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Speaker 1: The Michael Barry Show. First, let me give a little context,

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Speaker 1: shall I, because this one's out of left field unless

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Speaker 1: you really know me and my goals for this show,

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Speaker 1: and then it makes absolute sense. So my mom passed

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Speaker 1: September nineteenth, you know that, and my dad was there

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Speaker 1: and we had we had caretakers around the clock, but

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Speaker 1: he was there by himself. And my brother's not there

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Speaker 1: anymore to swing behy and check on him. He's a very,

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Speaker 1: very severe diabetic. His blood sugar can get really low,

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Speaker 1: he can end up in the hospital. He has over

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Speaker 1: the years. So we made the decision to bring him

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Speaker 1: in Houston, and we found a great institution. We looked everywhere,

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Speaker 1: we talked to everybody, and boy did ever turn out

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Speaker 1: to be the right choice for us. But you worry,

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Speaker 1: And it also happens to be walking distance from where

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Speaker 1: I live, so I can stop in on him all

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Speaker 1: day every day. Why is he not at my house?

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Speaker 1: Why would you put your dad in a facility? Well,

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Speaker 1: a couple of reasons, but most importantly because they have

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Speaker 1: twenty four hour care and we couldn't provide that. We

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Speaker 1: travel a lot. So it's turned out to be great.

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Speaker 1: He's happy, I'm happy. But we had all these doctors

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Speaker 1: that he had in the Golden Triangle. For those of

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Speaker 1: you who don't know where that the Golden Triangle was

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Speaker 1: Orange Beaumont, Port Arthur, It's southeast Texas on the Louisiana border.

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Speaker 1: So we needed to find doctors in Houston. And that's

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Speaker 1: kind of my specialty is I like to find good

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Speaker 1: doctors and reward them with lots of referrals. So I

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Speaker 1: called around various doctors and I asked for suggestions, and

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Speaker 1: one of them that was suggested to me was by

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Speaker 1: my cardiologist, Dan Dukman. He said, Hey, I got a

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Speaker 1: guy that I know named Jay Davis. He's a concierge doctor.

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Speaker 1: I wanted a concier's doctor, but he said, he's a

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Speaker 1: concierge doctor. But he's got a partner in his practice.

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Speaker 1: Her name is aw Davis a n u. It's an

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Speaker 1: Indian name. He's got a partner named and New Davis.

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Speaker 1: And she's great and your dad would love it and

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Speaker 1: you would love her. So we tried her out, and

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Speaker 1: I told you the story. My wife took him for

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Speaker 1: the appointment. Now she comes to his old folks home.

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Speaker 1: She will come to the old folks home. She'll make

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Speaker 1: house visits. She's now one of my wife's many doctors.

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Speaker 1: So anyway, she walks in and she's sitting on her

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Speaker 1: butt Indian style, appropriately remonte. She's sitting on her butt.

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Speaker 1: She takes off his socks and she's rubbing his feet.

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Speaker 1: If you know anything about diabetes, you know that you

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Speaker 1: don't get circulation to your toes and you end up

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Speaker 1: losing your toes. She is looking for sores. She's talking

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Speaker 1: about his feet, but she's lovingly caressing his feet. If

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Speaker 1: you don't think that I wasn't locked in, send me

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Speaker 1: whatever bill you want. Lady, you are touching my dad's

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Speaker 1: feet and loving on him, and he's eighty five. You

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Speaker 1: have won my heart, right, so we really like him.

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Speaker 1: We were like her. Concierge's medicine is very different than

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Speaker 1: the traditional medicine you're used to. You can call these

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Speaker 1: doctors that you have their cell phone number, and so

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Speaker 1: my dad does, Hey, I call doctor Davis. I'm like, Dad,

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Speaker 1: don't call her too much. You know she's got other patients.

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Speaker 1: So we have a dinner party. And at the dinner party,

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Speaker 1: I put myself right next to her because I still

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Speaker 1: haven't met her through all this, but we've had text

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Speaker 1: conversations and phone conversations, and I put our boyfriend on

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Speaker 1: the other end of the table and my wife next

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Speaker 1: to him, and then we had some other friends in between.

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Speaker 1: But I'm focused on her. I want to know about

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Speaker 1: her practice, what she does. I'm fascinated by this stuff.

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Speaker 1: And at some point I said, you know, how did

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Speaker 1: you get into diabetes. What's your passion for diabetes? She said,

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Speaker 1: My passion is for diabetes, and I love treating diabetes.

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Speaker 1: But if you were to ask me what one number

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Speaker 1: one passion, and I can have several, it is menopause.

