1 00:00:01,639 --> 00:00:05,039 Speaker 1: You're listening to I Choose Me with Jenny garl. 2 00:00:08,600 --> 00:00:08,799 Speaker 2: Hi. 3 00:00:09,039 --> 00:00:12,600 Speaker 1: Welcome back to a bonus I Choose Me. Doctor Kelly 4 00:00:12,680 --> 00:00:17,080 Speaker 1: Casperson is back to share some tips. We are going 5 00:00:17,200 --> 00:00:21,640 Speaker 1: to make a toolkit for your menopause moment, which is 6 00:00:21,640 --> 00:00:25,239 Speaker 1: the title of her new book, and it's a must 7 00:00:25,280 --> 00:00:28,880 Speaker 1: reade for anybody navigating this stage of life and reminding 8 00:00:28,960 --> 00:00:32,920 Speaker 1: us that menopause doesn't have to be scary. So let's 9 00:00:33,200 --> 00:00:36,519 Speaker 1: dive into the toolbox. Okay, So let's stick with the 10 00:00:36,560 --> 00:00:39,040 Speaker 1: cold heart facts and not get into the opinions. Let's 11 00:00:39,040 --> 00:00:41,440 Speaker 1: I sometimes do. We're just gonna sit here and we're 12 00:00:41,479 --> 00:00:44,600 Speaker 1: going to deliver the actual four to one one about 13 00:00:44,600 --> 00:00:47,519 Speaker 1: what is happening to our bodies and what we can 14 00:00:47,560 --> 00:00:51,240 Speaker 1: do to improve them. Okay, So, Kelly, what is a 15 00:00:51,280 --> 00:00:56,160 Speaker 1: difference between peri menopause and menopause? What is the difference periods? 16 00:00:56,200 --> 00:01:00,920 Speaker 2: Basically, so peri menopause is your ovaries are basically going offline. 17 00:01:00,920 --> 00:01:06,640 Speaker 2: It's reverse puberty menopause, meaning you now have very low hormones. 18 00:01:06,640 --> 00:01:08,640 Speaker 2: You over you still make a little bit of disosterone, 19 00:01:09,040 --> 00:01:11,280 Speaker 2: but your horns are so low that you no longer 20 00:01:11,360 --> 00:01:16,680 Speaker 2: make a period or have fertility basically, So the midlife experts, 21 00:01:16,680 --> 00:01:19,280 Speaker 2: a mid life hormone experts, actually hate the word menopause 22 00:01:19,640 --> 00:01:22,839 Speaker 2: because it's this very artificial dividing line between this group 23 00:01:22,880 --> 00:01:24,800 Speaker 2: of people who ken or cannot do something and this 24 00:01:24,840 --> 00:01:26,880 Speaker 2: group of people who ken or cannot do something, and 25 00:01:26,920 --> 00:01:29,480 Speaker 2: all of that revolves around like having your last period, right, 26 00:01:30,000 --> 00:01:31,559 Speaker 2: a date on the calendar, a date on the calendar, 27 00:01:32,160 --> 00:01:34,080 Speaker 2: which a third of women don't have a last period 28 00:01:34,160 --> 00:01:39,040 Speaker 2: because of hysterectomy, iud's, birth control, uterimblations, all that stuff, right, 29 00:01:39,080 --> 00:01:40,920 Speaker 2: So for a third of women I don't even have 30 00:01:40,920 --> 00:01:43,200 Speaker 2: a date on a calendar. That's meaningful, right. So, like 31 00:01:43,480 --> 00:01:46,480 Speaker 2: the true hormone experts hate the word menopause because we're like, 32 00:01:47,319 --> 00:01:50,280 Speaker 2: it's just a symptom of not having hormones, which is 33 00:01:50,360 --> 00:01:54,080 Speaker 2: going on in perimenopause. So that's the difference. But it's 34 00:01:54,160 --> 00:01:57,000 Speaker 2: kind of this artificial, stupid, made up thing. But when 35 00:01:57,040 --> 00:02:00,720 Speaker 2: they defined or they defined when they coin the menopause, 36 00:02:00,720 --> 00:02:03,840 Speaker 2: it was over one hundred years ago. We couldn't measure hormones, 37 00:02:03,880 --> 00:02:06,720 Speaker 2: we didn't know what ovaries did well. We could see periods, 38 00:02:06,960 --> 00:02:09,799 Speaker 2: and periods stopped right in some people. So like that 39 00:02:09,919 --> 00:02:10,680 Speaker 2: just kind of stuck. 40 00:02:11,440 --> 00:02:15,560 Speaker 1: So the yeah, the whole meno menstruation pause. 41 00:02:15,639 --> 00:02:18,320 Speaker 2: Yeah, this is the ceasing of natural periods. 42 00:02:19,200 --> 00:02:22,400 Speaker 1: There's so much more to us. Yeah, yeah, no opinion. Sorry, 43 00:02:22,520 --> 00:02:26,679 Speaker 1: Okay about doctors. You say we need a personal relationship 44 00:02:26,760 --> 00:02:29,280 Speaker 1: with our doctors, which can feel really hard, you know, 45 00:02:29,360 --> 00:02:31,720 Speaker 1: I mean just due to what we talked about on 46 00:02:31,760 --> 00:02:35,160 Speaker 1: the podcast. Uh, the scheduling of it all, the timing 47 00:02:35,200 --> 00:02:37,799 Speaker 1: of it all, because once you wait in the waiting room, 48 00:02:37,840 --> 00:02:41,120 Speaker 1: then you get in that door, you can feel rushed, 49 00:02:41,160 --> 00:02:42,840 Speaker 1: and then you kind of lose what you wanted to 50 00:02:42,840 --> 00:02:45,160 Speaker 1: ask them about, and then you end up leaving and 51 00:02:45,240 --> 00:02:47,160 Speaker 1: be like, oh man, I forgot to ask them about this, 52 00:02:47,280 --> 00:02:49,040 Speaker 1: and I just didn't feel like they wanted to hear 53 00:02:49,080 --> 00:02:51,760 Speaker 1: it because they had spent enough time with me. You know, 54 00:02:51,800 --> 00:02:55,880 Speaker 1: all those things go through your head. Uh you said, 55 00:02:55,880 --> 00:02:58,520 Speaker 1: and I'm gonna quote you. If they don't listen to 56 00:02:58,560 --> 00:03:02,600 Speaker 1: you or tell you to just read fewer books, get 57 00:03:02,600 --> 00:03:03,360 Speaker 1: a second opinion. 58 00:03:03,480 --> 00:03:07,200 Speaker 2: Yes, in America, we have the privilege of getting a 59 00:03:07,200 --> 00:03:09,400 Speaker 2: second opinion. Now, it costs money and it costs time, 60 00:03:09,720 --> 00:03:11,320 Speaker 2: but we have the privilege of getting because I just 61 00:03:11,360 --> 00:03:14,480 Speaker 2: learned in Canada, the doctor you have is the doctor 62 00:03:14,520 --> 00:03:16,800 Speaker 2: you have. And I was like, ooh, because if they 63 00:03:16,800 --> 00:03:20,359 Speaker 2: don't know anything about hormones or menopause, that's a problem. Yeah, 64 00:03:20,440 --> 00:03:22,000 Speaker 2: So at least in America we get to be a 65 00:03:22,000 --> 00:03:25,280 Speaker 2: little more mobile and the online clinics now, so there 66 00:03:25,280 --> 00:03:28,760 Speaker 2: are many online companies that only do like their job 67 00:03:28,840 --> 00:03:31,880 Speaker 2: is hormones, right, So it's like that's a friendly audience already. 68 00:03:32,160 --> 00:03:34,080 Speaker 2: And so it's like keep your primary care doctor for 69 00:03:34,120 --> 00:03:36,160 Speaker 2: when you have pink eye and when you break your wrist, 70 00:03:36,240 --> 00:03:39,160 Speaker 2: and like for all the doctor things. But maybe if 71 00:03:39,200 --> 00:03:41,120 Speaker 2: you really want the hormone specialist, you're either going to 72 00:03:41,120 --> 00:03:43,720 Speaker 2: seek out a hormone specialist who will spend time with you, 73 00:03:44,160 --> 00:03:47,200 Speaker 2: usually outside the insurance system because insurance doesn't pay enough 74 00:03:47,360 --> 00:03:49,440 Speaker 2: for you to actually spend an hour with somebody, but 75 00:03:49,480 --> 00:03:51,880 Speaker 2: really like getting to know that relationship if you can 76 00:03:51,960 --> 00:03:56,320 Speaker 2: afford that is very valuable, or the online clinics where 77 00:03:56,360 --> 00:03:59,480 Speaker 2: it's like you're going to those people for hormones. Everybody 78 00:03:59,560 --> 00:04:02,040 Speaker 2: knows why everybody's here, right, It's that kind of party. 79 00:04:02,240 --> 00:04:04,560 Speaker 2: So that's also another option for people to seek out. 80 00:04:04,840 --> 00:04:06,560 Speaker 2: A lot of people who live in rural America, they 81 00:04:06,560 --> 00:04:08,160 Speaker 2: don't have a doctor nearby. 