Dr. Kathy Maupin

Medical Director of BioBalance Health and Author of The Secret Female Hormone

Why Doctors Use Off-label Drugs

Off-label drugs allow physicians to get around unreasonable FDA restrictions.

Off-label drug use of medicine is necessary in the US, due to the FDA’s slow and costly process of testing and approving drugs. Off-label is defined as the use of a medication that is approved by the FDA for one disease or reason, for another disease because the physician chooses this medication based on hers/his training and expertise.
Most doctors have a good understanding of pharmacology, and today we choose three as examples of prescribing off-label drugs. The examples are Arimidex (aromatase inhibitor), Metformin (Glucophage) and Finasteride (Proscar, Propecia).

All three drugs are prescribed for one disease or condition, with the exception of Finasteride which has two.

Off-label use is not a willy-nilly shotgun approach by a doctor. We understand the biology of a medication, and because of that and research studies, we realize that that a particular drug can accomplish what we need for a patient when there is no current medication approved. We use a drug in this way because: a drug is caught up in the approval process and the patient needs it now; a medication has been used long-term and it is too expensive to reapprove a generic drug for another use; it is too expensive to use the approved drug, and an alternate drug is cheaper but not approved.

Of the three examples of off-label uses for drugs, I lead with Arimidex (Anastrazole) is a medication that blocks the conversion of testosterone into estrone and estradiol. It is approved only for treatment of breast cancer in women, however it is useful to prevent breast cancer in women with family histories, to shrink uterine fibroids, for infertility, to decrease belly fat in certain patients, and finally in men to shrink gynecomastia (man-breasts) without surgery. It is not approved by the FDA for any of these reasons, but it is a drug I use every day in both men and women. Useful, low risk, and generic (affordable) it is an excellent answer, when we doctors don’t have any others.

Metformin seems to be the miracle “new-old” drug for many diseases, finding its way to the cover of many medical journals. The FDA has approved Metformin only for Type II Diabetes and it is now generic (and cheap), so no more money will be spent on approving it for the following; pre-diabetes, pre-dementia, prevention of breast cancer as well as other cancers, treatment of insulin resistance that leads to obesity after menopause, infertility or polycystic ovaries. No, if you read the Physician’s Desk Reference (PDR), the only use for Metformin is for adult onset diabetes and rarely will your insurance pay for it or anything else.

Our last medication example, Finasteride, is approved only for men, but can be used on women after they complete childbearing. I prescribe this for women who have male pattern baldness, and it works well. For severe facial or body hair before or after they take testosterone, it is effective and there is no other drug to take its place. Mechanism of action is inhibiton of an enzyme that blocks the conversion of testosterone to excessive di-hydrotestosterone. The approved uses only include male pattern baldness in men, and prostate enlargement.

There are hundreds of other examples, however the need for a cheaper, more efficient, and less costly system than approval by the FDA must be created, or a more comprehensive list of uses should be accepted before we can treat patients well with the tools we have available in our pharmacies.

Genetic Diet and Health Guidelines for People with Type AB Blood

Dr. Kathy Maupin and Brett Newcomb discuss the specialized considerations for people with the blood type AB. Topics include common illnesses and recommended diet and exercise regimens.

For several weeks we have been examining the topic of the genetic characteristics of different Blood Types. We have been looking at common illnesses and individual lifestyle strategies that benefit individuals of each type. This information is not individually predictive, because everyone is affected by their environment, social situation, country of residence, and parenting. However, blood type is a crude genetic marker of what pre-dispotions you are born with. You should examine this data for its general assertions about your life your lifestyle, and possibly follow the guidelines it may provide if it seems to relate to you. When applicable, pursue some of the strategies and suggestions that are helpful for your situation. A do-it-yourself blood type kit is available on Amazon for less than $10.

The most recent blood type to emerge in humans is the AB type. This type is not one that was created because of the Darwinian “survival of the fittest,” but it is a blending of blood types from the combination of A-people and B-people. ABs thrive in a non-competitive and low-stress environment. ABs need to learn how to minimize stress, work on calming strategies, and exercise every day or two. Exercise should not be excessive or stressful but balancing and calming like yoga. ABs are universal blood recipients. Any blood type is compatible with them. If you are an AB, you will learn more about yourself in this week’s podcast.

ABs are more susceptible to illnesses such as Parkinson’s disease, substance abuse, Schizophrenia, and Depression. This is because the enzymes that convert dopamine into epinephrine/norepinephrine are faster, and they use up their dopamine and have a higher level of stimulant neurotransmitters. More ABs are diagnosed as Bipolar than individuals with any other blood type. Because ABs’ blood cells view all viruses, bacteria, and some cancer cells as “self” they don’t fight them and therefore have more of these diseases. ABs are also subject to high blood pressure, Osteoporosis, Colon and Stomach Cancer, and poor resistance to viruses.

We recommend the following regimen for ABs. Utilize visualization skills to relax, limit your aerobic exercise, do yoga, and avoid multitasking and stressful environments or jobs.

Diet suggestions for AB’s include eating eggs and dairy, utilizing fish as a primary source of protein, and eating meat 1-5 times a week. Soy products are good for ABs as well as veggies.

ABs should follow these simple dietary guidelines: do not skip meals, reduce alcohol and caffeine in your diet, eat your biggest meal at breakfast, eat frequent smaller meals, don’t eat chicken; and never eat corn, buckwheat, or beans (Lima and Kidney). These contain lectins that slow your metabolism and cause illness and weight gain. As for supplements, add B vitamins, alpha-lipoic acid, citrulline, and glutamine. Herbal supplements should include danshen root and rhodiola rosea.

ABs are the most highly evolved, but also the most delicate of the blood types. For ABs, it is imperative that they take care of themselves. For more on this research, read Live Right For Your Type, by Dr. Peter D’Adamo.

Supplements for Diet and Good Health

Dr. Kathy Maupin and Brett Newcomb discuss the use of dietary supplements and their effects. They also discuss how these supplements interact with prescription medication.

Herbal medicines and dietary supplements are becoming a more and more common piece of the medical market in the United States. In response to this trend, doctors are having to educate themselves about how these substances can interact with medicine that they prescribe for their patients. This week’s healthcast was inspired by an article in the Journal of Endocrinology that offered research-driven advice to doctors on the supplements that actually assist diabetic patients to stabilize blood sugar and avoid complications of diabetes.

Supplements include vitamins, minerals, and herbal remedies. Herbs were the original medications discovered by trial and error, hundreds and thousands of years ago ago. Plants, their roots, leaves, and/or seeds, were prepared with a specific recipe. They were then used to treat various ailments. Herbal substances contain active ingredients that can be used to treat illness, and therefore can interact with some medications that we take. Doctors should know the supplements that you take so they can advise you about interactions with your medications. This “herbal training” is not included in medical school curricula, and many physicians have a basic, insubstantial understanding of herbal-medication interactions.

Because the medical community has lagged behind the supplement industry, it is important to educate yourself on the supplements that you are taking. Advertising is not a reliable source because there are no regulations that require advertising of supplements be truthful.

In my office, we have done our research regarding the supplements that we offer. In fact, my staff has weighed in on which brand for which vitamin or mineral is the best for them personally, for their family members, and for their patients. It is my way of insuring that my patients get the best quality and most effective brand of supplement on the market.