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Speaker 1: And we started talking about as an endocrinologist, the glands

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Speaker 1: you know, thyroid and a dream or you don't know

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Speaker 1: your glands are mown. You need to learn all your

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Speaker 1: glands because otherwise you can't have a dinner party with her.

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Speaker 1: And we started talking about women's hormones. So I'm fascinated

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Speaker 1: by all this because I just like to learn about

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Speaker 1: everything I possibly can from people who know things. So

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Speaker 1: we're laying in bed, my wife said the next morning,

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Speaker 1: she says, I don't know if you noticed what happened

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Speaker 1: at the party last night. But when Anu started talking

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Speaker 1: about menopause, every woman leaned forward and all of our

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Speaker 1: other conversation stopped, whereupon the men leaned forward and they

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Speaker 1: started listening about menopause. And I said, no, I didn't.

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Speaker 1: Why do you think that was She said, it's a

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Speaker 1: topic nobody will talk about, and everybody's affected by it,

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Speaker 1: and everybody's interested in it. You should have her on

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Speaker 1: the air. I said, well, let's be clear right now.

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Speaker 1: Know your placewoman, you don't tell me what to do

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Speaker 1: on the show. So our guest is doctor Anew Davis,

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Speaker 1: and it is my honor to have her on. I've

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Speaker 1: become a fan. Let's start with this very simple question.

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Speaker 1: And by the way, if you want to look her up,

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Speaker 1: it's river Oaks Doctor's Group. But her name is spelled Anu.

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Speaker 1: She won't be only on New I knew the show

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Speaker 1: for Honor Rath. That's a very common end name. But

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Speaker 1: it's Anew Davis. I guarantee it's probably only one of those.

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Speaker 1: So let's start with a very simple question. What is menopause?

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Speaker 2: So, Michael, thank you for having me on, and I'm

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Speaker 2: excited to talk to you about and answer all your burning

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Speaker 2: menopause questions.

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Speaker 1: So, first are related to a UTI, but that's a

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Speaker 1: whole different question.

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Speaker 2: Okay, well those are different questions, but you're burning menopause questions.

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Speaker 2: You want to know the answers. So the most important

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Speaker 2: first thing is to actually know what menopause is. So

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Speaker 2: menopause is the point at which women stop having cycles

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Speaker 2: and minstrel cycles, that is, and once a woman has

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Speaker 2: not had a minstrel cycle for twelve months, that's when

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Speaker 2: it's she's called in menopause. The big issue with all

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Speaker 2: this is Pete. Women's mintual cycles can start changing up

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Speaker 2: to ten years before the cycles actually actually stop, so

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Speaker 2: then the whole time before that is called perimenopause. So

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Speaker 2: that's what we tend to be talking about, is perimenopause

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Speaker 2: and menopause.

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Speaker 1: I've heard that I didn't know what it meant. Is

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Speaker 1: that is that about a ten year Is that that

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Speaker 1: happens about ten years before she goes into menopause.

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Speaker 2: Well, sometimes it can be a nice, happy twelve months

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Speaker 2: of stuff. Sometimes it can be up to ten years.

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Speaker 2: So somewhere in the four to ten year range is

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Speaker 2: what perimenopause can be. But up to ten years of

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Speaker 2: fluctuation and transition before the actual pause happens. All right,

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Speaker 2: go ahead, And then menopause is the twenty or thirty

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Speaker 2: years that women live after the cycle stop. Then they're

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Speaker 2: considered to be postmenopausal. And that's the whole. Our job

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Speaker 2: is to maintain hell through that twenty or thirty years,

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Speaker 2: so the whole. When people start talking about menopause or perimenopause,

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Speaker 2: the words are often interchangeable, but menopause itself is when

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Speaker 2: the periods stopped for twelve months.

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Speaker 1: Yeah, and is that just nature's way because we probably

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Speaker 1: weren't meant to live this long. That a woman is

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Speaker 1: beyond her reproductive life, and so there's no need for

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Speaker 1: that cycle. And let me just say before we start.

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Speaker 1: First of all, I'm a dude, so never having gone

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Speaker 1: through that, we all know its secondhand. I'm trying to.

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Speaker 1: I have had a lot of women tell me they

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Speaker 1: are excited to hear what you have to say and

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Speaker 1: to learn more about this, and they're glad that it's

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Speaker 1: being discussed publicly, including some folks, some rather prominent folks

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Speaker 1: that surprised me. They were willing to put their name

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Speaker 1: behind this, but I'm not going to say their names.

