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Perimenopause To Menopause: Important Things to Know

Perimenopause To MenopauseThe human body changes over time, both externally and internally. Hormones are one of the body’s great regulators and both men and women experience hormonal fluctuations throughout their lives.

For women, the transition through perimenopause to menopause is a time of major hormonal fluctuation. The phases are often confused with each other, but true menopause is when a woman has not menstruated for a full year. Perimenopause is the phase leading to menopause and lasts an average of four years, although it can range from a few months to 10 years. A woman’s body typically begins to start the perimenopause process at age 35.

Perimenopause

Perimenopause usually begins between the age of 35 and 50 when the ovaries begin to produce less estrogen. The imbalance of estrogen and progesterone often results in missed periods as well as side effects like hot flashes (the most common side effect of perimenopause), fatigue or low energy, difficulty sleeping, decreased libido and what some women call “PMS plus” —instances when pre-menstrual side effects worsen.

Like many transitions, perimenopause can be physically and emotionally challenging. There is no quick fix for troublesome side effects but many women find relief in lifestyle changes that improve overall health, including:

  • Adding moderate exercise to your daily schedule
  • Improving nutrition
  • Avoiding smoking and alcohol
  • Reducing stress
  • Increasing water intake
  • Practicing good sleep hygiene

Hormone replacement therapy (HRT) and bioidentical hormone therapy (BHT) provide side effect relief for some women. These therapies help balance hormone levels that vary throughout perimenopause. However, using hormones to control symptoms are NOT mandatory. The first question to ask is, “how much do my symptoms affect my daily life?” And if the answer is not at all, then no hormones are needed at that time. The fluctuations of the hormones are like the waves of the oceans. Symptoms are variable depending on lifestyle habits, stress during that particular period in your life, weight loss or weight gain, climate and weather changes and Mother Nature.

Menopause

Even though menopause is the official ending of your menstrual periods, the hormone fluctuations that created side effects during perimenopause are still occurring, meaning that some perimenopause symptoms may remain (or return) and new side effects could appear during menopause.

Once women reach menopause they are at greater risk for developing osteoporosis, a disease that weakens bones. The post-menopausal drop in estrogen is directly related to loss of bone mass. Because there are no symptoms of bone loss, it’s often only after a bone-related injury that the presence of osteoporosis is discovered. Bone mineral density tests (BMD) are x-rays that measure bone density. Screening should begin if you have any of the following risk factors or at the cessation of the menstrual cycle. The following puts you at a higher risk of developing osteopenia or osteoporosis:

  • Advanced age
  • Your race – Caucasians and Asians have a higher prevalence of osteoporosis
  • Family history of osteoporosis
  • Body frame – people with petite frames can have a higher risk because they often have less bone mass to begin with.

Likewise, your doctor can offer osteoporosis treatment and prevention suggestions which may include:

  • Eating foods high in calcium
  • Calcium and vitamin D supplements
  • Bone density medications
  • Estrogen therapy
  • Exercise, especially weight bearing exercise
  • Medically Supervised Weight Management
  • Avoiding smoking and alcohol

Health Care Options for Perimenopause and Menopause

Perhaps one of the most important things to know about perimenopause and menopause is that you aren’t alone. Approximately three million women transition to menopause every year and there are abundant health care options for both phases. Each woman will enter this phase in her life. During these transition years, remember that these symptoms are not forever. Your doctor can help get you through the storm, by teaching you to dance in the rain.

Certainly the scope of this topic is much more in depth and much more individualized than can be covered here. Knowing that the greatest years of your life don’t have to be the darkest days, lends hope for every woman to reclaim her body.

Dr. Raman’s Concierge Medical Practice is focused on caring for each person as a whole, not just a list of symptoms. Our office is committed to helping our patients stay well and maintain good health rather than treating patients only after they become ill.

For more information or to schedule an appointment with Dr. Raman, please contact us today.

Is Adrenal Fatigue Real?

adrenal fatigueIt has been some time since I have talked about Adrenal Fatigue. As with anything in medicine, there is debate as to whether this is a real condition or a made up label for where there is no answer.

Before we can answer that question, it is important to understand the purpose of the adrenal glands.

The adrenal glands, also known as suprarenal glands, are small, triangular-shaped glands that rest on top of the kidneys. Their primary role is produce hormones that help regulate your metabolism, immune system, blood pressure, and regulate an appropriate response to stress.

The specific hormones released by the adrenal glands include:

  • Cortisol – Cortisol helps control the body’s use of fats, proteins and carbohydrates. It suppresses inflammation, regulates blood pressure, increases blood sugar and helps control our sleep patterns. Cortisol is released during times of stress to help in the flight or fight mode.

  • Aldosterone – Aldosterone regulates blood pressure by directly by affecting the sodium and potassium pump. Aldosterone sends signals to the kidneys that direct sodium into the bloodstream and release potassium out into the urine.

