2017 HMPT LII Lesson53 MenstrualProtocols · • Estrogen – Increase or decrease as needed –...

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2015 Class Lesson Fifty-Three

“Hormone Support Protocols”

HormoneSupport-Introduc0on

•  Reproduc*vehormonesareslavestootherthingsthataregoingoninthebody.

•  Manyfactorscaninfluencehormonebalanceandexpression.

•  Paya=en*ontothecausesratherthansimplytryingto“treat”thehormones.–  TherearealotofclinicsjusttreaPngthehormonesatthemoment,whichinmyopinion,isinsanity.

HormoneSupport-Introduc0on

•  Stressbeatssex,every*me:–  Themorestressyourclientorpa*ent’sbodyisunder,thegreaterthelikelihoodofhormoneimbalances:•  HPA(adrenal)•  HPT(thyroid)•  HPG(gonadal)

HormoneSupport-Introduc0on

HormoneSupport-Introduc0on

GenuisSJ.What'souttheremakingussick?JEnvironPublicHealth.2012;605137.

Whatareourgoals?

•  Removestressors(exposures):–  Food–  Bugs–  Toxins(EDCs,PCBs,heavymetals,glyphosate,etc.)

•  IncludesexcessiveexposuretoEMFsinsomepeople

•  Removestressors(replacedeficiencies):–  Macronutrients(incl.fluids)–  Vitamins–  Minerals–  Bugs/microbiome

•  Sleep•  Sunlight•  Movement•  Breathing

Whatareourgoals?

•  CannormalisehormonesbyaddressingtheSeeSaw–  Butsomewillneedspecificworkontheendocrinesystem:

•  Insulin•  Thyroid•  Cor*sol•  DHEA•  Melatonin•  Progesterone•  Estrogen•  Testosterone

Myexperience

•  I’veseen:– Menstrualcrampsclearupjustbyremovinggluten–  Sexdriveinmenreturnbygebngthemoffsoyandotherestrogenicfoods

– MoodswingsinPMSdisappearbygebngbloodsugarbackintobalance

–  Painful,lumpybreastsimprovesignificantlybyremovingestrogenicfoods

Basics,basics,basics!

•  Sothebasicsareasfollows:–  Removebadfoods–  Eatgoodfoods–  Considerbloodsugarandinsulin(everythingis*edtothis)– Minimisetoxinexposureinfoodandenvironment–  Removebadbugsandcorrectdiges*on–  Up-regulatetoxinremovalandhormoneclearance

•  Allthethingsyouhavelearnedtodosofar

Makeclientswork–getaccountability

•  Look,it’sEASYtomedicatepeoplewithhormones•  ButtheSeesawMUSTberebalancedifyou’relookingforlongtermsuccess

•  Plus,usinghormonescanbedangerous(andillegal)

–  Let’slookathowhormonescanbesupported…

Adrenalconsidera0ons

•  Adrenalsupportcanreallymakeabigdifferenceinhelpingtobringsexhormonesbackintobalance.

•  It’seasytoseewhywhenweconsiderthatthesteroidhormonecascadeisprimarilytakingplaceintheadrenals.–  Coreconsidera*ons:

•  Bloodsugar•  Circadianrhythm•  Inflamma*onreduc*on•  Adequatethyroidhormones•  Adequatecofactors

Thyroidconsidera0ons

•  Suppor*ngthethyroidandbringingfunc*onbackupintoahealthyrangeisalsoveryimportant:–  Coreconsidera*ons:

•  Bloodsugar•  Circadianrhythm•  Inflamma*onreduc*on•  Adequatethyroidhormones•  Adequatecofactors•  Considerautoimmuneissues

Sexhormonebalancingconsidera0ons

•  Estrogen–  Increaseordecreaseasneeded–  Improvereceptorfunc*on–  Ensuresafemetabolism

•  Progesterone–  Increaseordecreaseasneeded–  Improvereceptorfunc*on

•  Testosterone–  Increaseordecreaseasneeded–  Improvereceptorfunc*on

Hormonesupport–menstrualcycle

•  Youwillgenerallyseetwomainsymptompa=ernswithmenstrua*on:–  Symptomsinthefollicularphase•  Okenduetolowestrogen

–  Symptomsinthelutealphase•  Lowrestrogen,progesteroneortestosterone,orhightestosterone,orrestrogendominance

