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Have you had experience with the Wiley Protocol?

By March 3, 2009 - 11:15am
 
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Has anyone had experience using the Wiley Protocol of hormone replacement therapy?

It is a method where bioidentical hormones are prescribed and are given transdermally -- through the skin -- in a patent-pending cream. A primary

difference between this protocol and some others is that the hormonal levels rise and fall, similar to the way a woman's normal cycle did when she was still menstruating.

There is some controversy on the web about T.S. Wiley's qualifications for developing a medical protocol, since she is not a doctor herself, she studied anthropology (though she co-authored the book "Sex, Lies, and Menopause" with Julie Taguchi, M.D.)

Some women claim wonderful results; others claim very troubling side effects. Does anyone out there have personal experiences to share?

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EmpowHER Guest
Anonymous

When I was researching and deciding whether or not to try the WP, I was put off by the fact that those producing and promoting it (other than Suzanne Somers) do not look like a picture of health nor a good advertisement for the product. I asked my doc if that's just because while hormones are a BIG thing, they're not the ONLY thing, and many other factors are involved in good health. He said that is exactly the case and it was supported by one of the WP seminars/trainings he attended where a participating doctor was engaging the presenter in a discussion of his patient's migraines and they were trying to figure out how to tweak the hormones. My doc was sitting in the back with several other bio-energetic docs shaking their heads and chuckling because there are SO many other factors and hormones should not have been the
that discussion and it wasn't really apropos to the presentation. Suzanne Somers, on the other hand, immerses herself in healthy eating, exercise, toxin removal, appropriate nutritional supps, ETC., looks fabulous and you can tell she feels fabulous, too, that she's a much better advertisement for the protocol.

February 16, 2011 - 4:17pm

I'm the original poster of this subject, and I've been on the Wiley Protocol for over a year now. It's changed my life in wonderful ways I never dreamed. I have felt younger, more active, healthier (never sick), more energy, easier sleep and unexpected high libido. I used to be on a 23 day cycle before I went into menopause but now I'm on a 28 day cycle and it feels like I'm finally balanced and normal. I wish I had done this years ago. Also, I thought I was going to have to be on this protocol for the rest of my life because it is keeping me healthy but I just met with my doctor today and she informed me that it is not designed to be used forever in a woman's life, that I will one day be able to go off the protocol and my body should be able to produce the hormones on it's own. If this is true, how AWESOME is that?! Here is a current article by Suzanne Somers about rhythmic dosing: http://www.sexyforever.com/public/newsletter-restart-your-cycle-restart-your-life.aspx?xid=nl_SuzanneSomersSexyForeverNewsletter_20110215

February 16, 2011 - 12:30am
EmpowHER Guest
Anonymous (reply to nanashana)

Thank you to the moderators for looking out for everyone's best interest.

nanashana,

I really am glad to hear what a great response you've had to the Protocol. We think the possibility for every woman who goes on to have your results is real. There are just so many variables.

In any case, please note since you have linked to Suzanne that there was a serious error in her last book regarding the Wiley Protocol on Page 70 (in Sexy Forever). It is incorrectly written that Estriol can and should be added be to the Wiley Protocol. This is completely inaccurate and from everything we understand in the literature and relevant research Estriol is a KNOWN carcinogen with no evidence of safe therapeutic benefit given exogenously. The FDA has approved 17-beta estradiol for various uses (which is what's in the Wiley Protocol). However, estriol is not approved for ANYTHING. So despite the arguments some have regarding the Wiley Protocol, we do use FDA approved substances for the things they've been approved for (menopause symptoms). PLEASE DO NOT MIX ESTRIOL AND THE WILEY PROTOCOL. We have every reason to believe you're putting yourself at serious risk of cancer if you do.

Also, regarding your doctors comments about someday going off Wiley Protocol: I've never heard of such a biological process. The fact is, the cessation of menses in a woman is permanent, as far as we know. Despite the numerous wonderful things we see the Protocol being capable of in patients, there is no evidence that it could ever fully "re-grow" or "re-program" the systems that change over a womens life that result in aging and menopause. To be honest, no one actually FULLY understands all of the processes of aging, nor of menopause. The latest research revolves around telomere shortening in the chromosomes, causing cells to become damaged over time. Other theories speculate that running out of eggs has something to with it. But the fact is, it simply isn't known yet why these things happen. Without knowing for certain the how and why, we can't say that any product would be able to restore you to youthful reproductive status.

There have been some suggestions that since the Wiley Protocol essentially puts your reproductive system into senescence (sleep), if started at a young enough age BEFORE menopause it might actually be able to put off menopause indefinitely. This is not something we've tested or have ANY data on, it's simply a theory based on what is understood today. We do know there have been an inordinate number of women able to conceive for whom fertility treatments did not work after application of the Wiley Protocol. So, time will tell what else it can do, but to be honest what we see in older women who choose to go off it (or change doctors and they take them off it) is somewhat accelerated reversion to pre-Wiley Protocol disease states. For now, the Wiley Protocol has been designed to be a chronic therapy, since menopause is a chronic condition. Maybe someday someone will come up with a stem cell based or epigenetic way to restore menstruation at a cellular and genetic level. But until then, exogenous hormone replacement is that closest thing we have. Of course, if your physician has some information we don't suggesting otherwise, PLEASE SEND IT TO US! It would be quite significant if there was evidence that the Wiley Protocol somehow reversed menopause permanently; but so far we haven't seen (or looked particularly hard at) that happening.

