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Natural Treatments and Diagnosis for Common Female Disorders
A one-hour credit course
Using case history, examination andmodern saliva testing for diagnosis
Natural treatments with bio-identical hormones, herbs and supplements
By Dr. Robin Mayfield, DC, ACN
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• Intro to Hormones 101
• Fibromyalgia Myths and Realities Physical Diagnosis 131
• Live Recorded Webinar on Fibromyalgia, Physical Diagnosis 135
Other Courses to Consider
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Proper Diagnosis is Key
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Patient A
Mental fatigue 10Physical fatigue 10Shaky and dizzy 6Insomnia 10Depression 8Sweet cravings 10Headaches 4Anxiety 10Frequent urination 6Low sex drive 5
53 year old female, 5’7”, 145, complaining of low energy, with insidious joint pain and muscle tightness “all over”. Her current medications were Synthroid, Estradiol (1mg) Zoloft and Trazadone. She had a complete hysterectomy in 1991. Upon consultation, further symptoms were elicited.
Patient ratings: 0-10, with 10 being the worst.
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Patient B
Night Sweats 9
Hot Flashes 8
Fatigue 8
Mood 5
Joint Pain 10
Brain Fog 7
Insomnia 10
52 year old female, 5’8”, 175, recent weight gain of 20 lbs despite exercise, difficulty sleeping at night, night sweats, fatigue, joint pain. No current medications, no surgeries.
Patient ratings: 0 – 10, with 10 being worst.
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Patient C39 year old female, 5’5”, 117 lbs., with complaints of “reduced” menstrual cycles, PMS,
fatigue, and mood swings. A slight built woman, never bore children, history of anorexia but currently well nourished. No medications. no surgeries.
Patient ratings: 0-10, with 10 being worst
Irritable 0-8 (worse near period)Mood Swings 0-8 (worse near period)Breast Tenderness 0-8 (worse near period)Sweet cravings 0-8 (worse near period)Fatigue 8Insomnia 6Joint Stiffness 1Bloating 4Thirsty often 5Ringing in ears 4Sleepy during day 5Brain fog 5
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Estrogen Dominance
Causes
Signs and symptoms
Treatments
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What your Doctor may not “know” about Menopause
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What is Estrogen Dominance?
“Estrogen Dominance” describes what happens when the normal ratio or balance of estrogen to progesterone is changed by excess Estrogens, usually Estradiol, or inadequate Progesterone.
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Causes of Estrogen Dominance
1. DietaryLow fiber Meats and dairy
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Causes of Estrogen Dominance
1. DietaryLow fiber
Meats and dairy
2 . Body Fat
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Causes of Estrogen Dominance
1. DietaryLow fiber
Meats and dairy
2 . Body Fat
3. Impaired liver function
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Causes of Estrogen Dominance
1. DietaryLow fiber Meats and dairy
2 . Body Fat3. Impaired liver function
4. xeno-estrogens PCBs in plasticPesticidesParabenBHA (preservative)
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Causes of Estrogen Dominance
1. DietaryLow fiber Meats and dairy
2. Body Fat3. Impaired liver function4. Xeno-estrogens PCBs in plasticPesticidesParabenBHA (preservative)
5. Prescription synthetic hormones
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Drug History
Diethylstilbesterol (DES)
Thalidimide
Birth Control, including pills, shots, patches and
IUDs with hormones
Premarin
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Symptoms of Hormonal Imbalances
17Dr. Robin Mayfieldonlinece.com
Hypothyroid symptoms (dry skin, fatigue, restless sleep, hair loss, weight gain)
