Testosterone Replacement Therapy in West Palm Beach

Are you one of the many people in West Palm Beach who are burning the candle at both ends and maybe only getting 4 or 5 hours of sleep a night? Are you also one of those guys having problems with his sex drive and feeling out of sorts? Well, recent studies done in West Palm Beach in the last 3 years show that these symptoms could all be due to the effect of sleep on testosterone – just how, though, may be a chicken and egg question!

While it’s true that lower testosterone levels can be the cause of a sluggish sex drive and irritability it seems to be a matter of research opinion whether low sleep levels cause low testosterone or low testosterone causes lack of sleep.

Weight Loss Consequences, Physical or Emotional?

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Theoretically,  menopause is not a disease.  Therefore, there is no cure.  Many women opt to forgo any treatment at all, and simply tolerate many of the symptoms associated with this normal transition.  However, for those women whose symptoms are so severe as to interfere with their quality of life, there are many options at their disposal.

Remedies may be implemented by the woman herself for the conditions associated with menopause.  For example,

Hot flashes: Several nonprescription treatments are available, and lifestyle choices can help.

  • Many women feel that regular aerobic exercise can help reduce hot flashes
  • Foods that may trigger hot flashes, such as spicy foods, caffeine, and alcohol, should be avoided.
Heart disease: A low-fat, low-cholesterol diet helps to reduce the risk of heart disease.

Weight gain: Regular exercise is helpful in controlling weight.

Osteoporosis: Adequate calcium intake and weight-bearing exercise are important. Strength training (lifting weights or using exercise bands in resistance training) can strengthen bones.

Certain medications are beneficial in reducing many of the signs and symptoms of menopause.

Hormone Replacement Therapy

  • estrogen or a combination of estrogen and progestin
  • treats hot flashes
  • reduce fracture risk by building bone mass
  • improve cholesterol levels
  • decrease vaginal dryness
  • estrogen and progestin combination associated with increased risk of heart attack, stroke, and breast cancer
  • estrogen alone associated with increased risk of endometrial cancer
  • increased risk of gallstones and blood clots
Selective Serotonin Reuptake Inhibitors (SSRIs)
  • normally used for depression and anxiety
  • effective in reducing hot flashes
Clonidine (Catapres)
  • used to lower blood pressure
  • effective in reducing hot flashes
Gabapentin (Neurontin)
  • primarily used for treating seizures
  • used to treat hot flashes
Megestrol (Megace)
  • short-term relief of hot flashes
  • not recommended as first-line drug
Medroxyprogesterone (Depo-Provera)
  • injectable
  • sometimes effective in treating hot flashes
  • may cause weight gain and bone loss
Several medication options are available for the treatment of osteoporosis during menopause.  They include:
  • Aldenodrate (Fosamax)
  • Raloxifene (Evista)
  • Calcitonin (Calcimar or Miacalcin)
There are natural remedies on the market which report to reduce hot flashes.  However, for many, the clinical studies are conflicting and inconclusive.  These include:

Black Cohosh

  • herbal supplement
  • German studies recommend limiting its use to six months or less
  • not regulated by the Food and Drug Administration
  • side effects include nausea, vomiting,  dizziness, visual problems, slow heart beat, and excessive sweating
Plant Estrogens (Phytoestrogens)
  • soy is an example
  • safety of soy in women with breast cancer not established
Other Herbal Preparations - avoid or take under supervision of health care provider
  • dong quai
  • red clover
  • chaste-berry
  • yam cream
  • Chinese medicinal herbs
  • evening primrose oil
There are several treatment options available to help alleviate the symptoms of menopause.  These treatments should be individualized for each patient.  As many of these methods are not without risk, they should be implemented and monitored under the guidance of a physician.

Are Low T-Levels and Poor Sleep Related?

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For many women, the prospect of facing menopause brings great fear and apprehension. It is a time in life where reproduction ends, and for some women, leaves them with no way of identifying what their future life's purpose will be. Many women recall with not so fond memories the experiences of their mothers and grandmothers as they faced menopause with few of the hormone replacement help methods, which are available to females today. We have all heard the horror stories of hormone imbalance: night sweats, mood swings, etc. and are certainly not looking forward to the time when we too will be facing these unpleasant hormone deficiency side effects that often go hand in hand with perimenopause and menopause.

