Dearest:  Tonight's Power Surge guest is Erika Schwartz, M.D., who has a passion and 
commitment to empower and educate women to be the healthiest they can be. Dr. Schwartz 
has been practicing medicine for 20 years and specializes in women's health. 

The author of "The Hormone Solution: Naturally Alleviate Symptoms of Hormone Imbalance 
from Adolescence Through Menopause," Dr. Schwartz addresses the problems of hormone 
imbalance and gives scientifically proven and caring combinations of alternative and 
conventional medicine. As a result of her research and the clinical data she has 
accumulated, she has become an expert in the treatment of hormone imbalance with natural 
hormone supplementation. 

Welcome to Power Surge, Dr. Schwartz. May we call you Erika? 


Erika Schwartz, M.D.:  It's my name, of course!!! 


Dearest:  We're very informal here :) Thanks. 


Erika Schwartz, M.D.:  Me, too. 


Dearest:  Let me start out with a question and then we'll go to the queue. 
By now, most of us are aware that the WHI (Women's Health Initiative) HRT study was 
abruptly halted recently. Could you share with us your thoughts on what the study 
accomplished and why it was stopped before its completion? 


Erika Schwartz, M.D.:  Unfortunately, the study was not reflecting any new info.  
Physicians working with women and hormones have known for more than 20 years that 
there were many problems with HRT.


Dearest:  What particular findings caused them to halt the study abruptly? 


Erika Schwartz, M.D.:  The fact that HRT does not protect from heart disease, but 
rather worsens its chances.


Dearest:  Not really news to many of us, right?


Erika Schwartz, M.D.:  No news to anyone in the field or knowledgeable.  Unfortunately, 
the media and some physicians who don't really know about options have created an enormous 
amount of furor and confusion, and left millions of women in desperate situations.


Dearest:  Thanks, Erika.  


Erika Schwartz, M.D.:  You are very welcome. 


AudreyWald:  I just started estradiol recently. Now I am having bad headaches, my doctor says 
try going off for a week to see if headaches go away. 


Erika Schwartz, M.D.:  Estradiol alone could cause your headaches. 


AudreyWald:  But the estradiol helped a lot with other symptoms.  I'm not sure what the 
best course of action is for me.  Any thoughts? 


Erika Schwartz, M.D.:  The point is that you should never take estrogen alone.  Your 
body relies on the balance between estrogen and progesterone. 


AudreyWald:  I have no uterus, just one ovary.  I was getting really wacky until I started 
the patch, but can this cause bad headaches?  The patch relieved hot flashes, mood swings, 
night sweats but gave me headaches? 


Erika Schwartz, M.D.:  You need progesterone in conjunction with estradiol regardless of 
whether you have a uterus or not.  You also need to have your estradiol dose adjusted to 
the right balance for your size and shape.


DianaK:  I have been diagnosed with myomatous uterus and bilateral ovarian cysts. My ob/gyn 
has now recommended that I not take HRT. What can I do to alleviate the hot flashes, panic 
attacks and insomnia? I had a skipped my period for the first time in August. I'm almost 
47 years old. 


Erika Schwartz, M.D.:  I would recommend a combination of estradiol and micronized 
progesterone in transdermal form to decrease the size of your fibroids and your ovarian 
cysts as well.  At your age you are reacting to the rapid decrease in estrogen and viable, 
useful progesterone.  What you don't want is HRT.  What you do need is natural hormones, 
well balanced.


Leslieananda:  Hi Dr. Erika. I had a total hysterectomy with ovaries also removed on 6-4-
02. There were 2 large tumors found, one was borderline. Also endometriosis. I've lost 50% 
of my hair in the last 6 months. I have been on Revival soy for 4 weeks and progesterone 
cream. My symptoms are migraines, nausea, heart palpitations, sleeplessness, and flu-like 
symptoms. I was just recommended to get on Bi-Est and I am in the process. What are YOUR 
recommendations? Have you experienced women taking only soy and getting relief or do you 
have to have estrogen? How about progesterone? Thank you. 


Erika Schwartz, M.D.:  I've seen women who feel a little better for a little time on 
herbals including soy.  However, I have never seen anyone doing well consistently after 
surgery on non medical treatments.  By that I mean natural hormones by prescription only 
under a knowledgeable physician's supervision.


