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Speaker 1: Call It What It Is with Jessica Capshaw and Camille Luddington,

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Speaker 1: an iHeartRadio podcast.

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Speaker 2: Well, Hello, Hello, Hello, Hello Call It crew, and welcome

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Speaker 2: to another episode of Call It What It Is.

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Speaker 3: Quite excited about today's Call It What It Is?

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Speaker 2: Well as a as an ob g U I N myself, Jessica, Oh, yes,

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Speaker 2: of course, doctor Joe Wilson, I forgot. Yeah, I'm I'm

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Speaker 2: excited to share it with fellow obs today.

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Speaker 3: I do believe that I also have worked.

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Speaker 1: I mean, I'm doctor Arizona Robins works interred disciplinarily.

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Speaker 3: There's been lots of specialties I've had in case you know,

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Speaker 3: I do remember that from my liking too many, too many,

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Speaker 3: She's been too many, too many specialties. Pick how can

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Speaker 3: you be good at them?

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Speaker 2: All?

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Speaker 3: Come on and it's obnoxious.

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Speaker 1: Well, anyways, We're going to have a real life doctor

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Speaker 1: on today and I'm really excited about it.

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Speaker 3: Let's talk about her.

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Speaker 1: Yeah, so doctor Ali, well everyone calls her doctor a

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Speaker 1: but her name is doctor Ali Abadi, and she is

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Speaker 1: in Los Angeles, and she is a prominent obegu I N.

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Speaker 1: Since two thousand and two, she has been on a

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Speaker 1: ton of television shows because she's very sought out, she's

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Speaker 1: very sought after, an expert in all things. She's been

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Speaker 1: on a million shows that Doctor Kardashians, Doctor Phil and

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Speaker 1: all of them, and she's the leading authority. So we

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Speaker 1: have her on because also her partner happens to be

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Speaker 1: one of the most dynamic women I know who I

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Speaker 1: know personally and comes from a totally different world, which

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Speaker 1: is the fashion world, but being an incredibly smart woman,

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Speaker 1: and also being someone who as long as I've known

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Speaker 1: Mary Alice, she's always been in the center of things.

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Speaker 1: So whether it was a party or a topic or

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Speaker 1: just really anything there, she's just really always been squarely

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Speaker 1: in the center.

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Speaker 2: And the crew know who she is. The crew should

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Speaker 2: be familiar because she has done an episode with us before.

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Speaker 1: Yes, Yes, Yes, Yes, And she also has done a

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Speaker 1: ton of things like Beyond you know, Good Morning America

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Speaker 1: and Today and showcasing her fashion expertise. She also has

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Speaker 1: her own line, a fashion line called Haney, which is

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Speaker 1: her last name. She's been a stylist, she's been an editor,

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Speaker 1: she's sort of really kind of done it all within

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Speaker 1: that world. And we're gonna find out how she and

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Speaker 1: Doctor A linked up in just a bit so.

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Speaker 3: Doctor A and.

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Speaker 1: Mary Alice have their own podcast called she MD where

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Speaker 1: they talk about all the things, and today I think

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Speaker 1: we're gonna get into just some of the things that

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Speaker 1: you and I are talking about and that are top

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Speaker 1: of mind for us.

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Speaker 2: You know what I really need to ask about. And

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Speaker 2: you're gonna laugh because I know perimenopause is everywhere, like

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Speaker 2: you can.

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Speaker 3: I know that word now. Yeah, it's cool to talk about.

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Speaker 2: If someone said to me, what is it, I still

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Speaker 2: could not tell you.

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Speaker 3: You would say, I don't know. I don't know. Well,

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Speaker 3: then we might need to just start there. I've loved you, yeah,

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Speaker 3: because I'm this is that's probably because you need a

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Speaker 3: working definition. You need a working definition, and we can

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Speaker 3: get you one. Yes, I have.

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Speaker 2: We have so many questions. The crew gave us some

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Speaker 2: great ones and we are going to be investigating them all.

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Speaker 3: I love it. Okay, Well, here we are, Mary Alice

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Speaker 3: and doctor A. It's so nice to meet you.

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Speaker 2: I'm Jessica and I'm Camilla, and we just did a

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Speaker 2: whole intro on both of you guys and talked about

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Speaker 2: the expertise that you have and how we are just

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Speaker 2: so excited to have you on because the crew that

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Speaker 2: listen have so many questions.

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Speaker 3: We have so many questions do they do? But it

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Speaker 3: did start when we were talking about both of you.

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Speaker 1: Clearly, when you get to the level of I'm gonna

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Speaker 1: call it performance, even though I know doctoring isn't a performance.

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Speaker 1: It just was for me when I was a doctor,

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Speaker 1: that was a performance. But I know it's not a

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Speaker 1: performance for you. But when you get to the level

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Speaker 1: that both of you are working at.

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Speaker 3: It's sort of it invites the question of like, how

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Speaker 3: did you two meet?

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Speaker 1: Right like you're both operating in your worlds because we

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Speaker 1: were talking about how incredible both of you were, and

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Speaker 1: you can go on and on and on.

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Speaker 3: About both of you, but how did you come together?

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Speaker 4: Well, I get to tell the story because it's my

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Speaker 4: favorite story ever. So when I was a fashion designer

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Speaker 4: for years and years, and I was in the fashion

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Speaker 4: industry for thirty years, and I COVID happened, and my

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Speaker 4: fashion line was red carpet Cocktail, so nobody was wearing

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Speaker 4: I was.

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Speaker 3: Gonna say that probably wasn't doing so well.

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Speaker 5: No one does so well.

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Speaker 4: And finally my head, you know, and I'm an entrepreneur,

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Speaker 4: and it was my fifth business and all these things,

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Speaker 4: but I had to shut it down, and I was

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Speaker 4: really upset about it and sat and at the same time,

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Speaker 4: my father got very, very sick with Parkinson's and my

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Speaker 4: mom sort of wasn't great, and I started diving into

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Speaker 4: my own health and turning fifty and what that looked like.

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Speaker 4: I was listening to Peter Attiya. I was listening to

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Speaker 4: the hub room in lab and there was nothing there

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Speaker 4: for women. I mean, every now and then there would

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Speaker 4: be one segment here, one segment there. And so I

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Speaker 4: went to our mutual friend, the beautiful Molly Simms, had

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Speaker 4: asked me to co host when her host was not there,

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Speaker 4: and I said, well, can I bring some doctors on

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Speaker 4: from that land from the lens of a woman and

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Speaker 4: get them to talk about that. I'm really interested in

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Speaker 4: that I'm deep diving. So she said yes. And then

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Speaker 4: one day, this gorgeous, tall drink of wire walks in

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Speaker 4: and Molly said, Hey, you're going to want to stay.

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Speaker 5: We just had this brain doctor.

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Speaker 4: She says, you're going to want to stay because she's

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Speaker 4: going to talk about Ozimpic And I thought, oh my god, Ozimpic,

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Speaker 4: who doesn't want to talk about.

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Speaker 5: Ozemp like, I want to know all about ozempic.

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Speaker 4: And we were waiting and doctor A Tice started telling

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Speaker 4: me about her her own breast cancer journey and how

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Speaker 4: she saved her life with breast cancer and how she

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Speaker 4: brought ozimpic and Minjara and all those for her PCOS patients.

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Speaker 4: And I've said, what the hell's PCOS? I don't even

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Speaker 4: know what PCs is? And she explained, fifteen percent of

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Speaker 4: all women have it, leading cause of infertility, seventy five

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Speaker 4: percent don't have it. It's you know, it's a silent

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Speaker 4: epidemic in women. And I just could not believe that

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Speaker 4: I was so educated as a woman. I didn't know

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Speaker 4: all all of this. I didn't know about lifetime risks

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Speaker 4: and breast cancer, which I'm gonna let her talk about

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Speaker 4: it as she does so eloquently, so I just it

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Speaker 4: just a light bulb went in my head. After the podcast,

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Speaker 4: I took her out to lunch and I said, will

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Speaker 4: you let me and I get chills thinking about this,

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Speaker 4: will you let me bring you into the eyes and

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Speaker 4: ears and homes of every woman in the world who

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Speaker 4: need this medical advice, like really clear the correct information

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Speaker 4: that they can't get because either they don't have the

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Speaker 4: access to the kind of doctors like you, or they

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Speaker 4: live in places that don't even have doctors.

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Speaker 1: That gives me the chills because Mary, Alice and Camilla

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Speaker 1: is here's my witness to say that. When we were

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Speaker 1: talking about you, I said that you, as long as

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Speaker 1: I've known you have always been in the epicenter of

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Speaker 1: things and been and been surrounded by the energy of

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Speaker 1: so many things.

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Speaker 3: And if they're like.

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Speaker 1: There's certain people when you when you need something or

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Speaker 1: want something that just like come to mind. Everybody has

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Speaker 1: them right that you're just like, I'm gonna call them

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Speaker 1: because they're gonna know where to send me next.

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Speaker 3: And you're that. So it does not.

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Speaker 1: Surprise me at all that you found yourself, you know,

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Speaker 1: in this, in this, in this tiny little instance, next

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Speaker 1: to someone who knows so much, and that then you

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Speaker 1: took advantage of that to bring doctor A to the

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Speaker 1: rest of the world so that that story tracks for me.

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Speaker 4: And that's MD and that's where it is. And it

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Speaker 4: just blew up so fast because Olivia mon doctor A

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Speaker 4: safe your life, you know, with breast cancer. She came

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Speaker 4: out and told the story and it just like launched

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Speaker 4: our little podcast into the universe.

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Speaker 1: I took the test because of it, we get so

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Speaker 1: proud of you.

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Speaker 2: I took it.

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Speaker 3: There's a link on your Instagram, I think to it right.

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Speaker 4: Yep, there's a link, and there's on our website. But

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Speaker 4: we get dms every day from from people whose lives

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Speaker 4: have been saved. I watched that episode or I got

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Speaker 4: my you know who who go on you know, watched

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Speaker 4: the Phoebe Hancock episode on PCOS and now know what's

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Speaker 4: wrong with them, these little girls with eating disorders for

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Speaker 4: the first time, I mean the d ms that we

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Speaker 4: get and when your life has purpose and passion, it's amazing.

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Speaker 4: So that's that's how I've met this gorgeous thing.

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Speaker 1: Yes, yes, yes, and you bring your sparkle. You both

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Speaker 1: have sparkles, and you know what a little sparkle does.

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Speaker 3: It does it's helpful.

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Speaker 6: It's helpful, and without her I would have never done this.

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Speaker 3: Well, I'm grateful that you do.

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Speaker 1: I'm I'm interested if you if you, if you all

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Speaker 1: are into it at starting at the very beginning with

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Speaker 1: your O, B G U.

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Speaker 3: I N background, which would be I have three daughters.

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Speaker 1: One of them who's right outside my window, giving me

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Speaker 1: this heart the heart sign. But I have three I

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Speaker 1: have a son and three daughters, and there's all these

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Speaker 1: things that we think we know because we're women, and

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Speaker 1: we're supposed to just pass them on to our daughters

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Speaker 1: because right, they're women and we're women.

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Speaker 3: So don't we know everything about being a woman because

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Speaker 3: we're a woman. No, we don't.

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Speaker 1: And so often because you just can't even fill all

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Speaker 1: you know, you can't, you don't have room for everything

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Speaker 1: in your brain. I found myself in a doctor's appointment. Actually,

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Speaker 1: let's back that up.

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Speaker 3: I didn't.

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Speaker 1: I actually found myself in a moment where someone said

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Speaker 1: to me, oh, when do how.

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Speaker 3: Old are you when you have your first O B appointment?

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Speaker 1: And like, not just go to your pediatrician, but how

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Speaker 1: old are you when you go to your first OB appointment?

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Speaker 3: And I was like, I don't know.

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Speaker 7: That's a good question.

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Speaker 2: Yeah, I want to know too. I have a little

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Speaker 2: girl too, so.

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Speaker 3: That's the question how old should you be?

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Speaker 1: Or I mean, what is the best best practices around

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Speaker 1: how old you are when you go to your first

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Speaker 1: OB appointment?

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Speaker 6: So I would say j Y N appointment hopefully not

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Speaker 6: OBI appointment.

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Speaker 3: Yeah you know, and I see pregnant.

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Speaker 6: So hopefully you're not pregnant as a teenager, because if

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Speaker 6: you're pregnant, then you need to go to an ob gyn.

