6 Questions to Ask Before Choosing a Hormone Therapy Physician

People often spend hours researching their symptoms to find out what’s wrong with their health.

But they’re quicker to the punch when it comes to finding a physician to treat those symptoms.

Knowing who to seek help from is just as important as knowing why you need treatment in the first place.

So, if you’re ready to start your hormone replacement therapy plan, here are a few questions you should ask to before choosing a physician.

1. What are your qualifications?

Like dentists and general practitioners, you have options when it comes to deciding where you go (or who you go to) for hormone replacement therapy.

To narrow down that list, invest time and energy in learning more about the skills and training of each doctor.

  • Does he specialize in hormone replacement therapy?
  • How long has she been practicing hormone replacement therapy?
  • What degrees or certifications do they have?
  • Are the physicians licensed and board-certified? If so, are they the ones who will be treating you?
  • You can ask these questions directly or find the answer on the clinic’s website.

    2. Do you keep up-to-date with the latest medical advancements?

    Hormone replacement therapy is a steadily evolving science. Your doctor should stay up-to-date on news, alternatives and recent research studies so that she can provide you with the right treatment.

    You can find out by asking if he attends conferences, seminars or pursues further education in her field.

    3. Do I need hormone replacement therapy? If so, why?

    You may not need hormone replacement therapy, and that’s okay. But what’s not okay is if your physician or clinic can’t explain the specific details of why you qualify or don’t qualify for it.

    Your doctor should take the time to get to know your medical history, eating habits and lifestyle.

    If the physician or clinic seems to give everyone a stamp of approval, you may need to get a second opinion.

    4. How will you find the right dose of hormones for me?

    There isn’t a one-size-fits-all approach to hormone therapy.

    A knowledgeable physician will show you the steps they take to decide what dose is right for your body. And this goes back to the question above—that dosage will depend on your overall health and medical history.

    If the doctor skips the getting-to-know-you session and goes straight to lab work and trials, you may not be getting a custom therapy plan.

    5. What do you expect from me as your patient?

    As you may have noticed, we can’t stress enough that hormone therapy is most effective when you evaluate your life as a whole.

    A good physician will give you suggestions on how much you should exercise, what you should eat, and any other factors that may be contributing to your low testosterone or estrogen levels.

    They should expect you to take an active role in this therapy, so, be ready.

    6. What type of hormones do you use in your practice?

    The right answer to this question is simple—bio-identical hormones.

    You can learn more about bio-identical hormones here, but, in short, they’re hormones that are identical to the ones naturally existing in your body, which means your body recognizes and uses them just as it would your real hormones.

    Synthetics hormones offer only partial, temporary fixes to your problem. And you experience more side effects with the potential for serious health issues.

    It’s also important to consider how well you connect with a physician. If a doctor hits all the right marks, but you don’t feel comfortable being honest and open about your health, then he might not be right for you.

    Many reputable clinics, like our own, offer a free initial consultation, so you have an opportunity to ask these questions. If you’re ready to learn more, you can contact us here.

    6 At-Home Exercises for Menopause Relief

    Did you know women, on average, gain ten pounds during menopause?

    Because mood swings, fatigue and hot flashes aren’t enough to worry about, right?

    When your estrogen levels dip, you experience an accumulation of belly fat, bone loss and muscle atrophy. And, if you lead a sedentary lifestyle, you’re at more risk for weight gain than women who are active.

    The Center for Disease Control and Prevention (CDC) says adults need at least 150 minutes of moderate-intensity aerobic exercise and two or more days of strength training each week.

    That may sound overwhelming, but in the same amount of time it takes for you to watch two romantic comedies, you can relieve stress, enhance your quality of life, and stave off weight gain and bone and muscle loss.

    While any general activity is helpful, here are 6 exercises you can do at home that will build strength and burn fat at the same time.

    Before you begin: First, you should always seek your doctor’s advice before starting an exercise routine or diet. Second, warming up loosens the body, prepares the mind for action and prevents injury. So, before you start exercising, spend five to ten minutes stretching your muscles and getting your heart pumping. You can do this by moving your arms in circles, jump roping or running in place. Or, you can relieve some stress and stretch out by having a short yoga session, like the one in this video here.

