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Healthcast 571 - Obesity is the Enemy, when a Healthy Full Life is the Goal

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Last week we talked about obesity as the biggest risk to both individual health and to the overall health of Americans.  This is not fat shaming…this is a fact!    Americans are inundated with advertising which literally makes them hungry for foods that make them fat, which then makes them hungry for more high calories food….we are being fooled into eating what is killing us!

I think the epidemic of Obesity in the US is caused by the following:


  1. Fast food, Junk Food
  2. Sugared and Diet soft drinks
  3. Excessive Alcohol intake (and high calorie mixers they are served in)
  4. Lack of physical movement
  5. Lack of exercise: TV, driving, video games,
  6. Mental vs Physical labor
  7. Sugar substitutes that cause obesity (Splenda (yellow) Saccharin (pink) Equal (blue)
  8. Stress


Fast food= High calories + High Carbohydrates= Weight gain

The only time I have fast food is when I am traveling by car.  This summer, I took note of all the calories/carbs in the fast food we were stopping for which made me horrified at the possible total daily calories one meal can generate.  By driving I am not exercising so basically, I am fatter when I get somewhere than when I started….next year I’m packing my food! 

The basal metabolic rate = the number of calories you burn in a day if you aren’t working out and exercising is generally less than 2,000 calories, and the shorter you are the fewer calories you need. Your weight doesn’t increase the number of calories you need unless your weight is from muscle.  Fat doesn’t burn any calories, only muscle does!!  This means that if you eat 2,000 calories per day and sit at your job you will stay the same weight.  If you eat more you gain if you eat less you lose.

But a calorie isn’t a calorie…in other words all calories aren’t equal.  Even though fat contains more calories per oz than protein or carbohydrates, carbohydrates impair your ability to burn calories by making you insulin resistant…carbohydrates are more damaging to your weight loss than any other food and fast food is full of them!


Here is what I found out about fast food.

Big Mac = 540 calories

Burger King Large Fries = 434 calories

Chick Filet Chicken sandwich = 430 cal

Chick Filet sandwich = 440 calories

Chipolte Burrito-Carne = 570 calories

Dairy Queen ½ lb. grilled burger with cheese = 800 calories

Dairy Queen brownie batter Blizzard, medium = 880 calories

KFC Fried Chicken one Chicken breast = 360 calories

McDonald’s French Fries large = 510 calories (all carb and fat)

Panera/STL Bread Co asiago cheese bagel = 320 calories (all carb)

Pizza Hut meat lover’s 1- slice = 410 calories (who eats just one slice?)

Taco Bell soft Taco = 180 cal each

 Coffee Calories:  Coffee at Starbucks is really just drinking dessert!

Coffee black any size = 0 calories

Starbucks Café mocha Vente = 280 calories

Starbucks Café mocha vente = 330 calories

The Point: Cooking at home with olive oil and other polyunsaturated oils with low carb contents is more conducive to weight loss than eating fast food….No surprise!

Soft Drinks

Soda is just eating a bowl of corn syrup with carbonation---It is deadly because it readjusts your insulin, by increasing your insulin to cause insulin resistance.  Insulin resistance is the problem when it comes to weight loss as adults…and some children.  These drinks should be removed from the American diet…they provide no nutrition, and they cause obesity.

Obesity can only be treated by and avoided by consciously eating a healthy diet without fast and junk food, without soda and simple sugars.  The other side of this is that Americans must sit less and exercise and walk more. Know how many calories you can eat and minimize carbohydrates.  If we eat it, big business will continue to sell junk and fast food.  We have been a bad example to the rest of the world by exporting all the fast-food franchises to other countries. We must take the lead in following healthy patterns that provide profit for companies that make healthy food and drink instead of the food and drink of obesity and the addiction to sugar!

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    Healthcast 576 - Hormone Replacement Is Linked to Lower Mortality in Women!


