Health and integrative Wellness

09/12/2025

🌸 Progesterone Supplements: What You Need to Know 🌸

Progesterone can be given in different forms, depending on your needs and your OB/GYN’s recommendation:

Oral capsules
Pellet implants
Intrauterine device (IUD)
Topical creams

👉 Always take progesterone exactly as prescribed by your provider.

🌟 Possible Benefits of Progesterone Supplements

Maintains the uterine lining & prevents excess tissue growth
Promotes better sleep patterns
Supports metabolism & may help with weight management
Balances blood sugar
Reduces blood clotting
Alleviates anxiety, stress & depression
Prevents cyclic migraine headaches
Improves cell oxygen delivery
Boosts libido & sexual wellness
Enhances thyroid function
Supports bone health & growth
Acts as a natural diuretic
Protects against breast tissue overgrowth
Restores energy levels
Helps reduce hot flashes & menopause symptoms

⚠️ Common Side Effects

Some women may experience:
Chest pain
Cold or flu-like symptoms (chills, cough, fever)
Problems with urination
Dizziness or drowsiness

🛑 Risk Factors & Precautions
Never take during pregnancy
Stop immediately if you develop chest/groin/leg pain, shortness of breath, coordination loss, or vision changes
Slightly increases the risk of breast cancer and endometrial cancer
Large doses over long periods, especially with estrogen, may increase risk of heart attack, stroke, blood clots, or dementia
Risk of heart disease or stroke is higher if you smoke

09/12/2025

DHEA- the unsung hero--

DHEA – otherwise known as Dehydroepiandrosterone – is a hormone naturally produced by the adrenal glands that supports the production of other key hormones, including oestrogen and testosterone. As levels decline with age, particularly during the menopause, DHEA therapy can help restore hormonal balance and support overall well-being.

As an endogenous (internal origin) steroid hormone precursor, DHEA is one of the most abundant circulating steroids in the human body. While it has little biological effect on its own, DHEA becomes powerful when converted into other essential hormones.

There are a number of symptoms that may suggest low levels of DHEA, including nausea, dizziness, vomiting, unexplained weight loss, and reduced libido.

DHEA Therapy

DHEA therapy – or DHEA bioidentical hormone replacement therapy – is prescribed to successfully manage menopausal symptoms.

Evidence shows that having optimal levels of DHEA in your body can also:

Improve mood and memory
Reduce fatigue
Promote well-being
Improve testosterone levels in middle-aged adults
Help with obesity
Build up the adrenal glands
Strengthen the immune system
Build up bone and muscle strength
Prevent ovarian cysts
Helps prevent endometriosis from forming
Reduce hot flashes and night sweats
Improves libido

09/07/2025

COMT

To support COMT (Catechol-O-methyltransferase) function, focus on consuming nutrient-rich foods and supplements like magnesium, B vitamins (especially B2, B6, B9, and B12), and SAMe.
You can also reduce intake of stimulants like caffeine (yeah, ok) and alcohol, incorporate cruciferous vegetables and fiber to support estrogen detoxification, and practice stress reduction techniques such as mindfulness and yoga. Ensure you get regular, adequate sleep and avoid excessive intake of foods high in tyrosine and tryptophan.

Dietary Support

Nutrient-Dense Foods:
Eat foods rich in magnesium, B vitamins, and other essential nutrients to support COMT's role in hormone and neurotransmitter balance.

Cruciferous Vegetables:
Include broccoli, cauliflower, kale, and Brussels sprouts to aid in the detoxification of excess estrogen.

Fiber-Rich Foods:
Consume flaxseeds and other fiber sources to help manage estrogen levels.

Limit Stimulants:
Reduce or avoid excess caffeine and alcohol, which can overstimulate COMT function or contribute to catechol release.
Avoid High-Protein Foods (if sensitive):
High-protein foods containing tyrosine, tryptophan, and phenylalanine can be converted into catechols, so moderation may be necessary.

