Why Bioidentical Hormone Therapy?

By Mila McManus, M.D.

Bio-identical hormones are hormones that are near identical to the hormones our bodies produce. This is in contrast to conventional hormone replacement therapy (a.k.a HRT) which uses synthetic hormone-like drugs, such as birth control pills and other synthetic hormones used to treat menopausal symptoms in women. One might wonder why doctors would prescribe synthetic hormones when ‘real’ hormones are available. The answer involves understanding patent laws. Nobody can patent things that already occur naturally, so you can’t patent a palm tree, and drug companies can’t patent the structure of a real hormone. Since drug companies are in the business of making money, they want to be able to protect their property with patents, so they created synthetic hormones which they could patent. These are, unfortunately, the only hormones we learn to prescribe in medical school.

Some causes of hormone imbalance include stress, sleep deprivation, vitamin deficiencies, poor dietary habits, toxins, and side effects of various medications. The list of symptoms of hormonal imbalance is long. Some symptoms include fatigue, insomnia, depressed moods, decreased mental sharpness, anxiety, PMS, post-partum depression, decreased sex drive, unexplained weight gain and inability to lose weight, low motivation, headaches, hot flashes, night sweats, and irregular menstruation.

Benefits of balancing and optimizing hormones with bio-identical hormones include improvement or resolution of the above symptoms, improvement in bone density, preservation of brain function, reduced risk for heart disease, and increased overall sense of wellbeing, to name a few. Risks are minute compared to typical HRT with synthetic hormone-like drugs. For instance, there is virtually no risk of blood clots with bio-identical progesterone, whereas synthetic progestins are well-known to heighten the risk. It’s also noteworthy to say that the Women’s Health Initiative Study that revealed an increase in the incidence of breast cancer was based solely on the use of synthetic hormones. Moreover, keep in mind that cancer is the result of a perfect storm of events, and hormones are a tiny piece of that puzzle. Other factors that are linked to cancer that people tend to ignore are stress, sleep deprivation, poor dietary habits, vitamin and other nutrient deficiencies, and toxins.

A wonderful thing about bio-identical hormones is the ability to have them compounded into specific doses. For instance, one person may need 5mg twice daily of progesterone, while another may need 37.5mg twice daily. We can order various doses in various forms, such as creams, pills, lozenges, injections, and pellets. Doses are fine-tuned based on resolution of symptoms and other factors. This is not possible with most commercially-available options.

As has happened in the past, the FDA is again gearing up to issue a ban on compounded bioidentical hormone replacement therapy under the disguise of insufficient evidence of safety and effectiveness, when it is just one of the ways the FDA and the government bolster drug monopolies and undermine natural health options. Interestingly, it is the FDA-approved synthetic hormones that are known for common side effects including headaches, breast tenderness, mood swings, fluid retention, weight gain, and loss of libido. They are also associated with an increased incidence of breast cancer, heart disease, stroke, and blood clots to the lungs. And there are numerous and severe side effects of synthetic hormones listed in the Physician’s Desk Reference.

As a functional medicine physician, I would be very saddened to see compounded bioidentical hormones banned. So please take 60 seconds to join the fight! Click this LINK to sign the petition.

On a final note, while not optimal or easily customized to patients’ individual needs, if bio-identical hormones are banned in the future, there will be some alternatives! There are a few bio-identical hormones that are commercially available, made possible by the drug companies patenting a delivery mechanism, for instance, such as a patch.

By Mila McManus MD|2020-10-13T06:28:33-05:00October 13th, 2020|Articles, General|

If you want to get to the root cause of your health issues…

by P.M.

“If you want to heal from the inside out, get to the root cause of your health issues and take responsibility for your health and well being, then TWIHW is the place to heal. Dr McManus and her staff are very supportive and have helped me heal from a health crisis over the last 5 months. I feel great and now know how to prevent the health pitfalls that contributed to my health issues. The services provided by TWIHW are not only restorative but empowering too!”

