Hormone Therapy Quotes

She's a lot more than nice," Gran said with a leer, "after our last date, I came home with my face looking like a glazed donut. That gal's juices are flowing. She must be on some kind of hormone replacement therapy.

Oh, God,” I said. “Thank you so very much for the mental image of Dad as a teenage sack of hormones. That’s the sort of image that takes therapy to get rid of.

Each trans and nonbinary person is like a unique and beautiful snowflake. Some people are more comfortable in their body and don’t need surgery or hormone therapy, and others do. No one way is right or wrong, and what you’re feeling is your gender dysphoria.

If I hear of one more article sourcing the WHI as the standard by which hormone replacement therapy advice should be generated, I think I'm going to puke.

Citing the WHI for Hormone Replacement Therapy standards equates with attending the Flat Earth Society Conference and listening to people try to prove the earth is flat.

Obesity is a hormonal disorder of fat regulation. Insulin is the major hormone that drives weight gain, so the rational therapy is to lower insulin levels.

The default to studying men at times veered into absurdity: in the early sixties, observing that women tended to have lower rates of heart disease until their estrogen levels dropped after menopause, researchers conducted the first trial to look at whether supplementation with the hormone was an effective preventive treatment. The study enrolled 8,341 men and no women. (Although doctors began prescribing estrogens to postmenopausal women in droves - by the midseventies, a third would be taking them - it wasn't until 1991 that the first clinical study of hormone therapy was conducted in women.) An NIH-supported pilot study from Rockefeller University looked at how obesity affected breast and uterine cancer didn't enroll a single woman. While men can develop breast cancer - and a small number of them do each year - as Rep. Snowe noted drily at the congressional hearings, 'Somehow I find it hard to believe that the male-dominated medical community would tolerate a study of prostate cancer that used only women as research subjects.

I suspect that in the late ’90s alone, youth group games were responsible for millions of mono breakouts, thousands of broken bones, dozens of stomach pumps, and countless hours of therapy, for they typically involved placing insecure, hormonally charged teenagers in as physically awkward and borderline dangerous a situation as possible, preferably in the company of food,

As he dug into a piece of blue cake, he thought more about his transition: coming out, his first therapy appointment, going on hormone blockers for the first time. He had treated each step as another obstacle to overcome. This was the first time he thought about it as something to celebrate.

The study reported a 24 percent relative increase in the risk of breast cancer among a subset of women taking HRT, and headlines all over the world condemned HRT as a dangerous, cancer-causing therapy. All of a sudden, on the basis of this one study, hormone replacement treatment became virtually taboo. This reported 24 percent risk increase sounded scary indeed. But nobody seemed to care that the absolute risk increase of breast cancer for women in the study remained minuscule. Roughly five out of every one thousand women in the HRT group developed breast cancer, versus four out of every one thousand in the control group, who received no hormones.

The truth is that vitamin D isn't an analgesic, it's a super hormone that stimulates our body to behave. This means that vitamin D doesn’t take your pain away after 30 minutes. It can take

Often, women's symptoms are brushed off as the result of depression, anxiety, or the all-purpose favorite: stress. Sometimes, they are attributed to women's normal physiological states and cycles: to menstrual cramps, menopause, or even being a new mom. Sometimes, other aspects of their identity seem to take center stage: fat women report that any ailment is blamed on their weight; trans women find that all their symptoms are attributed to hormone therapy; black women are stereotyped as addicts looking for prescription drugs, their reports of pain doubted entirely. Whatever the particular attribution, there is often the same current of distrust: the sense that women are not very accurate judges of when something is really, truly wrong in their bodies.

She’s a lot more than nice,” Gran said with a leer, “after our last date, I came home with my face looking like a glazed donut. That gal’s juices are flowing. She must be on some kind of hormone replacement therapy.” “Gran!

Suppressing our inner cries for help does not stop our stress hormones from mobilizing the body. Even though Sandy had learned to ignore her relationship problems and block out her physical distress signals, they showed up in symptoms that demanded her attention. Her therapy focused on identifying the link between her physical sensations and her emotions, and I also encouraged her to enroll in a kickboxing program. She had no emergency room visits during the three years she was my patient.

Although the idea has been around for ages, most depressed people do not really comprehend it. If you feel depressed, you may think it is because of bad things that have happened to you. You may think you are inferior and destined to be unhappy because you failed in your work or were rejected by someone you loved. You may think your feelings of inadequacy result from some personal defect—you may feel convinced you are not smart enough, successful enough, attractive enough, or talented enough to feel happy and fulfilled. You may think your negative feelings are the result of an unloving or traumatic childhood, or bad genes you inherited, or a chemical or hormonal imbalance of some type. Or you may blame others when you get upset: “It’s these lousy stupid drivers that tick me off when I drive to work! If it weren’t for these jerks, I’d be having a perfect day!” And nearly all depressed people are convinced that they are facing some special, awful truth about themselves and the world and that their terrible feelings are absolutely realistic and inevitable. Certainly all these ideas contain an important gem of truth—bad things do happen, and life beats up on most of us at times. Many people do experience catastrophic losses and confront devastating personal problems. Our genes, hormones, and childhood experiences probably do have an impact on how we think and feel. And other people can be annoying, cruel, or thoughtless. But all these theories about the causes of our bad moods have the tendency to make us victims—because we think the causes result from something beyond our control. After all, there is little we can do to change the way people drive at rush hour, or the way we were treated when we were young, or our genes or body chemistry (save taking a pill). In contrast, you can learn to change the way you think about things, and you can also change your basic values and beliefs. And when you do, you will often experience profound and lasting changes in your mood, outlook, and productivity. That, in a nutshell, is what cognitive therapy is all about. The theory is straightforward

