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Hormonal imbalances…an underlying cause of your hair & skin woes

By FoRM Health | June 17, 2020

Your skin and hair are trying to tell you something about your hormones!

Paying attention to changes and/or chronic symptoms affecting the health and appearance of your skin and hair can give you insight into the health of your hormones.

Here’s an introductory guideline to better understand what’s going on beneath the surface.

  1. Cystic acne around the jawline- painful, deep pimples affecting the lower half of the face, jaw, & neck typically indicates an excess of our androgen hormones: testosterone and/or DHEA. Other symptoms may include shedding or thinning hair. This acne affects men and women, especially women with PCOS.
  2. Acne & congested skin around the mouth- again this symptoms could mean an excess of androgenic hormones and/or excess estrogen or too low of progesterone. This type of acne, tends to be cyclical, often flaring 1-2 weeks before a women’s period.
  3. Acne along the sides of the face/ around eyebrows- this indicates a sluggish liver, which is struggling to properly detoxify hormones, leading to excess circulating hormones, congested pores and propensity towards breakouts around the sides of the face and brows.
  4. Thinning frontal hairline and eyebrows- thinning hair could be mean many things; but with regards to hormones, it could indicate low thyroid function. We especially suspect this if someone is also struggling with fatigue, excess weight, depression, constipation, and dry skin.
  5. Oily skin, enlarged pores, and breakouts of your mid-face- overactive adrenals, the glands which regulate cortisol, our primary stress hormone, can manifest as skin problems around the mid-face and cheeks. High stress = excess cortisol => oily skin and clogged, enlarged pores.
  6. Hyperpigmentation- patches of darker, brownish pigmentation, especially above the upper lip and often affecting the forehead, can indicate an excess of estrogen. This is a common manifestation for women on the birth control pill and/or women going through peri-menopause.
  7. Fine lines & wrinkles- a decrease in moisture and general thinning of the epidermis (top layer of skin), lead to the formation of fine lines, creases, wrinkles, and overall unfavorable changes in skin texture and an aging complexion. This often suggests too low of sex hormones, estrogen & progesterone, which decline during menopausal transition. Chronic stress and hormonal birth control can also cause impede sex hormone production, leading to prematurely aging skin.

If you struggle with any of these symptoms, get your hormones checked out! Addressing hormonal imbalances can help stop the underlying cause of many of these problems. But we can also address the issues on the surface. FoRM Health offers many skincare options and natural aesthetic procedures which can get your skin and hair back on track. For best results, I (Dr. Kai), recommend addressing surface and underlying cause concurrently.

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Even the most dedicated providers need a recharge Even the most dedicated providers need a recharge — and for the FoRM crew, nothing beats getting lost in a great book!

This month, FoRM’s Book Club took over Oma’s Hideaway to swap thoughts on Wild Dark Shore over delicious food, drinks and even better company. We came for the book. We stayed for the vibes. 🌿🕯️

#FoRMBookClub #WildDarkShore #OmasHideaway #ReadMoreBooks #formhealthpdx
At FoRM we believe pain treatments should come wit At FoRM we believe pain treatments should come with a plan — not just a prescription! 💡 

That’s why we offer a suite of targeted therapies that are highly effective as standalone therapies but can also be used in conjunction with regenerative injection therapies to optimize outcomes:

🎯 Trigger Point Injections — Addresses muscular dysfunction that loads and stresses the very joints and tissues being regenerated.

⚡ Shockwave Therapy — Stimulates tissue repair and increases local circulation to enhance the regenerative environment

🧠 Nerve Hydrodissection — Ultrasound-guided release of compressed nerves that may be undermining your recovery without you knowing it.

🌿 Prolozone — Ozone-based therapy that reduces oxidative stress and delivers targeted support to healing tissue
Whether you’re just beginning your healing journey or already undergoing Prolotherapy, PRP, or MFAT — these therapies meet you where you are, and help carry you further than you thought possible.

You deserve more than symptom management. You deserve a path back. 💪 

#FoRMHealth #RegenerativeMedicine #Prolotherapy #PRP #MFAT #ShockwaveTherapy #Prolozone #NeuralTherapy #Hydrodissection #IntegrativeOrthopedics #ChronicPainRelief #FunctionalMedicine #WholeBodyHealing #PortlandOR
Your Body is Designed to Heal. Regenerative Inject Your Body is Designed to Heal. Regenerative Injection Therapy Harnesses That Power. 
#movebetter #movebetterfeelbetter #formhealth #nonsurgicalsolutions
What if you didn’t have to be limited by pain or o What if you didn’t have to be limited by pain or old injuries? 🏋🏽‍♂️

Regenerative injection therapies (RIT) use your body’s natural healing abilities to reduce inflammation, repair tissues, and relieve pain—helping you move better without surgery or relying on medications.

✨ RIT Therapies at FoRM:

✅ Prolotherapy – A simple sugar solution, that strengthens weakened + damaged connective tissue (ligaments/sprains)
✅ Platelet Rich Plasma – Concentrated platelet solution, harnessed from your own blood, which uses growth factors to repair injuries (tendons/muscle tears and strains)
✅ MFAT Therapy – Fat-derived regenerative cells that provide a powerful healing signal for old injuries and damaged joints (arthritis, cartilage damage)

FoRM is Portland’s trusted resource for non-surgical, regenerative solutions for pain + injuries. 

