Priyabala Ramaiah, MD - Total Women's Care

Priyabala Ramaiah, MD - Total Women's Care A unique group of women providing compassionate cutting edge gynecological services with a strong c

Hello everyoneSo what is HRT and BIHRT?Continuing on about hormone replacement therapy… a hormone is something that is p...
05/22/2026

Hello everyone
So what is HRT and BIHRT?
Continuing on about hormone replacement therapy… a hormone is something that is produced in one body part and exerts its effects on another body part. It does this by binding onto specific receptors on the target organs. This is very much Akin to a key that is very specific for that lock. Once it binds to the lock, then very specific actions are initiated

Estrogen is not one particular compound, but it’s a general name given to compounds that can bind to estrogen receptors in our bodies.
The one estrogen that is produced in our body from the ovaries is estradiol, and it is the most potent of all the estrogens.
There are estrogen type compounds present in birth control pills as well that can combine to these receptors, but they are not estradiol.
In other words, they are also estrogens but they are not the bioidentical form of estrogen that is produced in our bodies. This is what is meant by bioidentical hormones. So Estradiol can be manufactured in a pharmacy by a pharmacist.
In other words, many different compounds can bind to estrogen receptors in our
body and initiate estrogenic effects. However, the effects can vary, depending upon how potent that binding is to those estrogen receptors for that particular compound.
The important point to remember is that just because the Pharmacist produces bioidentical hormones in the pharmacy does not make that estradiol any less harmful.
We shall explore these topics in greater detail in the near future…

Sending good vibes for a wonderful week ahead….
05/03/2026

Sending good vibes for a wonderful week ahead….

GMFor all you computer geeks out there…here is a life lesson that will resonate with you!And believe me, this needs to b...
04/30/2026

GM
For all you computer geeks out there…here is a life lesson that will resonate with you!

And believe me, this needs to be done periodically. It’s not a One and Done phenomenon. It needs to happen periodically

The transition years leading up to menopause can last up to 10 years and this is called the perimenopause. This is the p...
04/27/2026

The transition years leading up to menopause can last up to 10 years and this is called the perimenopause. This is the phase where ovarian hormone production becomes variable and unpredictable. Typically Progesterone is the one that has a greater decline than Estrogen until both hormone levels are very low.

The earliest symptoms are not hot flashes as one might expect or even menstrual irregularities. Up to 70% of perimenopausal symptoms can include neurocognitive symptoms. These may vary from lack of focus to brain fog to short-term memory loss, sleep, disturbances, anxiety, and even depression.
Hot flashes typically begin at night time awakening one from Sleep. Significant disturbances in REM Sleep as well as deep sleep are seen during this time further aggravating the neurocognitive complaints. Later on hot flashes can occur during the daytime as well often exacerbated by physical activity or stress. Eventually, hot flashes can occur without any triggering events. Another importanct symptom may be related to declining estrogen levels in the tissues of the bladder and the va**na. This may lead to frequency of urination, urgency of urination and Vulvo- va**nal discomfort or dryness with or without intimacy. It is also referred to as GSM or genito urinary syndrome of menopause.

The mean age of menopause in the US is 51.2 years of age, but the range can be anywhere from 45 to 55 years of age. In other words perimenopause may begin even in the late 30s.
It is therefore very important that we do not ignore these symptoms and seek medical attention early on.

In the medical community, Menopause is defined as the absence of periods for 12 months in a row. However, before this happens periods can change in one of two ways. Either periods come normally, but they last fewer days or are lighter or the periods may come normally, but they come further and further apart until there are no periods for 12 months in a row. The take home point is to note the pattern of the periods- not just the flow, but also the frequency to assess how it deviates from one’s own period pattern. Remember heavy periods or irregular random bleeding is never normal in either the Menopause or the perimenopause.

Good morning- good vibes for a wonderful week ahead!To all those who are getting packages in the mail, message me when y...
04/27/2026

Good morning- good vibes for a wonderful week ahead!
To all those who are getting packages in the mail, message me when you get your Ortho supplements so that I know you received them.
I will be posting another installment on perimenopause and menopause today.
The issue is a lot of these may be too long to show up on Instagram and so they may be available only on Facebook.
I always welcome your questions and comments and am excited to talk to you privately as well. I miss those interactions so much, and I am truly appalled at the misinformation out there even amongst medical caregivers.
So feel free to share these if you feel they are beneficial for your friends or family and of course, all your questions are welcome.
You may have heard me say this often: knowledge is power and is the light that dispels the darkness of ignorance!
‼️

I was talking to a beloved friend of mine about hormone replacement therapy, and I felt it was time to express my though...
04/13/2026

I was talking to a beloved friend of mine about hormone replacement therapy, and I felt it was time to express my thoughts about it
If you are in the transition years leading up to menopause or if you are within 10 years of menopause (defined as going 12 months without a period) then this post will benefit you
During my medical school and residency training, we were taught to offer HRT to every woman as that was the ethical thing to do to protect all women from heart disease, and osteoporosis. Everything came to a halt in 2000 when the Womens Health study came out. We were then told that HRT is a demon and that we were permanently harming a woman if we prescribed HRT.
A lot has changed since then, and the pendulum has swung to the middle where HRT is definitely something to consider if you are in the above mentioned category.
My humble request to all of you is that you deserve a thorough discussion with your GYN to conduct a risk benefit analysis and thus determine whether HRT is an option for you or not. There are many reputable sites on the Internet that can offer you this information so you can arm yourself with this knowledge before you have this discussion with your gynecologist.
You as the captain of your ship/body have the final decision on whether you want to start HRT or not.
Let me know if you want me to discuss this further in future posts. I know there is so much confusion regarding HRT.

