Archive for the ‘Hormone Balance’ Category

Am I going bald? Hair thinning is scary….

Thursday, September 8th, 2011

OMG! Am I going bald????

Hair loss is one of the most common complaints by women as they get older. I would say behind hot flashes and sleep disturbances, hair loss is a big symptom of perimenopausal/menopausal women. Besides older women, hair loss can be a concern of all ages of women. There are a few causes of hair loss and I will share a few of them with you all.

Cause 1—Iron deficiency anemia

CASE 1=A 34 year old female, chief complaint of hair loss. She had been evaluated by another doctor and was found to be anemic (iron deficiency). She was started on iron and retested after 8 weeks…she was still anemic. Her hair continued to fall out even on the iron. While we visited, I wondered to myself why she was anemic. Did she have heavy periods? No 

Bleeding hemorrhoids? No

Ulcers? Not aware of any

Rashes? Yes, some eczema and rash on front of shins 

Any bowel issues? Yes, bloating and diarrhea on occasion

We did a gluten sensitivity test/celiac work up and low and behold she was gluten intolerant. The exposure of gluten to her intestine had probably caused some inflammation and damage. The damage causes impaired iron absorption and hence chronic anemia that is not fixed by iron supplementation.

She avoided gluten for 3 months and we retested her to find no anemia and she reported no more hair loss! Success.

I have seen the above cause numerous times. Anyone with anemia and/or hypothyroidism (which also causes hair loss) should be evaluated for gluten intolerance.

Cause 2—Steroid Hormone Imbalance

Both low testosterone and low estrogen can cause hair thinning or balding. Simple testing can be done to see levels and correct with bio-identical hormones or botanicals as needed.

Testosterone can also be converted into DHT (a bad metabolite of testosterone) which can cause hair loss on the scalp but hair growth along chin/jaw or upper lip of women. Polycystic ovarian syndrome is one hormonal imbalance where this occurs.  DHT can cause baldness in men(and prostate issues) as well. Sometimes botanicals like saw palmetto, dandelion, burdock, and milk thistle can help this issue.

Cause 3—Thyroid imbalance

Probably the most common cause I see for hair loss are thyroid issues. Both hyper and hypothyroidism can cause hair to fall out. Simple lab tests can help identify this issue. I do treat with glandular and prescriptive thyroids.

Iodine deficiency can cause low thyroid function and it is fairly common today due to poor soil nutrients. A lot of my patients use sea salt which doesn’t have iodine either. You can take plant iodine from dulce or kelp to help thyroid function. (Consult a physician for dose). Iodized sea salt is available as well.

Cause 4—Genetics

Some forms of alopecia (hair thinning) are genetic in origin. Even women tend to follow genetic patterns. Maybe someday we can fix these genes but right now we are stuck with what we were given at birth.

Cause 5—Malnutrition

Malnutrition is more common than one might think. Even overweight people can be malnourished. There are several causes of malnutrition from the obvious like anorexia to the more obscure like celiac disease. Any dis-ease that impairs nutrient absorption from the intestine can lead to nutrient deficiencies and hair loss can result. Protein deficiency, selenium deficiency, iodine deficiency, biotin deficiency, or other micronutrient issues can cause hair loss.

I see a lot of malnutrition in my patients with colon issues. Colitis, IBS, chronic diarrhea, food sensitivies, celiac disease, dysbiosis etc… can cause impaired absorption of nutrients. So the cause of the hair loss is the colon issue…fix the gut and the hair loss will stop.

I hope you can see that determining the cause of your hair loss is the most important step in trying to treat it. Sometimes it is easy, sometimes it is not. I have had lots of success (and a few failures) with hair loss…but no matter what your body is healthier if you address the causes versus just treating the symptoms! Naturopathic medicine rocks!

Depression sucks…is it brain chemistry or situational life crud?

