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Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone,

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Speaker 1: welcome to I Choose Me. This podcast is all about

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Speaker 1: the choices we make and where they lead us. So yeah,

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Speaker 1: I've talked a little bit about it before, but menopause

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Speaker 1: is finally getting its day in the sun. Today I

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Speaker 1: choose to get into it. Let's talk about it. There

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Speaker 1: is so much to discuss about menopause and all its

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Speaker 1: phases and symptoms and side effects. Whether you are going

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Speaker 1: through it, or about to go through it, or you

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Speaker 1: know someone who's going through it, there's just too much

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Speaker 1: stigma about this chapter of life that all of us

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Speaker 1: women will eventually go through. My guest today is the

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Speaker 1: author of the number one New York Times best selling book,

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Speaker 1: The New Menopause. She's a Board certified OBGYN, a certified

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Speaker 1: menopause practitioner from the Menopause Society, and a certified culinary

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Speaker 1: medicine specialist. She's all about demystifying menopause, which I love.

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Speaker 1: She is a leading voice on the topic. Please welcome

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Speaker 1: doctor Mary Claire Haver to the Iye Choose Me podcast.

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Speaker 1: I'm so so happy to have you with us today.

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Speaker 1: I'm so happy to be here.

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Speaker 2: This is so fun.

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Speaker 1: It's so good. It's so good. Let me just tell

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Speaker 1: you something that happened last night. My husband, he thinks

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Speaker 1: he's funny. He said, what is going on with this

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Speaker 1: menopause stuff? It's more like manopause. I feel like you're

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Speaker 1: in your mano pause phase. I was like, that's a

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Speaker 1: good one, babe. Have you heard that yet?

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Speaker 2: Absolutely all the time, all the time or menopause man

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Speaker 2: man no more.

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Speaker 1: I know, there's a million things we can do with it.

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Speaker 1: Talk to me about like, what happened with you? Why

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Speaker 1: did you decide that amplifying this conversation around menopause and

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Speaker 1: women's health in this category was so important to you.

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Speaker 2: Kind Of my journey was I was a traditional obgyn

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Speaker 2: and a big academic institution, I know, taught residents medical students,

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Speaker 2: and I had a very robust private practice and I

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Speaker 2: was happy, and I really thought I'd do that job

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Speaker 2: till I retired, you know, in like twenty more years.

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Speaker 2: And then my patients were aging with me because you

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Speaker 2: kind of get out and you get all the newly

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Speaker 2: pregnant people and I was newly pregnant, so we have

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Speaker 2: babies together and then we get old.

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Speaker 1: We were all.

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Speaker 2: Together, and you know, I was seeing these trends in

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Speaker 2: my patients who were aging of you know, these random

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Speaker 2: complaints that we couldn't seem to get to the bottom of,

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Speaker 2: like joint pain, not sleeping well, libido, weight gain, you know.

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Speaker 2: And I was just kind of taught this is what

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Speaker 2: happens when women age and get over it. We call

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Speaker 2: them whining women in clinic when I was in training,

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Speaker 2: you know, meaning she's just whining. This is the time

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Speaker 2: of her life, she needs to seck it up.

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Speaker 1: There's nothing we can do.

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Speaker 2: Never in all of my training was I ever taught

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Speaker 2: that this constellation of symptoms might be related to what

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Speaker 2: the hell's going on in her ovaries right now.

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Speaker 1: Wow.

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Speaker 2: So I'm like, something's not right with me, something's not

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Speaker 2: right with all my patients. Because I go to church

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Speaker 2: with these women, we go out to dinner. It's a

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Speaker 2: small town with a big university, right, I know them

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Speaker 2: outside of their little complaint list in the office, and

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Speaker 2: I know they run marathon, you know, Like, and You're like,

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Speaker 2: these are women who this should not be happening to

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Speaker 2: in this percentage, right, And they're eating right, they're working out,

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Speaker 2: they're doing all the things, and they're like, look, I'm

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Speaker 2: falling apart. And so you know, we're testing for a thyroid,

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Speaker 2: we're doing all the walk ups and everything's coming back

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Speaker 2: normal and they're not fully men apuzzles, so their hormone

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Speaker 2: levels really aren't diagnostic at this point. And I'm like,

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Speaker 2: we're doing this wrong. Something's wrong. So the main complaint

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Speaker 2: was white game. So that's where I started, you know,

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Speaker 2: and that's what was happening to me. Suddenly I was

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Speaker 2: you know, I'd had then privilege most of my life,

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Speaker 2: and then all of a sudden, I had a belly

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Speaker 2: and I couldn't get rid of it despite dumbling down

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Speaker 2: from Ike. So I called the PhD, you know, nutrition

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Speaker 2: scientists at the university. You know, I delivered all their kids,

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Speaker 2: and so what the hell is going on with this?

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Speaker 2: Like what about women in menopause? Why is this happening?

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Speaker 2: This is nearly universal? And they're like, yeah, so there's

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Speaker 2: something to do with inflammation. And they just sent me

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Speaker 2: down the like PubMed, which is the repository for medical

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Speaker 2: data studies, and I started reading all this stuff about

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Speaker 2: inflammation and how you know, inflammation and menopause are definitely

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Speaker 2: tied and then this weight gain and this new belly

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Speaker 2: fat deposition and inflammation is tied. And I start like, well,

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Speaker 2: wait a minute, this is happening, and this is happening.

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Speaker 2: Menopause and inflammation seems to be a thing. I just

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Speaker 2: realized there was such little data there, and no one

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Speaker 2: was teaching it to me. I was busy delivering babies

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Speaker 2: and pap swears and all the stuff we do. So

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Speaker 2: I just went down rabbit hole after rabbit hole, put

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Speaker 2: together a nutrition program for my patients and me and

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Speaker 2: my girlfriends, and you know, started talking about it on

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Speaker 2: social media. I didn't have a Macavelian plan to become

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Speaker 2: one of the leading voices in the menopause movement. I

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Speaker 2: was a busy mom of two kids, my husband worked overseas.

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Speaker 2: You know, I was just trying to stay alive. But

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Speaker 2: as I talked more about it and more, people started

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Speaker 2: listening and asking me more questions, which would fuel my

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Speaker 2: curiosity and I go look up more stuff. So really,

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Speaker 2: it wasn't planned. I just started talking about it, started

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Speaker 2: validating people's symptoms, telling them that they weren't crazy. This

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Speaker 2: is actually a thing, and it just grew and grew

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Speaker 2: and grew and the more I would teach and share,

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Speaker 2: the more people would join. And now we have got

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Speaker 2: almost over four and a half million followers across you know,

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Speaker 2: the different channels in.

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Speaker 1: Your meno posse. I'm happy to be in your menopasse.

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Speaker 2: By the way, it's really, you know, my miniverse is

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Speaker 2: I like to call it. It is just a bunch

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Speaker 2: of people who are there to help each other out

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Speaker 2: and share experiences and make of that crazy.

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Speaker 1: Yeah, that sounds like an amazing way of platform, a

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Speaker 1: way to develop a platform, and such an incredible way

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Speaker 1: for you to reach so many women. It's because you're

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Speaker 1: so passionate about it, because it's happening to you.

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Speaker 2: I love that I went through it. I'm still going

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Speaker 2: through it. I'm you know, I'm still aging and I

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Speaker 2: accept that. But you know, I just read a quote

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Speaker 2: today from one of my friends who has this program

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Speaker 2: called Menopause boot Camp, and she's an incredible personal trainer,

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Speaker 2: but she's really focusing on us now. Because forever I

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Speaker 2: was a cardio queen, I worked out to be Thinn.

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Speaker 2: That was the goal. I had no thoughts of muscles

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Speaker 2: or any of that. And you know, our mothers and

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Speaker 2: grandmothers just kind of got to our age and were like,

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Speaker 2: this is it, and yeah, I am. They end up

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Speaker 2: in nursing homes with cognitive deficits and dementia and frailty

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Speaker 2: and all this stuff, by and large, you know, not all,

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Speaker 2: thank God, But I don't want to accept that, and

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Speaker 2: that there's stuff that we can do now to prevent

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Speaker 2: that in thirty years.

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Speaker 1: I mean there has to be. That's a driving force

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Speaker 1: for me too, Like I don't want to go down

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Speaker 1: the road that my parents went down as far as

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Speaker 1: their health, you know. So that pushes me every day

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Speaker 1: to just stay healthy and take better care of myself

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Speaker 1: than because I have the knowledge and they didn't.

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Speaker 2: Right, right, when I think of the things that came

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Speaker 2: out of my mom's mouth about trying to stay healthy,

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Speaker 2: like eating olio instead of butter, you know, like that's

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Speaker 2: her conception of health, and you know, fighting forever to

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Speaker 2: stay thin and not giving herself proper nutrition just so

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Speaker 2: that she could be thin. Now she's paying the price, yeah,

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Speaker 2: you know, so same same. So when you know, when

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Speaker 2: I have patients come into clinic and we take care

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Speaker 2: of the acute problems, the joint pain, the brain fog,

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Speaker 2: the whatever, you know, we fix all of that. Then

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Speaker 2: I'm like, okay, now.

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Speaker 1: Let's plan the next thirty years. They're like, what I

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Speaker 1: love that, I need you my life.

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Speaker 2: What can we do? What path can we put you

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Speaker 2: on to avoid ending up? Like And if they come

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Speaker 2: in and they're like, my mom's amazing, she's eighty five,

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Speaker 2: she's driving around car, she's taking care of herself, Da

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Speaker 2: da da da, I'm like, let's do whatever she's doing,

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Speaker 2: because that's working. But if they're like, she's can't take

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Speaker 2: care of herself, we're looking at home. So we're having

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Speaker 2: to disrupt our lives like I want to don't want

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Speaker 2: to disrupt my kids lives, you know, as little as possible.

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Speaker 2: You know, I don't expect to live for ever, but

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Speaker 2: I don't want one of those long, protracted, you know,

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Speaker 2: times of infirmity.

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Speaker 1: If it can be avoided, it is a big I

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Speaker 1: wouldn't say disruptance because I have my mom now, who's

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Speaker 1: in her eighties and is getting less and less mobile

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Speaker 1: and doesn't want to leave her house, and she spends

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Speaker 1: a lot of time reading, and I'm always calling her

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Speaker 1: and saying, Mom, how about a walk today? Just let's

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Speaker 1: go out, let's get a get a walk in and

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Speaker 1: I don't want my kids to have to worry about me.

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Speaker 1: Same as you. In your book, you say that every

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Speaker 1: organ system in a woman's body is affected by menopause,

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Speaker 1: their brain health, their heart, their lungs, and their kidneys.

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Speaker 2: Explain this, I think that's you know, forever, we define

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Speaker 2: menopause a cessation of period, so the end of your

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Speaker 2: cycles and hot flashes, the vasomotor symptoms. But what we're

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Speaker 2: now realizing is, my goodness, the cognitive changes, the mental

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Speaker 2: health changes. So starting out the brain, you know, palpitations

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Speaker 2: are now recognized as a common vasomotor symptom. They're lumped

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Speaker 2: in there with hot flashes and night sweats. No very

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Speaker 2: few cardiologists know this because they weren't taught this, you know,

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Speaker 2: right Like in the lungs, new onset asthma very common

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Speaker 2: in menopause, and it tends to be a typical. This

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Speaker 2: doesn't happen to men, you know, in their midlife. It

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Speaker 2: just happens to women. Autoimmune disease, joint pain, muscle pain.

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Speaker 2: Of course, the genital urinary system recurrent UTI is vaginal pain,

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Speaker 2: loss of lubrication, on and on and on and so

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Speaker 2: what you go through is very different than what I

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Speaker 2: go through. Our menopause footprint, you know, our symptom profile

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Speaker 2: is as unique as we are, and doctors love a checklist,

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Speaker 2: you know, that's how we're trained. Like it looks like

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Speaker 2: a duck and walks like duck. It's a duck and

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Speaker 2: the duck. For me, it's just outside of your period.

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Speaker 2: Stopping and hof flashes can be really hard or can

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Speaker 2: overlap with several of the disease states. You know, it's

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Speaker 2: hard to tell hypotheridism away from perimenoplaus sometimes, and as.

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Speaker 1: It is because you go in and you're wondering what's

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Speaker 1: going on with you and you have all these other different,

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Speaker 1: weird symptoms and they're not really linked, so everybody's just confused.

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Speaker 1: That's was my experience.

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Speaker 2: So my goal, you know, besides educating my followers so

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Speaker 2: that they can have an informed conversation, is really you know,

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Speaker 2: part of our like the doctor menopause, the clinician menopause,

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Speaker 2: because we have nurse partitioners and lots of you know,

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Speaker 2: psychologists and stuff, is we're now pushing the medical societies

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Speaker 2: to recognize these things and start training our clinicians coming

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Speaker 2: up in the world so that you know, at least

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Speaker 2: the next generation we're going to have to fight.

