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Anti - Aging Programs

Prime Vitality, the trusted source for Anti Aging Medicine . Call us today at. ... ... ....

At Prime Vitality, Dr Goel believes that optimization of one’s natural physiology is more important then calling any symptoms as a disease. As we age we undergo many lifestyle changes which impact our normal physiology of hormones and impair our normal aging process, which in turn reflect as constillation of symptoms at physical and emotional levels.  If after optimization of all the physiology and hormonal factors still symptoms persist then we call it a disease.  

At prime Vitality we understand that not every patient is same as every one have different hormonal and nutritional needs and so their aging process.  

Aging is in evitable but with the optimization of our normal physiology, we can slow the affect of aging on our body. Dr Goel believes that aging is beautiful as long as we age gracefully and remain in the Prime of our health irrespective of our age.  

There are many modern day syndromes with no known cause like Fibromyalgia, Chronic Fatigue, Restless Leg syndrome, IBS. Treatment of these Symptoms without any specific diagnostic criteria or accurate testing leads to a vicious circle of further side effects. Like  

  •   Antidepressants for moodiness, irritability, or PMS 
  • Premarin or Prempro for hot flashes 
  • Benzodiazepines for anxiety of unknown cause 
  •  Ambien/Lunesta for sleep disturbances 

What happens when drugs are given?

Unwanted side effects start to happen. Like SSRI can cause anorgasm and can increase further suicidal thoughts.
 Synthetic hormones can  cause weight gain.  
Benzodiazipens can cause decrease memory.  But if we optimize physiology then many symptoms can be avoided and need for unnecessary medications. Bio identical Hormone Replacement therapy is one of the most important way to restore our normal physiology of our body along with healthy lifestyle changes. 

Myths About Female Hormones

  •   Estrogens are the "Fountain of Youth" and have more benefits than risks for women.
  •   Estrogen levels are responsible for hot flashes and most menopausal symptoms.
  •   Estrogen levels drop significantly after menopause.
  •   The best way to test for menopause is FSH.
  •   Birth Control pills and Hormone Replacement drugs closely mimic our natural hormones.

FACTS About Female Hormones

  • Estrogens can significantly contribute to thrombosis, stroke and breast cancer.
  •  Lack of balance between Estrogen, Progesterone, and Testosterone leads to hot flashes and other menopausal symptoms.
  • Estrogen levels may drop only 10-20% after menopause in most American women.
  • The best way to test for hormone imbalance is salivary testing of key hormones.
  • Birth Control pills and Hormone Replacement are much more potent than our natural hormones and suppress our natural production.

Through Bioidentical Hormone replacement therapy (BHRT) we can replenishes hormones that our body needs to function properly and age gracefully. BHRT allows patients to regain lost energy, improve physical and sexual well being, restore lost hair, build muwcles, manage weight and increase mental clarity.  

Causes of Hormonal Imbalance
Hormone Imbalance can be due to the dysfunction of certain endocrine glands, which store and release the hormones in the body. 
There are multiple endocrine glands in the body, some of which include the hypothalamus, pituitary gland, thyroid gland, adrenal gland etc 

  • Some conditions that may affect one or more of these endocrine glands/hormones are:
  • Hypoglycemia
  • Poor dietary habits
  • Severe allergic reactions
  • Type I and Type 2 Diabetes
  • Exposure to toxins (including pesticides and herbicides)
  • Tumors
  • Eating Disorders

Causes for women:

Women experience hormonal imbalance naturally through puberty, menstruation, pregnancy, and menopause, but can also experience hormone imbalance from medical conditions:

  • Polycystic Ovary Syndrome (PCOS)
  • Birth Control Medication
  • Primary Ovarian Insufficiency (POI)
  • Early Menopause

Causes for men:

Men may also experience hormone imbalance apart from puberty, aging process and certain lifestyle changes through certain medical conditions:  

  •  Prostate Cancer
  • Hypogonadism

Functions of Estrogens

  • Growth of Endometrial Lining
  • Growth of the Follicle until ovulation
  • Growth of Breast tissue
  • Development of Female Secondary Sex Traits
  • Support of Vaginal Tissue
  • Promotes storage of Fat
  • Increases Thyroid Binding Globulin
  • Production of Progesterone receptors
  • Positive Vascular Effects (anti-oxidant)

Functions of Progesterone

  • Preparation of the lining for pregnancy
  • Causes maturation and differentiation of tissues (Endometrium, Breast)
  • Promotes normal cell death
  • Decreases estrogen receptors
  • Decreases estrogen-induced cellular growth
  • Decreases TBG
  • Binds GABA receptors (GABA receptors are anti anxiety receptors. So when by midlife progesterone hormone first started to fall due to more anovulatory cycles results in irritability anxiety and insomnia)
  • Allows for diuresis- blocks aldosterone receptors

Functions of Testosterone

Symptoms of Hormonal Imbalance
The symptoms of hormonal imbalance are different for each person, as it depends on which hormone/gland is affected. In addition to this variability, symptoms may increase over time and become more frequent. 

