Alzheimer’s Disease, Memory, and Hormones
October 8, 2008 by Candice Lane, M.D.
Filed under Diseases of Aging
It is predicted that by the year 2050, 14 million people in the United States will have Alzheimer’s disease. It is a type of dementia with cognitive decline.
The exact cause of Alzheimer’s is unknown. It may be a combination of factors, different for every individual, that contribute to the disease. During your lifetime, you lose approximately 20% of your brain cells, but in Alzheimer’s Disease brain cell death is so extensive that the brain can no longer direct the your bodily activities.
The chances of acquiring Alzheimer’s disease increases with age. Two to six percent of the population over age 65 is diagnosed with Alzheimer’s. Half of the population over age 85 has Alzheimer’s, and it is responsible for half the nursing home admissions in the United States.
Alzheimer’s is more common in women, and is four times greater if someone in your family has the disease. In the early stages, a person becomes increasingly forgetful and has difficulty carrying out complex thought processes. The onset can take one to ten years with severe and continual decline for which no other cause can be identified.
Contributing factors to the disease may be genetic predisposition, abnormal calcium regulation in the brain cells, or toxic levels of aluminum, lead, iron, or some other heavy metal in the body. Malnutrition, decreased blood flow to the brain, extensive free radical damage, and environmental toxins also can have an effect.
Alzheimer’s patients have abnormal fibrils surrounding the brain cells eventually ensnarling the brain cells until they die. There are also dead cellular waste products called senile plaques composed of beta-amyloid.
Cognitive decline is not hopeless or inevitable. You can improve the circuitry in your brain by eating wisely, taking appropriate vitamins, minerals, and smart medications, exercising your body and mind, balancing your hormones, and controlling your response to stress in your life. Certain pharmaceuticals (sedatives, painkillers, and anti-depressants like Valium, Darvon, Percodan, and Elavil), alcohol, cigarette smoking, environmental toxins, and allergic substances can harm the brain and should be avoided. Keep your brain busy and active to improve memory, awareness, alertness, and concentration.
Hormone replacement is important in preventing Alzheimer’s disease.
Hormones That Prevent and Improve Alzheimer’s Disease
Growth Hormone improves memory, mood, anxiety, tension, vigor, and cognitive performance. Growth hormone improves memory in Alzheimer’s disease.
It increases glucose utilization, neurogenesis, and blood vessels in brain. It decreases beta-amyloid neurotoxicity, especially in hippocampus.
The first improvement is in 2-4 months. The last improvement is in the next 3 years.
Melatonin deficiency can cause memory loss. Deficiency in melatonin produces reduced anti-oxidant activity in the brain. It protects the brain against toxic free radical damage.
Pregnenolone is a neurosteroid synthesized in the brain, neurons, and peripheral nerves by the neurons. Deficiency causes decreased memory and attention. Alzheimer’s patients have low pregnenolone.
Pregnenolone increases memory, increases spatial memory, decreases alcohol amnesia, and benzodiazepam (Valium, Versed, triazolam) amnesia.
It increases acetylcholine in the hippocampus, and decreases beta amyloid and glutamate neurotoxicity.
Thyroid Hormone – decreased thyroid hormone causes increased memory loss. Deficiency can also slow down mood reaction, fatigue, depression, excessive nervousness, decreased IQ, decreased attention, decreased space orientation, slow thinking, short and long memory loss, and decreased cognitive function. Alzheimer’s patients have low thyroid hormone.
Characteristics of thyroid memory loss are worse in the morning or inactivity, better in the evening, and slow to find word.
Mechanisms of memory enhancement with thyroid hormone are increased brain blood flow, increased brain excitability, increased dendrites and synapses.
With treatment, first improvement is in 2-4 months, and last improvement is in the next 8-12 months.
DHEA - decreased serum DHEA causes increased memory loss. Alzheimer’s disease patients have decreased DHEA. DHEA therapy increases memory. It improves mood in depression and may protect against Alzheimer’s disease.
Mechanism of protection is that it enhances the survival and differentiation of neurons and glial cells by increasing the expression of protein.
