1 00:00:04,280 --> 00:00:11,639 Speaker 1: It's that time time, time, time, luck and look for 2 00:00:11,880 --> 00:00:22,040 Speaker 1: Michael Very show is on the air. It's Charlie from 3 00:00:22,040 --> 00:00:24,720 Speaker 1: BlackBerry Smoke. I can feel a good one coming on. 4 00:00:25,560 --> 00:00:29,400 Speaker 1: Maybe some of our older men out there. By older, 5 00:00:29,440 --> 00:00:34,000 Speaker 1: I mean fifty plus, not the young guys. Yet there's 6 00:00:34,080 --> 00:00:36,320 Speaker 1: reasons women can be crazy. Us guys when we're in 7 00:00:36,360 --> 00:00:38,680 Speaker 1: the locker room, we have these conversations and whether we're 8 00:00:38,760 --> 00:00:42,200 Speaker 1: right or not, and regardless of if it's obnoxious to women, 9 00:00:42,240 --> 00:00:44,760 Speaker 1: that's how we talk and how we feel. But there 10 00:00:44,840 --> 00:00:47,080 Speaker 1: is a certain moment at which for many men and 11 00:00:47,120 --> 00:00:49,040 Speaker 1: my dad went through it and we as teenageer, you did, 12 00:00:49,400 --> 00:00:53,160 Speaker 1: or you feel like man, mom or your wife. She's 13 00:00:53,280 --> 00:00:56,240 Speaker 1: just not the same, and I don't like this person 14 00:00:56,360 --> 00:00:59,600 Speaker 1: she's become. And somehow she goes from yelling at me 15 00:01:00,040 --> 00:01:03,240 Speaker 1: and accusing me of things and judging me for everything, 16 00:01:03,640 --> 00:01:05,400 Speaker 1: to me saying I've had enough, and all of a 17 00:01:05,400 --> 00:01:07,880 Speaker 1: sudden she's the victim and she's crying and now I'm 18 00:01:07,920 --> 00:01:11,640 Speaker 1: a monster. So menopause may be a part of some 19 00:01:11,760 --> 00:01:14,000 Speaker 1: of that. That's one of the reasons I want to 20 00:01:14,000 --> 00:01:16,160 Speaker 1: talk about this, and because a lot of women when 21 00:01:16,200 --> 00:01:18,600 Speaker 1: I mentioned the subject, said thank you for bringing this up, 22 00:01:18,840 --> 00:01:21,440 Speaker 1: because I think a lot of women are not getting 23 00:01:21,480 --> 00:01:25,000 Speaker 1: treatment for this. They've never sought medical treatment, and I 24 00:01:25,000 --> 00:01:27,640 Speaker 1: would at least like them to know what's available for that, 25 00:01:27,840 --> 00:01:30,240 Speaker 1: because hey, we only get one life, why not have 26 00:01:30,319 --> 00:01:33,440 Speaker 1: the best one. And I'm not one for a lack 27 00:01:33,480 --> 00:01:36,600 Speaker 1: of personal responsibility, quite the opposite. But you've got to 28 00:01:36,720 --> 00:01:40,880 Speaker 1: understand if most really fat people eat too much and 29 00:01:40,920 --> 00:01:43,800 Speaker 1: don't exercise, but there are that very small group of 30 00:01:43,800 --> 00:01:46,520 Speaker 1: people that have a thyroid problem and they're going to 31 00:01:46,520 --> 00:01:49,920 Speaker 1: be really fat for those reasons. Let's talk about how 32 00:01:49,960 --> 00:01:53,240 Speaker 1: we can help people, what options are out there, and 33 00:01:53,320 --> 00:01:55,040 Speaker 1: that is a lot of women at a certain age. 34 00:01:55,200 --> 00:01:57,440 Speaker 1: That's why our guest is Anu Davis, A n U 35 00:01:57,600 --> 00:01:59,680 Speaker 1: is how you spell it? Doctor ANUW. Davis. She's River 36 00:01:59,720 --> 00:02:03,360 Speaker 1: Oaks Doctors Group and this is one of her areas 37 00:02:03,360 --> 00:02:06,880 Speaker 1: of expertise. Uh, what was the last question I asked 38 00:02:06,880 --> 00:02:11,120 Speaker 1: going into the break ramon, can you stay with us? 39 00:02:11,240 --> 00:02:13,640 Speaker 1: Was not the question? You goof rewind the tape and 40 00:02:13,680 --> 00:02:15,840 Speaker 1: tell me do you remember the question? 