The Truth About Bio-Identical Hormones


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Holistic physician, Dr. Vivian DeNise explains the difference between bio-identical hormone replacement therapy and synthetic hormones. She also details symptoms and medical conditions that may result from unbalanced hormones and benefits of getting balanced by an expert holistic doctor.

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  • Good Evening, My name is VivianDeNise. And before we begin I would like to give you some background on myself. Before I became knowledgeable in the Integrative field my first love has been pediatrics which I have been practicing for 25 years. During this time I have never been comfortable with the treatment of ADHD. So much so I would not prescribe the medications. I have seen many children on multiple medications often begging their parents to stop them because of how these meds made them feel. I knew all along there had to be a better way, I always felt treatment should address the cause and not just the symptoms. I would like to share what I have discovered with you today.
  • The Truth About Bio-Identical Hormones

    1. 1. Vivian F. DeNise,DOIntegrative PhysicianPatients Medical
    2. 2.  A holistic medical center Full-service
    3. 3.  Discover health, rediscover vitality Focus on the root cause Integrate modern medicine, holistic practices, and natural supplements
    4. 4.  Our goal  Promote healing and prevent disease
    5. 5. Physicians collaborate to approach each patient holistically.
    6. 6. Result:Gain health and nutritional wisdom that can be applied for years to come.
    7. 7. Founder, Dr. Warren Levinbegan practicing his ground-breaking holistic protocols in 1974.
    8. 8.  Conditions Treated  Menopause  PMS  Thyroid disease  Chronic Fatigue Syndrome  Multiple Sclerosis  Osteoarthritis (OA)  Rheumatoid Arthritis (RA)  Diabetes  Heart disease  Crohn’s disease, IBS, IBD  Alzheimer’s disease  Lyme disease  Auto-immune diseases  Many other secondary medical conditions
    9. 9.  Staff  Medical Doctors ▪ Internal Medicine ▪ Family Practice ▪ Gynecology ▪ Osteopathy ▪ Oncology ▪ Alternative Pain Management ▪ Pediatrics ▪ Plastic Surgery  Nutrition  Kinesiology  Cranio-Sacral Therapy  Reflexology  Oriental Medicine and Acupuncture  Homeopathy
    10. 10. Integrative Medicine
    11. 11. Introducing our speaker: Vivian DeNise, DO Integrative Medicine
    12. 12.  Completed her medical degree at New York College of Osteopathic Medicine Certifications in Integrative Medicine with the American Academy of Anti-Aging Medicine (A4M)
    13. 13.  Specialties include  Hormonal Imbalances  Nutritional Deficiency  Thyroid Disorders  Gastro-Intestinal Problems  Detoxification  And many more!
    14. 14. There are receptors everywhere in the body for estrogen, progesterone and testosterone in both men and women.
    15. 15.  Brain Bone, Muscle, Joints Heart Blood Vessels Bladder Liver Kidney Genitals Nerves Skin and Hair Follicles
    16. 16. To achieve BalancedHormone Optimization tothat of a 25-30 year oldlevel using Bio-IdenticalHormones.
    17. 17.  They are identical to the molecular structure of hormones produced by human female or males. They are NOT:  Xeno hormones  Horse hormones  Synthetic hormones
    18. 18.  Atom for atom identical to human hormones  Not horse hormones  Not chemically altered No increased risk for cancer Less risk for heart disease Less mortality Needed for Bone, Brain, Quality of Life
    19. 19.  Testosterone Estrogens, Progesterone DHEA, Pregnenaolone Cortisol Thyroid: T3, T4 Vitamin D Growth Hormone
    20. 20.  Hormones Neurotransmitters Medications Emotions Diet Sleep
    21. 21.  Estrogens ▪ Estrone=E1 ▪ Estradiol=E2 ▪ Estriol=E3 Progesterone Testosterone
    22. 22.
    23. 23. PMS (Premenstrual Syndrome)-Cyclical mental and physical symptoms preceding the menstrual cycle.
    24. 24.  Peri-menopause-Can begin to occur 10-20 years prior to menopause associated with cyclical changes in menses as well as mental/physical symptoms. ▪ Early- changes occur rarely and resolve ▪ Middle-changes occur often and for longer ▪ Late-changes occur continuously. Menopause-no menstrual bleeding for 1 year
    25. 25.  Deficiencies can start years before menopause in peri- menopause  Poor sleep, anxiety, PMS- Progesterone  Low Libido, decreased memory-Testosterone  Low energy, hot flashes, vaginal dryness- Estrogen
    26. 26.  Balances Estrogens, Progesterone, and Testosterone Every woman needs a unique balance Not every woman needs estrogen Progesterone protects against breast cancer Unlike “progestins” natural progesterone does not have androgenic or anti androgenic effects.
    27. 27.  Hot flashes Night sweats Fatigue Vaginal Dryness Poor memory and Foggy thinking Low energy
    28. 28.  Depressed mood Decreased concentration Decreased sexual desire or libido Excessive daytime sleepiness Stress incontinence and UTI’s Osteoporosis, Cardiovascular disease, Dementia
    29. 29.  Agitated Anxiety Weight gain Water retention Headaches Swollen or tender breasts Bloating Spotting or breakthrough bleeding Mood swings Poor sleep Achy joints Excessive bleeding
