Hormone Replacement Therapy (HRT), or Bioidentical Hormone Replacement Therapy (bHRT), has emerged as a revolutionary and safe medical treatment for women experiencing various health concerns related to hormonal imbalances. While HRT has garnered its share of controversy and debate, it remains a viable and effective option for many women seeking relief from symptoms associated with menopause, hormonal deficiencies, and other conditions. In this article, we will explore the numerous benefits of Hormone Replacement Therapy, shedding light on the positive impact it can have on women’s overall well-being and quality of life.

 1. Alleviating Menopausal Symptoms

One of the most common reasons women seek Hormone Replacement Therapy is to alleviate the symptoms of menopause. Menopause marks a natural transition in a woman’s life, but it often comes with a slew of unpleasant symptoms, including hot flashes, night sweats, mood swings, and vaginal dryness. Other common but rarely discussed symptoms include joint pain, stiffness, and brain fog. HRT can provide substantial relief from these symptoms by replenishing estrogen and progesterone levels that decline during menopause. We use testosterone support in women, which also declines in the menopausal years and can help with fatigue and low libido.

2. Improved Bone Health

Hormone Replacement Therapy has been proven to enhance bone density and reduce the risk of osteoporosis in postmenopausal women. Estrogen, in particular, plays a crucial role in maintaining bone density. By restoring hormonal balance, HRT can help prevent fractures and promote long-term bone health.

3. Protect Heart Health

Studies suggest that HRT may have a positive impact on cardiovascular health in some women. Estrogen helps maintain healthy cholesterol levels and may improve blood vessel function, reducing the risk of heart disease. However, it’s important to note that HRT’s effects on heart health may vary depending on individual factors, so consulting with a healthcare provider is essential to determine its suitability.

4. Enhanced Cognitive Function

Hormonal fluctuations, particularly during menopause, can sometimes lead to cognitive issues like memory problems and difficulty concentrating. HRT may help improve cognitive function and reduce the risk of cognitive decline, offering women better mental clarity and overall cognitive well-being.

5. Relief from Vaginal Atrophy and Dryness

Vaginal atrophy, characterized by thinning and dryness of the vaginal walls, can be a distressing symptom of menopause. HRT can alleviate this discomfort by restoring moisture and elasticity to the vaginal tissues, improving sexual satisfaction and overall quality of life for many women.

6. Emotional Well-being

Hormone imbalances during perimenopause and menopause can significantly impact a woman’s emotional health, leading to mood swings, irritability, and even depression. HRT can help stabilize mood and improve emotional well-being by restoring hormonal equilibrium, leading to a better quality of life and improved mental health.

7. Quality of Life and Sexual Function

For many women, Hormone Replacement Therapy can enhance their overall quality of life, making it easier to engage in daily activities and enjoy a fulfilling lifestyle. Moreover, it can also improve sexual function by alleviating discomfort, enhancing libido, and increasing overall sexual satisfaction.

8. Management of Hormonal Deficiencies 

Beyond menopause, HRT is also valuable for women who experience hormonal deficiencies due to various medical conditions or surgical interventions, such as premature ovarian insufficiency. These conditions can have far-reaching effects on health, and HRT offers a reliable solution to restore hormonal balance.

Is Hormone Replacement Therapy Right for You? 

Hormone Replacement Therapy remains a valuable option for women seeking relief from the symptoms associated with menopause, hormonal deficiencies, and other conditions. While it’s important to acknowledge that HRT may not be suitable for every woman and may carry some risks, the benefits are substantial and often life-changing for those who can benefit from it. Women considering HRT should consult with a qualified healthcare provider to discuss their individual needs, risks, and benefits. We are able to calibrate the correct dose, discuss compounded options, and ensure you stay safe while supported with hormone therapy.

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NAD+ is a coenzyme found in every living cell in your body.  The primary function of NAD+ is to help your mitochondria, the powerhouse of the cell, produce energy for all of your cellular functions. Given that 90% of your body’s energy is made in the mitochondria, the right level of NAD+ is critical for everything from your heart continuing to pump to your immune system effectively fighting off pathogens, like viruses.  NAD+ is also critical for DNA repair and for activating sirtuins, which are proteins that regulate the aging process.  

