Find your "Hormone Sweet Spot".

Menstrual Health

PMS: Where Dr. Hyman Gets It Wrong

PMS: Where Dr. Hyman Gets It Wrong.  Many people love Dr. Mark Hyman and being the Godfather of Functional Medicine, he has a real following of women and practitioners that look up to him for advice and direction. I’ve had the privilege to listen to Dr. Hyman lecture on numerous occasions over the past 15 years, and find most of his teachings enlightening with the exception of one, estrogen and estrogen deficiency conditions such as PMS.  Dr. Hyman talks about estrogen with little knowledge and clinical experience in advanced hormone therapies.

In an article entitled How to Eliminate PMS in 5 Simple Steps, Dr. Hyman gives some misinformation that could be confusing for women. He states the cause of PMS:

“The real cause for PMS is simply this: Your hormones become unbalanced, your estrogen levels increase and progesterone levels decrease, either relatively or absolutely.”

This statement couldn’t be more false and I’m not sure where he is getting his data because the opposite is true for estrogen. It’s unclear how many hormone patients Dr. Hyman has and I don’t think he has a hormone clinic of which he can gather his data himself but if he were to take a moment in his clinic and measure labs over time, he’d see that women with PMS have low estrogen levels which in turn will create lower progesterone levels. In addition, he’d see that by increasing estrogen levels to optimal, his patients would never have another day of PMS.

It’s been my clinical experience that women get PMS when their estrogen falls too low for too long, and if estrogen were restored to optimal levels, PMS is non-existent. This is not difficult to establish if the doctor knows what they’re doing but doctors like Dr. Hyman who are not hormone experts give a lot of false information. Dr. Hyman may be the Godfather of Functional Medicine, but he is way off on his PMS theory. I can’t imagine he has happy PMS patients because he doesn’t address the real problem of estrogen deficiency.

Doctors who are afraid of estrogen due to lack of education, training, and clinical experience will give women the wrong information and keep them estrogen deficient. The mindset of your practitioner will make or break you so it’s important to go to someone with real knowledge and experience in such things.

My 5 Simple Steps for getting rid of PMS:

  1. Clean up your diet, get rid of junk food, eat an ancestral diet.
  2. Break a sweat everyday. Exercise will stimulate ovaries into production.
  3. Sleep 7-8 hours when the sun is down.
  4. Balance your gut microbiota. An unhealthy gut microbiome will shut down your ovaries and under produce estrogen.
  5. Take hormone therapy if you can’t get your estrogen in optimal ranges.

PMS is a horrible condition women are told they have to live with but the truth is they do not.  It’s estrogen in healthy amounts that reverses and prevents PMS indefinitely. If you’re suffering from PMS, follow the above simple steps above and if you need help, contact me.

If you want to learn more about how to avoid PMS, and or reverse it, make a complementary consultation with me by clicking on the button below and let’s talk about how I can help you get to your personal “Hormone Sweet Spot”.

Birth Control Makes Women Unattractive and Crazy

Birth Control Makes Women Unattractive and Crazy. This is the headline by Milo Yiannopoulos that stirred up a lot of controversy for Steve Bannon and Breitbart News. It’s been all over the news as a reason to turn against Steve Bannon hoping to expose his true character with what he allows on this news site. Most of my readers know I’ve extensive professional education and research in Hormone Medicine, worked over a decade in a Hormone Medicine Specialty clinic, and launched a Hormone Medicine research foundation working with hundreds of women of all ages, and virtually every method and system of hormone replacement therapy. So, when I saw the morning news splash this article up on the screen the last couple of days, I had to pull it up and see what the fuss was about because I didn’t see what the problem was. Why was everyone in such a tizzy?