By Mila McManus MD|2020-10-13T07:00:27-05:00October 13th, 2020|General, Testimonials|

Are You Hosting an Enemy?

By Mila McManus, M.D.

While traditionally parasitic infections have been associated with tropical, subtropical, and under-developed countries, there are increasing numbers of them occurring in developed countries, including the United States. A parasite is an organism that lives on or in a host organism and gets its food from, or at the expense of, its host.¹[i]

There are three classes of parasites that can cause disease in humans¹:

Protozoa – One celled organisms which can multiply in humans making them able to survive and cause serious infections from just one organism. Included in this class are amoebas such as Entamoeba, flagellates such as Giardia and Leishmania, ciliates such as Balantidium, and sporozoa which are organisms whose adult stage is not motile such as Plasmodium, and Cryptosporidium.
Helminths – Large multicellular organisms that are normally visible to the human eye in adult stages. In their adult forms, they do not multiply in humans. The three groups found in humans include Flatworms (including flukes and tapeworms), Thorny-headed worms (residing in the gastrointestinal tract), and Roundworms (residing in the gastrointestinal tract, blood, lymphatic system, or subcutaneous tissues).
Ectoparasites – Includes the blood-sucking arthropods such as mosquitoes, but more narrowly refers to organisms such as ticks, fleas, lice, and mites that attach to, or burrow into, the skin and remain there for relatively long periods of time. They are disease causing in and of themselves, but also are transmitters of many different pathogens that can result in deadly disease.

There are several reasons to keep parasites on the radar as a potential root cause of some otherwise undiagnosed chronic issues:

*There are at least four types of T-Helper cells that are participants in the body’s immune response to different threats. TH2 cells are activated to address parasites but are also responsible for the development of asthma and other allergic inflammatory diseases[ii]. When TH2 dominates the immune system as a result of a parasite, it may also predispose a patient to worsened symptoms of allergies, asthma, eczema, hives, autoimmune disease, and viral infections.

*Parasites are known to absorb heavy metals and harbor mold spores[iii]. Therefore, addressing parasites first as a root cause of heavy metal and mold issues helps to resolve these toxicities.

*Parasites have also been known to harbor smaller microbes such as viruses (e.g. Epstein Barr) and bacteria (e.g. Lyme/borrelia)[iv]. Addressing the parasite first may give way to much more effective and timely elimination of the smaller critters!

Parasitic testing presents obstacles for a number of reasons. First, at the time of stool collection, the parasite may not be shedding eggs, which is what the test is verifying. Second, a very small sample is taken from the stool, from which the lab extracts its sample from which the tiny specimen is taken to examine under a microscope. It is entirely possible the microscopic sample does not contain the parasite. Third, some tests look for DNA of the parasite, however this can result in a misleading positive test if the DNA was from a dead parasite recently consumed in, for example, sushi or pork.

There are several protocols available for parasite cleansing, from prescriptions to proven natural approaches. If a patient is in really good health and has no real complaints, a parasite cleanse may not be necessary or be a suitable recommendation. However, for the chronically ill with lingering symptoms and no obvious diagnosis, or people with nagging gastrointestinal symptoms where a stool test is not helpful, the right parasite cleanse can be a potential game changer and harmless protocol in the treatment of undiagnosed chronic illness. See our Supplement of the Month for one such parasite cleanse.

[i]https://www.cdc.gov/parasites/about.html

[ii] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3496776/

[iii] Cellcorebiosciences.com

[iv] Cellcorebiosciences.com

By Mila McManus MD|2020-09-17T12:44:32-05:00September 18th, 2020|General|

Supplement of the Month: Para Cleanse 1 & 2

By CellCore Biosciences

CellCore Biosciences has developed an effective and natural gut cleanse to promote normal peristalsis, locate, bind to, and remove pathogens and toxins in the system, and promote overall optimal gut health.

