2. Precocious Puberty
What is it?
Why is it?
Who is affected it?
How they usually present in clinic
Cases
Heather Bruce WFAS 2014
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3. What is precocious puberty?
Precocious puberty is generally defined as the appearance
of secondary sex characteristics before age 8 years in girls
(or menarche before age 9 years) and before 9 years in
boys.
The overall incidence of sexual precocity was estimated to
be 1:5,000 to 1:10,000 children. The female-to-male ratio is
approximately 10:1. Is constantly being reviewed
downwards (younger and younger)
In addition to the psychosocial disturbances associated with
precocious puberty, the premature pubertal growth spurt
(with less time for prepubertal growth) and the accelerated
bone maturation result in reduced adult height.
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4. Who are we talking about?
Most children now have been exposed to hasty lives.
They are living in a toxic soup – even prior to birth – see Body Burden. The background ‘noise’ as
picked up through cord blood testing – what mum exposed baby to, juts by breathing, living in the 21st
Century. (all should not be there)
Not looking at gross imperfections – but apparently well girls (no boys – are less likely to have these
problems).
Puberty starting prior to 8. (although this is the same principle - what is heating up the Jing
expression?
So why these ones – not other children?
??Genetic?? Or epigenetic??
Perhaps look for answers within the studies on immigrant children being adopted into ‘normal’ lives
(except Korean ones) ?? Anyone asking WHY???
(Better nourished in young years – all usually adopted prior to 2 years old) and all from mums with
Iodine loading)
5. Who is affected?
Overwhelmingly girls.
Careful surveillance of girls adopted from developing
countries is necessary, especially if they are adopted at the
critical age of 4–9 years (Belgium – 1/3 of all with PP are
adopted from developing countries – same as in Sweden)
http://adc.bmj.com/content/78/2/152.full (Raffaele Virdisa et
al)
Important reading - Advocate’s guide a great summary:
http://www.breastcancerfund.org/assets/pdfs/publications/fall
ing-age-of-puberty-adv-guide.pdf
6. Age of menarche
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3287288/
Misra, Cooper 2009, UK
Main early life factors associated with earlier menarche
include:
– Higher growth rate during childhood
– Higher childhood socioeconomic position
– Family conflict and parental divorce
– Presence of stepfather
– Exposure to stressors during or shortly before
menarcheal age
7. What is happening NOW
Pediatrics. 2010 Sep;126(3):e583-90. doi: 10.1542/peds.2009-3079. Epub
2010 Aug 9.
Pubertal assessment method and baseline characteristics in a mixed
longitudinal study of girls. Biro FM1
RESULTS: The baseline cohort included 1239 girls. The proportion of girls
who had attained breast stage 2 varied by age, race/ethnicity, BMI percentile,
and site. At 7 years, 10.4% of white, 23.4% of black non-Hispanic, and 14.9%
of Hispanic girls had attained breast stage>or=2; at 8 years, 18.3%, 42.9%,
and 30.9%, respectively, had attained breast stage>or=2. The prime
determinant of height velocity was pubertal status.
CONCLUSIONS: In this multisite study, there was substantial agreement
regarding pubertal staging between examiners across sites. The proportion of
girls who had breast development at ages 7 and 8 years, particularly among
white girls, is greater than that reported from studies of girls who were
born 10 to 30 years earlier.
8. Puberty now 5 years earlier
than in 1920
(In W.E.I.R.D. countries) (Jared Diamond – ‘The World Until Yesterday’
‘The trouble is that this drop, which was expected to stop, has simply continued at the same rate: a decline in four to five
months in age of onset for each passing decade.
This relentless slide has begun to worry doctors who have proposed a host of causes to explain it. Increasing obesity is
often quoted. In the young it is thought to increase blood levels of oestrogens that promote breast development and
early studies seemed to confirm this by linking puberty to higher body mass index. However, a Danish study released last
year in the journal Paediatrics found puberty occurring earlier in children regardless of body mass index at age seven.
Other factors that may be involved include a diet that is increasingly high in sugar and fat and declining physical
activity. The cause could also be environmental, say other researchers – in particular, exposure to endocrine
disrupters, chemicals in the environment that act on hormones.
