Are you one of the many people in Palm Beach Shores 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 Palm Beach Shores 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.
Hormone Imbalance in Women
There's a growing interest in testosterone hormone replacement for treating symptoms related to aging. You've probably seen advertisements of virile, muscle bound men in their 60's and 70's.
Along with the growing interest there's also a growing amount of information. But much of it is anecdotal stories, misleading data and flat out, unproven myths. Especially as it relates to testosterone replacement therapy for women.
The fact is that medically administered, testosterone therapy is also used to successfully treat symptoms of hormone deficiency in pre and postmenopausal women. And two physicians-Dr. Rebecca Glaser and Dr. Constantine Dimitrakakis-are dispelling the misinformation about it through scientific research.
Dr. Glaser and Dr. Dimitrakakis focus on subcutaneously implanted, bio-identical hormones (human identical molecule) and not oral, synthetic androgens or anabolic steroids.
With that in mind, here are the 10 myths of testosterone replacement therapy for women.
Myth #1: Testosterone is a "male" hormone
Although men have a higher circulating level of testosterone than women, from a biological perspective, men and women are genetically similar. Both sexes include functional estrogen and androgen (testosterone) receptors. And while estrogen is popularly considered the primary female hormone, throughout a woman's lifespan, testosterone is actually the most abundant, biologically active hormone with significantly higher levels than estradiol. And as early as 1937, testosterone therapy was reported to effectively treat symptoms of the menopause.
Myth #2: Its only role in women is sex drive and libido
There's a lot of hype about testosterone's role in sexual function. But in reality, it's a fraction of the overall physiologic effect testosterone plays in women. That's because testosterone governs the health of almost all tissues including the breast, heart, blood vessels, gastrointestinal tract, lung, brain, spinal cord, peripheral nerves, bladder, uterus, ovaries, endocrine glands, vaginal tissue, skin, bone, bone marrow, synovium, muscle and adipose tissue.
The function of these tissues declines as testosterone declines. The result of this deficiency in both men and women includes dysphoric mood (anxiety, irritability, depression), lack of well-being, physical fatigue, bone loss, muscle loss, changes in cognition, memory loss, insomnia, hot flashes, rheumatoid complaints, pain, breast pain, urinary complaints, incontinence as well as sexual dysfunction. And just like for men, these symptoms are successfully treated in women through testosterone therapy.
Myth #3: It masculinizes females
Testosterone therapy has been safely and successfully administered in women for over 76 years. Rather than decrease a woman's femininity it increases it. Testosterone stimulates ovulation, increases fertility and safely treats the nausea of early pregnancy without adverse effects.
Sure, large doses of supra-pharmacological synthetic testosterone are used to treat female to male transgender patients to increase male traits like body hair. But this requires high doses over an extended period of time. Even then, true masculinization is still not possible. And these effects are reversible by simply lowering the dosage.
Myth #4: It causes hoarseness and voice changes
Hoarseness is most commonly caused by inflammation due to allergies, infectious or chemical laryngitis, reflux esophagitis, voice over-use, mucosal tears, medications and vocal cord polyps. Testosterone possesses anti-inflammatory properties. There is no evidence that testosterone causes hoarseness and there is no physiological mechanism that allows testosterone to do so.
Although a few anecdotal case reports and small questionnaire studies have reported an association between 400 and 800 mg/d of danazol and self-reported, subjective voice 'changes' an objective study demonstrated the opposite.
Twenty-four patients received 600 mg of danazol (synthetic testosterone) therapy daily and were studied for 3 and 6 months. There were no vocal changes that could be attributed to the androgenic properties of danazol. These conclusions are consistent with a one year study examining voice changes on pharmaco-logic doses of subcutaneous testosterone implant therapy in women by Glaser and Dimitrakakis.
Myth #5: It causes hair loss
Hair loss is a complicated, genetically determined process and there is no evidence that either testosterone or testosterone therapy cause it. In fact, from a medical perspective, dihy-drotestosterone (DHT), not testosterone, is considered the active androgen in male pattern balding.
There are many factors associated with hair loss. For example, it's common in both women and men with insulin resistance. Insulin resistance increases 5-alpha reductase, which increases conversion of testosterone to dihy-drotestosterone in the hair follicle.
In addition, obesity, age, alcohol, medications and sedentary lifestyle increase aromatase activity, which lowers testosterone and raises estradiol. Increased DHT, lowered testosterone, and elevated estradiol levels can contribute to hair loss in genetically predisposed men and women. But so can medications, stress and nutritional deficiencies.