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Speaker 1: I mean, we're all the fighters, but they're going to

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Speaker 1: benefit so much from all of your messaging and all

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Speaker 1: this data that gathering and this information. Right, it's incredible.

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Speaker 2: So yeah, we're not men with breasts, you know, where

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Speaker 2: we're gender help on that.

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Speaker 1: So our skin too, though, that's another organ that is

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Speaker 1: incredibly affected by medicine.

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Speaker 2: So wound healing besides the obvious cosmetic things, which you

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Speaker 2: know which are It's shocking because in five years, Jenny,

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Speaker 2: we lose thirty to fifty percent of for college.

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Speaker 1: Oh my god, where'd it go?

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Speaker 2: Like, I feel like overnight? You know? Now, definitely, you know,

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Speaker 2: hormon therapy helps. You can do very safe topical hormone

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Speaker 2: therapy that works beautifully. Of course, all the cosmetic treatments

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Speaker 2: and stuff, but I don't know a woman who goes

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Speaker 2: through it who like wakes up every day and is like,

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Speaker 2: what happened to dudes, not saying what happened to my skin.

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Speaker 2: It's a cosmetic stuff, you know, wound healing and you know,

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Speaker 2: just the health of your skin. The trends to epidermal

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Speaker 2: water loss, you know, We're much more likely to become dehydrated,

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Speaker 2: you know, because our skin becomes so thin and we're

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Speaker 2: just blowing off, you know, plus the hot slashes you know,

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Speaker 2: in sweatings.

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Speaker 1: So it's just crazy how it affects us all. It's

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Speaker 1: like a massive cyclone that comes into your life and

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Speaker 1: just does all kinds of destruction and then it's like

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Speaker 1: bye bye, and I'll take all that with me. Explain

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Speaker 1: the difference for those that don't know, because I definitely

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Speaker 1: did not know when I didn't know when I was

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Speaker 1: in perimenopause. I didn't know what perimenopause was. I didn't

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Speaker 1: know the definition of menopause being twelve months after your

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Speaker 1: last period, which I learned once I was twelve months

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Speaker 1: after my last period. So can you explain the difference

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Speaker 1: for people like paris meno and then postal.

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Speaker 2: Okay, so we'll do a little baby lesson in endochronology. Okay,

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Speaker 2: perfect to educate your listeners. This is this is so critical,

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Speaker 2: so big difference between females and males. We have lots

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Speaker 2: of differences, but as far as our gonads go, so

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Speaker 2: overs and testicles, men make their genetic material, their sperm

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Speaker 2: fresh every day Okay. Women are born with a limited

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Speaker 2: egg supply. They form when we're still in our mother's uteruses, right,

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Speaker 2: and then we're born with one to two million eggs.

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Speaker 2: By the time we're thirty, we're down to ten percent.

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Speaker 2: By the time we're forty, we're down to three percent.

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Speaker 2: Menopause really represents you've run out of eggs. Okay, So

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Speaker 2: now let's go to your normal, your twenty five year

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Speaker 2: old self for ninety percent of as of normal regular cycles,

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Speaker 2: very predictable if you're healthy.

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Speaker 1: Okay.

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Speaker 2: What happens why we ovulate, is that the hypothalmus, which

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Speaker 2: is a gland in our brain, is constantly sampling our

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Speaker 2: blood supply for estrogen estra dial, and when the levels

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Speaker 2: get low, as they do towards the end of the cycle,

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Speaker 2: it sends a signal to the pituitary gland, another gland

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Speaker 2: to make stimulating hormones. That will say, ovary, let's get

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Speaker 2: an egg out and ovulate, so that'll begin the production

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Speaker 2: of estra dial through the ovulation process. What happened, and

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Speaker 2: that goes a very ekg like, very predictable rise and

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Speaker 2: fall of our hormones month after month after month in

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Speaker 2: a healthy woman. Okay, Okay, it happens in perimenopause. So

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Speaker 2: menopause by definition is the transition between what I just

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Speaker 2: talked about, normal reproducible cycles to no more cycles. The

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Speaker 2: chaos zone in the middle is perimenopause. Now what happens

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Speaker 2: here reach a critical egg threshold level where the same

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Speaker 2: signals that we're sending down each month stop working because

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Speaker 2: we don't have enough eggs. We don't have enough follicles

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Speaker 2: left to respond. So the hypothalamus is like, hey, where's

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Speaker 2: my xtra diol?

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Speaker 1: The tutory is like I.

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Speaker 2: Sent the signal and is like send more. So we

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Speaker 2: end up getting much higher levels of the stimulating hormones

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Speaker 2: from the pituitary, but you don't have the same temporals.

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Speaker 2: So what used to look like this now is delayed

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Speaker 2: because it took a while for the signals to go

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Speaker 2: back and forth. Then you get a much higher surge

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Speaker 2: of that FSH and then you get much lower drops.

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Speaker 2: And so what used to look like in EKG now

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Speaker 2: becomes chaotic month after month, and it's not predictable at all.

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Speaker 2: And so in that chaos zone, percent of us will

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Speaker 2: have abnormal uterine bleeding heavy periods like periods no periods

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Speaker 2: too many, too frequent, too few, to craziness. Only about

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Speaker 2: ten percent will just wake up and not have a

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Speaker 2: period again. There's usually a calling card, hot flashing and

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Speaker 2: the night sweats, the joint pain that you know, the symptoms.

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Speaker 2: But most importantly, the brain hates chaos. It loves predictability.

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Speaker 2: And when our estrogen and progesterone and testosterone levels start

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Speaker 2: going haywire in perimenopause is when we see the biggest

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Speaker 2: changes in the brain both mental health. We have a

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Speaker 2: forty percent increase of depression anxiety across the perimenopause transition.

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Speaker 2: So you were living your best life, nothing has changed,

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Speaker 2: no stressors have changed, and all of a sudden you've

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Speaker 2: lost your resilience. You're cranky or depressed or snappy, or

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Speaker 2: the things that used to bother you or now bothering.

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Speaker 1: You, you know, and a lot more, uh huh.

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Speaker 2: And so also our cognitive ability, so our ability. Think

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Speaker 2: you're forgetting names, you can't remember, your job is suddenly

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Speaker 2: becoming harder. You're you've got something that took your tongue

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Speaker 2: and you can't you know, And like that all happens

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Speaker 2: to us every once in a while. But this is

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Speaker 2: like a consistent pattern. This is a hallmark of the

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Speaker 2: cognitive changes in perimenopause.

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Speaker 1: And then you have this crazy fluctuation.

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Speaker 2: Busy time turns into full menopause. Now bottomed out, there

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Speaker 2: are no eggs left, and now you have no estrogen.

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Speaker 1: Oh, then the fun. You know. When I was in Perry,

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Speaker 1: I was like, all right, let's get this over with

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Speaker 1: enough already, just stop already, period so that I can

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Speaker 1: be done with this. And I was kind of like

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Speaker 1: hoping for it. And now that I'm in it, I'm like, wait,

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Speaker 1: I gotta miss it. Yeah.

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Speaker 2: I mean a lot of women are grateful, thankful that,

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Speaker 2: especially if they had horrible periods or just ems or

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Speaker 2: menstrual migraines, that is over and they can get on

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Speaker 2: with their lives. But there are benefits to estrogen in

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Speaker 2: our body, especially in the brain and the joints, you know,

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Speaker 2: and our gut microbiome, all of it's affected.

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Speaker 1: Yeah, And that no one has ever taught us this

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Speaker 1: as bonkers to me.

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Speaker 2: Right that I just saw a study where ninety percent

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Speaker 2: of you know, girls were never taught about menopause in school,

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Speaker 2: like nothing like in their health class, Like that there

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Speaker 2: would ever be even if it's just like the end

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Speaker 2: of your fertility. You know, it's just like this vague

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Speaker 2: kind of.

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Speaker 1: Something your grandma deals with, right, Yeah.

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Speaker 2: And so, and I really had a negative connotation about

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Speaker 2: menopause myself, and I just know that's the same for people.

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Speaker 2: I remember thinking I hate menopause, like I don't want

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Speaker 2: to take care of people at menopause. And now that's

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Speaker 2: all I do. And God, you know, I am living

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Speaker 2: my best life. I am happier, healthier, better relationships, better boundaries.

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Speaker 2: I'm guiltless, I have no shame. I am just you know,

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Speaker 2: I feel like I'm helping people, I'm teaching. But if

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Speaker 2: I had not overhauled everything I think about health and

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Speaker 2: how I'm going to age and learn how to prioritize

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Speaker 2: myself and stop putting everybody's needs in front of mine,

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Speaker 2: I would not be here today. And all I want

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Speaker 2: is for what I feel, for everyone to have that chance. Oh.

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Speaker 1: I love that, and you. I feel it from you

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Speaker 1: when I look at you, when I read your book.

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Speaker 1: By the way, your book, I have it right here

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Speaker 1: the New Men of oz. Oh, it's really great. Thank

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Speaker 1: you for writing that, because it's conversations that we haven't

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Speaker 1: had before, and we need to have. I agree you

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Speaker 1: are inspiring women our age to go for their best life,

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Speaker 1: and I love that about you. What about birth control.

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Speaker 1: I've been on and off birth control my whole life.

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Speaker 1: Does that affect the onset any perry?

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Speaker 2: Yeah, so we need more studies. But we have lots

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Speaker 2: of women who are birth control, and I was on

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Speaker 2: one of them. I was on it god thirty years

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Speaker 2: too well contraception, but also for treatment of my PC

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Speaker 2: or you know, covering the symptoms of my pcos. And

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Speaker 2: I was happy on them, did great on them, no problem.

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Speaker 2: We know that because we suppress ovulation with birth control pills,

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Speaker 2: women who are the longer you're on them, you tend.

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Speaker 1: To get an extra year or so.

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Speaker 2: You know, if you're on like long term ten plus years,

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Speaker 2: you might get an extra year or so out of

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Speaker 2: the shelf life of your ovaries because we suppressed ovulation.

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Speaker 2: We lose about eleven thousand eggs each month with the

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Speaker 2: ovulatory process. So so a little bit not hugely clinically significant,

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Speaker 2: but there is a little bit, you know, I worry

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Speaker 2: about and probably what happened to me was, you know,

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Speaker 2: when we're on long term birth control, and for me,

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Speaker 2: it was medically treating something that I was happy with.

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Speaker 2: You know, what did that do to my bone and

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Speaker 2: muscle strength? You know, not having those normal levels of

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Speaker 2: tasosterone and estrogen.

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Speaker 1: It's just always something scary when when you're like, well,

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Speaker 1: I hope this goes well.

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Speaker 2: Yeah, you know, and I was happy to be treated

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Speaker 2: because I have PCOS and what it did to me.

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Speaker 2: You know, there's trade offs, there's were sympnefits for everything.

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Speaker 2: But nobody sat me down and was like, okay, listen,

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Speaker 2: you know, this is is a bigger conversation than we thought,

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Speaker 2: and we do need to have more studies, but this,

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00:20:04,600 --> 00:20:06,639
Speaker 2: you know, you probably should be doing more weight lifting

390
00:20:06,680 --> 00:20:08,360
Speaker 2: in the gym to hang on to your muscle mass

391
00:20:08,600 --> 00:20:11,399
Speaker 2: because we're going to be suppressing your natural disosterone as

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Speaker 2: well with this.

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Speaker 1: Our symptoms change according to what phase we're in.

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Speaker 2: Right in a menstrual cycle, yeah, so if you're you know,

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Speaker 2: pre minstrel, your estrogen levels are rising. So the first

396
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Speaker 2: halfier cycle, progesterone is zero almost very very low. Disascone

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Speaker 2: does e and flow, but not nearly as much as estrogen,

398
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Speaker 2: but it's fairly steady state compared to the others, and

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Speaker 2: then we have a rise in estrogen mid cycle, and

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Speaker 2: then it kind of goes down right after, and then

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Speaker 2: we have a little bit more of a rise and

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Speaker 2: then it plummets in a healthy menstrual cycle.

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Speaker 1: Imperimental policy, we even know, ye, there's no way to

404
00:20:48,800 --> 00:20:51,880
Speaker 1: We need more studies, we need more more data we do.

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Speaker 2: Let me, let me give you this, Okay. PubMed is

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Speaker 2: like where I go. It's like Google for doctors or

407
00:20:58,280 --> 00:21:01,520
Speaker 2: Google for clinicians to look up vetted medical journal articles,

408
00:21:01,560 --> 00:21:04,600
Speaker 2: like you know. Everything in there's pretty upfront. And I

409
00:21:04,640 --> 00:21:07,440
Speaker 2: just type in the word pregnancy. I get one point

410
00:21:07,480 --> 00:21:12,119
Speaker 2: one million articles. Amazing, right, that's great. We need healthy pregnancies.

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Speaker 2: I've had two of them. Then I type in the

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Speaker 2: word in menopause. There's ninety seven thousand articles, so ten

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Speaker 2: to one difference, uh huh on one roughly a little

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Speaker 2: less thanton one. I'm like, am I ninety percent less

415
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Speaker 2: important in this phase of my life than I was

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Speaker 2: when I was pregnant?

