1 00:00:01,600 --> 00:00:09,360 Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone, 2 00:00:09,440 --> 00:00:12,760 Speaker 1: welcome to I Choose Me. This podcast is all about 3 00:00:12,800 --> 00:00:16,560 Speaker 1: the choices we make and where they lead us. My 4 00:00:16,720 --> 00:00:21,479 Speaker 1: guest today is back for more. You listeners. Absolutely loved 5 00:00:21,480 --> 00:00:23,560 Speaker 1: her the last time we had her on the podcast, 6 00:00:24,040 --> 00:00:26,720 Speaker 1: and I always love talking to her. She is a 7 00:00:26,760 --> 00:00:29,800 Speaker 1: wealth of information and I am so excited to chat 8 00:00:29,840 --> 00:00:32,680 Speaker 1: with her some more today. She's a board certified o 9 00:00:32,840 --> 00:00:36,080 Speaker 1: bg yan and a New York Times best selling author 10 00:00:36,200 --> 00:00:40,120 Speaker 1: of The New Menopause. Please welcome doctor Mary Claire Haver 11 00:00:40,240 --> 00:00:43,600 Speaker 1: back to the podcast. Hi, doctor Mary Claire. I'm so 12 00:00:43,800 --> 00:00:48,640 Speaker 1: glad you're here. You are our very first in studio guest. 13 00:00:49,080 --> 00:00:50,960 Speaker 1: This is really exciting for me because we had this 14 00:00:51,000 --> 00:00:54,720 Speaker 1: little studio built and I'm so glad that you are 15 00:00:54,720 --> 00:00:55,960 Speaker 1: here to break it in. 16 00:00:56,160 --> 00:00:58,760 Speaker 2: So excited to be here and couldn't make I Choose 17 00:00:58,760 --> 00:01:02,840 Speaker 2: Me event. I know fires and rescheduling, and when they 18 00:01:02,880 --> 00:01:04,920 Speaker 2: said she would love to have you come in live 19 00:01:05,000 --> 00:01:07,559 Speaker 2: to do the podcast, I was like, absolutely, Oh good. 20 00:01:07,640 --> 00:01:10,440 Speaker 1: I'm so glad because yeah, you were very missed at 21 00:01:10,480 --> 00:01:14,440 Speaker 1: the live event. We had to make do without you, though. 22 00:01:14,280 --> 00:01:16,640 Speaker 2: But hopefully we heard it was fantastic. We did. 23 00:01:16,880 --> 00:01:19,080 Speaker 1: We had a great time, and I think we reached 24 00:01:19,080 --> 00:01:22,199 Speaker 1: a lot of women, so that's all that mattered. But yeah, 25 00:01:22,240 --> 00:01:24,840 Speaker 1: we're here, and you just saw my husband moving the 26 00:01:24,880 --> 00:01:28,600 Speaker 1: car for us out of the bar shot. So you 27 00:01:28,600 --> 00:01:30,160 Speaker 1: were asking what he does, and I told you he's 28 00:01:30,160 --> 00:01:31,760 Speaker 1: in the restaurant business, and you said, you're in the 29 00:01:32,040 --> 00:01:32,640 Speaker 1: You came. 30 00:01:32,480 --> 00:01:35,880 Speaker 2: My family, So I grew up in a large restaurant family. 31 00:01:36,080 --> 00:01:38,440 Speaker 2: My parents had their own but my mother is a 32 00:01:38,560 --> 00:01:41,200 Speaker 2: landry and in the South, Like if your listener's like, 33 00:01:41,200 --> 00:01:45,200 Speaker 2: wait a minute, there's this whole Landry's restaurant chain that 34 00:01:45,600 --> 00:01:47,880 Speaker 2: is huge and kind of got bought out, you know, 35 00:01:47,960 --> 00:01:51,240 Speaker 2: by a big, bigger conglomerate, but the name's still there. 36 00:01:51,320 --> 00:01:53,919 Speaker 2: So like, my grandfather's name is on all these restaurants 37 00:01:53,960 --> 00:01:56,520 Speaker 2: and it's really kind of cool. But I just grew up. 38 00:01:56,560 --> 00:02:00,080 Speaker 2: My first job was peeling shrimp stuff in crabs, and 39 00:02:00,120 --> 00:02:02,120 Speaker 2: then I was graduated to being a hostess, and I 40 00:02:02,200 --> 00:02:04,280 Speaker 2: learned how to wait tables and I became a bartender. 41 00:02:04,320 --> 00:02:05,240 Speaker 2: That is super fun. 42 00:02:05,680 --> 00:02:07,760 Speaker 1: All through college, you did all that, and my husband 43 00:02:07,800 --> 00:02:09,560 Speaker 1: would love talking to you, because. 44 00:02:09,360 --> 00:02:11,400 Speaker 2: Yeah, I mean, I know we're speaking and out the 45 00:02:11,480 --> 00:02:14,880 Speaker 2: late hours, the you know, employee drama, all the things. 46 00:02:15,240 --> 00:02:18,040 Speaker 1: Yeah, I'm learning about all that, especially the employee drama. 47 00:02:19,240 --> 00:02:22,440 Speaker 1: But it does affect the family. It's all in kind 48 00:02:22,480 --> 00:02:24,840 Speaker 1: of business, kind of like what you're doing now, Hi, 49 00:02:25,639 --> 00:02:30,280 Speaker 1: it's your life you have your life has changed dramatically. Yeah, yeah, 50 00:02:31,080 --> 00:02:32,600 Speaker 1: what did you always want to be a doctor? 51 00:02:33,520 --> 00:02:37,400 Speaker 2: No? I wanted to be a movie star, so I 52 00:02:37,440 --> 00:02:40,040 Speaker 2: thought Vallerina, you know, little girl stuff. And I had 53 00:02:40,080 --> 00:02:43,240 Speaker 2: an older brother. I have four older brothers, but one 54 00:02:43,240 --> 00:02:46,120 Speaker 2: of my older brothers like really kind of lived his 55 00:02:46,160 --> 00:02:48,280 Speaker 2: life through me. He was gay, and he was at 56 00:02:48,320 --> 00:02:51,040 Speaker 2: a time in the seventies when you couldn't really express yourself, 57 00:02:51,080 --> 00:02:53,040 Speaker 2: so he would. I was his muse. He would dress 58 00:02:53,080 --> 00:02:55,200 Speaker 2: me up, he would oh in fake draws, he would 59 00:02:55,280 --> 00:02:59,200 Speaker 2: video me. It was the funnest brother to have growing up, 60 00:02:59,320 --> 00:03:02,080 Speaker 2: like I always wanted and a gay brother. Geza my 61 00:03:02,280 --> 00:03:05,960 Speaker 2: cheerleader tryouts. You can't imagine how immaculate the choreography was, 62 00:03:06,120 --> 00:03:09,280 Speaker 2: like my prom outfits, my hair and my makeup everything, 63 00:03:09,720 --> 00:03:12,480 Speaker 2: And so he really kind of expressed himself in ways 64 00:03:12,560 --> 00:03:17,320 Speaker 2: through me. And we're ten years apart, so that was amazing. 65 00:03:17,400 --> 00:03:20,880 Speaker 2: What a special bond growing up yeah, he did pass away, 66 00:03:20,919 --> 00:03:24,560 Speaker 2: so like part of my journey, part of my story 67 00:03:24,919 --> 00:03:27,280 Speaker 2: is his life and death, you know, kind of mixed 68 00:03:27,320 --> 00:03:29,640 Speaker 2: in with my own menopause and. 69 00:03:29,560 --> 00:03:31,680 Speaker 1: What made you want to become a doctor. 70 00:03:31,840 --> 00:03:36,000 Speaker 2: So I, you know, went to college, not really sure 71 00:03:36,160 --> 00:03:38,880 Speaker 2: what I wanted to do. And my mom and dad 72 00:03:38,920 --> 00:03:41,120 Speaker 2: had moved to Florida to try to open a restaurant 73 00:03:41,120 --> 00:03:43,480 Speaker 2: there and it wasn't going well. So my mom kind 74 00:03:43,520 --> 00:03:45,440 Speaker 2: of sat me down and said, we don't want you 75 00:03:45,480 --> 00:03:47,000 Speaker 2: to go to college. You need to stay and work 76 00:03:47,040 --> 00:03:48,840 Speaker 2: and help the family. And I said no, and I 77 00:03:48,920 --> 00:03:52,240 Speaker 2: ran away from home and I moved in with my grandmother. Yeah, 78 00:03:52,760 --> 00:03:54,680 Speaker 2: that's enrolled myself in college. 79 00:03:55,160 --> 00:03:57,240 Speaker 1: It sounds so traumatic when you say I ran away 80 00:03:57,240 --> 00:03:57,640 Speaker 1: from home. 81 00:03:57,560 --> 00:04:01,680 Speaker 2: But you ran back to Louisian. Okay. So I had, 82 00:04:02,200 --> 00:04:03,760 Speaker 2: you know, borrowed money to get a plane to get 83 00:04:03,760 --> 00:04:06,440 Speaker 2: I had my stuff in a paper bag. It all 84 00:04:06,480 --> 00:04:09,200 Speaker 2: worked out, but like I was like a rebel. I 85 00:04:09,240 --> 00:04:11,640 Speaker 2: didn't have luggage. So I put some clothes in like 86 00:04:11,680 --> 00:04:14,400 Speaker 2: a grocery bag paper bag, like the old brown bags, 87 00:04:14,680 --> 00:04:16,400 Speaker 2: and like took it on the plane on my lap flew. 88 00:04:16,440 --> 00:04:18,520 Speaker 2: My cousin picked me up, and I just kind of 89 00:04:18,600 --> 00:04:23,599 Speaker 2: hung out, started working waiting tables, and then enrolled in college. 90 00:04:23,680 --> 00:04:25,920 Speaker 2: It was five dollars enrollment fee. My tuition was a 91 00:04:25,960 --> 00:04:28,440 Speaker 2: couple hundred bucks, you know, for the local community college. 92 00:04:28,800 --> 00:04:30,360 Speaker 2: And off I went. And then, you know, we made 93 00:04:30,440 --> 00:04:32,200 Speaker 2: made up with my parents and everything was fine. They 94 00:04:32,240 --> 00:04:34,360 Speaker 2: moved back home, and you know, we got through that. 95 00:04:34,839 --> 00:04:39,039 Speaker 2: But when I was an undergrad, I started taking a 96 00:04:39,080 --> 00:04:41,200 Speaker 2: bunch of science classes, like for fun. Like I was 97 00:04:41,279 --> 00:04:43,440 Speaker 2: not a great student. I didn't apply myself in high school. 98 00:04:43,440 --> 00:04:45,480 Speaker 2: I was a cheerleader. I was super fun at night, 99 00:04:45,600 --> 00:04:48,480 Speaker 2: you know. And then I get to college and my 100 00:04:48,520 --> 00:04:51,800 Speaker 2: parents imminent bankruptcy kind of shook. I was shook, you know, 101 00:04:52,360 --> 00:04:54,760 Speaker 2: and I was realizing, you know, I have a choice here, 102 00:04:54,880 --> 00:04:56,840 Speaker 2: and let me see what happens if I actually study. 103 00:04:57,520 --> 00:04:59,520 Speaker 2: Turns out I was a great student. 104 00:04:59,600 --> 00:05:01,239 Speaker 1: Turns out you're a pretty smart lady. 105 00:05:01,320 --> 00:05:04,840 Speaker 2: Yeah. So I took a few science classes just to 106 00:05:05,000 --> 00:05:06,920 Speaker 2: feel it out, and I fell in love with geology. 107 00:05:07,320 --> 00:05:10,840 Speaker 2: So I have an undergraduate degree in geology. I worked 108 00:05:10,880 --> 00:05:12,720 Speaker 2: as a geologist for a couple of years. That's how 109 00:05:12,720 --> 00:05:15,320 Speaker 2: I met my husband, who was oil and gas. And 110 00:05:15,360 --> 00:05:17,719 Speaker 2: then in the middle of the work, I was like 111 00:05:17,800 --> 00:05:19,719 Speaker 2: I don't want to do this forever, Like what else 112 00:05:19,720 --> 00:05:21,920 Speaker 2: can I do with a science degree? And I thought 113 00:05:21,920 --> 00:05:24,520 Speaker 2: about nursing, and I thought about med school, and I thought, well, 114 00:05:25,080 --> 00:05:27,040 Speaker 2: let me just take the mcap and see what happens. 115 00:05:27,080 --> 00:05:30,760 Speaker 2: And I literally like triped my way into medical school. 116 00:05:30,880 --> 00:05:33,760 Speaker 2: And so I started med school at twenty six and 117 00:05:33,920 --> 00:05:36,640 Speaker 2: finished at thirty. My husband I got married in the process, 118 00:05:36,839 --> 00:05:40,480 Speaker 2: and then I did my residency in Obgoyn at the 119 00:05:40,560 --> 00:05:43,640 Speaker 2: University of Texas Medical Branch in Galveston, which is pretty 120 00:05:43,720 --> 00:05:46,400 Speaker 2: much the area where we've settled since nineteen ninety four. 121 00:05:47,440 --> 00:05:51,400 Speaker 1: Wow, what a great story. I love the paper bag party. 122 00:05:51,560 --> 00:05:55,240 Speaker 1: That's really an exciting part for me. I can't imagine 123 00:05:55,279 --> 00:05:56,520 Speaker 1: you're so brave to do that. 124 00:05:56,640 --> 00:05:59,680 Speaker 2: I just knew, you know, I've always been driven. I've 125 00:05:59,720 --> 00:06:03,159 Speaker 2: always you know, the one characteristic people would use to 126 00:06:03,200 --> 00:06:07,440 Speaker 2: describe me who know me, is driven. And I it's 127 00:06:07,520 --> 00:06:09,200 Speaker 2: if my husband jokes, you'll never get to the top 128 00:06:09,240 --> 00:06:11,080 Speaker 2: of your mountain. You're always going to find something else 129 00:06:11,080 --> 00:06:13,640 Speaker 2: to do, something else to climb, some other passion project, 130 00:06:13,760 --> 00:06:16,159 Speaker 2: you know, And it's like, I really, you know, I 131 00:06:16,200 --> 00:06:18,560 Speaker 2: went through menopause. I was beginning to empty nest like 132 00:06:18,640 --> 00:06:20,480 Speaker 2: all of these things. My brother died. All of these 133 00:06:20,480 --> 00:06:23,560 Speaker 2: things kind of happened at once to really allow me 134 00:06:23,680 --> 00:06:27,000 Speaker 2: to rethink my future. Give me time and space now 135 00:06:27,040 --> 00:06:30,560 Speaker 2: that my kids would launch successfully to figure out what 136 00:06:30,680 --> 00:06:33,680 Speaker 2: I wanted and where I wanted to go. I mean, 137 00:06:33,720 --> 00:06:37,400 Speaker 2: I thought I'd just be a really happy basic obgun, 138 00:06:37,440 --> 00:06:39,839 Speaker 2: nothing wrong with it. I did it well for twenty years, teaching, 139 00:06:39,839 --> 00:06:42,880 Speaker 2: residence medical, you know, forever until I retired. But that 140 00:06:42,920 --> 00:06:44,599 Speaker 2: is not what life had in store for me. 141 00:06:44,880 --> 00:06:49,400 Speaker 1: I love that, and it wasn't until you were empty nesting. 142 00:06:49,400 --> 00:06:51,560 Speaker 2: Well that I had. Yeah, you know, like the kids 143 00:06:52,160 --> 00:06:54,400 Speaker 2: when things took off from me on TikTok. Catherine was 144 00:06:54,440 --> 00:06:57,320 Speaker 2: home from college for COVID and Maddie was homeschooling, so 145 00:06:57,440 --> 00:06:59,240 Speaker 2: like that's kind of you know, where we were. I 146 00:06:59,240 --> 00:07:01,240 Speaker 2: had an eighteen year old and a fifteen year old 147 00:07:01,600 --> 00:07:03,400 Speaker 2: and so you know, they didn't need me all the time. 148 00:07:03,560 --> 00:07:05,640 Speaker 2: We were home, and I was just getting really creative 149 00:07:05,960 --> 00:07:08,880 Speaker 2: on social media and trying to teach. And that's when 150 00:07:08,920 --> 00:07:10,200 Speaker 2: things kind of really took off. 151 00:07:10,240 --> 00:07:12,200 Speaker 1: What made you want to do that though? What made 152 00:07:12,200 --> 00:07:14,360 Speaker 1: you want to pick up your phone and start recording? 153 00:07:14,400 --> 00:07:18,400 Speaker 2: And my own experience with menopause and realizing that there 154 00:07:18,480 --> 00:07:22,200 Speaker 2: was a huge gap in my own education and knowledge, 155 00:07:22,600 --> 00:07:25,880 Speaker 2: in the poor information and poor care I had given 156 00:07:25,920 --> 00:07:29,040 Speaker 2: to patients in menopause for most of my career. I mean, honestly, 157 00:07:29,120 --> 00:07:32,480 Speaker 2: I was a terrible menopause doctor for most of my 158 00:07:32,560 --> 00:07:35,760 Speaker 2: career until I sadly went through it myself. And if 159 00:07:35,800 --> 00:07:39,240 Speaker 2: any of my former patients are listening, I'm sorry, but 160 00:07:39,600 --> 00:07:44,880 Speaker 2: it really took my experience and realizing this is not okay. 161 00:07:45,520 --> 00:07:48,680 Speaker 2: You know, I thought hormone therapy was dangerous. I thought 162 00:07:48,760 --> 00:07:50,640 Speaker 2: all the things you know that had been taught to me, 163 00:07:50,720 --> 00:07:53,680 Speaker 2: and no one in my continuing medical education had put 164 00:07:53,760 --> 00:07:57,400 Speaker 2: forth some of the newer information. How the WHI studies 165 00:07:57,400 --> 00:07:59,920 Speaker 2: happened walked back the safety and efficacy and hormone therapy 166 00:08:00,160 --> 00:08:03,440 Speaker 2: was really really you know, our understanding had totally changed, 167 00:08:03,880 --> 00:08:06,200 Speaker 2: and that you know, for most women, the benefits far 168 00:08:06,200 --> 00:08:10,120 Speaker 2: outweigh the risks. And I you know, in twenty years 169 00:08:10,120 --> 00:08:12,760 Speaker 2: of postgraduate education, no one had put that in front 170 00:08:12,800 --> 00:08:15,280 Speaker 2: of me in a medical research article. And I'm like, 171 00:08:15,360 --> 00:08:17,680 Speaker 2: this is not okay. Yeah, And I thought, well, I'm 172 00:08:17,720 --> 00:08:20,400 Speaker 2: just one person. I started with zero followers, right, No 173 00:08:20,400 --> 00:08:22,360 Speaker 2: one knew who I was. I was just random obigen 174 00:08:22,480 --> 00:08:25,920 Speaker 2: from Texas, you know, from an island off the shore 175 00:08:25,960 --> 00:08:30,480 Speaker 2: of Texas, and it just grew on its own, completely organically. 