The Top 5 Answers to the Question “What Do You Do at Seasons?”

Seasons. You might have heard the name.

And we’ve heard the question many times. But answering the question “What is it that you do at Seasons?” in one sentence is nearly impossible. So we’ll give you the top five answers instead.

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Answer #1: Seasons offers wellness from head-to-toe.

It all began with the idea that wellness is all-inclusive. Upon moving to the area and opening his clinic in 2006, Dr. Nathan Goodyear, Seasons’ founding physician, desired to offer his patients more than just a visit to the doctor and a prescription. Instead, real solutions to the nagging health problems that seemed unsolvable was his goal. That six-year journey resulted in a center for wellness from head-to-toe.

Comprised of both Seasons Wellness Clinic and Seasons – The Spa, Seasons offers a range of services that promote healthy living based on 5 Points of Wellness: nutrition, hormone balance, detoxification, inflammation reduction, and exercise. Seasons is conveniently located off Farmerville Highway at 1809 Northpointe Lane in Suites 103 and 202, in the 2-story building behind Portico Bar & Grill.

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Answer #2: Seasons provides leading-edge medical care based on the latest in science combined with the most natural approach possible.

Healthcare professionals, Dr. Nathan Goodyear, Dr. Jackie White, and Anna Stephens, WHNP, seek to provide the highest level of care for every client. Rather than a disease-focused approach, the healthcare team at Seasons strives to uncover the root cause of symptoms and conditions such as: abdominal fat, diabetes, difficulty losing weight, fatigue, headaches, high blood pressure, insulin resistance, joint pain, trouble sleeping, hot flashes, and many more.

The healthcare team begins with identifying your symptoms and, utilizing the most advanced diagnostic testing available, developing a wellness plan that will rid your body of toxins, recharge your energy, and reinvigorate your immune system. The result is elimination of the root cause of the myriad of symptoms and a return to a state of wellness. And when your body is functioning optimally, prevention and reversal of disease states is a by-product of that state of wellness.

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Answer #3: Seasons offers specific health programs such as the Wellness Weight Loss Program and Athlete Wellness Program.

Each of these programs use advanced metabolic testing and a natural approach for optimal results in two specific client groups: those who want to lose weight and those who wish to increase their athletic performance in a healthy and natural way. Each program features an individualized approach and includes testing and treatment to achieve goals set at the beginning of the program.

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Answer #4: Seasons serves as a beacon for healthy living in a state that ranks #2 in Unhealthiest States in America.

With a commitment to educate all of Louisiana about health and wellness, Seasons provides and shares the best, most scientifically accurate information available on a daily basis. Seasons has pioneered website and social media usage in the medical community. By developing a blog-based website before blogging was a household word, Seasons began building and gaining traction in the online world, and utilizes social media to share information that is dependable and has depth.

Join the online conversation about health and wellness. Read our blog, subscribe to our RSS feed, follow us on  Facebook, Twitter, YouTube, Pinterest, and catch the latest Wellness Lifestyle Report or Nibble On This recipe in your inbox. You can sign up for the e-newsletter and link to all Seasons’ social sites on our homepage.

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Answer #5: Seasons – The Spa offers renewal and rejuvenation without the traffic of the big city.

Do you ever just want to “get away” without going far away? Maybe you need a pick-me-up, a lift-me-up, or a fix-me-up. Seasons – The Spa provides a big-city spa experience in rural and scenic north central Louisiana with a highly-skilled and highly-trained staff.

• Bethany Cox, LMT, provides services including massage therapy, reflexology, and Smooth Shapes, a cellulite reduction treatment.
• Skin care experts Lisa Best and Joy Smith offer services ranging from European facials to microdermabrasions to hair reduction and removal to hydradermie lift, a non-surgical face-lift.
• Anna Stephens, WHNP, specializes in skin rejuvenation services such as Botox, Artefill, and Juvederm. Anna’s great disposition makes clients feel at ease, insuring a comfortable skin rejuvenation experience. Seasons also offers back-door service for those who want a more private consultation. Please call the Spa to arrange back-door service at 318-255-1155.

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Seasons also boasts the only infrared sauna in the area and offers individual sessions as well as packages for clients desiring the proven health benefits of infrared sauna. Fitness classes include Yoga, featuring certified Yoga instructor Ashley Moody, and Fit4Baby, with local fitness specialist Maryanne Smith. Classes are available in packages at convenient times for any schedule. Sauna and fitness classes are free for Spa Members. For more information about Spa Membership, visit the Spa Membership page on our website or give us a call at 318-255-1155. Keep up with the latest Spa specials by signing up for our e-mail list on our home page. Quarterly Beauty Bonuses come to your inbox and feature discounts and special offers on services and packages.

So did that answer the big question about what is Seasons?

Seasons is health, wellness, relaxation, rejuvenation, education and a whole lot more. For more information or to schedule an appointment, give us a call at 318-255-3223 and speak with a customer relations specialist.

GM-Oh No! What You Need To Know About Genetically Modified Food

Could it be true? Could the big name cereal makers have carried out extremely misleading ingredient campaigns by labeling their products “all-natural?” Would they knowingly use ingredients that contain high levels of toxic chemical pesticides and genetically modified ingredients?

Unfortunately, it seems to be true. But don’t feel silly or naive if you’ve bought Kashi (Kellogg’s) brand cereals, Whole Foods’ 365 brand cereals, or Quaker Oats thinking you were making a healthy choice over the sugary cereals. It’s easy to be misled by environmentally friendly packaging with leafy imagery and terms like ‘all-natural’ and ‘whole grain’. Pardon the pun but it’s only natural that you would believe that a product that markets itself to be healthy would be free from pesticide chemicals and genetically engineered ingredients. And here you thought sugar was your biggest concern.

