The Yin and Yang of Female Hormones

Monday, August 22, 2011 by Dr. Susan Lark
In traditional Asian medicine, health and well-being are believed to be a balance of two equally important, but opposing, principles—yin and yang. Yin is associated with attributes such as femininity, receptivity, calmness, coolness, and moisture. Yin also regulates the fluids, blood, and tissues of your body, as well as its structural components, including flesh, tendons, and bones.

Yang, on the other hand, is associated with masculinity, aggression, heat, and dryness. It also regulates your body’s energy, which acts as the spark plug to your structural elements.

In younger women, this balance seems to be maintained almost effortlessly. But maintaining an optimal yin-yang balance becomes much more difficult once you reach middle age and menopause and menopause symptoms set in. 

To restore your yin—and, as a result, balance your estrogen levels—you can take a variety of yin-supportive herbs.

One such supplement is royal jelly, which has been used for centuries to balance female hormones. Take 1/4 teaspoon of the liquid form of organic royal jelly twice a day. Royal jelly is available at most health food stores.

Increase Estrogen Levels for a Wrinkle Free Face

Tuesday, May 24, 2011 by Dr. Susan Lark

Along with providing your skin with important nutrients, proper female hormone balance is essential for healthy, moist, and resilient skin, particularly because of the action of estrogen on the skin. Estrogen is responsible for the deposition of fat under the skin, which gives rise to the soft and fine-textured skin that many women enjoy during their younger years. Estrogen also keeps the skin looking and feeling plump and healthy.

During your active reproductive years, your body produces enough estrogen to properly support the structure and texture of your skin. But when you enter the menopausen, your estrogen levels start dropping, which causes your skin to become drier, and the underlying collagen connective tissue, muscle, and fat tissues that give skin its support also begin to shrink, leading to more apparent creases and wrinkles.

While that all sounds like doom-and-gloom, keep your head up because there are plenty of nutrients you can take to rebalance and restore your hormones levels naturally, resulting in plumped up and moisturized skin. The following nutrients either create estrogen-like activity in your body or help you to produce more of your own estrogen. They also slow down the metabolism and excretion of the estrogen you do produce, thereby raising your own estrogen levels. You can use as many or as few of the following nutrients as you need to achieve your desired level of hormonal support. 

  • Boron is a trace mineral found in apples, grapes, almonds, legumes, and dark-green leafy vegetables. There is some evidence that boron enhances estrogenic activity. In one study, when women on estrogen therapy supplemented their normally low-boron diet with 3 mg of boron, their blood levels of estrogen were significantly elevated. Based on this research, I suggest taking 3 mg of boron per day.
  • Para-aminobenzoic acid (PABA) is a fat-soluble B vitamin necessary for the production of folic acid. It helps to safely and effectively impede the breakdown of estrogen in the liver. I recommend taking 400–500 mg of PABA a day in divided doses.
  • Wheat germ oil is rich in vitamin E, which has mildly estrogenic properties. In fact, wheat germ oil contains the fatty acids and other nutrients that your body needs to support and produce hormones such as estrogen. I recommend taking 2,000–2,400 mg of wheat germ oil in capsule form a day, in divided doses.
  • Cobalt slows down the excretion of estrogen, thus allowing you to better maintain your own production of estrogen. It is able to do this by stimulating the production of heme oxidase. This, in turn, promotes the breakdown of cytochrome p450, a substance that normally metabolizes and detoxifies estrogen. By breaking down this substance, cobalt helps to prevent estrogen metabolism and excretion. I suggest taking 400–500 mcg of cobalt a day. To further improve your cobalt status, you can also take 100–500 mcg of vitamin B12 a day. Research shows that cobalt is supplied in your body by B12. If you have adequate levels of B12, you likely have adequate amounts of cobalt, as well.
  • Black cohosh is an estrogenic herb that was often prescribed in colonial times to treat a variety of menopausal symptoms. I recommend taking 40–80 mg of a standardized extract of black cohosh twice a day. This dose should contain 2–4 mg of the active components (triterpenes, calculated as 27-deoxyacteine). 

Diet for the Estrogen-Deficient Fast Processor

Monday, April 18, 2011 by Susan Lark
Estrogen deficient–fast processors have more acidic body compositions and can’t handle the acidic foods that estrogen deficient–slow processors thrive on. Fast processors often complain of often severe menopause symptoms like night sweats, vaginal dryness, menopause hot flashes, and dry skin and hair. 