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Speaker 1: Who were quite interested to learn more, but we will

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Speaker 1: talk more to doctor Anu A. N You Davis of

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Speaker 1: the River Oaks Doctors Group about Yeah, menopause, that's what

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Speaker 1: we're talking about. I don't care if somebody disrespects you.

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Speaker 1: You can't shoot Michael Pass. It's been doctor and new

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Speaker 1: Davis is our guest. She's a menopause expert river Oaks

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Speaker 1: Doctors Group. She's in Houston, and this is something she

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Speaker 1: is passionate about, is treating women with menopause. And my

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Speaker 1: question was do women stop having a menstrual cycle because

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Speaker 1: they are past the age that they should be or

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Speaker 1: are typically giving birth or is there some other reason.

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Speaker 2: No, it's a natural process. Okay, the periods stop because

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Speaker 2: your past reproductive age. The issue is is that we

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Speaker 2: live for another thirty years after that. Right, our life

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Speaker 2: expectancy is seventy five to eighty five, So in that

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Speaker 2: thirty years we want to maintain our health. There has

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Speaker 2: been a lot of issue and discussion about whether these

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Speaker 2: hormones are useful and what happens and how do we

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Speaker 2: maintain women's health in that thirty years because we all

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Speaker 2: want to be upright and functional and thinking straight. That's

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Speaker 2: the reason that menopause gets so much discussion and what

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Speaker 2: happens to women's hormones and how do we treat this

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Speaker 2: and what other symptoms and issues come up because of them?

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Speaker 1: And what are these hormones that we're talking about. What

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Speaker 1: do they control? Is this sexual drive? Is it diet?

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Speaker 1: Is it?

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Speaker 2: You know?

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Speaker 1: When I was when my mom was forty in nineteen

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Speaker 1: eighty five, she started I lost my mom and a

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Speaker 1: crazy woman poltrygeisted it into her body and she screamed

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Speaker 1: and hollered, and when we would go, Mom, what in

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Speaker 1: the world, And she'd say, I'm going through menopause, I'm

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Speaker 1: having hot flashes. Can you talk through that? Because I

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Speaker 1: can be as clinical and not silly as I want

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Speaker 1: to be, but there's a lot of dudes going, can

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Speaker 1: you explain to me what's going on with my wife

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Speaker 1: right now?

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Speaker 2: Well, so we know that hormones fluctuate all the time,

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Speaker 2: but as the hormones decline, we have realized that there's

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Speaker 2: estrogen receptors everywhere, and so the hot flashes and the

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Speaker 2: night sweats, that's the first thing that we talk about.

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Speaker 2: But the mood can become just mood stability can become

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Speaker 2: a problem. Sleep can become a problem. Women start to

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Speaker 2: have joint pain, vaginal dryness, pain with sex. There's up

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Speaker 2: to one hundred different symptoms that can occur once as

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Speaker 2: the hormones are fluctuating and declining. So that's the problem

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Speaker 2: women are suffering and it's making them less functional. So

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Speaker 2: so yeah, so there's lots of different things going on,

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Speaker 2: and the big question is, you know, are is replacing

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Speaker 2: these hormones it it's been taboo for a long time.

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Speaker 2: And part of the reason for that is because there

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Speaker 2: was a big study it came out in two thousand

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Speaker 2: and two that call the Women's Health Initiative. And when

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Speaker 2: that happened, when that study can came out because of

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Speaker 2: the way the study ended, it was publicized that hormone

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Speaker 2: replacement is bad and that hormone replacement causes breast cancer

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Speaker 2: and increases cardiovascular disease. So when that happened, the women

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Speaker 2: who were on hormone replacement at that time for treatment

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Speaker 2: of their menopausal symptoms, the rate of hormone replacement went

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Speaker 2: from forty percent of women postmenopause were taking hormone replacement

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Speaker 2: to something like five to six percent. The guidelines from

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Speaker 2: all the medical societies came out that hormone replacement causes

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Speaker 2: breast cancer. So for twenty years, many women did not

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Speaker 2: receive hormone replacement that they received because the doctors were

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Speaker 2: taught that hormones cause breast cancer.

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Speaker 1: In your reason, do you think though, that hormone replacement

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Speaker 1: causes breast cancer.