Friday, July 1st, 2011

I hear the word “depression or depressed” everyday in my office. I should count the number of times it comes up in a week…it would be sad, very sad. I am not doubting that people are depressed but does everyone need a drug to fix it? Does everyone have low serotonin and need a ROCKET bolus of serotonin to function? I saw NO WAY. The drugs (Prozac, Wellbutrin, Cymbalta, Zoloft, et al…) can help some people but most end up on them far too long and for far too many wrong reasons. These drugs happen to be the most commonly prescribed drugs in America and are prescribed for everything from pain to PMS to headaches. WTF? Don’t just take your Docs recommendation…think about the drugs you are choosing.

There are many natural ways to help depression. First, we must discern between brain issue depression and situational depression. Brain depression (my own name for it) is true serotonin disorder…your serotonin is F’d up for some reason (genetics usually). Situational depression is caused by stress and emotions and can actually lower brain serotonin for awhile until the stressor is removed and then comes up on it’s own.

For true brain depression and situational depression there are several natural rememdies that can help.

1.Omega 3 fats–fish/flax oil  (4000-6000mg/day) one with higher EPA works best.

2.D3–check levels to ensure 65-80mg/dl in your blood. 5000iu per day is what my white Montana patients get.

3.5-HTP–100 to 200 mg before bed can be a miracle (it is a precursor to serotonin)

4.Fix hormonal imbalances…thyroid and female hormones can contribute to brain depression.

5.Diet–protein, protein, protein, no grains, no grains, no grains…see previous posts on the PALEO subject for more.

6. Herbs–St.Johns Wort, Ashwaganda, Rhodiola, Lemon Balm, and others.

Situational depression often warrants adrenal (stress) gland treatment. I use glandulars, B-vitamins, hormones, diet to correct the stress induced depression. I do test for adrenal issues using saliva testing.

I wanted to mention a new test we have at the office. It is neurotransmitter test. It evaluates all your brain chemistry neurotransmitters. It is pretty darn cool. It can help people with any brain issue…anxiety, insomnia, depression, mood swings, ADD/ADHD etc…The lab gives me a complete neurotransmitter profile and gives natural treatment recommendations. Alot of amino acids etc…are used to balance the brain.

So I guess that no matter what your depression is about or from, the above things may help you. I urge you to try the natural route before messing with the serotonin drugs. I have seen so many people on them for the wrong reasons (hot flashes are my personal favorite….say what?), and then people end up on them for far too long.

Have a great Fourth of July weekend…I am heading to a GOT GRIT obstacle course race in Choteau, MONTANA…sounds fun, eh?

Dr.GB

PALEO POWER is not for PUSSIES…or is it?

Monday, June 20th, 2011

Hey GIRLS (and boys for that matter)….I completed my first duathlon yesterday on complete PALEO POWER food. The duathlon consisted of a 3.1 mile run then a 12 mile bike ended with another 3.1 mile run. I completed the race in 1 hour and 30 minutes….pretty good for an old lady (36). I got 2nd place overall for the woman! The point of this post is to give kudos to the PALEO eating style for women (aka pussies…lol!).

This morning as I post this I realize that I am NOT sore. My muscles feeel great and I am recovered perfectly. I could work out today but won’t to allow my muscles to recover totally. I have been eating 75-100 grams of protein per day from meat, eggs, and a bit of protein powder. I have been eating NO grains and NO beans for about 4-5 weeks. I have cheated a bit here and there because of food necessity but other than that been pretty good. I have been eating lots of fruit, veg, nuts/seeds, and coconut products too. Yum!  I now BELIEVE in the POWER of this primitive eating style. I wasn’t running after a deer for dinner but I did chase down lots of men and women on my run/bike!

Another side benefit to eating PALEO is the fact that my raging PMS has all but gone away. Ask my husband? Last cycle was so much calmer than usual…this one should even be better. I usually take herbs/progesterone to help this but haven’t taken for 6 weeks to see the changes from the diet alone.

I also am NOT bloated, tired, sick, sore, constipated, zitted out, or anything…..This NO GRAIN/BEAN thing is right on target! In fact, my guts feel great…no irritation baby!

