Texas Cosmetic Dermatology Blog

1. Eat Well: A low glycemic diet, right amount of lean Protein and adequate amount of Good fats keep you youthful

2. Get Moving: Regular Physical activity including 30 minutes of aerobic exercise 5-7 days a week and 30-60 minutes of strength training 2-3 days a week boosts growth hormone production and circulation vital to great looking body and skin

3. Supplement your diet: Aging is mediated through oxidation, reduction and Glycation. Anti-oxidant, anti-inflammatory and anti-glycation supplements can slow down and even reverse aging.

4. Mange your stress: Chronic Stress leads to release of neurotransmitters which cause accelerated aging. Some of the effects of these stress induced neurotransmitters are excess weight gain, high blood pressure, poor skin circulation and chronic fatigue. Deep breathing, meditation, yoga, biofeedback are some ways to reduce stress.

5.Get good Quality Sleep: Chronic lack of sleep or poor quality sleep leads to production of stress mediated neurotransmitters which lead to accelerated aging.

6. Avoid environmental age accelerators: Like smoking, alcohol, toxins. Quit smoking, Ask your family doctor for help with prescription medication if you need . Have alcohol in moderation and try to have fresh organic food as much as possible. Get a good quality water filter system to reduce ingestion of toxins in water

7. Limit Sun Exposure: Wear minimum SPF 20 every day,Avoid direct sun exposure between 10 am and 4 pm

8. Use high quality skin products preferably without parabens: Skin products with high dose of quality antioxidants, anti inflammatory ingredients without unnecessary additives do well to slow down and reverse aging skin

9. Regular skin corrective and maintenance treatments: Skin treatments targeting your individual needs can take off years with little or no downtime. IPL treatment for reducing redness and sun spots, microdermabrasion to increase cell turnover and circulation, Botox and Fillers to reduce wrinkles, CO2 skin resurfacing to improve texture and tone, Dermawave to tighten skin, can all dramatically improve skin aging

10. have a positive outlook on life! You only look as good as you feel!

If you are interested in learning more about Anti Aging Skin Treatment options in or around South lake, Colleyeville, Keller, Grapevine, Flower Mound, Lewisville, Arlington, Fort Worth, North Richland Hills, Denton and other areas around Dallas Fort Worth Metroplex, Please call our office at 888-210-9693 or visit our website at
www.nailamalikmdskin.com

Our metabolism is very complex and obviously we do not have full understanding of all the hormones. Very frequently I see patients who have tried hard to lose weight and are not successful. Calories in minus calories out do not always add up!

Thyroid hormone, Insulin and Cortisol affect our metabolism and ability to store or burn fat. Other hormones to consider are Estrogen, Progesterone and Testosterone. An imbalance of these hormones also leads to weight gain, especially in the mid abdomen area. For these people Bio-identical hormone Replacement therapy may be an option

There are many studies to establish link between menopause and weight gain. Here are links to review a few:
Menopause, weight gain and exercise tips
Is weight gain common during menopause?

below the belt women's health

A considerable number of my weight loss patients consists of middle aged women, in peri-menopause or menopause. While these patients do very well with HCG /diet, it is important to optimize hormones for long term success with keeping a healthy weight.

Please visit our website or call our office at 888-210-9693 for information about our Wellness programs.

Naila Malik MD PA offers Cosmetic skin treatments for Acne, Eczema, melasma, wrinkles, scars, cellulite, HCG weight loss, Bio-identical Hormone replacement Therapy in DFW Metroplex including, Southlake, Colleyville, Keller, Grapevine, Flowermound, Trophy club, North Richland Hills, Fort Worth, Arlington and surrounding areas.
Call our office at 888-210-9693 for information

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

Until recent years, Hormone Replacement Therapy generally consisted of synthetic hormones given to menopausal women for symptoms of hot flashes, vaginal dryness etc.

Premarin was the first brand of hormone for HRT in USA and contained only equine (horse) estrogens. Due to concerns over increased incidence in uterine cancer with use of Premarin, in the 1950's Prempro was introduced which contains a synthetic progestin in addition to Estrogen.

