MENS HEALTH: LIFESTYLE, DIET AND NUTRITIONAL SUPPLEMENTS FOR OPTIMAL MALE PERFORMANCE
In today’s active fast paced environment, optimal health and wellness are a pre-requisite for success. When talking about men’s health, the challenges are still determined by their ability to get to the doctor and have the proper work up and necessary tools to be healthy from a prevention point of view. Men do not like to see the doctor and have far less complaints about their health.
It is a fact: Men die at higher rates than women for all of the leading causes of death. A survey conducted by the U.S. Department of Health and Human Services, states that men don't use the health care system as often as women do; in fact, they're twice as likely to have gone two or more years without contact with a physician.
They avoid the doctor with excuses such as “not enough time”, “going to the doctor is a ‘chick’ thing”, “it’s too expensive”, “I don’t have a comfortable relationship with my doctor”, “I’m afraid of what I might find out” and the most common one, “I'm fine”. It is not surprising as the main topics that will be discussed at the regular check-up for men over the age of 40 should include:
1. A prostate exam, a digital rectal examination and a stool check for blood
2. A testicular exam and thorough conversation about male issues including erections and sexual performance
3. A conversation about lifestyle, diet, and cardiovascular risk factors
SO, WHY THE RELUCTANCE TO VISIT THE DOCTOR?
The American Journal of Public Health performed a survey that required men to select the appropriate reason or reasons why they don’t like to go to the doctor. These were the results:
• 39% of men said that NOTHING prevented them from going to the doctor, they just didn’t go…
• 36% of men only go to the doctor if EXTREMELY sick
• 23% of men believed themselves to be healthy and had NO REASON to go to a doctor
• 12% of men would rather be treated ‘NATURALLY’
• 12% of men don’t have TIME to go to the doctor
• 11% of men don’t have health insurance (and this number may be rising)
• 8% of men DO NOT LIKE DOCTORS…. Period….
• 7% of men are afraid of finding out that something is wrong
• 4% of men don't know of a good doctor in their area: 4%
When trying to understand the reasons why men are so reluctant to see the doctor there are several hypotheses. The first one is that men would rather wait and see. A poll done in 2007 found that 92% of men like to wait at least a few days to see if they feel better first before heading to the doctor’s office. Unfortunately, this “wait and see attitude” keeps on for several days and even months ultimately leading to an exceptional delay before seeking proper treatment. Another hypothesis is that men believe that ‘toughing out illness’ is a good attitude, and that admitting to illness equals to weakness. This is linked to a risk taking attitude by men, and for sure this mentality is not a healthy approach.
Women live longer and it is a fact that women see the doctor far more frequently than men. Doesn’t it surprise you the fact that waiting rooms are scattered with magazines that are mainly aimed at women? Whereas there is a paradox: most physicians are MEN. But, please, pay attention, PREVENTION IS BETTER THAN CURE!
With this introduction I would like to segway into a discussion about the optimal health and wellness for men’s health. The most common challenges men have over the age of 40 are low energy, mild memory changes, and lower potency and libido. This is clearly minor compared to diabetes, cardiovascular disease, elevated cholesterol, hypertension and obesity, yet know that there is a link between the two. The most common complaints a man will have when they have these bigger and life threatening medical problems will initially present with fatigue, and non-specific complaints such as those that I commented on initially. Paying attention to those subtle complaints may be life-saving!!
PREVENTION and KNOWLEDGE are the key to wellbeing, longevity and OPTIMAL HEALTH.
OPTIMAL HEALTH FOR MEN
The ability to produce and metabolize testosterone declines as men age. Reproductive hormones are delicate and sensitive to the overall health of the individual as they are the key to future generations, thus if you are unhealthy the body ‘senses’ it is not a good idea to reproduce. Contrary to women, men don’t have a specific time of menopause, and if at all, andropause is a gradual, slow and steady reduction of the production of the hormones.