  • DHEA and Androgenic Steroids – These are precursor hormones that are converted in the ovaries into female hormones (estrogens) and in the testes into male hormones (androgens).
  • Epinephrine (Adrenaline) and Norepinephrine (Noradrenaline) – These hormones increase the heart rate and force of contractility of the heart muscles. This leads to an increase in blood flow to the muscles and brain. Epinephrine and norepinephrine are often activated in stressful situations when our body needs additional resources and energy to endure ongoing stressors.

So what does all of this mean?

Let’s simplify our understanding. Adrenal glands are needed to live. Period. It is our fuel tank. When we are born, the tank is full. Then, life happens that requires us to tap into those reserves. And when the demands out weigh the supply, a deficit occurs.

As we have understood from above, the hormones released from the adrenal glands are needed for overall survival. What happens when we run on empty? Fatigue sets in. Hormones are in chaos. The entire ecosystem of the human structure and function is in peril.

How do you know if you have this? Well, this is where we need to take a step back and really understand what our body is going through.

With the current lifestyle the world lives, I am sure we all have some degree of adrenal fatigue. Google the symptoms and I am sure most of us check off 90% of the list.

However, the difference between adrenal fatigue and adrenal insufficiency (Addison’s Disease) is that the latter is a TRUE diagnosable medical condition.

Those that suffer from Addison’s disease are unable to produce the hormones in adequate supply to maintain bodily function. The diagnosis is confirmed with laboratory testing. Every symptom must be watched and treated quickly and aggressively. Time is of the essence with Addison’s.

Conversely, adrenal fatigue doesn’t always have abnormal test results. This doesn’t mean that patients don’t have some diminish of hormone production. It just means that it is not as profound as in Addison’s.

I am sure you’re thinking that is great but how do I treat this so I can move on with my life?

When I first started learning and understanding about adrenal fatigue in 2007, I was sure the answer was replenishing with unproven garland of supplements. What I soon discovered was the supplements caused more issues than the fatigue itself. It didn’t make sense to treat one thing only for it to lead into another issue. Over the years, I have continuously asked myself how can we treat something we are not sure is a real entity? Whether the label is real or not, the symptoms are!

Ok. So we know it is real, but now what?

How about looking back through previous years and recognizing the habits that could have led to this?

  • How much processed foods did you consume?
  • How strict were you about your sleeping habits?
  • How active were you, really?
  • How much did you handle and resolve stress rather than sweeping them under the rug?
  • How many times did you make a choice you knew wasn’t right?
  • How many days did you neglect your “me time” thinking it was selfish?
  • How many times did you put yourself at the end of the priority list?

There is no judgement here. We have all been there. Hind sight is 20/20. But it is never too late to refuel, replenish and revive!

Try and begin with these five basic steps.

1.     Move at least 20 minutes a day.

2.     Stop all screens 1 hour before bedtime.

3.     Take a 5 second pause before acting on any choices you make.

4.     Move yourself up on the priority list.

5.     If it isn’t going to matter in one year, let it go.

This will take time. Keep expectations out of the equation. Work for a lifestyle change. Not for an immediate gain. It all starts with simplicity. Simply staying present. Simply starting. Simply observing. Simply being!

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.  For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.  You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

The Root Causes of Cravings – And What To Do About Them

Root Causes of CravingsMerriam-Webster’s dictionary defines cravings as, “an intense, urgent, or abnormal desire or longing.” We know that feeling all too well. Salivating at the commercials that lure us inside those restaurant doors, whiffs of free samples handed by sweet little ladies in the grocery aisle, or my personal favorite –  the buy one get one free trick.

It seems whichever direction we turn, we cannot get away from the altered nutrition we call food. No wonder it is so hard to stay healthy. But it doesn’t have to be! Before going head to head with these temptations, it is first important to understand the root causes of cravings, and then we will discuss solutions.

While the reasons are many, here are few explanations that may shed light on the mysteries of our palate and what you can do to help curb those temptations.

  1. Conditioning: Much like the analogy of Pavlov’s response to a bell, we too have been conditioned to associate certain foods to environmental triggers. How many times have you sat down at home to watch a movie and had a sudden craving for popcorn? How about at the ballgame where you hear the pretzel and hot dog calling your name? Or when the summer carnival days has you longing for the cotton candy and funnel cakes? We, as consumers, absorb the silent suggestions of marketers. We subconsciously create a link between their product and our environmental familiarity.

    Solution: When we become aware of our thoughts, we begin to question whether we truly want to indulge or if it is just a Pavlov’s response to a past experience.

  1. Stress: Under the umbrella of stress includes emotional, physical, psychological, and spiritual triggers. Stressors cause a disruption in the adrenal glands which elevates cortisol. Surges of cortisol signal that an attack is occurring on your body. As a defense mechanism, the body searches for sources of fuel that can be broken down easily and quickly. Hence, under stress we crave sugar and salt.