In studies conducted by Glaser and Dimitrakakis, two thirds of women treated with subcutaneous testosterone implants have scalp hair re-growth on therapy. Women who did not re-grow hair were more likely to be hypo or hyperthyroid, iron deficient or have elevated body mass index. And none of the 285 patients treated for up to 56 months with subcutaneous T therapy complained of hair loss.
Myth #6: It has adverse effects on the heart
On the contrary, there is overwhelming biological and clinical evidence that testosterone promotes a healthy heart. Testosterone has a beneficial effect on lean body mass, glucose metabolism and lipid profiles in men and women. It is successfully used to treat and prevent cardiovascular disease and diabetes.
Testosterone also widens blood vessels in both sexes, has immune-modulating properties that inhibit plaque and strengthens the cardiac muscle. It improves functional capacity, insulin resistance and muscle strength in both men and women with congestive heart failure.
Myth #7: It causes liver damage
High doses of oral, synthetic androgens (e.g., methyl-testosterone) pass through the digestive system, are absorbed into the entero-hepatic circulation and can adversely affect the liver. But subcutaneous implants and topical patches avoid the entero-hepatic circulation and bypass the liver. So there is no adverse effect on the liver, liver enzymes or clotting factors.
Furthermore, non-oral testosterone does not increase the risk of deep venous thrombosis or pulmonary embolism like oral estrogens, androgens and synthetic progestins. And despite the concern over liver toxicities with anabolic steroids and oral synthetic androgens, there are only 3 reports of hepa-tocellular carcinoma in men treated with high doses of oral synthetic methyl testosterone. Even the report of benign tumors (adenomas) with oral androgen therapy is exceedingly rare.
Myth #8: It causes aggression
Although anabolic steroids can increase aggression and rage, this does not occur with testosterone therapy. Even supra-pharmacologic doses of intramuscular testosterone undecanoate do not increase aggressive behavior. But as stated before, testosterone can aromatize to estradiol. And there is considerable evidence among species, that estrogens, not testosterone, play a major role in aggression and hostility.
However, in studies conducted by Glaser and Dimitrakakis, over 90% of women treated with subcutaneous testosterone therapy have documented decreased aggression, irritability and anxiety. And this is not a new finding. Androgen therapy has been used to treat PMS for over 60 years.
Myth #9: It may increase the risk of breast cancer
It was recognized as early as 1937 that breast cancer was an estrogen sensitive cancer and that testosterone acted as a counter balance to estrogen. Clinical trials in primates and humans have confirmed that testosterone has a beneficial effect on breast tissue by decreasing breast proliferation and preventing stimulation from estradiol.
However, some epidemiological studies have reported an association between elevated androgens and breast cancer. But these studies suffer from methodological limitations, and more importantly, do not account for associated elevated estradiol levels and increased body mass index. And the cause and effect interpretation of these studies conflicts with the known biological effect of testosterone.
Although testosterone is breast protective, it can aromatize to estradiol and have a secondary, stimulatory effect on the estrogen receptor. But when testosterone is combined with an aromatase inhibitor in a subcutaneous implant, it blocks testosterone from aromatizing.
This form of treatment has been shown to effectively treat androgen deficiency symptoms in breast cancer survivors and is currently being evaluated in a U.S. national cancer study. In addition, Dimitrakakis and Glaser see a reduced incidence of breast cancer in women treated with testosterone or testosterone with anastrozole implants.
Myth #10: The safety of testosterone use in women has not been established
Testosterone implants have been used safely in women since 1938. Any real concerns would be well established by now.
Long-term data exists on the successful and safe use of testosterone in doses of up to 225 mg in up to 40 years of therapy. In addition, long term follow up studies on supra-pharmacologic doses used to 'female to male' transgender patients report no increase in mortality, breast cancer, vascular disease or other major health problems.
Many of the side effects and safety concerns attributed to testosterone are from oral formulations, or are secondary to increased aromatase activity due to elevated estradiol. This effect increases with age, obesity, alcohol intake, insulin resistance, breast cancer, medications, drugs, processed diet and sedentary lifestyle. Although often overlooked or not addressed in clinical studies, monitoring aromatase activity and symptoms of elevated estradiol is critical to the safe use of testosterone in both sexes.