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Speaker 1: And that's what they want us to believe, That's what

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Speaker 1: we've been led to believe.

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Speaker 2: Wait, so I type in the word perimenopause. I just

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Speaker 2: did this, and there's six thousand, seven hundred articles.

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Speaker 1: WHOA, Yeah, we got work to do. People don't know

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00:21:39,560 --> 00:21:43,000
Speaker 1: that there are stages, that there are different symptoms, that

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Speaker 1: everybody's different. It's a real mystery to so many people,

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Speaker 1: and definitely to men.

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Speaker 2: Right now here, you are a partner trying to support

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Speaker 2: a loved one through this.

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Speaker 1: You she.

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Speaker 2: So the best appointments I have are when the partners come,

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00:22:00,080 --> 00:22:02,840
Speaker 2: usually coming for a place of support and understanding, and

430
00:22:02,920 --> 00:22:05,959
Speaker 2: I just love talking you know about all these things

431
00:22:06,160 --> 00:22:09,280
Speaker 2: for them and they need it really helps.

432
00:22:09,119 --> 00:22:11,720
Speaker 1: It really does, because they're so in the dark. They're

433
00:22:11,760 --> 00:22:14,920
Speaker 1: so in the dark. So why but why is that?

434
00:22:15,880 --> 00:22:19,879
Speaker 1: Historically speaking? Why are we as women so underserved from.

435
00:22:19,760 --> 00:22:23,560
Speaker 2: A medical standpoint when you look at where how women

436
00:22:23,560 --> 00:22:26,680
Speaker 2: have been treated, You know, so much of women's health

437
00:22:26,720 --> 00:22:30,800
Speaker 2: has been you know, how a woman expresses certain diseases

438
00:22:30,920 --> 00:22:33,760
Speaker 2: has been compared to how a man does it. So

439
00:22:33,800 --> 00:22:37,199
Speaker 2: like atypical chest pain is female chest pain. You know,

440
00:22:37,520 --> 00:22:39,520
Speaker 2: a woman is much more likely to die if she

441
00:22:39,560 --> 00:22:41,720
Speaker 2: comes into the er with a heart attack than a man.

442
00:22:41,880 --> 00:22:45,280
Speaker 2: Because everything's based off of how the average white male. Sorry,

443
00:22:45,320 --> 00:22:48,800
Speaker 2: that's just how the US medical system developed acts and

444
00:22:48,840 --> 00:22:52,040
Speaker 2: how drugs affect him. They didn't even study female rats

445
00:22:52,080 --> 00:22:54,399
Speaker 2: in all the animal models. It was always males because

446
00:22:54,400 --> 00:22:58,960
Speaker 2: women are harder. Females are harder because we have psychic fluctuations,

447
00:22:59,000 --> 00:23:01,880
Speaker 2: and so being excluded from all these studies. So that's

448
00:23:01,920 --> 00:23:04,120
Speaker 2: one thing, it's all in her head is another thing.

449
00:23:04,480 --> 00:23:05,159
Speaker 2: It is real.

450
00:23:05,320 --> 00:23:05,879
Speaker 1: It's taught.

451
00:23:06,000 --> 00:23:11,760
Speaker 2: I was taught that a woman tends to tomaticize psychological issues.

452
00:23:11,560 --> 00:23:13,200
Speaker 1: Right, and then you're gas lit.

453
00:23:13,840 --> 00:23:17,600
Speaker 2: Yeah, so yeah, and so instead of believing a woman

454
00:23:17,680 --> 00:23:19,880
Speaker 2: and what she's saying is true, we.

455
00:23:19,640 --> 00:23:20,640
Speaker 1: Were taught.

456
00:23:21,880 --> 00:23:24,600
Speaker 2: You know, is she having a bad day? Is does

457
00:23:24,600 --> 00:23:27,199
Speaker 2: she need some rest? Do you need her vacation? Does

458
00:23:27,240 --> 00:23:30,320
Speaker 2: she need some wine? You know, give her nanny depressant,

459
00:23:30,440 --> 00:23:32,680
Speaker 2: she'll be fine. Yeah.

460
00:23:33,160 --> 00:23:36,080
Speaker 1: Yeah, This is this is why I don't even understand

461
00:23:36,080 --> 00:23:39,800
Speaker 1: what a hot flash is, like why that happens.

462
00:23:40,600 --> 00:23:45,720
Speaker 2: So there is a thermoregulatory center in our brain that

463
00:23:46,000 --> 00:23:50,080
Speaker 2: controls our body temperature. So everybody has head of fever, right,

464
00:23:50,240 --> 00:23:51,399
Speaker 2: and you know what that feels like.

465
00:23:52,080 --> 00:23:52,920
Speaker 1: You are hot.

466
00:23:52,960 --> 00:23:55,600
Speaker 2: You can't figure out why you start sweating, you know,

467
00:23:55,680 --> 00:23:57,159
Speaker 2: especially if you have the flu and you have a

468
00:23:57,200 --> 00:24:01,159
Speaker 2: really bad that's kind of a hot flash. So mine

469
00:24:01,200 --> 00:24:04,199
Speaker 2: and the way most are it feels like so the

470
00:24:04,200 --> 00:24:07,600
Speaker 2: therma regulatory center becomes unstable from the loss of estrogen,

471
00:24:07,680 --> 00:24:11,040
Speaker 2: we think, and you just start profusely sweating for no

472
00:24:11,160 --> 00:24:13,280
Speaker 2: reason without a trigger. So I could just be sitting

473
00:24:13,359 --> 00:24:14,960
Speaker 2: here and all of a sudden, I'd feel something in

474
00:24:15,000 --> 00:24:16,480
Speaker 2: my chest and then it would I would just feel

475
00:24:16,480 --> 00:24:18,119
Speaker 2: this heat wave come up my neck and head, and

476
00:24:18,160 --> 00:24:20,440
Speaker 2: like for me, the back of my head starts sweating

477
00:24:20,440 --> 00:24:22,480
Speaker 2: and it would just drip down my back and my

478
00:24:22,640 --> 00:24:25,480
Speaker 2: chest would be sweating. And at night it would wake

479
00:24:25,520 --> 00:24:27,960
Speaker 2: me up, you know when that would happen because I'm

480
00:24:28,080 --> 00:24:29,919
Speaker 2: hot and then I throw the covers off and I'm

481
00:24:29,960 --> 00:24:32,480
Speaker 2: soaking wet, and then I'm freezing exactly.

482
00:24:32,760 --> 00:24:35,960
Speaker 1: It's the hot cold for me. You get so hot

483
00:24:36,040 --> 00:24:39,119
Speaker 1: that you sweat and then you're freezing because you're basically

484
00:24:39,160 --> 00:24:41,280
Speaker 1: naked in a Yeah, you're wet.

485
00:24:42,040 --> 00:24:45,400
Speaker 2: So and that you know, and then when you disrupt.

486
00:24:45,680 --> 00:24:48,320
Speaker 2: I mean, there is one of the top menopause researchers.

487
00:24:48,359 --> 00:24:50,920
Speaker 2: She's much older in the US, and I just read

488
00:24:50,920 --> 00:24:52,359
Speaker 2: a quote from her and I wanted to roll my

489
00:24:52,359 --> 00:24:54,840
Speaker 2: eyes so hard. I mean, there's the old school menopause,

490
00:24:54,840 --> 00:24:57,120
Speaker 2: the old guard I'm probably going to get in trouble

491
00:24:57,160 --> 00:24:59,919
Speaker 2: for saying this. But the people who kind of, you know,

492
00:25:00,040 --> 00:25:02,000
Speaker 2: and God bless them, they did great research back in

493
00:25:02,040 --> 00:25:05,080
Speaker 2: the day, but they kind of are really reluctant to

494
00:25:05,560 --> 00:25:09,080
Speaker 2: accept that other organ systems can be affected by menopause.

495
00:25:09,359 --> 00:25:11,640
Speaker 2: And she's like, no, no, no, no. The reason why

496
00:25:11,640 --> 00:25:13,840
Speaker 2: you're having brain fog is because your hot splashes are

497
00:25:13,880 --> 00:25:14,520
Speaker 2: waking you up.

498
00:25:14,400 --> 00:25:15,960
Speaker 1: At night and you're losing sleep.

499
00:25:16,160 --> 00:25:20,600
Speaker 2: Despite multiple medical journal articles coming out showing pet scans

500
00:25:20,640 --> 00:25:23,719
Speaker 2: all the brain going through menopause.

501
00:25:23,760 --> 00:25:28,960
Speaker 1: Oh that I mean, it's just that kind of mis knowledge,

502
00:25:29,280 --> 00:25:32,560
Speaker 1: I think, and people talking about that as much as they.

503
00:25:32,440 --> 00:25:36,080
Speaker 2: Have, I thought it a narrative that they have that like, listen,

504
00:25:36,560 --> 00:25:40,399
Speaker 2: women are just And then she similar researcher out of

505
00:25:40,400 --> 00:25:43,680
Speaker 2: Australia is like, it's just tough to be a midlife woman.

506
00:25:43,800 --> 00:25:45,800
Speaker 2: It has nothing to do with menopause. This is just

507
00:25:45,840 --> 00:25:47,080
Speaker 2: what women go through at this stage.

508
00:25:47,119 --> 00:25:49,080
Speaker 1: I'm like, no, that's not good enough.

509
00:25:49,480 --> 00:25:53,919
Speaker 2: I was living my I was perfectly fine until I

510
00:25:53,960 --> 00:25:57,200
Speaker 2: hit a certain age. I changed nothing, no stressors, no.

511
00:25:57,240 --> 00:25:59,879
Speaker 1: Diet, no exercise. My body completely changed.

512
00:26:00,240 --> 00:26:01,600
Speaker 2: My brain has to completely check.

513
00:26:01,680 --> 00:26:03,800
Speaker 1: I'm not a doctor. I didn't go to med school.

514
00:26:04,040 --> 00:26:07,080
Speaker 1: It makes sense to me, and so I don't understand

515
00:26:07,119 --> 00:26:09,840
Speaker 1: how it couldn't make sense to much more intelligent people.

516
00:26:10,280 --> 00:26:14,119
Speaker 2: And I started hormone therapy and I got ninety percent better.

517
00:26:14,520 --> 00:26:14,840
Speaker 1: Yep.

518
00:26:15,400 --> 00:26:18,040
Speaker 2: I just gave my body back what I used to have,

519
00:26:18,600 --> 00:26:21,280
Speaker 2: and turns out all those things kind of went away.

520
00:26:21,760 --> 00:26:25,280
Speaker 1: Let's talk about it then, hormone replacement therapy.

521
00:26:25,760 --> 00:26:31,159
Speaker 2: So I look at it as if I had hypothyroidism.

522
00:26:31,200 --> 00:26:36,320
Speaker 2: So if every woman's thyroid tanked at fifty and you

523
00:26:36,400 --> 00:26:39,240
Speaker 2: were born with, you know, all of your thyroid globulin

524
00:26:39,280 --> 00:26:42,080
Speaker 2: cells and they started deteriorating, you know, and then all

525
00:26:42,080 --> 00:26:44,560
Speaker 2: of a sudden at fifty they were gone, no one

526
00:26:44,600 --> 00:26:47,840
Speaker 2: would question you going on thyroid hormones for the rest

527
00:26:47,880 --> 00:26:50,080
Speaker 2: of your life, you know. And why do we do

528
00:26:50,119 --> 00:26:55,280
Speaker 2: this to women? And so menopause hormone therapy is basically

529
00:26:55,359 --> 00:26:59,960
Speaker 2: just giving your body back estrogen, progesterone, and sometimes testosterone

530
00:27:00,359 --> 00:27:02,840
Speaker 2: in levels that were similar to what you would have

531
00:27:02,880 --> 00:27:06,560
Speaker 2: gotten in your pre you know, in your pre menopause years.

532
00:27:06,840 --> 00:27:09,680
Speaker 2: And for me, it's like basically telling my body functions

533
00:27:09,720 --> 00:27:12,959
Speaker 2: to just operate at their usual level because the loss

534
00:27:12,960 --> 00:27:17,000
Speaker 2: of estrogen and tastosterone leads to dysfunction.

535
00:27:17,200 --> 00:27:19,879
Speaker 1: Well it makes sense, but why why did it get

536
00:27:19,920 --> 00:27:20,639
Speaker 1: such a bad wrap?

537
00:27:20,920 --> 00:27:24,720
Speaker 2: Well, okay, so scared in the eighties and nineties, probably

538
00:27:25,040 --> 00:27:27,000
Speaker 2: you know, depending on the numbers, forty to forty four

539
00:27:27,040 --> 00:27:29,639
Speaker 2: percent of women, it was recommended all women should be

540
00:27:29,680 --> 00:27:32,280
Speaker 2: on HRT. Okay, so about forty four percent of women

541
00:27:32,359 --> 00:27:34,760
Speaker 2: chose to be on it. Now, some had hoflashes, some didn't.