82 00:04:08,200 --> 00:04:10,560 Speaker 1: Or their doctor is like, I'm sorry to say it 83 00:04:10,640 --> 00:04:11,360 Speaker 1: eighty years old? 84 00:04:11,360 --> 00:04:14,440 Speaker 2: Oh dated? Yeah, yeah, outdated. And the other like pro 85 00:04:14,560 --> 00:04:17,280 Speaker 2: tip is when a doctor says I think your risk 86 00:04:17,440 --> 00:04:20,680 Speaker 2: of blood clot's too high or whatever whatever they're going 87 00:04:20,760 --> 00:04:23,479 Speaker 2: to say, I think you shouldn't have this because your risk. 88 00:04:23,360 --> 00:04:24,000 Speaker 1: Is too high. 89 00:04:24,480 --> 00:04:28,479 Speaker 2: In a nice way, say what is that risk? Because 90 00:04:28,680 --> 00:04:30,440 Speaker 2: what I hear a lot of is they're like, oh, 91 00:04:30,440 --> 00:04:32,400 Speaker 2: you can't have that because the risk of heart diseases 92 00:04:32,520 --> 00:04:35,440 Speaker 2: is too high. It's like it actually isn't if you 93 00:04:35,480 --> 00:04:38,479 Speaker 2: read the data right. So to me, I'm like, you 94 00:04:38,480 --> 00:04:42,640 Speaker 2: don't have to never be confrontational or challenging, but sometimes 95 00:04:42,680 --> 00:04:44,760 Speaker 2: when people say your risk is too high, it's okay 96 00:04:44,760 --> 00:04:46,080 Speaker 2: to be like, what is that risk? 97 00:04:46,400 --> 00:04:46,599 Speaker 1: Yeah? 98 00:04:46,680 --> 00:04:49,280 Speaker 2: Where would I risk? I learned that risk? Like did 99 00:04:49,320 --> 00:04:51,200 Speaker 2: you know? I actually know what that risk is. And 100 00:04:51,240 --> 00:04:53,839 Speaker 2: the more I read into this like that, especially the 101 00:04:53,920 --> 00:04:57,120 Speaker 2: transdermal estrogence that you're not swallowing, they don't go through 102 00:04:57,160 --> 00:05:00,240 Speaker 2: your liver, they don't increase your blood clot risk, don't 103 00:05:00,240 --> 00:05:03,359 Speaker 2: increase heart disease risk, they don't increase dementia. Risks like 104 00:05:03,360 --> 00:05:06,840 Speaker 2: these are incredibly safe. So if doctors are saying they 105 00:05:07,600 --> 00:05:09,760 Speaker 2: you can't have that because it increases your risk of X, 106 00:05:09,839 --> 00:05:11,880 Speaker 2: Y and Z. If you're like, where can I read 107 00:05:11,920 --> 00:05:14,719 Speaker 2: about that risk? Like where do you know that from? 108 00:05:14,960 --> 00:05:17,919 Speaker 2: In again, you want to maintain the relationship. But I 109 00:05:17,920 --> 00:05:20,320 Speaker 2: think a lot of women take everything as fact instead 110 00:05:20,320 --> 00:05:23,200 Speaker 2: of like, maybe it's just outdated data. If they're quoting 111 00:05:23,200 --> 00:05:26,440 Speaker 2: the WHI data, those are medications we don't currently use. 112 00:05:27,240 --> 00:05:30,240 Speaker 1: And I think that's a tendency to listen to your 113 00:05:30,279 --> 00:05:34,880 Speaker 1: doctor and do what they say. Yeah, well, yeah, totally right. Yeah, 114 00:05:34,960 --> 00:05:36,000 Speaker 1: but it's okay to question. 115 00:05:36,080 --> 00:05:36,880 Speaker 2: It's okay to question. 116 00:05:37,320 --> 00:05:40,279 Speaker 1: I think the key is curiosity. Yeah, get curious. 117 00:05:40,880 --> 00:05:43,760 Speaker 2: Doctors are a profession who are trained to help you, 118 00:05:44,279 --> 00:05:47,279 Speaker 2: just like like if I get a lawyer for something, 119 00:05:47,400 --> 00:05:50,279 Speaker 2: or my accountant for something, or my mechanic for something. 120 00:05:50,400 --> 00:05:52,760 Speaker 2: Is like, it's okay to ask them a question. It's 121 00:05:53,279 --> 00:05:56,279 Speaker 2: not off limits. It's a professional trying to help you 122 00:05:56,320 --> 00:05:58,520 Speaker 2: with the piece of your life. But it's your body 123 00:05:58,600 --> 00:06:00,960 Speaker 2: at the end of the day. You should have autonomy 124 00:06:00,960 --> 00:06:01,960 Speaker 2: and be able to ask a question. 125 00:06:02,040 --> 00:06:03,760 Speaker 1: Yeah, there's a stigma, I think, and a fear of 126 00:06:03,880 --> 00:06:09,400 Speaker 1: ev sounding stupid or yeah, being seen as stupid or 127 00:06:09,480 --> 00:06:12,000 Speaker 1: just like I don't know anything, but the fact is 128 00:06:12,080 --> 00:06:14,760 Speaker 1: there are no stupid questions. Yea, and you can get 129 00:06:14,800 --> 00:06:17,800 Speaker 1: really comfortable just being curious about so many things. 130 00:06:17,920 --> 00:06:20,039 Speaker 2: Yeah, totally. And I think you can open with that 131 00:06:20,080 --> 00:06:21,919 Speaker 2: and be like, listen, I'm not a physician. I have 132 00:06:22,040 --> 00:06:25,040 Speaker 2: done some reading. My understanding is x y z AM. 133 00:06:25,040 --> 00:06:27,360 Speaker 2: I off base with that. You know, it's like learning 134 00:06:27,480 --> 00:06:29,760 Speaker 2: just how to be a good communicator and non threatening 135 00:06:29,800 --> 00:06:33,599 Speaker 2: way like if like what I've heard is you know, 136 00:06:34,240 --> 00:06:36,160 Speaker 2: kind of keep it open. Can we learn about this together? 137 00:06:36,560 --> 00:06:39,320 Speaker 2: You know, that might be a cool thing, So it 138 00:06:39,320 --> 00:06:41,080 Speaker 2: can be it can be done. And if if you 139 00:06:41,240 --> 00:06:44,880 Speaker 2: keep hitting a brick wall, maybe see somebody else. 140 00:06:44,960 --> 00:06:47,480 Speaker 1: Yeah, I've heard a lot of stories. I've heard a 141 00:06:47,480 --> 00:06:52,159 Speaker 1: lot of stories. Where can we find the information about 142 00:06:52,200 --> 00:06:56,520 Speaker 1: specialized women's health doctors? Do you recommend a certain website? 143 00:06:56,800 --> 00:06:58,560 Speaker 1: I don't want to affiliate you with one if you 144 00:06:58,680 --> 00:07:02,039 Speaker 1: have no affiliation, but in general, for a woman that's 145 00:07:02,080 --> 00:07:06,520 Speaker 1: listening in Albuquerque, New Mexico, yep, and she needs some 146 00:07:06,839 --> 00:07:09,560 Speaker 1: she needs a doctor recommended. So where did you. 147 00:07:09,600 --> 00:07:12,160 Speaker 2: Start one of my favorite resources because I don't I 148 00:07:12,200 --> 00:07:14,000 Speaker 2: don't have my own, Like it's a beast to try 149 00:07:14,000 --> 00:07:17,120 Speaker 2: to maintain one of those things, right. One of my 150 00:07:17,240 --> 00:07:20,160 Speaker 2: favorite ones is the International Society for the Study of 151 00:07:20,200 --> 00:07:23,560 Speaker 2: Women's Sexual Health. It's a mouthful, but it's called ishish 152 00:07:23,360 --> 00:07:27,040 Speaker 2: ish wish dot org. International Society for the Study of 153 00:07:27,080 --> 00:07:30,920 Speaker 2: Women's Sexual Health. Why I like that database is number one. 154 00:07:30,920 --> 00:07:33,760 Speaker 2: They're very comfortable with women's sexuality. They know a lot 155 00:07:33,800 --> 00:07:36,680 Speaker 2: about vaginal estrogen. They know a lot about testosterone because 156 00:07:36,720 --> 00:07:39,640 Speaker 2: their biggest, you know, study is in libido, right, so 157 00:07:39,840 --> 00:07:43,320 Speaker 2: those people tend to know a lot about hormones and bonus, 158 00:07:43,360 --> 00:07:45,480 Speaker 2: they know a lot about sex, and so to me, 159 00:07:45,520 --> 00:07:47,680 Speaker 2: I'm like, those are my favorite people. But like they're 160 00:07:47,680 --> 00:07:50,120 Speaker 2: already very if you're if you're a physician or a 161 00:07:50,160 --> 00:07:52,960 Speaker 2: nurse practitioner a PA who cares about sex lives, you 162 00:07:53,160 --> 00:07:56,920 Speaker 2: know how important hormones are because sex is biopsychosocial and 163 00:07:57,000 --> 00:07:59,440 Speaker 2: the hormones that you have affect your sex life, right, 164 00:07:59,440 --> 00:08:02,880 Speaker 2: So I love that. The other option is menopause dot org, 165 00:08:03,440 --> 00:08:07,600 Speaker 2: but it is I wouldn't say everybody on that database 166 00:08:07,920 --> 00:08:10,400 Speaker 2: is up to dated on everything, but it's a good 167 00:08:10,440 --> 00:08:13,960 Speaker 2: starting point for that. And then the online clinics, I 168 00:08:13,960 --> 00:08:17,400 Speaker 2: mean there's several right now, so I'm not affiliated right 169 00:08:17,520 --> 00:08:21,040 Speaker 2: primarily with any of them, but alloy ever, now interlude 170 00:08:21,040 --> 00:08:23,880 Speaker 2: for vaginal estrogen, they're like vaginal estrogen only they're awesome. 171 00:08:23,960 --> 00:08:28,480 Speaker 2: Get interlude maybe maybe joy ja oh I, who am 172 00:08:28,520 --> 00:08:32,600 Speaker 2: I missing? Jenev. So there's a lot of online ones. 173 00:08:32,640 --> 00:08:34,160 Speaker 2: Some of them take insurance, some of them do not 174 00:08:34,200 --> 00:08:37,120 Speaker 2: take insurance, so you can just kind of start learning. 