Want to learn if you’re a good fit for RIT? Schedule a Consult one of our specialists - Dr. Ryan Minarik ND and Dr. Brittany Krake ND - by calling 503 232 5653 opt 2 or using scheduling link in bio.

#MoveBetter #PainRelief #RegenerativeMedicine #FormHealthPDX #PRP Prolotherapy SportsMedicine PortlandHealth FeelBetterMoveBetter
We have 4 physicians at FoRM who specialize in hor We have 4 physicians at FoRM who specialize in hormones + women’s health. They’re here to support you in navigating perimenopause & menopause with style and grace! Dr. Herman, Dr. Krake, + Dr. Binshaieg share their go to supplementation to help our patients navigate this phase of life! 

🌷Femmenessence
🌷Magnesium L Threonate
🌷Cortisol Manager
🌷Vitex
🌷Rhapontic Rhubarb
🌷Creatine
🌷Collagen

There are so many wonderful botanicals that we can lean on to keep us feeling + moving better. #formhealthpdx 

Link in bio to schedule! 

#hormonehealth #hormonebalance #womenshealth #menopause #perimenopause #feelbetter #movebetter #botanical #naturopathicphysician
What if you didn’t have to be limited by pain? 🏋🏽‍ What if you didn’t have to be limited by pain? 🏋🏽‍♂️

Regenerative injection therapies (RIT) use your body’s natural healing abilities to reduce inflammation, repair tissues, and relieve pain—helping you move better without surgery or relying on medications.

✨ RIT Therapies at FoRM:

✅ Prolotherapy – A simple sugar solution, that strengthens weakened + damaged connective tissue (ligaments/sprains)
✅ Platelet Rich Plasma – Concentrated platelet solution, harnessed from your own blood, which uses growth factors to repair injuries (tendons/muscle tears and strains)
✅ MFAT Therapy – Fat-derived regenerative cells that provide a powerful healing signal for old injuries and damaged joints (arthritis, cartilage damage)

FoRM is Portland’s trusted resource for non-surgical, regenerative solutions for pain + injuries. 

Want to learn if you’re a good fit for RIT? Schedule a Consult one of our specialists - Dr. Ryan Minarik ND and Dr. Brittany Krake ND - by calling 503 232 5653 opt 2 or using scheduling link in bio.

#MoveBetter #PainRelief #RegenerativeMedicine #FormHealthPDX #PRP Prolotherapy SportsMedicine PortlandHealth FeelBetterMoveBetter
Perimenopause… or Cortisol Chaos? Many women in th Perimenopause… or Cortisol Chaos?
Many women in their forties assume new symptoms automatically mean perimenopause.
Sometimes they’re right.
But sometimes cortisol dysregulation is the real driver.

We recently evaluated a 44-year-old woman ready to start hormone therapy for what she believed were worsening perimenopausal symptoms:
• Early morning wake-ups
• Worsening premenstrual symptoms
• Increased anxiety
• New abdominal fat
• Blood sugar swings and cravings
• Intermittent night sweats
• Brain fog
• Lower stress tolerance

Her #DUTCH, a comprehensive hormone test, told a different story.
Her sex hormones (estrogen, progesterone, testosterone) were relatively stable.
Cortisol was not.

Findings showed:
• Elevated total cortisol
• Slow cortisol metabolism (meaning it lingered longer in her system)
• Cortisol rising at night instead of falling

That pattern alone can drive poor sleep, anxiety, fat storage, and metabolic disruption.
Our strategy shifted.

Instead of jumping into hormone therapy, we focused on nervous system regulation, adrenal support, sleep repair, and reducing unnecessary stress load.

The takeaway: not every symptom in your forties can be blame on retiring ovaries. Sometimes it’s cortisol dysregulation, from years of burning the candle at both ends.

Precision testing allows for precision treatment—so hormones work for you, not against you.

#formhealth #functionalmedicine #hormonehealth #feelbetter
The Menopausal Transition: What’s Actually Happeni The Menopausal Transition: What’s Actually Happening

Perimenopause is the hormonal transition leading up to menopause. Estrogen and progesterone begin to fluctuate—often unpredictably. 

What it can feel like in real life:
🩸Heavier, more frequent, or irregular periods
🤬Mood swings, anxiety, irritability
🫩Sleep disruption (especially 2-4am)
🤯Brain fog, difficulty with name/word recall + poor focus
🫥Declining libido
🤰New, stubborn abdominal fat
💪Muscle loss despite exercising
🥵Night sweats and temperature sensitivity

Menopause is defined as the twelve consecutive months without a menstrual period. Hormone production “falls off the cliff” — and the whole body feels it.

What it can feel like in real life:
🥵Hot flashes + night sweats�• Insomnia
🦪Vaginal dryness
😒Zero libido
🤬Mood swings, depression
😶‍🌫️Memory lapses and word-finding difficulty
😫Multi-Joint pain
💪Rapid muscle loss🤰Expanding waist-line
🫩Fatigue

Postmenopause is the stage after menopause, when hormone levels remain consistently low.

