Bioidentical Hormones Replacement Therapy
Finding a Balance in All Phases of Your Life
Tired of not feeling like your own self? Trust the professionals at AMAYA - Anti-Aging Weight Loss & Zerona Clinic. When we say, "You are not the only one." Getting older can be brutal! Every day, men and women come to us stressed by the endless symptoms, frustrated by the sleepless nights, and desperate to regain the balance in their lives they deserve. As we age, we experience changes in our appearance and how we feel. Women often gain weight, lose their sex drive, experience hot flashes, suffer memory loss, become short-tempered, find it difficult to sleep, and so on and so on. It's not easy for men either. Men lose energy and stamina as they age, and they have to live with women going through menopause! These changes are caused by hormonal imbalances, which can affect our mind, body and spirit. 
There is a solution - A Natural Solution.
Why Bioidentical Hormones?
Bio-identical hormone replacement therapy is the quintessential application of this knowledge! 
The current practice of common "hormone replacement therapy" -- irrespective of patient’s true needs or response -- is inappropriate and should be replaced by natural cures such as "low-dose adjustive hormone therapy" in the form of bio-identical hormone modulation; which is very different from prescribing "one-size-fits-all" drugs like Premarin.
The lowest effective dose is prescribed and titrated upwards until the desired therapeutic effect is achieved. The only way to practice this approach is by using natural cures in the form of customized bio-identical hormone replacement. Bio-identical means that the hormones are an exact match to the hormones produced by the human body. They could also be called human-identical. The word hormone is derived from Greek word horman, meaning "to set in motion". Hormones are chemicals produced by certain, specialized cells in your glands. The hormones then travel to other cells, in order to regulate or manage processes there. Hormones are produced by particular organs, but affect different organs. Hormones regulate all body systems, internally and externally, physically and mentally. Their decline results in aging or decay of the body and mind.
How to Deal with the Hormone Imbalances
Replenishing these expended hormones can restore our strength and vitality while protecting us from many forms of age-related diseases. Balancing the delicate ecosystem of hormones in a woman's body begins early in life. Women struggle with the changes of puberty, pregnancy, and menopause. The symptoms often seem endless from PMS, depression, and lack of energy and stress of balancing work, family, and social obligations. The medical community has often treated these symptoms by prescribing medications or synthetic hormones. Similar symptoms are seen in men too and often termed as "Manopause" or andropause. We find there's a better solution.
How We Can Help You
At AMAYA - Anti-Aging  Weight Loss & Zerona Clinic, we focus on Natural bioidentical hormone replacement therapy known as "personalized precision medicine": each patient deserves a comprehensive evaluation and an individually tailored treatment regiment that must be continually optimized. We don't subscribe to the "one size fits all" philosophy when treating hormonal imbalance. Therefore, when you come to AMAYA, our highly trained team custom designs a course of natural bioidentical hormone replacement therapy that works for your unique body.
FAQ

We try to anticipate questions you might have about our Anti Aging and Wellness program including Bioidentical Hormone Replacement Therapy and provide the answers here. If you need additional information please do not hesitate to send an email to info@revivehormones.com

  • What are Bioidentical hormones? 

Bioidentical hormones are exactly the same hormones, molecule per molecule that your body produces. They originate from plants. Most often made from wild yams and soybeans. They are then slightly modified in a lab to attain the structure identical to the hormones produced by your own body. Use of this type of therapy is preferred by both men and women in dealing with hormonal changes due to aging, menopause and andropause.

Synthetic hormones are also made in a lab, but most importantly are not identical to your body. Bioidentical hormones are superior to types of synthetic hormones commonly prescribed.

  • What is the best age to consider Bioidentical hormone therapy?

At AMAYA - Anti-Aging  Weight Loss & Zerona Clinic, we believe that most people should have their hormones checked by the age of 35 or earlier if they have symptoms of hormonal loss. The way to prevent illness and to optimize one’s health is to take an active role in addressing health care risks before they become a problem.

  • What are the side effects associated with Bioidentical hormones?

Because Bioidentical hormones are just like the ones made in your body, there are relatively few side effects. Side effects occur mainly when the dosage of hormone is too high for the individual. AMAYA - Anti-Aging  Weight Loss & Zerona Clinic monitors and evaluates each patient consistently to assure balanced dosage.

  • How long until I see results using Bioidentical hormones?

While it varies with each person, and depends on which hormone therapy you are using, generally you can expect to see results within three to six months.

  • Do I need to take these hormones forever?

No. If you decide to stop, your body will simply return to where it was before starting hormone therapy.

  • Why does a woman need hormones during and after menopause?

No matter what your age, if your female hormones (estrogen, progesterone, and testosterone) are unbalanced, you may suffer ill effects such as hot flashes, night sweats, depression, vaginal dryness, fatigue, and weight gain. 

  • Why does a man need testosterone replacement?

As a man gets older, his testosterone declines. Testosterone is the hormone that maintains a man’s mental focus, his energy, his metabolism his muscles, as well as keeps fat off and maintains strong bones. There is often concern that testosterone therapy may cause prostate cancer. The majority of the medical literature does not support this claim and your physician’s close medical supervision takes these risks into account depending on each individual’s personal health history.

