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Archive for September, 2010

BHRT: Is It Right For You?

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Long before bioidentical hormones became a hot topic, there were already doctors using the therapy with great success.  It took Suzanne Somers, a celebrity actress and health promoter, however, to bring the topic of bioidentical hormones to the general public.  I am fortunate to have learned about this therapy (from some of the pioneers in alternative medicine) about 13 years ago.  One thing I learned from these generous individuals is that everybody is different. Such is the concept of biochemical individuality.  What does this have to do with bioidentical hormones?  What this means that everyone is unique and as such, a program that works for one person may or may not work for another.

What are bioidentical hormones?  These are hormones that have the exact molecular structure that our bodies produce.  Any structure that deviates from the original endogenous molecule is synthetic and as such is not bioidentical.  Therefore, a person who gets a synthetic hormone is not having his or her hormones replaced.  What they’re getting is hormonal substitution.

A medical doctor just recently appeared on the Oprah show, who said that bioidentical is just a marketing term.  Dr. Christine Northrup, M.D. one of the main proponents of the use of natural bioidentical hormones, gently corrected her.  I’m still amazed at how people in the mainstream don’t think for themselves but just follow the “party line.” It’s like having an “earth is flat” mentality.

I believe that our hormones are like a symphony orchestra. If one is off, the rest get affected. Even so-called “minor” hormones have a great role to play. That’s why it’s important to balance everything. In my practice, I’ve encountered people who are just taking one hormone thinking that that would resolve their issue.

I believe in the concept of yin and yang in Chinese medicine.  For instance, when I treat the thyroid, I look into it’s sister organ, the adrenals. Their functions are closely linked together. Thus, it’s important to support both organs.

When I see a new client, I am always humbled because of all the new things I learn.  I look into a person’s signs and symptoms as well as their lab work.  One is as important as the other.  As the saying goes, “if it talks like a duck and walks like a duck, then it must be a duck.”  The problem with “what’s going on” is that if a person falls within a normal range, even though they may be symptomatic, they may be denied proper treatment.  What we do as healthy aging  practitioners (also known as anti-aging), is that we look at optimal ranges rather than normal ranges.

For individuals who may not be candidates for bioidentical hormone replacement therapy (BHRT), there are alternatives available.  Besides the use of herbal medicine, I’ve used medical aromatherapy with essential oils and spagyric/homeopathic remedies.

For anyone seeking answers to their health issues, my advice is to listen closely to your body and to always keep an open mind.

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Male Menopause: It’s Real And You Can Do Something About It….

As men age, hormones get out of balance just like in women. Testosterone levels (and growth hormone) tend to decline while hormones such as estrogen and DHT tend to increase. When testosterone declines, signs and symptoms such as the following could occur namely; loss of muscle mass, wrinkling of the skin, osteoporosis, mood changes (depression), hair loss, increase in body fat and cardiovascular disease, among others. With an increase in estrogen (due to increased body fat in some men as well as exposure to xenoestrogens in general), men could experience gynecomastia, emotional lability (mood swings) and prostate issues. With an increase in DHT, hair loss, acne and prostate problems could occur. We normally see this decline in men in their 50’s or older but we’re seeing this decline earlier in life now. Possible reasons for this include nutritional deficiencies, pharmaceuticals such as statins (which lower cholesterol, a precursor to testosterone), and environmental toxicity (organophosphates used in the agricultural industry for instance, mimic estrogen in our bodies). Among the people you know, how many of them actually manifest signs and symptoms of andropause? Unfortunately, most men who fall within the “normal” range may not be treated even if they’re symptomatic. The range of “normal” is so wide that those who are in the low normal range (and symptomatic as well) are not being treated properly. Fortunately, a doctor from Harvard named Abraham Morgentaler wrote a book called “Testosterone For Life” which seeks to educate more people about this issue. Anyway, the recommended treatment for low testosterone is testosterone itself. It comes in different forms such as sublingual tablets, transdermals gels or creams, injectables and pellets. Since everybody is different, the dose and route of administration is individualized to each person. It’s always good to do a baseline PSA (prostate specific antigen) and DRE (digital rectal exam) before starting anyone on testosterone. Since testosterone could metabolize into estrogen (esp. in men with excess body fat) or DHT, it’ll be wise to block those pathways with aromatase inhibitors and 5-alpha reductase (or DHT blockers) inhibitors, respectively. This could be done through natural supplements or prescription medications. Frequent testing is key to make sure people don’t get side-effects whatsoever. For men who are hesitant on using any type of hormone for improving their testosterone levels, options could include the use of amino acids (such as L-carnitine, which increases cell receptor sensitivity to endogenous tesotosterone) or herbal supplements (such as tribulus). While on a hormone replacement program, it’s important to include dietary and lifestyle changes as well to get optimal results. I highly recommend the Paleolithic diet and the PACE program by Dr. Al Sears for my clients.