Unfortunately, our NAD+ levels naturally decline with age.  In fact, NAD+ depletion may play a role in age-related concerns such as chronic inflammation and pain, metabolic imbalances, decreased energy, disrupted sleep, immune dysregulation, declines in mental acuity, and an overall breakdown of bodily functions. The good news is that there are ways to increase your levels of NAD+ naturally, both with lifestyle changes and supplementation.  Below are a few of the key ways to increase your NAD+:


Exercise is one of the easiest ways to increase your NAD+ levels and boost your overall health and fitness.  Regular workouts require more NAD+ for energy and your body responds by increasing production. Staying physically active contributes to feeling strong in your body as well as slowing down the aging process. 

Limiting damaging sun exposure

While a moderate amount of sun exposure helps increase your levels of Vitamin D, too much time in the sun may prematurely deplete your body’s stores of NAD+.  Excessive sun exposure forces your body to use increased levels of NAD+ to repair cell damage caused by the sun’s ultraviolet rays.  About 20 minutes of time in the sun should support healthy Vitamin D levels without depleting your supply of NAD+. 

Saunas and other heat therapies

Spending time in saunas, hot tubs, heated pools, etc. can help boost your NAD+ levels.  The heat causes your heart to pump faster and use more energy to keep your body cool.  This increased demand for energy triggers the body’s production of NAD+.  Use moderation, as always, when using these modalities.  

Intermittent fasting and ketosis diets

Intermittent fasting is an eating method that involves periods of eating and cycles of fasting.  It has become popular as a method of weight loss as well as a way to slow down the aging process. Intermittent fasting triggers a “shock” to the body which stimulates the production of NAD+.  The newly popular ketosis diet, involving very minimal carbohydrates, has also been shown to increase your levels of NAD+ naturally. 

Food and supplements

Eating certain foods rich in B vitamins, like salmon, leafy greens, legumes, liver and other organ meats, eggs, milk, yogurt, brewer’s yeast, beef, turkey, fish, oysters, clams, and fermented foods, to name a few, provide essential building blocks to boost NAD+ levels. Supplementation with NAD+ precursors can also help. 

Let’s be honest. Few things are as important to our sense of happiness and well-being as a good bowel movement. Bowel movements may be an uncomfortable topic, but it says a lot about how well the body is functioning.

Constipation is exceedingly common in developed countries, leading to frequent self-medication, and one third of cases leading to a doctor’s appointment.  Appropriate management requires an evaluation for causes of constipation, which include underlying intestinal lesions, a pseudo-obstruction, or a systemic disorder such as hypothyroidism or diabetes mellitus. 

Treatment for chronic constipation depends on whether there is a normal or slowed colonic transit (the time it takes for food to get to the other side) or if there is defecatory dysfunction (the nerves of your gut are affected, pelvic floor dysfunction, etc.). For the sake of the article, we will focus on the factors that influence transit time. Before diving into the treatment options for constipation, let’s look at some of the factors that can lead to constipation. 

Fluid intake – The large intestine absorbs excess water so not drinking enough fluids can harden stool and make it difficult to go. Fluids that are excellent at keeping you hydrated include: water, herbal tea, naturally sweetened juices, and water-dense fruits such as grapes and melon. Consumption of alcohol can lead to both dehydration and reduced peristalsis (the movement of intestines that cause a bowel movement).

Medications – Antibiotics, antacids, proton-pump inhibitors, antidepressants, some blood pressure medications, can cause both diarrhea and constipation by altering intestinal microflora and changing GI physiology. This list is not all inclusive. Be sure to consult your doctor or pharmacist for additional information about the effects of medication.

Medical history – Have your healthcare provider check for underlying an food allergy or sensitivity, Inflammatory bowel disease (Crohn’s disease, ulcerative colitis), irritable bowel syndrome, low thyroid function, celiac disease, which can all contribute to alternating bowel movements, frequency, and appearance of stool. Significant changes in the frequency of bowel movements or in the appearance of the feces can indicate a problem, particularly when these changes accompany other symptoms such as abdominal pain/cramps, nausea, bloating, gas, fatigue, weight loss, bloody stools, anemia, muscle cramps, mood fluctuations.

