Hormones affect every facet of both men and women’s health from energy, mood, metabolism to longevity. Fertility, anxiety, depression, insomnia, migraines, anti-aging, low libido and disease prevention are all conditions in which balancing hormones are imperative. For women Peri-menopause, Menopause, Breast Health, and PMS are all areas of health that benefit from proper assessment. For men Energy (more drive) & Vitality rely on hormone regulation.
We at Revivelife™ understand that your quality of health determines many successes in your life, including both personal and professional. Our natural approach to restoring hormone health includes Bioidentical Hormone Replacement Therapy (BHRT) and Testosterone Therapy (TRT):
- Hormone Testing
- Power Hormone & Dirt Candy Boot Camp: A 6 Week Group Program that is designed to compliment the Power Hormone Program giving you a fresh start to kick those hormones into high gear!
- Power Hormone Program: A Comprehensive Integrative Care Plan to assist you in achieving optimal hormone balance with hormone care.
- Take The Hormone Health Quiz
Where to begin?…
All Patients start with a New Patient Assessment: This is your first step to beginning your Path to Wellness. One of our highly skilled Integrative Doctors will meet with you for your initial consultation to review your goals, lifestyle, hormones, nutrition and medical needs providing you with a head-to-toe medical evaluation and lab work. They will then recommend a customized program that is designed to …Rejuvenate Health, Restore & Balance Your Hormones and Renew You. During the program you will have the combined expertise of Revivelife™ health professionals, including: Naturopathic Doctors, Medical Doctors, Nutritionists and Lab Technicians.
To Book an Appointment Click Here or Call 613-829-7100
Many insurance companies cover a portion of Naturopathic consultations, please check with your individual provider for your individual coverage. Payment programs are available.
What symptoms may be related to a hormone imbalance?
Symptoms can include but are not limited to: difficult menopause, PMS and painful periods, irregular periods, fertility issues, adult acne, endometriosis, fibroids, ovarian cysts, abnormal hair growth, weight gain, insomnia, decreased libido, fatigue, insomnia, thyroid dysfunction, bone loss, anxiety, depression, cognitive decline, etc. Men can experience much of the above as well as low sex drive, muscle loss, belly weight gain & erectile dysfunction.
| • Insomnia |
• Stressed out
• Tired but Wired
• Low energy
• Foggy brain
• Frequent colds, flus, allergies
• Weight gain-belly
• Frequent injuries
|• Low energy, especially mid-day|
• Poor memory
• Frequent colds, flus, allergies
• Weight gain-belly
|• Low energy
• Dry skin, hair or nails
• Hair loss
• Loss of outer margin of eye brows
• Hoarse voice
• Weight gain-generalized
• Stressed Out
• Water retention/swelling
• Weight gain-belly, breast, hips & thighs
• Frequent periods/spotting
• Heavy & painful periods
• Breast Tenderness
• Endometreosis, Fibroids, Ovarian Cysts
• Reduced Muscle Mass
• Osteopenia, Osteoporosis
• Decreased Libido
• Poor Recovery From Exercise
|• Tired & Down “Just Don’t Care”|
• Dry/Wrinkled Skin (general, eyes & vagina)
• Foggy Thinking ( especially in the morning)
• Mental Confusion
• Poor Memory
• Hot flashes
• Headaches (< during period)
• Heart palpations
• Breasts Loose Fullness and /or Begin Drooping
• Weight gain-belly (low or high estrogen), breast, hips, butt, thighs (high estrogen)
• Weak bladder
• Cardiovascular Disease
|• Low Energy
• Reduced Self Confidence
• Weight Gain-Belly
• Reduced Libido
• Loss of Muscle Mass & Tone (Sarcopenia)
• Decreased Strength & Physical Performance
• Decreased Bone Density
• Insulin Resistance
• Erectile Dysfunction (Men)
I don’t feel like myself anymore, I feel like I am tired all of the time, lost my edge, have a low libido and have lost interest in things, can hormones help?
These are common hormone imbalance symptoms, that many have found hormone therapy has helped. Optimal energy, mood and a healthy libido are all signs of good health. Commonly patients with these symptoms including lowered sex drive need estrogen, testosterone and /or DHEA. Chronic stress causing fatigue can also contribute to a low libido.
Will hormone therapy help with stress?
Healthy stress can be a positive part of life, but when it gets to be in excess for extended periods of time, it can make demands on our hormonal system. Under times of stress the body produces more of the stress hormone called cortisol. Cortisol is produced by the adrenal glands which sit on top of your kidney’s. High levels of cortisol initially are important during times of stress to give you the energy to deal with what is urgent, however over time high cortisol levels can cause the body to wear down and lead into adrenal fatigue. Chronic stress is linked to thyroid imbalance, high blood pressure, heart arrhythmia, blood clots and atherosclerosis. Stress has also been found to worsen pre-existing symptoms, such as irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), erectile dysfunction, asthma and chronic obstructive pulmonary disease (COPD). While stress reduction techniques may be helpful in on the short term, the long term effects of chronic stress usually require proper nutrition, and supplements. It is common that long term adrenal gland weakness will promote other hormone imbalances. There are excellent approaches to assist building the adrenal gland back up. Balancing your hormones will also assist in this process helping to promote more energy, less irritability, better response to stress, sleep and an overall feeling of wellness.
Is there something that is slowing down my metabolism and increasing my weight?
Hormones are chemical messengers that cause many changes in the body. These changes, as we age can affect metabolism and tip the scales higher ( or lower, in some cases). Our adrenal glands can be hyper-stimulated with excess stress and produce excess cortisol leading to increase belly weight. The adrenal glands can also become fatigued after years of being hyper-stimulated and then the thyroid which is the adrenal glands back up organ steps in to force us to slow down as a protective mechanism to support adrenal gland recovery. This leads to increase weight all over. As testosterone dips we reduce the ability to maintain our muscle mass, a process called sarcopenia. Because lean muscle mass has the highest calorie burning potential, with each decade we require less calories. If we eat the way we did when we were 20, then it’s easy to do the math and see how the weight gets put on. That second serving or extra snack adds up very quickly. Just 100 calories extra a day will yield an extra pound every 35 days, leading to that extra 10-15 pounds over the year. Add the years up and voila! Estrogen and progesterone imbalance lead to more weight being deposited in the hips and thighs.
In addition changes in hormone levels are also dependent on the lifestyle we lead and can affect our mood and energy levels. For example a decline in testosterone, progesterone or estrogen may make us less assertive and committed to exercise leading to a further increase in weight. Optimal weight changes does require more work when our hormones are unbalanced.