542
00:27:34,920 --> 00:27:38,119
Speaker 2: And what they knew from observational data was that women

543
00:27:38,160 --> 00:27:40,640
Speaker 2: tended to have less heart attacks and less death from

544
00:27:40,640 --> 00:27:44,680
Speaker 2: cardiovascular disease or at later ages than women who weren't

545
00:27:44,720 --> 00:27:47,600
Speaker 2: taking HRT that were age matched. But that was an

546
00:27:47,640 --> 00:27:50,680
Speaker 2: observational study. That's not proof. That's just like, hm, why

547
00:27:50,720 --> 00:27:54,440
Speaker 2: is this happening now? The theory was that, well, women

548
00:27:54,560 --> 00:27:56,960
Speaker 2: on HRT tend to be healthier and wealthier because they

549
00:27:57,000 --> 00:28:00,199
Speaker 2: have access to you know, medical doctors more often, and

550
00:28:00,240 --> 00:28:03,160
Speaker 2: maybe it's just an artifact of the healthier, wealthy patient population.

551
00:28:03,240 --> 00:28:06,159
Speaker 2: So let's do this large, randomized controlled study to see

552
00:28:06,200 --> 00:28:09,200
Speaker 2: if hormone therapy will decrease, truly decrease the risk of

553
00:28:09,240 --> 00:28:11,640
Speaker 2: party of vascular disease. So that was the Women's Health

554
00:28:11,640 --> 00:28:14,879
Speaker 2: Initiative billion dollar study thirty seven thousand patients enroll. They

555
00:28:14,880 --> 00:28:17,520
Speaker 2: have two arms, so it was placebo controlled. This is

556
00:28:17,560 --> 00:28:20,280
Speaker 2: like the gold standard study. So at the time, the

557
00:28:20,320 --> 00:28:24,200
Speaker 2: top two prescriptions given were premarent and prempro. Not really

558
00:28:24,200 --> 00:28:26,240
Speaker 2: what we give now, so that that's one caveat the

559
00:28:26,320 --> 00:28:29,199
Speaker 2: only tested one formulation. If you had a uterist, you

560
00:28:29,240 --> 00:28:31,960
Speaker 2: have to have a progestogen, So they gave premaran, which

561
00:28:32,000 --> 00:28:35,119
Speaker 2: is conjugated decoin estrogen and metroxy progesterine estate. Lots of

562
00:28:35,119 --> 00:28:37,359
Speaker 2: big words to say primpro, and then the women who

563
00:28:37,400 --> 00:28:40,080
Speaker 2: had had hysterectomies got premro because you don't need the

564
00:28:40,080 --> 00:28:41,080
Speaker 2: extra progesterone.

565
00:28:41,160 --> 00:28:42,280
Speaker 1: So off they go.

566
00:28:42,480 --> 00:28:44,959
Speaker 2: They see after a couple of years in the estrogen

567
00:28:45,000 --> 00:28:49,240
Speaker 2: plus progestogen arm that the women had a very slight

568
00:28:49,320 --> 00:28:52,320
Speaker 2: increased risk of breast cancer over the placebo group. Okay,

569
00:28:52,360 --> 00:28:56,560
Speaker 2: so it went from h four out of ten thousand

570
00:28:56,560 --> 00:28:58,600
Speaker 2: per year to like seven out of ten thousand per year,

571
00:28:58,680 --> 00:29:01,760
Speaker 2: which so there's relative risk and absolute risk relative risks.

572
00:29:01,800 --> 00:29:03,920
Speaker 2: That was like a twenty five percent increase in relative risk,

573
00:29:04,000 --> 00:29:06,000
Speaker 2: different than the absolute risk which was less than one

574
00:29:06,040 --> 00:29:08,760
Speaker 2: percent per year. Okay, just it depends on how you

575
00:29:08,800 --> 00:29:09,840
Speaker 2: skew the statistics.

576
00:29:10,280 --> 00:29:11,120
Speaker 1: So they halt the.

577
00:29:11,080 --> 00:29:14,160
Speaker 2: Study for that arm. They called press conference, don't release

578
00:29:14,200 --> 00:29:16,120
Speaker 2: the data, don't let any of the doctors review it,

579
00:29:16,280 --> 00:29:20,120
Speaker 2: you know, and say at this press conference, estrogen causes

580
00:29:20,160 --> 00:29:23,080
Speaker 2: breast cancer. We've stopped the study. This is horrible, Okay.

581
00:29:23,840 --> 00:29:27,640
Speaker 2: Every newspaper, every news show was before social media. Front

582
00:29:27,680 --> 00:29:30,160
Speaker 2: page cover was the number one new medical news story

583
00:29:30,200 --> 00:29:31,800
Speaker 2: of two thousand and two. It was my last year

584
00:29:31,800 --> 00:29:34,080
Speaker 2: of training, by the way, I'll never forget this. And

585
00:29:34,360 --> 00:29:36,920
Speaker 2: eighty percent went through their stuff in the trash, stopped

586
00:29:36,920 --> 00:29:38,840
Speaker 2: taking it. I don't want to die, blah blah, blah,

587
00:29:38,840 --> 00:29:43,920
Speaker 2: blah blah. Antidepressants went up four times, sleeping medications went

588
00:29:44,000 --> 00:29:47,800
Speaker 2: up three times, blood pressure medication, cholesterol, all that statins.

589
00:29:48,440 --> 00:29:48,640
Speaker 1: You know.

590
00:29:48,720 --> 00:29:50,960
Speaker 2: The loss of hormone therapy, women had to go on

591
00:29:51,040 --> 00:29:54,240
Speaker 2: polypharmacy to get everything control that hormones used to control.

592
00:29:54,520 --> 00:29:57,640
Speaker 2: The estrogen only arm continued for a couple more years,

593
00:29:57,760 --> 00:30:00,560
Speaker 2: and they did see an increased risk slightly of stroke,

594
00:30:00,600 --> 00:30:03,240
Speaker 2: which we knew. We knew, okay that after the age

595
00:30:03,280 --> 00:30:05,320
Speaker 2: of sixty, if you're on hormone therapy, your risk of

596
00:30:05,360 --> 00:30:07,120
Speaker 2: stroke goes up a little bit. Like, oh my god,

597
00:30:07,160 --> 00:30:09,720
Speaker 2: it caused a stroke. They did not see an improvement

598
00:30:09,720 --> 00:30:13,760
Speaker 2: in cardiovascular disease risk, no improvement. So now the average

599
00:30:13,760 --> 00:30:17,840
Speaker 2: age was sixty three because they're looking for cardiovascular disease

600
00:30:17,880 --> 00:30:21,160
Speaker 2: as an outcome, okay, which is reasonable if you're looking

601
00:30:21,160 --> 00:30:23,760
Speaker 2: for heart disease. Get it takes time to develop it,

602
00:30:24,320 --> 00:30:29,520
Speaker 2: so much older population than would have really started h RT,

603
00:30:29,680 --> 00:30:31,840
Speaker 2: usually at fifty to fifty one, forty nine, you know,

604
00:30:32,040 --> 00:30:35,280
Speaker 2: somewhere in that age. And they excluded everyone with hot

605
00:30:35,320 --> 00:30:39,520
Speaker 2: flashes because you would know if you had placebo jaw

606
00:30:39,600 --> 00:30:43,959
Speaker 2: flashes get better. So women with hot flashes tend to

607
00:30:44,000 --> 00:30:48,080
Speaker 2: have the you know, really really bad disease. And so

608
00:30:48,840 --> 00:30:50,680
Speaker 2: when with se of your hot flashes, are higher risks

609
00:30:50,680 --> 00:30:53,760
Speaker 2: for other conditions later on. So it was a really

610
00:30:53,840 --> 00:30:57,400
Speaker 2: kind of skewed study. And when they've gone back and

611
00:30:57,440 --> 00:30:59,680
Speaker 2: looked at it the women, they had younger women in

612
00:30:59,720 --> 00:31:01,640
Speaker 2: the st ST. So when they looked at the patients

613
00:31:01,680 --> 00:31:04,880
Speaker 2: who started HRT within ten years of their menopause, they

614
00:31:04,920 --> 00:31:08,000
Speaker 2: did have decreased risk of cardiovascular disease. It was just

615
00:31:08,040 --> 00:31:11,360
Speaker 2: the older patients. So estrogens that turns out, is better

616
00:31:11,400 --> 00:31:15,840
Speaker 2: at prevention than cure. It's very stabilizing to the blood vessels.

617
00:31:15,840 --> 00:31:18,760
Speaker 2: That line our carotid arteries and our hearts is where

618
00:31:18,800 --> 00:31:21,720
Speaker 2: strokes come from and where the alproscorotic disease happens.

619
00:31:22,320 --> 00:31:24,280
Speaker 1: And you know, not to say you'll never.

620
00:31:24,120 --> 00:31:27,000
Speaker 2: Develop those diseases, but it can delay the progression. But

621
00:31:27,120 --> 00:31:29,000
Speaker 2: you must start early, early.

622
00:31:29,040 --> 00:31:31,000
Speaker 1: It turns out in the brain.

623
00:31:31,720 --> 00:31:34,440
Speaker 2: Estrogen is a huge, huge, huge.

624
00:31:34,240 --> 00:31:35,200
Speaker 1: Benefit in the brain.

625
00:31:35,720 --> 00:31:38,000
Speaker 2: But you've got to start kind of early in order

626
00:31:38,000 --> 00:31:40,040
Speaker 2: to see those benefits. At least ten years as well.

627
00:31:40,200 --> 00:31:42,120
Speaker 1: Okay, so what's a number early?

628
00:31:42,640 --> 00:31:46,120
Speaker 2: So right now, the quote is to have the cardiovascular

629
00:31:46,160 --> 00:31:51,360
Speaker 2: preventative and cognitive preventative benefits, So within ten years of

630
00:31:51,400 --> 00:31:53,760
Speaker 2: your menopause or before the age sixty.

631
00:31:54,080 --> 00:31:55,760
Speaker 1: Okay, Now that being said.

632
00:31:55,600 --> 00:31:58,480
Speaker 2: I do start patients now, if you've turned sixty and

633
00:31:58,520 --> 00:32:00,280
Speaker 2: you're on HRT and you're doing great, and you have

634
00:32:00,280 --> 00:32:00,840
Speaker 2: no risk.

635
00:32:00,640 --> 00:32:04,040
Speaker 1: Factors, you can keep going. There's no age at which you.

636
00:32:04,000 --> 00:32:04,480
Speaker 2: Have to see.

637
00:32:04,480 --> 00:32:08,160
Speaker 1: You don't have to stop it if you're sixty, no, okay,

638
00:32:08,640 --> 00:32:10,720
Speaker 1: you can continue those preventative benefits.

639
00:32:10,920 --> 00:32:13,840
Speaker 2: But if you already have severe athloskrotic disease, estrogen is

640
00:32:13,880 --> 00:32:16,640
Speaker 2: not going to make it better, okay, And some people

641
00:32:16,640 --> 00:32:19,120
Speaker 2: think it may make it worse. So in my patients

642
00:32:19,120 --> 00:32:21,640
Speaker 2: like above sixty with risk factors, I'm getting a calcium

643
00:32:21,640 --> 00:32:24,560
Speaker 2: cardiac score and like extensive testing to see if they

644
00:32:24,560 --> 00:32:27,320
Speaker 2: have disease. I don't want to add estrogen on top

645
00:32:27,400 --> 00:32:29,480
Speaker 2: for you know, potentially making that disease worse.

646
00:32:29,920 --> 00:32:39,560
Speaker 1: Right, Okay, I heard today. I've known this before a

647
00:32:39,600 --> 00:32:42,400
Speaker 1: friend of mine has a company, but I heard today

648
00:32:42,400 --> 00:32:44,840
Speaker 1: in the news about estrogen in the form of a

649
00:32:45,280 --> 00:32:48,480
Speaker 1: vaginal topical ointment being used.

650
00:32:48,400 --> 00:32:48,800
Speaker 2: On the face.

651
00:32:49,000 --> 00:32:51,880
Speaker 1: This on the face, I think natural about is my friend.

652
00:32:52,400 --> 00:32:54,280
Speaker 2: So I've been using topical estrogen.

653
00:32:54,520 --> 00:32:56,719
Speaker 1: What's it called estra deal how do you say it?

654
00:32:57,120 --> 00:32:58,600
Speaker 1: Estra dial estradiyle sore.

655
00:32:58,760 --> 00:33:02,840
Speaker 2: There's two forms that have been tested. There's estriol, so estrogen.

656
00:33:02,920 --> 00:33:07,200
Speaker 2: Vaginal cream is typically estra dial point zero one percent

657
00:33:07,440 --> 00:33:09,800
Speaker 2: or yeaer point oh one percent vaginal cream.

658
00:33:09,680 --> 00:33:12,280
Speaker 1: And that's something someone's supposed to just rub on their

659
00:33:12,360 --> 00:33:13,720
Speaker 1: vagina and it's to absorb.