If the picture above belongs to someone, let me know so I can give credit.

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Breast Care

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Breast cancer can be caused by a lot of things. These include hormonal imbalance (due to environmental toxins among others), ionizing radiation and trauma to the breast area, toxin build-up in the breast due to poor lymphatic drainage, tight bras (by impeding lymphatic circulation), genetic causes, etc. In a recent article on yahoo.com, it was noted that breast cancer rates dropped with a decrease in the use of HRT (hormone replacement therapy). The study was done in Canada on postmenopausal women in the earlier part of the decade. However, there is no mention whatsoever on what kind of hormones these women were put on. Synthetic hormones (non-bioidentical, derived from animal sources) could cause more hormonal imbalance in a woman’s body because the body is not used to processing these substances (unlike bioidentical hormones whose structure is similar to what the body produces and therefore is not recognized as foreign). It’s a good thing that there are bioidentical hormones available commercially now (at your regular pharmacies) as well as compounding pharmacies. All the risks and benefits should be taken into consideration before a person is placed on hormones. And for those women who prefer not be be on any hormones whatsoever, there are alternatives available including the use of herbal medications to alleviate the signs and symptoms associated with menopause. Homeopathic/spagyric remedies have also been used to help women go through perimenopause and menopause. As far as treatment for breast cancer is concerned (or any cancer, for that matter), I believe that an individualized, holistic approach should always be taken. In Europe, they are able to test cancer cell sensitivity to different chemotherapeutic agents (whether synthetic cancer drugs or natural agents), similar to how we are able to test infectious agent’s sensitivity to antibiotic medications. This test takes the guesswork out of what medication to use. For more information on this as well as other integrative approaches to cancer, please check out Suzanne Somer’s most recent book called “Knockout”. Check out http://www.breastcancerfund.org for more useful information on this subject.

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Work It! Work Out!

