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Pagets disease treatment

January 19, 2018

Pagets disease treatment: The genesis treating breast cancer

Pagets disease treatment is necessary beacause, the mere mention of the disease cancer is enough to send shock waves

If you have Paget’s disease of the breast, surgery is the most likely treatment approach you will need. And in addressing Pagets disease treatment, the type of surgery will depends on the condition of the skin around your nipple and how advanced the underlying cancer is. Such surgical options include:

Simple mastectomy. This is a procedure which involves the removing of the entire breast excluding the lymph nodes in the armpit (axillary lymph nodes). This procedure is essential in cases where there is an underlying breast cancer which has not spread to the lymph nodes.

Lumpectomy. Breast-conserving surgery (lumpectomy) involves removing only the affected portion of the breast. Under this procedure, the surgeon removes the nipple and areola along with a wedge- or cone-shaped section of the breast. The surgeon focuses on removing as little breast tissue as possible, while ensuring that the tissue removed includes an outer margin free of cancer cells so that only healthy cells remain.

Lumpectomy to treat Paget’s disease of the breast requires follow-up radiation therapy. Lumpectomy wouldn’t be recommended if you can’t have radiation therapy for some reason. Most women have nipple reconstruction after their treatment.

Pagets disease treatment: Adjuvant therapy

Upon the completion of the operation, the surgeon may recommend an additional treatment (adjuvant therapy) with anti-cancer drugs (chemotherapy), radiation therapy or hormone therapy to prevent a recurrence of breast cancer. The patient’s specific treatment will depend on the stage of the cancer and whether the tumor tests positive for certain characteristics, such as having estrogen or progesterone receptors.

Pagets disease treatment: Coping and support

The mere mention of the disease cancer is enough to send shock waves. But one is eventually diagnosed with breast cancer, the pressure may be unbearable bot to the direct and indirect victims. Adjusting to this piece of news is not easy. At this point, you will need to have some tailored ways of coping with the diagnosis. You may try several things until you find what works well for you. The following can be helpful:

Get to know all the information about your new condition. Schedule an appointment with your doctor and ask all the questions you have. Ask even if you think a given question may not be relevant. Questions about your breast cancer, the type, stage and hormone receptor status. This kind of knowledge will make you feel confident to face the treatment well.

Talk with other breast cancer survivors. People who had been in this before can be very helpful in encouragement and support.

Find someone to talk with. Do not feel pity for yourself, instead find a friend or family member who is a good listener or talk to or a clergy member or counselor.

Keep your friends and family close. Your friends and family can provide a crucial support network for you during your cancer treatment.

Take care of yourself. Love life and keep doing the things you like. Sleep well, feed on healthy diet full of fruits and vegetables, make time for gentle exercise on days you feel up to it, and find time for things you enjoy, such as reading or listening to music. And finally, keep consulting with the experts. You can call AWAREmed health and wellness resource center for more professional help.

Pagets disease treatment: The genesis treating breast cancer

AWAREmed Nurse Practitioner alleviates your Pain

Individual hormones description in male and female

February 27, 2016

Individual hormones description in male and female: The three common hormones

Did you know that individual hormones like estrogen for example is normally production in specific areas like in the ovaries, the follicle around the ovum? If there is any problem, you can always seek for help.

There are several individual hormones in the body performing different functions in the body. we have since understood that hormones are body’s messengers responsible for the effective coordination of all vital repair, recovery and regeneration in the body and without them we cease to live a productive life, meaning that in their absence we simply degenerate. With that knowledge we want to zero in to discussing the individual hormones and particularly the three common ones which may include: estrogen, progesterone and testosterone as follows:

Individual hormones description in male and female: Estrogen

looking at the life of our female gender, the production of estrogen normally takes place in specific areas like in the ovaries, the follicle around the ovum, the adrenal glands, and the fat cells. And even as this production place, it is important to note that as age catches with us the effectiveness of ovaries in the production of estrogen deteriorates and stop producing estrogen on a regular basis, turning the main source for the production of estrogen the adrenal glands located above the kidneys. Any unused testosterone is also transformed into needed estrogen, and even estrogen stored in fat cells is called to action as the ovarian production of estrogen diminishes. Estrogen and progesterone are designed to balance each other, to keep each other in check. Therefore and because of that it is nearly impossible to separate their actions, but for the sake of simplicity; Estrogen makes everything grow, it causes cells to proliferate while progesterone checks this growth, holding cell growth to a limit. The following are some of the positive effects of its action are that it:

Causes the uterus lining grow to in readiness for pregnancy.
Facilitate the grown of breast tissues in preparation for making milk
Prevents bone destruction by bone-destroying cells (osteoclasts)
Protects from hypertension by relaxing the lining of blood vessels
Stimulates the production of lipoprotein lipase, an enzyme which breaks down fat. The result is low cholesterol levels and good balance between good (HDL) cholesterol and bad (LDL) cholesterol
Lowers insulin levels
Stimulates body fat accumulation to help the fetus grow
Induces relaxation of blood vessels in the circulation in general and heart in particular
Causes the ovum to mature inside the ovary to prepare for ovulation
Creates the follicle where the egg matures
Promotes the growth of the fetus
Keeps the vagina, the vulva and the cervix well developed and moisturized
Promotes growth of underarm and pubic hair, and pigmentation of the nipples

The negative effects of the growth induced by estrogen unopposed (acting alone), without the balancing effects of progesterone are:

Increased risk of gallbladder disease
Increased incidence of blood clot formation
Increased accumulation of body fat, this is why livestock growers use this hormone
Increased water and salt retention
Interference with normal insulin release and blood sugar control
Increased risk of overgrowth of endometrium (lining of the uterus)
Increased risk of overgrowth of breast tissue, and could be a reason for breast cancer
Increased risk of depression
Increased risk of headaches
Increased risk of gallbladder disease
Increased incidence of blood clot formation

Individual hormones description in male and female: Progesterone

Progesterone is the parent or precursor of estrogen in the ovaries and the parent to cortisol and aldosterone in the adrenal glands. The adrenal glands manufacture progesterone from its precursor cholesterol. Progesterone is the precursor of testosterone, all androgens, and other adrenal hormones, making it extremely important for reasons far beyond its role as sex hormone, without it we could not cope with stress and our body fluid and kidney control would cease to function. Progesterone functions:

Protect the endometrium
Insure the optimal function of uterus
Prevent water retention
Help use fat for energy at the cellular level
Serve as a natural anti-depressant
Create a calming effect on the body
Help eliminate sleep disorders
Help keep insulin release in check and maintain even blood sugar levels
Prevent unmediated overgrowth of the endometrium/cancer
Prevent unmediated breast tissue overgrowth/cancer
Maintain sex drive
Maintain normal blood clotting parameters
Protect against fibrocystic breasts

Progesterone’s negatives are few and easily balanced by estrogen:

A sedating effect, if used in excess
Increased spotting and changes in bleeding patterns
Bloating if used in excess
Gastrointestinal discomfort
Acne, if used in excess
Hyperpigmentation of facial skin when exposed to sunlight

Testosterone

The most important role of testosterone is to provide male characteristics. Although this may appear straight forward, testosterone functions are of significance to women as well. The following are some of the areas where testosterone helps in:

Promoting muscle strength and exercise endurance
Improving libido
Increasing energy levels
Improving sense of well-being
Increases body hair production
Produce enlargement of the clitoris
Improve sexual desire and fantasy
Improve bone density

Besides the benefits, it also have some demerits or negative effects of testosterone which cones due to overproduction or intake through either testosterone supplementation in pharmaceutical formulations or unsupervised androgen consumption. The side-effects are similar to those of estrogen dominance, since testosterone transforms into estrogen when it is overabundant. The side-effects include:

Male pattern baldness
Increased facial hair
More aggressive behavior
Higher cholesterol levels
Too much clitoral enlargement

Finally in the past this was not regarded as anything good, nonetheless things are changing and now we are beginning to appreciate the importance of testosterone in men and women while the balance of estrogen and progesterone is highly dependent on a cycle. And as we come to the end of this discussion, we want to help you take the summery of the whole journey we took form the beginning as we started the discussion. And now if you or any of your loved one is struggling with this are you are wondering on what to do. You can therefore schedule for an appointment with doctor Dalal Akoury for further direction.

http://regenerativepotential.com/integrativeaddictionconference/

Understanding hormones and their functions

February 27, 2016

Understanding hormones and what they do in the body: Effective communications between cells

With a better understanding hormones when kept at youthful levels all the time, we will age slowly and gracefully

For a better understanding hormones are the body’s emissaries (messengers) responsible for the effective coordination of all vital repair, recovery and regeneration in the body and without them we cease to live a productive life, meaning that in their absence we simply degenerate. You may be wondering why get the knowledge of hormones, if that describe you, then you are at the right place because we want to help you appreciate the importance of being equipped with the knowledge of hormones. One of the functions of hormones is to keep us looking young and more youthful. That is one point many would want to identify with and we are not going to disappoint you. Keep reading and be one of the first to know with the experts from AWAREmed Health and Wellness Resource Center. This facility was founded by doctor Dalal Akoury MD, and it is home of great professional in various discipline ready to help you with all the medical concerns you may be having.