  • Will this treatment interfere with my currently prescribed medications?
Generally not. Some medicines may actually be reduced or no longer needed.
  • What is personalized prescription?

With traditional synthetic hormone replacement therapy, there are few options for adjustment of strength and dosage. In light of the fact that each woman is unique her prescriptions should also be unique according to her need.

  • What does AMAYA - Anti-Aging  Weight Loss & Zerona Clinic recommend to HRT (hormone replacement therapy) users?

AMAYA - Anti-Aging  Weight Loss & Zerona Clinic, would like to caution everyone about the risks of synthetic HRT. We believe it should be a last resort, not a first choice. In general, we recommend that everyone first try a natural approach such as the AMAYA's Personal Program or any other program of your choice which offers natural alternatives. The Weaning off from synthetic HRT should be gradual,

HRT = Synthetic Hormone Replacement Therapy
BioHRT= Bioidentical Hormone Replacement Therapy.
  • What are the symptoms of perimenopause? 

The most common symptoms of perimenopause are hot flashes, insomnia, fatigue, irritability or mood swings, unusual weight gain, irregular periods, anxiety, feelings of depression, fuzzy thinking, bloating or gas, headaches, joint pain or stiffness, vaginal dryness, diminished sexual desire, and leaking of urine.

  • Can I use any compounding pharmacy?

Our patients’ prescriptions are filled by a compounding pharmacy. A compounding pharmacy custom mixes and makes your prescription as it is ordered. At this time, we use a pharmacy that our doctor trusts. Our doctor knows that this pharmacy only uses fresh, pure and accurate ingredients for your prescriptions. He thinks it’s like making cookie dough…. The quality of the dough is determined by the quality of the ingredients. It doesn’t cost you anymore to use this pharmacy and your prescriptions are delivered to you by overnight mail. 
We are better able to manage your hormone levels with precise accuracy if all medications come from the same pharmacy. Bioidentical hormone modulation is very different from prescribing "one-size-fits-all" drugs like Premarin. Every treatment regimen is custom-tailored to the individual based on the results of blood tests, medical history, physical exam, and symptoms presented. With compounded medications, hormone powders are mixed with a cream base or loaded into capsules. There are many variables such as the absorption level of the cream base. By standardizing with one pharmacy (as with one diagnostic lab), we are better able to predict a patient's response to a certain dosage and properly adjust the dosage in response to symptoms. If a patient obtains their hormones or supplements elsewhere, we can never be sure exactly what they are taking.

  • I recently came to know about NIH study of HRT risks? What shall I do?

AMAYA - Anti-Aging Weight Loss & Zerona Clinic, can only recommend you a natural approach to hormonal balance. The hormones used in HRT studies were synthetic estrogen and progestin’s not natural Bioidentical estrogen and progesterone. We believe that synthetic hormones commonly used in hormone replacement therapy should be a last resort, not a first choice. However, this is a matter of personal choice.

  • What if I’ve had a hysterectomy? Can AMAYA still help me?

Yes, the program will benefit your general health and your hormonal balance, even if you’ve had a hysterectomy, and whether or not you also had your ovaries removed. (Over half the women who keep their ovaries nevertheless suffer loss of ovarian function.) In fact, the Program is especially relevant to women like you, given the heightened risks from long-term use of synthetic HRT (hormone replacement therapy). Note that we generally recommend that women under 40 who have had a hysterectomy consider natural hormone replacement therapy to mimic the body’s natural progression into perimenopause.

  • Will my multivitamins and Nutraceutical interfere with AMAYA - Anti-Aging  Weight Loss & Zerona Clinic program?

No, depending upon what you are taking currently. According to the latest observations unsupervised intake of multivitamins and minerals can do more wrong to your health then its benefits. We recommend you stop all your supplements when you start your program. We will test you if necessary for the nutritional status and then formulate your personal nutritional plan. It is possible that you might end up using your own products if they are sufficient enough to help you.

  • What to do if I am on a prescription drug? Are there any interactions with AMAYA - Anti-Aging  Weight Loss & Zerona Clinic program?

The simple answer is no. The Personal Program is all-natural, preventative program with no known drug interactions by far. However, we always strongly recommend sharing your participation in the Program with your primary health care provider, who needs to be aware of any supplements you are taking.

  • Why do the dosages in the Essential Nutrients exceed the Recommended Daily Allowances?

Studies have proved that our true dietary requirements are much higher than the original RDA standards which were set decades ago based on the science of that time. The RDA’s are being reviewed for many years and new standards are expected at some future point. 

  • I have PMS, and I’m in my 20’s. Will the Personal Program help me?

PMS is a form of hormonal imbalance just like the symptoms of perimenopause. (In fact, women who have suffered from PMS are more likely to have a difficult perimenopause.) The program should be effective in helping to mitigate your symptoms.

  • I’m only 31. Can my symptoms really be perimenopause?

Your symptoms may well be the result of the hormonal imbalances of perimenopause. Many women experience their first such hormonal changes in their 30’s.

  • I’ve been diagnosed with depression. Is it possible that my problems are hormonal?

