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<!--Generated by Squarespace Site Server v5.11.81 (http://www.squarespace.com/) on Wed, 30 May 2012 14:07:41 GMT--><feed xmlns="http://www.w3.org/2005/Atom" xmlns:dc="http://purl.org/dc/elements/1.1/"><title>Blog</title><subtitle>Blog</subtitle><id>http://www.donnawhitehormonemakeover.com/blog/</id><link rel="alternate" type="application/xhtml+xml" href="http://www.donnawhitehormonemakeover.com/blog/"/><link rel="self" type="application/atom+xml" href="http://www.donnawhitehormonemakeover.com/blog/atom.xml"/><updated>2012-04-01T11:39:21Z</updated><generator uri="http://www.squarespace.com/" version="Squarespace Site Server v5.11.81 (http://www.squarespace.com/)">Squarespace</generator><entry><title>Why Do Women Need Testosterone?</title><category term="hormones"/><category term="testosterone"/><id>http://www.donnawhitehormonemakeover.com/blog/2012/3/30/why-do-women-need-testosterone.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/3/30/why-do-women-need-testosterone.html"/><author><name>[Your Name Here]</name></author><published>2012-03-30T18:51:04Z</published><updated>2012-03-30T18:51:04Z</updated><content type="html" xml:lang="en-US"><![CDATA[<div>
<p>Women do need testosterone and make around 0.3 mg of testosterone daily, which is about ten times more than estrogen. The ovaries make approximately 60% of the total testosterone. The rest comes from DHEA contribution, which is made by the adrenal glands.</p>
<p>Testosterone is responsible for building structural tissue like bone, skin, and muscle, so women do require and produce testosterone. Testosterone maintains lean body mass, strength, and stamina; it helps increase muscle bulk and tone. Because testosterone increases sup port of the levator ani, a muscle that supports the abdomen and uro genital region and sphincter muscles, testosterone-deﬁ cient women sometimes leak urine. Testosterone is important to skeletal health too, aiding in the formation of strong bones and thereby reducing fractures. It does so by increasing bone mineral density.&nbsp;</p>
<p>Like other steroid hormones, testosterone plays an important role in cardiovascular health. In both men and women, the heart contains the largest concentration of testosterone receptors of the whole body, demonstrating the importance of adequate levels of testosterone for the heart. Testosterone also improves blood ﬂow to the heart.</p>
<p>Other vital roles testosterone plays are creating energy and regu lating the immune system. Testosterone affects hair growth. Many women with testosterone deﬁciency have thinning scalp hair or loss of pubic hair. They often state that they don&rsquo;t have to shave their legs very often anymore and have less hair on their arms.&nbsp;</p>
<p>This hormone protects the brain too, supporting the structural integrity of the brain and assisting in the synthesis of the neurotrans mitters dopamine, epinephrine, norepinephrine, and acetylcholine. Adequate levels of these neurotransmitters encourage a sense of well-being and improve mood, help combat depression, increases energy, self-esteem, and memory. Interestingly, the brain requires estrogen for testosterone to attach to brain receptors.</p>
<p><strong><em>Testosterone &ndash; A Summary of Research</em></strong></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>May decrease nearly 50% by mid-forties</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Reduces women&rsquo;s fear response</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Used to treat depression</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Improves sexual response</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Builds bone</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Low levels associated with heart disease including hardening of the arteries</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>May be protective against breast cancer</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>May be helpful and preventive in treating diabetes</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Oral contraceptives lower testosterone</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>Women may lose 70% of testosterone with removal of ovaries</em></p>
<p>&bull;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<em>No virilizing or adverse events seen with low dosing&nbsp;</em></p>
</div>]]></content></entry><entry><title>Symptoms of Low Testosterone in Women</title><id>http://www.donnawhitehormonemakeover.com/blog/2012/3/24/symptoms-of-low-testosterone-in-women.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/3/24/symptoms-of-low-testosterone-in-women.html"/><author><name>[Your Name Here]</name></author><published>2012-03-24T13:02:59Z</published><updated>2012-03-24T13:02:59Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>We think of testosterone as the male hormone but women do make and need a certain amount of testosterone for our health and wellbeing.&nbsp; The ovaries make 60% of our total testosterone which is approximately 0.25mg daily. &nbsp;Testosterone decreases gradually over the years of our reproductive life.&nbsp; Women that have lost their ovaries due to surgery frequently are low in testosterone. Since 40% of our testosterone comes from conversion of our adrenals hormones, such as DHEA, women that have low DHEA levels due to long term chronic stress may also have low testosterone levels.</p>
<p><strong>Symptoms of Testosterone Deﬁciency</strong></p>
<p><em>&nbsp;</em><em>General Physical Symptoms or Related Conditions:</em></p>
<ul>
<li>Vasomotor symptoms: hot ﬂ ashes/night sweats</li>
<li>Aches and pains</li>
<li>Fatigue</li>
<li>Insomnia</li>
<li>Poor memory</li>
<li>Thinning skin</li>
<li>Loss of muscle tone</li>
<li>Bone loss</li>
<li>Heart palpitations</li>
</ul>
<p><em>Gynecological Symptoms or Related Conditions:</em></p>
<ul>
<li>Loss or thinning of pubic hair</li>
<li>Vaginal dryness</li>
<li>Incontinence</li>
<li>Lichen sclerosis</li>
<li>Loss of libido</li>
<li>Impaired sexual function or female sexual arousal disorder</li>
</ul>
<p><em>Emotional Symptoms or Related Conditions</em></p>
<ul>
<li>Depression</li>
<li>Lack of motivation</li>
</ul>]]></content></entry><entry><title>What Does Estrogen Do for Women?</title><category term="bio-identical hormones"/><category term="estrogen"/><id>http://www.donnawhitehormonemakeover.com/blog/2012/3/16/what-does-estrogen-do-for-women-1.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/3/16/what-does-estrogen-do-for-women-1.html"/><author><name>[Your Name Here]</name></author><published>2012-03-16T23:35:56Z</published><updated>2012-03-16T23:35:56Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p class="CM12"><span style="color: #221e1f;">Estrogen has four hundred crucial functions in the body according to a very comprehensive list compiled by Dr. Pam Smith in her book, <em>HRT: The Answers</em></span><span style="color: #221e1f;">. Estrogen is made by the ovaries as you know. The ovaries make 60% of our estrogen while the other 40% comes from other sources, including the adrenal glands. The body converts androgens such as DHEA, testosterone, and androstenedione made by the adrenals or ovaries into estrogen. We women make approxi</span><span style="color: #221e1f;">&shy;</span><span style="color: #221e1f;">mately 0.01 to 0.03 mg of estradiol (one of the three primary estro</span><span style="color: #221e1f;">&shy;</span><span style="color: #221e1f;">gens women make) daily. It is one highly potent hormone. </span></p>
