Category Brain Health

Treating Low Testosterone In Women With DHEA

drstaceynaito Leave a comment

123rf.com
Image ID : 60343150
Copyright : Sasin Tipchai

Many women who have low serum levels of testosterone (normal total levels range between 15–70 nanograms per deciliter) are often wrongly convinced by their doctors, loved ones or coworkers that they are suffering from depression or stress. Low testosterone in women commonly causes fatigue, low libido and sleep disturbances, symptoms which are also found in mood disorders. The fact of the matter is, like men, women become deficient in testosterone as they age, and may manifest a whole host of symptoms.

Here are some common symptoms of low testosterone which women may experience:

muscle loss
muscle weakness
weight gain
increase in fat stores
reduced libido
decreased sexual satisfaction
vaginal dryness
low fertility
irregular periods
dry skin
thinning hair
bone loss
development of cardiovascular disease

Image ID : 15314531
Copyright : alphaspirit

While some women will agree to boost their testosterone levels by using testosterone supplements (either injected or in topical form), there are numerous side effects which may emerge from such therapy. These side effects, some of which are irreversible, include hair loss (male-pattern baldness), weight gain, insulin resistance, acne, excess facial hair, hirsutism, deepening of voice, aggression, enlarged clitoris, and smaller breast size. If a woman is concerned about these side effects, she can turn to DHEA, regular exercise, and certain foods to increase testosterone levels.

A significant increase in serum testosterone levels has been consistently demonstrated during the hours following exercise, so a regular exercise regimen will naturally and safely increase testosterone levels in women. There are also numerous foods which boost testosterone levels in the body. They are:
Bananas
Pomegranate
Ginger
Asparagus
Onions
Tuna
Salmon
Oysters
Eggs
Beans
Nuts

Image ID : 86626652
Copyright : annyart

What if exercise and the introduction of testosterone-raising foods isn’t enough for a woman to create normal testosterone levels in the blood? A hormone which is secreted in the bloodstream by the adrenal glands known as dihydroepiandosterone, or DHEA, can be taken as an oral supplement. DHEA is converted in the body into DHEA sulfate, then androstenedione, then ultimately to testosterone and estrogens. DHEA reaches its highest levels in the body in one’s twenties, when undergoes a slow and steady decline (about 10% for each decade of life). Oh the joys of aging, right? Probably the most concerning aspect of DHEA’s decline is the potential development of major diseases such as heart disease and cancer, but another confounding aspect is the decline in the sex hormones, with a corresponding drop in muscle mass, increase in visceral fat, skin changes, and all the other symptoms associated with perimenopause and menopause.

It is widely believed that DHEA is a key hormone which can be administered as an anti-aging treatment for older individuals. One key study followed 30 male and female subjects ranging between 40-70 years of age for six months, during which time they were given 50 mg of DHEA per day for 3 months, then 3 months of placebo, in random order. It only took two weeks for patients taking DHEA to reach the serum DHEA levels of young adults, and after 3 months on DHEA therapy, the majority of subjects reported improved sleep, more energy, and less anxiety. Another study which examined women between the ages of 45-55 found that the subjects who were given 50 mg daily of DHEA had significantly higher testosterone levels than women who were in the placebo group.

If you are a woman considering boosting your blood testosterone levels with DHEA, please make sure to get a full workup and bloodwork from physician who is well-versed in hormone replacement therapy to determine whether you are indeed deficient in testosterone. I always advise starting with DHEA as opposed to testosterone, since the side effect profile of DHEA is much more tolerable than that of testosterone. I also recommend getting your DHEA supplementation compounded with pregnenolone from a well-respected compounding pharmacy for the best purity and quality. You may still experience some side effects from DHEA supplementation, especially at higher doses (in excess of 25 mg daily). These side effects include oily skin and acne, skin thickening, hair loss, stomach upset, headache, insomnia, high blood pressure, changes in menstrual cycle, facial hair in women, deepening of the voice, and fatigue.

