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Clinical Pearls in the Naturopathic Treatment of Endocrine Disorders

Dr. Elias Markou BSc (Hons.), RHN, R.Ac., ND

Doctor of Naturopathic Medicine

! Dr. Elias Markou

! Relationships with commercial interests: o  Grants/Research Support: none

o  Speakers Bureau/Honoraria: Honoraria to be received for participation in this conference

o  Consulting Fees: Dr. Kendall-Reed serves as a paid medical advisor to Cytomatrix inc.

o  No conflict of interest declared

Presenter Disclosure

! A Quick Overview Of Hormones

! Evaluating Hormones

! Healing Hormones

! Hormone Conditions and Remedies

Introduction Overview

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Cancer

Health

StagesOfWellnessTheHormonalSystem

• Estrogen • Progesterone

• Testosterone

• DHEAS

• Cortisol

•  Insulin

Hormones

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Dr. Elias Markou - May 2012 9

Adrenal Gland Hormones

Adrenal Glands Dehydroepiandrosterone

DHEA

aromatase

Cortisol

Estrone

Estradiol

Estriol Testosterone

Androstenedione

aromatase Estrone Sulphate

Progesterone

You’ve Hit Menopause? Gillson MD, Marsden PhD 2004.

Ovary Hormones

OVARY

Testosterone

Estradiol

Progesterone

Estrone

Estrone Sulphate

Estriol

2-Hydroxyestrone

aromatase

You’ve Hit Menopause? Gillson MD, Marsden PhD 2004.

Testes Hormones

TESTES

Testosterone

Estradiol

Estrone

Estrone Sulphate

Estriol

2-Hydroxyestrone

aromatase

You’ve Hit Menopause? Gillson MD, Marsden PhD 2004.

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! Estrogen Excess ! Estrogen Deficiency ! Progesterone Excess ! Progesterone Deficiency ! Testosterone Excess ! Testosterone Deficiency ! Others (DHEAs, Cortisol, etc.)

Hormone Imbalances

! Physical

! Emotional

! Psychological

! Environmental

! Infectious

! Or A Combination Of These

Hormones can be Influenced by:

1.  Metabolism and Excretion o  Mobilize Auto-Regulating defense mechanism

to eliminate toxin

2.  Deposition o  Toxins Deposit in Extra Cellular Matrix o  Cell Hypoxia, cell impregnation

3.  Intracellular Storage of toxins o  Deep damage to Intra Cellular Structure o  Chronic Disease

How the Body Deals with Toxins

! Hormonal Imbalances Comes In Many Forms:

•  BPH •  PCOS

•  Fertility •  Menopause

•  PMS •  Prostate Cancer

•  Breast Cancer

•  Endometriosis

Understanding Hormones

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Evaluating Hormones

! Use a System(s): o  Saliva Hormone & 4 point Cortisol Analysis o  Month Long Hormone Assessment o  IgG and IgE Food Analysis o  Candida IgG, IgM, IgE and Antigens o  Urine Element Analysis Test o  Adrenal Function Test o  Urine Steroid Hormone Profile o  D-Spot o  Electrodermal Organ Testing, Meridian Organ Analysis o  Iodine Plus o  Blood Hormones

Evaluating Hormone Function

My Approach to Rebalancing Hormones

Healing Power of Nature

• ComplexHomeopathy• Reiki• Acupuncture• Gemmotherapy• TissueSalts• HerbalClassicalTinctures• Oligotherapy• Biopuncture

Energetic

• Vitamins• Minerals• Nutrients• PhysiotherapyandChiropracticCare• Massage• StandardizedHerbalExtracts• Enzymes

Functional

• Drugs• Surgery• Nutrition

Physical

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Aspects of Complex Homeopathy

MultiOrganSupport

Remove

Restore

UltraLowDose

! No dairy, gluten-free grains and reduced meat intake (organic) o  Lots of vegetable (wash vinegar, organic)

o  Juice regularly, Probiotic 50 Billion per day

o  Individualized Supplement Program

! Change Hygiene Products o  Natural Ingredients (coconut oil), deodorant

! Lifestyle o  Clean RO water, 2L/day

o  Exercise, reduce stress, yoga

Nutrition Treatment Assumptions

! Birth Control Pills

! Drugs (medication, recreational)