Yoga Class at a Gym Category:Gyms_and_Health_Clubs

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Ever wonder why some people go to the gym regularly but don’t get results whatsoever or worse, they just get injuries? Well, let’s see the possible reasons why this is so. A lot of times, people aren’t able to accomplish their goals because they don’t have the nutritional support for their bodies (to create muscle tissue or lose body fat). There is a greater need for protein during the anabolic process. And this doesn’t mean just any protein. A high-quality protein source is needed by the body during this time, whether it’s from an animal or plant source (depending on a person’s individual needs). For those with busy lifestyles, using a protein meal replacement would work (whey, rice, pea). And it’s not enough to eat a diet that’s high in protein, however. Are you actually digesting and assimilating the nutrients from your food? Beginning in our 30’s, we actually produce less digestive enzymes (HCl, pepsin, pancreatic enzymes, bile). People usually manifest this lack of enzymes with symptoms such as heartburn, burping, indigestion, bloating and gas. So, it would be beneficial to take some digestive enzymes especially with high-protein meals or meals that are primarily cooked. If a person’s nutritional needs are already met but they still have a hard time reaching their goals, then it might be a good idea to have their hormones checked. Hormonal imbalance could lead to issues such as muscle and bone loss as well as fat accumulation. Deficient or even “low normal” levels of the androgens in men (DHEA and testosterone), estrogen/progesterone imbalance in women, imbalance in thyroid and adrenal hormones, and deficient or “low normal” levels of anabolic hormones such as growth hormone can all lead to futile work-out efforts. It would be really helpful to work with a anti-aging practitioner when someone is trying to optimize their hormone levels. One thing to remember by the way, is the difference in sexes when it comes to trying to achieve a certain body fat percentage. For men, the normal is between 10-15%, while in women, it’s 20-25% (since women are genetically programmed to have a higher body fat percentage). If the hormones are still out of balance in spite of efforts to optimize them , then it may be important to look at the role that toxins play in this scenario. Heavy metals, pesticides, herbicides and other environmental toxins could create hormonal imbalances. Therefore, it’s also important to rule them out if one is intent on achieving their health/fitness goals. More on this later.

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Diet Perfect!

A vegetarian dinner at a Japanese Buddhist temple

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The perfect diet! Is there such a thing?  Possibly, if a person’s biochemical individuality is considered when making dietary recommendations, then it’s possible to have a perfect diet. Ideally, a diet should be tailored according to a person’s needs. And it should all start right after a baby is weaned off from his/her mother’s milk, which by the way, is a baby’s perfect food. You probably have heard of the blood type diet. It is a concept popularized by Dr. D’Adamo in his book called “Eat Right For Your Type” and actually endorsed by world-famous holistic MD, Dr. Jonathan Wright.  The dietary advise based on the blood type diet actually goes beyond the general recommendations given by dietitians, nutritionists or even some holistic practitioners.  The “blanket” recommendations given include a low fat/high protein diet, low carb diet, no hydrogenated oils/trans-fats, no artificial colorings/flavorings/preservatives, no caffeine, no high fructose corn syrup, hormone and antibiotic free meat, etc. There are also a lot of fad diets on the market such as the Atkin’s diet, South Beach diet, and the Mediterranean diet. It’s all good but the common denominator among these recommendations is that they’re generalized, cookie-cutter or a one-size-fits-all approach. The blood type diet is a small step towards individualizing dietary recommendations. People with type O blood do well on a diet that’s high in animal protein due to their higher production of Hydrochloric acid. Type A blood type usually do well on vegetarian diets. Blood type B individuals could tolerate dairy and fish and lastly, blood type AB do well on seafood, nuts and grains. Another interesting concept is based on the work of George Watson, proponent of the metabolic typing diet. A person can be a fast, slow, mixed or balanced oxidizer. Oxidation, by the way, refers to the burning of foods in the body for fuel/energy. Slow oxidizers metabolize food slowly while fast oxidizers metabolize food rapidly. Then, there are those who are mixed oxidizers, who vacillate between fast and slow oxidation. In summary, it’s really important to get to know a person well before making dietary recommendations. Fortunately, there are tests available that help us achieve this goal. These include functional intracellular analysis (or nutrient deficiency testing), food sensitivity/allergy testing, organic acid analysis and more.

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Waste in Your Waist

On overweight man's waistline.

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You got that right! There’s a lot of waste in your waist. And I don’t mean the waste products in your colon, however.  What I’m referring to are the toxic products that are in the fatty areas of the body, primarily the core or abdominal area. Toxins have a propensity to accumulate in fatty tissues because they are lipophilic or “fat-loving”. Other fatty areas in the body include the breast area in women and the neurological system in both sexes. The toxins found in these areas are primarily environmental toxins such herbicides, pesticides, heavy metals, VOC’s, and other dangerous chemicals. During the process of weight loss (fat loss, specifically), the body begins burning fat, in the process releasing all these toxic chemicals into the circulation. With poor detoxification mechanisms, these chemicals are just recirculated and deposited into other parts of the body where they interfere with function. That’s the reason why some people feel worse when they lose weight. It’s really important to enhance the detoxification pathways before embarking on such a program. Speaking of detoxification, one of the major organs responsible for this process is our liver. There are 2 phases of detoxification that goes on here. To simplify things, phase 1 primarily involves making toxic products less toxic and phase 2 involves preparing the toxin for excretion by conjugating it with certain nutrients. Deficiency of nutrients could interfere with either phase and lead to waste build up in the body. In summary, if one intends to lose weight, wait and do some research and then run to your nearest holistic health provider.