<p class="CM12"><span style="color: #221e1f;">It&rsquo;s been said that estrogen can be both an angel of light and an angel of death, and it&rsquo;s true. Though we tend to think of estrogen as a dangerous, cancer-causing hormone and though it&rsquo;s true that too much estrogen can cause cancer, too little estrogen can also cause serious problems and some very serious symptoms! No wonder; there are estrogen receptors everywhere in your body. What you really need is just the right amount. As is so often the case, balance is the key. You need just the right amounts, and you need your estrogen and progesterone to balance each other. Most estrogens (there are three primary estrogens) are proliferatory, which causes cells to multiply, notably the breast tissue and other hormone-sensitive tissue. This growth inducing property becomes a problem when unchecked by progesterone. Estrogen is supposed to be utilized, cleared away in a few hours, and then deactivated promptly. This is referred to as estrogen metabolism, which is per</span><span style="color: #221e1f;">&shy;</span><span style="color: #221e1f;">formed in part by the liver. The liver requires enzymes, a good supply of nutrients and sulfated amino acids such as cysteine, glu</span><span style="color: #221e1f;">&shy;</span><span style="color: #221e1f;">tathionine, and methionine. Toxins, rancid fats, stress, and viruses hinder estrogen metabolism. </span></p>
<p class="CM73"><span style="color: #221e1f;">Of course, estrogen plays a big role in every woman&rsquo;s life by regulating her menstrual cycle. Even before the cycles begin, it is estrogen that causes us to develop breasts and our feminine hips and thighs in puberty. It prepares the blood lining and stimulates breast tissue each month in preparation for possible pregnancy. Estrogen causes the egg to mature and creates the follicle where the egg matures. It ensures that the vaginal tissue, vulva, and cervix are developed and moisturized. Since estrogen plays a role in tempera</span><span style="color: #221e1f;">&shy;</span><span style="color: #221e1f;">ture regulation, as menopause approaches, estrogen deﬁciency and/ or rapid ﬂuctuations in estrogen levels can trigger symptoms like hot ﬂashes and night sweats, so adequate estrogen prevents many miseries associated with menopause.</span></p>
<p><strong>Roles and Properties of Estrogen:</strong></p>
<p><strong><em>Reproductive system</em></strong></p>
<ul>
<li>Creates endometrial lining</li>
<li>Promotes proliferation (multiplication of cells)</li>
<li>Regulates cycles</li>
<li>Causes development at puberty</li>
</ul>
<p><strong><em>Cardiovascular protection</em></strong></p>
<ul>
<li>Reduces LDL and VLDL</li>
<li>Reduces total cholesterol</li>
<li>Increases HDL cholesterol</li>
<li>Reduces Lipoprotein (a) a risk factor for heart disease</li>
<li>Acts as a calcium channel blocker</li>
<li>Reduces triglycerides</li>
<li>Improves blood flow</li>
<li>Lowers blood pressure</li>
<li>Dilates the arteries</li>
<li>Has anti-oxidant properties</li>
<li>Decreases Homocysteine</li>
</ul>
<p><strong><em>Effects on the brain</em></strong></p>
<ul>
<li>Prevents memory disorders</li>
<li>Increases (Serotonin, Dopamine, Epinephrine, Norepinephrine) brain chemicals that affect mood, motivation</li>
<li>Increases reaction time, alertness, verbal ability</li>
<li>Increases glucose transport across blood brain barrier</li>
<li>Acts as an anti-depressant</li>
<li>Aids in healing after injury</li>
</ul>
<p><strong><em>Effects on glucose/insulin</em></strong></p>
<ul>
<li>Estradiol improves carbohydrate metabolism</li>
<li>Increases sensitivity of muscle and adipose tissue to insulin</li>
<li>Excess estrogen causes impaired glucose tolerance and increases the release of insulin</li>
</ul>
<p><span style="color: black;"><strong><em>Effects skin health</em></strong></span></p>
<ul>
<li>Increases water/moisture content of skin</li>
<li>Increases collagen formation</li>
<li>Thickens skin</li>
<li>Improves elasticity &amp; firmness</li>
<li>Maintains of oral health</li>
<li>Maintains of eye health</li>
</ul>
<p><strong><em>Effects on urogenital system</em></strong></p>
<ul>
<li>Reduces vaginal dryness</li>
<li>Decreases frequency urinary tract infections</li>
<li>Prevents atrophic vaginitis&nbsp;</li>
</ul>
<p><strong><em>Effects on skeletal system</em></strong></p>
<ul>
<li>Reduces bone loss</li>
</ul>
<p>&nbsp;</p>]]></content></entry><entry><title>Are You Estrogen Deficient?</title><id>http://www.donnawhitehormonemakeover.com/blog/2012/3/9/are-you-estrogen-deficient.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/3/9/are-you-estrogen-deficient.html"/><author><name>[Your Name Here]</name></author><published>2012-03-10T03:00:21Z</published><updated>2012-03-10T03:00:21Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p class="CM69"><span style="color: #221e1f;">Estrogen is made by the ovaries as you know. The ovaries make 60% of our estrogen while the other 40% comes from other&nbsp;sources, including the adrenal glands. The body converts androgens such as DHEA, testosterone, and androstenedione made by the adrenals or ovaries into estrogen. We women make approxi&shy;mately 0.01 to 0.03 mg of estradiol (one of the three primary estro&shy;gens women make) daily.&nbsp;</span></p>
<p class="CM69"><span style="color: #221e1f;">Estrogen deﬁciency symptoms may be simply due to declining estrogen and of course very low levels.&nbsp;&nbsp; These symptoms may occur during mid to late forties or early fifties and are more likely to occur under conditions of long-term chronic stress. Women whose ovaries have been removed are also likely to be estrogen deﬁcient unless they are on some type of estrogen replacement therapy. </span></p>
<p class="CM12"><span style="color: #221e1f;">We&rsquo;re all pretty familiar with common symptoms of estrogen deﬁciency like hot ﬂashes, night sweats, and insomnia. Because estrogen has a vasodilatory effect (causes blood vessels to dilate), ﬂuctuations in estrogen levels can trigger headaches. The rapid dilation and constriction caused by these ﬂuctuations can also cause hot ﬂashes, night sweats, and heart palpitations. Estrogen deﬁciency often causes dry skin, dry eyes, and hair loss. Because estrogen helps with carbohydrate metabolism, when estrogen levels drop, women often crave carbohydrates and gain weight. Estrogen deﬁciency can cause vaginal walls to thin and dry, which can, in turn, cause painful intercourse. It can also increase susceptibility to urinary tract infections and lead to incontinence<strong>.</strong></span><span style="color: #221e1f;"> And because estrogen regulates the menstrual cycle, it is a drop in estrogen that causes women to stop having periods. As estrogen levels begin to decline or ﬂuctuate, a woman may skip periods, or her periods may become lighter and farther apart.</span></p>
<p class="CM69">Estrogen deﬁciency can also cause many mental and emotional symptoms such as anxiety, depression, loss of motivation, and weep&shy;iness. Estrogen-deﬁcient women frequently struggle with foggy thinking, poor verbal recall, and general forgetfulness. Estrogen deﬁciency increases inﬂammatory substances in our bodies which affect our brain, bones and cardiovascular health. In short, there&rsquo;s just really nothing good about estrogen deﬁciency.</p>
<p class="CM69"><strong>General Physical Symptoms or Related Conditions:</strong></p>
<ul>
<li><span style="color: #221e1f;">Vasomotor symptoms: hot ﬂ ashes/night sweats</span></li>
<li><span style="color: #221e1f;">Headaches</span></li>
<li><span style="color: #221e1f;">Insomnia or sleep disturbances</span></li>
<li><span style="color: #221e1f;">Poor memory/concentration or forgetfulness</span></li>
<li><span style="color: #221e1f;">Hair loss</span></li>
<li><span style="color: #221e1f;">Dry skin/eyes/hair</span></li>
<li><span style="color: #221e1f;">Thinning/aging skin and wrinkles</span></li>
<li><span style="color: #221e1f;">Bone loss</span></li>
<li><span style="color: #221e1f;">Insulin resistance</span></li>
<li><span style="color: #221e1f;">Oily skin/acne</span></li>
<li><span style="color: #221e1f;">Weight gain</span></li>
<li><span style="color: #221e1f;">Heart palpitations</span></li>
</ul>
<p class="CM5"><span style="color: #221e1f;"><strong>Gynecological Symptoms or Related Conditions:</strong></span></p>
<ul>
<li><span style="color: #221e1f;">Lighter/non-existent periods</span></li>
<li><span style="color: #221e1f;">Vaginal dryness</span></li>
<li><span style="color: #221e1f;">Painful intercourse</span></li>
<li><span style="color: #221e1f;">Urinary tract infections</span></li>
<li><span style="color: #221e1f;">Incontinence</span></li>
</ul>
