Hormones 101

The U.S. Census reports that there are over 50 million women in the U.S. who are over age 50. If you’re one of them, you may be experiencing the transition to menopause. You may have symptoms such as the following.

  • Hot flashes and night sweats.
  • Difficulty sleeping.
  • Mood swings.
  • Vaginal dryness.
  • Pain during intercourse.
  • Irregular periods.
  • More vaginal and urinary tract infections.
  • Less interest in sex.

These symptoms are the result of changes in your body’s levels of hormones, or natural chemical messengers. Menopause may be the best-recognized condition characterized by hormonal imbalance, but it isn’t the only one. An over-active or under-active thyroid can also disrupt your balance and cause symptoms.

Here some of the well-known and lesser known hormones that your body needs to be in balance, and why they are important.

Dehydroepiandrosterone (DHEA)

The most abundant steroid hormone in your body, DHEA helps the body manage stress, acts somewhat as a sex hormone, and has a role in the immune system. It promotes fat breakdown and protein synthesis. This hormone is also used to in the making of other hormones, including androgenic and estrogenic sex hormones. Your adrenal glands, skin, and brain produce and secrete DHEA. A low level of DHEA is a risk factor for heart disease, poor blood sugar regulation, depression, and nervousness.

Estrogen

Estrogen is present in both women and men. Women have much higher levels of estrogen than men do. It reduces a woman’s risk of heart disease, osteoporosis, Alzheimer’s disease, and urinary incontinence. The ovaries secret the most estrogen.Estrogen levels drop and cause well know symptoms during the transition to menopause. Low estrogen can also lead to lethargy, depression, and breakdown of collagen in the skin, leading to wrinkles.

Human Growth Hormone (HGH)

This hormone comes from the pituitary gland and supports tissue repair, bone health, muscle strength, and fat metabolism. Levels tend to decrease with age, and are associated with a greater risk for heart disease, reduced bone strength, greater fat mass, and trouble sleeping.

Melatonin

Melatonin is an antioxidant and it regulates your body’s circadian rhythm, or natural cycle of sleeping and waking. Deep sleep improves your energy levels and immune system’s strength. Melatonin comes from the pineal gland, and inadequate levels are associated with insomnia and jet lag.

Progesterone

This hormone comes from the ovaries, corpus luteum, and adrenal glands, as well as the placenta in pregnant women. It is lowers the risk for certain cancers, osteoporosis, and ovarian cysts.

Thyroid Hormone

Thyroid hormone is involved in nearly all of your body’s functions, including metabolism, regulation of body temperature and cholesterol levels, and body weight. It is produced by the thyroid gland in your neck, and the active form contains iodine molecules. Hypothyroid leads to low body temperature, fatigue, and weight gain, while hyperthyroid leads to nervousness, trouble sleeping, and unintentional weight loss.

How Can You Tell if You have A Hormone Imbalance?

Having symptoms is not necessarily a sign of hormone imbalance. If you have been unsuccessful finding relief or finding a doctor who can diagnose the cause of your symptoms, you may need to talk with a doctor who has updated information about hormone imbalance. You and your doctor will need to gather a detailed history and plan careful testing to determine whether hormone imbalance is a likely cause of your symptoms. Talk to Dr. Betty Keller about whether hormone replacement therapy can safely give you the relief and results you want for better health.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a professional consultation.  Contact Dr. Betty Keller.
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Bioidentical Hormone Replacement Therapy: Are you a Candidate?

New Jersey bioidentical hormone doctor answers questions about hormone replacement therapy.

For some women, menopause symptoms can be hard to adjust to. Women experience menopause usually between 45 and 55. Changing hormones bring on hot flashes, pain with intercourse, irregular moods, and low libido. Some women also experience trouble sleeping, restless leg syndrome, and some develop depression.

As we age, the body’s usual balance of hormones changes. These hormone include estrogen, progesterone, and testosterone.  You may notice a clear difference in your quality of life. And you may decide to do something about it.

There is no one-size-fits-all solution.  But by working with a qualified bioidentical hormone doctor, rebalancing hormones can help restore your best health and wellness.

