There are definitely differences in how the two sexes handle stress. To find out the reason, and how the sexes differ in this area, read the article in Up Journey and find out what Dr. Connor adds to the discussion.
To further discuss, make an appointment with Dr. Connor.
One diet that has been popular in recent years is the hormone diet. There are a few different versions of this eating plan floating around, although they all promise to help you rebalance hormones in order to lose weight and achieve better health. The people who sell these diets claim they work. But what does science say?
Hormones are chemicals that are made by organs called glands. Their job is to act as a messenger between different organs or different body parts. For example, the gland in one part of the body may send out signals that affect how cells in a different area behave. Hormones affect many processes, such as metabolism, mood, and reproduction.
Growth hormone: This hormone is made by the pituitary gland, found in the brain. Growth hormone helps children grow and develop. It also necessary in people of all ages for functions like breaking down and storing fats, making proteins, and keeping brains and bones working properly.
Cortisol: The adrenal glands make cortisol when you’re feeling stressed out. It helps control inflammation, blood pressure, sleep, mood, and metabolism.
Insulin: Insulin, made by the pancreas, is also linked to metabolism. It helps cells absorb sugar from the blood to use for energy.
Thyroid hormones: The thyroid, located in the front of the neck, makes hormones called T3 and T4. These control metabolism and help the bones and heart work properly.
Reproductive hormones: Estrogen, progesterone, and testosterone help the reproductive system develop and work properly and are important for healthy sexual function.
These and many other hormones affect the way the body breaks down food, stores it, and uses it as fuel. When hormone levels are too high or too low, they can cause someone to lose or gain pounds. This has led many people to study the connection between hormones and weight loss.
The original hormone diet lists three separate phases: Phase 1: The first part of the diet is detox. People avoid certain foods for two weeks, including gluten (found in certain grains and bread products), cow’s milk and dairy products, peanuts, alcohol, caffeine, corn, sugar, and certain citrus fruits such as grapefruit. Additionally, processed, man-made foods are off-limits. According to the diet, these foods can cause inflammation and make it hard for your digestive system to absorb the nutrients it needs. Instead, people are told to eat foods such as rice, vegetables, fruits, beans, nuts, seeds, poultry, fish, and eggs. Dieters are also instructed to take supplements such as probiotics and fish oil. The hormone diet is supposed to help people lose 12 pounds during this first phase, in addition to lowering levels of hormones like estrogen and cortisol. Phase 2: After two weeks of detox, a person starts slowly adding some foods back into the diet. However, they are told to pay attention to how their bodies respond to these foods. For example, a person may notice that eating dairy products tends to give them a stomachache. People following the hormone diet are still told to stay away from processed foods and foods with preservatives during this time. Phase 3: At this point in the hormone diet, people continue the same eating plan but begin to exercise. They also add other healthy habits into their routines, such as getting good sleep and reducing stress, as these habits play a role in the levels of certain hormones.
The bottom line: for the most part, we don’t yet know enough to be able to say which specific foods can raise or lower the levels of specific hormones. However, we do know that losing weight using a variety of strategies can help keep hormones at normal levels.
These tools may or may not change your hormone levels in a predictable way, but they can help you lose weight. Following these parts of the hormone diet can help you lose pounds and reduce your risk of disease, even if you don’t follow the exact plan that the book recommends.
Overall, trying to control the levels of your many hormones through food might not be realistic, and could lead to further problems. If your body is healthy overall, then your hormone levels will be where they need to be. Abnormal hormone levels are often a sign of other health concerns.
The body tightly controls how much of each hormone is made. Sometimes, health problems cause certain glands to make too much or too little of a hormone. This can lead to a hormone disorder, which may also be called an endocrine disorder. The most common disease in this category is diabetes, which occurs when the body doesn’t make enough insulin, causing blood sugar levels to get too high. Another example is hypothyroidism. In this disorder, the thyroid doesn’t make enough T3 and T4 hormones, leading different body processes to slow down.
If you think that you may actually have a problem with certain hormones, the first step is talking to your doctor. Your primary care provider can help you test your hormone levels by drawing your blood. If you are female, you may also be able to have your gynecologist measure levels of your reproductive hormones. Your doctor can then help you understand whether there are any problems and what steps you can take.
Some companies also sell kits that allow you to test your hormone levels at home. This often involves collecting a sample of saliva, blood, or urine and mailing it in to a company. The company will then send you results that say what your levels of different hormones are and whether they are in a normal range. Again, it is important to take this information to your physician to review with you.
If you are diagnosed with a hormone imbalance, there may be several different treatment options depending on what exactly the problem is. For example, if your thyroid produces too many hormones, you may be able to fix this through medication, radioactive treatment, or surgery to remove all or part of the thyroid.
Low hormone levels may be able to be fixed by taking man-made hormones in order to replace the ones that your body isn’t making. One example of this is someone with diabetes taking insulin in order to help control blood sugar levels. Another example is a woman taking hormone replacement therapy while going through menopause. True hormone imbalances can usually be solved through medical means, rather than by going on a diet.
