Dr. Evelyn Brust

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Are you tired, irritable, having trouble sleeping? Depressed Anxious? Skin drying, suddenly gaining weight when diet and exercise haven't changed, and libido lagging? These questions aren't for women. They are for men. Bioidentical hormone therapy and testosterone therapy is available in Bend for men. Men have as many issues with hormones as women, they have the same symptoms, but  it isn't talked about as much. It's truly unfortunate because men can benefit as much from education and bio-identical hormone therapy too. First, men need to understand that they have more hormones than testosterone. Secondly, they need to understand that testosterone is important for overall heath, not just sexual function. As I evaluate men's health, i pay attention to five hormone functions: thyroid, insulin, testosterone, cortisol, human growth hormone and DHEA. All combined they regulate a man's health and body function. Unfortunately, men don't have a monthly 'report card' like women do, so...
by Lori Gleichman, for The Bulletin Special ProjectsReprinted from The Bulletin's U Magazine - June 2009 Bioidentical hormone replacement therapy has allowed some women to take back their lives. Two women who don’t know each other still have a lot of life experience in common, like finding themselves again after years of feeling “not quite right.” Both use words and phrases like lethargic, fuzzy thinking, “tired all the time,” extremely irritable, trouble sleeping, and night sweats to describe their symptoms. In essence, they were miserable and didn’t know why.In both cases, they consulted their regular physicians who diagnosed depression or early menopause and prescribed pills. In both cases, they felt they needed something different and eventually had their hormone levels tested. The tests registered in the zero to “barely there” range. And both finally found a solution to their problems: bioidentical hormone replacement therapy (BHRT).To some, BHRT is mysterious and controversial,...

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With summer here, weight issues surface anew. As we welcome summer, here's to bathing suits and shorts, and body baring fashions.And as many of us become more body conscious, questions reappear with regards to diet once again. There is not a day that goes by in my office that a patient doesn't ask about weight gain/loss and diets. There are those who come in and swear by the Atkins diet, the Sommers diet or some other diet. Well folks here it is: The bottom line is that weight-gain occurs when the amount of food intake (energy, otherwise known as calories) exceeds the amount of energy the body spends. There are illnesses, and metabolic disorders that may be the cause of this imbalance. And yes, the research shows there is a genetic component. However, for the majority of Americans, it is really either over eating, and/or under exercising. Let us start with the question...
Cross-training proves beneficial There are many things in life that are fascinating. The capacity of the body to heal after enormous trauma and the ability of some people to accomplish great physical feats are right at the top of my list. The Cascade Cycling Classic has once again come and gone, and one of its former racers was right here in Bend in this event only a few years ago.As we once again watch Lance Armstrong defend his Tour de France title, is his journey to the top of his sport not awe inspiring?Is it not encouraging to us all to face the challenges in our lives? And one of great many challenges many of us face will be to stay physically active, and to remain healthy.The sooner we all embrace the fact that our bodies are made to MOVE to stay healthy, the sooner we can get started on our...
Chances are we all have experienced the aches and pains of a preventable injury at some time on our life. But, what do we do now that we have the tendonitis, the bursitis, the muscle spasms that just seem to hang around to interfere with our tennis, golf, horseback riding? Many patients come in when the ibuprofen, the muscle relaxers, and /or the OTC (over the counter medications) seem to lose their effectiveness. What started as an acute injury may in fact now have become a chronic injury, with the chronic inflammation, pain, decreased ranges of motion, and with potential long term damaging side effects. First, get a diagnosis. Have a health care professional examine and diagnose the injury at the onset. What may feel like a muscle spasm in the low back may in fact be a herniated disc. Or vice versa. What may feel like excruciating "nerve" pain may...

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This is one of the most frequently asked questions in my practice. It is nice to answer this question rather than "Does acupuncture work?". We all probably know someone who has had acupuncture treatment for one reason or another, and they testify how great it worked. The fact of the matter is that acupuncture works for some people some of the time. Now back to the initial question of how it works. Basically the technique of inserting very fine needles into specific points results in a specific physiological response. The outcome is dependent on the combination of points chosen, the clinical ability and experience of the acupuncturist in treating specific conditions, and the individual's response to a specific treatment. The analogy I like to use is this: Take a computer. Often here in Bend, we experience an electrical surge, disruption in our service, or maybe even a computer virus. So, we restart,...
There has been much confusion as to the differences/similarities between various primary healthcare providers. In the United States, allopathic (MD), osteopathic (DO) and naturopathic (ND) physicians are licensed to provide primary care medical services. Each profession has a rich history, and distinguishing philosophical characteristics. All three types of medical schools require 4 years of medical education to complete there respective degrees. Instruction includes preclinical and clinical phases. Perhaps the most historically philosophical difference was concerning the use of drugs, and therefore the number of hours of instruction in pharmacology. The number of hours of instruction currently is similar in all three types of school. Emphasis is placed on musculoskeletal manipulation in osteopathic and naturopathic medicine, and these professions pride themselves in their “holistic” approach to health care. This orientation to healthcare in these schools require hours of naturopathic philosophy, and osteopathic principles and practices including manipulative therapy, in the first two...

