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	<title>Comments for Dr. Rob D&#039;Aquila</title>
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	<link>http://robdaquila.com</link>
	<description>NYC Chiropractor &#38; Applied Kinesiologist - Diplomate of the International Board of Applied Kinesiology</description>
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		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1494</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Wed, 08 Feb 2012 03:00:12 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1494</guid>
		<description><![CDATA[Hi Jeff,

It&#039;s very hard to be able to help you without knowing the entire story. After 13 vials of blood, I would expect some tests to be out of range - at least out of a functional range. If testosterone was the only treatment offered, I think it&#039;s an incomplete treatment at best, and unnecessary at worst. Again, it&#039;s hard to say without knowing the whole story. 
Another thing I don&#039;t understand is why your body suddenly stopped absorbing the gel after it had been working fine previously- that makes little sense to me...I don&#039;t think your levels dropped because you weren&#039;t absorbing it.
The irritability can definitely be a result of the treatment, esp. because you make it sound as if it was never a problem before - and the same goes for the volume of your ejaculate. 
The alternatives to your treatment depend on exactly why you had the low testosterone to begin with.
I would have to evaluate all your tests and take your complete history to guide you better.
I offer phone consultations if you&#039;re interested.

Take care,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Jeff,</p>
<p>It&#8217;s very hard to be able to help you without knowing the entire story. After 13 vials of blood, I would expect some tests to be out of range &#8211; at least out of a functional range. If testosterone was the only treatment offered, I think it&#8217;s an incomplete treatment at best, and unnecessary at worst. Again, it&#8217;s hard to say without knowing the whole story.<br />
Another thing I don&#8217;t understand is why your body suddenly stopped absorbing the gel after it had been working fine previously- that makes little sense to me&#8230;I don&#8217;t think your levels dropped because you weren&#8217;t absorbing it.<br />
The irritability can definitely be a result of the treatment, esp. because you make it sound as if it was never a problem before &#8211; and the same goes for the volume of your ejaculate.<br />
The alternatives to your treatment depend on exactly why you had the low testosterone to begin with.<br />
I would have to evaluate all your tests and take your complete history to guide you better.<br />
I offer phone consultations if you&#8217;re interested.</p>
<p>Take care,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1493</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Wed, 08 Feb 2012 02:37:58 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1493</guid>
		<description><![CDATA[Hi Shaun,

I&#039;m glad you enjoyed reading the article. Yes, in many cases endocrinologist&#039;s and alternative practitioners prescribe HRT too quickly, and without other types of support. 

The patient I mentioned mostly had blood sugar problems contributing to his low testosterone. The blood sugar issues were very much caused by being a vegetarian for years. Obviously he had receptor site down-regulation from the HRT as well.

Thanks for reading,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Shaun,</p>
<p>I&#8217;m glad you enjoyed reading the article. Yes, in many cases endocrinologist&#8217;s and alternative practitioners prescribe HRT too quickly, and without other types of support. </p>
<p>The patient I mentioned mostly had blood sugar problems contributing to his low testosterone. The blood sugar issues were very much caused by being a vegetarian for years. Obviously he had receptor site down-regulation from the HRT as well.</p>
<p>Thanks for reading,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
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	<item>
		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Shaun</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1485</link>
		<dc:creator><![CDATA[Shaun]]></dc:creator>
		<pubDate>Sun, 05 Feb 2012 08:56:15 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1485</guid>
		<description><![CDATA[I enjoyed reading this article , especially after reading countless others which promote hrt so easily. Even the endo I went to see suggested hrt a bit too easily .
I would like to know more about the patient mentioned above who was treated for low testosterone as I think I maybe am going through the same as him.]]></description>
		<content:encoded><![CDATA[<p>I enjoyed reading this article , especially after reading countless others which promote hrt so easily. Even the endo I went to see suggested hrt a bit too easily .<br />
I would like to know more about the patient mentioned above who was treated for low testosterone as I think I maybe am going through the same as him.</p>
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		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Jeff</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1483</link>
		<dc:creator><![CDATA[Jeff]]></dc:creator>
		<pubDate>Sun, 05 Feb 2012 02:04:07 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1483</guid>
		<description><![CDATA[Hi Dr. Rob First off I enjoyed reading your article above and hope you can help me. I am 57 years old. About a year ago my Testosterone was under 200 . I went to a Dr for healthy living who did a very extensive blood panel(13 vials) and put me on bioidentical gel ..To use it 5 days on then 2 days off. my level rose to 600 then 3 months later to 750 then it dropped to 200 . I was told that the gel was not absorbing so he switched me to a cream.  My level went back up to 600 but i get alot of fatigue and irritability and do not really like that. When my level was low I had fatigue and working out in the gym seemed like a chore   The T helped with the working out that got easier but the fatigue seem to come and go but come more often. I was never an irritable person and can control it but dont like it. Is this a side effect?. Also when i ejaculate now its very little compared to before i started the testosterone. its seems the only thing that is better is that I get more erections. I sometimes just do not feel like my self and think maybe I should stop  but if I stop what alternatives do I have. The long term effects you described above scare me. I am 5.5 weigh 124 eat very healthy do not eat gluten or wheat. Walk 5 k 4 times a week ride a bike 10 k 3x a week and work out in the gym 3x a week but had to stop weights as i strained a deltoid. One more thing I have also  lately been getting stomach pains. Anything you can do to help would be greatly appreciated.
Jeff]]></description>
		<content:encoded><![CDATA[<p>Hi Dr. Rob First off I enjoyed reading your article above and hope you can help me. I am 57 years old. About a year ago my Testosterone was under 200 . I went to a Dr for healthy living who did a very extensive blood panel(13 vials) and put me on bioidentical gel ..To use it 5 days on then 2 days off. my level rose to 600 then 3 months later to 750 then it dropped to 200 . I was told that the gel was not absorbing so he switched me to a cream.  My level went back up to 600 but i get alot of fatigue and irritability and do not really like that. When my level was low I had fatigue and working out in the gym seemed like a chore   The T helped with the working out that got easier but the fatigue seem to come and go but come more often. I was never an irritable person and can control it but dont like it. Is this a side effect?. Also when i ejaculate now its very little compared to before i started the testosterone. its seems the only thing that is better is that I get more erections. I sometimes just do not feel like my self and think maybe I should stop  but if I stop what alternatives do I have. The long term effects you described above scare me. I am 5.5 weigh 124 eat very healthy do not eat gluten or wheat. Walk 5 k 4 times a week ride a bike 10 k 3x a week and work out in the gym 3x a week but had to stop weights as i strained a deltoid. One more thing I have also  lately been getting stomach pains. Anything you can do to help would be greatly appreciated.<br />
Jeff</p>
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	<item>
		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1476</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Fri, 03 Feb 2012 03:34:43 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1476</guid>
		<description><![CDATA[Hi Debbie,