We would recommend you to discuss this with your practitioner first. Unfortunately it’s common now to prescribe antidepressants for PMS or perimenopause without considering the possibility of hormone imbalance. In our practice we have seen most of patients lowering down the dose of antidepressants as recommended by their physicians because they start feeling better when hormone imbalances are corrected. Please discuss your progress in the program with your practitioner, and whether you can make adjustments in your medication. In no case is the program a substitute for antidepressants for depression. It may be possible that your depression is hormonally based, and some women have reported good results on the Program. Your results may vary.

  • I am in my late forties and seem to gain weight regardless of how I watch what I eat. Is there a reason for this? Is there anyway to help me lose weight without taking diet pills? Can Bio-Identical Hormones help?

It is a quite frustrating situation seen in most Indians. When look into the figures. More than 50 % of the population above 35 can be considered overweight and more than 75% of those who have crossed 50 years of the lives suffer from this and have difficulty losing this weight so you are not alone dear friend. As we age there is a parallel decline of essential hormones, our bodies’ starts getting soft, loses water and fat starts building up resistant to any maneuvers of weight loss. So it becomes very important to understand the basic human physiology particularly the endocrine system. And how simple correctible hormone efficiencies can put on extra weight on your body resistant to any treatment you undergo to remove the extra pounds. Unfortunately these quick fixes are temporary and weight comes back again.

  • To enumerate some hormones and their function:

Estrogen: A female hormone which declines with age. This decline is responsible for production of more fat in the body as fat is an alternative source of estrogen when ovaries stop making estrogen fat starts making it and body starts accumulating more fat to make even more estrogen. On the other hand more fat is stored more estrogen gets blocked in the fat cells and vicious cycle starts.

Progesterone

On the other hand is the other female hormone which counteracts the effect of extra estrogen and helps in breakdown of the fat cells, But what is most important in such cases is the ratio between the estrogen and progesterone in the body. With advanced age the estrogen levels fall but progesterone levels fall much lower than the estrogen as a result although there is low estrogen but there is estrogen dominance because of even lower levels of progesterone.

Thyroid Hormone. Hypothyroidism is a hidden pandemic and more and more healthy looking persons are being diagnosed as hypothyroid each and every day especially sub clinical hypothyroidism . Thyroid is the main metabolic hormone of our body responsible for utilizing and burning the available energy stores by increasing the basal metabolic rate and keeps the extra pounds away from the body. 

Cortisol

Apart from this another very commonly discussed factor responsible for weight gain but never addressed properly is the tremendous amount of stress in our day to day lives. This stress leads to production of cortisol which is good when in moderation and provides energy and support at the time of need and emergency but chronic stress is lethal. In such states our body tries to store as much energy as possible to be used in future when needed and as fat is the easiest form to be stored and provides maximum energy when burnt as compared to other substrates it is the first choice of our body.

Insulin

Another basic link is between insulin metabolism and body fat. Being in a developed nation and because of busy life styles we are forced to eat the conventional low-fat, high-carbohydrate diet, with lots of processed foods like pasta, white bread, snacks, beer and wine. Constant exposure to this diet creates a condition known as insulin resistance. In this condition your body converts every calorie it can into fat — even if you’re dieting. And it won’t let you burn fat when you exercise. When the insulin is not used properly it gets accumulated to the point where the blood sugar levels start dropping to significantly lower levels leading to lethargy and drowsiness for which we are compelled to have snacks and caffeine to make ourselves feel better. But they actually they only make you more insulin resistant leading to further adrenal exhaustion starts another vicious circle while accumulating body fat. Improper dieting and on –off maneuvers, using artificial sweeteners make things worse. When you diet your body considers it as stress and then tries to store and conserve energy, sweeteners are not sugar but stimulate insulin release and make the situation worse, further they lower blood sugar levels which cause sugar cravings and you look for caffeine to compensate. You can only shed off extra pounds off your body when you are healthy from inside with balanced hormones. If you will heal your body from inside and try to balance your life, you will then find you achieve and maintain your ideal weight.

  • I want to start Bio-Identical Hormone replacement to improve my health but my doctor wants me to wait until I reach menopause. What is your recommendation? Why? 

Menopause is defined as a single day--12 months after your last period. Your physician's suggestion that you wait until you have passed this milestone reflects an antiquated view of a woman's transition from the premenopause to menopause. The majority of women experience their severest symptoms in the months to years leading up to this milestone. To wait for this single day would be to subject women to a year or more of unnecessary hot flushes, night sweats, mental fogginess, and bone loss. Our approach is to start addressing these symptoms as soon as they appear. They often begin a year or two before the final menstrual period, a time called the perimenopause. By so doing, we can avoid all the havoc that fluctuating hormone levels can wreak on a woman. Our approach is to smooth the transition from normal cycling through the menopause rather than to wait for a somewhat arbitrarily defined date.

  • I am a male 52 years old. I exercise four times a week and watch my diet but I still have body fat in my abdomen and lower back region. I do not have the strength and stamina that I had prior to hitting 50. Is there any way to regain my stamina, regain muscle tissue and possibly my sex drive? 

