Reflections on Special Event at Coast to Coast Compounding

On May 3, Coast to coast Compounding held a special event. Featured speaker Rosemarie Schild, PA, gave her presentation on "If Not You, Then Who? How to be your own Advocate for Healthcare."

An attendee shares the insights she gained from the evening:

"I believe that Rosemarie really spoke from her heart and did a great job sharing her philosophy with the audience. 

Rosemarie's main message was that you should listen to your inner self.  A lot of times in this world, we are taught to only think with our brain -- but we should be using our hearts and souls to also help make decisions when it comes to our care. 

I also thought it was nice for Rosemarie to reconnect so many of her patients. Both the patient and Rosemarie felt that they are connected in a family sense.  It was heart-warming to see such warmth and compassion between patients and their doctor."

Wendi Medved's Reflections on Special Event at Coast to Coast Compounding


On May 3, Coast to coast Compounding held a special event. Featured speaker Rosemarie Schild, PA, gave her presentation on "If Not You, Then Who? How to be your own Advocate for Healthcare."

Dr. Wendi Medved, Pharm.D, shares the insights she gained from the evening:

"I think that Rosemarie embodies the essence of what medicine should be.  She always encouraged her patients to be thoughtful and purposeful in their decision making process.

During the activity time, Rosemarie had her patient fill out our mid-life assessment form which focuses on a large variety of areas in both the medical aspect, community and emotional, nutritional arenas of life.  The attendees seemed very intrigued about the exercise and it was interesting to see the reactions.  Rosemarie also spent time discussing what questions you should be asking your doctor to decide if you like their office, practice and style.  Working with a physician who has similar outlook and attitude about health topics is very important.

I never realized how different the various medical models around the country are until Rosemarie offered her experiences with the different types of healthcare.  With a heavy background in allopathic medicine training through pharmacy school, I’m starting my functional medicine practitioner certification because I feel that the allopathic model leave out a lot of options which really can benefit patients."

Gut Bacteria: A Solution to Your Weight Goals

In your quest to achieve or maintain a healthy weight, do you feel like the advice you are given is from the pied piper?

If so, RSVP to attend our March 15 event "Weight Loss: Change your gut bacteria, shed the pounds" lead by Certified Health Coach Jayne Morrison.

Healthy weight begins with a healthy gut. RSVP today for our FREE seminar.

Women's Health Seminars - Spring Schedule

Believe it or not, Spring is right around the corner. We want you to feel your best.

Come to our menopause support group this evening (Tuesday, February 23) and join a professionally facilitated group to help you beat menopause symptoms. You can RSVP online:

Can't make this event? We have menopause, hormone & bone health, and weight loss & gut health seminars every month. Our upcoming events are:

Feb 23 - Menopause Support Group (Lakewood)
Feb 25 - Hormones & Bone Health (Lakewood)
Feb 29 - Menopause Seminar (Lone Tree)
Mar 10 - Menopause Seminar (Lakewood)
Mar 15 - Weight Loss & Gut Health (Lakewood)
Apr 14 - Menopause Seminar (Lakewood)

Register today, and we'll send you a reminder.

Does Menopause Make You Feel Like This?

Is menopause making you feel nuts? 

Don't forget our free pharmacist led seminars on menopause which are held every month in our Wellness Center. What are the differences between synthetic and bio-identical hormones? What are the pros and cons? How can you get started?

Exercise during menopause could reduce hot flashes, study says

As we watch our Denver Broncos run all over the field and bring home a Super Bowl win, it's a good reminder that we should all be moving to improve and maintain good health. 

(CNN)Women who lead sedentary lives have more severe menopause symptoms compared with more physically active women, a new study finds.

Researchers in Central and South America asked more than 3,500 women living in several Latin American cities about their menopause symptoms, including hot flashes, irritability, insomnia and depression. They also asked the women how many times a week they have recently engaged in at least 30 minutes of physical activity, such as walking or jogging, bicycling or swimming.

    The researchers found that women who were sedentary, meaning they exercised fewer than three times a week, were 28% more likely to report having severe menopause symptoms than those who exercised more. Not surprisingly, sedentary women were also 52% more likely to be obese.

