Most endocrinologists. Internists and Family Practice physicians subscribe to the practice guidelines of the American Association of Clinical Endocrinologists. Guidelines that totally disregard a patient’s symptoms and place more importance on worthless reference range lab values. Why do they totally disregard a patient’s plea of classic symptoms of low thyroid function, with weight gain, exhaustion, hair falling out, dry skin and worsening memory, even depression when confronted with a “normal” TSH level??? I have no idea why. I believe how the patient actually feels is the absolute most important decision making factor in choosing therapy as well as in increasing or decreasing doses. The TSH level is absolutely, unadulteratedly worthless test! Studies have repeatedly shown the ineffectiveness and potential harm of only T4-replacement. The studies show that T4-replacement leaves many patients suffering chronically from hypothyroid symptoms and gaining weight they can't lose through dieting and exercise. I believe Synthroid may be a reasonable medication, but ONLY for someone who has no stress. T4 is inactive, and does not interact well with thyroid receptors. It has to be activated to T3, which is the only form of thyroid hormone that interacts with thyroid receptors. Stress blocks this conversion. Therefore giving a patient synthroid to a patient with any type of physical, emotional or situational stress is a worthless effort. It will not work! Patients have to use the combination of T3, and T4. The T3 will provide immediate energy. I prefer the Armour thyroid from Forrest labs, and avoid the use of generic thyroid supplements.
Now here is one more twist. When a person has Hashimoto’s (Autoimmune Thyroiditis), they have antibodies that have attacked their own thyroid. Because these antibodies “gum” everything up and block any hormone from interacting with thyroid receptors, thyroid levels are absolutely worthless. You can have high “normal “ values and still demonstrate severe low thyroid symptoms. By the way, 30 % of women over the age of 50, will have positive antibodies, and all the lab tests will be worthless. Therefore in these women, women presenting with classic low thyroid symptoms and who are often told their thyroid is “normal”, the ONLY reliable factor for adjusting the thyroid medication dose or the need for treatment is “HOW DO YOU FEEL?” The lab tests are worthless, and the ONLY way to manage Hashimoto’s Thyroiditis is by adjusting the medications to a patient’s signs and symptoms. I repeat …Lab results are worthless, and patient’s symptoms are the most important and only way to adjust medications. The only way! So, spending time speaking with patients, as well as ongoing adjustment of thyroid replacement therapies is critical to achieve optimization of thyroid management.
Showing posts with label adrenal fatigue. Show all posts
Showing posts with label adrenal fatigue. Show all posts
Saturday, February 19, 2011
Friday, September 3, 2010
Progesterone and Men-Optimizing the Aging Male's Health
Progesterone and Men-Optimizing the Aging Male's Health
Dr Robert G Carlson, MD, FACS
Progesterone – It’s Not Just for Girls!
Every day we see a new article dedicated to explaining how important progesterone is for women in the array of hormones that are key to good health and healthy aging. But what about men? Most men and women along with many doctors would be surprised to find that progesterone is very important to a man’s health!
So Men Produce Progesterone?!
Most men have about seven times lower levels of progesterone than testosterone; but it is actually more abundant than DHT, the primary metabolite of testosterone that makes a man look like a man. Hormones give us our secondary sex characteristics –
curves for a woman, a lower voice etc. for a man. Even though some hormones are more prevalent in men or women, both sexes have all the same hormones just in different levels. Healthy men have more progesterone than the other “female hormones” like estradiol or estrone, 10 times more of it than melatonin, and much more of it than thyroid hormones like free T4 or thyroxin. Progesterone is actually just as important to a man’s health as a woman’s!
We’re Wired for Equality…Most of the Time!
For a short time every month, men and women are equal…in progesterone! The levels of progesterone that men have is equivalent to what women have during the follicular phase each month; this is the first phase of a women’s cycle when progesterone is low, just like a man’s progesterone level.
The reason that men and women will have equal levels of progesterone is because a man creates progesterone in his adrenal glands and the primary source of progesterone for a woman during the first 2 weeks after the onset of the menstrual cycle is from the adrenals as well. In fact, for both men and women the adrenal glands make 1 ½ - 3 mg a day of progesterone.
A woman will have a much higher level of progesterone over the course of each month though because during the second phase of her cycle her ovaries will also produce it. So for two-thirds of every month, men and women will have the same level of progesterone!
Progesterone can also be a precursor of testosterone, aldosterone, and even cortisol. Progesterone is also very important as a base of hormone production; it joins with cholesterol to create””. Progesterone is also a bellweather of how your body is handling stress. During stressful crisis situations, you may have higher levels of progesterone and your body may react by making lots of cortisol (and creating that dreaded spare tire around your waist!) If you are under chronic stressful situations, you can suffer from adrenal fatigue and your body will no longer produce adequate amounts of cortisol.