Fast processors do best by eliminating all acidic foods, such as red meat, citrus fruits, and hot spices, and even dairy, and instead following a vegetarian-emphasis diet that contains whole grains, beans, salads, and vegetables. I also recommend using "cooler" spices like lemon balm, cilantro, basil, marjoram, and chamomile in your cooking, and forgoing "hot" spices like red pepper and chili powder.

If you are an estrogen deficient–fast processor, here are the foods you should be eating:

• Most vegetables
• Gluten-free whole grains
• Legumes (beans and peas)
• Small amounts of raw seeds and nuts
• Organic eggs
• Wild fish such as salmon, mackerel, trout, and tuna
• Sea vegetables such as kelp
• Fruits like bananas, melons, and papayas
• Free-range poultry in moderation

Eating a diet rich in these types of foods will help will increase your energy, stamina, and resistance to disease. Plus, you’ll notice a dramatic decrease in troubling menopause symptoms like menopause hot flashes, night sweats, and vaginal dryness.

Diet for the Estrogen-Deficient Slow Processor

Thursday, April 14, 2011 by Susan Lark
If you are an estrogen deficient–slow processor, you tend to have greater reserves of alkaline minerals such as calcium, magnesium, potassium, and zinc within your cells, tissues, and bones. Slow processors also have the body and hormonal makeup to be able to handle an acidic diet that is rich in red meat and dairy, but these foods lack the essential nutrients that all women need to maintain optimal health. For this reason, estrogen deficient–slow processors are best served by following a diet that is both highly acidic and nutrient-rich. This includes the following foods:

• High-fiber foods such as buckwheat and flaxseed
• Citrus fruits (oranges, limes, lemons, and grapefruit), berries, and pineapple
• All vegetables, especially sauerkraut, spinach, cucumbers, tomatoes, asparagus, and broccoli
• Free-range poultry
• Wild fish such as salmon, mackerel, trout, and tuna
• Free-range beef and lamb, as well as game meats like venison and buffalo
• Soy and soy-based foods
• Vinegar
• Raw nuts (almonds, walnuts)
• Heating spices such as turmeric (curry), ginger, cayenne pepper, chili powder and pepper, cumin, cloves, and cinnamon

By following this diet, slow processors are able to regain their energy and zest for life, reduce joint pain, and stabilize their female hormone levels. Not to mention, eating a healthy diet provides menopause relief from symptoms like hot flashes and night sweats.

Exercises for Estrogen-Deficient Fast Processors

Tuesday, April 12, 2011 by Susan Lark
I personally follow an exercise program for estrogen deficient–fast processors. Even though my female hormones are healthy and well-balanced, I fall more into this category because I am a petite and slender woman, and I have a fast-paced day-to-day life. To help balance my female hormones, I follow a workout routine that calms me.

Estrogen deficient–fast processors don’t want to heat up their bodies and sweat. It is more important to engage in slower, more expansive and relaxing aerobic activities that are moderately strenuous and can be done in a relaxed and leisurely way. For this reason, the best activities for women in this category include golf, gardening, swimming, and moderately-paced walking and bicycling. You can also try ballroom dancing—in particular, slower dances like the waltz.

In terms of stretching, the best types for this hormonal category include tai chi and hatha yoga, which are slower and more meditative. With these slower-paced exercises, you will tend to breathe more deeply and slowly. Moderate aerobic exercise relaxes, dilates, and expands the network of blood vessels in your body, and enables your heart to work more efficiently. Better circulation and oxygenation, in turn, improve the health of all of your organs, including your ovaries and uterus.

Of course, another benefit to this and all exercise is the reduction of menopause symptoms like  hot flashes and night sweats!

Exercises for Estrogen-Deficient Slow Processors

Friday, April 8, 2011 by Susan Lark
If you are an estrogen deficient–slow processor, I recommend keeping your female hormones balanced with high-intensity activities such as power walking, cycling, running, triathlons, racquetball, tennis, and fast-paced styles of ballroom dance like the tango, foxtrot, and swing.