175 00:08:37,160 --> 00:08:38,800 Speaker 2: The other thing that you know people can do is 176 00:08:38,840 --> 00:08:40,679 Speaker 2: like if you've got a friend who's willing to talk 177 00:08:40,720 --> 00:08:44,000 Speaker 2: about because women who are on hormones where it's dramatically 178 00:08:44,160 --> 00:08:47,679 Speaker 2: changed their life, they're moving the needle for everybody. They 179 00:08:47,720 --> 00:08:49,480 Speaker 2: want to talk about it. Like if you go from 180 00:08:49,480 --> 00:08:51,440 Speaker 2: not sleeping to sleeping, you'd like to tell. 181 00:08:51,360 --> 00:08:53,960 Speaker 1: People life change it basically exactly. 182 00:08:53,640 --> 00:08:55,440 Speaker 2: Like if you weren't having orgasms and now you are, 183 00:08:55,760 --> 00:08:58,640 Speaker 2: you want to talk about it because you want you want, 184 00:08:58,679 --> 00:09:01,280 Speaker 2: you want to say yeah. So it's like find the 185 00:09:01,360 --> 00:09:04,280 Speaker 2: friend who did it first and be like, where are 186 00:09:04,320 --> 00:09:05,760 Speaker 2: you going? Who are you seeing? Blah blah. 187 00:09:05,880 --> 00:09:06,680 Speaker 1: That's great advice. 188 00:09:06,720 --> 00:09:08,640 Speaker 2: But I would say, because I see this a lot 189 00:09:08,679 --> 00:09:10,800 Speaker 2: on the internet, it's like what's the best X, Y 190 00:09:10,840 --> 00:09:13,960 Speaker 2: and Z for hormones? And it's like individual results may vary. 191 00:09:14,640 --> 00:09:20,320 Speaker 2: Everybody might need a different dose and route. It is individualized, yes, right, 192 00:09:20,360 --> 00:09:22,200 Speaker 2: because there's a lot of like, but Susie's on this 193 00:09:22,240 --> 00:09:23,800 Speaker 2: and blah blah blah blah blah my on the best 194 00:09:23,840 --> 00:09:27,200 Speaker 2: thing in BOLVD. It's like it is individualized, so you like, 195 00:09:27,280 --> 00:09:29,400 Speaker 2: don't be on your friend's regimen. It might not be 196 00:09:29,480 --> 00:09:31,680 Speaker 2: with right for you, but maybe go to that doctor. 197 00:09:31,800 --> 00:09:32,240 Speaker 1: M hmm. 198 00:09:32,840 --> 00:09:33,000 Speaker 2: Yeah. 199 00:09:33,040 --> 00:09:36,440 Speaker 1: I had a friend who I someone I work with, 200 00:09:36,480 --> 00:09:39,000 Speaker 1: and I saw her one day and I was like, wow, 201 00:09:39,320 --> 00:09:42,400 Speaker 1: what I knew, Like I could tell Wow, I just 202 00:09:42,520 --> 00:09:46,079 Speaker 1: knew she wasn't getting any support. Yeah, So I asked 203 00:09:46,080 --> 00:09:50,360 Speaker 1: her about it and she started crying and it deepened 204 00:09:50,400 --> 00:09:53,320 Speaker 1: our relationship. I shared information with her, I gave her 205 00:09:53,360 --> 00:09:56,800 Speaker 1: books to read, and I saw her recently and she 206 00:09:56,840 --> 00:09:58,280 Speaker 1: looks like a completely different person. 207 00:09:58,520 --> 00:10:00,840 Speaker 2: Is not a game changer. Well, I mean, thank you 208 00:10:00,880 --> 00:10:03,199 Speaker 2: for doing this work because it's like even just people 209 00:10:03,200 --> 00:10:06,199 Speaker 2: listening to the podcast, it's going to validate like what 210 00:10:06,240 --> 00:10:10,320 Speaker 2: you're experiencing is common and you do not have to suffer. 211 00:10:10,960 --> 00:10:12,720 Speaker 2: And then like you see those women and you're like 212 00:10:13,040 --> 00:10:15,400 Speaker 2: I was, so I have a puppy and we went 213 00:10:15,400 --> 00:10:17,280 Speaker 2: to puppy school and so I'm like, you know, the 214 00:10:17,520 --> 00:10:19,760 Speaker 2: adult in the room with my puppy, and in the 215 00:10:19,760 --> 00:10:22,240 Speaker 2: middle of it the teachers having this massive hot flash 216 00:10:22,360 --> 00:10:24,120 Speaker 2: and like she and she says it like I wasn't 217 00:10:24,120 --> 00:10:25,640 Speaker 2: just picking up on it. She's like, hold on, I'm 218 00:10:25,640 --> 00:10:28,040 Speaker 2: having this massive hot flashes blah blah blah blah. And 219 00:10:28,080 --> 00:10:30,360 Speaker 2: I'm like, what is my role here? Am I just 220 00:10:30,400 --> 00:10:33,360 Speaker 2: the person with the puppy? Who am I? Like? Please 221 00:10:33,400 --> 00:10:35,920 Speaker 2: see also my books and my podcast and my clinic. 222 00:10:37,040 --> 00:10:39,680 Speaker 1: What did you end up doing? Were you just the puppy? 223 00:10:39,720 --> 00:10:41,760 Speaker 2: Because I was like, I don't want to be that, like, 224 00:10:41,920 --> 00:10:44,640 Speaker 2: oh hey that person, Yeah, in front of the whole class, 225 00:10:44,720 --> 00:10:48,160 Speaker 2: like extra, your patches are completely safe. Family history doesn't matter. 226 00:10:49,600 --> 00:10:52,520 Speaker 1: Also, that's so hard though, when you know you know 227 00:10:52,559 --> 00:10:54,360 Speaker 1: what you're talking about. Yeah, share it. 228 00:10:54,440 --> 00:10:56,360 Speaker 2: Yeah, I know totally, Just so I. 229 00:10:56,280 --> 00:10:59,280 Speaker 1: Can imagine it be hard for you. It was hard, Okay. 230 00:10:59,480 --> 00:11:02,360 Speaker 1: Can we tested to find out if we are in 231 00:11:02,400 --> 00:11:05,280 Speaker 1: fact in perry or menopause? What is the test? 232 00:11:05,400 --> 00:11:09,360 Speaker 2: Such a good question. That's like the internet question every 233 00:11:09,400 --> 00:11:12,760 Speaker 2: single day, so there's no current blood testing, Like like 234 00:11:12,960 --> 00:11:14,520 Speaker 2: the question is like can I X ray it? Can 235 00:11:14,559 --> 00:11:15,080 Speaker 2: I measure it? 236 00:11:15,120 --> 00:11:15,439 Speaker 1: Like? Right? 237 00:11:15,480 --> 00:11:19,360 Speaker 2: We like to just know. And in perimenopause is reverse puberty. 238 00:11:19,400 --> 00:11:21,040 Speaker 2: So up and down, up and down, up and down 239 00:11:21,080 --> 00:11:24,480 Speaker 2: for hormones. So people will get their labs tested and 240 00:11:24,520 --> 00:11:27,640 Speaker 2: they will say, you know, I'm mestrogen dominant is an example, 241 00:11:27,840 --> 00:11:30,200 Speaker 2: and I'm like, no, on Tuesday in July, you had 242 00:11:30,280 --> 00:11:33,920 Speaker 2: high estrogen. But it changes every day. But I think 243 00:11:34,200 --> 00:11:38,200 Speaker 2: check labs. It's very validating for people, right Like if 244 00:11:38,240 --> 00:11:39,880 Speaker 2: I say, if I go to the doctor and they're 245 00:11:39,920 --> 00:11:42,640 Speaker 2: like no and they shut you down, it's kind of invalidating. 246 00:11:42,640 --> 00:11:45,040 Speaker 2: So it's like, dude, no skin off your back, check 247 00:11:45,080 --> 00:11:47,719 Speaker 2: some labs, right like whatever, let's make and by the way, 248 00:11:47,760 --> 00:11:50,920 Speaker 2: when we're doing that, let's check glucose, let's check lipids. 249 00:11:51,080 --> 00:11:53,840 Speaker 2: Let's use this as an opportunity to look for everything thyroid, 250 00:11:53,880 --> 00:11:56,360 Speaker 2: oh my god, thyroid, vitamin D, all the things. So 251 00:11:56,840 --> 00:12:00,280 Speaker 2: check labs. But ideally you're going to be with a 252 00:12:00,320 --> 00:12:04,640 Speaker 2: clinician who understands that labs don't really matter because they're 253 00:12:04,679 --> 00:12:05,400 Speaker 2: ever changing. 254 00:12:11,880 --> 00:12:14,360 Speaker 1: Okay, so how do you hack insurance to get the 255 00:12:14,360 --> 00:12:17,480 Speaker 1: hormones you need because paying out a pocket is not 256 00:12:17,960 --> 00:12:19,000 Speaker 1: something any of us wanted. 