Our bodies are designed to respond to stress as a self-protective reflex – we either fight, flee or freeze. Crisis triggers cortisol production to help the body manage stress. Cortisol is so important to the body during stress that it becomes the body’s primary focus and the cortisol “sink” is where most of the substrate for other hormone production is often shunted to fortify the body’s arsenal of protection. Remember, we developed in a very unsafe world where we were under constant threat so our bodies are hard-wired for self-preservation by using hormones to respond to stress and keep us alive.
How Much Stress Can You Handle?
Our bodies are designed for a quick, reflexive, self-preservation response to stress but our lives today are one crisis after another. At some point we do “accommodate” to stress, we become more capable of bearing the stress load. But is it healthy? Some stress is good, but too much stress is a killer. One of the key hormones we need for health and longevity – progesterone – falls by the wayside when we are stressed. Everything becomes focused on cortisol production. If you have the typical, chronic stress levels of American daily life, you probably are deficient in progesterone. If you are walking through a crisis event, you may be producing far too much progesterone. In either scenario, you need to support your body’s hormone levels. So, high progesterone levels maybe an indicator of stress, whereas very low levels indicate a serious adrenal fatigue condition.
“You Are Getting Older!” – Bite Me!
Progesterone levels decline with age just like all the adrenal hormones and this affects most of your major organ systems. There are progesterone receptors in your heart an in your major blood vessels such as your arteries and veins. Progesterone is the hormone of calmness. It is nature’s valium, the Feng Sui of hormones. When you have low progesterone levels, some of your organ systems may demonstrate more tenseness or nervousness. The gall bladder has progesterone receptors and a stressed gallbladder with low progesterone may lead to a danger situation like acalculous cholecystitis, which we see in very stressed patients in the ICU. In the prostate, epididymis, and the testicles, there are also progesterone receptors, and there must be a purpose for that? Sperm also has progesterone receptors as well.
Progesterone – What Have You Done for Me Lately?
Progesterone is the peacekeeper hormone that keeps the levels of other hormones in balance and it helps maintain the hormonal symphony resonating in through your body. For instance, estradiol in men is not a good thing; it results in higher stroke rates, increased heart attack rates, and increased prostate cancer. Progesterone keeps your estradiol levels in control.
Progesterone also keeps the levels of Dihydrotestosterone(DHT) in balance. Too much DHT leads to hair loss and increased prostate cancer risks. Progesterone will also keep your aldosterone in balance. You can also blame progesterone if your wife or girlfriend complains that you fall asleep right after sex. Progesterone levels spiral during intercourse and peak after an orgasm; it’s progesterone that creates a calmer, more relaxed state after an orgasm. Many of my male patients like taking progesterone in the evening because it does make everything so much more relaxed and some of them tell me it also increases their deep breathing almost like yoga.
You Gotta Have Heart!
Progesterone has a role to play with regard to cardiovascular disease. Not only are there progesterone receptors in the heart and all the major blood vessels, but it’s also been shown to reduce lipids in the blood. It also helps protect against damage to the arterial system from elevated insulin levels. Too much insulin floating around in your blood can prematurely break down and age the walls of the arteries. Progesterone protects the blood vessels from the effects of insulin.
For people who are progressing into atherosclerosis, there is an overgrowth of smooth muscle cells within the lining of the blood vessels. Progesterone has been shown to stop this out of control growth. And those coronary arteries? The major cause of death from heart disease is the decreasing blood flow to regions of the heart that need it. We call these “ischemic changes” which is the technical term for lack of blood flow. Most doctors have been trained to provide medications that improve blood flow through the coronary arteries like nitroglycerin. But who wants to swallow the poisonous basis of explosives? There are numerous natural compounds throughout the body that do the same thing, including progesterone and testosterone; and they may even help reduce hypertension by helping to relax the muscular walls of arteries and reduce water retention/edema by helping the body excrete sodium.
More to come....
Dr Robert G Carlson, MD, FACS
Progesterone – It’s Not Just for Girls!
Every day we see a new article dedicated to explaining how important progesterone is for women in the array of hormones that are key to good health and healthy aging. But what about men? Most men and women along with many doctors would be surprised to find that progesterone is very important to a man’s health!
So Men Produce Progesterone?!
Most men have about seven times lower levels of progesterone than testosterone; but it is actually more abundant than DHT, the primary metabolite of testosterone that makes a man look like a man. Hormones give us our secondary sex characteristics –
curves for a woman, a lower voice etc. for a man. Even though some hormones are more prevalent in men or women, both sexes have all the same hormones just in different levels. Healthy men have more progesterone than the other “female hormones” like estradiol or estrone, 10 times more of it than melatonin, and much more of it than thyroid hormones like free T4 or thyroxin. Progesterone is actually just as important to a man’s health as a woman’s!
