Category Archives: Outpatient Addiction Treatment for Primary Care

Nicotine Addiction in Females

Role Of Progesterone In Nicotine Addiction In Females

Nicotine addictionProgesterone is a found in good quantities in women and is often thought of as a female hormone. this hormone is important for the regulation of ovulation and menstruation. however current research findings have indicated that this hormone has a role in inhibiting nicotine addiction.

today many people are using drugs with nicotine content and nicohtine addiction is on the rise. it has been causing death that could rather be prevented especially in the developed countries. this stimulant is used by all genders and is appreciated for a feel of high sensation and relaxation after sometime but researchers have noted that women and teen girls appear to be more vulnerable on certain aspects of nicotine addiction compared with men and boys. However the mechanism of gender differences in nicotine addiction is not yet clear, but there is evidence that endorses the suggestion that progesterone may protect females against nicotine addiction unlike estrogen that some researchers have linked to enhanced vulnerability in females to nicotine addiction. Therefore, progesterone may have therapeutic use for nicotine addiction, especially in female smokers. Researchers are working to establish the reason for this gender variation in nicotine addiction and the discovery will provide a greater understanding of the role of progesterone in nicotine addiction. this is important not only from a treatment purposes but also from a prevention perspective. The changes in hormones in the body of women such as those that occur at adolescence and during pregnancy and following birth. The changes in hormones that are also caused by hormonal manipulation like using methods of hormonal birth control may all contribute to changes in vulnerability to nicotine addiction.

Here, we will explore in reference to recent evidences from clinical studies how progesterone affects the health of a woman in relation to nicotine addiction. Depending on the data already availed from past researches we will find out the effects of progesterone during the initiation stage and even during the later stages of nicotine addiction process as a potential relapse prevention treatment.

Several studies have indicated that in spite of the public knowledge that nicotine addiction can be dangerous to one’s health, tobacco use has been on the rise especially on young women and teens. In a 2007 study results on National Survey on Drug Use research done by Substance Abuse and Mental Health Services Administration often shortened as SAHMSA found that Females aged 12–17 are also more likely than males initiate smoking. It has also been found out that women take shorter time to develop tobacco dependence syndrome after their initial use of tobacco.

Similar reports of enhanced vulnerability in females versus males have been reported among adult smokers. For example, among adults (18 years and over), although more men than women smoke, women take less time to become dependent after initial use, report shorter and less frequent abstinence periods and smoke for longer periods of time in their lives compared with men with the median cessation age of 33 years for males versus 37 years for females. This finding was reported by a research done by Pierce and Gilpin in 1996 in a study titled: How long will today’s adolescent smoker be addicted to cigarettes?

Of all the studies that have been available on tobacco use it has been found that women are more vulnerable to nicotine addiction as they also appear to respond less favorably to smoking cessation treatments.

Donny and Clark study on rats

A preclinical study on rats done by Donny and Clark with other researchers provided information that is Consistent with the above findings. In preclinical studies, adolescent and adult female rats showed faster acquisition of intravenous nicotine self-administration and higher break points on a progressive-ratio schedule compared with adolescent and adult males. Similarly, female mice showed a greater preference for nicotine in a two-bottle choice task compared with male mice indicating greater sensitivity of females to nicotine’s reinforcing effects. These studies point to important gender differences in initiation and maintenance of nicotine use that may contribute to smaller gains in curbing nicotine addiction in women.

