low testosterone treatment austin, tx

The Emotional Impact of Low Testosterone in Men

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Low Testosterone May Be Affecting Your Mental Health

Testosterone is associated in men with physical strength, sexual vitality, and masculinity. However, testosterone is an essential hormone that does much more than regulate physical traits – it also influences emotions, mental health, and overall quality of life.

That’s why when testosterone levels begin to decline – which typically occurs gradually from the age of 30 onward – it can lead to a profound emotional impact on men, sometimes leaving them feeling less like themselves.

If you are a man over 30 who is experiencing emotional or mood changes, you could be suffering from low testosterone. The good news is that testosterone replacement therapy (TRT) could be the answer to improving your mental state.

In this article, testosterone treatment expert Dr. Ruthie Harper in Austin, TX discusses the impact of low testosterone on men’s mental, emotional, and cognitive state – and how testosterone replacement therapy may be able to help.

How Low Testosterone Affects Men’s Lives

The normal decline in testosterone that occurs with age can have a ripple effect, impacting not just a man’s physical health but also his emotional well-being. Men experiencing low testosterone levels often report feelings of sadness, frustration, and a loss of purpose. These symptoms are not always discussed openly, which can make the experience feel isolating.

Low Testosterone & Loss of Energy and Motivation

Testosterone is closely linked to energy levels. When men experience low testosterone, they often feel fatigued, even after a good night’s sleep. Activities they once enjoyed can begin to feel like chores, and they may lack the motivation to pursue their passions. This can lead to a cycle of inactivity and further decline in energy, exacerbating feelings of frustration and even hopelessness.

Low Testosterone & Changes in Mood

Low testosterone can also lead to mood swings and increased irritability. Men might find themselves more easily angered or frustrated by situations that would not have affected them before. These changes resulting from “Low T” can strain relationships with friends, family, and partners, leading to guilt and confusion about why they’re reacting differently.

Low Testosterone Can Reduce Confidence

Most men take pride in their physical capabilities and mental sharpness. But as testosterone levels drop, men may notice a decline in muscle mass, strength, and cognitive abilities – which can feel like losing a part of themselves. This can lead to a loss of confidence and self-esteem, affecting how a man views himself and their place in the world.

Low Testosterone Feelings of Sadness & Depression

Low testosterone has been linked in research studies with symptoms of depression, including persistent sadness, a lack of interest in previously enjoyable activities, and feelings of worthlessness. These feelings can be particularly distressing, as men may not realize the problem in low testosterone – and end up struggling to understand why they are experiencing them, especially if they have never dealt with depression before.

Low Testosterone & Decline in Sex Drive & Intimacy

A noticeable decline in libido is one of the more common and challenging aspects of low testosterone. Men often associate a healthy sex drive with their sense of masculinity, and a reduction in sexual desire and/or performance can feel like a blow to their identity.

When low testosterone results in intimacy issues, it can lead to feelings of inadequacy, frustration, and can sometimes even create distance in intimate relationships.

Low Testosterone Feelings of Isolation

Declining testosterone can bring about a sense of isolation, as these emotional changes are not often discussed openly. Many men may feel that they are alone in their experience or that they should be able to “tough it out.”

This embarrassment and shame can lead to a reluctance to seek help, further intensifying feelings of loneliness and alienation.

Strategies for Coping with Low Testosterone

Understanding that these feelings may all be due to the normal hormonal changes that cause low testosterone can be the first step in finding relief. Below Austin, TX testosterone treatment expert Dr. Ruthie Harper offers some strategies that can help men cope with the emotional impact of low testosterone.

Seek Professional Treatment for Low Testosterone

First and foremost, men dealing with symptoms of low testosterone should not hesitate to reach out to a testosterone treatment expert like testosterone treatment expert Dr. Ruthie Harper in Austin, TX.

Thorough blood testing can determine if you are suffering from low testosterone levels, and/or other hormone deficiencies. If so, hormone experts like Dr. Ruthie Harper in Austin, TX can provide safe and effective testosterone replacement therapy (TRT) to restore balance.

Additionally, consulting with a licensed therapist can also provide a safe space to discuss your feelings and emotional concerns and help develop coping strategies.

If you are diagnosed with low testosterone, some of the additional coping strategies that Dr. Ruthie Harper in Austin, TX recommends include:

Prioritizing Physical Health

Regular exercise, particularly strength training, can help maintain muscle mass and increase energy levels. It also releases endorphins, which can boost mood. Eating a balanced diet rich in essential nutrients can also support hormone levels and overall well-being.

Building a Support System

Sharing experiences with trusted friends, family members, or support groups can alleviate feelings of isolation. Understanding that other men may be going through similar experiences can be comforting and provide a sense of camaraderie.

Practicing Mindfulness & Stress Management

Techniques like meditation, deep breathing exercises, and journaling can help manage stress and improve mental clarity. Developing a daily routine that includes these practices can promote emotional resilience and help men stay connected to their sense of self.

Exploring Interests and Hobbies

Rediscovering old hobbies or exploring new interests can provide a sense of purpose and joy. Whether it’s learning a new skill, taking up a sport, or volunteering, finding ways to engage with the world can help rebuild self-esteem and enhance quality of life.

Low Testosterone Treatment | Austin, TX

The emotional and mental challenges associated with low testosterone are very real. But “Low T” does not have to define a man’s life. With awareness, support, and a proactive approach to low testosterone treatment, it is possible to feel better and get your life back on track.

By seeking diagnosis and treatment from a hormone expert like hormone expert Dr. Ruthie Harper in Austin, TX many men can find renewed purpose and strength through every phase of life. Low testosterone treatment – combined with prioritizing self-care and staying connected to what brings you joy – can help you get your life back. Schedule a consultation and hormone testing with Dr. Harper in Austin, TX today – and see if testosterone replacement therapy is right for you.

Austin, TX | Low Testosterone Treatment:  512.343.9355

 

andropause doctor austin tx

Doctors Explain Andropause: Understanding “Male Menopause”

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How Doctors Treat Low Testosterone to Improve Andropause Symptoms

When one thinks of hormonal changes that occur with age, they usually associate them with women and menopause. However, many people do not realize that men also experience a similar process, often referred to as “andropause” or “male menopause.”

Andropause involves a gradual decline in hormone levels, primarily testosterone, and can contribute to a wide range of physical, emotional, and cognitive challenges. And while the changes men experience during andropause are typically less abrupt than menopause – and occur over a more extended period – the impact can still be significant.

In this article, Austin, TX hormone specialist Dr. Ruthie Harper discusses the symptoms of andropause – and explains how Hormone Replacement Therapy (HRT) and other lifestyle changes can help men restore their quality of life as they get older.

Andropause vs. Menopause: The Key Differences

One of the primary distinctions between andropause and menopause is the rate of hormonal decline. In women, menopause involves a rapid drop in hormone levels, specifically estrogen and progesterone, that usually occurs over just a few years between the age of 45 and 55.

In men, testosterone levels tend to decrease more slowly, often starting as early as in their 30s, and continuing gradually over several decades. This slower decline often makes the symptoms less noticeable at first, and for this reason, andropause is sometimes called a “silent condition.”

Recognizing the Symptoms of Andropause

As with any medical condition, the symptoms of andropause can vary from person to person. But Austin, TX hormone specialist Dr. Ruthie Harper explains that many men will experience a combination of the following during andropause:

Andropause, Weight Gain & Muscle Loss

As testosterone levels drop during andropause, men may find it more challenging to maintain muscle mass. A reduction in muscle tissue can also contribute to weight gain, as muscle helps regulate metabolism. During andropause men often notice an increase in body fat, especially around the abdomen, which can be difficult to shed without addressing hormonal imbalances.

Andropause & Decline in Cardiovascular Health

Testosterone plays a vital role in men’s cardiovascular health, helping to keep the heart and blood vessels functioning well. With lower testosterone levels during andropause, men may experience higher risks of cardiovascular issues, such as hypertension, high cholesterol, and heart disease.

