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Hormone Balance

Hormone Balance. Hormones like estrogen, testosterone, adrenaline, and insulin are vital chemical messengers that affect many aspects of one’s health. Hormones are secreted by various glands and organs, including the thyroid, adrenals, pituitary, ovaries, testicles, and pancreas. The entire endocrine system works together to control the level of hormones circulating throughout the body. And if one or more is imbalanced, it can cause major health problems.

The most common symptoms of hormone imbalance include:

  • Infertility and irregular periods
  • Weight gain or weight loss (unexplained, not due to intentional changes in one’s diet)
  • Depression and anxiety
  • Fatigue
  • Insomnia
  • Low libido
  • Appetite changes
  • Issues with digestion
  • Hair thinning and loss

Symptoms of hormonal imbalances can range depending on what type of disorder or illness they cause. For example, symptoms of diabetes include weight gain, appetite changes, nerve damage, and eyesight problems. Conventional treatments for hormone imbalances include synthetic hormone replacement therapies, i.e., insulin injections, thyroid medications.

However, with these types of treatments comes negative effects, such as medication dependency, serious side effects like stroke, osteoporosis, anxiety, reproductive problems, cancer, and more. And with these synthetic treatments, the symptoms aren’t treated but only masked.

Fortunately, there are ways to acquire hormone balance naturally. For example, stay away from oils high in omega-6 fats (safflower, sunflower, corn, canola, soybean, and peanut). Instead, utilize rich sources of natural omega-3’s (wild fish, flaxseed, chia seeds, walnuts, and grass-fed animal products).


Functional Endocrinology: Endocrine Disruptors

Functional Endocrinology: Endocrine Disruptors

Endocrine disruptors are chemicals that may interfere with the body’s endocrine system and produce adverse developmental, reproductive, neurological, and immune effects in humans. It can be pesticides, plasticizers, antimicrobials, and flame retardants that can be EDCs. EDCs (endocrine-disrupting chemicals) can disrupt the hormonal balance and can result in developmental and reproductive abnormalities in the body.

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There are four points about endocrine disruption:

  • Low dose matters
  • Wide range of health benefits
  • Persistence of biological effects
  • Ubiquitous exposure

EDC can cause significant risks to humans by targeting different organs and systems in the body. The interactions and the mechanisms of toxicity created by EDC and environmental factors can be concerning a person’s general health problems. Including endocrine disturbances in the body since many factors can cause endocrine disruptors, one of the disruptors in the food contaminated with PBDEs (polybrominated diphenyl esters) in fish meat and dairy.

Researchers also pointed out that once the contaminated foods eliminated from a person’s diet, then the endocrine disruptors decline, and the body began to heal properly. When a person eliminates the food that is causing discomfort to their bodies, they are more aware of reading the food labels to prevent discomfort anymore to the body systems.

Obesogen

Obesogen is a subclass of endocrine-disrupting chemicals (EDC) that might predispose individuals to the development of obesity. Their structure is mainly lipophilic, and they can increase fat deposition. Since the fat cell’s primary role is to store and release energy, researchers have found that different obesogenic compounds may have different mechanisms of action.

Some of these actions can affect the number of fat cells that are producing, while others affect the size of the fat cells, and some obesogenic compounds can affect the hormones. These compounds will affect the appetite, satiety, food preferences, and energy metabolism when the endocrine system plays a fundamental role in the body to regulate the metabolism of fats, carbohydrates, and proteins. Any alternations in the body can result in an imbalance in the metabolism and causing endocrine disorders.

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Studies even stated that exposure to obesogens could be found either before birth on utero or in the neonatal period. Obesogens can even cause a decrease in male fertility. When this disruption happens to the male body, environmental compounds can cause a predispose to weight gain, and obesogens can appoint as one of the contributors because of their actions as endocrine disruptors. Obesogens can even change the functioning of the male reproductive axis and testicular physiology. The metabolism in the male human body can be pivotal for spermatogenesis due to these changes.

Endocrine Disruptors and Obesity

Some endocrine disruptors that can affect the body can be through pharmaceutical drugs that can cause weight gain. A variety of prescription drugs can have an adverse effect that can result in weight gain since the chemicals found in prescription drugs have similar structures, and modes of action might have a role in obesity. Prescription medicine can stimulate the gut to consume more food, thus involving the body to gain weight.

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Another endocrine disruptor is PAHs (polycyclic aromatic hydrocarbons). These are a family of environmental chemicals that occur in oil, coal, and tar deposits. They produce as by-products of fuel-burning like fossil fuel, biomass, cigarette smoke, and diesel exhaust. PAHs can either be manufactured to be used as medicines and pesticides or be released naturally from forest fires and volcanoes.

There are standard ways a person can be exposed to PAHs. One is through eating grilled, charred, or charcoal-broiled meats that a person eats. The other is through inhalation of smoke from cigarettes, vehicle exhaust, or emissions from fossil fuels that can irritate the eyes and breathing passageways in the body.

Coping with EDC Exposure

Even though obesity can adversely affect the body in a variety of health outcomes, there are ways to cope and minimize the exposure of EDC. Research shows that a person can minimize EDC exposure by consuming organic fruits, vegetables, and grain products insofar as possible. This includes an increasing number of fungicides routinely applied to fruits and vegetables that are being identified as obesogens and metabolic disruptors in the body.

Xenoestrogen vs. Phytoestrogen

When a person has an endocrine disorder, it might be due to the food they are consuming. Phytoestrogens are plant-derived compounds that are in a wide variety of food, mostly in soy. They are presented in numerous dietary supplements and widely marketed as a natural alternative to estrogen replacement therapy.

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There is a health impact on phytoestrogen, and the plant-derived compound can either mimic, modulate, or disrupt the actions of endogenous estrogen. Xenoestrogen�are synthetically derived chemical agents from certain drugs, pesticides, and industrial by-products that mimic endogenous hormones or can interfere with endocrine disruptors. These chemical compounds can cause an effect on several developmental anomalies to humans. It can also interfere with the production and metabolism of ovarian estrogen in females.

Conclusion

Endocrine disruptors can interfere with the body’s endocrine system causing a health risk to an individual. EDC (endocrine-disrupting chemicals) can target many different organs and systems of the body by various factors that the human body is being exposed to. One of the EDC factors is obesogen, and it can cause a person to gain weight and be obese. Another factor is the exposure of PAHs (polycyclic aromatic hydrocarbons) through environmental factors like smoke inhalation or consuming charcoal-broiled meats. There are ways to cope with EDC exposure, and one is eating organic foods, especially fresh fruits and vegetables. Another is products that target the endocrine system and helps support the liver, intestines, body metabolism, and estrogen metabolism to ensure not only a healthy endocrine system but also a healthy body to function correctly.

October is Chiropractic Health Month. To learn more about it, check out Governor Abbott’s proclamation on our website to get full details on this historic event.

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

Cardoso, A M, et al. �Obesogens and Male Fertility.� Obesity Reviews : an Official Journal of the International Association for the Study of Obesity, U.S. National Library of Medicine, Jan. 2017, www.ncbi.nlm.nih.gov/pubmed/27776203.

Darbre, Philippa D. �Endocrine Disruptors and Obesity.� Current Obesity Reports, Springer US, Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5359373/.

Holtcamp, Wendee. �Obesogens: an Environmental Link to Obesity.� Environmental Health Perspectives, National Institute of Environmental Health Sciences, Feb. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3279464/.

