Dr. Jerry Nosanchuk

Dr. Jerry Nosanchuk Dr. N specializes in the treatment of hormone deficiency states in women and men.
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Dr. Nosanchuk has specialized in the care and treatment of menopausal women and hormone deficient men for over 30 years and has a special interest in providing hormone replacement therapy for women and men whose lives have been altered by by their menopause and hormone deficiency whether it has occurred naturally, prematurely or surgically. Dr. Nosanchuk provides treatment strategies to restore he

alth and lifestyle by resolving persistent hormone deficiency symptoms, sleep disturbances, depressed mood, loss of s*xual interest, and s*xual dysfunction.

Will a B12 shot give me energy?A lot of my patients tell me that when they get B12 injection they feel better and have m...
06/07/2024

Will a B12 shot give me energy?

A lot of my patients tell me that when they get B12 injection they feel better and have more energy.

So what does B12 do?

According to the National Institutes of Health website B12 is a required nutrient for the production of red blood cells, central nervous system health including brain function and the production of DNA and cellular energy. It is estimated that 20% of the elderly in the US have borderline B12 deficiency and are in the long term at greater risk of adverse effects on cognitive, blood and bone health.

Can I get enough B12 from the foods I eat?

The food highest in B12 is red meat and other animal proteins to a lesser degree. Fruits, nuts and vegetables are healthy but as a primary food source are insufficient. Strict vegetarians who do not take B12 are almost always deficient and I suggest that all my
patients take a B12 supplement.

There are a number of things that inhibit B12 absorption including gastrointestinal problems and medications. Metformin a widely used in the treatment of diabetes interferes with B12 absorption as do some other medications. In addition as patients age the absorption of B12 is impaired.

I do blood tests for B12 levels on almost all of my patients and continue to be surprised how many patients have sub-optimal levels including patients that are taking B12. As my patient population is almost entirely confined to adults I offer most of them the option of B12 shots. Better safe than sorry.

Dr. N
https://www.facebook.com/drjerrynosanchuk/
https://www.youtube.com/playlist?list=PLe8-k3BwA8ixhTc5w38YBk9OeBOhlMIkz
https://www.menopausehysterectomy.com/

12/29/2023

As a patient what should you expect from your physician?

According to an article published on the National Library of Medicine website. ”Trust, knowledge, regard, and loyalty are the 4 elements that form the doctor-patient relationship…”
This is a doctor-patient model that all physicians should aspire to.
Seeing a new doctor is not always comfortable and I want each new patient to feel that I do care about their concerns and that I will do whatever I can to help them. I treat them with kindness and compassion let them know that as doctor and patient we have an equal partnership and that all medical decisions will be shared. I let them know how to reach me without difficulty and if they need to come in to the office there will be a timely appointment for them.
If you would like to make an appointment please call the office (248) 644-7200 or email me at drn4you@gmail.com or if you have questions call me directly on my mobile phone: (248) 421-3368
Dr. N

Does Hormone Replacement Therapy increase the risk of breast cancer? The belief that HRT increases the risk of breast ...
09/20/2023

Does Hormone Replacement Therapy increase the risk of breast cancer?

The belief that HRT increases the risk of breast cancer is without merit and is primarily based on misinformation contained in in an article commonly referred to as the Results of Estrogen plus Progestin Trial that appeared in The Journal of the American Medical Association in July of 2002. The article contained the statement that there was a substantial increase in the risk of breast cancer in the women taking the hormones in the Women’s Health Initiative sponsored trial.

Was there a substantial increase in the risk of breast cancer in the women using the hormones in the trial?

No there was not.

Dr. Jacque Rossouw who was the head the WHI and was in charge of the trial stated the trial provided no evidence that the hormones used in the study increased the risk of breast cancer. He went on to say that all the cancers found in the trial were present before the trial began. Dr. Rossouw told me this in a phone call in September of 2002 about two months following the publication. He confirmed this in another call I made about a month later and in subsequent face-to-face conversations.
Why did he say that?
He said as the length of trial was only a little over five years during that short time a new breast cancer initiated by the hormones could not have grown to a size large enough to have been detected by either mammography or a physician examination.

Then why did the article state that there was a substantial increase of the risk of breast cancer?

The text of the article was written by the Writing Group for the Woman’s Health Initiative Investigators. It is clear that the writing group misrepresented the study findings .What their agenda was remains unknown.

