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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: I would like to know what these brown spots or scars are on my face and if you know why I would be getting sore pimples on my head in my early fourties?

  Answer:  It is extremely difficult to pass a comment without seeing exactly what it is you are describing.  I suggest you bring your concerns to the attention of your doctor.  It is possible that you are suffering from a hormonal imbalance leading to an excess of the hormone testosterone, which can be corrected by addressing the underlying metabolic cause often found to be a condition called insulin resistance.  It is also possible that you are suffering from nutritional deficiencies, which can precipitate skin disorders.


QUESTION 2: My doctor cannot decide whether I have fibromyalgia or CMV. Can you suggest anything I can take instead of Aropax 10mg am. I have tried to stop this but get aching in the arms & legs again. I have no energy at all & struggle to get through each day. I am only working part-time now but that doesn't seem to be helping. I have also put on quite a bit of weight. Any suggestions please!!

Answer:  If you go to the ‘Anti-aging’ updates July 1st 2003 and the ‘What’s new’ updates November 17th 2002 you will find a number of suggestions re management of your condition. Other websites that might be helpful include www.immed.org and www.EndFatigue.com 


QUESTION 3: I have oily skin and I get zits once in a while.  I recently have gotten little bumps on my eyelid.  I believe that this is blepharitis; the bumps are mildly uncomfortable and my right eyelid seems to be infected. I am just wondering if there are any ways of controlling it as to not have it show without using prescription medication.

  Answer:  I suggest that you have your hormone levels evaluated as excessive levels of these may be connected with your condition.  Once again elevated levels of the hormone testosterone may be the culprit and as I indicated in this column insulin resistance might be the underlying disorder and can be evaluated by means of a blood test, which measures glucose or blood sugar and insulin before and after a sugar drink.  The test in question is called a GTT plus insulin evaluation and your physician should be familiar with this procedure.  As far as topical treatment is concerned this would include bathing your eyelid with vitamin C powder diluted in water and also using chamomile tea bags that have been soaked in water.  You can perform this process on a 4 hourly basis.  The nutrient N-acetylcysteine taken orally has also been shown to reduce blepharitis.


QUESTION 4: Is there anyone in the UK doing this?

  Answer:  Using a search engine like ‘yahoo’ or ‘google’ will help you to find an anti-aging physician in the United Kingdom who can look after your needs.  If you go to the website of the American Academy of Anti-aging Medicine at www.worldhealth.net you will find a directory of doctors around the world who practise like I do.


QUESTION 5: I was just diagnosed with Hashimoto's disease and prescribed 112 mcg. Synthroid.  Is there any indication that my vitiligo spots will clear up after the hormone replacement begins affecting my body?  Am I wrong to think Synthroid is a miracle drug, after all, I am told I will loose weight, have more energy, and be in better general health?

  Answer:  It is possible that the thyroid treatment will help with your skin condition. I would suggest that you have a blood test for gliadin antibodies, as coeliac disease is also associated with vitiligo and if this test is positive avoiding gluten-containing foods might prove helpful.  There is a medication called tacrolimus, which can be used on your skin in the form of a 0.1% ointment to treat vitiligo.  Certainly taking Synthroid might assist with the resolution of your health problems and to help this medication work more effectively I suggest you take supplements of zinc and selenium. I have referred to a herbal treatment used to manage vitiligo in the ‘ What’s new’ section of this update.  Please let me know how you get on, as there are other forms of thyroid hormone treatment, which can be used to manage your condition.  These are discussed in ‘Eternal Health’, which is described on this site.


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