It takes 4-6 months to get the first memory improvement. The last improvement is in the next 8 months.
Cortisol – decreased or increased cortisol can cause memory loss.
There is more memory loss during stress, especially at the end of the day. Memory is paralyzed or confused in stress situations, especially short term memory when you feel overwhelmed by what is happening and may have dramatized reactions. Improvement may occur in 24 hours with cortisone supplementation. The last improvement is in 2-3 months.
Chronic stress and increased cortisol can rob the brain cells and neurotransmitters of glucose causing brain cell death. Too much cortisol can damage your neuro-endocrine system which is the connection between your mind and body.
Estrogen – Decreased estrogen causes increased memory loss, disturbances of mood (depression, fatigue, poor libido), poor concentration.
Estrogen deficiency decreases the blood supply to the brain and reduces EEG electrical activity. Estrogen replacement reduces the incidence of Alzheimer’s disease. Estrogen increases memory in women, increases visual memory in men.
Characteristics of memory loss is short and long term memory poor throughout the day, permanent memory loss, and talks less.
Estrogen increases brain blood flow, increases neuron connections, decreases beta-amyloid production and neurotoxicity, decreases brain ischemia.
After treatment first improvement is in 2-4 months, last improvement occurs in the next 8-12 months.
Testosterone – memory loss is a frequent complaint of decreased testosterone. Alzheimer patients have decreased testosterone. People with higher free testosterone have a lower incidence of Alzheimer’s. Testosterone improves memory in normal and Alzheimer patients. Testosterone improves learning, memory, spatial memory, mathematical performance.
Mechanism – increases neuron connections, increases the size and numbers of dendrites, increases the numbers of connections between neurons. Decreased testosterone causes decreased estrogen which produces cognitive complaints. Testosterone increases brain blood perfusion, decreases beta-amyloid secretion, and decreases beta-amyloid toxicity.
Memory loss from testosterone deficiency is worse in the second half of the day and after physical activity. Memory is better in the morning. Hesitation with words is a characteristic of testosterone loss.
First improvement with treatment is 2-4 months. Last improvement is in the next 8-12 months.
If you are having memory problems or fear Alzheimer’s disease, it is crucial to have your hormones checked, and replaced if deficient.
Heather Locklear - Hormone Imbalance?
October 2, 2008 by Candice Lane, M.D.
Filed under News, Reviews, and Interviews
Heather Locklear was arrested yesterday for driving under the influence of a controlled substance, presumably the pharmaceutical medication she is taking for anxiety and depression.
In July, she spent a month in a spa-like treatment facility in Arizona for anxiety and depression. Articles implied she was already on medication and needed it adjusted. Certainly her recent public divorce is a reason for situational depression.
With all due respect, I have one question. Has Heather had her hormones checked? Now this might bring a collective groan, but think about it. Locklear is almost 47, well into the perimenopause and hormone loss. She looks young and beautiful, but our bodies have a relentless “biological clock” that cannot be ignored. We know that testosterone and progesterone are the first hormones to decline. Testosterone is linked to maintaining emotional shield and may prevent panic attacks. Progesterone deficiency causes irritability, mood swings, depression, and insomnia. Progesterone has a calming effect on the body by stimulating the calming GABA receptors in the brain. Add a little loss of estrogen which stimulates calming serotonin production (the same as those antidepressants are supposed to be doing), and emotional lability, weepiness, and depression can follow.
The FDA has warned that anti-depressants may increase depression and suicidality.
Medications like hormonal birth control or Prempro only make matters worse because progestins in these medications inhibit the production of the body’s progesterone and occupy progesterone receptors. I have had several patients lately on hormonal birth control come in with depression. They are on things like Mirena and Nuvaring, both of which secrete potent progestins (not progesterone) in the circulation that occupy progesterone receptors and deplete progesterone thereby preventing the calming effect of progesterone and natural hormonal balance. This effect may be more pronounced as we get older, since we are also losing our progesterone by our ovaries beginning to shut down. Post-partum depression is associated with a drop in progesterone after childbirth. Giving progesterone post-partum can prevent this depression.
