Fatigue, insomnia,
moodiness, hot flashes OR
00:00:17.11\00:00:22.33
coronary artery
disease, breast cancer, stroke,
00:00:22.36\00:00:26.12
pulmonary embolism... Do
we really have to choose?
00:00:26.15\00:00:30.43
Stay tuned...
00:00:30.46\00:00:31.70
I'm Dr. James Marcum
00:00:32.20\00:00:33.95
Are you interested in
discovering the reason why?
00:00:33.98\00:00:37.67
Do you want solutions to
your healthcare problems?
00:00:37.70\00:00:40.04
Are you tired of
taking medications?
00:00:40.07\00:00:42.93
Well, you're about to be given
the "Ultimate Prescription"
00:00:42.96\00:00:47.57
Hormone replacement
therapy, hot topic these days,
00:00:50.95\00:00:54.59
has been for over a
decade, do we or don't we?
00:00:54.62\00:00:58.95
What do studies
say? What do doctors say?
00:00:58.98\00:01:02.60
More importantly,
what does God say?
00:01:02.63\00:01:05.76
Let's look into this
matter with one eye on science,
00:01:05.79\00:01:08.54
and the other eye on the
biblical principles of health.
00:01:08.57\00:01:11.76
Dr. Marcum, lead the way!
00:01:11.79\00:01:13.55
Well, you know, this is
a very interesting topic.
00:01:13.58\00:01:18.88
There's not going to be,
sometimes, a right or wrong.
00:01:18.91\00:01:21.18
It might be a little bit gray,
but let's look and see what
00:01:21.21\00:01:23.83
some people are saying about it,
00:01:23.86\00:01:25.12
and then put our sort of
spin on it today, Charles.
00:01:25.15\00:01:28.14
Denise Grady has recently
reported in the New York Times
00:01:28.17\00:01:33.33
on a new study released in the
00:01:33.43\00:01:35.73
Journal of the
American Medical Association
00:01:35.76\00:01:38.18
Now that is our main medical
journal that we use to get
00:01:38.21\00:01:41.91
information.
00:01:41.94\00:01:43.02
And this report is to
include the extended follow-up
00:01:43.05\00:01:47.63
6-8 years after the
original federally funded
00:01:47.66\00:01:51.41
Women's Health Initiative.
00:01:51.44\00:01:53.21
That was the big, large study
00:01:53.24\00:01:55.96
that really shook
things up a few years ago.
00:01:55.99\00:01:58.77
And this basically was
a study that showed that
00:01:58.80\00:02:00.89
for years hormones were
given to women carte blanche.
00:02:00.92\00:02:05.98
Everyone was
feeling good about that,
00:02:06.01\00:02:08.50
then they published this
Women's Health Initiative
00:02:08.53\00:02:10.75
and said that
there are some risks,
00:02:10.78\00:02:12.25
and since then there have been
00:02:12.28\00:02:13.67
debates on both
sides of the fence.
00:02:13.70\00:02:15.65
Some people say, "Oh, these
are too dangerous to be given"
00:02:15.68\00:02:18.82
and back and forth.
00:02:18.85\00:02:20.50
So one of the things I
think we have to do is at least
00:02:20.53\00:02:22.73
talk about it and see
what people are saying,
00:02:22.76\00:02:24.95
and see if we can come
to some type of conclusion.
00:02:24.98\00:02:28.56
So Denise Grady
reported on this background,
00:02:28.59\00:02:32.72
and just to give
people some background...
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It was in 2002 that the Women's
Health Initiative was released,
00:02:34.59\00:02:39.23
and it really put a lot of scare
into women taking these hormones
00:02:39.26\00:02:42.64
as well as the doctors.
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The study followed 16,608 women;
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that's how many
people were in the study.
00:02:49.86\00:02:51.86
They were aged
from age 50 to 79,
00:02:51.89\00:02:55.56
a typical postmenopausal age.
00:02:55.59\00:02:58.59
And they concluded after
the study of these 16,000,
00:02:58.62\00:03:01.74
that hormone
replacement therapy,
00:03:01.77\00:03:04.13
giving it to these
women, increased the risk of the
00:03:04.16\00:03:06.91
things you talked about...
coronary artery disease,
00:03:06.94\00:03:09.42
breast cancer, uterine cancer,
stroke, pulmonary embolism
00:03:09.45\00:03:14.93
blood clots in the lung.