At least a third of American consumers are now taking supplements of some kind. Because of this, it is even more important to me as a physician that I ask you about your diet. What you eat, and the supplements you take give me a good idea about how complete your nutrition is.

Supplements, as the name implies, supplement your diet with the nutrients you need daily. For 99% of us, our diet is not perfect. The average American diet is plentiful in calories (some of which are unneeded) and deficient in nutrients. It is likely that you still need vitamins in addition to the nutrients in your food. Most vitamins act as cofactors that are necessary to the activity of specific enzymes which are integral to cellular activity. Without these necessary nutrients, our bodies act like a car without the right kind of gas and we cannot perform physically or mentally without them. Other vitamins, like vitamin D, are really hormones. Vitamin D stimulates the absorption of calcium as well as bone growth. Without Vitamin D, your bones dissolve slowly and your cells don’t function well. This can lead to many diseases, including cancer and heart disease.  In the northern hemisphere, the darker your skin and farther north you live, the less likely you are to have adequate Vitamin D.

Supplements include the category of minerals, which include calcium, chromium, magnesium, selenium, zinc, iodine, fluoride, iron, and a few more “trace” minerals. These substances are integral to the building blocks of our muscles, nerves, thyroid hormones, and red blood cells. Without these nutrients in our foods, our bodies break down and will not be healthy. The availability of these critical minerals depends on the soil where you live, the variety in your diet, and the quality of your food.

If you eat primarily fast food or processed food you will not get these necessary minerals. In the midwest where I live, we have no iodine in our soil or water. Magnesium is difficult to get in your food especially if you don’t eat wheat, and none of my patients have enough vitamin K (deep green leafy vegetables) in their diet. For 99% of my patients, simply eating food does not supply the minerals that they need.

We began our discussion with herbal supplements. We use them for specific purposes, like we use medicines. Not everyone needs herbs like they need the vitamins and minerals. Herbs are used medicinally for a specific purpose. You may have an herb garden and find this hard to believe, but herbs do have medicinal properties when prepared appropriately. When used instead of medicines, there is a difference in resolution of symptoms and effectiveness. Herbs are slower than medicines. So the problem with using herbs as medicine is that you have to be an expert. They do not produce immediate results and their purity is a variable because it is dependent on the soil where it is grown, the genetic variant of the herb, and the pollutants in the water and soil where it grows. Herbs are also not as “clean” as medications from a pharmacy. However, herbs have fewer side effects than pharmaceutical drugs. For example, for patients who convert their testosterone into estrogen and estrone, I prescribe a medication called Arimidex to decrease the risk of breast cancer, shrink fibroids, or improve testosterone levels. There are some side effects to this drug. For fewer side effects I suggest the supplement, DIM, made from cauliflower and broccoli. It does essentially the same thing, but less dramatically and with fewer side effects.

I have learned over the last 37 years of practicing medicine that it is very important to treat every element of a patients life: nutrition (vitamins, minerals, and supplements), exercise, and hormonal replacement, to achieve a healthy patient. As a physician, it is very satisfying to see my patients become healthier before my eyes. For them it may mean a more quality life verses a life of doctor visits and hospitalizations. If I am successful, I will ultimately put myself out of business!

Watch this week’s podcast to learn about specific supplements that medical research shows are effective. Learn why that is so and what you can do. Learn more about what you need to expect your doctor to know and how to talk to them about it. It will help you in the long run.

How to Prepare for a Doctor Visit

Dr. Kathy Maupin and Brett Newcomb discuss the changing landscape of today’s healthcare industry. They discuss various strategies to help optimize the time patients spend at the doctor’s office.

The world of medicine is constantly changing. One of the more unpleasant changes is that doctors have less and less time to spend with individual patients. The average allotted time now is approximately seven minutes. If you have been to the doctor in the last year or two, you may have noticed some changes in the way the visit is conducted. First, the nurse will interview you quickly trying to determine why you are there and what issues you may have. You may also fill out a questionnaire in the waiting room that does the same thing. While the RN or Medical Assistant interviews you, they usually are looking at a computer screen and not at you. They will make typed notations on a computer check list as they move through a structured interview.

The visit is less personal and more automated than ever before. This is due to two things: your insurance company pays less and less for your visit as you pay more and more for your insurance, and the federal government has demanded that doctors who take insurance, Medicare and/or Medicaid have to use a computer chart. The government, once again, dictates how you and your doctor talk to one another.

The questions that your interviewer asks come from a billing program which will justify the cost of the visit. It is not about you, it is about the money that keeps the doctor in business. Occasionally, you will be asked about your overall health, and your reason for the visit. You will get a prescription or not, and you go on your way without any idea of what the doctor thinks is wrong with you.

I am not slamming doctors—I used to practice this way, too, and I wasn’t able to offer the necessary kind of care in that paradigm. The decision that I made to practice in a specialty area of hormone therapy resulted from my desire to run my medical practice without insurance companies or the government telling me what to do. Most doctors, sadly, don’t have that option.

So, I am going to explain to you my method to get the most for your time with the doctor. This method actually was recommended in the AMA website for patients.

1. You must prepare for your doctor visit before you get there. Most importantly, write all of your information on one page, in this order:

– Why you are there (in a few sentences)?

– When did it begin?

– Is it constant or intermittent?

– What makes it better or worse?

You can even write down what you think the problem is. Do not write too much. This defeats the purpose and your doctor may give you the diagnosis of Obsessive Compulsive Disorder instead of reading your symptoms.

2. Next, list the medications you are on, with dosages. Follow that by listing your supplements, your allergies, and what other doctors you have seen in the recent past.

3. If this is your first visit, you will need to know your other medical diagnoses (problems), and the diseases that run in your family.

4. Keep these lists updated on your computer and and take it with you in print.

When you see the nurse or doctor, hand your one-page medical sheet to them, which they will scan for information. This will cut out most of the time needed for telling the doctor what is wrong and he or she can spend more time thinking about a diagnosis and treatment plan.

Lastly, do not leave without getting the following directions: how to take medication, what lab or X-rays to get, and when to come back. You should at least understand the different diagnoses that your doctor is considering. Make sure you understand what the doctor has told you to do. Ask for it in writing if you don’t think that you’ll be able to remember, then follow the directions as they are laid out.

Now, once you have left the doctor’s office, it is your responsibility to follow directions, take your medications, and schedule your follow-up appointment and keep it. Many people sabotage their own medical treatment by ignoring all of the directions given by the doctor. Remember, it’s your responsibility to do your part!

Another method of self-sabotage is to take medical advice from the internet or from a friend, especially if it involves taking someone else’s prescriptions. If your doctor gives you a prescription, take all of it in exactly the way it was prescribed. Don’t play with your meds, don’t stop taking them early, or take them sporadically. If you plan to be your own doctor, then you are practicing on yourself without a license. There is not a more risky proposition than that.

It is increasingly more important that you are an active and functional participant in your healthcare and, especially, in your doctor visits. Follow these suggestions and you will receive more effective medical care in fewer visits—which means more time for you to have fun. As in all of life, a little preparation yields great rewards!

Statins and Estrogen

Dr. Kathy Maupin and Brett Newcomb discuss recent research conducted on the use of statin drugs and how they can interact with estrogen replacement therapy.

New research shows that the replacement of estrogen can make you healthier and can prolong your life, protecting you from many dangerous diseases. Despite this research, however, many in the medical field still have not taken notice. Many doctors have absorbed the message from the 2002 World Health Institute Study which wrongly concluded that replacing estrogen heightens the risk of breast cancer. These doctors are misinformed and their female patients remain at higher risks of all sorts of potentially-fatal illnesses.

