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Getting to the bottom of your hormone imbalances

By FoRM Health | June 17, 2020

Have you complained to your doctor about not feeling well, either physically or mentally? With symptoms ranging from moodiness, lethargy, weight gain, hair loss, cyclical symptoms- headaches, acne, water retention, depression & anxiety- and overall just not feeling your best. Your well-meaning primary care doctor runs some standard blood tests and upon follow up, tells you- “You’re healthy. Everything came back normal.”

Well, I’ve been there. Many times. Its one of the reasons I got into naturopathic medicine. Testing hormones has either been ignored or not accepted as a standard practice for assessing health and symptoms. Since your hormones are the lens in which you experience the world and they also govern many aspects of how your body functions on a daily basis, I would argue that they are vital piece of any adult’s health puzzle.

Here’s my approach to assessing hormonal health…

Favorite Testing Methodology:

Dried Urine Testing for Comprehensive Hormones, otherwise referred to as the DUTCH test. The primary reason this test rocks is because it easily allows for multiple collection points (ie peeing on piece of paper 4-5 times/day) of hormonal data over the course of about 17-18 hours from the comfort of your own home. Hormones are dynamic, they fluctuate throughout the day, thus measuring hormones at various times, gives you the most comprehensive information about your hormone levels. Another advantageous aspect of the test, is that it accounts for metabolites, which are the intermediary, break-down products of hormones. These metabolites matter because they can cause symptoms when imbalanced and throw your body into hormonal chaos. Lastly, this test is comprehensive- it tests for sex hormones- estrogen, progesterone, testosterone- as well as adrenal hormones- cortisol, DHEA- all in one test, giving you a complete picture. This test can be performed on both men & women.

Free data collection:

Be your own detective at no additional cost. Any female who walks into my office, complaining of symptoms suggestive of hormonal imbalance, leave with the recommendation to start reporting their symptoms on a period or other tracking app. This approach empowers woemnThe first step is to note whether your menstrual cycle is regular and if it runs short (25 days or less) or long (35 days or more). The 2nd step is to track cyclical symptoms such as headaches, acne, mood swings, anxiety, depression, insomnia, night sweats, etc. Reconciling symptoms, collected throughout the month(s), with lab results, is the best way to individualize hormonal health strategies.

Blood testing pros & cons:

For patients who want to know the absolute most about their hormones, I’ll often order additional blood work, as the 3rd set of data. Blood tests are a a bit more convenient, since they are performed in office and only require one collection, and often are covered by insurance. Blood tests also provide us with additional information, such as looking for markers suggestive of menopause (FSH, LH, anti-mullerian hormone); comprehensive thyroid testing (another crucial hormone), as well as SHBG, a protein which can bind up free hormones, rendering them inactive in the body. This test can be performed on both men & women.

Combining all 3 of these assessments and data collection, is what I call the Hormone Trifecta. It leaves no stone un-turned and provides us with the most comprehensive information for designing a thorough and individualized treatment plan.

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These are our skin experts’ favorite products to These are our skin experts’ favorite products to use through summer ☀️(+ beyond) to keep their skin healthy & glowy:

🧴 Alto Advanced Defense Serum → Antioxidants + Vitamin C = major UV protection

🌞 Sunbetter SPF 68 or ToneSmart Compact → Tinted Mineral-based sunscreen, makes for a great base, always in our bags.

Caution ⛔️ with Retinols as they can make your skin more vulnerable to sun damage!

#SummerSkin #SPFEveryDay #FoRMFavorites
#lookbetter #sunprotection #uvdamage #agedefying #skinrehab #formhealthyhabits #formhealth
Most of us love our sunny summer days in the Pacif Most of us love our sunny summer days in the Pacific Northwest, but too much sun has its downside. 

Here are a few tips for protect and recovering from too much 🌞 

PROTECT
Always wear sunscreen on all sun-exposed skin when out and about. We recommend a mineral-based SPF 50+ and wearing coverage like hats and sun-shirts for even better protection.

FoRM favorite SPF for your face:
– Epionce Daily Shield Tinted SPF 50 (now on online sale)
– SunBetter Tone Smart SPF 75 (available at FoRM)

RESET
If your skin is desiccated and discolored from the sun, consider a 
much-needed reset with our Custom Combo Facial—a summer favorite that includes gentle exfoliation, hydration infusion, skin-barrier healing mask + LED light therapy.

