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The Need to Educate Doctors About Natural Supplements

The media has made much of a recent study published in the Oct. 10 issue of the Archives of Internal Medicine, which found an association between the use of nutritional supplements and a heightened risk of mortality. Based on its findings, questions have been raised about the safety of a number of commonly used supplements. This has generated a great deal of controversy, and in the ensuing media storm, the most important issue has been overlooked: There is a growing need to educate primary care physicians about natural supplements and their effects on a person’s wellbeing.

The study’s limitations have already been widely reported. For instance, the researchers themselves concede that a cause-and-effect relationship between supplement use and death has not been established. The Los Angeles Times quotes the study’s lead author, Jaakko Mursu, as saying, "We don't have the detailed information why the women were using [supplements].” In fact, a number of women in the study were likely taking supplements as part of a regimen to treat an illness. For example, iron is used to treat anaemia. In cases such as these, it is far more likely that the illness rather than the supplements were the cause of death.

Despite its shortcomings, the study does contain two findings that have not received the analysis they deserve. First, the study reports the growing use of supplements among the women in the study’s sample, from 65% in 1986 to 85% in 2004. Second, it acknowledges a “dose response” relationship, meaning that the stronger the dosage, the more likely one’s health is adversely affected. As the vice president for scientific and regulatory affairs at the Council for Responsible Nutrition noted, "Anything, including water, can be harmful if you overdo it."

Why are these two findings important? They point to a very real issue that conventional medicine has ignored. Natural supplements represent a trillion dollar industry that doctors have little exposure to and that, as a result, patients take them without the proper professional guidance.

This situation in the medical field is the consequence of the pharmaceutical industry’s monopoly on medical education and postgraduate training. As a result, doctors are prone to prescribe medications developed synthetically in laboratories rather than natural supplements that are present in the foods we eat.

“The truth is, whether you like it or not, your patients are taking supplements,” Dr. Erika Schwartz, Chief Medical Officer at AgeMD, told a gathering of primary care physicians recently. “Physicians assume that supplements won’t interfere with treatment, and patients assume they don’t need to tell their doctor what supplements they are taking because, well, they are just supplements. That couldn’t be further from the truth!”

The challenge, as Dr. Schwartz sees it, is educating medical practitioners about nutritional supplement use. For example, doctors who do not ask their patients what supplements they are taking are unaware of possible drug interactions.

“You need to know what supplements your patients are taking and what they do,” said Dr. Schwartz. “Otherwise, you are not delivering the optimal level of care.”

Dr. Charles Clark, professor of medicine at the Indiana University School of Medicine was quoted by ABC News as saying, "People take nutritional supplements for a variety of reasons, both related directly to a health problem or only related to a health belief that a little of something is good and a lot of something must be better. This is not always the case."

In fact, in most cases, supplements should be taken in small doses; there is no need for mega doses most of the time.

To provide guidance in areas such as dosage, Dr. Schwartz advocates that primary care providers first educate themselves about natural supplements and then get actively involved and take charge of the way their patients use them.

“You ought to be involved,” she said. “That way you know what they are taking and you can provide guidance. I would even encourage you to provide supplements to your patients directly through your office.”

 Bioidentical hormones

Dr. Erika Schwartz Interviewed in October's Newsmax Maxlife Magazine

Dr. Erika Schwartz, Chief Medical Officer of AgeMD, was interviewed in the October issue of Newsmax Maxlife Magazine.  In the interview, Dr. Schwartz related what motivated her to pursue a career in medicine and discussed her lifelong goal of moving conventional medicine forward with a cutting-edge approach to anti-aging. On the latter point, Dr. Schwartz voiced frustration with conventional healthcare, which lags far behind the science of medicine. She noted that new cutting-edge research doesn’t reach clinicians in private practice for decades. This disparity between the latest medical research available and what doctors are actually providing patients, coupled with the involvement of drug reps and insurance companies in the practice of medicine, has led to a breakdown in the system of patient care.

“The patient suffers the most,” Dr. Schwartz said. “The outcome is an overabundance of subpar medical services that hurt the patient and leave all of us with a low quality healthcare system. Quality of life is only achieved when the doctor and the patient are on the same page. The doctor’s job is to serve the patient by providing guidance with kindness and honesty, and without fear or bullying.”