660
00:33:13,800 --> 00:33:16,040
Speaker 2: So that's for the treatment of vaginal atrophy and it

661
00:33:16,080 --> 00:33:19,600
Speaker 2: works beautifully. Well, Okay, some people have been putting it

662
00:33:19,640 --> 00:33:22,400
Speaker 2: on their face as well, and they've actually done studies

663
00:33:22,520 --> 00:33:27,200
Speaker 2: with the topical estrogen. This is a very very low dose.

664
00:33:27,400 --> 00:33:30,000
Speaker 2: This is not the estrogen that you would get the

665
00:33:30,080 --> 00:33:33,000
Speaker 2: cream and the sprays and everything for systemic therapy. This

666
00:33:33,080 --> 00:33:36,800
Speaker 2: is a much lower percentage. They tested the blood levels

667
00:33:36,800 --> 00:33:39,120
Speaker 2: of women putting it on their vaginas and on their faces,

668
00:33:39,120 --> 00:33:42,840
Speaker 2: and there's no systemic absorption, so there's no worries about

669
00:33:42,920 --> 00:33:45,320
Speaker 2: block clots or any of that, or endimatoral cancer, none

670
00:33:45,360 --> 00:33:48,200
Speaker 2: of that. Okay, as long as you use that preparation

671
00:33:48,400 --> 00:33:51,440
Speaker 2: meant for the vagina, the low low dose, the low

672
00:33:51,480 --> 00:33:56,280
Speaker 2: low dose and estreol cream, which is another form of estrogen.

673
00:33:56,280 --> 00:34:00,120
Speaker 2: It's actually the estrogen that's created in our placinas when

674
00:34:00,160 --> 00:34:04,239
Speaker 2: we're pregnant, and so they've been able to synthesize that

675
00:34:04,560 --> 00:34:07,960
Speaker 2: and the estray All cream get used on the face

676
00:34:08,000 --> 00:34:11,680
Speaker 2: as well with some similar efficacy, and those are usually compounded.

677
00:34:12,200 --> 00:34:13,840
Speaker 2: So that's the one that I've been using because my

678
00:34:13,920 --> 00:34:15,680
Speaker 2: friend's company made it and I was like, yeah, yeah,

679
00:34:15,680 --> 00:34:17,640
Speaker 2: I'll try it. She sent me one for free. I

680
00:34:17,719 --> 00:34:19,200
Speaker 2: fell in love with it, and of course now I

681
00:34:19,280 --> 00:34:21,160
Speaker 2: just buy it so I can talk about it without

682
00:34:21,360 --> 00:34:24,760
Speaker 2: having to say sponsored no, this is good.

683
00:34:24,960 --> 00:34:27,520
Speaker 1: I mean, it's a conversation that's been going on, but

684
00:34:27,640 --> 00:34:30,040
Speaker 1: now it seems like it's becoming public and I think

685
00:34:30,160 --> 00:34:31,600
Speaker 1: everybody's going to be talking about it.

686
00:34:31,760 --> 00:34:35,560
Speaker 2: Don't skip the vagina if you're you know, people are like, well,

687
00:34:35,560 --> 00:34:37,920
Speaker 2: I'm just trying to down there. I'm like, no, please,

688
00:34:38,080 --> 00:34:40,680
Speaker 2: you know she's staged it down there.

689
00:34:40,800 --> 00:34:44,399
Speaker 1: That's the health part. This is cosmetic. Yes, we talked

690
00:34:44,400 --> 00:34:47,880
Speaker 1: a lot about symptoms. Hot flashes obviously that's like the

691
00:34:47,920 --> 00:34:53,200
Speaker 1: no brainer symptom. But brain fog, you know, it's just

692
00:34:53,239 --> 00:34:56,520
Speaker 1: like when you have postpartum, when you just had your

693
00:34:56,560 --> 00:34:59,480
Speaker 1: baby and your hormones are gone, whack a dooodle. It's

694
00:34:59,480 --> 00:35:03,719
Speaker 1: a silence like misery, and nobody knows what's going on

695
00:35:03,800 --> 00:35:06,520
Speaker 1: in you, but you I feel like the brain fog

696
00:35:06,719 --> 00:35:11,560
Speaker 1: is another just silent struggle that people don't understand because

697
00:35:11,600 --> 00:35:13,959
Speaker 1: I mean, it happens to me at least three times

698
00:35:13,960 --> 00:35:15,320
Speaker 1: a day where I walk into a room and I

699
00:35:15,400 --> 00:35:18,640
Speaker 1: have no idea why I'm in there. That's brain fog.

700
00:35:19,040 --> 00:35:23,840
Speaker 2: M yeah. Or you can't find a word, or you

701
00:35:23,840 --> 00:35:27,239
Speaker 2: you know, can't remember a name or you know, in

702
00:35:27,320 --> 00:35:29,600
Speaker 2: these these things that will happen to us from time

703
00:35:29,640 --> 00:35:32,200
Speaker 2: to time. But when it becomes a pattern and all

704
00:35:32,200 --> 00:35:34,640
Speaker 2: of a sudden, you're questioning your judgment. One in five

705
00:35:34,680 --> 00:35:37,120
Speaker 2: women are quitting their jobs at our age because of this.

706
00:35:37,400 --> 00:35:41,359
Speaker 2: It's so bad, especially since they feel inadequate positions who

707
00:35:41,440 --> 00:35:45,040
Speaker 2: require lots of cognitive ability. You know, our missions are

708
00:35:45,480 --> 00:35:48,880
Speaker 2: they are really struggling and like not and hitting a wall,

709
00:35:49,160 --> 00:35:50,160
Speaker 2: hitting a wall at work.

710
00:35:50,440 --> 00:35:51,160
Speaker 1: It's scary.

711
00:35:51,680 --> 00:35:55,120
Speaker 2: It's so scary, and you know we're losing that. Mckensey

712
00:35:55,120 --> 00:35:58,600
Speaker 2: company just did this incredible report looking at lost economic

713
00:35:58,880 --> 00:36:01,719
Speaker 2: the economic impact of these women who are supposed to

714
00:36:01,760 --> 00:36:04,640
Speaker 2: be leading companies who can't do it. You know, twenty

715
00:36:04,640 --> 00:36:07,240
Speaker 2: percent of women walk away not because of an aging

716
00:36:07,239 --> 00:36:09,840
Speaker 2: payriner stuff. They can't they don't want to be up.

717
00:36:09,880 --> 00:36:11,400
Speaker 2: You know, they can't do their job confidently.

718
00:36:11,760 --> 00:36:16,560
Speaker 1: Is there a correlation between brain fog and early onset dementia?

719
00:36:18,239 --> 00:36:22,200
Speaker 2: Okay, so we all tend to have cognitive decline okay

720
00:36:22,680 --> 00:36:26,799
Speaker 2: in early in perimenopause and early menopause, and then for

721
00:36:26,880 --> 00:36:31,000
Speaker 2: those of us not on the path to dementia, it recovers.

722
00:36:30,600 --> 00:36:33,440
Speaker 1: Okay later, Oh thank goodness.

723
00:36:33,239 --> 00:36:35,120
Speaker 2: It does tend to recover. You will never quite be

724
00:36:35,120 --> 00:36:38,080
Speaker 2: where you were, but it does. The brain rewires, you know,

725
00:36:38,120 --> 00:36:40,040
Speaker 2: from the lack of estrogen, and then you learn how

726
00:36:40,080 --> 00:36:42,560
Speaker 2: to kind of compensate for it. Okay, that brain keeps

727
00:36:42,560 --> 00:36:46,320
Speaker 2: going unless you're on the Alzheimer dementia spectrum, and you

728
00:36:46,320 --> 00:36:50,359
Speaker 2: can keep going down. So, you know, the greatest book

729
00:36:50,360 --> 00:36:53,040
Speaker 2: written on this, and a brand new article just came out.

730
00:36:53,120 --> 00:36:57,080
Speaker 2: Lisa Musconi wrote The Menopause Brain. When she's a neuroscientist

731
00:36:57,160 --> 00:36:59,319
Speaker 2: out of will Cornell and she does pet scan after

732
00:36:59,360 --> 00:37:02,680
Speaker 2: pet scan of women's brains in different levels of menopause

733
00:37:02,719 --> 00:37:06,520
Speaker 2: and it's absolutely fascinating and it's just so validating. You know,

734
00:37:06,800 --> 00:37:08,440
Speaker 2: it's almost like I don't care if it's fixed at

735
00:37:08,440 --> 00:37:10,640
Speaker 2: this point, like at least I know I'm not nuts,

736
00:37:11,200 --> 00:37:14,760
Speaker 2: and you know, but she says, Alzheimer's is a disease

737
00:37:14,840 --> 00:37:18,560
Speaker 2: with symptoms of in old age, but it begins in

738
00:37:18,600 --> 00:37:22,680
Speaker 2: the life and menopause accelerates the deposition of the plex.

739
00:37:24,160 --> 00:37:25,840
Speaker 1: Yeah, it's a shame.

740
00:37:25,920 --> 00:37:30,480
Speaker 2: But even with the APO E four gene HRT, like

741
00:37:30,560 --> 00:37:31,520
Speaker 2: women on HRT.

742
00:37:31,480 --> 00:37:35,279
Speaker 1: Have involume better scores and women not what you call

743
00:37:35,320 --> 00:37:35,800
Speaker 1: it the APO.

744
00:37:36,000 --> 00:37:39,080
Speaker 2: So there's a APO E four I think gene which

745
00:37:39,120 --> 00:37:42,359
Speaker 2: is the genetic marker for Alzheimer's, Alzheimer's.

746
00:37:42,080 --> 00:37:43,280
Speaker 1: And even people.

747
00:37:43,280 --> 00:37:45,120
Speaker 2: So they studied that group and there was a few

748
00:37:45,160 --> 00:37:47,319
Speaker 2: of the women who actually got put on HRT for

749
00:37:47,360 --> 00:37:50,479
Speaker 2: hot flashes, and they had bigger brain volumes and better

750
00:37:50,480 --> 00:37:54,040
Speaker 2: cognition scores than their age match women, you know when

751
00:37:54,080 --> 00:37:56,960
Speaker 2: they started young, than the women who never got HRT

752
00:37:57,640 --> 00:37:59,400
Speaker 2: with the genetic predisposition.

753
00:38:00,120 --> 00:38:04,600
Speaker 1: It's so fascinating. Bodies are so crazy facinating. Wow, I

754
00:38:04,680 --> 00:38:07,760
Speaker 1: totally get it. Why you became a doctor. Loss of sleep,

755
00:38:07,800 --> 00:38:11,520
Speaker 1: that's another huge I had a lot of loss of sleep,

756
00:38:12,560 --> 00:38:16,520
Speaker 1: and that is what was the final driving factor. Combined

757
00:38:16,520 --> 00:38:18,520
Speaker 1: with the hot flashes of the marine fog. I guess

758
00:38:18,560 --> 00:38:21,360
Speaker 1: they'll go together. But I said, I can't lose my sleep,

759
00:38:21,400 --> 00:38:23,879
Speaker 1: and I'm not sleeping. I just wake up like five

760
00:38:23,920 --> 00:38:26,319
Speaker 1: times a night, whether it's from a hot flash or

761
00:38:26,440 --> 00:38:29,600
Speaker 1: just because. And that's why I decided to go on estrogen.

762
00:38:29,960 --> 00:38:32,319
Speaker 1: Why are we losing our sleep? Is it because of

763
00:38:32,360 --> 00:38:35,120
Speaker 1: the hot flashes? Few reasons. The hot flashes are just

764
00:38:35,120 --> 00:38:35,880
Speaker 1: sleep disruptive.

765
00:38:35,880 --> 00:38:38,759
Speaker 2: They'll wake you up right right. So, but even though

766
00:38:38,800 --> 00:38:41,080
Speaker 2: we can get those under control, women are still struggling

767
00:38:41,200 --> 00:38:45,800
Speaker 2: to sleep, not as much as before. So with the anxiety,

768
00:38:46,320 --> 00:38:49,680
Speaker 2: if someone is on the spectrum of their anxieties getting

769
00:38:49,719 --> 00:38:51,279
Speaker 2: higher in the racing thoughts at night.

770
00:38:51,800 --> 00:38:52,720
Speaker 1: That's one of the things.

771
00:38:52,719 --> 00:38:58,160
Speaker 2: Progesterone works incredibly well for that, or that three am

772
00:38:58,200 --> 00:39:00,399
Speaker 2: wake up and then you can't shut your ain off

773
00:39:00,400 --> 00:39:01,240
Speaker 2: to go back to sleep.

774
00:39:02,520 --> 00:39:05,400
Speaker 1: Progesterone works for that. The other thing is our bladders

775
00:39:05,400 --> 00:39:06,120
Speaker 1: can wake us up.