Give it a shot for 30 days…you won’t be sorry. Check out robbwolf.com for a 30 day quick start guide and shopping list. I plan to do my own soon and will be offering the supplements you need on the program in my NEW  online store…coming soon.

Dr.GB

Healthy nutrition leads to healthy hormones!

Monday, June 6th, 2011

How can we optimize our hormone balance? Well, one way is to make sure we are getting all the proper nutrients from our diets. So just what is a “proper” diet? I am not sure anyone knows what a perfect diet is but I am going to give you my opinion (at the moment anyway) of what I think we should eat like.  I am basing my opinion on literally hundreds of diet books, research articles, journal articles, and some good old common sense. I deal with alot of hormone issues for sure, but I also see my share of autoimmune diseases, heart issues, diabetes/insulin issues, and other crazy dis-eases. The diet I am going to share with you all can help any of these issues.

Our digestive system was designed to be perfect for us. We should be able to digest what we need and thrive…not get sick or fat.  If we go back in time to the time of earliest man…the hunter/gatherers…what food did they have and eat?   Did they eat bread? Did they eat sugar? Did they eat rice? Did they eat cheese sticks? You get the idea. They actually ate (confirmed by numerous archeological studies) meat, fish, nuts, seeds, and fruits/vegetables in season. They ate what they could find off the land and in the seas. Their diet was very high fat, high protein, high fiber, and carbohydrates only from fruits and vegetables. They did not have fields of wheat or rice or quinoa to harvest their whole grains from. In fact, they didn’t eat grains/beans/legumes at all. These foods are all the by product of agriculture which came many, many years later. So maybe or digestive system is meant to be without grains/beans/legumes????  Maybe this WHOLE GRAIN rage is wrong?  Maybe we should eat more animal protein and less tofu and beans? Like I said, no one knows what perfect is…this is a theory. If you want tons of evidence on the theory it exists.

Why not eat grains/beans? They actually contain some little molecules that cause gut irritation and therefore immune stimulation. This constant inflammation of the gut can lead to numerous health issues. They also contain a lot of carbohydrates per volume and if a person doesn’t burn those carbs they are stored eventually as fat. Triglycerides and VLDL cholesterol can be an indicator of this problem. You can store these fats in your liver which can eventually cause non-alcoholic liver disease. You can create an insulin resistance from excess carbohydrates. You can end up with elevated cholesterol and diabetes with too many carbs too!  Agh! The list goes on and without getting too biochemical geeky on you…you get the idea.

So what do grains/beans do to hormone balance? Well, if you recall from last article I spoke about the female and the stress hormones in relation to different disease illnesses. You make all your hormones from your cholesterol…that is why no fat diets can really screw people up! So we need good cholesterol. Next, we get B vitamins from animal proteins and these proteins are crucial for all the reactions that take place in our liver to deal with hormones. When people eat more carbs (grains especially) they can develop an insulin resistance  which then can contribute to polycystic ovarian syndrome (very common today). Also, your growth hormones come from healthy proteins.  Oh, and your thyroid needs tyrosine to function properly (yep, tyrosine is from animal proteins).

One question I often get is “does this diet throw you into ketosis”?  Great question. Yes it does…and we want that. ALL biochemistry books say that your brain, kidney, heart, and liver actually prefer ketones over glucose as fuel (most doctors/nutritionists forget all their biochemistry the day they pass the class). That’s right, our body actually prefers to burn ketones as fuel. It takes about 2 weeks for the body to use up it’s glucose stores to start to burn fats/proteins as fuel…this fuel is the ketones I speak of. So instead of burning all those carbs you used to eat as gas, we start to burn fat instead….ooooohhhh, doesn’t that make your butt feel smaller already?! 

I challenge anyone to a 30 day trial of this primitive way of eating. If you have hormone or health issues they will benefit from this nutritional plan. Do a before and after cholesterol panel and surprise the heck out of yourself and your physician.  Here are the basics.

