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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.

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Breast Care

pink ribbon

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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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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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Longer Telomeres, Longer Life…….

Animation of the structure of a section of DNA...

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Telomere what? Sounds like some distant constellation in the universe. Well, it’s not as far as you think. It’s actually part of the micro-universe within our bodies. Telomeres are sections of DNA at the end of each chromosome that serves as a cap to our genetic material. This tends to shorten each time our cells divide. The shorter the telomeres are, the shorter the lifespan of the cell. Or to put it another way, the longer your telomeres are, the longer your lifespan. Are there tests available to measure your telomere length? Fortunately, there are. It’s not a one time test however but more of a serial testing to see how fast one ages relative to a normal population. Therapies directed at slowing the loss of telomere length may actually slow aging and age-related diseases.
Are there factors that affect telomere length? You bet! These are things like diet, stress, activity levels, nutritional deficiencies, etc. For instance, a pro-inflammatory diet consisting of deep fried/refined/fast/processed/”franken” (GMO) foods shorten telomeres faster. Calorie restriction, which I discussed in previous posts, also slows down telomere shortening. So, it might be a good idea to go to bed somewhat hungry rather than feeling “stuffed” (fasting 12 hours each night 4 days a week has been suggested by some sources). Stress reduction, sensible exercise (I recommend the PACE program by Dr. Al Sears), adequate sleep and rest (power naps included), essential oils (frankincense), nutrients like resveratrol and bioidentical HRT all go a long way in slowing down telomere shortening. I’ll discuss more ways to increase lifespan in future blog entries. Until then, let’s all strive to keep our telomeres longer longer……….

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