<p class="CM5"><span style="color: #221e1f;"><strong>Emotional Symptoms or Related Conditions:</strong></span></p>
<ul>
<li><span style="color: #221e1f;">Depression</span></li>
<li><span style="color: #221e1f;">Weepiness</span></li>
<li><span style="color: #221e1f;">Anxiety</span></li>
<li><span style="color: #221e1f;">Carbohydrate cravings</span></li>
<li><span style="color: #221e1f;">Sleep disturbances</span></li>
<li><span style="color: #221e1f;">Low libido&nbsp;</span></li>
</ul>
<p>&nbsp;</p>]]></content></entry><entry><title>How to Use Progesterone</title><id>http://www.donnawhitehormonemakeover.com/blog/2012/3/4/how-to-use-progesterone.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/3/4/how-to-use-progesterone.html"/><author><name>[Your Name Here]</name></author><published>2012-03-04T20:22:08Z</published><updated>2012-03-04T20:22:08Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span style="color: #181818;">In my past two blog posts we have talked about the symptoms of progesterone deficiency and the roles and properties of progesterone that are critical to a woman&rsquo;s health.&nbsp; Should you determine that you need to use progesterone or have been told by your physician to take progesterone, I am sharing how to take progesterone from my book, </span><span style="color: #181818;"><em>The Hormone Makeover &ndash; 7 Steps to Transform Your Life with Bioidentical Hormones.&nbsp; </em></span></p>
<p><span style="color: #211e1f;"><strong>Using&nbsp;Progesterone Cream</strong></span></p>
<p><span style="color: #211e1f;">The most common starting dose of transdermal progesterone cream is 10-20 mg once or twice daily, but I have found that some women require doses as high as 40 mg or more. The need for higher amounts should be determined by lab values as well as clinical efﬁ&shy;cacy. A few women, especially those with estrogen levels on the lower end of the normal range, ﬁnd that the typical starting dose of 20 mg once or twice daily is too much. Again, that perfect balance with estrogen is what we&rsquo;re after.</span></p>
<p><span style="color: #211e1f;">If you are still having periods, progesterone cream is best used according to your menstrual cycle. To determine the menstrual cycle timing, always count the ﬁrst day of blood ﬂow as Day 1. There are several ways to use progesterone.</span></p>
<p><span style="color: #211e1f;">One way to use progesterone is to start on Day 12 to14 and con&shy;tinue through Day 26 or 28, which pretty well coincides with the luteal phase (the second two weeks of the cycle). (Some experts say to stop on Day 26. However, some women ﬁnd that doing so does not control PMS on Day 27 and 28. Others ﬁnd that if they do not stop the progesterone on Day 26, their periods will be late.) This approach of using the progesterone during the second two weeks of the cycle is used most often in younger, pre-menopausal women and in women desiring to conceive. Some perimenopausal women respond better to therapy when starting the progesterone on Day 7 and continuing until Day 26 to 28. With these varying suggestions, you and your health care provider can determine what is best for you.</span></p>
<p><span style="color: #211e1f;">Women whose cycles are irregular, and who consequently don&rsquo;t know what day of their cycle it is, can just start any time and adjust it to their cycles once they do start a period. If you ﬁnd that your period comes before Day 28, just stop the progesterone and count the ﬁ rst day of your period as Day 1, starting over again. You can then start taking progesterone again on Day 7. You start the progesterone cream on Day 7, even if you are still bleeding. Post-menopausal women no longer having periods can either follow a three-weeks&shy;on/one-week-off schedule or just take progesterone every day. For any of these situations, you will need to follow the BHRT physi&shy;cian&rsquo;s recommendation.</span></p>
<p><span style="color: #211e1f;">One of the latest recommendations for postmenopausal women is to take a one- day-per week break from all hormones. For example, use hormones every day except for Sundays. Patients seem to like this schedule best.</span></p>
<p><span style="color: #211e1f;"><strong>Obtaining Progesterone Cream</strong></span></p>
<p><span style="color: #211e1f;">Progesterone cream is available by prescription in any dosage from compounding pharmacists. Progesterone cream is also available over- the-counter and there are many brands available, providing doses of 20-25 mg. &nbsp;I often run across web sites that say OTC progesterone creams are ineffective or that the creams actu&shy;ally contain no progesterone. In general, these web sites are simply wrong. There are many reputable brands containing United States Pharmacopeia (USP) progesterone, which is deﬁnitely effective. If the label doesn&rsquo;t list USP progesterone, don&rsquo;t buy it. Wild yam isn&rsquo;t really progesterone. One factor that varies quite a bit from one pro&shy;gesterone cream to another is the consistency of the cream base. Some bases are very thick or waxy and don&rsquo;t seem to penetrate very well, while others are very pure and very easily absorbed. Even though progesterone cream is available over the counter, it is best to work with a knowledgeable physician.</span></p>
<p><span style="color: #211e1f;"><strong><em>Applying Progesterone Cream:</em></strong></span><span style="color: #211e1f;"><em> Morning doses are best applied after a bath or shower (after towel drying) rather than just before bathing. Evening doses can be applied when you&rsquo;re preparing for bed. Since hormone creams don&rsquo;t require refrigeration, you can keep them in the bathroom. Dispense the amount the prescription label directs into your hand. Rub the cream into the application site. Normally these sites include the inner forearms (from wrist to elbow), inner thighs, abdomen, and the backs of the knees. Continue rubbing for a few moments to ensure penetration. Rotate the sites to avoid saturating the tissue in one area. Continual use in any single area may eventually saturate the hormone receptors there, reducing overall absorption. Keep in mind that any topically applied substance can remain on the skin for up to eight hours and be transferred to others by physical contact, so select application sites that will be covered by clothing. Also be sure to wash your hands before touching anyone or anything else.</em></span></p>
<p><span style="color: #211e1f;"><em>Creams prepared by compounding pharmacies will be dispensed into some type of device that will make mea&shy;suring the dose easy. Often it will be a syringe with a cap (no needles) that has units of measure so that all you have to do is push the plunger to the line indicating the prescribed amount. It is very simple and the compounding pharmacist should include instructions and/or be available to you by phone should you have questions.</em></span></p>
<p><span style="color: #211e1f;"><em>Over-the-counter creams may come in jars, pump bot&shy;tles, or tubes, which can make measuring the prescribed amount a little tricky. I would suggest that you check with your physician because what the product label recommends is a general dosage, and it may not be the amount the physi&shy;cian intends for you to use.</em></span></p>
<p><span style="color: #211e1f;"><strong>Signs of Too Much Progesterone</strong></span></p>
<p><span style="color: #211e1f;">Though your body never overproduces progesterone, it is pos&shy;sible to take too much supplementary progesterone. Fortunately, any symptoms of excess progesterone disappear when the dose is reduced to its proper level, and we know of no long-term adverse effects of supplemental bioidentical progesterone. As with any hormone, either excess or deﬁciency of progesterone triggers symptoms, sometimes even the same symptoms. Signs that you are taking too much pro&shy;gesterone include bloating, drowsiness during the day, increased hot ﬂashes and wakefulness at night. If you take way too much proges&shy;terone you could also put on a little weight or have increased appe&shy;tite. As I said, progesterone in the right quantity actually alleviates these symptoms, but as is so often the case, balance is the key.</span></p>
