Die Begriffe «Cortison» und «Cortisol» unterscheidet nur ein Buchstabe und beide werden gerne mal miteinander verwechselt. Zwar sind beide Steroide, aber sie sind strukturell unterschiedlich. Die Hormonspezialistin Marianne Krug klärt in diesem Gespräch unter anderem über die Unterschiede und die Bedeutung von Cortison und Cortisol für unsere Gesundheit auf.
Ähnliche Sprachverwirrungen gibt es auch bei Progesteron. Der Wirkstoff Progesteron ist ein vom Körper gebildetes Hormon. In der Medizin gibt es die Gruppe der Gestagene- eine Gruppe aus synthetischem Progesteron nachahmenden Hormonen. Fälschlicherweise wird das Progesteron dieser Gruppe von Gestagenen zugeordnet. Gestagene und Progesteron unterscheiden sich jedoch fundamental.
Die Fachärztin Marianne Krug bildet Hormon Coaches aus, welche ein Netzwerk von Experten darstellen, die diese grosse bedeutsame Lücke endlich schliessen werden. Die Hormone gehören schon seit 20 Jahren zum Kernthema ihres therapeutischen Settings und ihren Qualifikationen. Dabei haben sie die Harmonie und die Balance innerhalb des menschlichen Systems schon immer fasziniert.
Marianne Krug bietet einen einfachen Einstieg in die Welt der Hormone, durch einen Online Crash Kurs in bioidenter Hormontherapie. https://ausbildung.hormoncoach.com/
▬ Zu Gast ▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬▬ Marianne Krug, Fachärztin für Allgemeinmedizin und Hormonspezialistin Moderation: Alexandra Wurlitzer Sendungsnummer: Nhol_230615-S2_30-krug
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Hello, I warmly welcome you to our format Naturmedizin.
Nice to have you back.
Today we have prepared a funny, exciting topic,
the Babylonian language confusion, namely in puncto Hormone.
We will now see what kind of linguistic distortions,
no, confusions or restrictions there are and would like to clear up.
Be curious.
With me is the specialist in general medicine and hormone specialist Marianne Krug.
And we'll see what cortisol has to do with cortisone.
Actually relatively little, but be curious and feel free to follow me into the conversation.
See you soon.
Hello, dear Marianne, I warmly welcome you.
Hello Alexandra.
Nice that you are here and help us a bit to bring light into the Babylonian language confusion.
With pleasure.
We came up with this topic because I noticed a mistake somewhere.
There should have been cortisol and it said cortisone.
And then you immediately said, yes, that belongs to this Babylonian language confusion.
Exactly.
Maybe we'll get into that right now.
Cortisone and cortisol.
You said it is often confused.
For me it is quite inexplicable, but say something about it.
So a layman who hears the word cortisol, let's say the last letter,
then he connects it with the therapy with drugs that contain cortisone.
So the cortisone therapy is a component of almost every field by now.
And that is a therapy with a pharmacological active ingredient
that mimics the properties, the effectiveness of a body's own hormone.
Cortisone is the super-term for drugs that act like the body's substance.
And that's called cortisol.
And that's where the confusion comes from.
Because our adrenals do not produce cortisone, but they produce cortisol.
In brackets, to make the confusion even bigger.
In the body, there is then the possibility that the body itself converts cortisol into cortisone.
Oh yes.
That also exists, but the free hormone, the active hormone of the adrenals is called cortisol.
Yes.
You have to distinguish that.
But there is the first possibility to get confused.
Why should I take cortisol?
That's what makes so many side effects, where you get a moon face,
where you get hair loss, where you get fat,
where the whole defense, the body's own defense is low.
That's what is associated.
But cortisol is practically our body's own substance,
to influence the body's own immune system, for example.
Our body has its own means for it.
And it only gets worse when the body no longer has these means.
And then you can think about whether you give it these means from the outside.
Substitution therapy.
We associate a form of therapy with the word cortisol,
which does a lot of good, but has a lot of side effects.
That's what we have in our heads.
But what you can look at is the fact that our body can normally do it on its own
and doesn't need it.
And that it gets quite difficult when the body can no longer produce this substance.
If it doesn't produce enough of it.
And then you can think about cortisol therapy.
What is the cause of cortisol?
Is there a variety of reasons why it can't produce it better?
Yes, there are several causes.
