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Black Cohosh Compares Favorably With Drug Therapy for Menopausal Symptoms
In the first head to head comparison of a botanical therapy versus a drug for management of menopausal symptoms, a standardized formulation of Black Cohosh was equally effective as tibolone, a drug widely used in Europe and Asia; the herbal formula had fewer adverse effects. Pycnogenol, an antioxidant and anti-inflammatory derived from the bark of French Maritime Pine trees, can reduce menopausal symptoms while improving women’s lipid profiles.
Vol. 9, No. 3. Fall, 2008
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Breast Thermography: Can It Open A Window for Breast Cancer Prevention?
Breast thermography is safe, radiation-free, relatively inexpensive, and it can detect early and possibly reversible metabolic and vascular changes associated with later growth of breast cancer. Though underutilized in the US, it is poised for a resurgence.
Vol. 9, No. 3. Fall, 2008
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Helping Women with Osteoarthritis: Share Your Clinical Experience!
New studies are showing that, like cardiovascular disease, osteoarthritis affects women differently than it does men. Women tend to have more severe pain, in more joints simultaneously, and the diseaes often has a far greater psychosocial impact. To better understand how joint disorders affect women and to identify strategies that can improve care, Holistic Primary Care is collaborating with Joyn, makers of the SheaFlex 70 joint health supplement, and Everydayhealth.com, one of the nation’s largest online health communities, on a first-of-its-kind survey of doctors and patients. We invite your participation!
Vol. 9, No. 3. Fall, 2008
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The Clinical Picture of Hypothyroidism
Thyroid hormone plays a central role in energy metabolism and immune competence. Accurate diagnosis and treatment of hypothyroidism is essential to restoring health. But most physicians rely too much on questionably reliable blood tests, and not enough on what their eyes and their patients are telling them. This photo gallery, compiled by Roby Mitchell, MD, reveals the common clinical signs of hypothyroidism.
Vol. 9, No. 3. Fall, 2008
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Making Sense of Bioidentical Hormones
Use of bioidentical hormones - estrogen, progesterone, and testosterone derived from plants such as soy or yam - has grown rapidly over the last decade. According to a new FDA rule, claims that bioidentical hormones are safer or more effective than conventional HRT are false and misleading. The issue has become one of the hottest women's health controversies.
Vol. 9, No. 3. Fall, 2008
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Vitamin D2 or D3: Which is D Best?
A wealth of studies in recent years have underscored the health threats posed by vitamin D deficiency. But considerable debate has raged over which form of the vitamin is the best for supplementation. Many clinicians believe that vitamin D3, derived from fish and other animal sources, is more potent than D2, the "vegetarian" form. But new data suggest that may not be true.
Vol. 9, No. 2. Summer, 2008
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Nutritional Therapies for Polycystic Ovary Syndrome
A unique form of hyperinsulinemia is one of the metabolic drivers of polycystic ovary syndrome (PCOS). According to Dr. Alan Gaby, nutritional therapies aimed at normalizing insulin action and glucose metabolism can greatly benefit women with this condition, often restoring ovulation and fertility. N-acetyl cysteine, vitamin D, chromium, and a little known nutrient called pinitol are valuable allies.
Vol. 9, No. 1. Spring, 2008
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Dark Chocolate: A Good Treat-ment For Hypertension; Soy Staves Off Bone Loss
A daily 6 gram dose of polyphenol-rich dark chocolate can induce small but clinically meaningful blood pressure reductions, and it's a lot more patient friendly than low-salt diets or antihypertensive drugs. Genistein, one of the key isoflavones from soy, actually increases bone mineral density in women at risk for osteoporosis.
Vol. 9, No. 1. Spring, 2008
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Black Cohosh is Back, Soy Nuts Shine
Two new studies reassert the value of Black Cohosh in managing menopausal symptoms and depression. A separate study indicates that a handful of roasted soy nuts per day can reduce blood pressure as well as menopausal symptoms. Dr. Tori Hudson reviews the data and offers her opinions on the findings.
Vol. 8, No. 4. Winter, 2007
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Endocrine Disruptors, Precocious Puberty & Reproductive System Cancer
Estrogenic and hormonally-active environmental toxins from plastics, pesticides, animal feed, and cosmetics play a key role in precocious puberty—on the rise in young girls---as well many forms of cancer, says Dr. Devra Lee Davis, of the University of Pittsburgh’s new Center for Environmental Oncology.
