12/12/2025
Like I said previously, I hear horrific stories everyday. Three of my appointments yesterday had awful stories of the corporate medicine system. This is why I’m so cynical. The stories you all have shared is beyond cruel. I saw 10 patients this day and 3 of them have frustrating stories.
My patient after lunch 41 year old female that I did a consult with on 11/18/25. Her symptoms are the usual: doesn’t feel like herself, new anxiety, sleep was never great but now worse (especially during her menstrual cycle), fatigue, brain fog, moody, irritable (which is really bad), no patience, rage, worse with ovulation and during menstrual cycle, feels crazy, which then makes her feel upset, zero libido, LIKE NONE, can go the remainder of her life without s*x, hot flashes, and night sweats with menstrual cycle. These symptoms, especially no libido is effecting her marriage. She lived in New York and really LOVED (past tense) her female GYN. So much so she would fly back to New York once or twice a year to see her.
This March she saw this GYN with significant changes, listed above, and asked for bloodwork. The patient was told there is no bloodwork to be done and to just workout. That’s it! Workout! Like so many of you all, she was just left to slowly fade away. On this visit I started progesterone and testosterone, even before labs were back. Why? BECAUSE I KNOW THIS WOMAN IS IN PERIMENOPAUSE!!!! 🤦♀️ How? Well I’m not an idiot and I know that perimenopause happens at this age, AND I BELIEVE WOMEN!!
I talked to her this morning to go over her labs. She is already feeling better. Sleep better. She falls asleep quicker. Overall feeling better with mood, anxiety, and just a bit happier. Then she proceeds to breakdown and cry, which happens a lot. Now. She. Is. Pi**ed. So mad that this was all it took but she was ignored for years. Today I also prescribed DHEA 5mg, vitamin D3 and vitamin K. I also offered her thyroid optimization after seeing those labs. She decided to wait on that one. I can’t wait to talk to her in 2 months.
My second patient on this same day, a 48 female, had extensive abdominal surgery earlier this year. Got off track with her hormones so her P*P said she would refill her progesterone. She got the pharmaceutical progesterone called prometrium, from her local pharmacy. In my experience, this is not as good a quality as compounded micronized progesterone. The P*P said she “didn’t need testosterone”. Why? It’s a neuro hormone responsible for sooooooooooooooo many benefits. Anyway, she felt terrible so she called us back and we refilled her compounded progesterone and testosterone. She started that about two weeks ago and is already feeling much better. Where you get your hormones absolutely matters. She also restarted her B12 and vitamin D3, and I increased her liothyronine, which is the T3 portion for her hypothyroidism. She’s on levothyroxine, which is the T4 portion.
My second to the last patient of the day tells me her male P*P is VERY UNHAPPY with her hormone use. Very belligerent about them. She said she doesn’t care because her rage is gone and she is feeling more normal now. I do see a lot of this male doctor’s patients. They’re all doing great so I’m sure that annoys him! The additional maddening part for me is this man, this DOCTOR has Unequivocally, wholeheartedly, without a doubt, affected lives of women and prevented women from getting life altering and health preventative care. I thought they/we were supposed to do NO harm?
Why should we live with rage, anxiety, depression, and feeling crazy? Oh yeah, I remember now, it’s because women are histrionic. We’ve been histrionic since the dawn of time. There’s nothing to do with us and nothing can be done. Sarcasm font. 🙄 How very frustrating for all of you. Knowing is half the battle. Finding someone to help is the other half. Love you all!! ❤️❤️