WEBVTT - BONUS 'The Menopause Moment' Tool-Kit with Dr. Kelly Casperson

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<v Speaker 1>You're listening to I Choose Me with Jenny garl.

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<v Speaker 2>Hi.

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<v Speaker 1>Welcome back to a bonus I Choose Me. Doctor Kelly

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<v Speaker 1>Casperson is back to share some tips. We are going

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<v Speaker 1>to make a toolkit for your menopause moment, which is

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<v Speaker 1>the title of her new book, and it's a must

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<v Speaker 1>reade for anybody navigating this stage of life and reminding

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<v Speaker 1>us that menopause doesn't have to be scary. So let's

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<v Speaker 1>dive into the toolbox. Okay, So let's stick with the

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<v Speaker 1>cold heart facts and not get into the opinions. Let's

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<v Speaker 1>I sometimes do. We're just gonna sit here and we're

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<v Speaker 1>going to deliver the actual four to one one about

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<v Speaker 1>what is happening to our bodies and what we can

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<v Speaker 1>do to improve them. Okay, So, Kelly, what is a

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<v Speaker 1>difference between peri menopause and menopause? What is the difference periods?

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<v Speaker 2>Basically, so peri menopause is your ovaries are basically going offline.

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<v Speaker 2>It's reverse puberty menopause, meaning you now have very low hormones.

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<v Speaker 2>You over you still make a little bit of disosterone,

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<v Speaker 2>but your horns are so low that you no longer

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<v Speaker 2>make a period or have fertility basically, So the midlife experts,

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<v Speaker 2>a mid life hormone experts, actually hate the word menopause

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<v Speaker 2>because it's this very artificial dividing line between this group

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<v Speaker 2>of people who ken or cannot do something and this

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<v Speaker 2>group of people who ken or cannot do something, and

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<v Speaker 2>all of that revolves around like having your last period, right,

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<v Speaker 2>a date on the calendar, a date on the calendar,

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<v Speaker 2>which a third of women don't have a last period

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<v Speaker 2>because of hysterectomy, iud's, birth control, uterimblations, all that stuff, right,

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<v Speaker 2>So for a third of women I don't even have

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<v Speaker 2>a date on a calendar. That's meaningful, right. So, like

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<v Speaker 2>the true hormone experts hate the word menopause because we're like,

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<v Speaker 2>it's just a symptom of not having hormones, which is

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<v Speaker 2>going on in perimenopause. So that's the difference. But it's

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<v Speaker 2>kind of this artificial, stupid, made up thing. But when

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<v Speaker 2>they defined or they defined when they coin the menopause,

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<v Speaker 2>it was over one hundred years ago. We couldn't measure hormones,

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<v Speaker 2>we didn't know what ovaries did well. We could see periods,

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<v Speaker 2>and periods stopped right in some people. So like that

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<v Speaker 2>just kind of stuck.

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<v Speaker 1>So the yeah, the whole meno menstruation pause.

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<v Speaker 2>Yeah, this is the ceasing of natural periods.

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<v Speaker 1>There's so much more to us. Yeah, yeah, no opinion. Sorry,

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<v Speaker 1>Okay about doctors. You say we need a personal relationship

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<v Speaker 1>with our doctors, which can feel really hard, you know,

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<v Speaker 1>I mean just due to what we talked about on

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<v Speaker 1>the podcast. Uh, the scheduling of it all, the timing

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<v Speaker 1>of it all, because once you wait in the waiting room,

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<v Speaker 1>then you get in that door, you can feel rushed,

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<v Speaker 1>and then you kind of lose what you wanted to

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<v Speaker 1>ask them about, and then you end up leaving and

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<v Speaker 1>be like, oh man, I forgot to ask them about this,

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<v Speaker 1>and I just didn't feel like they wanted to hear

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<v Speaker 1>it because they had spent enough time with me. You know,

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<v Speaker 1>all those things go through your head. Uh you said,

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<v Speaker 1>and I'm gonna quote you. If they don't listen to

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<v Speaker 1>you or tell you to just read fewer books, get

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<v Speaker 1>a second opinion.

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<v Speaker 2>Yes, in America, we have the privilege of getting a

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<v Speaker 2>second opinion. Now, it costs money and it costs time,

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<v Speaker 2>but we have the privilege of getting because I just

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<v Speaker 2>learned in Canada, the doctor you have is the doctor

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<v Speaker 2>you have. And I was like, ooh, because if they

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<v Speaker 2>don't know anything about hormones or menopause, that's a problem. Yeah,

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<v Speaker 2>So at least in America we get to be a

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<v Speaker 2>little more mobile and the online clinics now, so there

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<v Speaker 2>are many online companies that only do like their job

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<v Speaker 2>is hormones, right, So it's like that's a friendly audience already.

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<v Speaker 2>And so it's like keep your primary care doctor for

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<v Speaker 2>when you have pink eye and when you break your wrist,

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<v Speaker 2>and like for all the doctor things. But maybe if

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<v Speaker 2>you really want the hormone specialist, you're either going to

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<v Speaker 2>seek out a hormone specialist who will spend time with you,

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<v Speaker 2>usually outside the insurance system because insurance doesn't pay enough

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<v Speaker 2>for you to actually spend an hour with somebody, but

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<v Speaker 2>really like getting to know that relationship if you can

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<v Speaker 2>afford that is very valuable, or the online clinics where

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<v Speaker 2>it's like you're going to those people for hormones. Everybody

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<v Speaker 2>knows why everybody's here, right, It's that kind of party.

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<v Speaker 2>So that's also another option for people to seek out.

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<v Speaker 2>A lot of people who live in rural America, they

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<v Speaker 2>don't have a doctor nearby.

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<v Speaker 1>Or their doctor is like, I'm sorry to say it

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<v Speaker 1>eighty years old?

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<v Speaker 2>Oh dated? Yeah, yeah, outdated. And the other like pro

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<v Speaker 2>tip is when a doctor says I think your risk

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<v Speaker 2>of blood clot's too high or whatever whatever they're going

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<v Speaker 2>to say, I think you shouldn't have this because your risk.

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<v Speaker 1>Is too high.

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<v Speaker 2>In a nice way, say what is that risk? Because

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<v Speaker 2>what I hear a lot of is they're like, oh,

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<v Speaker 2>you can't have that because the risk of heart diseases

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<v Speaker 2>is too high. It's like it actually isn't if you

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<v Speaker 2>read the data right. So to me, I'm like, you

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<v Speaker 2>don't have to never be confrontational or challenging, but sometimes

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<v Speaker 2>when people say your risk is too high, it's okay

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<v Speaker 2>to be like, what is that risk?

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<v Speaker 1>Yeah?

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<v Speaker 2>Where would I risk? I learned that risk? Like did

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<v Speaker 2>you know? I actually know what that risk is. And

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<v Speaker 2>the more I read into this like that, especially the

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<v Speaker 2>transdermal estrogence that you're not swallowing, they don't go through

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<v Speaker 2>your liver, they don't increase your blood clot risk, don't

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<v Speaker 2>increase heart disease risk, they don't increase dementia. Risks like

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<v Speaker 2>these are incredibly safe. So if doctors are saying they

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<v Speaker 2>you can't have that because it increases your risk of X,

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<v Speaker 2>Y and Z. If you're like, where can I read

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<v Speaker 2>about that risk? Like where do you know that from?

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<v Speaker 2>In again, you want to maintain the relationship. But I

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<v Speaker 2>think a lot of women take everything as fact instead

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<v Speaker 2>of like, maybe it's just outdated data. If they're quoting

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<v Speaker 2>the WHI data, those are medications we don't currently use.

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<v Speaker 1>And I think that's a tendency to listen to your

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<v Speaker 1>doctor and do what they say. Yeah, well, yeah, totally right. Yeah,

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<v Speaker 1>but it's okay to question.

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<v Speaker 2>It's okay to question.

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<v Speaker 1>I think the key is curiosity. Yeah, get curious.

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<v Speaker 2>Doctors are a profession who are trained to help you,

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<v Speaker 2>just like like if I get a lawyer for something,

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<v Speaker 2>or my accountant for something, or my mechanic for something.

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<v Speaker 2>Is like, it's okay to ask them a question. It's

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<v Speaker 2>not off limits. It's a professional trying to help you

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<v Speaker 2>with the piece of your life. But it's your body

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<v Speaker 2>at the end of the day. You should have autonomy

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<v Speaker 2>and be able to ask a question.