As you mentioned in you question that you are doing everything what is right for you and your body including diet, exercise but you are still not able to gain what you are looking for- perfect health. In this perspective I would like to mention that the male body is no different from the female body when we look into the hormonal interaction. But the major difference is low testosterone levels in other words a condition equivalent to menopause in females also known as “Andropause” in males. It comes with deficiencies’ of other endocrine hormones too but we still focus on the hypogonadism as the classical picture is what you had described in the stem of the question.

Low testosterone levels lead to decreased lean muscle mass and bone density. in addition it makes you prone for increased body at especially around the waist both outside and inside the body including your body organs intestine ,liver etc. unfortunately this further leads to decline in the testosterone levels. And the vicious cycle starts. As there is abundance of aromatase enzyme which converts available testosterone to estrogen you start accumulating more estrogen which further stays in the fat cells and keep making more and more estrogen responsible for pot belly and gynacomastia.

Not only this more collection of fat and increased body mass index decreases your capacity to do exercise and also reduces the activity with increased load on your cardiovascular system, as they have to supply more blood to oversize organs and thus you start losing stamina and feel weak. This further leads to changes in the metabolic arrangement in the body and increase insulin resistance with further accumulation of fat. 

Testosterone is not just about sex it has functions above the shoulder also, especially in the brain and it helps to maintain the cognitive functions, emotions, mood and memory. Testosterone is also important to maintain adequate red blood cell count and so low testosterone individual are having low RBC count and thus less oxygen is carried to vital organs leading to fatigue and low stamina.

Testosterone is also important to maintain the health of the vascular endothelium in the circulatory system, to maintain the blood flow and the compliance and no wonder why decreased sexual function cannot be correlated to low testosterone levels as to maintain an erection vasodilatation and complete vascular integrity of the blood vessels in corpora cavernosa (the penile spongy musculature) is required.

Apart from the testosterone there are other hormones which play role in maintaining the overall health as mentioned above in one question that include Thyroid hormone, Growth hormone, Insulin, DHEA, Melatonin and Cortisol. It is a complex interplay of these hormones, which affect your overall health, and it is not advisable to just focus on one hormone. Ideally complete hormonal evaluation is necessary and identification of deficiencies’ and addressing them with Bioidentical hormone supplementation is what we recommend for complete health. But for best effect it has to be in conjunction with proper nutrition, exercise and stress reduction.

  • I am in my late forties and seem to gain weight regardless of how I watch what I eat. Is there a reason for this? Is there anyway to help me lose weight without taking diet pills?

It is a quite frustrating situation seen in most Indians. When look into the figures. More than 50 % of the population above 35 can be considered overweight and more than 75% of those who have crossed 50 years of the lives suffer from this and have difficulty losing this weight so you are not alone dear friend. As we age there is a parallel decline of essential hormones, our bodies’ starts getting soft, loses water and fat starts building up resistant to any maneuvers of weight loss. So it becomes very important to understand the basic human physiology particularly the endocrine system. And how simple correctible hormone efficiencies can put on extra weight on your body resistant to any treatment you undergo to remove the extra pounds. Unfortunately these quick fixes are temporary and weight comes back again.

  • To enumerate some hormones and their function:

Estrogen: A female hormone which declines with age. This decline is responsible for production of more fat in the body as fat is an alternative source of estrogen when ovaries stop making estrogen fat starts making it and body starts accumulating more fat to make even more estrogen. On the other hand more fat is stored more estrogen gets blocked in the fat cells and vicious cycle starts.

Progesterone: On the other hand is the other female hormone which counteracts the effect of extra estrogen and helps in breakdown of the fat cells, But what is most important in such cases is the ratio between the estrogen and progesterone in the body. With advanced age the estrogen levels fall but progesterone levels fall much lower than the estrogen as a result although there is low estrogen but there is estrogen dominance because of even lower levels of progesterone.

Thyroid Hormone: Hypothyroidism is a hidden pandemic and more and more healthy looking persons are being diagnosed as hypothyroid each and every day especially sub clinical hypothyroidism . Thyroid is the main metabolic hormone of our body responsible for utilizing and burning the available energy stores by increasing the basal metabolic rate and keeps the extra pounds away from the body. 

Cortisol: Apart from this another very commonly discussed factor responsible for weight gain but never addressed properly is the tremendous amount of stress in our day to day lives. This stress leads to production of cortisol which is good when in moderation and provides energy and support at the time of need and emergency but chronic stress is lethal. In such states our body tries to store as much energy as possible to be used in future when needed and as fat is the easiest form to be stored and provides maximum energy when burnt as compared to other substrates it is the first choice of our body. 

Insulin: Another basic link is between insulin metabolism and body fat. Being in a developed nation and because of busy life styles we are forced to eat the conventional low-fat, high-carbohydrate diet, with lots of processed foods like pasta, white bread, snacks, beer and wine. Constant exposure to this diet creates a condition known as insulin resistance. In this condition your body converts every calorie it can into fat — even if you’re dieting. And it won’t let you burn fat when you exercise. When the insulin is not used properly it gets accumulated to the point where the blood sugar levels start dropping to significantly lower levels leading to lethargy and drowsiness for which we are compelled to have snacks and caffeine to make ourselves feel better. But they actually they only make you more insulin resistant leading to further adrenal exhaustion starts another vicious circle while accumulating body fat. Improper dieting and on –off maneuvers, using artificial sweeteners make things worse. When you diet your body considers it as stress and then tries to store and conserve energy, sweeteners are not sugar but stimulate insulin release and make the situation worse, further they lower blood sugar levels which cause sugar cravings. and you look for caffeine to compensate. You can only shed off extra pounds off your body when you are healthy from inside with balanced hormones. If you will heal your body from inside and try to balance your life, you will then find you achieve and maintain your ideal weight.

