Category Archives: Bioidentical Hormones

Belly Flat to FAT…Blame it on your hormones!

Got Menopause, Perimenopause and BELLY FAT that won’t budge despite your best efforts?

I just turned 65 last month and let me tell you…it has been WONDERFUL! Why because despite my Michelle-less upper arms, I feel good, have energy to go, and can sleep at night….my hot flashes are pretty much gone, my skin is still mostly sticking vs. sagging, and I owe my generally even moods and middling to good memory to bioidentical hormones, a health aware diet, herbs, vitamins and cultivating stillness at some point in my day….now if only I can get rid of this belly fat, all of it, for good… Obviously I’m a work in progress, finding balance being my every day goal…and I’m getting somewhere…. if I want to keep on feeling and looking good for my age vs. feeling my age whatever my age, , than I’ve got my work cut out for me …and speaking of cutting out…the wine, white flour carbs and late night snacks were the first to go (that is, AFTER thoroughly indulging myself birthday night on the incomparable macaroon dessert at Cocotte in SE Portland) in my  ongoing quest for upper arms that won’t swing when I do on the dance floor 2 weeks from now at my daughters wedding (!!) Image

To that end I’ve been doing some serious strength training in this, my sixieme decade, and getting stronger for sure, in my core and round the biceps, AND burning off some of that belly….speaking of burning  vs. storing  – fat’s favorite place to pile on in the presence of elevated stress hormones is in the abdomen – a process dramatically hastened by imbalances of estrogen, progesterone, testosterone, DHEA, and thyroid hormones,the key  players in regulating whether you gain, or lose, or gawd forbid (but it happens all the time!)gain it all back and then some!  In fact stress hormones actually signal your body to hang on to stored fat – for dear life – its a stress response, a survival mechanism…so if you simply cannot shed pounds or always tend to gain back more weight than you lost, no matter how little you eat, or how much you exercise, you are one of us! That is before we found out that we were being hardwired by our hormones….by hidden hormone imbalances programming us to overeat, overcaffeinate, overbook, give in to sugar cravings, and give up on ever shedding those 10 (20, 30..) perimenopause pounds (i.e. STOP the roller coaster, I want to get off! ) If this sounds like your life story at the moment, I have to ask…Have you tested your hormones lately? If not, allow me to convince you that hormones are the missing link to weight loss. I’ll tell you more in part 2 of this piece….Stay tuned!

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by | August 10, 2013 · 3:58 am

Newsflash! PMS is Real! See Kyle’s TV interview about Hormones and Depression!

Good morning from Portland! I’m Anne, Menopausibilities’ “Blogmother”, with a link to Kyle’s interview with KOIN 6 News on the link between hormones and depression.

http://www.koinlocal6.com/news/local/story/Pearl-Womens-Center-knows-PMS-is-real/iwaDpTdw-kCiQSc5MsxNkw.cspx

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by | March 21, 2013 · 5:50 pm

Day 5 of our ‘consciousness cleanse’: almost halfway there!

Checking in with all of you who have joined us on this 10 day mini-journey towards optimal eating and drinking: how is it going so far? I am sure it has had some challenges along the way, as breaking old habits can be really hard. I love to sit down with a lovely full-bodied glass of red wine after a long day at work so during these last few days, I learned to shift and focus instead on the incredible variety of teas I could brew up and savor.
For others, I have heard that cutting out sugar was the most difficult and required some pretty strong ‘won’t power’. Caffeine for some was the most challenging so perhaps not something to be eliminated this time…or maybe this is a time to simply cut down on the daily dose. Remember, this cleanse is for you and you need to make it work for your life and routine.
All in all, I have loved how I have felt each day: I have noticed that my sleep has been deep, restful and free of night sweats. Although I have been on BHRT for almost 12 years and usually symptom-free, after several glasses of wine in the evening, I often toss and turn and wake up throughout the night with mild night sweats(alcohol consumption is definitely linked to increased hot flashes and night sweats, so that is something you should be aware of). I have awakened each morning with an abundance of energy and mental clarity and I have found that I am not getting drowsy soon after lunch. You may remember that I am one of those ‘nuts’ who awaken at 4:30 weekdays so that I can get my workout in before heading off to work. Often a post- lunch siesta sounds very tempting. These past few days I have not felt the urge to crawl up into a little ball and catch a few zzzz’s after lunch so that has been a noticeable change for me.