Janesick, Amanda S, and Bruce Blumberg. �Obesogens: an Emerging Threat to Public Health.� American Journal of Obstetrics and Gynecology, U.S. National Library of Medicine, May 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4851574/.

Janesick, Amanda S, and Bruce Blumberg. �Obesogens: an Emerging Threat to Public Health.� American Journal of Obstetrics and Gynecology, U.S. National Library of Medicine, May 2016, www.ncbi.nlm.nih.gov/pubmed/26829510.

Kyle, Ted, and Bonnie Kuehl. �Prescription Medications & Weight Gain.� Obesity Action Coalition, 2013, www.obesityaction.org/community/article-library/prescription-medications-weight-gain/.

L�r�nd, T, et al. �Hormonal Action of Plant Derived and Anthropogenic Non-Steroidal Estrogenic Compounds: Phytoestrogens and Xenoestrogens.� Current Medicinal Chemistry, U.S. National Library of Medicine, 2010, www.ncbi.nlm.nih.gov/pubmed/20738246.

Patisaul, Heather B, and Wendy Jefferson. �The Pros and Cons of Phytoestrogens.� Frontiers in Neuroendocrinology, U.S. National Library of Medicine, Oct. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3074428/.

Singleton, David W, and Sohaib A Khan. �Xenoestrogen Exposure and Mechanisms of Endocrine Disruption.� Frontiers in Bioscience : a Journal and Virtual Library, U.S. National Library of Medicine, 1 Jan. 2003, www.ncbi.nlm.nih.gov/pubmed/12456297.

Unknown, Unknown. �Endocrine Disruptors.� National Institute of Environmental Health Sciences, U.S. Department of Health and Human Services, 2015, www.niehs.nih.gov/health/topics/agents/endocrine/index.cfm.

Unknown, Unknown. �Polycyclic Aromatic Hydrocarbons (PAHs): Your Environment, Your Health | National Library of Medicine.� U.S. National Library of Medicine, National Institutes of Health, 31 Apr. 2017, toxtown.nlm.nih.gov/chemicals-and-contaminants/polycyclic-aromatic-hydrocarbons-pahs.

Yang, Oneyeol, et al. �Endocrine-Disrupting Chemicals: Review of Toxicological Mechanisms Using Molecular Pathway Analysis.� Journal of Cancer Prevention, Korean Society of Cancer Prevention, 30 Mar. 2015, www.jcpjournal.org/journal/view.html?doi=10.15430%2FJCP.2015.20.1.12.

Functional Endocrinology: Hepatic Biotransformation & Hormone Balance

Functional Endocrinology: Hepatic Biotransformation & Hormone Balance

Biotransformation is the process of a substance changes from one chemical to another being transformed by a chemical reaction within the body. In the human body though, biotransformation is the process of rendering nonpolar (fat-soluble) compounds to polar (water-soluble) substances so they can be excreted in urine, feces, and sweat. It also serves as an important defense mechanism in the body to eliminate toxic xenobiotics out of the body through the liver. The liver is the one that takes these toxins and transformed them into suitable compounds to excrete out of the body as biotransformation.

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Detoxification is also known as �detoxication� in literature. It is also a type of alternative medicine treatment that aims the body to get rid of unspecified �toxins.� It is highly important for a person to detox their body and with biotransformation, it can be classified into two categories, under normal sequences, which tends to react with a xenobiotic. They are called Phase 1 and Phase 2 reactions that help the body with detoxification.

Phase 1 Reactions

Phase 1 reaction is consisting of oxidation-reduction and hydrolysis. Research shows that Phase 1 is generally the first defense employed by the body to biotransform xenobiotics, steroid hormones, and pharmaceuticals. They create CYP450 (cytochrome P450) enzymes and are described as functionalization microsomal membrane-bound that are located in the liver but can also be in enterocytes, kidney, lungs and the brain in the body. The CYP450 enzymes can be beneficial or have consequences for an individual�s response to the effect of a toxin they are exposed to.

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Studies have been shown that phase 1 reactions have been affecting the elderly population. It states that hepatic phase 1 reaction involving oxidation, hydrolysis, and reduction appears to be more altered by age since the elderly population comprises the fastest-growing segment of the world�s population. It also states that there is a predictable, age-related decline in cytochrome P-540 function and combined with the polypharmacy that much of the elderly population experiences, this may lead to a toxic reaction of medication.

Phase 2 Reaction

Phase 2 reaction is part of the cellular biotransformation machinery and is a conjugation reaction in the body. They can involve the transfer of a number of hydrophilic compounds to enhanced the metabolites, and the excretion in the bile or urine in the body. The enzymes in Phase 2 reaction can also comprise multiple proteins and subfamilies to play an essential role in eliminating the biotransformed toxins and metabolizing steroid hormones and bilirubin in the body.

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Phase 2 enzymes can function not only in the liver but also in other tissues like the small intestines. When it combined with Phase 1, they can help the body naturally detox the toxins that the body may encounter. Hormones, toxins, and drugs undergo a hepatic transformation by Phase 1 and Phase 2 pathways in the liver, then are eliminated by phase 3 pathways.

Xenobiotics

Xenobiotics has been defined as chemicals that undergo metabolism and detoxication to produce numerous metabolites, some of which have the potential to cause unintended effects such as toxicity. They can also block the action of enzymes or receptors used for endogenous metabolism and produce liver damage to a person. Xenobiotics like drugs, chemotherapy, food additives, and environmental pollutants can generate serval free radicals that lead to an increase of oxidative stress in the cells. Accumulation of oxidative stress in the body can lead to an increase in potential cellular reduction in the body.

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Research shows that the body has a major challenge when it is detoxifying xenobiotics out of the body system and the body must be able to remove the almost-limitless number of the xenobiotic compounds from the complex mixture of chemicals that are involved in normal metabolism.

Studies even show that if the body doesn�t have a normal metabolism, many xenobiotics would reach toxic concentrations. It can even reach the respiratory tract either through airborne toxins or the bloodstream. It is important to make sure that the body and especially the liver to be healthy. Since the liver is the largest internal organ, it is responsible for detoxifying the toxins out of the body as urine, bile, and sweat.

Conclusion

Biotransformation is the process of substance changes from one chemical to another. In the body, it is a process of rendering fat-soluble compounds to water-soluble compounds, so it can be excreted out of the body as either urine, feces, or sweat. The liver is the one that causes toxic xenobiotics to transform into biotransformation and going through phase 1 and 2 to excrete the toxins out of the body for a healthy function.

Phase 1 reactions in the body are the first line of defense of the body detoxifying itself. Phase 2 creates CYP450 (cytochrome P450) that helps the body take the xenobiotic toxins and oxidates to reduce and hydrolysis the toxins to metabolites. Those metabolites then transform into Phase 2 reactions, which conjugates the metabolites in the body to be excreted out of the body. There are many factors that can make the body have xenobiotics, but the liver is the main organ to detoxify the xenobiotics out of the system. If there is an abundance of xenobiotics in the body, it can cause toxicity reaction causing the body to develop chronic illnesses. These products are known to help support the intestines and liver detoxication as well as, to help support hepatic detoxication for optimal healthy body function.

October is Chiropractic Health Month. To learn more about it, check out Governor Abbott�s bill on our website to get full details.