Overall, there is much we have yet to learn about hormones and the link with our food to our hormones and weight loss. Following the hormone diet could help you shed pounds, but any weight loss you see may be simply due to the fact that you’re eating healthier foods and exercising more. Regardless of whether or not you’re resetting your hormones, the hormone diet does contain many great ideas that can help people become healthier and weigh less.
For more information on what type of diet would benefit your body, please schedule an appointment with Dr. Connor.
Hormone replacement therapy is a common way to treat symptoms of menopause. Hormones are complicated and come with great benefit as well as risk if not dosed appropriately. Follow-up with regard to clinical symptoms and lab testing is imperative for all patients who decide to initiate and take hormone therapy, so it is important for patients to discuss options with someone who is very experienced in this realm of hormone supplementation therapy. Women should talk to their doctors about which menopause treatment plans may be best based on their own personal symptoms.
Hormones are chemicals made by the body. They act as signals, allowing one part of the body to communicate with another part. Hormones are important for many functions in the body, such as growth, metabolism, mood, and sexual reproduction.
Different hormones are responsible for the development and health of male and female reproductive organs. In women, the reproductive hormones are estrogen and progesterone. They are made in the ovaries, and then released throughout the body, where they play important roles in:
As women get older, their bodies gradually stop producing hormones. Their menstrual cycles become more irregular, and eventually stop altogether. Once periods stop, women can no longer get pregnant. This process is known as menopause.
When people go through menopause, they often experience many symptoms that frequently last for seven years or more. One of the most common symptoms is a “hot flash,” in which someone suddenly feels hot, starts sweating, and develops redness or flushing on the chest, neck, or arms. (Most often this is at the level of the neck and above.) Other frequent symptoms include:
Women generally start transitioning into menopause in their mid- to late 40s. This transition generally lasts around four years. The period before menopause is termed “peri-menopause” and often starts to occur in a woman’s 30s and can last for more than a decade until menopause occurs. Women is said to have reached menopause when they haven’t had a period for 12 months in a row. Menopause occurs on average, at the age of 52, although it may happen several years earlier or later in many women.
Some women go through menopause at an earlier-than-normal age. It’s not always clear why women go through early menopause, although some possible reasons include smoking, genetics, chemotherapy or radiation treatments, autoimmune diseases, and surgical removal of the ovaries. Typically, women who go through early menopause have the same sorts of symptoms, but the symptoms are more likely to be severe.
Menopause symptoms will usually go away eventually on their own, without treatment. However, taking extra hormones as the body stops producing them can help reduce symptoms. Using medications that contain hormones is known as hormone replacement therapy, or HRT.
Women are often at higher risk of having other health problems after they go through menopause, and HRT can also help prevent some of these conditions. For example, a drop in estrogen levels typically leads to bone loss. Women often develop osteoporosis and have a higher risk of breaking bones once they go through menopause. HRT can help women maintain bone strength as they age and stop producing estrogen. HRT can also help post-menopausal women maintain healthy muscle function and improve skin health. Additionally, women younger than 60 who utilize HRT tend to live a little longer.
Using HRT can also help with cognition, or the dreaded “memory fog,” a common symptom experienced by women going through menopause.
People may also go through HRT when they transition away from the biological sex they are assigned at birth. Transgender women may take estrogen and/or progesterone along with testosterone blockers (aka: androgen blockers) as a way to develop more feminine features. HRT can have physical and psychological benefits and lead to greater quality of life for people who are transgender.
Another form of HRT raises hormone levels only in the vagina. These products usually give off a lower dose of estrogen, and are effective at treating vaginal symptoms like dryness. However, they won’t work on symptoms that affect other parts of the body, such as hot flashes. Vaginal HRT medications may come in the form of a cream, ring, or vaginal tablet.
Each form has different pros and cons, and specific side effects may be more or less likely with each type of HRT. Please talk to your doctor about which form might work best for you and your specific needs and lifestyle.
Different HRT medications have different side effects. Some common side effects include headaches, stomach cramps, nausea or vomiting, tender breasts, hair loss, muscle spasms, dizziness, and throat or neck pain. If you are experiencing severe side effects from HRT, talk to your doctor about trying a different medication or stopping your use of the medication.
Taking hormones can lead to certain more serious side effects. Depending on a person’s health and family history, HRT may increase the chance of developing:
For this reason, HRT is often not recommended for people with a history of bleeding problems, heart attacks, stroke, or liver disease. However, not every person is at high risk of developing these conditions. Talk to your doctor to determine whether these disorders are a concern for you.
Taking estrogen can also lead to an increased risk of getting cancer of the uterus. If a woman still has her uterus and has not gotten a hysterectomy, taking progesterone in addition to estrogen can reduce this risk. Additionally, taking progesterone helps protect the uterus and also reduces the risk for abnormal endometrial cell growth or proliferation which can cause the lining of the uterus to become thickened and cause vaginal bleeding.