176 00:08:31,000 --> 00:08:34,160 Speaker 1: That's so amazing, like, because it is hard to start 177 00:08:34,200 --> 00:08:36,120 Speaker 1: from zero, you. 178 00:08:36,080 --> 00:08:39,440 Speaker 2: Know, I think we all did you know now a 179 00:08:39,440 --> 00:08:41,959 Speaker 2: lot of people don't you buy followers or whatever. But yeah, 180 00:08:42,000 --> 00:08:45,120 Speaker 2: and of course I have dopamin receptors like everyone else. 181 00:08:45,160 --> 00:08:48,760 Speaker 2: When you see people responding and liking and sharing and 182 00:08:48,800 --> 00:08:51,280 Speaker 2: things that kind of go viral, you're like, oh, you know, 183 00:08:51,360 --> 00:08:53,400 Speaker 2: let me do more of this. You do more education, 184 00:08:53,559 --> 00:08:56,319 Speaker 2: let me ask more questions, and let me get curious. 185 00:08:56,400 --> 00:08:59,600 Speaker 2: You know, when ten thousand women on social media send 186 00:08:59,640 --> 00:09:02,800 Speaker 2: you a d or comment about their frozen shoulder and menopause, 187 00:09:03,200 --> 00:09:05,760 Speaker 2: I don't immediately dismiss them. What is that? 188 00:09:05,840 --> 00:09:08,240 Speaker 1: I'm sorry, we're gonna just jump right now. I got curious, 189 00:09:08,280 --> 00:09:10,120 Speaker 1: what is that frozen shoulder connection? 190 00:09:10,240 --> 00:09:12,200 Speaker 2: Because I my gosh, do I have. 191 00:09:12,120 --> 00:09:14,640 Speaker 1: An injured shoulder from just something I did lifting weights 192 00:09:14,640 --> 00:09:17,320 Speaker 1: and working out? Or do I have frozen shoulder? Is 193 00:09:17,360 --> 00:09:18,960 Speaker 1: that part of menopause a symptimes? 194 00:09:19,040 --> 00:09:21,600 Speaker 2: Yeah, so there is something we now know. This is 195 00:09:21,640 --> 00:09:26,360 Speaker 2: a newer finding called musculo skeletal syndrome of menopause. And 196 00:09:26,440 --> 00:09:30,319 Speaker 2: my dear friend, doctor Vonda Wright with copdic surgeon wrote 197 00:09:30,360 --> 00:09:33,360 Speaker 2: that paper and now it is an accepted, you know, 198 00:09:33,520 --> 00:09:37,600 Speaker 2: medical diagnosis. But what it is is there are estrogen 199 00:09:37,640 --> 00:09:41,720 Speaker 2: receptors everywhere in our body and our brains and our bones, 200 00:09:41,760 --> 00:09:43,480 Speaker 2: and our muscles, and our gut and our kidney and 201 00:09:43,520 --> 00:09:45,440 Speaker 2: our lungs and our heart and our skin, you know, 202 00:09:45,480 --> 00:09:48,600 Speaker 2: in our jener urinary system. But what she really honed 203 00:09:48,600 --> 00:09:52,559 Speaker 2: in on was specifically in the muscles, tendons and bones. 204 00:09:53,120 --> 00:09:56,199 Speaker 2: What are we seeing and what we were diagnosing for 205 00:09:56,240 --> 00:09:59,680 Speaker 2: a lot of women as fibromyalgia, you know, frozen shoulders 206 00:09:59,720 --> 00:10:02,800 Speaker 2: definitely related. And there were two researchers out of Duke University, 207 00:10:02,920 --> 00:10:04,760 Speaker 2: one in obgen and one no if I had the 208 00:10:04,800 --> 00:10:07,600 Speaker 2: lord correct orthpedic surgeon and obgen and I think they 209 00:10:07,600 --> 00:10:09,480 Speaker 2: were having lunch in the cafeteria and talking about all 210 00:10:09,480 --> 00:10:12,160 Speaker 2: these women with frozen shoulder could there be a relation 211 00:10:12,280 --> 00:10:14,439 Speaker 2: to menopause. They're all the same age, you know, all 212 00:10:14,440 --> 00:10:16,760 Speaker 2: in that age group. And they looked at they just 213 00:10:16,760 --> 00:10:19,520 Speaker 2: pulled all the charts and said, holy crap. Yeah, women 214 00:10:19,559 --> 00:10:22,440 Speaker 2: a HRT don't get it as much. They have shorter 215 00:10:22,520 --> 00:10:24,920 Speaker 2: courses of frozen shoulder and they do better on the 216 00:10:24,920 --> 00:10:27,920 Speaker 2: long term. So that kind of led to you know, 217 00:10:28,240 --> 00:10:32,120 Speaker 2: no one in orthopedics would publish it. Why they said, no, no, no, no, 218 00:10:32,240 --> 00:10:35,360 Speaker 2: can't be related. Well, there's anything in orthopedics is related 219 00:10:35,400 --> 00:10:38,920 Speaker 2: to menopause. Come on, And that's why didn't they want 220 00:10:38,920 --> 00:10:43,760 Speaker 2: to share that, because they just you know, forever women's 221 00:10:43,760 --> 00:10:48,440 Speaker 2: health outside of reproduction has been marginalized and made secondary, 222 00:10:48,520 --> 00:10:51,280 Speaker 2: and so that would take a whole group well ninety eight, 223 00:10:51,720 --> 00:10:53,720 Speaker 2: if I have the numbers right, less than ten percent 224 00:10:53,760 --> 00:10:57,360 Speaker 2: of orthpedic surgeons are female. That's one. That's one of 225 00:10:57,400 --> 00:10:59,520 Speaker 2: the problems right, right, And when your whole career has 226 00:10:59,559 --> 00:11:03,000 Speaker 2: been built around menopause should have nothing to do with this, 227 00:11:03,200 --> 00:11:06,800 Speaker 2: it's really hard to accept maybe we were wrong and 228 00:11:06,840 --> 00:11:09,880 Speaker 2: maybe we got this wrong, and so the menopause journals 229 00:11:09,920 --> 00:11:12,280 Speaker 2: published it, but it's out there. It's pretty amazing. 230 00:11:12,840 --> 00:11:15,360 Speaker 1: That's the thing about having a female doctor. For me, 231 00:11:15,520 --> 00:11:17,640 Speaker 1: I've always been drawn to having a female doctor. And 232 00:11:17,679 --> 00:11:19,680 Speaker 1: it sort of ties into what you were saying about 233 00:11:20,040 --> 00:11:22,960 Speaker 1: you didn't even really know how to help your patients 234 00:11:23,040 --> 00:11:25,040 Speaker 1: until you had gone through it. So when I see 235 00:11:25,080 --> 00:11:27,920 Speaker 1: a male doctor, I'm like, you have no idea how 236 00:11:28,000 --> 00:11:30,640 Speaker 1: I feel in this body of a female. And so 237 00:11:30,840 --> 00:11:33,920 Speaker 1: I can imagine that when you had that sort of 238 00:11:33,960 --> 00:11:38,000 Speaker 1: awakening as you were experiencing perimenopause and menopause like you, 239 00:11:39,240 --> 00:11:41,080 Speaker 1: it must have been so eye opening for. 240 00:11:41,000 --> 00:11:44,520 Speaker 2: You, I mean, ie opening when I got curious about 241 00:11:44,520 --> 00:11:46,800 Speaker 2: my own symptoms and started digging in the literature and 242 00:11:46,840 --> 00:11:49,520 Speaker 2: was actually finding studies to support what I was going 243 00:11:49,559 --> 00:11:51,199 Speaker 2: through and how it could be related, because it just 244 00:11:51,240 --> 00:11:54,439 Speaker 2: didn't make sense. And then there was like the rage 245 00:11:54,480 --> 00:11:59,319 Speaker 2: and shame, shame because we weren't coaching women appropriately, we 246 00:11:59,320 --> 00:12:02,640 Speaker 2: weren't reckoning this. You know, I was brought up, brought 247 00:12:02,679 --> 00:12:04,360 Speaker 2: up in the medical system. I say brought up as 248 00:12:04,360 --> 00:12:06,240 Speaker 2: a child, but I mean, you know, in my medical 249 00:12:06,320 --> 00:12:10,640 Speaker 2: education there was this underlying current of bias that it's 250 00:12:10,679 --> 00:12:17,480 Speaker 2: all in her head, that women tend to somaticize psychological issues, 251 00:12:18,960 --> 00:12:19,400 Speaker 2: not men. 252 00:12:20,840 --> 00:12:22,679 Speaker 1: That's not true, and why why do they? 253 00:12:22,800 --> 00:12:26,280 Speaker 2: It's historical, you know, because you know, if you look 254 00:12:26,280 --> 00:12:29,000 Speaker 2: at eleanor Clihorn, unwell woman, if you read that excellent 255 00:12:29,040 --> 00:12:31,240 Speaker 2: book for your follower, and another one is Elizabeth Coman 256 00:12:31,400 --> 00:12:33,560 Speaker 2: just wrote it's all on her head. And they both 257 00:12:33,559 --> 00:12:36,160 Speaker 2: of them go through the historical perspective, one from a 258 00:12:36,600 --> 00:12:39,480 Speaker 2: you know, social scientists perspective, the other from a physician perspective, 259 00:12:39,640 --> 00:12:42,640 Speaker 2: but basically comes to the same conclusion. This bias has 260 00:12:42,640 --> 00:12:46,600 Speaker 2: been built historically into the system where outside of your 261 00:12:46,720 --> 00:12:50,120 Speaker 2: uterus and what it can do for making baby babies 262 00:12:51,160 --> 00:12:53,840 Speaker 2: and a few diseases and needing to be surgically removed 263 00:12:53,960 --> 00:12:57,920 Speaker 2: way too often than it probably should. Men are women 264 00:12:57,960 --> 00:13:02,120 Speaker 2: are small men? So all of the focus was on men. 265 00:13:02,320 --> 00:13:04,520 Speaker 2: The studies were done on men by men, and we're 266 00:13:04,559 --> 00:13:07,439 Speaker 2: just going to assume, which you know, wasn't that unreasonable? 267 00:13:07,480 --> 00:13:09,280 Speaker 2: Why would the women are small men? Right? They just 268 00:13:09,320 --> 00:13:13,360 Speaker 2: have breast and uteruses. Well, now we know biologically makes 269 00:13:13,440 --> 00:13:17,760 Speaker 2: me completely different. But it took women going into medicine, 270 00:13:17,800 --> 00:13:23,240 Speaker 2: women going into the labs, women stepping back and saying, hey, no, 271 00:13:23,840 --> 00:13:28,200 Speaker 2: actually we're not small men. We disease differently. I mean, 272 00:13:28,240 --> 00:13:31,400 Speaker 2: Elizabeth Commen points out for and I learned this in 273 00:13:31,400 --> 00:13:34,560 Speaker 2: school in cardiovascular disease. Okay, when a woman has a 274 00:13:34,559 --> 00:13:37,840 Speaker 2: heart attack, the way she presents is called a typical 275 00:13:37,920 --> 00:13:40,840 Speaker 2: chest pain. Even though we're fifty one percent of the population. 276 00:13:41,440 --> 00:13:45,640 Speaker 2: Here's why men tend to have larger vessel disease. It's 277 00:13:45,679 --> 00:13:48,120 Speaker 2: called the little maker right for the heart attack, it's 278 00:13:48,120 --> 00:13:50,440 Speaker 2: the bigger vessels coming right out of the order that 279 00:13:50,480 --> 00:13:52,640 Speaker 2: don't dive in to feed the heart muscle. Right, That's 280 00:13:52,679 --> 00:13:56,720 Speaker 2: where the plaques and the clouds happen. Right. However, for women, 281 00:13:57,400 --> 00:14:00,839 Speaker 2: we have more microvascular diffuse disease deeper down when the 282 00:14:00,920 --> 00:14:03,839 Speaker 2: vessels start splitting off. So the way we present with 283 00:14:03,880 --> 00:14:08,320 Speaker 2: a heart attack is fatigue, abdominal pain, shortness of breath 284 00:14:08,400 --> 00:14:12,200 Speaker 2: instead of the classic symptoms of how a man tends 285 00:14:12,240 --> 00:14:14,880 Speaker 2: to have a heart attack, you know, grabbing their chest, 286 00:14:15,040 --> 00:14:18,079 Speaker 2: radiating up their neck, down their arm. You know, that's very, 287 00:14:18,160 --> 00:14:21,480 Speaker 2: very classic. But it's only classic for men, not women. 288 00:14:21,560 --> 00:14:23,800 Speaker 2: And so at the end of the day, when we 289 00:14:23,840 --> 00:14:25,440 Speaker 2: talk about, you know, the gender health gap, when a 290 00:14:25,440 --> 00:14:30,680 Speaker 2: woman walks into the ED emergency department with signs of 291 00:14:30,680 --> 00:14:34,200 Speaker 2: a heart attack, she is fifty percent more likely to die. 292 00:14:35,240 --> 00:14:39,200 Speaker 2: She is much more likely to be misdiagnosed with anxiety. 293 00:14:40,160 --> 00:14:42,160 Speaker 2: And this is not this is not laid at the 294 00:14:42,160 --> 00:14:45,600 Speaker 2: feet of one particular physician. These are most docs are 295 00:14:45,640 --> 00:14:48,120 Speaker 2: good people who went to school and did all this 296 00:14:48,200 --> 00:14:50,480 Speaker 2: training and paid all this money to go help people. 297 00:14:50,760 --> 00:14:53,360 Speaker 2: But this is built into the training program and this 298 00:14:53,440 --> 00:14:54,800 Speaker 2: is where the work needs to be done. 299 00:14:55,480 --> 00:14:57,880 Speaker 1: You know. I feel like when they say to a 300 00:14:57,920 --> 00:15:00,640 Speaker 1: woman who is showing signs of a heart attack, it's 301 00:15:00,680 --> 00:15:03,760 Speaker 1: anxiety that gives you a sense of oh, it's just 302 00:15:03,840 --> 00:15:06,840 Speaker 1: in my head. I'm imagined she believes it. She believes it, 303 00:15:06,880 --> 00:15:10,200 Speaker 1: and maybe he she the doctor, is saying that because 304 00:15:10,240 --> 00:15:15,040 Speaker 1: he they want to settle her, reassure her that everything's okay, 305 00:15:15,680 --> 00:15:18,080 Speaker 1: you know, you know that kind of She's more like 306 00:15:18,160 --> 00:15:18,640 Speaker 1: they feel like. 307 00:15:18,760 --> 00:15:22,800 Speaker 2: Anxiety met than pain, medicine or appropriate treatment for her 308 00:15:24,320 --> 00:15:24,960 Speaker 2: for her heart. 309 00:15:25,240 --> 00:15:28,440 Speaker 1: So wild, you know, we just did the I Choose 310 00:15:28,480 --> 00:15:32,000 Speaker 1: Me Live and we had a wonderful cardiologist there, doctor Kittlesen, 311 00:15:32,400 --> 00:15:37,560 Speaker 1: and she really brought some eye opening messages to the audience, 312 00:15:37,680 --> 00:15:42,480 Speaker 1: so much that one of our attendees went home later 313 00:15:42,520 --> 00:15:45,520 Speaker 1: that night and was feeling a little off and she said, 314 00:15:45,560 --> 00:15:48,160 Speaker 1: maybe it was just over stimulation from the event and 315 00:15:48,680 --> 00:15:51,480 Speaker 1: such a big day. And she said, you know what, 316 00:15:51,600 --> 00:15:53,600 Speaker 1: I'm going to listen to my gut on this. After 317 00:15:53,640 --> 00:15:56,560 Speaker 1: all I heard today about listening to my body and 318 00:15:56,840 --> 00:16:00,720 Speaker 1: questioning anything between my nose and my navel feeling anything 319 00:16:00,720 --> 00:16:03,200 Speaker 1: in this area. So she took herself to the emergency 320 00:16:03,320 --> 00:16:05,880 Speaker 1: room and she was suffering from a minor heart attack. 321 00:16:06,160 --> 00:16:07,160 Speaker 2: Yeah, and she would. 322 00:16:06,920 --> 00:16:10,760 Speaker 1: Have normally ignored it. And then it's just I feel uneasier, weird, servous, 323 00:16:11,320 --> 00:16:11,480 Speaker 1: you know. 324 00:16:11,520 --> 00:16:14,960 Speaker 2: Part of it is also sociological. Women are taught to 325 00:16:15,440 --> 00:16:19,560 Speaker 2: accept pain and not listen to their bodies and not 326 00:16:19,840 --> 00:16:23,680 Speaker 2: know themselves better. And there is a certain subset, especially 327 00:16:23,720 --> 00:16:25,920 Speaker 2: in the menopause space. And this is what I've discovered, 328 00:16:26,440 --> 00:16:29,560 Speaker 2: and I think this is changing. But kind of a 329 00:16:29,600 --> 00:16:32,560 Speaker 2: lot of the people who kind of controlled the narrative 330 00:16:32,680 --> 00:16:36,600 Speaker 2: around menopause really didn't feel like women were capable of 331 00:16:36,640 --> 00:16:42,280 Speaker 2: making decisions for themselves what they When you look at 332 00:16:42,280 --> 00:16:45,520 Speaker 2: how you know, it's like I'm the expert. Listen to 333 00:16:45,560 --> 00:16:48,640 Speaker 2: me instead of tell me how you're feeling. What are 334 00:16:48,640 --> 00:16:51,920 Speaker 2: your goals? You know, It's like you can't possibly listen 335 00:16:51,960 --> 00:16:55,280 Speaker 2: to a set of facts and information and make a 336 00:16:55,320 --> 00:16:58,080 Speaker 2: decision for yourself. I need to tell you what to 337 00:16:58,160 --> 00:16:59,720 Speaker 2: do and how to do it. And this is the 338 00:16:59,720 --> 00:17:03,160 Speaker 2: only right way. And I refuse to believe that. I 339 00:17:03,200 --> 00:17:06,560 Speaker 2: think women are fucking amazing. Yeah, and I think women. 340 00:17:06,840 --> 00:17:10,000 Speaker 2: I tell you, women, when armed with good information, make 341 00:17:10,240 --> 00:17:13,680 Speaker 2: good decisions for themselves and their families. And a lot 342 00:17:13,680 --> 00:17:16,119 Speaker 2: of the way that we've constructed around women's health and 343 00:17:16,119 --> 00:17:19,200 Speaker 2: women's health after reproduction ins is not allowing for that. 344 00:17:19,280 --> 00:17:21,840 Speaker 2: It's like, here's a guideline. You must follow the guideline 345 00:17:21,840 --> 00:17:24,240 Speaker 2: to the t. Therefore, we cannot step outside of the 346 00:17:24,240 --> 00:17:26,840 Speaker 2: guideline if it's not working for you, because this is 347 00:17:26,880 --> 00:17:29,720 Speaker 2: the only way that is not working for the vast 348 00:17:29,720 --> 00:17:30,919 Speaker 2: majority of women, right. 