Tag Archives: Perimenopause

We’re back!!!!

You probably noticed that Candace and I took the summer off from blogging…..but not much else, as summer in the beautiful Pacific NW beckons all of us to spend as much time as we can outside:  hiking, biking, playing golf/tennis/hooky, gardening, dreaming, reading, barbecuing , walking on the beach, rafting, canoeing, SUPing, and just plain relaxing. So that is what we have been doing the past 3 months which means we have walked our walk of trying to live lives of balance.

My daily walk with Riley, our amazing English lab

My daily walk with Riley, our amazing English lab

Fall always brings to me a feeling of new beginnings, of new commitments and of renewed energy. The daylight hours grow shorter each day, bringing us closer to the hearth, the kitchen and to indoor activities. We are excited to share some of our observations about the seasons of our lives, so stay tuned during the next few months for our musings on hormone balance, optimal living and growing through the various stages of our lives with grace and gratitude.

Fall in the wine country: c'est magnifique…...

Fall in the wine country: c’est magnifique……

In September, we recorded a webinar for ZRT laboratory, based here in the Portland area: “What you always wanted to know about menopause…..but were afraid to ask”. We used a conversational format which we think you will really enjoy, as it keeps the information accessible and relevant. Click on this link to listen in:

http://www.zrtlab.com/webinars/everything-you-ever-wanted-to-know-about-menopause-but-were-afraid-to-ask

Don’t ‘suffer in silence’ ……if you are going through the many upheavals and changes of perimenopause and beyond, you are definitely NOT alone…and help is only a click away. Join in our conversation and learn how you can gracefully transition through hormonal changes. The conversation is back ….and so are we. So glad you could join us.

Balance is attainable : learn what YOU can do to sustain it in your life

Balance is attainable : learn what YOU can do to sustain it in your life

 

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Hormone Hijack! Women and Weight Loss – Free Webinar – Tomorrow morning – Sign up right now – below…

Weight Loss Winners

If you’ve spent another January battling with your new diet regime only to find your resolve, rather than your weight, deflated you may be experiencing a hormone hijack.In tomorrow morning’s webinar, Dr. Alyssa Burns-Hill, PhD, will help you identify your trouble spots. She will share practical advice about how you can override your hormone saboteurs for an immediate sense of success that can aid weight loss as well as long term weight management – for men and women alike. You will learn:

  • How your willpower can be so easily challenged
  • How your mood can be changed by what you eat
  • How going to the gym might be making things worse
  • How stress and lack of sleep can sabotage your best intentions
  • Why your metabolism may have slowed, making weight loss an almost impossible dream

Date: February 27, 2014 at 11am PT
Presented by: Dr. Alyssa Burns-Hill

alyssa cropped
Dr. Alyssa Burns-Hill, PhD, MSc, FRSPH, MIHPE has clinics in London and the Channel Islands, as well as an international virtual clinic where she helps people overcome imbalance problems naturally. Alyssa’s patients find that stubborn weight, and weight that has changed their shape, effortlessly falls away as a result of learning some key facts about their hormone health.

Mark the time! Tomorrow at 11am free webinar presented by an expert on the subject who lives in Britain and just wrote a book on the very subject …you will love learning tomorrow, not to mention listening to Dr. Alyssa Burns- Hill’s lovely as can be British accent! Here is the link to register now: http://www.zrtlab.com/weight-loss-winners

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Hormones: The Hidden Truth About Weight Gain

What’s the hormone weight gain connection?

 Well, for starters hormones are f-u-n-d-a-m-e-n-t-a-l when it comes to women and weight, key players in regulating how many pounds we put on and where, our rate of metabolism, blood sugar, insulin, AND whether or not the body decides to burn fat or store it.  Thus it can be notoriously difficult to maintain a normal healthy ideal weight if an undetected hormone imbalance is silently sabotaging your best efforts to stay slim.

 As we age, shifting hormone levels trigger imbalances that cause numerous symptoms, chief among them increased fat deposition in the hips, thighs, bottom and belly ( the kind that won’t budge no matter how many crunches we kill ourselves doing), not to mention sugar cravings and/or a raging appetite that induce one to overeat of all the wrong foods leading inevitably to weight gain in all the wrong places. Maddening! So it is no coincidence that the highest prevalence of obesity (as reported by the Centers for Disease Control) is found among midlife men and women over 40, those folks in the very throes of the hormonal woes.