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<v Speaker 1>Yeah, there's a stigma, I think, and a fear of

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<v Speaker 1>ev sounding stupid or yeah, being seen as stupid or

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<v Speaker 1>just like I don't know anything, but the fact is

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<v Speaker 1>there are no stupid questions. Yea, and you can get

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<v Speaker 1>really comfortable just being curious about so many things.

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<v Speaker 2>Yeah, totally. And I think you can open with that

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<v Speaker 2>and be like, listen, I'm not a physician. I have

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<v Speaker 2>done some reading. My understanding is x y z AM.

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<v Speaker 2>I off base with that. You know, it's like learning

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<v Speaker 2>just how to be a good communicator and non threatening

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<v Speaker 2>way like if like what I've heard is you know,

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<v Speaker 2>kind of keep it open. Can we learn about this together?

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<v Speaker 2>You know, that might be a cool thing, So it

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<v Speaker 2>can be it can be done. And if if you

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<v Speaker 2>keep hitting a brick wall, maybe see somebody else.

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<v Speaker 1>Yeah, I've heard a lot of stories. I've heard a

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<v Speaker 1>lot of stories. Where can we find the information about

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<v Speaker 1>specialized women's health doctors? Do you recommend a certain website?

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<v Speaker 1>I don't want to affiliate you with one if you

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<v Speaker 1>have no affiliation, but in general, for a woman that's

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<v Speaker 1>listening in Albuquerque, New Mexico, yep, and she needs some

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<v Speaker 1>she needs a doctor recommended. So where did you.

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<v Speaker 2>Start one of my favorite resources because I don't I

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<v Speaker 2>don't have my own, Like it's a beast to try

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<v Speaker 2>to maintain one of those things, right. One of my

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<v Speaker 2>favorite ones is the International Society for the Study of

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<v Speaker 2>Women's Sexual Health. It's a mouthful, but it's called ishish

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<v Speaker 2>ish wish dot org. International Society for the Study of

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<v Speaker 2>Women's Sexual Health. Why I like that database is number one.

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<v Speaker 2>They're very comfortable with women's sexuality. They know a lot

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<v Speaker 2>about vaginal estrogen. They know a lot about testosterone because

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<v Speaker 2>their biggest, you know, study is in libido, right, so

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<v Speaker 2>those people tend to know a lot about hormones and bonus,

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<v Speaker 2>they know a lot about sex, and so to me,

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<v Speaker 2>I'm like, those are my favorite people. But like they're

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<v Speaker 2>already very if you're if you're a physician or a

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<v Speaker 2>nurse practitioner a PA who cares about sex lives, you

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<v Speaker 2>know how important hormones are because sex is biopsychosocial and

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<v Speaker 2>the hormones that you have affect your sex life, right,

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<v Speaker 2>So I love that. The other option is menopause dot org,

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<v Speaker 2>but it is I wouldn't say everybody on that database

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<v Speaker 2>is up to dated on everything, but it's a good

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<v Speaker 2>starting point for that. And then the online clinics, I

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<v Speaker 2>mean there's several right now, so I'm not affiliated right

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<v Speaker 2>primarily with any of them, but alloy ever, now interlude

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<v Speaker 2>for vaginal estrogen, they're like vaginal estrogen only they're awesome.

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<v Speaker 2>Get interlude maybe maybe joy ja oh I, who am

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<v Speaker 2>I missing? Jenev. So there's a lot of online ones.

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<v Speaker 2>Some of them take insurance, some of them do not

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<v Speaker 2>take insurance, so you can just kind of start learning.

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<v Speaker 2>The other thing that you know people can do is

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<v Speaker 2>like if you've got a friend who's willing to talk

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<v Speaker 2>about because women who are on hormones where it's dramatically

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<v Speaker 2>changed their life, they're moving the needle for everybody. They

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<v Speaker 2>want to talk about it. Like if you go from

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<v Speaker 2>not sleeping to sleeping, you'd like to tell.

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<v Speaker 1>People life change it basically exactly.

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<v Speaker 2>Like if you weren't having orgasms and now you are,

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<v Speaker 2>you want to talk about it because you want you want,

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<v Speaker 2>you want to say yeah. So it's like find the

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<v Speaker 2>friend who did it first and be like, where are

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<v Speaker 2>you going? Who are you seeing? Blah blah.

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<v Speaker 1>That's great advice.

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<v Speaker 2>But I would say, because I see this a lot

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<v Speaker 2>on the internet, it's like what's the best X, Y

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<v Speaker 2>and Z for hormones? And it's like individual results may vary.

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<v Speaker 2>Everybody might need a different dose and route. It is individualized, yes, right,

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<v Speaker 2>because there's a lot of like, but Susie's on this

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<v Speaker 2>and blah blah blah blah blah my on the best

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<v Speaker 2>thing in BOLVD. It's like it is individualized, so you like,

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<v Speaker 2>don't be on your friend's regimen. It might not be

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<v Speaker 2>with right for you, but maybe go to that doctor.

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<v Speaker 1>M hmm.

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<v Speaker 2>Yeah.

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<v Speaker 1>I had a friend who I someone I work with,

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<v Speaker 1>and I saw her one day and I was like, wow,

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<v Speaker 1>what I knew, Like I could tell Wow, I just

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<v Speaker 1>knew she wasn't getting any support. Yeah, So I asked

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<v Speaker 1>her about it and she started crying and it deepened

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<v Speaker 1>our relationship. I shared information with her, I gave her

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<v Speaker 1>books to read, and I saw her recently and she

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<v Speaker 1>looks like a completely different person.

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<v Speaker 2>Is not a game changer. Well, I mean, thank you

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<v Speaker 2>for doing this work because it's like even just people

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<v Speaker 2>listening to the podcast, it's going to validate like what

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<v Speaker 2>you're experiencing is common and you do not have to suffer.

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<v Speaker 2>And then like you see those women and you're like

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<v Speaker 2>I was, so I have a puppy and we went

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<v Speaker 2>to puppy school and so I'm like, you know, the

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<v Speaker 2>adult in the room with my puppy, and in the

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<v Speaker 2>middle of it the teachers having this massive hot flash

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<v Speaker 2>and like she and she says it like I wasn't

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<v Speaker 2>just picking up on it. She's like, hold on, I'm

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<v Speaker 2>having this massive hot flashes blah blah blah blah. And

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<v Speaker 2>I'm like, what is my role here? Am I just

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<v Speaker 2>the person with the puppy? Who am I? Like? Please

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<v Speaker 2>see also my books and my podcast and my clinic.

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<v Speaker 1>What did you end up doing? Were you just the puppy?

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<v Speaker 2>Because I was like, I don't want to be that, like,

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<v Speaker 2>oh hey that person, Yeah, in front of the whole class,

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<v Speaker 2>like extra, your patches are completely safe. Family history doesn't matter.

0:10:49.600 --> 0:10:52.520
<v Speaker 1>Also, that's so hard though, when you know you know

0:10:52.559 --> 0:10:54.360
<v Speaker 1>what you're talking about. Yeah, share it.

0:10:54.440 --> 0:10:56.360
<v Speaker 2>Yeah, I know totally, Just so I.

0:10:56.280 --> 0:10:59.280
<v Speaker 1>Can imagine it be hard for you. It was hard, Okay.

0:10:59.480 --> 0:11:02.360
<v Speaker 1>Can we tested to find out if we are in

0:11:02.400 --> 0:11:05.280
<v Speaker 1>fact in perry or menopause? What is the test?

0:11:05.400 --> 0:11:09.360
<v Speaker 2>Such a good question. That's like the internet question every

0:11:09.400 --> 0:11:12.760
<v Speaker 2>single day, so there's no current blood testing, Like like

0:11:12.960 --> 0:11:14.520
<v Speaker 2>the question is like can I X ray it? Can

0:11:14.559 --> 0:11:15.080
<v Speaker 2>I measure it?

0:11:15.120 --> 0:11:15.439
<v Speaker 1>Like? Right?

0:11:15.480 --> 0:11:19.360
<v Speaker 2>We like to just know. And in perimenopause is reverse puberty.

0:11:19.400 --> 0:11:21.040
<v Speaker 2>So up and down, up and down, up and down

0:11:21.080 --> 0:11:24.480
<v Speaker 2>for hormones. So people will get their labs tested and

0:11:24.520 --> 0:11:27.640
<v Speaker 2>they will say, you know, I'm mestrogen dominant is an example,

0:11:27.840 --> 0:11:30.200
<v Speaker 2>and I'm like, no, on Tuesday in July, you had

0:11:30.280 --> 0:11:33.920
<v Speaker 2>high estrogen. But it changes every day. But I think

0:11:34.200 --> 0:11:38.200
<v Speaker 2>check labs. It's very validating for people, right Like if

0:11:38.240 --> 0:11:39.880
<v Speaker 2>I say, if I go to the doctor and they're

0:11:39.920 --> 0:11:42.640
<v Speaker 2>like no and they shut you down, it's kind of invalidating.