41 00:02:16,720 --> 00:02:18,880 Speaker 2: I mean, these are the questions, right, what are. 42 00:02:20,520 --> 00:02:24,480 Speaker 3: What are women feeling? How do we treat it? 43 00:02:24,919 --> 00:02:27,639 Speaker 2: And how do they they need to advocate for themselves 44 00:02:27,919 --> 00:02:28,320 Speaker 2: right now. 45 00:02:28,360 --> 00:02:29,959 Speaker 3: Their doctors haven't had. 46 00:02:29,800 --> 00:02:33,200 Speaker 2: The tools right, and so that's kind of that's kind 47 00:02:33,200 --> 00:02:36,000 Speaker 2: of what is how can they abccate for themselves a 48 00:02:36,040 --> 00:02:38,280 Speaker 2: little bit so that they can get the treatments they 49 00:02:38,320 --> 00:02:39,880 Speaker 2: need because they're out there. 50 00:02:40,639 --> 00:02:44,000 Speaker 1: So what I'm just I'm sifting through these questions. So 51 00:02:44,080 --> 00:02:48,720 Speaker 1: one of the so they call it HRT hormone replacement therapy, 52 00:02:49,440 --> 00:02:51,880 Speaker 1: I don't know. I'm taking notes and trying to I'm 53 00:02:51,880 --> 00:02:53,760 Speaker 1: trying to ask the questions that people ask me to 54 00:02:53,800 --> 00:02:57,000 Speaker 1: ask us they're living it. I'm more just kind of curious. 55 00:02:57,680 --> 00:03:00,560 Speaker 1: Are we talking mostly estrogen? What are the these hormones 56 00:03:00,560 --> 00:03:02,360 Speaker 1: that we're replacing? And forgive me if you said it 57 00:03:02,360 --> 00:03:04,480 Speaker 1: and I was reading looking for other materials. 58 00:03:06,200 --> 00:03:12,240 Speaker 2: Sure, so we are replacing estrogen, progesterone, and sometimes testosterone. Okay, 59 00:03:12,760 --> 00:03:16,240 Speaker 2: the main hormones that are replaced your estrogen and progesterone, 60 00:03:16,919 --> 00:03:21,320 Speaker 2: and then testosterone is also replaced in many cases. But 61 00:03:21,880 --> 00:03:24,680 Speaker 2: because it's not FDA proved in the United States for women, 62 00:03:25,000 --> 00:03:27,640 Speaker 2: it becomes a more nuanced thing that you need to 63 00:03:27,639 --> 00:03:31,959 Speaker 2: go to specialists who do this to get testosterone therapy 64 00:03:32,000 --> 00:03:38,760 Speaker 2: for women. And so that's why it's not as mainstream, 65 00:03:39,160 --> 00:03:42,880 Speaker 2: but the hormone that we replaced our estrogen and progesterone. 66 00:03:42,960 --> 00:03:48,080 Speaker 2: And the idea is that women at menopause stop. 67 00:03:47,840 --> 00:03:48,880 Speaker 3: Making these hormones. 68 00:03:49,400 --> 00:03:54,000 Speaker 2: And there is some clear advantage to replacing these hormones 69 00:03:54,000 --> 00:03:58,240 Speaker 2: that we're no longer making, because when we see when 70 00:03:58,320 --> 00:04:02,560 Speaker 2: these hormones are depleted, we see a very clear and 71 00:04:02,800 --> 00:04:08,360 Speaker 2: bone loss very immediately. Within three years, we see increase 72 00:04:08,400 --> 00:04:16,839 Speaker 2: in cardiovascular di these, we see increase in Alzheimer's. And 73 00:04:18,480 --> 00:04:22,400 Speaker 2: why would we stop replacing this at age fifty one? Like, 74 00:04:22,520 --> 00:04:24,560 Speaker 2: why would we want to increase the risk of all 75 00:04:24,600 --> 00:04:27,279 Speaker 2: these things when all we have to do is replace 76 00:04:27,320 --> 00:04:30,560 Speaker 2: a hormone that the body already the body's not making anymore. 