Tag menopause

Progesterone and Stress

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We all know that constant stress can play havoc with our health and well being. In this post I will focus on the effects of excessive stress on progesterone levels.

Progesterone is produced in the ovaries, the adrenal glands, and in the placentas of pregnant women. It has a calming effect, is a natural diuretic, regulates menstrual cycles, and prepares the body for conception and pregnancy. Some women can experience excessive levels of progesterone, which usually produces symptoms of PMS, but in general, progesterone is a vital and beneficial hormone.

Let’s examine what happens to progesterone if you are a woman under constant and chronic stress. When the body is pummeled with endless stress, the adrenal glands simply cannot keep up with the demand for more cortisol, so they convert more pregnenolone into cortisol to make up for the deficit. However, this has devastating effects on progesterone levels, since progesterone is also synthesized from pregnenolone. Basically, a woman who deals with excessive amounts of stress not only overtaxes her adrenal glands, but progesterone concentration also drops to a precipitously low level. So that calming, diuretic effect of progesterone falls away, and menstrual cycles become erratic or periods cease altogether. Sounds like fun, huh?

I cam tell you that running on an empty tank of progesterone is no fun at all. You retain water, you get irritable and cranky, and you lose your ability to navigate calmly through stressful situations. If you depend on a regular menstrual cycle as a reassurance that all is right with the world, then living with the mystery of whether or when you might have a period can be maddening. I found out during perimenopause that I actually WANTED a period, and I thought I would never feel that way.

I began retaining water like crazy after attaining IFBB Pro Status last July, and I knew something just wasn’t right. I didn’t feel like I was in my own body, as strange as it sounds. I began flailing, and went through a rebound which was disturbing and unexpected. My emotional barometer was all over the place, and I couldn’t get out of the funk that I was in. Gaining eight pounds (which is considerable for me), most of which was water weight, made me even more depressed.

Another completely irritating set of symptoms which suddenly popped up at the end of January 2015, and which persisted every single night is that I would wake up at around 4 a.m., completely drenched in sweat and with a sensation which could best be described as being lit on fire from the inside. I would throw the covers off and quickly disrobe, then rather quickly fall asleep, only to awaken about 30 minutes later, shivering and pulling the covers over me.

The nightmare finally subsided to a great extent once I began replenishing my body with bioidentical progesterone in late February 2015. Though I still retained a bit of water for several months, my weight returned to a reasonable 120 pounds, versus the 125 I had been at in the Fall of 2014, my hot and cold episodes subsided, I felt much calmer, and more like myself. Now that I have been on bioidentical progesterone for two years, I have maintained balance and feel infinitely better.

Had I removed the stressors that I had some control over, I am firmly convinced I would not have bottomed out with my progesterone levels like I did. Even if I had engaged in meditation more regularly a couple of years ago, I think I could have saved my progesterone levels from bottoming out. Trust me when I say that progesterone depletion can be incredibly disruptive and upsetting. And don’t think for a second that this is only a problem which women past the age of 45 deal with. I have come across female patients as young as 32 who had almost no progesterone in their lab tests.

If you do one thing to improve your health, please reduce your stress! You can do this by removing the stressors that you have some control over, performing breathing exercises, tai chi, yoga, and meditation, enjoy time with friends, loved ones and pets more often, and letting go of anxiety and worry.

Waves In My Hair

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From the time I was an infant, I always had very straight hair, and like many girls with straight locks, I always longed for waves. My desire for beachy waves was so pronounced that I spent my twenties and thirties habitually swirling my hair into an up-do with a clip while it dried in hopes that waves would form and remain there. However, because my hair is so thick and heavy, the sheer heft would uncoil my attempt at making soft curls, leaving me with the straight hair my DNA locked me into.

My hair became even thicker after I began competing in 2009. While many other women my age were lamenting the loss of their locks, I experienced such a surge in fullness that for about a year, I shaved the nape of my neck to lessen the mass of hair I had. A lot of it had to do with the increased protein intake (up to 180 grams a day at one point) which I had to incorporate into my regimen while I prepped for competitions. My hair also grew much more rapidly, and in 2010, my hair grew ten inches in eleven months. How do I know this? Because the area I had shaven grew a full eleven inches in that span of time, and the overall length of my hair kept me visiting my hairstylist for trims every six weeks.

