Adrenal Recovery. Diagnosis and Treatment of Adrenal Fatigue
|
|
|
- Jeffery McLaughlin
- 7 years ago
- Views:
Transcription
1 Adrenal Recovery Diagnosis and Treatment of Adrenal Fatigue
2 Acknowledgements Andrew Heyman, University of Michigan Dr. James L. Wilson, Author of Adrenal Fatigue, The 21 st Century Stress Syndrome Dr. Lena D. Edwards, researcher, lecturer and clinician Dr. Fernando Cortizo, AustralAsianAcademy of Anti-Aging Medicine
3 Dr. Joe Esposito Certified Clinical Nutritionist Certified Nutrition Specialist Diplomate of the Gonstead System Board Certified Naturopathic Physician Diplomate of the College of Clinical Nutrition Diplomate of the American Board of Clinical Nutrition Fellow of the American Academy of Integrative Medicine Disclosure Affiliations: AlignLife Nutraceuticals AlignLife Franchise VitaLogics Software
4 Nutrition Chiropractic Lifestyle
5
6
7 We are STRESSED! Dr. Joe Esposito AlignLife Nutraceuticals, LLC
8 Why Manage Adrenal Fatigue? An overwhelming portion of your patient base suffers from adrenal fatigue No one else is helping these people Diversify your practice for increased referrals / revenue Dr. Joe Esposito AlignLife Nutraceuticals, LLC
9
10 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessment 7. Patient Management
11 General Adaptation Syndrome Hans Selye ( ) The sequence of physiological reactions to prolonged stress includes: Alarm Resistance Exhaustion
12 HPA Axis
13
14
15
16
17
18 Organ Reserve
19 What Are the Common Symptoms of Adrenal Fatigue 19
20 Are you easily overwhelmed by every day tasks that were once a breeze?
21 Do you get angry over things that never used to bother you?
22 Are you having weight gain around the middle?
23 Is your sleep not as regular or restful as it once was?
24 Is it difficult for you to concentrate on important tasks?
25 Do you crave foods that you know are unhealthy for you?
26 Are you catching more colds than before?
27 Is you libido not what it once was?
28 Are you easily irritated by friends or family members?
29 Do you feel as if you have no energy by the middle of the afternoon?
30 Are you using coffee or soda to get through the day?
31 Are you drinking more alcohol to relieve stress?
32 Do aches and pains linger longer than they once did?
33 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessment 7. Patient Management
34 It s estimated that up to 80% of adult Americans suffer some level of adrenal fatigue at some time during their life. p6. Adrenal Fatigue James L. Wilson
35 Severe Hypoadrenia Called Addison s Disease Acknowledged by Conventional Medicine Named after Sir Thomas Addison in 1855 Can be life-threatening 70% cases are from auto-immune disease 30% from severe stress or other causes
36 Adrenal Fatigue Less severe than Addison s but often debilitating Also known as non-addison s hypoadrenia, sub-clinical hypoadrenia, neurasthenia and adrenal apathy. Not recognized as a distinct syndrome by conventional medicine Occurs when the amount of stress overextends the capacity of the body to compensate and recover from that stress or the combined stresses
37 Factors Affecting Adrenals Seen and Unseen Stresses Lack of Relaxation Negative Attitudes and Beliefs Unwanted unemployment Fear Emotional Stress Psychological Stress Death of a loved one Wound Healing Prescriptions/non-prescription drugs Marital Stress Toxins Infection: Acute/Chronic Allergies Over Exertion Smoking Lack of Sleep (Staying up late though fatigued) Lack of, or excessive exercise Poor Eating Habits Sugar and White Flour Products Using Stimulants When Tired (Coffee/ Caffeine)
38 Lifestyles Leading to Adrenal Fatigue College Student Single Parent Unhappy Marriage Stressful Work Conditions Self-employed with struggling business Drug or Alcohol Abuse All Work, Little Play
39 Stresses Add Up The effects of stress are cumulative, even when the individual stressors are quite different.
40 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessments 7. Patient Management
41 Conventional Approach Fatigue is a common complaint in many chronic diseases that adrenal hypofunction is not commonly a path a conventional practitioner will travel. Since Adrenal Fatigue is best managed naturally it is ignored and overlooked Ignoring this condition creates chronic unnecessary health problems for millions of people
42 Conventional Approach Adrenal Fatigue does not have an ICD-9 code and therefore doesn t exist in medicine Politics of insurance companies, pharmaceutical industry and medical licensing board of their peers creates pressures that keep medical physicians from investigating conditions that don t have a code
43
44 Alternative Medicine Review, Volume 14, Number 2, 2009
45
46 Outline Classic Patient Presentation 1. History of Hypoadrenia 2. Conventional Awareness of Hypoadrenia 3. The Anatomy of the Adrenal Gland 4. Physiology of Dysfunction 5. Functional Assessments 6. Patient Management
47 Anatomy of the Adrenal Glands Two small glands that sit directly on top of each kidney. Ad- Renal 47
48
49
50 Cortex
51 Different Sections of Adrenal Gland
52
53 Adrenal Medulla Stimulated by sympathetic fibers Hormones: Epinephrine Adrenaline Norepinephrine Noradrenalin Effects: -Dilate blood vessels - Dilate bronchi - Increase heart rate - Increase strength of heart beat Fight or Flight
54 H P A
55
56 56
57 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessment 7. Patient Management
58 Different Sections of Adrenal Gland The Cortex
59
60 The Role of Aldosterone The major hormone controlling sodium and potassium levels affecting fluid balance within the bloodstream, cells and interstitial fluid Aldosterone Kidneys Reserve Water / Sodium Aldosterone Kidneys Secret Water / Sodium