Para 1 is CellCore Biosciences cornerstone immune and digestive support product. The primary ingredient is Mimosa pudica polyphenols from the seed mucilage. Mimosa pudica is a fern-like plant, with a long history of healing properties in Ayurvedic medicine. It is native to Central and South America, India, and the southern United States. Para 1 capitalizes on the unique characteristic of the seeds, which form a gelatinous, sticky gut scrubber as it works its way through the intestinal tract, pulling out toxins, parasites, heavy metals, biofilm, and other unwanted elements, resulting in a deep cleaning of the tract.

Para 2 is a multi-herb blend specifically designed for powerful immune and digestive support. Proven natural ingredients include the herbs vidanga, neem, triphala, clove, and holarrhena. Merged together with CellCore’s cutting-edge BioActive Carbons (extracts of Humic and Fulvic Acids) Para 2 is a potent, yet tolerable, solution to pathogen problems.

To determine if Para 1 and Para 2 might be right for you, call to schedule an appointment with one of our medical providers today.

Sources:

www.cellcorebiosciences.com

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3459453/

By Mila McManus MD|2020-08-27T16:40:05-05:00September 13th, 2020|General|

Parasite Prevention – Food & Environment

Nancy Mehlert, MS

Parasitic infections are probably under-diagnosed because most doctor’s don’t consider them to be a likelihood in the United States. They may be more common than we realize and should be considered as a root cause when chronic illness cannot be explained otherwise (see the main article).

In the meantime, no one wants a parasitic infection and there are things we can do to avoid them.

Many parasites can be transmitted in foods including protozoa and helminths (roundworms and tapeworms). The most common food sources to be aware of include:

Undercooked fish, crabs, and mollusks, including sushi
Undercooked meat, especially pork
Raw aquatic plants, such as watercress
Raw vegetables that have been contaminated by human or animal feces (even USDA Organic Standards allow animal waste)
Foods contaminated as a result of food service workers who practice poor hygiene or work in unsanitary facilities

Action steps in the kitchen include making sure to cook fish and meat thoroughly and carefully. Also consider if eating sushi is worth the risk. Wash produce well before use. Visit reputable restaurants with good sanitation practices.

Many parasites are also transmitted by water, soil, or person to person contact. Here are several more action steps you can take to protect yourself from parasitic infection:

Wash your hands regularly, especially after handling uncooked food or feces.
Drink clean water, including bottled water when traveling, especially in tropical, subtropical, or under-developed countries.
Avoid swallowing water from lakes, streams, or ponds.
Avoid cat litter and feces, especially if pregnant. Outdoor cats can come into contact with infected rodents and birds, which makes owners more likely to contract toxoplasmosis, a type of protozoa.

Be informed, be safe, be well.

Sources:

https://www.healthline.com/health/parasitic-infections#risk-factors

https://www.cdc.gov/parasites/food.html

https://www.ams.usda.gov/grades-standards/organic-standards

By Mila McManus MD|2020-09-01T11:54:52-05:00September 13th, 2020|General, NANCY’S NUTRITIONAL NUGGET|

Beet, Orange, and Avocado Salad

Adapted From The Whole30 Cookbook, pg. 290

Serves 2

2 medium beets

1 tablespoons of melted coconut oil or ghee

1 tablespoon of olive oil

1 tablespoon balsamic vinegar

1 orange, halved, one half zested and juiced,

one half peeled and cut into segments

½ teaspoon salt

¼ teaspoon black pepper

1 avocado, pitted, peeled, and diced

1. There are numerous ways to cook beets. Pre-cooked beets (e.g. Love Beets brand, organic, vacuum packed) are available in many produce sections in grocery stores. Here is a link to one of the best ways to cook them yourself that avoids both the need to peel them first and also the toxic effects of cooking them in aluminum foil, a popular technique on the internet: https://toriavey.com/wprm_print/44696 . Steaming works well as does an Instapot. The easiest way to peel a beet is after it is cooked and slightly cooled. Then use a paper towel to gently rub off the skin. It comes of easily. Use the coconut oil or ghee if oil is needed during cooking.
2. Dice the cooked beets into about one inch cubes and place in a serving bowl.
3. In a smaller bowl, combine 1 tablespoon of quality olive oil with the vinegar, orange juice, salt, and pepper and whisk until combined.
4. Add the orange segments and the avocado to the beets and drizzle the dressing over them. Sprinkle the orange zest, then toss to coat, and serve.

