In her trademark lecture, Dr. Whitney Gabhart, ND, delivered stimulating facts and figures on how to beat the hormone "blahs" of mid-life and beyond. A great time was had by all who attended! You can register at our main website - www.cadywellnes

1. FAT, FATIGUED,
AND FEMALE!
Presented by
Dr. Whitney Gabhart

2. OBJECTIVE
To share wellness information with
women and provide self-education for
informed choices that result in their
most optimal health at all ages.
Feel Like Yourself Again!

3. Contact information:
Whitney Gabhart, ND
www.cadywellness.com
Where to “get the slides” - www.facebook.com/cadywellness
www.indianaTMS-cadywellness.com
www.slideshare.net/lcadymd
Office: 812-429-0772
E-mail: drg@cadywellness.com
4727 Rosebud Lane – Suite F
Interstate Office Park
Newburgh, IN 47630 (USA)
@LouisCadyMD
@TMS4depression

4. Friends and Colleagues

5. Naturopath, Mom and Grandmother!
Educational Consultant to licensed MD’s and NP’s
in the field of Integrated Endocrinology

6. Dr. Marty Sugarman and our home in West LA
Jack Nicholson?

7. I weighed
450lbs!

8. I DON’T FEEL LIKE
MYSELF!
And he is not looking so hot either!

9. Symptoms of Hormone
• Bloated Belly
Imbalances
• Thinning head hair
• Brittle nails
• Weight abnormalities
• Skin problems; dry, acne, early wrinkles, sagging
• Low sex drive
• Depression
• Irritability
• Mood disturbances
• Foggy thinking
• Memory loss
• Sleep problems
• Fatigue
• Low blood sugar
• Night sweats
• Hot flashes or flushing
• Focus and attention loss My assistant, Claudia
• Lack of pain tolerance demonstrates a severe hormonal
• Fluid retention
• Infertility episode during menopause.
• PCOS
• Lack of muscle tone despite exercise

10. Basic Hormone Axis:
The S.A.T.
SEX STERIODS
S
A T
ADRENALS THYROID

11. Your Main Sex Steroid Hormones
• Estradiol (main estrogen)
• Progesterone
• Testosterone
• Adrenal
• Thyroid
• Testes/ovaries
= Hormone Balance

12. Sex Steroids, Adrenals, and Thyroid
Brain
SEX
Steroids

13. S.A.T. Hormone Imbalance Symptoms
 Weight gain
 Insomnia
 Hot flushes or flashes
 Night sweats
 Memory, communication, and attention span loss,
brain “fog”, depression, and/or anxiety to panic
attacks
 Mood swings
 Aches and pain
 Incontinence
 Digestive disturbances
 Sensory function loss
 Ageing skin . . . thinning, wrinkles, sagging

14. Estradiol – over 400 functions in the female body
 Improves insulin sensitivity ( less cortisol, less fat
storage)
 Improves muscle mass, strength, and metabolism
 Better muscle mass = increased metabolic rate, calorie burn
 Increased serotonin function (decreases cravings
and desires for comfort foods)
 Inhibits MAO enzyme activity (prolongs activity of
serotonin, dopamine, and norepinephrine; helps to
decrease appetite
 Restores normal sleep stages, which lowers
cortisol, increases GH (growth hormone), and improves
nighttime muscle repair

15. Progesterone
 Increases energy and libido
 Has a calming effect
 “brain benzo”
 Enhances mood
 Regulates fluid balance, sodium mineral balance
 Balances blood sugar
 Necessary for fertility
 Increases energy and libido
 Helps relieve menopausal symptoms
 Decreases risk of endometrial cancer and may help protect
against breast cancer, fibrocystic breasts, and
osteoporosis

16. Testosterone:
more than a sex hormone
The androgen insufficient
human female:
•Diminished sense of well-being,
dysphoric mood and/or blunted
motivation
•Persistent, unexplained fatigue
•Sexual function changes, incl.
lowered libido, sexual receptivity and pleasure
•Potential bone loss, decreased muscular strength,
changes in cognition / changes in memory.