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

Chang, Jyh-Lurn, et al. �UGT1A1 Polymorphism Is Associated with Serum Bilirubin Concentrations in a Randomized, Controlled, Fruit and Vegetable Feeding Trial.� The Journal of Nutrition, U.S. National Library of Medicine, Apr. 2007, www.ncbi.nlm.nih.gov/pubmed/17374650/.

Croom, Edward. �Metabolism of Xenobiotics of Human Environments.� Progress in Molecular Biology and Translational Science, U.S. National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pubmed/22974737.

Hindawi, Unknown. �Xenobiotics, Oxidative Stress, and Antioxidants.� Xenobiotics, Oxidative Stress, and Antioxidants, 17 Nov. 2017, www.hindawi.com/journals/omcl/si/346976/cfp/.

Hodges, Romilly E, and Deanna M Minich. �Modulation of Metabolic Detoxification Pathways Using Foods and Food-Derived Components: A Scientific Review with Clinical Application.� Journal of Nutrition and Metabolism, Hindawi Publishing Corporation, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4488002/.

Kaye, Alan D, et al. �Pain Management in the Elderly Population: a Review.� The Ochsner Journal, The Academic Division of Ochsner Clinic Foundation, 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3096211/.

M.Haschek, Wanda, et al. �Respiratory System.� ScienceDirect, Academic Press, 17 Dec. 2009, www.sciencedirect.com/science/article/pii/B9780123704696000064.

panelEdwardCroom, Author links open overlay, et al. �Metabolism of Xenobiotics of Human Environments.� ScienceDirect, Academic Press, 11 Sept. 2012, www.sciencedirect.com/science/article/pii/B9780124158139000039.

Sodano, Wayne, and Ron Grisanti. �The Physiology and Biochemistry of Biotransformation/Detoxification.� Functional Medicine University, 2010.

Unknown, Unknown. �ToxTutor – Introduction to Biotransformation.� U.S. National Library of Medicine, National Institutes of Health, 2017, toxtutor.nlm.nih.gov/12-001.html.

Zhang, Yuesheng. �Phase II Enzymes.� SpringerLink, Springer, Berlin, Heidelberg, 1 Jan. 1970, link.springer.com/referenceworkentry/10.1007%2F978-3-642-16483-5_4510.

 

 

Functional Endocrinology: Prostaglandin Balance

Functional Endocrinology: Prostaglandin Balance

Prostaglandins are different than hormones. They are not secreted from a gland that can be carried through the bloodstream and work on specific areas around the body. Prostaglandins are made by a chemical reaction in the body that can be made in all the organs and are part of the body�s way of dealing with injuries and illnesses.

When any part of the body has been damaged, prostaglandins are made at the site of tissue damage or infection where they cause inflammation, pain and fever as part of the body�s healing process. When there is a high level of prostaglandins in the body due to the natural healing process from injuries and inflammation, it can contribute to several diseases from the unwanted inflammation.

Prostaglandins in the Omega fatty acids

In omega-6 fatty acids, DGLA (dihomo-gamma-linolenic acid) creates Prostaglandin E1(PG-1) as anti-inflammatory receptors in the body. In omega-3 fatty acids, they can create Prostaglandin E3 (PG-3) that are also anti-inflammatory receptors as well. PG-1 and PG-3 help prevent blood clotting in the body system.

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When it comes to pro-inflammatory receptors, omega-6 fatty acids have these receptors as well. Pro-inflammatory receptors are created by arachidonic acid. Arachidonic acid creates Prostaglandin E2 (PG-2), which is responsible for inflammation, swelling and clotting as well.

There has to be a balance between PG-2 and PG-1,3 to provide a healthy function in the body and an ideal hormone signaling response. When one of the PGs are being disrupted by trans-fatty acids from food, it can cause health problems to a person.

Deficiencies in Prostaglandins

Trans fatty acids are a form of unsaturated fats that can be either natural or artificial. They are produced either by hydrogenation of unsaturated oils or by biohydrogenation in the stomach of ruminant animals. Numerous studies have been shown that consuming trans fatty acids continuously can increase the risk of cardiovascular diseases. This can also increase the ratio of LDL cholesterol to HDL cholesterol in the body. Trans fatty acids can block the activity of D6D (delta-6-desaturase), which is the first step in prostaglandin synthesis from essential fats in the diet.

The excess sugar consumption, insulin surges, inflammation, protein deficiencies hypothyroidism, and alcohol consumption will impair the activity of D6D and be a marker of accelerating aging to the human body. When a person has an increased consumption from fried foods and vegetable oils in an Western diet will shift the omega-6 pathway from PG-1 and into PG-2 production in the body. With the current American diet, people consume a high quantity of omega-6 fatty acids and low quantity of omega-3 fatty acids. This will cause a strong reaction of an inflammatory prostaglandin shift.

Since prostaglandins are caused by injuries and inflammation to heal the body, when an individual consumes a high omega-6 diet, it can cause an excessive amount of inflammation to the body and it can lead to chronic illnesses.

More Deficiencies in Prostaglandins

A deficiency in nutrients like nicotinic acid, pyridoxal 5� -phosphate, calcium, magnesium, zinc, and molybdenum is required for the desaturase and elongase enzymes in omega-6 and omega-3 fatty acids. Their deficiency can lead to improper production of prostaglandins. So EFAs from diets cause overconsumption of omega-6 and a lack of essential fatty acids in the body.

After that happens, then the EFAs can be synthesized into prostaglandins with desaturase and elongase enzymes. This will then cause nutrient deficiencies and metabolic factors can impair and downregulate those enzymes and causing the body to be prone to pro-inflammatory.

When that happens, prostaglandin formation will suddenly turn into abnormal ratios in the body causing problems, excessive inflammation in the endocrine glands and the body organs, and soon later on if it is not fixed, chronic illnesses will cause proper hormones to alter their components and either stop producing or create an abundance in the body.

Conclusion

Prostaglandins are a chemical reaction to the body that are different than hormones. They are caused when the body is injured and it causes inflammation so it can naturally heal itself. When there is an excessive amount of prostaglandins in the body it can lead to chronic inflammation and cause an abnormal shift in the body�s functional state. A factor that can affect the prostaglandins as well is the excessive consumption of omega-6 fatty acids. This consumption can cause inflammation and can make the body feel sluggish and not feeling great. There are products that can help the body, especially balancing the production of essential fatty acids and metabolizing the body for optimal health.

October is Chiropractic Health Month. To learn more about it, check out Governor Abbott�s bill on our website to get full details.

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

F.Horrobin, David. �Loss of Delta-6-Desaturase Activity as a Key Factor in Aging.� Medical Hypotheses, Churchill Livingstone, 22 Mar. 2004, www.sciencedirect.com/science/article/abs/pii/0306987781900645.

Horrobin, D F. �Fatty Acid Metabolism in Health and Disease: the Role of Delta-6-Desaturase.� The American Journal of Clinical Nutrition, U.S. National Library of Medicine, May 1993, www.ncbi.nlm.nih.gov/pubmed/8386433.

Innes, Jacqueline K, and Philip C Calder. �Omega-6 Fatty Acids and Inflammation.� Prostaglandins, Leukotrienes, and Essential Fatty Acids, U.S. National Library of Medicine, May 2018, www.ncbi.nlm.nih.gov/pubmed/29610056.

Iqbal, Mohammad Perwaiz. �Trans Fatty Acids – A Risk Factor for Cardiovascular Disease.� Pakistan Journal of Medical Sciences, Professional Medical Publicaitons, Jan. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3955571/.

