Terry your the world expert. Your family
started this whole thing
I mean I trained with you. Well at least
the
clear understanding about the
importance about bioidentical hormones
with all your knowledge you look around
and physicians are
trying to understand the technology in
how do you help people to optimize their
hormone levels?
When you have a patient,
they're all different, but when
they come to you
you have a game plan, you're gonna look
at various things. I know you do a very
thorough physical exams and you tie that
into the laboratory work, and questionairs
but ultimately you find that by and
large
a majority of patient's come to us
either due to genetic issues or lifestyle
factors.
How do you find the best way
once you start them on a protocol to
keep them on track?
I mean what do you do to keep them on
track is our follow-up testing?
Is there kind of a feedback system?
What do you like to do to keep patients
on track for good hormone replacement?
In other words, how do they know
they're doing the right thing and how do
they go about correcting
as they start off? Because dosages you
start off and you've taught us you have
to change based on many different
factors
that they learn. So the question is
how to do an adequate follow-up how
do I personally work in consultation?
Yes, the way we work in consultation
has
varied amounts since
I would say several years so we're doing
quite different, doing much
broader consultation
and it takes about two years to get a
person get all the treatments they need
Because we before we start another
treatment we need
first to be sure one treatment is
balanced and it's not
from the first time we can balance the treatment to find the right dose for
the person
We do a lot of training over
patients and our patients
get to be there on doctor in a certain
way because they
have a lot of knowledge,  have a lot of
reading to do, a
lot of personal experience, and we
take a lot of time spent with them
Half this motivation to do it and
they can also reach us very quickly
after
even the SOS Hertoghe system where they can
email me even wherever I am if there is really some
topic they didn't quick enough by
doctors who work with me
So basically, the way we do  a
follow-up
is that we give to the patient when we
have hormone treatments
we give to the patient papers explaining the treatment in very great detail. The papers
had progression and much more better
information than before
we also  inform them that we can
do a test we do know transmitter testing
we do on
genetic testing very extensive one set
of fascinating
this has been interesting because what
we have is that we don't
only give lifestyle recommendation, we give
nutritionals. Really, the best
nutritionals we have at the moment that
are known to help that sort of gene
but also with adapted hormone
treatments
based on the gene as different from one gene to the other
and so basically with the
change in our
consultations we almost have no
complaining patients
anymore- at least not on the quality of
the
the service has improved much. It
still could be better
but the patients I have at the moment are really enthusiastic patients. maybe because I
myself am enthusiastic about
the progress we have done. I think so
much more before we were trying to slow
down aging
and now we're trying to reverse aging
and even if we can we would like to do
with totally of course we cannot with
totally in every person
but we can do a lot fast- much more
than we could do even two years before
because we have other techniques, hormone
treatments, combine hormone treatments
found
something new is that when combining a same hormone treatment
in the same preparation. For example, an injectible
in America you are even afraid to inject growth hormone.
my treatment has growth hormone, has IGF-1, even has relaxin in it
It doesn't have insulin in it, but it could
if I didn't have enough insulin, and I
have
many treatments many of you even haven't
heard of but
the thing is that these treatments are
given in extremely small amounts and
they're much more efficient than before
even at higher dose so where we're just
in the beginning of a new
hormone combination program then
that steers into people because
they said look you have a very old woman
was 72 years had a very
severe wasting if muscles, her triceps are
really hanging
and then it comes back almost completely
in  six months time. Its possible
technically and it still happens so
we get these enthusiastic people that
also make them
follow a better diet because the
fundamental
is a good diet, you need to eat a paleolithic
diet with fruits, vegetables, meat, fish
cooked at low temperatures, but not the sugars, the sweets, the alcohol doesn't work with this
they can take two days a week
off, but five this week have to be good
enough and people have to be motivated
quite motivated because they also
have information we have
almost for everything information when
we give precursors to
neurotransmitters
are we have a whole sheets to explain
what to give when
We correct the intestines we have an intestinal test where
you know exactly which bacteria is too much
or too low
and and what type and and and what if
there's a good digestion of
some food or not. If there's a immune
problem or not, if the pH
in the intestines
are good
this gives very additional
information we have gone a step forward
in this sort of medicine becoming faster
and
next year on, for example,
we will privilege patients who will take
a double consultation
going much further in their consultation because its
impossible to get it all in an hour. So Dr. Thierry Hertoghe, you're an expert
acknowledged about hormone replacement
therapy
but also not a lot of physicians know
your expertise
in dealing with hormonal or sexual
dysfunction for both men and women let's
talk about men and
sexual dysfunction. Its a rampant problem,
especially
in men who are stressed or overweight,
maybe not living a good lifestyle
and they come to you to be on the
hormone replacement. Tell me some of the
most effective techniques you found to
restore
intimate and sexual function.