Alternatives to HRT

You might get all the relief you need with beneficial herbs, better nutrition (cutting out sugar is a big help), nutritional supplements, and exercise.

Or you may decide to learn about bioidentical hormone treatment.  Is it right for you?

Age and HRT

Age and time since the onset of menopause are two factors you will want to consider.

Researchers have studied whether hormone therapy affects the risk of heart attack, stroke, breast cancer and other health concerns. If you start HRT within 10 years of menopause, you face no increased heart attack risk, according to extensive research. Starting treatment between the ages of 50 and 59 also shows no increased risk to health.

However, women over 60, or who have at least 10 years of menopause are advised to not to begin hormone therapy.

Your Health History is An Important Deciding Factor

Women with certain health histories may be advised to avoid hormone replacement therapy.

HRT is not recommended for women with :

  • a history of breast cancer
  • a medical history of heart disease
  • a health history of a heart attack, stroke or blood clots
  • high risk of any of these health concerns

Your HRT Plan Will Change With Time

You may find relief almost immediately, especially if you work with a doctor who is skilled in finding the right re-balancing treatment for you.  But, what works in the beginning may not be right later on. You will probably re-evaluate your hormone treatment annually.  You and your doctor will plan how to taper off HRT when you no longer need it.

During the transition to menopause, your body’s production of estrogen decreases more than 90 percent. It’s no wonder that women experience disruptive and at times exhausting symptoms for along time.

New treatments to re-balance the body’s hormones can be very effective to relieve menopause symptoms. But not every doctor has the most up-to-date medical information.  Dr. Betty Keller uses the latest findings to develop your unique plan for optimal health.
Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Talk to New Jersey biomedical hormone doctor, Dr. Betty Keller, at the Optimal Wellness Center in Ridgewood, NJ.

Want to feel your best? Wonder how integrative medicine can help?
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Women and Hormone Imbalance – Signs that You Are Experiencing Hormone Imbalance and What You Can do About it

Hormones regulate every function in our bodies throughout our lives. Estrogen, progesterone and testosterone levels rise and fall from a woman’s childbearing years through menopause. But women experience pronounced, normal hormonal changes through their 40s and 50s.

During menopause the production of estrogen may fluctuate. Higher levels of estrogen can cause uncomfortably tender breasts. You may feel bloated and have heavier than normal periods.

Eventually, the body will make only 1/10th of the estrogen it produces during peak years. As levels decrease, you may experience hot flashes, night sweats, trouble sleeping, and increased feelings of anxiety or depression. The body stops making progesterone when there is no ovulation (during pregnancy) and during menopause. Periods can last longer and become more irregular with a lack of progesterone.Testosterone, though known as a ‘male’ hormone, is also present in women and an important contributor to health. Testosterone peaks around age 20 and declines as a woman ages.

You may notice these common, and less well-known signs that you are experiencing hormone imbalance:

Hot flashes and night sweats.

Hot flashes and night sweats are often the first sign of hormonal change. They affect 2/3rds of North American women, and the exact cause is not known. You probably can’t avoid hot flashes during menopause, but you can help minimize them by avoiding these triggers:

  • Stress
  • Caffeine
  • Alcohol
  • Spicy foods
  • Tight clothing
  • Heat
  • Cigarette smoke

Foods rich in phytoestrogens — compounds that act like estrogen found in certain plants – can help women have fewer symptoms. Studies have observed fewer menopause symptoms among women in countries where the diet includes phytoestrogen-rich foods such as tofu and soybeans. Other sources or supplements to consider include ginseng, fenugreek, licorice, gotu kola, dong quai, black cohosh and evening primrose (according to the North American Menopause Society’s Menopause Guidebook.)

Diminished or low libido.

One of the most noticeable indications of a hormonal imbalance is a diminished or lowered sex drive. Sleep disturbances and lack of quality sleep, also caused by hormonal imbalance, can cause a reduction in the production of the sex hormones.

Persistent weight gain.

Although weight gain is often tied to diet and lack of physical activity, undetected hormonal imbalances can make it very difficult to remain at a desired healthy weight.

Digestive problems.