<p>&nbsp;</p>]]></content></entry><entry><title>Why is Progesterone So Critical to Your Health?</title><id>http://www.donnawhitehormonemakeover.com/blog/2012/2/25/why-is-progesterone-so-critical-to-your-health.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/2/25/why-is-progesterone-so-critical-to-your-health.html"/><author><name>[Your Name Here]</name></author><published>2012-02-25T15:48:05Z</published><updated>2012-02-25T15:48:05Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p class="CM69">When we think of women&rsquo;s reproductive hormones, we usually think ﬁrst of estrogen, but progesterone is just as important. In fact, it&rsquo;s hard to overstate its importance. There are progesterone receptor sites in every cell of your body, so progesterone affects virtually all of your cells. Progesterone has multiple non-reproductive roles including functions in the central nervous system to regulate cognition, mood, inﬂammation, mitochondrial function, neurogenesis and regenera&shy;tion (the formation and development of nerve cells), myelination (formation of the insulation around nerves) and recovery from brain injury.</p>
<p class="CM69">During a normal menstrual cycle, the rup&shy;tured follicle (corpus luteum) that releases the egg begins producing progesterone after ovulation. During this luteal phase, Days 14-28 of the cycle, the corpus luteum produces 4-28 mg of progesterone per day. The exact amount varies with each woman and with each day of her cycle. Interestingly enough, a woman&rsquo;s central and peripheral nervous systems also produce very small quantities of progesterone. The adrenal glands also produce progesterone as a precursor of cor&shy;tisol. And during the second and third trimesters of pregnancy, the placenta produces massive amounts of progesterone (about 300 mg). Also interesting to note is that women make one hundred times more progesterone than estrogen, or at least we are supposed to do so.</p>
<p><strong>Actions and Effects of Progesterone:</strong></p>
<p><span style="color: black;"><strong><em>Gestation</em></strong></span></p>
<ul>
<li>Enables      egg implantation</li>
<li>Protects      against miscarriage</li>
<li>Facilitates      fetal brain development</li>
</ul>
<p><span style="color: black;"><strong><em>Effects on Estrogen and Reproductive Functions</em></strong></span></p>
<ul>
<li>Decreases      menstrual bleeding</li>
<li>Normalizes      endometrial shedding</li>
<li>Permits      action of estrogen</li>
<li>Inhibits      Fibrocystic Breast Disease</li>
<li>May      inhibit growth of fibroids</li>
<li>Helps      with estrogen metabolism</li>
<li>Counters      symptoms of Estrogen Dominance: Breast tenderness, fluid retention,      headaches, irritability, etc</li>
</ul>
<p><strong><em>Skin</em></strong></p>
<ul>
<li>Inhibits      aging of skin/reduces wrinkle count and wrinkle depth</li>
</ul>
<p><strong><em>Cardiovascular Protection</em></strong></p>
<ul>
<li>Protects      against atherosclerosis</li>
<li>Enhances/preserves      estrogenic benefits on cardiovascular system</li>
<li>Dilates      coronary arteries </li>
<li>Reduces      triglycerides</li>
<li>Has no      negative affect on lipid profile</li>
<li>Has no      negative affect on blood pressure</li>
<li>Does      not raise C-reactive protein</li>
</ul>
<p><strong><em>Central Nervous System</em></strong></p>
<ul>
<li>Improves      brain structure/function/memory</li>
<li>Has      calming/relaxing effect in the brain </li>
<li>Reduces      irritability/anxiety</li>
<li>Protects      brain</li>
<li>Promotes&nbsp; normal sleep patterns</li>
<li>Promotes      myelin repair</li>
</ul>
<p><span style="color: black;"><strong><em>Mineral Balance</em></strong></span></p>
<ul>
<li>Acts as      a potassium sparing diuretic </li>
</ul>
<p><strong><em>&nbsp;</em></strong><strong><em>Skeletal</em></strong></p>
<ul>
<li>Stimulates      bone building</li>
</ul>
<p><strong><em>Miscellaneous </em></strong></p>
<ul>
<li>Increases      endurance during exercise</li>
<li>Increases      metabolic rate</li>
<li>Prevents      and reduces PMS</li>
<li>May      increase libido</li>
<li>Facilitates      Thyroid Hormone Utilization</li>
<li>Enables      growth/development/repair of tissue</li>
<li>Has      anti-inflammatory properties</li>
<li>Decreases      hot flashes</li>
</ul>
<p>&nbsp;<strong><em>Breast Cancer Protection</em></strong></p>
<ul>
<li>Stops      breast cell multiplication (proliferation)</li>
<li>Reduces      Estradiol induced breast cell proliferation</li>
<li>Increases      Natural Killer cells </li>
<li>Helps      with estrogen metabolism</li>
<li>Blocks      conversion of estrogen metabolites to cancer inducing metabolites</li>
</ul>
<p><span style="color: #221e1f;">The good news is that bioiden&shy;tical progesterone is widely available, so no woman has to be progesterone deﬁcient.</span></p>]]></content></entry><entry><title>Are You Progesterone Deficient?</title><id>http://www.donnawhitehormonemakeover.com/blog/2012/2/25/are-you-progesterone-deficient.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2012/2/25/are-you-progesterone-deficient.html"/><author><name>[Your Name Here]</name></author><published>2012-02-25T15:07:18Z</published><updated>2012-02-25T15:07:18Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span style="color: #181818;">Progesterone deﬁciency often occurs by the mid-thirties, often dropping by about 75% between the mid-thirties and menopause. Since progesterone is produced by the ovaries, women whose ovaries have been removed are likely to be progesterone deﬁcient. Also, women on birth control pills, patches, or injections are not allowed to ovulate. That is how these birth control methods work. However, ovulation must take place in order for women to produce appreciable amounts of progesterone.&nbsp;</span></p>
<p><span style="color: #181818;">General Physical Symptoms or Related Conditions:&nbsp;</span></p>
<ul>
<li style="color: #181818;">Weight gain</li>
<li style="color: #181818;">Fluid retention</li>
<li style="color: #181818;">Low body temperature&nbsp;</li>
<li style="color: #181818;">Hypothyroidism (under-activity of the thyroid      gland)&nbsp;</li>
<li style="color: #181818;">Headaches&nbsp;</li>
<li style="color: #181818;">Pain and Inﬂammation&nbsp;</li>
<li style="color: #181818;">Allergies/Sinusitis&nbsp;</li>
<li style="color: #181818;">Insomnia or Sleep Disturbances&nbsp;</li>
<li style="color: #181818;">Hair loss&nbsp;</li>
<li style="color: #181818;">Bone loss&nbsp;</li>
</ul>
<p><span style="color: #181818;">Gynecological Symptoms or Related Conditions:&nbsp;</span></p>
<ul>
<li style="color: #181818;">PMS&nbsp;</li>
<li style="color: #181818;">Menstrual Cramps&nbsp;</li>
<li style="color: #181818;">Breast pain/benign cysts&nbsp;</li>
<li style="color: #181818;">Heavy periods&nbsp;</li>
<li style="color: #181818;">Irregular cycles (periods too close together)&nbsp;</li>
<li style="color: #181818;">Spotting before period or break-through      bleeding&nbsp;</li>
<li style="color: #181818;">Fibroids</li>
<li style="color: #181818;">Endometriosis&nbsp;</li>
<li style="color: #181818;">Infertility&nbsp;</li>
<li style="color: #181818;">Miscarriage&nbsp;</li>
<li style="color: #181818;">Luteal phase deﬁciency (a common cause of      infertility)&nbsp;</li>
</ul>
<p><span style="color: #181818;">Emotional Symptoms or Related Conditions:&nbsp;</span></p>
<ul>
<li style="color: #181818;">Depression&nbsp;</li>
<li style="color: #181818;">Anxiety&nbsp;</li>
<li style="color: #181818;">Irritability&nbsp;</li>
<li style="color: #181818;">Mood swings&nbsp;</li>
<li><span style="color: #181818;">Tendency to be stressed easily</span></li>
</ul>]]></content></entry><entry><title>Hormones, Wrinkles and Aging Skin</title><id>http://www.donnawhitehormonemakeover.com/blog/2011/11/5/hormones-wrinkles-and-aging-skin.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2011/11/5/hormones-wrinkles-and-aging-skin.html"/><author><name>[Your Name Here]</name></author><published>2011-11-05T17:58:52Z</published><updated>2011-11-05T17:58:52Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p>We all understand that hormone problems can cause symptoms like hot flashes or PMS, but did you know that hormone imbalances cause wrinkles too?</p>