Progesterone and GABA receptors

Several research findings point out that Progesterone and its metabolites interact with multiple neurotransmitter receptors including GABA, glycine, sigma1, kainate, serotonin3, and nicotinic cholinergic receptors. However, most relevant for nicotine addiction are interactions with GABA. Progesterone’s active metabolites, pregnanolone and allopregnanolone, have positive modulatory effects on GABA receptors which enhance GABAergic transmission. GABA is the main inhibitory neurotransmitter in the brain and has significant influence on multiple central nervous system (CNS) function. The positive modulatory effects of progesterone metabolites on the GABA receptors have been proposed to weaken drug reward. Remarkably, the effects of progesterone and its metabolites on GABAergic signaling vary with menstrual cycle phase and at hormone transition phases including during adolescence and during pregnancy. For instance, during puberty, allopreganolone’s effects on GABAergic transmission are opposite to those seen before and after puberty with results showing a reduction in GABAergic transmission.

nicotine addictionIt has also been reported that progesterone also affects signaling at nicotinic receptors. Specifically, both progesterone and allopregnanolone are negative modulators of the α4β2 nicotinic receptors. Progesterone has also been reported to increase mRNA expression of α5 nicotinic receptors.

Despite the research findings that have been published on this issue, the available literature is still insufficient to anchor a strong decision on the use of progesterone hormone in fighting nicotine addiction. Dr. Dalal Akoury (MD) of AWAREmed Health and Wellness Center is an expert in integrative medicine for addiction. Call her on (843) 213-1480 for help.

Role Of Progesterone In Nicotine Addiction In Females

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Oxytocin May Remedy Drug Abuse Effects

Oxytocin May Reverse Corrosive Effects of Long-Term Drugs Abuse

oxytocinA person’s social life has a great influence in his possibility of using drugs of pleasure. Most of drugs of pleasure are used in social circles and therefore it is appropriate to say that social factors play an important role in the initiation, maintenance and recovery from addictions. There is now accumulating evidence of an interaction between the neural substrates of affiliate behavior and those of drug reward, with a role for brain oxytocin systems in modulating acute and long-term drug effects.

What is oxytocin?

Oxytocin is a hormone that is made in the brain, in the hypothalamus, and it is transported to, and secreted by, the pituitary gland, which is located at the base of the brain. Chemically it is known as a nonapeptide, (because it is a peptide containing nine amino acids), and biologically, as a neuropeptide. It acts both as a hormone and as a brain neurotransmitter. Due to its roles in behavior, this hormone has been given different names such as the love hormone, cuddle hormone, bliss hormone, moral molecule and even hug hormone. Researchers say that it is released when people snuggle up or bond socially.

However this hormone seems to have many functions that can be very helpful to clinical treatment of those enslaved by drug addiction. Researchers have been able to establish a link between addiction and oxytocin and the findings are promising as new approaches can be developed on the basis of the influence of oxytocin on drug addiction to help quell drug addiction and free addicts enslaved to drug use.

Past researchers have indicated that exogenous oxytocin administration can prevent development of tolerance to ethanol and opiates, the induction of stereotyped, hyperactive behavior by stimulants, and the withdrawal symptoms associated with sudden abstinence from drugs and alcohol. In addition to this finding, stimulation of endogenous oxytocin systems is a key neurochemical substrate underlying the prosocial and empathogenic effects of party drugs such as MDMA often referred to as Ecstasy and GHB mostly known as Fantasy. According to these early research reports, brain oxytocin systems exhibit profound neuroplasticity and undergo major neuroadaptations as a result of drug exposure. Many drugs, including cocaine, opiates, alcohol, cannabis, MDMA and GHB cause long-term changes in markers of oxytocin function and this may be linked to enduring deficits in social behavior that are commonly observed in laboratory animals after going through repeated exposure to these drugs. Very recent preclinical studies have illustrated a remarkable ability of exogenously delivered oxytocin to inhibit stimulant and alcohol self-administration, to alter associated drug-induced changes in dopamine, glutamate and Fos expression in cortical and basal ganglia sites, and to prevent stress and priming-induced relapse to drug seeking. Oxytocin therefore has fascinating potential to reverse the corrosive effects of long-term drugs abuse on social behavior and to perhaps inoculate against future vulnerability to addictive disorders. However clinical studies that are examining intranasal oxytocin effects in humans with drug use disorders are still awaited but hopes are high that the results may open ways into a new dimension in fighting drug addiction by using this hormone.