Then I entered peri-menopause. What a joyous time, when a commercial can send you into a fit of tears, layering clothing becomes essential because of the hot flashes and night sweats, and your skin decides that it no longer wants to fight against the pull of gravity. About a year after I began sailing on the rocky seas of menopause, I had a haircut by an amazing stylist who remains my regular stylist to this day.

By some very odd coincidence, I noticed a pronounced wave throughout my hair when I washed my hair several days later. I thought perhaps I hadn’t washed out the styling products completely, but my hair began to look wavier and wavier with every subsequent wash. This persisted for over a year, and continued to perplex and annoy me. I went from never styling my hair, to developing a blow-drying and flat-ironing regimen which I still haven’t perfected, even to this day.

The rogue waves in my hair don’t seem to have rhyme or reason either. The waves on the right side of my head which frame my face are much wavier than on the left side, and for whatever bizarre reason, the right side is resistant to my efforts to obliterate the kinks with a flat-iron, even if I treat small sections and repeatedly iron the sections.

The sudden nature of the change in my hair texture was alarming. I remember hearing women tell tales, which I figured were tall tales, about how the texture of their hair changed overnight. And here I experienced the exact thing.

While hormones play a large role in hair texture (thyroid, progesterone, estrogen, testosterone), it can be rather strange to wake up with waves you never had, or to go from uber-curly hair to arrow straight hair overnight. It’s like the hormone fairy has a special hair wand which she uses to transform a woman’s strands like magic. The other funny thing is that hair follicles may return to their original state after a few years. My hair is starting to calm down somewhat, and there are times when my hair will be almost arrow straight after drying naturally.

I love the theory which Jonathan Torch, the founder of Toronto’s Curly Hair Institute, has devised. He maintains that changes in the tone of the muscles at the base of the hair follicles are the culprits in hair texture changes over time.

All I know is that my hair seems to have a mind of its own now!

Yes You Are Shrinking

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Have you ever noticed that people tend to shrink as they get older? This phenomenon is pretty much unavoidable, but at least we can take steps to minimize the amount of height loss over time.

On a personal note, I hit 5 feet, 5-1/2 inches at my tallest when I was 17, and remained there until I reached the age of 40. Then I noticed a loss of 1/4 inch, putting me at 5 feet, 5-1/4 inches. By the time I began competing in NPC bodybuilding events, I was at 5 feet, 5 inches. Now, at the age of 49, I stand at 5 feet, 4-1/2 inches. Though I will never be as short as my 4 foot 8 inch Japanese grandmother was, I am definitely losing height as I get older.

Numerous research studies have demonstrated that the process of shrinking stature begins as early as our 30’s, with men losing about an inch between the ages of 30 and 70, and women losing twice that amount. The shrinkage continues into our 70’s and 80’s too. There are a number of reasons why we lose height over time:

1. Cartilage which cushions the joints begins to compress and wear down, and in weight-bearing joints like the spine, hips, knees and ankles, results in a loss of stature.
2. The ratio of bone formation versus bone absorption decreases, and the bones become more weak. In women, the loss of estrogen after menopause further decreases the rate of bone formation.
3. Over time, muscle mass gradually decreases, a process known as sarcopenia. This results in a decrease in postural strength and stability.

How can we minimize the rate of shrinkage in height as we age? Here are some guidelines to follow:

– Perform weight-bearing exercise at least three days per week.
– Consume foods rich in calcium and vitamin D.
– Sit up straight!
– Quit smoking.
– Avoid excessive intake of alcohol and caffeine.
– Don’t starve yourself or practice perpetual dieting.

When you visit your primary care provider for your annual checkup, make sure that your height is measured. If you avoid regular checkups, get into the habit of checking your height once a year, either on your birthday or at the beginning of the year so that you have a standard time of year to measure it. According to numerous studies, a loss of 1 to 2 inches within a year correlates with a higher risk of hip and non-vertebral fractures, and should be investigated by a physician.

Egg Protein Got Me Lean

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egg

The ravages of competition prep and impending menopause caused me to hold water in my midsection and hamstrings for over a year, and I became despondent and desperate as a result. Nothing seemed to work. Then I took an ALCAT food intolerance test in January of 2015 and discovered that I had an intolerance to a bunch of different foods, so I eliminated the majority of them.

However, I stubbornly kept whey protein in, and chose to ignore the fact that I had a moderate intolerance to it. I would have been fine if I had just consumed whey protein a couple of times per week, but I was ingesting 60-70 grams of whey protein every single day. What kept me in that vicious cycle was an incredibly busy schedule which made it difficult for me to get all of my protein from whole foods.

