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Michael Borkin, N.M.D. has been in
professional practice since 1981.
Considered the "Father of Naturopathic
Endocrinology," he was responsible for establishing the
board specialty and authored the first "National Board in
Endocrinology for the American Naturopathic Medical
Certification & Accreditation Board" in Washington, DC.
In 1989 he began development of a transdermal delivery
system designed to deliver hormones and nutriceuticals. In
1996, he established "Market Resource International"
to market these transdermal formulas to the medical
community.
Presently, Dr. Borkin is Director of Research
of Sabre Sciences, Inc., the company he co-founded in 1999
with Victor Salerno.
Sabre Sciences is a leading laboratory for
salivary analysis of hormones and electrolytes, as well as a
manufacturer of advanced custom transdermal remedies. With
more than 10,000 patients to date, Sabre Science’s
"Evidence-Based Approach" has proven the efficacy for the
use of transdermal hormonal crèmes for the treatment of
hormonal imbalances and dysfunctions related to stress. Dr.
Borkin is also Research Director of the National Institute
of Endocrine Research.
In 2000, Dr. Borkin developed a certification
program entitled "Natural Approaches to Endocrinology,"
which he has taught at campuses throughout the United
States.
The program allows physicians of all
disciplines to study Naturopathic Endocrinology and
qualifies them to sit for the National Boards. For his
professional training programs, Dr. Borkin describes his
goal as "to guide physicians to see their patients with eyes
that recognize the core of dysfunction, and not allow
symptoms to mislead and misdirect the development of an
effective protocol."
Dr. Borkin is also known for his development
of innovative manipulative therapies employed by hundreds of
naturopaths, chiropractors and dentists.
In 1987, he developed Neuro Emotional
Sensory Training (NEST), a technique that increases
healing capabilities through mind-body integration. Later
Dr. Borkin developed Quantum Magnetic Manipulation (Q2M),
a three-dimensional technique that utilizes magnetic energy
as a means of diagnosing and treating all forms of
dysfunction, from its emotional origin to its corresponding
musculoskeletal manifestation. In the early 1990s, Dr.
Borkin incorporated Heart Rate Variability (HRV) into
a system he named Autonomic Equalization (AE), which
allows the practitioner to manipulate autonomic activity and
normalize sympathetic and parasympathetic activity while
using computer verification.
From 1993 to 1997, Dr. Borkin was President
of the California State Naturopathic Medical Association, a
chapter of the American Naturopathic Medical Association.
In this position he was responsible for the
development and implementation of new policies and
philosophies including all political activities, educational
programs, continuing education, research programs,
relicensing seminars and data retrieval efforts.
In 2002, Dr. Borkin was inducted into the
Alternative Medicine Hall of Fame, making him the youngest
inductee ever honored.
EDUCATION
BS. Physical Psychology, Clayton University,
MO 1988
Doctorate Naturopathic Medicine (N.M.D. -
Cum Laude) 1981, Hahnemann Memorial Institute, FL
B.Sc. Hahnemann Memorial Institute, PA & FL
Campuses 1978
(Honors Program 1977-1981)
DIPLOMAS & CERTIFICATIONS
Diploma Hypnotherapy - Hypnosis Motivational
Institute, CA 1993
Certification Document Examination - Hypnosis
Motivational Institute 1993
Certification Environmental Stress Management
- TBM, UT 1992
Certification Chiropractic Technique -
Cleveland Chiropractic, CA 1986
Certification Acupuncture - International
Pain Control Institute, NV 1985
Certification Acupressure - Nevada Center for
Acupressure Therapy 1984
Certification Hypnosis - Denver Professional
& Ethical Hypnosis Ctr, NV 1983
Diploma Energetic Medicine – Brantridge
Forest College, England 1983
Externships / Residencies
Southern Nevada Memorial Hospital – Rotation,
urgent care 1983
Hahnemann Memorial Hospital – Rotation,
Family medicine/urgent care 1982
Professional Licensure and Registrations
Nevada State Board of Naturopathic Examiners
(NMD) - No. 00046
American Naturopathic Medical Certification &
Accreditation Board
NMD (Naturopathic Medical Doctor) # 01107
Specialty Certifications
American Naturopathic Medical Certification &
Accreditation Board:
Naturopathic Endocrinology. Cert. # E03998
Federacion Medica de Baja California -
Registration # 20306
Medical Staff Appointments
Desert Springs Hospital, Las Vegas, Nevada;
Lecture Staff 1983-1986
PROFESSIONAL
EXPERIENCE
Dr. Borkin has over two decades of experience
treating thousands of patients in private practice; working
for pharmacies developing nutritional and homeopathic
products and marketing programs; establishing his own
successful companies; working as a consultant for other
businesses and private medical practices; lecturing to and
training thousands of healthcare professionals; writing and
editing for publications and book publishers; and conducting
research and developing advanced delivery systems and
transdermal formulas to restore endocrine balance and
autonomic functioning.