257 00:12:19,160 --> 00:12:22,400 Speaker 2: Yeah, so, very good question. So I think there's a 258 00:12:22,400 --> 00:12:27,760 Speaker 2: big confusion of what's FD approved and what's bioidentical, like 259 00:12:27,800 --> 00:12:31,080 Speaker 2: they're different things. Biodentical means what your body makes. We 260 00:12:31,160 --> 00:12:34,599 Speaker 2: have many FD approved biodentical products because a lot of 261 00:12:34,640 --> 00:12:36,320 Speaker 2: people are paying a lot of extra money for all 262 00:12:36,320 --> 00:12:39,840 Speaker 2: this compounded stuff which can be good and can be effective, 263 00:12:39,840 --> 00:12:42,840 Speaker 2: but tends to be less standardized and more expensive. Pellets 264 00:12:42,880 --> 00:12:45,920 Speaker 2: are more expensive, right and not covered by insurance. So 265 00:12:45,920 --> 00:12:48,600 Speaker 2: it's like, start with the stuff that's FD approved. Insurance 266 00:12:48,720 --> 00:12:53,480 Speaker 2: should cover it. If they do, not, get loud, get loud, 267 00:12:54,160 --> 00:12:54,600 Speaker 2: this is. 268 00:12:54,760 --> 00:12:55,240 Speaker 1: What do you mean? 269 00:12:55,559 --> 00:12:58,160 Speaker 2: Call the damn insurance companies write the letters, be like 270 00:12:58,640 --> 00:13:01,199 Speaker 2: this is you need to cover this. It's insane that 271 00:13:01,240 --> 00:13:04,120 Speaker 2: they wouldn't cover hormones. But again, insurance, going back to 272 00:13:04,160 --> 00:13:07,200 Speaker 2: the longevity conversation, insurance doesn't really care that you're playing 273 00:13:07,200 --> 00:13:09,760 Speaker 2: pickleball when you're eighty two, Like they really don't, right, 274 00:13:09,840 --> 00:13:12,320 Speaker 2: They care about what's being spent right now, So they. 275 00:13:12,320 --> 00:13:16,040 Speaker 1: Kind of want you to get sick. I mean again 276 00:13:16,320 --> 00:13:17,440 Speaker 1: kind of a general statement. 277 00:13:17,600 --> 00:13:19,800 Speaker 2: They they what they truly I think I feel safe 278 00:13:19,800 --> 00:13:21,480 Speaker 2: saying this, What they truly want you to do is 279 00:13:21,600 --> 00:13:25,439 Speaker 2: get on somebody else's insurance before you get sick, which 280 00:13:25,480 --> 00:13:29,640 Speaker 2: by sixty five that's medicare right. But so anyways, insurance 281 00:13:29,640 --> 00:13:32,120 Speaker 2: should cover FD approved things that are indicated, And that's 282 00:13:32,160 --> 00:13:35,520 Speaker 2: your estrogen patch, that's your vaginal estrogen. You get generics. 283 00:13:35,960 --> 00:13:39,319 Speaker 2: Generics are cheap if your insurance is still expensive. Look, 284 00:13:39,360 --> 00:13:43,400 Speaker 2: there's many pharmacies now that are cash pharmacies. Sadly, we 285 00:13:43,520 --> 00:13:45,800 Speaker 2: used to think that having insurance meant you got a 286 00:13:45,880 --> 00:13:48,480 Speaker 2: deal on meds. Now it's usually means you're making money 287 00:13:48,480 --> 00:13:51,679 Speaker 2: for your insurance company. So Mark Cuban costs plus drugs, Yes, 288 00:13:51,800 --> 00:13:56,000 Speaker 2: for the Generics, what brand again? His Mark Cuban costs 289 00:13:56,000 --> 00:13:57,720 Speaker 2: plus drugs cost plus? I love them. 290 00:13:57,840 --> 00:13:58,080 Speaker 1: Yeah. 291 00:13:58,280 --> 00:14:01,079 Speaker 2: Cheapest faginal estrogen that I know about, really, Yes. The 292 00:14:01,120 --> 00:14:03,679 Speaker 2: most expensive thing about vaginal estrogen is the tube that 293 00:14:03,720 --> 00:14:05,959 Speaker 2: it's made. It's that it's put in for the cream. 294 00:14:06,160 --> 00:14:07,880 Speaker 2: It's like if you go to the pharmacy and they 295 00:14:07,880 --> 00:14:11,760 Speaker 2: say it's two hundred dollars abort mission, it's way too expensive. 296 00:14:11,960 --> 00:14:13,720 Speaker 2: Get this for cheaper. So I think some people they 297 00:14:13,760 --> 00:14:16,320 Speaker 2: just don't know it's available for cheaper, right, Like I 298 00:14:16,360 --> 00:14:18,679 Speaker 2: went to get my vaginal estrogen, I Blue Cross, Blue Shield. 299 00:14:18,880 --> 00:14:20,480 Speaker 2: I went to my pharmacy and they were like, that'll 300 00:14:20,480 --> 00:14:22,360 Speaker 2: be two hundred and sixty eight dollars. And I wanted 301 00:14:22,400 --> 00:14:23,600 Speaker 2: to be like, do you know who I am and 302 00:14:23,600 --> 00:14:26,600 Speaker 2: how much vaginal estrogen? I like, I'm like the vaginal 303 00:14:26,680 --> 00:14:30,360 Speaker 2: ESTRASTI the expert on this, and so like I pulled 304 00:14:30,440 --> 00:14:33,480 Speaker 2: up my good RX. So good RX is kind of 305 00:14:33,520 --> 00:14:35,680 Speaker 2: an app you can get that it will do cheaper 306 00:14:35,760 --> 00:14:38,560 Speaker 2: cash prices, and I got it for eighteen dollars. 307 00:14:38,880 --> 00:14:40,920 Speaker 1: What that's the craziest part to me. 308 00:14:41,240 --> 00:14:41,760 Speaker 2: It's nuts. 309 00:14:41,760 --> 00:14:44,320 Speaker 1: When a doctor prescribes a medication, you go and they 310 00:14:44,320 --> 00:14:46,600 Speaker 1: tell you, oh, that's going to be nine hundred dollars 311 00:14:47,040 --> 00:14:48,920 Speaker 1: for the new eye drops that are coming out that 312 00:14:49,080 --> 00:14:51,240 Speaker 1: you need so that you don't have dry eye. Nine 313 00:14:51,360 --> 00:14:54,240 Speaker 1: hundred dollars for a tiny little doll and we got 314 00:14:54,280 --> 00:14:58,000 Speaker 1: it for ten dollars by hacking the system. 315 00:14:58,080 --> 00:14:59,680 Speaker 2: Yeah, that's the thing, is like you have to know 316 00:15:00,080 --> 00:15:03,000 Speaker 2: how to use the system, which is the definition of 317 00:15:03,000 --> 00:15:05,680 Speaker 2: an unfair system, right. But I'm like, I haven't forbidden 318 00:15:05,680 --> 00:15:07,520 Speaker 2: my husband went to go pick up my vaginal estrogen, 319 00:15:07,600 --> 00:15:11,200 Speaker 2: he wouldn't have known how to get the eighteen dollars. Pissed, Yeah, 320 00:15:11,200 --> 00:15:12,280 Speaker 2: and I would and then I would have been like, 321 00:15:12,320 --> 00:15:14,520 Speaker 2: oh my god, like I should have told you. So 322 00:15:14,760 --> 00:15:17,040 Speaker 2: that's the thing is like there's you can usually find 323 00:15:17,040 --> 00:15:19,560 Speaker 2: it cheaper somewhere else. There's an amazing online it's a 324 00:15:19,600 --> 00:15:21,520 Speaker 2: it's a membership. I think it's like eighty dollars a 325 00:15:21,600 --> 00:15:24,880 Speaker 2: year now, but it's HRT club. They have a lot 326 00:15:24,880 --> 00:15:26,760 Speaker 2: of generics, okay, and so a lot of people are 327 00:15:26,760 --> 00:15:30,320 Speaker 2: doing that, so there's ways to do it. Again, It's 328 00:15:30,320 --> 00:15:31,880 Speaker 2: like ask your friend, like how much are you get 329 00:15:31,880 --> 00:15:33,680 Speaker 2: in your patch for stuff like that? 330 00:15:33,760 --> 00:15:39,000 Speaker 1: So yeah, definitely, there are honestly so many varying symptoms. 331 00:15:40,040 --> 00:15:41,960 Speaker 1: I can't even say them all. There's too many. Like 332 00:15:43,040 --> 00:15:47,200 Speaker 1: my elbow hurts, oh, must be yeah, Oh my teeth 333 00:15:47,200 --> 00:15:51,160 Speaker 1: are a little sensitive today. Must like everything I've ever 334 00:15:51,400 --> 00:15:54,960 Speaker 1: suffered from I'm now saying must have been my very 335 00:15:55,000 --> 00:15:57,960 Speaker 1: menopause and I didn't even know. But what are the 336 00:15:57,960 --> 00:16:02,400 Speaker 1: most common symptoms that women should be watching for so 337 00:16:02,440 --> 00:16:05,840 Speaker 1: that we can stay proactive and know what's real and 338 00:16:05,880 --> 00:16:07,120 Speaker 1: what's not when it comes to this. 339 00:16:07,240 --> 00:16:10,480 Speaker 2: So again, the classic symptoms hot flashes and nights seat, 340 00:16:10,480 --> 00:16:13,560 Speaker 2: it's poor sleep, but not everybody has that, right and 341 00:16:13,600 --> 00:16:16,840 Speaker 2: you don't need that to get treatment, right, that's not 342 00:16:16,920 --> 00:16:18,640 Speaker 2: the only thing that we're like, oh, we will only 343 00:16:18,680 --> 00:16:21,160 Speaker 2: replace what your ovaries made for a hot flash. It's like, 344 00:16:21,240 --> 00:16:25,640 Speaker 2: no estrogen is fd approved for the prevention of osteoporosis. 345 00:16:25,680 --> 00:16:28,320 Speaker 2: People don't know that we actually have a prevention FDA 346 00:16:28,400 --> 00:16:30,120 Speaker 2: approval for estrogen, which. 347 00:16:29,920 --> 00:16:32,000 Speaker 1: Is and you could do osteoporosis testing. 