    See all the Healthcast at I always hear my patients say things like, “I don’t care if these pellets cause me to die early, I’m taking them anyway because they improve the quality of my life and relationships”….I have to stop and correct them!!! NO! replacement of estradiol and testosterone to women after they lose their own hormones makes you live longer!!!  There are many research articles that prove that the replacement of hormones decrease the rate of dementia, osteoporosis, cancer, heart disease, Parkinson’s, autoimmune diseases and poor immunity that leads to death from infections, but it is hard to find a research article that says “Hormone Replacement Therapy is Associated with Lower Mortality”….but it does! American College of Cardiology March 8, 2017, published this study and supported it with real statistics---why didn’t we hear about this?  Probably because if you are healthy because of estrogen replacement…then you don’t need so many meds and the drug companies don’t make as much money on medications!!!  If you doubt that they have the power to suppress information, then you are dreaming! You don’t have to give up a long life to lead a quality life!  My goal in treating my patients is to lengthen and strengthen them against all diseases!  Hormones are what makes us bulletproof when we are young, and if we replace them, we don’t age as quickly and we avoid the diseases of aging.  In my books The Secret Female Hormone, and Got Testosterone? (Available on Amazon), I describe the diseases that can be avoided or delayed by taking bioidentical testosterone pellets for both sexes.  This is just one of the thousands of research articles I have found that prove that replacement of E2 and T for women and T for men make us live longer. The article cited here tells us that women taking estradiol for hot flashes and vaginal dryness also decreased their risk of death from atherosclerosis, decreased plaque buildup in the heart’s arteries, compared to women who did not take estrogen after menopause. It also states that the replacement of E2 has been considered controversial because of the flawed 2002 research by the NIH (WHI STUDY) that stopped women all over the   country from receiving prescriptions from their Doctors  for estrogen.  The doctors didn’t read the study…just the headlines and stopped prescribing estrogen. It was also easier for them to never have to talk about estrogen again…but their patients suffered.  I can remember all the screaming horrible phone calls we received after my patients stopped taking their estrogen on their own after reading the NIH headline…the headline was in fact wrong…it was Provers—a synthetic progestin (NOT PROGESTERONE) that caused the results…not estradiol! I never took my patients off estradiol because I knew the truth…and I needed the replacement of my estrogen after my oophorectomy, and I couldn’t think or sleep or anything else!  Now 15 years later we get the right information that estrogen replacement saves us from heart disease (the biggest killer of women), and osteoporosis, stroke, and even cancer! The 2002 WHI study cause American women to stop taking estrogen—60% of menopausal women took E2 replacement in 1998, and less than 23 % inn 2012. 6 percent of women died during the average follow up period of 8 years. During the study period women on estrogen replacement therapy (ERT) were 30% less likely to die of heart disease than women not on estrogen at the same ages, Estrogenized women also had much lower rates of diabetes, high blood pressure, high cholesterol, and higher rates of zero plaque on their cardiac calcium scans!! The lower rates of plaque are due to the estrogen effect of decreasing cholesterol and diabetes. Studies show that women with high levels of estrogen during premenopause, have the cardiovascular health of men 10-20 years younger than they are!  After menopause that advantage is lost, but women have the opportunity to regain cardiovascular benefits by replacing estrogen. What are your reasons for not replacing your lost estradiol? It saves your heart and vessels and prevents many diseases of aging.  If you replace your estrogen with pellets, you avoid the risk of blood clotting problems found in oral estrogens, and there is no increased risk of breast cancer either!  What is your reason for not replacing your estrogen?  Your doctor won’t write a script?  Change doctors to someone who is up to date and not too lazy to bother with your hormones! Reference Am College of Cardiology MARCH 8, 2017, “HORMONE REPLACEMENT THERAPY ASSOCIATED WITH LOWER MORTALITY”.
  • biobalancehealth's podcast podcast