61 Na+ Na+ Na+ Na+ Na+ Na+ Na+ K+ K+ Na+ K+ K+ K+ K+ K+ K+ K+ Na+ Na+ K+ Na+ K+ Na+ Na+
62 Would An Increase in Water Fix the Fluid Imbalance?
63 Decreased Aldosterone = Sodium in Interstitial Fluid Decreased Sodium in the Interstitial Fluid = Water Should the patient drink more water? Na+ Na+ K+ K+ K+ K+ K+ K+ K+ K+ K+ Na+ K+ What would high water intake do to sodium concentrate in the interstitial fluid? Na+ If sodium levels are K+ lowered what will Na+ happen with the sodium in the cell?
64 What Would Happen to the Blood Pressure of a Person with Decreased Blood Volume?
65 Sign of Adrenal Fatigue Lowered Aldosterone Levels Causes Orthostatic (Postural) Hypotension
66 Different Sections of Adrenal Gland
67
68 The Sex Hormones The adrenal gland provides the secretion of DHEA as well as testosterone, estrogen and progesterone.
69 Adrenal Gland Function in Women Only source of DHEA and testosterone After menopause, are the major source of estrogen & progesterone 69
70 Adrenal Gland Function in Men Only source of DHEA, estrogen and progesterone After andropause, are the major source of testosterone 70
71 The Adrenals Effect on Female Hormones Since testosterone is a prime factor in sex drive why would Adrenal Fatigue cause a bigger impact in woman in regards to sex drive? Hot flashes is caused by quickly dropping estrogen levels. How does Adrenal Fatigue play a crucial role in hot flashes?
72
73 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
74 Different Sections of Adrenal Gland
75 The Role of Cortisol 1. Metabolism of fats, protein and carbohydrates to maintain blood glucose 2. The main anti-inflammatory agent in your body 3. Keeps immune system in check by preventing a hyper immune response. 4. Has an affect on behavior, mood and electrical activity of neurons in the brain.
76 Normalizes Blood Sugar (Keeps You From Crashing) 1. What hormone is secreted when your sugar levels increase in the bloodstream (soda / bread)? 2. How much insulin is secreted when the sugar load is excessive? 3. What happens to the sugar levels in the blood? 4. What does your body secrete to increase the blood sugar level? 5. What will happen to the adrenal gland if this process continues all day, every day?
77 Well My Diet is Perfect But I Have a Lot of Mental Stress? Same Thing Happens As If You Have a High Sugar Diet. Why? Your body isn t able to differentiate from getting chased by a tiger or getting frustrated when there is a line at the grocery store. Secrets cortisol to increase blood sugar so you can run from a tiger (or just get more frustrated being in a long line)
78 What Happens to Cravings When Your Cortisol Levels Crash? They Go Up! What Do You Crave? Sugar! What Hormone Does that Increase? Insulin! Does that promote fat burning or fat deposition? Fat deposition!
79 More Cravings More Insulin More Weight Gain Increases Aromotase Enzyme Increase Estrogen Decreases Thyroid More Fatigue More Sugar for Fatigue More Cravings (Rinse and Repeat)
80
81 Anti-Inflammatory Effect (Make booboos hurt less/makes breathing easier) Cortisol keeps inflammation and swelling in check -Insect bites -Allergy (eyes / bronchial tubes) Reduces inflammation classic to autoimmune diseases (and will reduce the immune response CAUSING the swelling) That is why Prednisone is used for auto-immune conditions.
82 Immune Modulation (Keeps immune cells from getting paranoid) When immune cells become hyper responsive they don t differentiate antigens from normal tissue (good guys from the bad guys) What type of diseases occur when the immune system is hypersensitive or paranoid. Autoimmune Diseases Cortisol reduces the rate at which lymphocytes multiply and accelerates their programmed cell death.
83 Immune Modulation What Happens When Cortisol Crashes? Immune System Upregulates(Th1) Increases Inflammatory Cytokines (IL-6, TNF-alpha) Activates microglial cells causing inflammation in the brain Causes hippocampal degeneration/atrophy Promotes autoimmune disease One of the primary causes of fatigue with hypoadrenia
84 Cardiovascular Support (Maintains blood pressure and strength of contraction) It accomplishes this by helping aldosterone regulate sodium and potassium in the heart. Helps maintain adequate pressure to pump blood to all areas of the body.
85 Protects the CNS (Makes You Feel Good and Think Straight) Cortisol effects your mood, behavior and memory. High cortisol will actually cause atrophy of your hippocampus.