776
00:39:06,200 --> 00:39:09,120
Speaker 2: So if you're having irritable bladder or you're having you know,

777
00:39:09,160 --> 00:39:14,799
Speaker 2: incontinence or bladder spasms, then you know, vaginal estrogen can

778
00:39:14,840 --> 00:39:17,400
Speaker 2: do a beautiful job here of calming all that tissue

779
00:39:17,400 --> 00:39:20,680
Speaker 2: down so that you can sleep through that disruption. But

780
00:39:20,760 --> 00:39:22,759
Speaker 2: for my patients who you know, we've gotten the hot

781
00:39:22,800 --> 00:39:26,319
Speaker 2: flashes under control and she's still struggling, you know, with

782
00:39:26,440 --> 00:39:29,359
Speaker 2: the wake ups or the racing thoughts, progesterone we can

783
00:39:29,440 --> 00:39:30,839
Speaker 2: you know, you can go up to three and even

784
00:39:30,840 --> 00:39:34,600
Speaker 2: four hundred milligrams a night for that. The other thing

785
00:39:34,680 --> 00:39:36,560
Speaker 2: is if I choose to drink, and this is most

786
00:39:36,560 --> 00:39:40,440
Speaker 2: of my patients, if I choose alcohol, I am choosing

787
00:39:40,480 --> 00:39:42,560
Speaker 2: not to sleep. There's no way around it for.

788
00:39:42,520 --> 00:39:45,080
Speaker 1: Me, I know, man. And then there's just that's not

789
00:39:45,120 --> 00:39:47,640
Speaker 1: a decision you have to make because I'd rather sleep

790
00:39:47,680 --> 00:39:50,160
Speaker 1: than have a glass of wine. Yeah, I'd rather wake

791
00:39:50,239 --> 00:39:54,719
Speaker 1: up refreshed, yeah, yeah, and I'm sad because I'd love

792
00:39:54,760 --> 00:39:59,040
Speaker 1: to just you know, have wine or drink like my friends.

793
00:39:59,600 --> 00:40:01,319
Speaker 1: But I know how it affects me.

794
00:40:01,680 --> 00:40:04,960
Speaker 2: Yeah, so I have good I have really serious conversations

795
00:40:05,000 --> 00:40:07,960
Speaker 2: with my patients, like I can't fix this. We don't

796
00:40:07,960 --> 00:40:09,759
Speaker 2: know what you know, no one studied this yet. We

797
00:40:09,800 --> 00:40:12,480
Speaker 2: know it's happening, you know. And it could be that

798
00:40:12,520 --> 00:40:14,520
Speaker 2: our body composition is changing and.

799
00:40:14,760 --> 00:40:17,279
Speaker 1: Getting to cut out of your life.

800
00:40:17,040 --> 00:40:19,399
Speaker 2: And there's really no medical benefit to it.

801
00:40:19,960 --> 00:40:22,920
Speaker 1: I mean, it's boyson. We can work on other ways

802
00:40:22,960 --> 00:40:27,040
Speaker 1: to stress release. So yeah, yes, please, let's talk about

803
00:40:27,200 --> 00:40:33,600
Speaker 1: this Hypoactive sexual desire disorder. Yeah probably aka low libido,

804
00:40:33,880 --> 00:40:37,000
Speaker 1: AKA I'm not in the mood. There's many ways, so

805
00:40:37,040 --> 00:40:38,440
Speaker 1: we can sumb that one up.

806
00:40:38,560 --> 00:40:42,239
Speaker 2: Fifty percent of my patients have HSDD and it's it's

807
00:40:42,360 --> 00:40:45,120
Speaker 2: very very common. So hypoactive sexual desires source. So when

808
00:40:45,120 --> 00:40:47,280
Speaker 2: a woman comes in and I screen all my patients

809
00:40:47,320 --> 00:40:49,200
Speaker 2: for this, when they hit the door, my I have

810
00:40:49,280 --> 00:40:51,839
Speaker 2: low libido. There's kind of a medical checklist we have

811
00:40:51,880 --> 00:40:54,480
Speaker 2: to go through. Are you having pain? Okay? So when

812
00:40:54,520 --> 00:40:56,440
Speaker 2: we look at the buckets of why a woman's sexual

813
00:40:56,440 --> 00:40:59,239
Speaker 2: function is not where she wants it to be. One

814
00:40:59,320 --> 00:41:00,600
Speaker 2: is relationship disorder.

815
00:41:01,880 --> 00:41:02,880
Speaker 1: I'm not going to fix.

816
00:41:02,640 --> 00:41:05,200
Speaker 2: That, you know, Yeah, do you have a supportive partner?

817
00:41:05,360 --> 00:41:08,680
Speaker 2: You know, if when you're by yourself you're happy, and

818
00:41:08,800 --> 00:41:11,640
Speaker 2: when you're with this person there's zero interest. That's you know,

819
00:41:11,800 --> 00:41:14,839
Speaker 2: that's a counseling issue or whatever. That's you know here, no, no, no,

820
00:41:14,880 --> 00:41:16,279
Speaker 2: I love him. I w you know.

821
00:41:16,320 --> 00:41:19,200
Speaker 1: Did you ever have a great desire?

822
00:41:19,280 --> 00:41:21,439
Speaker 2: Yes? I used to, and it's just gone. I can't

823
00:41:21,480 --> 00:41:23,319
Speaker 2: seem to make it come back. I'm like, Okay, are

824
00:41:23,320 --> 00:41:23,959
Speaker 2: you having pain?

825
00:41:24,040 --> 00:41:24,520
Speaker 1: Yes or no?

826
00:41:24,640 --> 00:41:26,200
Speaker 2: And we have to fix that, get to the bottom

827
00:41:26,200 --> 00:41:28,960
Speaker 2: of that. Then there's arousal disorders, which are not that

828
00:41:29,040 --> 00:41:32,120
Speaker 2: common in women that they can happen, and orgasmic disorders.

829
00:41:32,760 --> 00:41:35,640
Speaker 2: So arousal disorder is you're struggling to get blood flow

830
00:41:35,680 --> 00:41:38,240
Speaker 2: to the area your brain saying yes, but nothing's happening

831
00:41:38,239 --> 00:41:41,359
Speaker 2: in the pelvis. Okay, that's where female viagra can come

832
00:41:41,400 --> 00:41:44,080
Speaker 2: into play, because that will increase just like in a man.

833
00:41:44,120 --> 00:41:46,359
Speaker 2: It will increase blood flow to the genitalia and kind

834
00:41:46,360 --> 00:41:48,120
Speaker 2: of get things moving in that direction, but it's not

835
00:41:48,160 --> 00:41:49,200
Speaker 2: going to do anything for your brain.

836
00:41:49,480 --> 00:41:52,360
Speaker 1: Wait, what's female viagra? Is it called viagraf.

837
00:41:52,880 --> 00:41:55,719
Speaker 2: Yeah, okay, giving a woman viagra can help with that,

838
00:41:55,800 --> 00:41:57,800
Speaker 2: and sometimes they just put the pill in the vagina

839
00:41:57,840 --> 00:42:01,080
Speaker 2: and let it dissolve and work there. Oh. The other

840
00:42:01,200 --> 00:42:03,600
Speaker 2: is orgasmic disorder, and you know, like ten percent of

841
00:42:03,640 --> 00:42:07,319
Speaker 2: women never ever ever have orgasms and their lives. And

842
00:42:07,520 --> 00:42:09,560
Speaker 2: you know if that was men, wouldn't this be a

843
00:42:09,640 --> 00:42:10,600
Speaker 2: national emergency?

844
00:42:11,320 --> 00:42:12,399
Speaker 1: We would have heard about it.

845
00:42:12,560 --> 00:42:14,520
Speaker 2: And so there's primary and secretary, so you know, we

846
00:42:14,560 --> 00:42:16,360
Speaker 2: get to the bottom of that. Then what's left is

847
00:42:16,520 --> 00:42:21,399
Speaker 2: HSDD hypoactive sexual desire disorder. Basically like love this person, right,

848
00:42:21,440 --> 00:42:24,520
Speaker 2: everything's great in my life. I can't figure out why

849
00:42:24,560 --> 00:42:27,560
Speaker 2: I can't get the signal up here. There's some medications

850
00:42:27,560 --> 00:42:29,960
Speaker 2: that work really well for that. So there's two FDA

851
00:42:29,960 --> 00:42:32,920
Speaker 2: approved medications. One is Addie, which is the pill you

852
00:42:32,920 --> 00:42:35,360
Speaker 2: take every day. It works at the level of neuro receptors.

853
00:42:35,960 --> 00:42:37,960
Speaker 2: Great story on how long it took for them to

854
00:42:37,960 --> 00:42:40,840
Speaker 2: get past the FDA compared to viagra, which took like

855
00:42:41,120 --> 00:42:42,120
Speaker 2: thirty seven minutes.

856
00:42:42,239 --> 00:42:45,840
Speaker 1: Okay, oh my god, story Cindy Ekkerd.

857
00:42:45,920 --> 00:42:48,040
Speaker 2: You have to listen to her. She's amazing. Then there's

858
00:42:48,200 --> 00:42:51,720
Speaker 2: v Lasi, which is an injection that you give yourself

859
00:42:51,760 --> 00:42:52,800
Speaker 2: thirty minutes before.

860
00:42:53,080 --> 00:42:54,880
Speaker 1: But some patients who does.

861
00:42:54,760 --> 00:42:57,560
Speaker 2: Well, they love it. It works on Milana Courton and you know,

862
00:42:57,640 --> 00:42:59,800
Speaker 2: kind of opens up things in the brain there.

863
00:43:00,000 --> 00:43:01,480
Speaker 1: Where do you inject it anywhere?

864
00:43:01,600 --> 00:43:04,000
Speaker 2: Okay, usually an ADAM and most people just grab the

865
00:43:04,040 --> 00:43:06,080
Speaker 2: scin and pop it in and you just wait and

866
00:43:06,120 --> 00:43:10,920
Speaker 2: then you wait thirty minutes. And then there's testosterone which works.

867
00:43:10,960 --> 00:43:14,520
Speaker 2: That's works the best, but unfortunately we don't have an

868
00:43:14,560 --> 00:43:18,560
Speaker 2: FDA proved medication. It works and postmona balls with women beautifully,

869
00:43:18,600 --> 00:43:22,640
Speaker 2: and so probably half of my patients end up on testosterone.

870
00:43:23,080 --> 00:43:26,280
Speaker 2: As long as you give it in physiologic doses, then

871
00:43:26,480 --> 00:43:28,400
Speaker 2: they usually don't have a lot of side effects and

872
00:43:28,400 --> 00:43:32,280
Speaker 2: we're just restoring their levels and they're so happy. It also,

873
00:43:33,000 --> 00:43:36,239
Speaker 2: you know, has very promising research on brain function on

874
00:43:36,360 --> 00:43:38,560
Speaker 2: But there's just a sasterm receptors everywhere. And when my

875
00:43:38,600 --> 00:43:40,960
Speaker 2: patients come in and they are sycopenic because I have

876
00:43:41,000 --> 00:43:44,120
Speaker 2: a body scanner in my office, or they have local density,

877
00:43:44,280 --> 00:43:48,480
Speaker 2: you know, peniostioporosis, I'm using it in their toolkit of

878
00:43:48,520 --> 00:43:50,319
Speaker 2: how are we going to get your bone stronger, you know,

879
00:43:50,440 --> 00:43:54,200
Speaker 2: or keep your bone strong of you know, resistance training, protein,

880
00:43:54,239 --> 00:43:58,440
Speaker 2: the weighted vest, all that plus testosterone. So most of

881
00:43:58,480 --> 00:44:01,239
Speaker 2: my patients when we go through the options, choose testosterone

882
00:44:01,239 --> 00:44:03,000
Speaker 2: because it seems to have multiple benefits.

883
00:44:03,040 --> 00:44:06,640
Speaker 1: And can you be on estrogen, progesterone, and testosterone. Yeah,

884
00:44:06,640 --> 00:44:09,879
Speaker 1: we call it the megapack. That's like a dream come try.

885
00:44:09,960 --> 00:44:13,239
Speaker 1: I'm on all three. Yeah, wow, I got to get

886
00:44:13,239 --> 00:44:22,520
Speaker 1: on that train. I've seen you before with your weighted vest.

887
00:44:22,600 --> 00:44:23,839
Speaker 1: What the heck is happening with that?

888
00:44:24,200 --> 00:44:28,640
Speaker 2: So there's great studies there. You know, women our a

889
00:44:28,719 --> 00:44:31,520
Speaker 2: genteralder are rarely studied. It's really sad, but there are

890
00:44:31,560 --> 00:44:35,080
Speaker 2: actually some really nice studies looking on women and men

891
00:44:35,280 --> 00:44:38,280
Speaker 2: in long term care facilities, measuring muscle and bone strength

892
00:44:38,719 --> 00:44:41,279
Speaker 2: and all the tools that they used. So I call

893
00:44:41,320 --> 00:44:44,799
Speaker 2: it my osteoporsus Prevention pack. And because you know you

894
00:44:44,840 --> 00:44:48,120
Speaker 2: fall and break a head, you dead. Thirty percent of

895
00:44:48,160 --> 00:44:50,160
Speaker 2: us will die even with surgery in a year after

896
00:44:50,200 --> 00:44:51,160
Speaker 2: the age of sixty five.