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Speaker 2: Hormone replacement does not cause breast cancer. So the reason

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Speaker 2: some of this has come to light in this last

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Speaker 2: year is because in twenty twenty four last year, they

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Speaker 2: came back and reanalyzed all the data from the Women's

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Speaker 2: Health Initiative. And so now twenty years later, they've come

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Speaker 2: back out and they've started talking about where how the

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Speaker 2: data was analyzed incorrectly, and they've come back out and said, well,

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Speaker 2: women's hormone replacement does not cause cardiovascal disease. It does

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Speaker 2: not cause breast cancer. And for those of us who've

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Speaker 2: been sitting in our corner of the world treating this,

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Speaker 2: we never stopped giving hormone replacement because we know that

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Speaker 2: hormone replacement is important for bone health, it's important for

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Speaker 2: cardiovascular health, it's important for brain health, and it may

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Speaker 2: and so that's why we get hormone replacement.

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Speaker 1: So I know, doctor Davis, I can't help but think

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Speaker 1: the parallel here. I'm a big proponent of testosterone and

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Speaker 1: a testosterone replacement, and our mutual friend Moe with Kara

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Speaker 1: is a big boat believer in testosterone replacements. It's done

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Speaker 1: wonders for me and the same thing. I get people

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Speaker 1: emailing me and say, Hey, my general physician, who hasn't

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Speaker 1: kept up with developments in this, says I'm going to

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Speaker 1: get prostate cancer if I do it because of one

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Speaker 1: study forever ago that said that, and now most people

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Speaker 1: don't believe it. And it's very frustrating because it seems

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Speaker 1: like there's a strange parallel between this because I think

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Speaker 1: a lot of women do need hormone replacement for them

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Speaker 1: to be happier and healthier and have healthier marriages. I

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Speaker 1: see a lot of guys divorcing their wives because they

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Speaker 1: think she went crazy. She didn't go crazy. Her body

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Speaker 1: is working against her. Am I right in that.

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Speaker 2: You are correct. So there was even time when obi

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Speaker 2: jen's were taught that cognitive behavioral therapy would help hot flashes.

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Speaker 2: But if your body is having a physiologic reaction, you

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Speaker 2: can't talk it out of a hot flash. You cannot

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Speaker 2: talk your body out of having a hot flash. So

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Speaker 2: there are that there's exactly that that women struggle and

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Speaker 2: suffer with hormone fluctuations that and you know, for a

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Speaker 2: long time they're ignored anyway because they're trying to get

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Speaker 2: pregnant during reproductive age and there's you know, during pregnancy,

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Speaker 2: you just have to deal with that because your focus

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Speaker 2: is on being pregnant and protecting the baby. But post pregnancy,

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Speaker 2: like women are struggling with all these hormonal fluctuations, and

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Speaker 2: because they've been sold that hormone replacement is not good

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Speaker 2: for you or can be harmful to you, many women avoid.

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Speaker 2: They avoid. Not only do they avoid hormone replacement after menopause,

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Speaker 2: it some will actively avoid birth control pills and treatments

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Speaker 2: for the their hormone fluctuations which are really affecting their

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Speaker 2: day to day life. But sometimes this is nuanced, right,

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Speaker 2: like you have to get in there and understand where

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Speaker 2: these hormones can benefit you.

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Speaker 1: Well, it just strikes me that a lot of married

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Speaker 1: couples divorce after they've been through the toughest and maybe

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Speaker 1: most rewarding years of their marriage. That is, their kids

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Speaker 1: leave high school and the thing I hear men say

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Speaker 1: in the locker room at the cigar lounge at the

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Speaker 1: bar is I just couldn't deal with her moods anymore.

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Speaker 1: And I think, man, you built a life together. It's

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Speaker 1: one thing if he's running off chasing strippers or he's

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Speaker 1: running away with his secretary. But when he can't be

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Speaker 1: in the in the house with her because of the

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Speaker 1: mood swings and the hot flashes, that's a horrible, horrible

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Speaker 1: thing to lose a marriage over that. Hold with me,

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Speaker 1: Doctor andw Davis, we're talking about menopause coming up.

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Speaker 2: Oh, yes, we're going to take your ar fifteen eight

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Speaker 2: Opao Michael Show.

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Speaker 1: Yes, yes, Doctor and new Davis is our guest. She

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Speaker 1: is passionate about the treatment of women with menopause. She's

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Speaker 1: a concierge doctor. She's actually my father's doctor. No, he

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Speaker 1: doesn't have menopause. He's eighty five with diabetes. But she's

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Speaker 1: a concierge doctor. That is your general practitioner. That means

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Speaker 1: just your primary that you go to for whatever else,

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Speaker 1: with a specialty into chronology, and that's all your glands

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Speaker 1: and hormones and all those sorts of things. And she

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Speaker 1: handles my dad's diabetes and may I say masterfully, which

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Speaker 1: is not an easy thing, and she handles and focuses

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Speaker 1: on menopause, and we decided it was time to have

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Speaker 1: that conversation in public. So I want to I guess

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Speaker 1: I'm going into the soft side as opposed to the

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Speaker 1: medical science. I want your expertise. One of the things

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Speaker 1: that bothers me a lot, and I will confess this

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Speaker 1: is to watch couples who are fifty three to sixty five.