349 00:17:30,760 --> 00:17:34,080 Speaker 1: And so often deferring to people outside of ourselves, like 350 00:17:34,119 --> 00:17:36,359 Speaker 1: whether it is a doctor or whether it's our spouse. 351 00:17:36,480 --> 00:17:40,120 Speaker 1: So your body better than anybody, and you know when 352 00:17:40,119 --> 00:17:43,359 Speaker 1: something's wrong, and a woman's intuition is rarely wrong. 353 00:17:43,640 --> 00:17:44,520 Speaker 2: That's what I've learned. 354 00:17:44,920 --> 00:17:55,480 Speaker 1: It's true. It's so powerful. It's a little scary. Yeah, 355 00:17:55,560 --> 00:17:59,199 Speaker 1: you were saying before about fibromyalgia. I think we might 356 00:17:59,240 --> 00:18:01,760 Speaker 1: have talked about this private, and you gave me doctor 357 00:18:01,880 --> 00:18:04,640 Speaker 1: Von to write, You gave me her information. I haven't 358 00:18:04,640 --> 00:18:06,560 Speaker 1: called her yet, but I need to because I just 359 00:18:06,560 --> 00:18:10,359 Speaker 1: have body pain that I shouldn't be having. You know, 360 00:18:10,400 --> 00:18:15,200 Speaker 1: I'm very active. I feel better in my physically that 361 00:18:15,280 --> 00:18:17,679 Speaker 1: I ever have, but my body hurts. 362 00:18:18,359 --> 00:18:21,920 Speaker 2: So there's a and I'm writing The New Perimenopause right now, 363 00:18:21,920 --> 00:18:25,240 Speaker 2: and there's a chapter in the book where we talk 364 00:18:25,320 --> 00:18:28,760 Speaker 2: about things that are commonly diagnosed in women, and it's 365 00:18:28,800 --> 00:18:30,800 Speaker 2: one of those Well, if nothing else, we're just gonna 366 00:18:30,800 --> 00:18:33,159 Speaker 2: call it fibromyalgia. If nothing else, we're gonna call it 367 00:18:33,200 --> 00:18:35,919 Speaker 2: inter social systeinism. If nothing else, we're gonna call it 368 00:18:35,960 --> 00:18:38,680 Speaker 2: adrenal fatigue, or you know, this kind of laundry list 369 00:18:38,680 --> 00:18:42,840 Speaker 2: of very vague diagnoses. And what we're saying on our 370 00:18:42,960 --> 00:18:47,080 Speaker 2: end is this is probably how menopause is showing up 371 00:18:47,080 --> 00:18:49,080 Speaker 2: in her body. 372 00:18:49,160 --> 00:18:52,480 Speaker 1: It's wild because there's so many ways it can show up. Yeah, forever. 373 00:18:52,560 --> 00:18:54,119 Speaker 2: So when you look at the you know, there's a 374 00:18:54,160 --> 00:18:58,240 Speaker 2: beautiful paper that looked at the G coupled deestrogen receptors 375 00:18:58,280 --> 00:19:01,000 Speaker 2: throughout the human body, right, and they e up the brain, 376 00:19:01,560 --> 00:19:04,399 Speaker 2: the heart, the end, the thelium which is the blood fussels, right, 377 00:19:04,400 --> 00:19:07,400 Speaker 2: the lining of the blood vessels, the bones, the muscles, 378 00:19:07,440 --> 00:19:09,680 Speaker 2: the kidney, the we know breston uterus. Everybody knows this 379 00:19:09,720 --> 00:19:13,280 Speaker 2: where estrogen works, but it's everywhere. And you when you 380 00:19:13,359 --> 00:19:16,159 Speaker 2: go to these subspecialty papers and like that's when I 381 00:19:16,160 --> 00:19:18,359 Speaker 2: wrote new penopause. I was like, Okay, I would go 382 00:19:18,400 --> 00:19:22,760 Speaker 2: to PubMed and I would type in menopause and heart 383 00:19:23,040 --> 00:19:25,679 Speaker 2: and just see what was out there. You know, menopause 384 00:19:25,800 --> 00:19:29,720 Speaker 2: and bones. You know, we have a lot of information osteoporosis, 385 00:19:29,720 --> 00:19:33,520 Speaker 2: but you know, menopause and joint pain, menopause and dry skin, 386 00:19:33,680 --> 00:19:37,320 Speaker 2: menopause and dry eyes. And I was like, WHOA, people 387 00:19:37,400 --> 00:19:40,480 Speaker 2: are actually doing this research all over the world and 388 00:19:40,520 --> 00:19:44,000 Speaker 2: they're making all these conclusions, and they're they're checking the 389 00:19:44,160 --> 00:19:47,520 Speaker 2: status of dry eye, dry mouth, dry vagina from pre 390 00:19:48,000 --> 00:19:51,360 Speaker 2: perry and postmenopausal women and tracking them across the transition. 391 00:19:51,840 --> 00:19:53,879 Speaker 2: And I'm like, no one's talking about these women are 392 00:19:53,920 --> 00:19:56,560 Speaker 2: suffering in silence. No one's helping them. They're just blowing 393 00:19:56,560 --> 00:19:58,800 Speaker 2: them off. They're getting gas lit. They're said, this is 394 00:19:58,880 --> 00:20:02,200 Speaker 2: just you know, a we're all aging, we all know this, right, 395 00:20:02,600 --> 00:20:07,159 Speaker 2: but menopause accelerates the aging process across a multiple organ system. 396 00:20:07,280 --> 00:20:10,840 Speaker 2: That sucks, and it's not fair. No so. And there 397 00:20:10,840 --> 00:20:14,440 Speaker 2: are definitely the ways that we can intervene. Pharmacology, lifestyle changes, 398 00:20:14,520 --> 00:20:17,600 Speaker 2: nutrition supplements, all of it. You know, the whole toolkit 399 00:20:17,640 --> 00:20:18,200 Speaker 2: is important. 400 00:20:18,640 --> 00:20:23,439 Speaker 1: Why why why? After I know, giving it life to people. 401 00:20:23,800 --> 00:20:26,280 Speaker 2: I mean, it just seems such and it's the perfect 402 00:20:26,640 --> 00:20:30,199 Speaker 2: chase where prevention. You know, I grew up the medical 403 00:20:30,240 --> 00:20:32,720 Speaker 2: system is band aid medicine. Right, something breaks, we know 404 00:20:32,760 --> 00:20:35,080 Speaker 2: how to fix it. You know, you have fibroids, I 405 00:20:35,119 --> 00:20:36,919 Speaker 2: know how to fix that. You have heavy periods, I 406 00:20:36,960 --> 00:20:39,359 Speaker 2: know how to fix that. But we get such little 407 00:20:39,400 --> 00:20:43,240 Speaker 2: training and teaching around prevention, around nutrition, around what the 408 00:20:43,320 --> 00:20:46,520 Speaker 2: right movement for that patient would be, how to individualize 409 00:20:46,520 --> 00:20:49,600 Speaker 2: treatment care. And that's where I think the money, the work, 410 00:20:49,680 --> 00:20:53,280 Speaker 2: the research has to has to focus. And it's not 411 00:20:53,320 --> 00:20:53,880 Speaker 2: happening yet. 412 00:20:53,920 --> 00:20:56,440 Speaker 1: And it's not happening in our school systems, that's for sure. 413 00:20:56,480 --> 00:20:59,880 Speaker 1: They teach, you know, in health class about puberty and yeah, 414 00:21:00,040 --> 00:21:01,719 Speaker 1: oh when you're going to be able to have a baby, 415 00:21:01,760 --> 00:21:04,320 Speaker 1: and how you can get pregnant, all the things, But 416 00:21:04,600 --> 00:21:09,080 Speaker 1: never once was anyone ever mentioning menopause, perimenopause, what happened? 417 00:21:09,080 --> 00:21:11,280 Speaker 2: They're not even words used in like no, no, no, in 418 00:21:11,359 --> 00:21:14,399 Speaker 2: a in a classroom. They're like taboo, which is a 419 00:21:14,440 --> 00:21:15,920 Speaker 2: normal physiologic part of life. 420 00:21:16,240 --> 00:21:17,919 Speaker 1: Why teachings have never heard of it? 421 00:21:18,080 --> 00:21:19,600 Speaker 2: Yeah, no, it's it's huge. 422 00:21:19,800 --> 00:21:21,640 Speaker 1: Do you think there will come a time when when 423 00:21:21,640 --> 00:21:23,760 Speaker 1: they're teaching about menopause in health class. 424 00:21:23,880 --> 00:21:26,480 Speaker 2: So I hope, so we have a very I mean, 425 00:21:26,600 --> 00:21:28,000 Speaker 2: I just hope they're going to teach about it in 426 00:21:28,040 --> 00:21:28,679 Speaker 2: medical school. 427 00:21:28,960 --> 00:21:29,800 Speaker 1: That'd be a good start. 428 00:21:29,840 --> 00:21:33,520 Speaker 2: So when I was in med school, I had one 429 00:21:33,640 --> 00:21:37,520 Speaker 2: lecture on menopause in a four year curriculum. One lecture, 430 00:21:37,640 --> 00:21:40,040 Speaker 2: one lecture in four years in four years. Wow. And 431 00:21:40,080 --> 00:21:44,320 Speaker 2: then when I did my ob gyn residency, which I'm 432 00:21:44,359 --> 00:21:47,200 Speaker 2: super proud of, and I learned amazing stuff. I mean, 433 00:21:47,240 --> 00:21:49,399 Speaker 2: I am a boss in a labor room, you know, 434 00:21:49,600 --> 00:21:50,000 Speaker 2: I got it. 435 00:21:50,160 --> 00:21:51,400 Speaker 1: I wish you delivered the baby. 436 00:21:51,520 --> 00:21:54,680 Speaker 2: I am such a good laborist, Like I am the funnest, 437 00:21:54,800 --> 00:21:56,879 Speaker 2: most wonderful, and I got all the skills, you know, 438 00:21:57,600 --> 00:22:00,480 Speaker 2: and I like this handmode. I'm a great surgeon. Yeah 439 00:22:00,520 --> 00:22:05,760 Speaker 2: that was my children, just stosia, you know. But where 440 00:22:05,880 --> 00:22:09,200 Speaker 2: I now realize this huge gap was in menopause care. 441 00:22:09,320 --> 00:22:12,000 Speaker 2: So I did. We did reproductive into chronology. So you 442 00:22:12,080 --> 00:22:16,440 Speaker 2: have obstetrics, right, getting pregnant, staying pregnant, postpartum. That's more 443 00:22:16,480 --> 00:22:18,560 Speaker 2: than fifty percent of our training, which is important. Right. 444 00:22:18,600 --> 00:22:20,159 Speaker 2: We need to be able to bring life into the 445 00:22:20,160 --> 00:22:23,240 Speaker 2: world safely all the things, take care of the emergencies, 446 00:22:23,560 --> 00:22:27,840 Speaker 2: shepherd the healthy pregnancies, you know, and then then gynecology 447 00:22:27,880 --> 00:22:30,359 Speaker 2: is everything else. So in gynecology now the the little 448 00:22:30,359 --> 00:22:34,680 Speaker 2: box that's left for gynecology, we have oncology, so uterine cancer, 449 00:22:35,160 --> 00:22:38,199 Speaker 2: vulvar cancer, vaginal cancer, all the gnecologic cancers. We do 450 00:22:38,280 --> 00:22:42,520 Speaker 2: a little bit of breast, you know, pediatric gnecology, all 451 00:22:42,600 --> 00:22:45,480 Speaker 2: the pediatric things that could happen, how the special treatment 452 00:22:45,640 --> 00:22:48,200 Speaker 2: you know, you know, we do reproductive and ine chronology, 453 00:22:48,200 --> 00:22:50,520 Speaker 2: getting people pregnant and all the kind of intocrine disorders 454 00:22:50,560 --> 00:22:54,280 Speaker 2: that can happen through childhood and women. And then menopause 455 00:22:54,359 --> 00:22:57,680 Speaker 2: is just this little, tiny, tiny sliver. So I got 456 00:22:57,680 --> 00:23:00,919 Speaker 2: six hours six one hour lectures my second ear for residency. 457 00:23:01,880 --> 00:23:04,720 Speaker 2: We had no clinics devoted to menopause, you know, and 458 00:23:04,920 --> 00:23:08,680 Speaker 2: if we saw a menopausal patient, you know, we did 459 00:23:08,680 --> 00:23:10,080 Speaker 2: our best to take care of for her, but we 460 00:23:10,080 --> 00:23:12,159 Speaker 2: weren't really weren't given a big tool kit on how 461 00:23:12,160 --> 00:23:14,240 Speaker 2: to help her if she had severe hot flashes. When 462 00:23:14,280 --> 00:23:17,280 Speaker 2: I was training, we offered her hormone therapy. At the time, 463 00:23:17,320 --> 00:23:19,520 Speaker 2: when I went through most of my training, about forty 464 00:23:19,560 --> 00:23:23,080 Speaker 2: percent of women ended up on hormone therapy postmenopause, and 465 00:23:23,119 --> 00:23:25,560 Speaker 2: it was recommended by the American Academy of Physicians, but 466 00:23:25,600 --> 00:23:28,719 Speaker 2: it was like all women should consider this, right. And 467 00:23:28,760 --> 00:23:32,120 Speaker 2: my very last year is when the bomb dropped from 468 00:23:32,160 --> 00:23:35,919 Speaker 2: the Women's Health Initiative and everyone was terrified. Everyone jumped 469 00:23:36,160 --> 00:23:38,840 Speaker 2: and I you know, jump ship threw the prescriptions away, 470 00:23:38,960 --> 00:23:40,840 Speaker 2: terrified that we're going to give people breast cancer and 471 00:23:40,880 --> 00:23:43,840 Speaker 2: that just wasn't true. And the same megaphone that's it 472 00:23:43,880 --> 00:23:45,960 Speaker 2: was like viral before viral. Right. It was the number 473 00:23:45,960 --> 00:23:47,919 Speaker 2: one medical news story of two thousand and two. It 474 00:23:47,960 --> 00:23:50,320 Speaker 2: was on the cover of every newspaper. They had a 475 00:23:50,320 --> 00:23:53,160 Speaker 2: press conference, it was on TV. Nancy Snyderman on Good 476 00:23:53,160 --> 00:23:55,640 Speaker 2: Morning America said I would never put a woman on it, 477 00:23:55,720 --> 00:23:58,280 Speaker 2: you know, and she with what was presented to her, 478 00:23:58,320 --> 00:24:00,680 Speaker 2: I can see the reasoning. That's the way I felt too. 479 00:24:01,440 --> 00:24:04,080 Speaker 2: But then as all of that got walked back, no 480 00:24:04,080 --> 00:24:07,560 Speaker 2: one talked about it. No one to this day in 481 00:24:07,560 --> 00:24:09,639 Speaker 2: the American College of Obi, jan who I love and 482 00:24:09,640 --> 00:24:11,359 Speaker 2: I'm super proud to be a part of, has not 483 00:24:11,480 --> 00:24:16,040 Speaker 2: changed the menopause hormon therapy guideline since twenty fourteen. It 484 00:24:16,080 --> 00:24:17,040 Speaker 2: is twenty twenty. 485 00:24:16,760 --> 00:24:19,000 Speaker 1: Five is that going to change. 486 00:24:19,160 --> 00:24:21,200 Speaker 2: I don't know. They kind of have their hands full 487 00:24:21,280 --> 00:24:24,600 Speaker 2: right now with all the reproductive stuff going on. You know, 488 00:24:24,640 --> 00:24:26,959 Speaker 2: the American Board is who we get recertified every year, 489 00:24:27,000 --> 00:24:29,320 Speaker 2: and I have to say we had six men out 490 00:24:29,320 --> 00:24:31,040 Speaker 2: of one hundred and twelve for the first time. We 491 00:24:31,119 --> 00:24:35,680 Speaker 2: usually have one maybe a year. We had six menopause 492 00:24:35,960 --> 00:24:38,640 Speaker 2: like serious menopause related articles and I did a jig 493 00:24:38,680 --> 00:24:41,000 Speaker 2: a dance of joy. But they're elective. You don't have 494 00:24:41,080 --> 00:24:44,480 Speaker 2: to read them, those particular ones, you know. So it's 495 00:24:44,520 --> 00:24:48,439 Speaker 2: getting better. There's about twenty or maybe thirty percent of 496 00:24:48,880 --> 00:24:52,919 Speaker 2: residencies now that offer an elective menopause course. But it 497 00:24:53,000 --> 00:24:57,960 Speaker 2: is elective. So what I'm demanding. So doctor Jennifer Wiswilf, 498 00:24:57,960 --> 00:25:01,000 Speaker 2: who's an NYU attorney and she's a professor at in 499 00:25:01,040 --> 00:25:04,160 Speaker 2: WYU Law. She and I co author the Citizen's Guide 500 00:25:04,160 --> 00:25:06,760 Speaker 2: in Menopause Advocacy. So we have six policies that we're 501 00:25:06,760 --> 00:25:08,960 Speaker 2: trying to get enacted, and we teach people how to 502 00:25:08,960 --> 00:25:12,239 Speaker 2: write your congressman. I still believe in democracy, despite what 503 00:25:12,320 --> 00:25:14,520 Speaker 2: the world is thinking right now about the US, but 504 00:25:14,840 --> 00:25:17,560 Speaker 2: I still believe that we have power and our votes count. 505 00:25:17,680 --> 00:25:20,960 Speaker 2: And so teaching women. These are six policy things, and 506 00:25:21,000 --> 00:25:24,840 Speaker 2: one is mandatory menopause education for all clinicians. 507 00:25:24,960 --> 00:25:27,840 Speaker 1: Amen, Okay, I'm at school. 508 00:25:28,200 --> 00:25:30,760 Speaker 2: Every person who's going to touch a woman needs to 509 00:25:30,760 --> 00:25:33,200 Speaker 2: know about menopause and how it affects. And every orthopedic 510 00:25:33,240 --> 00:25:35,719 Speaker 2: surgeon needs to know, and every urologist and ever. You know, 511 00:25:35,800 --> 00:25:39,560 Speaker 2: this is big. This is the last third of our life. 512 00:25:39,720 --> 00:25:42,679 Speaker 1: This sounds like a no brainer. It's so horrifying. 513 00:25:42,720 --> 00:25:46,879 Speaker 2: Policy change the other one, Yeah, take the black box warning. 514 00:25:46,920 --> 00:25:49,280 Speaker 2: Have you picked up vaginal estrogen yet? And you should? 515 00:25:49,760 --> 00:25:51,560 Speaker 2: You open up the packet and it's like you're going 516 00:25:51,600 --> 00:25:54,919 Speaker 2: to die. It's not true, Anthony. 517 00:25:54,600 --> 00:25:57,880 Speaker 1: Those letters, so I don't know that. I've already loved 518 00:25:57,960 --> 00:25:58,800 Speaker 1: that vision. 519 00:25:59,240 --> 00:26:00,040 Speaker 2: Not to mention the. 520 00:26:00,040 --> 00:26:03,359 Speaker 1: Eyesight is that part that's not related? 