Australian Traditional Medicine Society Practitioner
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Olwen Anderson's Blog


Perimenopause: Last chance to strongly influence how you will look and feel after menopause

Tuesday, June 29, 2010

There’s a popular perception that menopause just arrives; but in reality you will probably get several years of warning that its coming soon. If you want to influence how good your body looks and feels after menopause, this is your last chance; it will be much more challenging after the end of your fertile years, when your estrogen levels have dropped.


The ‘perimenopausal’ time of a woman’s life can last for several months or years. It’s the time when your hormonal regulation systems can get a little ‘wobbly’. Progesterone levels can drop, resulting in more intensive pre-menstrual tension and mood swings as estrogen temporarily gets the upper hand. Your periods may become more painful. Every woman is different, so your particular symptoms may vary from these.


But the underlying message you can feel is that your hormonal balance is shifting and waning. Menopause is on its way – and with it the possibility of symptoms such as hot flushes, dizziness, mood swings, more wrinkly skin, and a tendency to gain weight and lose shape.


As you get closer to menopause, your body’s levels of FSH (follicle stimulating hormone) will rise, and this is a good way to measure how your fertility is waning. FSH is a hormone produced by your pituitary gland that tells your ovaries to produce eggs. When your ovaries don't co-operate and release eggs for fertilising, your pituitary just shouts the message louder - it thinks your ovaries just aren't paying attention, when in fact they've stopped producing eggs. Ask your doctor for a hormone profile blood test  that includes when you see her for your annual physical and pap smear.


The decline in your oestrogen levels after menopause makes it more challenging to keep your body toned, bones strong and skin supple. (Estrogen promotes the formation of muscle and a feminine shape, as well as bone formation). But there are actions you can take now to help keep your shape and femininity.


The first step you need to take, if you aren’t already, is to begin weight training, and keep training, even after menopause. Engage a personal trainer for the best results. You won’t turn into a muscle-bound strongwoman, but you will develop a higher ratio of muscle to fat. This will help you maintain your weight and your shape. The gentle pressure this puts on your bones will help prevent osteoporosis too.

Having a rigorous training regime in place will help you now, but will also help minimise the symptoms of menopause. One of the major therapies I use to combat menopausal symptoms in my clients is......exercise! It really makes a positive difference.


Check that your diet is high in vegetables, particularly green leafy vegetables, and lean protein from seafood and kangaroo. A little legumes in your diet every day is good too. Continue to avoid consuming extra cakes and biscuits. This is no time to become a granny who keeps sweet treats in the pantry "for the grandkids". (They won't do well on biccies either).


Natural remedies are available to help keep your hormones more stable during your perimenopause, after you've done testing to find out where your hormones are actually at.


Oestrogen: The good, the bad, and the ugly

Friday, June 04, 2010

For some women, oestrogen can dominate their lives. Although its responsible for a lot of good bodily effects, it can also create havoc when it gets out of control. But there are easy steps you can take to keep your hormones in order.


In women, oestrogen is a 'feminine youth' hormone. Oestrogen is what gives you feminine shape and form; youthful skin, strong bones. It even promotes the growth of skeletal muscle. But the full effects of what oestrogen had been doing for you doesn't become evident until after menopause, when your oestrogen levels naturally fall.


Then, your bones may become more brittle as oestrogen isn't promoting the formation of new bone cells (unless you're stimulating their growth with weight-bearing exercise). Your muscles may shrink (unless you're deliberately stimulating their growth with resistance training exercise). Your skin may become dry too.


During your fertile years, too much oestrogen can cause problems as well. Oestrogen promotes the movement of fluid into tissues, which is why some women report feeling 'bloated' just before their period. Excessive oestrogen can also bring on mood swings. This is where 'pre menstrual syndrome' comes from.

There are actually different types of oestrogen: E1(oestrone) and E2 (oestradiol). The third type of oestrogen, E3 (oestriol) occurs as a result of the first two oestrogens. Each type of oestrogen has different effects, and can cause different problems when out of balance. When assessing your hormones, the balance between these three varieties, as well as your progesterone and testosterone levels is just as important. Assessing balance as well as absolute amounts is the key.


There are some very natural ways to promote a healthy oestrogen balance in your body.


1. The most important? Fitness. Exercise automatically balances your body systems, including your hormones. If you're feeling 'hormonal' and moody, one of the best things you can do for yourself is head out for some vigorous exercise. After middle age, regular resistance training is essential to promote growth of your skeletal muscle. This will not only help you look more toned, but will keep your metabolism running faster too – now its easier to maintain your weight.


