Seasons Wellness Clinic

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

Dr. Nathan Goodyear, Overseeing Physician at Seasons Wellness Clinic

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

 

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Featured Essential Oil: Orange

Orange, as a pure essential oil, not only relaxes the mind with its sweet citrus scent, but it is also great for the immune system. It aids as an anti-inflammatory, relieving inflammation caused by infection, fever and toxins. For both ladies and gentlemen, orange can promote good hormones and enzymes along with keeping your metabolism running smoothly.

Orange essential oils offer a magnitude of health benefits and therapeutic properties, including:

  • Anti-depressant. Well-known for its uplifting properties, orange essential oil is soothing to the mind and helps to relieve stress. It is refreshing and relaxing and commonly used for the treatment of anxiety.
  • Anti-inflammatory. It provides relief from both internal and external inflammation caused by infections. It is helpful in treating swollen tissue by stimulating blood circulation.
  • Anti-septic. It inhibits microbial growth and can help ease a sore throat if used in a gargle. It also helps to heal mouth ulcers when used in a mouth wash.
  • Improves Digestion. It is known to promote digestion, ease constipation and increase the absorption of vitamin C. Use as a massage oil in the abdominal area.
  • Anti-Cancer. D-limonene is a super-nutrient that occurs in Orange essential oil. It has been studied extensively for its ability to prevent cellular mutations and combat cancer tumor growth.
  • Encourages Detoxification. Orange essential oil encourages detoxification by acting as a diuretic. It also stimulates the lymphatic system, the bladder and kidneys. Increased urination assists in the elimination of toxins like uric acid, bile and excess salts and helps relieve fluid retention. Detox and cleansing properties help breakdown and eliminate cellulite.
  • Skin Treatment. Orange essential oil is shown to promote the production of collagen as well as increase the blood flow to the skin. It is helpful at soothing dry, irritated skin as well as acne-prone skin. It is excellent for rubbing on calluses on the feet.
Whether this wonderful oil is ingested, diffused, or used topically, the diverse benefits your body will receive can certainly be the help you need to look and function at your best! Want to try orange essential oil for FREE? Attend our Couples Massage Class and receive a Young Living essential oil in your goody bag!

 

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Bethany Cox, LMT & Certified Facial Reflexologist

Bethany Cox, LMT & Facial Reflexologist
A graduate of Cedar Creek School, Centenary College of LA (Health and Exercise Science) and Natural Health Institute in Nashville, TN (Massage Therapy), Bethany has many talents! Besides being a smartie (she has always made great grades) and a fabulous massage therapist, she is an accomplished pianist and golfer. She even played golf in college. Bethany enjoys setting goals for herself and achieving them. Her favorite moment? A hole-in-one! Her favorite way to decompress after a long day? Scrapbooking, exercising, and practicing deep breathing for relaxation.

What is the Cost of No Health?

“Health is like money, we never have a true idea of its value until we lose it.” – Josh Billings

Dr. Nathan Goodyear

The rising cost of healthcare is a big topic today, and rightly so.

In 2009, the cost of healthcare was $2.5 trillion. That is 17% of the United States’ Gross Domestic Product (GDP). This is the highest annual jump as percentage of GDP in history.

And what about health insurance premiums? They are on the rise, too, due to the increase in mandates through the Patient Protection and Affordable Care Act, better known as ObamaCare.

Government healthcare mandates account for up to 50% of the costs of health insurance.  According to the Congressional Budget Office, the new federal mandates in the Patient Protection and Affordable Care Act will cause a significant increase in individual health insurance premiums.

What are we getting for these rising costs? Are we healthier? Are we seeing less disease? Are we seeing less cancer? Are we seeing less depression and anxiety? Are we seeing fewer prescriptions? No. The exact opposite is true. Unfortunately, the poor health of Americans is on the rise. In fact, the US consistently ranks low in quality and efficiency of healthcare and ranks #1 for the highest percentage of obesity with 30.6% of all Americans considered obese.

When we talk about health, we are not talking about the cure of disease or about early detection. Instead, the conversation needs to begin with prevention. And prevention can only occur through healthy lifestyle choices.

A snapshot of poor health is to simply look at obesity. We are losing that battle. Obesity is the doorway to disease. According to the Center for Disease Control (CDC), 67% of Americans are overweight and over half of those are obese. In 2010, 38 states had obesity rates above 25%. Contrast that to 1991 when no state had an obesity rate that exceeded 20%.

What about the kids? Ten percent of kids 2-5 are obese, 20% of kids age 6-11 are obese, and 18% of adolescents are obese.

