Foreword to Bioidentical Hormones 101 Second Edition
I am honored and grateful to my six dear friends and colleagues, Lindsey Berkson, David Brownstein, Carol Petersen, Donna White, Amy Brenner, and Phyllis Bronson for writing six amazing forewords to Bioidentical Hormones 101, second edition (2025).
The ebook is available for only 99 cents, or Free with trial membership. Click Here to buy ebook on Amazon: Bioidentical Hormones 101 Second Edition (2025) Three Volume Series e-book.
Here are the six Forewords:
Foreword by Lindsey Berkson MA, DC, CNS, DACBN, ACN
The fact is hormones are the most important cell signaling system in our body. Hormones signal the gut, the esophagus, the heart, the kidneys, the lungs, and the brain which contains the all-mighty hippocampus, the site of brain regeneration. The hippocampus stores and retrieves memories that define who we are. Without all these hormone signals, we cannot live a full, healthy, and meaningful life.
When we think of doctors who specialize in hormone replacement, we think of gynecologists and urologists. Truth be told, most OB/GYNS and urologists know very little about hormones. A survey in 2023 revealed that only 31% of gynecologists had any training in hormones, usually just one short class in medical school. For the past 22 years, hormones have not been taught in medical schools, osteopathic schools, naturopathic schools or nursing schools. If you are not “taught” hormones, you won’t “think” hormones. Yet, OB/GYN, urologists, gastroenterologists, cardiologists, nephrologists, pulmonologists, and especially gerontologists are not trained in hormones, and are not thinking about hormones during your office visit or while they examine you. They do not include hormone levels as part of your yearly health evaluation. You might ask why did this happen? It all goes back to the 2002 Women’s Health Initiative study which was wrongly interpreted. The original authors reported to the world that hormones cause breast cancer and heart disease, two medical conditions hormones were originally thought to prevent. Because of this 2002 study, hormones became feared, vilified, and no longer taught in medical schools. However, within months of the publication of the WHI study, re-analyses began unveiling deeper facts that went unnoticed by the mass media. Nineteen years later, the original authors republished their findings admitting that the original “Be scared of estrogen” was wrong. In fact, re-analysis found that estrogen “protects” healthy breasts more than any other agent ever investigated.
Estrogen therapies taken for an average of 5 years reduce the risk of getting breast cancer by 23%. If you do get breast cancer and were lucky enough to have been on estrogen therapies for an average of 5 years, your risk of dying from breast cancer was reduced by 44%.
Nothing has ever been so breast-protective as estrogen. The new 10 million study published in April 2024 by our own NIH is the largest study ever run on hormone replacement. This study of 10 million Medicare-age women tracked hormone use and health outcomes, demonstrating that estrogen therapies statistically reduce the risk of getting breast cancer. There is no debate. The data is clear that estrogen is breast-protective. They also found estrogen statistically (beyond chance) prevents lung cancer and colorectal cancer, prevents dementia, and helps older women live 19% longer with better quality of life.
Today, doctors and patients alike are frightened of hormones. Mass misinformation has created mass fear. The fear and avoidance of hormones have led to mass downstream poor health. Doctors are not testing our hormone levels or providing hormone treatments. Your doctor is more apt to write a script for birth control pills than test and treat your hormones with natural, safer, bioidentical hormones. Instead, we are bombarded with the message that hormones cause cancer and should be feared. Doctors tell us we do not need hormones, and we should age gracefully without hormone replacement. When this happens, YOU lose out and miss out on great hormonal medical care.
Enter center stage Dr. Jeffrey Dach with this second edition of Bioidentical Hormones 101. Step by step, Dr. Dach explains the studies that show the “fear” of estrogen is “irrational” and “unfounded.” It is widely believed estrogen causes breast cancer. This belief is false, based on old studies which are wrong. In this book, Dr. Dach dives deep into the science, obliterating the myths and misgivings about hormones. He examines the safety of bioidentical hormones versus synthetic hormones which have been “pushed” on doctors by Big Pharma. When the money is followed, the corrupting influence of Big Pharma becomes obvious. What about high-risk women with a history of breast cancer? Dr. Dach even addresses hormone safety and efficacy in breast cancer patients. Did you know that testosterone is breast cancer protective? Testosterone up-regulates estrogen receptor beta (ER-beta), the anti-cancer receptor. There are two main estrogen receptors, ER-alpha and ER-beta. The ER-beta receptor is a “tumor suppressor.” The ER-beta receptor also tamps down chronic excessive inflammation. So, it is also an “inflammation suppressor.” Science now recognizes that many diseases start with chronic excessive inflammation.
