Natural Hormone Balance for Women
by Uzzi Reiss MD
This is currently one of the best books for women who want to know about natural bio-identical hormones for the menopausal symptoms of night sweats, hot flashes, insomnia, weight gain, and foggy mind.
I met Uzzi Reiss at a medical meeting a few years ago, and he mentioned his new book during conversation. After returning from the meeting, I read Suzanne Somers’ book in which she mentioned that Uzzi Reiss had been one of her doctors during her long odyssey to find bio-identical hormone replacement. As a gynecologist with a large clinical practice in Los Angeles, Dr. Uzzi Reiss has accumulated a considerable amount of knowledge and experience using natural hormones for women, and Dr. Reiss is one of the few physicians willing to share this knowledge.
Reiss’s book provides a practical guide for the safe use of natural hormones, and answers the following questions:
- When to use natural hormones, when to not use them
- The difference between unsafe patented synthetic hormones, and the safe natural hormones.
- Why natural hormones are safe.
- What route of administration is best, pills, gels, creams, drops, etc.
- What are your possible responses to each hormone in terms of how you will feel.
- How to monitor our response and adjust your hormone dosage individually.
- How to work with your doctor to adjust your hormone dosage for optimal effect avoiding hormone excess symptoms.
Regarding hormone testing:
Dr. Reiss uses blood testing for baseline hormone levels, however, he says: “The heavy reliance on normal-range readings is nothing less than a tragic, medical addiction”
Dr. Reiss’s approach:
After a routine history and physical exam, baseline blood hormone levels and a pelvic sonogram, treatment is started at a relatively low hormone dosage, adjusting upward as needed. For the adjustment phase, Dr. Reiss empowers his patients with the knowledge to adjust their individual hormone levels. This is done based on symptoms of hormone deficiency or excess, clearly described in detail in his book, which serves as an educational tool for his patients.
Separate chapters are devoted to Estrogen, Progesterone and Testosterone with very detailed descriptions of symptoms of hormonal deficiency and hormonal excess. Dr. Reiss does not discuss thyroid, leaving that for other authors. Also, there are only limited comments about adrenal fatigue and the problems associated with low cortisol.
A major strength of the book is that Dr. Reiss provides exact hormone dosages and route of administration for his Los Angeles patient population. However, as a matter of practical experience, I have found his starting estrogen dosage somewhat on the high side of the scale for my area of the country, so I would caution the reader about that. Also, Dr. Reiss does not explain why he changed the standard formulation of Tri-Est (10/10/80) to a different unique formulation of Tri-Est gel (0.25E1/ 0.75E2/ 2.75E3). According to most large national compounding pharmacies, the most common formulation is Bi-Est in 0.625 mg to 1.25 mg dosage with (20 E2 / 80 E3) formulation.
In any event, these minor flaws are outweighed by the many strengths of the book which empowers women to learn about natural hormone balance. I applaud Dr. Reiss for providing a valuable public service with a book that should be in every woman’s library on natural hormone replacement.