86 H P A
87 87
88 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
89 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
90 90
91 The Stress Hormone: Cortisol The Only Hormone that Increases With Age Can Elevate Blood Glucose by Up To 50% HOW? Cortisol causes mobilization of amino acids from extrahepatic tissue, mainly from muscle. As a result, more amino acids become available in the plasma to enter into the gluconeogenesis pathway and promote the formation of glucose. Guyton Textbook of Physiology p
92 Catabolism Recent studies in isolated tissue have demonstrated that cortisol depresses amino acid transport into muscle cells Guyton Textbook of Physiology p
93 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessment 7. Patient Management
94 How to Diagnosis Symptom Survey Consultation Functional In-Office Testing Blood Pressure Test Pupil Dilation Rogoff Sign Lab Testing Salivary Cortisol (4) DHEA 94
95 Symptom Survey Simple Questionnaire Saves Time in your office Helps The Doctor and the Patient Understand the Causation Dr. Joe Esposito AlignLife Nutraceuticals, LLC
96 Functional In-Office Testing Quick, Free Assessments Builds Patient Awareness Increases Patient Compliance Confirms Need For Testing 96
97 Functional In-Office Testing PUPIL TEST Patient will sit in a darkened room for 2 minutes. Then a light will be shined into the eye. The pupil should stay constricted for approximately 2 minutes. If within 40 seconds the pupil begins to alternate between dilation and constriction with dilation winning the battle, then it is a sign of hypoadrenia. (Arroyo, CF. Jour. And Rac., Jan 2, 1924, cxix, pg. 25) 97
98 Functional In-Office Testing BLOOD PRESSURE TEST In order to maintain proper pressure in the bloodstream when going from sitting to standing the blood pressure should raise or at least maintain current pressure. More dramatically when going from lying to standing, the blood pressure should significantly increase (10-20mm Hg). If a positive test, make sure you are well hydrated and repeat the test. If it is positive when well hydrated, hypoadrenia is a likely diagnosis. Hypoadrenia usually spells hypotension. (Harrower, Henry R. Endocrine Diagnostic Charts. Harrower Laboratory, Inc. Glendale, California, 1929, pg 79)
99 Functional In-Office Testing ROGOFF SIGN Palpation or thumping of the thoracolumbar junction produces pain. 99
100 Functional In-Office Testing SERGENT S WHITE LINES Run the back of a ball point pen along the bare abdomen. Normally turns reddish-pink within 30 seconds. If hypoadreniais present, it will remain white for over a minute. Called Sargent s White Line. Present approximately 40% of the time. 100
101 Laboratory Testing Salivary Testing Cortisol x4 DHEA x1 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
102 102
103 Advantage of Salivary Collection Non-invasive specimen collection Non-medical personnel (patient) can collect specimen Increase patient s involvement with healthcare Cost-effective Dr. Joe Esposito AlignLife Nutraceuticals, LLC
104 Salivary Versus Serum Dr. Joe Esposito AlignLife Nutraceuticals, LLC
105 Salivary Cortisol Better Measure of Adrenal Cortical Function Annals of Clinical Biochemistry
106 Normal Values Optimal Levels Hypoadrenai Hyperadrenai Addison s Disease Adrenal Fatigue Dr. James L. Wilson, p89 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
107 What If I Take Transdermal Hormone Replacement? Salivary levels will raise above testing range for approximately two months. You can NOT use salivary testing while applying progesterone creams, etc. Since transdermal hormones are transported via the skin to the lymph to all cells of the body (not the blood), a blood test will not show any change and is therefore also unreliable assessment. Therefore, both salivary and blood testing will be unreliable in regards to monitoring the effects of therapy. You will need to use symptomatic response. Dr. Joe Esposito AlignLife Nutraceuticals, LLC
108 Outline 1. Classic Patient Presentation 2. History of Hypoadrenia 3. Conventional Awareness of Hypoadrenia 4. The Anatomy of the Adrenal Gland 5. Physiology of Dysfunction 6. Functional Assessment 7. Patient Management
109 Why Does Low Cortisol Cause Salt Cravings?
110 Is It Okay To Use Salt? Recommend Powdered Kelp because it contains both sodium and potassium. Kelp also contains iodine which can assist the thyroid which is usually dysfunctional when you have adrenal dysfunction. You can add sea salt to the Kelp Powder as desired.
111 Vitamin C The more cortisol secreted the more vitamin c is used is the cascade to create the hormone. The highest concentration of Vitamin C is in the adrenal gland. Necessary for both catecholamine synthesis and steroidogenesis. Studies 1,000mg 3x daily
112 Pantothenic Acid Adrenal dysfunction with inadequate levels of B5 It will help regulate levels of cortisol that is secreted. Minimum of 500mg 3x a day
113 Magnesium Helps Insulin Sensitivity - More Sensitive Insulin Less Abuse of Cortisol Perform Magnesium Calibration Mg is a GABA antagonist which will promote growth hormone and melatonin. Melatonin helps create more sensitivity of the hypothalamus to cortisol helping the negative feedback mechanism to turn off cortisol secretion Mg reduces nocturnal ACTH secretion which is why Mg helps people get better sleep
114 Relora (Stress Relief ) Patented Formulation from California-based Next Pharmaceuticals Combination of magnolia and phellodendron Anti-anxiety and anti-stress properties similar to benzodiazapenes, yet non-sedating Anti-depressant properties Normalize DHEA and cortisol levels Low side effect profile / Dosage: 1 capsule TID