The male hormone testosterone’s final metabolite (break-down product) is called 3-beta-adiol, which activates estrogen receptor beta (ER-beta). This inhibits (blocks) breast cell proliferation (or growth-out-of-control). You will learn in this book that breast cancer patients can be given testosterone. Women with adequate testosterone blood levels have “less” breast cancer in the first place. And Dr. Dach shares how testosterone, can even be given to ER+ breast cancer patients on aromatase inhibitors as well as to triple-negative breast cancer patients. These cell types have no hormone receptors at all, so why deprive them of hormones? Most doctors do not know this unless they read Dr. Dach’s book! We think that doctors know the science. But in reality, very few do. They are too busy working. In reading this book, you will learn about hormones from A to Z. Dr. Dach goes into striking detail about how the fear of breast cancer associated with hormone replacement is no longer valid. Instead, the increased breast cancer risk applies only to the combination of estrogen with a synthetic version of progesterone, called a “progestin” (medroxyprogesterone, MPA) and not to estrogen alone. And there is no increased risk of breast cancer with the combination of estrogen and natural progesterone. Dr. Dach demonstrates that avoiding hormone replacement puts women in harm’s way. Avoiding hormones means a dysfunctional immune system, less breast protection, less quality of life, and aging before your time.
I met Dr. Dach in April 2024, when Dr. David Brownstein and I put on our own continuing medical education course for MDs, NPs, nurses, PAs and NDs called “Everything Hormones” offering 16 hours of CME, continuing medical education credits. We had almost 300 doctors and nurse practitioners from 7 countries. Many were OB/GYNs and urologists. They had feared hormones. Most admitted to us they knew very little about hormones and knew little about how to test, track, and prescribe hormones. Honestly, it was quite shocking. Both you and your providers need education in hormones. Healthy hormones and balanced natural hormone replacement leads to:
Less breast cancer.
Less prostate cancer.
Less dementia.
Less hip fractures.
Less heart and renal disease.
More energy.
More immune resilience.
And oh, lest we forget, less diabetes. Hormones help our blood sugar stay healthy and stable.
My entire life focus has been on hormones. I have written many books on hormones. I have been a distinguished hormone scholar at an environmental estrogen think tank, the Center for Bioenvironmental Research at Tulane and Xavier Universities. My life had been ruined by hormones. I was a DES daughter. This means my mother was pregnant with me, she was given the most powerful synthetic estrogen ever invented, a nasty drug, that became the model compound for endocrine disruption, diethylstilbestrol – DES. This drug was given to 38 million pregnant women before DES was banned in 1971 as the most cancer-causing compound ever invented. I had breast cancer, kidney cancer, and battled eye disease. Once my hormones got balanced on bioidentical hormone replacement therapies, my fragile health returned. I have lived the truth that “strong hormones mean a stronger life”. Do not let your life be ruined by “hormonal imbalance” or “hormonal fear.” Dr. Dach is an agile thinker. He has focused his science-detailed cognition on hormones, for you to get unafraid. For you to get and stay strong. This Bioidentical Hormones 101, second edition book is worth its weight in hormonal gold. Dr. Dach did the heavy hormonal lifting, so you can keep on trucking. Dr. Dach is sharing how to keep our hormones resilient and strong, based on science that most doctors do not know. But now you can know, thanks to Dr. Dach for a job well done.
