Find your "Hormone Sweet Spot".

Perimenopause via Tubal Ligation

Most women don’t get the memo they will go into perimenopause if they get a tubal ligation. Over the last nearly 15 years working in the field of Hormone Medicine, I’ve been talking to women (and men) about hormones and hormone replacement therapies. Patients typically schedule a consultation with me before considering hormone therapy and I give them the run –down on what they can expect, what their responsibilities are, and what it might look like for them overall so they can make an informed decision as to whether hormone therapy is right for them and what kind. In this initial consultation, I listen to every patient as they give me their history of illness, symptoms, treatments, and medications. With hundreds of patients in a hormone specialty clinic, both men and women are quite frank about how they feel and what other providers have said to them. As with any field of specialty, complaints from patients tend to be the same and consistent from patient to patient and our patients are no exception.

Recently my cousin Claire reached out via text and asked if she could ask me a few questions regarding her health and Hormone Medicine. After reading her text messages out loud to a colleague, we looked at each other and smiled. We hear the same things from woman after woman no matter what her age is saying the exact same things. We chuckle because it’s almost verbatim as if they were all reading off the same script. Below is 38-year-old Cousin Claire’s random text messages indicating how miserable she is and what she tried to do about it. It’s not uncommon for women who’re low in estrogen to lose the ability to fluidly articulate the magnitude of how crappy they feel but this is a perfect example…

“On 1/4/16 I woke up very sick with a bad cold. Must have been some sort of infection because it wouldn’t go away so by February I went to the Nurse Practitioner. I was given a Z-Pak and told it was some type of bronchitis. After the round of antibiotics I still felt like crap but a bit better in March.  

In April I noticed my front teeth felt funny. It wasn’t until I felt some pain that I took note my front gums and lip were actually swollen. My regular dentist looked and took pictures and said maybe it’s an autoimmune problem. Another dentist a week later looked and said go to oral surgeon. Oral surgeon looked and said autoimmune.

Now I had awful headaches and couldn’t hardly function a full day at work. Exhausted and ended up with several panic attacks. Very unusual for me. Went to cardiologist and I have a very healthy heart, no concerns. I was tested for leukemia but that came back negative. Phew….    

I went to women’s health specialist who said they had no clue, but didn’t think it was hormonal in nature. I asked because I had my tubes tied two years ago and had missed a period. That also is weird.  

I had several blood tests all of which I could scan and email to you. Some thyroid stuff off but rheumatologist said no lupus (I had positive Ana test and symptoms that matched) and no thyroid disorder.

Finally got a new primary and she sent me to an Ear Nose & Throat specialist. They said I had an enlarged thyroid and needed to see an endocrinologist.   My symptoms are odd and off the wall. Just had another abnormal period. That is the short version of it…  

My symptoms: 

  • Swollen red gums
  • Severe headaches
  • Muscle soreness/pain not from exercising
  • Exhaustion
  • Foggy brain
  • Frequent nausea
  • No appetite
  • Depression
  • Anxiety attacks
  • Odd periods
  • Cramping to the point of feeling awful even when I didn’t have my period
  • Extremely dry, itchy skin

It feels like all the “specialists” I have seen think I’m crazy, except the dentist who believes me but can’t help me. I’ve been pushed from one person to another. My old primary told me this pain might be my new normal. I won’t accept it. This is not normal.

I think the exercise I do is the only thing keeping me from really getting too low. There are days and weeks that exercise is too hard and I can’t do it. But if I skip for too long my depression comes back too strongly. I’m obsessed with running and will at least do a mile if I can tie my sneakers. That is my happy place (that is when my chest pain – apparently fake – isn’t bothering me).”

It frustrates me how women have to deal with this like being on the exercise wheel of conventional medicine. The truth is doctors are purposely left in the dark with regards to what causes all these symptoms and what to do about it. The reality is every symptom, including her angioneurotic edema, is a result of estrogen deficiency.  When estrogen is right, none of these symptoms exist in our patients. As estrogen becomes healthy, each issue diminishes for most to nothing. Our modern medical model ships women from specialist to specialist as if we are all parts. There isn’t one function in the female body that estrogen does not affect so piece-mealing medicine doesn’t make sense. Every cell in a woman’s body depends on healthy levels of estrogen so when it gets too low, our body will fall apart all over the place, mentally, physically, and physiologically. If physicians were properly educated as to the true benefits of our main-sex hormones, it would be first-line therapy to check levels up front. Doing this would save time, money, medications, and mental and physical misery.