17. Handouts
Are You Balanced?

18. Your Adrenal Glands . . .
Your Stress Meters!

19. ADRENALS – common symptoms of problems
 Weight gain, especially in waist hips and thighs ( cortisol
response)
 Crave sugar/starch and sometimes salt
 Fatigue
 Low blood pressure (may increase in middle age
 Allergies
 Exercise does not promote weight loss . . . And may
even gain!
 Low blood sugar usually after lunch
 Muscle loss and flab even with exercise
 Wakes up every few hours at night
 Is more hungry during the day if eats breakfast
 Low or no libido!

20. Adrenal FATIGUE
• Difficulty getting up in a.m.
• Ongoing lethargy during the day.
• Continued fatigue not relieved by sleep.
• Craving for salt or salty foods.
• Increased effort to do daily tasks
• LESS PRODUCTIVE
• Decreased sex drive
• Decreased ability to handle stress.
• Light-headed when standing up quickly
• Increased recovery time for illness
• Generally less happy about life.

21. Your Thyroid Gland

22. Hypothyroidism SYMPTOMS
• Central nervous system:
– Fatigue!
– Drowsiness
– Poor memory and concentration
• Decreased metabolism:
– Body weight increases
– Heat production goes down
– Basal metabolic rate goes down
• Gut: decreased activity; constipation
• Cardiovascular – decreased cardiac
output; blood pressure falls

23. More Common Low Thyroid
Symptoms
 Weight gain, difficulty losing weight Severe fatigue,
loss of energy, feeling “sluggish”
 Depressed mood, usually not as severe as major
depression but may play a part
 Low body temperature
 PMS
 Premature menopause
 Losing hair ( alopecia)
 Chronic constipation or IBS
 Decreased memory and brain “fog”
 Sleep issues ( too much or too little but not rested)

24. THYROID . . .
Can’t Gain Weight and Can’t Lose It?

25. W.R.U.F.T ?
Often undiagnosed causes of obesity
 Delayed Food Sensitivity/allergies
 Vitamin Deficiencies
 Viruses such as EBV, HHV6 - and CMV
 Stress, emotional to the mind-body
 Leptin resistance
 Hyperinsulinism
 Low Hormone balance (estradiol, progesterone, testosterone)
 Low serotonin

26. YOU ARE FAT BECAUSE YOU EAT TOO MUCH,
RIGHT?
(Then why do you eat too
much?)
Hormones!

27. Labs: the Keys that unlock your issues
Adrenal/Hyperinsulinism/Hypoglycemia
3hr GTT with concomitant insulin blood draws
Fasting draw for glucose, insulin and
cortisol
75 gram glucose load
1hr draw for glucose and insulin
2hr draw for glucose and insulin
3hr draw for glucose, insulin and cortisol

28. Labs
Thyroid (6-hrs post am dose of thyroid meds if applicable)
•Free T3
•Free T4
• TSH
• RT3 (if overweight)
•TPO Thyroid Antibodies and Anti-thyroglobulin Antibodies
SEX HORMONES and Adrenal, bloods or saliva ( if cycling
note the day in your cycle you have labs drawn on)
•Estradiol
•Progesterone
•Free Testosterone
•DHEA-S
•SHBG
•Cortisol

29. Things You Can Do Now
 Low Dose DHEA (male) Pregnenolone
(women)
 I-3-C ( Indole 3 Carbinol) 400mg daily
 Glandular Therapy for Adrenal 50 to 300mg
 Do Labs and know/identify where to apply
health focus and energy

30. A word about
Compounded BHRT

31. How Old Do You Want to Look and Feel?
Marty’s surf club buddies in
60’s

32. QUESTIONS?

33. www.cadywellness.com

34. Contact information:
Whitney Gabhart, ND
www.cadywellness.com
Where to “get the slides” - www.facebook.com/cadywellness
www.indianaTMS-cadywellness.com
www.slideshare.net/lcadymd
Office: 812-429-0772
E-mail: drg@cadywellness.com
4727 Rosebud Lane – Suite F
Interstate Office Park
Newburgh, IN 47630 (USA)
@LouisCadyMD
@TMS4depression