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See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Why should I worry about taking Vitamin E when it comes to aging? Vitamin E is an antioxidant that keeps your brain healthy, your immune system working effectively, and decreases the inflammation throughout your body. Women with Fibrocystic Breast Disease, should take two supplements Vitamin E and Iodoral (Iodine) every day. **People with the highest levels of alpha-tocopherol (the form of vitamin E that circulates throughout your body) had the lowest mortality rate over a 20-year study. These patients had lower risk of heart disease, cancer, and autoimmune disease including rheumatoid arthritis. **In another long-term study patients with chronic lung disease had a decreased mortality. Vitamin E also counteracts the liver damage from non-alcoholic fatty liver disease. Vitamin E is a fat-soluble vitamin, in the same class as Vitamin A and D and is vital to healthy aging. Because it is a fat-soluble vitamin it is possible to store Vitamin E and one should not take too much of it because the body stores it! You can start taking Vitamin E in your food: Nuts like Almonds, sunflower seeds and pine nuts Oils like Olive oil and Sunflower oil and wheat germ Animal products like Salmon, rainbow trout and eggs Vegetables like Spinach, Broccoli, Avocados Fruit like Kiwi, Mango and Blackberries So how much Vitamin E should you take a day? For adults the required dose is 400-800 IUs/ day Ideally, we should take Vitamin E as a preventive measure to ensure our health and to delay our mortality. Eating vitamin E is a good way to get it, but taking a supplemental vitamin E helps when your diet is not optimal.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Health now a days requires following a fresh food diet, with supplements to fill the gaps in nutrition. Vitamins have been treated with disdain by medical doctors since I was in medical school half a century ago. Doctors have routinely told their patients that vitamin and mineral supplementation is unnecessary if a person has a "normal diet". Sadly no one in our society has a normal, whole food, nutritious diet without fast food, high sugar and fat additives to make us consume more food, or preservatives. That is the first piece of misinformation the government tells doctors and society about our diets. Second piece of misinformation that confuses doctors who are not trained in nutritional and preventive medicine is that the reference ranges on a lab sheet are healthy levels. The truth is that the reference range is the lowest range of vitamin blood levels that keep a person alive, not the optimal levels that can keep people healthy! The governmental agency, the FDA, that is paid for by you the taxpayer, does not look out for you as an individual but looks out for the health of the country (financially, and to keep people as a group healthy enough to stay alive, but they do not have the individual patient in mind when they make the rules about supplements, or what medications individuals can take or even afford, and they don't promote health, they only promote NOT DYING! Public health is not the health of individual citizens it is about just keeping people alive even if they are unhealthy without a quality of life. You should know this difference when your doctor who probably still believes everything the FDA and the medical societies say, so they tell you that you are healthy even if you feel terrible, can't walk or can't sleep! Preventive medicine is the medicine that I do. Medicine that has as its goal, health and a productive quality of life is what we do. Health in the current American society cannot be obtained listening to the rules of the FDA. They don't represent you as an individual. Health now a days requires following a fresh food diet, with supplements to fill the gaps in nutrition we all have, and healthy exercise every day, replacement of the hormones that decline with age, and medications to treat the diseases that lead to disability and death. Even when taking medications, we have to be aware of the vitamins that each medicine overuses and causes deficiencies, and we need to replace them if we take certain meds, eg Metformin requires that you take extra methyl-B12, and Statins requires you to take CoQ10 daily to replenish normal levels that statins use up. Today I want to talk about the role of B12 vitamin that is generally found in animal products, especially meat, and fowl. B12 is essential to normal muscle growth and strength, and normal neurologic function, including thinking, memory, and normal sensory and motor function of the peripheral nerves. If you have peripheral neuropathy and you have not been given methyl B12 and Methyl folate then that should be your first move to see if you replace your vitamins, you can reverse your symptoms. What not to do: Don't get blood work and believe your doctor that your B12 is ok if he uses the reference ranges in your blood work. The blood reference ranges represent the lowest level of a vitamin that can keep a healthy young person alive, not the blood level that is optimal for any person to maintain health. The optimal B12 level is 400-1500, not 250-800 like some labs show as the reference range. The next thing to know about B12 is that 1/3 of the American population has a gene that doesn't allow them to make B12 in their diet into the active form, methylated-B12 so they can actually use it! Vitamin B12 is essential to life and is necessary for a human's ability to think and maintain normal brain function. B12 has many functions in the body including maintaining normal sensory nerves and motor nerves. I'd like to concentrate on B12's function in the brain. A recent study in Annals of Neurology 2025 found that Vitamin B12 deficiency causes changes in the brain that symptomatically looks like memory loss and inability to problem solve, and over time results in dementia and cognitive impairment. Symptoms of B12 Deficiency Balance problems Memory problems Psychosis Nerve Damage Megaloblastic anemia By the time these changes occur they are usually irreversible and adding B12 to the diet may not treat these changes in neurologic function. The most important thing discovered was that the blood levels of B12 listed in the reference range are too low, and these problems occur when patients have what is considered "normal B12 levels". They found that people need higher B12 blood levels than the reference ranges to prevent these changes, what I have been telling patients for over 20 years! Who is at risk for B12 deficiency, and therefore rapid aging of the brain? B12 is only found i

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog WHAT YOU WILL LEARN: How to SCULPT YOUR MUSCLES AND TIGHTEN YOUR SKIN after weight loss! How to decrease VISCERAL FAT A new way to IMPROVE MUSCLE MASS by 30% for strength and beauty in 4 weeks DECREASE SUBCUTANEOUS FAT by 25% in 4 weekly treatments INCREASE MUSCLE DEFINITION with Emsculpt Neo A way to REHABILITATE AFTER SURGERY PRE-TREAT BEFORE SURGERY: Improve your post op joint surgery condition by increasing muscle around the joint HOW TO RECOVER Quickly AFTER CHILDBIRTH A Way to IMPROVE CORE AND PELVIC FLOOR STRENGTH How EM-Sculpt-Neo works Most of you know me as the expert in Bioidentical Hormone Pellet Replacement, but I am also expert in Skin and body care. If my patients have problems that your PCP has not been able to solve. I will refer you for new therapies, cutting edge treatments that work to treat your problem. The most common problem that my patients complain of is loss of muscle mass and changes in body fat that make them look old. I found a treatment that is not a laser, but the Emsculpt Neo uses safe and effective magnetic energy plus RF treatment to reduce fat and build muscle in a 30-minute painless treatment. Today I am going to talk about a painless treatment that we offer at my medical spa, BioBalance® Skin that has just been approved by the FDA for rehab after joint surgery. The magnetic energy (HIFEM) combined with RF energy increases muscle size and strength by 30%, dissolve fat by 25%, as well as tightens skin with the same treatment! EM Sculpt Neo is a 30-minute treatment that uses magnetic energy to make your muscles contract and is equal to thousands of crunches for 30 minutes. The RF portion breaks down subcutaneous fat in the same area. There is no work on your part, you just lie there, and your muscles respond to the magnetic pull by increasing in size and strength. Four sessions one week apart is the ideal number of treatments, and they come a in a package of four treatments to one area. The areas that most of us want to build muscle and lose fat in are our abs, upper arms, thighs, calves, love handles, and hips. If you need to do more than one area at a treatment you can do up to three areas, each for 30 minutes. If you have had joint surgery and need to increase your strength around that joint, EMSculpt Neo is very effective, after your doctor releases you to exercise. One of the big concerns with the new weight loss medications is that people often lose muscle as they lose weight. This is especially common after age 40, in those people who are not on testosterone pellets. EMSculpt Neo adds a tool that can preserve or even increase muscle mass and decrease fat where you want to lose it. EMSculpt Neo for fat loss and muscle building (not for rehabilitation) should be saved for those weight loss patients who lose enough weight to achieve a BMI under 30. For the best results, we suggest a high protein low carb diet, protein, low carb diet, to give your body the building blocks for muscle tissue. We also will suggest supplements for nutrition and to abstain from alcohol to get the best results. Healthy fat loss takes combination of EMSCULPT NEO, Weight Loss Medication, activity, Low carb high protein diet. We advise our patients over BMI of 30 to get started on weight loss first and continue diet medications while you are receiving EM-Sculpt Neo treatments. How do you lose weight without losing muscle? The Best Combination for the best results while you are losing weight on medication: EMSCULPT NEO to the areas you want to remove fat from Semaglutide or Tirzepatide medication to treat obesity for weight loss Testosterone Pellets if you are a woman over 40, and man over 50. Regular exercise like walking High protein diet Supplements to improve your ability to make muscle Who should do this EMSCULPT treatment? People who are working out but cannot do sit ups because of back injury Those folks who want fast muscle mass increase in specific areas Anyone who is on a weight loss program who is losing muscle and fat, or who has saggy skin in areas where they lost weight Patients anticipating a joint surgery Patients healing from joint surgery after PT Patients who cannot lift weights because of injury Those people who lift weights but cannot develop definition People with a Beer Belly with a lot of visceral fat Some people may not be able to enjoy this sculpting, muscle building method: We will do a free consultation before you sign up for a package of EMSculpt Neo and some patients will not get optimal results if they have any of the factors below: BMI greater than 30 Metal implants anywhere that are not titanium. Titanium is not magnetic, so it is ok to have a treatment if you have a titanium joint implant. No Rods or pins. Any pacemaker implant, pain pump under your skin, nerve stimulator or you are in the first 6 weeks post-surgery for any muscle area in the area. If you have a large abdominal hernia tha

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you ever doubted your doctor because she wrote a script that you later "Googled" and found was not FDA approved, I hope you trusted your doctor enough to realize that she wouldn't recommend any medication that would hurt you…. What is an unapproved use of a drug, also called "off-label"? Unapproved use of an approved drug is often called "off-label" use. This term can mean that the drug is: Used for a disease or medical condition that it is not approved to treat, such as when a chemotherapy is approved to treat one type of cancer, but healthcare providers use it to treat a different type of cancer. The drugs that are not approved by the FDA, yet are commonly used, have been used for decades before the 1964 law that required new drugs to go through extensive and very expensive testing before their release to the public. The operative word is NEW DRUGS AFTER 1964. Today I will talk about the safety of non-FDA approved drugs because they are: Older cheaper drugs used for many diseases and conditions before 1964 and are still used Drugs that are approved for one use, or one condition, but not for other conditions that it is effective and safe for. Drugs made by compounding pharmacies for diseases that the FDA has not approved a drug for, but there is research backing the drug and years of safe use. First, before we discuss the non-FDA approved drugs, I will discuss the safety/risks of FDA approved drugs, and why FDA approval doesn't mean a drug will do no harm or even that it is effective for the use it is approved for. A little background will help you understand the problem and the reason an FDA approval does not necessarily mean a drug is safe. Since 1964, a law was passed that established testing prior to a drug being approved by the FDA became mandatory. Since that time several drugs that survive FDA approval and are released but are later removed or banned after their FDA release when the public finds side effects that the FDA didn't discover in their trials. One such drug is Fen-Phen, Fenfluramine/Phentermine. This drug was released during my time practicing medicine and was withdrawn after one study claimed it caused heart valve disease…In the end the "one post approval study" that claimed that heart valves were affected by this drug that caused its bann was found to be false. The withdrawal of the drug followed one study by a single cardiologist from Kansas City had reviewed all of the cardiac valve echo tests and falsified the results to make Fen-Phen appear dangerous to heart valves, when in reality it wasn't. She lost her license, but the FDA never put Fen-Phen back on the market! The FDA hates to be wrong twice, so they never allowed this drug back on the market after its removal. Other mistakes made by the FDA include not allowing women in the studies to approve a drug before 2014 which ignores or misses all of the side effects or lack of effectiveness for a drug when taken by women. Despite all the expensive testing before the release of a drug by the FDA, many drugs not tested on women were later often found to have severe side effects only on women. A few examples follow: You might have heard of the FDA approved drug Ambien that causes many women to experience "night eating", sleepwalking, and night terrors, while their male counterparts were not affected, so because they only tested men the drug was approved. In retrospect it should have been tested on women as well, and then either not passed through the FDA or should have had a black box warning for women. It takes years get action from the FDA, notifying doctors of these side effects. Women were not included in testing for any drugs except female hormones until 11 years ago, but no other drugs. Before 2014 all (non-hormonal) drugs that passed the FDA were not tested on women so the effect on women was unknown until it was tested on the public. The FDA left women out of drug-trials because it viewed women as "mini men", or they didn't consider us important enough to test new drugs on…OR worse, they believed we were too complicated to easily test us because of pregnancy, menopause and other hormonal swings that normal healthy women have. In any case, we are now suffering their decisions, when a medication works one way for men and another way for women! Finally, we are tested when drugs are being evaluated for approval by the FDA. Professional women have achieved a level of authority in medicine and pharmacology (2025) and are weighing in on the inequity. Women in the medical profession and the public are pulling back the curtain on the side effects of FDA approved drugs that are experienced by women only! Slowly, study by study investigators are now publishing the side effects and problems for women with FDA approved drugs….yet these findings are not included in the warnings on most of these drugs, even now over 15 year after they became obvious to the doctors who