I’m so sick of that argument. I’ve been hearing it for centuries. Playing God. Wolfgang, we played God when people believed they could dictate their baby’s gender by having sex in a certain position. We played God when we invented birth control, amniocentesis, cesarean sections, when we developed modern medicine and surgery. Flight is playing God. Fighting cancer is playing God. Contact lenses and glasses are playing God. Anything we do to modify our lives in a way that we were not born into is playing God. In vitro fertilization. Hormone replacement therapy. Gender reassignment surgery. Antibiotics.

My main point is to show how so-called health values of therapy, hormonal treatment, and surgery have replaced ethical values of choice, freedom, and autonomy; how these same “health” values have diffused critical awareness about the social context in which the problem of transsexualism arises; how more and more moral problems have been reclassified as technical problems

Because now mental health disorders have gone “mainstream”. And for all the good it’s brought people like me who have been given therapy and stuff, there’s a lot of bad it’s brought too. Because now people use the phrase OCD to describe minor personality quirks. “Oooh, I like my pens in a line, I’m so OCD.” NO YOU’RE FUCKING NOT. “Oh my God, I was so nervous about that presentation, I literally had a panic attack.” NO YOU FUCKING DIDN’T. “I’m so hormonal today. I just feel totally bipolar.” SHUT UP, YOU IGNORANT BUMFACE. Told you I got angry. These words – words like OCD and bipolar – are not words to use lightly. And yet now they’re everywhere. There are TV programmes that actually pun on them. People smile and use them, proud of themselves for learning them, like they should get a sticker or something. Not realizing that if those words are said to you by a medical health professional, as a diagnosis of something you’ll probably have for ever, they’re words you don’t appreciate being misused every single day by someone who likes to keep their house quite clean. People actually die of bipolar, you know? They jump in front of trains and tip down bottles of paracetamol and leave letters behind to their devastated families because their bullying brains just won’t let them be for five minutes and they can’t bear to live with that any more. People also die of cancer. You don’t hear people going around saying: “Oh my God, my headache is so, like, tumoury today.” Yet it’s apparently okay to make light of the language of people’s internal hell

Due to persistently high elevation of stress hormones, which causes a reduction in the size of the hippocampus, survivors are often less able to put things in context and/or make critical distinctions about what is and what is not threatening in the present. Without this necessary discernment, survivors become more and more impulsive and less and less inhibited. In effect, what survivors are left with is a constantly hyperaroused autonomic nervous system, an inability to distinguish past from present threat.

(IMRT) has an advantage. The newer, high-dose, conformally directed, external-beam techniques for radiation therapy such as IMRT have been in widespread use for less than ten years; IGRT has been around for an even shorter time. However, some reports of long-term success are now emerging. New studies suggest that at ten years, high radiation doses alone can produce PSA control or cure rates in 93 percent of men with low-risk prostate cancer. What about more aggressive prostate cancer? As we discussed in chapter 9, the best treatment regimen for men with intermediate- and high-risk prostate cancer is still a moving target, but it will likely turn out to be a combination of high-dose radiation and short- or long-term hormonal therapy.

In California, there was Atascadero State Hospital, constructed in 1954 at the cost to taxpayers of over $10 million (almost $110 million in today’s money). Atascadero was a maximum-security psychiatric prison on the central coast where mentally disordered male lawbreakers [including homosexuals] from all over California were incarcerated. Inmates were treated at Atascadero by a variety of methods, including electroconvulsive therapy; lobotomy; sterilization, and hormone injections. Anectine was used often for ‘behavior modification.’ It was a muscle relaxant, which gave the person to whom it was administered the sensation of choking or drowning, while he received the message from the doctor that if he didn’t change his behavior he would die (10).

Consider taking L-tyrosine, vitamin D3, vitamin K2, vitamin A, and zinc supplements to achieve healthy hormone levels. If possible, get your vitamin D and zinc levels tested first to see if yours are low. •​Go through your toiletries and personal care products and get rid of everything containing phthalates and parabens, which mimic hormones in the body and disrupt your natural hormone function. •​If you can, see a functional medicine or anti-aging doctor for a full hormonal workup. If you are deficient in certain hormones and the above advice does not work, explore bioidentical hormone replacement therapy under the care of a trusted physician. •​If you are over forty and have clear signs of low sex hormones, it’s probably safe and likely beneficial to try 25 to 50 mg of DHEA without a lab test.