Men do not experience a complete and permanent physiological shutting down of the reproductive system as a normal event like women do. SO Andropause is the term that has been used to talk about hormonal decline with age. Another term that is frequently used is "androgen deficiency of the aging male" (ADAM). This term is better and more accurate when discussing loss of testosterone production as a gradual and asymptotic situation in men as they age. This is in contrast to the more abrupt change associated with other medical reasons that may cause an abrupt decline in testosterone. Andropause or ADAM is common: 2.4 million men ages 40 to 69 have androgen deficiency.
With age, and with poor life choices, male health can be affected. Andropause is more common and usually present when a man has the following:
1. Poor diet: Increased fat, sugar, alcohol intake
2. Increased stress
3. Inactivity and Sedentary Lifestyle: Decreased exercise
4. Decreased sleep
5. Decreased muscle strength
6. Decreased sexual function, decreased potency, decreased libido and desire
7. Increased depression, decreased motivation, increased ‘grumpiness’
8. Abnormal blood tests: In the fasting blood stream, increased levels of glucose, insulin, cortisol and markers of inflammation such as C-Reactive Protein and decreased levels of homocysteine, vitamin B12 levels among others
9. Abnormal physical exam: In the body, an increase in the abdominal fat, usually called the ‘apple’ shape of the body, increased breast tissue formation, decreased muscle mass
10. Medical history: Obesity, Metabolic Syndrome, Insulin Resistance, Diabetes, Increased cholesterol, blood pressure, and cardiovascular disease
11. Increased prostate size, increased risk of prostate cancer
12. Decreased bone mass, increased osteoporosis
THE CAUSES OF ANDROGEN IMBALANCE
1. Poor lifestyle choices, increased stress
2. Aging
3. Illness—thyroid disease, diabetes, CVD, immune and inflammatory Conditions
4. Medications (i.e., blood pressure medications, hair loss medications, steroids)
5. Genetic factors
At a hormonal level, changes also happen that cause an overall hormonal imbalance in male hormones with age and poor lifestyle choices:
1. Total and free levels of testosterone decline, sometimes prematurely
2. Increase in the enzyme that metabolizes testosterone to estrogen called ‘ aromatase’ causing an increase in estrogen levels in the male, this is also called ‘estrogen dominance’
3. Sex hormone binding proteins (SHBG), the proteins that carry the testosterone and other androgens around get imbalanced, and increase, causing a lower level of the free un-carried testosterone
4. Testosterone metabolite, 5alpha-dihydrotestosterone (DHT) also known as androstanolone, is produced when the enzyme 5α-reductase metabolizes testosterone. This enzyme is present in the prostate, testes, hair follicles, and adrenal glands, and is about 5 x more potent and has a significant role in the development and exacerbation of benign prostatic hyperplasia, as well as prostate cancer, by enlarging the prostate gland
5. Testosterone metabolizes to estrogen and the metabolism of estrogen is different in males compared to females. The breakdown of estrogen produces two molecules, 2-hydroxyestrone (2-OT), and 16 alpha-hydroxyestrone. The first one is easy to metabolize and the second one is much more potent and harder to metabolize. Unfortunately men have a predominance of the second one and low 2-hydroxyestrone.
So, with age, and poor habits, not only do total and free hormone levels decline, but the metabolism of hormones, the relationship between androgens and estrogens, and a complete arrays of metabolic functions get out of balance. This pattern of change has been documented by multiple studies.
