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Questions and Answers Segment
Your questions answered
every 2 weeks. If you have a question for Dr Elstein,
click here.
QUESTION 1:
My doctor advised me to take DHEA and another hormone (Utrogestant)
together. What time should I take DHEA? Normally I take
Utrogestant before bedtime. How much does it cost per
year to join your anti-aging programme in Australia?
Answer: The
best time to take DHEA is in the morning.
Remember to have your hormone levels constantly
monitored, as the whole trick with hormone therapy is
youthful physiological balance.
The annual cost of the programme is $2600
Australian as advertised on the site.
QUESTION 2: My lab work on day 3: LH
– 12 FSH – 7. On
day 33: LH – 42 FSH - 10. Does this mean I have
PCOS? I do
not get periods on my own. I get them after taking
provera.
Answer: It certainly is a possibility but I would
like to know your testosterone levels together with the
results of your ultrasound scan.
I would also be keen to know your other health
problems. There
is a syndrome called insulin resistance which is
associated with polycystic ovarian syndrome (PCOS) and
if your testosterone levels are high it would be
worthwhile having your doctor assess your insulin and
blood glucose levels together with your triglycerides.
This syndrome is associated with excess weight
around the tummy area. Managing insulin resistance might help to resolve
polycystic ovarian syndrome.
QUESTION 3: Recently a study published
in Arthritis and Rheumatology (May issue2002) shows
lowered growth hormone in fibromyalgia. I have had mild
to moderate fibromyalgia for years plus usual age
related problems with fat gain and difficulties with
weight loss despite exercise and low calorie low fat
diet. I want to try taking homeopathic DHEA and growth
hormone as a first step and if it doesn't help then over
to the doctor for tests and injections.
Who is there in Brisbane? Now, bearing in mind
your advice re estrogen, I am not on HRT which I was
advised to stop when I got a massive DVT in February.
So, what is the maximum oral dose of DHEA that will put
me in the breast cancer risk zone, or is there no risk
unless by injection. I am taking vitamin E and melatonin.
Answer: I’m
really not convinced that homeopathic DHEA or growth
hormone work despite the fact that some of my patients
appeared to be impacted positively by these types of
hormone boosters. Rather
than jumping into boosting hormones I would suggest that
you have a comprehensive evaluation of your hormone
levels together with the type of assessment that is
described in the anti-aging programme on this site.
It is possible that you are suffering from
insulin resistance and raised homocysteine levels, which
can predispose to DVTs as well as weight gain.
I’m not aware that there is a maximum oral dose
of DHEA as this depends on your levels of this hormone
but what I do know is that excessive levels of this
hormone is not a good thing.
Melatonin can have a pro-inflammatory effect so
one again you need guidance in this area and all the
evidence is pointing to the fact that you need a skilled
health practitioner to re-evaluate your programme and
set you on the right track.
There is a college in Melbourne contactable on
03-95896088 who have a database of all the practitioners
around Australia who practise this type of medicine.
QUESTION 4:
Since I stopped HRT I have increased my calcium intake.
I have read another recent study indicating that the
current RDA of vitamin D3 is way, way too low. But I am
unable to source any D3 on its own in Australia without
being with vitamin A and my calcium supplement only has
the minimum D3. Is there any problem with taking a lot
of vitamin A if that's the only way to increase D3
levels?
Answer:
Too much vitamin A is not good for the liver
and in fact is associated with osteoporosis as evidenced
by recent studies.
Good old sunlight might provide you with the
vitamin D that you need.
QUESTION 5:
The study re fibromyalgia mentioned above, was able to
restore GH levels with injections of pyrostignine.
I don't understand the connection between an
anticholinesterase and GH levels, but am wondering about
galantamine.
Would it be an idea to try this as well?
Answer: This
is interesting as I’m not sure of this connection
either. Galantamine has an impressive side effect
profile and once again places some strain on the liver
so I would not be that keen on endorsing this type of
approach.
Archives
Bondi
Family Health Centre
Phone 02 9365 1333
Int: 612 9365 1333
260a Bondi Road
Bondi NSW 2066
AUSTRALIA
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