00:03:14.96\00:03:16.29
And from 2001-2008,
there was about a 70% reduction
00:03:16.32\00:03:23.53
in the number of women on
hormone replacement therapy,
00:03:23.56\00:03:26.72
and then guess what happened?
00:03:26.75\00:03:29.07
All of a sudden, a new
industry started to come up.
00:03:29.10\00:03:32.55
Instead of hormone
replacement, we had things like
00:03:32.58\00:03:35.22
bioidentical hormones
and other things sort of came
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to replace this because
the problem was still there,
00:03:38.42\00:03:41.84
but there was no real
treatment for these symptoms,
00:03:41.87\00:03:44.66
so we had new problems
and some of the treatments
00:03:44.69\00:03:48.45
that were needed were
treatments for fatigue,
00:03:48.48\00:03:51.37
insomnia, moodiness, hot
flashes, decreased libido,
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temperature variations,
lots of other female-related
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issues and, I'm not a female,
but I've talked to patients,
00:04:01.47\00:04:05.04
and these can be devastating,
00:04:05.07\00:04:07.14
and they can just
take someone's life away.
00:04:07.17\00:04:09.92
Now some people aren't
affected as much as others,
00:04:09.95\00:04:13.09
but this is a big problem.
00:04:13.12\00:04:14.69
Well, the reduction in these
hormone replacement therapies
00:04:14.72\00:04:18.43
resulted in a total of
60% money less being spent
00:04:18.46\00:04:22.45
or about 83.3 billion dollars.
00:04:22.48\00:04:26.89
So all of a sudden these new
products to treat these symptoms
00:04:26.92\00:04:30.25
quickly developed.
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Some had some science behind it,
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some didn't have
science behind it.
00:04:33.89\00:04:37.87
Also, people continue to
argue that hormone replacement
00:04:37.90\00:04:41.24
therapy could
not improve symptoms;
00:04:41.27\00:04:44.06
they made a bunch of
arguments about all this stuff.
00:04:44.09\00:04:47.31
Well, so it really put pressures
on doctors because if a
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lady had had a heart attack,
00:04:51.62\00:04:53.23
and they were taking
hormone replacements...
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...If I said you can still have
it and they have a heart attack,
00:04:55.78\00:04:59.28
I'm a bad doctor!
00:04:59.31\00:05:00.80
But what if the
symptoms were so devastating,
00:05:00.83\00:05:03.69
that the symptoms
were riskier to her
00:05:03.72\00:05:06.40
than actually taking the pill?
00:05:06.43\00:05:08.33
These were sort of some of the
dilemmas that we had to face on.
00:05:08.36\00:05:12.79
Many natural
treatments are out there,
00:05:12.82\00:05:15.82
and they reported in this
study including black cohosh,
00:05:15.85\00:05:19.58
some people take that, some
people find relief from that.
00:05:19.61\00:05:22.42
Red clover,
valerian, hops, chasteberry.
00:05:22.45\00:05:26.71
There is breathing
exercises that are out there.
00:05:26.74\00:05:28.86
Relaxation techniques.
00:05:28.89\00:05:31.33
Lots of things
become widespread.
00:05:31.36\00:05:33.88
Bioidentical hormones -
you've probably heard of that.
00:05:33.91\00:05:36.41
But, the Mayo Clinic says that
00:05:36.44\00:05:38.90
they're really not
safer than regular hormones.
00:05:38.93\00:05:41.71
So this was all the
background that this article
00:05:41.74\00:05:44.12
looking at these
people moving forward.
00:05:44.15\00:05:46.32
So now we have a report looking
at these people 8 years...
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What happened to them?
00:05:49.03\00:05:50.12
Well, Denise Grady reported
that for every 10,000 women
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taking hormone
replacements, ... 10,000
00:05:55.76\00:05:58.85
there were 6 additional
heart problems in 10,000,
00:05:58.88\00:06:03.65
9 more strokes,
9 more blood clots,
00:06:03.68\00:06:07.87
and 9 more cases of breast
cancer in all those years.
00:06:07.90\00:06:12.45
The numbers didn't
sound that big, did they? No
00:06:12.48\00:06:14.96
On the plus side, there were
00:06:14.99\00:06:17.87
6 few cases of colorectal
cancer, that was good.
00:06:17.90\00:06:21.60
Six fewer hip fractures - that
seemed to help the bones some.