So, what is the cost of poor health? According to a study by the CDC and RTI, the direct and indirect healthcare costs are as high as $147 billion annually. Overweight individuals pay about 42% more in healthcare costs than comparable healthy individuals. This equates to an extra $1,429 out of your pocket annually. And that figure reflects 2009.  This amount will only increase annually.

What about individual costs?  Remember, obesity is the doorway to disease.  So, let’s follow the path of disease development.  According to a report released by the George Washington University School of Public Health, the direct individual costs of obesity are $4,879 for women and $2,646 for men annually.

Let’s add the cost of disease to the cost for obesity.

  • Cardiovascular disease. For our discussion purposes, this will include high blood pressure, cardiac events, strokes, and associated treatments for an initial event. Kaiser Permanente did a 7-year study of the direct, annual costs of cardiovascular disease. In this study, they found that the direct, individual costs of an initial cardiovascular event was $18,953.  A second event would increase the costs by 4.5 times.
  • Cancer.  According to the American Cancer Society (ACS), the direct total costs were $93.2 billion in 2009. For our discussion purposes, let’s use prostate cancer (the highest incidence in men) and breast cancer (the highest incidence in women).

For prostate cancer, the average costs were divided into 2 categories: watchful waiting and treatment. The costs were followed over 2 years for more than 9,000 men. The direct individual costs of watchful waiting was $24,809. Compare this to the 2-year individual costs of $59,286 for the treatment group.

For post-menopausal women, the annual direct costs of breast cancer was found to be $13,925.  The costs of cancer are known to be a “U” curve. The highest costs concentrate in the initial phases and the last phases of disease treatment.

So, let’s add this all together assuming a 5-year window of treatment and assuming aggressive treatment, not watchful waiting.

Again, assuming a 5-year window of treatment, the total costs for men would be $314,930 and $247,505 for women.

Remember, these costs include direct costs only. They do not include indirect costs.  Additionally, these numbers are all pre-2011 dollars and are only calculated over 5 years, so the costs are even higher today.

This disease/cost hypothesis assumes the coexistence of obesity, diabetes, cardiovascular disease, and cancer simultaneously. Though the coexistence of all 4 diseases simultaneously is not common, it is very common for obese individuals to have diabetes and cardiovascular disease simultaneously. Then, give time, the risk for the examples of prostate and breast cancer increase significantly. These costs may be spread out over a lifetime, but still would exist.

Obviously, America is not getting healthier and the costs of healthcare continues to increase due to the prevalence of disease. The disease-focused model of healthcare is not working to improve the health of Americans.

We need a disease model to treat disease when it exists. However, the disease model is not effective in producing GOOD health and PREVENTING disease. We need a new health and wellness model. This can only be accomplished through an individual, metabolic analysis and treatment plan. This is the type of treatment we offer at Seasons Wellness Clinic in Ruston, Louisiana and Seasons of Farragut in Tennessee.

“The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and in the cause and prevention of disease.” – Thomas Edison

According to Wikipedia, the definition of health is this: the level of functional and (or) metabolic efficiency of a living being. Health implies being free from illness, injury or pain.

The cost of healthcare is directly proportional to the lack of health of our citizens. It is by practicing true preventive medicine, increasing the metabolic efficiency of the body, that we will actually reduce the cost of healthcare and provide good health for our nation.

 

Managing Stress With Facial Reflexology

One word can sum up the root of most illnesses in America today. And the word is…stress!

Stress can cause a variety of problems from wrinkles, to ulcers, to more severe illnesses such as cancer. At Seasons, we offer services to help manage stress including Facial Reflexology. Not only is Facial Reflexology relaxing, but it is a natural way to improve the body’s function and appearance from the inside out. A soothing Facial Reflexology treatment is performed by the practitioner applying pressure on different points of the face and scalp, as well as massaging specific areas searching for deposits or “knots” under the skin. These deposits will reveal problematic areas that can act as the base of future treatments. Symptoms can be treated over time through working with these deposit areas. Each client is unique and some treatments are recommended through a series of 4 or more treatments.

Bethany Cox, LMT & Certified Facial Reflexologist

 

“Following a Facial Reflexology session, most clients feel deeply relaxed with a healthier complexion. Individuals should get plenty of rest and consume plenty of water to support the body in its transition.”  – Bethany Cox, LMT & LFR

 

What is Facial Reflexology?