Hormones –  Increases in GI symptoms happen around the time of menses and early menopause due to changes in ovarian hormones (estrogen and progesterone). Buildup of the hormone progesterone can cause constipation. Progesterone is responsible for growth and thickening of uterine walls and it peaks right around ovulation. Diarrhea can happen when prostaglandins (fatty acids responsible for inflammation) begin to relax smooth muscle tissues in the uterus as menstruation begins.

Age – As we get older, the contractions of the muscles in the intestines slow down which can cause the food to move slowly through the colon causing constipation.

Activity –  Exercise helps constipation by lowering the transit time it takes for the food to move through the intestines via stimulating the contractions of muscles in the intestines. Stay active to stay regular!

Diet – High fiber foods found in veggies, fruits, and legumes (beans, lentils) make it easier for feces to pass through the intestines. On the contrary, processed foods devoid of nutrients and fiber, such as processed grains, red meat, milk, cheese, fried foods, alcohol, may all cause constipation. The best foods to relieve constipation include dried prunes, apples, figs, spinach, kale, and other greens, citrus fruits, etc.  Also add probiotic foods to your diet: unsweetened yogurt, kefir, sauerkraut for optimal bowel movement daily.

Social factors – Traveling for a vacation or a job can be exciting but can also wreak havoc on your GI system. Both diarrhea and constipation can result from not being in the comfort of your own bathroom, psychologically speaking. Jet lag, stress, and changes in lifestyle and diet can affect bowel movement.  

Seven tips and tricks to ensure success!

After waking, relax for a few moments. Don’t think about the hectic day ahead and do not start reading the news. The anal sphincter is a muscle that responds to tension, so keep it relaxed. Think relaxing thoughts.

2. Drink a tall glass of warm water, preferably with a teaspoon of lemon juice or apple cider vinegar. This awakens the digestive system and stimulates peristalsis in the intestines.

3. If you still need an assist, practice deep breathing by visualizing breath filling your abdomen and exhale visualizing breath going out and downward as you relax and release.

Eat dietary fiber and use bulk-forming laxatives. High fiber foods such as fresh veggies, legumes, and fruits should be eaten daily. Aim for 25-35 grams of fiber daily. Bulk-forming laxatives such as psyllium husk (Metamucil) contain natural polysaccharides or cellulose derivatives that exert their laxative effect by absorbing water in the colon and increasing fecal mass.  Make sure to drink copious amounts of water when taking bulk-forming laxatives because large amounts of fiber can cause bloating, cramping, flatulence, and even increased constipation with minimal water intake, so start with small amounts and slowly increase fiber intake according to tolerance and efficacy.

Osmotic Laxatives: For those who do not respond to fiber intake and/or are intolerant, there are other types of laxatives that can be used. Hyperosmotic agents such as polyethylene glycol (MiraLax) can be used in improving stool consistency and frequency. Milk of Magnesia or magnesium citrate both act by drawing water into the bowel from nearby tissues (intestinal lumen) thereby softening the stool. Some of these laxatives can cause electrolyte imbalances as they draw out nutrients and other contents with the water, which increases thirst and dehydration.

Stimulants such as bisacodyl (Ex-lax, Dulcolax, castor oil, senna) should only be used short-term. Stimulants increase muscle contractions (peristalsis) to move contents along, facilitating a shorter colonic transit time.

Stay relaxed and let it all out! By trying to keep your bowel movements consistent from day-to-day, you will feel much better overall by eliminating the unpleasant symptoms you may have. If you find that you are experiencing a change in bowel movements, keep track of how often and the symptoms you are having so that you can make your doctor aware. Share any concerns you have with your physician so that you can work together to alleviate discomfort and rule out underlying causes of GI distress.

Acid reflux happens when your stomach acid backs up into your esophagus. The most common symptom of acid reflux is heartburn, which is a burning sensation in your chest. Other reflux symptoms may include a sour or regurgitated food taste in the back of your mouth, difficulty swallowing, coughing or wheezing and chest pain.

