1 00:00:00,400 --> 00:00:15,600 Speaker 1: Hey, everyone, it's Sophia. Welcome to work in progress. Welcome 2 00:00:15,640 --> 00:00:18,639 Speaker 1: back to work in progress friends. Today we are joined 3 00:00:18,760 --> 00:00:21,960 Speaker 1: by a doctor who I am just so inspired by 4 00:00:22,040 --> 00:00:26,160 Speaker 1: because she's managing to make very complex science that affects 5 00:00:26,200 --> 00:00:30,080 Speaker 1: all of us ladies feel like something we can tackle together. 6 00:00:30,960 --> 00:00:34,199 Speaker 1: By twenty thirty, more than a billion women worldwide will 7 00:00:34,240 --> 00:00:38,640 Speaker 1: be postmenopausal. Yet for most of modern medicine, menopause has 8 00:00:38,680 --> 00:00:41,839 Speaker 1: been treated like an afterthought. Women struggle with symptoms from 9 00:00:41,880 --> 00:00:46,160 Speaker 1: sleep disruption and brain fog to metabolic shifts and cardiovascular risk. 10 00:00:46,640 --> 00:00:50,160 Speaker 1: Yet most doctors receive little to no training in menopause care, 11 00:00:50,440 --> 00:00:54,360 Speaker 1: leaving millions of us to navigate this transition with limited 12 00:00:54,440 --> 00:00:58,080 Speaker 1: or no guidance. And while you might not be in menopause, 13 00:00:58,720 --> 00:01:01,320 Speaker 1: are you in perimenopause? Do you know? Do any of 14 00:01:01,400 --> 00:01:01,720 Speaker 1: us know? 15 00:01:01,840 --> 00:01:02,480 Speaker 2: How do we know? 16 00:01:02,920 --> 00:01:06,880 Speaker 1: Nobody tells us anything, but doctor Mary Claire Haver is 17 00:01:06,920 --> 00:01:11,080 Speaker 1: here to help tell us what we need to know. Indeed, 18 00:01:11,640 --> 00:01:13,959 Speaker 1: she's among a group of physicians that is really working 19 00:01:14,000 --> 00:01:16,679 Speaker 1: to change our experience with this part of life that 20 00:01:16,800 --> 00:01:19,800 Speaker 1: all of us go through. She's a board certified obgyn, 21 00:01:19,840 --> 00:01:23,120 Speaker 1: She's a certified menopause practitioner, and she has become one 22 00:01:23,160 --> 00:01:26,720 Speaker 1: of the most widely followed educators in midlife women's health. 23 00:01:27,280 --> 00:01:31,120 Speaker 1: Her best selling book, The New Menopause ignited a broader 24 00:01:31,200 --> 00:01:34,800 Speaker 1: public conversation about this stage of life, and its follow up, 25 00:01:35,040 --> 00:01:39,640 Speaker 1: Her latest, The New Perimenopause, turns attention to the earlier, 26 00:01:40,160 --> 00:01:45,720 Speaker 1: least understood, and most disruptive phase of the transition. Fun fact, 27 00:01:45,920 --> 00:01:49,960 Speaker 1: she also was involved in producing Balance with our work 28 00:01:49,960 --> 00:01:52,680 Speaker 1: in progress. Friend Jeanie May, who you heard from earlier 29 00:01:52,720 --> 00:01:56,440 Speaker 1: this year, We're going to talk all things women's health, 30 00:01:56,600 --> 00:01:59,000 Speaker 1: how we take care of ourselves, how we even know 31 00:01:59,080 --> 00:02:02,520 Speaker 1: where to start, and what she's learned along the way. 32 00:02:02,720 --> 00:02:16,720 Speaker 1: Doctor Mary Claire Haveer is here with us. I'm just 33 00:02:16,760 --> 00:02:19,680 Speaker 1: so excited that you're here. We got a little bit 34 00:02:19,680 --> 00:02:22,560 Speaker 1: of time together. I can't believe it's almost been a 35 00:02:22,639 --> 00:02:26,200 Speaker 1: year and a half and a half at it would 36 00:02:26,200 --> 00:02:30,400 Speaker 1: have been the twenty twenty four Big Live Hello Sunshine event, 37 00:02:30,840 --> 00:02:33,480 Speaker 1: and you came to speak to all these women about 38 00:02:34,600 --> 00:02:38,160 Speaker 1: kind of the wild west of our bodies. Right, Like, 39 00:02:38,960 --> 00:02:41,400 Speaker 1: we're fifty one percent of the population on Earth, but 40 00:02:41,480 --> 00:02:44,119 Speaker 1: for some reason we barely get studied. We don't get 41 00:02:44,160 --> 00:02:48,440 Speaker 1: many medical research dollars, and we all hit a point 42 00:02:48,440 --> 00:02:53,000 Speaker 1: in life, whether it's pre or postpartum, or pre or 43 00:02:53,160 --> 00:02:57,760 Speaker 1: during menopause, where doctors basically say, oh, that's just part 44 00:02:57,760 --> 00:03:02,360 Speaker 1: of aging as a woman. Meanwhile, the men don't have 45 00:03:02,440 --> 00:03:06,000 Speaker 1: to do that. So I'm just so excited that you 46 00:03:06,080 --> 00:03:10,359 Speaker 1: are here to talk us through some of this before 47 00:03:10,400 --> 00:03:14,680 Speaker 1: we jump into you know, present day and your history 48 00:03:14,720 --> 00:03:17,880 Speaker 1: as a doctor. Though, I want to go back in 49 00:03:17,960 --> 00:03:22,840 Speaker 1: time a little bit because particularly, I think so many 50 00:03:22,840 --> 00:03:25,480 Speaker 1: of the guests on the show are these impressive people 51 00:03:25,520 --> 00:03:29,800 Speaker 1: with these impressive careers, and so many women and especially 52 00:03:29,840 --> 00:03:32,720 Speaker 1: young women I interact with, are wondering how to know 53 00:03:33,720 --> 00:03:36,280 Speaker 1: what they're destined for or if they're on the right path. 54 00:03:36,360 --> 00:03:38,560 Speaker 1: So I always like to ask the impressive women I 55 00:03:38,600 --> 00:03:41,400 Speaker 1: sit with, if you got to go back in time 56 00:03:41,520 --> 00:03:46,760 Speaker 1: and interact with your younger self, you know, little you 57 00:03:46,840 --> 00:03:50,240 Speaker 1: at eight or nine or ten years old, would you see, 58 00:03:50,480 --> 00:03:52,640 Speaker 1: like would you see aspects of the woman you are 59 00:03:52,680 --> 00:03:56,840 Speaker 1: today in her? Do you think she'd recognize herself in you? No? 60 00:03:56,840 --> 00:03:58,559 Speaker 2: No, not at all. 61 00:03:58,680 --> 00:04:02,000 Speaker 3: No. I was brought up in South Louisiana. I'm one 62 00:04:02,040 --> 00:04:05,120 Speaker 3: of eight kids, and my mom and. 63 00:04:05,160 --> 00:04:08,600 Speaker 2: Dad are great. I love them. However, they just wanted 64 00:04:08,600 --> 00:04:09,680 Speaker 2: me to marry well, like. 65 00:04:09,600 --> 00:04:12,320 Speaker 3: That was the and I did, so, you know, I 66 00:04:12,360 --> 00:04:16,039 Speaker 3: did hit the marriage lottery. But like they weren't concerned 67 00:04:16,040 --> 00:04:18,599 Speaker 3: about me having a career or going to college. I 68 00:04:18,640 --> 00:04:21,240 Speaker 3: mean my mother went for a year for secretarial science 69 00:04:21,279 --> 00:04:23,880 Speaker 3: at eighteen, met my dad got married at nineteen, you know, 70 00:04:24,200 --> 00:04:27,680 Speaker 3: and they just kind of felt like that would be 71 00:04:27,720 --> 00:04:28,440 Speaker 3: a path for me. 72 00:04:28,480 --> 00:04:29,840 Speaker 2: I mean, my dad was like. 73 00:04:30,720 --> 00:04:35,159 Speaker 3: She's pretty, so she'll be okay, you know, like and 74 00:04:34,920 --> 00:04:37,799 Speaker 3: not not till like not. My parents, like they supported 75 00:04:37,839 --> 00:04:40,599 Speaker 3: me studying, going to college and everything, but it was 76 00:04:40,680 --> 00:04:45,039 Speaker 3: like marking time until I met my husband, so you know, 77 00:04:45,080 --> 00:04:47,800 Speaker 3: and going to college would give me a chance to 78 00:04:48,279 --> 00:04:51,839 Speaker 3: meet a person who also went to college, who you know, 79 00:04:52,160 --> 00:04:53,720 Speaker 3: take care of me for the rest of my life. 80 00:04:53,760 --> 00:04:58,479 Speaker 2: So that just wasn't in their realm of thought, you know. 81 00:04:59,000 --> 00:05:01,720 Speaker 3: Wow. And so eight year old Mary Claire, nine year 82 00:05:01,720 --> 00:05:05,720 Speaker 3: old Mary Claire wanted to be a ballerina or a 83 00:05:05,800 --> 00:05:09,080 Speaker 3: cheerleader or an actress, you know. And so I kind 84 00:05:09,080 --> 00:05:12,080 Speaker 3: of thought about nursing somewhere down the line because one 85 00:05:12,080 --> 00:05:15,040 Speaker 3: of my aunts was a nurse. But it just that 86 00:05:15,360 --> 00:05:18,160 Speaker 3: wasn't I wasn't smart like I did not like blow 87 00:05:18,160 --> 00:05:20,200 Speaker 3: the top off a high school. I was an average student. 88 00:05:20,240 --> 00:05:22,760 Speaker 3: I never applied myself. I showed up, you know. I 89 00:05:22,839 --> 00:05:26,479 Speaker 3: was into drama and cheer you know, yeah, for extra 90 00:05:26,880 --> 00:05:30,719 Speaker 3: curricular activities. I was not an athlete. And then my 91 00:05:30,800 --> 00:05:34,520 Speaker 3: parents went through bankruptcy right around my senior year. 92 00:05:34,520 --> 00:05:35,760 Speaker 2: Of high school. 93 00:05:36,360 --> 00:05:38,240 Speaker 3: They had to move to another state to try to 94 00:05:38,279 --> 00:05:39,240 Speaker 3: start a new business. 95 00:05:39,480 --> 00:05:40,640 Speaker 2: Everything got disrupted. 