<p><strong>What do hormones have to do with wrinkles and aging skin?</strong>&nbsp;</p>
<p>Just the sound of those words can make us cringe. I don&rsquo;t mind getting older at all.&nbsp; I am wiser.&nbsp;&nbsp; But the looking older part, well I just don&rsquo;t care for that at all. We all realize and face the fact that we will age and we will get wrinkles due to what is called chronological aging. We also know that we can certainly speed up the aging of our skin from what is termed environmental aging, due to sun damage, tanning, etc. So ladies, if wrinkles and skin aging must happen, I certainly don&rsquo;t want it to happen rapidly or any sooner than necessary.&nbsp; How about you? In this newsletter, I want to share with you insight on which hormone imbalances trigger and can accelerate what some experts call hormonal aging of our skin.</p>
<p>Hormones affect every single cell in our bodies so of course they affect our skin too. Hormone imbalances can also lead to more than just aging skin, they can cause: thinning skin, dehydrated, dry, sensitive skin, decreased elasticity and firmness, flushing, uneven skin pigmentation, occasional itchiness, breakouts and photosensitivity.</p>
<p><strong>It is All About Collagen, Elastin, and Hyaluronic Acid&nbsp;</strong></p>
<p>To begin, we need to review the 3 basic components that keep our skin youthful:&nbsp;</p>
<p>1.&nbsp; Collagen- a protein found in the skin, bone, cartilage and tendons, which acts like rope to give our skin strength and prevent sagging.&nbsp; After age 30, we lose 1 percent of our collagen a year.&nbsp; Studies show that skin loses up to 30% of its collagen over the first five years following menopause.&nbsp;</p>
<p>2.&nbsp; Elastin - acts like rubber bands and gives our skin elasticity and &ldquo;bounce back.&rdquo;&nbsp;</p>
<p>3.&nbsp; Hyaluronic Acid - keeps our skin plump and hydrated. Aged skin, which is less plump than youthful skin, is characterized by decreased levels of hyaluronic acid.</p>
<p>Our hormones are directly responsible for the production and maintenance of these three components of our skin.&nbsp;</p>
<p><strong>Estrogen and Aging</strong></p>
<p>Let&rsquo;s cover the effect of hormones on collagen, elastin, and HA starting with estrogen.&nbsp; Estrogen is necessary for the production of collagen, elastin, and HA.&nbsp;&nbsp; The skin on our face has a high concentration of estrogen receptors, which means these receptors are meant to receive normal amounts of estrogen. Declining estrogen or a deficiency of estrogen causes less collagen and elastin production which means more wrinkles, fine lines, less eslasticity and firmness. Additionally, declining hyaluronic acid due to lower estrogen levels mean less moisture in our skin.&nbsp; Aged skin can appear paler because the lack of estrogen reduces the number of blood vessels in the skin affecting vascularity.&nbsp; Low estrogen also causes increased skin pigmentation.</p>
<p>What I am about to share next is not good news!&nbsp; A study found that the skin of women with low estrogen levels looked significantly older than their age, and those with more optimal levels looked much younger than their age.&nbsp; Those with the lowest level of estrogen looked 8 years older than their age and those with the most optimal levels looked 8 years younger than their age.<sup>1</sup></p>
<p>I do have some good news!&nbsp;&nbsp; Several studies have shown that estrogen replacement therapy has had beneficial effects on collagen content and skin thickness.&nbsp; Even HRT has been shown to prevent dry skin and wrinkling, but I certainly don&rsquo;t recommend synthetic or animal derived hormones for any reason. Postmenopausal women using estrogen were 1/3 less likely to develop skin wrinkles, according to one study. &nbsp;Bioidentical&nbsp;(natural) estrogen replacement has been shown to improve collagen levels and moisture content of the skin and reduce wrinkles.</p>
<p>Here is more good news: application of bioidentical estrogen face creams has been shown in a couple of studies to cause a marked improvement in fine wrinkles. Estrogen face cream caused increase in collagen, elastin and HA.<sup>2 ,3,</sup> Researchers in one study used estradiol and estriol face creams on women. After treatment for 6 months, elasticity and firmness of the skin had markedly improved and the wrinkle depth and pore sizes had decreased by 61 to 100% in both groups. Furthermore, skin moisture had increased and the measurement of wrinkles revealed significant, or even highly significant, decreases of wrinkle depth in the estradiol and the estriol groups, respectively. On a side note, both HRT and bioidentical topical estrogen replacement substantially accelerates skin healing in elderly humans.</p>
<p><strong>Progesterone and Wrinkles</strong></p>
<p>Estrogen is not the only hormone that affects collagen and elastin.&nbsp;Progesterone also helps prevent collagen breakdown and stimulates collagen and elastin production.&nbsp;Progesterone applied on the face has been studied too.&nbsp;Researchers found that applying progesterone cream on the face in peri- and postmenopausal women for 16-weeks demonstrated a 29% reduction in wrinkle counts and almost 10% reduction in wrinkle depth around the eyes (that would be crow&rsquo;s feet), almost 10% decrease in nasolabial wrinkle depth (the smile line) and 23% increase in skin firmness.<sup>5</sup></p>
<p><strong>Phytoestrogens and Wrinkles</strong></p>
<p>Phytoestrogens are plant-derived molecules that are similar to endogenous (produced by the body) hormones.&nbsp; Soy is one common phytoestrogen.&nbsp; Studies have demonstrated that genistein found in soy, may prevent sun related aging in human skin. Other studies have reported that genistein and daidzein stimulate hyaluronic acid production. One study conducted on a cosmetic cream preparation including isoflavone showed improvement in the skin dryness and wrinkles after 12 weeks of treatment.<sup>6</sup></p>
<p><strong>How do you get these hormone creams for your face?&nbsp;</strong></p>
<p>Talk to your BHRT physician or pharmacist if you are using BHRT creams.&nbsp; You may be able to use your prescription on your face or your physician can prescribe one for you.&nbsp; You may even be able to use some over-the-counter progesterone creams on your face.&nbsp; Be aware that if you are using hormones on your face this will interfere with saliva hormone testing.&nbsp; When your doctor orders this type of hormone testing you should not use hormones on your face for two weeks prior to taking the test or check with the lab or your doctor.</p>
<p><strong>Androgens and Wrinkles</strong></p>
<p>Testosterone levels can decline with age or abruptly with removal of the ovaries. Since testosterone is a hormone that is anabolic (tissue building), it affects the structural integrity of the skin.&nbsp; If testosterone is low, the deepest layers of our skin will start to thin and sag. Thinning skin can be very noticeable on the back of the hands too.&nbsp; We have all seen the hands of elderly people that appear papery thin and don&rsquo;t heal very fast from cuts.&nbsp;</p>
<p><strong>Other Hormones and the Skin</strong></p>
<p>Other hormones that also affect our skin are thyroid and the adrenal hormone cortisol.&nbsp; When your thyroid function is low, skin becomes dry and scaly.&nbsp; Since Cortisol is catabolic, which means to break down, elevated cortisol may also trigger more rapid wrinkling.<strong>&nbsp;</strong></p>
<p><strong>Prevention</strong></p>
<p>We think about applying sunscreen to protect our skin.&nbsp; We use our day creams and night creams that claim to make us look younger.&nbsp; Some of us have utilized injectables and other medical procedures as a means of addressing wrinkles.&nbsp; There isn&rsquo;t anything wrong with any of these.&nbsp; A woman&rsquo;s got to do what a woman&rsquo;s got to do!&nbsp; However, maybe we would spend less money on facial repair if we also focused on preventing and slowing the wrinkling process by making sure we have optimal levels of hormones. We eat right, exercise, and take supplements to prevent things like heart disease.&nbsp;It is much easier to hold on to what you already have, than try to try to get that youthful appearance back.&nbsp; So, let&rsquo;s do our skin a favor and make sure it has the hormones it needs too<strong>.</strong></p>