Xena:  Been on HRT for 5 years.. During same period of time my feet and legs have become 
increasingly sore (feet) and achy after standing for a period of time. I can no longer use 
treadmill two consecutive days. Could this be caused by HRT?


Erika Schwartz, M.D.:  Surely could.  You mean synthetics? 


Xena:  Yes, estradiol and Prometrium (started with Provera for about 2 years) 


Erika Schwartz, M.D.:  Actually what you are using is naturals.  You need to speak to your 
MD about balancing what you are taking.  Also, looking at your thyroid function and also 
taking a break from the hormone therapy every few months to allow your body to 
re equilibrate. 


Dearest:  Erika, I'm curious about something.... what is the difference between commercial 
estradiol, for example, and naturally compounded estradiol and if estradiol is approved for 
drugs like Estrace, why hasn't the FDA approved naturally compounded hormones? 


Erika Schwartz, M.D.:  Interesting question.  There really is no difference in the active 
ingredients, meaning estradiol and micronized progesterone.  The difference is in the mode 
of delivery, the combinations, the preparations and the dosing.  Compounding allows for 
freedom of individual combinations and ease of adjustment.  Commercially available products 
are mass produced and one size fits all is the problem.  They also do not use combinations.


Athenea:  Erika - I would love to be able to use natural hormones, but I can't get them 
where I live, so what would you suggest as the best form of calcium for osteopenia? I'm 
47.  Thanks. 


Erika Schwartz, M.D.:  You can get natural hormones anywhere in the country.  All you need 
is a knowledgeable doctor and a compounding pharmacy which will send the product to your 
doorstep anywhere. 


Dearest:  She doesn't live in the country. She lives in Argentina. 


Erika Schwartz, M.D.:  Calcium does not get absorbed well and it will not protect you from 
osteoporosis.  If you have a family history you should increase weight bearing and 
strengthening exercises. 


Athenea:  Sorry, I'm not in the U.S. and importing them will be very costly. Thanks, 
anyway. 

  
Joanna:  I am 46, started pre-meno at 45.  I tried so many things to make me feel better, 
have horrible migraines, none of the doctors will give me any natural hormones, what should 
I do next? Tired of playing my own doctor. What are natural hormones, and where do you get 
them? 


Erika Schwartz, M.D.:  You can call me and I will either recommend a doctor in your area, 
or get you a consultation with a physician to start you on the naturals for a couple of 
months while we find the right M.D. for you. 


Xena:  Why can we buy progesterone cream without prescription, but need prescription for 
estrogen cream?


Erika Schwartz, M.D.:  Actually the progesterone cream you get without prescription isn't 
strong enough to make much of a difference.  The issue of estrogen eludes even me.  I have 
no idea why it would be so difficult to get something you so desperately need.  It seems 
the answer lies with the pharmaceutical companies who have patents on synthetic estrogens. 


LindaF:  I have a prolapsed uterus. Is there any alternative hormone I can get on, to 
strengthen it, instead of surgery.


Erika Schwartz, M.D.:  Exercise, EXERCISE, before you ever let anyone operate on you.  
Kiegels  are the best.  Tighten your vagina while you are reading this and hold it to 10.  
Do it ten times a day and see how it changes things.  Also get combination estradiol and 
micronized progesterone. They'll help rebuild your vaginal wall and some testosterone will 
help you build the lax muscles. 


Sharon37:  I have no libido.  I had a total hysterectomy when I was 30.  I'm on Ogen 2.5.  
What can I do to get some libido back????? 


Erika Schwartz, M.D.:  Libido is a complex issue.  The relationship must be good, you must 
be in good physical shape and finally, you NEED hormones in balance.  Testosterone alone 
will not help, unfortunately.  You need a combination of estradiol, micronized progesterone 
and testosterone topically around your clitoris to get libido back.  But when it works the 
results are remarkable and my patients tell me their vaginas feel 25 again! 


Dearest:  Erika, realistically, not every woman wants to use hormones, natural or 
otherwise. What can those women use for their menopausal symptoms? 


Erika Schwartz, M.D.:  Depends how severe the symptoms are.  Diet, exercise, life style, 
sleep and stress reduction are key.  But it's up to the individual woman to prioritize her 
needs and figure out what's best for her. 


Dearest:  Under what circumstances wouldn't you prescribe natural hormones to a woman? 