Slow digestion, cramps, gas and bloating can have a number causes. They can be made worse by hormonal imbalance. The stress hormone cortisol often increases during menopause. Cortisol has a dampening effect on digestion, slowing down the release of stomach acid, and the rate of digestion.

Cravings.

Insulin resistance, adrenal fatigue and other hormonal imbalances are a common cause for cravings and overindulgence. Minimizing or eliminating sugars, alcohol, dairy and wheat from your diet can help control cravings and improve many of difficulties with digestion as well.

Insomnia and inadequate sleep patterns.

Lack of proper sleep can result from hormonal imbalance. It can also make other symptoms worse, as fatigue can begin a cycle of physical stress on the body, which increases cortisol levels.

Fatigue and low energy.

If you experience daily mid-morning or mid-afternoon fatigue, you may wonder what is going on with your body. Feeling scattered, overly tired or mentally foggy does not have to be the ‘new normal’ for you. Dietary changes to regulate blood sugar, such as the elimination of most grains and sugars, will often help improve these issues.

Irritability, anxiety, and depression.

Irritability, anxiety and depression often point to an imbalance, exposure to toxicity, being overworked or stressed out, or experiencing a lack of proper nourishment. Take steps to reduce these harmful actions before turning to pharmaceuticals.

What to do if You Are Concerned About Hormone Imbalance

Your efforts to eat better, mange stress appropriately get good quality sleep and regular exercise can go a long way to help you reduce the discomfort of hormone change.

New formulas and preparations allow hormone replacement therapy to provide low, safe doses to help control your symptoms. HRT requires careful adjustments to work successfully with your unique body chemistry and metabolism.

If you are considering HRT to benefit your health, talk with your doctor. Managing your symptoms safely and effectively requires a detailed health assessment and a treatment plan that is designed for you.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
Get the Latest Information on Hormones and Your Health FREE

Breast Cancer Risk and Hormone Replacement Therapy

It was 2002, and millions of women using hormone replacement therapy suddenly stopped taking their medication Doctors who regularly recommended hormones for women near menopause stopped prescribing it. That year, the Women’s Health Initiative (WHI) ended their HRT trial early after finding that health risks outweighed benefits. Researchers had observed an increase in the risk of breast cancer for participating women who took estrogen with a synthetic form of progestin.

Uncertainty and confusion remains more than 10 years after this study. Women still want to address menopausal symptoms, but are unsure whether hormone replacement is a safe option.

Discomfort and difficult symptoms of menopause include:

  • Irregular period
  • Hot flashes
  • Moodiness/depression
  • Insomnia and other sleep problems
  • Vaginal dryness and painful intercourse
  • Vaginal atrophy
  • Need to urinate often or urinary incontinence
  • Increased Urinary Tract Infections
  • Changes in skin and hair

Today, many women don’t consider treatment for debilitating symptoms. The lack of updated information has denied almost a generation of women the opportunity to improve their quality of life during their menopausal years.

Risks Linked to Estrogen Combined With Synthetic Progestin

Further analysis of the WHI study shed more light on reasons for these results. Researchers found that some women had been taking estrogen and progesterone before the study began. Others participants had additional risk factors to health such as obesity, high cholesterol and high blood pressure.

New research shows that health risks depend on how long hormone replacement therapy lasts. It also depends on whether estrogen alone, or estrogen and progesterone together are used. New findings show that estrogen-only HRT presents much lower risk of breast cancer. And the risk of breast cancer only increases when it is used for longer than 10 years.

More recent studies confirm that the type of progesterone used in treatment matters a great deal to breast cancer risk. Synthetic progestin (different in many ways from the body’s own progesterone)is linked with an increased risk for breast cancer. But studies are showing that formulations using bioidentical hormones — those made to have the exact same chemistry as the body’s own hormones — are linked with lower risks than synthetic versions. Other studies show a decrease in the risk of breast cancer using estrogen and bioidentical progesterone. The potential protective role of bioidentical HRT needs further study to confirm these findings.

A Better, More Natural Way

For women looking to reduce discomforts of hormone imbalance and improve quality of life, safer treatments are now available.

New forms of hormone replacement therapy offer options worth considering. Doctors who have the latest information can offer treatments with closer monitoring and safer hormone formulations.