348 00:16:32,040 --> 00:16:34,760 Speaker 2: Now you can do exiscans. Yeah. Yeah, they're cheap too, 349 00:16:34,880 --> 00:16:37,360 Speaker 2: like cash dexa and my town's like ninety eight dollars 350 00:16:37,400 --> 00:16:41,000 Speaker 2: when you live Bellingham, Washington. But they should be cheap, 351 00:16:41,160 --> 00:16:44,080 Speaker 2: like they should be less than two hundred inst cakay, 352 00:16:44,200 --> 00:16:46,600 Speaker 2: especially like in LA where there's actually competition for it. 353 00:16:46,640 --> 00:16:49,120 Speaker 1: And when should we get those because I just I 354 00:16:49,120 --> 00:16:50,960 Speaker 1: had to record you going from my doctor. Haven't had 355 00:16:50,960 --> 00:16:51,320 Speaker 1: it yet. 356 00:16:51,320 --> 00:16:54,680 Speaker 2: So the guidelines in America are sixty five and less 357 00:16:54,760 --> 00:16:57,760 Speaker 2: risk factors. Risk factor would be that you're taking like 358 00:16:57,840 --> 00:16:59,960 Speaker 2: high dos steroids or you have a mom with osteop 359 00:17:00,480 --> 00:17:05,000 Speaker 2: that'll be a risk factor. So there's multiple risk factors. 360 00:17:05,000 --> 00:17:06,719 Speaker 2: But I'm like, just pay cash and it's pretty darn 361 00:17:06,760 --> 00:17:08,840 Speaker 2: treat but you can get it whenever. So in my clinic, 362 00:17:09,160 --> 00:17:11,960 Speaker 2: I just get everybody a baseline DEXA because I'm like, 363 00:17:12,080 --> 00:17:15,159 Speaker 2: if you have osteopenia osteoporosis, we want to know about it. 364 00:17:15,200 --> 00:17:19,320 Speaker 2: Why are we waiting? Yeah, Australia is age seventy just 365 00:17:19,440 --> 00:17:21,160 Speaker 2: to get their DEXA and I'm like, oh my god, 366 00:17:21,160 --> 00:17:22,399 Speaker 2: I learned that. When I went over there. I was like, 367 00:17:22,440 --> 00:17:24,400 Speaker 2: good lord, you're just like looking at it like there's 368 00:17:24,400 --> 00:17:27,960 Speaker 2: no prevention there. It's too late. Your ovaries usually give 369 00:17:27,960 --> 00:17:31,960 Speaker 2: you hormones until about age fifty. Right, your biggest bone loss. 370 00:17:32,080 --> 00:17:34,439 Speaker 2: Let's say that rate of bone loss is in the 371 00:17:34,480 --> 00:17:38,240 Speaker 2: two years leading up to your last period. Well, that's stupid, 372 00:17:38,240 --> 00:17:40,880 Speaker 2: because how do you know what your last period is? Right? 373 00:17:40,960 --> 00:17:42,960 Speaker 1: But it's all the more some people put it on 374 00:17:42,960 --> 00:17:43,399 Speaker 1: the calendar. 375 00:17:43,480 --> 00:17:45,240 Speaker 2: I do not, right, Yeah, but how do you know 376 00:17:45,240 --> 00:17:46,840 Speaker 2: what's your last one? Oh? Yeah, because you don't know 377 00:17:46,960 --> 00:17:47,800 Speaker 2: till a year from now. 378 00:17:47,840 --> 00:17:50,720 Speaker 1: Girl, listen to me. I thought for sure I was done. 379 00:17:50,800 --> 00:17:51,440 Speaker 2: That's the date. 380 00:17:51,960 --> 00:17:54,400 Speaker 1: I learned it from another doctor. She said, there's one day. 381 00:17:54,480 --> 00:17:57,320 Speaker 1: That's the date, and I of course didn't write it down, 382 00:17:57,320 --> 00:18:00,000 Speaker 1: so I had no memory of what it was. Maybe 383 00:18:00,240 --> 00:18:03,800 Speaker 1: sixteen months later, Yeah. 384 00:18:04,040 --> 00:18:06,000 Speaker 2: I know, So I think you don't know. You don't 385 00:18:06,000 --> 00:18:07,840 Speaker 2: know That's why the period, like the period as the 386 00:18:07,880 --> 00:18:10,000 Speaker 2: definition of like that you can get treatment or not 387 00:18:10,119 --> 00:18:13,840 Speaker 2: is very stupid. And I think like the modern hormone 388 00:18:13,840 --> 00:18:16,200 Speaker 2: experts are like, let's stop hanging up on this period 389 00:18:16,200 --> 00:18:19,000 Speaker 2: because what it does is it prevents the very symptomatic 390 00:18:19,040 --> 00:18:21,879 Speaker 2: perimenopause women from getting any treatment. And I see this 391 00:18:21,920 --> 00:18:23,919 Speaker 2: all the time, like, well, I can't treat you yet 392 00:18:23,920 --> 00:18:26,119 Speaker 2: because you're still having periods. And I'm like, throw an 393 00:18:26,119 --> 00:18:28,159 Speaker 2: iud in that woman now she doesn't have periods, can 394 00:18:28,160 --> 00:18:28,760 Speaker 2: you treat her now? 395 00:18:29,040 --> 00:18:29,200 Speaker 1: Right? 396 00:18:29,240 --> 00:18:33,399 Speaker 2: Like periods are just a stupid roadblock for people. But 397 00:18:33,560 --> 00:18:36,359 Speaker 2: so in perimenopause is not feeling like myself. That not 398 00:18:36,400 --> 00:18:38,840 Speaker 2: feeling like myself, which we can't measure, right. It's like 399 00:18:38,840 --> 00:18:41,399 Speaker 2: it's not a medical diagnosi. Yeah, it's so hard to defind, 400 00:18:41,440 --> 00:18:43,159 Speaker 2: but you know it if it's you, it if it's you, 401 00:18:43,560 --> 00:18:44,879 Speaker 2: and you know it if it was you, and you 402 00:18:45,040 --> 00:18:47,240 Speaker 2: now you're feeling like yourself. Right. I just had a 403 00:18:47,240 --> 00:18:50,800 Speaker 2: woman California f live to see me. She's spent four years, 404 00:18:50,840 --> 00:18:54,399 Speaker 2: like five doctors going around being tested for like crazy 405 00:18:54,440 --> 00:18:58,400 Speaker 2: autoimmune stuff, all this stuff, and she's like doing her 406 00:18:58,400 --> 00:19:01,320 Speaker 2: own research, right, and she's like, I think I peri menopause, right. 407 00:19:01,520 --> 00:19:03,119 Speaker 2: So she comes up to see me. She tells me 408 00:19:03,160 --> 00:19:05,479 Speaker 2: your whole story, which is now like filled with medical 409 00:19:05,520 --> 00:19:09,000 Speaker 2: trauma and gaslight thing. She's there with her husband, and 410 00:19:09,040 --> 00:19:11,440 Speaker 2: I'm like, sounds like Perri menopause to me. And if 411 00:19:11,480 --> 00:19:14,439 Speaker 2: it isn't, let's give you hormones and see it. Like 412 00:19:14,960 --> 00:19:17,080 Speaker 2: the hormones won't work if it's something else, right, right, 413 00:19:17,080 --> 00:19:20,040 Speaker 2: that's the magic test, right, But if the hormones work, 414 00:19:20,080 --> 00:19:22,679 Speaker 2: like yes, perimenopause. So I did a follow up with her. 415 00:19:23,400 --> 00:19:27,600 Speaker 2: She's sleeping, She's like happier, like her brain's back. She's like, 416 00:19:27,680 --> 00:19:30,040 Speaker 2: I understand what feeling like myself feels like now because 417 00:19:30,080 --> 00:19:32,840 Speaker 2: now I feel like myself, right, And this is one 418 00:19:33,119 --> 00:19:36,400 Speaker 2: follow up. She's like, oh, if I want to tell 419 00:19:36,400 --> 00:19:38,600 Speaker 2: you this yet, but like I actually kind of want 420 00:19:38,600 --> 00:19:40,720 Speaker 2: to sign up for a half marathon. And I'm like, 421 00:19:41,040 --> 00:19:45,520 Speaker 2: oh my god. It was like four years of just 422 00:19:45,560 --> 00:19:49,720 Speaker 2: like on the couch done, and now she's like one 423 00:19:49,760 --> 00:19:52,320 Speaker 2: follow up. She's like, half marathon actually sounds pretty good 424 00:19:52,320 --> 00:19:54,480 Speaker 2: to me right now, and I'm like, holy crap. 425 00:19:54,400 --> 00:19:57,320 Speaker 1: That is amazing. I remember once I started with HRT, 426 00:19:58,080 --> 00:20:01,160 Speaker 1: I felt like maybe I should run a marathon because 427 00:20:01,240 --> 00:20:04,040 Speaker 1: I thought, well, I feel so great now, Like I 428 00:20:04,080 --> 00:20:06,640 Speaker 1: don't know what that was, but now I feel so great. 429 00:20:07,000 --> 00:20:08,760 Speaker 1: And then I quickly talked myself out of that. 430 00:20:09,240 --> 00:20:11,399 Speaker 2: Yeah, I like, it always sounds like kind of out 431 00:20:11,400 --> 00:20:13,200 Speaker 2: of the birth. Sounds good when I'm warm on my couch, 432 00:20:13,440 --> 00:20:15,200 Speaker 2: but I don't actually want to do that. But yeah, 433 00:20:15,200 --> 00:20:18,199 Speaker 2: I would say not feeling like myself sex life changing, 434 00:20:18,359 --> 00:20:21,200 Speaker 2: sleep changing. Heart palpitation super. 435 00:20:20,840 --> 00:20:23,879 Speaker 1: Common, which also can feel like anxiety. 436 00:20:24,080 --> 00:20:26,400 Speaker 2: Oh yeah, it feels very awful and panicky. I think. 