04/11/2026

Concerning Social Security payments, my contributions were made for over 40 years on every salary I received. Those jobs may not have always been the work I wanted to be doing at the time, BUT I always had a job. The Social Security check is now (or soon will be) referred to as a "Federal Benefit Payment?" I'll be part of the one percent to forward this.

I am forwarding it because it touches a nerve in me, and I hope it will in you. Please keep passing it on until everyone in our country has read it. The government is now referring to our Social Security checks as a "Federal Benefit Payment." This isn't a benefit. It is our money paid out of our earned income! Not only did we all contribute to Social Security but our employers did too. It totaled 15% of our income before taxes.

If you averaged $30K per year over your working life, that's close to $180,000 invested in Social Security. If you calculate the future value of your monthly investment in social security ($375/month, including both you and your employers contributions) at a meager 1% interest rate compounded monthly, after 40 years of working you'd have more than $1.3+ million dollars saved! This is your personal investment. Upon retirement, if you took out only 3% per year, you'd receive $39,318 per year, or $3,277 per month.

That's almost three times more than today's average Social Security benefit of $1,230 per month, according to the Social Security Administration. (Google it – it’s a fact).

And your retirement fund would last more than 33 years (until you're 98 if you retire at age 65)! I can only imagine how much better most average-income people could live in retirement if our government had just invested our money in low-risk interest-earning accounts.

Instead, the folks in Washington pulled off a bigger "Ponzi scheme" than Bernie Madoff ever did. They took our money and used it elsewhere. They forgot (oh yes, they knew) that it was OUR money they were taking. They didn't have a referendum to ask us if we wanted to lend the money to them. And they didn't pay interest on the debt they assumed. And recently they've told us that the money won't support us for very much longer.

But is it our fault they misused our investments? And now, to add insult to injury, they're calling it a "benefit", as if we never worked to earn every penny of it.

Just because they borrowed the money doesn't mean that our investments were a charity!

Let's take a stand. We have earned our right to Social Security and Medicare. Demand that our legislators bring some sense into our government.

Find a way to keep Social Security and Medicare going for the sake of that 92% of our population who need it. Then call it what it is: Our Earned Retirement Income.

99% of people won't Cut and Paste this to their timelines. Will you?

Please, for the sake of our country, Copy & Paste. It's important. Then type Done!✅

Howdy 👋🏽Placing an order for ortho supplements…please let me know if any of you are running low and need anything.Hoping...
04/09/2026

Howdy 👋🏽
Placing an order for ortho supplements…please let me know if any of you are running low and need anything.
Hoping you are still benefiting and thriving!
😍

HelloAs modern medicine has helped practically eliminate infectious diseases and is making very good progress towards li...
04/07/2026

Hello
As modern medicine has helped practically eliminate infectious diseases and is making very good progress towards lifestyle modifying ailments like diabetes and cardiovascular disease, CANCER remains a harder issue to tackle.
While genetics plays a significant control in a lot of the cancers there is a lot we can do to build cancer-resisting habits, not just for today, but also for our future.
Let’s keep it simple:
Drinking smart - choosing water over sugary drinks and limiting the alcohol consumption. For women one serving of alcohol is considered a 4 ounce portion per day. High amounts can increase our risk for cancers of breast, food pipe mouth and throat.
Measure portions- healthy weight decreases the percentage of body fat, which can help decrease the risk of some female cancers. Limiting the intake of red meats and choosing plant foods over processed foods may help reduce the incidence of colon polyps and colon cancer. Incidentally, the incidence of colon cancer is rising in the younger population such that the current recommendations for colon cancer screening have been reduced from age 50 to age 45.
Get moving - 30 minutes a day of any physical activity is all you need to make a significant impact on your health and risk reduction for cancer.
And finally, my favorite- our emotional and mental well-being. Surrounding yourself by positivity and people that boost your spirits, and your mood is critical for all diseases, including cancer.
So think hard about what are the areas in your life that you can make a difference and do better. Small changes in the above can have major impacts long-term.
I am making a commitment to improving my physical activity on a daily basis.
Tell me what you are going to do to help yourself… because the more you know! ‼️

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1445 Harrison Avenue , NW, #302
Canton, OH
44708

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Tuesday 9am - 4:30pm
Wednesday 9am - 4:30pm
Thursday 9am - 4:30pm
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+13304529900

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