100 episodes

BioBalance Health is a medical practice that specializes in Bio-Identical Hormone Replacement, Weight Loss, and Medical Esthetics. Each week Dr. Kathy Maupin discusses important medical topics, and offers advice on hormone replacement and anti-aging strategies.

See the full video at www.biobalancehealth.com

Dr. Kathy Maupin, M.D. is a leading expert in bio-identical hormone replacement therapy, and in treating the symptoms of aging. She is also the author of “The Secret Female Hormone“, the seminal work about hormone replacement therapy for women.

biobalancehealth's podcast Kathy Maupin, M.D.

    • Health & Fitness
    • 4.6 • 10 Ratings

BioBalance Health is a medical practice that specializes in Bio-Identical Hormone Replacement, Weight Loss, and Medical Esthetics. Each week Dr. Kathy Maupin discusses important medical topics, and offers advice on hormone replacement and anti-aging strategies.

See the full video at www.biobalancehealth.com

Dr. Kathy Maupin, M.D. is a leading expert in bio-identical hormone replacement therapy, and in treating the symptoms of aging. She is also the author of “The Secret Female Hormone“, the seminal work about hormone replacement therapy for women.

    Can Food and Lifestyle Decrease Your Total and or Free Testosterone?

    Can Food and Lifestyle Decrease Your Total and or Free Testosterone?

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    The list of the factors that bind T so you can’t use it and those that produce estrogens block free testosterone in both men and women of all ages. The list of lifestyle choices and is much longer than the list of factors you can use to stimulate testosterone.
    Soy in many foods: It is a fact that foods that are processed have many “fillers” that are invisible to the person eating them. These fillers are often the culprit decreasing naturally produced testosterone levels and available or active T called free T.   The biggest problem at the present is the addition of soy to nearly every processed food, even ice cream.  Soy is a phytoestrogen.  Phyto Estrogens in food (not medical estrogen) act as a female hormone, limiting the effectiveness of testosterone and the production of T.   
    To avoid soy in everything you eat, you must do two things: 1. Eat basic meals cooked by you or a family member from fresh foods that do not include canned or processed foods, and 2. you have to look at the label and only buy products without soy.  Currently there are only 2 brands of ice cream that don’t add soy.
    Soy gives men a “Beer Belly” and all other foods with soy will also increase the fat collection in the abdominal area of both sexes.
    Soy is the primary proteins of vegans and therefore it is consumed in large volume therefore has more of an effect on lowering free T and T levels.
     
    Eating out of and microwaving in plastic containers (even drinking water out of plastic) causes our bodies to absorb the plastic chemical’s estrogen. This does us no good and is a contaminant and toxin that we store in our body fat. It is the biggest enemy of T.  It is everywhere and is considered the leading cause of lowering the average T level of men aged 15-40.  It is everywhere so stop cooking in it and drinking from it when you can!  Don’t eat out of plastic bags, or microwave plastic containers, or plastic bags with food in it.  
    Diabetes should be treated, and blood levels of sugar should be kept in control as low as possible for type 2 diabetes.  
    Omega 6 fatty acids shrink the testes while the Omega 3 FA increase the activity of the testes  
    Dairy has inherent estrogen in it and animal feed often contains soy, and that makes the milk and meat higher in estrogen.  
     
    Trans Fats—Are in most processed foods. Chips, any snack food that is not dried fruit or nuts Commercial baked goods, such as cakes, cookies, and pies.   Microwave popcorn. Frozen pizza. Refrigerated dough, such as biscuits and rolls. Fried foods, including french fries, doughnuts, and fried chicken. Nondairy coffee creamer. Stick margarine.  
    Alcohol is a toxin and slows fat loss, damages the liver, and increases estrogen production in the liver, which inactivates testosterone.  
    Obesity is dangerous to us in so many ways. The mere fact of being obese increases our risk for multiple diseases, but fat also converts testosterone in to estrone and estradiol in both men and women.  The fatter a person is the less free testosterone he or she has.  
    Being a Couch Potatoe. being inactive, is deadly for testosterone production and free Testosterone. Inactivity increases fat production and estrogen production.  Moderate exercise every day is the answer!  
    Over activity causes an increase in SHBG which binds testosterone. Marathoners and professional athletes run the risk of binding their good total testosterone so that it is not free to bind to Testosterone receptors.  
    Fasting can cause increase in free testosterone by increasing SHBG. Humans were built to eat small amounts often, and eating one meal a day increases SHBG, that inactivates free T.  
    Licorice root (in black licorice), Ashwaghanda and all mint family herbs even basil decrease active Testosterone blood levels.  
    Phytoestrogens are in many women’s natural supplement

    • 20 min
    Can Food or Lifestyle Stimulate Your Testosterone Production?

