improve healthy estrogen expression. Soy isoflavones promote non-proliferative estrogens, protecting against cancer and the narrowing of arteries (atherosclerosis, stroke and heart attacks). Black Cohosh contains triterpene glycosides, which modulate estrogen expression without stimulating uterine tissues the way estradiol does. It is very important for people to consult a health practi-
tioner trained and skilled in Functional Endocrinology. They will get the proper saliva testing, get initial hormonal levels, and they will receive therapies that will make a difference. Without proper lab work, it is impossible to make a correct assessment. Women who cannot get
pregnant may have lost the feed- back between the pituitary gland FSH and the ovaries, so the follicles don’t mature and can’t produce the rise in estrogen needed to produce LH surge and ovulation, around day 14 of a 28-day cycle. Women who have problems with miscarriage may have abnormal FSH or LH levels and fluctuating hormonal levels, which can cause inability to maintain the uterine lining (endometrium). Saliva testing over the entire menstrual cycle will show any hormonal imbal- ances—giving the clues to a problem. Many women spend thousands of dollars at fertility clinics without a real understand- ing of what is happening in their menstrual cycle—which could give them answers. Many menopausal women have severe hot flashes and
The role of
the practitioner of functional endocrinology is to identify
dysfunctions in the endocrine systems before or when these cause disease. Then, treat with
therapies that support and restore the healthy functioning of the endocrine glands, using nutraceutical- botanicals, diet, and lifestyle changes.
night sweats. It is essential for the practitioner to know the in- terrelationships between the endocrine glands. For example, if the woman has been under a lot of stress, her body is making cortisol (from hormone pregnenolone in the adrenal glands) instead of sex hormones, so she cannot transition between es- tradiol (premenopause) and estrone (primary post-menopausal estrogen). Therefore her low estrone (and hot flashes, etc.) is due to adrenal stress. The solution is to support the adrenal glands, and lower stress related cortisol, so the body can begin produc- ing estrone as it should. Again the practitioner of functional endocrinology will get saliva testing labs to assess adrenal func- tion (cortisol/DHEA ratio). Giving estrogen replacement in this situation would not only be improper, but Premarin (synthetic estrogen) can expose women to high risks of breast, ovarian and uterine cancers, as studies have shown. Another common mistake is the unnecessary use of thyroid
hormones. Most low thyroid problems are caused elsewhere, not by dysfunction of the thyroid gland itself. Examples: 1) Cortisol elevations may cause suppressed TSH (Thyroid
Stimulating Hormone), low T3 (active Thyroid Hormone) or thyroid receptor desensitization. 2) Estradiol elevations may increase TBG (Thyroid Binding
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