Now about keeping young doctor Akoury says that all you need to do to keep youthful is to ensure that your hormones are kept at youthful levels all the time, this way you will age slowly and gracefully. Remember that these substances (hormones) are made by special organs in our bodies and are disseminating communications between cells and organs giving instructions to do specific tasks. Their communication channels are consistent between each other through feedback loops. The balance and quantity of hormones directly and almost solely affects how our bodies function. Good balance and quantities translates into energy, weight control, sexual vigor, and youthful appearance, recovery from daily stress and physical activity and overall sense of well-being. Imbalance and lack leads to fatigue, sleep disturbance, sexual dysfunction, depression, impaired immune function, chronic illnesses, disease, “lack of thriving”, degenerative state of decline, debility and earl death.

Understanding hormones and their functions: The master glands

In our quest of understanding hormones, it is important to note that they are closely involved in every body function. And besides that they are even more than the later meaning that every cell has a receptor site for a hormone to communicate with the cell to turn it on, off, vary its rate, repair and coordinate the complex dance of this performance. For these hormones to functions well, they must be subjected to some control mechanism. What we are communicating is that the quantity of hormones secreted into the body systems is controlled by two glands in the brain; the hypothalamus and the pituitary. They were named the “master glands” however, doctor Akoury agrees that this may not be a good definition now that we know communication happens at many other levels than this small area in the frontal brain.

Hormones are also produced by the sex organs: ovaries and the testies, adrenal glands located above the kidneys, the pineal gland in the center of the brain, the thyroid, in front of the voice box and it is now known that even the bodies tissues can make certain hormones. Some of the sex hormones commonly known to us may include:

Estrogen
Progesterone
Testosterone

As we progress into the discussion, we will explain more about each of them but in the meantime it is important to note that both men and women have fat cells that can make estrogen and the more fat the more estrogen produced. The actions of these hormones are interrelated, symbiotic and essential to human existence. Their actions are both positive and negative. The balance and interaction between the sex hormones determines the presence or absence of symptoms, the recovery or lack and a degenerative state. Estrogen and progesterone are the dominant hormones in women. Estrogen is a broad name for a class of female hormones; Estradiol, Estrone and Estriol. Estradiol has the strongest physiologic force and the one to carefully monitor if one is supplementing. Estriol is the weakest of the female hormone estrogens.

A significant shortcoming in our understanding hormones is the belief that estrogen, progesterone and testosterone can act independently of one another at any time during our lives. This simply cannot happen and to look at it this way is mechanistic and lacks the full understanding of how the body is designed to seek equilibrium by a mechanism that we label homeostasis.

Unless we totally incorporate into our understanding the inseparability of the three sex hormones and the others we cannot solve the problems caused by their imbalances. As experts from AWAREmed Health and Wellness Resource Center, we are very much concern when we see how people are mishandling certain basic things wrongly which lead into serious consequences. To this effect we resolved not to sit and watch but come out strongly and offer solutions. This is what we do best and it doesn’t matter whether you are struggling with addiction or hormone imbalance, you can get all these help under one roof with doctor Dalal Akoury. And as we come to the end of this discussion what to introduce you to some of the things we do in offering solutions. AWAREmed Health and Wellness Resource Center normally organizes an Integrative Addiction Conference annually and this year we are having our second conference workshop that adopt on partnership and dialog among integrative Medical experts in a nurturing, empowering, motivating, and cozy atmosphere. The venue of the conference will in Austin Texas. There will be so many things taking place like for instance a full-day workshops will offer you information personalized for your interest and is designed to ease you towards transformational growth. For more information about this you can get in touch with us at 6505 Interstate Highway-35 North Austin, TX 78752 on telephone number: 512-454-3737 Fax: 512-419-0102. You are welcome and please find out more about the integrative addiction conference from the contacts given.

http://regenerativepotential.com/integrativeaddictionconference/

Sexual intimacy beyond menopause in women

February 16, 2016

Sexual intimacy beyond menopause in women: What are your fears as you approach menopause?