Natural Remedies

Luckily, there are various lifestyle and diet changes that can help relieve the symptoms of acid reflux. Here are a few:

  • Avoid lying down for three hours after a meal.
  • Eat smaller meals more frequently throughout the day.
  • Wear loose-fitting clothing to avoid pressure on your abdomen.
  • Quit smoking.
  • Maintain a healthy weight.
  • Chew gum that isn’t peppermint or spearmint flavored.
  • Avoid alcohol.
  • Don’t overeat, and eat slowly.
  • Raise the head of your bed four to six inches to reduce reflux symptoms while sleeping.

In addition, you can incorporate the following foods into your diet to help manage reflux symptoms.


Vegetables are naturally low in fat and sugar, and they help reduce stomach acid. Some good options include green beans, broccoli, asparagus, cauliflower, leafy greens, potatoes and cucumbers.


Oatmeal is an excellent source of fiber. It can absorb acid in the stomach and reduce symptoms of reflux.

Noncitrus fruits

Noncitrus fruits, including melons, bananas, apples and pears, are less likely to trigger reflux symptoms than acidic fruits.

Healthy fats

Sources of healthy fats include avocados, walnuts, flaxseed, olive oil, sesame oil and sunflower oil. Reduce your intake of saturated fats and trans fats and replace them with these healthier unsaturated fats.

Want to learn more about remedies for heartburn? Schedule a consultation with us today!

Sleep is crucial to our health. During sleep, our bodies are able to go through a process of repair and renewal that can help treat everything from chronic conditions to weight management. However, according to the American Sleep Association, one in every three adults experiences occasional insomnia, while another one in 10 has chronic insomnia.

While the exact sleep requirements vary person to person, most of us need at least seven hours a night for both a healthy body and a healthy mind. Studies show that lack of sleep can actually shorten your life expectancy and increase the risk of serious health problems like obesity, diabetes and heart disease.

There are many effective natural sleep aids that can help improve the quality and duration of your sleep. By opting for a natural solution, you can also forgo the unwanted side effects of conventional sleep medications. Here are five effective all-natural sleep aids.


Magnesium has sleep-promoting and stress-reducing abilities, so it is no wonder that a magnesium deficiency can result in poor sleep. Studies show that taking around 400 mg of magnesium supplements before bed can help with insomnia and promote a good night’s sleep. Also opt to eat magnesium-rich foods, such as spinach and pumpkin seeds.


Exercising at the appropriate time of day (and not too close to bedtime) can exponentially help you get a good night’s rest. Physical activity helps regulate the body?s natural circadian rhythm, which in turn promotes sleep. According to the National Sleep Foundation, exercise also improves insomnia by lowering symptoms of anxiety and depression (which are conditions linked to sleep disruption). It is best to aim for 30 minutes of daily exercise in the morning or afternoon.

Essential Oils

Essential oils are extracted directly from the bark, flower, fruit, leaf, seed or root of a plant or tree. These oils have a wide variety of health benefits, one of which includes sleep improvement. They assist with stress relief, allowing you to wind down and rest better after smelling them.


Lavender is well-known for its relaxing properties. It is a natural sedative, and plays a significant role in calming your nervous system. In recent years, doctors have even used lavender to help alleviate the symptoms of and even treat certain neurological disorders. Its scent is instantly calming, so it’s not uncommon to see lavender essential oils, shampoos, lotions, candles and bedtime teas sold as a solution to restless nights.

Like magnesium, lavender binds to your GABA receptors to reduce nerve activity and bring about sleep. Specifically, lavender promotes deep, reparative sleep. Aromatherapy with lavender essential oils, as well as lavender tea, have been proven effective in helping the mind and body unwind.


Chamomile is rich in apigenin, an antioxidant with calming effects. Antioxidants remove toxins and fight off illness. Antioxidants alone can make you feel drowsy, because they use a lot of energy to expel toxins from your system. Drinking a cup of chamomile tea can decrease levels of anxiety, induce drowsiness and promote undisturbed sleep. Incorporate a cup of chamomile tea into your bedtime routine.

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