By resetting phase I ( Diet & Nutrition), phase II (phyto-hormones if needed) and phase III ( hormone support) your metabolism and weight can be shifted in the right direction.
Hormones are like stop-lights. When they are balanced the light is green and you will get the optimum results from your nutrition and fitness programs. When they are imbalanced the light is red making it, in many cases, difficult to lose and easy to gain weight.
Hormones are chemical messengers that cause the body to make changes affecting weight gain or weight loss. Changes in hormone levels are also dependent on the lifestyle we lead and can affect our mood, metabolism, and energy levels.
For example, when males become less active there is often a gradual decline in testosterone. This hormone is known to boost metabolism and has the benefit of helping lower fat levels. Thus, when testosterone is balanced a man’s ideal weight is easier to achieve.
Will BHRT help with my hair loss? hot flashes? moods? Appearance as my skin seems dry, sagging and less elastic?
Research does suggest that BHRT is helpful for hair loss, hot flashes, your mood and your skin.
Being a man, can hormones help if I notice I have started to develop “man boobs”?
“Man boobs” or gynecomastia in aging men often occurs as testosterone reduces, causes a relative increase in estrogen ( which also increases with increased body fat) to testosterone. Other causes maybe related to alcohol abuse, marijuana overuse, thyroid disorders, certain medications ( ie some antibiotics, some chemotherapy, some ulcer medication or anxiety medications ( SSRIs)). If the cause is related to a testosterone deficiency, the addition of testosterone to your hormone support program can be helpful.
To Book an Appointment Click Here or Call 613-829-7100
Hormones are an integral part of optimizing health & weight.
Hormone Lab Tests Offered
- Female Hormone Testing – Blood
- Female Hormone Testing – Saliva
- Female Hormone Testing – Urine
- FAQs Female Hormones
- Male Hormones – Blood
- Male Hormones – Saliva
- Male Hormones – Urine
- FAQs Male Hormones
- Endocrine & Thyroid
- Functional Organ Screening
- Basal Body Temperature
- Thyroid Panel
To Book an appointment click here or call 613-829-7100
FAQs Hormone Labs
My labs are considered “normal”. I have been told that it‘s just the aging process, and that I just have to live with the fact that I don‘t feel myself, can this program help?
Unfortunately, this is a common complaint that we hear at our centre. There are many reasons this may happen including:
- In Proper Labs: Proper assessment begins with ensuring the right lab tests are being run, with the right lab, and with the right timing depending on your hormone cycle when indicated. An example of this is knowing what day of the month your hormone test is being run to reflect the monthly changes of that hormone.
- Optimal Focus: The Revivelife™ Ienergy Power Hormone Program (IE-PHP) is designed to assess your labs in the range of optimal health vs the red zone, which is the development of disease or the zone where disease is already at high risk. Our goal is to assist you in living your best life and helping your body perform at its optimal level.
- Personal Variation: Each person will have a lab value range that represents their personal optimal vs the “normal range”. At Revivelife™ we track your hormone levels relative to your degree of wellness to find what is your personal optimal value.
I think I have a thyroid problem, however, my labs are considered “normal” , but I am tired all the time, can‘t seem to lose weight and have all the symptoms that the internet says are related to thyroid, can this program help?
The Colorado Thyroid Disease Prevalence Study found that 13 million Americans may be unaware of an undiagnosed of their thyroid conditions. The significance of undiagnosed thyroid imbalance is that the thyroid can impact everything from your energy, metabolism, cholesterol, heart disease, constipation to a child’s IQ (if the mother is thyroid deficient during pregnancy).
Health does not change overnight, but is a steady process, including thyroid hormones, when the thyroid begins to become unbalanced, one may have many symptoms of thyroid concerns, but yet have “normal labs” according to the red zone where a diagnosis of thyroid disease is made ie. hypothyroid or hyperthyroid. In this transitional zone integrative doctors recognize this as a “Functional Thyroid Imbalance”, meaning that the thyroid is not at its optimal function, leaving you with many thyroid type symptoms, but may not yet show a positive marker on labs. Other concerns include:
- In Proper Testing: The current model of testing only uses the TSH as a screen to view how your thyroid gland is functioning and that it must be elevated before a diagnosis of hypothyroidism is made. TSH is a measure of how much the pituitary gland is attempting to “talk” to the thyroid gland to encourage the release of more thyroid hormone, in response to a low thyroid hormone level. A “normal” TSH tells us only that your thyroid gland is working enough to produce “normal” TSH levels, but it does not tell us if it is working optimally or if you have sufficient levels of inactive thyroid hormone (T4) or active thyroid hormone (T3) that are bio-available. Free T3 and Free T4 levels are the only accurate measure of the actual active thyroid hormone levels in the blood. Thus a “normal” TSH does not rule out hypothyroidism. A proper assessment would include a thyroid panel including TSH, fT4, fT4, rT3, fT3/rT3 ratio (optimal= 2+), TPO (autoimmune thyroid marker) and integrating this with the percentage of positive thyroid imbalance symptoms, including a basal body temperature (<97.6ºF).
- Optimal Focus: The current myth that persists regarding thyroid diagnosis is that an elevated TSH (thyroid stimulating hormone) level is always required before a diagnosis of hypothyroidism can be made. There is also evidence to suggest that the current “normal range” should be moved to catch, thyroid imbalances at an earlier stage, as at present one may be considerably overweight , have suffered from thyroid symptoms for a great number of years before any therapeutic support is offered. Research shows that optimal range for TSH is 0.4-2.5 mIU/L with the optimal level of TSH being 1 mIU/L for both women and men vs the “normal range” of 0.35-5.0 mIU/L.1,2 One of the largest studies of thyroid problems is the Whickham Survey , which studied the thyroid levels of 2,779 randomly selected adults living in Whickham England from 1972-1973 and subsequently followed for 20 years. Data published from the twenty year follow up published in 1995 demonstrated an increased risk for the development of hypothyroidism once TSH levels exceed 2.0 mIU/L.3 In addition, the third National Health and Nutrition Examination Survey (NHANES) screened 17,353 people and found that 95% of people had TSH levels that fell between 0.3 and 2.5 mIU/L.4,5 Our goal is to determine if any weakness in the thyroid or any other weaknesses in your health, exist, including the adrenal gland which is often linked to the thyroid gland , that are hindering you feeling at your best.
- Personal Variation: Although the “normal range” for TSH when thyroid health is being evaluated is 0.35-5.0 mIU/L, an individual may feel their personal best when their hormones are titrated to 0.6 mIU/L which if a doctor was to just rely on normal values, this individual would not normally have received hormone support. Tracking the level of when you feel “well” is important in understanding how to reach hormone support that is right for you.
