3 Reasons You Aren’t Sleeping Well

On average, you need at least 6 hours of sleep to waken feeling fully rested. It’s been shown to encourage sleep if you go to bed at the same time each night, which should be around 10:30 to 11 p.m. It’s also a good idea to rise around the same time each morning. Earlier is better than later.

Most of us experience sleep issues at one time or another during our lives. But as you get older you may find that happening on a regular basis. Your insomnia may even become chronic and take its toll on your health. Let’s take a look at what could be causing you to toss and turn, and some things you can do that will help.

Why You Aren’t Sleeping Well

1) PROBLEM: Too much TV!
Insomnia has been linked to excessive TV watching. It seems that overexposure to the bright light emitted from your TV screen (or your iPad or smartphone for that matter) can negatively affect your melatonin production. It’s thought that using these devices at night tricks the brain into thinking it isn’t time for sleep.

SOLUTION: Cut off the TV or other devices at least an hour before bedtime, preferably two. You might also want to remove all of your electronics from your bedroom and use this room just for sleeping. Instead of watching TV, read an inspirational book, listen to relaxing music, or use this quiet time for meditation or prayer before retiring to the bedroom.

2) PROBLEM: Too much to drink!
Alcohol can make you drowsy and help you fall asleep, but it deprives you of the deep sleep you really need. A glass of wine with dinner won’t put a dent in your slumber. However, consuming several drinks before bedtime can have you waking in the middle of the night, unable to get back to sleep. If you frequently drink before bed, you will find yourself chronically drained and exhausted from lack of deep sleep.

SOLUTION: Alcohol should not be used as a sleep aid. Nor should you depend on medications, which also rob you of REM sleep. Instead, create a new relaxation routine that will encourage sleep. You might want to begin an exercise regime that gets you outside during the day. Merely walking at a moderate pace for a half hour daily can reduce the time it takes to fall asleep, help you sleep longer and get better quality sleep.

3) PROBLEM: Not enough hormones!
Problems with endocrine hormones affect both men and women who are experiencing perimenopause, menopause or andropause. At this stage of life, hormonal imbalance prevails. Insomnia is a typical side effect of fluctuating or depleted hormones.

SOLUTION: Get your hormones checked! If you are deficient in testosterone, estradiol or thyroid, you can likely benefit from a safe and effective bioidentical hormone replacement therapy such as SottoPelle®. Not only will it alleviate symptoms of hormone deficiency and help you get better rest, our BHRT is the perfect foundation for a healthier, happier life as you age.

Parkinson’s Awareness Month

April is Parkinson’s Awareness Month. Parkinson’s Disease (PD) is estimated to afflict seven to ten million people worldwide and approximately one million in the U.S. This chronic and progressive movement disorder occurs when part of the brain deteriorates due to dopamine deficiency. Dopamine impacts movement, emotional response and the ability to feel pleasure. The severity of the disease differs from person to person. So far, there is no cure, but researchers are hopeful.

Research evidence is showing that exercise may have an important effect on the progression of Parkinson’s. A study published in the Cleveland Clinic Journal of Medicine in 2007 suggests that exercise may slow the progression of the disease and possibly even prevent it. Regular exercise may also reduce anxiety, increase confidence, offer more social interaction and provide a distraction from worries. It makes sense since exercise increases blood calcium levels which is known to increase dopamine production in the brain.

SottoPelle® has been working with PD patients for some time now. Many early-onset patients have seen benefits from using our bioidentical hormone pellet therapy. We have found that testosterone pellets decrease inflammation in the brain enabling men and women with Parkinson’s Disease to exercise. Estradiol pellets help restore dopamine production. This results in increased functionality and a slowed progression of their disease. Patients have also reported experiencing more mobility, diminished depression, and even a reduction in medications. SottoPelle® BHRT has additionally helped motivate them to exercise more, which in itself increases the vitality and energy needed to keep active. Improved quality of life seems to also be a common denominator among our PD patients.

For many years now, SottoPelle® has supported the mission to educate people on Parkinson’s and find a cure. Dr. Gino Tutera, our founder and director, presented an educational talk in 2015 to the Banner Neuro Center in Gilbert, AZ, to share his observations with the medical community. We have also participated in the annual Muhammad Ali Celebrity Fight Night for the past two years. This star-studded gala is known as one of the premiere charity events in the nation. For more than 20 years, celebrities have come together at this event to raise money for a variety of worthy causes, including the Muhammad Ali Parkinson Center at Barrow Neurological Institute in Phoenix. This year’s event is being held on April 9th at the JW Marriott Desert Ridge Resort & Spa in Phoenix, AZ, and we’ll be there supporting the cause. (www.celebrityfightnight.org)

If you are living with Parkinson’s Disease, please give us a call. We would love to see if we can help you in your journey to a better quality life.