Leech, Joe. �What Are Trans Fats, and Are They Bad for You?� Healthline, 30 July 2019, www.healthline.com/nutrition/why-trans-fats-are-bad.

Ricciotti, Emanuela, and Garret A FitzGerald. �Prostaglandins and Inflammation.� Arteriosclerosis, Thrombosis, and Vascular Biology, U.S. National Library of Medicine, May 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3081099/.

Tallima, Hatem, and Rashika El Ridi. �Arachidonic Acid: Physiological Roles and Potential Health Benefits – A Review.� Journal of Advanced Research, Elsevier, 24 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6052655/.

Unknown, Unknown. �Prostaglandins.� You and Your Hormones, Dec. 2016, www.yourhormones.info/hormones/prostaglandins/.

Wang, Xiaoping, et al. �Multiple Roles of Dihomo-?-Linolenic Acid against Proliferation Diseases.� Lipids in Health and Disease, BioMed Central, 14 Feb. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3295719/.

 

Understanding Integrative Hormone Testing

Understanding Integrative Hormone Testing

Trouble concentrating, mood swings, headaches, and fatigue could be a common occurrence in one’s day to day life.� These symptoms are commonly brushed off as lack of sleep but did you know these symptoms are also side effects of hormone imbalance?�

Hormone imbalance is fairly common and can be tested for and treated. One of the most accurate tests to date that checks for hormone imbalances is the D.U.T.C.H test.�

What Is It?

D.U.T.C.H is a type of hormone testing that stands for Dried Urine Test for Comprehensive Hormones. Dried urine samples make it possible for scientists to see a whole day of hormones and quantify aspects that are distinct. Unlike obtaining information from a blood draw, urine contains different components that provide scientists with a new line of insight.

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What Is The Goal?

When it comes to a hormone imbalance, the adrenal glands may have a large impact. The adrenals are two small glands that sit on top of the kidneys. These small glands are responsible for producing vital hormones such as sex hormones and cortisol. These hormones help the body respond to stress along with other functions.�

With the turn around time being around 10 business days, individuals can gain control and receive the insight they may have been missing. �Precision Analytical (the founders of D.U.T.C.H) employs the most innovative instruments to achieve the best outcomes for patients. The main purpose is to create an understanding of what is currently going on in the patient’s body and allows the treatment to become more specific and targeted to the needs of the individual.

There are different D.U.T.C.H tests that may be completed depending on the patient’s needs. The three main tests are

  • Dutch Complete– This is a comprehensive assessment of sex and adrenal hormones and their metabolites. This test measures progesterone, androgen, estrogen metabolites, cortisol, cortisone, cortisol metabolites, creatine, DHEA-S.�
  • Dutch Plus– This test uses 5 -6 saliva samples as well as 4 urine samples to provide the up and down pattern of cortisol and cortisone throughout the day. This test adds salivary cortisol measurements of the cortisol awakening response (CAR) to the dutch complete to bring another important piece of the HPA axis into focus
  • Dutch Test Cycle Mapping– This test maps the progesterone and estrogen pattern throughout the menstrual cycle. It provides the full picture of a woman’s cycle to answer important questions for patients with month-long symptoms, infertility, and PCOS. This test is targeted to measure 9 estrogens and progesterone that are taken throughout the cycle to characterize the follicular, ovulatory, and luteal phases.�

How Does This Operate?

Precision Analyical, Inc. has found a way to utilize scientists who have extensive experience and coupled them with the most advanced analytical methods and instruments. This permits them to achieve the best outcomes when it comes to the D.U.T.C.H test.

One of the reasons that many practicing offices have started to utilize D.U.T.C.H evaluations is because they have an extremely simple sample collection. Patients will collect dried urine samples within a span of 24 hours. The urine samples offer results that are excellent because the collections provide the span of a patients entire day of hormones.�

For the D.U.T.C.H test, the patient will collect 4-5 urine samples throughout a 24 hour time period. Upon opening the kit, the patient will be faced with a folder. This folder includes step by step instructions as well as a pocket. Inside the pocket, the patient will find a requisition form, an envelope, and a small clear plastic bag containing the collection paper.�

Each sample will be completed on a separate collection sheet that is labeled with the time. Once the patient opens this bag, they will be able to unfold the first sample paper. The patient will obtain the initial sample at approximately 5pm ( dinnertime). Once the samples are taken, they are to be left open to dry for 24 hours. The second sample is to be taken around 10 pm (bedtime). This third sample depends upon each individual, but in the event, the patient awakens to urinate during the night, a sample is to be gathered. The next sample ought to be collected within 10 minutes of rising. It’s very important that the patient does not lay in bed after waking and they amass this sample within the 10 minute time period that is allotted. Once the patient has collected their morning sample upon rising, they should set an alarm for two hours, since this is when the final sample will be collected. As soon as all the samples have been collected and set out open to dry for 24 hours, the patient can fold them back up and fill out the information on the back of the card ( i.e first name, last name, date of collection, time, and day of cycle for women) and place them inside the clear plastic bag.�

From here, the patient can place the plastic bag full of their samples along with the requestion form in the envelope provided. Next, place 8 stamps in the correct corner, and send it off to the lab!�

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For the D.U.T.C.H Plus test, individuals will collect dried urine samples as well as saliva samples. This is best so researchers can utilize information from both collection samples to measure the cortisol and cortisone markers as well. For this test, it is completed in a 24 hour time window with 4 dried urine samples and 5 or 6 (depending on the individual) salvia samples. This test may sound more complicated, but it has a fairly easy schedule that makes it just as simple as the D.U.T.C.H complete. The kit will include labeled urine and salvia collection methods along with easy to read instructions.�

When opening this test, the patient will find an instruction book, a requisition form, 4 collection sheets for the urine (labeled with the time) and 6 labeled tubes for the saliva. For all the urine samples, fill out the backside of the card as prompted (last name, first name, date, and time). Saturate the filter paper or urinate into a clean cup and dip the filter paper for 5 seconds. Once this step is completed, leave the sample open to dry for 24 hours.�

For the saliva samples, take out the appropriate tube for the time it is to be collected. Just as done with the urine, fill out the allotted area requesting last name, first time, sample date and time. The saliva tubes have a blue cap that needs to be removed. After this cap is removed, a long cotton swab will be visible. Take out the cotton swab but leave the small tube in the long tube. The patient will then take the cotton swab and leave it in their mouth until it is fully saturated. Once this is done, place the cotton swab back in the tube as it was found and place the blue cap back on. The small tube should stay intact. There is no need to spit in the tubes.�

The first sample will be salvia and urine. These samples are to be collected immediately upon waking (no brushing of the teeth). The next two samples will be saliva. These are to be taken 30 minutes and 60 minutes after waking. After these are completed, the patient may brush their teeth. The fourth sample will be collected 2-3 hours after waking and is urine only. The fifth and sixth samples will be urine and salvia. The patient will collect these around 4-5 pm (dinnertime) and again anywhere from 10pm-midnight (bedtime). Place all saliva tubes in the freezer until they are ready to be shipped.�

The seventh saliva sample is optional. This will be collected at the time the patient wakes throughout the night if they do so.�

After all the samples have been collected and urine has dried for 24 hours, fold up the urine samples and place them back in the small plastic bag in which they came. Then, take the frozen saliva samples out of the freezer and place them in the plastic bag they arrived in. From here, take the urine samples, the frozen saliva, and the requestion form and place them all back in the kit box. Place the kit box in the return envelope provided and return using the provided carrier.�

Dutch Plus photo

The D.U.T.C.H cycle mapping test is the most extensive test provided, with 25 urine samples needed. Due to the fact that this test is for cycle mapping, the collection time frame will be one entire cycle. To start, the patient will need to identify the type of cycle they have ( less than 24 days (normal) long (34 days or more) or no cycle). When the patient opens this kit, they will see an instruction book, 25 urine collection cards, a requestion form, a clear bag, and an envelope.