96 00:05:40,640 --> 00:05:44,440 Speaker 3: And that is when, like the lightning bolt of you 97 00:05:44,520 --> 00:05:45,680 Speaker 3: have to figure this out. 98 00:05:45,480 --> 00:05:48,520 Speaker 2: Like no one's coming to save you. And that's when 99 00:05:48,560 --> 00:05:49,760 Speaker 2: I went. 100 00:05:49,560 --> 00:05:53,039 Speaker 3: To college, you know, totally at the local college in 101 00:05:53,080 --> 00:05:55,640 Speaker 3: the town I grew up in, walked to school, didn't 102 00:05:55,640 --> 00:05:58,160 Speaker 3: have a car, and just really buckled down and applied 103 00:05:58,160 --> 00:06:03,440 Speaker 3: myself and lo and behold, I was smart. Yeah, I 104 00:06:03,440 --> 00:06:05,360 Speaker 3: mean I make good grades. If I apply myself, I'd 105 00:06:05,360 --> 00:06:05,719 Speaker 3: get an A. 106 00:06:06,160 --> 00:06:07,440 Speaker 2: And I was like, this is cool. 107 00:06:07,480 --> 00:06:09,640 Speaker 3: So, you know, all those dopamine hits, I just kept 108 00:06:09,720 --> 00:06:10,960 Speaker 3: chasing the good grades. 109 00:06:11,920 --> 00:06:15,720 Speaker 1: I think that's so interesting because and look, the social 110 00:06:15,760 --> 00:06:18,880 Speaker 1: aspect of school is great. I did all of it too, 111 00:06:18,920 --> 00:06:23,000 Speaker 1: and loved it. But isn't it funny that women have 112 00:06:23,200 --> 00:06:27,240 Speaker 1: been historically encouraged to like go make friends go be popular, 113 00:06:27,520 --> 00:06:30,240 Speaker 1: Like you said, go find a really good guy, and 114 00:06:30,279 --> 00:06:32,760 Speaker 1: the guys are supposed to be popular and get good 115 00:06:32,800 --> 00:06:36,880 Speaker 1: grades and pursue a career. You know, yes, find the 116 00:06:36,960 --> 00:06:40,160 Speaker 1: right partner, but you better start a business. And it 117 00:06:40,240 --> 00:06:45,760 Speaker 1: really does feel like our sort of peer group has 118 00:06:46,440 --> 00:06:49,000 Speaker 1: been the sort of generation or two generations that have 119 00:06:49,080 --> 00:06:54,760 Speaker 1: been shifting that when you went from you know, starting college, 120 00:06:55,040 --> 00:06:59,080 Speaker 1: local school, walking to school, as you said, when was 121 00:06:59,120 --> 00:07:01,440 Speaker 1: that LSU or did you transfer to LSU. 122 00:07:01,640 --> 00:07:02,000 Speaker 2: No, it was. 123 00:07:02,160 --> 00:07:05,320 Speaker 3: It was called USL at the time, so it was 124 00:07:05,360 --> 00:07:08,480 Speaker 3: in Lafayette, Louisiana. It's now ULL, so they've changed the 125 00:07:08,560 --> 00:07:11,440 Speaker 3: name University of Louisiana Lafayette. Most people know them as 126 00:07:11,480 --> 00:07:14,800 Speaker 3: the Ranging Cajuns because we have a really unique mascot. 127 00:07:14,880 --> 00:07:17,640 Speaker 3: So it's actually the second biggest university in Louisiana. It 128 00:07:17,760 --> 00:07:20,040 Speaker 3: just happened to be a mile from my house, you know, 129 00:07:20,080 --> 00:07:23,520 Speaker 3: where I was living, so and I had a great 130 00:07:23,640 --> 00:07:28,040 Speaker 3: experience there, like my undergradus Geology. Eventually I changed three 131 00:07:28,160 --> 00:07:31,560 Speaker 3: or four times, but I graduated in geology and went 132 00:07:31,600 --> 00:07:33,080 Speaker 3: to work for an oil company for a year and 133 00:07:33,160 --> 00:07:35,800 Speaker 3: a half before I met my husband, and then went 134 00:07:35,840 --> 00:07:37,720 Speaker 3: to medical school at LSU after that? 135 00:07:38,080 --> 00:07:41,640 Speaker 1: Wow, So what was it? As you say, you know, 136 00:07:41,680 --> 00:07:44,360 Speaker 1: it's a series of light bulb moments, right, like nobody's 137 00:07:44,400 --> 00:07:48,080 Speaker 1: coming to save you. You know you can, yes, you 138 00:07:48,080 --> 00:07:50,240 Speaker 1: can eventually marry well as you did, but you also 139 00:07:50,400 --> 00:07:52,559 Speaker 1: kind of have to embody share and be like, mom, 140 00:07:52,600 --> 00:07:53,680 Speaker 1: I am a rich man. 141 00:07:53,960 --> 00:07:57,240 Speaker 2: Yeah, exactly, you got to be the one. I've got this. 142 00:07:57,680 --> 00:08:03,160 Speaker 1: So what was it that shifted you to obstetrics and guynecology? Like, 143 00:08:03,200 --> 00:08:04,239 Speaker 1: how about that happen? 144 00:08:04,720 --> 00:08:09,800 Speaker 3: I started working so, you know, like I was working 145 00:08:10,080 --> 00:08:13,400 Speaker 3: part time for oil companies as an undergrad because of 146 00:08:13,440 --> 00:08:17,520 Speaker 3: my degree path, and so I was getting a taste 147 00:08:17,600 --> 00:08:19,880 Speaker 3: of what life would be like after and I was 148 00:08:19,880 --> 00:08:22,880 Speaker 3: coming to the realization of I don't think I want 149 00:08:22,920 --> 00:08:24,880 Speaker 3: to do this long term, but I'm kind of stuck 150 00:08:24,880 --> 00:08:26,640 Speaker 3: in this path and I'm very close, and I have 151 00:08:26,680 --> 00:08:30,320 Speaker 3: all these scholarships like, let me just get the degree and. 152 00:08:30,240 --> 00:08:31,480 Speaker 2: Figure this out. And so. 153 00:08:33,080 --> 00:08:37,720 Speaker 3: I graduated, got a scholarship to go study geology. 154 00:08:37,480 --> 00:08:38,920 Speaker 2: For a semester in New Zealand. 155 00:08:39,000 --> 00:08:41,120 Speaker 3: So it kind of pulled me away from everybody and 156 00:08:41,200 --> 00:08:44,760 Speaker 3: expectations and I had this incredible adventure in New Zealand 157 00:08:44,800 --> 00:08:46,200 Speaker 3: And while I was down there. 158 00:08:46,440 --> 00:08:49,560 Speaker 2: That was my like, I don't want to do this forever. 159 00:08:49,760 --> 00:08:50,600 Speaker 2: Like this was cool. 160 00:08:50,679 --> 00:08:53,960 Speaker 3: I love the math and the science and the you know, 161 00:08:54,040 --> 00:08:55,800 Speaker 3: I loved the rocks, but I don't want this to. 162 00:08:55,679 --> 00:08:56,320 Speaker 2: Be my career. 163 00:08:56,600 --> 00:08:59,839 Speaker 3: And so my host's family were all doctors and they 164 00:08:59,840 --> 00:09:02,840 Speaker 3: were like, you should think about medicine with their New 165 00:09:02,920 --> 00:09:06,240 Speaker 3: Zealand accent, keep we accent. And I was like really 166 00:09:06,320 --> 00:09:09,320 Speaker 3: and they're like, well, you're obviously can do math and 167 00:09:09,360 --> 00:09:11,640 Speaker 3: science like this is you know, does it interest you? 168 00:09:11,679 --> 00:09:13,840 Speaker 2: I'm like, yeah, it always kind of has. And they're like, 169 00:09:13,920 --> 00:09:14,240 Speaker 2: take the. 170 00:09:14,280 --> 00:09:17,840 Speaker 3: MCAT, see what happens. And so I went, but you know, 171 00:09:17,920 --> 00:09:20,160 Speaker 3: finished that, went back to the US. I was going 172 00:09:20,240 --> 00:09:23,160 Speaker 3: to start a PhD in geology, turned that down, went 173 00:09:23,240 --> 00:09:26,040 Speaker 3: to work because I had to eat. Wow, and you know, 174 00:09:26,200 --> 00:09:28,319 Speaker 3: was meeting my husband while I was taking the MCAT 175 00:09:28,320 --> 00:09:30,520 Speaker 3: and applying to medical school all of the same. Wow. 176 00:09:31,600 --> 00:09:35,880 Speaker 1: What a trip. So okay, we fast forward and you're 177 00:09:35,920 --> 00:09:37,640 Speaker 1: in the OBG world. 178 00:09:38,520 --> 00:09:41,240 Speaker 2: Yeah, do do you? 179 00:09:43,440 --> 00:09:47,320 Speaker 1: Was there a particular patient experience, like a pattern that 180 00:09:47,360 --> 00:09:51,520 Speaker 1: you kept seeing that made you realize something important was overlooked? 181 00:09:51,760 --> 00:09:56,559 Speaker 3: Yes, but it wasn't until much later. And so I 182 00:09:56,600 --> 00:09:59,160 Speaker 3: had imposter syndrome. I probably still have it, right, we 183 00:09:59,280 --> 00:10:02,320 Speaker 3: I think we all. I was in medical school waiting 184 00:10:02,320 --> 00:10:04,319 Speaker 3: to be tapped on the shoulder to say we've made 185 00:10:04,320 --> 00:10:07,360 Speaker 3: a mistake. You know, you shouldn't actually been here. So 186 00:10:07,480 --> 00:10:10,240 Speaker 3: I was like, and even in my residency, I was 187 00:10:10,280 --> 00:10:10,960 Speaker 3: a yes girl. 188 00:10:11,040 --> 00:10:12,080 Speaker 2: I did everything right. 189 00:10:12,160 --> 00:10:14,960 Speaker 3: I blew the top off my boards, I won a ward, 190 00:10:15,000 --> 00:10:17,440 Speaker 3: you know, I was like, yes, yes, yes, yes, yes, 191 00:10:18,559 --> 00:10:21,880 Speaker 3: just going flat out. Would never question the system, never, 192 00:10:22,320 --> 00:10:26,920 Speaker 3: Like I wasn't that girl. And so it took getting out, 193 00:10:27,000 --> 00:10:28,840 Speaker 3: going into clinical practice. 194 00:10:28,440 --> 00:10:31,160 Speaker 2: And really getting to know my patients, you know. 195 00:10:31,280 --> 00:10:33,960 Speaker 3: So I was so fortunate to work in a small 196 00:10:34,000 --> 00:10:36,600 Speaker 3: town with a huge medical center, and so many of 197 00:10:36,600 --> 00:10:39,559 Speaker 3: my patients were my friends, my neighbors, my mom group friends. 