Lindsey Berkson, MA, DC, CNS, DACBN, ACN
Website: https://drlindseyberkson.com/
Agile Thinking Substack: https://drlindseyberkson.substack.com/
Everything Hormones online with 16 hrs of CME: https://drlindseyberkson.com/everythinghormones/
Dr. Lindsey Berkson is the author of Hormone Deception, Contemporary Books., 2000 and Safe Hormones Smart Women. iUniverse, 2010. Stay tuned for Oxytocin Medicine coming out in 2025. Dr. Berkson is a chiropractic physician, best-selling author, nutritionist, and integrative nutritional, gastrointestinal, and endocrine specialist. Dr. Berkson consults all over the world working remotely as a consultant as part of your personalized healthcare team. Dr. Berkson specializes in complex cases, high-risk hormonal patients, and severe gastroenterology cases trying to avoid surgery. Dr. Berkson spent 35 years studying hormones from every perspective, as a scientist, clinician, health advocate, author, inventor, and most importantly, as a patient. Dr. Berkson has worked with and trained by Dr. Jonathan Wright the pioneer in bioidentical hormones. Dr. Berkson was a distinguished hormone scholar for years at the Center for Bioenvironmental Research at Tulane University studying with Elwood Jensen PhD and Jan-Ake Gustafsson PhD who discovered the first estrogen receptors, ER Alpha and ER Beta. Dr. Berkson wrote one of the first breakthrough books on endocrine disruption (Hormone Deception, McGraw-Hill 2000, Awakened Medicine Press 2016). This book is mandatory reading in many environmental science university programs. She has published another 21 books. Dr. Berkson has led grand rounds at the University of Minnesota, and the University of Southern Florida. Dr. Berkson’s book Healthy Digestion the Natural Way (Wiley & Sons 2000) sold over a million copies. In the 1970’s Dr. Berkson lived with Hopi Indians in Arizona and 1992 lived with Aboriginals in Australia teaching nutrition and learning Indigenous cultures.
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Foreword by David Brownstein, MD
I started using bioidentical, natural hormones over three decades ago. I was not trained on their use in medical school, but the subject fascinated me. Instead, my medical school training was on the application of synthetic, foreign hormone molecules that lack receptors in the human body. Instead, synthetic hormones have unpredictable off-target effects, making them endocrine-disrupting chemicals. How come I was not made aware of the benefits and common sense of using bioidentical, natural hormones? The reason is clear: Bioidentical, natural hormones cannot be patented—just as any natural substance similarly cannot be patented. The big pharma cartel has no interest in using non-patentable products as their profit margin can be greatly exaggerated by using synthetic items that can be patented. When I learned of the difference between a natural substance–where the human body had receptors available to bind the item and was designed to utilize and then detoxify from the material—and a synthetic item—where there were no receptors and a markedly decreased ability to detoxify the molecule—the choice was clear to me: There simply was no excuse to ever utilize a synthetic hormone when a bioidentical, natural version was available. This epiphany made biochemical sense as well as common sense. Unfortunately, in medicine, common sense isn’t so common, and the majority of physicians inappropriately prescribe toxic, synthetic hormones. Synthetic hormones are associated with a plethora of adverse effects, while bioidentical, natural hormones are a much safer option. This is predictable because the human body was designed to function with natural hormones. Dr. Jeffrey Dach has written another round of excellent books. Bioidentical Hormones 101, Second Edition, provides the reader with a comprehensive analysis of the clinical use of hormones. This collection is a masterpiece of information that is integral to any physician interested in the use of natural, bioidentical hormones. It should be required reading for all medical students. I have read many medical books during my career. Jeffrey Dach’s Bioidentical Hormone 101, Second Edition, rivals any of my favorite books. I will treasure these and utilize them for many years. Read Dr. Dach’s Bioidentical Hormones 101 Second Edition and become educated on how and why to utilize natural, bioidentical hormones.
David Brownstein, M.D.
Medical Director of the Center for Holistic Medicine
6089 West Maple Road, Suite 200
West Bloomfield, MI 48322
Telephone: 248-851-1600
www.drbrownstein.com
Author of 17 books, including:
The Miracle of Natural Hormones
Iodine: Why You Need It Why You Can’t Live Without It.
