Hormonal Weight Gain – Why You Need Bioidentical Hormones

This is the story of my patient Patty. When she first came to see me she was 53 and had gained 20 lbs over the previous two years without eating any more or exercising any less. Besides the weight gain, she was also suffering from other significant menopausal symptoms, including hot flashes 2-3 times per day and one time at night (low Estriol), vaginal dryness (low Estriol), which made intercourse painful and she had absolutely no sex drive (low Testosterone).

Patty had started putting on weight several months before she stopped having periods. She was anxious and felt a sense of tension in her tummy most of the time. She was apathetic and depressed and felt a total lack of joy. She hardly recognized herself anymore and felt nearly hopeless.

In my more than 30 years of medical practice in Scottsdale, as a bioidentical hormone doctor, I have seen thousands of women experiencing similar symptoms and thanks to natural, bioidentical hormone therapy, they can quickly get back into the best shape of their life, feel fantastic again and reduce their risks of serious illness, including osteoporosis, breast cancer, and heart disease.

 

Video Player
 
 
 
 

Dr. Hansen YLAZ Jan 2016

Patty’s First Office Visit

On Patty’s first visit I spent an hour listening to her history and symptoms. I told her that her symptoms were not uncommon, and that she should not despair because I had treated thousands of women with similar stories over my 30 years as a physician. 

As a Naturopathic Physician, I look at the whole person and actually want to hear all of the patient’s symptoms.  Symptoms are the way the body speaks to us. Every symptom is like a piece of a 1000 piece puzzle. Each one helps me see the whole picture more clearly so that I can determine what hormones, glands and body systems are out of balance. Once I see the whole picture I can order the appropriate tests and prescribe the appropriate combination of nutritional building blocks and Bio-Identical Hormones to restore optimum metabolic function and a vibrant sense of health and well-being.

Patty's Symptoms

 

 

Medications: none; had previously taken  Zoloft (SSRI Anti-depressant) for 6 years

Female Symptoms: history of 2 C-Sections; no menses for last 18 months; Vaginal Dryness (due to low Estriol); Painful Intercourse (due to low Estriol); Zero Sex drive – No Sexual sensations (due to low Testosterone)

Mental: Depressed (due to low Testosterone, low Serotonin, and low Norepinephrine); Anxious, Moody and Irritable (due to low Progesterone and too much Estradiol – the cancer causing estrogen); Apathetic (due to low Serotonin, low Adrenalin and low Norepinephrine);

Metabolism: Fatigued due to poor sleep;

Sleep: disrupted 1-2 times/ night with hot flashes (due to low Estriol); dificulty falling asleep (Serotonin and or Melatonin deficiency); mind is overactive (GABA deficiency); wakes up frequently (Melatonin deficiency)

Musculoskeletal: generalized stiff, achy joints (due to low Testosterone, stress on sympathetic nervous system and low Progesterone, which is the hormone that is the building block of the body’s natural anti-inflammatory hormones cortisol and cortisone.)

Physical Exam: HR: 66; BP 140/82 (slightly elevated systolic Blood Pressure due to stress and a deficiency of Progesterone, which calms the nervous system); height: 5’4 ½”; weight: 210 lbs (due to low Testosterone needed to maintain muscles where fat is burned; with muscle atrophy that occurs with age, the ability to burn fat decreases and it accumulates, especially in the abdomen); Patty’s BMI is 36.1, which puts her in the “Obese” category. She should only way about 125 lbs for her height.

Note: Patty is a typical example of menopausal hormone imbalance. The good news is that we can test her hormone levels individually and create a specific and individualized plan just for her that will get her hormones back in balance so that she doesn’t have to suffer. Correcting her hormone balance now will stop the weight gain, correct the erratic emotions and uncomfortable physical symptoms of menopause, including the hot flashes, vaginal dryness, painful intercourse and low sex drive. For a more detailed description of each hormone and hormone testing, see my article entitled “Balance Your Hormones, Balance Your life.”

Apple Shape

 

 

 

Pear ShapeInitial PRESCRIPTION:

Estriol 2mg, sub-lingual, once per day at bedtime (for hot flashes, vaginal dryness); Vaginal Estriol (E3) suppositories (2mg) for vaginal dryness: to insert one suppository into vagina once per night for 2 weeks; Progesterone 50mg, sub-lingual: once daily at bedtime (for anxiety, irritability, sleep and bone building); Testosterone 20mg injections once per week for 4 weeks (for low sex drive, sensitivity, energy and depression); Patty’s Testosterone level was so low I decided to give her Testosterone injections once per week for 4 weeks to jump start her energy, mood and sense of well-being; after 4 wks of Testosterone shots I will change the Rx to sublingual Testosterone;  Peak Advantage: 2 capsules 3 times per day (Multi-Vitamin for mood, energy, bones, etc.); Joint Repair: 2 caps twice daily (provides nature’s most potent source of OPC bioflavonoids and other herbs that stimulate and protect collagen and elastin needed for healthy  joints); 5HTP 100mg (to replenish her Serotonin to restore her joyfullness and help her make more Melatonin so she can fall asleep easily and get a deep restful sleep).