Thanks to social media and the recent investigation and findings by the Cornucopia Institute, GMO (genetically modified organisms) has become a very hot topic. The news that “100% of the soy used in tested boxes of Kashi cereal was genetically engineered soy” became a viral firestorm leaving consumers saying “GM-Oh no they didn’t!” A grocery store in Rhode Island recently pulled Kashi brand products from their shelves and posted a sign in its place that reads:

“You might be wondering where your favorite Kashi cereals have gone. It has recently come to our attention that 100% of the soy used in Kashi is Genetically Modified, and that when the USDA tested the grains used, there were found to be pesticides that are known carcinogens and hormone disruptors.” 

The photo of this sign was liked, shared, pinned, and tweeted faster than Kashi/Kellogg’s PR department can say ‘no comment’! Ouch! However, Kashi has since posted a response to this viral photo on their Facebook page.

What are Genetically Modified Organisms (GMOs)?

According to The Non-GMO Project, genetically modified organisms, or GMOs, are plants or animals created through the gene splicing techniques of biotechnology (also called genetic engineering, or GE). Genetic engineering merges DNA from different species, creating unstable combinations of plant, animal, bacterial, and viral genes that cannot occur in nature or in traditional crossbreeding. Virtually all commercial GMOs are engineered to withstand direct application of herbicide and/or to produce an insecticide.

Why should you care if your food contains GMOs?

According to Organicconsumers.com, GMOs have been linked to thousands of toxic and allergenic reactions, thousands of sick, sterile, and dead livestock, and damage to virtually every organ and system studied in lab animals. Jeffrey M. Smith, author of Seeds of Deception and genetically modified food expert, says “eating genetically modified food is gambling with every bite.” Smith links genetically modified organisms (GMO) to toxins, allergies, infertility, infant mortality, immune dysfunction, stunted growth, and death.

While there are arguments for both sides of the issue, here is what you should know about GMOs:

• Currently there is no law dictating that food products containing GMOs must be labeled as such.
• According to the FDA, 93% of soy, 78% of cotton, and 63% of corn is currently genetically modified.
• Approximately 80% of all packaged foods in U.S. grocery stores contain GMOs.
• Animal studies have revealed that mice fed a variety of GM foods have experienced a range of health ailments ranging from stomach ulcerations to allergic reactions to dysfunctional immune systems.
• According to a recent CBS News/New York Times poll, 87% of consumers would like GMO ingredients to be labeled, and 53% of Americans say they won’t buy food that has been genetically modified.
• Experts say that if it comes in a can or a box and the label lists soybean oil or corn syrup as ingredients, odds are that it contains GMOs.

Help make a change! Because the FDA does not require mandatory labeling of genetically engineered foods, you cannot  make informed decisions about what you are eating or feeding your family. You can tell the FDA that you want the ingredients in your food clearly labeled by visiting Just Label It‘s website.

The staff at Seasons Wellness Clinic is committed to educating north Louisiana and the surrounding areas with the most scientific and reliable information about healthy living. If you have questions about GMOs, leave a comment below, and we’ll be happy to guide you towards the best information and, hopefully, a happier, healthier life! For more information about Seasons Wellness Clinic and Seasons – The Spa, wander around our website to your heart’s content! Or call our office at (318) 255-3223.

The Top 3 Answers to the Question “Why Should I Take Hormones?”

Recently during a patient’s visit, we were reviewing her most recent OB/GYN appointment. Her physician asked why she was taking hormones. Unable to offer a technical explanation, she simply stated that she felt much better than she did before she began her treatment program.

While the basic question of WHY is a good question by her physician, we actually need to answer three questions.

• What are my individual hormone levels?
• Are my hormones in appropriate balance?
• Is my body metabolizing those hormones in the right way?

The answers to these three questions will answer the one question: “Why should a patient take hormones?”

What are my individual hormone levels?

Contrary to what most think, hormones are not just about individual numbers. Instead, hormones work collectively as a means of communication within the body. I am amazed at the answers I get when I ask postmenopausal women, “Does your body still have or need hormones?”

The answer is a resounding YES, but most people seem to think otherwise. The body must have hormones to survive. For example, those who suffer from Addison’s Disease have a life-threatening deficiency of cortisol (one of the body’s many hormones).

Far too often I hear the comment, “I’ve had a hysterectomy, so I don’t need progesterone.” The truth is having a hysterectomy does not eliminate your body’s use or need for hormones. It just means you are missing your uterus. Hysterectomy or not, millions of cells throughout the body have progesterone receptors and those cells could care less if you’ve had a hysterectomy or what your OB/GYN thinks about progesterone. [Insert laugh here!] These organ systems throughout the body have receptors for progesterone because they need progesterone.

The aforementioned patient’s hormone therapy included progesterone cream and DHEA capsules. Testing results showed her to be deficient in both progesterone and DHEA (read about how we test hormones at Seasons), and thus replacement was needed. In addition to test results, the patient’s clinical symptom history warranted the replacement of these hormones.

So why was DHEA included in her treatment program? Two reasons. The first is that her DHEA levels were low in her testing results. The second reason? This patient had Type II Diabetes and, after some additional testing, was found to have chronic inflammation throughout her body. DHEA has been shown to reduce inflammation, improve insulin function, and reduce obesity, all of which are associated with diabetes. DHEA does this through a complex interaction with the hormones adiponectin and insulin. As insulin levels rise with insulin resistance, adiponectin falls. This hormone imbalance will result in Diabetes for many people.