Day one of the patient’s cycle is the first day of full menstrual flow. The collections for this test will begin on the seventh day and the last four samples will be collected on the fourth day of the patient’s next menstrual cycle. Inside the instruction book, the patient will find an easy to use collection schedule to keep track of their samples.

The ideal time to collect samples throughout this test is upon waking. This will give the lab the most concentrated urine, making the results more conclusive. The patient will collect their sample every morning for day 7 through day 36. Once collected, the patient will leave the urine sample out to dry for 24 hours before putting it in the clear bag provided. It is important for the patient to write the date of the sample on the collection schedule included in the kit.�

The final four samples (22-25) are all to be collected on the same day. Sample 22 should be taken within 10 minutes of waking. Sample 23 is to be taken two hours after waking. Sample 24 should be collected at dinnertime and the patient should not have any fluids two hours before this sample. The final sample should be collected at the patient’s bedtime (approximately 10pm).�

Once the patient has collected all of the samples and let them dry for 24 hours, they are to be placed in the clear plastic bag that was provided in the kit. Next, the patient is to place the clear bag full of samples, the completely filled out collection schedule, and the requisition form in the envelope provided in the kit. Finally, place 8 stamps on the indicated corner and send it off to the lab!�

 

Cycle-Mapping-Box-e1545256643492.png

When sent to the lab as you can see above, these urine samples will be dry. Studies show that dried urine samples will give an accurate representation of the hormone and are stable for weeks. From here, the outcomes are gone over on a team call that includes the patient’s physician and clinicians at Precision Analytical. This helps to ensure that the treatment protocol is created specifically to fit the patients needs.��

Testing is now able to be done by using top of the line integrative techniques. There are numerous reasons and advantages for an individual to complete a hormone evaluation. These tests have the capability to help a patient understand their cycle, testosterone levels, estrogen levels, why they are tired upon waking, throughout there day, and much more.

 

 

Hormone imbalances can affect anyone. People tend to associate hormone imbalance with those who are aging, but in reality, it can affect anyone of any gender or age! It might seem like a hassle at first to compelete these tests, but in reality, they are very simple and provide a great deal of information! The symptoms are common and should be discussed with a healthcare practitioner. October is Chiropractor Health Month and our office can help if you are an individual who has these symptoms. Our office implements the D.U.T.C.H test, which allows us a hassle free and easy way to let us help you get back to feeling how you used to. – Kenna Vaughn, Senior Health Coach

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .

Functional Endocrinology: Essential Fatty Acids in Hormones

Functional Endocrinology: Essential Fatty Acids in Hormones

All fats, including saturated fatty acids, have very important roles in the body. The most important fats are the ones that the body can�t make and must be coming from the foods that a person eats. �Essential fatty acids are lipids that are involved in various biological processes and produce many compounds when they are metabolized in the body. The two primary EFAs (essential fatty acids) are linoleic acid (Omega-6) and alpha-linolenic acid (Omega-3). These two omegas are essential for the body since they are consumed from dietary sources because the body does not have the ability to synthesize them and EFAs are synthesized into prostaglandins, which are necessary for proper hormone signaling in the body.

Omega-6

olive-oils

Omega-6 fatty acids or linoleic acid are polyunsaturated fatty acids that are primarily used for energy and can be converted into longer omega-6 fats called ARA (arachidonic acid). ARA are used to produce eicosanoids, but they are prone to be more pro-inflammatory. Studies have shown that pro-inflammatory eicosanoids are important chemicals in the immune systems, however, when there are too many to produce, they can increase inflammation and inflammatory diseases in the body.

Researchers state that even though omega-6 fats are essential for a healthy body, the modern Western diet is making individuals consume more omega-6 fatty acids than the recommended amount. In a regular healthy diet, the ratio of omega-6 to omega-3s is 4:1 or less. In a Western diet however, the ratio is between 10:1 and 50:1.

Even though, an individual should consume the recommended amount of omega-6 fatty acids, research has shown that omega-6 fatty acids can lower the risk of cardiovascular diseases and treat symptoms that cause chronic diseases. In certain oils that contains omega-6 fatty acids, GLA (gamma-linolenic acid), which is an anti-inflammatory component and when consumed it converts to DGLA (dihomo-gamma-linolenic acids), which has anti-inflammatory and anti-proliferative properties against cancer.

A study has shown that when an individual takes a high dose of GLA in their diet, it can significantly reduce a number of symptoms caused by rheumatoid arthritis, and another study found that taking GLA supplements with a breast cancer drug is more effective in lowering breast cancer.

Omega-3

omega3-foods

Just like omega-6 fatty acids, omega-3 fatty acids are polyunsaturated fats that play important roles in providing a number of health benefits for a functional body. Omega-3 fatty acids contain three important compounds that are found in foods, they are ALA (alpha-linolenic acid); which converts into energy for the body, DHA (docosahexaenoic acid); which is the key component for a functional brain and retina, and lastly, EPA (eicosapentaenoic acid); which has cardiovascular benefits including lowering serum triglyceride and non-HDL-C (non-high-density lipoprotein cholesterol) in the body.

When it comes to those three important components in omega-3s, ALA is mainly found in plants, while DHA and EPA are found in mostly animal products and algae. What makes these three components work well in the omega-3 supplements is that they are a crucial part of the human cell membrane and improve heart health, support mental health, decrease liver fats and fight inflammation.

With omega-3 fatty acids, lots of people don�t consume it as much as omega-6, due to not eating a lot of fatty fish as often and consuming omega-6 through fried food being cooked in refined vegetable oils. To balance a healthy diet, individuals can take an omega-3 supplement to balance out the omega-6 consumption to make sure the body is receiving these fatty health benefits.

Prostaglandins

Prostaglandins are a component of this regulatory system, they affect multiple hormone synthesis and secretion pathways in the hypothalamus-pituitary axis. They are a group of endogenously occurring acidic lipids that appear to play a role in the reproductive physiology.

gsed_0001_0021_0_img6097

Since prostaglandins are bioactive lipids, they exert an autocrine or paracrine function by binding to specific GPCRs (G-protein-coupled receptors) to activate intracellular signaling and gene transcription. As key regulators of reproductive processes, prostaglandins has many functions like having a role in the hypothalamic and pituitary control of gonadotropin secretion, ovulation, in luteinization and in the corpus luteum regression.

Prostaglandins also play a key role in the inflammatory response in the body. Their biosynthesis is significantly increased in inflamed tissues and can contribute to the development of the cardinal signs of acute inflammation in the body.

Researchers stated that prostaglandins have a plethora of actions in the central nervous system that can affect the progress of inflammation in the body differently, however, further studies are being tested to inhibit the role of these lipid mediators.