In late September, upon Ian Lauer’s strong suggestion, I decided to finally eliminate whey protein powder from my diet. I added more animal protein from whole food sources (mostly from MAW Nutrition), and replaced about 25 grams of whey powder with a serving of Muscle Egg. Two weeks later, the water retention issues I had been struggling with completely vanished. I could finally see the lateral borders of my rectus abdominis clearly, and no longer created a fluid ripple when I tapped my belly.

I’m not saying I am ripped as a result of switching to egg protein, but boy, did it make a difference in my level of leanness! This won’t work for everyone though. If you have an issue with egg protein, the opposite effect may occur. In my case, I discovered that my body processes egg protein quite well. I also became a huge fan of Muscle Egg and now have it in my house at all times. I generally limit myself to one serving of Muscle Egg per day, but I also love the occasional nighttime Muscle Egg crepe with Walden Farms Chocolate Syrup on top for a sweet treat.

One last thing about whey protein: I still consume it on occasion. However, I only eat it in B-Up Bars and P28 Products, and I don’t have any issue with these food items. I have, however, completely avoided whey protein powder for the time being, and hope that my body resets as a result.

Hot and Cold

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Hot-Flashes-2

Many women who are in their early 40’s and beyond experience a roller coaster ride with their internal thermostats which is absolutely maddening. They can go from sitting comfortably one minute, to a sudden sweat and flush which makes them feel like they are standing next to a fiery blaze the next minute. Such a roast-fest can last from seconds to minutes, after which a woman may feel pretty comfortable. But the pendulum can swing the other way, and the woman may suddenly feel very cold once the air conditioning has kicked in, prompting her to put on a sweater. Guess what? Chances are that sweater will be peeled off in a matter of minutes when the woman has another hot flash. Hot, cold, hot, cold, hot, cold. Fun times. Such fluctuations in a woman’s perception of temperature, coupled with her constant putting on and taking off layers of clothing, are often perceived as pretty nutty by people who don’t have a clue about the torture these women go through.

I can relate to the constant temperature fluctuations because I have been suffering from it for over a year now. I fully realize that my body doesn’t know what temperature it is. Thanks to hormonal imbalance and the decline associated with peri-menopause, I am very familiar with the sweating which is sudden and intense, and I know that feeling of desperation which has me peeling off clothes, fanning myself, and sticking my head in freezers and in front of blowing fans. However, I only recently began experiencing the feeling that I am suddenly freezing my butt off, and I truly can’t stand it. My perception of the ambient temperature can go from upper 70’s, to 120 degrees, to 60 degrees, within 5 minutes flat.

woman with chills

On my worst days I will have maybe five or six of these episodes, so the daytime hours aren’t too bad, but my evenings make up for the relative break I get during the day, because I am hot and sweaty for many hours and cannot cool down at all, even if I wear a cooling towel around my neck, lie on the floor under my ceiling fan (the darned thing is positioned right over the foot of the bed and doesn’t cool me off at all when I am in bed), and lie over the covers. My bedroom feels like it is 100 degrees and I cannot get away from the heat because, of course, the heat is emanating from ME. My hypothalamus is tricked every night into perceiving that my body needs to release excess heat. I know that this is the result of low estrogen levels, but my professional knowledge of estrogen therapy is enough to keep me from ever supplementing with estrogen, so I will continue to suffer as long as my hypothalamus triggers the way it does. At least I know I am not alone: about 85% of women who are peri-menopausal experience hot flashes. Hot flashes can last from several months up to 15 years, with an average of 2 years. I hope and pray that I fall into the average! Seriously, hot flashes and night sweats are absolutely miserable. I often get as little as two hours of sleep at night when my night sweats are in full effect!

Menopausal Weight Gain

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spare trunk woman
Menopause can really break a woman’s spirit, for countless reasons. Her ability to reproduce comes to a screeching halt, her nether regions may start to resemble an arid climate, hot flashes may make her feel like she is spontaneously combusting, and she may have mood swings that would make the Tazmanian Devil look like a calm little bugger in comparison. But it’s the weight gain which often upsets menopausal women the most. Menopausal women will notice that if they drop their caloric intake, weight won’t drop at all, even though it may have easily melted off in the past.