Additionally, Type II Diabetes has been shown to be the result of chronic inflammation. What does that mean, you ask? Chronic, dysregulated inflammation causes insulin resistance. What is the source of this inflammation, you ask? Fat cells! The obesity epidemic is the root cause of our current healthcare crisis.

Let’s go back to the patient’s hormone therapy. Her test results showed her deficient in progesterone. Because progesterone is a natural anti-inflammatory, it is currently being used in traumatic brain injuries (TBI) to reduce inflammation and improve outcomes. In addition, women with low progesterone tend to have significantly more menstrual cramps, the result of inflammatory signals called prostaglandins. Progesterone therapy has been shown to reduce those prostaglandins and thus reduce menstrual cramps.

Are my hormones in appropriate balance?

Hormones don’t exist in a vacuum, as many seem to think. Hormones exist in a delicate balance. The most well publicized imbalance is that of the estrogens and progesterone.  Imbalance of estrogen and progesterone have been linked to many health problems: fatigue, weight gain, headaches, and increased risk of breast cancer to name a few.

I often tell patients that with every cause there is an effect. You can’t give one hormone without affecting many others. The addition of progesterone to the body when it has been chronically low will not only restore progesterone to an appropriate physiologic level, but will also allow estrogen signals to work better. The balance of hormones allows each hormone to work as it was intended. Mind you, we are NOT talking about using synthetic hormones which are simply not what the body is looking for and contain harmful additives. We only treat with bioidentical hormones (bioidentical hormone replacement therapy, also known as BHRT). 

Is my body metabolizing my hormones in the right way? 

The final key point is looking at how the body processes hormones (metabolism). Hormone metabolism is just as important as the individual hormone levels and the hormone balance. 

Let’s use estrogen metabolism, for example. Estrogens (there are actually three different types of estrogen) can be metabolized three ways: 2-hydroxy estrone, 4-hyroxy estrone, and 16-alpha-hydroxy estrone. Some of the risks associated with estrogen come from the body metabolizing estrogen utilizing the 4-hydoxy estrone pathway. This pathway results in many dangerous metabolites (break down products). Think of it as turning down the wrong road as you’re driving somewhere, and you end up in a briar patch!

Think about it. Many women with breast cancer and men with prostate cancer don’t take bioidentical estrogen nor do they take synthetic estrogen. Their problem, as it relates to hormones, comes from endogenous hormone production (the body’s own hormone overproduction or underproduction), hormone metabolization, and the often undiscussed environmental xenoestrogens (from environmental toxin exposure). In lay terms, the body is metabolizing estrogen using the 4-hydoxy estrone pathway resulting in higher risk of cancer.

It has only been in the last 50 to 60 years that major hormonal imbalances in industrialized countries seem to have come to our attention. Before that, people and their hormones seemed to do just fine for thousands of years. We can attribute much of that to diminishing nutritional value in our foods and continually increasing exposure to toxins. Nutrition and toxins both have profound effects on the body, hormones included.

In conclusion, why should a patient take hormones (BHRT)?

The answer is a summary of the three points we’ve looked at here. By determining current hormone levels, restoring balance, and evaluating the body’s metabolic processes, the body can once again function as God intended it. Should a patient be on hormones? Well, only if you need them. But the truth is few of us have perfectly balanced hormones due to nutrition, toxin exposure, and prescription medication side effects.

At Seasons Wellness Clinic, we use state-of-the-art testing that reveals your body’s biochemistry. With our years of advanced training, we can carefully customize a treatment plan to restore your body, offsetting the damage of poor nutrition, toxins, and prescription drugs. Our goal is to eliminate any need for prescription medication! We want you to be HEALTHY!

WELLNESS IS POSSIBLE! You don’t have to settle for a body that is not working as it should. You can make a conscientious choice towards good health and a longer, happier life.

Other related posts:

Evidence and Crazy Talk, Part 1 of 3

Evidence and Crazy Talk, Part 2 of 3

Evidence and Crazy Talk, Part 3 of 3

 

Get Your Body Back On Track With These 5 Points of Wellness

The Truth About Low T: Customized Testosterone Therapy

Testosterone is on the decline in American men making low testosterone a growing epidemic. As we mentioned in an earlier post, The Truth About Low T: Men, Middle-Age, and More, low testosterone has many causes and results from a combination of issues. From 1987 to 2004, Americans saw a 15% decline in serum testosterone. We can expect to see even lower tissue levels, as determined by salivary testing. So, the problem is likely much worse.

Two recent articles confirm the metabolic and health benefits of testosterone therapy in men with low testosterone.

The first study, published online from the Journal of Clinical Endocrinology and Metabolism, reviewed 820 studies and found that “low endogenous testosterone levels are associated with increased risk of all-cause and CVD death.” The results of this study substantiates previously documented publications.

The second study, published in the Journal of Clinical Endocrinology and Metabolism, was reported in the Newmax article Low Testosterone Does Not Shorten Life.  However, when you actually read the article, there is very little evidence to support the headline. The study states that “low testosterone is linked to diabetes via a bi-directional relationship with visceral fat, muscle, and possibly bone. There is consistent evidence from randomized trials that testosterone therapy alters body composition.”