2003- present
National Institute of Endocrine Research,
Carlsbad, CA
Director of Research
Responsible for establishing research
protocols and validation of findings.
1999 - present
Sabre Sciences, Inc.,
Carlsbad, CA
Director of Research and Development
Responsible for all aspects of product
formulation and production. Developed proprietary delivery
and targeting mechanisms. Involved in all phases of day-to-
day operations.
1996 - 1999
Market Resource International, LLC,
Santa Monica, CA
Director of Product Research and Development.
Responsible for all aspects of product
formulation and production.
1994 - 1995
Bi-Rite Drug Stores, Inc.,
Los Angeles, CA
Homeopathic and Nutritional Director
Architect for the development and institution
of professional homeopathic and nutritional centers. This
included the development and design of systems for sales,
inventory control, ease of use, education of staff and
customers, advertising and publishing, product formulation
and contracting of manufacturers for private label brands.
Research and development conducted in Westwood California,
at Bi-Rite’s Westwood Drug.
1995 - 1996
Barnes Pharmaceutical Wholesale
(Major Value Pharmacies), Westwood, CA
Director of Nutritional Product Development
and Education
Responsible for formulation of California
Health Vitamins, the company’s most successful supplements.
Developed Rapid Release (RR) proprietary mechanism for
melatonin. Developed nutritional, and homeopathic
educational programs designed for Major Value stores.
1991-1994
Brumley Bear Medical Research,
Santa Monica, CA
Administrative Director
Was part of team responsible for the
discovery of central motor reflex dysfunction (C.M.R.D.) and
initiated U.S. research effort. Participated in
neuro-psychological research in area of spinal-level memory.
As administrative director, was responsible for initiating
the non-profit filing process for (501 c-3) tax-exempt
status. Secured funding through private and government
sources and coordinated all areas of the administration. As
Director, increased donations 400% in first six months while
achieving a 28% reduction in administrative costs.
1983-1991
I M B. Nutritional Pharmacy,
Las Vegas, NV
Founder
Supplier of professional and custom
formulated nutritional and homeopathic products to the
medical community. Produced conventional as well as advanced
transdermal delivery systems.
1983 - 1991
Dr. Borkin’s Holistic Health Care Center,
Las Vegas, NV
Medical Director
As cofounder of Doctor Borkin’s Holistic
Health Care Center, was involved in all stages of
establishing and building the practice. While Medical
Director, the health care center averaged in excess of six
thousand patient visits annually, while employing only four
practitioners. Personally managed as many as 200 patient
visits per week. Keen diagnostic ability made him a much
sought after medical consultant and lecturer. Remains on
staff as a consultant.
Past and present clients include:
CONSULTING
AMPAC - San Francisco, CA
ANDAR Enterprises, Boston, MA
BARNES Pharmaceutical Distributing (Major
Value Pharmacies), Los Angeles, CA
BI-RITE Drug Stores, Inc., Westwood, CA
CAESARS PALACE Hotel, Las Vegas, NV
CHAPARRAL Purification Products, N. Palm
Springs, CA
EAGLE Health Technologies, Santa Ana, CA
ENDACOM Industries, Vancouver, BC
GREAT EARTH Vitamins, Los Angeles, CA
INVENTREX Corporation - Las Vegas, NV
JACOB GERHARDT Winery, Nierstein, Germany
NETI Industries, Vancouver, BC
PENINSULA Hotel, Beverly Hills
P.M. Industries, Van Nuys, CA
THE LEEK Corporation, Santa Ana, CA
PUBLICATIONS
Magazines
ALTERNATIVE MEDICINE MAGAZINE,
Contributing Editor/Writer
1. Issue 31 (Sept 1999) Avoiding Problems
with Progesterone
2. Issue 34 (March 2000) Stress 101
3. Issue 37 (Sept 2000) Women’s Hormones 101
CSNMA. NEWSLETTER, Editor, 1994-1997
AANC MAGAZINE, "HEALTH KEEPERS JOURNAL".
