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dallas menopause doctor


Vitamin Supplements

This article appeared in the first Johns Hopkins Health Review  

“Save your money—and possibly your good health—by skipping the vitamin supplements. Study after study has shown that taking vitamins won’t stave off chronic diseases or untimely death. So from a medicinal perspective, there is no reason for well-fed people to take them, according to researchers at Johns Hopkins and several other institutions. It’s not just that the experts have deemed vitamins useless: They’ve also determined that taking bonus beta-carotene, vitamin E, and vitamin A may contribute to a heightened risk of death. For many lifetime vitamin poppers, this news is hard to swallow. After all, mom doled out that chalky, vaguely fruity multivitamin tablet every morning as part of a nutritious breakfast. It’s time to cast sentimentality aside because the facts show that vitamins are not a magic bullet, even though they might be shaped like one.” 

So what is well fed, good life style?  The “Garden of Eden” would be a great choice – full body sunshine, nothing but greens and citrus, and no stress.  Since we are not in Eden, consider taking 1000-2000 units of vitamin D3 daily (full body sunshine), 1mg (1000 ug) Folic Acid (vegetarian diet), 500 unit of vitamin C (citrus), and sublingual B12 only if it is low (compensation for stress).  A normal diet contains more than enough calcium, making calcium tablets useless, possibly increasing risks for kidney stones.   

I check levels of vitamin D, Vitamin B12 and Vitamin B9 (Folic Acid) in most of my patients and more often than not the vitamin D level is low and the Folate level is low normal.  B12 varies and often is at a low normal level.  So, without checking to see if you need any vitamins at all, consider supplementing D3, C, Folate, and B12. 





DFW Menopause Treatment

(Reuters Health) - Many women with severe menopausal symptoms are not being treated for them even though safe, effective remedies are available, a study from Australia suggests.

The findings may be applicable to other countries, too, according to senior author Dr. Susan R. Davis from Monash University in Melbourne.

"From my interactions with colleagues from across the globe, I do not believe that what we have observed is Australian-specific," she told Reuters Health by email. "The management of menopause has been relatively similar in the UK, the USA and in Australia."



Up to half of women in menopause experience so-called vasomotor symptoms, such as hot flashes and night sweats. Hormone replacement therapy (HRT), which generally combines estrogen plus progestin, is very effective. But after the initial findings of the Women’s Health Initiative study showed that HRT can increase the risk of breast cancer, stroke and other serious problems, many women stopped using it.

As reported in the journal Menopause, in 2013 and 2014 Davis and her team analyzed survey responses from nearly 1,500 women ages 40 to 65.

Seventeen percent were having moderate to severe vasomotor symptoms, and 18 percent reported moderate to severe sexual symptoms.

But most were not receiving any kind of treatment. Only 11 percent reported use of HRT, and less than 1 percent were using any type of therapy that didn't involve hormones.

The women who did use hormones were mostly taking pills containing estrogen, rather than preparations that are absorbed into the skin and that are potentially safer, the researchers found.

"Extrapolating our findings to 3.7 million Australian women aged 40 to 64 years, we found that 455,000 women are likely to have moderate to severe vasomotor symptoms, with most women (385,000) remaining untreated," they write.

In addition, very few women were receiving vaginal estrogen therapy for sexual symptoms. Vaginal dryness is common with menopause and affects sexual functioning. Vaginal estrogen preparations are very safe and effective for this problem but were prescribed to less than 5 percent of the women, the authors say.

Why are so few women being treated?

"Overall, there is the uncertainty of women and of doctors as to what the options are, what is and is not safe, and of the safe options - what and how to prescribe them," Davis said.

There is also, she said, a complete lack of understanding that for most women, these symptoms are not fleeting.

"It isn't 'grin and bear it for a few months' and it will all pass, as many women suffer severe symptoms for five-plus years," she said. "Women and doctors simply are not aware that symptoms can last this long."

Finally, many women don’t realize that non hormonal options can be safe and effective, she added.

Dr. Wulf H. Utian, medical director of the North American Menopause Society, agrees that many reasons may underlie the lack of treatment. "It is partly 'fall out' from the controversy over hormone therapy," he told Reuters Health in an email.

But overall, he said, it is a combination of patients not wanting therapy or not having information about it, and also the provider not prescribing it.

SOURCE: Menopause, online July 31, 2015.