    Solution: Get help. Deal with the stress head on. Don’t try to resist and fight the cravings. It is there for a reason. The cravings aren’t the issue. Whatever is causing the stress is the issue. See your doctor, therapist, spiritual confidant or a friend.

  1. Leaky Gut: It always appears to come back to the gut, doesn’t it? This has been a recurring theme in multiple, if not in all, health conditions. The gut is a source of serotonin production – our feel good hormones. In a weakened GI tract, there is decreased serotonin release leading to an increased cravings for processed foods

    Solution: Heal the gut. Begin by going on a 21 day gluten, soy, dairy, grain and sugar elimination. Our taste buds have memory. It takes 21 days to reset the palate. This is not a diet or calorie deprivation technique. This is simply to take out what shouldn’t be there in the first place.

  1. Leptin resistance: Leptin is a hormone produced in fat cells. Its primary role is to stimulate appetite and signal fullness. An increase in body fat and a diet high in sugar triggers an overflow of leptin release. This causes the brain to feel hungry even when it is not. The continuous cycle of leptin production eventually leads to leptin resistance. It is this resistance and the breakdown of communication within our system that causes insatiable cravings.

    Solution: Limit processed foods. Even decreasing by 10% has significant healing on the body.

  2. Dehydration: Even a 1.5% drop in water can be felt in the body. According to Dr. John Higgins, M.D., Associate Professor of Cardiovascular Medicine University of Texas in Houston and Chief of Cardiology at Lyndon B. Johnson General hospital, “Dehydration can make it difficult for the liver, which uses water, to release glycogen. That can lead to food cravings.” Dehydration also interferes with brain levels of serotonin.

    Solution: Divide your weight by 2 and that is the number of ounces of water needed per day.

I am a firm believer that we must enjoy the indulgences life offers, but moderation is key! Containing cravings has less to do with weight and more to do with living. When you heal, you live. When you live, you awaken. And when you awaken, health and happiness is all you will ever know.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.  For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.  You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

5 Ways To Prevent Pre-Diabetes

prevent pre-diabetesComing off of the holiday sugar rush, this month’s blog couldn’t have come at a better time: 5 ways to prevent pre-diabetes. With discipline, determination and an understanding, pre-diabetes can be controlled effectively with diet and exercise alone.

The Mayo Clinic defines pre-diabetes as, “The blood sugar level is higher than normal but not yet high enough to be type 2 diabetes.”

The A1C test is a blood test that provides information about a person’s average levels of blood glucose, also called blood sugar, over the past 3 months. The A1C test is based on the attachment of glucose to hemoglobin, the protein in red blood cells that carries oxygen.

  • An A1C level below 5.7 percent is considered normal
  • An A1C level between 5.7 and 6.4 percent is considered prediabetes
  • An A1C level of 6.5 percent or higher on two separate tests indicates type 2 diabetes

Diet and exercise seems to be the go to answer for almost everything, right? When hitting the gym becomes a bore or tracking calories becomes a chore, it creates a slippery slope of frustration, discouragement and disappointment. How about making this time different by changing the way you look at health beyond the scope of calories in and calories out. Check out my five suggestions on how to prevent pre-diabetes.

  1. Become active in the community. Whether you join a book club, hiking group, or a cooking class, it doesn’t matter. Studies have shown when we are surrounded by happy people, we become happy. Being engaged in society provides a release of any stress you may be carrying from the burdens of daily life. When stress is controlled, cortisol maintains homeostasis. With normal cortisol levels, insulin regulation and glucose metabolism is optimal.
  1. Meditate. You don’t have to spend hours a day meditating. Quieting the mind for 5 minutes/day has shown to have dramatic effects on health. According to the July 10, 2017 issue of Time Magazine, “In a new study published in the journal Obesity, researchers from Penn State University randomly assigned 86 overweight or obese women to receive eight weekly sessions of either mindfulness-based stress reduction (MBSR), taught by a professional instructor, or general health education, taught by a registered dietitian. The MBSR group learned how to use mindfulness techniques—like meditation and breath awareness—to respond to stress. The health education group learned about diet, exercise, obesity-related health issues and general stress management. The goal of these sessions was not to help people lose weight, but to reduce stress and stress-related health problems. In that sense, mindfulness worked better. After eight weeks of training and eight more weeks of home practice, perceived stress scores for women in the MBSR group had decreased 3.6 points from the start of the study on a 10-point scale, compared to only 1.3 points for women in the health education group. Both groups experienced improvements in mood, psychological distress, and sleep-related problems. But only the MBSR group saw a decrease in fasting blood sugar levels—both right after training was completed and when the women were retested eight weeks later.”
  1. Increase water intake. According to an article in The New York Times, being too dry releases a hormone called vasopressin. Vasopressin tells your kidneys to hold onto water and tells the liver to release stored blood sugar. So what is the optimal amount per day? The jury is still out on that. Most health care providers advise looking at the color of the urine. A light yellow urine indicates adequate hydration. Dark concentrated urine implies insufficient water intake. So just keep drinking until you can see through the pee.
  1. Team up. Partner up with your friends, co-workers, gym buddies and create a challenge for yourselves or join an upcoming race. Being together in a positive environment helps keep us on track. It creates a foundational support and a matrix of resources to keep us accountable. If you ever feel yourself falling off the path, grab your teammate for a hand up. This incredible network ensures a higher success rate and plus, let’s face it, it is fun to do things together. As long as the competition remains healthy and the support unconditional, hormones work together in the same joy as teammates. The result equals a healthy you and happy you.
  1. Take a road trip. Let me explain. It is fascinating to see how other people in another city, state or country live. When we get caught up in the monotony of routine life, our creative flow halts in front of our faces. We don’t know what to cook. We get bored of the same route to work. We lose the zest for experience. Getting a fresh perspective on new ways of living can stimulate excitement and help pull you out of a rut. Drive along a country road and talk to local farmers. Visit local restaurants and try out new variations to age old dishes. Peek in on ways other communities stay healthy. Link up with different people in various geographical locations via social media. The scope of learning is endless. Seeing the world through another’s eye reminds us that life is good and health is good and together, all will be ok.