Facial Reflexology combines the modern science of neurology with ancient therapies of Traditional Chinese Medicine, South American Zone Therapy, Vietnamese face maps, and Acupuncture points. This technique of Facial Reflexology was developed by Lone Sorenson. Sorenson’s technique is based around the idea that by using finger tip pressure, you can stimulate a release of endorphins and serotonin, leaving the face feeling relaxed and rejuvenated. This stimulation sends impulses through the central nervous system and the meridians to the physical body and the major organs. Sorenson’s technique of Facial Reflexology stimulates blood circulation and lymphatic drainage in addition to balancing hormones and leveling emotions. The technique calms the body and allows it to heal naturally.

Want more information about the benefits of Facial Reflexology? Check out our other blog posts:

To schedule your Facial Reflexology session or a consultation with our Facial Reflexologist, call Seasons – The Spa at 318.255.1155.

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Not Just Surviving. Thriving!

"Not Just Surviving. Thriving." T-shirts are available at Seasons Wellness Clinic in Ruston.

Seasons Wellness Clinic was thrilled to support the fight to end breast cancer by participating in the Susan G. Komen Race For The Cure 5K on September 25th, 2010. Seasons organized a team of twenty-five participants made up of patients, friends, survivors and staff members. Each member of the Seasons Race for the Cure team wore a “Not Just Surviving. Thriving.” t-shirt to represent Seasons approach to wellness, celebrate survivorship, and honor those who have lost their battle with breast cancer.

At Race for the Cure, Seasons was awarded ‘Highest Fundraising Healthcare Team’ by raising $2,150 and the ‘Largest Healthcare Team’ with 25 participants (both categories were awarded for teams outside of Ouachita Parish).

Seasons Team with ‘Highest Fundraising Healthcare Team’ award at Race For The Cure

October is Breast Cancer Awareness Month and to help raise funds and awareness for the fight against this life threatening disease, Seasons is donating to Susan G. Komen. You can help us raise money for Susan G. Komen for the Cure in the following ways:

  • For every October Beauty Bonus purchased, Seasons will donate $10 to Susan G. Komen for the Cure.
  • For each “Not just surviving. Thriving.” t-shirt purchased, the total amount of the proceeds will be donated to Susan G. Komen for the Cure. “Not just surviving. Thriving.” t-shirts can be purchsed at  Seasons Ruston location.
  • For each gift card purchased during the month of October, 10% of the total amount will be donated to Susan G. Komen for the Cure.
  • Donations can be made at Seasons Wellness Open House on October 21st.

The lobby of Seasons Wellness Clinic in Ruston, La.

Seasons Wellness Open House will be October 21st from from 5-8 p.m. Guests can take a tour of Seasons’ new location at beautiful Northpointe Office Park in Ruston, learn about the many new services they now offer, and help raise money for Susan G. Komen for the Cure.

Come and meet Seasons’ friendly and highly-trained aestheticians Lisa Best and Joy Smith, massage therapists Bethany Cox and Aaron Jennings, RNs Susan McWhorter, Jennifer Johnson, and Amanda Williams, registered dietitian Valerie Costanza, nurse practitioner Anna Stephens, as well as board-certified and fellowship trained Metabolic Specialist Dr. Nathan Goodyear. In addition to the entire Seasons staff, representatives from respected companies such as Guinot, Xymogen, Allergan, Sprayology, and more will attend.

Help make a difference in the lives of our patients, our mothers, our sisters, our friends, and others who have been affected by breast cancer.



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From the Doctor’s Desk: Think Pink — It’s Breast Cancer Awareness Month!

Dr. Nathan Goodyear

Dr. Nathan Goodyear

I love the change of seasons. I particularly love fall in the South. The oppressive heat of summer gives way to crisp, cool mornings, green leaves give way to brilliant colors, and college football returns.  But, October is even more special than that. October brings attention to one of the greatest fears of women — breast cancer.  October is Breast Cancer Awareness month.

There is much to be excited about in the arena of breast cancer treatment. Earlier detection, minimally invasive surgery, and high survival rates head the list. Credit needs to be given to the great work of many organizations like the Susan G. Komen Foundation and many researchers and physicians around the world.

But, breast cancer has not given up.

Let’s look specifically at the most current statistics of breast cancer. The lifetime probability of women developing breast cancer (2003-2005) is 1 in 8.  That amounts to about 185,000 women annually. Breast cancer accounts for 27% of all cancers in women. Breast cancer accounts for 15% of all cancer deaths in women and is the second leading cause of death due to cancer in women — only surpassed by lung cancer.  Pink Ribbon

The statistics are not all bad. Breast cancer has decreased by 27% from 1990 to 2005. Five-year breast cancer survival rates are improving — 91% for Caucasian women and 78% for African-American women.