521 00:26:04,119 --> 00:26:04,479 Speaker 2: Okay? 522 00:26:04,800 --> 00:26:08,720 Speaker 1: I was hoping I could blame everything, sadly know. Okay, 523 00:26:08,720 --> 00:26:09,280 Speaker 1: So that's two. 524 00:26:09,680 --> 00:26:12,399 Speaker 2: Yeah, oh yeah, we have six, So I'm on the spot. 525 00:26:12,720 --> 00:26:16,600 Speaker 2: I'm sorry, Oh, black box warning, more education funding funding, 526 00:26:16,760 --> 00:26:18,840 Speaker 2: So in twenty twenty three, and who knows what's going 527 00:26:18,880 --> 00:26:21,800 Speaker 2: to happen with NIH funding. Things are changing rapidly right now. 528 00:26:22,080 --> 00:26:25,040 Speaker 2: But let's goh, historically, in twenty twenty three of a 529 00:26:25,080 --> 00:26:29,199 Speaker 2: forty three billion dollar budget, ten to fifteen billion went 530 00:26:29,240 --> 00:26:31,720 Speaker 2: to women's health. Most of that was reproduction, right, and 531 00:26:31,760 --> 00:26:35,360 Speaker 2: a little bit to ovarian uterine cancer. Important stuff. We're 532 00:26:35,440 --> 00:26:39,920 Speaker 2: half the population, Okay, menopause got one five million, fifteen 533 00:26:40,240 --> 00:26:44,040 Speaker 2: out of forty three billion dollars. That's point oh three percent. 534 00:26:44,200 --> 00:26:47,240 Speaker 2: Point oh three percent. So right, now, you go to PubMed, 535 00:26:47,840 --> 00:26:50,520 Speaker 2: which is the clearinghouse of medical journal articles where I 536 00:26:50,600 --> 00:26:53,640 Speaker 2: go to look for stuff, important stuff. Right, I type 537 00:26:53,680 --> 00:26:56,200 Speaker 2: in the word pregnancy, so that means every time pregnancy 538 00:26:56,240 --> 00:26:58,720 Speaker 2: is mentioned in an article, we got about one point 539 00:26:58,760 --> 00:27:04,080 Speaker 2: one million articles. We are just ripe juicy with obstetric information, 540 00:27:04,359 --> 00:27:07,160 Speaker 2: even though we have terrible obstetrical outcomes in the US 541 00:27:07,160 --> 00:27:09,879 Speaker 2: compared to other industrialised country. But that's another conversation. Ye. 542 00:27:10,359 --> 00:27:12,600 Speaker 2: Then I type in the word menopause. We have ninety 543 00:27:12,640 --> 00:27:17,160 Speaker 2: eight thousand, more than ten to one. So that's brain power, 544 00:27:17,400 --> 00:27:21,520 Speaker 2: funding expertise, people who give a shit. I type in 545 00:27:21,520 --> 00:27:26,760 Speaker 2: the word perimenopause six thousand, eight hundred. Okay, that is 546 00:27:26,800 --> 00:27:30,040 Speaker 2: why I'm so excited that you're writing the new Perimenopause, 547 00:27:30,560 --> 00:27:34,400 Speaker 2: because that is an audience that really needs So I'm 548 00:27:34,520 --> 00:27:38,159 Speaker 2: running off of those six thousand, eight hundreds compared to 549 00:27:38,240 --> 00:27:41,000 Speaker 2: the sixty eight thousand. I had to write the new Menopause. 550 00:27:41,080 --> 00:27:43,720 Speaker 2: That's like, it's a lot of gray area. It's a 551 00:27:43,720 --> 00:27:46,199 Speaker 2: lot of you know, me talking to the menopause. What 552 00:27:46,240 --> 00:27:47,840 Speaker 2: are you doing here? I mean, we're just a think 553 00:27:47,840 --> 00:27:49,359 Speaker 2: tank at this point. What are you doing? What are 554 00:27:49,359 --> 00:27:52,320 Speaker 2: you doing? It's worldwide, so it's it's a really cool 555 00:27:52,359 --> 00:27:57,440 Speaker 2: collaboration of these incredibly bold, brave, smart clinicians who are 556 00:27:57,480 --> 00:28:00,240 Speaker 2: fighting for women after you know, all women, but really 557 00:28:00,280 --> 00:28:05,280 Speaker 2: after reproduction. It's really our focus. 558 00:28:08,680 --> 00:28:12,159 Speaker 1: You talked about the new administration and how that everything 559 00:28:12,200 --> 00:28:15,960 Speaker 1: is changing so rapidly. Is that going to affect the funding. 560 00:28:16,680 --> 00:28:19,440 Speaker 2: I'm not sure. I know, NIH budgets are being cut 561 00:28:19,640 --> 00:28:23,280 Speaker 2: and certain terms are being limited, you know, they're kind 562 00:28:23,280 --> 00:28:25,720 Speaker 2: of being flagged for review, so anything, you know. I 563 00:28:25,760 --> 00:28:28,400 Speaker 2: saw the list and sadly, you know, for us, anything 564 00:28:28,400 --> 00:28:31,879 Speaker 2: that contained the word woman or female or gender. And 565 00:28:31,920 --> 00:28:34,360 Speaker 2: what shocked me is it didn't like male wasn't on there. 566 00:28:34,359 --> 00:28:36,280 Speaker 2: I'm like, okay, if we're going to be equal, we're 567 00:28:36,280 --> 00:28:38,680 Speaker 2: just gonna it's all humans. We're just a human and 568 00:28:38,760 --> 00:28:41,400 Speaker 2: not male female. But it was only women. But I'm 569 00:28:41,480 --> 00:28:44,120 Speaker 2: praying and hopeful that clear Heads will realize you know, 570 00:28:44,120 --> 00:28:45,920 Speaker 2: as the studies come through, it gets flagged, they'll have 571 00:28:45,960 --> 00:28:47,640 Speaker 2: another set of eyes looking at and say, oh, this 572 00:28:47,760 --> 00:28:51,280 Speaker 2: was a menopause thing. This is not you know, whatever 573 00:28:51,280 --> 00:28:56,080 Speaker 2: they're trying to limit. So but again what's exciting is 574 00:28:56,640 --> 00:29:00,960 Speaker 2: if we can't use ANIH, there are big private funding sources. 575 00:29:01,000 --> 00:29:04,719 Speaker 2: We have other sources of funding, right And for example, 576 00:29:04,800 --> 00:29:08,280 Speaker 2: Lisa Mosconi, who wrote The Menopause Brain, just got a 577 00:29:08,400 --> 00:29:14,520 Speaker 2: fifty million dollar grant from Welcome Leap And it's all 578 00:29:14,800 --> 00:29:16,520 Speaker 2: like she doesn't have to public like you know, the 579 00:29:16,520 --> 00:29:19,840 Speaker 2: way the machine of how publications are done and nih 580 00:29:19,880 --> 00:29:22,360 Speaker 2: funding and how much the university takes. She doesn't have 581 00:29:22,400 --> 00:29:24,360 Speaker 2: to worry about any of that. All she has to 582 00:29:24,440 --> 00:29:26,640 Speaker 2: do is solve a problem. And it's how much is 583 00:29:26,640 --> 00:29:32,480 Speaker 2: menopause related to Alzheimer's disease. So when my patients come 584 00:29:32,520 --> 00:29:35,280 Speaker 2: to me, they want to put out the menopause fire, 585 00:29:35,360 --> 00:29:38,360 Speaker 2: they want to become functional again. And that's actually easy 586 00:29:38,360 --> 00:29:40,520 Speaker 2: for me to help them with. Okay, we get them 587 00:29:40,560 --> 00:29:42,440 Speaker 2: back to where they're like I got this, I can 588 00:29:42,480 --> 00:29:44,560 Speaker 2: handle my stress, I got my family, you know, I 589 00:29:44,560 --> 00:29:46,360 Speaker 2: got it, I'm back in my job, I'm doing whatever. 590 00:29:46,720 --> 00:29:49,080 Speaker 2: Then we talk about the next thirty years and the 591 00:29:49,120 --> 00:29:53,400 Speaker 2: diseases that are plaguing her elders. We talk about heart disease, 592 00:29:53,400 --> 00:29:56,920 Speaker 2: we talk about dementia, We talk about astroporosis, fracture and frailty, 593 00:29:57,800 --> 00:30:00,720 Speaker 2: and where menopause fits into all all that, and what 594 00:30:00,760 --> 00:30:03,280 Speaker 2: are the habits, the lifestyle changes we're going to do 595 00:30:03,920 --> 00:30:06,719 Speaker 2: to decrease that risk. So's I'm so excited that, you know, 596 00:30:06,800 --> 00:30:09,200 Speaker 2: doctor Mosconi was able to step out of the traditional 597 00:30:09,320 --> 00:30:11,959 Speaker 2: nih you know, and find this beautiful funding and it 598 00:30:12,040 --> 00:30:16,520 Speaker 2: is so outcome driven and not publish this paper, you know, 599 00:30:16,640 --> 00:30:19,040 Speaker 2: Da Da da publisher parish. You know, we've set up 600 00:30:19,080 --> 00:30:21,960 Speaker 2: this kind of crazy system and how we generate research 601 00:30:22,000 --> 00:30:24,120 Speaker 2: in this country, good and bad, you know. And so 602 00:30:24,680 --> 00:30:26,720 Speaker 2: for her it's really freeing to step out of the 603 00:30:26,760 --> 00:30:30,280 Speaker 2: system and just be evidence focused, right and outcome focused. 604 00:30:30,320 --> 00:30:31,960 Speaker 2: And she's doing it in three years. 605 00:30:32,160 --> 00:30:32,520 Speaker 1: Wow. 606 00:30:32,680 --> 00:30:34,920 Speaker 2: And so when you think of fifteen million dollars, she 607 00:30:35,040 --> 00:30:37,080 Speaker 2: was fighting for a piece of that fifteen million dollar 608 00:30:37,120 --> 00:30:40,800 Speaker 2: pie in twenty twenty three, and they just gave her 609 00:30:40,840 --> 00:30:44,280 Speaker 2: fifty million dollars for herself. That's pretty to make this 610 00:30:44,400 --> 00:30:46,800 Speaker 2: happen and she's hiring researcher. I mean, it is like 611 00:30:47,000 --> 00:30:49,000 Speaker 2: amazing and she's going to solve this in three years. 612 00:30:49,000 --> 00:30:52,200 Speaker 1: All right, that is exciting because yeah, I mean now 613 00:30:52,280 --> 00:30:56,360 Speaker 1: being in menopause no longer in perimenopause, I want to 614 00:30:56,400 --> 00:30:59,760 Speaker 1: know what's next is when I'm done with menopause, what happens? 615 00:30:59,840 --> 00:31:01,200 Speaker 1: Or when am I done with menopause? 616 00:31:01,360 --> 00:31:04,400 Speaker 2: So postmenopaus is forever. So we've not been able to 617 00:31:04,440 --> 00:31:06,920 Speaker 2: figure out how to resuscitate the overrease, right, and so 618 00:31:07,520 --> 00:31:10,880 Speaker 2: you living without the natural production of vestrodyl and progesterone 619 00:31:11,360 --> 00:31:13,360 Speaker 2: is the rest of your life, right, So your bones 620 00:31:13,400 --> 00:31:15,800 Speaker 2: are always going to be affected, your general urinary system 621 00:31:15,840 --> 00:31:17,920 Speaker 2: is always going to be affected, your skin's always going 622 00:31:17,920 --> 00:31:20,120 Speaker 2: to be affected. You know, all of these things are 623 00:31:20,160 --> 00:31:23,400 Speaker 2: still happening. Hormone therapy can attenuate a lot of that. 624 00:31:23,440 --> 00:31:25,719 Speaker 2: But we're still aging and we're accepting that. 625 00:31:25,800 --> 00:31:25,920 Speaker 1: Right. 626 00:31:25,960 --> 00:31:28,240 Speaker 2: We know we're getting older. But what we're trying to 627 00:31:28,240 --> 00:31:31,240 Speaker 2: do is slow down the acceleration that you know, for 628 00:31:31,360 --> 00:31:35,000 Speaker 2: in premenopausal women enjoy better health than men. Typically, we 629 00:31:35,040 --> 00:31:38,120 Speaker 2: have better mental health. In general, we have better heart health, 630 00:31:38,440 --> 00:31:41,520 Speaker 2: but all of that goes to SHDT across the menopause transition. 631 00:31:41,920 --> 00:31:44,880 Speaker 2: And what we're learning now is by supporting women's hormones 632 00:31:44,920 --> 00:31:47,840 Speaker 2: through the transition and post we can slow some of 633 00:31:47,840 --> 00:31:51,480 Speaker 2: that down and give her back resilience. But you know, 634 00:31:51,520 --> 00:31:54,960 Speaker 2: when you watch the Wellness Bros. And the let's get 635 00:31:55,000 --> 00:31:57,280 Speaker 2: in the sauna and let's do the ice bath, I'm 636 00:31:57,360 --> 00:32:02,200 Speaker 2: like the wellness Bros. Any conversation about a female and 637 00:32:02,240 --> 00:32:05,840 Speaker 2: her health and longevity that doesn't include menopause is a mistake. 638 00:32:06,240 --> 00:32:09,160 Speaker 2: You know, you can't wellness your way out of menopause, 639 00:32:09,560 --> 00:32:11,920 Speaker 2: and so you can make your body more resilient to 640 00:32:12,000 --> 00:32:14,400 Speaker 2: certain things, and you definitely can broad dog menopause. You 641 00:32:14,440 --> 00:32:16,320 Speaker 2: don't have to be on hormone therapy. That doesn't but 642 00:32:16,360 --> 00:32:18,920 Speaker 2: it makes a lot life harder. Yeah, it can be 643 00:32:18,960 --> 00:32:19,640 Speaker 2: a lot harder. 644 00:32:19,920 --> 00:32:22,320 Speaker 1: What I mean, why would they? I'm I really want 645 00:32:22,360 --> 00:32:25,760 Speaker 1: to talk more about you, Claire, but I'm still so 646 00:32:25,840 --> 00:32:29,160 Speaker 1: fascinated by all the menopause discoveries and the research. What 647 00:32:29,560 --> 00:32:32,200 Speaker 1: so I'm not ever going to be out of menopause 648 00:32:32,280 --> 00:32:34,360 Speaker 1: or I'm going to go into what's called post menopause. 649 00:32:34,400 --> 00:32:38,080 Speaker 2: So your postmenopause menopause like is one day, one year 650 00:32:38,360 --> 00:32:41,120 Speaker 2: your final mistial period. That is the medical definition of menopause. 651 00:32:41,160 --> 00:32:43,600 Speaker 2: But here's my joke. What if it's leapier. Do you 652 00:32:43,600 --> 00:32:45,240 Speaker 2: have to go three hundred and sixty six days? What 653 00:32:45,240 --> 00:32:46,720 Speaker 2: if you've had a hysterectomy, What if you've had an 654 00:32:46,760 --> 00:32:48,560 Speaker 2: inblation for marine A? You do you don't have periods? 655 00:32:48,560 --> 00:32:50,360 Speaker 2: What if you don't? What if you have pcos like, 656 00:32:50,680 --> 00:32:52,720 Speaker 2: do you not get to be menopausal because you didn't 657 00:32:53,120 --> 00:32:55,680 Speaker 2: hit the year? I mean, it's so random and arbitrary. 658 00:32:55,720 --> 00:32:58,160 Speaker 2: It is ovary in failure. This is what menopause is. 659 00:32:58,240 --> 00:33:00,560 Speaker 2: So you have before the overars fail and after the 660 00:33:00,600 --> 00:33:04,520 Speaker 2: ovaries fail, and then you know, our age twice as 661 00:33:04,560 --> 00:33:07,720 Speaker 2: fast as any other organ in our body. And it's 662 00:33:07,720 --> 00:33:09,600 Speaker 2: just reality, and we don't know how to slow it down. 663 00:33:09,600 --> 00:33:11,360 Speaker 2: We could speed it up. If you smoke, if you 664 00:33:11,400 --> 00:33:13,240 Speaker 2: have radiation, if you have dominal surgery, if you have 665 00:33:13,280 --> 00:33:15,160 Speaker 2: a C section, if yes, direct me. You know, we 666 00:33:15,280 --> 00:33:17,560 Speaker 2: tend to chip off some of the life of the ovaries. 667 00:33:18,120 --> 00:33:21,320 Speaker 2: But we know that if you don't do those things, 668 00:33:21,360 --> 00:33:24,120 Speaker 2: and you eat a healthier diet and you exercise regularly, 669 00:33:24,680 --> 00:33:27,840 Speaker 2: you can stretch as much as the genetic capability of 670 00:33:27,840 --> 00:33:31,120 Speaker 2: your ovaries that you have. And that's like what the 671 00:33:31,160 --> 00:33:34,200 Speaker 2: New perimenopause is about, is like setting these women up 672 00:33:34,240 --> 00:33:35,400 Speaker 2: for success, right. 673 00:33:35,320 --> 00:33:38,280 Speaker 1: Right, setting them up for success. I think that's so important. 674 00:33:38,720 --> 00:33:41,760 Speaker 1: And it's for my daughters, yes, and for my daughters 675 00:33:41,800 --> 00:33:43,959 Speaker 1: who never heard the word menopause. 676 00:33:44,320 --> 00:33:46,960 Speaker 2: My daughters, God bless them, they know a lot. It's 677 00:33:47,080 --> 00:33:48,640 Speaker 2: just their vocabulary now. 678 00:33:50,160 --> 00:33:52,120 Speaker 1: I think my daughters too, and my husband too, Like 679 00:33:52,160 --> 00:33:55,520 Speaker 1: it's it's not a word that it's like anymore, and 680 00:33:55,560 --> 00:33:57,680 Speaker 1: it's not taboo. No, we talk about it and I 681 00:33:57,680 --> 00:34:00,800 Speaker 1: blame everything on it. Yeah, And every time you know, 682 00:34:00,880 --> 00:34:03,520 Speaker 1: my body hurts, I don't. I'm not afraid to stand 683 00:34:03,600 --> 00:34:06,320 Speaker 1: up and say, oh, my body's aching today. And I 684 00:34:06,360 --> 00:34:10,279 Speaker 1: feel like I have justification for those and it's not 685 00:34:10,400 --> 00:34:13,279 Speaker 1: in my head right now, and I'm not just being complaining. 686 00:34:13,640 --> 00:34:16,399 Speaker 2: Well, what I love about the New menopause is so 687 00:34:16,440 --> 00:34:21,160 Speaker 2: many women have reached out and said, you've validated what 688 00:34:21,239 --> 00:34:23,839 Speaker 2: I'm going through and how much quartersol did we lower 689 00:34:24,040 --> 00:34:26,880 Speaker 2: just by doing that, just by explaining what's happening, taking 690 00:34:26,920 --> 00:34:29,200 Speaker 2: the mystery and the shame and the you know, the 691 00:34:29,239 --> 00:34:32,920 Speaker 2: confusion out of it, being like, oh this makes sense, Okay, 692 00:34:32,960 --> 00:34:35,399 Speaker 2: it still sucks, but you know, for a lot of women. 