The Healthy Living Community
Featured Forums
Wellness Blog
Stumble It!Healthcare reform and hypogonadism – Part 1
by BethRosenshein
A little background first, then on to healthcare reform…
Treatment of profound hypogonadism uses hormone products to replace the hormones of the ovaries (female gonads) with the same hormones, in the same levels, just as if the ovaries were still working. The ‘HRT’ used in clinical trials like the Women’s Health Initiative creates hormone levels that are never seen in healthy women during their entire lifetime and in no way even remotely resembles appropriate ovarian hormone levels as completely unnatural and unhealthy levels of hormones are created. It is inaccurate and misleading to label what was used in these trials as ‘HRT’. Intentionally using misleading terminology is an abuse of the public’s trust by the National Institutes of Health (NIH), the sponsor of the Women’s Health Initiative.
Now on to the blog…
A few years ago I was asked to give a lecture on how much money the state of Washington would save if profound hypogonadism (name for the illness caused by menopause) was effectively treated in women. The answer was $330 million per year in the state of Washington alone. Multiply those savings for 50 states and you will begin to see the financial impact that appropriate treatment of profound hypogonadism in women can have.
The reason for the savings was quite clear. Osteoporosis would be virtually eradicated and as a bonus the occurrence of breast cancer would be lowered by at least 80%. The reduction in both osteoporosis and breast cancer was due to the effective treatment of the illness that causes both of these diseases, profound hypogonadism.
These savings were just for women. Preventing osteoporosis in men by treating hypogonadism would also add significant savings. The bonus for men would be a significant decrease in prostate disease. Yes, you guessed it. Chronic hypogonadism is the leading cause of prostate disease not aging.
So if the occurrence of expensive, devastating diseases can be significantly reduced and the treatment is at our fingertips why isn’t it used?
That is a very good question with a straightforward answer.
Preventing disease means preventing income, status, and profits.
The healthcare industry knows only too well that when devastating diseases are prevented lots of money is saved. For instance, when diabetes or hypothyroidism are well controlled a person is much healthier. Healthier people translate into lower medical costs. Only when the cost of an illness exceeds the amount collected through premiums is a push toward prevention made. Once the premiums cover the cost of healthcare, the insurance industry has no incentive to prevent disease.
Also, the pharmaceutical industry has even less incentive to prevent disease. The pharmaceutical industry then has the opportunity to provide long term drug treatment for chronic illnesses that would not exist if the underlying illness were adequately treated. Osteoporosis is the best and most profitable example. Here is an illness that is 100% preventable and yet no one comes forward to point this out. Billions of dollars are spent on the treatment of a completely preventable illness. There are other illnesses like acid reflux or GERD, depression, high blood pressure, and breast cancer which are all a result of chronic profound hypogonadism. If these illnesses were to be significantly reduced what do you think would happen to the gravy train that the pharmaceutical companies are on now? There is absolutely no incentive for the drug companies to come up with replacement regimens that work, particularly for women. There is simply too much money to be made in keeping women sick for as long as possible. Does it make sense to you now why treatment for profound hypogonadism is not even acknowledged in women?
From a medical standpoint there is no reason not to prevent disease because the body does not change how it works. When something as devastating as organ failure occurs (i.e. ovarian failure), no matter the age of the person, it is completely understandable that disease ensues. Disease strikes because the body is not getting what it needs so it does the only thing it can do, it gets sick.
Many people think that Mother Nature provided ovarian failure and the loss of fertility as a way of protecting women as they age. There are abundant theories that are supposed to help us accept the physical and emotional harshness of profound hypogonadism.
To what end? When the average life span was 45 years ovarian function lasted until a woman’s last day. From a dollars and cents point of view ovarian failure is not protective at all. Women outlive their supply of eggs and when they are exhausted the body, mind, and society suffers terribly. The medical community does nothing or worse by primarily only treating men and refusing to treat women for the identical illness. I don’t think Mother Nature is trying to protect women. I think that human kind is failing to protect women when it fails to offer treatment for a treatable illness like profound hypogonadism.
Next time we will look at the numbers. The number of people who get sick and the number of doctors that are then required to treat them.