I just want to get my hormones tested, can I just do that?
Laboratory testing is important but is only one piece of the puzzle. How you feel and how it relates to the laboratory results gives your hormone team the full picture. Your hormones also need to be monitored to ensure that they are being prescribed in the right balance for you on an ongoing basis, thus you can have your hormones tested, however we cannot prescribe HIHS without having a new patient visit and ongoing follow ups to ensure that you are getting the best results.
Can I use any lab work that I already had done?
You may bring along any lab work, bone density, mammograms, PAP smears, or other diagnostic tests you have had done in the past year. Once we review your past labs we may find it necessary to have you complete additional labs including hormone testing to determine your current hormone replacement needs.
What is the difference between testing hormones by blood (serum), saliva or urine?
There is no one test method that is the best for hormones as each comes with advantages and disadvantages. It is important to keep in mind that lab testing gives you an idea of what is going on clinically, from an objective perspective. However, it is important to integrate the subjective part of how you feel, how this correlates to the signs and symptoms of each hormone imbalance and then integrating the lab results. For example one could be within the “normal range” for thyroid testing , however an individual may have all the signs and symptoms of thyroid imbalance. In this instance it may be important to prescribe based on the weight of the signs and symptoms.
- Blood (serum): The advantages of blood hormone testing are that is an easy test, the results are available within a week, not as expensive as the other methods of testing and that the test provides relatively accurate values with established reference ranges. With a patient’s health information including symptoms a relatively clear picture can be formed for prescribing. Blood testing is best used for DHT, FSH, LH, Prolactin, TSH, rT3, Prolactin, IGF-1, and 3β-Adiol which shows great promise as a biomarker for the development of prostate cancer. ( Link to 3β-Adiol and the Testosterone Metabolite Test.)
- The disadvantage is that blood hormone testing measures a “snapshot” of “total” hormones, which includes those hormones already bound to protein AND free hormones (2-5% of hormones in your body). This does not necessarily give you a clear picture of what hormones are “bioavailable”, as bound hormones in general are not as readily accessible for your body to use as compared to free hormones. Testosterone blood testing however, is available as bound and free, giving you more of an idea of what is free and available to the body.
- Saliva : The advantages of saliva hormone testing is that it measures “free” hormones (2-5% of the hormones in your body), which are the hormones that are available to go to work for you – stimulating receptor cells and carrying out the tasks they are designed to perform. Generally samples are taken either on a given day or throughout the month to give you an overview of the variations of hormones over time. This gives you a monthly map to work with and prescribe accordingly. The disadvantages are that saliva samples may be more difficult to obtain, take longer to gather for the monthly mapping, the test is more costly and test results may be hindered in elderly patients with limited salivary output. Saliva testing can yield higher than physiological levels when using exogenous hormone replacement therapy; this can give a false impression of overdosing. Single point saliva tests also have the disadvantage of being a ‘snapshot’ look at hormones that ebb and flow throughout at 24-hour period.
- Urine (24 hour): The advantages of 24 hour urine hormone testing, is that it measures the hormone levels with a stable indicator of output not susceptible to the hour to hour fluctuation that may be seen in a blood or salivary measurement, and it is an easy test. 24 hour urine hormone testing in addition tests for liver detoxification capability, breast, ovarian (2/16α ratio) and prostate cancer risk (3β-Adiol) biomarkers; adrenal gland health, and growth hormone. The disadvantages are that it is a more costly test.
How soon will my lab test results be ready?
Blood (serum) test results are generally available in 7 business days, saliva and 24 hour urine testing results are generally available in 14 business days after the lab receives the samples (sample transport generally takes 3-4 business days). Saliva sampling may take 1 month to gather the samples if you have a menses and we are tracking multiple samples over the month to create a “monthly map”.
To Book an Appointment Click Here or Call 613-829-7100
- Demers LM, Spencer CA. Laboratory medicine practice guidelines: laboratory support for the diagnosis and monitoring of thyroid disease. Clin Endocrinol (Oxf).2003;58:138-40
- Vanderpump, M.P., Tunbridge, W.M., French, J.M., Appleton, D., Bates, D., Clark, F., Grimley Evans, J., Hasan, D.M., Rodgers, H., Tunbridge, F.,The incidence of thyroid disorders in the community; a twenty-year follow up of the Wickham Survey, Clin. Endocrinol ( Oxf) 1995, Jul;43 (1):5-68
- Hollowell, J.G., Staehling, N.W., Flanders, W.D., Hannon, W.H., Gunter, E.W., Spencer, C.A., Braverman, L.E. Serum TSH, T4, and thyroid antibodies in the United States population (1988 to 1994): National Health and Nutrition Examination Survey (NHANES III). J Clin Endocrinol Metab 2002 Feb;87(2):489
- Lee, S.L. When is the TSH normal? New criteria for diagnosis and management. Lecture presented at 12th Annual Meeting of the American Association of Clinical Endocrinologists (AACE), San Diego, CA, May 14, 2003 ( thyroidtoday.com)
- Dr. Tierry Hertoghe, MD, The Hormone Handbook, ISBN 978-2-95997-13-5-8, May 2010, page 393
The Revivelife™ Ienergy Power Hormone Program (IE-PHP) is designed for both men and women, to balance hormones naturally with Bioidentical Hormone Replacement (BHRT) extracted from plants, which have a chemical structure identical to the hormones that the human body naturally produces. The purpose is to help slow down the aging process while keeping you feeling at your best. Our program is integrative and takes into consideration the health connections to optimizing hormones that exist including: nutrition, optimal digestion, the body’s ability to detoxify, chronic inflammation, adrenal gland health and thyroid health. We focus on assessments including lab work with a goal of reaching “optimal levels” versus “normal levels”, especially if you are feeling less than your full potential.
Each program is customized to you, so that whether you have noticed that you just seem more “irritable” lately, can’t seem to budge your weight no matter how hard you try, have hot flashes , troubles sleeping, lost your interest in normal activities that once were your passions and or seem to have lost your “competitive edge” there is a solution.
The Program is as easy as 1, 2, 3 and Includes
1. The Assessment
To Get Started…..As each person’s wellness is unique to them, it is important that we understand your whole health first. We recommend a New Patient Assessment, where we will review your general health, hormone balance, labs to date and determine the proper new lab tests to run. This helps us determine if the Ienergy Power Hormone Program (IE-PHP) is the right fit for you. The appointment is an hour long and includes the Ienergy Core Urine Test which is a screening test for your adrenal gland (that produces stress hormones and is the backup organ for sex hormone production), digestion and pH.
Many insurance companies cover Naturopathic care, please check into the specifics for your insurance.
