Feeling 10 years younger, and it feels great!

Posted By on September 28, 2012

M.O. is 57 yo female who arrived in office for help with her multiple menopausal symptoms.  Pt had been on Prempro initially, then stopped in 2005 with the Women’s Health Initiative information showing increased risk of breast cancer, heart disease and stroke on Prempro.  Pt seen by our office and with non-protective blood levels for bio-identical female hormone, was started on bio-identical HRT.  Following levels, she is feeling back to how she used to feel before she had any menopausal symptoms; ‘I feel like I’m back in my 40’s, I feel good!’

Interestingly, pt also had significant neck/back and ankle pain, being seen by Physical Therapists and not getting any relief.  Pt was sent for a PT 2nd opinion and during the 1st intake session, was diagnosed with several malalignment issues that have completely taken away her neck/back pain!  She was also told that the running she was doing to help was only hurting , who knew!   The patient is pleased with how well she feels; ‘this is how I used to feel and it’s been awhile since I could say that’.

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Posted By on September 28, 2012

K.O. is a 46yo male who arrived with Rheumatoid Arthritis, fatigue out of proportion and low Testosterone levels.  His prior MD was having difficulty maintaining a therapeutic level and pt arrived for a 2nd opinion.  Pt was trialed on bio-identical Testosterone suspension with significant improvement in his fatigue and pain.  ‘Doc, I’m off of my Percocet and I was on that 3 times a day for over 3years for my pain!’  This patient feels comfortable being able to self-administer an oral/sublingual dose of medication which has no risk of bruising. 

Interestingly, new research is showing how bio-identical HRT helps decrease the severity of Rheumatoid arthritis in women; sounds like it’s helping in men as well.

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Post partum depression, what is it really?

Posted By on September 27, 2012

By now, many of us have heard of mom’s who have difficulty caring for their newborns due to ‘baby blues’; few share these feelings with their doctor due to feelings of inability to verbalize how they feel or why they feel that way.  Many women will think ‘I have a beautiful baby and a loving family, why do I feel so depressed?’  Post partum depression is triggered by the sudden drop in female hormones from the high values needed to support a healthy pregnancy and growing baby to a woman’s body that needs to recover from childbirth and may also be dealing with breastfeeding that baby that is now growing at a faster pace outside of her body.  Hormones drop post partum and many breastfeeding women do not have their periods return for several months or sometimes until they are done breastfeeding.  This sudden drop in hormone is a mirror image to what a woman’s body does with perimenopause/menopause, yet no one will think to check hormone levels or address the psychological swings that occur.  These patients may indeed also have a need for significant psychological support as their focus changes to caregiving of a new infant in addition to healing themselves and maintaining a family; many times also planning a return to the workforce as well.   One of the best safety nets that can be provided is to acknowledge post partum depression as the potential hormone imbalance that it is and not just a need for anti-depressants.  This is the same approach that was done for the past 50years and it’s time to acknowledge that the issue is still there and we haven’t really helped it very much.  Ask your doctor or healthcare provider for bloodwork to check your Estradiol, Progesterone and Testosterone levels; may also wish to include TSH for thyroid and Cortisol for adrenals (stress organ); all of these hormones interact and influence each other and all can be easily addressed.

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PMS, what is it really?

Posted By on September 27, 2012

Ever wonder why so many women are given an anti-depressant when they tell their healthcare provider they have PMS?  I have; especially because these women don’t walk in and say ‘I’m depressed’, but they may walk in and say they have increased emotionality, increased moodiness and increased crying that all gets better with their period.  If it gets better, then why are these women put on anti-depressants  All the Time?  What these patients really are telling their providers is that for the 1-2weeks before their period, they feel differently; that perfectly coincides with the 2 weeks before their period when their body should be making Progesterone.  Checking bloodwork for Estradiol and Progesterone 1week before a period is due is the best way to determine if this is PMS or not; then if it’s not the hormone imbalance of PMS, which is low Progestesterone in relation to Estradiol, then other reasons for these symptoms can be looked into.  Instead, patients are too often labeled as depressed and prescribed anti-depressants.  As hormone imbalance can continue to cause GI tract bloating, slow transit time and contribute to headaches, getting this diagnosis right can help many other potential issues.  Not certain if this fits you?  It doesn’t take much to get your hormone levels checked; it’s bloodwork done 1week before your period; ask your doctor, or contact us, we’ll get it set up for you.

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Hashimoto’s autoimmune thyroid dz and thyroid cancer

Posted By on May 23, 2012

This spring there were 2 patients in my office, both with known thyroid dz that were struggling with fatigue, heart palpitations and various other symptoms that were not adequately being addressed.  Both patients had repeat thyroid panels including antibody levels for Hashimoto’s drawn and both had thyroid Ultrasounds performed.  Both patients had an irregular border on a thyroid nodule; both were biopsied and both returned as papillary thyroid cancer.  The good news is that thyroid cancer can be treated by surgical removal of the gland, radioactive iodine treatment vs chemotherapy or radiation and more than 95% of the time, that’s the only treatment needed; just thyroid medication to take once the thyroid gland is removed.   Both patients are now post-op and are in the treatment phase of their cancer with iodine treatment; both are back part-time to their daily routine. 

How do you know if you may have Hashimoto’s?  The only way to really know is to do the full thyroid panel including both thyroid antibody tests; it’s all done in the same bloodwork with only one poke in the arm but it can tell you alot of information that may otherwise be missed with a TSH screening test alone. 

Is an Iodine supplement right for you if you have thyroid disease?  It may not be best in all thyroid patients so check with your doctor.  If you are a candidate, there is an excellent compounded Iodine/Iodide supplement made right here in Waukesha so call us and we’ll connect you.