Tubal ligation will cause a woman to go into premature perimenopause within 1 to 3 years post surgery due to lack of blood flow to the ovaries.  Though tubal ligation does not directly affect estrogen production, reducing the blood supply to the ovaries will cause them to malfunction and not produce supercritical estrogen in health amounts.  Dysfunctioning ovaries under produce estrogen, if at all, leaving women estrogen deficient.   Women who are hormonally sound don’t feel the way Claire does. I tend to get a little giddy when I hear women tell me their stories because I know the impact their new hormone therapy will have on them over the next few months. They have no idea how much their lives are going to change. Their symptoms will go away and will feel alive again if done correctly. The greatest impact of intelligently administered hormones like Panacea|HRT is what it does to the brain of a woman. I can always tell by the look in a female patient’s eyes when she has plenty of estrogen running through her blood. It’s like the light goes back on.

If you’d like more information on how to get to your personal “Hormone Sweet Spot”, click on the button below and make a complementary consultation with me.

Janet Jackson’s Postpartum Expectations

Janet Jackson’s birth.  It’s big news Janet Jackson gives birth at 50. The media is having a heyday with discussions of celebrity women in their 40s and 50s giving birth. Posted today in the Lifestyle-Beauty section of the news magazine The Telegraph is just such an article entitled, “As Janet Jackson announces the birth of her son, here’s what to expect from pregnancy in your late forties” about how wonderful it is for women to give birth as such a late age and what you can expect from pregnancy in your late 40s. No one really gives any good information in articles like this one, almost like the article was a link to current news for exposure with no real useful information. In this article, the unnamed author listed tips from fertility expert Emma Cannon who gives some generic pregnancy advise but no one really addresses what Janet Jackson can expect having a child at 50.

Though many think there’s no problem with a woman having a child at 50, there are some things a woman must truly consider with having a child at such a late age. Let me start with saying I’m surprised Janet was able to get pregnant at all. Women in their 50s typically have very low estrogen levels which is a big factor of whether a woman will get pregnant or not. Most ovaries have shut down adequate estrogen production, which makes it more difficult to get pregnant. A woman may be able to get pregnant at 50 but her estrogen will be so low after birth that her brain and body will not only not “bounce back” postpartum, but her estrogen production would be less than before she got pregnant, and continue a rapid decline until the tank is empty.

Women without enough estrogen are not tolerant, patient, or calm. They’re not teachable. Their responses are out of proportion to the situation at hand. They have horrible migraines, headaches, and mood swings. They feel like the walking dead, can’t sleep and constantly crave bad carbs and refined sugar. They can’t remember anything and cry at everything. They’re not dependable and are augmentative.   Nothing makes an estrogen deficient woman happy. Nothing makes a woman without estrogen happy. Women without estrogen can’t stand the sound of children’s voices and have a difficult time emotionally connecting to others, including her own children. Estrogen deficient women are controlling, moody, and unpredictable. Women without estrogen are not happy campers to say the least. I would not want to be the child of an estrogen deficient women and no woman in her 50s has adequate levels of estrogen and it gets worse if she has children as her body is ready to throw in the reproductive towel.

Janet Jackson can expect to feel miserable mentally and physically if she doesn’t address her low estrogen issue she’s about to face in a couple months. When women have children in their early to mid twenties, their ovaries are more likely to kick back in with adequate estrogen production, making them better at being a mom. Depression and anxiety will be too much to handle.  It’s mentally and physically impossible to be a mom with no estrogen so the best thing Janet Jackson can do is find a good Hormone Medicine doctor who knows how to intelligently administer estrogen to optimal levels. This will allow Janet to bond with her son and not be at the mercy of her estrogen deficient brain and body falling apart.

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


Menopause Is A Choice

Menopause is optional. Menopause is a choice. Women don’t realize it but they never have to experience menopause at all. Women are told menopause is a natural part of being a woman. We’re told our brains and bodies are going to fall apart after child-bearing years until we die. At least that’s the consensus of several hundred Hormone Medicine patients in Northern California I’ve worked with for over a decade.   Most of my patients are in a place in their lives where they have pubescent teenagers living at home and rapidly aging parents they have some responsibility to care for. Perimenopause is one of the hardest times in a woman’s life because she isn’t expecting the “silent decline” of her brain and body. Women who’ve waited until their mid-thirties to have children tend to have a more rapid mental and physical decline postpartum due to already declining levels pre-pregnancy. Perimenopause, like puberty is a process over a period of time that involves changing main-sex hormone levels, and neither the perimenopausal woman nor pubescent teen have enough hormones to carry on a rational conversation or thought. Add in an andropausal man and life at home is a miserable existence.

