The Holtorf Medical Group specializes in optimizing quality of life and being medical detectives to uncover the underlying cause of symptoms, rather than just prescribing medications to cover-up the symptoms. We are experts in natural, prescription bioidentical hormone replacement and optimization, complex endocrine dysfunction, fibromyalgia, chronic fatigue syndrome and Lyme disease.
We’ve dedicated our practice to providing you the best in evidenced-based, integrative medicine that’s not only safe and effective, but provides measurable results. Our physicians are trained to provide you with cutting-edge testing and innovative treatments to find the answers you deserve and a treatment plan that is personalized to your specific condition. If you have been to numerous physicians without improvement for your fatigue, depression, inability to lose weight, chronic fatigue syndrome, fibromyalgia, chronic Lyme disease or other complex illness, we are your center of excellence. We’ll guide you every step of the way, monitoring your results to not only improve your symptoms, but optimize your health and improve your quality of life.
About Kent Holtorf, M.D.
Kent Holtorf, M.D. is the medical director of the Holtorf Medical Group and a founder and director of the non-profit National Academy of Hypothyroidism (NAH), which is dedicated to dissemination of new evidence-based information to doctors and patients on the diagnosis and treatment of hypothyroidism and advanced integrative diagnostic and treatment protocols. He has personally trained numerous physicians across the country in the use of bioidentical hormones, hypothyroidism, peptide therapy, stem cell therapy, complex endocrine dysfunction and innovative treatments of chronic fatigue syndrome, weight loss, fibromyalgia and chronic infectious diseases, including Lyme and related diseases. Lyme and associated diseases have been the focus of the Holtorf Medical Group centers and has been a passion of Dr. Holtorf’s for over 15 years.
Dr. Holtorf is a guest editor and peer-reviewer for a number of medical journals, including Endocrine, Postgraduate Medicine and Pharmacy Practice. Dr. Holtorf has published a number of peer-reviewed endocrine reviews, including on the safety and efficacy of bioidentical hormones, inaccuracies of standard thyroid testing, testosterone replacement for men and women, the diagnosis and treatment of growth hormone deficiency and on the diagnosis, treatment of adrenal dysfunction in chronic fatigue syndrome and fibromyalgia, peripheral thyroid hormone conversion and its impact on TSH and metabolic activity and the clinical applications of thyroid hormone transport into cellular tissue. He has helped to demonstrate that much of the long-held dogma in endocrinology and infectious disease is inaccurate. He has lectured for prestigious medical societies across the United States and worldwide. He is a fellowship lecturer for the American Board of Anti-aging Medicine and was the Endocrinology Expert for AOL Health. He is a contributing author to Denis Wilson’s just published Evidenced-Based Approach to Restoring Thyroid Health.
He has been a featured guest on numerous TV and radio shows, including CNBC, ABC News, CNN, EXTRA TV, Discovery Health, The Learning Channel, The Today Show, The Doctors, Dr. Dean Edell, CBS News, RT News, Glenn Beck, Nancy Grace, Fox Business, ESPN, Rush Limbaugh, CBS Sunday Morning, Sean Hannity, So Cal News and quoted in numerous print media including the Wall Street Journal, Los Angeles Times, US New and World Report, San Francisco Chronicle (front page), WebMD, Health, Elle, Better Homes and Garden, US Weekly, Forbes, Cosmopolitan, New York Daily News, Self magazine among many others.
What We Treat
The adrenals produce hormones that help balance your blood sugar and manage your daily ebbs and flows of energy. Low adrenal function is often very common, but often missed by standard blood tests. Low levels of adrenal cortisol can result in the following: hypoglycemia, fatigue, muscle aches, low blood sugar, sugar or salt craving, shakiness relieved with eating, moodiness, food sensitivities, allergies, recurrent infections, dizzy when standing, low blood pressure, decrease ability to handle stress, decreased cognitive ability or “brain fog”, swollen ankles that are worse at night, hypoglycemia under stress, a need to lie down or rest after psychological or emotional stress, muscular weakness, difficulty getting out of bed, wiped out with exercise and/or inability to tolerate thyroid replacement. Proper treatment can have profound effects.
Age Management Medicine focuses on synergistic treatment to enhance vitality and quality of life. Age Management Medicine is defined as preventive medicine focused on regaining and maintaining optimal health and vigor. This medical specialty incorporates accepted markers of disease-risk into proactive patient management and uses hormone optimization that yield superior health outcomes. Age Management Medicine focuses on synergistic treatment modalities to enhance vitality and extend our health span (years of health and wellbeing). While we may or may not be able to increase longevity, we are able to prevent premature disability and death and enhance quality of life. We do not make claims of life extension or of reversing the aging process.