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog You will learn: What holds up new treatments for diseases and conditions How long the FDA sits on a known safe medical medication before it is released to the public. Why safe and effective drugs are NOT approved by the FDA Why doctors are forced to use medications off label How you can help During my 44 years of medical practice, I have encountered conditions for which there is no approved medication or surgical treatment available as recognized by the American College of OBGYN or the FDA. This situation can present challenges both for physicians managing these patients and for individuals seeking relief from their symptoms. This issue is not often addressed on Dr Oz, in the news, or at medical conferences. For many conditions, physicians wait for the development of approved medications or treatments, and in the meantime may inform patients that there is currently no treatment or cure available. Some doctors may attribute a patient's concerns to aging, stating that it is a universal experience. While this may be accurate, such explanations may not provide comfort to patients seeking solutions to their symptoms. This lack of helpful guidance can discourage individuals from seeking medical care when they feel their concerns are not acknowledged. This seems to result from insurance companies prioritizing cost savings by minimizing patient care. Every year insurance companies decrease what they pay doctors for their services, while their expenses go up, and the Government requires more and more work behind the scenes like HIPPA, OSHA, and Clia requirements that costs more to deliver the same service. If you have a problem with the time your doctor spends with you then blame the insurance companies whose profits rise every year…Soon doctors will do what I do and only take cash. The practice of medicine is not working in a free market. While insurance limits the prescriptions of medication to those meds that are FDA Approved, the FDA and medical specialty colleges often delay approval of new, low-risk treatments for up to 20 years after their effectiveness is demonstrated. This lengthy process should be reconsidered to treat people who are ill and suffering, now. There is plenty of research in the medical journals that explain the safety of new and effective treatments that can save peoples' lives that are not FDA approved yet. The FDA is not interested in expediting the release of medication/ devices quickly to those people who need help now. They drag out the testing of a medicine that has been effective for years and may or may not approve it. On the flip side they have approved many drugs that later are found to have severe side effects, and they just change the warnings on the medication inserts. They don't take them off the market except in severe cases. Drugs that have worked treating patients successfully are being used but are not FDA approved. These "grandfathered drugs" don't need to go through the testing that new drugs go through because they work with few well-known risks. I use many if these medications because they are inexpensive for my patients and are often more effective than new meds for the same problem. One of the drugs that the FDA has not had to approve is Armour Thyroid, a natural thyroid replacement. My experience with treatments not approved by the FDA Armour Thyroid: Armour Thyroid (AT) has been prescribed by doctors to replace thyroid hormones for about 100 years. It is natural, made from Pig thyroid. It only comes from "medical Pigs" that are raised for medical purposes. We use medical pigs for skin grafts, and other parts of the pig to treat human diseases like heart valve replacements. Armour Thyroid is composed of the four thyroid hormones that humans make: T4, T3, T2, T1. The synthetic thyroid replacement, Synthroid/levothyroxine is only T4. The active form of thyroid is T3, and it requires an enzyme to convert T4 into T3. If a person can't convert T4 into active T3 then nothing improves except the blood levels of T4, and TSH. The majority of women cannot convert T4 into T3. Therefore, if they take Synthroid or levothyroxine and their doctor only checks their TSH level and not the level of free T3 and free T4 to see if the Thyroid is working, then women are told that they are healed, yet they know they are not because none of their low thyroid symptoms are resolved. When this happens, doctors tell female patients that it is all in their heads and dismiss us when we tell them we are not cured with this synthetic T4 medication. Yet Synthroid is a chemical, and AT is natural from medical pigs, so the FDA is trying to Bann the only drug that has successfully treated millions of women. PS. Synthroid was not tested on women like many other drugs that were passed through the FDA before 2014! If you think this is a small problem, think again. Thyroid hormones are vital to human life, and the thyroid gland requi

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog When I go to Fitness Edge, the place I have worked out with weights twice a week for 38 years, I know I am increasing my muscle mass and my metabolism for the next 72 hours…that's right, after just an hour of lifting weights, my body burns more calories over the next 3 days. Lifting weights not only increases muscle mass, strength and is the key element in weight loss, because it raises resting metabolism throughout the day, even while you are sleeping. As long as I have been a physician, we always knew that exercise was important to health, but not until recently did medicine did not know WHY exercise is so important, and WHAT type of exercise is the most important to healthy aging. Recently the research has exploded with research that supports the metabolic truth that muscle mass, and resistance exercise (weight training, training with bands, calisthenics) is necessary for health and longevity! Even though this is a complicated science that is primarily addressed to professional athletes, there are several discoveries that everyone can understand and employ in their quest for a long and healthy life. Muscle Mass, Percent Body fat and Exercising Your total weight doesn't matter as much as your total muscle mass and percent body fat. So, the amount of muscle you have compared to the amount of fat is the key to metabolic health. Muscle burns calories and decreases blood sugar, while fat is metabolically inactive. However, the amount of muscle you have isn't as important as how often you use your muscles against gravity. That is what weight training is: lifting weights against gravity, using barbells, free weights, resistance bands or Nautilus-type machines. Muscle Is the Major Site of Glucose uptake The more muscle you have, and the more you exercise them the more blood sugar is metabolized into energy. Your muscles soak up glucose from the blood for 120 minutes after weight training, and insulin sensitivity increases for 16 hours after exercise. Metabolic stimulation continues for 72 hours. Those people with less muscle who don't exercise use extra glucose to make fat. Body Composition is Improved with Weight Training Body composition can be measured with our InBody Machine. We follow each of our patient's body composition instead of just getting a weight. We find that when measuring our patient's progress, the percent body fat inversely relates to their Basal Metabolic Rate. In other words, the lower the body fat percentage, the higher the metabolic rate. The higher the body fat %, the lower the number of calories that patient burns at rest. For example, a woman with 40% body fat, depending on her height, burns about 1,100 calories over 24 hours when at rest. If the same woman achieves the ideal percent body fat with medical dieting and achieves less than 26% body fat, she will increase her BMI to over 1,400 calories/ day at rest. Weight training alone will increase muscle mass and decrease fat with the outcome of increasing basal metabolic rate, so she will burn her calories instead of storing them as fat. In short, weight training to increase muscle mass will decrease body fat and improve metabolic health. Weight Training Can Reverse the Loss of Muscle that Comes with Aging The above statement is a tricky statement. Women can exercise with weights their whole life and maintain a healthy body composition until they turn 45, then weight training just can't do the job without adding testosterone pellets. It is the magic of testosterone pellets—Testosterone PLUS Weight Training increases and sustains muscle mass. "I have worked out with weights since my residency when I was 28 yo. I realized that because I was 5-3 and 118 lbs, I would not be strong enough to do my job, delivering babies, operating and lifting patients on and off the table. I began with a Nautilus circuit followed by 10 minutes on the treadmill 2-3 times a week. After I delivered my daughter, Rachel, I was 31 and I started training with a trainer because to get y body and strength back, I needed someone to make me accountable and to guide me to gaining strength where I needed it. I have lifted weights 2-3 times a week ever since at my training facility, Fitness Edge, across the street from my current medical office. As of last week my body fat is 19%, and my weight is now 113. I have shrunk a bit and am now 5-2. When I go to the Fitness Edge with my husband, John, I notice that many of the hardest working "fellow exercisers" never change their body composition. I would love to tell my fellow lifters that working out with weights is only part of the program to becoming strong and building good muscle mass. The fact is they need to increase their testosterone level if they are over 40 for females and 50 for males, to improve their muscle mass and decrease body fat, and their hard work will be repaid with visible, stronger muscles, Fat loss and improved and metabolism."

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog All testosterone pellet medical practices are not equal. Most use pellets that are inferior to ours, inexpensive but have more side effects, and are not as effective as the testosterone and estradiol pellets that I use in my medical practice, BioBalance® Health. Most practices do not understand the many interactions between other hormones and sex hormones (testosterone and estradiol) like we do therefore you are not going to feel renewed, with all of your symptoms of testosterone and estradiol deficiency treated. At BioBalance® Health, we provide more than just testosterone pellets. We not only replace missing hormones like testosterone and estradiol, but also address other deficiencies, manage age-related diseases early, and offer nutrition guidance, medical weight loss, genetic nutrition advice, and exercise planning. Our comprehensive approach is unmatched in the US. Our use of non-micronized testosterone pellets and comprehensive care helps patients restore their health, leading many who leave to return when other practices do not meet their needs. These facts were impressed on me when one of my long-term patients who had moved to Florida, returned to me after a few years and related all of her efforts to find a doctor in Florida who would treat her like we did. A month or so ago I saw a familiar name on my appointment list. When I reviewed her old chart, I saw that she had moved to Florida and had found a new pellet doctor there. But I had no idea what she had gone through to find a doctor to treat her like she needed to be treated until she sat down in my office for her consultation. I will protect her identity, by calling her Beth, my best friend's name. At first, I didn't recognize Beth sitting in my waiting room. It appeared that she had aged more years than the two she had been in Florida. She sat down and regaled me with this story of her experience. Some background. Beth had had a hysterectomy and had her ovaries removed before she saw me for the first time in 2007. She had been on some kind of hormones since then and pellets with me since 2007. When she was my patient the testosterone and estradiol pellets literally cured all of her symptoms. It wasn't easy to come to the right dose of pellets and to treat her other problems: She converts T into Estrone and Estradiol, and she is a fast metabolizer, so she needs a higher dose of testosterone that the average woman. I ushered Beth into my office and asked how she'd been, and she began a long and sad story about trying to find a doctor who would treat her with pellets so that all her symptoms were resolved. She went to 5 different doctors, who had her BioBalance chart, and all of them said they had to treat her differently because they were not in line with my treatment. She argued and got nowhere. #1 Doctor: The first hormone doctor did not agree with giving her testosterone plus anastrazole (Arimidex), a TA Pellet, yet that was what I treated her with to lower her Estrone and Estradiol from testosterone conversion. She got straight testosterone and her estrogens soared and inactivated her testosterone, so she felt no different on pellets than she did off of them. She also gained belly fat and breast size and was very emotional. #2 Doctor: This doctor was a Bio T doctor who refused to give her TA pellets and also wouldn't give her the dose she needed. Bio T uses MICRONIZED testosterone which are cheap, and cause hair to fall out, acne and oily skin. That is exactly what he got, and she didn't go back. #3 Doctor: Not only did this doctor refuse her anastrazole in any form but he made her take progesterone even though she didn't have a uterus and told him that progesterone made her fatigued. #4 Doctor was clueless and used a formula one size fits all Testosterone dose, which wore off in 2 months. #5 Doctor was essentially not educated in testosterone pellets. Because of these experiences, she now flies in three times a year and gets the pellets dose, Estradiol dose, with anastrazole in the pellets, without useless progesterone (because she had a hysterectomy), with NON-MICRONIZED pellets that last 4 months that are dosed for her unique metabolism. The moral to the story is all pellet treatment is not the same! So many doctors have jumped on the bandwagon with a few days of training or no training at all so if pellets don't work for you, PLEASE DON'T GIVE UP ON PELLETS. Beth didn't. You need a doctor who understands the interactions of T and E2 and E1, and who use pellets who are non-micronized and who individually dose your pellets for YOU! This Healthcast is not about patting ourselves on the back, but it is aimed at informing patients who have been disappointed with their treatment using testosterone and estradiol pellets because of inability to relieve their symptoms of menopause or testosterone deficiency, that they should find a practice who uses NON_MICRONIZED PELLETS

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog The summer of 2025, the US has experienced record heat. Most Americans have been under a severe heat warning for months, which has caused me to review the symptoms, prevention and treatment for Heat Stroke. This summer's heat was unusual, however it may recur in the future, so we must learn to deal with the effect of prolonged exposure to dangerous heat. Heat stroke is not classically a stroke as you know it, however heat stroke is a condition of a different kind, but no less deadly. The conditions that can lead to heat stroke are listed below. Please think of these signs of Heat Stroke before you go outside in severe heat. At Risk Conditions for heat Stroke: High ambient temperature High body temperature (body temp of 104 or more) High humidity, Prolonged sun exposure (more than an hour at a time) Dehydration Loss of electrolytes through sweating which can result in heart attacks, seizures delirium and can lead to death. The hot weather we have been experiencing has been prolonged and has all the qualities described above that may lead to heat stroke: Temperatures above 90 degrees Fahrenheit, High Humidity (over 50%), Bright sunshine, causing body temp to rise rapidly and continue for a long time even after a person has gone inside to cool off in air conditioning. You Should be aware of the beginning signs of heat stroke so you can remove yourself from the heat before it becomes an emergency, and you can protect your family from heat stroke. The early signs/symptoms of heat stroke include: Heavy sweating/ or no sweating at all Thirst Weakness of muscles Headache And Dizziness When you develop these symptoms, please listen to the signs your body is sending you and seek a cool place inside away from heat and sunlight. If the symptoms don't resolve quickly, then take the steps below to prevent progression of symptoms to result in heat stroke. Lie down (heat stroke can cause you lose consciousness and hurt yourself if you pass out) Drink cool but not cold water continually Drink Electrolytes (preferably products that contain Potassium, and sodium, chloride, magnesium) with every other 12oz of water. If you don't have electrolytes, Gatorade can be substituted for electrolytes (It is only Potassium). If you are unprepared and away from civilization, put several shakes of salt into a glass of cool water and drink it. Apply icepacks on the areas of the body that can cool you quickly: Underarms, groin, and neck. This will cool your body down faster than just sitting in a cool space. Don't be alone. Ask someone to sit with you in case you pass out or seize, and they can call 911 to take you to the ER. They can also make sure you continue to drink water and take electrolytes. If you feel your headache or weakness getting worse call 911 yourself. That is a late sign of Heat Stroke. Lastly, Heat stroke can make a person act out, with a temporary personality change. The affected person can hit and push the people trying to help him or her. That means they are in the late stage of heat stroke, and they need IV fluids a cooling blanket and Medical help. Remember, heat stroke can be deadly, and immediate action must be taken. If you or someone else has the following symptoms, then Call 911: passes out or seizes, gets confused and wanders around, acts out and hits or pushes has a rapid heart rate, has a bounding pulse, has either hot dry or very damp skin, complains of a headache or dizziness, nausea, vomiting rapid shallow breathing, like panting Often, they will complain of feeling cold and they shiver even though the temperature is very hot. Don't Wait! call 911! In these cases, tell the 911 operator that you suspect heat stroke. So how do you prevent heat stroke? There are many ways to prevent heat stroke, if you recognize the conditions outside will put you at risk. First determine whether you are at high risk (below are the risks). Anyone can get heat stroke but people with the following conditions will develop heat stroke faster and more severely than healthy young individuals. The following conditions should best be treated by staying in a cool area inside away from the sun. Know the Symptoms of heat stroke and follow the directions listed above. Prepare yourself for heatstroke by carrying electrolytes more water than you think you will need, plastic zip locks to put ice in if needed High Risk Medical Conditions and Medications Previous History of a Heat Stroke The biggest risk for heat stroke is having had it in the past. People who have a history of heat stroke should be extra careful to avoid going outside or exercising in the heat and humidity. They should stay inside during the heat of the day or on days that put them at risk. If you have almost had a mild form that you acted promptly and were able to avert the severe symptoms, that still makes you at risk for heat stroke. Heart Disease or other Circulatory medical conditions Diseases o

