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INTRODUCTION
ARE
Is your weight climbing despite your best efforts? Do you
HORMONES wake up tired and get more fatigued as the day wears on?
HOLDING YOU BACK Do you lack the energy to do the hobbies and pursuits that
FROM HAVING were once your passion? Is your relationship in trouble
because you’re not “in the mood?” Are hot flashes disrupting
THE LIFE you during the day and waking you up at night? Do you have
YOU WANT? trouble sleeping even though you are exhausted? Do you
have moods that keep you from enjoying yourself or cause
you to be short- tempered with your loved ones? Have you
NATURAL stopped socializing with friends and given up on activities
you once loved? Is it a struggle to keep up at work? Has your
METHODS TO “get up and go” gotten up and left? Have you been to doctors
RECLAIM YOUR who say “your tests are all normal” and “what do you expect
HEALTH at your age?” Are you frustrated and wondering if there is
help for you?
There is a solution! You can get back to feeling like your
“old self” – energetic and vibrant again. You can get back
to the sexier, younger you. Imagine having the energy to
go to work, care for your family and enjoy your hobbies and
passions. You can feel happier and more resilient and stop
snapping at those around you. How about sleeping like a
baby and waking up refreshed? No more “to do” list left
undone. Instead of making excuses for not socializing with
friends, you can have the vitality to go out and enjoy yourself.
The truth is: you don’t have to “just live with it.”
If this is possible, then why do you still suffer? Maybe you’ve
tried diets and supplements—but nothing seems to work.
Perhaps you haven’t known where to go for help—a doctor
that is willing to give you the time to listen and to find the
correct diagnosis and a treatment plan that leads to healing...
not just treating the symptoms with multiple medications for
the rest of your life. Maybe you lack the energy and focus
to find a solution. Or maybe you’re in a rut. You’ve given up
and given in and now you feel “stuck.”
The book is written for you. I know the information in it can
change your life.
Always Advocating for Your Health,
Dr. Susan Sklar
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START OUT BY TAKING OUR QUIZ TO SEE
IF HORMONES ARE SABOTAGING YOUR HEALTH:
OVERALL HEALTH
Do you have reduced energy or are easily fatigued? Y N
Do you have insomnia or poor sleep quality? Y N
Do you lack a “sense of well-being?” Y N
HEALING AND IMMUNITY
Do you have increased healing time? Y N
Do you have decreased joint flexibility? Y N
BODY COMPOSITION
Do have increased (unwanted) body fat? Y N
Do you have reduced muscle mass or muscle strength? Y N
Do you have reduced (limited) exercise performance? Y N
HAIR, SKIN, AND BONE
Do you have thinning skin or hair? Y N
Do you have dry hair or skin or brittle nails? Y N
METABOLISM
Do you have cold intolerance? Y N
Do you have heat intolerance? Y N
MENTAL HEALTH
Do you have reduced memory or concentration? Y N
Do you have mood swings? Y N
Do you have depression or anxiety? Y N
SEXUAL AND REPRODUCTIVE FUNCTION
Do you have low sex drive (libido)? Y N
Do you have vaginal dryness or painful sexual intercourse? Y N
Do you have Premenstrual Syndrome or other menstrual problems? Y N
Are you peri-menopausal, menopausal or post-menopausal? Y N
Do you have hot flashes or night sweats? Y N
5 POINTS FOR EACH YES ANSWER. Total Points for This Section
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Your score is an indication of the severity and type of hormone
WHAT DOES imbalances that exist in your body. These are likely to be the
YOUR SCORE reason for many of your symptoms.
The higher your score, the more likely you are to hav
MEAN? ARE e deficiencies and imbalances in your hormones. These are
YOU MILD, likely to be the reason for many of your symptoms. A score
MODERATE OR from 15 to 25 means there is are mild hormone problems
to be fixed. A higher score from 30 to 60 means there are
SEVERE? moderate hormone problems. A score 65 to 100 means
there are severe hormone problems responsible for health
problems.
