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1 Natural and Diagnosis for Common Female Disorders A one-hour credit course Using case history, examination and modern saliva testing for diagnosis Natural treatments with bio-identical hormones, herbs and supplements By Dr. Robin Mayfield, DC, ACN 1 Other Courses to Consider Intro to Hormones 101 Fibromyalgia Myths and Realities Physical Diagnosis 131 Live Recorded Webinar on Fibromyalgia, Physical Diagnosis Proper Diagnosis is Key 3 1

2 Patient A 53 year old female, 5 7, 145, complaining of low energy, with insidious joint pain and muscle tightness all over. Her current medications were Synthroid, Estradiol (1mg) Zoloft and Trazadone. She had a complete hysterectomy in Upon consultation, further symptoms were elicited. Patient ratings: 0-10, with 10 being the worst. Mental fatigue 10 Physical fatigue 10 Shaky and dizzy 6 Insomnia 10 Depression 8 Sweet cravings 10 Headaches 4 Anxiety 10 Frequent urination 6 Low sex drive 5 4 Patient B 52 year old female, 5 8, 175, recent weight gain of 20 lbs despite exercise, difficulty sleeping at night, night sweats, fatigue, joint pain. No current medications, no surgeries. Patient ratings: 0 10, with 10 being worst. Night Sweats 9 Hot Flashes 8 Fatigue 8 Mood 5 Joint Pain 10 Brain Fog 7 Insomnia 10 5 Patient C 39 year old female, 5 5, 117 lbs., with complaints of reduced menstrual cycles, PMS, fatigue, and mood swings. A slight built woman, never bore children, history of anorexia but currently well nourished. No medications. no surgeries. Patient ratings: 0-10, with 10 being worst Irritable 0-8 (worse near period) Mood Swings 0-8 (worse near period) Breast Tenderness 0-8 (worse near period) Sweet cravings 0-8 (worse near period) Fatigue 8 Insomnia 6 Joint Stiffness 1 Bloating 4 Thirsty often 5 Ringing in ears 4 Sleepy during day 5 Brain fog 5 6 2

3 Estrogen Dominance Causes Signs and symptoms 7 What your Doctor may not know about Menopause 8 What is Estrogen Dominance? Estrogen Dominance describes what happens when the normal ratio or balance of estrogen to progesterone is changed by excess Estrogens, usually Estradiol, or inadequate Progesterone. 9 3

4 Causes of Estrogen Dominance 1. Dietary Low fiber Meats and dairy 10 Causes of Estrogen Dominance 1. Dietary Low fiber Meats and dairy 2. Body Fat 11 Causes of Estrogen Dominance 1. Dietary Low fiber Meats and dairy 2. Body Fat 3. Impaired liver function 12 4

5 Causes of Estrogen Dominance 1. Dietary Low fiber Meats and dairy 2. Body Fat 3. Impaired liver function 4. xeno-estrogens PCBs in plastic Pesticides Paraben BHA (preservative) 13 Causes of Estrogen Dominance 1. Dietary Low fiber Meats and dairy 2. Body Fat 3. Impaired liver function 4. Xeno-estrogens PCBs in plastic Pesticides Paraben BHA (preservative) 5. Prescription synthetic hormones 14 Drug History Diethylstilbesterol (DES) Thalidimide Birth Control, including pills, shots, patches and IUDs with hormones Premarin 15 5

6 Symptoms of Hormonal Imbalances 16 Hypothyroid symptoms (dry skin, fatigue, restless sleep, hair loss, weight gain) High Cholesterol and Triglycerides, HDL often low Elevated Liver Enzymes Craving carbohydrates and sweets Lack of vitality and energy Muscle and joint pain Anger and irritability Migraine headaches Sleep disturbances Poor memory Alcohol intolerance Low sex drive Hot Flashes and Night Sweats Low body temperature; cold easily when others are comfortable Vaginal dryness Endometriosis PMS and cramps Constipation Difficulty concentrating, mental confusion, Brain fog Aching, sore joints Increased tension in muscles Breast tenderness or fibrocystic breasts Gastrointestinal distress, indigestion, flatulence, gas, nausea Sudden bouts of bloating Exacerbation of existing conditions Increase in allergy symptoms Dizziness, light-headedness, loss of balance Changes in body odor Electric shock sensations under skin and in the head Tingling in the extremities Tinnitus, ringing in ears, bells, 'whooshing' buzzing etc. Miscarriages Panic Attacks Slower metabolism Chronic Back Pain Heavy Periods, irregular cycles, no period at all Food allergies Fibromyalgia symptoms, Lupus (SLE) symptoms Heel and foot pain Painful urination Restless legs at night Inability to relax Panic attacks and anxiety Thinning hair Excess facial hair Early signs of Aging Hair loss Foggy thinking Gallbladder problems, heartburn Bladder infections and incontinence Depression, Indifference, mood swings Weight Gain, especially through the waist Painful or irregular menstrual periods Bouts of rapid heart beat (tachycardia) Sudden tears General drying out that can include eyes, mouth, joints and skin Crashing Fatigue Feelings of dread Gum problems, increased bleeding Burning tongue, burning roof of mouth, bad taste in mouth, dry mouth, change in breath odor Osteoporosis (after several years) Changes in fingernails: softer, crack or break easier Immune system problems, Dr. Robin allergies, Mayfield catch colds easily Sinus infections onlinece.com 17 Premenstrual Syndrome (PMS and PMDD) Defined by its cyclical nature Mood and behavior changes, especially irritability, anxiety and depression Fatigue and Insomnia Food Cravings Bloating and pain Water retention, breast tenderness many more depending on the person 18 6