693 00:34:35,480 --> 00:34:37,520 Speaker 2: But like, I get it, I get what's going on. 694 00:34:37,840 --> 00:34:39,640 Speaker 2: Let's let's figure out, you know, let me go find 695 00:34:39,640 --> 00:34:41,319 Speaker 2: a partner in this and let me change my diet, 696 00:34:41,440 --> 00:34:43,560 Speaker 2: let me fix my nutrition, and you'll do whatever I 697 00:34:43,600 --> 00:34:46,359 Speaker 2: need to do. But like, just knowing that they're armed 698 00:34:46,400 --> 00:34:50,399 Speaker 2: with information, they're making great decisions for themselves, and they're 699 00:34:50,520 --> 00:34:53,000 Speaker 2: ending up. I mean, females live longer than men. We 700 00:34:53,080 --> 00:34:55,920 Speaker 2: win guys, you know, the longevity race, but we're not 701 00:34:56,000 --> 00:34:59,600 Speaker 2: having good health space. Right. Women are ending up in 702 00:34:59,640 --> 00:35:02,160 Speaker 2: twenty five percent of their life span being in poorer 703 00:35:02,200 --> 00:35:03,920 Speaker 2: health than their male twin would. 704 00:35:03,680 --> 00:35:08,080 Speaker 1: Be because our bodies are made differently, are because we work. 705 00:35:08,040 --> 00:35:11,919 Speaker 2: So much harder well, the emotional labor. You know, there's 706 00:35:11,960 --> 00:35:15,920 Speaker 2: a lot of factors keying into this. My sister is 707 00:35:16,120 --> 00:35:19,319 Speaker 2: the de facto eldest daughter in town with my mother 708 00:35:19,400 --> 00:35:22,000 Speaker 2: who's aging, and she is also a nurse, so she 709 00:35:22,280 --> 00:35:25,359 Speaker 2: is managing the bulk of my mother's care. I'm out 710 00:35:25,360 --> 00:35:28,160 Speaker 2: of town right and I'm flying around doing interviews and 711 00:35:28,360 --> 00:35:31,400 Speaker 2: my sister is there doing the work, and I'm wondering 712 00:35:31,440 --> 00:35:34,560 Speaker 2: how much of her life we're chipping away at because 713 00:35:34,560 --> 00:35:36,799 Speaker 2: of the stress the day to day. My mother is 714 00:35:36,800 --> 00:35:40,120 Speaker 2: dementia and broke a hip, and you know, managing all 715 00:35:40,120 --> 00:35:42,520 Speaker 2: these decisions, and that is the plight of most women. 716 00:35:42,560 --> 00:35:45,520 Speaker 2: And you know, the eldest daughter ends up in a 717 00:35:45,520 --> 00:35:48,040 Speaker 2: lot of families being the caretaker. So how much is that, 718 00:35:49,239 --> 00:35:51,920 Speaker 2: you know? But what I want your listeners to understand 719 00:35:52,000 --> 00:35:57,160 Speaker 2: is I'm super happy. I am literally living my best life. 720 00:35:57,640 --> 00:36:02,359 Speaker 2: You know, I'm a fully menopausal woman. I have better boundaries. 721 00:36:02,480 --> 00:36:05,200 Speaker 2: You know, I did all the things. I got therapy, 722 00:36:05,560 --> 00:36:07,600 Speaker 2: I learned how to journal, I learned how to take 723 00:36:07,640 --> 00:36:10,640 Speaker 2: time for me, choose me. I put my own oxygen 724 00:36:10,719 --> 00:36:14,680 Speaker 2: mask on first, prioritize my needs, my wants, and I 725 00:36:14,760 --> 00:36:17,160 Speaker 2: wasn't you know, I don't feel selfish about it anymore? 726 00:36:17,480 --> 00:36:20,680 Speaker 2: Did you? At first? Oh? Absolutely, I'd always put everyone before. 727 00:36:20,719 --> 00:36:22,600 Speaker 2: That was my role, that was my job. I put 728 00:36:22,880 --> 00:36:25,920 Speaker 2: my patients before, you know, my children, the niece, and 729 00:36:26,000 --> 00:36:29,480 Speaker 2: my husband his career. And then finally I was like, no, 730 00:36:30,520 --> 00:36:33,319 Speaker 2: I can't keep going like this and be menopausal with 731 00:36:33,480 --> 00:36:36,400 Speaker 2: horrible symptoms and not sleeping and you know, this crazy 732 00:36:36,400 --> 00:36:38,840 Speaker 2: weight gain. And I would you know, had I not 733 00:36:39,080 --> 00:36:42,640 Speaker 2: completely like thrown out the rule book and started from 734 00:36:42,719 --> 00:36:46,319 Speaker 2: scratch and figured it out and taught everybody. As I 735 00:36:46,360 --> 00:36:48,600 Speaker 2: was going along the way, everything I was learning, I 736 00:36:48,600 --> 00:36:50,560 Speaker 2: wouldn't be here today. Yeah, and I am in a 737 00:36:50,640 --> 00:36:53,160 Speaker 2: great spot. I am so looking forward to the next 738 00:36:53,160 --> 00:36:53,760 Speaker 2: thirty years. 739 00:36:53,840 --> 00:36:57,560 Speaker 1: I love that message because, yeah, I feel healthier than 740 00:36:57,600 --> 00:37:00,680 Speaker 1: I've ever felt. Okay, I have so many questions. At 741 00:37:00,680 --> 00:37:03,440 Speaker 1: my recent I Choose Me Live summit, I was talking 742 00:37:03,480 --> 00:37:08,000 Speaker 1: to Sasha Petersa who suffers from PCOS. What is the 743 00:37:08,040 --> 00:37:09,480 Speaker 1: deal with menopause and PCOS? 744 00:37:09,520 --> 00:37:12,040 Speaker 2: Oh, that is such a tough one because, you know, 745 00:37:12,160 --> 00:37:15,319 Speaker 2: forever in medicine we have used menstrual cycles to kind 746 00:37:15,320 --> 00:37:17,759 Speaker 2: of gauge where you are in menopause, because for most 747 00:37:17,760 --> 00:37:20,839 Speaker 2: women the cycles become somewhat irregular, and it's any kind 748 00:37:20,880 --> 00:37:23,480 Speaker 2: of a regular two mitsu two, you know, but towards 749 00:37:23,560 --> 00:37:27,040 Speaker 2: the end you start skipping periods. Women with PCOS don't 750 00:37:27,040 --> 00:37:30,840 Speaker 2: have who untreated don't have regular periods in general, and 751 00:37:31,040 --> 00:37:33,279 Speaker 2: so they have no man today. Know, and so a 752 00:37:33,320 --> 00:37:38,400 Speaker 2: lot of late perimenopause looks almost exactly on a biochemical 753 00:37:38,440 --> 00:37:42,319 Speaker 2: basis without the you know, like PCOS, our insular resistance increases, 754 00:37:42,920 --> 00:37:45,319 Speaker 2: you know, you start developing visceral and body fat. You 755 00:37:45,360 --> 00:37:48,399 Speaker 2: almost become like a mini PCOS patient on your way 756 00:37:48,440 --> 00:37:50,960 Speaker 2: into full menopause. So it can be really and I 757 00:37:51,040 --> 00:37:53,120 Speaker 2: have a blog about it, and I have a little 758 00:37:53,200 --> 00:37:56,680 Speaker 2: checklists like PCOS and then menopause and like where things 759 00:37:56,760 --> 00:37:58,600 Speaker 2: line up and then where you can tell the difference. 760 00:37:59,040 --> 00:38:01,400 Speaker 1: Oh God, you have post recently and it had some 761 00:38:01,560 --> 00:38:06,000 Speaker 1: crazy ass chart about your hormone fluctuation. 762 00:38:06,400 --> 00:38:07,600 Speaker 2: The zone of chaos. 763 00:38:07,640 --> 00:38:10,239 Speaker 1: I was blown away at that. I'm going to put 764 00:38:10,280 --> 00:38:12,560 Speaker 1: that up for our listeners to see the visual of 765 00:38:12,640 --> 00:38:16,239 Speaker 1: the graph that was just all over the spaghetti and 766 00:38:16,239 --> 00:38:17,440 Speaker 1: then it flatlined. 767 00:38:17,000 --> 00:38:19,960 Speaker 2: And then it flat lines. So in premenopause, most women 768 00:38:20,000 --> 00:38:22,919 Speaker 2: have seen the monthly hormone curved looks like an EKG. Right, 769 00:38:23,000 --> 00:38:25,560 Speaker 2: you have a astra starts out low and then it 770 00:38:25,719 --> 00:38:28,640 Speaker 2: surges in ovulation. Then it kind of like tapers off, 771 00:38:28,680 --> 00:38:31,080 Speaker 2: and then progesterone after ovulation goes up, and that's when 772 00:38:31,080 --> 00:38:33,640 Speaker 2: our temperature goes up. Like anybody's been through a fertility 773 00:38:33,680 --> 00:38:36,120 Speaker 2: treatment or natural family planning, you know, we all kind 774 00:38:36,120 --> 00:38:38,720 Speaker 2: of get that, and all all clinicians know this by heart, 775 00:38:39,360 --> 00:38:42,359 Speaker 2: so that that is a monthly EKG for a healthy woman. 776 00:38:42,440 --> 00:38:44,520 Speaker 2: You know, day twelve, she's doing this, Day eighteen, she's 777 00:38:44,560 --> 00:38:46,319 Speaker 2: doing that, And it repeats over and over and over 778 00:38:46,360 --> 00:38:49,880 Speaker 2: again beautifully, unless she's pregnant or going through something really stressful, 779 00:38:49,960 --> 00:38:54,680 Speaker 2: or you know, we're suppressing with birth control pills. In perimenopause, now, 780 00:38:54,760 --> 00:38:58,520 Speaker 2: the reason why we ovulate is not the ovaries, it's 781 00:38:58,560 --> 00:39:03,920 Speaker 2: the brain. It starts in the brain, the hypothalmus gland 782 00:39:03,920 --> 00:39:08,080 Speaker 2: in our brain, it's constantly sensing for estrogen, looking for it. 783 00:39:08,239 --> 00:39:11,000 Speaker 2: When it gets low, it sends a kickstart signal to 784 00:39:11,000 --> 00:39:14,279 Speaker 2: the pituitary gland, saying, dude, tell the ovary to get 785 00:39:14,280 --> 00:39:16,200 Speaker 2: to work. We need an egg, we need some messrogen. 786 00:39:16,200 --> 00:39:17,840 Speaker 2: We've got to get this level back up. And over's 787 00:39:17,880 --> 00:39:20,680 Speaker 2: like got it, boss, and pumps out something called LH 788 00:39:20,719 --> 00:39:24,200 Speaker 2: and FSH to the ovary. That jump starts ovulation, and 789 00:39:24,239 --> 00:39:26,160 Speaker 2: then the whole thing starts over again, and that is 790 00:39:26,320 --> 00:39:30,480 Speaker 2: just predictable month after month. In perimenopause, we reach a 791 00:39:30,520 --> 00:39:34,520 Speaker 2: critical egg thresh hold level. We're born with all of 792 00:39:34,520 --> 00:39:36,960 Speaker 2: our eggs. Menopause is the end of your eggs no more. 793 00:39:37,320 --> 00:39:40,200 Speaker 2: We exhaust the supply. So for everyone and it's a 794 00:39:40,200 --> 00:39:43,400 Speaker 2: different threshold, but whenever your preset threshold is that you 795 00:39:43,560 --> 00:39:46,080 Speaker 2: have two million eggs left, whatever it is, a million, 796 00:39:46,120 --> 00:39:49,560 Speaker 2: ten thousand, The signal coming from the brain stops working. 797 00:39:49,600 --> 00:39:53,120 Speaker 2: There are not enough follicles to recruit. So the brain 798 00:39:53,239 --> 00:39:58,040 Speaker 2: is like, where's my estrogen? And the petuitiary is like, 799 00:39:58,120 --> 00:40:02,040 Speaker 2: I sent the signal and we wouldn't respond as being 800 00:40:02,080 --> 00:40:03,719 Speaker 2: you know, the door is shut. We're not here in 801 00:40:03,719 --> 00:40:06,279 Speaker 2: the knock at the door. And the brain is like, 802 00:40:06,560 --> 00:40:10,080 Speaker 2: f this, and so it starts pounding the ovary with 803 00:40:10,200 --> 00:40:12,680 Speaker 2: higher and higher levels of FSH, which is why FSH 804 00:40:12,760 --> 00:40:17,600 Speaker 2: levels rise in perimenopause to force the ovulation, and that 805 00:40:18,440 --> 00:40:21,040 Speaker 2: creates a hormonal zone of chaos. We end up in 806 00:40:21,040 --> 00:40:24,680 Speaker 2: these wild fluctuations of estradle much higher than you ever 807 00:40:24,680 --> 00:40:27,799 Speaker 2: had in your premenopausal years, and they crash and you're 808 00:40:27,920 --> 00:40:30,719 Speaker 2: and they're very unpredictable when the surges happen, and then 809 00:40:30,840 --> 00:40:33,720 Speaker 2: progesterone never kind of gets as high as it used. 810 00:40:33,600 --> 00:40:36,880 Speaker 1: To in your premenopausal years, and then what happens when 811 00:40:36,920 --> 00:40:37,759 Speaker 1: it's flat. 812 00:40:37,520 --> 00:40:39,760 Speaker 2: And then when you run out of eggs, no estrogen, 813 00:40:40,120 --> 00:40:43,400 Speaker 2: no estradyle, no progesterone, and f sagenlite to stay elevated. 814 00:40:44,440 --> 00:40:45,040 Speaker 2: And it's just. 815 00:40:47,120 --> 00:40:50,560 Speaker 1: That doesn't sound good. The flat lining does not sound like. 816 00:40:50,680 --> 00:40:55,480 Speaker 2: What I want. Fortunately, with we can replace what's missing 817 00:40:55,880 --> 00:41:00,000 Speaker 2: in a very bioidentical way with inexpensive FDA approved ups 818 00:41:00,280 --> 00:41:04,439 Speaker 2: for most women, and they work great, and women feel 819 00:41:04,440 --> 00:41:06,440 Speaker 2: a lot better, and their bones are stronger, and their 820 00:41:06,480 --> 00:41:09,640 Speaker 2: general urine every system is healthier, and their skin is 821 00:41:09,680 --> 00:41:13,120 Speaker 2: more resilient, and their brains are more resilient. The best 822 00:41:13,160 --> 00:41:17,719 Speaker 2: treatment in perimenopause for new onset depression or anxiety is 823 00:41:17,760 --> 00:41:21,200 Speaker 2: not an SSRI. It is hormone. 824 00:41:21,320 --> 00:41:26,000 Speaker 1: That's what they give you. Though. Yeah, we're getting there, okay, 825 00:41:26,000 --> 00:41:28,200 Speaker 1: So I'm on all the hormones like you because you 826 00:41:28,280 --> 00:41:29,520 Speaker 1: told me you were on the trifecta. 827 00:41:29,600 --> 00:41:31,759 Speaker 2: So yeah, I gotta give me some of that trifecta. 828 00:41:32,320 --> 00:41:33,080 Speaker 1: Feel amazing? 829 00:41:33,120 --> 00:41:34,520 Speaker 2: How do you feel amazing? Right? 830 00:41:34,800 --> 00:41:37,160 Speaker 1: What happens if I forget the patch? Because you have 831 00:41:37,200 --> 00:41:38,480 Speaker 1: to do it every twice a week. 832 00:41:38,560 --> 00:41:41,000 Speaker 2: Twice a week, So that happens to me. Actually, we 833 00:41:41,000 --> 00:41:43,200 Speaker 2: were looking at my team over there. I was like, 834 00:41:43,239 --> 00:41:44,640 Speaker 2: what day is it? What day is it? Yeah, I'm 835 00:41:44,640 --> 00:41:46,040 Speaker 2: great when I'm at home because I have all my 836 00:41:46,080 --> 00:41:48,560 Speaker 2: little triggers. But I was like, oh, it's Wednesday. You 837 00:41:48,680 --> 00:41:51,480 Speaker 2: lose track, you lose track. You know, the patches give 838 00:41:51,480 --> 00:41:53,000 Speaker 2: you a little bit of grace. You know, they should 839 00:41:53,040 --> 00:41:55,239 Speaker 2: be changed every three to four days. If you go five, 840 00:41:55,320 --> 00:41:57,840 Speaker 2: nothing bad, it's going to happen. And one time I 841 00:41:57,920 --> 00:41:59,880 Speaker 2: really forgot and it took a whole week before I 842 00:41:59,880 --> 00:42:01,239 Speaker 2: started having hot flashes again. 843 00:42:01,360 --> 00:42:02,879 Speaker 1: Oh they came back right away. 844 00:42:02,960 --> 00:42:07,319 Speaker 2: Yeah, progesterone. I do not forget, because this girl likes 845 00:42:07,320 --> 00:42:10,920 Speaker 2: to sleep and without the progesterone. 846 00:42:10,040 --> 00:42:12,400 Speaker 1: I think that was the initial reason when I started 847 00:42:12,640 --> 00:42:15,000 Speaker 1: HRT was that I was losing sleep. And for me, 848 00:42:15,120 --> 00:42:18,320 Speaker 1: that was a deal breaker. I can't function without sleeping. 849 00:42:18,840 --> 00:42:21,640 Speaker 1: Everything in me hurts, my brain doesn't work. I'm not 850 00:42:21,760 --> 00:42:22,720 Speaker 1: pleasant to be around. 851 00:42:22,800 --> 00:42:26,160 Speaker 2: Yeah. Yeah, that's the first thing. Like I lown in 852 00:42:26,200 --> 00:42:28,080 Speaker 2: on with my patients is like, we've got to get 853 00:42:28,120 --> 00:42:29,960 Speaker 2: you sleeping. And it's not going to be a sedative. 854 00:42:30,400 --> 00:42:32,680 Speaker 2: You know, long term sedative use, long term benadrual use, 855 00:42:32,719 --> 00:42:37,200 Speaker 2: long term melotonin use is fraught with cognitive disorders down 856 00:42:37,239 --> 00:42:39,520 Speaker 2: the line. Short term you're sure you go to a 857 00:42:39,520 --> 00:42:42,799 Speaker 2: different time zone, somebody you know you have an acute response, Yeah, 858 00:42:42,840 --> 00:42:45,680 Speaker 2: of course, no problem. But like using that dependently to 859 00:42:45,719 --> 00:42:49,160 Speaker 2: go to sleep every night is not healthy. What about trasodone. 860 00:42:49,600 --> 00:42:53,200 Speaker 2: Trasodone has an addictive potential. And so what the studies 861 00:42:53,200 --> 00:42:56,600 Speaker 2: are showing is that long term use of sleep aids 862 00:42:57,200 --> 00:43:00,360 Speaker 2: are not good for cognition long term, some of us 863 00:43:00,400 --> 00:43:02,640 Speaker 2: in the menopause, the world think is it's not the 864 00:43:02,760 --> 00:43:07,520 Speaker 2: maybe the medication as much as not sleeping. Right that 865 00:43:07,560 --> 00:43:10,360 Speaker 2: women who don't sleep, well, that's when you recharge your brain. 