Erika Schwartz, M.D.:  If they are symptom free and they feel strongly about feeling great; 
about how they are aging. 


Dearest:  What about health issues? History of blood clots? Gall bladder disease? Et al? 


Erika Schwartz, M.D.:  Blood clots are directly related to use of birth control pills, or 
synthetic HRT unless there is a family history of blood dyscrasia in which case 
progesterone and aspirin are great protectors. 

Gall bladder disease is also directly connected to use of BC pills and synthetic estrogens 
and it isn't a contraindication to natural hormone use but again I need you to understand 
not to self medicate.  You need to work with a knowledgeable M.D. and you have to listen to 
your gut.  It will always tell you what is right for you.  HOW YOU FEEL is HOW YOU ARE. 


Dearest:  Thanks, Erika. We appreciate your candor. 


Darby:  What is your opinion of progesterone cream for a postmenopausal woman as 
recommended by Dr. John Lee? Do you feel it prevents osteoporosis?(You may have already 
answered this with Xena's question) 


Erika Schwartz, M.D.:  Unfortunately all studies that tried to duplicate Dr. Lee's findings 
have failed to prove him right.  No one has been able to show that progesterone alone 
prevents osteoporosis.   Estrogen, however, does. 


Xstraz:  Hello Erika. Dr. What would you recommend for incontinence (besides Kiegels)?


Erika Schwartz, M.D.:  Kiegels are good for prolapse not incontinence.  If you have 
incontinence,  meaning you pee not just a drop when you laugh or cough or have to go very 
badly, but rather at normal times you should have a urologist do some cystometric studies 
to see if you have a correctable problem.  Also I hate to sound boring and repetitive but I 
would try some hormones for a while and see how they work because they are less invasive 
than surgery any day. 


Paula:  I am taking estradiol and Prometrium for 2 months (50 last month and have done 
exercising of weights, tennis, running all my life and get a mammogram every year and eat 
well. How long would it be safe to take these drugs? 


Erika Schwartz, M.D.:  As long as you need them.  It could be months or years.  The 
deciding factor should be how you feel.  You should stop every so often like every three 
months for a couple of days and see how you feel. 


Dearest:  Thanks, Erika. Great answers! 


Leslieananda:  Dr. Erika.....Do you believe naturally compounded hormones have any health 
risks since they are bio-identical...and should you always use natural progesterone with 
natural estrogen? Do you believe sublingual form is best? Thank you. 


Erika Schwartz, M.D.:  I believe everything has a risk.  Life is all risks but in the 
bigger framework of what we do natural hormones/bio identicals seem to have a lot less risk 
than synthetics and a lot less side effects.  I take them and have been on them for 7 years 
with breaks of three to five days max.  I take them in combination of estradiol and 
micronized progesterone and ONLY in cream form.  I find their absorption reliable and 
consistent and I feel great.  I am 52. 


Leslieananda:  Thank you so very much! 


MarcyS:  What if any are the risks or effects of Natural hormones on someone with a family 
history of Breast cancer? 


Erika Schwartz, M.D.:  There is a well accepted theory in medicine about breast cancer.  
It's called The Estrogen Window Theory.  It says that breast cancer develops over the 10 
years prior to menopause because of too little progesterone and too much estrogen in our 
bodies.  So I recommend progesterone for people with family history and work with both 
estradiol and micronized progesterone in women who have had breast cancer. 


Dearest:  Very interesting, Erika. Thanks for that information! 


Kacky:  I have not had a period in 5 months, but still have cramps when it would have been 
time for a period or time to ovulate, is this common? 


Erika Schwartz, M.D.:  Very common. 


Dearest:  Phantom of the Menopause! 


Erika Schwartz, M.D.:  Your body is still following a cycle.  Your master gland, the 
pituitary, is sending messages yet your ovaries are unable to fulfill the order for 
hormones.  It's normal and OK.


Cher224:  I went 5 months without a period then got one last month. Does that mean I am 
still in Peri? 


Erika Schwartz, M.D.:  Labels and names mean nothing.  PERI, PRE.  Menopause are titles, we 
are people. 


Dearest:  Erika, can you stay a few minutes to finish the questions in the queue? There are 
about 4 more. 


Erika Schwartz, M.D.:  I'll stay as long as you need me. 


