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Button-Endometriosis-Management

Endometriosis – Driven by Estrogen

 Estrogen is the driver of Endometriosis. Normal endometrium has no aromatase activity 274 but endometrial cells that spread beyond the ovary and uterine cavity have powerful aromatase action enabling these abnormal cells to generate all the estrogen they need to stimulate cell proliferation and spread 274.

Aromatase is an enzyme that converts an androgen (Testosterone or Androstenedi0ne) to Estrogen. This then drives the spread of the endometrial tissue (Endometriosis) to various pelvic and other parts of the body. 

Keeping estrogen levels down by ensuring the weight is optimal as deep visceral fat also has significant aromatase activity. Environmental factors also play a big part.

 

Key Points

The Estrogen Focus – Many factors can drive estrogen levels to increase. Many environmental factors are not obvious like perfumes and fragrances. Many pesticides and herbicides are hormone disrupters.  These factors will be highlighted here  


Beta-glucuronidase (an enzyme) activity  – This activity can be checked by a gut microbiome analysis. Bowel organisms may split bound estrogen destined for excretion allowing the potent and dangerous estrogens to be reabsorbed putting anyone with a clinical problem that is sensitive to estrogen such as Endometriosis, Breast Cancer and Prostate Cancer in jeopardy. Beta-glucuronidase activity can be decreased by many dietary fibres and Calcium-D Glucarate (see below). Beta-glucuronidase activity in the gut can be measured using gut microbiome metagenomics and our Activ8Health practitioners can help organise this. The Cell Protect Anti-Inflammatory Formula below helps target this enzyme


Perfumes & Fragrances – These are essentially ubiquitous. From perfumes applied to the skin to 24/7 fragrances gushing out of a power plug-in container in various parts of a home, to hair products, toilet cleansers, makeup, lotions and potions added to the skin. Anything that smells nice is a phthalate which is a hormone disrupter and an estrogen mimic. One of the most important things to do is get a woman to cease all perfumes and fragrances in her environment.


Polyphenol-rich diets can be very protective of many cancers. Polyphenols are phytochemicals have been shown time and again in many research articles to protect against not only a number of cancers but also chronic disease states269.


The Cell Protect Anti-Inflammatory Formula contains a huge range of polyphenol wholefood compounds that include all the components of the POMI-T double-blind, placebo controlled trial (see below) and these include whole Pomegranate Powder, Turmeric (Curcumin), Green Tea Powder and Broccoli Powder. These four components have been fortified with other compounds shown to benefit those at risk of breast cancer.

Dietary management should be personalised and targeted

All disease states need dietary management that is targeted to them personally. Please check the Precision Nutrition tab for the least number of tests to manage a client

Important nutrient compounds in the fight against cancer

 

  • Lignans are converted organisms in the gut microbiome to weak estrogens (Enterolactone and Enterodiol), and these weak estrogens compete at the estrogen receptor-blocking stronger estrogens from attaching.

    Selenium has been shown to be protective against breast cancer. A maximum of x2 Brazil Nuts will provide a wealth of Selenium which has powerful antioxidant activity and is vital for selenium-containing enzymes like the many antioxidant enzyme systems like Glutathione Peroxidases 247.  A maximum of x2 Brazil Nuts will provide a wealth of valuable health promoting Selenium.
    Calcium D-Glucarate has been studied as a chemopreventative agent for many cancers as it is a natural inhibitor of
    β-glucuronidase activity 64
    . Many gut organisms can produce β-glucuronidase an enzyme that undoes all the good work the liver has done, where excess oestrogens (or toxins) are excreted by attaching a molecule like Glucuronic Acid to a hormone like estrogen or to a xenobiotic, xenoestrogens, and other toxic compounds so they can be safely and inactively transported out of the body. Gut microorganisms that produce β-glucuronidase simply split the bound estrogen or toxin allowing it to be reabsorbed to carry out its toxic effects.
    Omega-3 Essential Fatty Acids are vital to decrease inflammation in the body and cancerous or precancerous lesions. Metastatic spread is largely driven by inflammatory processes – the so-called ‘Malignant Flame130‘. At Activ8Health, we recommend a combination of high-dose DHA that will produce Resolvins that as the name suggests resolves inflammation. DHA is best taken as a supplement that has Choline (below)
    Choline has been shown to have powerful anti-inflammatory effects that the brain can affect through the Acetylcholine released by the Vagus Nerve to dampen splenic inflammatory responses – the ‘Inflammatory Reflex5Resveratrol – not only has strong aromatase inhibiting ability, it was also found to be a “potent inhibitor” of  angiogenesis i.e. of new blood vessel formation that helps provide blood and oxygen to these spreading lesions 248.

