Why You Must Find the Root Cause
What does it mean when you’ve done everything, you’ve cut out sugar, you exercise, you eat protein, you take supplements, but still you’re having hormonal symptoms?
It means you haven’t found the root cause.
When Lynn came into my office, she was suffering from weight gain, fatigue, depression, hot flashes, and joint pain. She was forty-three, so of course hormones were a major suspect. She had already been working on her hormones for years. Here is a list of the things she had tried: B vitamins, adrenal support, high-fat diets, keto diets, meditation, cutting out sugar, weight lifting, yoga, adaptogenic herbs, yeast detoxes, liver supplements, probiotics, and carb counting. She had even attended courses on
nutrition and had gone to school to become a yoga instructor in search of helping herself. All of these steps seemed to keep things under control so that she could function, but none of them seemed to offer the whole solution. She was rightfully frustrated and more than a little discouraged. Still, she was willing to do whatever it took to have her health and life back.
So what was really going on with Lynn? I ran some blood tests, and something very unexpected showed up. Her iron levels were too high. This is unusual in a woman who is still menstruating. So I had her give blood. Your body is not able to get rid of excess iron effectively, so blood donation is the best way to get rid of it.
After donating blood, Lynn felt different. She felt an immediate change in her energy levels and depression. Her joint pain cleared up 80%. But she just was not able to lose the weight. What else could be going on?
In spite of Lynn’s exemplary diet (she did not eat any sugar, and ate mostly low carbohydrate and Paleo), she still had some blood sugar imbalances. Most other people would not need to take the extra steps that Lynn did to get her blood sugar back into balance, but after she did what was necessary, the weight started to come off, her sleeping improved, and in general all of her problems resolved. Was her blood sugar chronically imbalanced because her iron was too high for too long? I don’t know for certain, but what I do know is that now Lynn is doing great. She is happy to maintain the changes she had to make because she knows that’s what she needs to do to stay healthy.
Let’s look at an alternative possibility. Let’s say that Lynn had gone to a medical doctor to try to resolve her issues. She may have been labeled with chronic fatigue and/or fibromyalgia. She would have had to take medication for her insomnia. She would have been labeled depressed. She would have had to take brain-altering psych meds just to get through the day. In time, her thyroid would have malfunctioned and she would have needed thyroid medication for life. No one would have ever found her iron overload, because the tests I did are not routinely checked. The iron would have slowly continued to damage her metabolism, leading to insulin resistance and blood sugar problems. These would cause a festering low-grade inflammation, that later in life would lead to heart disease, cancer, or even neurodegenerative diseases such as Alzheimer’s Disease. She would have continued to suffer and feel terrible, even on the medication, as her body continued its slow downward slide.
To Lynn’s credit, she did not let that happen. She was persistent and understood that her problem was nutritional in nature, and that medications would not provide a true fix. How many people do you know who have settled for pharmaceutical “fixes”, while continuing to suffer with symptoms and poor health?
Are you already suffering like this? Let’s just be honest, too many people are going down that road needlessly.
None of the things that Lynn had done up to the point of seeing me were wrong. Actually, many of them were very right, they just weren’t addressing HER root cause. Please keep in mind, there are many potential causes of hormone imbalance. Let’s take a look at a few of the root cause issues that were affecting Lynn.
B vitamin deficiency
Although I didn’t specifically mention this above, Lynn had a terrible B vitamin deficiency. She had been a vegetarian for 20 years, and even though she started eating meat about 10 years prior to seeing me, it just wasn’t enough to make up the deficit.
B vitamins are necessary in order to produce energy, think properly, and regulate mood. They are also needed for the body to detoxify properly. If the body is not detoxifying properly, hormones will become imbalanced.
Until her B vitamin deficiency was addressed, Lynn was just not going to get better. Even now, if she forgets to take her B’s, she starts to become fatigued and loses mental focus.
Most of the time, doctors look at hemoglobin levels to determine if people have low iron. But this this is actually the last place iron deficiency will show up. Low iron will only show up on a complete iron panel, which is almost never routinely ordered. This is also the only place iron overload will show up (unless you want to wait until the high iron levels have damaged your liver and heart, in which case a biopsy of the liver will show if you have too much iron).
As many as 1 out of 3 people have too much iron. 2 out of 10 people have too little. If you do not take care of iron overload, you will have constant inflammation and hormonal imbalance. Too much iron increases your risk of thyroid disease astronomically. Iron deficiencies will also cause thyroid and other hormonal problems. So—might it be VERY important to check if iron levels are correct? In Lynn’s case it was. She suffered with high iron for years before anyone discovered the problem.
