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How Menopause Can Destroy Mental Health

“Pretty dramatic title,” I thought, “especially for usually staid, Guardian newspaper.” But the writer had been collecting data from UK doctors, interviewing patients, and clearly was shocked at what she had found. Not only were individual women describing their personal experiences with serious bouts of depression, anxiety, panic attacks and suicidal thoughts, but also “brain […]

Causes of Brain Fog: How To Test and How To Treat

Last week we began a series on brain fog, a term used by patients to describe a situation in which they’re experiencing poor focus and concentration, memory problems, and/or an overall lack of mental clarity. There are medical conditions, covered below, associated with brain fog that your doctor can screen for using a few simple […]

Do You Have Low 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 hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Causes of hypogonadism include […]

Functional Telemedicine, Wherever You Are

All things considered, we’ve rather enjoyed our telemedicine interactions with patients. Doctoring this way also recently provided me with an Aha! moment. What I realized was that much of what we do as Functional Medicine specialists, both diagnosis and treatment, can be done online with you never leaving your home. Such a consultation would include […]

Functional Medicine: Your Wacky Hormones and Adrenal Glands

“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. […]

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 […]

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 […]

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 […]

Addyi: Big Pharma Botches a Viagra for Women

I hardly know where to begin. This is all too bizarre for me. If you’re a regular scanner of cash register magazines, you’ll be reading about Addyi, released by Big Pharma and approved for something called female hypoactive sexual desire disorder (HSDD), which is essentially no or low sex drive. This story is about a […]

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 […]

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 […]

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.

Help for Your Fading Sex Drive

In last week’s health tip, I talked about Big Pharma’s predilection for creating illnesses to fit new chemicals, and how the controversial hypoactive sexual desire disorder (HSDD) was a “perfect match” for a failed antidepressant called flibanserin.

Oprah: Poster Child for My Book, The Triple Whammy Cure

Click here for the Health Tip link. It comes with being a doctor, I suppose. I just can’t keep myself from reading about illnesses of the rich and famous. So when I saw Oprah’s name linked with the words “depressed,” “overweight,” and “thyroid,” I had to explore further. You can read about her major health […]

Q&A: Herbs Control PMS Palpitations

Q: In a health tip on hormones, you wrote that virtually any cyclical symptom is probably caused by hormone fluctuations. You described a patient who got such severe heart palpitations that her cardiologist considered heart surgery before one herb managed to get her hormones under control. Could you tell me which herb was used and how it worked?