In 2002, the WHI (Women's health Initiative) published its results looking at the effects of HRT with Premarin and Prempro on a large group of women. The findings were shocking and created a frenzy in patients taking the hormones and doctors prescribing them. HRT with synthetic hormones was found to definitively increase the risk of blood clots, stroke and breast cancer.

Millions of women stopped their HRT following the release of these results and started to look elsewhere for the relief of their symptoms.

Bio-identical Hormone therapy BHRT

Bio-identical means that the biochemical structure of the hormone is identical to the hormone produced by a woman's body. Not a horse's hormone or an artificial formula close to but not quite the same as a woman's hormone.

What took so long for BHRT to gain acceptance?

The pharmaceutical companies developed synthetic estrogens and progestins to patent their drugs. They assumed small changes in estrogen or progesterone molecule will not affect women, which unfortunately is not true.
Birth control pills are synthetic estrogens and progestins,and most women know each brand has different effects.Some of the benefits from BHRT are:

• Bio-Identical hormones are chemically processed from precursors found in yams or soy plants and are identical to hormones produced by the human body.When administered, these hormones are able to follow our normal metabolic pathways forming active metabolites unlike synthetic hormones which are chemically altered and differ in structure or activity from the naturally occurring hormones in the body.
• Bo-identical hormones are prepared by a compounding pharmacy that customizes the dose for each patient after Physician assessment so dose can be adjusted to individual needs.
• BHRT therapy can be achieved with transdermal administration of 'bio-identical' estrogen, testosterone and progesterone with a cream which bypasses the undesirable effect of hormones on liver.
• Hormone therapy can be used to adequately mange a number of conditions such as Hypogonadism, Andropause, Menopause, peri menopause, Hypothyroidism, etc without the side effects associated with synthetic hormone therapy.

As a Family Practitioner, I have treated patients with estrogen, progesterone and testosterone for many years. I could not understand why patients would have a less than optimum response in spite of adequate hormone dose.

Comprehensive Bio-identical Hormone Replacement Therapy (BHRT) involves optimization of all hormone systems because very often their functions are interdependent. Optimizing one area without addressing the others can lead to frustration.
The hormones I assess in my initial workups on all patients and consider replacing on an individual basis include:

• Testosterone


• Estrogen


• Progesterone


• Pregnenolone


• Human Growth Hormone


• Thyroid Hormone


• DHEA

Parallel to any good hormone replacement regimen is the program of lifestyle optimization that will allow our bodies to maximize the rejuvenating effects of BHRT on our body cells.

One of the major concepts I learned during my certification with anti aging medicine is: "We age because our hormones decline, our hormones do not decline because we age" which is contrary to what I learned and practiced for many years in mainstream medicine.
As I saw more and more middle aged patients, I started to look for answers for common "quality of life" issues. The hormones that keep us youthful, vital, full of energy and vigor are all designed to allow us to procreate. After childbearing years 'nature' has no evolutionary use for us and these hormones start to decline decade by decade.

Why is there a problem with optimizing these hormones as we age?
Partly we do not fully understand the side effects of HRT. The WHI study published in 2002 was shocking for many patients on traditional HRT and for the doctors prescribing HRT Some of the hesitation may be related to abuse of Growth hormone and testosterone by body builders and athletes and all the side effects resulting from abuse.

Conventional medicine is slowly starting to recognize the reasoning of BHRT as more and more evidence accumulates about the safety and quality of life benefits from BHRT

Hormone Replacement therapy is not for everyone. If you have history of malignancy of sexual organs (ovaries, uterus, breasts in women), (Testes, prostate and breasts in men) you may not be a candidate for HRT.

Phys Ed: How Exercising Keeps Your Cells Young, Read thefull article here
In a recent study German Scientists compared cell life spans of different groups of subjects. The first group consisted of professional runners in their 20s, The second group consisted of sedentary young individuals, the third of middle aged sedentary people and finally a group of middle-aged longtime runners ( average age of 51) running on average 50 miles per week.

