Why TESTOSTERONE Management Is Critical For Women’s Health with Amie Hornaman

Low libido… brain fog… and decreased muscle mass — many women face these issues without realizing they could be linked to hormone imbalances, particularly low testosterone levels. As you navigate through perimenopause or menopause, the overlapping symptoms can be confusing and frustrating, making it difficult to pinpoint the root cause and find effective solutions.

In a recent episode of The Ben Greenfield Life podcast, Ben and Dr Amie Hornaman discussed the often-overlooked aspects of hormone management, with a special focus on testosterone’s pivotal role in women’s health. From understanding the complex interactions between testosterone and thyroid levels to exploring the best methods for hormone testing, Amie gives a comprehensive guide to optimizing your hormone balance. You’ll also gain insights into various testosterone replacement methods, strategies to manage side effects, and tips on integrating peptide therapy for enhanced recovery and growth hormone levels. Whether you’re seeking to boost your libido, enhance cognitive function, or maintain muscle mass, this episode offers practical advice to help you achieve your health goals.

Dr. Amy Horniman, also known as the “thyroid fixer,” is a nutritionist, dietician, and functional medicine practitioner based in Erie, Pennsylvania. She has been practicing privately since the late 1990s and is an expert in thyroid and hormone optimization. Dr. Horniman works with people all over the world and specializes in addressing individualized health concerns, particularly pertaining to hormones and the thyroid.

Ben Greenfield is a health consultant, speaker, and New York Times bestselling author of a wide variety of books including the widely popular titles Boundless Parenting, Boundless Kitchen, Beyond Training, Boundless, Fit Soul, Spiritual Disciplines Journal, the Boundless Cookbook and Endure. A former collegiate tennis, water polo and volleyball player, bodybuilder, 13-time Ironman triathlete and professional obstacle course racer, Ben has been voted by the NSCA as America’s top Personal Trainer and by Greatist as one of the top 100 Most Influential People In Health And Fitness.

The following are some major lessons and advice given by Dr Amy Horniman on the podcast:

Understanding Testosterone and DHT

- The Significance of Testosterone and DHT: Testosterone is critical for both men and women, affecting muscle growth, strength, and overall anabolic functions. Dihydrotestosterone (DHT) is a potent testosterone variant that is desired for its anabolic rather than androgenic (male characteristic) effects.

Hormone Management for Women

- Testosterone in Women: Women possess significantly more testosterone compared to estradiol but often misunderstand its role, fearing undesired masculinization. Dr. Horniman clarifies that appropriate testosterone levels are vital for cognitive functions, muscle mass retention, and motivation, in addition to libido.

- Aging and Hormone Levels: As women age, particularly during their thirties, forties, and the transition into perimenopause and menopause, testosterone levels naturally decline, leading to symptoms like brain fog, diminished strength, and changes in fat distribution.

Testosterone Therapy Considerations

- Individualized Therapy: When administering testosterone, whether for men or women, it is essential to tailor the approach according to each person’s genetic tendencies and potential for androgenic side effects. Not all individuals require DHT pathway shutdown; some may just need mitigation strategies.

- Testosterone Supplementation for Women: Dr. Horniman suggests using testosterone cypionate injections at doses ranging from 5 milligrams to 20 milligrams per week for women, accounting for individual tolerance and side effects.

Hormone Management for Men

• Steroid Use: Discussions around steroids and their safe usage come into play, including the consideration of medications like oxandrolone, which can be beneficial for muscle preservation and support during conditions like cachexia or menopause.

- Peptide Therapy: Peptides remain a part of hormone optimization protocols where applicable, notably for growth hormone regulation, although Dr. Horniman notes that not all peptides effectively increase testosterone levels and suggests a cautious approach.

Managing and Monitoring Therapy

- Testosterone Testing: Blood serum tests are preferred for initial testosterone level assessment. Conversely, the Dutch test can be used to evaluate an individual’s propensity to metabolize testosterone toward DHT, which could predict side effects like hair loss or acne.

- Natural Benefits: Natural options such as Tribulus Terrestris and Tongkat Ali are promoted for their ability to raise testosterone levels naturally, especially in women.

Regulatory And Ethical Practices

- Legal Considerations: Dr. Horniman emphasizes the controlled nature of testosterone, equating its regulation to that of opioids due to its potential misuse.

Potential Risks and Side Effects

• Vigilance Required: While both anecdotal and research evidence suggest minimal side effects associated with appropriate testosterone and T2 supplementation, Dr Horniman advocates for more comprehensive human studies to ensure a complete understanding of potential risks.

Conclusion

Dr. Amy Horniman emphasizes the individuality of hormone therapy, advocating for bespoke solutions that cater to a patient’s unique genetic and physiological profile. Her approach combines modern medicine with natural remedies, always placing patient safety and well-being at the forefront.

Listen to the full episode here:

https://bengreenfieldlife.com/podcast...