Keep reading to find out what you can do…
HORMONE INTRODUCTION
AND BACKGROUND
Conventional medicine has always held the belief that aging is inevitable and that the
progressive deterioration that occurs in our adult years cannot be altered. Fortunately,
there is an exciting revolution in science and medicine that identifies aging as a problem
that can be managed and treated. One of the most important treatments for the disease
of aging is hormone supplementation. Hormones decline in all people as they age. Many
physicians assume this is the way it should be, and therefore the medical community has
been very slow to offer hormone replacement therapy to the average citizen as a means
of combating many of the negative effects that accompany aging. The idea that aging
can be controlled has been met with a certain amount of resistance. If a younger person
were to be diagnosed as having a hormonal deficiency, it would quickly be corrected.
Unfortunately, physicians have not been trained to treat the average person with a
deficiency if the deficiency is thought to be due to the natural aging process. Researchers
from around the world have now shown that the hormonal deficiency associated with
aging is no different from that of a younger person with a hormonal imbalance.
Over the last 50 years, research in the fields of endocrinology and immunology has
improved our knowledge as to how and why we age. The endocrine system regulates our
body’s temperature, reproduction, growth, aging and immune system. Communication
between the nervous system, the endocrine system and the immune system makes it
possible for us to adapt and survive in our environment. It is through hormones that
these systems interact to accomplish this mission. Hormones are molecules that are
released into the blood stream and exert biochemical effects on receptor sites. Hormones
serve as messengers from the central nervous system telling our internal organs how to
function.
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Hormones are amino acids linked together into long chains called polypeptides. These
polypeptides are manufactured in endocrine glands, which include the adrenal glands,
the testes, ovaries, pancreas, thyroid, pituitary gland and pineal gland. When there is
degeneration and aging of the organs, the levels of hormones diminish. In addition, as
we age, the specific receptor sites in the cells tend to change and become insensitive to
the hormones. Whatever the cause may be, any decrease in stimulation of the receptor
site will result in a decrease in stimulation of the cell, decrease in cellular repair, decrease
in protein synthesis, and inability for the cell to regenerate and a gradual destruction of
the cell. This is what occurs with aging. With the advent of genetic engineering, it is now
possible to produce natural hormones that in every way match those produced by our
body. The medical procedure to replenish these hormones with natural hormones is
called “natural” hormone replacement therapy, which is the science of simply restoring
the balance of the endocrine system to that which we had at an earlier age.
Hormones control virtually all of the functions of the body including our reproductive,
immune and metabolic systems. Hormones actually determine how we age by controlling
our overall physical and mental health. As the levels of hormones decline so do our
physical and mental capabilities. We lose our energy, vitality, and health, as well as our
longevity. By restoring these hormones to their youthful levels it is now possible to
restore our youthful zeal and energy and to strengthen and bolster our bodies as well as
our minds.
We can eliminate and reverse many of the symptoms that we have come to associate with
aging. We can also regain the youthful resilience that enables us to cope gracefully with the
stressors that challenge us every day. It has been shown that the catabolic changes seen
in normal aging, including osteoporosis, muscle atrophy, sleep disorders and decreased
sociability are in part caused by a decrease in hormones. Aging in men and women is
associated with reduced protein synthesis, decreased lean body mass, decreased bone
mass and increased body fat. The body composition changes are accompanied by a
progressive decline in the secretion of hormones. Replenishment of these hormones to
physiological levels (optimal, but within normal limits and not excessive) has been shown
to alleviate these age-related changes.
Much of what goes wrong in old age is the effect of our hormones no longer maintaining
the balance that they once did. In fact, the diseases that have become associated with
normal aging, such as diabetes, heart disease, and cancer are largely a result of what
happens when the correct balance of hormone levels is upset. By restoring the proper
hormone balance, immunity is restored and this can prevent many of the diseases
associated with the aging process. In summary, some research has shown that declining
hormone levels are the basic causes of many ailments associated with aging and hormone
replacement is the solution to alleviate these ailments.
Remember the key is to replenish all of the deficient hormones back to a more youthful
balance, thereby producing a synergistic effect between the hormones. Which hormones
to replenish, how much to replenish and how to adjust the hormones so that they
have a synergistic effect is the art and science of the new specialty of natural hormone
replacement. We applaud you for taking the first step; now let us help you achieve the
quality of life you desire.
