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Hi, This is Dr. Raj Singh. I practice here in Las Vegas Nevada. We do a lot of hormone management in our practice and I am seeing a lot of mistakes being made and that is the purpose of this video correct those mistakes. What are some of Top mistakes when applying hormone creams? 1. Applying cream on the outside skin of the body where the skin is thick. Always apply it to the inner skin because the outside skin is too thick so the cream will not get absorbed. 2. Applying the cream to a very small area. Make sure that apply the cream least a 6-8 inches or at a minimum apply to area bigger than the size of your hand. if you have unusually tiny hands, then apply to an area the size of the iPad. 3. Applying at other times when the skin is not clean. Best time is to apply after a shower. 4. Applying estrogen creams to breast area. This can breast tenderness and also stimulate breast cancer. applying estrogen creams to the breast are contraindicated and should never be done. 5. Applying cream to forearms. I have seen some videos recommending this approach, however I am not a fan of applying hormones to forearms. High risk of transferring hormones to those around you by direct skin contact. Inner thigh, inner biceps, torso are better choices. 6. Using a cream every single day. Testosterone creams always skip a day a week. When using estrogen cream always apply the cream from day 1 to day 25. It can be the first day of the period and easier way is to start using on the 1st day of the calendar so if you started on January 1st apply till every day till January 25th and then do not apply for the next 5-6 days and then start again February 1st. This does minimizes any possible side effects to it keeps her receptors hungry and maintains a natural rhythm of the hormones. 7. Try to save the cream by not using the prescribed amount. Remember that this a medication so you should use the prescribed amount. if you are running low on your medication changes, call your doctor to get a refill 8. Getting blood drawn to monitor hormones. Medications applied on the skin travel to tissues using lymphatics and are quickly used by the cells. Blood hormone levels are not unchanged. Saliva Hormone testing is ideal. Another alternative to saliva is capillary blood spot testing 9. Not rotating site. Please do not apply to same area every single day. Rotate the sites for best results 10. Not rubbing enough. At least rub it for 1-2 minutes for optimal absorption. 11. Exposing the cream direct sunlight. The hormones may get deactivated and may not get the optimal results. Keep your cream in a dark area. Thank you for watching and please don’t forget to subscribe . Dr. Raj Singh MD, FACP, FASN, is an Internist and Nephrologist who specializes in Health wellness, Hormone Balancing, Medical weight loss, and anti-aging therapies. He has trained numerous physicians, Allied health professionals, pharmacists, and others over the past decade in the art and science of overall wellness and comprehensive health management instead of the traditional symptom and drug-based approach. He practices at Healor Primary Care and seven heart spa in Las Vegas, Nevada. He is an assistant professor of medicine at the UNLV School of Medicine and faculty at Empire Medical Training. Dr. Singh has received several Top Doctor Awards, has appeared on radio shows, and is considered an expert in wellness and anti-aging circles. He often travels to teach at medical conferences throughout the United States and Abroad. HEALOR and Seven Heart Spa 3900 West Charleston Blvd ste 170 Las Vegas, NV 89102 702-362-2273 www.healor.com www.sevenheartspa.com [email protected] Like us on Facebook / healor1 / healor Follow us on Twitter / healor1 Follow us on Instagram: / healor1