0:11:42.640 --> 0:11:45.040
<v Speaker 2>So it's like, dude, no skin off your back, check

0:11:45.080 --> 0:11:47.719
<v Speaker 2>some labs, right like whatever, let's make and by the way,

0:11:47.760 --> 0:11:50.920
<v Speaker 2>when we're doing that, let's check glucose, let's check lipids.

0:11:51.080 --> 0:11:53.840
<v Speaker 2>Let's use this as an opportunity to look for everything thyroid,

0:11:53.880 --> 0:11:56.360
<v Speaker 2>oh my god, thyroid, vitamin D, all the things. So

0:11:56.840 --> 0:12:00.280
<v Speaker 2>check labs. But ideally you're going to be with a

0:12:00.320 --> 0:12:04.640
<v Speaker 2>clinician who understands that labs don't really matter because they're

0:12:04.679 --> 0:12:05.400
<v Speaker 2>ever changing.

0:12:11.880 --> 0:12:14.360
<v Speaker 1>Okay, so how do you hack insurance to get the

0:12:14.360 --> 0:12:17.480
<v Speaker 1>hormones you need because paying out a pocket is not

0:12:17.960 --> 0:12:19.000
<v Speaker 1>something any of us wanted.

0:12:19.160 --> 0:12:22.400
<v Speaker 2>Yeah, so, very good question. So I think there's a

0:12:22.400 --> 0:12:27.760
<v Speaker 2>big confusion of what's FD approved and what's bioidentical, like

0:12:27.800 --> 0:12:31.080
<v Speaker 2>they're different things. Biodentical means what your body makes. We

0:12:31.160 --> 0:12:34.599
<v Speaker 2>have many FD approved biodentical products because a lot of

0:12:34.640 --> 0:12:36.320
<v Speaker 2>people are paying a lot of extra money for all

0:12:36.320 --> 0:12:39.840
<v Speaker 2>this compounded stuff which can be good and can be effective,

0:12:39.840 --> 0:12:42.840
<v Speaker 2>but tends to be less standardized and more expensive. Pellets

0:12:42.880 --> 0:12:45.920
<v Speaker 2>are more expensive, right and not covered by insurance. So

0:12:45.920 --> 0:12:48.600
<v Speaker 2>it's like, start with the stuff that's FD approved. Insurance

0:12:48.720 --> 0:12:53.480
<v Speaker 2>should cover it. If they do, not, get loud, get loud,

0:12:54.160 --> 0:12:54.600
<v Speaker 2>this is.

0:12:54.760 --> 0:12:55.240
<v Speaker 1>What do you mean?

0:12:55.559 --> 0:12:58.160
<v Speaker 2>Call the damn insurance companies write the letters, be like

0:12:58.640 --> 0:13:01.199
<v Speaker 2>this is you need to cover this. It's insane that

0:13:01.240 --> 0:13:04.120
<v Speaker 2>they wouldn't cover hormones. But again, insurance, going back to

0:13:04.160 --> 0:13:07.200
<v Speaker 2>the longevity conversation, insurance doesn't really care that you're playing

0:13:07.200 --> 0:13:09.760
<v Speaker 2>pickleball when you're eighty two, Like they really don't, right,

0:13:09.840 --> 0:13:12.320
<v Speaker 2>They care about what's being spent right now, So they.

0:13:12.320 --> 0:13:16.040
<v Speaker 1>Kind of want you to get sick. I mean again

0:13:16.320 --> 0:13:17.440
<v Speaker 1>kind of a general statement.

0:13:17.600 --> 0:13:19.800
<v Speaker 2>They they what they truly I think I feel safe

0:13:19.800 --> 0:13:21.480
<v Speaker 2>saying this, What they truly want you to do is

0:13:21.600 --> 0:13:25.439
<v Speaker 2>get on somebody else's insurance before you get sick, which

0:13:25.480 --> 0:13:29.640
<v Speaker 2>by sixty five that's medicare right. But so anyways, insurance

0:13:29.640 --> 0:13:32.120
<v Speaker 2>should cover FD approved things that are indicated, And that's

0:13:32.160 --> 0:13:35.520
<v Speaker 2>your estrogen patch, that's your vaginal estrogen. You get generics.

0:13:35.960 --> 0:13:39.319
<v Speaker 2>Generics are cheap if your insurance is still expensive. Look,

0:13:39.360 --> 0:13:43.400
<v Speaker 2>there's many pharmacies now that are cash pharmacies. Sadly, we

0:13:43.520 --> 0:13:45.800
<v Speaker 2>used to think that having insurance meant you got a

0:13:45.880 --> 0:13:48.480
<v Speaker 2>deal on meds. Now it's usually means you're making money

0:13:48.480 --> 0:13:51.679
<v Speaker 2>for your insurance company. So Mark Cuban costs plus drugs, Yes,

0:13:51.800 --> 0:13:56.000
<v Speaker 2>for the Generics, what brand again? His Mark Cuban costs

0:13:56.000 --> 0:13:57.720
<v Speaker 2>plus drugs cost plus? I love them.

0:13:57.840 --> 0:13:58.080
<v Speaker 1>Yeah.

0:13:58.280 --> 0:14:01.079
<v Speaker 2>Cheapest faginal estrogen that I know about, really, Yes. The

0:14:01.120 --> 0:14:03.679
<v Speaker 2>most expensive thing about vaginal estrogen is the tube that

0:14:03.720 --> 0:14:05.959
<v Speaker 2>it's made. It's that it's put in for the cream.

0:14:06.160 --> 0:14:07.880
<v Speaker 2>It's like if you go to the pharmacy and they

0:14:07.880 --> 0:14:11.760
<v Speaker 2>say it's two hundred dollars abort mission, it's way too expensive.

0:14:11.960 --> 0:14:13.720
<v Speaker 2>Get this for cheaper. So I think some people they

0:14:13.760 --> 0:14:16.320
<v Speaker 2>just don't know it's available for cheaper, right, Like I

0:14:16.360 --> 0:14:18.679
<v Speaker 2>went to get my vaginal estrogen, I Blue Cross, Blue Shield.

0:14:18.880 --> 0:14:20.480
<v Speaker 2>I went to my pharmacy and they were like, that'll

0:14:20.480 --> 0:14:22.360
<v Speaker 2>be two hundred and sixty eight dollars. And I wanted

0:14:22.400 --> 0:14:23.600
<v Speaker 2>to be like, do you know who I am and

0:14:23.600 --> 0:14:26.600
<v Speaker 2>how much vaginal estrogen? I like, I'm like the vaginal

0:14:26.680 --> 0:14:30.360
<v Speaker 2>ESTRASTI the expert on this, and so like I pulled

0:14:30.440 --> 0:14:33.480
<v Speaker 2>up my good RX. So good RX is kind of

0:14:33.520 --> 0:14:35.680
<v Speaker 2>an app you can get that it will do cheaper

0:14:35.760 --> 0:14:38.560
<v Speaker 2>cash prices, and I got it for eighteen dollars.

0:14:38.880 --> 0:14:40.920
<v Speaker 1>What that's the craziest part to me.

0:14:41.240 --> 0:14:41.760
<v Speaker 2>It's nuts.

0:14:41.760 --> 0:14:44.320
<v Speaker 1>When a doctor prescribes a medication, you go and they

0:14:44.320 --> 0:14:46.600
<v Speaker 1>tell you, oh, that's going to be nine hundred dollars

0:14:47.040 --> 0:14:48.920
<v Speaker 1>for the new eye drops that are coming out that

0:14:49.080 --> 0:14:51.240
<v Speaker 1>you need so that you don't have dry eye. Nine

0:14:51.360 --> 0:14:54.240
<v Speaker 1>hundred dollars for a tiny little doll and we got

0:14:54.280 --> 0:14:58.000
<v Speaker 1>it for ten dollars by hacking the system.

