Category Archives: Aging

Anti Aging

Published on June 25, 2017 by

When we talk about anti-aging medicine some people think that we are trying to live forever. That is not what anti-aging is about. Anti-aging medicine is focused on aging gracefully–aging in years while still feeling great mentally and physically. We want you to live as optimally as possible for as long as you can.

It is commonplace these days for people to slowly deteriorate in their health for many years until the end of their life. That is no way to live. There is no reason for people to suffer needlessly and have their health dwindle slowly. Anti aging medicine is focused on preventing this from happening. Wouldn’t you rather live without pain and have the energy to do the things that you enjoy doing? An anti-aging physician is sometimes referred to as an integrative physician or regenerative medicine physician. The title does not matter, what matters is the focus of the practice. In order to assist you in living your life optimally, an anti-aging physician focuses on getting your hormones balanced along with assisting you with your nutrition, correct supplementation, exercise program, and helps you detoxify your body and mind.

Womans with half of face looking younger and half looking older

You can live a life full of energy and vitality. You do not need to suffer from pain, depression, fatigue, insomnia, anxiety, decreasing vitality, poor muscle tone, chronic disease, etc. Feeling and looking optimally is achievable if you are willing to be open minded and work outside of insurance.

Insurance is great if you break a bone or need surgery. But if your goal is to feel and look optimally, and prevent diseases, it requires customized care that health insurance can simply not provide. Anti-aging medicine is customized care and it simply can not be done properly under the regulations and guidelines that are imposed by insurance companies.

It takes a mental shift to realize that health insurance is there for the calamities that happen. It is good to have that insurance but it is not there to truly be healthy. To feel and look your best involves taking control of your own care and going outside “mainstream medicine”. It takes a holistic approach that evaluates your hormones, sleep, mind, exercise program, nutrition, supplementation, and toxic load. It takes a willingness to be patient and make the small changes each day that lead to great rewards in your health.

Anti-aging medicine is about looking at you–your unique needs and circumstances. It is about tailoring a wellness program that works for you, at the pace that you need. The focus is on living well in the capacity that you desire and then dying gracefully and quickly (without suffering) when it is time.

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What is Aging?

Published on December 19, 2016 by

Close up of old woman

There are two types of aging. There is chronological aging and there is biological aging. We all have a chronological age. We celebrate that age every single year! We cannot control it, and it goes up by one every year. However, that age is just a number.

All of us have a biological age as well. That number might go up by more than one every year. Fortunately, we have the power to control and even reverse our biological age. The speed of which we age is solely dependent on energy production. Energy production has been the center of “anti-aging” for years. Unfortunately, they viewed decreased energy as the result of aging when it is actually the complete opposite. Decreased energy is the cause of aging!

What causes decreased energy production?

  • Decreased fat metabolism.
  • Decreased mitochondrial efficiency. (the mitochondria are the parts of the cell in which oxygen is converted to energy)

The processes of biological aging and degenerative disease can be slowed and even reversed by altering these two things to increase energy production. Bio-Energy Testing can determine the reasons why you cannot produce energy as well and let us know what is required to increase your energy production to optimal levels. Hormone balancing, diet, proper intake of supplements, exercise, detoxification, and working on the mind are all important parts of maximizing your energy production. With Bio-Energy testing we can evaluate and fine tune the efficacy of your personalized program.

What is Bio-Energy Testing?

Bio-Energy Testing involves the use of a pulmonary gas analyzer to measure real time breath by breath oxygen consumption and carbon dioxide production. A series of measurements are taken at rest and during a progressively more difficult exercise program that is performed on a stationary bicycle. The Bio-Energy Testing computer program then calculates your resting mitochondrial efficiency and your resting fat metabolism.

Bio-Energy Testing® can also determine:

  • Your optimum carbohydrate intake.
  • Your optimum caloric intake.
  • Your lung function.
  • Your heart function.
  • Your overall strength.
  • Your optimum exercise levels.

The Bio-Energy Testing analyzer sorts and analyses an enormous amount of data and calculates your energy production dynamics under both basal (resting) and exercise conditions. Bio-Energy Testing algorithms present the results of these calculations in a way that can have immediate clinical relevance.

The information gathered from Bio-Energy Testing can be used to help everyone–from those who wish to reverse the biologic age to physically fit patients who wish to optimize their athletic performance. Everyone in between may want to know this information to help lose weight and keep it off, increase muscle mass, and optimize energy production to age gracefully.

Contact An Optimal You to schedule Testing and learn more.

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What is normal?