I know this list deviates from “conventional medical advice”, but I feel we are bombarded with one study after another and one statistic followed by the next. The problems of our health only seem to be growing deeper. The United States continues to lead the way in obesity. We spend incomprehensible amounts of funding trying to control a disease process that we have created.

Now is our chance! Our chance to take it back to simpler solutions. Putting the simplicity back into a complex life is where healing and prevention will occur. Don’t go looking outside for more research to come your way, more supplements to find their way into your medicine chest, more guaranteed diets that deliver unrealistic results or more promising science to undo what has been done.

Go back to what you already know: that everything you need is already within you.

Over The Counter Medicine Safety

Over The Counter Medicine SafetySince getting over the counter medicine has never been easier, over the counter medicine safety should be at the forefront of everyone’s mind. From the GI relief of the PPI’s to the cold remedies of antihistamines, the choices are endless. But these self-prescribed options need to be used with caution and care. Many symptoms we often experience can be a sign of something more serious. A little Tylenol for headaches or Zantac for heartburn or Zyrtec for alleriges may seem innocent enough. However, being vigilant with your body’s responses to these medications can prevent catastrophic outcomes.

If your symptoms are new or different from previous times, or you have never used an OTC medicine before, it is worth putting in a call to your doctor for advice. Many of these medications have interactions with prescription medications. So only use them if no other options exist.

First and foremost, find out what is the actual CAUSE of your symptoms. Don’t merely medicate them. Identify the trigger and begin to remedy that cause. Medications temporarily bandage the immediate issues, not always fix the root problem.

I have known many patients to use OTC meds on a daily basis “just because” or “that’s how they have always done it.” Just because you don’t need a doctor’s authorization to purchase these drugs, doesn’t mean they don’t come without the same risk as prescription meds.

Here are some staggering OTC Statistics:

  • Approximately 5 BILLION OTC drugs are purchased annually.
  • This number accounts for 60% of all health-related drug purchases.
  • Teenagers are 18 times more likely to fatally overdose on OTC medications than illicit street drugs.
  •  40% of US teens think OTC medicines are safer than illegal drugs.
  • Almost one-third of American teenagers think that it is perfectly safe to occasionally abuse OTC drugs.

According to Consumer Med Safety, here are the top 5 most commonly abused OTC medications:

  1. Dextromethorphan:

This is an active ingredient in more than 100 OTC cough and cold medicines. Side effects include impaired judgment, vomiting, loss of muscle movement, seizures, blurred vision, drowsiness, shallow breathing, and a fast heart rate. Dextromethorphan is also addictive and can cause withdrawal symptoms, including depression and difficulty processing thoughts, when the drug is stopped.

  1. Caffeine:

OTC caffeine pills such as NoDoz or pain relievers with caffeine have been abused for the buzz or jolt of energy they seem to provide. If these pills are taken with high caffeine energy drinks, the effects are felt even quicker. Large doses of caffeine can cause serious dehydration, gastric reflux disease, panic attacks, and heart irregularities that have occasionally been linked to accidental deaths, particularly in those with an underlying heart condition. 

  1. Diet Pills:

Although the FDA has banned several of the most dangerous stimulants commonly found in OTC diet pills—phenylpropanolamine, ephedrine, and ephedra—other ingredients in these OTC products can also be dangerous. Bitter orange is a common ingredient that acts much like ephedrine in the body. It can cause nervousness and tremor, rapid and irregular heartbeat, high blood pressure, stroke, heart failure, and death. The FDA ban on ephedra pertained only to diet pills considered dietary supplements, not herbal remedies such as teas and Chinese preparations.