<p>&nbsp;</p>
<p>1 Lancet. 1999 Jul 17;354(9174):224. Wildt L, Sir-Petermann T.</p>
<p>Oestrogen and age estimations of perimenopausal women.</p>
<p>2 <a href="http://www.ncbi.nlm.nih.gov/pubmed/8876303"><span style="color: windowtext;">Int J Dermatol.</span></a> 1996 Sep;35(9):669-74. <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Schmidt%20JB%22%5BAuthor%5D"><span style="color: windowtext;">Schmidt JB</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Binder%20M%22%5BAuthor%5D"><span style="color: windowtext;">Binder M</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Demschik%20G%22%5BAuthor%5D"><span style="color: windowtext;">Demschik G</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Bieglmayer%20C%22%5BAuthor%5D"><span style="color: windowtext;">Bieglmayer C</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Reiner%20A%22%5BAuthor%5D"><span style="color: windowtext;">Reiner A</span></a>. Treatment of skin aging with topical estrogens.</p>
<p>3 <a href="http://www.ncbi.nlm.nih.gov/pubmed/15507111"><span style="color: windowtext;">Exp Dermatol.</span></a> 2004;13 Suppl 4:36-40. <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Sator%20PG%22%5BAuthor%5D"><span style="color: windowtext;">Sator PG</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Schmidt%20JB%22%5BAuthor%5D"><span style="color: windowtext;">Schmidt JB</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Rabe%20T%22%5BAuthor%5D"><span style="color: windowtext;">Rabe T</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Zouboulis%20CC%22%5BAuthor%5D"><span style="color: windowtext;">Zouboulis CC</span></a>. Skin aging and sex hormones in women -- clinical perspectives for intervention by hormone replacement therapy.</p>
<p>4 <a href="http://www.ncbi.nlm.nih.gov/pubmed/21369728"><span style="color: windowtext;">Biogerontology.</span></a> 2011 Mar 3. <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Emmerson%20E%22%5BAuthor%5D"><span style="color: windowtext;">Emmerson E</span></a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=%22Hardman%20MJ%22%5BAuthor%5D"><span style="color: windowtext;">Hardman MJ</span></a>. <span style="color: windowtext;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/21369728">The role of estrogen deficiency in skin ageing and wound healing</a></span></p>
<p>5 Br J Dermatol. 2005 Nov;153(5):1092. Schmidt, JB. Effects and side-effects of 2% progesterone cream on the skin of peri- and postmenopausal women: results from a double-blind, vehicle-controlled, randomized study.</p>
<p>6 Climacteric; Aug 2007; 10, 4; Health Module pg. 289 S Verdier, S&eacute;vrain. Effect of estrogens on skin aging and the potential role of selective estrogen receptor modulators.</p>
<p>&nbsp;</p><p></p>]]></content></entry><entry><title>The Hormone Connection to Weight Gain</title><id>http://www.donnawhitehormonemakeover.com/blog/2011/9/21/the-hormone-connection-to-weight-gain.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2011/9/21/the-hormone-connection-to-weight-gain.html"/><author><name>[Your Name Here]</name></author><published>2011-09-21T21:32:54Z</published><updated>2011-09-21T21:32:54Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><strong>Hormones and Weight Gain</strong></p>
<p>&nbsp;Most every woman I know is concerned about loosing weight or at least maintaining her waistline. Some women have faced weight issues since childhood while others find themselves struggling with weight as they move into the their late 30&rsquo;s and 40&rsquo;s.</p>
<p><strong>&nbsp;</strong><strong>What do hormones have to do with metabolism?&nbsp; What do hormones have to do with fat storage and weight gain?&nbsp;</strong></p>
<p>&nbsp;Everything! We all know that exercise and what we eat affects our weight and the rate at which we burn calories.&nbsp; But what is the problem when you <em>are</em> eating right <em>and</em> exercising but not getting the results you deserve? &nbsp;<span>If this is you, then it's time to consider that the hinderance could be due to a problem at a deeper level within your biochemistry: &nbsp;your hormones</span>.&nbsp;Having worked in medical practices specializing in bioidentical hormones for the past decade, I have sat across the desk and heard countless heart wrenching stories of women&rsquo;s frustrations with their metabolism.&nbsp; Many have fought using diet and exercise with out significant success for so long that they have just given up.&nbsp; Too many women struggle needlessly because they just do not know that certain hormone imbalances are working against their efforts. The good news is that the underlying hormone imbalances that trigger weight gain <em>can </em>be corrected.</p>
<p>&nbsp;<strong>Which hormone imbalances cause weight gain?</strong></p>
<p>&nbsp;The answer to that is easy; any hormone that is out-of-balance can cause us to gain weight. Since it is obviously more complicated than that, I want to break it down by each hormone.&nbsp; As I proceed, it is important to remember that insulin is considered the fat storage hormone. Insulin is produced by the pancreas in response to a rise in blood glucose (also called blood sugar). Its function is to take nutrients from the blood stream and store them in body cells.&nbsp; Problems arise if we consume too much sugar or starches.&nbsp; If so, we must make more insulin to drive the glucose into the tissue.&nbsp; Also, our cells can become resistant to insulin therefore excess insulin may be circulating and guess what? We readily store fat.</p>
<p>&nbsp;<strong>How can we manage insulin?</strong></p>
<p>&nbsp;The solutions to excess insulin and/or insulin resistance are; 1) eat low glycemic foods which means no sugar or starches, 2) try supplements that support insulin utilization (under the care of your physician) such as:&nbsp; chromium, cinnamon, coffee berry, acetyl-carnitine, alpha lipoic acid, fish oil, etc., and 3) balance other hormones that are associated with insulin resistance.</p>
<p>&nbsp;<strong>What other hormones cause weight gain?</strong></p>
<p>&nbsp;Imbalances in any of the hormones including estrogen, progesterone, testosterone, DHEA, cortisol, and thyroid can lead to weight gain.&nbsp; Imbalances in these hormones can also trigger insulin resistance, which in turn, sets us up for fat storage.&nbsp; We must balance the other hormones to combat the insulin fat storing effect.</p>
<p>&nbsp;<strong>How does progesterone affect metabolism?</strong></p>
<p>&nbsp;Progesterone is the first of the reproductive hormones that starts to change, typically declining to low levels by the mid-thirties.&nbsp; It plays a role in metabolism in several ways.&nbsp;</p>
<ul>
<li>Progesterone, at normal levels, helps us burn      calories instead of storing them as fat due to its thermogenic properties.</li>
<li>Progesterone helps facilitate thyroid hormone      utilization &ndash; that simply means progesterone helps carry your thyroid      hormone into its receptors where it carries out its actions.&nbsp; Thyroid hormones affect the rate      at which we burn calories.</li>
<li>Progesterone balanced properly with estrogen      also helps our thyroid function by helping convert thyroid hormone T4 into      its more usable form, T3. A lack of adequate progesterone to balance your      estrogen, called Estrogen Dominance, blocks the actions of thyroid      hormones at the cellular level causing symptoms of low thyroid including      weight gain. </li>
<li>Proper levels of progesterone regulate insulin,      if we are Estrogen Dominant, we tend to have more frequent and a more      rapid release of insulin putting us in fat storage mode.</li>
<li>Water weight gain prior menstrual cycles can be      due to low progesterone since it is a natural diuretic.</li>