2. A high fibre diet is another key strategy. Flaxseed (linseed) is a great fibre supplement, as it contains lignans, a natural substance that will help your body balance hormones. Legumes are a girls best friend when it comes to fibre supplements, as they're a complex carbohydrate packed with vitamins and minerals. Leafy green vegetables and a little soy will provide a phyto-estrogenic boost.


3. Taking time out for yourself is the third strategy. Why? Because stress will very effectively disrupt anyone's hormones. A gentle walk in nature, or meditation, is an effective way to help reduce your stress levels. We all have stressors in our lives – its how we deal with them that will make the difference for you.


When balancing your hormones, its 'back to the basics' first. If you're exercising, eating a high fibre diet and engaging stress reduction strategies, and your hormones still aren't in balance, mother nature has herbs, homoeopathics and nutritional remedies to help bring everything gently back into balance.


Is a lack of DHEA-S accelerating your aging?

Wednesday, January 20, 2010
Aging too fast? Weight not coming off? Maybe its time to learn about DHEA.

That's short for dehydroepiandrosterone. But DHEA is an easier name to pronounce, don't you think?

Your adrenal glands produce many hormones, and DHEA is one of them. Soon after production your body converts this hormone to DHEA-S (dehydroepiandrosterone sulphate) and that's what's measured when you have a blood or saliva test for the presence of this hormone.

This is an important hormone because it’s the precursor for many other reproductive hormones. As you age your levels of reproductive hormones decline, thanks in part to lower levels of DHEA-S. In women this means the onset of menopause; in males this can result in andropause, a time when their testosterone levels drop enough to produce physical symptoms of aging.

And so what? I hear you say. Why should I know where my DHEA-S levels are at? Because from a functional medicine point of view, your DHEA-S level can give you valuable insights into how fast you're aging, and how healthy your adrenal glands are.

As your levels of reproductive hormones decline with age (remember that DHEA-S helps create the reproductive hormones), your body composition changes. Healthy levels of oestrogen and testosterone promote the growth of skeletal muscle in preference to fatty tissue. The more muscle tissue you have, the faster your metabolism runs, making it easier to lose weight.

Some diseases of aging and a chronic sedentary lifestyle have been associated with low levels of DHEA-S; although this hypothesis is still debated in some scientific circles.

Usually people don't discover that they have perilously low DHEA-S levels until they experience weight that just won't budge any more; or menopausal symptoms that aren't responding to treatment; or a lack of libido; or they find they're aging faster than they expect.

My clinical experience has been that the lower a person's DHEA, the less responsive their body will be to natural therapies; even more so if they don't already have a healthy lifestyle that includes resistance weight training to build muscle.

You can't prevent getting older, but you can take lots of positive action to slow the decline of your endocrine system. Ask your health practitioner (or me if you're in the Murwillumbah area) about the actions you can take to slow your own aging process.

See animations of anatomy and body processes

Monday, September 21, 2009
I've been shown a great web site of animated medical information. They include anatomy (great for finding out what's going on inside that shoulder joint), as well as disease conditions and medical procedures.




Can you remember your symptoms from last week?

Tuesday, August 25, 2009
Have you ever sat down in your naturopath's office but couldn't quite remember how your symptoms have changed since your last visit? Or not quite sure whether anything's changing at all? Was it really the change in weather that changed your symptoms?

I've been sent a complimentary copy of the 'Health Minder Personal Wellness Journal' that can help you record so many details accurately that you'll be able to just hand the journal over and your naturopath will see very easily what's changed. 

Each page includes space to record -

- the date
- your weight, temperature, blood pressure, blood sugar level, how many hours of sleep you got last night, and details of any naps
- changes in the weather and pollen counts
- what medications and supplements you took
- what fitness training you did
- a picture of a body, front and back, where you can draw areas of concern
- pain intensity
- your general sense of well being
- a listing of today's symptoms in each body system
- plenty of space to record what you ate.

Its a fabulous tool if you want to keep a closer eye on your health, what's changing, and get more out of your consultations.

You can buy this journal at www.memoryminder.com, or you may be able to buy it through your internet bookstore. The ISBN number is 978-09637968-7-5


Beat Thrush For Good With These Diet Changes

Tuesday, August 11, 2009

Its amazing what a difference changing your diet can make to getting rid of the thrush bug, and one of the biggest changes you need to make for long term effective treatment is reducing the amount of sugar and yeast in your diet.

"But I don't eat sugar!" 

Its easy to equate eating sugar with spooning sugar out of the jar; but in fact most of the sugar in your diet is hidden; in breakfast cereal, in bread, even in 'savoury' foods like baked beans. Its only when you make the conscious decision to exclude sugar from your diet that you will discover just how much you were eating.  Sometimes this is a surprise!