  1. Laxatives/Herbal Supplements:

Laxatives and herbal diuretics (including uva ursi, goldenseal, dandelion root, rose hips) can cause serious dehydration and life-threatening loss of important minerals and salts that regulate the amount of water in the body, acidity of the blood, and muscle function.

  1. Pseudoephedrine:

This nasal decongestant and stimulant is found in many cold medicines. Its similarity to amphetamines has made it sought after to make the illegal drug methamphetamine. This medicine has also been taken as a stimulant to cause an excitable, hyperactive feeling. Abuse may be less common with pseudoephedrine than with other OTC medicines due to a federal law requiring it to be kept behind the pharmacy counter, limiting the purchase quantity, and requiring photo identification prior to purchase. However, people have taken pseudoephedrine to lose weight, and athletes have misused the medicine to increase their state of awareness and to get them “pumped up” before a competition. Dangerous side effects include heart palpitations, irregular heartbeats, and heart attacks. When combined with other drugs, such as narcotics, pseudoephedrine may trigger episodes of paranoid psychosis.

No doubt that having medications available to us at the 11th hour has certainly made life easier. But as prescription drugs continue to become readily available on shelves throughout the world, we must err on the side to be even more diligent and mindful of its risks. Due to the ease of accessibility of these meds, we must remain guarded to prevent overuse and abuse.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.  For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.  You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

 

Ways to Effectively Manage Holiday Stress Without Medication

manage holiday stressIt’s that time of year again; that whirlwind holiday season of parties, baking, and gift-giving. While this season is supposed to be about love and family, it is also the cause of stress for many people. More than 80% of people find the holidays to be a very stressful time, but what what are some ways to manage holiday stress without resorting to medication?

What is the Cause of Holiday Stress?

Doing too much can be part of the problem. The problem with holidays is that it can be too much of a good thing. Too much stress can have a negative impact on our mental and physical health. Too many fun activities can leave us feeling crazed rather than content.

An overload of parties and gift-giving can lead you to eat, drink, and be merry just a little too much. It’s tempting to overspend on gifts, eat rich desserts, or drink too much alcohol. If you do, you are left to deal with the consequences. In these tough financial times, finding less expensive gifts can be a stress trigger all on its own. Holiday debt is a stressor that can linger long after the season is over.

Too much togetherness can also be a stressor. Sure, you love to see your family and catch up, but too much of being together can make it hard for family members to keep a healthy balance between togetherness and alone time. This can bring more dread than cheer. On the other hand, maybe you don’t get to see enough of your family. Loneliness can be just as stress full, if not more.

So how can you get through this time of year and still keep the holiday cheer?

Yoga for Reducing Holiday Stress

Try a standing side stretch to open yourself up to calm feelings. Holding an open posture for two minutes can lower stress hormones and increases testosterone that can induce confidence.

You can breathe your way to calm control. Deep diaphragmatic breathing turns on your parasympathetic nervous system and blocks your body’s production of stress hormones and stimulate the feel-good hormones.

Raise your feet above your heart. It only takes 30-60 seconds to take the pressure off of your tired legs. It also improves circulation and helps to decrease swelling.

Yoga has been proven to raise endorphins, lower cortisol and balance thyroid. So why not try taking your stressors to the mat?

Stress Relieving Foods

Peppermint is a stress reliever because it contains manganese, iron, magnesium, calcium, folate, potassium, and copper. It also has omega-3 fatty acids, vitamin C and Vitamin A. You can make a soothing peppermint tea, add peppermint leaves to your salad, or put some in your hot cocoa.

Broccoli is full of stress-relieving B vitamins. It also contains folic acid that helps to relieve stress, anxiety, panic, and depression. Broccoli, asparagus, kale, and other dark green vegetables have vitamins the help replenish your body during stressful times. Those with thyroid issues should be mindful of consuming smaller amounts so as to not trigger a thyroid relapse.

Pumpkin seeds are a great source of protein and omega-3’s. Omega-3’s help to protect against high blood pressure and improve mood. They also contain glutamate, which is used by your body to make gamma-amino butyric acid (GABA). GABA is an anti-stress brain chemical that helps reduce anxiety.

Almonds are great relievers of stress. They are packed full of vitamin B2, vitamin E, and zinc. Vitamin B helps in the production of serotonin, which helps regulate mood and relieve stress. Zinc has been shown to fight negative effects of tress. Vitamin E in an antioxidant that gets rid of free radicals related to stress.

Don’t let the stress of this holiday season effect your health and well-being.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance.

For more information on natural ways to relieve stress, CONTACT  our office today to schedule your appointment.

You can learn more by following Dr. Raman on Facebook, Twitter, LinkedIn and Pinterest.