Bisphosphonates such as Fosamax and Boniva inhibit normal remodeling of bone, which results in unhealthy, brittle bone and can result in osteonecrosis. Decreased bone density is of great concern as one of the leading causes of frailty among aging women and men. There are numerous proactive steps to take to prevent bone loss early on. Blood tests for bone breakdown products can be a more effective means in detecting accelerated bone loss before bone density tests become abnormal and to monitor successful treatments. Bisphosphonates such as Fosamax and Boniva inhibit normal remodelling of bone, which results in unhealthy, brittle bone and can result in osteonecrosis. Superior natural treatments can produces more effective reversal of bone loss and improve bone density more than such medications.
Kent Holtorf, M.D. was the founding Medical Director for the Fibromyalgia and Fatigue Centers. Symptoms of these diseases include flu-like fatigue and pain that can be severe, a constant feeling of exhaustion, body aches, muscle stiffness and pain, insomnia, cognitive dysfunction “fibro-fog”, and irritable bowel syndrome. Oftentimes any combination of these symptoms can diminish your quality of life and in severe cases can inhibit a person from being able to carry out basic daily life functions.
We specialize in the treatment of these syndromes. First, we stabilize the patient and address any hormone imbalances. Low adrenals and low thyroid are among the many components which are reviewed by the physician. Included is the treatment of any infectious components of these illnesses such as Epstein Barr (EBV), Herpes Virus 6 (HHV6) or a multitude of other viruses, intracellular bacteria or yeast, which most often leads to or exacerbates these syndromes. Lastly is the mitochondrial treatment, which enables normal functioning of the muscles with the absence of pain and a renewed surge of energy followed by the maintenance phase, which is designed to maintain the renewed energy and improve functioning. Kent Holtorf, M.D. was the founding Medical Director for the Fibromyalgia and Fatigue Centers which utilizes the latest medical research in treating these diseases.
Breast cancerStudies show that the high levels of hormones in pregnancy, including estriol and natural progesterone (not Premarin and Provera/progestins) protect women from breast cancer.
Breast cancer is most prevalent in women over 50 years of age and who are in menopause. While estrogen levels drop during menopause so do many other anti-aging, cell protective hormones such as melatonin, thyroid, testosterone, estriol, progesterone and DHEA. Lack of these hormones is related to the aging process. In addition, as men and women age, the immune system becomes less efficient, increasing the likelihood of developing cancer. Medical studies show that women who have had multiple pregnancies tend to have the lowest breast cancer risk. Studies show that the high levels of hormones in pregnancy, including estriol and natural progesterone (not Premarin and Provera/progestins) protect women from breast cancer. Ratios of estrogen metabolites (16-OH/2-0H estrone) can also be checked to identify an increased risk of breast and other cancers.
Treatment and reversal of such risk factors and immune system enhancers can help as adjunctive treatments for cancer and prevent the occurrence or reoccurrence of cancer. We can also run state-of- the-art laboratory tests to determine your risk for developing cancer and integrate anti- cancer strategies into treatments to significantly reduce your risk.
The majority of men in the U.S. will get prostate cancer if they live beyond the age of 65.
How many young men do you know with a diagnosis of prostate cancer? Why is that? Young men have plenty of testosterone and older men get an increase in estrogen while their testosterone and progesterone levels decline. If you are experiencing symptoms of weight gain, man boobs, gall bladder problems, anxiety, insomnia and prostate enlargement that is making you run to the bathroom, then you could be experiencing an increase in estrogen.
In the prostate is an enzyme that converts testosterone into dihydrotestosterone(DTH). Increased DHT levels is a primary cause of male pattern baldness and it also proliferates prostate cells which leads to an enlargement of the prostate gland and narrowing of the urethral channel. Our goal is to get your testosterone levels optimal while ensuring that it is not converting to DTH.
Many digestive problems are a result of not producing enough digestive enzymes and acid to dissolve and digest food. Those of us plagued with digestive disorders often find the problem to be uncomfortable, problematic and sometimes embarrassing. Digestive disorders over time can suppress your body’s natural ability to absorb and assimilate critical nutrients from the stomach. Many prescription medications suppress your stomach’s ability to produce enough acid to properly digest food. This faulty treatment assumes that your body is producing too much stomach acid, but newer medical evidence seems to indicate that the opposite is actually happening. Many digestive problems are a result of not producing enough digestive enzymes and acid to dissolve and digest food. As a result, undigested food sits in the stomach and intestines causing gas and upset in the digestive tract. Oftentimes yeast and other bacteria flourish and critical vital nutrients are never assimilated to be distributed properly and expeditiously to the cells.
Gas, belching, indigestion, abdominal bloating, coated tongue and fatigue are a few of the most common symptoms of yeast. Yeast contributes to the symptoms of chronic fatigue syndrome and fibromyalgia.
Bloating, gas, diarrhea, acid reflux and even malnutrition can occur when you have digestive disorders. Sometimes the symptoms are so severe that they interfere with the ability to conduct normal day to day activities.