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog As the founder and Medical Director of BioBalance® Health, an anti-aging longevity practice for 23 years, I have long sought a blood test that serves as a reliable indicator of aging and disease risk. Identifying those at highest risk allows me to better motivate patients to follow my treatment plan and pursue a longer, healthier life. For people who test negative, I would reassure them they are doing well and encourage them to maintain healthy habits. Over time, I assessed common medical tests that many doctors use to steer patients toward certain treatments that do not reduce pain and may shorten life. I examined the actual risk of death and illness through clinical evaluations and credible, though less publicized, research studies. Here is what I found: Elevated blood lipids are not reliably predictive of vascular plaque. In my experience, both high and low cholesterol patients show similar rates of plaque in Cardiac Calcium Scans. Despite this, primary care physicians often prescribe statins, which may be unnecessary for many. Statins were not initially tested on women, who tend to experience more severe side effects such as cognitive impairment, muscle breakdown, and fatigue, likely because these drugs impact mitochondrial function—the cell's energy source. BMI has long been used to assess whether someone is at a healthy or risky weight, but it is often inaccurate. It overlooks individuals with low muscle and high fat, while labeling muscular people as overweight. As a result, BMI is being replaced by body composition measurements. Recently, body composition analysis using InBody has become more common than BMI for evaluating patient health, frailty, and muscle mass. Measurements of visceral fat and body composition are considered indicators of current health status. BMI is a straightforward calculation that only uses height and weight, whereas body composition includes assessments of visceral fat and percent body fat. Only one weight- and height-based test directly relates to health status. High muscle mass indicates health, while excess visceral fat signals risk, and normal body fat percentage reflects current—but not future—health. Since body composition can shift over time, it is a useful measure of present health but does not reliably predict longevity and is just one aspect of overall health. Several blood tests can indicate current health, such as fasting blood sugar, HbA1c, IGF-1, and fasting insulin. For assessing future health risks and existing damage, HS-CRP (high-sensitivity C-reactive protein) is crucial, as it measures inflammation—a major factor in unhealthy aging and reduced longevity, especially when levels exceed 3.0. An article in Life Extension (July 2025) refers to persistently high CRP as "inflammaging." The Truth About Aging and Inflammation? Temporary spikes in HS-CRP from infections or surgeries usually do not cause lasting issues unless inflammation persists. Chronically high HS-CRP levels (>3) are linked to various age-related diseases, such as obesity, arteriosclerosis, autoimmune disorders, poor dental hygiene, and other conditions that reduce health and lifespan. We now can measure "inflammaging" with HS-CRP blood test. This test indicates increased risk of heart disease, cancer, stroke, dementia, autoimmune disease, and other degenerative diseases." A review of studies with more than 400,000 participants revealed that people with a High HS-CRP had 75% increased risk of all-cause mortality compared to people with a low HS-CRP. These studies found that HS-CRP may be a more reliable predictor of heart attack and stroke, than LDL cholesterol! HS-CRP may predict age-related diseases because chronic inflammation leads to issues such as arterial plaque and Alzheimer's. Although white blood cells fight infection, their persistent activity can damage healthy tissue and accelerate age-related conditions. The changes that you can make to decrease inflammation, Inflammaging, include: Fat loss to ideal weight Low inflammatory mediterranean diet Omega 3 oil supplements or in food Daily exercise Probiotics Quercetin supplement Treat joints that are damaged (inflammation is increased with injured joints) At least 3 cups of coffee per day Less than 4 oz of alcohol a day No sugar in the diet ***Replacing hormones to the levels of a young man or women with non-oral hormones, pellet testosterone for men and both testosterone and estradiol for women. BioBalance® Health assesses new information through medical studies and bases treatments on knowledge of human physiology and the aging processes. No single test can determine if you are aging well, but HS-CRP is a better indicator than cholesterol or BMI. At BioBalance®, we've tested HS-CRP for 20 years and developed treatments to address inflammaging. Citation: Life Extension –July 2025

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you are female who is menopausal and you have experienced your OBGYN or internist drawing your blood to check your hormone levels, (Estradiol, and LH and FSH) to see if you are menopausal or to see what your estradiol level is while on HRT, you may have heard your doctor tell you that your estradiol level is too high. That is what I would like to talk about today….. This often occurs when my patients take the blood work I order to another doctor who doesn't know anything about estrogen and just looks at the reference range on the lab sheet. Most of you have heard me talk about the fact that lab reports must be interpreted by the treating physician, because what is written on the lab sheet isn't tailored to your situation. The lab reference ranges for menopausal women are based on women who don't take any hormones, very low estradiol and high LH and FSH, which is not healthy and is the level that causes women overwhelming hot flashes and painful periods. Estradiol blood tests have a list of numbers that don't reflect the healthy estradiol level, but a level that makes women miserable. After I replace a woman's estradiol, their tests show blood levels of a young healthy woman who is pre-menopausal, and that brings them back to feeling like themselves. "I have my life back! Estradiol and Testosterone Pellets have cured all my symptoms (low libido, hot flashes, poor interrupted sleep, bladder spasms, depression, and I feel like myself again!" No other hormone replacement brings estradiol blood levels to (60-250ng/ml), patches, creams and gels just stop one symptom, hot flashes. There is a reason that your doctor doesn't know about hormones. The education that OBGYNs get in residency effects what they recommend to their patients for life, and they have very little training about hormones which means that no one is taking care of the hormones for women, and bioidentical estradiol is never discussed because it is not approved by the FDA which is why I DO! I have made it my business to know everything about women's hormones and have prescribed them to women for over 45 years. Therefore, when I am told that the primary care or internal medicine doctor told one of my patients that their estradiol and estrone are "too high", I am dismayed. Women must think about the fact that when they feel normal after menopause treatment, then that is the best treatment for them. My patients become better, healthier, and their relationships are more fulfilling with Estradiol replacement, and I know the range the Estradiol should be within (60-250), the same as when we were fertile and young. Estradiol taken non-orally (patch, cream or pellet) is safe and does not cause breast cancer or liver cancer or cause blood clots. What Should I Tell My Doctor about my estrogen replacement? Therefore, If your doctor tells you to stop estradiol, you can tell him that estradiol replacement decreases all causes of death in Menopausal women, it decreases heart disease, bladder disease, bladder infections, osteoporosis, and dementia/Alazheimer's Disease! Tell him or her that, they can stop worrying about your Estrogen because you are being prescribed it by a doctor who knows how to manage hormones. Breast Cancer Patients There is another type of patient who I often see in my office. Breast Cancer patients with estradiol receptors are taken off their estrogen, and they are given an estrogen blocker like Tamoxifen® (oral) or Anastrazole (Arimidex®) to get rid of the estrogen in their body which is to "starve" breast cancer cell that may have seeded other tissues in the body. These patients are miserable. I treat them with Testosterone pellets only and monitor their Estrogens. That works until their doctor sees an Estradiol level that is in the premenopausal range in a patient who hasn't had an estradiol pellet in a year. E2 pellets are tiny and friable, and they can't last longer than 6 months. What happens when the oncologist freaks them out saying it is the Estradiol pellet causing the E2, E1 levels. They are upset but this is estradiol from other sources (not the ovaries). Here are the facts: Estradiol pellets are 2-3 mm in size. They dissolve by blood flowing around the pellet located in the fat. Estradiol pellets dissolve completely over 3-4 months in most women. We cannot see them by ultrasound at 4 months. Therefore, a year later a woman who has estradiol over 60 The oncologist is not a hormone specialist and doesn't know the other sources of estradiol and estrone in the body. a prescribed amount of Estradiol (E2) is given every 4 months. The medium dose of E2 is 25mg and it lasts 120 – 180 days The size of an estradiol pellet = 2×2 mm Causes Of Continuing High Estrogen In a Woman Long After She Stops E2 Pellets: Tamoxifen given for Breast Cancer is an Estrogen and also an Estrogen Receptor modulator, but is really an Estrogen, which turns off the receiving end for E

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog You have all heard about smoking and the risks of lung and mouth cancer as the biggest dangers associated with it. However, since the ban on smoking indoors, many people have switched from cigarettes to other forms of nicotine, such as cigars, e-cigarettes, pipes, hookahs, or Nicorette gum. Most of my patients believe these alternatives to be safer and think they are not at risk for cancer. They haven't even considered that nicotine is a drug that, when taken internally, increases the incidence of other deadly diseases. Today, I'll inform you about the risks you are taking by using nicotine in any form. I guess I should back up a bit. The act of smoking cigarettes not only provides the smoker with nicotine but also presents many other concerns. The average cigarette, cigar, pipe tobacco, and hookah contain these chemicals along with 69 others that have been linked to cancer: Acetone – the poisonous ingredient in nail polish remover. Benzene – the ingredient in gas and fuels that causes cancer. Arsenic – in murder mystery movies as the poison of choice. Formaldehyde – the chemical used to embalm dead bodies that causes cancer. Ammonia – the active ingredient in window cleaner. Lead is a toxic chemical that we avoid by treating our drinking water, so it doesn't contain it. It causes neurological damage and can lead to dementia. No adult in their right mind would willingly put any of these chemicals into their body. Yet, the addiction to tobacco and nicotine leads millions to contaminate their bodies with these poisons. We haven't even begun to discuss the effects of nicotine. If you are listening to motivate someone you love to stop smoking, you might want to memorize these chemicals and see if understanding this fact affects their ability to quit smoking. If not, I have some more motivating yet unfavorable news for you. The drug nicotine is highly addictive, and it is indeed a drug. It falls into the category of stimulant drugs. Most individuals with anxiety issues tend to choose nicotine as their drug of choice. Nicotine functions like any other stimulant; it causes the arteries to contract, reducing blood and oxygen flow. Over time, this results in elevated blood pressure, arterial stiffness, and an impaired ability to dilate when increased blood flow is necessary in a particular area. The next stage in this progression is arteriosclerosis, which may be followed by a heart attack or stroke. Many people addicted to nicotine in cigarettes try other forms of the drug, generally derived from tobacco, introducing numerous other chemicals into their bodies. Attempting to reduce nicotine by changing the method of ingestion still exposes you to another form of tobacco. In medicine, we refer to smoking as "pack years" to describe the amount of cigarette smoking in the patient's history. A Pack Year is equal to one pack a day multiplied by the number of years the patient has been exposed to the poisons and nicotine from cigarettes. Even though other forms of nicotine carry the same risks, we haven't developed a shorthand for exposure to these forms. However, we do understand the amount of nicotine present in each type of tobacco. Cigarettes contain an average of 10 to 12 mg of nicotine each, but only about 1.5 mg is actually inhaled. A pack of cigarettes delivers approximately 28 mg of nicotine. You can compare that to other forms of nicotine: Product Amount of nicotine Cigar 13.3–15.4 mg (large cigars) E-cigarette 0.5–15.4 mg (15 puffs) Pipe (tobacco) 30.08–50.89 mg Chewing tobacco 144 mg (whole can) Hookah 1.04 mg (per puff) Now, the alternatives for stopping this addiction include replacing nicotine with something else that doesn't contain the chemicals responsible for cancer. Nicorette gum or lozenges are the most popular options, but they should not be used for extended periods. They serve as short-term solutions to an addiction, as they can still cause vascular damage. The dose in one piece of Nicorette gum is 2 mg, which is equivalent to 1.5 cigarettes. This is not a permanent solution; other methods, such as acupuncture, hypnosis, and antidepressants, should be used to stop the addiction. A professional counselor or psychiatrist is the best choice for helping a smoker quit. Like any addiction, specialists are available to help and guide you throughout the process.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog post is for mature women to read. If you feel embarrassed by sex or offended that I am addressing these genuine female concerns, please skip this Blog. Among the many questions I have received, I am sharing a few with you in case you also have these questions but are hesitant to ask when you visit your gynecologist's office. At BioBalance Health, our doctors conduct consultations with new patients and follow-up visits that last an hour. During these consultations, patients are free to ask questions about their health including sexual questions. The atmosphere in our office is open to all questions, and the doctors offer hour-long visits, fostering a supportive environment for discussing embarrassing sexual situations, asking awkward questions, and addressing concerns about sexuality and aging. I am going to offer some of the questions I have been asked and the answers that I give to my patients who ask. Question 1:" Am I normal to think about sex and fantasize about having sex all the time now that I have testosterone pellets?" Yes, that is normal and healthy to think about sex…humans are sexual beings and thinking about or planning to have sex with your partner is normal. After Testosterone pellets are inserted for the first time, they have magnified sexuality for a few weeks. After that the sex drive of a patient goes back to what was normal for them when they were at their prime. Testosterone is necessary for a person, women and men to have a sexual drive. Those women and men who have had a healthy sex life before their testosterone was lost can still have sex, on their usual schedule, but what we think of sex DRIVE, won't be there without T….just the habit of having sex will make them continue to have an active sex life. Question 2: "Before pellets I didn't have any discharge in my underwear, and I thought that was a benefit of menopause but now I experience wetness/slight white discharge Am I OK?" When women are mature and have fertility, (women between 12 years old and menopause) have some discharge clear or white in their underwear. It is from the vagina, and it is a way of the vagina cleansing itself. Without the hormones estradiol and testosterone, as in menopause and when a woman takes low dose birth control pills, the vagina dries up and doesn't "cleanse itself". Vaginal lubrication stops, so does vaginal discharge, and painful intercourse is a real problem for women after they are not producing estradiol or replacing it with HRT. Experiencing normal vaginal discharge is a small price to pay to comfortable sex and a good sex drive. If the discharge changes, please watch or read my last Healthcast #685 or blog #685 to determine if you need to see a Gynecologist. Question 3: A question women ask me before they experience replacement of testosterone and estradiol. "Do I have Alzheimer's disease? I'm only 50 and I can't remember things. I lose words and I am always late because I can't remember appointments." One of the most important benefits of taking testosterone by pellet insertion is that my patients usually get their brain back! It is rare that anyone who is having trouble with their memory before age 55 is really starting to have an early onset dementia. By taking Estradiol and Testosterone pellets my patients regain their normal brain function in the first 8-12 months. Those women who are still struggling with memory after taking Estradiol and Testosterone Pellets should be evaluated by a psychiatrist or neurologist to test them to see if they are having the beginnings of a type of dementia. The sooner a person takes TE hormone pellet replacement, the longer they will have a clear and functional mind. If a woman takes T and or E2 pellets, they can delay the genetic onset of dementia by 10 years. That means if genetically you were wired to lose your ability to think at age 70, then you should get a ten-year delay in the onset of your dementia. E + T pellets are the only treatment I know can preserve your ability to think 10 years longer than if you didn't take them within 10 years of losing your Estrogen and Testosterone (around age 45). Question 4: "Now that I have pellets, I have great orgasms but I produce a lot of fluid when I come. Is that normal?" Yes. Estrogen increases vaginal wetness, and lubrication for sex. Testosterone stimulates the sensitivity of the area around and inside the vagina. Testosterone pellets are the only form I have heard of that can cause vaginal ejaculation, or forceful production of fluid from the vagina. Not everyone experiences this phenomenon, and some women love it as do their partners, and other women dislike it because it makes sex messier than usual. It is a testosterone dose dependent action, and lowering the T dose in pellets can decrease the response to sexual stimulation. Question 5: "My husband can't keep up with my sex drive. I have the same drive as I had when I wa

