Browsing Tag

hormone replacement therapy

Age Management, Featured

The Science Behind Dreambody’s Anti-Aging Treatments

November 18, 2014

DreamBody is unique in a variety of ways, but the primary way they provide one-of-a-kind services to their customers is through their anti-aging services. As Dr. Budnick explains in this video, there are only four followed anti-aging doctors in Arizona, making this specific type of service somewhat rare in the state.

The different types of anti-aging services DreamBody provides spans a wide spectrum. Not only does DreamBody reverse the effects of aging that have already begun to settle in, but we also take preventative measures to keep the aging process from occurring.

As Dr. Budnick explains in this video, some of the services DreamBody can provide their customers with for anti-aging include:

• Checking and balancing hormones
• Checking and balancing cholesterol and glucose levels
• Consultations on avoiding life-threatening diseases

Even though all of these services are necessary and important to maintain good health overall, the most popular and effective form as an anti-aging treatment that DreamBody provides is hormone therapy. With how simple the hormone therapy process is and the amazing results it provides you with, it’s hard to argue the effectiveness of this successful anti-aging treatment!

The Science Behind Hormone Therapy

As Dr. Budnick explains in this video, hormone therapy is a term that tends to confuse a lot of people. With the occasional buzz it gets in the news and the misinformation that many people spread around, it can be easy to get lost in a sea of fact or fiction.

Many of the questions patients ask Dr. Budnick about hormone therapy include:

• What is hormone therapy?
• How does it work?
• What types of hormones will I receive?
• What are the results?
• How do I know if I need hormone therapy?
• Is the procedure safe?

If you are considering the possibility of receiving hormone therapy, this video will answer any questions or concerns you may have. Dr. Budnick will walk you through all the details of this popular anti-aging treatment and reveal some amazing benefits that you may not know you could get from simple estrogen or testosterone injections.

Hormone Therapy in Men

When it comes to hormone therapy, there is a difference in how it is approached between men and women. Dr. Budnick states to in this video, that as men age, they get what people like to call “the grumpy old man syndrome.”

As men get older, their hormone levels will undoubtedly be affected in some form or another. For men who are suffering from the lack of testosterone, there will be obvious changes in mood as he will become more irritable and suffer from symptoms that are much like that of premenstrual syndrome (PMS).

Fortunately for men (and those who spend time with them) there is a simple fix to this long term grumpiness. Testosterone injections can take men who suffer from hormone deficiencies and turn them into a much more lively and upbeat individual. By simply getting small doses of testosterone injected every seven days, this “grumpy old man” will be feeling 20 years younger in no time.

Hormone Therapy in Women

When women think of hormone therapy, they tend to only think in terms of estrogen. However, you may be surprised to find out that middle aged women will gain more benefits from testosterone treatments than they will from estrogen. Obviously, the amount of testosterone women receive in hormone therapy treatments are only a fraction of what men receive. However, this small dose can make a huge difference in their energy levels.

Hearing the words “testosterone treatments” brings up a lot of unnecessary concern in women. They usually think about the misconception of testosterone, which involves excessive hair growth or increased levels of acne or blemishes. However, as Dr. Budnick explains, hair growth is extremely rare in women who receive testosterone treatments and it usually only happens when you are receiving too much testosterone.

Additionally, he has not seen many issues with skin problems either. Only if you were extremely prone to acne when you were a teenager would your face risk the possibility of blemishes during hormone therapy.

The benefits that you get from hormone therapy vastly outweigh the small chances of having a pimple or two. As the video explains, women who receive the proper amount of testosterone treatments have more toned muscles, a quicker ability to burn fat, and an increase in her libido which will simultaneously increase her sex drive.

Best Candidates for Hormone Therapy

Like any other type of medical treatment you may be seeking, hormone therapy requires you to do some research on your own before committing to it. However, if you have been thinking about this option for quite some time, here are some major indicators that make you a good candidate for hormone therapy.

Men

• Feeling depressed
• Low libido
• Losing muscle mass
• Losing zest for life

Women

• Hot flashes
• Inability to lose weight
• Excessive skin wrinkling

A Safe Procedure

Like any medical treatment or drug prescription, it is good to be fully informed prior to taking action. After you have decided that you are a good candidate for hormone therapy, it is time to do some more research to ensure that you are comfortable with the procedure.

Many people are skeptical about the potential side effects of hormone therapy. Patients are afraid that they will be injected with too little or too much, and that their hormones will consequently be even more imbalanced than they were before.