The next step is lab testing to evaluate where your general health & hormones are to begin with.
- Ienergy Core Lab: To screen for pH, adrenal gland and digestive function (as above included in your New Patient Visit)
- Labs-1 General + Hormone Panel (GHP): Nutrients: (B12, Calcium, Ferritin, Magnesium, Protein); Digestion (Chemistry Panel M-Kidney: Potassium, Sodium, Uric Acid/Urate, Creatinine) & eGFR); Liver & Oxidative Stress (Chemistry Panel N-Liver: Albumin, Alkaline Phosphatase, ALT, Direct Bilirubin, t Bilirubin, tProtein) ; Body Composition: (fasting glucose, fasting insulin, HbA1C); Inflammation & CVS: hs-CRP, Lipid Panel (cholesterol, HDL-C, TG, calculated LDL-C & Chol/HDL-C ratio); Immunity: (CBC); Hormones (DHEA, FSH, LH, prolactin, estradiol, progesterone, total testosterone, TSH, fT3, fT4); tPSA & DHT (males only) Note: Male program includes one annual test of tPSA & DHT, additional testing is billed at an additional rate.
- Labs-Hormone Panel 2 : Hormones (cortisol am, DHEA, FSH, LH, estradiol, progesterone, ttestosterone, TSH, fT3, fT4)
- Labs-Current copies PAP, pelvic ultrasound & mammogram are requested within 3 months of initiation of the HOP program. Requisitions for the pelvic ultrasound and mammogram can be given at your Month 0 Initial Visit with MD.
3. The Doctor’s Hormone Report
The Doctor’s Hormone Report and Plan will summarize all the clinical findings, get you started on the initial recommendations which may include nutritional suggestions, detoxification or other therapies help prepare you for optimal hormone absorption and care.
4. Ienergy Power Hormone Program
If it is determined that bioidentical hormone support (BHRT) is the right path for you your hormone team which consists of a Naturopathic Doctor (ND) and a Medical Doctor (MD) will work as a team to utilize resources to reach your goals. You can either choose our Ienergy Power Hormone Program (IE-PHP) which includes:
- Consultations: Month 0-MD, Month 3-ND, Month 6-MD, Month 12-ND and One Flex Visit as needed
- *Blood Work: General Health & Hormones Month 0 and Hormone Panel 2 Month 3 & 6
- Hormone Specific Labs: Mammogram & Pelvic Ultrasound: Month 0
OR you can choose to be supported with hormones not in a program basis and just on a consult basis. The program has been designed for optimal care and efficiency financially.
*Note- for those using a cream form of a hormone we may recommend saliva hormone testing which is an additional fee. For men an annual blood test for PSA and DHT is included. Please speak to your MD or ND if there are any other lab tests that you wish to have included, which are available outside of the program for a fee.
How Often Do I Need A Visit To Follow Up?
Visits are scheduled for Month 0, 3, 6,12 and an additional flex visit as required with our hormone team.
How Do I Get My Prescription Filled?
Your prescription will be sent to a top compounding pharmacy that will ship your prescription right to your doorstep! Prescriptions are shipped via express post – free delivery anywhere in Canada. Once you have your visit, your prescription will be faxed direct to the compounding pharmacy. Once your prescription is received at the pharmacy they will contact you directly to arrange billing and shipping. If this call is missed it is your responsibility to follow up. It’s as easy as that!
How Do I Get Refills?
All hormone refills require a clinic visit. Every alternative visit may be done by phone if needed. Although we do live in a world of information technology (IT), it is important for your hormone team to assess your health completely, which includes being able to see you. We are happy to answer simple questions by phone or email, however our experience has lead us to suggest an clinic visit if there are more questions or concerns, as there is a more complete understanding of the total picture. Please allow up to 1 week to receive your refill after your visit.
I Also Have Questions on Nutrition, Weight or Other Aspects of My Health Will These Be Addressed?
Your hormone team will review you general health as well as your hormones. The program is designed to address your hormone needs. If you have other health goals, specific separate visits or care may be suggested that is outside of the hormone program. A complete list of our fee schedule is available at www.revivelife.ca. Many have found the combined use of the IE-PHP and other services like nutritional counselling, acupuncture or our weight loss program have been very helpful to embark on a total approach to health. We look forward to assisting you on your path to wellness!
To Book an Appointment Click Here or Call 613-829-7100
What are the potential benefits of Bioidentical Hormone Replacement Therapy (BHRT)?
Symptoms of hormone imbalances that BHRT may help include: hot flashes, night sweats, loss of libido, vaginal dryness, urinary problems including incontinence, gynecomastia ( male breasts), loss of morning erections or erectile dysfunction, PMS, painful periods, irregular periods, fertility issues, endometriosis, fibroids, ovarian cysts, abnormal hair growth, thyroid dysfunction, fatigue, sleep problems, mood swings, depression, memory loss, anxiety, decreased muscle tone, increased belly fat, weight gain, hair loss, , change in odor, dizziness, bloating/swelling, allergies, brittle nails, irritability, panic disorder, breast pain, joint pain, headaches, loss of concentration, itchy skin, digestive problems, irregular heart beat and osteoporosis.
Physiological data and clinical outcomes demonstrate that bioidentical hormones are associated with lower risks, including the risk of breast cancer and cardiovascular disease, and are more efficacious than their synthetic and animal-derived counterparts. Until evidence is found to the contrary, bioidentical hormones remain the preferred method of HRT. Further randomized controlled trials are needed to delineate these differences more clearly.1
What are the potential risks or side effects of Bio-identical Hormone Replacement ( BHRT)?
Because all hormones interact with others, it is important in an effective hormone program to monitor not only the hormones prescribed but also other hormones that may be affected due to the hormone support. Side-effects are often related to the need to adjust your current hormone levels and are often minimal and manageable when restoring hormones to physiological levels (levels your body has seen before). Some patients report breast tenderness or swollen joints when first starting bio-identical hormone replacement therapy; these and other adverse reactions can be remedied by reducing the dosage until symptoms resolve, then gradually resuming. To make HIHS or BHRT safe and effective we at Revivelife™ focus on:
- Customization with optimal dosing and adjustments accordingly
- Use of the hormone in the safest route
- Correction of other imbalances associated with hormones
- Proper follow up visits with lab testing
- Ongoing communication between you and hormone doctor
What about the risk of cancer?