2 Week Follow-Up

Patty came back to review the result of her lab tests and to get a comprehensive and updated prescription based on her specific individual lab test results and her response to my initial prescription.

Since starting the Bio-Identical Hormone Therapy (BHRT) just two weeks ago Patty reports that her “hot flashes reduced to only 1 per day and none at night!” Her energy is better, but she is more anxious this week because her mother had a heart attack in the past week. (Patty got a 20mg intramuscular injection of Testosterone in the upper hip area on her first visit and a 2nd shot one week later. Today she will get her 3rd shot, then she will start taking Testosterone under the tongue once daily thereafter.)

Labs: Patty’s Initial Lab Tests

Patty's Hormone Labs

 

 

 

 

Two Week Follow-Up RX #1:

As you can see from Patty’s labs, her hormones were all quite low on her initial visit. I made the following changes based on her labs and symptomatic changes over the two week interval.  Estriol 2mg twice per day (although Patty’s night time hot flashes have resolved, she is still having daytime hot flashes, so she needs a 2nd dose in the morning); Progesterone 50 mg twice daily because her anxiety is so high right now (Progesterone is the natural anti-anxiety hormone, which activates GABA the calming neurohormone (Xanax and Ativan are anti-anxiety drugs that work by activating GABA); Cognition (contains 10mg Pregnenolone) 1 Cap twice daily to boost memory and cognitive function; Somatropin 10 drops once daily (to boost Growth Hormone levels); 3rd Testosterone injection (0.1cc = 20mg) today.

One Month Follow-Up Report

Now Patty reports that “she is much better. More energy, not as tired. Her back is no longer hurting. She is sleeping well. Her sex drive came back AND she lost 10 lbs. since her first visit, she is more upbeat and joyful! ” She is still having some anxiety, but it is manageable and she is generally feeling much better.

Now it was time to start Patty on the Vital Lifetime Diet. She came in every week to weigh in and get a shot of Vitamin B12 + 0.2cc HCG. She followed the 800 Calorie Plan and exercised 5 days per week in addition to taking her hormones and other supplements. Here are weight loss results.

Vital Lifetime Diet Results

WeekWeightWeight +/-
1210Start
2205-5
3200-5
42022
5197.75-4.25
6194.75-3
7189.5-5.25
8188-1.5
9185-3
10187.52.5
11182.75-4.75
12183.250.5
13180-3.25
14176-4
15173.5-2.5
161762.5
17170-6
181700
19169.5-0.5
20170.51
21168-2.5
22167.5-0.5
23168.51
24166.5-2
25165.25-1.25
261671.75
27166-1
281660

 

As you can see, Patty lost a total of 44lbs in 7 months. That’s an average of 1.5 lbs per week. As you can see she started off much faster, but is having difficulty losing the last 6 lbs to get her to her goal of 160. The last 5-10 lbs are always the most difficult. Its time to recheck her hormones again and re-evaluate. She has come a long way. She feels like a new person. She is joyful and full of energy and enthusiasm for life. I am confidant that she will reach her goal soon.

 Final Results

  1. No more Hot Flashes
  2. Joyful – No longer Depressed or Anxious
  3. Great Energy
  4. Joints almost no more pain
  5. Weight dropped from 210 to 166
Author
Dr. Clark H. Hansen Dr. Clark H. Hansen is a licensed Naturopathic Medical Doctor (N.M.D.) who has been in private practice in Scottsdale, Arizona, since 1986. He is the President and Medical Director of the Hansen Clinic of Natural Medicine, Aesthetics and Mesotherapy. Dr. Hansen is one of the most well respected Naturopathic Physicians in the country and a Diplomat of the World Society of Anti-Aging Medicine.

You Might Also Enjoy...

Stem Cell Therapy Overview - Regenerate a New You!

Stem Cells are the body's Restore or Replace secret weapon. They can change into any type of cell that the body needs to supplement, restore, reconstruct or replace damaged cells, including Joints, Bones, Heart, Muscle, Nerves, Organs & Skin.

Stem Cell Therapy for STROKE Recovery

Stem Cell Therapy for Strokes may revolutionize how we treat not only stroke, but traumatic brain injury and even neurodegenerative disorders. The notion that once the brain is injured, it doesn't recover, has now been proven false.

Top Ten Reasons NOT to have Total Knee Replacement Surgery

It is estimated that at least 27 million people are affected by arthritis in the US, with an estimated total annual cost of $89.1 billion dollars. If you are considering a $50,000 Total Knee Replacement Surgery don't do it without considering the risks.

Stem Cell Therapy for Rheumatoid Arthritis

Rheumatoid Arthritis is an auto-immune disease characterized by debilitating pain and joint destruction. Conventional drugs, including steroids, methotrexate and Humira cause serious long-term side effects. Stem Cells offer hope for joint regeneration.

Stem Cell Therapy for Lupus

Human Umbilical Cord Tissue is perhaps the greatest discovery and offers the highest hope for healing Systemic Lupus Erythematosus.

Stem Cell Therapy for COPD

Today more than 600 million people suffer from chronic obstructive pulmonary disease (COPD) worldwide. Although there is no cure for COPD, recent advancements in cellular therapy have made it possible to not only relieve symptoms, but to promote healing.