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

 

Preventing A Broken Heart: The 4 Pillars of Heart Health

Between Valentine’s Day and American Heart Month, there’s no denying that hearts and February go hand-in-hand. This month, as we celebrate the things that make our hearts melt, let’s also think about preventing heart disease with the 4 Pillars of Heart Health: Minerals, CoQ10, Alpha Lipoic Acid, and L-Carnitine.

Not only is Cardiovascular Disease (CVD) one of the most widespread and costly problems in the U.S., it is among the most preventable. Like any other part of the body, the heart requires preventive care to ensure it will operate at its best. These days I see more preventive care for cars than for the heart. Prevention is not early detection. It is identifying those at risk and instituting therapy to actually prevent the disease. And while early detection and treatment is needed and saves lives, we need also to focus on preventing CVD altogether.

Current statistics on Cardiovascular Disease (CVD):

•   33.5% (149 million) of US adults have been diagnosed with high blood pressure
•   8% (18.3 million) of the US adult population has been diagnosed with diabetes
•   67% (34% of which are obese [149.3 million]) of US adults are either obese or overweight

These 2012 statistics tell us that we are not gaining much ground in the battle against heart disease.

So, what is the heart? The heart is complex organ, but essentially it is a big hunk of muscle. The heart is responsible for pumping the blood to the lungs to be oxygenated and then deliver that oxygenated blood throughout the body. To pump that oxygenated blood, the heart needs lots, and lots of energy (ATP). The heart uses the “power house” of the cell, called mitochondria, to generate all this needed energy.

How much energy does the heart make? The heart makes enough energy, everyday, to drive a truck 20 miles. That mileage, over an average lifespan, will get you to the moon and back. The ability of mitochondria within the heart (which is muscle) to generate energy is critical to life. In fact, the result of compromised mitochondria is aging and death. The lack of ability to produce energy, actually triggers apoptosis (cell death). Enough cell death equals organ death, which results in the body’s death. Obviously, this is not what we want. Mitochondria are crucial to the heart’s ability to make energy and avoid all the, well…unintended consequences.

At Seasons Wellness Clinic, we focus on the 4 Pillars of Heart Health which support mitochondrial function.

1. Minerals

•  Magnesium is a nutrient. Magnesium is needed for more enzyme reactions than any other nutrient, which makes it extremely important.
•  B Vitamins give us energy. Why? One reason is B vitamins are co-factors in energy production. Many of the B vitamins are co-factors in the Kreb’s cycle, another very important pathway for energy production.

2. CoQ10 is critical in energy production. CoQ10 is a carrier protein between complex I and complex II of the electron transport chain (ETC). The ETC is where your body makes most of the ATP (energy). CoQ10 is an antioxidant as well.

3. Alpha Lipoic Acid is very important in the pyruvate dehydrogenase enzyme complex. This enzyme complex is very important in the first steps of energy production from glucose, a process called glycolysis. Alpha Lipoic Acid, like CoQ10, is an antioxidant.

4. L-Carnitine is involved in the “fat shuttle.” Carnitine is involved in how the cell shuttles fat into the mitochondria for energy production. You can see how a compromised “fat shuttle” can effect energy production and fat production. L-carnitine, too, is an antioxidant.

Not only do we want to evaluate these critical components (and yes, we can test for these essential molecules), but we want to prevent any compromise to their function. A major cause of component malfunction in the body’s processes is mineral depletion, and the #1 cause of mineral depletion is prescription drugs.

To demonstrate my point, let’s use Metformin and Statin drugs as examples. First, Metformin, a good prescription drug for Diabetes, is known to deplete the body of Magnesium, B12, folic acid, CoQ10.  And second, Statin drugs, for cholesterol, are known as disruptors of CoQ10. Ever wonder why those on statin therapies complain of muscle pains/cramps?  If you poisoned your muscle’s ability to make energy, you would do the same. I am not opposed to these medications, it is just very important that we understand that a patient with Diabetes and high cholesterol (closely linked) must avoid therapies that actually worsen the problems.

To help the heart live long and strong, remember the 4 Pillars of Heart Health. There are four major vessels of the heart as well as four major obstacles to heart health. For more information about heart health, specialized testing, and medical-grade supplements, contact a Patient Relations Specialist at Seasons Wellness Clinic at (318) 255-3223.

 

From The Doctor’s Desk: New Year Solutions

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!

My Doctor Said I Have Polycystic Ovary Syndrome

Each week, I wonder what I should write about on the SeasonsWC blog. Then, I listen to my patients, and they tell me what they want to know. (Funny thing listening to your patients). This week, at least three women had questions about their diagnosis of polycystic ovary syndrome. Some time ago an ultrasound revealed that they had multiple ovarian cysts, and they were given birth control pills to control their symptoms. That was all they knew.

“So I learned I have cysts on my ovaries,” they said. “But what does that mean?”

Doctors call it polycistic ovary syndrome. To make things even more confusing, we’ll often just call it PCOS or PCO. (It’s fewer syllables.)