77 00:04:31,600 --> 00:04:35,440 Speaker 1: So hear me out here. I have had folks who 78 00:04:35,440 --> 00:04:37,800 Speaker 1: read a lot about this, including a doctor who shared 79 00:04:37,800 --> 00:04:40,599 Speaker 1: with me who shall remain unnamed, said to me that 80 00:04:40,720 --> 00:04:43,720 Speaker 1: the body begins the dying process long before you die, 81 00:04:44,279 --> 00:04:49,040 Speaker 1: and that remember, we're built on a chassis for two 82 00:04:49,080 --> 00:04:51,640 Speaker 1: thousand and three thousand years ago, so we're living in 83 00:04:51,680 --> 00:04:54,440 Speaker 1: an age where we're living in some cases to be 84 00:04:54,440 --> 00:04:57,039 Speaker 1: one hundred. The body wasn't prepared for that, So the 85 00:04:57,080 --> 00:05:01,159 Speaker 1: tiers are wearing out the transmission, giving out the starter 86 00:05:01,279 --> 00:05:05,159 Speaker 1: doesn't work. So there's this idea. According to a number 87 00:05:05,160 --> 00:05:06,920 Speaker 1: of people, it's kind of a school of thought that 88 00:05:06,960 --> 00:05:10,680 Speaker 1: you're beginning to die. Your body is beginning this shutdown process, 89 00:05:10,960 --> 00:05:14,039 Speaker 1: and the loss of hormones is part of that. The 90 00:05:14,040 --> 00:05:16,479 Speaker 1: theory being the replacement of the hormones is kind of 91 00:05:16,520 --> 00:05:19,479 Speaker 1: like CPR, like no, no, no, we got not only 92 00:05:19,520 --> 00:05:23,320 Speaker 1: some living, some good living to do. Our friend Mohit 93 00:05:23,400 --> 00:05:25,440 Speaker 1: Kara is coming out with a book called sex Span 94 00:05:26,040 --> 00:05:30,080 Speaker 1: about the fact that older couples that are married still 95 00:05:30,080 --> 00:05:32,720 Speaker 1: want to have sex. But they want to have they 96 00:05:32,720 --> 00:05:35,400 Speaker 1: want to have enjoyable sex and that's part of the 97 00:05:35,520 --> 00:05:39,440 Speaker 1: relationship and then a lot of these hormonal issues are 98 00:05:39,480 --> 00:05:42,760 Speaker 1: preventing that. And so the idea is, if they want 99 00:05:42,800 --> 00:05:45,000 Speaker 1: to have this kind of relationship as they get older, 100 00:05:45,000 --> 00:05:47,880 Speaker 1: that's an expression of their love. Let's help them get there. 101 00:05:48,360 --> 00:05:52,800 Speaker 1: So I will move to the question of sexual dysfunction 102 00:05:53,680 --> 00:05:56,719 Speaker 1: in women as they get older. You kind of mentioned 103 00:05:56,720 --> 00:06:02,000 Speaker 1: it earlier. Pain, dryness, lack of enjoyment, lack of drive. 104 00:06:02,839 --> 00:06:03,720 Speaker 1: Could you speak to that? 105 00:06:06,240 --> 00:06:10,200 Speaker 2: Sure, so not uncommon at all as part of the 106 00:06:10,240 --> 00:06:14,960 Speaker 2: hormones being depleted. The estrogen being depleted, the progesterone being depleted, 107 00:06:15,000 --> 00:06:20,200 Speaker 2: the testosterone being depleted. After menopause, women experience a lot 108 00:06:20,440 --> 00:06:26,160 Speaker 2: of pain with sex and lack of libido, So we 109 00:06:26,240 --> 00:06:28,720 Speaker 2: want to address those things if they're able to be addressed. 110 00:06:29,279 --> 00:06:35,039 Speaker 3: And in addition to that, when the women see changes 111 00:06:35,120 --> 00:06:35,520 Speaker 3: in their. 