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Speaker 1: They got the kids through high school, they seemingly had

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Speaker 1: a solid marriage, and then he says I'm done with you,

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Speaker 1: or maybe she thinks she wants out, and then he

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Speaker 1: may go off and remarry, but she's miserable and all

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Speaker 1: of that is lost, and the kids are sad because

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Speaker 1: their innocence and their childhood is lost. They didn't fight

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Speaker 1: all those years. I think it's this hormonal imbalance. Can

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Speaker 1: you speak to that.

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Speaker 2: I mean, there is a significant amount of dysfunction that happens,

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Speaker 2: right like if you're not able to have if you're

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Speaker 2: not able to sleep, and then you're not able to

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Speaker 2: have conversations, and then sex is painful and you're not

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Speaker 2: able to have those conversations. With your partner than the

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Speaker 2: health of your of your relationship declines, and that from

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Speaker 2: the testosterone side, that that becomes a thing that the

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Speaker 2: whole marriage has to be treated. Right, the sexual health

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Speaker 2: of a marriage has to be treated, but some of

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Speaker 2: that has to be treated. Each person has to individually

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Speaker 2: be healthy. So these women they've been, they're they're suffering, right,

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Speaker 2: They're suffering because they they can't think straight, and they

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Speaker 2: can't sleep, and they're you know, sex is painful and

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Speaker 2: they're and they're not able to fix it and they

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Speaker 2: go see their doctor and their doctors have said, well,

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Speaker 2: I mean, there's not really much we can do, and

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Speaker 2: then they get when they get that answer, they they

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Speaker 2: do feel like they're losing their minds, right, And when

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Speaker 2: that happens, I mean how they aren't able to communicate

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Speaker 2: with their partners to talk to. So it is part

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Speaker 2: of it, right, the whole the relationship has to be treated,

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Speaker 2: and that can contribute to them. It's a sad thing

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Speaker 2: to see.

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Speaker 1: You've spoken generally about treatment. What does treatment look like?

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Speaker 1: So give me kind of I know there is no

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Speaker 1: standard patient, but lady walks in roughly what age is

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Speaker 1: she most likely to be if she walks in. If

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Speaker 1: I'm building a profile, why did she come to you?

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Speaker 1: How did she know she had a problem, What are

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Speaker 1: the tests, what's the diagnosis, and how are you treating her?

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Speaker 1: I got five minutes in this segment.

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Speaker 2: So the average age for menopause for when the periods

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Speaker 2: actually stop is about fifty one. I would say most

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Speaker 2: people come to me in their mid forties starting to

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Speaker 2: notice certain symptoms. They start to notice hot flashes and

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Speaker 2: night slits, everybody's different. Other things people notice are joint

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Speaker 2: pain with sex, brain fall. So people come for different

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Speaker 2: reasons and they start to notice some irregularity in their

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Speaker 2: cycles when they show up. The main way of figuring

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Speaker 2: this out is by history. We do do labs to

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Speaker 2: make sure that there isn't something else causing these symptoms.

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Speaker 2: It's and then we start really thinking about you know,

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Speaker 2: and we do history, take a history to learn about

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Speaker 2: how her cycles were before and how things have changed,

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Speaker 2: and you know, all the way through pregnancies, so all

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Speaker 2: that stuff. It makes a difference and helps us prepare

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Speaker 2: for the transition through menopause and determine what the best

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Speaker 2: treatments would be. So in addition to using hormones as treatment,

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Speaker 2: which is which are very useful in treating the hot

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Speaker 2: flash and some of those symptoms. Then we also assess

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Speaker 2: risk for health for the long term. Right, we also

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Speaker 2: want to increase nutrition, and we also want to improve

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Speaker 2: exercise because hormones can do a lot, but they can't

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Speaker 2: fix everything. So in order to help overall health and

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Speaker 2: prevent complications and keep women stronger for those last thirty

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Speaker 2: years of their lives, we spend a lot of time

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Speaker 2: in addition to talking about how hormones may be part

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Speaker 2: of the treatment, but also nutrition and also exercise.

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Speaker 1: Why is nutrition important to menopause, because that's a question

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Speaker 1: I received a lot of emails from listener women fifty

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Speaker 1: to eighty about how does that affect it?