0:14:58.080 --> 0:14:59.680
<v Speaker 2>Yeah, that's the thing, is like you have to know

0:15:00.080 --> 0:15:03.000
<v Speaker 2>how to use the system, which is the definition of

0:15:03.000 --> 0:15:05.680
<v Speaker 2>an unfair system, right. But I'm like, I haven't forbidden

0:15:05.680 --> 0:15:07.520
<v Speaker 2>my husband went to go pick up my vaginal estrogen,

0:15:07.600 --> 0:15:11.200
<v Speaker 2>he wouldn't have known how to get the eighteen dollars. Pissed, Yeah,

0:15:11.200 --> 0:15:12.280
<v Speaker 2>and I would and then I would have been like,

0:15:12.320 --> 0:15:14.520
<v Speaker 2>oh my god, like I should have told you. So

0:15:14.760 --> 0:15:17.040
<v Speaker 2>that's the thing is like there's you can usually find

0:15:17.040 --> 0:15:19.560
<v Speaker 2>it cheaper somewhere else. There's an amazing online it's a

0:15:19.600 --> 0:15:21.520
<v Speaker 2>it's a membership. I think it's like eighty dollars a

0:15:21.600 --> 0:15:24.880
<v Speaker 2>year now, but it's HRT club. They have a lot

0:15:24.880 --> 0:15:26.760
<v Speaker 2>of generics, okay, and so a lot of people are

0:15:26.760 --> 0:15:30.320
<v Speaker 2>doing that, so there's ways to do it. Again, It's

0:15:30.320 --> 0:15:31.880
<v Speaker 2>like ask your friend, like how much are you get

0:15:31.880 --> 0:15:33.680
<v Speaker 2>in your patch for stuff like that?

0:15:33.760 --> 0:15:39.000
<v Speaker 1>So yeah, definitely, there are honestly so many varying symptoms.

0:15:40.040 --> 0:15:41.960
<v Speaker 1>I can't even say them all. There's too many. Like

0:15:43.040 --> 0:15:47.200
<v Speaker 1>my elbow hurts, oh, must be yeah, Oh my teeth

0:15:47.200 --> 0:15:51.160
<v Speaker 1>are a little sensitive today. Must like everything I've ever

0:15:51.400 --> 0:15:54.960
<v Speaker 1>suffered from I'm now saying must have been my very

0:15:55.000 --> 0:15:57.960
<v Speaker 1>menopause and I didn't even know. But what are the

0:15:57.960 --> 0:16:02.400
<v Speaker 1>most common symptoms that women should be watching for so

0:16:02.440 --> 0:16:05.840
<v Speaker 1>that we can stay proactive and know what's real and

0:16:05.880 --> 0:16:07.120
<v Speaker 1>what's not when it comes to this.

0:16:07.240 --> 0:16:10.480
<v Speaker 2>So again, the classic symptoms hot flashes and nights seat,

0:16:10.480 --> 0:16:13.560
<v Speaker 2>it's poor sleep, but not everybody has that, right and

0:16:13.600 --> 0:16:16.840
<v Speaker 2>you don't need that to get treatment, right, that's not

0:16:16.920 --> 0:16:18.640
<v Speaker 2>the only thing that we're like, oh, we will only

0:16:18.680 --> 0:16:21.160
<v Speaker 2>replace what your ovaries made for a hot flash. It's like,

0:16:21.240 --> 0:16:25.640
<v Speaker 2>no estrogen is fd approved for the prevention of osteoporosis.

0:16:25.680 --> 0:16:28.320
<v Speaker 2>People don't know that we actually have a prevention FDA

0:16:28.400 --> 0:16:30.120
<v Speaker 2>approval for estrogen, which.

0:16:29.920 --> 0:16:32.000
<v Speaker 1>Is and you could do osteoporosis testing.

0:16:32.040 --> 0:16:34.760
<v Speaker 2>Now you can do exiscans. Yeah. Yeah, they're cheap too,

0:16:34.880 --> 0:16:37.360
<v Speaker 2>like cash dexa and my town's like ninety eight dollars

0:16:37.400 --> 0:16:41.000
<v Speaker 2>when you live Bellingham, Washington. But they should be cheap,

0:16:41.160 --> 0:16:44.080
<v Speaker 2>like they should be less than two hundred inst cakay,

0:16:44.200 --> 0:16:46.600
<v Speaker 2>especially like in LA where there's actually competition for it.

0:16:46.640 --> 0:16:49.120
<v Speaker 1>And when should we get those because I just I

0:16:49.120 --> 0:16:50.960
<v Speaker 1>had to record you going from my doctor. Haven't had

0:16:50.960 --> 0:16:51.320
<v Speaker 1>it yet.

0:16:51.320 --> 0:16:54.680
<v Speaker 2>So the guidelines in America are sixty five and less

0:16:54.760 --> 0:16:57.760
<v Speaker 2>risk factors. Risk factor would be that you're taking like

0:16:57.840 --> 0:16:59.960
<v Speaker 2>high dos steroids or you have a mom with osteop

0:17:00.480 --> 0:17:05.000
<v Speaker 2>that'll be a risk factor. So there's multiple risk factors.

0:17:05.000 --> 0:17:06.719
<v Speaker 2>But I'm like, just pay cash and it's pretty darn

0:17:06.760 --> 0:17:08.840
<v Speaker 2>treat but you can get it whenever. So in my clinic,

0:17:09.160 --> 0:17:11.960
<v Speaker 2>I just get everybody a baseline DEXA because I'm like,

0:17:12.080 --> 0:17:15.159
<v Speaker 2>if you have osteopenia osteoporosis, we want to know about it.

0:17:15.200 --> 0:17:19.320
<v Speaker 2>Why are we waiting? Yeah, Australia is age seventy just

0:17:19.440 --> 0:17:21.160
<v Speaker 2>to get their DEXA and I'm like, oh my god,

0:17:21.160 --> 0:17:22.399
<v Speaker 2>I learned that. When I went over there. I was like,

0:17:22.440 --> 0:17:24.400
<v Speaker 2>good lord, you're just like looking at it like there's

0:17:24.400 --> 0:17:27.960
<v Speaker 2>no prevention there. It's too late. Your ovaries usually give

0:17:27.960 --> 0:17:31.960
<v Speaker 2>you hormones until about age fifty. Right, your biggest bone loss.

0:17:32.080 --> 0:17:34.439
<v Speaker 2>Let's say that rate of bone loss is in the

0:17:34.480 --> 0:17:38.240
<v Speaker 2>two years leading up to your last period. Well, that's stupid,

0:17:38.240 --> 0:17:40.880
<v Speaker 2>because how do you know what your last period is? Right?

0:17:40.960 --> 0:17:42.960
<v Speaker 1>But it's all the more some people put it on

0:17:42.960 --> 0:17:43.399
<v Speaker 1>the calendar.

0:17:43.480 --> 0:17:45.240
<v Speaker 2>I do not, right, Yeah, but how do you know

0:17:45.240 --> 0:17:46.840
<v Speaker 2>what's your last one? Oh? Yeah, because you don't know

0:17:46.960 --> 0:17:47.800
<v Speaker 2>till a year from now.

0:17:47.840 --> 0:17:50.720
<v Speaker 1>Girl, listen to me. I thought for sure I was done.

0:17:50.800 --> 0:17:51.440
<v Speaker 2>That's the date.

0:17:51.960 --> 0:17:54.400
<v Speaker 1>I learned it from another doctor. She said, there's one day.

0:17:54.480 --> 0:17:57.320
<v Speaker 1>That's the date, and I of course didn't write it down,

0:17:57.320 --> 0:18:00.000
<v Speaker 1>so I had no memory of what it was. Maybe

0:18:00.240 --> 0:18:03.800
<v Speaker 1>sixteen months later, Yeah.

0:18:04.040 --> 0:18:06.000
<v Speaker 2>I know, So I think you don't know. You don't

0:18:06.000 --> 0:18:07.840
<v Speaker 2>know That's why the period, like the period as the

0:18:07.880 --> 0:18:10.000
<v Speaker 2>definition of like that you can get treatment or not

0:18:10.119 --> 0:18:13.840
<v Speaker 2>is very stupid. And I think like the modern hormone

0:18:13.840 --> 0:18:16.200
<v Speaker 2>experts are like, let's stop hanging up on this period

0:18:16.200 --> 0:18:19.000
<v Speaker 2>because what it does is it prevents the very symptomatic

0:18:19.040 --> 0:18:21.879
<v Speaker 2>perimenopause women from getting any treatment. And I see this

0:18:21.920 --> 0:18:23.919
<v Speaker 2>all the time, like, well, I can't treat you yet

0:18:23.920 --> 0:18:26.119
<v Speaker 2>because you're still having periods. And I'm like, throw an

0:18:26.119 --> 0:18:28.159
<v Speaker 2>iud in that woman now she doesn't have periods, can

0:18:28.160 --> 0:18:28.760
<v Speaker 2>you treat her now?