Memory & Cognitive Issues Due to Andropause

Hormonal decline can also impact cognitive health. Men going through andropause may notice difficulties with memory, concentration, and focus. These changes can sometimes mimic early signs of dementia, although they are usually less severe.

Reduced Sex Drive & Performance During Andropause

Testosterone is closely linked to sex drive and sexual function in men. Andropause often results in reduced libido, difficulties with sexual performance, and erectile dysfunction. This can be one of the more noticeable symptoms, as it affects intimacy and relationships.

Mood & Emotional Problems from Andropause

Just as with menopause, andropause can impact mood. Many men report feelings of fatigue, irritability, and even depression during this time. Hormonal shifts can make it challenging to maintain a positive outlook and to manage stress effectively.
Addressing Andropause: Potential Solutions

Andropause Treatments

While andropause is a natural part of aging, hormone specialists like Dr. Ruthie Harper in Austin, TX can help men mitigate its effects.

Here are some strategies that Austin, TX hormone expert Ruthie Harper, MD encourages her andropause patients to consider, to protect their health and improve their quality of life.

Testosterone Replacement Therapy (HRT) for Andropause

First and foremost, men suffering from symptoms of menopause should schedule a consultation with a hormone specialist like Dr. Ruthie Harper in Austin, TX. She can conduct thorough blood testing that will identify low testosterone levels, or any other hormone deficiencies.

If you are suffering from low testosterone, testosterone replacement therapy (TRT) can help restore hormone levels, alleviate symptoms of andropause, and improve quality of life.

However, it’s essential to consult with a specialized and experienced hormone specialist like Dr. Ruthie Harper in Austin, TX who can explain the benefits and risks associated with TRT. Dr. Harper can also monitor hormone levels regularly, to ensure that you are receiving the right dosage of hormone replacement so that you experience maximum benefits while reducing the risk of side-effects.

Healthy Lifestyle Choices for Andropause

Hormone doctor Ruthie Harper in Austin, TX can also help you implement lifestyle changes that will improve symptoms of andropause. Exercise, balanced nutrition, and adequate sleep can all also contribute to healthier hormone levels. Regular strength training, in particular, can help counteract muscle loss and improve metabolism. Consuming a diet rich in lean proteins, healthy fats, and whole grains supports both cardiovascular and cognitive health.

Supplements & Natural Remedies for Andropause

Certain supplements, such as vitamin D, zinc, and magnesium, can support testosterone production. Herbal remedies like ashwagandha and fenugreek are also popular among men experiencing andropause symptoms.

After thorough blood-testing and an in-depth consultation, hormone doctor Ruthie Harper in Austin, TX can help you choose the right supplements and dosage.

Mental Health Support for Andropause

Andropause can be also emotionally challenging. While testosterone replacement therapy can often help improve the mental and emotional issues that accompany andropause, don’t hesitate to seek out counseling or join a support group to discuss your experiences.

Managing stress, practicing mindfulness, and maintaining a strong support network can make a big difference in navigating the emotional aspects of andropause.

Andropause Doctor | Austin, TX

While andropause can bring about frustrating symptoms and significant changes, it doesn’t have to diminish a man’s quality of life. By understanding this natural process and taking proactive steps – including seeking diagnosis and treatment of hormone decline – men can navigate andropause with resilience and confidence.

Andropause doctor Ruthie Harper, MD in Austin, TX offers a holistic, whole-person approach to treating andropause, that includes hormone management, lifestyle adjustments, and mental health support.

If you are a man in the greater Austin, TX area who is experiencing some of the symptoms of menopause, schedule an appointment with hormone specialist Dr. Ruthie Harper – and take the first step to getting your energy, mood, sex life, and health back on track.

Austin, TX | Andropause Doctor:  512.343.9355

testosterone replacement therapy austin, tx

Why Men Need a Hormone Expert for Testosterone Replacement Therapy

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Testosterone Replacement Therapy Experts Help Avoid Side Effects

Testosterone Replacement Therapy (TRT) can be life-changing for men experiencing the symptoms of low testosterone, such as fatigue, decreased muscle mass, mood changes, low libido, and sexual performance problems. However, Testosterone Replacement Therapy is not a one-size-fits-all solution, and its administration requires specialized knowledge and experience and careful attention to detail.

Working with a hormone expert, like Dr. Ruthie Harper in Austin, TX, who understands the intricacies of testosterone replacement therapy is essential to reap all of the benefits of TRT while minimizing any potential risks.

In this article, Ruthie Harper, MD in Austin, TX explains how a testosterone replacement therapy expert can help you improve your sex life, body composition and energy levels, while avoiding any problematic side effects.

Why Men Need a Testosterone Replacement Therapy Expert

Testosterone plays a significant role in men’s health, affecting everything from muscle growth to bone density, mental health, and of course, sexual function. However, replacing testosterone needs to be carefully tailored to each individual to avoid potential side effects and risks.

Here are some key reasons why choosing a knowledgeable hormone expert like Austin, TX testosterone replacement therapy expert Ruthie Harper, MD critical.

Finding the Right Dosage of Testosterone Replacement Therapy

Testosterone levels vary widely among individuals. Too much testosterone can lead to aggressive behaviors, irritability, hair loss, cardiovascular issues, and other side effects. However, too little testosterone will not provide the desired benefits.

A hormone expert like Dr. Ruthie Harper in Austin, TX can monitor levels closely through thorough blood work – and make precise adjustments to ensure that the therapy provides maximum benefits without adverse effects.

Selecting the Right Form of Testosterone Replacement Therapy

Testosterone replacement can be administered in various forms, including injections, gels, patches, and pellets. Each method has its pros and cons, and a skilled and experienced hormone expert like Dr. Ruthie Harper in Austin, TX can help men choose the option that best suits their lifestyle and their health goals.
For example, injections might provide more consistent levels, while gels are easier to apply but can sometimes result in uneven hormone levels.

Reducing Risks Associated with Testosterone Replacement Therapy

While testosterone replacement therapy can significantly improve quality of life, it’s important to consider the potential risks, especially when it comes to prostate health and hair loss. Here’s how a hormone expert like Dr. Ruthie Harper in Austin, TX can help manage these risks effectively:

Avoiding Hair Loss from Testosterone Replacement Therapy

Testosterone can convert into dihydrotestosterone (DHT), a hormone associated with male pattern baldness. Elevated DHT levels can accelerate hair loss in men predisposed to this condition. A hormone expert can monitor DHT levels and recommend medications or supplements to counteract hair loss, if needed.

Maintaining Prostate Health During Testosterone Therapy

One of the most significant concerns with testosterone therapy is its impact on the prostate. Testosterone can stimulate prostate tissue, potentially enlarging the prostate or exacerbating undiagnosed prostate cancer.

Before beginning testosterone replacement therapy, a hormone expert will conduct thorough screening, including a prostate-specific antigen (PSA) test, to ensure there is no existing prostate issue. Regular monitoring of PSA levels throughout the treatment is also essential to detect any prostate changes early on.

Men with undiagnosed prostate cancer are at risk of accelerated cancer growth if exposed to testosterone. A comprehensive evaluation by a hormone expert can help rule out any underlying conditions before beginning therapy.

In some cases, testosterone replacement therapy may not be recommended for men with a high risk of prostate cancer. Close monitoring and early detection are vital to minimizing these risks.

Monitoring Long-Term Health During Testosterone Replacement

Testosterone therapy is not a one-time treatment. It often requires ongoing adjustments and monitoring. A hormone expert like Dr. Ruthie Harper in Austin, TX will keep track of not only testosterone levels but also other markers of health, such as red blood cell count, liver function, and cardiovascular health.

This comprehensive approach ensures that testosterone replacement therapy remains safe and effective over the long term.

How to Choose a Qualified Testosterone Replacement Therapy Expert

Selecting the right practitioner for testosterone therapy involves careful consideration. Here are some tips to find a professional who can provide the best care:

Look for Specialization
Seek out practitioners who specialize in hormone replacement therapy or functional medicine. These experts will have a deeper understanding of hormone interactions and can provide a more holistic approach to treatment.