Stress makes matters worse. When we have stress our adrenal glands increase our production of cortisol which is our hormone that controls our daily sleep-wake cycle and our fight or flight response. The body will use all its resources to make cortisol, a hormone we cannot live without. The body uses progesterone to help make cortisol, so stress situations may make progesterone levels lower. This may be the connection between stress and infertility. Chronic stress gives way to fatigue as the body struggles to keep up with the stress demand. Both adrenal stress and fatigue can further intensify depression through fluctuations in cortisol and progesterone. Relaxation may allow temporary improvement, but the perimenopausal body still continues its relentless progesterone and estrogen decline.
Suzanne Somers’s has called anti-depressants, sleeping pills, and pain medicine, the “menopause cocktail”. As a former member of that club, I can attest to the truth of it. Initially, being uninformed and thinking I was still “young”, I did not put it together. It was only through proactive seeking that I found what was missing and that was my hormones. I recommend a good reading of Suzanne Somers’s “Breakthrough”. With bioidentical hormone replacement we can treat the underlying cause of our mid-life perimenopausal emotional changes and be ourselves again.
I have treated women who were able to throw their antidepressants and sleeping pills away and say “bye-bye” to their therapists once their hormone were replaced and balanced with bioidentical hormones.
Heather, check it out. Your body is changing and yes, you are getting older and losing your hormones. It happens to all of us. Replace and balance your hormones with bioidenticals and you might be able to get off all that pharmaceutical, controlled substance stuff, save yourself the embarrassment of negative publicity and mug shots, and be your lovely self again. What have you got to lose?
Bioidentical Hormones are Safe
October 1, 2008 by Candice Lane, M.D.
Filed under For Women
There is no doubt that there is improvement in the symptoms of menopause by using hormone replacement therapy. It includes elimination of symptoms such as hot flashes and night sweats, reversal of bone loss leading to osteoporosis, improved sleep, emotional stability, libido and quality of life.But extreme confusion revolves about the safety of taking hormones.
Some doctors are telling patients to get off all hormones. Some are prescribing Premarin and Provera, while others are prescribing “bio-identical hormones”. Still others are switching back and forth between the two.
Hormone replacement therapy or HRT is a broad category. Some people use this term to refer to all hormone replacement therapy. When you hear this term in the media, they are generally referring to Premarin and Provera which are not natural to the human body. These drugs are referred to as synthetic hormones because they are synthesized with molecules that do not occur in the human body in nature.
Premarin is a type of estrogen obtained from horse’s urine. Although it is natural to horses, it is a different molecule than occurs in the human body. It is a very potent estrogen that can alleviate many symptoms but has negative effects as well.
Provera is a progestin used to prevent tissue from building up in the uterine lining while taking Premarin. A progestin is NOT progesterone. It is a different molecule. Progestins actually inhibit production of progesterone by the human body and have dangerous effects on the human body.
The new classification of hormone replacement therapy is called bio-identical hormone replacement therapy or BHRT. This therapy includes estrogens and progesterone that are made from soy and wild yams obtaining a compound that has the exact same molecular structure as these substances in the human body… therefore, bio-identical.
The dangers of Synthetic HRT (Premarin and Provera) were discovered in the Women’s Health Initiative Study in 2002.
This study analyzed the outcome of women taking Premarin (conjugated equine estrogen or horse estrogen from pregnant mare’s urine) and Provera (medroxyprogesterone acetate or synthetic progesterone) and found increased rates of breast cancer and cardiovascular disease. Since the drugs used were not bio-identical hormones the results only apply to Premarin and Provera, not BHRT.
Premarin is taken orally. Any oral estrogen can be a problem for heart health. It can activate coagulation and inflammation. Descenci in Circulation in 2005, found that transdermal estrogen does not have this effect.
The main breast cancer problem is the synthetic Provera (medroxyprogesterone). When the Women’s Health Initiative patients who received only Premarin without Provera were analyzed the rate of breast cancer was not increased. (Anderson, JAMA, 2004). This indicated that it was the Provera that caused an increased incidence of breast cancer.
BHRT (bio-identical hormone therapy) does not increase the chance of breast cancer. The main danger of synthetic HRT is the non-bio-identical progestin (Provera).