A tough reality for perimenopausal women is they see how their mother is mentally and physically declining, and all the ailments and medication prescriptions to manage a physical existence. Who wants that life? Women have been told they have to live with all the mental and physical symptoms they complain to the doctor about and given prescription drugs to numb and silence them. It’s not all the doctors fault. Doctors have been left in the dark about main-sex hormones and the impact they have on the brain and body when patients have enough, what happens when they don’t have enough, and how to properly fix the problem at the source. Taking medications for symptoms of low estrogen doesn’t make sense to me but that’s how our modern medical model works in this country; keep the patient deficient and sick and maintain symptoms with drugs and procedures.

Robert A. Wilson, MD was a pioneer in Hormone Medicine and published several articles and studies in support of high dose estrogen therapy. He wrote an article in 1964 published in the Delaware Medical Journal entitled, The Obsolete Menopause that stated…

“In the past, because the menopause happened to every woman, it was generally thought to be normal. So long as there was no remedy, this was a comforting, almost necessary idea. Today the effects of estrogen and progesterone deficiency are so completely documented that to list them would be repetitious. We know that menopausal women are not normal; they suffer from a deficiency disease with serious sequelae and need treatment.”

After many years of Hormone Medicine research, education, training, and clinical experience, we found what Dr. Wilson and his colleagues have said about intelligent administration of estrogen to be true. Menopause is an estrogen deficiency condition. Menopause is truly an option. Menopause will soon be something only our foremothers suffered from. I started Panacea Sciences Foundation for HRT Research, Development & Education in 2014 to build on the work of Hormone Medicine pioneers like Wilson, Masters, Shorr, Currier, Greenblatt, Papanicolaou, Houck, Novak, and many others who looked outside conventional medicine and saw menopause as an estrogen deficiency condition. I feel it important to dig up the studies that have mysteriously disappeared from the National Library of Medicine in support of high dose estrogen therapies, and how PMS, perimenopause, and menopause are all reversible and preventable estrogen deficiency diseases. We also wanted to provide proper education and clinical training for intelligent estrogen administration to clinicians who see the truth in hormones. Doctors are hard pressed to find appropriate HRT training and millions of women are needlessly suffering from mental and physical conditions that need not exist if only their estrogen were sound.  Follow our website at Panacea Sciences for more information about trained and qualified Hormone Medicine experts.  The more you know about estrogen and how important it is to our brain and body, the better you can take control of your mental and physical health.  You’ll have to step outside the conventional medical model of disease management and make some pivotal diet, lifestyle, and endocrine changes.  Women have more control over their health than they realize. 

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


Can A Woman Get Too Much Estrogen?

Do you have too much estrogen?  A follower on Facebook asked, Can A Woman Get Too Much Estrogen? I get this question from time to time because women have heard the term estrogen dominance and it can get confusing.

Yes, you can have too much estrogen but that’s not to be confused with estrogen dominance, as they are two different things. Estrogen dominance is an estrogen deficiency issue, and having too much estrogen because your doctor is mis-dosing your hormones that take your estrogen level beyond your “Hormone Sweet Spot”, which causes a series of negative side effects. Properly optimizing hormones is intelligently administered in a way that titrates the estrogen blood serum levels up over a period of time to a certain point of which we call the “Hormone Sweet Spot”. This range for most women who check their blood on Day 12-13 of their cycle is somewhere between 300-700. There is a specific technique most doctors do not know to get their patients to this point. Our research foundation, Panacea Sciences Foundation for HRT Research, Development & Education, has clinical training protocols to help physicians and midlevels properly prescribe HRT. We found that when women went outside this range, whether above it or below it, they had what we call negative indicators.   If HRT is correctly prescribed, women cannot imagine feeling any better than they do and have virtually no negative indicators, and their labs concur; this is what we call the “Hormone Sweet Spot”. There’s a clinical skill to get patients to their “Hormone Sweet Spot”.