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Many of us have experienced acute inflammation for example from a sports injury or trauma. A couple of days of drug therapy in the form of antiinflammatory OTC (over the counter) is inexpensive and convenient, or by prescription only Celebrex or Voixx may be indicated. However, many people are self-prescribing and taking Ibuprofen, Aleve, aspirin, or any number of OTC (over the counter) NSAIDS (non-steroidal antiinflammatory drugs) daily, for either acute or chronic inflammation. These medications have side efects. The purpose of this article is to present ideas and options for people who want long term anti-inflammatory options. Recent research has shown how the omega 3 fatty acids found in significant amounts in fish oils, especially salmon, sardines, and herring effect the inflammatory pathways in our body resulting in decreased inflammation. In countries such as Japan and Greenland and the areas bordering the Mediterranean Sea, the population cunsumes considerably higher portions...

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One of the oldest functional foods available to mammals is milk. In human newborns, mothers milk has been the relied upon for nutrition. We often hear about the role of mothers milk in building the immune system in infants. There is much controversy about the role of milk (and thus, diary) as a source of nutrition. This series of articles aims to explain and clarify milk as a source of nutrition and its role physiologically in our body. Milk contains 2 primary sources of protein, the caseins and whey. Whey components include beta-lactoglobulin, alpha-lactalbumin, bovine serum albumin, lactoferrin, immunoglobulins, lactoperoxidase enzymes, glycomacropeptides, lactose and minerals. Whey from buttermilk also contains the lipid sphingomyelin. The whey remains in an aqueous environment, while the caseins are responsible for making curds after processing. Today we often see whey used as a dietary supplement. Currently there are a number of various whey finished products available....

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Many of you by now have heard about the flu vaccine shortage here in the US. Please do not be alarmed. For those of you in the high risk groups, health care providers, very young and elderly, immune compromised etc. there appears to be priority selection. The question is really if the flu vaccine is BEST for you even if you are in these higher risk groups. If you have a concern, please feel free to discuss it with me at your next appointment. As prevention of getting the flu should be our focus, here is a review of some basic prevention measurements all of us can take as the flu season approaches. Wash hands often. Cover mouths when sneezing, and or coughing. Do not go to work if you are unwell. Please get examined if you have questions about your illness. And if in positions of authority, send unwell workers home...

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How many of you avoided the nuts at the recent Christmas and New Years parties for fear of their high calories and high fat content? Did you know that nuts are rich in monounsaturated and polyunsaturated fats, which can reduce blood cholesterol when substituted for foods rich in saturated fat such as cheese or meat? They are also rich in folic acid and other B vitamins. Almonds and hazelnuts have more vitamin E than other nuts. Vitamin E along with copper, potassium and magnesium are all linked to heart health. Almonds: Rich in Calcium, vitamin E, and fiber Brazil nuts: Rich in selenium Cashews: Rich in copper, iron, and folic acid Chestnuts: Rich in fiber, low fat nut (1 gram/oz) Hazelnuts: Rich in Vitamin E and folic acid Macadamia nuts: Highest in fat Peanuts: Not really a true nut, actually a Legume. Rich in Niacin Walnuts: Rich in B6 and heart...

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Over the counter medications many of you self-prescribe have side effects. The following information is provided for you as you review the medications you are taking, and perhaps think twice about downing those little pills. May this information help and encourage you to consider healthier options.  1. Tums, Rolaids, Maalox, MylantaSecondary to depletion of:Calcium: Bone loss, muscle cramps, skin disordersMagnesium: weak muscles, depression, increase blood pressurePotassium: Heart irregularities, muscle twitchesZinc: lowered immune function  2. Alka-Seltzer, baking soda Secondary to depletion of::Folic Acid: Fatigue, anemia, weakness, low energyMagnesium: Weakens muscles, depression, high blood pressurePotassium: Heart irregularities, muscle twitches 3. AspirinDepletion of: Vitamin C, Folic acid, Iron, Potassium 4. NSAIDS (Non steroidal anti-inflammatory drugs)Depletion of Folic acid 5. Theophylline (Antiasthmatics)Depletion of Vitamin B6Secondary to depletion: fatigue, increased PMS symptoms, allergies, increased homocysteine 6. Antibiotics (general) Depletion of normal gut flora, vitamins B, C, KResulting in a lowered immune system, fatigue, anemia, impaired blood clottingCipro: decreased...
Living in a world with conditions as they are, hearing of wars and natural disasters. The question of how this effects our health is forefront in many of your minds. Some of us may feel helpless as to what to do. Perhaps the only control we have is that one of personal responsibility: to ourselves, our loved ones, our co-workers and friends to take care of ourselves especially during this time. The impact of stress is measurable. It is measurable in elevated blood pressures, heart rates, cholesterol, weight; abnormal blood sugars, worsening allergy symptoms and other chronic diseases for example fibromyalgia, arthritis, irritable bowel, insomnia, panic attacks, abnormal menstrual cycles, feelings of depression, decreased libido, increased frequency of colds and flus and many other symptoms. Many patients ask what can they do for themselves and their families. Here are my top 7 recommendations: Schedule regular checkups for each family member with a trusted...

