WEBVTT - Cervical Screenings Changes & The Truth About "Protein Maxing"

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<v Speaker 1>You're listening to a Mamma Mia podcast.

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<v Speaker 2>Hello and welcome to Well The Podcast for your health

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<v Speaker 2>and body explained podcast. I'm Dr. Ginny Mansberg. I am

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<v Speaker 2>a GP and I am really into women's health.

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<v Speaker 1>And I'm Cass Mahoney and I'm also into women's health.

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<v Speaker 1>So I'm in the right place. So here's what we're

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<v Speaker 1>discussing today. The surprising link between sleep apnea and glaucoma,

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<v Speaker 1>cervical cancer screening tests and why the days of the

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<v Speaker 1>speculum for most women are over. And in asking for

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<v Speaker 1>a friend, your anonymous awkward health questions. We're talking about

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<v Speaker 1>whether adding protein powder to everything from coffee to popcorn,

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<v Speaker 1>actually helps build muscle. And matching your workouts and diet

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<v Speaker 1>to each weekly hormone phase actually works.

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<v Speaker 2>But first, it's time for What the Health? Your quick

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<v Speaker 2>dose of women's health headlines. What the health? I don't understand.

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<v Speaker 2>What the health?

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<v Speaker 1>What have you got for us, Ginny?

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<v Speaker 2>Okay, I'm feeling like maybe this could be you, Kath.

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<v Speaker 2>Have you ever heard of orthosomnia?

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<v Speaker 3>No.

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<v Speaker 2>What's that?

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<v Speaker 3>Okay.

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<v Speaker 2>So it's basically anxiety about sleep.

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<v Speaker 1>Oh, I forgot that.

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<v Speaker 2>Yes. So this is often people who are wearing various

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<v Speaker 2>sleep trackers, the ring, the watch, the whatever, and people

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<v Speaker 2>are getting so obsessed with the data that they're getting,

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<v Speaker 2>absolutely believing that their sleep is horrible, terrible, need to

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<v Speaker 2>go to a sleep specialist stat. And in fact, it's

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<v Speaker 2>totally fine, but they're spending so much time obsessing about

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<v Speaker 2>their sleep that it's actually causing them anxiety more than

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<v Speaker 2>the sleep issue in the first place?

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<v Speaker 1>You see, for me, I didn't have an issue with

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<v Speaker 1>my sleep till Perry. And then you don't need a

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<v Speaker 1>sleep tracker because, hey, when you're waking up and the

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<v Speaker 1>birds are still asleep, you kind of know you're having

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<v Speaker 1>a disturbed sleep. Do you want me to get a

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<v Speaker 1>ring and a tracker?

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<v Speaker 2>I do not.

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<v Speaker 1>Or should we just know that I'm not having great sleep?

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<v Speaker 2>Look, I think for some people who've got like really

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<v Speaker 2>serious sleep issues, like sleep apnea, which is really easy

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<v Speaker 2>to pick in men. They have this crescendo snoring and

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<v Speaker 2>then they stop breathing and then it's like this... kind

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<v Speaker 2>of thing. And then they start breathing. It starts all

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<v Speaker 2>over again. Your brain's oxygen levels actually drop quite significantly.

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<v Speaker 2>And that is bad. And we want to know about that.

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<v Speaker 2>And because women don't snore so much, we don't. Plus,

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<v Speaker 2>if we have a male partner that don't listen to

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<v Speaker 2>us while they're asleep, because who does that? We often

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<v Speaker 2>are not being diagnosed with sleep apnea. But at the

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<v Speaker 2>same time, you're going to have some symptoms with that.

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<v Speaker 2>You're going to wake up feeling really tired, sometimes headachy.

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<v Speaker 2>So if you have that, you go and see your GP.

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<v Speaker 2>For everyone else, There are certain things that we can

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<v Speaker 2>expect from normal sleep. Like, you know, you get more

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<v Speaker 2>than six and a half hours a night. You get

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<v Speaker 2>more than that. Don't worry about it too much. You

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<v Speaker 2>wake up in the middle of the night. That's normal.

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<v Speaker 2>If you get back to sleep within half an hour,

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<v Speaker 2>that's okay. If you wake up in the morning and

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<v Speaker 2>you don't feel like you're going to run a marathon,

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<v Speaker 2>you need half an hour to kind of wake your

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<v Speaker 2>brain up, that's okay. There are a whole lot of

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<v Speaker 2>things that we worry about are signs of really bad

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<v Speaker 2>sleep when they're not. But I would say continuously having

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<v Speaker 2>like six hours or less of sleep, not good. And

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<v Speaker 2>the other thing that I'd worry about is if you're

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<v Speaker 2>waking up really tired with a headache or sore throat

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<v Speaker 2>and possibly you've been snoring, go and see a doctor.

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<v Speaker 3>Okay.

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<v Speaker 1>But you're not going to be buying us all sleep

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<v Speaker 1>rings for Christmas?

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<v Speaker 2>Not right now.

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<v Speaker 3>Okay.

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<v Speaker 2>Kath, everybody is really, really into their luteal phase at

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<v Speaker 2>the moment. Are you?

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<v Speaker 1>What is a luteal phase? Because I feel like I'm

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<v Speaker 1>starting to hear that word a lot and I should know,

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<v Speaker 1>but I don't know.

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<v Speaker 3>Okay.

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<v Speaker 2>So don't want to re-traumatize you with year nine science,

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<v Speaker 2>but here goes.

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<v Speaker 3>Okay.

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<v Speaker 2>In what is an amazing experiment every single month, egg

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<v Speaker 2>of the month in your ovaries? is selected to grow

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<v Speaker 2>into a potential baby because that is your sole biological purpose.

