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</ref>. Wiley argues that conventional hormone replacement therapy is ineffective and dangerous, advocating instead cyclical dosing of [[Bioidentical hormone replacement therapy|bioidential hormones]]. Appendix I of the book describes a specific dosing schedule for estrogen and progesterone.
</ref>. Wiley argues that conventional hormone replacement therapy is ineffective and dangerous, advocating instead cyclical dosing of [[Bioidentical hormone replacement therapy|bioidential hormones]]. Appendix I of the book describes a specific dosing schedule for estrogen and progesterone.


Subsequent to the book's publication, Wiley named her hormone regimen "The Wiley Protocol" and began selling branded Wiley Protocol hormones through pharmacies. These pharmacists must pay fees for registration and materials and agree to a contract stipulating compounding methods, materials, packaging, recommended pricing, and royalties to be paid to Wiley. In addition they must post a sign in their window declaring their participation in the Wiley program. In return Wiley offers to drive business to the pharmacist via links from her website, recommendations, and a mention in her upcoming book.
Subsequent to the book's publication, her hormone regimen became known as "The Wiley Protocol" Becauses compounding pharmacy is not uniform, Wiley created the Registered Pharmacy program to insure consistency and purity in the compounded products. These pharmacists must agree to a contract stipulating compounding methods, materials, packaging and recommended pricing. No royalties are paid to Wiley, but her company does supply the packaging materials with The Wiley Protocol trademark. Training for the pharmacies is handled by a third party.


Wiley offers educational cources for physician for which they receive CME (Continuing Medication Education) credits essential for maintaining their licenses to practice.
Wiley offers free hormones to women who refer a pharmacy for registration and also offers a training and certification program for physicians.


[[Suzanne Somers]] advocates the Wiley Protocol and describes her experience with it in her book ''Ageless: The Naked Truth About Bioidentical Hormones''<ref>{{cite book
[[Suzanne Somers]] advocates the Wiley Protocol and describes her experience with it in her book ''Ageless: The Naked Truth About Bioidentical Hormones''<ref>{{cite book
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| isbn = 0-307-23724-9 }}</ref>.
| isbn = 0-307-23724-9 }}</ref>.


==Credentials==
Wiley has claimed on her website and in speaking engagements that she earned a B.A. in anthropology from [[Webster University]] in 1975. On November 27, 2006, [[Newsweek]] reported that Webster has no record of this degree<ref>{{cite web
| last = Wingert
| first = Pat
| title = Health Gurus: Questionable Claims
| date = November 11, 2006
| url = http://www.msnbc.msn.com/id/15791227/site/newsweek/
}}
</ref>. Wiley's bio page was then changed to "Pending B.A. in Anthropology, Webster University, 1975" and then again to "Attended the B.A. Program in Anthropology, Webster University, 1970-1975". [[ABC News]] reported on February 16, 2007, that, according to Webster, she received only a blank diploma<ref>{{ cite web
| last = Scherr
| first = Lynn
| authorlink = Lynn Scherr
| coauthors = Glenn Ruppel
| title = Suzanne Somers: Super Saleswoman - Has Somers Found the Fountain of Youth?
| date = February 16, 2007
| url = http://abcnews.go.com/2020/story?id=2874767
}}</ref>.


Wiley is listed as co-author of three scientific journal articles along with Dr. Bent Formby, spanning a four-year period<ref>{{cite journal
Wiley is listed as co-author of three scientific journal articles along with Dr. Bent Formby, spanning a four-year period<ref>{{cite journal
Line 92: Line 75:
| pages = 167-76
| pages = 167-76
| id = PMID 11339835 }}
| id = PMID 11339835 }}
</ref>. Formby reportedly described his appointment of Wiley as a guest investigator at the [http://www.sansum.org/ Sansum Medical Research Institute] for 3 months as a "favor" and that he believed he had been "used" in making this appointment<ref>{{cite web
| first = Deborah
| last = Vanderstadt
| title = The Truth About T.S. Wiley's Credentials
| date = November 19, 2006
| url = http://www.wileywatch.org/ts_wileys_credentials
| accessdate = 2007-04-15 }}
</ref>. Nonetheless, Formby is also the co-author of ''Lights Out: Sleep, Sugar and Survival'', so he should have had extensive exposure to her level of scientific understanding.


