1 00:00:00,120 --> 00:00:03,920 Speaker 1: Maybe some of our older men out there. By older, 2 00:00:03,960 --> 00:00:08,560 Speaker 1: I mean fifty plus, not the young guys. Yet there's 3 00:00:08,640 --> 00:00:10,920 Speaker 1: reasons women can be crazy. Us guys when we're in 4 00:00:10,920 --> 00:00:13,200 Speaker 1: the locker room, we have these conversations and whether we're 5 00:00:13,320 --> 00:00:16,720 Speaker 1: right or not, and regardless of if it's obnoxious to women, 6 00:00:16,760 --> 00:00:19,280 Speaker 1: that's how we talk and how we feel. But there 7 00:00:19,360 --> 00:00:21,599 Speaker 1: is a certain moment at which for many men, and 8 00:00:21,640 --> 00:00:23,560 Speaker 1: my dad went through it and we as teenager did 9 00:00:23,800 --> 00:00:27,680 Speaker 1: where you feel like man, mom or your wife, she's 10 00:00:27,800 --> 00:00:30,800 Speaker 1: just not the same, and I don't like this person 11 00:00:30,880 --> 00:00:34,159 Speaker 1: she's become. And somehow she goes from yelling at me 12 00:00:34,479 --> 00:00:37,760 Speaker 1: and accusing me of things and judging me for everything, 13 00:00:38,159 --> 00:00:39,920 Speaker 1: to me saying I've had enough, and all of a 14 00:00:39,920 --> 00:00:42,440 Speaker 1: sudden she's the victim and she's crying and now I'm 15 00:00:42,440 --> 00:00:46,159 Speaker 1: a monster. So menopause may be a part of some 16 00:00:46,320 --> 00:00:48,519 Speaker 1: of that. That's one of the reasons I want to 17 00:00:48,520 --> 00:00:50,680 Speaker 1: talk about this, And because a lot of women, when 18 00:00:50,720 --> 00:00:53,120 Speaker 1: I mentioned the subject, said thank you for bringing this up. 19 00:00:53,360 --> 00:00:55,960 Speaker 1: Because I think a lot of women are not getting 20 00:00:56,000 --> 00:00:59,440 Speaker 1: treatment for this. They've never sought medical treatment, and I 21 00:00:59,480 --> 00:01:01,920 Speaker 1: would at least like them to know what's available for 22 00:01:02,000 --> 00:01:04,600 Speaker 1: that because hey, we only get one life, why not 23 00:01:04,680 --> 00:01:07,640 Speaker 1: have the best one. And I'm not one for a 24 00:01:07,760 --> 00:01:11,000 Speaker 1: lack of personal responsibility, quite the opposite. But you got 25 00:01:11,040 --> 00:01:14,880 Speaker 1: to understand if if most really fat people eat too 26 00:01:14,959 --> 00:01:17,959 Speaker 1: much and don't exercise, but there are that very small 27 00:01:18,000 --> 00:01:20,720 Speaker 1: group of people that have a thyroid problem and they're 28 00:01:20,760 --> 00:01:23,960 Speaker 1: going to be really fat for those reasons. Let's talk 29 00:01:24,000 --> 00:01:27,160 Speaker 1: about how we can help people, what options are out there, 30 00:01:27,680 --> 00:01:29,640 Speaker 1: and that is a lot of women at a certain age. 31 00:01:29,720 --> 00:01:31,800 Speaker 1: That's why our guest is on new Davis a n 32 00:01:31,959 --> 00:01:34,000 Speaker 1: U is how you spell it? Doctor anew Davis. She's 33 00:01:34,080 --> 00:01:37,440 Speaker 1: River Oaks Doctors Group and this is one of her 34 00:01:37,480 --> 00:01:41,160 Speaker 1: areas of expertise. Uh, what was the last question I 35 00:01:41,200 --> 00:01:45,640 Speaker 1: asked going into the break ramon can you stay with us? 36 00:01:45,760 --> 00:01:48,160 Speaker 1: Was not the question? You goof rewind the tape and 37 00:01:48,200 --> 00:01:50,360 Speaker 1: tell me do you remember the question? 38 00:01:51,240 --> 00:01:57,240 Speaker 2: I mean, these are the questions, right, what are women feeling? 39 00:01:58,000 --> 00:02:00,840 Speaker 2: How do we treat it? And how do they They 40 00:02:00,840 --> 00:02:04,160 Speaker 2: need to advocate for themselves right now their doctors haven't 41 00:02:04,160 --> 00:02:07,440 Speaker 2: had the tools right and so that's kind of that's 42 00:02:07,520 --> 00:02:10,440 Speaker 2: kind of what is how can they advocate for themselves 43 00:02:10,480 --> 00:02:12,680 Speaker 2: a little bit so that they can get the treatments 44 00:02:12,680 --> 00:02:14,400 Speaker 2: they need because they're out there. 45 00:02:15,160 --> 00:02:18,200 Speaker 1: So what I'm just look, I'm sifting through these questions. 46 00:02:18,400 --> 00:02:21,880 Speaker 1: So one of the so they call it HRT hormone 47 00:02:21,919 --> 00:02:26,040 Speaker 1: replacement therapy, I don't know. I'm taking notes and trying. 48 00:02:26,240 --> 00:02:28,080 Speaker 1: I'm trying to ask the questions that people ask me 49 00:02:28,120 --> 00:02:30,960 Speaker 1: to ask us they're living it. I'm more just kind 50 00:02:30,960 --> 00:02:34,600 Speaker 1: of curious. Are we talking mostly estrogen? What are these 51 00:02:34,639 --> 00:02:36,799 Speaker 1: hormones that we're replacing? And forgive me if you said 52 00:02:36,800 --> 00:02:39,000 Speaker 1: it and I was reading looking for other materials. 53 00:02:40,760 --> 00:02:46,760 Speaker 2: Sure, so we are replacing estrogen, progesterone, and sometimes testosterone. Okay, 54 00:02:47,280 --> 00:02:50,639 Speaker 2: the main hormones that are replaced your estrogen and progesterone, 55 00:02:51,480 --> 00:02:55,680 Speaker 2: and then testosterone is is also replaced in many cases, 56 00:02:55,760 --> 00:02:58,760 Speaker 2: but because it's not FDA approved in the United States 57 00:02:58,800 --> 00:03:01,760 Speaker 2: for women, it becomes the more nuanced thing that you 58 00:03:01,840 --> 00:03:05,399 Speaker 2: need to go to specialists who do this to get 59 00:03:05,480 --> 00:03:09,720 Speaker 2: to stosterone therapy for women, and so that's why it's 60 00:03:09,760 --> 00:03:15,679 Speaker 2: not as mainstream. But the hormones that we replaced are 61 00:03:15,840 --> 00:03:21,280 Speaker 2: estrogen and progesterone, and the idea is that women at 62 00:03:21,440 --> 00:03:25,760 Speaker 2: menopause stop making these hormones, and there is some clear 63 00:03:25,880 --> 00:03:29,639 Speaker 2: advantage to replacing these hormones that we're no longer making, 64 00:03:30,240 --> 00:03:34,560 Speaker 2: because when we see when these hormones are depleted, we 65 00:03:34,600 --> 00:03:39,560 Speaker 2: see a very clear and bone loss very immediately. Within 66 00:03:39,600 --> 00:03:45,040 Speaker 2: three years, we see increase in cardiovascular disease, we see 67 00:03:45,960 --> 00:03:54,440 Speaker 2: increase in Alzheimer's. And why would we stop replacing this 68 00:03:54,920 --> 00:03:57,920 Speaker 2: at age fifty one? Like, why would we want to 69 00:03:58,000 --> 00:04:00,800 Speaker 2: increase the risk of all these things when all we 70 00:04:00,920 --> 00:04:03,360 Speaker 2: have to do is replace the hormone that the body 71 00:04:03,360 --> 00:04:05,080 Speaker 2: already the body's not making anymore. 