Dr. Schwartz' unique patient-centric approach to medicine has won her many fans from both doctors and patients alike.   Mehmet Oz M.D., host of the day time TV's The Dr. Oz Show and vice chair of cardiac surgery, New York Columbia Presbyterian University Hospital in Manhattan says "I have sent family and friends to Erika for years with fabulous results, I love that she is ahead of the curve and always able to bring cutting-edge research to real-life clinical problems. She also has a great bedside manner.”

Dr. Schwartz brings her individualized approach to AgeMD and to its flagship practice, the Age Management Institute in Manhattan.  At the Age Management Institute, patients receive comprehensive evaluations that include hormonal levels and individual nutritional requirements, sleep patterns, extensive medical history, and relationship impact.  She uses bioidentical hormones to treat the symptoms of menopause, andropause, thyroid dysfunction and chronic fatigue,  which are molecularly identical to the hormones our bodies produce, but are made from soy and yam oils through pharmaceutical processes.  The goal with all her patients is to help them take control of their health, be realistic,
and give them a chance to enjoy their life.”

Top 10 Tips for Healthy Aging

Contrary to popular opinion, aging is not a disease. While it is inevitable that we will age, many of the symptoms and pathologies that we associate with “getting old” are not.

“It’s never too late to start taking the steps that will help you look good and feel great at any age,” says Erika Schwartz, M.D., a leader in anti-aging medicine and the Chief Medical Officer of AgeMD.

“Feeling younger is first and foremost about taking action and changing habits,” says Dr. Schwartz. “Just drink more water today, or get a good night’s sleep tonight, and look into the mirror tomorrow. ”

In this issue of our blog, we have compiled a list of the Top 10 Tips for Healthy Aging. Many of these tips are simple changes that you can make in your life today, others require collaboration with a doctor, but all are within your reach. You will see that it is easy and affordable to achieve amazing results. Once you understand and apply these 10 Tips for Healthy Aging, it will almost immediately shave years from your appearance and add years to your life while helping you enjoy each day the way you used to ten, twenty, even thirty years ago.

1. Balance Your Hormones

Effective age management focuses first and foremost on maintaining healthy hormone levels with bioidentical hormone replacement. “Many of the most daunting aging issues faced by men and women — weight gain, depression, and insomnia — are related to decreasing hormone levels,” says Dr. Schwartz.

While standard tests can diagnose some hormone deficiencies, many more go undetected because every person’s body is different. “One example is that an older patient’s testosterone levels may currently be in the low-normal range, but if they were high or above normal 20 years ago, they may have in fact dropped by half, resulting in an undiagnosed testosterone deficiency,” says Dr. Schwartz.

If a person has symptoms of low hormone levels, hormones replacement or supplementation is needed. Dr. Schwartz recommends treatment with bioidentical hormones, which have been proven safe and effective for the symptoms of hormone imbalance in men and women.

2. Get More Exercise

The American Heart Association recommends 30 minutes of moderately intense activity, like brisk walking, five days a week. Add strength training — eight to 12 repetitions of eight to 10 different exercises — twice a week.

3. Eat a Healthy Diet

We all know the components of a healthy diet, even as we continue to indulge in our old habits. Healthy eating is one of the easiest lifestyle changes that you can make to promote healthy aging.

You should concentrate on eating fresh fruits and vegetables, whole grains, low-fat milk, and seafood. Nutritional experts recommend five daily servings of fruits and vegetables, along with three daily servings of whole grains and two weekly servings of fish.

Deeply colored fruits and vegetables, such as berries, plums, broccoli, and spinach, are anti-inflammatory and rich in beneficial antioxidants and other compounds that slow aging.

And of course you should avoid saturated fats, sugar, salt, fried foods, and limit your consumption of red meat and alcohol.

4. Take Anti-Aging Supplements

“Proper nutritional supplementation is vital for healthy aging,” says Dr. Schwartz. “I use supplements as an integral part of my powerful anti-aging therapy,” she says. Among the supplements that you should consider are a good multi-vitamin, antioxidants, and anti-inflammatories. But remember, not all supplements are created equal. You should choose supplements from a reliable source, ideally in consultation with your medical practitioner.

View AgeMD's list of recommended nutritional supplements and their indications.

5. Protect Yourself from the Sun

Fight wrinkles and protect against skin cancer by staying out of the sun or by wearing high SPF sunscreen. But be aware that protecting yourself from the sun can reduce the body’s supply of vitamin D, warns Dr. Schwartz. “Don’t avoid the sun completely, but avoid sunburn,” recommends Dr. Schwartz. “I tell my patient’s to spend 15 minutes a day in the sun without suntan lotion, then cover up,” she says.