For some, it is a disease of the adrenals.
The adrenal cortex is an autoimmunological disease.
It affects the adrenals and is called Morbus Addison.
And then the body can no longer produce enough of this hormone.
There are still two, three, four really manifest diseases.
And then there are, in addition to these diseases that lead to it,
also something like exhaustion of the adrenals.
If the adrenals have always had to produce too much of it,
then there are a number of patients who suddenly can no longer produce it.
That would be the exhaustion after a long, long, long cortisol surplus.
And then there is the phenomenon that the body warns itself of too much cortisol.
Cortisol has good effects.
But like the cortisol itself, the pharmacon,
it has side effects if too much is poured out.
But if the body asks for it, it is our existence hormone,
and if the body constantly shouts out,
help, help, there is a risk of death,
then it always has to pour out the cortisol.
And the body has built in a security there.
If that gets too high, then it screws out a fuse.
And the fuse is in the above-mentioned arteries.
In this case, that would be the hypothalamus, our cerebellum,
which is normally responsible for the adrenals working properly.
It pours out a hormone that stimulates.
And that is screwed out.
So that the body does not burn too many brain cells, for example,
because of its self-produced cortisol.
That is a fuse that the body has built in.
And then something happens as a result that it then produces too little.
Then there is the body that shouts, help, help, help, fire,
I have to run away, I have to fight.
But the body is no longer supplied with what it would need for it.
And then there are such conditions,
you sometimes talk about burnout.
So there is something burned or burned out
and can no longer be supplied.
But there is always the possibility
that the body will be able to produce it again at some point.
If that was the cause,
then there is this possibility that it will start again.
You just have to bring a lot of patience.
So once it has come to this shutdown,
we are talking about years
until the communication between the adrenals and the hypothalamus
re-engages.
Okay.
Yes, but the main thing is that you can move the body again.
If there is help, you can provide it from the outside.
But that is not the main therapy.
The main therapy is this constant alertness in the body.
It has to be looked at.
The alarm button has to be dimmed.
Yes, I have now assumed
that this will logically be eliminated.
Otherwise it makes no sense.
And otherwise I can't imagine
that the body will be able to do it again.
Exactly.
Because the solution is not just because the cortisol is low,
just to put the cortisol on it.
Although I like to do that.
It also helps.
But it is not the solution to the puzzle.
It is a symptom relief.
It helps on part of the way.
But if the alarm button does not work,
if the person who always shouts for help in our body is not looked at,
then it is not enough.
Okay.
But the topic of cortisol has already been discussed in a conversation.
I just wanted to get started.
Where do language confusions exist?
We had planned to go back to the topic of sexual hormones
and where the confusion takes place.
Yes, yes, yes.
In the title or in the subject of the program.
Yes, that is already the word sexual hormone.
We talked about the fact that we have a problem in German
that does not exist in English.
Sex hormones means in English only hormones that affect the sex.
But for us, sexual hormone means a hormone that has to do with sexuality.
At least that is associated with the brain.
According to my experience, there are no neutral answers.
There are the answers that say,
no, I'd rather not look at that.
The avoiding people.
And then there are people who are very greedy about it and say,
yes, I'd like to do that.
But I have rarely seen a neutral view of sexual hormones.
So you have to be the expert who really explores the sexual hormone in research
and then maybe the association in the brain is no longer there.
In fact, it is the sexual hormones.
At the leading place it was the Oestradiol.
It was discovered well over 100 years ago,
because a chemist, Mr. Butenand,
sat down and wanted to explore how the ovaries work
and came to this hormone and called it sexual hormone.
That's the story.
But it took 100 years and now we know
that the effect of Oestradiol is not exclusively the sexual function,
but that the effect of Oestradiol takes place in the whole body.
We know that there are partial functions,
which would be called neurohormones.
This is a huge part of our metabolism.
That's why I would say it's a metabolism hormone
or metabolic hormone, as we say in our professional language.
It is a hormone that protects our heart.
So I would talk about a cardio hormone.
All this would make the overall effect of hormones much better.
But we stick to the old term
and today we have the complication
that we don't have a clear view of the hormones,
because it is confused by this flickering word sexuality.
So the term is not really fair to the hormone,
because the hormone is still responsible for many other processes.
As an example, what many women can understand
is the way through the climacterium,
the heat wave, the sleep disorder, the depression.