</ul>
<p>&nbsp;The solution &ndash;make sure you have a normal level of progesterone through saliva hormone testing and taking progesterone if indicated.</p>
<p><strong>&nbsp;</strong><strong>How Does Estrogen Affect Weight?</strong></p>
<p>&nbsp;Estrogen also affects our metabolism.&nbsp; Some women think that estrogen causes weight gain and that just is not the case.&nbsp; However, I can see why women may get that confused.&nbsp; One of the side effects of HRT is weight gain. Actually an estrogen deficiency leads to weight gain. You see, estrogen increases the sensitivity of muscle and fat to insulin thereby helping lower insulin and reduce the fat storing affect of insulin. There is something estrogen does too; it helps stimulate lipoprotein lipase, which is an enzyme that breaks down fat. By the way, estrogen deficiency also triggers carbohydrate cravings. On the other hand, excess estrogen is associated with insulin problems.&nbsp;</p>
<p>&nbsp;The solutions &ndash; make sure your estrogen level is normal but also remember that estrogen fluctuates during the menstrual cycle.&nbsp; Some times you have to just modulate estrogen levels and not necessarily increase estrogen.&nbsp; You will need to take this up with your BHRT physician.</p>
<p>&nbsp;There is one more thing I need to say about low estrogen and weight gain.&nbsp; Research has now shown that women with low estrogen have higher levels of the stress hormone cortisol, which leads us to a very important part of this discussion.&nbsp;</p>
<p>&nbsp;<strong>What is the cortisol connection to weight gain?</strong></p>
<p><strong>&nbsp;</strong>Yes, cortisol can be elevated from low estrogen, but that certainly isn&rsquo;t the only cause and you don&rsquo;t have to have low estrogen to have high cortisol. Stress causes elevated cortisol which leads to weight gain, in particular abdominal weight gain.</p>
<p>&nbsp;In fact, deep abdominal fat contains up to 4 times the number of cortisol receptors than other areas of the body. That means the abdomen is more likely to respond to elevated cortisol.&nbsp; Unfortunately, the abdominal tissue responds by storing fat.&nbsp; What makes this even worse is that women with excess abdominal weight secrete more cortisol when stressed. Elevated cortisol also triggers food cravings. You have probably noticed that when you are stressed you want something munch on.</p>
<p>&nbsp;Chronically high cortisol is caused by stress.&nbsp; We know of course that stress is related to psychological and circumstantial situations, but other stressors affect our cortisol too including: blood sugar fluctuations, nutritional deficiencies, chronic bacteria or virus, chronic pain, chronic lack of sleep, food sensitivities, etc. You get it, any thing that stresses your body can lead to high cortisol.&nbsp;</p>
<p>&nbsp;<strong>What are the effects of cortisol on other hormones and weight gain?</strong></p>
<p><strong>&nbsp;</strong>Aside from directly triggering abdominal weight gain, chronically elevated cortisol causes some real problems that in turn indirectly affect our weight.&nbsp; High cortisol blocks every other hormone from getting into their receptors and carrying out their function.</p>
<p>&nbsp;High cortisol:</p>
<ul>
<li>blocks thyroid hormone from getting into its      receptors,</li>
<li>blocks estrogen from its receptors,</li>
<li>depletes our progesterone, </li>
<li>causes insulin resistance which leads to fat      storage,</li>
<li>causes food cravings. </li>
</ul>
<p>&nbsp;<strong>What is the solution to high cortisol?</strong></p>
<p>&nbsp;First of all, you should have your cortisol tested through saliva testing to make sure that it actually is elevated.&nbsp; Your BHRT physician can help you with this.&nbsp; If indicated there are supplements that help lower cortisol such as:&nbsp; Phosphorylated&nbsp; Serine, theanine, rhodiola, etc. Stress reduction lifestyle changes may help as well.</p>
<p>&nbsp;<strong>What about the androgens: DHEA and testosterone?</strong></p>
<p>&nbsp;The androgens: Testosterone and DHEA also affect our weight too.&nbsp; Both of them help our body utilize insulin properly so we don&rsquo;t store fat.&nbsp; Therefore, deficiencies can cause weight gain and make it hard for you to loose. On the other hand, testosterone and DHEA can become elevated due to insulin resistance. Once again, hormone testing and balancing can address these imbalances.&nbsp;</p>
<p>&nbsp;<strong>What about low thyroid and weight gain?</strong></p>
<p><strong>&nbsp;</strong>Even a slight suboptimal thyroid deficiency can affect your metabolism since thyroid function affects the rate at which we burn calories. Doctors have different opinions about thyroid testing.&nbsp; If you have any of the common symptoms low thyroid function such as weight gain, low body temperature, fatigue, hair loss, low mood, dry skin, etc., you can learn more about low thyroid and thyroid testing by listening to the, &ldquo;Hormone Makeover Chat,&rdquo; podcast from August 23,<sup>, </sup>2011.&nbsp; It is free to listen to on my website <a href="http://www.donnawhitehormonemakeover.com"><span style="color: windowtext;">www.donnawhitehormonemakeover.com</span></a> (click on the &ldquo;Resources&rdquo; tab, then &ldquo;Chat&rdquo; from the drop down menu) or you can down load it free from itunes.</p>
<p>&nbsp;<strong>Do not let your hormones hold you back!</strong></p>
<p><strong>&nbsp;</strong>If you have been struggling with maintaining your weight, or if you are struggling to shed a few or a lot of pounds please consider that hormone imbalance may be holding you back, especially if you are doing everything else right.&nbsp; If this is your struggle, get yourself a hormone makeover. You deserve the rewards of balanced hormones.</p>
<p>&nbsp;<strong>More resources for you.</strong></p>
<p><strong>&nbsp;</strong>I invite you to visit my website to review the symptoms of each different hormone imbalance.&nbsp; Click on the Symptoms tab.&nbsp; You can review past podcasts and down load the first two chapters of my book, &ldquo;The Hormone Makeover &ndash; 7 Steps to Transform Your Life with Bioidentical Hormones&rdquo;, for free. While you are there, if have not signed up for my newsletter please do so to keep up with all events and articles.</p>
<p>&nbsp;</p>]]></content></entry><entry><title>Introducing the Hormone Makeover Free Weekly Chat</title><id>http://www.donnawhitehormonemakeover.com/blog/2011/6/17/introducing-the-hormone-makeover-free-weekly-chat.html</id><link rel="alternate" type="text/html" href="http://www.donnawhitehormonemakeover.com/blog/2011/6/17/introducing-the-hormone-makeover-free-weekly-chat.html"/><author><name>[Your Name Here]</name></author><published>2011-06-17T18:43:00Z</published><updated>2011-06-17T18:43:00Z</updated><content type="html" xml:lang="en-US"><![CDATA[<p><span style="font-size: small;">Do you want to learn  more about hormones? Are you interested in learning how to overcome  hormone imbalances so you can have more energy, better sleep, improved  mood and libido, increased brain function, loose weight, get&nbsp;rid of PMS  or menopausal symptoms?</span></p>
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<div style="font-family: Georgia,&amp;amp;amp; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">Now you can learn about these challenges that women face at no charge!<span>&nbsp; </span><span style="color: #a9146b;"><strong>Join Donna White each week for The Hormone Makeover Chat, a FREE weekly teleconference</strong></span> designed <span>&nbsp;</span>for  women of all ages wanting more information about hormones and issues  related to hormone imbalance including PMS, perimenopause, and  menopause.<span>&nbsp; </span>The Hormone Makeover Chat is held every Tuesday at 12 noon Eastern Standard Time.<span>&nbsp; </span>Calls last 30 minutes including time allowed for listener questions at the end of each call.<span>&nbsp;</span></span></div>
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<h2 style="color: #ee2869; font-family: Georgia,&amp;amp;amp;"><span style="font-size: small;"><span style="font-size: large;"><strong><span style="color: #ff67a8;">How to Join in on the Fun!</span></strong></span></span></h2>