115 Relora (Stress Relief ) Patented Formulation from California-based Next Pharmaceuticals Combination of magnolia and phellodendron Anti-anxiety and anti-stress properties similar to benzodiazapenes, yet non-sedating Anti-depressant properties Normalize DHEA and cortisol levels Low side effect profile / Dosage: 1 capsule TID
116 Stage of Adrenal Damage Stage 1 - Normal Adaptation to Stress Stressed and Wired Stage 2 Adrenal Fatigue Stressed and Tired Stage 3 Adrenal Exhaustion Tired Than Wired Dr. Joe Esposito AlignLife Nutraceuticals, LLC
117 Stage 1 - Normal Adaptation to Stress Stressed and Wired Both Cortisol and DHEA Increase with stress Usually Asymptomatic Need Adrenal Balance Program Dr. Joe Esposito AlignLife Nutraceuticals, LLC
118 AdrenalBalance Adaptagenic Adrenal Support Stress Relief (1 QD) (Rhodiola, Relora, Ashwagandha) Vitamin C Active-C (1 BID) Glycemic Regulation Sugar Balance (1 TID) (All Programs Must Have Patient on a Pharmaceutical- Grade Multivitamin with sufficient B-Vitamin intake) Dr. Joe Esposito AlignLife Nutraceuticals, LLC
119 Stage 2 Adrenal Fatigue Stressed and Tired Cortisol Increases and DHEA declines Stressed, Anxiety Attacks, Mood Swings Need Adrenal Boost Program Dr. Joe Esposito AlignLife Nutraceuticals, LLC
120 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
121 AdrenalBoost Adaptagenic Adrenal Herbal Support Stress Relief (2 QD) Vitamin C Active-C (1 BID) Glycemic Regulation Sugar Balance(1 TID) Pregnenolone (2 QD) Dr. Joe Esposito AlignLife Nutraceuticals, LLC
122 Stage 3 Adrenal Exhaustion Tired Than Wired Both Cortisol and DHEA are low Depression and Exhaustion Need Adrenal Restoration Program Dr. Joe Esposito AlignLife Nutraceuticals, LLC
123 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
124 Dr. Joe Esposito AlignLife Nutraceuticals, LLC
125 AdrenalRestoration Adaptagenic Adrenal Herbal Support Stress Relief (2 QD) Vitamin C Active-C (1 BID) Glycemic Regulation Sugar Balance(1 TID) Pregnenolone (2 QD) Adrenal Glandular Adrenal Restore (2QD) Herbal Sleep Support Sleep Aid (2QD) Dr. Joe Esposito AlignLife Nutraceuticals, LLC
126 The Lifestyle Components Balance Blood Sugar Increase Fiber &Protein Reduce Sugar/Carb Eliminate Stimulants Increase Exercise Relaxation Techniques Abdominal Breathing Progressive Relaxation Meditation Increase Quality Sleep Dr. Joe Esposito AlignLife Nutraceuticals, LLC
127 Mental Exercises Good For Me / Bad For Me Energy Robbers (actions, people, things) Adapt to Situations (Change/Adapt/Leave) Dr. Joe Esposito AlignLife Nutraceuticals, LLC
128
129
130
131
132
133
134 Interested in More Information? Come to Booth 42 Become one of 20 clinics we will focus on nutrition integration protocols Contact AlignLife Nutraceuticals (309)
and Evaluation of the Dan Lukaczer ND
Adrenal Dysfunction and Evaluation of the Adrenal Stress Profiles Dan Lukaczer ND Inside the Presentation If you have a technical issue, type your question in this box and select send to : Host, then click
Response to Stress Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.
Response to Stress Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction When there is an overwhelming threat to the
Hormone Restoration: Is It Right for You? Patricia A. Stafford, M.D. Founder, Wellness ReSolutions
Hormone Restoration: Is It Right for You? Patricia A. Stafford, M.D. Founder, Wellness ReSolutions IMPORTANCE OF HORMONE BALANCE Importance of Hormone Balance Help you live a long, healthy life Help you
Aging Well - Part V. Hormone Modulation -- Growth Hormone and Testosterone
Aging Well - Part V Hormone Modulation -- Growth Hormone and Testosterone By: James L. Holly, MD (The Your Life Your Health article published in the December 4th Examiner was a first draft. It was sent
Rheumatoid Arthritis. Treating Inflammation. Sequoia Education Systems, Inc http://www.functionalmedicineuniversity.com 1. How is RA Diagnosed?
Rheumatoid Arthritis Causes, Assessment and Treatment How is RA Diagnosed? The following labs make up the basics of ruling in or out RA. Citrullinated Peptide (anti-ccp) Antibodies Rheumatoid factor Erythrocyte
Stress Psychophysiology. Introduction. The Brain. Chapter 2
Stress Psychophysiology Chapter 2 Introduction This chapter covers the process & structures activated during the physiological response to stress. Two stress pathways are available; one for short term
Lifestyle-based Adrenal Dysfunction
Assessing Adrenal Function Primary FDM Testing Glandular vs. Lifestyle Adrenal problems Glandular-based Adrenal Problems Lifestyle-based Adrenal Dysfunction http://www.fmtown.com 1 Causes of Adrenal Dysfunction
Bio-Identical Hormone FAQ s
Bio-Identical Hormone FAQ s What are bio-identical hormones? They are derived from a natural plant source and professionally compounded to be biologically identical to human form of estradiol and testosterone.
Endocrine Responses to Resistance Exercise
chapter 3 Endocrine Responses to Resistance Exercise Chapter Objectives Understand basic concepts of endocrinology. Explain the physiological roles of anabolic hormones. Describe hormonal responses to
Testosterone Therapy for Women
Testosterone Therapy for Women The Facts You Need Contents 2 INTRODUCTION: The Facts You Need... 3-4 CHAPTER 1: Testosterone and Women... 5-9 CHAPTER 2: Testosterone Therapy for Women... 10-14 CONCLUSION:
Healing Depression Naturally
Healing Depression Naturally By Peter Bongiorno ND, LAc and Pina LoGiudice ND, LAc Directors of Inner Source Health (www.innersourcehealth.com) While everyone experiences the blues from time to time, depression
LAB 12 ENDOCRINE II. Due next lab: Lab Exam 3 covers labs 11 and 12, endocrine chart and endocrine case studies (1-4 and 7).