Conclusion

All fats play a very important role in the body. Essential fatty acids produce many compounds in the body when they are being metabolized in the body. Since the body can not produce essential fatty acids, they have to be consumed through food. The two important essential fatty acids are omega-6 and omega-3. These two fatty supplements help the body gain the nutrients the body needs to synthesize. Prostaglandins are also a key role in the body since they affect the pathways in the hypothalamus-pituitary axis and plays the role of regulating the reproductive physiology. Some products are formulated to target the immune support by creating micronized structure to increase the surface-to-volume ratio of particles to be more available to enzymatic actions.

October is Chiropractic Health Month. To learn more about it, check out Governor Abbott�s proclamation on our website to get full details on this declaration.

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

Bardin, T P. �The Role of Prostaglandins in Reproductive Physiology.� The Ohio State Medical Journal, U.S. National Library of Medicine, Oct. 1970, www.ncbi.nlm.nih.gov/pubmed/4918753.

Behrman, H R. �Prostaglandins in Hypothalamo-Pituitary and Ovarian Function.� Annual Review of Physiology, U.S. National Library of Medicine, 1979, www.ncbi.nlm.nih.gov/pubmed/373605.

Brinton, Eliot A, and R Preston Mason. �Prescription Omega-3 Fatty Acid Products Containing Highly Purified Eicosapentaenoic Acid (EPA).� Lipids in Health and Disease, BioMed Central, 31 Jan. 2017, www.ncbi.nlm.nih.gov/pubmed/28137294.

Calder, Philip C. �n-3 Polyunsaturated Fatty Acids, Inflammation, and Inflammatory Diseases.� The American Journal of Clinical Nutrition, U.S. National Library of Medicine, June 2006, www.ncbi.nlm.nih.gov/pubmed/16841861.

Di Pasquale, Mauro G. �The Essentials of Essential Fatty Acids.� Journal of Dietary Supplements, U.S. National Library of Medicine, 2009, www.ncbi.nlm.nih.gov/pubmed/22435414.

Dinan, Timothy, et al. �Investigating the Inflammatory Phenotype of Major Depression: Focus on Cytokines and Polyunsaturated Fatty Acids.� Journal of Psychiatric Research, U.S. National Library of Medicine, Jan. 2009, www.ncbi.nlm.nih.gov/pubmed/18640689.

Gibson, Robert A, et al. �Conversion of Linoleic Acid and Alpha-Linolenic Acid to Long-Chain Polyunsaturated Fatty Acids (LCPUFAs), with a Focus on Pregnancy, Lactation and the First 2 Years of Life.� Maternal & Child Nutrition, U.S. National Library of Medicine, Apr. 2011, www.ncbi.nlm.nih.gov/pubmed/21366864.

Guesnet, Philippe, and Jean-Marc Alessandri. �Docosahexaenoic Acid (DHA) and the Developing Central Nervous System (CNS) – Implications for Dietary Recommendations.� Biochimie, U.S. National Library of Medicine, Jan. 2011, www.ncbi.nlm.nih.gov/pubmed/20478353.

Gunnars, Kris. �What Are Omega-3 Fatty Acids? Explained in Simple Terms.� Healthline, 23 May 2019, www.healthline.com/nutrition/what-are-omega-3-fatty-acids.

Innes, Jacqueline K, and Philip C Calder. �Omega-6 Fatty Acids and Inflammation.� Prostaglandins, Leukotrienes, and Essential Fatty Acids, U.S. National Library of Medicine, May 2018, www.ncbi.nlm.nih.gov/pubmed/29610056.

Jabbour, H N, and K J Sales. �Prostaglandin Receptor Signalling and Function in Human Endometrial Pathology.� Trends in Endocrinology and Metabolism: TEM, U.S. National Library of Medicine, Oct. 2004, www.ncbi.nlm.nih.gov/pubmed/15380812.

Kapoor, Rakesh, and Yung-Sheng Huang. �Gamma Linolenic Acid: an Antiinflammatory Omega-6 Fatty Acid.� Current Pharmaceutical Biotechnology, U.S. National Library of Medicine, Dec. 2006, www.ncbi.nlm.nih.gov/pubmed/17168669.

Kenny, F S, et al. �Gamma Linolenic Acid with Tamoxifen as Primary Therapy in Breast Cancer.� International Journal of Cancer, U.S. National Library of Medicine, 1 Mar. 2000, www.ncbi.nlm.nih.gov/pubmed/10699943.

Khanapure, Subhash P, et al. �Eicosanoids in Inflammation: Biosynthesis, Pharmacology, and Therapeutic Frontiers.� Current Topics in Medicinal Chemistry, U.S. National Library of Medicine, 2007, www.ncbi.nlm.nih.gov/pubmed/17305573.

Kim, Kyu-Bong, et al. �?-Linolenic Acid: Nutraceutical, Pharmacological and Toxicological Evaluation.� Food and Chemical Toxicology : an International Journal Published for the British Industrial Biological Research Association, U.S. National Library of Medicine, Aug. 2014, www.ncbi.nlm.nih.gov/pubmed/24859185.

M.Shewchuk, Brian. �Prostaglandins and n-3 Polyunsaturated Fatty Acids in the Regulation of the Hypothalamic�Pituitary Axis.� Prostaglandins, Leukotrienes and Essential Fatty Acids, Churchill Livingstone, 28 Sept. 2014, www.sciencedirect.com/science/article/abs/pii/S0952327814001495.

Parker, Helen M, et al. �Omega-3 Supplementation and Non-Alcoholic Fatty Liver Disease: a Systematic Review and Meta-Analysis.� Journal of Hepatology, Centre for Reviews and Dissemination (UK), Apr. 2012, www.ncbi.nlm.nih.gov/pubmed/22023985.

Petersen, Martin, et al. �Effect of Fish Oil versus Corn Oil Supplementation on LDL and HDL Subclasses in Type 2 Diabetic Patients.� Diabetes Care, U.S. National Library of Medicine, Oct. 2002, www.ncbi.nlm.nih.gov/pubmed/12351465.

Ph.D., Catharine Paddock. �Could Omega-6 Fatty Acids Help Us Live Longer?� Medical News Today, MediLexicon International, 20 Mar. 2018, www.medicalnewstoday.com/articles/321266.php.

Robertson, Ruairi. �Omega-3-6-9 Fatty Acids: A Complete Overview.� Healthline, 15 Jan. 2017, www.healthline.com/nutrition/omega-3-6-9-overview.

Simopoulos, Artemis P. �The Importance of the Omega-6/Omega-3 Fatty Acid Ratio in Cardiovascular Disease and Other Chronic Diseases.� Experimental Biology and Medicine (Maywood, N.J.), U.S. National Library of Medicine, June 2008, www.ncbi.nlm.nih.gov/pubmed/18408140.

Wang, Xiaoping, et al. �Multiple Roles of Dihomo-?-Linolenic Acid against Proliferation Diseases.� Lipids in Health and Disease, BioMed Central, 14 Feb. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3295719/.

Weylandt, Karsten H, et al. �Omega-3 Polyunsaturated Fatty Acids: The Way Forward in Times of Mixed Evidence.� BioMed Research International, Hindawi Publishing Corporation, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4537707/.

Zurier, R B, et al. �Gamma-Linolenic Acid Treatment of Rheumatoid Arthritis. A Randomized, Placebo-Controlled Trial.� Arthritis and Rheumatism, U.S. National Library of Medicine, Nov. 1996, www.ncbi.nlm.nih.gov/pubmed/8912502.