Is Hormone Therapy Right For You?

hormone therapyThere comes a point in our lifespan where the hormones biologically begin to slow down production and we begin to consider hormone therapy. When our body senses the slowing of stressors in our crazy lives, it has no need to keep up with the high demands of life. While this is a good thing, the decrease in quantity of the hormones results in a potpourri of symptoms. While more intricate endocrine pathways are being discovered, the global hormonal function remains constant. We feel fantastic when all hormones (estrogen, progesterone, testosterone, thyroid, adrenals, insulin) are in a synchronized balance.

We all know the body WILL change. We may long to feel like we did in our 20’s. I am here to tell you, we can feel even better. There truly is no great mystery to understanding aging. Mid–life and menopause doesn’t have to be the “dreaded” era. In fact, if approached correctly with love and patience, it can be some of the best times of life.

Another thing to keep in mind is that hormonal changes don’t occur just in women. Men can experience the same degree of symptoms. We’ve all heard and some have experienced these symptoms. The symptoms of hormonal changes are extensive and exhaustive. Most of which we are all well aware.

The only thing that needs to be understood is SYMPTOMS OCCUR BECAUSE OF HORMONAL IMBALANCES. Each hormone plays a role in contributing to various symptoms. So how do you know if hormones are right for you? Before answering, ask yourself, “Are your symptoms debilitating enough that it is affecting quality of life?”

If the answer is yes, then hormones maybe what you need.

Hormone supplements are not a forever thing. You may only need them for a certain duration when life feels off balance. The goal should be to use the lowest dose possible for the shortest time possible. Do not depend on only hormones to help you. Stay committed to healthy nutrition, regular exercise and optimal sleep.

If you do choose to begin hormone therapy, continue to work towards creating a healthy lifestyle so that you may begin the process of weaning off of the hormones as soon as the body is able to hold its own.

What are the pros and cons to beginning Hormone Replacement Therapy?

Pros:

  1. Alleviates hot flashes and night sweats
  2. Helps with vaginal dryness
  3. Helps maintain or restore bone strength
  4. Improves sleep
  5. May aid in weight loss
  6. Possible cardiovascular benefit but evidence is still unclear
  7. Possible decrease risk of colon cancer
  8. Helps in restoration of skin, hair, and nails
  9. Improves mental clarity and mood

Cons:

  1. Small increase risk in breast and uterine cancer
  2. Increased risk of DVTs
  3. Slight increase in cardiovascular disease and strokes (The WHI study found a 29 per cent increased risk of coronary heart disease in those taking combined HRT)
  4. Small increase in gall bladder disease

The decision to start HRT (Hormone Replacement Therapy) should be well thought out. Having an extensive discussion with your physician can alleviate any anxiety about the uncertainty of hormone therapy. Each case is unique with varying factors. Listening and honoring your body will lead you to the right decision.

Remember, the minute you decide to start HRT, do everything you can to get off of them as quickly as possible. Use hormones as a crutch, not a permanent companion.

These truly can be the best years of your life! Aging is inevitable. Aging gracefully is optional. That is why I never tire of this topic. Embrace this passing cloud of inconvenience because the rainbow is waiting on the other side.

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.

How To Keep Your Liver Healthy

How To Keep Your Liver HealthyThe liver, also known as the ultimate multitasking organ, is underestimated in its importance and significance. That is why it is it should be a top priority to keep your liver healthy.

The liver, weighing in about 3 pounds, sits on the right side of the abdominal cavity. Situated below the liver sits the gallbladder and portions of the pancreas and intestines.

The liver serves in multiple roles:

  • It helps to filter the blood from the digestive tract, before passing it to the rest of the body.
  • It aids in detoxifying chemicals and metabolizing drugs.
  • It helps secrete bile to assist in food breakdown.
  • It makes proteins so blood clotting is possible.
  • It helps break down damaged blood cells so that the body may remove them.

So what issues can arise if the liver is not operating at optimal standards?

There are many medical conditions associated with the liver, such as hepatitis, alcoholic cirrhosis, gall bladder disease, primary biliary cirrhosis, and hemochromatosis only to name a few.

According to ancient Ayurvedic and Chinese medicine, the liver is the primary organ responsible for removing toxins and purifying byproducts so that they may be delivered to the necessary organs in a purified condition.

When the liver is healthy and happy, the body will experience:

  • Increased energy levels
  • Clearer skin
  • Regular menstrual cycle with reduced PMS
  • Improved allergy symptoms
  • Stronger immunity
  • Fewer GI issues
  • Improved oral health
  • Improved mood and mental clarity

“A healthy liver results in better blood flow upward and outward, throughout our vessels, veins and capillaries, which transport oxygen and nutrients to our cells. The liver also interacts with other organs like the gallbladder, stomach and spleen, since it receives digested particles or toxins and decides what to do with them: circulate them around through the blood or eliminate them before they can cause damage.”  Dr. Axe

While the jury is still out on the efficacy of “liver detox”, the American Liver Foundation outlines ways you can keep your liver out of trouble.