Weight contributes to breast cancer risk. Since 1960, the percentage of obesity has risen from 16% to 36% (2006). That means that 1/3 of the female population is obese. What a disturbing trend! And even worse, the trend of breast cancer has paralleled the obesity trend in women.

Here are the current Screening Guidelines:

  • Yearly mammograms starting at age 40
  • Clinical breast exam every 3 years for women in their 20’s and 30’s; annually after 40
  • Self breast exams should begin in early 20’s

The focus in breast cancer today is on early detection and treatment.  At Seasons, we want to focus on prevention. Why ever let the cancer develop in the first place. Follow us over the next couple of weeks as we focus on how.

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From the Doctor’s Desk: Research Shows Vitamin D Insufficiency Linked To Cancer

Dr. Nathan Goodyear

Dr. Nathan Goodyear

Inadequate sunlight exposure has been linked to many cancers. (Click here for article.)

  • Breast
  • Colon
  • Ovary
  • Prostate
  • Bladder
  • Esophagus
  • Kidney
  • Lung
  • Pancreas
  • Rectum
  • Stomach
  • Uterus
  • Non-Hodgkins Lymphoma

Recent research suggests that vitamin D therapy can prevent cancer.  Another article suggested that Vitamin D levels greater than 55 ng/ml would prevent 60,000 cases of colorectal cancer and 85,000 cases of breast cancer in North America. The same article projected that 250,000 cases of colorectal cancer and 350,000 cases of breast cancer world wide would be prevented each year.  In fact, the American Journal of Clinical Nutrition recently showed a 77% reduction in breast, ovarian, colorectal cancers as well as lymphoma and leukemia just by normalizing the amount of Vitamin D in a patient’s body.

Vitamin D Therapy Another Cog In The Wheel of Wellness.

I practice Integrative and Functional Medicine and this research supports my approach. By replacing exactly what the body needs, in this case Vitamin D, my patients can improve their bone health, improve symptoms in a myriad of other conditions, and possibly even prevent cancer in their bodies. No anti-depressants, no relaxants, no harmful medications, and no side effects. Our focus is treating the cause of symptoms and, as a result, providing true health and wellness.

Related articles by Zemanta and others:

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All Estrogens Are Not Created Equal

There is a lot of confusion in the medical and non-medical communities regarding estrogens. Many today think there is only one estrogen. Many today think bioidentical estrogens and synthetic estrogens are identical in structure and function. Many today think estrogen production stops after menopause or after a total hysterectomy. However, this couldn’t be further from the truth.

Dr. Nathan Goodyear

Dr. Nathan Goodyear

The body never stops producing estrogens. The body, in fact, produces 3 types of estrogens: estradiol, estrone, and estriol. These are the natural estrogens native to the body and the foundation of bioidentical hormone replacement of estrogen.

A woman’s body produces estrogens in various places. Most people knows that ovaries produce estrogens. But did you know that the adrenal glands and fat cells produce estrogens, too? Think about that for a minute. This explains why women of all ages continue produce estrogen. Our adrenal glands don’t disappear at menopause. And fat cells certainly don’t. So how do we know if a woman needs estrogen?

Let’s look more closely at the 3 main estrogens produced in the body.

  • estradiol
  • estrone
  • estriol

Estriol is a good place to start. Estriol is the weakest of all Estrogens. A woman’s placenta produces very large amounts of estriol during pregnancy. However, estriol is not confined to pregnancy. The liver produces small amounts, too. Estriol primarily affects a woman’s hair, nails, skin, and her vaginal lining. Studies also suggest estriol has potential in breast cancer prevention because estriol binds to specific receptors (beta-receptors) in the breast that inhibit breast cell growth. All other estrogens would be expected to increase breast cell growth (which can lead to cancer) through activity with alpha-receptors.

Estrone is the second most potent estrogen. Estrone is predominately produced in fat cells after menopause. Overweight women have high circulating estrone levels. Unfortunately, 63% of American women are overweight or obese, so many women have high estrone levels. Estrone levels rise even more after menopause, and estrone has been implicated in breast tumors in animal studies. (Scientists say this because estrone has a 5:1 affinity for alpha breast receptors, but that’s pretty technical.) Just remember that alpha-receptors increase breast cell growth. You could say estrone encourages breast cell growth, and that can lead to uncontrolled breast cell growth. We call that breast cancer.