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<v Speaker 2>It grows up inside this little bubble and it grows

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<v Speaker 2>and grows and grows. The egg is nurtured in the

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<v Speaker 2>bubble and then the bubble bursts. Egg goes off to

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<v Speaker 2>meet the sperm of her dreams and what was left

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<v Speaker 2>of the bubble becomes the corpus luteum, which is an

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<v Speaker 2>ex-bubble now turned into progesterone factory. So During the time

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<v Speaker 2>that the egg is developing, the little cells that lie

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<v Speaker 2>in that bubble actually develop the ability to turn testosterone

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<v Speaker 2>into progesterone in the second half of the cycle. Now,

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<v Speaker 2>normally it takes about 14 days from ovulation to that

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<v Speaker 2>corpus luteum to completely disintegrate. And that's why you have

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<v Speaker 2>a period. But sometimes if that luteal phase, the phase

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<v Speaker 2>when you have a corpus luteum is not as healthy

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<v Speaker 2>as it could be. Sometimes the luteal phase is shortened,

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<v Speaker 2>which means that you get a period maybe a week

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<v Speaker 2>after you've ovulated, or even you start to get not

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<v Speaker 2>a proper period, but just some brown sludge coming out

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<v Speaker 2>for a week before your period. And that's when we

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<v Speaker 2>say that there's a problem with your luteal phase, and

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<v Speaker 2>it's being blamed for absolutely everything. My friends and I

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<v Speaker 2>have all been getting inundated with women who are consuming

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<v Speaker 2>mountains of TikTok content and coming in asking for progesterone

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<v Speaker 2>supplements to actually help them prolong their luteal phase. That's

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<v Speaker 2>what is going on in the world of medicine right now.

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<v Speaker 2>How do you feel?

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<v Speaker 1>So this is all on TikTok?

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<v Speaker 2>All on TikTok and then in our surgeries. It's actually

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<v Speaker 2>happening in real life because TikTok is now making our

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<v Speaker 2>patients come to us and say, I need some extra

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<v Speaker 2>progesterone to get me through my shortened luteal phase.

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<v Speaker 1>Would you recommend that to women? Is this a thing

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<v Speaker 1>for anyone?

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<v Speaker 2>Very rarely is there a problem and very rarely is

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<v Speaker 2>there any evidence that taking progesterone at that time is

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<v Speaker 2>actually going to do anything beneficial for your body anyway.

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<v Speaker 2>I mean, some people just have a shorter luteal phase.

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<v Speaker 2>It doesn't necessarily mean that you're less fertile. Definitely, there's

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<v Speaker 2>no evidence that taking extra progesterone is going to make

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<v Speaker 2>you more fertile during that time if you are getting

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<v Speaker 2>a period after 10 days after ovulation instead of after

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<v Speaker 2>14 days. I think there's a lot of rubbish that's

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<v Speaker 2>going around on TikTok and it's actually making women really

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<v Speaker 2>anxious and over analytical of their periods instead of just

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<v Speaker 2>kind of chilling out about it.

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<v Speaker 1>When would there be a problem though? If someone is

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<v Speaker 1>listening and going, oh, I'm not sure if I should

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<v Speaker 1>check this out.

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<v Speaker 2>So I think for anyone who has suddenly developed irregular

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<v Speaker 2>cycles where they used to have regular cycles, that would

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<v Speaker 2>be a change and that would be worth investigating. If

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<v Speaker 2>all of a sudden you're growing chin hairs or lot

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<v Speaker 2>of hair around your nipples that you didn't used to have,

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<v Speaker 2>if you suddenly got an acne breakout that suggests there's

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<v Speaker 2>something hormonal going on that you've not had before or

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<v Speaker 2>that you haven't had for 10 years or something. The

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<v Speaker 2>other thing is if you've been trying to get pregnant

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<v Speaker 2>for like six months or more and you're not getting pregnant,

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<v Speaker 2>it's worth checking in with your GP at those times.

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<v Speaker 2>But if you're just a normal person going about your

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<v Speaker 2>normal life and you're now starting to notice things that

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<v Speaker 2>you didn't notice before, it's possible that just your TikTok

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<v Speaker 2>algorithm has gone off and you're now paying more attention

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<v Speaker 2>to exactly what day the brown sludge starts, it's probably

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<v Speaker 2>not going to be a problem.

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<v Speaker 1>All right, Ginny, while I've got you and you're free,

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<v Speaker 1>my doctor's question this week is, should I be worrying

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<v Speaker 1>about my skin tags?

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<v Speaker 2>Where are you getting them?

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<v Speaker 1>I've got one under each arm and I don't know

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<v Speaker 1>if it's because I regularly walk Centennial Park in Sydney

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<v Speaker 1>every morning or And I do walk in a Kath

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<v Speaker 1>and Kel kind of sort of way, very army, you know,

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<v Speaker 1>for people that haven't watched Kath and Kim. Am I

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<v Speaker 1>causing friction? Should I worry about them? Can I pick

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<v Speaker 1>them off?

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<v Speaker 2>What's the go? So you can pick them off. They're

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<v Speaker 2>likely to regrow. If they're really big, they might hurt

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<v Speaker 2>a lot if you try to pick them off and

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<v Speaker 2>they might bleed a lot.

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<v Speaker 1>Just touching them now, just coming into the skin tag zone. Yeah,

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<v Speaker 1>not very big, but just there, annoying little hanging downers.

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<v Speaker 2>If you get. One or two, like one under each armpit.

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<v Speaker 2>I wouldn't worry about it too much. But there are

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<v Speaker 2>people who get skin tags absolutely everywhere, all around their neck,

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<v Speaker 2>everywhere under their arms, under the boobs, that kind of area.

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<v Speaker 1>Yeah.