I have also enjoyed the renewed focus on the foods I have been buying and preparing for my meals. On day one, I made a spicy and hearty pumpkin soup as well as a loaf of whole grain bread, served alongside a fresh green salad. I was inspired to make pumpkin soup in the spirit of Halloween and also because I know how many health benefits pumpkin has:  it is low in fat and calories , high in fiber(important to lower blood glucose and cholesterol, as well as important for smooth digestion), high in carotenes(anti-oxidants), which are crucial for our vision and our skin, plus it has critical nutrients such as vitamins C and E, and the minerals magnesium , potassium and iron. Often we add health-promoting spices to pumpkin recipes such as cinnamon , curry and cumin, which will further enhance pumpkin’s benefits.

Day one: Sunday dinner: yummy nutrient-full pumpkin soup and hearty organic whole grain bread plus green salad

The bread recipe came from Mark Bittman’s Food Matters Cookbook. It was so simple that it inspired me to make bread, something I did all the time years ago. It took me less than 3 minutes to toss the ingredients together. Next I let the dough rise for 2 hours, added some cooked millet, formed the loaf, let it rise again and cooked it for 40 minutes. There is nothing like a the fragrance and taste of a freshly baked loaf of whole grain bread to complete the meal…and it cost less than a dollar to make. In addition,  I was confident that the ingredients were organic as well as rich in nutrients.

As I have shared with you before, women come to me with a litany of complaints, frustrations and symptoms that are related to hormonal imbalance.  After testing has been reviewed and I have created a comprehensive ‘personal balance plan’, I always remind them that lifestyle changes are also a critical component in achieving and maintaining hormonal and health balance. That is why taking the time to pay attention to how you nourish your body each day is so pivotal to your overall health. The effects are longlasting and far-reaching. As my friend Molly said to me, we are on the 90 year plan so we have to realize that what we put into our body today has an incredible effect on our longevity as well as the quality of our life.

Hormonal balance depends on the entire package: testing, treating with appropriate hormones and supplements, eating nutritiously, regular exercise, stress management, maintaining nourishing relationships, pursuing the things that you love, spiritual practice  and the support of your personal village. 

I am looking forward to your comments on how you are doing. Let me know if you would like me to share the recipes I used for pumpkin soup and whole grain bread and I will post them on the blog.

Congratulations for making it this far and for keeping me company. Thank you.

A moment of balance , halfway up Saddle Mountain in the Oregon Coastal Range

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Filed under Bioidentical Hormones, Essentials, Hormone Imbalance, Hormone Replacement Therapy, Kyle Bell McAvoy, Menopause Symptoms, Whole Eating, Women's Health & Happiness, Women's Work/Life Balance

Jane Fonda: TED talk on “The Third Act”

Greetings from the road(again!)

I am currently traveling with family along the east coast which has been a blast, filled with daytime activities(tour of Boston, playing tennis, long walks through New England towns) and late night talks. Last night I had the fortune to see ‘the Boss’, none other than Bruce Springsteen himself, excite and entertain the crowd of multi-generational music fans …backed by the ‘Green Monster’ at Fenway Park. We danced and sang and laughed….hard to believe I started listening to him in my early 20’s and here I am on the eve of turning 60. Wow, is all I can say about that.

Fortunately I am blessed with a healthy body and plenty of energy to face MY third act. Much of that I attribute to paying attention to what I eat, staying physically active, keeping my hormones balanced( I have been on BHRT for 12 years myself, which has been an essential factor in the quality of my life), a strong network of family and friends, as well as doing work that I am passionate about. However, like many women(and men!) who are in the ‘midlife’, I am starting to think about how I will live and contribute during the next phase or phases of my life.  Several months ago, a friend of mine shared this video on TED with me by Jane Fonda and I am moved to share it with all of you. It is a powerful reflection on what all of us are facing as we think about the road ahead.