These are not things of the sexual function,
although there are gaps there too.
But it takes place somewhere else.
It is actually the sign that it works and lacks in other places.
And that's why I avoid the term sexual hormone.
I then refer to a somewhat limited term,
which is called steroidal hormone.
It refers to the chemical group of these hormones.
They all have a so-called steroid structure.
And that's why I call them steroidal hormones,
but actually because I can't think of any other expression for it.
And I want to avoid the term sexual hormone,
because I don't want to carry on this confusion.
Yes, maybe you are the one who says
that in the course of time there is a different understanding
or a different connection.
A different way of thinking.
Yes, I am happy to be a guide for that.
Because it really is like you said,
it takes place, the control of this hormone happens up here.
And that has nothing to do with our genitals in the first place.
This confusion or what happens because of it
sometimes has very abstruse forms.
This even leads to moral questions
among old physicians.
Namely the question, are we allowed to intervene at all?
I have already heard the strangest things.
And I don't want to go into that now,
but the confusion is very present to me.
It simply comes through the word sexual hormone,
which then leads to the fact that things are not looked at.
It's just the sexuality.
Yes, okay.
A little bit.
Well, it's still a taboo topic,
no matter how it is in our society.
But I am happy that we can clarify
that hormones have a completely different
or such a diverse relationship with our body.
What else did I write down?
Progesterone and gastrogens.
We also wanted to address that.
Yes, the hormone that I first discovered
on the way to hormoneology was progesterone.
There was a general practitioner in America like me.
His name was John Lee.
He discovered that progesterone is the forgotten hormone.
Progesterone is a yellow body hormone.
As an explanation, yellow body, where is it?
Where do we have it?
Yellow body is created in every woman every month,
namely after an ovulation.
The ovary remains,
and a yellow body forms in the ovary.
This yellow body makes the yellow body hormone.
And this John Lee discovered the yellow body hormone again,
the progesterone,
namely that our body actually excretes a hormone
that has a diverse effect.
Again, not only the effect on the uterus
and on the ovary,
but the effect on the whole body.
He described that 40 years ago.
And now comes the confusion.
The medicine...
The other way around, I have to start differently.
Progesterone has a specific effect.
It protects our uterus.
It is part of our balance
that we need in the uterus
between a building hormone, estrogen,
estradiol,
that builds up the uterus mucosa.
For that, we need the opposite,
the progesterone,
which builds up the uterus mucosa.
In many body functions,
we have this yin-yang aspect.
We have a gas pedal and a brake everywhere.
And the progesterone slows down
the excessive development of the uterus mucosa
and is the opposite of the estradiol in our body.
This partial function was needed
in the 1950s of the last century
when the following happened.
Estradiol could be isolated
and turned into a treatment
for depression in the climacterium.
And it was so well received.
There was a first hype,
Estradiol, and it works very well.
It was used in many cases
in women in the climacterium
and has certainly eliminated many depressions.
But the consequence was,
if you only use the gas pedal,
that at some point the uterine mucosa
was built up too strongly
and there was an increase in uterine mucosal cancer
to five to eight times.
Then it was clear that a brake had to be built in.
And at this historical point
there were inventive pharmaceuticals
that imitated progesterone.
And that was the gestagen.
The gestagen was originally invented
on the rice board
for a woman who gets oestrogen
because she needs it
to give protection for her uterus.
That was the assignment of the gestagen.
That was the core for the development of a gestagen.
Today, gestagens are contained in every pill.
Every anti-baby pill works
because of its gestagen content.
Without gestagen, it wouldn't work at all.
And it is unfortunately still
a component of most hormone replacement therapies
in the climacterium.
So there is the group of gestagens.
I don't want to lie now,
but there are about 100 substances.
All of them are patented.
And now comes the Babylonian language confusion.
By definition.
We always need definitions
when we talk about something.
Definition means that a gestagen
is the group of progesterone-like substances.
And progesterone is a gestagen.
Logical, isn't it?
In biology, the group of human-like substances
is also included.
So we have a group of progesterone-like substances
and progesterone is the first substance in there.
Which leads to the fact
that the professional world
likes to throw it into a pot.
And what leads to confusion
is that it completely blocks the view
of the fact that progesterone
is something different
than any other gestagen.
Because progesterone is a substance
that is produced by the body.