A similar controversy surrounds the use of statin drugs. There is concern surrounding the use of statins because of the possibility that they may increase the susceptibility to cardiac problems. In April of this year, The Journal of Menopause published the results of a study that was done to test this theory. It concluded that women on statins were not likely to develop cardiac or breast cancer issues, if they also replaced their estrogen. We believe that their data missed the point. In this study, they monitored women who took statins, women who did not take statins, women who took estrogen replacement, women who did not take estrogen replacement, women who took nothing, and, finally, different combinations of the categories. The data concluded pretty strongly that the best result for life expectancy for all categories were those who took estrogen replacement, with or without statins.

What frustrates us is that when they reported the study results, they focused on the reality that statins helped save lives and ignored data that was even more conclusive: that estrogen replacement saved more lives than any other category or combination.

Brett and I discuss why and how this misinformation persists in today’s medicine and media world when there are ample studies that have rejected the conclusions of the repudiated WHI study—studies that independently conclude that estrogen replacement is good news for women. Those studies conclude that if you replace your hormones, you are less likely to die from cancer, from breast cancer, from heart conditions, or from other illnesses.

If you want to live longer and healthier, you should talk to your doctor about replacing your sex hormones—both estrogen and testosterone. There are many studies and articles about the research that concludes this that are available to read. If you are interested, you can check the resources section BioBalanceHealth.com, where you can read for yourself what the research says and where you can find it.

Characteristics of People with Type O Blood

Dr. Kathy Maupin discusses the considerations and implications of type O blood. Topics include appropriate diet and exercise, as well as what diseases patients with type O are more prone to.

We have been discussing various blood types for the past several podcasts because they can be bio-markers in keeping you healthy. This week, we are going to talk about Blood Type O, the most common, the oldest (in an evolutionary sense), and the most universal for blood transfusions.

Your blood type determines what your cells fight. If a patient receives blood that has different antigens in it, their body will attack those antigens. If you get a transfusion of the same type of blood that you produce, this does not happen because your body recognizes those antigens as being a part of you. That is why it is important to get the same blood type as the type that you have. When that is not possible, you can receive Type O negative because all types will accept it, due to the fact it does not have any antigen markers that signal “enemy.”

Type O individuals generally have more stamina and are less likely to develop cancer and certain types of bacteria. This information is useful in a statistical sense for general health care, but it is not predictive for a single individual. We can give you information about foods you should eat and foods you should avoid, and about your general health status and stamina. This information cannot be used as a guaranteed way for you to avoid certain illnesses or bacteria. There are too many other factors that would go into an individual prediction for you alone. For example, illnesses such as Crones disease and autoimmune disorders (such as high triglycerides) can cluster among Type O’s. However, many Type O’s do not get these disorders.

Another statistical warning for Type O’s is that they have a greater risk of developing disorders such as depression, bipolar disease, and schizophrenia. Again, these are mass-database numbers and do not mean that you will have these illnesses. But again, there are things that you can do in terms of eating and exercising that can help minimize your risk and maximize your lifestyle choices for good health.

Type O’s generally have more problems if they try to follow a Vegan diet. That is because many of the carbs that Vegans fill their diet with are bad for type O’s. O’s should try to avoid foods such as wheat, corn, and rice. They should eat peanuts and not cashews or pistachios. Flax seed, pumpkin seed, and walnuts are good for O’s to eat as well.

Remember, there are multiple elements that you have to balance in your life to be healthy. Knowing your blood type can help you select exercise and diet choices that can improve your chances of being and remaining healthy.

Fight FDA Restrictions on Hormone Pellets

Dr. Kathy Maupin discusses recent legislation proposed to the FDA that would limit the availability of hormone pellets that are used in her practice, as well as what you can do to help fight these decisions.

Once again, the FDA is threatening to limit our ability to get our much needed bio-identical hormone replacement. Please support us by submitting a comment on the FDA’s website against the proposal to prevent compounding pharmacies from sending prescriptions across state lines. I am offended at the arrogance of our government to prevent millions of Americans from getting the medication that they need.

Since I buy my pellets from two different compounding pharmacies that are both in another state, and I prescribe compounded medications from pharmacies in other states for my patients, this means that my patients and I would not be able to obtain the pellets that I have been using for over thirteen years. Hormone pellets are difficult to produce and must be uniform for each dose to dissolve at a predictable rate. There are no pharmacies in my state (I have tried their pellets personally) that can equal the quality of the two pharmacies in Colorado that I prescribe hormone pellets from.

I find this to be an unconscionable intrusion of regulation where none is needed. The pharmacies that I use are outstanding and have excellent safety records and standards. I have no complaints about the efficacy and functionality or safety of the pellets used in my practice. The idea that pharmaceutical companies are pushing the FDA to restrict my access after thirteen years of using these pharmacies is highly offensive. It makes me wonder why are they asking for tis change.

Compounding pharmacies are important and special. They don’t only produce excellent individualized prescriptions, but they fill a huge gap in available pharmaceuticals that the major pharmaceutical companies neither can, nor want to fill. Compounding pharmacies supply orphan drugs that are not available through normal pharmacies because they are too expensive to make for a small population. Compounders also provide necessary drugs that are back-ordered or held up by FDA red tape. Drugs as simple as B12 shots were unavailable last year, and lidocaine was not available anywhere in the US a few years ago. Now, hospitals can’t even get IV bags of normal saline. This is where the compounding pharmacies step in and actually save the lives and meet the needs of patients throughout the US. If they were small pharmacies in our state, it would be too expensive for them to produce, but the national compounding pharmacies step in to fill the gap created by traditional pharmacies and the government. Why would anyone limit that?

If the FDA moves in to restrict the ability of compounding pharmacies to sell products throughout the United States, these pharmacies will go under. This will lead to a gap in serving the need for medicines that the major pharmaceutical companies are not filling.

A similar problem created by the FDA, is that of how they force patients to stop using a drug that their doctor feels they need by restricting the number of pills manufactured by that company. This is a common problem with ADHD drugs. It ends up causing a shortage and only the patients who are motivated, or have enough time and money to shop around can even fill their prescription. I am sickened at the fact that practicing medicine has become a bureaucratic process.

My thinking is that the FDA should not make its decisions based on the political ideology of its members (few of whom are practicing doctors), but rather on the scientific and medical facts. The most important consideration should be what is best for the patient, not what is best for big pharmaceutical companies, nor the conservative and sexist agendas of people invested in preserving the status quo by forcing all Americans to follow their ideals.

Watch this podcast for more information, then please click this link to let the FDA know that you oppose this new legislation. Please advocate for your continued right to obtain the compounded pellets from the best pharmacies in the US so you can stay productive and healthy. Mention in your own words the benefits you receive in terms of better health as well as any thoughts you might have regarding this issue after you watch the podcast. Thank you for your help with this.

Read my rebuttal to the FDA rule.

– Dr. Kathy Maupin

Summer Series for Your Skin

Don’t let summer’s fun in the sun take its toll on your skin!

BioBalance Med Aesthetics Summer Series ImageSummer means sunshine, bathing suits, shorts, and beautifully-bronzed skin. But along with the visits to the beach and days at the park come potential dangers for your skin. Of course, exposure to the sun cause the risk of sun damage, but that doesn’t mean you should avoid being outside. There are ways to prevent and protect your skin from cancer and accelerating the aging process.