In the Fournier et al. study in the International Journal of Cancer, 2005 studied 54,000 women who were taking bio-identical estrogen and either bio-identical progesterone or synthetic progestin. The women taking the bio-identical progesterone had a 10% decrease in risk of breast cancer and the women taking artificial progestin had a 40% increase in the risk of breast cancer.
The De Lignieres study from Climacteric 2002 could not show an increased risk of breast cancer with use of bio-identical hormones but showed an increased risk with the use of synthetic progestin (Provera/medroxyprogesterone). In fact, they could not justify stopping BHRT(bio-identical), which is beneficial for quality of life, prevention of bone loss and cardiovascular risk profile without activating coagulation and inflammatory protein synthesis as in users of oral estrogens.
The real problem with synthetic HRT is the synthetic progestin(Provera). In contrast, several studies document that higher progesterone levels during pre-menopausal years or during pregnancy are protective against breast cancer. (Campanoli, Journal of Steroid Biochemistry and Molecular Biology, 2005).
In any case, estrogen should not be taken without progesterone which counters the proliferative tissue effect of estrogen on breast and uterine lining.
Bio-identical hormone therapy, which is different from Premarin and Provera, is safe, effective, and proven beyond any reasonable medical and scientific doubt.
Estrogen-Natural Bioidentical Hormone Replacement
September 21, 2008 by Candice Lane, M.D.
Filed under For Women

You need to think about starting natural estrogen bioidentical hormone replacement therapy when approaching menopause in your late 40’s and early 50’s. Why? Well, for relief of symptoms like hot flashes, night sweats, vaginal dryness, and low libido among others, nothing works better than estrogen. Long term benefits of estrogen bioidentical replacement therapy include prevention of memory loss, maintenance of heart health, prevention of heart disease, bone production (prevention of osteoporosis), prevention of Alzheimer’s disease, prevention of cataracts and macular degeneration, maintenance of mood and prevention of depression, and quality and youthfulness of your genital tissues and skin. Vitamins and herbs cannot do all these things (although they may temporarily improve some symptoms like hot flashes). Quite simply, estrogen keeps women’s cells healthy. Only estrogen in women can prevent disease and improve quality of life…and only bioidentical transdermal estrogen!
What is natural bioidentical hormone replacement? It means using hormones that are biologically identical to what your body makes. In other words, the hormones are the same chemical structure as the ones that your body makes. Customized natural hormonal therapy is the only way to replace hormones safely. One size does not fit all.
Studies have shown that women who use hormone replacement live longer than those who do not. To be effective in preventing disease, estrogen must be started in women in their 50’s. For example, you need 10 years of estrogen replacement to help prevent Alzheimer’s disease.
Estrogen has 400 functions in your body. It increases your metabolic rate, enhances energy, improves insulin sensitivity, and regulates body temperature. It prevents muscle damage and helps maintain muscle.
In the cardiovascular arena, it helps maintain the elasticity of your arteries, dilates your small arteries, increases blood flow, inhibits platelet stickiness, decreases the accumulation of plaque on your arteries, decreases blood pressure, decreases LDL (bad cholesterol) and prevents its oxidation, acts as a natural calcium channel blocker to keep your arteries open (pharmaceutical companies make alien molecules to do this in patients with heart disease), decreases lipoprotein A ( a bad fat that is a risk factor for heart disease), reduces homocysteine (another risk factor for heart disease), increases HDL (good cholesterol) by 10 to 15%, and reduces the overall risk of heart disease by 40 to 50%.
Estrogen has many benefits for your brain and nervous system. It helps maintain your memory, increases reasoning and new ideas, helps with fine motor skills, enhances the production of nerve-growth factor, improves your mood, increases concentration, helps prevent Alzheimer‘s disease, improves your mood, aids in the formation of neurotransmitters in your brain such as serotonin which decreases depression, irritability, anxiety, and pain sensitivity.
For eye health, it protects against macular degeneration and helps prevent cataracts.