Whatever emotional distance she might have been able to maintain was lost the second Zane lightly squeezed her hand and smiled. She’d never seen him smile before. If she’d been able to breathe, he would have taken her breath away. “I think you’ll live,” he said. “Just stay away from the goats.” “Okay.” The single word was the best she could do under the circumstances. Zane continued to look at her. Even better, he kept her hand in his, his thumb rubbing up and down the length of her fingers. Over and over. Up and down. It was very rhythmic. And sexual. Her thighs took on a life of their own, getting all hot and shaking slightly. Her mouth went dry, her breasts were jealous of the attention her hand was getting and her hormones were singing the “Hallelujah Chorus.” Obviously she needed intensive therapy…or maybe just sex.

Zane continued to look at her. Even better, he kept her hand in his, his thumb rubbing up and down the length of her fingers. Over and over. Up and down. It was very rhythmic. And sexual. Her thighs took on a life of their own, getting all hot and shaking slightly. Her mouth went dry, her breasts were jealous of the attention her hand was getting and her hormones were singing the “Hallelujah Chorus.” Obviously she needed intensive therapy…or maybe just sex. Zane’s eyes darkened. The muscles in his face tightened, and he stared at her with a hawkish expression. Had he been anyone else, she would have sworn that he’d just had a physical awakening of his own. Awareness crackled around them, like self-generated lightning. The tightness in her chest eased just enough for her to suck in a breath, which was really good, because the next second it all came rushing out again when he kissed her. Just like that. With no warning, Zane Nicholson bent his head and claimed her mouth. It wasn’t a movie-perfect kiss. They didn’t magically melt into each other. Instead their noses bumped, and somehow the hand still holding hers got trapped between them. But all that was fairly insignificant when compared with the intense, sensual heat generated by the pressure of his lips on hers. That part was exactly right. Not too hard, not too soft. When he moved against her, need shot through her body. Had she been breathing again, she would have whimpered. Had he tried to pull away, she would have fallen at his feet and begged him not to stop. Somehow he released her hand and pulled his free. He wrapped his arms around her and hauled her against him so her entire body pressed against his. The man was a rock. Big, unyielding and warmed by the sun. She wanted to snuggle even closer. She wanted to rip off her clothes and give the goats something to talk about. She wanted-- He licked her lower lip. The unexpected moist heat made her gasp as fire raced through her. Every singed nerve ending vibrated with need for more. The masculine, slightly piney scent of him surrounded her. Operating only on instinct, she parted her lips to allow him entry. She had a single heartbeat to brace herself for the power of his tongue touching hers. Then he swept inside and blew her away.

REPROGRAMMING MY BIOCHEMISTRY A common attitude is that taking substances other than food, such as supplements and medications, should be a last resort, something one takes only to address overt problems. Terry and I believe strongly that this is a bad strategy, particularly as one approaches middle age and beyond. Our philosophy is to embrace the unique opportunity we have at this time and place to expand our longevity and human potential. In keeping with this health philosophy, I am very active in reprogramming my biochemistry. Overall, I am quite satisfied with the dozens of blood levels I routinely test. My biochemical profile has steadily improved during the years that I have done this. For boosting antioxidant levels and for general health, I take a comprehensive vitamin-and-mineral combination, alpha lipoic acid, coenzyme Q10, grapeseed extract, resveratrol, bilberry extract, lycopene, silymarin (milk thistle), conjugated linoleic acid, lecithin, evening primrose oil (omega-6 essential fatty acids), n-acetyl-cysteine, ginger, garlic, l-carnitine, pyridoxal-5-phosphate, and echinacea. I also take Chinese herbs prescribed by Dr. Glenn Rothfeld. For reducing insulin resistance and overcoming my type 2 diabetes, I take chromium, metformin (a powerful anti-aging medication that decreases insulin resistance and which we recommend everyone over 50 consider taking), and gymnema sylvestra. To improve LDL and HDL cholesterol levels, I take policosanol, gugulipid, plant sterols, niacin, oat bran, grapefruit powder, psyllium, lecithin, and Lipitor. To improve blood vessel health, I take arginine, trimethylglycine, and choline. To decrease blood viscosity, I take a daily baby aspirin and lumbrokinase, a natural anti-fibrinolytic agent. Although my CRP (the screening test for inflammation in the body) is very low, I reduce inflammation by taking EPA/DHA (omega-3 essential fatty acids) and curcumin. I have dramatically reduced my homocysteine level by taking folic acid, B6, and trimethylglycine (TMG), and intrinsic factor to improve methylation. I have a B12 shot once a week and take a daily B12 sublingual. Several of my intravenous therapies improve my body’s detoxification: weekly EDTA (for chelating heavy metals, a major source of aging) and monthly DMPS (to chelate mercury). I also take n-acetyl-l-carnitine orally. I take weekly intravenous vitamins and alpha lipoic acid to boost antioxidants. I do a weekly glutathione IV to boost liver health. Perhaps the most important intravenous therapy I do is a weekly phosphatidylcholine (PtC) IV, which rejuvenates all of the body’s tissues by restoring youthful cell membranes. I also take PtC orally each day, and I supplement my hormone levels with DHEA and testosterone. I take I-3-C (indole-3-carbinol), chrysin, nettle, ginger, and herbs to reduce conversion of testosterone into estrogen. I take a saw palmetto complex for prostate health. For stress management, I take l-theonine (the calming substance in green tea), beta sitosterol, phosphatidylserine, and green tea supplements, in addition to drinking 8 to 10 cups of green tea itself. At bedtime, to aid with sleep, I take GABA (a gentle, calming neuro-transmitter) and sublingual melatonin. For brain health, I take acetyl-l-carnitine, vinpocetine, phosphatidylserine, ginkgo biloba, glycerylphosphorylcholine, nextrutine, and quercetin. For eye health, I take lutein and bilberry extract. For skin health, I use an antioxidant skin cream on my face, neck, and hands each day. For digestive health, I take betaine HCL, pepsin, gentian root, peppermint, acidophilus bifodobacter, fructooligosaccharides, fish proteins, l-glutamine, and n-acetyl-d-glucosamine. To inhibit the creation of advanced glycosylated end products (AGEs), a key aging process, I take n-acetyl-carnitine, carnosine, alpha lipoic acid, and quercetin. MAINTAINING A POSITIVE “HEALTH SLOPE” Most important,