In the early 2000’s, two large clinical trials that included tens of thousands of women analyzed the long-term effects of HRT. These trials were the first to find that there may be a link between HRT and breast cancer. After following the women in the trial for more than a decade, researchers found that women who took a combination of estrogen and progestin (not progesterone) were more likely to develop breast cancer but I note that these studies were done on subjects that were not taking bio-identical hormones, which are the only type I recommend in my practice. However, women who took estrogen alone had a decreased cancer risk. Since these trials, many more studies have been published, and they have often come to conflicting conclusions, Cancer risk needs to be assessed on an individual basis with any patient who is considering taking HRT and this may be especially important for women with a personal or family history of the disease. Work with your healthcare provider to determine whether the benefits of HRT outweigh the risks.
In order to decrease health risks, some experts recommend taking hormones for the shortest amount of time needed, using the lowest dose that works. HRT carries less risk for younger women and for women who went into menopause within the last few years. However, now we have ample data to support taking HRT for many years and that doing so can help protect the brain, breast, and bones.
If you do decide to take hormones, there are things you can do to take them more safely. I always recommend that patients take an HRT that is the bio-identical form. Make sure to have regular doctor’s appointments where you can discuss both your menopause symptoms as well as any possible side effects from HRT. In particular, tell your healthcare provider if you experience any new bleeding problems. You can also ask your doctor about whether you need to be screened for certain health conditions, as people who take hormones may need to get mammograms or bone density tests more often than others. Finally, do not smoke while taking hormones, as this can lead to potentially dangerous blood clots.
Research has found that practices that lead to less stress and anxiety can help improve menopause symptoms. For example, mindfulness meditation can help women have fewer, less severe hot flashes, and help with symptoms related to sleep, mood, and muscle and joint pain. A clinical trial also found that hypnosis could make hot flashes occur 74% less often and be 80% less severe, although scientists don’t know exactly how this works.
Additionally, researchers have studied whether certain types of relaxing physical activities can help with menopause. Tai Chi is a mind-body exercise that involves meditation and relaxation. Studies have found that Tai Chi can help menopausal women have fewer hot flashes, stronger bones, and higher levels of antioxidants in their bodies. Additionally, yoga may help reduce hot flashes. Exercises that engage both the body and the mind might be a way to help treat menopause symptoms.
Many herbal or natural supplements are often taken for menopause symptoms. However, many herbs don’t seem to actually work when they’re studied in clinical trials, or they have not been studied at all.
For example, women undergoing menopause commonly use evening primrose oil. One study found that this supplement could make hot flash symptoms slightly better, while another found that it had no effect. The use of red clover in menopause has also led to mixed results. However, there is some evidence that black cohosh can help treat menopause, especially when combined with St. John’s wort. More clinical trials need to be conducted in order to better determine which herbs are most helpful for treating menopause.
If you do decide to use herbal supplements, make sure your doctor knows. Just because a treatment is natural and comes from a plant doesn’t mean it’s completely safe. Evening primrose oil can lead to bleeding problems when combined with ginseng, and black cohosh may cause liver damage. Some herbal supplements can also have interactions with other drugs, leading to increased side effects.
Try tracking your hot flashes and keeping a food diary to see if you notice that certain food or drink makes your hot flashes worse. Caffeine, alcohol, and spicy foods may all act as triggers for hot flashes. Avoiding food and drinks in these categories may help your symptoms improve. Eating lots of fruits and vegetables and having meals at regular times throughout the day can also help you manage your symptoms. Additionally, some women find that eating soy products such as tofu or edamame may help treat menopause.
Even if you can’t make your hot flashes disappear, you can make them more manageable. Wear light, breathable clothing, and dress in layers so that you can take off a jacket or sweater if you feel a hot flash coming on. Keep cold water and a fan close by at all times, in order to help cool yourself off if you start sweating. It may also be helpful to sleep with a fan by your bed. Finally, taking slow, deep breaths as a hot flash starts can help them go away more quickly.
Using a vaginal moisturizer can help relieve dryness. Additionally, you may want to try a water-based lubricant in order to make sex more comfortable. Kegel exercises may also help work out muscles in the vagina and lead to less urine leakage.
Because bone density decreases after menopause, and bone breaks become more common, it’s important for women to think about bone health. Exercise and physical activity can keep bones strong as you age. Taking extra calcium or vitamin D can help, too. Calcium comes from foods containing dairy, such as milk and cheese, as well as from leafy green vegetables, salmon, and tofu. Vitamin D comes from getting sunlight. Both calcium and vitamin D can also be taken as supplements. Talk with your physician about making sure that your vitamin D levels are optimal.
Many women going through menopause have sleeping problems. Try getting better sleep through:
Hormone replacement therapy may be right for some but unnecessary or risky for others. Your physician can help you figure out whether the benefits outweigh the risks based on your health and family medical history and can help guide you in the right direction regarding the benefits of hormone replacement therapy. Contact Dr. Brynna Connor to learn more.
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