At BioBalance Health we have pulled together a perfect series of skin treatments that is optimally sequenced to offset the harsh effects of extended periods of sun exposure. Keep your skin looking healthy and bright throughout the summer. Don’t let the sun ruin your fun; fight back with our Summer Skin Sensation Series.

To schedule your summer series today, call Dawn Miller at 314- 800-3518 or Chrissy Kohlberg at 314-537-5786.


$1,350 ($150 in Savings)

J U N E ––––––––––––––––––––––––––––––––––––––––

(1) Exfoliation & Hydration Facial: A relaxing 55-minute spa treatment designed and formulated to deeply hydrate your skin. Our Hydrating Facial incorporates natural elements to not only moisturize, but also to heal and restore your skin to its natural, beautiful appearance. A Hydrating Facial will diminish dryness, reduce visible signs of aging, and leave your skin silky smooth.

(2) Retinol Peel: This relaxing spa treatment is designed to cleanse layers of dead cells and restore superficial layers of skin. In addition to removing dead skin cells, it saturates the skin with Vitamin A. It is suitable for any skin type and evens skin tone.

J U L Y –––––––––––––––––––––––––––––––––––––––––

(1) Microdermabrasion: A non-invasive procedure that gently exfoliates the top layer of dead skin cells to uncover healthy new skin that looks and feels smoother. As it does away with the surface layer of dead skin, it also stimulates collagen growth. These treatments help reduce the appearance of blemishes, acne scars, fine lines, sun spots, and dull skin.

(2) Fine Line & Wrinkle Reduction Laser Treatment: A specialized non-ablative laser treatment that dramatically reduces signs of aging and treats fine lines, sun damage, wrinkles, uneven skin tones, and various types of pigmentation or discoloration.

A U G U S T ––––––––––––––––––––––––––––––––––––––

(1) Skin-Tightening Laser: A specialized laser treatment that tightens your skin to dramatically reduce the signs of aging.

(2) Retinol Peel: This relaxing spa treatment is designed to cleanse layers of dead cells and restore superficial layers of skin. In addition to removing dead skin cells, it saturates the skin with Vitamin A. It is suitable for any skin type and evens skin tone.

S E P T E M B E R ––––––––––––––––––––––––––––––––––

(1) Exfoliation & Hydration Facial:  A relaxing 55-minute spa treatment designed and formulated to deeply hydrate your skin. Our Hydrating Facial incorporates natural elements to not only moisturize, but also to heal and restore your skin to its natural, beautiful appearance. A Hydrating Facial will diminish dryness, reduce visible signs of aging, and leave your skin silky smooth.

(2) IPL Laser TreatmentThe first obvious signs of aging and skin damage are brown spots and uneven texture of the face and hands. After 3 months of sun exposure, the Intense Pulsed Light (IPL) laser brings all that damage to the surface and peels it away.

+ Includes a $100 gift card for future use.

$450 ($50 in Savings)

J U N E  –––––––––––––––––––––––––––––––––––––

(1) Exfoliation & Hydration Facial:A relaxing 55-minute spa treatment designed and formulated to deeply hydrate your skin. Our Hydrating Facial incorporates natural elements to not only moisturize, but also to heal and restore your skin to its natural, beautiful appearance. A Hydrating Facial will diminish dryness, reduce visible signs of aging, and leave your skin silky smooth.

(2) Retinol Peel: This relaxing spa treatment is designed to cleanse layers of dead cells and restore superficial layers of skin. Along with removing dead skin cells, it also saturates the skin with Vitamin A. It is suitable for any skin type and will even out your skin tone.

J U L Y ––––––––––––––––––––––––––––––––––––––––

(1) Fine Line & Wrinkle Reduction Laser Treatment: A combination of specialized laser treatments that dramatically reduce the signs of aging and treat uneven skin tones, sun damage, wrinkles, fine lines, and various types of pigmentation or discoloration.

A U G U S T –––––––––––––––––––––––––––––––––––––

(1) Microdermabrasion: A non-invasive procedure that gently exfoliates the top layer of dead skin cells to uncover healthy new skin that looks and feels smoother. As it does away with the surface layer of dead skin, it also stimulates collagen growth. These treatments help reduce the appearance of blemishes, acne scars, fine lines, sun spots, and dull skin.

+ Includes a $50 gift card for future use.


Keep in mind that the sun isn’t all bad! It does serve as our main source of Vitamin D. But, as most good things go, moderation is key. Extended periods of time in the sun are what causes damage. During the sun’s peak hours (about 10am – 3pm), limit your exposure to a maximum of 15 minutes at a time. No matter what time of the day, always wear sunscreen that protects against both UVA and UVB rays; a high SPF is great, but that alone is not sufficient. And make sure to re-apply sunscreen generously throughout your time in the sun.

Characteristics of People with Blood Type B

Dr. Kathy Maupin and Brett Newcomb discuss the health implications and exercise considerations for individuals with the blood type B.

We know that individuals with Type B blood do not handle viruses as well as those with other blood types. “Type B’s” carry antigens in their cells that look like those of various viruses. Since the Testosterone cells cannot tell the difference, they are slow to attack and kill the virus cells because they appear to be part of the body and, therefore, safe. We also know that Type B individuals do not experience the same kind of difficulty with neurotransmitter levels that can cause depression and anxiety that the other blood types have. B’s can be depressed, of course, but their bodies fight it off better because of the balance among the neurotransmitter substances that these bodies maintain. It is also possible to learn how to manage and avoid serious levels of depression and help yourself through your behavior and diet choices.

We have learned that B’s are seeking something different than individual with the other blood types—as a payoff for exercise. B’s need exercise to burn off excess energy, but typically do not experience a “high” from flooding the body with endorphins. They just burn off some of the static energy that distracts their brains by generating stress and anxiety. Regular exercise is important for Type B individuals. Dr. D’Adamo recommends that they should do something social that is also mentally challenging or provides some mental stimulation. He suggests that cycling, hiking, tennis are all good exercise regimens for Type B’s.

Diet is very important in maintaining our health, no matter what our blood type. But it is interesting to learn that each blood type has different dietary issues and different foods that are better or worse for them. For example, Type B’s can eat turkey but should not eat chicken. B’s should stay away from tomatoes and some kinds of nuts, such as peanuts. Obviously, we cannot always stay away from those foods. The point is not that we do not ever, under any circumstances, eat these things. The point is that we learn to generally avoid them and learn how to balance what we eat. We can almost always eat what is provided when we have to. We are, after all, an omnivorous species. But what we have learned is that if we eat healthy for our Blood Type, we can improve our quality of life mentally and physically. This will help us avoid certain diseases and emotional or mental illnesses. It won’t guarantee it, but it will help.

This week, we will discuss diet suggestions that will help you if you are a Type B. We will further offer ideas for you as you age that will help keep you mentally alert and functioning at your peak levels. We will talk with you about exercise that is best for your type, and the circadian rhythms that are better for you.

Blood Type, Good Health and Longer Life

Dr. Kathy Maupin and Brett Newcomb discuss the work of Dr. Peter J. D’Adamo on blood types and how they effect patients’ general health and lifespans.


Knowing Your Blood Type can help you chart a path to longevity and healthy living.