Dearest:  Thank you!!! You're an angel 0:) 


Ann:  Erika, I am currently taking PremPro and have been for a year now. In view of all the 
hoopla about PremPro recently do you think I should call my doctor to see about switching 
to something else, I am not having problems with it, other than weight gain. He says it is 
a natural HRT. 


Erika Schwartz, M.D.:  Weight gain is a side-effect of synthetics.  How do you feel?  Your 
doctor is clearly not going to offer options, you need to make your own decisions.  I would 
go off the synthetics, but then again, you know my bias. 


Dearest:  I like the way her doctor says it's a natural HRT: Since when is Provera natural? 


Erika Schwartz, M.D.:  right! 


YoungOldMe:  1) With a little prolapse and cystocele, would you recommend refraining from 
jogging or even walking for exercise? (I have 'kegeled' for many years - even within 
minutes of giving birth!) 

2) I love my compounded hormone creams -I couldn't stop for 5 days/month - headaches, 
bleeding, hot flashes! Can I just keep going without a break - is maybe stopping 2 days 
every 3 months much better than simply continuing daily? Now age 52 - used 3 years already. 
Thanks for this informative hour! 


Erika Schwartz, M.D.:  I definitely would suggest EVERYONE STOP JOGGING AND RUNNING NOW!!!  
Actually we should never have started.  We'd have a lot less prolapses to deal with.  
Anyway,  stop the hormones every 3 months because your body does need a break.  You'll feel 
even better on them.  I prescribe the natural combos to thousands of women and I am sure 
you can always tweak them to make the woman feel better if you work together. 


Moreen:  I was on the patch then onto gel and now back on Vivelle patch, have break outs on 
my chest, extreme increase in appetite and weight gain as well as loss of libido I stopped 
taking the progesterone due to side affects. any suggestions I have an OBGYN appointment. this week 
and need help! Oh, what is micronized progesterone?


Erika Schwartz, M.D.:  Micronized progesterone is a natural form of progesterone made from 
yams by pharmaceutical processes of concentration and purification.  The natural hormones I 
am talking about come from yams, are FDA approved and are available by prescription from a 
physician only. Your symptoms are from taking estrogens in commercially available form in 
the patch without balance from progesterone.  You need better balance.


DianaK:  How closely related is stress to menopausal symptoms? I have a very high stress 
job that I started in April, and now I find that my symptoms are much worse...especially 
the insomnia. I feel like a zombie all day but then can't sleep for more than a few hours 
at night.


Erika Schwartz, M.D.:  Clearly stress will make even a 20 year old get into hormonal 
imbalance so you are even more of a sitting duck for problems.  Hormones are at the core of 
the stress reaction so when your body needs hormones to help you deal with stress and your 
body isn't making them, your ability to deal with stress diminishes significantly.


DianaK:  Thank You. 


Cher224:  I did not have a period for 5 months and then got one last month. Does that mean 
I am still in peri and at almost 54, isn't that a little old not to be post? Thank you. 


Erika Schwartz, M.D.:  Nothing is odd or necessarily abnormal.  You need to have an 
ultrasound to make sure your uterus and ovaries are OK and a blood test to check for 
general health parameters.  If you are ok in those tests do not worry about irregular 
periods.  Periods do not mean a thing on their own.   They are a silly measure used to keep 
us from really understanding our body's  function.  They're ok to watch for pregnancy 
but mean nothing in later years.  Do not fear them.  Do not allow them to control you. 


Dearest:  Wonderful answers, Erika :) Thank you. 


Cher224:  Thank you. 


Pdljmpr:  I have been in peri for approximately 2 years.  Hot flashes and all the "normal 
stuff". But I have been having phantom periods and some spotting....is there anything I can 
take to relieve the phantom stuff? I have tried some progesterone creams, should I try 
compounded? I also tried to take Prometrium I got very angry on it and wanted to rip 
peoples heads off is this normal? 


Erika Schwartz, M.D.:  Don't take anything that makes you want to rip anyone's head off!  
You need a combo of naturals.  In my book I do give the doses I use for women to take to 
their doctors to try.  They work well on me and my patients and we have thousands of 
patients' experience so try combining the two- estradiol and micronized progesterone. 


Von:  Do you have to take hormones after a hysterectomy without removal of ovaries? If so, 
what ones? I thought if you kept your ovaries you didn't need to take hormones. I have not 
had the hysterectomy yet. Trying to research before hand.