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Foreword by Carol Petersen, RPh, CNP
This morning, I sent a text to someone inquiring about breast cancer risk, recurrence, and the use of bioidentical hormones. The best advice I could give was to refer her to Bioidentical Hormones 101, second edition. I simply did not have the words—or the time—to untangle the wealth of information that someone with these questions deserves. To say that information about hormone therapies is entangled would be an understatement. The medical literature, organized medical groups like the Menopause Society, the Endocrine Society, and the American College of Obstetrics and Gynecology, pharmaceutical companies, and media outlets are rife with mixed messages. The advent of quasi-hormones—synthetic compounds created to secure exclusive sales through patented formulations—has only added to the confusion. Both medical professionals and their patients are left grappling with the challenge of discerning truth from the tangles.
Dr. Jeffrey Dach has taken on this challenge with kindness, gentleness, and care. In Bioidentical Hormones 101, second edition, he untangles the medical literature, prevailing attitudes, and media propaganda to remind us that bioidentical hormones consistently address hormone deficiencies with precision—the right molecule in the right amount. He weaves this message throughout the book, ensuring readers fully grasp its importance. We live in a time when many individuals who desperately need hormone support are fearful—haunted by concerns over breast cancer, other cancers, or blood clots like deep vein thrombosis. Meanwhile, there’s significant financial incentive in withholding hormone support; instead, patients are offered a broad palette of drugs—benzodiazepines for anxiety, sleep aids, antipsychotics, antidepressants, antihypertensives for blood pressure management, or medications for bone loss that paralyze bone remodeling but ensure favorable bone density test results.
Enter Dr. Dach. In a thorough and organized fashion, he navigates through the medical literature to reveal how studies—and their professional or media interpretations—can mislead us. Carefully and methodically, he clears a pathway through this tangled jungle of information. By the time you finish a chapter, you will find your decisions remain your own—but now you will have the comfort of understanding the backstory and knowing your choices are sound. Bioidentical Hormones 101, second edition fills a critical gap in our understanding of the endocrine system. Medical professionals will appreciate its concise discussion of issues most relevant to their patients. Women who have felt disempowered by poor healthcare choices will find themselves armed with knowledge—and empowered to take control of their health again. As I conclude this forward, I am reminded of the hero’s journey: where once there was a sword, then a pen—and now a keyboard. The story is not over yet; there are briar patches to clear of tangles and dragons to slay. Bioidentical Hormones 101, second edition is a remarkable gift to us all—and I eagerly await Bioidentical Hormones 201, 301, and beyond.
Carol Petersen, RPh, CNP
The Wellness by Design Project
Madison, Wisconsin
Phone: 608-469-8821
ca***@************************ct.com
https://thewellnessbydesignproject.com
With her Wellness by Design Project, Carol provides Bioidentical Hormone Consultation and Coaching Support. You are invited to join her to explore aging gently with vitality and exuberance at https://thewellnessbydesignproject.com/meet-carol/
Carol Petersen is an accomplished compounding pharmacist with decades of experience helping patients improve their quality of life through bio-identical hormone replacement therapy. She graduated from the University of Wisconsin School of Pharmacy and is a Certified Nutritional Practitioner. Her passion for optimizing health and commitment to compounding is evident in her involvement with organizations including the International College of Integrated Medicine and the American College of Apothecaries, the American Pharmacists Association, and the Alliance for Pharmacy Compounding She was also the founder and first chair of the Compounding Special Interest Group with the American Pharmacists Association. She is the chair of the Integrated Medicine Consortium. She co-hosts a radio program “Take Charge of Your Health” in the greater New York area. She is on the Medical Advisory Board for the Centre for Menstrual Cycle and Ovulation Research (CeMCOR.ca).