897
00:44:51,960 --> 00:44:53,160
Speaker 1: That's in nine years for me.

898
00:44:53,480 --> 00:44:54,200
Speaker 2: That's not good.

899
00:44:54,280 --> 00:44:55,000
Speaker 1: That's coming up.

900
00:44:55,520 --> 00:44:57,759
Speaker 2: So you know, I'm doing everything I can. So the

901
00:44:57,760 --> 00:45:00,279
Speaker 2: weighted vest is just a hack. I'm actually going to

902
00:45:00,320 --> 00:45:04,360
Speaker 2: develop one with QVC. I love this. I'm in line

903
00:45:04,480 --> 00:45:06,440
Speaker 2: because I have one and I love it, but it

904
00:45:06,480 --> 00:45:09,160
Speaker 2: doesn't fit over the when women's chests very well. They

905
00:45:09,200 --> 00:45:12,120
Speaker 2: were made for men as per us, and so I

906
00:45:12,160 --> 00:45:14,000
Speaker 2: want to make one where we can kind of slide

907
00:45:14,080 --> 00:45:16,360
Speaker 2: the stuff around and fit around our girl parts.

908
00:45:16,880 --> 00:45:19,839
Speaker 1: So, God, you, I'm so excited for you to come

909
00:45:19,880 --> 00:45:23,719
Speaker 1: to the queue with all your packs, all your things.

910
00:45:24,160 --> 00:45:26,719
Speaker 1: It's going to be really great. So that's just like

911
00:45:26,760 --> 00:45:29,160
Speaker 1: a weighted thing that you do. You wear that like hiking,

912
00:45:29,440 --> 00:45:29,960
Speaker 1: working out.

913
00:45:30,080 --> 00:45:32,520
Speaker 2: Yeah, so I tell my patients. Start wearing it around

914
00:45:32,520 --> 00:45:35,759
Speaker 2: the house, doing housework, walk the dog, you know, until

915
00:45:35,800 --> 00:45:37,759
Speaker 2: you start with about ten percent of your body weight,

916
00:45:38,160 --> 00:45:41,680
Speaker 2: so you know, twelve rounds or fifty nothing crazy. And

917
00:45:41,680 --> 00:45:43,399
Speaker 2: then as you get stronger, you wear it more and more.

918
00:45:43,440 --> 00:45:45,440
Speaker 2: I now wear it when I'm working out, like and

919
00:45:45,520 --> 00:45:48,080
Speaker 2: I also I turn my treadmill into a walking desk

920
00:45:48,520 --> 00:45:50,759
Speaker 2: and so I'll put the desk on an encline, throw

921
00:45:50,800 --> 00:45:52,880
Speaker 2: on my weight to vest and I'm doing research or

922
00:45:52,960 --> 00:45:55,080
Speaker 2: doing zoom calls for work not not a podcast.

923
00:45:55,120 --> 00:45:58,480
Speaker 1: But yeah, you're not doing it right now. No, how

924
00:45:58,560 --> 00:45:59,799
Speaker 1: high are you is your weight up to?

925
00:46:00,239 --> 00:46:02,359
Speaker 2: Oh? Of course my husband got into it. So now

926
00:46:02,400 --> 00:46:06,760
Speaker 2: we have eight which no one wears anymore. We have twelve, fifteen, twenty,

927
00:46:06,880 --> 00:46:08,680
Speaker 2: twenty five, thirty, and thirty five.

928
00:46:08,719 --> 00:46:09,919
Speaker 1: So he wears the heavier ones.

929
00:46:09,960 --> 00:46:11,440
Speaker 2: Every once in a while, I'll put the heavier one

930
00:46:11,520 --> 00:46:13,680
Speaker 2: just to feel, but I'll take it off in like

931
00:46:13,719 --> 00:46:14,400
Speaker 2: thirty minutes.

932
00:46:14,880 --> 00:46:18,240
Speaker 1: So that is great though, What a way to strengthen yourself,

933
00:46:19,120 --> 00:46:20,520
Speaker 1: I mean, just overall.

934
00:46:20,239 --> 00:46:23,279
Speaker 2: So the studies showed improved bondensity and improved muscle strength

935
00:46:23,320 --> 00:46:24,200
Speaker 2: and improved balance.

936
00:46:24,880 --> 00:46:28,600
Speaker 1: So that's so important for us to decrease risk. You

937
00:46:28,680 --> 00:46:33,239
Speaker 1: know what I'm obsessed with right now. Stretching. Yeah, I

938
00:46:33,280 --> 00:46:36,040
Speaker 1: cannot get enough of it. Every night, I lay in

939
00:46:36,040 --> 00:46:37,680
Speaker 1: front of the TV on the floor, I put my

940
00:46:37,680 --> 00:46:40,560
Speaker 1: little yoga mat down and my dogs come around and

941
00:46:40,600 --> 00:46:44,280
Speaker 1: we stretch, and like, I get into every joint because

942
00:46:44,400 --> 00:46:48,759
Speaker 1: I I feel like when you get sedentary and your

943
00:46:48,840 --> 00:46:52,120
Speaker 1: joints lock up, they get rusty, you know.

944
00:46:52,560 --> 00:46:56,040
Speaker 2: I mean, there's there's data showing stretching decreases the risk

945
00:46:56,080 --> 00:47:00,200
Speaker 2: of falls because you're your decreasing motion if you don't stretch.

946
00:47:01,440 --> 00:47:03,759
Speaker 1: Can we go back for one second about the balbido thing.

947
00:47:03,920 --> 00:47:08,480
Speaker 1: How can we get our partners to be understanding or

948
00:47:08,520 --> 00:47:12,120
Speaker 1: compassionate or I don't even know what the right word is.

949
00:47:12,160 --> 00:47:16,400
Speaker 1: But it's a challenge because they don't understand what's happening

950
00:47:16,840 --> 00:47:20,240
Speaker 1: right and we ourselves don't understand exactly what's happening.

951
00:47:20,600 --> 00:47:23,920
Speaker 2: Some of the most impassioned letters I get our DMS

952
00:47:23,960 --> 00:47:28,400
Speaker 2: are from partners. Help me help her how you know,

953
00:47:28,680 --> 00:47:32,120
Speaker 2: And I'm like, educate yourself so that you can understand

954
00:47:33,080 --> 00:47:35,120
Speaker 2: what she's going through. And this is not her fault.

955
00:47:35,200 --> 00:47:37,560
Speaker 2: She is in there and she still loves you more

956
00:47:37,560 --> 00:47:40,400
Speaker 2: than likely, you know, but she isn't likely. She is

957
00:47:40,480 --> 00:47:43,600
Speaker 2: going through a cataclysmic change right now, and none of

958
00:47:43,600 --> 00:47:45,680
Speaker 2: this is your fault. And so here are the ways

959
00:47:45,680 --> 00:47:46,319
Speaker 2: to support her.

960
00:47:46,400 --> 00:47:47,240
Speaker 1: Go with her.

961
00:47:47,840 --> 00:47:49,600
Speaker 2: I mean, the study is showing that when the men

962
00:47:49,680 --> 00:47:53,000
Speaker 2: go with the women to the doctor, they're much more

963
00:47:53,120 --> 00:47:57,319
Speaker 2: likely to be believed and get therapy. Absolutely, then if

964
00:47:57,360 --> 00:48:01,279
Speaker 2: and then help her find a menopause educated provider so

965
00:48:01,320 --> 00:48:03,560
Speaker 2: that you can have you guys can have an informed

966
00:48:03,560 --> 00:48:04,960
Speaker 2: conversation about her healthcare.

967
00:48:05,480 --> 00:48:07,719
Speaker 1: I love that it's just about supporting her. I mean,

968
00:48:08,360 --> 00:48:11,799
Speaker 1: if something were to happen to your spouse physically, you

969
00:48:11,800 --> 00:48:14,759
Speaker 1: would support them automatically. So this is just something that

970
00:48:15,280 --> 00:48:20,000
Speaker 1: needs to be on the partner's radars. For sure, for sure,

971
00:48:20,480 --> 00:48:24,520
Speaker 1: I did want to talk about you are a mother

972
00:48:24,640 --> 00:48:29,240
Speaker 1: of two. I am a mother of three daughters as well,

973
00:48:29,280 --> 00:48:32,840
Speaker 1: and I just want to know, Okay, so our moms

974
00:48:33,200 --> 00:48:36,399
Speaker 1: and grandma's weren't talking about it. Now our daughters are

975
00:48:36,719 --> 00:48:40,000
Speaker 1: starting to hear us talk about it. It's becoming less

976
00:48:40,000 --> 00:48:43,319
Speaker 1: taboo to talk about what can we do to help

977
00:48:43,400 --> 00:48:46,640
Speaker 1: them not be afraid of it, to not be you know,

978
00:48:46,880 --> 00:48:48,399
Speaker 1: to not be so fearful of it.

979
00:48:48,960 --> 00:48:51,319
Speaker 2: So I have this what I would tell myself at

980
00:48:51,360 --> 00:48:53,479
Speaker 2: thirty five. So these are like the tenets I try

981
00:48:53,520 --> 00:48:56,920
Speaker 2: to teach them. But again, they're prone to social media

982
00:48:57,360 --> 00:49:01,160
Speaker 2: and you have societal expectations. My oldest is in medical

983
00:49:01,239 --> 00:49:04,480
Speaker 2: school now, so she's you know a little radicalized for

984
00:49:04,640 --> 00:49:08,880
Speaker 2: menopausecare because of me. And my youngest is twenty in

985
00:49:08,960 --> 00:49:13,000
Speaker 2: college and she's actually interning for a menopause telemedicine company

986
00:49:13,400 --> 00:49:16,200
Speaker 2: this summer. So again, my kids are not the normal.

987
00:49:16,640 --> 00:49:19,080
Speaker 1: No, they're going to carry on though, they're going to help. No,

988
00:49:19,360 --> 00:49:20,440
Speaker 1: But my daughter what.

989
00:49:20,440 --> 00:49:22,360
Speaker 2: I would tell, you know, what things I would the

990
00:49:22,400 --> 00:49:24,600
Speaker 2: tenants I would try to teach my children, you know,

991
00:49:24,760 --> 00:49:29,280
Speaker 2: or teach the next generation strong over skinny. Okay, yes,

992
00:49:30,200 --> 00:49:32,040
Speaker 2: you know, moving your body to be strong and not

993
00:49:32,239 --> 00:49:35,520
Speaker 2: thin is key here because we're going to you know,

994
00:49:35,600 --> 00:49:37,239
Speaker 2: trying to get that in their head that they're going

995
00:49:37,280 --> 00:49:40,720
Speaker 2: to reach a maximum muscle and moon strength around age thirty,

996
00:49:40,760 --> 00:49:42,560
Speaker 2: and then age is going to start trying to take

997
00:49:42,600 --> 00:49:45,160
Speaker 2: it away from us and aging process, and then that

998
00:49:45,200 --> 00:49:48,200
Speaker 2: accelerates in menopause. So so these habits of getting this

999
00:49:48,239 --> 00:49:52,359
Speaker 2: stuff down now, of moving your body for strength and

1000
00:49:52,600 --> 00:49:54,840
Speaker 2: our strong brain and a strong heart and strong muscles

1001
00:49:54,880 --> 00:49:58,040
Speaker 2: and strong bones, you can do that now and not

1002
00:49:58,200 --> 00:50:00,880
Speaker 2: just focused on cardio to be skinny is going to

1003
00:50:01,000 --> 00:50:02,200
Speaker 2: serve you so much better.

1004
00:50:02,520 --> 00:50:03,960
Speaker 1: Nutrition over calories, this.

1005
00:50:04,000 --> 00:50:07,359
Speaker 2: Obsessive you know, calorie counting, it's not helping us. It's

1006
00:50:07,360 --> 00:50:10,360
Speaker 2: not helping you know, still living with you know, incredible

1007
00:50:10,440 --> 00:50:15,279
Speaker 2: levels more but obesity, and you know, really looking at

1008
00:50:15,280 --> 00:50:17,880
Speaker 2: their nutrition. You know, how much magnesium are you getting,

1009
00:50:17,880 --> 00:50:20,440
Speaker 2: how much fiber, how much protein? These are the things

1010
00:50:20,480 --> 00:50:22,680
Speaker 2: I talked to my kid about. How much sugar is

1011
00:50:22,680 --> 00:50:24,959
Speaker 2: in that are you know, like like trying to fill

1012
00:50:25,000 --> 00:50:27,680
Speaker 2: your like trying to eat more instead of being so

1013
00:50:27,760 --> 00:50:31,560
Speaker 2: restrictive and then educate learning about this is a natural

1014
00:50:31,560 --> 00:50:33,920
Speaker 2: phase of life. Shouldn't be scared of it, but it

1015
00:50:34,000 --> 00:50:35,560
Speaker 2: is going to happen, and it can affect you. And

1016
00:50:35,640 --> 00:50:37,920
Speaker 2: kind of here's what happened to mom. You know you

1017
00:50:38,000 --> 00:50:40,360
Speaker 2: watched me go through it. My older daughter now says,

1018
00:50:40,680 --> 00:50:42,719
Speaker 2: I guess it was kind of not fair that I

1019
00:50:42,800 --> 00:50:44,680
Speaker 2: was a teenager. I was the teenager I was, and

1020
00:50:44,719 --> 00:50:48,120
Speaker 2: you were going through very menopause at the same, right.