    "This is great support, and another study, showing that being sedentary is not only not good for your health, it is not good for your menopause symptoms," said Dr. JoAnn Pinkerton, executive director of the North American Menopause Society and a professor of obstetrics and gynecology at the University of Virginia. Although Pinkerton was not involved in the current study, she selected it for publication in the society's journal, Menopause, where she is an editor. The study came out on Wednesday.

    Numerous studies have reported a link between physical activity and menopause symptoms, including one that found losing weight through diet and exercise, could ease hot flashes. Hot flashes and night sweats are among the most disturbing menopause symptoms, and the most common reason that women seek medical help for menopause.

    In the current study, sedentary women were 21% more likely to experience hot flashes. They were also 17% more likely to feel sad or depressed.

    Pinkerton suspects that exercise could also help other common menopause symptoms, such as irritability, fatigue and difficulty sleeping.

    The authors of the study speculate the reason that physical activity is so good could be that it spurs the brain to produce chemicals that help control mood, sleep and alertness, such as serotonin and dopamine. These are the same chemicals that might be lacking before and during menopause when levels of estrogen drop.

    "That's the current theory," Pinkerton said. Although she thinks that exercise is probably having a direct effect on reducing menopause symptoms, it is hard to rule out that other differences in the lifestyle of sedentary women, such as having more children than active women, are not also making their menopause worse.

    Questions remain around the effect physical activity has on menopausal symptoms, said Rebecca C. Thurston, associate professor of psychiatry and director of the Women's Biobehavioral Health Laboratory at the University of Pittsburgh. This kind of study can't answer that question because of the other possible lifestyle differences between sedentary and active women, added Thurston, who is also an editor at the journal, Menopause, but was not involved in assessing the current study.

    Exercise would probably help mood and sleep among women in menopause, Thurston said, just because it has been shown in clinical studies to have that effect for people with depression.

    Even with the uncertainty, "exercise is really important for women in the menopausal transition...It will probably make them feel better, help them maintain lean muscle and bone mass and prevent heart disease that could manifest once they become postmenopausal," Thurston said.

    How much should women exercise?

    Exercise can help in some many ways, including reducing the risk of heart disease. But based on the fact that about 60% of people in the world are sedentary -- or 63% of the women in the current study -- many people have room to improve.

    Although exercise can be beneficial for women of all ages, if you "start when you're in your 40s, you can avoid gaining that 12 to 15 pounds [that women often gain during the menopausal transition] and you can be in better shape and better able to handle the stresses that are thrown at you when you have hormonal changes and menopausal symptoms," Pinkerton said.

    The average age that women go through menopause is 51, but before that, they go through a period called perimenopause, usually starting in their 40s. During this time, levels of estrogen fluctuate, metabolism changes and muscle can be lost, all of which can conspire to make it easy for women to gain weight and hard for them to lose weight.

    Women should aim to get at least 30 minutes of exercise three days a week, Pinkerton said. That half-hour could be split up into three 10-minute sessions a day. "Instead of thinking about how I have to go to the gym for an hour, think about walking more, getting up and moving around," Pinkerton said.

    It is also important to remember that exercise may not necessarily take the place of other treatments for menopausal symptoms. "Exercise may help you navigate the perimenopausal transition and may decrease the severity of hot flashes and symptoms, but if you have persistent symptoms, talk with a specialist about other options out there," Pinkerton said.

    What else can help women during menopause?

    Hormone therapy is the gold standard for treating just about all symptoms of menopause, Pinkerton said. Women who have severe hot flashes could be candidates, but so could those with milder symptoms, such as mood changes or difficulty sleeping, and those who want to prevent bone loss.

    "But not every woman wants to or can take hormone therapy," Pinkerton said. Many women and doctors are still worried, she added, about the Women's Health Initiative study in 2002, which reported that estrogen plus progestin increased the risk of heart disease and breast cancer. However, updates to this study in the last several years suggest that hormone therapy is safe for treating women in early menopause.

    Women who want to avoid hormone therapy could be candidates instead for an antidepressant, such as paroxetine, known as Paxil, Pinkerton said. They would generally take a lower dose than for treating depression, and that would be associated with fewer side effects.