00:06:21.63\00:06:24.81
And the Harvard researchers
that did this study concluded
00:06:24.84\00:06:28.69
that the finding should
not be used as a basis for
00:06:28.72\00:06:32.77
denying women treatment if
they're in early menopause,
00:06:32.80\00:06:36.21
and having significant
distressing symptoms.
00:06:36.24\00:06:39.11
The early studies did not look
at treating people early on,
00:06:39.14\00:06:42.53
and that's why it's
so important when people
00:06:42.56\00:06:45.25
are talking about
studies and data that we really
00:06:45.28\00:06:48.47
look at this objectively
and have someone look at the
00:06:48.50\00:06:51.31
study that can actually
look at it intelligently.
00:06:51.34\00:06:53.88
So here's the study that
people are criticizing it -
00:06:53.91\00:06:57.79
you know there are some
just criticizing going on,
00:06:57.82\00:07:01.34
and now they're saying
that early in menopause,
00:07:01.37\00:07:03.31
you know it didn't justify
when you look at the absolute
00:07:03.34\00:07:05.49
number and it wasn't that large.
00:07:05.52\00:07:08.07
Well, the debate
continues as hormone replacement
00:07:08.10\00:07:11.90
is a boom to women's comfort.
00:07:11.93\00:07:14.20
Now, we're talking
about men having the problems,
00:07:14.23\00:07:17.55
the male menopause and
testosterone replacements.
00:07:17.58\00:07:20.65
What is the answer?
00:07:20.68\00:07:23.18
Boy, what is the
answer to this question?
00:07:23.21\00:07:25.81
Now let's talk a
little bit about this...
00:07:25.84\00:07:28.51
What is the real answer?
00:07:28.54\00:07:29.87
Well, for years and years,
in the history of the earth,
00:07:29.90\00:07:34.74
we did not have these hormone
replacements, we did not have it
00:07:34.77\00:07:39.15
BUT, the earth was much
different as far as toxins,
00:07:39.18\00:07:43.61
as far as the spread
of different things from
00:07:43.64\00:07:45.99
person to person, as well
as turning on and off hormones,
00:07:46.02\00:07:48.97
the world was a
different place too.
00:07:49.00\00:07:51.27
But I try to tell people,
women that are having that,
00:07:51.30\00:07:54.92
I say, "Well,
let's try to do things as
00:07:54.95\00:07:56.64
much natural as we can. "
00:07:56.67\00:07:59.07
Exercise is one
of the best things
00:07:59.10\00:08:00.92
I think that helps menopause
out - doing a lot of exercise.
00:08:00.95\00:08:04.22
Of course, eating a
health diet that helps.
00:08:04.25\00:08:06.21
But there are some
people that despite that,
00:08:06.24\00:08:08.63
they're still having
terrible, terrible symptoms.
00:08:08.66\00:08:11.31
And sometimes, I
think in some people,
00:08:11.34\00:08:14.19
the symptoms are so bad,
and it's ruining their lives
00:08:14.22\00:08:16.88
in so many ways,
that the benefit of taking
00:08:16.91\00:08:19.48
a hormone
replacement is worth the risk,
00:08:19.51\00:08:22.12
and that has to be
very much individualized,
00:08:22.15\00:08:24.58
but I want the people
before they go to that,
00:08:24.61\00:08:26.88
to try everything that
they can within their own power
00:08:26.91\00:08:29.59
to get through this.
00:08:29.62\00:08:30.98
So this is a big issue, Charles.
00:08:31.01\00:08:33.41
There is lots of money
involved in this issue.
00:08:33.44\00:08:36.05
There are drugs
involved in this issue.
00:08:36.08\00:08:38.51
It's going to
continue, and it's a shame,
00:08:38.54\00:08:41.20
it's a shame, what I
don't really understand,
00:08:41.23\00:08:43.76
I don't think I have
the answer for it is...
00:08:43.79\00:08:45.66
Well why, for many, many
years, we never had this?
00:08:45.69\00:08:50.45
Male testosterone too -
we never had this before.
00:08:50.48\00:08:53.33
Why do we need it? Is
this a manufactured problem?
00:08:53.37\00:08:56.19
Well, that's the debate...
00:08:56.47\00:08:57.91
Is it manufactured,
is there something in our
00:08:57.94\00:09:00.23
food supply that
maybe people are eating...