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Foreword by Donna White
It is my great honor to write this Foreword on behalf of Dr. Jeffrey Dach, MD—a pioneer, a scholar, and one of the most respected authorities in the field of Bioidentical Hormone Replacement Therapy. For years, I have followed Dr. Dach’s work with admiration—especially his newsletters, which consistently distill complex medical literature into accessible, evidence-based insights that providers and patients alike can trust. Now, with the release of Bioidentical Hormones 101 Second Edition, Dr. Dach offers us the most comprehensive, thoroughly researched resource on bioidentical hormones ever published. This extraordinary three-volume series is more than a book—it is the encyclopedia of bioidentical hormones. It should be required reading for every medical provider who prescribes hormone therapy, and it will undoubtedly become an essential reference for patients who are seeking to reclaim their health, their vitality, and their future through informed, science-based care. The depth of scholarship in these pages is matched only by the urgency of the message. For far too long, hormone therapy has been clouded by fear, misinformation, and outdated conclusions—particularly those stemming from misinterpreted studies like the early arms of the Women’s Health Initiative. Dr. Dach unflinchingly corrects these misconceptions, highlighting the protective benefits of estrogen, progesterone, testosterone, and estriol when prescribed appropriately. He clearly differentiates between synthetic and bioidentical hormones, and he supports every statement with meticulously referenced data from the medical literature. Having been in the field of bioidentical hormone replacement therapy for over 30 years, I have seen firsthand the transformation that occurs when patients receive proper hormone care—and when providers are equipped with the right tools and knowledge. In my work as Founder of the BHRT Training Academy, we have trained providers from 4 countries on how to safely and effectively prescribe bioidentical hormones. Many of those practitioners now consider Dr. Dach’s research an indispensable part of their learning journey. His work empowers providers with clarity and conviction—and most importantly, it equips them to serve women more confidently and compassionately. Women deserve to enter perimenopause and menopause with their questions answered and their concerns addressed by well-trained, evidence-informed medical providers. With this second edition, Dr. Dach not only arms providers with that knowledge, but also helps restore hope for women who have been told that suffering through hormonal decline is inevitable. It is not. Dr. Dach is not just a physician—he is a truth-teller, a teacher, and a trailblazer. His commitment to scientific integrity and patient-centered care shines through every chapter of this series. I am deeply grateful for the work he has done to advance this field and proud to share this space as a fellow voice in the Bioidentical Hormone Revolution. If you are a medical professional, may these volumes strengthen your practice. If you are a patient, may they embolden your journey. Either way, you are holding in your hands the gold standard of hormone education. Let the revolution continue.
Donna White, Author of The Hormone Makeover and The Bioidentical Hormone Revolution
Founder and President of the BHRT Training Academy
www.BHRTTrainingAcademy.com
do***@*****************my.com
704-396-5677
9935-D Rea Road #415
Charlotte, NC 28277
Donna White is a leading authority in Bioidentical Hormone Replacement Therapy (BHRT) with over 30 years of dedicated experience. As the Founder and Executive Director of Education at BHRT Training Academy, Donna is a pioneer in developing BHRT training programs, significantly advancing the hormone health movement. Donna expresses genuine care and a readiness to engage personally with both patients and practitioners. Drawing on her journey with hormonal imbalance, she offers an empathetic and expert perspective and has earned the trust of her colleagues and in the field. She excels in making complex medical topics accessible and practical, greatly benefiting both patient care and practitioner knowledge. Under her leadership, BHRT Training Academy has transformed hormone therapy practice, substantially improved patient outcomes, and fostered growth in medical practices. A sought-after speaker on BHRT, Donna has been named to the Board of Advisors for the Menopause Association, underscoring her influence and leadership in women’s health. A staunch advocate for evidence-based treatments, she tirelessly works to ensure women have the information needed to make informed healthcare decisions. Her commitment has not only raised the standard of care but has also empowered a generation of medical professionals with the tools to drive positive change in hormone health.