In an issue in the Journal Menopause Management, a colleague, James Simon, MD, clinical professor at George Washington University, President and Medical Director of Woman’s Health & Research Consultants, Washington, DC, and a Past president of the North American Menopause Society, wrote in a “Letter to the Editor:

“While I applaud those WHI investigators who are finally emerging to voice their concern and frustration with being excluded from the July 2002 media- grabbing media-distorting WHI publication, they now must find their own absolution and path to redemption.
An entire generation of women, their partners and their families suffer unnecessarily for their collective sins.”

07/31/2023

Lisa an attractive, delightful 54 year old woman first came to see me when she was about 47. Lisa told me she had been depressed and went to see her physician who prescribed an antidepressant. “From there it just went downhill. It made things worse, I was fatigued I had no s*x drive and no happiness.” One of my patients was Lisa’s best friend and she suggested that Lisa come and see me. Fortunately Lisa has responded well to treatment and shares she is doing wonderfully and that “my life is back.”

HOW LONG CAN I TAKE MY HORMONES?The question was asked by Julia a 63- year- old woman whose physician had told her that ...
07/01/2023

HOW LONG CAN I TAKE MY HORMONES?

The question was asked by Julia a 63- year- old woman whose physician had told her that he would no longer prescribe her HRT because she was “too old’ to be on hormones. Julia told me she became menopausal when she was 50 and was having a terrible time with hot flashes and sweats and “I couldn’t sleep and I was tired all the time.” She was living in another state and found a physician there who prescribed hormone replacement. “It gave me my life back.” I could sleep, my hot flashes disappeared and as a bonus my s*x drive came back. I don’t want ever to be without my hormones. I “never” want to go through that again.
I assured Julia that it was not a problem and that I would continue her HRT.
She asked seeming a bit worried, “How long will I be able to take them?” I told her the oldest women in my practice on hormones was 95 years old and living on her own and the oldest man I had on hormones had just turned 106. She asked: then why did my doctor say that he really didn’t know why a 63-year- old woman would even want to take hormones?

I told her that the answer was… he really didn’t know.
Go figure.

For additional articles of interest you are welcome to visit my YouTube channel and my informational website MENOPAUSEHYSTERECTOMY.COM. The links are below.

youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q

https://www.menopausehysterectomy.com/wordpress/
Take care,
Dr.N

Does Dr. Nosanchuk see male patients? The answer to that question is yes almost one half of my patients are men. The foc...
04/26/2023

Does Dr. Nosanchuk see male patients?

The answer to that question is yes almost one half of my patients are men. The focus of my practice has been to optimize the health, quality of life, cognitive ability, physical function and longevity in both women and men.

This includes contemporary management of cholesterol issues, hypertension, diabetes, obesity, premature aging and treatment of acquired and modifiable risk factors. I have over 25 years of experience in providing bioidentical hormone replacement which is known to prevent the accelerated aging associated with hormone deficiency in both women and men.

We have in office and virtual appointments available and I see every patient personally.

If you would like to schedule an in office or virtual visit you are welcome to call my office: (248)644-7200 or email: jln35210@gmail.com or call me directly: (248) 421-3368

Take Care,

Dr. N

For additional articles of interest you are welcome to visit my YouTube channel or my menopause website. The links are below.

https://www.menopausehysterectomy.com/
youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q

What happened? My butt is gone and I have a belly.A patient, let’s call her Wendy came in about a year ago with a conce...
04/03/2023

What happened? My butt is gone and I have a belly.

A patient, let’s call her Wendy came in about a year ago with a concern about changes in her body shape. Her primary concern was “I’m losing my butt” and she showed me that she that she was wearing a body shaper with butt pads.

Wendy is an attractive 60 years old woman. She underwent a natural menopause at 53 and used hormone replacement therapy for a while but stopped because a friend told her it was “risky.” Wendy had always been striking and voluptuous and she was not happy about the changes in her body contour. Wendy was also upset that her libido was “gone” and if she did have s*x it was painful. I explained that all these events were caused by the decline in s*x hormones associated with her menopause and in addition her belly fat increased her risk of heart disease, diabetes and cancer.

I told her that all was not lost and it was almost certain that if she resumed her hormone replacement program her previous body contour would return as well as her s*x drive and comfortable s*x. Wendy decided to resume hormone replacement therapy.

Wendy returned to my office for a follow-up visit just recently. She smiled and said, “I don’t need my butt pads and my s*x drive is back and s*x is comfortable.”

Elaine a 57 year old master personal trainer and the creator of the web page CORESTRENGTH50PLUS ­­­puts it this way: “As you age the hormonal changes of menopause causes lower levels of estrogen. This takes that lovely full butt fat and then sends it to your stomach!”

