One of the most common complaints we see in both men and women is hair loss. This is a very complex issue with multiple potential causes. It is imperative that one’s hormones are balanced and continuously monitored. One of the most common hormones attributed to this problem is dht . This is basically a bi product of testosterone. In both men and women this hormone can be elevated and associated with the typical male pattern baldness that we think of as the natural aging process.
There are many tools available to us that will decrease dht. This can range from oral prescription drugs, to topical solutions or even specific supplement regimens.
It is also important that we balance ones stress hormone ,called cortisol ,as well as all of the other hormones. Thyroid disorder is often the culprit ,as well ,whether the levels are too high or low
We also check for food as well as the heavy metal burden to one’s system.
This is a complicated issue but there are quite a few treatments that offer good results to patients
We see so many people in the practice that complain about steeds and the effects it has on their life. I tell patients it really does not matter if it is good or bad it is still stress and will cause a change in their cortisol levels. Your body does not care that the cortisol became elevated because you just won the lottery or someone died in your family, it will still release cortisol.
The problems typically occur when the stress is not a short term issue. As you continue to release cortisol in excess over time, your brain basically will tell your adrenal glands to stop producing as much . We then see patients that are severely fatigued, have gained weight , and have very poor recovery mechanisms.
Through proper supplementation, rest, nutrition, stress management techniques, and bioidentical hormones, if needed, we can usually recover patients very well
I saw a patient today that complained of continuous hot flashes despite being on estrogen. After further discussion, she had a total hysterectomy 3 years prior and was subsequently placed on Premarin. She kept going back to her Doctor, who in turn, continued to raise her dose of estrogen without improvement. She then came to us for an evaluation.
After an evaluation offer saliva for hormones and cortisol, it was determined that she had a very high cortisol level and of course high estradiol levels and low testosterone and progesterone. It turns out that she had significant stressors in her life and her diet was very carbohydrate laden.
We put her on topical bioidentical estradiol/estriol ,oral progesterone, calming cortisol herbs ,and cleaned up her diet. Within 2 weeks she was greatly improved.
This is the presentation of a very common patient that responds well to hormone balance. Continuing to increase her hormone levels only made her worse . Future improvement will depend on monitoring her salivary hormone levels, cortisol, nutritional status, and getting her on a sound exercise regimen.