Erika Schwartz, M.D.:  Don't have a hysterectomy unless you have cancer.  Taking a 
combination of hormones is mandatory for any situation in midlife and later.  Never use 
progesterone or estradiol alone. 


Von:  Thank You.


LindaF:  Where can I purchase Estradiol?


Erika Schwartz, M.D.:  You need to have an M.D. prescribe it.  


LindaF:  Thank you. 


Debrikkia:  Am taking natural plant derived hormones, (Bi-Est, progesterone & testosterone)- 
however, I cut the dose in half, and don't take every single day--I've found that if I take 
them every day, my legs begin to swell and feel heavy. Is there any ONE hormone that may be 
causing this, or is it a combination? (Complete hysterectomy 12 years ago) 


Dearest:  You can email me for more information at dearest@aol.com if you're interested in 
natural hormones. 


Erika Schwartz, M.D.:  Sounds like the combo is not right for you and needs some adjusting.   
Also, I find that I only use estradiol instead of Bi-Est or Triest with better results.  Ask 
your doctor about it.  Always try to adjust to feel your best.


Debrikkia:  Thanks so much


Skyline:  I have dry skin now (really dry) and dry brown freckles plus I have a brain tumor 
that's much worse during menstrual cycle. I'm 38.  P.S. I've had the noise in my head for 5 
years but only finally diagnosed with a tumor. Also before my period starts I get terribly 
depressed, it's extremely bad.  Any suggestions? 


Erika Schwartz, M.D.:  A pituitary tumor? 


Skyline:  Meningnoma (sp?) 


Erika Schwartz, M.D.:  It should be treated or removed to make you feel better.  It sounds 
like it all connects, so why not get it taken care of? 


Skyline:  Yes, I know, but I hear hormones make it worse and it might come back. 


Erika Schwartz, M.D.:  Hormones will not make it come back if they are in balance. 


Dearest:  Skyline, I hope everything will be okay for you. 


Skyline:  I have no medical insurance. 


Erika Schwartz, M.D.:  There are great people in great hospitals who will do this work for 
free. 


Skyline:  How about the depression it horrible and the brown patches on my face? Thanks.  The county isn't interested.


Erika Schwartz, M.D.:  Which county? 


Skyline:  Santa Cruz county. 


Erika Schwartz, M.D.:  I'm sure they are.  Go to the social service department of the 
county hospital. 


Dearest:  Skyline, I will pray for your good health.  Boy, makes you say to yourself, there 
but for the grace of God go I. 


Erika Schwartz, M.D.:  For sure. 


Pdljmpr:  Are phantom periods normal and are they dangerous? And what are the normal 
symptoms of them. 


Erika Schwartz, M.D.:  Phantom periods are normal.  They are what doctors call anovulatory 
periods, meaning they are not connected to an active ovulatory cycle.  They happen when you 
are young and they happen when you are not so young any longer. 


Erika Schwartz, M.D.:  By the way for those of you in the NY metropolitan area I am on NY1 
daily till Sept 13 from 11-12 doing a call-in show. 


Dearest:  That's cable TV 


Erika Schwartz, M.D.:  Yes, NY channel 1 


Dearest:  What day did it start?   Was it Wednesday? 


Erika Schwartz, M.D.:  Yes 


Dearest:  Oh, geeze, I forgot. Talk about brain fog. Until when? 


Erika Schwartz, M.D.:  I'll be on tomorrow and then again starting Monday until next Friday 


Dearest:  Oh, wonderful! Can't wait (did you see Dr. Bob on Labor Day?) LOL 


Erika Schwartz, M.D.:  Yes. LOL back to you 


Dearest:  LOL back to you, too.


MarcyS:  I'm taking Natural hormones, and because I had been having 2 and 3 periods a 
month, I take the progest sublingual on my 13-26 days, I was wondering if I'm taking the 
hormones to help with symptoms and regulate me, how will I know I am finished? I am 45 and 
have been having symptoms for 6 years now. 


Erika Schwartz, M.D.:  It sounds like you are making your periods worse with that combo.  
You might want to consider a more consistent regimen to get the periods more regular so you 
lose less blood and less energy. 


Dearest:  Erika, say something, please, about OTC natural progesterone cream. Thanks!  
Like.. free associate! LOL. 