We’re Wired for Equality…Most of the Time!
For a short time every month, men and women are equal…in progesterone! The levels of progesterone that men have is equivalent to what women have during the follicular phase each month; this is the first phase of a women’s cycle when progesterone is low, just like a man’s progesterone level.
The reason that men and women will have equal levels of progesterone is because a man creates progesterone in his adrenal glands and the primary source of progesterone for a woman during the first 2 weeks after the onset of the menstrual cycle is from the adrenals as well. In fact, for both men and women the adrenal glands make 1 ½ - 3 mg a day of progesterone.
A woman will have a much higher level of progesterone over the course of each month though because during the second phase of her cycle her ovaries will also produce it. So for two-thirds of every month, men and women will have the same level of progesterone!
Progesterone can also be a precursor of testosterone, aldosterone, and even cortisol. Progesterone is also very important as a base of hormone production; it joins with cholesterol to create””. Progesterone is also a bellweather of how your body is handling stress. During stressful crisis situations, you may have higher levels of progesterone and your body may react by making lots of cortisol (and creating that dreaded spare tire around your waist!) If you are under chronic stressful situations, you can suffer from adrenal fatigue and your body will no longer produce adequate amounts of cortisol.
Our bodies are designed to respond to stress as a self-protective reflex – we either fight, flee or freeze. Crisis triggers cortisol production to help the body manage stress. Cortisol is so important to the body during stress that it becomes the body’s primary focus and the cortisol “sink” is where most of the substrate for other hormone production is often shunted to fortify the body’s arsenal of protection. Remember, we developed in a very unsafe world where we were under constant threat so our bodies are hard-wired for self-preservation by using hormones to respond to stress and keep us alive.
How Much Stress Can You Handle?
Our bodies are designed for a quick, reflexive, self-preservation response to stress but our lives today are one crisis after another. At some point we do “accommodate” to stress, we become more capable of bearing the stress load. But is it healthy? Some stress is good, but too much stress is a killer. One of the key hormones we need for health and longevity – progesterone – falls by the wayside when we are stressed. Everything becomes focused on cortisol production. If you have the typical, chronic stress levels of American daily life, you probably are deficient in progesterone. If you are walking through a crisis event, you may be producing far too much progesterone. In either scenario, you need to support your body’s hormone levels. So, high progesterone levels maybe an indicator of stress, whereas very low levels indicate a serious adrenal fatigue condition.
“You Are Getting Older!” – Bite Me!
Progesterone levels decline with age just like all the adrenal hormones and this affects most of your major organ systems. There are progesterone receptors in your heart an in your major blood vessels such as your arteries and veins. Progesterone is the hormone of calmness. It is nature’s valium, the Feng Sui of hormones. When you have low progesterone levels, some of your organ systems may demonstrate more tenseness or nervousness. The gall bladder has progesterone receptors and a stressed gallbladder with low progesterone may lead to a danger situation like acalculous cholecystitis, which we see in very stressed patients in the ICU. In the prostate, epididymis, and the testicles, there are also progesterone receptors, and there must be a purpose for that? Sperm also has progesterone receptors as well.
Progesterone – What Have You Done for Me Lately?
Progesterone is the peacekeeper hormone that keeps the levels of other hormones in balance and it helps maintain the hormonal symphony resonating in through your body. For instance, estradiol in men is not a good thing; it results in higher stroke rates, increased heart attack rates, and increased prostate cancer. Progesterone keeps your estradiol levels in control.
Progesterone also keeps the levels of Dihydrotestosterone(DHT) in balance. Too much DHT leads to hair loss and increased prostate cancer risks. Progesterone will also keep your aldosterone in balance. You can also blame progesterone if your wife or girlfriend complains that you fall asleep right after sex. Progesterone levels spiral during intercourse and peak after an orgasm; it’s progesterone that creates a calmer, more relaxed state after an orgasm. Many of my male patients like taking progesterone in the evening because it does make everything so much more relaxed and some of them tell me it also increases their deep breathing almost like yoga.
You Gotta Have Heart!
Progesterone has a role to play with regard to cardiovascular disease. Not only are there progesterone receptors in the heart and all the major blood vessels, but it’s also been shown to reduce lipids in the blood. It also helps protect against damage to the arterial system from elevated insulin levels. Too much insulin floating around in your blood can prematurely break down and age the walls of the arteries. Progesterone protects the blood vessels from the effects of insulin.
