May 2013

Adventures in Prescription Medications – Woman to Woman

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How’d you like to bypass years of countless doctor visits, cornucopias of medications with names beginning with every letter from the alphabet, take-one-a-days, with- meals, mixtures, combinations, co-pays, micrograms and tears?

The answer might be simpler than you think:

Just eliminate one or two real assholes from your life!

And the only known side effect you’ll “suffer”: New found, authentic happiness – organically produced by your formerly abused spirit… the one that always seemed ready and willing to absorb total blame and negativity for what was wrong in your life!

Woman, this is a deep, dark secret the big pharmaceutical companies DON’T want you to know: that all too often, the truth about your misery and “depression” can’t be found at the bottom of a pill bottle, but lies on the other side of your bed. The root of your problem? The jerk lying with his manipulative little head on the opposite pillow, snoring like a revved up chainsaw, not some “chemical imbalance” roiling in your brain. And woman, just boot him out of your bed, and you’ll step into your fresh, drug-free future!

Can it really be that easy? Well, yes and no.

Remember how Alice in Lewis Carroll’s classic Alice’s Adventures in Wonderland only had to choose which side of the mushroom to bite to “right size” her enlightenment? We real-world women let ourselves endure strenuous drug trials and errors much more dangerous than Alice’s mushroom. Why? Because in typical womanly fashion, we’re so prone to look in the mirror and accuse the face we see there, rather than look outward and objectively scrutinize the fingerprints of asshole’s thumbs we’re stuck under.

Sister, if I had a dollar for every woman I’ve heard say, “I quit antidepressants cold turkey because I realized they did absolutely nothing for me,” I could buy as many shoes as Imelda Marcos. And needless to say, you’d never see me twice in the same pair of stilettos.

Women, we can only find our salvation by making serious changes in ourselves and our surroundings – starting with understanding how and why we think, feel and react to negative and self-lacerating “triggers,” and then learning to dance with these shadows rather than fear them. We can find true healing in all sorts of crazy ways: places, faiths, interests and communities too large and lively to fit into any capsule. Sometimes even complete solitude can be our alternative to prescriptions.

While suffering my own deepest depression about five years ago, I remember feeling envious of people who claimed antidepressants at least made them feel like zombies. The pills never got me near feeling no pain, and the grass certainly did seem greener on the other side, ‘cause my side of life seemed to be a daily skate on thin ice. At any moment, I dreaded a crack might start in the ice, through which everything in my world would slip, never to be seen again.

But then I took the “great risk”: I removed the asshole from my world. I didn’t go crazy off the pills, I not only regained my sanity and my life, I realized how terribly sad that pill-driven desire was – to feel nothing, to want my days to roll over like fog mist. Now I know every day is too precious, too fragile…too full to waste. Me, I was truly better off letting those medications slip down the trash bag rather than into my blood stream. My life’s still filled with challenges. I still cry. I still worry. But I’m no longer afraid of the “edges” of experience. They’re there, and I’m here. I accept the love and support of people who honestly love, benefit and respect me. Anyone else, I show the door.

I know that for many women the issue of whether or not to take antidepressants is no question at all; it’s necessary to avoid the insistent beckoning call of the edge. Taking a pill never makes you inferior, and you shouldn’t feel ashamed to take one if you have a true, measurable chemical imbalance. But never forget: You’re not the pill; you’re a woman, aware and alive enough to value and cherish the air in your lungs. And that pill might be keeping you from being that inspiration to others you could be.

Many of us stand in the space between poor, suffering lab rats and the Big Pharma company fat cats. We struggle to decipher what extra help we might need to lead vital and healthy lives and whether to cut out the magic bullets that weren’t magical after all. Here is where we indeed have something in common with Alice: Even she had to deal with a conniving Cheshire Cat.  Are we willing to consider that some manipulative “cat” has driven us to Dr. Feelgood and the pill bottle?

The old “Serenity Prayer” still applies when it comes to deciding which pills to swallow and which ones to ditch. God grant me the serenity to know when I’m able to remove myself from trying chemical paths to health, even the courage to disregard a doctor’s orders when my gut instinct says, “Hell no!” to still another prescription. And the wisdom to know the vast differences between these very grey areas. Amen.

Oh, and P.S.: God grant me the gumption to toss out every asshole in my life once and for all, even if I don’t toss all the pills out with them, too!

Endometriosis is More Common in Skinny Women: A Follow-up

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If endometriosis was something you could market – the commercial,  based on the more popular research of late, would go something like this:

Tall, Dark & Handsome Man: “You are looking quite radiant today.  Is that a new dress?”