437 00:20:26,440 --> 00:20:28,159 Speaker 2: I think I wrote about this in my book. A 438 00:20:28,400 --> 00:20:30,480 Speaker 2: friend in the hospital, she was We're like in the 439 00:20:30,480 --> 00:20:34,000 Speaker 2: surgeon's lounge and she's like, I don't feel safe driving 440 00:20:34,040 --> 00:20:36,399 Speaker 2: my kids around because of my heart palpitations. But I 441 00:20:36,440 --> 00:20:39,399 Speaker 2: went to the cardiologist. They did all the tests. Everything's fine, 442 00:20:39,520 --> 00:20:41,920 Speaker 2: and it's like, everything's fine, but you're still having crazy 443 00:20:41,920 --> 00:20:44,280 Speaker 2: heart palpitations that you don't feel safe driving your kids with. 444 00:20:44,680 --> 00:20:46,680 Speaker 2: And I'm like, why don't you get on some hormones 445 00:20:46,720 --> 00:20:49,119 Speaker 2: and see and she's like what, I'm like, yeah, just 446 00:20:49,480 --> 00:20:52,240 Speaker 2: try again. If it's not hormone related, the hormones won't 447 00:20:52,240 --> 00:20:54,560 Speaker 2: help them, right. It's the easy test, so she like 448 00:20:54,560 --> 00:20:56,040 Speaker 2: comes back the next time and she's like, my heart 449 00:20:56,040 --> 00:21:01,160 Speaker 2: palpitations are gone, and I'm like, yeah, because estrogen the heart, right, 450 00:21:01,480 --> 00:21:03,399 Speaker 2: And she's like, why did nobody tell me this? And 451 00:21:03,480 --> 00:21:05,439 Speaker 2: heart palpitations are one of the most common reasons that 452 00:21:05,480 --> 00:21:08,000 Speaker 2: women go to the cardiologists. Right, but remember back to 453 00:21:08,040 --> 00:21:11,240 Speaker 2: the nineties, the cardiologists knew hormones were good for the heart. 454 00:21:11,800 --> 00:21:15,880 Speaker 2: They knew that, and it's like we've forgotten, We've forgotten, 455 00:21:15,880 --> 00:21:20,359 Speaker 2: and now we have to remember everything that we knew. 456 00:21:25,320 --> 00:21:28,480 Speaker 1: I talk a lot about heart health. I advocate for it. 457 00:21:28,600 --> 00:21:30,879 Speaker 1: And one of the most frustrating things for me is 458 00:21:31,440 --> 00:21:34,520 Speaker 1: when women are feeling like something's wrong with them, maybe 459 00:21:34,560 --> 00:21:38,440 Speaker 1: they're having heart palpitations, anxiety, you know, it feels like 460 00:21:38,480 --> 00:21:41,480 Speaker 1: someone's sitting on your chests a little. They go to 461 00:21:41,520 --> 00:21:45,040 Speaker 1: the cardiologist. Finally, after being persuaded to go to a 462 00:21:45,080 --> 00:21:49,000 Speaker 1: specialized doctor, and they are given the what do they 463 00:21:49,040 --> 00:21:51,960 Speaker 1: give everybody when you oh the egg? Yep, they put 464 00:21:52,000 --> 00:21:55,159 Speaker 1: a ekg on you and they see in that very 465 00:21:55,200 --> 00:21:56,640 Speaker 1: small moment, then nothing's wrong. 466 00:21:56,680 --> 00:21:57,480 Speaker 2: Yeah, everything's fine. 467 00:21:57,560 --> 00:22:00,000 Speaker 1: Oh look at it's all perfect. You're fine. You go home. 468 00:22:00,680 --> 00:22:05,000 Speaker 1: That is for me such a miss for healthcare because 469 00:22:06,240 --> 00:22:08,479 Speaker 1: you don't know what happens the many you take off 470 00:22:08,600 --> 00:22:13,840 Speaker 1: those yeah, receptors whatever they're called. Totally Yeah, it just 471 00:22:13,880 --> 00:22:16,119 Speaker 1: frustrates me beyond beyond. 472 00:22:16,480 --> 00:22:20,080 Speaker 2: It's incredibly frustrating, incredibly frustrating. And there aren't a lot 473 00:22:20,119 --> 00:22:24,520 Speaker 2: of female cardiologists right, it's hard to find. It's still 474 00:22:24,640 --> 00:22:27,960 Speaker 2: very male dominated. There's still a and to me, I'm like, 475 00:22:28,000 --> 00:22:29,880 Speaker 2: I get to kind of speak truth to power because 476 00:22:29,880 --> 00:22:31,879 Speaker 2: I'm like, I went through the system, I'm in it. 477 00:22:31,960 --> 00:22:34,560 Speaker 2: I still practice medicine and I can now but I'm 478 00:22:34,600 --> 00:22:36,880 Speaker 2: old enough and I'm wise enough, and especially like again, 479 00:22:36,960 --> 00:22:39,520 Speaker 2: I'm the urologist who gives the man to stop short 480 00:22:39,600 --> 00:22:42,000 Speaker 2: in viagra and sees how the women are treated. So 481 00:22:42,040 --> 00:22:44,600 Speaker 2: I'm over here being like there's gender bias in medicine 482 00:22:44,680 --> 00:22:47,199 Speaker 2: and a lot of people know that, but a lot 483 00:22:47,280 --> 00:22:49,360 Speaker 2: of people don't want to know that and they don't 484 00:22:49,359 --> 00:22:50,360 Speaker 2: want to believe. 485 00:22:50,119 --> 00:22:51,280 Speaker 1: Now they just look the other way. 486 00:22:51,400 --> 00:22:53,320 Speaker 2: Yeah, like, oh, it's not it's not that bad though, 487 00:22:53,680 --> 00:22:56,320 Speaker 2: It's like, but for that woman, it is really bad 488 00:22:56,359 --> 00:22:58,200 Speaker 2: because she's suffering and she's not getting help. 489 00:22:58,280 --> 00:23:00,440 Speaker 1: It makes sense that that would be their im back 490 00:23:01,080 --> 00:23:06,240 Speaker 1: specifically because it's a male dominated industry. Come on, ladies, 491 00:23:08,320 --> 00:23:09,800 Speaker 1: it's hard, yes, but it's hard. 492 00:23:09,920 --> 00:23:11,080 Speaker 2: It's actually very hard. 493 00:23:11,800 --> 00:23:13,520 Speaker 1: But I know it sounds so easy. I'm just gonna go. 494 00:23:13,560 --> 00:23:15,920 Speaker 2: I'm just gonna go go spend that money and that 495 00:23:16,000 --> 00:23:18,399 Speaker 2: time in my twenties, all of my tent and all 496 00:23:18,440 --> 00:23:18,960 Speaker 2: of my twenties. 497 00:23:19,040 --> 00:23:24,280 Speaker 1: Yeah, okay. Most important habits to start today to age well, 498 00:23:24,720 --> 00:23:26,359 Speaker 1: bang bang bang sleep yep. 499 00:23:26,920 --> 00:23:29,960 Speaker 2: Weightlifting huh oh. I mean I would say not just weightlifting, 500 00:23:29,960 --> 00:23:35,000 Speaker 2: but like mobility, stretching, Yeah, stretching, like put your hips 501 00:23:35,000 --> 00:23:37,040 Speaker 2: through the range of motion, butt your needs to like 502 00:23:37,280 --> 00:23:40,600 Speaker 2: number one. I think it feels absolutely fantamic. Like a 503 00:23:40,640 --> 00:23:44,400 Speaker 2: mobility class is like ah, like and I'm not even 504 00:23:44,440 --> 00:23:47,760 Speaker 2: talking yoga like now, mobility is like rotating, yeah, like 505 00:23:48,320 --> 00:23:51,320 Speaker 2: the hip the hip flips right, and like the hamstring stretches. 506 00:23:51,320 --> 00:23:54,600 Speaker 2: It's like, well, and that's what a lot of trainers 507 00:23:54,680 --> 00:23:56,840 Speaker 2: will say, is like it's not just how strong you are, 508 00:23:56,920 --> 00:23:59,080 Speaker 2: but that your body can do the full range of 509 00:23:59,119 --> 00:24:02,360 Speaker 2: motion and you keep the keeps moving. Yeah, oh keep 510 00:24:02,720 --> 00:24:05,640 Speaker 2: that your joints keep moving. So I would say mobility 511 00:24:05,720 --> 00:24:09,359 Speaker 2: is massively important. The data on protein now and like 512 00:24:09,480 --> 00:24:13,479 Speaker 2: aging is like we don't we don't. We're not as 513 00:24:13,480 --> 00:24:16,040 Speaker 2: efficient with protein as we were when we were younger, 514 00:24:16,080 --> 00:24:18,320 Speaker 2: so we really have to prioritize it in the diet 515 00:24:18,840 --> 00:24:20,480 Speaker 2: and just and I think I put this in the book, 516 00:24:20,520 --> 00:24:22,720 Speaker 2: but it's like they didn't tell women to exercise any 517 00:24:22,720 --> 00:24:25,320 Speaker 2: different airlift weights. They just fed one high protein and 518 00:24:25,359 --> 00:24:27,760 Speaker 2: the other one was like regular, and their body composition 519 00:24:27,920 --> 00:24:31,919 Speaker 2: changed just by having a protein centric food choices. 520 00:24:32,119 --> 00:24:34,240 Speaker 1: Yeah, this is all conversation that's just been happening. 