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FOR WOMEN ONLY: The Menopause and Life Beyond Program

What is Menopause?  Menopause refers to that time in every woman's life when menstruation ceases completely. The ovaries' output of estrogen and progesterone diminishes severely. In addition to signifying the end of a woman's ability to have children, changing hormone levels affect the entire endocrine system. This is a process, which takes approximately 3 to 5 years. The transitional phase is referred to as the climacteric, or perimenopause. Menopause is considered complete when a woman has had no periods for a full year. Although timing varies from woman to woman, menopause is generally complete in the early 50's.

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FOR MEN ONLY: The Andropause Program

What is Andropause?  Andropause, the male equivalent of menopause is real, although more subtle than menopause. Estrogen levels in women decline abruptly after menopause. With men, there is a gradual decline in androgens, the male sex hormones, usually starting in the 40's. Along with the decline in androgens is a rise in SHBG (sex hormone binding globulin), which are proteins that bind to testosterone that limit the amount and effectiveness of this hormone as men age. As with the age-related decline of human Growth Hormone (hGH), the loss of testosterone contributes to the familiar "pot belly" and declining muscle tone in middle-aged men. The symptoms of the male menopause include a waning interest in sex, difficulty in having and maintaining an erection, and decreased sexual satisfaction, as well as fatigue, depression, irritability, aches and pains, and stiffness.

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FOR MEN AND WOMEN: The Full Hormone Modulation Program

Our hormone system is best understood if you think of it as a cascade, with the brain at the top followed by the pituitary gland, then target organs (i.e., ovaries, thyroid, testicles), and finally physical and mental functions (i.e., skin thickness, menstrual periods, sex characteristics, aggression, hair distribution, etc.).

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THE AGE MANAGEMENT COMPLETE  EVALUATION  Diagnostic Testing

This part of the day is devoted to establishing measurements on a number of indicators of biological aging. This is important to do this for two reasons:

• We believe it is essential to fully understand your state of health, prior to embarking on any hormone-modulating program.

• By establishing a baseline, we are able to track your progress objectively.

Before actually arriving at Anti-Aging MD for the MedBACE day you will have a battery of blood tests done to assess hormones, fitness and other factors. During the Med-BACE day we will do the following tests to round out the picture of your biological age. Taken together with the blood tests, they present a remarkably complete picture of your current state of health and vitality, whether you are in perimenopause, menopause, andropause or are post menopause.

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THE AGE MANAGEMENT MD NUTRACEUTICAL SUPPLEMENTATION PROGRAM

Why supplement?  Even an individual in menopause with the healthiest diet needs to supplement his or her intake of vitamins, minerals, essential fatty acids, and antioxidants. The nature of our food supply makes this a necessity. Our soils are depleted of vitamins and minerals from years of over-farming, chemical farming, "bioengineering" of foods, harvesting while still "green", prolonged storage systems and acid rain. Our bodies are now forced to deal with more stress than ever. Although the Paleolithic man had a stressful life just trying to survive, in some ways, he was better off than we are today. His body never had to deal with car exhaust, rooms filled with cigarette smoke, smog, outgassings from office equipment, trans-fats, overly "refined" and processed foods (rather than whole foods) and refined sugars in his food. Our bodies need the proper weapons against these new enemies. We simply can not get them from our food, so we must supplement our diets to ensure healthy aging.

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DIETARY GUIDELINES

An important part of your AGE MANAGEMENT COMPLETE EVALUATION Day is your meeting with our nutritional consultant, to go over your test results, review any existing medical conditions or lifestyle issues, and work with you to design a personalized eating program and nutri-therapy component to further you in your anti-aging goals. There will be no one perfect "diet" to follow, since the cornerstone of our anti-aging program is that the particular needs of each patient vary from individual to individual. What follows is some basic information on our overall dietary philosophy:

The diet most synergistic with hormone therapy and relief from Menopause and Andropause symptoms is reminiscent of the Paleolithic diet eaten by our ancestors. That is a diet high in nutrient-dense foods (such as fruits, vegetables, lean meats and essential fats) and low in refined, overly processed, fats and simple carbohydrates. For thousands of years the human diet was very simple: If it grew from the ground, fell from the trees, or ran across our path, we ate it.

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OVERVIEW OF THE EXERCISE PROGRAM

The Benefits of Exercise  As people begin aging, they lose lean muscle and their ability to utilize oxygen decreases. Joints become stiff and metabolism slows down. Are these changes inevitable? No. They are directly related to decreased exercise. Through a regimen of consistent exercise we can rebuild our muscles, increase our metabolic rates, increase our ability to create energy, lower our risk of heart disease, improve our posture and increase the very quality of our lives, even after menopause.

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