When proper evaluation, prescription and monitoring are put in place, there are ways to use hormone support to be cancer protective. Research shows that human identical or bio-identical progesterone ( vs synthetic progesterone ie. progestins) has a cancer protective effect.2 Estrogen is an important hormone, however in the improper form and or in excess, when not balanced with progesterone, will increase cancer risk. If you have had cancer, have cancer or a family history, time will be taken to review the benefits and risks in your individual case. Proper hormone management also includes preventive testing. For women testing includes but is not limited to: estrogen/progesterone ratio, PAP tests, mammograms and or medical thermography, and pelvic ultrasounds. While for men testing includes but is not limited to: testosterone, DHT, and PSA levels for men.
- Breast Cancer & Hormone Therapy: The Danish study which reviewed 1006 healthy women over a 10 year period with women aged 45-58 ( average 50) showed that women receiving hormone therapy ( bio-identical estrogen and synthetic progesterone) early after menopause had no increased risk of cancer ( including breast cancer) or cardiovascular disease and had a significantly reduced risk of mortality.
- Prostate Cancer & Testosterone: Over the 20 years and 430,000 men studied there has not been one study that has shown a direct correlation between serum total testosterone levels and prostate cancer. 3-7 If prostate cancer were truly fueled by testosterone, we would see more prostate cancer in younger men with higher testosterone levels instead of the reverse.
What does the latest research say?
Hormone therapy has gone through an evolution of approaches, which has left many confused, including doctors. For decades hormones were prescribed to women for menopausal symptoms. The hormones initially used were synthetic versions. In 2002 The “landmark” Women’s Health Initiative (WHI) study was published, showing that when the synthetic hormones Premarin( synthetic estrogen) and Provera ( synthetic progesterone) were used there was an unacceptably high risk of breast cancer, cardiovascular disease including blood clots and stroke. Thus the study was halted 3 years early and everyone was told that hormones were dangerous. However, when we re-analyze the data in detail, what the results of the WHI indicate is that synthetic oral forms ( vs transdermal) forms of hormone replacement therapy (HRT) did seem to pose a risk. However the limitations of the study were that the women were older ie average age 63 and 10+ years post-menopausal where there would already be a significant increase risk of breast cancer, cardiovascular disease and stroke, and only synthetic versions were used. Thus the results of the WHI are not transferable to bio-identical hormone replacement therapies ( BHRT) or to younger healthier women.
- In 2007 The Mayo Clinic Cohort Study of Oophorectomy and Aging ( MCSO) was run and the results showed that estrogen protects brain function and the earlier you begin estrogen support the greater the reduced risk of dementia is in women who have lower levels of estrogen, in this case due to the removal of ovaries.1 This was supported by other studies and called the timing hypothesis. 8,9
- The Kronos Early Estrogen Prevention Study ( KEEPS) was published in 2012, was a 4 year randomized trial that used low dose oral Premarin ( synthetic estrogen), transdermal estradiol and Prometrium ( bio-identical progesterone) . This study was significant because it was run with lower doses of estrogen, younger ( ie average age 52) and healthier women vs the WHI. The results showed a neutral blood pressure and favorable impact on cardiovascular health markers HDL, decreased LDL and increased TG. In addition when a transdermal ( topical form) estradiol was used, there was the benefit of improved blood sugar levels. Thus the KEEPS showed many favourable effects of hormone therapy (improved hot flashes, night sweats, depression, libido , and bone density) in newly menopausal women and did not show any adverse effects such as breast cancer, endometrial cancer, myocardial infarction, or stroke. It is important to keep in mind that this study was only run over 4 years and included younger women.
- The BMJ- Danish study was a 16 year study run with 1006 healthy women with an average age of 50. In the 10 years of randomized treatment women who received hormone therapy ( bio-identical estrogen and synthetic progesterone ) there was a significant reduction in mortality, heart failure, myocardial infarction, and there was no increased risk of cancer, blood clots or stroke.
Conclusion: More research is needed to assess human identical hormones or bio-identical hormones, the method of use, it’s benefits or risks and the impact of its use on different age categories. At this time what we know is that synthetic hormones do pose a risk of breast cancer, cardiovascular disease and stroke when introduced to an older age population. When bio-identical hormones are used on a younger population we see that there is not an increased risk of breast cancer, blood clots or heart disease over a 10-16 years treatment with hormone therapy. Hormone therapy when used earlier after menopause can significantly reduce the risk of mortality, heart failure, and myocardial infarction. In addition hormone therapy can help hot flashes, night sweats, libido, memory, cognition, bone density and overall wellness.
Each person is unique and only you and your hormone doctor can help you make the decision that is right for you. At Revivelife™ we work with you to find an optimal level of hormone balance, especially if the symptoms of menopause or andropause are making you feel “not yourself” and turning your life upside down.
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- Holtorf, K,, The bioidentical hormone debate: are bioidentical hormones (estradiol, estriol, and progesterone) safer or more efficacious than commonly used synthetic versions in hormone replacement therapy?, Postgrad Med. 2009 Jan;121(1):73-85. doi: 10.3810/pgm.2009.01.1949., PMID:19179815
- Harman SM, Brinton EA, Cedars M, Lobo R, Manson JE, Merriam GR, Miller VM, Naftolin F, Santoro N., KEEPS: The Kronos Early Estrogen Prevention Study, Climacteric, 2005 Mar,8(1):3-12,PMID:15804727
- Huggins C, Stevens RE, Hodges CV. Studies on prostatic cancer II: the effects of castration on advanced carcinoma of the prostate gland. , Arch. Surg. 1941; 43: 209-23.
- Morgentaler, A. Testosterone Replacement Therapy and Prostate Cancer Urologic Clinics of North America Volume 34, Issue 4, November 2007, Pages 555-563.
- Stattin, P. Lumme L., Tenkanen L. High levels of circulating testosterone are not associated with increased prostate cancer risk; a pooled prospective study, Int. Cancer 108 ( 2004), pp. 418-424.
- Barrett-Connor, C. Garlan and J.B. McPhillips et al., A prospective , population-based study of androsteneione, estrogens and prostatic cancer, Cancer Res. 50 ( 1990), pp. 169-173.
- K. Parsons, H. B. Carter and E. A. Platz et al., Serum testosterone and the risk of prostate cancer: potential implications for testosterone therapy, Cancer Epidemiol Biomarkers Prev 14 (2005), pp. 2257-2260.
- Rocca et al., Molecular and Cellular Endocrinology, 2014
- 2007 The Mayo Clinic Cohort Study of Oophorectomy and Aging (MCSO)
At Revivelife™ we use the latest research to test and restore your hormonal health, with integrative approaches.
What happens to our hormones as we age?
