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November 2000Newsletter November 30, 2000 Dr. Komer, MD & Joan Komer - http://www.drkomer.com Now that winter has come (or summer if you are in the southern hemisphere) we hope that you don’t have too many hot flashes to keep you warm. Thank you for your many letters and questions. We have answered most of them and several interesting letters and our replies will appear in each newsletter. In the office I have had many women concerned about their husbands asking me about male menopause (andropause), whether it exists, what the symptoms are and if there is any help. Therefore we have added a section on the website dealing with all of these issues. Just click on this link www.drkomer.com/malemenopause.htm or click on Health Topics on the left side menu and click on Male Menopause. You will be very surprised and interested in what you read. Joan has been working on a new section of the R.O.S.E. (Radiant Opulent Self Esteem) and it will soon be available. In the website go to the homepage, click on Self-esteem and then click on R.O.S.E. on the left side of the screen. Information such as this has met with huge success in our Be Menopositive Seminars. Please keep those letters and comments coming. Go to the website often to get the latest news and read the ever expanding topics. Best Wishes, Dr. Larry & Joan Komer ********************************************************************** If you are new to our mailing list family - welcome! In this newsletter... *Seminars On Cassette *Questions & Answers *Supernatural Soy Available *Peak Performance Stores *Useful Links ********************************************************************** Seminars On Cassette - A Great Holiday Gift - Special Price! ********************************************************************** Regularly $34.95US, now only $29.95 for a limited time! (Also available in Canadian dollars as well) Some of you attended our Be Menopositive! seminars on menopause, self-esteem and women's health. Others of you may not have. This has been an important part of our work and the comments we have received over the years have confirmed again and again that these seminars made a difference for women and their families. Knowing that many could not attend the actual seminars and that many others wanted to be able to review the material, we have taped the seminar. The 2 1/2 hour seminar was recorded live and is now available on three audio cassettes in an attractive case. They are great for a review if you were there, they will help your understanding of menopause and women's health (informative and entertaining for other family members too!) and are a great resource for friends. You may purchase them online with Visa or MasterCard in either U.S. or Canadian dollars. For more information about the Seminar Tapes, visit www.drkomer.com/audio.htm ********************************************************************** Questions & Answers (Please note that the topics here were prompted by questions sent in by some of our web family but this information is not intended as personal medical advice - always see your physician for what is best for you. This information is general.) ********************************************************************** Menopause... Q. Does menopause make you change, I mean get scared, don't want to go outside? This is what I am experiencing, and of course hot flashes. Night sweats. I cannot take estrogen, can you help me? A. Menopause not only can have a lot of physical changes but also have a lot of emotional ones. That is why our Be Menopositive ! Seminars spend half of the time talking about the emotional issues. My advice would be to listen to the Be Menopositive audio tapes for an excellent discussion of physical and emotional issues of menopause and what can be done to make you feel your very best. What you are going through is very upsetting but is being shared by a lot of other women. With the right changes menopause can be the best time of your life. The tape can be ordered on our website www.drkomer.com ********************************************************************** Promensil... Q. My doctor mentioned something by the name of Premensil that I should consider taking but I was unable to reach him to get more information about it at this time. I was wondering if you have any information on this particular product. If you do I would appreciate you sending it to me when ever you get a chance. Thank you A. Promensil is a natural product made from red clover and contains isoflavones or plant estrogens similar to human estrogens in some ways and different in others. Promensil contains 4 different isoflavones, while soy contains two; however research is not available to show that this is more beneficial than soy. The optimum amount of soy isoflavones per day is 50 to 60 mgm per day. Each Promensil tablet has 40 mgm of isoflavones. If you haven't seen it already, go to our website and read the section on soy where there is a very full discussion of benefits. Many women use Promensil successfully to treat the symptoms of menopause. ********************************************************************** Fibroids... Q. I am 40 years old and have a fibroid tumor that has more than doubled in size in less than one year. I am currently taking Loestrin (very low dose birth control pill) to help with heavy, painful periods. I also stopped drinking milk a couple of years ago and began drinking soymilk. In addition to taking the pill, is taking soy adding to my estrogen levels, therefore causing the fibroid to grow? Please let me know. I'm really concerned about this. A. Estrogen does play a role in the growth of fibroids, however it is very likely that your own estrogen would cause the same growth as the estrogen in the pill. I am not aware of any research to show that soy will cause fibroids to grow. There are drugs called Lupron and Zoladex that will shrink fibroids temporarily by lowering estrogen levels but when these very expensive drugs are stopped, the fibroids tend to regrow. There is a new procedure called fibroid embolization that will shrink fibroids and you may want to look into this. ********************************************************************** Estrogen Replacement... Q. I just had a laprroscopic vaginal hysterectomy removing my uterus ovaries and cervix...no cancer just a problematic fibroid. I am 48 years old, soon to be 49. I am currently on very low dose premarin but am wondering about natural supplements. What would you recommend? A. Estrogen supplementation is much more researched than natural products. Since you have had a hysterectomy you would not need progesterone therapy in addition to the estrogen. With this, you would avoid many of the potential side effects of HRT. Estrogen alone is very well tolerated. The benefits of reduction in heart disease, osteoporosis, Alzheimer's Disease and bowel cancer are reasonably well established. With natural products, only soy isoflavones have strong, convincing evidence for benefits but estrogen has by far, the most data. All things being equal, I would choose estrogen. There are now so many formulations that the dose and type can be customized to your needs. If your dose of Premarin is