    The choice in treatment also depends on the types of symptoms women are having. For those who are struggling with sleep problems, a pain medication such as gabapentin, known as Neurontin, could be a good choice because one of its effects is to induce drowsiness, Pinkerton said.

    For women who want to avoid medication altogether, there is some evidence that cognitive behavioral therapy and hypnosis therapy can be effective. A 2015 analysis suggested that cognitive behavioral therapy, which focuses on helping people change their thoughts and feelings to be more positive, may help improve mild depression in menopausal women.

    These therapies can reduce hot flashes in general because they help women relax, which in turn can help their brains do a better job of controlling temperature perception, Pinkerton said.

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    7 Subtle Signs You Could Have PCOS

    If you’ve skipped a period or two (and know you’re not pregnant) and have been breaking out like you’re a teenager again, it’s easy to chalk it all up to stress. But something more serious may be going on, such as polycystic ovary syndrome (PCOS), a stealth health issue caused by a hormonal imbalance and marked by a series of small cysts on the ovaries.

    Five to 10 percent of women of childbearing age are affected by the condition, but less than half of women are diagnosed, according to the PCOS Foundation. That means millions of women have PCOS and don’t even know it. To shed some light on this silent disease, here are the most common not-so-obvious signs of the hormonal disorder. If you’re experiencing any of these symptoms, bring them up with your gynecologist or general practitioner and get them evaluated.

    1. Your cycle is all over the place.

    Unpredictable menstrual cycles or skipping several periods are one of the hallmarks of PCOS. “Our menstrual cycle is like a vital sign,” says Maryam Siddiqui, MD, assistant professor of obstetrics-gynecology at the University of Chicago Medicine. “It tells us if our metabolism is in a good state; if you’re too thin, overweight, or stressed, that can throw your cycles off. Having irregular periods or more likely, skipping multiple periods could be a sign of a hormonal imbalance like PCOS.” Menstrual irregularities like these should raise a red flag and warrant a doctor’s attention.

    2. You’re growing hair in unexpected places.

    With PCOS, the ovaries produce excessive amounts of a type of hormones called androgens, which stimulate hair growth. We’re not talking about the hairs on your head. “You’ll get hair growth in funny places—around the nipples, on your chest, the inside of your thighs, and your belly,” says Siddiqui. “Places were women don’t typically have a lot of hair growth.”

    3. You’re breaking out.

    Those same high levels of androgens also trigger acne. The hormones boost sebum production, and the combo of excess oil and old skin tissue plugs pores. To add insult to injury, bacteria that flourish on sebum increase, triggering inflammation.


    4. There’s a dark “ring” around your neck.

    You might blame it on a cheap necklace leaving a ring of residue on your skin at first, but PCOS can cause a stubborn darkening of the skin around the back of your neck. “It’s a velvety, dark discoloration that doesn’t wash off,” explains Siddiqui. The pigmentation and skin texture changes can also appear under your arms and around the vulva.

    5. Your belly is getting bigger and you don’t know why.

    Unexplained, persistent weight gain, particularly around the abdomen, is a sign of the hormonal disorder. Although it’s not fully understood why weight gain is a symptom, insulin resistance appears to play a role. “With PCOS, you can have trouble metabolizing blood sugar, known as insulin resistance,” explains Siddiqui. “When you have insulin resistance, your pancreas has to work really hard and make a lot of insulin just to lower your blood sugar. That is linked to weight gain and central obesity.” (Women with PCOS are at higher risk for developing diabetes.)

    6. Those annoying skin tags keep popping up.

    Although it’s not fully understood why, those flesh-colored nubs of excess skin tend to crop up around the neck area and under the arms of women with PCOS, according to the U.S. Department of Health and Human Services. It’s worth noting, though, that skin tags, which are benign and can be triggered by friction, are also common in people who don’t have PCOS, so don’t automatically freak out if you have them.

    7. You’re having trouble getting pregnant.

    The hormonal imbalance interferes with the body’s ability to ovulate normally, which is essential for pregnancy to occur. So it’s no surprise that PCOS is one of the most common causes of infertility. In fact, it’s responsible for 70 percent of infertility problems in women who have trouble ovulating, according to the PCOS Foundation.