PCO is a hormonal syndrome. A syndrome is a group of symptoms that collectively indicate a disease or other abnormal condition–and PCO is an abnormal condition, not a disease. Of course, abnormal conditions can lead to disease. But an abnormal condition can also be restored to a healthy condition, whereas disease cannot.

PCO is the most common hormone problem in women today, effecting 5% of reproductive aged women. It causes androgen excess, another fancy medical term that means a woman’s body is producing too many male hormones. This means women may have facial hair, hair loss, low voice, acne… Androgen excess in women has been recognized by doctors since Hippocrates. You may have heard of the Hippocratic Oath. Hippocrates discovered a lot of things, including facial hair in women.

To be more specific, PCO is characterized by

• High androgen levels (think testosterone)
• High insulin levels and insulin resistance
• Irregular cycles (due to anovulation)
• Multiple ovarian cysts

It doesn’t really sound so bad–just facial hair, acne, deep raspy voice, and irregular cycles. Obviously, those symptoms are a very big deal for many women. In fact, they are the primary complaints of women with PCO. But they aren’t the biggest problems. PCO is associated with some pretty serious diseases and health problems:

• Obesity (50% of women with PCO)
• Type II diabetes (10% of women with PCO)
• Infertility
• Cardiovascular disease (hypertension, abnormal cholesterol, atherosclerosis)
• Psychopathology (anxiety, depression, bipolar, eating disorders)
• Cancer (breast, uterine…)
• Metabolic syndrome

Worst of all, polycystic ovary syndrome, if untreated, leads to poor health and early death. But don’t worry! We know how to treat PCO, and I’ll talk about that in my next post.

Hormone Therapy May Help You Lose Weight

I am always shocked when I read this statistic: 33% of women in America are obese; 62% are overweight. That’s the bad news. The good news is that obesity among women may be stabilizing.

What is obesity exactly? If your doctor tells you that you are obese, it means your body mass index is greater than 30. A normal body mass index should be less than 25. A body mass index of 25-29.9 is overweight.

Being overweight or obese is the number one health problem facing women today. Period. It leads to diabetes. Hypertension. Cardiovascular disease. Strokes. It can even contribute to cancer. Being obese is a disease, and it should be treated as such.

Here’s what I tell patients who are obese: for your health and longevity, we need to help you lose weight. We’ll start by assessing where you are with your body. Eventually, we’ll put you on a weight loss program, but we need to make sure your body is ready to lose weight first.

How would a body not be ready to lose weight?

Well, if you have estrogen dominance, your body may work against you losing weight. Think about women over forty who start to gain weight around their middle section. They’ve stopped ovulating and stopped producing progesterone. But they are still producing estrogen. That means they’re experiencing “estrogen dominance.”

I know, I know. More medical speak. Don’t worry about what “estrogen dominance” means exactly. Just know that estrogen tells everything to grow… including fat cells. So if you’re in an estrogen dominant state, that’s going to do nothing but promote weight gain.

If we don’t address the estrogen problem, you’re not going to be able to lose weight very efficiently. That’s why we often start with hormone therapy.

What is Metabolic Syndrome?

Metabolic syndrome is a collection of conditions that occur together to increase a women’s risk of heart disease, peripheral vascular disease, stroke, and type II diabetes.

It isn’t a disease, so much as a collection of conditions. However, it can still be dangerous if left untreated, possibly leading to the diseases listed above: peripheral vascular disease, heart disease, stroke, and type II diabetes.

The identification of metabolic syndrome provides a window of opportunity for treatment to prevent disease.

The following risk factors co-exist in metabolic syndrome…

• abdominal obesity
• blood fat and cholesterol disorders
• elevated blood pressures
• insulin resistance
• pro-blood clot state
• pro-inflammatory state

Abdominal obesity and insulin resistance are the dominant risk factors. Other conditions that affect metabolic syndrome include physical inactivity, aging, hormonal imbalances, and genetic predisposition.

Since it isn’t a disease, we diagnose metabolic syndrome by looking for co-existing symptoms. Any three of the following are required to meet the classification of metabolic syndrome…

• abdominal obesity (waist circumference >35 inches)
• elevated triglycerides (>150)
• low HDL (<50)
• elevated blood pressure (> 130/85)
• elevated fasting glucose (>110)

Metabolic Syndrome is not uncommon. It is estimated that over 50 million Americans have it. We treat it by managing a patient’s weight loss, increasing physical activity, treating hypertension, prescribing daily aspirin therapy to reduce pro-blood clot states, and treating elevated triglycerides and/or low HDL levels.

What is Polycystic Ovarian Syndrome?

My doctor said I have Polycystic Ovarian Syndrome or PCOS? What does this mean?

PCOS is really just a collection of symptoms that include menstrual abnormalities, hirsutism, obesity, and infertility. It was first described in 1935.

Hirsutism is hair distributed in a male pattern on genitalia, face, chest, abdomen, inner thighs.