uncovering the secrets to hormone balancing for …...rdn, chwc, mba, hsc owner, b3 nutrition heidi...

Uncovering the Secrets to Hormone Balancing for

Weight Loss

ModeratorPresenter

RDN, CHWC, MBA, HSCOwner, B3 Nutrition

Heidi Diller, RDReShape Patient Care Manager

Housekeeping Points

● 1st of 3 webinars● 1 CEU for each webinar from CDR● Webinars recordings available ● Handout (PDF) emailed ● Ask questions via panel

Information you need to know …

Meet Bonnie

● Could use this slide to review my story – how I arrived here …

The gift that keeps on giving …Transition Time!

© 2017 Bonnie Roill | B3 Nutrition

Learning Objectives

● Identify the three hormones that have the greatest influence on metabolism and body weight.

● Identify the 5 most common hormone imbalances that influence appetite, metabolism, and body weight.

● Incorporate questions into counselling sessions to recognize potential hormonal issues effecting weight management


1. 82. 103. 124. 15

How many brain & gut hormones directly affect appetite?

Poll Question


Answer: 15!

How many brain & gut hormones affect appetite?

Poll Question


Amylin CCK CRF Dopamine Ghrelin GIP GLP Glucagon

Insulin Leptin NPY OXM PP PYY Serotonin

Brain and gut hormones that regulate appetite


Chemical substances released by one group of cells in the body, travel in the bloodstream and influence the behavior of other group of cells by helping regulate processes in the body in response to internal and external stimuli.

Definition of Hormones

Hormonal Primer


Sex Hormone Tree

Cholesterol

Pregnenolone DHEA

Progesterone Androstenedione Estrone Estriol

Aldosterone Testosterone Estradiolpregnenolone (cortisol) steal

Cortisol


Greatest impact on weight and metabolism

Meet the Cabal!

Three Hormones to Watch


● Cortisol— Raises blood sugar— Increases blood pressure— Modulates inflammation

Charlie’s Angel “Sabrina”

Glucocorticoid hormone

Cortisol


● T4 (Thyroxine) — Inactive/storage form

● T3 (Triiodothyronine)— Active form

Charlie’s Angel “Jill”

Thyroid Gland Hormones

Thyroid Hormones


Fatigue/Exhaustion/Drowsiness Weight gain Cardiovascular dysfunction / disease Glucose intolerance/insulin resistance Poor pregnancy outcomes Hair loss Dry skin Menstrual problems/infertility Slow reflexes Snoring or sleep apnea Allergies or hives Frequent colds or sinus infections Decreased sex drive Menopausal symptoms

● Join or muscle aches or muscle cramps● Carpal Tunnel Syndrome or Plantar Fasciitis● Feeling cold or being cold● Decreased sweating● Constipation● Brain Fog / Fuzzy Thinking● Depression● Fluid retention● High cholesterol● High blood pressure● Slow heart rate● Anemia● Gruff or horse voice

Thyroid Symptoms of Hypothyroidism

● Types of Estrogen— Estrone (E1)

“bad estrogen”

— Estradiol (E2) “good estrogen”

— Estriol (E3)

Charlie’s Angel “Kelly”

Steroid Hormone

Estrogen


Common Hormone Imbalances

1. Dysregulated cortisol 2. Low cortisol3. Low progesterone 4. Low estrogen5. Low thyroid

5 Top Hormones

© 2017Bonnie Roill | B3 Nutrition

Case Study #1: Female 52 yo CC: Weight gain & weight loss resistance

● Questions to ask:— Diet hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home

● Lab values — TSH, T4, T3, rT3, Insulin, Cortisol, DHEAS, Testosterone, Estrogen, Progesterone

● Plan of care / Treatment Protocols— Nutrition— Lifestyle

● Results

BMI: 27; Other concerns: GI distress; irritability; hoarse voice

Case Study #2: Female, 42 yo CC: Weight loss resistance

● Questions to ask:— Diet and weight hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home

● Lab values — TSH, T4, T3, rT3, Insulin, Cortisol, DHEAS, Testosterone, Estrogen, Progesterone, Vit D, Ferritin

● Plan of care / Treatment Protocol— Nutrition— Lifestyle

● Results

BMI: 28; Other concerns are low energy and sleep challenges

Case Study #3: Female, 57 yo CC: Weight loss resistance

● Questions to ask:— Diet and weight hx— GI health— Meds/HRT— Nutrition supplements— Sleep— Exercise— Stress: Work & Home

● Lab values — TSH, (f)T4, (f)T3, rT3, TPO, Insulin, A1c, Cortisol, DHEAS, Testosterone, Estrogen, Prg, Vit D, Ferritin

● Plan of care / Treatment Protocol— Nutrition— Lifestyle

● Results

BMI: 30; Other concern “crashing” mid-day

Questions to ask clients Put on your Sherlock Holmes hat!


Take home message …

1. Look for the root cause of the weight resistance2. Be systems oriented3. Combine lab results with symptomology 4. Recognize that not every weight plateau or weight loss resistance is due to hormonal

imbalances5. Be open to the possibilities


“Strategies to Rev Up Mid-Life Weight Loss” March 13, 2017

2pm PDT/ 4pm CST/ 5 pm EST___________________________________

“Now What? Metabolic Disruptors that Interfere with Weight Loss”

March 28, 20172 pm PST/4 pm CST/5 pm EST

Next Webinars


uncovering the secrets to hormone balancing for …...rdn, chwc, mba, hsc owner, b3 nutrition heidi...

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