Doctor Nice

Steven Hotze uses a warm, easygoing manner to peddle natural hormones to women, at thousands of dollars a pop. So who cares about credentials or documented results?

Friday, June 3, 8 a.m. Carol Costello is sitting in for Soledad O'Brien on CNN's American Morning. Today, there's hard-hitting stuff: Brooke Shields's postpartum depression.

Hotze's religious organization states that doctors shall 
not work on the Sabbath.
Al Cameron
Hotze's religious organization states that doctors shall not work on the Sabbath.
Al Cameron

Shields just professed in her book that she wasn't able to bond with her daughter in the weeks after her birth. When Tom Cruise publicly disapproved of her use of antidepressants, the story got hotter -- at least by American Morning standards. When you have actors of this caliber duking it out, you've got to call in a true medical expert to put a nation at ease. Someone who's trained in dealing with postpartum depression. Or, in CNN's case, you call in a Houston family practitioner in the midst of a whirlwind tour promoting his self-published book.

"Does Tom Cruise have a point about how women should treat postpartum depression?" Costello asks. "Dr. Steven Hotze is author of the book Hormones, Health and Happiness…Brooke Shields calls Tom Cruise's statements dangerous. What do you think?"

Hotze displays to the nation the slow-talking, warm-voiced, easygoing manner that thousands of patients from across the country pay thousands of dollars a pop to experience. At 55, Hotze is a nearly bald paternal figure blessed with down-home charm. In his slight, soothing drawl, he says that women experiencing PPD should seek natural progesterone replacement therapy. No one asks what his credentials are. His expertise is cited solely by the book, which he paid an Austin vanity press to publish and distribute.

"My daughter is getting ready to have a baby," he explains. "And she's going to take her progesterone to the hospital and take it as soon as she has her baby."

"Really?" asks an incredulous Costello. "Even though she may show no sign of postpartum depression?"

"Every woman has a dramatic drop in progesterone," Hotze says. "And that helps calm the water so they don't have those…postpartum blues."

"Thank you, doctor, for clarifying things for us," Costello says.

If CNN had allotted more time for Hotze, he might have had time to talk about the Hotze Health and Wellness centers in Katy and Houston. He might have had time to explain why his unconventional approaches to a variety of disorders are superior to mainstream medicine.

Costello could have asked why one of the country's leading proponents of "bioidentical" hormone replacement claims to be a board-certified ear, nose and throat doctor when no records of certification exist. She could have asked why leading experts in women's health issues say Hotze's methods are not supported by science and are potentially harmful. She could have asked why Steven Hotze runs an expensive one-stop shop for thyroid disorder, hormone replacement, yeast infections and allergies, when no medical records show Hotze has training in any of them.

Finally, she could have asked why Hotze tells his patients it's their fault if they don't get better.


Steven Hotze did not consent to an interview for this story, and it's easy to understand why. As a Christian fundamentalist who espouses antigay rhetoric, he's received his share of criticism. Hotze first popped up on the radar in 1982, when he supported a proposed Austin ordinance that would have made it legal for homosexuals to be denied housing based on their sexual orientation. Hotze's organization, Austin Citizens for Decency, proposed the measure to see if Austinites wanted to afford "special privileges to sodomites."

Because homosexual activity was illegal at the time, Hotze told the Associated Press, the groups he was fighting were "like thieves or murderers trying to gain political power," adding, "The public ought to be outraged."

Unfortunately for Hotze, the measure was defeated. But Hotze was not deterred. Three years later, he brought his fight to Houston. Here his group, Campaign for Houston, helped kill a proposal that would have made it illegal for the city to hire, fire or promote employees based on sexual orientation.

"There's one way we can avoid doing this again," The Washington Post quoted Hotze as saying. "And that's by electing godly, righteous people to office. We need a slate of candidates, from the mayor on down, so we can sleep well at night." Hotze's wish came true with the next Houston election, when his group assembled a sort of homophobe dream team called the Straight Slate -- eight City Council candidates who supported antigay legislation. Not one was elected.