0:18:29.040 --> 0:18:29.200
<v Speaker 1>Right?

0:18:29.240 --> 0:18:33.399
<v Speaker 2>Like periods are just a stupid roadblock for people. But

0:18:33.560 --> 0:18:36.359
<v Speaker 2>so in perimenopause is not feeling like myself. That not

0:18:36.400 --> 0:18:38.840
<v Speaker 2>feeling like myself, which we can't measure, right. It's like

0:18:38.840 --> 0:18:41.399
<v Speaker 2>it's not a medical diagnosi. Yeah, it's so hard to defind,

0:18:41.440 --> 0:18:43.159
<v Speaker 2>but you know it if it's you, it if it's you,

0:18:43.560 --> 0:18:44.879
<v Speaker 2>and you know it if it was you, and you

0:18:45.040 --> 0:18:47.240
<v Speaker 2>now you're feeling like yourself. Right. I just had a

0:18:47.240 --> 0:18:50.800
<v Speaker 2>woman California f live to see me. She's spent four years,

0:18:50.840 --> 0:18:54.399
<v Speaker 2>like five doctors going around being tested for like crazy

0:18:54.440 --> 0:18:58.400
<v Speaker 2>autoimmune stuff, all this stuff, and she's like doing her

0:18:58.400 --> 0:19:01.320
<v Speaker 2>own research, right, and she's like, I think I peri menopause, right.

0:19:01.520 --> 0:19:03.119
<v Speaker 2>So she comes up to see me. She tells me

0:19:03.160 --> 0:19:05.479
<v Speaker 2>your whole story, which is now like filled with medical

0:19:05.520 --> 0:19:09.000
<v Speaker 2>trauma and gaslight thing. She's there with her husband, and

0:19:09.040 --> 0:19:11.440
<v Speaker 2>I'm like, sounds like Perri menopause to me. And if

0:19:11.480 --> 0:19:14.439
<v Speaker 2>it isn't, let's give you hormones and see it. Like

0:19:14.960 --> 0:19:17.080
<v Speaker 2>the hormones won't work if it's something else, right, right,

0:19:17.080 --> 0:19:20.040
<v Speaker 2>that's the magic test, right, But if the hormones work,

0:19:20.080 --> 0:19:22.679
<v Speaker 2>like yes, perimenopause. So I did a follow up with her.

0:19:23.400 --> 0:19:27.600
<v Speaker 2>She's sleeping, She's like happier, like her brain's back. She's like,

0:19:27.680 --> 0:19:30.040
<v Speaker 2>I understand what feeling like myself feels like now because

0:19:30.080 --> 0:19:32.840
<v Speaker 2>now I feel like myself, right, And this is one

0:19:33.119 --> 0:19:36.400
<v Speaker 2>follow up. She's like, oh, if I want to tell

0:19:36.400 --> 0:19:38.600
<v Speaker 2>you this yet, but like I actually kind of want

0:19:38.600 --> 0:19:40.720
<v Speaker 2>to sign up for a half marathon. And I'm like,

0:19:41.040 --> 0:19:45.520
<v Speaker 2>oh my god. It was like four years of just

0:19:45.560 --> 0:19:49.720
<v Speaker 2>like on the couch done, and now she's like one

0:19:49.760 --> 0:19:52.320
<v Speaker 2>follow up. She's like, half marathon actually sounds pretty good

0:19:52.320 --> 0:19:54.480
<v Speaker 2>to me right now, and I'm like, holy crap.

0:19:54.400 --> 0:19:57.320
<v Speaker 1>That is amazing. I remember once I started with HRT,

0:19:58.080 --> 0:20:01.160
<v Speaker 1>I felt like maybe I should run a marathon because

0:20:01.240 --> 0:20:04.040
<v Speaker 1>I thought, well, I feel so great now, Like I

0:20:04.080 --> 0:20:06.640
<v Speaker 1>don't know what that was, but now I feel so great.

0:20:07.000 --> 0:20:08.760
<v Speaker 1>And then I quickly talked myself out of that.

0:20:09.240 --> 0:20:11.399
<v Speaker 2>Yeah, I like, it always sounds like kind of out

0:20:11.400 --> 0:20:13.200
<v Speaker 2>of the birth. Sounds good when I'm warm on my couch,

0:20:13.440 --> 0:20:15.200
<v Speaker 2>but I don't actually want to do that. But yeah,

0:20:15.200 --> 0:20:18.199
<v Speaker 2>I would say not feeling like myself sex life changing,

0:20:18.359 --> 0:20:21.200
<v Speaker 2>sleep changing. Heart palpitation super.

0:20:20.840 --> 0:20:23.879
<v Speaker 1>Common, which also can feel like anxiety.

0:20:24.080 --> 0:20:26.400
<v Speaker 2>Oh yeah, it feels very awful and panicky. I think.

0:20:26.440 --> 0:20:28.159
<v Speaker 2>I think I wrote about this in my book. A

0:20:28.400 --> 0:20:30.480
<v Speaker 2>friend in the hospital, she was We're like in the

0:20:30.480 --> 0:20:34.000
<v Speaker 2>surgeon's lounge and she's like, I don't feel safe driving

0:20:34.040 --> 0:20:36.399
<v Speaker 2>my kids around because of my heart palpitations. But I

0:20:36.440 --> 0:20:39.399
<v Speaker 2>went to the cardiologist. They did all the tests. Everything's fine,

0:20:39.520 --> 0:20:41.920
<v Speaker 2>and it's like, everything's fine, but you're still having crazy

0:20:41.920 --> 0:20:44.280
<v Speaker 2>heart palpitations that you don't feel safe driving your kids with.

0:20:44.680 --> 0:20:46.680
<v Speaker 2>And I'm like, why don't you get on some hormones

0:20:46.720 --> 0:20:49.119
<v Speaker 2>and see and she's like what, I'm like, yeah, just

0:20:49.480 --> 0:20:52.240
<v Speaker 2>try again. If it's not hormone related, the hormones won't

0:20:52.240 --> 0:20:54.560
<v Speaker 2>help them, right. It's the easy test, so she like

0:20:54.560 --> 0:20:56.040
<v Speaker 2>comes back the next time and she's like, my heart

0:20:56.040 --> 0:21:01.160
<v Speaker 2>palpitations are gone, and I'm like, yeah, because estrogen the heart, right,

0:21:01.480 --> 0:21:03.399
<v Speaker 2>And she's like, why did nobody tell me this? And

0:21:03.480 --> 0:21:05.439
<v Speaker 2>heart palpitations are one of the most common reasons that

0:21:05.480 --> 0:21:08.000
<v Speaker 2>women go to the cardiologists. Right, but remember back to

0:21:08.040 --> 0:21:11.240
<v Speaker 2>the nineties, the cardiologists knew hormones were good for the heart.

0:21:11.800 --> 0:21:15.880
<v Speaker 2>They knew that, and it's like we've forgotten, We've forgotten,

0:21:15.880 --> 0:21:20.359
<v Speaker 2>and now we have to remember everything that we knew.

0:21:25.320 --> 0:21:28.480
<v Speaker 1>I talk a lot about heart health. I advocate for it.

0:21:28.600 --> 0:21:30.879
<v Speaker 1>And one of the most frustrating things for me is

0:21:31.440 --> 0:21:34.520
<v Speaker 1>when women are feeling like something's wrong with them, maybe

0:21:34.560 --> 0:21:38.440
<v Speaker 1>they're having heart palpitations, anxiety, you know, it feels like

0:21:38.480 --> 0:21:41.480
<v Speaker 1>someone's sitting on your chests a little. They go to

0:21:41.520 --> 0:21:45.040
<v Speaker 1>the cardiologist. Finally, after being persuaded to go to a

0:21:45.080 --> 0:21:49.000
<v Speaker 1>specialized doctor, and they are given the what do they

0:21:49.040 --> 0:21:51.960
<v Speaker 1>give everybody when you oh the egg? Yep, they put

0:21:52.000 --> 0:21:55.159
<v Speaker 1>a ekg on you and they see in that very

0:21:55.200 --> 0:21:56.640
<v Speaker 1>small moment, then nothing's wrong.

0:21:56.680 --> 0:21:57.480
<v Speaker 2>Yeah, everything's fine.

0:21:57.560 --> 0:22:00.000
<v Speaker 1>Oh look at it's all perfect. You're fine. You go home.

