Start your day with Dr. Peters’ Protein Shake!

This is a meal replacement. Dr. Peters suggest using this in place of breakfast or after a hard work out. 

💪 Let us know what you think!

The following is enough for two 12 oz. protein shakes:

•2 scoops Garden of Life Raw Organic Meal – this is a vegan protein, gluten-free that is dairy free. This will provide a total of 40gm of protein or 20gm per drink
•(Optional) 1 Scoop BodyTech Branched Chain Amino Acids. I like using this to make sure that you are getting essential amino acids for muscle building that can sometimes be missing in vegan protein sources or following challenging workouts

• 8 oz. Unsweetened Almond Milk (Vanilla Flavor)
• 8 oz. Unsweetened Coconut Water
• 3 oz. Kefir 
• 2 tablespoons Flaxseed or Chia seeds
• 2 Cups of Greens (can be Kale, Spinach, Chard or combination of any)
• ½ banana (I prefer frozen)
• 2 Cups frozen mixed berries
• 1 thumb-sized peeled stick of Tumeric Root
• 1 tablespoon Ener-Chi from Starflower Spathecary

Blend on Shake setting with Blendtec or similar blender

Menopause Signs

Many patients are searching for “menopause signs”, “menopause symptoms” and “menopause definition”.  I thought it would be a good idea to discuss these terms to provide better clarity for patients and those wondering if they are experiencing menopause.

Menopause is defined as the period of time in a woman’s life where there is a cessation of menstruation, typically occurring between the ages of 45-55.  This often is accompanied by the appearance of many signs and symptoms as listed below.

Menopause signs and symptoms include most commonly, hot flashes, otherwise known as vasomotor symptoms, insomnia or waking at night in a cold sweat, fatigue during the day time hours, vaginal dryness, painful intercourse, anxiety or feelings of tension, metal fogginess, decrease enjoyment in life, weight gain, loss of menstruation and headaches among others. 

Menopause can be a concerning and sometimes distressing time for many women, but with proper understanding and appropriate care, it can be a relatively easy transition.  Some women simply need to understand what is happening to their bodies and require no further treatment. For others, menopause can be a difficult time that requires medical intervention including laboratory testing, and hormone replacement therapy. 

There are many options for hormone replacement therapy, and women should select a doctor who is knowledgeable in all forms of therapy including bioidentical hormone replacement.

Most important is to be informed of your options and the safety of those options.

If you wish to learn more about menopause and safe treatment options, please call for a consultation at 484-788-2391.

The Anti-Aging Lifestyle

People often ask me what is an “anti-aging lifestyle”, what is an “anti-aging diet”, what are “anti-aging treatments”?  The term “Anti-Aging” has become a very general term that can have many meanings.

In my opinion, “anti-aging” simply means to slow the aging process so that we age as gracefully and healthfully as possible.  Aging is inevitable, so our goal should be to do all that we can to be as healthy as we can at the end of our lives.  This requires preparation, and the sooner we begin this process the better the quality of our health will be as we age.

I consider there to be 4 areas to the good anti-aging care.  These include nutrition, nutritional supplements, exercise and hormone balancing. Each of these areas are equally important.  They work together in an integrated fashion for the good of the entire body.

Anti-aging nutrition includes a diet that includes adequate protein intake (typically about 1 gram/kg body weight), limited simple carbohydrates (preferably low glycemic index foods), and adequate amounts of polyunsaturated oil, like olive oil.  In addition, a diet rich in berries, fiber, fatty fish, chicken, plenty of water, cruciferous vegetables (broccoli) and occasional red wine.

There are numerous nutritional supplements available.  While, in my opinion, everyone should be taking basic supplements including a multivitamin, fish oils, an antioxidant and CoQ10, there are many others that should be prescribed specifically for each individual depending on need. This will depend on testing and each person’s concerns  and goals.

Exercise is of critical importance.  In general, exercise programs should include about 50% aerobic (cardiovascular) training and 50% resistance or weight training.  Weight training becomes more important as we age beyond 50 years old as this is the time when sarcopenia (age-related muscle loss) begins.  It is also important to include high intensity interval training (HIIT) into our exercise programs as this is a form of anaerobic training. Anaerobic training helps to build muscle mass and fitness in a very efficient manner.

Both women and men lose vital hormones as they age including estrogen and testosterone.  These hormones are critically important to maintain sexual health, muscle mass, and sharp cognitive function.  Hormone replacement must be delicately and specifically replaced to achieve a maximum beneficial effect. This requires expert knowledge in endocrinology, along with specific testing to achieve proper individualized hormonal balancing.