Hormones are produced by the endocrine glands and have an impact on every cell in the body, acting as the brain’s messengers, telling the body’s internal organs how to function. Beginning around the age of 30 hormones start to drop by by 1% to 3% each year, contributing to a number of symptoms and a slow, steady change in health & vitality.1-5
For women, progesterone decline accelerates at about age 35 and it is estimated that by the time a woman is 45-50, she will have an 80% reduction in progesterone. Progesterone decline is associated with many PMS and Peri-menopausal symptoms and is one of the easiest and safest hormones to support. Estrogen declines at a more rapid speed for women around the age of 40-50. When hormone levels decline in women, women often gain weight in the belly, hips and thighs, have difficulties with memory and feel they have lost their “glow”. For men, the prevalence of low testosterone (total testosterone less than 300 ng/dL with optimal in the range of 700-900 ng/dL) is as high as 38.7% in males over 45. 5 When hormone levels decline in men, men often gain weight in the belly and chest area, have difficulties with memory and begin to lose interest in life’s daily activities. Box sexes can have a reduced ability to sleep well and feel like they are losing their joie du vive. As weight increases, hormones are stored in fat, and become unavailable to meet the body’s demands.
In addition as our hormones decline compounded with nutritional deficiencies, many diseases such as high blood pressure, high cholesterol, blood sugar imbalances, and osteoporosis increase while our quality of life decreases.
Why are hormones important in the aging process?
Research shows that menopausal hormone therapy is associated with a 40% reduction in mortality in women who are below the age of 60 or who use hormone support within 10 years of beginning menopause.6 When women experience uncomfortable menopausal symptoms: work productivity has been shown to be reduced by 10-15 %, sick days increased by 23% and health related costs increased by 40%.7 Opting for healthier lifestyle choices and restoring hormone balance helps hormone-deficient adults regain a balanced, healthy endocrinological state so their bodies function to their best potential.8-10 Researchers now believe that hormone decline is actually a major cause of aging.
Are hormones just for women?
Although the most popular use is with women, both men and women experience a decline in hormones and thus can benefit from hormone support.
How is my hormonal imbalance diagnosed?
A combination of history, physical exam, lab tests including: blood tests, urine tests and salivary when indicated help your hormone doctor diagnose your hormonal imbalance. In this the relationships that exist in the body encompassing you as a whole person are integrated to help find your best solutions.
When should I consider hormone support?
There is a spectrum of support that can be offered for hormonal imbalances beginning with dietary changes, lifestyle changes, supplements and herbs. However, there are times when it may also important to consider bio-identical hormone support.
In general , your body’s hormones begin to decline in your late 20’s and hormone imbalances can be common in your mid-30s. Men and women often start replacing hormones between the age of 35 and 40 when symptoms become bothersome. Hormone replacement therapy can occur at any stage.
Most people should have their hormones assessed on a regular basis after the age of 20 to help in optimizing health, getting a baseline for your hormone levels and the assistance in the prevention of cancer. For example, tracking your estrogen level relative to progesterone level for females and for men testosterone and DHT levels.
If you and your hormone doctor feel that hormone therapy is right for you, the latest research shows the earlier you begin hormone support , the more benefits for prevention of dementia , reduced mortality, and reduced heart attacks are seen when followed over a 10 year duration.11,12
I still have my period, do I have to wait until it stops to receive hormone support?
You can begin hormone optimization anytime in your life, including if you still have your period, including if you have PMS, endometriosis, fertility concerns and or have difficult periods. Many women have found that it helps to regulate their periods and helps them generally feel better overall.
I don’t like taking medication and if I do take anything I only want to take things that are natural, what are my options?
Balancing hormones is a combination of ensuring the organs that produce your hormones such as your ovaries, testes, adrenal gland, and thyroid are well supported as well as the actual hormones themselves. It is also important to support the organs that are associated with hormone production, such as the liver which is responsible for conjugating and recirculating your hormones and your digestive system which determines how many of your nutrients you absorb to support hormone optimization. This can all be achieved through phases of support which include:
- Phase I: Lifestyle & Diet: This phase includes lifestyle, diet, nutrition including foods that promote nutrients for hormones, supplements and other natural supportive techniques.
- Phase II: Phyto-Hormones: This is the use of phyto-hormones, which are the use of plants that have a hormonal action. These may include black cohosh, dong quai, wild yam and chaste tree.
- Phase III Hormone Support: At Revivelife™ we focus all our care around naturally based options including Human Identical Hormone Support ( HIHS) or Bio-Identical Hormone Replacement ( BHRT).
I don’t feel like myself, but how do I know that hormones are my solution?
Our team will help you carefully weigh your concerns, with what research shows hormone therapy can support. This will give you a good idea if hormone support is the right solution for you and why all of our patients are recommended to begin with a New Patient Appointment.
I feel like I need help right away, how quickly can I get started on hormones?
We can help you schedule your New Patient appointment , to fit your schedule quite quickly. It is important to prepare the body and ensure that simple things that impact your hormones are taken care of as well, to get optimum benefit from Bioidentical Hormone Replacement Therapy. ( BHRT)
I’m confused, what are the different types of hormones and which ones are synthetic and which ones are natural?
You are certainly not alone! In a nut shell,
- Hormone Replacement Therapy (HRT): is the first type of hormones that were used historically for hormone support. HRT hormones are synthetic
- Synthetic Hormones: means that they have been pharmaceutically manufactured with a chemical structure that is foreign to the human body (not biochemically similar to our own natural hormones in our body) but mimics some hormonal activity. These chemical differences can mean that synthetic hormones can act differently in your body and produce substantially different effects.
- Bioidentical Hormone Therapy (BHRT): is the popular next label for the generation of hormone support which are naturally derived and are an exact replica of the hormones that are naturally produced by the body. Thus, the difference between bio-identical and synthetic hormones is that, although both are created in labs, synthetic hormones are not identical to the hormones naturally created in your body and bio-identical hormones match your body’s hormones molecule by molecule.
- Human Identical Hormone Supplementation (HIHS): is the use of supplemental doses of hormones that have a chemical structure identical to the ones the human body produces. Common terms when referring to human identical hormones include: is also commonly known as: Natural, Bio-identical Hormone Replacement Therapy (BHRT), Biologically Identical, and Plant Based Hormones. Plants provide the basis or source for human identical hormones. These plant-based (phyto-hormones) are chemically altered to precisely mirror the structure of human hormones, making them become “ human-identical’. For example, human identical progesterone and estrogen can be created from chemically altered forms of naturally occurring phyto-hormones found in the Mexican wild yam, soy , and other plants. All sex hormones and cortisol are available in human identical forms.
Both Bio-identical and Human Identical Hormones are available in standardized (FDA or government approved) or custom compounded formulas.
What are the types of synthetic hormones? And what are the risks?