Treatment of profound hypogonadism uses hormone products to replace the hormones of the ovaries (female gonads) with the same hormones, in the same levels, just as if the ovaries were still working. The ‘HRT’ used in clinical trials like the Women’s Health Initiative creates hormone levels that are never seen in healthy women during their entire lifetime and in no way even remotely resembles appropriate ovarian hormone levels as completely unnatural and unhealthy levels of hormones are created. It is inaccurate and misleading to label what was used in these trials as ‘HRT’. Intentionally using misleading terminology is an abuse of the public’s trust by the National Institutes of Health (NIH), the sponsor of the Women’s Health Initiative.
Now on to the blog…
A few years ago I was asked to give a lecture on how much money the state of Washington would save if profound hypogonadism (name for the illness caused by menopause) was effectively treated in women. The answer was $330 million per year in the state of Washington alone. Multiply those savings for 50 states and you will begin to see the financial impact that appropriate treatment of profound hypogonadism in women can have.
The reason for the savings was quite clear. Osteoporosis would be virtually eradicated and as a bonus the occurrence of breast cancer would be lowered by at least 80%. The reduction in both osteoporosis and breast cancer was due to the effective treatment of the illness that causes both of these diseases, profound hypogonadism.
These savings were just for women. Preventing osteoporosis in men by treating hypogonadism would also add significant savings. The bonus for men would be a significant decrease in prostate disease. Yes, you guessed it. Chronic hypogonadism is the leading cause of prostate disease not aging.
So if the occurrence of expensive, devastating diseases can be significantly reduced and the treatment is at our fingertips why isn’t it used?
That is a very good question with a straightforward answer.
Preventing disease means preventing income, status, and profits.
The healthcare industry knows only too well that when devastating diseases are prevented lots of money is saved. For instance, when diabetes or hypothyroidism are well controlled a person is much healthier. Healthier people translate into lower medical costs. Only when the cost of an illness exceeds the amount collected through premiums is a push toward prevention made. Once the premiums cover the cost of healthcare, the insurance industry has no incentive to prevent disease.
Also, the pharmaceutical industry has even less incentive to prevent disease. The pharmaceutical industry then has the opportunity to provide long term drug treatment for chronic illnesses that would not exist if the underlying illness were adequately treated. Osteoporosis is the best and most profitable example. Here is an illness that is 100% preventable and yet no one comes forward to point this out. Billions of dollars are spent on the treatment of a completely preventable illness. There are other illnesses like acid reflux or GERD, depression, high blood pressure, and breast cancer which are all a result of chronic profound hypogonadism. If these illnesses were to be significantly reduced what do you think would happen to the gravy train that the pharmaceutical companies are on now? There is absolutely no incentive for the drug companies to come up with replacement regimens that work, particularly for women. There is simply too much money to be made in keeping women sick for as long as possible. Does it make sense to you now why treatment for profound hypogonadism is not even acknowledged in women?
From a medical standpoint there is no reason not to prevent disease because the body does not change how it works. When something as devastating as organ failure occurs (i.e. ovarian failure), no matter the age of the person, it is completely understandable that disease ensues. Disease strikes because the body is not getting what it needs so it does the only thing it can do, it gets sick.
Many people think that Mother Nature provided ovarian failure and the loss of fertility as a way of protecting women as they age. There are abundant theories that are supposed to help us accept the physical and emotional harshness of profound hypogonadism.
To what end? When the average life span was 45 years ovarian function lasted until a woman’s last day. From a dollars and cents point of view ovarian failure is not protective at all. Women outlive their supply of eggs and when they are exhausted the body, mind, and society suffers terribly. The medical community does nothing or worse by primarily only treating men and refusing to treat women for the identical illness. I don’t think Mother Nature is trying to protect women. I think that human kind is failing to protect women when it fails to offer treatment for a treatable illness like profound hypogonadism.
Next time we will look at the numbers. The number of people who get sick and the number of doctors that are then required to treat them.
Posted 9/3/2009 8:34:23 AM
About the Author
Beth Rosenshein
View profile
Boulder, CO
About the Author
Beth Rosenshein
View profile
Boulder, CO
Interests: Find effective, science based treatments, for menopause.
Created Diamond Research Foundation to find ways to seamlessly transition from ovarian failure (menopause) to Ovarian Replacement Therapy (ORT) thereby skipping hypogonadism completely.
www.DiamondRF.org
This blog is written by an individual Wellness.com forum member and does not necessarily state the views of Wellness.com Incorporated or any of its affiliates.
Community Comments!
drmcgee 9/4/2009 1:57:51 PM
Beth:
I totally agree. The disease industrial complex has become an end to itself as it bankrupts our economy. It is so frustrating as a physician to work in this environment with good people, yet they are so stuck in the disease model that cannot see the “forest in the trees.” It is absurd what we are paying for health care and absurd for the poor outcome we get relative to the money we spend as a national community.