The conclusion that diabetes in men should be treated with dietary management and exercise as the foundation, is correct. However, testosterone support in men identified to have low testosterone is also appropriate. Testosterone therapy in diabetics is just one piece of the puzzle. Low testosterone is found to be common in type II diabetes and  obesity. A one-size-fits-all approach is never appropriate in medicine.

Testosterone support in men with documented low T does provide many metabolic and health benefits. Unfortunately, it is not as simple as it appears in the “Is It Low T?” commercial with the man dancing with his shadow. Customized testing will determine your exact hormone levels and from these results, we can create an individualized therapy plan for you. Our individual pathways to health and wellness are unique and should be treated that way.

Now that you know the truth about the metabolic and health benefits of customized testosterone therapy, what will you do about it? If you have symptoms and need answers or more information, call our office at 318-255-3223.

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We have provided links to these studies and more on the Seasons Diigo bookmarking service.

 

Patti Wall: A Story of Weight Loss, Rejuvenation, and Life Change

5 Keys to Long-Term Weightloss: Gimmicks vs. Wellness

Obesity is described as the #1 health problem today. But what exactly is a health problem? I’d like to define it this way: a health problem is an obstacle to good health.

As I have said many times, obesity is the doorway to disease. Sixty-seven percent of Americans are either overweight or obese today. And for the first time, obesity exceeds those that are overweight. Approximately 34% of Americans are obese. Just think about that for a minute. What a hopeless statistic.

And the numbers, unfortunately, are not improving. Look at our children. More children battle obesity than ever before. The statistics in children is alarming, with up to 17% of children and adolescents being obese. Worse yet, this is a three-fold increase in just one generation.

Metabolic syndrome is in many ways the result of obesity. Metabolic syndrome, once only an adult disease, is now frequently diagnosed in children. As obesity goes, so goes metabolic syndrome. As metabolic syndrome goes, so goes disease. The prevalence of metabolic syndrome is 39.7% in moderately obese children and 49.7% in severely obese children.

All this to say, we, as a nation, need to lose weight. But we need to lose weight the right way. The reality is this: helping people lose weight is not difficult, but helping people to lose weight and maintain the weightloss proves to be very difficult. If it was so easy, everybody would do it.

Just look around us. There are weight loss “gimmicks” all over the place. According to the free dictionary, a gimmick is defined as “a device employed to cheat, deceive, or trick.” Gimmicks come in all forms: prepackaged meals, shakes, prescription drugs (Adipex, Xenical), HCG and even weight loss surgeries. All these gimmicks have in one thing in common – failure. Yes, they will help you lose some weight, but they fail miserably in the maintenance department. The short-term success of weightloss through gimmicks results in long-term failure due to a train-wrecked metabolism, making your long-term weight loss that much more difficult.

Let’s look at a few examples. Adipex is commonly prescribed drug that helps people lose weight. It is an amphetamine-like compound that speeds up the metabolism and suppresses the appetite. It works short-term, but without lifestyle change, rebound will occur. The rebound is worse as Adipex alters the body’s ability to lose weight through muscle loss and thyroid dysfunction. Oh, and did I forget to mention the addiction?

Let’s look at HCG. So if you take HCG, does that mean the cause of your obesity is a deficiency in HCG? Throw in the fact that the HCG diet consists of 500 calories daily. A diet of 500 calories daily will cause starvation and actually changes your thyroid metabolism, triggering a slowing of metabolism. So when you come off the HCG and the 500 calorie diet, rebound weight gain occurs. Who can maintain a 500 calorie diet anyway?

And the worst gimmick? Weight-loss surgeries. Let’s objectively think about this. What do the numbers say about weight loss surgery? A recent 10 year study of Lap Band, considered the safer weightloss surgery, revealed only a 42% weightloss maintained over 12 years with a quality-of-life scale unchanged. Let’s contrast that with the risks. Up to 50% of the patients required removal of their lap band with a repeat surgery risk at 60%, up to a third of the bands eroded, and over 40% encountered serious complications. Couple this with the bone loss seen in adults and children with weight loss surgery, and the question asked should be this: What are we doing to ourselves and our children?

Now that we’ve discussed the gimmicks, let me offer a solution: the Wellness Weight Loss program powered by Seasons.

Why “Wellness Weight Loss?” Our primary objective at Seasons is to provide solutions for you to be healthy and well! We don’t just want to help people lose weight.  We want to help people lose weight and keep it off. That is the only path to long-term health and wellness.

The definition of a successful weightloss program is not whether weightloss occurs: it is whether the weight-loss is maintained. One of the greatest obstacles to wellness is inflammation. Fat itself produces systemic inflammation. Fat cells trigger inflammatory signals, called cytokines. Fat cells have been shown to release the cytokines: TNF-alpha, IL-1, and IL-6. To reduce inflammation, one must lose weight.  Only through weight loss and long-term maintenance, can wellness be achieved.

 Why powered by Seasons? At Seasons, we want to glorify our creator in all that we do. To do that, we must look to His creation to find the answers. His creation is our bodies. His signature is our biochemistry. That should be where we are looking, because that is where the causes are.  And yes, there are always multiple causes. And no, a one size-fits-all approach doesn’t work. God created us to be unique and different. Our causes of weight gain will also be unique and different. And our solutions for weightloss need to be unique and different – customized for your particular metabolism and circumstances.

Wellness Weight Loss powered by Seasons follows the 5 Points of Wellness that we’ve established as our guidelines to achieving optimal health.