Dr. Christian Werner, an internal-medicine resident at Saarland University Clinic in Homburg noted the striking difference in appearance. The active middle aged group looked remarkably younger than the inactive counterpart.
The findings at the cellular level were even more striking. While the white blood cells from each of their subjects in both the active and sedentary young adults had similar-size Telomeres, the Telomeres in the sedentary middle aged group were significantly shorter than the active counterpart.

Telomeres are small end caps on the DNA strands. With each cell division, part of the telomere cap is snipped to repair the rest of the DNA strand. With repeated cell replication telomeres get shorter and shorter until the cell dies or is unable to repair or replicate itself. Telomere length is widely accepted as a reliable marker of cell age.

Exercise has many benefits, increased Aerobic capacity, better Muscle tone, slimmer Physique, but the effect of regular exercise on cellular aging could be astounding. Thomas LaRocca is a Ph.D. candidate in the department of integrative physiology at the University of Colorado in Boulder, who has just completed a new study on the effects of exercise on aging cells. In Mr. LaRocca's study, people were tested both for their V02max (Maximum aerobic capacity) and their white blood cells' telomere length. In subjects 55 to 72, a higher V02max correlated closely with longer telomeres. The fitter a person was in middle age or onward, the younger their cells.

How does activity affect the DNA? we do not know the answer yet, however Dr. Werner found that his older runners had more activity in their telomerase, a cellular enzyme postulated to help protect and lengthen telomeres. Exercise may have an effect on activity of telomerase and not directly telomeres .

No one knows how much exercise is needed to lengthen cellular lifespan. Any amount of regular physical activity helps keep you healthy, strong and young.
If you have health problems please consult with your physician before starting any exercise program.

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.

For more information on anti aging treatment options check out our website or contact our Southlake Cosmetic Dermatology office at 888-210 9693

Recently NEW YORK TIMES published an interesting article on age management with lifestyle modification and hormone replacement Click to review article.

Consider the human body a well designed machine and like all machine it wears out commonly referred to as aging. Free radical damage and telomere shortening are proposed mechanisms at biochemical level.Telomeres are the protective tips on chromosomes responsible for repair of daily wear and tear through replication.

Anti aging treatments are aimed at correcting or lessening some of these biochemical aging mechanisms to improve quality of life and not necessarily prolong longevity.

Comprehensive age management program includes evaluation of body function and attempt to improve all aspects of aging through lifestyle modification,and optimization of declining hormones such as Testosterone, Estrogen, Progesterone, Human growth hormone when clinically indicated.

Everyone is familiar with Menopause, but few Physicians in mainstream Medicine acknowledge Andropause, the male menopause.

Testosterone is a naturally produced anabolic steroid produced by testes in males and adrenal glands in females. A growing minority of physicians regard it as motor oil that keeps human bodies running smoothly.

Andropause or male Menopause is the condition when the testicles stop responding to a testosterone stimulant like H.C.G. male menopause occurs anywhere between the ages of 45 and 75. The result is loss of muscle mass, poor exercise tolerance, mid abdominal weight gain, decreased libido, erectile dysfunction, poor concentration etc.

A well rounded approach to "anti aging" treatment is a combination of the following:

• Balanced diet with low glycemic carbohydrates, optimum amount of good quality protein, low amount of high saturated fats.
• Regular exercise, 40-60 minutes each day, 6-7 days a week including both aerobic exercise and strength training
• Use of antioxidant in a combination of fresh fruits/vegetables and supplements as indicated
• Supplementation of declining hormones, Estrogen, prgesterone, Testosterone, Human growth hormone IF clinically indicated and IF no contra indications to use of such hormones.

Let's face it, we are getting old and Do not like it!! Good news is there is something we can do about it.

Call our office 888-210-9693 for an appointment for anti aging hormone therapy consultation.

LEGAL DISCLAIMER

The information on this Web site is provided by Naila Malik MD for educational purposes only. It is not a substitute for professional medical care, and medical advice and services are not being offered. If you have, or suspect you have, a health problem you should consult your physician. Only your doctor can provide you with advice on what is safe and effective for you. Never disregard professional medical advice or delay in seeking it because of something you have read on the Site!
THE SITE DOES NOT PROVIDE MEDICAL ADVICE.