Manage Estrogen Intake:
Limit exposure to estrogen-mimicking compounds, such as those found in some bath products and foods, as excess estrogen can slow COMT activity.
Eat Regularly:
Avoid long periods of fasting, as it can increase catechols, which slow COMT function.

Lifestyle and Environmental Factors

Stress Reduction:
Practice stress-reduction techniques like mindfulness, breathwork, yoga, or spending time in nature to help calm the nervous system.

Prioritize Sleep:
Establish good sleep hygiene and a calming evening routine to counteract potential overstimulation and improve stress hormone regulation.

Moderate Exercise:
While exercise is generally beneficial, individuals with a slow COMT gene may need to moderate strenuous exercise, as it can increase catechols.

Avoid Overstimulation:
Limit exposure to highly stimulating environments, as the body may be more sensitive to dopamine and other stimulating factors.

Key Nutrients and Supplements

Magnesium:
Essential for COMT function; consider forms like magnesium glycinate or magnesium threonate.

B Vitamins:
Adequate B2, B6, B9 (folate), and B12 are crucial for methylation processes that support COMT.

SAMe:
S-Adenosylmethionine is a key component in methylation and supports COMT function.

Folinic Acid and Non-Methylated B12:
These bioavailable forms can be beneficial for sensitive individuals.

Adaptogens:
Consider adaptogens like ashwagandha or holy basil to help the body buffer stress.

Important Considerations
Consult a Professional:
It is essential to consult a qualified specialist or healthcare provider before making significant changes to your diet or starting any new supplements.

Understand Your Genetics:
Support is based on understanding whether you have slow or fast COMT activity, as the needs for support will differ.

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09/06/2025

🧪 Test, don’t guess: Work with your clinician to check labs and personalize any plan.

• DHEA – Adrenal hormone that may support lean body mass, mood, immune and cognitive function, and skin tone.
• Estrogens (E1/E2/E3) – Key hormones in women; individualized blends (e.g., Bi-Est, Tri-Est) may be used for menopausal symptoms when appropriate.
• Melatonin – Regulates sleep–wake cycles and acts as a potent antioxidant.
• Pregnenolone – “Mother” hormone made from cholesterol; a precursor to many steroid hormones.
• Progesterone – Balances estrogen; often used for cycle support, PMS, and sleep. (Different from progestins, which are synthetic.)
• Testosterone – Important for men and women; supports libido, energy, mood, muscle, and bone.
• Thyroid (T3/T4, TSH) – Governs metabolism; TSH from the pituitary signals the thyroid to make T3/T4.

⚖️ Not one-size-fits-all. Discuss benefits/risks and monitor regularly.

09/06/2025

Thinking about Hormone Replacement Therapy (HRT)? Here’s the quick, evidence-based scoop ⬇️

🔎 Test, don’t guess
Work with us to check free/bioavailable hormone levels (blood or saliva). Use those results to set a baseline, then re-test and adjust over time.

🌸 Estrogen Therapy (ERT)
May help with menopause symptoms. Not for everyone. Estrogens include E1 (estrone), E2 (estradiol), and E3 (estriol). Dosing and mix will be individualized to your labs and goals.

🌙 Progesterone
Bioidentical progesterone ≠ progestins. It can balance estrogen and may support sleep, mood, and PMS/menopause symptoms. Options include oral, vaginal/rectal, topical, or injections—choose what fits your needs.

💪 Testosterone
Important for men and women. Low levels can show up as low libido, fatigue, brain fog, and reduced muscle mass. TRT is considered only when a deficiency is confirmed and should be monitored closely. Delivery options include creams/gels, injections, or pellets.

🩺 Bottom line
HRT isn’t one-size-fits-all. Discuss benefits/risks with us or your clinician and personalize your plan with ongoing monitoring.

08/15/2025

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07/16/2025

What suggestions can be offered to support Dr. Lewis? Are there any areas in which he could improve? In nursing language: what could have he done better?

Weight Loss | Health and Integrative Health | United States

07/16/2025

💉 What is Nandrolone? Here is a difficult one for all.