Can eat:

Animal protein–GRASS fed or wild meat (if we are avoiding grains we don’t want to eat corn/grain fat protein!), fish and eggs   ORGANIC–doesn’t mean grass fed…check labels. (upto 1 gram protein per pound of body weight per day)

Carbohydrates/fiber–all the vegetables you want and fruit in moderation (no white potatoes and no corn). Athletes can add more carb in form of sweet potatoes.

Fats–nuts, seeds, coconut oil, and some olive oil

Dairy–avoid for 30 days then try yogurt (plain) or even a little cheese….no milk.

Beverages–tea, coffee, water, coconut milk  (no soy or rice milk either)

Exercise–30 minutes per day of strength moves or intervals (think pushups, lunges, squats, jumps etc.)

A perfect diet doesn’t mean perfect hormones but man can it help! Eating this primitive way can increase bone density, reduce PMS, eliminate PCOS,  lower blood sugar/HgA1c, lower cholesterol, decrease autoimmune reactions/diseases, improve thyroid function, help out your stress glands, reduce body fat, and…..make you feel spectacular.  If you want more proof or resources check out robbwolf.com or his book PALEOSOLUTION, everydaypaleo.com, or read Gary Taubes book GOOD CALORIES, BAD CALORIES. THe science does exist!!!! Wake up America!!!!

Bioidentical hormones or bust…

Monday, May 23rd, 2011

 

 

What are bio-identical hormones anyway?

How many times have you read or heard about hormones in the last couple years?? Maybe you have a special interest in hormones because of your age or another reason? Well, I am here to tell you that the media lumps all HORMONES into one big basket. All HORMONES are NOT created equal.

There are two types of hormones. Bio-identical hormones are one type and synthetic hormones are the other type. Let’s talk about the synthetic hormones first. Synthetic hormones are hormones that are made in a lab from either chemicals or even animal (horse) hormones. These fake hormones are put into pills, injections, creams and patches for human use. Birth control pills, premarin/provera, estrace, ogen, FemHrt, etc..are some examples of synthetic hormones. These synthetic hormones are NOT a perfect match for a woman’s hormones but a hormone starved body sometimes thinks “close enough”.

Synthetic hormones are what almost 99% of all media is talking about especially when the article speaks of the dangers of hormones and hormone replacement. There are several studies that prove negative side effects of synthetic hormones. Doctors still prescribe them and folks still take them. WHY? I think it is because perhaps neither the doctor nor the patient knows of any alternative to synthetics. If you were sleep deprived from hot flashes you might not care what you are putting in your body!

Now let’s talk about bio-identical hormones. These hormones are from plant sources. They are tinkered with in a lab to make them active (you can’t just eat the plant and get active hormone) and then humans can use as a hormone replacer. They can be combined to form the perfect hormone regime for you…creams, gels, sublinguals, lozenges, or capsules. Bio-identicals are termed this because they are a perfect match for human hormones. Under a microscope one could not tell the difference between plant hormone or human hormone! Doesn’t it make so much more sense to put a perfect match in our bodies? I wouldn’t choose horse estrogen when I could get a perfect human match.

In theory, the bio-identicals get into far less trouble than something that looks differently to our bodies hormone receptors. Are there studies saying the bio-identicals are safe? Yes, there are studies (mostly out of Europe) on each component of a hormone compound and the studies are anything BUT negative. There probably will never be a study in the USA on bio-identicals because they are non-patentable and customizable. There is NO money in a non-patentable drug. No money equals no study. The other reason they will not be studied in a huge study is that bio-identical hormones are mixed per patient and individualized per symptoms/lab tests. You can’t put 30,000 women on the same exact mix of hormones…doesn’t that make sense too?

So when a woman comes to see me with some hormonal issues, I first listen to her story and symptoms. I take in to account family history, personal history, and of course, lab testing for hormone levels. Then I may try to come up with a recipe of hormones just for her. The mix may contain estriol, estradiol, testosterone, progesterone, DHEA, or even cortisol. We might do a cream or subligual drop…the patient gets to pick.