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog contains dialogue of a sexual nature In my 29-year history of practicing gynecology and 23 years of practicing hormone replacement medicine, there have always been a few questions that only the bravest and most comfortable patients would ask me during a well-woman visit or consultation. During the next few weeks, I will dedicate my blog to those usually unanswered questions, but most probably those questions that women are too embarrassed to ask. The first question is asked in many forms, but the general idea of the question is:" What should I do if I think my vaginal area smells weird?" "Smelling weird" is a common description that can imply many things, so I will outline what I ask my patients to gather enough information to provide them with a medically relevant answer. What does it smell like? Yeasty, like baked bread? Sweaty-like body odor? Sour- like a towel that has been we too long? Musky – like the musk type of perfumes? Urine? everyone knows what that smells like Old people in a nursing home? OR "Like something is dead in there?" "Like Fish?" These are the actual descriptions that I have received in response to my question, and they all identify different. In case some of you are worriers, I will start with the fact that vaginal odors 1-6 are likely due to a minor infection, either an overgrowth of yeast, or the fact that you don't air out that area at night which makes yeast and bacteria grow in the warm environment between your legs or under the covers. Vaginal odors 7 and 8 are more serious and require treatment. I will first discuss the most important conditions based on their odors. These can be quite dangerous if ignored. Let me start by addressing odors 7 and 8. Odor # 7. If your vagina smells foul, like "something is dead in there," you should probably make an appointment with your GYN. It could result from something as simple as a tampon that was "lost" in the vagina, leading to bacteria growing from menstrual blood and semen. This is a common cause of such vaginal odor. The GYN will need to use an instrument to grasp the tampon and remove it. She will then prescribe an antibiotic to treat the infection that has developed. While there's no harm in removing it, leaving it in place can lead to a serious pelvic infection. If your doctor doesn't find a tampon and this odor is confirmed by her, then she will do bacterial cultures and a pap to look for cervical cancer or endometrial cancer. It is important that you don't ignore this odor. It won't get better on its own. Odor #8. If your vagina smells like fish it is likely an infection with a bacteria called hemophilous vaginalis, or from Trichomonas ("Trick"). Hemophilus can be caused by wiping back to front (the wrong way), which allows rectal bacteria to enter the vagina. Additionally, Hemophilus can be introduced into the vagina during intercourse. In these two cases, it is not considered a venereal infection– NOT an infection you acquired from your sexual partner. However, Hemophilus can be a venereal infection that you contract from a sexual partner if he acquired it from someone else and transmitted it to you! The treatment is essentially the same: a medication called Flagyl or metronidazole, taken three times a day for 7-10 days. If your partner has it too, he needs to take the medication at the same time so you don't keep passing it to each other. These infections require examination and testing to receive an antibiotic. The last possible cause of a fishy-smelling vagina is Trichomonas, a parasite that produces a significant amount of thin, greenish discharge along with a fishy odor. It is sexually transmitted, and both partners should be treated. He should also have his other contacts treated. The group of infections in #8 is treatable and curable with medical help. Another quality of Hemophilus and Trichomonas is that if you have nitrazine pH paper and test the discharge with it, it will turn the paper dark blue. Dark blue means go to the GYN! We'll start back up at 1-6 discussing the causes of "funny smelling discharge. " These are the least likely to be serious infections. I need to provide some initial information before I discuss the various reasons for vaginal odor. First, there is always a slight odor that is uniquely yours. You shouldn't try to eliminate all signs of vaginal odor because it results from a combination of yeast, good bacteria, estrogen, testosterone, and progesterone, which help protect your vagina and vulva, the area surrounding the vagina. Changes in hormones such as pregnancy, menopause, hormone replacement therapy, diet, antibiotics, and dehydration can alter the vaginal smell and discharge. The yeasty odor that resembles baked bread comes from normal yeast present in the vagina. Some women naturally have this odor. It becomes a concern only when it is accompanied by itching and a significant amount of white discharge. Thes

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog You can convince yourself of a fairy tale that the US government provides us with excellent advice on how to be healthy—for instance, what the percentages of each food group should be, like the food pyramid or the food plate. However, time has shown that they aren't focused on our health with their recommendations; rather, they are attempting to promote the food produced in the US. It's all about money. We now understand that the government-approved food pyramid has contributed to an increase in obesity, illness, and diabetes over the last 60 years, primarily because its main goal was to promote grains in the form of cereals to children. This has led to the unfortunate situation we face today, characterized by rising rates of diabetes and obesity. To make matters worse, iodine has been removed from bread and other foods, leaving many Americans with hypothyroidism. The allowed food additives extend shelf life (and profits) but diminish human longevity. Ultimately, the government should not dictate our dietary choices! Supplements are substances like minerals, vitamins, peptides, and glandulars intended to enhance the inadequate American diet; however, medical societies and the FDA do not endorse their use. Nonetheless, we need them to improve nutrition, prevent disease, and provide the building blocks for bones and muscles, as well as to counteract the chemicals present in our water, food, and air mandated by the government. Supplements help protect us from the poor advice and environmental pollution we encounter in everyday life. Environmental regulations and processes have resulted in increased illnesses, such as hypothyroidism, due to the addition of fluoride to our water instead of solely to our toothpaste. Fluoride depletes iodine levels in our breasts and thyroid, contributing to conditions like breast cysts, breast cancer, and hypothyroidism. Regarding water—are you aware that the water treatment managed by our local governments incorporates harmful chemicals into our drinking water, which may be carcinogenic, in an effort to prevent lead from leaching from very old pipes? This system is outdated because most of the population uses copper or plastic pipes, and lead has not been used in construction for more than 50 years. The anti-lead chemicals that are added can adversely affect our health. That is just the tip of the iceberg. Other examples of how our government prioritizes profit over the health of its citizens include allowing big pharma to price necessary medicines beyond the reach of the average person, all to enhance the stock value of these companies. The price of the same drug from the same manufacturer in other countries is significantly lower than for its own citizens. It should be the other way around. Even then, we are sicker and heavier than any other first-world country. Since you are not here to learn about politics, this serves as my segue into discussing the current denigration of the importance of vitamins and mineral supplements for our health. Just consider this: the average diet consists of processed foods lacking any nutritional value. Fast food contains additives that encourage us to eat more rather than less; portion sizes have increased, and the consumption of whole foods has declined over my lifetime. These are the most compelling reasons I have for taking nutritional supplements that we used to get from our diets before the 1960s. Since we know our patients are consuming chemicals that harm their health, my goal as a preventive medicine doctor, along with my nurses and nurse practitioners, is to keep our patients healthy, even when the government does not! You should heed our recommendations for specific supplements tailored to your individual symptoms and future health. Public health aims to make the group generically "healthier" by governmental standards, but medical care should prioritize our patients, striving for each individual to live a long, disease-free life. However, we face significant misinformation in this battle! Why don't mainstream medical groups recommend supplements? Their reasons include a focus on illness rather than wellness, making them more reactive than preventive in perspective. Additionally, most doctors lack training in nutrition and are often unhealthy and overweight. Another factor is that they primarily deal with medications and surgeries, which is what they typically recommend. In the twenty-first century, we all need supplemental nutrition. I don't have a single patient whom I believe is getting everything she needs from her diet without supplements. Supplements include minerals, vitamins, herbs, select foods, and animal glands that help maintain health and prevent illness by compensating for what modern food may lack. The supplements recommended by your BioBalance Health doctor and NPs are tailored to meet various individual needs, so please read about why we prescr

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Menopausal Symptoms I waited to announce the emerging research regarding the safety of post-menopausal hormone replacement therapy for breast cancer patients suffering from severe menopausal symptoms until the research finally supported my belief that women have the right to receive the treatment that they need if they accept the risks of that treatment. The past year of research (2024-2025) has produced a significant amount of research demonstrating the health risks associated from not taking hormone replacement therapy, as well as the safety of using testosterone after breast cancer and the limited risks of hormone replacement therapy following breast cancer. I have practiced women's medicine for over 40 years, and I believe that female patients should have the right to receive post-menopausal hormone therapy if they understand and accept the associated risks and benefits, as long as it is administered safely. Let me pause here to discuss how doctors ethically make decisions about treatment. First, the aim of medical treatment is to improve health and longevity while alleviating symptoms. It is a doctor's responsibility to evaluate, treat, and advise patients on the best course of therapy based on their medical training, practical experience, and the latest research. However, the third factor is often overlooked when advising patients about hormone replacement therapy after breast cancer. Doctors determine the best course of treatment by using this information and weighing the benefits of a treatment against its risks. We are trained to provide this information to patients to facilitate informed decision-making with the patient, not for the patient. This process requires time that doctors no longer have. Ah, and therein lies the problem. Doctors are trained to follow research related to the diseases and conditions they treat and to integrate that research into their practice. The basic decision-making process involves weighing the benefits of treatment (or no treatment) against the associated risks. When the benefits of a treatment outweigh its risks, it is recommended to the patient. "Recommended" means the doctor, based on current knowledge, believes it to be safer and more effective for the patient's health to pursue a specific treatment. However, this does not imply that the patient must follow the doctor's advice. A patient is autonomous and can assess the risks and benefits once informed, allowing them to refuse a treatment or request one that falls outside current medical guidelines. Doctors do not have to embark on a treatment they do not believe is beneficial or safe. Doctors have autonomy as well! Doctors in mainstream medicine adhere to "medical guidelines" established by our specialties, which represent the minimum level of care expected from a physician. However, these guidelines are often decades behind current research, meaning that the risks and benefits communicated to a patient may be outdated. A legal requirement known as informed consent mandates that a doctor inform the patient or include this information in a consent form that the patient reads and signs, detailing the procedure or treatment. If the treatment is newer than the guidelines, it is categorized as "off-label." It is essential for the doctor to inform the patient that the treatment does not conform to current guidelines, and the patient must acknowledge the known risks associated with the treatment. At BioBalance Health®, we often find ourselves ahead of the guidelines, and my experience indicates it may take up to 20 years for the guidelines to catch up with us. Much of our treatment is considered off-label because it is current and ahead of the guidelines. It is superior to other treatments and remains safe, but risks are inherent in every treatment! Now, let's return to breast cancer and the roles of estradiol, testosterone, and progesterone replacement. Here are the facts about breast cancer: Most breast cancer patients are post-menopausal, and have symptoms of menopause Not all types of breast cancer are stimulated by estradiol or progesterone, and therefore for these cancers hormone replacement therapy is safe. Breast Cancer patients with negative nodes who have had a bilateral mastectomy are candidates for hormone replacement therapy after their treatment. The risks of estrogen replacement for ER+ breast cancer patients may promote the growth of cancer cells, while testosterone replacement lowers the risk of recurrence and alleviates certain menopausal symptoms. When testosterone is combined with estradiol, the risk of developing breast cancer in all women is reduced. Testosterone enhances the quantity and activity of cancer-fighting T-killer and T-helper white blood cells. All breast cancer patients can manage menopause symptoms using testosterone pellet therapy and vaginal estrogen without an increased risk of recurrence. Do you remember w