Sneaky Sources Of Sugar

Of course, adding sugar to your cuppa, eating biscuits, sweet buns and chocolate are obvious culprits, and can easily be identified. Open up your pantry and read the nutritional labels if you're ready to be shocked at how much sugar is already added to everyday items. 

Fresh and dried fruit contains sugar as well. You still need to eat at least two pieces of fresh fruit every day; just choose fresh fruit that naturally has a lower concentration of sugar; like citrus, berries, papaya, pear, melon,. Avoid fruits with a high concentration of sugar: dried fruit, fruit juices, figs, grapes, cherries, mangoes

Foods From Mother Nature That Help Combat Thrush

Green Tea. A refreshing hot drink and a traditional anti-fungal remedy that is very good for you and actually tastes better without sugar! When you're first introduced to green tea, try it very, very weak, then make it stronger as you get used to the taste.

Garlic: This flavoursome food is actually a very powerful natural remedy for a huge range of ailments, from colds and flu to bronchitis, and parasite infections. Candida (the thrush bug) hates garlic, so use it liberally, either cooked or raw. 

Careful! More than two cloves of raw garlic at once may give you garlic breath: The therapeutic components of garlic naturally migrate to your mucous membranes, including your lungs – that's why raw garlic is so useful for respiratory infections, but not so good for getting up close and personal!)

Sample Diet To Combat Thrush

Here is a diet plan that is low in sugar and yeast, literally helping 'starve' the Candida bug of the food it loves.

First thing in the morning: A glass of water with a squeeze of fresh lemon juice.

Breakfast: - wilt some spinach in a non stick pan. Whisk an egg and pour it over the spinach. Flip over briefly when the egg has set. Include some fresh fruit with your breakfast, plus some green tea. Coffee is OK, but enjoy a long black or a flat white, no added sugar!

Morning tea: Fresh fruit (citrus, pear, melon or berries) with a handful of raw nuts.

Lunch: A large raw salad with some protein – e.g steamed chicken, turkey, char grilled or tinned tuna, salmon. Include a handful of cooked legumes like chick peas (garbanzo beans) plus a yummy dressing like mashed avocado mixed with lemon juice. You can have one piece of yeast-free flat bread too or ½ a cup of cooked rice if you're really hungry.

Afternoon tea: raw carrot sticks with a vegetable based dip like hummus. Or unsweetened plain yoghourt with fruit. Or bircher muesli made of rolled oats soaked overnight in soy milk and grated apple plus yoghourt.

Evening meal: Meat or fish with vegetables or salad. If you're craving something sweet after dinner, reach for citrus fruit.

This is an edited extract from 'How To Get Rid Of (that annoying, itchy) Thrush...Naturally', an easy-to-read e-book that explains how you developed thrush and how to get rid of it...naturally! Its available for sale here!  Click here to find out more about the book and buy your own copy!

Vaginal Thrush: Six Ways It May Have Developed

Monday, August 10, 2009
How To Tell If You Have Thrush

Itching, irritation and a creamy smelly discharge are the first signs of a thrush infection.  But many sexual infections have similar symptoms, so its important to obtain a professional diagnosis from your doctor or sexual health clinic first.

How Did Your Thrush Infection Develop?

As a part of your body that's exposed to the external world, and positioned perilously close to your anus (where faeces leave your body) and urethra (where urine leaves your body), your vagina is in constant danger of infection. So your body has set up several natural barriers to protect you, including protective mucous.

Unhealthy mucous that signals a thrush infection is thick, sticky, offensively smelly, cheesy and can be irritating, bringing on itchiness.

To understand how your thrush infection developed, you need to understand what conditions Candida loves to live in, so that your treatment will make life really uncomfortable for this annoying bug.

Here are six ways you could have developed a thrush infection.

1. Have you have taken a course of antibiotics recently?

Antibiotics are a very effective medication for wiping out disease producing bacteria. Unfortunately they are very effective at destroying all the good bacteria too. If you have been prescribed antibiotics, its important to take a course of probiotics during and after you complete the course of antibiotics. 

For best results, choose a probiotic that includes Lactobacillus acidophilus, Bifidobacterium lactis and Lactobacillus rhamnosus LGG. This will help re-inoculate both your vagina and your bowels with good bacteria. You can buy probiotics from your local health food store – look in the fridge.

2. Are you taking a contraceptive pill?

Oral contraceptives can increase vaginal glycogen stores (your cell's natural sugar storage for energy), which means that there will be more sugar present for Candida (the thrush bug) to thrive on. If you're taking the oral contraceptive pill and experience recurring thrush, modifying your diet to keep your sugar and yeast intake to a minimum may help.