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<div style="font-family: Georgia,&amp;amp;amp; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">Listening in on the calls is easy.<span>&nbsp; </span>No registration required and no fees.<span>&nbsp; </span>Simply call the c<span>onference dial-in number:&nbsp;(712) 432-0900</span> just before 12 noon Eastern Standard Time.<span><span>&nbsp; </span>Use the Participant Access code:&nbsp;920928.<span>&nbsp; </span>(<em>Please note: your regular phone long distance charges or cell phone minutes apply.)</em></span></span></div>
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<div style="font-family: Georgia,&amp;amp;amp; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em>Conference Phone Number: <span style="color: #ff67a8; line-height: 115%;"><strong>(712) 432-0900</strong></span></em></span></div>
<div style="font-family: Georgia,&amp;amp;amp; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em>Participant Access Code: <span style="color: #ff67a8; line-height: 115%;"><strong>920928</strong></span></em></span></div>
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<div style="font-family: Georgia,&amp;amp;amp; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">You  are welcome to submit your questions prior to the call on The Hormone  Makeover Fan Page. You may also ask questions on the call as time  permits.<span>&nbsp; </span>If you cannot join at noon, simply listen at your leisure.<span>&nbsp; </span>All calls will be recorded and available for replay at <a href="http://r20.rs6.net/tn.jsp?llr=dj6e85cab&amp;et=1105713377951&amp;s=0&amp;e=0011njBKgIZD12xiFWxiFlFR5dS9I1VigbeXjPtEEsZj3EQbUV_aIYlKL9dkGhtRvvkESWmH0pErI4tfeELqWrtleSxOKpHpq5IQnzQ-SmK7BYlDgKTmqoloLRe94TBpcouy1tjs2w8gt4=" target="_blank">www.donnawhitehormonemakeover.com</a> and posted on The Hormone Makeover Fan page.</span></div>
<div style="font-family: Georgia,&amp;amp;amp; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em>(Please note that the host, Donna White, BHRT Clinical Educator, cannot give medical advice.)</em></span></div>
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<div style="font-family: Georgia,&amp;amp;amp; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">There is no need to sign  up ahead of time. Just call in just before 12 noon, EST.&nbsp; If you would  like an email reminder the morning of the call, simply reply to this  email.</span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: large;"><strong>Topics of discussion will include the hormone connection to:</strong></span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Weight gain and metabolism</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Fatigue</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Insomnia and sleep disturbances</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Low sex drive</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Bone loss</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Hair loss</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>PMS</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Heavy or irregular periods</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Hot flashes and night sweats</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Anxiety and depression</em></span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Many more frustrating symptoms</em></span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>The causes of hormone problems and when they&nbsp;&nbsp;&nbsp; typically occur during the course of a woman's life</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>The difference between synthetic hormones, over-the-counter herbal products and bioidentical hormones</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>The role each hormone plays in the body</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>How to find and work with a physician</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>How physicians use bioidentical hormones to correct hormone imbalance</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>The research supporting bioidentical hormones</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Hormone testing</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Thyroid hormone problems</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Stress (adrenal) hormone imbalances</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>Nutrients that affect hormone balance and bone building</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="font-family: Symbol;">&middot;<span style="font-family: 'Times New Roman'; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>And much more including the solutions for hormone imbalances!</span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">We want your feed back. Tell us the topics you are interested in learning about and submit your questions.<span>&nbsp; </span>We will plan our weekly schedule based on listener input. <span>&nbsp;</span>Please share all topic suggestions and questions on the Facebook fan page.<span>&nbsp; </span></span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">June 21 - The Symptoms Associated with Hormone Imbalance and When They Typically Occur</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">June 28&nbsp;- Options to Addressing Hormone Imbalances (over-the-counter products, medications, natural/bioidentical hormones)</span></div>
<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;">July 5- Should You Test Your Hormones?</span></div>
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<div style="margin-bottom: 0px; margin-top: 0px;"><span style="font-size: large;"><strong>About the Host:&nbsp;</strong></span></div>
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<div style="color: #a9146b; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em>Donna White</em></span></div>
<div style="color: #a9146b; line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><em>BHRT Clinical Educator, Author and Speaker</em></span></div>
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<div style="line-height: normal; margin-bottom: 0px; margin-top: 0px;"><span style="font-size: small;"><span style="color: black;">Donna  has helped thousands of women with Bio-identical Hormone Replacement  Therapy&nbsp; over the past 18 years by working along side physicians  including Dr. Dino Kanelos, in Charlotte, NC, Dr. Larry Webster and Dr.  Julius Torelli in High Point NC and currently with Deborah Matthew, MD,  at Signature Wellness Center for Optimal Health in Charlotte, NC.&nbsp;&nbsp;Donna  has traveled across the U.S., training medical practitioners in how to  prescribe and implement BHRT in their medical practice. She has spoken  at numerous medical conferences on BHRT for physicians and compounding  pharmacists. Donna is nationally known women's conference speaker and  author of the book, "The Hormone Makeover-7 Steps to Transform Your Life  with Bio-Identical Hormones".</span></span></div>
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<div><span style="font-size: small;">I am also excited to annouce that in the very near futre I will be  hosting ELearning Workshops and&nbsp;an ELearning Series all about hormones!</span></div>
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<div><span style="font-size: small;">If you have not read my new book, "The Hormone Makeover - 7 Steps  to Transform Your Life with Bioidentical Hormones", I invite you to go  to my website and down load the first 2 chapters for free. </span></div>
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<div><span style="font-size: small;">Sincerely,</span></div>
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<div style="color: #ee2869; font-family: Times New Roman,Times,serif; font-weight: bold;"><span style="font-size: small;"><strong>Donna White</strong></span></div>
<div><span style="font-size: small;">Donna White Hormone Makeover</span></div>
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