REFERENCES
Morales AJ, Nolan JJ, Nelson JC, Yen SS. Effects of replacement dose of dehydroepiandrosterone in men and women of advancing age. J Clin Endocrinol Metab. 1994 Jun;78(6):1360-7.

Do You Need Probiotics?

drstaceynaito Leave a comment

source: 123rf.com
Image ID : 55340645
Copyright : illustrator

Probiotics supplements have become so ubiquitous that it can be confusing to try to determine which ones you should take. You may even be asking yourself if there is any point to taking probiotics, especially if you are already taking a handful of nutritional supplements.

So What Are Probiotics Anyway?

Our digestive tracts serve as the home for many billions of bacteria, viruses, yeasts, and fungi which are actually beneficial to us and essential for normal function. These living organisms, collectively known as the micro biome, are consumed either in foods or in a probiotic supplement, and are vital to not only gut health, but to our immunity and overall health.

Probiotics were discovered by Elie Metchnikoff, who is known as the father of probiotics. He noticed that inhabitants of rural sections of Bulgaria would live to ripe old ages despite living in extreme poverty. When he discovered that they consumed sour milk, he encountered the gut-friendly bacteria which are now known as probiotics.

Another interesting manner in which humans acquire beneficial bacteria is through the birth canal, where a newborn will be exposed to Bacteroides, Lactobacillus, Escherichia coli, and Bifidobacterium. This is the main reason why infants who are born via C-section have weaker immune systems and are more susceptible to allergies.

What exactly do probiotics do? They are believed to protect us in two ways. The first is the role that they play in our digestion. We know that our digestive tract needs a healthy balance between the good and bad gut bacteria, so what gets in the way of this? It looks like our lifestyle is both the problem and the solution. Poor food choices, emotional stress, lack of sleep, antibiotic overuse, other drugs, and environmental influences can all shift the balance in favor of the bad bacteria.

Since our immune response protects us from germs, and also since beneficial bacteria in our digestive tracts are vital to optimal immunity, it makes sense to replenish our guts with probiotics. If our digestive tracts are deficient in probiotics, we are more susceptible to infections, autoimmune disorders, and allergic reactions.

In order for a microbe to be designated as a probiotic, it must meet the following criteria:
1. It must have a documented health benefit,
2. It must be alive when taken, and
3. It must be administered at levels to offer a health benefit.

You should take at least one billion colony forming units (CFU’s) each day.

If you would like to supplement your diet with foods which contain probiotic bacteria, you can incorporate the following foods into your regimen:
Sauerkraut
Pickles
Kimchi
Kombucha
Yogurt
Goat cheese
Miso soup

What In The World Are Prebiotics, And Why Do You Need Them In Your Life?

drstaceynaito Leave a comment

Source: 123rf.com
Image ID : 92298348
Copyright : Iryna Timonina

Prebiotics are quite different from probiotics, but they work in tandem with probiotics to have a synergistic effect. For this reason, prebiotics and probiotics are known as synbiotics.

While probiotics are live microbes, prebiotics are a type of insoluble fiber which probiotic organisms use as food. When you take prebiotics, you supply the probiotics you ingest with nutrients they need in order to thrive. These fiber sources (inulin and oligosaccharides) pass through the human stomach and small intestine without being broken down. When they reach the colon, they are fermented, producing short-chain fatty acids which are then consumed by the beneficial microbes which have set up house there.

Prebiotics are found naturally in the following foods:
– Asparagus
– Lentils
– Garlic
– Onions
– Leeks
– Oats
– Artichokes
– Bamboo shoots
– Bananas
– Honey
– Milk
– Mustard
– Rye
– Soybean
– Barley
– Wheat
– Tomatoes
– Sugarcane juice
– Sugar beet

Since the probiotics rely on the prebiotics for food, prebiotics must be taken prior to the probiotics.

Experts are now stating that by taking prebiotics, individuals can treat constipation and irritable bowel disease, immune deficiencies, and even prevent and treat different types of cancer. Other research has proven that consuming prebiotic-containing foods increases calcium absorption and bone mineral density in adolescents as well as post-menopausal women. Other studies suggest that probiotics can promote healthy body weight and optimize energy homeostasis.