If you would like to schedule an in office or virtual visit you are welcome to call my office: (248)644-7200 or email: jln35210@gmail.com or call me directly: (248) 421-3368

Take Care,

Dr. N

For additional articles of interest you are welcome to visit my page, my YouTube channel or my menopause website. The links are below.

https://www.facebook.com/drjerrynosanchuk/

https://www.menopausehysterectomy.com/

youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q

https://corestrength50plus.com/ (Elaine's Web Page)

Will hormone therapy change how you think and how you relate to others?Ivy, a reserved 60 year old widow was referred to...
03/15/2023

Will hormone therapy change how you think and how you relate to others?

Ivy, a reserved 60 year old widow was referred to me for treatment of Osteoporosis. She had a natural menopause in her 40’s and had been without hormone replacement for 15 years or more which likely contributed to her bone loss. I suggested hormone replacement as part of her treatment program but mentioned it might increase her s*xual interest. She sat straight up and responded angrily, “I don’t care about that.” I saw Ivy regularly for follow-up and about six months later she brought in a friend with her, a man who had been her grocer. They looked like teenagers, smiling, faces flushed and holding hands as they revealed plans for their impending marriage. It was an educational moment. Hormones or lack of them are capable of having profound effects on s*xual attitudes, relationships, agenda and behavior.

If you would like to schedule an in office or virtual visit you are welcome to call my office: (248)644-7200 or email: jln35210@gmail.com or call me directly: (248) 421-3368

Take Care,

Dr. N

For additional articles of interest you are welcome to visit my page, my YouTube channel or my menopause website. The links are below.

https://www.facebook.com/drjerrynosanchuk/

https://www.menopausehysterectomy.com/

youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q

03/06/2023

Dr. N Chats with Peppy a 75 year old woman about her hysterectomy and the life-altering severity of the symptoms she experienced following her surgery includ...

Do you feel like your Hormone Replacement Therapy is not working? Every menopausal woman is unique, her menopausal exper...
03/05/2023

Do you feel like your Hormone Replacement Therapy is not working?

Every menopausal woman is unique, her menopausal experience and response to hormone therapy is unique. Some women respond to the more routine programs of hormone therapy and other women require a more ideal program to attain their optimal quality of life. If you felt great and s*xual before your menopause you can feel great and s*xual after your menopause.
I regularly see women on a sub-optimal program of hormone replacement therapy and who continue to experience persistent menopausal symptoms and s*xual dysfunction. Often they are told by their physician that they are on treatment that works for everybody else. The implication is that the menopausal woman is part of the problem. The problem is not the patient it’s the treatment and a more ideal program will resolve the issue and return her to her previous quality of life and s*xuality.
If you would like to schedule an in office or virtual visit you are welcome to call my office: (248)644-7200 or email: jln35210@gmail.com or call me directly: (248) 421-3368
Take Care,
Dr. N
For additional articles of interest you are welcome to continue to visit my page, my YouTube channel or my menopause website. The links are below.
https://www.facebook.com/drjerrynosanchuk/
https://www.menopausehysterectomy.com/
youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q

Do some women have an increased risk of anxiety and depression at menopause? Studies have clearly demonstrated an increa...
02/27/2023

Do some women have an increased risk of anxiety and depression at menopause?

Studies have clearly demonstrated an increase of both new and recurrent anxiety and depression at menopause. It has been known for some time that these issues are caused by the menopause-related decline in estrogen levels and respond well to estrogen replacement. It has also been shown that symptoms will return if treatment is discontinued. Nonetheless, antidepressants and psychotherapy continue to be the treatment most commonly offered to menopausal women. This is unfortunate because if the cause of the problem is hormone deficiency the patient’s response will be less than ideal.
Fortunately, estrogen replacement particularly non-oral such as a patch, gel, or implant can prevent or reverse menopause-related mood disturbances.
Most of the women we treat for menopause-related anxiety and depression are more comfortable and happier at their follow-up visits. If you believe you suffer from anxiety and depression that had its onset around the time of menopause it is reasonable to consider hormone replacement.
I would like to thank those of you who have had referred prospective patients to my office.

If you would like to schedule an in office or virtual visit you are welcome to call my office: (248)644-7200 or email: jln35210@gmail.com or call me directly: (248) 421-3368
Take Care,
Dr. N
For additional articles of interest you are welcome to visit my page, YouTube channel and my informational menopausehyterectomy website the links are below.
https://www.facebook.com/drjerrynosanchuk/
youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q
https://www.menopausehysterectomy.com/wordpress/

Address

31500 Telegraph Road Suite 210
Bingham Farms, MI
48025

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+12486447200

Website

https://www.youtube.com/channel/UC0WJalIvbuI5pYBGcIp3D7Q, https://www.linkedin.co

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