A synthetic form of testosterone, Nandrolone is an anabolic steroid prescribed medically for conditions like:
✅ Chronic anemia
✅ Osteoporosis (especially in postmenopausal women)
✅ AIDS-related muscle wasting
✅ Certain types of breast cancer
✅ Chronic kidney disease
It works by stimulating muscle growth, improving red blood cell production, and increasing bone density.

⚠️ Important Warning
Nandrolone is a Schedule III controlled substance. While it has clinical uses, non-prescribed use is illegal in the U.S. and can cause serious, long-term health complications.

Misuse for performance enhancement or bodybuilding may lead to:
🚫 Liver damage
🚫 Cardiovascular disease
🚫 Hormonal imbalances
🚫 Irreversible reproductive changes
🚫 Aggressive mood swings

👩‍⚕️ Side Effects Can Differ By Gender:
For men:
• Shrinking testicles
• Erectile dysfunction
• Breast tissue development

For women:
• Deepened voice
• Irregular periods
• Facial hair growth
• Cl****al enlargement

🔍 Did You Know?
It’s banned by most athletic organizations, including the World Anti-Doping Agency (WADA).

📍 Learn more or schedule a consultation at Health and Integrative Wellness.

07/16/2025

💊💉🌸 Estradiol Therapy at Health and Integrative Wellness
Balance hormones. Regain vitality. Feel like yourself again. Woman's best friend.

At Health and Integrative Wellness, we offer personalized estradiol therapy in multiple forms to support women’s health and estrogen optimization.

🧬 Available Forms of Estradiol:
💉 Injections (Estradiol Cypionate or Valerate) – Long-acting, intramuscular dosing
💊 Oral Tablets – Daily dosing for systemic relief
🌫️ Transdermal Patches, Gel, Spray – Smooth, steady absorption
🌸 Vaginal Creams, Rings, Tablets – Targeted support for local vaginal symptoms

🌟 Estradiol Can Help Alleviate:
Hot flashes & night sweats
Vaginal dryness & discomfort
Mood swings, anxiety, or depression
Low libido & sexual dysfunction
Brain fog & memory lapses
Sleep issues
Thinning skin & hair
Bone loss or early signs of osteoporosis
Urinary urgency or irritation
Fatigue & muscle aches

✅ Benefits of Customized Estradiol Therapy:
💗 Mood stability & mental clarity
🔥 Relief from hot flashes & temperature swings
🧠 Cognitive protection & emotional balance
💪 Support for bone, muscle, and skin health
🏳️‍⚧️ Feminization for trans women undergoing hormone therapy
🛌 Better sleep, more energy, and improved well-being

⚠️ Safety First:
Estrogen therapy is powerful. At Health and Integrative Wellness, we tailor every plan to your needs, monitor your labs, and adjust therapy to minimize risk and maximize benefits.

📅 Let’s find the right balance—together.
Schedule your hormone consultation today.

📍 Serving New Jersey & surrounding areas.
📸 Images shown are for reference only.

07/16/2025

Let's talk Hormones..
Our first Hormone Spotlight: hCG (Chorionic Gonadotropin) 💉
Now available at our hormone therapy clinic
Remember the very low-calorie diet? 500 calories per day and HCG drops or injections? Yeah, was not a fan of it and will talk about nothing like that.

At our clinic, when indicated along with your GYN or male or female fertility clinic, we use hCG as part of personalized hormone therapy plans for both men and women:

👩‍⚕️ For Women:
hCG supports ovulation and egg development—essential in fertility treatments and sometimes used alongside estradiol or progesterone to optimize hormone balance.

👨‍⚕️ For Men:
It stimulates natural testosterone production, supports s***m development, and can prevent testicular shrinkage during TRT (testosterone replacement therapy).

⚠️ Important:
hCG is NOT a weight loss drug and should only be used under medical supervision. Misuse can be dangerous.

🧬 Whether you're addressing infertility, low testosterone, or seeking hormone optimization, we guide you with science-backed solutions.

