Different approaches to Hormone Therapy based on the patient’s needs

Presenter: Neal
Guest: Dr George Sadowski
Guest Bio: George E. Sadowski, MD, presently the Medical Advisor of the Wellness & Hormones Centers of America, is a physician with the Surgical Associates of North Florida in St. Augustine. He received his undergraduate education from the University of Rochester and his medical degree from St. George University. Dr. Sadowski has shared his expertise with various hospitals around the country including Greater Baltimore Medical Center and Flagler Hospital. In addition to a fellowship at the Greater Baltimore Medical Center, he has received certifications from both the ACLS and the American Heart Association.

Segment Overview
Dr. George Sadowski discusses the different approaches to hormone therapy based on the patient’s needs.

 


TRANSCRIPTION

HPR – Health Professional Radio

Neal: Hello you’re listening to Health Professional Radio, I’m your host Neal Howard. Our guest in studio today is Dr. George E. Sadowski. A medical doctor, presently the medical adviser of the Wellness and Hormones Center of America. Also a physician with the Surgical Associates of North Florida in St. Augustine. He received his undergraduate education from the University of Rochester and his medical degree from St. George University. He has shared his expertise with many hospitals around the country including Greater Baltimore Medical Center and Flagler Hospital. He’s also received fellowship at the Greater Baltimore Medical Center and received certifications from both the ACLS and the American Heart Association. He is here today to speak with us about hormone therapy as it relates to functionality as we age. How are you doing today Dr. Sodawski?

George: Very good. Thank you for having me.

N: Thank you for returning and giving us a little bit more of your time. Correcting hormone imbalance, when it comes to the hormones being out of balance, what are some of the factors that contribute to this hormonal imbalance as we age and how can we avoid it or at least slow it down?

G: Normal aging contributes to hormonal imbalance. The hormones decline, some of them start as early as age thirty but by fifty five and sixty most of us have deficient hormones. Like people say, at age forty you have that and by eighty, fifty percent of us are demented.

N: What about proper diet and regular exercise in your early life and in your midlife? Doesn’t that tend to slow down this process?

G: That is correct. Anti-aging is not a destination, it’s a journey. It’s a journey of lifelong clean living. What does that mean? You try to eat as close to nature as you can. You try to eat organic – lots of fruits and vegetables. You stay away from trans fats and any kind of fats except omega 3s and omega 9s which are shown to be beneficial. You want to exercise and be as active as you can because these things preserve your function and try not to overeat. We really run on nutrients and minerals. We do not run on calories per se although there is a certain minimal amount of calorie that you need to consume but when you don’t have the nutrients, that’s when things really start breaking down.

N: These nutrients that we all need that we get through proper eating, you talked about bio-identical hormones being derived from plants. Are you saying that it would be beneficial to have a plant-based diet in order to help the hormones out?

G: Well that’s where the nutrients are. Nutrients are going to be also in meats. You get these from a variety of sources but unfortunately there are very few nutrients in processed foods and we’re big in processed foods right now in this country.

N: You talked in another segment about the therapies for specifically, say, testosterone therapy being identical in both men and women. When it comes to our sexual hormones, are the therapies identical?

G: Yes they are but you tailor one if it’s a male patient and you tailor the other one to a female patient. In other words, you would never give estrogen to a male patient. You check their estrogen, you may want to block their estrogen if they’re converting their testosterone to estrogen. In women, it’s the other way around. You want to look at the relationship between estrogen and the progesterone and you want to create a balance there.

N: Okay so we’re not introducing male hormones into females and vice versa. We are dealing with the balance between what is naturally…

G: Correct.

N: Okay. What is naturally produced and what we are introducing?

G: That is correct. Now, we may give a woman some testosterone but the dosages are different.

N: I hear a lot about hormone therapy as it relates to menopause. That is something that is commonly accepted here in recent years. In men, erectile dysfunction which was normally accepted as just “Well you’re getting old and that’s something that you got to deal with.” We don’t have to deal with it now. We got those pills. Can hormone therapy replace the pills or make the pills unnecessary or are those pills part of hormone therapy?