Women with these hormone profiles tend to be instinctively drawn to strenuous types of exercise that are more contracting and acidifying to counter their natural tendency toward alkalinity. I’ve seen women with these hormonal profiles maintain this level of intense physical activity well into their later years. In fact, it is not unusual to see slow processors participating in triathlons and bodybuilding well into their 70s and beyond!

Stretching and flexibility exercises are also important parts of your workout routine. Stretching keeps you limber and helps your muscles and tendons function well into your older years. The best stretching exercise is Pilates, as it tends to include more intense and faster-paced movements. In addition, yoga is beneficial for these women—particularly the high-energy Bikram (hot), ashtanga, and power yoga.

Another benefit of these exercises? They help reduce menopause symptoms like hot flashes and night sweats!

About the Estrogen-Deficient Slow Processor

Wednesday, April 6, 2011 by Susan Lark
I told you earlier this week about the estrogen-deficient fast processor. Today, I'll tell you about the mirror image of this woman--the estrogen-deficient slow processor.

An estrogen deficiency–slow processor woman is also in menopause and may experience menopause symptoms, but she has the opposite body type and temperament. Characteristics include:
• Plumper/difficult time losing weight
• Fluid retention
• Stronger bones and connective tissue
• Thicker skin and hair
• Placid temperament

Often women have characteristics that fall under both categories, but more of the characteristics fall in one over the other. In this case, you should identify yourself with the profile that most closely lines up with your personal characteristics.

Over the next few days, I'll tell you about exercises and foods to eat if you are a fast processor or slow processor.

My Blog Entry About a Blog!

Friday, March 18, 2011 by Susan Lark
I like to read other blogs, and recently came across an entry posted by a woman blogging about menopause symptoms. 

The writer quotes a doctor who says he still prescribes conventional hormone replacement therapy to certain groups of women, despite the risks--which I found quite disturbing. However, this doctor did acknowledge the benefits that black cohosh and soy can have in safely and naturally relieving the effects of menopause--namely night sweats and menopause hot flashes.

I say ditch the dangerous HRT and use natural. Along with black cohosh and soy, you can find a variety of solutions for your menopause problems throughout this blog and on my Web site.

High-Dose Hormone Replacement Therapy--Still Being Prescribed?!

Thursday, March 17, 2011 by Susan Lark

According to a study that appeared online December 2, 2010 in Menopause: The Journal of the North American Menopause Society states that many doctors are still prescribing high doses of conventional hormone replacement therapy for menopause hot flashes, night sweats, and insomnia, even though the risks have been thoroughly proven and documented, and even though lower dose hormones are effective in alleviating these menopause symptoms.

I find this news so upsetting, considering how dangerous convention hormone replacement therapy has been proven to be--greatly increasing the risk of diseases like breast cancer and cardiovascular disease, to name just a few.

If you are one of those women still taking conventional hormone replacement to find menopause relief, please talk to your doctor about cutting back or stopping altogether. You can find many, many safe, suitable natural therapies for your  menopause symptoms throughout my blog.

And for more information on female hormones and natural menopause relief, please visit my Web site.

Menopause Hot Flashes--Good for the Heart?

Thursday, March 10, 2011 by Susan Lark
A recent study published in the journal Menopause claims that those debilitating menopause hot flashes that so many women suffer from can actually protect the heart!

More than 60,000 postmenopausal women were studied, and researchers found that those who suffered from menopause hot flashes early on were 17% less likely to have a stroke, and 11% less likely to have heart disease or a heart-related illness. And, women who did not have menopause hot flashes until later in menopause were at a 32% higher risk of heart attack!

So, while menopause symptoms can be quite bothersome, this research might be a sliver of positive news for you if you suffer from hot flashes or night sweats!

Spice It Up for Menopause Relief

Thursday, March 3, 2011 by Susan Lark

Curcumin, the therapeutic agent in the culinary herb turmeric, has long been known to have amazing health benefits, including anticancer, anti-inflammatory, and antioxidant effects. And recently, researchers identified a powerful phytoestrogen in curcumin called diarylheptanoid. Studies show that it interacts with estrogen receptors and has estrogen-like benefits that help to reverse, among other symptoms, the perimenopause symptom of vaginal dryness. 

One very easy way you can increase your curcumin intake is to start using turmeric as a culinary spice in your cooking. For example, whisk a teaspoon into a pint of homemade salad dressing, or stir a teaspoon into a pan of risotto or into any savory sauce or gravy. In addition to its earthy flavor and health benefits, turmeric adds a bright yellow color to your food.