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READ BELOW TO LEARN ABOUT SPECIFIC
HOMONES AND WHAT THEY CAN DO FOR YOU
This hormone can also decline significantly as men age.
TESTOSTERONE Declining levels in men can cause loss of muscle mass and
IN MEN strength, erectile difficulties, mood changes and diminished
sex drive. Testosterone is the primary male sex hormone,
responsible for male sexual development and critical in
maintaining erectile function, libido, normal energy levels,
and mood. It also controls a wide range of other physical
functions throughout the body. As with other hormones,
testosterone declines with age and at the age of 80 is only
one fifth of what it was in youth. Testosterone levels begin
declining when a man is in his thirties. Because the drop
in testosterone is gradual, the symptoms of andropause
(the name of midlife testosterone decline) appear over a
longer period of time as compared to female menopause.
Symptoms appear as a gradual decrease in energy, thinning
bones and muscles, increased abdominal fat, depression,
and impaired sexual function. Testosterone deficiency has
also been linked to hypertension, obesity and increased risk
of heart disease. Stress, lack of physical activity and poor
diet also play a role in declining testosterone levels. These
factors, along with nutritional deficiencies, can cause low
testosterone in young men as well as midlife and older men.
In women, decreased amounts of testosterone affects the
TESTOSTERONE critical thinking processes, muscle mass and strength, and
IN WOMEN sex drive. It is secreted by the adrenal glands and ovaries.
When women reach menopause age, ovarian production of
testosterone stops, leaving the woman with only half of her
prior level. While women need a much smaller amount than
men it is very important for enhancing a woman’s libido and
also appears to enhance the functions of estrogen in this
regard. Is it any wonder, then, when desire tanks in midlife for
women? Testosterone is important for maintaining muscle
mass which helps to control body fat and weight as well as
maintain good energy levels. In both males and females it
also helps to strengthen bones in preventing osteoporosis.
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Benefits of Testosterone Replacement
ņņ Increase in bone density, bone formation and bone
minerals
ņņ Increase in energy
ņņ Improvement in sexual function
ņņ Decrease in body fat
ņņ Increase in HDL and decrease in LDL levels
ņņ Decrease in heart disease
ņņ Improved brain function, learning and memory
ņņ Improved blood glucose levels
ņņ Decreased blood pressure
ņņ Increase in sexual desire
ņņ Increase in both muscle strength and in the diameter of
muscle fibers
ņņ Enhancement of skin and hair texture
Estrogen is produced in the ovaries and adrenal glands. Men
ESTROGEN also produce estrogen through a conversion of testosterone,
although in an extremely small amount. There are three types
of estrogen found in a female’s body, estrone, estradiol and
estriol. The levels of all of these hormones fall dramatically
at the onset of menopause. Symptoms characteristic of
menopause are hot flashes, insomnia, vaginal dryness,
bladder problems, difficulty concentrating and anxiety. With
time, many of these symptoms diminish. Unfortunately, the
chronic disease processes, such as cardiovascular disease,
stroke, osteoporosis, and Alzheimer’s only increase in
the absence of estrogen. Men produce small amounts of
estrogen which help to maintain healthy arteries.
The rapid bone loss after menopause has been attributed to
the decline in the production of estrogen, which is essential
for bone growth. In addition the loss of estrogen results in
the development of heart disease, which is the number one
killer of both men and women. Postmenopausal women
on estrogen have a 70% decrease in mortality from heart
disease. Estrogen has also been shown to lower total blood
cholesterol and raises HDL, the good cholesterol. Not only
does estrogen protect vessels of the heart, it also protects
vessels of the brain and may protect against Alzheimer’s
disease.
There is no doubt that estrogen can protect a woman against
many of the diseases of aging and that post menopausal
women on estrogen typically feel better and stay healthier.