Today, Brett and I are going to discuss Dr. Peter J. D’Adamo’s research on blood types and diet, subjects that he has committed his career to and has written several books about.

Blood Types are genetic markers that place us in large statistical groups. As physicians and scientists study these groups, it becomes possible to make global statements about those who are placed in each group. We should always remember that this type of information is relevant and useful in the aggregate but it is not necessarily a specific predictor for an individual who has the blood type in question. The process is similar to other group test categories, such as the Myers-Briggs Personality Types and the Minnesota Multi-phasic Personality Inventory, among others. In these inventories, one obtains a profile based on the number of other people who have responded to particular prompts in similar ways. Then, one can look individually to see if they think it fits for them as an accurate descriptor.

Dr. D’Adamo traces the history of the evolution of various blood types. Today there are Categories of Type O, Type A, Type B, and Type AB. He claims that each of these types evolved as we migrated out of Africa thousands of years ago and experienced gradual changes in our diet and nutrition sources when we changed from hunter-gatherer societies to agricultural societies to industrialized societies.

Interestingly, Dr. D’Admo identifies health problems that are more typical to each of the blood types, he also identifies the particular types of mental or emotional issues that each blood type is more likely to have and finally, he suggests stress management, diet, and exercise strategies for each of the blood types to maximize their health and minimize the negative health concerns they are statistically more likely to have.

Stress management skills are learnable. If we can control or manage the level of stress that our bodies feel we can impact in positive ways the ways that our bodies experience illness and health.

If you listen to our podcast over the next couple of weeks you will hear us discuss the individual blood types and the generalized characteristics of their personalities and suggest diet and exercise and mental health strategies that should be beneficial to each of them. If you know your blood type you may find this discussion to be more interesting. You can order a Blood Type test kit from Amazon and type yourself at home if you do not already know what blood type you are.

Hormone Research and Journal Articles

Dr. Kathy Maupin and Brett Newcomb discuss the current state of the medical industry and how it affects treatment of patients in need of hormone replacement.

To illustrate some of my frustration with the established medical specialties, I am going to identify some of the research articles that are published in their journals. These journals are controlled by the given medical specialty. They are OBGYN journals, Psychiatric Journals, and Endocrinology Journals. Each specialty does research on its particular interest and focus. Doctors in one specialty do not generally read or survey the journals of other specialties. They are professionally expected to read only the journals of their own specialty group.

The problem I face is that I practice in what is known as an “orphan specialty.” I am a sex hormone replacement specialist. This is an unrecognized (by the mainstream medical and insurance/pharmaceutical industries). We are seeking recognition because it will provide some legitimacy to what we do in the eyes of the other specialists. My work crosses the boundaries of all of these other specialists. I read their journals and seek information that relates to my work and to the health of my patients. I just wish more physicians would do the same thing.

My patients are seeking relief from genuine symptoms and suffering from real ailments. I believe that if the medical establishment would identify these issues with a name, a “syndrome” of its own, and an assigned code number, it would become possible for my patients to receive the care they seek more readily and more easily. I have written a book to explain this case and to identify the “name” that I think would best fit the syndrome—TDS (Testosterone Deficiency Syndrome). If we could all accept that then it would help normalize what I do for the mainstream providers and help my patients receive modern appropriate and life-saving interventions while being accepted by the insurance companies and the medical system.

In this podcast, I provide examples of research that is unique to each Journal specialty and talk about the difference between these specializations and between “research physicians” and practicing clinicians such as myself.

My goal is to explain this to my patients and to other physicians so that all of us can work together to change the system and help my patients receive the health care that is best for their physical and emotional needs.

Hormone Replacement Medical Specialists

Dr. Kathy Maupin and Brett Newcomb discuss the current state of the medical field and the challenges that cutting-edge research on hormone replacement faces in an industry that’s slow to change.

One of the things that frustrates me the most about being a hormone replacement specialist is that it is not accepted as a medical specialty by the medical establishment. There are basically three or four approved or accepted specialists who are supposed to cover the things I do as a sex hormone replacement specialist. These variations of specialists remind me of the story of blind men trying to describe an elephant. They each could best describe what they encountered but none of them could “see” the elephant. These specialists are in the areas of Psychiatry, Obstetrics and Gynecology, Urology, Endocrinology, and research. Together they are the generally-accepted doctors who treat all the myriad of problems that could be helped or avoided by simply replacing sex hormones appropriately as they are naturally lost.

Part of my frustration comes from the fact that I am primarily a clinician who treats patients. I look at my patients as people with symptoms or illnesses that cause them distress and seek a way to alleviate these challenges. To accomplish this, I have done my own research across these speciality fields. I have read their individual journals, and have joined two international organizations of physicians who think and feel the way I do.

This new gathering of physicians who specialize in what we call “anti-aging medicine,” focuses on improving the quality and the longevity of the lives of their patients. We are not as concerned about how it has always been done and being right “on paper” as we are about making people stronger, healthier, and more symptom-free for as long as they live.

In the global sense, we are an orphan specialty. The pharmaceutical industry, the insurance industry, and the traditionalists among the medical industry have not yet recognized what we do and how we do it. They ignore or reject our research and our conclusions. To accept us and our works would mean that vested entities in the medical industries would be challenged to find new ways of working and generating revenue. They want the status quo to remain as it is. From this desire stems their resistance to the evidence we have accumulated and the work we have done.

I will continue to fight this inertia and try to educate my patients and my colleagues so that we are no longer an orphan or dismissed entity. Like Archimedes, if I can find a place to stand and a lever, I can move the world. Listen to my podcast and see how I am doing that.

Troubleshooting Testosterone Replacement Issues

Dr. Kathy Maupin and Brett Newcomb discuss troubleshooting 10 of the most common testosterone replacement issues that arise when patients receive bioidentical hormone pellets. They also discuss how treatment is customized to meet the individual patient’s needs and expectations.

This week we are discussing the 10 most common troubleshooting concerns that my office faces with bioidentical hormone pellet replacement.

One of the things that makes my practice unique (which we have mentioned in our book, The Secret Female Hormone) is that I’ve tried to create an environment where I can spend time studying the lab work, talk to the individual patient, and look at their medical history. I don’t run high-volume numbers through the front door. I take the time to develop a relationship with the patient and to treat them according to their symptoms, their genetics, and their histories, as well as their goals.

In this podcast, we will discuss each of these 10 major troubleshooting issues that we’ve encountered at Biobalance Health.

Of the ten most common expressed concerns, we discuss the loss and restoration of the libido—especially the management of the dosage. Acceptable dosage depends on the individual patient. It may involve a balance appropriate for those who hope to see other benefits of testosterone restoration without the libido-enhancing effects—either because they do not have a partner or simply don’t want to regain their libido for whatever reason. Furthermore, we discuss things like hair loss, breast cancer risk, stress management, and weight-related issues.

It is always important to stress that weight loss and size loss are not the same thing. Testosterone makes muscle which is denser than fat. You may lose inches in your waist but still not lose weight. So, we want to make people sensitive to this concept so they do not misunderstand or overreact if their scale reading is not dropping with their pant size.

Depending on the concerns of the patient, we look at symptom management and quality of life. Our focus is to find the right mix of medicine, life style change, and overall sense of improvement. We want to make people as independent and empowered to live out their life feeling satisfied and fulfilled. We do not just want to prolong life or to massage a single symptom (one that most likely belongs to a cluster of other symptoms). We want to holistically improve the quality of your life. Listen to our podcast and see what we have to say.