1021
00:50:48,040 --> 00:50:50,760
Speaker 1: If they only knew, So she knows now.

1022
00:50:51,520 --> 00:50:53,680
Speaker 2: And I look back at that, Mary Claire, I'm like,

1023
00:50:53,680 --> 00:50:58,399
Speaker 2: oh my god, oh my god. Yeah, who buying off

1024
00:50:58,400 --> 00:50:58,840
Speaker 2: the handle?

1025
00:50:59,239 --> 00:51:01,839
Speaker 1: Uh huh dark, But look how much better we are now.

1026
00:51:02,040 --> 00:51:02,480
Speaker 2: Yeah.

1027
00:51:02,640 --> 00:51:05,400
Speaker 1: Yeah, tell me though about that. You are a certified

1028
00:51:05,440 --> 00:51:08,560
Speaker 1: culinary medicine specialist, so that goes hand in hand with

1029
00:51:08,640 --> 00:51:10,800
Speaker 1: that giving the right nutritional messages.

1030
00:51:11,320 --> 00:51:14,279
Speaker 2: So when I decided to like, I was like, I'm

1031
00:51:14,320 --> 00:51:17,920
Speaker 2: going to fix this menopause fat problem, weight gain whatever.

1032
00:51:18,080 --> 00:51:20,200
Speaker 2: I didn't even know about visceral fat. I just thought

1033
00:51:20,280 --> 00:51:21,000
Speaker 2: fat was fat.

1034
00:51:21,440 --> 00:51:22,400
Speaker 1: So I enrolled in this.

1035
00:51:22,760 --> 00:51:25,080
Speaker 2: I wanted to get a master's in nutrition, and again

1036
00:51:25,120 --> 00:51:27,600
Speaker 2: I was at a university and one of the professors

1037
00:51:27,719 --> 00:51:30,280
Speaker 2: was like, well, there's this culinary medicine program that's popped

1038
00:51:30,320 --> 00:51:32,400
Speaker 2: up and there's a professor at Tulane who's running it.

1039
00:51:32,880 --> 00:51:34,680
Speaker 2: You know, you probably could 'en roll in that. It

1040
00:51:34,680 --> 00:51:36,400
Speaker 2: looks like it's going to give you all the basics

1041
00:51:36,400 --> 00:51:38,880
Speaker 2: you need without having to like enroll in a university

1042
00:51:38,920 --> 00:51:40,480
Speaker 2: while you're a teaching professor like that.

1043
00:51:40,680 --> 00:51:41,560
Speaker 1: It was too hard.

1044
00:51:41,880 --> 00:51:44,680
Speaker 2: Yeah, Like okay, so I learned so much. We didn't

1045
00:51:44,920 --> 00:51:48,200
Speaker 2: learn much nutrition in medical school hardly, like scratch the surface.

1046
00:51:48,680 --> 00:51:51,279
Speaker 2: This was like the best thing I ever did about

1047
00:51:51,480 --> 00:51:55,080
Speaker 2: you know, the blue zone and Mediterranean and dietary patterns

1048
00:51:55,120 --> 00:51:58,279
Speaker 2: and how you know. It was just incredible, and so

1049
00:51:58,360 --> 00:52:00,799
Speaker 2: I wrapped up all of that to like create the

1050
00:52:00,840 --> 00:52:03,840
Speaker 2: Galveston Diet, my first book for my patients and followers,

1051
00:52:03,880 --> 00:52:05,359
Speaker 2: and then it turned into a book and a thing.

1052
00:52:06,320 --> 00:52:08,880
Speaker 2: But quickly as soon as I wrote that, I was

1053
00:52:09,000 --> 00:52:11,560
Speaker 2: you know, sharing on social media about it, and people

1054
00:52:11,560 --> 00:52:13,960
Speaker 2: were asking me more and more menopause questions in general.

1055
00:52:14,280 --> 00:52:15,880
Speaker 2: So then I, you know, I'm curious, so I just

1056
00:52:15,960 --> 00:52:19,120
Speaker 2: keep researching, and that's how Pause came about.

1057
00:52:19,440 --> 00:52:22,360
Speaker 1: Yeah, I mean, the connection with food and the sugar

1058
00:52:22,600 --> 00:52:25,399
Speaker 1: and the like what you were saying right now, I'm

1059
00:52:25,440 --> 00:52:27,960
Speaker 1: just it's all about for me, protein intake and fiber

1060
00:52:28,040 --> 00:52:29,000
Speaker 1: intake same.

1061
00:52:29,480 --> 00:52:32,520
Speaker 2: I look at my plate and it's like protein plants,

1062
00:52:32,960 --> 00:52:33,319
Speaker 2: you know, and.

1063
00:52:33,280 --> 00:52:34,280
Speaker 1: How much of that is fiber?

1064
00:52:34,920 --> 00:52:38,200
Speaker 2: So right, I just made a huge smat of like

1065
00:52:38,280 --> 00:52:40,719
Speaker 2: beans with ground turkey, and that's like our meal prep

1066
00:52:41,160 --> 00:52:43,760
Speaker 2: for the week. You know, we can munch on it whenever,

1067
00:52:43,840 --> 00:52:47,520
Speaker 2: and I know I'm going on hand and my fiber exactly.

1068
00:52:48,280 --> 00:52:51,320
Speaker 1: Well, I feel like we've talked about so many great things.

1069
00:52:51,520 --> 00:52:54,680
Speaker 1: You have been doing the circuit, talking so much about

1070
00:52:55,160 --> 00:52:59,239
Speaker 1: menopause and your new book, and you've just been doing

1071
00:52:59,239 --> 00:53:01,439
Speaker 1: such a great jobs. Is there anything that you ever

1072
00:53:01,520 --> 00:53:03,879
Speaker 1: would think like, Oh, I wish we could just talk

1073
00:53:03,880 --> 00:53:04,799
Speaker 1: a little bit about that.

1074
00:53:05,040 --> 00:53:09,239
Speaker 2: You know, just menopause is inevitable, but suffering is not.

1075
00:53:09,920 --> 00:53:13,360
Speaker 2: And the more we normalize this and talk about it

1076
00:53:13,400 --> 00:53:16,720
Speaker 2: in our own unique experiences, and the more the world's

1077
00:53:16,760 --> 00:53:19,680
Speaker 2: going to pay attention, because I think they're paying attention now.

1078
00:53:19,880 --> 00:53:20,720
Speaker 1: They are now.

1079
00:53:20,760 --> 00:53:25,000
Speaker 2: It's like getting our legislators and our you know, government agencies,

1080
00:53:25,040 --> 00:53:27,120
Speaker 2: and our medical schools and stuff.

1081
00:53:26,840 --> 00:53:28,520
Speaker 1: To like get on board.

1082
00:53:29,280 --> 00:53:33,239
Speaker 2: We're probably twenty years away from like our daughters being

1083
00:53:33,239 --> 00:53:36,240
Speaker 2: able to confidently walk into a clinician's office and discuss

1084
00:53:36,280 --> 00:53:39,520
Speaker 2: their menopause and have adequate care. So it's it's just,

1085
00:53:39,640 --> 00:53:41,440
Speaker 2: you know, we have to fill in the gaps for now.

1086
00:53:41,440 --> 00:53:43,279
Speaker 1: Oh my god. It just makes me so excited, though.

1087
00:53:43,280 --> 00:53:45,680
Speaker 1: I have to throw my cards up because the work

1088
00:53:45,719 --> 00:53:49,840
Speaker 1: you're doing is so important to our generation, our daughters,

1089
00:53:50,320 --> 00:53:54,560
Speaker 1: our granddaughters. I just I'm so motivated by you and inspired,

1090
00:53:54,719 --> 00:53:56,800
Speaker 1: and I'm glad that we met at the Q fifty.

1091
00:53:57,120 --> 00:53:58,160
Speaker 2: Yeah, that was awesome.

1092
00:53:58,239 --> 00:54:00,920
Speaker 1: Before we go, I want to ask you, what was

1093
00:54:01,160 --> 00:54:03,120
Speaker 1: your last I choose me moment?

1094
00:54:04,000 --> 00:54:10,080
Speaker 2: You know, I've had to put up boundaries in relationships

1095
00:54:10,840 --> 00:54:14,240
Speaker 2: and it's okay. I have to put my own mental

1096
00:54:14,280 --> 00:54:17,480
Speaker 2: health first. And you know, it doesn't mean I don't

1097
00:54:17,520 --> 00:54:21,560
Speaker 2: love someone or whatever, but in order to live my

1098
00:54:21,680 --> 00:54:24,480
Speaker 2: best life and be the person I want to be,

1099
00:54:25,280 --> 00:54:28,520
Speaker 2: sometimes I have to say no and put up a

1100
00:54:28,560 --> 00:54:31,279
Speaker 2: boundary where I'm not going to let this affect me

1101
00:54:31,400 --> 00:54:33,560
Speaker 2: or I'm not going to get involved in that drama.

1102
00:54:33,840 --> 00:54:35,719
Speaker 2: And that is one of the most powerful things of

1103
00:54:35,719 --> 00:54:38,680
Speaker 2: my metopause, is just having no guilt or shame about that.

1104
00:54:39,040 --> 00:54:42,160
Speaker 1: I love that. Well, thank you, doctor Haber, You're welcome.

1105
00:54:45,560 --> 00:54:49,479
Speaker 1: Oh how I love her. That conversation with doctor Mary

1106
00:54:49,520 --> 00:54:53,120
Speaker 1: Claire Haveer was so interesting. And honestly, it just gives

1107
00:54:53,160 --> 00:54:56,879
Speaker 1: me so much hope. I feel inspired and I feel heard.

1108
00:54:57,360 --> 00:54:59,279
Speaker 1: I'm just I'm so grateful that she came on the

1109
00:54:59,320 --> 00:55:03,640
Speaker 1: podcast and gave us all this information. Menopause is something

1110
00:55:03,680 --> 00:55:06,279
Speaker 1: that half the population is going to go through, and

1111
00:55:06,360 --> 00:55:08,759
Speaker 1: I'm just really happy to be a part of the

1112
00:55:08,760 --> 00:55:12,600
Speaker 1: conversation and to use my platform to destigmatize this because

1113
00:55:13,000 --> 00:55:16,400
Speaker 1: it's something as women we shouldn't be ashamed to talk about.

1114
00:55:16,840 --> 00:55:21,240
Speaker 1: So as we continue to choose ourselves each week, this week,

1115
00:55:21,600 --> 00:55:25,040
Speaker 1: I want to encourage you to have a conversation with

1116
00:55:25,239 --> 00:55:28,560
Speaker 1: another woman in your life, your mother, your best friend,

1117
00:55:28,680 --> 00:55:33,719
Speaker 1: your sister, your partner, about menopause. What do they know

1118
00:55:33,840 --> 00:55:37,359
Speaker 1: about it? Are they in it? How was it, what

1119
00:55:37,520 --> 00:55:41,960
Speaker 1: was their experience? Did they feel alone? How did they

1120
00:55:42,000 --> 00:55:44,680
Speaker 1: handle it? As women, we talk about a lot of

1121
00:55:44,760 --> 00:55:47,480
Speaker 1: things we go through, So why don't we talk about

1122
00:55:47,480 --> 00:55:51,319
Speaker 1: the menopause chapter. Let's just all do our part to

1123
00:55:51,560 --> 00:55:55,520
Speaker 1: amplify this topic, and it starts right here by talking

1124
00:55:55,600 --> 00:55:58,440
Speaker 1: about it with each other. I love you, Thanks for

1125
00:55:58,520 --> 00:56:00,960
Speaker 1: listening to I Choose Me. You can check out all

1126
00:56:01,000 --> 00:56:04,400
Speaker 1: our social links and doctor Mary Claire Haver's info in

1127
00:56:04,480 --> 00:56:07,600
Speaker 1: our show notes. Make sure to follow, rate, and review

1128
00:56:07,640 --> 00:56:11,160
Speaker 1: the podcast, and use the hashtag I Choose Me. I'll

1129
00:56:11,200 --> 00:56:13,600
Speaker 1: be right here next week, and I hope you choose

1130
00:56:13,680 --> 00:56:14,359
Speaker 1: to be here too,