72 00:04:06,120 --> 00:04:09,960 Speaker 1: So hear me out here. I have had folks who 73 00:04:10,000 --> 00:04:12,320 Speaker 1: read a lot about this, including a doctor who shared 74 00:04:12,360 --> 00:04:15,160 Speaker 1: with me who shall remain unnamed, said to me that 75 00:04:15,240 --> 00:04:18,120 Speaker 1: the body begins the dying process long before you die, 76 00:04:18,800 --> 00:04:23,560 Speaker 1: and that remember, we're built on a chassis for two 77 00:04:23,600 --> 00:04:26,159 Speaker 1: thousand and three thousand years ago, so we're living in 78 00:04:26,200 --> 00:04:28,920 Speaker 1: an age where we're living in some cases to be 79 00:04:29,000 --> 00:04:31,560 Speaker 1: one hundred. The body wasn't prepared for that. So the 80 00:04:31,640 --> 00:04:35,679 Speaker 1: tires are wearing out, the transmissions giving out, the starter 81 00:04:35,800 --> 00:04:39,680 Speaker 1: doesn't work. So there's this idea. According to a number 82 00:04:39,680 --> 00:04:41,440 Speaker 1: of people, it's kind of a school of thought that 83 00:04:41,520 --> 00:04:44,719 Speaker 1: you're beginning to die your body is beginning this shutdown 84 00:04:44,760 --> 00:04:47,840 Speaker 1: process and the loss of hormones is part of that. 85 00:04:48,400 --> 00:04:50,920 Speaker 1: The theory being the replacement of the hormones is kind 86 00:04:50,920 --> 00:04:54,000 Speaker 1: of like CPR, like no, no, no, we got not only 87 00:04:54,040 --> 00:04:57,839 Speaker 1: some living, some good living to do. Our friend Mohit 88 00:04:57,920 --> 00:04:59,919 Speaker 1: Kara is coming out with a book called sex Span 89 00:05:00,560 --> 00:05:03,920 Speaker 1: about the fact that you know, older couples that are 90 00:05:03,920 --> 00:05:06,159 Speaker 1: married still want to have sex. But they want to 91 00:05:06,160 --> 00:05:09,720 Speaker 1: have they want to have enjoyable sex and that's part 92 00:05:09,760 --> 00:05:12,440 Speaker 1: of their relationship and then a lot of these hormonal 93 00:05:12,480 --> 00:05:16,760 Speaker 1: issues are preventing that. And so the idea is if 94 00:05:16,800 --> 00:05:19,000 Speaker 1: they want to have this kind of relationship as they 95 00:05:19,000 --> 00:05:21,560 Speaker 1: get older, that's an expression of their love. Let's help 96 00:05:21,600 --> 00:05:25,440 Speaker 1: them get there. So I will move to the question 97 00:05:25,680 --> 00:05:30,440 Speaker 1: of sexual dysfunction in women as they get older. You 98 00:05:30,520 --> 00:05:35,680 Speaker 1: kind of mentioned it earlier. Pain, dryness, lack of enjoyment, 99 00:05:35,760 --> 00:05:38,240 Speaker 1: lack of drive. Could you speak to that? 100 00:05:40,760 --> 00:05:44,720 Speaker 2: Sure? So not uncommon at all. As part of the 101 00:05:44,760 --> 00:05:49,479 Speaker 2: hormones being depleted, the estrogen being depleted, the progesterone being depleted, 102 00:05:49,520 --> 00:05:54,719 Speaker 2: the testosterone being depleted. After menopause, women experience a lot 103 00:05:54,960 --> 00:06:00,680 Speaker 2: of pain with sex and lack of libido. So we 104 00:06:00,720 --> 00:06:03,240 Speaker 2: want to address those things if they're able to be addressed. 105 00:06:03,800 --> 00:06:09,520 Speaker 2: And in addition to that, when the women see changes 106 00:06:09,600 --> 00:06:14,560 Speaker 2: in their vagina, the risk of urinary tract infections and 107 00:06:14,680 --> 00:06:19,200 Speaker 2: illness actually goes up too. So there's medical reasons in 108 00:06:19,240 --> 00:06:23,719 Speaker 2: addition to sexual reasons and feeling of well being reasons 109 00:06:23,800 --> 00:06:25,520 Speaker 2: to replace these hormones. 110 00:06:27,440 --> 00:06:32,280 Speaker 1: We have a very popular host on the air in 111 00:06:32,360 --> 00:06:36,440 Speaker 1: Houston named Dana Tyson. She's on Sunday nine and nine 112 00:06:36,440 --> 00:06:43,240 Speaker 1: point one, and she over the years has mentioned vaginal dryness. 113 00:06:43,800 --> 00:06:46,760 Speaker 1: She's a very attractive woman and I jokingly told her 114 00:06:46,760 --> 00:06:49,200 Speaker 1: in the hallway one day, I said, Dana, please don't 115 00:06:49,279 --> 00:06:52,760 Speaker 1: ruin my fantasy. Every man in the building has it 116 00:06:52,800 --> 00:06:54,240 Speaker 1: out for you. And then you got to go and 117 00:06:54,240 --> 00:06:56,279 Speaker 1: start talking about that stuff. And she said, Michael, that's 118 00:06:56,320 --> 00:06:58,880 Speaker 1: the whole point. That's why I have to talk about it. 119 00:06:59,320 --> 00:07:01,080 Speaker 1: But she has been a lot of time over the 120 00:07:01,160 --> 00:07:05,440 Speaker 1: years talking about an aging woman and the sexual process 121 00:07:05,920 --> 00:07:08,720 Speaker 1: and all this is that something that can be fixed. 122 00:07:10,600 --> 00:07:14,000 Speaker 2: It is something that can be fixed, but it's better 123 00:07:14,120 --> 00:07:17,920 Speaker 2: if we prevent it from happening. So if we start 124 00:07:18,240 --> 00:07:24,400 Speaker 2: hormone treatment earlier, so closer to when menopause, starts within 125 00:07:24,880 --> 00:07:28,080 Speaker 2: five to ten years. We prevent these things from happening. 126 00:07:28,680 --> 00:07:31,160 Speaker 2: And that's kind of the bigger point of all this 127 00:07:31,280 --> 00:07:34,280 Speaker 2: is to prevent it, right, to make to not get 128 00:07:34,320 --> 00:07:37,080 Speaker 2: there to where where we have vaginal dryness in pain 129 00:07:37,160 --> 00:07:39,760 Speaker 2: and we've been suffering for five years or ten years, 130 00:07:40,800 --> 00:07:44,320 Speaker 2: and we're just getting crankier by the moment, right, and 131 00:07:44,720 --> 00:07:48,400 Speaker 2: we're not thinking straight. If we can catch it as 132 00:07:48,440 --> 00:07:51,160 Speaker 2: it begins to happen and treat it in those in 133 00:07:51,240 --> 00:07:54,920 Speaker 2: that time, then we prevent the stuff from happening. There. 