Please read all the comments above for my input. I recommend people find out the cause of their hormone imbalance before simply taking BHRT; esp. at age 30.

Good luck,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Debbie,</p>
<p>Please read all the comments above for my input. I recommend people find out the cause of their hormone imbalance before simply taking BHRT; esp. at age 30.</p>
<p>Good luck,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Unwanted side effects of (bioidentical) hormone replacement therapy by Debbie</title>
		<link>http://robdaquila.com/2010/02/03/unwanted-side-effects-of-bioidentical-hormone-replacement-therapy/#comment-1474</link>
		<dc:creator><![CDATA[Debbie]]></dc:creator>
		<pubDate>Thu, 02 Feb 2012 07:00:57 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=2353#comment-1474</guid>
		<description><![CDATA[Hi Dr. Rob

I am 30 years old and noticing that every month my periods get worse. Not worse in Menstrual flow, but fatigue, cramps, headaches, and mood swings.  I can cry at the drop of a hat and 10 minutes later want out of my own skin. The feeling is horrible and wondering if BHRT would help? Hope you have some input.

 Thanks so much
         Debbie]]></description>
		<content:encoded><![CDATA[<p>Hi Dr. Rob</p>
<p>I am 30 years old and noticing that every month my periods get worse. Not worse in Menstrual flow, but fatigue, cramps, headaches, and mood swings.  I can cry at the drop of a hat and 10 minutes later want out of my own skin. The feeling is horrible and wondering if BHRT would help? Hope you have some input.</p>
<p> Thanks so much<br />
         Debbie</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Digestion: the importance of hydrochloric acid by Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2009/08/27/digestion-the-importance-of-hydrochloric-acid/#comment-1469</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Mon, 30 Jan 2012 23:48:22 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=1320#comment-1469</guid>
		<description><![CDATA[Hi Jahir,

I like using zinc picolinate. And I&#039;ve put patients on anywhere from 30mg-90mg a day (I&#039;ve personally taken up to 180mg/day), depending on there size and condition. HCl should help prevent parasitic infection if you&#039;ve just ingested one and then it comes into contact with the acid. If a parasite is already in the system, it most likely won&#039;t contribute much to resolving the infection. It&#039;s very possible that the medication is working, but you are continually being exposed to the same parasite, and therefore it keeps returning. You should check your food and water supply first as the main culprits. 

I cannot recommend a specific amount of zinc, or any zinc, for you.

Good luck,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Jahir,</p>
<p>I like using zinc picolinate. And I&#8217;ve put patients on anywhere from 30mg-90mg a day (I&#8217;ve personally taken up to 180mg/day), depending on there size and condition. HCl should help prevent parasitic infection if you&#8217;ve just ingested one and then it comes into contact with the acid. If a parasite is already in the system, it most likely won&#8217;t contribute much to resolving the infection. It&#8217;s very possible that the medication is working, but you are continually being exposed to the same parasite, and therefore it keeps returning. You should check your food and water supply first as the main culprits. </p>
<p>I cannot recommend a specific amount of zinc, or any zinc, for you.</p>
<p>Good luck,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
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	<item>
		<title>Comment on Digestion: the importance of hydrochloric acid by jahir- ul- ahmed</title>
		<link>http://robdaquila.com/2009/08/27/digestion-the-importance-of-hydrochloric-acid/#comment-1467</link>
		<dc:creator><![CDATA[jahir- ul- ahmed]]></dc:creator>
		<pubDate>Mon, 30 Jan 2012 20:28:45 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.com/?p=1320#comment-1467</guid>
		<description><![CDATA[i am suffering 4m repeated pin worm infection 4m last 20 years.Doctors/gasteroentrologists have tried every anti worm medicine but within 2-3 moths the worms come back inspite of maintaining all hygine.What type of zinc component(eg.zinc sulphate,zinc carnosine ete.) increases the hcl enyme and what should be it&#039;s quantity per day for an adult?Wheather proper balance of hcl enzyme is helpful to prevent such worm infection? I am cluless about my disease,Pls give me some advice.