521 00:24:34,320 --> 00:24:37,080 Speaker 2: Yeah, it's brand new stuff. It's brand new stuff. And 522 00:24:37,119 --> 00:24:39,119 Speaker 2: I mean for us, like our generations, it's like, do 523 00:24:39,160 --> 00:24:41,000 Speaker 2: we grow up in the nineties. I was talking to 524 00:24:41,080 --> 00:24:42,760 Speaker 2: you know, I was doing a podcast yesterday and I'm like, 525 00:24:42,800 --> 00:24:45,040 Speaker 2: I am I way more than I've ever weighed in 526 00:24:45,119 --> 00:24:47,280 Speaker 2: my life. And it's a massive mind trip and you 527 00:24:47,400 --> 00:24:49,080 Speaker 2: got to do work on it. Yeah, but I'm like, 528 00:24:49,160 --> 00:24:52,320 Speaker 2: I am stronger than I've ever been and frankly, like 529 00:24:53,040 --> 00:24:55,120 Speaker 2: I dig it and I know the science now, right, 530 00:24:55,200 --> 00:24:55,560 Speaker 2: But it's like. 531 00:24:55,560 --> 00:24:58,160 Speaker 1: Oh, we're not supposed to weigh Yeah, we did thirty 532 00:24:58,240 --> 00:24:58,560 Speaker 1: years ago. 533 00:24:58,640 --> 00:25:01,439 Speaker 2: Kate Moss was our hero, right, Like the nineties did 534 00:25:01,480 --> 00:25:05,400 Speaker 2: a number Oh yeah on our generation. Well, yes, very popular, 535 00:25:05,560 --> 00:25:08,600 Speaker 2: very popular, and so to me, I'm like, muscle actually 536 00:25:08,640 --> 00:25:11,359 Speaker 2: weighs a lot. Yes, and I'm working with a trainer 537 00:25:11,400 --> 00:25:13,600 Speaker 2: now so that, like I've told her, I'm like, listen, 538 00:25:13,640 --> 00:25:15,720 Speaker 2: I know a lot, but this is still messing with me, 539 00:25:16,200 --> 00:25:18,280 Speaker 2: Like you tell me when I need to, you know, 540 00:25:18,440 --> 00:25:20,600 Speaker 2: back off or pivot or blah blah blah. And right 541 00:25:20,640 --> 00:25:23,480 Speaker 2: now she's like eat e gets strong, gets strong, gets strong, 542 00:25:23,480 --> 00:25:25,680 Speaker 2: And I'm like, I'm just going on the journey because 543 00:25:25,760 --> 00:25:28,719 Speaker 2: to me, I'm like, it's it's easier to maintain and 544 00:25:28,720 --> 00:25:31,800 Speaker 2: build now than twenty years from now. Right right, It's 545 00:25:31,840 --> 00:25:34,439 Speaker 2: like it can be done, but keep it up. And 546 00:25:34,480 --> 00:25:36,919 Speaker 2: you can keep it up. But it's like everything you 547 00:25:36,960 --> 00:25:39,639 Speaker 2: do is just small things, just small things of like 548 00:25:39,840 --> 00:25:42,200 Speaker 2: I spent my twenties trying to be as small as possible, 549 00:25:42,400 --> 00:25:44,439 Speaker 2: and that is not serving me anymore. 550 00:25:45,640 --> 00:25:48,320 Speaker 1: I had doctor Nicholas Paracon on and he said every 551 00:25:48,400 --> 00:25:50,919 Speaker 1: day that you're not eating enough protein, you're aging. 552 00:25:51,760 --> 00:25:51,960 Speaker 2: Oh. 553 00:25:52,760 --> 00:25:56,480 Speaker 1: I was like, well, taking me your aging, I get 554 00:25:56,520 --> 00:25:56,840 Speaker 1: your point. 555 00:25:56,920 --> 00:25:58,360 Speaker 2: Yeah, yeah, yeah, I get your fun. Yeah. 556 00:25:58,400 --> 00:26:01,639 Speaker 1: He's he's all about the protein. He oh, he drinks 557 00:26:01,760 --> 00:26:02,760 Speaker 1: salmon shakes. 558 00:26:03,160 --> 00:26:07,040 Speaker 2: My brother drinks raw eggs. Okay, I know, I know, 559 00:26:07,200 --> 00:26:08,239 Speaker 2: I don't think I'm not there. 560 00:26:08,320 --> 00:26:09,680 Speaker 1: I'm not gonna drink a salmon shank. 561 00:26:09,720 --> 00:26:12,680 Speaker 2: I'm sorry, no, oh, but I mean debay. So I've 562 00:26:12,680 --> 00:26:15,199 Speaker 2: started this year two scoops of wave protein in my 563 00:26:15,359 --> 00:26:16,760 Speaker 2: in my protein shake instead of one. 564 00:26:16,840 --> 00:26:19,480 Speaker 1: Oh, instead of like the direction say one scoop. 565 00:26:19,320 --> 00:26:22,480 Speaker 2: One scoop, I'm like two scoops. I got fifty I 566 00:26:22,480 --> 00:26:26,360 Speaker 2: got fifty grams in first meal, first meal. Yeah, it's delicious. Good. 567 00:26:26,480 --> 00:26:29,240 Speaker 1: First thing in the morning, when I make a smoothie 568 00:26:29,280 --> 00:26:31,920 Speaker 1: and I pour my protein drink into it, like it's 569 00:26:31,920 --> 00:26:35,159 Speaker 1: got like thirty or something, thirty two grams of protein 570 00:26:35,200 --> 00:26:37,280 Speaker 1: in it. And then by the time I've had like 571 00:26:37,320 --> 00:26:39,880 Speaker 1: my after workout protein bar, a little thing that only 572 00:26:39,960 --> 00:26:43,200 Speaker 1: has like twolves, I'm already like I'm halfway there, yeah 573 00:26:43,200 --> 00:26:43,720 Speaker 1: for my day. 574 00:26:43,800 --> 00:26:44,080 Speaker 2: Yeah. 575 00:26:44,119 --> 00:26:45,600 Speaker 1: And it makes me feel so good, like, oh, I 576 00:26:45,640 --> 00:26:47,040 Speaker 1: can totally do this totally. 577 00:26:47,200 --> 00:26:50,760 Speaker 2: Yeah. Like muscle is so like it helps with insolin sensitivity. 578 00:26:50,920 --> 00:26:53,800 Speaker 2: It muscle helps you not fall. Muscle helps you get 579 00:26:53,840 --> 00:26:55,520 Speaker 2: off the ground once you do fall. I just read 580 00:26:55,520 --> 00:26:57,400 Speaker 2: something people are like, we're doing it wrong. We're telling 581 00:26:57,440 --> 00:26:59,680 Speaker 2: people not to fall. We're not telling him how to 582 00:26:59,680 --> 00:27:02,280 Speaker 2: get back up once they fell, so like the problem is, 583 00:27:02,320 --> 00:27:04,800 Speaker 2: like you get down, you can't get back up again, right, Like, 584 00:27:04,800 --> 00:27:07,080 Speaker 2: oh my god, we're not teaching people how to get up. 585 00:27:07,760 --> 00:27:12,480 Speaker 1: The date she was home with my daughters and she 586 00:27:12,600 --> 00:27:16,639 Speaker 1: fell in front yard. Oh god, she's fine. Sorry, uh, 587 00:27:16,720 --> 00:27:19,520 Speaker 1: but they couldn't get her up. She didn't know how 588 00:27:19,520 --> 00:27:22,400 Speaker 1: to get up. They sat there for an hour until 589 00:27:22,400 --> 00:27:26,800 Speaker 1: I got home. Yeah, talking on the ground, she was thankfully. 590 00:27:27,280 --> 00:27:30,000 Speaker 2: Mobility is because it's like, once you're down, get back up. 591 00:27:30,040 --> 00:27:31,080 Speaker 2: It's hard. It's hard. 592 00:27:31,119 --> 00:27:36,359 Speaker 1: It's hard flip your body over. Yeah, Okay, education is 593 00:27:36,359 --> 00:27:40,639 Speaker 1: the answer to combating fear around most things, I agreed, 594 00:27:40,960 --> 00:27:44,880 Speaker 1: But definitely when it comes to advocating for our healthcare, Yeah, 595 00:27:46,680 --> 00:27:50,760 Speaker 1: where to go for the best information and education about menopause. 596 00:27:51,000 --> 00:27:53,720 Speaker 1: There's a lot of misinformation out there, as we've talked about, 597 00:27:54,200 --> 00:27:57,960 Speaker 1: so it's not always easy to know what is what. 598 00:27:58,520 --> 00:28:03,800 Speaker 2: Yeah, it's I mean, we have so much availability to free, 599 00:28:03,840 --> 00:28:06,960 Speaker 2: easily accessible stuff now it's awesome, but with that comes 600 00:28:06,960 --> 00:28:09,719 Speaker 2: a bunch of bullshit. Right, So I mean, these are 601 00:28:09,760 --> 00:28:11,679 Speaker 2: the things, right, is somebody trying to sell you something 602 00:28:12,040 --> 00:28:12,560 Speaker 2: that might. 603 00:28:12,400 --> 00:28:16,439 Speaker 1: Be always it's always every time you need this anti 604 00:28:16,520 --> 00:28:17,399 Speaker 1: aging just make. 605 00:28:17,240 --> 00:28:19,879 Speaker 2: Your fashion better, like you won't go through menopause. It's like, no, 606 00:28:19,920 --> 00:28:22,920 Speaker 2: it's not how science works. But so like that's number one, 607 00:28:23,000 --> 00:28:25,440 Speaker 2: number two, and a lot of people who know things 608 00:28:25,600 --> 00:28:28,760 Speaker 2: have great things to offer. I'm not saying it's all bad, no, 609 00:28:28,920 --> 00:28:31,240 Speaker 2: but like if it's some crazy like this shoe will 610 00:28:31,240 --> 00:28:33,879 Speaker 2: make you not go through menopause, that's not how science works. 611 00:28:34,400 --> 00:28:36,600 Speaker 2: So like that's the first thing, is like what's their angle? 