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Holistic Approach to Chronic Infections

Herbs: Thyme, oregano and rosemary

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Are antibiotics effective enough to take care of infections? We all hope so but it doesn’t always happen in real life especially in the case of chronic infections. A more comprehensive way of addressing chronic infections should involve the following: 1. reduction of microbial load through the use of anti-infective agents, 2. immune system support, 3. optimizing detoxification mechanisms, 4. nutritional support, 5. optimizing sleep/rest and 6. hormonal support. We all know the different ways to reduce microbial load. It involves the use of synthetic/prescription and herbal antibiotics, anti-virals, anti-parasitics and anti-fungals. Immune system support is critical, since ultimately, it’s our immune system that takes care of killing these microbes. Vitamins (vitamin C complex, vitamin D), minerals (selenium, zinc), herbal agents (echinacea), therapeutic-grade essential oils (oregano, clove, frankincense), homeopathic/spagyric remedies, and acupuncture are among the tools used to optimize immune system function. Support of detoxification mechanisms is absolutely essential to prevent a severe die-off or a Herxheimer reaction, a process that takes place when the body is overwhelmed with byproducts of microbial destruction. We’re looking at improving colon, kidney, liver, skin, lymphatic and lung function since all these organs are involved in detoxification (and drainage, for that matter). Having a sensible diet and the judicious use of nutritional supplements could go a long way in improving overall health. Sleep is a time when our body  repairs and regenerates itself. During this time (“anabolic phase” according to Dr. Revici’s work), our body secretes hormones such as growth hormone, prolactin and melatonin (which are all involved in the anabolic process). Finally, hormonal support is essential in cases of chronic infections. Our adrenals and thyroid could be burned out (from the stress of chronic infection) and supporting these organs could help the body overcome and win the fight against infection.

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Detoxification and Biochemical Individuality

Detox day

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Everybody needs to detox. True. Everybody should do the same detox program. False. We are all different and therefore, a cookie-cutter or a one-size-fits-all approach at detoxification would not work at all, ever! Fortunately, there are genetic tests available to determine if a person can tolerate a detoxification program. If a person’s tests turns out to be homozygous positive for one of these genes, then they better be careful when they’re undergoing a detox program. It’s better for these people to start slowly and perhaps work with a holistic health care practitioner who considers each person’s biochemical individuality. Other things to consider when going on a detoxification program, it’s important to focus downstream (on the bowels) before treating the upstream (liver, kidneys, etc). Otherwise, toxins would be recirculating into the body, practically making things worse. Ever wonder why some people experience a lot of side-effects or worse, deathly- ill when they’re undergoing a cleanse? Indeed, there is a truth to the the adage, death begins in the colon. So, it’s really important to focus on gastro-intestinal health. Whatever we put in our mouths affects everything else in the body. Don’t believe the “party-line” advise to eat whatever you want. I’ve heard it from “healthy” people and people with chronic degenerative disease (such as cancer) being told by their health care practitioner to do so. No wonder our country ranks only #17 as far as the healthiest industrialized nations in the world even though we spend the most in health care. Just something to ponder about.

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Lymelife

The blacklegged tick (Ixodes scapularis), the ...

