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While normal aging lowers estrogen levels, leading to tissue degeneration (bone,
muscle, neural, etc.), the metabolic imbalances (glucose, lipid, etc.) and increments in
inflammatory agents in day-to-day life (infections, toxicities, traumas) are enhancing
estrogen (or estrogen-mimicking) levels, fueling “estrogen dominance” (excess estrogen).
The resultant excess estrogen induces an overexpression of estrogen receptors (ERα
and ERβ); this harms tissues and leads to autoimmune diseases (1). The unprecedented
escalation of estrogen in polycystic ovary syndrome (PCOS), infertility, breast cancer,
ovary cancer, and gynecomastia are indicating that this sensitive hormone is consistently
threatened by infections and toxins.
For many reasons, your body may make too little or too much estrogen depending on
bacterial, parasitic, or viral infections; mold, heavy metal, or environmental toxicities/
toxic chemicals; and emotional/physical trauma. Today, estrogen imbalances (specifically
estrogen dominance) are common amongst chronically-ill people as hormonal
imbalances are symptoms of a root cause problem. In order to create balanced estrogen
levels, the root causes of the imbalance must be addressed.
Additionally, xenoestrogens, a category of chemicals that act as estrogen, are fueling
estrogen dominance symptoms. These chemicals are found in lotions, body wash, dish
soaps, cosmetics, plastic containers, etc. Unfortunately, the body cannot distinguish a
difference between real estrogen and xenoestrogens, creating estrogen dominance
symptoms (3)(4).
A major chronic illness associated with unbalanced insulin levels is diabetes (type 1 and
2). In diabetes, the body does not make enough insulin to sustain cellular energy. In fact,
1 in 10 Americans have type 2 diabetes (34 million people) and approximately 90-95%
of people with diabetes have type 2 diabetes. Additionally, more than 1 in 3 people are
prediabetic (88 million people). According to research, 84% of prediabetic people do not
even know they have it — many are asymptomatic for years prior to seeing symptoms
(14).
Imbalanced cortisol levels are commonly referred to as “adrenal fatigue;” however, this is
actually HPA axis dysregulation (something that occurs when the body is under stress,
infection, and/or toxicities). Additionally, if a person is chronically-ill and they experience
a small amount of daily-life stress, this may turn into full-blown “adrenal fatigue” that
an otherwise healthy person would be able to handle due to their lack of infections and
toxicities. In order to have a healthy HPA axis and cortisol response, the body must be
cleared of chronic infections, toxicities, and emotional trauma that may be inhibiting it
from healing. A 2014 study states that “a prolonged or exaggerated stress response may
perpetuate cortisol dysfunction, widespread inflammation, and pain (19).” A hormonal
imbalance is a symptom, not a root cause.
However, it is estimated that about 1 out of every 6 adults will have depression at some
time in their life. Depression affects about 16 million American adults every year with an
increasing rate of depression in chronically-ill people (23). In fact, infections and toxicities
impose a threat on dopamine and serotonin levels. For example, parasites have serotonin
receptors just like us (24). Due to this, they steal our serotonin to feed themselves,
making us suffer the consequences of low serotonin levels (25). Additionally, parasites
may increase dopamine levels in the body to keep the immune system from showing
any symptoms of a parasitic infection (26). This enables them to travel undetected and
sneakily infect the brain. A 2018 study also states that parasites are known to “produce an
enzyme called tyrosine hydroxylase, the limiting enzyme to make dopamine (27).” Due
to this, “the brain is overflown with excess dopamine produced by the parasite, hence,
making dopamine the primary suspect in this manipulation.” When dopamine levels are
high, the threat of parasites surpasses the immune system’s detection center and allows
the parasites to continue to reproduce and thrive.
Other infections and toxicities such as lyme disease/lyme co-infections, mold exposure,
heavy metals, gastrointestinal infections, candida, and trauma can affect dopamine and
serotonin levels.
Symptoms of serotonin / dopamine imbalances:
HO
HO
N
H
Serotonin
HO
OH Dopamine
HO
HO
Norepinephrine
7. Thyroid: T3/T4/Reverse
The thyroid hormone gland is a crucial part of the endocrine system. It is located just
below the Adam’s apple in the front of the neck and is responsible for the production of
thyroid hormones: triiodothyronine (T3) and thyroxine (T4). The number attached to these
hormones is indicative to how many iodine atoms they contain — a reason why iodine is
important in thyroid health (27). These hormones play an important role in energy levels,
weight, mood, hair/nail growth, internal temperature, etc.
Additionally, the pituitary gland and hypothalamus, located in the brain, help control
the thyroid. The hypothalamus releases thyrotropin-releasing hormone (TRH), which
stimulates the pituitary gland to release thyroid-stimulating hormone (TSH) — two
important markers of thyroid health. TSH’s role is to oversee the production of T3 and
T4. If T3 and T4 levels are too low, more TSH is released. If the levels are too high, less TSH
will be released. However, it is possible to have too much/too little TSH. This indicates a
thyroid problem.
Thyroid hormones regulate cells throughout the body which directly affects all organ
system functions. They are also involved in regulating the mitochondria, also known
as the “powerhouse” of the cell. Mitochondria are responsible for creating sustainable
energy for the body. Without a proper balance of these hormones, the body will react
with symptoms.
HO HO
O O
I I I
HO O I HO O I
I
T4 T3
8. Melatonin
Melatonin is a hormone in the body that plays a role in sleep. It is produced in the
pineal gland of the brain and its release is connected to time of day, increasing when
it is nighttime and decreasing when it is daytime. It also helps with the timing of your
circadian rhythms (the body’s 24-hour internal clock). Being exposed to light at night
(especially blue light) can block melatonin production.
Research shows that mitochondria are the primary sites for melatonin synthesis. If
mitochondria are damaged, then melatonin becomes dysregulated, creating sleep
disorders and feelings of being “wired and tired.” If mitochondria are damaged, then an
infection, toxin, or stressor is damaging the body (31). Similarly, a melatonin deficiency
may be caused by stress, smoking, insufficient sunlight exposure during the day, blue
light exposure at night, etc. A 2012 study states that “reduced melatonin levels are also
observed in various diseases, such as types of dementia, some mood disorders, severe
pain, cancer, and diabetes type 2 (32).”
Additionally, melatonin has been proven to have anti-parasitic qualities (33). Due to
the antioxidant and immunomodulatory effects of melatonin, it is suggested that this
molecule has therapeutic agents to fight bacterial, viral, and parasitic infections, by
several mechanisms. For example, in toxoplasmosis, African trypanosomiasis and Chagas’
disease, melatonin enhances the host’s immune response against the parasite via
regulating the secretion of inflammatory mediators (34). Overall, a melatonin deficiency
may create a less robust immune system.