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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 have an underactive thyroid.  I have been taking 100mcg. Recent Blood tests showed I needed to increase the dose to supposedly 150mcg.  I still feeling horrible after four weeks. I am full time carer to my immobile mum of 84 and need to have this thyroid problem under control.  How long does it take for the increase to work?  Also how often should I have blood tests?  I would love to see a herbalist about this.

  Answer:  An increase in the dose of this type of hormone supplement can take up to six weeks to take effect.  However it would be worthwhile investigating other factors like your adrenal function and your cortisol levels, the elevation of which can compromise your thyroid hormone function. Certainly the stress you are experiencing would factor into the equation.  You also need adequate amounts of selenium and zinc to produce sufficient amounts of thyroid hormone.  Problems such as yours need a comprehensive hormone evaluation together with a nutritional assessment and food allergy test.


QUESTION 2: I have been diagnosed with the Helicobacter Pylori bacteria.  My physician has prescribed LOSEC HP7.   I had very bad side effects including thrush growing on my mouth and throat and an irregular heart beat after taking only 2 doses.  I also have insomnia, chest pain, sore and dry throat and lots of gas in the system.  Is there any other antibiotics or treatment I can take to get rid of the bacteria?

  Answer:   Alternative therapies for helicobacter pylori include vitamin C, mastic gum, acidophilus powder or capsules and the herbs barberry, grapefruit seed extract, thyme, myrrh, cinnamon, golden seal, garlic, liquorice and tansy.  This type of treatment needs supervision by a complementary health therapist. The side effect profile is certainly less than that of conventional therapy.  Unfortunately the efficacy suffers.  You have to give this kind of approach 3 months to work after which you can repeat the breath test to see whether this germ has been eradicated.


QUESTION 3: Thank you very much for your help.  I’m trying to put on more muscle mass. This is very difficult.   I’m a person that worries a lot.  I think this has a lot with it.  I think I might have adrenal deficiency.  Every time I worry I could lose 3—4 pounds in a couple of days.  The only things that help me are fish oil and pregnenolone.  I have problems digesting complex carbohydrate, so my diet is high in protein and good fats.   I only eat vegetables as carbohydrates.  I could be OK taking the fish oil and pregnenolone but as soon as I stop taking them people would ask me if I lose 10 pounds or so I lose so much muscle.   I would really like to know what’s wrong with me.  Again thank you very much for your help.

  Answer: I agree that you need an assessment of your adrenal glands either by means of a blood test or salivary hormone assay.  You would also benefit from an evaluation of your digestive system including the appropriate tests for food allergy/intolerance.  Insulin resistance is another problem that you might be experiencing.  I suggest that you read ‘Eternal Health’ which is described on this site, as you will find explanations in the book for your metabolic disturbances. Creatine and whey supplements help to build muscle.


QUESTION 4:  I’m interested in finding out about natural breast enhancers.   I have seen a few online but I have been told they don't work.  Could you tell me more about these or any products you know of?

  Answer:  I agree that there is little scientific evidence to support these claims or at least none of which I’m aware.


QUESTION 5: Is Moducare a better product than Protocell?  How do I go about purchasing Moducare if better?  P.S. will be attending your clinic for the $2600 package
next year.

  Answer:  Quite frankly the difference between the two products is not that significant.  You can purchase moducare from www.thorne.com.   I look forward to meeting you next year.


QUESTION 6: After coming of the pill in 2000, and failing to resume a regular menstrual cycle I was eventually diagnosed with polycystic ovarian syndrome (PCOS) based on a high free androgen index and the presence of 2 large ovarian cysts.  My insulin and glucose levels were normal. I drastically changed my diet to low GI and began taking many supplements including natural progesterone cream. I lost weight, felt much better and began getting regular periods. Then after about 6 months my periods stopped and I seemed to get worse again despite maintaining those changes.  An ultrasound showed that the cysts had increased in size and although my androgen levels were normal, my previously normal LH: FSH ratio was high. I had a laparoscopy to remove the cysts and it turns out that one was growing from my fallopian tube.  3 months later I have stopped the progesterone cream as my naturopath says it prevents the ovary from producing its own progesterone and I haven’t had a period since February.  After much research I don’t
 believe I have PCOS, but I do believe I have a problem with my hypothalamus/pituitary feedback. I also have many symptoms of underactive thyroid yet I’m unsure if this is the cause or a result of the problem. I also have low SHBG levels and slight macrocytosis despite an excellent diet and B complex supplements. Can you advise me on possible testing or treatments and if natural progesterone can negatively affect the ovaries?

Answer: What you should have assessed are your oestrogen/progesterone ratios as these may be out of balance.  It still sounds like you are suffering from insulin resistance and this should be evaluated by means of a test which measures glucose tolerance together with insulin levels over a two hour period following an overnight fast.  Gluten intolerance should also be investigated.  It is possible that the progesterone dose you were taking needed to be changed over time.  When you commence this type of treatment it is a good idea to have your progesterone and oestrogen levels monitored.  In your case a thorough hormone evaluation would be helpful.


QUESTION 7:  I take a large number of prescribed drugs following a heart valve transplant surgery (8/2001) and have just entered a new relationship.  I suffer from erectile dysfunction since surgery and do NOT want to take drugs such as Viagra and Cialis. Can you recommend a similar herbal medication to achieve same effect?

  Answer:  Herbs such as tribulus terrestris are reputed to boost testosterone levels.  Yohimbe an arginine are natural remedies, which can improve erectile function.  However these are not without their problems, which include elevating blood pressure in the case of yohimbe.  Having your testosterone levels measured would give you some indication as to whether it’s worthwhile taking those substances which increase testosterone including testosterone itself.  I strongly recommend that you enlist the guidance of a physician who is familiar with these tests and this type of approach before commencing such therapies.  Once again ‘Eternal Health’ has a good chapter on this. 


QUESTION 8: I am feeling very sluggish and feel a colonic treatment would be beneficial.  Could you please recommend the name of some suitable herbal colonic preparations that I may use?

Answer: My favourites are vitamin C, aloe vera juice and magnesium as these really get the bowels going.


 

QUESTION 9:  My mother (80) has been diagnosed with liver cancer, which has also spread to various other organs.  She is terminal and starting to experience obvious, distressing pain.  Panadeine forte makes her ill.  Can you suggest something else until she requires liquid morphine?  Or something taken with the panadeine forte that may stop the nausea?

  Answer: Ginger tea would stop the nausea.  DL-phenylalanine is a natural pain reliever but might not be as effective as panadeine forte.


 

QUESTION 10:  Is serc safe to take if I’m pregnant?  Can I buy mobic and neurobion here in the UK? Is there a generic form of mobic and neurobion?  Why is it that even when I take serc for vertigo it keeps on coming back?  What’s the reason for this?

  Answer:  Serc is contraindicated in pregnancy. With regard to your questions re mobic and neurobion you will have to consult your doctor who would be familiar with the availability of these medications in the United Kingdom.  I suggest that you have the appropriate tests to investigate the underlying cause of your vertigo especially if your response to treatment is unsatisfactory.  Neurazest, which is a natural product and is found on this site at ‘New Product Launch,’ might be helpful.


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