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Speaker 6: Even if you're twelve years old, you need an ob

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Speaker 6: but you start with gyn exam. Generally speaking, it's either

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Speaker 6: three years after first intercourse or age twenty one if

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Speaker 6: everything else is perfect. However, let's say, as she was mentioning,

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Speaker 6: if you have a teenager with pcos, irregular periods, weight gain, acne,

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Speaker 6: facial hair, body hair depression, anxiety, and you suspect that

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Speaker 6: they have polycystic ovarian syndrome. And sometimes pediatricians have a

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Speaker 6: hard time diagnosing these patients or managing these patients. So

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Speaker 6: those are patients I do see in my office for

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Speaker 6: young girls who are sexually active, if they want birth control,

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Speaker 6: if they need SDD testing, painful periods, anal periods, hormone,

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Speaker 6: irregular periods, acne, so any other issues, especially if they're

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Speaker 6: pediatrician is not handling it, then they usually come to

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Speaker 6: us and we start seeing them. So I see patients

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Speaker 6: as young as twelve. I have fourteen year olds with

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Speaker 6: polycystico varian syndrome who are morbidly obese that I'm trying to.

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Speaker 6: You know, I have them on let's say we'll go

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Speaker 6: v for weight loss, and I treat them for their

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Speaker 6: PCOS with mett Foreman, with sperno lacton, painful periods. You know,

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Speaker 6: I have fourteen year olds that I've done egg count

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Speaker 6: on when I suspected endometriosis, and they have an egg

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Speaker 6: count of a forty year old. So it's it all depends.

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Speaker 6: So you can't just say, oh, you're not eighteen yet,

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Speaker 6: so you need to stay with your pediatrician. I mean,

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Speaker 6: some pediatricians are very, very involved and well read, and

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Speaker 6: they know pcos and endometriosis and they can handle it themselves.

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Speaker 6: But for a majority of patients, they need to come

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Speaker 6: and find specialists to take care of those issues.

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Speaker 2: So I have a question because if someone's listening right

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Speaker 2: now and they have a teenage daughter, I'm thinking of

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Speaker 2: some of those symptoms are listed right So for PCOS

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Speaker 2: for example, and a teenager, so acne, weight gain, maybe anxiety,

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Speaker 2: mood swings.

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Speaker 3: Irregular periods. Those are things that I probably.

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Speaker 2: Had also when I probably have, I don't, and I

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Speaker 2: don't I don't, but I feel like those I guess

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Speaker 2: my question is is some of those things can just

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Speaker 2: be you know, you're going through puberty right like you're

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Speaker 2: breaking out and you're gonna be any weight. What is

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Speaker 2: something that people can look out for that really determines

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Speaker 2: something different, So.

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Speaker 7: It's very good points.

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Speaker 6: So usually actually symptoms of PCOS and with teenagers going

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Speaker 6: through hormonal changes can overlap. Just like you said the acne,

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Speaker 6: irregular periods could be common, but usually in order to

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Speaker 6: diagnose polycistic ovarian syndrome in teenagers, we need irregular periods

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Speaker 6: and we usually look for symptoms of high testosterone, especially

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Speaker 6: facial hair and body hair. These patients usually have history

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Speaker 6: of some form of mood disorder, anxiety depression. A lot

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Speaker 6: of them require psychiatric you know visits at some point.

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Speaker 6: A lot of them are on medications. They tend to

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Speaker 6: gain weight. Seventy five percent of them gain a lot

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Speaker 6: of weight. These are usually overweight teenagers who are eating

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Speaker 6: the same thing as the other teenagers, exercising the same amount,

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Speaker 6: but they cannot lose weight. These are teenagers with eating disorder.

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Speaker 6: You know, I always if you want to find PCOS patients,

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Speaker 6: go knock on the doors of these eating disorder centers

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Speaker 6: because they get dismissed and they don't get diagnosed, they

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Speaker 6: end up, you know, in the wrong path. Having said that,

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Speaker 6: they're lean PCOS patients, which is twenty five percent of

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Speaker 6: PCOS patients who also can have eating disorders, so it's

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Speaker 6: a combination of symptoms. It's very, very tricky to diagnose

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Speaker 6: pcos in a teenager, but it's always good to run

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Speaker 6: a hormone to listen to them, review their symptoms and

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Speaker 6: what I do instead of I don't like labeling teenagers

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Speaker 6: with anything, but I do treat their symptoms because, like,

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Speaker 6: if you have a teenager who's two hundred pounds at

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Speaker 6: her BMI is thirty, you want her to not lose

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Speaker 6: her self esteem and not pay down the wrong path

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Speaker 6: and become boleemic and have all these other issues. So

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Speaker 6: I will help them lose their weight. I will help

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Speaker 6: them regularly, make their periods regular. If they have a

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Speaker 6: lot of acne, I fix it. If they have facial

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Speaker 6: hair and body hair, I address it without really giving

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Speaker 6: them a diagnosis, but I honitor them. But the most

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Speaker 6: important thing I do if I suspect endometriosis, which is

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Speaker 6: in my personal opinion, there's a strong association between pcos

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Speaker 6: and endometriosis and if they have painful periods that can

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Speaker 6: affect their egg count and quality. So I do check

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Speaker 6: in eggcount as early as fourteen if I have to.

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Speaker 4: If exosix, yeah, and that's one of the reasons that

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Speaker 4: we started ov which is our PCOS. So when I

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Speaker 4: met her, she said, I have two things that I

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Speaker 4: want to do in this world. One, every woman needs

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Speaker 4: to know her lifetime with the breast cancer. And we

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Speaker 4: really sort of knocked that out of the park when

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Speaker 4: Olivia came out, and yet what she did. And the

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Speaker 4: second one was to, you know, make the world know

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Speaker 4: what PCOS is because if you think about it, fifteen

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Speaker 4: percent of all women have it. It's a leading cause

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Speaker 4: of infertility with indometriosis, but seventy five percent don't know

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Speaker 4: they have it.

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Speaker 1: And as Camilla just pointed out, there's so many symptoms

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Speaker 1: that don't any They seem like symptoms of being human

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Speaker 1: and so for being a woman.

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Speaker 7: And you know, she's right.

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Speaker 6: And because these symptoms are complicated, doctors have a hesitation

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Speaker 6: of diagnosing these patients and that's why they go dismissed.

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Speaker 7: To this day, they still.

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Speaker 6: Tell patients you need to have a high testosterone in

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Speaker 6: your blood to get the diagnosis for PCOS. That's not true,

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Speaker 6: So that's not one of the criteria. You don't have

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Speaker 6: to have a high testosterone in your blood. So there's

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Speaker 6: just a lot of misinformation. And you know, part of

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Speaker 6: she MD, part of this OV platform we created is

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Speaker 6: to have a place for patients to go to educate themselves,

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Speaker 6: because you have to become your own health advocate. If

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Speaker 6: you become your own health advocate, then you once you're informed,

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Speaker 6: you can go to that appointment knowing the what questions

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Speaker 6: you need to ask and what treatments you need to

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Speaker 6: ask for.

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Speaker 4: And that's why, like we have the exact questions that

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Speaker 4: she gives every single patient that she thinks might have

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Speaker 4: PCOS on the website for free. You just go on

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Speaker 4: and you take these tests and it tells you if

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Speaker 4: you have the likelihood. And then we created you know,

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Speaker 4: obviously OV the supplement that is the all natural version

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Speaker 4: of and it treats all the different levels of PCOS.

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Speaker 4: So it's been amazing and kind of life changing. Like

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Speaker 4: I said, we really.

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Speaker 6: And you know, we always talk about this. If imagine

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Speaker 6: if men had a condition that would cause them to

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Speaker 6: become infertile, gain weight, I lost, facial hair, body hair,

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Speaker 6: mood disorder, eating disorder, make them infertile, have their sperm

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Speaker 6: count goes down, go down, or scar their scrotum. Do

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Speaker 6: you think majority of them would go dismiss.

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Speaker 1: I'm guessing now I'm gonna go with no.

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Speaker 3: No, yeah, yeah, yeah yeah yeah.

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Speaker 6: But I mean so PCOS and endometriosis are top two

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Speaker 6: causes of infertility on the planet. Majority of patients are

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Speaker 6: never diagnosed. I mean, I honestly for this, I want

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Speaker 6: to take credit because we've talked so much about PCOS endometriosis.

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Speaker 6: There were a lot of talks before that, but really

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Speaker 6: PCOS is starting to become more you know known.

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Speaker 3: I hear that. I hear that in stereo.

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Speaker 1: It might be the places i'm you know, the rooms

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Speaker 1: I'm in as well, but I do really hear that.

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Speaker 1: And I and again, I think that you've done a

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Speaker 1: beautiful job with you know, your partnership with Olivia and

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Speaker 1: the store worries and just the vulnerability that you have

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Speaker 1: both brought to it and have turned it into strength.

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Speaker 1: It is really really so it's so emotional, but it's

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Speaker 1: also so educational, and it's very inspiring.

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Speaker 3: And inspiring to be proactive.

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Speaker 1: I feel the same way about the pcos and because

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Speaker 1: I think that's the other thing that everyone's talking about,

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Speaker 1: my journey with perimenopause or anything adjacent to it. Was

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Speaker 1: literally a friend who just was I don't know, five,

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Speaker 1: five or six years older, who found herself in the

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Speaker 1: time of life where she was really struggling, like there

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Speaker 1: were all the things, all the symptoms, all the things

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Speaker 1: that were just hard and you could see it. She

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Speaker 1: was wearing it, and I remember talking to her and

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Speaker 1: she was just starting to pull at the string and

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Speaker 1: she was starting to advocate for herself ask the question.

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Speaker 1: This was, by the way, maybe four or five years ago,

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Speaker 1: and I think four or five years ago feels like

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Speaker 1: a little bit of the tipping point where people were

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Speaker 1: talking about it more and she had access and it

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Speaker 1: was and that was fantastic. But she I mean, my

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Speaker 1: memory of it was like in a movie. But it

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Speaker 1: was like she grabbed me by my shirt and was like,

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Speaker 1: you need to get ahead of this shit, and I was, okay,

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Speaker 1: we can I add on to this.

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Speaker 2: Because then we went to Paris, you guys, and Jess

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Speaker 2: grabbed beat me by my shirt and said, you need

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Speaker 2: to get on this shit. And what I said to

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Speaker 2: her at the beginning of this is listen now, I

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Speaker 2: had never even heard of the word paramenopause until two

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Speaker 2: years ago. I'm forty one. I see it everywhere. If

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Speaker 2: someone still asked me now what it is, I actually

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Speaker 2: still don't know. So we've had let's start. There many

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Speaker 2: questions about this, So what is it? I cannot define

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Speaker 2: what it is, and so many people still cannot.

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Speaker 3: I still I think that's true, So yes, what is it?

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Speaker 6: So very good question. Average let's start backwards. Average age

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Speaker 6: of menopause is fifty one and a half. Definition of

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Speaker 6: menopause is no period for twelve consecutive months, So if

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Speaker 6: you go one full year without a period, that's considered menopause.

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Speaker 6: Seven to ten years before menopause, women go through perimenopause.

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Speaker 6: These are early changes that happens in our body, and

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Speaker 6: different women experience different symptoms, and it could start as

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Speaker 6: early as our mid to late thirties to early forties.

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Speaker 6: So range of menopause is forty five to fifty five,

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Speaker 6: average being fifty.

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Speaker 7: One and a half.

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Speaker 6: So if let's say your body is going to go

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Speaker 6: through menopause at forty five seven to ten years before

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Speaker 6: that is thirty five thirty eight years of age, you

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Speaker 6: might start perimenopause. So you can't look at someone and say, oh,

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Speaker 6: you're thirty eight years old, you're not menopausal yet because

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Speaker 6: you're not fifty yet, so it doesn't go that way.

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Speaker 6: You listen to symptoms, and you really don't need to

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Speaker 6: chase after hormones. Obviously, you look at symptoms. You want

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Speaker 6: to do hormone tests because you don't want to miss

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Speaker 6: thyroid dysfunction, which is very very common and can have

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Speaker 6: a lot of symptoms similar to perimenopause. You can have

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Speaker 6: hair loss, you can have weight gain, you can have

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Speaker 6: irregular period hot flashes, all of that with your thyroid issues.

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Speaker 6: So you want to do a hormone test just to

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Speaker 6: make sure everything is okay. But then you look at symptoms.

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Speaker 6: Some patients think they need to have irregular periods to

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Speaker 6: go to become perimenopausal.

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Speaker 7: It's not true.

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Speaker 6: There's some women who have regular cycles and then boom,

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Speaker 6: it stops for a year and never comes back.

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Speaker 3: Wow.

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Speaker 7: And then there are women who.

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Speaker 6: Have irregular periods before their periods completely stop. So you

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Speaker 6: can't always go with your periods.

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Speaker 4: I'm fifty three and I still have my period, but

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Speaker 4: every now and minutes, I mean, and.

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Speaker 7: I are perimenopausal.

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Speaker 4: I'm perimenopausal, but I almost want to kill my husband

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Speaker 4: twenty four. I want to Kafi, and I want to

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Speaker 4: look over there, and I'm sweating, and I'm like, you know,

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Speaker 4: I'm peeing every five minutes. So I know that I

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Speaker 4: am perimenopausal, even though I get my period every day correctly,

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Speaker 4: not every day.

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Speaker 5: I was gonna say, wait, what, No, so what is it?

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Speaker 3: Exactly?

