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The Book				Cold Extremities& Menopause by Joseph Collins, RN, ND
Menopause Type^® Questionnaire				Protocols Based On Menopause Primary Concern
				Cold extremities are one of the symptoms associates with vasomotor instability in menopause. Other symptoms associates with vasomotor instability in menopause include hot flashes, night sweats, heart palpitations, mood changes, etc. These symptoms all occur when shifts in hormone levels affect the circulation in such a way that it no longer has the smooth and gentle tone that is required for optimal circulation. Estrogen, progesterone and testosterone each contribute in varying ways, to healthy circulation, and warming of extremities. A decreased function of one or more of these hormones is associated with vasomotor symptoms, and/or altered circulation. Preserving optimal function of the circulatory system also requires healthy lifestyle and dietary habits as discussed in the Integrative Management of Endocrine Dysfunction document.
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Members Log in				Possible causes for the vasomotor instability that contribute to cold extremities include; Decreased Estrogen Function; Decreased Progesterone Function & / or Decreased Testosterone Function as outlined below. Addressing the underlying cause will relieve the additional stress on the adrenal glands, and allow it to assist the body during and after the menopause transition. The following formulations may be used as indicated:
Decreased Estrogen Function:
Decreased function of estrogens, with vasomotor instability is a primary cause. When there are other signs of vasomotor instability, choose:
Estro-Mend^™ - Vasomotor symptoms, including cold extremities, can be relieved by restoring proper function of estrogen. More Information on Estro-Mend^™
Decreased Progesterone Function:
A low progesterone function, with decreased vasodilatory affect, may predispose towards mild vasoconstriction, even to the point of mild hypertension. When there are other signs of vasoconstriction, consider:
		Progesto-Mend^™ - Progesterone can increase blood flow to the skin and has a mild vasodilating effect. Restoring proper function of progesterone can improve health to extremities. More Information on Progesto-Mend^™
Decreased Testosterone Function:
When testosterone function is decreased, there is also a risk of vasomotor instability, as well as low decreased hemodynamics – such a low blood pressure. When there is also vasomotor instability with decreased hemodynamics, choose:
		Testo-Gain^™ - By supporting the ideal function of testosterone (FI) in skin which can result in decreased vasomotor symptoms and improved hemodynamics. More Information on Testo-Gain^™
Decreased Thyroid Function:
When the thyroid gland does not produce enough thyroid, or the cells of the body do not respond to thyroid hormone as effectively as they should, generalized fatigue, weight gain, cold extremities, and other symptoms associated with sub optimal thyroid function will result. The adrenal-thyroid connection is so strong that fatigue in one will ultimately result in fatigue of the other.
		Thyro-Mend^™ should be used if suboptimal thyroid function is present – see Suboptimal Thyroid Protocol. More information on Thyro-Mend^™
Blood Sugar Disorders:
Feelings of fatigue, anxiety, or any other symptoms (including cold extremities) that worsen after a meal suggest that there is an unhealthy shift of blood sugar levels. Though blood sugar disorders (dysglycemias) can range from low blood sugar (hypoglycemia) to high blood sugar (hyperglycemia & diabetes), all forms of blood sugar disorder should be treated seriously. The drop in blood sugar after eating is often a predecessor to insulin resistance, which eventually results to diabetes.
Glucobrium should be used if fatigue occurs after eating, especially if there are blood sugar disorders in family. More information on Glucobrium
Also Review:
			Integrative Management of Endocrine Dysfunction
			Protocols based on Menopause Primary Concern
	♦These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
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