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Benefits of Estrogen Replacement
ņņ Protects against heart disease
ņņ Protects against stroke
ņņ Decreases cholesterol
ņņ Prevents and or lowers incidence of Alzheimer’s disease
ņņ Improves memory
ņņ Decreases symptoms of menopause
ņņ Prevents osteoporosis by slowing down the process
ņņ Improves vaginal dryness and eliminates bladder
problems
Progesterone is a hormone produced by the ovaries and
PROGESTERONE adrenal glands and functions to balance the effects of
estrogen. Natural progesterone enhances the action of
estrogen as these two hormones were meant to work
together to maintain a normal hormonal balance. The lack
of progesterone causes osteoporosis, heart disease, decrease
in libido and a significantly diminished quality of life. The
combination of natural progesterone and estrogen can
prevent this downward spiral by keeping women vital, strong
and healthy. Men produce small amounts of progesterone in
the adrenal glands. It helps to promote calmness.
The ovaries begin producing progesterone in earnest around
puberty, and the monthly ebb and flow of this hormone
during the menstrual cycle, in harmony with estrogen and
other hormones continues until menopause. Progesterone’s
primary role during this period is to help make the uterus ready
for implantation of a new embryo, the first major event – after
fertilization of the egg – in the 9 months of human gestation. If
the egg is not fertilized, progesterone production temporarily
ceases, and the uterus sheds its endometrial lining.
Benefits of Progesterone Replacement
ņņ Aids sleep
ņņ Calms anxiety
ņņ Protects against fibrocystic breasts
ņņ Natural diuretic
ņņ Acts as a natural antidepressant
ņņ Aids thyroid hormone action
ņņ Normalizes blood clotting
ņņ Helps keep blood sugar levels normal
ņņ Protects against endometrial cancer
ņņ Helps protect against breast cancer
ņņ Promotes bone building and protects against osteoporosis
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Imbalances between estrogen and progesterone cause a
ESTROGEN AND number of problems for women in their reproductive years
PROGESTERONE and beyond. Stress tends to drain our progesterone levels
while we make more cortisol which is our major stress
HORMONE hormone. When this happens, we do not have a proper
IMBALANCES IN balance between estrogen and progesterone. This can
WOMEN result in the types of menstrual problems such as heavy
and painful menstrual periods. A condition called estrogen
dominance can occur when estrogen is too high compared
to progesterone. This imbalance can cause weight gain,
uterine fibroids and endometriosis in addition to menstrual
problems. Balancing these two hormones through the
supplementation with bio identical progesterone is a safe
and simple way to relieve these problems which can cause
significant distress to women.
In peri-menopause, which can begin as early as our mid-
30s, progesterone is the first hormone to change. Many of
the symptoms of peri-menopause such as anxiety, erratic
menstrual periods, menstrual symptoms of heavy flow and
painful flow, and increased premenstrual symptoms are the
result of insufficient progesterone.
In midlife, eventually, estrogen levels also become erratic.
Sometimes they are higher than they have ever been before.
When this happens, women will experience sore breasts,
fluid retention and swelling, and frequently mood changes.
When estrogen levels decrease, hot flashes, night sweats,
and difficulty sleeping can result.
At menopause, both estrogen and progesterone levels
become quite low or nonexistent. At this time some women
have significant difficulty with anxiety, depression, hot
flashes, night sweats, insomnia, vaginal dryness and painful
sex, weight gain and many other symptoms.
Pregnenolone is one of our steroid hormones. It has anti-
PREGNENOLONE inflammatory effects and has been used to treat arthritis. It
also has an important function in the nerve transmission in
the memory portion of the brain. It is produced in the brain
and the adrenal gland. It is a precursor hormone to other
important hormones such as cortisol, as well as DHEA and
progesterone. In the ovaries, pregnenolone is a precursor to
estrogens and progesterone, and, in the testes, pregnenolone
is a precursor to testosterone. Although pregnenolone
serves the role as a precursor to other hormones, alone it
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works to keep the brain functioning at peak capacity. Its
levels are highest in the brain and studies have shown that it
enhances many of our mental functions. New and exciting
research has also shown that pregnenolone works as a
cellular repairer, particularly in the brain and nerve tissue and
it protects cerebral function by guarding against neuronal
injury. Pregnenolone is to the brain what other hormones
are to the body. In countless studies, pregnenolone has been
shown to reverse age-related deficiencies in spatial memory
performance and to have protective effects on memory in
different models of memory loss.