For those who didn’t hear, Milo Yiannopoulos posted an article on Breitbart News by entitled, “Birth Control Makes Women Unattractive and Crazy” in December of 2015 that many women and men found offensive. In fact the article was listed as one of Breitbart News’ Top 5 Worst Headlines and was barred on Twitter after being accused of inciting racist and sexist attacks on the actress Leslie Jones, told women that birth control “makes you fat,” “makes your voice unsexy,” “makes you jiggle wrong,” “makes you a slut” and “makes you unsexy all the time.” He stated many harsh things where I can see where most women would jump at the opportunity to say this guy’s a schumck. Though his tone comes off as offensive and judgmental, and no woman wants to hear female related anything come out of the mouth of a man, but could there be any truth to what he’s saying about women being fat and mental on birth control? I’m not saying what Milo Yiannopoulos said about Leslie Jones is right, in fact it’s unacceptable and emotionally immature, but like anyone else, Milo has a right to his opinion with his interactions with women who’ve been on birth control. Have you ever read the package insert in the birth control pill box? It’s not big news what happens to women who take it, it’s listed in black and white.

Although Milo Yiannopoulos comes off as a disgruntled teenager, he is right with regards to what happens to a woman’s brain and body when they go on birth control. He appears to be knowledgeable than most men (and women) with how estrogen affects a woman’s brain and body. I actually don’t blame him as a man with what he has to put up with when around an estrogen deficient woman. What many don’t realize is birth control puts a woman in chemical menopause but everyone has to pay the price in one way or another. There are 9 miserable side effects to chemical birth control he addressed I’d like to comment on for a Hormone Medicine consultant’s clinical perspective:

1. BIRTH CONTROL MAKES YOU FAT—This is very true, kind of. Milo talks specifically about DMPA, an injectable birth control like the brand Depo-Provera®. I’d like to clarify that any chemical given to a woman, whether injectable or oral, will cause her body to no longer produce estrogen. This will put a woman, no matter her age, into “chemical menopause”. What we have come to find is that estrogen affects every function in the female body right down to the core of every cell. The brain and body are significantly dependent on adequate (reproductive) levels of estrogen pumping in the blood, and when estrogen is not abundantly flowing through a woman, no matter how old she is, she will get fat and be unreasonable to be around most of the time. Everyone knows the best way to fatten up a female pig is to disrupt her ovarian function by way of spaying to shut off estrogen production. Taking away estrogen creates menopause. Estrogen levels indicate to the brain what stage of life a woman is in, and low levels of estrogen indicate a woman is in a state of post production signaling it’s time to “check out” and make way for the next generation so to speak. This triggers a mental and physical decline getting worse the lower estrogen gets. Chemical birth control tricks the brain into thinking a woman is producing enough estrogen so it shuts off her own estrogen production. You can see the change in body composition and personality of household pets, male and female, after they’ve been fixed. It’s not necessarily birth control that makes a woman fat and unable to lose it, it such low levels of estrogen that are the culprit.

When a patient can’t lose weight we take a look to see if it’s due to ovarian dysfunction (under producing estrogen), we find out why they’re not producing what they should then get their own body to trigger production with a nutrient dense diet, good sleep hygiene, a sound gut microbiome, and removing any endocrine disruptors. There is usually a reason a woman cannot produce enough estrogen. Increasing estrogen levels intrinsically or extraneously, changes brain and body function and indicates a different stage in life, (reproduction) so the body changes shape to indicate such (by dropping fat and increased muscles tone to prepare for reproduction), and demeanor calms and softens.

2. BIRTH CONTROL MAKES YOUR VOICE UNSEXY—Milo Yiannopoulos is correct when he wrote:

“Women sound most attractive to men when their estrogen levels are high, and their progesterone levels are low. Birth control lowers the former and raises the latter, making women sound as erotically appealing as Bruce Jenner giving a croaky acceptance speech.”

It’s not so much birth control that makes a woman’s voice deeper as it’s due to low estrogen levels from taking chemical birth control. When estrogen gets too low in a woman of any age, she will no longer produce water and fluids the body needs to lube things up like our internal tissues, oral cavity, skin, joints, nails, hair, vagina, eyes, throat, etc. In addition to a lack of lube, muscles and tissues are in atrophy compromising function, which changes the voice of a woman to a deeper, strenuous tone. This is not appealing to men with adequate testosterone levels. It’s not as repulsive to men with low testosterone and increasing estrogen levels. Cisgender men with healthy testosterone levels are drawn to healthy estrogen levels in cisgender women. Cisgender women with healthy estrogen are drawn to healthy testosterone in cisgender men, no matter how old the person is.