198 00:10:39,600 --> 00:10:41,880 Speaker 3: We ran marathons, we had you know, wine nights we 199 00:10:41,960 --> 00:10:45,760 Speaker 3: had and then like all of the researchers at the 200 00:10:45,840 --> 00:10:50,079 Speaker 3: university were my patients too. So I'm I know these women, 201 00:10:50,160 --> 00:10:52,600 Speaker 3: I know their lifestyles. I know, and all of a sudden, 202 00:10:52,880 --> 00:10:56,040 Speaker 3: we're we're aging together. We had babies together, and then 203 00:10:56,040 --> 00:10:59,480 Speaker 3: we're raising kids together, and now we're going through perimenopause together, 204 00:11:00,240 --> 00:11:03,560 Speaker 3: and like the wheels are coming off the bus for 205 00:11:03,720 --> 00:11:07,240 Speaker 3: all of these women, almost all of them. And that's 206 00:11:07,280 --> 00:11:10,120 Speaker 3: when the pattern recognition started, like something's not right, something's 207 00:11:10,160 --> 00:11:13,199 Speaker 3: not right, something's not right. And I because I know them, 208 00:11:13,240 --> 00:11:16,920 Speaker 3: I know their habits, i know the intimacies of their lives. 209 00:11:16,920 --> 00:11:18,640 Speaker 3: I've been taking care of these women for ten fifteen 210 00:11:18,679 --> 00:11:23,480 Speaker 3: years now, and something is external to her, you know 211 00:11:23,679 --> 00:11:27,040 Speaker 3: what actually was internal but like not everyone's going nuts 212 00:11:27,080 --> 00:11:29,960 Speaker 3: at the same time, you know, right, And these were 213 00:11:30,040 --> 00:11:33,040 Speaker 3: women who had built incredible lives, complicated lives, but they 214 00:11:33,080 --> 00:11:35,959 Speaker 3: were managing them right. And then all of a sudden 215 00:11:35,960 --> 00:11:38,320 Speaker 3: they'd lost their resilience. So that's when and then it 216 00:11:38,320 --> 00:11:40,640 Speaker 3: happened to me. And so that's when I was like, 217 00:11:41,160 --> 00:11:44,520 Speaker 3: lightning bolt, something's going on. We're not doing this right. 218 00:11:45,160 --> 00:11:48,199 Speaker 3: And I started doing deeper dives into the science and 219 00:11:48,280 --> 00:11:51,560 Speaker 3: literature and realize there's data out there, but no one's 220 00:11:51,600 --> 00:11:53,720 Speaker 3: connecting the dots right well. 221 00:11:53,840 --> 00:11:56,200 Speaker 1: And one of the things I've learned from folks like 222 00:11:56,240 --> 00:11:58,960 Speaker 1: you and other friends of mine in the world of 223 00:11:59,040 --> 00:12:04,000 Speaker 1: sciences is and there is so little training in medical 224 00:12:04,040 --> 00:12:10,160 Speaker 1: school about women's health and this time in life specifically. Yes, 225 00:12:10,520 --> 00:12:14,600 Speaker 1: And so in a way, you as a doctor have 226 00:12:14,679 --> 00:12:18,160 Speaker 1: to be a figurative fisherman, like you've got to go 227 00:12:18,200 --> 00:12:20,560 Speaker 1: out and catch all the fish and then look at 228 00:12:20,640 --> 00:12:23,560 Speaker 1: them yourself. And it's like, well, if we know this 229 00:12:23,600 --> 00:12:25,800 Speaker 1: is the pattern, why isn't it in the books, Like 230 00:12:26,120 --> 00:12:28,720 Speaker 1: why aren't we teaching everyone this stuff? 231 00:12:28,920 --> 00:12:30,360 Speaker 2: So that's a great question. 232 00:12:30,720 --> 00:12:35,240 Speaker 3: Not only are we not teaching the biologic predictability of 233 00:12:35,280 --> 00:12:39,360 Speaker 3: what's happening with this massive hormonal change, we're also we're 234 00:12:39,400 --> 00:12:41,920 Speaker 3: taught that women tend to be a little bit crazy, 235 00:12:42,360 --> 00:12:44,440 Speaker 3: you know, it's all in her head. They tend to 236 00:12:44,440 --> 00:12:47,400 Speaker 3: tomaticize psychological conditions. 237 00:12:48,440 --> 00:12:49,920 Speaker 2: Though it's a double edged sword. 238 00:12:50,000 --> 00:12:52,959 Speaker 3: We're not teaching the actual biological truth, and then we're 239 00:12:53,000 --> 00:12:55,000 Speaker 3: filling in that gap with well, you know. 240 00:12:55,000 --> 00:12:57,160 Speaker 2: This is just what women do at this age. You know, 241 00:12:57,200 --> 00:12:58,000 Speaker 2: she's a little crazy. 242 00:12:58,440 --> 00:13:00,320 Speaker 3: I mean, I laugh and call it the just be 243 00:13:00,360 --> 00:13:02,920 Speaker 3: crazy school of medicine. I stole that from Elizabeth Cohen. 244 00:13:03,240 --> 00:13:06,120 Speaker 2: But I love that, you know, like, you know, she's 245 00:13:06,120 --> 00:13:08,120 Speaker 2: a little crazy, this is just her time, you know. 246 00:13:08,960 --> 00:13:11,720 Speaker 1: I don't think it's a coincidence though, that as women 247 00:13:12,160 --> 00:13:17,840 Speaker 1: get wiser, much more independent, much more capable of saying no, 248 00:13:18,160 --> 00:13:20,600 Speaker 1: when we've been reared our whole lives in existence to 249 00:13:20,640 --> 00:13:23,480 Speaker 1: say yes. That that's when they start to tell us 250 00:13:23,480 --> 00:13:25,960 Speaker 1: we're crazy. And that's when they start to tell us 251 00:13:26,280 --> 00:13:29,800 Speaker 1: we've we're out of our prime, or we're not hot anymore. 252 00:13:29,840 --> 00:13:31,640 Speaker 1: Like I look at the fifty year old women in 253 00:13:31,679 --> 00:13:35,079 Speaker 1: my life, and they're so hot and so smart and 254 00:13:35,160 --> 00:13:38,480 Speaker 1: so successful and so chic. I'm just like, speed up 255 00:13:38,480 --> 00:13:42,319 Speaker 1: my clock. I'm ready to get there. And I realized 256 00:13:42,360 --> 00:13:45,440 Speaker 1: this whole societal thing is such a lie. And the 257 00:13:45,600 --> 00:13:49,320 Speaker 1: lie coincides with a medical shift that they can dismiss 258 00:13:49,440 --> 00:13:49,800 Speaker 1: us for. 259 00:13:50,679 --> 00:13:55,480 Speaker 3: One of the most beautiful things I feel about the 260 00:13:55,480 --> 00:14:00,520 Speaker 3: menopause transition is that women suddenly are able to peel 261 00:14:00,640 --> 00:14:04,800 Speaker 3: back and focus on themselves, like they're giving themselves permission 262 00:14:04,800 --> 00:14:08,160 Speaker 3: and agency to prioritize themselves first because they have to, 263 00:14:08,760 --> 00:14:12,679 Speaker 3: right because no one's coming to save them. And then 264 00:14:13,040 --> 00:14:15,319 Speaker 3: when you see that work for them, and then they 265 00:14:15,360 --> 00:14:18,800 Speaker 3: step into who they're meant to be instead of this 266 00:14:18,880 --> 00:14:22,000 Speaker 3: person who's going to serve everyone else that they're like 267 00:14:22,120 --> 00:14:25,400 Speaker 3: in like, what do I need? What is my priority? 268 00:14:25,400 --> 00:14:28,360 Speaker 3: How am I going to be happy? It's the most 269 00:14:28,360 --> 00:14:29,040 Speaker 3: incredible thing. 270 00:14:29,520 --> 00:14:31,480 Speaker 1: And now a word from our sponsors who make the 271 00:14:31,560 --> 00:14:44,920 Speaker 1: show possible. The shift I'm seeing in all the women 272 00:14:44,960 --> 00:14:48,600 Speaker 1: I know in their forties and fifties is incredible. I'm 273 00:14:48,640 --> 00:14:53,120 Speaker 1: curious for you, you know, as an actual doctor. You 274 00:14:53,120 --> 00:14:55,360 Speaker 1: know we're all out here watching it happen, but you 275 00:14:56,040 --> 00:14:59,920 Speaker 1: know specifically what's happening. When you started to dig into 276 00:15:00,080 --> 00:15:05,080 Speaker 1: to the science, what surprised you the most about what 277 00:15:05,240 --> 00:15:07,800 Speaker 1: was known and what still wasn't. 278 00:15:08,640 --> 00:15:12,480 Speaker 3: So that there were estrogen receptors throughout the body. Like 279 00:15:12,520 --> 00:15:15,520 Speaker 3: I had a pretty good idea of hot flashes, I 280 00:15:15,520 --> 00:15:19,000 Speaker 3: didn't actually understand the neurocinum receptor and kispeptin and like 281 00:15:19,080 --> 00:15:21,280 Speaker 3: now they've mapped out why we have hot flashes. But 282 00:15:21,960 --> 00:15:28,040 Speaker 3: I was taught that women would do to menopause, okay, 283 00:15:28,080 --> 00:15:30,720 Speaker 3: not just due to aging, have hot flashes and have 284 00:15:30,800 --> 00:15:33,960 Speaker 3: cycle disruptions which might be heavy periods, and their generally 285 00:15:34,040 --> 00:15:38,200 Speaker 3: urinary system would take a hit. Nothing about their skin 286 00:15:39,520 --> 00:15:43,800 Speaker 3: and this osteoporosis, yes, but nothing about their muscles, their joints, 287 00:15:44,000 --> 00:15:47,800 Speaker 3: their skin, the itchy ears, their mental healthy, incredible and 288 00:15:48,000 --> 00:15:51,920 Speaker 3: er mental health takes the brain fog, these sleep disruptions 289 00:15:51,960 --> 00:15:56,600 Speaker 3: like that was all external to menopause. And when I 290 00:15:56,680 --> 00:16:00,240 Speaker 3: saw the paper where they mapped the estrogen receptors, the 291 00:16:00,280 --> 00:16:04,320 Speaker 3: G coupled discs receptors throughout the body. I literally like 292 00:16:04,360 --> 00:16:06,640 Speaker 3: sat there and stared at it for an hour and 293 00:16:06,840 --> 00:16:08,880 Speaker 3: was like, how did I not know this? I can't 294 00:16:08,880 --> 00:16:11,800 Speaker 3: tell you how many times I have found a paper, 295 00:16:11,960 --> 00:16:14,840 Speaker 3: found research, found an article, found a graph and thought, 296 00:16:15,640 --> 00:16:18,560 Speaker 3: how did I not know this peri menopause? I thought 297 00:16:19,400 --> 00:16:22,960 Speaker 3: the ovaries went through this gentle decline until they petered 298 00:16:22,960 --> 00:16:26,280 Speaker 3: out at the end. No idea about the zone of chaos. 