Symptom Consultations:

HYPOTHYROIDISM

The Philosophy

Thyroid problems are frequently hereditary and are five to eight times more common in women. Even if subtle, many thyroid problems may leave women exhausted, depressed, with menstrual disorders or infertility. At Hormone Health Strategies, we address these problems with a comprehensive, preventive approach to help give you back your life.

Who Should Consider a Consultation?

• Women who have a family history of thyroid problems

• Women with previously diagnosed thyroid problems who are not being treated and are symptomatic

• Women who are currently being treated for thyroid problems and do not yet feel back to “normal” or optimal well-being.

• Women who would like help in regulating their thyroid medication

• Women with depression who have not responded to antidepressants

• Women who recognize the symptoms and seek diagnosis
  

Symptoms to Watch For:

• Slowed body functions (pulse, metabolism, circulation, energy level, etc.)

• Fluid retention (puffy eyes, swollen ankles, bloating)

• Low body temperature – marked sensitivity to cold and heat

• Frequent infections

• Joint and muscle aches

• Dry skin, brittle nails and hair

• Heart irregularities

• Feeling sluggish, lethargic and fatigued

• Depressed and/or anxious mood, sleep problems,
  

What a Hypothyroidism Consultation Involves:

• Comprehensive history and focused physical

• Comprehensive laboratory studies of pituitary, thyroid, ovarian, and adrenal hormones, metabolic measures, bone markers, heart disease risk factors, diabetes screening, liver and kidney function, and others

• Individual two-hour consultation with Dr. Vliet that includes discussion of the above plus individualized treatment recommendations and prescriptions (except for Second Opinion Consults that do not include Rx).

• Health education/stress management, nutrition and exercise consult

• Comprehensive summary of all results and patient education resource notebook for background reading, record keeping, and to facilitate communication with other health professionals on your medical team.

Additional Services As Appropriate And Desired

Bone density test for osteoporosis, Nutrition Consultation, Exercise physiology consultation,Weight management

 

POSTPARTUM DEPRESSION

The Philosophy

Having a child should be the highlight of your life, but the joy may be overshadowed if you develop postpartum depression. Hormone Health Strategies understands this neuroendocrine condition and our staff provides women with the evaluation treatment options and reassurances they need to regain energy and improve well-being.

Who Needs a Consultation?

Women who have had a child within the previous year who are experiencing anxiety, depression, exhaustion, fuzzy thinking, palpitations, headaches, low sex drive, and other “vague” symptoms that have been present longer than a month.

Symptoms to Watch for:

• Agitation, alienation, anger, anxiety, guilt, fear of harming your baby

• Crying, confusion, depression, fatigue, excessive tearfulness

• Feeling of hopelessness, low self-esteem, excessive worry

• Headaches, hair loss, insomnia

• Low energy, loss of sex drive

• Strange or violent thoughts, trance-like states

• Weight changes, especially marked weight loss and weakness
  

What the Consultation Involves:

• Comprehensive history and focused physical

• Comprehensive laboratory studies of pituitary, thyroid, ovarian, and adrenal hormones, metabolic measures, bone markers, heart disease risk factors, diabetes screening, liver and kidney function, and others

• Individual two-hour consultation with Dr. Vliet that includes discussion of the above plus individualized treatment recommendations and prescriptions (except for Second Opinion Consults that do not include Rx).

• Health education/stress management, nutrition and exercise consult

• Comprehensive summary of all results and patient education resource notebook for background reading, record keeping, and to facilitate communication with other health professionals on your medical team.

Additional Services As Appropriate And Desired

Bone density test for osteoporosis, Nutrition Consultation, Exercise physiology consultation, Weight management

 

PREMENSTRUAL SYNDROME (PMS)

The Philosophy

PMS is a neuroendocrine condition that affects between 40-60% of women. Approximately 5-10% of women with PMS describe marked disruption in ability to function at home and work. PMS is a set of symptoms that recur before each menstrual cycle and are generally absent for at least the week after menstruation. Hormone Health Strategies offers a unique combination of evaluation and treatment modalities in a comprehensive package aimed at developing healthy lifestyle habits, improved hormonal balance, and successful stress reduction approaches to combat the disruptive effects of PMS.

Who Should Consider a Consultation?

Women from puberty to menopause who have recurring emotional and physical symptoms with most menstrual cycles. True PMS symptoms begin after ovulation and then resolve with the onset of bleeding.