Some of the more common types of synthetic hormones include: Estrogens ( Premarin, Cenestin, Menest, OrthoEst, EstraTab); Progesterones ( progestins) ( Provera, Aygestin, DepoProvera, certain birth control pills); Combinations ( EstraTest, Activella, PremPRo, PremPhase, CombiPatch, ClimaraPro, FemHRT, many hormonal birth control methods), Testosterone ( MethylTestosterone).
According to the FDA, for some women, synthetic hormone therapy may increase the chances of blood clots, heart attacks, strokes, breast cancer and gall bladder disease. For women who have not had their uteruses removed, estrogen increases their chance of getting endometrial cancer. Adding progestin, however, lowers this risk.
How are synthetic hormones created?
The most common forms of synthetic hormones consist of mixtures of urine from pregnant mares, known as conjugated equine estrogens (CEE), and progestin. Those synthetic treatments most commonly prescribed are made by pharmaceutical companies that have proprietary claims on drugs. For example Premarin ( synthetic estrogen) and Provera ( synthetic progesterone) , were the medications studied in the Women’s Health Initiative ( WHI) which are not bio-chemically like estrogen and progesterone, we are however often lead to believe that they are the same. Premarin is in fact made from pregnant horses, which contains a number of chemicals that are not found in humans, and is much stronger than human estrogen. Premarin stimulates the lining of the uterus, increases the risk of ovarian cancer. Provera or medroxyprogesterone, can be related to increase blood clots and breast cancer. When these synthetic hormones are taken by mouth ( vs produced by the ovaries as what the body naturally does), they enter the digestive system and then travel to the liver, which starts to digest them. The partly digested by-products of Premarin and Provera have never been properly studied, yet they are highly likely to be responsible for the toxic effects. The WHI which studied these synthetic hormones showed that they do not behave like human hormones and pose significant risk.
What are custom compounded hormones versus government or FDA approved?
Custom compounded hormones are formulated for each individual according to the prescription that you require by your compounding pharmacist. Government or FDA approved formulas are pre-set formulas that are made by pharmaceutical companies and are standardized to a particular dose and formula. Either can be Human Identical.
What is the difference between Over-the-Counter (OTC) herbal products and BHRT?
OTC herbal products contain phyto-hormones which means that they help to stimulate the body to produce more of its own hormones, the result is gentle hormone support . BHRT is the actual hormone itself , which is often derived from the same source i.e. wild yam or soy, the result is stronger support because it is using the actual hormone itself versus the ingredients needed to make the hormones.
Can I get BHRT anywhere?
BHRT require a prescription from a hormone doctor, your medical doctor or an endocrinologist. This is important as hormones may come with benefits and risk which your hormone team can help determine in your case. It is also important that regular follow assessment visits, hormone testing, PAP tests, mammograms and ultrasounds be performed to ensure you are using hormones in a safe manner.
Can I just get my medical doctor to prescribe hormones for me?
You can get your medical doctor, endocrinologist or hormone doctor to prescribe hormones for you. It is important to note that not every doctor will use Bioidentical Hormone Replacement (BHRT) and may use synthetic versions which come with a higher risk according to the research. It is optimal to work with a team that specializes in hormones and can give you the latest research information and strategies. Hormone balancing is a specialty in itself.
Do I continue care with my general practitioner medical doctor?
Your general practitioner medical doctor is a part of your whole health care team. It is important to maintain care with your medical doctor and have all your health care providers work as a team. Hormone balancing is a focus of certain doctors that are trained in this area. Your hormone doctor is happy to communicate with your medical doctor and provide tests, and or assessment records at your request.
How soon should I be able to tell a difference after I start taking BHRT?
It generally takes two to six months to achieve hormonal balance, keeping in mind that some people take longer and other people begin to feel better quite quickly i.e. within a few weeks. As each person is unique, adjustments will be made until you reach your state of hormonal balance.
Will I get my period again once I start taking BHRT?
It is possible that you may get your period back when using hormone support, especially if you have just recently found that your period has stopped. You and your hormone doctor can decide what is right for you and adjust your hormone levels accordingly which may include not having a period.
I found some wild yam crème at the health food store can I just take this?
The wild yam crème that is often sold in health food stores contains wild yam which is a plant that contains diosgenin, which in the laboratory is used to make hormones like estrogen and dehydroepandrosterone ( DHEA).13 Wild yam is suggested to have some phytoprogesterone, phytoestrogen, and phytoDHEA activity, meaning that it has some weak “progesterone, estrogen and DHEA like” activity, but there is no scientific evidence that suggest it can be converted into the active hormones progesterone, estrogen or DHEA in the body.14-17 This conversion can only take place in a laboratory. In some wild yam crème’s progesterone is added and thus can have some pharmacologic effects. It is recommended to work with a hormone doctor and health team that can properly assess, dose, titrate and continue to monitor your health and hormones optimally.
Will it help if I just eat more wild yams?
If you are asking this question, you may have watched one too many episodes of “Sex in the City” watching Samantha take her “hormones” to alleviate her hot flashes by eating wild yams for breakfast, because her bio-identical ones were confiscated by customs as “drugs”, despite her insistence that they were merely “bioidentical and extracted from yams”, while traveling. Wild yams however, do not contain the hormones estrogen, progesterone or DHEA, but a precursor diosgenin. Wild yams thus have some estrogen, progesterone and DHEA “like” activity, which is very weak as compared to the human hormone counterparts but not in significant amounts to have a therapeutic effect. In addition, although there are over 6000 different varieties of wild yam, only 12 of the 6000 are considered not too bitter and are edible. It’s also important to note that we don’t have enough research to suggest that excess amounts are safe to use during pregnancy, breast feeding , for hormone sensitive conditions like breast cancer, uterine cancer, ovarian cancer, endometriosis or uterine fibroids and or anyone with a Protein S deficiency. People with protein S deficiency have an increased risk of forming clots. There is some concern that wild yam might increase the risk of clot formation in these people because it might act like estrogen. Thus if you have any of the above , it’s best to avoid using wild yam until more is known.
I am on the birth control pill, is this also considered hormone therapy?
Yes, birth control pills are a type of hormone therapy but are different from bio-identical hormone replacement therapy. Birth control pill hormones are synthetic and are not provided in a natural rhythm as the body’s own hormones. Synthetic hormones have a different chemical structure than the hormones made in your body and are not broken down the same way which makes the more potent because of uncontrolled reactions. For optimal hormone balancing it is recommended to come off the birth control pill for 2 weeks to establish your natural hormone baseline. If this is not possible your hormone doctor will discuss other options with you.
Are BHRT hormones expensive?