Next article, I will talk about the many benefits of bio-identical hormone replacement and what imbalances can be corrected with proper hormone use. So if you have PMS, perimenopause, menopause, insomnia, depression, PCOs, infertility, weight issues, headaches…you get the idea, look forward to my next article!

BIO: Dr.Jennifer Hawes was born and raised on a farm/ranch near Shelby. After medical school in Seattle, she hung up her shingle in the Flathead Valley and has practiced there for 12 years. Her philosophy is what separates her from conventional medicine practitioners: treat with natural things first and whenever possible but understand sometimes pharmaceuticals are required and necessary. Dr.Hawes uses cutting edge testing methods and treats with bioidentical hormones, nutrition, supplements, and much more!

Office: Kalispell location–Eastside Brick building–723 5th ave east #120

Phone: 406-257-9997

Website: drgreenbean.com

Hormone imbalance checklist…see which of your hormones could be OFF.

Wednesday, April 7th, 2010

I got this from ZRT Lab which is the company I use to test saliva hormones. You can purchase a kit and test hormones (about $35 per hormone)…email or call my office if you want one (I will post on the drgreenbean store as well)

Women

For Women

Category 1:

Basic Hormone ImbalanceNote which of the following symptoms are troublesome and/or persist over time.

_____ Hot fl ashes

_____ Heart palpitations

_____ Heavy menses

_____ Fibrocystic breasts

_____ Thinning skin

_____ Urinary incontinence

_____ Vaginal dryness

_____ Weight gain

_____ Increased body/facial

hair

Category 2:

Adrenal Hormone ImbalanceNote which of the following symptoms are troublesome and/or persist over time.

_____ Aches and pains

_____ Sleep disturbances

_____ Infertility

_____ Chronic illness

_____ Morning fatigue

_____ Anxiety

_____ Allergic conditions

_____ Susceptibility to infections

_____ Mood swings (PMS)

_____ Cystic ovaries

_____ Foggy thinking

_____ Irritability

_____ Uterine fi broids

_____ Night sweats

_____ Acne

_____ Depressed mood

_____ Headaches

_____ Bone loss

_____ Elevated triglycerides

_____ Depression

_____ Nervousness

_____ Evening fatigue

_____ Bone loss

_____ Blood sugar imbalance

_____ Autoimmune illness

ZRT Laboratory

• Phone: 503-466-2445 • Fax: 503-466-1636 • www.zrtlab.comCopyright © 2006 ZRT Laboratory, LLC. All rights reserved.

The following checklists can be used to help you and your healthcare provider

determine specifi c symptoms of hormone imbalance.

Category 3:

Thyroid Hormone ImbalanceNote which of the following symptoms are troublesome and/or persist over time.

_____ Aches and pains

_____ Dry skin

_____ Fatigue

_____ Heart palpitations

_____ Constipation

_____ Anxiety

_____ Cold hands and feet

_____ Foggy thinking

_____ Low libido

_____ Thinning hair

_____ Brittle nails

_____ Headaches

_____ Weight gain

_____ Inability to lose weight

_____ Menstrual irregularities

_____ Depression

_____ Infertility

_____ Feeling cold all the time

_____ Sleep disturbances

_____ Elevated cholesterol

Number selected _____

Number selected _____

Number selected _____

P

ATIENT CHECKLIST FOR SYMPTOMS OF HORMONE IMBALANCERev. 11.29.06

Men

P

ATIENT CHECKLIST FOR SYMPTOMS OF HORMONE IMBALANCEFor Men

Category 1:

Basic Hormone ImbalanceMark which of the following symptoms are troublesome and/or persist over time.

_____ Burned out feeling

_____ Hot fl ashes

_____ Weight gain waist

_____ Decreased libido

_____ Night sweats

_____ Insomnia

_____ Increased urinary urge

_____ Infertility problems

_____ Oily skin

_____ Apathy

Category 2:

Adrenal Hormone ImbalanceMark which of the following symptoms are troublesome and/or persist over time.

