We talk a lot about the best ways to maintain balanced hormones – eat appropriately, get enough sleep, exercise, eliminate toxins and reduce your stress levels – but what happens around age 40 when our hormones start to naturally decline?

In the years leading up to menopause, known as perimenopause, women start having hormone fluctuations starting with lower progesterone. Add in some stress and your progesterone lowers even more because your body will use it to help make more cortisol. Once menopause hits, your estrogen will begin to fall significantly, and you might notice an increase of fat around your belly. This happens because some of estrogen’s functions are to increase metabolism and insulin sensitivity. As perimenopause and menopause progress, symptoms might increase including hot flashes, weight gain, difficulty sleeping and a host of other problems. Some women can relieve these symptoms with lifestyle changes, supplements and herbs, while other women might choose to replace missing hormones with replacement therapy.

Men can’t escape weight gain due to hormone imbalances either. As men age, testosterone – a hormone with many functions to help maintain weight – starts to decline. And due to lifestyle habits, many men under the age of 40 have low testosterone levels for their age. Low testosterone leads to increase fat mass and weight gain, which then sets off a chain reaction that often leads to fatigue, depression, inflammation, and further weight gain.

We’ve talked a lot about how stress can lead to hormone imbalances and weight gain, but another side effect to stress concerns the thyroid. The thyroid is in charge of metabolism. If your cortisol is high due to stress it tells your body to conserve energy, therefore your thyroid secretes less active hormone and reduce your metabolism, leading to weight gain.

If you’re still having trouble overcoming symptoms of hormone imbalance even after making lifestyle changes, you may want to consider hormone replacement therapy. However, it’s very important to find a physician that specializes in hormone testing and is dedicated to treating the underlying cause of your symptoms and not just your symptoms. A physician who understands bioidentical hormones is also important because they have the correct shape to fit into all the receptors on the cells in your body.

Check out page 99 of the October issue of Shape magazine. Dr. Stanton is quoted in the article “When Weight Gain is a Warning.” Dr. Stanton provides tips for treating an underactive thyroid and preventing a surge in cortisol levels with stress reduction techniques.

A male reader recently wrote Dr. Stanton for advice on DHEA and how to help his energy levels.

Q. I’ve started taking DHEA. I used to take 7 keto DHEA and it helped me get rid of ice cold feet…so I figured it helped my thyroid. I don’t feel the energy effects of co enzyme q 10 anymore. What could be my problem? Also brisk 20 minute walks are not helping my energy anymore, do you have any suggestions that would be helpful thru your newsletters for men?

A. The 7-keto DHEA you have been taking may be helping you by supporting your adrenal glands. Your adrenal glands produce DHEA and cortisol which are part of your “fight or flight” response. I you have had stressors of any kind (emotional, physical such as an injury or surgery, food allergy, etc) it can tax your adrenal glands. This can produce fatigue, difficulty concentrating, weight gain, low libido and a number of other symptoms. Your adrenal and thyroid glands are closely connected so, by supporting your adrenals, you may have helped your thyroid which would have improved your cold feet.

The reason the CoQ10 and brisk walks may no longer be “working” is that your adrenals may need even more support. I would encourage you to continue the CoQ10 and walks. However, you may want to consider hormone testing to evaluate your adrenals (www.ZRTLab.com) and see if they need more support.

Sincerely,
Alicia Stanton, MD

If you have a hormone health question for Dr. Stanton, email [email protected].

We come into contact with environmental toxins in our everyday lives, but the holiday season can bring additional toxins that can further wreak havoc on our hormones. Many of these toxins can mimic other hormones like estrogen and thyroid which lead to an imbalance with other hormones. Some toxins can accumulate in tissues of glands, which inhibits our hormone production.

Toxins can be found in some holiday decorations and products. Synthetic scents from holiday air fresheners and scented candles contain phthalates and parabens that can disrupt hormones. Instead, light candles made from soy or beeswax. They burn clean and don’t emit dangerous chemicals. Excess Christmas tree trim and cinnamon sticks also work well to make your house smell like the holidays.

Fake trees – especially older ones – decorations and gift wrap can contain lead. Instead of using artificial decorations, create centerpieces and holiday accents by placing poinsettias around your house and filling baskets and vases with natural ingredients like pinecones, whole walnuts and chestnuts, artichokes, cranberries, cinnamon sticks, organic pumpkins, squash and apples. If you prefer a fake tree, try to use a newer one as they generally contain lower levels of lead and make sure to wash your hands well after assembling and decorating.

I hope these tips have helped so you can protect your home and your health this holiday season with decorations that are both beautiful and healthful.

I’ll be participating in a free teleseminar series on hormone health called “Turning Back the Clock: Rejuvenate Your Hormones, Your Health and Your Life – Naturally,” presented by Pomegranate Health and WomenWise International.

The series will take place from October 26-December 7 and feature seven of the natural health world’s leading experts on hormone health. My appearance will take place November 2 and will focus on keeping your mind sharp as a tack.

Here’s more details on my topic: The Brain Hormone Connection – How To Feel Well, Have Fun And Remember What You’re Doing!!

Most people think about menopausal symptoms when they think about hormones. However, hormone balance is very important to the overall health of your brain. Hormones such as estrogen, testosterone, cortisol and thyroid all profoundly affect how you think, feel and remember. Attendees will find out how to keep these hormones in balance to optimize your mood, memory and concentration while minimizing your risk for brain health problems like Alzheimer’s. You’ll discover the best nutrients and lifestyle tactics for your mental health.

Sign up and reserve your spot at www.healthywomanseminar.com. All you need is a phone or computer with speakers.