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Speaker 2: It's that you're like, what, what? What should I be

438
00:22:36,480 --> 00:22:37,240
Speaker 2: looking out for?

439
00:22:37,480 --> 00:22:38,200
Speaker 7: So very good?

440
00:22:38,280 --> 00:22:42,800
Speaker 6: So as we go through perimenopause, we start having fluctuations

441
00:22:42,800 --> 00:22:46,760
Speaker 6: in our hormones and a decline in our estrogen, especially,

442
00:22:47,200 --> 00:22:50,240
Speaker 6: which helps us with a lot of these symptoms. So

443
00:22:50,480 --> 00:22:54,080
Speaker 6: as we get fluctuations in these hormones, our periods can

444
00:22:54,119 --> 00:22:58,359
Speaker 6: become irregular. We can start having cause flashes, night sweats,

445
00:22:58,560 --> 00:23:04,399
Speaker 6: brain fog, hair loss, skin thinning, vaginal dryness, painful sex,

446
00:23:04,480 --> 00:23:12,320
Speaker 6: frozen shoulder joint pain, weight gain, what else? Facial hair

447
00:23:12,359 --> 00:23:12,960
Speaker 6: did I say?

448
00:23:13,560 --> 00:23:13,800
Speaker 3: I mean?

449
00:23:13,840 --> 00:23:15,560
Speaker 6: The list goes on and on and on. There are

450
00:23:15,560 --> 00:23:18,040
Speaker 6: over one hundred symptoms that can happen. So it's a

451
00:23:18,080 --> 00:23:20,880
Speaker 6: combination of these symptoms, and you don't have to jump

452
00:23:20,880 --> 00:23:24,639
Speaker 6: and treat someone with hormones because sometimes, let's say you

453
00:23:24,680 --> 00:23:27,399
Speaker 6: can have someone who shows up with I don't know,

454
00:23:27,480 --> 00:23:30,960
Speaker 6: hair loss or weight gain, then you can specifically treat

455
00:23:31,000 --> 00:23:33,320
Speaker 6: those symptoms. But when you have someone who shows up

456
00:23:33,600 --> 00:23:36,760
Speaker 6: with a lot of these symptoms, sleep disturbances, brain fog

457
00:23:37,000 --> 00:23:40,440
Speaker 6: is up there, because really, you think you're going crazy, right,

458
00:23:40,480 --> 00:23:43,520
Speaker 6: you leave your keys, you leave the room, you come back,

459
00:23:43,920 --> 00:23:46,280
Speaker 6: you you know, you really think some I mean one

460
00:23:46,320 --> 00:23:49,080
Speaker 6: of the most common symptoms patients complain is I think.

461
00:23:49,160 --> 00:23:50,880
Speaker 6: They come to my office and they're like, I think

462
00:23:50,920 --> 00:23:53,040
Speaker 6: I'm having dementia because I forget everything.

463
00:23:53,600 --> 00:23:56,119
Speaker 1: So this begs the question that my friend and I

464
00:23:56,119 --> 00:23:58,679
Speaker 1: got into. Can you get ahead of it? So like,

465
00:23:58,800 --> 00:24:01,800
Speaker 1: do you actually need to wait for the symptoms to

466
00:24:02,119 --> 00:24:05,040
Speaker 1: arrive and then and then the blood panel and all

467
00:24:05,080 --> 00:24:06,960
Speaker 1: that and then treat that.

468
00:24:07,160 --> 00:24:09,760
Speaker 4: Well or do you slap hormones all over you? Like

469
00:24:09,800 --> 00:24:13,280
Speaker 4: I had seven patches of hormones when I met doctor A,

470
00:24:13,480 --> 00:24:16,920
Speaker 4: and she's like, more is not more, Let's take some

471
00:24:16,960 --> 00:24:17,560
Speaker 4: of those off.

472
00:24:17,960 --> 00:24:19,800
Speaker 3: And for those that don't know, that is a form

473
00:24:19,840 --> 00:24:20,320
Speaker 3: of the treatment.

474
00:24:20,359 --> 00:24:21,800
Speaker 1: That is how you can get the medicine is in

475
00:24:21,880 --> 00:24:23,640
Speaker 1: these patches that you stick to your skins.

476
00:24:23,880 --> 00:24:26,119
Speaker 5: So that's a great question. That's actually I want to know.

477
00:24:26,520 --> 00:24:27,960
Speaker 5: Can you get in front of it?

478
00:24:28,119 --> 00:24:31,000
Speaker 6: So you don't want to really start treating yourself if

479
00:24:31,040 --> 00:24:33,680
Speaker 6: you have no symptoms, it doesn't make sense. So if

480
00:24:33,680 --> 00:24:35,800
Speaker 6: you have regular peers, you have no hot slashes, no

481
00:24:35,880 --> 00:24:38,960
Speaker 6: brain fog, no joint pain, no weight gain, no vaginal dryness,

482
00:24:38,960 --> 00:24:42,959
Speaker 6: painful sex, sleep disturbances, anxiety, mood changes, none of that,

483
00:24:43,280 --> 00:24:44,360
Speaker 6: why would I treat you?

484
00:24:44,720 --> 00:24:46,560
Speaker 1: Are you alive, by the way, if you have none

485
00:24:46,600 --> 00:24:47,399
Speaker 1: of those, but go ahead.

486
00:24:47,760 --> 00:24:53,600
Speaker 3: I was like, shuck, show all those symptoms, check your pulse.

487
00:24:58,400 --> 00:25:01,080
Speaker 6: But if you have any of those sim ms, especially

488
00:25:01,119 --> 00:25:04,520
Speaker 6: if it's affecting your life, then absolutely So. I had

489
00:25:04,560 --> 00:25:06,600
Speaker 6: a patient today she said, you know what, I have

490
00:25:06,760 --> 00:25:07,760
Speaker 6: some night sweats.

491
00:25:07,800 --> 00:25:08,760
Speaker 7: Does it bother you?

492
00:25:09,040 --> 00:25:09,159
Speaker 6: Not?

493
00:25:09,240 --> 00:25:09,560
Speaker 1: Really?

494
00:25:09,760 --> 00:25:12,320
Speaker 6: Do you have any other symptoms? No, I'm not going

495
00:25:12,400 --> 00:25:15,679
Speaker 6: to run at forty one in a panic mode and

496
00:25:15,680 --> 00:25:19,959
Speaker 6: start treating her. You know, these patients show up and

497
00:25:20,040 --> 00:25:22,720
Speaker 6: you know they're like, I don't feel well. Yeah, you know,

498
00:25:22,880 --> 00:25:26,120
Speaker 6: I'm starting for the past three months. I have brain fog,

499
00:25:26,160 --> 00:25:30,480
Speaker 6: I don't sleep well, I snap, I'm more anxious, I

500
00:25:30,520 --> 00:25:34,439
Speaker 6: have palpitations, I'm gaining weight, I sex hurts. And you

501
00:25:34,480 --> 00:25:36,719
Speaker 6: don't have to have all of these symptoms. It's a

502
00:25:36,720 --> 00:25:40,159
Speaker 6: combination of these symptoms. And that's when we start the conversation.

503
00:25:40,440 --> 00:25:42,440
Speaker 1: But isn't that the point that would be so great

504
00:25:42,480 --> 00:25:46,720
Speaker 1: because you two have been such angels in two incredibly

505
00:25:46,720 --> 00:25:50,720
Speaker 1: important categories. Is that it is that is to take

506
00:25:51,280 --> 00:25:54,239
Speaker 1: you said a very important word, which is panic. I

507
00:25:54,240 --> 00:25:56,720
Speaker 1: don't want to panic. I don't want anyone I love

508
00:25:56,840 --> 00:25:59,560
Speaker 1: to panic. And so when I say, like, get ahead

509
00:25:59,560 --> 00:26:01,840
Speaker 1: of it, it's like, I think that I'm thinking in

510
00:26:01,920 --> 00:26:05,919
Speaker 1: terms of this is now part of the conversation. This

511
00:26:06,080 --> 00:26:09,439
Speaker 1: was not being talked about before. So I feel comforted

512
00:26:09,840 --> 00:26:12,640
Speaker 1: number one, that it's being talked about. Then it's being

513
00:26:12,640 --> 00:26:14,640
Speaker 1: talked about in the time that I'm asking the questions,

514
00:26:14,720 --> 00:26:17,399
Speaker 1: right like oh, because I often I'm also one of

515
00:26:17,440 --> 00:26:19,280
Speaker 1: those people who has a high tolerance for pain and

516
00:26:19,400 --> 00:26:22,720
Speaker 1: just keeps going and I don't even know that I

517
00:26:22,760 --> 00:26:24,560
Speaker 1: have a symptom until someone says, do.

518
00:26:24,560 --> 00:26:25,760
Speaker 3: You have this? This?

519
00:26:25,760 --> 00:26:27,400
Speaker 1: This, this, this, this, I'm like, yeah, I got yeah,

520
00:26:27,440 --> 00:26:29,800
Speaker 1: I got all of them. I got all know what

521
00:26:29,800 --> 00:26:33,200
Speaker 1: what happens now? And they're like, oh, so, it's it's

522
00:26:33,200 --> 00:26:36,440
Speaker 1: like I feel like there's there's opportunity and there's this

523
00:26:36,520 --> 00:26:40,600
Speaker 1: call to action to have us not panic but just

524
00:26:40,840 --> 00:26:47,720
Speaker 1: be educated, understand and feel our bodies and not normalize discomfort,

525
00:26:47,800 --> 00:26:53,080
Speaker 1: not normalize pain, not normalize someone going you're fine, but actually.

526
00:26:52,680 --> 00:26:54,600
Speaker 3: Say I don't feel great.

527
00:26:54,640 --> 00:26:58,040
Speaker 1: I don't feel fine. This does cause me discomfort or pain.

528
00:26:58,119 --> 00:27:01,480
Speaker 1: It's distracting, by the way. It's how about that the

529
00:27:01,520 --> 00:27:03,480
Speaker 1: fact that when our bodies are not working in the

530
00:27:03,520 --> 00:27:04,639
Speaker 1: right way, it's distracting.

531
00:27:05,080 --> 00:27:07,320
Speaker 3: And we have jobs. We have jobs in the.

532
00:27:07,320 --> 00:27:09,400
Speaker 1: House, we have jobs out of the house, we have

533
00:27:09,080 --> 00:27:12,560
Speaker 1: we have shit to do. So I love that people

534
00:27:12,560 --> 00:27:15,280
Speaker 1: are talking about this, and I'm so I'm so grateful

535
00:27:15,480 --> 00:27:16,840
Speaker 1: that there are things that we can do. So it

536
00:27:16,880 --> 00:27:19,159
Speaker 1: sounds like you are The first thing you're doing is

537
00:27:19,160 --> 00:27:22,680
Speaker 1: talking to your person, whoever that is, and going through

538
00:27:22,680 --> 00:27:24,439
Speaker 1: what your symptoms are and whether or not you can

539
00:27:24,520 --> 00:27:25,240
Speaker 1: address those.

540
00:27:25,760 --> 00:27:28,679
Speaker 6: I think the first step is to educate yourself about

541
00:27:28,760 --> 00:27:30,280
Speaker 6: symptoms of perimenopause.

542
00:27:30,640 --> 00:27:31,280
Speaker 3: Gotcha.

543
00:27:31,480 --> 00:27:34,879
Speaker 6: Unfortunately, even now, when you go to your gynecologist, because

544
00:27:34,920 --> 00:27:37,840
Speaker 6: of that time limitation, you know, if you're spending ten

545
00:27:37,840 --> 00:27:40,000
Speaker 6: minutes with your doctor, you don't even have time to

546
00:27:40,080 --> 00:27:42,800
Speaker 6: go for me to list all those symptoms, It'll take

547
00:27:42,800 --> 00:27:45,919
Speaker 6: me ten minutes to list all the symptoms. Yeah, and

548
00:27:46,040 --> 00:27:49,320
Speaker 6: explain everything to you more than ten minutes. So a

549
00:27:49,359 --> 00:27:52,600
Speaker 6: lot of patients get dismissed. So it's good to educate yourself.

550
00:27:52,680 --> 00:27:57,560
Speaker 6: It all starts with self advocacy. Once you have to

551
00:27:57,680 --> 00:28:01,040
Speaker 6: know what perimenopause is. Now we learn it, you have

552
00:28:01,119 --> 00:28:04,200
Speaker 6: to know what symptoms to look for and just know

553
00:28:04,359 --> 00:28:08,720
Speaker 6: that we can fix it and their treatment options, and

554
00:28:08,800 --> 00:28:12,560
Speaker 6: not every patient will have the same exact treatment option,

555
00:28:13,240 --> 00:28:15,480
Speaker 6: so you have to That's why it's so important to

556
00:28:15,560 --> 00:28:20,119
Speaker 6: go to someone who prescribes hormones who understands it. Because

557
00:28:20,240 --> 00:28:24,280
Speaker 6: I might put a progesterone IUD in one person and

558
00:28:24,320 --> 00:28:27,439
Speaker 6: give them an estrogen patch. With the next person, I

559
00:28:27,520 --> 00:28:31,160
Speaker 6: might give a progesterone micronized progesterone at night with their

560
00:28:31,320 --> 00:28:34,280
Speaker 6: estrogen patch. With the third person, I might give her

561
00:28:34,280 --> 00:28:37,600
Speaker 6: a birth control pill to regulate her symptoms. So we

562
00:28:37,720 --> 00:28:41,120
Speaker 6: don't throw everyone in one basket. And I can sit here,

563
00:28:41,160 --> 00:28:43,440
Speaker 6: I mean I can go through it quickly and explain

564
00:28:43,480 --> 00:28:46,360
Speaker 6: it to you guys. But it's hard for someone at

565
00:28:46,360 --> 00:28:49,920
Speaker 6: home to know what they exactly need.