_____ Aches and pains

_____ Sleep disturbances

_____ Infertility

_____ Chronic illness

_____ Stress

_____ Morning fatigue

_____ Anxiety

_____ Allergic conditions

_____ Weight gain waist

_____ Decreased erections

_____ Irritable

_____ Erectile dysfunction

_____ Prostate problems

_____ Decreased mental

sharpness

_____ Decreased urine fl ow

_____ Decreased stamina

_____ Sleep disturbances

_____ Decreased muscle

mass

_____ Elevated triglycerides

_____ Depression

_____ Lack of motivation

_____ Prostate problems

_____ Evening fatigue

_____ Bone loss

_____ Blood sugar imbalance

_____ Autoimmune illness

_____ Fibromyalgia

_____ Susceptibility to

infections

ZRT Laboratory

• Phone: 503-466-2445 • Fax: 503-466-1636 • www.zrtlab.comCopyright © 2006 ZRT Laboratory, LLC. All rights reserved.

The following checklists can be used to help you and your healthcare provider

determine specifi c symptoms of hormone imbalance.

Category 3:

Thyroid Hormone ImbalanceMark which of the following symptoms are troublesome and/or persist over time.

_____ Low libido

_____ Foggy thinking

_____ Constipation

_____ Elevated cholesterol

_____ Depression

_____ Infertility

_____ Fatigue

_____ Cold body temperature

_____ Headaches

_____ Lack of motivation

_____ Decreased erections

_____ Sleep disturbances

_____ Inability to lose weight

Number selected _____

Number selected _____

Number selected _____

Rev. 11.29.06

To mammogram or not to mammogram?

Sunday, December 6th, 2009

What do all ladies dread? Getting their boob squished by a cold steel plate and being told to HOLD STILL. Yep, that is right….mammograms are not pleasant but are they necessary? I debate this question every working day in my practice.

I do believe it is YOUR choice to do it or not but what do I tell patients who ask my opinion? I say this…”since the invention of mammogram, breast cancer detection has improved drastically. Cancer is caught earlier and treated and then women are CURED and SURVIVE.  The new digital technology exposes you to far less radiation than the old mammogram machines so maybe they are safer. No one knows for sure if the squishing/procedure causes any harm or not. I do tell patients to get a baseline mammogram at 45 years of age…then if you decide to do yearly or every other year that is up to you! 

Our local hospital will NOT do an ultrasound on a suspicious lump unless you have a mammogram first….sucks but it’s true. I can’t tell you how many times I have sent someone to check out a suspicious area and they end up with a $650 bill and a “come back in 6 months” note…Ridiculous if you ask me.

I have offered thermograms in my office as well. A doctor comes in twice per year and does them for my patients that chose this diagnostic method. The thermograms are very cool and I think someday will be the standard for cancer detection. NO radiation, no squishing, no invasiveness at all….Thermograms detect heat in the body tissue – cancer and other problems usually emit more heat than normal body cells. Insurance does NOT cover thermograms yet but may in the future. 

I hope I haven’t confused you more….the bottom line is mammograms are your choice! If you have any increased risk for cancer (family history, personal history, drink/smoke, fibrocystic breasts, etc..) you should have a baseline young and proceed yearly. Self breast exams and your physician are the first line of detection and mammograms/ultrasounds/thermograms are the next line.  Good luck and I hope your boobies are healthy!

rgds

dr.gb

Difficulties of being a DOCTOR who gives a RIP.

Saturday, November 14th, 2009

OK…DR.Greenbean is on her soap box again.

I went into medicine to “help people” as I bet 99% of all new med school students do. I decided to really help people you have to listen to them, really hear them and their story. I became a naturopathic physician because naturopaths are trained to do this “listening” the best. I am very science-driven and don’t do anything to weird so I guess I am a green-allopath of sorts but one thing I do with every patient is give them the time to share their story and I listen. (my office visits are 45-90 minutes long)

I get very attached to my patients. We form friendships and a tight bond. That being said, my heart and soul are sometimes tested. When a patient ends up with a cancer, illness, or even a personal problem it causes my heart to ache and sometimes to second guess what I have done with them as a doctor. I try my best to prevent disease and illness in everyone I see but sometimes the path is already laid or genetics are a bitch.