The best solution to this problem is finding a doctor that is knowledgeable in hormone therapy and is someone who you trust. As stated earlier in this article, Dr. Budnick is only one of four followed anti-aging doctors in the state, making him extremely knowledgeable and qualified in this area of medicine.

Taking the Next Step

If you have been suffering from hormone deficiencies for an extended period of time, now is your chance to get the proper treatment and start feeling like your younger self. There is absolutely no shame in receiving hormone treatments when it’s needed, as all people suffer from this problem on some level.

This treatment is quick, easy, effective and safe: so what are you waiting for? Make an appointment for your hormone therapy consultation today!

IV Vitamin & Mineral Therapy, Pain Management

Prevent Osteoporosis with Bioidentical Hormone Replacement

September 1, 2013

DreamBody Bones

Osteoporosis occurs to menopausal women, bioidentical hormone replacement prevents this disease that leads to fractures. The greatest medical contribution estrogen provides is prevention of hip and wrist fractures that occur with seemingly minor falls. Spontaneous collapse of back bones, known as compression fractures of vertebrae, can occur in post menopausal women just from sitting down too hard.

Doctors that recommend DEXA scans before blood and urine testing are acting as pharmaceutical salesmen instead of thinking physicians. Checking your levels of estrogen, testosterone and vitamin D to prescribe a bioidentical hormone replacement therapy, will prevent osteoporosis better than all the biphosphonate drugs on the market. DEXA scans are excellent in grading bone density, but start a preventative plan first!

The biphosphonate drugs; Boniva, Actonel and Fosamax are potentially dangerous to patients, but very profitable for drug companies. Serious side effects like mandible necrosis (jaw bones dying), causing facial disfigurement. Unusual hip fractures only seen in patients with bone cancer, severe osteoporosis or taking the biphosphonate drugs. How can a drug that is supposed to help bones have such serious skeletal side effects?

With a bioidentical hormone therapy the vitamins that should be taken include vitamin D, C and K. Vitamin K is essential to the formation of osteocalcin in the bone, so eat your spinach! Calcium, boron, magnesium, vanadium and manganese are essential, so check your multiple vitamins.

I apply a protective finish to my redwood deck every year; I don’t wait until the wood is porous and cracking. Prevent fractured bones by consulting a board certified anti-aging doctor today!

Sincerely,

Paul Budnick, M.D.

Age Management

Human Growth Hormone – An Education

June 11, 2013

Anti-Aging Human Growth Hormone

Growth Hormone is a hormone composed of a long chain of amino acids, 191 to be exact. Under normal physiologic conditions, growth hormone is secreted by the anterior pituitary gland. This is a gland that lies at the base of the brain in a bony cavity called the Sella Turcica. In addition to growth hormone, the anterior pituitary also secretes prolactin, thyroid stimulating hormone, luteinizing hormone, follicle stimulating hormone, and adrenal corticotrophin hormone. The secretion of growth hormone by the pituitary gland is initiated by the hypothalamus, another gland in the brain that lies right next to the pituitary. The hypothalamus initiates growth hormone secretion by secreting growth hormone releasing hormone (GHRH); when GHRH is turned on, the pituitary will release growth hormone in bursts of activity. These bursts of growth hormone release occur primarily during deep stages of sleep.

Once released in the blood, growth hormone is very short lived. It is generally completely metabolized and gone within a half-hour. During that time, however, it manages to reach the liver and many other cells in the body, and induce them to make another polypeptide hormone called Insulin-like Growth Factor One (IGF-1). It is really IGF-1 that travels around to the various tissues of the body to affect most of the benefits that we attribute to growth hormone. The secretion of growth hormone itself is regulated by a classic biofeedback loop. This means when levels of growth hormone in the blood reach a certain threshold, growth hormone stimulates receptors in the pituitary to stop further growth hormone secretion. It also stimulates receptors in the hypothalamus to stop GHRH and turn on somatostatin. IGF- 1, which goes up in response to growth hormone, also feeds back on the pituitary and hypothalamus to help control growth hormone secretion, This is nature’s system of checks and balances to assure we don’t have too much of any one hormone.

NOMENCLATURE

The nomenclature for growth hormone is a bit complicated, but understanding it from the beginning can save much confusion in the future. Somatropin refers to growth hormone of the same amino acid sequence as the naturally occurring growth hormone.

Manufactured growth hormone is made by recombinant DNA technology. This is a system of genetically modifying either bacteria cells or mammalian cells in tissue culture which contains the gene that directs the cell to make human growth hormone. As the cells in the tissue culture grow and function, they will synthesize human growth hormone. Since this is a natural process, human growth hormone is not considered a synthetic.