people who have the genes for unipolar major depression cannot turn off their stress response. When they experience stress from jobs, deadlines, family trouble, medical illness, or extreme excitement, large quantities of steroid stress hormones and norepinephrine come pouring into their brains and cannot be stopped. Every day, this stress overload is fatiguing and killing cells in their brains, bringing on unipolar major depression.

During the worst time of Jesse’s cycle, the “worry” region of her brain was overactive, which caused her to become fixated on things, and the judgment and impulse control part of her brain was underactive. The alcohol likely further dropped her ability to control her behavior. That’s why she was so distraught with her husband and why the idea of grabbing the knife wasn’t properly processed and filtered out. During the best time of her cycle, Jesse’s brain was much more balanced. The answer to this woman’s problem was not just anger-management therapy. It was to get her hormonal fluctuations under control. During the days prior to starting your period, estrogen and progesterone levels hit rock bottom. On scans, I see the worry center of the brain (the anterior cingulate gyrus) start to fire up; as a result, women can get stuck on negative thoughts or give in to behaviors they think will make them feel better, such as reaching for wine or cookies.

In a young, healthy woman, the estrogen ratio generally averages as follows: 60–80 percent estriol, 10–20 percent estradiol, and 10–20 percent estrone. While these levels vary from one individual to another, the goal of bioidentical hormone restoration therapy (BHRT), discussed later, is to re-create a more natural balance in the levels of estrogen and in combination with all the other sex hormones. Estrogens convert into several metabolites. Estrone, for example, may convert into three different forms: • 2-hydroxyestrone, protective against cancer • 4-hydroxyestrone, promotes cancer • 16-alpha-hydroxyestrone, promotes cancer

If this hypothesis of hunger, satiety, and weight regulation is correct, it means that obesity is caused by a hormonal environment—increased insulin secretion or increased sensitivity to insulin—that tilts the balance of fat storage and fat burning. This hypothesis also implies that the only way to lose body fat successfully is to reverse the process; to create a hormonal environment in which fatty acids are mobilized and oxidized in excess of the amount stored. A further implication is that any therapy that succeeds at inducing long-term fat loss—not including toxic substances and disease—has to work through these local regulatory factors on the adipose tissue.

If insulin fattens those who receive it, as the evidence suggests, then how does it work? The prewar European clinicians who used insulin therapy to treat anorexics accepted the possibility, as Falta suggested, that the hormone can directly increase the accumulation of fat in the fat tissues. Insulin was “an excellent fattening substance,” Erich Grafe wrote in Metabolic Diseases and Their Treatment.

Then he asked me if I was menstruating. Stunned, I said yes. He said that due to hormone fluctuations many women with epilepsy experience catamenial seizures before or during their period, something neither my neurologist nor my acupuncturist had ever mentioned to me.

I suspect that in the late ’90s alone, youth group games were responsible for millions of mono breakouts, thousands of broken bones, dozens of stomach pumps, and countless hours of therapy, for they typically involved placing insecure, hormonally charged teenagers in as physically awkward and borderline dangerous a situation as possible, preferably in the company of food, in a misguided effort to “break the ice” that invariably resulted in someone either throwing up or getting an erection.

Life Expectancy Neither one-second less nor more than that which God has written and fixed the time for death. I am suffering from stage 4 prostate cancer that has spread to the lymph nodes and bones since the medical mistake and even medical crime, as I had explained in that article.[1], [2]. Treatment of hormone therapy and radiotherapy as an expected outcome became ineffective for such level cancer; whereas, another option was the chemotherapy that I refuse since that has terrible and painful side effects than as cancer itself. Now alternative treatment is a Xitnadi tablet along with hormone therapy as Zoladex injection. My survival and life expectancy lies in prayers and God. In Germany and other western countries, modern and incredibly effective treatments stay in practice for longer life expectancy without terrible side effects. In the Netherlands, such technology, the health providers deliberately fail to provide; however, only rich and capable people can afford that. Therefore, I wait for the miracle; it is my source if it happens.

