Скачать или смотреть Solve this case with me: Estrogen, alcohol, and breast cancer

The mystery:
54-year-old woman stable on HRT for years with normal estradiol of 67.
The concerning labs:
→ Routine 6-month follow-up: estradiol jumps to 236
→ Thought it was lab error, repeated: 416
→ Mildly elevated liver enzymes
The investigation:
Patient's husband is a mixologist - they were having 2-3 specialty cocktails every night.
The intervention:
→ Stopped all alcohol
→ Added cancer screening labs (prolactin, hormonal cancer markers)
→ Pelvic/vaginal ultrasound
→ Repeated labs in 4 weeks
The results:
→ Liver enzymes normalized
→ Estradiol normalized
→ Cancer screenings clear
The mechanism:
Alcohol impairs estrogen detoxification, particularly toxic estrogens. This is exactly how alcohol increases breast cancer risk - by preventing proper estrogen clearance.
The lesson:
Estrogen and alcohol don't play well together. For women on HRT (or any woman concerned about breast cancer risk), alcohol should be very moderate and reserved for special occasions only.
Case solved:
Daily cocktails were sabotaging her hormone balance and creating a cancer risk environment.
#estrogen #alcohol #breastcancer #HRT #estradiol #liverenzymes #detoxification #womenshealth #hormonereplacement #casesolve
This information is not intended to diagnose, treat, cure, or prevent any disease and should not be used as a substitute for professional medical advice. Always consult with a qualified healthcare provider before making any health decisions.