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    BIHRP and RA
    stance posted:
    I wanted to ask further about BIHRP for treating RA. I have just been diagnosed and after doing some reading do not feel disposed toward the usual medications. I live an active lifestyle, workout regularly and have been a pisce-vegetarian for 25 years. I know BIHRP is used for the treatment of Hashimoto's and am wondering if the same success has been indicated for RA. I live in the South and BIHRP is not covered by insurance. I want to be a good steward of my health and financial resources. What are your thoughts?
    Mary Jane Minkin, MD responded:
    Dear Stance,
    Estrogen does help many things, but would not be considered a therapy for Rheumatoid Arthritis. Some women who develop achiness around the time of menopause do feel better with estrogen therapy, but it would not be considered as therapy for RA. If you wanted to try bioidentical therapy for other reasons (like to see if you felt better on it), you can certainly get a transdermal gel (like Elestrin or Divigel, which are bioidentical) or a transdermal patch, like Minivelle, which are all bioidentical and available from regular pharmaceutical companies. There is also bioidentical progesterone available, called Prometrium; and these are all available commercially, if you wished to try them.
    Hope you fell better,
    Good luck,
    Mary Jane

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