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Welcome

Welcome to the website for Jim Chialtas, L.Ac., and Laurel Acupuncture Clinic of Functional Medicine, located in San Diego.

Click on the tabs above to learn more about what Functional Medicine is, and about many of the health concerns I specialize in. Or scroll down for my blog. You might find it helpful to use the labels in the lower right column to find topics that interest you.

In addition to seeing clients privately in my clinic, I also offer many of the same services remotely to US residents. Please feel free to contact me to set up a consultation or appointment. Thank you!

8/13/09

The Estrogen / Thyroid Connection

I want to describe to you a rather obscure tidbit pertaining to estrogen and its relationship to thyroid function. Low thyroid function is something that I talk a lot about because it affects a great many people weather they know it or not. Indeed the thyroid gland is very misunderstood and is certainly mistreated through the mainstream approach. But the thyroid gland itself aside, this article is focused on how thyroid hormone activity (not thyroid hormone production) can be hindered due to imbalances in the sex hormone estrogen.

When looking at thyroid hormones, or any hormones really, it is important to differentiate between the protein bound and free forms of the hormone. When a hormone is created by a gland it is immediately bound up with a carrier protein who's job it is to get that hormone to where it needs to go without being destroyed or lost along the way. Once the hormone is where it needs to be that carrier protein is removed and the hormone is "free" to do its job. That is why these hormones are called "free fraction" or "free hormones."

In the case of thyroid hormones there is a specific carrier protein called Thyroid Binding Globulin. It just so happens that when there are elevated levels of estrogen the amount of Thyroid Binding Globulin in the blood also goes up. This increased number of binding proteins hold onto more of the thyroid hormone which works to hinder them from doing their job. Remember, protein bound hormones can't bind to their receptor. They just float around in the blood. So if you were to do a basic thyroid screen you would usually be looking for the protein bound form (generally due to the lower cost of the test) and everything might look fine. The Thyroid is producing plenty of hormone and the paperwork all looks great. But why then is this woman still having trouble losing weight, losing her hair, struggling with low energy, and not pooping very often? These are all low thyroid symptoms which exist even though the actual hormone levels are normal. "Go home, there is nothing wrong with you." Right? Hmmm....

The reason that these symptoms persist is because the elevated estrogen induces a low thyroid state by stopping the free form of the hormone from binding to the receptor. For all intensive purposes this person is low thyroid. The unfortunate part is that the average blood work up won't account for the interplay between estrogen and thyroid Binding Globulin.

A careful history looking for high estrogen conditions like breast cancer, breast cysts, endometriosis, uterine fibroids, or hormone replacement therapy for example should all come into play when considering complaints of low thyroid function. This is thinking outside the box of mainstream medicine. These cases are missed all the time which is unfortunate. It is also of course a great idea to have a look at estrogen levels and there is even a test for Thyroid Binding Globulin. These are tests that I can order if your primary physician is unable or unwilling to order them for you. Be prepared for such a response.

This is just another example of how hormone imbalance can have a negative affect on sexual function and health in general. Let's face it... Someone who is experiencing low thyroid symptoms for any reason is generally low energy. And I think that we all know how great sex can be when one or more of the people involved is, "too tired!" Let's be proactive here. Healthy sexual function can translate into great overall health and lend itself to a positive outlook on life. It is as natural as breathing, sleeping and pooping! And when it comes to thyroid health all of the above can be involved. The solution may be a simple as just looking for the right thing.

Human Sexuality: A TCM Perspective

The Traditional Chinese Medical (TCM) approach to sexual function lends a fascinating perspective on many of the issues facing us today. There are certainly plenty of different problems surrounding sex and reproduction, and a lot of different ways of looking at and treating the problem at hand. Though TCM describes and treats disharmonies in a very different way than we are used to in the mainstream, it can have dramatic benefits when used correctly. I hope through this short article to describe a couple of ways that we can look at sexual dysfunction and offer a few tips on how to strengthen this part of your life naturally.

When looking at any condition in the body the Traditional Chinese approach is to look for disharmony or imbalance in one or more energetic systems. TCM not only considers the problem area, but the entire body qualifying it as a true Holistic modality. But when it comes to anything relating to the reproductive system we generally look towards the kidney energetic system. By now you should be well informed about the concept of Qi flowing through our bodies. Indeed the manipulation of Qi is how acupuncture does what it does. But more specifically a type of Kidney Qi or Jing is where we want to focus our attention here.

Jing is the energy that propels us through life. It blossoms during puberty and wanes in our older age. When our Jing is all used up, so are we. It is natural aging so to speak. It is quite natural when talking about sexual function that some of these energies will weaken as we age. But what about younger people out there who are experiencing declines in sexual energy? What about the ever growing number of young couples who are having trouble conceiving? And what if you are just not happy having good sex over for you in your later years? How does the Traditional Chinese approach address these problems? The first thing to do is to recognize the stressors.

There are some really quick ways of using up Kidney Qi or Jing. The first of which is inadequate nutrition and rest. Both of these are an ever increasing problem in our culture. Our food supply is ever diminishing in nutritional quality, and we are pushing ourselves harder all the time. Our culture's idea of rest is watching television or playing video games. This is not true rest as the body requires. Add to that our addiction to stimulants and sugar and I have detailed a scenario that will gradually tap the Qi of the Kidneys and may lead to a decline in sexual health. The rock star lifestyle just isn't sustainable... nor the life of a couch potato for that matter!

The bottom line here is that you get what you get at birth when it comes to kidney Qi. You cannot build more, but only chip away at your reserves. In order to preserve kidney Qi it is essential that you support a healthy lifestyle to manage your daily Qi needs. If the daily stuff falls short you have no choice than to tap into your reserves which will hinder your sexual energies among other aspects of a healthy life.

The kidney energetic system is only one way to look at sexual dysfunction, and usually relates low function symptoms like low libido, poor erectile function in men, premature ejaculation and low fertility in both sexes. But other disharmonies can of course be involved. For example there could be what we call damp heat conditions which would be indicative of many types of STD's. There could also be blood deficiency or blood stagnation which could affect fertility in women, lubrication, menstrual cycles, etc. Indeed, there are a lot of ways to assess the underlying patterns leading to compromised sexual energy. It is important to sort out which disharmony you may have and address it directly.

The good news is that acupuncture and Traditional Chinese Medicine as a whole can be very effective in helping with many of the conditions I have mentioned. There are some very powerful herbal remedies, and good old acupuncture is always there to help urge your body to thrive. Regaining proper balance within the system is key to enjoying a happy and healthy sex life (and of course an eager and willing partner helps too!). I hope that you will consider acupuncture as a first approach over the more drastic alternatives out there in the medical world. And if you are looking for an understanding, non-judgmental, and truly caring acupuncturist I'm your man. Rest assured I will take the best care of you that I can.

Please do not hesitate to call with your questions or concerns whatever they may be.