Psychotherapy is about an internal process of transformation. Gender therapy is not simply about surgery or hormones or even transition. It is not really about 'becoming' something as much as it is about allowing the false parts of the self to recede so that an authentic self can emerge.

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But I did it. I imagined myself, muscular, lean and deliciously male, in a suit, holding my completed dissertation. I was accepted to the PhD program in History at Yale University today, as well as starting hormone replacement therapy: subcutaneously-injected testosterone in a solution with cottonseed oil. The universe, fate, or what I chose to call God, has an incredible way of working things out like that. And then I plunged the needle into my skin. I did it with clear intention and the surest, most earnest heart I have ever felt beat inside my chest...I breathed in and exhaled as I pushed the testosterone into my body for the first time. Little pinch. A leap of faith into the rest of my life.

(also called body-identical) was a viable and safe alternative to conventional hormone replacement therapy or HRT. This treatment is now known as menopausal hormone therapy or MHT.

Western society doesn't make it easy to increase our longevity potential. Our youth-driven culture and our neglect of the aged promote a wholesale denial of the realities of aging. The marketplace is full of products and devices promising to make us look and feel younger. In addition, conventional Western medicine focuses on treatment and replacement therapy, prescribing expensive drugs, removing a failed organ and transplanting a new one, or replenishing a depleted hormone. Very little emphasis has been placed on preventing disease and maintaining a vigorous state of health day to day.

Optimized Under 35: The Ultimate Hormonal Health Guide for Young Men116. This book will be a MUST HAVE companion book for any younger man looking to fully optimize his life.

That attachment styles can vary based on type—for example, friendship or a romantic relationship. 2. That how a person behaves in one relationship—for example, with one specific friend—can spread to how they behave in other relationships of that same type—such as with other friends. This concept is important because it truly demonstrates the ability of the subconscious to store and replay beliefs based on repetition and emotion. Now that you understand the fluidity of attachment styles and why they lie along a spectrum, you can begin to discover your dominant attachment style in different areas of your life. Consider how you act and feel in your relationships, whether they are romantic, platonic, or familial. Examine the ratio of activating to deactivating strategies in your thoughts and behaviors. Recall that activating strategies are decisions that are made based on prior information and experiences. Deactivating strategies are actions that drive self-reliance and deny attachment needs altogether, pushing others away. If you have relatively more activating strategies, you may have a greater fear of abandonment and be on the Anxious side of the spectrum. More deactivating strategies may indicate a subconscious belief around complete autonomy, placing you more on the Dismissive-Avoidant side of the attachment scale. Keep in mind that this tool should be used in romantic relationships after the honeymoon phase is over, a phase that occurs during the first two years of the relationship. During the honeymoon phase, your brain has higher levels of dopamine in the caudate nucleus and ventral tegmental regions, according to Scientific American. These areas of the brain are responsible for, respectively, learning and memory and emotional processing. Consequently, your attachment style may be unclear to you in the early phases of your romantic relationship since your emotions, memory, and hormone regulation are atypical. Our experiences can also dramatically alter our attachment style. For example, if Sophie were to partake in certain forms of therapy and practices such as recurrent meditation, she may be able to better understand and re-equilibrate her subconscious beliefs. According to Science Daily, since meditation induces theta brain waves and activates areas of the frontal lobe associated with emotional regulation, Sophie could eventually bring herself into a more Secure attachment space without the help of a Secure partner. However, although it is common to express different attachment styles in different areas of life, the type of attachment you have in relationships ultimately tends to be the attachment style that you associate with the type of relationship. For example, you can be Dismissive-Avoidant in familial relationships because you experienced emotional neglect from parental figures, but you could also be Fearful-Avoidant in romantic relationships due to domestic abuse that has occurred. This illustrates that major events such as betrayal, loss, or abuse can alter our attachment style in different chapters of life, but that ultimately attachment styles are fluid and often dependent on the kind of relationships we are in. We tend to have a primary attachment style, most associated with how we show up in romantic relationships, that plays a large role in our personality structure. This essentially dictates how we give and receive love and what our subconscious expectations are of others.

Classical or gentle massage (i.e., not the teeth-clenching, punchy kind) causes a surge in oxytocin that reduces anxiety and pain perception. Massage causes brain neurochemistry to change so you feel better emotionally. After massage, dopamine is up 31 percent and serotonin 28 percent, and the stress hormone cortisol drops. Simply put, massage is brain therapy for the injured athlete. So when you’re feeling especially crappy, schedule a massage. The gentler kind.

Here is the roadmap for the chapter ahead. We’ll be diving into what we consider the five key therapeutic areas that you can focus on, today, to increase your energy and vitality: 1. Peptides 2. Metformin 3. Hormone optimization therapy (HOT) 4. NAD+ precursors 5. Key nutraceuticals

The treatments for chronic pain come from several disciplines. Traditional analgesics may have only a marginal effect, but many other drugs have been found to be useful, including the anticonvulsants carbamazepine and gabapentin, the antidepressant amitriptyline, the hormone calcitonin, and the fiery extract of chilli pepper, capsaicin. Other interventions include nerve blocks, and even implantable devices such as spinal cord stimulators. These are supported by psychological treatments such as cognitive behavioural therapy.

light therapy has to be done differently than for those at the Stressed level. Rather than first thing in the morning, use thirty minutes of bright overhead light exposure in the early evening—ideally, five hours before your projected bedtime.