134 00:07:55,000 --> 00:07:58,440 Speaker 1: Lead doctor is our guest that is spelled A in 135 00:07:58,640 --> 00:08:00,320 Speaker 1: you if you want to look her up. We're talking 136 00:08:00,320 --> 00:08:04,559 Speaker 1: about menopause. Coming up to Michael Barry Show. I don't 137 00:08:04,600 --> 00:08:07,960 Speaker 1: believe in growing old gracefully. I don't mind telling you. 138 00:08:08,800 --> 00:08:11,240 Speaker 1: I don't want to sit in a recliner and get 139 00:08:11,280 --> 00:08:14,200 Speaker 1: old and fat and grumpy and say get off my 140 00:08:14,280 --> 00:08:17,800 Speaker 1: front yard. I see people who choose to live an 141 00:08:17,840 --> 00:08:22,440 Speaker 1: active life well into their nineties. I look at the 142 00:08:22,520 --> 00:08:26,600 Speaker 1: work that Clint Eastwood has done that will be left 143 00:08:26,760 --> 00:08:30,840 Speaker 1: to humanity from the time he was seventy to the 144 00:08:30,880 --> 00:08:36,200 Speaker 1: present alone, right, and that's amazing. And I think he's 145 00:08:36,240 --> 00:08:40,120 Speaker 1: having a great run, and I think the mindset that, 146 00:08:40,200 --> 00:08:42,640 Speaker 1: you know what, I'm not just going to fall apart. 147 00:08:42,840 --> 00:08:46,040 Speaker 1: I'm going to make decisions. I also find it to 148 00:08:46,040 --> 00:08:47,880 Speaker 1: be the case. Look, I'll cut jokes with the guys 149 00:08:47,880 --> 00:08:49,680 Speaker 1: as well, but we all know we love our wives, 150 00:08:49,679 --> 00:08:52,040 Speaker 1: we love our mothers, we love our daughters, and we 151 00:08:52,120 --> 00:08:54,640 Speaker 1: want good things for them. We want them to be happy, 152 00:08:55,400 --> 00:08:58,319 Speaker 1: not just in their relationships, but personally and individually and 153 00:08:58,360 --> 00:09:01,679 Speaker 1: their health, including mental health, and some of that's related 154 00:09:01,720 --> 00:09:06,080 Speaker 1: to their physical health. And look, we love to say, oh, 155 00:09:06,080 --> 00:09:09,600 Speaker 1: she's being hormonal, Well guess what she is. But I 156 00:09:09,640 --> 00:09:14,080 Speaker 1: will tell you full disclosure. Before I was on testosterone, 157 00:09:14,679 --> 00:09:17,800 Speaker 1: I was grumpier, and I was younger too, over ten 158 00:09:17,880 --> 00:09:21,720 Speaker 1: years ago. Now, if I go a while without getting 159 00:09:21,720 --> 00:09:25,440 Speaker 1: my shot because I get busy and all that, I'm grumpier, 160 00:09:25,760 --> 00:09:29,400 Speaker 1: I'm not happy. I get back on my testosterone and 161 00:09:29,480 --> 00:09:31,600 Speaker 1: I'm driving along and I hear the birds chirp. I'm 162 00:09:31,640 --> 00:09:36,040 Speaker 1: not even joking. When you replace my male hormone, I 163 00:09:36,120 --> 00:09:38,560 Speaker 1: hear the birds chirp, and I think, what a beautiful sound. 164 00:09:39,280 --> 00:09:42,880 Speaker 1: Anybody that knows me knows there's two Michaels Jacqueline Hyde. 165 00:09:43,080 --> 00:09:45,200 Speaker 1: There is what a beautiful sound. The birds are chirping 166 00:09:45,440 --> 00:09:48,840 Speaker 1: and there is doesn't even hear them and wonders why 167 00:09:48,880 --> 00:09:51,720 Speaker 1: the world's going to hell? I like that me more, 168 00:09:51,920 --> 00:09:54,920 Speaker 1: and it turns out it's also true for women. It's 169 00:09:54,960 --> 00:09:59,199 Speaker 1: the natural drug your body makes, Doctor Arnew Davis, I'm 170 00:09:59,240 --> 00:10:02,360 Speaker 1: going to open up to what are the questions you 171 00:10:02,480 --> 00:10:07,160 Speaker 1: get the most related to menopause, the loss of hormones, 172 00:10:07,200 --> 00:10:10,280 Speaker 1: the aging process for women, and what are some standard 173 00:10:10,280 --> 00:10:11,640 Speaker 1: things you want women to know. 174 00:10:12,840 --> 00:10:16,319 Speaker 2: So the biggest thing that people want to know about menopause, 175 00:10:16,440 --> 00:10:21,200 Speaker 2: especially right now, is hormone replacement therapy safe? And the 176 00:10:21,280 --> 00:10:24,640 Speaker 2: answer is that for most women, hormone replacement is not 177 00:10:24,679 --> 00:10:29,240 Speaker 2: only safe, but it's beneficial. I want women to know. 178 00:10:29,360 --> 00:10:32,520 Speaker 2: And women often ask when is too early? When is 179 00:10:32,559 --> 00:10:38,319 Speaker 2: too late to start hormone replacement therapy, And the answer 180 00:10:38,360 --> 00:10:42,480 Speaker 2: is it's never too early to start hormone replacement therapy 181 00:10:42,720 --> 00:10:48,000 Speaker 2: or start talking to your physicians about the changes that 182 00:10:48,040 --> 00:10:53,960 Speaker 2: you're feeling with hormone replacement therapy or with your cycles, 183 00:10:54,080 --> 00:10:58,160 Speaker 2: or with your changes in your cycles. But the hope 184 00:10:58,280 --> 00:11:02,239 Speaker 2: and the goal is to start hormone replacement therapy for menopause. 185 00:11:02,720 --> 00:11:07,760 Speaker 2: If you're able to start within five to ten years 186 00:11:07,800 --> 00:11:12,600 Speaker 2: of menopause. The sooner we start it, the more likely 187 00:11:12,679 --> 00:11:15,160 Speaker 2: we are and the more able we are to prevent 188 00:11:15,240 --> 00:11:18,720 Speaker 2: the complications related to the bone and to the brain 189 00:11:19,120 --> 00:11:22,360 Speaker 2: and to the heart. So our hope is that we 190 00:11:22,400 --> 00:11:26,079 Speaker 2: can start it as people are transitioning, or as soon 191 00:11:26,320 --> 00:11:33,080 Speaker 2: after the cycle stop as possible. The second question that 192 00:11:33,120 --> 00:11:35,840 Speaker 2: ever anyone asks is how long can I take it? 193 00:11:36,400 --> 00:11:42,800 Speaker 2: And the answer to that question is really indefinitely, but 194 00:11:43,280 --> 00:11:47,120 Speaker 2: the risk has to be assessed year to year as 195 00:11:47,280 --> 00:11:52,920 Speaker 2: other health issues come into play, and in women who 196 00:11:52,960 --> 00:11:55,800 Speaker 2: have active breast cancers or in women who have active 197 00:11:55,840 --> 00:11:59,760 Speaker 2: heart disease, then the risk and benefits of the hormone 198 00:11:59,760 --> 00:12:03,319 Speaker 2: theory has to be has to be weighed. 199 00:12:07,200 --> 00:12:08,280 Speaker 1: I didn't know if there was going to be a 200 00:12:08,320 --> 00:12:09,680 Speaker 1: third one. I was pausing. 