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<v Speaker 2>And that can be a sign of insulin resistance, which

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<v Speaker 2>is where the insulin hormone that I consider like a

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<v Speaker 2>key that unlocks the door of the cell to allow

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<v Speaker 2>sugar from the bloodstream into the inside of the cell

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<v Speaker 2>where it's needed as petrol, where that whole system breaks

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<v Speaker 2>down a little bit. You've got plenty of keys. You've

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<v Speaker 2>got plenty of sugar. but the locks are rusty. And

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<v Speaker 2>so the process of getting your sugar inside the cell

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<v Speaker 2>is actually disrupted. Your body responds by overproducing insulin. And

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<v Speaker 2>one of the impacts of that, interestingly enough, is getting

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<v Speaker 2>skin tags, particularly in areas like your underarms, around your neck,

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<v Speaker 2>that kind of thing. So if you were to start

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<v Speaker 2>getting a whole stack of them, I would go to

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<v Speaker 2>the doctor and just check in. But I think just

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<v Speaker 2>one under each armpit is probably a bit of a

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<v Speaker 2>friction thing.

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<v Speaker 1>Up next, it's time for Are You Well? and we'll

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<v Speaker 1>be unpacking the surprising link between sleep apnea and glaucoma.

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<v Speaker 2>How are you? Well, how are you feeling? Are you well?

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<v Speaker 2>Are you well? Alrighty, it is time for Are You Well?,

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<v Speaker 2>where we discuss the most important things that you need

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<v Speaker 2>to know that are happening in women's health right now. So, Kath,

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<v Speaker 2>I know you can't say it, but have you even

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<v Speaker 2>heard of glaucoma before?

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<v Speaker 1>No. Yes, because I think my dad or my grandma

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<v Speaker 1>had it. So I sort of have to mention it

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<v Speaker 1>when I get my eyes tested.

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<v Speaker 2>You do. But I say it the wrong way, props.

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<v Speaker 2>It does run in families. Basically, it's this condition where

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<v Speaker 2>the pressure inside your eye builds up because your eye

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<v Speaker 2>is constantly recycling the fluid inside it. I know it's

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<v Speaker 2>sort of yucky to think about the jelly inside your eyes,

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<v Speaker 2>but it is constantly being turned over. And if that

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<v Speaker 2>pressure inside that builds up, it can actually damage your eyes.

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<v Speaker 2>nerves that actually contribute to your sight. So it's a

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<v Speaker 2>really major condition. But I found this really fascinating new study,

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<v Speaker 2>and it was a study of 12 and a half

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<v Speaker 2>million adults. That's a very big study. Oh, that's a

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<v Speaker 2>big study. Even I know that's a big study.

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<v Speaker 1>Yeah.

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<v Speaker 2>And it found that people with sleep apnea, you know

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<v Speaker 2>that where you're snoring and you don't have good oxygen

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<v Speaker 2>supply to your body and your brain at night, actually

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<v Speaker 2>were more likely to go on to develop glaucoma. And

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<v Speaker 2>the researchers who were doing this study were like, hey,

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<v Speaker 2>what is the possible link there? And they were saying

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<v Speaker 2>that if the oxygen levels in the brain and the

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<v Speaker 2>body drop It's possibly dropping inside the eye as well,

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<v Speaker 2>which is impairing the ability of the eye to turn

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<v Speaker 2>over that fluid, increasing the pressure. They don't know. They've

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<v Speaker 2>just found... this association now because they were looking for it.

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<v Speaker 2>But there's probably heaps of associations with glaucoma that we

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<v Speaker 2>don't know about. But it kind of made me think

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<v Speaker 2>about the number of people who possibly have glaucoma. But

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<v Speaker 2>because they're not going and getting regular eye checks, they

0:10:45.844 --> 0:10:49.384
<v Speaker 2>don't know about it. So are you getting regular eye checks? Absolutely.

0:10:49.424 --> 0:10:51.214
<v Speaker 1>Because I'm definitely at the age where the eye is

0:10:51.264 --> 0:10:54.234
<v Speaker 1>in Failing me slightly. So I have my eyes tested

0:10:54.414 --> 0:10:54.853
<v Speaker 1>every year.

0:10:54.874 --> 0:10:57.894
<v Speaker 2>Yeah, me too. And we don't have really good guidelines

0:10:57.954 --> 0:10:59.534
<v Speaker 2>on this, but I always say to my patients, I

0:10:59.554 --> 0:11:03.934
<v Speaker 2>think it's worthwhile going to an optometrist where often the

0:11:04.094 --> 0:11:06.894
<v Speaker 2>eye checks are bulk build. There's some extra special tests

0:11:06.914 --> 0:11:09.333
<v Speaker 2>that you can have. The optometrist will tell you whether

0:11:09.354 --> 0:11:11.114
<v Speaker 2>you need that or not, that are not bulk build.

0:11:11.174 --> 0:11:13.534
<v Speaker 2>But the great thing about that is it sounds weird,

0:11:13.554 --> 0:11:16.864
<v Speaker 2>but they squeeze this puff of air into your eye

0:11:16.894 --> 0:11:19.564
<v Speaker 2>while you've kind of got your chin resting on this

0:11:19.604 --> 0:11:22.114
<v Speaker 2>kind of chin resting thing. And actually, that's how they

0:11:22.614 --> 0:11:25.094
<v Speaker 2>measure the pressure inside your eye. And if it is

0:11:25.134 --> 0:11:27.624
<v Speaker 2>starting to get a bit high, we've got lots of

0:11:27.654 --> 0:11:30.264
<v Speaker 2>things that we can do for you, including lots of drops.

0:11:30.804 --> 0:11:32.004
<v Speaker 2>You want to know what the side effects of the

0:11:32.044 --> 0:11:33.124
<v Speaker 2>drops are for glaucoma?

