Are you a woman who cannot sleep like how you used in the past or feel that the body is no more cooperating with you as it used to? You keep gaining weight irrespective of what you eat and get irritated at every opportunity. You also cannot recall why you walked into the kitchen or where you kept the car keys and is almost convinced that you are crazy. If you are around 40 or above it is a normal episode because soon you are going to attain menopause or currently going through perimenopause.

What is perimenopause?

This happens between the periods of child bearing and menopause and the above symptoms are the signals that you are experiencing the transition. Your family, doctor or friends may or may not think that you are going bonkers, but you are not. The feeling can be intense with some women and some may not even feel the symptoms. You cannot be declared as menopausal until your menstrual cycles have passed at least a year. Perimenopause symptoms can even start before the age 40 or even the 30s. If you have these symptoms it is time that you talk to your physician/pharmacists because help is available and you don’t have to suffer needlessly.

What are the common signs and symptoms of perimenopause?

Change of menstrual cycle and irregular periods: During perimenopause periods will become irregular and would occur in an interval of two or four months. The interval will keep expanding with time and at times periods could be lighter or heavier.

Night sweat and hot flashes: Sometimes you will experience as if heat is spreading all over your body giving way to sweating and redness.  The redness is known as hot flash and it happens when your body temperature increases. The perimenopause symptoms are triggered by hormonal disturbances in the body which in turn affects hypothalamus responsible for controlling body temperature.

Reduced sex drive: blood flow to the vaginal area is significantly decreased due to low production of estrogen. The vagina becomes less sensitive due to the labia getting smaller and shrinking of clitoris. Significant changes taking place in cervix, uterus, and ovaries are common with this condition.

Troubled sleep and insomnia: Women may have trouble sleeping during this time and would wake up hot and sweating.

Weight increase and collection of abdominal fat: metabolism slows down during this period resulting in the mass reduction in muscles and bones becoming less dense. It is also common for women to collect fat in the abdominal area. Healthy eating and regular exercise is important during this time.

Vaginal Changes/dryness/urine leakage: Vaginal walls lose elasticity and it becomes short. This is known as vaginal atrophy. You become susceptible to frequent urinary tract infections and experience dryness and thinness. Owing to less vaginal fluid production body becomes unable to flush out bacteria and fall victim to urinary tract infections. Women may experience urine leakage while coughing or sneezing.

Hair thinning and dry skins: skin would show signs of aging and dark spots, wrinkles, dryness, and itching would be experienced. You will also feel the skin becoming less elastic.

Depression/mood swings/anxiety: You feeling tired all the time and will show signs of depression such as irritability, fatigue and anxiety. Women with perimenopause are found to have higher levels of MAO-A, which is an enzyme responsible for breaking down norepinephrine, serotonin and dopamine. Such a condition is connected with major depressive disorders in women.

Tenderness of breasts: your breast may shrink and become smaller. It will have less density and accumulate fat giving way to sagging.

Regular headaches and migraine: you will experience frequent headaches or a migraine owing to lack of sleep, reduced blood flow, anxiety and other issues related to perimenopause.

Confused thinking/poor focus: Your moods, motivation and memory are administered by testosterone and estrogens and with perimenopause, you could experience forgetfulness, loss of concentration, stress and drowsiness. The condition may worse with lack of sleep and high anxiety. Nourishing dies is important to revive the condition.

Palpitations of heart: the condition occurs owing to the changes happening to heart and autonomic nerve system and blood vessels. Palpitations can be experienced during episodes of hot flashes, headaches, muscle spasms and anxiety.

Risks and complications: according to studies a woman stands to risk cardiovascular diseases during menopause and after. They could also experience reduced levels of estrogen resulting in weak bones and loss of bone density. You could also suffer from increased osteoporosis.

If you have any questions, give us at (361) 551-2288 to make your appointment.