    1. Alternating Dumbbell Lunges

    Hold dumbbells in each hand at your sides, and stand with your feet about hip-width apart. Take one long stride forward with your right leg. Inhale while lowering your rear left knee to the floor.

    Return to starting position by straightening your rear leg, and then exhale as you push up from the heel of your front foot. Repeat with the left leg.

    Suggestion: Perform 10-15 reps, three times, with a break in between sets.

    2. Squat to Overhead Press

    Hold the dumbbells in each hand at your shoulders with your elbows bent. Stand with your feet hip-width apart.

    Sit back and down (as if you’re sitting in an imaginary chair), then bend your knees and lower your thighs until they reach parallel with the floor. Press your weight back into your heels.

    As you stand, press the dumbbells overhead until your arms are straight. Return to start and repeat.

    Suggestion: Perform 10-15 reps, three times, with a break in between sets.

    3. Triceps Dips

    Sit on a secure bench. Place one hand on each side of your hip and grip the edge.

    Use your arms to push your butt up and off the bench. Walk your legs out until your knees are no longer bent and your butt is in front of the bench. This is your starting position.

    Slowly lower your body by bending the elbows and stop once your arms are parallel to the floor. Push yourself back up to the starting position.

    Suggestion: Perform 10-15 reps, three times, with a break in between sets.

    4. Step Up with Dumbbells

    Stand in front of a secure box or bench. With a dumbbell in each hand, place your right foot onto the bench and push up through your heel to lift your whole body up. Step down with your left foot and repeat on the opposite side.

    Suggestion: Perform 10-15 reps, three times, with a break in between sets.

    5. Plank

    Get into a push up position, but rest your forearms on the ground instead of your hands. Keep your back straight and tighten your abs and glutes. Hold the position without letting your hips sag.

    Suggestion: Hold for 30 seconds, three times, with a break in between sets.

    6. Farmer’s Walk

    With a dumbbell in each hand, stand up tall with your shoulders back. Walk forward as quickly as you can with short steps. You can do this around your neighborhood as an alternative to brisk walking.

    Suggestion: Walk for as long as you can, but aim for 15-30 minutes.

    Alleviating the symptoms of menopause requires treating the whole body—not just the hormones. That’s why having a regular exercise routine is important. The exercises above are just a few ways you can accomplish this.

    And, if you’re interested in learning more about combining hormone therapy with an exercise routine, give us a call.

    3 Benefits of a Hormone Therapy Plan Designed for You

    So, you’re experiencing perimenopause, menopause or andropause. Now what? You know this is simply par for the course. The effects of aging include mood swings, low libido, night sweats, daily fatigue and weight fluctuations.

    But, the question is, where do you go from here? How do you ensure you don’t lose quality of life as your body begins to undergo those changes?

    In this article, I’m going to answer those questions and more. If you are willing to invest in a customized hormone therapy plan and consult with an experienced, board-certified physician, you’ll have the chance to feel energized, happy and hopeful again.

    1. A custom plan is a life-long solution.

    Like any medical treatment, there isn’t a “one-size fits all” solution. But many testosterone and other hormone clinics use that approach.

    Your symptoms, lab work and lifestyle aren’t the same as those of an Ultimate Fighting Championship contender. And taking “standard” doses of testosterone on its own, without a clear understanding of your medical history, weight, height, blood work and level of activity can wreak havoc on your body.

    Many men and women give up on hormone therapies because of the highs and lows that come with synthetic treatments.

    But, if your therapy plan is designed to work with your unique physiology and is evaluated often, your natural (bioidentical) hormones will be restored, with minimal side effects.

    2. A custom plan treats the whole body, not just the chemical.

    Hormone therapy is just one piece of the aging puzzle. To reap the full benefits, you also need to invest in yourself through diet and exercise.

    Custom plans address these issues. Your doctor discusses what other changes in your life can help boost your testosterone or estrogen. Do you need to significantly reduce your sugar intake? Lose 10 pounds or 100? Is your vitamin D too low or your blood pressure too high?

