top of page

The First Four Hormone Steps

Updated: Nov 11, 2022

I converse with dozens of menopausal women every week. Nearly every one of them complains of the same symptoms.

  • Weight Gain

  • Weight Loss Resistance (the inability to lose weight no matter what she does)

  • Sleeping Disorders (She sleeps five hours or less)

  • Hormonal Induced Anxiety (She worries all the time)

  • Hormonal Induced Depression (Low days where she feels emotional)

  • Loss of Interest in Being Intimate

  • Loss of Motivation to be Social

That is where they are.

When I ask them where they want to go, they nearly all say the same thing. They want to be their "old" self. They want to feel "normal."

  • They want to feel comfortable in their clothes

  • They want to sleep better so they do not feel exhausted

  • They want to quit worrying about everything

  • They want to not feel low, emotional, and moody.

  • They want to feel comfortable enough with their bodies to be intimate with their partners.

  • They want to be fun again, be happy, and leave their self-induced isolation.

I began this blog to teach menopausal women how to traverse the gap between where they are to where they want to go.

After forty-two years of helping over ten thousand women and men in their optimize the way they feel and look, I have discovered that to be optimal, they will need to intertwine four strands of tools into a rope, a rope I call The HOPE Rope.

The four strands are:

  1. Hormones

  2. Organics

  3. Purification

  4. Enlightenment

Today I want to review the first four tools I have taught within this blog that we use to optimize HORMONES.


The first tool I taught was what we in medicine call a subjective test. You can think of the subjective test as a list of complaints that you are experiencing.

Before I move on, remember there are three phases to menopause. In Phase One of HOPE, we concentrate on the first condition menopausal women experience: ESTROGEN DOMINANCE.

We will eventually arrive to phase two where we deal with menopausal thyroid dysfunction.

If you haven't taken the test, or if you haven't taken the subjective test in a while, download the test below and take it,



If you flunked this subjective test, then it is imperative to discover what your progesterone to estradiol ratio is.

The P/E Ratio is in my opinion, the most important number a woman over fifty can know.

In my experience, I have found that a woman's life after fifty is determined by how well her progesterone and estradiol hormones are dancing.

Science says that 200 moles of progesterone to 1 mole of estradiol is the ideal P/E Ratio. In my experience, I have found that this is the minimum ratio. My superstars, (women who are at their bottom weight and have maintained that weight for years, are bubbling with energy, and have a happy life) have P/E Ratios of approximately 500 moles of progesterone to 1 mole of estradiol. To better understand this biochemical ratio, think of moles as molecules.

So, if you flunked The Subjective Estrogen Dominance Self Test above, please, order the Salivary Assay Estrogen Dominance Test Kit. You can order this test from Amazon or from a lab directly. There are a few states that do not let you order a test kit from out of state. I do not know the reason why they would do that but if you live in one of those states call the lab company to see if there is a solution. There seem to be solutions but each lab company has different ones.

When it comes to Progesterone to Estradiol Ratios, the best test to do is a salivary Assay. Your insurance company will not pay for it. Your doctor will not order it. Please spend the money to discover your P/E Ratio. The test kit is inexpensive and the mystery of how you are feeling once you are in menopause will be revealed.

The test is easy to do. You will spit in a tube and send the tube to the lab and they will send you your progesterone to estradiol ratio. Once you receive the results of the test, schedule a review of your labwork with me. I do not charge for this consultation. Click here to schedule. ESTROGEN DOMINANT SALIVARY ASSAY TEST KIT



DIM is an estrogen router. Hormones, like food, are digested into different compounds. These compounds are called metabolites. Some metabolites cause bad things like cancer and obesity. Others do not. DIM routes your estrogen down the safe path.

The metabolite that DIM helps produce is similar to the original estrogen molecule. It will help with preventing heart disease, in building strong bones, and it will keep your skin and hair looking young and supple.

I have my wife take 200 mg of DIM with dinner and I take 400 mg.

Click the link below to investigate the DIM product Vicky and I currently use. It has an extra ingredient to assist with absorption.

(Always seek advice from your healthcare practitioner before using any supplement)


It is my opinion, the "Who-Saids) misnamed Estrogen Dominance. I believe Estrogen Dominance should have been called Progesterone Deficiency.