That’s because the plummeting levels of progesterone and estrogen also adversely affect a woman’s ability to mobilize fat. Cortisol levels can go unchecked as a result of the low levels of progesterone and estrogen, and any extra calories will end up getting stored as fat. If a menopausal woman is at a caloric deficit, the switch flips in favor of burning muscle instead of turning to the storage fat she so desperately wants to incinerate. This is especially true for the adipose (fat) tissue around the midsection, because cortisol is notorious for padding that area with extra fat, resulting in an ever expanding belly. Another unfortunate consequence of cortisol is that levels will rise dramatically with prolonged intense exercise. The key is to have more abbreviated, yet still intense, exercise sessions so that the cortisol release is also accompanied by a boost in HGH and testosterone, thus conferring a protective effect on muscle.

Basically, the WORST thing you can do if you are in the midst of menopausal hell and struggling with weight gain is to engage in lengthy gym sessions. That might work for a 20 year old, but it can be devastating for a 50 year old. If you are a gym rat like me, you can still train up to six days per week (that’s how frequently I train), but keep your sessions intense but relatively short, between 30 to 60 minutes. If you train beyond that time window, the excess cortisol release will only trigger your body to cling to fat.

Menopausal women also experience an increase in carbohydrate sensitivity, which means that carbohydrate-rich meals which they used to be able to consume in their younger years without much consequence will suddenly wreak havoc on that waistline. The extra carbs settle in for a long and uninvited stay in the midsection and end up making women miserable. Because of this, dietary shifts need to be implemented in which the intake of starches and grains is dramatically reduced, while the consumption of more lean protein and green vegetables is increased. I also strongly recommend supplementing the diet with digestive enzymes and probiotics to optimize gut health and digestion of different foods.

Who Turned Up The Heat?

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woman-fan-298x232

If you have ever awakened in the middle of the night with the feeling that you are burning up, and find yourself drenched in sweat, you have experienced night sweats. Though night sweats can be aggravated by spicy foods or alcohol, or sleeping in an overheated room, the true culprit in night sweats for the majority of peri-menopausal and menopausal women is fluctuating estrogen levels. Such fluctuations falsely signal the hypothalamus to cool down the body by triggering perspiration and blood vessel dilation. For those of you who have experienced this phenomenon, you know how much it interferes with normal sleep patterns!

What can you do to minimize night sweats? Regular exercise can reduce the severity of symptoms. I have also seen a marked improvement in night sweat symptoms in my patients after they have introduced maca root into their daily regimens. On a personal note, maca has been helpful in reducing the intensity of my night sweats so that I don’t wake up completely drenched in sweat in the middle of the night. If you have severe symptoms, you might want to consider being evaluated for bio-identical hormone replacement therapy. I strongly advocate the use of bio-identical hormones for individuals who suffer from the symptoms of hormonal decline or imbalance.

The battle to eradicate my night sweats has not ended. I had a nice little break from them for about five months, then they crept back into my nightly patterns. To combat this, I decided that my comforter needed to be put in storage until the winter, and I purchased a cotton coverlet set. I also purchased a special mattress protector which is comprised of a cooling material, and though it was a bit pricey (about $100 for a Cal King), it was a godsend for me. Here are a couple of brands which are great:

http://www.amazon.com/Sleep-Better-Iso-Cool-11-ounce-Mattress/dp/B000ZK4QBY?tag=hotflashwebsite-20

http://www.amazon.com/Design-Weave-Outlast-Temperature-Mattress/dp/B003J371E8?tag=hotflashwebsite-20

Another thing I highly recommend is to put a fan in your bedroom. I have a ceiling fan in my bedroom, and I almost always sleep with it on so that I can keep cool air circulating over the bed. Make sure the thermostat in your home is set to a cooler temperature so that you don’t overheat during the night, or open a window to allow a cool night breeze drift into your bedroom.

Hopefully these suggestions will have you sleeping more comfortably this summer!

Did Someone Turn Up The Heat?

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hot flashes
I have always heard peri-menopausal and menopausal women complain of hot flashes like they were horrific occurrences, yet I figured they were similar to getting flushed, so they really couldn’t be THAT bad. Oh how wrong I was! Hot flashes can best be described as a SUDDEN and intense heat and sweating in the chest, neck and face which feels like someone cranked up the heater to a thousand degrees. To use fancy medical terminology, it SUCKS. Women look like they’re crazy when they rapidly start loosening and removing clothing, fanning themselves with magazines, standing in front of fans, and sticking their heads in the freezer. I can tell you that I have done every one of these things, and when I am in the midst of finding a way to cool down, I don’t care one whit who thinks I have gone bonkers. You would be in a rush too if you were being cooked from the inside!