However, for consistent therapeutic results, I recommend supplementing with 1,000 mg of curcumin daily, taken with food.

For other tips of how to reduce the bothersome effects of menopause, visit my Web site.

Is It Menopause?

Monday, February 28, 2011 by Susan Lark
Do you ever wonder if what you think are menopause symptoms really are menopause symptoms? Well, by answering the following questions, you may be able to know for sure. If you answer yes to most or all of these questions, then you are likely entering the menopausal phase of your life.

  • My last period was 6 months or longer ago (real menopause)

  • My periods are lighter, less frequent, and of shorter duration (late perimenopause)

  • I'm 46 or older

  • I'm having hot flashes

  • Intercourse is painful

  • My desire for sex has faded

  • I have difficulty achieving orgasm

  • I have frequent vaginal infections

  • I leak urine when I laugh, cough, sneeze, exercise, or wait too long to void

  • I've lost my zest for life

  • I have difficulty sleeping through the night

  • I'm frequently tired

  • I'm anxious and irritable

  • I forget small details

  • My skin is drier, thinner, and more wrinkled

  • My muscles are losing their tone

  • I'm gaining weight

  • My joints and/or muscles ache

  • I have itchy, crawly skin

  • I sometimes feel as if electric shocks were going through my body

Visit my Web site for all natural solutions to help calm and alleviate the unpleasant effects of menopause.

Suffer from Urinary Incontinence? Check Your Meds!

Saturday, February 26, 2011 by Susan Lark

Did you know that certain medications are notorious for promoting urinary incontinence--an effect of menopause that effects millions of women?

Talk to your physician or pharmacist to find out if any of your medications may be contributing to this troublesome menopause symptom. If so, find out whether there are alternatives.

A few incontinence-promoting drugs include antidepressants such as amitriptyline (Elavil) and venlafaxine (Effexor); antihistamines such as Benadryl; antipsychotics such as haloperidol (Haldol); and calcium channel blockers such as verapamil (Calan) and nifedipine (Procardia).

You can find a much more complete list in a book called 20 Common Problems in Women’s Health Care by Mindy Smith, M.D. and Leslie A. Shimp, Pharm. D.

For more information on menopause symptoms and how to find natural menopause relief, visit my Web site.

Overactive Bladder: A Treatable Menopause Symptom

Thursday, February 24, 2011 by Susan Lark
I came across an article about overactive bladder/urinary incontinence--another effect of menopause that's not only difficult to discuss with others (like your doctor), but quite debilitating. While I like a lot of the treatment recommendations the author lays out in her article, including biofeedback, dietary changes, weight loss, and Kegel exercises, I am opposed to using medication and hormone replacement therapy for this menopause symptom, especially since relief can be found using the solutions mentioned earlier, as well as the following supplements:
  • Pumpkin seed extract has been found to be powerful in the treatment of the hypersensitive bladder in menopausal women suffering from urge incontinence. I like Enzymatic Therapy’s pumpkin seed extract product Better Bladder for Women.
  • Varuna is tailor-made for the treatment of urge incontinence. The bark of this medium-size tree, which grows along streams and river banks in India, is known for its ability to soothe bladder pain and neurogenically normalize bladder hypersensitivity. This herb is difficult to find on its own in reputable North American outlets, but I have included a high quality form in my bladder support product called Confident Control.
  • Magnesium supplementation has been shown to significantly cut down the frequency and severity of urge incontinence episodes, reduce the number of urinations per day, and decrease nighttime urination. In one study, the women in the treatment group saw significant improvement within a month of taking 350 mg magnesium hydroxide orally (that’s one teaspoon of Milk of Magnesia) twice a day. If your doctor approves, that’s the dose I’d recommend.

Acupressure to Boost Your Sex Drive

Thursday, February 17, 2011 by Susan Lark
This acupressure exercise helps to stimulate sexual desire, which often wanes as a result of menopause and menopause symptoms. The exercise uses a knotted hand towel to put pressure on hard-to-reach areas of the back. Place the knotted towel on these points while your two hands are on the other points I am going to describe.

1. Lie on the floor with your knees bent. Place the knotted towel under your right shoulder blade. Then place your left foot on your right knee.
2. Make a fist with your left hand and place it under your back, under the right part of your waist.
3. With your right hand, hold your inner left thigh.
4. Hold this position for one to three minutes.