00:09:00.26\00:09:03.05
We know that hormones are
passed from animals to humans,
00:09:03.08\00:09:06.29
maybe that's upsetting balance,
00:09:06.32\00:09:08.06
maybe the mental stress
that's going on in this world is
00:09:08.09\00:09:11.17
changing the way we
affect... Needless to say...
00:09:11.21\00:09:14.28
I think of all of
the above on that... Yes
00:09:14.31\00:09:15.49
I think all of the
stuff that we're doing,
00:09:15.52\00:09:17.79
and that's why it makes
these medical issues so tough
00:09:17.82\00:09:21.13
to deal with.
00:09:21.16\00:09:22.23
So in my practice, for
hormone replacement therapy,
00:09:22.26\00:09:25.11
I'm trying not to do
it, especially if they have
00:09:25.14\00:09:27.38
risk factors, but
if they're early-on,
00:09:27.41\00:09:30.01
I think the data
early-on in menopause
00:09:30.04\00:09:31.93
that says it's
an okay thing to do,
00:09:31.96\00:09:33.58
and then if women have just
terrible, terrible symptoms,
00:09:33.61\00:09:37.31
you have to say - Which
is going to cause you worse,
00:09:37.34\00:09:40.90
...getting so angry and
getting these hot flashes,
00:09:40.93\00:09:43.32
and having the
adrenalin go up so high,
00:09:43.35\00:09:45.50
or the actual risk of it?
00:09:45.53\00:09:47.29
And they never really studied
00:09:47.32\00:09:48.83
women that had the
most severe symptoms.
00:09:48.86\00:09:50.92
You know, looking at that
study, it shows conclusively
00:09:50.95\00:09:55.44
that of those 10,000 women,
00:09:55.47\00:09:57.87
9,950 of them did NOT
have a problem with it. Right
00:09:57.90\00:10:04.35
Just because
there's a potential problem,
00:10:04.38\00:10:06.93
doesn't mean you
should not do it.
00:10:06.96\00:10:09.09
OR should you, I mean...
00:10:09.12\00:10:12.14
How do you come from a study
like that and decide for you?
00:10:12.17\00:10:16.27
You say, "Well,
I'm not a lucky person,
00:10:16.30\00:10:17.56
I'm probably going
to have the problem"
00:10:17.59\00:10:19.04
And that's why I
think that you, sometimes,
00:10:19.07\00:10:22.52
are your own best doctors.
00:10:22.55\00:10:24.16
Remember, it's sad to say,
but sometimes your own doctor
00:10:24.19\00:10:27.75
doesn't look at all the
details and know everything that
00:10:27.78\00:10:30.70
he needs to know
about you inside.
00:10:30.73\00:10:32.60
But you try the
natural stuff first!
00:10:32.63\00:10:34.33
I mean, I would not
just jump into this stuff.
00:10:34.36\00:10:36.32
No, you know, you
can try the exercise.
00:10:36.35\00:10:38.78
You can try the natural stuff,
and then sometimes despite that
00:10:38.81\00:10:42.37
it still doesn't do the job.
00:10:42.40\00:10:43.94
Then you make a decision. Right
00:10:43.97\00:10:45.23
And then you have to make,
sometimes, these tough decisions
00:10:45.26\00:10:48.63
and looking at the data.
00:10:48.66\00:10:49.70
And what I tell
people, I say listen...
00:10:49.73\00:10:51.57
"The data shows that you've
had a heart problem before,
00:10:51.60\00:10:55.25
you are going to
be at a higher risk"
00:10:55.28\00:10:58.00
But there's never been a study
that shows lots of women that
00:10:58.03\00:11:00.70
had this kind of symptom that
tried to do everything this...
00:11:00.73\00:11:03.64
So you have to make a decision
based on the risk and benefits
00:11:03.67\00:11:08.67
and MAYBE you
don't have all the data.
00:11:08.70\00:11:11.67
You know, maybe you don't
make decisions without data.
00:11:11.70\00:11:14.39
And I think THAT is
the art of medicine...
00:11:14.42\00:11:17.90
is working with people
based on the relationship
00:11:17.93\00:11:20.47
you have with them and coming up
with something that's reasonable
00:11:20.50\00:11:24.51
I've had some people,
you know, they used to have
00:11:24.54\00:11:26.62
another medicine
that had inflammation
00:11:26.65\00:11:28.69
that they took off the
market several years ago.