Check Credentials and Experience
Ensure the practitioner has the appropriate medical credentials and a track record of working with testosterone replacement therapy. Experience is key to managing TRT’s complexities and tailoring it to individual needs.

Find a Doctor Who Prioritizes Regular Testing & Follow-Ups
A reputable testosterone replacement therapy expert will emphasize the importance of regular testing and follow-ups. Consistent monitoring is essential for safe and effective TRT, allowing adjustments as needed to avoid any potential issues.

Take a Comprehensive Approach to Testosterone Replacement Therapy
A thorough testosterone replacement therapy expert will incorporate lifestyle, nutrition, and other health factors into their treatment plans.

Functional medicine doctor and hormone expert Dr. Ruthie Harper in Austin, TX takes a whole-person approach that optimizes the benefits of testosterone replacement therapy – supporting each patient’s overall physical, mental, and sexual well-being, while minimizing risks and side-effects.

Testosterone Replacement Therapy | Austin, TX

Remember, while testosterone replacement therapy can provide life-changing benefits, like any medical treatment it is not without risks. The guidance of an experienced hormone expert like Dr. Ruthie Harper in Austin, TX can help ensure that your testosterone replacement therapy is administered safely and effectively.

By finding the right balance and paying attention to the details, men can enjoy the advantages of testosterone replacement therapy – including improved sexual drive and performance, increased energy, and more muscle and less fat – without compromising their health.

Schedule a consultation with skilled and knowledgeable testosterone replacement therapy expert Dr. Ruthie Harper in Austin, TX to ensure a customized approach that maximizes benefits while safeguarding against potential risks.

Austin, TX Testosterone Replacement Therapy: 512.343.9355

Testosterone therapy austin tx

The Relationship Between Testosterone Therapy & Prostate Cancer

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Testosterone Therapy Does Not Cause Prostate Cancer: But Regular Screening is Essential

Approximately 2 in every 100 men suffer from low testosterone, with “Low T” increasing dramatically with age – affecting up to 40% of men over 45 years old. Low testosterone can affect everything from sexual drive and performance to energy and the ability to build muscle.

While many cases of low testosterone go undiagnosed, recent studies suggest that 4 to 5 million men in the United States alone could benefit from testosterone therapy.

However, many men hesitate to consider hormone therapy because of a common misconception that testosterone replacement therapy (TRT) can cause prostate cancer. The reality is that research has shown that testosterone itself does not cause prostate cancer.

But if a man has undetected prostate cancer, increasing testosterone levels can stimulate its growth. This is why it is important to work with a hormone expert like Ruthie Harper, MD in Austin, TX who not only understands how to administer testosterone therapy safely but who also knows how to monitor prostate health through regular screening.

Why Consider Testosterone Therapy?

Low testosterone can significantly impact a man’s quality of life through symptoms like fatigue, decreased muscle mass, depression, and reduced sexual drive and performance.

For men with clinically diagnosed “Low T,” testosterone therapy can effectively address these life-altering symptoms. Research indicates that testosterone therapy can help increase muscle mass by 10-15%, reduce body fat by up to 8%, improve bone density by 5-10%, and enhance libido in 60-70% of treated patients!

Additionally, many men report improvements in energy levels, cognitive function, and overall mood within 3-6 months of beginning treatment. However, like any healthcare treatment, testosterone therapy requires careful consideration and ongoing monitoring by a medical expert like Ruthie Harper, MD in Austin, TX to ensure both effectiveness and safety.

Testosterone Therapy & Prostate Cancer Misconceptions

The incorrect notion that testosterone causes the onset of prostate cancer stems from the idea that testosterone acts like a “fuel” for prostate tissue. In reality, while testosterone can influence prostate tissue, it does not cause or cancer.

In fact, studies over the years have shown that men with low testosterone levels are not at a lower risk of developing prostate cancer compared to those with higher levels.
However, the concern with testosterone therapy lies in its potential to accelerate the growth of existing, undetected prostate cancer. So, since testosterone can promote the growth of existing prostate cancer, it’s crucial for men considering testosterone therapy to consult with a hormone expert like Ruthie Harper, MD in Austin, TX.

The Role of a Hormone Expert in Safe Testosterone Therapy

There are several reasons why having an experienced professional is key to safe and effective testosterone therapy. Below, Austin, TX hormone expert Ruthie Harper, MD explains what a skilled and experienced hormone specialist will do to protect your prostate health.

Prostate Cancer Screening & PSA Testing

Before beginning testosterone therapy, a hormone expert will conduct a thorough evaluation to rule out any existing prostate issues. This includes measuring your prostate-specific antigen (PSA) levels, a blood marker commonly used to screen for prostate cancer. Elevated PSA levels can indicate an issue with the prostate, although they do not definitively diagnose cancer.

Regular PSA testing throughout the course of testosterone therapy allows the expert to monitor any changes over time, which is essential for early detection.

Ongoing Monitoring of Testosterone & DHT Levels

A hormone expert will not only check testosterone levels but also monitor dihydrotestosterone (DHT), a hormone derived from testosterone that is linked to prostate health. Elevated DHT levels can increase the risk of prostate enlargement and may influence prostate cancer growth.

By keeping an eye on both testosterone and DHT levels, the testosterone therapy expert can make adjustments to therapy as needed, balancing benefits while minimizing risks.

Managing Potential Risks of Testosterone Therapy

An experienced testosterone therapy expert will also take into consideration the patient’s overall health profile, family history, and prostate health status before recommending TRT.

If there are any concerns about prostate health, the hormone expert may suggest further testing or even advise against testosterone therapy in certain cases. With regular screenings and tailored adjustments, a hormone expert like Ruthie Harper, MD in Austin, TX can ensure that testosterone therapy is as safe as possible, offering patients peace of mind while they enjoy the benefits of TRT.

Regular Screening & Monitoring During Testosterone Therapy

Since prostate cancer can grow more rapidly when testosterone levels are elevated, routine screenings are essential for any man on TRT. A hormone expert like Ruthie Harper, MD in Austin, TX will typically establish a screening schedule that may include the following:

Baseline PSA Testing Before Starting TRT
Establishing a baseline PSA level is crucial, as it gives a point of reference for detecting any changes once therapy begins. Men with PSA levels within a normal range can generally proceed with TRT, but those with elevated PSA levels may require further evaluation.

Ongoing PSA Monitoring During Therapy
Even if initial PSA levels are normal, regular monitoring ensures that any changes are detected early. The frequency of these tests depends on individual risk factors, but many experts recommend checking PSA levels every 3-6 months during the first year of TRT and then at least annually thereafter.

Monitoring of Testosterone and DHT Levels
Regular testing of both testosterone and DHT levels allows the hormone expert to adjust dosages as necessary. Balancing these hormones helps to mitigate any potential risks related to prostate health while maximizing the positive effects of therapy.

Testosterone Therapy | Austin, TX

Testosterone replacement therapy can be highly beneficial for men with low testosterone – increasing muscle mass, reducing body fat, improving bone density, and enhancing sexual drive and performance.

However, testosterone therapy requires an experienced, informed, and cautious approach. By working with a hormone expert, like Ruthie Harper, MD in Austin, TX, who understands the prostate health, men can confidently pursue therapy knowing that they’re in safe hands.

Dr. Harper’s thorough approach ensures that any existing prostate risks are minimized through proactive monitoring and regular screening, allowing men to enjoy the benefits of testosterone therapy with peace of mind.

If you’re considering testosterone therapy, remember that it’s not just about restoring energy and sexual vitality – it’s about doing so safely. With hormone expert Ruthie Harper, MD in Austin, TX by your side, you can make informed decisions and prioritize your health every step of the way.

 Austin, TX Testosterone Therapy: 512.343.9355

menopause weight loss austin tx

Functional Medicine Doctors’ 5 Steps for Menopause Weight Loss

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The Link Between Estrogen, Metabolism & Losing Weight During Menopause

Menopause marks a significant transition in a woman’s life that brings about a myriad of changes, both physical and emotional. Among the most challenging of these menopausal changes is weight gain, particularly around the abdomen, which many women experience during this period.