0:11:33.224 --> 0:11:33.604
<v Speaker 1>Tell me.

0:11:33.924 --> 0:11:37.144
<v Speaker 2>They grow your eyelashes really long. Oh, do they? That's

0:11:37.204 --> 0:11:38.964
<v Speaker 2>no side effect in my books.

0:11:38.984 --> 0:11:39.284
<v Speaker 1>I know.

0:11:39.384 --> 0:11:39.904
<v Speaker 3>How good.

0:11:39.984 --> 0:11:42.104
<v Speaker 2>How did we get that? There's this whole thing of

0:11:42.124 --> 0:11:44.504
<v Speaker 2>people using glaucoma drops and just putting them on their

0:11:44.564 --> 0:11:46.524
<v Speaker 2>eyelashes to actually grow their eyelashes.

0:11:46.964 --> 0:11:50.024
<v Speaker 1>So if you get diagnosed with it, it's your optometrist

0:11:50.044 --> 0:11:51.024
<v Speaker 1>that diagnoses it?

0:11:51.384 --> 0:11:54.354
<v Speaker 2>Generally, and often they will send you, your optometrist can

0:11:54.384 --> 0:11:56.164
<v Speaker 2>send you straight to the eye doctor. So it's a

0:11:56.214 --> 0:11:58.434
<v Speaker 2>referral that does not need to come from your GP.

0:11:58.494 --> 0:12:01.114
<v Speaker 2>The optometrist can do that. And they actually, we just

0:12:01.154 --> 0:12:03.554
<v Speaker 2>need to make sure that we've got the right combination

0:12:03.594 --> 0:12:06.094
<v Speaker 2>of drops for you and for your needs and for

0:12:06.114 --> 0:12:08.414
<v Speaker 2>your eyes. It's not always one drop. Sometimes we need

0:12:08.474 --> 0:12:10.473
<v Speaker 2>two or even three drops. And we need to keep

0:12:10.514 --> 0:12:12.434
<v Speaker 2>a really close eye on it because if that pressure

0:12:12.474 --> 0:12:15.154
<v Speaker 2>gets too high, Of course, you're at risk of losing

0:12:15.194 --> 0:12:17.154
<v Speaker 2>your eyesight and we just definitely don't want that. Nobody

0:12:17.174 --> 0:12:17.534
<v Speaker 2>wants that.

0:12:17.794 --> 0:12:19.244
<v Speaker 1>Are there any symptoms to it?

0:12:19.964 --> 0:12:21.804
<v Speaker 2>Look, if it happens, there's a thing that we call

0:12:21.924 --> 0:12:25.144
<v Speaker 2>acute angle closure glaucoma, which is a much more like

0:12:25.184 --> 0:12:28.724
<v Speaker 2>a sudden onset of high pressure inside the eye. That's

0:12:28.764 --> 0:12:30.804
<v Speaker 2>a whole different story. And yes, you can have very

0:12:30.984 --> 0:12:34.834
<v Speaker 2>painful eyes. That's unusual. For most people, it's a chronic condition.

0:12:34.874 --> 0:12:36.874
<v Speaker 2>And that's why eye checks are so important because you

0:12:36.914 --> 0:12:40.333
<v Speaker 2>want to pick this problem up years before you ever

0:12:40.374 --> 0:12:42.474
<v Speaker 2>go near blindness because it is preventable.

0:12:42.534 --> 0:12:42.674
<v Speaker 3>Yes.

0:12:45.234 --> 0:12:48.094
<v Speaker 1>Okay, up next, we need to talk about cervical cancer

0:12:48.114 --> 0:12:50.154
<v Speaker 1>screening and there's some good news.

0:12:56.174 --> 0:13:00.644
<v Speaker 2>Moving on to our next Are You Well? Kath, I

0:13:00.684 --> 0:13:03.644
<v Speaker 2>think we need to talk about cancer screening tests for

0:13:03.704 --> 0:13:09.083
<v Speaker 2>cervical cancer because in my surgery, actually possibly more than 50%

0:13:09.084 --> 0:13:13.294
<v Speaker 2>of women, they still don't know that these days... A

0:13:13.354 --> 0:13:16.333
<v Speaker 2>cervical cancer screening test does not need to involve a

0:13:16.554 --> 0:13:20.954
<v Speaker 2>speculum and you lying on the doctor's couch with your

0:13:20.974 --> 0:13:23.744
<v Speaker 2>pants around your ankles. Did you know this? Have you

0:13:23.804 --> 0:13:25.744
<v Speaker 2>had a cervical cancer screening lately?

0:13:25.864 --> 0:13:28.324
<v Speaker 1>Look, I only know this because you are my friend

0:13:28.604 --> 0:13:30.324
<v Speaker 1>and this is a stat that you talk about a

0:13:30.344 --> 0:13:33.064
<v Speaker 1>lot when we catch up for coffee. I did what

0:13:33.124 --> 0:13:35.684
<v Speaker 1>you said and I did the test that you can

0:13:35.724 --> 0:13:39.453
<v Speaker 1>do without your doctor, but because I had some HPV

0:13:39.694 --> 0:13:42.644
<v Speaker 1>show up, I then had to have a pap smoo

0:13:42.664 --> 0:13:45.233
<v Speaker 1>with my doctor and then I've recently seen the gynecologist.

0:13:45.544 --> 0:13:49.574
<v Speaker 2>So just for anyone who has not heard this groundbreaking news,

0:13:49.594 --> 0:13:51.014
<v Speaker 2>which I think is really good news.

0:13:51.034 --> 0:13:55.854
<v Speaker 1>It's huge because, I mean, I love, love, love my doctor. But,

0:13:55.894 --> 0:13:58.094
<v Speaker 1>you know, I'd like to see a face-to-face, not that

0:13:58.154 --> 0:13:59.934
<v Speaker 1>face to my other bits.