Widespread industrial and pharmaceutical pollutants have already been shown to harm the normal sexual development
of fish and animals. By extension, they may also contribute to earlier or disrupted puberty in children, these scientists
contend.
As to the likelihood that precocious puberty poses perils for young people, this is still debated – though many parents
worry that early sexual development puts strain on children who are being robbed of years of innocent childhood.
9. Important reading for all
parents
http://www.breastcancerfund.org/assets/pdfs/publications/falling-age-of-puberty.pdf
Obesity is a factor that increases one’s exposure to estrogen, and multiple studies have
found associations between excess weight during childhood and early menarche.5
Soft drink consumption, which is a contributor to the increasing rates of childhood
obesity, is also associated with early menarche.2 A new study supporting this evidence
was also published online in Pediatrics this week, analyzing connections between early
childhood weight and age at onset of puberty. These researchers found that increased
weight and body mass index (BMI) even at the early ages of 0-20 months was
associated with earlier puberty.6
Total animal protein and meat intake at ages 3 and 7 were positively associated with
age at menarche in a recent British study. Girls with the highest meat intake at age 7
were 75% more likely to have begun menstruating by age 12 ½ than those in the lowest
category of meat intake.7
10. 7 & 8 year cycles - Jing
Manifests
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11. Where does Jing originate?
Parental bequeathing (sperm and egg – ‘genetics’)
Optimal unfolding of potential gestationally (epigentics)
Early life stable and supportive.
Normal three heater expression
(Body free of blockages/contaminants to allow this to
happen)
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14. What undoes the Jing?
Modern living – lack of the basics – rest, fun, clean air,
nourishing food and water and replenishing sleep. See
‘Pottenger’s Prophecy’
Global environmental pollution on all levels
Chronological age may be a feature – but the rate of
‘over use’/contamination may over rule this.
Dr John Shen presented a model showing how we
mature and how we age.
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16. Modern life
Macro - Environmental toxins
Micro chemical poisoning – cord blood and body burden
Modern ‘obstetric practices – not life affirming (Choices to
fetally scan - heats fetus/changes DNA, gestational diabetes
test, all chemicals seen as ‘safe’ in the obstetric world
currently)
IVF ad pre conception load of ‘prescription’ gyne regulators.
Mum’s own emotional/toxic heat legacy from her past
Gut bacteria we no longer have the original Human
Microbiome
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17. Heat /lack of Yin
manifestations
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18. Heat (lack of water/rest) wastes
yin/Jing
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20. What we need to live well
Sunlight (Vit D and more)
Some ingestion of animal proteins/organs/fats
Dietary fat (to make all hormones with)
Mineral rich foods and water
Freedom from whatever gets in the way of nutrient
pathways & nutrient assimilation
Sleep, rest, safety, security, inclusion in our tribe for
overall wellbeing & sense of purpose
20Heather Bruce WFAS 2014
21. Worst hormonal disruptors
Bisphenol A (BPA)
Dioxin
Atrazine
Perchlorate
Phthalates
Fire retardants
Lead
Perfluorinated chemicals
(PFCs)
Arsenic
Mercury
Organophosphate
pesticides
Glycol ethers
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According to the Environmental Working Group
22. In times past . . .
Lived on the land, in time with seasons
Grew own food, or worked a lot outside
Traveled by foot, physically active
Slept with the sun’s cycles
Ate simply and drank clean water
Few chemicals/toxins as all knew survival - of cause
and effect and moved away from wells/soils that were
dangerous
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24. What tends to block nutrient
assimilation/life
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25. Deficiency of raw ingredients
– How?
Iodine – needed for normal hormonal expression. When deleted a raft of issues cascade
down throughout the life.
In acupuncture we can see this as Yang deficiency:
1. fluid accumulating,
2. gut irregularities
3. immune system misadventures (including cancer)
4. Hormonally – esp PCOS and endometriosis/male & female sub fertility/poor luteal
phase/prostate swelling
5. ASD/ADHD/vaccine injuries in youngsters
6. Mum’s depletion meant she was unable to assist with making them well. PLUS – more
Iodine to drive detoxing pathways than capable of – little spare iodine and magnesium
to run the blueprint properly. (Hence ‘mitochondrial’ issues.