  • Weight gain/loss
  • Fluctuations in heart rate
  • Anxiety/Irritability
  • Difficulty sleeping
  • Dry Skin
  • Depression
  • Fatigue
  • Appetite changes
  • Muscle weakening
  • Headaches
  • Changes in blood pressure/blood sugar
  • Sexual dysfunction
Symptoms of Hormome deficiency and/or imbalance in women 
  • Breast Tenderness/Fibrocystic Change
  • Hot Flashes due to down regulation of receptors and they become resistant to estrogen as well
  • Water Retention 
  • Depression/Anxiety/Fatigue
  • Endometriosis
  • PMS
  • Weight Gain
  • Breast and Uterine Cancer
  • Fibroid Tumors of the Uterus
  • Diarrhea/ constipation
  • Vaginal dryness
SYMPTOMS OF HORMOME IMBALANCE IN MEN
  • Low libido
  • Erectile dysfunction
  • Low semen volume
  • Hair loss
  • Persistent fatigue
  • Loss of muscle mass
  • Increased body fat
  • Decreased bone mass
  • Mood changes
  • Enlarged breasts
  • Sleep disturbances
  • Brain fog
What is Bioidentical Hormone Replacement Therapy?

BHRT is the process by which hormones in the patient’s body are replaced with hormones that are molecularly identical. These identical hormones are obtained from the chemical substances of plants that are modified in a laboratory. The hormones are then made into gels, creams, and pills that are ready to use. 

BHRT is not to be confused with synthetic hormones. Bioidentical Hormone Replacement Therapy is a natural process. Synthetic hormones have been shown to increase risk of diseases because they are not identical to those of the human body, thus being recognized as a foreign substance. 

When to use Bioidentical Hormone Replacement Therapy 

BHRT is primarily used for those over 30-40+ years when natural levels of our hormones started to decline due to aging or other environmental factors leading to hormonal imbalance in our bory. Which can cause a variety of diseases, which in turn can affect your quality of life such as 

  • Metabolic syndrome 
  •   Adrenal fatigue 
  •   Sexual dysfunction 
  •   Thyroid disease 

If you notice that any of the following symptoms are hindering your daily activities, then you may be a candidate for BHRT: 

  •  Depression/Mood swings 
  •   Memory loss 
  •   Fatigue 
  •   Hair loss 
  •   Weight gain 
  •    Low energy
The Benefits of Bioidentical Hormone Replacement Therapy

BHRT is not the same for everyone; each prescription is made to fit the needs of the patient. For this reason, BHRT is much safer than any other hormone therapy and has more potential benefits: 

  • Protects bone density
  •  Decreases hot flashes
  • Decreases vaginal dryness
  • Reduced risk of depression
  • Better sleep patterns
  • Improve energy levels
  • Improve cholesterol
Adverse Effects of Bioidentical Hormone Replacement Therapy

The negative effects that may occur are temporary and depend on the remaining hormones that are unbalanced. While in the process of BHRT you may experience the following the side effects: 

  • Headaches
  • Breast tenderness
  • Mood swings
  • Irritability

While it may be disappointing to experience side effects similar to those of hormone imbalance, there will likely be an absence/ huge reduction of these side effects once your hormones have reached their balance. While BHRT make take multiple sessions, it will definitely improve improve the quality of your life. 
Schedule yet consultation today with Dr Goel today, either through online or personal consultation and start your first step towards your health journey.  

Treatment options 

Dr Goel after thorough consultation and comprehensive hormonal and other blood, saliva and urine testing decides the best course of treatment for your individual health needs. Not every patient is same as every one have different hormonal and nutritional needs and so their aging process and treatment plan. 
There are different ways to treat hormonal issues like compounding hormonal creams, patches, injections and pellets. Dr Goel will decide depending on your health needs, social and lifestyle factors about the appropriate way to balance your hormones so you can live a healthy happy life.