299 00:16:26,320 --> 00:16:28,720 Speaker 3: And that paper was published in nineteen ninety six. 300 00:16:29,360 --> 00:16:33,200 Speaker 1: No, oh, my goodness, Okay, can you can you walk 301 00:16:33,240 --> 00:16:36,160 Speaker 1: our friends at home through this? Because for our people 302 00:16:37,000 --> 00:16:39,400 Speaker 1: and I'm going to really pick your brain on the 303 00:16:39,520 --> 00:16:44,040 Speaker 1: latest book later, but for our friends at home, doctor 304 00:16:44,080 --> 00:16:47,800 Speaker 1: Mary Claire has written an incredible book. Their first is 305 00:16:47,840 --> 00:16:50,960 Speaker 1: The New Menopause, which I think really opened up a 306 00:16:50,960 --> 00:16:54,760 Speaker 1: lot of eyes. And the second book, I'm so excited 307 00:16:54,800 --> 00:16:57,840 Speaker 1: because I got a coffee too, is The New peri Menopause. 308 00:16:58,520 --> 00:17:03,720 Speaker 1: And to your point, it seems like perimenopause is the 309 00:17:03,720 --> 00:17:08,280 Speaker 1: word you hear on everybody's mouth lately, but we haven't 310 00:17:08,359 --> 00:17:11,840 Speaker 1: known a ton about it. And what is this zone 311 00:17:11,880 --> 00:17:15,520 Speaker 1: of chaos? I've heard it described not as the way 312 00:17:15,560 --> 00:17:18,080 Speaker 1: you said it, the idea that it's a steady decline, 313 00:17:18,080 --> 00:17:21,800 Speaker 1: but it's more of a cliff that really disrupts our bodies. 314 00:17:21,880 --> 00:17:24,480 Speaker 1: Is that accurate? Do you have a better way to 315 00:17:24,520 --> 00:17:24,800 Speaker 1: put it? 316 00:17:24,840 --> 00:17:29,240 Speaker 2: For us, it's more of fluctuation. So let me explain. 317 00:17:30,000 --> 00:17:33,439 Speaker 3: Let's go back to premenopause, before menopause enters the chat okay, 318 00:17:33,440 --> 00:17:36,320 Speaker 3: and a normal, healthy woman who has regular cycles. 319 00:17:36,320 --> 00:17:37,640 Speaker 2: So that's about eighty percent of us. 320 00:17:37,760 --> 00:17:44,080 Speaker 3: Right. Your opulation is driven by your brain, not your ovaries. 321 00:17:44,119 --> 00:17:47,040 Speaker 3: The ovaries do not act autonomously unless there's a tumor 322 00:17:47,160 --> 00:17:49,960 Speaker 3: or something. Okay, thoas just sit there and wait for instructions. 323 00:17:50,520 --> 00:17:53,320 Speaker 3: We females are born with all of our egg supply. 324 00:17:53,640 --> 00:17:56,679 Speaker 3: So if you're xx and everything's healthy and working like 325 00:17:56,720 --> 00:17:57,560 Speaker 3: plan you're born. 326 00:17:57,720 --> 00:17:58,480 Speaker 2: By the time you're. 327 00:17:58,320 --> 00:18:01,040 Speaker 3: Born, you've got one to two million eggs, okay, that 328 00:18:01,240 --> 00:18:04,320 Speaker 3: is your set for life, and then you are going 329 00:18:04,359 --> 00:18:07,040 Speaker 3: to lose them all the way through puberty through a 330 00:18:07,080 --> 00:18:09,560 Speaker 3: process called atresia, and then we're going to start ovulating. 331 00:18:09,600 --> 00:18:10,679 Speaker 2: We'll lose a bunch to the. 332 00:18:10,680 --> 00:18:13,560 Speaker 3: Ovulation process, so by the time we're thirty, we're down 333 00:18:13,600 --> 00:18:16,479 Speaker 3: to about ten percent of our egg supply roughly, and 334 00:18:16,520 --> 00:18:18,760 Speaker 3: by the time we're forty we're down to about three 335 00:18:18,840 --> 00:18:22,679 Speaker 3: percent and menopause full. Menopause represents no more X. Okay, 336 00:18:22,880 --> 00:18:23,960 Speaker 3: so why do we ovulate? 337 00:18:24,560 --> 00:18:25,160 Speaker 2: There is a. 338 00:18:25,160 --> 00:18:28,840 Speaker 3: Command center in our brain called the hypothalmus, and just 339 00:18:28,920 --> 00:18:32,359 Speaker 3: imagine it has a little finger measuring extra diiole, the 340 00:18:32,480 --> 00:18:34,800 Speaker 3: natural estrogen producer, are overas each month. 341 00:18:34,680 --> 00:18:35,600 Speaker 2: That ebbs and flows. 342 00:18:35,720 --> 00:18:38,720 Speaker 3: Right, most women have seen the cycle where we peak 343 00:18:38,840 --> 00:18:41,520 Speaker 3: estrogen mid cycle at ovulation, and then it peters off. 344 00:18:41,920 --> 00:18:45,600 Speaker 3: When that drop off occurs, the brain's like, where's that 345 00:18:45,720 --> 00:18:46,320 Speaker 3: eSTREAM going? 346 00:18:46,880 --> 00:18:49,000 Speaker 2: I need it back, I want it back. 347 00:18:49,320 --> 00:18:51,920 Speaker 3: And so it starts sending signals to a second gland 348 00:18:51,960 --> 00:18:55,359 Speaker 3: called the pituitary, which pumps out something called LH and FSH. 349 00:18:55,520 --> 00:18:59,320 Speaker 3: Those are two hormones that bind to the cells around 350 00:18:59,320 --> 00:19:04,920 Speaker 3: the eggs that produce those sex hormones estrogen toesosterone and progesterone. Okay, so, 351 00:19:05,320 --> 00:19:10,480 Speaker 3: Harry and Meenopause begins when we reach a critical egg 352 00:19:10,640 --> 00:19:15,160 Speaker 3: threshold level. We are down to X amount and that 353 00:19:15,200 --> 00:19:17,639 Speaker 3: the signals coming from the brain don't work as well. 354 00:19:17,880 --> 00:19:21,280 Speaker 3: The ovaries become resistant because there's not enough eggs to respond. 355 00:19:21,359 --> 00:19:24,160 Speaker 3: And recruit enough follicles to make enough hormones. 356 00:19:24,200 --> 00:19:26,880 Speaker 1: Okay, so they're going, oh, oh, I better hold onto this. 357 00:19:27,160 --> 00:19:28,720 Speaker 1: It's like a little stress response. 358 00:19:29,000 --> 00:19:32,840 Speaker 3: So the brain is like, hey, I set the signal, 359 00:19:32,880 --> 00:19:36,119 Speaker 3: where's my estrogen? And the ovaries are like we tried, 360 00:19:36,160 --> 00:19:40,040 Speaker 3: we just can't respond. So the brain flips out starts 361 00:19:40,160 --> 00:19:43,480 Speaker 3: pummeling the ovary with higher and higher levels of stimulating 362 00:19:43,520 --> 00:19:47,120 Speaker 3: hormone until it can force those few eggs left to ovulate. 363 00:19:47,160 --> 00:19:50,200 Speaker 3: So what happens is instead of that beautiful EKG twenty 364 00:19:50,240 --> 00:19:53,480 Speaker 3: eight day, month after month curve and a premenopausal woman, 365 00:19:53,560 --> 00:19:55,720 Speaker 3: you know, on day six you're doing this. On day twelve, 366 00:19:55,800 --> 00:19:58,439 Speaker 3: you're ovulating. On day eighteen, your progesterone's going to go up. 367 00:19:58,480 --> 00:20:01,240 Speaker 3: Like it is so predictable month after a month. Now 368 00:20:01,280 --> 00:20:04,320 Speaker 3: it's like ovulation's delayed. You might have two ovulations in 369 00:20:04,359 --> 00:20:04,880 Speaker 3: a twenty. 370 00:20:04,720 --> 00:20:05,439 Speaker 2: Eight day cycle. 371 00:20:05,560 --> 00:20:08,040 Speaker 3: Progesterone can never keep up. So what used to be 372 00:20:08,160 --> 00:20:11,600 Speaker 3: very predictable looks like chaos. We end up with higher 373 00:20:11,680 --> 00:20:15,000 Speaker 3: estradial levels than we've had outside of pregnancy, you know. 374 00:20:15,080 --> 00:20:17,320 Speaker 2: And so and then they crash and. 375 00:20:17,240 --> 00:20:21,560 Speaker 3: So instead of this beautiful pattern, it's like crazy, crazy, crazy, 376 00:20:21,600 --> 00:20:24,560 Speaker 3: on the way down, like a roller coaster, all the 377 00:20:24,600 --> 00:20:26,280 Speaker 3: way down until we run out of eggs. 378 00:20:26,560 --> 00:20:29,840 Speaker 2: That becomes chaos. You know what doesn't like chaos the 379 00:20:29,960 --> 00:20:33,520 Speaker 2: brain and so our neurotransmitters. 380 00:20:33,920 --> 00:20:36,639 Speaker 3: How we If you look at Lisa Mosconi's work, she 381 00:20:36,840 --> 00:20:40,520 Speaker 3: mapped out extragen receptors and glucosept take and how we 382 00:20:40,600 --> 00:20:43,680 Speaker 3: massively up regulate our eestrogen receptors in at least the 383 00:20:43,720 --> 00:20:46,320 Speaker 3: first ten to fifteen years of perimenopause and menopause because 384 00:20:46,320 --> 00:20:49,480 Speaker 3: the brain is like I have to get estrogen, I 385 00:20:49,520 --> 00:20:54,000 Speaker 3: need more receptors to grab whatever's floating around, and glucose 386 00:20:54,080 --> 00:20:57,200 Speaker 3: uptake really becomes sporadic in the amygdala, where our emotional 387 00:20:57,240 --> 00:21:00,520 Speaker 3: centers are, and also in the frontal lobe where we 388 00:21:00,680 --> 00:21:03,800 Speaker 3: consolidate memories. So that is where the first signs of 389 00:21:03,800 --> 00:21:08,000 Speaker 3: perimenopause typically are. Not cycle of regulation, are not half flashes. 390 00:21:08,840 --> 00:21:13,200 Speaker 3: Are I don't feel like myself, I'm not sleeping, I'm 391 00:21:13,240 --> 00:21:14,959 Speaker 3: having new anxiety and depression. 