    Healthcast 575 - Why you absolutely need to take oral Vitamin D3

    17:02 Vitamin D is not just a vitamin, as most people think, it is a HORMONE called Cholecalciferol that is required for general health, thick bones, for making muscle and your immune system, your brain function, and for protecting you from diabetes, heart disease and cancer. Vitamin D also acts to assist your body in absorbing calcium and zinc from your food and supplements.  Without Vitamin D3 these vital minerals go through your body without absorption, and you just excrete them without being able to use them. The vitamin-hormone Vitamin D comes in several forms.  The form D2 comes in natural food sources such as salmon, swordfish, egg yolk and fortified foods such as milk, orange juice and other milk products like yogurt.  However, Vitamin D2 is not a potent form of Vitamin D. Vitamin D is also produced by your skin in the melanin when you go out on a sunny day, however you would have to be out daily for most of the sunny hours, without sunscreen, at a latitude like where Phoenix and Destin Florida is or further south to absorb enough Vitamin D from the sun. Your skin absorption in the 21st century is usually minimal since medical science has promoted the use of sunscreen every day all day long which blocks our absorption of Vitamin D. Your skin tone also alters how much Vitamin D you absorb from the sun.  if you have very light skin and burn easily it takes less time in the sun to absorb the same amount of vitamin D than someone who has dark skin.  It is a given that most people who do not live in the southern US and have dark skin are not getting enough Vitamin D from the sun even if they work outdoors all day long, so they must take a supplement orally or in a shot of VitaminD3. The recommended oral dose is 5,000 MIUs of Vitamin D3 every day to receive enough Vitamin D in their body. For all people with all skin types, you should be out in the sun for an hour before you cover yourself in sunscreen.  The sun gives you vitamin D, but also has other benefits. Remember no matter what skin type you have, the tanner you get the less vitamin D3 you absorb.  It is a protective mechanism to prevent overdosing with D from the sun for those people who have dark skin and live in the sun around the equator. What does it really do? For one thing Vitamin D is essential to your immune system.  If you want to be immune to viruses and bacteria as well as cancer you must have a normal blood level of vitamin D.  The accepted level is 30 from the US government but it is preferable to have a blood level of 40-100 for optimal health. The other jobs of Vitamin D include Building muscle and bone, normalizing blood pressure and Type 2 Diabetes, preventing heart disease, stroke, and dementia. If you want to stay healthy throughout your life you should take oral Vitamin D3 5,000 miu per day.   The Actions of Vitamin D3: We have already listed the important job of supporting your immune system to prevent infection and cancer.  The addition Vitamin D supports Muscle and bone.  Without Vitamin D, children get a disease of soft bones that bow their legs and prevent normal height, called Ricketts. It was common in the early industrial age when children were kept inside factories all day long to work instead of playing outside.  Adults we must have Vitamin D to keep our muscles strong, and our bones thick.  Muscle and bone are in a state of homeostasis which means they are growing and breaking down all of the time.  If breakdown is more rapid than growth the bones become thin and are apt to break.  The other necessary elements to keep bone and muscle strong are Calcium, Magnesium Vitamin C, and Vitamin K2. For optimal skeletal muscle (which includes the heart) you have to have adequate vitamin D levels in your blood. For example, patients in a recent study increased their muscle fiber size by taking 4,000 IUs of Vitamin D3 a day. They also made more Type II muscle fibers which are responsible for rising from a chair or lifting things over your head. Type two muscles are located in your hips, back and shoulders.  Another study showed the just 1,000 IUs of Vitamin D3 increased muscle strength by 25%, without any other changes in diet or activity.  Muscle training and exercise are also important, but you won’t get the results from just taking Vitamin D, or exercise alone, that you would if you take Vitamin D3 + Exercise + Testosterone. If you are over 50 and don’t exercise while you take Vitamin D and replace Testosterone with pellets. Type 2 Diabetes also affects 50% of our population, primarily from eating too many carbs, without exercising, but low vitamin D contributes to the development of diabetes and obesity as well. All people who are Insulin Resistant, who have Type 2 Diabetes or Prediabetes should be taking 5,000 MIU of vitamin D3 a day.   Summary: The easiest and cheapest way to prevent heart disease, stroke, osteoporosis, cancer, type 2 diabetes, and dementia, among others because it improves your immune system too. If you are Latino, Black, Italian, Israeli, or Greek, in, fact if your genetics are from any country around the Mediterranean, or just have dark skin, you must take Vitamin D3 to stay healthy! It is over the counter and relatively cheap.  You should take Vitamin D3 in oil-capsule form for good absorption. Remember….Taking Vitamin D3 doesn’t replace going outside for sun absorption.  It is in addition to being in the sun! Sunscreen prevents Vitamin D3 absorption.   Vitamin D may cut heart disease risk in dark-skinned adults A study to be presented at the Experimental Biology 2021 virtual meeting found that taking vitamin D supplements may help people with dark skin, including African Americans, to reduce their risk for heart disease.”Promoting adequate vitamin D status in young, otherwise healthy adults may improve nitric oxide availability and blood vessel function, and thereby serve as a prophylactic to reduce risk of future development of hypertension or cardiovascular disease," says researcher Tony Wolf.  Full Story: Medical Dialogues (4/27) 
  • biobalancehealth's podcast podcast

    Healthcast 574 – Why do you need a Colonoscopy? To make sure you don’t die of Colon Cancer!