"JOURNAL OF HEALTH" MAGAZINE.
"EXPLORE MAGAZINE"
"THE MONITOR" (ANMA)
Borkin, M, Stuppy, B -Stress 101, March 2001
"AMERICAN NATUROPATH"
"THE FRASER REPORT" (Canada)
"AQUAPOL" (Hungary)
Borkin, M. "Use of Magnetic manipulation in
the control of musculoskeletal pain," Feb. 1996
"HEALTH FOR ALL" (Australia)
Books (Contributing
writer)
"Definitive Guide to Alternative Medicine,"
Vol. 2 (2002)
"Definitive Guide to Weight Loss" (2000)
"Definitive Guide to Cancer" (1997)
"Tired of Being Tired," Putnam Publishing.
Hanley, M.D., Jessy (2001)
Co-founder & Research Director Research
Director Sabre Sciences, Inc. NIER
2233 Faraday Ave Suite K, 1817 S. Eastern
Ave.
Carlsbad, California 90402 Las Vegas, Nevada
89117
Tel: 760-448-2750 Tel: 888-285-9098
E-mail:
drb@sabresciences.com
E-mail: gr8dr@adelphia.net
Dr.
Michael Borkin, ND Explains Hormonal Imbalances and Balance
Janet: “How do women get hormones to
replace the ones that diminish during menopause?”
Dr. Borkin: “The way most women get their
hormones these days is through HRT, Hormone Replacement
Therapy, specifically estrogen and sometimes progesterone.”
Janet: Do you have some idea as to the
right order in which to re-establish the levels of these
hormones in the body? Should we look at some of the other
stress factors before giving estrogen and/or progesterone?
Dr. Borkin: “When you talk about alternative
medicine or naturopathic medicine you are really talking
about going back to the origin of the dysfunction. If you
eliminate the origin of the dysfunction, then future
symptoms later in the person’s life are eliminated. When it
comes to looking at something like hormonal replacement
therapy, it is very important to take into consideration
what the body is capable of doing itself first.”
Janet: “I have heard that the body steals
some of the sex hormones and uses them to control stress, in
an attempt to try to restore balance. Is that true?”
Dr. Borkin: “If you stop the conversion of
sex hormones for stress purposes first then that may
adequately solve the problem. The stress hormones need to
deal with stress. When they are allowed to do what they were
intended to do, stress is controlled. If the imbalance is
treated initially, then one would not need to replace these
hormones.”
Janet: “Is stress as much of a problem as
most people think?”
Dr. Borkin “What was found in research is
that many of these hormones, that were believed to be age
variant, meaning as we get older they decrease their
production, are dependent on just how much stress a person
experiences over their lifetime. The more stress you
endured, the lower the levels of the production of these
hormones were.
Janet: “Is it possible for people in their
later years to have normal hormone levels?”
Dr. Borkin: “You can find someone in their
seventies and eighties with normal levels of these hormones.
Yet, a child in their teens can have abnormal values. If we
take that into consideration and we look at something like
hormonal replacement therapy, we have to make sure first
that we’ve provided the proper foundation for balance. Then
we have to provide what the body really needs.”
Janet: “How is it possible to determine
hormone levels accurately?”
Dr. Borkin: “In order to determine what the
body really needs we have to perform certain diagnostics.
Now, because of technology, we can use something like saliva
as a diagnostic tool. It is very user friendly. It is
collected using what’s called a salivette, which is a simple
collection device that looks like a cotton swab. You chew on
it until it is full of saliva. Then you put it back into the
vial. Then you send it to the laboratory.”
Janet: “Does that make it easier for
patients to collect enough samples for an accurate test?
Dr. Borkin: “That makes it viable for testing
in whatever environment a person is involved. This means you
can take it to work and test how you react to the stressors
at work. They you can test how you react to the stresses on
your way home. Once you are at home, you can determine your
levels of stress.