Hormone replacement therapy or HRT is used to free women from unpleasant symptoms associated with menopause. When women approach their middle 40s or earlier 50s the hormones estrogen and progesterone levels start dropping resulting into an overall imbalance of hormone. A woman will suffer from irregular menstrual cycle and may experience menopause which would also mean that she had not had a period for many months. This occurs when her hormone levels decline rapidly.

General symptoms of menopause

  • Sleep disturbances

  • Hot flashes

  • Vaginal uneasiness

Symptoms can be severe in some women and some it can be moderate. The latter does not need any treatment but if it escalates into troublesome degrees the woman may need HRT treatment. Apart from age the follow cases can trigger menopause

  • POI or primary ovarian insufficiency

  • Cancer treatment and associated medical procedures like surgery, chemotherapy, radiation etc

  • Immediate menopause occurs when ovaries are removed

In case of removal or uterus, but not ovaries, immediate menopause does not occur. 

HRT offers several options to women suffering from menopause

  • ET or Estrogen Only

  • EPT or Combination of Estrogen and Progesterone

  • Combination of Estrogen and Methyltestosterone

Hormone Replacement Therapy Dr Nhi Le specializes and she only prescribes compounded, customized bio identical hormones for women and men. Depends on your hormone levels, your symptoms, your age,  and your budget, our physician will decide on the topical cream, oral capsules, or implanted pellets. The best result is achieved with implanted pellets. Women need testosterone hormone too in order to regain muscle mass, bone strength,  stamina, energy, libido, and feeling good. 
Dr. Nhi Le M.D. also treats low T in men with bio identical Testosterone implanted pellets. Topical testosterone cream is another option. 


Advantages of IV therapy Texas

IV therapy can help overcome several physical conditions and they may include hypertension, chronic fatigue, fibromyalgia, COPD, asthma, hepatitis, diabetes and even common cold. The IV therapy or intravenous nutrition is a process of feeding your body with vitamins, natural substances and minerals in to your blood stream directly. This actually bypasses the digestive tract and it is the primary advantage a patient   get from the treatment. When you intake substances via mouth, they need to be processed by stomach and intestines and some of the substances may be left in the tract inactive or not well absorbed owing to inefficient intestinal function. By injecting nutrients directly higher blood levels are achieved which in turn gets instant therapeutic response.

For more information, contact Dr. Nhi Le for consultation. 


By Texas Medical & Wellness Clinic
July 25, 2018
Category: Thyroid

The thyroid is a gland situated in the throat. The gland is liable to keep the balance in our metabolism and energy conversation rates in control. It is one of the major function balancing glands in the body. Besides, many of us undermine its value and do not pay attention towards it. Actually, it secretes two hormones in the body, naming T4 & T3. These hormones are directly secreted into our blood vessels and serve our mental and physical wellbeing.

Stress is the key factor to misbalance of thyroid functioning and one out of 8 women is suffering from thyroid related disease. Majorly the thyroid abnormalities can be noticed during the time of pregnancy, perimenopause or other stages of fluctuating reproductive hormones. Every major system in the body is affected by the thyroid and each cell is the receptor for thyroid hormone.

Around 30 million Americans have thyroid disease and 50% don’t even realize that and remains untreated for longer times. Thyroid affects many functions of the body that includes: heart, brain, gall bladder, GI tract, liver, bone lipid, cholesterol and much more. Identifying the disease may become easier if you observe below symptoms and get yourself treated on time.