The proper abbreviation for manufactured (recombinant) human growth hormone is rhGH. Unfortunately, the abbreviations have been misused even in the medical community, and recombinant human growth hormone is commonly represented by the abbreviation HGH.

The designation is no longer critical since human growth hormone of pituitary origin is no longer used in the United States. The term hGH or GH therefore, refers to human growth hormone from recombinant DNA technology. It is pure and 100% free of any contaminants or microorganisms.

HISTORY

Prior to the advent of recombinant DNA technology, the only source of growth hormone was from human cadavers. More than 27,000 children worldwide were treated with growth hormone of this source (pit-hGH). Due to short supply, children were treated with low doses and interrupted regimens as a result their response and ultimate height was mitigated. Distribution of pit-hGH was stopped in the United States and most of Europe in 1985, with the emergence of Creutzfeldt Jakob disease. This is a rare and fatal spongiform encephalopathy, caused by a small pathogen called a Prion. This is the same pathogen that causes “Mad Cow Disease” recently seen in Europe from infected cattle. It is impossible to catch Creutzfeldt-Jakob disease or any other infection from recombinant human growth hormone because it is not derived from a human or animal source, but from a purified tissue culture.

The bio-potency of commercially available growth hormone is typically represented by either milligrams or units to put it simply; 1 milligram of growth hormone is equivalent to 3 units. The international units were developed by the World Health Organization in order to standardize growth hormone preparations because of the various production techniques used early on in the manufacturing process. By now, the manufacturing process has been streamlined and largely perfected so the bio-equivalency of the various brands of growth hormone (at least those manufactured and approved by the FDA for sale in the United States) is identical. Therefore, a typical 18-unit vial of growth hormone contains 6mg.

USES OF GROWTH HORMONE

Growth hormone was initially used for children of short stature who are growth hormone deficient either because of an inactive pituitary, a tumor of the pituitary, or destruction of the pituitary by surgery or by radiation to remove a tumor. The other pituitary hormones were replaced along with GH. Growth hormone was used only until the children reached an acceptable adult height and then it was stopped because it was thought to be useful only for growth.

It wasn’t until much later that adult growth hormone deficiency was recognized to be a problem. It was discovered that adults who were deficient in growth hormone suffered from premature cardiovascular disease, reduced bone density, central obesity, decreased muscle mass, depressed mood, elevated levels of LDL (bad) cholesterol, slower wound healing, fatigue, poor exercise tolerance and poor immune function. At that point the use of growth hormone began in this unfortunate population, resulting in improvement of all of the above. It wasn’t until 1990, however, that the benefits of growth hormone and the treatment of normal aging were recognized.

SOMATOPAUSE

Somatopause is an extrapolation of the term “menopause”. Menopause is the condition in women whereby the ovaries atrophy and cease to produce the sex hormones Estrogen, Progesterone and Testosterone. Somatopause signifies the gradual decline in growth hormone production by the adult pituitary gland in both men and women that begins at approximately age 30 and continues at a steady rate throughout life. The decline in growth hormone level that occurs with Somatopause is accompanied by deterioration in the structure and functional capacity of our body, which is ultimately devastating to the human condition. This can be interpreted as the aging process. In fact there is absolutely no difference between the clinical signs and symptoms of aging and those of adult growth hormone deficiency as described above.

TREATMENT REGIMENS

Growth hormone can be given either subcutaneous or by intra-muscular injection with equal therapeutic activity. Subcutaneous administration is now used almost exclusively because intra-muscular administration is fraught with an increase in side effects without any additional therapeutic benefit. The reason for this has to do with the biofeedback mechanism for growth hormone. Most of our natural pituitary growth hormone secretion occurs at night during deep stages of sleep. Injecting growth hormone at night raises the serum level of growth hormone precisely during the time the pituitary is scheduled to become active, this high serum level of growth hormone from the injection can suppress our natural pituitary function by negative feedback. We then not only lose the benefit of our own endogenous growth hormone, but also run the risk of suppressing the pituitary, thus making it easy”. For the most part, the pituitary has completed its function and is at rest by 5 a.m. Therefore injecting after awakening in the morning results on top of the peak of endogenous (our own) growth hormone, so as not to suppress the pituitary. By the time the pituitary is ready again for its nighttime activity, the growth hormone given in the morning injection has been completely metabolized. This eliminates the risk of pituitary suppression.