Conclusion? It’s a great idea to incorporate either prebiotic supplements or prebiotic-containing foods in your daily regimen, along with probiotics, to ensure optimal gut health, support immunity, and protect against a myriad of disease processes.

Why Influencer Marketing Is Key In The Fitness Industry

drstaceynaito Leave a comment

Source: 123rf.com
Image ID : 111956931
Copyright : ammentorp

Influencer marketing has become an integral part of our modern culture, and is increasing in popularity as a way for businesses to capture new customers to purchase their products and services. Since the fitness industry is particularly visually centered, and also because it tends to sit on the cutting edge of brand marketing, many of my fitness friends and I have been able to forge long-standing relationships with brands as we bring awareness to their products, while also solidifying our relationships with our followers. It’s a wonderful symbiosis in which everyone wins – the brand has powerful advertising via social media portals, the influencer is able to garner the loyalty of fans by promoting respected items, and the followers are introduced to new and exciting products, usually with an associated discount as a thank you from the influencer and the company which is selling the product.

One critical component to success with influencer marketing, regardless of whether you are a company or an individual influencer, is to be willing and able to adjust to the changes which tend to occur across social media platforms. For example, Instagram and Facebook fairly recently implemented certain regulations on how a post should be tagged, and such regulations are always subject to change. It is vital to stay abreast of guideline changes as they come down the pike.

Another important aspect of influencer marketing is that influencers should be genuinely passionate about the brands they represent. A prime reason why social media marketing is so popular is that followers believe in the influencers they follow, and they want sound, honest advice on what merchandise or services they can purchase which will enable them to reach their fitness goals. Followers want to know what products an influencer has used to obtain his or her enviable physique, what fitness apparel is the most comfortable, functional and flattering, etc. The more honest an influencer is, the more the audience appreciates any recommendations made by that person.

Dr. Stacey Naito

In a similar vein, companies which turn to social media influencers to promote their products or services meet with the best success when they like the influencer’s overall vibe and messages, as well as the target audience which the influencer has built via social media. Fitness influencers of varying ages can also help to expand brand awareness for a company, as can influencers who have a unique perspective (moms, senior citizens, people with diabetes, etc.).

There are many athletes and fitness professionals who essentially fell into the world of brand influencership, partially because they were well-respected by their fitness peers, but mostly because they behaved with integrity and were transparent with their fans and followers about their experiences and struggles with training, diet, and performance. It makes a huge difference when an athlete speaks from the heart, and such candor helps to build up the brands he or she represents. From a personal perspective, I have never endorsed or promoted a brand or product which I did not wholeheartedly believe in, and I know my followers can tell that I am forthright and honest when I post YouTube reviews, blogposts, etc.

We certainly live in a very different age now, one in which people expect different options for their exercise regimens and meal plans. For example, fitness apps are incredibly popular, especially since most of them have tracking software built in so that a user can enter in goals and track progress. Other people specifically want at-home workouts because they either don’t want to join a gym, or don’t feel comfortable working out in a public environment. That’s where some popular fitness influencers can guide followers to workouts they can perform while they are in the comfort of their own homes.

If you are the owner of a fitness-minded company, and you haven’t explored the world of brand influencer marketing, doing so could take your brand to the next level. For aspiring fitness brand influencers, make sure the brands you post on your profile are congruent with what your followers want to see. As long as you are consistent and honest with your marketing, chances are your brand and your following will steadily grow.

Great Article In Men’s Health On Weights and Longevity

drstaceynaito Leave a comment

Source: 123rf.com
Image ID : 109191704
Copyright : Michal Bednarek

Click on the link here to access the article from Men’s Health Magazine:

https://www.menshealth.com/fitness/a19517546/lifting-weights-helps-you-live-longer/?fbclid=IwAR1Da9QtT4YbIqFv6YhwGniCGry46Mvaczy9Zo7ObSTedXkw1gPsl0QGpoU

A recent study from Penn State College of Medicine revealed that strength training reduced the risk of death in subjects aged 65 and older. The study surveyed people 65 and older about their exercise habits and then followed them for a 15 year period. Of the less than 10 percent of subjects who lifted weights, they were 46 percent less likely to die during the course of the study than other subjects.