Published on June 6, 2016 by

Isn’t it normal to have my hormones decline with age?

As a physician specializing in bio-identical hormones I have heard this question often and I even wondered it myself. Yes, there are changes that naturally occur as we age. The issue is that we live in an environment that has drastically changed in the past century that accelerates the hormonal decline.


Think about all of the things that we are exposed to today that were not a concern a century ago. The cows are given hormones to help them mature faster and those hormones get into the meat and dairy products. Our diet is full of processed and packaged foods. We use personal care and household products (cleansers, lotions, shave cream, shampoos, make up, house cleaning products, etc) that are full of chemicals. Plastic is prevalent–in water bottles, toys, food containers, etc. Stress levels seem to be higher than ever as we live in a faster paced world each year. The list goes on.

Our hormones are chemically specific and chemicals can disrupt that balance. Stress and the types of food we eat can also affect the hormone balance. Testosterone, Progesterone, Estrogen, Cortisol, and Thyroid hormones are especially disrupted in today’s world. This results in fatigue, poor sleep, increased aches & pains, a decreased libido, weight gain, brain fog, depression, anxiety, etc. Over time, hormonal disruption can lead to an increased risk of dementia, certain cancers, osteoporosis, etc.

Attaining hormonal balance is critical for optimizing your health. We no longer live in a world in which this is accomplished without some intervention. Replacing your deficient hormones with bio-identical hormones is a way to live optimally in today’s toxic world.

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Facts About Osteoporosis

Published on February 20, 2016 by

Osteoporosis is a scary thing for women, and some men. Osteoporosis is diagnosed when your bones are thinning to a point that puts you at a high rate of having a fracture. Osteopenia is the precursor to osteoporosis. These two diagnosis are becoming more common. We are seeing women, and some men, become frail as they age and end up in nursing homes because of fractures.

It does not have to be this way. You can take steps to prevent, and even halt and possibly reverse , bone thinning. Your bones are in a constant state of remodeling–taking down old bone and building new bone. This helps your bones to stay strong. In order to do this, your bones need several things and when it does not grt these things you get bone thinning.

x-ray of spine

Progesterone, Estrogen, and Testosterone are all important in l your bones strong–they are critical for proper bone remodeling. Eating a healthy whole food diet full of organic whole foods is an important piece of keeping your bones strong. Your bones require trace minerals, Vitamin D, calcium, and Vitamin K2 –get this in your diet or from supplements. Staying active and putting some stress in your bones helps your body to remodel and build stronger bones. Smoking and drinking sodas can affect your body’s ability to build strong bones, it is best to avoid these things.

You do not need to have thinning bones as you age. Eat a healthy balanced diet, take the right supplements, exercise regularly, and get your hormones properly balanced so that you can age optimally and not deteriorate slowly.

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Early Signs Of Fading Hormones

Published on May 10, 2015 by

On a weekly basis I have patients saying “I wish that I had come in to see you sooner”. Often they did not recognize the early signs of hormone deficiencies. If they did recognize the signs, they have usually attempted to get answers by utilizing their insurance and seeing their regular doctor. Either way, they have suffered longer than they had to and are happy that they now feel better.

Man sitting on question mark

Men and women both suffer from hormonal imbalances at around 30 to 50 years old due to many reasons: hormone disrupting chemicals (in products we use on ourselves and our house, in our food, in our water), stress, poor overall diet, poor sleep, etc. We age poorly when our hormones decline. Signs of hormonal decline are irritability, depression, anxiety, insomnia, poor muscle tone, inability to lose weight, increased aches/pain, brain fog, decreased memory, decreased vitality, etc. Men may get a decrease in morning erections and women may get hot flashes and/or night sweats. There are a lot of symptoms of hormone imbalance that get ignored because they often come on gradually.

It is not normal aging for you to feel “old”. When you optimize your Testosterone, Progesterone, Estrogen, Thyroid, and Growth hormone it enables you to live your life fully and do the things that you enjoy doing. Replacing your missing hormones with bio-identical hormones is a piece of the wellness puzzle. The first step is recognizing that you may have a hormonal imbalance and not waiting to get it evaluated. The second step is realizing that health insurance is focused on disease and not wellness. In order to have proper treatment you must seek the care of a physician specially trained in hormone balancing. This is customized care that is not covered by insurance. Put your health and well being first and don’t be a person who regrets waiting.