Young Beautiful Woman: (turns dramatically as she seductively whispers) “No… No, that’s just my Endometriosis.”

We’ve come a long way since endometriosis was first discovered in 1860. We now know that slim women have a greater risk of developing endometriosis and that women with recto-vaginal endometriosis (the rarest/most severe form – affecting only 11-13% of endometriosis sufferers) are surprisingly more attractive.  Ok, so we don’t have a cure but hey, at least we know that there are more skinny women with endometriosis than there are obese women. Being skinny does not cause endometriosis, and being obese doesn’t prevent endometriosis, but this is important research because it… It shows that BMI is correlated with endometriosis and that does nothing for the 176 million women whom already suffer from endometriosis.

It doesn’t matter that we have multiple hypotheses as to how endometriosis might develop, or only a handful of treatments – most of which leave much to be desired (i.e. hysterectomy and “chemical menopause”).  No, it doesn’t matter because we know that some women with severe endometriosis are freakishly attractive. And obviously this research was extremely important since it was covered on almost every media channel in 2012, including the prestigious and highly scientific Cosmopolitan.

While Tuesday’s original post on the endometriosis/skinny research brought up the questionable quality of women’s health research and funding. I would like to add on that and point a finger at the media for highlighting the research that doesn’t really make a difference and shunning the research that does.  What about the studies on PEDF– an injectable protein to reverse endometriosis symptoms? Why do I have to comb the bowels of Google, to find that…  What about the research study from 2012 that shows a gluten-free diet can help those with endometriosis? Or how a study conducted in Milan found that women who ate red meat on a daily basis were 80 -100 times more likely to have endometriosis. Did you see the research stating migraines are more common in women with endometriosis?  Or how Reservatol from red grapes helps block endometriosis? No, no one knows about these studies, and yet these are the studies where actual progress is going to come from.

So, as a researcher myself, and in an attempt to create research that matters, I am now accepting grant money for a new research project that I think will really shed some insight on endometriosis. I’m calling it “Favorite Hue and its Link to Endometriosis.” I hypothesize that women with endometriosis favor a disproportionate amount of pink. And this is important because maybe, just maybe, we can finally get some nicer ribbons (rather than the yellow ones currently ascribed to us).

Jordan Davidson is a Freelance Health and Nutrition Writer based out of New York City. She is also the proud parent of a new blog Hersterical. You can contact her with any inquiries at hersterical@gmail.com or follow her on twitter at: @JA_Davids. 


Endometriosis is More Common in Skinny Women – Woohoo!

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Circling the blogosphere, on every health media site, new research finds an association between body weight and endometriosis. Woohoo!  We can all rest better now that we know skinny women have more endometriosis. I’m sure the women who suffer from incalculable pain for years on end are relieved by this breathtaking bit of scientific research.

The study, conducted at major research centers, funded by the Eunice Kennedy Shriver National Institute and of Child and Human Development and by the National Cancer Institute and published in a top tier journal, Human Reproduction, marks all that is wrong with women’s health research, academic research funding and publishing. It is safe, meaningless and does nothing to further the science. And yet, it is exactly the type of research that is funded and published over and over again.

Endometriosis is an incredibly painful, chronic and ever-worsening condition that affects almost 200 million of women worldwide. We cover it regularly (see here). With endometriosis, endometrial tissue grows outside the uterine cavity and invades a woman’s internal organs, her ovaries, her colon, her bladder, even her lungs, causing great pain and destruction throughout her body.

There are no effective diagnostics, except surgical visualization. By definition, this occurs years after the disease has progressed sufficiently to see it and long after the damage of the disease has been done. Many women suffer 5-10 years before a diagnosis is made.

There are no effective treatments and so we keep recycling old medications, hoping beyond hope that somehow, magically, this oral contraceptive or that anti-depressant or perhaps a gonadatropin agonist will work and quell the growing implants. They don’t.

No one knows what causes endometriosis. Is it genetic? Environmental?  A combination of both? Is it hormonal and if so which hormones, which receptors and by what mechanism does the tissue grow?

Why does endometriol tissue grow outside the uterine cavity? The most common explanation thus far, retrograde menstruation, has neither supporting data, nor diagnostic or therapeutic utility. One would imagine that after 90 years of being the most prominent theory in the field, the one taught in medical schools, that there would be some data validating its utility and accuracy. But alas, there is not.