Note: If you decide to double the recipe for leftover purposes, simply avoid adding the avocado until you are ready to serve it, to avoid browning and mushy avocado. Adding some microgreens such as pea shoots or frisée, or a few pistachio nuts can add some additional flair, flavor, and texture.

By Mila McManus MD|2020-08-27T17:00:18-05:00September 13th, 2020|General, Recipes|

“Best of the Best”.

by C.D.

If you are looking to make life changes and better your overall health, Dr. Mila McManus and staff are second to none! They have consistently been voted the “Best of the Best”, of the Functional and Integrated Medicine world, and are located right here in The Woodlands, TX. As a patient, I can attest to their knowledge and professionalism, and appreciate their continued guidance towards becoming my best self!

By Mila McManus MD|2020-08-28T10:40:40-05:00September 13th, 2020|General, Testimonials|

Raspberry Walnut Vinaigrette

From The Whole30 Cookbook, pg.328

Both raspberries and olive oil offer the important nutrients required for DNA repair and reduction of oxidative stress which makes this a healthy and tasty treat for salad dressing.

Ingredients

½ cup fresh, organic raspberries, finely shopped or mashed

¼ cup apple cider vinegar

2 tablespoons finely chopped walnuts

1 teaspoon minced fresh cilantro (or ¼ teaspoon dried)

¾ cup extra virgin olive oil

Salt and black pepper

Instructions

Mix together the raspberries, vinegar, walnuts, and cilantro in a small bowl.
Drizzle in the olive oil and whisk steadily to emulsify.
Adjust taste with salt, pepper, (stevia or monk fruit if desired), and toss into salad.

Ideas: Try this with a grilled chicken salad, over baby spinach or on diced cucumbers. You can also swap out the raspberries with any other kind of berry.

By Mila McManus MD|2020-08-05T12:52:42-05:00August 8th, 2020|General, Recipes|

The Latest on Avocado Oil

Nancy Mehlert, MS

I have been wondering how long it would take for this news break, and to be honest, I am not surprised at all. Over this last decade, much has been documented about the fact that most olive oils, are not in fact, pure, fresh pressed, unadulterated oil. In light of that, it is no surprise that the same has been stated now about avocado oil.

According to Dr. Mercola[i], and based on a study completed in October of this year published by the journal Food Control (116:107328) a number of similar concerns about olive oil are also true about avocado oil:

22 avocado oil brands were evaluated, 82% of which were found to be rancid, and 3 of which had no avocado oil in them but were mostly soybean oil instead.
Countries of origin were California, Mexico, Brazil, and Spain

As with many plant oils, the reasons for concern center around the quality of the source of the oil. If the avocados used are bruised, overripe, and insect infected, they will not render a quality, fresh and pure oil. Additionally, oil deteriorates with time by becoming oxidized, so if the time between harvest and processing is too long, then an oxidized oil will be the outcome. Finally, and importantly, most oil extraction methods, which are fast and cheap, are accomplished through high heat processing, resulting in damage to these delicate, mono-unsaturated fats. Molecular damage means your body cannot make good use of the nutrient source and it becomes an interfering toxicant or “trash” that must be cleared from the body.

For the time being, I have been able to confirm with Primal Kitchen that their olive and avocado oils are pure, with no other oils added, and have been tested for high quality and purity numerous times throughout every phase of production. Our books and dietary instructions include how to choose a good olive oil. Until then, the best way to benefit from the incredible nutrition in an avocado is to eat the real whole fruit. It remains one of the healthiest foods in the world!