The specific preparations, strength and duration of your treatment will depend on your unique needs. You and your doctor will need to perform careful testing to determine your best treatment. Talk to Dr. Betty Keller about whether hormone replacement therapy can safely give you the relief and results you want for better health.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
Get the Latest Information on Hormones and Your Health FREE

Low Libido in Women – How Can Hormone Therapy Help?

Having a low libido isn’t something that most women want to talk about. It is not easy to admit to ourselves or our partners that we are losing our sex drive. One recent study shows that as much as one third of women between 18-59 are concerned about their loss of sexual desire.  Other studies show even a higher proportion of women feel an unwelcome loss of interest in sex. If you feel this way also, you are not alone.

Understanding the causes of low libido is the first step in improving your well-being. Factors that regulate our sex drive are complex, and it’s is not always all ‘in your head’.  Identifying the causes of a low libido is the first step in changing how you feel for the better.

When is Low Sexual Desire a Problem?

It is natural for a woman’s interest in sex to rise and fall through life’s stages

There is no normal frequency of sexual intercourse or sexual activity in a partnership. If you and your partner enjoy being sexual less than you did before, but it’s working for you, there is no problem.

A problem with low sexual desire is more than just a low libido. A healthy body sends signals that it wants to be sexual. Whether and how you respond is up to you.  Sexual desire helps build intimacy in relationships and enables a spontaneous interest in sex.  When a woman notices a loss of interest in sex that is serious enough to interfere with intimacy and cause distress, then it may be time to do something about the problem.

Complex Causes of Lower Sex Drive

Both mental factors and physical ones can contribute to a lower libido.  Mental factors include a willingness to be sexual and enjoy intimacy prompted by a healthy sex drive. Physical factors include changes in hormone balance as we age.

A woman’s sex drive and interest in sex has complex of factors.  Among many causes that decrease sexual desire in women, these are some of the main ones:

  • Unresolved relationship issues. Emotions and family dynamics in a relationship have a big impact on a woman’s interest and ability to be sexual with her partner. If intimacy is missing, or there are intrusions like a new baby, or the need to care for a relative, a woman may experience a much lower sex drive.
  • Low testosterone: Though it’s thought of as a male hormone, testosterone is produced in a woman’s body as well.  It has a role in regulating sex drive in women, and levels diminish with age, most notably with menopause.
  • Medical conditions: Any medical illness or concern is likely to dampen sex drive for women. Medical problems impede sexual desire mentally and physically, whether you are facing an illness such as depression or a condition like fibromyalgia, chronic fatigue or thyroid imbalance.
  • Side effects of medication: Some prescriptions that help control blood pressure can also decrease sex drive.  Contraceptives have also been found to lower a woman’s sex drive by changing the natural balance of hormones.
  • Hormonal changes: Hormonal changes during transition to menopause are linked to a lower sex drive.Blood levels of hormones fall continuously in women as they age, but most dramatically with menopause.

Can Bioidentical Hormone Replacement Therapy Help?

It is important to identify all the factors that are likely to be part of the problem to develop an effective treatment plan. For women nearing menopause, hormone imbalance may be one of those factors. Potential treatments may include bioidentical hormone replacement therapy.

Bioidentical hormones, chemically the same as those naturally produced by the body, can provide relief with low risk of unwanted side effects.  Benefits of bioidentical hormone replacement therapy include:

  • Restored Hormone Balance: When the hormones in your body become unbalanced, you can experience a range of physical and mental problems — such as sleeplessness, fatigue, urinary problems, irregular heartbeat, mood disorders, bloating, hot flashes, and anxiety. These problems can lead to a lower libido as well as to depression. Once the hormones are rebalanced, many women feel better emotionally, mentally and physically.
  • Improved Self-Esteem: Hormone rebalancing combined with a healthy diet and exercise can allow you to maintain a healthy weight, increase lean muscle and reduce signs of aging. Often these changes work together, allowing you to feel more confident about yourself and your body. You may enjoy a much improved libido and interest in sex.

There is no magic pill that will restore a woman’s interest in sex, or make it something different than before.