! Caffeine, alcohol, smoking

! Poor Nutrition; Insulin Balance (lack of protein, fats, lots carbs)

! Adrenal Exhaustion – Stress (danger, personal relationships, work, environment)

! Lack or Excessive Exercise

! Xenobiotics - Xenoestrogens o  In food, water, air

o  Bio-Accumulation

What Causes Hormone Imbalance

! Global Detox o  Liver/GallBladder o  Kidney/ Bladder

o  Blood Cleanser/Lymphatic Cleanser

! Homeopathic Combo detox kit o  (Run two consecutive kits)

! Combine all three in water take 10 minutes before food, first round do 5 drops from each bottle 3x/day. Second round do 10 drops 3x/day.

Start With Detox

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①  Unique Herbal and Homeopathic Combination

②  Treating the symptoms ③  Stimulate the body’s natural

mechanisms ④  Pathogenic toxins can be neutralised

and excreted (detoxification) ⑤  Increasing organ function

Homeopathic Complexes Hormonal Stress- The End Result

AdrenalFatigue

Stress

MentalHealthSymptoms

HormonalImbalance

! Adrenal Fatigue

! Menopause

! Benign Prostatic Hypertrophy

! Postmentrual Syndrome

Hormone Conditions

! A.B 56 yo female, office manager

! Low BP 95/60, tired on waking wired at night

! frequently sick, Poor wound healing ! low sex drive, lack motivation, she can sleep

! Craving sweet then alternating salt

! Poor exercise recovery ! slight anxiety, on Synthroid for 5 years

! Physical Exam- Frequent vaginal yeast infections

! Bloodwork: serum B12 125 pmol/L, Ferritin 27 ng/ml

Adrenal Fatigue

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! Difficulty Waking ! Fatigue after Sleep ! Craving Salty Foods ! Craving Sugary Foods ! Increased Efforts to do

Tasks ! Decreased Sex Drive ! Poor Recovery From

Illness ! Light-Headed

Symptoms of Adrenal Fatigue

•  Lack Of Energy •  Mild To Moderate Depression •  Tearfulness •  Foggy thinking •  Memory lapses •  Panic Attacks •  Rage, Anxiety •  Mood Swings •  Not Enjoy Life •  PMS ABCD

! Week (1-20 weeks) o  R184, R20, IV Vitamins every 2 weeks for 10 weeks, o  Pro Adapt, Thyroid Px, Magnesium, Vitamin C, B Complex,

Vitamin E, Extra B5 and B6

! Week (21-42 Weeks) o  Pasconal V-C15 Forte, TONIGEM, Neuropas at bedtime o  Continue: Pro Adapt, Thyroid Px Magnesium, Vitamin C, B

Complex, Vitamin E, Extra B5 and B6

o  IV Vitamins Every 4 weeks

Adrenal Fatigue Treatment

! M.B 58 yo female, Retired Nurse

! 12 months without a menstrual period.

! Night Sweats, vaginal dryness, and hot flashes (10/d) ! fatigue, depression

! breast tenderness, irritability

! Stress is high, low libido, pain with intercourse ! Smoker for 15 years, improved diet

! Physical Exam: Weight Gain, body fat 38%, BP 128/82,

! Bloodwork: HA1C 6.0, Urinalysis 5.0

Menopause

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! Incontinence ! Vaginal dryness ! Bone loss ! Night sweats ! Hot flashes

Symptoms of Low Estrogen

•  Disturbed sleep •  Depression •  Tearfulness •  Foggy thinking •  Memory lapses •  Panic Attacks •  Low Self Esteem •  Mood Swings

Menopause Pre Treatment Testing

! Week (1-20 weeks) o  Clean Insulin Controlling Diet, Whole Detox followed by Liver

Detox, B12 injection (6 total) o  R10, R20 – For 6 months o  Fem-Calm (Rhodiola and Ashwaganda), Pro Vitex,