Benefits of Pregnenolone Replacement
ņņ Promotes nerve regeneration
ņņ Decreases symptoms of arthritis
ņņ Reduces the signs of aging skin (when applied in cream
form)
ņņ Enhances memory
ņņ Improves sense of well-being
ņņ Increases energy
ņņ Increases mobility
ņņ Improves sleep quality
ņņ Reduces the harmful effects of stress
DHEA is a hormone essential to vitality, energy, immunity,
DHEA weight control and sex drive. It is at its peak levels when
(dehydroepiandrosterone) we are in our 20s. By our mid-forties its levels are half of
what they were earlier in life. DHEA levels decrease when
we are under stress. In order for us to produce enough
cortisol, which is our major stress hormone, we may deplete
our body’s own supplies of DHEA. Reduction of stress and
subsequent reduction of high cortisol levels help to maintain
adequate DHEA.
DHEA is produced in the adrenal glands, gonads and brain.
The mean concentration of DHEA in serum decreases
progressively from a peak at age 25 to less than 20% of
that peak before the age of 70. Much of what we consider
the “natural process of aging” is, in fact, decline of DHEA.
In addition, levels are typically low in those with chronic
diseases, such as cancer and AIDS, and heart disease as well.
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Benefits of DHEA Replacement
ņņ Improves function of the immune system
ņņ Improves brain function
ņņ Hinders the damage that stress can cause
ņņ Increases energy
ņņ Reduces body fat and cholesterol, thereby preventing
heart disease
ņņ Increases insulin sensitivity
ņņ Potent antioxidant by preventing formation of free
radicals
ņņ Improves mood
ņņ Cognitive enhancement
Thyroid hormone regulates our metabolism. It affects the
THYROID activity of every cell in the body. It is involved in body weight,
memory, emotions, temperature tolerance, bowel function,
HORMONE and the quality of the skin, hair, and nails. Thyroid hormone
levels decline as we age. In addition, cellular sensitivity to
thyroid declines as we age, so seemingly normal levels may
not be effective.
It is a metabolic hormone secreted by the thyroid gland.
There are two types of thyroid hormones, Thyroxine (T4)
and Triiodothyronine (T3). T4 is inactive and kept in reserve,
T3 is the active hormone. Thyroid hormones control the
growth differentiation and metabolism of each cell in the
body. They also control how fast our body uses the fuel that
we consume particularly carbohydrates and fat. This in turn
helps to regulate our temperature and body fat percentage.
The thyroid hormones T3 and T4 are produced in the thyroid
gland. About 80% of the thyroid hormones we produce is T4,
the inactive thyroid hormone that is typically held in reserve
by the body. T3 makes up only 20% of the thyroid hormone,
but is about four times more potent than T4 and is the active
hormone that the body uses to function. T4 is converted into
T3 when thyroid hormone is needed.
The release of the thyroid hormones is controlled by the
thyroid stimulating hormone (TSH), which is produced in the
pituitary gland. Low circulating levels of thyroid hormone
are detected by the hypothalamus which then instructs
the pituitary to release TSH. When sufficient amounts are
released the hypothalamus communicates with the pituitary
to stop or slow down. Because of this complicated feedback
loop high levels of TSH in the blood often means the pituitary
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is trying to stimulate production of the thyroid hormone but
the thyroid gland is not responding. This condition known as
hypothroidism is more common in women and the elderly.
Benefits of Thyroid Replacement
ņņ Regulates temperature, metabolism and cerebral function
ņņ Increases energy, body temperature and warmth
ņņ Increases fat breakdown resulting in decreased weight
and lower cholesterol
ņņ Protects against cardiovascular disease
ņņ Improves cerebral metabolism, so improves mood and
thinking abilities
ņņ Prevents cognitive impairment
ņņ Relieves symptoms of thin sparse hair, dry skin and thin
nails
Melatonin, which is widely known for its sleep enhancing
MELATONIN effects, also has other important actions in the body. It is
produced by the pineal gland which is in the brain. It is the
conductor of the finely-tuned orchestra that is our hormone
balance. Melatonin is a mood enhancer. It is a powerful
immune system booster. It is a cancer inhibitor. It decreases
high blood pressure and migraine headaches.