 The Typical Symptom Picture

Women in  perimenopause, (the transitional years starting in our late 30s, early 4Os that end with the end of  periods at menopause)  are the first to notice the encroachment of surplus adipose  and may be WAY frustrated that they can’t shed pounds as easily as they used to. These are the women who simply can’t abide the stubborn belly fat they never had before and will do just about anything to get rid of it. Trouble is doing anything and everything if it does not include detecting and correcting a hidden hormone imbalance will ultimately prove fruitless. These are the women who say that since they hit menopause they can put on pounds just looking at a sweet roll.

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 Men over 40 whose hormones are downsizing as they move into andropause (a.ka. the male menopause) may notice a drop in strength stamina and the slow slide of ‘six-pack abs’ into an abdominal ‘spare tire’ of fat.

 Younger women and adolescents, particularly those whose dietary and sleeping habits are seriously lacking, are also  at risk for hormone imbalances that encourage excess weight gain or obesity. The CDC tells us that obesity rates among teens and adolescents are also at epidemic levels.

 Can’t Lose Weight? Blame it on your Hormones!

 Do the following symptoms sound familiar?

  • weight gain in hips, thighs, breast (known as gynecomastia in men)
  • belly fat
  • water retention or bloating
  • premenstrual weight gain
  • PCOS (polycystic ovarian syndrome)
  • increased appetite/hunger/a sense of never feeling full
  • sugar cravings
  • decreasing lean muscle being replaced by increased body fat
  •  low thyroid symptoms: can’t lose weight, stalled weight loss, sluggish metabolism,
  • tend to regain weight once lost (sometimes more)
  • can’t get to sleep/stay asleep

 Got two or more (troubling or persistent) symptoms? These are hallmarks of weight linked hormone imbalances that could be thwarting your ability to lose weight, and/or control your weight over time. There is no better approach to avoiding serious obesity-related diseases such as Type2 diabetes, cardiovascular disease and breast cancer, than maintaining a healthy weight.

 The Missing Link: Hormone Testing

 Attempting to maintain a healthy weight without taking hormone levels into account, is like starting a weight loss program without ever stepping on a scale or measuring your waist line. Sidebar: for the average women, a waist circumference over 35″  (in men, over 40″) is an important marker of insulin resistance* /metabolic syndrome**  harbingers of Type 2 diabetes.

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*when muscle cells become desensitized to the actions of insulin they shut down and resist taking up glucose for energy and calorie burning. So what happens instead is that sugar is shunted into fat, particularly around the waist! Mon dieu!!
**that cluster of metabolic mishaps that include: high blood pressure, high Triglycerides, low HDL,  insulin resistance, and abdominal obesity as the primary determining factors.

Your Best Efforts to Control Your Weight  can be derailed by undetected imbalances of:

Estrogen

-Progesterone

-Testosterone

-DHEAs

-Cortisol

-Vitamin D

-Thyroid hormones

-Insulin

Eating whole, hormone- free foods, exercising, reducing stress and exposure to environmental toxins, getting enough sleep, and using natural hormone therapies and supplements as needed can help you raise the bar to ultimate weight control.

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So ……IF:

  • You’ve tried every diet
  • You eat healthy, whole foods for the most part
  • You workout or get regular exercise
  • You weigh yourself every morning
  • For gawd’s sake you even ran a marathon last week….and STILL cannot lose weight !!!

Have you considered testing your hormones?

I trust that by now you are all ears,  and if so I encourage you to keep them perked, listening and  learning at our webinar, “The Hidden Truth About Weight Gain and Hormones”, coming up this Wednesday, the 16th of October, at 9am. ZRT Laboratory will be hosting the webinar as they have recently developed a special hormone test collection (a.k.a. The Weight Management Profile), that detects hormone imbalances linked to weight gain as well as major risk markers for insulin resistance, metabolic syndrome and diabetes. As the past director of education at ZRT and now a consultant, yours truly will be presenting. Join me for some life changing edutainment. The webinar is of course free to all comers (and who knows we might just give away a hormone test kit).  Here is the link to sign up for the webinar, coming up very soon, this wednesday in fact, Oct. 16th, just a week away: http://www.zrtlab.com/specialty-profiles/weight-management

 

 

 

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Menopause Awareness Month: Banishing The Seven Dwarves of Menopause

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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

Re-woman Returns to Confess and Re-balance Her Hormone Resolutions for 2013

A scant year ago in this blog I declared my New Years aspirations to remake my post-menopausal self into a more serene, cleansed, and hormonally balanced version of me. I believe I gave myself the first 30 days of 2012 to become a new woman, a re-woman if you will. Hah! 352 plus days later I am here to report back on the past years’ effort to live up to my aspirations and practice what I preach, followed by an honest as I know how to be, no BS commentary on how I did last year with readjusted expectations for 2013.