For more information on natural menopause relief, visit my Web site.

Acupressure for Menopause Relief

Tuesday, February 15, 2011 by Susan Lark
I hear from my patients time and time again how much acupressure helps to relieve their menopause symptoms. So this week I'd like to share a few more acupressure exercises for menopause relief--targeting problems like lack of sex drive and vaginal dryness/atrophy.

Vaginal dryness is a common menopause complaint. It can lead to painful sex and loss of sex drive. Try this acupressure exercise to help alleviate vaginal dryness/atrophy.

1. Sit on the floor with your knees bent.
2. Extend your right leg out in front of you. 
3. With your right hand, place your pointer and middle fingers in the middle of the sole of your foot. Hold this point for one to three minutes.
4. Do this same exercise with your left leg/foot. 

For more information on natural options for menopause relief, visit my Web site.

Hormone Replacement Therapy Settlement

Thursday, February 10, 2011 by Susan Lark
A while ago, I wrote about and linked to an article that discussed tactics Wyeth (a division of the pharmaceutical giant Pfizer) used to market its conventional hormone replacement therapy drug Prempro, even though executives were aware of the risks associated with hormone replacement, like breast cancer.

To follow up on this, yesterday, a report came out saying that Pfizer is paying $330 million to settle 2,200 claims from women who blamed Prempro for their breast cancer. This amounts to about $150,000 per person--WAY less than the costs they incurred during their cancer treatments, I'm sure.

I cannot reiterate enough the dangers associated with conventional hormone replacement. Protect your heart, protect your breasts, and protect your overall health by exploring the many natural therapies for hot flashes, night sweats, and other menopause symptoms that I discuss throughout my blog.

And for more information about natural menopause relief, visit my Web site.

Are You DHEA Deficient?

Tuesday, February 8, 2011 by Kimberly Day
Of all the female hormones in your body, DHEA is the most prevalent and circulates in the Are You DHEA Deficient?bloodstream in the highest concentrations. Women produce about 1–2 mg of DHEA-S per day. This production declines with age.

A fetus has relatively high amounts of DHEA, which functions to ease the birth process. However, by the time an infant is six months old, DHEA production all but ceases, and only revives at age six to eight in preparation for puberty. Peak DHEA production is between the ages of 25 and 30; after this, production declines by as much as 10 percent per year. A person may feel the effects of this by their mid-40s. At age 80, you make only about 15 percent of what you produced in your 20s.

A study appearing in the Annals of the New York Academy of Sciences documents this. Sixty-four volunteers, between the ages of 20 and 40, had four times the levels of DHEA-S as 138 volunteers over age 85. Patients with major diseases such as atherosclerosis, cancer, and Alzheimer’s also have significant deficiencies.

The physical and psychological well-being enjoyed in youth may well depend in part on having sufficient levels of DHEA. For many years, little attention was given to the effect of DHEA on humans, especially in terms of aging and the decline of performance functions. Most of the research on DHEA had been done on rodents and focused on disease.

Then a study by Morales et al. investigating the effects of DHEA in older individuals was published in the Journal of Clinical Endocrinology and Metabolism. Volunteers in the study described a list of benefits that made DHEA seem like a fountain of youth. They reported increased energy, improved mood, better sleep quality, and a greater ability to remain calm and handle stress.

Poor lifestyle habits—especially excess stress and a lack of exercise—can also affect DHEA levels. In addition to producing DHEA, your adrenal glands manufacture other hormones, including cortisol. Cortisol is released during times of extreme stress, be it physical, emotional, or mental. When you produce too much cortisol and not enough DHEA, you can throw your adrenal glands out of balance, and eventually strain them to the point of exhaustion. Because DHEA levels are already naturally decreasing as you get older, this imbalance can aggravate both perimenopause symptoms and menopause symptoms.

Additionally, too little exercise may be linked to decreased DHEA levels. Fortunately, a study from Age and Ageing found that regular, moderate aerobic exercise such as walking, swimming, or biking increased DHEA production in older people. This is another one of the many health benefits that regular exercise provides for women (and men) of all ages.

Are You DHEA Deficient?

