Bio-identical Hormone Replacement Therapy
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What are Bio-identical Hormones?
Bio-identical hormones or natural hormones have the same structures of hormones you were born with and perform the same hormonal functions. Compounded bio-identical hormones used in Bioidentical Hormone Replacement Therapy (BHRT), also known as HRT (hormone replacement therapy), are typically made from plant-based materials (like yams, for example) from excellent compounding pharmacists. They are used to replenish hormones lost naturally through the aging process, or by certain medications. They can help protect against cardiovascular disease, weight gain, vasomotor symptoms such as hot flashes, and night sweats; but they can do far more than that when properly balanced.
It’s all about the balance! Why? By creating hormonal harmony, ie, by balancing your hormones, your symptoms are improved and so does your quality of life. We offer a superb anti-aging, regenerative, and functional medicine practice serving all of South Florida. We offer personalized, customized care based on your unique needs. By measuring your current hormone levels, treating you, and then re-measuring your subsequent hormone levels, this is the safest method for bringing your hormones into balance. We resolve hormonal imbalance and put things into hormonal balance.
Why Should You Consider BHRT?
Bioidentical hormone replacement therapy (BHRT) helps improve or eliminate hormonally created symptoms, such as PMS symptoms, the symptoms of Andropause (from low male hormones such as testosterone), and the symptoms of menopause misery (the hot flashes, vaginal dryness, night sweats, increased body fat, dry skin, memory loss, and fatigue) to improve your energy, memory, mood, and sexual functioning. We can help you become more stress-resilient to avoid burnout. We can improve the function of your thyroid and can help you normalize TPO antibodies if you suffer from Hashimoto’s thyroiditis. We can help replenish low testosterone, estrogen, progesterone, DHEA, cortisol, pregnenolone, oxytocin, growth hormone, insulin, parathyroid hormone, vasopressin, aldosterone, calcitonin and nitric oxide.
By the way, growth hormone (used after puberty) is a repair hormone. It is used for growth hormone deficiency syndrome. It works synergistically with testosterone in repair of the body. Peptide therapies are new treatment options, eg, CJC and Ipamorelin, also allow you to elaborate the growth hormone you normally produce, and then to release it into the circulation.
We use natural hormones to help create balance, which can protect you from the development of breast cancer or endometrial carcinoma. We also offer Estrogen Metabolism Gene Testing, which can indicate what abnormal genes you have in estrogen metabolism. . Gene testing is the clarion call to let you know what your genetic vulnerabilities are, and what we can do about them. By undergoing gene testing, and taking proper, we can lower the risk of breast cancer.
Who Should Do Gene Testing?
All women have this option offered to them. It is especially important if there is a previous history of breast cancer, or a family history of breast cancer. Of course, if there is an interest, all patients can do this testing now. It’s not especially pricey. In addition, we not only offer gene testing for estrogen metabolism, but also for heart disease, stroke, and osteoporosis genes. If there is a family history of these conditions, patients are offered this kind of testing at the beginning, or anytime during their treatment. However, we often offer this before the start of bio-identical hormone replacement therapy. Once these abnormal genes are identified, we can impact their expression through a variety of ways — be it lifestyle modifications, or through supplementation to aide these pathways to work more effectively.
If you have never felt well, or have bouts of depression throughout your life, we look at your hormones and also offer total methylation panel gene testing. When we find abnormal genes, called snips (single nucleotide polymorphisms), we can give targeted nutrients that help these genes function better. Along with some proper lifestyle modifications, you will have the opportunity to live a life you love. The snips ‘don’t do it to you’. The epigenetic expression of the genes is influenced by what your nutrition, your thoughts and attitudes, your stress levels, all affect the expression of these snips.
Bioidentical hormone therapy for women
It’s not a fun experience to be visited by the ‘Seven dwarves of menopause’ Suzanne Somers wrote about: itchy, bitchy, sweaty, bloaty, sleepy, forgetful, and all dried up! All the menopause symptoms are really a result of progesterone deficiency. Supplementation of progesterone will help alleviate these symptoms. We look at all of the sex hormones, in addition to thyroid and adrenals, and by looking and treating the totality of your situation, we have the best chance of obtaining hormonal harmony and balance, and you become yourself again, symptom-free!
Menopausal symptom manifestation in post menopausal women is due to them typically having their ‘tank’ empty, and just flying on fumes. This means their hormone output is low, and they will benefit greatly by replenishing them through bio-identical estrogens (estradiol and estriol, to help alleviate vaginal dryness), bio-identical or natural progesterone therapy (creams or pills), and testosterone (yes, women need it too to help prevent loss of muscle and bone). It typically takes six to nine months, in general, for hormone replenishment to occur, and we monitor hormone levels every three months unless there is a special need for earlier testing.