612 00:28:37,119 --> 00:28:39,040 Speaker 2: But I think like the other because I think about 613 00:28:39,040 --> 00:28:41,680 Speaker 2: this a lot of like I never I'm I actually 614 00:28:41,680 --> 00:28:43,000 Speaker 2: at the end of the day. So I tell women 615 00:28:43,000 --> 00:28:44,680 Speaker 2: I put this in my book. I don't care if 616 00:28:44,720 --> 00:28:46,520 Speaker 2: you go on hormones or not. I don't care. I'm 617 00:28:46,560 --> 00:28:49,160 Speaker 2: not living in your body. You get to decide what 618 00:28:49,200 --> 00:28:51,360 Speaker 2: you want to do. But I care desperately that you 619 00:28:51,440 --> 00:28:54,440 Speaker 2: have the information so that you can make an educated 620 00:28:54,480 --> 00:28:57,840 Speaker 2: decision based upon information and not fear. And I think 621 00:28:57,960 --> 00:28:59,480 Speaker 2: what I mean by that on like who to follow 622 00:28:59,520 --> 00:29:02,560 Speaker 2: and who to listen into. Do these people actually prescribe hormones? 623 00:29:03,960 --> 00:29:07,000 Speaker 2: Is that their job? Because those are the people that 624 00:29:07,200 --> 00:29:10,680 Speaker 2: actually know new information. Yeah, they know because they know 625 00:29:10,720 --> 00:29:13,040 Speaker 2: their craft. They know what women are telling them when 626 00:29:13,040 --> 00:29:15,680 Speaker 2: they come back they know how to dose things, they've 627 00:29:15,880 --> 00:29:18,680 Speaker 2: they've read, like that's their job, right. So it's like 628 00:29:18,720 --> 00:29:21,200 Speaker 2: if you follow people and they actually see people in clinic, 629 00:29:21,280 --> 00:29:24,400 Speaker 2: they're actually doing the work. Those are the people who 630 00:29:24,480 --> 00:29:26,360 Speaker 2: know the most about it if you should be on 631 00:29:26,400 --> 00:29:29,280 Speaker 2: hormones or not. And I'm like, everybody else is helping 632 00:29:29,320 --> 00:29:33,440 Speaker 2: support us, right. Interestingly enough, like the athletic trainer community 633 00:29:33,840 --> 00:29:35,520 Speaker 2: is super on board with hormones. 634 00:29:36,000 --> 00:29:36,800 Speaker 1: Really, yeah. 635 00:29:36,920 --> 00:29:38,440 Speaker 2: I have these women they're like, oh yeah, my twenty 636 00:29:38,480 --> 00:29:40,560 Speaker 2: six year old trainer told me to go get on hormones. 637 00:29:40,560 --> 00:29:42,560 Speaker 2: And I'm like, what's the bro no about this? Right? 638 00:29:42,600 --> 00:29:45,080 Speaker 2: And he's like they know that it helps build muscle, 639 00:29:45,120 --> 00:29:46,840 Speaker 2: and they know that it's good for sleep, and like 640 00:29:47,520 --> 00:29:50,000 Speaker 2: that is a cool industry that like really supports women 641 00:29:50,000 --> 00:29:52,280 Speaker 2: in hormones. But it's like, for the most part, a 642 00:29:52,280 --> 00:29:54,720 Speaker 2: lot of other people aren't boots on the ground. They're 643 00:29:54,720 --> 00:29:57,320 Speaker 2: not doing this work. And there is a level of 644 00:29:57,360 --> 00:30:02,479 Speaker 2: expertise that comes from seeing giving women hormones, going to 645 00:30:02,520 --> 00:30:06,640 Speaker 2: the conferences and like being obsessed with this topic and 646 00:30:06,680 --> 00:30:10,360 Speaker 2: everybody else if they're not prescribing, they don't know as much. 647 00:30:10,520 --> 00:30:12,719 Speaker 2: And I think that's kind of an easy way to 648 00:30:12,720 --> 00:30:16,840 Speaker 2: be like, what's this person's job, what's their motivation behind 649 00:30:16,880 --> 00:30:20,160 Speaker 2: telling you the information that they're telling you? And that's 650 00:30:20,240 --> 00:30:22,280 Speaker 2: kind of a good because it is the Internet's kind 651 00:30:22,320 --> 00:30:25,200 Speaker 2: of a wild West, and if you're a good salesperson, right, 652 00:30:25,360 --> 00:30:27,320 Speaker 2: you can be taken. But it's like what do they 653 00:30:27,320 --> 00:30:30,880 Speaker 2: actually do? Did they go to medical school or nurse 654 00:30:30,880 --> 00:30:34,680 Speaker 2: practitioner school? Like do they actually prescribe hormones and see 655 00:30:34,760 --> 00:30:38,480 Speaker 2: patients and listen to women? Because those are the people 656 00:30:38,480 --> 00:30:39,200 Speaker 2: that actually know. 657 00:30:39,520 --> 00:30:42,400 Speaker 1: What do you think should my doctor be a woman? 658 00:30:44,960 --> 00:30:45,720 Speaker 1: You're like I can't. 659 00:30:45,760 --> 00:30:49,760 Speaker 2: Oh lord, I think any gender can doctor? Very well. 660 00:30:49,800 --> 00:30:53,600 Speaker 2: Good good answer, and I actually have a podcast episode 661 00:30:54,800 --> 00:30:57,520 Speaker 2: us this year is like in the summer. There's actually 662 00:30:57,520 --> 00:30:59,920 Speaker 2: a lot of research that a lot of people don't 663 00:31:00,120 --> 00:31:03,120 Speaker 2: want to believe, but they have enough research that they 664 00:31:03,120 --> 00:31:05,959 Speaker 2: have meta analyzes, which is studies of studies. That's how 665 00:31:06,040 --> 00:31:09,720 Speaker 2: much research is done on this, looking at surviving after surgery, 666 00:31:09,800 --> 00:31:13,080 Speaker 2: surviving after a heart attack if your physician is female, 667 00:31:13,480 --> 00:31:17,440 Speaker 2: And people don't want to know that that exists because 668 00:31:17,480 --> 00:31:20,720 Speaker 2: people because there's a learning opportunity there. Right, what is 669 00:31:20,800 --> 00:31:25,160 Speaker 2: it about the way women doctor that's leading to survival benefits? 670 00:31:26,120 --> 00:31:28,360 Speaker 2: And people don't want to learn that. But it's like, dude, 671 00:31:28,400 --> 00:31:31,560 Speaker 2: there's data on it, like crazy data because because you 672 00:31:31,560 --> 00:31:33,600 Speaker 2: could say, well, maybe you just picked the right doctor 673 00:31:34,200 --> 00:31:36,280 Speaker 2: or maybe you just knew she was good because you 674 00:31:36,440 --> 00:31:39,320 Speaker 2: just got good. Well, when you go into the emergency department, 675 00:31:39,360 --> 00:31:41,040 Speaker 2: you don't get to pick who your doctor is. So 676 00:31:41,080 --> 00:31:42,960 Speaker 2: that's a pretty good study. So they actually have a 677 00:31:43,000 --> 00:31:46,040 Speaker 2: study that if if a female goes to an emergency 678 00:31:46,080 --> 00:31:49,920 Speaker 2: department with chest pain, heart attack and her doctor happen 679 00:31:50,000 --> 00:31:54,400 Speaker 2: to be female, your chance of living is higher. And 680 00:31:54,440 --> 00:31:55,959 Speaker 2: I'm like, I can't make up the data. I can 681 00:31:56,000 --> 00:31:56,480 Speaker 2: just report it. 682 00:31:56,560 --> 00:31:58,880 Speaker 1: Yeah, listen, we're not giving you our opinions right now. 683 00:31:59,000 --> 00:32:02,040 Speaker 2: That is the published literature, and I interviewed the and 684 00:32:02,080 --> 00:32:06,600 Speaker 2: the person who's who's spearheading this research is a male urologist. 685 00:32:07,080 --> 00:32:09,600 Speaker 1: Okay, first, I want to know how do people find 686 00:32:09,640 --> 00:32:10,200 Speaker 1: your podcast? 687 00:32:10,280 --> 00:32:11,400 Speaker 2: It's called You Were Not Broken? 688 00:32:12,000 --> 00:32:15,480 Speaker 1: You You Are Not Are Not Broken with Kelly Casperson. 689 00:32:16,320 --> 00:32:20,280 Speaker 1: And your book that's on shelf right now is just 690 00:32:20,400 --> 00:32:23,680 Speaker 1: like Bible material that's pretty good for everybody that. 691 00:32:23,640 --> 00:32:26,480 Speaker 2: Needs to read. Wait, show it the show if you. 692 00:32:26,480 --> 00:32:30,040 Speaker 1: Guys want to pick up this. The Menopause moment. Can 693 00:32:30,040 --> 00:32:30,560 Speaker 1: you see it? 694 00:32:30,600 --> 00:32:35,000 Speaker 2: Mindset, hormones and science for optimal longevity. Love it, love. 695 00:32:34,760 --> 00:32:38,520 Speaker 1: It longevity right there on the cover. Thank you, Kelly, 696 00:32:38,560 --> 00:32:41,000 Speaker 1: Thanks for having me. You've really added a lot of 697 00:32:41,040 --> 00:32:46,160 Speaker 1: tools to my toolkit. And I hope everybody listening. But 698 00:32:46,160 --> 00:32:48,360 Speaker 1: if you have more questions, read the book. If you 699 00:32:48,400 --> 00:32:51,400 Speaker 1: have more questions, listen to our podcast. She's here to 700 00:32:51,400 --> 00:32:52,320 Speaker 1: help us. Thank you so 701 00:32:52,440 --> 00:32:53,680 Speaker 2: Much, thanks for having me.