If you would like to know more about the anti-aging process, please call for a consultation today at 484-788-2391.

As A Female Should I Add Male Hormones to My Bioidentical Hormone Replacement Therapy

Often, women will ask me if they should be taking male hormones (or androgens) with their other bioidentical hormone replacement therapy (BHRT) in menopause.  First, lets discuss what male androgens are and what they do. Androgens are typical male hormones such as testosterone, dehydroepiandrosterone sulfate(DHEAS), androstenedione among others.  Both men and women produce and need male hormones. In men, male hormones are made in the testicle and adrenal gland, and in women, male hormones are made in the ovary and the adrenal gland.  Male hormones are responsible for many functions including muscle building and strength, mental sharpness, blood sugar regulation, sexual function, and as building blocks for other hormones including female hormones like estrogen.

Not all women need to add male hormones to there BHRT, but if they are experiencing loss of libido, vaginal dryness or painful intercourse they can help.  In addition, I sometimes give male hormones to women if they are doing an aggressive fitness program and are struggling to gain muscle mass. 

Side effects from male hormones can occur in women.  These can include oily skin, acne, body hair growth (hirsutism) and changes in personality including aggressiveness or becoming short tempered. If any of these side effects occur, you should consult your physician immediately.  In fact, anyone taking hormone replacement should have regular visits and saliva testing with their doctor.

The best way to determine if a woman needs male hormones is to do saliva hormone testing. This allows your doctor to objectively determine if there is a deficiency in male hormones and the right amount to replace.  This of course, needs to be correlated with the patient’s symptoms. If male hormones are added to a BHRT regimen, it must be periodically monitored to make sure the appropriate amounts of hormones are being administered.  This is a good rule of thumb for any time of BHRT replacement program.

If you would like to learn more about male hormones and hormone replacement therapy in the menopause years, please consider calling for a consultation.  Our number is 484-788-2391.

What Is A Functional Medicine Practice?

Functional medicine is rooted in the belief that all of your organs work together for the good of the whole.  When all systems are working appropriately, peak wellness is achieved. 

Functional medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership. It is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms. Functional medicine practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.

There are 3 characteristics of a functional medicine practice:

·         Patient-centered care.  The physician partners with the patient in order to promote health and wellness, not simply to treat disease.  A key part of this plan is listening to the patient’s unique needs, and to tailor a treatment plan to meet those needs.

·         An integrative, science-based healthcare approach. Functional medicine practitioners consider the complex web of interactions in the patient’s history, physiology, and lifestyle that can lead to illness. The unique genetic makeup of each patient is considered, along with both internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning.

·         Integrating best medical practices. Functional medicine integrates traditional Western medical practices with what is sometimes considered “alternative” or “integrative” medicine, creating a focus on prevention through hormone balancing, nutrition, and exercise; use of the latest laboratory testing and other diagnostic techniques; and prescribed combinations of drugs and/or botanical medicines, supplements, therapeutic diets, detoxification programs, or stress-management techniques.

What Are Bioidentical Hormones?

Bioidentical hormones are hormones that have the exact same chemical structure as human hormones.     Bioidentical hormones are typically compounded in a special pharmacy. They may or may not be Food and Drug Administration (FDA) approved.FDA approval is not necessary to use a drug as a therapeutic medication.  

Some observational studies have shown that the natural estradiol and progesterone found in bioidentical hormones in combination may lower the risk of breast cancer compared to traditional hormone therapy which has been shown to increase the risk. The safety profile of bioidenticals are a reason why many women want to use them as well as the ability to tailor dosing and route of administration to the individual patient.  Research is ongoing with regard to their safety profile.  

Another distinct advantage of bioidentical hormones is that they can be specifically formulated to an individual’s needs with regard to dosing, mixture of different hormones and methods of delivery.  A common way of administration is through the use of creams that are applied and absorb through the skin.  The most popular way of obtaining bioidentical hormones is through a prescription written by your doctor and formulated by a special pharmacist in a compounding pharmacy.  A specific amount is then applied a rotated site of skin surface daily.  There will be days that you do not use hormones to give your body a rest from them.  

Compounded bioidentical hormones typically contain 2-3 types of estrogen and a progesterone. In addition male hormones such testosterone can be added for women who also need androgen therapy.  Androgens are male hormones that can help women with low libido, and energy. Androgens can also improve your feeling of energy and wellness. Women naturally make androgens, but the levels drop after menopause.  