566
00:28:49,720 --> 00:28:52,280
Speaker 4: Which is why we started the podcast. Like we literally

567
00:28:52,320 --> 00:28:55,120
Speaker 4: have an a puzzle mena puzzle episode. We have a

568
00:28:55,160 --> 00:28:57,640
Speaker 4: brain health episode, we have a pc wess episode. We

569
00:28:57,640 --> 00:28:59,600
Speaker 4: have so that you can go in every phase of

570
00:28:59,640 --> 00:29:03,400
Speaker 4: your life and have the doctor a cheat sheet with you,

571
00:29:03,560 --> 00:29:06,080
Speaker 4: so that when you walk into your doctor, you're armed

572
00:29:06,120 --> 00:29:08,400
Speaker 4: and you say, hey, this is what I have, these

573
00:29:08,400 --> 00:29:10,880
Speaker 4: are my symptoms, this is what I think is And

574
00:29:10,960 --> 00:29:13,080
Speaker 4: if it's not doctor A, it's you know, the biggest

575
00:29:13,120 --> 00:29:16,240
Speaker 4: medical heart doctor or the brain doctor or whatever. It's

576
00:29:16,760 --> 00:29:21,960
Speaker 4: what there's not enough information. Excuse me, let me, let

577
00:29:21,960 --> 00:29:27,440
Speaker 4: me reiterate. There's not enough correct information, factual information really

578
00:29:27,520 --> 00:29:30,920
Speaker 4: readily available to women. And this is this has to change,

579
00:29:31,000 --> 00:29:33,680
Speaker 4: and you having us on this podcast makes that change. Yeah,

580
00:29:33,680 --> 00:29:36,800
Speaker 4: you have talking to doctor A asking these very important questions.

581
00:29:37,320 --> 00:29:41,360
Speaker 4: Every single woman is going to go through menopause, That is.

582
00:29:41,360 --> 00:29:42,120
Speaker 5: The one thing we know.

583
00:29:42,240 --> 00:29:45,160
Speaker 4: Yes, it's important as a woman, and you die at

584
00:29:45,160 --> 00:29:47,200
Speaker 4: a certain point and you're lucky enough to live long enough,

585
00:29:47,200 --> 00:29:49,440
Speaker 4: you're going to go through menopause, but you don't have

586
00:29:49,520 --> 00:29:50,320
Speaker 4: to suffer through it.

587
00:29:50,400 --> 00:29:53,920
Speaker 2: And is every single woman going to go through paramenopause

588
00:29:54,120 --> 00:29:56,360
Speaker 2: or there's some women that don't go through that and

589
00:29:56,480 --> 00:29:58,760
Speaker 2: just there straight into menopause.

590
00:29:58,880 --> 00:30:01,479
Speaker 6: No, you go through pair perimenopause and then you go

591
00:30:01,520 --> 00:30:05,160
Speaker 6: through menopause. But different women have different symptoms. Some women

592
00:30:05,200 --> 00:30:08,239
Speaker 6: go through menopause and they never experience hot flashes. Some

593
00:30:08,320 --> 00:30:12,880
Speaker 6: women go through menopause and they never experience irregular periods.

594
00:30:12,960 --> 00:30:16,880
Speaker 6: That's why the treatment, especially in perimenopause. One message I

595
00:30:16,880 --> 00:30:19,000
Speaker 6: want to make very clear is you don't need to

596
00:30:19,080 --> 00:30:22,160
Speaker 6: become menopausal without a period for a year to start

597
00:30:22,160 --> 00:30:26,040
Speaker 6: hormone replacement. Most of the time, for most patients, I

598
00:30:26,120 --> 00:30:29,800
Speaker 6: actually start them on hormone replacement therapy years before they

599
00:30:29,960 --> 00:30:31,400
Speaker 6: hit menopause.

600
00:30:31,720 --> 00:30:34,400
Speaker 3: Let's get ahead of this. I'm talking about.

601
00:30:35,720 --> 00:30:36,080
Speaker 5: Ahead of it.

602
00:30:36,640 --> 00:30:40,600
Speaker 6: But as long as you're not treating someone who's premenopausal,

603
00:30:40,720 --> 00:30:43,440
Speaker 6: meaning they're not even in the perimenopause, they have regular

604
00:30:43,480 --> 00:30:47,480
Speaker 6: cycles and they have no symptoms. But for someone for example,

605
00:30:47,520 --> 00:30:51,200
Speaker 6: who has irregular periods only and they maybe have some

606
00:30:52,040 --> 00:30:57,600
Speaker 6: hot flashes and they're not smokers and they need birth control,

607
00:30:57,920 --> 00:31:00,719
Speaker 6: putting them on a low those birth control is a

608
00:31:00,760 --> 00:31:05,240
Speaker 6: great option to treat their symptoms of perimenopause. For another

609
00:31:05,360 --> 00:31:09,040
Speaker 6: person who's really, really anxious and who's not sleeping well

610
00:31:09,360 --> 00:31:12,360
Speaker 6: and mood is an issue, then I would start them

611
00:31:12,400 --> 00:31:16,000
Speaker 6: with a micronized progesterone at night just to calm their

612
00:31:16,000 --> 00:31:19,440
Speaker 6: nerves down. Because micronized progesterone at night, if you give

613
00:31:19,440 --> 00:31:24,320
Speaker 6: them hundred milligrams of a compounded natural progesterone, it helps

614
00:31:24,360 --> 00:31:27,360
Speaker 6: them sleep well and it helps with their mood. I

615
00:31:27,480 --> 00:31:31,000
Speaker 6: also add two forms of magnesium for those patients that say,

616
00:31:31,000 --> 00:31:34,760
Speaker 6: magnesium three and eight and magnesium glycinate. Three and eight

617
00:31:34,880 --> 00:31:37,080
Speaker 6: is the only form of magnesium that crosses the blood

618
00:31:37,120 --> 00:31:40,760
Speaker 6: brain barrier and calms the brain down, and the glycinate

619
00:31:40,880 --> 00:31:43,600
Speaker 6: relaxes our body. So if you give them progesterone and

620
00:31:43,680 --> 00:31:47,520
Speaker 6: these two magnesiums, they are nerves, they calm down, and

621
00:31:47,560 --> 00:31:50,400
Speaker 6: they sleep better. So for that patient, I might just

622
00:31:50,520 --> 00:31:55,040
Speaker 6: do the progesterone. Another patient who has endometriosis heavy periods,

623
00:31:55,080 --> 00:31:59,600
Speaker 6: painful periods, I might do a progesterone IUD and once

624
00:31:59,720 --> 00:32:04,480
Speaker 6: I slow down their bleeding and I make their periods

625
00:32:04,520 --> 00:32:07,600
Speaker 6: super light, then I'm going to add the estrogen patches.

626
00:32:07,920 --> 00:32:10,040
Speaker 6: That's why you know I can sit here and do

627
00:32:10,080 --> 00:32:15,080
Speaker 6: a full episode on just perimenopod.

628
00:32:15,560 --> 00:32:17,719
Speaker 3: I mean this is I can understand why you are.

629
00:32:17,720 --> 00:32:22,080
Speaker 5: I don't understand this every day. I just learned so much.

630
00:32:22,280 --> 00:32:23,840
Speaker 4: But the other thing I want to make sure that

631
00:32:23,880 --> 00:32:26,120
Speaker 4: we're talking about too, is that there is a group

632
00:32:26,160 --> 00:32:29,040
Speaker 4: of women. I mean that again, Like I'm somebody that

633
00:32:29,040 --> 00:32:32,000
Speaker 4: throws hormone patches all over me anytime I possibly can.

634
00:32:32,120 --> 00:32:34,560
Speaker 4: But you had breast cancer, you can't. So will you

635
00:32:34,600 --> 00:32:36,960
Speaker 4: talk a little bit about a woman who does their

636
00:32:36,960 --> 00:32:39,360
Speaker 4: lifetime risk? It's high? Like what do you do to

637
00:32:39,400 --> 00:32:41,840
Speaker 4: make sure before you know? Do they take a genetic test?

638
00:32:41,880 --> 00:32:43,600
Speaker 4: Like what do you do, like kind of walk through

639
00:32:43,680 --> 00:32:45,680
Speaker 4: what every patient that walks into your office does.

640
00:32:46,520 --> 00:32:48,000
Speaker 7: So that's a very good point.

641
00:32:48,080 --> 00:32:51,640
Speaker 6: So when for every woman on this planet, and I've

642
00:32:51,800 --> 00:32:54,040
Speaker 6: always said this, if you know your first name, last name,

643
00:32:54,120 --> 00:32:55,960
Speaker 6: date of birth, you need to know your lifetime risk

644
00:32:56,000 --> 00:32:59,120
Speaker 6: of breast cancer and that number. You need to know

645
00:32:59,160 --> 00:33:02,800
Speaker 6: that number as early as age thirty. So it's very

646
00:33:02,800 --> 00:33:06,240
Speaker 6: important because an average American woman has a twelve point

647
00:33:06,320 --> 00:33:09,320
Speaker 6: five percent chance of getting breast cancer. Now, if you

648
00:33:09,440 --> 00:33:12,480
Speaker 6: have family history of breast cancer, that goes up. If

649
00:33:12,480 --> 00:33:16,320
Speaker 6: you have any biopsies that shows atipia, that can go up.

650
00:33:16,400 --> 00:33:21,000
Speaker 6: If you're morbidly obese, it can push your lifetime risk up.

651
00:33:21,040 --> 00:33:24,160
Speaker 6: So there are different factors, and there's a calculator. It's

652
00:33:24,160 --> 00:33:27,600
Speaker 6: on GMD. You can go enter all your information and

653
00:33:27,800 --> 00:33:30,200
Speaker 6: it will tell you what your lifetime risk or breast

654
00:33:30,200 --> 00:33:34,760
Speaker 6: cancer is. Anything twenty percent or more is considered high risk.

655
00:33:34,960 --> 00:33:37,800
Speaker 6: For high risk patients, we start breast imaging as early

656
00:33:37,840 --> 00:33:41,560
Speaker 6: as thirty, not forty. So this is a very important

657
00:33:42,360 --> 00:33:45,840
Speaker 6: point because to this day, a lot of women, I

658
00:33:45,840 --> 00:33:48,520
Speaker 6: mean thanks to Olivia mund this has changed, but a

659
00:33:48,520 --> 00:33:50,800
Speaker 6: lot of women still go to the doctor at age

660
00:33:50,840 --> 00:33:53,520
Speaker 6: thirty eight and they feel a lump in their breast

661
00:33:53,520 --> 00:33:55,800
Speaker 6: and their doctor says, you're too young for a mammogram,

662
00:33:56,120 --> 00:33:58,360
Speaker 6: and we know it's not true. So you start your

663
00:33:58,360 --> 00:34:02,360
Speaker 6: mammogram ten years before your first or second degree relative

664
00:34:02,440 --> 00:34:07,240
Speaker 6: was diagnosed with breast cancer, or you start depending on

665
00:34:07,320 --> 00:34:11,680
Speaker 6: your lifetime risk of breast cancer. If your average risk,

666
00:34:11,800 --> 00:34:14,480
Speaker 6: then you can start at age forty. If your lifetime

667
00:34:14,560 --> 00:34:17,480
Speaker 6: risk is twenty percent or more, you start as early

668
00:34:17,560 --> 00:34:21,480
Speaker 6: as thirty. Let's say I had a patient today when

669
00:34:21,520 --> 00:34:26,200
Speaker 6: I left my office who is brock a positive with

670
00:34:26,280 --> 00:34:30,960
Speaker 6: a lifetime risk above eighty percent. Her paternal aunt was

671
00:34:31,080 --> 00:34:35,160
Speaker 6: diagnosed with breast cancer at age twenty nine. So that

672
00:34:35,400 --> 00:34:38,759
Speaker 6: patient who was twenty two today, I sent her for

673
00:34:38,840 --> 00:34:42,800
Speaker 6: breast imaging because she falls into the high risk category.

674
00:34:42,840 --> 00:34:46,759
Speaker 6: So you can she already had some other cancer that

675
00:34:46,840 --> 00:34:47,839
Speaker 6: she was diagnosed with.