Functional Endocrinology: Understanding Hormones From the Pituitary to the Receptor Sites

Functional Endocrinology: Understanding Hormones From the Pituitary to the Receptor Sites

The body secretes and circulates 50 different hormones to different organs in the body. Hormones are the chemical substances that coordinate the activities of living organism growth. They are secreted through the endocrine glands and travel through the bloodstream to different organs in the body to function properly. When there is an excessive quantity or an reduced quantity of hormones being produced, it can cause the body to malfunction and develop chronic illnesses.

The Pituitary Gland Functions

In neuroendocrinology, an endocrine gland can�t make a hormone without activation from a pituitary-stimulating hormone. The pituitary-stimulating hormone helps regulate hormones by secreting them to the endocrine glands. The pituitary gland is known as the �master gland� since it controls the activity of the other endocrine glands and it consists of 3 parts known as the anterior, intermediate and posterior lobes.

Anterior Lobe

adenohypophysis

The anterior pituitary gland is located in the sella turcica and is controlled by the hypothalamus in the brain. It secretes a quantity of peptides and glycoprotein hormones that help regulate the growth, metabolism, reproduction and stress response. The anterior pituitary gland produces 6 hormones that circulate to their respective targets in the body.

  • ACTH (Adrenocorticotropic hormone): This hormone is a tropic hormone as it regulates cortisol and androgen production to the adrenal cortex. Cortisol or stress hormones stimulates the release of ACTH, while the adrenal cortex secretes glucocorticoids to the body�s metabolism.
  • GH (Growth hormone): This hormone helps regulate the body�s growth, metabolism, and composition. GH is secreted by the somatotroph cells located primarily in the lateral wings of the anterior lobe. GH can also secrete in al pulsatile fashion and can have a maximal release during a circadian rhythm at night.
  • TSH (Thyroid stimulating hormone): This hormone is involved by coordinating the signal regulation of the hypothalamus, the pituitary, and the thyroid. It requires the oxidation of dietary iodine, since iodine is absorbed through the small intestine and transported to the thyroid. After the iodine is transported it can be concentrated, oxidized and then incorporated into thyroglobulin to be formed to T4 and T3 later on.
  • LH (Luteinizing hormone): This hormone is highly important to both men and women, since it affects the sex organs and plays a role in puberty, menstruation and fertility. For women, it creates progesterone, which help regulate menstruation and supports pregnancy in the female body. For men, it creates testosterone, which helps regulates fertility, muscle mass, fat distribution, and red blood production in the male body.
  • FSH (Follicle stimulating hormone): This hormone plays an important part in the reproductive system and is responsible for ovarian follicles. For females, FSH helps produce estrogen, which is a group of sex hormones that help promote the development and maintenance of female characteristics in the human body, For males, FSH helps produce spermatogenesis and regulates sperm function in the male body.
  • Prolactin: This is a protein hormone in the anterior lobe. It has the ability to promote lactation to nursing mothers. It synthesizes within the pituitary gland, the central nervous system, the immune system, and the uterus.

Intermediate lobe

intermediate

The intermediate lobe is composed of a homogeneous population of the endocrine cells, the melanotrophs and secretes several bioactive peptides. It contains very few blood vessels and can be virtually avascular. The melanotrophs are richly supplied by nerve fibers that originate from the hypothalamus.

  • Melanocyte-stimulating hormone: This hormone has many functions in a diverse physiological role. It affects skin pigmentation and studies have shown that it has antiapoptotic and anti-inflammatory effects that help decrease in nephrotoxin exposure to the body.

Posterior lobe

posterior

The posterior lobe is similar to the anterior lobe since they both control endocrine function and the body�s hormonal response to the environment. The hypothalamus receives neural signals from the brain and secretes polypeptide and neuropeptide hormones for storage in the posterior lobe until they are ready to be released. The hormones in the posterior lobe are in charge of regulating water retention and inducing uterine contractions.

  • ADH (Antidiuretic hormone): Also known as vasopressin, this hormone is a nonapeptide that is synthesized in the hypothalamus. It plays a bunch of important roles in controlling the body�s osmotic balance, regulates blood pressure, and makes sure that the kidneys are working. ADH is mainly responsible for tonicity homeostasis as they act primarily in kidneys to increase water reabsorption.
  • Oxytocin: Also known as the �love hormone�, oxytocin is also a neurotransmitter that is involved in childbirth and breast-feeding. It has benefits as a treatment for a number of conditions like depression, anxiety and intestinal problems and is produced in the hypothalamus. Studies show that females have a higher level of oxytocin than males, especially to nursing mothers with their babies.

Free-fraction Hormones

When an endocrine gland synthesizes a hormone, it is released into circulation and bound to as a protein. Hormones attach themselves to proteins but they can�t bind to hormone receptors. So what a hormone needs to do is to lose its binding protein to become a �free-fraction� hormone. Studies have stated that a fraction of a hormone that is free is called in vitro and it is equivalent to the fraction of a hormone that is free and available to be transported into tissues are called in vivo. Free-fraction hormones make up less than 1% of all circulating hormones since they don�t impact the hypothalamus-pituitary feedback loop.

Hormone Metabolites

Hormones are metabolized by hepatic and microbiome biotransformation pathways into various hormone metabolites. Hormone metabolites have their own impact on cell receptors, studies have shown that this impact is not fully understood yet but hormone metabolites are not a reflection of direct endocrine gland production but it can be metabolized in the liver as well. Hormone metabolites can bind to hormone receptors or can be eliminated by renal or fecal clearance pathways.

Conclusion

All in all, the body secretes and circulates 50 different hormones to different organs in the body. These hormones are chemically produced in the body and keep an eye on what each of the different organs is doing. It is important that the hormone receptors are functioning properly so that an individual is feeling good both inside and out. If there is a hormonal imbalance in the body, it can cause dysfunction and chronic illnesses to a person.

October is Chiropractic Health Month. To learn more about it, check out Governor Abbott�s proclamation on our website to get full details on this declaration.

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .


References:

Allen, Mary J. �Physiology, Adrenocorticotropic Hormone (ACTH).� StatPearls [Internet]., U.S. National Library of Medicine, 3 Mar. 2019, www.ncbi.nlm.nih.gov/books/NBK500031/.

Clinic, Cleveland. �Overactive Pituitary Gland & Hyperpituitarism.� Cleveland Clinic, 22 Mar. 2017, my.clevelandclinic.org/health/diseases/15173-pituitary-gland–hyperpituitarism-overactive-pituitary-gland.

Cuzzo, Brian. �Vasopressin (Antidiuretic Hormone, ADH).� StatPearls [Internet]., U.S. National Library of Medicine, 2 Feb. 2019, www.ncbi.nlm.nih.gov/books/NBK526069/.

Ellis, Mary Ellen, and Rachel Nall. �Luteinizing Hormone (LH) Test: What It Is and Why It’s Important.� Healthline, 29 Aug. 2017, www.healthline.com/health/lh-blood-test.

Ellis, Ronald E, and Gillian M Stanfield. �The Regulation of Spermatogenesis and Sperm Function in Nematodes.� Seminars in Cell & Developmental Biology, U.S. National Library of Medicine, May 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4082717/.