111 LAB 12 ENDOCRINE II Assignments: Quiz : Endocrine Chart pages 112-114 Due next lab: Lab Exam 3 covers labs 11 and 12, endocrine chart and endocrine case studies (1-4 and 7). Objectives: Review the
The Testosterone Report
The Testosterone Report Contents 1. What is Testosterone? 2. Why is Testosterone necessary? 3. Why do my Testosterone Levels decrease? 4. What does low Testosterone cause? 5. How Do I raise my Testosterone?
Laparoscopic Adrenal Gland Removal (Adrenalectomy) Patient Information from SAGES
Laparoscopic Adrenal Gland Removal (Adrenalectomy) Patient Information from SAGES What are the Adrenal Glands? The adrenal glands are two small organs, one located above each kidney. They are triangular
Male New Patient Package
Male New Patient Package The contents of this package are your first step to restore your vitality. Please take time to read this carefully and answer all the questions as completely as possible. Thank
Is Insulin Effecting Your Weight Loss and Your Health?
Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults
What Causes Cancer-related Fatigue?
What Causes Cancer-related Fatigue? The causes of cancer-related fatigue are not fully understood. It may be the cancer and/or the cancer treatment. Cancer and cancer treatment can change normal protein
Engage: Brainstorming Body Systems. Record the structures and function of each body system in the table below.
Engage: Brainstorming Body s Record the structures and function of each body system in the table below. Body Nervous Circulatory Excretory Immune Digestive Respiratory Skeletal Muscular Endocrine Integumentary
Treating the Problem Thyroid
Treating the Problem Thyroid Does this sound familiar? Aching muscles Always fatigued or exhausted Irritable or impatient Cold hands and feet Often depressed and anxious Dry, coarse and lifeless hair Dry
Advanced Weight Loss. By Dr Sachin Patel, DC, CFMP. Copyright - The Living Proof Institute
Advanced Weight Loss By Dr Sachin Patel, DC, CFMP Weight Loss Myths, a doctors perspective 1. I can lose weight by eating less or skipping meals 2. I can eat whatever I want as long as I exercise 3. I
Definitions Related to Stress Stress Management
Definitions Related to Stress Stress Management Allan M. Judd, PhD Department of Physiology and Developmental Biology Stress is not just having responsibilities, expectations and needs, or a feeling of
Endocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune. Deficiency Syndrome (CFIDS):
1 Endocrine Causes of Chronic Fatigue Syndrome (CFS)/Chronic Fatigue Immune Deficiency Syndrome (CFIDS): A Brief Guide for Patients and Primary Care Physicians Theodore C. Friedman and Camille Kimball
Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ
Body Composition & Longevity Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ LONGEVITY Genetic 25% Environmental Lifestyle Stress 75% BMI >30 OBESE 25-30 OVERWEIGHT 18-25 NORMAL WEIGHT 18
Adrenal Fatigue and Hypothyroidism
Adrenal Fatigue and Hypothyroidism Twenty first century living and the stresses that come along with it can have a major impact on the health of our mental, emotional and physical bodies. The adrenals
NIH Clinical Center Patient Education Materials Managing adrenal insufficiency
not feel well. Your symptoms could include: unusual tiredness and weakness dizziness when standing up nausea, vomiting, diarrhea loss of appetite stomach ache joint aches and pains NIH Clinical Center
Urinary System. And Adrenal Function
Urinary System And Adrenal Function Overview Kidney anatomy and physiology Urine Ureters, Bladder and Urethra Adrenal Function Functions of the Kidney Filter fluids from the blood Regulate volume and composition
An Overview and Guide to Healthy Living with Type 2 Diabetes
MEETING YOUR GOALS An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS This brochure was designed to help you understand the health goals to live a healthy lifestyle with type
regulation of ECF composition and volume regulation of metabolism thyroid hormones, epinephrine, growth hormone, insulin and glucagon
Hormonal Effects regulation of ECF composition and volume ADH, aldosterone, ANF regulation of metabolism thyroid hormones, epinephrine, growth hormone, insulin and glucagon regulation of muscle contraction
Cocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.
Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants
Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members
TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than
Depression. Introduction Depression is a common condition that affects millions of people every year.
Depression Introduction Depression is a common condition that affects millions of people every year. Depression has an impact on most aspects of everyday life. It affects eating and sleeping routines,
Neuroendocrine Evaluation
Neuroendocrine Evaluation When women have health concerns they usually prefer to discuss them with another woman. Dr. Vliet is a national expert on hormone-related problems and specializes in neuroendocrine
The Endocrine System
Essentials of Human Anatomy & Physiology Elaine N. Marieb Seventh Edition Chapter 9 The Endocrine System Slides 9.1 9.48 Lecture Slides in PowerPoint by Jerry L. Cook The Endocrine System Second messenger
Chapter Fourteen. Emotion, Reward, Aggression, and Stress
Chapter Fourteen Emotion, Reward, Aggression, and Stress EMOTIONS! Emotions generally include a Physical component, and a Subjective component or quality, and a Valence Emotions a product of Evolution?
Dr Sarah Blunden s Adolescent Sleep Facts Sheet
Dr Sarah Blunden s Adolescent Sleep Facts Sheet I am Sleep Researcher and a Psychologist. As a Sleep Researcher, I investigate the effects of poor sleep on young children and adolescents. I also diagnose
Water Homeostasis. Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.
Water Homeostasis Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) 1. Water Homeostasis The body maintains a balance of water intake
Hormone Replacement Therapy For Men Consultation Information. Round Rock Jollyville Westlake 512-231-1444 www.urologyteam.com.