For women in perimenopause or menopause, this weight gain and belly fat can be extremely frustrating -because neither dieting nor working out seem to help take of the extra pounds. This is because the hormonal changes of menopause are often at the root of a woman’s weight gain in mid-life.

Functional medicine doctor Ruthie Harper, MD in Austin, TX is a medical weight loss expert and menopause specialist who helps patients take a holistic approach to managing the symptoms of menopause – including unwanted weight gain and increased body fat.

In this article, she delves into the intricate relationship between estrogen, metabolism, and weight gain, shedding light on why weight gain occurs during menopause and explaining how you can fight the fat and remain trim and healthy during menopause and beyond.

The Estrogen Weight Loss Connection

One of the most vital hormones influencing a woman’s health is estrogen, specifically estradiol, which is produced by the ovaries. While most women associate estrogen with menstrual cycles and sex, estrogen is not just a reproductive hormone. Rather, estrogen is a master regulator of many bodily functions, particularly those related to metabolism. So, understanding this link between estrogen, menopause and weight gain is essential for any woman navigating the complexities of menopause.

Estrogen, particularly estradiol (E2), plays a pivotal role in a woman’s metabolism. Metabolism encompasses the production, utilization, distribution, and storage of energy in the body—all of which are crucial for maintaining health and supporting reproductive functions. When estradiol levels are optimal, the body efficiently manages energy balance, ensuring that energy intake from food matches the body’s needs. This balance is essential for maintaining a healthy weight and preventing the accumulation of excess fat.

As a woman transition into menopause, her ovaries gradually cease to produce estradiol. This decline in estrogen production disrupts the finely tuned metabolic processes that once kept their bodies in balance. The result is often a shift in how energy is stored, with an increased tendency to store fat, particularly around the abdomen. And this menopausal weight gain is not merely a cosmetic concern – unwanted belly fat also has significant negative implications for a woman’s overall health.

As a side note, interestingly, Polycystic Ovary Syndrome (PCOS) and menopause share a common thread: both conditions involve disruptions in estrogen production. Women with PCOS often struggle with the ovaries’ inability to produce adequate amounts of estradiol. Similarly, during menopause, the ovaries stop producing estradiol altogether. In both cases, the deficiency of this critical hormone leads to metabolic disturbances that can result in significant weight gain that does not respond to diet or exercise.

The Science Behind Menopause Weight Gain

As women approach menopause, they often notice changes in their bodies that are difficult to control. One of the most common complaints from menopausal patients is the accumulation of belly fat, despite maintaining the same diet and exercise routines. Dr. Ruthie Harper is a renowned menopause doctor and estrogen therapy expert in Austin, TX and she assures her patients that this is not your fault! Rather, there is a biological basis for this weight that you cannot seem to lose.

Estradiol is integral to several metabolic functions, including the regulation of appetite, fat distribution, and energy production at the cellular level. It influences the function of mitochondria, the energy factories within cells, ensuring they efficiently convert glucose into energy. Without sufficient estradiol, mitochondria become less efficient, leading to reduced energy expenditure and increased fat storage.

Estradiol also helps regulate the body’s inflammatory response. Inflammation is a natural process that protects the body from harm, but chronic inflammation can lead to a host of health issues, including insulin resistance and weight gain. In other words, estradiol acts as a modulator, turning inflammation on and off as needed. When estradiol levels decline during menopause, this regulation is lost, leading to a state of chronic, low-grade inflammation that promotes fat accumulation, particularly in the abdominal area.

The Different Forms of Estrogen & Menopause Weight Loss

As a medical weight loss expert in Austin, TX, Dr. Ruthie emphasizes the importance of understanding that “estrogen” is not a single hormone. She educates her patients about the three primary forms of estrogen in the human body: estradiol (E2), estrone (E1), and estriol (E3). Each of these hormones has different effects on the body, depending on the receptors they bind to and the tissues in which they are active.

Estradiol (E2) is the most potent form of estrogen and the one most commonly produced by the ovaries in premenopausal women. Estradiol has a balanced effect on the body’s estrogen receptors, regulating a wide range of functions from metabolism to reproductive health. It is the form of estrogen that is most effective at maintaining metabolic health, regulating fat distribution, and controlling inflammation.

Estrone (E1) becomes the dominant form of estrogen during menopause, as estradiol production declines. is primarily produced in fat tissue and has a different effect on the body compared to estradiol. It predominantly binds to alpha receptors, which are associated with pro-inflammatory responses and fat storage. This shift from estradiol to estrone is one of the reasons why menopausal women are more prone to gaining abdominal fat and experiencing increased inflammation.

Estriol (E3) is the weakest of the three estrogens, primarily produced during pregnancy. It has a more limited role in the non-pregnant state, but it can still influence certain bodily functions, particularly in combination with other forms of estrogen.

The transition from estradiol to estrone during menopause is a critical factor in the changes women experience in their metabolism. This shift not only promotes fat storage but also contributes to a state of chronic inflammation, which further exacerbates weight gain and other health issues.

Menopause Weight Loss: Dr. Harper’s Approach

As a leading menopause doctor and medical weight loss expert in Austin, TX, Dr. Ruthie takes a “whole person” approach to treating menopause weight gain. While traditional doctors may just tell menopausal patients to eat less and exercise more, Dr. Harper takes a comprehensive approach to menopause weight loss.

Below is her 5 Step Approach to Menopause weight loss, that includes dietary adjustments, lifestyle modifications, inflammation reduction, and, when appropriate, hormone replacement therapy (HRT) to effectively manage weight and maintain health during menopause.

Step 1. Menopause Weight Loss: Reduce Inflammation

Dr. Harper emphasizes that inflammation is a significant driver of many metabolic issues associated with menopause. To combat this, she recommends focusing on a diet rich in anti-inflammatory foods. These include fruits and vegetables rich in antioxidants, healthy fats like omega-3 fatty acids, whole grains for fiber, and herbs and spices with natural anti-inflammatory properties. Dr. Harper also advises menopausal women to avoid processed foods, which can exacerbate inflammation and contribute to weight gain.

Step 2. Menopause Weight Loss: Phytoestrogens in Your Diet

As an estrogen therapy expert in Austin, TX, Dr. Harper often recommends incorporating phytoestrogens into the diet. These plant compounds can mimic the effects of estrogen in the body. While they are not a substitute for estradiol, they can help alleviate some symptoms of estrogen deficiency and support metabolic health. Dr. Harper suggests including soy products, flaxseeds, pomegranates, and legumes in the diet as good sources of phytoestrogens.

Step 3. Menopause Weight Loss: Strength Training

Maintaining muscle mass is critical for metabolic health, particularly during menopause when muscle loss accelerates. Muscle tissue is a major site for glucose metabolism, and having more muscle can help prevent the excess glucose from being stored as fat.

Engaging in regular strength training exercises, such as weight lifting, resistance band exercises, or bodyweight exercises like yoga, push-ups and squats can help maintain muscle mass. And, strength training not only helps maintain muscle mass but also supports bone health, which can be compromised during menopause.

Step 4. Menopause Weight Loss: Protein Intake

Ensure you are consuming adequate protein during menopause, which is essential for muscle repair and growth.

Aim for high-quality protein sources like lean meats, fish, eggs, dairy, and plant-based proteins like beans and lentils.

Step 5. Menopause Weight Loss: Hormone Replacement Therapy

As a hormone therapy expert in Austin, TX, Dr. Harper knows that bioidentical hormone replacement therapy (BHRT) can be a valuable tool in managing the symptoms of menopause, including weight gain.

BHRT involves supplementing the body with 100% natural, plant-based hormones like estradiol to replace those no longer produced by the ovaries. BHRT can not only help restore metabolic balance to facilitate weight loss, but also reduces the risk of osteoporosis and cardiovascular disease, and alleviates other symptoms of menopause such as hot flashes and mood swings.

Menopause Weight Loss | Austin, TX

Dr. Ruthie Harper, a respected menopause doctor and medical weight loss expert in Austin, TX, emphasizes that menopause is a natural process, but it doesn’t have to mean inevitable weight gain or declining health. By understanding the critical role of estradiol in metabolism and taking proactive steps to maintain hormonal balance during menopause, women can navigate this transition with confidence and without excess weight gain!