Instead, we have research funded and published that tells us skinny women are more at risk than our overweight sisters. It tells us nothing about why weight might influence endometriosis, nor does offer anything to help fill the diagnostic or therapeutic void that is endometriosis. No, it just tells us that there is inverse relationship between BMI and endometriosis – lower BMI at 18 years of age is correlated with higher rates of endometriosis later in life. Oh, and infertility is also in the equation. For those of us in the field and for the women suffering, this is hardly groundbreaking research that deserves funding or publication. And though I applaud the Eunice Kennedy Shriver Institute for funding research in women’s heath – they are one of the few governmental institutes or organizations that do – much could be done to improve the nature of the research funded. If ever there was a disease that needed brash innovation, endometriosis is it.

 

 

Informed Consent is the Law: Stop, Talk and Show Should be the Standard

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A lot of us think of “informed consent” as just a form the doctor’s office has us sign. The forms are usually full of really broad, overreaching phrases like “all reasonable medical alternatives were fully and completely explained to me, and I understand that this surgery/ procedure has the following risks . . . .etc. etc.”  And too often, patients are given the forms and expected to sign them without really having any idea what they are signing and what the forms mean.

This sort of “dotting the  I’s and crossing the T’s” approach does little to form a complete sentence, and it does little for the patient or the medical profession. So before you ever sign an informed consent, you should have had a thorough, two-way dialogue with your doctor.  And you should push for a STOP, TALK, and SHOW approach to understanding your condition, your diagnosis, your options, and the risks associated with each and every option—including the option to get a second opinion or forego any medical treatment at all.

Most people don’t know that they actually have specific legal rights that entitle them to have a thorough and informed discussion prior to any non-emergency medical procedure.  Just from an ethical standpoint, doctors should be eager to have that discussion too since that discussion really is the backbone of a meaningful doctor-patient relationship.  But regardless of whether the doctor is eager to have the discussion or is eager to march forward with the procedure, most states have a statute specifically requiring health-care professionals to obtain informed consent, and most states set forth standards that the medical profession should meet in order to show that the patient was informed about the procedure, its risks, and the alternatives to the procedure when he/she consented.  Some states look at these talks from the viewpoint of the doctor: Would other doctors in the same position say the doctor gave adequate information to inform the patient? Other states take a more patient-centric view: Did the doctor tell the patient the things a prudent patient would want to know?

Regardless of where you live and regardless of the standard that particular state sets, I suggest you adopt a “STOP, TALK, and SHOW” requirement yourself before you consent to any medical procedure.  And if you are like me, you’ll want to be heavy on the SHOW part of the discussion.

STOP – As soon as the doctor suggests a plan of treatment, stop the doctor right there, take out your notepad, and get ready to jot down everything the doctor says so that during the next section, the TALK section, you can make sure you talk about everything the doctor just breezed through.  (And understand, I don’t say “breezed through” to indicate a lack of concern or rigor on the part of the doctor. This is his/her area, and it’s not uncommon for people with highly specialized sets of knowledge to sail through a topic that we ordinary people don’t fully understand).

TALK – Once the doctor has finished with his “plan of treatment” discussion, it’s your turn. You have to look at this conversation for what it is: your best opportunity to make the best decision for your health. So talk to the doctor until you understand the following things:

  1. What is the condition the doc thinks is creating your symptoms/complaints?
    1. This one requires that the doc explain what condition/injury/or disease process is, how it works, and why it is the most likely cause for your symptoms and complaints.
    2. This one also requires the doc to tell you how he ruled out other possible causes of your symptoms/complaints.
    3. If the condition is one that was diagnosed by x-ray or MRI, it might be a good opportunity for the doctor to SHOW you what the condition is.
  2. What are ALL of the available treatments for this condition, and what are their concordant risks?
    1. For most conditions there are multiple accepted ways of treating the condition.  You’re entitled to (and the doc is required to give you) an explanation of these alternative treatments.
    2. You are also entitled to know the risks of the alternative treatments.  The doc may have ruled out an alternative treatment because it is less effective, but if it has lower risk, you might want to try that treatment first.
    3. When the alternative treatments are surgical in nature, the doctor can often draw out the procedure so they can SHOW you what is being proposed.  Despite their infamous handwriting, most doctors can draw out a simple surgical process so that you can see what you’re getting into.
  3. Which treatment does the doc recommend and why?
    1. You should have gotten this information along with the alternatives, but since this is the proposed treatment, you are likely going to hear more about its strengths than its weaknesses.  This is a good time to fully understand how the procedure works.  Many times a surgeon will draw out his proposed approach—ask for the drawing.
    2. This part of the conversation should be clear enough that you can intelligently compare the alternatives.  If you feel like you’re in a car dealership making choices before the “boss in the back” leaves, you aren’t having the proper interaction.
  4. What are the risks of the proposed treatment?
    1. I separate this part out because the informed consent forms generally lay these risks out in black and white and they might be vastly different from the conversational risks you were told about.
    2. I ask the doctors to go ahead and SHOW me the informed consent form at this stage so that I can compare the written risks with the risks we’ve discussed.
  5. What are the risks of the alternative treatments?
  6. What are the risks of foregoing any treatment at all?