How many of us grew up watching Jane in her infamous striped leg warmers, encouraging us to ‘feel the burn’? Now she is encouraging us to dip deep and think about what we want this next phase of our lives to look like: not to just go through the motions, but to realize we have a lot of valuable things to contribute and to experience. In this talk, she challenges each of us to live energetically and consciously. I hope you find as much inspiration as I did in listening to her.

Please share your thoughts with us in our comment section as we love to hear from you.

Wishing you balance in your life.

Kyle

 

 

 

 

Jane Fonda takes us through her views on the next and potentially wonderful phase of life

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by | August 15, 2012 · 12:41 pm

How the WHI turned things on its head and we have come a long way baby!! Happy 2012

It is hard to believe that 10 years ago this July, the first reports from the WHI(Women’s Health Initiative) first hit the press and caused a major upheaval in our country in terms of how we viewed hormone treatment for women.  Headlines appeared in all of the major newspapers, soundbites aired on TV and radio shows, all echoing the same information:  based on this study(despite conflicting evidence from dozens of studies prior to this one), it was felt that hormone replacement therapy was no longer something that should routinely be prescribed to postmenopausal women due to the increased risks of breast cancer and cardiovascular complications.

The release of this information was a veritable nightmare for clinicians like myself who have worked with women for years trying to find the safest and most effective treatment options to deal with the challenges of perimenopause and beyond. Suddenly everything we had trusted was brought into question and the reaction was loud, contentious and confusing. We were advised by our various medical organizations(such as NAMS:North American Menopause Society; ACOG: American College of OB/Gyn, AMA: American Medical Society, and so on) to get women off of HRT(hormone replacement therapy) and advise them of their risks.

I have been a Nurse Practitioner since 1988 and I can honestly say, this was a pivotal moment in my evolution as a clinician. I felt as though I was between a rock and a hard place. How do I honor the “wisdom of the powers that be” yet take excellent care of the women who trusted me to provide them with accurate, up-to-date health information and help them find relief for their innumerable symptoms of hormonal imbalance? This was not an easy task but in many ways, I am thankful for the stir caused by this study as it forced many clinicians like myself to take a hard look at the information coming to us from these large scale, big Pharma-financed studies. It was time for a seismic shift for me, that’s for sure.

I have always been more holistic in my approach towards health care than what I learned in my allopathic undergraduate and graduate programs.  I had long developed a mistrust from some of the “studies” and abstracts given to me by pharmaceutical reps and this new turn of events just confirmed for me the need for ME to sort through the information myself, to resist believing the latest “headline du jour”. And I was in a perfect position to change my approach to taking care of women approaching menopause.

Thankfully one of my patients at the time told me about a special that had aired on public television highlighting “Bio-identical Hormones”, something I had heard of but honestly, didn’t know much about. I sought out a local compounding pharmacist, Alison Johnston and asked her to teach me. Not only did she mentor me and turn me on to a whole new world of compounding, but she sponsored me to go to a conference put on by PCCA(Professional Compounding Corporation of America). This is where I learned about the value of saliva testing, met the wonderful folks of ZRT lab and from that point on , I knew I had found what I was looking for: a safe, non-invasive, accurate, comprehensive way to test actual hormone levels.

My next challenge was to learn to interpret these levels and then how to prescribe BHRT in PHYSIOLOGIC doses to help alleviate symptoms of hormone imbalance and provide the many benefits of hormone treatment(see our previous blog posts on this). I had no local providers to ask….I was completely on my own and sometimes it was a scary place. But I knew there was no turning back. I had the support of my local pharmacists and the providers and staff at ZRT lab. I continued to go to any conference I could find on the topic, I read countless books and articles and soon I was treating hundreds, then thousands of women.  Not just treating them but helping them regain balance, hope and quality of life. I will soon be sharing some of their testimonials with you all in future blogposts.

