uncovering the secrets to hormone balancing for …...rdn, chwc, mba, hsc owner, b3 nutrition heidi...
TRANSCRIPT
Uncovering the Secrets to Hormone Balancing for
Weight Loss
ModeratorPresenter
RDN, CHWC, MBA, HSCOwner, B3 Nutrition
Heidi Diller, RDReShape Patient Care Manager
Housekeeping Points
● 1st of 3 webinars● 1 CEU for each webinar from CDR● Webinars recordings available ● Handout (PDF) emailed ● Ask questions via panel
Information you need to know …
Meet Bonnie
● Could use this slide to review my story – how I arrived here …
The gift that keeps on giving …Transition Time!
© 2017 Bonnie Roill | B3 Nutrition
Learning Objectives
● Identify the three hormones that have the greatest influence on metabolism and body weight.
● Identify the 5 most common hormone imbalances that influence appetite, metabolism, and body weight.
● Incorporate questions into counselling sessions to recognize potential hormonal issues effecting weight management
© 2017 Bonnie Roill | B3 Nutrition
1. 82. 103. 124. 15
How many brain & gut hormones directly affect appetite?
Poll Question
© 2017 Bonnie Roill | B3 Nutrition
Answer: 15!
How many brain & gut hormones affect appetite?
Poll Question
© 2017 Bonnie Roill | B3 Nutrition
Amylin CCK CRF Dopamine Ghrelin GIP GLP Glucagon
Insulin Leptin NPY OXM PP PYY Serotonin
Brain and gut hormones that regulate appetite
© 2017 Bonnie Roill | B3 Nutrition
Chemical substances released by one group of cells in the body, travel in the bloodstream and influence the behavior of other group of cells by helping regulate processes in the body in response to internal and external stimuli.
Definition of Hormones
Hormonal Primer
© 2017 Bonnie Roill | B3 Nutrition
Sex Hormone Tree
Cholesterol
Pregnenolone DHEA
Progesterone Androstenedione Estrone Estriol
Aldosterone Testosterone Estradiolpregnenolone (cortisol) steal
Cortisol
© 2017 Bonnie Roill | B3 Nutrition
Greatest impact on weight and metabolism
Meet the Cabal!
Three Hormones to Watch
© 2017 Bonnie Roill | B3 Nutrition
● Cortisol— Raises blood sugar— Increases blood pressure— Modulates inflammation
Charlie’s Angel “Sabrina”
Glucocorticoid hormone
Cortisol
© 2017 Bonnie Roill | B3 Nutrition
© 2017 Bonnie Roill | B3 Nutrition
● T4 (Thyroxine) — Inactive/storage form
● T3 (Triiodothyronine)— Active form
Charlie’s Angel “Jill”
Thyroid Gland Hormones
Thyroid Hormones
© 2017 Bonnie Roill | B3 Nutrition
Fatigue/Exhaustion/Drowsiness Weight gain Cardiovascular dysfunction / disease Glucose intolerance/insulin resistance Poor pregnancy outcomes Hair loss Dry skin Menstrual problems/infertility Slow reflexes Snoring or sleep apnea Allergies or hives Frequent colds or sinus infections Decreased sex drive Menopausal symptoms
● Join or muscle aches or muscle cramps● Carpal Tunnel Syndrome or Plantar Fasciitis● Feeling cold or being cold● Decreased sweating● Constipation● Brain Fog / Fuzzy Thinking● Depression● Fluid retention● High cholesterol● High blood pressure● Slow heart rate● Anemia● Gruff or horse voice
Thyroid Symptoms of Hypothyroidism
● Types of Estrogen— Estrone (E1)
“bad estrogen”
— Estradiol (E2) “good estrogen”
— Estriol (E3)
Charlie’s Angel “Kelly”
Steroid Hormone
Estrogen
© 2017 Bonnie Roill | B3 Nutrition
© 2017 Bonnie Roill | B3 Nutrition
© 2017 Bonnie Roill | B3 Nutrition
Common Hormone Imbalances
1. Dysregulated cortisol 2. Low cortisol3. Low progesterone 4. Low estrogen5. Low thyroid
5 Top Hormones
© 2017Bonnie Roill | B3 Nutrition
Case Study #1: Female 52 yo CC: Weight gain & weight loss resistance
● Questions to ask:— Diet hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home
● Lab values — TSH, T4, T3, rT3, Insulin, Cortisol, DHEAS, Testosterone, Estrogen, Progesterone
● Plan of care / Treatment Protocols— Nutrition— Lifestyle
● Results
BMI: 27; Other concerns: GI distress; irritability; hoarse voice
Case Study #2: Female, 42 yo CC: Weight loss resistance
● Questions to ask:— Diet and weight hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home
● Lab values — TSH, T4, T3, rT3, Insulin, Cortisol, DHEAS, Testosterone, Estrogen, Progesterone, Vit D, Ferritin
● Plan of care / Treatment Protocol— Nutrition— Lifestyle
● Results
BMI: 28; Other concerns are low energy and sleep challenges
Case Study #3: Female, 57 yo CC: Weight loss resistance
● Questions to ask:— Diet and weight hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home
● Lab values — TSH, (f)T4, (f)T3, rT3, TPO, Insulin, A1c, Cortisol, DHEAS, Testosterone, Estrogen, Prg, Vit D, Ferritin
● Plan of care / Treatment Protocol— Nutrition— Lifestyle
● Results
BMI: 30; Other concern “crashing” mid-day
Questions to ask clients Put on your Sherlock Holmes hat!
© 2017Bonnie Roill | B3 Nutrition
Take home message …
1. Look for the root cause of the weight resistance2. Be systems oriented3. Combine lab results with symptomology 4. Recognize that not every weight plateau or weight loss resistance is due to hormonal
imbalances5. Be open to the possibilities
© 2017 Bonnie Roill | B3 Nutrition
© 2017 Bonnie Roill | B3 Nutrition
© 2017 Bonnie Roill | B3 Nutrition
“Strategies to Rev Up Mid-Life Weight Loss” March 13, 2017
2pm PDT/ 4pm CST/ 5 pm EST___________________________________
“Now What? Metabolic Disruptors that Interfere with Weight Loss”
March 28, 20172 pm PST/4 pm CST/5 pm EST
Next Webinars
© 2017Bonnie Roill | B3 Nutrition