3. BIRTH CONTROL MAKES YOU JIGGLE WRONG—What he refers to with this statement is that the body composition and posture are just not right with women on the Pill, and he’s right. The body composition of a woman isn’t what it used to be like back in the 50s and earlier. Because of the Pill (a cease in estrogen production), fast food, poor sleep hygiene, muscle atrophy, an unhealthy gut microbiome, and shrinking bones, the posture and overall body composition will look more like a menopausal woman than a woman in reproductive prime. Estrogen levels dictate cravings, quality of sleep, health of gut, muscle tone, bone density, and how a woman will hold herself up and lift her chin and chest. Estrogen deficient women have bad posture.

4. BIRTH CONTROL MAKES YOU CHOOSE THE WRONG MATES—I loved this one because he hit the nail on the head but not for what he states. He claims women on the Pill seek men who are closer to their own tribe, meaning that low estrogen women are not drawn to high testosterone men but rather seek, weak estrogen dominant, low testosterone men. This isn’t exactly true. Yes, low estrogen women are not drawn to testosterone dominant men but it’s not testosterone deficient men she’s drawn to. Estrogen deficient women aren’t drawn to anyone. Low estrogen signals a woman is no longer in a state of reproduction so she detaches from her significant other as she loses her libido. Her ability to make emotional attachments diminishes, and irrational behavior gets indefensibly unreasonable driving others away. Low estrogen women are lonely and bitter. Estrogen sound women don’t have that sharp bitterness to them.

Estrogen deficient women are emotionally broken, no matter how much therapy they get. Estrogen is the confidence hormone to women that testosterone is to men. Estrogen at low levels causes depression, severe anxiety, and suicidal and homicidal thoughts. Low estrogen levels create low self-esteem, low self-confidence, and low self-worth in women. Women have a hard time making confident, rational decisions when estrogen is in the tank and tend to choose men to control or to mend their problems. I believe women choose the wrong mates because their estrogen is too low. They search for the mate who can fix all their broken emotional parts estrogen deficiency causes. I’ve seen it hundreds of times when women get their estrogen sound again and the changes that take place in the brain and mental outlook. When a woman marries a man when she was estrogen deficient and gets her hormones where they should be, her relationship will be challenged as the self esteem, self confidence, and self worth emerge. I’ve coached many women who’ve become estrogen strong how to re-establish a new relationship with her significant other.

5. BIRTH CONTROL MAKES YOU UNSEXY ALL THE TIME—This statement has a lot of truth for a reason. Estrogen levels dictate the stage of life a woman is in, low levels of estrogen program the mind she’s in postproduction and will not be interested in reproduction or anything associated with it. Estrogen levels of a healthy reproductive woman are somewhere in the 300-700 blood serum range on day 12 of the menstrual cycle, and an FSH <5. It’s in this range a women will be drawn to high testosterone men, want to be touched, have a good muscle to fat shoulder-waist-hip ratio, pleasant demeanor, increased pheromones, lubricated naughty bits, increased sensuality and sexuality, nipple-clitoral response, and tend to be more approachable.

6. BIRTH CONTROL MAKES YOU A SLUT—I’m not so sure about this one because he’s insinuating women on the Pill are more likely to cheat. The way he explains it doesn’t make sense but I have seen women so insecure with such low estrogen levels that they will risk their relationship to be with someone who they think will make them feel better about themselves even for just a moment. Estrogen deficient women are lonely and insecure and long to make connections to no avail. Women on the Pill are not hornier or want to be with a manly man because they can’t control themselves like Milo Yiannopoulos states. They cheat because they’re so emotionally broken and think it will make them happy. The truth is, nothing makes a woman who’s estrogen deficient happy. Absolutely nothing will make a woman happy if her estrogen is in the tank. Estrogen sound women are less likely to cheat because they’re more secure with who they are and find contentment in what they have.