  • Hair loss or thinning of hair
  • Low libido
  • Fatigue/Exhaustion/Weakness
  • Weight gain or inability to lose weight
  • Poor memory/concentration/foggy headed
  • Brittle nails that have ridges and/or break easily
  • Dry and/or dull skin
  • Depression/Anxiety
  • Shortness of breath
  • Constipation or Diarrhea
  • Bladder Problems
  • Get cold easily/Low body temperature
  • Hypertension/Hypotension
  • Hoarseness
  • Lump in Throat
  • Fat lines at throat
  • Altered sense of taste and smell
  • Want to sleep all the time
  • Insomnia
  • Random tingling/numbness in arms, legs, hands, or feet
  • High cholesterol
  • Eye/vision changes
  • Menstrual irregularities

If you are diagnosed with the disease then regular medications and balance in diet and living habit can certainly cure it. Doctors recommend regular exercise, balanced diet, and healthy lifestyle to cure the disease. The thyroid disease is generally for the lifetime but at the same time it can be handled and controlled. A little awareness and change in lifestyle can save you from this disturbing disease. All you have to do is, take balanced diet, focus on physical and mental wellbeing, exercise regularly and meditation is one of the best ways to keep yourself mentally fresh and active. If you follow the guidelines towards a great and healthy life, you would not be facing this thyroid disease unless you have a family history for the same. 

If you have any questions, give us at (361) 551-2288 to make your appointment.


May 29, 2018
Category: Uncategorized
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November 13, 2017
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With the holidays coming, many are looking forward to their favorite sweets, from leftover Halloween candy to Christmas cookies, cakes and pies. Before you get set to indulge, we'd like to give you some food for thought.
While cakes, cookies and other holiday treats may seem nice, they have a naughty side. Here's why they are on the naughty list...
1. Obesity
While an occasional sweet treat is fine, many tend to overindulge during the holidays and can put on pounds that are hard to get rid off. These added pounds don't only impact how you look, but they can also impact your health.
If you weigh at least 20% more than what is considered a normal weight for your height, you're at increased risk for conditions including heart disease, diabetes and even some cancers.
So what can you do to stay healthy? Lose the excess pounds. A doctor administered weight loss program can help you lose weight when a do-it-yourself diet program hasn't worked. 
2. Cancer
Diets high in sugar and refined carbohydrates can lead to overweight and obesity, which indirectly increases cancer risk over time.
In fact, a recent study has proven cancer cells thrive on sugar. So does that mean that sugar can cause cancer? No, but consuming a low-sugar diet can slow cancer growth. Some studies have also shown a link between a low sugar diet and a lower rate of cancer recurrence.
3. Addiction
Sugar and other junk foods are as addictive as cocaine, nicotine and other abused substances because of their powerful effect on the reward centers of the brain. Eliminating these processed carbs can improve your sleep, mood, skin quality and so much more.
Avoid and keep track of foods that have added sugar. Sometimes the sugar is disguised as high-fructose corn syrup or simply corn syrup. Sauces such as ketchup, soft drinks, and various cereals have high amounts sugar.
But not all sugar is bad, naturally occurring sugars found in complex carbs such as fruits, vegetables, grains, and dairy are good for you because they contain high amounts of nutrients, fiiber and antioxidants. 
4. Type 2 Diabetes
In the U.S. government's 2015-2020 Dietary Guidelines, one of the top recommendations is that all Americans limit their intake of added sugars to no more than 10% of their daily calories.
While sugar does not cause Type 2 Diabetes, a high-sugar diet has been linked with an increased incidence of the disease due to the links between high sugar intake and obesity.
Another problem with sugar is that it contributes to inflammation of the arterial walls by spiking insulin levels. This can lead to insulin resistance and diabetes. 
You should get screened to see if you're at risk of getting Type II Diabetes.
5. Cardiovascular Disease 
Numerous studies have shown that chronic high blood sugar levels associated with uncontrolled diabetes and other conditions lead to a hardening of the arteries, and can lead to heart disease and heart failure.
You can avoid heart disease caused by sugar by:
* Avoiding high fructose corn syrup (found in many foods)
* Use natural sweeteners
* Eat several small meals a day, instead of 3 large meals
* Limit alcohol intake
* Restrict bread and bread products as much as you can
For more information on how you can make healthy dietary changes, contact Dr. Nhi Le for consultation. 

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