==Controversy==
==Controversy==
On October 11, 2006, [[Erika Schwartz]], [[Diana Schwarzbein]], and five other MDs issued a public letter to Suzanne Somers and her publisher, [[Crown Publishing Group|Crown]], criticizing Somers' endorsement of Wiley's protocol. In the letter they alleged that the protocol is "scientifically unproven and dangerous" and that Wiley has no medical or clinical qualifications<ref>{{cite web | last = Schwartz | first = Erika | coauthors = Schwarzbein, D. et. al. | title = Letter to Suzanne Somers | date = October 11, 2006 | url = http://drerika.typepad.com/notepad/2006/10/letter_to_suzan.html}}</ref>. Wiley responded by claiming that credentials are not significant, that "I don't need a license to think", and that the doctors who signed the letter have themselves weak credentials in hormone replacement therapy.
On October 11, 2006, [[Erika Schwartz]], [[Diana Schwarzbein]], and five other MDs issued a public letter to Suzanne Somers and her publisher, [[Crown Publishing Group|Crown]], criticizing Somers' endorsement of Wiley's protocol. In the letter they alleged that the protocol is "scientifically unproven and dangerous" and that Wiley has no medical or clinical qualifications<ref>{{cite web | last = Schwartz | first = Erika | coauthors = Schwarzbein, D. et. al. | title = Letter to Suzanne Somers | date = October 11, 2006 | url = http://drerika.typepad.com/notepad/2006/10/letter_to_suzan.html}}</ref>. The doctors who signed the letter have themselves weak credentials in hormone replacement therapy, some of whom actually were under probation or suspension of their medical licenses at the time. The motivation for the letter was partially to grab some publicity, as it turns out Schwartz was actually prescribing the Wiley Protocol at the time.


A number of women have reported adverse effects from the Wiley Protocol, including hair loss, brain fog, fatigue, weight gain, and depression<ref>{{ cite web | title = Women's Wiley Protocol Stories
A number of women have reported adverse effects from the Wiley Protocol, including hair loss, brain fog, fatigue, weight gain, and depression. Wiley insists that the protocol is effective and alleges that these women were noncompliant, that they had problems before starting the protocol, and that the product was faulty due to pharmacy incompetence. Wiley has repeate4dly, and publicly, asked these women and/or their doctors to come forward with actual evidence, but none have done so.
| url = http://rhythmicliving.org/rhythmicliving/Stories.html}}</ref>. Wiley insists that the protocol is effective and alleges that these women were noncompliant, that they had problems before starting the protocol, and that the product was faulty due to pharmacy incompetence.



==External link==
* [http://www.wileywatch.org/ Wileywatch.org], a website critical of T. S. Wiley and BHRT

==References==
<references />

[[Category:Endocrinology]]

Revision as of 22:08, 20 April 2007

T.S. Wiley is the author of Lights Out: Sleep, Sugar and Survival[1], and Sex, Lies and Menopause[2]. She writes about women's health, particularly sleep and hormonal issues and hormone replacement therapy.

Writings and beliefs

Wiley's main thesis in Lights Out is that light is a physiological trigger that controls dopamine and hormones like cortisol. Wiley posits that with the extension of the natural day through artificial lighting, rest at the hormonal levels is rarely adequate for optimum biological needs of the body. In her view, this results in both fatigue and unnatural appetite, which leads to weight gain, exhaustion and disease.

Wiley argues that the body's responses are cyclical, reflecting the seasons of the year, and that the body's needs vary seasonally. According to Wiley, during the winter months the body needs more sleep, and carbohydrates should be restricted as they would have been naturally during hunter-gatherer times.