    Aging affects your whole body, not just your hormones, and these factors should be considered to ensure your quality of life is at optimum level – in all areas.

    3. A custom plan uses hormones that return your body’s natural functions.

    As mentioned above, many hormone clinics use synthetic hormones. The molecular structure of those hormones is different from what naturally occurs in humans, and the dosages are a predetermined few. Those hormones are manufactured and imitate estrogen and testosterone, which can lead to undesirable side effects.

    Bio-identical hormones are chemically identical to those your own body has made during your lifetime and function the same way. One of the best ways to administer these hormones is in tiny pellets placed under the skin. As blood flows around the pellets, the correct amount of hormone is released, so your body gets what it needs, at the time it needs it.

    When properly administered, these pellets give you sustained, steady relief. The dosages can be customized and safely changed as your body and lifestyle change.

    Don’t let aging stop you from enjoying life. Hormone therapy can help manage the problematic effects of perimenopause, menopause and andropause, not just temporarily, but for the long haul. To learn more about creating a custom hormone therapy plan, you can schedule a free 15-minute consultation with us here.

    3 Facts About Andropause All Men Should Know

    As you age, maintaining your energy is like climbing a mountain.

    At ground zero, you’re full of zest. But as you climb, your muscles become fatigued, your joints ache and your interest in reaching the peak wanes.

    But when you look around, you see other men scaling the side of that mountain, almost effortlessly.

    What do they have that you don’t?

    Testosterone.

    Okay, you have testosterone. But, you know that your testosterone levels decrease as you age.

    That’s nothing new.

    Young men usually have levels of testosterone exceeding 1000 nanograms per deciliter (ng/dl). When they reach 40, those levels begin to drop about one percent a year.

    The drop is imperceptible at first, but when men reach their 80s, the average level of testosterone is 200 ng/dl.

    This gradual decline in testosterone levels is called andropause. So, yes, you can blame “male menopause” when you don’t have energy to mow the lawn.

    But, andropause is different from menopause in that it’s a gradual decrease in hormones, while women experience a sudden decrease.

    Some men experience symptoms and some don’t.

    What you may not know is that andropause doesn’t just affect your energy and sex drive. Andropause symptoms range from depression and irritability to increased body fat and a general lack of motivation.

    Here are a few more facts about andropause you may not know:

    1. Testosterone can lower your risk of heart disease.

    In a 2014 study, researchers found that men who increased their levels of testosterone through hormone replacement therapy had a 55 percent reduced risk of heart attack and stroke.

    This was also the case with men who had pre-existing heart disease.

    But, that doesn’t mean you should head to your nearest testosterone shot clinic. Higher-than-normal testosterone levels can put men at risk for heart attack or stroke.

    Instead, you should have your levels tested by a medical professional and discuss treatment options that evaluate your lifestyle as a whole, including your diet, exercise and sleep routine.

    As our Dr. Richard Pearson says, “When you just take testosterone and don’t change anything else, it’s like buying a muscle car, then just keeping it in neutral so you can listen to the radio.”

    2. Testosterone helps you lose weight and gain muscle.

    Speaking of muscles, a simple and well-known fact is that testosterone helps men build muscle mass.

    When there are low levels of testosterone, estrogen effects kick in and put fat in the least desirable locations, for example your chest and belly.

    As your weight increases, you’re also more at risk for type 2 diabetes, and men with diabetes are twice as likely to have lower levels of testosterone than men without diabetes.

    Testosterone plays a part in increasing insulin sensitivity. Or, in other words, improves the ability of insulin to get into your cells.

    3. Once deficient in testosterone, always deficient.

    Testosterone therapy is a lifetime commitment. When your testosterone levels drop, your body isn’t able to naturally replenish them.

    Which is why it’s important for you to find a medical professional you trust with a treatment that fits you as a whole.

    With hormone therapy, you have two options: synthetic hormones or bioidentical hormones. Synthetic hormones are chemically modified hormones, which creates a greater risk of toxicity and side effects. And most men can’t handle the side effects long-term.