0:14:00.114 --> 0:14:03.064
<v Speaker 2>Yeah. Yeah. So what we used to do as a

0:14:03.084 --> 0:14:07.224
<v Speaker 2>cervical cancer screening test was you lay on your doctor's bed.

0:14:07.464 --> 0:14:09.624
<v Speaker 2>Some doctors liked you on your back, some on your side,

0:14:09.664 --> 0:14:13.444
<v Speaker 2>and basically... you put your legs way apart and the

0:14:13.484 --> 0:14:17.304
<v Speaker 2>doctor sort of uses this duckbill little instruments, used to

0:14:17.344 --> 0:14:20.544
<v Speaker 2>be metal, these days it's plastic. We crank everything open

0:14:20.684 --> 0:14:22.764
<v Speaker 2>and then we bring your cervix into view. That is

0:14:22.884 --> 0:14:24.744
<v Speaker 2>not as easy as it sounds. Sometimes we've got to

0:14:24.784 --> 0:14:27.024
<v Speaker 2>go and dig in there to actually make it show

0:14:27.044 --> 0:14:30.004
<v Speaker 2>the right way. And then we use this brush on

0:14:30.044 --> 0:14:32.684
<v Speaker 2>the inside of your cervix, ouch, and we would do

0:14:32.924 --> 0:14:35.564
<v Speaker 2>kind of three turns of the cervix brush and put

0:14:35.604 --> 0:14:38.584
<v Speaker 2>it into some liquid. Very, very good way to do things.

0:14:38.664 --> 0:14:40.484
<v Speaker 2>And we would capture a lot of the cells that

0:14:40.524 --> 0:14:42.564
<v Speaker 2>we could look at under the microscope. But given that

0:14:42.604 --> 0:14:46.524
<v Speaker 2>we're looking for the human papillomavirus, sometimes called the wart virus,

0:14:46.544 --> 0:14:50.964
<v Speaker 2>which is responsible for 99% of cervical cancers, the Australians,

0:14:51.444 --> 0:14:53.784
<v Speaker 2>who are the world leaders in this space, this is

0:14:54.194 --> 0:14:57.554
<v Speaker 2>where we really shine, came up with this idea that

0:14:57.594 --> 0:14:59.974
<v Speaker 2>we could actually swab the vagina. It does not need

0:15:00.034 --> 0:15:02.434
<v Speaker 2>to be the cervix. And we can use what effectively

0:15:02.474 --> 0:15:05.704
<v Speaker 2>looks like a COVID swab. Stick it about, I'm using

0:15:05.744 --> 0:15:08.004
<v Speaker 2>my fingers, which is always good on a podcast, but

0:15:08.484 --> 0:15:12.674
<v Speaker 2>about 10 centimetres into the vagina and you literally swirl

0:15:12.714 --> 0:15:15.134
<v Speaker 2>it around like a COVID test, pop it back in

0:15:15.154 --> 0:15:18.374
<v Speaker 2>the vial exactly like a COVID test and you send

0:15:18.394 --> 0:15:20.074
<v Speaker 2>it off. And you can do that yourself in the

0:15:20.114 --> 0:15:22.894
<v Speaker 2>bathroom of your doctor's surgery or you can do it

0:15:22.974 --> 0:15:24.714
<v Speaker 2>on their bed if that's what you want to do,

0:15:24.834 --> 0:15:26.834
<v Speaker 2>if you want some privacy. You don't need to have

0:15:26.874 --> 0:15:29.524
<v Speaker 2>anybody look there. Everything's fine and the only reason you

0:15:29.544 --> 0:15:33.004
<v Speaker 2>will need to go and have an actual pap test,

0:15:33.024 --> 0:15:36.684
<v Speaker 2>the old school one, is if HPV turns up. So

0:15:36.704 --> 0:15:40.404
<v Speaker 2>we'll keep doing them yearly until you've had two clear ones. Otherwise,

0:15:40.964 --> 0:15:44.344
<v Speaker 2>everybody can have the newer version of the test. And

0:15:44.364 --> 0:15:47.304
<v Speaker 2>yet these were the statistics that I found. Only 40%

0:15:47.304 --> 0:15:50.724
<v Speaker 2>of women are taking up the new pap test. 60%

0:15:50.724 --> 0:15:52.454
<v Speaker 2>are still going for the old one. And I've been

0:15:52.474 --> 0:15:55.474
<v Speaker 2>trying to work out, Kath, is this because women don't

0:15:55.524 --> 0:15:57.734
<v Speaker 2>know about the better option? Is this because women don't

0:15:57.874 --> 0:16:00.194
<v Speaker 2>want the better option? Is it because doctors aren't telling

0:16:00.234 --> 0:16:01.054
<v Speaker 2>them what is going on?

0:16:01.114 --> 0:16:04.404
<v Speaker 1>I think it's more that they don't know about it. Yeah.

0:16:04.434 --> 0:16:07.094
<v Speaker 1>Because it is actually really easy to do. But I

0:16:07.134 --> 0:16:09.294
<v Speaker 1>didn't know. I didn't know until my GP said, actually,

0:16:09.354 --> 0:16:11.234
<v Speaker 1>now we can do it like this. And I did

0:16:11.254 --> 0:16:14.514
<v Speaker 1>exactly that. Took my vaginal COVID test to the toilet

0:16:14.534 --> 0:16:16.534
<v Speaker 1>and the doctors and, you know, Bob Drunkle.