201 00:12:10,480 --> 00:12:11,880 Speaker 2: I don't know if there's a third one. 202 00:12:12,000 --> 00:12:13,080 Speaker 1: Oh yeah, okay, go ahead, good. 203 00:12:13,160 --> 00:12:14,760 Speaker 2: Those are the two, I mean, those are the big ones, 204 00:12:14,800 --> 00:12:16,600 Speaker 2: like when do we start and how long can we 205 00:12:16,640 --> 00:12:21,240 Speaker 2: take it? Right? Those are the two big questions people ask, is. 206 00:12:21,280 --> 00:12:23,800 Speaker 1: This let me stop? And let me stop there? Because 207 00:12:23,800 --> 00:12:26,120 Speaker 1: I think a lot of people are asking. A lot 208 00:12:26,120 --> 00:12:28,840 Speaker 1: of people are on a budget, maybe a fixed income 209 00:12:29,480 --> 00:12:31,440 Speaker 1: is this the sort of thing that insurance covers. 210 00:12:33,440 --> 00:12:39,080 Speaker 2: I know you're a hormone replacement therapy. Yeah, no, yeah, 211 00:12:39,200 --> 00:12:44,880 Speaker 2: there are many FDA approved hormone replacement therapies, and yes, 212 00:12:45,200 --> 00:12:48,880 Speaker 2: insurance will cover the majority of hormone replacement therapy. 213 00:12:50,040 --> 00:12:53,360 Speaker 1: Is that true also in your practice, since you're a Concieres. 214 00:12:53,000 --> 00:12:58,160 Speaker 2: Doctor, it is true. Yes, So testosterone is not covered 215 00:12:58,160 --> 00:13:02,600 Speaker 2: by insurance for women because testosterone is non FDA approved 216 00:13:02,640 --> 00:13:07,560 Speaker 2: therapy in the United States, So women who choose to 217 00:13:08,880 --> 00:13:14,200 Speaker 2: use testosterone therapy will have to pay for that. Although 218 00:13:14,200 --> 00:13:17,600 Speaker 2: there's very you know, this is it's not a new medication. 219 00:13:17,760 --> 00:13:20,400 Speaker 2: This is not it's not like we're using fancy testosterone. 220 00:13:20,440 --> 00:13:27,439 Speaker 2: There's it's a very affordable medication. So, uh, but estrogen 221 00:13:27,480 --> 00:13:31,800 Speaker 2: and progesterone replacement is is FDA approved. 222 00:13:31,400 --> 00:13:33,120 Speaker 1: And well, I will tell you I want I want 223 00:13:33,120 --> 00:13:34,679 Speaker 1: you to go to number three, But I would tell 224 00:13:34,720 --> 00:13:39,280 Speaker 1: you I have had Mo hit Cara, our mutual friend, 225 00:13:39,320 --> 00:13:43,080 Speaker 1: my urologist on the air multiple times, and at some 226 00:13:43,200 --> 00:13:46,880 Speaker 1: point it comes around to testosterone for women, obviously in 227 00:13:47,000 --> 00:13:50,440 Speaker 1: limited amounts, And I get emails from dudes who have 228 00:13:50,600 --> 00:13:52,679 Speaker 1: never heard of this, and they think their wife's going 229 00:13:52,720 --> 00:13:55,240 Speaker 1: to grow hair on her boobs and it's not happening. 230 00:13:55,600 --> 00:13:58,280 Speaker 1: And not only that, it has been shown to have 231 00:13:58,600 --> 00:14:03,360 Speaker 1: phenomenal results in many women. And if you think about 232 00:14:03,400 --> 00:14:07,400 Speaker 1: the fact that women, as they get older, their body 233 00:14:07,679 --> 00:14:12,000 Speaker 1: is as far from you want muscle mass, you want 234 00:14:12,080 --> 00:14:15,559 Speaker 1: some strength, you want all those things that are represented 235 00:14:15,559 --> 00:14:20,040 Speaker 1: by testosterone. So ladies, don't be freaked out by that. 236 00:14:20,080 --> 00:14:22,040 Speaker 1: I've read a lot on the subject, and I am 237 00:14:22,120 --> 00:14:28,880 Speaker 1: personally a non doctor believer. But what was number three? 238 00:14:29,920 --> 00:14:34,400 Speaker 2: I don't know, Oh my gosh. So how when should 239 00:14:34,400 --> 00:14:38,840 Speaker 2: we start it? How long can we take it? And 240 00:14:38,840 --> 00:14:41,160 Speaker 2: then which I mean? The people want to know what 241 00:14:41,240 --> 00:14:46,720 Speaker 2: they can expect, right, The doses of these medications do 242 00:14:46,880 --> 00:14:51,800 Speaker 2: have to be adjusted. It depending on how often your 243 00:14:51,880 --> 00:14:55,120 Speaker 2: physician does this like it may take a couple of tries, 244 00:14:55,160 --> 00:15:01,600 Speaker 2: so be patient with it, and the on how you respond. 245 00:15:01,720 --> 00:15:05,320 Speaker 2: But remember, we're replacing hormone that your body doesn't make anymore. 246 00:15:05,360 --> 00:15:11,160 Speaker 2: We are not you know, we're not giving you something else. 247 00:15:11,480 --> 00:15:14,880 Speaker 2: So it's just replacing something that your body stopped making. 248 00:15:18,520 --> 00:15:19,280 Speaker 1: Was there another one? 249 00:15:19,880 --> 00:15:22,320 Speaker 2: And then we I don't know, I can't. 250 00:15:22,080 --> 00:15:26,600 Speaker 1: Remember, that's all right, So let me ask you this. 251 00:15:27,320 --> 00:15:29,720 Speaker 1: I'm just sifting through all the questions I had, and 252 00:15:29,720 --> 00:15:31,240 Speaker 1: I had made a lot of notes and I can't 253 00:15:31,240 --> 00:15:32,960 Speaker 1: get to all of them, but one of the ones 254 00:15:33,000 --> 00:15:36,560 Speaker 1: that came up a lot is if a woman was 255 00:15:36,720 --> 00:15:40,000 Speaker 1: on the pill, is that going to affect her? And 256 00:15:40,240 --> 00:15:44,320 Speaker 1: I found a post by a fellow who who is 257 00:15:44,480 --> 00:15:46,960 Speaker 1: kind of a bodybuilder wellness guy, and I'll just read 258 00:15:47,040 --> 00:15:50,760 Speaker 1: you the quote that coming up with doctor Anu David 259 00:15:50,800 --> 00:15:55,320 Speaker 1: au doctor anew Davids listening to the Michael Berry Show 260 00:15:55,480 --> 00:16:01,000 Speaker 1: podcast is sexy be sexy? So one of the questions, 261 00:16:01,040 --> 00:16:03,720 Speaker 1: since we're talking about menopause with an expert on the subject. 