Beyond persisting symptoms mentioned above, additional silent, behind-the-scenes changes happening as a result of permanently low estrogen (progesterone + testosterone).

🦴Accelerated bone loss → increased risk of osteoporosis and fractures

🧠 Loss of brain’s gray matter volume + changes in white matter
💪 Loss of muscle mass → higher risk of frailty
🔥Increased (inflammatory) abdominal fat
💦 Loss of joint lubrication + cartilage
🍭Worsening insulin resistance
💔 Elevated cholesterol and cardiovascular disease risk
🦪 Thinning of vaginal and urinary tissues (genitourinary syndrome of menopause)

This transition is not a disease. It is a full-body physiologic shift.
How you train, eat, sleep, manage stress, and—when appropriate—use targeted therapies will determine how strong and resilient you feel in this next chapter.

This is not the end of vitality. It is a phase that requires a smarter strategy.

#formhealth #formhealthpdx #movebetter #feelbetter #sellwoodmoreland #sellwoodmoreland #functionalmedicine #regenerativemedicine #hormonehealth #agedefy #glowup #lookbetterfeelbetter #ageyourway
Balanced hormones start with a nourishing meal! 🥘 Balanced hormones start with a nourishing meal! 🥘 ✨ 

Filling every plate with fiber, protein, + healthy fat will ensure that you’re feeling 💯 throughout the days, weeks, + years! 

🥦 Fiber — feeds your gut critters to keep them happy so they can help your detox pathways (super important for estrogen!). & helps with blood sugar control. 

🍗 Protein — provides the building blocks for our hormones & support muscle building. It also is key for blood sugar control, feeling satiated, + reducing energy crashes. 

🥑 Healthy Fats — the foundation of our hormone production! Olive oil, nuts, avocado, seeds all keep cycles movin’ + groovin’ while reducing inflammation. 

Nourishment + fueling yourself is non-negotiable to keep hormones healthy & happy!! 🤸‍♀️ 🪩 

Check our link in bio for the recipe to this delish squash + chicken soup. 🍲
Hormone Health by Decade💪 Your hormone landscape s Hormone Health by Decade💪
Your hormone landscape shifts with age. Your Strategy Should too!

🔹 In Your 20s? Lay the groundwork by establishing healthy habits around eating + activity. Keep your blood sugar levels steady by eating a balanced diet + staying active!

Tip #1: When meal-planning, use this blood-sugar balancing formula: Protein + Fiber + (Healthy) Fat

Tip #2: Exercise is more fun with friends! Plan to meet friends for a hike, group class or friendly competition!

🔹 In Your 30s? Cortisol imbalances from stress and poor sleep can disrupt hormonal cycles, cause fertility issues in both men + women, and set the stage for inflammation.

Tip #1: Establish a decompression routine you follow every night before bed.

Tip #2: Stress management should be simple; think breath-work, 5-Min journal, relaxing baths + sleepy-time tea!

✨ In Your 40s? Focus on strength training to support muscle + bone health while maintaining metabolic fitness through blood sugar control and stress management.

Tip #1: Train 4-6x per week with a balance of strength, mobility, and restorative movement (think yoga, Pilates). We highly recommend working with a qualified trainer to dial in your best form!

Tip #2: Swap steady-state, endurance cardio for 20 min of interval training (short bursts of speed + recovery work).

✨ 50s & Beyond? Hormonal changes in post-menopause & andropause can accelerate aging, affecting muscles, joints, brain, heart, skin, and more. Addressing imbalances can keep you vibrant and strong!

Tip #1: Talk to your doctor about bio-identical hormone therapy.

Tip #2: Keep chasing strength goals—fitness is more essential than ever!

💥 Prioritize hormone health + smart training to stay resilient for life!

#FoRMHealthPDX #HormoneHealth #StrongerWithAge #Longevity #FeelBetterMoveBetter #AgeDefyingStrength
#FoRMHealth #StrongerForLife #HormoneHealth #PreventionIsPower
FoRM just got a GLoW up. ✨ We pulled up the old c FoRM just got a GLoW up. ✨

We pulled up the old carpet and upgraded to fresh flooring and new runners throughout the clinic — because the space you heal in matters.

2026 is our GLoW up year — refining, elevating, and continuing to raise the standard of care we deliver every day.

Same mission. Elevated environment.

#formhealth #formhealthpdx #movebetter #feelbetter #lookbetter #sellwoodmoreland #functionalmedicine #agedefy #regenerativemedicine #hormonehealth #glowup
Wondering what your healthcare providers do to bui Wondering what your healthcare providers do to build strength? We’re squatting, deadlifting, lunging, + doing burpees. Building muscle couldn’t be more important for metabolic health, hormone balance, bone density, protecting joints, better posture, & helping you age stronger! 💪 ✨ 💪 ✨ 💪

 #pumpiron #feelbetter #movebetter #strengthtrain #agestrong #resistancetraining

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