    See all the Healthcast at Colon Cancer is the third most common malignancy in the US and is something you don’t want to get and there are many ways to test you to see if you have pre-cancer, cancer or polyps which are also risks for cancer.  They advertise these tests that you can do yourself by testing your own poop.  My family physician daughter advises our patients that those tests do not adequately test for pre-cancer or colon cancer.  They might find a cancer, but they will miss more than they find. 90% of Colon cancers are diagnosed after age 50. The incidence of colon cancer in the US is 4.2% and if there is a family history in a close relative before the age of 50, the incidence doubles to 8.4%. What makes a person high risk other than family history? Personal history of adenomas (polyps) on colonoscopy Large adenomas (more than 1 cm) Multiple adenomas Flat adenomas that are difficult to remove Adenomas that have precancerous lesions Ulcerative colitis increased the risk dramatically Colon cancer can progress without many signs therefore it is important to get a colonoscopy under sedation when you are 50. After that, depending on your risk factors your doctor will tell you how often you will need surveillance. Now, as for the other tests that you can do at home in between colonoscopies, my favorite is the stool guaiac test looking for microscopic blood. This blood doesn’t look red and is not visible.  I used to do vaginal and rectal exams at the same time during gyn exams and would test the stool on my glove for microscopic blood (the guaiac test) by taking the sample, smearing it on a card and dropping a drop of developer on it.  If it turns blue, there is microscopic blood and possibly cancer.   I rarely had a positive, but if I did, a referral was made for a colonoscopy, and it was about 50% positive in my testing experience. The same test at home can be done on 3 successive stool samples and this should be a good test to do at home.  They have just come out with a FIT test (fecal immunochemical test) that tests for DNA mutations of colon cells.  It is more sensitive and accurate than Guaiac test but not as accurate as a colonoscopy.  It was determined that the best frequency was 2 x a year. As it stands the colonoscopy is the best test, but it requires sedation and an invasive procedure, however low risk.  I still recommend a colonoscopy at 50 and every 10 years thereafter.  Soon I am sure this FIT do at home test will be recommended frequently to lower the number of Colonoscopies, as a matter of cost saving. High risk individuals should continue with colonoscopies until the recommendations change. Prevention is my recommendation: Eat a fresh salad every day Drink more than 10 -8 oz glasses of water daily Alcohol and sodas to a minimum. Probiotics daily Vitamin D, and Vitamin C Report changes in your stool to your PCP Report any obvious blood in your stool to your PCP Double probiotics whenever you need to take a course of antibiotics.
  • biobalancehealth's podcast podcast

    Healthcast 573 - Osteoporosis—Why do we look for new drugs when old hormones work well?