Specific Supplement Options

 

9 Novel fibres to provide dietary fibre diversity. Click the button to find out more

Partially Hydrolysed Guar Gum (PHGG) 

Strongly consider for anyone with Breast, Prostate, Bowel and Pancreatic Cancer in addition to the Activ8Health Multifibre Blend

This is a safe and effective soluble fibre that has been extensively researched. The guar gum is pre-digested enzymatically to produce smaller molecules. PHGG significantly increases Bifidobacteria and Lactobacilli and helps stimulate Butyrate an important compound for gut health

Beta-Glucuronidase Bacteria (Gut Microbiome Analysis)
Significantly decreased by Partially Hydrolysed Guar Gum (Relie Fibre) 

Finding that your gut microbiome is primed to produce Beta-Glucuronidase an enzyme that can allow estrogen bound for excretion to be reabsorbed in the body and also releases other toxic compounds locally in the bowel putting anyone at risk for cancer of the breast, prostate and also bowel cancer. Beta Glucuronidase activity was 12.1 times higher than controls in those with bowel cancer272. There are associations with pancreatic cancer as well. Partially Hydrolysed Guar Gum (Relie Fibre) was shown to significantly decrease Beta Glucuronidase activity271.

Anyone with Breast, Prostate, Colon and Pancreatic Cancer 

Should strongly consider adding more Partially Hydrolysed Guar Gum and used with the Activ8Health Multifibre Blend

Anthocyanin & Polyphenol-Rich-Blend - Powerful Plant compounds 

That polyphenols can have powerful effects on health is incontrovertible. However, the Western diet has very poor levels of these important compounds. This potent blend of Premium New Zealand Purple Carrots + Premium Australian Blue Berries and Premium Turkish Pomegranates pack a polyphenol punch. Polyphenol-rich diets have been shown to decrease the risk of Cardiovascular (Heart & Vascular) disease, many cancers and neurodegenerative disorders like Alzheimer's Disease (AD) and Parkinson's Disease273.

  • Premium New Zealand Purple Carrots
  • Premium Australian Blue Berries
  • Premium Turkish Pomegranates

Mix in smoothies, dilute fruit juice and yoghurt

Cell-Protect-Anti-Inflammatory-Formulation 

For many inflammatory conditions

The POMI-T Trial a double-blind, placebo-controlled trial was a game-changer in the management of prostate cancer and in lowering PSA

This formulation has not only the full polyphenol components of the POMI-T Study (Pomegranate, Turmeric, Green Tea and Broccoli) it has added Boswellia (blocks LOX-5 and the production of LTB4) and Boron (protective of prostate and breast cancer), Resveratrol, Lignans, Calcium-D-Glucarate (blocks deconjugation of oestrogen in the bowel) and is as a powerful combination to protect the breast, prostate and a multitude of other disease states driven by inflammation.

Thus in this formulation there are a multitude number of natural compounds that have been shown to fight inflammation. 

Supporting Supplement Options

 
Anti-Inflammatory Compounds Opposite 

Magnesium Big-4 Combo 

View the 4 forms of Magnesium in this popup button

Magnesium should be taken at night as it can make people sleepy - not a bad thing for people who find it hard to go to sleep

Magnesium can lower blood pressure so start off with a low dose like one at night then two at night

DHA + Choline 

Inflammation is a driver of Insulin Resistance and Diabetes. This needs to be addressed by DHA, EPA and Choline. Please order an Omega-3 Index to take the guesswork out of this.