Suppressing our inner cries for help does not stop our stress hormones from mobilizing the body. Even though Sandy had learned to ignore her relationship problems and block out her physical distress signals, they showed up in symptoms that demanded her attention. Her therapy focused on identifying the link between her physical sensations and her emotions, and I also encouraged her to enroll in a kickboxing program.

Dr. Nikki Walden, M.D., a board-certified physician in functional medicine, offers personalized care for holistic health. With expertise in hormone therapy, gut health optimization, and functional nutrition, she aims to restore balance and guide individuals toward an enriched lifestyle. She stays up-to-date with cutting-edge techniques. She provides consultative services tailored to address individual needs, supporting physical and mental well-being on the path to optimal health.

Women figured out the aging hormone connection decades ago with hormone replacement therapy. Aging men are kept dumb by the medical profession about their need for testosterone replacement therapy!

B.    A hormone is a molecule the body uses to send messages to its cells.

Spartan Medical Associates are bio-identical hormone replacement specialists and Doctors in Huntersville, NC and Charlotte, NC. We specialize in hormone replacement therapy for men including TRT, testosterone replacement therapy and hormone replacement therapy for women including treatment for symptoms of menopause, hot flashes and night sweats and perimenopause. Experienced bio-identical hormone doctors have state of the art training to a personalized hormone replacement treatment plan.

The truth is that vitamin D isn't an analgesic, it's a super hormone that stimulates our body to behave. This means that vitamin D doesn’t take your pain away after 30 minutes. It can take days, weeks or months. But it will be worth it.

There are many examples of how Medicine 2.0 gets risk wrong, but one of the most egregious has to do with hormone replacement therapy (HRT) for postmenopausal women, long entrenched as standard practice before the results of the Women’s Health Initiative Study (WHI) were published in 2002. This large clinical trial, involving thousands of older women, compared a multitude of health outcomes in women taking HRT versus those who did not take it. The study reported a 24 percent relative increase in the risk of breast cancer among a subset of women taking HRT, and headlines all over the world condemned HRT as a dangerous, cancer-causing therapy. All of a sudden, on the basis of this one study, hormone replacement treatment became virtually taboo. This reported 24 percent risk increase sounded scary indeed. But nobody seemed to care that the absolute risk increase of breast cancer for women in the study remained minuscule. Roughly five out of every one thousand women in the HRT group developed breast cancer, versus four out of every one thousand in the control group, who received no hormones. The absolute risk increase was just 0.1 percentage point. HRT was linked to, potentially, one additional case of breast cancer in every thousand patients. Yet this tiny increase in absolute risk was deemed to outweigh any benefits, meaning menopausal women would potentially be subject to hot flashes and night sweats, as well as loss of bone density and muscle mass, and other unpleasant symptoms

of menopause—not to mention a potentially increased risk of Alzheimer’s disease, as we’ll see in chapter 9. Medicine 2.0 would rather throw out this therapy entirely, on the basis of one clinical trial, than try to understand and address the nuances involved. Medicine 3.0 would take this study into account, while recognizing its inevitable limitations and built-in biases. The key question that Medicine 3.0 asks is whether this intervention, hormone replacement therapy, with its relatively small increase in average risk in a large group of women older than sixty-five, might still be net beneficial for our individual patient, with her own unique mix of symptoms and risk factors. How is she similar to or different from the population in the study? One huge difference: none of the women selected for the study were actually symptomatic, and most were many years out of menopause. So how applicable are the findings of this study to women who are in or just entering menopause (and are presumably younger)? Finally, is there some other possible explanation for the slight observed increase in risk with this specific HRT protocol?[*3] My broader point is that at the level of the individual patient, we should be willing to ask deeper questions of risk versus reward versus cost for this therapy—and for almost anything else we might do. The fourth and perhaps largest shift is that where Medicine 2.0 focuses largely on lifespan, and is almost entirely geared toward staving off death, Medicine 3.0 pays far more attention to maintaining healthspan, the quality of life. Healthspan was a concept that barely even existed when I went to medical school. My professors said little to nothing about how to help our patients maintain their physical and cognitive capacity as they aged. The word exercise was almost never uttered. Sleep was totally ignored, both in class and in residency, as we routinely worked twenty-four hours at a stretch. Our instruction in nutrition was also minimal to nonexistent. Today, Medicine 2.0 at least acknowledges the importance of healthspan, but the standard definition—the period of life free of disease or disability—is totally insufficient, in my view. We want more out of life than simply the absence of sickness or disability. We want to be thriving, in every way, throughout the latter half of our lives. Another, related issue is that longevity itself, and healthspan in particular, doesn’t really fit into the business model of our current