I do a weight loss program (hcg diet) at my office that the general public can do without being a “patient” of mine. All they want is the quick weight loss solution and they couldn’t careless about prevention and health (not EVERYONE is like this). I am finding I can’t stand that!!!!!!!!!!!!!!!  I have managed to gain several FABULOUS patients who have done the hcg program and want to continue the journey to good health.

I guess what I am trying to say is that for a doc like myself to enjoy what they do and feel adequate we need good relationships with our patients. Our patients must WANT to heal and be healthy.  Getting to know my patients, their stories, their families, their dogs, their sex life etc…is the BEST part of my job. I care about YOU…please remember I am being the best DOCTOR I know how to be and that I still am an emotional bitch too!

rgds

Dr.GB

No Need for SEX

Monday, September 7th, 2009

Does that label fit you? It seems to fit alot of women I see. I get to chat sex with every woman I see in my clinic…it amazes me that most seem to have no libido. I did once see a woman who could have orgasms walking to the mail box…wish that was me, but sadly for most of us it is not the norm.

So it is said that “libido is 90% mental”…that would mean that only 10% can be blamed on hormonal imbalance. I agree with this to a certain extent. I try to maximize a gals hormones to make her horny as her husband would like but it is often the last thing to improve (if at all)….sorry to deliver the news.  I do measure testosterone and DHEA levels to make sure they are OPTIMAL and do supplementation as needed. Hormones can help but often there is more to the lagging need to get naked.

If your issue is that you can’t have orgasm then the testosterone will help you (especially when used clitorally! Yeah!). If your issue is dry vaginal tissue, then estrogen will help you (see the dry vagina post). If your issue is low energy and lack of desire then we might have to work on other things to get you perky again.

I think that boredom and low energy are the main reasons for low libido.  When you have been married for 10+ years, it becomes all to usual…same old, same old routine. Doesn’t sound exciting does it? Well, if you spice it up a bit with toys, new things to try, fantasies, etc…I am sure it can be more exciting but then the low energy holds us back.

I have known a number of women whose husbands divorced them because of a poor sex life. I wonder how many husbands cheat on their wives because of the need for more frequent sex? I do understand that women can be the cheaters and that men can have low libido too but it is much more common the other way.

All I am saying is this…do everything you can to maximize your hormone balance and good health…it will help your sex life no matter what age or sex you are. I heard a physician say that sex 2-3 times per week increase our longevity by 7 years! So do what you need to spice it up out there!

rgds

dr.gb

Are bio-identical hormones safe?

Monday, August 17th, 2009

I got this article from another site and wanted to share it with you all.

Are Bioidentical Hormones Safe?

Bioidentical hormones are substances with the exact same molecular structure as what your body would normally produce if it could and they generate the same physiologic responses as your body’s natural hormones. The US Patent Office considers bioidentical hormones natural, regardless of their source and as a result, they cannot be patented.

The most common bioidentical hormones are estrogen and progesterone which are created by compounding pharmacies to relieve the symptoms of menopause and hormonal imbalances. Bioidentical hormones are made from ingredients derived from plants such as yams and soy, and have been available for more than 20 years.

There are those who claim there are many dangers of bioidentical hormones, often making reference to the Women’s Health Initiative (WHI) study from 2002. This study looked only at synthetic or non-bioidentical hormones, which are significantly different from natural bioidentical hormones. Google WHI study for more info…

Unlike non-bioidentical hormones, natural bioidentical hormones fit perfectly into the hormone receptors of your body because they are identical to your natural-made hormones. This perfect fit allows your body to completely utilize the hormone without the side effects that are common with non-bioidentical hormones.