Bioidentical Hormone Replacement Therapy Can Help the Long Term Effects of Concussion

Traumatic brain injury (TBI) is a growing public health concern around the world. According to the CDC, concussion is the most commonly diagnosed TBI in the U.S. It estimates that 1.6 to 3.8 million sports and recreation related concussions occur in our country each year. Bicycling, football, hockey, soccer, boxing, basketball, track, gymnastics, softball, baseball all rank high on the scale of concussion injuries.

On the other hand, concussion isn’t just a sports or recreational phenomenon. It can happen to anyone—old, young or in-between, active or sedentary. This type of brain damage can also occur as the result of a bomb blast, an accident, a simple fall or even being shaken. Anything that causes the brain to move inside the head can result in a concussion, whether by an indirect or a direct jolt or blow. The effects from this so-called minor form of TBI are usually temporary. Nonetheless, there is strong evidence that even mild or moderate concussion may alter brain function and produce memory and thinking problems for the long term.

The most common consequence of brain injury, however, is pituitary malfunction and subsequent hormone deficiency. Researchers have found that injury to the pituitary gland disrupts its ability to create or convey its hormones to receptors that exist throughout the brain and the rest of the body. Many studies conclude that the chronic symptoms of TBI, such as depression, anxiety, irritability, sleep disorders, pain and the learning and memory problems mentioned above, are identical to those of hormone deficiency. Scientists have, in fact, recommended hormone replacement therapy for concussion and other TBI patients who test deficient in key endocrine hormones.

SottoPelle® remains a leader in the treatment of those with TBI. NFL players like Jim McMahon, Paul Krause, Bobby Bell and many other SottoPelle® patients who suffer from the aftermath of brain injury have reported improved quality of life and relief from symptoms related to their hormone deficiencies.

Our unique method of BHRT uses low dose bioidentical hormones that bind to and communicate perfectly with appropriate receptors within the cells. When hormone deficiencies are restored to beneficial levels, as they are with SottoPelle® BHRT, significant progress can be made. Since TBI patients will need to be on hormone replacement therapy for the rest of their lives, it only makes sense to choose a therapy that supports health rather than putting it at further risk.

What Is The Right Hormone Dosage for My Body?

Your hormone dosage needs to be unique to your own individual needs. One size does not fit all. The right prescription for you may be too much or too little for someone else. That’s why the standardized doses of pharmaceutical hormone replacement drugs do not make any sense at all. Everyone’s body chemistry and metabolism are different. What makes your metabolic process unique is a combination of things – the health of your organs, systems and glands, your genetic makeup, the medications you take, foods and liquids you regularly ingest, your stress and activity levels, and the list goes on. How you personally metabolize hormones will make all the difference in which hormone replacement dosage will benefit you the most.Couple hikers in high mountains


How do you know what’s right for you?

Hormones need to exist in proper amounts so your body can work like it is supposed to. Hormonal balance is a delicate thing to achieve using BHRT. It requires a precision method that is customized to work specifically for you. Many physicians still use guesswork to prescribe standard doses of dangerous, side-effect laden synthetic hormones. Their experiment is based on eliminating symptoms. It has nothing to do with treating your overall hormone deficiency or supporting your long term health.

Where do I start?

What you really need is to see a practitioner who understands:
1) the vital part played the hormone delivery method
2) the importance of proper testing, correctly interpreting the results, and prescribing the right amounts of key hormones that are missing
3) that the hormones must be exact matches for human hormones (bioidentical) in order to do their work

Likewise, to restore hormone balance, the method must be one your body recognizes and can work with; is capable of delivering hormone directly into your blood stream 24/7 for months at a time; and is both safe and effective for the long term. In fact, the goal of beneficial BHRT should be to both eliminate your symptoms and restore your body to hormonal balance.

SottoPelle® BHRT

This is precisely what we do at SottoPelle®. Our SottoPelle® Method is scientifically based and precision executed to create hormonal balance around the clock for months at a time. Using our proprietary pellet implant method, we treat your individual hormone needs with custom-compounded, low dose, bioidentical estradiol and testosterone. This method is proven safe and effective and is the only method capable of responding to your body when it needs more hormone.
Call us today for a consultation and join the thousands of others who have said goodbye to hormone deficiency and regained their lives with SottoPelle® BHRT.