Adequate testosterone is essential for physical, mental and emotional health in both sexes. Abandoning myths, misconceptions and unfounded concerns about testosterone and testosterone therapy in women allows physicians to provide evidence based recommendations and appropriate therapy
Weight Loss Consequences, Physical or Emotional?
Breast Cancer is the cancer that develops in the breast tissues mostly in the inner lining of milk ducts or in the lobules which supply milk to the ducts. Depending on the place of origination, they are known as ductal carcinoma, if originated in the milk ducts or lobular carcinoma when originated in the lobules. Breast cancers are also classified as hormone-positive or a hormone-negative cancer which is decided based on their sensitivity to hormones like progesterone and estrogen.
The options available for breast cancer treatment depend on the type of breast cancer and the staging results. Staging is the process in which the disease spread and its progressive extend is determined. Though it is the most common non-skin type of cancer in women and is considered one of the fatal types of cancer, there are many advanced breast cancer treatment options which can help cure this disease if detected early.
Breast Cancer Treatment Plan
Once the cancer has been diagnosed, the doctors evaluate the pathology report and form a plan that would suit the type of cancer and the stage to which the disease has progressed. Treatment modes aim at reducing the spread of the disease, destruction of the diseased cells and reduction of chances for re-occurrence in future. The doctors would choose a single or a set of treatment options based on the patient's medical conditions which they may evaluate periodically.
Types of Breast cancer treatment methods
The treatments available are in general classified as standard methods and clinical trial methods. Standard methods are those that are currently practised for the cure of breast cancer while clinical trials are those that are currently being tested for more efficient results. The standard methods of breast cancer treatment include surgery, hormone therapy, chemotherapy, radiation treatments and targeted therapy.
Surgical method of Breast Cancer Treatment
Surgery is one potential option for removing the cancerous cells from the body. The entire breast or a partial portion of the breast is removed depending on the level of spread and the stage to which the disease has progressed. Based on the level of operation that is required to remove the cancerous cells, the surgeries are differentiated into three types as below.
* Breast-conserving Surgery - This is an operation where only the portion of the breast that contains the cancer is removed and not the breast itself. If the surgery requires removal of just the tumor in the breast and a little amount of tissue, it is known as Lumpectomy or is known as Partial mastectomy if it includes removal of partial amount of the breast along with a considerable amount of normal tissues. These kinds of surgeries may also include removal of lymph nodes under the arm which are used for the purpose of biopsy. Such dissection done either along with the surgery or after it is known as lymph node dissection.
* Total Mastectomy - This kind of surgery targets on removing the whole breast which is infected with the cancerous cells. This also requires removal of lymph nodes for the purpose of biopsy.
* Modified radical Mastectomy - This is the surgery that removes extensive portions to get rid of the cancerous cells. The complete breast affected by cancer along with certain lymph nodes under the arm and the chest muscle lining is removed by this process of surgery. In certain cases, even part of the chest wall muscles that are affected are removed by this surgery.
* Radical Mastectomy - This surgery removes the complete breast, chest wall muscles and all the lymph nodes under the arm. This kind of surgery for breast cancer treatment is also known as Halsted radical mastectomy.
These surgeries can also be followed by other modes of breast cancer treatment methods like chemotherapy, hormone therapy or radiation therapy to kill any presence of cancer cells. Such kinds of treatment that helps in prevention of cancer re-occurrence is known as adjuvant therapy. Some patients can also consider the option of breast implants to rebuild the removed breast shape after a mastectomy.
This kind of treatment helps in killing the cancerous cells or prevents them from growing by means of internal administration of drugs. The way of drug administration can be either through the blood stream that spreads throughout the body which is known as systematic chemotherapy or is placed directly in the cerebrospinal fluid or any specific organ which is known as regional chemotherapy.
This kind of breast cancer treatment includes the introduction of substances that negate the effect of hormones which induce cancerous growth. Estrogen has been known to induce the growth of breast cancer in certain cases. One of the treatment methods includes prevention of ovaries from secreting the hormone estrogen and such a method is known as ovarian ablation. The hormonal therapy includes the usage of aromatase inhibitor which decreases the estrogen secretion in the body. Aromatase inhibitors are given for hormone-dependent breast cancer patients who are in postmenopausal stage while tamoxifen is used in cases of metastatic breast cancer. Aromatase inhibitors are also in general used as a means of adjuvant therapy after continued use of tamoxifen for two years or more.
High energy x-rays are in general used as an alternative for drugs to kill the cancer cells and prevent them from growing.