Sexual intimacy beyond menopause in women is very possible and can be most enjoyable

One of the most interesting things in life is being intimate sexually with a partner, and for the avoidance of doubt I’ am addressing the intimacy between a man and a woman. As we (women) approach the menopause, psychological preparedness is very important because this is a totally new life that may come with its own expectations for many women. Once this is done then women can embrace these changes positively and even enjoy their sexual life progressively into old age. And just to bring words of hope about sexual intimacy beyond menopause in women doctor Akoury encourages that women approaching this stage in life can share with their counterparts who have been there to get to understand and learn from their experience. Such information will be very important because it will interest you to note that many women going through menopause are in the contrary enjoying their sex life than many think. This has been necessitated by the fact that they no longer have the worry of ever becoming pregnant or worries of raising children and so they are even motivated to having and enjoying sex spontaneously.

Another motivation is that of not having to run several commitments like child care which can be very much involving and parked with endless activities. With the omission of such activities, a lot more energy is saved at the end of the day thereby causing them to be more relaxed and comfortable for the enjoyment and satisfaction with their sexual life.

Sexual intimacy beyond menopause in women: Facing women sex complications

There is no doubt that woman’s sex drive can be quite complex, and beside the emotional traits, there are certain physical changes during menopause that can further complicate things. Some of the things that may bring complications may include:

Overweight: for better result it will be necessary that you shade off those extra pounds and any changes that come with it like body shape (hello, belly fat!). If these conditions are not addressed any woman may feel uncomfortable or self-conscious about her body and may even fail to recognize it as her own. Besides that weight issues also brings with it poor self-image. And that explains why to many people if you’re carrying extra weight, physical problems like reduced energy or mobility may interfere with your sexual function.

Hormonal changes: As we get to this stage in life, hormonal changes will always take place since they go hand-in-hand with menopause. It is during this time that two things will occur; meaning that while your body is busy ushering your estrogen out, it’s also ushering in some pretty significant vaginal changes including dryness and thinning of its lining. Less estrogen equals less vaginal lubrication, leading to a less elastic vagina. And the consequences of that is pain, burning, tightness or soreness.

Other possible sex-busters: hot flashes, mood swings, night sweats, irregular bleeding, sleep problems and insomnia.

Sexual intimacy beyond menopause in women: Dealing with menopause problems

This is very important however it must be noted that not all sexual problems at this point cause frustrations. It therefore means that if they’re not bothersome to you or your partner then don’t consider them as problems. Each individual has their own normal and threshold for letting a problem get in the way of their relationship. To that effect doctor Akoury advices that before you throw up your hands in frustration, here are some ideas worth considering:

Take physical therapy for pelvic discomfort seriously
Regular sexual activity, which promotes vaginal health and blood flow. And to make it easier, you may want to consider:
- Vaginal dilators
- Over-the-counter vaginal lubricants (for temporary relief of dryness before and during sex)
- Over-the-counter vaginal moisturizers (for longer-term relief from dryness)
- Low-dose vaginal estrogen therapy in cream, ring or vaginal tablet form (reverses underlying atrophy and dryness)
- Higher-dose hormone therapy throughout the body via pills, patches and other preparations (reverses underlying atrophy and dryness, but generally reserved for women with bothersome hot flashes. Other treatments:

Laser therapy: A new non-hormonal therapy, the MonaLisa Touch is a fractional carbon dioxide (CO2) laser specially designed to help restore vaginal health in postmenopausal women. It was recently introduced in this country after successfully treating more than 15,000 patients around the world. Performed by an OB/GYN, it works by delivering controlled energy to the vaginal tissue to revitalize the cells to make more collagen (which is an essential ingredient in vaginal cell health) and is an in-office, virtually pain-free procedure requiring no anesthesia.

Flibanserin: Touted as the “female Viagra,” the FDA twice rejected this drug, citing safety concerns like low blood pressure, dizziness and fainting. As of this writing, an FDA advisory panel has recommended approval of the drug on the condition that the drug’s manufacturer, Sprout Pharmaceuticals, try to reduce the risks of side effects.

Ospemifene (Osphena): This drug was approved by the FDA in 2013 for postmenopausal women who experience pain or discomfort during sexual intercourse. The once-a-day pill, which works by acting like estrogen in some parts of the body, helps make vaginal tissue thicker and less fragile. Any woman considering taking any medication should have a thorough discussion with her health care provider to consider the risks and benefits.

Sexual intimacy beyond menopause in women: What are your fears as you approach menopause?