3. Are You Pregnant?

When you're pregnant your hormone levels soar. This can alter the microbiology of your vagina, making it easier for thrush to take hold. Its important to consult with your doctor rather than self-prescribe remedies, medication or diet changes if you're pregnant, as what you do may have an impact on your unborn baby.

4. Do You Have Diabetes?

Women with poorly controlled diabetes have chronically high blood sugar levels, and this provides an ideal environment for Candida (the thrush bug) to thrive. You may need to tighten up your blood glucose level control through diet and exercise to reduce your thrush symptoms.

5. Is There Too Much Sugar or Yeast in Your Diet?

Candida loves sugar. In fact, your thrush infection will get worse when you eat lots of sugar.
Have you ever made bread at home? If you have, you know that you have to add sugar to the bread mix to give the bread-rising yeast something to feed on. Well, Candida is just a yeast – so the higher your blood sugar level, the more food there is for Candida to thrive in.

6. Has Your Vaginal Lining Been Irritated?

Sexual intercourse has the potential to cause vaginal irritation if your vagina wasn't sufficiently lubricated. This can give Candida a chance to take hold. Vaginal dryness is more likely once you have passed the menopause, as less estrogen is present to maintain your vaginal lining.  If you suspect that this is what is bringing on recurrences of your thrush infection, start using a lubricant regularly. 

This is an edited extract from 'How To Get Rid Of (that annoying, itchy) Thrush...Naturally', an easy-to-read e-book that explains how you developed thrush and how to get rid of it...naturally! Its available for sale here!  Click here to find out more about the book and buy your own copy!


How to Stay Healthy During Menopause

Thursday, March 19, 2009
How do you feel now that you're in your menopausal years, or on the verge of menopause? Frightened? Confused? Or just determined to stay as healthy and active as you were during your fertile years? There are many steps you can take to make sure you not only stay healthy, but become even healthier as the years progress.

WHAT'S CHANGED?

As you go through menopause, the major change experienced by your body is a radical drop in your estrogen levels. This hormone had begun to surge in your early teenage years, bringing on your womanly shape and fertility. It also promoted new muscle growth, bone growth, and skin thickness. The drop in estrogen will make itself evident in a variety of different ways, but you can take many positive steps to compensate for them. 

MORE MUSCLE PLEASE!

Estrogen helps drive your body to build muscle. Unless you compensate with the right activities, you will witness your body becoming flabbier, particularly your tummy and arms. Fight back and keep your womanly shape by taking up weight training. This form of physical fitness actively promotes new muscle growth. If you haven't tried weight training before, avoid injury by hiring a personal trainer to show you the right way to train. Increase your cardiovascular exercise too – your trainer will show you how much you need to do.

KEEP BUILDING STRONG BONES

That weight training is going to proactively avoid another potential disorder of post-menopausal women: osteoporosis. Weight bearing exercise will stimulate your bones to stay strong. You may need to take a calcium supplement as well, but check first, with a test of your bone density every few years, or a urine test for the presence of bone collagen. Keep in mind too that your production of digestive enzymes wanes as you age, and the ability to absorb calcium requires a digestion with the right pH; you may need to supplement your digestive enzymes rather than calcium.

PHYTOESTROGEN-RICH FOODS

You can choose foods which act as mild estrogen mimics in your body, easing the estrogen decline. These are soy based products like soy milk, plus green leafy vegetables. Aim for one serve of soy and five serves of vegetables every day.

MORE PROTEIN PLEASE

As you age your need for protein increases. A healthy adult requires 0.8g of protein per kilogram of their ideal weight; by the time you are in your 80s you will need 1.5g of protein per kilogram of your ideal weight. Make sure you enjoy some high quality protein at every meal, and if in doubt, consult with a nutritionist.

STAY SEXY

Menopause doesn't mean the end of your sex life, but your estrogen decline may cause your vaginal lining to become dry and more prone to injury. Use a good quality lubricant to avoid irritation.

MAINTAIN GREAT SKIN

Your skin may become thinner all over your body too. Now is the time to reach for that supplement of fish oils to keep your skin soft and supple. Consult with your nutritionist about the right dosage for you.

EMOTIONS AND CREATIVITY

Your emotions may shift as you pass through the menopause. This phase marks the end of your child bearing years, but some women find that their creativity naturally finds new outlets elsewhere; in art, craft, writing, or some other field that enriches the world. 

WHERE TO GET EXTRA HELP

Some women experience unpleasant symptoms during menopause; These can include hot flashes that are worse at night but embarrassingly, continue through the day. Or mood swings, including anxiety attacks. If you are finding menopause problematic in this way, many natural remedies are available to help ease your symptoms.

