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What is Hormone Optimization Therapy?

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When it comes to treating hormonal imbalances, there is no uniform approach. Yet, many in the medical field continuously prescribe “band-aid” treatments that may work for some but don’t offer all patients optimal results, nor do they address their full scope of health concerns and symptoms. 

Hormonal imbalance can come from various sources, but no matter the cause when left untreated, the consequences can be severe. One approach many providers use to help patients find balance is bio-identical hormone replacement therapy (BHRT). 

While BHRT has been around for years and had great results, we have seen a resurgence in its use. Read on for all things BHRT, hormone pellet therapy, and how you can improve your health! 

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Most blood test labs are covered by insurance. A small amount of bio-identical hormones are covered by insurance (can be discussed during consultation).

Most specialty labs and compounded medications are out of pocket but covered by HSA/FSA funds. Membership plans are available

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Symptomatic Menopause

 

• ·Menopause is the cessation of the ovaries actively producing the hormones progesterone, estrogen, and testosterone, which interact to coordinate a woman’s menstrual cycle. The average age of menopause is 51, but it can occur at any age in women who have had their ovaries removed. Perimenopause is the decline in the production of these hormones which typically occurs between the ages of 45-55.

• ·When there is an imbalance in these hormones signaling from the brain or the ovaries - symptoms can occur at any age most commonly experienced during puberty, postpartum, and menopause.

• ·Women can experience a variety and intensity of symptoms such as hot flashes, mood swings, insomnia, trouble concentrating, low libido and vaginal dryness. 

 

Adrenal Fatigue

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• ·Wellness and health depend upon support of the adrenal gland. The adrenal gland makes cortisol which is responsible for helping the body cope with stressors. Stress is anything that impacts the body chemical, emotional, physical or environmental. 

• ·When cortisol levels are less than optimal, conditions related to increased inflammation and altered metabolism may occur such as acute illnesses, surgeries, hormone imbalances, thyroid problems, fibromyalgia, allergies, even coronary artery disease. Altered cortisol levels affect the immune system, making people more susceptible to infections, fatigue, and chronic pain. Low cortisol levels can affect our metabolism and sugar balance, which then influences our appetite, weight control, and energy level. 

• ·Supporting one’s adrenal gland is a long-term commitment to lifestyle changes by reducing stress, living an active lifestyle, making healthy dietary choices. Some women also require adrenal support creams, which are not supposed to be long-term but used to support the body to give the energy needed to make the changes needed for life.

Thyroid Dysfunction

• ·The thyroid helps to maintain the body’s metabolic rate and keeps the body warm. Every cell in the body depends on adequate thyroid hormones to function. 

• ·The brain produces thyroid stimulating hormone (TSH) which triggers the thyroid gland to produce T4 and some T3. The T4 is converted into T3 in your tissues, which is the “spark plugs” to making energy in our cells. This rate of turnover is your metabolism and heat produced in your body.

• · Any stress whether chemical, emotional, physical or environmental can affect the thyroid’s function and inhibit the body’s ability to convert T4 to T3 effectively in the tissues. Things that can affect this process are vitamin and mineral deficiencies, medications, inflammation, diet, and estrogen/progesterone imbalance.

 

PMS/PMDD

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• Premenstrual syndrome is a group of symptoms that women may experience 1-2 weeks prior to getting their menses and can continue for 3-4 days into their periods. 

• Symptoms can be both emotional and physical like mood swings, bloating, sleep disturbances, trouble concentrating, emotional, depression, breast tenderness, food cravings, acne, puffiness in hands and feet, headaches, feeling achy, and abdominal pains. 

• PMS can affect other conditions like anxiety, depression, and irritable bowel syndrome, and these symptoms can affect a person’s daily activities like work and personal relationships. 

•  Premenstrual dysphoric disorder (PMDD) is a severe form of PMS that affects a small number of women with PMS and may benefit from treatment with a selective serotonin uptake inhibitor (SSRI) which are also used to treat depression.

• Treatment options -start with a good diet, vitamins, supplements, and for some hormone therapy.   

Andropause

• Andropause is a condition that is associated with the decrease in the male production of the hormone testosterone.  It is unlike menopause in that the decrease in testosterone and the development of symptoms is more gradual than what occurs in women. 

• Approximately 30% of men in their 50s will experience symptoms of andropause caused by low testosterone levels. Even younger man can experience low testosterone levels from external stressors that impact their hormone balances which can lead to depression, weight gain, loss of muscle mass, chronic diseases, and most common low libido and sexual function. Risk factors for low testosterone levels obesity, diabetes, smoking, and inflammation.

Signs and Symptoms of Testosterone Deficiency

· Low libido

· Reduced nighttime and morning erections

· Delayed ejaculation and low semen volume

· Sadness or low mental energy

· Anxiety/irritability

· Sleep disturbance

· Short term memory

· Brain fog or trouble concentrating

· Feeling hot and sweaty

· Decrease in body hair

· Frequent joint and muscle pains

· Decrease in physical activity

· Decrease in muscle mass and strength

· Decrease in bone density

· Weight gain

  

PCOS/Polycystic Ovarian Syndrome and Insulin Resistance

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Polycystic ovary syndrome (PCOS) is a set of symptoms due to elevated androgens (male hormones) in females. Signs and symptoms of PCOS include irregular or no menstrual periods, heavy periods, excess body and facial hair, acne, pelvic pain, difficulty getting pregnant, and patches of thick, darker, velvety skin.  Also, women with PCOS can develop insulin resistance, weight gain, and anxiety/depression.