  • Lately, I become unable to get to sleep without taking a sleeping aid. Even when I go to bed at a reasonable hour, I wake up tired. When I was younger, (I am 41) I woke up rested and required less hours of sleep. I have tried reducing my caffeine intake, turning off the television an hour before I go to bed, listening to ocean and rain rhythms and nothing seems to work. Do you have any suggestions?

Sleep disturbance is another issue which becomes uncovered with the advancement of age Again there is a major role of hormonal interplay with the receptors and neurotransmitters in the brain. There is a very well know interaction between the nervous system and the endocrine system and combined it is known as the Neuroendocrine system.

Unfortunately sleep is taken for granted and initially when we need more hours to work and are stressed, had deadlines to take care of, we use to pay no attention to our sleep requirements and were happy that we only slept few hours and worked more, but at what cost? In the later years of our lives we start being deprived of good quality sleep and then we realize the importance of sleep in our lives.

  • It is very important to understand some basic points about sleep cycle before I answer to this question.

Our sleep cycle comprises of 5 stages, which repeat 3-5 times every nightcap lasting 1-2 hours with some gap between each cycle. As soon as you close your eyes your brain waves in beta pattern (low and short) which changes into alpha (high and long) here your muscles start to relax but you are still awake. And slowly you will transit into light sleep, theta waves (large irregular) stage I. now you get sleepier and enter stage II with large irregular brain waves (single complex K waves). Next you gently enter into the deep sleep with large slow delta brain waves (Stage III and IV). This phase is the pleasant phase. Later on you will enter the rapid eye movement (REM) phase which is the dream stage or stage V. with intense activity in brain short and fast waves crossing the brain it is paradoxical because the entire body becomes flaccid while the brain and eyes becomes hyperactive. This relieves you from exertion and is a very important part of the sleep cycle. Longer the REM betters the memory. With age it starts decreasing.

On average, Indians tend to get by on less than six and a half hours of sleep during the week and seven hours on weekends, often interrupted. Job stress, family stress that “not enough hours in the day feeling can all contribute to sleepless nights. But so can be the hormonal imbalances.

Particularly in women, Premenstrual syndrome, pregnancy and menopause bring with them estrogen and progesterone fluctuations that can lead to increased wakefulness at night.

Melatonin plays very important role in maintaining the sleep cycle. It induces sleep faster and rapidly transfers you into the third phase of sleep cycle which is the deep and good quality sleep throughout stage IV and V. It is secreted by the Pineal gland and controlled by the amount of light falling on the eyes. It maintains the diurnal rhythm. In contrast to the melatonin the standard sleeping pills do not produce the good quality sleep and as they lengthen the first two stages of sleep and diminish the last three stages which comprise the good quality deep sleep.

  • Growth Hormone: 

It is released from the pituitary gland more during the night as compared to day and has beneficial effect on sleep.

  • Thyroid hormone: 

Hypothyroid patients have lethargic thought process and thus the brain activity so although they feel lethargic and lazy and it seems they sleep for longer hours they are never well rested because their mind keeps wandering for longer time in the initial stages of sleep which are neither deep nor refreshing. With thyroid supplementation their transit from shallow sleep to deep sleep is faster and they stay there for longer time and feel better the next day.

  • Cortisol:

Excess cortisol because of excess stress has got a deleterious effect on the sleep pattern as it tries to keep you alert and awake. On the other hand low cortisol because of adrenal exhaustion can keep you hanging in with first two stages of sleep and although you will sleep longer you will not be fresh because you were deprived from the deep refreshing sleep.

  • Progesterone:

Progesterone possesses a sedating effect because of its interaction with GABA receptors in the brain. The effects resemble those of agonistic modulators of GABAA receptors such as benzodiazepines and correlate well with the increases in the levels of its GABAA agonistic metabolites. GABA is an amino acid that has a calming effect on the brain. The connection between GABA and progesterone explains why low levels of progesterone can lead to irritability, anxiety and even anger, while optimum levels help create feelings of calm and well-being. Clinically, women with low progesterone levels and sleep disturbance symptoms have shown improvement in sleep patterns with progesterone replacement. It is a very well known natural tranquilizer

  • Estrogen: 

Estrogen helps in maintaining good quality sleep by relieving symptoms of menopause such as hot flashes, muscle aches, and mood swings. Estrogens are also known to block one of the enzymes (monoamine oxidase - MAO) which degrade serotonin with the result of elevating mood. Estrogen replacement therapy has been shown to improve sleep quality, facilitate sleep onset, and decrease nighttime restlessness and awakenings. Another reason for the positive effect of estrogen replacement on sleep disturbance could be its ability to reduce stress reactivity. Low estrogen levels have been associated with increased heart rate and blood pressure in response to stress. Restoring estrogen to more youthful levels enables the body to respond to stressors more effectively.