So every cell knows this substance,
knows what to do with it,
how to deal with it,
how long to let it work,
when to dismantle it.
In contrast to the other 99
members of this group,
who are all made pharmacologically
and all have a different way
of working on the receptors in our body,
which are responsible for progesterone.
So every gestagen has more or less
side effects.
And progesterone is the substance
that the body produces
to regulate certain things.
It has no side effects
in the body as a physiological substance.
It's just there.
And this distinction
falls back down
because of this Babylonian language confusion.
There are studies,
I read a lot of studies,
that say progesterone causes cancer.
I say, what?
And I read the study further,
and it wasn't about progesterone at all.
It was about gestagene.
But the headline?
Progesterone causes cancer.
Even more confusing in English
is gestagene progestins.
So we have progestine,
we have progesterone,
we have gestagene,
and nobody really knows
what you're talking about anymore.
And I call that Babylonian language confusion.
Professionals,
experts,
make statements
about a group of substances,
and someone who doesn't listen closely
associates that
with progesterone,
with a physical substance.
And that needs to be cleaned up.
Because for so long
there will be confusion,
that you say, does progesterone cause cancer or not?
And I say no.
Progesterone causes it.
Now I understand
where the fear comes from.
From hormone replacement therapies.
Long term.
Exactly.
And then you get a prescription
and you read
some chemical names
and say,
but I wanted to have
body-made substances.
And you get scared.
And nobody explains that.
That nobody knows.
But it would be important
that when you are
being treated,
that you get progesterone
and not gestagene.
Yes, that's the difference.
And that's where the name
Bio-Identical Hormones came from.
Because those are the substances
that are identical
with the substance
that the body itself produces.
You could also say
Bio-Identical Hormones
or Human-Identical Hormones.
They have the same structure.
They have the same effect
on the receptor
as the hormone
that the body has produced.
Neither man
nor a lab can tell
if it is produced by itself
or brought in from outside.
That's the definition
of Bio-Identical Hormones.
And that's where
the name Bio-Identical Hormones
came from.
And that's where
the term
Bio-Identical Hormones
came from.
You've already
cleared up a lot
in my language confusion.
I have nothing to do
with the substitution
of hormones
or replacement therapies.
But I hear it
again and again.
And also
in the family circle
with a breast cancer
that the affected woman
gets a hormone
an anti-hormone.
Exactly.
I was never quite sure
how to assess that.
That's very hard to understand.
But we won't do that today.
No, no.
That's too complicated.
I'm quite happy
that I can classify things
better now.
Because it's not just me
but many others as well.
That's why you wrote
that you're training
a hormone coach.
Fortunately,
your expertise
and your insight
over many decades
will continue.
You're training hormone coaches.
I mainly consult
doctors and practitioners
because according to
the opinion of the
doctors' chamber,
hormone coaching
belongs to the field
of healing professions.
But to clarify
Babylonian language confusion
doesn't require
a 12-year study.
No, it went quite well.
It went quite well.
Right.
You just have to look at it
and differentiate.
But you also say
that the knowledge
about hormones
is unfortunately
under...
It's too low.
Maybe under the
threshold of perception
or under the threshold
of attention.
It would be good
for doctors or practitioners
to get to
a person
who has this knowledge.
Where can you
find what you offer?
Your training?
I have a website
www.hormoncoach.com
where the training is described
and people
who can
seek advice,
also hormone coaches,
there is a button
to find a hormone coach.
It's all in there.
I also wrote a book
about this training.
It just came out.
I'm a bit proud.
It's called
Hormone Coaching
Learn and apply
carefully.
It should help
to get a direction.
It's not just about
worrying about
changing years.
Hormones work
in so many other areas.
It's a valuable work
for our health.
Thank you very much
for the viewers
who see you
for the first time
on our website
www.coach24.tv
There are many
conversations with you
and you can learn
a lot
about it.
You can learn
about your training
and your book.
Thank you very much
for your relentless
search for the truth
about hormones
and for clearing up
Babylonian language confusion.
Thank you for your question.
Thank you for the interview.
See you next time.
Thank you very much.
I hope you enjoyed
our interview
and could laugh with us
about the confusion.
Although it has a serious background.
Maybe we could
help you
with our conversation.
I'm looking forward
to see you next time.
Until then, please stay
careful, vigilant and loving with yourself.
Thank you.