0:16:16.934 --> 0:16:19.374
<v Speaker 2>So I think for anybody who is due for a

0:16:19.374 --> 0:16:22.014
<v Speaker 2>pap test, and just a reminder, here in Australia, it's

0:16:22.074 --> 0:16:25.314
<v Speaker 2>only every five years unless you have active human papillomavirus

0:16:25.354 --> 0:16:28.084
<v Speaker 2>or you've just recovered from it. Ask about the new test.

0:16:28.134 --> 0:16:30.504
<v Speaker 2>If you go in and book in, just say, is

0:16:30.524 --> 0:16:34.234
<v Speaker 2>there a new test? Because... I think that 40% figure

0:16:34.274 --> 0:16:34.874
<v Speaker 2>is just wild.

0:16:35.334 --> 0:16:37.914
<v Speaker 1>Do we get a reminder from the GP? I'm trying

0:16:37.934 --> 0:16:38.954
<v Speaker 1>to think what happens.

0:16:39.314 --> 0:16:42.024
<v Speaker 2>Not usually from your GP. You're going to get it

0:16:42.144 --> 0:16:45.104
<v Speaker 2>earlier than that from the government, actually. They send you

0:16:45.124 --> 0:16:47.304
<v Speaker 2>a reminder to say you're- For that five years? The

0:16:47.344 --> 0:16:49.484
<v Speaker 2>government used to wait till you were six months overdue

0:16:49.624 --> 0:16:51.964
<v Speaker 2>and then send you the reminder. Now they do it early.

0:16:52.324 --> 0:16:55.124
<v Speaker 2>So anybody who has not had the reminder, also, if

0:16:55.164 --> 0:16:57.834
<v Speaker 2>you move house, you need to tell medicare that you've

0:16:57.854 --> 0:17:00.034
<v Speaker 2>actually changed address otherwise they're going to send the reminder

0:17:00.074 --> 0:17:02.394
<v Speaker 2>to the old address by the way but if you

0:17:02.514 --> 0:17:04.994
<v Speaker 2>are in the same place and it's been you know

0:17:05.033 --> 0:17:06.474
<v Speaker 2>if you're not sure when you had your last pap

0:17:06.494 --> 0:17:09.134
<v Speaker 2>test you can either ask your doctor to look it

0:17:09.234 --> 0:17:13.474
<v Speaker 2>up or just assume that you're actually okay because you're

0:17:13.514 --> 0:17:15.694
<v Speaker 2>probably going to get an early reminder not a late one.

0:17:17.874 --> 0:17:20.833
<v Speaker 1>Okay up next asking for a friend we've got one

0:17:20.874 --> 0:17:24.494
<v Speaker 1>about whether adding protein powder to everything actually helps build

0:17:24.534 --> 0:17:28.894
<v Speaker 1>muscle and another from a listener who's convinced she's cycle-syncing

0:17:29.254 --> 0:17:32.054
<v Speaker 1>by matching her workouts and diet to her hormonal phase

0:17:32.094 --> 0:17:32.494
<v Speaker 1>every week.

0:17:33.154 --> 0:17:38.984
<v Speaker 2>I'm just asking for a friend. So, my friends, they

0:17:39.004 --> 0:17:42.164
<v Speaker 2>want to know. It's not for me. Hashtag just asking

0:17:42.184 --> 0:17:42.724
<v Speaker 2>for a friend.

0:17:43.084 --> 0:17:47.164
<v Speaker 1>All right, it's time for my favourite, asking for a friend. Awkward,

0:17:47.304 --> 0:17:50.674
<v Speaker 1>anonymous health questions that we know aren't actually about your friend,

0:17:50.754 --> 0:17:54.464
<v Speaker 1>but we pretend they are anyway. Okay, Today's question comes

0:17:54.494 --> 0:17:58.084
<v Speaker 1>from an anonymous listener. I'll read it out. Hi, Ginny

0:17:58.104 --> 0:18:02.184
<v Speaker 1>and Kath. I'm seeing protein maxing all over my feed.

0:18:02.604 --> 0:18:05.824
<v Speaker 1>Does adding protein powder to everything from coffee to popcorn

0:18:06.204 --> 0:18:09.614
<v Speaker 1>actually help build muscle? Or are people just giving themselves

0:18:09.814 --> 0:18:13.194
<v Speaker 1>extra calories and a stomach ache? All right, Ginny, what

0:18:13.314 --> 0:18:14.734
<v Speaker 1>are your thoughts on protein maxing?

0:18:15.374 --> 0:18:20.744
<v Speaker 2>It's interesting because I think There is definitely evidence that

0:18:20.944 --> 0:18:25.324
<v Speaker 2>without adequate protein, you can't build the skeletal muscle that

0:18:25.384 --> 0:18:28.924
<v Speaker 2>you need to have like a healthy body, particularly as

0:18:28.964 --> 0:18:33.234
<v Speaker 2>you hit midlife. Having said all of which, the whole

0:18:33.374 --> 0:18:35.734
<v Speaker 2>more is more with protein with no upper limit on

0:18:35.754 --> 0:18:40.234
<v Speaker 2>the protein is definitely not correct. So currently in Australia's

0:18:40.274 --> 0:18:43.754
<v Speaker 2>healthy eating guidelines, the recommendation is that we all have

0:18:43.754 --> 0:18:48.484
<v Speaker 2>0.8 grams of protein per kilogram of body weight per day. So,

0:18:48.504 --> 0:18:52.484
<v Speaker 2>you know, rough rule of thumb, if you weigh 70 kilos,

0:18:52.504 --> 0:18:55.444
<v Speaker 2>you might need about 65 grams of protein, something like

0:18:55.464 --> 0:18:59.234
<v Speaker 2>that per day. And ideally distributed over three meals, if

0:18:59.254 --> 0:19:01.774
<v Speaker 2>you can do that. The thing is, I mean, there

0:19:01.834 --> 0:19:04.734
<v Speaker 2>have been a few studies, very small studies showing that

