How well are you aging?
Perimenopause hit me hard. I might have made it through the hot flashes on my own but the mood crashes were unbearable. I don’t know how I’d have survived without naturopathic medicine. Dr. Pinault has a calm, steady energy, is very through, and has a toolbox chock full of ways to help including bio-identical hormones, supplements, herbal remedies, and nutritional advice. Thanks to her I made it through this very challenging time and am now happily on the other side of menopause.
~ Bonnie McFarland
La Bella Via
www.LaBellaVia.com
DHEA (DHEA-sulfate, dehydroepiandrosterone):
DEFICIENCY SYMPTOMS:
- Fatigue
- Lack of sex dive
- Lack of enjoyment of life
- Mood changes
- Memory and cognitive changes
- High cholesterol
- High blood sugar (glucose)
- Cardiovascular disease
- Blood clot formation
- Loss of blood vessel elasticity
- Obesity
- Loss of bone density
- Chronic inflammatory disorders
- Autoimmune disorders
- Chronic stress
- Fatty liver
- Night sweats
THYROID HORMONES (T4 AND T3):
DEFICIENCY SYMPTOMS:
- Fatigue
- Weight gain
- Depression
- Menstrual disorders
- Dry skin
- Constipation
- Hair loss
- Memory loss
- High cholesterol
- Cardiovascular disease
- Loss of bone density
- Chronic inflammatory disorders
- Autoimmune disorders
PROGESTERONE
DEFICIENCY SYMPTOMS:
- Prolonged bleeding
- Premenstrual headaches
- Premenstrual tension
- Shortened menstrual cycles
- Increased menstrual pain
- Increased menstrual bleeding
- Bleeding between menses
EXCESS SYMPTOMS:
- Sleepiness / drowsiness
- Depression
SYNTHETIC ‘PROGESTINS’ CAUSE:
- Depression / mood shifts
- Weight gain / bloating
- Loss of libido
- Increase risk of blot clots / stroke
ESTROGEN
DEFICIENCY SYMPTOMS:
- Hot flashes / night sweats
- Loss of mental clarity
- Headaches, migraine
- Vaginal dryness, skin changes
- Decreased sex drive / response
- UTI’s, UTI like symptoms, recurrent vaginitis
- Bleeding between menses
EXCESS SYMPTOMS:
- Headaches
- Breast tenderness
- PMS
- Muscle cramps
- Breast and uterine cancer
- Heart disease
- Dementia
TESTOSTERONE
DEFICIENCY SYMPTOMS:
- Fatigue
- Loss of muscle strength
- Loss of vitality
- Loss of sex drive
- Sadness, grumpiness
- Osteoporosis / osteopenia
EXCESS SYMPTOMS:
- Moodiness, irritablity
- Acne
- Increased facial hair
- Deepening of voice
- Prostate enlargement
- Bladder inflammation
MELATONIN
DEFICIENCY SYMPTOMS:
- Insomnia
- Depression
- Alcoholism
- Impaired memory, mental confusion
EXCESS SYMPTOMS:
HGH / HUMAN GROWTH HORMONE
DEFICIENCY SYMPTOMS:
- Abdominal obesity
- Loss of skin elasticity
- Fatigue
- Low confidence, self esteem
- Lack of muscle strength
- Bone loss
- Lack of sex drive
- Kidney disease
- Hair loss (especially pubic)
- Lowered immunity
- Elevated cholesterol
CORTISOL
DEFICIENCY SYMPTOMS:
- Fatigue
- Confusion, memory loss
- Loss of sleep-wake cycle
- Inflammation
EXCESS SYMPTOMS:
- Anxiety
- Insomnia
- Low testosterone, muscle tone
- Increased body fat
- Decreased bone density
- Immune impairment
- PMS, menopausal symptoms
- Loss of sleep-wake cycle
- High blood sugar
HORMONE BALANCING THERAPIES
As we age we experience a decline in the production of many hormones. These shifts can begin as early as in our 30’s. Over time we will experience a drop of most hormones but when hormone production drops below a certain level this can cause the onset of undesirable symptoms and even disease. For example, research demonstrates that men with low testosterone levels are four times more likely to experience heart disease.
One of our main goals at AGE WISELY is to assess your hormone levels with the most advanced, sensitive testing available at reasonable costs and to guide you on how you can keep your hormone levels in optimal ranges to slow the aging process and prevent disease.
Balancing hormones involves reducing undesirable, disease causing hormones and boosting health promoting hormones. “Balancing hormones” does not equate with taking hormone replacements, although it can include this therapy. You can also bring hormones into balance through diet, exercise, detoxification, vitamins, herbs and homeopathic remedies, among others. Every person is unique and must be treated individually. We will identify which hormones you may need to optimize and inform you of the safest, most effective methods of doing so.