Janet: “What is the difference between how
you are affected during the day, night and while you sleep?”
When we look at these specific aspects, it
gives us a very specific or clear focus as to what’s
necessary as far as replacement is concerned. It is very
important to look at a twenty-four hour circadian cycle.”
Janet: “Don’t most doctors just test the
saliva at only one time?”
Dr. Borkin: “The standard of the industry was
to test at 8:00 AM. That is the highest point of the
hormonal levels. Now, with many of these hormones, they are
adequately high or within normal ranges at that time.
Unfortunately, two hours later they drop to sub-optimal
levels.
Janet: “Doesn’t that provide wrong
information on a person’s hormone levels?”
Dr. Borkin: “If they are elevated at one
specific time during a 24 hr. circadian cycle, that’s the
indication that your physician gets. He is going to treat
for a hyper (too high) situation rather than a hypo (too
low) situation. The treatment protocol many times is 180
degrees from what it should be.
Janet: “Why do doctors focus on one
specific time of day to make the test?”
Dr. Borkin: There is an illusion that one
specific time in the day is the golden hour or the time that
is “most you.” This is used as a rule of thumb in order to
determine what hormones to treat with and how much.”
Janet: “Is there a difference between
natural and pharmaceutical hormones?”
When you start to treat utilizing
pharmaceutical compounds, in many cases, the results are
very different. In the case of the use of progestin, there
is a completely different aspect to how a progestin affects
the body verses a natural progesterone.”
Janet: “Why don’t doctors use natural
substances rather than chemical substitutes?”
“A pharmaceutical company can’t patent a
naturally occurring structure or molecule. They have to
alter it so they can get a patent. Unless they have a
patent, they can’t make a lot of money.”
Janet: “What is the difference between
Progestins and progesterone?”
Dr. Borkin: “Progestins are altered
progesterone that look very similar and cause certain
reactions to take place. They are not the same. They do not
cause the same reactions to take place that natural
progesterone does.”
Janet: “What is the story on Premarin?’
The source of Premarin is pregnant mare’s
urine. Basically, it is concentrated horse urine. Take a
Premarin tablet and put it into water. Then, let it dissolve
and then smell the water. You will be amazed because it
smells just like horse urine.
Janet: “Why do you think women willingly
ingest horse urine?”
Dr. Borkin: “Women do not understand what
they are taking. They never question their physician. Most
physicians do not understand what they are prescribing. What
they were taught twenty or thirty years ago in school is now
invalid.”
Janet: “Does every woman get the same
dosage?”
Dr. Borkin: “It’s not the levels of these
hormones that is as important. The relationship or the ratio
of one to the other is critical. The ratio of progesterone
to estrogen is very, very important.”
Janet: “Does the imbalance in hormones
cause the problem?”
Dr. Borkin: “I see more often that it is not
a problem with the production of these hormones. The problem
is maintaining a healthy relationship between the different
hormones.”
Janet: “Why is the female menstrual cycle
so difficult to balance out?”
Dr. Borkin: “The dynamics of a female
menstrual cycle is unique. The first 14 days, or the first
half of the menstrual cycle, is an estrogen dominant cycle.
The body is preparing for the possibility of a fertile egg
being implanted and nurturing that egg. After ovulation, if
it is not successful and an egg is not fertilized,
progesterone is responsible for breaking down these tissues
and starting the cycle all over again.”
“Janet: How is the first part of the cycle
different from the second?”
Dr. Borkin: “The first 2 weeks is completely
chemically different in a female’s body than the second two
weeks of the cycle. This is why so many women have no
difficulty hormonally during the first part of the cycle. In
most cases, the first two weeks are fine. It is not until
the second phase of the cycle that women experience
uncomfortable symptoms. The last two weeks, a woman becomes
progesterone dominant. This is usually when the real
dysfunction appears. It becomes worse and worse as the cycle
progresses.”
Janet: “Is the problem too much or too
little progesterone?”
Dr. Borkin: “In many cases, the problem is
not a lack of the production of progesterone. The difficulty
arises when the progesterone is converted into stress
hormones, so she can deal with the stress in her life.”
