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Tropical Storm Fay Winding Down This product covers Southeast New York, Northeast New Jersey, and Southern Connecticut **Tropical Storm Fay Winding Down** NEW INFORMATION --------------- * CHANGES TO WATCHES AND WARNINGS: - Tropical Storm Warning cancelled for New York City boroughs, Eastern Essex, Eastern Union and Hudson Counties. * CURRENT WATCHES AND WARNINGS: - A Tropical Storm Warning is in effect for Northeastern Suffolk, Northern Nassau, Northwestern Suffolk, Southeastern Suffolk, Southern Fairfield, Southern Middlesex, Southern Nassau, Southern New Haven, Southern New London, Southern Westchester, and Southwestern Suffolk * STORM INFORMATION: - About 20 miles northwest of New York City NY or about 120 miles west of Montauk Point NY - 41.0N 74.2W - Storm Intensity 40 mph - Movement North or 5 degrees at 17 mph SITUATION OVERVIEW ------------------ Tropical Storm Fay, located west of NYC, will continue to weaken as it lifts north of the Tri-state overnight. The remaining threats are for gusty winds tonight and dangerous surf conditions into Saturday. POTENTIAL IMPACTS ----------------- * OTHER COASTAL HAZARDS: Life-threatening rip currents are expected for all people entering the surf zone. Beach flooding and localized dune erosion along the Atlantic Ocean beachfront are possible during the times of high tide tonight through Saturday. Localized minor flooding, inundation of 1 ft or less, along vulnerable coastal and shoreline locales of the Great South Bay of Long Island and Jamaica Bay, Lower NY/NJ Harbor, Coastal CT, Coastal Westchester, and Gardiners Bay during times of high tide tonight. * WIND: Potential impacts from the main wind event are now unfolding across. Remain well sheltered from hazardous wind having limited impacts. If realized, these impacts include: - Unsecured lightweight objects blown about. - A few large tree limbs broken off. A few trees shallow rooted trees uprooted. Some roadway signs blown over. - A few roads impassable from debris, particularly within urban or heavily wooded places. Hazardous driving conditions on bridges and other elevated roadways. - Scattered power and communications outages. Elsewhere across Southeast New York, Northeast New Jersey, and Southern Connecticut, little to no impact is anticipated.

Synthetic Hormone Replacement Therapy : Risks vs. Benefits and The Advantages of Bio-Identical HRT .

LongIsland.com

Recent upset in the news about all Hormonal Replacement Therapy (HRT) needs to be laid to rest. The Women's Health Initiative (WHI) study was intended to recognize the potential risks and benefits of HRT. A ...

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Recent upset in the news about all Hormonal Replacement Therapy (HRT) needs to be laid to rest. The Women's Health Initiative (WHI) study was intended to recognize the potential risks and benefits of HRT. A part of the clinical trial was stopped early after results showed that a synthetic hormone combination increased the women's risks of developing invasive breast cancer, heart disease, stroke, and blood clots. The data and safety monitoring board concluded that the risks of using a synthetic estrogen - synthetic progestin drug combination outweighed the benefits.

It is worthy of note that the scientist considered this finding to be "news". In reality, many studies have previously reported that the risk of breast cancer is increased by long-term use of conjugated equine estrogens, and further increases when the synthetic progestin (medroxyprogesterone acetate) is added to the regimen. This is a common regimen still prescribed by most physicians.

At

S&P;

, we compound customized Bio-identical hormones including estriol, estrone, estradiol, progesterone, and testosterone, using the precise dose of the specific bio-identical hormones needed by each woman in the most appropriate dosage form (oral capsules, topical creams or solution, highly absorbable gels and vaginal cream) for that individual. This custom made prescription allows the physician to make best use of the therapeutic results that can be attained through the use of Bio-identical hormones, while minimizing the possibility for adverse effects.

In the WHI study, Bio-identical hormones were NOT used. Bio-identical hormones are structurally identical to hormones that are naturally produced by the human body, and intended to replace these hormones when their levels drop either as a result of aging, disease, or surgery. Studies have revealed that bio-identical hormones can successfully control symptoms of menopause, including hot flashes, vaginal dryness, insomnia, and frequent urinary tract infections. A women's experiences and response of HRT differ very much depending on whether the hormones are synthetic or bio-identical, the dose, dosage form, and route of administration. For many years now, physicians have been prescribing these bio-identical HRT for women who have experienced problems or have other concerns about the use of synthetic hormones.

PROGESTERONE



Synthetic progestins (also called progestogens ) are derivatives of bio-identical progesterone, and have been developed because they are longer- lasting, more potent, and basically the drug manufacturers can patent them. Although these versions are clearly helpful in preventing estrogen-induced overgrowth of the uterine lining and/or endometrial cancer, their other effects are much more unpleasant. Medroxyprogesterone can cancel out the valuable effects of estrogen on lipids, atherosclerosis and vascular reactivity. Natural progesterone, alternatively, maintains all the benefits of estrogen on cholesterol without any of the ill effects linked with synthetic progestins.

Medroxyprogesterone has shown to reduce the dilatating effects of estrogens on coronary arteries, increase the progression of atherosclerosis, increase the clot-forming potential of atherosclerotic plaques, promotes insulin resistance and consequent hyperglycemia (high blood sugar), and can significantly lower high density lipoproteins (HDL, "good cholesterol"), thereby decreasing the benefits of estrogen therapy. Studies have concluded that synthetic medroxyprogesterone, in contrast to bio-identical progesterone, increases the risk of coronary vasospasms, a narrowing of major blood vessels surrounding the heart which could lead to a heart attack. However, bio-identical progesterone plus estradiol protected against vasospasms.

Besides the prevention of endometrial cancer in women who are receiving estrogen replacement, Progesterone can build bone density, promote glucose utilization, and improve sleep patterns. Mayo Clinic researchers surveyed 176 women taking natural micronized progesterone who had previously taken synthetic progestins. After one to six months, the women reported an overall 34% increase in satisfaction on micronized progesterone compared to their previous HRT, reporting these improvements: 50% in hot flashes, 42% in depression, and 47% in anxiety. Micronized progesterone was also more effective in controlling breakthrough bleeding.

LIVING WITHOUT HORMONAL REPLACEMENT.

Without HRT, many women (and consequently, their families) feel totally miserable, exhausted, and unable to cope and function to their fullest. Yet, only 20% of women continue to take synthetic hormones after two years, mainly due to the development of side effects. The quality of many of our client's lives has been significantly improved through the use of bio-identical HRT.

The numbers and fears continue, yet the absolute risk of cancer attributable to HRT remains low, and the risk of some forms of cancer is reduced. For example, an analysis of various studies involving thousands of women concluded that the risk of developing colorectal cancer is reduced by 34% in current estrogen users.

Decisions about whether to stop, start, or change your HRT should made on a personal basis only after consulting your doctor and a knowledgeable pharmacist. Our goal at S&P; is to work together with physician and patient to solve medication problems and optimize each patient's health and welfare.
As studies and the media continue to provide conflicting and confusing information, S&P; is here to help clarify the issues that surround HRT. Your questions and comments are welcome.