Estradiol is the most potent estrogen. Estradiol is produced predominately from the ovaries. This means a woman will have less estriadiol after menopause because her ovaries are producing less. Estradiol is the main stimulus for growth of the lining of the uterus in the first 2 weeks of the monthly cycle, and it helps in triggering ovulation. Like estrone, estradiol has been implicated in breast tumors. It has a 3:1 affinity for alpha-receptors in the breasts, which promote breast cell growth and can lead to cancer.

That’s a lot of information for one blog post, I know. But remember the overall point. Bioidentical hormone therapy is much more than the use of bioidentical estrogen. It is about which estrogens your body needs to maximize efficacy, reduce side effects, and prevent disease.

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Phytonutrients…What Are They?

Fruits and vegetables are good sources of anti...

Phytonutrients are nutrients found in plants that may affect health positively. The health benefits found in these nutrients include decreasing the risk of heart disease and cancer, improving glucose control in people with diabetes, and much more. A few examples of phytonutrients are: carotenoids, flavonoids, lignans, phytosterols and stanols, and some vitamins. Each phytonutrient is found in varying amounts in whole grains, fruits, vegetables, legumes and nuts.

Phytonutrients function by:

  • Serving as an antioxidant
  • Enhancing the immune system
  • Altering estrogen metabolism
  • Causing cancer cells to die
  • Repairing DNA damage

Eating a wide variety of colorful fruits and vegetables and replacing refined grains with whole grains will ensure you are getting the beneficial effects of these powerful phytonutrients. To learn more, contact our office and schedule an appointment today.

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Bioidentical Hormones: What Does The Scientific And Medical Evidence Say?

Dr. Nathan Goodyear

Dr. Nathan Goodyear

A young lady came into my office the other day to discuss hormones. She was a breast cancer survivor. Her concern, and rightly so, was her risk of getting breast cancer again. Since she lived in the south (our main office is in Ruston, Louisiana), she had experienced the women’s ritely passage of menopause: “the hysterectomy ceremony.”

Her question to me was: can she take hormones? Years ago, her cancer doctor had placed her on premarin, telling her that it was safe. She also was told that because she had a hysterectomy, progesterone was not necessary. Her gynecologist, in contrast, told her she couldn’t take premarin. Different doctors, different opinions.

Garden with some tulips

Image via Wikipedia

I’m not trying to offer a third opinion here. I just want to stay focused on the evidence. That is what evidence-based medicine is all about. Unfortunately, market forces are clouding evidence-based medicine today.

In earlier posts, I’ve talked about progesterone, synthetic progestins and their polar opposite effects on a woman’s breasts. Progesterone lowers risks. Progestin increases risks. I want to get a little more specific today with some information from an outstanding review of the evidence. In Dr. Kent Holtorf January 2009 article, the Bioidentical Hormone Debate, he exhaustively reviewed 196 research articles. (If you aren’t up to reading the full article, you can read an abstract of the review.)

Here is my summary of the risks associated with synthetic progestins:

  • increased breast cell growth
  • increased conversion of weaker estrogens into more potent estrogens
  • promoted the formation of toxic estrogen metabolites (16-hydroxyestrone)
  • stimulated the conversion of inactive estrogen to active estrogen (estrone sulfate to estrone)
  • had anti-apoptotic effects. (Apoptosis is programmed cell death: which is a way to control cancer growth. Anti-apoptosis means your body lacks this method of controlling cancer growth.).

Contrast this with the benefits of the natural bioidentical hormone progesterone.

  • reduced breast cell growth by 400%
  • downregulated estrogen receptors in the breast
  • induced cancer cell apoptosis (programmed cell death that helps control cancer growth)
  • reduced breast cell division and growth
  • and in some studies, progesterone actually arrested human breast cancer cells.

After looking at nearly 200 independent studies, Dr. Kent Holtorf concluded that “Both physiological and clinical data have indicated that progesterone is associated with a diminished risk for breast cancer, compared with the increased risk associated with synthetic progestins.” Studies have shown that synthetic progestins increase the risk of breast cancer:

  1. by approximately by 25% for each 5 years of use
  2. by triple the risk (67%) of breast cancer when added to estrogen therapy
  3. double the risk to 4% per year when compared to estrogen therapy alone.

This is in stark contrast to bio-identical progesterone, which reduces the risk of breast cancer by 10%.

“As far as the east is from the west”—that is how different the effects of progesterone and synthetic progestins are on the breast. Holtorf concludes his article in Postgraduate Medicine with statements like this: “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.”

In my next post, I’ll look at synthetic premarin versus bioidentical hormone estrogen.

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