Targeted as a novel treatment of Drug addiction

Over the years researchers have had speculations that oxytocin may have an effect on drug addiction and related behaviors. Clinical doctors and other researchers have got the knowledge that people who are addicted to certain drugs exhibit antisocial traits and exhibit poor decision making in the social domain. There has also been a link between high levels of oxytocin and blossoming relationships as well as stable social bonds. Due to its speculated effects on drug addiction related behavior, oxytocin has been targeted as a novel treatment for alcohol and drug abuse. This has been catapulted by the realization that the acute prosocial effects of some popular recreational drugs most likely involve stimulation of oxytocin systems and that the neural substrates of social bonding and drug reward may be intertwined.

Some drugs of pleasure like MDMA when taken affect the person in a way that he becomes more loving and close to the people around him. He also becomes more naïve as to trust those with him and even to agree with most of their arguments. In preclinical tests these prosocial behaviors have been seen in animal models, for instance in strange pairs of rats meeting for the first time, MDMA markedly reduce aggression and increase a behavior known as adjacent lying; the rats cuddle inhibiting a feeling of love and trust as always the case with human beings under the influence of this drug. MDMA and its metabolites stimulate hypothalamic oxytocin release and after this hormone has been released in high levels then the prosocial feelings are exhibited.

OxytocinMany researchers have now proposed that the reason why many addicts go through drug addiction recovery programs successfully in rehabs may be because of this hormone. The addicts who are majorly summoned to anonymous meetings in the rehabs experience surge in this hormone as they relate to their fellow addicts, this is said to have therapeutic effects as they help resettle dysfunctional oxytocin pathways. In spite of it’s clearly involvement in the prosocial effects of some drugs, it is not clear whether oxytocin itself is rewarding. It is however appropriate to mention that there is still a lot that should be done on this field to avail information on how these past findings can help ease drug addiction treatment.

Finally, Drug abuse, addiction and independence are problems that people grapple with every day. These problems need to be treated effectively through integrative medicine. Dr. Dalal Akoury (MD) is an expert at this. Call her on (843) 213-1480 for help.

Oxytocin May Reverse Corrosive Effects of Long-Term Drugs Abuse

 

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Addiction and Cancer Development

Role Of Addiction In Cancer Development.

Cancer developmentThe term addiction is not very friendly to many ears, it prickles and no one ever want to be associated to addiction as it’s a state that leaves you vulnerable and out of control of your life. depending on the drug or habit you are addicted jyou will suffer given symptoms some of which are very adverse. drugs of pleasure are a major curlprit of addiction as people will always tend to use them again and again to get the rare euphoric feelings which brings them closer to addiction by and by enslaving them in a tight grip they can’t break free from. Addiction bto certain drugs have also been linked to cancer development.

Dreaded by all cancer is a monster that has perfected the art of terrorism. It very expensive to manage and so the very day some people get the information that they are sick of this disease, that becomes a death sentence to them as they can’t afford to treat the disease. The disease is not easy cured though not incurable. However the cost of curing this disease has made it a death sentence to many people especially in the 3rd world countries where it has continued to rob people of their loved ones due to high bills that can never be afforded. The disease is synonymous to pain and this has made it the most dreaded disease. The fact that it can’t be easily treated therefore leaves us with one better option which is to avoid it all costs. Prevention is the best option when dealing with cancer. When it comes to avoiding cancer then whatever goes through your mouth becomes a concern, you need to eat healthy food and desist from anything that may beckon tumor growth and this include avoiding use of drugs that may eventually cause cancer. Addiction has very many health risks cancer development included. It is a known fact that smoking causes cancer and anybody addicted to tobacco has higher chances of developing cancer. However there are other drugs that when a person is addicted to then he comes closer to cancer.