0:19:04.854 --> 0:19:09.194
<v Speaker 2>it might be beneficial to go up to 1.6 grams

0:19:09.254 --> 0:19:11.734
<v Speaker 2>of protein per kilogram of body weight. But even that,

0:19:11.794 --> 0:19:13.984
<v Speaker 2>there's very small studies and no one is prepared to

0:19:14.014 --> 0:19:17.444
<v Speaker 2>change the guidelines based on those studies. What we do

0:19:17.484 --> 0:19:20.334
<v Speaker 2>know is, After a certain amount, you can neither absorb

0:19:20.394 --> 0:19:24.674
<v Speaker 2>that protein nor does it help give any additional muscle

0:19:25.014 --> 0:19:29.704
<v Speaker 2>after that 1.6 level. What you do risk is that

0:19:29.844 --> 0:19:31.944
<v Speaker 2>you are eating so much protein that you don't have

0:19:32.184 --> 0:19:34.563
<v Speaker 2>room to have all the fiber that you need. And

0:19:34.604 --> 0:19:37.284
<v Speaker 2>the thing is we all need, women need 25 grams

0:19:37.324 --> 0:19:39.504
<v Speaker 2>of fiber, men need 30 grams of fiber a day.

0:19:40.024 --> 0:19:43.244
<v Speaker 2>This is essential for good gut health. Good gut health

0:19:43.304 --> 0:19:46.144
<v Speaker 2>is really important to not have a body that's in inflammation.

0:19:46.524 --> 0:19:49.514
<v Speaker 2>That's also really important to your health. And my concern

0:19:49.574 --> 0:19:53.594
<v Speaker 2>is by just picking one simple nutrient that we're really

0:19:53.684 --> 0:19:56.864
<v Speaker 2>focused on, particularly protein powders that tend to be ultra

0:19:57.154 --> 0:19:58.814
<v Speaker 2>processed foods. Like if you have a look at them,

0:19:59.214 --> 0:20:02.624
<v Speaker 2>the ingredients on them sound like a science experiment. I

0:20:02.664 --> 0:20:05.364
<v Speaker 2>don't love the whole idea of protein maxing. It's kind

0:20:05.404 --> 0:20:08.094
<v Speaker 2>of not feeling great to me. What about you?

0:20:08.374 --> 0:20:10.434
<v Speaker 1>Well, I think for a while then my feed was

0:20:10.574 --> 0:20:12.954
<v Speaker 1>full of it in that whole kind of perimenopause.

0:20:13.034 --> 0:20:14.354
<v Speaker 2>More protein, more protein.

0:20:14.374 --> 0:20:16.174
<v Speaker 1>And I feel like I was kind of getting out

0:20:16.194 --> 0:20:18.974
<v Speaker 1>of bed at night to just have more kind of

0:20:19.014 --> 0:20:20.944
<v Speaker 1>Greek yogurt. To go, I don't think I've had enough protein.

0:20:21.034 --> 0:20:21.554
<v Speaker 3>More.

0:20:21.984 --> 0:20:23.904
<v Speaker 2>Bring the yogurt. More yogurt.

0:20:24.504 --> 0:20:27.184
<v Speaker 1>So I definitely fixated on it for a bit. And

0:20:27.204 --> 0:20:29.784
<v Speaker 1>then I just was like, I just can't. And then

0:20:30.124 --> 0:20:33.684
<v Speaker 1>like some of my favorite foods like chicken or steak became.

0:20:33.344 --> 0:20:35.284
<v Speaker 2>Like a job rather.

0:20:34.844 --> 0:20:38.154
<v Speaker 1>Than like a, you know, something I loved eating. So yeah,

0:20:38.194 --> 0:20:40.194
<v Speaker 1>I pulled back on the maxing. Yeah.

0:20:40.234 --> 0:20:44.534
<v Speaker 2>And I think just a reminder, the fiber is also really, really,

0:20:44.594 --> 0:20:45.414
<v Speaker 2>really important.

0:20:45.814 --> 0:20:47.644
<v Speaker 1>I need to fiber max because I don't think I'm

0:20:47.664 --> 0:20:48.724
<v Speaker 1>hitting my 25 grams.

0:20:49.004 --> 0:20:49.444
<v Speaker 2>It's hard.

0:20:49.564 --> 0:20:53.063
<v Speaker 1>Yeah. All right. This next one comes from Antoinette, who's 28. Hey,

0:20:53.084 --> 0:20:55.323
<v Speaker 1>Kath and Ginny.

0:20:55.344 --> 0:20:58.604
<v Speaker 3>I have a friend who does cycle syncing. So matching

0:20:58.644 --> 0:21:02.654
<v Speaker 3>her workouts and diet to her hormonal phase every week

0:21:02.774 --> 0:21:06.744
<v Speaker 3>and every month. Is this backed by actual endocrinology and

0:21:06.864 --> 0:21:09.864
<v Speaker 3>science or are they just giving themselves an excuse to

0:21:09.904 --> 0:21:10.704
<v Speaker 3>take a rest day?

0:21:11.044 --> 0:21:11.824
<v Speaker 2>Sounds delightful.

0:21:12.564 --> 0:21:13.544
<v Speaker 1>All right, Ginny, what do you think?

0:21:14.104 --> 0:21:17.564
<v Speaker 2>Look, I mean, there's definitely hormonal changes across the cycle.

0:21:17.744 --> 0:21:21.684
<v Speaker 2>That is absolutely true. The whole question is, should you

0:21:21.724 --> 0:21:26.044
<v Speaker 2>be changing your workouts to match your hormonal cycles? And

0:21:26.064 --> 0:21:29.023
<v Speaker 2>there was this really interesting study based on Apple Watches.