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Declining Hormones

Published on March 24, 2015 by

Imagine moving around and being able to do the things that you love to do. Perhaps you are already feeling vital and strong, but perhaps you are like the majority of people out there who yearn for a body that serves them better. Are you feeling tired, achy, moody, flabby or just feel that you have passed your peak?? Men and women both can feel this way and it is not the way that you have to age. Having a slow decline in your health is not your destiny—you can live with vitality and when it is your time to go, leave this earth quickly and not after a slow deterioration over 30, or more years.

With modern sanitation, medicine, and an abundance of food we are living longer lives. Unfortunately with longer lives we are seeing a marked increase in the number of chronic illnesses and the number of years that an individual is alive but is in a deteriorating state. We can not avoid dying but we can shorten the dying process and increase the number of years that we live feeling younger. If you are all about the quality of life then continue reading.

Declining hormones, along with poor lifestyle choices, are largely responsible for the slow deterioration that we are seeing all around us. The good news is that we have the capability to prevent this slow deterioration, and even reverse some of it . This gives us the ability to live long AND vital lives, not just long lives.

Happy Couple

Decreased levels of Testosterone, Thyroid, Estrogen (women only), Progesterone, and Growth Hormone are often experienced for years before a person seeks medical attention. The decline can be subtle, especially for men, and is often misdiagnosed as depression, anxiety, the normal aging process, or simply that nothing is wrong with the person. The problem lies in the fact that the majority of doctors are not specially trained in detecting hormone imbalances as they are taught to look at normal values and they are not allowed the proper time to get to know you and your unique needs. Let’s face it–you do not want to be average, you want to be above average, right?? The “normal” values do not represent optimal.

Continue reading

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Published on January 26, 2015 by

Hi Dr. Blanscet,
Thank you for the great information on the hormonal changes that women go through as we age. I was wondering if guys go through something similar. I always tease my husband that he is going through “Man-o-pause.” Is there such a thing?
-Heather V.

Indeed there is! Andropause is the medical term for the decline in hormones that occurs as men age. Testosterone is the main hormone that declines in men, although I also look at other hormones. Testosterone has many roles in the body. Not only is it key for drive and stamina, it is essential for many other functions in the body. Testosterone plays a role in bone density, muscle mass, and red blood cell levels, among other things.

Couple Holding each Other

Men make up a large percentage of the patients who seek out hormone therapy. They are often referred by their wives or have heard about hormone treatment from some of their guy friends. The symptoms men may experience include: decreased energy, more aches and pains, changes in mood, trouble concentrating, issues with erections and/or libido, increased body fat, poor muscle tone, slower recovery after workouts, sleep issues, and they may generally feel like they’ve passed their peak. You may hear him complain that he’s “getting old.” A man with low testosterone may not necessarily experience any change to his sex drive, but other symptoms will be evident.

Men’s hormones drop more gradually than ours do so it can often be overlooked. Generally testosterone will decline slowly starting in the thirties. Our toxic environment seems to be accelerating this decline. Remember that testing in a “normal” range for testosterone is not the same as testing at an “optimal” level, so doctors without special training in hormones may not recognize a problem. The trouble is that “normal” is based on a population that is overweight, fatigued, and stressed; basically a population that is not feeling optimal. Often everyone gets caught up in the facade of staying within the arbitrary “normal values” that the whole person is forgotten. Before you assume that the man in your life is doomed to suffer because his lab work is “normal”, trust your gut feelings that something is not right and have his hormones evaluated by a physician who is trained to get him to optimal lab values and functioning.

The great news it that when done correctly it is perfectly safe for men to have Hormone Replacement Therapy (HRT). Men on optimal HRT report feeling at their prime again. Improvements in motivation, mood, memory, energy, sleep, libido, and even their physical appearance have many men loving life again! There are several ways to restore hormone balance in men including bioidentical pellets, creams, or injections. Each man is different and needs a personalized HRT program that addresses his unique needs.

Do not rely on your insurance to pay for optimal wellness–if you want to feel balanced it is in your hands. For the men and women out there: if you are experiencing the decline in your health and the drop in vitality that comes with a decrease in hormones, act now and stop suffering. Schedule a consultation with a hormone specialist!

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Aging Well

Published on October 22, 2014 by

Aging is inevitable but aging well is not. The good news is that you have more control over that than your genetics does. It is also never too late to do something about how you age. Living full of vitality until the end of your life is much more preferable than lingering for 10-20 years—getting sick and frail. There are some fairly simple things that you can do in order to enhance the quality of your life.