    See all the Healthcast at Osteoporosis is a side effect of aging and is one of the diseases that affects aging women more than aging men.  Osteoporosis can lead to fractures of fragile bones, spinal stenosis, chronic back pain, and inability to walk or take care of ones-self. In the aging population it is one of the diseases that leads to women being admitted to nursing homes. The disease occurs in women more than men for two reasons. Bone thickness is stimulated by the hormones estradiol and testosterone, and testosterone builds bone better than estradiol. Men have ten times as much of it than women!  Therefore, men have stronger bones to begin with, before their testosterone starts to drop, and men never totally lose testosterone like women do!  The second reason is that women lose both testosterone and estradiol earlier and more completely than men lose testosterone, so their bones start to thin over a decade before men.  Osteoporosis is a women’s disease and the cause of many women’s deaths. A bit about how bones grow: Your bones are dynamic and always growing and breaking down.  When we are young our bones grow at a much more rapid rate than they break down.  They are under the stimulation of growth hormone and low doses of sex hormones as well.  After age 40 the breakdown process occurs at a faster rate than the building of bone unless testosterone and estradiol are replaced. I bet you thought your bones stopped growing when you reached your adult height, and were static…doing nothing until they started to dissolve? When I went to medical school, (late 1970s) we knew that hormone loss was the cause of osteoporosis, but it was not such an epidemic as it is today. In the 70’s, women were routinely given estrogens when they went through menopause and stayed on them for years, which counteracted their loss of bone. Result? No osteoporosis! We didn’t even need to look for a solution for osteoporosis because women didn’t get it!  The reason the use of estrogens ended was that they were given without progesterone, and some women got uterine cancer from un-opposed estrogen. It is a generally a very treatable cancer, but the use of estrogen was banned because like all governmental medical decisions, the US government overreacted to a small subset of women getting uterine cancer instead of looking for a way to give estradiol safely.  The resultant ban of the use of estrogen resulted in a current epidemic of osteoporosis.   In the 1990’s the people that control medicine in the US realized the danger of osteoporosis to women and the drug companies created drugs to treat it!  Instead of using the best treatment for osteoporosis, estrogen and now we know testosterone, they reinvented the wheel and created bisphosphonates, Fosamax an Alendronate.  These drugs have many side effects, but we have found over time that the only thing that these drugs do for bones is to make them look denser on Xray, but they are NOT stronger!  What a mess!  This disease is very slow to cause fractures therefore finding out that bisphosphonates don’t work to prevent fractures!  The drugs however did make billions of dollars for the pharmaceutical companies! Now we are in another century, and we have discovered that treating women with Estradiol and testosterone is the best treatment to prevent fracture!  An old trick that should have been found decades ago and saved many lives. My patients can improve their bone density in 2-3 years on E2+ T pellets, from osteopenia (mild thinning of the bones) to normal.  It takes a little longer with patients who have overt osteoporosis, but it works.  Some patients depend on Vitamin D3 and Vitamin K2 to treat their osteoporosis after menopause.  That is really just fooling yourself!   These two nutrients are necessary for bone growth and should be taken with the two hormones, but after menopause without hormones, they don’t make bone.  It is like putting plant food in the potted plant and putting the plant in the closet.  Hormones are the sun that make bones grow. I know about this problem intimately because my mother the herbalist refused to take estradiol after menopause.  She literally died in excruciating pain because her vertebrae collapsed and there was no bone left to repair her.  She had to wait for death in hospice because her bones had dissolved. So, what if you are under the delusion that because you have dark eyes, dark skin, and dark hair you have great bones?  Nope….your coloring doesn’t necessarily determine your bone density! My mother had osteoporosis and was blond with blue eyes, however I look like my dad but have my mom’s bones! Add Lupron for endometriosis, too many diet cokes, and no Vitamin D3 in my diet and you get Osteoporosis in my 40s!  At age 47 I was treated with T and E2 pellets and two years after that my hormones built my bones back to normal density!  I knew bisphosphonates didn’t work so I never would have taken them…I also didn’t prescribe them unless I couldn’t treat a patient with anything else! So, if you think that you can use supplements to build bone after age 40, or that you are immune because of what you look like, or your heritage, think again.  The only guarantee to prevent osteoporosis and dying like my mom or of a broken hip is to replace the hormones that you had when you were young!
  • biobalancehealth's podcast podcast