0:21:29.454 --> 0:21:32.254
<v Speaker 2>So it's called the Apple Women's Health Study, looked at

0:21:32.254 --> 0:21:39.434
<v Speaker 2>110,000 women Yeah, 23 million logged workouts. And they looked

0:21:39.474 --> 0:21:41.254
<v Speaker 2>at the phase of the month, the time of the

0:21:41.314 --> 0:21:44.914
<v Speaker 2>month versus workouts. And guess what the difference was? So

0:21:45.574 --> 0:21:48.774
<v Speaker 2>in the follicular phase, the very first half of the cycle,

0:21:49.454 --> 0:21:54.434
<v Speaker 2>women exercised 21 minutes a day. And in the luteal phase, 20.9,

0:21:54.434 --> 0:22:00.343
<v Speaker 2>like no difference whatsoever. I think... I would really not

0:22:00.384 --> 0:22:02.684
<v Speaker 2>be splitting hairs over cycle syncing. I think that there's

0:22:02.704 --> 0:22:04.464
<v Speaker 2>just no evidence for that there. I don't think it's

0:22:04.504 --> 0:22:06.724
<v Speaker 2>being used by the Australian Institute of Sport or anything

0:22:06.764 --> 0:22:09.624
<v Speaker 2>like that. I think doing some exercise every day is

0:22:09.664 --> 0:22:12.263
<v Speaker 2>the important thing and I don't think you should be

0:22:12.304 --> 0:22:13.563
<v Speaker 2>worrying about what phase you're in.

0:22:13.964 --> 0:22:16.704
<v Speaker 1>I mean, from my point of view, not a sports person,

0:22:17.464 --> 0:22:20.484
<v Speaker 1>not a massive exerciser all the time, but I take

0:22:20.524 --> 0:22:23.144
<v Speaker 1>it from how I feel. You know, like sometimes you

0:22:23.164 --> 0:22:25.004
<v Speaker 1>do have a really heavy period and I'm like, I

0:22:25.024 --> 0:22:27.394
<v Speaker 1>wouldn't want to be doing a spin class. Right now,

0:22:27.514 --> 0:22:29.654
<v Speaker 1>but I will always try and walk and move my body.

0:22:29.734 --> 0:22:32.744
<v Speaker 1>So maybe we just need to listen to our bodies

0:22:32.784 --> 0:22:34.184
<v Speaker 1>as opposed to track our cycles.

0:22:34.444 --> 0:22:37.043
<v Speaker 2>Yeah, I think that that sounds really, really fair. And

0:22:37.104 --> 0:22:39.704
<v Speaker 2>I think, you know, don't forget, you need 150 minutes

0:22:39.764 --> 0:22:43.024
<v Speaker 2>a week of exercise, two sessions of like some sort

0:22:43.044 --> 0:22:46.114
<v Speaker 2>of resistance exercise. It's not that much. Like it's not

0:22:46.134 --> 0:22:48.714
<v Speaker 2>like you need to be doing an hour of marathon

0:22:48.754 --> 0:22:52.894
<v Speaker 2>running with, you know, 30 kilo weights on your follicular cycle.

0:22:53.114 --> 0:22:55.924
<v Speaker 2>It's just not like that. I would say just do

0:22:55.944 --> 0:22:58.004
<v Speaker 2>your basic stuff. And if you feel better doing a

0:22:58.004 --> 0:22:59.023
<v Speaker 2>little bit of extra, you do you.

0:23:03.184 --> 0:23:03.564
<v Speaker 3>Okay.

0:23:03.644 --> 0:23:05.884
<v Speaker 2>Oh my goodness. That is it from us. Don't forget

0:23:05.904 --> 0:23:08.104
<v Speaker 2>to follow the show so you never miss an episode.

0:23:08.234 --> 0:23:11.293
<v Speaker 2>It'll drop straight into your feed automatically. And if you're

0:23:11.314 --> 0:23:13.414
<v Speaker 2>feeling nice and who wouldn't be after finding out you

0:23:13.434 --> 0:23:16.204
<v Speaker 2>don't need to Cycle Sync Your Exercise, that's great news.

0:23:16.304 --> 0:23:19.124
<v Speaker 2>Please leave us an amazing rating and a great review

0:23:19.304 --> 0:23:21.104
<v Speaker 2>on Apple Podcasts or Spotify.

0:23:21.524 --> 0:23:23.104
<v Speaker 1>And if you want to hear your asking for a

0:23:23.124 --> 0:23:26.043
<v Speaker 1>friend question, send us an email or voice note to

0:23:26.104 --> 0:23:30.263
<v Speaker 1>well at mamamia.com.au and Dr Ginny will get to the

0:23:30.304 --> 0:23:33.104
<v Speaker 1>bottom of it and I'll add probably not much. And

0:23:33.154 --> 0:23:36.494
<v Speaker 1>please remember information discussed in this podcast is for education

0:23:36.534 --> 0:23:40.714
<v Speaker 1>purposes only and is not intended to provide professional medical advice.

0:23:41.374 --> 0:23:44.054
<v Speaker 1>Please seek your own medical advice online specific to your

0:23:44.094 --> 0:23:47.664
<v Speaker 1>circumstances from your healthcare professional. See you next time.

0:23:47.734 --> 0:23:48.264
<v Speaker 2>Stay well.

0:23:50.424 --> 0:23:53.784
<v Speaker 1>Mamma Mia acknowledges the traditional owners of land and waters

0:23:53.924 --> 0:23:57.324
<v Speaker 1>that this podcast is recorded on, the Gadigal people of

0:23:57.384 --> 0:24:00.744
<v Speaker 1>the Eora Nation. We pay our respects to elders past

0:24:00.804 --> 0:24:01.244
<v Speaker 1>and present.