under 0.625 mgm, I would suggest increasing it to that level. ********************************************************************** PMS... Q. I'm a medical student in my final year at a medical school who saw your talk last week. I've just run a medline search and have not found much good evidence for progesterones in PMS. Is there evidence for Prometrium over any other formulation? I've got a premenopausal patient very intent on taking it as a diuretic, anabolic agent, energy enhancer etc for symptoms not related to her periods. Any advice? Any good resources for this type of info? A. The research of Dr. Dalton of Great Britain was the original work. Much has been written but there is not a lot of hard evidence with controlled trials. However in real practice we often have to offer the patient something that may not have the double blind evidence. For example 75 % of all we do in Obstetrics has not been "technically" proven by clinical trials but it works. There is physiological evidence in some women that there is a luteal phase defect with poor progesterone production that worsens PMS and so progesterone may help. Whereas Prometrium is real progesterone and may have a diuretic effect, synthetic progestins have a fluid retaining effect and are contraindicated. The dose of Prometrium would be 100 mgm at bedtime on an empty stomach from the day after ovulation until menses starts. You might like to look at my website www.drkomer.com and click on Health Topics and then look down the left side of the page and click on PMS for more suggestions for treatment. ********************************************************************** When To Begin Taking Soy... Q. When is the appropriate time to begin taking soy supplements? Also, how does one know when one is experiencing menopause as opposed to perimenopause? A. If a woman is still having periods, even if they are irregular or infrequent, she is NOT in menopause. Menopause is the complete cessation of periods. However, a woman can have all of the symptoms of menopause and still be having periods; this is the perimenopause (meaning the time around menopause). This may last months or years. It often starts in the late 40's although I have seen it start in the 30's. If someone is getting the symptoms of menopause such as hot flashes or night sweats, this would be an appropriate time to start soy. I have found in my practice that soy helps to balance out the hormonal fluctuations in the perimenopausal time extremely well. ********************************************************************** Send Your Questions! ********************************************************************** Due to the high volume of questions, we use the Questions & Answers section of the newsletters to give you general feedback. Your questions also prompt us to add new sections of the website. If you, your family or friends have questions on women's health, self-esteem, menopause, andropause (male menopause), breast cancer, hormone replacement therapy, infertility, pregnancy etc. that have not been sent to us, please visit www.drkomer.com/askjoankomer.htm for Joan Komer or www.drkomer.com/askdrkomer.htm for Dr. Larry Komer. All your email is read by the Komers. ********************************************************************** Supernatural Soy ********************************************************************** Supernatural Soy is now available for sale on-line. Heart disease is the number one killer in Western society. Heart disease kills 100 people each hour in the United States and 10 in Canada. It has often been thought of as a disease of men but in fact more women than men die of heart disease. It is occurring in women some ten years later because of the protective effect of estrogen. In menopause, when estrogen levels fall, the incidence of heart disease shoots upwards. As a matter of fact, heart disease kills nine times more women than breast cancer. Heart disease may be avoidable though. We all know the benefits of exercise and not smoking in the reduction of heart disease but soy can also play an important protective role. Soy foods are low in saturated or harmful fat and are free of cholesterol. The protein in soy has been shown to lower cholesterol and thus lowers the risk of a heart attack. Visit www.drkomer.com/soyinformation.htm for more information. ********************************************************************** Seminars In Your Area ********************************************************************** For those of you interested in having Joan Komer present a self-esteem seminar or to have the Be Menopositive ! seminar for a group in your area, email us for more information at seminars@drkomer.com. ********************************************************************** Peak Performance Stores ********************************************************************** As many of you know, our work in our seminars and other projects is through Peak Performance Institute. We've called our US and Canadian online stores Peak Performance. So if you see that name used - that is us! ********************************************************************** Useful Links ********************************************************************** Here are some other websites worth a look... www.drlamb.com - Understanding & treating pain such as fibromyalgia. www.drkovacsmd.com - Family medicine and medical/legal issues. www.drugsanddocs.com - Prescription renewals online in Ontario, Canada. www.tunnel-bar-b-q.com - For fun! Those of you who like to BBQ and enjoy some great cooking sauces & spices, drop in at the TBQ site. ********************************************************************** Share this newsletter! ********************************************************************** If you know someone who is interested in women's health - pass this newsletter along! We'll be in touch soon! Until next time... good health to you and your family. Happy Holidays! Dr. Larry & Joan Komer ********************************************************************** The opinions expressed in this newsletter are for general information and should not be taken as specific medical advice. Always consult your physician or other health care provider to determine what is best for you. _____________________________________________________________________ |
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Copyright MMVIII Terms and conditions for the use of this DrKomer.com web site are found via the LEGAL link on the homepage of this site. Please read this section carefully. If you do not agree with these terms and conditions, please disconnect immediately from this website. Your continued use of this site indicates your acceptance of the terms and conditions specified. This site is owned and operated by Peak Performance Limited of Burlington, Ontario, Canada. The information contained on this site is the opinion of Dr. Larry Komer M.D. FRCSC and should not be used as personal medical advice. Everyone is encouraged to see their own healthcare professional to review what is best for them. Information collected from this site is only used by Peak Performance Limited to learn how to serve our site visitors better and is not sold to third parties. Last updated: June 18, 2008 |