It is a well-known fact, and one that has given much ground for complaint, that after women have lost their genital function their character often undergoes a peculiar alteration, they become quarrelsome, vexatious and overbearing, petty and stingy, that is to say that they exhibit typically sadistic and anal-erotic traits which they did not possess earlier during their period of womanliness,” Sigmund Freud declared in 1913.8 Well, you can argue that he was a man of his time; the first couple of decades of the twentieth century weren’t exactly known for their respect for women’s finer qualities. But unfortunately, the nonsense didn’t stop there. “The unpalatable truth must be faced that all postmenopausal women are castrates,” pronounced American gynecologist Robert Wilson in a 1963 essay;9 he then elaborated fulsomely on this theme in his 1966 bestseller Feminine Forever.10 This frighteningly influential book, it later emerged, was backed by a pharmaceutical company eager to market hormone replacement therapy. “Once the ovaries stop, the very essence of being a woman stops,” psychiatrist David Reuben wrote in 1969 in another bestseller, Everything You Always Wanted to Know About Sex but Were Afraid to Ask.11 The postmenopausal woman, he added, comes “as close as she can to being a man.” Or rather, “not really a man but no longer a functional woman.” Half a century on, has anything really changed? Sadly, I don’t think so. It might not be acceptable in most circles to write that kind of thing anymore, but menopausal women are too often the butt of men’s jokes for me really to believe that the attitudes themselves have shifted. They’ve just gone a little more underground. So if these are the stories men are telling about us, where are the stories we’re telling about ourselves? Unfortunately, they’re not always very much more helpful. A surprising number of self-help or quasi-medical books by female authors toe the male line, enjoining women to try to stay young and beautiful at all costs, and head off to their doctor to get hormone replacement therapy to hold off the “symptoms” of the dreaded aging “disease” for as long as possible. Their aim, it seems, is above all a suspension of the aging process, an exhortation to live in a state of suspended animation. And although more women are beginning to write about menopause as a natural and profoundly transformational life-passage, in the culture at large it is still primarily viewed as something to be managed, held off, even fought.

[on Infect Your Friends and Loved Ones] What this contagion effectively ushers in is a near-global reliance on exogenous hormones—an intensification fo what Paul Preciado calls the "pharmacopornographic era" and a quite literal reimagining of Halberstam's early-career assertion that "we are all transsexuals. There are no transsexuals." While we certainly live in a world that is (albeit discontinuously) biomedicalized and in bodies, whether cis or trans, that are deeply imbricated with and reliant on all sorts of exogenous hormones—whether we're on birth control, supplementing ostensibly low T, on hormone replacement therapy to mitigate menopause, or taking hormones to transition—Peters removes the question of agency, establish a new biological baseline that asks everyone to choose and thus to deal with questions of access, scarcity, and gatekeeping the way trans folk have had to for the last several decades.

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality?

Though I’m not opposed to hormone therapy (more on that shortly), I reject the notion that every woman needs hormone “replacement” therapy to stay young.

STEP THREE: MAXIMIZE YOUR ENERGY & REGENERATION Consider what aspects of Vitality Pharmacy (Chapter 10) might help you accelerate your energy, your strength, your vitality. Or help you to recover from challenges you may be facing. 1. Are you going to expand your capacity by optimizing your hormones through H.O.T. (hormone optimization therapy)? 2. Would peptides be something you may want to consider? Are there any peptides that you’d like to look into that could make a difference in anything from your immune system to sexual desire and drive? 3. What are some of the pharmaceutical-grade supplements that you might want to have to start your day with energy or to get yourself to sleep at night without side effects? 4. Or would you like to tap into NAD3 or other NMN-like products to maximize your energy and vitality? STEP

Natural Ways to Help Depression Depression is not one illness. Like anxiety, the pandemic spawned a whole new level of people being diagnosed with depression and placed on antidepressant medication, without ever getting a proper evaluation or trying simple fixes. Here are nine common things I do for patients before prescribing antidepressant medication. 1. Check for and (if necessary) correct thyroid hormone abnormalities. 2. Work with a nutritionally informed physician to optimize your folate, vitamin B12, vitamin D, homocysteine, and omega-3 fatty acids. I’m convinced that without doing these nutritional fixes, patients are less likely to respond to the medications. 3. Try an elimination diet for three weeks. 4. Add colorful fruits and vegetables into your diet. 5. Eliminate the ANTs (automatic negative thoughts). See days 22, 116–117. 6. Exercise—walk like you are late for 45 minutes four times a week. This has been found to be as effective as antidepressant medication.[1] 7. Add one of the following supplements to your daily routine: Saffron 30 mg/day; curcumin, not as turmeric root but as Longvida, which is much more efficiently absorbed; zinc as citrate or glycinate 30 mg (tolerable upper level is 40 mg/day for adults, 34 mg/day for adolescents, less for younger kids); or magnesium glycinate, citrate, or malate, 100–500 mg with 30 mg of vitamin B6. 8. Consume probiotics daily. 9. Try morning bright light therapy with a therapeutic lamp of 10,000 lux for 20–30 minutes. If someone comes to me with depression, I order screening labs, teach them not to believe every negative thought they have, give them basic supplements (saffron, zinc, curcumins, and omega-3s), and encourage them to exercise. Many people never need medication if they follow through with the program. If the above interventions are ineffective, I’ll try other nutraceuticals or medications targeted to their specific type of depression (take the test at brainhealthassessment.com).

