Holistic physician, Dr. Vivian DeNise explains the difference between bio-identical hormone replacement therapy and synthetic hormones. She also details symptoms and medical conditions that may result from unbalanced hormones and benefits of getting balanced by an expert holistic doctor.
2. A holistic medical center
Full-service
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3. Discover health, rediscover vitality
Focus on the root cause
Integrate modern medicine, holistic
practices, and natural supplements
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12. Completed her medical degree
at New York College of
Osteopathic Medicine
Certifications in Integrative
Medicine with the American
Academy of Anti-Aging
Medicine (A4M)
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13. Specialties include
Hormonal Imbalances
Nutritional Deficiency
Thyroid Disorders
Gastro-Intestinal Problems
Detoxification
And many more!
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14.
15. There are receptors everywhere in the body for
estrogen, progesterone and testosterone in
both men and women.
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17. To achieve Balanced
Hormone Optimization to
that of a 25-30 year old
level using Bio-Identical
Hormones.
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18. They are identical to the molecular structure
of hormones produced by human female or
males.
They are NOT:
Xeno hormones
Horse hormones
Synthetic hormones
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19. Atom for atom identical to human hormones
Not horse hormones
Not chemically altered
No increased risk for cancer
Less risk for heart disease
Less mortality
Needed for Bone, Brain, Quality of Life
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25. Peri-menopause-Can begin to occur 10-20
years prior to menopause associated with
cyclical changes in menses as well as
mental/physical symptoms.
▪ Early- changes occur rarely and resolve
▪ Middle-changes occur often and for longer
▪ Late-changes occur continuously.
Menopause-no menstrual bleeding for 1 year
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26. Deficiencies can start years
before menopause in peri-
menopause
Poor sleep, anxiety, PMS-
Progesterone
Low Libido, decreased
memory-Testosterone
Low energy, hot
flashes, vaginal dryness-
Estrogen
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27. Balances Estrogens, Progesterone, and
Testosterone
Every woman needs a unique balance
Not every woman needs estrogen
Progesterone protects against breast cancer
Unlike “progestins” natural progesterone
does not have androgenic or anti androgenic
effects.
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28. Hot flashes
Night sweats
Fatigue
Vaginal Dryness
Poor memory and
Foggy thinking
Low energy
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29. Depressed mood
Decreased concentration
Decreased sexual desire or
libido
Excessive daytime sleepiness
Stress incontinence and UTI’s
Osteoporosis, Cardiovascular
disease, Dementia
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30. Agitated
Anxiety
Weight gain
Water retention
Headaches
Swollen or tender breasts
Bloating
Spotting or breakthrough bleeding
Mood swings
Poor sleep
Achy joints
Excessive bleeding
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31. Increase blood pressure
Increase triglycerides
Increase estrone
Cause gallstones
Elevate liver enzymes
Increase SHBG (decreases testosterone)
Interrupt tyrptophan metabolism and
consequently serotonin metabolism
Causes blood clots to form
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32. Decreases HbA1c
Decreases total cholesterol
Decreases LDL
Decreases HS-CRP
Decreases IL-6 and TNF-inflammatory
cytokines implicated in
autoimmune, cardiovascular, osteoporosis and
Alzheimer's
NO increase risk of stroke or venous
thrombosis
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33. Usually the first hormone to become deficient
in peri-menopause.
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34. Agitation
Irritability, aggressiveness
Anxiety, anger
Weight gain
Water retention
Headaches
Swollen or tender breasts
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36. Impaired production
Low LH
Increased prolactin production
Stress
Antidepressants
Excessive arginine consumption
Sugar
Saturated fat
Deficiency of vitamins A, B6, C, zinc
Decreased thyroid hormone
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37. Called progestins
Progestins do not reproduce the same
actions of natural progesterone
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38. Increases appetite
Weight gain
Fluid retention
Irritability
Depression
Headache
Decreases energy
Bloating
Breast tenderness
Decreases sexual interest
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39. Acne
Hair loss
Nausea
Insomnia
Interferes with the body’s own production of
progesterone
Does not help balance estrogen
Remains in the body longer
Can cause spasm of coronary arteries
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40. Stops the protective affects estrogen has on
the heart
May make the symptoms of progesterone loss
worse
Increases LDL
Decreases HDL
Protects only the uterus from cancer
Counteracts many of the positive effects of
estrogen on serotonin
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42. Helps balance estrogen
Leaves the body quickly
Improves sleep
Natural calming effect
Lowers high blood pressure
Helps the body use and eliminate fats
Lowers cholesterol
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43. May protect against breast cancer
Increases scalp hair
Helps balance fluids in the cells
Increases metabolic rate
Natural diuretic
Natural antidepressant
Is anti-inflammatory
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44. Stimulates the production
of new bone
Enhances the action of
thyroid hormones
Improves libido
Helps restore proper cell
oxygen levels
Induces conversion of E1
to the inactive E1S form
Promotes Th2 immunity
Is
neuroprotective, promotin
g myelination www.patientsmedical.com
45. Synthetic progestins increase Breast
Cancer Risk
Progesterone decreases Breast Cancer
Risk
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46. Increases fat storage
Elevates cortisol
Increases insulin resistance
Increases appetite and carbohydrate cravings
Relaxes the smooth muscles of the gut (This
can cause bloating, fullness, and constipation.
It can also contribute to gallstones.)
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47. Testosterone is needed for a sense of well
being
Strength especially upper body
Libido
Usually decreased in peri-menopausal and
menopausal women
Body composition
Bone density
DHEA can increase Testosterone in women
but not in men
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48. Increases sexual interest
Increases sense of emotional
well-being
Increases muscle mass and
strength
Helps maintain memory
Helps skin from sagging
Decreases excess body fat
Helps maintain bone
strength
Elevates norepinephrine in
the brain (tricyclic affect)
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51. Testosterone replacement P.O. or transdermally.
Use the bio-identical form. Methyltestosterone has
been associated with an increase in liver cancer.
If used transdermally must rotate sites.
In order for testosterone to work well, estradiol must
also be optimized.
Without enough estrogen, testosterone cannot
attach to brain receptors.
If testosterone is given alone it can increase plaque
formation.
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52. Decrease calorie intake
Increase protein in the diet
Take the amino acids
arginine, leucine, glutamine
Exercise
Get enough sleep
Lose weight
Reduce stress
Take zinc if deficient (Zinc is
needed for the metabolism of
testosterone.) www.patientsmedical.com
53. When used in conjunction with BHRT there is
even a lower incidence of breast cancer
compared to HRT alone.
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54. Seen every 3 months or sooner if needed
Labs every 3 months initially and as needed
depending on where patient is in life
May take up to 6 months to get full benefit
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64. To get more information or to schedule an
appointment,
call 212-679-9667 or
email media@patientsmedical.com
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Hinweis der Redaktion
Good Evening, My name is VivianDeNise. And before we begin I would like to give you some background on myself. Before I became knowledgeable in the Integrative field my first love has been pediatrics which I have been practicing for 25 years. During this time I have never been comfortable with the treatment of ADHD. So much so I would not prescribe the medications. I have seen many children on multiple medications often begging their parents to stop them because of how these meds made them feel. I knew all along there had to be a better way, I always felt treatment should address the cause and not just the symptoms. I would like to share what I have discovered with you today.