392 00:21:15,880 --> 00:21:17,080 Speaker 2: I'm having brain though. 393 00:21:17,880 --> 00:21:20,919 Speaker 3: So the brain is the first thing to signal that 394 00:21:20,960 --> 00:21:23,280 Speaker 3: you're going through it. That is what we were never taught, 395 00:21:24,240 --> 00:21:26,560 Speaker 3: that is still not being taught on a regular basis. 396 00:21:26,840 --> 00:21:29,560 Speaker 3: So when women come in and complain of these things, 397 00:21:29,840 --> 00:21:30,600 Speaker 3: no one knows. 398 00:21:30,400 --> 00:21:30,960 Speaker 2: What to do. 399 00:21:31,640 --> 00:21:37,040 Speaker 1: Wow. Wow, I wish they could take portions of your 400 00:21:37,040 --> 00:21:39,640 Speaker 1: book and just insert them into the medical textbooks because 401 00:21:39,720 --> 00:21:42,680 Speaker 1: clearly people need it. Now I'm curious about this. And 402 00:21:43,040 --> 00:21:47,080 Speaker 1: one little side note that makes me kind of giggle, 403 00:21:47,119 --> 00:21:49,920 Speaker 1: you know, because as you said, we get dismissed. Women 404 00:21:49,960 --> 00:21:53,080 Speaker 1: get dismissed as being emotional or a little crazy, or 405 00:21:53,320 --> 00:21:57,000 Speaker 1: how could a woman lead when she's got all these hormones? 406 00:21:57,240 --> 00:22:00,840 Speaker 1: And I remember it's been neat to see some men 407 00:22:00,920 --> 00:22:04,600 Speaker 1: who are doing, you know, your love the women in 408 00:22:04,640 --> 00:22:07,000 Speaker 1: your life better content on the internet. And one guy 409 00:22:07,080 --> 00:22:09,560 Speaker 1: made a video that made me giggle and he said 410 00:22:10,000 --> 00:22:13,480 Speaker 1: what women go through every month for us hormonally would 411 00:22:13,480 --> 00:22:16,440 Speaker 1: be aging one hundred and twenty five years one week 412 00:22:16,440 --> 00:22:18,840 Speaker 1: out of the month every month. Like, if you don't 413 00:22:18,880 --> 00:22:21,840 Speaker 1: think these women have proven that they can lead, like 414 00:22:21,920 --> 00:22:24,119 Speaker 1: we would die, men would die. And it really it 415 00:22:24,160 --> 00:22:25,919 Speaker 1: really made me giggle because I thought, thank you so 416 00:22:26,000 --> 00:22:30,840 Speaker 1: much for acknowledging that my curiosity. Because of what you're 417 00:22:30,840 --> 00:22:34,280 Speaker 1: explaining and what you said earlier, women manage so well, 418 00:22:35,520 --> 00:22:39,840 Speaker 1: you know, we can really carry those full cups of 419 00:22:39,920 --> 00:22:42,480 Speaker 1: water and they might spill a little bit, but we're 420 00:22:42,520 --> 00:22:46,040 Speaker 1: really capable of carrying everybody's stuff. And then to your point, 421 00:22:46,160 --> 00:22:51,480 Speaker 1: this shift happens and suddenly there's more spillage. Yeah, how 422 00:22:52,200 --> 00:22:56,880 Speaker 1: do you recommend women start to take stock? Because, for example, 423 00:22:57,000 --> 00:22:59,239 Speaker 1: you know, I'm curious about this stuff. I was kind 424 00:22:59,280 --> 00:23:01,000 Speaker 1: of like, well, how do I know? And I had 425 00:23:01,000 --> 00:23:02,960 Speaker 1: one doctor say to me, if you're asking if it's 426 00:23:02,960 --> 00:23:05,480 Speaker 1: happening or not yet, it's not happening, because you'd know. 427 00:23:05,680 --> 00:23:08,160 Speaker 1: And I was like, that's the metric, Like, for real, 428 00:23:08,320 --> 00:23:12,040 Speaker 1: that's the metric. So I found a new doctor, started 429 00:23:12,080 --> 00:23:15,360 Speaker 1: doing really regular testing all through my cycle, and it 430 00:23:15,400 --> 00:23:18,640 Speaker 1: turns out my hormones are still in a pretty good pattern. 431 00:23:19,040 --> 00:23:22,000 Speaker 1: They're in a great pattern. And they were like, sorry, 432 00:23:22,040 --> 00:23:25,800 Speaker 1: if you're feeling anxious or your your brain fog is up, 433 00:23:26,000 --> 00:23:28,359 Speaker 1: it might just be because the world's burning, like you 434 00:23:28,400 --> 00:23:30,399 Speaker 1: don't have an excuse yet, And I was like, damn it. 435 00:23:30,480 --> 00:23:33,560 Speaker 1: I was kind of hoping I did, but but how 436 00:23:33,600 --> 00:23:38,280 Speaker 1: do we know? Because the mystery feels tough, and I, 437 00:23:38,480 --> 00:23:40,560 Speaker 1: you know, I want to acknowledge not everybody can go 438 00:23:40,640 --> 00:23:44,280 Speaker 1: do regular testing like I can with my great health insurance. 439 00:23:44,119 --> 00:23:47,959 Speaker 3: Right, So certainly if you know there's some really like 440 00:23:48,080 --> 00:23:50,760 Speaker 3: stand out things like if your echoes were regular and 441 00:23:50,760 --> 00:23:54,600 Speaker 3: now they're not and you're having all these other symptoms, check, yes, okay, 442 00:23:55,200 --> 00:23:57,679 Speaker 3: what if they're still regular right like you were that 443 00:23:57,840 --> 00:24:01,399 Speaker 3: part of we know the difference. You know. Blood testing 444 00:24:01,520 --> 00:24:05,040 Speaker 3: is really really hard, like you said, it's very expensive. 445 00:24:05,080 --> 00:24:07,600 Speaker 3: You have to do it multiple shifts throughout the month. 446 00:24:07,840 --> 00:24:11,040 Speaker 3: Not everybody can afford that. That is not typical. What 447 00:24:11,119 --> 00:24:14,760 Speaker 3: we do in our clinic is we look at the 448 00:24:14,760 --> 00:24:19,000 Speaker 3: constellation of symptoms. We have a tracker, we have a 449 00:24:19,040 --> 00:24:23,040 Speaker 3: scoring system that's been validated by the Australasian Menopause Society, 450 00:24:23,200 --> 00:24:26,520 Speaker 3: looking at does she have brain fog and muscular skelet 451 00:24:26,560 --> 00:24:28,600 Speaker 3: of pain and general urinary symptoms. 452 00:24:28,240 --> 00:24:29,600 Speaker 2: And blah blah blah blah blah blah blah. 453 00:24:29,640 --> 00:24:31,720 Speaker 3: Okay, now we're going to do blood work to rule 454 00:24:31,760 --> 00:24:35,840 Speaker 3: out hypothead, riieletism and vitamin D deficiency, low ferratine, autoimmune 455 00:24:36,160 --> 00:24:38,600 Speaker 3: you know, like like we're doing tons of blood work, 456 00:24:38,640 --> 00:24:42,359 Speaker 3: not so much hormones for us, and I'm ruling out 457 00:24:42,480 --> 00:24:44,159 Speaker 3: or in because all this can be happening at the 458 00:24:44,200 --> 00:24:47,800 Speaker 3: same time, like and then we have a frank discussion 459 00:24:48,000 --> 00:24:51,840 Speaker 3: about we can do a trial of hormone therapy and 460 00:24:51,920 --> 00:24:56,640 Speaker 3: see what gets better, okay, and then we can talk 461 00:24:56,680 --> 00:24:59,800 Speaker 3: about other you know, forms of therapy, and we never 462 00:25:00,200 --> 00:25:03,240 Speaker 3: lifestyle out of it. So so many women find that 463 00:25:03,280 --> 00:25:05,440 Speaker 3: the lifestyle they'd set up, which. 464 00:25:05,240 --> 00:25:08,080 Speaker 2: Worked in your you know, worked for a pre menopausal woman. 465 00:25:08,720 --> 00:25:11,719 Speaker 3: Suddenly there's holes and gaps we're seeing that are you know, 466 00:25:11,760 --> 00:25:16,440 Speaker 3: you're not you're not actually optimized once your hormones start fluctuating. 467 00:25:16,760 --> 00:25:20,280 Speaker 1: And what are the lifestyle changes that can kind of 468 00:25:20,400 --> 00:25:22,160 Speaker 1: refill those holes? 469 00:25:22,520 --> 00:25:22,879 Speaker 2: Well? 470 00:25:23,440 --> 00:25:26,680 Speaker 3: Nutrition is huge, okay, and so when we look at 471 00:25:26,800 --> 00:25:29,600 Speaker 3: you know, in our clinic, we're looking vitamin D. It's 472 00:25:29,720 --> 00:25:32,600 Speaker 3: so hard to get enough through your through diet. You know, 473 00:25:32,960 --> 00:25:35,960 Speaker 3: we're checking vitamin D levels and we're checking iron. We're 474 00:25:35,960 --> 00:25:39,400 Speaker 3: looking in inflammatory markers like high reactive high sensitivity, see 475 00:25:39,440 --> 00:25:41,840 Speaker 3: reactive protein. You know, like, what are we missing here? 476 00:25:41,880 --> 00:25:44,800 Speaker 3: Why is she not able to live her best life? 477 00:25:44,920 --> 00:25:47,560 Speaker 3: You know when she was before right, and there's no 478 00:25:47,640 --> 00:25:51,520 Speaker 3: external stressors that are popped up out of nowhere. Stress reduction, 479 00:25:51,840 --> 00:25:55,040 Speaker 3: sleep optimization, you know, making sure she's got all the 480 00:25:55,040 --> 00:25:57,879 Speaker 3: sleep hygiene stuff, like if her sleep is disrupted. 481 00:25:57,920 --> 00:25:59,159 Speaker 2: We focus on that first. 482 00:25:59,680 --> 00:26:03,919 Speaker 3: Yeah, So because if you're not sleeping, nothing else is working. 