I've been doing a LOT of research about this - I've been having some awful symptoms for the past 2 years (since turning 40) -- some of which are typical menopause related stuff and some are not, but I suspect all are related to hormonal decline. I've been getting bloodwork and basically, my estrogen and thyroid are both circling the drain --- my last bloodwork showed the estrogen level of a 60 year old (I'm 42! WTH!) I am pursuing bioidentical hormone replacement via cream. I don't have it all figured out yet (I get the feeling that there's a lot of experimenting on yourself til you find the right combo) but from the reading I did, I am pretty confident that this is what I need. Those of you saying you can't take HRT because of pre-existing tendency to blood clots or migraines or whatever might want to investigate the bioidentical stuff via transdermal cream. Blood clots are only an issue when estrogen is taken orally and passes through the liver -- if you are delivering it via skin or patch, there is no increased risk of blood clots (and in fact, your risk of other heart issues goes way down). Migraines are also one of the things that estrogen can help. And even the connection between estrogen and breast cancer is not as cut and dried as I thought -- I feel safe taking the bioidentical estrogen. I have read probably 20 books on the subject of menopause and HRT and the one I found most clear ad helpful is called Screaming to Be Heard by Elizabeth Vliet. I would recommend reading it - it pretty much debunks a lot of the things that I had heard about HRT including the results of that women's health study that caused everyone to abandon HRT -- did you know that whole study was done with synthetic hormones, not bioidentical? And that none of the horrible side effects found in that study have been found in studies that use bioidentical hormones? They are all related to the synthetic stuff like norethidrone and premarin. Because the pharmaceutical companies can't patent a naturally occuring substance and therefore can't make big bucks of bioidentical, there have been few efforts to educate doctors or do controlled studies on bioidentical hormones, but the studies that have been done show amazing benefits without the scary side effects. (Of course, the pharma companies don't want you to know that, because they want you to keep taking your premarin....)

Oops, forgot to respond TNLady! My first visit, blood was taken and he more than tripled my dose of PTU. Started feeling better within a week. Just went again today, and my levels are down, and that was on the old dose. New dose blood results will be in Tuesday. He was encouraged that one side of my thyroid is now back to normal. The other side is still somewhat swollen. I'm going to be taking these meds for 18 months and then hope for remission.

The average resting heart rate for an adult is between 60 and 100 beats per minute, while well-conditioned athletes can achieve between 40 and 60 beats per minute. The maximum pulse rate is 220 minus your age, and the target for a healthy pulse rate during, or just after, exercise, is 60-80 per cent of this. Therefore, if you are aged 50, you should aim to build up fitness gradually until you reach a target pulse rate during exercise of between 102-136 bpm (beats per minute). If you are aged 55, your target should be between 99-132 bpm, age 60 = 96-128 bpm, age 65 = 93-124bpm, age 70 = 90-120 bpm, and age 75 = 87-116 bpm. When I used to go to Curves, there was a chart on the wall that said what your target pulse rate should be during exercise. Mine would rarely go up over 80 which was where a 80 or 90 years olds should have been. I'm only in my 40's and still have a very slow pulse.

Anyway, I had no idea to check adrenal function when (preferably before, actually) going on Thyroid (similar to Armour). The doctors are supposed to do this, but they do not unless the patient has a problem. I had a huge problem as I raised my Armour.. I kept getting more hypothyroid and my doctor kept raising my Armour. I almost ended up agoraphobic, I would get so freaked out in a traffic jam or even driving though a row of trees! It did a number on my mental well-being, I had major brain-fog, swollen legs/feet and terrible constipation. All due to low cortisol and probably a high reverse T3... things my doctor never checked. My blood was FULL of thryoid hormone but it wasn't getting into my cells. I'm doing better now (not great) and it's only due to my own research. I frequent the forums mentioned above and both are very helpful. I also just bought the "Stop The Thyroid Madness" book and am really impressed so far. Lots more info here than on the website.