Erika Schwartz, M.D.:  we are doing a study for Health Magazine on the value of menopausal 
remedies- check out their website next week to get into the study.  One of the things we 
are looking at is Progest cream.  So far the data leads me to believe that it doesn't do 
much more than ease some of the symptoms some of the time but none all of the time.  You 
are better off getting a prescription dose of progesterone if you are going to do it at all 
alone. 


Dearest:  And isn't it really effective when a woman is in early perimenopause when her 
estrogen levels are still fairly decent?  I mean, if it's effective. 


Erika Schwartz, M.D.:  yes 


Dearest:  Ok, thanks. 


Erika Schwartz, M.D.:  It's ok when you need very little right before your period in your 
30s to get you over the hump of mild PMS. 


Shellie:  I'm 27 years old and think I might have a hormone imbalance. I get moody and 
emotional (and sometimes just don't feel downright good) right before my period and 
sometimes feel out of control. I have had several blood tests ran and everything else in my 
body seems to be functioning fine. Physicians just tell me that I must have too much stress 
and want to put me on an antidepressant (which I would never take). My question is, how 
exactly do I tell if it is a hormone/chemical imbalance and what can I do to go about 
treating it in a safe manner? (Also, as a side note: my husband and I have been trying to 
conceive for 4 years now, and I'm wondering if something might be off in my body not 
accepting it because of some kind of imbalance?) 


Dearest:  Shellie, what brought you to a menopause site? 


Shellie:  My mother 


Dearest:  Oh. LOL! Ok. 


Shellie:  Sorry for the long question 


Dearest:  Good mother! 


Erika Schwartz, M.D.:  Good girl!  You should always listen to your mom. 


Shellie:  She is "good thing" 


Erika Schwartz, M.D.:  I work with young women all the time with hormone imbalances whose 
MDs tell them they need antidepressants because there is nothing wrong with them. There is 
something wrong. You are right.  Your hormones need help and you need to have them checked, 
evaluated and then maybe treated. 


Dearest:  Thanks, Erika :) 


Mwinebre:  What can I take for hot flashes with a heart condition? 


Erika Schwartz, M.D.:  Estradiol and micronized progesterone and good diet, flexibility 
exercises, good sleep, stress reduction, Coenzyme Q 10.  Try it.  If it works OK, if not, 
get help from more serious sources. 


Von:  I am taking Lupron for 3 months. 44yr old. multiple fibroids. uterus= 16 month 
pregnancy, heavy periods, borderline high blood pressure. Have bled every day since taking 
Lupron on 8/6, flooding with big clots, anemic. Can you suggest something for me please? 
Thank you.


Erika Schwartz, M.D.:  STOP THE LUPRON!!!  Change doctors. 


Dearest:  What is a 16 month pregnancy? 


Erika Schwartz, M.D.:  what is it? 


Dearest:  Yes 


Erika Schwartz, M.D.:  Never heard of it? 


Dearest:  No 


Erika Schwartz, M.D.:  Not in humans. 


Von:  Sorry, uterus is the size of a 16 week pregnancy ooops 


Erika Schwartz, M.D.:  Maybe in elephants. 


Dearest:  Oh, I'm sorry. 


Erika Schwartz, M.D.:  OHH, that is a fibroid. 


Dearest:  I was imagining being pregnant for 16 months. 


Erika Schwartz, M.D.:  The fibroid is the size of a 16 week pregnant uterus 


Dearest:  Gotcha. Marcy, your comment? 


MarcyS:  I'm sorry the way that I worded the previous question made it sound like I am 
having trouble on the natural hormones, actually they are regulating me just fine.  no more 
2 or 3 periods a month, only 1 now..I feel like a new person. But I would like to know when 
I would know when I was finished having periods if I'm on the natural hormones. 


Erika Schwartz, M.D.:  It doesn't really matter.  If you feel ok you just transition to no 
period without a hitch.


Dearest:  Wonderful! 


MarcyS:  Oh Good. Thanks. 


Dearest:  Erika, thanks for spending this time in Power Surge tonight fielding our 
questions about menopause and hormone therapy. I strongly recommend Dr. Erika Schwartz's 
book, "The Hormone Solution: Naturally Alleviate Symptoms of Hormone Imbalance from
Adolescence Through Menopause." 



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