483 00:26:05,480 --> 00:26:08,440 Speaker 3: So you know, bricking your phone like I got a brick, 484 00:26:09,400 --> 00:26:11,960 Speaker 3: or breaking your phone, off of social media at certain 485 00:26:12,000 --> 00:26:14,800 Speaker 3: hours of the day, getting into therapy if she needs it, 486 00:26:14,840 --> 00:26:17,440 Speaker 3: like giving her permission to go and do these things, 487 00:26:17,440 --> 00:26:18,640 Speaker 3: and these things actually work. 488 00:26:19,200 --> 00:26:21,280 Speaker 2: Yeah, and they's huge. 489 00:26:21,480 --> 00:26:23,879 Speaker 3: Hormones are just a part of the toolkit. They're not 490 00:26:24,119 --> 00:26:25,920 Speaker 3: you know, for some women they feel like they are 491 00:26:26,000 --> 00:26:28,439 Speaker 3: the thing, But I have to say for a lot 492 00:26:28,480 --> 00:26:31,159 Speaker 3: of our patients, they're just one part of a bigger 493 00:26:31,200 --> 00:26:35,119 Speaker 3: scheme of you know, how to kind of refocus, reprioritize, 494 00:26:35,160 --> 00:26:38,760 Speaker 3: and make sure you've got everything optimized so that you 495 00:26:38,800 --> 00:26:39,840 Speaker 3: can live the next thirty. 496 00:26:39,680 --> 00:26:41,200 Speaker 2: Forty years of your life and your best health. 497 00:26:41,840 --> 00:26:43,840 Speaker 1: Well, it's interesting. One of the things I'm hearing you 498 00:26:43,880 --> 00:26:46,639 Speaker 1: say is to your point, people will say, oh maybe 499 00:26:46,640 --> 00:26:53,320 Speaker 1: I need HRT or oh maybe I whatever the fix is. 500 00:26:54,000 --> 00:26:58,920 Speaker 1: But you're when you use the constellation metaphor, that really 501 00:26:58,960 --> 00:27:01,880 Speaker 1: clicks for me because the way I think about it 502 00:27:02,359 --> 00:27:06,000 Speaker 1: as you're giving the list is essentially we have to 503 00:27:06,080 --> 00:27:08,280 Speaker 1: learn to take care of ourselves the way we take 504 00:27:08,320 --> 00:27:13,520 Speaker 1: care of our families, good sleep, good food breaks, brain 505 00:27:13,600 --> 00:27:17,600 Speaker 1: breaks where you're just entertained, getting outside to play, you know, 506 00:27:18,200 --> 00:27:22,240 Speaker 1: making sure that certain things about your environment are incredibly 507 00:27:22,320 --> 00:27:27,600 Speaker 1: conducive to expansion rather than contraction. Things that come naturally 508 00:27:27,720 --> 00:27:31,080 Speaker 1: to us, for our kids, for our partners, for our families, 509 00:27:31,440 --> 00:27:33,719 Speaker 1: but we usually put ourselves on the back burner. 510 00:27:34,160 --> 00:27:37,399 Speaker 2: I mean for me, it was, you know, leaving a 511 00:27:37,480 --> 00:27:38,720 Speaker 2: job that no longer served me. 512 00:27:39,560 --> 00:27:40,800 Speaker 1: Can you expand on that? 513 00:27:41,040 --> 00:27:45,720 Speaker 3: So I was a very successful obgyn and all the 514 00:27:45,760 --> 00:27:48,359 Speaker 3: traditional sense of the word. I did the surgeries, delivered 515 00:27:48,400 --> 00:27:50,280 Speaker 3: the babies, you know, did that, and I loved I 516 00:27:50,359 --> 00:27:52,800 Speaker 3: loved it. If babies game between eight and five every day, 517 00:27:52,840 --> 00:27:58,000 Speaker 3: I would still do it. Then you know, everything changed 518 00:27:58,040 --> 00:28:01,160 Speaker 3: at the hospital, new administration, a lot more administrative burden. 519 00:28:01,200 --> 00:28:04,320 Speaker 3: They were bringing in multiple levels of administrators above us. 520 00:28:04,640 --> 00:28:07,240 Speaker 3: The paperwork was getting outrageous. For every hour that I 521 00:28:07,280 --> 00:28:10,679 Speaker 3: saw patients, I was doing two hours of you know, 522 00:28:10,840 --> 00:28:13,560 Speaker 3: pajama work at home, of finishing charts and stuff. 523 00:28:13,600 --> 00:28:15,000 Speaker 2: I mean that just wasn't tenable. 524 00:28:15,280 --> 00:28:19,920 Speaker 3: Plus the acuity of the patients, you know, really sick patients, 525 00:28:20,000 --> 00:28:23,440 Speaker 3: it just was getting in the sleep deprivation from calls, 526 00:28:23,840 --> 00:28:26,119 Speaker 3: you know, I call was really taking a toll on me, 527 00:28:26,160 --> 00:28:27,760 Speaker 3: and I had to like have a come to Jesus 528 00:28:27,800 --> 00:28:30,959 Speaker 3: of how else can I be my best self, you know, 529 00:28:31,760 --> 00:28:34,359 Speaker 3: and pay my bills and you know, meet all my 530 00:28:34,400 --> 00:28:36,919 Speaker 3: family's needs, but not kill myself. 531 00:28:36,960 --> 00:28:39,360 Speaker 2: I was taking years off my life, you know, with 532 00:28:39,400 --> 00:28:40,920 Speaker 2: that job. But it was a job. 533 00:28:40,960 --> 00:28:43,040 Speaker 3: But I signed up for this, right, Like the guilt 534 00:28:43,080 --> 00:28:46,040 Speaker 3: and the shame of walking away from this prestigious position 535 00:28:46,080 --> 00:28:48,720 Speaker 3: at a large academic institution where everyone loved me and 536 00:28:48,720 --> 00:28:52,760 Speaker 3: I was so popular to go and like field of 537 00:28:52,840 --> 00:28:55,800 Speaker 3: dreams like build a menopause clinic, you know, like I 538 00:28:55,840 --> 00:28:58,480 Speaker 3: didn't know if anybody would come see me. So but 539 00:28:58,560 --> 00:29:01,360 Speaker 3: I just, like my heart of heart new this is 540 00:29:01,400 --> 00:29:04,480 Speaker 3: not sustainable and this hospital system does not have another 541 00:29:04,520 --> 00:29:05,040 Speaker 3: option for me. 542 00:29:05,680 --> 00:29:07,040 Speaker 2: So I can't keep doing this. 543 00:29:07,080 --> 00:29:11,920 Speaker 3: And my husband super supportive, you know, but I just. 544 00:29:11,880 --> 00:29:14,840 Speaker 2: The whole thing. You know, You've built this life. 545 00:29:14,560 --> 00:29:17,560 Speaker 3: And suddenly you can't manage the life anymore. So like 546 00:29:17,640 --> 00:29:20,400 Speaker 3: giving myself permission to walk away from that was the 547 00:29:20,640 --> 00:29:24,440 Speaker 3: scariest thing I've ever done professionally, But it is absolutely 548 00:29:24,480 --> 00:29:26,520 Speaker 3: the best thing I've ever done in my life. That's 549 00:29:26,560 --> 00:29:30,040 Speaker 3: incredible because I am practicing my best medicine right now 550 00:29:30,200 --> 00:29:31,080 Speaker 3: with my guess. 551 00:29:31,640 --> 00:29:36,520 Speaker 1: Well, and interestingly, you're you're practicing personally your best life, 552 00:29:36,960 --> 00:29:38,800 Speaker 1: and then your work is your best work. 553 00:29:39,200 --> 00:29:40,960 Speaker 2: I am that that's. 554 00:29:40,760 --> 00:29:44,240 Speaker 1: A double permission set. I would think for anybody listening 555 00:29:44,280 --> 00:29:45,320 Speaker 1: to this, I. 556 00:29:45,200 --> 00:29:48,000 Speaker 2: Am fifty seven years old. I'll be fifty eight soon. 557 00:29:49,640 --> 00:29:53,040 Speaker 3: I have two grown, healthy daughters who are thriving. So 558 00:29:53,200 --> 00:29:56,280 Speaker 3: like I don't worry about my normal mom worries, but 559 00:29:56,320 --> 00:29:59,840 Speaker 3: you know, like they are off on a great path, 560 00:30:00,080 --> 00:30:04,200 Speaker 3: you know. And I have a thirty year relationship, thirty 561 00:30:04,200 --> 00:30:06,920 Speaker 3: three years, thirty married, you know, with the same person, 562 00:30:07,560 --> 00:30:10,920 Speaker 3: and we're not going anywhere, you know, we're in this together. 563 00:30:11,560 --> 00:30:15,160 Speaker 3: And so but like I'm having I have better relationships, 564 00:30:15,200 --> 00:30:17,360 Speaker 3: we have better sex, I have better you know, a 565 00:30:17,400 --> 00:30:20,360 Speaker 3: better work web balance, I have better everything. 566 00:30:20,520 --> 00:30:23,240 Speaker 2: And it's like and I think menopause for all of it. 567 00:30:23,760 --> 00:30:36,520 Speaker 1: Wow, And now a word from our sponsors. Okay, so 568 00:30:36,720 --> 00:30:40,520 Speaker 1: question for our friends at home. You know, I know 569 00:30:40,640 --> 00:30:43,720 Speaker 1: there are women listening to us talk who feel dismissed, 570 00:30:43,720 --> 00:30:47,920 Speaker 1: who felt unheard at the doctor when they bring concerns. 571 00:30:48,480 --> 00:30:52,760 Speaker 1: What would you say are the most important ways women 572 00:30:52,880 --> 00:30:55,800 Speaker 1: can advocate for themselves you know, do we need to 573 00:30:55,840 --> 00:31:00,120 Speaker 1: be keeping let's say a thirty to sixty day joan 574 00:31:00,160 --> 00:31:05,400 Speaker 1: all of symptoms, grapes, whatever it is to bring in 575 00:31:06,200 --> 00:31:06,760 Speaker 1: and in. 576 00:31:06,640 --> 00:31:07,840 Speaker 2: The new perimenopause. 577 00:31:07,960 --> 00:31:11,960 Speaker 3: We have a tracker, symptom tracker, and that you can 578 00:31:12,040 --> 00:31:14,560 Speaker 3: keep track, you know, so that we all tend to 579 00:31:14,560 --> 00:31:16,680 Speaker 3: forget and get nervous in that little ten minute visit. 580 00:31:17,280 --> 00:31:19,240 Speaker 2: So like to prepare. 581 00:31:19,320 --> 00:31:21,120 Speaker 3: And I have a lot of this on blogs and 582 00:31:21,160 --> 00:31:23,600 Speaker 3: our website, but you know, big key takeaways. 583 00:31:23,640 --> 00:31:26,560 Speaker 2: Call ahead? Do they do menopause care? And pray to 584 00:31:26,560 --> 00:31:27,760 Speaker 2: God that they're honest? You know? 585 00:31:28,160 --> 00:31:31,000 Speaker 3: Do they prescribe hormone therapy? You know red flag as 586 00:31:31,000 --> 00:31:32,680 Speaker 3: if no, I don't believe in it? Well it's not 587 00:31:32,760 --> 00:31:33,400 Speaker 3: Santa Claus. 