COMMON SYMPTOMS OF ANDROPAUSE AND MALE HORMONAL IMBALANCE
Hormonal imbalance in men and testosterone changes express themselves in the male with the following changes:
1. Mood changes: A decline in free testosterone has been implicated in mood swings, changes in aggression and ‘grumpiness’, nervousness, depression
2. Memory changes: Impaired memory, the inability to concentrate and higher risk of Alzheimer’s disease among other cognitive concerns have been associated with lower levels of free testosterone
3. Sleep changes: Insomnia, restless legs, and sleep apnea have been associated with declining and low levels of free testosterone
4. Metabolic changes: Weight gain, obesity, central adiposity, increased abdominal fat, and reduced fat to muscle ratio have been associated with declining male hormone levels
5. Muscular changes: Decreased strength, muscle tone, and overall muscle mass has been associated with low male hormones
6. Hair patterns: Male pattern baldness is associated with increased DHT
7. Breast Changes and Appearance: Increased breast tissue and apparent breast enlargement occurs when estrogen levels increased inappropriately, and there is an altered relationship between estrogen and testosterone (estrogen dominance)
8. Colon Health: Increased risk of diverticulitis and diverticulosis as well as other colon problems such as increased risk of colon cancer have been associated with low levels of male hormones
9. Prostate Health: Changes in hormone levels such as increased DHT and a decrease in 2-hydroxyestrone
10. Cardiovascular changes: Changes in androgens influence total cholesterol levels as well as increase triglycerides, and lower HDL
11. Sexual function: Decreased and altered male hormones are associated with low libido, low potency and decreased sperm count and overall decreased sexual function
12. Bone Health: Low testosterone levels have been associated with osteoporosis
13. Immune health: Low testosterone levels have been associated with decreased immunity and increased autoimmunity
AFTER ALL THIS BAD NEWS, WHAT NEXT! THE GOOD NEWS! THE FUTURE OF MEDICINE IS IN PREVENTION AND WITH A HEALTHY LIFESTYLE, HEALTHY DIET AND EXERCISE BALANCE, AND TARGETED NUTRITION OPTIMAL HEALTH CAN BE ACHIEVED!!!!
WHAT DEFINES OPTIMAL HEALTH FOR MEN?
1. Overall wellness, high energy and vitality
2. Lean, strong muscular bodies
3. Optimal health, and optimal body composition, stamina
4. Healthy sexual function throughout their life
5. Avert premature baldness
6. Sex hormone balance for healthy sexual function
7. Healthy heart and circulation, healthy cholesterol levels, healthy blood pressure
8. Prostate health
9. Hormone-sensitive cell protection
10. Overcome dietary insufficiencies
HOW TO ACHIEVE OPTIMAL HEALTH FOR MEN: KEEPING ANDROGENS IN BALANCE
1. Exercise
2. Reduce chronic stress
3. Eat an alkaline diet rich in fruits, vegetables, legumes, and alkaline water
4. Supplement with a specialized male formula that targets androgen balance
FOODS RICH IN PHYTOCHEMICALS PREVENT PREMATURE ANDROGEN IMBALANCE
Foods high in phytochemicals include the following:
• broccoli
• berries
• soynuts
• pears
• turnips
• celery
• carrots
• spinach
• olives
• tomatoes
• lentils
• cantaloupe
• garlic
• apricots
• onions
• seeds
• soybeans
• green tea
• apples
• cabbage
• Brussels sprouts
• bok choy
• kale
• red wine
SUPPLEMENTS TO ENHANCE ANDROGEN BALANCE AND PREVENT ANDROGEN DECLINE WITH AGE
A healthy diet may not be enough. There may be underlying dietary insufficiencies and deficiencies that routine laboratory testing cannot determine.
Targeted supplements and nutritional approaches can increase the bioavailable testosterone and decrease the estrogen load in men. These supplements may work by inhibiting the aromatase that transforms testosterone to estrogen therefore decreasing the total estrogen load in men. These supplements can also mildly inhibit the activity of the enzyme 5-alpha-reductase, and thus limiting and even decreasing the level of DHT- the potent testosterone by-product. Other supplements can work by enhancing and increasing the hydroxylation process to increase production of weaker byproducts such as 2-hydroxyestrone and avoid these harmful metabolites to toxify the body. The goal is for these supplements to encourage cellular resiliency and provide antioxidant cell protection.