Hormone Replacement Therapy For Men Consultation Information Round Rock Jollyville Westlake 512-231-1444 www.urologyteam.com Rev 05/13 Table of Contents Biological Aging and Hormones 2 As we age.... 3
Overtraining with Resistance Exercise
ACSM CURRENT COMMENT Overtraining with Resistance Exercise One of the fastest growing and most popular types of exercise in recent years is resistance exercise, whether used for the purpose of general
Lakeview Endocrinology and Diabetes Consultants. 2719 N Halsted St C-1. Chicago IL 60614 P: 773 388 5685 F: 773 388 5687. www.lakeviewendocrinolgy.
Lakeview Endocrinology and Diabetes Consultants 2719 N Halsted St C-1 Chicago IL 60614 P: 773 388 5685 F: 773 388 5687 www.lakeviewendocrinolgy.com Patient information: Early menopause (premature ovarian
Chapter 45: Hormones and the Endocrine System
Name Period Overview 1. What is a hormone? 2. Why does a hormone elicit a response only with target cells? 3. The body has two long-distance regulating systems. Which involves chemical signals by hormones?
Frequently Asked Questions: Ai-Detox
What is Ai-Detox? Frequently Asked Questions: Ai-Detox Ai-Detox is a Chinese herbal medicinal formula, produced using state of the art biotechnology, which ensures the utmost standards in quality and safety.
WOMEN AND ADDICTION RECOVERY & HORMONAL SHIFTS
WOMEN AND ADDICTION RECOVERY & HORMONAL SHIFTS HANLEY CENTER, INC. CENTER FOR WOMEN S RECOVERY Presented by: Jeannie Provost Program Manager 561-841-1000 jprovost@hanleycenter.org OBJECTIVES OBJECTIVES
Low Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled.
Low Blood Pressure Introduction Low blood pressure, or hypotension, is when your blood pressure reading is 90/60 or lower. Some people have low blood pressure all of the time. In other people, blood pressure
COULD IT BE LOW TESTOSTERONE?
COULD IT BE LOW TESTOSTERONE? By Dr. Lauren M. Bramley For thousands of years women have been recognized for their sensitivity to hormones. PMS, post partum depression, menopause have long been plights
Methamphetamine. Like heroin, meth is a drug that is illegal in some areas of the world. Meth is a highly addictive drug.
Methamphetamine Introduction Methamphetamine is a very addictive stimulant drug. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she
Blood Testing Protocols. Disclaimer
Blood Testing Protocols / Page 2 Blood Testing Protocols Here are the specific test protocols recommend by Dr. J.E. Williams. You may request these from your doctor or visit www.readyourbloodtest.com to
Male Patient Questionnaire & History
Male Patient Questionnaire & History Name: Today s Date: (Last) (First) (Middle) Date of Birth: Age: Occupation: Home Address: City: State: Zip: E- Mail Address: May we contact you via E- Mail? ( ) YES
Top 10 Caffeine-Related Health Problems
Top 10 Caffeine-Related Health Problems If you re interested in having more naturally energy all day, without caffeine or other harmful stimulants, No sugars, No calories and No energy crashes, then please
Understanding. Peripheral Neuropathy. Lois, diagnosed in 1998, with her husband, Myron.
Understanding Peripheral Neuropathy Lois, diagnosed in 1998, with her husband, Myron. What Is Peripheral Neuropathy? Peripheral neuropathy is a nerve disorder. It may cause numbness, tingling, and weakness.
MENOPAUSE WOMAN'S TEST (Assessment of hormone balance)
ATTACHMENT: Useful remarks for patient and doctor, to be associated to the analytical results. Your doctor should interpret this report. Cod. ID: 123456 CCV: 6bf Date: 01/01/2013 Patient: Rossi Mario Rapport
Testosterone. Testosterone For Women
Testosterone Testosterone is a steroid hormone. Popular use of the term steroid leads people to believe that it signifies a drug that s illegal and abused by some body builders and other athletes. While
DENVER CHIROPRACTIC CENTER GLENN D. HYMAN, DC, CSCS
DENVER CHIROPRACTIC CENTER GLENN D. HYMAN, DC, CSCS Are you in the right place? Please read this before proceeding with paperwork: At Denver Chiropractic Center, we specialize in treating muscles with
A: Nursing Knowledge. Alberta Licensed Practical Nurses Competency Profile 1
A: Nursing Knowledge Alberta Licensed Practical Nurses Competency Profile 1 Competency: A-1 Anatomy and Physiology A-1-1 A-1-2 A-1-3 A-1-4 A-1-5 A-1-6 A-1-7 A-1-8 Identify the normal structures and functions
Chapter 25: Metabolism and Nutrition
Chapter 25: Metabolism and Nutrition Chapter Objectives INTRODUCTION 1. Generalize the way in which nutrients are processed through the three major metabolic fates in order to perform various energetic
Endocrine System: Practice Questions #1
Endocrine System: Practice Questions #1 1. Removing part of gland D would most likely result in A. a decrease in the secretions of other glands B. a decrease in the blood calcium level C. an increase in
Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS
Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS You want to take testosterone to masculinize your body. Before taking it, there are several things you need to know about.
X-Plain Rheumatoid Arthritis Reference Summary
X-Plain Rheumatoid Arthritis Reference Summary Introduction Rheumatoid arthritis is a fairly common joint disease that affects up to 2 million Americans. Rheumatoid arthritis is one of the most debilitating
Stress can become a problem when you are not sure how to handle it. Worry sets in, and you feel stressed.