When hormone supplementation is warranted, we advocate the use of Bio-identical hormone therapies. Bio-identical hormones have the same chemical structure as the hormones made in the human body whereas other pre-manufactured hormones from pharmaceutical companies may not be bio-identical. Non bio-identical hormones have been shown to produce more unwanted side effects.
Here is a list of your main metabolic hormones and their important functions to demonstrate the benefit of keeping their levels in balance.
DHEA (DHEA-sulfate, dehydroepiandrosterone):
- Is normally the most abundant steroidal hormone in the human body.
- Is primarily made in the adrenal glands, and to some degree in ovaries and testes.
- Levels peak in our mid twenties, then decrease by half with each decade of life.
- Has beneficial effects to prevent diabetes, malignancy (colon), inflammation, osteoporosis, and collagen diseases
- Increases insulin sensitivity and insulin secretion
- Is the precursor to progesterone, testosterone and estradiol
- Is a ‘neurosteroid’ which promotes nerve cell function
- Increases Nitric oxide synthesis, keeping blood vessels healthy
THYROID HORMONES (T4 AND T3):
- Major metabolic hormones in the body that control metabolism, immunity, reproduction
- Promotes all major to function by docking on receptors
- T4 synthesis requires iodine, tyrosine
- T3 synthesis occurs in the liver and B vitamins and selenium
- Both are bound to carrier proteins and are only active when free
- T4 significantly affects the heart and digestive system
- T3 significantly affects the brain, nervous system and muscles
- Levels drop in up to 2.5% of pregnant women, and 9% women after pregnancy, and 20% post menopausal women
PROGESTERONE
- Produced in the ovaries, brain and nerve cells
- Helps maturation of ovums (eggs)
- High levels in pregnancy maintain the pregnancy
- Relaxes muscles such as the uterus, prevents contractions
- Prepares the uterus for pregnancy, thickens uterine lining
- Drop in progesterone production signals menstrual bleeding
- Is often the first hormone to drop in perimenopause
- Is calming, reduces tension and anxiety
- Prevents breast, uterine cancer with estrogen replacement
- Wild yam creams contain the precursor for progesterone, not the active form
- Bioidentical progesterone has been proven safer than synthetic forms (Provera, Norgestrel)
- Improves mood by increasing brain endorphins
- Needed to maintain bone density
- Contributes to collagen formation in the skin
ESTROGEN
- Produced in the ovaries and fat cells
- 3 main forms in the body: E1 (estrone) E2 (estradiol) E3 (estriol)
- Stimulates growth of ovarian follicle which produces eggs
- Has receptors on most organs in the body
- Contributes to collagen formation in the skin
- Strengthens and promotes urethral and vaginal cell functions leading to lubrication
- Endogenous estrogen through life helps normal function of blood vessels, keeps cholesterol low and helps with bone formation (However the Women’s Health Initiative Studies concluded that supplementation with equine estrogens for more than five years after menopause was associated with an increase risk of cancer, bone loss, dementia and heart disease)
- Interacts with many parts of the brain leading to memory, learning, nerve cell regeneration
- Can be prescribed as capsule, vaginal ring, gel, cream or patch
- Improves mood by increasing brain endorphins
MELATONIN
- Normally produced in large quantities at night by Pineal gland
- Produced from 5-hydroxytryptophan
- Is a main modulator of the endocrine system and affects many other hormones
- Suppressed by increased cortisol (stress)
- Maintains normal sleep-wake cycle (circadian rhythms)
- A safe effective treatment for insomnia (prescription sleep aids often prevent deep (REM) sleep)
- Cures and prevents jet lag
- May prevent heart disease, lowers cholesterol, blood pressure
- Used in treating breast cancer
- Stimulates production of DHEA
- May slow the aging process
- Stimulates thymus to produce immune cells
- Useful in treating Parkinson’s, Alzheimer’s, diabetes, seasonal affective disorder
HGH / HUMAN GROWTH HORMONE
- Main metabolic hormone that controls metabolism, caloric use, weight control.
- Helps to control blood lipids (cholesterol)
- Needed for muscle strength
- Contributes to bone density
- Helps with energy and vitality
- Needed for exercise capability
- Lowers risk of cardiovascular disease.
- Contributes to psychological well-being
- Peak of production is in 20’s
CORTISOL
- Our “stress” fighting hormone, helps us adapt
- Control of blood sugar, proteins and fats
- Reduces inflammation
- Controls blood pressure
- Contributes to circadian rhythm