7. BIRTH CONTROL MAKES MEN UNMANLY—Spoken like an emotionally immature male, Milo Yiannopoulos says the Pill will cause your woman to nag at you and if she weren’t on the pill then she wouldn’t nag. There actually is some truth to this. Estrogen deficient women will never be happy and will complain at anything. Estrogen is the contentment hormone in women and when it remains too low or non-existent, women will be unreasonable, have responses that are out of proportion to the situation at hand, stir up trouble, and never really have an end in sight. Even if you do what she says will make her happy, it won’t if her estrogen is too low. She’s up one week and down the next.

8. BIRTH CONTROL GIVES YOU COTTAGE CHEESE THIGHS—This is true. Estrogen deficiency causes cottage cheese thighs. Estrogen levels dictate cellulite. If you’ve gotten it by now that women without enough estrogen will be fat and crazy, it should also trigger a response of why aren’t doctors keeping estrogen levels up so women’s bodies and brains aren’t compromised?

9. THE PILL MAY HAVE DESTROYED THE INSTITUTION OF MARRIAGE—For most, this is the case but it’s not so much the Pill that caused it but the fact the Pill suppressed estrogen production so low a woman is no longer human and if coupled with anti-depressants, women don’t want to be touch and are numb about it. Most women are given anti-depressants and other drugs to treat the symptoms of estrogen deficiency instead of addressing the estrogen deficiency issue at the source. Women without estrogen are fat and moody and can’t be depended on. Her body is starved of the very hormone that tells her brain whether she wants to live or die, let alone contribute to a relationship.

Though Milo Yiannopoulos clearly has an opinion about he’s been affected by women affected by the Pill or injectable birth control, it’s not the Pill that’s causing all the problems, it’s low estrogen and a woman doesn’t have to be on the Pill to have low estrogen. It’s too bad that when young co-eds go to the doctor and complain about menstrual problems, headaches, depression, etc., the first line therapy is to prescribe birth control and anti-depressants. This is what’s making women crazy, and why I started a Hormone Medicine research foundation. If women’s estrogen was maintained at healthy levels as first line therapy, their brains and bodies wouldn’t fall apart so profoundly and rapidly. Women’s biggest challenge is finding a doctor who truly understands the impact estrogen has on her brain and body when she gets enough, what happens when she doesn’t, and how to properly manage it.

If you’d like to learn more about getting to your personal “Hormone Sweet Spot”, click on the button below to make a complementary consultation.

Can PMS Occur In The Middle Of Your Period?

Question: Can PMS occur during the middle of your period? Currently I’m in the middle of menstruation, and I’ve had mood swings, urges to cry and migraine/cramps for the past three days. Is this PMS related as it’s not before my period it’s during?

Moxie: PMS, mood swings, cramps, migraines, crying spells, and all the other horrible things PMS and PMDD bring are caused by estrogen levels falling too low. You will feel this way anytime your estrogen gets low which is usually right before your period but if you generally have low estrogen levels, you will feel like crap most of the time except those few days of your menstrual cycle when your estrogen is highest. Young women will have bi-polar-like behavior when their estrogen is low in their luteal phase, and feel good when estrogen higher in the follicular phase.

A horrible period means your estrogen is too low. If you had the right amount of estrogen, you wouldn’t have PMS or any of the symptoms associated with it. Your ovaries are under producing estrogen and the best way to get healthy menstrual cycles that are incident-free is to get out and move your body. Physical activity increases blood flow to our ovaries which in turn stimulates estrogen production. A crappy diet and poor sleep hygiene act as endocrine disruptors causing low estrogen production. Take care of your body. You have more control over how you feel than you think.  PMS is more of a choice of how you life your life.

If you need help with PMS, click on the button below and make a complementary consultation with me.


Losing to PMDD

PMDD moxietoonsI participate in support groups for PMDD, PMS, POF, Endometriosis, Menopause, and Perimenopause. I find the women in these groups are truly suffering, and at times get into a state of panic when parts of their lives are threatened and they feel like they’re losing control. Below is such a post I found in a PMDD group. I withheld her name to respect her privacy.