If you’re experiencing menopausal symptoms or struggling with weight gain in Austin, TX, Dr. Ruthie Harper is here to help. Her expertise in estrogen therapy and comprehensive approach to menopause management can provide you with the tools and support you need to lose weight and maintain your health and vitality during this important life transition.

Don’t let menopause-related weight gain impact your quality of life. Contact Dr. Harper’s office today to schedule a consultation and take the first step towards a healthier, more balanced you during menopause and for decades to come.

Menopause Weight Loss Doctor | Austin, TX: 512.343.9355

Hormone Therapy Doctor Austin

Menopause Hormone Therapy: Testosterone is Not Just for Men!

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The Role of Testosterone in Menopause Hormone Therapy

Testosterone is often mistakenly regarded as exclusively a male hormone. But testosterone also plays a crucial role in women’s health throughout their lives, including during menopause. In women, testosterone contributes to maintaining muscle mass, bone density, and cognitive function. It also plays a significant role in libido and sexual drive and enjoyment.

But during menopause, as ovarian function declines, testosterone levels can drop along with declining estrogen and progesterone levels. This decline can lead to symptoms such as decreased sex drive, fatigue, muscle weakness, sleep issues, mood changes, and more. So, managing testosterone levels, in conjunction with other hormones, can be an important part of a comprehensive approach to menopausal health.

As a renowned functional medicine doctor and hormone therapy specialist in Austin, TX, Dr. Ruthie Harper takes a whole-person, individualized approach to menopause hormone therapy – including the careful balancing of testosterone levels.

In this article, Dr. Ruthie educates patients on the importance of testosterone in women’s health – and how to manage it during menopause and beyond for optimal health and vitality at every age.

The Importance of Testosterone in Menopause Hormone Therapy

Testosterone is a steroid hormone derived from cholesterol, just like other steroid hormones. It plays a critical role in many physiological processes and has its own specific set of receptors in the body. These hormones act by binding to receptors, similar to a key fitting into a lock. However, the receptor (“lock”) is not static – and it can change shape over time, affecting how well the hormone works.

Testosterone belongs to a group of hormones called androgens. Although androgens are traditionally associated with male characteristics, they also have significant effects on female physiology. These hormones are responsible for traits like facial hair, body hair, and the growth of pubic and underarm hair. In excess, they can cause acne and hair thinning, known as androgenic alopecia.

Additionally, testosterone is not only essential for its own effects but also serves as a precursor to estradiol, the most potent form of estrogen. In fact, all of the estradiol produced in the body comes from testosterone through a process facilitated by the enzyme aromatase. This conversion process is crucial to understand when considering hormone therapy during menopause.

Testosterone therapy for women requires careful consideration and monitoring, as balanced levels can improve mental, physical, and sexual health. However, excessive levels of testosterone can lead to unwanted side effects. Recognizing the importance of testosterone in women’s health and addressing its balance during menopause can contribute significantly to maintaining overall well-being and quality of life during this transitional period.

Sources of Testosterone & Its Role in Menopause

In women, testosterone comes from three main sources. About 25% of the testosterone in a woman’s body during reproductive years is produced directly by the ovaries. Another 25% is directly produced by the adrenal glands. The remaining 50% comes from the conversion of “precursor androgens”, primarily in fat tissue.

As women age and approach menopause, testosterone production naturally declines due to several factors. The adrenal glands, specifically the zona reticularis, shrink over time, leading to reduced androgen and testosterone production. Contrary to popular belief, the decline in testosterone is not directly related to the cessation of ovulation in menopause. However, it is not uncommon for testosterone levels to fall as levels of estrogen and progesterone levels fall in menopause due to ovarian aging.

Hormone Therapy & Testosterone Balance in Menopause

As a hormone therapy expert in Austin, TX, Dr. Ruthie Harper understands the importance of hormone balance, especially during perimenopause and menopause. During this time, some women may experience relative androgen excess because declining estrogen levels result in lower production of sex hormone-binding globulin (SHBG). This can lead to more “free testosterone” becoming available, potentially causing symptoms of androgen excess.

As part of Dr. Ruthie’s holistic and comprehensive approach to hormone management during menopause, she measures free testosterone and SHBG levels, rather than solely relying on total testosterone levels. This approach provides a more accurate reflection of the amount of active testosterone in the body, which is crucial for effective hormone therapy during menopause.

Tailored Testosterone Therapy in Menopause

In her Austin, TX functional medicine practice, Dr. Ruthie takes a careful and individualized approach to testosterone therapy for menopausal women. While testosterone therapy can be beneficial for some women, it requires very precise and knowledgeable management. Dr. Harper customizes testosterone therapy for each women, tailoring it to the individual’s needs.

It is important to note that there are no commercial testosterone products specifically designed for women. Which is why many traditional doctors simply skip testosterone management altogether! Testosterone must be compounded at a pharmacy with precise dosing to avoid side effects.

Dr. Harper cautions against using testosterone products designed for men, as these can easily lead to overdosing in women. She also advises careful consideration of pellet therapy, which can result in unnaturally high levels of testosterone leading to long-term complications. Instead, Dr. Harper offers a carefully managed approach to testosterone therapy at her Austin, TX functional medicine practice, that takes into account each woman’s unique hormonal profile and symptoms.

The Impact of Testosterone on Quality of Life During Menopause

At her Austin, TX practice, Dr. Ruthie Harper educates her patients on the profound impact testosterone has on several key areas of health during menopause. She explains that testosterone helps maintain bone density, reducing the risk of osteoporosis. It also supports muscle growth and strength, which is essential for overall mobility and physical health as women age. Furthermore, testosterone has positive effects on brain function, including memory and focus, and plays a significant role in maintaining libido and sexual satisfaction.

So, as women get older and go through menopause, it’s important to carefully evaluate their specific testosterone levels – in order to consider hormone replacement if symptoms of deficiency are present. However, this must be done carefully and under the supervision of a knowledgeable hormone therapy specialist like Dr. Harper, who can provide ongoing monitoring of hormone levels and adjust therapy as needed.

Menopause Hormone Therapy | Austin, TX

At her practice in Austin, TX, Dr. Ruthie Harper is committed to helping women navigate the complex world of menopause and hormone therapy. She understands that testosterone is far more than just a “male hormone” – it is vital to women’s health, impacting everything from bone density to cognitive function during and after menopause.

Dr. Harper’s approach to menopause hormone therapy in Austin, TX, is rooted in a deep understanding of the role of hormones in women’s health. She believes that by understanding the role of all hormones in your body – including testosterone – you can make informed decisions about hormone health and partner with her for appropriate hormone testing, treatment, and monitoring.

If you’re experiencing symptoms of menopause or have concerns about your hormone levels, don’t hesitate to seek expert care from Dr. Ruthie Harper and her team in Austin, TX. We are ready to provide you with personalized, comprehensive hormone therapy tailored to your unique needs. Whether through hormone therapy or other natural methods, maintaining balanced testosterone levels can contribute to improved quality of life and better health as you age.

Contact Dr. Harper’s office in Austin, TX today to schedule a consultation – and take the first step towards optimal health during menopause and beyond.

Menopause Hormone Therapy | Austin, TX: 512.343.9355

thyroid doctor austin tx

Are Your Menopause Symptoms Actually a Thyroid Problem?

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The Connection Between Thyroid & Menopause

The thyroid gland, though small and often overlooked, plays a crucial role in regulating nearly every aspect of our body’s functions. The thyroid gland produces hormones that influence metabolism, heart rate, body temperature, digestion, sex drive, and even mood and cognitive function.

A well-functioning thyroid is essential for maintaining energy levels, managing weight, feeling good, and supporting overall health and well-being. However, thyroid problems are often overlooked or misdiagnosed because thyroid symptoms can be subtle or mimic other conditions – including the symptoms most commonly associated with menopause.