00:11:28.72\00:11:31.82
And some people had such
bad inflammatory arthritis
00:11:31.85\00:11:35.06
that they would rather take
that because the risk of that.
00:11:35.09\00:11:38.08
No one has ever
studied certain things.
00:11:38.11\00:11:40.81
So there are certain
things that has to be
00:11:40.84\00:11:42.46
between a patient and a
doctor based on a relationship.
00:11:42.49\00:11:45.98
That relationship - you
know, I don't know the answer,
00:11:46.01\00:11:48.66
but I think it's reasonable.
00:11:48.69\00:11:50.65
Now some doctors are so
rigid, that they don't do it.
00:11:50.68\00:11:53.39
I'm afraid that in our
world, that we're losing
00:11:53.42\00:11:56.16
relationships.
00:11:56.19\00:11:57.77
We're losing that
aspect of medicine,
00:11:57.80\00:11:59.93
and it's going to be
- "Well, you're this,
00:11:59.96\00:12:01.55
you can't have
this, you can have this,
00:12:01.58\00:12:02.98
you can't have this"
00:12:03.01\00:12:04.84
But I wanted to bring this
up today just to let people
00:12:04.87\00:12:08.05
know it's not all
black and white sometimes.
00:12:08.08\00:12:10.29
So there was no part
of the study that says...
00:12:10.32\00:12:12.49
If you do the natural things,
this is what happens to you?
00:12:12.52\00:12:15.82
No, they didn't look into
that and most of the things
00:12:15.85\00:12:18.43
that come naturally, no
one funds those studies.
00:12:18.46\00:12:22.36
People that exercise,
that eat well, that do this...
00:12:22.39\00:12:27.00
and that's why some of
the best studies out there
00:12:27.03\00:12:30.09
have never been done,
nor will they ever do.
00:12:30.12\00:12:32.51
I would LOVE, Charles, to
take these studies that we have
00:12:32.54\00:12:35.55
about exercise and diet
and a day of rest, and service,
00:12:35.58\00:12:39.36
and worship and look
at these logs and say...
00:12:39.39\00:12:41.59
"Listen, these are
people that did this.
00:12:41.62\00:12:43.35
This is their
heart attack rates.
00:12:43.38\00:12:44.94
These are the
people that did this,
00:12:44.97\00:12:46.17
and this is the
heart attack rates"
00:12:46.20\00:12:47.44
I know what the
answers would show. Yes
00:12:47.47\00:12:49.66
I know what the answers
would show but there is not a
00:12:49.69\00:12:51.76
financial gain to be doing
that, so no one is going to pay.
00:12:51.79\00:12:54.66
Now, there are some
people that are doing these;
00:12:54.69\00:12:56.52
looking at groups of people.
00:12:56.55\00:12:57.98
Yeah, the
Adventist Health Study #2
00:12:58.01\00:12:59.75
And that's going to be
a very interesting study
00:12:59.78\00:13:01.95
to show these things and that
will give us some information
00:13:01.98\00:13:04.56
to give to other
people to let them know
00:13:04.59\00:13:07.24
that, yes, you're on the
right path - this is reasonable.
00:13:07.27\00:13:09.69
Well, preliminary results from
the Adventist Health Study #2
00:13:09.72\00:13:12.66
are showing conclusively
that the closer you get back
00:13:12.69\00:13:14.92
to God's ideal, the healthier
you are across the board!
00:13:14.95\00:13:17.98
And that is an important
study to let other people know,
00:13:18.01\00:13:20.61
and that
validates what many people
00:13:20.64\00:13:22.89
have been saying all along.
00:13:22.92\00:13:25.15
So it's not always...
sometimes things in life
00:13:25.18\00:13:27.93
are a little bit
on the gray side.
00:13:27.96\00:13:29.44
It's not always in the black and
00:13:29.47\00:13:30.73
white for every
individual person.
00:13:30.76\00:13:33.08
That's what sin
brought into this world,
00:13:33.11\00:13:35.31
a grayness into our lives.
00:13:35.34\00:13:37.43
It no longer was black and
white - there's this gray area
00:13:37.46\00:13:39.91
Sin makes sure there's
lots of gray area there.
00:13:39.94\00:13:42.04
We'll come back
with your questions from
00:13:42.07\00:13:43.80
heartwiseministries. org
00:13:43.83\00:13:45.33
in just a
minute, so stay tuned...
00:13:45.37\00:13:47.40