Can BHRT Help Fibromyalgia?

In many cases, yes. It is now believed that sex hormones play a role in the expression of fibromyalgia. People suffering from this disease commonly exhibit low hormone levels—specifically low estradiol and testosterone. When these two hormones exist in the proper amounts and ratios they work symbiotically to maintain internal equilibrium. This balance helps keep the organs, systems and glands operating beneficially. Using the right BHRT can help restore hormone levels to useful levels and relieve the underlying deficiencies that create the symptoms of fibromyalgia.

Fibromyalgia History

For many years, physicians were skeptical that fibromyalgia even existed. In fact, it was frequently dismissed as a mental disorder. Finally in 1981, a scientific study formally confirmed its existence. Today we know it as a real and often debilitating condition. Fibromyalgia is currently one the most common types of chronic pain disorders. It’s estimated to afflict more than 10 million people in the U.S. Worldwide, the number is said to be upwards of 200 million.

Fibromyalgia Causes

With such an alarming number of cases, fibromyalgia research has increased dramatically in the past 10 years. Even so, we still don’t know precisely what causes it. It appears that numerous factors interact and play a role. We do know that this condition occurs primarily in perimenopausal and menopausal women. This happens to be the time when their principal estrogen (estradiol) and other key hormones are fluctuating, in low supply or missing altogether.

Many symptoms of fibromyalgia parallel those of hormone deficiencies. The most common include chronic pain, inflammation, fatigue, sleep problems and concentration or memory problems, among others. Symptoms aren’t the same for everyone and vary in degree and intensity from person to person.

Since hormones have multiple jobs and participate in complex relationships throughout the body, the connection with fibromyalgia isn’t surprising. A deficiency in estradiol alone can trigger a chain reaction that will interfere with a variety of functions throughout the body. For instance, estradiol is tied to nerve function and sensitivity to pain. Low estradiol often precedes low levels of serotonin in the brain. And serotonin deficiency is connected to chronic joint and muscle pain. Low vitamin D, which is actually a steroid hormone precursor, is also associated with chronic joint and muscle pain, as well as depression. Likewise, testosterone is connected to muscle health, mood, cognition, sleep, and energy levels.

SottoPelle® BHRT & Fibromyalgia

Many fibromyalgia patients report improved symptoms using SottoPelle® BHRT to treat their hormone deficiencies. At SottoPelle®, we’ve found, time and again, that restoring hormonal balance is the key to progress. Using our proprietary pellet implant method many of our patients have experienced lasting, safe and effective relief.

If you are suffering from fibromyalgia, this same relief may be just a phone call away. Please contact us today to schedule a consultation.

Could Hormonal Imbalance Be The Cause of Your Overeating?

Eating too much is often more than just an issue of willpower. There are a lot of reasons for overeating, many of which scientists now say trace back to brain chemistry and hormonal imbalance.

Humans produce approximately 50 different hormones in their bodies, all of which vary in structure, activity and response. These hormones work together to control a long list of biological functions including heart rate, muscle development, sexuality and hunger.

Estrogen alone has a major impact on more than 300 of the body’s systems. For instance, we know that estrogen balance is vital to achieving and maintaining fat loss. Likewise, sufficient levels of estrogen appear to aid in hunger regulation. It does this by increasing the concentration of serotonin, a neurotransmitter that signals your brain when you are full or satisfied.

Women with PMS are notoriously prone to binges and food cravings. These are signs of an imbalance in the ratio between estrogen and progesterone that occurs prior to menstruation. This state of disharmony, when combined with the undesirable effects of elevated stress hormones (such as adrenaline and cortisol), creates the perfect storm for piling on abdominal fat—a fact of life for many hormonally imbalanced perimenopausal women.

Fortunately, hormonal imbalance is highly diagnosable and readily treatable. For optimum health, it’s vital to choose a hormone replacement practitioner who understands endocrinology and the importance of hormonal balance.

SottoPelle® physicians are just that. We are industry leaders and expert when it comes to properly administered BHRT. Our proprietary SottoPelle® method is tailored to meet your unique needs using the highest quality, plant-based, pellet implants for optimum results. Research has shown it to be the safest and most effective hormone delivery system available. When combined with exercise and a healthy lifestyle, you will have the tools you need to take control of cravings, weight gain, fatigue, insomnia, depression and many other issues that accompany hormonal imbalance.

