In both women and men, hormone levels drop as we age and we experience a decrease in vitality.
Bioidentical hormone replacement can help us regain the health and well-being that we had to maximize our quality of life.
Options include oral medications, patches, topical creams, suppositories, injectables, or pellets.
Estrogen begins decreasing over time in the 40’s after progesterone begins declining in the 30’s. Female patients may begin experiencing hot flashes, night sweats, acne, anxiety, or irritability. Other symptoms include thinning skin and vaginal dryness. Estrogen, like testosterone, is important for bone density, and the risk osteoporosis is higher with age.
Hormonal birth control is a common cause of low estrogen because synthetic hormones trick you body into thinking that you are making enough, so your body produces less of your own. Synthetic hormones don't hit all the receptors in your body and may cause cause unwanted side effects.
Progesterone begins decreasing in our 30’s, earlier and much greater than our drops in estrogen or testosterone. Estrogen puts weight around the belly, but progesterone balances that. Remember how hair becomes luscious and full when progesterone increases during pregnancy. Progesterone in the brain protects us from insomnia, anxiety, and migraine headaches. As progesterone drops, it becomes harder to lose weight, our hair begins thinning, and restful sleep is harder to attain.
Women on birth control are surprised to learn that synthetic progesterone causes their bodies to make less of their progesterone, which can cause symptom of estrogen and testosterone excess, including acne, anxiety, depression, and weight gain.
Men who are skinny with unexplained big bellies that don’t respond to diet and exercise are often low in progesterone.
In both men and women, testosterone decreases with aging. Male patients primarily report decreased muscle mass, weight gain, and erectile dysfunction. Female patients typically note decreased libido, low energy, and less interest in making plans to see friends. Both report cognitive dullness and lack of vitality.
Women can reverse these changes with much lower levels of testosterone than men require. Some benefit just from oral DHEA, the precursor of both testosterone and estrogen.
About the time you reach your 50s, growth hormone release declines in both women and men. Growth hormone is your body’s repair and regenerate messengers. As levels of growth hormone fall, the resources needed to keep your body in repair fall off. We still make the same amount of growth hormone, but there are fewer pulses for release and throughout the day and the amount of hormone released with each pulse flattens.
Growth hormone-releasing peptides (GHRPs) are chains of amino acids that stimulate the release of your own growth hormone from the pituitary gland and hypothalamus in your brain. As more growth hormone is released, more repair systems can do their work. Since you are not replacing hormone directly, there is no rebound if you stop.
Growth hormone increases your hormone receptors, so benefits include range from faster wound healing, to increased energy, to younger skin. Options include oral and injectable formulations.
Unlike short-acting sermorelin (lasts 2 hours), ipamorelin-CJC work together to increase release of your own growth hormone for 8 hours.
Afraid of needles? Consider oral ibutamoren!
Here's another oral option. Take advantage of the short onset of sermorelin and long duration of ipamorelin and CJC1295.
A sluggish thyroid leads to weight gain, low energy, low thinking, high cholesterol, and high blood pressure. Options include natural thyroid formations as well as prescription hormone replacement.
It's important to evaluate both Free T4 and the activated form Free T3. Also, check for antibodies, iodine, and selenium!
Our stress response keeps us chugging along, but prolonged toxic stress leads to a poor immune system, fatigue, weight gain, and cognitive fog.
Adrenal support with adaptogenic herbs help correct adrenal fatigue, and temporary low dose bioidentical adrenal hormone can help while your body is adjusting. Also, consider temporary low dose of bioidentical adrenal hormone.
Like plants, we have photoreceptors in our cells. Colors have different wavelengths of light that stimulate different enzymes and pathways. Gene expression changes with light, but we already know that because we make vitamin D after UV sun exposure!
Yellow light is transmitted through a thin fiberoptic cable into a common IV into your blood. Yellow wavelength stimulates the natural production of estrogen in women and testosterone in men. It also improves mood by increasing serotonin and vitamin D.
We are not in-network, but we give superbills for PPO reimbursement.
$300 for 60 minutes, $200 for 30 minutes, $100 if part of a 3-month program. for testosterone or peptides.
We recommend patients either use their insurance at a lab like Quest that's in network, or use Life Extension if paying out of pocket.
They are not included because patients can save money by buying them from Amazon.
For safety, refills will be not be given if lab tests are not done. Dosing will be adjusted so that levels are not above normal.
Patients will document that they are recommended to have routine PSA testing, mammograms, pap smears, and colonoscopies. We reserve the right the without treatment in the case of abnormalities.
General Practice for Quality of Life
Shirley Wang, MD, is a skilled, compassionate general practitioner with an integrative functional medicine approach to providing care for men and women throughout the Irvine, Orange County area. As a trusted caregiver, Dr. Shirley offers patients the right care options, including annual physicals, treatments for cold and flu, wellness visits, nutritional needs, and holistic care options for treating illnesses and promoting overall health. She is also dedicated to providing skin care for the diverse population of Southern California.
Having grown up in Irvine, California, Dr. Shirley attended UCLA and earned a bachelor’s degree in psychology and a master’s in education. She taught third grade for two years before attending the University of Southern California for medical school. She then studied internal medicine at St. Mary Medical Center, Long Beach and neurology at Jefferson University Hospital, Philadelphia.
With years of experience, Dr. Shirley will assess you and create a custom recovery plan that's right for you. She understands the importance of educating you on the most effective ways to take care of your body, so that you can heal quickly.
Not only will Dr. Shirley treat your existing conditions, she also work to maximize your prevention strategies. Dr. Shirley strives to help you improve your quality of life, achieve your wellness goals, and support your best possible life.
A provider of patient-centered health care, Dr. Shirley combines conventional medicine with lifestyle and functional medicine to optimize wellbeing. She carefully evaluates each patient prior to treatment to customize care so as to provide the broadest array of options when it comes to proactively managing health and wellness.
For general questions, please email firstname.lastname@example.org
4570 Campus Drive #19, Newport Beach, California 92660, United States
09:00 am – 06:00 pm