676
00:34:48,120 --> 00:34:49,200
Speaker 3: So you've done the test.

677
00:34:49,239 --> 00:34:51,640
Speaker 1: I mean, I think everybody listening to this period that's

678
00:34:51,719 --> 00:34:54,560
Speaker 1: just like right now, pause, press pause, just go do it.

679
00:34:54,920 --> 00:34:58,880
Speaker 6: So, and there many genetic tests out there. In my office,

680
00:34:58,920 --> 00:35:03,520
Speaker 6: I do the MYRAS genetic tests by Myriad. My risk

681
00:35:03,880 --> 00:35:09,040
Speaker 6: calculates the patient's lifetime risk of breast cancer. So that's

682
00:35:09,080 --> 00:35:12,680
Speaker 6: an information that is calculated by my Risk for the

683
00:35:12,719 --> 00:35:15,800
Speaker 6: patients by Myriad, and the test is called my Risk.

684
00:35:16,160 --> 00:35:20,080
Speaker 6: But in addition to that, they also look for little

685
00:35:20,160 --> 00:35:23,879
Speaker 6: markers in the DNA that so they check you for

686
00:35:23,880 --> 00:35:25,960
Speaker 6: forty eight cancer causing genes.

687
00:35:25,719 --> 00:35:27,759
Speaker 4: Because procas is the one we hear all the time,

688
00:35:27,760 --> 00:35:30,359
Speaker 4: but there's forty eight other cancer.

689
00:35:30,080 --> 00:35:33,240
Speaker 6: Causing genes, not all of them associated with breast cancer,

690
00:35:33,280 --> 00:35:38,200
Speaker 6: but other cancers associated with other cancers. But in addition

691
00:35:38,280 --> 00:35:42,120
Speaker 6: to that, Mariad looks in the DNA for tiny little

692
00:35:42,160 --> 00:35:45,439
Speaker 6: markers that some women carry in their genes that can

693
00:35:45,520 --> 00:35:48,160
Speaker 6: bump up their life the risk of breast cancer. And

694
00:35:48,200 --> 00:35:51,080
Speaker 6: some women walk around with a lot of those markers

695
00:35:51,080 --> 00:35:54,680
Speaker 6: that are silent and you don't know about them until

696
00:35:54,680 --> 00:35:58,160
Speaker 6: you do this test. So and those markers can bump

697
00:35:58,239 --> 00:36:00,840
Speaker 6: up your lifetime risk. You can go from a lifetime

698
00:36:00,920 --> 00:36:03,759
Speaker 6: risk of eighteen percent to thirty eight percent if you

699
00:36:03,800 --> 00:36:06,760
Speaker 6: have a lot of those tiny markers in your DNA

700
00:36:07,000 --> 00:36:10,960
Speaker 6: unrelated to these major genetic mutations like the BRAKA and

701
00:36:11,040 --> 00:36:13,520
Speaker 6: check too on PLB two and all these other genetic

702
00:36:13,560 --> 00:36:15,880
Speaker 6: tests that are associated with breast cancer.

703
00:36:16,160 --> 00:36:18,839
Speaker 7: So again, knowledge is power. You can't you know.

704
00:36:19,040 --> 00:36:22,000
Speaker 6: I had no family history of any cancers, I had

705
00:36:22,040 --> 00:36:26,759
Speaker 6: no gene mutations. I never smoked, never did drugs, I

706
00:36:26,960 --> 00:36:30,600
Speaker 6: was never overweight, I was never on hormones. But my

707
00:36:30,680 --> 00:36:33,360
Speaker 6: lifetime risk of breast cancer was thirty seven percent because

708
00:36:33,360 --> 00:36:36,520
Speaker 6: of this biopsy in my breast that showed atipia. So

709
00:36:36,680 --> 00:36:40,000
Speaker 6: thirty seven percent for someone who had no family history

710
00:36:40,040 --> 00:36:43,840
Speaker 6: of gene mutation. So someone like me would be a

711
00:36:43,880 --> 00:36:48,520
Speaker 6: poster child of someone who should never get breast cancer, right,

712
00:36:48,840 --> 00:36:52,200
Speaker 6: But my lifetime risk was thirty seven percent, And I

713
00:36:52,239 --> 00:36:54,959
Speaker 6: pushed my doctors to give me a double mastectomy because

714
00:36:54,960 --> 00:36:56,520
Speaker 6: I had little kids and I didn't want to get

715
00:36:56,520 --> 00:36:59,759
Speaker 6: breast cancer, and everyone called me crazy, paranoid.

716
00:37:00,160 --> 00:37:01,520
Speaker 7: They told me, you know.

717
00:37:01,800 --> 00:37:04,160
Speaker 6: I was being anxious and I didn't have to worry

718
00:37:04,160 --> 00:37:06,719
Speaker 6: about it until I finally after a year, found the

719
00:37:06,760 --> 00:37:09,239
Speaker 6: doctor who was willing to do it. She did my

720
00:37:09,640 --> 00:37:11,560
Speaker 6: double mastectomy prophylactically.

721
00:37:11,600 --> 00:37:12,520
Speaker 7: That was my choice.

722
00:37:12,560 --> 00:37:14,120
Speaker 6: I'm not saying for people to run and do a

723
00:37:14,160 --> 00:37:16,040
Speaker 6: double mess text to me, but that's what I wanted.

724
00:37:16,640 --> 00:37:18,520
Speaker 6: And a week later they called me and they told

725
00:37:18,520 --> 00:37:22,880
Speaker 6: me I had breast cancer and going into my mestech

726
00:37:22,960 --> 00:37:25,520
Speaker 6: to me, I had a negative mammogram, ultrasound and ABNI

727
00:37:25,600 --> 00:37:26,040
Speaker 6: and MRI.

728
00:37:26,840 --> 00:37:28,520
Speaker 3: Wow, it's terrifying.

729
00:37:30,000 --> 00:37:30,520
Speaker 5: Yourself.

730
00:37:30,760 --> 00:37:34,800
Speaker 4: Women know their bodies, they do when they think something

731
00:37:34,880 --> 00:37:37,560
Speaker 4: is wrong, something is wrong. Tys always says that She's like,

732
00:37:37,840 --> 00:37:40,520
Speaker 4: when a woman comes into my office and they tell

733
00:37:40,560 --> 00:37:43,160
Speaker 4: me something is wrong and everybody else is saying it's

734
00:37:43,200 --> 00:37:44,880
Speaker 4: not something is wrong.

735
00:37:45,080 --> 00:38:00,879
Speaker 1: You believe me, yes, because what a good segue, only

736
00:38:00,920 --> 00:38:03,280
Speaker 1: because you know you're talking to us, and every podcast

737
00:38:03,320 --> 00:38:05,080
Speaker 1: is different and every combination.

738
00:38:04,680 --> 00:38:05,520
Speaker 3: Of people is different.

739
00:38:05,800 --> 00:38:09,400
Speaker 1: So Camilla is my best friend, and Camilla has and

740
00:38:09,440 --> 00:38:11,040
Speaker 1: lives in the world with health anxiety.

741
00:38:11,520 --> 00:38:13,040
Speaker 3: So I'm listening to you.

742
00:38:12,880 --> 00:38:16,160
Speaker 1: To talk through her ears and I'm like, oh, okay,

743
00:38:16,560 --> 00:38:19,520
Speaker 1: So because when you have health anxiety and you actually

744
00:38:19,600 --> 00:38:24,319
Speaker 1: have been told you actually can't trust how you your

745
00:38:24,400 --> 00:38:27,799
Speaker 1: your suspicions, you can't trust your feelings because there's this

746
00:38:27,880 --> 00:38:29,960
Speaker 1: other thing that's happening. I mean, Camilla, I don't want

747
00:38:29,960 --> 00:38:30,720
Speaker 1: to speak for you.

748
00:38:30,760 --> 00:38:32,400
Speaker 2: No, no, it's true. I mean you guys, if I

749
00:38:32,440 --> 00:38:34,319
Speaker 2: stub my toe, I think my foot's going to come

750
00:38:34,320 --> 00:38:36,560
Speaker 2: off like that's you know, That's where I'm at. So

751
00:38:36,600 --> 00:38:39,960
Speaker 2: I understand what Jess is saying. I think that what

752
00:38:40,080 --> 00:38:44,040
Speaker 2: is really helpful. I took the test that I clicked

753
00:38:44,040 --> 00:38:46,560
Speaker 2: on the link and did the test, and I'm fortunate

754
00:38:46,719 --> 00:38:50,320
Speaker 2: enough I haven't done the further testing, but you know, according.

755
00:38:49,960 --> 00:38:53,399
Speaker 3: To I'm definitely my risk myeriod is like average.

756
00:38:53,760 --> 00:38:56,279
Speaker 2: But I think that for someone with me, it is

757
00:38:56,320 --> 00:39:00,400
Speaker 2: comforting to have that knowledge where you know you're not

758
00:39:00,480 --> 00:39:03,759
Speaker 2: you don't just feel like you're gaslighting yourself and and

759
00:39:03,920 --> 00:39:06,120
Speaker 2: all those things. What I do want to talk about, though,

760
00:39:06,160 --> 00:39:07,920
Speaker 2: that I feel like we skipped a little bit, is

761
00:39:08,960 --> 00:39:12,920
Speaker 2: we were going to talk about the hormone element of

762
00:39:13,080 --> 00:39:16,439
Speaker 2: treating paramount and breast cancer.

763
00:39:18,160 --> 00:39:20,520
Speaker 3: And menopause. So I would love to know more about that.

764
00:39:20,800 --> 00:39:23,040
Speaker 6: But before we go there, I want to add one thing.

765
00:39:23,600 --> 00:39:25,719
Speaker 6: I don't want people to run and do.

766
00:39:25,640 --> 00:39:27,960
Speaker 7: The miris tests. You have to qualify for it.

767
00:39:28,080 --> 00:39:31,680
Speaker 6: Okay, if you have you need to have family history gotcha,

768
00:39:32,200 --> 00:39:36,160
Speaker 6: certain cancers to qualify for the mariad tests. And the

769
00:39:36,280 --> 00:39:39,360
Speaker 6: qualifications are on their side or your doctor. There's a

770
00:39:39,440 --> 00:39:41,920
Speaker 6: questionnaire you have to answer it, and if you qualify,

771
00:39:42,440 --> 00:39:43,480
Speaker 6: you can take the test.

772
00:39:43,800 --> 00:39:46,360
Speaker 4: Gotcha, But you have every single woman take it that

773
00:39:46,400 --> 00:39:47,800
Speaker 4: walks into your office.

774
00:39:47,560 --> 00:39:49,680
Speaker 6: Only if they qualify. So if you have no family

775
00:39:49,760 --> 00:39:53,120
Speaker 6: histor you qualify. A lot of us have family hits

776
00:39:53,160 --> 00:39:53,960
Speaker 6: your breast cancer.

777
00:39:53,960 --> 00:39:54,880
Speaker 7: A lot of women have.

778
00:39:55,280 --> 00:39:58,880
Speaker 6: You know, if you have a relative with ovarian cancer,

779
00:39:59,200 --> 00:40:01,520
Speaker 6: we do that. You call for the test. If you

780
00:40:01,640 --> 00:40:06,560
Speaker 6: have let's say your father had aggressive prostate cancer, you qualify.

781
00:40:06,600 --> 00:40:08,640
Speaker 6: If you have a first or second degree relative with

782
00:40:08,719 --> 00:40:12,279
Speaker 6: pancreatic cancer, you qualify. If you have I don't know

783
00:40:12,360 --> 00:40:15,600
Speaker 6: an at who had breast cancer under age fifty, you qualify.

784
00:40:15,880 --> 00:40:20,320
Speaker 6: So there's qualification criteria. We don't randomly do a myrus

785
00:40:20,400 --> 00:40:22,800
Speaker 6: test if someone has no family history of cancer.

786
00:40:23,640 --> 00:40:23,920
Speaker 1: Got cha.

787
00:40:24,040 --> 00:40:27,560
Speaker 6: That And now let's talk about breast cancer and perimenopause.

788
00:40:27,880 --> 00:40:31,279
Speaker 6: So a lot of patients like myself, as they go

789
00:40:31,360 --> 00:40:34,480
Speaker 6: through perimenopause or menopause, they don't have the option of

790
00:40:34,520 --> 00:40:37,920
Speaker 6: hormone replacement, and for those patients, we treat them with

791
00:40:38,040 --> 00:40:42,440
Speaker 6: non hormonal options. For example, let's say you have hot flashes,

792
00:40:42,800 --> 00:40:46,440
Speaker 6: there's prescriptions. Let's say it's called bristel, which is a

793
00:40:46,440 --> 00:40:50,560
Speaker 6: generic form of I'm sorry, it's Paxel is a generic

794
00:40:50,600 --> 00:40:54,440
Speaker 6: form of it, and basically it treats the symptoms of

795
00:40:55,040 --> 00:40:57,480
Speaker 6: hot flashes and night sweats. If they can't sleep, we

796
00:40:57,920 --> 00:41:01,840
Speaker 6: give them prescriptions like transit or magnesium to help them sweep.