2013  Inauguration day

Rewoman and great friend Pamela Bateman (left), founder of the Seventh Woman Foundation (www.theseventhwoman.org) for breast cancer prevention, reinaugurate their pledge to stay (warm) and  balanced at the reinauguration of our 44th President in D.C.!

1) Get into that bed one hour earlier every single night.

Ooops! Well maybe not a total flop …. if you’re a night owl like me you know that getting to bed before midnight is a major feat.  Rewoman confession: I did not live up to the every night part of the aspiration, but did manage to get in bed with a book around 11ish a couple nights of the week. Readjusted aspiration for 2013: Lights out by midnight every other night of the week. The earlier bedtimes will lower my cortisol stress hormones to resting levels sooner rather than later, leading to that much coveted deeper sleep and satisfied appetite hormones, thus reducing overeating, cravings and the dreaded result – belly fat!

2) Rise one hour earlier to a cup of green tea instead of coffee.

Green tea is one of the best alternatives to coffee, get to know the different brands….Joy is introducing the Genmaicha powdered version and sharing a cuppa’ with a friend…what could be more healing or stress reducing?

Small triumph: My typical waking time before I made this resolution was 9ish…I now get up about 30 minutes earlier most days, without an alarm clock, now that is progress.  Rewoman confession: I did not convert to the green tea in the morning until just last month when following Kyle’s group cleanse. Good thing I did stop the coffee a week before I went on to do my annual ‘master cleanse’ a detox that can bring on killer headaches, but I never suffered a single one. Readjusted aspiration for 2013: Aim for the full hour earlier each day in concert with at least 8 hours of sleep the night before. Studies at Stanford and U. of Chicago observe that “short sleepers,” (defined as 7 hours a night or less) have stress-related hormone imbalances linked to weight gain and higher body fat, a raging appetite, mood swings, memory lapse and low libido.

3) Spend at least 15 to 20 mns. morning and/or evening in stillness: no talking, no electronic stimuli, no nothing – just breathing. (This practice will help me to calm down, FOCUS, and eventually become the most serene woman I have ever met.) Thumbs up: I certainly feel more focused and balanced throughout the day when I spend that first 30 minutes stretching, breathing, sipping or gazing into the distance. Rewoman confession: Well I’m not going to claim I’m the most serene woman I know … but then I have to ask myself how many women I know who describe themselves as serene…perhaps it is the difference between feeling half-crazy and stressed-out when your hormones are out of balance, and the feeling of calm that descends once balance is restored. Readjusted aspiration for 2013: Learn to meditate for once and for all, and study up on more deep breathing techniques. Make cultivating stillness my mantra for finding balance within. Also, read: QUIET: the Power of Introverts in a world that can’t stop talking.

gaing out

Gaze into the distance, quiet your mind and find balance in silence some part of every day.

4) Rev up my 40-minute walk to 1 hour a day – and walk faster. No lollygagging and no excuses, even if I have to walk in the rain and the dark.  (This will help to humidify my skin and oxygenate my brain and body so that I will live forever, or at least look and feel like I can!) Getting there! I am up to an hour every other day… and exercising on average 6 days a week; it’s become so normal now that I feel completely out of sorts if I miss a day….have so far invested in warm, absolutely waterproof (don’t settle for water resistant especially in wintry climes) pants, gloves, hat with flaps, and am so far so good, perfectly warm and dry. Not only that, by deciding to take all my exercise outdoors I’m saving 160 bucks a month in athletic club dues. Rewoman confession: I have not done strength training or weight bearing exercises consistently enough to build lean muscle, the key to reviving strength stamina and natural hormone supplies as we age. Readjusted aspiration for 2013: Join the Sierra Club to get in more hill walking and hikes that will boost my muscle and bone mass, metabolism, mood, memory and even libido. Always room for improvement there!

CandaceRainGearWeb

Re-woman aspires to walking not 6 but 7 days a week, every day in the great outdoors AND stay completely warm and dry…the key is waterPROOF (as opposed to water resistant …it isn’t protective enough if you’re walking in all weather) gear: windbreaker, vest, overalls, gloves, and boots, a warm hoodie and your favorite hat with a brim (essential for rewomen who wear glasses! ) …45 minutes to an hour a day boosts natural hormone levels, mood and muscle!

