Post Menopausal Hormone linked to MC

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Dsnrbec
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Post Menopausal Hormone linked to MC

Post by Dsnrbec »

I’ve just read an interesting article citing a study that linked Microscopic Colitis to the use of hormone replacement therapy in post-menopausal women. I don’t want to make any rash decisions to stop taking hormones but was wondering if anyone else got diagnosed after beginning hormones? Here is the link in case you want to read about the study:
https://www.healio.com/gastroenterology ... usal-women
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tex
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Post by tex »

Hi,

Thanks for the link. Actually we've known about this connection for at least 5 years. When I search the archives for the term "HRT", I get 171 hits. Here, for example, is a link to a thread from about 5 years ago discussing why MC patients shouldn't use HRT. My response (post number 5 in the thread) explains my theory of why this happens. Pages 59–69 in my book about vitamin D also contain a detailed discussion (including medical references) about the implications of this (the association of survivin with autoimmune diseases in general). Here's the link to the thread:

MC and menstrual cycle and MTHFR

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Dsnrbec
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Post by Dsnrbec »

Oh my goodness, I should have researched the archives. Thank you so much for confirming my decision to stop the hormones. And thanks for always having our backs!
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tex
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Post by tex »

Hi,

Please don't misunderstand me — we appreciate the link. I don't know about anyone else, but I hadn't seen that article yet. I believe that quite a few members have found that contraceptive pills and/or HRT can prevent remission of MC for them. On the other hand, I believe that some members have found that they can use Bioidentical Hormones without any major problems.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
brandy
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Post by brandy »

I'm on bioidentical hormones and I'm in remission.
Dsnrbec
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Post by Dsnrbec »

I’m so hoping this brings me relief. I have been so confused and frustrated about not being able to get into remission despite my very clean diet and lifestyle. I’m one of the unfortunate ones who tolerates a food one time and the next time it goes right thru so have never been able to identify food triggers. My food diary confirms this. I’ve avoid the main triggers like gluten, dairy, corn and soy and rarely eat eggs. I don’t eat raw veggies or salad. I’ve tried antihistamines, cannabis, Budesonide, L-Glutamine, and Boswellia. I’ve done acupuncture, yoga, chiropractic, elemental diet, bone broth fasts and had 3 fecal transplants. I have a low stress lifestyle, am happily married to a very supportive husband. I know there’s something out there I’m missing and I pray that stopping the hormones is the answer.
sonja
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Post by sonja »

Hi,

I'm in remission with HRT. I have LC since 2010 and take HRT since 2012.
I advice you to taper very slowly, because that gives you the best chance for success.
I tried to stop several times, but I didn't succeed. But HRT also has advantages for me.

I hope you are more successful!

Sonja
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tex
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Post by tex »

Do you always avoid gluten (100 % of the time)? The reason I ask is because it was at least three months after I cut all gluten out of my diet before I could make any sense of my food diary. Up until then, I reacted at random — sometimes I could get away with eating a food and other times I would react. Once I cut gluten out of my diet, I never touched it again. Ever. After that I was able to figure out all my other food sensitivities by trial and error (and studying the food journal).

You have to get gluten completely out of your system for months, and never, ever, touch it again, because it dominates the immune system. After at least several months of carefully avoiding gluten, a food journal should become useful.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Dsnrbec
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Post by Dsnrbec »

Yes, I was diagnosed in 2014 and haven’t touched it since. Wish it was that easy.
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Post by tex »

Hmmmmmmm. Maybe eliminating HRT will work.

If it doesn't, there's the ultra-low med route: Does budesonide work for you? A few of the toughest cases among us found that if they can achieve remission on budesonide and the diet, then after a very slow tapering of the dose, they can maintain remission by continuing the budesonide at one capsule every third, fourth, or fifth day, or whatever works for them. At those ultra-low doses, long term budesonide seems to be safe.

If budesonide doesn't work for you, a couple of members have kick-started the budesonide by shocking their system with a single dose of prednisone, followed by a regular, tapered treatment with budesonide (with the cooperation of and coordination with their GI doc, of course).

The last option is an immune system suppressant such as imuran, methotrexate, or one of the anti-TNF medications (aka biologicals).

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Dsnrbec
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Joined: Sun Dec 28, 2014 6:40 am

Post by Dsnrbec »

I’ve thought about low dose Budesonide and may resort to that if stopping the hrt doesn’t work. Budesonide works great for me so that would probably be a good option. Thanks.
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