    Can Food or Lifestyle Stimulate Your Testosterone Production?

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    What are the factors that stimulate or inhibit your own Testosterone (T) production?
    There are foods, supplements and activities that stimulate testosterone production,
    Just as there are foods, supplements and activities that lower your internal T production. Today I would like to address the factors that increase the production of testosterone in both men and women.
     
    However, there are limitations on these nonmedical pathways to a higher testosterone level:
    1. One is your age. If you are a woman and menopausal then there are no foods or lifestyle changes that will stimulate your ovary to come back to life and make testosterone.  Women have a finite lifespan for their production of estradiol and testosterone, and it ends at menopause.  Estrogens can be made in the fat and the adrenal but pure testosterone is only made in the ovary, and when the ovaries “die” that’s the end of testosterone production.
    2. Men make testosterone throughout their lives, but their testes become resistant to stimulation around age 55, but they can become resistant as early as age 40, and then nothing other than T replacement will increase testosterone levels.
    3. A person’s body has a genetically driven sensitivity to the hormone Testosterone. Your heritage or the origin of your ancestors determine how you will “feel” with a particular blood level of testosterone. This has been studied by looking at the genetics of the T receptor on all the cells of your body. Receptors are more sensitive the closer you get to the equator in the western hemisphere, and the receptors are less sensitive if your ancestors’ origin was closer to the north and south poles than if they were from around the equator.  A certain level of testosterone doesn’t have the same effect testosterone on both groups.  In other words, those genes from around the equator need less testosterone to get the same effect as those people from extreme high and low latitudes. We are all different and our genes have an effect on our treatment.
    If you are a menopausal woman or over 40 then the manipulations of diet and exercise will be less likely to increase your testosterone production.
    There are foods and activities that inherently stimulate your internal testosterone production if you are a woman under 40 or a man under 50.  After that you generally must replace your T to improve your symptoms of low Testosterone.
    Eating fewer fast foods and more of a well-balanced Mediterranean diet with fresh foods can optimize your testosterone production.
    High protein diets with grass fed animal foods and plenty of fish will optimize your testosterone production. Cholesterol containing foods provide the necessary building blocks for Testosterone in the body.
    Getting to your ideal weight will increase the free Testosterone in your blood stream making you feel your testosterone more.
    Getting 7-8 hours of sleep a night will increase the production of T, because T production is stimulated at night when you sleep.
    Sleeping in a dark room stimulates the production of Testosterone, Growth hormone (muscle development) and Melatonin (deep sleep).
    Daily moderate Exercise (not necessarily running a marathon) will stimulate your production of Testosterone.
    Supplements can stimulate production of Testosterone. There are several supplements targeted to stimulate testosterone that contain carnitine, inositol, choline.
    Protein in the diet provides the building blocks of muscle and testosterone and allow the activities and foods that stimulate the production of T have something to build with. People with a low protein diet (no eggs, fish, beans, milk products or meat) have a more difficult time making T.
    Most combination supplements that are touted on TV to increase your T are herbs and supplements that decrease estrogens like DIM, or supplements that increase your T by providing the hormones that are pre

    • 20 min
    Women, and Black Men and Women, Wait Longer at the ER for Diagnosis and Treatment of a Heart Attack

    Women, and Black Men and Women, Wait Longer at the ER for Diagnosis and Treatment of a Heart Attack