7 Perimenopause Perimenopause is defined as the period of time from the first signs of change in monthly cycles until after menstruation has ended completely for more than one year. 19 Menopause Hot flashes Vaginal dryness Mood swings Night sweats Headaches Hair loss Foggy thinking/memory loss Fatigue Breast swelling and tenderness Increased anxiety and/or depression 20 Reliable Labs for Testing Genova Diagnostic Labs Sabre Sciences DiagnosTechs Access Labs Pharmasan/NeuroScience

8 Patient A 53 year old female, 5 7, 145, complaining of low energy, with insidious joint pain and muscle tightness all over. Her current medications were Synthroid, Estradiol (1mg) Zoloft and Trazadone. She had a complete hysterectomy in Upon consultation, further symptoms were elicited. Patient ratings: 0-10, with 10 being the worst. Mental fatigue 10 Physical fatigue 10 Shaky and dizzy 6 Insomnia 10 Depression 8 Sweet cravings 10 Headaches 4 Anxiety 10 Frequent urination 6 Low sex drive 5 Lab findings: Severely High Estradiol and Moderately Low Progesterone Diagnosis: Estrogen Dominance and Adrenal Fatigue 22 Patient B 52 year old female, 5 8, 175, recent weight gain of 20 lbs despite exercise, difficulty sleeping at night, night sweats, fatigue, joint pain, periods heavier. No medications, no surgeries. Patient ratings: 0 10, with 10 being worst. Night Sweats 9 Hot Flashes 8 Fatigue 8 Mood 5 Joint Pain 10 Brain Fog 7 Insomnia 10 Lab Findings mildly elevated Estradiol Severely elevated Estrone Moderately elevated Testosterone Mild to moderate decreased Progesterone Diagnosis: Perimenopause 23 Patient C 39 year old female, 5 5, 117 lbs., with complaints of reduced menstrual cycles, PMS, fatigue, and mood swings. A slight built woman, never bore children, history of anorexia but currently well nourished. No medications. No surgeries. Patient ratings: 0-10, with 10 being worst Irritable 0-8 (worse near period) Mood Swings 0-8 (worse near period) Breast Tenderness 0-8 (worse near period) Sweet cravings 0-8 (worse near period) Fatigue 8 Insomnia 6 Joint Stiffness 1 Bloating 4 Thirsty often 5 Ringing in ears 4 Sleepy during day 5 Brain fog 5 No labs necessary. Diagnosis: premenstrual syndrome 24 8

9 The Role of Progesterone balance the effects of estrogen and testosterone stimulate new bone growth help calm and focus brain function help burn fat for energy function as a natural diuretic function as a natural antidepressant (in balance with estrogen) help increase libido function as a natural muscle relaxant with natural anti-inflammatory effects facilitate thyroid hormone function 25 Bio Response DIM 26 Bio-Identical Progesterone and Natural Estriol Various creams and sublingual forms, depends upon patient preference for delivery 27 9

10 Bezwecken 28 Fem Balance Premier Research Labs 29 Ultra Pollen Premier Research Labs 30 10

11 NeuroScience Kavinace Flash-Ease 31 Cleansing Standard Process Purification Cleanse 32 Patient A Labs: Extremely high Estradiol and Very low Progesterone Diagnosis: Estrogen Dominance and Adrenal Fatigue. Treatment: She was treated with bio-identical progesterone cream twice daily and DIM 2 BID. After six weeks, she felt well enough that she was able to eliminate her Estradiol and trazadone prescription. At that time, Ultra Pollen was added, and after one month later, you can see her symptom ratings. months Mental fatigue 10 0 Physical fatigue 10 0 Shaky and dizzy 6 0 Heartburn 4 0 Insomnia 10 0 Difficulty swallowing 5 0 Depression 8 0 Sweet cravings 10 0 Headaches 4 0 Anxiety 10 0 Frequent urination 6 0 Low sex drive 5 2 Thirsty

12 Patient B Labs: Estradiol slightly elevated, Estrone was significantly elevated (the most dangerous of the estrogens as far as cancer risk),and progesterone was slightly low. Testosterone levels were elevated. Diagnosis: Perimenopause Treatment: Standard Process Purification cleanse plus DIM at 3 BID, after which her energy was improved, but not perfect, as she still had hot flashes, night sweats and insomnia. She continued taking the DIM at those doses, and added Bezwecken PhytoB, which includes Progesterone and Estriol. She was allergic to the Progesterone Creams. Her symptoms improved over the next month, but were not gone. Added Kavinace Flash Ease and over the next 6 weeks, her symptoms continued to improve. Her ratings at that time were: 3 months Night Sweats 9 2 Hot Flashes 8 2 Fatigue 8 3 Mood 5 1 Joint Pain 10 5 Brain Fog 7 2 Insomnia Patient C Labs: none performed Diagnosis: Premenstrual Syndrome Treatment: She was treated with PRL Fem-Balance (2 day) with Bezwecken Bio Femme Progesterone Cream 1/8 th tsp, twice daily (1/8 only because of her slight stature) during the week before her period. She immediately improved, and 3 months later her symptom ratings were significantly improved. months PMS Mood Swings Breast Tenderness Sweet cravings Fatigue 8 0 Insomnia 6 2 Joint Stiffness 1 0 Bloating 4 0 Thirsty often 5 1 Ringing in ears 4 0 Brain fog Vendors Premier Research Labs Bioresponse Standard Process Bezwecken Neuroscience Sabre Sciences

13 Other Courses to Consider taking on ChiroCredit.com Intro to Hormones 101 Fibromyalgia Myths and Realities Physical Diagnosis 131 Live Recorded Webinar on Fibromyalgia, Physical Diagnosis

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