Cigarette addiction causes cancer

cigarettes contains a concoction of about 5000 chemicals that are not very safe for health. It also contains nicotine which is very addictive. Taking it once may not be so dangerous but with the high nicotine content you are bound to get addicted exposing yourself to harmful chemicals. Other chemicals, including nitrosamines and polycyclic aromatic hydrocarbons, are formed when the tobacco leaves are processed or burnt. This is all before the tobacco industry adds the hundreds of other chemicals to cigarettes. This is why there is no safe way to use tobacco.

When you smoke the chemicals in cigarettes get into your body causing myriad of problems including cancer. The main way that smoking causes cancer is by damaging the DNA and altering the functioning of key genes that protect our bodies against cancer. Many of the chemicals found in cigarettes have been shown to cause DNA damage. These chemicals includes; benzene, polonium-210, benzo, pyrene and nitrosamines. Cigarettes also contain chromium which makes poisons like benzo and pyrene which stick even stronger to the DNA causing more harm. And chemicals like arsenic and nickel interfere with pathways for repairing damaged DNA. This makes it even more likely that damaged cells will eventually turn cancerous. Therefore to evade cancer you should try to avoid cigarettes addiction.

Smoking cigarettes causes cancer but that does not mean that when you smoke it once you will be cancerous, at the same time it does not mean that if you have been smoking cigarettes for a year and you are still cancer free then you can’t ever get cancer through smoking. Cancer is a multi-step disease-it grows over a long time; it may even take a decade for smoking to cause cancer. This is because naturally our bodies are designed to deal with a bit of damage but it’s hard for the body to cope with the number of harmful chemicals in tobacco smoke. Over time DNA damage builds up and makes it more and more likely that our cells will become cancerous. It is therefore necessary for a beginner to stop smiling before he becomes addicted as that will increase his chances of getting cancer.

Alcohol addiction linked to cancer

Alcohol consumption is common among people of different ages despite the many risks that it poses to a person’s health. Alcohol addiction has been linked to cancer though researchers are yet to understand how it directly beckons cancer. Here are some of the ways alcohol addiction is thought to cause cancer. Firstly, when alcohol is taken it is converted into a very harmful chemical known as acetaldehyde. This chemical can cause cancer by damaging DNA and stopping our cells from repairing this damage. The International Agency for Research on Cancer has classified acetaldehyde formed as a result of drinking alcohol as being a cause of cancer. Acetaldehyde also causes liver cells to grow faster than normal. These regenerating cells are more likely to pick up changes in their genes that could lead to cancer.

Cancer developmentAlcohol also affects the delicate balance between estrogen and testosterone hormones. When the levels of estrogen hormone become then the risk of breast cancer is increased. Alcohol can cause cancers through many ways and therefore it is necessary to avoid alcohol addiction as that may favor cancer development.

Drug addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. We offer NER Treatment and Amino acid therapy that are the most effective approaches to addiction treatment and recovery. You call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Role Of Addiction In Cancer Development.

 

 

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Progesterone hormone influences addiction in men

Progesterone Hormone and Nicotine Addiction in Men

Progesterone hormoneJust like any other addiction, nicotine addiction is a grave health problem. It is a problem that has affected the whole world. About 35 million people in the United States alone try to quit smoking each year, but less than 7 percent are successful. Many smokers report a feel of high sensation, followed by a feeling of relaxation. It is because of these positive feelings that nicotine has been associated with plus the normal cravings make nicotine products very hard to be abandoned by those already using them. Past research has suggested that women may experience fewer nicotine cravings and may be less affected by smoking’s positive reinforcement factors when compared to men. This according to researchers is because the women have higher levels of progesterone hormone. Fluctuations in levels of the female hormones estradiol and progesterone during menstruation may play a role in determining how women are affected by nicotine. this also affects men, little known to many, men also have progesterone hormone though in lower quantities but still serving crucial suppose. In men the adrenal glands and testes also make progesterone and they work to counter the activities of hormone estrogen in men. in case of low levels of progesterone in men , they will exhibit the following symptoms; Low libido, Hair loss, Weight gain, Fatigue, Depression, Gynecomastia (“man-boobs“), Erectile dysfunction, Impotence, Bone loss and Muscle loss.