Many people – including women in menopause – suffer from undiagnosed thyroid issues, experiencing symptoms like fatigue, weight gain, depression, or cognitive difficulties without realizing the underlying cause. And this oversight is truly a “big deal” as it can lead to prolonged discomfort and very serious potential long-term health complications.

That’s why, as women enter the menopausal transition, thyroid health becomes increasingly important. Dr. Ruthie Harper, a renowned functional medicine doctor and thyroid specialist in Austin, TX, emphasizes the importance of understanding how menopause and thyroid function are interconnected. Recognizing the importance of thyroid health and seeking proper evaluation can be transformative, allowing menopausal women to address the root cause of their symptoms and regain optimal health.

In this article, Austin, TX thyroid specialist and menopause doctor Ruthie Harper, MD educates patients on the key role thyroid hormones play in maintaining overall health during this significant transitional life stage.

Increased Risk of Thyroid Disease During Menopause

As women enter menopause, the incidence of thyroid issues such as hypothyroidism, thyroid cancer, goiters, and autoimmune thyroid conditions (Graves’ disease and Hashimoto’s thyroiditis) increases. The symptoms of menopause and thyroid disease often overlap, making it difficult to distinguish between the two without proper testing.

Symptoms like sleep disturbances, mood changes, weight gain, sluggishness, brain fog, and temperature dysregulation (e.g., feeling chilly) are common in both conditions.

Hypothyroidism is an underactive thyroid that produces too little thyroid hormone. It can present with symptoms such as weight gain, sluggishness, and feeling cold. All of these are symptoms often mistakenly attributed solely to menopause.

Hyperthyroidism refers to an overactive thyroid that produces too much thyroid hormone. It also shares symptoms with menopause, such as night sweats, hot flashes, and mood swings, leading to underdiagnosis.

It’s essential for healthcare providers to recognize the high prevalence of thyroid disease in menopausal women and test for thyroid dysfunction when these symptoms arise.

The Connection Between Thyroid & Menopause

Thyroid function declines with age, affecting metabolism, energy distribution, and brain function. Women are particularly vulnerable to thyroid issues during and after menopause due to the complex interplay between thyroid hormones and sex hormones, especially estrogen.

The thyroid gland has estrogen receptors. When estrogen levels drop during menopause, thyroid function can decline as a direct result. Aging also contributes to reduced thyroid function.

Before menopause, thyroid hormones have receptors on the ovaries and influence reproductive function, including the menstrual cycle and hormone production. Low thyroid hormone levels can even trigger early menopause.

After menopause, reproductive functions stop, but estrogen remains crucial for maintaining optimal thyroid function. Without sufficient estrogen, thyroid hormone production and effectiveness can decline further.

Testing for Thyroid Dysfunction

To accurately diagnose thyroid dysfunction, comprehensive thyroid testing is necessary. Here are the key tests:

1. TSH (Thyroid Stimulating Hormone): A high TSH indicates hypothyroidism (underactive thyroid), while a low TSH indicates hyperthyroidism (overactive thyroid).

2. Free T4 and Free T3: These measure the unbound, active forms of thyroid hormones.

3. Thyroid Antibodies: This can help diagnose autoimmune thyroid disease, especially Hashimoto’s thyroiditis, which becomes more common during menopause.

4. Reverse T3: This test measures a form of thyroid hormone that blocks the action of T3.

Micronutrients & Thyroid Function

Proper thyroid function depends on several key micronutrients, which are essential for thyroid hormone production and conversion from T4 to T3. These include:

  • Iron
  • Zinc
  • Selenium
  • Iodine
  • Copper

Even a deficiency in one of these nutrients can affect thyroid hormone production and conversion, so it’s crucial to assess and optimize micronutrient levels, particularly in women struggling with thyroid issues during menopause.

Menopause, Gut Microbiome & Thyroid Function

The gut microbiome refers to a complex ecosystem of trillions of microorganisms residing in our digestive tract, that plays a crucial role in our overall health and well-being. These bacteria, fungi, viruses, and other microbes aids in digestion, produces essential vitamins, supports our immune system, and even influences our mood and cognitive function through the gut-brain axis.

Menopause causes rapid changes in the gut microbiome, leading to alterations in digestion, micronutrient absorption, and inflammation, which can impact thyroid function. The gut produces vital compounds like vitamins and short-chain fatty acids that influence liver function, brain function, and the autonomic nervous system. Poor gut health and inflammation can directly affect the thyroid, increasing the risk of thyroid dysfunction.

Dr. Ruthie Harper in Austin, TX helps patients nurture a healthy gut microbiome through a balanced diet, lifestyle changes, and supplements as part of her whole-person, functional medicine approach. This can have far-reaching positive effects on thyroid health, menopause management and overall physical and mental health.

Hormone Therapy & Thyroid Function

Natural, biodentical estrogen therapy at Dr. Ruthie Harper in Austin, TX can offer significant benefits for certain women navigating the challenges of menopause. Beyond symptom relief, estrogen therapy also provides long-term health benefits, such as maintaining bone density to reduce the risk of osteoporosis, supporting cardiovascular health, and potentially reducing the risk of certain types of dementia. It can also help maintain skin elasticity and vaginal health.

Estrogen therapy can also be beneficial for menopausal women to support thyroid function by maintaining thyroid hormone receptor activity. However, it’s important to monitor hormone levels carefully, as too much estrogen can suppress thyroid hormone production.

For this reason, estrogen therapy should be personalized and monitored for each woman’s unique individual health profile, blood test results, and risk factors. When properly prescribed and monitored by a healthcare professional, estrogen therapy can be a powerful tool in helping women menopausal maintain their health, vitality, and well-being during and after menopause.

Thyroid Hormone Therapy

As women age, thyroid hormone therapy may be necessary to maintain optimal thyroid function.
However, thyroid hormone replacement is not one-size-fits-all, as many traditional doctors seem to think.
There are many important considerations when personalizing thyroid hormone therapy, especially for menopausal women.

While desiccated thyroid products like Armour Thyroid contain both T3 and T4, Dr. Harper notes that they are generally not recommended because the predetermined amounts of T3 and T4 make it difficult to individually control hormone levels.

Instead, Dr. Harper often recommends bioidentical T4 (Levothyroxine) if the patient’s body converts T4 to T3 as needed. In some cases, T3 supplementation may be necessary for women with hypothyroidism who do not effectively convert T4 to the active hormone T3. Dr. Harper emphasizes that it is crucial to provide T3 directly to support optimal thyroid function in these cases.

Providing T3 as part of hormone replacement therapy can help resolve these symptoms and restore proper metabolic and cellular function, leading to improved overall well-being. It is recommended that T3 be given in a sustained release form to ensure slow constant delivery to patient.

Monitoring Thyroid Therapy

When undergoing thyroid therapy, regular monitoring of TSH, Free T4, and Free T3 levels is crucial to ensure optimal dosing. Overdosing on thyroid hormone can lead to serious complications such as bone loss and heart problems, and under-dosing will leave the patient with all the symptoms of low thyroid function.

Adjustments to any hormone therapy should be made carefully, using blood test monitoring and with close attention to symptoms. Dr. Ruthie Harper in Austin, TX helps patients ensure optimal thyroid health management through a whole-person, functional medicine approach that includes ongoing, individualized thyroid monitoring and treatment.

This can have far-reaching positive effects on a woman’s thyroid health during menopause – improving her overall physical, sexual, emotional, and mental health.

Menopause Thyroid Doctor | Austin, TX

Thyroid health is a crucial aspect of managing menopause and post-menopausal health. With the intricate connection between thyroid hormones, estrogen, and the gut microbiome, understanding the complexity of these systems can help optimize overall well-being. Women experiencing symptoms commonly associated with menopause should be screened for thyroid dysfunction, and treatment should address the root cause of any thyroid issues, whether they are related to hormone levels, micronutrient deficiencies, or gut health.

By addressing these factors holistically, women can achieve better health outcomes during and after menopause.
Dr. Ruthie Harper is a respected thyroid doctor and menopause specialist in Austin, TX, who can thoroughly screen, diagnose and treat the root cause of any thyroid and/or menopause issues, whether they are related to hormone levels, micronutrient deficiencies, or gut health.

