FAT, FATIGUED & FEMALE - Gabhart

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In her trademark lecture, Dr. Whitney Gabhart, ND, delivered stimulating facts and figures on how to beat the hormone "blahs" of mid-life and beyond. A great time was had by all who attended! You can register at our main website - www.cadywellnes

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  • Common Symptoms of Adrenal Dysfunction Weight gain, especially in waist hips and thighs ( cortisol response) Crave sugar/starch and sometimes salt Fatigue Low blood pressure which may becomes elevated in middle age Allergies Exercise does not promote weight loss . . . And may even gain! Low blood sugar usually after lunch Muscle loss and flab even with exercise Wakes up every few hours at night Is more hungry during the day if eats breakfast Low or no libido!
  • Weight gain, difficulty losing weight Severe fatigue, loss of energy, feeling “ sluggish ” Depressed mood, usually not as severe as major depression but may play a part Low body temperature PMS Premature menopause Losing hair ( alopecia) Chronic constipation Decreased memory and brain “ fog ” Sleep issues ( too much or too little but not rested)
  • FAT, FATIGUED & FEMALE - Gabhart

    1. 1. FAT, FATIGUED, AND FEMALE! Presented byDr. Whitney Gabhart
    2. 2. OBJECTIVE To share wellness information withwomen and provide self-education forinformed choices that result in their most optimal health at all ages. Feel Like Yourself Again!
    3. 3. Contact information: Whitney Gabhart, ND www.cadywellness.comWhere to “get the slides” - www.facebook.com/cadywellness www.indianaTMS-cadywellness.comwww.slideshare.net/lcadymd Office: 812-429-0772 E-mail: drg@cadywellness.com 4727 Rosebud Lane – Suite F Interstate Office Park Newburgh, IN 47630 (USA) @LouisCadyMD @TMS4depression
    4. 4. Friends and Colleagues
    5. 5. Naturopath, Mom and Grandmother!Educational Consultant to licensed MD’s and NP’s in the field of Integrated Endocrinology
    6. 6. Dr. Marty Sugarman and our home in West LA Jack Nicholson?
    7. 7. I weighed 450lbs!
    8. 8. I DON’T FEEL LIKE MYSELF!And he is not looking so hot either!
    9. 9. Symptoms of Hormone• Bloated Belly Imbalances• Thinning head hair• Brittle nails• Weight abnormalities• Skin problems; dry, acne, early wrinkles, sagging• Low sex drive• Depression• Irritability• Mood disturbances• Foggy thinking• Memory loss• Sleep problems• Fatigue• Low blood sugar• Night sweats• Hot flashes or flushing• Focus and attention loss My assistant, Claudia• Lack of pain tolerance demonstrates a severe hormonal• Fluid retention• Infertility episode during menopause.• PCOS• Lack of muscle tone despite exercise
    10. 10. Basic Hormone Axis: The S.A.T. SEX STERIODS S A TADRENALS THYROID
    11. 11. Your Main Sex Steroid Hormones• Estradiol (main estrogen)• Progesterone• Testosterone• Adrenal• Thyroid• Testes/ovaries = Hormone Balance
    12. 12. Sex Steroids, Adrenals, and Thyroid BrainSEXSteroids
    13. 13. S.A.T. Hormone Imbalance Symptoms  Weight gain  Insomnia  Hot flushes or flashes  Night sweats  Memory, communication, and attention span loss, brain “fog”, depression, and/or anxiety to panic attacks  Mood swings  Aches and pain  Incontinence  Digestive disturbances  Sensory function loss  Ageing skin . . . thinning, wrinkles, sagging
    14. 14. Estradiol – over 400 functions in the female body Improves insulin sensitivity ( less cortisol, less fat storage) Improves muscle mass, strength, and metabolism  Better muscle mass = increased metabolic rate, calorie burn Increased serotonin function (decreases cravings and desires for comfort foods) Inhibits MAO enzyme activity (prolongs activity of serotonin, dopamine, and norepinephrine; helps to decrease appetite Restores normal sleep stages, which lowers cortisol, increases GH (growth hormone), and improves nighttime muscle repair
    15. 15. Progesterone Increases energy and libido Has a calming effect  “brain benzo” Enhances mood Regulates fluid balance, sodium mineral balance Balances blood sugar Necessary for fertility Increases energy and libido Helps relieve menopausal symptoms Decreases risk of endometrial cancer and may help protect against breast cancer, fibrocystic breasts, and osteoporosis