Included in the CUSTOM COMBO (summer edition)

✨Enzyme mask for build up (sweat, SPF)
✨Bt-micro ultrasonic exfoliation
✨Hydroderm (hyperpigmentation + hydration)
✨Microcurrent with vitamin C serum
✨Cooling and soothing mask 
✨Red + Green LED (cell renew + hyperpigmentation) 
✨Moisturizer and SPF

Schedule with O’Brien using using link in bio

#formhealth #formhealthpdx #TopForm #lookbetter #sellwoodmoreland #naturalaesthetics #healthyisbeautiful #agedefy #Skinrehab #glowup #SkinRejuvenation #PRFskinrejuvenation #naturalbeauty #microneedling #ipl #iplfacial #photorejuvenation #botox #biotherapeutic #advancedaesthetician #skinbetterscience #epionce #dermaplaning #microcurrent #hydrodermabrasion #nofilterneeded
It’s the season of fun in the sun! 😎 We hope It’s the season of fun in the sun! 😎 We hope you’re enjoying your bevvies waterside with a splash of ELECTROLYTES. 🧂 

Even if you’re not a competitive athlete — electrolytes need to be on your radar! 🚨 Whether you’re hiking in the back country, crushing a gym sesh, or lounging in the sun .. here’s why you need ‘em:

💧 HYDRATION they help us actually absorb the water we’re sippin’ 
💧MUSCLES electrolytes help with fatigue, cramping and recovery 
💧BRAIN they are key for nerve signaling and can even help with that pesky 3pm brain fog 
💧SLEEP magnesium helps us to relax & feel calmer 

Ideally, you’re having electrolytes with sodium, potassium + magnesium & least amount of ingredients. Look out for hidden sugars in lots of the mainstream brands! 👀 
Add them to plain water OR sneak them into a fun sparkling drink like @drinkolipop 

The ones we like:
@tracemineralsresearch 
@drinklmnt 
@ancientnutrition 

Cheers to feeling better this Summer! 🤸 

#hydration #electrolytes #feelbetter #functionalnutrition #funinthesun #movebetter #formhealthpdx
Most of us love our sunny summer days in the Pacif Most of us love our sunny summer days in the Pacific Northwest, but too much sun has its downside 😎

Here are a few tips for protect and recovering from too much 🌞 

PROTECT

Follow these rules to prevent being depleted by the heat:
- at a minimum, drink half your body weight in ounces of water daily 💦
- On hotter, active days, add 12–24 oz for every hour of outdoor activity. 😅
- If you’re sweating a lot, toss in some electrolytes (sodium, potassium, magnesium) to keep your system balanced. 🥵

Hydration isn’t just about water— eating plenty of fresh fruits + veggies can help with hydration too! 🫐

RESET

If you’ve already pushed it too far and you’re noticing signs of dehydration (fatigue, lightheadedness, headache, brain fog, darkening urine), consider a hydrating IV drip to help you reset quickly.

Our most popular summer IV Formulas:

Performance Boost: saline, B vitamins, Vitamin C, Magnesium, L-Carnitine + Taurine

⚡️key nutrients that help your cells produce more energy and protect you from dehydration; perfect IV for pre-race or competition

Recovery Boost - saline, B vitamins, Vitamin C, Magnesium, Bicarbonate + Potassium

😮‍💨 nutrients that help your cells reset from a depleted state; ideal IV post-race or following travel, illness, or over-exertion.

Use link in bio to schedule your IV
 

#formhealth #formhealthpdx #TopForm #sellwoodmoreland #naturalaesthetics #healthyisbeautiful #agedefy #Skinrehab #glowup #SkinRejuvenation #PRFskinrejuvenation #naturalbeauty #microneedling #ipl #iplfacial #photorejuvenation #botox #biotherapeutic #advancedaesthetician #skinbetterscience #epionce #dermaplaning #microcurrent #hydrodermabrasion #nofilterneeded
Essential Summer Tips: Protect, Refresh + Reset ag Essential Summer Tips: Protect, Refresh + Reset against the summer heat!

Stay in top FoRM this summer with #ivtherapy #hydrationtips #functionalnutrition #customfacial #clinicalskincare #mineralsunscreen #performanceIV #recoveryIV

Check out the Recipe for refreshing Blackberry Protein Popsicles using link in bio!
Injury Prevention Pt 3 Finally, the secret ingred Injury Prevention Pt 3

Finally, the secret ingredient in FoRM’s injury prevention formula…#dryneedling!

Dry-needling acupuncture goes after small areas of tightly bound fibers within muscle and fascia that eventually turn into larger areas of tightness & tension, leading to an injury when pushed too far!

Signs you need some injury prevention therapy:
- joint pain (ie knee pain) during activity
- lingering soreness after activity
- altered gait or restricted movement during & following activity
- early muscle fatigue

At FoRM, we offer this service as a stand-alone therapy or in combination with relaxing manual therapy 💆🏽‍♂️ to boost the benefits (as pictured in this video)!

Remember, you don’t need to be a pro-athlete to benefit from Injury Prevention!