Symptoms of blood sugar disturbance include: anxiety, depression, weight gain, poor thyroid function, adrenal fatigue symptoms, tiredness, joint pains, brain fog, and chronic colds and coughs. If your blood sugar is too high, your liver and your pancreas have to work extra hard to keep it in check. Too much insulin in your body will cause a cascade of other hormones to become imbalanced. Eventually the thyroid and the adrenals will suffer. You will develop estrogen dominance (and low testosterone, if you’re a man). Eventually, you will feel like garbage.
The problem is, even if your diet is very good (like Lynn’s), it may not be good enough to balance your blood sugar. Certain people are very sensitive (or have developed sensitivity due to chronic inflammation and oxidative stress) and need a very strict diet to finally bring the situation under control.
The good news is, at our office we help our patients go step by step, so your diet never becomes more strict than necessary. But if it is necessary, wouldn’t you like to know that too?
No article on hormone imbalance would be complete without also addressing the thyroid and adrenals.
In Lynn’s case, these were not the primary issue, but they were involved because these delicate glands were being damaged by the excess iron in her body. Her ovaries also did not escape harm from the iron overload. Here I would like to discuss each of these topics briefly, because in many women these must be treated directly to get to the bottom of the issue.
Stress and Adrenal Fatigue
You may be sick of hearing, “it’s stress”, even though you know it’s true! But being told it’s stress without offering any solutions is the wrong way to go. Yes, stress will make everything worse, and will cause wicked hormone imbalances. But the problem is, what do you do about stress?
Being in a constant state of “fight or flight” from internal or external (“situational”) stress is not sustainable, if you want to be healthy. The single most effective treatment for stress is to fix the diet. If you’re stressed, and you are reacting by eating pizza, soda, twinkies, drinking and smoking, you are simply feeding the inflammatory hormone-wrecking cascade. It also goes without saying that doing the things you’re supposed to be doing will decrease stress (as well as stop doing the things that you’re not
supposed to be doing). Lynn’s issue was only partly stress. The good news is, when she fixed her root cause issues, she became able to handle the stress in her life so much better. For some people, however, first you must do
something about your stress levels. You probably know exactly what you need to do to fix your stress
levels. Do you need me to tell you that now’s the time to do it? Well DO IT!
And now we get to the current hot topic. Everyone is talking about thyroid. Hashimoto’s, hypothyroid, Grave’s disease, T3, T4, reverse T3, etc., etc. Lynn’s case looked a bit like thyroid. She would at times suffer from states of overwhelm and mental paralysis. (Did you know constipation and back pain are also symptoms of thyroid?) But when we tested Lynn’s thyroid, her numbers came up perfectly normal, even in the stricter functional reference range that I look at. The thing is this – she WOULD have become
a thyroid case eventually. Without addressing the iron overload, b vitamin deficiencies, and blood sugar imbalances, these problems would have caused eventual thyroid damage.
So what do you do if your thyroid numbers are already out of range, and you are on medication? Don’t worry, you can still improve a lot. Luckily, if you address the underlying causes (like mineral and vitamin D deficiencies, gut dysbiosis, chronic infections, heavy metal and chemical toxicity, among other things) most thyroids can heal. If they don’t completely heal, and they won’t if your thyroid has already suffered considerable damage, you can still improve your symptoms and your meds will work much better.
Why don’t doctors address these underlying factors? Because they don’t know how to read blood tests properly. Even if they did, it wouldn’t be covered by insurance.
You have probably gathered by now that most hormonal issues overlap. Estrogen dominance is no different. All of the problems I mentioned so far will cause estrogen dominance. In Lynn’s case, she knew she had estrogen dominance, but could never really figure out why. When we fixed the iron and the blood sugar, her symptoms of estrogen dominance disappeared.
In spite of the many intricacies of the human hormonal system in general, there is a short answer to why estrogen dominance occurs. In the presence of inflammation, estrogen will increase, and progesterone is inhibited. Inflammation also causes weight gain, which further increases estrogen, and lowers progesterone. Find what is causing your body to continue to be inflamed, and you will have your answer. Sometimes the causes of the inflammation are obvious, and sometimes not so obvious. At our office, we specialize in finding what may have previously been missed.
I hope I have been able to give you a better idea of what causes hormonal imbalance. Just realize there is a root cause. To get well, you must find it, and do what is necessary to fix it.
Two of the best ways to find the cause of your hormonal imbalance are Functional Medicine and Nutrition Response Testing. In combination, these methods work beautifully. Blood tests provide valuable information of what problems to look for and what to do about it. Nutrition Response Testing helps to fine-tune your program and even find issues that blood tests will miss.
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