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A friend of mine has a car that is 20 years old. It is safe and functions very well, even with almost 300,000 miles on it. Why is it in such great shape compared to other cars of exactly the same year? He took and takes care of it. Also, it has good genetics, so to speak. (It’s a Mercedes). Our bodies are similar. Some of us have good genetics. Some of us not so good. Either way, we all have work to do to take care of our body. How? Many of us did not invest in our “body and health account” and as we age we began to have ailments. Is it too late, you may wonder, to be preventative? NO, as long as you are alive, even the smallest steps towards health and wellness count. This article is geared to answer the general question of “What can I...

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These words describe an inflammatory condition of the "bursae" and tendons of the body. The bursae are padded sacs that produce lubricating fluid and cover the joint areas. Tendons are the connections between muscle and bone and are surrounded by a sheath that protects and guides the tendon.  Lubricating fluid is also present in the tendon sheath. If these tendons and bursae are not properly lubricated, they may tend to become inflamed or hot. This would be somewhat like two moving mechanical parts that do not have sufficient lubrication and become hot and sometimes "freeze up." In the body, this could be a frozen shoulder or other joints which lose some or all of their full range of motion. Annually there are more than seven million people suffering from tendonitis/bursitis. Often over- the-counter or prescription drugs are used to reduce the inflammation and decrease the pain temporarily. The use of natural...

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Are you the man who doesn't like doctors and/or doesn't get sick often?  For your information: it may be important for you to have specific tests done on a regular basis depending on your age. We can help you with this. Dr. Brust can order specific lab work to monitor your health. Most conditions that affect men, e.g., diabetes, heart disease, prostate problems, high blood pressure, slow weight gain, and high cholesterol develop over time. Be preventative and proactive. Schedule your annual lab and physical today. Call 383-3424....
Many patients ask me what supplements to take. Not all supplements are the same. Quality and price are not necessarily related. There are costly supplements on the market that are very poor quality.  If you are a person who is going to spend the money to buy the supplements, and take the time to take them, my recommendations are as follows: Buy those that are prescribed to you by a physician who is an excellent clinician and is trained specifically in treatment with natural medicine. Naturopathic physicians are the only physicians who are educated, nationally and state tested, and state licensed in natural medicine. Supplements are considered natural medicine. The supplements that are prescribed in this office are not available at health food stores or over the internet. It is our general office policy not to sell supplements to people who are not clinic patients.  "Why?," you may ask. These supplements...
VJ Huffman can see, but a year ago she was legally blind. Since 1973, she has suffered from macular degeneration, then an untreatable disease. And she is not alone. This disease affects 13 million Americans, most often people over 65. By age 75, as much as 30% of the population may be affected. For some it means a loss of visual acuity and the ability to perform tasks such as sewing or writing. For others such as VJ, it means walking with a white cane. Now new technology is offering hope for many sufferers. Preventative Medicine Clinic is on the forefront of this treatment as an alternate to surgery and evaluating patients who may be appropriate for its application. It's so important that we've devoted a section of our web site to the discussion. See more information here......
What is the controversy surrounding Hormone Replacement Therapy (HRT)? For years, women going through menopause have been prescribed hormones to reduce hot flashes, vaginal dryness and other perimenopausal and menopausal symptoms. In many cases women continued to take the hormone supplements for the rest of their lives in the belief they also reduced the risk of heart disease. A recent large scale study (11,000 plus women) showed dangerous side effects for a significant percentage of the women in the study. These side effects included risks for stroke, heart disease and breast cancer. What are the new recommendations arising from the study? Women should be more careful in embarking on the prolonged use of HRT Short term use of HRT for symptomatic relief of hot flashes, insomnia, mood swings, and vaginal dryness may be more appropriate Individual approach with different hormones doses, and types depending on a woman's age, weight, sensitivity, personal...