Janet: “Does that mean the body places a
higher priority on dealing with stress than pregnancy?”
Dr. Borkin: “When a woman is severely
stressed out, the body recognizes too much stress as a more
important problem. Dealing with stress is higher on the list
of priorities than fertility.”
Janet: “What is stress and why is it so
dangerous?
Dr. Borkin: “Stress is different for every
body. The term stress means the total input of all data
within a certain time. During a waking cycle, usually 16
hours, we are up and functioning. We have certain capacities
as far as the brain is concerned. When we exceed that
capacity dysfunction occurs.”
Janet: “Does that mean biological rhythms
are important?”
Dr. Borkin: “There are certain cycling or
patterns that have to take place within a 24 hour period of
time. In order to eliminate stress, we have to determine
what stress is. For one person stress is one thing and to
another person its something else.”
Janet: “Would people with different
lifestyles experiences unique types of stress?
Dr. Borkin: “The stress on a professional
fighter who is attacked by a couple of guys with knives is
totally different than an average person. The professional
fighter simply beats them up and keeps walking. The average
individual experiences this event quite differently. For
many it is a damaging life long experience.”
Janet: “How do we identify stress in our
lives?”
Dr. Borkin: “What is stress to one person is
completely different to another individual. We have to learn
to be able to see the difference between mental and physical
stress. Physiologically, three things are the primary
stressors in the body.
Janet: “What are they?”
Dr. Borkin: “The most easily identifiable and
widespread is glycemic control or blood sugar problems. This
is the most important aspect of dealing with the secondary
problems that contribute to and cause this uncontrollable
ongoing threshold stress.
Janet: “Does that mean poor digestion
creates greater problems than just an upset stomach or gas?”
Dr. Borkin: “Malabsorption syndrome or
digestive dysfunction is at the very core of the creation of
physical and mental stress. When digestion is poor, some of
the food turns into chemicals that irritate the digestive
tract. This creates a barrier that makes it very difficult
to actually absorb and utilize what we put in our mouths.”
Janet: “Does that mean the food we eat can
actually be killing us?”
Dr. Borkin: “There is no guarantee that when
you put something in your mouth that it ever goes where it
is intended. There are also certain genetic factors. There
are certain components or molecules like the gluten
molecule, found in all grain with the exception of rice and
corn, milk proteins and sucrose. They are all genetically
predetermined in the body as far as utilization.”
Janet: “Are most people really allergic to
grain, corn, milk and sugar?”
Dr. Borkin: “Everyone is different. When
somebody from one part of the world is exposed to only one
type of food, they can react violently to that same food
grown in another part of the world. They can have a severe
allergic response. The body is programmed to digest and
utilize food grown locally. The same food cultivated in
strange climates and soils, may have a totally different
effect. Foods that people eat every day can also cause the
body to build up a tolerance and eventually respond in an
allergic manner.”
Janet: “What are the optimal eating
habits?”
Dr. Borkin: “The body is designed to go 6
hours between meals, with three meals a day. If that is
diminished, such as it is in the presence of the symptoms of
hypoglycemia or low blood sugar, then the body uses the
hormone is cortisol.
Janet: “I have heard that cortisol is one
of the most important hormones for survival. Is that true?”
Dr. Borkin: “Cortisol elevates the blood
sugar back into normal ranges. Insulin is used to maintain
blood sugar to keep it from going too high. Cortisol is at
the other end of the spectrum. It keeps the blood sugar from
going too low. It is also the primary stress hormone along
with adrenaline. Cortisol elevates in order to maintain
blood sugar. What we look at is to determine how much of
this is directly related with a person’s inability to
maintain reserves of energy because they are not digesting
foods correctly and absorbing the nutrients adequately.”
Janet: “Does cortisol affect all the cells
in the body?”
Dr. Borkin: “Every cell in the body is
affected. We are not one solid unit. We are actually a
community of trillions and trillions of members. It is like
having the largest factory in the world or in the universe,
and the most well organized. If this were a corporation, it
would have trillions and trillions of workers and only eight
supervisors or managers and one CEO. Those eight supervisors
make up the endocrine system or hormonal system.”
Janet: “What is the order or organization
in the hormonal system?”