Strength training combats the age-related muscle loss which occurs over time, improves bone density, and is also correlated with improved mood, memory and concentration. Even individuals who have never weight trained in the past can easily incorporate resistance training into their regular routine and reap the multiple benefits which it confers.

A Great TED Talk On Clutter

drstaceynaito Leave a comment

“Clutter is postponed decisions.” – Barbara Hemphill

I absolutely love this brilliant quote by Barbara Hemphill which Kerry Thomas mentions in this TED Talk video, because it is completely true. No matter what type of clutter plagues you, it may be impeding you in a profound way from living a free and peaceful life.

I hate physical clutter and fight it all the time by conducting purges throughout the year. But physical clutter is only one type of clutter, and Ms. Thomas breaks down the different types into the following:

Physical
Mental
Emotional
Digital
Spiritual

Although I feel that I have a good handle on physical clutter in my environment, the other categories are more challenging. I control digital clutter by going through my email inboxes on a daily basis, consolidating images and deleting old text messages on my phone. I also think I have a decent handle on spiritual clutter because I meditate daily, take meditation and yoga courses, and also practice breathwork. I try to forgive those who upset me, and I also make sure to avoid toxic people.

The areas where I get hung up (and I suspect many others do) is with mental and emotional clutter. Ms. Thomas states that mental clutter consists of fears one might have, and it also could stem from the judgmental words of others, while emotional clutter consists of negative thoughts and behaviors. The thing is, I have fears which keep my mind racing, and I also fall into the trap of negative thinking from time to time, especially when I am in the middle of a crisis. So by no means am I completely free of clutter. However, I constantly strive to clear up anything which is depressing me or slowing me down.

It’s incredibly liberating to get rid of items which are damaged, unused, or worn, and it’s also wonderful to let go of all the mental blockades to happiness and freedom. One thing I always try to remind myself is that worrying about things will never bring about a solution. The only thing worry ends up doing is eroding one’s demeanor and sparking anxiety.

I suggest that you think about the different areas in which clutter might be adversely affecting your life, and adopt behaviors which counteract such clutter.

Seated Stretches To Energize You

drstaceynaito Leave a comment

Source 123rf.com
Image ID : 25045947
Copyright : Andriy Popov

If you work at a desk job, you probably don’t think much about stretching your body and recharging it, but it’s one of the best things you can do for your body and your spirit.

Though I think it’s always best to step away from your desk to increase circulation, stretch, and reset your mind, I know that isn’t always an option. So here are a few stretches which you can do while sitting at your desk. I challenge you to perform these stretches right now as you read this blog post so you can see how easy and quick they are.

NECK CIRCLES:
Inhale, then exhale while dropping your chin to your chest.
As you slowly inhale, rotate your head to the right, bringing your right ear near your right shoulder and stretching the muscles on the left side of your neck.
Keep rotating until your neck is fully extended and pause, then rotate your head while slowly exhaling so that your left ear is now near your left shoulder and you feel a stretch in the muscles on the right side of your neck.
As your chin reaches your chest, finish your exhalation and pause.
Continue in this manner for 5 complete revolutions, then switch directions and perform 5 complete revolutions. Bring head to neutral and take a deep inhale, then slowly exhale.

SHOULDER SHRUGS
With arms at sides, inhale, then raise both shoulders near ears and hold for a count of 5.
Forcibly exhale through open mouth while quickly dropping shoulders.
Repeat 4 more times.

GRIP AND RELEASE
Make fists with both hands, holding for a count of 10.
Spread fingers out wide, holding for a count of 10.
Repeat sequence 2 more times, then shake hands out for several seconds.