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    Sexism and bigotry are still alive and well in medicine. I have experienced this often during my 40 years in medicine. Women are considered hysterical to the medical man (and some women) which has been what men think about us since time began. This has passed it’s “sell-by” date, as has the bigotry against people of color, but it is present, and we must somehow get what we need and get around the attitudes of medical personnel.
    My best advice is to not act hysterical because the male brain then flips to the thought that we are imagining this medical symptom! But if you cannot help it then have someone with you who can talk like a man---“just the facts”, don’t embellish and don’t give them a long story…they lose interest, and forget why you are there.
    Tell the ER Doctors and EMTs”
    That you think you or your loved one is having a heart attack The estimated time you started having these symptoms If you took an aspirin, then tell them Have your medical history written on your iPhone app: look up this icon on any iPhone Have a list on the iPhone app or on a list in your wallet. Give all this information to your healthcare provider right away. Answer questions succinctly and quickly…no stories! We are successful at treating heart attacks and preventing disability and death in older men, but women of all ages and people of color, both sexes, are not being treated optimally, certainly not as well as their older white male counterparts.
    “Despite a decline in the number of overall heart attacks, this number is rising among young adults,” Dr. Banco adds. “And young women and young Black adults have poorer outcomes after a heart attack compared to men and white adults.”
    Journal of the American Heart Association: symptoms of heart attack
    Chest pain, pressure, chest tightness, burning in the chest Shortness of breath Left arm pain, Jaw pain Upper back pain Heart burn Passing out As doctors, we have been taught that women have different symptoms than men when having a heart attack, AND we have been taught that men have many more heart attacks than women. Only half of that is true. Women have fewer heart attacks when they are compared to young men of the same age, BUT women reach the same rate of heart attacks as men after menopause and if they are not replaced with estrogen.  Our female patients at Biobalance Health actually have fewer heart attacks than is normal for their age after menopause because they are replaced with estradiol pellets.
    Young adults 18 to 55 years old who come to the emergency room with chest pain may wait longer and get less thorough workups when they’re female or Black, a new study suggests. But they have fewer heart attacks than men and women as they age.
    The studies show that the care women receive is biased and are not considered at risk for heart attacks. An expert Gulati say in Everyday health,
    “There is implicit bias in how we care for women,” Gulati says. “Women are still not seen to be at risk for heart disease (https://www.everydayhealth.com/heart-disease/). It is still seen as a man's disease, despite the fact that cardiovascular disease remains the leading cause of death in both men and women.”
    Delay in treatment should not be discounted. It can mean the difference between life and death and health and disability.
    “Time is heart muscle,” Dr. Gulati says. “So, these noted delays and less aggressive care of women have the potential to translate into delays in care, less diagnostic testing, deaths at home for some discharged, and continued worse outcomes after a heart attack in young women — particularly young Black women.”
    If you have the symptoms of a heart attack, you should take a baby aspirin (81 mg) and call 911. Time is obviously very important to the heart and lack of oxygen from a heart attack damages the heart muscle and therefore can leave you with a d

    • 14 min
    Possible Issues Related to the Insertion of Testosterone Pellets in Women

    Possible Issues Related to the Insertion of Testosterone Pellets in Women

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    Most of you know that when I replace Testosterone hormones for my female patients who lose testosterone as they age. I only used Bioidentical Estradiol and Testosterone in the form of long-lasting subcutaneous pellets.  I have limited my practice to only use this type of delivery system because pellets deliver a steady supply of Testosterone, without daily variation in blood levels, and have the fewest side effects of any type of testosterone replacement. However, nothing is perfect, and it is important to know what the side effects of any treatment are.   There is no medical care that I know of that does not have associated side effects in a small percentage of patients.
    There are several problems that can occasionally occur after pellet insertions.  We follow a strict sterile procedure protocol and provide a complete instruction sheet to our patients and verbal instructions on how to take care of the insertion site.  Despite all precautions, a few patients have complications associated with their pellet insertion. I will dedicate the accompanying blog to the side effects of the pellet insertion procedure.  The side effects can be caused by allergy, infection, as well as not following our instructions. The problems that are possible, but rare:
    Expulsion—the pellet comes back out Allergy Infection Seromas: Fluid around the inserted pellets Reaction to numbing medicines Remember that the procedure safety is only as good as the operator and choosing your doctor carefully for experience and attention to safety. The more experienced your doctor is in pellet hormones and the more she concentrates on pellet only therapy, the less risk you will have.
    For a full video describing these issues and the treatments, please go to my website biobalancehealth.com watch the Healthcast for #603.  This presentation will include the slides and audio explaining the procedure and side effects.   You can also go to You Tube to view the short lectures and slides about the side effects of testosterone pellets in women.