Examples:
1. Flax, lignans, isoflavones and green tea are known to inhibit aromatase, limits conversion of testosterone to estrogen
2. Zinc and Selenium PROMOTE testosterone synthesis
3. Phytosterols, Green Tea, and Olealonic acid inhibit 5 alpha reductase and limits conversion to DHT
4. Folic Acid, Vitamin B6, and Betaine HCL promote healthy estrogen metabolism and methylation to 2-hydroxyestrone
5. Green Tea, Cucurmin, Lycopene, and Vitamin D are associated with Cellular protection, mitochondrial energy production, anti- oxidation and cancer prevention
RECOMMENDED SUPPLEMENTS:
I here list the most common supplements and herb extracts that are associated with promoting optimal hormonal health and male performance. Please note that I have not listed them in any particular order, and I do not recommend the use of these without the recommendation and supervision by a person that knows about these and understands their metabolism and interaction with other medications and each other. The reason I do mention these, is that I would like to encourage you to look further into your health, your diet, and the supplements that you are taking. I encourage you to have a healthy discussion with your doctor or health care provider.
1. B vitamins: Folic acid, vitamin B6 (pyridoxine), vitamin B12 (methylcobalamin)
2. Zinc
3. Selenium
4. Flax Seed
5. Green Tea
6. Oleanolic Acid – Olive leaf extract
7. Tumeric Rhizome extract
8. Lycopene
9. Betaine
10. Vitamin D
11. Calcium
12. Magnesium
13. Phosphorus
14. Saw Palmetto
15. Nettle Root
16. L-Alanine
17. L-Arginine
18. L-Glutamic Acid
19. Liposomal DHEA
20. Tribulus fruit and herb Extract
21. Ashwagandha Root Extract
22. Cowage Seed Extract
23. EPA-DHA Fish Oil Extract
24. Vitamin E
Please note that it is PARAMOUNT to consult with your doctor before starting these supplements, and as I am writing to inform you of these supplements, I am in no shape or form recommending their use without the supervision of your doctor.
I HOPE YOU HAVE ENJOYED READING….
Have a great day!
Margarita Ochoa-Maya, MD
Endocrinology and Metabolism
http://www.advancedhealthnh.com/
http://www.freedomtoheal.org/
In today’s active fast paced environment, optimal health and wellness are a pre-requisite for success. When talking about men’s health, the challenges are still determined by their ability to get to the doctor and have the proper work up and necessary tools to be healthy from a prevention point of view. Men do not like to see the doctor and have far less complaints about their health.
It is a fact: Men die at higher rates than women for all of the leading causes of death. A survey conducted by the U.S. Department of Health and Human Services, states that men don't use the health care system as often as women do; in fact, they're twice as likely to have gone two or more years without contact with a physician.
They avoid the doctor with excuses such as “not enough time”, “going to the doctor is a ‘chick’ thing”, “it’s too expensive”, “I don’t have a comfortable relationship with my doctor”, “I’m afraid of what I might find out” and the most common one, “I'm fine”. It is not surprising as the main topics that will be discussed at the regular check-up for men over the age of 40 should include:
1. A prostate exam, a digital rectal examination and a stool check for blood
2. A testicular exam and thorough conversation about male issues including erections and sexual performance
3. A conversation about lifestyle, diet, and cardiovascular risk factors
SO, WHY THE RELUCTANCE TO VISIT THE DOCTOR?
The American Journal of Public Health performed a survey that required men to select the appropriate reason or reasons why they don’t like to go to the doctor. These were the results:
• 39% of men said that NOTHING prevented them from going to the doctor, they just didn’t go…
• 36% of men only go to the doctor if EXTREMELY sick
• 23% of men believed themselves to be healthy and had NO REASON to go to a doctor
• 12% of men would rather be treated ‘NATURALLY’
• 12% of men don’t have TIME to go to the doctor
• 11% of men don’t have health insurance (and this number may be rising)
• 8% of men DO NOT LIKE DOCTORS…. Period….
