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Am I Too Young To Be Going Through Perimenopause/Menopause?IBy Dr. Donna Beckert usually begins with sleep disturbance and awakening feeling very hot once or twice a week. Towards the end ofthe monthly cycle, moodiness-even crying or feeling irritable much of the time, or PMS- premenstrual syndrome, predominates. Nothing seems to be the same libido, the desire and enjoyment of sex, dwindles. Secretions change as well. The thick mucoid nature becomes scant and watery. Eventually, without hormonal support, the vagina may become dry and shrunken. This does not occur in all women, however.Frustration! Depression! So, struggling young 30-something woman visits her family doc who may pronounce her blood work all normal and suggest that great all-American cure-all, an antidepressant and perhaps a sleeping pill! Now, most doctors do not measure hormones in cycling (menstruating) women, because they claim that the hormones will be changing daily if not hourly, so hormone levels do not provide meaningful data. But of course, as the fertility specialists know, hormones can be measured and these numbers very much guide therapy when someone is trying to get pregnant.Progesterone is the first hormone to decline in the young perimenopausal woman. She actually has too much estrogen relative to progesterone. This imbalance of progesterone to estrogen may cause hot flashes, night sweats, and insomnia. After checking blood levels of all hormones and markers (FSH & LH) for menopause, I might prescribe progesterone, if the estradiol level is adequate and the FSH & LH are <23. Until the estrogen wanes, progesteroneHOAs - continued from page 11restrictions on what homeowners can and cannot do and guaranteeing the maintenance and upkeep of common areas.According to HOA-USA “there are over 370,000 homeowner associations in the United States. Collectively, this represents over 40 million households (over 53% of the owner occupied households in America).” The State of Texas reports certificates of registration for 9,809 HOAs of which Comal County has 118 residential developments governed by HOAs. During the next three issues of Highlights the paper will feature a series of articles elaborating on such governing bodies and their characteristics. The GoodA 2022 survey conducted by Zogby Analytics for the Foundation for Community Association Research reports “Americans living in Homeowners Associations, Condominiums, and Housing Cooperatives say they are overwhelmingly satisfied in their communities: 89% of residents rate their overall community association experience as very good or good (67%) or neutral (22%); 87% say members of their elected governing board absolutely orHave Medicare questions? I have answers.I’m Bertha Eliza Calpena, a licensed sales agent in San Antonio, Boerne and all of Texas. When it comes to Medicare,it’s important to consider all of your options. What works well for your neighbor may not be the best fit for you. I know the ins and outs of Medicare, and I’m ready to answer your questions and help you find a plan that fits your needs. Take advantage of my knowledge and experience to:• Take the confusion out of Medicare • Receive one-on-one service• Get help comparing plans • Make enrolling in a plan easierI look forward to helping you explore your Medicare options so you can enroll in a plan with confidence.It’s time to take advantage.Bertha Eliza CalpenaLicensed Sales Agent 210-612-5777, TTY 711 calpenab@gmail.com medicaretexasplans.com Sí, hablo su idioma.Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. ©2021 United HealthCare Services, Inc. All rights reserved.Y0066_22SPRJ55189_C SPRJ55189theprovides needed balance. However, the gynecologist’s answer to insomnia and PMS might be to prescribe a low dose birth control pill, even to a woman who has had a tubal ligation. The birth control pill will suppress the body’s secretion of estrogen. So, lower estrogen is in artificial balance with the body’s own low progesterone. A more physiologic solution: give what is missing, progesterone, and give it the way the body used to make it, less the first 2 weeks and twice as much the final 2 weeks.Call for a free 15 min. consult, no matter your age Never too late or too early for hormone support.Dr Donna BeckerSpecializes in anti-aging & health maintenance medicine.(210) 545-5224 www.antiagingsa.comfor the most part, strive to serve the best interests of the community as a whole; 74% say the manager provides value and support to residents and the community as a whole; and 68% say the rules in the community protect and enhance property values.”So, what makes an HOA attractive for homeownership? A well-managed HOA offers many positives: An HOA can provide services and well-maintained amenities that a city cannot. Plus, they frequently provide maintenance and infrastructure services that cities do not. HOA rules keep property values from declining by maintaining standards of homeowner maintenance. As a result, homes within HOAs increase in value more than non-HOA homes. The homeowner has a stronger sense of community through an ownership in the HOA. Being locally governed and small, HOAs are more efficient than cities. HOA guidelines keep a community’s homes and yards looking their best. If a problem arises between neighbors, the HOA can mediate.Get Your Vitality Back!Focus of Treatments:• Hormone restoration to healthy young adults levels• New Weightloss Medications • Thyroid issues• Hot Flashes/ Night Sweats• Moodiness, “Emotionality” • Loss of Libido• Brain Fog• Insomnia• Vitamin Deficiencies• Blood levels guide treatmentMen’s issues:Erectile, Dysfunction, Fatigue and Weight GainDr. Donna BeckerThe Enhancementof Life CenterCall to schedule your FREE consultation (210) 545-522414603 Huebner Rd,. Suite 2601 (Huebner & NW Military)www.antiagingsa.comMay 2023www.stoneoakhighlights.com 13


































































































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