This document discusses anti-aging therapies through balancing bio-identical hormones. It notes that Suzanne Somers uses many hormones like growth hormone, thyroid hormone, estradiol and progesterone in her regimen. The document defines anti-aging as making lifestyle changes like diet, exercise and supplementing bio-identical hormones to natural levels to influence cellular changes that improve health. It states that hormones decline with age and are critical for metabolism, gender differences, energy and mood. Optimal hormone levels through bio-identical replacement can prevent diseases and improve quality of life without proven harm.

1. Anti-aging therapies
through bio-identical
hormonal balancing
Dr. Westin Childs
www.restartmed.com

3. Suzanne Somers anti aging regimen
- Growth hormone, thyroid hormone,
estradiol, progesterone, pregnenolone,
DHEA, GABA, Cortisol, melatonin
- Notice the trend? ALL hormones!
- She also uses: daily supplements/vitamins,
frequently detox’s, specialized diet and
exercise routines

4. Anti-aging is not….
Old anti-aging paradigm:
- Plastic surgery (face lifts, tummy tucks, etc.)
- Expensive laser resurfacing
- Getting new joints with orthopedic surgery
- Treating aches and pains with medications

5. Anti-aging is
“The specialty is founded on the application of advanced scientific and medical technologies for the
early detection, prevention, treatment, and reversal of age-related dysfunction, disorders, and
diseases”

6. My definition
Anti-aging is making lifestyle changes including
diet, exercise and the supplementation of bio-
identical hormones to natural physiologic levels
to influence changes at the cellular level which
correspond to improvement in both the
phenotype and genotype of the individual.

7. Anti-aging regimen
1.Bio-identical hormone replacement (to
physiologic levels)
2.Exercise***
3.Diet
4.Targeted supplements
5.Stress and sleep management
(reversal of chronic diseases with targeted
medications may be necessary)

8. Hormones
Most powerful molecules in biology
Critical to life - change your DNA
Control metabolism of every cell
Determine gender differences
Determine energy and mood
Optimal levels are essential for health and
quality of life

10. 2 MAJOR problems...

11. All hormones decline with age,
stress, toxins and illness!
- 10% of people have subclinical
hypothyroidism
- Every aging human = somatopause,
menopause/andropause
- Stress causes early decline of DHEA and
adrenal function
- Environment (xenoestrogens)

12. Doctors don’t get it
“reference range endocrinology”
- Normal ranges are NOT optimal
- Include 95% of tested ‘sick’ people
- NOT diagnostic ranges
- Doctors assume that all ranges are diagnostic
- Male free tesosterone: 35-155 5x
- Female free testosterone: 0.0-2.2 Infinite
- Free t4 (thyroid): 0.6-1.8 3x
- AM serum cortisol: 5-25 5x

15. DHEA (major precursor)

17. Progesterone and Estrogen

18. Common view
- Persistence of youthful levels of hormones
would cause more heart attacks and cancer
- Loss of hormones is adaptive and helps us
live longer
- Fits pharmaceutical agenda: take drugs for
symptoms caused by hormone loss

19. Against the common view
- Aging is a natural self destruct program that kicks in
around age 25 in humans
- Obesity, high blood pressure, diabetes, heart attacks,
autoimmune diseases and many cancers increase AFTER
menopause/andropause
- Aging and loss of hormones are both natural and bad for
you
- Studies of balanced hormone restoration show expected
youthful benefits and improvements without proof of
harm

20. Thyroid and cortisol deficiencies
(fatigue, depression and pain)
- Thyroid sets metabolism, cortisol delivers
fuel
- Thyroid determines metabolism in EVERY
tissue
- Lack of either = slow metabolism
- BOTH must be optimal for health and quality
of life
- Doctors have irrational fear of supplementing

22. Hypothyroidism
- Mental fog, poor concentration, depression
- Fatigue, need for excessive sleep
- Cold extremities, always feel cold
- Aches and pains
- Thinning, dry, coarse scalp hair
- Weight gain
- Constipation
- Ankle swelling, puffy face