    • 23 min
    Possible Early Complaints after the Initial Testosterone Pellet insertion – Part II

    Possible Early Complaints after the Initial Testosterone Pellet insertion – Part II

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    Most of you know that when I replace hormones for my female patients, I only use
    Bioidentical estradiol and Testosterone in the form of long-lasting subcutaneous pellets.
    I only use this type of delivery system because pellets deliver a steady supply of T and have the fewest side effects of any type of testosterone replacement. However, nothing is perfect, and it is important to know what the side effects of any treatment is.  There is no medical treatment without any side effects.  There is no medical care that I know of that does not create complaints by patients.
    There are several problems that occur during the first 4 months after the T pellets are inserted and usually present during the first 4-12 months of treatment. I will dedicate the accompanying Healthcast to later side effects of Testosterone pellets and what we recommend to lessen these effects. Of all the types of testosterone replacement for women, pellet replacement has fewer and less severe side effects than all other forms of testosterone for women. The later side effects include:
    Facial Hair and Acne Androgenic Hair Loss Voice Lowering Weight Gain For a full video describing these issues and the treatments, please go to my website biobalancehealth.com watch the videocast for #602.  This presentation will include the slides and audio explaining them. You can also go to You Tube to view the short lectures and slides about the side effects of testosterone pellets in women.

    • 30 min
    Possible Early Complaints after the Initial Testosterone Pellet insertion for Women

    Possible Early Complaints after the Initial Testosterone Pellet insertion for Women

    See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/
    Most of you know that when I replace hormones for my female patients, I only use bioidentical estradiol and testosterone in the form of long lasting (3-6 months) subcutaneous pellets.
    I have limited my practice to this type of delivery system because pellets deliver the most stable dose with the fewest side effects, while supplying a steady supply of testosterone compared to other delivery forms of bioidentical testosterone. However, no medical treatment is perfect for everyone, and it is important to know what the side effects of any treatment is both as a doctor and a patient.  There is no medical care that I know of that does not create complaints of some form by patients. Sometimes it is because they have not listened, or not read our literature given them at their appointment. We try to prepare patients for the temporary symptoms of their first Testosterone insertion
    There are several problems that occur during the first 4 months after the T pellets are inserted. These side effects are treatable and temporary. and usually present during the first 4 months after the first pellet insertion.  I will dedicate the accompanying Healthcast to the early side effects of testosterone pellets and what we recommend lessening these effects. Of all the types of testosterone replacement for women, pellet replacement has fewer and less severe side effects than all other forms of testosterone for women. The immediate side effects of this type of testosterone
    Temporary issues in the first 4 months:
    Vaginal Itching-not an infection! Clitoral enlargement! Hyper-sexuality Weight Gain=muscle gain These four complaints compose the most common phone calls we get after treatment with Testosterone pellets, even though we give our patients handouts preparing them for the adaptation changes the female body goes through when readjusting to testosterone blood levels in their bodies. The changes caused by testosterone deficiency occur slowly, so slowly in fact that you may not realize the numbness of the vulva and vagina, the shrinkage of the clitoris and vaginal opening, and lack of libido and muscle mass that accompanies loss of T.  It takes several months for reversal of those deficiency symptoms and the adaptation that takes place as everything goes back to the normal you were accustomed to when you were younger, before testosterone became deficient.  It is the re-adaptation to testosterone that causes the symptoms during the first 4 months.
    For a full video describing these issues and the treatments, please go to my website biobalancehealth.com watch the videocast for #601.  This presentation will include the slides and audio explaining them. You can also go to You Tube to view the short lectures and slides about the side effects of testosterone pellets in women #600-603.

    • 27 min

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Dr. Maupin is a genius

Even as a patient of Dr. Maupin’s I love this healthcast. It is easy to listen to, easy to understand, and entertaining. Dr. Maupin has such an incredible passion for people...I know this personally. I know she’s always in my corner and HEARS every word I say. Her compassion amd knowledge come across in her healthcast.

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