There are numerous tests that are shown to be more important markers of an increased risk of coronary artery disease than cholesterol. There are many causes and risk factors for heart disease, including inflammation, high cholesterol, low testosterone, low thyroid, low estrogen, hypertension, high lipoprotein A, insulin resistance, diabetes, obesity, high homocystine, nutritional deficiencies and excessive oxidation, to name a few. There are numerous tests that are shown to be more important markers of an increased risk of coronary artery disease than cholesterol, yet very few physicians utilize this critical laboratory components and do not utilize risk reduction therapies (natural and prescription) other than targeting cholesterol levels. Natural therapies can be very effective in modulating such risk factors.
High blood pressure accelerates the aging of the heart and blood vessels. Americans make more than 30 million visits to doctors’ offices each year because of high blood pressure. For the majority of us, sooner or later our blood pressure is going to get too high. The artery walls lose their flexibility and no longer dilate well with each heartbeat; the rigidity of the walls increases the pressure within the arteries-increasing blood pressure. High blood pressure accelerates the aging of the heart and blood vessels causing atherosclerosis and increased risk for heart disease and heart attack. The constant threat to a person with high blood pressure is suffering a stroke. One of the many components that we will check is your thyroid hormone. Thyroid hormones keep the arterial wall flexible and blood pressure stable. Without sufficient thyroid hormones, waste accumulates between the cells of the arterial walls, slowing the entry of nutrients into the cells, thereby disturbing their proper functioning. A swelling forms around the waste pileup, swelling the arterial walls and limiting their flexibility. Blood pressure rises. Thyroid replacement as well as other natural therapies can restore healthy blood pressure. Heart health can often be achieved by obtaining specialized laboratory tests and treating the underlying physiological cause of the problem.
Thyroid optimization has also been shown to be an effective treatment for low libido. Decreased sex drive can affect both males and females at any time during their life. Sometimes chronic stress over a period of time suppresses our body’s abilities to produce testosterone and other hormones necessary for sexual desire. Laboratory testing can measure your testosterone levels to determine if they are within an optimal (not just normal range). Testosterone is the hormone in the body which arouses desire, promotes fantasies and makes you feel more in love. We also offer natural treatments for men who suffer from lack of excitement about or during sex and/or erectile dysfunction. Thyroid optimization has also been shown to be an effective treatment for low libido.
Lyme disease is often missed as a cause of chronic fatigue syndrome. Initially discovered 30 years ago in Lyme, Connecticut, Lyme disease has become the undiagnosed and untreated epidemic of the 21st century. While it is often attributed to tick bites, Lyme can be transmitted through mosquito bites as well. It is a bacterial infection caused by the Borrelia burgdorferi. These bacteria can mimic virtually any disease, which is why Lyme is often misdiagnosed. Anyone with chronic fatigue syndrome and fibromyalgia need to consider Lyme disease as the cause. Because the symptoms are so variable, patients are usually not even considered for testing or treatment. Even if tested, standard testing will miss over 90% of the cases of chronic Lyme disease.
Treatment of chronic Lyme disease can be very problematic as the Borrelia bacteria can transform from the standard cell wall form to a non-cell wall form and also into a treatment resistant cyst.
A mulit-system integrative approach can dramatically increase the likelihood of successful treatment. This includes using a combination of synergistic antibiotics, nutraceuticals, anticoagulants, hormonal therapies and prescription lysosomotropics.
Migraines often start at puberty and disappear at menopause. Migraines are four times more common in women than in men. Typically, onset is at puberty and they disappear at menopause. Migraines can, but not always, worsen around the two days before and the first two days of menstruation. This is thought to occur because estrogen and progesterone levels drop suddenly before and during menstruation, this causes spasms in the blood vessels at the base of the neck and can be responsible for severe headaches. Low adrenal function and low thyroid can also be the cause of migraines.
Natural, bioidentical, transdermal estrogen and prescription strength natural progesterone frequently relieves severe hormone related headaches. Unique uses of medications, such as Botox, in combination with natural treatments can be very effective in eliminating migraines. A complete laboratory analysis can tell us which of many variables may be causing your migraines and a customized profile utilizing the latest medical advancements will be implemented to resolve migraine reoccurrences.
Estriol and Progesterone are showing to be very promising in the treatment of MS. Multiple sclerosis (MS) is an autoimmune disease of unknown etiology characterized by the inflammatory demyelination of the central nervous system and breakdown of the blood-brain barrier. There is clear evidence that there is an infectious component, etiology or contribution in the majority of cases. Infections that have a possible role in the pathogenesis multiple sclerosis and other neurodegenerative diseases include HHV6, EBV, Lyme disease, mycoplasma and Chla¬mydia pneumonia. In addition to appropriate antivirals and antibiotics, hormonal modulation is also a potentially very promising therapy. We utilize the latest and most advanced medical treatments for MS and have obtained excellent results.