112 00:06:35,400 --> 00:06:40,960 Speaker 2: Vagina, the risk of urinary tract infections and illness actually 113 00:06:40,960 --> 00:06:45,400 Speaker 2: goes up too, So there's medical reasons in addition to 114 00:06:45,480 --> 00:06:50,240 Speaker 2: sexual reasons and feeling of well being reasons to replace 115 00:06:50,240 --> 00:06:51,000 Speaker 2: these hormones. 116 00:06:52,920 --> 00:06:57,719 Speaker 1: We have a very popular host on the air in 117 00:06:57,839 --> 00:07:01,920 Speaker 1: Houston named Dana Tyson. She's on Sunday Night and nine 118 00:07:01,920 --> 00:07:08,760 Speaker 1: point one, and she over the years has mentioned vaginal dryness. 119 00:07:09,320 --> 00:07:12,240 Speaker 1: She's a very attractive woman and I jokingly told her 120 00:07:12,240 --> 00:07:14,720 Speaker 1: in the hallway one day, I said, Dana, please don't 121 00:07:14,760 --> 00:07:18,240 Speaker 1: ruin my fantasy. Every man in the building has it 122 00:07:18,320 --> 00:07:19,680 Speaker 1: out for you. And then you got to go and 123 00:07:19,720 --> 00:07:21,760 Speaker 1: start talking about that stuff. And she said, Michael, that's 124 00:07:21,800 --> 00:07:24,400 Speaker 1: the whole point. That's why I have to talk about it. 125 00:07:24,840 --> 00:07:26,560 Speaker 1: But she has spent a lot of time over the 126 00:07:26,640 --> 00:07:30,920 Speaker 1: years talking about an aging woman and the sexual process 127 00:07:31,400 --> 00:07:34,200 Speaker 1: and all this is that something that can be fixed. 128 00:07:36,080 --> 00:07:39,480 Speaker 2: It is something that can be fixed, but it's better 129 00:07:39,600 --> 00:07:43,400 Speaker 2: if we prevent it from happening. So if we start 130 00:07:43,720 --> 00:07:49,880 Speaker 2: hormone treatment earlier, so closer to when menopause starts, within 131 00:07:50,360 --> 00:07:52,520 Speaker 2: five to ten years, we prevent. 132 00:07:52,280 --> 00:07:53,560 Speaker 3: These things from happening. 133 00:07:54,160 --> 00:07:56,680 Speaker 2: And that's kind of the bigger point of all this 134 00:07:56,800 --> 00:07:59,760 Speaker 2: is to prevent it, right, to make to not get 135 00:07:59,760 --> 00:08:02,720 Speaker 2: there to where we have national drynas in pain and 136 00:08:02,760 --> 00:08:06,840 Speaker 2: we've been suffering for five years or ten years, and 137 00:08:06,880 --> 00:08:10,600 Speaker 2: we're just getting crankier by the moment, right like we're 138 00:08:10,920 --> 00:08:14,000 Speaker 2: not thinking straight. If we can catch it as it 139 00:08:14,080 --> 00:08:17,880 Speaker 2: begins to happen and treat it in that time, then 140 00:08:17,960 --> 00:08:19,760 Speaker 2: we prevent the stuff. 141 00:08:19,480 --> 00:08:22,840 Speaker 1: From that hold There week, doctor any Davis as our guest. 142 00:08:22,960 --> 00:08:24,800 Speaker 1: That is spelled A in U if you want to 143 00:08:24,800 --> 00:08:26,880 Speaker 1: look her up. We're talking about menopause. Coming up from 144 00:08:26,920 --> 00:08:32,080 Speaker 1: Michael Barry Show. I don't believe in growing old gracefully. 145 00:08:32,600 --> 00:08:35,680 Speaker 1: I don't mind telling you. I don't want to sit 146 00:08:35,800 --> 00:08:38,520 Speaker 1: in a recliner and get old and fat and grumpy 147 00:08:38,559 --> 00:08:42,040 Speaker 1: and say get off my front yard. I see people 148 00:08:42,080 --> 00:08:46,920 Speaker 1: who choose to live an active life well into their nineties. 