262 00:16:03,720 --> 00:16:08,080 Speaker 1: Her name is doctor Anu Anu Davis. She's in Houston 263 00:16:08,120 --> 00:16:13,160 Speaker 1: at the River Oaks Doctor's Group, and she is an 264 00:16:13,160 --> 00:16:18,240 Speaker 1: expert in diabetes. She's a concierge doctor, and she is 265 00:16:19,080 --> 00:16:22,680 Speaker 1: a menopause expert. And over dinner at our home, she 266 00:16:22,800 --> 00:16:25,320 Speaker 1: mentioned menopause and my wife said, get her on the air. 267 00:16:25,600 --> 00:16:28,320 Speaker 1: Women want to hear about that. Whether you like it 268 00:16:28,440 --> 00:16:30,960 Speaker 1: or not, we're all interested in it. I said, okay, 269 00:16:31,520 --> 00:16:34,960 Speaker 1: so we did, and my next question is or so 270 00:16:35,040 --> 00:16:38,240 Speaker 1: we are as we speak. My next question is related 271 00:16:38,400 --> 00:16:44,240 Speaker 1: to birth control and as women get older who have 272 00:16:44,400 --> 00:16:49,160 Speaker 1: been on birth control earlier. Obviously, if you're perimenopausal or menopausal, 273 00:16:49,200 --> 00:16:51,640 Speaker 1: you're not having your period anymore, so you're not getting 274 00:16:51,640 --> 00:16:54,960 Speaker 1: pregnant presumably. But here, I'll just read you a post 275 00:16:55,000 --> 00:16:58,680 Speaker 1: and we'll start there. The use of hormonal contraceptives by 276 00:16:58,720 --> 00:17:03,240 Speaker 1: tens of millions of women could plausibly be having population 277 00:17:03,440 --> 00:17:08,639 Speaker 1: level effects on behavior, including political behavior. A new study 278 00:17:08,720 --> 00:17:14,639 Speaker 1: shows that women who use hormonal contraceptives exhibit significantly stronger 279 00:17:14,880 --> 00:17:20,080 Speaker 1: emotional responses than women who are naturally cycling, and they 280 00:17:20,200 --> 00:17:26,120 Speaker 1: also interestingly remember fewer details of negative events. A study 281 00:17:26,200 --> 00:17:33,040 Speaker 1: last year showed that hormonal contraceptives shrink the ventromedial prefrontal cortex, 282 00:17:33,560 --> 00:17:36,879 Speaker 1: a region of the brain involved in fear processing and 283 00:17:36,960 --> 00:17:43,800 Speaker 1: emotional control. Are hormonal contraceptives making our ladies crazy? In? 284 00:17:43,800 --> 00:17:46,000 Speaker 1: What are hormonal contraceptives? 285 00:17:47,000 --> 00:17:53,840 Speaker 2: Okay? So hormone? So the hormone that's in that are 286 00:17:53,840 --> 00:18:01,240 Speaker 2: in most hormonal contraceptives are actually different than the hormone 287 00:18:01,280 --> 00:18:06,160 Speaker 2: that we use in most hormone replacement therapy. In hormone 288 00:18:06,160 --> 00:18:13,800 Speaker 2: replacement therapy, we use I hate the term, but we 289 00:18:13,880 --> 00:18:17,800 Speaker 2: use we use hormones as much that are not artificial. 290 00:18:17,880 --> 00:18:24,679 Speaker 2: The hormones in birth control are similar to what your 291 00:18:24,720 --> 00:18:27,640 Speaker 2: body makes, but the hormones and hormone replacement therapy are 292 00:18:27,720 --> 00:18:34,919 Speaker 2: much lower doses, and they are probably about thirty to 293 00:18:34,920 --> 00:18:39,280 Speaker 2: fifty percent of the doses in birth control pills, and 294 00:18:39,680 --> 00:18:43,359 Speaker 2: they are actually a different compound replacing the hormone that 295 00:18:43,400 --> 00:18:46,879 Speaker 2: your body makes. So we give women in horm in menopause, 296 00:18:47,040 --> 00:18:54,639 Speaker 2: estra dial and progesterone, which is a little bit different 297 00:18:54,680 --> 00:18:58,399 Speaker 2: than the actual medications that we give in birth control pills. 298 00:18:59,640 --> 00:19:02,320 Speaker 2: But I don't that I address the actual question. 299 00:19:02,640 --> 00:19:05,800 Speaker 1: Well, that's okay, take a moment. I mean, what effect 300 00:19:05,880 --> 00:19:08,719 Speaker 1: do you think that that does have? I'm coming at it, 301 00:19:08,920 --> 00:19:11,200 Speaker 1: and so is the fellow who posted. I don't know him. 302 00:19:11,240 --> 00:19:13,640 Speaker 1: He's raw eggs national. I don't know what that means. 303 00:19:13,640 --> 00:19:15,679 Speaker 1: I don't know who he is, could be, could be anyone. 304 00:19:16,359 --> 00:19:19,760 Speaker 1: But this idea, well, I'll just lay it out there. 305 00:19:19,760 --> 00:19:21,600 Speaker 1: I'm not one of the men's worries. There is this 306 00:19:21,800 --> 00:19:25,359 Speaker 1: idea that there are a bunch of screeching women out 307 00:19:25,400 --> 00:19:28,960 Speaker 1: there who can't be reasoned with, who are voting by 308 00:19:29,000 --> 00:19:31,800 Speaker 1: our calculation. I don't ask you to address politics, but 309 00:19:31,840 --> 00:19:37,920 Speaker 1: by our calculation, they're unreasonable and they're voting we believe wrong. 310 00:19:38,160 --> 00:19:40,760 Speaker 1: You take the woman who at the Phillies game, who's 311 00:19:40,760 --> 00:19:42,720 Speaker 1: come to be known as Philly's Karen, takes the ball 312 00:19:42,760 --> 00:19:45,720 Speaker 1: away from the kid on his birthday, and now everybody 313 00:19:45,760 --> 00:19:48,960 Speaker 1: hates her. You know, there is this idea, and I 314 00:19:49,000 --> 00:19:51,880 Speaker 1: think people are concerned about it now. It's mostly coming 315 00:19:51,880 --> 00:19:54,800 Speaker 1: from men. Fairness, we have our own perspective. We don't 316 00:19:54,800 --> 00:19:57,359 Speaker 1: have a lot of tolerance for the emotional side. But 317 00:19:57,440 --> 00:19:59,879 Speaker 1: I'm curious to know if you think that is a 318 00:20:00,000 --> 00:20:04,879 Speaker 1: affecting writ large a lot of women. 319 00:20:07,800 --> 00:20:11,320 Speaker 2: I mean, I mean, I don't think that it's affecting 320 00:20:11,359 --> 00:20:14,120 Speaker 2: a lot of women. I don't know like that. There's 321 00:20:14,720 --> 00:20:17,720 Speaker 2: the use of birth control pills has gone down significantly, 322 00:20:18,720 --> 00:20:21,399 Speaker 2: probably in the last twenty years because of the same 323 00:20:21,480 --> 00:20:27,720 Speaker 2: fears that have reduced hormone replacement therapy. That what most women, 324 00:20:28,119 --> 00:20:30,440 Speaker 2: after the short periods that they need to use birth 325 00:20:30,440 --> 00:20:32,840 Speaker 2: control pills have actually stopped using them. So I don't 326 00:20:32,880 --> 00:20:35,200 Speaker 2: know that this is some global occurrence, but I don't 327 00:20:35,240 --> 00:20:37,240 Speaker 2: know that I can really speak to it either. 