Another type of treatment that helps in destroying the cancer cells without any harm to the normal cells is called targeted therapy. The targeted therapies used in breast cancer treatment are in general of two types, Monoclonal antibodies and Tyrosine kinase inhibitors.
* Monoclonal Antibodies - These kinds of substances are antibodies that are made from a single type of immune system cell which has the potential to identify and destroy cancer cells. They are also sometimes used to carry toxins or drugs to the cancer cells to bring in effective destruction of the cells. Trastuzumab is a monoclonal antibody that is used in treating patients of breast cancer. This method can be clubbed along with chemotherapy as a means of adjuvant therapy.
* Tyrosine Kinase inhibitors - These drugs block signals that are needed for tumor growth and are in general used in combination with other anti-cancer drugs. Lapatjnib is one such inhibitor which helps block the HER2 protein inside the tumor cells and is used effectively for treatment of HER2- positive breast cancer patients.
Menopause Treatment Options
What is the underlying cause of impotence, depression, fatigue, excess body fat and osteoporosis in an estimated four million American men? Low Testosterone.
Natural supplements can be an alternative to creams, gels and patches. Dietary changes are slower but have less side effects.
For men, testosterone and DHEA ( a precursor hormone for testosterone) diminish after the age of 40. Actually the peak age is 17 and then production slowly falls off for the rest of your life. It does not become noticeable until around 40 plus.
Your doctor can perform a simple test to measure your testosterone. Normal levels range from 300 to 1,000 ng/dl.
Talk to him - you may be able to get some changes going using what nature has provided.
Traditionally Asia's most prized herb for hundreds of years is Ginseng root. Most of North America's crop of ginseng is mainly shipped to China. Ginseng is supposed to increase blood flow.
Sarsaparill contains a testosterone-like substance. Most main stream physicians will tell you that it has no effect.
Saw Palmetto at 120-360 mg daily is supposed to reduce the conversion of testosterone to estrogen. (see Low Testosterone)
Diet and Testosterone
Adjust your diet to make sure you get the good stuff. Zinc, Manganese and Niacin (B3) are absolutely essential. Add pumpkin seeds or sunflower seeds.
Milk Thistle is a good source of zinc and is very helpful to your liver.
Niacin is found in beef liver and brewer's yeast. If you go the beef liver route be sure it is grass fed beef. Use caution in supplements as Niacin (B3) in amounts over 500 mg may cause liver damage.
Of course, if you already have diabetes, glaucoma, gout, ulcers or any liver disease you must consult your physician before adding additional B3 supplements to your diet.
The FDA and traditionally physicians do not believe that DHEA supplements taken orally do any good. That being said, the suggested way to take DHEA is 2 weeks, discontinue for 2 weeks and then repeat. Taking this supplement daily continually is detrimental.
If you have read about Yohimbe and are tempted - use caution. This herb has been associated with panic attacks, hallucinations, elevated blood pressure, headaches and dizziness. It is also bad for the kidneys.
Flavonoids (whole grains, legumes, fruits, and vegetables) are protective in coronary heart disease, stroke and cancer. Research is being done to determine if one flavonoid, chrysin, found in high concentrations in honey could inhibit the aromatase action that turns testosterone into estrogen. If it does work, that would increase the level of testosterone. If it doesn't work, at least you are doing good things for your heart.
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Palm Beach Shores, Florida
The town occupies the southern tip of Singer Island. It borders the City of Riviera Beach on the north, the Atlantic Ocean on the east and Lake Worth Lagoon on the west. On the south, the Palm Beach Inlet separates it from the town of Palm Beach. Florida's easternmost point is in Palm Beach Shores. The town contains many mid-century homes, many of which have been restored or are being restored, giving the town the charming character of "a slice of old Florida".
According to the United States Census Bureau, the town has a total area of 0.4 square miles (1.0 km2). 0.2 square miles (0.52 km2) of it is land and 0.1 square miles (0.26 km2) of it (34.21%) is water.
As of the census of 2000, there were 1,269 people, 697 households, and 322 families residing in the town. The population density was 5,010.5 inhabitants per square mile (1,959.9/km²). There were 1,171 housing units at an average density of 4,623.6 per square mile (1,808.5/km²). The racial makeup of the town was 89.13% White (of which 88% were Non-Hispanic Whites,) 9.06% African American, 0.08% Native American, 0.47% Asian, 0.08% Pacific Islander, 0.39% from other races, and 0.79% from two or more races. Hispanic or Latino of any race were 2.13% of the population.