Stress Reduction Patient Education Improving Health Through Education What is Stress? Stress is a normal emotional and physical reaction to the demands of life. Stress comes from both the good and bad
Goiter. This reference summary explains goiters. It covers symptoms and causes of the condition, as well as treatment options.
Goiter Introduction The thyroid gland is located at the base of your neck. If the gland becomes abnormally enlarged, it is called a goiter. Goiters usually do not cause pain. But a large goiter could cause
This information sheet provides an introduction to the causes and symptoms of adrenal insufficiency and the tests used to diagnose this condition.
Adrenal Insufficiency Patient Information Sheet This information sheet provides an introduction to the causes and symptoms of adrenal insufficiency and the tests used to diagnose this condition. produced
Menopause. Weight Loss. A Special Report on Weight Gain During Menopause. contact us. FROM THE DESK OF: Carolyn J. Cederquist, M.D. Dr.
Weight Loss & A Special Report on Weight Gain During Menopause Menopause FROM THE DESK OF: Carolyn J. Cederquist, M.D. Dr. Cederquist Caroline J. Cederquist, M.D., has appeared as a weight-management expert
Eating Disorders. 1995-2012, The Patient Education Institute, Inc. www.x-plain.com mhf70101 Last reviewed: 06/29/2012 1
Eating Disorders Introduction Eating disorders are illnesses that cause serious changes in a person s daily diet. This can include not eating enough food or overeating. Eating disorders affect about 70
Strokes and High Blood Pressure
Strokes and High Blood Pressure Quick Review from last Week: What is a Stroke Stroke: blood supply to the brain is severely limited or cut off With no blood to carry oxygen to them, brain cells will die
Problems of the Digestive System
The American College of Obstetricians and Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ120 WOMEN S HEALTH Problems of the Digestive System What are some common digestive problems? What is constipation?
Bulimia Nervosa. This reference summary explains bulimia. It covers symptoms and causes of the condition, as well as treatment options.
Bulimia Nervosa Introduction Bulimia nervosa, or bulimia, is an eating disorder. A person with bulimia eats a large amount of food in a short amount of time. To prevent weight gain, the person then purges.
DIABETES. Eyes, Heart, Nerves, Feet, and Kidneys. www.kidney.org
DIABETES Eyes, Heart, Nerves, Feet, and Kidneys www.kidney.org About the Information in this Booklet Did you know that the National Kidney Foundation (NKF) offers guidelines and commentaries that help
Dealing with Erectile Dysfunction During and After Prostate Cancer Treatment For You and Your Partner
Dealing with Erectile Dysfunction During and After Prostate Cancer Treatment For You and Your Partner The following information is based on the general experiences of many prostate cancer patients. Your
LOW T NATION TESTOSTERONE INTAKE FORM NAME: DATE: ADDRESS: CITY: STATE: ZIP: CELL #: HOME #: SOC SECURITY #: DATE OF BIRTH:
LOW T NATION TESTOSTERONE INTAKE FORM NAME: DATE: ADDRESS: CITY: STATE: ZIP: CELL #: HOME #: SOC SECURITY #: DATE OF BIRTH: DRIVERS LICENSE NUMBER: STATE: EMAIL ADDRESS: MARITAL STATUS: ( ) SINGLE ( )
Depression Overview. Symptoms
1 of 6 6/3/2014 10:15 AM Return to Web version Depression Overview What is depression? When doctors talk about depression, they mean the medical illness called major depression. Someone who has major depression
BuyNuezdelaIndia.com
BuyNuezdelaIndia.com The information provided in this guide is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions.
HIGH BLOOD PRESSURE AND YOUR KIDNEYS
HIGH BLOOD PRESSURE AND YOUR KIDNEYS www.kidney.org About the Information in this Booklet Did you know that the National Kidney (NKF) Foundation offers guidelines and commentaries that help your healthcare
Shira Miller, M.D. Los Angeles, CA 310-734-8864 www.shiramillermd.com. The Compounding Pharmacy of Beverly Hills Beverly Hills Public Library
Shira Miller, M.D. Los Angeles, CA 310-734-8864 The Compounding Pharmacy of Beverly Hills Beverly Hills Public Library 2 Outline What is hormone therapy? Why would healthy men and women need to think about
Chickenpox and Shingles Vaccines
Chickenpox and Shingles Vaccines The chicken pox/shingles connection DISCLAIMER: The following is not intended as advice on whether or not to receive a chicken pox, shingles, or any other vaccine. The
Cardiovascular Disease Risk Factors
Cardiovascular Disease Risk Factors Risk factors are traits and life-style habits that increase a person's chances of having coronary artery and vascular disease. Some risk factors cannot be changed or
Breast Pain. National Cancer Helpline 1800 200 700
General information Breast Pain Breast Pain This factsheet gives information on breast pain in women. It explains the different types and causes of breast pain and how it can be diagnosed and treated.
4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH
METABOLIC SYNDROME AN INTEGRATIVE APPROACH AN OPPORTUNITY FOR PHARMACISTS TO MAKE A DIFFERENCE Mike Rizo, Pharm D, MBA, ABAAHP THE EVOLUTION OF THE PHARMACIST 1920s 1960s 2000s THE PHARMACIST OF THE FUTURE?
Stepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU
FOR MS RELAPSES Stepping toward a different treatment option LEARN WHAT ACTHAR CAN DO FOR YOU As a person with multiple sclerosis (MS), you know firsthand the profound impact MS relapses can have on your
CONSULTATION & CONSENT FORMS p. 1 of 5 C J HERBAL REMEDIES, INC. ********************************************************************************
CONSULTATION & CONSENT FORMS p. 1 of 5 ******************************************************************************** List your full name, age, sex, and today's date List your complete address List your
Symptoms of Hodgkin lymphoma
Produced 28.02.2011 Revision due 28.02.2013 Symptoms of Hodgkin lymphoma Lymphoma is a cancer of cells called lymphocytes. These cells are part of our immune system, which helps us to fight off infections.
The role of negative -ION in the improvement of our health
What are IONS and where do they come from? IONS are particles with a positive or a negative electrical charge The percentage and number of +IONS and -IONS change depending on the time and place. IONS can
Testosterone Replacement Informed Consent. Patient Name: Date:
Testosterone Replacement Informed Consent Patient Name: Date: This form is designed to document that you understand the information regarding Testosterone Replacement Therapy, so that you can make an informed
Coping With Stress and Anxiety
Coping With Stress and Anxiety Stress and anxiety are the fight-and-flight instincts that are your body s way of responding to emergencies. An intruder crawling through your bedroom window in the dark
4 Week Body Contour / Lipo Light Program
Natural Health Solutions 14698 Galaxie Ave. Apple Valley, MN 55124 (952) 891-22225 4 Week Body Contour / Lipo Light Program Welcome and Congratulations! This is an important decision towards improving
Cardiovascular Disease Risk Factors Part XII Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005
Cardiovascular Disease Risk Factors Part XII By James L. Holly, MD Your Life Your Health The Examiner September 15, 2005 As we approach the end of our extended series on cardiovascular disease risk factors,
High Blood Pressure (Essential Hypertension)
Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 916-830-2000 Fax: 916-830-2001 What is essential hypertension? Blood pressure is the force
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY. 12a. FOCUS ON Your Risk for Diabetes. Copyright 2011 Pearson Education, Inc.
PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 12a FOCUS ON Your Risk for Diabetes Your Risk for Diabetes! Since 1980,Diabetes has increased by 50 %. Diabetes has increased by 70 percent
Nutrition and Your Mental Health. Rebecca Sovdi, Registered Dietitian Health Promotion and Disease Prevention Health Canada, FNIHB
Nutrition and Your Mental Health Rebecca Sovdi, Registered Dietitian Health Promotion and Disease Prevention Health Canada, FNIHB Nutrition and Your Mental Health l Healthy eating practices - influence,
Amphetamines Addiction
Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes
Understanding Hormone Excess and Deficiency
Understanding Hormone Excess and Deficiency The comments provided here are for educational purposes only. They should not be interpreted as being diagnostic or treatment recommendations. Those decisions
The sooner a person with depression seeks support, the sooner they can recover.
Depression Summary Depression is a constant feeling of dejection and loss, which stops you doing your normal activities. Different types of depression exist, with symptoms ranging from relatively minor
Disability Evaluation Under Social Security
Disability Evaluation Under Social Security Revised Medical Criteria for Evaluating Endocrine Disorders Effective June 7, 2011 Why a Revision? Social Security revisions reflect: SSA s adjudicative experience.
Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging
![Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging](/thumbs/25/6007827.jpg "Getting Older ]Wiser: safer drinking. as you age. Massachusetts Department of Public Health Office of Healthy Aging")
Massachusetts Department of Public Health Office of Healthy Aging Getting Older ]Wiser: safer drinking as you age Do you drink alcohol even just one drink now and then? Are you over 50? Do you ever take
YOUR LAST DIET IDEAL PROTEIN
YOUR LAST DIET IDEAL PROTEIN OBJECTIVES Explain the science and history that supports the Ideal Protein Diet method. Describe the risks and benefits of diet participation. Give you the details of what
Liver Function Essay
Liver Function Essay Name: Quindoline Ntui Date: April 20, 2009 Professor: Dr. Danil Hammoudi Class: Anatomy and Physiology 2 Liver function The human body consist of many highly organize part working
Insomnia affects 1 in 3 adults every year in the U.S. and Canada.
Insomnia What is insomnia? Having insomnia means you often have trouble falling or staying asleep or going back to sleep if you awaken. Insomnia can be either a short-term or a long-term problem. Insomnia
About High Blood Pressure
About High Blood Pressure Your Treatment & You: working together to help manage your health Glaxo- Blood Pressure Booklet (ASK) EN.indd 1 10/7/2014 4:49:14 PM Glaxo- Blood Pressure Booklet (ASK) EN.indd
Regulation of Metabolism. By Dr. Carmen Rexach Physiology Mt San Antonio College
Regulation of Metabolism By Dr. Carmen Rexach Physiology Mt San Antonio College Energy Constant need in living cells Measured in kcal carbohydrates and proteins = 4kcal/g Fats = 9kcal/g Most diets are
Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015
Wellness for People with MS: What do we know about Diet, Exercise and Mood And what do we still need to learn? March 2015 Introduction Wellness and the strategies needed to achieve it is a high priority
Treatment Bulletin. Stress & HIV: the good, the bad, & the ugly. Toronto People With AIDS Foundation
Toronto People With AIDS Foundation Treatment Bulletin Stress & HIV: the good, the bad, & the ugly January 2010 No. 2 Disclaimer The Treatment Resources Program at the Toronto People With AIDS Foundation
X-Plain Hypoglycemia Reference Summary
X-Plain Hypoglycemia Reference Summary Introduction Hypoglycemia is a condition that causes blood sugar level to drop dangerously low. It mostly shows up in diabetic patients who take insulin. When recognized