So that’s the story of how I became so passionate about saliva testing and BHRT. I see thousands of women every year and I get such joy out of partnering with my patients. So many of them are like some of the people who have commented on our blog: at their wit’s end. Help is just around the corner ladies. Stay tuned and we will continue to provide you with the information and optimism that you need to get on your own road back to balance.

Oh, and by the way, patience really is a virtue. After 10 years of arguing back and forth about whether hormones are safe for women, just this week a statement was issued by NAMS and supported by 15 major medical organizations that now states that hormone replacement therapy should be offered to women.  AMEN!!! Remember, we support the use of BHRT… but this is such a sweet victory for women and those who care for them. Here is the link to the article:

NAMS statement

One last thing in closing. Today is Candace’s birthday so wishing my dear friend and colleague a wonderful celebration of life and a toast to many decades of happiness and balanced living to come!

With love,

Kyle

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Filed under Bioidentical Hormones, Hormone Imbalance, Hormone Replacement Therapy, Kyle Bell McAvoy, Menopause Symptoms, Women's Health & Happiness, Women's Work/Life Balance

Live discussion on hormone balance, testing and treatment options

Last year I did a televised interview at our local radio station, KINK.fm. The moderator asked me questions about hormone imbalance, hormone testing and possible treatments. I have had quite a few patients comment on how helpful it was to hear this interview so I would like to share it with all of you. Just click on the link and then scroll down to my photo and hit the play button I hope you enjoy it and would love to answer any questions you might have. Let me know what you think!

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Filed under Bioidentical Hormones, Hormone Imbalance, Hormone Replacement Therapy, Kyle Bell McAvoy, Menopause Symptoms, Women's Health & Happiness, Women's Work/Life Balance

The Provider’s Perspective on First Person Story

We are very excited to have a real live person for our readers to follow as she sorts through the maze of information and tries to make the best choice for herself in her quest towards wellness and balance(which are actually synonymous!). Her story is one of many that Candace and I have heard throughout the years and hopefully will resonate with quite a few of you. Sadly, I hear over and over again how alone women feel when they start to experience some of the myriad of symptoms that can be caused by the waxing and waning of hormone levels.
Just this week I saw a 43 year old woman who has a friend she is concerned about : thinks she may be going through perimenopause but is afraid to talk about it and has no ideas of how to proceed.
I remember that it wasn’t so long ago that we didn’t even mention the word “breast” in public , yet now there are numerous events dedicated towards raising money for breast cancer. For women who are pregnant, there are prepared childbirth classes, books and endless information available from all sorts of sources; not so for my mother’s generation, so ‘we have come a long way, baby’.

Mind/body balance: part of the equation for all of us

Not far enough though for women struggling with perimenopausal or menopausal issues or even those who suffer with terrible symptoms of PMS early on. This was the main motivation for us to launch this blog, to create a safe, fun, informative and interactive place for women to come to in order to pose questions and find answers. Our blog will continue to morph and mature over time as you will see. This new feature, the ‘First Person Story’ , will grow over the months into a complete narrative tracing this individual’s thoughts, actions and responses to our recommendations.

We are currently waiting for the saliva test results to arrive. Once they do, Candace and I will post our recommendations(and many of those will be very similar, by the way; the main differences will have more to do with my ability to prescribe actual bio-identical hormones. The other differences will be how we each interpret her results and where we think the focus should be: and this will change over time as well, as it should. )
Then our first person will make some choices and we will periodically be checking in with her to see how she is progressing(or not) and make adjustments to her plans as needed.

Stay tuned! And don’t forget to jump in any time with questions you might have as well.  Remember you are not alone in feeling the way you do and there are many possibilities awaiting you…..menopausibilities indeed.

 

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Filed under Bioidentical Hormones, First Person, Hormone Imbalance, Kyle Bell McAvoy, Women's Health & Happiness