BENEFITS

The benefits of growth hormone use in Somatopause which have been clearly documented in the medical literature include the following: a decrease in body fat, an increase in muscle mass, thickening of the skin with decreased wrinkling, improvement in the cholesterol profile, an increase in bone density, enhanced feeling of well being, a decrease in The waist to hip ratio (meaning fat is removed primarily from around the waist where it is associated with a high risk of coronary disease), improvement in aerobic capacity, enhanced immune function and a decrease in the frequency of illness.

SIDE EFFECTS

Side effects of growth hormone are generally mild and are largely associated with salt and water retention. The minority of patients that experience this typically complain of mild weight gain from water retention associated with a vague feeling of puffiness. This is sometimes accompanied by joint discomfort particularly in the fingers, with a feeling of tightness when making a fist. Other joints may also become uncomfortable.

Carpal Tunnel Syndrome is a well-known side effect of growth hormone that was more common in the early days when growth hormone was given in higher dose with lower frequency. Carpal Tunnel Syndrome is also a function of fluid retention, which causes water to accumulate in the closed carpal tunnel compartment of the wrist compressing the median nerve. This results in numbness and tingling in the palm and fingers. Abstaining from growth hormone for about a week, and then resuming the treatment with a 20% dose reduction easily remedy these side effects.

Older patients are more subject to side effects and are generally started at a low dose of growth hormone than younger adults. Another potential side effect of growth hormone is the elevation of blood sugar. Growth hormone mobilizes body fat, causing our fat cells to break Themselves down and release free fatty’ acids into the blood stream. These free fatty acids are energy molecules, which can be taken up by organs and many of our organs to be used for energy. When our muscles are consuming free fatty acids as a fuel, they are far less interested in sugar, therefore they tend to resist the effects of insulin, and extract less sugar from the blood. At the same time, growth hormone can increase glucose output from the liver to the blood. This combination of effects can raise blood sugar and raise insulin levels, neither of which is good. Fortunately, this is only a problem in people who eat a diet high in sugar and starch, and do little exercise.

ACROMEGALY

Acromegaly and gigantism are diseases of growth hormone excess. These are typically seen by persons who have growth hormone secreting tumors. Gigantism refers to the condition of growth hormone excess in children, where their ultimate height is far above normal because the growth hormone excess occurs when the epiphyseal plates of the bones are still open and the bones are growing. Acromegaly refers to growth hormone excess in adulthood after the epiphyses are closed and the bones are no longer growing. In these people the cartilage continues to grow, and the disease is characterized by enlargement of the nose, chin, ears, supra-orbital ridge (eyebrow area), hands and feet.

Patients occasionally ask if Acromegaly can result from growth hormone supplementation in adulthood. The answer is absolutely not. Acromegaly results in growth hormone levels that are two to ten times that of a normal adult. Keep in mind that when we supplement growth hormone in a controlled and monitored medical program, we bring the level only up to the mid-normal range of an adult. In fact one would have to use ridiculously high doses by today’s standards to achieve the growth hormone levels seen in Acromegaly.

Patients with Acromegaly also afforded a research group at UCLA Department of Endocrinology an opportunity to answer questions about cancer risks from use of Growth Hormone. In the November 1999 journal, Hormone Research, published by the Division of Pediatric Endocrinology, UCLA, Los Angeles, Calif., USA, they stated” Increased GH levels as seen in Acromegaly has been associated with Benign Prostatic Hyperplasia(BPH) but not with prostate, breast or lung cancers..” In fact, there are very few articles that support the notion that growth hormone cause any kind of cancer. Reports from John Hopkins research of acromegaly patients followed in from 1870s to 1950s showed decreased incidence of cancer, and these were patients with growth hormone levels 2-10 times the high normal level throughout a lifetime.

MONITORING

Since growth hormone is metabolized so quickly, it is not easily measured in a blood test. The levels fluctuate widely, and measuring growth hormone is notoriously inaccurate. The best laboratory marker we have for growth hormone is the measurement of Insulin-like Growth Factor One (IGF-l). IGF-l levels are much more stable in The blood and not only reflect the average daily growth hormone level, but directly reflect growth hormone activity; because IGF-l is the hormone that carries out most of The benefits of growth hormone. So, despite claims about its shortcomings, it remains an excellent marker of growth hormone effect and certainly the best one available in the laboratory. There is one better marker of the benefit of growth hormone, however. It’s what we call the “clinical benefit. This is the feedback we get from patients who are taking growth hormone.