If this seems like a lot, it is. But remember, you are entitled by law to be fully informed before you have a medical procedure.  Some doctors and hospitals are so focused on meeting quotas and “staying on schedule” that they will try to satisfy that right by giving you a piece of paper and expecting you to just go along with their expert decision about how to manage your health.  The STOP, TALK, and SHOW approach will help you understand the procedure, but it will also help you gauge which doctors see the doctor-patient relationship as a profoundly important part of health care.  I submit that the doctors who take the time to explain the procedure well will also take the time to perform it well.

STOP, TALK, and SHOW, I’d love to hear how it works for you.

 

Dealing with Doctors When You Have Undiagnosed Endometriosis

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I have been going from doctor to doctor for 23 years for my endometriosis. I have yet to find one that actually listens to me. Is it me or do doctors not listen to patients? Maybe they don’t believe us when we describe the pain of endometriosis. Maybe they don’t believe us when we break down and cry after years of misdiagnoses, endless medications that didn’t work or made things worse. Or maybe, our pain is just too real and because they know they cannot treat it, they back away and ignore it. I don’t know why so many doctors treat endo patients the way they do, but I know it’s never going to change if we keep suffering in silence. The pain is real and shouldn’t be ignored. That is why I share my experiences here on Hormones MatterTM and on other social media sites. If we don’t speak up, how will they ever understand how much we suffer?

My Experience with Doctors

My first doctor seemed like she was out of it and not interested in my pain. I didn’t feel that I could speak to her. I was young and so I just believed what she said and left it at that. I always thought she would tell me what I needed to do next to feel better. I went to see her about my horrible cramps. Immediately, she thought it was endometriosis and left it at that; no medications, no treatments, and no advice whatsoever. At 13 years old, I didn’t think twice and went on my merry way.

Soon, the pain was so bad that I found another doctor. I saw him for almost five years. He ordered tests, prescribed different antidepressants. Needless to say, the antidepressants did nothing for the pain of endometriosis. If it wasn’t blatantly clear that it was cancer or some other obvious disease, he had no clue what he was doing and he had no interest in diagnosing or treating my pain. He finally told me that I cried too much and that could no longer be his patient. I think he’d cry too if something were strangling his insides.

During my teen years and into my 20’s I must have seen over 15 doctors and specialists. I had a neurologist tell me to touch my nose and when I did, he said I was fine.

Probably one of my worst experiences with a doctor came three years after my daughter had been born. One day I called, because I was feeling flu like and nauseated every day. The secretary booked me that day even though they were busy. While I was in the waiting room, I could see the doctor having an argument with his assistant, I assumed for putting me in when he was full. When he called my name and while walking into the room in front of everyone, he said to me “What is so wrong with you that you had to bud in front of all of these fine people?” OMG I was so angry I told him I didn’t need this treatment and walked out and never went back to him again.

At this point, I had been suffering with untreated Stage IV Endometriosis for 13 years. I had seen multiple doctors who either ignored my pain or made me feel as though I was somehow imagining it. Frustrated, I finally started to do my own research. I found support groups online to help me with what questions to ask the doctors. I found yet another doctor and scheduled an appointment. He told me after reading my Ultrasound report that he was sure it was endometriosis and that he would book a surgery for it.

Talking to my friends online made all the difference in the world. They told me to ask questions like what to expect, what could make the surgery change from laparoscopy to open surgery etc.

Next time I went in to see this new doctor, the one who said my ultrasound showed endometriosis, I started the conversation with “The last time I was in you said I probably had endometriosis” I was about to finish my sentence when he got really angry at me. He said that he never said I had endometriosis. When I tried to ask more questions, he got mad and said I wasn’t ready for surgery and then cancelled the surgery and red flagged my file. I was so confused. Why was I not allowed to ask questions? It was my body that he was operating on. He had such a God complex. I walked out of his office.

