Better Living Through Natural Hormone Replacement
Presented by
Lyn Hanshew, M.D.
June 26, 2005
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There are two major components of a pro-active protocol.
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Get the "good chemistry" in and the "bad chemistry" out.
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How?
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What's the "bad" and what's the "good"?
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How much do you have and what do you need?
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Accurate testing is imperative! How do you get it?
"Good Chemistry"
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Micronutrients: Vitamins, Minerals, Oxygen, H2O, etc.
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Macronutrients: Carbohydrates, Proteins, Fats
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Normal intake should be 50/30/20.
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These are some of the required materials your body needs to make specific
Materials for specific functions: Hormones, Neurotransmitters, Antibodies,
Enzymes, Muscles, Nerves, etc.
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Labs to check "good chemistry" levels.
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Amino acids, Minerals, Vitamins Levels, and Fatty Acids Levels.
"Bad Chemistry"
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Chemistry that impedes or blocks proper functions of the body.
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Environmental toxins : Heavy metals, Mercury amalgam, Pesticides,
Artificial sweeteners and colorings, Toxins from bacteria, viruses, fungi, etc.
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These toxins significantly negatively affect the Endocrine system,
Immune system and all other organ systems based upon exposure
and genetic capability for detoxification.
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Chronic Stress Chemistry: results in high level of Adrenal Hormones, such as,
Cortisol and eventually suppresses DHEA, Testosterone, Estradiol, Progesterone
and Thyroid Hormones.
Symptoms of Toxicity
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Fatigue, Insomnia, Anxiety, Mood Swings,
Decreased Concentration, Short-term Memory Deficits
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Central Obesity, Decreased Glucose Regulation, High LDL Cholesterol,
Low HDL Cholesterol
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Decreased Digestion, Decreased Adsorption, Constipation
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Numbness, Tingling, Weakness, Cold, Hot Flashes, Skin Rash, Hair Loss
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Decreased Libido, Decreased Sexual Function, Menstrual Abnormalities
Symptoms of Hormone Imbalance
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Fatigue, Insomnia, Anxiety, Mood Swings,
Decreased Concentration, Short-term Memory Deficits
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Central Obesity, Decreased Glucose Regulation, High LDL Cholesterol,
Low HDL Cholesterol
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Decreased Digestion, Decreased Adsorption, Constipation
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Numbness, Tingling, Weakness, Cold, Hot Flashes, Skin Rash, Hair Loss
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Decreased Libido, Decreased Sexual Function, Menstrual Abnormalities
Testing for Heavy Metals and Other Toxins
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It is the liver's major job to detoxify the body through 4 pathways.
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Heavy metals are the most destructive. Blood tests are useless
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If Mercury Amalgam is present:
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Only mild detoxification protocols may be used to test and treat.
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Oral IV CaEdta - collect urine
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Oral DMSA - collect stool
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Oral Nutritional Supplementation
And Somatic Therapies
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If NO Mercury Amalgam is present:
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IV DMPS/CaEdta protocol - collect urine
Accurate Testing is Difficult to Achieve
The American Academy of Anti-Aging Medicine recommends that the
following hormones be assessed and the following blood tests be done:
Adrenal
|
Lab Test
|
Code
|
DHEA |
DHEA - SO4 |
259.9 |
Estradiol |
Total Estradiol |
Testosterone |
Total Testosterone |
Progesterone |
Total Progesterone |
Thyroid |
Free T3, Free T4 |
Pituitary |
Human Growth Hormone |
IFG - 1 |
Recommendations of the American Academy of Anti-Aging Medicine
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Test Optimal Values
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Male Female
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DHEA - SO4 >450 mcg/dl >400 mcg/dl
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Estradiol <50 pg/dl >30 pg/dl
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Progesterone 1.0 ng/dl 1.0 ng/dl
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Testosterone >600-1000 ng/dl 30-35 ng/dl
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Free T3 4.5-4.9 pg/dl 4.5-4.9 pg/dl
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Free T4 1.0 ng/dl 1.0 ng/dl
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IGF - 1 >300 ng/ml >300 ng/ml
How Do I Address Any Hormone Deficiency?
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A - Nutritionally support biochemical pathways
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B - Detoxify any blocks in the pathway
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C - Depending on the severity of the symptoms and lab values,
Bio-identical Hormones can be used to supplement.
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Hopefully, with detoxification and nutritional support,
endogenous production of hormones will resume.