Vol. 8, No. 4. Winter, 2007
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Obesity in Women: Conjugated Linoleic Acid, Calcium May Be Valuable Allies
Obesity is especially common among women. Recent studies show that women can lose small but clinically meaningful amounts of weight through the Atkins, Zone, Ornish or LEARN diet regimens. Conjugated linoleic acid may be a valuable ally in weight loss. Calcium supplementation may also help.
Vol. 8, No. 3. Fall, 2007
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Going Against the Flow: Botanical Allies Help Mitigate Urinary Incontinence
Urinary incontinence is common, and incidence will only increase as the population ages. Conventional drugs often have unwanted side-effects. Fortunately, there are a number of herbal allies like rosehips, saw palmetto, and teasel, as well as homeopathic remedies that can help strengthen urinary tract smooth muscle and reduce involuntary urine flow.
Vol. 8, No. 3. Fall, 2007
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Perinatal Probiotics Benefit Preemies, Cesareans & Other Little People
A number of recent studies show that probiotic supplements and fermented dairy products can prevent or even treat colic, atopic dermatitis, and many other common allergic and infectious problems in infancy. Lactobacillus and bifidobacteria, the two main classes of “good bugs” can greatly improve the health of premature babies and those born via cesarean section. Plus, Perinatal Probiotics: A Research Review, and Choosing & Using Probiotics.
Vol. 8, No. 3. Fall, 2007
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Endocrine Disruptors, Precocious Puberty & Reproductive System Cancer
Estrogenic and hormonally-active environmental toxins from plastics, pesticides, animal feed, and cosmetics play a key role in precocious puberty—on the rise in young girls---as well many forms of cancer, says Dr. Devra Lee Davis, of the University of Pittsburgh’s new Center for Environmental Oncology.
Online Only. Fall, 2007
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Fibroids, Endometriosis & Breast Cancer: Treating Systemic Estrogen Toxicity
According to Dr. Joel Evans, a holistic gynecologist, these three disorders are far more related than many doctors realize. All reflect maladaptive responses to systemic estrogen, and all are related to obesity and insulin resistance. Rather than focusing on the tumors, physicians ought to be working with women to lose weight, reduce insulin levels, improve estrogen metabolism, and lower inflammation.
Vol. 8, No. 2. Summer, 2007
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Decrease in Breast Cancer Has Experts Asking, "WHI?"
The recent National Cancer Institute report showing a major downturn in breast cancer rates in 2003 had a lot of people saying "I told you so," and attributing the downturn to a drop-off in hormone replacement therapy. But it may not be that simple. Dr. Tori Hudson offers her thoughts on this hot topic.
Vol. 8, No. 2. Summer, 2007
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Are Bisphosphonates Really Necessary for Osteoporosis Prevention?
Recent reports of jaw osteonecrosis have marred the reputation of these anti-osteoporosis drugs. The reality is, for most early menopausal women, they are unnecessary. Many women will do just fine with dietary modifications, calcium and mineral supplementation, and exercise. A recent metanalysis suggests that Vitamin K may be better and safer than the bisphosphonates.
Vol. 8, No. 1. Spring, 2007
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Rethinking Hyperlipidemia and Natural Treatment Options for Women at Risk
A recent metanalysis is challenging the notion that soy protein and soy isoflavones can improve women's cholesterol profiles. But the study did not account for the fact that some women convert soy isoflavones into equol, a powerful phytoestrogen, while others do not. In a separate study, German researchers found that policosanol, a sugar cane derived substance, had no meaningful effect on lipid profiles or cardiovascular risk.
Vol. 7, No. 3. Fall, 2006
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Birth and Botanicals: Herbal Allies During Pregnancy and Lactation
The idea of pregnant women taking herbal medicines makes a lot of physicians nervous. Dr. Paul Saunders believes the fear is largely unfounded. Herbs, like Viburnum, Mitchella, Rubus, Aletris, and Melissa, can safely mitigate many different health challenges during pregnancy and lactation.
Vol. 8, No. 1. Spring, 2007
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Inflammation, Autoimmune Reactions Underlie Many Common Thyroid Problems
Effective management of thyroid problems requires an approach that goes beyond simply manipulating thyroid hormones. Many thyroid problems are related to underlying inflammatory processes, environmental toxin exposure and dietary factors. A guide to assessing and treating thyroid disorders from a holistic viewpoint.