588 00:31:33,840 --> 00:31:36,680 Speaker 2: So you know, not everyone needs it or just you know, 589 00:31:37,120 --> 00:31:38,680 Speaker 2: but you know, is it even. 590 00:31:38,520 --> 00:31:41,560 Speaker 3: Something they're willing to discuss? Okay, that's not your doctor. 591 00:31:41,720 --> 00:31:43,800 Speaker 3: You have to be to prepare to find someone who 592 00:31:43,800 --> 00:31:44,480 Speaker 3: will take care of you. 593 00:31:45,560 --> 00:31:46,880 Speaker 2: So how do you do that? 594 00:31:47,200 --> 00:31:50,640 Speaker 3: Call ahead and ask ask your friends. Menopause societymenopause dot 595 00:31:50,760 --> 00:31:53,760 Speaker 3: org has a website. I'm a certified provider on that. 596 00:31:53,840 --> 00:31:55,880 Speaker 3: Look for the certified providers. That means we took the 597 00:31:55,960 --> 00:32:01,600 Speaker 3: test go to and it not necessarily OBGYN Menopause Society 598 00:32:01,680 --> 00:32:06,200 Speaker 3: certifies tons of nurse practitioners, tons of internal medicine, family medicine, 599 00:32:06,280 --> 00:32:10,080 Speaker 3: like someone who really had an interest into endochronologists. You know, 600 00:32:10,160 --> 00:32:13,680 Speaker 3: it's not necessarily going to be your ob On our website, 601 00:32:13,720 --> 00:32:17,040 Speaker 3: we have thousands of testimonials from my followers and we 602 00:32:17,200 --> 00:32:19,720 Speaker 3: organized them by city and state. That might be helpful. 603 00:32:20,880 --> 00:32:24,640 Speaker 3: There's great online options now too. Companies built actually like 604 00:32:24,760 --> 00:32:28,480 Speaker 3: Midi and Alloy to serve you know, menopausal women, seeing 605 00:32:28,560 --> 00:32:31,680 Speaker 3: this gap and realizing there's an opportunity here, so they 606 00:32:31,720 --> 00:32:37,040 Speaker 3: built these platforms. So like, don't assume you're awesome. OBGYN, 607 00:32:37,080 --> 00:32:39,680 Speaker 3: who delivered your babies and took great care of you, 608 00:32:39,720 --> 00:32:42,800 Speaker 3: knows enough. They probably they were never taught in residency. 609 00:32:42,800 --> 00:32:46,160 Speaker 3: I promise they Did's not in our cmese for a 610 00:32:46,240 --> 00:32:50,840 Speaker 3: coc not anything you know significant, And so unless they 611 00:32:51,000 --> 00:32:54,720 Speaker 3: sought training outside of what's handed to them by OBGYN 612 00:32:54,800 --> 00:32:57,920 Speaker 3: for the American Board, I wouldn't count on them being 613 00:32:57,960 --> 00:32:58,920 Speaker 3: able to take care of you. 614 00:32:59,000 --> 00:33:01,080 Speaker 2: They might, but it's not a guarantee. 615 00:33:01,400 --> 00:33:04,600 Speaker 1: You know, I've seen this and I know we're we're 616 00:33:04,640 --> 00:33:08,320 Speaker 1: talking perimenopause and menopause. But I've really seen this also 617 00:33:09,080 --> 00:33:12,880 Speaker 1: for some younger friends who have been dealing with getting 618 00:33:12,960 --> 00:33:18,080 Speaker 1: endometriosis diagnoses. My girlfriend Julianne's been really public about it, 619 00:33:18,160 --> 00:33:21,120 Speaker 1: and you know, she's a phenomenal performer and host, and 620 00:33:21,160 --> 00:33:23,040 Speaker 1: so she's been able to get a lot of attention. 621 00:33:23,680 --> 00:33:25,560 Speaker 1: I just worked with a great girl on a movie. 622 00:33:25,600 --> 00:33:29,800 Speaker 1: He was talking to me about it and just the 623 00:33:29,920 --> 00:33:32,080 Speaker 1: experience so many women at that. 624 00:33:32,280 --> 00:33:35,480 Speaker 3: Yearage or in years years to make a diagnosis. 625 00:33:35,800 --> 00:33:38,560 Speaker 1: Yes, So would you say that some of the things 626 00:33:39,160 --> 00:33:43,280 Speaker 1: that you have learned to offer women in terms of 627 00:33:43,360 --> 00:33:46,120 Speaker 1: how to track their journey to discover whether or not 628 00:33:46,160 --> 00:33:49,080 Speaker 1: they're in perimenopause yet, would you say that some of 629 00:33:49,120 --> 00:33:51,880 Speaker 1: that advocacy could also be helpful to them if they 630 00:33:52,000 --> 00:33:54,640 Speaker 1: may be dealing with trying to get to the end 631 00:33:54,640 --> 00:33:56,560 Speaker 1: of an endometriosis diagnosis. 632 00:33:56,640 --> 00:34:01,479 Speaker 3: Absolutely, dabtrisis, fibroids, you know, pretty much any condition that 633 00:34:01,520 --> 00:34:05,479 Speaker 3: primarily affects women, eighty percent of autoimmune diseases. You know, 634 00:34:05,640 --> 00:34:09,160 Speaker 3: women go years and years and years before and how 635 00:34:09,160 --> 00:34:12,560 Speaker 3: many times were they diagnosed with anxiety or depression or 636 00:34:12,600 --> 00:34:17,160 Speaker 3: you're just stressed out rather than you have a mutual tissue, 637 00:34:17,160 --> 00:34:20,240 Speaker 3: which is basically a tumor growing outside of your uterine 638 00:34:20,239 --> 00:34:23,320 Speaker 3: cavity and attacking, you know, causing inflammation all over your body. 639 00:34:24,000 --> 00:34:25,040 Speaker 2: It could be anywhere in your body. 640 00:34:25,040 --> 00:34:27,319 Speaker 3: It's usually in the pulvis, but I mean I've seen 641 00:34:27,360 --> 00:34:30,400 Speaker 3: in the oar, on the diaphragm, around the heart capsule. 642 00:34:30,520 --> 00:34:37,200 Speaker 1: Like it's crazy, it's crazy, It's really crazy. You know. 643 00:34:37,280 --> 00:34:40,400 Speaker 1: It makes me think a lot about a conversation I 644 00:34:40,440 --> 00:34:42,879 Speaker 1: recently had with one of our mutual friends, Jeanie May. 645 00:34:43,960 --> 00:34:47,120 Speaker 1: We were together on the podcast when Balance was premiering, 646 00:34:47,680 --> 00:34:52,080 Speaker 1: and you offered such great medical expertise to that docuseries. 647 00:34:52,560 --> 00:34:55,040 Speaker 1: And one of the things I found really fascinating about 648 00:34:55,120 --> 00:34:57,920 Speaker 1: that was that the two women who were so central 649 00:34:57,960 --> 00:35:00,760 Speaker 1: to the story, I'm reminding my friends home because obviously 650 00:35:00,840 --> 00:35:05,120 Speaker 1: you know this, you help make it. These incredible monks, 651 00:35:05,160 --> 00:35:09,839 Speaker 1: these spiritual teachers, were really able to track the changes 652 00:35:09,920 --> 00:35:15,359 Speaker 1: in their personal experiences of their days in their own 653 00:35:15,400 --> 00:35:20,719 Speaker 1: bodies because their days were so regimented and identical always, 654 00:35:21,360 --> 00:35:23,920 Speaker 1: and so many of us in this modern era, you know, 655 00:35:23,960 --> 00:35:26,680 Speaker 1: we've got six jobs and a side hustle and families 656 00:35:26,719 --> 00:35:31,560 Speaker 1: and travel. It's hard to track well, but you all 657 00:35:31,680 --> 00:35:36,399 Speaker 1: really helped through telling their stories. I think illuminate this 658 00:35:36,520 --> 00:35:41,080 Speaker 1: reality for so many people. How was you know, you 659 00:35:41,120 --> 00:35:43,720 Speaker 1: took a big gamble leaving your practice and opening your clinic, 660 00:35:44,480 --> 00:35:47,160 Speaker 1: and then you took a big gamble getting into this 661 00:35:47,280 --> 00:35:50,600 Speaker 1: world and helping produce a docu series. How was that 662 00:35:50,719 --> 00:35:54,120 Speaker 1: experience for you as a doctor because you are a 663 00:35:54,160 --> 00:35:57,560 Speaker 1: caretaker and you are in ways a detective and then 664 00:35:57,560 --> 00:36:01,200 Speaker 1: you got to put your detective work into like a 665 00:36:01,239 --> 00:36:02,120 Speaker 1: mystery movie. 666 00:36:02,600 --> 00:36:03,000 Speaker 2: Was it fun? 667 00:36:03,280 --> 00:36:06,359 Speaker 3: So my in my assistant calls, I'll never forget this. 668 00:36:06,440 --> 00:36:09,640 Speaker 3: So this was twenty the book and New Menopause has 669 00:36:09,680 --> 00:36:13,120 Speaker 3: not come out yet, you know, oh I had written, Yeah, 670 00:36:13,160 --> 00:36:16,600 Speaker 3: so this was pre maybe we were about to come 671 00:36:16,640 --> 00:36:17,080 Speaker 3: out with it. 672 00:36:17,160 --> 00:36:21,440 Speaker 2: But and hey, there's these two Jane Monks. 673 00:36:21,440 --> 00:36:23,040 Speaker 3: I didn't even know what a Jane Monk was at 674 00:36:23,040 --> 00:36:25,640 Speaker 3: the time. You know, who want to do this documentary. 675 00:36:25,640 --> 00:36:28,400 Speaker 3: They're going to film a documentary about perimenopause. 