For people who are progressing into atherosclerosis, there is an overgrowth of smooth muscle cells within the lining of the blood vessels. Progesterone has been shown to stop this out of control growth. And those coronary arteries? The major cause of death from heart disease is the decreasing blood flow to regions of the heart that need it. We call these “ischemic changes” which is the technical term for lack of blood flow. Most doctors have been trained to provide medications that improve blood flow through the coronary arteries like nitroglycerin. But who wants to swallow the poisonous basis of explosives? There are numerous natural compounds throughout the body that do the same thing, including progesterone and testosterone; and they may even help reduce hypertension by helping to relax the muscular walls of arteries and reduce water retention/edema by helping the body excrete sodium.
More to come....
Saturday, August 28, 2010
Sugar Addiction -riding the rollercoaster
Unfortunately the association of adrenal fatigue and type 2 sugar addiction is more common than we know. One of the key components of adrenal fatigue is a plummeting sugar level in your blood stream. This takes your sugar cravings and drives it to another level of severity. It makes you irritable, and your need to eat is urgent…and it is usually something really sweet that finds its way into your mouth. Now when you do satisfy you’re craving for sweets, your blood sugar level skyrockets again, making more insulin which then causes your sugar to plummet again. It is a nasty cycle of cravings, euphoria, and a crash to the ground. This emotional rollercoaster will take control of your life….if you let it. Just think about STOP-IT, the new sugar craving blocker, as a means of assisting you in fighting this battle for control of your body.
http://www.andlos.com/information/stop%20it%20booklet.pdf
The diet that supports this tragic rollercoaster ride is called the Low-Fat Heart Healthy Diet! What? I thought that was good for your heart? It isn’t…..it has caused an epidemic of diabetes and obesity as well as the army of sugar addicts we are now faced with. Try a low carbohydrate diet, and it will reduce inflammation, triglycerides, cholesterol, diabetes and obesity. Dr. Atkins was correct. Try today to keep your carbohydrate intake below 20 grams/day for the next week, and then increase to 3o grams/day. Stay away from the pastas, breads, potatoes, and candy! It sounds really difficult, but it will be the best thing you ever did. Fat and cholesterol does not cause heart disease, but inflammation does. And high sugar diet causes incredible inflammatory changes within our body.
http://www.andlos.com/information/stop%20it%20booklet.pdf
The diet that supports this tragic rollercoaster ride is called the Low-Fat Heart Healthy Diet! What? I thought that was good for your heart? It isn’t…..it has caused an epidemic of diabetes and obesity as well as the army of sugar addicts we are now faced with. Try a low carbohydrate diet, and it will reduce inflammation, triglycerides, cholesterol, diabetes and obesity. Dr. Atkins was correct. Try today to keep your carbohydrate intake below 20 grams/day for the next week, and then increase to 3o grams/day. Stay away from the pastas, breads, potatoes, and candy! It sounds really difficult, but it will be the best thing you ever did. Fat and cholesterol does not cause heart disease, but inflammation does. And high sugar diet causes incredible inflammatory changes within our body.
Sugar Addiction and Sress-It's making you fat
So we talked a little about the type 1 sugar addicts who are hooked on energy drinks and caffeine. How about the Type 2 sugar addicts? This person‘s life is always in crisis. It seems like you are always reacting to your challenges. But how can you prepare for anything because you are always putting out fires? These patients seem to be women, moms with all the household duties, as well as a full time job. Now you have three full time jobs, home, children and your profession, and you have to also be a wife in there somewhere or deal with an emotional relationship. But your testosterone levels are plummeting with stress and you no longer think about romance. And that’s even more stress!
You are stressed out and always running either to swim practice, running your house or your office. Your adrenals help you for a while; unfortunately this exhausting lifestyle takes its toll. Ahhh sugar, or those comfort foods. They give you the boost you need, but inside of your body your adrenals are in maximum overload, and they will give out. The type 2 sugar addict finds that it is getting more difficult to fit into her clothes and that is because the adrenals and the sugar boosts cause your adrenals to work overtime with even higher cortisol levels. Your insulin levels then spike and sugar in the blood stream becomes fat in your belly. It’s your body’s way of surviving the anticipated stress. Studies have shown, women in adrenal fatigue will gain an average of over 30 lbs. Does this sound like any one you know? More to come…..
You are stressed out and always running either to swim practice, running your house or your office. Your adrenals help you for a while; unfortunately this exhausting lifestyle takes its toll. Ahhh sugar, or those comfort foods. They give you the boost you need, but inside of your body your adrenals are in maximum overload, and they will give out. The type 2 sugar addict finds that it is getting more difficult to fit into her clothes and that is because the adrenals and the sugar boosts cause your adrenals to work overtime with even higher cortisol levels. Your insulin levels then spike and sugar in the blood stream becomes fat in your belly. It’s your body’s way of surviving the anticipated stress. Studies have shown, women in adrenal fatigue will gain an average of over 30 lbs. Does this sound like any one you know? More to come…..
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