6. Get Enough Sleep

“Sleep quality diminishes with age,” says Dr. Schwartz. “Not everybody realizes that many diseases, from heart disease to depression, can result from poor sleep—and we live in a society that is catastrophically sleep-deprived!”

At least seven to nine hours of sleep, every night, is what the National Sleep Foundation recommends. Healthy hormone balance, exercise, and nutritional supplementation with natural products can help. For example, L-theanine, an amino acid, helps you relax without leaving you feeling drugged. Other physicians recommend Melotonin.

For healthy sleeping advice, contact a trained age management physician.

7. Stay Hydrated

Water is vital to the proper functioning of the human body, hydrating the skin, delivering nutrients to the cells, and flushing toxins from your body. Most age management doctors recommend drinking around eight glasses of water each day.

8. Take Care of Your Skin

We already mentioned protecting yourself from the sun. In order to promote good skin health and to make wrinkles less noticeable, it is equally important to hydrate the skin with a high-quality moisturizers, and to exfoliate regularly to get rid of dry, dead skin.

9. Quit Smoking

If you are a smoker, quitting may be the most important healthy aging tip of all, says Dr. Schwartz. In addition to increasing the risk of cancer and cardiac diseases astronomically, smoking also accelerates aging by breaking down collagen in the skin. This is why smokers tend to have wrinkles around the eyes and vertical lines above the lips.

About Dr. Erika Schwartz

Erika Schwartz M.D. is the Chief Medical Officer of AgeMD, the author of four bestselling books, a noted lecturer and TV personality. She is one of the nation’s most widely recognized experts in the field of bioidentical hormones and is currently part of the new Lifechangers Team appearing on EXTRA-TV. Dr. Schwartz is the founder and owner of the Age Management Institute, New York.

The right hormonal stuff

I have a patient who is an opera singer. She is a beautiful human being. Before I had even met her, she had sent me a slew of her young students to have their hormones balanced, because she knew their voices needed my help. When I finally met her, I was struck by her dignity, humility and warmth. If you are fortunate to hear her sing, her magnificent voice spools out of her like soothing honey.

When she was in her late 30s, she suffered from a severe medical condition that left her unable to sing at performance level. For years, she only taught others how to use their voices, convinced her performing days were behind her.

She came to me, because she was feeling badly in perimenopause. She hoped I could help her feel better.

She did not expect to get her singing voice back.

Miraculously, however, hormones combined with lots of care and love from a devoted opera-singer husband and an immense amount of passion on her part, brought her performing voice back. She now appears on the stages of the most famous opera houses in the world at the age of 52.

Her story is not typical. Most singers peak around 35 and start losing their operatic voices by 45. Sometimes, you see a different outcome. But people like sopranos Kirsten Flagstad and Birgit Nilsson are few and far between.

With age, vocal cords become less flexible, the diaphragm more rigid, lung capacity diminishes. It’s a confluence of mechanical and physiological changes that age brings on, leaving even masters like Barbara Streisand unable to produce “The Way We Were” as magically at 60 as she did at 30.

But interestingly enough, when artists like the patient I was telling you about and the many I see in my practice commit to maintaining or even enhancing their talents, hormones often play a deciding role.

By hormones I mean estrogen, progesterone, testosterone, thyroid and even growth hormone.

The addition of bioidentical hormones (molecularly identical to the body’s hormones but made from plant substances like soy and yam oils) – in proper doses and formulations, creating “perfect” cocktails – is often what helps the artist protect his or her talent from extinction.

So, why are we so confused about the role of hormones? Why do we associate hormones with performance enhancement at a young age – when we don’t really need them – versus the invaluable help they provide at the age of 50 when they can save careers and lives?

Performance-enhancing hormones in the young are anabolic steroids, drugs that are not in any way related to the bioidenticals I spoke of before.

Anabolic steroids and growth hormone are used by baseball players, bodybuilders, football players – pretty much the entire muscle-focused world – to build stamina and power. They create “superhumans” who nevertheless suffer from organ damage, low sex drive, infertility and other systemic problems. Young people don’t need hormones to enhance their already revved-up metabolism. They need to eat well, sleep and exercise to achieve peak performance without long-term dangers. And they need to have reasonable expectations.