    16. 16. Testosterone:more than a sex hormoneThe androgen insufficienthuman female:•Diminished sense of well-being,dysphoric mood and/or blunted motivation•Persistent, unexplained fatigue•Sexual function changes, incl.lowered libido, sexual receptivity and pleasure•Potential bone loss, decreased muscular strength,changes in cognition / changes in memory.
    17. 17. HandoutsAre You Balanced?
    18. 18. Your Adrenal Glands . . . Your Stress Meters!
    19. 19. ADRENALS – common symptoms of problems Weight gain, especially in waist hips and thighs ( cortisol response) Crave sugar/starch and sometimes salt Fatigue Low blood pressure (may increase in middle age Allergies Exercise does not promote weight loss . . . And may even gain! Low blood sugar usually after lunch Muscle loss and flab even with exercise Wakes up every few hours at night Is more hungry during the day if eats breakfast Low or no libido!
    20. 20. Adrenal FATIGUE• Difficulty getting up in a.m.• Ongoing lethargy during the day.• Continued fatigue not relieved by sleep.• Craving for salt or salty foods.• Increased effort to do daily tasks• LESS PRODUCTIVE• Decreased sex drive• Decreased ability to handle stress.• Light-headed when standing up quickly• Increased recovery time for illness• Generally less happy about life.
    21. 21. Your Thyroid Gland
    22. 22. Hypothyroidism SYMPTOMS • Central nervous system: – Fatigue! – Drowsiness – Poor memory and concentration • Decreased metabolism: – Body weight increases – Heat production goes down – Basal metabolic rate goes down • Gut: decreased activity; constipation • Cardiovascular – decreased cardiac output; blood pressure falls
    23. 23. More Common Low Thyroid Symptoms Weight gain, difficulty losing weight Severe fatigue, loss of energy, feeling “sluggish” Depressed mood, usually not as severe as major depression but may play a part Low body temperature PMS Premature menopause Losing hair ( alopecia) Chronic constipation or IBS Decreased memory and brain “fog” Sleep issues ( too much or too little but not rested)
    24. 24. THYROID . . .Can’t Gain Weight and Can’t Lose It?
    25. 25. W.R.U.F.T ?Often undiagnosed causes of obesity Delayed Food Sensitivity/allergies Vitamin Deficiencies Viruses such as EBV, HHV6 - and CMV Stress, emotional to the mind-body Leptin resistance Hyperinsulinism Low Hormone balance (estradiol, progesterone, testosterone) Low serotonin
    26. 26. YOU ARE FAT BECAUSE YOU EAT TOO MUCH, RIGHT? (Then why do you eat too much?)Hormones!
    27. 27. Labs: the Keys that unlock your issues Adrenal/Hyperinsulinism/Hypoglycemia 3hr GTT with concomitant insulin blood draws Fasting draw for glucose, insulin and cortisol 75 gram glucose load 1hr draw for glucose and insulin 2hr draw for glucose and insulin 3hr draw for glucose, insulin and cortisol
    28. 28. LabsThyroid (6-hrs post am dose of thyroid meds if applicable)•Free T3•Free T4• TSH• RT3 (if overweight)•TPO Thyroid Antibodies and Anti-thyroglobulin Antibodies SEX HORMONES and Adrenal, bloods or saliva ( if cyclingnote the day in your cycle you have labs drawn on)•Estradiol•Progesterone•Free Testosterone•DHEA-S•SHBG•Cortisol
    29. 29. Things You Can Do Now Low Dose DHEA (male) Pregnenolone (women) I-3-C ( Indole 3 Carbinol) 400mg daily Glandular Therapy for Adrenal 50 to 300mg Do Labs and know/identify where to apply health focus and energy
    30. 30. A word aboutCompounded BHRT
    31. 31. How Old Do You Want to Look and Feel?Marty’s surf club buddies in60’s
    32. 32. QUESTIONS?
    33. 33. www.cadywellness.com
    34. 34. Contact information: Whitney Gabhart, ND www.cadywellness.comWhere to “get the slides” - www.facebook.com/cadywellness www.indianaTMS-cadywellness.comwww.slideshare.net/lcadymd Office: 812-429-0772 E-mail: drg@cadywellness.com 4727 Rosebud Lane – Suite F Interstate Office Park Newburgh, IN 47630 (USA) @LouisCadyMD @TMS4depression

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