The major difference shows up when these monkeys are highly stressed (overaroused) for a long time. Then, compared to other monkeys, these more reactive monkeys seem anxious, depressed, and compulsive. If repeatedly upset, they show these behaviors more often, and at this point their neurotransmitters decrease. These behaviors and physical changes also show up in any monkey traumatized in childhood by being separated from its mother. Interestingly when first traumatized, what increases are the stress hormones like cortisol. But again, with time, especially with other stressors, like being isolated, the serotonin levels decline. Then the monkeys are permanently more reactive. The point to be realized from these two studies is that what creates the problem is chronic overarousal or stress or trauma in childhood—not the inherited trait. We saw the same point in chapter 2. Sensitive children experience more brief moments of arousal, with its increased adrenaline, but they’re fine if feeling secure. But when a sensitive child is insecure (or when any child is), short-term arousal turns to long-term arousal, with its increased cortisol. Eventually, serotonin is used up, too (according to the studies with monkeys). This research is important for HSPs. It makes very concrete why we need to avoid chronic overarousal. If our childhood programmed us to be threatened by everything, then we must do the inner work, usually in therapy, that will change that programming even if it takes years. Kramer cites evidence that a permanent susceptibility to overarousal and depression can develop and real harm can be done if serotonin levels are not returned to normal. So we want to stay secure, rested, and serotonin-strong. This keeps us ready to enjoy our trait’s advantages, the appreciation of the subtle. It means that the inevitable moments of overarousal do not lead to increased cortisol over days and decreased serotonin over months and years. If we have blown it, then we can still correct the situation. But it takes time, and we may want to use medication for a while to help make this correction.

oncologists met to discuss a replacement for the ASTRO definition. They decided to define treatment failure as a PSA level that has risen 2 ng/ml higher than a man’s PSA nadir (the lowest level it reached following treatment). This definition has been correlated more accurately with long-term results in all patients, and it takes into account such factors as hormonal therapy and the PSA bounce. Failure is now considered to occur when the PSA level reaches the nadir + 2 value. This is called the Phoenix definition. Still, it takes time to determine this value, so this equation should not be used to gauge the success of treatment in men with less than two years’ worth of PSA tests after radiation therapy. Furthermore, the consensus panel that developed this definition cautions,

Relieved, my nipples hardened and my hormones, dressed in cheerleader costumes, formed a conga line and began calling out the letters of Devereux’s name, flailing their pom-poms across the landscape of my mind.

Because it can take two to even six years for a man to reach his PSA nadir after radiation, this initial “false rise” in PSA level after the hormonal therapy ends might lead to needless worry from a wrongful diagnosis

Fatigue treatment/energy enhancement—For this purpose, we want to boost overall mitochondrial health, decrease inflammation in the blood, enhance immune function, optimize hormones, and decrease brain inflammation. First, take of all your clothes and shine it diffusely on your entire body for 30-60 seconds (from 24”-36” away), back and front from head to toe, to wake up every cell in your body. 1-2 minutes shining it on the neck and thyroid gland area and thymus area in the center of the chest, from roughly 6-12” away. There are studies already showing this can impact thyroid function (the studies were done in people with Hashimoto’s hypothyroidism), which is critical to metabolic health in the entire body. The light on the thymus can potentially enhance immune function. 1-2 minutes on your sex organs (from 6-12” away) if possible, as this will increase the health of those tissues and promote optimal hormonal function. 1-2 minutes on your belly (from 6-12” away) to get systemic effects through getting the red/NIR light in the entire blood of your body. (Remember, some research has shown systemic effects, likely from irradiating the blood and affecting blood cells, inflammatory cytokines, and immune cells.) 1-3 minutes on your forehead/brain (from 6-12” away) and another 1-3 minutes on the base of the neck and spine area to decrease brain inflammation and support mitochondrial health in the brain. Total treatment time should be no more than 10-12 minutes. Also, be aware that if you have severe fatigue (e.g. Chronic Fatigue Syndrome) or are very ill with a particular condition, you may need to cut these doses in half or even do only 1/4th or 1/5th of these recommendations to start. Remember that the more unwell you are, the smaller doses you should use, especially starting out.

hormone replacement therapy (HRT) for both men and women

Executive Medical - Weight Loss San Deigo Executive Medical is a full-service physician Wellness Clinic and Medical Spa. We specialize in hormone, aesthetics and weight loss therapies to revitalize and rejuvenate your health. Led by our Mayo Clinic trained physician, our health providers believe that optimal health is possible when taking an open and comprehensive approach to medicine.

We need to engage with the family for deeper insight into the dysfunctions and dynamics that led to a decision to make permanent body changes with surgery. Taking the easy route of writing a prescription for testosterone after one or two short visits, instead of careful evaluation and exploration, is woefully inadequate.