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Every day people ask me amongst other things what supplements to take, and what exercise is best. The focus of this newsletter is “Getting back to Basics”. While I recommend everyone take a high quality multivitamin/mineral supplement, and everyone not only live an active lifestyle, but schedule exercise, I feel our focus must be food. What we are and are not putting in our mouths is at the core of health and wellness. By now, many of you have seen, or at least heard of the movie “Supersize Me”. Most of us agree, this movie was an example of very poor eating and lifestyle habits. All of us must eat daily to survive. With every meal, snack and drink we have a choice to make. With every meal we should be asking ourselves “Is what I put in my mouth of high nutritional value, or not. The quality of food does...
      Recently the government has recommended a change in the food pyramid. Most people, if asked, do not even know what this is. While I think the pyramid may make for a great outline for a nutrition teacher, from a practical matter my recommendations are to "balance your health account check book daily" by following the below recommendations: 1. Portion size matters. ( do the arithmetic)The easiest way to remember this is get to know the size of your fist. This equals a serving of protein. Most fruits come in portion sizes, unless the very largest apples, oranges, peaches etc. are picked. A portion of grain usually equals about 1/3 - ½ c. uncooked, and about 1 cup cooked. Vegetables, too, may come in portion sizes, potatoes, corn on the cob, tomatoes, carrots, etc. Most people do not eat enough veggies, so portion size of vegetables in most cases is...
While some of you are very familiar with acupuncture treatments and Chinese medicine, and even have regular treatments, others of you may be unfamiliar with why and when acupuncture and/or Chinese herbs are indicated. My first response for when acupuncture is recommended would be in any and all pain conditions. This would include acute (sudden onset) and chronic pain, and pre- and post-op. Some more commonly seen conditions here in the clinic are headaches, all musculoskeletal conditions, including neck, knee, shoulder, low back, tendonitis, bursitis, abdominal pain, and menstrual pain. Acupuncture can be particularly effective in nausea and vomiting, and especially hyper emesis in pregnancy. And in stroke patients, the sooner the acupuncture the initial event, the better their prognosis.  As spring approaches, allergies and sinus symptoms are very often relieved with acupuncture. And a few favorites of mine include insomnia, stress and a lowered immune system.  Chinese medicine refers to...
Attention: Parents, Grandparents and Childcare Providers:As of Spring, 2008, there has been an interesting development in the case of the government looking into a possible link between autism and childhood immunizations.Apparently the government found a link with autism and childhood immunizations in an infant daughter with a mitochondrial disorder of a John Hopkins neurologist. What are the implications of this information for those of us with infants and children? This is a discussion we all need to be having with our pediatricians and health care providers. To those of you for whom I am your childrens’ primary care physician, please schedule an appointment to discuss this information....

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1. Regular age and sex-dependent labs, mammograms, coronary and carotid artery calcium screenings, dexascans, indicated ultrasounds, paps, breast and prostate exams, and x-rays are recommended. The focus of my practice is prevention and anti-ageing. Body chemistry DOES NOT LIE! We might not listen to what our body is telling us, but the most objective evaluation of what is going on inside of us is our chemistry. However, the interpretation of these labs is very significant. This is where all of you, my patients, get my expertise in the area of disease, and disease prevention and anti-ageing.  2. Supplements. No, they are not all created equal. We carry a few very specific, premier quality, highly effective clinically, non-contaminated supplements. These supplements are biochemically active, which means they cause physiological changes in the body. This is the purpose of taking a supplement. If a supplement is prescribed, the desired effect should be manifested. Not...

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The focus of this newsletter is anti-aging. This subject has become quite a buzz word in the health community. In my opinion, anti-aging is so much more than Botox injections and accomplished cosmetic procedures designed to make us look more youthful from the outside. I believe that there are a number of factors that are successful in protecting, preventing and restoring vitality, mental acuity and physical integrity within our bodies. With this thought in mind, “we age from the inside out”, here are the following ideas: STOP SMOKING: Just do it! WEAR SUNBLOCK: DRINK WATER: PAY ATTENTION TO NUTRITION NUTRITION: “Let food be thy medicine and medicine thy food.” “You are what you eat”. Over time, the lack in quality of nutrition appears throughout the body, from the skin on the outside to the internal chemistry. I am not simply referring to eating well, which to most Americans means a lot....

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Prevention of getting the flu should be our focus and here is a review of some basic prevention measurements we should take as the flu season approaches: 1. Wash hands often.2. Cover mouths when sneezing, and or coughing. Consider face masks.3. Do not attend work if you are unwell. Please get examined if you have questions about your illness. And, if in positions of authority, send unwell workers home and/or to the doctor’s office.4. Take the immune supporting medications to hasten your recovery and minimize symptoms prescribed by a physician. Do not self diagnose and treat.5. At a minimum, take a daily multi-vitamin/mineral (and all other supplements prescribed from this office).6. Exercise regularly. (Wash hands often at the gym!) The old saying “if it is above your neck, it is okay to exercise.” Not necessarily.7. Stay hydrated with water. The winter months are dryer.8. Eat a diet high in fruits and...
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