  • Testosterone:

The more testosterone a man has the more deeper the sleep is. On the other hand in a sleep-deprived man the level of testosterone are found to be low and the vicious cycle starts. Clinically researches show that 60 % of testosterone deficient men complain of sleep problems. The studies have also found that nearly half the sleep apnea patients secreted abnormally low testosterone levels throughout the night

  • DHEA:

Melatonin and DHEA reciprocate during the night so that sufficient DHEA is always present to maintain function of the brainstem. As DHEA increases to maintain brainstem function at night, the increase in DHEA also activates areas other than the brainstem and this causes REM sleep, so adequate DHEA is essential for restful and deep sleep

So the solution is very simple:

  • Diagnose the deficiencies.
  • Replace with Bioidentical hormones.
  • Attain balance. 
  • Sleep beautifully.
  • I am a male 52 years old. I exercise four time a week and watch my diet but I still have body fat in my abdomen and lower back region. I do not have the strength and stamina that I had prior to hitting 50. Is there any way to regain my stamina, regain muscle tissue and possibly my sex drive? 

As you mentioned in you question that you are doing everything what is right for you and your body including diet, exercise but you are still not able to gain what you are looking for- perfect health. In this perspective I would like to mention that the male body is no different from the female body when we look into the hormonal interaction. But the major difference is low testosterone levels in other words a condition equivalent to menopause in females also known as “Andropause” in males. It comes with deficiencies’ of other endocrine hormones too but we still focus on the hypogonadism as the classical picture is what you had described in the stem of the question.

Low testosterone levels lead to decreased lean muscle mass and bone density. in addition it makes you prone for increased body at especially around the waist both outside and inside the body including your body organs intestine ,liver etc. unfortunately this further leads to decline in the testosterone levels. And the vicious cycle starts. As there is abundance of aromatase enzyme which converts available testosterone to estrogen you start accumulating more estrogen which further stays in the fat cells and keep making more and more estrogen responsible for pot belly and gynacomastia.

Not only this more collection of fat and increased body mass index decreases your capacity to do exercise and also reduces the activity with increased load on your cardiovascular system, as they have to supply more blood to oversize organs and thus you start losing stamina and feel weak. This further leads to changes in the metabolic arrangement in the body and increase insulin resistance with further accumulation of fat. 

Testosterone is not just about sex it has functions above the shoulder also, especially in the brain and it helps to maintain the cognitive functions, emotions, mood and memory. Testosterone is also important to maintain adequate red blood cell count and so low testosterone individual are having low RBC count and thus less oxygen is carried to vital organs leading to fatigue and low stamina.

Testosterone is also important to maintain the health of the vascular endothelium in the circulatory system, to maintain the blood flow and the compliance and no wonder why decreased sexual function cannot be correlated to low testosterone levels as to maintain an erection vasodilatation and complete vascular integrity of the blood vessels in corpora cavernosa ( the penile spongy musculature) is required.

Apart from the testosterone there are other hormones which play role in maintaining the overall health as mentioned above in one question that include Thyroid hormone, Growth hormone, Insulin, DHEA, Melatonin and Cortisol. It is a complex interplay of these hormones which affect your overall health and it is not advisable to just focus on one hormone. Ideally complete hormonal evaluation is necessary and identification of deficiencies’ and addressing them with Bioidentical hormone supplementation is what we recommend for complete health. But for best effect it has to be in conjunction with proper nutrition, exercise and stress reduction.

  • My gynecologist has prescribed synthetic hormonal replacement for me. I have heard about bio-identical hormones and would like to know what the difference is between the two hormonal replacements. I would like to make an educated decision as to which is best for me.

First of all I would like to say that there is no fault of your gynecologist in prescribing the synthetic hormones as that is what have been in the medical curriculum and been taught to the medical student for years and it will take lots of efforts to understand and accept the change . 

Few years ago the synthetic hormones were with full flow in the market and were considered very safe and advised with a full flow all over the world and a study was initiated to see the good effects of these medications but the results of the studies backfired and came out increased incidence of uterine and breast cancers in the women who were using them in the study so the study was halted. This raised the alarm in the society so search for better options began. 

The reasons for these side effects were explored by various researchers and are still undergoing but we understand what common sense will be. These synthetic hormones were introduced in human bodies to fulfill the deficiencies in the natural hormones existing in the body and the only possible explanation for the side effects is that they are not the same as they were intended to be they were synthetic and were hormone like substances but not true hormones. This basic difference is enough for the body to treat the synthetic hormones as foreign substance and reject it or make changes in the body cells itself to accept them and this lead to the adverse effects.

Proponents of synthetic hormones say that they are hormone like and they are very similar to the natural hormones there is a very minute change in the molecular structure just a molecule here or there. I would like to ask you that there ate two liquids in glass bottle bith looking alike one is H2O the other one is H2O2 the difference is just of one oxygen atom but can you drink both of them? I am sure that you won’t. Reason – H2O is water and H2O2 is hydrogen peroxide used for cleaning purposes the difference is just one oxygen atom. Answer is very self explanatory so now you would like to have progesterone to replace your body not medroxy-progesterone which is synthetic and not even progesterone but a progestin.