• 7% of men are afraid of finding out that something is wrong
• 4% of men don't know of a good doctor in their area: 4%
When trying to understand the reasons why men are so reluctant to see the doctor there are several hypotheses. The first one is that men would rather wait and see. A poll done in 2007 found that 92% of men like to wait at least a few days to see if they feel better first before heading to the doctor’s office. Unfortunately, this “wait and see attitude” keeps on for several days and even months ultimately leading to an exceptional delay before seeking proper treatment. Another hypothesis is that men believe that ‘toughing out illness’ is a good attitude, and that admitting to illness equals to weakness. This is linked to a risk taking attitude by men, and for sure this mentality is not a healthy approach.
Women live longer and it is a fact that women see the doctor far more frequently than men. Doesn’t it surprise you the fact that waiting rooms are scattered with magazines that are mainly aimed at women? Whereas there is a paradox: most physicians are MEN. But, please, pay attention, PREVENTION IS BETTER THAN CURE!
With this introduction I would like to segway into a discussion about the optimal health and wellness for men’s health. The most common challenges men have over the age of 40 are low energy, mild memory changes, and lower potency and libido. This is clearly minor compared to diabetes, cardiovascular disease, elevated cholesterol, hypertension and obesity, yet know that there is a link between the two. The most common complaints a man will have when they have these bigger and life threatening medical problems will initially present with fatigue, and non-specific complaints such as those that I commented on initially. Paying attention to those subtle complaints may be life-saving!!
PREVENTION and KNOWLEDGE are the key to wellbeing, longevity and OPTIMAL HEALTH.
OPTIMAL HEALTH FOR MEN
The ability to produce and metabolize testosterone declines as men age. Reproductive hormones are delicate and sensitive to the overall health of the individual as they are the key to future generations, thus if you are unhealthy the body ‘senses’ it is not a good idea to reproduce. Contrary to women, men don’t have a specific time of menopause, and if at all, andropause is a gradual, slow and steady reduction of the production of the hormones.
Men do not experience a complete and permanent physiological shutting down of the reproductive system as a normal event like women do. SO Andropause is the term that has been used to talk about hormonal decline with age. Another term that is frequently used is "androgen deficiency of the aging male" (ADAM). This term is better and more accurate when discussing loss of testosterone production as a gradual and asymptotic situation in men as they age. This is in contrast to the more abrupt change associated with other medical reasons that may cause an abrupt decline in testosterone. Andropause or ADAM is common: 2.4 million men ages 40 to 69 have androgen deficiency.
With age, and with poor life choices, male health can be affected. Andropause is more common and usually present when a man has the following:
1. Poor diet: Increased fat, sugar, alcohol intake
2. Increased stress
3. Inactivity and Sedentary Lifestyle: Decreased exercise
4. Decreased sleep
5. Decreased muscle strength
6. Decreased sexual function, decreased potency, decreased libido and desire
7. Increased depression, decreased motivation, increased ‘grumpiness’
8. Abnormal blood tests: In the fasting blood stream, increased levels of glucose, insulin, cortisol and markers of inflammation such as C-Reactive Protein and decreased levels of homocysteine, vitamin B12 levels among others
9. Abnormal physical exam: In the body, an increase in the abdominal fat, usually called the ‘apple’ shape of the body, increased breast tissue formation, decreased muscle mass
10. Medical history: Obesity, Metabolic Syndrome, Insulin Resistance, Diabetes, Increased cholesterol, blood pressure, and cardiovascular disease
11. Increased prostate size, increased risk of prostate cancer
12. Decreased bone mass, increased osteoporosis
THE CAUSES OF ANDROGEN IMBALANCE
1. Poor lifestyle choices, increased stress
2. Aging
3. Illness—thyroid disease, diabetes, CVD, immune and inflammatory Conditions
4. Medications (i.e., blood pressure medications, hair loss medications, steroids)
5. Genetic factors
At a hormonal level, changes also happen that cause an overall hormonal imbalance in male hormones with age and poor lifestyle choices:
1. Total and free levels of testosterone decline, sometimes prematurely
2. Increase in the enzyme that metabolizes testosterone to estrogen called ‘ aromatase’ causing an increase in estrogen levels in the male, this is also called ‘estrogen dominance’
3. Sex hormone binding proteins (SHBG), the proteins that carry the testosterone and other androgens around get imbalanced, and increase, causing a lower level of the free un-carried testosterone
4. Testosterone metabolite, 5alpha-dihydrotestosterone (DHT) also known as androstanolone, is produced when the enzyme 5α-reductase metabolizes testosterone. This enzyme is present in the prostate, testes, hair follicles, and adrenal glands, and is about 5 x more potent and has a significant role in the development and exacerbation of benign prostatic hyperplasia, as well as prostate cancer, by enlarging the prostate gland
5. Testosterone metabolizes to estrogen and the metabolism of estrogen is different in males compared to females. The breakdown of estrogen produces two molecules, 2-hydroxyestrone (2-OT), and 16 alpha-hydroxyestrone. The first one is easy to metabolize and the second one is much more potent and harder to metabolize. Unfortunately men have a predominance of the second one and low 2-hydroxyestrone.