328 00:20:38,400 --> 00:20:43,919 Speaker 1: Okay, fair enough, did you speak to how long a 329 00:20:44,000 --> 00:20:46,560 Speaker 1: woman should be on this sort of treatment? I mean, 330 00:20:47,200 --> 00:20:51,360 Speaker 1: a woman enters into this paramenopause where she's not cycling, 331 00:20:51,400 --> 00:20:56,840 Speaker 1: as you say, any longer. And then a woman, I 332 00:20:56,840 --> 00:20:59,600 Speaker 1: guess you treat this. Is this a treatment for life? 333 00:20:59,640 --> 00:21:01,760 Speaker 1: I mean, how long is it reasonable to be on this? 334 00:21:03,840 --> 00:21:07,720 Speaker 2: So it is reasonable to be on this medication indefinitely 335 00:21:09,160 --> 00:21:14,040 Speaker 2: as long as you don't come up against things health 336 00:21:14,080 --> 00:21:18,160 Speaker 2: wise that make you have to stop it. So right now, 337 00:21:18,400 --> 00:21:21,120 Speaker 2: the things that would make you have to stop taking 338 00:21:21,280 --> 00:21:24,439 Speaker 2: hormone replacement therapy is if you have an active breast 339 00:21:24,440 --> 00:21:29,320 Speaker 2: cancer that has receptors for estrogen or progesterone. So women 340 00:21:29,359 --> 00:21:33,720 Speaker 2: who are diagnosed with active breast cancers that have receptors 341 00:21:33,720 --> 00:21:39,040 Speaker 2: for estrogen progesterone, they should not take breath control. Women 342 00:21:39,080 --> 00:21:42,800 Speaker 2: who have active heart disease meaning they just had a 343 00:21:42,800 --> 00:21:46,639 Speaker 2: heart attack, they just had a or just had a 344 00:21:46,680 --> 00:21:50,280 Speaker 2: stroke or a clot of some sort, those women should 345 00:21:50,359 --> 00:21:58,159 Speaker 2: have should stop their hormone replacement therapy. And and so 346 00:21:58,320 --> 00:22:00,679 Speaker 2: that's who and so sometimes we have to stop it 347 00:22:01,160 --> 00:22:04,679 Speaker 2: those women at this time. We can sometimes restart it, 348 00:22:04,720 --> 00:22:07,679 Speaker 2: but that has to be done on an individual basis. 349 00:22:08,200 --> 00:22:11,440 Speaker 2: It is not unreasonable, however, to plan on taking these 350 00:22:11,480 --> 00:22:12,840 Speaker 2: medications indefinitely. 351 00:22:15,840 --> 00:22:23,800 Speaker 1: And that's okay. It sounds like you're saying that's okay, Yeah. 352 00:22:24,160 --> 00:22:26,680 Speaker 2: That's great. I mean as long as it's helping them 353 00:22:26,840 --> 00:22:29,880 Speaker 2: and protecting their bones and doing their doing what it's 354 00:22:29,880 --> 00:22:32,880 Speaker 2: supposed to be and not hurting them, we can stay 355 00:22:32,920 --> 00:22:33,760 Speaker 2: on it indefinitely. 356 00:22:34,240 --> 00:22:39,160 Speaker 1: So let's talk women's health generally for women fifty plus. 357 00:22:39,280 --> 00:22:41,800 Speaker 1: If somebody is under your treatment, then you get an 358 00:22:41,800 --> 00:22:43,960 Speaker 1: opportunity to talk through all of these things. And being 359 00:22:43,960 --> 00:22:46,160 Speaker 1: a concierge doctor, you don't have to see seventy five 360 00:22:46,200 --> 00:22:49,160 Speaker 1: patients today. That's the reason people pay more and pay 361 00:22:49,240 --> 00:22:53,240 Speaker 1: cash outside of insurance for a concierge doctor is to 362 00:22:53,280 --> 00:22:55,200 Speaker 1: be able to sit down and talk to you at length. 363 00:22:55,280 --> 00:22:58,480 Speaker 1: Everybody's been in that doctor's office where he's got you know, 364 00:22:58,520 --> 00:23:00,560 Speaker 1: you waited two hours to get into see him, two 365 00:23:00,560 --> 00:23:03,640 Speaker 1: hours over the time or her, and then they've got 366 00:23:03,680 --> 00:23:05,560 Speaker 1: thirty seconds for you. They can write your script and 367 00:23:05,560 --> 00:23:07,520 Speaker 1: send you on your way. That's the reason people go 368 00:23:07,560 --> 00:23:09,760 Speaker 1: to concierge doctors because they can sit down and talk 369 00:23:09,800 --> 00:23:12,639 Speaker 1: through Hey I'm having hot flashes. Hey this is my worry. 370 00:23:13,160 --> 00:23:19,359 Speaker 1: Let's talk women's health generally, and I want to talk. 371 00:23:19,720 --> 00:23:21,399 Speaker 1: It's going to take me a moment I'm going to 372 00:23:21,520 --> 00:23:23,880 Speaker 1: have to I'm gonna have to go to a break here, 373 00:23:23,920 --> 00:23:26,399 Speaker 1: but I'll tease the questions to give you a moment 374 00:23:26,800 --> 00:23:30,080 Speaker 1: to think about it. And that is diet. I have 375 00:23:30,280 --> 00:23:34,600 Speaker 1: become mildly obsessed with diet, not in terms of the 376 00:23:34,640 --> 00:23:37,640 Speaker 1: word that we used in the seventies and eighties, as 377 00:23:37,680 --> 00:23:42,560 Speaker 1: in lose weight, eat less, fat free, sugar free, whatever 378 00:23:42,600 --> 00:23:46,080 Speaker 1: that I want to talk about diet. My wife's a 379 00:23:46,119 --> 00:23:51,640 Speaker 1: big believer in this Mediterranean diet and the idea that 380 00:23:52,680 --> 00:23:55,080 Speaker 1: you don't have to eat, you don't have to starve, 381 00:23:55,800 --> 00:24:00,200 Speaker 1: and you don't have to eat tiny amounts, and you 382 00:24:00,240 --> 00:24:03,640 Speaker 1: don't have to eat, you know, products that are tasteless. 383 00:24:03,680 --> 00:24:07,240 Speaker 1: In fact, quite the opposite. You can eat God's bounty 384 00:24:07,280 --> 00:24:08,800 Speaker 1: that he put on this earth for us for a 385 00:24:09,000 --> 00:24:13,440 Speaker 1: natural tasty, in some cases high fat, good fat foods, 386 00:24:14,000 --> 00:24:17,840 Speaker 1: and be way healthier than people who constantly say, oh no, no, 387 00:24:17,880 --> 00:24:21,080 Speaker 1: I couldn't eat cake. I'm on a diet, and then 388 00:24:21,119 --> 00:24:24,080 Speaker 1: that self denial leads to them later gorging on four 389 00:24:24,119 --> 00:24:26,919 Speaker 1: pieces of it. When we talk about overall good health, 390 00:24:27,280 --> 00:24:29,840 Speaker 1: that doesn't mean you have to be miserable and in 391 00:24:29,880 --> 00:24:33,000 Speaker 1: a state of constant self denial. I think it's important 392 00:24:33,040 --> 00:24:37,000 Speaker 1: people understand that. We'll continue our conversation with menopause and diabetes. 