797
00:41:01,840 --> 00:41:04,440
Speaker 6: If they have hair loss, we give them monoxidel. If

798
00:41:04,440 --> 00:41:07,640
Speaker 6: they have vaginal dryness, we treat it with mona lisa,

799
00:41:07,920 --> 00:41:13,080
Speaker 6: a laser or other hyaluronic acid vaginal inserts to fix

800
00:41:13,120 --> 00:41:16,760
Speaker 6: their vaginal dryness. A lot of patients with breast cancer

801
00:41:17,040 --> 00:41:20,399
Speaker 6: do qualify for vaginal estrogen because majority of it does

802
00:41:20,440 --> 00:41:23,800
Speaker 6: not get absorbed, especially the ones in the pill form.

803
00:41:23,960 --> 00:41:26,560
Speaker 6: So those are all options, so we treat. If they're

804
00:41:26,600 --> 00:41:29,120
Speaker 6: gain weight, we give them glp ones to lose the weight.

805
00:41:29,480 --> 00:41:33,640
Speaker 6: We put them on met form in, so you know,

806
00:41:33,719 --> 00:41:37,279
Speaker 6: we again we treat their symptoms without having to give

807
00:41:37,320 --> 00:41:39,560
Speaker 6: them hormones. And there are some patients who go through

808
00:41:39,800 --> 00:41:42,840
Speaker 6: perimenopause and they really don't want to take hormone replacement.

809
00:41:43,120 --> 00:41:46,239
Speaker 6: Even for those patients, we do symptomatic treatment and we

810
00:41:46,320 --> 00:41:51,120
Speaker 6: treat their specific symptom as they're going through perimenopause. I

811
00:41:51,120 --> 00:41:54,160
Speaker 6: want to add one thing. Twenty percent of women carry

812
00:41:54,200 --> 00:41:58,920
Speaker 6: a genetic mutation called apo E four, which increases their risk.

813
00:41:59,360 --> 00:42:01,360
Speaker 6: Put in, it puts them at a higher risk of

814
00:42:01,400 --> 00:42:04,279
Speaker 6: having dementia in their life. It doesn't mean they're going

815
00:42:04,320 --> 00:42:08,319
Speaker 6: to get dementia, but it increases their lifetime risk for

816
00:42:08,400 --> 00:42:11,160
Speaker 6: getting dementia. And for those patients, they do benefit from

817
00:42:11,160 --> 00:42:16,920
Speaker 6: hormone replacement, especially at the time of menopause, for about

818
00:42:17,000 --> 00:42:20,440
Speaker 6: seven years. That's the data we have. So I usually

819
00:42:20,560 --> 00:42:24,719
Speaker 6: check the apo E four gene on my patients and

820
00:42:24,760 --> 00:42:27,719
Speaker 6: if they have it, I usually do the counseling for

821
00:42:27,760 --> 00:42:29,560
Speaker 6: hormone replacement if they qualify.

822
00:42:30,000 --> 00:42:33,440
Speaker 2: Okay, how long This is probably like a really silly question,

823
00:42:34,239 --> 00:42:36,040
Speaker 2: but how long does menopause last?

824
00:42:36,600 --> 00:42:39,520
Speaker 6: Menopause is no period for a year, but the symptoms

825
00:42:39,600 --> 00:42:40,200
Speaker 6: can vary.

826
00:42:40,320 --> 00:42:40,520
Speaker 2: Right.

827
00:42:40,880 --> 00:42:42,920
Speaker 6: I have seventy five year olds when they don't take

828
00:42:42,920 --> 00:42:45,600
Speaker 6: their hormone replacement. They have hot flashes nights with when

829
00:42:45,640 --> 00:42:48,799
Speaker 6: they feel terrible, and then help patients go through menopause

830
00:42:48,840 --> 00:42:52,520
Speaker 6: and they feel nothing. Wow, you know, so yeah.

831
00:42:52,360 --> 00:42:57,759
Speaker 3: So crazy. It's usually that we're all snowflakes, that we're snowflakes.

832
00:42:57,800 --> 00:43:02,000
Speaker 3: We're snowflakes, each one of those those or snowflakes.

833
00:43:02,640 --> 00:43:05,120
Speaker 2: I definitely want to talk about g LP ones.

834
00:43:05,239 --> 00:43:07,800
Speaker 1: I was gonna say, I feel like it's interesting. I

835
00:43:07,840 --> 00:43:10,680
Speaker 1: feel like the crew is interested in the weight gain

836
00:43:10,760 --> 00:43:17,319
Speaker 1: aspect of probably life, but yes, specific to perimenopause. And

837
00:43:17,360 --> 00:43:19,880
Speaker 1: then also I think that there's been some interest in

838
00:43:19,960 --> 00:43:23,560
Speaker 1: how alcohol uh plays into all of this.

839
00:43:24,800 --> 00:43:25,920
Speaker 7: With the GLP ones.

840
00:43:25,960 --> 00:43:27,520
Speaker 3: You mean, well, I think that.

841
00:43:27,600 --> 00:43:29,879
Speaker 1: I I mean I feel like people talk about sort

842
00:43:29,880 --> 00:43:31,680
Speaker 1: of like you know, we live in a culture where

843
00:43:31,760 --> 00:43:33,880
Speaker 1: there's the cocktail parties, Mary Alice, you and I have

844
00:43:33,920 --> 00:43:35,640
Speaker 1: talked about this too, where it's like, you know, it's

845
00:43:35,680 --> 00:43:38,799
Speaker 1: like all the like you can once you put your

846
00:43:38,800 --> 00:43:41,600
Speaker 1: attention on it, when you put your attention on not drinking,

847
00:43:41,640 --> 00:43:43,239
Speaker 1: all of a sudden, you're very aware of just how

848
00:43:43,320 --> 00:43:45,799
Speaker 1: much people drink, and so you can put yourself in

849
00:43:45,800 --> 00:43:47,600
Speaker 1: the bucket of like I have a casual drink and

850
00:43:47,600 --> 00:43:51,120
Speaker 1: then you look at your week and you're like every day,

851
00:43:51,640 --> 00:43:53,600
Speaker 1: like you know what I mean, Like, that's not a

852
00:43:53,640 --> 00:43:57,279
Speaker 1: casual drink and you so, I certainly, you know, put

853
00:43:57,360 --> 00:43:59,719
Speaker 1: a lot more attention in my life on you know,

854
00:43:59,840 --> 00:44:03,240
Speaker 1: just sort of going, well, all right, let's put attention

855
00:44:03,360 --> 00:44:03,600
Speaker 1: on it.

856
00:44:03,640 --> 00:44:04,160
Speaker 3: What is it?

857
00:44:04,239 --> 00:44:10,120
Speaker 1: So just how alcohol affects us at different ages. Obviously

858
00:44:10,960 --> 00:44:15,759
Speaker 1: people use alcohol in different ways, but medically speaking, you know,

859
00:44:16,440 --> 00:44:19,160
Speaker 1: during the during this period of perimenopause or menopause, is

860
00:44:19,160 --> 00:44:22,000
Speaker 1: there any difference in how you metabolize alcohol? Is there

861
00:44:22,000 --> 00:44:25,680
Speaker 1: any difference in your in your understanding of it, or

862
00:44:25,719 --> 00:44:28,200
Speaker 1: your attitude towards it, or what is the what's the

863
00:44:28,320 --> 00:44:29,320
Speaker 1: information is power?

864
00:44:30,480 --> 00:44:32,800
Speaker 5: We talk about this all the times.

865
00:44:32,920 --> 00:44:36,440
Speaker 6: Zero tolerance for alcohol. I think you're poisoning your body.

866
00:44:36,880 --> 00:44:39,680
Speaker 6: And that was you know, when I first met Mary Alice.

867
00:44:39,680 --> 00:44:41,200
Speaker 6: That was my argument with her. You would go to

868
00:44:41,239 --> 00:44:44,320
Speaker 6: her house and she had fifty different supplements on her

869
00:44:44,440 --> 00:44:47,680
Speaker 6: kitchen counter and trying to go to all these longevity doctors.

870
00:44:47,680 --> 00:44:49,520
Speaker 6: And I would tell her, you know, the first thing

871
00:44:49,560 --> 00:44:53,480
Speaker 6: you have to do is sleep, exercise, and stop drinking alcohol.

872
00:44:53,760 --> 00:44:55,719
Speaker 6: She's not a smoker, but if she was smoking, I

873
00:44:55,760 --> 00:44:57,000
Speaker 6: would tell her to stop.

874
00:44:57,200 --> 00:44:58,680
Speaker 3: These are the four main things.

875
00:44:58,680 --> 00:45:02,120
Speaker 6: What you put in your mouth is very important. Alcohol

876
00:45:02,200 --> 00:45:04,719
Speaker 6: to me is a poison. I don't drink. I've had

877
00:45:04,760 --> 00:45:09,520
Speaker 6: maybe I don't know, twenty maybe thirty alcoholic drinks, maybe

878
00:45:09,520 --> 00:45:13,480
Speaker 6: wine in my entire lifetime. And I don't think you

879
00:45:13,560 --> 00:45:16,279
Speaker 6: need to drink. So you're talking to someone I would

880
00:45:16,320 --> 00:45:19,400
Speaker 6: say quit. No one should drink alcohol. And the best

881
00:45:19,440 --> 00:45:23,880
Speaker 6: part of GLP ones actually has been this, the craving.

882
00:45:24,000 --> 00:45:27,640
Speaker 6: It takes the cravings for alcohol away. And you know,

883
00:45:27,719 --> 00:45:31,200
Speaker 6: I started prescribing these medications in twenty fourteen, and I

884
00:45:31,200 --> 00:45:33,520
Speaker 6: think that's why I was on the Malliace podcast when

885
00:45:33,560 --> 00:45:37,719
Speaker 6: I met her. These medications are not new. In twenty fourteen,

886
00:45:37,800 --> 00:45:41,640
Speaker 6: I was using these medications. I remember Trulicity came out.

887
00:45:41,680 --> 00:45:44,399
Speaker 6: I'm pretty sure it was twenty fourteen, and back then

888
00:45:44,440 --> 00:45:47,280
Speaker 6: I was using it for my PCOS patients for weight loss.

889
00:45:47,640 --> 00:45:50,720
Speaker 6: And I had patients in twenty fourteen twenty fifteen losing,

890
00:45:51,000 --> 00:45:54,960
Speaker 6: you know, fifty sixty pounds on these medications. So I

891
00:45:55,000 --> 00:45:58,319
Speaker 6: know a lot of you know, people think these are

892
00:45:58,440 --> 00:46:02,400
Speaker 6: newer medications. They all like it just got better and better.

893
00:46:02,840 --> 00:46:06,160
Speaker 6: But we started with Trullicity, it went to Victosa to

894
00:46:06,280 --> 00:46:10,279
Speaker 6: sex Senda, to Wogov and no zeen pic and then

895
00:46:10,320 --> 00:46:14,279
Speaker 6: it went to zeb Bound than Munjaro. So it just

896
00:46:14,280 --> 00:46:17,240
Speaker 6: got better and better and better and people started learning

897
00:46:17,239 --> 00:46:17,879
Speaker 6: more about it.

898
00:46:18,000 --> 00:46:20,879
Speaker 1: So let's talk about that, I mean the Camello, let's

899
00:46:20,920 --> 00:46:22,320
Speaker 1: jump in the GLP ones.

900
00:46:22,360 --> 00:46:24,360
Speaker 2: Well, I want to know, like, in your opinion, is

901
00:46:24,400 --> 00:46:26,719
Speaker 2: there a superior one because there are so many on

902
00:46:26,760 --> 00:46:29,400
Speaker 2: them on the market right now, and I know people

903
00:46:29,440 --> 00:46:31,520
Speaker 2: that are on Magov, I know people that are on

904
00:46:31,680 --> 00:46:32,280
Speaker 2: zeb bound.

905
00:46:32,440 --> 00:46:33,800
Speaker 3: Is there one that you prefer?

906
00:46:34,920 --> 00:46:37,319
Speaker 6: So that's a very good question. It depends on who

907
00:46:37,360 --> 00:46:40,600
Speaker 6: you're treating. Right for someone who wants to lose twenty pounds,

908
00:46:42,040 --> 00:46:47,040
Speaker 6: I would Sogov specifically has a cardiovascular protection study, but

909
00:46:47,120 --> 00:46:49,640
Speaker 6: I think all these other medications they have it too.

910
00:46:49,719 --> 00:46:51,560
Speaker 7: They just they're going to release it soon.

911
00:46:52,200 --> 00:46:55,719
Speaker 6: But right now, if we speak about it, wagov does

912
00:46:55,760 --> 00:46:58,319
Speaker 6: have cardiovascular protection, which that's what they.