Vol. 7, No. 3. fall, 2006
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Birth and Botanicals: Herbal Allies During Pregnancy and Lactation
The idea of pregnant women taking herbal medicines makes a lot of physicians nervous. Dr. Paul Saunders believes the fear is largely unfounded. Many herbs, including Viburnum, Mitchella, Rubus, Aletris, and Melissa, can safely mitigate many different health challenges during pregnancy and lactation.
Online Feature. Summer, 2006
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Do Calcium & Vitamin D Still Have a Place in Osteoporosis Prevention?
Recent data have caused many patients and physicians to question the value of vitamin D and calcium supplementation to prevent osteoporosis. But a closer look at the study shows that the findings are not nearly as negative as the media reported them to be. Women's Health columnist Dr. Tori Hudson believes the supplements still have a major role to play.
Vol. 7, No. 2. Summer, 2006
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Compound from Sweet Oranges Eases Pregnancy-Associated Hemorrhoids
Hemorrhoids are a very common problem during pregnancy, affecting roughly 25% of all pregnant women. Diosmin, an anti-inflammatory and vasoconstrictive compound derived from a variety of Mediterranean sweet oranges, can safely reduce incidence and severity of hemorrhoids during pregnancy.
Vol. 7, No. 1. Spring, 2006
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HRT and Breast Cancer: Synthetic Progestins May Increase Risk
A massive French study suggests that the type of progesterone used in postmenopausal HRT is the decisive factor in determining the breast cancer risk associated with hormone therapy. Synthetic progestins appear to increase risk, while bio-identical progesterone does not. Digital mammography can improve detection of breast cancers in younger women with dense breasts, but the cost is high.
Vol. 7, No. 1. Spring, 2006
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Women's Health Update: News from NAMS
Despite its conservative orientation toward natural medicine, the North American Menopause Society annual meeting is a great place to catch up on the latest menopause-related research. Dr. Tori Hudson offers her gleanings from this year's meeting.
Vol. 6, No. 4. Winter, 2005
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Iodine Therapy Gains Favor for Thyroid Problems, Chronic Fatigue
Iodine, once a mainstay medical therapy that was largely abandoned after WWII, is experiencing something of a resurgence for treatment of thyroid problems, chronic fatigue, women's health problems, and even diabetes.
Vol. 6, No. 4. Winter, 2005
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Does Lactobacillus Prevent Post-Antibiotic Vaginal Yeast Infections
Contrary to popular belief, a new study shows that use of vaginal probiotics after antibiotic treatment does not reduce the rate of yeast (candida) infections. However, vaginal probiotics do have a role in preventing bacterial infections of the vagina.
Vol. 6, No. 3. Fall, 2005
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Botanicals, Nutrients and Chemotherapy: Oncologists' Fears May Be Unfounded
Most conventionally trained cancer specialists believe herbs and nutritional supplements will interfere with chemotherapy, but new studies are showing that selenium, B vitamins, vitamin C, and black cohosh can actually reduce chemo side-effects and may improve outcomes.
Vol. 6, No. 3. Fall, 2005
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New Studies Underscore Complexity of Soy Effects on Women's Health
Vol. 6, No. 2. Summer, 2005
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Women's Health Update: Phytomedicines and Pharmaceuticals in Women's Health
Holistic Primary Care is pleased to welcome Dr. Tori Hudson, one of the nation's leading experts on holistic women's health care, to our editorial team. In this, the first of her Women's Health Update features, Dr. Hudson looks at data suggesting that antibiotic use may increase risk of breast cancer, as well as several studies suggesting that St. John's wort does compromise the effect of oral contraceptive pills.
Vol. 5, No. 4. Winter, 2004
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Common Herbs Provide Uncommon Relief for Menstrual Cramps, UTIs
Menstrual cramps, urinary tract infections and other common gynecological conditions can often be safely and effectively managed with readily available and inexpensive herbs including Black Haw, Dong Quai (Angelica), and Cranberry. Marcey Shapiro, MD, a clinical herbalist and primary care doctor, shares her years of experience.