    30. 30.  Increase blood pressure Increase triglycerides Increase estrone Cause gallstones Elevate liver enzymes Increase SHBG (decreases testosterone) Interrupt tyrptophan metabolism and consequently serotonin metabolism Causes blood clots to form
    31. 31.  Decreases HbA1c Decreases total cholesterol Decreases LDL Decreases HS-CRP Decreases IL-6 and TNF-inflammatory cytokines implicated in autoimmune, cardiovascular, osteoporosis and Alzheimers NO increase risk of stroke or venous thrombosis
    32. 32. Usually the first hormone to become deficient in peri-menopause.
    33. 33.  Agitation Irritability, aggressiveness Anxiety, anger Weight gain Water retention Headaches Swollen or tender breasts
    34. 34.  Bloating Spotting or breakthrough bleeding Mood swings Poor sleep, insomnia Achy joints Excessive bleeding Endometriosis Fibrocystic breasts
    35. 35.  Impaired production Low LH Increased prolactin production Stress Antidepressants Excessive arginine consumption Sugar Saturated fat Deficiency of vitamins A, B6, C, zinc Decreased thyroid hormone
    36. 36.  Called progestins Progestins do not reproduce the same actions of natural progesterone
    37. 37.  Increases appetite Weight gain Fluid retention Irritability Depression Headache Decreases energy Bloating Breast tenderness Decreases sexual interest
    38. 38.  Acne Hair loss Nausea Insomnia Interferes with the body’s own production of progesterone Does not help balance estrogen Remains in the body longer Can cause spasm of coronary arteries
    39. 39.  Stops the protective affects estrogen has on the heart May make the symptoms of progesterone loss worse Increases LDL Decreases HDL Protects only the uterus from cancer Counteracts many of the positive effects of estrogen on serotonin
    40. 40.  Orally Transdermal cream
    41. 41.  Helps balance estrogen Leaves the body quickly Improves sleep Natural calming effect Lowers high blood pressure Helps the body use and eliminate fats Lowers cholesterol
    42. 42.  May protect against breast cancer Increases scalp hair Helps balance fluids in the cells Increases metabolic rate Natural diuretic Natural antidepressant Is anti-inflammatory
    43. 43.  Stimulates the production of new bone Enhances the action of thyroid hormones Improves libido Helps restore proper cell oxygen levels Induces conversion of E1 to the inactive E1S form Promotes Th2 immunity Is neuroprotective, promotin g myelination
    44. 44.  Synthetic progestins increase Breast Cancer Risk Progesterone decreases Breast Cancer Risk
    45. 45.  Increases fat storage Elevates cortisol Increases insulin resistance Increases appetite and carbohydrate cravings Relaxes the smooth muscles of the gut (This can cause bloating, fullness, and constipation. It can also contribute to gallstones.)
    46. 46.  Testosterone is needed for a sense of well being Strength especially upper body Libido Usually decreased in peri-menopausal and menopausal women Body composition Bone density DHEA can increase Testosterone in women but not in men
    47. 47.  Increases sexual interest Increases sense of emotional well-being Increases muscle mass and strength Helps maintain memory Helps skin from sagging Decreases excess body fat Helps maintain bone strength Elevates norepinephrine in the brain (tricyclic affect)
    48. 48.  Muscle wasting Weight gain Fatigue Low self-esteem Decreased HDL Dry, thin skin, with poor elasticity Thinning and dry hair Droopy eyelids Sagging cheeks Thin lips Anxiety
    49. 49.  Menopause Childbirth Chemotherapy Adrenal stress or burnout Endometriosis Depression Psychological trauma Birth control pills HMG-CoA-reductase inhibitors
    50. 50.  Testosterone replacement P.O. or transdermally. Use the bio-identical form. Methyltestosterone has been associated with an increase in liver cancer. If used transdermally must rotate sites. In order for testosterone to work well, estradiol must also be optimized. Without enough estrogen, testosterone cannot attach to brain receptors. If testosterone is given alone it can increase plaque formation.
    51. 51.  Decrease calorie intake Increase protein in the diet Take the amino acids arginine, leucine, glutamine Exercise Get enough sleep Lose weight Reduce stress Take zinc if deficient (Zinc is needed for the metabolism of testosterone.)
    52. 52. When used in conjunction with BHRT there is even a lower incidence of breast cancer compared to HRT alone.
    53. 53.  Seen every 3 months or sooner if needed Labs every 3 months initially and as needed depending on where patient is in life May take up to 6 months to get full benefit
    54. 54.  Stress Diet Environmental
    55. 55.
    56. 56.
    57. 57. Please fill out your pink event evaluation form and return it to us.
    58. 58. Get started TODAY by making an appointment with Dr. DeNise.
    59. 59.
    60. 60. Patients Medical’s Team of Holistic Doctors
    61. 61.
    62. 62.
    63. 63. To get more information or to schedule an appointment, call 212-679-9667 or email
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