If you are still trying to imagine what a hot flash feels like, picture this: you are going about your usual business, when out of nowhere, a switch gets flipped inside your upper chest and you experience a heat quite similar to Bikram yoga rooms. It is relentless too, causing instant sweating and discomfort. Recently I have been experiencing some very strong hot flashes which have necessitated desperate measures such as ripping off every shred of clothing and lying on a linoleum floor to cool off, wrapping a cool pack around my neck while I sat in front of my computer and worked, and walking around Chicago O’Hare International Airport wearing a tank top and fanning myself while everyone else wore heavy coats which were appropriate for the 35 degree Fahrenheit weather outside.

The main reason why hot flashes occur is a drop in estrogen levels which the hypothalamus misinterprets as an increase in body temperature, causing the body to react to cool it down. These episodes can occur at any time, but in my estimation are the worst when they occur during sleep. Over the past two weeks, it has been impossible for me to sleep for more than an hour before I experience a SEVERE hot flash which has me running to the freezer to grab an ice pack to snuggle up with! It has become a ritual: Fall asleep, wake up an hour later drenched in sweat. Spend the next 15 minutes trying to stop sweating, then finally fall asleep exhausted. Repeat cycle each hour to two hours until alarm goes off in morning. It is utter misery. This also may occur for up to fifteen years, even after I go through menopause. In the current vernacular, all I have to say to that is, WTF???

Running On Empty – Progesterone And Stress

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Stress meterWe all know that constant stress can play havoc with our health and well being. In this post I will focus on the effects of excessive stress on progesterone levels.

Progesterone is produced in the ovaries, the adrenal glands, and in the placentas of pregnant women. It has a calming effect, is a natural diuretic, regulates menstrual cycles, and prepares the body for conception and pregnancy. Some women can experience excessive levels of progesterone which usually produces symptoms of PMS, but in general, progesterone is a vital and beneficial hormone.

Let’s examine what happens to progesterone if you are under constant and chronic stress. When the body is pummeled with endless stress, the adrenal glands simply cannot keep up with the demand for more cortisol, so they turn to progesterone, converting it into cortisol to make up for the deficit. Eventually, however, not only do cortisol levels plummet, but progesterone levels also drop to precipitously low levels. So that calming, diuretic effect of progesterone falls away, and menstrual cycles become erratic or periods cease altogether. Sounds like fun, huh?

I cam tell you that running on an empty tank of progesterone is no fun at all. You retain water, you get irritable and cranky, and you lose your ability to navigate calmly through stressful situations. If you’re like me and you depend on a regular menstrual cycle as a reassurance that all is right with the world, then living with the mystery of whether or when you might have a period can be maddening. I found out that I actually WANT a period, and I thought I would never feel that way.

Though I had regular periods until very recently, I began retaining water like crazy after attaining IFBB Pro Status last July, and I knew something just wasn’t right. I didn’t feel like I was in my own body, as strange as it sounds. I began flailing, and went through a rebound which was disturbing and unexpected. My emotional barometer was all over the place, and I couldn’t get out of the funk that I was in. Gaining eight pounds (which is considerable for me), most of which was water weight, made me even more depressed.

Another completely irritating set of symptoms which suddenly popped up at the end of January and which persisted every single night is that I would wake up at around 4 a.m., completely drenched in sweat and with a sensation which could best be described as being lit on fire from the inside. I would throw the covers off and quickly disrobe, then rather quickly fall asleep, only to awaken about 30 minutes later, shivering and pulling the covers over me.

The nightmare finally subsided to a great extent once I began replenishing my body with bioidentical progesterone in late February. Though I still retain a bit of water, my weight is back to a reasonable 120 lbs. versus the 125 I had been at in the Fall, my hot and cold episodes have subsided, i feel much calmer and I feel more like myself.

Had I removed the stressors that I had some control over, I am firmly convinced I would not have bottomed out with my progesterone levels like I did. Even if I had engaged in meditation more regularly a couple of years ago, I think I could have saved my progesterone levels from bottoming out. Trust me when I say that progesterone depletion can be incredibly disruptive and upsetting. And don’t think for a second that this is only a problem which women past the age of 45 deal with. I have come across female patients as young as 32 who had almost no progesterone in their lab tests.

If you do one thing to improve your health, please reduce your stress! You can do this by removing the stressors that you have some control over, practice breathing exercises, tai chi, yoga, and meditation, enjoy time with friends, loved ones and pets more often, and let go of anxiety and worry.