393 00:24:37,400 --> 00:24:41,800 Speaker 1: Concierge doctor a new Anu David. He is the one button, 394 00:24:41,840 --> 00:24:44,480 Speaker 1: two eights all for just four hundred and ninety nine 395 00:24:44,520 --> 00:24:47,320 Speaker 1: dollars right now at wards. If you can find it, 396 00:24:47,440 --> 00:24:50,639 Speaker 1: mit them Michael Berry with these features for less money, 397 00:24:51,080 --> 00:24:55,919 Speaker 1: buy it. Doctor on new Davis is our guest. She 398 00:24:56,240 --> 00:24:59,600 Speaker 1: is a concierge doctor in Houston who treats my father 399 00:25:00,200 --> 00:25:02,000 Speaker 1: as of the last few months. And may I say 400 00:25:02,040 --> 00:25:07,040 Speaker 1: masterfully she is a diabetes expert. She's a concierge general 401 00:25:07,119 --> 00:25:10,440 Speaker 1: practitioner as well. And if anybody's wondering what that means, 402 00:25:10,440 --> 00:25:13,399 Speaker 1: I'll give you the quick rundown. And that means instead 403 00:25:13,440 --> 00:25:15,520 Speaker 1: of going to a doctor, waiting for three hours to 404 00:25:15,560 --> 00:25:19,960 Speaker 1: see them in the waiting room, rushing in, waiting in 405 00:25:20,000 --> 00:25:23,080 Speaker 1: another room, waiting in another room, they come in, HI, 406 00:25:23,200 --> 00:25:25,160 Speaker 1: hire you, what do you need your script for? They 407 00:25:25,160 --> 00:25:26,800 Speaker 1: write you a script, send you on your way and 408 00:25:26,840 --> 00:25:28,360 Speaker 1: you feel like, WHOA I needed to talk to him 409 00:25:28,600 --> 00:25:30,600 Speaker 1: and you're out the door. But the insurance covered it. 410 00:25:30,800 --> 00:25:34,919 Speaker 1: That was a good thing. Consiers doctors are not for 411 00:25:34,960 --> 00:25:37,199 Speaker 1: the feint of heart. It's not cheap, but it's not 412 00:25:37,240 --> 00:25:39,040 Speaker 1: that much when you consider what you get. You have 413 00:25:39,080 --> 00:25:40,879 Speaker 1: their cell phone. In most cases you can call them 414 00:25:40,880 --> 00:25:43,600 Speaker 1: all hours a day. Instead of seeing seventy five patients 415 00:25:43,600 --> 00:25:46,679 Speaker 1: in a day, they typically see five or six. So 416 00:25:47,440 --> 00:25:48,879 Speaker 1: you know, she spent an hour and a half with 417 00:25:48,960 --> 00:25:51,840 Speaker 1: my dad at her first meeting. I like that. I'm 418 00:25:51,880 --> 00:25:54,360 Speaker 1: willing to pay for that at this point, at eighty five, 419 00:25:54,720 --> 00:25:57,439 Speaker 1: for him to sit and talk through every aspect of 420 00:25:57,440 --> 00:26:00,360 Speaker 1: his life. That's what a concier's doctor is. She does 421 00:26:00,400 --> 00:26:04,320 Speaker 1: that as your family doctor, as your general doctor. She's 422 00:26:04,359 --> 00:26:07,800 Speaker 1: a diabetes expert, and she's a menopause expert. They're all 423 00:26:07,880 --> 00:26:09,919 Speaker 1: kind of in the same field of what's going on 424 00:26:10,000 --> 00:26:14,200 Speaker 1: with your body. We talked a little bit about women's 425 00:26:14,200 --> 00:26:17,639 Speaker 1: health going in, and I posed the question about a 426 00:26:17,760 --> 00:26:20,800 Speaker 1: proper diet that is also enjoyable because nobody wants to 427 00:26:20,800 --> 00:26:23,600 Speaker 1: be miserable. Talk about what we should and shouldn't be eaten. 428 00:26:23,640 --> 00:26:25,160 Speaker 1: If we're a sixty year old. 429 00:26:25,080 --> 00:26:30,240 Speaker 2: Woman, well, the main things that we should be doing 430 00:26:30,440 --> 00:26:34,160 Speaker 2: is focusing on strong, not skinny, right. The goal is 431 00:26:34,200 --> 00:26:39,119 Speaker 2: to increase protein intake to protect those muscles from breakdown. 432 00:26:39,240 --> 00:26:43,600 Speaker 2: Because then the muscles protect the bones. So we want 433 00:26:43,600 --> 00:26:48,560 Speaker 2: to eat lots. We want to focus on our protein. 434 00:26:48,640 --> 00:26:51,879 Speaker 2: We want to focus on fiber and vegetables, and we 435 00:26:52,160 --> 00:26:55,960 Speaker 2: want to avoid foods that are pro inflammatory. So inflammatory 436 00:26:56,000 --> 00:27:03,159 Speaker 2: foods are things that have artificial dyes and that will 437 00:27:03,160 --> 00:27:05,680 Speaker 2: make us sick. Right, So what we want to eat 438 00:27:05,720 --> 00:27:07,919 Speaker 2: is as much real food as we can eat. We 439 00:27:08,000 --> 00:27:13,960 Speaker 2: want to focus on protein and fiber, and when we 440 00:27:14,080 --> 00:27:17,280 Speaker 2: do that, we become stronger. And that's what I try 441 00:27:17,320 --> 00:27:20,600 Speaker 2: to focus my patients on, is just and focus myself on, 442 00:27:20,800 --> 00:27:23,800 Speaker 2: is just, you know, cut cut out the stuff that 443 00:27:23,840 --> 00:27:26,280 Speaker 2: we know we have no business eating anyway, and eat 444 00:27:26,359 --> 00:27:30,240 Speaker 2: more real food. That's step one is just eating more 445 00:27:30,240 --> 00:27:36,560 Speaker 2: real food. So Mediterranean diets are great. I think you 446 00:27:36,600 --> 00:27:40,240 Speaker 2: said that that's what you like to do, and that's great, right, 447 00:27:40,359 --> 00:27:45,800 Speaker 2: Lots of lean protein, lots of vegetable, but strong, not skinny. 448 00:27:45,800 --> 00:27:46,680 Speaker 2: That's what I tell people. 449 00:27:47,320 --> 00:27:50,560 Speaker 1: I want to be clear. My wife is an esthetic, 450 00:27:51,760 --> 00:27:55,560 Speaker 1: a health nut, a very disciplined saint. I am not. 451 00:27:55,760 --> 00:27:57,560 Speaker 1: I don't want you to get in the impression I 452 00:27:57,720 --> 00:28:02,080 Speaker 1: eat properly. I said my wife. You know my wife, 453 00:28:03,080 --> 00:28:05,920 Speaker 1: she is very disciplined. I am not. I don't want 454 00:28:05,920 --> 00:28:07,679 Speaker 1: to get credit for something I don't deserve. But anyway, 455 00:28:07,720 --> 00:28:08,119 Speaker 1: go ahead. 456 00:28:10,040 --> 00:28:12,640 Speaker 2: Well you know that's that's where our focus should be 457 00:28:12,640 --> 00:28:16,000 Speaker 2: because the nutrition does matter. It makes a huge difference 458 00:28:16,119 --> 00:28:20,479 Speaker 2: in terms of our overall well being and protection of 459 00:28:20,520 --> 00:28:23,560 Speaker 2: our bodies. All right, about menopause? 460 00:28:23,760 --> 00:28:24,439 Speaker 1: Okay, good, go. 461 00:28:25,920 --> 00:28:26,160 Speaker 2: Ahead? 462 00:28:26,400 --> 00:28:28,080 Speaker 1: What no? No, I'd rather you. 463 00:28:28,160 --> 00:28:36,880 Speaker 2: Finished the thing about menopause and that without changing anything. 