Similarly you would like to go for estrogen not ethynyl –estradiol or any other synthetic product. I would also like to clear here the confusion between natural, synthetic and Bioidentical hormones. Natural hormones are those which are found naturally in nature.

Armor thyroid is natural but belongs to the pigs and is Bioidentical for pigs not for humans. Choice is yours. Similarly Premarin is natural in one aspect as it is collected from PREgnant MAre’s urINE So it’s Bioidentical for horse and mare but not for humans. Choice is yours. Similarly synthetic estrogens are conjugated equine (horse) estrogens. Now you would think from where we get the natural hormones which are Bioidentical too. Believe me or not Mother Nature is very compassionate and takes care of us and that is why they gifted us the plants like Mexican yam from which a molecule named “Diosgenin” is extracted as a precursor molecule and modified in the labs to make bio-identical hormones exactly similar to the hormones with which we were born. This should clear the fact that eating Mexican yams or similar products do not provide you the Bioidentical hormones you need as they do not contain any hormonal property.

  • When should I start thinking about Bioidentical hormone replacement? 

This question is just like when should I start thinking about my own health? If you are concerned about your health and want a good quality of life there is no specific time or the age when you should start thinking about BIHRT. Hormonal deficiencies can be present since birth and that is one reason why test for hypothyroidism is mandatory in all newborn babies because thyroid hormone is essential for normal physical and mental development of a baby. But that area is covered by pediatrician and I would not discuss more about it. But as far as overall wellness is concerned hormones play a very important role in therapeutic as well as wellness purpose. On one hand BIHRT can be used to deal the issues related with the teenage like acne , mood swings, in 20’s for post partum depression, night sweats, infertility, in30’s bloating, PMS, Migraines, Breast tenderness, Fibroids, ovarian cyst, endometriosis, decreased attention span, weight gain, in 40’s and beyond sleep disorders, migraine, hair loss hot flashes, depression, bone loss, bloating weight gain, low libido, etc but above all BIHRT can be used under supervision at any age (excluding pediatrics ) provided there are signs and symptoms of hormone deficiency evaluated and documented with lab investigations.

When a woman stops ovulating and has not had a period for a year, she is considered menopausal. In men, hormonal decline is much more gradual. For both men and women, however, the effects of this decline do not occur in a single instant. Women and men as young as 30, may be affected by symptoms of hormonal decline. Some of these effects include low energy, low libido, slow cognitive function, decreased well-being, depression, weight gain, muscle loss, and even osteoporosis (the loss of bone mass). In addition, women may suffer from hot flashes, night sweats, vaginal dryness, and painful intercourse.

It is not necessary to start BIHRT if your physician does not recommend it or is not justified on lab and clinical evaluation. Unsupervised BIHRT or any kind of hormone replacement can be dangerous as it is all about balance.

  • How do hormone levels play a role in the aging process?

This is a very critical and most important question. Earlier it was the thought that our hormones decline because we age but now it is confirmed that we gar because our hormones decline. 

The neuro-endocrine system is a complex network of chemicals between the nervous system and the endocrine system that governs the release of our hormones and other vital bodily elements. When we are young, our hormones work together to regulate many bodily functions, including our responses to heat and cold, our life experiences and our sexual activity. Different organs release various hormones all under the governance of the hypothalamus, a walnut-sized gland located within the brain. The hypothalamus sets off various chain reactions whereby an organ releases a hormone which in turn stimulates the release of another hormone, which in turn stimulates yet another bodily response. The hypothalamus responds to the body's hormone levels as its guide to regulating hormonal activity. When we're young hormone levels tend to be high, accounting for among other things, menstruation in women and high libido in both sexes. With advanced age lower levels of hormones can have disastrous effects on our functioning. The growth hormone, testosterone, estrogen, progesterone, DHEA, melatonin and thyroid all have specific functions and activities alone and in conjunction with other hormones. The shortage of these hormones accelerate the aging process .Hormones are vital for repairing and regulating our bodily functions, and when aging causes a drop in hormone production, it causes a decline in our body's ability to repair and regulate itself as well. Moreover hormone production is highly interactive. The drop in production of any one hormone is likely to have a feedback effect on the whole mechanism, signaling other organs to release lower levels of other hormones which will cause other body parts to release lower levels of yet other hormones. Thus hormone replacement therapy, a frequent component of any anti-aging treatment, helps to reset the body's hormonal clock and so can reverse or delay the effects of aging. If our hormones are being produced at youthful levels in a very real sense the cells of our bodies are stimulated to be metabolically active and thus we stay young.

  • What are the risks of BIHRT?

As with any prescription medication, the pros and cons of using BIHRT must be carefully weighed. Studies show, however, that BIHRT in physiological doses (equivalent to what your body used to make) produce significantly fewer negative side effects than synthetic hormones. Many patients have reported no negative side effects while using BIHRT. By Transdermal application of the Bioidentical hormones the absorption is directly into the bloodstream and the patient can effectively eliminate the first-pass effect where the hormone is metabolized in liver to produce harmful metabolites. This alternative route of administration provides a more consistent and natural way to introduce medications into the body with minimal side effects if any. Although Bioidentical hormones are natural and safe but they are still hormones and need judicious monitoring which makes the involvement of the physician in the treatment necessary. Unsupervised and inaccurate dosing can cause usual side effects as with any medicine.