If you’re experiencing symptoms commonly associated with menopause, schedule an appointment with Dr. Harper in Austin, TX to be tested for thyroid dysfunction, and other hormonal issues associated with menopause.

Don’t let thyroid issues complicate your menopausal transition. If you’re in Austin, TX, and seeking expert care for menopause and thyroid health, Dr. Ruthie Harper offers a comprehensive, compassionate, holistic approach that can help you achieve better health during menopause and for decades afterwards. Take the first step towards feeling better with optimal thyroid and hormonal health by contacting Dr. Harper’s office today!

Thyroid Doctor | Austin, TX: 512.343.9355

estrogen for menopause

BHRT for Natural Menopause Symptom Relief

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Menopause is a natural biological process that marks the end of a woman’s reproductive years. It is characterized by a decrease in the production of the ovarian hormone’s estrogen, progesterone, and testosterone. This decrease in hormone levels can lead to a wide range of symptoms, including hot flashes, night sweats, vaginal dryness, mood swings, sleep disturbances, mid-line weight gain, and a decline in sexual desire. Fortunately, bioidentical hormone replacement therapy (BHRT) can offer relief from these symptoms and improve overall health and quality of life.

What is BHRT?

BHRT (Bioidentical Hormone Replacement Therapy) involves the use of hormones that are structurally identical to the hormones naturally produced by the body. This is in contrast to traditional hormone replacement therapy (HRT), which often uses synthetic hormones that are similar but not identical to natural hormones. BHRT is typically administered in the form of a cream, oral capsule, or under the tongue tablet called a “reditab”.

BHRT should be administered by a qualified and experienced physician with experience in the use of bioidentical hormones. The key to successful use of bioidentical hormones is using the right amounts of hormone replacement in the right balance while carefully following blood levels to determine what is needed for each individual since no two women are alike.

BHRT & Menopause

One of the main benefits of BHRT is its ability to alleviate menopausal symptoms. Studies have shown that BHRT can effectively reduce hot flashes, night sweats, vaginal dryness, and other symptoms associated with menopause. Unlike traditional HRT, which has been linked to an increased risk of breast cancer, BHRT has not been shown to have this association.

Health Benefits of BHRT

In addition to relieving menopausal symptoms, BHRT can also provide a range of other health benefits. For example, BHRT can help to prevent bone loss and reduce the risk of osteoporosis, a condition that causes bones to become brittle and weak. This is because estrogen plays a key role in bone health, and a decrease in estrogen levels during menopause can lead to a loss of bone density. BHRT can help to restore estrogen levels and prevent this bone loss.

BHRT can also improve cardiovascular health by reducing the risk of heart disease. Estrogen has been shown to have a protective effect on the cardiovascular system, and a decrease in estrogen levels during menopause can increase the risk of heart disease. BHRT can help to restore estrogen levels and reduce this risk.

Another benefit of BHRT is its ability to improve cognitive function. Studies have shown that estrogen can help to improve memory, attention, and other cognitive functions, and a decrease in estrogen levels during menopause can lead to cognitive decline. BHRT can help to restore estrogen levels and improve cognitive function while also protecting against neurodegenerative diseases as women age.

BHRT can also improve sexual function by increasing libido and reducing vaginal dryness. A decrease in estrogen levels during menopause can lead to a loss of sexual desire and discomfort during intercourse. BHRT can help to restore estrogen levels and improve sexual function.

Finally, BHRT can help to improve overall quality of life by reducing the physical and emotional symptoms of menopause. By alleviating hot flashes, night sweats, mood swings, and other symptoms, BHRT can help women feel more comfortable and confident during this transitional period of their lives.

Candidates for Menopause BHRT

It is important to note that BHRT is not appropriate for all women. Women with a history of breast cancer, blood clots, or certain other medical conditions may not be good candidates for BHRT. It is also important to work with a qualified physician who can evaluate each individual for the appropriate use of bioidentical hormones and monitor hormone levels and adjust treatment as needed.

Since  bioidentical hormone replacement therapy may not be appropriate for all women, Integrative medicine becomes important as it offers a wide range of natural and complementary therapies that can be used to support hormonal balance and alleviate menopausal symptoms if hormone support is not an option. These therapies may include nutritional supplements, herbal remedies, acupuncture, massage, and mind-body practices such as yoga and meditation. Integrative physicians have training and experience in these therapies and can help you determine which ones may be most effective for you.

Choosing a Menopause Doctor for BHRT

No two women experience menopause in exactly the same way, which is why it’s important to work with an integrative physician who can tailor your treatment plan to your specific needs and preferences. Integrative physicians take a personalized approach to treatment, which means that they will work with you to develop a plan that takes into account your unique medical and family history, lifestyle, and health goals.

Menopause is a natural biological process that can cause a wide range of symptoms and health issues. BHRT can offer relief from these symptoms and provide a range of other health benefits.  If you are experiencing menopausal symptoms or are concerned about your hormone levels, schedule an appointment with Ruthie Harper MD and Tyler Young NP in Austin, TX to see if BHRT may be a good option for you.

Menopause Doctor for BHRT | Austin: (512) 343-9355

Written by Ruthie Harper MD and Tyler Young NP, Integrative Medicine Specialists

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Tired? Hair Loss? Weight Gain? Testosterone May be the Problem. HRT Can Help!

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Most people think of testosterone as a male hormone. But women need testosterone, too! Testosterone is a steroid hormone that plays a role in the development of ‘secondary sexual characteristics’ in women, such as increased muscle mass and strength, and also helps regulate bone density, sex drive, and mood.

And while the levels of testosterone in women are typically much lower than those in men, it is important for them to be within the normal range for optimal health. Abnormally high levels of testosterone in women can lead to a condition called hyperandrogenism, which can cause symptoms such as acne, hair loss, and irregular menstrual cycles. And low testosterone levels in women can cause many symptoms and side effects as well, including loss of energy, decreasing muscle mass, weight gain, and even heart disease.

Fortunately, 100% natural, bioidentical hormone replacement therapy (“HRT”) – available at our Austin, TX office – can help restore and balance health estrogen and testosterone levels in women and alleviate many f the symptoms and dangerous side effects of hormone imbalance.

Testosterone Decline in Women

Testosterone levels in women decline gradually over time, starting in the mid-20s. The decline becomes more pronounced as a woman approaches menopause, which usually occurs between the ages of 45 and 55. After menopause, the levels of testosterone decrease significantly. This is due to the decrease in production of testosterone by the ovaries and adrenal glands. The decrease in testosterone levels can cause symptoms such as low libido, fatigue, and mood changes.

Prior to menopause, a woman’s ovaries are the principal source of testosterone in her bloodstream. However, after menopause, the ovaries cease to function and no longer produce testosterone. Because a woman still requires testosterone for a range of physical processes and systems, her body begins producing blood testosterone from the hormone DHEA produced by the adrenal glands.

It’s also worth noting that certain medical conditions and medications can also cause a decrease in testosterone levels in women. For example, conditions such as polycystic ovary syndrome (PCOS) and premature ovarian failure (POF) can affect the production of hormones in the ovaries and lead to decreased testosterone levels. Certain medications, such as glucocorticoids and anti-androgens, can also decrease testosterone levels.

Symptoms of Low Testosterone in Women (That HRT Can Help!)

Low levels of testosterone in women, also called hypoandrogenism, can cause a variety of symptoms. Some common symptoms of low testosterone in women include:

  • Low sex drive or decreased sexual interest
  • Vaginal dryness and painful intercourse
  • Fatigue or lack of energy
  • Decreased muscle mass and strength
  • Depression or mood changes
  • Loss of bone density, leading to osteoporosis
  • Difficulty sleeping
  • Irregular menstrual cycles

However, many of these symptoms can also be caused by other conditions, so it’s important to consult with an HRT expert like Dr. Ruthie Harper in Austin, TX to determine the underlying cause of your symptoms to see if HRT is right for you.