However, countless women today are seeking new ways to cope with the unpleasant hormonal changes, which so often accompany the onset of menopause. In the past, women have relied upon synthetic hormone replacement treatments which have been rather hit or miss in terms of their effectiveness. With the release of the Women's Health Initiative study, proving some synthetic hormones to be more harmful than good, women feared hormone replacement therapy all together. What most women didn't realize was that the WHI study neglected to disclose that their researchers did not use bio-identical hormones but only synthetic hormones. Although initial confusion about HRT was created, women are now searching for alternatives to hormone replacement and discovering a new safer solution which is bio-identical hormone replacement therapy or BHRT.

Although BHRT is an age old remedy, countless doctors and their patients are just learning of this option. If you are wondering why doctors are just learning of BHRT, there is a simple answer. Bio-identical hormones aren't patentable because they are in their natural form, thus pharmaceutical companies don't do studies on them. However, BHRT is in the forefront of anti-aging treatment and for many doctors the newest method for helping cure much that ails the menopausal woman. Different from conventional methods of hormone replacement therapy, which seeks to have women ingest synthetic or chemically altered versions of naturally occurring hormones, BHRT offers a more natural fit for the body. BHRT offers women plant based hormones that have the exact chemical and molecular structure as hormones that are produced in the human body. Unlike synthetic hormones, BHRT isn't alien to our body thus BHRT is received well with virtually no side effects.

BHRT is allowing many women to address the multiple concerns and health issues which rapidly face women who are actively going through the stages of menopause. The doses of BHRT are designed for each individual patient and are not a one-size fits all recipe. With bio-identical hormone replacement therapy, there is the recognition that each woman is different, therefore, her hormone treatment must be individualized to meet her very specific needs. Physicians who are advancing the use of bio-idientical hormone replacement therapies for their patients will first work with a woman to discover if she is actively in the perimenopause / menopause stage. Not only will the doctor need a complete physical history, but he or she will also need a patient's most up-to-date medical information which will in turn aid her in determining the specifics of each individual woman's case. At this point physicians who use bio-identical hormone replacement therapy will take blood, and from the blood results, can determine in which hormonal areas the female patient may be struggling.

Bio-identical hormone replacement therapy then calls for each hormone supplement to be compounded and dispensed in a manner which will be most effective in treating the specific hormone levels of the female patient involved. This type of customization of medicine ensures that an individual's specific concerns are addressed and that the menopause symptoms, the ones that are most bothersome to the patient, will be actively treated and brought under control.

There are many who are vocally singing the praises of BHRT. Numerous followers in the healthcare profession, particularly those who deal with women's health and their concerns, are ecstatic over these remarkable developments in the treatment of menopause. Many are finding their patients happier and healthier than they have seen them in years; furthermore, they like that bio-identical hormone replacement therapy has virtually no known side effects unlike synthetic hormones. BHRT seems to reduce the risks of blood clots and strokes, which can be so prevalent with the use of traditional hormone replacement therapy, and there are fewer concerns over cancer rates. Actually, in well known medical journals, researchers have reported that the bio-identical hormones, estrogen and testosterone, are not only safe but also have a positive impact on some diseases like osteoporosis and prostate cancer.

While many healthcare providers are still citing the lack of FDA approval, BHRT seems to be making quite a mark in the world of women's healthcare. For too long, women have been subjected to the toils and troubles that menopause can bring. With the advent of bio-identical hormone replacement therapy, the many concerns of patients and doctors are disappearing, as the hormone treatment continues to produce positive results and prove itself effective with even more patients. Numerous women are now able to approach this new stage of their lives feeling healthy and happy, ready to conquer the many unique and rewarding challenges and dreams that will come in the remainder of their adult life.

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It might be tempting to get a quick fix for hot flashes, but consider a different perimenopause treatment besides hormone replacement therapy (HRT). HRT may be inexpensive and easy, but its long-term risks outweigh the benefits - not to mention that it will likely further aggravate the symptoms of menopause! This outcome occurs because HRT causes estrogen dominance, a condition where there is far more estrogen than progesterone in the body. On the other hand, products that are natural for menopause-related symptoms will provide relief from your symptoms without causing estrogen dominance.

How is estrogen dominance related to traditional perimenopause treatments?
Estrogen dominance was a term coined by Dr. John Lee, the first doctor who published shocking findings on the dangers of HRT. His research was premised on the fact that a woman can experience serious health problems if she has normal or excessive estrogen, but little or no progesterone to balance out estrogen's effects on the body. Progesterone inhibits estrogen's effects on the body, e.g. when estrogen increases fat accumulation and weight gain, progesterone burns fat for energy. For these reasons, Dr. Lee suggested that giving progesterone supplements would benefit menopausal women more than estrogen-only HRT. However, his work was shunned by the medical community despite mounting evidence against HRT and the damage it causes. It's easy to see why - when Dr. Lee's research first came out in the 1980s, everyone was still caught up in the hype of estrogen HRT pushed by pharmaceutical companies.

