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3.0 out of 5 starsThe book is subtitled "A NUTS and BOLTS Approach to Management" so I maybe coming to hard on it.

ByShalom in Karison October 7, 2016

I've only started reading the book and my initial impression is a 3.5/5. The book maybe dated, with the most recent references listed as 2012, and the majority before 2007. The book is subtitled "A NUTS and BOLTS Approach to Management" so I maybe coming to hard on it. I was hoping the book would be comprehensive in discussing the causes for suboptimal hormone levels. True to the title of the book - it focuses on optimization or treatment. An example is the thyroid chapter, where 5 sentences are devoted to the discussion factors affecting T4-T3 conversion. I wish there was more discussion on autoimmune and nutritional components to suboptimal thyroid. Another example would be in the testosterone chapter, where there is mention of aromatization affecting levels, but wish there was more discussion on causes for hypogonadism - ie. stress/cortisol, bpa, heavy metals, opiates, etc. The amount of references listed in the book can be viewed positively or negatively depending on whether the references are important to you.Ch3 Thyroid page 14- 51// total pages 37 // 27 pages are literature citationsCh4 Testosterone page 52-134 // total pages 82// 61 pages are literature citationsCh5 Estrogen/Progesterone p 135-182// total pages 47// 27 pages are literature citationsCh6 DHEA/Cortisol p 183-216// total pages 33// 22 pages are literature citationsCh7 Pregnenolone p 217-228// total pages 11// 8 pages are literature citationsCh8 Melatonin p 229-248// total pages 19// 14 are literature citationsCh9 HGH p249-327// total pages 78// 61 are literature citations

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