Inquiring women want t? know
H?w ?ft?n ?? ??? walk ?nt? ???r doctor?s office w?th a list ?f pressing health q???t??n?, ?n?? t? forget th?m ?? soon ?? ??? ??t ?n th? gown? W? ??n relate. S? w? connected w?th Harvard-trained integrative physician Sara Gottfried t? ??t th? ?n?w?r? t? th? m??t common women?s health q???t??n? ? n? office visit required.
C?n I really ??t a genetic test th?t ??n determine wh? I ?m overweight ?r h??? t?rr?b?? mood swings? If ??, ?h???? I ??t ?t?
Dr. Sara Gottfried: Yes! Although genetics ?r? n?t 100 percent ?f th? ?t?r?, th?? ?ft?n determine whether ??? ?r? eating th? r??ht foods, taking th? best supplements ?n? choosing th? ideal strategy t? optimize ???r mood. Y??r genes ?r? inherited fr?m ???r parents, ?n? 50 t? 80 percent ?f h?w th? genes ?r? expressed ?? determined b? h?w ??? eat, m???, supplement, sleep ?n? th?nk. In m? integrative medicine practice, I find th?t people wh? struggle w?th th??r weight ?? better ?n a genotype-appropriate diet, ?n? ?n fact, Stanford University proved th?t people wh? follow a genotype-appropriate diet (based ?n ?b??t 200 genes), lose double th? weight over one year compared w?th a control group th?t followed a one-size-fits-??? diet.
I?m exhausted ??? th? time b?t ??n?t seem t? ??t enough rest. I?ve heard ?f adrenal fatigue. I? th?t f?r real?
Dr. Sara Gottfried: Many women h??? issues w?th adrenal fatigue ?n? don?t realize ?t. I happen t? believe th?t ?t?s underdiagnosed ?n th? conventional medical world (?n? treated wrongly w?th antidepressants ?n? sleeping pills) ?n? overdiagnosed ?n th? alternative medicine world. I ??k? t? diagnose ?t accurately based ?n ??th?r blood ?r saliva tests f?r cortisol ?n? DHEA, th? main stress hormones. Adrenal fatigue ?? f?r real ? I?ve h?? ?t myself! Back ?n 1999, I w?? a working mom ?n? burning th? candle ?t both ends. I w?? a textbook example, w?th sky-high cortisol m??t ?f th? day, a muffin top, sugar cravings, prediabetes ?n? crankiness. Once I figured ?t out, ?t took m? three months t? fix m? ?wn adrenal fatigue ?n? now I ?m committed t? helping women heal th?? swiftly. A? th?? ???, m? mess became m? message!
I?ve suffered fr?m severe PMS f?r years ?n? ?t?s getting worse. Ar? th?r? natural ways f?r m? t? ??t ?t under control?
Dr. Sara Gottfried: I recommend three natural solutions. Try vitamin B6, especially ?f ????re genetically susceptible t? PMS, chasteberry ?n? St. John?s wort.
M? doctor t??? m? I h??? thinning bones (osteopenia) b?t I h??? concerns ?b??t taking calcium supplements. Wh?t ?r? ???r bone-strengthening recommendations ?n light ?f n?w research ?n calcium supplements being linked t? heart attacks?
Dr. Sara Gottfried: Aft?r much research ?n? immersion ?n th? data ?f bones, I now believe bone loss ?? a problem ?f hormone imbalance ?n? nutritional neglect. C?rt??n??, osteoporosis ?? a problem ?f hormonal imbalance, plus a few immune issues thrown ?n f?r ???? measure. P?t another way, bone loss ?? a message fr?m th? body th?t something needs t? shift. S?n?? th? ?n?w?r t? whether ?r n?t a woman ?h???? take calcium supplements requires a lengthy conversation, I w??? share m? short ?n?w?r: G?t ???r blood tested ?n? m?k? sure ???r vitamin D level ?? ?n th? normal range, ?n? ??t calcium fr?m food sources.
I?ve read th?t th? stress hormone cortisol ??n cause weight gain ?n? mood swings. C?n cortisol really m?k? m? f?t ?n? ?n?r?? If ??, wh?t ??n I ???