Some women believe they become old and feeble after the menopause, and quietly fade into the background. Others choose to grasp life with both hands and enjoy all the new opportunities open to them. Which one are you?

Could line dancing save you from osteoporosis?

Saturday, March 14, 2009
How can it be possible to improve your bone density and have fun at the same time? A group of scientific researchers certainly thought it was possible. They gathered together 45 older women who had passed menopause, and followed them for several months as they carried out chosen exercises that were believed to improve bone density. One of them was line dancing!

YOUR BONE CELLS CHANGE WHEN YOU PUT THEM UNDER PRESSURE


Scientists have long known that pressure on bones causes them to become stronger. When your skeleton is exposed to weight bearing exercise, the osteoblasts, cells that form bone, soon begin to outnumber the osteoclasts, cells which dissolve bone tissue for remodelling. In osteoporosis there's more bone dissolving going on than building, resulting in fragile bones that break all too easily. But how much weight do you need to put on your skeleton to have a safe but positive effect?

After all if your bones are already fragile, you don't want to exert them to shocks that could bring on another break. Sit in any café in the world for an hour or so and you'll see several older women hobbling past, nervously pushing their walkers and worried that the next fall could take away their independence.

Many studies have looked at resistance training involving static weights at the gym. Although very effective, many people find it difficult to continually comply with an activity that they 'have to' do rather than look forward to. And if you're an older women who has lost her partner, then the gym, where most weight trainers are fully focused on themselves, can be yet another experience of social isolation.

THE FUN EXERCISE THAT'S GOOD FOR YOUR BONES


Researchers from the School of Physiotherapy and Exercise Science at Griffith University knew that to maintain compliance in the long term exercise has to be easy to do, low cost, safe and appealing. So they divided the women into groups. All the women put their happy feet on and headed out to learn line dancing at least once a week. Some of the women did loaded leg squats or foot stamping at home too.

THE WOMEN WHO WENT LINE DANCING GOT RESULTS


The force of feet hitting the floor in line dancing exerted enough pressure to make a subtle positive difference in the bones of the participants over several months. But it did more than that: The women who participated reported better balance and stronger leg muscles, and the opportunity to have fun in a group probably helped them psychologically too. I bet most of them are still dancing!

How could you use this information to make a difference in your bone health? You know how important it is to exercise, and you know that weight bearing exercise is the best for stimulating bone growth. Why not have fun in the process? You could join a local line dancing group, which will give you hours of dancing fun without needing a partner. Have fun!

P.S. Do you organise line dancing in your area? Tell us about it in the comment box below - other readers would like to know!

Energy levels: Its all about what feels right to you now

Tuesday, February 03, 2009
Today's blog is a rather personal note from me to you, so forgive me if I waffle on a little.

I got a taste today of what many of my new clients complain about - a lack of energy. Usually I have enough energy to power a small substation - its hard for me to slow down and relax. But several things have happened that you might be able to identify with, that have contributed to a low energy day for me today:

- A couple of weeks ago I injured my foot running, which left me unable to train at all for a week. It was astounding to see how much just one week off training affected me, both physically and mentally. Fortunately my metabolism now runs at such a pace that I don't start gaining weight again, but my lack of exercise brought on a very low mood. To top it off, returning to training has been about as easy as getting a heavy steam train moving. The motto? If you're training, and feeling great for it, don't stop!

- I've been pondering a big business decision for over a week. You know, the sort of big decision that keeps you awake at night, wondering if you're doing the right thing. I have been waking up with a tight jaw, a sure sign that my stress levels are too high. I couldn't exercise either, one of my chief stress-busting activities. If I was one of my clients I would have been hustled off for a massage, or a day at the beach. (us therapists don't always recognise when we have a problem!). The take-away message for you? If you're feeling stretched or stressed, access all the stress-busting activities you can, and if at all possible disappear to a luxurious resort for a couple of days to gain a whole new perspective.

So there I was, around lunchtime, feeling this really weird feeling - TIRED!!! Of course, my mind immediately explored new depths of the ridiculous, as you do. Am I dying? Quick!  I need more energy - where's the rocket fuel?

Then it occurred to me. Oh. Tired. This is the feeling that so many of my new clients tell me about. Its been so long since I've felt under par that I didn't recognise it at first. Now I do. So, in the spirit of getting myself back to 110% energy levels, I'm going to stop writing now, enjoy a glass of wine, light the candles and truly relax. 

How do YOU return to 100% energy when you're feeling low?  Your comments are welcome (and might just help your correspondent get back on track!!)

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