Freeman, M E, et al. �Prolactin: Structure, Function, and Regulation of Secretion.� Physiological Reviews, U.S. National Library of Medicine, Oct. 2000, www.ncbi.nlm.nih.gov/pubmed/11015620.

Genes, S G. �Role of the Liver in Hormone Metabolism and in the Regulation of Their Content in the Blood.� Arkhiv Patologii, U.S. National Library of Medicine, 1977, www.ncbi.nlm.nih.gov/pubmed/334126.

Goyal, Shikha. �List of Important Hormones and Their Functions.� Jagranjosh.com, 12 Mar. 2019, www.jagranjosh.com/general-knowledge/list-of-important-hormones-and-their-functions-1516176713-1.

Gunawardane, Kavinga. �Normal Physiology of Growth Hormone in Adults.� Endotext [Internet]., U.S. National Library of Medicine, 12 Nov. 2015, www.ncbi.nlm.nih.gov/books/NBK279056/.

Hadley, M E, et al. �Biological Actions of Melanocyte-Stimulating Hormone.� Ciba Foundation Symposium, U.S. National Library of Medicine, 1981, www.ncbi.nlm.nih.gov/pubmed/6268380.

Lamacz, M, et al. �The Intermediate Lobe of the Pituitary, Model of Neuroendocrine Communication.� Archives Internationales De Physiologie, De Biochimie Et De Biophysique, U.S. National Library of Medicine, June 1991, www.ncbi.nlm.nih.gov/pubmed/1717055.

Lee, Heon-Jin, et al. �Oxytocin: the Great Facilitator of Life.� Progress in Neurobiology, U.S. National Library of Medicine, June 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2689929/.

M., William. �Transport of Protein-Bound Hormones into Tissues in Vivo *.� OUP Academic, Oxford University Press, 1 Jan. 1981, academic.oup.com/edrv/article-abstract/2/1/103/2548700?redirectedFrom=fulltext.

MacGill, Markus. �Oxytocin: The Love Hormone?� Medical News Today, MediLexicon International, 4 Sept. 2017, www.medicalnewstoday.com/articles/275795.php.

MacGill, Markus. �Testosterone: Functions, Deficiencies, and Supplements.� Medical News Today, MediLexicon International, 6 Feb. 2019, www.medicalnewstoday.com/articles/276013.php.

Nichols, Hannah. �Estrogen: Functions, Uses, and Imbalances.� Medical News Today, MediLexicon International, 2 Jan. 2018, www.medicalnewstoday.com/articles/277177.php.

Patel, Hiran. �Physiology, Posterior Pituitary.� StatPearls [Internet]., U.S. National Library of Medicine, 27 Oct. 2018, www.ncbi.nlm.nih.gov/books/NBK526130/.

Rawindraraj, Antony D. �Physiology, Anterior Pituitary.� StatPearls [Internet]., U.S. National Library of Medicine, 25 Apr. 2019, www.ncbi.nlm.nih.gov/books/NBK499898/.

Researchers, Various. �Thyroid Hormone Synthesis.� Thyroid Hormone Synthesis – an Overview | ScienceDirect Topics, 2019, www.sciencedirect.com/topics/medicine-and-dentistry/thyroid-hormone-synthesis.

Rousset, Bernard. �Chapter 2 Thyroid Hormone Synthesis And Secretion.� Endotext [Internet]., U.S. National Library of Medicine, 2 Sept. 2015, www.ncbi.nlm.nih.gov/books/NBK285550/.

Seladi-Schulman, Jill. �Everything You Need to Know About Progesterone.� Healthline, 29 Apr. 2019, www.healthline.com/health/progesterone-function.

Integrative Testing & Hormone Imbalances

Integrative Testing & Hormone Imbalances

Hormone deficiencies and imbalances are more common than one might originally think. Research suggests that “nearly half of the women in the United States have experienced a hormone imbalance” (Grinta, 1) . However, hormone imbalance does not just affect women, “as nearly 35% of males in their seventh decade have lower testosterone levels than younger men”. (McBride, 2)��An imbalance in hormones can cause an array of symptoms and ultimately affect an individuals day to day life.�

Symptoms�

The symptoms of hormone deficiency might not be as obvious as one could imagine. Some symptoms are small and could be brushed off as stress or lack of sleep, but it is important to look at the symptoms for what they really are. “In women, low estrogen can contribute to:

  • mood swings
  • hot flashes
  • headaches
  • depression
  • trouble concentrating
  • fatigue
  • irregular or absent periods
  • increased UTI’s “

(Swns, 3)�

In men, some of the symptoms are similar to those in women, but also include:

  • decreased bone mass
  • sleep disturbances
  • decreased motivations
  • increased body fat
  • decreased muscle mass
  • hair loss
  • libido

(Wallace, 4)

Solutions�

If these symptoms are affecting an individual’s lifestyle, there are multiple steps that can be taken to diagnose the problem and ultimately reduce symptoms. In today’s medical world, practitioners are able to use integrative techniques towards functional medicine, focusing on the biochemical level. If a patient is seeking solutions, the first step taken is an extensive questionnaire. This allows the doctor to pinpoint the exact symptoms, issues, and gives an insider look as to what direction to head towards first.

An example of the questions asked are as follows:

 

 

Once the questionnaire is completed and reviewed, a lab test is needed in order to confirm and view the exact levels the hormones are at. D.U.T.C.H ( Dried Urine Test for Comprehensive Hormones) provides one of the most accurate results. To gain more insight on D.U.T.C.H and how it works, please see last week’s article, linked here.

Testing & Conclusions

Filling out the questionnaire�essentially allows the practitioner to score and rate the severity of the issues. Adding the D.U.T.C.H results to the questionnaire gives the practitioner a factual level and complete understanding of their patient’s sex and adrenal hormones and metabolites.

This further allows the practitioner to diagnose (if necessary) and suggest nutraceuticals to help the patient’s hormone levels return to normal and minimize symptoms. There are many factors and systems involved when it comes to treating hormones and having tests completed that reflect the numbers that need to be adjusted is necessary. A hormone imbalance can easily take charge of an individual’s life, but now is the time to get these symptoms under control and get back to feeling like you used to!

A great place to start is to find a doctor or healthcare provider who will supply you with a full questionnaire and listen to the symptoms you’re having. This condition is fairly common and can be treated! October is Chiropractor Health Month, and we would love to see you and aid in providing treatment if you are experiencing any of these symptoms. Due to the fact that hormones can be complex and affect different body systems, we take the time to really understand and check all aspects before jumping to a conclusion. – Kenna Vaughn, Senior Health Coach

The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .

Bibliography
(1) Ginta, Daniela. �What Are the Symptoms of Low Estrogen in Women and How Are They Treated.� Healthline, 31 Jan. 2017, www.healthline.com/health/womens-health/low-estrogen-symptoms.
(2) McBride, J Abram, et al. �Testosterone Deficiency in the Aging Male.� Therapeutic Advances in Urology, SAGE Publications, Feb. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4707424/.
(3) Swns. �Nearly Half of Women Have Been Affected by a Hormonal Imbalance.� New York Post, New York Post, 22 Feb. 2019, nypost.com/2019/02/22/nearly-half-of-women-have-been-affected-by-a-hormonal-imbalance/.
(4) Wallace, Ryan, and Kathleen Yoder. �12 Signs of Low Testosterone .� Healthline, 25 Apr. 2019, www.healthline.com/health/low-testosterone/warning-signs.