“No, I lost the order for the lab test,” Two months later could get pregnant then?" asked Ursula.
Ursula said shaking her head. Ursula had now had two full cycles "You will have a much better chance
"Get it drawn on the 21st day after using supplemental sustained release then, than you do now," I reassured her.
the first day of this last period and if your bioidentical progesterone. She contin- "See you in six months."
progesterone level is low, I’ll put you ued to stick with her diet, exercise, and
on progesterone because part of PCOS metformin and she had lost an addition- Six months later
is that you frequently don't produce al 18 pounds. Ursula continued losing weight. In
enough progesterone. In order for you "How do you feel?" I asked. just over one year she had lost about
to get pregnant you will need to either "I can't believe the changes in my 70 pounds or nearly one-third of her
take additional progesterone or eventu- body. Between the metformin and the body weight. She was now down to 150
ally make your own progesterone," I ex- progesterone, I have a different body. I pounds and she no longer had any clini-
plained. still have more weight to lose, but I'm cal findings suggestive of PCOS. All of
"I got it," said Ursula. able to do it now. Now I am just big. I her laboratory work was now well with-
don't have that huge spare tire around in normal limits.
One week later my trunk the way I used to," Ursula I reduced her metformin to once at
My medical assistant, Yavonda, smiled. night, added 2 servings of fruit or starch
called Ursula and said, “Your progester- Physical exam revealed that the a day, and cut back on some of her sup-
one level is only 4.2, and the optimal acanthosis nigrans was slowly fading plements. I encouraged her to stick with
range is 15-20.” and her acne had completely cleared. her exercise routine. I also had her stay
"No wonder I am so off balance," She still had some facial hair, but it did on fish oil, B complex, Vitamin D, and
said Ursula. not seem as dense as it had been before. progesterone since she was going to try
"I'm going to call in Progesterone An NMR LipoProfile drawn before her to get pregnant.
200 mg sustained release. You can pick visit showed that total cholesterol was
it up at our compounding pharmacy down to 225, LDL down to 125, HDL Six months later
this afternoon. Dr. Vaughan would like up to 50, triglycerides 150, and she now Ursula called the office. “I’m finally
you to go on it tonight. You will only had pattern A, large fluffy LDL, and her pregnant! Thanks so much!”
be able to take it for six nights before particle number was down to 900. Fast- “Take care of yourself and your
your next period, but you may still no- ing blood sugar 92, fasting insulin 12. baby, Ursula. I’m happy for you. Let
tice some benefit. Next month start it "All of your numbers are moving me know if there is anything we can do
on the fifteenth day after the first day of in the right direction. You're at a much for you,” I smiled. “Miracles do happen
your period and take it for 14 days in a lower risk of developing diabetes, when you know what to do and you fol-
row and then stop it. You should have a stroke, and heart disease now. Don't low through.”
pretty normal period and you shouldn't stop anything. I want you to stick with
have any symptoms of PMS," explained this program for another six months and Submitted by Elizabeth R. Vaughan, MD
Yavonda. then we can reassess where you are and of Vaughan Integrative Medicine, 1301-A
"I'm on my way over there," said Ur- hopefully begin to cut back on some of West Wendover Avenue in Greensboro.
sula. the supplements," I instructed. For an appointment, call 336-808-3627.
"Do you think there is a chance I Visit
www.VaughanIntegrative.com
12
NaturalTriad.com
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