Hotze was able to better articulate his views in 1986, when he was one of dozens of ministers, professionals and laypersons who signed the Coalition on Revival's Manifesto for the Christian Church. The coalition claims on its Web site to be a national network of religious leaders aligned in a mission "to help the Church rebuild civilization on the principles of the Bible so God's will may be done on earth as it is in heaven." They want all aspects of life -- government, science and education -- to adhere to fundamental biblical beliefs. These beliefs include the following:

• A wife may work outside the home only with her husband's consent

• "Biblical spanking" that results in "temporary or superficial bruises or welts" should not be considered a crime

• No doctor shall provide medical service on the Sabbath

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  • Noshejdjfk 12/04/2011 5:02:00 AM

    What an ignorant article. Why consult the 'experts' on Armour thyroid? Why not talk to actual thyroid patients who have suffered for years with depression, fibromyalgia, anxiety, diabetes, etc etc etc due to the debilitating consequences of being on sub-par Synthroid. It's terrible stuff, does nothing for anyone but normalize blood tests. Desiccated thyroid is far superior; feel free to educate yourself by talking to those of us who suffer from hypothyroidism before patting yourself on the back for your ridiculous observations. I dont know who this guy is, but he's right about at least one thing and that is the superiority of desicated thyroid over synthetics. You should be ashamed of yourself for writing such ignorant words.

  • Ruby28x 07/16/2011 5:46:00 AM

    We just looked him up in the Texas medical board directory and he is not board certified! He also had no hospital privileges. So I think I look for someone who is. http://www.tmb.state.tx.us/professionals/other/institutions/lcvp.php http://reg.tmb.state.tx.us/OnLineVerif/Phys_ReportVerif.asp?ID_NUM=56148&Type=LP&LicensePermit=E6426

  • Alison Garwick 07/16/2011 2:21:00 AM

    Although my husband had amazingly positive results back in 2000 when he went to Hotze, he just got out of the intensive care unit due to "too much thyroid." We have since found out that two other relatives and one in-law who have used Dr. Hotze's thyroid, have all ended up with the same Atrial Fibrillation condition that my husband experienced, which landed him in the emergency room recently. We were never informed of the danger too much thyroid could cause, and although they tell you to check your pulse and cut back if your pulse is to high, they have never monitored either of us. I had also begun having the same symptoms of fluttering in my chest at night and chest pains a few months back, and quit taking their thyroid. All those symptoms stopped when I didn't refill my prescription. The only time we hear from their office is when they want us to come in for our yearly appointment, or they want to know if they can refill any of your prescriptions. I am convinced they need to make an adjustment with how they care for their patients and do business. Handing out thyroid like candy without close monitoring is obviously affecting many people, if it affected as many people in our one family as it did.

  • 06/30/2011 10:58:00 AM

    Magnesium is one of those super-safe minerals that you can take without fear of build up or side effects. There are people who shouldn't take magnesium - those with bowel blockage, heart block, on dialysis, or myasthenia gravis.

  • 01/05/2011 12:59:00 PM

    I was diagnosed with hypo last year. Before i was diagnosed, i was a happy, outgoing, energetic person, who loved life. Since then i suffered from debilitating depression.I was never like this until i started to have thyroid issues.One of my friends recommended natural porcine thyroid 5 months ago. I am glad to have positive results. Now I can play basketball together with my son!