Best Regards,

Jake Raden
Wiley Systems, Inc.

February 16, 2011 - 9:50am
EmpowHER Guest
Anonymous

I would like to implore those women who have visited Wiley Protocol physicians who are not prescribing WP according to the program to please let us know at our website. While doctors are free to do what they want as doctors, it no longer is the Wiley Protocol if it is changed as the above poster notes it frequently is. Then we at Wiley Systems are blamed for horrible side-effects and told that the system "does not work". Well, if you took aspirin for a headache, but only 1/4 of the recommended dose, and still had a headache, would you blame the pharma company? I don't think so.

The main reason certain women are not experiencing success on the Protocol is due to physician modification of it that is completely counterproductive to the entire purpose. Alas, many physicians are still scared of estrogen, despite the overwhelming and even alarming evidence to the contrary. They are equally frightened of progesterone, and put them together and you almost have a script for the next summer blockbuster horror movie.

However, and we will say this over and over again for the 10 millionth time: what separates the Wiley Protocol from ALL OTHER BHRT is dose dependency and receptor response. The standard of care model for medicine is "titration", meaning that you give the littlest amount possible to achieve the desired effect. With many traditional pharmaceuticals this approach works well, but not with hormones. Synthetic drugs that are not endogenous to your body are essentially toxins, for lack of a better word. They all have some side effects, as your body is not used to having those things circulate in the blood stream. It's why your liver gets rid of 80-90% of any drug you ingest orally: it's not supposed to be there as far as your excretory system is concerned.

Hormones taken orally are similar. Your body does not expect you to eat your hormones, that too is terribly unnatural. SO it's not just what you take, but how you take it. Your body is no fool.

Back to high-dose, transdermal hormones: hormones work on based receptor response. That means cells have places on their outer facing cell membranes that hormones fit into, which elicit reactions down within the actual cell including DNA transcription, and the creation of various proteins and enzymes. This is how hormones do the things they do in your body. This is in fact how most things get done within in your body.

However, with hormones, it isn't so one-dimensional. Some hormones, like estrogen, actually allow for the creation of receptors of OTHER HORMONES, like progesterone. This is a very important point that traditional HRT completely overlooks, for no reason that Wiley Systems can understand. In order to create progesterone receptors for instance, estrogen must reach a certain concentration in your blood. A little bit just won't do it. You have to get to a point of saturation where the receptors for estrogen actually start to down-regulate themselves. This is what we refer to as dose-dependency. If you don't get to a certain estrogen peak with the Wiley Protocol, you will never have the receptors for the progesterone in the second half of your cycle. This has horrible and deleterious therapeutic consequences, which mirror the complaints of many former WP patients. More importantly, you're constantly in a very high estrogen state if you never get the estrogen high enough, because the receptors aren't shut off as they should be around day 12. There's a lot of very delicate science at play here, and when doctors erroneously lower the estrogen dose, 99% of the time what needed to happen was for the estrogen to increase, not decrease.

I understand how difficult this is for some to grasp given the medical model you're familiar with. But please understand the HUGE difference between toxic, synthetic drug compounds and bio-identical molecules that your body is used to dealing with on a minute by minute, and second by second basis. Receptor response and dose dependency are 2 incredibly important concepts in endocrinology and unfortunately endocrinologists who specialize in reproductive hormones are quite few and far between. Very few doctors of other specialties ever receive proper education on the specifics what we're dealing with as far as BHRT is concerned with.

In closing, I would like to say that of course how a woman decides to pursue quality of life is her choice. However, it is disingenuous to cast the Wiley Protocol in bad light because it is given incorrectly, or taken incorrectly. We are working as hard as we can to educate people about the how and why of the WP, but there is a huge established precedent we are working against to do so. We know it's going to be a rough road, but we a confident we're doing something good. Please, if you're on the WP or have been, and you weren't/aren't receiving full doses as intended, understand that is NOT the Wiley Protocol. It's something else, and we cannot be held responsible for it. It's like not finishing an anti-biotic course, and blaming someone else for the infection coming back. We read every single email we get from people at Wiley Systems, good or bad. It's very hard for us to read everything posted on the internet so please, if you have something to say, tell us.

Jake Raden
Wiley Systems, Inc.

Full Disclosure: I am not a doctor. This is not medical advice, it is intended for your reference. It is a discussion of the underlying biochemical principles that informed the design of the Wiley Protocol for Women.

February 15, 2011 - 4:32pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Jake,
Please stop spamming your mother's pharmaceutical regimen here.
Also, please do not explain the physiology of her drug regimen that was never researched, not even on animals. No one knows how these high doses work so don't preach about an unproven the "receptor" theory.