  1. Foods that have been shows to have protective effects include:
  • Coffee (in moderation): Increases antioxidant levels while decreasing inflammation
  • Tea: Black and green tea have been shown to improve fat and enzyme levels. Avoid green tea extract as it can cause damage to the liver.
  • Grapefruit: The two main antioxidants found in grapefruit are naringenin and naringin that reduces inflammation.
  • Blueberries/Cranberries/Grapes
  • Beetroot juice: Protects the liver from oxidative reactions and increases detoxifying enzymes.
  • Cruciferous vegetables: Be cautious with concurrent thyroid conditions.  These vegetables have been found to increase detoxifying enzymes.
  • Nuts: One six-month observational study in 106 people with non-alcoholic fatty liver disease found eating nuts was associated with improved levels of liver enzymes.
  • Fatty fish. Studies have shown that fish help prevent fat from building up, keep enzyme levels normal, fight inflammation and improve insulin resistance.
  • Olive oil. Helps prevent fat accumulation in liver and improved blood flow.
  1. Limit alcohol.
  2. Manage medications.
  3. Avoid prolonged exposure to toxic chemicals. Use natural hair and skin products as well as natural household supplies.
  4. Avoid excess supplements. Iron, Niacin, Vitamin A have been shown to be harmful to the liver in excess doses.
  5. Avoid a plethora of unnecessary herbal products. A recent study in the journal Hepatology claims that liver injury due to supplements and herbs is on the rise.
  6. Get the heart rate up and just move.

While discussions of liver health often end up taking a back seat to more exciting health news, it is a vital component to achieving greater balance. So drink your coffee, limit your supplements and get your body moving!

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.

Colon Cancer Screening – Don’t Put It Off

Colon Cancer ScreeningIn the world of camera crazy selfies, the one picture that could be life saving is that selfie of the colon. Colon cancer screening is never something you should put off.

Ahhh yes, mentioning anything about that 5 foot luminous tube that weaves itself around the core of our essence makes us want to run in the opposite direction. Don’t!

The colon is VITAL to maintaining homeostasis and overall balance.

The colon absorbs essential vitamins, salts, nutrients, and water that gives us our good health. However any disruption is this function causes toxins to be absorbed back into the blood stream rather than expelling them. The reversal of this pathway leads to not only GI complaints, but also systemic symptoms. Examples include, fatigue, skin changes, hormonal imbalances, sleep issues, depression, hair loss, weight gain, weight loss, and headaches.

Over one hundred trillion microorganisms (bacteria) reside in the colon. There are more microorganisms in the colon than are contained within the skin, heart, bone, brain, and the rest of the body’s cells combined. A proper balance of healthy bacteria must be maintained inside the colon to avoid being constantly plagued with digestive ailments.

Since we live in a world where processed food is a staple, it is no surprise we are being plagued with continuous health ailments. The impurity of our diet has led to an epidemic of persistent illnesses. Also, the overuse of antibiotics has resulted in a paradigm shift of our normal gut flora. The overwhelming force of trauma of both of these habits has made it difficult for the colon to withstand any level of normalcy.

The sharp rise in obesity, ADHD, adult and children’s cancer, diabetes, heart disease and other health conditions, must leave us wondering, why? What are we doing wrong?

Once again, the answers lie in the lumen of our GI tract. This is exactly why you SHOULD NOT avoid your colon cancer screening.

Taking care of our gut health is not optional, it is vital. 

How can we do that when we constantly feel like we are swimming against the current?

Here are a few simple ideas:

  1. Eliminate sugar. “On the high sugar diet mouth-to-anus transit time was significantly prolonged, despite a shortened mouth-to-cecum transit time. The fecal concentration of total bile acids and the fecal concentration of secondary bile acids increased significantly. Diet affected neither the serum bile acid pattern nor the concentration. Breath hydrogen tests showed significantly enhanced H2 production on the high sugar diet. We conclude that the quantity of refined sugar in the diet can significantly influence gut function and the composition of bowel contents”. (Gut. 1991 Apr; 32(4): 367–371.)
  2. Increase water intake. Water helps break down food and improves waste transit and elimination. It also enhances vitamin and nutrient absorption and helps maintain a balanced pH in the gut.
  3. Listen to your “Gut”.  Whether the symptoms are of GI origin or systemic, it is important to have the gut evaluated in its entirety. A GI work up may include:
    a). Evaluation for food allergies,
    b.) Hydrogen breath test for bacterial overgrowth,
    c.) Celiac disease,
    d.) Stool sample for fungal or bacterial infection.
    e.) Upper Endoscopy for reflux, hernias, erosions etc.
    f.) Colonoscopy for polyps, cancer, Crohn’s, Ulcerative Colitis, generalized colitis etc.
    This is by no means a complete list. It only outlines different ways of getting into the GI tract. It is imperative not to ignore the body’s communication with us.
  4. Probiotics. These are the “good” guys that have come to save the day. Packaged and labeled under many different disguises, it is hard to know which one is the right one. Before starting down the road of pill-popping, first find the cause of the symptoms. Once identified, then reach for these microbes.

