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.
Dr. George Sadowski discusses how diligent testing and careful administration of hormones can help slow the effects of age related mobility issues.
HPR – Health Professional Radio
Neal: Hello, you’re listening to Health Professional Radio. I’m your host Neal Howard, so glad that you could join us today. In the world of anti-aging, there are lots of creams, lots of techniques, lots of diets that we hear about. Everyone wants to slowdown the aging process. Our guest in studio today, Dr. George Sadowski, is here to talk about the role that hormones play. The important role that they play in the aging process and how some of the things that we attribute to simple normal aging don’t necessarily have to be something that we have to put up with. How are you doing today Dr. Sadowski?
G: Very good.
N: Now you are currently a medical adviser for the Wellness and Hormones Center of America. Now at the Wellness and Hormones Center, what is it that your practice mainly focuses on? Is it hormone therapy as it relates to aging or all types of hormone therapy?
G: Hormone therapy as relates to aging, but be mindful that we really are concerned with function.
N: Okay so…
G: Aging, we cannot do anything about aging. But we can do something about the way you feel and how you can perform in old age.
N: Are there different hormone therapies, say, for a person that comes in their mid 60’s or early 70’s. Assuming that they are a good candidate, are there different therapies for different types of ailments be coming in complaining of fatigue or joint pain or weakness or cognitive functions?
G: That is correct, you mentioned them. In any one of them, you have to assess the patient and see, take a blood test and look at the blood test and see if they are a candidate.
G: In certain things, you want to get them to a certain baseline. You want to have their blood level controlled, for example, you want to get their blood pressure controlled before you go on to hormones.
N: So do you find in your practice that sometimes a person comes in and the problems they’re having are far removed from anything that hormone therapy would address and then you stir them away from therapy?
G: That is correct but be mindful of the fact that after age thirty you get a gradual hormone decline. It’s a built-in absolute that we all experience.
N: When it comes to muscular strength being on the decline in aging, will hormone therapy strengthen the muscles or simply let them maintain a level where your functionality is just around normal for your age?
G: That is correct. Testosterone is the hormone most frequently implicated in muscle strength and when you replenish the testosterone, inevitably the person can actually work out and start to build muscle. With low level of testosterone that is just simply not possible. It can maintain the muscle tone but they can’t grow any more muscle.
N: Are there added difficulties when administering testosterone treatment to a woman as opposed to a man?
G: Identical. Identical treatment. We choose to use creams with exceptions when the creams doesn’t get you a higher level, the person may need to get an injection.
N: Okay. These creams, the hormone absorbs directly into the skin. But now the injections, are they faster-acting? What would make injections necessary when you tried the creams?
G: Some people just cannot get levels that are sufficient enough for them and we go to injections and those are administered right under the skin. They are not as physiological. You get higher peaks and lower valleys as compared to the creams so we prefer the cream.
N: When it comes to the bones, let’s say osteoporosis or some types of arthritis, can hormone therapy address things to that nature?
G: Exactly. The first thing that we do asses their vitamin D level. We know that vitamin D works on the bones. We know that there are other minerals and nutrients that work on that and we have a nutra-cuetical package that we can target the bone health but certainly hormones are vital in this as well especially estrogen in women. But going back again, we replenish the estrogen, we look at the progesterone, we look at the testosterone and we try to create a balance that’s going to produce an optimal effect for that patient.
N: In one of your publications, I notice the term “hormone decline” and “hormonal pauses.” This hormonal pause, you say, after the age of thirty we have a steady decline in functionality. These pauses, if they happen and if they affect cognitive function, is muscular strength and bone strength – those things – are they all going to be affected at same time or is it that one happens then in a few years later, another happens?
G: Well they may all happen in a short period of time or you may notice that you can’t remember or you may notice that your strength is really declining. So it depends on each individual and really depends on these levels and where they are.
N: And have you, in your practice, had any instances where you were administering hormone therapy to someone who was younger than the age of thirty?
G: Personally, I have not done that yet. But certainly giving someone thyroid medication for their low thyroid, that is more common.
N: Okay and that can begin of all ages.
G: Not only is it more common but it is accepted as normal. Your levels are down, you need to be treated, you take the pill.
N: Now as we wrap up this segment, we hear a lot about drug addiction, abuse of certain drugs. If a person comes to you and their over the age of thirty and they’re having somewhat they may think or you may think is a hormonal pause. How much does drug abuse contribute, well not only drug abuse, but smoking alcoholism, things to that nature to the decline in hormones and can they cause an actual pause when a pause was not going to happen at that time?
G: Any of these vices that you have mentioned certainly can raise havoc on the body. We don’t just assume that someone is having a pause, we need to have objective evidence and that comes in blood tests. If you did elude the problem that is out there, hence the use of anabolic steroids by body builders and etcetera but we measure these levels. If these levels are excessive, we do not write for any additional hormone. Hormone therapy requires a careful assessment of the patient, measuring of levels, prescribing the hormones, coming back and re-measuring these levels again. So it’s not like you get you pill and we never see you. That is not how it works.
N: So it’s not like, you know, you just take an aspirin and you go on about your business with an over-the-counter drug. There are some serious ramifications involved without serious due diligence when it comes to administering these hormones, yeah?
G: That is correct. You need to re-assess, re-measure the hormones, adjust your dosage because we talk about balance and how can you achieve balance if you don’t re-measure and re-assess?
N: That makes a lot of sense.
G: It is impossible to do that.
N: It makes a lot of sense. Some absolutely great information. You’ve been listening to Health professional Radio. I’m your host Neal Howard, it’s been a pleasure talking with Dr. George Sadowski MD in studio today about hormone therapy as it relates to functionality as we age.