“I’m about to cry. Last week my partner and I were talking about our engagement – this week he his has been cold and aloof and is questioning out relationship because I had a PMDD episode. I was admittedly hurtful and destructive and I apologized. But he’s still distancing himself.

I’m trying to get my bearings and walk away to go back home to my parents. He blames my PMDD for instability in our relationship and I apologized for the episode – I bought him dinner today and chocolate, beer, and a card yesterday.

I don’t understand how he could seriously reevaluate our relationship after one event like that when he knows my periods are tough for me as I just got diagnosed some months ago and am still learning to manage.

The way I feel now is that I shouldn’t have to ask someone who I love and commit to, in spite of their imperfections, to love and commit to me. So, I’m leaving and all I can do is stand on my love for myself and my worth.”

It’s clear this woman is truly in fear of losing her significant other and understands it’s because of her irrational behavior. Part of her panic is she knows this is a common monthly occurrence of which she hasn’t been able to ever get under control. She apologized but deep down she knows she can’t control her behavior or what comes out of her mouth. It’s difficult to blame the person wanting to bail out on a relationship because you wouldn’t tolerate your behavior either.

PMDD is a debilitating disorder that women are told they have to live with, and that no one knows what causes it. It’s the extreme form of PMS with physical and emotional symptoms that women cannot control or bear. The worst of it comes a week after a women is feeling her best in the month. Many, if not most, women will get diagnosed as bipolar and prescribed psychotropic drugs to manage the severe depression and anxiety that accompanies PMDD.

I suffered horribly with PMDD. I missed school, work, and many activities due to the debilitating condition. I’ve lost jobs, failed classes, lost friendships, and relationships due to the affects of PMDD. Women get confused way they can feel good one week, then the next their world is coming undone. The truth about PMS and PMDD is that it’s a direct result of not having enough estrogen. Doctors tell patients they don’t know what causes it because that’s what they’ve been told. PMS and PMDD, as with many other idiopathic diseases, is a direct result of main-sex hormone deficiencies. Women’s estrogen cycles in a tide-like manner that’s directed by the moon, just like our ocean tides. On day 12 of a woman’s cycle, her estrogen is at her peak of the month and will have another peak in the luteal phase at day 21 of her cycle. Estrogen drops to a monthly low around day 17-18 and rises again for the luteal peak then declines again after day 21. When women’s estrogen is maintained in the 300-700 range, these hormone tides don’t affect the body and mind in a negative manner. When estrogen is generally too low, the hormone tides wreak havoc on the physical body and the mental brain causing women to experience horrible cramps, low back pain, blood clots, fatigue, an inability to cope, mood swings, migraines, dehydration, constipation, hair loss, and thousands of other estrogen deficiency symptoms.

The bottom line is we do know what causes PMS and PMDD but doctors are left in the dark about how to restore hormones to healthy levels naturally. Doctors should be taking labs on every patient coming in the office to check main-sex hormone levels, and trained and educated how to address it at the root cause. Most post menarche women have low estrogen because of the toxic food they eat, how much and when they sleep, and lifestyle choices. The goal is to restore estrogen as naturally as possible to healthy levels. Most women never have healthy hormone levels and suffer their entire lives with drugs and surgeries to treat their estrogen deficiency symptoms. It wasn’t until I got my estrogen over 600 that I felt like a real person for the first time.

Estrogen is the self-esteem hormone, the self-confidence hormone, the loving hormone, the feel good hormone, the brain function hormone, the emotional connection hormone, the sex drive hormone, the calming hormone, the self-worth hormone, the strong body hormone, and it affects every mental and physical function in the female body right down to the nucleus of every cell.

The woman who wrote the post will live a life going through one relationship after another, one friendship after another, one job after another until she finds a doctor who gets it, if ever. Don’t fall for it if someone tells you that you have to live with PMS or PMDD. It’s really up to you to make sure you keep your estrogen above 300 with a truly healthy diet, physical activity, and sleeping when the sun is down for 8-9 hours a night. You don’t have to live with PMS or PMDD, nor does your significant other, friends or family.