#formhealth #formhealthpdx #TopForm #sellwoodmoreland #movebetter #FeelBetterMoveBetter #painfreenaturally #healnaturally #prp #regenerativemedicine #orthopedicmedicine #injuryprevention #nonsurgicalsolutions#acupuncture #dryneedling #guasha #cupping #chiropracticcare #physicaltherapy #sportschiropractor #massagetherapy
We can’t leave out the importance of REST to kee We can’t leave out the importance of REST to keep yourself moving + feeling better. Relaxing is productive (say that one more time 😉) & self-care is a commitment to the long game for both your muscles & nervous system. ✨ 

This is a FoRMula that consists of: 

😌 SOAK
😌 SAUNA
😌 COLD PLUNGE
😌 REFUEL
😌 RELAX
😌 REPEAT 

We’d love to hear what you do on your R+R days!! Let us know in the comments. 🗣️ 

#restisproductive #recover #sauna #coldplungetherapy #relaxation #selfcare #feelbetter #movebetter #nervoussystemregulation #functionalmedicine #formhealthpdx
Injury Prevention can be done on the daily, weekly Injury Prevention can be done on the daily, weekly, + monthly! This is what our nutritionist, Ellina, has been doing to keep herself moving better on the court, on the trail, on a bicycle, & on the dance floor. 💪 

✅ Regular Dry Needling
✅ Strength Training 
✅ Physical Therapy Exercises 
✅ Mobility + Stretching 
✅ Active Recovery 

Come see one of our many Move Better providers who can help keep you in top FoRM this Summer for all of your favorite activities!! ⛰️ ☀️ 

📞 503-232-5653
🔗 Schedule Online with Link in Bio
Muscle for Longevity + Injury Prevention Your mus Muscle for Longevity + Injury Prevention

Your muscle mass is one of the biggest predictors of how well you’ll age and maintain a high quality of life through every decade.

Being strong protects your joints, connective tissue (ligaments and tendons) and bones against injury.

Beyond the physical benefit muscle improves your health in many other ways— metabolically, cognitively, and hormonally:

🧍 Fewer injuries + falls
🧠 Better brain health
🫀 Cardiovascular protection, reduce risk for heart disease 
⚖️ Improve metabolism, healthy weight maintenance and prevent diabetes 

Ready to shift your focus from cardio to muscle?

👉 Read our latest blog: “ Build Muscle, Age Better - The Role of Muscle in Healthy Aging and Longevity”
(Link in bio)

#formhealth #formhealthpdx #TopForm #sellwoodmoreland #movebetter #FeelBetterMoveBetter #painfreenaturally #healnaturally #prp #regenerativemedicine #orthopedicmedicine #nonsurgicalsolutions#acupuncture #dryneedling #guasha #cupping #chiropracticcare #physicaltherapy #sportschiropractor #massagetherapy
Injury prevention part 2 🙌🏽 Recovery sessio Injury prevention part 2 🙌🏽

Recovery session one day AFTER a soccer game. ⚽️

Goal is to reduce tension in soft tissues and mobilize restricted areas that arise during competition/performance, restoring healthy movement patterns going into the next training & game cycle.🏃‍♀️

Started off with 30 min of manual therapy to release tight hip flexors (#psoasrelease) and quads as well as chiropractic adjustment to help loosen up a locked up lower back. 

Second-half of the appointment included 30 min of more traditional massage work to relax & release full-body tension that occurs as a result of physical play going up against other players and impact from running up and down the field.

You don’t need to be a professional athlete to benefit from injury prevention care — schedule with Dr. Rebecca Shapiro DC (use link in bio) for the 30/30 Chiropractic & Massage combo session.

#formhealth #formhealthpdx #movebetter #movebetterfeelbetter #chiropractic #sportsmedicine #sportschiropractic #injuryprevention
#topform
Injury prevention part 1. This is what injury pre Injury prevention part 1.

This is what injury prevention looks like for a 40-something soccer player who likes to train hard (sprint intervals and heavy-ish weights 3-4/wk) in between games and has a history of partial quad, hamstring and calf tears.

Chiropractic care with @drpaulmolina about 2 hours after a hard training session includes:

🙌🏽 Soft tissue mobilization/ manual therapy to release tension throughout the muscle and fascia in the overworked areas like hip flexors, glutes, hamstrings, quads, and calves.

💪 Chiropractic adjustments to improve mobility of hips and spine joint to allow for better mechanics.

🙆‍♀️ PT exercises for homework to offset the regular wear and tear.

Staying active and injury-free requires a concerted effort but so worth it! No injuries this soccer season!

Prevention is the best medicine!

#formhealth #formhealthpdx #movebetter #movebetterfeelbetter #sportschiropractor #sellwoodmoreland
Prevention, the best medicine for injuries! We be Prevention, the best medicine for injuries!

We believe the best approach to injury is prevention. Whether you're a weekend warrior, a dedicated athlete, a busy parent or simply looking to stay active and pain-free, regular care can make all the difference.

Our injury-preventing services—dry needling acupuncture (with or without manual therapy), chiropractic care with manual therapy—help maintain mobility, correct imbalances and faulty movement patterns, and keep your body resilient.

Outside of the clinic, building muscle on your own time is a must if you want to set yourself up for injury resiliency. Strong muscles stabilize joints, support better movement patterns, and helps buffer the physical wear and tear that can lead to injury.

#movebetter #movebetterfeelbetter #injuryprevention #strengthtraining #muscleasmedicine #longevity #stayactive #injuryfree #naturalpainrelief #formhealth #formhealthpdx #chiropracticcare #sportschiropractor #dryneedling

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