It is important to see a doctor who monitors your hormone status. Bioidentical hormones are often monitored using salivary testing.  This is easy to collect, and results are available within 7-10 days.  Salivary testing will allow your doctor to fine tune the amount and type of hormones in your bioidentical compounded formulation to give you the most optimal results for your specific needs.  

To learn if bioidentical hormones are right for you, consider a consultation with Dr. Peters.  He will evaluate your specific needs and answer all of your questions.  

How do I know if I am in menopause?

All women will experience menopause at some point in their life.  It is a natural part of aging.  Menopause is defined as the cessation of menstrual function when all of the eggs in the ovary have reached the end of their functional lifespan.  Menopause typically occurs in the early to mid-50, but this is variable among women.  It can occur as early as age 40, and some women don’t go through their change until their mid to late 50’s.  If menopause occurs before age 40, it is termed premature.  This requires a special evaluation and treatment. With people living longer, healthier lifestyles, women can possibly live up to ½ of the lives in menopause, thus making hormone balancing extremely important.  

Typically, the first sign of menopause are changes in the menstrual cycle. Cycles over time become further apart, and eventually stop.  You might notice that menstrual cycles become closer together before they start spacing out.  Hot flashes, known as vasomotor symptoms may start to occur.  This brings a warm uncomfortable wave throughout the body.  If this occurs at night, known as night sweats, they can wake you from a deep sleep resulting in insomnia or poor sleep patterns.  Poor sleep can lead to poor health in many ways.  Soon thereafter, other symptoms begin as listed below.  

Menopause brings with it many symptoms including hot flashes, night sweats, insomnia, vaginal dryness, painful intercourse, mood instability, decreased libido, weight gain, urinary tract problems, indigestion, bone loss, hair loss, memory loss, and many more.  

Your doctor can do a blood test to see if you are in menopause.  It is called a follicle stimulating hormone (FSH) level.  During menopause, FSH levels rise sharply.  This is generally correlated with absence of periods or amenorrhea.

Estrogen has over 400 functions in the body, so losing it at menopause has a huge impact on a woman’s body.  Hormone replacement carries with it many choices, so it is important to see a doctor who understands all of the options, in order to help you select a safe, effective one, if any. If you choose to begin hormone therapy there will be many options including synthetic vs. bioidentical. Bioidentical hormones allows your doctor to individualize a hormone replacement plan that can be tailored to your specific symptoms and needs.  Most importantly your doctor needs to understand how you feel on hormone replacement and test you periodically to make sure you are on the correct formulation which can change as you age.  

If you would like to know more about menopause, and if Dr. Peters can help you feel better and live a healthier, better quality life, please call to set up a consultation with him.  He will answer all of your questions, and get you on the right path to wellness. 

Menopause: Do I Really Have to Feel This Way?

For some women, menopause is a smooth transition, in fact, for some, it can be a more periods, no more cyclic symptoms of breast tenderness and bloating, no more need for contraception, and, in general,  a more carefree season in life.  But for others, menopause can be a stormy time, with symptoms including hot flashes, insomnia, weight gain, decreased libido, painful sex, weakness, mental fogginess, physical fatigue and loss of life’s daily enjoyments.  It can even affect your family members, because they don’t understand what you are going through. They only know that you are acting differently, and that worries them.  

Many doctors simply feel that menopause is a normal part of life, and therefore don’t view it as an urgent matter.  Some will take the initiative to start you on a standard hormone replacement protocol, but don’t have the time or interest to personalize it, and monitor it safely, so they simply gloss over it at your 15 minute annual exam.   Or, perhaps you have been told that hormone therapy will give you cancer, that you are too old to consider this as an option.  

There is good news and hope!You don’t have to live this way.  Many symptoms of menopause can be controlled, and sometime eliminated, but you have to see the right doctor and the right medical practice to make this happen.  Caring for women with menopause requires an integrated approach involving hormonal balancing, safe hormonal metabolism, diet, nutritional supplementation and exercise. Only through proper testing and an individualized program, can optimal relief, and better health be achieved.  

If you feel this describes you, please consider calling The Center for Anti-Aging Medicine and Hormone Wellness at 484-788-2391 for your initial consultation.  Dr. Peters, will let you voice your concerns in an unrushed, relaxed setting, and he will begin a partnership with you to put you back on the path to enjoyable, healthful living.