• Nutrition
• Exercise
• Hormone balance
• Inflammation
• Detoxification

These 5 Points of Wellness are the keys to proper metabolic functioning. They are God-created and they are the only means to long-term weightloss. Through the 5 Points of Wellness, a customized program is created to meet your exact metabolic dysfunctions.

Contrary to what you see today, healing can and does occur. But, healing only comes through our creator. To do that, we must look to His creation first, our bodies, for the means to achieve healing.

Why not glorify God in all that we do, including weightloss. Lose weight. Live well!

Why Doesn’t My Endocrinologist Know All Of This?

Historically, relying on a consensus statement to treat or not to treat a particular patient has been shown to result in poor care and, as such, society consensus statements and practice guidelines are considered to be worst level of evidence in support of a particular therapy or treatment. A number of organizations, including the World Health Organization and others, have ranked the strength and accuracy of various types of evidence used in the medical decision process. In all scoring systems, the highest strength of evidence is randomized control trials and meta-analyses, with lower scores for other types of evidence. All grading systems place consensus statements and expert opinion by respected authorities (societies) as the poorest level of evidence, because historically they have failed to adopt new concepts and treatments based on new knowledge or new-found understanding demonstrated in the medical literature (1-6).

For instance, a recent study published in the 2009 Journal of the American Medical Association studied the evidence supporting the practice guidelines and consensus statements published by the American College of Cardiology and the American Heart Association. It was found that only 11% of the recommendations, practice guidelines and consensus statements were based on quality evidence and over half were based on poor quality evidence that was little more than the panel’s opinion. The review also found that even the strongest (Class 1) recommendations, which are considered medical dogma, cited as a legal standards and often go unquestioned as medical fact, were only supported by high quality evidence 19% of the time and not revised based on new evidence (6).

Similarly, the Endocrine Society, the American Association of Clinical Endocrinologists and the American Thyroid Association also have a long history of guidelines and recommendations that are not supported by the medical literature and fail to adjust or abandon recommendations when new understanding and knowledge contradicts their recommendations. A case in point is the recommendation by these societies that a normal TSH adequately rules out thyroid dysfunction, despite massive amounts of literature that demonstrate this not to be the case (see Diagnosis of Hypothyroidism) or that T4 only replacement is adequate for most patients. A doctor who simply follows outdated society treatment guidelines that relies on a simple laboratory test and ignores the clinical aspects of a patient is not practicing evidence-based medicine. (1-7). Such doctors may be adequate as lab technicians, but as doctors and clinicians they fall short (1-7). This method of practice is consistently rebuked as improper and poor medicine, but has become the standard used by a large percentage of endocrinologists and physicians who feel medicine can be related to simply reading “normal” or “abnormal” in a laboratory column.

Discussing the lack of scientific basis of most medical society’s consensus statements and treatment guidelines in Internal Medicine News, Dr. Diana Petritti states, “Expert opinion and consensus statements can be quite misleading when used as the basis for a practice. Expert opinions imply that there is something that the experts know that clinician doesn’t know. I don’t think it’s always appreciated that it’s only opinion. There is a tendency to make guidelines and recommendations seem authoritative. I believe that physicians think that there is a great deal more behind authoritative recommendations than there might be when you lift the lid of the box and see what’s underneath(8).”

There has been significant concern by health care organizations and medical experts that physicians are placing too much reliance on consensus statements and failing to learn of new information presented in medical journals. Thus, they lack the ability to translate this new information into treatments for their patients. The concern is that doctors fail to practice evidence-based medicine, erroneously relying on what they have previously been taught and on “expert” societies instead of changing treatment philosophies based on new information as it becomes available. This is especially true for endocrinological conditions, where physicians are very resistant to changing old concepts of diagnosis and treatment — despite overwhelming evidence to the contrary — because it is not what they were taught in medical school and endocrinology residency.

This concern is particularly clear in an article published in the New England Journal of Medicine entitled “Clinical Research to Clinical Practice: Lost in Translation” (9). The article was written by Claude Lenfant, M.D., Director of National Heart, Lung and Blood Institute, and it is well supported. He states that there is great concern that doctors continue to rely on what they learned 20 years before and are uninformed about scientific findings. According to Dr. Lenfant, medical researchers, along with public officials and political leaders, are increasingly concerned about physicians’ inability to translate research findings in their medical practice to benefit their patients. He says that very few physicians learn about new discoveries from reading medical journals or by attending scientific conferences; thus, they lack the ability to translate new knowledge in the field into enhanced treatments for their patients. He states that a review of past medical discoveries reveals how excruciatingly slow the medical establishment is to adopt novel concepts, noting that even simple methods to improve medical quality are often met with fierce resistance. “Given the ever-growing sophistication of our scientific knowledge and the additional new discoveries that are likely in the future, many of us harbor an uneasy, but quite realistic suspicion that this gap between what we know about disease and what we do to prevent and treat them will become even wider. And it is not just recent research results that are not finding their way into clinical practice; there is plenty of evidence that ‘old’ research outcome have been lost in translation as well (1).”

Dr. Lenfant discusses the fact that the proper practice of medicine involves the combination of medical knowledge, intuition and judgment and that physicians’ knowledge is lacking because they don’t keep up with the medical literature. He states that there is often a difference of opinion among physicians and reviewing entities, but that judgment and knowledge of the research pertaining to the patient’s condition is central to the responsible practice of medicine. “Enormous amounts of new knowledge are barreling down the information highway, but they are not arriving at the doorsteps of our patients. (9).”