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26. Iodine
Girls at puberty need massive amounts to run the breast growth and the cycle
changes
Women need x6 more than men do (and much more when pregnant/lactating)
Without it – shows up as Spleen Qi/Yang deficiency - fat, fluid, low Yang
functionality
When grossly less than normal – may get a goitre.
All respond differently as the toxin load affects us all differently – as does
family radiation exposure
Translating to modern life – to increase the intelligence of slow
people/metabolism/gut – just add Iodine topically. Seaweed daily
Brain fog (including ‘baby brain’) = damp/insubstantial phlegm.
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27. Iodine need is increasing
Japanese women eat apparently 100 x more, per day than Westernised women
Using iodised salt is no longer enough.
How is Iodine missing past lack of ingestion?
Why? Iodine is wasted/taken out by the other halides
Fluoride - found in tap water - erroneously considered to help teeth) and used in all dental
procedures/products.
Chloride – to bleach/sterilise/in all swimming pools.
Bromide – To sterilise food on importation, as a flour conditioner, a fire retardant, in multiple life
exposures, and as an outgassed product of manufactured goods.
‘Bromelated . . . ‘ anything
No RDA and that would depend o exposure to all oteh rhaides and pollution.
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28. BUT
Think of the fetuses affected.
Gestational diabetes test is now administered routinely at 27/28 weeks
Biggest rush of sugar (when undifferentiated) will ever be exposed to. Why?
Epigenetics – what is lying in top of the genes and affecting their expression.
Iodine – required for normal DNA expression/thyroid and metabolism as is Vit
D
Vit D levels to be over 100n/m/l.
Use magnesium topically multiple times daily, eat only organic whole foods -
esp greens
31. 6 ½ months pregnant
A telling three minutes. .
Top two – Focus on brown spot in middle -
Iodine gone in the time it took to take
another picture.
Bottom right – colour it started each time
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33. Magnesium
Wholefoods – in an ancient diet – replete.
Is missing in the modern diet due to farming practices, an
increased need to toxic life byproducts – and to neutralise
sugars/caffeine, all preservatives, chemicals.
Milled out for ‘refined’ products
Is cancelled out by calcium – often chosen erroneously
Dark greens are not eaten sufficiently/ extensively
Mag is needed for detoxing through out the body.
Easily absorbed through the skin – transdermal/topical
application
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34. Magnesium
Needed for life – over 300 enyzmatic activities
(mitochondrial – is required to make Glutathione)
Needed for cardiac, and all electrical impulses
Perhaps liken it to Qi – Yang
Calcium/magnesium balance/see-saw
Kept rigidly at about 1% in blood stream – so can’t test
simply)
(Cardiac dramas follow, if not 1%)
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35. Magnesium deficiency
headaches and migraines,
all aches & pains,
‘growing pains’,
leg cramps,
jumpy/restless legs,
tremors, epilepsy, stroke,
muscle twitches,
ongoing structural spasms
Inability to clear toxins
fatigue or low energy,
restless sleep,
chronic constipation,
insulin resistance,
PMS, cranky, restless
hypertension, type 2
diabetes, osteoporosis,
high blood pressure,
heart disease, cardiac &
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36. Further investigation
www.mgwater.com (can download ‘The Pathogenesis
of Disease’ Mildred Seelig
The Magnesium Factor - Seelig/Rosanoff
Transdermal magnesium
http://drsircus.com/medicine/magnesium/
Dr Carolyn Dean
http://drcarolyndean.com/magnesium_miracle/
36Heather Bruce WFAS 2014
37. Mg depletion looks identical
To Stuck Liver Qi
Musculo skeletal, spasms, tension, tremours,
Digestive of all types,
Emotional, cyclic problems
All S & S worse with ‘stress’ )
To Stuck Liver Blood
Pain, congestion, vascularities,
Cardiac and neurological complications
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39. PP – Precocious Puberty
Girls - 2 x 7 years + 14
Appearance of breast buds before 8 in girls
Menses before 9 yo
Boys - 2 x 8 years = 16
Afflicts girls more than boys . .