Symptoms to Watch For:

• Crying spells, depression, panic attacks, anxiety

• Suspicion and jealousy, anger, fatigue, irritability

• Physical symptoms including skin, respiratory or eye problems, headaches, migraines, cravings for chocolates, sweets or salty foods, increased appetite, binge eating

• Joint and muscle aches, backaches, bloating, irritable bowel, allergy outbreaks

• Changes in memory, concentration, low sex drive
  

What the Consult Involves:

• Comprehensive history and focused physical

• Comprehensive laboratory studies of pituitary, thyroid, ovarian, and adrenal hormones, metabolic measures, bone markers, heart disease risk factors, diabetes screening, liver and kidney function, and others

• Individual two-hour consultation with Dr. Vliet that includes discussion of the above plus individualized treatment recommendations and prescriptions (except for Second Opinion Consults that do not include Rx).

• Health education/stress management, nutrition and exercise consult

• Comprehensive summary of all results and patient education resource notebook for background reading, record keeping, and to facilitate communication with other health professionals on your medical team.
  

Additional Services As Appropriate And Desired

Bone density test for osteoporosis, Nutrition Consultation, Exercise physiology consultation, Weight management

 

COMPREHENSIVE HORMONAL

EVALUATION

The Philosophy

This unique multidisciplinary approach helps women who have unresolved hormone-related health problems regain their health and happiness.

Who Needs A Hormonal Evaluation?

• Women of all ages who suspect they have hormone-related problems

• Women with hypothyroidism, premenstrual syndrome (PMS), postpartum depression, perimenopause or postmenopausal problems

• Women with chronic, unresolved depression not responding to the usual medications

• Women with chronic fatigue or multiple chemical sensititivities, particularly if those problems began during sudden severe stress that caused loss of menstrual periods, or following a pregnancy, or after hysterectomy or tubal ligation, or during the transition to menopause.

• Women with low sexual desire or other sexual dysfunction or vulvovaginal pain
  

Symptoms to Watch For:

Symptoms vary widely from woman to woman and can affect many different organ systems, from the top of your head to the bottoms of your feet (yes, plantar fascitis can actually be made worse with hormones out of balance!) Symptoms can include such things as headaches, hair loss, mood changes, memory loss, fragmented sleep, anxiety, chest pain or palpitations, GI problems, loss of sexual desire, weight gain, bladder problems, joint aches, muscle pain, and more…

What the Evaluation Involves:

• Comprehensive history and focused physical

• Comprehensive laboratory studies of pituitary, thyroid, ovarian, and adrenal hormones, metabolic measures, bone markers, heart disease risk factors, diabetes screening, liver and kidney function, and others

• Individual two-hour consultation with Dr. Vliet that includes discussion of the above plus individualized treatment recommendations and prescriptions (except for Second Opinion Consults that do not include Rx).

• Health education/stress management, nutrition and exercise consult

• Comprehensive summary of all results and patient education resource notebook for background reading, record keeping, and to facilitate communication with other health professionals on your medical team.
  

Additional Services As Appropriate And Desired

Bone density test for osteoporosis, Nutrition Consultation, Exercise physiology consultation, Weight management

 

MIGRAINE AND OTHER

“HORMONAL HEADACHES"

The Philosophy

Many women suffer from chronic pain and recurring migraines, often triggered by certain times of the menstrual cycle or postpartum or perimenopause when estradiol is falling. These hormone triggers are often overlooked in most medical settings that treat headaches. At Hormone Health Strategies, we evaluated women with hormonally-triggered headaches and help them more effectively manage the headache triggers with approaches to help even out the hormone fluctuations. Dr. Vliet has successfully helped thousands of women reduce or eliminate the hormone changes that trigger migraines and other types of headaches.

Who Needs This Evaluation?

• Women of all ages who suspect they have hormone-related triggers of headaches

• Women with migraine headaches that have not responded optimally to other treatments

• Women whose migraines began or worsened when starting contraceptives containing estrogen and progestin
  

Symptoms to Watch For:

• Women with headaches that occur regularly at certain times of the menstrual cycle, for example, ovulation, onset of bleeding

• Women who began having migraines or other headache problems after a pregnancy

• Women who began having migraines or other headaches in perimenopause
  

What the Evaluation Involves:

• Comprehensive history and focused physical

• Comprehensive laboratory studies of pituitary, thyroid, ovarian, and adrenal hormones, metabolic measures, bone markers, heart disease risk factors, diabetes screening, liver and kidney function, and others

• Individual two-hour consultation with Dr. Vliet that includes discussion of the above plus individualized treatment recommendations and prescriptions (except for Second Opinion Consults that do not include Rx).

• Health education/stress management, nutrition and exercise consult

• Comprehensive summary of all results and patient education resource notebook for background reading, record keeping, and to facilitate communication with other health professionals on your medical team.
  

Additional Services As Appropriate And Desired

Bone density test for osteoporosis, Nutrition Consultation, Exercise physiology consultation, Weight management