For beauty, it maintains the amount of collagen in your skin increases the water content of your skin and is responsible for its thickness and softness, improves breast firmness, maintains the moisture and thickness of the genital tissues, and decreases facial wrinkles.
For bones, it maintains bone density and helps prevent tooth loss.
It increases sexual interest and decreases your risk of colon cancer
Your body has receptor sites for estrogen everywhere: in your brain, muscles, bone, bladder, gut, uterus, ovaries, vagina, breast, eyes, heart, lungs, and blood vessels, so it is needed for health is all these areas.
So with decreased estrogen you get thinner skin, more wrinkles/aging skin, decrease in breast size, stress incontinence, oily skin, acne, decreased sex drive, decreased dexterity, increase in insulin resistance and possible diabetes, vaginal dryness, decreased memory, osteoporosis, urinary tract infections, and increased cholesterol.
Perimenopause and menopause occurs in our 40’s and 50’s. Most women of that age group can expect to live to be a mean age of 83. You may spend 30-40 years without the benefits of estrogen and experience resultant and inexorable disease and decline from loss of estrogen.
With a safe and effective way of replacing estrogen with bio-identical hormones, women no longer need to bear the disease and decline of estrogen deficiency.
A few things to remember:
1. Estrogen must be balanced with progesterone (not progestins or medroxyprogesterone which are piosons), even if you had a hysterectomy. Estrogen without progesterone or not enough progesterone equals 10 pounds. Besides, progesterone also has many benefits of itself.
2. Never take any type of oral estrogen, even bioidentical. It can cause or make cardiovascular heart disease worse due to a protein that is made in the liver when a great deal of estrogen hits the liver when absorbed from the gut. Transdermal estrogen doesn’t do that because it is absorbed more evenly.
3. Take only bioidentical estrogen that has estradiol (your main estrogen) and estriol (a weaker estrogen with cancer and heart protective effects). This compound is generally called Biest (bi-estrogen). Another bioidentical estrogen compound called Triest is now considered to be outdated since it contains estrone, another one of our week estrogens. We need a little estrone for bone health, but we do not need to replace it especially since estrone can be metabolized in the body into cancer causing metabolites.
If your doctor does not know these things, seek out a doctor who is trained and specializes in bioidentical hormones replacement. And enjoy your next 40 years!
Progesterone Deficiency
September 3, 2008 by Candice Lane, M.D.
Filed under For Women
Although the traditional definition of menopause is 12 months without a period, hormone loss can start 10-15 years before this happens. Testosterone starts declining first, and then progesterone. Estrogen is the last to go and is often signaled by the infamous “hot flash” we’ve all heard about.
Most women start feeling differently from their younger selves in their 40’s when progesterone starts declining. But even young women can have decreased progesterone which can manifest as PMS (premenstrual syndrome), often associated with stress or hormonal birth control. The most common symptoms of decreased progesterone include:
- Anxiety
- Depression
- Irritability
- Insomnia
- Mood swings
- Osteoporosis
- Pain and inflammation (aching joints, back)
- Increasing HDL cholesterol
- Excessive menstruation
- Weight gain or inability to lose weight.
- Fibroids
- Fibrocystic disease of the breast
- Breast tenderness
- Bloating
- Indigestion
- Gas
- Snoring
- Migraine headaches
There are other causes of decreased progesterone besides decreased production. These include:
- Stress
- Antidepressants
- Sugar
- Saturated fats
- Deficiency of vitamins A, B6, C, and Zinc
- Decreased thyroid hormone
- Taking progestins (a synthetic progesterone) in birth control pills and birth control devices, or in Prempro (synthetic hormone replacement)
Natural bioidentical (same molecular structure as in the human body) progesterone
has many beneficial effects including:
- A calming effect
- Helps sleep
- Balances estrogen
- Lowers blood pressure
- Helps the body metabolize fats
- Lowers cholesterol
- Increases scalp hair
- Is a natural diuretic
- Is a natural antidepressant
- Increases metabolic rate
If are experiencing the symptoms of progesterone deficiency, it is important to be tested by a knowledgeable physician to see if you need replacement. Natural bioidentical progesterone replacement may be all you need to start feeling yourself again.