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Last time we reviewed why interpreting your lab may lead you to the wrong diagnosis and treatment. Today we continue our review of each lab panel and why the reference ranges on your lab results may not be the "Healthy Normal Range" that you should compare your results to. Lab reference ranges are established with a one-size-fits-all mentality, ignoring the numerous variables that influence blood results. Have you ever tried on a "one-size-fits-all "ANYTHING? Those clothes may fit 20% of the population but for the rest of us, the garment doesn't fit our width, weight or height! All one-size-fits-all lab reference ranges are much the same. For example, the standardized "reference ranges" in the US serve as a one-size-fits-all "ideal range" applied to everyone, despite genetic differences, varying latitudes, and the diverse diets that characterize the American multiethnic population. This presents the first problem with using a single range for all people: variations among individuals based on differing genetic needs. The second issue is that the ranges on the lab report indicate the minimum levels necessary for survival, not necessarily the healthiest blood levels for most individuals. Another example of one size doesn't fit all is the reference range for women's hormones. A range is displayed for cycling women, but there is no healthy range for menopausal women. Does the range displayed refer to menopausal women with HRT, or menopausal women without HRT to treat their menopausal symptoms? Is the range based on what is healthy, or what is average? We aren't sure. Labs don't ask patients questions that could help interpret lab values. Therefore, they cannot provide a truly diagnostic reference range for any illness. They only consider gender and age, as reference ranges are solely adjusted for these two factors. A doctor must interpret individual lab results alongside a patient's medical and surgical history, including established diseases, medications, supplements, hormonal treatments, and past lab values. For instance, laboratory companies should offer reference ranges based on whether a patient is menopausal, a woman is undergoing ERT, a man is receiving testosterone, a patient is on thyroid medication, a person is being treated for diabetes, or the diabetic tests are performed to diagnose diabetes. Some Reference Ranges are Based on comparing results to Misleading formulas The best example of this issue is the Lipid Panel. Doctors use this panel to determine a person's risk for heart attacks caused by atherosclerosis. Most doctors don't know the formula for determining Total Cholesterol. This test doesn't predict heart disease in most patients, as the formula used to arrive at that number is not indicative of the disease. However, doctors have been advised that when total cholesterol levels are high, a patient should start taking a statin, a drug that reduces blood cholesterol and sometimes lowers the rate of heart attacks in certain individuals, though it is rarely predictive in 50% of the population. The problem with the lipid panel is twofold: the LDL level indicates future atherosclerosis in only about 50% of the population and is not a specific test for future heart disease risk. Total cholesterol is even less predictive of heart disease because it stems from a flawed formula. Doctors interpret a high Total Cholesterol level as an indication that a patient may be at increased risk for heart disease in the future. When I test patients with elevated Total Cholesterol or high levels of LDL using a Cardiac Calcium Scan to measure plaque, only half of them actually produce plaque, and consequently, are not at risk for atherosclerotic heart disease. I believe that the Total Cholesterol number is derived from an inaccurate formula for determining a person's risk of future heart disease. The Total Cholesterol number is calculated using a flawed equation. The equation is as follows: LDL + 1/5 Triglycerides+ HDL = Total Cholesterol Total Cholesterol = LDL (bad cholesterol) + 1/5 Triglycerides (high risk factor) + HDL (good cholesterol) Let's examine this formula simply like this: Bad + Bad + Good does not equal Bad. Due to this incorrect formula, thousands, if not millions, of patients have been prescribed statin drugs for a lifetime without justification! Statins carry risks. The list of side effects is extensive and includes muscle deterioration and statin-associated dementia. Unfortunately, most people who experience statin side effects are women. Women tend to have higher HDL levels than men. Additionally, they typically do not have atherosclerotic plaque until menopause and usually do not develop it after menopause if they undergo estrogen replacement therapy! This gender issue is just one of the problems with laboratory reference ranges that are not adjusted for sex. The total cholesterol values were developed solely from the blo

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog There is a new federal rule for lab companies that requires them to report your blood tests to you as soon as they are finished, often even before your doctor has seen them. This rule, deemed unreasonable, was established by individuals without medical expertise (politicians), who know little about interpreting lab data or the workings of doctor's offices. Sending your lab results to you before doctors can assess them is not a decision rooted in sound medical practice but rather in the notion of individual freedom. While this is important, it does not compare to having an expert interpret your results with you. The law requiring that your lab results be sent to you as soon as they are completed does not consider the fact that these results are not designed for laymen to interpret. Additionally, lab results are meant to be analyzed alongside a patient's medical history, age, gender, and medications. The results are not tailored to report information specific to your situation, which is how a doctor would interpret them. Lab results often lack layperson-friendly explanations. This new protocol can cause anxiety, as patients may panic over results that appear abnormal, even if they are normal for their specific medical condition and treatment. Furthermore, lab companies only request your age and gender. The factors that doctors evaluate when interpreting your results are diverse and numerous, each influencing the overall interpretation. What are the considerations that doctors add to their interpretation? Menopausal status Medical conditions Healthy normal for young and healthy adults The newest recommended ranges for health Body weight Other lab values seen on the same report The problem with you getting your own lab and interpreting it as written is multifactorial: The lab is sent to you digitally with very little explanation except for reference ranges. There is no information about who you are being compared to. Other women, both men and women? Old women? Young women? Women with symptoms or women who are well without symptoms. The reporting of the lab results to a patient directly may hide problems that need action or create fears that are unnecessary. Anxiety over your results will continue until your doctor's appointment to discuss … so you may experience unnecessary worry in many circumstances. Reference ranges make many assumptions, but labs don't input vital information about you into their computer. your age of menopause, your weight your height (or BMI) previous illnesses and your medications. if you are on hormones or testosterone Here is a good example. The test for pituitary hormones FSH and LH. When a woman aged 45 is menopausal, and has a very high FSH and LH, the lab says it is "normal" (in the reference range), yet the woman is having severe hot flashes, night sweats, anxiety, and insomnia. That is not healthy or "normal". The same two tests can be used to determine if a person is menopausal. Let's say a 42-year-old woman has elevated FSH and LH, but her estradiol is very high (200-300). To the layperson, this looks like menopause, but in reality, it is the picture of ovulation, not menopause. One has to look at another test, estradiol, to determine whether she is premenopausal and ovulating or menopausal (her estradiol would be very low, and FSH and LH would be high). See the problem? Reference Ranges don't tell you what the doctor is looking for. The same two tests, FSH and LH, are used to diagnose polycystic ovaries (PCO) too. In women without PCO, the FSH is higher than the LH, but if the LH is greater than the FSH, the diagnosis of PCO should be considered! There is no information about this interpretation in the lab report. Falling within the reference range doesn't guarantee health or absence of symptoms. If patients are to interpret their own lab results, reference ranges should reflect health in every possible scenario. FSH and LH are influenced by BCPs and menopausal HRT. Lab results should be interpreted considering the information regarding BCPs or ERT that the patient is taking. When women are on BCPs and HRT or ERT, their FSH and LH levels are suppressed to an extremely low point. If you are unaware that the patient is taking these hormones, it may appear that the diagnosis is pituitary failure affecting estrogen levels and ovulation. Only doctors can interpret this test. There should truly be a "normal" range for those undergoing hormone replacement therapy, along with a reference range that reflects overall health, rather than merely the average for your geographical area in the US or your age group. Please make an appointment with your doctor to review your lab results so you can understand how they are interpreted. If you have questions about your lab results that are concerning you, schedule a time to discuss them with your doctor. Doctors don't have the time to explain results over the phone or thr

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog The newest miracle drug for weight loss is changing the lives of thousands of people who have battled obesity for extended periods of time….These GLP-1 medications are also treating or preventing the diseases that go with long term obesity: Diabetes, Heart Disease, Joint replacements, Arthritis, Sleep Apnea, and Alzheimer's Disease. Researchers are finding more indications every day for patients to take these weight loss medications. But like anything else there is no perfect answer to any problem. Among the few side effects of this drug, the most frequent side effect is reflux, also called acid indigestion, or GERD (gastroesophageal reflux disease). Often my patients don't even know what their diagnosis is, they just tell me about their symptoms. The symptoms of GERD include: Asthma symptoms A bad taste in the mouth Difficulty swallowing Dry, hacking, cough Chest pain after meals These symptoms are worse after a big meal, at bedtime, after spicy food, or dose related. Most of my patients don't want to discontinue the GLP-1 inhibitors because they are finally losing weight! We manage the GLP-1 side effect of GERD by decreasing dose of the medication and slowly increase the dose back to an effective level. We also offer lifestyle and dietary treatments before we offer prescription medication. Therefore, if reflux is not constant, and is not causing any lasting damage to the patient's esophagus, we can treat it with lifestyle changes and over the counter medication, to lower the stomach acid that is refluxing into the esophagus. The lifestyle changes patients can employ on their own are described below. Lifestyle changes needed to avoid or treat Gastric Reflux caused by GLP-1 agonists. What can you do to prevent and treat this side effect: Eat smaller meals: Large meals expand your stomach and put pressure on your lower esophageal sphincter (LES). Don't go to bed less than 2 hours after eating Avoid trigger foods see below Sleep on your left side Elevate the head of your bed Avoid tight clothing: Chew your food well– chew each bite for 20 seconds. Quit smoking: Smoking weakens your LES and makes your stomach more acidic. Stop drinking alcohol Chew (non-mint) sugar-free–gum In addition to changing your active lifestyle, changing your diet is necessary as well. There are trigger foods to avoid minimizing your reflux symptoms. tomato sauce and other tomato-based products high fat foods, such as fast food and greasy foods fried foods citrus fruit juices soda-diet and regular Caffeine Garlic onions mint of any kind milk based products My patients ask me, "So what can I eat?" …I admit I did take away some of the most exciting foods, however my patients ask me what they can eat so the list of foods that help avoid and treat GERD are listed below. High-fiber foods: vegetables, fruit, and whole grain bread. Alkaline foods. Foods fall somewhere along the pH scale (turns litmus paper blue). Drink alkalinized water (PH > 8) Ginger—fresh sushi Ginger from Asian food stores. Apple cider vinegar on salads and a Tablespoon in water every morning Lemon water—just squeeze a slice of lemon in your water. Coconut water Honey. Lean Protein including meat Low-Fat and Nonfat Dairy Products. Non-Citrus Fruits like apples, pears, bananas, and melons Vegetables like broccoli, Carrots, Corn, Cucumbers, Green Beans, Green peppers, Potatoes and Sweet potatoes For my patients who take herbal and other supplements, the following is a list of the supplements that may decrease your symptoms of GERD. Chamomile Tea Licorice Marshmallow Slippery Elm Tablets Probiotics-Mega Brand Prebiotics-Mega Digestive Enzymes Aloe Vera Juice Baking Soda Magnesium glycinate What happens when you have made all the lifestyle changes you can and have lowered your GLP-1 dose or changed to a different type of GLP-1 Agonist, and you still have GERD? As a physician I prescribe medications to help my patients treat their GERD, however most of the medications have been placed over the counter so I can recommend them to my patients, and they can buy the medication without a script. The class of medication that treats GERD include Antacids, H2 Blocker, and Proton Pump Inhibitor. Antacids neutralize stomach acid, but they typically only work for short periods. They are generally made of calcium. This type of medication is best used prn for symptom relief. Side effects of antacids may include constipation and diarrhea. The second option for treatment of GERD is an H2 blocker. These drugs reduce the amount of acid the stomach releases. Eg. Pepcid, Tagamet, Gaviscon. Proton pump inhibitors (PPIs): These drugs are available by prescription from a healthcare provider, and now some doses are over the counter. PPIs help reduce the amount of acid the stomach makes. They should be used for a two-week period only for severe attacks and then you should change to an H2 blocker or antacid. WHY stop a PPI afte