Happy Couple

Everyone knows that they need to exercise in order to lose weight but you may not think about it as helping you to age more gracefully. When you get regular exercise it helps your heart and lungs while also helping your musculoskeletal system. When you strengthen your bones and muscles this helps to prevent falls and fractures plus it enhances your overall mobility. You are able to get up and move around much easier. Regular exercise also helps your brain to stay younger and your cardiovascular system to stay in shape. Many people give up on exercise if they don’t lose weight fast enough. Refocus your goal of exercise as a way to live a vital life not just as a means to lose weight. Get at least 150 minutes of exercise a week–that is easy for the majority of people.

A healthy diet is another thing people thing about as a means to lose weight. A healthy diet gives your body the nutrients that it needs in order to build healthy bones and muscles, to keep your heart functioning well, to improve your mental clarity, and to give you energy; among other things. A healthy diet is one that focuses on protein and vegetables. Fruit is ok but limit your intake to one or two per day. Live by the 90/10 rule: 90% of what you eat should be for your health and it is ok to have 10% of what you eat be a little more “fun”. Whole foods that are organic are the best source of nutrition in your 90%.

Getting adequate sleep is critical to feeling energetic and rejuvenating your body. You should get enough sleep that you wake up refreshed. Keep your bedroom dark, quiet and cool. Turn off the TV and computer at least an hour before your bedtime. If you have trouble falling asleep melatonin, yoga stretches, and Epsom salt baths are wonderful natural things you can do to help you sleep better. Better sleep means better aging.

Organic Foods

There are people who say that your hormones should decline as you age but there is also a school of thought that believes you age because your hormones decline. Both men and women can benefit from bio-identical hormone balancing to help them live optimally and age more gracefully. Balancing your hormones (this includes Progesterone, Estrogen, Testosterone, and Thyroid) helps you to feel stronger and more vital, think clearer, and prevents overall deterioration of your health. Bio-identical hlormone balancing is not just for women with hot flashes–it is for men and women who want to age well.

Take control of your aging process and control the things that you can. There are other things that you can do but the four things I mentioned above are often overlooked and yet fairly easy to do. The little things you do each day do add up. If you want to live a full and vital life it starts with a decision to make some changes towards that goal.

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Male Menopause?

Published on August 13, 2014 by

Even though there is more public talk about women and menopause, men also encounter a hormonal imbalance as they age (andropause). Because women tend to have a more abrupt hormonal change they are more likely than men to realize that their symptoms are from a hormonal imbalance. Men tend to have a more gradual change–with symptoms slowly appearing over 20 year period. Often the symptoms are not seen as a hormonal decline.

Andropause - Menopause For Men

Male menopause (called andropause) has many different symptoms. These symptoms come from a drop in Testosterone. These symptoms include depression, irritability, decreased morning erections, longer recovery time from workouts, stiffness and pain in joints and muscles, decreased concentration, decreased ability to build muscle, lowered mental acuity, loss of the competitive edge, overall loss of vitality, fatigue, sleep disturbances, etc. A man may still have a good libido (sex drive) but be suffering from a decrease in his Testosterone levels because he does not realize that Testosterone perfor.s many functions in the body. Testosterone is not just a “sex” hormone.

There are also strong associations between low Testosterone and bone loss (osteoporosis), dementia, type 2 diabetes, elevated LDL cholesterol, and arthritis. There is a lot of incorrect information about the negative side effects of Testosterone and when you research the studies you will find that when bio-identical Testosterone is prescribed and monitored by a hormone specialist, Testosterone is a benefit to the overall health and vitality of men and has not been shown to cause cancer or heart disease. Proper hormone balancing for men results in a man who feels great, thinks clearly, moves easier, and enjoys life better.

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Feel Balanced

Published on April 29, 2014 by

A 46 year old lady came to see me complaining of low energy, gaining fat and losing muscle, low sex drive, some sleep disturbance, and her periods were becoming a little irregular. This is a common story. Typically anytime from 35 years old up to about 52 years old, women start peri-menopause. This can last for several years and it is the time in a woman’s life right before they hit menopause (a woman is in menopause officially once she stops having a period for a year).

Estrogen and Cancer

The peri-menopausal time in a woman’s life is when a woman starts to feel an overall decline in her general well being. She may have a combination of some of the following: hot flashes, night sweats, heavier periods, irregular periods, lighter periods, sleep disturbances, an increase in aches and pains, a lowered libido, mood disturbances (depression, anxiety, irritability), vaginal dryness, weight gain, etc. Some women only suffer from a few of these things while others suffer from a majority.

The good news is that you can feel balanced again. In the case of the 46 year old lady I was able to get her on a natural thyroid medication, bio-identical progesterone capsules, and a Testosterone pellet. After 3-4 weeks she felt like her old self again and is now able to enjoy her life.

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