I would even say that most problems for
sexual functions are due to hormonal deficiencies
for men and women. I would say that there are
hormonal solutions and often one hormone 
enough
is not enough to totally improve the
situation
that before  we used to stash in
men when the at
sexual dysfunction a woman female hormones
now
a but we saw that in many cases didn't
really help them solve
why because it was not the most
important hormones
what we saw is that  when we started
giving
growth hormone and IGF-1 we start that
these hormones for instance in men give more
prolonged erection  more volume for
erections
but even then we still have some fear
here that same
25 percent of men it wasn't fantastic
and it's a real disaster because so many
I seen so many patients suffer
because they don't have the pleasure in
life that they could have from sexuality.
It also makes  their relationship
with a partner is not so good to have a
frustrated partner all the time
and themselves are frustrated
I think a problem in more than 50 percent of
couples
and I think it there very
bright and good solutions because when you
work with hormones
it's not like have and a
erectile function booster
like some those pills we have on the
market which
only gives a sort of mechanical effect so
it deproves and gives
self-assurance
but it's not the real thing with
hormones in the orgasmic intensity isn't
what it could mean that you know it's
not as satisfying
so we had to look further
for solutions because  people who are
happy and have pleasure in life and also
sexual person
live longer. We have seen that men who have more orgasms
actually have a longer life.
I attended a lecture you did in Spain
and you cited some books by Adler and
some other references that
suggested long life in longevity
associate with the early
interest to proclivity to sex and those
who prolong their sexual
life span live longer. They live
longer, so more erections mean more
ejaculations
in men live long. They also have less prostate
cancer. I have a question
because some theorists in tantra talk about
not having orgasms and holding it in but
there's evidence that
having orgasms three times a week or more
half the rate of heart attack,
less prostate problems, so where's the
fine line between
you know orgasmic intensity and quality
of sex
and whether we should restricted number
of orgasms maybe have engaged in sex but
maybe not have orgasm but more than two
or three times a week even if we have sex
every day
well a you give me a difficult question
the sense that
there's also special technique as you know
that you can have multiple orgasms with out ejaculation
in .This technique uses a
Chinese technique
of the towel technique
I don't think this is dis favorable to
have a lot of orgasms this weekend have
10 orgasms in one relationship.
basically I don't think it's
the orgasm itself, but maybe ejaculation
too often may be something difficult to
attain anyway but also
I'm might be not so good. Now
go back to the question is that up these
people suffering because not only they
have a lack of orgasms
that they also
feel somewhere less male or female if
it's a woman
so we need to increase their intensity
and  the way we do it
by increasing intensity is that we can
provide oxytocin. Oxytocin makes
them
feel like that wonderful for example I
take oxytocin
when I leave my wife or five meters I
feel
sufferance but its a delicious sufference because, for one, I'm
attached to her and that all those
wonderful memories I have with her
so it's like a social ability, like an improvement in social ability
increases orgasm very much it's
much more intense you're much more
satisfied yes
and you're much more attached study
showed also that men
where oxytocin was given a
if they live in couple they are much
more loyal to the woman. They will keep
distance to other women
because they are more with oxytocin. There is more bonding.
There is more bonding
This makes it also more intense yes
then we also I discovered this hormone
MLH  is probably
the hormone that increases erectile
function
and in and the sexuality in the women
the most. But the early problem with this was it turns
the skin too dark
it has that absurd Malayan pigmentation
and turns the skin too dark
when given an overdose. Injected subterraneous
Its about technique to put the product
in a syringe with growth hormone, IGF-1 and others and we do that then
very much and then we don't get so
much skin tanning effect
okay and we don't have skin
pigmentation effect
but we do have a very good sexuality
with it. So there are
side effects with it. But this hormone works
better than those
erectile function pills and  if well
applied
if the diet is good enough because it
doesn't work with
alcohol or sugar intake. How is
melatonin to different and
MSH Mullane stimulating hormone? Is it a
subgroup
or is an extract from MSH?  MSH does work with sexuality
in animal experiments, but probably
doesn't have to potency its derivative
no intent to have.