I had prostate cancer myself in my forties and my testosterone levels were low. But, there is no financial benefit to study prevention, especially with natural replacement, in the way the disease industrial complex is structured. Only disease treatments make big money it seems.
My solution is to arouse the common sense of the people and create a market force for reasonable natural hormone replacement for men and woman of appropriate age and seriously look at the so called ‘alternative markets’ in nutrition, traditional Chinese medications, homeopathy, and health psychology, which are all based in lost cost prevention.
But, above all, I believe that people in their own personal space need to take charge of their health to the best of their ability and demand the kinds of prevention that they want to do anyway-- if anyone would listen to them.
Individuals have little power. Groups have a lot….
What if women and men wanted preventive minded physicians and other practitioners to follow our guidelines? What if we (wellness.com) were organized as a market force?
Wellness.com has the electronic structure to do this by recruiting people and practitioners based on common sense philosophy and practices regardless of the national politics.
What if your guidelines for hormone replacement therapy were published on wellness.com with appropriate resources and the people demanded to know what practitioners in their zip code understands this or is willing to look at it?
It seems so simple. Yet, people I expected to support me in this so far talk a lot but do not engage. Any ideas? Donald McGee
I totally agree. The disease industrial complex has become an end to itself as it bankrupts our economy. It is so frustrating as a physician to work in this environment with good people, yet they are so stuck in the disease model that cannot see the “forest in the trees.” It is absurd what we are paying for health care and absurd for the poor outcome we get relative to the money we spend as a national community.
I had prostate cancer myself in my forties and my testosterone levels were low. But, there is no financial benefit to study prevention, especially with natural replacement, in the way the disease industrial complex is structured. Only disease treatments make big money it seems.
My solution is to arouse the common sense of the people and create a market force for reasonable natural hormone replacement for men and woman of appropriate age and seriously look at the so called ‘alternative markets’ in nutrition, traditional Chinese medications, homeopathy, and health psychology, which are all based in lost cost prevention.
But, above all, I believe that people in their own personal space need to take charge of their health to the best of their ability and demand the kinds of prevention that they want to do anyway-- if anyone would listen to them.
Individuals have little power. Groups have a lot….
What if women and men wanted preventive minded physicians and other practitioners to follow our guidelines? What if we (wellness.com) were organized as a market force?
Wellness.com has the electronic structure to do this by recruiting people and practitioners based on common sense philosophy and practices regardless of the national politics.
What if your guidelines for hormone replacement therapy were published on wellness.com with appropriate resources and the people demanded to know what practitioners in their zip code understands this or is willing to look at it?
It seems so simple. Yet, people I expected to support me in this so far talk a lot but do not engage. Any ideas? Donald McGee
9/6/2009 4:20:59 PM
Donald,
Empowering both the general public and the medical community with information that is not tainted with politics should be a goal of our healthcare system however sadly, it is not.
Providing information that can be used to treat a mild illness to prevent it from becoming a major illness is a good example of preventative medicine.
I would be happy to publish my guidelines for the treatment of hypogonadism and profound hypogonadism. I know that many people would be interested because I am asked regularly for referrals for all over the US, Canada, England and Australia. I am also asked regularly by medical practitioners for information on how to treat these endocrinopathies and to refer them to patients seeking this treatment.
Please, count me in. I would like to be part of the wellness.com community that helps to support those interested in creating a healthcare system based on prevention of disease rather than the way it is now.
Beth
Donald,
Empowering both the general public and the medical community with information that is not tainted with politics should be a goal of our healthcare system however sadly, it is not.
Providing information that can be used to treat a mild illness to prevent it from becoming a major illness is a good example of preventative medicine.
I would be happy to publish my guidelines for the treatment of hypogonadism and profound hypogonadism. I know that many people would be interested because I am asked regularly for referrals for all over the US, Canada, England and Australia. I am also asked regularly by medical practitioners for information on how to treat these endocrinopathies and to refer them to patients seeking this treatment.
Please, count me in. I would like to be part of the wellness.com community that helps to support those interested in creating a healthcare system based on prevention of disease rather than the way it is now.
Beth
Jacksfullofaces 9/7/2009 7:42:06 AM
It is very difficult to get Health Care providers to agree that hypogonadism is anything other then natural, normal and indeed desirable.