BHRT for Parkinson’s Disease and Traumatic Brain Injury

BHRT for Parkinson’s Disease and Traumatic Brain Injury

BHRT or Bio-identical Hormone Replacement Therapy helps restore hormones such as testosterone, estrogen, and progesterone to their required levels. The hormones are taken from plant sources to produce molecules which are identical to the hormones our body naturally makes. BHRT is a safe and a reliable method and patients who undergo the treatment have reported feeling younger, more energetic and having decreased symptoms of menopause and andropause (male menopause) symptoms. The therapy is customized to an individuals requirements and is highly effective in both men and women. There are many benefits of BHRT which include:

  • Improved immune system
  • Increased sex drive
  • Balanced weight
  • Improved skin condition
  • Lower depression
  • A new study also suggests that it helps in Parkinson disease and traumatic brain injury

Parkinsons disease and BHRT:Parkinsons disease (PD) causes the failure and death of critical nerve cells in the brain that are called neurons. PD usually strikes the neurons in the brain area called the substantia nigra that produces dopamine. Dopamine is responsible for communicating with the part of the brain that controls movement and coordination in a human body. As PD advances, dopamine production decreases which leaves a person unable to control his movements like a normal human being. This also inhibits his ability to exercise or maintain his fitness.However, with BHRT, PD patients have reported improvement in the following areas:

  • Reduced progression of PD symptoms
  • Reduced need for medicines
  • An improvement in fitness
  • An improvement in coordination
  • Better mobility
  • Reduction in tremors

These improvements are possible with BHRT as BHRT is able to increase the production of dopamine and decrease inflammation in the female brain and testosterone in the main brain. BHRT keeps hormones in balance and revives quality of life of PD patients. Balance of hormones means a steady flow of hormones in the blood stream that helps keep PD negative symptoms in check.Also, BHRT is customized as per the needs of the individual patient. This customization to the precise needs of the patients body is the key to the success of pellet therapy. SottoPelle’s patent pending dosing method BioCalc allows for the treating physician to dose the pellet therapy to exactly what that patients body requires to regain balance.

Traumatic brain injury and BHRT:Research suggests that traumatic brain injury affects around 1.7 million Americans per year and it can cause cognitive, emotional as well as physical deficits. Most therapies do not provide significant improvements or recovery and the chronic symptoms continue to be a part of life of the patients forever. It has been found that brain trauma causes deficiencies in some types of hormones. When this deficiency in hormones is restored, a significant improvement is seen in patients that suffer from traumatic brain injury.BHRT are plant-based hormones that match the exact molecular structure, as well as functionality of the human hormones. Hence, BHRT bind and communicate properly to the human body receptors and hence, extend vital support to organs, tissues and cells in the human body. If prescribed properly, BHRT can benefit traumatic brain injury as well as menopause, weight gain, and even osteoporosis. Again, BHRT are customized personally and have virtually no side effects. Exact dosage needs of a patient are uncovered by a series of blood tests.BHRT needs to be researched upon even more to aid people in their illnesses and improved further to provide an even better outcome for patients suffering from PD, traumatic brain injury, etc. If you need more information about this topic or SottoPelle Therapy, please call us today.

What Are The Causes of Menopause?

There are several reasons beyond age-related hormone loss that can cause a woman to enter menopause.

Causes of Menopause

Premature Ovarian Failure (POF) and Premature Menopause can occur in women under age 40. The ovaries cease to function normally and either stop or substantially slow down their production of estradiol, triggering early menopause. Women who experience this will often display a variety of symptoms normally associated with perimenopause and menopause.

Surgical Menopause can take place anytime in a woman’s life. It involves the surgical removal of the ovaries (oophorectomy) and/or uterus (hysterectomy), causing an abrupt halt in the manufacture of estradiol, testosterone and progesterone – steroid hormones created in the ovaries. Many women are taken by surprise when this hormone loss prompts the immediate onset of a variety of uncomfortable symptoms such as hot flashes, night sweats and others.

Chemotherapy and radiation therapy for cancer can bring about menopause accompanied by a variety of symptoms. This can happen either during or shortly after treatment and often triggers the cessation of both menstruation and fertility. These circumstances may be temporary in the case of chemotherapy, but not always.

