While scrolling through a health and hormone Facebook group, I came across a post from a member who shared how ChatGPT had helped her better understand her lab values. By simply uploading a PDF of her lab report, the AI system identified imbalances, suggested potential bioidentical hormone options, and even provided specific formulations. Intrigued, I decided to try it myself with my Everlywell hormone test results from November 2023—and I was pleasantly surprised by the insights. AI derives its interpretations from vast datasets, identifying patterns and correlations that might otherwise go unnoticed. While the speed and accuracy of AI-driven analysis are remarkable, it’s important to remember that this technology builds upon the expertise of human researchers and healthcare professionals. Of course, AI-generated recommendations should never replace conversations with a medical team, but they can empower us with knowledge, help us conduct further research, and prepare us for more informed discussions with our healthcare providers. In my case, the recommendations from ChatGPT closely mirrored the hormone supplementation prescribed by my doctor, with additional considerations for future discussion.
Just one day later, I listened to a speech from Vice President Vance during his visit to France. In it, he highlights the significant benefits and advancements that AI can bring across all sectors. While much of the public discourse focuses on concerns surrounding AI, Vice President Vance reminds us that, throughout history, technological progress has always come with challenges—but also with tremendous opportunities. He emphasizes that AI, when harnessed responsibly, has the potential to drive innovation in healthcare, improve economic productivity, and strengthen national security. Rather than fearing change, he urges global leaders to focus on policies that encourage ethical AI development, ensuring that its benefits outweigh the risks. His speech ultimately serves as a call to embrace AI as a tool for progress while maintaining thoughtful oversight.
As an example, here is the response from AI when I downloaded the PDF of my lab values.
Based on the lab results, there are several hormone imbalances:
You said:
I would be interested in specific formulations of progesterone and estrogen that you recommend
ChatGPT said:Here are some specific bioidentical hormone formulations that could help address the imbalances in your lab results:
1. Bioidentical Progesterone (To Address Low Progesterone)
Based on the lab results, there are several hormone imbalances:
- Low Progesterone (0.290 ng/mL, slightly high) → Suggests a need for bioidentical progesterone.
- Low DHEA-S (1.7 ng/mL, below normal range) → May benefit from DHEA supplementation.
- Low Estradiol (26.10 pg/mL, below normal range) → Suggests a need for bioidentical estradiol (such as estradiol cream or patch)
- High LH (16.52 mIU/mL, above normal range) → Could indicate perimenopause or ovarian dysfunction.
- High Thyroid Peroxidase Antibodies (15.17 IU/mL, above normal range) → Suggests possible Hashimoto’s thyroiditis or autoimmune thyroid issues.
- Bioidentical Progesterone (e.g., oral or cream) to balance estrogen dominance.
- Bioidentical Estradiol (low-dose patch or cream) to support estrogen levels.
- DHEA Supplementation to improve adrenal function and hormone balance.
- Thyroid Evaluation & Possible Treatment (though T3 & T4 are within range, the low TSH and elevated TPO suggest the need for further thyroid assessment).
You said:
I would be interested in specific formulations of progesterone and estrogen that you recommend
ChatGPT said:Here are some specific bioidentical hormone formulations that could help address the imbalances in your lab results:
1. Bioidentical Progesterone (To Address Low Progesterone)
- Oral Micronized Progesterone (Prometrium)
- Dose: 100-200 mg at bedtime
- Notes: Helps with sleep, anxiety, and balancing estrogen dominance. Best taken at night due to its sedative effects.
- Progesterone Cream (Compounded or OTC)
- Dose: 20-40 mg applied to the skin (inner arms, thighs, or abdomen)
- Notes: Useful for those who prefer transdermal absorption. Less sedative than oral.
- Estradiol Patch (e.g., Vivelle-Dot, Climara, Alora, Minivelle)
- Dose: 0.025-0.05 mg/day
- Notes: Provides steady absorption, reducing fluctuations. Applied to the lower abdomen or buttocks and changed 1-2 times per week.
- Estradiol Gel (e.g., EstroGel, Divigel)
- Dose: 0.25-1.0 mg/day
- Notes: Applied to the skin (upper arms or thighs) for gradual absorption.
- Bi-Est Cream (Compounded, Estradiol + Estriol)
- Dose: Typically 80% Estriol, 20% Estradiol (applied in small amounts daily)
- Notes: Estriol has gentler effects on the body and may be beneficial for skin and vaginal health.
- DHEA: 5-10 mg/day (oral or cream) to support adrenal health.
- Progesterone-to-Estrogen Balance: Start with progesterone first, then introduce estrogen as needed to maintain balance and avoid estrogen dominance.
- Monitoring: Retest hormone levels after 8-12 weeks of therapy to ensure proper dosing.
Thank you for reading! As always, none of this is medical advice, simply my shared experience as I work to maintain my health as well as remain current and somewhat capable with technology. I'm not sure which one is more challenging! I share it all with you in hopes it may be helpful on your life's journey.
P.S. We have had a wonderful gathering for mat classes these past 2 weeks. Looking forward to more. Join us when you can. It feels amazing to move, stretch and strengthen using Joe Pilates' system of Contrology. Personal Training is available by appointment where we utilize the Pilates apparatus including the reformer, tower, chair and ladder barrel. Wishing you a great rest of the week.