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Almost every week I hear from my male patients that their PCP doctor has scared them by telling them to stop taking testosterone pellets because their Hematocrit is too high. Alternatively, their doctor recommended a lower dose of T. These two recommendations are those doctors who don't understand all the good that the testosterone is doing for these men. My male patients come to me for Testosterone pellets to treat their ED, lack of libido, loss of muscle, inability to think, weight gain, lack of motivation, anxiety attacks, poor stamina, arthritis, loss of balance, and basically everything that makes a man a man! The most amazing thing is that I can treat them with ONE hormone, Testosterone in pellet form, and cure all these problems! If a man stops taking Testosterone, they get these symptoms again and have to take a multitude of drugs to feel just a fraction better! The treatment for a high H/H is simple…it is a routine removal of blood, either a blood donation or a phlebotomy (removal of 500 cc of blood) in the office, every 2-6 months to keep their H/H under control. The advice their doctors give them is going to cause them great pain and actually shorten their lives and there is little risk if any to removing blood every few months! In the event that a man demands that I lower their dose…..and I do it…the next inevitable phone call is to complain that their symptoms are coming back! They literally blame me for the advice of their PCP! I would like to tell these men that the same doctors who could not help them with their low T are the same ones who are giving them the advice to lower or stop their testosterone therapy with T pellets. It is human nature and especially that of doctors to try to criticize the advice of the doctor who got better results with a patient than they did! So, if you develop a condition called erythrocytosis secondary to your testosterone replacement, then you can keep your T therapy, if you are compliant and follow your testosterone doctor's directions and get your blood removed when it is scheduled. This should prevent any severe reaction from your doctor. This is a typical response to my patient who has concerns. However, I have given my patients many sources of written and video information about every aspect of testosterone replacement, the risks and benefits including erythrocytosis. These include my book, Got Testosterone? was given to them on the first visit. We also have over 650 informational blogs and videos on You Tube, FAQs and a very extensive handout given to each of them on the first visit. They just have to read! I have read your concern about erythrocytosis and testosterone replacement that was brought up by your PCP. It is true that T replacement increases the H/H in both sexes. It is useful if you are anemic, but if you have a genetic response to testosterone that elevates your H/H above what is considered normal, then we advise blood donation or phlebotomy every 2-6 months. It is true that the dose of T can affect the H/H, but men often need a high dose of T to feel normal. The removal of blood is low risk and effective. I am a Specialist in Hormone Replacement Medical care with a 38-year history of replacing bioidentical hormones and 23 years of experience replacing bioidentical hormones with T and E2 pellets. You came to me because your doctors were not helping you with the symptoms of testosterone deficiency and because I have the most experience in the Midwest. #1. The first issue that we must always consider while we treat anyone is the primary goals for treatment, the relief of low testosterone which is why you came to me. You made an appointment with me because you had un-addressed issues that your PCP (Primary Care Doctor) didn't treat satisfactorily Your symptoms were treated with testosterone pellets successfully at a dose that is individual to you. Your health as you get older is also dependent on your blood level of free Testosterone (the total T is not significant) by delaying the diseases of aging. The level that is required to treat your symptoms is the young healthy Free T blood level of a young and healthy man. Most labs give a reference range for older men which reflects the fact that free testosterone levels drop with age. Old men don't feel well BECAUSE they have low free T. The low free T level is why you don't feel well. Our practice has found that everyone has an ideal free T level that we try to maintain, and these are young-healthy level but not old-man level. That is what we have been trying to achieve for our patients. #2. The second issue is a side-effect that you, as an individual, have experienced with pellets and will experience with any T replacement that you receive that is a high enough dose to treat your symptoms. Erythrocytosis is a side effect that some men experience on any form of testosterone, however its occurrence doesn't mean you are on too

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog I am not sure if you play THE "WHAT'S THE DISEASE THAT I DON'T WANT TO HAVE GAME with yourself, but since I am a doctor I have spent a lot of time thinking about what diseases I do not want! I started my list in medical school when I witnessed what certain diseases can do to your life. Medicine has many cures and treatments, yet some diseases that are treated still can negatively change your life forever. Even though losing a limb and amputation were at the top of my list there is one disease that tops my list. Of course, I also have under stroke the usual scary situations like paralysis, or having an incapacitating heart attack that prevents an individual from taking care of himself or herself. However, my most feared diagnosis is having a STROKE! You may not fully comprehend how a stroke can change your life, but it can affect your speech, your ability to move, to think, to go places, to have a sense of humor, to write and communicate, even to have a sexual relationship with your loved one. A stroke essentially can take away your ability to be the person you have always been, AND it requires that someone must become your caretaker. That helplessness is something I am most afraid of….We all have our personal fears, but whether you fear having a stroke or not, you should try your hardest to avoid having one! DEFINITION: a stoke is a medical emergency that occurs when blood flow to the brain is blocked or a blood vessel bursts. This can damage or kill parts of the brain, which can lead to long-term disability, brain damage, or even death. This can cause s a loss of function, physical, mental, and emotional, and loss of one or more of the senses like sensation, speech, sight, hearing and taste and smell! In my practice at BioBalance Health we always work with our patients to prevent them having a stroke and or heart attack. These two conditions are the biggest villains that steal the joy of our "golden years" from us. From the start of my BioBalance Health practice, I have incorporated healthy diet training, exercise options and encouragement, how and what to take to supplement my patients' diet and how to outsmart their genetic makeup so they can be healthier than their parents. All of these lifestyle changes can decrease the risk of stroke and heart attack in a person. So what is it like to have a stroke? First let's go over what symptoms are typical of someone having a stroke. The symptoms of a stroke are multiple, and a person might not have all of them. Weakness on one side of the body Facial drooping on one side of the face Dizziness Numbness Loss of balance Sudden loss of vision. Trouble making sense when speaking Trouble talking, reading or understanding Sudden nausea and vomiting Brief loss of consciousness such as fainting, seizures, confusion, or coma. When someone has one or more of these symptoms it is an emergency, and you should call 911, then start asking the patient to open their eyes, smile, raise both arms and hold them up. Ask them to talk to see if their speech is impaired. Your findings will be helpful to the EMTs who come to the scene. An event is called a stroke, when there is a deficit in physical or mental function and that deficit continues and doesn't go away. If it the symptoms completely resolve, it is called a TIA- a transient Ischemic attack. It is a warning to see a doctor and make sure you don't have a stroke in the future and it is a wakeup call to stop all poor lifestyle choices. PREVENTING A STROKE: This last month, the American Heart and Stroke prevention Association released new Guidelines on how to prevent a stroke. I think talking about the risk factors for stroke and discussing how to prevent having one, is worthy of discussion. Recently the medical guidelines for stroke prevention have been revised, and even though I think a few more things should have been included, the fact that they made the first change in the guidelines in 10 years is a first step. Here is what they advise all people who are aging should do. #1 See your internal medicine or Family physician regularly, at least yearly #2. Stop sedentary behavior—walk/exercise/ do Yoga, just get out of the chair for the majority of your day! #3. If you are diabetic, they advocate going on Ozempic/Mounjaro to lose weight—that will lower your risk of a stroke, and heart attack.. #4 If you are hypertensive, take your BP medicine every day #5 Follow these lifestyle changes called Life's Essential 8: Your behavior and lifestyle put you at risk for having a stroke: Healthy diet, low carb Mediterranean diet, no junk food! Physical activity every day Achieve a healthy weight, Make sure your sleep is restful Stop use of tobacco products, No smoking or vaping Achieve healthy levels of blood glucose, and blood pressure. Don't drink more than one 4 oz glass of wine a day I add these recommendations to theirs for the care of my patients: Drink ½ your w

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you are receiving testosterone or estradiol hormone pellet therapy, BioBalance Health wants to know if you have any of the following medical conditions that may require you to take antibiotics before any medical or dental procedure that breaks the skin, including pellet insertions and dental cleanings. BioBalance Health is dedicated to providing safe and effective hormone replacement with pellets for both men and women, and we want to ensure your health and safety throughout the process. We use sterile procedure guidelines, but certain conditions still require antibiotics to prevent local infections. Conditions That May Require Pre-Procedure Antibiotics: If You Have Had a Joint Replacement.Some orthopedic surgeons recommend that patients take antibiotics before dental procedures to prevent infection in the joint that was replaced, while others may not. It is important that you follow the advice of YOUR orthopedic surgeon regarding antibiotics before any procedure. If your orthopedic surgeon has advised you to take antibiotics, please let us know. We can provide you with an antibiotic injection or a prescription to take the day of your pellet insertion that will prevent infection. If You Have Uncontrolled Type 1 or Type 2 Diabetes. If your blood sugar is not well-controlled, you may need antibiotics before your pellet insertion to prevent infection of the pellet insertion area. If you are treated and keep your sugars in good control you may not need antibiotics, however if your diabetes is in poor control, you are more likely to get an infection. It is important that you take antibiotics before your pellet insertion. The following blood sugar levels are considered indicators of poor diabetes control: HbA1c > 9.0 Fasting blood sugar > 150 mg/dL If your blood sugar exceeds these levels, or if your primary care doctor has recommended that you take antibiotics before dental cleanings or procedures, you should also take antibiotics before your pellet insertion to reduce the risk of infection. If You Have an Autoimmune Disease and are on Immunosuppressive Treatment. If you are receiving treatment for an autoimmune condition that suppresses your immune system, you may be at higher risk for infection at the insertion site. In this case, you will need to take antibiotics before each pellet insertion. If your Rheumatologist does not believe antibiotics are necessary for you, you may proceed without them. If You Are Receiving Cancer Treatment. Certain cancer treatments, especially those that suppress white blood cell production, can compromise your immune system. If you are undergoing such treatment, you should take antibiotics before or with your pellet insertion to prevent infection. In Summary: If a doctor has advised you to take antibiotics for procedures, such as dental cleanings, you should also take antibiotics before your pellet insertion. Please inform us of any conditions or treatments that may require this precaution, and we will ensure you are properly prepared for your procedure.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you feel ignored and unheard by your doctor or nurse practitioner, your feelings are correct! As a group women are not listened to and often dismissed as emotional and not smart enough to understand "complicated" medical information, by the Misogynistic American medical community, the US governmental agencies who make the rules for what women need. If you feel unheard and dismissed by your doctor, your impression is probably right, and you need to vote with your feet and leave that doctor for someone who listens to you and treats your symptoms and conditions that undermine you and your productivity. The Myths that the majority of people believe are created by men and broadcast by premenopausal women and the media who have no first-hand knowledge of the problems that women contend with when they become pre-menopausal. Here are just a few of the lies and Myths that we must contend with. Women love the freedom of being in menopause! No worry about pregnancy or bleeding. LIE Women can't become president's companies or the President of the United States because we are going to hit the red button to destroy the world because we experience PMS before menopause, and after we just can't think or make educated decisions. LIE Symptomatic Menopausal Women are Over-reacting to a "normal" Phenomenon that "strong" women take in their stride. LIE Women complain about menopausal symptoms to get attention. LIE Women's menopausal symptoms are really from psychiatric disease. LIE Women who complain of bleeding all the time don't need a hysterectomy! Just use medication (that doesn't work). LIE Women's menopause symptoms are from behavior problems. They need counselling! LIE Menopause should be a wonderful time of your life! Right! LIE All these LIES are damaging to the women who need medical treatment. We don't need name-calling, subtle dismissal of our symptoms by our doctors, one size fits all non-medical treatment like vitamins and herbs, or basically categorizing our physical symptoms as imaginary or mental which allows doctors to be excused from treating our hormone deficiencies. No sex drive, painful sex, insomnia, fatigue, brain fog, weight gain, fatigue, hot flashes and sleep disturbances, migraines, loss of muscle weight gain and fatigue, depression and anxiety are physical symptoms of menopause and pre-menopause, that can all be treated with estradiol, testosterone and in some cases progesterone replacement. Menopause and the years leading up to it CAN BE TREATED safely and effectively but we aren't offered treatment by the doctors who work for our insurance companies! Refusing to provide the hormones you need at menopause is denying you the treatment for literally losing the hormones that made you, YOU is not only disturbing but scary! Medical care includes the replacement of waning hormones The only differences between menopause and testosterone loss and hypothyroidism, Cortisol deficiency (Addison's disease), Parathyroid deficiency, Growth hormone deficiency in children are all paid for by insurance and doctors willingly treat these illnesses because they are not only paid to do so but they have taken a Hippocratic oath to treat the symptoms and diseases of the patients who come to them. However, in my office I hear the struggles that women have had getting treatment for their symptoms. Their doctors generally use the excuse, "I don't believe in hormones." So, they get out of treating half of their patients over 50. Hormonal treatment isn't a religion, it is a condition that 50% of the population will have in their lifetimes. If your doctor is a PCP Primary Care Physician or OBGYN, then they have the training and the duty to treat you. Sadly, these lies have sculpted how women are looked at in the American and English-speaking countries. Misogynistic beliefs are meant to keep women in a second-class status. The result is ignoring the simplest and the most affordable menopausal treatment -Estrogen and testosterone- and profit from our menopausal pain by serving up very expensive treatments for each of the many complaints secondary to menopause that no women can afford. eg: one drug for dry vagina, another for just hot flashes, a third for4 the mood changes that occur with menopause, and another for osteoporosis. All these symptoms can be treated with a combination of testosterone and estradiol, and you can get your sex drive back too! If you think that your government is going to help you , remember the leaders in US government are mostly men who buy-in to the destructive misogynist group think! Lie #1: Women love the freedom of being in menopause! No worry about pregnancy or bleeding anymore. Menopause might have been a relief from bleeding every month however, we no longer worry about childbearing before menopause since the birth control pill was created in the 1960s. In contrast the women of the first half of the 1900's before Birth c