676 00:36:29,040 --> 00:36:30,960 Speaker 2: And I was like, what you know? 677 00:36:31,680 --> 00:36:33,879 Speaker 3: And we set up a zoom call and these two 678 00:36:34,040 --> 00:36:38,160 Speaker 3: beautiful women with their white robes on their bun you know, 679 00:36:38,160 --> 00:36:41,480 Speaker 3: their hair slicked back. But the minute they opened their 680 00:36:41,520 --> 00:36:44,640 Speaker 3: mouths and They were so sincere and so genuine. They 681 00:36:44,640 --> 00:36:49,000 Speaker 3: had actually produced a documentary on trafficking and so that 682 00:36:49,080 --> 00:36:52,040 Speaker 3: had won some awards, so they had experience, and you know, 683 00:36:52,160 --> 00:36:54,279 Speaker 3: I was like, this is probably crazy for me to 684 00:36:54,280 --> 00:36:56,480 Speaker 3: say yes to this, but I feel like we need 685 00:36:56,520 --> 00:37:00,680 Speaker 3: to do this, and working with them was They brought 686 00:37:00,719 --> 00:37:02,040 Speaker 3: in the most awesome team. 687 00:37:02,640 --> 00:37:04,840 Speaker 2: They came to my home. We shot in my house. 688 00:37:05,280 --> 00:37:06,560 Speaker 2: You know, we spent a whole day together. 689 00:37:06,600 --> 00:37:09,279 Speaker 3: They came to the clinic, they interviewed a couple of 690 00:37:09,320 --> 00:37:12,759 Speaker 3: my patients, and it was just incredible. 691 00:37:12,800 --> 00:37:15,200 Speaker 2: And then you know, it took years to like edit 692 00:37:15,239 --> 00:37:17,480 Speaker 2: and produce and multiple you know, I think it's four 693 00:37:17,520 --> 00:37:21,680 Speaker 2: parts now, and it is so fantastic. 694 00:37:21,760 --> 00:37:24,600 Speaker 3: It is telling such an amazing story and I'm just 695 00:37:24,640 --> 00:37:26,239 Speaker 3: so proud to be a part of it. 696 00:37:26,640 --> 00:37:29,920 Speaker 1: Yeah, it's so cool. I can't believe you got the 697 00:37:29,920 --> 00:37:32,319 Speaker 1: call before your first book was published. I didn't know 698 00:37:32,360 --> 00:37:33,120 Speaker 1: that little details. 699 00:37:33,160 --> 00:37:35,560 Speaker 3: Well, I had done Galveston Diet, but that was, you know. 700 00:37:35,640 --> 00:37:37,160 Speaker 2: Right, a couple of years before that. 701 00:37:37,800 --> 00:37:41,560 Speaker 1: Yeah, I mean I guess, I guess the first specifically, yeah, Menopause, 702 00:37:41,600 --> 00:37:44,879 Speaker 1: this book, Yeah, this this world. We're going to dive 703 00:37:44,920 --> 00:37:47,600 Speaker 1: into your next book in our in our next episode. 704 00:37:47,600 --> 00:37:50,319 Speaker 1: But before I let you go today, I have to 705 00:37:50,440 --> 00:37:54,480 Speaker 1: ask you you've continued to be a trailblazer for women 706 00:37:54,600 --> 00:37:57,840 Speaker 1: and for yourself, which, as I said earlier, is a 707 00:37:57,880 --> 00:38:02,480 Speaker 1: great example of signing your own permission slip. Your new 708 00:38:02,520 --> 00:38:07,160 Speaker 1: book is out in the world tomorrow. I'm curious from 709 00:38:07,200 --> 00:38:11,080 Speaker 1: this vantage point. I know you've checked so many boxes, 710 00:38:11,320 --> 00:38:15,440 Speaker 1: but I know you as this amazing creative person. 711 00:38:15,520 --> 00:38:16,640 Speaker 2: I know you're going to have more. 712 00:38:17,120 --> 00:38:21,319 Speaker 1: So what right now feels like you're working progress. 713 00:38:22,160 --> 00:38:25,640 Speaker 3: The last thirty years. So you know, I don't want 714 00:38:25,640 --> 00:38:29,200 Speaker 3: to call it longevity. I don't like that word, but 715 00:38:29,800 --> 00:38:33,719 Speaker 3: right now, when Mackenzie did this survey and they dug 716 00:38:33,760 --> 00:38:36,279 Speaker 3: through the research and they figured out that women live 717 00:38:36,400 --> 00:38:39,520 Speaker 3: twenty percent of their lives in poorer health than you know, 718 00:38:40,200 --> 00:38:44,239 Speaker 3: less healthy than their male counterparts, and half of that 719 00:38:44,320 --> 00:38:46,080 Speaker 3: time is in postmenopause. 720 00:38:46,840 --> 00:38:48,160 Speaker 2: We don't age the same. 721 00:38:48,480 --> 00:38:51,600 Speaker 3: Like men tend to live a more fulfilled life and 722 00:38:51,640 --> 00:38:55,719 Speaker 3: die quickly, women tend to have this protracted loss of independence, 723 00:38:56,000 --> 00:38:59,240 Speaker 3: either through frailty, you know, loss of bone, loss of muscle, 724 00:38:59,600 --> 00:39:03,000 Speaker 3: are dementia, and then heart disease as well. 725 00:39:03,600 --> 00:39:06,360 Speaker 2: That causes them to live this life. And so that 726 00:39:06,480 --> 00:39:06,960 Speaker 2: happened to. 727 00:39:06,920 --> 00:39:10,520 Speaker 3: My grandmother and my mother, and you know, both of 728 00:39:10,520 --> 00:39:14,920 Speaker 3: my grandmother mother had horrible frailty, horrible osteoporosis, multiple fractures, 729 00:39:15,680 --> 00:39:20,520 Speaker 3: and dementia at the end of it. And I remember 730 00:39:20,680 --> 00:39:23,440 Speaker 3: Mom taking care of my grandmother and saying, I won't 731 00:39:23,440 --> 00:39:26,480 Speaker 3: do this to you, you know, I don't want this 732 00:39:26,640 --> 00:39:27,000 Speaker 3: for you. 733 00:39:27,239 --> 00:39:27,880 Speaker 2: And it happened. 734 00:39:28,880 --> 00:39:31,240 Speaker 3: And I feel like so much of what she's gone 735 00:39:31,239 --> 00:39:33,640 Speaker 3: through was preventable. But she never got the right advice. 736 00:39:34,280 --> 00:39:36,160 Speaker 3: She never was taught to focus on the right things. 737 00:39:36,160 --> 00:39:38,719 Speaker 3: The only thing that woman was told was to beat 738 00:39:38,760 --> 00:39:42,640 Speaker 3: thin and beatsin and you'll be okay. 739 00:39:43,000 --> 00:39:46,360 Speaker 2: And so she did. She dieted. My mother was on 740 00:39:46,400 --> 00:39:50,200 Speaker 2: a diet at eighty you know, like, oh gosh. 741 00:39:50,400 --> 00:39:53,160 Speaker 3: Never lifted a weight. I those memes coming out right now. 742 00:39:53,200 --> 00:39:55,320 Speaker 3: I'm the first of my bloodline to lift a barbell. 743 00:39:55,600 --> 00:39:59,080 Speaker 3: That is great, you know, the first of my bloodline 744 00:39:59,080 --> 00:40:01,240 Speaker 3: to have a professional three. I'm the first my bloodline 745 00:40:01,239 --> 00:40:02,880 Speaker 3: to do a lot, you know, to be able to 746 00:40:02,920 --> 00:40:04,960 Speaker 3: support myself without a husband. 747 00:40:05,000 --> 00:40:07,279 Speaker 2: I have a husband, but I absolutely could do it 748 00:40:07,280 --> 00:40:10,040 Speaker 2: on my own. And you know, I. 749 00:40:10,000 --> 00:40:12,800 Speaker 3: Refuse this, I refuse for this to be the reality 750 00:40:12,800 --> 00:40:13,680 Speaker 3: for my daughters. 751 00:40:14,200 --> 00:40:14,680 Speaker 1: Yeah. 752 00:40:14,719 --> 00:40:18,520 Speaker 3: So the next book I think is like is a 753 00:40:18,719 --> 00:40:20,200 Speaker 3: how do we age? 754 00:40:20,560 --> 00:40:24,600 Speaker 2: Well? You know, how do we shorten that time? 755 00:40:24,840 --> 00:40:26,600 Speaker 3: I want to be a benefactor and not a burden. 756 00:40:26,800 --> 00:40:29,640 Speaker 3: How do we share in that time where I lose 757 00:40:29,640 --> 00:40:33,560 Speaker 3: my independence? My dad, he was telling jokes three days 758 00:40:33,560 --> 00:40:34,200 Speaker 3: before he died. 759 00:40:34,239 --> 00:40:36,520 Speaker 2: We all gathered around. It was this beautiful end of 760 00:40:36,600 --> 00:40:37,080 Speaker 2: life thing. 761 00:40:37,640 --> 00:40:40,920 Speaker 3: My mom, it's going on for years, you know, Like 762 00:40:41,440 --> 00:40:44,160 Speaker 3: she didn't want this, she didn't deserve this. 763 00:40:45,120 --> 00:40:49,000 Speaker 1: Yeah, and if and if we can break the cycle 764 00:40:49,840 --> 00:40:54,200 Speaker 1: in their honor, our daughters get to do it differently. Yeah, 765 00:40:54,520 --> 00:40:58,680 Speaker 1: shouldn't we be thriving not just reducing suffering? And it 766 00:40:58,760 --> 00:41:02,440 Speaker 1: seems to me that you're our whole mission is to 767 00:41:02,640 --> 00:41:05,640 Speaker 1: center not just the betterment of women. 768 00:41:05,719 --> 00:41:10,560 Speaker 3: But they're thriving, thriving, right, because I really feel like 769 00:41:11,680 --> 00:41:13,279 Speaker 3: this is the time. 770 00:41:14,760 --> 00:41:17,200 Speaker 2: Where we could really change the world. 771 00:41:17,360 --> 00:41:20,000 Speaker 3: Right, Like last we change our family, then we change 772 00:41:20,000 --> 00:41:22,719 Speaker 3: our community, and then when we're like in our fifties and. 773 00:41:22,680 --> 00:41:24,759 Speaker 2: Sixties is when we change the world. 774 00:41:24,960 --> 00:41:30,560 Speaker 3: Yeah, and so that is, but we're like being hamstrung 775 00:41:31,880 --> 00:41:35,800 Speaker 3: by menopause or cardiovascular disease or diabetes or aches and paint, 776 00:41:35,840 --> 00:41:39,240 Speaker 3: you know, whatever, you know, twenty percent of the workforce 777 00:41:39,239 --> 00:41:42,160 Speaker 3: in the UK if females quit their jobs due to menopause, 778 00:41:43,200 --> 00:41:45,840 Speaker 3: when you're supposed to be like leaning in and like 779 00:41:45,960 --> 00:41:48,520 Speaker 3: doing the things the C suites and by the way, 780 00:41:48,520 --> 00:41:52,280 Speaker 3: when your expertise is at its highest, that yeah, it's 781 00:41:52,360 --> 00:41:53,120 Speaker 3: it's a version 782 00:41:53,160 --> 00:41:55,560 Speaker 1: Of brain drain, and it sucks and we're going to 783 00:41:55,600 --> 00:42:07,400 Speaker 1: put a stop to it.