OPEN HEART
With bent elbows, reach behind your lower back and clasp your hands together.
Aim to keep your palms together at all times.
Move the shoulder blades together.
Then straighten the elbows.
See if you can lift your arms up, away from your back.

NOTE: If this move is too difficult for you, hold onto a towel or belt, then pull arms outwards to add tension, then lift your arms.

Pets and Your Health

drstaceynaito Leave a comment
42089792 - woman with her dog tender scene

Image ID : 42089792 Copyright : soloway 123rf.com

 

I don’t know how I would get through difficult days without my three wonderful cats. Tenshi, Shima, and Kazu are so special to me that I always look forward to coming home and seeing their sweet faces. Those of you who have pets to whom you are closely bonded know how comforting it is to come home to them. Animals are capable of deep, unconditional love which is unparalleled. A pet won’t care that you look all disheveled from battling a grueling day. If you are distraught, a pet will make you smile and perhaps even laugh with cute and silly antics. Pets are natural antidepressants, and create the perfect distraction when you are tempted to feel sorry for yourself or ruminate over something which is only causing you anguish.

Pets are wonderful for our well-being and spiritual health.

It turns out that owning a pet also confers physical health benefits as well. Pet owners enjoy a reduction in stress and anxiety, which has a positive impact on blood pressure. Another very striking and unexpected benefit to having pets is a decrease in a child’s chances of developing allergies to animals. The decreased chance of developing allergies to animals in small children who live with animals is as high as 30 percent, according to research conducted by pediatrician James E. Gern which was published in the Journal of Allergy and Clinical Immunology. Dr. Gern conducted a number of studies on children exposed to pets, all of which concluded that children who were exposed at an early age to animals tended to develop stronger immune systems overall, and were far less likely to develop pet-related allergies.

When I think of friends who have allergies to cats or dogs, most of them did not grow up with a pet in the house. I also did not grow up with a family pet per se, unless you count the two rabbits I had in fourth grade for about six months. My mother was so fed up with them that she sold them to a pet store, and that was that. But I spent extended periods of time petting and hanging out with numerous outdoor cats in the neighborhood, enough so that I had a regular exposure to them. I also spent weekends with my dad’s dog, or with his friends’ dogs, so the exposure was steady.

I honestly believe that early and regular exposure to pets is a boon to immune health in young children. And since there is a large body of scientific evidence to back that up, why not get a family pet for your children to love?

Doctors Are Detectives

drstaceynaito Leave a comment

Image ID : 14903561
Copyright : ostill

There is tremendous responsibility in being a physician, and I take it very seriously. Any time I walk into a medical facility and see patients, I know that the patients and staff are all counting on me to assess patients fully, make proper diagnoses, and provide appropriate treatments. Basically, I know that I MUST make the right decisions at all times and be at the top of my game. Talk about pressure! Nevertheless, the thrill of solving a problem is so rewarding that it quickly eradicates any feelings of anxiety.

I just read Atul Gawande’s excellent book, Being Mortal, and I love this passage in which he very aptly describes the satisfaction which can come from being a physician:

“You become a doctor for what you imagine to be the satisfaction of the work, and that turns out to be the satisfaction of competence. It is a deep satisfaction very much like the one that a carpenter experiences in restoring a fragile antique chest or that a science teacher experiences in bringing a fifth grader to that sudden, mind-shifting recognition of what atoms are. It comes partly from being helpful to others. But it also comes from being technically skilled and able to solve difficult, intricate problems. Your competence gives you a secure sense of identity. For a clinician, therefore, nothing is more threatening to who you think you are than a patient with problem you cannot solve.”

The truth is that pretty much every physician has come across a case which he or she could not solve, one which necessitated a discussion with a specialist, or a lengthy literature review to aid in diagnosing the zebra who walked into the office that day. Physicians are human, fallible, and though they usually have the answers to the puzzles which are constantly presented to them, they may find themselves stumped every now and then, and that is a dreadful feeling.

It is an honor to serve humankind as a problem-solver, and I will always strive to keep my clinical acumen as sharp as possible in order to provide the best medical care.