The key function of the thyroid is to help metabolism. T4 is the major hormone produced by the thyroid, which also converts to T3. T3 is five times more active than T4, so it helps regulate metabolism better. However, this conversion can get tricky because selenium is required and if there isn’t enough selenium it won’t covert and you’re left with the less active T4.

The presence of too much cortisol from stress can also stop the conversion. It’s important to remember that you can have adequate amounts of T4 but still experience some thyroid imbalance symptoms due to the lack of more active T3. Those symptoms include fatigue, weight gain, puffiness around the eyes and face, foggy thinking, dry hair and skin, etc.  Low thyroid can also cause increased cholesterol and LDLs because you’re not metabolizing fats as well. Heart issues, particularly a higher risk of heart disease, can also occur.

So how can you improve thyroid function? There are several ways. First, there are several nutrients that can help: selenium, zinc, the B vitamins, vitamin A and vitamin C. Reduce stress levels so there is no conversion issue. Avoid toxin exposure to mercury, lead, BPA and phthalates by eating more organic and not drinking out of plastic water bottles and aluminum cans. Fish oil and vitamin D are good because they are anti-inflammatory and the herb ashwagandha stabilizes the adrenals, helps metabolism and lowers cortisol.

Been dealing with dry skin and hair recently? You may be able to blame it on menopause — but these tips will help you restore your luster.

(EverydayHealth.com article by Jennifer Acosta Scott with information provided by Dr. Alicia Stanton)
August 31, 2010
Medically reviewed by Lindsey Marcellin, MD, MPH
http://www.everydayhealth.com/menopause/treating-dry-skin-and-hair.aspx

If you’re a women in your middle years and you find that you have dry skin and dry hair for the first time, your first inclination may be to blame your beauty routines. But the fact is, these changes can also be caused by menopause.

“Dry skin and hair are very common in menopausal women,” says Alicia Stanton, MD, an obstetrician-gynecologist in Hartford, Conn., and the author of  Hormone Harmony. “Estrogen helps keep things hydrated and plump and youthful-looking. When estrogen levels drop during menopause, the skin gets more wrinkled and dry, and in some women, it can even be itchy.” This is because oil glands in the skin shrink after menopause, and less is secreted.

911 for Dry Skin and Hair

Nourishing your skin and hair from the inside and protecting them on the outside will go a long way toward easing these menopause symptoms.

Have your thyroid checked. Levels of thyroid hormone can decrease in menopausal women, which can also contribute to dry skin and hair. In fact, Dr. Stanton says, women who begin developing dryness should consult their doctor about having their thyroid function tested. Dry skin is a symptom of hypothyroidism, a potentially dangerous condition caused by low levels of thyroid hormone in the body.

Boost your intake of vitamins and minerals. Once medical causes for dry hair and skin have been ruled out, a few simple changes can often help relieve the dryness. Getting adequate levels of nutrients through a well-balanced diet and a multivitamin (or supplements that are approved by your doctor) may just give your body the boost it needs to get your hair and skin back on track.

Ban the tobacco. Tobacco use also reduces estrogen levels in a woman’s body, so quitting smoking may have a positive effect. “If you need another reason to stop smoking, that could be a good one,” Stanton says.

Baby your complexion. Topical treatments for dry skin and hair abound, but you don’t have to splurge on expensive brands. The key is to look for certain ingredients on the label. Skin products containing vitamins A and C, for example, can improve skin due to their antioxidant effects, while creams with collagen (a naturally-occurring substance that keeps skin firm) may help keep skin youthful-looking. For severely dry skin, seek out moisturizers with lactic acid or urea. “You don’t have to spend a ton of money,” Stanton says. “Many of my patients do fine with over-the-counter treatments.”

Soothe your scalp. If dry scalp is a problem, consider using a shampoo that contains zinc or selenium, ingredients that reduce dandruff for some people. Dry hair may also get a boost from a deep conditioner. Be sure to limit how often you shampoo and use your blow dryer and other damaging heat appliances. Whenever you’ll be spending a lot of time outdoors, treat your hair to a protective leave-in conditioner with zinc oxide and wear a hat; both will help your hair retain moisture.

Protect your hands. If you plan to be outside in cold weather, make sure you wear gloves — dry winter air can rob your hands of even more moisture. In the summertime, wear sunscreen with a sun protection factor (SPF) of 30 or higher — overexposure to the sun can make you more prone to dry skin, not to mention wrinkles and age spots.

Relax. If you really want to go the extra mile to combat dry skin and hair, try relaxing. Stress can lower your body’s levels of estrogen and thyroid hormone, Stanton says. Take time out of every day to unwind, and you may just be rewarded with a better complexion and healthier-looking hair. “Yoga and tai chi can relieve stress, and that can help your estrogen and thyroid levels,” Stanton says. “Things that allow you to decompress a little can provide some benefit.”

Hydrate from the inside. Finally, drink more water. Your skin can’t get hydrated if the rest of you isn’t. It’s an easy enough thing to do, but something that many women neglect during their busy day.

Thyroid hormone is important for our metabolism and energy levels. If you have a deficiency in thyroid you may experience fatigue, foggy thinking and weight gain. Some estimates say one in seven adults have a thyroid deficiency, yet they are often missed. Treatment for low thyroid involves nutrition, including adequate selenium, vitamin A and iodine, and hormone therapy if needed.

You also need to make sure the adrenal glands are functioning properly; otherwise treating the thyroid without addressing an adrenal problem will make you feel worse. Adrenal fatigue results from a long period of stress, which depletes the adrenals of normal cortisol production. Treatment for adrenal fatigue includes getting enough sleep, getting back on track nutritionally, decreasing sources of stress, and for extreme cases, bioidentical cortisol in the short term.