Recall in a woman's typical 28-day cycle, estradiol increases, and increases until it hits its target on or about the 14th day. Once estradiol hits its mark, you ovulate. From the spot on the ovary where your egg is released, the ovary releases progesterone.

If you no longer ovulate, (menopause) your ovaries do not release progesterone. The lack of progesterone production is the primary cause of Estrogen Dominance.

Recall from previous classes, Progesterone is:

  • Indirectly Your Fat-Burning Hormone

  • Your Happy Hormone

  • Your Sleep Hormone

After Vicky's Estrogen Dominance Saliva Test indicated that she was moderately Estrogen Dominant, she began using low doses of progesterone cream. You should never use progesterone without first being diagnosed that you are Estrogen Dominant or that your progesterone is deficient. And always seek the counsel of your healthcare practitioner before taking any supplement.

You no longer need a prescription to purchase progesterone, And it is much more affordable over the counter than from a pharmacist. Here are the different progesterone creams that Vicky and our clients have used. If you would like to investigate the cream, click on the links provided and you will be taken to Amazon.

Emerita cream is my favorite. This cream has 20 milligrams of progesterone per 1/4 teaspoon. It is my favorite because I have never heard anyone complain about it. It is also paraben and fragrance-free. You will soon discover that this is favorable.

How To Apply Progesterone Creams Remember, do not use progesterone cream without first consulting your healthcare provider. Below is for information purposes only.

Vicky would rub the cream thoroughly where her chin touched her sternum when she flexed her head forward. All hormone creams must be used on thin skin and it is good practice to move your application to a different part of your body each month.

Progesterone will make your skin thicker, therefore, if you apply the cream at the same location each time, the thickening of your skin will make absorption an issue. Other locations that have thin skin are your inner arms, inner thighs, and ankles.

Postmenopause Application I had Vicky apply the cream for 25 days, then take three days off.

Pre-menopause Application If Vicky were still menstruating, she would use half a dose (⅛ teaspoon or one-half of a pump) of progesterone for 14 days of her cycle, then a full dose (¼ teaspoon or a complete pump) for the next 14 days of her cycle. Then take three days off.

Update: I recently heard of a unique way to apply hormone creams that makes total sense. Rub the cream on your ankles and cover your ankles with socks while you sleep so you don't inadvertently pass the cream to your loved ones.

Though Vicky cycled her cream and still does today, most of my menopausal clients like to use progesterone cream daily. The reason is that when they take a three-day break, they crash; meaning the benefits, like less anxiety, better sleep, and less depression, came back.

If you want to

  • Feel Happy Again,

  • Fit Comfortably in Your Clothes Again,

  • And Learn How to do it Quickly,

  • And Learn How to do it Easily

Schedule a FREE coaching session. In this session, I will give you all the tools you will need for your situation to lose weight and feel great while in menopause. Click the link below.

I will teach you EVERYTHING during the call that you will need to do to be slender, energetic, and happy in menopause. “Only put off until tomorrow what you are willing to die having left undone”--Pablo Picasso



This is our current client Sue, She wanted to lose 20 pounds for her child's wedding. SHE LOST OVER 40!

Here she is in the dress that she wore to the wedding. Doesn't she look simply marvelous?

She did it by balancing her hormones, eating the Protable Menu, optimizing her liver, and being coached daily by me.

If you are sick and tired of menopause and its symptoms, then schedule a FREE coaching session where I will custom-build a plan for you and your body.



Vicky and I attended a concert by Three Dog Night this week. Remember the song Joy To The World? Attending events like this help keep us young and makes our "Third Act" even more AWESOME!

And if you are ready to be the "YOU" of the future or the "YOU" before your hormones changed:



If you would like more information about our coaching program, visit our website

If you have a quick question, please don't email me... Text me @ 209-345-9799 © 2022 | Doc Mac Coaching Medical DisclaimerTestimonial Disclaimer None of the statements on this website have been evaluated by the FDA. Furthermore, none of the statements within this post should be construed as dispensing medical advice, making claims regarding the cure of diseases, nor can these products prevent disease. You should consult a licensed healthcare professional before starting any supplement, dietary, or exercise program, especially if you are pregnant or have any pre-existing injuries or medical conditions. The Food and Drug Administration has not evaluated these statements. These products are not intended to diagnose, treat, cure, or prevent diseases.

33 views0 comments

Recent Posts

See All


Rated 0 out of 5 stars.
No ratings yet

Add a rating
bottom of page