Week6:AdvancedHormonalTreatments-BHRT

Dr.AfrouzDemeri,ND,DHMHS,IFMCP

Outline

Adrenal Thyroid FemaleSex Testosterone Glucose

•  FlatLined•  HighCortisolAM•  HighCortisolPM•  ReversedCurve

•  HighTSH•  LowFreeT4,T3•  Bottom1/3freeT3•  PoorT4àT3

Conversion•  IodineDeficient•  Hashimoto’s•  LowMetabolized

cortisol•  HighMetabolized

Cortisol

•  LowProgesterone•  LowEstrogen•  Low2-OH

protectiveestrogen•  Testosterone•  DHEA•  Natural:Maca,

Phytoestrogens•  BHRT:estrogengel,

patch,cream•  Duave

•  DHEA•  Herbs:Tribulus,

HornyGoat•  Bio-identical

cream/gel

•  Insulin•  Bloodsugar•  InsulinResistant•  Tx:Chromium,

Vanadium,Berberine,BitterMelon

•  Rx:Metformin

FoodsthatIncreaseDetoxification

Outline

Adrenal Thyroid FemaleSex Testosterone Glucose

•  FlatLined–MUSTADDRESSTHISBEFOREADDRESSINGANYTHINGELSE.

•  HighCortisolAM•  HighCortisolPM•  ReversedCurve

Outline

Adrenal Thyroid FemaleSex Testosterone Glucose

•  HighTSH–Meansyoudon’thaveenoughthyroidhormone•  LowFreeT4,T3–Hypothyroid,MayNeedNDTeg.NPThyroid•  Bottom1/3freeT3–Don’thaveenoughactivethyroidhormone•  PoorT4àT3Conversion,NeedZn,Selenium,VitaminA,Exercise

•  IodineDeficient–ifyoudonothaveHashimoto’s,takeIodine•  Hashimoto’sThyroiditis–HighTPO•  LowMetabolizedcortisol–Sluggishthyroidorliver•  HighMetabolizedCortisol–Highthyroidfunction

Outline

Adrenal Thyroid FemaleSex Testosterone Glucose

•  LowProgesterone-Progest-avail,Chastetree,Prometrium•  LowEstrogen•  Low2-OHprotectiveestrogen•  Testosterone•  DHEA•  Natural:Maca,Phytoestrogens•  BHRT:estrogengel,patch,cream–nooralestrogen!•  Duave,Vivelle-dot,Mini-vell,Estradiolpatch,Bi-estcreamcompoundedatpharmacybyyourdoctor

Outline

Adrenal Thyroid FemaleSex Testosterone Glucose

•  Insulin•  Bloodsugar•  InsulinResistant•  Tx:Chromium,Vanadium,Berberine,BitterMelon•  Rx:Metformin/Glucophage

Othernutrientsmostneeding

Magnesium Omega3's

VitaminD3/K2 B1-B12 Enzymes

Maintenance

•  Rebounding5mineverymorning

•  Meditation,Sweating•  80/20rule•  EatOrganic•  Storeonlyinglass•  Growownfood•  Sauna,Massage,Hydrotherapy

•  DrySkinBrushing

Maintenance

•  Eatoneliverlovingfoodadayatleast

•  AppleciderVinegar•  Wheatgrassjuice•  LiverDetoxShakes•  PurifyAir•  PurifyWater•  Fast•  Sleepearly