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog During our interview I reviewed her path through recovering from years of no hormones and discussed how dramatic her recovery was. Her symptoms included no libido and no orgasms, Painful intercourse from a dry vagina, fatigue, depression, troubles with memory, Insomnia, lack of motivation, dry wrinkled skin, alopecia, osteopenia, weight gain, loss of muscle mass and weakness, fibromyalgia, migraines, hot flashes, insomnia and poor of quality of life. Her symptoms impaired her ability to have a quality life. During the years after her hysterectomy, she developed hypertension and Rheumatoid Arthritis. After she was treated with Estradiol and Testosterone pellets, her recovery was dramatic and fast! It amazed both of us, and she has continued to improve her health and now she is very healthy, without hypertension and she had almost a decade free of Rheumatoid Arthritis. It turns out that the recovery of her energy, confidence and strength was well timed. She needed all the health and strength she could get to take care of her husband who finally succumbed to brain cancer in 2019. The same year she had the strength to become VP of Paramount bank as her employment. It seemed that the more life-disasters that she overcame, the stronger she got! As generally happens when people are overly stressed, even hormone replacement is overwhelmed. In 2018 had a recurrence of rheumatoid arthritis, and she developed Hypothyroidism and Insulin resistance. Grace, my NP at BioBalance Health, helped her treat her thyroid and weight gain and guide her to overcome these medical problems including losing the weight she gained with insulin resistance. In 2022 she met, and married Mark Behlmann, who she served on the same charity boards with, but she had never met before. She got her second chance with Mark at finding love and fulfillment in her partnership with him. He encouraged her to compete in the. Ms. Missouri Senior, and she employed her energy, talent for singing, her own passion for success and service to become the 2024 Ms. Missouri Senior. In her role she encourages women to use their gifts to achieve everything that they can in life and to find a doctor to help them survive loss of hormones after menopause, so they can continue their service to family and society throughout their lives…she is the best example I can think of living your life to the fullest every day, no matter how old you are!

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Do you ache all over? Are you weaker every year? Shorter and more bent over? Are your clothes hanging off your shoulders? Do you walk slower and hold on to things as you walk? If you notice these signs in yourself or someone you love it means you, or they are becoming frail. As a physician I had to become a people watcher…. or more accurately an observer of the people around me. Even if you aren't medical people, I am sure many of you are as well…. but being very observant is a requirement for a physician because there are many signs of illness that can be observed just from observing a patient who we I am treating. I always pay attention to how the patient I am consulting with walks, shakes my hand (their strength), and how well they care for themselves, the quality of their speech, whether they look well nourished, over-nourished or frail. All of these individual observations and more, become automatic to me as a doctor. They help me diagnose and treat my patients without a stethoscope or even an x-ray… Today I want to talk about frailty, what it is, and what it means to your doctor and you as a patient. Frailty can be defined as the visible qualities of loss of muscle mass, bone mass, energy, as and strength, as well as thinning of the skin, kyphosis of the spine (standing with your head looking down and your shoulders rounded), slow movements, weakness of strength and voice. Frailty is the visible sign of aging. The opposite of Frailty is the Quality of being robust. When we are young we are strong, energetic, our muscles are visible, our skin is clear and taught, our posture is straight and we appear healthy and strong….when we are young we are Robust! Frailty is the quality of being old and weak, in a catabolic state (or a state of tissue breakdown and "shrinking"). You can equate Frailty with aging, or physically being old. What does frailty mean to a doctor? When we take care of a patient who comes to us for the first time in a frail state we rule in or out a list of diseases of aging and physical problems. These include: Arthritis Osteoporosis Sarcopenia or severe loss of muscle mass and strength Inflammatory diseases like arthritis Heart disease Diabetes Dementia Inability to be independent Doctors must look for illness and decide on a treatment to remedy a disease, but frailty is not considered a disease that has a treatment. It is a sign that a patient is going through the last stage of life. Many studies have been done that equate frailty to a limited life span and a loss of quality of life, but no treatment has been employed by mainstream medicine to delay, avoid or treat frailty. Up to now this is all very depressing, however it is my well founded belief that the loss of testosterone after age 45 in women and 55 in men is the first step toward frailty, however if adequate testosterone is replaced soon after the symptoms of T deficiency starts, then frailty can be avoided as we age, and the eventuality of loss of quality of life will be delayed or avoided all together. It is a fact that nothing other than the hormone testosterone can reverse frailty and stop it from progressing. With T treatment my patients increase their muscle mass, create stronger muscles, and improved their mental and physical stamina. To me this is such an easy one-hormone-answer to actually improve my patients lives, at any stage in the aging process, however the pharmaceutical companies that control American medicine much prefer to treat each symptom with a different drug. There are millions of aging folks in nursing homes who could have maintained their independence, and avoided the use of many drugs if they were treated with testosterone before their frailty reduced their mobility so they need help to perform daily activities of living independently. Sadly, medicine in the US basically gives up on frail and aging patients and we doctors are taught to make frail patients "comfortable", just treating their symptoms without hope of reversing frailty and the outcomes of that condition. Of course, it is much healthier to prevent frailty by replacing the essential hormone testosterone early on, however your doctor will have to think out of the box to arrive at the Testosterone treatment, rather than follow the medical protocols that involve just keeping aging patients "comfortable". Research studies and articles to be read by doctors like the recent one in the New England Journal of Medicine that draws a direct line between aging and frailty, but only concentrates on the fact that frailty portends early death and discussed the best ways to make patients comfortable dictated by the severity of frailty. There is no treatment other than high protein diet and vitamins with physical therapy which will not "treat" this disease. I want to tell you about two very different patients in my practice. The first is a very successful man in his late 70s who came

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog In my Anti-Aging-Longevity practice, one of the complaints my new patients tell me about is the fact that their hair is thinning, falling out or changing to a brittle texture, as well as the fact that their hair is turning grey. Hair DOES get thinner, coarser, and greyer as we age! That is a fact, and one I can't fully explain to you, except that it happens to everyone! My philosophy is that each of us should work with what we have, and optimize it, as well as treat any condition that makes hair loss work instead of wishing and wishing we had the hair we did when we were 25! Accepting the fact that your hair gets thinner after 40 and working with the hair you have takes knowledge to determine what is normal and what is not. Some of the things that everyone should know before looking for the best path forward to healthy hair. Aging and Slower Hair Growth Low Growth Hormone Lack of Estradiol and T in women and lack of T in men Aging causes Growth Hormone (GH) to decrease, which slows the growth of hair, fingernails, bone. Your hair falls out at the same rate as it did when you were young, but the growth slows which results in losing more hair than you replace which thins your hair! If you started your young life with fine, thin hair, then this difference between growth and loss of hair can make your hair very thin. To get to the root of the problem (I apologize) increasing GH will make your hair grow a bit faster. Testosterone replacement and Estradiol replacement both increase the growth of GH. Both hormone replacements increase hair thickness. Testosterone has a second benefit. Testosterone makes your scalp oiler, which in turn increases the longevity of your hair. At menopause the lack of these two hormones causes a big change in hair thickness. Loss of hair in specific areas—Balding Genetics Scarring alopecia Androgenic alopecia Extensions Dread-locks Balding and alopecia both cause a person to lose hair follicles, not just slow the rate of hair growth. Balding usually is genetically determined, so look at the older members of your family to determine what is in your future. This type of hair loss is very difficult to treat. 50% of men have some balding by age 50, and 1/3 of women experience it sometime in their lives. Until recently there was nothing to stop this process or grow more hair in those areas, however both men and women can resurrect their hair follicles (if they haven't been gone too long) and make them grow with the TED hair restoration painless ultrasound treatment by Alma. Other options are Hans Weiman hair transplants or weaves, both of which are extremely expensive, don't necessarily look natural (President Biden and his son) and must be redone every couple of years. Women can just cover over the problem with a wig, but even that answer has drawbacks—they are hot and itchy until you get used to it. Women can also get extensions to make their hair look thicker, but it ruins the quality of the hair you have which in the long run causes even more hair loss from scarring of the scalp. Women of color have traditionally used tight braids, cornrowing or dreadlocks to control their hair. This cultural process causes them to break their hair off at the scalp and damage the hair follicle from tension, which results in hair no longer growing in multiple areas of the scalp. Change in Hair Texture and Dryness At menopause for women and when men's testosterone gets very low, we notice a change in texture of our hair. The cuticle area that covers the hair shaft becomes fragile and stops protecting the hair shaft, so the texture becomes frizzy, and hair breaks causing a dull look similar to what my mother used to call a "birds nest". Our scalps become dry, and the oil glands dry up with age and loss of sex hormones, so hair is dry and frizzy, making us look like we just stuck our fingers in a light switch. You can read about many "natural remedies" but beyond taking collagen, Biotin and B vitamins most supplements don't work in a dramatic way that would be noticeable. The remedies for hair loss include all the following and you will have to do most of them to improve your aging hair! Hormone replacement of Estradiol and Testosterone Conditioners (which only work a little) Hair color which covers the shaft with pigment and strengthens hair Brazilian treatment that drives straightener into the hair shaft and seals it with heat. Take supplements of Collagen every morning Take methyl B12 and Biotin daily Stop bleaching your hair Eat a diet with healthy fats and protein Wash your hair every 2-3 days Take the fat soluble vitamins A.E.K,D If you are anemic take iron supplements Avoid statins if possible Other medical causes of frizzy, broken hair can be found in low thyroid hormones which slows hair growth, decreases oil production, and results in brittle hair all over the head. Replacing your thyroid hormones and supplementing your io