866 00:43:10,719 --> 00:43:12,840 Speaker 2: And if you're having disrupted, not deep and you're not 867 00:43:12,840 --> 00:43:14,839 Speaker 2: getting all the phases of sleep. Now that I wear 868 00:43:14,880 --> 00:43:17,719 Speaker 2: an ORR ring, it's charging. I wear a ring to 869 00:43:17,800 --> 00:43:19,719 Speaker 2: track my sleep because I have to protect my sleep 870 00:43:19,760 --> 00:43:22,960 Speaker 2: with my life because my mother has Alzheimer's and I 871 00:43:23,000 --> 00:43:26,080 Speaker 2: am doing all the things working on alcohol. But you know, 872 00:43:26,239 --> 00:43:28,360 Speaker 2: all the things that I can to try to decrease 873 00:43:28,400 --> 00:43:30,919 Speaker 2: that risk for myself so I don't burden my children. 874 00:43:31,280 --> 00:43:34,440 Speaker 1: So what are the greatest risks for Alzheimer's? Do you 875 00:43:34,480 --> 00:43:35,080 Speaker 1: think alcohol? 876 00:43:35,280 --> 00:43:38,319 Speaker 2: You mentioned, Yeah, Lisa Mosconi wrote a beautiful book about it. 877 00:43:38,320 --> 00:43:40,480 Speaker 2: There's like fourteen and we just had a live But 878 00:43:40,960 --> 00:43:45,560 Speaker 2: you know, smoking, insulin resistance, diabetes, sedentary lifestyle, you know 879 00:43:45,640 --> 00:43:48,799 Speaker 2: all the things that lead to heart disease and diabetes 880 00:43:48,840 --> 00:43:51,719 Speaker 2: and stroke, are all kind of in that list poor 881 00:43:51,760 --> 00:43:56,480 Speaker 2: dietary choices, things that will decrease your risk social connection. 882 00:43:57,520 --> 00:43:59,600 Speaker 2: You know, Mama, when my dad died, I mean, bless 883 00:43:59,600 --> 00:44:02,880 Speaker 2: her hearts, lost three kids and her husband, you know, 884 00:44:03,320 --> 00:44:05,440 Speaker 2: and I think i'd let myself up in my house too. 885 00:44:05,520 --> 00:44:08,400 Speaker 2: She just kind of shut the world out and started 886 00:44:08,440 --> 00:44:10,520 Speaker 2: drinking a lot more. I think she was self medicating. 887 00:44:10,560 --> 00:44:15,160 Speaker 2: And so I'm certain this it hastened her journey to Alzheimer's. 888 00:44:15,200 --> 00:44:16,680 Speaker 2: And I can't blame her for that. And I'm just 889 00:44:16,680 --> 00:44:19,000 Speaker 2: trying to have compassion for her to birthday today, say 890 00:44:19,160 --> 00:44:21,239 Speaker 2: a birthday. She had a good day yesterday, so I 891 00:44:21,280 --> 00:44:23,759 Speaker 2: was able to have a reasonable conversation with her. I'm sure, 892 00:44:23,800 --> 00:44:28,960 Speaker 2: happy birthday. And but you know, just frankly, I'm like, Okay, 893 00:44:29,160 --> 00:44:32,440 Speaker 2: you know, what habits did mom have that I should 894 00:44:32,480 --> 00:44:35,920 Speaker 2: really work it avoiding and let's get some therapy and 895 00:44:36,000 --> 00:44:37,880 Speaker 2: let's get these things on the front end so that 896 00:44:38,040 --> 00:44:41,360 Speaker 2: when the terrible things happened, I don't isolate and shut 897 00:44:41,360 --> 00:44:44,520 Speaker 2: everyone out of the world, you know, and just go 898 00:44:44,640 --> 00:44:45,840 Speaker 2: into a kind of a dark place. 899 00:44:46,000 --> 00:44:50,800 Speaker 1: It's so easy to do, you brain fogs. Happened. 900 00:44:52,520 --> 00:44:54,920 Speaker 2: It happened. My name is menopause nice to me? 901 00:44:56,560 --> 00:44:59,880 Speaker 1: It's the best I did QBC Live on airs. Middle 902 00:45:00,160 --> 00:45:03,200 Speaker 1: my sentence, I'll be like, oh, yeah, no, idea what 903 00:45:03,200 --> 00:45:03,840 Speaker 1: I'm talking about. 904 00:45:05,280 --> 00:45:08,279 Speaker 2: So I just kind of yeah, they're fine. I love you. 905 00:45:08,400 --> 00:45:16,480 Speaker 1: They don't know, they don't know. You talk so much 906 00:45:16,480 --> 00:45:19,120 Speaker 1: about menopause. You educate so many women. You devote your 907 00:45:19,160 --> 00:45:23,120 Speaker 1: life to delivering the messages that change people's lives. And 908 00:45:23,560 --> 00:45:26,480 Speaker 1: so often we're getting these messages from left and right, 909 00:45:26,560 --> 00:45:28,239 Speaker 1: and it's all of our social media and there's so 910 00:45:28,239 --> 00:45:32,560 Speaker 1: many things, and it's very overwhelming. What would you say 911 00:45:32,600 --> 00:45:36,320 Speaker 1: to the person me who is overwhelmed by all the information? 912 00:45:37,600 --> 00:45:40,960 Speaker 2: You know, find a source you trust. It's like walking 913 00:45:41,000 --> 00:45:43,480 Speaker 2: into Barnes and Noble back in the day when we 914 00:45:43,520 --> 00:45:46,560 Speaker 2: did that, right, And you see all the magazines, right, 915 00:45:46,640 --> 00:45:49,200 Speaker 2: and they're shiny, and which one do I want? And 916 00:45:49,239 --> 00:45:51,359 Speaker 2: they all have these beautiful things on the cover. They 917 00:45:51,400 --> 00:45:54,239 Speaker 2: have these catchphrases and these lines, and you're just like, oh, 918 00:45:54,280 --> 00:45:56,560 Speaker 2: which one do I read? And believe you have to 919 00:45:56,960 --> 00:46:00,400 Speaker 2: sample and then you have to look at credentials really 920 00:46:00,520 --> 00:46:03,759 Speaker 2: is one thing, and you know, where's the information coming 921 00:46:03,800 --> 00:46:06,960 Speaker 2: from and what do they have to gain? Right? Are 922 00:46:06,960 --> 00:46:10,279 Speaker 2: they trying to dissuade you from a certain thing to 923 00:46:10,320 --> 00:46:13,160 Speaker 2: get you to buy their product. Right, that's a little 924 00:46:13,200 --> 00:46:16,880 Speaker 2: bit of a red flag. Are they, you know, truly 925 00:46:16,960 --> 00:46:20,040 Speaker 2: looking out for your best health and behavior? Are they 926 00:46:20,520 --> 00:46:22,560 Speaker 2: calling them you know, are they using a credential but not? 927 00:46:22,680 --> 00:46:25,480 Speaker 2: You know, really you should have whatever your m d 928 00:46:25,920 --> 00:46:28,319 Speaker 2: d o. You know what, if you're calling yourself a 929 00:46:28,360 --> 00:46:31,960 Speaker 2: clinician online, you really should in the in your bio 930 00:46:32,680 --> 00:46:35,840 Speaker 2: have clearly your credentials listed. And when that's kind of 931 00:46:35,840 --> 00:46:39,440 Speaker 2: sketchy when I see people who have that stuff and 932 00:46:39,760 --> 00:46:43,319 Speaker 2: just listen to the message. You're an intelligent woman. You 933 00:46:43,360 --> 00:46:45,960 Speaker 2: know what is resonating with you for me? Right? What 934 00:46:46,120 --> 00:46:49,160 Speaker 2: is resonating for you? And does that make sense to you? 935 00:46:49,200 --> 00:46:51,480 Speaker 2: And does that make you feel better? Go for it? 936 00:46:51,520 --> 00:46:52,720 Speaker 2: That's good information then. 937 00:46:52,920 --> 00:46:56,160 Speaker 1: Yeah, I mean it's very hard to jump into what 938 00:46:56,360 --> 00:46:59,600 Speaker 1: we talk about all in about changing our lives to 939 00:47:00,080 --> 00:47:01,840 Speaker 1: assure us that we're not going to go down the 940 00:47:01,880 --> 00:47:04,200 Speaker 1: same road as our parents who might not be healthy, 941 00:47:04,920 --> 00:47:07,280 Speaker 1: and it is daunting. 942 00:47:07,000 --> 00:47:09,879 Speaker 2: But like, stick to the basics first, right, you see 943 00:47:09,880 --> 00:47:12,400 Speaker 2: all the micro stuff like the sauna and I have 944 00:47:12,400 --> 00:47:15,239 Speaker 2: a red light, so full disclosure. But you know, the 945 00:47:15,239 --> 00:47:16,680 Speaker 2: red light in the sauna. But you know, if you're 946 00:47:16,719 --> 00:47:19,719 Speaker 2: not sleeping eight hour Like, there's some basic stuff, low 947 00:47:19,760 --> 00:47:23,719 Speaker 2: inflammatory nutrition, eating pro pattern, right, and I know you're 948 00:47:23,800 --> 00:47:26,000 Speaker 2: doing that, but like, look at your food, look at 949 00:47:26,000 --> 00:47:27,920 Speaker 2: the basics your food. How are you moving your body? 950 00:47:28,120 --> 00:47:30,359 Speaker 2: We need to be weightlifting, We need to be we're 951 00:47:30,360 --> 00:47:33,920 Speaker 2: doing a resistance training. Otherwise your muscles are deteriorating in 952 00:47:33,960 --> 00:47:35,920 Speaker 2: front of you. And this is an age related thing 953 00:47:35,960 --> 00:47:38,840 Speaker 2: that's accelerated with menopause. It doesn't have to happen, but 954 00:47:38,880 --> 00:47:41,640 Speaker 2: it takes work. Are you getting enough protein? And we 955 00:47:41,640 --> 00:47:44,160 Speaker 2: were joking off camera, you know, it's our full time 956 00:47:44,239 --> 00:47:47,200 Speaker 2: job to find protein sources. I wish it was in 957 00:47:47,239 --> 00:47:49,719 Speaker 2: a pill that we could tolerate. Can you invent a 958 00:47:49,760 --> 00:47:52,520 Speaker 2: protein healthy I just can't take one. It's just a 959 00:47:52,520 --> 00:47:54,799 Speaker 2: bigger you know, to get that many amato acids. It's 960 00:47:54,840 --> 00:47:55,759 Speaker 2: hard to like get this. 961 00:47:55,880 --> 00:47:58,200 Speaker 1: I'll take more than one if you just make that 962 00:47:58,239 --> 00:47:58,520 Speaker 1: for me. 963 00:47:59,200 --> 00:48:02,040 Speaker 2: I'm like, one of my teammates is doing perfect demino, 964 00:48:02,200 --> 00:48:04,319 Speaker 2: so I have to look into that. Yeah, yee. So 965 00:48:04,440 --> 00:48:07,040 Speaker 2: you know, I think now that focus is on protein 966 00:48:07,080 --> 00:48:09,080 Speaker 2: and the benefits of making sure and I'm not talking 967 00:48:09,400 --> 00:48:11,120 Speaker 2: people are like, oh, I was talking to one of 968 00:48:11,160 --> 00:48:13,080 Speaker 2: the other podcasts this week about high protein. I go, 969 00:48:13,120 --> 00:48:14,480 Speaker 2: I don't know what that is. I'm just trying to 970 00:48:14,480 --> 00:48:17,879 Speaker 2: get enough for me. Yeah, you know, it was more 971 00:48:17,920 --> 00:48:20,040 Speaker 2: than I was used to getting. So this is now 972 00:48:20,080 --> 00:48:21,920 Speaker 2: a job for me is to figure out how to 973 00:48:21,960 --> 00:48:24,040 Speaker 2: work this end of my life in a reasonable fashion. Right. 974 00:48:24,160 --> 00:48:27,040 Speaker 1: It's it's not easy, but it is doable. Yeah, if 975 00:48:27,040 --> 00:48:29,359 Speaker 1: we start focusing on the right things, and we start 976 00:48:29,400 --> 00:48:33,160 Speaker 1: focusing on choosing ourselves and taking better care of ourselves, 977 00:48:33,760 --> 00:48:36,960 Speaker 1: because at the end of the day, everyone's going to 978 00:48:36,960 --> 00:48:39,400 Speaker 1: be off doing their own thing and we're going to 979 00:48:39,480 --> 00:48:40,120 Speaker 1: be sitting there. 980 00:48:40,200 --> 00:48:41,960 Speaker 2: I want my kids to feel like they have to 981 00:48:42,000 --> 00:48:44,560 Speaker 2: stop their lives and take to come in. Yeah ten 982 00:48:45,080 --> 00:48:47,800 Speaker 2: to me, No, you know, I want them to flourish 983 00:48:47,880 --> 00:48:50,400 Speaker 2: and fly. And the last couple of weeks, gather around 984 00:48:50,440 --> 00:48:52,680 Speaker 2: and you know, like my dad, my dad had a 985 00:48:52,680 --> 00:48:55,320 Speaker 2: beautiful death. We all kind of realized that about a 986 00:48:55,360 --> 00:48:58,040 Speaker 2: month out. You know, we started making plans to come in. 987 00:48:58,160 --> 00:49:00,680 Speaker 2: We were all there the last couple of weeks and 988 00:49:00,840 --> 00:49:04,279 Speaker 2: sang songs and told stories and he slipped into unconsciousness 989 00:49:04,320 --> 00:49:07,200 Speaker 2: the last couple of days and we were all there 990 00:49:07,280 --> 00:49:08,360 Speaker 2: and it was it was beautiful. 991 00:49:08,400 --> 00:49:09,480 Speaker 1: That's all you can ask, you know. 992 00:49:09,600 --> 00:49:11,960 Speaker 2: And I'm like, the women in my family are in 993 00:49:12,080 --> 00:49:16,799 Speaker 2: nursing homes for years with like falling and you know, 994 00:49:17,320 --> 00:49:20,000 Speaker 2: with anxiety and all these things, and I'm like, God, 995 00:49:20,120 --> 00:49:22,760 Speaker 2: this is not a beautiful death. And so many women 996 00:49:22,800 --> 00:49:25,080 Speaker 2: in our lives are being denied that, you know, from 997 00:49:25,680 --> 00:49:27,400 Speaker 2: not being set up for success to age. 998 00:49:27,400 --> 00:49:29,920 Speaker 1: Well, this is all about setting us up for success, 999 00:49:29,960 --> 00:49:33,120 Speaker 1: about longevity. I love that, you know, I know your 1000 00:49:33,160 --> 00:49:36,680 Speaker 1: life changed so much recently, Like we started initially talking 1001 00:49:36,719 --> 00:49:40,520 Speaker 1: about how's that affected you on a personal note and 1002 00:49:41,120 --> 00:49:46,480 Speaker 1: affected your family. Because fame comes fast and hard sometimes 1003 00:49:46,480 --> 00:49:47,120 Speaker 1: I talked. 1004 00:49:46,840 --> 00:49:50,440 Speaker 2: A little bit about it, and you've dealt with it 1005 00:49:50,520 --> 00:49:53,720 Speaker 2: for a very long time. But you know, not everyone 1006 00:49:53,800 --> 00:49:56,120 Speaker 2: is happy with what I say and do, and I 1007 00:49:56,200 --> 00:49:59,600 Speaker 2: definitely have, you know, for me, having been the straight 1008 00:49:59,600 --> 00:50:03,600 Speaker 2: A student, top of my class, the top producer at 1009 00:50:03,600 --> 00:50:06,120 Speaker 2: my hospital. You know, I was always used to being 1010 00:50:06,360 --> 00:50:11,160 Speaker 2: the it girl, the star, the you know everyone. 1011 00:50:10,880 --> 00:50:12,719 Speaker 1: Because you have that drive you have that you want 1012 00:50:12,760 --> 00:50:13,280 Speaker 1: to achieved. 1013 00:50:13,400 --> 00:50:16,000 Speaker 2: I wanted to. I was a number one people pleaser 1014 00:50:16,600 --> 00:50:18,960 Speaker 2: and one of the hardest things for me. But making 1015 00:50:19,000 --> 00:50:22,480 Speaker 2: this shift and choosing social media as a platform to 1016 00:50:22,719 --> 00:50:26,279 Speaker 2: educate and realizing that I'm a good science communicator. You 1017 00:50:26,360 --> 00:50:29,520 Speaker 2: are the criticism and the people and the people who 1018 00:50:29,560 --> 00:50:32,479 Speaker 2: doubt what my motivations are and where I'm coming from. 1019 00:50:32,480 --> 00:50:35,640 Speaker 2: And that is a path I've never dreamed about navigating. 1020 00:50:36,320 --> 00:50:39,279 Speaker 2: And it is a every day having to take a 1021 00:50:39,320 --> 00:50:42,279 Speaker 2: deep breath and go back to my therapist who says, 1022 00:50:42,280 --> 00:50:45,000 Speaker 2: what do you know is true? What do you know 1023 00:50:45,120 --> 00:50:50,440 Speaker 2: is true about you? And I'm like, I want to 1024 00:50:50,600 --> 00:50:53,480 Speaker 2: change the world. I don't want I want for our 1025 00:50:53,560 --> 00:50:57,319 Speaker 2: daughters to be able to navigate menopause without a care 1026 00:50:57,360 --> 00:51:00,080 Speaker 2: in the world that it is not a major trend 1027 00:51:00,880 --> 00:51:05,440 Speaker 2: into where she feels lost and she's hurting and she's 1028 00:51:05,520 --> 00:51:07,399 Speaker 2: you know, it's the number one time for a woman 1029 00:51:07,400 --> 00:51:09,640 Speaker 2: to commit suicide forty percent of cares by some mental 1030 00:51:09,640 --> 00:51:12,960 Speaker 2: health disorder. Divorce rate skyrocket for I feel good reasons. 1031 00:51:13,040 --> 00:51:15,200 Speaker 1: We feel so like just laws. 1032 00:51:17,520 --> 00:51:19,520 Speaker 2: You know, like that book, there's a reason why it 1033 00:51:19,560 --> 00:51:23,160 Speaker 2: resonates with so many people, And I'm like, if I can, 1034 00:51:23,280 --> 00:51:27,319 Speaker 2: just in the littlest way change that narrative, then the 1035 00:51:27,360 --> 00:51:30,680 Speaker 2: haters are worth it, because I know what's true, and 1036 00:51:30,719 --> 00:51:32,799 Speaker 2: I know me so it's it's good and bad. It's 1037 00:51:32,800 --> 00:51:35,360 Speaker 2: been a lot of life lessons to be learned. But 1038 00:51:35,520 --> 00:51:37,000 Speaker 2: I'm here and I'm not stopping. 1039 00:51:37,520 --> 00:51:39,640 Speaker 1: I know we talked earlier, I think a few months 1040 00:51:39,680 --> 00:51:42,319 Speaker 1: ago when you were kind of struggling with a hit 1041 00:51:42,400 --> 00:51:43,080 Speaker 1: of wall. Yeah. 1042 00:51:43,120 --> 00:51:47,000 Speaker 2: I took a break, It's okay, deep breath, gathered my 1043 00:51:47,120 --> 00:51:50,160 Speaker 2: family around me, and said, what do I want? What 1044 00:51:50,200 --> 00:51:51,520 Speaker 2: do I want to do? When were they? 1045 00:51:51,520 --> 00:51:53,400 Speaker 1: Did they boost you up to the totally? 