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Should You Start Hormones? Should You Stop Them?Long Haul COVID -19 Syndromey Dr. Donna BeckerBT he most beneficial time to startBy Mike Anderson, PharmacistNot all women experience menopausal hormone replacement therapy?— symptoms. Hormone replacement therapy when blood levels change and is not for everyone. Some of the side effectsIt has now been determined that many patients are suffering from Long Haul COVID-19 Syndrome (LHCS).symptom of hot flashes, insomnia, or mood changes occur. Perimenopause may begin in the 40s when the ovaries are beginning to decrease in function. Periods may be irregular and restorative sleep disappear due to night sweats. Progesterone declines first of the three sex hormones, estradiol, testosterone, and progesterone.Progesterone relieves insomnia, is a mild diuretic (decreases bloating), and aids in calmness. Progesterone’s great benefits have been known for more than 50 years, when a wonderful English woman doctor, Dr. Katherine Dalton, treated severe postpartum depression with high dose injections of progesterone in oil followed by suppositories of progesterone. Right after childbirth, the hormones may become unbalanced and this can cause severe mental disturbances in a few women, similar to extreme mood changes seen in some menopausal women. The synthetic progesterone, progestin, does not produce the same benefits and is an entirely different appearing molecule.Estradiol and testosterone both decline when the ovaries stop secreting them. When the brain does not receive enough estradiol, the pituitary sends out a messenger hormone, FSH, follicular stimulating hormone, to stimulate the ovary to get back to work. An FSH >23-30 is a lab value consistent with menopause.and risks of hormone replacement therapy may be an increased risk of cancer of the sex organs, blood clots, and stroke. Excess body fat, tobacco, and alcohol also have been noted as increasing cancer risk. Some of the side effects and risks of NOT taking hormones may be dementia, osteoporosis (bone loss), and general decline in energy.I have seem many women in their late 50s, 60s, and even 70s who are literally sick of the hot flashes and insomnia and finally want it relieved. I also see women whose family docs or gynecologists abruptly stop all hormones at a certain age, like 55 or 60. Debilitating hot flashes, mood and memory problems drive these sufferers to me. After careful discussion of their health history, I explain the risks and benefits of hormone replacement therapy. Some women opt to begin or continue hormones, while others do not.Hormone replacement therapy is a lifestyle choice. I provide articles, documentaries, books to read, and my own research to aid in the hormone replacement decision.Dr Donna BeckerSpecializes in anti-aging & health maintenance medicine.(210) 545-5224 www.antiagingsa.comAccording to the CDC, the most common lasting symptoms are fatigue, shortness of breath, cough, joint pain and chest pain. Other issues include cognitive problems, difficulty concentrating, depression, muscle pain, headache, rapid heartbeat, intermittent fever as well as brain fog.The approach outlined below is a consensus protocol based on collaboration led by Dr. Mobeen Syed, Dr. Tina Peers, and the FLCCC Alliance. Given the lack of clinical treatment trials of LHCS, these recommendations are based on the pathophysiologic mechanisms of COVID-19 and post-viral illnesses along with the collective experience observing profound and sustained clinical responses achieved with the treatment approaches below.1. FIRST LINE THERAPIES• IVERMECTIN: 0.2mg/kg body weight. Once daily for 1 week.• PREDNISONE: 10-15mg daily for 3 weeks. Taper to 10mg for three days, then 5mg for three days and then stop.• Low dose NALTREXONE (LDN): Begin with 1mg daily and increase to 4.5mg as required. May take 2-3 months for full effect.• OMEGA-3 FATTY ACIDS: Vascepa,Lovaza or DHA/EPA 4g per day. Theseplay an important role in the resolution of inflammation.• VITAMIN D: The majority of those with post-COVID-19 syndrome continue to have hypovitaminosis D.2. SECOND LINE THERAPIES• FLUVOXAMINE (low dose): 25mg once daily. Stop if symptoms increase. Caution with use of other antidepressants and psychiatric drugs. Taper and discontinue once symptoms improve.A third line of therapy is also suggested as well as optional adjunctive therapies. For more info on the suggested medications, you can refer to the FLCCC website or contact The Mix Pharmacy.Relative contraindications: 1) Patients on Warfarin require close monitoring and dose adjustment. 2) Pregnant or lactating women require a more in-depth risk/ benefit assessment.Side effects may include: increased appetite, mood changes, insomnia, raised blood glucose,Mike Anderson, PharmacistThe Mix Pharmacy Compounding & CBD 14369 Blanco RdSan Antonio, TX 78216 210-226-1112 www.mixingpharmacy.comPAID ADVERTISEMENTGet Your Vitality Back!Focus of Treatments:• Hormone restoration to healthy young adults levels• Thyroid issues• Hot Flashes/ Night Sweats• Moodiness, “Emotionality”• Loss of Libido• Brain Fog• Insomnia• Bone Loss• Vitamin Deficiencies• Blood levels guide treatmentMen’s issues:Erectile, Dysfunction, Fatigue and Weight GainThe Enhancementof Life CenterDr. Donna Becker and Mr. Roderick Kuwamoto, PACall to schedule your FREE consultation (210) 545-522414603 Huebner Rd,. Suite 2601 (Huebner & NW Military)www.antiagingsa.comM Coping With An Empty Nestoms who are feeling the pangs of sadness due to an empty nest can employ some strategies toalleviate these feelings.• Keep friends close. Use this opportunity to spend more time with close friends and put yourself first. Schedule all of those activities you may have temporarily put on hold while caring for children through the years. • Make time for travel. New experiences can broaden anyone’s horizons. Travel as a couple or with a group of friends. Put the focus on fun and then share the experiences later on with your adult children.• Redefine yourself. The experts at Psychology Today suggest finding new roles and interests to explore, or spend more time exploring existing hobbies. For example, if you’ve thought about doing community theater, do so now that you have some free time. Or maybe you’ve always had a goal of going back to school? Now may be the time to make that happen.• Reconnect with your partner. Recall the years before you had children when it was only the two of you and devote time to making more memories as a couple. Plan date nights, go to sporting events, attenda summer concert, or pursue other shared interests.• Change things up at home. Turn children’s rooms into spaces you can use for your own interests. One can be a crafting room or a home office. Another may be a home theater. No longer labeling those rooms as the kids’ spaces can help the transition.Empty nest syndrome is real, but there are many ways to move past the mixed emotions synonymous with this phenomenon.May 2022www.stoneoakhighlights.com13

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