Pubic hair in boys pre 9 years old
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40. Modern life
Something is speeding up Jing’
Most children have been exposed to hasty lives.
Not looking at gross imperfections – but apparently well girls
So why these ones – not other children?
??Genetic?? Or epigenetic??
Studies done on immigrant children moving to Scandanavian
countries points to adolescence starting years earlier if they move
into better food/living conditions after 5 y o – and not if pre 4yo.
Except the Korean ones ??WHY???
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42. Why worry?
Social issues
Developmental problems
Likelihood of early breast cancers in women
Why is it happening?
TCM
Environmental, esp diet lead
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43.
44. Usual presenting S&S
Markers
Very smelly adult BO
Behavioural problems (if not getting ‘own way’)
Academic issues – trouble at school esp ASD
Possible sleeping troubles, night terrors, tooth grinding, often feet out at night
– even when weather is cold.
Always was a ‘difficult’ child, often terrible baby
Probably food allergies, vaccination reactions (if you ask them)
Likely
Increased incidence of estrogenic cancers later in in life
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45. 1 - Taylor
Started with very smelly BO, she was reactive emotionally.
Had been a very sweaty baby who slept hot.
She had very long, very strong head hair growth - – DHEA ‘on speed’
Endocrinologist said – sees at least 6 a month (that was 10 years ago)
I reasoned Hot Blood (not surprising due to mum’s history),
We gradually worked it through with acupuncture and adjusting supplements. Eventually
this was reduced to just using 2 capsuled products.
Also banning all foods that turned to sugar in the body – fruit was a struggle. Always she
wanted what would make her worse.
Maturity brought understanding. Over many years they worked it out.
Smelly? What was in diet to do it?
Eventually lamb was final piece of the puzzle..
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46. 2 - Lily
Mum really concerned as Lily has adult BO at 8 yo
Also – extreme tantrums and lying to get sugar.
Out of control with sugar – stealing from lunch boxes and other’s
lunch $$ to satisfy herself from the school canteen.
Getting fatter, acting illogically and always distressed.
‘Heatoxin’, ‘One Link’ and abandon all sugar creating foods.
Needed massive psychological interventions and is being
stretched with extra curricular activities to fill up her day.
Mum suspects extreme sugar feeding in toddlerhood, as this is
when it all turned into difficulties (hot, sweaty screaming infant)
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47. 3 - Lucy
Diagnosed as ASD
Very distressed and always a very angry baby
Smelly (adult BO underarms)
Not rational when in her rages
Within 3 days of changing diet, the sugar rages were
gone, and a different child emerged.
Teacher ecstatic – she is ’normal’/placid/easily
managed and a pleasure - as long as no sugar.
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48. 4 - Terry
No longer haemorrhaging with periods- but still too heavy.
Exhausted all tests say ‘OK’– ready to listen.
2 ½ years of monthly massive blood loss.
Constantly ill - tonsils on fire, feet out of bedclothes nightly.
Freezing cold, vomiting & BM up to 10 times after tea
Losing hair and gaining weight even though so much nutrients being lost (after
exposure to a week of swimming training in heavily chlorinated pool, daily surf
– in wind - and eating sugary drinks/ takeaways)
Too tired to go to school, yet still on national volleyball and surf lifesaving plus
all swimming coaching.
Fingers turn blue at night.
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49. Terry . .
Her mum initially thought my advice was ‘over the top’,
and wandered through the next 3 years – until Terry
was too ill.
Orthodox medicine had not helped, she had spent a
fortune so far, and Terry kept declining.
Glucose tablets,
Soft drinks (diet)
Is very cold – and consuming all smoothies – cold
Still in volleyball, swimming and life saving training
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50. Treatment?
Even though there is deficient heat/fire - also is massive
Yang depletion.
Pulled out cold/restored yang
Cupped cold from navel and applied moxa on ginger over
salt in navel
Painted on Iodine. It disappeared in front of us within a
minute - totally all gone.
