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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 […]

Persistent Patient: Linda and the Thyroid-Gut Connection

Persistent Patient: Linda and the Thyroid-Gut Connection Linda, an accomplished woman in her late 30s, was not a happy camper. She arrived for the first time at WholeHealth Chicago certain, beyond any shadow of a doubt, that she had an underactive thyroid gland. Linda had read all the websites, especially Janie A. Bowthorpe’s Stop the […]

Healing Adrenal Fatigue

In last week’s Health Tip I described the exhausted state of Patricia, dragging herself through the day and crashing completely in the afternoon. At first, Patricia was oddly supercharged in the evening, unable to relax or sleep. Later, this energy burst vanished and she simply couldn’t sleep. She was tired all the time. Before her […]

“Every Afternoon At About Four I’m So Tired I Could Sleep At My Desk”

“Exhaustion is my reality. At four o’clock, I’m wiped, totally wiped.” Patricia is 33, happily married as far as marriages go, one kid, steadily employed in the usual American less-­than-­satisfying corporate job, good eating habits, and, until recently, a health club goer a couple/three times a week. Now she’s too tired for that. Just looking […]

How Many Women With PMS Does It Take To Screw In A Light Bulb?

(Snarl your answer) “JUST ONE! ME! HEY, BUDDY–YOU GOT SOME SORT OF PROBLEM WITH THAT?!” Ah, PMS. Even if you don’t ever want a baby let’s see if we can fix things so you don’t have to put up with this crap for 30 years. I can write about PMS, and over the years have […]

WTF Happened To My Sex Drive?

I don’t mean to catch you mid-croissant on this topic, but I want to report the latest research on a woman’s libido and its relationship to her masturbation activities. If you’re a woman in your mid-40s or older, partnered or not, straight or gay, you may have noticed something about your sex drive you’re not […]

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 […]

Are You Hypometabolic?

First, because the word metabolism is involved with virtually everything in our bodies, it helps to know exactly what we’re talking about. “Metabolism” means the sum total of all the chemical processes going on inside you that are necessary to keep you alive. When your metabolic rate is normal you feel pretty good. If it’s […]

Fresh Approaches To Fatigue and Fibromyalgia, Hormone Update, and A New Book on Hashimoto’s Thyroiditis

For the millions who suffer with chronic fatigue and fibromyalgia, I’m pleased to report some worthy breakthroughs in the past few weeks. First, from the American College of Rheumatologists meeting in San Diego: Speaker and Tel Aviv physician Jacob Ablin, MD, described what I believe is a long-overdue paradigm shift in the diagnosis and treatment […]

Melanie’s PMS Hell

A smart woman in her mid forties, Melanie had written “Bad PMS” neatly on our patient intake form, and then gone on to trace the word “Bad” several times with her pen and underlined it. Until about ten years ago, the odds were stacked against women like Melanie, trying to get help from their doctors […]

The Chemistry of Stress

Understanding the chemistry of stress begins with an appreciation of molecules in our bodies called neurotransmitters.  Dubbed “molecules of emotion” by the scientist who first discovered their existence, Dr. Candace Pert, these are produced throughout our bodies, most notably in the brain and along the gastrointestinal tract.  One of the neurotransmitters, serotonin, seems to have […]

Temperature Test for Hypothyroidism

RATIONALE: There is considerable evidence that blood tests fail to detect many causes of hypothyroidism (under-active thyroid). It appears that many individuals have ‘tissue resistance’ to thyroid hormone. Therefore, their body may need more thyroid hormone, even though the amount in their blood is normal or even on the high side of normal. A low […]

Important News About Hormone Therapy

It was almost 20 years ago that I first learned about bioidentical hormone therapy from a talk given by Christiane Northrup, MD, (author of Women’s Bodies, Women’s Wisdom and The Wisdom of Menopause) at the first meeting I ever attended of the American Holistic Medical Association. By the way, the line-up of speakers included not […]

A Newly Discovered Cause of Women’s Fatigue

Posted 12/12/2011 Given the number of women who walk around feeling tired all the time, it’s truly unfortunate that the important piece of research we’re discussing today didn’t generate more publicity. Tucked away in the small-circulation medical journal Thyroid, whose readership is probably limited to endocrinologists specializing in thyroid disorders, there appeared an article about […]

Health Consequences of Harassment

I’ve been tracking the health consequences of the recession among my patients. The first group of victims is obvious: those suffering the anxiety and depression that follows job loss, protracted unemployment, living on savings, cutting expenses, downsizing where they live, and, of course, losing health insurance. At the very moment these folks could benefit from […]

Hey Doc, When Are You Going to Write Up My Case?

I hear this question virtually every time I see Alan, an extremely healthy, energetic man in his forties who could easily pass for someone in his twenties. He comes to the office once a year for a check-up (he’s always just fine), but since we cross paths at our health club I’m reminded about his “case” fairly often.

Belly Fat! New Research Reveals…

Between the print and TV ads and the pop-ups scuttling like mice from the four borders of your computer screen, belly fat seems to have surpassed global warming as our next great anxiety.

It’s clear these ads are aimed at women, some of whom fall for the hucksterism of what is for many little more than an annoying physiologic change occurring during a perfect storm of dietary indiscretion, genetic predisposition, and stress. As one patient laconically remarked, “My divorce from hell took a solid year. I finally got rid of him, but in the process…” (patting her tummy with both hands) “I got myself…this!”

Hormones and Breast Cancer

By noon on the day the story hit the news, I’d received a dozen emails from (sensibly) concerned patients asking what the study meant for them. First appearing in JAMA (the Journal of the American Medical Association) and then picked up by the wire services and spread around the world, the article addressed phase two of the Women’s Health Initiative (WHI) Study that was originally published in 2002.

Stop the Thyroid Madness

I went to medical school for awhile in London and, it being the late 1960s (and London), I really don’t remember much about it. The school, that is.

However, two lessons from a certain professor have always remained with me:
1. If you listen to your patient carefully enough, and use your diagnostic skills, she’ll tell you her diagnosis. You won’t need anything else. Just listen! (By the way, this idea is widely attributed to the early 20th century physician Sir William Osler, but I was an impressionable med student in the classroom of a speaker who sounded and looked like Winston Churchill…in a white coat.)

Male Menopause–Is It Real?

Short answer: Yes, but don’t hope for any quick fixes—that’s so-o-o pharmaceutical industry think.

Another way to view male menopause: Sure, a ball will bounce, only less and less.

I get asked about male menopause all the time, almost always by women (admittedly they represent the majority of my patients), but only rarely by my male patients who, for the most part, don’t seem to sense much of a problem. Could men be viewing male menopause the way they view weight gain? While women buy diet books and serially starve themselves/gain everything back, men buy larger pants with elastic belts.