[i] https://articles.mercola.com/sites/articles/archive/2020/07/08/fake-avocado-oil.aspx

By Mila McManus MD|2020-08-05T13:20:55-05:00August 8th, 2020|General, NANCY’S NUTRITIONAL NUGGET|

EMF Protection, Part 2

By Mila McManus, M.D.

Last month in our newsletter we wrote about the health crisis that is emerging as a result of electropollution and the magnitude of the 5G implementation around the world. We provided an extensive list of steps to take in and around your home and workplace to protect your body from electromagnetic pollution. If you missed it, click here to read it! While reducing exposure is the first and most important step, it is also important to take self-care measures to support your internal chemistry at the cellular level against EMF damage.

Without diving deep into biochemistry, what is important to understand is that the constant barrage of electromagnetic radiation in unusually patterned and high frequencies results in damage at the DNA level and increases oxidative stress. For the human body, this means many critical resources are depleted, preventing the immune system from being able to repair the damage and work effectively for you. This is problematic for children who have thinner skulls and developing brains, as well as the aging, whose bodies are generally less effective with replenishment of nutrients simply by way of the aging process. Replacing these resources (e.g. vitamins, minerals, enzymes) is another critical piece to living healthfully for young and old alike. Generally, the older (over 40) we are, the more aggressive our therapy needs to be.

Here are specific ways you can care for yourself and your family:

#1 Read last month’s article and determine to reduce the family’s exposure, especially during sleeping hours. This gives the body time to repair and reset, away from EMF exposure.

#2 Practice time restricted eating (a.k.a intermittent fasting), limiting your consumption of food to a narrow window of time each day, ideally to a 6-8 hour window. For example, eating meals only between 9am and 5pm, or 12pm to 6pm. The alternating fasting period results in production of some of the essential nutrients required to support mitochondrial cleaning and repair at the DNA level. Also, having your last food at least three to four hours before going to bed protects depletion of critical enzymes for repair.

#3 Exercise in some way every day. The most effective options include high intensity exercise, aerobic, and resistance exercises. When we exercise, the essential repair and signaling enzymes for our DNA are increased.

#4 Be sure your supplementation includes about 25 mg of niacin a day. Niacin is a necessary precursor in the body for the production of the enzymes for DNA repair. One of the best studies suggests that inexpensive, non-time release niacin is preferred. It is often found in high quality B-Complex and Multi vitamins. We offer both in our office.

#5 Once again, what we eat remains foundational to disease prevention, strong immunity, and protection from EMFs specifically. Fruits, vegetables, and other plant nutrients such as those found in spices, nuts, and seeds offer some of the most important nutrients for stimulating the action of the enzymes and co-enzymes that protect and correct our DNA. Anytime we can get our nutrition from food over a supplement, we will be getting the natural, elemental vitamins and minerals needed for good health. That is why choosing properly grown (i.e., organic, non-GMO, unrefined) minimally processed food is the most sensible first step to good health. Some of the essential vitamins, minerals, and enzymes for DNA repair, which can be found mostly in plants, include magnesium, vitamin D, fisetin, resveratrol, epigallocatechin-3-gallate (EGCG), quercetin, isothiocyanates, terpenes, sulfur compounds, carotenoids, and fatty acids. For a specific list of some of the best sources, click here .

#6 Detoxification is an especially important step for staying healthy and providing protection from EMFs. It involves removing as many toxicants as possible from our diets, environments, and lifestyles while always staying focused on promoting and supporting the body’s detoxification pathways. One of the most effective ways is through the use of far or near infrared saunas. Here is an article about detoxification and how to go about it.

We believe it is important for everyone to begin to take intentional and consistent steps toward protecting yourself against the increasing impacts of EMFs to the human body, especially with the advent of 5G technologies.

[1] Primary resource for this article is from

Mercola, Joseph. EMF*D -5G, Wi-Fi & Cell Phones: Hidden Harms and How to Protect Yourself. New York: Hay House, Inc. 2020

By Mila McManus MD|2020-08-07T12:17:33-05:00August 8th, 2020|Articles, General|