Safety of Bioidentical Hormones and the FDA

Hormonal imbalances contribute to the risk of stroke, heart attack and even breast cancer and when used properly, bioidentical hormone replacement therapy can reduce this risk. Critics argue that the safety of bioidentical hormones should be confirmed by the FDA, and in fact the FDA has approved over 20 natural bioidentical hormone products including estrogen, progesterone and testosterone.

Compounding pharmacies that make bioidentical hormones are regulated by state and local government, not the FDA. However, those recommended by physicians (including me) are regulated by the Professional Compounding Centers of America (PCCA) and accredited by the Pharmacy Compounding Accreditation Board, for high quality assurance.

New Evidence Supporting the Safety of Bioidentical Hormones

In January, 2009 the Holtorf Medical Group, Inc. of Torrance, CA performed a comprehensive analysis of over 200 physiological and clinical studies (including the WHI study) concerning synthetic and bioidentical hormones.

“Many physicians and so-called experts state that there is no evidence that bioidentical hormones are safer than synthetic HRT,” argues Dr. Kent Holtorf. “A thorough review of the medical literature however, clearly supports the claim that bioidentical hormones have some distinctly different, often opposite, physiological effects to those of their synthetic hormones.” Dr. Holtorf continues to say “the medical literature demonstrates that bioidentical hormone replacement therapy is highly effective and carries a reduced, rather than an increased risk of breast cancer and cardiovascular disease.”

This analysis looked at the many long-term and short-term studies of synthetic hormones and the short-term studies of bioidentical hormones. To date, there have been no long-term studies of bioidentical hormones, but each short-term study shows positive results both in the relief of symptoms of hormonal imbalances like insomnia, cognitive problems, depression, anxiety etc. and in the decreased risk of heart disease and breast cancer. Meanwhile, both long-term and short-term studies show synthetic hormones to be less effective at treating symptoms and to increase the risk of breast cancer and cardiovascular disease.

Bioidentical progesterone and estrogen have repeatedly been shown to reduce and eliminate the breast-cell proliferation rates while synthetic versions of these hormones, especially progestin, have been shown to increase breast cancer risk significantly. In terms of cardiovascular disease, bioidentical progesterone maintains and enhances the heart protective effects of estrogen, decreasing the risk for heart attack and stroke. This occurs in part to the bioidentical progesterone augmenting HDL (the good cholesterol) effects. Synthetic progestin does just the opposite, reducing HDL and working against estrogen, causing increased risk of heart disease.

Estriol, the bioidentical estrogen, was banned in January, 2008 by the FDA which stated that while its effectiveness to treat symptoms was not in question, the safety and effectiveness was unproven. In the 30 years that this estriol has been used, the FDA has not received any report of an adverse event with the use of estriol. The FDA banned estriol for a lack of evidence that it was safer than the synthetic estrogen and because there was no standardized dose. We’ve discussed that one-size-fits-all dosage is not effective and not safe since everyone has different needs. Estriol is completely unique when compared to synthetic estrogen and actually has been associated with a reduction in the risk of breast cancer and heart disease.

In conclusion, this analysis states “With respect to the risk for breast cancer, heart disease, heart attack, and stroke, substantial scientific and medical evidence demonstrates that bioidentical hormones are safer and more efficacious forms of HRT than commonly used synthetic versions.”

Upon publication of this new information, many mainstream doctors “are now realizing that societies such as The Endocrine Society, The North American Menopause Society and The American College of Obstetricians and Gynecologists (ACOG) have either failed to adequately review the medical literature on bioidentical hormones or more likely have let their significant relationships with the pharmaceutical companies influence their positions on the issue,” as stated in a press release by the Holtorf Medical Group.

As one gynecologist, Dr. Eldred Taylor stated “As a board certified, OB/GYN trained at Emory University I am embarrassed by what I learned in residency concerning hormone physiology. It is a crime that this information is not taught in residencies. Instead we are bombarded by propaganda and misinformation by the so-called leaders in our field.”

So, are bioidentical hormones safe?

In our opinion, bioidentical hormones are safe when used properly and under the care of an expert physician trained specifically in bioidentical hormone replacement therapy.