The goal is not only to normalize lab results, but to have you feeling normal, like yourself, again. Remember, you are the patient, and we are treating you — you are not a lab test! Also, we do not use synthetic estrogens, only bio-identical hormones — the hormones your body has made all through your life. We also never use oral estrogens, which can increase the risk of gallbladder issues, and they can alter your body lipids in an unfavorable direction. By sticking to topical application with estrogen creams, or by putting the cream in the vagina, we are able to bypass the liver and avoid these problems. We also, in the appropriate patient, treat with bioidentical hormones after breast cancer treatment. Although controversial, many women are desperate for symptom relief. In certain groups of women, we can administer them safely with regular monitoring at different times. Clinical trials have shown this can be done safely and effectively.
Bioidentical Hormone Therapies for Psychological and Psychiatric Issues
For Sleep disorders, Burn-out Syndrome, Sexual Arousal, Depression, slowed progression of Alzheimer’s disease, Irritability & Anxiety, Chronic tendency to Social Withdrawal, Bipolar disorder, and Schizophrenia, the judicious use bio-identical hormones, coupled with targeted nutrient therapy (vitamins, minerals, amino acid therapies), can be quite helpful. Benefits of bio-identical hormone therapy include:
Brain fitness starts with membrane fitness
Red blood cell membrane fatty acids testing by the Kennedy Kreiger Institute. at Johns Hopkins University. This test provides the most comprehensive evaluation of fatty acids in the world. The results of this testing lead to useful and effective treatments for various chronic diseases and neuropsychiatric conditions.
Ed Kane, a fatty acids expert who is nearly 100 years old said, ‘Essential fatty acids are the life of the membrane of every cell in the body including the neurons of the brain. They control every bodily function including the blink of an eye, the wiggle of a toe, even our flickering thoughts.’
Toxic Heavy Metals testing
Toxic heavy metals have been shown to interrupt normal hormone functioning, deplete nutrients, and as the name implies are toxic to your body. Once identified, they can be removed through chelation, a process that binds these metals and pulls them out of your system. Watch THIS VIDEO by David Kennedy DDS on YouTube.
Lead interfers with the neurotransmitter GABA by increasing Glutamate. Lead interfers with heme synthesis which leads to anemia, lowers B-12 levels, lowers tetrahydrobiopterin (BH4) levels which lower neurotansmitters Serotonin and Dopamine. We have learned that there is no safe Lead level! Elevated Glutamate even with low levels of mercury leads to nerve damage. Thus, toxic heavy metals have synergistic deleterious effects, meaning the effects of two toxic heavy meals are not just double trouble but can be a multiplying effect of 10 or 100 fold increase in deleterious effects. Here is a ‘White Paper’ from Doctor’s Data on metal implants from dental and orthopaedic proceedures.
Get sick indoors and feel when you leave a building? We offer testing Total Mycotoxins Testing for mold issues. We also offer testing for Phthalates, Volative Solvents, Pesticides and more.
Diet & Exercise
The expression “You are only as strong as your weakest part” is demonstrated on a regular basis, so we attempt to address these issues so you can lead a better life.
For the best results, you have to prime the pump with mild to moderate exercise and high-end nutrition. Consider
whey protein or protein with branched-chain amino acids in protein shakes with dietary choline
beet crystals to increase nitric oxide to relax the endothelium and lower blood pressure
minerals such as magnesium and potassium to get optimal results.
We use functional needs testing and nutritional testing, which include organic acids testing, fatty acids testing, amino acids testing and the functional need for B-vitamins and oxidative stress markets. This kind of testing best predicts what your functional needs requirements are for different nutrients (vitamins and minerals and antioxidants).
As you can see, bio-identical hormone replacement therapy does not stand alone. It is bolstered by:
great nutrition
gene testing with supplementation
removal of environmental toxins including overbearing stress (we do a thorough evaluation of your adrenals, with questionnaires, and saliva testing)
other hormone testing
lifestyle modification, which includes getting proper sleep totally necessary for weight loss goals
peptide therapies, which is the regenerative part of medicine
Peptide therapies can bolster the effects of hormones and getting well physically, emotionally, and sexually.
Getting healthy is hard work and requires proper direction from your physician as you embark on this journey. You have to invest your entire being and invest adequate time, money, and discipline to achieve your goals of a sharper brain, good energy, good mood, and a life worth living. You deserve a body that is responsive to the demands placed upon it, no matter your chronological age.
Invest in you. Invest in your health. It’s a great place to put your money to work for you.
You can not guess, you must test!
We offer Gene Testing & Hormone and Nutritional Testing and Treatments for patients in Boca Raton, Boynton Beach, Century Village, Coral Springs, Delray Beach, Fort Lauderdale, Greenacres, Hobe Sound, Jupiter, Lake Park, Lake Worth, North River Shores, Palm Beach Gardens, Palm City, Pompano Beach, Port St. Lucie, Riviera Beach, Royal Palm Beach, Stuart, Tequesta, West Palm Beach, and surrounding South Florida communities.
From a happy client
“Dear Dr. Bieley,
I just wanted to let you know how thankful and grateful I am having you as my doctor as I work daily under your care to improve my thyroid health and hormones.
Lastly, I love that I’m learning so much with the time and attention you give in explaining my blood results, what they mean, and what I need to pay attention to in the months to come.
I am beginning to feel better each day!
Maggie Sarubbi”