464 00:28:38,400 --> 00:28:42,840 Speaker 2: When women transition to menopause without changing anything in their 465 00:28:42,920 --> 00:28:47,880 Speaker 2: diet and exercise, their body fat increases by ten to 466 00:28:47,960 --> 00:28:50,920 Speaker 2: fifteen percent. So you're talking about So you take someone 467 00:28:50,960 --> 00:28:53,760 Speaker 2: like your wife, who's healthy and who does all the 468 00:28:53,840 --> 00:28:58,680 Speaker 2: right things, just making that hormone goes, going go away 469 00:29:00,080 --> 00:29:04,200 Speaker 2: as part of this natural transition, increases her body fat 470 00:29:04,280 --> 00:29:07,080 Speaker 2: by ten to fifteen percent. She's going to be mad. 471 00:29:07,640 --> 00:29:10,440 Speaker 2: Let me just tell you, people, get this makes people 472 00:29:10,480 --> 00:29:13,200 Speaker 2: mad when you're doing all the right things and you're 473 00:29:13,240 --> 00:29:15,880 Speaker 2: eating your protein and you do your exercise, and you 474 00:29:16,880 --> 00:29:19,120 Speaker 2: just are gaining weight for no reason. So these are 475 00:29:19,400 --> 00:29:24,440 Speaker 2: healthy women who are functioning and working and doing all 476 00:29:24,440 --> 00:29:27,560 Speaker 2: the things that they're supposed to. When they gain five 477 00:29:27,600 --> 00:29:31,320 Speaker 2: to ten pounds of body fat because their hormones left 478 00:29:31,360 --> 00:29:35,880 Speaker 2: their body, they get mad. So this is I mean 479 00:29:36,160 --> 00:29:38,680 Speaker 2: many times, this is why they show up in my office. Right, 480 00:29:38,760 --> 00:29:43,080 Speaker 2: that's the first reason, because they're like, what do you 481 00:29:43,160 --> 00:29:46,160 Speaker 2: mean what is happening to my body? I am losing 482 00:29:46,920 --> 00:29:50,560 Speaker 2: I just gained five or ten pounds and for no reason. 483 00:29:51,720 --> 00:29:54,640 Speaker 2: So all those disciplined women, that's when they show up 484 00:29:54,680 --> 00:29:58,280 Speaker 2: to my office is because they're mad about this, and 485 00:29:58,320 --> 00:30:01,120 Speaker 2: we do we back up and replace the hormones, but 486 00:30:01,200 --> 00:30:05,320 Speaker 2: then we make sure the proteins intact and that they're 487 00:30:05,360 --> 00:30:09,680 Speaker 2: feeding their muscles and that they're not doing things to 488 00:30:09,720 --> 00:30:15,800 Speaker 2: cause muscle breakdown, and that their digestive tracts are working 489 00:30:15,840 --> 00:30:17,920 Speaker 2: the way that they're supposed to, and that their guts 490 00:30:17,920 --> 00:30:20,600 Speaker 2: are working the way that they're supposed to. So all 491 00:30:20,640 --> 00:30:23,480 Speaker 2: those things that become part of the menopausal treatment. 492 00:30:24,240 --> 00:30:27,760 Speaker 1: Let's talk about a cross curricular expertise of yours. I'd 493 00:30:27,760 --> 00:30:31,560 Speaker 1: be remiss if I didn't talk about the opposite side 494 00:30:31,560 --> 00:30:34,960 Speaker 1: of my father's situation as a diabetic male eighty five 495 00:30:35,960 --> 00:30:40,360 Speaker 1: a six fifty to seventy year old diabetic female. Are 496 00:30:40,400 --> 00:30:44,320 Speaker 1: the treatments you suggest applying for her going to be 497 00:30:44,400 --> 00:30:45,720 Speaker 1: different if she's diabetic? 498 00:30:48,600 --> 00:30:52,080 Speaker 2: So I'm sorry, how old did you say, but a man, 499 00:30:52,320 --> 00:30:56,000 Speaker 2: So say a woman who has yeah, who's in her forties, 500 00:30:56,040 --> 00:31:00,840 Speaker 2: who's my patient who has diabetes? Already it becomes much 501 00:31:00,920 --> 00:31:05,360 Speaker 2: more specific, right, It depends on how long she's had diabetes, 502 00:31:05,400 --> 00:31:09,760 Speaker 2: what complications she has related to her diabetes. Where if 503 00:31:09,760 --> 00:31:13,760 Speaker 2: she is a healthy diabetic who just has diabetes, we replace. 504 00:31:13,840 --> 00:31:16,040 Speaker 2: We would replace her hormones the same way that we 505 00:31:16,160 --> 00:31:20,040 Speaker 2: would replace anybody's hormones. If she has active heart disease 506 00:31:20,720 --> 00:31:24,520 Speaker 2: or has other complications related to her diabetes, then it 507 00:31:24,520 --> 00:31:32,880 Speaker 2: may become more complicated and more nuanced. Interesting, But I mean, yeah, 508 00:31:33,320 --> 00:31:36,720 Speaker 2: I mean it gets so when people have other medical problems, 509 00:31:36,760 --> 00:31:39,240 Speaker 2: then we have to deal each of those has to 510 00:31:39,280 --> 00:31:43,920 Speaker 2: become a thing and come into the discussion. 511 00:31:44,600 --> 00:31:46,160 Speaker 1: I never believed my dad, you know, with. 512 00:31:46,120 --> 00:31:51,800 Speaker 2: Your dad, with your dad, he has typed one diabetes, right, 513 00:31:51,840 --> 00:31:54,240 Speaker 2: so he is a very unique person. But you would 514 00:31:54,280 --> 00:31:57,480 Speaker 2: never think to not replace his insulin right like he has. 515 00:31:57,600 --> 00:32:00,240 Speaker 2: He stopped making insulin when he was twenty years thirty 516 00:32:00,280 --> 00:32:04,000 Speaker 2: years old, and you would never not replace his insulin. 517 00:32:06,760 --> 00:32:08,960 Speaker 1: I never believed my dad would live to be eighty 518 00:32:09,000 --> 00:32:16,560 Speaker 1: five years old. I am excited and thrilled to see 519 00:32:16,720 --> 00:32:19,800 Speaker 1: how he has been able to enjoy so many years 520 00:32:20,360 --> 00:32:23,840 Speaker 1: because of his own self discipline, frankly, but because of 521 00:32:23,920 --> 00:32:26,880 Speaker 1: medical advancements, and so I think it's important to remember 522 00:32:26,960 --> 00:32:31,840 Speaker 1: as as rfks in front of the Senate talking about 523 00:32:32,880 --> 00:32:35,560 Speaker 1: you know, I'm an anti vacciner. I don't ask you 524 00:32:35,600 --> 00:32:38,000 Speaker 1: to speak to that, but I'm an anti vacciner. I'm 525 00:32:38,000 --> 00:32:41,760 Speaker 1: an anti big farmer person, I'm an anti lot of 526 00:32:41,800 --> 00:32:46,120 Speaker 1: the craziness. But there are so many good people out there, 527 00:32:46,120 --> 00:32:49,680 Speaker 1: folks like this woman we're talking to, who are passionate 528 00:32:50,360 --> 00:32:53,640 Speaker 1: about treating you and healing you and helping you be happy, 529 00:32:53,960 --> 00:32:59,000 Speaker 1: who are respectful of your opinions, who are respectful of 530 00:32:59,040 --> 00:33:02,560 Speaker 1: your boundary, respectful of your choices, whether you take the 531 00:33:02,600 --> 00:33:06,280 Speaker 1: shot or not. That's how medicine should be practiced, by 532 00:33:06,320 --> 00:33:09,760 Speaker 1: people who respect you, care about you, and are knowledgeable 533 00:33:09,800 --> 00:33:13,120 Speaker 1: about their subjects. Because remember, the doctor is not God, 534 00:33:13,360 --> 00:33:15,160 Speaker 1: and the doctor is not the god of you, and 535 00:33:15,320 --> 00:33:18,760 Speaker 1: you are. It is your life and your choices. Doctor 536 00:33:18,760 --> 00:33:21,080 Speaker 1: au Davis, thank you so much for being our guests. 537 00:33:21,120 --> 00:33:22,480 Speaker 1: I really really appreciate it.