DHA + EPA are vital to producing RESOLVINS that as the name suggests, resolve inflammatory processes intrinsically involved in many disease states. Maximum 2 Capsules BD

Extra DHA and EPA - EFA Essentials

Provide enough Omega-3's to levels of 4 - 5 gram daily for 4 - 6 months then recheck the Omega-3 Index to see if tissues levels are optimal. The client can then go onto a maintenance dose and this saves money

N-Acetyl Cysteine

That many chronic diseases including insulin resistance have an increased need for antioxidants is undeniable. Disease processes produce far more demand for nutrient resources for repair processes and a Western Diet is pathetically low in many micronutrients. Cysteine will need to be constantly replenished to meet the demands of Glutathione and low intracellular Glutathione levels have been established in Diabetics 17.

Oral NAC effectively boosts intracellular Glutathione levels to fight oxidative stress and dampen inflammatory processes

Opti-D3 + K2

Vitamin-D has proven anti-inflammatory modulation effects 

Both Vitamin-D 21 and Vitamin-K 48 are strongly associated with insulin sensitivity with a new mechanism shown for Vitamin-K2 to improve mitochondrial function and utilization of glucose for energy production through SIRT1 signalling.

Choose one of the following for your client based on their clinical history 

Supporting Supplements

MICRONUTRIENTS ARE CRITICAL FOR CELLULAR AND MOLECULAR REACTIONS 

CHOOSE ONE BASED ON YOUR CLIENTS NEEDS

 

GenoMULTI-ACTIVE-B

First Choice For: 

    1. Energy 
    2. Thyroid Disorders 
    3. Low Iodine Levels (130 mcg Potassium Iodide + 175 mg Selenium Selenate) 
    4. Neurodegenerative disease states
    5. Vascular calcification 
    6. Bone disease (Contains Vitamin-K2 (the active MK7 component) 
    7. Nicotinamide - 100 mg (for NADgeneration)

Numerous benefits of this choice from Vitamin-K2 (MK7) not found in many preparations to Choline protective against fatty liver and alcohol liver toxicity to Mixed Vitamin-E Tocopherols, Mixed Citrus Bioflavonoids that have Lutein for eye health to Resveratrol. This formulation also has 130 mcg of Potassium Iodide and Selenium for Thyroid health including biologically active Vitamin-B forms and critical Mineral Chelates.

Has iron - thus avoid in anyone with HFE Haemochromatosis genes but this formulation is suitable for most people

Use for those who want - Energy, neuroprotection, to decrease homocysteine and to protect the bones, a health methylation system, a healthy stress response

 

 

BioTress 

First Choice For: 

    1. GIT Disorders - Higher Vitamin-A than most and Vitamin-A is vital for mucosal immunity
    2. Lung disorders (the Vitamin-A level) 
    3. Ear and Sinusitis problems - Vitamin-A assisting with mucosal immunity 
    4. Urological disorders - Urethra, Bladder - once again the mucosal immunity strengthened by Vitamin-A

Does not contain Iron 

 

Micronutrient Sufficiency 

Opti Vital - Multivitamin with Nicotinic Acid

First Choice for: 

    1. Anyone with raised lipids 
    2. Anyone with heart  disease 
    3. Anyone with vascular disease 
    4. Anyone with raised PSA (Contains Boron a Serine Protease inhibitor thus lowering PSA) and also contains Lycopene
    5. Anyone with macular concerns - contains Lutein 

Choose this Multi-V for anyone with a risk of Cardiovascular disease i.e., high lipids or prediabetes or diabetes 

Contains low-dose iron

Nicotinic Acid (not Nicotinamide) supports improved blood lipid profiles

There is a two-fold increased risk of cardiovascular disease in insulin resistant states 15. Stroke is a common cause of morbidity and mortality in diabetes

Using a Multivitamin that is designed with cardiovascular disease in mind is prudent to meet the extra micronutrient demands for cellular biochemistry, repair processes and metabolism

Natal Care (Pre-Pregnancy, Pregnancy and After Birth)

Choose this Multi-V for anyone with thyroid issues as it has thyroid support levels of iodine and selenium 

This is usually suggested for anyone who is of childbearing age for both partners but is a generally good Multivitamin & Mineral formulation for anyone 

 

Anti-inflammatory Support Supplements