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Nutritional Support
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B - Complex
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B - 12 IM, IV
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Mg citrate 500 mg/day
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Ca citrate 1500 mg/day
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Electrolytes, K, Na, Cl
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Vitamin C - 6-8 g/day, also a detoxifying agent
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Omega 3 Fatty Acids, not 6 or 9
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Multi-vitamin with Selenium and Iron
Detoxification Protocols
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Oral agents: Fiber- 40-60 g/day
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Chlorella
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Ambrotose- contains 8 essential glyconutrients
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Vitamin C- 6-8g/day
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DMSA- weak agent, not effective for Mercury
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DMPS- effective for Mercury, best if used IV or IM
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Cilantro
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IM agents: DMPS, best for Mercury
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IV agents: DMPS, best for Mercury
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Somatic treatments- Infrared, Ozone, Steam/Dry Sauna, Cranial-Sacral,
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Energetic Bodywork, Acupuncture, Lymphatic Drainage, Massage, Oxidative Colonic Therapy, Chiropractic, Electomagnetic Field
work
Bio-identical Hormones
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Bio-identical hormones are genetic identical to human hormones.
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Premarin = Pregnant Mares' Urine and is associated with increased uterine and breast cancer. 26 different horse estrogens
are present in Premarin.
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Armour is pig-derived and made in a ratio of T4 and T3. You cannot independently adjust the two hormones.
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Thyrolar is cow-derived and made in a ratio of T4 and T3. You cannot
independently adjust the two hormones.
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Bio-identical hormones are available from your friendly, neighborhood Compounding Pharmacy and on-line sources, such as
www.NanoMedHealth.com
.
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There are various routes of administration: oral, sublingual, topical, injectable, patch and suppository.
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Hormones levels can be checked every 4-6 weeks to monitor levels.
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If your levels do not increased, consider changing route as well as dose.
Starting Doses of Replacement Bio-Identical Hormones Based Upon Labs
In supplementing hormone deficiencies, start with DHEA, the Mother
Precursor hormone of the adrenal pathways. Strive for optimal levels of
DHEA before addressing other derivative hormones, such as Estradiol,
Progesterone and Testosterone. Do independently supplement, Estradiol,
Progesterone and Testosterone, if the levels are significantly low, as
indicated below:
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DHEA (Mother Precursor Hormone)- If less than: 100 mcg/dl, take 25mg/day
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(Male and Female) 200 mcg/dl, take 20 mg/day
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300 mcg/dl, take15 mg/day
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400 mcg/dl, take 10mg/day
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Estradiol-Female: If less than 20 pg/dl, supplement independently of DHEA.
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Start with 0.5mg.
-Males rarely require Estradiol supplementation.
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Progesterone- Female: If less than 1.0 ng/dl, with symptoms, such as, menstrual irregularities, start with 5mg/day supplementation.
Again, supplement DHEA as required for optimal levels.
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Testosterone- Female: If lab level is 20-29ng/dl, start with 0.625mg/day
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10-19ng/dl, start with 1.25mg/day
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Male: If lab level is less than 300ng/dl, start with 2.5mg/day
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Again, supplement DHEA to optimal levels.
Thyroid Supplementation
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Free T3 - Liothyronine (Cytomel) - The active thyroid hormone derived from Free T4.
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Free T4 is converted into Free T3 in the liver and kidney by the 5'deiodinase enzyme.
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This enzyme is inactivated by the heavy metals, Mercury, Lead and Cadmium.
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Liothyronine - compounded, can be made in any dose required and in a slow-release form.
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Cytomel is the synthetic form, made in 5, 25, and 50 mcg tablets that can be dissolved sublingually.
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Free T3 - If 3.5-4.0 pg/dl, take 5 mcg 2 X day
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2.9-3.4 pg/dl, take 10 mcg 2 X day
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2.4-2.8 pg/dl, take 15 mcg 2 X day
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1.8-2.3 pg/dl, take 20 mcg 2 X day
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< 1.7 pg/dl, take 25 mcg 2 X day
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Start low and slow with thyroid hormone supplementation. You may titrate up the dose every 3-5 days. Labs can be re-checked
every 4 weeks. Blood should be drawn 2 hours after morning dose.
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Free T4 - Levothyroxine-(Synthroid) - This is the inactive hormone produced by the thyroid gland. It must be converted
into the active Free T3 for proper metabolic function.
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Free T4 - If less than 1.0 ng/dl, take 0.05 mg/day
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0.05 ng/dl, take 1.0mg/day
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Levels can be re-checked every 4 weeks.
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Human Growth Hormone Replacement
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IGF-1 = <200 ng/ml, take 1-2u/day SQ, may titrate up 1u every 2 months based upon labs.
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IGF-1 = 201-300 ng/ml, can try HGH secretogogues. If no improvement, try 1u HGH.
The End