No wonder people with long-term, undiagnosed medical conditions get depression. They are treated like crap, like hypochondriacs and as if we are wasting the doctor’s valuable time.

After 15 years of excruciating pain and being treated poorly by many doctors, I finally found a doctor to operate on my Stage IV Endometriosis. The surgery was a success. I thought that I would feel vindicated, but I didn’t. I was, and I am still, angry with how I was treated.

I have been talked down to by many doctors. They have made me feel really uncomfortable about myself. They made me think I was going crazy. I can’t even count of how many times I contemplated suicide because of the mental stress my health put on me, the fact that I had no one to understand what I was going through and not even a doctor who cared to listen. If they did, they would have known I had all the symptoms for endometriosis.

Even after all of this, every new doctor brings with him the risk for misdiagnosis and mistreatment. Read my story about developing Pelvic Inflammatory Disease, Post Endometriosis Surgery and the horror of getting that diagnosed appropriately. My present doctor now knows nothing about endometriosis, a disease that affects millions of women around the world. How does this young, female doctor NOT know?? I just go there now and tell her the tests I need done and what drugs I need or if I need to change them. She does nothing on her own.

Lessons Learned about Endometriosis

If I have learned anything through this ordeal it is too keep your own medical records, be an advocate for your own health and ask a lot of questions. If you want sympathy or empathy and a little understanding do not expect to get it from your medical doctor. Find an online community of women with a similar condition. That is where you will find the support you need to survive.

Lupron or Laparoscopy to Diagnose Endometriosis?

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I recently had my first pre-operative appointment for the diagnostic laparoscopy I’m having soon. I was nervous, and had a list of questions for my doctor. This was the second gynecologist I’d seen to discuss diagnosing endometriosis; my other doctor is too elderly to operate. She was frank and very straightforward.

 

“There are two options for diagnosis: a laparoscopy and chemically-induced menopause with Lupron. If we do a laparoscopy and find nothing, we still have other diagnostic options. It’s a good sign that you’re doing better after a brief time on hormone-replacement therapy and then extended-course birth control. If we do find nothing, we’ll try Lupron, which will chemically induce menopause. If Lupron doesn’t work, you don’t have endometriosis, and you’ll be looking at other tests. 

We’ll schedule you for one more pre-operative appointment where you can ask all the questions you have and you’ll register with the hospital where the surgery will be performed. You’ll go home the same day, and you should take it easy for three days. In two weeks, you’ll have a follow-up appointment where we’ll go over what we found inside your pelvis and check your surgery sites for infection. 

Then, assuming you do have endometriosis, we’re going to evaluate you every six months to a year. You’re going to tell me how much this disease is affecting your quality of life. If the pain and immobility returns within a year and your current treatment options stop working, we’ll try inducing menopause. 

Lupron has its risks, but it allows us to achieve valuable steps both in terms of symptoms and diagnosis. You’ll get an injection every three months. When you decide you want to try pregnancy or want to stop the course of treatment, you’ll stop the shots and return to your natural hormone cycle. The effects of this shot are reversible. If you do have endometriosis, Lupron will relieve all your symptoms. We’ll also know for certain that this is endometriosis. If you still experience pelvic pain and cramping while using Lupron, you don’t have endometriosis. The side effects may be intense, but it’s something to consider if you get worse over the next few decades.”

I told her I was worried about the surgery itself. It’s a very common diagnostic procedure; it’s minor surgery and thousands of women undergo it every year. However, a close relative of mine underwent a diagnostic laparoscopy in her early twenties for endometriosis and her doctors decided to give her a hysterectomy. Obviously, her health history was somewhat different and it was medically necessary. Still, it’s hard to sign up for a small procedure if you could wake up without one or both ovaries or all your reproductive organs.

She asked me when this happened. It was the 1970s. She leaned forward and said, “That was a very long time ago, and medicine has come a long way since then. The biggest difference is that there were no female surgeons and very little research on the risks of hysterectomies on very young women. We’re not going to remove any of your organs, no matter how bad the extent of your endometrial implants. You’re much too young, and your imaging shows no tumors or large cysts. There’s no reason to put you through that. You may decide you want to have children later in life, but that’s not the main motivation for keeping your organs. Where do your hormones come from?”

“My ovaries.”