Aging-related Hormone Decline is the most common cause of menopause. It occurs in the majority of women somewhere between the ages of 40 and 60. The average age for menopause in American women is 51. What many women think of as menopause is actually the intermediate stage beforehand, called perimenopause. This stage lasts about four or five years. It is often a time of hormonal and emotional upheaval as hormone levels fluctuate wildly and cause an onslaught of disruptive symptoms. Menopause finally arrives when the ovaries stop producing estradiol altogether and create only trace amounts of progesterone and testosterone.

Note that some symptoms can be due to causes other than hormonal imbalance or menopause. In the cases of POF and premature menopause, the symptoms appear gradually, starting at an early age. If you do have symptoms, you will want to be sure you are otherwise in good health. You need to be evaluated by a physician who takes into account your medical history, menstrual periods, medications and other related issues. Request a physical exam, a mammogram and Pap test, in addition to blood labs measuring hormone levels.

4 Common Menopause Myths

So many women come to me not fully understanding what menopause is or why they’re feeling so out of sorts. Most grew up in a time when menopause simply wasn’t talked about. Their mothers called it “the change” but never explained what was changing. I think that’s why there is so much misinformation and mythology attached to menopause.

It’s very important to me as a hormone replacement physician to help educate my patients and dispel some of the most common menopause myths.

4 Common Menopause Myths

1) Menopause ends when your hot flashes disappear

2) Estrogen is only used for hot flash relief and nothing else.

3) All estrogens are the same

4) Testosterone isn’t necessary for women

The Reality:

1) Just because you no longer experience a hot flash doesn’t mean menopause is over. Menopause is defined by deficiencies in your primary steroid hormones—estradiol (your most important estrogen) and testosterone. Because of this, the physical and emotional changes of menopause can continue until you die. That is unless you return these hormones to normal, beneficial levels using a hormone replacement method that gives the body what it needs for renewed hormonal balance.

2) Estrogen, estradiol in particular, has many important functions besides relieving symptoms like hot flashes. Estrogen receptors exist in cells throughout the body. Besides providing the basis for female reproduction and sexual development, estrogen has a significant effect on bone and bone structure. It supports liver function and provides cardiovascular protection in addition to neuroprotection in the brain. Estrogen also plays a positive role in a woman’s mental health.

3) All estrogens are not the same. The human body makes three different estrogens—estriol, estrone and estradiol. Estradiol is a woman’s most important estrogen and delivers the greatest health benefits. It is the only estrogen that penetrates the blood brain barrier. Synthetic estrogens and horse estrogen (derived from the urines of pregnant mares) have completely different structures and don’t provide the health advantages that bioidentical estradiol does.

4) Research continues to show the importance of physiologic testosterone levels in women. Premenopausal women make 300 milligrams of testosterone a day. With the onset of menopause, testosterone production slows to a trickle. In fact, this hormone is vital to hormonal balance, brain function (especially short-term memory), the normal performance of the muscle system and in bone making. The lack of testosterone creates a metabolic imbalance which causes a rise in insulin resulting in belly fat, elevated lipids and weight gain.


The Quintessential Anti-Aging Essential

Engage in daily exercise, even at a modest level, to slash your risks of premature death.

A mountain of evidence documents that physical inactivity raises a person’s risk of premature death, as well as increases the risks of diseases such as heart disease and cancer.  Ulf Ekelund, from, the University of Cambridge (United Kingdom), and colleagues assessed the link between physical inactivity and premature death.  The team analyzed data collected on 334,161 men and women across Europe, enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study. Over an average of 12 years, the researchers measured height, weight and waist circumference, and used self-assessment to measure levels of physical activity. Data analysis revealed that the greatest reduction in risk of premature death occurred in the comparison between inactive and moderately inactive groups. The investigators estimated that daily exercise burning between 90 and 110 kcal (‘calories’) – roughly equivalent to a 20-minute brisk walk – would take an individual from the inactive to moderately inactive group, and reduce their risk of premature death by between 16-30%. The impact was greatest amongst normal weight individuals, but even those with higher BMI saw a benefit. In further calculations, ther team reveals that 337,000 of the 9.2 million deaths amongst European men and women may be attributed to obesity (classed as a BMI greater than 30) – with double this number of deaths (676,000) attributable to physical inactivity.  The study authors report that: “The greatest reductions in mortality risk were observed between the 2 lowest activity groups across levels of general and abdominal adiposity, which suggests that efforts to encourage even small increases in activity in inactive individuals may be beneficial to public health.”

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