  • My doctor wants me to wait until I reach menopause. What is your recommendation? Why? 

Menopause is defined as a single day--12 months after your last period. Your physician's suggestion that you wait until you have passed this milestone reflects an antiquated view of a woman's transition from the premenopause to menopause. The majority of women experience their severest symptoms in the months to years leading up to this milestone. To wait for this single day would be to subject women to a year or more of unnecessary hot flushes, night sweats, mental fogginess, and bone loss. Our approach is to start addressing these symptoms as soon as they appear. They often begin a year or two before the final menstrual period, a time called the perimenopause. By so doing, we can avoid all the havoc that fluctuating hormone levels can wreak on a woman. Our approach is to smooth the transition from normal cycling through the menopause rather than to wait for a somewhat arbitrarily defined date.

  • How do I begin?
Contact our office on 713-772-7887
What does the program involve?

At AMAYA - Anti-Aging  Weight Loss & Zerona Clinic, we offer a unique, personalised, preventative medicine program for the complete rejuvenation of your health. 

Your evaluation begins with a comprehensive medical history with the help of Confidential Hormone Evaluation Questionnaire for men. and women.

This is followed by laboratory testing with which we check your blood’s cell counts, chemistry and hormone levels including the sex hormones, thyroid hormones and the ability of your body to manufacture these hormones with some very specific analysis. 

Because the laboratory testing is so broad, the final reports will be available in 5-10 days.

When we receive the final reports, we will call you and make an appointment for you to come in and have your initial consultation.

We will review lab findings with you, one on one and evaluate your medical conditions and formulate an individual treatment plan that includes stress mgt, diet, exercise, and also Bio-identical Hormone replacement Therapy and order a customized prescription to be made especially for you based on your needs.

The first prescription will be sent to the compounding pharmacy. Some of the prescriptions are crèmes and we will explain how and where to apply them. 

Your following prescriptions can be delivered to your home.

We will call you in 2 weeks to see how you are feeling and then you will return to the Center for a 4-week follow up.

  • Will you take over as my doctor?

Although we are happy to communicate with your current physician, we encourage you to continue your usual visits with him or her.

  • Can AMAYA - Anti-Aging  Weight Loss & Zerona Clinic use lab work I have already had done?

Yes. Bring along any lab work, bone density, mammograms, PAP smears or other diagnostic tests done in the past year. We do not need the actual x-rays or ultrasounds, only the report. This will help us in deciding what further tests you need to start on your way to better health and hormonal balance.

  • Is this covered by my health insurance?

This depends on your health insurance. At AMAYA - Anti-Aging  Weight Loss & Zerona Clinic, although we do not bill directly to insurance, we supply you with an invoice to submit your claim for reimbursement to your insurance company. A number of lab tests or medications may be covered by your health insurance. However, patients cannot submit these bills to Medicare or Medicaid.

  • If I decide to start on a hormone therapy program, what can I expect to pay?
The cost varies depending on each patient and their individual needs.

Currently we are offering Complimentary Bioidentical Hormone Consultation. As every one is unique and have specific requirements, some really need Bioidentical Hormone Replacement while others do not. We do not believe in one size fit all policy so we believe that not every person requires hormone replacement. We will let you know if you really need Bioidentical hormone replacement or not. 

Charges are decided on the basis of the extent of lab work required, depending on the clinical evaluation and medical history. After we discuss with you in person we design a personalized plan for you. Personalized medicine is not just personalized prescription but it is personalized clinical evaluation, personalized labs, personalized prescriptions and personalised life style modifications including Diet and nutrition.

For more details on the cost of program please feel free to call us 713-772-7887, or send mail at info@revivehormones.com . We can confidently say that we offer you the most affordable. Bioidentical Hormone Replacement Program with intensive yet necessary blood work Apart from that we are the only clinics in Houston & Katy who provide you with necessary paper work which helps you in getting reimbursement from your insurance company.

If you have any question, which we have not answered, please feel free to contact us on 713-772-7887, or EMAIL us at info@revivehormones.com

Top

Ask a question

Name:
Email:
Phone:
How did you hear about us:
What are you interested in?
ZERONA Specials
Bioidentical Hormones
Medical Weight Loss, fat burner diet
Brain Antiaging
Talk to our Specialist.
Which Location would your prefer
Message:
Enter Code:

Privacy Policy

Contact

AMAYA - Anti-aging & Weight Loss 
539 South Mason Road,
Katy, Texas - 77450
USA
Contact - 713-772-7887

 

AMAYA offers antiaging care, natural bioidentical hormone replacement therapy, medical weight loss programs, low calorie diet, stress reduction methods, nutritional evaluation and consult , skin care, yoga, personalized exercise plans and wellness medicine for men and women dealing with hormone imbalance.

Disclaimer
Privacy Policy
© 2011 Amaya Wellness Center & The Zerona Clinic.
539 South Mason Road, Katy, TX 77450 Phone: 713-772-7887