23. Diagnosing hypothyroidism
1st - Symptoms…
2nd - Basal body temp... 97.8-98.2
3rd - Labs...
TSH Optimal levels 1-2 mU/l (reference range 0.5-4.5)
Free T3 > 3.2 (upper ⅓ of reference range)
Free T4 > 1.1 (upper ⅓ of reference range)
Reverse T3, thyroglobulin antibodies, thyroid peroxidase
antibodies

24. Right way to fix it
- Use of bio-identical T3/T4 hormonal therapy,
titration to relief of symptoms (NOT the TSH)
- Iodine, selenium supplementation
- Support adrenal function with supplements
or bio-identical cortisol if necessary
- Vitamin C, salt, adaptogens

25. More than “sex hormones”
Estradiol, progesterone, testosterone and DHEA are
required for the function, growth and maintenance of ALL
tissues in both sexes
- Maintain brain function and health
- Maintain immune system
- Maintain connective tissue: skin, hair, bones, muscle
- Improve insulin sensitivity: prevent diabetes, fatty liver
- Reduce blood pressure
- Prevent heart attacks

26. Normal progesterone dominance

27. Perimenopause

28. Menopause

29. Women killers and hormones
- Cardiovascular disease, osteoporosis, dementia and
breast cancer = RARE before menopause
- First 3 = estradiol deficiency, breast cancer =
progesterone deficiency
- Early removal of ovaries = increased risk of heart
disease, osteoporosis and dementia
- Youthful hormone levels protect women from these
diseases

30. Coronary artery disease vs. age

31. Transdermal estradiol
prevents heart attacks

32. Transdermal estradiol
prevents heart attacks

33. Estrogen replacement prevents
Alzheimer’s disease
n=5092 women followed over 5 years

34. Osteoporosis

35. Osteoporosis
- A hormone deficiency disease - the proper
treatment is hormone restoration
- Estradiol prevents resorption of bone while
testosterone, DHEA and GH build new bone
- Hormone restoration including vitamin D =
increases bone density better than
bisphosphonates without side effects

36. Estradiol restoration
- Protects against heart disease, dementia,
osteoporosis
- Improves insulin sensitivity - prevents diabetes
- Eliminates hot flashes, restores sleep
- Restores cognitive function and mood
- Maintains thickness, fullness of skin and hair
- Maintains pelvic health, helps against incontinence and
bladder infections
- Protects aginst colon cancer and macular degeneration

37. What about breast cancer?
- Estradiol stimulates growth of female
organs, maintains female health and quality
of life
- Promotes cancer and other disorders if not
balanced with progesterone and androgens

38. Estrogen Dominance
- Autoimmune
diseases
- Anxiety
- Moodiness
- PMS
- Bloating, fluid
retention
- Fibrocystic breasts
- Heavy periods
- Endometriosis
- Breast cancer
- Ovarian cancer
- Uterine cancer
- Gallstones

39. Progesterone balances estrogen
- Balanced levels of estrogen/progesterone
prevent breast and endometrial cancer
- Progesterone decline = anxiety, depression,
irritability, mood swings, insomnia, pain and
inflammation (joint, low back, etc.),
osteoporosis

40. Breast cancer rate vs age
Loss of progesterone = higher risk of breast cancer

41. Who needs progesterone?
- Irregular menstrual cycles
- No periods - amenorrhea
- Heavy bleeding
- Fibrocystic breast disease
- Endometriosis/adenomyosis
- EVERY woman in menopause

42. Provera is NOT = to progesterone
Provera
- Causes birth defects
- Depression
- Insomnia, irritability
- Fluid retention
- Worsens lipid profile
- Increases risk of heart attacks
- Increases stimulation of
breasts
- Causes breast cancer
Progesterone
- Maintains pregnancy
- Improves mood
- Improves sleep
- Diuretic
- Improves cholesterol
- No increase in heart attacks
- reduces stimulation of
breasts
- PREVENTS breast cancer

43. E3N-EPIC study
55,000 women
8 year f/u
E2 plus progesterone = no increased risk of breast cancer

44. Take aways
- Bio-identical hormones
- Transdermal (through the skin)
- Estradiol/estriol combination
- Natural progesterone
- Individualized dose titrated by you
- NO harm when used correctly, with LOTS of benefit

45. Take aways
- New anti-aging medicine
- Hormones (bio-identical hormones)
- Diet
- Exercise
- Sleep and stress management
- Targeted supplements

46. Questions?