Dr. Sara Gottfried: Cortisol ?? th? main hormone th?t helps ??? deal w?th threats ?n ???r life (such ?? a tiger chasing ???) ?n? h?? three main jobs. Cortisol w??? m?k? ???r blood sugar ?? up (?? ??? ??n r?n), raise ???r blood pressure (t? h??? ??? th?nk ?n? r?n ?t th? same time) ?n? moderate ???r immune system. Wh?n cortisol ?? chronically high, ?t m?k?? insulin rise, wh??h ?? a f?t-storage hormone th?t drives glucose ?nt? cells. High cortisol leads t? f?t deposits, mostly wh?r? ?t?s easy t? pick up th? f?t again ?n? convert ?nt? energy, wh??h ?? wh? cortisol leads t? increased belly f?t. In fact, f?t ?t ???r belly h?? four times th? number ?f cortisol receptors (??k? a lock th?t cortisol fits ?nt? ?? th? key) ?? f?t elsewhere. A? I ???t ??????n??, wh?n ????re under stress, adrenaline rises along w?th cortisol, b?t wh?n adrenaline b???n? t? drop ?n? cortisol stays high, ??? ??t th? ?cortisol switch.? It?s ??k? having a cup ?f coffee ? ??? feel ?r??t f?r ?b??t 20 minutes, ?n? th?n shaky ?n? irritable ?n? ?ft?n ?n?r?. Th? ?n??r ?n? ?th?r negative symptoms ?r? a result ?f high cortisol ?n? low adrenaline.
Monthly hormonal fluctuations ?r? driving m? crazy. Ar? th?r? dietary changes I ??n m?k? th?t w??? h??? balance m? hormones?
Dr. Sara Gottfried: I find th?t th? Paleo diet helps t? keep cortisol, estrogen, thyroid ?n? testosterone balanced ?n? wh?r? th?? need t? b? ?? th?t th?? ??n best support women. It doesn?t work f?r everyone ? f?r instance, women wh? ?r? programmed genetically t? eat a low-f?t diet don?t ?? well ?n ?t. B?t f?r women wh? struggle w?th th??r weight ?r ??nn?t afford genetic testing (th? test I ??? costs ?b??t $697), ?t?rt w?th a Paleo diet ???n.
Wh?t ?? ???r advice wh?n ?t comes t? hormone replacement therapy ? take ?t ?r leave ?t?
Dr. Sara Gottfried: Many women suffer through th? symptoms ?f perimenopause, fr?m night sweats ?n? disrupted sleep t? intrusive hot flashes ?n? brain fog. Moods m?? dramatically worsen ?r anxiety m?? surface. PMS m?? become ?n order ?f magnitude more intense. R?th?r th?n presenting th? view th?t hormones ?r? b?? ? th? black/white ?r polarized thinking th?t dominates th? media ?n? traditional medicine ? I prefer t? present women w?th options. I ??k th?m ?f th?? want t? try chaste tree Vitex, ?n herb f?r PMS proven ?n several randomized trials, ?r something ????.
M? work ?n? family schedule ?? k????n? m? sex drive. Wh?t ??n I ?? t? lift m? libido?
Dr. Sara Gottfried: Stress itself ?? n?t b?? f?r sex drive ? unless ??? feel persistently overwhelmed ?n? ??? rarely ??t out ?f th? ?alarm? mode. If ??? perceive th?t ????re perpetually stressed (?n? perception matters far more th?n actual stress), ????ll m?k? t?? many stress hormones such ?? cortisol. Th?? zaps ???r libido ?n? h???? brain chemicals, ?n? ?t m?k?? ???r blood sugar rise. Result? Th? dreaded muffin top ?? well ?? sex being th? last thing ?n ???r mind.
G??? news! Reclaiming ???r libido ?? easier th?n ?t m??ht seem wh?n ????re overwhelmed. Believe ?t ?r n?t, a lingering hug ?n? kiss, ?n? even better, a toe-curling orgasm, reverses th? ??m??? fr?m stress hormones. Orgasm raises oxytocin, wh??h lowers cortisol, th? main stress hormone. Managing stress more skillfully ???? helps ??? ??t ???r sex drive back t? normal, [using stress-reduction methods] such ?? yoga, meditation, whole foods th?t stabilize blood sugar, targeted exercise, even eating a square ?f ??rk chocolate very slowly ?n? mindfully. I?m a h??? fan ?f leveraging tumescence ? wh?r? ??? build ?n? store sexual energy b?t don?t release ?t quickly (wh??h ?? th? tendency ?n ??r h?rr?-up world). Tumescence really fills th? energy tank f?r women!
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