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That’s the title of a movie I just saw yesterday on Netflix. It’s basically a movie about 2 families who live in a town that’s been “terrorized” by Lyme disease. There is one character played by Timothy Hutton who has been experiencing chronic neurological problems. He says in the movie that he’s been diagnosed by doctors at different times with syphilis, Lyme disease and multiple sclerosis. Interesting, since Lyme disease is also called “the great imitator” (because it could mimic a lot of illnesses). Lyme disease has to be ruled out in cases such as chronic fatigue, fibromyalgia, psychiatric illness and autoimmune diseases (such as rheumatoid arthritis), among other things. How is it acquired? It’s primarily caused by a tick bite. Other possible routes of transmission (according to researchers) may include blood transfusion and mosquito bites. It’s scary considering that quite a huge percentage of infected people don’t have the characteristic bull’s eye rash. So, these people go undiagnosed, only to manifest later in life with chronic, debilitating symptoms. How is it diagnosed? Ideally, according to ILADS (International Lyme and Associated Diseases Society), it has to be a clinical diagnosis. However, most doctors are still relying on the not very sensitive commercial tests available. People who are actually infected may have negative test results. What’s the usual treatment? A short course of antibiotics. According to Dr. Stricker, one of the prominent LLMDs (Lyme-literate medical doctors) challenging the IDSA (Infectious Disease Society of America) guidelines, a short-course of antibiotics is not sufficient t0 eradicate the bacteria. It has been mentioned that Lyme disease is a zoonotic infection and as such, are programmed to be chronic infections. Anyway, what’s happening in real life is much more interesting than what happens in the movie. My advise, watch it for entertainment purposes.

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Natural Antibiotics

Lavande / lavender

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Are there such things? You bet! Ancient civilizations have used them in the past. Traditional medical systems such as Chinese medicine and Ayurvedic medicine texts are replete with information on natural germ fighting agents. In very recent times, just in 1987 in fact, one of the most comprehensive studies was conducted in Scotland that determined the most powerful antibacterial agents. These include the essential oils of thyme, cinnamon, clove and geranium. According to another study published in the International Journal of Food Microbiology, the oils of cinnamon, thyme and clove killed 92% of 25 different Gram negative and positive bacterial strains. As a side note, do you know that Listerine antiseptic was originally named after Joseph Lister, the Father of modern surgical antisepsis? The formula has the following essential oils, namely; thymol (from thyme essential oil), eucalyptol (from eucalyptus essential oil), methyl salicylate (from wintergreen essential oil) and menthol (from peppermint essential oil). A study done in 1999 published at the Journal of Clinical Periodontology showed that a mouthwash that had the essential oils of thyme, peppermint, wintergreen and eucalyptus, was more effective in improving oral health than an antiseptic that was fluoride-based. In 2006, powerful anti-fungal oils were identified by researchers and they include the following: essential oils of cinnamon, clove, lemongrass, geranium and thyme. They were all found to be equal or superior to a well-known anti-fungal medication. Other natural anti-fungal agents include garlic, caprylic acid (from coconut), melaleuca (tea tree oil) and Saccharomyces boullardii (an anti-fungal yeast). One common infectious cause of gastritis is H. pylori. Mastic gum has been used traditionally to treat this. Other agents were found to be effective in a study conducted at the Kyoto Prefectural University in Japan. These include the essential oils of manuka, cinnamon bark, carrot seed, savory, white grapefruit, clove and eucalyptus. Meanwhile, natural anti-viral agents include eugenol from clove oil (found to be effective against Herpes virus), peppermint oil, and manuka essential oil. Finally, what natural agents are effective against MRSA and VRE antibiotic-resistant bacteria? In studies done at the Western Infirmary in Glasgow, UK, it was found that melaleuca, lavender, peppermint and thyme essential oils showed the strongest activity against these germs. Anyway, I want to acknowledge Dr. Carolyn de Marco for providing a lot of great information regarding the use of essential oils. If someone is suffering from an infectious illness, work with your healthcare provider on how to improve your immune system so that you won’t get sick in the first place.

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