Testosterone Replacement Therapy | Do You Need It?

Dr. Tabatha Barber explains why testosterone matters for women during menopause. Low sex hormones cause cardiovascular stiffening, bone loss, and muscle loss. She recommends hormone replacement therapy including testosterone and DHEA supplementation when adrenal production drops.
Questions this video answers
5 milligrams (DHEA lift), 25 milligrams (DHEA lift plus).
Less than 100 (units not specified).
Uploaded June 8, 2023; created by Dr. Tabatha Barber.
Chapters
Should I be on testosterone treatment? That is a great question. And I will tell you, testosterone is super important for us as women. If you look at the data, we actually have more testosterone than estrogen and progesterone. It's just that when you have it measured in the blood, the measurements are in different units. So estrogen looks like there's a lot more than there is testosterone, but that's not true. Testosterone is actually very necessary for us women. Estrogen definitely is our growth hormone, stimulating the growth of the lining inside the uterus. It. It simulates breast tissue growth, it stimulates fat growth around the hips. All of that necessary, important stuff for carrying babies and making babies and having babies and feeding babies. But like I've said a gazillion times, we have these hormone receptors all throughout our body. So it is not just about reproduction. What we understand now is women who go into menopause continue or should continue to make these three sex hormones, not progesterone as much, but estrogen and testosterone a little bit more after menopause in a healthy woman without any kind of medical conditions, that woman is very hard to find in this day and age. Here's an important point. Our ovaries make the majority of our sex hormones before menopause, but not all of them. Our adrenal glands, they also make sex hormones. They make dhea, which turns into testosterone and estrogen. And so if you are very healthy going into menopause, when those ovaries stop producing, we find our backup ovaries, our adrenal glands, and we say, hey, keep making that estrogen and testosterone, and your adrenals do that until you die. But if you go into menopause with adrenal dysfunction, your adrenals are tapped out. They're not producing properly because you have led a very stressful life. Whether that's emotionally stressful, physically stressful, that's enough to cause your adrenal glands to not be producing efficient amounts of DHEA and testosterone and estrogen. So you go into menopause, you say, hey, backup. Ovaries start working, and they say, we got nothing left. We can't help you out. So you go into menopause in this totally depleted state, and you really don't have any sex hormones. Not only are they low, but they're just gone. That makes menopause so much harder and really sets in the disease processes and all the disease states. The cardiovascular system hardens, things start to shift. And when your arteries harden and your heart has to struggle to pump the blood through Your body, your blood pressure goes up, and then sometimes your heart rate has to increase to pump through those harder vessels that no longer are elastic and pliable and functioning well because your hormones are so low. So you see blood pressure increase, you see your heart rate increase, you might get more headaches because of that cardiovascular issue. You start to see some bone loss. And the list goes on and on. So what we often recommend is hormone replacement therapy because your body is not making the hormones that you need. And so we standardly will give estrogen. Even though it's still controversial in the medical world, they will sometimes agree and give that to. They have yet to adapt the practice of adding progesterone to keep that balance going. And they definitely are not on board with giving you testosterone replacement. We now know there is a multitude of research and literature that shows women need their testosterone levels to be in balance. And definitely when they go into menopause, it doesn't give you just a sex drive, it gives you a drive for life. When your testosterone is in the toilet, when it's super low, you don't even want to participate in life. You just aren't interested in anything, not just sex, you're just not interested, interested in life. Testosterone is really important for you to be able to maintain your muscle mass. And your muscle, that's like the biggest organ group that you have in your body. Your muscle maintains your blood sugar balance and your insulin balance. So it protects you from developing diabetes and insulin resistance. It keeps your weight in check, it keeps you at optimal weight. So if you want to lose weight or you want to keep your weight where it's at, you need good, functioning, healthy muscle metabolizing your blood sugar and all of that. And you need testosterone to maintain your muscle mass. The cool thing is when you work your muscles, it helps you produce testosterone. So if you're working out and you're lifting weights and doing all that stuff, you're probably making testosterone, unless you don't have the ingredients you need to make it. But some women are so depleted because of their stress, because of their chronic cortisol problems, that they are not making the testosterone they need and therefore they need replacement. And once you get the testosterone that you need, then you can start to strengthen your muscles and get in the gym and have the energy and the drive to even do that. And that will help you make more testosterone. So it is a win win. Testosterone is now being shown to decrease the risk of breast cancer coming back and metastases. There's a ton of research going on Right now, they're giving testosterone therapy to breast cancer patients to study all of these outcomes. So much good research going on. Everything looks so promising that testosterone is beneficial for women. Here's the other piece of it. DHEA is a precursor hormone. It's made from the adrenal glands and that gets made into testosterone and estrogen. If your adrenals are not making dhea, your anti aging, keep you young and healthy hormone, you're going to have low testosterone and estrogen levels, especially after menopause. So we need to love our adrenals, stop being stressed out, get rid of all those stressors, and we might even need to replace our dhea. DHEA is actually a supplement. So if you can't find a provider to give you testosterone if you need it, and your DHEA level is not in the triple digits, you know, it's not 150 or 200, it's like 50. You need DHEA. And just taking that might be all you need to make enough testosterone to feel better. You can get a really small dose of 5 milligrams. I have DHEA lift on my supplement store. 5 milligrams, that might not be all you need. You might need 10 or 25. I have DHEA lift plus, which is 25 milligrams. If your DHEA levels, your DHEA sulfated S is less than 100. Give 25 milligrams a try, see how you feel. If you're really sensitive, start with 5 or 10 milligrams and see how you feel. Just taking that once a day, earlier in the day, see what your energy's like. Such an incredible supplement that can give you your life back. Like, don't be afraid of testosterone. Don't be afraid of hormones. Hormones make you who you are.