913
00:46:58,239 --> 00:46:59,920
Speaker 3: Are just as mean exactly.

914
00:47:00,320 --> 00:47:04,040
Speaker 6: It means that it helps long term, it can help

915
00:47:04,080 --> 00:47:09,680
Speaker 6: with your risk of coronary artery disease. So these medications,

916
00:47:10,040 --> 00:47:12,520
Speaker 6: I just want to make sure people understand these medications

917
00:47:12,560 --> 00:47:16,839
Speaker 6: are approoved for obese patients. Obesity is defined with a

918
00:47:16,840 --> 00:47:20,560
Speaker 6: BMI of thirty or more, or overweight patients with BMI

919
00:47:20,640 --> 00:47:23,960
Speaker 6: of twenty seven with another underlying condition like high blood

920
00:47:23,960 --> 00:47:27,720
Speaker 6: pressure of cornary artery disease, something else that affects them

921
00:47:27,840 --> 00:47:31,880
Speaker 6: because of their weight. However, over the years, we've started

922
00:47:31,960 --> 00:47:36,320
Speaker 6: microdosing patients, let's say, in perimenopause who suddenly or menopause

923
00:47:36,360 --> 00:47:38,600
Speaker 6: who gained like ten to fifteen pounds and they can't

924
00:47:38,600 --> 00:47:42,320
Speaker 6: lose it, Or with patients who drink a lot of alcohol,

925
00:47:42,719 --> 00:47:45,880
Speaker 6: we microdose it and a lot of for PCOS patients,

926
00:47:45,880 --> 00:47:49,800
Speaker 6: I've used them for since twenty fourteen. I love these

927
00:47:49,840 --> 00:47:53,640
Speaker 6: medications and they've been a game changer for my patients

928
00:47:53,640 --> 00:47:56,480
Speaker 6: with PCOS, especially the ones. I have patients who've lost

929
00:47:56,640 --> 00:48:00,520
Speaker 6: one hundred and twenty pounds on these medications. Wow pounds.

930
00:48:00,560 --> 00:48:04,000
Speaker 6: I mean, these options were not available to these patients.

931
00:48:04,080 --> 00:48:07,080
Speaker 6: And honestly, you know, I've never had any weight issues.

932
00:48:07,120 --> 00:48:10,200
Speaker 6: And when I go out, I was always the thin, tall,

933
00:48:10,320 --> 00:48:13,399
Speaker 6: thin person at the party. But now I walk in

934
00:48:13,440 --> 00:48:16,560
Speaker 6: and I'm the average person, and I love that. I

935
00:48:16,640 --> 00:48:20,239
Speaker 6: love seeing everyone. Everyone's so healthy. You know, there are

936
00:48:20,520 --> 00:48:26,960
Speaker 6: over two hundred diseases associated with obesity, and I feel

937
00:48:27,000 --> 00:48:30,480
Speaker 6: like these with the use of these glp ones, we're

938
00:48:30,960 --> 00:48:35,080
Speaker 6: reversing its preventative care. Patients are not needing to be

939
00:48:35,160 --> 00:48:39,120
Speaker 6: on blood pressure medications. We're reducing the risk of diabetes,

940
00:48:39,200 --> 00:48:43,480
Speaker 6: cornary artery disease, dementia, all of it. I mean, I

941
00:48:43,560 --> 00:48:48,719
Speaker 6: really think these medications are longevity medications. It brings down inflammation,

942
00:48:49,360 --> 00:48:52,720
Speaker 6: It does affect you know, people talk about the muscle mass.

943
00:48:52,960 --> 00:48:56,640
Speaker 6: It's true, but when you have someone who's three hundred pounds, yeah,

944
00:48:56,719 --> 00:49:00,359
Speaker 6: that patient needs to lose the weight, you know, yes, Yeah,

945
00:49:00,360 --> 00:49:04,200
Speaker 6: as they become healthier, they become more motivated to exercise.

946
00:49:04,600 --> 00:49:07,000
Speaker 6: So I get it breaks my heart when I see

947
00:49:07,000 --> 00:49:10,319
Speaker 6: these negative comments. And I'm not talking about someone who

948
00:49:10,320 --> 00:49:12,680
Speaker 6: wants to lose five pounds going on these gp ones.

949
00:49:12,760 --> 00:49:13,000
Speaker 3: Yeah.

950
00:49:13,200 --> 00:49:16,279
Speaker 6: Like I said, these medications are made for patients with

951
00:49:16,440 --> 00:49:21,840
Speaker 6: pcos with diabetes who are obese or morbidly obese, and

952
00:49:21,880 --> 00:49:25,520
Speaker 6: it's been a game changer for them, really a game changer.

953
00:49:39,760 --> 00:49:44,319
Speaker 2: What does microdosing look like, because it sounds like it's

954
00:49:44,360 --> 00:49:47,520
Speaker 2: a shot or a pill that you take usually once

955
00:49:47,640 --> 00:49:48,920
Speaker 2: a week, right.

956
00:49:48,840 --> 00:49:53,160
Speaker 6: Yes, So if you take Wagovi, Monjaro or zep bound,

957
00:49:53,400 --> 00:49:57,600
Speaker 6: it's one dose you injected depending on which pen you're using,

958
00:49:58,040 --> 00:50:01,040
Speaker 6: and you can't really change the dose of it. But

959
00:50:01,320 --> 00:50:06,480
Speaker 6: for the ones like let's say sexenda or let's say ozempic,

960
00:50:07,040 --> 00:50:11,640
Speaker 6: you can actually use the number of clicks. So let's

961
00:50:11,680 --> 00:50:13,680
Speaker 6: say if it's seventy two clicks, if you have a

962
00:50:13,719 --> 00:50:14,960
Speaker 6: one milligram.

963
00:50:14,480 --> 00:50:18,000
Speaker 2: There's a dial on the thing that you can correct.

964
00:50:18,040 --> 00:50:20,239
Speaker 2: You can figure out how to microdose once a week

965
00:50:20,280 --> 00:50:21,280
Speaker 2: and just sort of ravo.

966
00:50:21,760 --> 00:50:24,160
Speaker 6: And sometimes there are a lot of doctors. Let's say

967
00:50:24,200 --> 00:50:27,200
Speaker 6: you have a patient who drinks a lot of alcohol

968
00:50:27,280 --> 00:50:29,640
Speaker 6: and you want them to stop drinking. You can start

969
00:50:29,680 --> 00:50:32,719
Speaker 6: microdosing them. And it's been a game changer. I don't

970
00:50:32,719 --> 00:50:34,279
Speaker 6: know if you guys notice or not.

971
00:50:34,360 --> 00:50:34,680
Speaker 7: I go.

972
00:50:34,800 --> 00:50:36,520
Speaker 6: I live in la and I go to a lot

973
00:50:36,560 --> 00:50:39,839
Speaker 6: of bar mitzvahs and bat mitzvahs. Over the years I've

974
00:50:39,880 --> 00:50:42,520
Speaker 6: gone and I'm not Jewish, but I go to a

975
00:50:42,560 --> 00:50:46,560
Speaker 6: lot of parties. And ten years ago, fifteen years ago,

976
00:50:46,719 --> 00:50:50,320
Speaker 6: the bar was packed. Now you go to these parties,

977
00:50:50,640 --> 00:50:53,000
Speaker 6: no one's drinking.

978
00:50:53,280 --> 00:50:53,799
Speaker 7: Go to rest.

979
00:50:53,880 --> 00:50:57,200
Speaker 6: I went to a restaurant, a fancy restaurant in Pebbly

980
00:50:57,280 --> 00:51:00,000
Speaker 6: Hills I was invited to and the waiter was telling me.

981
00:51:00,200 --> 00:51:04,200
Speaker 6: How they don't sell desserts anymore, and they don't sell

982
00:51:04,239 --> 00:51:07,560
Speaker 6: alcohol anymore. I mean, restaurants are coffering right now.

983
00:51:07,640 --> 00:51:09,160
Speaker 3: Oh I hadn't even thought about that.

984
00:51:09,360 --> 00:51:12,360
Speaker 5: Oh yeah except me, who's still eating desserts.

985
00:51:12,560 --> 00:51:18,720
Speaker 4: Yeah, I'm the last one sitting there.

986
00:51:18,920 --> 00:51:20,480
Speaker 1: You gotta you know what again, You gotta keep them

987
00:51:20,520 --> 00:51:21,360
Speaker 1: in business, Mary Alice.

988
00:51:22,440 --> 00:51:25,719
Speaker 6: But people share food, they don't order as many desserts,

989
00:51:25,760 --> 00:51:29,640
Speaker 6: They're not drinking as much. Go to restaurants and notice,

990
00:51:29,800 --> 00:51:33,439
Speaker 6: go to parties and notice the bar makes sense. I mean,

991
00:51:33,719 --> 00:51:35,880
Speaker 6: I'm talking about Los Angeles. It might not be the

992
00:51:35,960 --> 00:51:37,240
Speaker 6: case in States.

993
00:51:37,360 --> 00:51:39,520
Speaker 2: I have a question because I think some people were

994
00:51:39,520 --> 00:51:44,919
Speaker 2: worried about with GLP one the.

995
00:51:43,560 --> 00:51:46,920
Speaker 3: Thyroid cancer element of it.

996
00:51:47,120 --> 00:51:53,040
Speaker 2: So what if if you have hypothyroidism hyper thyroidism, Like, what.

997
00:51:52,960 --> 00:51:53,640
Speaker 3: Can you is?

998
00:51:53,840 --> 00:51:59,640
Speaker 6: That's completely different? So okay, the the contraindication to GLP

999
00:51:59,800 --> 00:52:05,799
Speaker 6: one is a family history of medullary thyroid cancer, which

1000
00:52:05,840 --> 00:52:10,960
Speaker 6: is a more aggressive form of thyroid cancer. Papillary thyroid cancer,

1001
00:52:11,040 --> 00:52:14,920
Speaker 6: which is very very common, is not a contraindication. Being

1002
00:52:15,160 --> 00:52:22,080
Speaker 6: hypo or hyper having hypothyroidism or hyperthyroidism is not a contraindication.

1003
00:52:22,640 --> 00:52:25,759
Speaker 6: Actually a lot of patients who are hypothyroid. When your

1004
00:52:25,800 --> 00:52:28,320
Speaker 6: thyroid doesn't function well, you gain a lot of weight.

1005
00:52:28,719 --> 00:52:31,760
Speaker 6: Those patients do need to be on GLP one, especially

1006
00:52:31,800 --> 00:52:34,319
Speaker 6: if they're obese, to lose that weight. So that's not

1007
00:52:34,400 --> 00:52:38,279
Speaker 6: a contraindication. But let's say if you personally had medullary

1008
00:52:38,320 --> 00:52:42,360
Speaker 6: thyroid cancer, which is a rare form of aggressive thyroid cancer,

1009
00:52:42,480 --> 00:52:45,040
Speaker 6: or if your mom or dad or aunt and uncle

1010
00:52:45,040 --> 00:52:47,200
Speaker 6: had it, then we would not prescribe it.

1011
00:52:47,560 --> 00:52:50,959
Speaker 2: Okay, understaid, Okay, thank you for clearing that up, because

1012
00:52:50,960 --> 00:52:51,760
Speaker 2: I think there's.

1013
00:52:51,600 --> 00:52:55,320
Speaker 4: A lot of information out there that's so it's overwhelming.

1014
00:52:55,440 --> 00:52:57,560
Speaker 1: Well now I just want to direct everyone, and I

1015
00:52:57,920 --> 00:53:00,960
Speaker 1: mean I have so, I mean I found your episode

1016
00:53:00,960 --> 00:53:06,040
Speaker 1: on PCOS incredible. I think that everybody now needs to

1017
00:53:06,040 --> 00:53:08,719
Speaker 1: go check out all of your episodes. I'm going to

1018
00:53:08,800 --> 00:53:10,920
Speaker 1: go check out the ones that that speak to me.

1019
00:53:11,360 --> 00:53:13,960
Speaker 1: But man, that was that was a ton of information.

1020
00:53:14,040 --> 00:53:16,840
Speaker 2: Thank you so much, and please we would love to

1021
00:53:16,880 --> 00:53:18,480
Speaker 2: have you guys back on because I just know that

1022
00:53:18,520 --> 00:53:21,160
Speaker 2: the crew is going to have so many more questions

1023
00:53:21,160 --> 00:53:23,360
Speaker 2: for us after this that we won't be able to answer.

1024
00:53:24,480 --> 00:53:26,320
Speaker 5: We loved it, yeah, exactly.

1025
00:53:26,400 --> 00:53:28,520
Speaker 1: I'm actually still gonna I'm gonna be it's gonna be

1026
00:53:28,520 --> 00:53:29,879
Speaker 1: the middle of the night. I'm gonna wake up and say,

1027
00:53:29,880 --> 00:53:31,880
Speaker 1: I can't think of myself. I can't believe I said

1028
00:53:32,120 --> 00:53:33,400
Speaker 1: I was going to take my daughter to the O

1029
00:53:33,520 --> 00:53:35,600
Speaker 1: B g U. I N yeah, right, I said.