Research to develop ways to treat sexual problems for women is ongoing. This is good news, as the attention to women’s sexual problems lags behind the attention paid to men’s concerns.

Treatments to rebalance hormones and improve female sexual problems are currently being studied to gain FDA approval. It is important to know that if your sex drive is missing, your sex life does not have to be over. If you are concerned about low libido, find out how Dr Keller can help you see whether hormone imbalance may be a major cause. Dr. Keller is committed to helping you restore and enjoy optimum health.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
Get the Latest Information on Hormones and Your Health FREE

 

Bioidentical Hormones and Synthetic Hormones: What Are the Real Health Risks?

HRT Prescriptions 2001 - 2005

HRT Prescriptions 2001 - 2005Before 2002, hormone replacement therapy (HRT) was widely prescribed for women near menopause, then after 2002, HRT sharply decreased. Do you wonder why this happened, and what we’ve learned since then?

In the 1990s, doctors began to prescribe hormones to women experiencing normal menopause. Estrogen and progestin were used together to relieve menopausal symptoms, and to protect against disease.

Most often HRT was routinely prescribed for women between 45 and 55, dealing with hot flashes, painful intercourse, irregular moods, and low libido. It was also used to help women with early menopause.

Then important findings in 2002 showed that HRT medications were linked to increased health risks to women. The study was designed to find whether the risk of heart attack, stroke, breast cancer and other health concerns was reduced by hormone therapy. HRT was largely stopped when researchers came to believe the risks outweighed the benefits.

Now you may be confused about whether or not hormone therapy is a good idea for you. Understanding your options and educating yourself are important first steps to deciding what’s best for your health.

Synthetic Vs Bioidentical Hormones

In more recent years, researchers learned that the chemical structure of hormones used to treat women matters a great deal to their health and safety. Before 2002, hormones used were usually synthetic, derived from animals. The body processed these differently than human hormones, with results that increased the incidence of disease.

Now, researchers have developed hormone formulas that copy human hormones exactly. The body responds to these bioidentical hormones just like those it makes naturally. Benefits include relief from hot flashes, night sweats, vaginal dryness, and discomfort during intercourse. Some research shows that bioidentical hormone treatment may reduce heart disease risk if begun early in menopause.

Studies find that a careful use of bio-identical hormones can lower discomfort and risk of developing some serious health conditions, while making the side-effects of menopause easier to manage.

Rebalancing With and Without HRT

While the symptoms of menopause may be common, there is no one-size-fits-all solution. When your body’s usual balance of estrogen, progesterone, and testosterone changes, you may experience very familiar symptoms. But re-balancing them requires careful adjustments that work for your unique body chemistry and metabolism.

Hormone replacement is not your only defense. Nutritional supplements and smart food choices can provide beneficial oils and herbs that relieve symptoms. Stress management and exercise can also be good choices to boost relief.

If you are considering HRT to benefit your health, talk with your doctor. Managing your symptoms safely and effectively requires a detailed health assessment and a treatment plan.

Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
Get the Latest Information on Hormones and Your Health FREE

Fatigue Caused by Underactive Thyroid: Could this be you?

Hypothyroidism, also known as an under-active thyroid, is fairly common. But because symptoms begin gradually and get worse over time, many don’t even realize that they are suffering from this disorder.

The thyroid is a small gland located in the neck, and produces thyroid hormone. Thyroid hormone helps regulate your temperature, metabolism, heartbeat, and how efficiently your body burns calories.  When the thyroid gland is underactive, thyroid hormone levels fall lower than normal, and your body’s energy level decreases. Think of your thyroid like a gas pedal. When operating properly, the pedal is pushed down and your vehicle (your body) is moving along at peak performance. When not producing enough of the hormone, the pedal is barely pushed down at all, and you feel like you are hardly moving.

Two of the most common symptoms of an under-active thyroid are fatigue and an increased inability to lose weight.  But people often mistakenly attribute these symptoms to getting older. In fact, a thyroid condition may go undetected for years because many people fail to question the gradual loss of energy, or the slow onset of depression.