Postmenopausal Bleeding

Dr. Kathy Maupin and Brett Newcomb discuss the issue of postmenopausal bleeding: what it may indicate and what can be done to treat it.

Doctors are taught that postmenopausal women that begin to bleed when they no longer have menstrual cycles need to checked. This symptom is never ignored. It is serious because it can be an early indication of uterine, cervical, or some other kind of cancer. Diagnosing and treating these types of cancer can save the patient’s life. Cancer is not the only possible diagnosis of postmenopausal bleeding in women who have not had a hysterectomy, but it must be the first consideration.

Generally the first question the doctor will ask is, “how much?” The amount of blood loss is an indicator of what to consider. Remember that the bleeding is a stand-alone signal that something is wrong and it must be checked. It does not automatically mean cancer (in fact, it rarely is cancer) but we cannot and will not take the risk of not checking.

We check to see the size of the uterus and the amount of bleeding. We also examine the cervix and do a Pap smear. If all these come back negative, we move on to look at diagnoses other than cancer. We check the estrogen levels, or more specifically a type of estrogen called “estrone.” We check those levels and we do an ultrasound on the uterus. The ultrasound will tell us the thickness of the uterine lining. It needs to be 4mm or less. If the lining is 8-10mm, we do a biopsy of the lining. Depending on the circumstances and availability, we do a D&C. This involves opening the cervix and cleaning it out.

One of the options to be considered after these procedures is a hysterectomy. That will usually solve the problem.

One of the other treatment options is to balance the hormones of estrogen and progesterone. There are several ways to administer them both. I never give oral estrogen, but rather use pellets instead of creams, gels, or patches. I do give an oral progesterone. The goal here is to balance the hormones so that the woman gets the benefits of having her estrogen restored to the levels of her younger, healthier self without the bleeding of the menstrual cycle. This way she can avoid the hot flashes and sleep better and have more lubrication and healthier skin.

Other issues that can cause postmenopausal bleeding involve polyps and cysts such as a fibroid. Those we remove or treat with medications such as Dim or Arimidex. Another treatment is to provide a Mirena IUD, which will provide the progesterone that they need for a year, delivered directly to the cervix so that they do not suffer from the negative side effects that are possible.


You Got Your Libido Back, Now What?

How to regain intimacy after living with a partner’s diminished sexual interest for so long.

Many of my patients are delighted to get their libido back after years of avoiding sexual intimacy with their spouse because of disinterest, difficulties, or physical pain. Once bioidentical hormone therapy helps them physically desire sex again, there are often many issues surrounding how to resume normal intimate relations. recovery after living with a parters diminished sex driveAt this point, their spouse has spent months, maybe years, learning to cope with their diminished sexual interest and there is no quick-fix pills to solve the problem. It’s not simple because it’s not just about sex, it’s about an expression of self and love within a relationship. Hormones are crucial to get the mechanics and the physicality of sex in working order, but being in a place of intimacy, passion, and love takes much more work. There are many psychological changes that have occurred while a couple has endured uneven sexual drives. After you have been in the desert for a long time, it’s hard to learn how to drink again.

My co-host on the BioBalance Healthcast, Brett Newcomb, is a Licensed Professional Counselor. He has helped me learn more about how my patients can recover from the psychological and relational aspects of hormone imbalance. These are the steps we recommend for couples who have coped with diminished sexual interest (from one or both sides) for a long time:

1. Forgive
When there has been an imbalance or a disruption in consistent sexual intimacy, someone will inevitably have been wounded, disappointed, hurt, offended, upset, or any combination of those. These wounds may run deep, and to embrace the relationship and commit to both working towards healing, you must begin by letting go of your resentment, hurt, and anger. Have a conversation where you are able to discuss your wounds; to feel, label, express, and externalize them. The process of understanding where you each have failed and expressing those inadequacies is like hitting a “reset” button. Now you are both in the same space and commit together to move forward even though you have this history where you have hurt each other. Ask each other, “Are you willing to go forward with me?”

2. Start Fresh
Now that you are both ready to move forward, do not continue to bring up things from the past or “keep score.” This is about starting over. One approach that can really help to focus on today instead of the past, is to learn to communicate in “I” statements and not in “you” statements. Instead of saying, “you always treat me this way,” say something like, “I would like to be treated like…” Another example is that instead of saying, “you never touch me this way,” say, “I would like to if you touched me this way…” Negative accusations will only inspire your partner to put up their defensive walls, making the conversation unproductive. Replacing those hurtful messages with your current desires helps to communicate more effectively, without anyone needing to get defensive. In this way, you are able to speak for yourself without labeling your partner.

3. Fantasize Together
Once you begin to improve in communicating your current desires without bringing up past failures, the next step is to engage in conscious conversations about your sex life. One of the things that I find couples rarely talk about is their personal sexual fantasies or desires. When you Mature couple communicating and building intimacyare daydreaming about a wonderful sexual experience, what do you fantasize? Begin to create an environment of comfort and trust that allows you to each share these thoughts without feeling ashamed, criticized, or embarrassed. You both need to come to the table with an attitude that says, “I love you and if that’s what you want, we can experiment with that and see if it is something that I can do. But, I am open to hearing it and trying to engage in it.” You need to keep in mind that this is a partnership; there is mutuality. Your sexual behaviors, while they are individually exciting or satisfying, actually are in service of a greater goal: intimacy.

Men and women often experience difficulty doing this because they may have been ingrained with the idea that sexual discussions, fantasies, and self-awareness are wrong as adolescents. They may have been told, “good boys and girls don’t talk or think like that.” You need to move past these mentalities in order to freely discuss your sexual relationship in a mature, loving way.

4. Flirt with Each Other
Something I encourage couples that are rekindling the fire to develop is a flirting attitude towards their spouse. It’s necessary for couples to remember why they fell in love and what first attracted them to each other. How can you send the messages to your partner that you still find them attractive? Maybe you can begin with small compliments like, “I really like your hair that way” or “I like the way that shirt makes you look.” Many people, women especially, have a hard time accepting these complements. You will need to learn how to receive that compliment as genuine and to say, “thank you.” Allow yourself to hear it. Part of flirting is learning to accept being complemented and letting yourself bask in the attention or the attraction.

5. Touch and Feel
When there has been a lack of intimacy in a relationship, part of romantic healing is to make touching each other a priority. This is not about sex. It may involve sexualized contact, but it is not about intercourse and the goal is not orgasm. It’s about holding each other and learning how to be in that space and feel safe. Sit or lay together, feeling with all of your senses how you are connected in love and in safety with your partner. What does this look like? Maybe taking just 10 or 15 minutes a week to simply hold each other and pay complete attention to that process. Don’t leave the TV playing in the background. Don’t answer the phone or deal with the kids. Go into your bedroom and lock the door if you have to, just make sure you don’t turn that into a sexual experience. Sit together, look in to each other’s eyes, hold hands or cover your spouse in gentle kisses. Just touch.

These practices will lead you and your partner towards building intimacy, and in turn will lead to a more trusting and healthy relationship. Bioidentical hormone therapy can take care of the rest!

Preventing the Diseases of Aging

Dr. Kathy Maupin and Brett Newcomb discuss current research being done that is focused on improving patients’ quality of life and not just lengthening their lifespan, as well as the state of medical care in the US with regards to how diseases of aging are addressed and treated.