1030
00:53:35,400 --> 00:53:37,600
Speaker 3: That said it at the beginning.

1031
00:53:37,719 --> 00:53:41,279
Speaker 1: It's okay, we don't need we don't need obstetrics for her.

1032
00:53:41,880 --> 00:53:45,160
Speaker 1: We just need a gynecologist, Jessica. Yes, all right, Capshaw

1033
00:53:45,280 --> 00:53:47,960
Speaker 1: is back in line. Thank you so so so much

1034
00:53:48,000 --> 00:53:49,280
Speaker 1: for sending this time with us.

1035
00:53:49,760 --> 00:53:53,920
Speaker 4: We love you, guys, And I'm so you know I

1036
00:53:53,160 --> 00:53:57,920
Speaker 4: I watched the first episode of Grey's Anatomy last night.

1037
00:53:57,960 --> 00:54:00,760
Speaker 4: I made, I made, I made Tom watched the first

1038
00:54:00,840 --> 00:54:04,640
Speaker 4: episode of Er, which I hadn't seen since you know,

1039
00:54:04,680 --> 00:54:06,920
Speaker 4: I was like one for a producer. And then I said,

1040
00:54:06,960 --> 00:54:09,120
Speaker 4: We've got to watch the first episode of Gray's Anatomy.

1041
00:54:09,600 --> 00:54:12,239
Speaker 5: And it holds up, right, it holds up like the

1042
00:54:12,360 --> 00:54:12,839
Speaker 5: whole thing.

1043
00:54:12,920 --> 00:54:15,759
Speaker 6: And so I say, I have a question because I've

1044
00:54:15,760 --> 00:54:18,200
Speaker 6: never watched it. But my patients often tell me my

1045
00:54:18,360 --> 00:54:21,640
Speaker 6: fourth I'm an obgyn and I adopted my fourth daughter,

1046
00:54:21,640 --> 00:54:25,319
Speaker 6: who I delivered, uh, and they tell me there's a

1047
00:54:25,480 --> 00:54:30,120
Speaker 6: doctor on the show that adopts obgyn who adopts a baby.

1048
00:54:30,320 --> 00:54:35,000
Speaker 2: That's me, that's you, that's so I am. Yes, I

1049
00:54:35,080 --> 00:54:38,120
Speaker 2: played Joe Wilson on the show. She's an obg y n.

1050
00:54:38,239 --> 00:54:40,080
Speaker 2: This is why it's so fun. And I joked we

1051
00:54:40,080 --> 00:54:42,120
Speaker 2: did a little intro before you guys came on, and

1052
00:54:42,200 --> 00:54:45,399
Speaker 2: I said, I, you know, know nothing really, so it's

1053
00:54:45,400 --> 00:54:46,439
Speaker 2: really fun to talk to you guys.

1054
00:54:46,520 --> 00:54:47,120
Speaker 3: And she does.

1055
00:54:47,200 --> 00:54:50,319
Speaker 2: She adopts a baby that a baby girl that she

1056
00:54:51,040 --> 00:54:53,480
Speaker 2: delivered a few seasons ago called Luna.

1057
00:54:53,640 --> 00:54:55,960
Speaker 5: So we baby's Coco.

1058
00:54:56,239 --> 00:54:56,800
Speaker 7: She's Coco.

1059
00:54:56,920 --> 00:55:02,000
Speaker 6: Wait did you guys copy my story?

1060
00:55:02,160 --> 00:55:04,000
Speaker 3: I will find out for you next time I talk

1061
00:55:04,040 --> 00:55:06,839
Speaker 3: to you. But yes, I am you.

1062
00:55:09,880 --> 00:55:11,960
Speaker 4: Well, I love you guys. Thank you so much for

1063
00:55:11,960 --> 00:55:14,600
Speaker 4: having us. We're such big fans. And Jessica, you're one

1064
00:55:14,600 --> 00:55:16,040
Speaker 4: of my favorite people in the Oh.

1065
00:55:15,760 --> 00:55:19,080
Speaker 1: My gosh, right back at you. Any anytime I see you,

1066
00:55:19,160 --> 00:55:21,360
Speaker 1: I'm right next to you. I find my way there fast.

1067
00:55:21,560 --> 00:55:23,120
Speaker 7: She's a way of sunshine.

1068
00:55:23,280 --> 00:55:25,600
Speaker 3: It's true. It's true, he really is.

1069
00:55:27,000 --> 00:55:28,120
Speaker 7: Thank you for having us.

1070
00:55:28,520 --> 00:55:31,160
Speaker 3: We will be more questions with you guys at some point.

1071
00:55:31,200 --> 00:55:35,279
Speaker 3: Thank you so much. By oh my.

1072
00:55:35,239 --> 00:55:39,400
Speaker 2: God, Honestly, I feel like it's just the tip of

1073
00:55:39,400 --> 00:55:42,400
Speaker 2: the iceberg for me. I kind of talked to them

1074
00:55:42,400 --> 00:55:44,640
Speaker 2: for like three hours, and I know many things through

1075
00:55:44,640 --> 00:55:46,760
Speaker 2: my day today that I know I'm gonna be walking

1076
00:55:46,800 --> 00:55:48,759
Speaker 2: around and be like, wait, I gotta ask them about that.

1077
00:55:49,200 --> 00:55:56,439
Speaker 1: Also, it's doctor A makes what she's explaining sound so

1078
00:55:56,520 --> 00:56:01,200
Speaker 1: simple and so reasonable when it's really not the reason

1079
00:56:01,239 --> 00:56:03,360
Speaker 1: why likely the things that she was talking about. You're like,

1080
00:56:03,400 --> 00:56:04,920
Speaker 1: I don't want to I don't know what the definition

1081
00:56:05,040 --> 00:56:07,160
Speaker 1: of perimenopause is. I don't know what the definition of

1082
00:56:07,160 --> 00:56:10,319
Speaker 1: menopause is because someone wasn't explaining it very well. But

1083
00:56:10,360 --> 00:56:12,920
Speaker 1: when you have someone like her the way that she

1084
00:56:13,040 --> 00:56:16,400
Speaker 1: explains it, the time she takes, the articulation, the choice

1085
00:56:16,400 --> 00:56:18,120
Speaker 1: of words, you really get it.

1086
00:56:18,160 --> 00:56:21,279
Speaker 3: So I feel like we just got so much from that.

1087
00:56:21,920 --> 00:56:24,000
Speaker 2: I think so too. And I also think that like

1088
00:56:25,080 --> 00:56:27,759
Speaker 2: sometimes when you're talking about paramedopause and you know the

1089
00:56:27,880 --> 00:56:31,640
Speaker 2: hundred symptoms, it's like so intimidating, and then I'm maybe

1090
00:56:31,680 --> 00:56:33,920
Speaker 2: I'm a little bit of a weirdo, but I actually

1091
00:56:33,960 --> 00:56:36,560
Speaker 2: get so excited when she starts listing off all the

1092
00:56:36,560 --> 00:56:39,360
Speaker 2: way she can treat you. Maybe it's my anxiety or

1093
00:56:39,400 --> 00:56:43,440
Speaker 2: some my health anxiety it's time. It's so incredible. She's like,

1094
00:56:43,480 --> 00:56:46,279
Speaker 2: we can do this and this and this, and I'm

1095
00:56:46,320 --> 00:56:49,239
Speaker 2: sat here thinking like, there's not what are you gonna do?

1096
00:56:49,320 --> 00:56:51,680
Speaker 3: You gotta deal with it, you know. No, no, no, no,

1097
00:56:51,719 --> 00:56:53,080
Speaker 3: you never have to do Oh I don't have that.

1098
00:56:53,080 --> 00:56:55,560
Speaker 3: Oh gosh, we don't work on everyone. I think what's

1099
00:56:55,600 --> 00:56:59,480
Speaker 3: tough is that, like, not everyone has.

1100
00:56:59,440 --> 00:57:02,640
Speaker 1: Her, No, no, no, that's but that's what's so exciting

1101
00:57:02,640 --> 00:57:05,160
Speaker 1: about living in a time like this where you have

1102
00:57:05,200 --> 00:57:07,719
Speaker 1: access to podcasts. By the way, not every podcast and

1103
00:57:07,760 --> 00:57:10,840
Speaker 1: not every person you know giving information is giving correct information.

1104
00:57:10,960 --> 00:57:13,680
Speaker 1: But I do think that if you if you mind

1105
00:57:13,719 --> 00:57:16,240
Speaker 1: for the good ones, you have access to.

1106
00:57:16,320 --> 00:57:17,160
Speaker 3: People like her.

1107
00:57:17,200 --> 00:57:19,600
Speaker 1: I think that's what Mary Alice's you know, mission has

1108
00:57:19,640 --> 00:57:23,160
Speaker 1: been and so I was very I loved hearing their story.

1109
00:57:23,840 --> 00:57:25,280
Speaker 3: But yeah, you mind for the good ones.

1110
00:57:25,320 --> 00:57:27,800
Speaker 1: You mind for what works and what speaks to you

1111
00:57:27,840 --> 00:57:31,160
Speaker 1: and what is sound and correct. And I think that,

1112
00:57:31,760 --> 00:57:35,680
Speaker 1: you know, shocker to no one me looking on the

1113
00:57:35,720 --> 00:57:39,640
Speaker 1: half glass full side of things, But there's a lot

1114
00:57:39,640 --> 00:57:42,040
Speaker 1: of things that are really tough about life and then

1115
00:57:42,920 --> 00:57:46,880
Speaker 1: or this time in life. And then there's some crazy, wild,

1116
00:57:47,080 --> 00:57:50,880
Speaker 1: deeply exciting and inspiring parts like, I heard her also

1117
00:57:51,080 --> 00:57:53,840
Speaker 1: speak to many of the treatments for things tonight.

1118
00:57:53,920 --> 00:57:56,280
Speaker 3: It wasn't just all about pharmacology.

1119
00:57:56,320 --> 00:57:58,640
Speaker 1: I mean there were there were there were you know,

1120
00:57:58,720 --> 00:58:00,680
Speaker 1: remedies in there that didn't have to do with that.

1121
00:58:00,760 --> 00:58:02,920
Speaker 1: It's not all just you know, get yourself to the

1122
00:58:02,960 --> 00:58:05,320
Speaker 1: CBS and you know, fill out and get the RX

1123
00:58:05,360 --> 00:58:08,600
Speaker 1: for something. But the but but I heard her really

1124
00:58:08,640 --> 00:58:13,320
Speaker 1: talking about knowing yourself and trusting yourself and identifying what

1125
00:58:13,360 --> 00:58:15,280
Speaker 1: your symptoms are so that you can go and you

1126
00:58:15,280 --> 00:58:18,760
Speaker 1: can speak to someone or I also heard her say

1127
00:58:19,320 --> 00:58:24,000
Speaker 1: go to your doctor with an idea in hand, because

1128
00:58:24,040 --> 00:58:26,680
Speaker 1: it's true, not everybody gets a ton of time in there.

1129
00:58:27,040 --> 00:58:28,360
Speaker 3: But if you go and you.

1130
00:58:28,160 --> 00:58:30,160
Speaker 1: And you have an inkling that something's going on, and

1131
00:58:30,200 --> 00:58:32,200
Speaker 1: you can do a little research or listen to some

1132
00:58:32,240 --> 00:58:34,160
Speaker 1: podcasts and see if that's what's going on with you,

1133
00:58:34,200 --> 00:58:35,560
Speaker 1: and you can go to your doctor and say this

1134
00:58:35,600 --> 00:58:37,720
Speaker 1: is what I think it might be. You know, maybe

1135
00:58:37,760 --> 00:58:39,320
Speaker 1: you're a you're a step ahead.

1136
00:58:39,480 --> 00:58:42,080
Speaker 3: I agree. Yeah. So anyways, I found it very inspiring.

1137
00:58:42,240 --> 00:58:43,760
Speaker 3: I loved it. I loved all of it.

1138
00:58:44,040 --> 00:58:47,640
Speaker 2: Please you, guys, I know that you have questions after

1139
00:58:47,640 --> 00:58:50,959
Speaker 2: this too, write us about anything. I mean, we asked

1140
00:58:51,000 --> 00:58:52,560
Speaker 2: a lot of it, wanting about her mouse, but like

1141
00:58:52,720 --> 00:58:58,080
Speaker 2: you know anything about you know, labor delivery period, anything, anything, anything,

1142
00:58:58,600 --> 00:59:00,360
Speaker 2: And we will have them back on to some all

1143
00:59:00,400 --> 00:59:02,760
Speaker 2: the questions because we are in this with you guys too.

1144
00:59:02,880 --> 00:59:04,280
Speaker 3: All right, well, let's call it.

1145
00:59:04,400 --> 00:59:09,480
Speaker 2: Call it the end of the episode.