“Yes, and they’re very important to your overall health. You need to keep them. If you were 50 and approaching menopause, we’d be having a different conversation. I want you to write down any questions you may have, but I don’t want you to be concerned with keeping your organs.”

We then went over what a laparoscopy is. I’ll be put under anesthesia and my abdomen will be inflated through my navel. The surgeon will insert an instrument to manipulate my uterus. She will then insert a very small camera through my navel and a cauterizing tool. If she finds evidence of endometriosis, she will use the cauterizing tool to ablate, or burn away, the endometrial tissue. I thought this would take hours. She said it should only take a very short time; the large time frame for the surgery is to regulate my sedation and anesthesia. After the ablation, my abdomen will be deflated and they will move me to recover from the anesthesia. I’ll go home the same day.

In another week, I’ll have one more pre-operative appointment where I can discuss some of the questions raised from responses on this site and register with the hospital where the surgery will be performed. I’m anxious, but I’ve done some research and feel comfortable with my choice of surgeon. With any luck, I’ll have a diagnosis and a treatment plan within another month.

Please note, Lupron can neither diagnose nor confirm endometriosis. Lupron was never approved for such uses. For more information, please click here: Lupron.

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Get bikini ready fast! Lose weight now! Specially formulated for women!

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Got your attention, eh?

Summer is nipping at our heels, which brings shudders to many women. No longer can we hide under big sweaters and coats. It’s time to peel off our winter camouflage and get bikini ready! At least this is what we’re led to believe as we’re bombarded by media ads and commercials.

In 2012, Americans spent $20 billion in their weight loss quest, including diet books, diet drugs and weight loss surgeries. At any given time there are approximately 108 million dieters in the U.S., typically making four to five attempts each year. Eighty-five percent are women, so it’s no wonder the weight loss industry has created a niche targeted to women. Typical diet pill concoctions consist of thermogenic fat burners and appetite suppressants. The Bermuda triangle for me is HOW these products have been tailored to specifically work for women. SLIMQUICK® and Pro Clinical HydroxyCut™ Max are two “made for women” products that are easily recognizable on retail shelves, ready to be snatched up by eager consumers.

Key Differences

Men and women are different. We know this. Our physiological differences are apparent. At the root of these key differences are our hormones, dictated by the various glands of our endocrine system. There are more than 20 major hormones that course through our bloodstream to influence almost every cell, organ and function of our bodies. Males and females differ by the types and levels of hormones that run through our respective masculine and feminine veins. By diet pill manufacturers targeting women, we would assume that these magic pills work in conjunction with our cycling hormones.

The Bermuda Triangle of Weight Loss

“The active ingredients in the SLIMQUICK formula are backed by real clinical research that shows that they work to burn fat, reduce appetite and increase energy! In a clinical study, overweight women using a key ingredient in SLIMQUICK along with a 1,350-calorie diet lost an average of three times the weight compared to those who just followed the 1,350-calorie diet! That means you could get three times the weight results by using SLIMQUICK!” is SLIMQUICK’s FAQ explanation to the question “How does SLIMQUICK work?”

The website repeats usage of the term “key ingredients,” yet provides no details of what these key ingredients are. All this may satisfy the consumer hopeful for a quick fix, but for me it explains nothing and only irritates me. I went further to buy a bottle with the hopes of finding a sound scientific explanation within the packaging, but to no avail. There’s a nice mini glossy color package insert that includes a diet plan, but still lacks clinical explanation to their trademark tagline, “Designed for Women™.” A deeper dive on their webpage, Designed for Women, provides yet another ambiguous explanation of how women are genetically programmed to carry extra fat. Compared to men, we have more enzymes for fat storage and less for fat burning. There are six physiological barriers that hinder women with weight loss, but guess what? SLIMQUICK helps overcome these barriers. HOW is still the million dollar question, or should I say in the weight loss industry, the billion dollar question.

From what I can tell, caffeine seems to be the only identifiable key ingredient in SLIMQUICK. Let’s do a simple breakdown. What does caffeine do? It gives us a temporary energy boost and dehydrates us. Caffeine gives us energy to move more and we lose water. Water loss results in weight loss, but that loss is only temporary. SLIMQUICK states that each full serving (3 caplets) contains the caffeine equivalent to approximately two 8-ounce cups of regular brewed coffee. So why not just drink coffee?

Pro Clinical HydroxyCut Max does somewhat of a better explanation, if only by comparison to SLIMQUICK. The genesis of the product came about to meet the weight loss needs of competitive female fitness athletes and figure models; you know, the ones we see in health and fitness magazines in their perfectly toned bikini bodies. The website states the product, “contains an ingredient that delivers fast-acting energizing effects.