Hypothyroidism far too often under-diagnosed.  Some physicians do not ask the right questions or they put too much faith in the lab tests that they customarily use, and do not explore past ‘normal’ results they see. A woman’s long and sometimes wide-ranging symptoms can lead doctors to attribute them to the onset of menopause, or depression. Some doctors rely too much on one test to determine thyroid function when they need to add tests for active thyroid levels.

If you’re not feeling your best, ask yourself if you have any of these symptoms:

  • Fatigue
  • Weight gain or difficulty losing weight
  • Depression
  • Brain fog (including poor concentration or memory)
  • Brittle nails and hair
  • Muscle and joint aches
  • Shortness of breath
  • Sensitivity to cold
  • Low libido
  • Thinning hair
  • Chronic yeast infections
  • Constipation
  • Poor sleep
  • Infertility

It is important to work with a doctor who takes a careful and complete health history and who uses appropriate lab tests to find what is causing your symptoms.

There is hope! There are a variety of treatment options for hypothyroidism including safe and proven medications, nutritional supplements to help regulate the thyroid balance, and even gradual lifestyle changes.

Dr. Keller is committed to helping you find safe and effective treatments to help you get back to living your best life. Contact us today to find out more about your symptoms, appropriate tests, and how to restore thyroid balance for your optimum health.
Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your questions with a consultation with Dr betty Keller.
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
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Benefits of Retinol – Does it Really Reduce Wrinkles and Rejuvenate Skin?

Skin cream to reduce redness

Skin cream to reduce rednessWhen you look at skin care formulas, many will feature retinol, retinoids or Retin-A.  So what is retinol and why is it a major skin care ingredient? How does it help reduce wrinkles?

Retinol is derived from vitamin A, in the only effective form allowed in non-prescription skin care formulas. Retinol can indeed promote healthy skin and is a common ingredient in many anti-aging creams and lotions. Unfortunately confusion abounds about what is the truth and what is myth as to its power to reverse signs of aging skin.

Retinol 101

Retinol is a safe, natural ingredient found in abundance in the skin care aisle of your local pharmacy. No prescription is required. Retin-A is a stronger prescription-only version, formulated for acne treatment. You might also encounter retinol in forms such as retinyl acetate, retinylpalmitate and retinaldehyde. These are weaker forms of retinol and are gentler, but often less effective in reducing wrinkles and rejuvenating skin.  Only formulas with retinol itself will give you the same biochemical benefit as Retin-A without a prescription (visual improvement just takes longer).

How Retinol Improves Skin Health

Your skin absorbs retinol and it converts it into retinoic acid. This triggers receptors in skin cells and effects how skin cells function.

As cells age they repair themselves more erratically and aging skin develops dark spots and freckles. Retinol helps skin cells replace themselves more quickly, causing dark spots to fade and making pores less likely to clog.

Retinol also helps the skin create more collagen, which diminishes as we age, and which breaks down with sun exposure. Used regularly, retinol boosts the amount of collagen our skin forms, and can help new collagen remain intact for years.

In general, it takes six to 12 months of regular use for noticeable wrinkle reduction.

Retinol Usage Tips

Everyone’s skin is different, and yours may be more or less sensitive to retinol. Redness, dryness or flaking is normal during the first few days of use as your skin adjusts to the new stimuli. Here are some tips to help ease the transition:

  • Because retinol breaks down in sunlight, it’s best to apply it at night or in conjunction with sunscreen of at least SPF 30 during the day. If you’re heading outside, wear protective clothing and limit your sun exposure.
  • If you experience irritation, reduce your usage frequency. Switching from daily use to every-other-day gives your skin time to adapt.
  • Use a moisturizer to help prevent dryness and reduce potential symptoms.

Ask your doctor about using an AHA exfoliant with your retinol-based wrinkle cream. Studies show that AHA exfoliants can greatly enhance retinol’s ability to revitalize and repair damaged skin.
Dr. Betty Keller keeps up-to-date on the latest findings to help you develop a plan for optimal health.

Get answers to your question in a no-cost consultation:
Request an appointment

Is Hormone Rebalancing right for you?

Want to feel your best? Wonder how integrative medicine can help?
Get the Latest Information on Hormones and Your Health FREE