According to a study that was done to examine the effects of a controlled oral dose of progesterone on smoking behavior, nicotine withdrawal symptoms, and nicotine-related positive reinforcement factors in nicotine dependent males it was found that Higher progesterone blood levels corresponds both to reduced β2*-nAChR availability in all brain regions except the thalamus and to craving and withdrawal symptoms. These findings suggest that progesterone might promote men’s positive abstinence experiences by inhibiting β2*-nAChR availability. However, the study did not detect any direct link between men’s β2*-nAChR availability and craving or symptoms. In this study that took four days, participants were randomly assigned to receive a daily dose of 200 mg of progesterone, 400 mg of progesterone, or placebo. All participants had to abstain from smoking for Days 1 through 3. On Day 4, participants took part in a smoking session, during which their smoking habits, including the number of puffs, duration of puffs, and number of cigarettes smoked, were measured. Outcome measurements also included self-reports of cravings; carbon monoxide monitoring; and standardized questionnaires to assess nicotine withdrawal symptoms.

Progesterone modulates the reward system

In other Preclinical and clinical studies have shown that progesterone modulates the reward system and responses to stimulant drugs. The majority of the preclinical work in this area however has been conducted with cocaine with results showing that progesterone, and its active metabolite allopreganolone, attenuates the rewarding effects of drugs of abuse. Animal studies have mainly focused on the ratio of estradiol to progesterone as a predictor of sensitivity to drug reward with results generally showing that when levels of estradiol are high and relatively unopposed by progesterone drug reward is heightened. Though this study was done using cocaine and not nicotine it makes sense that the balance between progesterone and estradiol is crucial in mitigating the effects of a drug and minimizing chances of a drug user to be addicted to the drug. It is therefore safe to say that it is important for the levels of progesterone in men to be at safe levels to limit effects of drugs.

Progesterone to fight nicotine Addiction

progesterone hormoneProgesterone being a hormone that is mostly dominant in women, most researchers having linked it to nicotine addiction worked mostly with women. However bearing the understanding that men also have estrogen and progesterone as well as other hormones it is evident that progesterone might have similar effects on them. As a man ages the production of hormone progesterone becomes slowed or stops, the main function of hormone progesterone in the body of a man is to check on the activities of the estrogen hormone. Estrogen dominance is a problem that not only women grapple but men also are tied to it. in few research findings that have been published, it has been found that progesterone may help men who are fighting nicotine addiction but this hormone decreases as a man grows and so to help it can be supplemented. Clinical research studies in this area have many challenges including the difficulty of conducting the study during a certain phase of the hormonal transition. In addition, men of reproductive age have multiple commitments and participation in a research study with a demanding schedule is not an easy task. Nevertheless, clinical research in this area is crucial to develop more effective treatments for nicotine addiction that will tailor to the needs of women.

Finally

Dr. Dalal Akoury of AWAREmed Health and Wellness Center has dedicated her life to helping patients restore their lives by use of integrative medicine. She also holds many conferences in which she offers training on how integrative medicine can be used to fight addiction among other conditions. Call her on (843) 213-1480 for help.

Progesterone Hormone and Nicotine Addiction in Men

 

 

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Low T linked to Depression in Women

Low T Levels Causing Depression in Women

DepressionTestosterone is needed by the women just like men need it. In case of a drop in its level below the optimum a woman may experience such symptoms as Low libido, fatigue and depression among other symptoms of low testosterone in women. Of the many symptoms, depression is a call for concern as it leads to even other bigger problems. Depression leads even to suicide among other health risks that can be directly linked to it. Testosterone is the hormone responsible for muscle and bone development. Obviously males have a higher level of testosterone than women during adolescent years, which lead to a more muscular stature. This continues into adulthood and is the main reason why males have a bigger muscle mass than women. the fact that women have low testosterone levels as compared to men does not mean that they do not have much to do with the hormone, this hormone is crucial in the body of females and when the levels fall far below the optimum then the woman will suffer the symptoms already mentioned above.