These thoughts are echoed by physicians who have researched this issue as well, such as William Shankle, M.D., Professor, University of California, Irvine. He states, “Most doctors are practicing 10 to 20 years behind the available medical literature and continue to practice what they learned in medical school….There is a breakdown in the transfer of information from the research to the overwhelming majority of practicing physicians. Doctors do not seek to implement new treatments that are supported in the literature or change treatments that are not (10).”

This view is echoed by the Dean of Stanford University School of Medicine who states that in the absence of translational medicine the delivery of medical care would remain stagnant and uninformed by the tremendous progress taking place in science and medicine (11).

This concern has also received significant publicity in the mainstream media. An example is an article by Sidney Smith, M.D., former president of the American Heart Association, published in 2003 in the Wall Street Journal entitled “Too Many Patients Never Reap the Benefits of Great Research.” Dr. Smith is very critical of physicians for not seeking out available information and applying that information to their patients, arguing that doctors feel the best medicine is what they’ve been doing and thinking for years. They discount new research, Dr. Smith says, because it is not what they have been taught or practiced, and they refuse to admit that what they have been doing or thinking for many years is not the best medicine. He states, “A large part of the problem is the real resistance of physicians…; many of these independent-minded souls don’t like being told that science knows best, and the way they’ve always done things is second-rate (12).” The National Center for Policy Analysis also expresses concern for the lack of ability of physicians to translate medical therapies into practice (13).

A review published in The Annals of Internal Medicine found that there is clearly a problem of physicians not seeking to advance their knowledge by reviewing the current literature, believing proper care is what they learned in medical school or residency and not basing their treatments on the most current research. The review found that the longer a physician is in practice, the more inappropriate and substandard the care (14). Thus, it is not a surprise that the scientific evidence as expressed in the literature is often opposite to what is continually repeated as dogma by most physicians and those considered to be “experts.”

Another example is a study published in the Journal of the American Medical Informatics Association (15). In reviewing the study, the National Institute of Medicine reports that there is an unacceptable lag between the discovery of new treatment modalities and their acceptance into routine care: “The lag between the discovery of more effective forms of treatment and their incorporation into routine patient care averages 17 years.” (16) In response to this unacceptable lag, the Business and Professions Code passed an amendment relating to the healing arts. This amendment — CA Assembly Bill 592; An Act to Amend Section 2234.1 of the Business and Professions Code — states: Since the National Institute of Medicine has reported that it can take up to 17 years for a new best practice to reach the average physician and surgeon, it is prudent to give attention to new developments not only in general medical care but in the actual treatment of specific diseases, particularly those that are not yet broadly recognized [such as the concept of tissue hypothyroidism, chronic fatigue syndrome and fibromyalgia] (17).

The Principals of Medical Ethics adopted by the American Medical Association in 1980 states that a physician shall continue to study, apply, and advance scientific knowledge, make relevant information available to patients, colleagues, and the public (18). This has, unfortunately, been replaced with a goal of providing merely “adequate” care. The current insurance reimbursement system in the United States fosters this thinking, as the worst physicians are financially rewarded by insurance companies. While it is true that the best physicians are continually fighting to provide cutting edge treatments and superior care that the insurance companies deem not medically necessary, even these physicians eventually get worn down and are forced to capitulate to the current system that promotes substandard care.

This was clearly demonstrated in a study published in the March 2006 edition of The New England Journal of Medicine entitled “Who is at Greater Risk for Receiving Poor-Quality Health Care.” The study found that the majority of individuals received substandard, poor-quality care, and that there was no significant difference among different income levels or whether or not the individual was covered by insurance. It used to be the case that only those in low socioeconomic classes without insurance received poor-quality care. But insurance company restrictions on treatments and diagnostic procedures have made the same poor care afforded to those of low socioeconomic status the new standard-of-care for society at large (19). An example of this is a physician’s failing to spend the time to adequately assess a potential hypothyroid patient and instead simply does a TSH test.

Most physicians will satisfy their required amount of continuing medical education (CME) by going to a conference a year, usually at a highly desirable location that has skiing, golf, boating, etc. Physicians are rarely monitored as to whether or not they actually showed up for the lectures or went skiing instead. One must also understand that the majority of conferences organized by medical societies are in fact sponsored by pharmaceutical companies. These payments by pharmaceutical companies are called unrestricted grants, so that the society has free reign to do what they want with the money and thus can claim there is no influence of lecture content by the companies. The problem, however, is that if the society wants to continue getting these “unrestricted” grants, they must think twice about providing content that the sponsoring pharmaceutical company might disapprove of. Consequently, ground breaking research that goes against the status quo and does not support the drug industry receives little attention.

Evidence-based medicine involves the synthesis of all available data when comparing therapeutic options for patients. Evidence-based medicine does not mean that data should be ignored until a randomized control trial of a particular size and duration is completed. A physician who tries to avoid the need of being a physician and is fine with just being a technician or health care provider will adamantly defend the “one-size fits all” method of diagnosis and treatment. But the best doctors who truly practice evidence-based medicine and not merely the perception of such will not rely on consensus statements to best provide their patients. Instead of relying on old dogma, the best physicians will seek out and translate both basic science results and clinical outcomes to decide on the safest, most efficacious treatment for their patients. Further, the best physicians will continually assess the current available data to decide which therapies are likely to carry the greatest benefits for patients and involve the lowest risks.

References

 

The Truth About Low T: Men, Middle-Age and More

I admit it. Those low T commercials are great marketing. The middle-aged man dancing with his testosterone shadow, all his strength, energy and vigor restored. His simple solution? Testosterone supplementation. It paints an oversimplified picture of men, as if we are nothing but testosterone sponges. When we get low, we just stop off at the local testosterone dispenser and we are good to go. However, the truth is not that simple about low T.