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Are you menopausal and have any of the following symptoms? Hot Flashes Night Sweats Dry Vagina Painful intercourse Dry skin Lack of sex drive Lack of motivation Fatigue Depression and or anxiety Change in body composition, with fat collection in the abdomen Loss of Muscle Mass and strength Irritability Inability to remember names and places Decreased ability to problem solve Insomnia Arthritis Body pain These are all symptoms we currently are aware of associated with menopause and low testosterone. These symptoms can be treated and reversed with bioidentical estradiol and testosterone pellets. Menopause should be treated like an illness that is universal but more severe in some women compared with others. If your symptoms affect your lifestyle, relationships and work then you should see a doctor who treats hormone deficiency and accept treatment! However, if you allow yourself to be manipulated by a male-dominated medical system that teaches all doctors to believe that menopause is normal as women age and don't seek out hormone replacement, then you just may be setting yourself up for years of symptoms that are treated with handfuls of medications, but never get you back to normal. Just think about this for a minute: Men develop erectile dysfunction and experience muscle loss as they age, but medicine doesn't consider ED or Sarcopenia a natural aging process for men, they advocate and endorse treatment with testosterone, ED medications, injections for ED and therapy for ED, and in most cases pay for it! If the male mentality would include women we would all be treated with estrogen and testosterone when we got to age 50 (or menopause). It is not just about the symptoms that E-T replacement can cure, but the diseases that you can avoid by taking estrogen and testosterone after menopause. These avoidable diseases of aging include: Osteoporosis leading to broken bones and spinal stenosis. Heart disease and stroke Diabetes Alzheimer's Dx and dementia Obesity Low muscle mass and inability to walk or move independently. Autoimmune diseases Loss of blood flow to Lower extremity, resulting in amputations and inhibiting walking and running Severe arthritis Gout Worsening depression and anxiety Frailty which is what causes most older people to be placed in a nursing home. Just think it is not fate that gives you these conditions. It is genetics plus lifestyle plus whether you replace your sex hormones or not! This decision is in your control. If you really want a life free of debilitating disease and symptoms that are require constant medical care, then you must buck the system (that was designed to keep us from maintaining our mind and body) and look for a doctor to replace your testosterone and estradiol in a non-oral delivery system and maintain it for life. By stopping ERT or Testosterone like the ACOG doctors tell you to, you will start the symptoms all over again. My job is to offer you the right type of help to reverse the effects of menopause…both symptoms and diseases. Your job is to decide whether you want to get help and become healthy by taking non-oral estrogen and testosterone for the rest of your life. Think of menopause as a disease and you will be more prepared to fight for your right to be treated by the medical system.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog The second set of myths about weight loss involve what we have been told by our federal government through the FDA and surgeon general, that is believed by most of us, but the motivation of the government is not generally for your well-being. Myth #7 Salt is bad for you, and you should limit your intake of salt to minimal amounts. A large study found that eating less than 3 grams of salt a day increases one's mortality by 25% when compared with moderate intake. It is a fact that salt is vital to life, this contradicts the AHA who preaches that a low salt diet is what is required for health. Myth #8. Replacing hormones at menopause, estradiol and testosterone, will cause women to gain weight. The advent of menopause changes a woman's metabolism and makes every woman in industrialized nations insulin resistant which slows their metabolism and causes women to gain fat and lose muscle which lowers the metabolic rate even lower because muscle mass burns 90% of our calories, and as it shrinks the Basic metabolic rate drops. The only way to counteract this cataclysmic change is to replace estradiol and testosterone in a bio-identical and non-oral delivery system (pellets, patches, topical applications and vaginal tabs. Even with sex hormone replacement, insulin resistance is Still a factor in weight gain, so a low carb, high protein diet and medical treatment with Metformin, or Wegovy or Mounjaro may be necessary to regain ideal weight after menopause. Myth #9 Milk products are bad for you, and you should take them out of your diet. Milk is not metabolized in the same way and does not have the same metabolic effects as milk products like yogurt, cottage cheese, ricotta cheese, and all cheeses. The majority of Americans can tolerate, and even need milk products as a valuable source of protein. There is a small minority of people who cannot tolerate milk products, and even fewer who respond to milk products with inflammation. If you do not have GI symptoms, or joint aches when you eat milk products then you are not necessarily healthier to cut them out of your diet. Not only is milk good for most Americans, but it has been proven to decrease oxidative stress and inflammation….the very things it is accused of increasing! Myth #10 Skim milk is better for everyone than whole milk, and those people on a diet should opt for skim milk. This myth is born from the myth that we should eat low fat diets to lose weight. It is a fact that Whole milk has more fat than skim milk, but skim milk is higher in carbohydrate, is generally consumed in larger amounts and is not as satisfying as whole milk. Skim milk is 55% carbohydrate/43%protein/5% fat while whole milk is 50% fat/20% protein and 30% carbohydrate. Unfortunately, the processes we use to make milk safe to drink (Pasturization and Homogenation) remove the necessary enzymes (Lipases, and Lactase) that help humans tolerate lactose sugar in milk. The process of skimming milk removes the Vitamin D and A that are in unprocessed milk. If you can drink milk, choose smaller volumes of whole milk, not skimmed, if you like milk products like listed above, then add them to your high protein diet. A 64 million person- year study recently revealed that whole milk drinkers, milk product eater had a significant decrease in all-cause mortality. Skim milk drinkers did not have a decrease in all cause mortality. Myth #11 Cutting animal products in your diet will decrease your cholesterol and therefore prevent heart attacks. So why do we follow fads? I believe it is because we are human and we look for the easiest path to a goal, and easy diets appeal to most of us who want to lose weight, however losing weight is complex and involves a good medical based plan and a change in your lifestyle. Your plan should start with seeking the right kind of medical advice that fits the diet to your blood work, medical history and in some cases your genetics.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog My medical practice, BioBalance® Health, allows me to hear all of the myths about how to lose weight, when I am in consultation with a new patient. All of my female patients and some of the men have at one time, or multiple times been fooled by the false promises of friends, doctors, and advertisers, about quick and easy ways to lose weight. If you have bounced around trying every diet out there on the internet and failed to lose weight, then I can help you stop the pointless trial and error process, and help you embrace the difficult and time-consuming process of truly losing body fat and keeping it off! If you thought that all we do at BioBalance Health is replace women and men's testosterone with long-acting bioidentical pellets, you are partly right! In addition to treating our patients' hormone deficiencies we also have the goal of attempting to guide them toward a healthy long life! This involves treating "pre-diseases" like prediabetes that other doctors don't treat until damage has been done and guiding our patients as to the right way to achieve their ideal weight. One of the important roles we have in assisting our patients with "fat-loss" is to disprove all the lies our patients have been told over the years by nearly everyone about how to lose weight. Some of these myths are actually believable (unless you are a doctor and understand the physiology of weight loss), but still never work. Other diet plans work for some people with specific genetic qualifications, but not for the majority of the population. Then, there are diet plans that are so bizarre and illogical, that they literally make me giggle when my patients describe the protocol (or advice) they have been following without results. Why are these myths so prevalent? It is because we have been programed since childhood to eat in a way and in amounts that are inevitably going to cause us to be obese. It takes a lot of work to turn those lifestyles, habits and food choices around to lead my patients to lasting fat loss and long-lasting health. Hard work never "sells" and a time-consuming diet doesn't either so businesses make a lot of money keeping you fat! You may or may not have heard these! I will tell you why they #1 Myth- If you eat fewer calories, you will lose weight, and all calories are the same. This is one of the myths that is spoken by doctors every day because they learned it 30 years ago in medical school, and it just isn't true! To begin with calories in food are metabolized differently depending on whether they are Protein, Fat or Carbohydrate. It takes more calories to metabolize Protein, and more than fat and the food that burns the least calories to be metabolized are carbohydrates. So, food calories are different depending on which food group they are from. Eg. There is a vast difference between the weight you might lose, or gain based on the food group your calories came from. For example: If you eat a steak with 500 calories verses a slice of birthday cake/icing that contains 500 calories, it takes more calories to breakdown protein so you USE calories to make it into blood sugar, while the birthday cake takes almost no energy to make BS and readily makes fat if it is not used in exercise. Another factor that causes counting calories to be a losing proposition, is that every food stimulates insulin differently, and insulin that is over stimulated over time gives a person insulin resistance which causes them to be so efficient that they can go a day and not eat anything, and still fail to lose weight. If you have tried a low-calorie diet and that happened, then you are not alone. Going back to the steak and birthday cake example, steak does not stimulate insulin very much and birthday cake is likely to over stimulate your insulin making insulin resistance worse and doesn't make energy but is stored as fat! The third reason limiting calories cannot be the basis of a weight loss diet is that an individual human body has a vast number of factors that influence how you as a unique individual burns calories, therefore any one calorie limiting diet will not work for the majority of humans. We are all different with individual requirements for the types and amounts of food we need which is based on our genetics, our history of healthy or unhealthy diets, our daily exercise, and how obese we are when we start to lose weight. What that means simply is that there is no easy way to attain your ideal weight and stay there but limiting your calories. Weight watchers tried this method for years and I never found a person who lost weight by eating a certain number of any type of calories (candy, dessert, or fruit and vegetables with the equivalent number of calories) in one day, who lost weight and kept it off. If you eat 1200 calories of fruit, veggies, eggs, fish and or meat throughout the day and have an active lifestyle, you will lose fat that day. If you

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Dave Glover, the most listened to talk radio voice in the Midwest, invited me on his show last week to talk about BioBalance Health Testosterone Pellets for men and women and BioBalance Skin my medical esthetic spa. His show is on KMOX, the voice of the St. Louis Cardinals. Dave Glover and I have worked together for 10 years, and he is unabashedly my patient who has experienced the superiority of our medical care that is unique, and preventive, in addition to being the best testosterone pellet therapy in the Midwest. We go far beyond to direct our patients to a healthier life. Dr. Maupin Radio Interview with Dave GloverWhen patients have their first appointment our doctors have already reviewed their lab amd medical history, and the first appointment is chocked full of information about the meaning of their laboratories, diagnosing medical problems such as insulin resistance and prediabetes to finding diseases they were unaware of. At the same one-hour long appointment we work with our patients to develop an individualized diet and exercise program for their unique situations. The secret to our success in bringing 95% of our patients back to health is the foundation of replacing testosterone in the most effective and safest method with replacement non-micronized testosterone estradiol pellets. We do much more in a short time to direct our patients to reversing the symptoms of aging (the symptoms of testosterone and estradiol loss) while we prevent future illnesses like diabetes and help our patients move to healthier lifestyles. Dave asked me what is new about BioBalance Heath. We are always improving our knowledge, based on new medical research, and our newest offering is a simple genetic Diet and Metabolism Test called Nutrigen. This test is done by simply doing a self-cheek swab and never has to be repeated! Right now we are offering this test for $300 (a discount of $150). If you have tried many diets and still don't know what type of food you should eat, our test is meant to be a ONE-TIME test to tell you everything you genetically need to lose weight. Or if health is your goal and not weight loss and you want to know how to eat for the rest of your life, this diet is a necessity! It comes with a 60-page report. What % of your diet should be fat, carbohydrates or protein? What times of day should you eat? Should you eat snacks? Does exercise help you lose weight or not? Is a low carb diet the best one for you? a low-fat diet? A low-calorie diet? Is a high fat diet the best for you to be healthy? What supplements do you genetically need? Everything you have ever asked about your individual path to ideal weight! Everyone who elects to take this test will get a 60-page report about every genetic factor that affects their diet, metabolism, exercise and weight loss. It even includes what genetic factors are working against them and their ability to lose weight. When their test comes back, our Nurse Weight Loss Specialist, Sarah Hooper RN will be ready for them to make an appointment to go over the report and explain a healthy eating plan. We always have used the INBODY machine for following body composition and not just weight for ALL our patients, pellet, weight loss, and non-pellet patients. Dave then asked about what was new in our BioBalance® Skin Office? We are always looking for ways for our patients to look younger, and healthier as they age. Dr. Maupin and Sullivan's criteria to adding services is that they are TRULY EFFECTIVE, as well as painless, and the service is affordable compared to other pathways to the same outcome. This year we have added a painless hair growing ultrasound treatment called TED. It can treat any form of hair loss, as long as there are some follicles left to stimulate. Women and men come in for 4 to 6 45-minute treatments, that feel like a scalp massage. There are no necessary serums or vitamins to buy. You just have to keep the areas treated out of the sunlight for the month following the treatment. This is a real breakthrough and compared to very costly hair transplants and painful PRP treatments this is a game anger! For women who have lost weight and ask us every time they come in for weight loss or pellets what they can do about sagging and crepey skin, now we have a variety of treatment s to offer them: Opus treatments for the chin and jowls, Juvashape to tighten areas all over the body. EM Sculpt to build muscle, lose subcutaneous fat and tight skin, and EM Face to take the place of a Facelift! Our patients are encouraged to come in for a free consultation to help them decide what they can do to "SHAPE UP" after successful weight loss! We offer episome treatments with our Aqua Gold treatments to rejuvenate tighten, smooth out and lift facial skin….It is a step up from microneedling for more mature skin. We literally offer the MOST EFFECTIVE, MOST ECONOMICAL TREATMENTS with the least pain and b

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog 2024 has been the hottest summer of the decade and it is causing many of you to go to the ER with heat related sickness. There are several risk factors that may put you at high risk for illness relating to the heat. I have been present several times when someone collapses from heat stroke which is the most severe heat related illness. The heat can kill you if it progresses this far. It is interesting, athletes who won't back off from their outdoor activities, and will work out in the highest heat of the day. Heat stroke can cause a person to collapse, drop their blood pressure, act out, or pass out, or even seize, all of which are signs to call 911, and start emergency procedures: elevate their legs, if possible, place ice packs under the arm pits, around the sides of the neck, and on their groin. The highest risk patients: Babies and toddlers are over 65 On multiple medications Taking a diuretic Obese patients People with anemia and other blood conditions Patients with coronary heart disease Patients with atrial fib Those people who don't drink water, just caffeinated drinks-dehydrated people Who have just been flying (dehydrated) Who are hung over (dehydrated) Who have been nauseated and vomiting in the days before going out and working or playing in the heat. Ask the heat stroke victim to drink fluids if possible. Of course, make sure they stop the activity they are engaged in outside in the heat. Move them to a cool place while you are waiting for emergency help to arrive. Heat stroke can cause a vascular stroke or death, so emergency treatment is necessary. If possible, offer the victim water with electrolytes in them (NUUN-Sport) and some sugar in case they are also hypoglycemic as well. If they can't drink, which is a side effect of heat stroke, put a wet washcloth in your mouth to suck water from it slowly. My husband and I went on a trip to Cinque Terra, Italy with another couple last fall to hike the trails between the 5 towns that line the cliffs over the shores of Liguria. The hike was supposed to start at 8 am so we could avoid the heat of the day….and it was in the 90s and humid…but as luck would have it the transportation we had arranged for wasn't able to take us to the starting point and we didn't get there until 10:30. We packed several water bottles and a few snacks but we were not prepared for the 4 ½ hour trek high above the mediterranean on a trail that was 3 feet wide and involved thousands of steps up and down…we had drunk most of our water in the first 2.5 hours and were very hot and sweaty the whole time….about 40 minutes from the town of Vernazza, my husband started stumbing, and talking nonsense…he had stopped sweating and couldn't walk….There was no place to lay him down without blocking the path and we found a shady spot for him to recline and put his feet up. I had some Nuun-sport electrolytes which I had put in my water and had been drinking, so I put 2 electolye tablets in ½ bottle of water and tried to get him to drink it…..he was delirious and refused, and I had to force him to drink…he fell asleep and we received water and cold water bottles to put around his neck from passersby. Ideally, we would have gotten ER help which he really needed, but there was no way to get emergency care to him and at 6-4 and 230 he was too heavy to carry/drag…and remember we were on the edge of a 200 ft cliff. When he had slept 20 minutes I kept my finger on his pulse and he was thready and fast…..Thankfully he rallied and we got to Vernazza and he walked into the ocean after drinking several glasses of water to cool off and fell asleep on the beach for an hour until he was ready to get on the train back to our hotel….This was one of the scariest times of my life because I knew what to do but didn't have the IVs, or water or ice or anything to help him. Remember this and make sure you are always prepared for the worst scenario when you are active in the heat! So how do you know when you are getting close to heat stroke? You feel weak and out of breath. Your pulse rises, you stop urinating, and you STOP sweating. You are getting close to heatstroke when you start to feel cold even though the ambient temperature is high. When you feel dizzy and unstable on your feet…the next thing to happen is vascular collapse See the stages of Heat Related Illnesses below, which we are all at risk for! This is from the NEJM. Heat-Related Illness Description Treatment Severe illness Heat stroke A multisystem, life-threatening illness characterized by elevation of the core body temperature (to >40°C) and CNS dysfunction Classic heat stroke: most often occurs among older persons with compromised behavioral and physiological compensatory responses to heat exposure Exertional heat stroke: most often occurs among healthy persons during extreme physical exertion, which results in excessive metabolic heat generation, often but not always with