1046 00:51:53,560 --> 00:51:57,960 Speaker 2: I have the world's greatest friends and team and family 1047 00:51:58,000 --> 00:52:00,120 Speaker 2: and my kids. My kids are probably my daughter to 1048 00:52:00,160 --> 00:52:03,000 Speaker 2: med school. So she's like trying to act like it's 1049 00:52:03,040 --> 00:52:05,680 Speaker 2: not a big deal kind of you know, and she's 1050 00:52:05,680 --> 00:52:07,920 Speaker 2: going through her own journey. She's assured me she's not 1051 00:52:07,960 --> 00:52:11,200 Speaker 2: going into oubiju an you know, she's thinking maybe psychiatry 1052 00:52:11,280 --> 00:52:12,959 Speaker 2: or in Tonal Madison. We'll see, you know. She hasn't 1053 00:52:13,000 --> 00:52:15,839 Speaker 2: even done her real rotations yet. My youngest is doing 1054 00:52:15,880 --> 00:52:18,680 Speaker 2: PR and marketing and mass calm. So I've taken her 1055 00:52:18,719 --> 00:52:22,799 Speaker 2: to events, I've brought her to New York. She's done internships. 1056 00:52:22,880 --> 00:52:24,960 Speaker 1: And is that the one I met at Hello Sunshine? 1057 00:52:25,000 --> 00:52:27,839 Speaker 2: Yeah? Yeah, so that was Maddie, And so you know, 1058 00:52:27,920 --> 00:52:31,400 Speaker 2: they're they're proud, they're a little like, whoa, what just happened? 1059 00:52:31,520 --> 00:52:33,799 Speaker 1: Yeah, but why are these people coming up to my Yeah? 1060 00:52:33,840 --> 00:52:36,400 Speaker 2: Like, you know, one time we were out celebrating my 1061 00:52:36,480 --> 00:52:38,960 Speaker 2: niece's birthday in New Orleans, and you know, I get 1062 00:52:39,040 --> 00:52:41,880 Speaker 2: recognized now and we're just like in the corner and 1063 00:52:41,880 --> 00:52:44,160 Speaker 2: like we're dancing the girls. It was my sister and 1064 00:52:44,160 --> 00:52:46,440 Speaker 2: my two daughters and her daughter and like the boyfriends 1065 00:52:46,480 --> 00:52:49,600 Speaker 2: and stuff, and this woman comes up so sweet and 1066 00:52:49,719 --> 00:52:53,880 Speaker 2: was like, oh my god. And my younger daughter like 1067 00:52:54,080 --> 00:52:56,200 Speaker 2: kind of rolled her eyes a little and was like, oh, 1068 00:52:56,239 --> 00:52:59,359 Speaker 2: here we go, you know, and the woman, thank god 1069 00:52:59,400 --> 00:53:01,000 Speaker 2: didn't see. And I was gracious and we took a 1070 00:53:01,040 --> 00:53:03,040 Speaker 2: picture and she went about her way. And the next 1071 00:53:03,040 --> 00:53:04,759 Speaker 2: morning I got up and I looked at my daughter 1072 00:53:04,760 --> 00:53:07,120 Speaker 2: and I said, I get it. You did not ask 1073 00:53:07,160 --> 00:53:09,560 Speaker 2: for this, and I'm so sorry, I said, but this 1074 00:53:09,600 --> 00:53:12,279 Speaker 2: is our life right now, and I don't think it's 1075 00:53:12,320 --> 00:53:14,560 Speaker 2: going to be stopping anytime soon. Can you handle it? 1076 00:53:14,600 --> 00:53:16,600 Speaker 2: She says, yeah, Mom? And I was like, we need 1077 00:53:16,600 --> 00:53:18,680 Speaker 2: to learn to be gracious. That woman was brave enough 1078 00:53:18,719 --> 00:53:21,239 Speaker 2: to come up to me, and she didn't want to 1079 00:53:21,239 --> 00:53:23,640 Speaker 2: interrupt our party, but she felt it was important enough 1080 00:53:23,640 --> 00:53:25,719 Speaker 2: for her to share whatever she wanted to share with me, 1081 00:53:25,760 --> 00:53:28,920 Speaker 2: and I did want to disrupt the party, but you know, this, 1082 00:53:28,920 --> 00:53:31,520 Speaker 2: this is our life, and you know, just us having 1083 00:53:31,520 --> 00:53:34,480 Speaker 2: that communication, she was like, Okay, I don't know how 1084 00:53:34,480 --> 00:53:36,319 Speaker 2: you manage it with your kids for so many years, 1085 00:53:36,320 --> 00:53:39,200 Speaker 2: but you know, this is new and it's like been 1086 00:53:39,239 --> 00:53:41,160 Speaker 2: in the last couple of years since COVID really and 1087 00:53:41,200 --> 00:53:44,919 Speaker 2: we could travel since COVID. So but people are so 1088 00:53:44,960 --> 00:53:46,239 Speaker 2: gracious and kind. 1089 00:53:46,520 --> 00:53:49,560 Speaker 1: Every airpoor bathroom, they just want to they come up 1090 00:53:49,640 --> 00:53:52,640 Speaker 1: and share and share connect. Yeah, and that can be scary, 1091 00:53:53,000 --> 00:53:55,360 Speaker 1: but once you embrace it and you see the effect 1092 00:53:55,360 --> 00:53:57,040 Speaker 1: that you're having on so many people, and then you 1093 00:53:57,040 --> 00:54:00,520 Speaker 1: in return feel how that pushes you forward, it propels 1094 00:54:00,560 --> 00:54:01,480 Speaker 1: you to continue doing it. 1095 00:54:01,600 --> 00:54:04,080 Speaker 2: There's so much love there, there's so much much food 1096 00:54:04,520 --> 00:54:07,520 Speaker 2: that I just I'm embracing it. So but you know, 1097 00:54:07,560 --> 00:54:08,920 Speaker 2: I had to talk to my daughter and be like, 1098 00:54:08,920 --> 00:54:13,280 Speaker 2: don't worrialize in public. I know it's okay. 1099 00:54:13,320 --> 00:54:16,200 Speaker 1: I always try to like kind of remove the photograph 1100 00:54:16,280 --> 00:54:19,480 Speaker 1: taking from my kids so they're not like just standing 1101 00:54:19,480 --> 00:54:23,560 Speaker 1: there like, yeah, mom, exactly. How about like on a 1102 00:54:23,560 --> 00:54:26,400 Speaker 1: personal level, in your marriage, I know you said before 1103 00:54:26,440 --> 00:54:29,440 Speaker 1: you spend a lot of time supporting your husband. 1104 00:54:29,680 --> 00:54:33,279 Speaker 2: Has been the coolest thing. I married a rock star 1105 00:54:33,360 --> 00:54:35,680 Speaker 2: and I didn't realize it. Like I mean, he's a 1106 00:54:35,680 --> 00:54:39,040 Speaker 2: great like world's greatest father, provider, all the things, check 1107 00:54:39,080 --> 00:54:43,279 Speaker 2: the boxes, you know. But as this has grown, he 1108 00:54:43,440 --> 00:54:45,759 Speaker 2: retired from his oil and gas, Like he reached the 1109 00:54:45,840 --> 00:54:47,560 Speaker 2: rule of ninety. If you've ever had anybody in a 1110 00:54:47,560 --> 00:54:50,080 Speaker 2: corporate world, you know they have this age and years 1111 00:54:50,080 --> 00:54:52,400 Speaker 2: of service where they get full retirement benefits. And like 1112 00:54:53,120 --> 00:54:55,680 Speaker 2: he had been kind of quietly helping out in the business, 1113 00:54:55,719 --> 00:54:58,560 Speaker 2: like we have our supplement line and it's it's done 1114 00:54:58,640 --> 00:55:01,360 Speaker 2: really well. And so I was getting frustrated with contracts 1115 00:55:01,360 --> 00:55:04,400 Speaker 2: and negotiations, and you know, he has an MBA and 1116 00:55:04,440 --> 00:55:06,640 Speaker 2: he's an engineer, and so he kind of started putting 1117 00:55:06,640 --> 00:55:08,440 Speaker 2: a toe in the water and meeting with contractors and 1118 00:55:08,680 --> 00:55:10,720 Speaker 2: doing stuff and just making my life so much easier. 1119 00:55:11,239 --> 00:55:15,439 Speaker 2: And so as his retirement age was getting closer last year, 1120 00:55:15,960 --> 00:55:18,399 Speaker 2: I said, you know, you're doing so much. Now I'm 1121 00:55:18,440 --> 00:55:20,280 Speaker 2: going to have to hire. You know, we keep growing. 1122 00:55:20,320 --> 00:55:23,000 Speaker 2: We grew three hundred percent in one year. I'm gonna 1123 00:55:23,040 --> 00:55:25,600 Speaker 2: have I here's someone and pay them your chevron salary 1124 00:55:25,960 --> 00:55:28,560 Speaker 2: to do what you're doing now, And he was like, oh, 1125 00:55:28,640 --> 00:55:29,880 Speaker 2: since you put it that way, I said, you can 1126 00:55:29,880 --> 00:55:33,799 Speaker 2: come work for free, you know. But we work from home. 1127 00:55:34,000 --> 00:55:35,640 Speaker 2: I have a clinic, but you know, I'm in clinic 1128 00:55:35,680 --> 00:55:36,960 Speaker 2: to day's a week, but the days I'll work from 1129 00:55:37,000 --> 00:55:38,960 Speaker 2: home when I'm doing like the business end or researching 1130 00:55:39,040 --> 00:55:41,320 Speaker 2: or writing the book. We're in like separate areas of 1131 00:55:41,360 --> 00:55:43,000 Speaker 2: the house. But I can hear him on calls and 1132 00:55:43,040 --> 00:55:45,759 Speaker 2: I'm like, oh, he's so hot to him to his thing, 1133 00:55:46,280 --> 00:55:50,160 Speaker 2: you know. And we are closer now than we've ever been. 1134 00:55:50,360 --> 00:55:52,280 Speaker 2: You know, a lot of couples really can't work together, 1135 00:55:52,320 --> 00:55:54,799 Speaker 2: and I thought that would be us. I'm sequestered in 1136 00:55:54,840 --> 00:55:58,960 Speaker 2: another room because we're both on calls, but we're just 1137 00:55:59,080 --> 00:56:02,200 Speaker 2: doing this together and we're building it together. Oh. 1138 00:56:02,239 --> 00:56:05,000 Speaker 1: I love that, and I've always wanted that. 1139 00:56:05,200 --> 00:56:07,960 Speaker 2: I and I. You know, this was an accident that 1140 00:56:08,040 --> 00:56:09,960 Speaker 2: the way it all happened, but it is a skill 1141 00:56:10,040 --> 00:56:14,160 Speaker 2: set I didn't realize he had. And we are absolutely 1142 00:56:14,239 --> 00:56:18,759 Speaker 2: hand in hand to bring this together. And he's so supportive. 1143 00:56:18,800 --> 00:56:20,799 Speaker 2: Like I get lost in the sauce right and all 1144 00:56:20,840 --> 00:56:22,239 Speaker 2: of a sudden, I'll look down and he's put a 1145 00:56:22,280 --> 00:56:24,040 Speaker 2: plate of food in front of me. You know when 1146 00:56:24,080 --> 00:56:26,799 Speaker 2: forever I was the cook. You know, I come from 1147 00:56:26,800 --> 00:56:29,880 Speaker 2: a restaurant family. And he's like, well, he says, I 1148 00:56:29,960 --> 00:56:32,319 Speaker 2: just want to eat, so and you're so busy you 1149 00:56:32,320 --> 00:56:34,400 Speaker 2: don't really you stop eating. Yeah, and so he's like, 1150 00:56:34,400 --> 00:56:36,920 Speaker 2: if I want to eat, I need cook. So he's 1151 00:56:37,400 --> 00:56:39,719 Speaker 2: taken over since you know he's working from home, like 1152 00:56:39,760 --> 00:56:43,160 Speaker 2: semi retired. He says, he's working for a startup. You know, 1153 00:56:43,440 --> 00:56:44,480 Speaker 2: it's our family business. 1154 00:56:44,520 --> 00:56:46,880 Speaker 1: So it's that woman business. By the way, I just 1155 00:56:47,000 --> 00:56:49,920 Speaker 1: ordered yesterday for the first time your supplements. I ordered 1156 00:56:49,920 --> 00:56:52,880 Speaker 1: the fiber that you cannot wait because I need more fiber. 1157 00:56:52,920 --> 00:56:55,080 Speaker 1: We all need more fiber in addition to our proteins. 1158 00:56:55,120 --> 00:56:57,440 Speaker 1: So once you come out with the protein pill, let 1159 00:56:57,440 --> 00:56:59,640 Speaker 1: me know. And I got what else? Did I get? 1160 00:56:59,719 --> 00:57:02,719 Speaker 2: The creating that one? Okay, we just have a few. 1161 00:57:02,960 --> 00:57:05,400 Speaker 1: Yeah, it's not overwhelming your supplement. 1162 00:57:05,600 --> 00:57:08,920 Speaker 2: These are nutritional things that women tend to not get 1163 00:57:09,000 --> 00:57:11,040 Speaker 2: in there. Pause and my patients were coming in with 1164 00:57:11,440 --> 00:57:14,600 Speaker 2: all this stuff with fillers and additives, and I was like, yeah, yeah, 1165 00:57:14,920 --> 00:57:18,040 Speaker 2: you know it is. That's another really crowded space where 1166 00:57:18,080 --> 00:57:21,240 Speaker 2: it's hard to see and I was like, can I 1167 00:57:21,280 --> 00:57:23,919 Speaker 2: look into you know, my business partner and I let's 1168 00:57:23,920 --> 00:57:26,160 Speaker 2: suck and do it, Like, like, what would it take 1169 00:57:26,200 --> 00:57:29,320 Speaker 2: for me to build a high quality, tested, you know, 1170 00:57:29,880 --> 00:57:33,520 Speaker 2: ethically sourced, right, you know, good, high quality vitamin D 1171 00:57:33,560 --> 00:57:35,640 Speaker 2: product because my patients were not getting enough vitamin D 1172 00:57:35,680 --> 00:57:37,400 Speaker 2: and I'm scared of some of the stuff they're bringing in. 1173 00:57:38,240 --> 00:57:40,440 Speaker 2: Let's try it. You know, we self funded. I have 1174 00:57:40,480 --> 00:57:42,480 Speaker 2: no VC I have no bankers, I have nothing like 1175 00:57:42,520 --> 00:57:44,720 Speaker 2: my husband. I funded this whole thing out of our 1176 00:57:44,720 --> 00:57:47,920 Speaker 2: own bank account. And you know it's just this beautiful 1177 00:57:47,920 --> 00:57:50,240 Speaker 2: like Mam and pop thing that we've done. But we 1178 00:57:50,320 --> 00:57:53,760 Speaker 2: did it our way and it's tested high quality. You know, 1179 00:57:54,040 --> 00:57:56,080 Speaker 2: you're listeners. They don't want to buy for me. It's fun. 1180 00:57:56,360 --> 00:57:58,640 Speaker 2: All of my information is free. I will never have 1181 00:57:58,720 --> 00:57:59,240 Speaker 2: it behind a pan. 1182 00:57:59,320 --> 00:58:00,440 Speaker 1: There's so much information. 1183 00:58:00,480 --> 00:58:03,439 Speaker 2: We have a website that's sock and pack full of really, 1184 00:58:03,760 --> 00:58:05,720 Speaker 2: so you can live your best life. And you know 1185 00:58:05,760 --> 00:58:07,920 Speaker 2: you choose to support me. Thank you from the bottom 1186 00:58:07,920 --> 00:58:09,040 Speaker 2: of my heart. But we're okay. 1187 00:58:09,600 --> 00:58:11,440 Speaker 1: Yeah, you know, I just want you to be your healthiest, 1188 00:58:11,440 --> 00:58:15,040 Speaker 1: happiest self, right, I mean that's I can feel like 1189 00:58:15,080 --> 00:58:16,680 Speaker 1: if I'm going to buy a supplement, I want to 1190 00:58:16,680 --> 00:58:18,760 Speaker 1: buy it from you. I don't. I'm not associated with you. 1191 00:58:18,960 --> 00:58:21,640 Speaker 2: I know whatever. I'm not. Yeah, I'm not hanging her 1192 00:58:21,640 --> 00:58:22,040 Speaker 2: to say this. 1193 00:58:22,160 --> 00:58:24,000 Speaker 1: I've even bought my own products, like you know what 1194 00:58:24,040 --> 00:58:26,600 Speaker 1: I mean. Like I think, I feel like you know 1195 00:58:26,720 --> 00:58:29,520 Speaker 1: what I need because you've been through it and you've 1196 00:58:29,560 --> 00:58:30,760 Speaker 1: just spent See. 1197 00:58:30,640 --> 00:58:32,640 Speaker 2: Where the gaps are for most women, and I'm like, 1198 00:58:33,040 --> 00:58:35,600 Speaker 2: get a little tracker. They're free. Track what you're eating, 1199 00:58:35,680 --> 00:58:37,760 Speaker 2: see where your gaps are. You know, see if you 1200 00:58:37,760 --> 00:58:39,440 Speaker 2: can get it up from food. But if you can't, 1201 00:58:39,440 --> 00:58:40,120 Speaker 2: I'm here for you. 1202 00:58:40,440 --> 00:58:42,800 Speaker 1: I'm not that good at tracking. That sounds like a 1203 00:58:42,800 --> 00:58:43,400 Speaker 1: lot of work. 1204 00:58:43,600 --> 00:58:46,120 Speaker 2: Really, you know, if they've got a good basic diet, 1205 00:58:46,200 --> 00:58:47,800 Speaker 2: they only need a track for a couple of weeks 1206 00:58:47,800 --> 00:58:49,240 Speaker 2: to just kind of see where they're at. It's like 1207 00:58:49,240 --> 00:58:50,840 Speaker 2: like getting blood work once a year. You want to 1208 00:58:50,840 --> 00:58:52,840 Speaker 2: see where you're at. You know you're probably doing okay, 1209 00:58:52,880 --> 00:58:55,080 Speaker 2: but and then you were like, oh gosh, I'm not 1210 00:58:55,120 --> 00:58:58,200 Speaker 2: getting enough magnesium. I need to work on that. Oh 1211 00:58:58,240 --> 00:59:00,400 Speaker 2: my gosh, I'm only getting tan grims of barbers, which 1212 00:59:00,440 --> 00:59:02,680 Speaker 2: is what most women are getting. We need twenty five 1213 00:59:02,720 --> 00:59:05,600 Speaker 2: to thirty five you know, this is a big gaps 1214 00:59:05,800 --> 00:59:06,240 Speaker 2: that we have. 1215 00:59:06,720 --> 00:59:08,560 Speaker 1: How do I know if I'm getting enough magnesium? Is 1216 00:59:08,840 --> 00:59:11,320 Speaker 1: that like is it my food that I'm getting there? 