Dr. Borkin: “In most cases any typical abuse
is handled on a local level without having to go to a
manager. When a manager is needed, it becomes a bigger
problem. When it goes to multiple managers, higher up in the
hierarchy, it becomes a monumental problem. When it goes to
the CEO of the hormonal system, the person is in big
trouble. The master control mechanism is called the
hypothalamus.”
Janet: “How does the hypothalamus control
the body?”
Dr. Borkin: “The hypothalamus is the link
between the hormonal system and the autonomic nervous
system. When imbalances in the body arrive at a critical
point, when the body goes into a state of chaos, the
hypothalamus has to take control. It is inescapable.”
Janet: “Does aging have any affect on the
cortisol levels in the body?”
Dr. Borkin: “As we get older and these
hormonal dysfunctions occur, it causes things like chronic
fatigue and Fibromyalgia. Too much cortisol can even cause
heart related symptoms.
Janet: “Are there tests for hormonal
imbalances?”
Dr. Borkin: There are tests that determine if
it is in fact the heart or a cardiac problem, or if in all
actuality, it is simply a hormonal dysfunction. If the
original problems would have been properly managed when it
first started, it would never have manifested or gone that
far.”
Janet: “How does mainstream medicine deal
with hormonal imbalances?”
Dr. Borkin: “The mainstream thought in the
scientific and medical communities is if something is low
you simply elevate it. The problem with this philosophy is
that if you change something on the left then something on
the right changes.
Janet: “You were telling me about how the
body uses the sex hormones to deal with stressful
situations. Can you elaborate on that a little?”
Dr. Borkin: “When it comes to the hormone
testosterone, we are dealing with a situation where we are
converting the normal production of testosterone into the
stress hormone cortisol. When we throw in more testosterone
because the levels are low, it is like throwing lighter
fluid on a raging fire. The extra testosterone fuels the
abnormal functioning of the hormonal system.”
Janet: “Is it dangerous when the body
starts stealing hormones from one area for another?”
Dr. Borkin: “There are increasingly severe
problems if the causes of hormonal imbalance are not
addressed. Even when you supplement hormones that are too
low, this does not solve the original problem. Just because
a level is low, it does not mean you are going to elevate
that hormone if it is being converted into another hormone.”
Janet: “Is that why just supplementing
testosterone without checking the other hormone levels is
dangerous?”
Dr. Borkin: “This is really where the major
mistakes are made by most practitioners. Testosterone is a
fascinating hormone. We have been studying testosterone
longer than any other steroid hormone. We know a lot about
testosterone but not enough.”
Janet: “Testosterone seems to be a very
important hormone. What have the studies shown?”
Dr. Borkin: “What is interesting about
testosterone levels is that if we look back 50,000 years
ago, testosterone levels were extremely high at that time.
Testosterone is also a survival hormone. It is responsible
for allowing us to go into a hostile environment and survive
extremely stressful situations.”
Approximately 200 years ago, if you were a
pioneer crossing the country on a wagon train, testosterone
is the hormone that got you through. It also allowed a
woman to make it in a hostile environment. If the levels of
testosterone were as low as they are today, generally
speaking, there is no way we would have been able to conquer
that kind of environment.”
Janet: “So, does that mean testosterone is
important to both men and women?”
“Testosterone is extremely important. It also
has a very powerful affect on motivation. It is also
involved in many, many other processes. Not all of these
processes are unrelated to sex.”
Janet: “Does testosterone have any
relationship to the growth hormone?”
Dr. Borkin: “There must be a balance between
testosterone and growth hormone. We have heard a lot about
growth hormone. The use of growth hormone can be fabulous,
if it is used in the proper manner.”
“I like to use the analogy with my patients
that growth hormone is kind of like putting a turbo charger
on your car. If you only have two tires on that car and then
add a turbo charger, it is going to spin around out of
control much faster than it would have before.”
Janet: “Are there different types and
levels of the same hormones in the body?”
Dr. Borkin: When we look at the use of
certain hormones, we want to create the proper foundation.
In order to balance the specific levels of hormones in a man
or a woman, we want to look at the free fractions, those
levels of hormones that are accessible, that are going to be
utilized.”
Janet: “Why do you test the hormone levels
in the saliva?”
Dr. Borkin: “Saliva is easy to collect and
shows the bioactive availability of the different hormones.