Athletes peak at the younger end of the spectrum. Imagine a Nadia Com?neci trying to win a gold metal in gymnastics at 30. Not a chance, you say. But how about 95-year-old Ida Keeling, who, coached by her daughter Shelley, ran her first race at 67?

So what is the mystery? I’m sure Ida isn’t taking anabolic steroids.

In the case of the bird who soars when no one else expects it, I believe it’s passion, commitment and support.

For the rest of us who aren’t the rare birds of art or sport, hormones can be real helpers.

About Erika Schwartz MD,

Erika Schwartz is the Chief Medical Officer of AgeMD, the author of four bestselling books, a noted lecturer and TV personality. She is one of the nation’s most widely recognized experts in the field of bioidentical hormones and is currently part of the new Life Changers Team appearing on EXTRA-TV. Since the start of her distinguished career, Dr. Erika has been committed to empowering patients and teaching physicians compassion alongside with scientific and clinical information.

Holtorf Medical Group Joins AgeMD

Holtorf Medical Group, a national network of bioidentical hormone therapy, hypothyroidism and fatigue specialists, has joined AgeMD's exclusive national directory of hormone doctors to help educate patients across the country about how bioidentical hormones, supplementation and lifestyle support can alleviate the symptoms of hormone imbalance and improve patients health.

Los Angeles, CA (PRWEB) September 29, 2011

AgeMD, The Age Management Institute is pleased to announce that Holtorf Medical Group and its nationwide affiliate centers have joined AgeMD’s national network of bioidentical hormone therapy doctors to help patients across the country treat the symptoms of menopause, andropause, thyroid dysfunction and other age related illnesses by using bioidentical hormones.

Holtorf Medical Group doctors are leading experts in the use of bioidentical hormone replacement therapy to treat the symptoms of hormone imbalance, hypothyroidism, chronic fatigue and fibromyalgia. Holtorf Medical Group has affiliate centers across the State of California, Kansas City and Philadelphia and offers comprehensive therapies for menopause, perimenopause, andropause, complex endocrine dysfunction, infectious diseases, fatigue syndromes and neurological illnesses.

“Joining AgeMD allows Holtorf Medical Group to affiliate itself with an organization that shares our commitment to empowering and educating patients about how bioidentical hormones, supplements, diet, exercise, lifestyle, sleep, and stress management can improve their lives" says Dr. Kent Holtorf, Founder and Medical Director of the Holtorf Medical Group. "Our physicians encourage patients to take an active role in their health care and are devoted to prevention and healing using integrative treatments that incorporate bioidentical hormones.”

AgeMD is an exclusive national network of bioidentical hormone doctors who specialize in bioidentical hormone therapy and age related illness. Their unique approach to medicine focuses primarily on the underlying root causes of health problems, rather than simply treating the symptoms, to help prevent disease and improve the patients overall health.

"Holtorf Medical Group’s expertise with bioidentical hormones make them an invaluable asset here at AgeMD and reaffirms our commitment to working with the best hormone doctors,” said Dr. Erika Schwartz, Chief Medical Officer of AgeMD. “Our partnership and shared knowledge enables us to help more patients find relief from the symptoms of hormone imbalance, thyroid dysfunction and chronic fatigue to improve their health and overall wellness.”

More about Dr. Kent Holtorf:
Kent Holtorf, M.D. is founder and medical director of the Holtorf Medical Group. For well over a decade he has specialized in innovative evidence-based therapies for hard-to-treat and poorly understood illnesses: hypothyroidism, complex endocrine dysfunction, chronic fatigue syndrome, fibromyalgia and chronic infectious diseases including Lyme disease and chronic viral illness. He founded the non-profit National Academy of Hypothyroidism which provides physicians and patients with the most up-to-date information on the diagnosis and treatment of hypothyroidism. He is also a founding director for the Bioidentical Hormone Initiative, a community of expert practitioners dedicated to prevention, patient advocacy, and the practice of humanistic medicine through the use of bioidentical hormones, supplements, diet, exercise, lifestyle, sleep, and stress management.

About Holtorf Medical Group
Holtorf Medical Group offers comprehensive therapies for bioidentical hormone replacement, complex endocrine dysfunction, fibromyalgia, chronic fatigue syndrome, infectious diseases, fatigue syndromes and neurological illnesses. Holtorf Medical Group Affiliate Centers are based in Los Angeles, San Francisco, Pasadena, Kansas City and Philadelphia.