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Fatigue helped by bio-identical Testosterone; no more naps

Posted By on May 23, 2012

A 66yo male initially comes into the office with complaints of inability to stay awake more than 4-5hrs at a time without needing a nap.  Pt has been frustrated that he cannot do activities around the house or a 9hole of golf with his friends without needing a nap; feeling this may be something he has to live with but he’s not happy.   Bloodwork revealed a lower than age appropriate level of total and free Testosterone; replacement with bio-identical Testosterone capsules improved his levels to the point where he no longer needs his daytime nap and he can stay awake past 8PM at night!  This was a fairly gradual occurrence over a few months; so when he forgot his Testosterone caps for a few days, he noticed he was needing to nap again.  Restarting his Testosterone caps gave him back his ‘moxy’ and he’s back on the links and off of the couch.

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Bio-identical Hormones and clinical research here in Waukesha

Posted By on May 23, 2012

I recently met with a researcher at UW-Madison who focuses on bio-identical hormone replacement in women and men.  His research centers around the delay, decrease and improving the course of multiple age-related diseases including Alzheimer’s, Coronary heart dz, Stroke, Diabetes type II, metabolic syndome and obesity.   In meeting with this PhD, the value in blending his research knowledge with my clinical patients’ history, hormone sx’s worksheet information and q3-6month hormone levels in a published format can help get the word out to patients.  Imagine preventing Alzheimer’s!  It’s a fantastic claim but to date, there are no good leads for prevention of Alzheimer’s.  Just think, how many men or women in their mid-40’s have Alzheimer’s?  Isn’t Alzheimer’s a disease of the ‘old’?  If you are interested in more information about this research or would like to participate in this research, please contact us to find out how to get involved.   262-524-9116.

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3-D Mammography now available

Posted By on April 18, 2012

Newest 3-D mammography technology now available at Waukesha Memorial Hospital known as Tomosynthesis.  This FDA approved technique takes images from multiple angles and allow the radiologist to view different angles on the computer screen to better see areas of increased density; this technique is best for fibrocystic breasts and may help decrease the need for additional views or for the repeat mammogram in 3-6 months.  Under the approval granted by the FDA, women undergoing 3-D mammography also will receive a traditional 2-D mammogram at the same time.  Cost is $236 for a traditional 2-D mammogram and an additional $100 for a 3-D mammogram; there is also an additional professional fee charged by the radiologist for interpretation so ask the cost of the professional fee for both procedures.  If this sounds pricey, realize that a breast MRI can be upwards of $600-$800 and this may not include the professional fee for interpretation so always ask about this hidden cost as well.

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New Alzheimer’s Test

Posted By on April 11, 2012

A new tool to detect Alzheimer’s earlier and more accurately in patients at the earliest sign of memory problems.  The test uses a chemical called Florbetapir or Amyvid; aradioactive agent that tags clumps the sticky amyloid in the brain.  Amyloid proteins are the hallmarks of Alzheimer’s but  the presence of amyloid in the brain does not exclusive represent Alzheimer’s.  The Florbetapir is inected into the bloodstream and the chemical is detected via a radiology test called a positron emission tomography or PET scan.   A positive scan suggests moderate to frequent amyloid plaques are present in the brain which in a patient with symptoms of cognitive loss is consistent with Alzheimer’s.   However, if the scan is negative or only few clumps of amyloid, the cognitive loss may be for other reasons that are not Alzheimer’s, and other etiologies could then be pursued.  At present, amyloid can be suspected by MRI of head/brain but only other way to confirm amyloid plaque is by autopsy and direct examination of brain tissue after death. 

Amyvid will be available in limited quantities starting in June, 2012 and only at limited sites; in other words, it will be experimental and insurance will not cover the cost of $1,600 for the shot and then a similar cost for the PET scan and another cost for the radiologist interpretation for likely total out of pocket cost of approx $3,500 to $4,000 dollars, even more in a university hospital based center.   Lastly, radiologists need to be trained on how to interpret these new findings and Eli Lilly & Co, the drug’s manufacturer and the FDA  have put together a 3hr on-line and in-person training program for physicians.

Remember, this test is only helpful once amyloid is already deposited in moderate amount with cognitive loss; exciting new research in Neurobiology out of the University of Wisconsin-Madison is looking into the prevention of Alzheimer’s with bio-identical hormones in both women and in men!  Imagine, being able to prevent the deposition of amyloid and keeping quality of life by keeping a low dose of the same bio-identical hormone that your body has already been producing from age of puberty for at least 30-40years!   This is a very new field of study and more news is certain to come out; stay in touch with us as this story unfolds.

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Heavier longer bleeding; is this really menopause?

Posted By on April 10, 2012

That ramp up into menopause; think it’s only related to lighter periods that space out and then stop?  Many women have exactly that type of slow ramping down of their cycles.  However, then there’ s the rest of us who can have heavier bleeding that just won’t quit, bleeding up to 2-3weeks, stopping for short time and then bleeding all over again!  In the past, women were just told to get a hysterectomy but today we can check hormone levels and rebalance where you are.  Sometimes we even find surprising imbalances like more male than female levels.  Estrogen dominance is the most prevalent imbalance causing this type of bleeding and can lead to polyp formation, abnormal lining inside the uterus and even uterine cancer.  Proper balance with bio-identical Progesterone can reset a normal bleeding pattern and put you back in control.  NAMS or North American Menopause Society has endorsed the use of perimenopausal hormone replacement for the first time in its 3/02/12 position paper; check the link on our website victoriajmondlochmdsc.com.

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