Also, no one knows the long term effects or why women have become so sick on the Wiley Protocol taking the prescribed doses. Don't blame the doctors. Don't blame the patients. Blame the Wiley regimen they are taking.

February 15, 2011 - 7:40pm
EmpowHER Guest
Anonymous (reply to Anonymous)

Anonymous (would be great to know who you are),

You wrote: "Also, no one knows the long term effects or why women have become so sick on the Wiley Protocol taking the prescribed doses. Don't blame the doctors. Don't blame the patients. Blame the Wiley regimen they are taking."

Actually, we inform every doctor who bothers to be trained by us to report adverse events to Dr. Julie Taguchi MD (Oncology/ Hematology). We absolutely keep track of everyone who does. If no one tells us what went wrong, and under what circumstances, there is no way we can possibly record it, investigate it, understand it, and make necessary changes because of it. I implore anyone who's had an adverse event on the Wiley Protocol, if you or your doctor has not reported it, to please do so as soon as possible. We can't address issues we don't know about.

And with regard to long term use and not knowing how high doses work: actually I beg to differ. We have patients we're observing who have been on the hormones for 8-9 years. In fact, some of them are cancer patients, who the medical establishment today would tell you would be the last people to survive on high dose hormone replacement. In fact we'll be publishing our clinical cancer data this year; the median time on therapy for patients is 5 years, with some stretching back much further. They've been observed for 5 years for safety and efficacy on the Wiley Protocol after standard of care treatment (chemo, radiation, surgery) for advanced cancers. The results are very interesting, but you have to wait for the full paper. We have several other IRB numbers for studies that are in progress, but it's too early to comment significantly on them yet. I promise to keep everyone posted as things evolve.

And the receptor theory is not only well known and understood by the scientists who work in the field of reproductive endocrinology, it's in textbooks on the subject. It's not conjecture, but it's application at a clinical level has never been tested until the Wiley Protocol attempted to do so. And if you want proof: post-menopausal women who take the Wiley Protocol at the correct doses (and only those women) return to pre-menopausal menstruation consistently. This is proof of everything we assert about dose dependency and receptor response. You cannot have a period with peaks of estrogen and progesterone, feel free to try it without our doses (but I don't recommend it!). If you don't understand why this represents proof, I would need to write a much longer post on the actual hormonal levels and fluctuations that occur over a normal 28 day period. However, that's all explained in depth in Sex, Lies, and Menopause, with all of the relevant sources cited for anyone to read who is interested. Again, it is well established in the scientific literature that hormones have receptors, and their methods of action vary at certain concentrations. We didn't make that up, we exploited it so women could have the option of feeling like they did when they were younger (and for some people like nanashana, even better).

Jake Raden
Wiley Systems, Inc.

February 16, 2011 - 10:12am
EmpowHER Guest
Anonymous

LOL! I guess you need to define "normal". Normal for your body or what the medical establishment is accustomed to?

February 13, 2011 - 7:18pm
EmpowHER Guest
Anonymous

Normal bioidentical regimen? That would be rythmic.

February 13, 2011 - 12:20am
EmpowHER Guest
Anonymous

Does someone know a way to wean yourself off the Wiley Protocol --and onto a normal bioidentical regimen?

October 17, 2010 - 10:20am
EmpowHER Guest
Anonymous

I went to three WP providers before I found one who was actually implementing the Wiley Protocol as described in her book. The others were either prescribing incorrectly or were afraid of estrogen, and were prescribing the Wiley Protocol in name but not in substance. One OBGYN wanted to do blood tests in the first month instead of the third. When I asked why, he said to look at reducing the estrogen dosage. Since this would have completely undermined the estrogen peaking that would create the progesterone receptors that would allow for shedding, I did not go back to him.

I finally found a doctor that was actually implementing the Protocol as it is intended, and who was not afraid of estrogen. I started at age 65. In the first week on it I felt my body was internally vibrating, like a guitar string that had been plucked, this very good humming feeling. I had this persistent image in my mind of many dead sea anenome that were coming back to life, their tendrils reaching upward through the water, vibrating.

Because I had not had a period in 20 years, It took five months for me to come back online. I did not start shedding on the basic level Protocol. I was raised incrementally to Wiley level 4. I finally started monthly shedding after being put on Level 4. Monthly shedding is a critical component of the Wiley Protocol.

I have had no negative side effects of any kind. My skin (I had persistent dry spots that nothing helped) greatly improved in texture, with the dry spots quickly disappearing. I feel amazingly limber. We are female all of our lives. When we lose our hormones we lose a part of ourselves. It is wonderful to feel part of the human race again, to feel fully female again. If I have to choose between what the critics say and what my body is telling me, I trust my body. I will be on the Wiley Protocol the rest of my life. They will have to pry it out of my dead hands.

Read her book first. Then find a doctor who is not afraid of estrogen, and who is implementing the Wiley Protocol correctly.

October 11, 2010 - 12:01pm
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