  • Bill 07/13/2010 6:07:00 PM

    I do not know whether Dr Hotze is a charlatan as you argue or if this was just a "hit piece" because you dislike his politics but I have a few thoughts on this article. I have personally met a woman who was treated by Dr Hotze's organization (HWC). She was extremely satisfied with the results. There have been no complaints against HWC with the Better Business Bureau for the last three years. Now to a couple of quotes from your article: Quote 1: "For one thing, when you give this [Armour Thyroid], you're giving all the other things that sort of come up with ground-up pig thyroid, and you don't necessarily want those," says Dr. Susan Kirk of the University of Virginia Medical Center in Charlottesville. Dr Kirk doesn't go on to say if the "other things" are harmful or if they are just unnecessary to the working of the treatment. From what I have read, Synthroid is the product that has occasionally had problems with quality and potency, not Armour. Quote 2: Tannert says hucksters play with people's health by distracting them from treatment that might actually work. "Who is being affected through omission?" she asks. "That's really one of the big problems with a lot of these fraudulent products, is that people want to take care of their own treatment, their own therapy, so they don't seek, you know, the truly effective stuff…How can you measure the harm because somebody postponed seeking chemotherapy for six months? How do you measure that?" 1. HWC doesn't treat cancer so the "postponed..chemotherapy" thing is a red herring. 2. What are these "treatment[s] that might actually work"? Statin drugs that may actually reduce cholesterol and may actually reduce heart attacks but that do not lower overall mortality and come with a whole host of extremely dangerous side effects? Cholestyramine, I believe was the drug, which was hailed as a great success because it lowered cholesterol and heart attacks but in reality raised overall mortality through accidents and suicide. Angioplasties and bypasses that re-occlude in just a few months. Eat margarine, not butter. How'd that recommendation "actually work"? The bland "sippy" diet for gastric ulcers. Protein restricted diet for preeclampsia in pregnancy. Doctors taking over birthing from midwives and killing thousands of women with infections spread by their filthy hands. The JAMA editorial in the 1920's ridiculing the use of the newly invented EKG machine in Germany. The antidepressants that have warning labels about depression worsening and increased suicide risk. The antidepressants that are to be added to previously given antidepressants that didn't give the desired results (known as polypharma?). The refusal to recognize and treat diabetes until blood sugars have been so high for so long that patients are already suffering from diabetic damage to critical body systems. That "actually works", doesn't it? The one I really love - Dr Livingstone, the famous missionary/explorer, had his uvula surgically removed to cure his chronic sore throat so he'd be healthy when he went to Africa. Couldn't his surgeon see that there were millions of perfectly healthy individuals walking around with their uvulas intact? Bleeding? Mercury for syphilis? If one really were a student of the history of medicine, especially mainstream quackery, he could go on and on. One of the things your article subliminally condemns is the idea that a doctor cannot treat people in light of his own clinical experience and observations. He is bound only to treat according to some ideal, ethereal, standard of double blind, randomized studies that only Big Pharma and medical equipment companies have the cash to conduct. If you ever get the chance to see Moliere's play The Imaginary Invalid. Please do so. In a lot of respects, it still holds truth for today's medical establishment. One last thing. In my view quoting QuackWatch against alternative medical treatments is like going to Amnesty International to find out "how bad" the legal system is in the US.

  • eye doctors austin 06/29/2010 10:42:00 PM

    This is an interesting article. Hormone therapy has risks that need to be discussed up front. You may want to read more about eye doctors austin.

  • Gayle 06/22/2010 6:56:00 PM

    It seems to me that there are no complaints out there regarding Dr. Hotze or his wellness center from patients.....only from those who stand not to gain because of him. It all seems very political and not about the patient themselves. Sad really. We all just want to live the best life possible and are searching for that. The spreading of lies, in the end, helps no one. I read something that said in a very negative tone...Friendliness, Flowers, Fortune. I've been to traditional doctors and believe me...I walked away spending as much, if not more than at Hotze. Look back and you'll agree. My guess is if Dr. Hotze were not legit, it would have back fired on him long before now. Don't discount his beliefs/practice until you check it out a little further.

  • vicki waldron 05/21/2010 12:21:00 AM

    I was in the most horrible shape ever going through hormones problems and menopause!!! Did I say horrible? I heard about Dr Hotze and immediately bought his book and then scheduled an appt. to go to Houston and see him. Whitin 2 weeks of getting on bio-indentical my whole world changed!! I am "me" again. I had night sweats, hot flashes, mood swings, insomnia etc...... I have NONE of those now. I have sent several women to him and they all have similar stories. I talk about him to woman all the time. You would think I get kick backs! When something so wonderful happens to you, you just gotta share. I thank God for Dr Hotze!

  • Angela 11/15/2009 3:38:00 AM

    He is being BLASTED by those who stand to LOSE money if people are actually HEALED!!! Do you suffer from thyroid and adrenal issues? Have you been bed-ridden from it and told there was NOTHING wrong with you...by the REAL quacks out there!! Who stare at lab tests like robots and tell you you're fine? I wouldn't wish what I've experienced on my worst enemy. How about meeting and speaking to some REAL people who've gone through this hell...can you do that?