Despite what you might be led to believe, HRT promotes unopposed estrogen. Women these days are very susceptible to becoming estrogen dominant, even when they are menopausal. The beauty products and cosmetics we use are laden with xenoestrogenic preservatives - manmade chemicals that behave like estrogen when they enter the body. Cows and chickens are also fed estrogen so they can grow and fatten up faster. On the other hand, we aren't exposed to the same levels of progesterone. Taking HRT will only skew the balance of estrogen and progesterone, causing estrogen dominance and increasing the risks of various health problems.

Risks of estrogen dominance caused by medications for perimenopause
Below are just some of the risks faced by menopausal women when they take HRT.

Increased menopause symptoms
While restoring your estrogen levels might reduce hot flashes initially, it may also cause increased weight gain, poor sleep patterns, headache, anxiety, and depression if left unopposed.

Fibrocystic breasts and breast cancer
Researchers from Harvard University discovered that the longer your exposure to estrogens, the greater your risk of fibrocystic breasts (breast cysts) and breast cancer. In their Nurses' Health Study, a study that tracked the health of 70,000 women for almost 20 years, they discovered that menopausal women who used estrogen had a 30% increased risk for breast cancer than women who didn't take HRT. The risk for breast cancer was 40% more among women who took estrogen and progestin (a manmade progesterone). Those who were taking HRT for over five years had an elevated risk that increased with their age. The Nurses' Health Study supports early evidence that HRT plays a significant role in the onset of breast cancer, even if progestin is added to balance out the estrogen.

Blood clots
Studies show that an increased risk of blood clots among menopausal women is triggered by two things: cigarette smoking and the use of synthetic estrogens.

Gallstones and liver problems
If you have a liver disorder, then you should definitely avoid HRT; estrogen affects the function of the liver enzymes. Research shows that women taking HRT have twice the risk of developing gallstones that require surgical removal.

Uterine cancer
Four to eight out of every one thousand menopausal women will develop uterine cancer because of HRT. Although the risk of uterine cancer is decreased when progestin is added, research shows that progestin will place you at risk for breast cancer. Other risk factors like cigarette smoking, a family history of uterine cancer, and abnormal uterine bleeding will also increase the likelihood of HRT-related uterine cancer despite the presence of progestin.
Unlike the symptoms of menopause, which are temporary, the side effects of HRT may last a lifetime. Avoid these risks and consider making lifestyle changes or using natural progesterone or phytoestrogens (plant estrogens) for perimenopause and menopause relief.

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West Palm Beach, Florida

West Palm Beach is a city in and the county seat of Palm Beach County, Florida, United States.[6] It is located immediately to the west of the adjacent Palm Beach, and is one of the three main cities in South Florida. The population was 100,343 (revised) at the 2010 census. The University of Florida Bureau of Economic and Business Research (BEBR) estimates a 2016 population of 108,896, a 7.9% increase from 2010. It is the oldest municipality in the Miami metropolitan area, having been incorporated as a city two years before Miami in November 1894. Although West Palm Beach is located approximately 68 miles (109 km) north of Downtown Miami, it is still considered a principal city within the Miami metropolitan area, due to the solid urbanization between both cities. The estimated population of the Miami metropolitan area, which includes all of Palm Beach County, was 6,012,331 people at the 2015 census.

The beginning of the historic period in south Florida is marked by Juan Ponce de León's first contact with native people in 1513. Europeans found a thriving native population, which they categorized into separate tribes: the Mayaimi in the Lake Okeechobee Basin and the Jaega and Ais people in the East Okeechobee area and on the east coast north of the Tequesta. When the Spanish arrived, there were perhaps about 20,000 Native Americans in south Florida. By 1763, when the English gained control of Florida, the native peoples had all but been wiped out through war, enslavement, or European diseases.[7]

Other native peoples from Alabama and Georgia moved into Florida in the early 18th century. They were of varied ancestry, but Europeans called them all "Creeks." In Florida, they were known as the Seminole and Miccosukee Indians. The Seminoles clashed with American settlers over land and over escaped slaves who found refuge among them. They resisted the government's efforts to move them to the Indian Territory west of the Mississippi. Between 1818 and 1858, three wars were fought between Seminoles and the United States government. By 1858, there were very few Seminoles remaining in Florida.[8]


Testosterone Replacement Therapy in Palm Beach