    Bioidentical hormones, on the other hand, are natural. Your body recognizes the hormones and uses them as it would its own.

    You can learn more about bioidentical hormone replacement therapy here. Or you can schedule a free 15-minute consultation to discuss options that give your life more vigor and vitality.

    Over 50? Here are 5 Vitamins Your Body Needs Today

    How many fruits and vegetables did you eat this past month?

    Most people would say not enough. In fact, a recent study published by the Journal of the American College of Nutrition in January 2015, found that 40 percent of adults are deficient in vitamins A, C, D and E, not to mention calcium and magnesium.

    Sure, living in Memphis, makes it hard to turn down a plate of barbecue nachos for steamed broccoli.

    So, unless you’re one of the few who eats a well-balanced, organic diet, your body may be depleted of the nutrients it needs to sustain a fulfilling life.

    Take Vitamin D, for example. Studies show it’s a strong stimulator of calcium deposition in bones, which makes them stronger and healthier.

    And, here you thought it was just the sunshine vitamin.

    Below are a few more vitamins you should consider taking if you’re over 50.

    Remember, it’s important to first discuss your intentions with a medical professional before changing your diet or adding supplements.

    1. Calcium

    Bone density declines after 50, especially for women. To keep your bones and teeth strong, add calcium to your daily routine. While you know calcium is found in milk, you may not know you can also get it from kale, broccoli, spinach and other leafy green vegetables.

    Calcium is also needed for muscle contractions, which helps you get more out of your workout.

    2. Magnesium

    Sometimes overlooked, magnesium keeps your heart steady, your immune system healthy and your nerve function normal. It also helps to regulate blood sugar levels and promote normal blood pressure. Many tout its helpful properties in improving sleep as well.

    You can find magnesium in spinach, almonds, cashews, quinoa and pumpkin seeds. Or, get it all at once with this summer spinach and quinoa recipe.

    3. Fiber

    Fiber regulates your digestive system, lowers your cholesterol and helps control blood sugar levels.

    If you’re trying to lose weight, adding fiber to your diet keeps you fuller, longer. Try eating oats, peas, beans, apples, carrots, whole-wheat flour, wheat bran or other veggies to increase your fiber intake.

    You can also talk to your doctor about taking a fiber supplement, like this one by Benefiber.

    4. Fish Oil

    Many diets are lacking in healthy fats, including fish oil, which aids in depression, Alzheimer’s, high cholesterol, arthritis and heart health—just to name a few.

    Most of the benefits are attributed to the omega-3 fatty acids found in oil extracted from the tissue of deep-sea oily fish, such as trout, tuna, sardines and salmon.

    You can add fish oil to your diet by consuming a high amount of fatty fish, but keep in mind that many fish varieties contain higher levels of mercury.

    If you’d prefer to stay on the safe side, fish oil capsules can meet your needs. Just consult with your doctor to determine the type and amount of fish oil you should take.

    5. Whole Food Multivitamin

    For best results, studies suggest you should change your diet and establish an exercise routine at the same time. But, if you need to start with just one, focus on exercising first.

    In the meantime, you can fill in the nutritional gaps of your diet with a multivitamin.

    Try a whole foods multivitamin, which is made from real food instead of synthetic ingredients. For women who are no longer menstruating, you should first discuss with your doctor whether or not you need a multivitamin that also has iron.

    In addition to supplementing your diet with vitamins, hormone therapy can give you the vitality and energy you need to tackle your day. Schedule a free and private consultation today.

    6 Ways to Boost Energy and Vitality to Get Your Summer Back

    Are you ready for summer?

    To spend your mornings swimming laps at the pool? Or to take afternoon walks through the Farmer’s market?

    Sure, mentally, you’re geared up to make plans and get going.

    But, physically, your body yearns for a few more weeks of hibernation.

    And when your energy levels don’t match your desires, summer can go from fun to frustrating.

    If you’re perimenopausal, menopausal (Top 7 Quotes from Women with Hormone Issues Before Menopause) or you’ve had your ovaries removed, you know your levels of estrogen are changing.