  • Rhonda 11/09/2009 11:01:00 PM

    Hi ~~ I've been so blessed to find the help I need WITHOUT synthetic hormones. I'm taking natural dessicated thyroid, low-dose cortisol, progesterone, and DHEA...plus lithate which helps with dopamine and seratonin levels (keeps you happy) I live in Rhode Island and could NOT find one doctor here to take me seriously. Had to go to Katy, Texas to the Hotze clinic to find the most dedicated bunch of people I've ever met in my life...just got back last week. No more migraines, eye pain, insomnia or anxiety. I still have to get back my usual energy levels and need more time to heal, etc...but the difference is night and day. Not sure where you live, but if you can get to a doctor who prescribes "bio-identical hormones" you will be SO much better off. The body cannot be fooled..synthetic hormones cannot help you long term and WILL continue to have you gaining weight & suffering symptoms. Ever since I got back from Texas, I've been wishing and praying that I could begin helping other people with this problem. My thyroid was actually producing anti-bodies (Hashimoto's) and I was STILL told there was nothing wrong with me and all they wanted to do was prescribe synthetic hormone. (which I had already researched and saw that it was harmful) When a person has a thyroid issue, they almost always have other issues in addition, such as adrenal fatigue (causes tiredness), thus the need for low dose cortisol. Also, the migraines, head pressure etc, is caused by low progesterone levels. Progesterone helps your body with inflammation. If you don't have enough progesterone, you'll always have headaches or be on the verge of one. Also, many times the DHEA is low...DHEA keeps up young and happy...we really need optimal levels of it. I really hope you can find a a doctor who will give you proper treatment. If not, you can go to Hotze Wellness Center In Katy Texas. It cost me about 2100.00...they accepted all the tests I had already done, so I saved a bunch there.... And about 100.00 for prescriptions and another 171.00 for supplements. I know, you might be gasping...but I swear it was worth every penny. They saved my life and will sing their praises until the day I die. Lithate (not a brand name- so don't delete me) is something you can get online right now...take two 20mg pills per day...and make sure it's 20mg, not 5mg. You can also get an over-the-counter supplement to help increase cortisol levels...google it ..... or email me! Okay...that's enough out of me. I'm AM so grateful to be well enough to even be able to type this. I was bed-ridden with migraines almost all of August and September. It is my prayer that all I've gone through can now help you. Sincerely, Rhonda Please write anytime: Rhonda@gmail.com

  • K. Cooper 05/30/2009 7:25:00 AM

    Where are the patients who have had negative experiences with Dr. Hotze. I am a new patient and after a month I'm a new woman! I keep looking for negative feedback and it's not out there. Only people who have NEVER been to him, or endocrinologist who are afraid of him have I found complaining. I was already under the care of a renowned endocrinologist and felt crappy. He even wrote a book about how great he was. After 6 years I bailed and went to Hotze. I didn't change my thyroid meds right away but started on the bioidenticals and vitamin regimen and I'm SO HAPPY! Almost manic I feel so great. Again.....where are the people who were harmed by him? Shut up if you haven't any experience! Let's hear from the ones that do.

  • B Harris 05/29/2009 4:31:00 PM

    It�s astounding that this person (don�t even want to refer to him as a doctor) gets away with so much. As someone who deals with real thyroid disease, just hearing what this guy has to say on that subject alone is utterly disturbing. For one thing, he uselessly hooks it to just about every other condition out there. More importantly, he�s got a clip on the You Tube site stating that his practice recommends Armour Thyroid because it, and I quote, �...really helps a woman jump-start her metabolism.� Since neither Armour Thyroid or any other thyroid medication is indicated for the purpose of weight and/or metabolism issues, isn�t recommending so a violation of federal law? Oh, he just has such a stay-completely-away-from-this-person aura about him. And I recommend everyone do just that. Obviously, this article is dated. But observing how proliferated this guy seems to be makes the information contained in it seem completely current. Thank you for this informative and humorous piece.

  • Kristi 01/04/2009 2:58:00 AM

    Women have the right to make the decision what works best for them, the traditional medical approach or the natural approach. If Dr. Hotze is so "terrible" and "unqualified" then why have several women succeeded using his program?

  • Carolyn Robertson 05/10/2008 8:26:00 PM

    I bought Hotze's book at a used book sale and read it over in one night. Many things were contradictory and just didn't ring true compared to other articles I'd read about female hormones and hypotyroidism. His checklist tests were even more puzzling. I tested to be very likely to have both low and high estrogen problems. And he doesn't mention anything about TSH numbers really--which is what my doctors have always paid attension to. Alot of fluff and suppositions in his book. Lots of testimonial hype. Thanks so very much for your wonderful expose which I will share with other women.

 

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