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Speaker 2: Because one of the biggest things that we have to

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Speaker 2: do in the last part of our life is keep

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Speaker 2: ourselves mobile, and the most important thing in keeping ourselves

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Speaker 2: mobile is maintaining our muscle mass and preventing fractures. Okay,

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Speaker 2: and hormone replacement can help us with maintaining our bone health,

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Speaker 2: but to maintain our muscle mass, we have to focus

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Speaker 2: on nutrition. We have to focus on nutrition in new

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Speaker 2: ways that maybe we haven't in the years before, and

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Speaker 2: we have to try to make up for what we

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Speaker 2: messed up. You know, way back when, in all the

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Speaker 2: years we weren't that.

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Speaker 1: I was talking to Stan Dukman, our mutual friend, the cardiologist,

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Speaker 1: and we're talking about strategies for good health, especially as

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Speaker 1: you get older. We're talking about my dad's health. And

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Speaker 1: he said, you know, Michael, I can't figure out a

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Speaker 1: good way to say it, but what we want to do.

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Speaker 1: We're all going to get sick, and what we want

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Speaker 1: to do is get the body strong enough that when

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Speaker 1: that sickness hits, we've got some reserves draw on. We've

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Speaker 1: got good core strength. Yeah, we've got low body fat,

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Speaker 1: We've got good muscle and bone density, and these sorts

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Speaker 1: of things. Let me ask you this a minute left

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Speaker 1: in this segment hair loss, And I'm trying to kind

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Speaker 1: of make a compositive question. A lot of questions about

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Speaker 1: hair loss. It sounds like that's typical. Yes, what can

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Speaker 1: be done about that in your treatment?

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Speaker 2: Depend I mean, we do have to dig in to

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Speaker 2: do a little bit of search for what is causing

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Speaker 2: the hair loss. Hair Loss is common with menopause. Hair

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Speaker 2: Loss can have a genetic component, right if it runs

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Speaker 2: in your family and everyone has that male pattern baldness.

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Speaker 2: There's not as much you can do about it. But

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Speaker 2: nutrition is important. Protein is important, and then there are

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Speaker 2: some other medications and topical treatments that can help.

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Speaker 1: When you talk about these treatments, I'm going to be

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Speaker 1: up against a break here in just a moment, so

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Speaker 1: I will ask you and we'll address it on the

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Speaker 1: other side. How are these being delivered? Is this a

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Speaker 1: pill regiment? Is it typically one pill a day? And

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Speaker 1: I know that's going to vary, but I mean talk

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Speaker 1: about the composite. Is the shots? How often are those shots?

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Speaker 1: How often does somebody A lot of people I think

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Speaker 1: are afraid to engage in a relationship where it's going

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Speaker 1: to be I'm having to come to the doctor every

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Speaker 1: day or is this a one and done? What does

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Speaker 1: that look like? I'm assuming you have to adjust those.

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Speaker 1: We'll continue that conversation with doctor Anu a n U,

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Speaker 1: doctor Anew Davis, a Houston concierge, doctor, intochronologist, diabetes expertise,

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Speaker 1: and we're talking monopause. What a Maroon Michael Verry show.

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Speaker 1: So it strikes me that menopause is something that my

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Speaker 1: mother suffered horribly from during my teenage years. And I'll

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Speaker 1: be honest, and I've told her this and she's We've

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Speaker 1: had deep conversations. She passed September nineteenth, but I left

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Speaker 1: nothing out and she left nothing out. I resented her.

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Speaker 1: I resented the crazy woman who took over my sweet mother.

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Speaker 1: I adored my mother, and there was this period of

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Speaker 1: time that this awful monster took over my mother my

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Speaker 1: mid teenage years, fifteen to eighteen. And I didn't like

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Speaker 1: that lady. And then at some point that person got

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Speaker 1: bored of her and moved on to the next lady.

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Speaker 1: Maybe it was your mother or wife, But my mother

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Speaker 1: didn't have access to all of the great medical advancements

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Speaker 1: we do today. And an expert like a new Davis,

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Speaker 1: who is our guest. That spelled an u anew Davis.

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Speaker 1: And we're talking about menopause. Let's talk about hair loss,

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Speaker 1: because that was one of the many questions I have

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Speaker 1: in my stack. And by the way, I was shocked

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Speaker 1: how many women reached out and were willing to say, yes,

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Speaker 1: I want to know more about menopause. It's upsetting me

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Speaker 1: or my mother, So talk about that.