5) Learn how to make Brussels sprouts taste good! (Adding way more cruciferous vegetables: kale, chard, spinach, cauliflower, cabbage) to my daily diet will help to metabolize excess and/or toxic, i.e. ‘xeno’ estrogens from my body, thus clearing my onward path to natural hormone balance.) Done! was this ever a success thanks especially to all the great recipes YOU readers sent (see Jan. 15, 2012 blog comments for recipes!) Rewoman confession: I have become addicted to Brussels Sprouts.  Readjusted aspiration for 2013: Learn how to make cauliflower mouthwatering…any recipes for this one ladies?

6) Tune out talking heads before bedtime. (This will stop the overstimulation of the 24/7 news cycles and rid my tired brain of useless chatter AND prevent me from becoming one of those people who develops ADHD in her 60s, heaven forbid!) FLOP: Pre-election addiction to the latest news from the campaign trail made me a liar on this aspiration HOWEVER I did find that after following the cleansing fast this past month (and of course after the election was finally over) I did not feel like watching the news much at all. Rewoman Confession: I still watch Washington Week in Review on Friday nights and Meet the Press on Sundays, but I follow it up with Downton Abbey, a real escape from the here and now… makes me wonder how women stuck in the British class system at the turn of the century dealt with their symptoms of menopause? Readjusted aspiration for 2013: No-TV-at-all-nights, at least twice a week. Continue to beat husband at scrabble. Learn Bananagrams. And Chess!

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

Tune out to practice  balance

7) Reject all foods that are genetically modified and/or any household or personal care products  that contain  pesticides, synthetic hormones, xenoestrogens, antibiotics, or empty calories. (This will significantly reduce my risk of getting indigestion, a fat belly, and a leaky gut, gluten-intolerance, insomnia and hormone imbalance, not to mention diseases of aging like breast cancer!) Challenge: This one is tough since we health care consumers cannot be sure what we are getting…witness the failure of Californians to pass a ballot for GMO modified foods to be labeled as such (in the face of enormous pressure from the likes of Monsanto…but that’s another blog).  At the very least we can inform ourselves to choose foods raised without (make sure the label reads that way) synthetic hormones, RBST, or antibiotics. If you do nothing else, do this! Rewoman Confession: I have on more than one occasion had my hair colored in salons that do not use plant-based dyes and products. In my defense there are not many hair colorists who do use completely non-toxic hair products. Nevertheless this cannot be an excuse. These are toxic chemicals that once slathered on my head, sink into my very tissues, putting me at risk for gawd knows what, hormone imbalance at the very least, and I let it happen! Why? because the color lasts longer. So who is gonna’ last longer if I get cancer after all these years of allowing toxic chemicals to seep into my brain, just because I am not ready to go gray!  Readjusted aspiration for 2013: Never again upon pain of bladder cancer risks, use harsh ‘endocrine disrupting’ (e.g. man-made toxins lethal to normal hormone operating systems) chemicals on my hair; seek out more hair salons that offer organic, ammonia-free, plant-based hair dyes (Google: Aveda and local colorists that use organic hair dyes, bleaches and styling products.)

8) Cancel at least one appointment a week and banish anything, anyone, and everything else in my life that is an unnecessary stressor. (This will enable me to become more authentic and the most stress-free person I could ever hope to meet!) Score: I averaged 2 cancelled appointments a week, have erased at least 3 high-maintenance soul-draining so-called ‘friends’ from my contact list, and changed jobs! Rewoman Confession: I’d been carrying a few dysfunctional relationships  against my better judgment for far too long.  Shedding them at long last feels good, a liberation! Readjusted aspiration for 2013: Choose friends who nourish one’s strengths vs. one’s weaknesses; do not allow what I do to become who I am; and for goodness sake, stop overbooking however well-intentioned!

9) Re-testing my hormones was also on the list for 2012: Check! Rewoman confession: found out through testing that I’d been over-supplementing a bit, so made the necessary adjustments – this  by the way is one of the most important benefits of testing your hormone levels at least once or twice a year, especially when using supplementation, its’ essential to get the dose right!

10) Last but not least, I aspired to redouble my efforts to educate more women and I just might get the chance as I’ve been invited to travel to China to give a talk on hormone balance this March. Evidently this is a topic of interest to women around the world! If YOU have a Re-balance plan you’d like to share, or for that matter, a great mouthwatering cauliflower recipe you can pass on PLEASE sign up to become a follower and comment right here on the blog!! We’re all ears!

Masking the menopause madness

Rewoman behind the scenes:  getting your hormones back in sync can’t be a rehearsal, its a balancing act we practice every day.

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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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