Depression is a serious illness caused by changes in brain chemistry. Researchers have found out the other factors contribute to the onset of depression, including genetics, changes in hormone levels, certain medical conditions, stress, grief or difficult life circumstances. Any of these factors alone or in combination can precipitate changes in brain chemistry that lead to depression’s many symptoms. According to the World Health Organization, depression is one of the most disabling disorders in the world, affecting roughly one in five women and one in ten men at some point in their lifetime. It is estimated that 21% of women and 12% of men in the U.S will experience an episode of depression at some point in their lifetime. These statistics show that depression is here with us and so we need to do much to save our women from its adverse effects.

Major causes of low testosterone

Low Progesterone Levels- when the levels of progesterone reduce then the levels of testosterone will also reduce. This is because it is progesterone that converts into androstenedione from which testosterone is produced. Therefore when there is an insufficient level of progesterone in the body then the production of testosterone will equally be insufficient. However as women approach menopause the production of progesterone hormone falls which in turn induces a fall in the production of testosterone hence this explains why women who are over 40 exhibit the symptoms of lower levels of testosterone fatigue and even depression.

Oral Contraceptive– there are contraceptives that causes low production of sex hormones in women. The contraceptives especially the oral contraceptives affect the production of estrogen, progesterone and testosterone. Using oral contraceptives for a long time can alter the body’s ability to produce the sex hormones naturally leading to dwindling levels of testosterone in women. According to a study in the January 2006 issue of the “Journal of Sex Medicine,” women who used the pill may be exposed to long term problems with low testosterone. A protein called sex hormone binding globulin is found in the pill and binds with testosterone to stop it being used. Users of the pill have shown continued high levels of sex hormone binding globulin in their body after stopping use.

Age- naturally as a woman grows older the production of hormones become slowed, at menopause the ovaries will stop producing testosterone and even the adrenal glands will stop producing hormones that are often converted to testosterone and this leads to low testosterone levels.

Organ failure- just like any other organ of the body, the organs that are charged with responsibility of failure producing hormones like testosterone may fail to work properly. When the ovaries become dysfunctional which is often referred to us premature ovarian failure. This problem can also be caused by an illness such as cancer that results in removal of ovaries hence no more production of testosterone. The pituitary glands may also fail to regulate the amount of testosterone that is to be produced in case they malfunction.

Low T and depression in women

It is known fact that women suffer more often from depression than males and this is a clear indication that hormones might be involved in the etiology of this disorder. Low as well as high testosterone levels is related to depression and well-being in women, Lower levels are related to depression, osteoporosis, declining libido, dyspareunia and an increase in total body fat mass.

DepressionThere are also scenarios when the levels of androgens may be excess in the body of women. This is referred to as Hyperandrogenic. Its symptoms include hirsutism, acne and polycystic ovary syndrome. Through social research it has been suggested that high androgen levels cause aggressive behavior in men and women and as a consequence may cause depression. Higher androgen values are more pronounced at young ages and before and after delivery of a baby. It has also been found that depression in pubertal girls correlated best with an increase in testosterone levels in contrast to the common belief that environmental factors during the time of growing up might be responsible for mood swings in girls.

Dr. Dalal Akoury of AWAREmed Health and Wellness Center has dedicated her life to helping patients restore their lives by use of integrative medicine. She also holds many conferences in which she offers training on how integrative medicine can be used to fight addiction and mental disorders among other conditions. Call her on (843) 213-1480 for help.

Low T Levels Causing Depression in Women

 

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