I'm in the Uk where I have been following the USA Heath Care reform debate with interest.
The British NHS is hostile towards allowing long term treatment of female hypogonadism.
It is my belief that often these people are using a sub conscious knee jerk reaction and effectively stating " nature has deemed that you have finshed your fertile years - therefor we have no interest in preserving your standard of life and it is time for sufferers of hypogonadism to fade into the background"
I have located a very good endocrinologist but many other women are left to suffer and effectively are robbed of an enjoyable life because of Western cultural belief that hormones are only for younger people.
Things must change and I will do all that I can to raise awareness of this covert discrimination.
Louise
I'm in the Uk where I have been following the USA Heath Care reform debate with interest.
The British NHS is hostile towards allowing long term treatment of female hypogonadism.
It is my belief that often these people are using a sub conscious knee jerk reaction and effectively stating " nature has deemed that you have finshed your fertile years - therefor we have no interest in preserving your standard of life and it is time for sufferers of hypogonadism to fade into the background"
I have located a very good endocrinologist but many other women are left to suffer and effectively are robbed of an enjoyable life because of Western cultural belief that hormones are only for younger people.
Things must change and I will do all that I can to raise awareness of this covert discrimination.
Louise
drmcgee 9/8/2009 2:47:51 PM
There is a lot of prejudice and passive acceptance in these kinds of issues especially in the medical profession. I am willing to open up wellness.com with the Personal Care Community to make this one of our center piece issues. Wellness.com has the power to organize around zip codes and to find pharmacies and physicians who will support this. We might even have labs where people can order their own testing. I have two close nieces (one is a nurse) in London that could help us in the UK.
The point being is that people and their play group (what I call work and play) need to take charge of this issue themselves and self organize. Beth, can you outline some points and we can design this thing on the blog and create appropriate web pages? (e.g., books, writings, resources, discussion sections, etc)
I would expect people to pay something for you guidelines, and I would expect any lab or labs to be sponsors or something. In my ideal world, people take the center of their preventive health care: not hospitals, doctors, insurance companies, or government. I see Wellness.com as the tool they use.
Health care can only be personal.
donald
The point being is that people and their play group (what I call work and play) need to take charge of this issue themselves and self organize. Beth, can you outline some points and we can design this thing on the blog and create appropriate web pages? (e.g., books, writings, resources, discussion sections, etc)
I would expect people to pay something for you guidelines, and I would expect any lab or labs to be sponsors or something. In my ideal world, people take the center of their preventive health care: not hospitals, doctors, insurance companies, or government. I see Wellness.com as the tool they use.
Health care can only be personal.
donald
9/10/2009 10:02:44 PM
Donald,
These are all excellent ideas and I’ll be in touch with you offline to develop these ideas further.
Beth
Donald,
These are all excellent ideas and I’ll be in touch with you offline to develop these ideas further.
Beth
drmcgee 9/15/2009 4:16:29 PM
Beth: I see three sections to start off on: Your work, a section on medical nutrition, and a section on vascular (cardiovascular) health. I have Greta in New England who can anchor the business of health for a family. I will call as soon as I am awake in your window. Thanks. Donald
9/15/2009 9:54:35 PM
Sounds great. Looking forward to talking to you.
Beth
Sounds great. Looking forward to talking to you.
Beth
BYOURBEST 9/30/2009 6:39:35 AM
Hello Beth,
Thanks for your information on hypogonadism and healthcare reform. I am particularly interested in oral contraceptive use in teenagers. Could this fall under the hypogonadism topic? I am particularly concern with the use of brands like YAZ as the hormones contained within it are synthetic. Any thoughts?
Thanks for your information on hypogonadism and healthcare reform. I am particularly interested in oral contraceptive use in teenagers. Could this fall under the hypogonadism topic? I am particularly concern with the use of brands like YAZ as the hormones contained within it are synthetic. Any thoughts?
drmcgee 10/6/2009 2:34:53 PM
Beth; I like your outline. We can build in each zip code a community where consumers can know their resources in terms of practitioners and pharmacies. Do you see the need for labs on any assessment? Don.
10/6/2009 10:49:08 PM
Dear BYOURBEST,
You are very perceptive.