Historically, the focus of medicine has always been to treat diseases and to cure patients of emergent problems that put their lives immediately at risk, thereby making the individual healthy enough to live another day. Today, there is a new focus. While it is still important to recognize and treat life-threatening diseases, we are beginning to look at things more holistically. We want to recognize the patterns of symptoms that cause illnesses so that we can prevent them. We want to find the trigger points—the critical intersections in the life of an individual that put him or her on the path to illness and even death. We want to seek or establish treatments and/or behavior modifications that will abolish or avoid the symptoms of chronic diseases that rob us of our quality of life. These questions are now becoming the focus of more and more doctors around the world.

I belong to two groups of doctors who are fighting to identify the causes of the illnesses of aging and find treatments that will prevent, avoid, or significantly delay those illnesses. We want to define aging itself as a disease with its own symptoms by identifying pathways to illness. If we can see the whole algorithm—find the first step that sets us on a path to chronic disease and treat that first step—perhaps we can avoid many, or all of the symptomatic illnesses that make up the second half of Americans’ lives.

Part of the strategy of any societal transformation is to accurately describe the problem and the solution. Words matter when it comes to spurring on a necessary revolution that will improve the lives of everyone in our country. The language we use colors our pathways of thinking, and inspires others to research the paths to a common healthy endpoint. So today in healthcare, we want to change the terminology we use to quantitate success in medicine from a long “life-span” to a long “health-span.” This means everyone must work toward the goal of quality and not quantity for the years that we live. What does it benefit any of us to live to 100 if we don’t know who we are for the last twenty years of our lives? We should not be overly interested in living longer when we are crippled by disease and incapable of living functional and independent lives.

I am interested in maximizing out patients’ health-spans so that we can live longer lives as independent and active contributing members of society. We have many of the answers in the research that exists, and much of it begins with replacing hormones that disappear as we age. The next step is to mold the minds of current physicians and medical school teachers to think in a more preventive fashion, with quality of life and not just quantity of life as the ultimate goal .

In this week’s podcast, we discuss research that is being completed by doctors in various countries who are joining together to provide a complete program of promoting health and preventing diseases of aging. I am proud to say that I am one of them. The Wall Street Journal recently reported on a group of researchers who have begun to study a drug that has been known throughout the world to promote health in aging populations. It is a diabetes drug named Metformin and it has been selected for research because it has known preventive attributes, and known side effects. These researchers are embarking on a long-term study in hopes of supporting the theory that this drug is a method of improving the health-span of aging adults. The prevalence of Metformin is a known quantity. There are recognized side effects, and what it does and how it works is well-known. These physicians are using this study to analyze its impact on the health-spans of the individuals that use it.

Some of the problems that one encounters in this kind of research involve economic realities and governmental priorities. There are always other agendas and other power-centers that must be dealt with. By using a gender-neutral drug that is well-tolerated and inexpensive, they are providing research with a new goal—health and not just longevity. You have to start somewhere and these folks are battling the “old guard” of the medical community as well as a government that does not value long-term health and prevention appropriately. It is an uphill battle. But, one day doctors will look back and judge the system that is in place currently as archaic and inhumane—providing excellent care for the young with immediate results in mind, and very little care to improve the quality of life for aging adults. I find that the longer I am in medicine the more I realize that our current system is a large leviathan that will be slow to change. It will take many of us fighting these old ideas to set a course to a distant land of quality medicine and prevention of disease.

Watch our podcast to discover more about the importance of and the possibilities for developing a longer health-span in your life.

Insulin Resistance and Breast Cancer

Dr. Kathy Maupin and Brett Newcomb discuss breast cancer and some of the myths surrounding its correlation with hormone replacement.

Many of the women who contact me about Bioidentical Hormone Replacement want to know about the risk of breast cancer. Breast cancer is a frightening and deadly disease that we all want to protect ourselves from. Some of these potential patients are worried because they have heard that hormone replacement increases the risk of getting breast cancer. I reassure them that those fears are respected but are baseless. At the turn of the century, The Women’s Health Initiative issued a report that claimed that hormone replacement lead to an increase in breast cancer. This conclusion became widely accepted, and spread fear among doctors and their patients. Although the research was discredited almost immediately, the media perpetuated this fear and it still has not gone away. Today, these treatments are safe and are proven to not cause breast cancer. In, fact they never did. More information on this research is available on several of our previous podcasts (link here). This week, we are looking at other aspects of breast cancer that you may not know.

One of the most interesting recent studies I have seen from the Nation Institutes of Health discusses research being done on insulin resistance (also known as pre-diabetes and hypoglycemia). In this research, doctors are focusing on the development of resistance by the cells to accepting blood sugar from the blood. The energy and food that the cells receive from the blood sugar bounces off the cell and is not absorbed. When that happens the body turns it into fat cells.

One of the normal aspects of aging is that our bodies become less efficient at absorbing insulin. This can speed up the process of aging by making us more obese and developing more belly fat. These increases often push us over the line into type 2 diabetes, which is currently at epidemic proportions in our society. We know a lot about this, but what we have not known is that this increase in insulin resistance drastically increases our chances of developing breast cancer. In fact, the risk of developing breast cancer actually doubles.

So the concern about replacing Estrogen that many women have is misplaced. The concern should really be about the increasing level of insulin resistance. The good news is that we can do something about this. We can radically impact our level of insulin resistance through exercise, diet and nutritional supplements, awareness, medicine, and lifestyle changes. Most of these things are habits that can be formed, reformed, and changed with a little effort. The main suggestion I would make is to teach yourself to live on a low carb diet.

The study says that women who are both obese and insulin-resistant have an 84% higher risk of developing breast cancer. Women who are not overweight but have high levels of insulin resistance also double the risk if they don’t do something about it. By living a healthier lifestyle, you can decrease your risks of developing breast cancer. Watch our podcast and find out more about this vital topic.

Depression and Antidepressant Medication

Dr. Kathy Maupin and Brett Newcomb discuss depression: its symptoms and the best way to treat it as patients age.

Most people have been depressed at some point in their lives. Often, when there are major changes in life, people can feel depressed and out of control. When that happens, many people go to their physician and request some kind of anti-depressant medication to help them get through their crisis. Usually, this is helpful, and in a short period of time, they can come off of the medicine because the situation has resolved.

Other people have a more serious problem with depression. It is chronic and durable and feels like a cancer in their lives. Depression is hard because it is not  visible to others and there is often no support nor sympathy for people who are suffering. Even loved ones get tired of dealing with the symptoms of a person’s depression. Many who suffer thus have difficulties in eating, sleeping, thinking clearly, and having the energy to function.

Medication is often necessary, and there are many kinds of medicines that help. In this podcast, we briefly review the four main types of anti-depressants: the MAOI inhibitors, the Tricyclics, the SSRI’s (Selective Seritonin Reuptake Inhibitors), and the SNRIS (selective Norepinephrine Re-uptake inhibitors). These drugs help adjust the amount of neurotransmitters that impact alertness, energy, and mood so that more of them are available and remain accessible to the brain. These important neurotransmitters (serotonin, norepinephrine, and dopamine) are released into the synaptic cleft when there is neuronal activity and are then re-absorbed by the brain. Anti-depressants slow down this process and leave more of the active neurotransmitters in the brain to help elevate mood and restore functioning.