Melatonin is produced naturally in the body by the pineal
gland. The levels are higher at night, are suppressed by
bright light, and decline as we age. Melatonin manages
the circadian rhythms or inner clock by lowering body
temperature, which, in turn, controls our sleep/wake cycle.
For years, melatonin, has been popular to treat jet lag and
insomnia. By using melatonin as a supplement, the sleep/
wake cycle can be adjusted to allow quality rest at night and
optimal function during the day.
Melatonin is derived from the essential amino acid tryptophan.
When tryptophan is consumed through the foods we eat,
it is converted into the neurotransmitter serotonin and
then broken down further into melatonin at night. Light
suppresses the release of melatonin, while dimming light
transferred through the eyes into the pineal gland stimulates
the release of more melatonin into the blood stream.
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Benefits of Melatonin Therapy
ņņ Powerful antioxidant effects
ņņ Potential benefit in preventing and treating cancer
ņņ Immune enhancing properties
ņņ Promote better sleep
ņņ Avoid jet lag
ņņ Biologic regulation of circadian rhythms
Vitamin D is a fat soluble vitamin which is actually not a
VITAMIN D vitamin (which must be consumed through diet) but is in
reality a hormone (which is produced in the body). Vitamin
D is important for bone health and prevention of cancer and
cardiovascular disease. Its importance is being recognized
increasingly since it is involved in over 400 metabolic
processes in the body. Vitamin D can be made from the
action of sunlight on our skin. However, because of use of
sunscreens and recommendations to avoid bright sun, most
people are deficient, often significantly.
ņņ Maintain muscle mass
ņņ Aid weight loss
ņņ Increase energy
ņņ Improve mood
ņņ Prevent cardiovascular disease
ņņ Prevent cancer
ņņ Prevent autoimmune disease
ņņ Prevent Alzheimer’s
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WHAT ABOUT HORMONE
SAFETY
One of the biggest questions from the public is whether hormones are safe. Hormone
treatment can be very safe if some precautions are taken. One is the use of bioidentical
hormones. These are hormones that are chemically exactly the same structure as our
own natural hormones. Using this natural form of hormones, monitoring levels and
properly combining them enables us to restore your hormones back to youthful levels
safely. Here are some important points about hormones:
ww Estrogen has been the topic of controversy in terms of breast cancer risk and
blood clot risk.
ww Many of these studies have used unnatural forms of estrogen and synthetic
progesterone which increase risks. The horse based oral form of estrogen,
Premarin, and the synthetic form of progesterone, called Provera, cause these
additional risks.
ww Combining bioidentical estrogen, with bioidentical progesterone and
testosterone has been shown to improve safety and eliminate concerns about
increased risk of breast cancer.
ww Testosterone does not increase risk of prostate cancer. This common
misconception had its origin many years ago in an incorrect and misunderstood
paper published in the 1940s.
ww Testosterone does not lead to increased heart disease in men. In fact, healthy
levels of testosterone are associated with a lower risk of heart disease in men.
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REAL LIFE STORIES
I want to tell you about patients we have cared for at the Sklar Center for Restorative
Medicine. Their stories are not unusual. We see many people on a regular basis with
problems like theirs.
Take the case of Geneva. She was 53 years old and had lost her lust for life. Here’s what
she told me when I first met her:
Hot flashes keep me up at night. My memory starting going when I hit menopause last year.
And I’m kind of down all the time, which is not typical for me. My husband wonders what is
going on because I’m crabby and I don’t even want him to touch me. I’m so tired, I’ve had to
cut back on lots of activities—things that really made me happy, like playing volleyball, going
to the theater and regular gatherings with a group of friends I’ve known since college.
I just get through each day and do what I absolutely have to and then go home and crash. I’ve
seen my primary care doctor, an endocrinologist, and my gynecologist. None of them found
anything wrong. They said this was normal for my age. They said there was nothing they could
do for me. Am I going to have to live like this the rest of my life? I asked them if they could check
my hormone levels, but they just said they would be low since I am in menopause so there was
no point in testing them.
Or what about Harold? He was a 51 year old gentleman with multiple problems.
