What about our adrenal glands? - Wellness magazine

Anti-aging is a comprehensive preventive medicine. Our goal is that a person reaches a high age in the best possible health, MUDr. Monika Golková, the senior consultant of the first certified anti-aging clinic in Prague says.

The first anti-aging clinic in Prague has already been in existence for eight years. It was founded by MUDr. Monika Golková and despite the initial mistrust of classically-treating colleagues, she managed to stand her ground and to diagnose and heal in her own way. Thus, in such a way, as how the anti-aging specialists in the U.S.A. do it. How has anti-aging progressed in our country, doctor?

We have succeeded to persuade the professional public that anti-aging medicine is comprehensive preventive medicine. Finally, people do not confuse us with aesthetic dermatologists or plastic surgeons. Anti-aging medicine is unique in the sense that it is a preventive, complex medicine where the aim is not only external beauty, but the fact that a person really reaches a high age in the best possible health condition and enjoys even at an older age of 80, 85 vitality, both physical and mental, to cope with all the stresses which affect them; that they do not become dependent on the help of others; that their life is a quality life. Anti-aging has advanced thanks to the stormy development of genetic investigation, so we can figuratively look at the base of a person and reveal all the major risks in time (Alzheimer's disease, myocardial infarction, cerebral stroke, diabetes). Anti-aging medicine can prevent the onset of those life-threatening scarecrows, especially when it allies with experts in classical medicine. Anti-aging medicine has also made progress in terms of addressing stress, brain neurotransmitters and hormonal imbalances.

How can you help a person who is under constant stress? What is actually happening in that person's head?


We help the stressed person in a comprehensive way. We can cope with the hormonal imbalance that was caused by a large number of stress hormones (catecholamines - adrenaline and noradrenaline and cortisol secreted by the adrenal glands). The hormone examination is made from blood, urine, and saliva. From the saliva, the examination is even more accurate because we are able to capture circadian biorhythms. The level of cortisol stress hormone may still be normal in the blood, or is borderline, but the saliva test already shows a very low level. It is also important to see how hormones fluctuate during the day. For example, with the above-mentioned cortisol, the matutinal level should be the highest, after lunch we see a slight decrease and in the evening the level is already low because after the entire day we are tired. If this biorhythm is disturbed, even chronic fatigue syndrome can menace, when the adrenal glands are run-down and unable to produce hormones. In this case, anti-aging medicine can help and we are able to replenish the missing bio-identical hormone to the right amount. Bio-identical means body-identical, identical to what our body creates. In relation to this is a very good tolerance, functionality of the hormone and minimal side effects. The adrenal glands are indeed a very important organ. They maintain the balance between other hormones. If our adrenal glands don't work, then we are in fact imbalanced. In the morning, they give us a feeling of energy, freshness and mental brightness. They stimulate the functions of the CNS. When the adrenal glands do not work well, one feels tired, and their memory can be disturbed. When cortisol (the hormone of the adrenal cortex) is missing, the body "steals" it from the hormone progesterone. The body needs it for its immune system. And then the balance of progesterone and estrogen is suddenly disturbed. The amount of estrogen in the body is suddenly too high and one can be more nervous, more irritable, more annoying. Progesterone is a calming hormone; it has for instance a positive effect on the beauty and softness of the skin. And so we could continue.... 



You mentioned the bio-identical hormones by which anti-aging medicine can help the stressed person. What hormones are these?


These hormones are prepared to look the same as the body's own hormones. We are able, on the basis of blood and saliva tests, to find out how many hormones one has and what hormones are missing and to prepare tailor-made hormones of the same structure as the body-identical. In this way, they fit into the hormonal receptor exactly as if we open a lock with the right key. The effects of these hormones are perfect, natural and at the same time there is no risk of side effects (minimizing the risk of breast cancer and uterine cancer). 

Where are the bio-identical hormones produced?

They are produced to measure for the concrete client according to the recipe we create and send to Germany.
Because they are made to measure, we cannot stock them beforehand. Bio-identical hormones represent a tremendous progress because they are completely natural to the organism and can be applied in the form of cream, sublingual tablets or buccal tablets. Also these application forms have undergone great development. It is amazing that we are able to find out exactly what our body needs and supplement it with the missing hormone at the required dose.

Many women are often rightly afraid of hormone replacement during a critical event. They know the many risks of HRT, especially from the media. And bio-identical hormones are a great promise especially for women who do not want to or cannot take traditional HRT.
Another problem nowadays is the overuse of hormonal contraceptives without prior examination of a woman, for example, the risk of developing thrombosis. Then the risk of developing pulmonary embolism in young women can be a threat. Contraceptives also generally affect the body's hormonal system, which many women bear very negatively. I try to eliminate hormone contraceptives in my female clients and replace them with other forms.



Is there a link between hormones and depression? The number of depressive people is rising...


Depression is a global phenomenon, and the link with hormones is indisputable - although other influences play a role. Depression often manifests itself during a critical event, which means large fluctuations and a decrease in sexual hormones. Our clients complain of mood swings, depression, tearfulness and irritability. When we apply the right treatment, the problems disappear as if by magic. Of course, depression may not only just have a hormonal background. We have to deal with it in a comprehensive way. We must investigate the possible inflammatory conditions of the organism, deficiencies of some elements, vitamins or neurotransmitters. We focus on problematic nutrition - we test individual food intolerances. Then we are able to replenish everything. The link between depression and chronic stress - the fatigue syndrome - is great. It is also necessary to involve relaxation techniques, sports so that one can begin to move (yoga, pilates, golf). 

With today's food supply, do we have poorly-fed people? Does it concern elderly people or does it affect young people too?


In my opinion, we have a great variety of foods, but the quality of nutrients in food is low. Younger people usually have no time, so they devour something very quickly and do not think too much about their diet. With elderly people, it's like driving on old rails, eating the same meals, and it is necessary to add nutrients to them. There are people who also choose the extreme. I do not think it's entirely right. For instance, an excessive amount of fruit and seeds has a very negative influence on the pancreas. 

From the Jáchymov Spa I know a case of an old French lady, who, at 92, every morning eats cheeses for breakfast and every day has bloody steaks for lunch and dinner. She is healthy and very fresh. How would you comment on this eating habit?

When such a diet tastes good for her, she can digest it well and feels good after it, so I'm not against it. The lady might have been tracing what agrees with her. However, no general lessons can be drawn from this. Food is an individual matter, and general lessons do not work for everyone. That's why we do an ALCAT test at our clinic which will evaluate which foods agree with your body and which do not. If in the long term you consume foods that are harmful to you, it will result in more fatigue; weight gain, skin problems or higher cholesterol and blood-sugar issues can appear. 

Are meat and eggs for human nutrition very important?


Definitely yes. We do not need to eat them daily; it is just enough several times in a week. It is not possible to replace the protein part contained in the meat by legumes. There is plenty of zinc and iron in the meat for haematopoiesis, vitality, energy, and this is very important. I would not eliminate meat completely. Vegetarians try to bypass it and to supply the necessary elements in another way. A certain style of nutrition also manifests itself on the person from the outside. To some extent it influences the behavior pattern of the individual. Therefore, we should try to eat in the sense of the Greek philosopher Pyke: "One should eat what one needs, but one usually eats what one likes. He will keep his health only if he will find tasty what he needs."