📞 Book a consultation today and take the first step toward hormone balance.

07/15/2025

Massive Congratulations to Our Top 3 Weight Loss Champions! 🎉
Each has lost 100+ pounds in just about 2 years—a true testament to consistency, patience, and grit. 💪🔥

This isn’t a race—it’s a marathon. And these champs are crossing milestones with strength and purpose.

👏 Let’s hear it for the incredible transformations!

Call now to connect with business.

07/15/2025

How does Hormone therapy work?
Here in our little corner, in the name of transparency, here is how:

Hormone Therapy Protocol for Women: Estradiol, Progesterone, and Testosterone
Purpose:
To provide evidence-based, individualized hormone therapy using estradiol, progesterone, and testosterone to alleviate symptoms of hormone deficiency and improve quality of life in women.

Initial Assessment and Indications
Menopausal or perimenopausal symptoms: hot flashes, night sweats, mood swings, insomnia
Low libido, fatigue, poor concentration
Vaginal dryness, urinary symptoms
Osteopenia/osteoporosis
Surgically induced or premature menopause
Sexual dysfunction (testosterone)

1.2 Contraindications
History of breast or endometrial cancer (unless cleared by a specialist)
Active or recent thromboembolic disease
Undiagnosed vaginal bleeding
Active liver disease
Pregnancy

2. Baseline Workup
2.1 History
Full menstrual, reproductive, and surgical history
Cardiovascular risk, cancer history, bone health, libido/sexual function
Medication and supplement use

2.2 Physical Exam
Vitals (BP, weight, BMI)

2.3 Baseline Labs
Minimum panel:
Estradiol (E2)
Progesterone
Total and free Testosterone
DHEA-S
FSH, LH
CBC, CMP, lipid panel
TSH, free T3, free T4
HbA1c or fasting glucose
Vitamin D and more

3. Hormone Therapy Regimens
3.1 Estradiol
Purpose: Alleviate vasomotor, genitourinary, cognitive, and mood symptoms
Preferred forms:
Transdermal patch: 0.025–0.05 mg twice weekly
Transdermal gel: 0.5–1 mg/day
Oral estradiol: 0.5–1 mg/day

3.2 Progesterone
Purpose: Endometrial protection (if uterus intact), sleep support, mood stabilization
Preferred form:
Micronized progesterone (bioidentical): 100–200 mg orally at bedtime

Alternatives:
Vaginal progesterone (if GI intolerance)
IUD (e.g., Mirena) for progestin delivery

3.3 Testosterone
Purpose: Treat low libido, fatigue, poor muscle mass, and cognitive issues
Common forms and doses (female dosing):
Transdermal cream/gel (compounded): 0.25–0.5 mg/day
Intramuscular (less common): 2–4 mg IM every 2–4 weeks
Commercial male-dose products must be compounded for women

4.0 Follow-Up Schedule
3 months: Symptom review, side effects, labs (estradiol, progesterone, testosterone, SHBG)
6–12 months: Lipids, liver function, CBC, continued symptom and risk assessment
Annually: Mammogram, pelvic exam, bone density (if needed), comprehensive review

4.1 Adjustments
Estradiol: Increase dose if hot flashes persist; decrease if breast tenderness or fluid retention
Progesterone: Adjust based on uterine bleeding, mood, and sleep
Testosterone: Adjust if no symptom improvement or signs of excess (acne, hair growth, voice changes)

5. Duration of Therapy
Use the lowest effective dose for the shortest necessary duration, but duration can be individualized based on age, symptom severity, and patient preference

Women with premature menopause or POI should continue HT at least until the average age of menopause (~51)

6. Patient Counseling and Consent
Discuss risks (e.g., breast cancer, VTE, endometrial hyperplasia) vs benefits
We explain the role of each hormone clearly
Encourage lifestyle support: diet, exercise, stress management, smoking cessation
Follow-up evaluations and response to therapy

Call now to connect with business.