Estrogen dominance is often misinformed administration of low dosed hormones. We find women who take a second or third generation HRT system will get an estrogen dominance affect because the hormones are not intelligently prescribed to detoxify estrogen out of the body in a timely fashion.   Estrogen is not supposed to be stored in the body. If taken correctly, proper hormone restoration is designed to receive the hormones, utilize the hormones, and detoxify the hormones in a timely fashion. If it’s not done right, women will store that estrogen in fat until the receptor response is triggered, which never happens because the hormones are dosed too low and in the wrong way so women get fatter and fatter, and suffer from all the other miserable side effects of estrogen dominance. Women can also get estrogen dominance because of their crappy high carb and sugar diet as well. Women go to doctors for hormones as if the doctor knows what they’re doing. What women do not realize is Hormone Medicine is a specialty and going to someone who has no education or clinical training will make a mess of things and make you fat. I wrote an article about this called Estrogen Dominance or Deficient? where I discuss the difference between the two.  The Panacea Protocol is the most advance HRT system in the world and doesn’t cause estrogen dominance.  Find a clinician certified in the Panacea Protocol if you want proper hormone restoration to get rid of any estrogen dominance and lose the fat you’ve been holding onto.

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

Perimenopause: The Beginning of the End

Over 15+ years of listening to patient after patient complain about the same issues, you get a good sense of what perimenopausal women go through on a daily basis. They are suffering in silence as no one is coming clean with what’s really going on with them. It’s not that doctors are withholding information, it’s just they too have been purposely left in the dark about the fate of women and what they go through after age thirty. I’m not sure why no one is connecting the dots to the mental and physical decline of women and estrogen levels. It’s really not rocket science. Most women know the crappy way their feeling has something to do with her hormones. Many patients tell me they always knew it was their hormones that were the problem but no one would acknowledge it or properly address it. Most women are told they have a chemical imbalance or that it’s all in their head and given prescriptions for a cocktail of psychotropic drugs and birth control pills.

If you’re over the age of 30, I don’t have to tell you how miserable you feel underneath it all, and if you’re in menopause, you know it only gets worse. Perimenopause is the beginning of the end. It is the initial transitioning phase leading into menopause. This process is called the climacteric though that word is rarely used; today women refer to perimenopause as one condition and menopause as the other but it’s really a process of declining hormones. Women who’ve suffered with PMS or PMDD will have a more miserable climacteric experience than women who did not. The reason for this is PMS, PMDD, perimenopause, and menopause is caused by the same thing, dysfunctional ovaries, which in turn create estrogen deficiency issues. In the 1957 article Sex Steroid Influence on the Aging Process by William Masters of “Masters & Johnson” [1] he states the ovaries are the Achilles heel of women. The truth is, women spend more of their lives without functioning ovaries than with them, and it’s only a matter of when and to what extent each woman will become a victim of estrogen deficiency [2]. We’ve seen this to be clinically true with all of our female patients.

The big miss doctors are not addressing is if we know women’s brains and bodies decline as estrogen does, why aren’t we addressing this issue as first line therapy at the doctors office? Why aren’t doctors taught how to properly restore main-sex hormones to healthy levels to prevent PMS, PMDD, perimenopause, menopause, and all the other mental and physical problems associated with estrogen deficiency women are told they have to live with? It was these questions I couldn’t get real answers to that made me start Panacea Sciences Foundation for HRT Research, a start up research foundation dedicated to the advancement of hormone replacement therapy medicine and education for doctors and mid-level practitioners. As it stands now, there is no place for physicians to get proper HRT training that teaches them intelligent HRT dosing and restoration. Panacea Sciences has developed a 4th generation HRT system called the Panacea Protocol using Panacea|HRT hormones to do this very thing. We developed clinical training protocols and will have two training summits next year in California starting in the early spring of 2017 that teaches clinicians intelligent HRT dosing and restoration. If you have a doctor interested in proper HRT training, email with your doctor’s information we can add them to our contact list when training registration begins. Make sure you put “Physician Training” in the subject line. If you need your hormones restored, ask your doctor to get trained the right way so you can get your life back.

If you’d like more information on how to get to your personal “Hormone Sweet Spot”, click on the button below and make a complementary consultation with me.

[1] MASTERS WH. Sex steroid influence on the aging process. American journal of obstetrics and gynecology. 74(4):733-42; discussion 742-6. 1957. [PubMed]

[2] Wilson RA, Brevetti RE, Wilson TA. Specific procedures for the elimination of the menopause. Western journal of surgery, obstetrics, and gynecology. 71(1):110-21. 1980. [pubmed]

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