Hormones imbalances and the consequences to body

February 15, 2016

Hormones imbalances and the consequences to body and mind: Are your hormones out of balance?

Hormones imbalances and the consequences to body needs to be corrected by a competent medical professional.

Are you troubled by the happenings in your life? If you are you’re certainly not alone. Many people across the globe are worried for various reasons but ideally the problem may have to do with imbalances in your hormones, which are really wreaking havoc on your body and mind. In view of this we want to take time to understand how hormones imbalances affect the human body and mind and to do this effectively, we will be sharing with you some tips you may want to consider using to restore your hormones balancing and ultimately bring your life back on truck. Therefore answering the following questions will help you know whether your hormones are out of balance:

How often does your moods and energy swing up and down? And does that make your life feel crazy?
Do you hunger for sugar or salt?
Are you struggling with your weight?
As a woman do you have premenstrual syndrome, painful or heavy periods, and a low sex drive?
Are you suffering from depression?
Do you sleep poorly?
How often do you feel tired and wired?
Do you need coffee to wake up in the morning and a few glasses of wine to calm down at night?

A yes answer for these questions will be an indication that your hormones may be out of balance, and before you panic take time and relax there is always a solution to this and besides you are not alone. Doctor Dalal Akoury will help you all through the journey to proper balance if only you can schedule for an appointment with her today. It is regrettable that whereas help is very much available most Americans and many others across the globe have these feelings simply because we are living out of harmony with our natural biological rhythms. This is because the small molecules in our bodies that we depend on to keep us in balance are running wild. Remember that molecules are messengers in the body playing a critical role the day to day functions of the body. Besides that they are our hormones messenger molecules of our endocrine system and neurotransmitters messenger molecules of our brain and nervous system.

Hormones imbalances and the consequences to body and mind: Hormones and Neurotransmitter

The human body hormone and neurotransmitter system is one of the essential systems of the body that we must address if we want to achieve vibrant health. And that explains why balancing your hormones are very instrumental to Ultra-Wellness. Nevertheless as we progress into this discussion, we want to help you understand a few things including;

Why hormones get imbalanced from time to time
How they can be restored back
Their functions and
Why many people are living miserable lives because of them (hormones).

Experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are in agreement that all the body hormones and neurotransmitters work together in harmony to help us maintain optimal health and keep us happy, focused, and peaceful. They are likened with an excellently orchestrated symphony that must work together to keep everything in balance. It is however important to note that the command and control center for this process is in your brain and it is made up of the hypothalamus and pituitary glands.

This center sends signals to distant parts of the body to control everything from your stress response through the adrenal glands to your blood sugar balance through the pancreas to your thyroid hormone via the thyroid gland, to your sexual behavior and function through the reproductive organs. It also controls growth, sleep, mood, and many other body functions and activities. And besides these hormonal messengers we also have the neurotransmitters which are brain chemicals sending messages throughout body to all cells, organs and other tissues to facilitate body activities including movement of the arms to the sense of feelings which could either good or bad feelings. Therefore each time your neurotransmitters or hormones are imbalance, essentially everything in your body goes confused and that is one of the greatest consequences to the body and mind.

Hormones imbalances and the consequences to body and mind: Epidemics of hormonal problems in our societies

We are living at a time that when the words like epidemic or catastrophic even or calamities are mentioned people associate them with most of the things we watch in news like earthquakes, floods, landslide and the likes. Yes those are true calamities but for this discussion we want to look at catastrophic events that affect your health directly. There are quite a number, but we are going to narrow down to the four main epidemics of hormonal problems in most of our societies that are sending millions of people out of balance. Such may include:

Too much insulin (from sugar)
Too much cortisol and adrenaline (from stress)
Imbalances of sex hormones such as estrogen and testosterone and
Not having enough thyroid hormones.

From the four we have highlighted, we want to discuss each of them progressively in our subsequent articles and we want to ask you stay with us on the site so that together we can educate ourselves on how to protect ourselves and be safe. These entire hormone epidemics are important whichever way you look at them and in our most immediate article, we are going to focus on the most common and therefore the most problematic in our times and that is too much insulin. Now we welcome you to continue with us to be smart and take appropriate remedies. But in the meantime, if you have any concern whatsoever about hormones imbalances and their consequences to the body and the brain, you can schedule for an appointment with doctor Dalal Akoury today at AWAREmed Health and Wellness Resource Center on telephone number 843 213 1480.

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