Max! Hydroxagen® contains proprietary ingredient blends that complete the formula.” Oh hey, proprietary ingredient blends sounds legit! Are you getting excited? Keep reading. “The Max! ProDefine™ Blend is composed of clinically proven key ingredients that can help you achieve powerful weight loss results.” Wow, clinically proven so it must work! Furthermore, each pill “contains an ingredient (caffeine anhydrous [1,3,7-trimethylxanthine]) that supports increased energy.” Claims include data analysis of the results from two clinical studies on the key ingredients (lady’s mantle extract, wild olive extract, komijn extract, and wild mint extract) shows statistical significance for test subjects having lost 7 times more weight versus placebo subjects. Are you ready to buy now? Not so fast. As always pay attention to the fine print. Footnotes state average weight loss and body mass index (BMI) reduction with key ingredients were achieved and that all groups followed a calorie-reduced diet. Repeat the last part of that last sentence. All groups followed a calorie-reduced diet. There is your scientifically proven formula. Weight loss happens when calorie burn is more than calorie intake.

Reality Check

One ugly truth about an industry that caters to aesthetics is they actually want you to fail. They want to hook you in for a temporary fix, with the hopes of keeping you hooked. Circle back to the 2012 statistics of approximately 108 million dieters in the U.S., typically making four to five attempts annually to lose weight. Each repeated attempt is the fail ratio the weight loss industry counts on to stay successful.

Why am I so passionate about the topic? I was the kid who could eat whatever I wanted and not gain weight. A can of corn with a stick of butter (yes, a whole stick of butter) melted in the microwave was a snack for me. Then one day as an impressionable teen, I was weighed with my dance team. Weight scales were a non-factor for me until then. The scale hit 109 lbs. Somehow my brain blitzed and I didn’t want to be a 3-digit weight girl. I wanted to be only 2-digits! Never mind the fact I stand 5’3” and 109 lbs was a reasonable weight. I needed to be 2-digits, so I put myself on this blind asinine “diet” based on Slim-Fast commercials. I had two shakes a day, yet still ate Burger King Whoppers. In my young utterly clueless mind, I thought this diet shake was the magic bullet to weight loss. Why? Because I believed the commercials. Two shakes for breakfast and lunch, with a sensible dinner. Did I lose weight? Yes. The weight loss also triggered an unhealthy need to keep losing weight for the magic goal of 90 lbs.

Through age and life experiences, we become smarter human beings. We are logical. We know and understand facts, but as humans we are also driven by emotions; lured into quick fix pills and the weight loss industry preys on that. Revenue is based on moving product. SLIMQUICK claims to be the #1 leading weight loss brand for women since 2005. I give them credit for their business savvy. They certainly move a lot of product for not explaining a whole lot. They even offer a free trial if you pay $4.95 only shipping and handling. Hook, line and sinker.

At the end of this article, I still have no idea what is it about the diet pills that make them work for only women, and frankly I don’t care to find out because ultimately they’re not good for our health. Thankfully after cycling through various diet kicks, I have landed on a healthy lifestyle. I stay active and eat well. No food is off limits. If you want it, enjoy it in moderation. Deprivation leads to obsession. Just say no to magic beans that will lead you to no place better than Jack and his beanstalk. We all fluctuate from time to time in our health. When it comes time to “get healthier,” do what you already know.

The Ethics of Female Castration: Hysterectomy Plus Ovariectomy

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Over half a million hysterectomies are performed each year in the United States. Approximately 60% – 74% of those hysterectomies include removal of the ovaries or ‘castration’. Castration (also referred to as gelding, neutering, fixing, orchiectomy and oophorectomy) is any action, surgical, chemical, or otherwise, by which a male loses the functions of the testicles or a female loses the functions of the ovaries.So there you have it – ugly as it may be. The correct medical term for removal of women’s ovaries is ‘castration’.

Most women do not know that when they agree to removal of their ovaries that they are agreeing to castration. They don’t know because the term castration is never used. They are told they will be undergoing some far-and-away sounding thing called ‘oophorectomy’. Women falsely believe they don’t need their ovaries because their doctors tell them they don’t. Women are purposely led to believe that their ovaries stop producing hormones once they’ve entered menopause anyway. They’re also assured that hormone replacement therapy can replace their own natural hormones. The truth is that there is no artificial hormone of any kind that can replace a woman’s own natural hormones. A woman’s ovaries continue to produce hormones all of her life. There is never a time when a woman doesn’t need her ovaries or the life-sustaining hormones they produce. No woman can give informed consent to ovary removal when she doesn’t understand that she is agreeing to castration. Far too many women are misinformed, uninformed or not informed.