So, with age, and poor habits, not only do total and free hormone levels decline, but the metabolism of hormones, the relationship between androgens and estrogens, and a complete arrays of metabolic functions get out of balance. This pattern of change has been documented by multiple studies.
COMMON SYMPTOMS OF ANDROPAUSE AND MALE HORMONAL IMBALANCE
Hormonal imbalance in men and testosterone changes express themselves in the male with the following changes:
1. Mood changes: A decline in free testosterone has been implicated in mood swings, changes in aggression and ‘grumpiness’, nervousness, depression
2. Memory changes: Impaired memory, the inability to concentrate and higher risk of Alzheimer’s disease among other cognitive concerns have been associated with lower levels of free testosterone
3. Sleep changes: Insomnia, restless legs, and sleep apnea have been associated with declining and low levels of free testosterone
4. Metabolic changes: Weight gain, obesity, central adiposity, increased abdominal fat, and reduced fat to muscle ratio have been associated with declining male hormone levels
5. Muscular changes: Decreased strength, muscle tone, and overall muscle mass has been associated with low male hormones
6. Hair patterns: Male pattern baldness is associated with increased DHT
7. Breast Changes and Appearance: Increased breast tissue and apparent breast enlargement occurs when estrogen levels increased inappropriately, and there is an altered relationship between estrogen and testosterone (estrogen dominance)
8. Colon Health: Increased risk of diverticulitis and diverticulosis as well as other colon problems such as increased risk of colon cancer have been associated with low levels of male hormones
9. Prostate Health: Changes in hormone levels such as increased DHT and a decrease in 2-hydroxyestrone
10. Cardiovascular changes: Changes in androgens influence total cholesterol levels as well as increase triglycerides, and lower HDL
11. Sexual function: Decreased and altered male hormones are associated with low libido, low potency and decreased sperm count and overall decreased sexual function
12. Bone Health: Low testosterone levels have been associated with osteoporosis
13. Immune health: Low testosterone levels have been associated with decreased immunity and increased autoimmunity
AFTER ALL THIS BAD NEWS, WHAT NEXT! THE GOOD NEWS! THE FUTURE OF MEDICINE IS IN PREVENTION AND WITH A HEALTHY LIFESTYLE, HEALTHY DIET AND EXERCISE BALANCE, AND TARGETED NUTRITION OPTIMAL HEALTH CAN BE ACHIEVED!!!!
WHAT DEFINES OPTIMAL HEALTH FOR MEN?
