Ideal BHRT
Optimizing life using bio identical hormone therapy for
Feeling like a shadow of your former vigorous self?
Low on energy?
Lost the strength and vitality you used to have?
Poor quality sleeping?
Slow recovery from physical activity?
Spending hours at the gym but not making gains?
Poor libido/sex drive?
Painful intercourse/sex?
Having erectile dysfunction?
If so, it might be time to consider BHRT
And Dr Birch can help.
Remember:
If nothing changes,
nothing changes
It's time to Live YOUR Ideal Life
Ideal BHRT
What is bio-identical hormone therapy?
Bio-identical hormone therapy is the use of hormones that are identical to the naturally occuring hormones in your body. Synthetic molecules are different from this and are made from animal parts or urine (e.g. Premarin, medroxyprogesterone).
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What is ideal bio-identical hormone therapy?
Utilizing bio-identical hormones to achieve high normal hormone levels, when safe and appropriate, to achieve optimal levels of energy, mood, sleep quality, libido, mood, and recuperation.
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​The average person is tired, sleeps poorly, and is often overweight and unmotivated.
Is it time to set your targets to your ideal life?
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What is the process after contacting Dr. Birch's Ideal BHRT clinic?
1. Bloodwork as well as health and lifestyle questionnaires
2. Meet with Dr Birch and review your history, symptoms, appropriateness of BHRT
3. Prescription and monitoring
ABOUT ME
Dr. Birch is a Canadian Physician who has practiced as a Family Physician in Ontario Canada since 2011. He has completed four post-graduate medicine hormone therapy courses through the Academy of Innovative and Preventative Medicine in the United States. Dr. Birch is a certified BioTE hormone pellet inserter (testosterone, estrogen) who prescribes compounded BHRT (estrogen, progesterone, testosterone, thyroid) as an adjunct to these pellets. He does this as part of their optimized hormone clinic. Dr. Birch also holds a post-graduate medical certificate in Skin Cancer Surgery through Bond University and HealthCert in Australia.
FAQ
How does this work?
You need to fill out the Contact Me form below. You will be contacted by the Ideal BHRT team about whether BHRT is appropriate for you. You will then be booked with Dr. Birch to discuss BHRT. Alternatively, you can find Dr. Birch through biote.com
Are BioTE pellets and insertions covered by OHIP?
No. The Fees associated with pellets and insertion are paid privately or through extended health coverage plans.
What are compounded hormone?
Compounded hormones are custom-made medications created by compounding pharmacies. These pharmacies mix hormones to tailor treatments to an individual's specific needs. While the resultant compound is not FDA approved, the ingredient hormones are FDA approved. In contrast, synthetic hormones such as medroxyprogesterone is a tablet that is FDA approved but not tailored to an individual's specific needs. Many patients prefer individualized dosing. Dr. Birch can help.
What is patient-centred care?
Individualized options and plans that offer choice and a more educated decision making process for patients.
Are there any potential side effects?
Everything has potential side effects. For example, if you drink too much water you can get hyponatremia (low salt concentration). Too much acetaminophen (Tylenol) can result in liver failure. However, reasonable amounts of water and Tylenol are usually well tolerated. Dr. Birch will discuss in detail the risks involved with any proposed therapy.
Evidence Matters
Randomized-controlled trials (RCTs)
The gold standard for evidence-based medicine is the randomized-controlled trial. Even better a meta-analysis of high quality RCT's is the highest level evidence.
Why are intervention trials important?
Intervention trails are imperative because we must prove that the likely effect is due to the invention and not by chance. An example of an intervention is giving post-menopausal women estrogen for symptoms (assuming no breast cancer history).
Why do we need RCTs?
We need RCTs because correlation doesn't equal causation. Just because two things happen at the same time (correlated), it does not necessarily mean one causes the other.
For example, popsicle consumption and drowning are correlated. However, saying that popsicle cause drownings or visa versa is absurd. They both are associated with summer as more peoples consume popsicle and swim then.
Another example is magnetic bracelets in a placebo-controlled trial where the placebo is no magnet in the bracelet versus the intervention group (magnet in the bracelet). Both improve pain scores in the short term. In this instance wearing a bracelet thought to help pain can help patients in the short term. As there was no difference between groups, magnets didn't help*.
The natural course of some conditions can lead to false associations. For example, acute low back pain improves on its own about 90-95% of the time in 2 months. If you started to use a magic rock at the time you started to improve anyway, you may have the false belief that the rock helped your back pain.
*Richmond, S. J., Brown, S. R., Campion, P. D., Porter, A. J., Moffett, J. A. K., Jackson, D. A., ... & Taylor, A. J. (2009). Therapeutic effects of magnetic and copper bracelets in osteoarthritis: a randomised placebo-controlled crossover trial. Complementary Therapies in Medicine, 17(5-6), 249-256.
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^^Manson JE, Chlebowski RT, Stefanick ML, Aragaki AK, Rossouw JE, Prentice RL, Anderson G, Howard BV, Thomson CA, LaCroix AZ, Wactawski-Wende J, Jackson RD, Limacher M, Margolis KL, Wassertheil-Smoller S, Beresford SA, Cauley JA, Eaton CB, Gass M, Hsia J, Johnson KC, Kooperberg C, Kuller LH, Lewis CE, Liu S, Martin LW, Ockene JK, O'Sullivan MJ, Powell LH, Simon MS, Van Horn L, Vitolins MZ, Wallace RB. Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women's Health Initiative randomized trials. JAMA. 2013 Oct 2;310(13):1353-68. doi: 10.1001/jama.2013.278040. PMID: 24084921; PMCID: PMC3963523.
Study group demographics matter!
The two groups in a study must be similar with regard to demographics (age, socioeconomic state, etc.).
If the groups are different at the start of a study, then the results can be due to this and NOT the intervention. Thus, we must always check this before even bothering to look at the results. Groups should be randomized to be similar at the start and there should be analyses to prove this in the study. If the groups are different, then the results do NOT matter as they will not be reliable.
Why does it matter that the demographics of the groups in a trial are similar to me for the results to be applicable?
If you aren't similar enough to the demographics of the study, the results may not be applicable to you.
For example, if you are a 48 year old female, non-smoker, fit, skinny and don't have cardiovascular disease and are perimenopausal, the results of the Women's Health Initiative (WHI) may not apply to you as much as you would think.
Why?
The average age of that study was 63.3 and none of them had menopausal symptoms (menopausal symptoms was an exclusion criteria for the study; Writing Group for the Women's Health Initiative Investigators. Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women: Principal Results From the Women's Health Initiative Randomized Controlled Trial. JAMA. 2002;288(3):321–333. doi:10.1001/jama.288.3.321). The percentage of past smokers was 39.9% in the CEE/MPA trial (10.5% current smoking in active and placebo groups) and 37.8% in the CEE trial (10.6% current smoking; 10.6% current smoking in placebo group)^^.
We will talk more about this at our consultation.
CONTACT ME
If you are interested in starting your Ideal life,
please fill in the form and Ideal BHRT will contact you.
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