1217 00:59:11,400 --> 00:59:13,800 Speaker 2: Or so we get a lot of magnesium from food. 1218 00:59:14,200 --> 00:59:17,720 Speaker 2: But so like vitamin D is fat soluble, so like 1219 00:59:17,760 --> 00:59:19,360 Speaker 2: you can check a vitamin D level and it gives 1220 00:59:19,360 --> 00:59:22,120 Speaker 2: you an idea of what her stores are. Magnesium is 1221 00:59:22,160 --> 00:59:24,680 Speaker 2: tough because it's stored in like bone and you know, 1222 00:59:24,720 --> 00:59:26,760 Speaker 2: it's stored in the side of tissues, so we don't 1223 00:59:26,800 --> 00:59:29,000 Speaker 2: have like a good gauge. And it's an electrolyte, so 1224 00:59:29,040 --> 00:59:30,760 Speaker 2: you pee it out all the time. So it's hard 1225 00:59:30,760 --> 00:59:32,680 Speaker 2: to get a one time blood test and be like, oh, 1226 00:59:32,760 --> 00:59:35,439 Speaker 2: I'm low and magnesium. So I really like to use 1227 00:59:35,520 --> 00:59:38,040 Speaker 2: the nutritional intake of magnesium to see where you're at, 1228 00:59:38,080 --> 00:59:39,240 Speaker 2: to see if you need a supplement. 1229 00:59:39,480 --> 00:59:42,400 Speaker 1: Okay, yeah, so that's the tracking. I got to get 1230 00:59:42,400 --> 00:59:44,080 Speaker 1: better about that maybe. And you know what the thing 1231 00:59:44,120 --> 00:59:46,880 Speaker 1: is for me second, experimenting on my phone more so 1232 00:59:47,000 --> 00:59:48,480 Speaker 1: if it's a digital thing, I'm not gonna do it. 1233 00:59:48,480 --> 00:59:50,160 Speaker 1: But here's what I could do. I could write it 1234 00:59:50,200 --> 00:59:52,640 Speaker 1: down and have somebody else track it for me, put 1235 00:59:52,640 --> 00:59:55,520 Speaker 1: it in the little Yeah, that's gonna work for me. 1236 00:59:55,840 --> 00:59:58,320 Speaker 1: I have just had an epiphany. I'm going to track myself. 1237 00:59:58,360 --> 01:00:01,200 Speaker 1: You guys do it with me. Track, let's track. 1238 01:00:01,280 --> 01:00:04,120 Speaker 2: We have little tracking challenges with our followers. 1239 01:00:04,240 --> 01:00:07,240 Speaker 1: Yeah, you do. You have some great challenges and just 1240 01:00:07,320 --> 01:00:08,520 Speaker 1: so much great information. 1241 01:00:08,880 --> 01:00:11,439 Speaker 2: Thank you. It's a labor of love. It's so much fun. 1242 01:00:11,600 --> 01:00:13,720 Speaker 1: As a friend. I care about you, like we don't 1243 01:00:13,760 --> 01:00:16,000 Speaker 1: go back that far, but I instantly cared about you 1244 01:00:16,040 --> 01:00:17,760 Speaker 1: when I met you in the elevator at Q fifty, 1245 01:00:18,320 --> 01:00:21,240 Speaker 1: and I feel like I'm in safe hands. I turn 1246 01:00:21,320 --> 01:00:23,400 Speaker 1: to you for you know, like my body here, it's 1247 01:00:23,400 --> 01:00:24,800 Speaker 1: what can I do? And you send me a doctor 1248 01:00:25,160 --> 01:00:27,120 Speaker 1: and I trust your supplements. So I just want to 1249 01:00:27,120 --> 01:00:29,600 Speaker 1: thank you for all. I really appreciate that you do 1250 01:00:30,880 --> 01:00:34,600 Speaker 1: just for your own ambition, but for your own love 1251 01:00:34,600 --> 01:00:37,920 Speaker 1: of helping and educating women. Yeah, because we have to 1252 01:00:37,960 --> 01:00:40,160 Speaker 1: do that as women. We have to when we go 1253 01:00:40,280 --> 01:00:42,520 Speaker 1: through something, we need to pass that information down. 1254 01:00:42,680 --> 01:00:45,840 Speaker 2: And you have to be CEO of your own health care. 1255 01:00:45,400 --> 01:00:50,760 Speaker 2: If your listeners nothing else. You have to advocate for yourself. 1256 01:00:51,040 --> 01:00:53,760 Speaker 2: You have to do the hustle to keep those bones 1257 01:00:53,800 --> 01:00:55,600 Speaker 2: and muscles strong. You have to keep your brain strong. 1258 01:00:55,640 --> 01:00:57,760 Speaker 2: You know, like, these are non negotiables if you want 1259 01:00:57,760 --> 01:01:00,840 Speaker 2: to age well, and so you know what, any little 1260 01:01:00,840 --> 01:01:02,680 Speaker 2: part I can to give you the tools to do 1261 01:01:02,720 --> 01:01:05,800 Speaker 2: that better and easier. That just makes me so happy. 1262 01:01:06,360 --> 01:01:08,720 Speaker 1: I always said, people ask me over the years, like 1263 01:01:08,760 --> 01:01:10,120 Speaker 1: what do you do? 1264 01:01:09,920 --> 01:01:10,320 Speaker 2: What you know? 1265 01:01:10,360 --> 01:01:12,600 Speaker 1: What are you doing? What are you working on? And 1266 01:01:12,640 --> 01:01:15,080 Speaker 1: my answer has always been I've been so confused about 1267 01:01:15,080 --> 01:01:17,640 Speaker 1: how to answer that because I do so much, but 1268 01:01:17,920 --> 01:01:19,400 Speaker 1: and I can't really narrow it down to one thing. 1269 01:01:19,520 --> 01:01:21,840 Speaker 1: So I always ended up saying, I'm the CEO of me, 1270 01:01:22,920 --> 01:01:26,880 Speaker 1: and I think every woman should adopt that title as 1271 01:01:26,880 --> 01:01:29,680 Speaker 1: the CEO of that of herself. Yeah, I'm the CEO 1272 01:01:29,720 --> 01:01:31,840 Speaker 1: of me, I'm the c but ironically I am the 1273 01:01:31,880 --> 01:01:32,440 Speaker 1: CEO of me. 1274 01:01:32,680 --> 01:01:32,800 Speaker 2: Now. 1275 01:01:33,200 --> 01:01:37,240 Speaker 1: Yeah, brands I love, but it's just so wild that 1276 01:01:37,240 --> 01:01:39,200 Speaker 1: that can be your full time focus, you know what 1277 01:01:39,240 --> 01:01:40,160 Speaker 1: I mean? And it's okay. 1278 01:01:40,880 --> 01:01:43,000 Speaker 2: I love you know. When I watch you on QVC, 1279 01:01:43,120 --> 01:01:44,880 Speaker 2: it was just super fun for me. You know, when 1280 01:01:44,880 --> 01:01:47,200 Speaker 2: you're talking about your line and why you built it 1281 01:01:47,240 --> 01:01:50,000 Speaker 2: and how it's for every woman. I love that it's 1282 01:01:50,080 --> 01:01:52,520 Speaker 2: you know, every shape, every size, and you know I 1283 01:01:52,520 --> 01:01:54,680 Speaker 2: have a body scater of my office for my patients 1284 01:01:54,720 --> 01:01:56,960 Speaker 2: and so I'm able to tell her you have that 1285 01:01:57,480 --> 01:01:59,760 Speaker 2: you have muscle, you know, like like, look at this 1286 01:01:59,800 --> 01:02:02,160 Speaker 2: glorious amount of muscle, and the fact that you have 1287 01:02:02,280 --> 01:02:04,240 Speaker 2: is just curves and they're gorgeous and we're gonna dress 1288 01:02:04,240 --> 01:02:06,720 Speaker 2: them up and show them off. And they're just crying 1289 01:02:06,760 --> 01:02:08,919 Speaker 2: because they've been told that they were obese or something 1290 01:02:08,960 --> 01:02:09,600 Speaker 2: their whole life. 1291 01:02:09,600 --> 01:02:11,400 Speaker 1: And I'm like, yeah, once you think you're obese, you 1292 01:02:11,440 --> 01:02:13,280 Speaker 1: feel like you don't have any muscle anymore. 1293 01:02:13,400 --> 01:02:16,640 Speaker 2: No. I mean, and you know, weight and BMI are 1294 01:02:16,680 --> 01:02:19,120 Speaker 2: now kicked out right. We're not using them as measures 1295 01:02:19,160 --> 01:02:21,720 Speaker 2: of risk of chronic health anymore. We're using things like 1296 01:02:22,000 --> 01:02:25,160 Speaker 2: body scanners and abdominal circumference. I mean, like we're getting 1297 01:02:25,200 --> 01:02:31,280 Speaker 2: strides there. Yeah. In in cardiovascular health though, yeah, cardiometabolic health, 1298 01:02:31,320 --> 01:02:34,880 Speaker 2: we're not doing weight and BMIM anymore. We are working 1299 01:02:34,880 --> 01:02:37,479 Speaker 2: that out. We're using the abdominous circumference or the waste 1300 01:02:37,520 --> 01:02:40,760 Speaker 2: to ratio plus So b CD is now defined by 1301 01:02:41,040 --> 01:02:44,800 Speaker 2: the waste to ratio or abdominous cir comforts plus one 1302 01:02:45,200 --> 01:02:49,360 Speaker 2: like cardiometabolis ricks factor like hypertension, insulin resistance, diabetes, et cetera. 1303 01:02:50,440 --> 01:02:52,720 Speaker 2: That now is what ob CD is defined by which 1304 01:02:52,760 --> 01:02:54,400 Speaker 2: is pretty powerful. It's going to take a minute for 1305 01:02:54,480 --> 01:02:56,000 Speaker 2: like the rest of the world to catch up and 1306 01:02:56,480 --> 01:02:59,520 Speaker 2: all practitioners, but that is definitely something that's moving in 1307 01:02:59,560 --> 01:03:00,000 Speaker 2: the right direct. 1308 01:03:01,160 --> 01:03:02,880 Speaker 1: How are you holding up? Are you tired at all 1309 01:03:03,040 --> 01:03:03,680 Speaker 1: from all this? 1310 01:03:05,000 --> 01:03:08,640 Speaker 2: You know, I'm doing seven podcasts in a special and 1311 01:03:08,680 --> 01:03:11,360 Speaker 2: a primetime special, but like, I have the greatest team 1312 01:03:11,400 --> 01:03:15,479 Speaker 2: with me, and we are eating super healthy and getting 1313 01:03:15,520 --> 01:03:19,640 Speaker 2: our workouts and what kind of and it's a giving 1314 01:03:19,760 --> 01:03:21,720 Speaker 2: you know. I'm just giving and giving and giving, and 1315 01:03:21,720 --> 01:03:25,360 Speaker 2: that's my favorite thing to do. And I know that 1316 01:03:25,640 --> 01:03:27,640 Speaker 2: I'm speaking to a microphone, but we're going to reach 1317 01:03:27,720 --> 01:03:31,439 Speaker 2: millions of people with all these conversations and give them 1318 01:03:31,520 --> 01:03:33,760 Speaker 2: tools and make them feel better about themselves and give 1319 01:03:33,800 --> 01:03:36,160 Speaker 2: them motivation to live their best lives. 1320 01:03:36,560 --> 01:03:37,880 Speaker 1: So that is what feels better. 1321 01:03:37,960 --> 01:03:40,439 Speaker 2: Yeah, I fly home, go to a Mardi Gral ball 1322 01:03:40,520 --> 01:03:42,760 Speaker 2: the next night, okay, yeah, and then the next day 1323 01:03:42,800 --> 01:03:46,720 Speaker 2: we fly to Australia or another event. Oh, I'm speaking 1324 01:03:46,760 --> 01:03:49,960 Speaker 2: at the Opera House, which is like Buckett whoa. Yeah, 1325 01:03:49,960 --> 01:03:52,040 Speaker 2: there's a menopause event at the Sydney Opera House. 1326 01:03:52,120 --> 01:03:52,919 Speaker 1: That's so cool. 1327 01:03:53,000 --> 01:03:54,800 Speaker 2: So we're doing that. We sold out the opera house 1328 01:03:54,840 --> 01:03:57,720 Speaker 2: in like three days. And then the next day we're 1329 01:03:57,720 --> 01:04:00,760 Speaker 2: doing a medical conference for clinicians, and I'm doing some 1330 01:04:00,880 --> 01:04:03,800 Speaker 2: other you know, work stuff, book stuff around that, and 1331 01:04:03,800 --> 01:04:05,080 Speaker 2: then my husband and I are going to take a 1332 01:04:05,120 --> 01:04:07,960 Speaker 2: week and just travel nice. Yeah I've never been. 1333 01:04:08,880 --> 01:04:11,280 Speaker 1: Oh that's your I guess I haven'ty that. It's always 1334 01:04:11,320 --> 01:04:14,400 Speaker 1: been on my list. Yeah, okay, So you're doing so much, 1335 01:04:14,440 --> 01:04:17,120 Speaker 1: You're so amazing. You're on the run and you're always 1336 01:04:17,160 --> 01:04:18,440 Speaker 1: thinking of how to help other people. 1337 01:04:19,080 --> 01:04:20,520 Speaker 2: We're running around with a way to vest on. 1338 01:04:21,200 --> 01:04:23,200 Speaker 1: Wait, first of all, the way to vest you told 1339 01:04:23,240 --> 01:04:24,720 Speaker 1: me before. You're working on that with QBC. 1340 01:04:24,760 --> 01:04:27,959 Speaker 2: How's that? Is there anything? We're still in talks okay, waiting, 1341 01:04:28,840 --> 01:04:32,439 Speaker 2: we're in talks so with like a subsidiary. But yeah, 1342 01:04:32,480 --> 01:04:33,080 Speaker 2: we're getting there. 1343 01:04:33,200 --> 01:04:35,520 Speaker 1: I just bought a little trampoline. How do you feel 1344 01:04:35,520 --> 01:04:35,880 Speaker 1: about that? 1345 01:04:35,960 --> 01:04:42,200 Speaker 2: So great studies looking at bouncing and jumping and bone density, 1346 01:04:42,600 --> 01:04:46,200 Speaker 2: so anything that stimulates the muscular skill little units rebounders 1347 01:04:46,600 --> 01:04:49,680 Speaker 2: are showing to have improvement. Just be careful if you're incontinent, 1348 01:04:49,760 --> 01:04:54,000 Speaker 2: you know you yeah that out, so go with an 1349 01:04:54,040 --> 01:04:57,520 Speaker 2: empty bladder. But there's you know, reasonable studies that look 1350 01:04:57,640 --> 01:05:01,000 Speaker 2: at you know, box jumping and bouncing to stimulate the 1351 01:05:01,040 --> 01:05:04,520 Speaker 2: muscle skeletal unit for bondicity. Now people like it for 1352 01:05:04,520 --> 01:05:06,640 Speaker 2: the pelvic floor. You know, there's other things that it has. 1353 01:05:06,680 --> 01:05:09,200 Speaker 2: You know, it's good cardio, it's fun. So yeah, I'm 1354 01:05:09,200 --> 01:05:09,560 Speaker 2: a fan. 1355 01:05:09,880 --> 01:05:12,000 Speaker 1: I have another question about the weight tovest. Okay, I 1356 01:05:12,040 --> 01:05:15,160 Speaker 1: have fake hips. Anytime I carry a bag, a backpack, 1357 01:05:15,240 --> 01:05:19,760 Speaker 1: something that adds weight onto my load, my hips don't 1358 01:05:19,760 --> 01:05:20,240 Speaker 1: feel good. 1359 01:05:20,400 --> 01:05:22,240 Speaker 2: Okay. So the nice thing about the weight of vest, 1360 01:05:22,240 --> 01:05:24,680 Speaker 2: so you want to start low. So the benefits for 1361 01:05:24,720 --> 01:05:27,160 Speaker 2: bone density seemed to start for most women that This 1362 01:05:27,240 --> 01:05:30,720 Speaker 2: was women who were in assisted living, so they were older, frail, 1363 01:05:30,920 --> 01:05:34,080 Speaker 2: they already had osteoporosis. We think it's preventive, but no 1364 01:05:34,080 --> 01:05:37,000 Speaker 2: one's done that. We're getting there to that study. But 1365 01:05:37,400 --> 01:05:40,640 Speaker 2: the weight to vest. The thing about the vest versus 1366 01:05:40,640 --> 01:05:43,200 Speaker 2: a backpack is that the weight is equally distributed from 1367 01:05:43,280 --> 01:05:46,160 Speaker 2: the back and so you get this just on the 1368 01:05:46,160 --> 01:05:49,080 Speaker 2: axial skeleton, so you have it down the spine and 1369 01:05:49,200 --> 01:05:52,200 Speaker 2: the hips. Now your hips are bionic, it's so, you know. 1370 01:05:52,400 --> 01:05:54,760 Speaker 2: And so I would start lighter than that ten percent. 1371 01:05:54,800 --> 01:05:57,160 Speaker 2: I would go with an eight pound to start Okay, 1372 01:05:57,280 --> 01:06:00,320 Speaker 2: you know, and then go from there see how you 1373 01:06:00,360 --> 01:06:04,720 Speaker 2: do get stronger. The recommendation for osterrobosa starts at ten 1374 01:06:04,720 --> 01:06:06,960 Speaker 2: percent of ideal body weight. That might be too heavy 1375 01:06:07,000 --> 01:06:10,040 Speaker 2: for someone to start with or not conditioned or you 1376 01:06:10,080 --> 01:06:11,640 Speaker 2: already have. You know, you don't want to hurt your hips. 1377 01:06:11,720 --> 01:06:14,200 Speaker 2: Get the eight pounder. Okay, cry it out, see how 1378 01:06:14,200 --> 01:06:17,000 Speaker 2: you feel, and then when you're strong enough, move up. 1379 01:06:17,120 --> 01:06:18,600 Speaker 1: Next time I talk to you, I'm going to be 1380 01:06:18,640 --> 01:06:22,240 Speaker 1: wearing my weighted best on my rebounder. Yeah, everything's going 1381 01:06:22,280 --> 01:06:22,680 Speaker 1: to be different. 1382 01:06:22,760 --> 01:06:25,880 Speaker 2: Drinking your protein, taking your protein, my proteins. 1383 01:06:26,080 --> 01:06:29,360 Speaker 1: Oh my god. Okay, with everything that's going on, Mary Claire, 1384 01:06:29,440 --> 01:06:32,439 Speaker 1: what was your last I choose me moment? Oh? 1385 01:06:32,720 --> 01:06:37,000 Speaker 2: Probably this morning. You know, let them, let them, let them, 1386 01:06:37,080 --> 01:06:41,760 Speaker 2: Just learning to take the negative out, focus on the 1387 01:06:41,800 --> 01:06:47,120 Speaker 2: positive in the world every day and just keep know 1388 01:06:47,240 --> 01:06:50,560 Speaker 2: what is true about myself that I am here for 1389 01:06:50,600 --> 01:06:52,600 Speaker 2: a mission, I'm here for a purpose. God put me here, 1390 01:06:53,200 --> 01:06:56,040 Speaker 2: and this was not an accident, and that whatever my 1391 01:06:56,160 --> 01:06:59,440 Speaker 2: skill set is as a science communicator, as an EmPATH, 1392 01:07:00,080 --> 01:07:02,520 Speaker 2: as someone who truly cares about the health of women 1393 01:07:03,280 --> 01:07:05,880 Speaker 2: and the health that is being brought forth to the children, 1394 01:07:05,920 --> 01:07:08,440 Speaker 2: I brought into this world. I need to keep going. 1395 01:07:09,240 --> 01:07:12,320 Speaker 1: That's what you gotta do. I'm here for you. Keep going. 1396 01:07:13,160 --> 01:07:13,720 Speaker 1: I love you. 1397 01:07:13,840 --> 01:07:14,439 Speaker 2: I love you too,