Magnesium, Vitamin C, Liquid B Complex, EPO o  3% Progesterone cream ¼ tsp every night

! Week (21-42 Weeks) o  Unda 10, 21, 48 for 12 weeks, then move to PascoFemin 1

tablet 3 times per day o  Continue: Fem-Calm, Pro Vitex, Magnesium, Liquid B

Complex o  Add In Calcium, Zinc, Vit D, Vit K, DHEAS 25mg/day for 2

mths o  Consider Estrogen prescription (Last)

Menopause Treatment Menopause Post Treatment Testing

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! A.S 63 yo male, sales

! difficulty urinating, incomplete void,

! Pelvic pressure, high cholesterol ! High Stress, worrier

! Heavy meat eater, thinning hair

! Physical Exam: DRE prostate enlarged, thin, BP 122/82, mercury fillings (9)

! Bloodwork: PSA 9.0, Cholesterol 6.5, Sugar normal

Benign Prostatic Hyperplasia

! Oily Skin and Acne ! Excess facial / body

hair ! Weight gain ! Insulin resistance ! Loss of scalp hair ! Prostate Issues BPH

Symptoms of High Testosterone

•  Irritability •  Anger / Aggression •  Depression •  Anxiety

BPH Testing

PreTreatmentLabResults

PostTreatmentLabResults

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! Week (1-40 weeks) o Dairy Free, Wheat Free Vegetarian, Whole Body Detox,

Kidney Cleanse, Kidney Support, Liver Cleanse o  Start Crinnion Protocol o R7, R18, R60-the “never ending detox” o  Prostate SAP, Magnesium, Vitamin C, Multi B#6, Fish

Oil, Zinc o  Phytophenols, Choles-FX, C-Care, Apricot seeds, o  50 gram IV Vit C (every 1 weeks)

! Week (40-60 Weeks) o R1, R19, R25, 25 gram IV Vit C (every 3 weeks) o Cortrex, Magnesium, Vitamin C, Multi B#6, Fish Oil, Zinc o  Prostate SAP, Phytophenols, Choles-FX, C-Care, Flaxseeds

BPH Treatment

! V.B 35 yo female, Web Based E-Commerce

! Mood swings, food craving

! fatigue, depression ! breast tenderness, irritability

! Stress is High, not married, no children

! Poor Diet, eats lots of sugar, drinks cola and coffee

! Physical Exam: Abdominal Weight Gain ! Bloodwork: All blood work is normal

Postmenstrual Syndrome PMS Testing

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! Fibrocystic Breasts ! Weight Gain in Hips ! Bleeding Changes ! Uterine Fibroids ! Breast Tenderness

Symptoms of Low Progesterone

•  Mood Swings •  Fatigue •  Depression •  PMS ABCD •  Foggy Thinking •  Irritability •  Anxiety •  Decreases Sex Drive •  Thyroid Dysfunction

! Week (1-20 weeks) o Clean Insulin Controlling Diet, B12 injections o R75, R47 – For 2 months o  Fem-Calm, Testo-Gain, Magnesium, Zinc, Multi B#5,

selenium, EPO o  6% Progesterone cream ¼ tsp- ½ every night (for 2 months,

then switch to Day 14 to Day 28 only ! Week (21-42 Weeks) o Unda 10, 21, 48 for 12 weeks, then move to R75, R20, R95-

For 2 months, Pro Vitex day 10- day 28 for 2 months. o  Progesto-Mend, Fem-Calm, Magnesium, Liquid B Complex o Calcium, Zinc, Vit D, Vit K, DHEAS 25mg/day for 2

months

PMS Treatment

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! Natural Practitioners have all the tools to heal hormonal Imbalances, no need for drugs

! Always test hormones

! Challenge the body, change the program

Final Notes

! Questions?

Thank You

Dr. Elias Markou

pureBalance Wellness Centre 106 Lakeshore Road East, Unit C

Mississauga, Ontario L5G 1E3

905-891-3965 drmarkou@mypurebalance.ca

www.mypurebalance.ca

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