Similar to this. . (She was 3 minutes from beginning to end,
Terry – less than a minute)
Difficult to get accurate thyroid tests or topical iodine (may
damage thyroid one chemist warned)
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51. Compare Iodine soaking in
Similar to this – Bottom right
– colour it started each time,
fade was even more instant
for Terry.
All gone on her inner arm
within a minute
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52. Mum’s lives . .
1 - Taylor– Mum came to see me to help with massive stress and digestive problems resulting in migraines
and allergies. When she was not easily getting pregnant, we resolved that and I saw her all through
pregnancy.
She had a life of hardship, always a negative slant things and always battling. Thyroid cancer removed 8
years ago.
2 – Lily – mum extremely loud, large and assertive/opinionated. Always overweight, battling her
hypothyroid
3 – Lucy - She are very slim/stressed/Blood deficient
Very stressful life – husband nearly died of a brain tumour when new baby was born. Tried to do the right
thing with children – avoiding vaccinations and feeding all organically
4 - Terry - (A friend of Lauren’s mum, who kept telling her to come to get what Lauren had )
Overweight, always depressed, cranky, over bleeding with periods. Her own mother is on hypothyroid
medication
Thyroid always is ’fine’ according to blood tests – yet is in a mess with multiple health issues.
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53. Recap . . .
Iodine – required for normal DNA expression/thyroid and
metabolism - as is Vit D to allow mineral absorption
(Seaweed many times daily/topical/reduce halogen
exposure
Vit D levels to be much higher than accepted’. (No RDA)
Sun exposure, or at least 10,000 iu after getting blood
levels to 100n/m/l.
Use magnesium topically multiple times daily, eat only
organic whole foods - esp greens
Living according to the Way of the Tao is best!!
Heather Bruce WFAS 2014
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54. Taylor
induced/ CS
1998
Pre natal & post
birth domestic stress
Little sugar input
Well defined 5 yo
10 yo (had slowed
this already)
Tempestous, always
smelly & too hot
Upset easily, bright
‘normal’
6 years old
Lily
Home water
2001
2 ½ yo and
sugar hits
++++Sugar
6yo
10 yo
Hot baby,
Sweaty head,
stinky feet
V bright but
devious
(stealing all
sweets & $$)
slothful
8 yo
Terry
induced/ CS
2001
? Lifelong diet
++++Sugar
8 yo
9 yo
Behind as
being ill from
over exercise
Excessive
9yo
Lucy
induced/ CS
2005
??Lifelong
++++Sugar
5 yo
Not yet (6yo)
Very bad
tempered
baby
Can’t tell -
ASD
diagnosed
‘normal’
6 yo
Birth
Initial Trigger
Initial Diet
Start of BO
Start of breast
buds
Behaviour as a
baby
School?
Exercise
Saw me firstHeather Bruce WFAS 2014
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55. Yang Sheng
Epigenetics is explained using Asian medical theory
Children’s bodies need respect when growing.
At all stages – fetal scans create heat and change permanently the DNA/dry
out the amniotic fluid.
Gestational diabetes test is now administered routinely at 27/28 weeks. This
is the biggest rush of sugar (when undifferentiated) person will ever be
exposed to.
Pregnant women are supplemented with calcium, not magnesium (hence
suffer as does baby forever) from low magnesium – easily prevented – use
topical magnesium
There are at least 300 chemicals (Body Burden) now found in fetal blood
Excessive exposure to modern life is overheating all with dire consequences
for the Jing forever onwards.
Heather Bruce WFAS 2014
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57. FIND OUT MORE
www.sharpen-up-your-results.com - recent conference
presentations and loads on cupping navel esp in pregnancy
New Pregnancy App – HeatherSays
Navigation guide through all my research findings – available to all
Use Heather’s decades of hands on healing experience – [patients
ad practitioners alike).
Click to articles/selection of patient’s eBooks to explain more via
www.HeatherSays.com
For those who want to know how to help themselves www.simple-
natural-solutions.com
Heather Bruce WFAS 2014 Hidden Pathogen - Cold