Many of us ignore the warning signs because we may feel it is “gross” or “embarrassing.” Physicians and specialists are highly skilled and trained in the area of Gastroenterology. There is nothing there we have not seen or experienced before.

Health is #1 priority. By allowing toxins to continue to reside in the seat of our solar plexus, we continue to live in a toxic environment.

Would we let toxic individuals stay in our home? Then why are we doing it to our OWN self?

Dr. Raman’s Concierge Medical Practice is focused on holistic care and good health maintenance. For more information on healthy eating habits and achieving and maintaining OPTIMAL health,  CONTACT our office today to schedule your appointment. You can also learn more by following Dr. Raman on FacebookTwitterLinkedIn and Pinterest.

Preventing Osteoporosis In 4 Easy Steps

Preventing OsteoporosisAs we all age, our bones become thinner. This isn’t just a sign of aging, but is a disease known as osteoporosis. Preventing osteoporosis is something you hear about, but did you know there’s another disease similar to osteoporosis that’s just as dangerous called osteopenia?

Very few people understand how widespread osteopenia and osteoporosis are. In the United States, about 8 million women and 2 million men have thin bones, or a condition called osteoporosis, and another 34 million Americans have low bone mass, also known as osteopenia.

Osteopenia is a reduction in bone mass that is lower than a normal bone mass. This is a precursor to osteoporosis. Osteoporosis is a condition marked by low bone mass, a thinning of the bone, which can lead to a weakening of the bone architecture and increased susceptibility to fracture – typically of the hip, wrist or spine.

But how do we recognize these diseases? What are their risks? How do we slow down their symptoms? How do we recognize their warning signs? More importantly, how do we treat it?

Stop Smoking

Smoking impacts a person at risk for developing osteoporosis. Cigarette smoke generates huge amounts of free radicals — molecules that attack and overwhelm the body’s natural defenses. The result is a chain-reaction of damage throughout the body, including cells, organs and hormones involved in keeping bones healthy. Smoking triggers other bone-damaging changes, such as increased levels of the hormone cortisol, which leads to bone breakdown. Because those who smoke have weakened bones, they are likely to experience exercise-related injuries such as fractures, breaks or sprains. Also, a person who smokes is more likely to have a longer recovery period and greater risk of complications following any sustained injuries than someone who doesn’t smoke.

Quit Excessive Alcohol Use

Alcohol interferes most with bone formation by inhibiting adequate calcium absorption. Alcohol interferes with the pancreas and its absorption of calcium and vitamin D. Alcohol also affects the liver thereby inhibiting activation of, vitamin D, Vitamin D is needed to aid in Calcium absorption. As with smoking, excessive alcohol use has a wide range of damaging health effects for any person, but is particularly damaging for persons at risk for osteoporosis. The good news: when someone quits drinking, bones may recover fairly rapidly. Some studies have found that lost bone can be partially restored when alcohol abuse ends.

Improve Diet and Exercise

The importance of exercise in the fight against osteoporosis cannot be underestimated. Changing to a healthier diet can have little effect on bone mass when not combined with regular exercise. Starting the right kind of exercise in combination with other preventive measures like appropriate diet can help build bone mass especially in high risk fracture sites like the wrist, hip and spine.

Increase Calcium Intake

Sufficient amounts of calcium are required for bone strength. The body uses calcium for the heart, blood, muscles and nerves. Without the proper amount of calcium intake, the body will strip calcium from the bones where it is stored, causing the bones to get weaker. It is estimated that 55% of men and 78% of women over age 20 in the U.S. do not get enough calcium in their diet. It is important to note that since the human body cannot produce its own calcium, adequate calcium intake is critical in the battle against osteoporosis. To learn which type and how much is best for you, contact our office to schedule an appointment.

Navigating the aging process does not need to be cumbersome or cause you unnecessary worry. That is why it is best to create a relationship with your doctor where you can be free to ask questions and discuss your concerns openly.

Dr. Raman is focused on holistic care, a pleasant office experience and good health maintenance. Dr.Raman’s Concierge Medical Practice is focused on caring for each patient’s individual needs with comprehensive, individualized treatment options and health programs.   Our office is committed to your health, and helping you find the best solutions for you and your particular needs.

For more information or to schedule an appointment, please CONTACT our office today! You can also learn more by connecting with Dr. Raman on FacebookTwitterLinkedIn, and Pinterest.