0:22:00.680 --> 0:22:05.000
<v Speaker 1>That is for me such a miss for healthcare because

0:22:06.240 --> 0:22:08.479
<v Speaker 1>you don't know what happens the many you take off

0:22:08.600 --> 0:22:13.840
<v Speaker 1>those yeah, receptors whatever they're called. Totally Yeah, it just

0:22:13.880 --> 0:22:16.119
<v Speaker 1>frustrates me beyond beyond.

0:22:16.480 --> 0:22:20.080
<v Speaker 2>It's incredibly frustrating, incredibly frustrating. And there aren't a lot

0:22:20.119 --> 0:22:24.520
<v Speaker 2>of female cardiologists right, it's hard to find. It's still

0:22:24.640 --> 0:22:27.960
<v Speaker 2>very male dominated. There's still a and to me, I'm like,

0:22:28.000 --> 0:22:29.880
<v Speaker 2>I get to kind of speak truth to power because

0:22:29.880 --> 0:22:31.879
<v Speaker 2>I'm like, I went through the system, I'm in it.

0:22:31.960 --> 0:22:34.560
<v Speaker 2>I still practice medicine and I can now but I'm

0:22:34.600 --> 0:22:36.880
<v Speaker 2>old enough and I'm wise enough, and especially like again,

0:22:36.960 --> 0:22:39.520
<v Speaker 2>I'm the urologist who gives the man to stop short

0:22:39.600 --> 0:22:42.000
<v Speaker 2>in viagra and sees how the women are treated. So

0:22:42.040 --> 0:22:44.600
<v Speaker 2>I'm over here being like there's gender bias in medicine

0:22:44.680 --> 0:22:47.199
<v Speaker 2>and a lot of people know that, but a lot

0:22:47.280 --> 0:22:49.360
<v Speaker 2>of people don't want to know that and they don't

0:22:49.359 --> 0:22:50.360
<v Speaker 2>want to believe.

0:22:50.119 --> 0:22:51.280
<v Speaker 1>Now they just look the other way.

0:22:51.400 --> 0:22:53.320
<v Speaker 2>Yeah, like, oh, it's not it's not that bad though,

0:22:53.680 --> 0:22:56.320
<v Speaker 2>It's like, but for that woman, it is really bad

0:22:56.359 --> 0:22:58.200
<v Speaker 2>because she's suffering and she's not getting help.

0:22:58.280 --> 0:23:00.440
<v Speaker 1>It makes sense that that would be their im back

0:23:01.080 --> 0:23:06.240
<v Speaker 1>specifically because it's a male dominated industry. Come on, ladies,

0:23:08.320 --> 0:23:09.800
<v Speaker 1>it's hard, yes, but it's hard.

0:23:09.920 --> 0:23:11.080
<v Speaker 2>It's actually very hard.

0:23:11.800 --> 0:23:13.520
<v Speaker 1>But I know it sounds so easy. I'm just gonna go.

0:23:13.560 --> 0:23:15.920
<v Speaker 2>I'm just gonna go go spend that money and that

0:23:16.000 --> 0:23:18.399
<v Speaker 2>time in my twenties, all of my tent and all

0:23:18.440 --> 0:23:18.960
<v Speaker 2>of my twenties.

0:23:19.040 --> 0:23:24.280
<v Speaker 1>Yeah, okay. Most important habits to start today to age well,

0:23:24.720 --> 0:23:26.359
<v Speaker 1>bang bang bang sleep yep.

0:23:26.920 --> 0:23:29.960
<v Speaker 2>Weightlifting huh oh. I mean I would say not just weightlifting,

0:23:29.960 --> 0:23:35.000
<v Speaker 2>but like mobility, stretching, Yeah, stretching, like put your hips

0:23:35.000 --> 0:23:37.040
<v Speaker 2>through the range of motion, butt your needs to like

0:23:37.280 --> 0:23:40.600
<v Speaker 2>number one. I think it feels absolutely fantamic. Like a

0:23:40.640 --> 0:23:44.400
<v Speaker 2>mobility class is like ah, like and I'm not even

0:23:44.440 --> 0:23:47.760
<v Speaker 2>talking yoga like now, mobility is like rotating, yeah, like

0:23:48.320 --> 0:23:51.320
<v Speaker 2>the hip the hip flips right, and like the hamstring stretches.

0:23:51.320 --> 0:23:54.600
<v Speaker 2>It's like, well, and that's what a lot of trainers

0:23:54.680 --> 0:23:56.840
<v Speaker 2>will say, is like it's not just how strong you are,

0:23:56.920 --> 0:23:59.080
<v Speaker 2>but that your body can do the full range of

0:23:59.119 --> 0:24:02.360
<v Speaker 2>motion and you keep the keeps moving. Yeah, oh keep

0:24:02.720 --> 0:24:05.640
<v Speaker 2>that your joints keep moving. So I would say mobility

0:24:05.720 --> 0:24:09.359
<v Speaker 2>is massively important. The data on protein now and like

0:24:09.480 --> 0:24:13.479
<v Speaker 2>aging is like we don't we don't. We're not as

0:24:13.480 --> 0:24:16.040
<v Speaker 2>efficient with protein as we were when we were younger,

0:24:16.080 --> 0:24:18.320
<v Speaker 2>so we really have to prioritize it in the diet

0:24:18.840 --> 0:24:20.480
<v Speaker 2>and just and I think I put this in the book,

0:24:20.520 --> 0:24:22.720
<v Speaker 2>but it's like they didn't tell women to exercise any

0:24:22.720 --> 0:24:25.320
<v Speaker 2>different airlift weights. They just fed one high protein and

0:24:25.359 --> 0:24:27.760
<v Speaker 2>the other one was like regular, and their body composition

0:24:27.920 --> 0:24:31.919
<v Speaker 2>changed just by having a protein centric food choices.

0:24:32.119 --> 0:24:34.240
<v Speaker 1>Yeah, this is all conversation that's just been happening.

0:24:34.320 --> 0:24:37.080
<v Speaker 2>Yeah, it's brand new stuff. It's brand new stuff. And

0:24:37.119 --> 0:24:39.119
<v Speaker 2>I mean for us, like our generations, it's like, do

0:24:39.160 --> 0:24:41.000
<v Speaker 2>we grow up in the nineties. I was talking to

0:24:41.080 --> 0:24:42.760
<v Speaker 2>you know, I was doing a podcast yesterday and I'm like,

0:24:42.800 --> 0:24:45.040
<v Speaker 2>I am I way more than I've ever weighed in

0:24:45.119 --> 0:24:47.280
<v Speaker 2>my life. And it's a massive mind trip and you

0:24:47.400 --> 0:24:49.080
<v Speaker 2>got to do work on it. Yeah, but I'm like,

0:24:49.160 --> 0:24:52.320
<v Speaker 2>I am stronger than I've ever been and frankly, like

0:24:53.040 --> 0:24:55.120
<v Speaker 2>I dig it and I know the science now, right,

0:24:55.200 --> 0:24:55.560
<v Speaker 2>But it's like.

0:24:55.560 --> 0:24:58.160
<v Speaker 1>Oh, we're not supposed to weigh Yeah, we did thirty

0:24:58.240 --> 0:24:58.560
<v Speaker 1>years ago.

0:24:58.640 --> 0:25:01.439
<v Speaker 2>Kate Moss was our hero, right, Like the nineties did

0:25:01.480 --> 0:25:05.400
<v Speaker 2>a number Oh yeah on our generation. Well, yes, very popular,

0:25:05.560 --> 0:25:08.600
<v Speaker 2>very popular, and so to me, I'm like, muscle actually

0:25:08.640 --> 0:25:11.359
<v Speaker 2>weighs a lot. Yes, and I'm working with a trainer

0:25:11.400 --> 0:25:13.600
<v Speaker 2>now so that, like I've told her, I'm like, listen,

0:25:13.640 --> 0:25:15.720
<v Speaker 2>I know a lot, but this is still messing with me,

0:25:16.200 --> 0:25:18.280
<v Speaker 2>Like you tell me when I need to, you know,

0:25:18.440 --> 0:25:20.600
<v Speaker 2>back off or pivot or blah blah blah. And right

0:25:20.640 --> 0:25:23.480
<v Speaker 2>now she's like eat e gets strong, gets strong, gets strong,

0:25:23.480 --> 0:25:25.680
<v Speaker 2>And I'm like, I'm just going on the journey because

0:25:25.760 --> 0:25:28.719
<v Speaker 2>to me, I'm like, it's it's easier to maintain and

0:25:28.720 --> 0:25:31.800
<v Speaker 2>build now than twenty years from now. Right right, It's

0:25:31.840 --> 0:25:34.439
<v Speaker 2>like it can be done, but keep it up. And

0:25:34.480 --> 0:25:36.919
<v Speaker 2>you can keep it up. But it's like everything you

0:25:36.960 --> 0:25:39.639
<v Speaker 2>do is just small things, just small things of like

0:25:39.840 --> 0:25:42.200
<v Speaker 2>I spent my twenties trying to be as small as possible,

0:25:42.400 --> 0:25:44.439
<v Speaker 2>and that is not serving me anymore.