because this is a side effect of the
treatment actually that was found
So melatonin 2 or MSH which
is another one that is almost the same
but
increased blood pressure around melatonin two
and to one to it decreased about
pressure
youre talking about PT 141 
yes
so we are coming in a a range of
molecules to improve life
so much better and by the way I've
experienced
the subcutaneous milleten 2
and it creates fantasy it creates some
interesting
mental and emotional yeah highs I mean
it's a very elaborate sexual
response. To our patients, our sexologist
experts and they provided to many of
their patients
to almost all their patients  had the same
effect in men and women. is that this
hormone is the most potent to
improve the sexuality
Overall sexuality. It is the only hormone that improves
female sexuality, like arousal and
fantasy around on all levels
it also  increases
the levels of oxytocin  so it will
improve that
that part yes yeah so that being said
what we're looking at then is an
intervention
that's way beyond the early pioneers
using Viagra
and of course we talked a little bit
about trimix and your
in contact with those someone earlier
early scientists and that that whole
arena
but getting the erectile process but
then now getting to the deep level for
the mind body spirit experience
so by using these peptides if you will
they signaled the brain how do they work
what is your theory about how
why these works so well for sexuality
well actually I'm I'm not sure exactly
where they work yeah
the mechanism is not so well known to me.
For instance melatonin 2 has appetite reducing effects. That's why when you give
too much get nausea or things like that
but on sexuality
its  not well a
researched right so we need more
information about that
what I do think is that sexuality is
just
part of effects I have people say since
I take it I feel so well
my person is so well, I feel so well, 
like you enjoy life and
the whole skin is much more sensitive to
everything so
we're  focused maybe I'll sex but sex is
just the tip of the iceberg for a whole lot of
things that are important to us. In my
opinion like
more passionate and things like that and
 for example you know that people can have
sexual dysfunction
if they are low in cortisol. They just don't have the power. When they start sexuality
they're completely exhausted after it
because they are cortisol deficient
Its stress, they can't handle the chase, the
stress. Yeah its pursuit
They need the spark of life.
And also it has been shown that when
you're low in cortisol
you won't go get a partner, you'll sort of stay in your chair.
So we need to treat all of our patients completely and sexuality is
the flower or the fruit on the cake for example
 
It improves it. So the way we treat sexuality
is by treating the whole being, too. Because then this hormone works much better.
Many people said this doesn't work for
me because they use a separate
and they are much more deficient in the other hormones. So when we treat other hormones
the hormones we add for sexuality, or that are more typical for sexuality
work much better. A recent study
suggested that sixty percent of women
would work rather eat chocolate
tend to have sex so if that's the case
have there's something going on that
women need that might
in this whole realm of sexuality yes but
if you talk about why chocolate they're
probably serotonin deficient
yes that 5-htp yes that's a precursor to serotonin. So what
happens in them
is three times a day a happiness burst
everything they do they get more
passionate in
and then sexuality will be also easier
and is in dopamine the pleasure hormone
you can do some work with dopamine
any dopamine is a neurotransmitter gives
more energy
serotonin gets more the happiness so it
depends on which part you're deficient in
you will benefit more some people will
not benefit for stopping because they
already have in excess of dopamine
that others will benefit from serotonin.
and then there's PEA phenylethylamine
the love at first sight hormone. It can be
also  improve through the
same kind of things that improve oxytocin
holding, caressing,  touching
seem to help PEA as well
but again the message is it won't work
well if they are
too much other hormone deficiencies so
when you treat everything
those molecules will really make the
difference so
give me your wish list if if in your
mind you're gonna say okay we have
melatonin dhea how many hormones have
you actually
felt were important to to that you know
I've
at least at this point that you like to
work with you mention some other ones as
well but give me a
kinda wish list the hormones now what in
your advance research that we think is
important. There are 5 or more important hormones
the top hormone is now intended to give only after treatment for the rest
of the deficiencies or the hormone
deficiencies and this is for sexuality
yes THe number 2is testosterone
yes  the number three is oxytocin
yes I'm the number four estrodial
even in men they need a little bit of estrodial to
have libido
if they have too much estrodial although
that could be a problem that can
block also
Yes. It may also, it is necessary for
libido
and maybe ejaculate volume, too.  It seems
to be if estrodial gets too low that ejaculate level
seems to decrease
well there's less spermatozoids
and
then as I would say growth hormone
would give volume
to direction and then more pronounced
erection
and then there are some other new trends
or hormones who are helpful
your chance would be five HTP  percursor to serotonin
thyroid hormones somewhere to boost energy
cortisol making boost energy also and
then even more during distress so
some people need to have that additionally
and  then any other hormone that
is necessary because they're deficient
also help
but this would be a sort of basic higher
hierarchy.