The cost of your therapy depends on your individual needs, form used and number of hormones that are required to be balanced. Commonly the compounded prescription costs may range from $50-$100/month. Some people also ask if custom compounding hormones is more expensive than FDA approved options. Custom compounded medications are equal in cost and in some cases less than FDA approved standard formulations. Occasionally custom compounding can be more expensive when formulations are lengthy or ingredient costs are high. In every situation it is important to weight the investment with the benefits, if you have any concerns please feel free to discuss this with your hormone doctor.
Do I need a prescription?
Yes all hormones are available by prescription only for your safety, so that they can be monitored for your optimal overall health. Bioidentical hormones are compounded prescription drugs that are produced in a specialized pharmacy. Each prescription is individualized according to your unique needs and hand made from the highest quality ingredients by pharmacists that specialize in formulating drugs.
Can I get a refill over the phone or by email?
Although we do live in a world of Information Technology ( IT). It is important for your hormone doctor to be able to assess your health completely, which includes being able to see you. It is recommended to have office visits for refills or change of prescriptions. We are happy to answer simple questions by phone or email, However our experience has lead us to suggest an office visit if there are more questions or concern, as there is a more complete understanding of the total picture.
Will this treatment interfere with my currently prescribed medications?
The only time when medications will interfere with bio-identical hormones is when the medications you’re taking contain hormones, like birth control and certain acne medications. In many cases, certain medications are no longer needed, once hormone levels are restored to a healthy balance. This generally happens because balancing hormones improves your overall health. It’s important to discuss your use of bioidentical hormone therapy with your doctor. We are happy to communicate with others on your health care team upon request.
How are the hormones administered? How often?
You and your hormone doctor will decide the best form of hormones to use. Hormones are self-administered daily (once or twice per day) or a few times per week via transdermal creams, oral capsules, or subcutaneous injections.
How long do I need to take it?
It is an individual’s choice how long one uses hormone support. Both you and your hormone doctor can decide what is right for you. Ideally the hormone support is used to continue supporting the natural decline in hormone levels with the aging process.
Do I need to take the hormones forever?
Not necessarily, it depends on how well your body responds to Bioidentical Hormone Replacement Therapy (BHRT). For optimal hormone function it is important for you to manage your diet, sleep patterns, exercise, and stress levels. We will address these issues as part of your treatment plan.
Some patients can wean off various hormones once they become balanced and have fewer symptoms of menopause or andropause. There are also patients who can wean off adrenal and thyroid support once their adrenals or thyroid glands have healed. There is no single answer for everyone, it depends on your individual hormone stability and how well your diet and lifestyle will support everything else.
What happens if I stop the program?
In general, supplementation by exogenous (external) hormones will result in decreased endogenous (internal) production. However, the body tends to restore hormones to pre-treatment levels after treatment is stopped. If your own hormone production was low before treatment, it will most likely return to the same levels after treatment. As a result, most of the physical changes enabled by the program will gradually revert back to “normal”.
Do I need to change my diet?
Bio-identical hormones do have an impact on your health on their own, however this effect will be amplified if you are eating well. The team at Revivelife™ will help to assist you in finding the right lifestyle changes including nutrition. Certain foods can help support the digestive system, the liver and hormone production which are all needed to function optimally for the best hormone balancing results.
What other supplements should I take with the BHRT?
Your Revivelife™ team will help to determine if nutrient deficiencies exist, organ weakness including the adrenal gland or other supplement needs to compliment your Human Identical Hormone Support or Bio-identical Hormone Replacement Therapy. The professionals at Revivelife™ recommend high quality supplements that give you optimal bio-availability.
I‘m not sure about committing to a program, how can I see if it‘s a fit for me?
We understand, at Revivelife™ you are welcome to arrange your complimentary 15 minute introduction consultation for you to ask your questions and or meet your practitioner. Our team also are experts in lifestyle medicine, nutrition, acupuncture and other integrative techniques if for any reason, hormone support is not a fit. You can also choose to pay for your visits individually.
Where do I get my prescription from?
Your prescription will be sent to a compounding pharmacy that will send your prescription right to your doorstep! Once your prescription is received at the pharmacy they will contact you to arrange billing and shipping. It’s as easy as that!
Do I need a referral to make an appointment?
You do not need a referral to make an appointment , all you need to do is simply call, email or schedule on line.
To Book an Appointment Click Here or Call 613-829-7100
- Morgentaler, Abraham, Testosterone for Life: Recharge your vitality, sex drive, muscle mass and overall health.
- Sommers, Suzanne, Sexy Forever; Breakthrough: 8 Steps to Wellness; Ageless: The naked truth about bio-identical hormones
- Schwartz, M.D., The Hormone Solution: Naturally alleviate symptoms of hormone Imbalance from adolescence through menopause
- Feldman HA, Longcope C, Derby CA, et al, Age trends in the level of serum testosterone and other hormones in middle-aged men; longitudinal results from the Massachusetts Male Aging Study. J Clin. Endocrinol Metab. 2002;87:589-598
- (5) Mulligan T, Frick M, Zuraw Q, et al. Prevalence of hypogonadism in males aged at least 45 years: the HIM study. Int. J. Clin. Pract. 2006;60:762-9
- Postmenopausal Hormone Therapy: An Endocrine Society Scientific Statement. JCEM July 1, 2010 95 no.7 Supplement 1
- Kleinman et al, JOEM 55, 465-470, 2013
- Gordon, Mark, M.D., Endocrinologist | Millennium Health Centers, Inc. | millenniumhealthcenters.com
- Sangetta, Pati, M.D. | SaJune Institute for Restorative & Regenerative Medicine| sajune.com
- Schwartz, Erika, M.D. | The Age Management Institute| derika.com
- The timing hypothesis: the earlier you start estrogen the greater the reduced risk for dementia ( Modified from Roccer et al., Molecular and Cellular Endocrinology 2014)
- BMJ Danish Study
- Fugh-Berman, A. Wild yam cream, diosgenin, and natural progesterone: What can they really do for you? National Women’s Health Network. The Network News, January 1, 1999
- Bown, D, New Encyclopedia of Herbs & Their Uses, New York, NY:DK Publishing Inc; 2001
- Foster S, Duke J. A. A Field Guide to Medicinal Plants: Eastern and Central North America, Boston, MA, Houghton Mifflin, 1990
- Fugh-Berman, A. “Bust-enhancing” herbal products, Obstet Gynecol, 2003: 1001:1345-1349
- Komesaroff P.A., Black CV, Cable V Sudhir, K. Effects of wild yam extract on menopausal symptoms, lipids and sex hormones in healthy menopausal women, Climacteric, 2001, 4: 144-50
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