“Exhaustion is my reality. At four o’clock, I’m wiped, totally wiped. So tired I could sleep at my desk.” Patricia is 33, happily married as far as marriages go, one kid, steadily employed in the usual American lessthansatisfying corporate job, good eating habits, and, until recently, a health club goer a couple/three times a week. […]
Category: Thyroid, Adrenal, & Sex Hormone Issues
Functional Medicine: Your Wacky Hormones and Thyroid Gland
Let me start by saying that the majority of board-certified endocrinologists give me a pain. They’re internists, like me and our newest WholeHealth Chicago physician Neeti Sharma, MD, but they have additional training via endocrinology fellowships. Somewhere along the way, many of them become almost too academic, no longer actually listening to patients but rather […]
Reversing Mental Decline Part 4: Nine Immediate Steps to Prevent Dementia
We’ve covered a lot of scientific territory in this series, from the basics of Alzheimer’s to the tests used to evaluate risk. This final installment is something you can follow up on right now, regardless of where you fall on the risk spectrum. Concerning your brain, let’s say you’re in one of these four situations: […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
Reversing Mental Decline and Preventing Alzheimer’s, Part 2
Last week I explained the current thinking about cognitive decline, whose worst manifestation, Alzheimer’s disease, occurs because a protein called amyloid accumulates in the brain, destroying delicate brain cells. Focusing on clearing out amyloid as a treatment of Alzheimer’s has been unsuccessful. The answer is prevention. In his important book The End of Alzheimer’s: The […]
Disappointments With Testosterone
For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are testicular […]
Functional Medicine 101 + Introducing Dr. Alaina Gemelas
Functional Medicine is without a doubt the fastest growing medical specialty of the 21st century. Public interest in it and public acceptance of it continues to please me. Every day I hear the sentence, “I made this appointment because I wanted a functional approach.” When I ask patients how they learned about it, the answer […]
Six Commonly Missed Diagnoses: Subtly Underactive Thyroid
I went to medical school in London for awhile and quite honestly didn’t learn much. But it was the 1960s and if you were going to be anywhere on the planet, central London was the place to be. The fact that the hospital to which I was assigned had a pub in its basement (where […]
Disappointments With Testosterone
For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are […]
Worrisome Dementia Report For Women and Steps To Take
We’ve always known there was a higher rate of Alzheimer’s disease and other dementias in women than in men, initially attributed to the fact that women live longer and that the decline in mental function occurred with age. This turned out to be wrong. At 65, a woman has a greater than one-in-six chance of […]
Boosting Fertility With Traditional Chinese Medicine
Many couples struggle with issues of infertility, and last week I voiced my concern about the one-size-fits-all approach that most conventional infertility centers take, along with their reluctance to offer simple, inexpensive, and safe nutritional and alternative therapies first. The exact opposite of “everyone’s the same” therapy is traditional Chinese medicine (TCM). When a couple […]
Infertility and Traditional Chinese Medicine
I don’t care much for the infertility industry, though I know some of you are deeply grateful to it for helping you create your precious child. I love kids too. I simply don’t care for the business that infertility has become. In this two-part Health Tip, we’ll explore Western medicine’s approach to infertility treatment and, […]
When Your Thyroid Medication Isn’t Working
Let’s start with two thyroid facts: The diagnosis of hypothyroidism (low levels of thyroid hormone) is missed by most physicians. Patients arrive with obvious symptoms of hypothyroidism every doctor learned in medical school, among them sensitivity to cold, weight gain, dry skin, fatigue, and constipation. The doctor listens, sometimes attentively, and then orders a TSH […]
Out Of Whack Hormones
“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]
Testosterone Replacement For Men: Probably A Good Idea
It’s an interesting phenomenon that more women ask about testosterone therapy for the men in their lives than men ask for themselves. And when a man does ask, the question is usually couched with hesitations, “Uh, my…wife wanted me to…uh…ask about…you know…testosterone.” There are good reasons for hesitation. For men, the symptoms of age-related testosterone […]
Two More Orgasms Per Month? Why Not?
I was at dinner with an old physician colleague of mine who happens to be French. Despite living in the Midwest for decades, he continues his lifetime subscription to Le Monde and preserves–no, cultivates–his accent so efficiently that I miss about ten percent of what he’s saying. Given we were both well into our second […]
The Mystery Of Sudden Weight Gain
You know who you are. You’ve been eating stable portions of pretty much the same healthy food for years and you consider yourself weight conscious. Long ago you decided that by combining smart food choices and a health club membership, you were not–definitely not–going to be one of those people who added a point or […]
Out Of Whack Hormones
“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]