Low testosterone is a very common problem in men today. But it is much more complex than just adding testosterone to solve the problem. Men are complex. (And you thought only women were complex!) Looking at the specific causes of low T in an individual is a critical part of creating a plan to solve the low T problem.

What is testosterone? Testosterone is the predominate hormone in men. From the moment of conception, it is the key to male development. It is what makes a man a man. It is what gave us Tim “the tool man” Taylor.

What is low T? Quite simply, it is low testosterone. Symptoms include fatigue, reduced libido, estrogen dominance, weight gain, and loss of confidence and motivation. Low T is, in many ways, the middle-aged man suffering the dreaded “mid-life crisis.” Think about it. At the same time that women experience menopause, men are experiencing their own life change. Men are just as hormonal as women; however, the symptoms of change are different.

Low testosterone is a lot more common than you think. Approximately 40 million US men suffer from low testosterone. Only a fraction of these men are symptomatic, which means most men with low T don’t even know it.

Not only is low T a silent problem, it is a growing problem. Men are discovering low T at younger ages, too. I’ve seen men as young as their mid-20’s with low testosterone. Typically, however, most men living with low T are in their 40’s and beyond.

What is the cause of low T? It would be convenient if the answer was simply low testosterone production. But look at our bodies. We are complex creations. In most cases, low T results from a combination of issues.

Cause #1: Excess weight. Today, we eat so many items that suppress the body’s natural testosterone production. Just look at the American diet. Americans eat up to 200 pounds of refined sugar, 90 pounds of fats, 63 dozen donuts, 60 pounds of cakes and cookies, 23 gallons of ice cream, 22 pounds of candy, and 15 pounds of chips, popcorn, and pretzels annually. Obviously, this leads to excess weight.

Excess weight, especially around the mid-section, becomes a major estrogen-producing factory. Not only does the associated weight gain help produce more estrogen, but the enzyme that converts testosterone to estrogen increases as we age as well. We become estrogen dominant. Increased weight = increased estrogen and decreased testosterone.

Cause #2: The environment. The environment is full of hormone-like chemicals. Xenoestrogens are environmental estrogens. They range from pesticides and insecticides to plastics to hormone-laden meat and dairy products. Although not native to the body, the body views them as estrogens nonetheless. Xenoestrogens = increased estrogen and decreased testosterone.

Cause #3: Hormones. That’s right. Even giving testosterone to some men can be a problem. A 27-year male patient came to me after he was given testosterone for a suspected low T problem by another physician. The testosterone replacement made him feel worse. Why? He was already estrogen dominant, and the additional testosterone was like throwing gasoline on the fire. His proposed cure, testosterone supplementation, turned out to be the source of his problem: excess estrogen. Too much testosterone = increased estrogen.

What is the answer to low testosterone? There is no single answer. Answers are found through customized testing which determines exact hormone levels. From these results, we can create an individualized therapy plan. Because we are all created uniquely, causes can vary. Likewise, your therapy plan should be unique. Your symptoms are clues to the underlying problem. By uncovering the problem’s root cause, an effective treatment plan can be developed which will solve those health issues and eliminate your symptoms.

The truth about low T? Only a few men really need testosterone. The majority of men need weight loss, reduction of estrogen, and the elimination of environmental xenoestrogens. It is easier to simply supplement testosterone. But that will NOT treat the problem at the source and achieve true healing.

Now that you know the truth about low T, what will you do about it? If you have symptoms and need answers or more information, call our office at 318-255-3223.

 

Confession #17: Making Peace and Making a Plan

Aging is a fact of life. From the time we are born, we’re aging. In our younger years, aging is manifested as growth. But it’s official. I have arrived at the point in life where growth has ended. Well, at least the kind of growth that is good. Now we’re in the area of bad growth…growth of the gluteus maximus. But that’s a story for another day. Let’s just say…I’m at the turning point…the crossroads…it’s time to make peace and make a plan.

Isn’t this what middle age is all about? It’s saying good-bye to your youth. It’s an acceptance of where you are. If you don’t make peace with life at this stage of the game, you are headed for a MID-LIFE crisis. You’ve seen it before. It’s usually an impractical two-seater sports car. Or maybe an infidelity that wrecks your life forever. No thanks. I’m all about making peace and making a plan.

Grow old gracefully. My mantra has always been to grow old gracefully. And I still subscribe to that. There’s nothing more beautiful than a mature woman who has grayed naturally and looks comfortable in her own skin. Cindy McCain, wife of Arizona Senator John McCain is a great example of that. She’s just lovely. I’m pretty sure she’s made peace and made a plan.

My goals for growing old gracefully are these:

1. To have the energy to do what I want when I want.
2. To live my life to the fullest without a lifetime of poor health and disease.
3. To look younger than I am, but not so young I look foolish.

Make peace with the present. I’m a practical girl by nature. I’ve learned to push up my sleeves and solve the problem. And making peace with the present is best done with action. Guess what? There’s no way you’re going to avoid aging. And guess what else? There are advantages to being older.

