The ZRT Laboratory Blog

The ZRT Blog is an extensive resource for patients and health care providers searching for health and hormone testing information. Here, you can read about ZRT’s cutting edge research, advances in testing, wellness advice, and health industry highlights.

Research Updates – Trials of HRT Started in Early Menopause

Posted by Margaret Groves on Friday, 15 September

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One of the primary objectives of the Women's Health Initiative was to see if postmenopausal hormone replacement therapy (HRT) improved long-term risk of coronary heart disease, among other chronic diseases.

However, the combined estrogen/progestin (Prempro) arm was halted in 2002, citing that the participants’ risk of cardiovascular disease outweighed any potential benefit of HRT in the prevention of colorectal cancer and bone fracture [1]. The conjugated equine estrogen (CEE)-only arm was also halted in 2004 citing no improvement in heart disease risk but an increased incidence of stroke, and no benefit in terms of fractures, although there was a reduced breast cancer risk [2].

Yet the WHI investigators published a report this week [3] after a cumulative follow-up of 18 years finding that there was no overall increase in all-cause, cardiovascular, or cancer mortality as a result of either Prempro or CEE-only treatment during their participation in the trial.

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Brussels Sprouts & Healthy Estrogen Metabolism

Posted by ZRT Laboratory on Friday, 21 July

Brussel Sprouts and Good EstrogenYou might ask what Brussels sprouts and estrogens are doing in the same sentence, but I am here to tell you that there is a connection.

Brussels sprouts are the cruciferous connection to healthy hormone metabolism. These age-old options –including cabbage, broccoli, bok choy and cauliflower – have gained new acclaim today as dietary super foods. These plants, cultivated for centuries and originally used as medicines, can nourish us towards superior health and hormone balance.

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Re-assessing the Notion of "Pregnenolone Steal"

Posted by Dr. Thomas Guilliams on Wednesday, 21 June

ThinkstockPhotos-687447022-pregnenolone-.jpgWhen clinicians measure salivary cortisol and DHEA (DHEA-S) to assess stress and HPA axis function, it is common to find DHEA levels below the reference range in a number of individuals. A common explanation for the depletion of DHEA and other hormones (e.g., progesterone, testosterone) due to chronic stress is the phenomenon known as "pregnenolone steal."

The pregnenolone steal notion states that since all steroid hormones use pregnenolone (derived from cholesterol) as a precursor, the elevated secretion of cortisol caused by acute or chronic stress will inevitably result in less available pregnenolone to serve as a precursor for the production of DHEA and other down-stream hormones.

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Is it Adrenal Fatigue? Reassessing the Nomenclature of HPA Axis Dysfunction.

Posted by Dr. Thomas Guilliams on Tuesday, 25 April

hPA.Axis_lores_crop.jpgSometimes, when we endeavor to understand and describe complicated medical topics, there is a temptation to find a simple explanation to cut through the complexity. These explanations can help bridge the knowledge gap for a while, but as our knowledge grows, they lose some of their original usefulness (e.g., the notion of “good” and “bad” cholesterol).

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