0:25:45.640 --> 0:25:48.320
<v Speaker 1>I had doctor Nicholas Paracon on and he said every

0:25:48.400 --> 0:25:50.919
<v Speaker 1>day that you're not eating enough protein, you're aging.

0:25:51.760 --> 0:25:51.960
<v Speaker 2>Oh.

0:25:52.760 --> 0:25:56.480
<v Speaker 1>I was like, well, taking me your aging, I get

0:25:56.520 --> 0:25:56.840
<v Speaker 1>your point.

0:25:56.920 --> 0:25:58.360
<v Speaker 2>Yeah, yeah, yeah, I get your fun. Yeah.

0:25:58.400 --> 0:26:01.639
<v Speaker 1>He's he's all about the protein. He oh, he drinks

0:26:01.760 --> 0:26:02.760
<v Speaker 1>salmon shakes.

0:26:03.160 --> 0:26:07.040
<v Speaker 2>My brother drinks raw eggs. Okay, I know, I know,

0:26:07.200 --> 0:26:08.239
<v Speaker 2>I don't think I'm not there.

0:26:08.320 --> 0:26:09.680
<v Speaker 1>I'm not gonna drink a salmon shank.

0:26:09.720 --> 0:26:12.680
<v Speaker 2>I'm sorry, no, oh, but I mean debay. So I've

0:26:12.680 --> 0:26:15.199
<v Speaker 2>started this year two scoops of wave protein in my

0:26:15.359 --> 0:26:16.760
<v Speaker 2>in my protein shake instead of one.

0:26:16.840 --> 0:26:19.480
<v Speaker 1>Oh, instead of like the direction say one scoop.

0:26:19.320 --> 0:26:22.480
<v Speaker 2>One scoop, I'm like two scoops. I got fifty I

0:26:22.480 --> 0:26:26.360
<v Speaker 2>got fifty grams in first meal, first meal. Yeah, it's delicious. Good.

0:26:26.480 --> 0:26:29.240
<v Speaker 1>First thing in the morning, when I make a smoothie

0:26:29.280 --> 0:26:31.920
<v Speaker 1>and I pour my protein drink into it, like it's

0:26:31.920 --> 0:26:35.159
<v Speaker 1>got like thirty or something, thirty two grams of protein

0:26:35.200 --> 0:26:37.280
<v Speaker 1>in it. And then by the time I've had like

0:26:37.320 --> 0:26:39.880
<v Speaker 1>my after workout protein bar, a little thing that only

0:26:39.960 --> 0:26:43.200
<v Speaker 1>has like twolves, I'm already like I'm halfway there, yeah

0:26:43.200 --> 0:26:43.720
<v Speaker 1>for my day.

0:26:43.800 --> 0:26:44.080
<v Speaker 2>Yeah.

0:26:44.119 --> 0:26:45.600
<v Speaker 1>And it makes me feel so good, like, oh, I

0:26:45.640 --> 0:26:47.040
<v Speaker 1>can totally do this totally.

0:26:47.200 --> 0:26:50.760
<v Speaker 2>Yeah. Like muscle is so like it helps with insolin sensitivity.

0:26:50.920 --> 0:26:53.800
<v Speaker 2>It muscle helps you not fall. Muscle helps you get

0:26:53.840 --> 0:26:55.520
<v Speaker 2>off the ground once you do fall. I just read

0:26:55.520 --> 0:26:57.400
<v Speaker 2>something people are like, we're doing it wrong. We're telling

0:26:57.440 --> 0:26:59.680
<v Speaker 2>people not to fall. We're not telling him how to

0:26:59.680 --> 0:27:02.280
<v Speaker 2>get back up once they fell, so like the problem is,

0:27:02.320 --> 0:27:04.800
<v Speaker 2>like you get down, you can't get back up again, right, Like,

0:27:04.800 --> 0:27:07.080
<v Speaker 2>oh my god, we're not teaching people how to get up.

0:27:07.760 --> 0:27:12.480
<v Speaker 1>The date she was home with my daughters and she

0:27:12.600 --> 0:27:16.639
<v Speaker 1>fell in front yard. Oh god, she's fine. Sorry, uh,

0:27:16.720 --> 0:27:19.520
<v Speaker 1>but they couldn't get her up. She didn't know how

0:27:19.520 --> 0:27:22.400
<v Speaker 1>to get up. They sat there for an hour until

0:27:22.400 --> 0:27:26.800
<v Speaker 1>I got home. Yeah, talking on the ground, she was thankfully.

0:27:27.280 --> 0:27:30.000
<v Speaker 2>Mobility is because it's like, once you're down, get back up.

0:27:30.040 --> 0:27:31.080
<v Speaker 2>It's hard. It's hard.

0:27:31.119 --> 0:27:36.359
<v Speaker 1>It's hard flip your body over. Yeah, Okay, education is

0:27:36.359 --> 0:27:40.639
<v Speaker 1>the answer to combating fear around most things, I agreed,

0:27:40.960 --> 0:27:44.880
<v Speaker 1>But definitely when it comes to advocating for our healthcare, Yeah,

0:27:46.680 --> 0:27:50.760
<v Speaker 1>where to go for the best information and education about menopause.

0:27:51.000 --> 0:27:53.720
<v Speaker 1>There's a lot of misinformation out there, as we've talked about,

0:27:54.200 --> 0:27:57.960
<v Speaker 1>so it's not always easy to know what is what.

0:27:58.520 --> 0:28:03.800
<v Speaker 2>Yeah, it's I mean, we have so much availability to free,

0:28:03.840 --> 0:28:06.960
<v Speaker 2>easily accessible stuff now it's awesome, but with that comes

0:28:06.960 --> 0:28:09.719
<v Speaker 2>a bunch of bullshit. Right, So I mean, these are

0:28:09.760 --> 0:28:11.679
<v Speaker 2>the things, right, is somebody trying to sell you something

0:28:12.040 --> 0:28:12.560
<v Speaker 2>that might.

0:28:12.400 --> 0:28:16.439
<v Speaker 1>Be always it's always every time you need this anti

0:28:16.520 --> 0:28:17.399
<v Speaker 1>aging just make.

0:28:17.240 --> 0:28:19.879
<v Speaker 2>Your fashion better, like you won't go through menopause. It's like, no,

0:28:19.920 --> 0:28:22.920
<v Speaker 2>it's not how science works. But so like that's number one,

0:28:23.000 --> 0:28:25.440
<v Speaker 2>number two, and a lot of people who know things

0:28:25.600 --> 0:28:28.760
<v Speaker 2>have great things to offer. I'm not saying it's all bad, no,

0:28:28.920 --> 0:28:31.240
<v Speaker 2>but like if it's some crazy like this shoe will

0:28:31.240 --> 0:28:33.879
<v Speaker 2>make you not go through menopause, that's not how science works.

0:28:34.400 --> 0:28:36.600
<v Speaker 2>So like that's the first thing, is like what's their angle?

0:28:37.119 --> 0:28:39.040
<v Speaker 2>But I think like the other because I think about

0:28:39.040 --> 0:28:41.680
<v Speaker 2>this a lot of like I never I'm I actually

0:28:41.680 --> 0:28:43.000
<v Speaker 2>at the end of the day. So I tell women

0:28:43.000 --> 0:28:44.680
<v Speaker 2>I put this in my book. I don't care if

0:28:44.720 --> 0:28:46.520
<v Speaker 2>you go on hormones or not. I don't care. I'm

0:28:46.560 --> 0:28:49.160
<v Speaker 2>not living in your body. You get to decide what

0:28:49.200 --> 0:28:51.360
<v Speaker 2>you want to do. But I care desperately that you

0:28:51.440 --> 0:28:54.440
<v Speaker 2>have the information so that you can make an educated

0:28:54.480 --> 0:28:57.840
<v Speaker 2>decision based upon information and not fear. And I think

0:28:57.960 --> 0:28:59.480
<v Speaker 2>what I mean by that on like who to follow

0:28:59.520 --> 0:29:02.560
<v Speaker 2>and who to listen into. Do these people actually prescribe hormones?