High Cholesterol and Triglycerides, HDL often low Elevated Liver Enzymes Craving carbohydrates and sweets Lack of vitality and energy Muscle and joint pain Anger and irritability Migraine headaches Sleep disturbances Poor memory Alcohol intolerance Low sex drive Hot Flashes and Night Sweats Low body temperature; cold easily when others are comfortable Vaginal dryness Endometriosis PMS and cramps Constipation Difficulty concentrating, mental confusion, Brain fog Aching, sore joints Increased tension in muscles Breast tenderness or fibrocystic breastsGastrointestinal distress, indigestion, flatulence, gas, nausea Sudden bouts of bloating Exacerbation of existing conditions Increase in allergy symptomsDizziness, light-headedness, loss of balance Changes in body odor Electric shock sensations under skin and in the head Tingling in the extremities Tinnitus, ringing in ears, bells, 'whooshing' buzzing etc. Miscarriages
Panic AttacksSlower metabolismChronic Back Pain Heavy Periods, irregular cycles, no period at all Food allergies Fibromyalgia symptoms, Lupus (SLE) symptomsHeel and foot pain Painful urination Restless legs at night Inability to relax Panic attacks and anxiety Thinning hair Excess facial hair Early signs of AgingHair lossFoggy thinkingGallbladder problems, heartburnBladder infections and incontinence Depression, Indifference, mood swings Weight Gain, especially through the waist Painful or irregular menstrual periods Bouts of rapid heart beat (tachycardia)Sudden tears General drying out that can include eyes, mouth, joints and skin Crashing Fatigue Feelings of dread Gum problems, increased bleeding Burning tongue, burning roof of mouth, bad taste in mouth, dry
mouth, change in breath odor Osteoporosis (after several years) Changes in fingernails: softer, crack or break easier Immune system problems, allergies, catch colds easily Sinus infections
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Premenstrual Syndrome (PMS and PMDD)
Defined by its cyclical nature
Mood and behavior changes,
especially irritability, anxiety and depression
Fatigue and Insomnia
Food Cravings
Bloating and pain
Water retention, breast tenderness
many more depending on the person
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Perimenopause“Perimenopause” is defined as
the period of time from the
first signs of change in
monthly cycles until after
menstruation has ended
completely for more than one
year.
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MenopauseHot flashes
Vaginal dryness
Mood swings
Night sweats
Headaches
Hair loss
Foggy thinking/memory loss
Fatigue
Breast swelling and tenderness
Increased anxiety and/or depression
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Reliable Labs for Testing
Genova Diagnostic Labs www.genovadiagnostics.com
Sabre Sciences www.sabresciences.com
DiagnosTechs www.diagnostechs.com
Access Labs www.accessmedlab.com/
Pharmasan/NeuroScience www.neurorelief.com
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Patient A
Lab findings: Severely High Estradiol and Moderately Low Progesterone
Diagnosis: Estrogen Dominance and Adrenal Fatigue
Mental fatigue 10Physical fatigue 10Shaky and dizzy 6Insomnia 10Depression 8Sweet cravings 10Headaches 4Anxiety 10Frequent urination 6Low sex drive 5
53 year old female, 5’7”, 145, complaining of low energy, with insidious joint pain and muscle tightness “all over”. Her current medications were Synthroid, Estradiol (1mg) Zoloft and Trazadone. She had a complete hysterectomy in 1991. Upon consultation, further symptoms were elicited.
Patient ratings: 0-10, with 10 being the worst.
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Patient B52 year old female, 5’8”, 175, recent weight gain of 20 lbs despite exercise, difficulty sleeping at
night, night sweats, fatigue, joint pain, periods heavier. No medications, no surgeries.
Patient ratings: 0 – 10, with 10 being worst.
Lab Findings mildly elevated Estradiol
Severely elevated EstroneModerately elevated Testosterone
Mild to moderate decreased Progesterone
Diagnosis: Perimenopause
Night Sweats 9Hot Flashes 8Fatigue 8Mood 5Joint Pain 10Brain Fog 7Insomnia 10
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Patient C
39 year old female, 5’5”, 117 lbs., with complaints of “reduced” menstrual cycles, PMS, fatigue, and mood swings. A slight built woman, never bore children, history of anorexia but currently well nourished. No medications. No surgeries.