Vol. 5, No. 1. Spring, 2004
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Soy and Breast Cancer: Unraveling the Riddle
Medical opinion about the effects of soy in preventing and helping to treat breast cancer has been highly variable over the years. The controversy may be in large part because most researchers fail to differentiate between fermented and unfermented soy. Fermented soy contains isoflavones that are beneficial in reducing cancer, and compounds within fermented soy stimulate immune responses that may be helpful in eliminating cancer cells.
Vol. 5, No. 1. Spring, 2004
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The Four Faces of Premenstrual Syndrome
"PMS" has become a catch-all category for a wide variety of physical and emotional symptoms, some of which have nothing to do with the menstrual cycle, said Wendy Warner, MD, a holistic gynecologist. She has found that women with cyclic symptoms tend to fall into 4 distinct categories, each of which benefits from a somewhat different treatment approach.
Vol. 4, No. 1. January, 2003
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Au Naturelle: Managing Menopause Without Pharmaceuticals
Managing menopause symptoms without conventional hormone replacement therapy requires much more than substituting soy or Black Cohosh for PremPro. Elena Barengolts, MD, a holistic endocrinologist, describes her comprehensive approach that includes plant phytoestrogens, ginseng, calcium, vitamin D, and various herbs to promote better sleep.
Vol. 3, No. 3. October 15, 2002
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LEVITY Brings Light (and B Vitamins) to Menopause Management
Exposure to sunlight, brisk exercise, and ample supplies of B vitamins can go a long way in reducing menopausal symptoms, regardless of whether a woman takes conventional or natural hormone therapy. The LEVITY program (Light, Exercise, and Vitamin Intervention Therapy) provides women with a multi-modal, hormone-free approach to controlling midlife symptoms.
Vol. 3, No. 3. October 15, 2002
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Rethinking Menopause: Individualization is Key to Hormone Replacement Choices
There's no one-size-fits-all approach to managing menopausal symptoms. The extent of symptoms and the ideal treatment strategy depends very much on an individual woman's endocrine patterns. Women's health experts including Tori Hudson, ND, and Marie Annette Brown, PhD, offer insights on individualizing treatment.
Vol. 3, No. 3. October 15, 2002
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Is it Time to Replace Hormone Replacement Therapy?
In the wake of the Women's Health Initiative, which showed that PremPro increases risk of strokes, thromboembolism, and breast cancer, many menopausal women are avoiding or abandoning conventional hormone replacement and seeking natural alternatives.
Vol. 3, No. 3. October 15, 2002
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Do Progesterone Creams Improve Bone Density?
The role of natural progesterone creams for prevention of osteoporosis in menopausal women is highly controversial. While many practitioners report that their patients do show increases in bone mineral density following extended use of progesterone creams, the only controlled trial on this topic found no significant difference.
Vol. 3, No. 3. October 15, 2002
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Insulin Resistance in PCOS
Women with polycystic ovarian syndrome are often insulin resistant and prone to hyperglycemia. Leah Morton, MD, a holistic gynecologist, has found that controlling the insulin problem by reducing intake of high-glycemic foods often leads to marked improvement of the ovarian and hormonal problems.
Vol. 3, No. 1. April 15, 2002
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Progesterones
What exactly is Progestin? How does it differ from Progesterone and Progestogen? Find out as Dr. Deborah Moskowitz clarifies the terminology surrounding this group of female hormones.
Vol. 2, No. 3. June 15, 2001
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Old Traumas Haunt Childbirth
Women with histories of emotional and/or physical abuse may experience a lot of emotional upheaval in conjunction with the process of giving birth. Compassionate and understanding physicians can go a long way toward easing the process.
Vol. 2, No. 3. June 15, 2001
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Water Births Expected to Make Big Splash in Coming Decade
For healthy, low-risk pregnant women, water births---giving birth in a pool of warm water----can reduce time spent in labor, lower the need for Cesarean section, and increase the chances that the birth process will be uncomplicated. Though popular in France, water births are still rare in the US, but the numbers are growing. Holistic Ob.Gyn., Jan Stafl, MD, describes his experiences.
Vol. 2, No. 3. June 15, 2001
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Natural HRT Alternatives Hit Prime-Time
Frustrated with conventional hormone therapies and fearing potential side effects like breast and ovarian cancer, massive numbers of menopausal women are turning to natural alternatives like soy isoflavones, Black Cohosh, and Red Cover. Susan Love, MD, and Deborah Moskowitz, ND, share their views.
Vol. 2, No. 3. June 15, 2001
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