PMS is an estrogen dominant condition in where progesterone is deficient. PMS is characterized by a clustering of symptoms prior to the onset of a period. Irritability, lethargy and depression are a triad of symptoms that are often present with this condition. Other symptoms may include, breast swelling, water retention, food cravings, severe constipation, hot flashes, migraines, back pain, fibrocystic breasts, weight gain and acne. PMS is an estrogen dominant condition and often associated with low thyroid. It can be associated with ovarian cysts, uterine fibroids, endometriosis and fibrocystic breasts. Laboratory analysis and evaluation of your particular symptoms will determine our course of action.
Bioidentical hormones do not have the negative side effects of patented pharmaceutical drugs that mimic hormones. Yes, and there are plenty of studies to prove it. Perimenopause is the 5-15 year span around menopause when ovarian hormone production begins to decline. Blood tests can confirm if you are approaching or are currently menopausal. There are some very proactive approaches to take when this time comes to remarkably enhance your health and vitality and prevent the early onset of degenerative diseases, excess weight gain and depression which statistically can accompany this new stage in your life.
Nutritional and hormone laboratory analysis can be a wonderful tool in maximizing your health to feel and be the best that you have ever been. Many natural prescriptions and non-prescription supplements boost collagen production in the skin, help tone sagging muscles, boost immunity and energy levels, rejuvenate hair and nails, aid with sleep, eradicate hot flashes, boost brain function and more. If you are currently on synthetic hormones such as Premarin or Provera, it is an excellent time to explore your many options with natural, bio-identical replacement which gives you all the wonderful benefits above, without compromising your health and well-being. There are over 20 years of medical studies on natural hormones showing their safety and remarkable health benefits.
Standard testing does not pick up 80% of patients who have low thyroid. Thyroid deficiency is extremely common but goes undetected by standard thyroid tests. The thyroid is located just below your Adam’s apple at the front of your neck. Thyroid disorders can affect your sense of well-being, metabolism and ability to ward off viruses and bacteria. Some of the most common symptoms of low thyroid are weight gain, depression, fatigue, non-refreshing sleep, anxiety and panic attacks, brittle nails, constipation, diffuse hair loss, sensitivity to cold, significantly calloused heels, chronic yeast infections and even infertility.
We specialize in comprehensive testing to properly diagnose any thyroid deficiencies which may exist. We treat hypothyroidism, hyperthyroidism, Graves disease, Hashimoto’s thyroiditis and thyroid nodules by using integrative and prescription therapies to reverse the underlying immune dysfunction that can the cause of the these conditions.
Our treatment options for the more common hypothyroidism condition are state of the art. We customize and compound bioidentical thyroid which exactly mimics what your body should normally produce. The amazing results include weight loss, enhanced sense of well being, resolution of hair loss, improved skin tone, increased energy, enhanced immunity, which wards off chronic infections, and significantly reduced risk for cancer and heart disease.
Our laboratory testing can detect pre-diabetes 20 years earlier than the standard blood tests. This is a condition where the cells become resistant to the hormone insulin. Insulin is the hormone that lowers blood sugar, so in order to keep blood sugar levels normal, the body must produce increasing levels of insulin. This increased insulin production results in continual weight gain and an increased risk for heart disease and cancer. Our laboratory testing can detect pre-diabetes 20 years earlier than the standard blood test, thus we can prevent diabetes. We have achieved excellent success in reversing those already diagnosed and preventing any future health complications.
Our Appointment Process
Once you’ve taken that first step and booked your appointment with us, you can expect to receive an in-depth medical history questionnaire. This questionnaire is vital to our treatment process and will help us start you on your journey to better health. Your physician will review the questionnaire with you; discuss possible causes of your symptoms; and determine the best treatment plan for you.
Your initial appointment will include more than just a review of your health history. You can also expect the following:
- An assessment of your symptoms, not just what you are experiencing the day of your appointment, but we want to understand how your symptoms affect you throughout your daily activities.
- A focused physical examination.
- A recommendation for additional diagnostic testing, as appropriate.
- A recommendation for building the foundation of your treatment plan. We will provide you with clear guidance and walk you through the steps of your treatment process.
- You will have access to our Patient Advocates, who will assist in maximizing your treatment outcomes. They will be available to you by phone, email or in the office to ensure all of your questions are answered.
How long will the appointment take? You should allow two hours for your first appointment which will include approximately 1 hour with your physician. In some cases, your physician may even recommend beginning some therapies that very same day so your treatment can start immediately.
You deserve the best care from a team of specialized health care providers who understand, are compassionate, and who have personally walked this journey to wellness. Isn’t it time you do the same? Call us today at 877-508-1177 and schedule an appointment with one of our specially trained physicians.