–  Symptomsinbothphases•  Lowestrogen,progesteroneortestosterone,orhightestosterone,orestrogendominance

HormoneSupport–MenstrualCycle

•  First,youneedtoknowwhattheimbalancesare•  Someofthemwillimproveorresolvejustbyaddressingseesaw

•  Somemayneedaddi*onaltweaking

Hormonesupport–menstrualcycle

•  Nolabwork:–  Conductathoroughhealthhistoryandsymptomcheck–  Considermonthlysymptomtrackerandtemperaturechart–  Evaluatedietandlifestyle(foodjournal,sleep,etc.)–  Checkcontracep*veusehistory,hysterectomy–  Addi*onalques*oninginini*alconsulta*on

•  Checksymptomonsetdetail/create*meline

–  UseDr.Collins’MTQ–  Evaluateclientresponsesusingsummarychart–  U*lisespecificherbalprotocols

Hormonesupport–menstrualcycle

•  Usingtheini*alassessment,quizandreferencecharts,youcanquicklygainagoodunderstandingofyourclient/pa*ent’ssymptomsandlikelyhormoneimbalances.

•  AlsomonitorbodytemperatureandwakingpulseasperthethyroidlessonsinModule5.

Menstrualcycle–supportop0ons

•  Toreiterate,adrenalandthyroidsupport,usedappropriately,canbeveryeffec*ve

•  Bloodsugarsupportthroughnutri*onandsupplementa*onarealsocri*cal

–  Note:Idon’tuseDr.Collins’ThyroMendproductasitcontainsiodine.

ItypicallyusetheApexEnerge*csproducts(Thyro-CNVinpar*cular)

Menstrualcycle–supportop0ons

•  AccordingtoUzziReiss(andJosephCollins),PMSsymptomshavethreecomponents:–  Subjec*vesignsofestrogendeficiency–  Subjec*vesignsofprogesteronedeficiency/Edominance–  Subjec*vesignsofincreasedtestosterone/androgens

Menstrualcycle–supportop0ons

•  Subjec*vesignsofestrogendeficiency:–  Flat,uninspired,depressed,andexperiencepanic,moodswings,insomnia,memoryloss,andmigraine.

–  Thecloseryougettothestartofyourperiod,theworsethesesymptomsbecome.

Menstrualcycle–supportop0ons

•  Subjec*vesignsofprogesteronedeficiency:–  Youexperiencewaterreten*on,breastandnipplepain,anxiousness,poorsleepandagita*on.

–  Thecloseryougettothestartofyourperiod,theworsethesesymptomsbecome.

Menstrualcycle–supportop0ons

•  Subjec*vesignsofincreasedtestosterone:–  Aggressivebehaviour,impa*ence,short-temperedness,developmentofacne,andoilyskin.

–  Thecloseryougettothestartofyourperiod,theworsethesesymptomsmaybecome.

Menstrualcycle–supportop0ons

•  Aswiththethyroidandadrenals,wehaveanumberoftherapeu*cop*ons:–  Nutrients–  Botanicals–  Glandulars–  Hormonereplacement

•  Synthe*c(medical)•  “Natural”

Menstrualcycle–supportop0ons

h=ps://clinicalgate.com/adrenal-exhaus*on/

MenstrualCycle–SupportOp0ons

•  BotanicalsforP,E,andTmetabolismaremanifold.•  Seethefollowinglinks(Dr.Collins):

–  h=p://www.yourhormones.com/phytocrine/index.html–  h=p://www.estromend.com/science/index.html–  h=p://www.yourhormones.com/progestomend/index.html–  h=p://www.testogain.com/–  h=p://www.yourhormones.com/testoquench_for_women/index.html

Botanicals–estrogenproblems

•  EstroMend

Botanicals–progesteroneproblems

•  ProgestoMend

Botanicals–testosteroneproblems(low)

•  TestoGain

•  Note,therearespecificMaleandFemaleformula*onsforthisproduct.