How they are feeling in terms of energy, well being, body composition, frequency of illness, their own physical appearance etc. is far more valuable a marker than any blood test can be. What we really use the IGF-1 level for is to be certain beyond a doubt that we’re not giving too much growth hormone. We titrated the dose of growth hormone to get an optimal clinical response (a happy patient) even if the IGF-1 hasn’t reached a particular goal range. This often allows us to limit the dose and minimize patient costs. After all, we’re treating the patient not the blood test.

SUMMARY

Originally taken only from human cadavers, and used only in children of short stature, growth hormone has had an interesting and controversial history. Fortunately, the understanding of its importance in adult physiology came at approximately the same time as recombinant DNA technology, which led to greater availability along with virtual safety. Soon after this, the comparison was made between growth hormone deficient adults and aging adults. Because of the tremendous similarities, growth hormone began to be used and soon gained great popularity in the treatment of normal aging. Growth hormone is clearly useful and therapeutic in this regard as long as it is used in a carefully monitored, professionally managed program. Any growth hormone program must include proper nutrition and exercise with emphasis on a low refined carbohydrate diet.

CONCLUSION:

I make the following recommendations for anyone considering a program of Comprehensive Hormone Replacement Therapy (CHRT); make sure that the Physician is a board certification from the American Academy of Anti Aging Medicine and are in good standings with their state board of medical examiners. This is the only means by which you can be assured that the physician is qualified and knowledgeable to diagnose and treat you.
Thank You,

Paul Budnick, M.D., F.A.A.E.M.

Medical Director

DreamBody Medical Centers

Recommended Reading; “Grow Young with HGH” by Ronald Klatz, “Naturally Raising Your HGH Levels” by Dickens Weatherby. Several others at Amazon Books.

HCG Diet, IV Vitamin & Mineral Therapy, Lipotropic B-12

Doctor, Why am I So Tired?

December 21, 2011

Fatigue is one of the most common health complaints seen in a doctor’s office.

Fatigue is also known as weariness, tiredness, exhaustion, or lethargy, and is generally defined as a feeling of lack of energy. Fatigue is not the same as Chronic Fatigue. According to specific diagnostic criteria from the Centers for Disease Control, Chronic Fatigue affects as much as 8 to 10 percent of the population. However, every day fatigue is a pervasive problem. In fact about 80% of our patients list fatigue as a primary concern when they come to our office.

What are Common Causes of Fatigue?

There are many possible physical and psychological causes of fatigue. Some of the more common causes we see at our office include food allergies, anemia (including iron deficiency), sleep disorders, underactive thyroid, improperly functioning adrenal glands (both excess and deficient), hormone imbalances, digestive problems, lack of exercise, excess weight, stress, and poor nutrition.

About the Most Common Causes of Fatigue Seen in Our Office;

 

Hypothyroidism

This may be the most commonly missed diagnosis today, with 40 percent of the population having undiagnosed hypothyroidism. Our office routinely treats undiagnosed hypothyroidism, which responds well to either specific supplements or thyroid medication.

Adrenal Glands

Another under-diagnosed problem is improperly functioning adrenal glands. This condition is normally due to prolonged stress and eventually results in fatigue.

Melatonin Deficiency

One of our hormones to decline early in life is melatonin. As a result, sleep is disrupted, resulting in fatigue. Simple supplementation can greatly improve sleep for roughly 70 percent of our patients.

Other Hormones

As we age, many of our hormones (estrogen, testosterone, progesterone, DHEA) decline, affecting our overall energy level. Supplementing with bio-identical hormones to treat these deficiencies greatly helps to improve energy and youthful vitality.

Poor Nutrition

We live in a time of fast foods and poor nutrition, which affects our ability to process sugar and decreases the amount of energy we have. Changing our diet and correcting our metabolism results in more energy and improved health.

How Can Fatigue Be Treated?

 

Treating fatigue begins with an initial consultation with one of our doctors. A complete history is then taken and an examination is performed. Saliva and/or blood work is also undertaken. Based upon the information gathered, an individualized and personalized treatment plan is developed and reviewed with the patient. A comprehensive, holistic treatment plan is then recommended. Common treatments employed can include personalized nutrition plans, specific supplements, intravenous therapies, specific dietary recommendations, lifestyle modifications, weight loss programs, detoxification, bio-identical hormones, psychological support and pharmacologic therapy as needed.

Our Offer to You

 

If you feel you may have fatigue, we are offering a no-charge, 20-minute consultation with one of our doctors to help evaluate your condition and introduce you to our office and its caring staff.

For more information, contact DreamBody Medical Centers today at (480) 292-1110.

* Individual results may vary and are not guaranteed.