In her follow-up book, Sex, Lies and Menopause, Wiley argues that imbalances in hormones like estrogen, progesterone, insulin, cortisol, and prolactin, among others, are the root cause of age-related diseases, including cancer, heart disease, diabetes, stroke, and Alzheimer's. These imbalances, Wiley claims, can be attributed to deviations from humankind's natural state—artificial light, sleeping too much in the summer and not enough during winter, and eating fruit during winter months—and indirectly to women's liberation, insofar as it has lead to the increased use of contraceptives, deferral of child bearing into the 20s and 30s, less frequent childbirth, and reduced breastfeeding. The solution Wiley offers for women is to recreate the youthful levels and monthly cycles of estrogen and progesterone in the body, in effect fooling nature into thinking that the organism is still young and reproductive and should not be culled from the ecosystem. In this way age-related diseases may be prevented or cured, and perhaps even death may be averted indefinitely[3]. Wiley argues that conventional hormone replacement therapy is ineffective and dangerous, advocating instead cyclical dosing of bioidential hormones. Appendix I of the book describes a specific dosing schedule for estrogen and progesterone.

Subsequent to the book's publication, her hormone regimen became known as "The Wiley Protocol" Becauses compounding pharmacy is not uniform, Wiley created the Registered Pharmacy program to insure consistency and purity in the compounded products. These pharmacists must agree to a contract stipulating compounding methods, materials, packaging and recommended pricing. No royalties are paid to Wiley, but her company does supply the packaging materials with The Wiley Protocol trademark. Training for the pharmacies is handled by a third party.

Wiley offers educational cources for physician for which they receive CME (Continuing Medication Education) credits essential for maintaining their licenses to practice.

Suzanne Somers advocates the Wiley Protocol and describes her experience with it in her book Ageless: The Naked Truth About Bioidentical Hormones[4].


Wiley is listed as co-author of three scientific journal articles along with Dr. Bent Formby, spanning a four-year period[5] [6] Cite error: A <ref> tag is missing the closing </ref> (see the help page).. The doctors who signed the letter have themselves weak credentials in hormone replacement therapy, some of whom actually were under probation or suspension of their medical licenses at the time. The motivation for the letter was partially to grab some publicity, as it turns out Schwartz was actually prescribing the Wiley Protocol at the time.

A number of women have reported adverse effects from the Wiley Protocol, including hair loss, brain fog, fatigue, weight gain, and depression. Wiley insists that the protocol is effective and alleges that these women were noncompliant, that they had problems before starting the protocol, and that the product was faulty due to pharmacy incompetence. Wiley has repeate4dly, and publicly, asked these women and/or their doctors to come forward with actual evidence, but none have done so.

  1. ^ Wiley, T.S. (February 27, 2001). Lights Out: Sleep, Sugar, and Survival. Atria. ISBN 0671038680. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  2. ^ Wiley, T.S. (September 14, 2004). Sex, Lies, and Menopause: The Shocking Truth About Synthetic Hormones and the Benefits of Natural Alternatives. Harper Paperback imprint of HarperCollins. ISBN 0060542349. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  3. ^ Sex, Lies, and Menopause. pp. p. 64. {{cite book}}: |pages= has extra text (help)
  4. ^ Somers, Suzanne (2006). Ageless: The Naked Truth About Bioidentical Hormones. Crown Publishing Group. ISBN 0-307-23724-9.
  5. ^ Formby, Bent (1998). "Progesterone inhibits growth and induces apoptosis in breast cancer cells: inverse effects on Bcl-2 and p53". Ann Clin Lab Sci. 28 (6): 360–9. PMID 9846203. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  6. ^ Formby, Bent (1999). "Bcl-2, survivin and variant CD44 v7-v10 are downregulated and p53 is upregulated in breast cancer cells by progesterone: inhibition of cell growth and induction of apoptosis". Mol Cell Biochem. 202 (1–2): 53–61. PMID 10705995. {{cite journal}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)