You probably know that oral contraceptives work by suppressing ovarian function, which means all of the ovarian hormones will need to be replaced. Unfortunately, oral contraceptives only contain non bio-identical estradiol and non bio-identical progesterone, with no added testosterone or dhea. Without full ovarian replacement every woman that takes oral contraceptives has hypogonadism or, as it is more commonly called, peri-menopause, which carries the risk of depression, sexual dysfunction, sleep disturbance, mood changes, and all of the problems normally associated with peri-menopause. To prevent this a woman would need to supplement her ovarian hormones to normal levels.
The problems don’t stop after oral contraceptives are stopped. Studies have shown that prolonged use of birth control pills may change gene expression of liver enzymes so that the binding protein that escorts estrogens and androgens (ie testosterone) in the blood (called sex hormone binding protein) remains about 4 times higher than normal for a prolonged period.
This is a problem. This means that a woman on birth control pills will have hypogonadism and even after stopping the pills she will continue to have hypogonadism because of the significantly elevated sex hormone binding protein and will continue to need to supplement her ovarian hormones.
So what are the pros and cons?
Knowing what I know about oral contraceptives and their short term and long term effects, I would still recommend Yaz and oral contraceptives in general. Yes, there is less than optimal health, but it is better than an unplanned pregnancy. Oral contraceptives are extremely effective at preventing unwanted pregnancy, which is more important than the health drawbacks of hypogonadism for a few years.
My foundation, Diamond Research Foundation, recognizes that oral contraceptives can be made better and healthier and we are working to make that happen. However, until that day comes I still recommend using oral contraceptive for the woman who is not yet ready to be pregnant.
Thanks,
Beth
Dear BYOURBEST,
You are very perceptive.
You probably know that oral contraceptives work by suppressing ovarian function, which means all of the ovarian hormones will need to be replaced. Unfortunately, oral contraceptives only contain non bio-identical estradiol and non bio-identical progesterone, with no added testosterone or dhea. Without full ovarian replacement every woman that takes oral contraceptives has hypogonadism or, as it is more commonly called, peri-menopause, which carries the risk of depression, sexual dysfunction, sleep disturbance, mood changes, and all of the problems normally associated with peri-menopause. To prevent this a woman would need to supplement her ovarian hormones to normal levels.
The problems don’t stop after oral contraceptives are stopped. Studies have shown that prolonged use of birth control pills may change gene expression of liver enzymes so that the binding protein that escorts estrogens and androgens (ie testosterone) in the blood (called sex hormone binding protein) remains about 4 times higher than normal for a prolonged period.
This is a problem. This means that a woman on birth control pills will have hypogonadism and even after stopping the pills she will continue to have hypogonadism because of the significantly elevated sex hormone binding protein and will continue to need to supplement her ovarian hormones.
So what are the pros and cons?
Knowing what I know about oral contraceptives and their short term and long term effects, I would still recommend Yaz and oral contraceptives in general. Yes, there is less than optimal health, but it is better than an unplanned pregnancy. Oral contraceptives are extremely effective at preventing unwanted pregnancy, which is more important than the health drawbacks of hypogonadism for a few years.
My foundation, Diamond Research Foundation, recognizes that oral contraceptives can be made better and healthier and we are working to make that happen. However, until that day comes I still recommend using oral contraceptive for the woman who is not yet ready to be pregnant.
Thanks,
Beth
10/8/2009 3:35:55 PM
Don,
Labs are an essential part of any treatment plan.
Labs help to know that not only have individual hormone levels been raised to eugonadal or normal levels, but are also essential in knowing that the hormones are in the proper ratios to each other.
It is also important to know realistic reference levels, not the levels reported by most laboratories and to standardize how hormone levels are reported so it is easier to understand the results. For instance, currently, most labs combine hypogonadal and eugonadal levels into the same category and call it normal and also use a variety of units to report the results, ie pg/ml vs pmol/L.
Here is a good example. The normal range for testosterone for men is typically shown as 300-1000 ng/dl. In reality, the normal range for testosterone is closer to 500 – 1000 ng/dl and hypogonadism would be below 500 ng/dl. What if your doctor is more familiar with nmol/L than ng/dl? That would mean that your doctor would have to take extra time from your appointment to convert units to something he understands.
The same thing happens to women. Often labs will list the normal range for testosterone to be 14-86 ng/dl, which includes expected values for both healthy women and women with hypogonadism. The only way to have a level of 14 ng/dl would be if the ovaries are no longer producing testosterone, which means ovarian failure. How can the normal range include a disease state? How can testosterone levels be in the normal range without the primary source of testosterone in the body? The same problem with units also occurs and the time spent converting units could be better spent.