0:29:03.960 --> 0:29:07.000
<v Speaker 2>Is that their job? Because those are the people that

0:29:07.200 --> 0:29:10.680
<v Speaker 2>actually know new information. Yeah, they know because they know

0:29:10.720 --> 0:29:13.040
<v Speaker 2>their craft. They know what women are telling them when

0:29:13.040 --> 0:29:15.680
<v Speaker 2>they come back they know how to dose things, they've

0:29:15.880 --> 0:29:18.680
<v Speaker 2>they've read, like that's their job, right. So it's like

0:29:18.720 --> 0:29:21.200
<v Speaker 2>if you follow people and they actually see people in clinic,

0:29:21.280 --> 0:29:24.400
<v Speaker 2>they're actually doing the work. Those are the people who

0:29:24.480 --> 0:29:26.360
<v Speaker 2>know the most about it if you should be on

0:29:26.400 --> 0:29:29.280
<v Speaker 2>hormones or not. And I'm like, everybody else is helping

0:29:29.320 --> 0:29:33.440
<v Speaker 2>support us, right. Interestingly enough, like the athletic trainer community

0:29:33.840 --> 0:29:35.520
<v Speaker 2>is super on board with hormones.

0:29:36.000 --> 0:29:36.800
<v Speaker 1>Really, yeah.

0:29:36.920 --> 0:29:38.440
<v Speaker 2>I have these women they're like, oh yeah, my twenty

0:29:38.480 --> 0:29:40.560
<v Speaker 2>six year old trainer told me to go get on hormones.

0:29:40.560 --> 0:29:42.560
<v Speaker 2>And I'm like, what's the bro no about this? Right?

0:29:42.600 --> 0:29:45.080
<v Speaker 2>And he's like they know that it helps build muscle,

0:29:45.120 --> 0:29:46.840
<v Speaker 2>and they know that it's good for sleep, and like

0:29:47.520 --> 0:29:50.000
<v Speaker 2>that is a cool industry that like really supports women

0:29:50.000 --> 0:29:52.280
<v Speaker 2>in hormones. But it's like, for the most part, a

0:29:52.280 --> 0:29:54.720
<v Speaker 2>lot of other people aren't boots on the ground. They're

0:29:54.720 --> 0:29:57.320
<v Speaker 2>not doing this work. And there is a level of

0:29:57.360 --> 0:30:02.479
<v Speaker 2>expertise that comes from seeing giving women hormones, going to

0:30:02.520 --> 0:30:06.640
<v Speaker 2>the conferences and like being obsessed with this topic and

0:30:06.680 --> 0:30:10.360
<v Speaker 2>everybody else if they're not prescribing, they don't know as much.

0:30:10.520 --> 0:30:12.719
<v Speaker 2>And I think that's kind of an easy way to

0:30:12.720 --> 0:30:16.840
<v Speaker 2>be like, what's this person's job, what's their motivation behind

0:30:16.880 --> 0:30:20.160
<v Speaker 2>telling you the information that they're telling you? And that's

0:30:20.240 --> 0:30:22.280
<v Speaker 2>kind of a good because it is the Internet's kind

0:30:22.320 --> 0:30:25.200
<v Speaker 2>of a wild West, and if you're a good salesperson, right,

0:30:25.360 --> 0:30:27.320
<v Speaker 2>you can be taken. But it's like what do they

0:30:27.320 --> 0:30:30.880
<v Speaker 2>actually do? Did they go to medical school or nurse

0:30:30.880 --> 0:30:34.680
<v Speaker 2>practitioner school? Like do they actually prescribe hormones and see

0:30:34.760 --> 0:30:38.480
<v Speaker 2>patients and listen to women? Because those are the people

0:30:38.480 --> 0:30:39.200
<v Speaker 2>that actually know.

0:30:39.520 --> 0:30:42.400
<v Speaker 1>What do you think should my doctor be a woman?

0:30:44.960 --> 0:30:45.720
<v Speaker 1>You're like I can't.

0:30:45.760 --> 0:30:49.760
<v Speaker 2>Oh lord, I think any gender can doctor? Very well.

0:30:49.800 --> 0:30:53.600
<v Speaker 2>Good good answer, and I actually have a podcast episode

0:30:54.800 --> 0:30:57.520
<v Speaker 2>us this year is like in the summer. There's actually

0:30:57.520 --> 0:30:59.920
<v Speaker 2>a lot of research that a lot of people don't

0:31:00.120 --> 0:31:03.120
<v Speaker 2>want to believe, but they have enough research that they

0:31:03.120 --> 0:31:05.959
<v Speaker 2>have meta analyzes, which is studies of studies. That's how

0:31:06.040 --> 0:31:09.720
<v Speaker 2>much research is done on this, looking at surviving after surgery,

0:31:09.800 --> 0:31:13.080
<v Speaker 2>surviving after a heart attack if your physician is female,

0:31:13.480 --> 0:31:17.440
<v Speaker 2>And people don't want to know that that exists because

0:31:17.480 --> 0:31:20.720
<v Speaker 2>people because there's a learning opportunity there. Right, what is

0:31:20.800 --> 0:31:25.160
<v Speaker 2>it about the way women doctor that's leading to survival benefits?

0:31:26.120 --> 0:31:28.360
<v Speaker 2>And people don't want to learn that. But it's like, dude,

0:31:28.400 --> 0:31:31.560
<v Speaker 2>there's data on it, like crazy data because because you

0:31:31.560 --> 0:31:33.600
<v Speaker 2>could say, well, maybe you just picked the right doctor

0:31:34.200 --> 0:31:36.280
<v Speaker 2>or maybe you just knew she was good because you

0:31:36.440 --> 0:31:39.320
<v Speaker 2>just got good. Well, when you go into the emergency department,

0:31:39.360 --> 0:31:41.040
<v Speaker 2>you don't get to pick who your doctor is. So

0:31:41.080 --> 0:31:42.960
<v Speaker 2>that's a pretty good study. So they actually have a

0:31:43.000 --> 0:31:46.040
<v Speaker 2>study that if if a female goes to an emergency

0:31:46.080 --> 0:31:49.920
<v Speaker 2>department with chest pain, heart attack and her doctor happen

0:31:50.000 --> 0:31:54.400
<v Speaker 2>to be female, your chance of living is higher. And

0:31:54.440 --> 0:31:55.959
<v Speaker 2>I'm like, I can't make up the data. I can

0:31:56.000 --> 0:31:56.480
<v Speaker 2>just report it.

0:31:56.560 --> 0:31:58.880
<v Speaker 1>Yeah, listen, we're not giving you our opinions right now.

0:31:59.000 --> 0:32:02.040
<v Speaker 2>That is the published literature, and I interviewed the and

0:32:02.080 --> 0:32:06.600
<v Speaker 2>the person who's who's spearheading this research is a male urologist.

0:32:07.080 --> 0:32:09.600
<v Speaker 1>Okay, first, I want to know how do people find

0:32:09.640 --> 0:32:10.200
<v Speaker 1>your podcast?

0:32:10.280 --> 0:32:11.400
<v Speaker 2>It's called You Were Not Broken?

0:32:12.000 --> 0:32:15.480
<v Speaker 1>You You Are Not Are Not Broken with Kelly Casperson.

0:32:16.320 --> 0:32:20.280
<v Speaker 1>And your book that's on shelf right now is just

0:32:20.400 --> 0:32:23.680
<v Speaker 1>like Bible material that's pretty good for everybody that.

0:32:23.640 --> 0:32:26.480
<v Speaker 2>Needs to read. Wait, show it the show if you.

0:32:26.480 --> 0:32:30.040
<v Speaker 1>Guys want to pick up this. The Menopause moment. Can

0:32:30.040 --> 0:32:30.560
<v Speaker 1>you see it?

0:32:30.600 --> 0:32:35.000
<v Speaker 2>Mindset, hormones and science for optimal longevity. Love it, love.

0:32:34.760 --> 0:32:38.520
<v Speaker 1>It longevity right there on the cover. Thank you, Kelly,

0:32:38.560 --> 0:32:41.000
<v Speaker 1>Thanks for having me. You've really added a lot of

0:32:41.040 --> 0:32:46.160
<v Speaker 1>tools to my toolkit. And I hope everybody listening. But

0:32:46.160 --> 0:32:48.360
<v Speaker 1>if you have more questions, read the book. If you

0:32:48.400 --> 0:32:51.400
<v Speaker 1>have more questions, listen to our podcast. She's here to

0:32:51.400 --> 0:32:52.320
<v Speaker 1>help us. Thank you so

0:32:52.440 --> 0:32:53.680
<v Speaker 2>Much, thanks for having me.