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Foreword by Amy Brenner, MD
I first encountered Bioidentical Hormones 101 through its original edition, and it quickly became one of the most valued resources on my shelf. As a healthcare provider, I continually seek materials that are not only evidence-based but also clear, accessible, and empowering for patients. Dr. Jeffrey Dach’s work checked every box. With this newly updated second edition, Bioidentical Hormones 101 builds on its strengths, offering deeper insights, current research, and an even more compelling case for bioidentical hormone therapy as a safe, effective, and patient-centered approach. It remains a book I turn to regularly and one I confidently recommend to patients seeking to better understand their hormonal health. Dr. Dach distinguishes himself by doing what few in the medical community are willing to do: challenging outdated paradigms with data, compassion, and clinical expertise. His work presents a credible, science-based alternative to conventional hormone replacement therapy—one that honors both physiology and the body’s innate design. This book is far more than a primer on bioidentical hormones—it is a roadmap for reclaiming control over one’s health. It replaces fear with facts, dispels long standing myths, and equips readers with the knowledge to make informed decisions about their care. Whether you’re a patient navigating hormone imbalance or a practitioner searching for reliable, trustworthy resources, this second edition is essential reading. I am deeply appreciative of Dr. Dach’s dedication to truth in medicine and proud to offer this book as a foundational reference within my practice.
Amy Brenner, MD, FACOG, ABAARM
Amy Brenner MD and Associates, LLC
6413 Thornberry Ct, Mason, OH 45040
(513) 770-0787
https://www.spamedicca.com/
www.dramybrenner.com
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Foreword by Phyllis Bronson, PhD
In this completely revised second edition of Bioidentical Hormones 101, you will explore the profound impact bioidentical hormones have on physical, emotional, and mental well-being. This updated edition not only revisits foundational concepts but also incorporates the latest advancements in medical research on the science of hormone replacement. Throughout the book, Dr. Dach unravels the complexities of menopausal hormone replacement, dispelling myths and providing clarity on the safe and effective use of bioidentical hormones.
In 2007, I was a keynote speaker at the International Society of Orthomolecular Medicine’s (ISOM) annual meeting. That is when I first met Dr. Jeffrey Dach, who was in the audience for my presentation on premenstrual syndrome (PMS) and the effective treatment with bioidentical progesterone. Dr. Dach is a brilliant, scholarly doctor with a long career in conventional and integrative medicine. In 2007, Dr. Dach was just getting started in the field of bioidentical hormone replacement and has since become a close colleague and leading advocate for bioidentical hormones. My original work on progesterone revealed the critical distinctions between bioidentical progesterone and synthetic versions of progesterone called progestins. Bioidentical progesterone shares the same chemical structure as progesterone produced by the human ovary and adrenal glands. However, progestins are chemically altered versions of progesterone. Progestins are endocrine-disrupting chemicals found in birth control pills, intrauterine devices (IUDs), and older versions of Hormone Replacement Therapy (HRT). As explained in this book, progestin-containing hormone formulas should be declined. Bioidentical hormone formulas are preferred. For many years, I have been fighting an uphill battle against pharmaceutical companies who have promoted synthetic progestins as equivalent to bioidentical progesterone. They are not equivalent, as clearly explained throughout this book.
Dr. Dach has been a staunch ally and has done much to advance the discourse on bioidentical hormone therapy for women of all ages. Over the years, Dr. Dach has written extensively in his monthly newsletter about bioidentical hormone topics, relying on my research and that of others. Much of this information has been condensed into this second edition of Bioidentical Hormones 101. As you turn these pages, you will find personal anecdotes, patient stories, and expert commentary that will resonate with your own experiences. Whether you are a healthcare practitioner, a patient, or simply curious about the subject, this book aims to empower you with knowledge and understanding. In the ever-evolving landscape of health and wellness, bioidentical hormones have emerged as a beacon of hope for many seeking balance and vitality in their lives. I invite you to join Dr. Jeffrey Dach on this enlightening journey as he explores the transformative potential of bioidentical hormones to reclaim our health, one chapter at a time.
Phyllis Bronson, PhD
https://phyllisbronsonphd.com/
Author of Moods, Emotions, and Aging: Hormones and the Mind-body Connection, Rowman Littlefield, New York, 2013.
Phyllis Bronson, Ph.D. holds a doctorate in biochemistry. Her ongoing research involves studying the biological impact of molecules on mood and emotion. Dr. Bronson works with women who have hormone-based mood disorders utilizing her original research on human identical hormones. She lives in Aspen, Colorado, and is President of Biochemical Consulting and The Biochemical Research Foundation.
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