So in answer to your question, yes, labs are an essential part of an effective treatment program. It is also essential to have realistic reference levels and standardized units for reporting those levels. What would be even better is if the ratios of all of the gonadal hormones to each other were calculated by the laboratory as well.
Beth
Don,
Labs are an essential part of any treatment plan.
Labs help to know that not only have individual hormone levels been raised to eugonadal or normal levels, but are also essential in knowing that the hormones are in the proper ratios to each other.
It is also important to know realistic reference levels, not the levels reported by most laboratories and to standardize how hormone levels are reported so it is easier to understand the results. For instance, currently, most labs combine hypogonadal and eugonadal levels into the same category and call it normal and also use a variety of units to report the results, ie pg/ml vs pmol/L.
Here is a good example. The normal range for testosterone for men is typically shown as 300-1000 ng/dl. In reality, the normal range for testosterone is closer to 500 – 1000 ng/dl and hypogonadism would be below 500 ng/dl. What if your doctor is more familiar with nmol/L than ng/dl? That would mean that your doctor would have to take extra time from your appointment to convert units to something he understands.
The same thing happens to women. Often labs will list the normal range for testosterone to be 14-86 ng/dl, which includes expected values for both healthy women and women with hypogonadism. The only way to have a level of 14 ng/dl would be if the ovaries are no longer producing testosterone, which means ovarian failure. How can the normal range include a disease state? How can testosterone levels be in the normal range without the primary source of testosterone in the body? The same problem with units also occurs and the time spent converting units could be better spent.
So in answer to your question, yes, labs are an essential part of an effective treatment program. It is also essential to have realistic reference levels and standardized units for reporting those levels. What would be even better is if the ratios of all of the gonadal hormones to each other were calculated by the laboratory as well.
Beth
sherri90036 11/18/2009 11:25:19 PM
Hi Beth and Dr. McGee,
I am so excited as I read your exchange of ideas about spreading the word of the info on this site. This info is invaluable to millions of women who are, at the moment, completely unaware of it. I am not a medical profession, but I am a very well-read patient. I have grown more and more angry over the years at watching the pharmaceutical companies decide what patients "need", which is only compounds which can be patented and sold at very high prices for seven years or whatever it is. Something has got to be done. The FDA is a puppet for the drug companies. I know I sound very harsh, but I have had first-hand experience with FDA-approved medications which should have had clear warnings about side effects and risks of long-term use but did not. The FDA was a good idea when it was conceived but has some how lost its way and its original focus, protecting the American consumer.
Any way, I'm not sure how a patient (albeit a well-informed patient) can help as you guys seek to spread the word of this site, but I would love to contribute to that process. Either way, and on behalf of all women with hormone imbalance that is not being treated properly by their regular drs, I thank you for caring enough to do what you do.
Best,
:) Sherri
I am so excited as I read your exchange of ideas about spreading the word of the info on this site. This info is invaluable to millions of women who are, at the moment, completely unaware of it. I am not a medical profession, but I am a very well-read patient. I have grown more and more angry over the years at watching the pharmaceutical companies decide what patients "need", which is only compounds which can be patented and sold at very high prices for seven years or whatever it is. Something has got to be done. The FDA is a puppet for the drug companies. I know I sound very harsh, but I have had first-hand experience with FDA-approved medications which should have had clear warnings about side effects and risks of long-term use but did not. The FDA was a good idea when it was conceived but has some how lost its way and its original focus, protecting the American consumer.
Any way, I'm not sure how a patient (albeit a well-informed patient) can help as you guys seek to spread the word of this site, but I would love to contribute to that process. Either way, and on behalf of all women with hormone imbalance that is not being treated properly by their regular drs, I thank you for caring enough to do what you do.
Best,
:) Sherri
Wellness Topics
Wellness News
Hawaii gives 7,174 state workers priority for swine flu vaccine
2009-11-20 10:52:28.09
Health bills' 'public option' would cover few
2009-11-20 10:15:22.72
Former smoker, 61, to speak out after winning $300 million US verdict against Philip Morris
2009-11-20 10:15:22.61
Fewer schools shutting down from H1N1
2009-11-20 10:15:22.5
Officials warned about H1N1 flu reports
2009-11-20 10:15:22.28
Integrative Medicine: Strategies for Dodging Colds, Flu
2009-11-20 10:15:22.17
Our Health: Will a Live It' Book Work Better Than Diet Books?
2009-11-20 10:15:22.06
Wellness Discussions