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Speaker 2: Yeah, I mean, the menopause question is is kind of

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00:26:06,640 --> 00:26:10,040
Speaker 2: a crazy one, right, Like I remember back I was

432
00:26:10,080 --> 00:26:12,720
Speaker 2: a baby doctor and I was doing a house call

433
00:26:13,520 --> 00:26:16,400
Speaker 2: at like maybe like when I first started my practice,

434
00:26:16,400 --> 00:26:18,080
Speaker 2: like ten or fifteen years ago, and I was doing

435
00:26:18,080 --> 00:26:21,680
Speaker 2: this house call on this Saturday morning, and I was

436
00:26:21,680 --> 00:26:23,719
Speaker 2: seeing this little eighty one year old woman and I

437
00:26:23,720 --> 00:26:25,400
Speaker 2: told her I was going to give a talk after

438
00:26:25,640 --> 00:26:28,840
Speaker 2: I finished her house call, and I was going to

439
00:26:29,040 --> 00:26:31,400
Speaker 2: give this talk about menopause. And she's like, you don't

440
00:26:31,480 --> 00:26:35,480
Speaker 2: lie to those people. I was like, that's funny. I

441
00:26:35,520 --> 00:26:37,960
Speaker 2: just can remember her saying, don't lie to them, tell

442
00:26:38,000 --> 00:26:40,919
Speaker 2: them the truth. And I said, okay, well, and you

443
00:26:40,960 --> 00:26:44,040
Speaker 2: know the truth has changed and we are learning more

444
00:26:44,119 --> 00:26:49,479
Speaker 2: every day and having been able to go having this

445
00:26:49,680 --> 00:26:51,800
Speaker 2: change in the guidelines, and this next year is really

446
00:26:51,840 --> 00:26:57,840
Speaker 2: going to help women. Okay, the guy the Menopause Society

447
00:26:57,880 --> 00:27:02,240
Speaker 2: and the UK societies that about menopause actually changed the

448
00:27:02,280 --> 00:27:08,000
Speaker 2: guidelines in twenty twenty four at and took back all

449
00:27:08,080 --> 00:27:11,680
Speaker 2: the initial recommendations from two thousand and two. So because

450
00:27:11,720 --> 00:27:14,520
Speaker 2: of this, this is why this is so important now

451
00:27:14,640 --> 00:27:19,640
Speaker 2: and why we're trying to do our part to educate

452
00:27:20,119 --> 00:27:23,040
Speaker 2: you know, all the internists who have to see patients

453
00:27:23,080 --> 00:27:27,199
Speaker 2: all day long and who want to be able to

454
00:27:27,200 --> 00:27:29,919
Speaker 2: treat their patients well and give them good treatment, but

455
00:27:30,280 --> 00:27:33,560
Speaker 2: didn't have the knowledge up until then. So the way

456
00:27:33,600 --> 00:27:38,080
Speaker 2: that this looks is that the history is the most

457
00:27:38,119 --> 00:27:42,520
Speaker 2: important thing. Right. First, we take a long history and

458
00:27:42,680 --> 00:27:48,879
Speaker 2: we try to understand kind of how each patients has

459
00:27:49,000 --> 00:27:52,840
Speaker 2: done through her cycles, and then how her menopause and

460
00:27:52,880 --> 00:27:57,840
Speaker 2: how the transitions are affecting her, and then we aim

461
00:27:57,920 --> 00:28:04,400
Speaker 2: our treatments specifically it helping her and also preventing disease

462
00:28:04,520 --> 00:28:10,120
Speaker 2: in the long term, keeping her strong and healthy, protecting bones,

463
00:28:10,200 --> 00:28:15,439
Speaker 2: protecting her heart, protecting her brain, and making sure that

464
00:28:17,359 --> 00:28:20,000
Speaker 2: she is feeling in control.

465
00:28:20,600 --> 00:28:25,000
Speaker 1: Let's talk about the bones first. My mom had severe osteoporosis,

466
00:28:25,800 --> 00:28:29,600
Speaker 1: so she was on a pretty heavy calcium treatment. She

467
00:28:29,800 --> 00:28:33,840
Speaker 1: never had She had one fall that messed her back up.

468
00:28:33,920 --> 00:28:35,359
Speaker 1: She had to have a surgery. She got on a

469
00:28:35,480 --> 00:28:40,000
Speaker 1: darn step ladder like they shouldn't be doing. We all know,

470
00:28:40,120 --> 00:28:44,240
Speaker 1: but in any case, it happens. Yeah, but the bone strength.