It’s also important to note that some women might not experience any symptoms at all, even if they have high or low testosterone levels.

How Testosterone Levels Affect Hair Loss in Women

High testosterone is commonly associated with hair loss or hair thinning in women. Testosterone is converted to dihydrotestosterone (DHT) in the body, and DHT can cause hair follicles to shrink, resulting in shorter and finer hair. This can lead to hair loss on the scalp, as well as increased hair growth on other parts of the body, such as the face or chest.

However, hair growth is a complex process that is affected by many factors, including genetics, hormonal changes, and overall health. Therefore, if you’re a woman who is experiencing hair loss or thinning, it’s important to consult with an HRT specialist like Dr. Ruthie Harper in Austin, TX to determine the underlying cause, and to get the appropriate treatment.

Low Testosterone and Weight Gain in Women

Testosterone levels can also affect weight gain in women. Sufficient testosterone levels improve body composition by increasing muscle mass and decreasing fat mass. Women with higher levels of testosterone may have a higher muscle mass and lower body fat percentage, which can contribute to a lower body weight.

Conversely, low levels of testosterone in women can contribute to weight gain. Testosterone helps regulate metabolism, and low levels can lead to decreased muscle mass, which can lead to a slower metabolism, making it more difficult to lose weight.

In many cases, balancing estrogen and testosterone levels with HRT can help women build muscle, as well as stop accumulating unwanted body fat If you’re concerned about unexplained weight gain or loss of muscle mass, an HRT specialist like Dr. Ruthie Harper in Austin, TX can offer personalized blood testing to see if HRT is right for you.

HRT, Testosterone & Heart Disease in Women

A recent groundbreaking study published by Monash University discovered that women over the age of 70 with low testosterone levels are also nearly twice as likely to suffer a cardiac attack.

Women over the age of 70 without a history of cardiovascular disease events had their blood tested for levels of testosterone, DHEA, and estrogen. The findings from the data, according to the researchers, strongly supported the advantages of HRT testosterone replacement for avoiding cardiovascular disease in older women.

Since previous research has shown that testosterone treatment reduces blood pressure and improves blood flow in arteries, it just “makes sense” that older women may be protected against cardiovascular illness by having greater testosterone levels.

HRT Testosterone Therapy | Austin, TX

Often it is hormone decline or imbalance – not just “aging” – that causes women to gain weight, lose hair, have low energy, and lose muscle mass during menopause.  The good news is that hormone replacement therapy (HRT) is an easy, effective, and affordable treatment that can reverse many of these symptoms and restore your appearance and your quality of life!

If you are a woman in the Austin, TX area who is experiencing the challenges of perimenopause or menopause, schedule an appointment with Dr. Ruthie Harper to see if 100% natural, bioidentical HRT is the right treatment for you!

HRT Testosterone Therapy | Austin, TX: (512) 343-9355

9 Surprising Signs & Symptoms of Osteoporosis

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Osteoporosis is often called a “silent disease” because women who have it often do not know that they have it until it’s too late and they have broken a bone. As a result, unfortunately, 50% of women over the age of 50 will suffer a bone fracture as a result of osteoporosis.

And, unlike broken bones in children (which heal relatively quickly) bone fractures in adults over 50 raise the risk of premature death by about 50% in both men and women. Broken hips are particularly dangerous in older adults, with 33% of adults over 50 dying within one year of fracturing their hip.

Of course, a very common and accurate test for osteoporosis – dual-energy X-ray absorptiometry, also called DXA or “DEXA” – is available. But many women don’t realize how dangerous osteoporosis can be and simply put-off getting a bone density test until it is too late.

Am I at Risk for Osteoporosis?

DEXA scans are typically not recommended for women until the age of 65 – unless they have certain risk factors for osteoporosis including: low body weight, steroid usage, smoking, a family history of osteoporosis, or a history of previous bone fracture(s).

Women are four times as likely to develop osteoporosis as men. And while half of women over age 50 will break a bone because of osteoporosis, only one quarter of men will. Post-menopausal women lose the most bone — up to 20 percent or more — during the first 10 years after menopause.

Alcohol use, poor diet (low in calcium and vitamin D), and a sedentary lifestyle also put a person at risk for osteoporosis. Certain medications may also increase the risk of developing osteoporosis, including antiepileptics, proton pump inhibitors, thiazolidinediones for type 2 diabetes, SSRIs for depression and anxiety, and some breast and prostate cancer treatments.

Surprising Signs and Symptoms of Osteoporosis

While osteoporosis is called a “silent disease,” it isn’t always that quiet if you know what to look for. There are actually quite a few additional common – and surprising – signs that you might be suffering from osteoporosis and should schedule a DEXA scan.

If you are experiencing any of the issues below, you should discuss the possibility of a bone density scan with your doctor to rule out bone loss.

#1. Warning Sign of Osteoporosis: Getting Shorter

Losing height is the most common sign that your spine is shrinking. Measure yourself annually so you can spot this early.

#2. Warning Sign of Osteoporosis: Back & Neck Pain

Unexplained back and neck pain can have many causes. But bone loss can cause a compression fracture or collapsed vertebra in the spine that cause mild to severe pain.

#3. Warning Sign of Osteoporosis: Hunch Back

If it feels uncomfortable to stand straight, or you notice that your posture is becoming hunched, or you can feel a hump in your upper back, it could be a sign of spinal bone loss.

#4. Warning Sign of Osteoporosis: Shortness of Breath

Most people assume that breathing problems are due to lung disease. But when the spine compresses due to bone loss or fracture, lung capacity may be reduced, causing shortness of breath. Because shortness of breath can be a symptom of many serious health issues, always get it checked.

#5. Warning Sign of Osteoporosis: Brittle Fingernails 

Nails that break easily can be an indication that a person is not getting enough calcium in the diet – or that the body is not absorbing sufficient calcium. Vertical ridges in the fingernails, especially, can be a sign of calcium deficiency.

#6. Warning Sign of Osteoporosis: Gastrointestinal Problems

Bone loss is connected to several types of GI issues. Celiac disease, inflammatory bowel disease, and other GI diseases can interfere with calcium absorption. Additionally, steroids used to treat GI issues can also lower bone density.

#7. Warning Sign of Osteoporosis: Dental Problems

Tooth loss can be caused by bone loss in the jaw area and may be an indication of decreased bone density in the jaw and in other areas of the body, as well.  Pay close attention to this sign if you’re losing teeth too easily.

#8. Warning Sign of Osteoporosis: Weak Grip  

Low grip strength is often associated with decreased muscle strength, an increase in frailty, and an elevated risk of falling and breaking bones. Your doctor can measure your grip strength with a simple device called a hand dynamometer.

#9. Warning Sign of Osteoporosis: Serial or Yo-Yo Weight Loss

Maintaining a healthy weight can help ward off many serious diseases. But being a serial dieter – or going on crash diets or severe calorie restricted programs – interferes with bone nutrition and increases the risk for bone loss.

How Doctors Treat Osteoporosis

It is never too late to take measures to avoid becoming one of the 50% of women who may have a bone fracture as a result of osteoporosis. If you have any of the risk factors for osteoporosis – or any of the signs of bone loss above – talk to your doctor about scheduling a DEXA bone density scan.

It is recommended that women over age 50 and men over 70 get 1,200 milligrams (mg) of calcium daily from food first and supplement with pills only if necessary. (Women under age 50 and men under age 70 should get 1,000 mg.)

While there are many medications for osteoporosis on the market, bioidentical hormone replacement therapy (BHRT) can prevent osteoporosis by restoring the body’s natural hormone balance – rather than by using harsh and hazardous drugs produced in the laboratory.  READ MORE ABOUT BHRT FOR OSTEOPOROSIS

Osteoporosis Doctor | Austin, TX

If you are a perimenopausal or menopausal woman living in the greater Austin, TX area schedule a consultation with Dr. Ruthie Harper to determine if you are at risk for bone loss. She can help you naturally and effectively take action to maintaining strong, healthy bones after menopause … and for the rest of your life!

Austin, TX Osteoporosis Doctor: 512.343.9355