My Gynecologist Wants A D&C

Screen Shot 2015-06-09 at 6.05.52 PMSheila, 58, on The Panacea Protocol™ asked:  Now that I’m getting periods again on The Panacea Protocol™, my gynecologist wants to perform a D&C on me. Why does she want to do this? If I get periods, there should be no need for it, right?

Moxie:  I’m assuming the doctor prescribing your hormones is not your gynecologist. If this is the case, it would make sense your gynecologist wants to perform a D & C. Keep in mind gynecologists have no more training than your GP (which is none) in bioidentical hormone restoration.   Because your gynecologist is in the dark about the significance of having periods at most any age, they see periods as “unusual” and diagnose you with excessive uterine bleeding.   In the eyes of the HRT uneducated physician, a woman only bleeds at your age for two reasons; she either has Polyps of corpus uteri, or thickening of the lining of uterus. The fact you’re having periods because your hormones are high enough to tell your brain you’re still alive and kicking, isn’t enough for your gynecologist. You would think a specialist in this field would know better, but they too get lied to in med school and trained like the rest of them to write prescriptions to treat the symptoms of hormone deficiencies, or perform a procedure to mess things up a little more to keep patients on meds indefinitely. It’s important you find a gynecologist who sees the world the way you do and is an active participant in your health journey.

Over the years working in the hormone clinic, I found patients do best with reaching their hormone restoration goals by having a team of professionals whose goal is the same as the patient, to assist them in getting to their “Hormonal Sweet Spot”.   This should be the common goal for everyone on your Hormone Health Team. There are five critical players who should be on your hormone health journey, and each one of them should all be on the same page as to why we’re all here. If one on the team didn’t get the memo, you are the one who pays the price.

1) Hormone Health Coach: The conductor and director who assists in finding you a qualified HRT doctor, answers doctor’s hormone and dosing questions, conducts health, hormone and lifestyle coaching throughout your journey.

2) Qualified HRT Specialist (Not your primary care doctor). The type of HRT you need, your primary care doctor doesn’t have the training or knowledge to get hormones optimal. There are only a few doctors who have proper hormone restoration down.

3) Primary Care Provider (Disease management specialist) for conventional illness and infections of which you will find won’t be going to as much after hitting your “Hormonal Sweet Spot”.

4) Gynecologist, the female health specialist you would go to if something abnormal was happening like excessive uterine bleeding. They would also assist you with a form of birth control (no oral estrogens) like the ParaGard, which doesn’t release hormones. They should be on the same page with regards to your periods and the health benefits of periods.

5) You. You are the one in charge and need to educate yourself in the field of hormone restoration and optimal hormone dosing as much as possible. I will be here as a resource for you if you have questions. It is you that will educate your doctors because they have been lied to so much by drug companies about estrogen and cancer they don’t know what to think anymore. I’m still working on the patient resource workbook to help you educate your providers how to balance your hormones. It will be another month before I get that out but you can still email me.

One of the biggest concerns physicians have using high dose estrogen therapies with women who still have a uterus is the fear of excessive uterine bleeding. It doesn’t take a woman long to “bleed out” and die. The doctor doesn’t have a lot of time if they suspect this to be the case so they want to fix it right away. If your gynecologist doesn’t understand what you’re doing with your hormones, or how they’re supposed to work, then having that particular gynecologist on your team doesn’t best suit your “Hormonal Sweet Spot” goals and you need to find one who gets it and you. Having periods is one of the healthiest things your body can do.  Without periods, your time is up.

If you’re gynecologist wants to do a D&C, then it really is your job to educate them as to what you’re doing with the hormones and the significance. Go into your appointment armed with information to give them to further understand your goals. I find most doctors I’ve worked with over the years listen to their patients and read material they leave. I’ve seen it many times so if you don’t have a Hormone Health Coach, you need to be your own advocate and be confidently prepared. You can always give them my number if they have questions. I spend a couple hours a day on the phone with one doctor or another helping the patient they have in the room with them.

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