471
00:28:44,720 --> 00:28:47,560
Speaker 1: I have a trainer, Michael Petrew Petrow in home fitness,

472
00:28:47,760 --> 00:28:50,120
Speaker 1: and he trains a lot of elderly folks and a

473
00:28:50,120 --> 00:28:53,400
Speaker 1: big issue there is avoiding falls because you know, the

474
00:28:53,480 --> 00:28:56,080
Speaker 1: old you know, you see it happen, you fall, you

475
00:28:56,160 --> 00:28:58,880
Speaker 1: break your hip, you never really recover, and people say,

476
00:28:59,360 --> 00:29:01,880
Speaker 1: you know, the last three years of his life were horrible,

477
00:29:02,040 --> 00:29:07,440
Speaker 1: or her life because of the hip never really fixed.

478
00:29:07,960 --> 00:29:10,720
Speaker 1: How much can you do to fix We're going to

479
00:29:10,760 --> 00:29:14,280
Speaker 1: I'm asking one by one, the bone strength, the bone density,

480
00:29:14,320 --> 00:29:15,880
Speaker 1: depending on how bad it's degraded.

481
00:29:18,000 --> 00:29:21,080
Speaker 2: So when we see women in their forties, we're able

482
00:29:21,200 --> 00:29:24,720
Speaker 2: to We have medications that help us build bone. We're

483
00:29:24,800 --> 00:29:31,320
Speaker 2: able if we're able to start hormone replacement before before

484
00:29:31,320 --> 00:29:37,080
Speaker 2: we are at menopause. Bone strength, bone density decreases significantly

485
00:29:37,160 --> 00:29:39,840
Speaker 2: in the first thirty six months after menopause. So if

486
00:29:39,840 --> 00:29:44,160
Speaker 2: we're able to start hormone replacement to where they never

487
00:29:44,280 --> 00:29:47,880
Speaker 2: lose any estrogen, we're able to protect the bones that

488
00:29:47,960 --> 00:29:52,200
Speaker 2: they've built up up to that point and we don't

489
00:29:52,240 --> 00:29:57,920
Speaker 2: see that loss and we're able to intervene early to

490
00:29:58,000 --> 00:30:02,400
Speaker 2: prevent fracture. We actually have lots of tools for fracture prevention.

491
00:30:02,520 --> 00:30:06,600
Speaker 2: But if women are able to start hormones to where

492
00:30:06,680 --> 00:30:11,000
Speaker 2: they aren't deprived of these hormones, because realistically, when we

493
00:30:11,040 --> 00:30:14,800
Speaker 2: talk about hormone replacement therapy, we're replacing something that their

494
00:30:14,840 --> 00:30:20,640
Speaker 2: body's just not making anymore. Taking because their body's not

495
00:30:20,680 --> 00:30:25,480
Speaker 2: making anymore doesn't mean they can't they can't benefit from it, right,

496
00:30:26,240 --> 00:30:30,040
Speaker 2: So they benefit from it. Their bodies just stopped making

497
00:30:30,080 --> 00:30:33,120
Speaker 2: it because of you know where we came from, and

498
00:30:33,240 --> 00:30:36,160
Speaker 2: because before we only lived to fifty five or sixty five,

499
00:30:36,200 --> 00:30:39,080
Speaker 2: and once we were done reproducing, we were finished. Right,

500
00:30:40,080 --> 00:30:44,440
Speaker 2: But that's not where we are. We we're replacing something

501
00:30:44,480 --> 00:30:48,320
Speaker 2: our body's not making anymore. So if we do that before,

502
00:30:48,400 --> 00:30:54,000
Speaker 2: the bones feel the depletion of estrogen. So if we

503
00:30:54,120 --> 00:30:58,280
Speaker 2: get that early, then the bones don't deteriorate in that

504
00:30:58,760 --> 00:31:00,000
Speaker 2: initial postment.

505
00:30:59,680 --> 00:31:03,760
Speaker 1: Upon If you like the Michael Berry Show and Podcast,

506
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Speaker 1: please tell one friend, and if you're so inclined, write

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Speaker 1: at Michael Berryshow dot com, or simply by clicking on

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Speaker 1: our website Michael Berryshow dot com. The Michael Berry Show

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00:31:31,280 --> 00:31:35,440
Speaker 1: and Podcast is produced by Ramon Roeblis, The King of Ding.

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514
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Speaker 1: our production. Where possible, we give credit, where not, we

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Speaker 1: take all the credit for ourselves. God bless the memory

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Speaker 1: of Rush Limbaugh. Long live Elvis, be a simple man

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