                                                                                           From-
                                                                                           Jahir,India,age-40]]></description>
		<content:encoded><![CDATA[<p>i am suffering 4m repeated pin worm infection 4m last 20 years.Doctors/gasteroentrologists have tried every anti worm medicine but within 2-3 moths the worms come back inspite of maintaining all hygine.What type of zinc component(eg.zinc sulphate,zinc carnosine ete.) increases the hcl enyme and what should be it&#8217;s quantity per day for an adult?Wheather proper balance of hcl enzyme is helpful to prevent such worm infection? I am cluless about my disease,Pls give me some advice.</p>
<p>                                                                                           From-<br />
                                                                                           Jahir,India,age-40</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Weight Loss and Detox &#8211; Part 3 of 5 by Dr. Rob D'Aquila</title>
		<link>http://robdaquila.com/2012/01/17/weight-loss-and-detox-part-3/#comment-1462</link>
		<dc:creator><![CDATA[Dr. Rob D'Aquila]]></dc:creator>
		<pubDate>Sat, 28 Jan 2012 23:48:57 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.wordpress.com/?p=2799#comment-1462</guid>
		<description><![CDATA[Hi Amity,

It&#039;s hard to say how long it will take. It will be different for everyone based on the health of their digestive and immune system.  A few months sounds safe, assuming you are actively taking the steps to repair those systems in the meantime. That is, eating healthy, taking the appropriate gut rebuilding supplements, avoiding other stressors, etc..
And yes, that&#039;s a very good point, you can easily become sensitive to that food again, as we all typically develop sensitivities to the foods we eat most. So in order to avoid that, you can use a rotational diet where you only eat the suspect foods every 4 or 5 days and see how that goes.
That said, sometimes people do need to avoid certain foods for good - esp. gluten and dairy. 

Good luck,
Dr. Rob D&#039;Aquila]]></description>
		<content:encoded><![CDATA[<p>Hi Amity,</p>
<p>It&#8217;s hard to say how long it will take. It will be different for everyone based on the health of their digestive and immune system.  A few months sounds safe, assuming you are actively taking the steps to repair those systems in the meantime. That is, eating healthy, taking the appropriate gut rebuilding supplements, avoiding other stressors, etc..<br />
And yes, that&#8217;s a very good point, you can easily become sensitive to that food again, as we all typically develop sensitivities to the foods we eat most. So in order to avoid that, you can use a rotational diet where you only eat the suspect foods every 4 or 5 days and see how that goes.<br />
That said, sometimes people do need to avoid certain foods for good &#8211; esp. gluten and dairy. </p>
<p>Good luck,<br />
Dr. Rob D&#8217;Aquila</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comment on Weight Loss and Detox &#8211; Part 3 of 5 by Amity</title>
		<link>http://robdaquila.com/2012/01/17/weight-loss-and-detox-part-3/#comment-1457</link>
		<dc:creator><![CDATA[Amity]]></dc:creator>
		<pubDate>Fri, 27 Jan 2012 17:19:43 +0000</pubDate>
		<guid isPermaLink="false">http://robdaquila.wordpress.com/?p=2799#comment-1457</guid>
		<description><![CDATA[Hi Dr. D&#039;Aquila,
I&#039;m writing regarding this statement from your last graph above: &quot;You won’t necessarily have to avoid that food for life. It’s quite possible that after you heal your system and get your body functioning optimally again, you’ll be able to reintroduce that food without any detrimental consequences.&quot;

How long can I expect it take for my body to heal itself? Or is it just trial-and-error--I should just a wait a few months and try to reintroduce the foods and see what happens?

Also, if I find that I can reintroduce it, should I assume that I could very easily build up an intolerance again? 
Thank you!
Amity]]></description>
		<content:encoded><![CDATA[<p>Hi Dr. D&#8217;Aquila,<br />
I&#8217;m writing regarding this statement from your last graph above: &#8220;You won’t necessarily have to avoid that food for life. It’s quite possible that after you heal your system and get your body functioning optimally again, you’ll be able to reintroduce that food without any detrimental consequences.&#8221;</p>
<p>How long can I expect it take for my body to heal itself? Or is it just trial-and-error&#8211;I should just a wait a few months and try to reintroduce the foods and see what happens?</p>
<p>Also, if I find that I can reintroduce it, should I assume that I could very easily build up an intolerance again?<br />
Thank you!<br />
Amity</p>
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