    Healthcast 572 - Testosterone Treats Unexpected Diseases and Symptoms


    See all the Healthcast at Testosterone treats many illnesses in addition to sexual dysfunction.  Most patients and doctors don’t associate testosterone with the anxiety and depression that occurs after age 40.  Depression is a direct side effect of low T.  T is a mood elevator and stimulates Seratonin production, improving mood in that way.  Many of our patients can decrease the dose of antidepressants or even go off their medications after they have been on T for more than 4 months.  I always ask my patients to ask their “depression doctor”, who prescribed the antidepressant, to help them wean off. A side note: I do not recommend decreasing or stopping antidepressants during the fall, because we live in the Midwest and there is very little sunlight at our latitude between September to February, so I ask that they don’t change their antidepressant during those months.  Remember testosterone if you develop depression after the age of 40.   Testosterone also treats anxiety in both men and women by lowering FSH and LH, the pituitary hormones that surge after T and Estradiol decrease with age.  Many men come in to see me for low T and ED, who have recently been prescribed Xanax or some other antianxiety drug that is not working for their anxiety.  However, when I treat them with testosterone pellets, they miraculously are cured of their anxiety!  Women generally have hot flashes from elevated FSH/LH, however some of them have anxiety as well.  Women are cured of their anxiety attacks, with T pellets plus or minus Estradiol.   Other conditions that are improved when I treat my patients of both sexes with T pellets is Insulin resistance, AODM, and weight gain.  T improves insulin resistance and increases the calorie burning in the muscles.  You burn most of your calories every day in your muscles and T facilitates the metabolic work in the muscle tissue.  With testosterone, you literally burn more calories by jut breathing (your Basal Metabolic Rate). T increases your muscle’s activity by burning more calories of fat and stabilizes your blood sugar.  Our patients lose fat, gain muscle mass, and become more insulin sensitive with T pellets.  Those with diabetes decrease their medication over time and have a lot more energy…the natural way…by activating their muscles!   Immune dysfunction occurs when you age and is why older people need a higher dosage of immunizations, and why they die of viruses that younger people don’t die of. Your immune system is controlled by your thymus gland which makes white cells called T killer cells, T helper cells that kill cancer cells and viruses.   B cells make antibodies. The thymus and its function is growth hormone and testosterone dependent.  As growth hormone and T decrease, the gland shrinks and by age 50, and by age 60 it can’t be seen and stops doing its job of protecting us.  By taking testosterone, growth hormone is stimulated, and the thymus gland grows and is active making these cells that protect us.  There is a peptide that stimulates the thymus for those people who don’t fully respond to Testosterone, called Thymosin alpha-1.  This is a communication peptide that stimulates the production of protective immune cells.  It has been around forever as a medication, but no one used it because it doesn’t have a big drug company behind it…so it is available at compounding pharmacies. The FDA has started to stamp it out across the US, for no apparent reason. It improves immunity to all infections.  In this time of pandemic, this drug should be applauded and not taken off the market!  What are they thinking?   Autoimmune diseases occur when your immune system, your T Cells and B Cells, become confused and instead of killing viruses and bacteria, attack your own healthy tissue.  This imbalance occurs secondary to a genetic weakness as well as exposure to infections that “look like” normal tissue.  Testosterone deficiency causes an unstable immune system and leaves the door open for autoimmune diseases. I was very surprised when my patients with autoimmune diseases like RA, Lupus, and Sarcoidosis, improved drastically after they got T for completely different indications!  I then researched this association between T and Autoimmune diseases and found that there is a lot of research that proves T is an excellent treatment and prevention for autoimmune diseases.    Migraine Headaches response to T replacement, were another surprise for me.  As I treated sexual dysfunction in women, they came in to see me and said: “The weirdest thing occurred after I got my pellets…I stopped having the incapacitating migraines I used to get!  This is an amazing two-for….I have stopped taking my migraine medicine!” .  Once again, I went to the research and found that hormonal migraines can be treated with non-oral testosterone.  The migraines that are triggered by food additive and weather changes are usually not improved, but women have hormonal imbalance migraines, and T works for that.  Why?  Testosterone is a modulating hormone for many systems, but in this circumstance, it is working in the brain to balance the neurotransmitters and the vasodilation chemicals that get “confused” when it is deficient, and the effects of E2 increased and dilated blood vessels. PMS is another problem that is improved with testosterone.  PMS affects every part of a woman’s body…It is the outcome of estrogen dominance with a progesterone deficiency.  This era of a woman’s life can occur at any time in her life; however, it is much worse during after age 40.  Why is that?  Because after 40, testosterone becomes deficient, estrogen is dominant, and ovulation becomes spotty which is the function that produces progesterone.   Weakness and loss of strength occurs after age 40 in women and some men, and this is directly due to the loss of Testosterone and the decrease of T free.  This dominos to a less active person, and this results in osteoporosis and frailty.  Here is a news flash…Frailty is the one thing that will cause a person to become dependent on others and unable to live independently!  Losing muscle is not what you want!  Testosterone prevents frailty, by directly stimulating muscle mass and strength, including the heart, which is a muscle, and by stimulating growth hormone which also builds muscle and bone! You get so much more than a good sex life (Which should be good enough) when you replace your T .  Health is a precious commodity, and it should be a priority for you!  Life with health is the only way to age…consider replacing your T in the safest way possible— T pellets are my choice, but please replace missing T in any way you can.

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