    But there’s something you might not know, at least not for sure.

    Testosterone could also be the culprit for your summer blues.

    Yes, testosterone is often called a “male” hormone, but it’s also important for women’s mood and energy levels, sexual health and bone and heart function.

    First, here are a few signs you might be experiencing low levels of testosterone (Low T):

    • Lack of energy or fatigue
    • Weight changes and decreased exercise stamina
    • Low interest in sex
    • Depression and/or anxiety
    • Difficulties with sleep

    If you believe you might be experiencing a hormonal imbalance or Low T, consult with your doctor first.

    But, in the meantime, here are a few ways you can boost your energy and vitality to get your summer back.

    1. Eat good fats and more protein

    There’s a reason eating a clean, balanced diet makes the top of any health list.

    It works.

    When you eat refined carbs or foods high in sugar, your blood sugar and insulin spikes. This makes the body’s ability to use fat for energy drop.

    A diet high in good fat, protein and veggies can increase your testosterone levels. For example, try topping your salad with olive oil, slices of avocado and lean chicken breast.

    Or try out a new veggie dish, like this grilled summer squash recipe.

    2. Lift weights

    Any type of exercise, such as running or cycling, is great for your overall health. But lifting weights can boost your T levels.

    If you’ve never lifted weights before, consider joining a circuit training class or talking with a personal trainer.

    You can also rotate lifting days with cardio workouts. As an added bonus, research shows couples who exercise together have a better sex life.

    3. Soak up the sun

    Vitamin D can help increase your hormones and sex drive, which might explain why you feel a little friskier during the summer months.

    As an all around great vitamin for mood stability and energy, you don’t have to walk farther than your front porch to get it.

    Spend some time each day absorbing the rays—with ample sunscreen, of course.

    4. Get some cool sleep

    Humidity, high temperatures and longer days can drain your energy. And when you’re also combating Low T, you could use a good night’s sleep.

    Research shows keeping your head cool is conducive to sleep.

    You might have to test out what temperature works best for you, but try setting it around 65 degrees before you go to bed.

    5. Drink more water

    Dehydration can leave you feeling drained and fatigued. During the summer months, you need to increase the amount of water you drink to stay hydrated and energized.

    If you’re feeling lethargic, try drinking a glass of water over a second cup of coffee.

    6. Rebalance your hormones

    Your body has two ways of communicating, electrical (nerves) and chemical (hormones).

    When your hormones aren’t communicating, even if you make lifestyle changes, it’s difficult to live life to the fullest.

    Bio-identical hormones are identical to the ones that occur naturally in your body. They’re made from soy and yams, and your body recognizes them as it’s own.

    So, when you’re low on testosterone, a medical professional can safely restore it to your natural balance.

    If you’re feeling symptoms of Low T, the best step is to consult with a medical professional.

    Or you can book a free consultation with us to discuss your symptoms, specific needs and ways we can get you back to feeling your best.

    Press: Father, Daughter Join Forces to Make Exceed Succeed

    What an extraordinary privilege it is to have parents who are willing to invest sweat equity in my dream! As Exceed grows, I am ever-grateful for the unparalleled dedication of our staff and trust of our patients. We are working to build health care in the Mid-South that focuses on adding value to every interaction.

    Read our recent write-up in Memphis Medical News here.

    Discussing Bioidentical Hormone Therapy on WREG Memphis

    Actress Angelina Jolie made a lot of headlines recently when she spoke publicly about dealing with early menopause as a result of preventative cancer surgery. Bioidentical Hormone Therapy (BHT) is one of the ways Jolie has chosen to treat her symptoms. This has brought national attention to BHT as many women dealing with menopausal symptoms want to learn more about it.

    Last week, I appeared on Channel 3 WREG in Memphis to talk about what bioidenticals are and how they’re used to treat menopausal symptoms. You can watch the segment in the player below.

    Would you like to know more about Bioidentical Hormone Therapy and whether or not it’s a good fit for you? Give us a call at 901-312-7899 or email us at info@exceedhs.com to schedule a consultation. You can visit the Bioidentical Hormone Therapy section of our website for more information.