G: Well, hormone therapy – you would want to replace the pills. When a woman goes to menopause, it’s not the mensies that we miss. We are not concerned with that. We don’t want to replenish those hormones to the point where a woman is menstruating.

N: Ok.

G: Not at all. But we also know that cognitive function, heart function and bone health also declines along with that so you want to go back and replenish those hormones to the point where all of that is going to work properly.

N: Ok. Now in your experience, have you seen where it takes an excessively long time to find someone’s – as you termed in another segment – their sweet spot as it relates to the medication that they are receiving. Someone comes in and they got cognitive issues, bone density issues, muscular issues as well as hot flashes or erectile dysfunction. With all of those things going on, what is the normal time frame to find the sweet spot? I know everyone is different but are we talking about a difference between six months to five years?

G: In most of the cases that you have mentioned, we can get to it within three months.

N: Okay. So in about ninety days you will know exactly the levels that’s going to benefit a patient.

G: That’s right. We’ll bring the patient in. We’ll get blood work. We’ll bring him in a few weeks later, we’ll put him on a dosage.  We bring him back three months later or so or longer and we re-assess and we re-measure the hormones or we may not. The biggest problem is when they come in with cognitive decline. When we see into this process, sometimes it is difficult to sort out where this started and how it needs to addressed. When you have a disease, it is almost impossible to reverse that. It can be done but it is very difficult to reverse this process. When you have a deficiency, they are picked up – that is a quick fix.

N: Can hormone therapy prevent or actually treat some of the diseases that we see on a daily basis?

G: Correct. You have cognitive decline which triggers hormone deficiency which goes on to having a physiological effect on the body. When we replenish the hormones, we also help the brain.

N: And you’re talking about physiologically, say, can hormone therapy reduce the incidences of, say, the common cold on a person or even the flu if they choose not to get a flu shot?

G: Well you go through and you support their immune status. That’s the way that’s done. Not necessarily to hormones but to nutra-ceuticals.

N: Ok. In another segment you were talking about one of the problems with human hormones as a therapy. Is the immunity differences in each individual – how much can hormone therapy booster a person immune system once it’s been compromised either through aging, or poor living, or some other types of problems, say, disease?

G: Figure the hormones first. You take care of that problem, you look at the immune system and you do a deficiency profile and if you have any deficiencies you come up with to, you can support that through nutra-ceuticals.

N: As we wrap up this segment doctor, I’d like you to speak to other health professionals and talk about some of your experiences administering hormone therapy in light of the changes in healthcare of the United States.

G: Our revolution, as far as the medical care, is based on acute care. When you get sick, we take care of you. We spend a very little time on preventive care although we do have mammography to pick up early breast cancer and we do look at the PSA some other tumor markers but really, it is reactive. When you get sick, we take care of you. It takes ten to fifteen years of a deficiency of some sort to impact an organ. It takes equally as long or it can take equally as long for that organ to develop a disease process. At that point, usually, this is when we seek medical care. It is really ‘sick care’ that we’re seeking. The correct mindset should be is that we should seek health. The way our insurance is designed in this country, we don’t get health from insurance. It is not designed for that, so you have you turn to other sources even if that means going outside of your health plan.

N: Alright. Some fascinating information concerning hormone therapy as it relates to the functionality that we all will lose as we age. Our guest in studio today Dr. George E. Sodawski says that some of the things that we accept as a normal part of aging that hold us down – we don’t necessarily have to deal with as we age and that hormone therapy can go a long way in getting our cognitive functions back, our bone strength and our muscle strength as well. It’s been great having you in studio today Dr. George E. Sodawski

G: Thank you very much.

N: You’ve been listening to Health Professional Radio I’m you host Neal Howard. Audio of this program are available at hpr.fm also at healthproffesionalradio.com.au and you can subscribe to our podcast on iTunes.

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