on HRT or BHRT?
The fol owing are contraindications for traditional HRT and at this point we are using the same guidelines for BHRT Significant side effects from the birth control pil Who may benefit from testing salivary hormone levels? Both women and men.
Andropause: too little tes-
tosterone, too much SHBG
bio-available” testosterone.
“Middle aged
men go through
(which is the
male version of
free” testosterone or “bio- Bio-identical Hormone Replacement
Examples of estrogens that are non-bio-identical:
Premarin (conjugated equine estrogen derived from pregnant mares, also abbreviated as CEE)  Congest, C.E.S., PMS-conjugated (available in Canada) and Cenestine (available in U.S.) are synthetic Esterified estrogen is another synthetic estrogen. "Esterified" means the estrogen molecules are bound to sulphur. Examples of esterified estrogens are: Neo-estrone (Canada) and Minest (U.S.) Examples of estrogens that are bio-identical:
 Estrace is E2 or 17β-estradiol in a pil  Tri-est pil : contains 17β-estradiol as well as estrone (E1) and estriol (E3)  Bi-est pil : contains 17β-estradiol and estriolTransdermal (cream)Bi-est and Tri-est transdermal (creams): are compounded “bio-identical” estrogen creams Examples of progestins (non-bio-identical)
 A non bioidentical progesterone is actually called a “progestin”. A very common progestin is me-
Examples of bioidentical progesterone
 Prometrium: this pil contains peanut oil and is therefore not an option for women with peanut
Combined non-bio-identical HRT
 Premplus (Canada): contains conjugated estrogen and medroxyprogesterone acetate (progestin)
 Prempro (U.S.): contains premarin and progestin.
Medicine offers a variety of salivary For more information please contact


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The cost-effectiveness of ivermectin vs. albendazole in the presumptive treatment of strongyloidiasis in immigrants to the united states

Epidemiol. Infect. (2004), 132, 1055–1063. The cost-effectiveness of ivermectin vs. albendazole in thepresumptive treatment of strongyloidiasis in immigrantsto the United StatesP. M U E N N I G 1*, D. P A L L I N 2, C. C H A L L A H 3 A N D K. K H A N 41 Department of Health Policy and Management, Mailman School of Public Health, Columbia University,NY, USA2 Department of Emergency Medicine,

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