To begin to determine whether your body’s supply of this hormone has lessened enough to affect your ability to perform at your best and maintain optimal health, Dr. Lark created the following checklist. If you answer yes to four or more of these questions, you very likely need to increase your DHEA levels.
  • I am over the age of 50.
  • I experience menopause symptoms such as hot flashes.
  • I have low libido.
  • I suffer from insomnia.
  • I am unable to handle stress.
  • I am easily upset.
  • I have a negative outlook on life.
  • I am often unable to recall details of recent events.
  • I have a history of osteoporosis or osteopenia (low bone mass).
  • I have a history of cardiovascular disease.
  • I have significant excess body fat.
  • I am at risk for diabetes.
  • I have a history of autoimmune disease, including rheumatoid arthritis, lupus, multiple sclerosis, ulcerative colitis, and/or AIDS.
  • I have a weak immune system and am prone to colds and flu.
  • I am at high risk for cancer, especially bladder cancer.
  • I suffer from asthma.
  • I lack muscle mass and strength.
  • I tend to tire easily; my level of stamina is low.

If your responses suggest that your DHEA level is low, then your next step is to get your hormone levels tested.

The DHEA in the blood is a combination of DHEA sulfate (DHEA-S) and unbound, or free, DHEA. It is generally thought that unbound DHEA is most active and that DHEA-S is not fully metabolically active. Therefore, it is important that any lab assessment distinguish between the two.

This can be done using a 24-hour urine test. Some practitioners also think it is important to monitor DHEA levels if an individual has a significant illness, and that at age 40, all people should obtain a baseline reading.
  • Range of DHEA blood levels in adult men: 180 to 250 ng/dl
  • Range of DHEA blood levels in adult women: 130 to 980 ng/dl
  • Ranges of DHEA-S blood levels in adult women:
    • Aged 31–50: 2 to 379 µg/dl
    • Postmenopausal: 30 to 260 µg/dl
  • Range of DHEA salivary levels in women:     40 to 140 pg/ml

If your results indicate that you are deficient in DHEA (or if you scored high on the questionnaire), you may want to consider using bioidentical DHEA. I’ll tell you more about this on Friday.

For more information on all female hormones, visit Dr. Lark’s Web site.

DHEA: The Unsung Hormone Hero

Tuesday, February 8, 2011 by Kimberly Day
DHEA is the abbreviation for a long and complicated-sounding hormoneDHEA: The Unsung Hormone Hero—dehydroepiandrosterone. DHEA is very important to your health, since it is one of the primary steroid female hormones from which your body produces testosterone and estrogen.

Until about 10 years ago, scientists thought that DHEA had little use beyond its role as a precursor for other hormones. Only recently have studies begun to reveal its many physiological activities that benefit both performance and health.

DHEA works at many levels in your body, supporting physical as well as mental and emotional functions. It has been shown to lessen menopause symptoms; increase stamina, improve mood, mental outlook, and your ability to handle stress; reduce body fat; and treat diabetes. It also enhances mental clarity and acuity, promotes confidence and assertiveness, and may even improve libido!

Plus, DHEA may help to decrease your risk of heart disease and cancer; promote healthy bones; strengthen your immune system; ease autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, and ulcerative colitis; and treat conditions as varied as multiple sclerosis, asthma, and burns.

That's quite a long and positive list of benefits that this awesome hormone provides!

For more information on female hormones, visit Dr. Lark’s Web site.

Menopause Hot Flashes and Breast Cancer Risk

Tuesday, February 1, 2011 by Susan Lark

A recent study published in the online edition of the journal Cancer Epidemiology Biomarkers and Prevention has tied hot flashes with a reduced risk of breast cancer.

Researchers questioned 1,437 postmenopausal women between 55 and 74 years old, 988 of whom had had breast cancer at some point. They were asked about the severity of their menopause symptoms, including hot flashes, night sweats, vaginal dryness, and anxiety. They found that the women who had the most hot flashes had a very low risk of developing breast cancer.

It is known that high estrogen levels increase the risk of breast cancer. What this study shows is that, yes, drastically reduced levels of estrogen can lead to miserable menopause symptoms, but can also significantly protect you against breast cancer.

Of course, if you have hot flashes and other menopause symptoms, you can reduce them by using nonhormonal methods. I talk about many of these options throughout this blog. And for more information on natural hormone support, visit my Web site.