1. Wisdom. You’ve heard the expression, “If I knew then what I know now.” The wisdom I’ve gained in my life is a precious commodity. And honestly, I wouldn’t go back to my youth because I had too much to learn. I like knowing a lot about life and sharing that with my kids. They love my stories. And I love telling them. If you’re not sharing what you’ve learned with someone, it’s just knowledge. Knowledge becomes wisdom when you share to help others live a better life and learn from your life lessons.
2. Warmth of heart. I remember one thing about my great-grandmother in particular. My Mee-Maw, Lula Leonard Haynes, was always good for a hug. She poured unconditional love straight from her heart into mine. Her hugs were so memorable that I still vividly recall them after 3 decades. Having a warm heart, not a cold one hardened by the trials of this world, is what I want people to see in me. It’s what I want to give to my children…and one day…my grandchildren.
3. Priorities. The great thing about having years of life behind you is you gain a clear vision of what isn’t important, which helps you determine what IS important. The peculiar thing about a high school reunions is this: at the 10-year reunion everyone returns to impress with worldly accomplishments; at the 20-year reunion everyone returns happy to see each other and visit like the old friends that they are. My dad, organizer of an annual high school reunion at Shongaloo High School, told me the later reunions were so much sweeter than the earlier ones. I think people lose sight of the materialistic goals they might have embraced at a younger age, thank goodness. Over time, we learn the real value of relationships…and we learn the lack of value in possessions.

There’s no doubt that growing older has substantial benefits. I can think of several things that I am happy to give up. Changing diapers is one. Cleaning up my then-4-year-old’s vomit because the concept of throwing up IN the trash can was not yet mastered. I’m happy to move past that one. Dating…my husband and I regularly look at each other and express thanks that we don’t have to be in the dating world anymore.

Leaving the past where it belongs is an important part of making peace with the present. My desire is to embrace the life I have now and enjoy the positives at this stage, not looking back longingly at a past that will not return.

Make a wellness plan for the future. Prevention is one of my favorite words. Why in the world would you sit back and allow something bad to happen if prevention is possible. When it comes to healthcare, this is where our priorities should lie. Instead, our entire healthcare system is based on a DISEASE model. We go to the doctor when we’re sick. We get a quick fix. We go home and run ourselves into the ground until the next round of getting sick and then head back. It’s an agonizing treadmill we’re on that leads to a poor quality of life.

What if we spent our time pursuing wellness instead of just stopping the sickness? How would we go about doing that? Are we relegated to the genetics that we are born with?

While genetics plays a role in our health, it’s probably only 20% of the deciding factor according to Dr. Nathan Goodyear, a board certified and fellowship trained Metabolic Specialist. Our environment contributes the other 80% of influence in determining our health status.

We can’t change the genetics, but we can improve our body’s environment. How? There’s five areas that need to be part of our wellness plan: nutrition, exercise, hormone balance, reducing inflammation and detoxification.

Here’s a quick rundown.

1. Nutrition. You are what you eat. But are you really eating healthy? Eat foods rich in nutrients. Choose organic and eliminate your exposure to toxins. If you read the label and can’t pronounce the ingredients, don’t eat it. Yes…that includes giving up soda. Have you read that label?
2. Exercise. There’s no way around it. You will feel better every time you invest your time in exercise. You don’t have to run a marathon. You can just run a couple of miles. Or maybe just walk around the block a few times. As Nike so eloquently says: “Just do it.”
3. Hormone Balance. Hormones are the communication system of the body. And when hormones become imbalanced due to stress, poor nutrition, or even genetics, they need to be rebalanced. Keeping a healthy hormone balance requires proper testing and follow-up. Bioidentical hormones can help rebalance a body that has been tilted out of balance by the world.
4. Inflammation. Cited as the source of all disease in much of the latest research, reducing internal inflammation is key. But how? Avoiding foods that cause silent inflammation and increasing the ones that decrease inflammation is a great beginning. A diet rich in Omega-3s is key. Supplementing with fish oil, nuts and seeds, and wild fish will boost your Omega-3 intake and reduce chronic inflammation.
5. Detoxification. There’s no denying it, we live in a toxic world. Getting the toxins out of the body and reducing your exposure to toxins is an important lifestyle choice that will pay dividends in your longterm health. Using natural cleaners and avoiding chemicals is a great start. Detoxify your body with exercise (sweating is good for you) and infrared sauna, too. Again, buy organic and reduce your exposure to more toxins.

We plan for our retirement. We plan our vacations. But when was the last time you sat down to plan your wellness routine? You can’t enjoy the retirement or the vacation if you feel bad or suffer from chronic disease.

Here’s what I want. I want a healthy living plan that actively returns my body to optimal wellness. I want to feel good from the inside out. And by feeling good on the inside, the outside will look better, too. I’m doing my retirement planning…it’s just not financial planning, it’s wellness planning! I’ve got to be healthy to enjoy my future grandbabies.

Elizabeth Haynes Drewett: a hormonal woman rumored to be somewhere between the age of 30 and 50. Her job: Operations Manager and Marketing Director for Seasons in Ruston. Her training: bachelor of arts in journalism degree from LSU and a bachelor of fine arts degree in piano performance from LA Tech University. Her life: wife of C.P. Drewett, Jr. and doting mother to Langdon, age 12, and Reagan, age 6. Her passions: the state of Louisiana – as Miss Louisiana 1992 she devoted her year of service to breast cancer education and the importance of early detection; lover of music – invested 10 years as a piano teacher into the lives of the most wonderful kids in the world; lover of a good game – job experiences include PING Golf Equipment and the NBA’s Phoenix Suns. Her favorite things: an underdog who overachieves, a good laugh, a good book, a good word, and a good hair day. You can follow her on Twitter. Her column, Confessions of a Hormonal Woman, is published bi-monthly in The Minute Magazine.

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