There are reasons for choosing each type of anti-depressants and there are side-effects for each of them as well, ranging from suicidal thoughts to loss of sexual desire. Always work with a physician to obtain the proper drug and the proper dosage. Never, never stop taking these meds without consulting your physician. It is important to take them when and how they are prescribed. The side effects of playing around with these meds can be quite dangerous.

There are also several physiological illnesses or breakdowns of the body’s regular hormonal activity that can look like or cause depression. In this podcast, we examine several of those and share the necessary information to have a conversation with a physician to see if depression is caused by one of these reversible and treatable problems. Examples of these issues are loss of testosterone, malfunctioning of thyroid, and disruption of the functioning of the adrenal system.

Watch our podcast to learn what you need to know regarding depression and your general health as you age so that you can speak with your doctor in an informed way and help them find the right treatment for you.

What Kind of Women Seek Testosterone Pellet Therapy?

Dr. Kathy Maupin and Brett Newcomb discuss the patterns that they see at Biobalance Health when it comes to the types of women that come in for treatment.

As a physician, I pay close attention to the similarities of the female patients who come to me for help. I am interested in the things they have in common and what drives them to seek testosterone replacement via bioidentical pellets.

There are many ways that testosterone can be delivered to women in need. In my years of practice, I have used all of them in my effort to help women. Each has some efficacy but most have drawbacks that I have found to be troublesome for the women whose needs I serve. There are problems with absorption of the testosterone when women use creams (both vaginal and transdermal) as well as sublingual applications. These delivery types provide a peak blood level immediately after application, and then become inconsistent quickly thereafter.

In my experience, women are most-satisfied, have the fewest side effects, and are more pleased with the simplicity of the sub-dermal pellet method. This methods creates a reservoir of testosterone that the body draws against when it is needed, depending on the speed of metabolism and activity level of the woman.

As I look at this reality and compare it to the personalities and needs of my patients, I find that there are many similarities among these women. Most of them come from families in the middle or upper class, who are well-educated and have financial resources which have positioned them to demand healthcare that enables them to function even at advanced age. They are type-A individuals who refuse to accept the prognosis that they should live with their symptoms that they receive from insurance companies, doctors, or other medical professionals in their lives. My patients are not satisfied with losing their ability to be productive halfway through their lives. They grew up in the 70s and 80s and they will not accept infirmity. They know they are going to live for a very long time!

My patients are not willing to take “no” for an answer and they have the skills and abilities to do the research and find out that there are other possible answers. They want to try new treatments and they want to try them now. They look for doctors who are informed and aware and willing to practice the kind of medicine that will help them.

In my efforts to help these women, I wrote The Secret Female Hormone with my friend, Brett Newcomb, to explain to women and their doctors that such treatment exists. Not only does it exist, it is is affordable, effective, practical, and has few side effects.

Many women have read this book, and have listened to our podcasts as we talk about these issues. They are asking us to provide this information to their doctors so that more women everywhere—from all walks of life—can learn about and experience this incredible healing treatment.

As a result of those requests, Brett and I have developed a training seminar for doctors and their nurse practitioners who want to learn what they can do to help. These physicians and their nurses will come to St. Louis, and be trained with medical, business, and office protocols that make them able to provide this amazing care in their home town. After training, they are able to make accurate diagnoses by interpreting lab values and symptoms and then balancing every hormone that is deficient. They also learn to advise patients on diet and exercise protocols. I am firmly committed to the idea that medicine should be about symptom relief and improvement in quality of life. That requires willingness to employ off-label uses for certain medicines like testosterone for women. I must provide my patients with an adequate amount of testosterone to alleviate their symptoms. I have learned that the critical difference between free testosterone and total testosterone is the defining factor in symptom relief. I teach my affiliate doctors how to follow my time-tested protocols so they can go home and treat their patients the way I do, placing them on a path to healthy and functional aging.

Watch our podcast to see if testosterone replacement therapy is something you want to talk with your doctor about. Ask them to get in touch with me for training in my successful treatment methods.

Look Your Best For That Special Occasion

Last week, the founder and Medical Director of BioBalance Health, Dr. Kathy Maupin, traveled to the islands of Turks and Caicos for her daughter’s wedding. She wants to share with you the steps she took to look her best for the very special occasion!

My daughter’s wedding was the most important event in my life, since my own wedding 37 years ago. My concerns about looking youthful and beautiful were put to rest on the day of her wedding because of the work I put in beforehand. Everything came together and I felt absolutely wonderful with the help of the skin care products and services we offer at BioBalance Health!

Dr Kathy Maupins Daughter's Wedding

My preparation for the wedding was extensive. I was following the BioBalance Health Medicated Weight-Loss program, which included adhering to a diet that was chosen for my individual metabolism. Exercising every other day, I also received a series of skin care services that I will continue from now on. I realized that I should look as good as I did for my daughter’s wedding every day.

I began my skin preparation by receiving monthly Jet Peels six months before the trip. This rejuvenating treatment does an incredible job exfoliating and hydrating your face, neck, décolleté, hands, and upper arms. That is also when I began a series of i-LipoXcell fat-reduction treatments that were perfect for removing the lumpy areas I had around my belly, back, thighs, and backside. This is a non-surgical treatment that uses laser technology to remove fat and tighten skin. It’s like liposuction, but without the knife. Faithfully receiving these treatments and adhering to my personalized weight loss program allowed me to confidently wear a bikini last week.

Enjoying the week leading up the Dr. Maupin's daughter's wedding on the Turks and Caicos Islands.

Enjoying the week leading up the Dr. Maupin’s daughter’s wedding on the Turks and Caicos Islands.

My final series was to tighten my skin on the areas where I lost fat. This was accomplished through the Q-Switch laser on my chin, chest, upper arms, and upper back. Then, a few weeks before the wedding, I went to Abbie Calabio (the expert injector at BioBalance) to smooth out my face. She filled in the wrinkles around my eyes and mouth with Bellafill, the long lasting wrinkle correction, and Botox. I also tried our newest product, Restylane Silk, to smooth out the lines on my upper lip and add fullness to both of my lips.

We arrived on the islands a week before the wedding to enjoy the company of our close friends and new family. We were so glad that the groom’s parents were able to join us. This meant leaving the harsh Missouri winter for what is equivalent to our July sunshine. For protection, I applied the BioBalance Image SPF 32 Tinted Matte Sunscreen every day.

Dr. Kathy Maupin and her son-in-law's mother

Dr. Kathy Maupin and her son-in-law’s mother.

I kept to my daily routine of Biobalance Skin products: Camomile Wash for Dry Skin (#1), Camomile Toner (#2), and Revitalizing Moisturizer (#3). After being in the sun, I rinsed off with water and slathered Botanical Gel all over the parts of my body that were exposed, to heal the burn and the damage caused by the sun. Then, I gently applied Collagen Cream (#4) to my face, neck, and hands, followed by our amazing Revitalizing Eye Gel. This regiment not only gave me the protection I needed to have beautiful skin at the end of the week, but it also provided recovery from the extended exposure to the sun.

Thankfully, it all came together to make me feel confident and beautiful! Hormone Replacement Pellet Therapy for the past 13 years laid the groundwork, while all of my other treatments reversed what time had caused. I am so happy that I invested the time and money into looking my best for Rachel’s wedding—those pictures will last forever!

Get the details of each treatment listed in Dr. Kathy Maupin’s preparation regimen here!