Hormone Replacement Therapy

Metabolically Directed Approach to Hormonal Imbalance and HRT

Hormonal Imbalances

Sex and adrenal cortex imbalances are very common, especially in people that have been chronically ill for an extended time
The stress of chronic illness puts a huge burden on your adrenal glands and other systems, leading to a cascade of adverse downstream effects
Unfortunately, merely replacing a low hormone level with bio-identical replacement is not as simple as many hormone replacement therapists (HRT) believe

Conventional HRT

Measure hormone levels – if low, add replacement hormone until therapeutic goal has been reached

Common Hormonal Imbalances

Estrogen Dominance in Women

Men Also Suffer From Estrogen Dominance

Chronic Stress Can Initially Increase ACTH and Cortisol Levels

Adrenal Stress

Adrenal Fatigue

Metabolically Directed Approach to Hormone Replacement Therapy (HRT)

When replacing sex and/or adrenal hormones, the patients overall metabolic balance must be taken into account for optimal results
Look for the Root Cause of the Hormone imbalance – dietary indiscretions, chronic stress, thyroid problems, medications, nutritional supplements, chronic inflammation

Example of Metabolically Directed HRT in Estrogen Dominance

In a post-menopausal female – that is dysaerobic, progesterone replacement is extremely beneficial initially as progesterone is anti-dysaerobic. However, the use of calcium D glucurate should be started after the dysaerobic imbalance has been addressed as calcium d glucurate is anti-anaerobic
Conversely in an anaerobic patient, the anaerobic imbalance should be treated prior to adding the progesterone, whereas calcium D glucurate can be utilized in the beginning of treatment

Another Example of Metabolically Directed HRT in Estrogen Dominance

In a post-menopausal female – that is parasympathetic progesterone replacement is extremely beneficial initially as progesterone is anti-parasympathetic. Additionally, the use of calcium D glucurate should be started initially as well because reducing estrogen will also reduce parasympathetic imbalance
Conversely in a sympathetic patient, progesterone replacement and estrogen reduction (both of which tend to stimulate sympathetic nervous system activity) should be deferred until the sympathetic imbalance is better controlled

Example of Metabolically Directed HRT in Testosterone Deficiency

In a dysaerobic male, testosterone replacement should begin only after the dysaerobic imbalance has been addressed, otherwise, the additional testosterone will push the patient further into the dysaerobic imbalance
Conversely in an anaerobic male patient, testosterone replacement will help reduce the anerobic imbalance and can be started early in the treatment process

Metabolically Directed HRT

Measure hormone levels
Measure body chemistry (acid-base, autonomic balance, anabolic-catabolic balance)
Administer HRT while also accounting for changes in body chemistry
Consider and treat the effects of chronic stress and inflammation on hormone levels

All of your Sex and Adrenal Cortex Hormones are Made from Cholesterol

All Sex and Adrenal Cortex Hormones are Made From Cholesterol

Diet Myths

Myth -“Eating multiple small meals will boost your metabolism”
Fact – every time you eat, your pancreas secretes insulin
Myth – Saturated fat causes heart disease and obesity
Fact – Consuming saturated fats increases your metabolism and reduces inflammation related to heart disease

Numerous Studies “Proving” That Cholesterol is the Root Cause of Heart Disease were done on Rabbits

Saturated Fats Have no Double Bonds, They are very Stable and Tend to Stimulate Your Metabolism and Reduce Chronic Stress and consequently Help Hormonal Imbalances

Unsaturated Fats Have Double Bonds – They are unstable and tend to impair metabolism, increase stress and worsen hormonal imbalances

Metabolically Directed HRT Treatment Summary

Fix your diet – relatively low carbohydrate, high saturated fat diet, no snacking
Identify and reduce stressors of chronic inflammation
Address metabolic imbalances
Address thyroid issues
Replace hormone in a metabolically directed fashion

To learn more about Michael Rothman MD contact us today by giving us a call at (732) 268-7663, emailing us at Info@MichaelRothmanMD.com or by requesting an appointment online.

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Hormone Replacement Therapy

Metabolically Directed Approach to Hormonal Imbalance and HRT