And, it’s not just that women aren’t informed that oophorectomy is castration or that women agree to ovary removal in the first place. I hear from women all the time who tell me that they did not consent to removal of their ovaries, only to wake up from surgery with them missing. It seems doctors routinely take it upon themselves to remove healthy ovaries when they perform hysterectomies for benign diseases. They say it prevents the possibility of ovarian cancer. It should be noted however that the risk of ovarian cancer in women who have no family history of the disease is less than 1%. Meanwhile, removing the ovaries greatly increases the risk of cardiovascular disease (the #1 killer of American women) and accelerates osteoporosis. Removal of ovaries is linked to a variety of diseases and cancers, not to mention mental impairment and sexual dysfunction.

My healthy ovaries were removed without my consent during a routine hysterectomy in 2007 which I’ve previously discussed via my post “Wide Awake: A Hysterectomy Story.” My life has been altered in ways I never knew or understood was even possible. I suppose it’s true that we don’t know what we’ve got until it’s gone. Our ovaries are such a vital part of who we are as women. Yet, it’s not always possible to know this until we are forced to live without them. Ovary removal is not reversible. The devastating consequences last forever. It’s unnecessary trauma at best and forced castration at worst.

Forced castration is considered to be immoral and barbaric according to every country in the world other than Germany and the Czech Republic. More specifically, it’s considered to be immoral and barbaric to surgically castrate convicted sex offenders. Nearly one hundred men have been surgically castrated in the Czech Republic over the past decade. All 94 men had one thing in common: they were sex offenders being punished for heinous crimes. This practice garnered some unwanted attention when the Council of Europe, a leading human rights organization, published a report calling the practice “degrading, invasive, irreversible and mutilating.” Interestingly, the Council of Europe also stated that “even a minor interference with the physical integrity of an individual must be regarded as an interference with the right to respect for private life.”

Indeed, the South Carolina Supreme Court held in State v Brown (1985) that surgical castration is a form of mutilation and therefore considered to be cruel and unusual punishment and illegal under the 8th amendment of the U.S. Constitution. David Fathi, Director of Human Rights Watch’s U.S. program in Washington D.C., contends that surgical castration is “an irreversible punishment and is a fundamental violation of human rights.” Further, he says “Any kind of mutilation is barbaric.” American Bioethicist Arthur Caplan declares “While prisoners are excluded from moral life losing the right to vote, Americans have not reduced them to non-human status.”

If castration of less than a hundred sex offenders is an alarming violation of human rights, what conclusion should we draw from the fact that nearly half a million women are castrated every year in the United States alone. Is it somehow acceptable to reduce women to a non-human status? If it’s considered morally wrong to surgically castrate rapists and child molesters, then why is there no outcry about the castration of millions of innocent women? We simply must begin asking these profoundly important questions.

Quite literally, thousands of women are surgically castrated every single day in hospitals across this country. That works out to be approximately 9 women every 10 minutes. Keep in mind that these women have committed no crime. Innocent and unsuspecting women agree to hysterectomy and wake up castrated. Where exactly is the outrage? What about cruel and unusual punishment being illegal? Does it somehow not apply to women? What about a woman’s right not to be mutilated? Let’s be honest here. If this were happening to men, there would be mutiny in the streets.

It is past time for us to begin talking about the issue of female castration. The ovaries are ‘essential’ parts of a woman’s body. They are part of the fabric of life and so they are integral to the reproductive powers of the body itself. Female castration is simply not ethical in most instances.

I support Hormones MatterTM and their research on hysterectomy. If you have had a hysterectomy, take The Hysterectomy Survey. Your data could save the life of another woman.

My Websites and Social Media

Website: Hysterectomy Consequences

Blog: Hysterectomylies

Twitter: @jiggaz31

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A petition to stop unnecessary hysterectomy can be found on the Hormones MatterTM Sign a Petition page: Help Stop Unnecessary Hysterectomy and Castration

Post Script: This article was previously published with the incorrect title: The Ethics of Total Hysterectomy – Female Castration. It is the removal of the ovaries, often with hysterectomy that we contend should be considered female castration. Total hysterectomy does not include the removal of the ovaries. We apologize for the confusion.