He came to see me because of low energy, he was very overweight, and was feeling down. He
was a high power guy running multiple businesses, but his big concern was that his 30 year
old girlfriend was pregnant and about to deliver in two months. Harold was concerned about
having enough energy to enjoy and raise a new baby. He had the benefit of a family member
in the medical profession who had heard about bioidentical hormones. Harold thought they
might be the solution for him.
We tested Geneva’s and Harold’s hormone levels and found that they both had multiple
low levels of hormones that are essential to feeling good and having the vitality to enjoy
life. We set up a personal plan for each of them that included hormone restoration,
lifestyle instructions for stress reduction, healthy diet and proper exercise. Within a short
time they both had increased energy, vitality, and were able to pursue their passions in
life. Oh, and Harold had a beautiful baby boy.
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FINALLY, A SOLUTION!
If you feel like Geneva or Harold, you are not alone. The solution is to work with an expert
who will get you “unstuck” and feeling great. The best investment you can make in yourself
is to work with a doctor who knows how to get at the real causes of your problems and
come up with a step by step plan to restore your health and vitality—a doctor who listens
to you and forms a healing partnership with you to find your unique solution. Put an end
to frustration and confusion by having a caring, knowledgeable doctor to guide you.
Maybe you’ve dreamed of a doctor who could do this. Well, dream no more. Dr. Sklar
and her team at the Sklar Center for Restorative Medicine has the experience and the
expertise to get you results. For over 25 years, Dr. Sklar has been working with people
like you to achieve maximum wellness.
Dr. Sklar has extensive experience in treating hormone problems—with great success
treating symptoms such as fatigue, moodiness, overweight and insomnia. She has “been
there” herself—once in the same position you’re in—fatigued, moody and wanting to
make a change.
She combines the best of conventional medicine with alternative treatments to achieve
optimal results. She has the unique ability to customize your treatments for maximal
success, and she takes the time needed to do it.
When it comes to finding a solution for your health, we don’t say “it’s your
age,” or “you’ll just have to live with it.”
We say
“the buck stops here.”
Contact Dr. Sklar today to set up your complimentary FREE Consult:
562-596-5196 or info@sklarcenter.com
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HERE IS YOUR BONUS ADRENAL ASSESSMENT!
Have you had a time of severe stress in your life? Y N
Have there been significant losses in your life through death or illness? Y N
Are you fatigued? Y N
Are you emotionally overstressed currently? Y N
Do you have poor memory or concentration? Y N
Are you developing a spare tire (fat around your mid-abdomen)? Y N
Do you suffer from depression or down moods? Y N
Do you have low blood pressure? Y N
Do you experience a “second wind” (high energy) at bedtime? Y N
Do you get light-headed when sitting or standing from lying down? Y N
Do you frequently have low body temperature? (Less than 98°F) Y N
Do you need caffeine get going in the morning or after lunch? Y N
Do you wake up tired even after a full night of sleep? Y N
Are you prone to injuries? Y N
Are you often ill with colds and flu? Y N
Do you suffer from chronic pain? Y N
Do you suffer from insomnia? Y N
Do you have PMS (premenstrual syndrome)? Y N
Are you menopausal or peri-menopausal? Y N
Do you have hypoglycemia (low blood sugar) symptoms such as Y N
headaches, sleepiness, mood swings, or shakiness if skipping meals?
5 POINTS FOR EACH YES ANSWER. Total Points for This Section
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If you scored between
0 - 20 You are in good health
25 - 40 You are under some stress
45 - 50 You may have adrenal burnout
50 - 75 You likely have adrenal burnout
75 - 100 You are in severe adrenal burnout and it is important that you
take immediate steps to correct this condition and prevent further
adverse affects on your health.
*Please note that this is not a diagnostic test, but only a guide to help you determine the
level of your adrenal stress.
If you’d like to learn more about how I can help you reach your health goals, be sure to
email me personally at info@sklarcenter.com or call us at 562-596-5196 and we can
schedule a Free Consult so we can determine how I can best help you.
I really look forward to working with you!
SusanSklar
Always Advocating for Your Health,
Dr. Susan Sklar
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Sklar Center for Restorative Medicine
5000 East Spring Street, Suite 420
Long Beach, California 90815
562-596-5196
www.sklarcenter.com
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