1. Overall wellness, high energy and vitality
2. Lean, strong muscular bodies
3. Optimal health, and optimal body composition, stamina
4. Healthy sexual function throughout their life
5. Avert premature baldness
6. Sex hormone balance for healthy sexual function
7. Healthy heart and circulation, healthy cholesterol levels, healthy blood pressure
8. Prostate health
9. Hormone-sensitive cell protection
10. Overcome dietary insufficiencies
HOW TO ACHIEVE OPTIMAL HEALTH FOR MEN: KEEPING ANDROGENS IN BALANCE
1. Exercise
2. Reduce chronic stress
3. Eat an alkaline diet rich in fruits, vegetables, legumes, and alkaline water
4. Supplement with a specialized male formula that targets androgen balance
FOODS RICH IN PHYTOCHEMICALS PREVENT PREMATURE ANDROGEN IMBALANCE
Foods high in phytochemicals include the following:
• broccoli
• berries
• soynuts
• pears
• turnips
• celery
• carrots
• spinach
• olives
• tomatoes
• lentils
• cantaloupe
• garlic
• apricots
• onions
• seeds
• soybeans
• green tea
• apples
• cabbage
• Brussels sprouts
• bok choy
• kale
• red wine
SUPPLEMENTS TO ENHANCE ANDROGEN BALANCE AND PREVENT ANDROGEN DECLINE WITH AGE
A healthy diet may not be enough. There may be underlying dietary insufficiencies and deficiencies that routine laboratory testing cannot determine.
Targeted supplements and nutritional approaches can increase the bioavailable testosterone and decrease the estrogen load in men. These supplements may work by inhibiting the aromatase that transforms testosterone to estrogen therefore decreasing the total estrogen load in men. These supplements can also mildly inhibit the activity of the enzyme 5-alpha-reductase, and thus limiting and even decreasing the level of DHT- the potent testosterone by-product. Other supplements can work by enhancing and increasing the hydroxylation process to increase production of weaker byproducts such as 2-hydroxyestrone and avoid these harmful metabolites to toxify the body. The goal is for these supplements to encourage cellular resiliency and provide antioxidant cell protection.
Examples:
1. Flax, lignans, isoflavones and green tea are known to inhibit aromatase, limits conversion of testosterone to estrogen
2. Zinc and Selenium PROMOTE testosterone synthesis
3. Phytosterols, Green Tea, and Olealonic acid inhibit 5 alpha reductase and limits conversion to DHT
4. Folic Acid, Vitamin B6, and Betaine HCL promote healthy estrogen metabolism and methylation to 2-hydroxyestrone
5. Green Tea, Cucurmin, Lycopene, and Vitamin D are associated with Cellular protection, mitochondrial energy production, anti- oxidation and cancer prevention
RECOMMENDED SUPPLEMENTS:
I here list the most common supplements and herb extracts that are associated with promoting optimal hormonal health and male performance. Please note that I have not listed them in any particular order, and I do not recommend the use of these without the recommendation and supervision by a person that knows about these and understands their metabolism and interaction with other medications and each other. The reason I do mention these, is that I would like to encourage you to look further into your health, your diet, and the supplements that you are taking. I encourage you to have a healthy discussion with your doctor or health care provider.
1. B vitamins: Folic acid, vitamin B6 (pyridoxine), vitamin B12 (methylcobalamin)
2. Zinc
3. Selenium
4. Flax Seed
5. Green Tea
6. Oleanolic Acid – Olive leaf extract
7. Tumeric Rhizome extract
8. Lycopene
9. Betaine
10. Vitamin D
11. Calcium
12. Magnesium
13. Phosphorus
14. Saw Palmetto
15. Nettle Root
16. L-Alanine
17. L-Arginine
18. L-Glutamic Acid
19. Liposomal DHEA
20. Tribulus fruit and herb Extract
21. Ashwagandha Root Extract
22. Cowage Seed Extract
23. EPA-DHA Fish Oil Extract
24. Vitamin E
Please note that it is PARAMOUNT to consult with your doctor before starting these supplements, and as I am writing to inform you of these supplements, I am in no shape or form recommending their use without the supervision of your doctor.
I HOPE YOU HAVE ENJOYED READING….
Have a great day!
Margarita Ochoa-Maya, MD
Endocrinology and Metabolism
http://www.advancedhealthnh.com/
http://www.freedomtoheal.org/