    Heather Pearson Chauhan, MD

    For That Important Man In Your Life

    There’s a reason that women make 75% of the health care decisions for their families. Reaching and maintaining optimal health involves prior planning and a proactive stance. Women are accustomed to recommended exams for themselves and necessary checkups for their children. Men, however, tend to see health as a given – requiring no effort or attention unless something feels wrong. Men are reactive to health issues and subscribe to the pain theory of illness: if it doesn’t hurt, nothing is wrong.

    There are generally only three things that cause men to seek medical care:

    Severe pain that can’t be cured with over-the-counter meds or by “walking it off”
    Bleeding – bright red and lots of it
    Problems with their sex life – and then only after trying everything at the health food store and online. It’s also important to them to keep this a secret from their significant other and their friends.

    If men were cars, they would ignore the oil changes, bald tires, cracked windshield, and smoking exhaust. But if the radio won’t play loudly and the transmission starts slipping, something’s got to be done!

    Women know when their hormones have changed. Perimenopause and menopause lead to big changes in mood, energy, and outlook – there’s no denying hot flashes, night sweats, and dryness. Women, in effect, “fall off a cliff” at menopause and it hurts when they land!

    Men, on the other hand, just slide down the hill very slowly. Starting at age thirty, testosterone drops by 1% every year, and by age 45, nearly 40% percent of men have low hormone levels. So, while the women in their lives are struggling with unwanted weight gain, loss of energy, irritability and poor self image, men are blissfully ignoring their own physical changes caused by low testosterone:

    • fatigue and loss of energy
    • weight gain
    • flab and weakness from loss of skeletal muscle
    • loss of motivation and drive

    What finally gets their attention is when they “can’t get it up!” This is hitting rock bottom for men. Most men have been in trouble with low testosterone for years before it gets to this point.

    Here’s the question for women: that man in your life – who falls asleep in the chair, doesn’t want to go anywhere, has lost interest and drive at work and at home – could the problem be not enough testosterone?

    Here’s the solution: do it for him because he likely won’t do it for himself.  Encourage him, support him and have him come see us at Exceed Hormone Specialists. His problem will not get better by itself, and we offer a free 15-minute consultation. He can discuss his issues in complete privacy and learn about solutions.

    He will be glad, and so will you!

    Richard Pearson MD, FACS

    Everyday Items Leading Women Into Early Menopause

    Testosterone and estrogen are words you often see in the headlines. Sometimes it’s difficult to sort out the facts and identify the fiction. Even if you can figure out what is truth, it’s hard to know what to do with that information. Exceed Hormone Specialists is here to help you figure out what specifically applies (and doesn’t apply) to you.

    A recent study reported a notable link between everyday chemicals and early menopause. Women who had higher levels of certain chemicals in their blood went through menopause two to four years earlier than women with lower levels. What does this mean for you and your family? Try eating local, organic fruits and vegetables. You can decrease the use of plastics in your home and keep them out of the microwave. Read more labels on cleaning products, cosmetics, and scented toiletries and keep a watchful eye in order to avoid phthalates. A friendly and informative resource is the Environmental Working Group website at ewg.org.

    It’s important for you to evaluate where you are hormonally. Do you feel as good as you want to? Does your energy level sustain the demands of your daily life? First, look to the things you can change more easily to help your hormones. Give yourself enough hours to achieve restful sleep. Try to exercise more regularly than you have been. Decrease your daytime carbohydrate intake to even out your insulin/glucose balance. These modifications can make a real difference.

    Maybe you have done all the things you know to do to achieve hormone balance. Perhaps you still don’t feel like the best version of yourself. No matter where you are in the spectrum of hormone imbalance (30 years old with no libido, 40 years old with no energy, 50 years old with hot flashes, 60 years old with clouded thinking, or 70 years old without stamina to exercise), we may be able to help you. Consider coming in to see us at Exceed Hormone Specialists. You can talk with me or Dr. Richard Pearson. We will do our best to work with you to come up with an individualized treatment plan – we want you to feel your absolute best.

    Heather Pearson Chauhan, MD