Botanicals–testosteroneproblems(high)

•  TestoQuench

Someotherop0ons

•  Progestaid(K-4)–ApexEnerge*cs–  Supportsprogesterone

•  Estrovite(K-5)–ApexEnerge*cs–  Supportsestrogen

•  TestanexCream–ApexEnerge*cs–  Supportstestosterone

•  PMSSupport–VitalNutrients–  Supportsprogesteronemainly

•  FemRebalance-Vitanica•  FemGuardBalance–DesignsForHealth

–  Generalsupport

Foodstominimise-estrogendominance

h=p://www.totalityoseing.com/FramelessPages/Ar*cles/estrogeninfoods.html

ADDHORMONETREATEDMEATSTOTHISLIST,ANDALLPUFA

Foodstominimise–estrogendominance

Foodstominimise–estrogendominance

MinimisingEDCexposure

•  Pes*cides&herbicides(e.g.glyphosate)–  Eatorganicwherepossible;washfoodthoroughly

•  Plas*cs–  Keepfoodinglasscontainers;buyinpaperwrap

•  Personalcareproducts•  Cosme*cs•  Airfresheners

–  Removethem;keepwindowsopenwherepossible•  Detergents•  Carpetcleaners,etc.•  Varnish,paint

Ensuringop0malestrogenmetabolism

•  Minimisephytoestrogens,EDCexposure(incl.skin)•  Carrotsalad(RayPeat)•  Restoremicrobiome(b-glucuronidase)

–  CalciumD-glucaratemayassist•  Glutathionepromoters

–  NAC,glycine,lipoicacid,B6/P5P,B2,Se,Zn•  DIM–diindolemethane•  Berries•  Grapefruitandcitruspeel•  Flaxseeds

DIM

•  S*mulates2hydroxyla*on(neutral/goodestrogenpathway)viaCYP1A1

•  Reduceexpressionof16hydroxyla*on(poten*allybad)throughinhibi*ngCYP3a4.

•  Reduceintes*nalinflamma*on•  Mildlyinhibitaromatase•  ReduceDNAhypermethyla*onofCpGislands(hallmarkfeatureofcancerac*vity)

•  EnhanceDNArepairmechanisms

DIM

Berries

•  Blackberries,raspberries,grapes,blueberries)•  Richsourceofpolyphenols,includingellagicacid–  EllagicacidpromotesglutathionetransferaseaswellasNQO1(quinonereductase)

–  Importantindetoxifica*onof3,4semi-quinones.–  ShowntoincreaseDNArepairgenes,aswellasreduceDNAadductsthathavebeenformedbycarcinogens

Grapefruitandcitruspeel

•  Sourcesofhesperidin(esp.driedtangerinepeel)–  Grapefruitisnotoriousforinhibi*ngCYP3a4–  HesperidinathighdosesinhibitsCYP1B1andalsoCYP3a4.–  Anassortmentofstudiesonhesperidinhavefoundanoverallincreaseinbloodflowandcircula*on,reduc*oninbloodpressure,andreduc*oninsymptomsofcelladhesionfactors

Flaxseeds

•  FlaxseedspromoteCYP1A1andinhibitCYP1B1:–  Thus,flaxseedsarepromotersof2hydroxyla*on–  Inhibitorsof4hydroxyla*on–  InhibitCYP3a4andreducetheexcre*onof16OHE1,anotherpoten*allyproblema*cestrogen•  ControversialduetoPUFAcontent–maybeokshortterm

Generalliveranddetoxsupport

•  Organicfood•  Removebadbugs•  Healleakygut–  Supplements:

•  SupportLiver–Biomatrix•  HepatoSynergy–ApexEnerge*cs

•  HepatoDetoxSelect–Moss

•  NAC,glutathione,etc.

Summary

•  Basics,basics,basics–badstuffandgoodstuff:–  Diet,organic/washfoodwell,carrotsalad–  Sleep/circadian,lightexposure,reduceEDCexposure–  Removebadbugs,healgut,supportliver–  Ensurecons*pa*onisresolved,andb-glucuronidase–  Considerthyroidandadrenals(HPT/HPAaxes)

•  Maybeallthat’sneeded

Summary

•  Takeexcep*onalcasehistoryUseMTQ–  Employhormone-balancingsupplementsappropriately

•  EstroMend•  ProgestoMend•  TestoQuench(Women)•  TestoGain

•  Ifestrogenmetabolismneedsop*mising•  Phenolrichdiet–berries,citruspeel•  DIM•  Flaxseeds(shortterm)•  CalciumD-glucarate•  Glutathionesupport

Thankyou!

•  Thanksforconsumingthisinforma*on.Inthenextlessonwe’lllookatstrategiesforaddressingPCOS,asit’saslightlydifferentanimal.We’llthenmoveontomenopause,andfinally,men(includinghormonereplacementstrategies).