Patient ratings: 0-10, with 10 being worst
No labs necessary. Diagnosis: premenstrual syndrome
Irritable 0-8 (worse near period)Mood Swings 0-8 (worse near period)Breast Tenderness 0-8 (worse near period)Sweet cravings 0-8 (worse near period)Fatigue 8Insomnia 6Joint Stiffness 1Bloating 4Thirsty often 5Ringing in ears 4Sleepy during day 5Brain fog 5
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The Role of Progesterone
balance the effects of estrogen and testosterone
stimulate new bone growth
help calm and focus brain function
help burn fat for energy
function as a natural diuretic
function as a natural antidepressant (in balance with estrogen)
help increase libido
function as a natural muscle relaxant with natural anti-inflammatory effects
facilitate thyroid hormone function
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Treatments
Bio Responsewww.bioresponse.com
DIM
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Treatments
Bio-Identical Progesterone and Natural Estriol
Various creams and sublingual forms, depends upon patient preference for
delivery
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Treatments
Bezweckenwww.bezwecken.com
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Treatments
Fem Balance
www.prlabs.com
Premier Research Labs
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Treatments
Ultra Pollen
www.prlabs.com
Premier Research Labs
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Treatments
NeuroSciencewww.NeuroRelief.com
KavinaceFlash-Ease
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CleansingStandard Process Purification Cleanse
www.standardprocess.com
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Patient A
Labs: Extremely high Estradiol and Very low ProgesteroneDiagnosis: Estrogen Dominance and Adrenal Fatigue.Treatment: She was treated with bio-identical progesterone cream twice daily and DIM 2 BID. After six
weeks, she felt well enough that she was able to eliminate her Estradiol and trazadone prescription. At that time, Ultra Pollen was added, and after one month later, you can see her symptom ratings.
Initial @4 monthsMental fatigue 10 0Physical fatigue 10 0Shaky and dizzy 6 0Heartburn 4 0Insomnia 10 0Difficulty swallowing 5 0Depression 8 0Sweet cravings 10 0Headaches 4 0Anxiety 10 0Frequent urination 6 0Low sex drive 5 2Thirsty 7 0
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Patient B
Labs: Estradiol slightly elevated, Estrone was significantly elevated (the most dangerous of the estrogens as far as cancer risk) ,and progesterone was slightly low. Testosterone levels were elevated.
Diagnosis: Perimenopause Treatment: Standard Process Purification cleanse plus DIM at 3 BID, after which her energy was improved, but not perfect, as she still had hot flashes, night sweats and insomnia. She continued taking the DIM at those doses, and added Bezwecken PhytoB, which includes Progesterone and Estriol. She was allergic to the Progesterone Creams. Her symptoms improved over the next month, but were not gone. Added Kavinace Flash Ease and over the next 6 weeks, her symptoms continued to improve. Her ratings at that time were:
Initial @ 3 months
Night Sweats 9 2Hot Flashes 8 2Fatigue 8 3Mood 5 1Joint Pain 10 5Brain Fog 7 2Insomnia 10 0
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Patient C
Labs: none performed
Diagnosis: Premenstrual Syndrome
Treatment: She was treated with PRL Fem-Balance (2 day) with Bezwecken Bio Femme Progesterone Cream
1/8th tsp, twice daily (1/8 only because of her slight stature) during the week before her period. She
immediately improved, and 3 months later her symptom ratings were significantly improved.
Initial @3 months
PMS 0-8 0Mood Swings 0-8 0Breast Tenderness 0-8 0Sweet cravings 0-8 0Fatigue 8 0Insomnia 6 2Joint Stiffness 1 0Bloating 4 0Thirsty often 5 1Ringing in ears 4 0Brain fog 5 0
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Vendors
Premier Research Labs www.prlabs.com
Bioresponse www.bioresponse.com
Standard Process www.standardprocess.com
Bezwecken www.bezwecken.com
Neuroscience www.neurorelief.com
Sabre Sciences www.sabresciences.com
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• Intro to Hormones 101
• Fibromyalgia Myths and Realities Physical Diagnosis 131
• Live Recorded Webinar on Fibromyalgia, Physical Diagnosis 135
Other Courses to Consider taking on ChiroCredit.com