Once we determine what the fluctuations are throughout a 24
hour period, we begin to understand what is really going on.
Janet: “Do hormone levels change naturally
throughout the day?”
Dr. Borkin: “A man’s testosterone levels are
not constant throughout the day. They change dramatically
from the morning, when they are at their highest level. At
midnight, they are at their lowest point.”
“When we look at these 24-hour measurements,
we are able to determine the time of the day to supplement.
It is not only determining what those levels are, but this
is a guideline for accurately supplementing at exactly the
right time. If the hormone is high at a specific time, you
do not supplement it then. You wait until it is low.”
Janet: “How do you provide additional
amounts of absorbable hormones to the body?”
Dr. Borkin” When it comes to supplementation,
we only have a handful of methods of getting it into the
body. If you take supplements orally, there is no guarantee
that when you put something in your mouth it ever gets to
the target tissue, especially, if we have some kind of
digestive disturbance or malabsorption.
“If something interferes with the proper
absorption or utilization of nutrients or hormones, then the
oral route is not really the first choice. When it comes to
the use of a hormone, there is the “First Pass Mechanism”
where a hormone is utilized through the digestive tract to
get it into the blood stream.”
“When we take a look at this mechanism, it
relies on the digestive tract working properly. The liver
must work correctly in order to obtain approximately 5% of
the hormone for use in the body. That is like depositing a
hundred dollars into your bank account and getting to use
five dollars. So, it is not a real effective method of
getting the money into the account.”
“The same is true as far as contributing
hormonally. If we wanted to get these hormones into the
blood stream, in their entirety, we would use injectibles.
But, that is not real user friendly. Most people would not
want to do that several times a day, even if it was
medically indicated.”
“A new delivery system is “Transdermal
Delivery.” I have been working with this technique for
twelve years. In the last twenty years, scientists have been
focusing on this type of delivery system. Transdermal
delivery mechanisms, such as the Nicorette, testosterone and
estrogen patches, are now treatments of choice.”
“These are mechanisms applied to the skin.
The chemicals are delivered through the skin. You get the
equivalent of what you would get if it was injected directly
into the body. It is no different injecting than it is to
take something transdermally, if it is a true transdermal
device.”
Janet: “How is the transdermal delivery
system different than just applying lotions to your skin?”
Dr. Borkin: “This is where I need to explain
the difference between a transdermal and a topical. There
are many products, especially progesterone creams that claim
to be transdermal but they are not. They are only topical.”
“They call themselves transdermal because the
size of the progesterone itself is so small. If apply the
progesterone itself to the skin, it is small enough so it
goes through the pores of the skin and winds up in the blood
stream to a certain extent.”
“Unfortunately, much of what you apply is
actually stored in the skin and in the fat cells. A true
transdermal delivery mechanism is the equivalent of
directing it through a specific apparatus directly into the
blood stream. It is similar to drinking a glass of water
filled with ice. If you insert a straw, you get more of the
fluids.
There is a secondary aspect. What I have been
able to do is to develop what we refer to as a pulsatile
delivery mechanism , that is a transdermal that delivers a
small amount of the hormone very similar to the way that the
body would introduce or that our own hormonal system would
introduce it into the blood stream. So it kind of mimics the
blood stream or own production. By doing so it allows a very
noninvasive presence of these hormones allowing the body to
believe it produced these hormones it self. So not only is
it a more effective mechanism and it bypasses the obvious
obstacles of the digestive tract and the liver but it is
something that is easy to comply with. You do not have to
worry about the size of a capsule or you do not have to
worry about having water in order to take them. You simply
apply this to any area of thin skin and that is the skin
over the front of the neck, the inner arms, inner thighs,
the chest on men and the chest on women around the breast
not directly on the breast. These are the areas you want to
apply the cream in order for it to be absorbed properly
So by using the 24 hour circadian cycle
testing of the saliva you can have a very specific road map
as to where that person is coming from ,where they are and
where they are headed. What their specific chemistry is and
at what times it is best in that cycle to affect the
individual. With a woman we can extend that testing through
out the the 28 day menstrual cycle and look at the
fluctuations or the dynamics of estrogen and progesterone to
determine where in that twenty eight day cycle the
dysfunctions are taking place.
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