149 00:08:47,440 --> 00:08:51,480 Speaker 1: I look at the work that Clint Eastwood has done 150 00:08:51,559 --> 00:08:55,560 Speaker 1: that will be left to humanity from the time he 151 00:08:55,720 --> 00:09:00,800 Speaker 1: was seventy to the present alone, right, And that's amazing. 152 00:09:01,200 --> 00:09:04,400 Speaker 1: And I think he's having a great run. And I 153 00:09:04,440 --> 00:09:07,120 Speaker 1: think the mindset that, you know what, I'm not just 154 00:09:07,240 --> 00:09:10,840 Speaker 1: going to fall apart. I'm going to make decisions. I 155 00:09:10,880 --> 00:09:12,800 Speaker 1: also find it to be the case. Look, I'll cut 156 00:09:12,920 --> 00:09:14,560 Speaker 1: jokes with the guys as well, but we all know 157 00:09:14,600 --> 00:09:16,480 Speaker 1: we love our wives, we love our mothers, we love 158 00:09:16,480 --> 00:09:19,120 Speaker 1: our daughters, and we want good things for them. We 159 00:09:19,160 --> 00:09:22,560 Speaker 1: want them to be happy, not just in their relationships 160 00:09:22,600 --> 00:09:26,320 Speaker 1: but personally and individually, and their health, including their mental health, 161 00:09:26,360 --> 00:09:30,480 Speaker 1: and some of that's related to their physical health. And look, 162 00:09:30,760 --> 00:09:33,320 Speaker 1: we love to say, oh, she's being hormonal, Well guess 163 00:09:33,400 --> 00:09:36,760 Speaker 1: what she is. But I will tell you full disclosure. 164 00:09:37,720 --> 00:09:41,960 Speaker 1: Before I was on testosterone, I was grumpier and I 165 00:09:42,040 --> 00:09:45,880 Speaker 1: was younger too, over ten years ago. Now, if I 166 00:09:45,960 --> 00:09:48,600 Speaker 1: go a while without getting my shot because I get 167 00:09:48,640 --> 00:09:53,000 Speaker 1: busy and all that, I'm grumpier, I'm not happy. I 168 00:09:53,080 --> 00:09:56,040 Speaker 1: get back on my testosterone and I'm driving along and 169 00:09:56,080 --> 00:09:58,800 Speaker 1: I hear the birds chirp. I'm not even joking. When 170 00:09:58,840 --> 00:10:02,679 Speaker 1: you replace my male hormone, I hear the birds chirp, 171 00:10:02,679 --> 00:10:05,680 Speaker 1: and I think, what a beautiful sound. Anybody that knows 172 00:10:05,720 --> 00:10:09,240 Speaker 1: me knows there's two Michaels Jacqueline Hyde, there is, what 173 00:10:09,280 --> 00:10:11,559 Speaker 1: a beautiful sound the birds are chirping, and there is 174 00:10:12,360 --> 00:10:15,040 Speaker 1: doesn't even hear them and wonders why the world's going 175 00:10:15,080 --> 00:10:18,120 Speaker 1: to hell? I like that me more, and it turns 176 00:10:18,120 --> 00:10:21,520 Speaker 1: out it's also true for women. It's the natural drug 177 00:10:21,600 --> 00:10:25,480 Speaker 1: your body makes. Doctor anew Davis, I'm going to open 178 00:10:25,600 --> 00:10:28,959 Speaker 1: up to what are the questions you get the most 179 00:10:29,520 --> 00:10:33,760 Speaker 1: related to menopause, the loss of hormones, the aging process 180 00:10:33,960 --> 00:10:36,520 Speaker 1: for women, and what are some standard things you want 181 00:10:36,520 --> 00:10:37,160 Speaker 1: women to know. 182 00:10:38,360 --> 00:10:41,839 Speaker 2: So the biggest thing that people want to know about menopause, 183 00:10:41,960 --> 00:10:46,720 Speaker 2: especially right now, is hormone replacement therapy safe? And the 184 00:10:46,800 --> 00:10:50,080 Speaker 2: answer is that for most women, hormone replacement is not 185 00:10:50,200 --> 00:10:54,720 Speaker 2: only safe, but it's beneficial. I want women to know. 186 00:10:54,880 --> 00:10:57,800 Speaker 2: And women often ask when it is too early, when 187 00:10:57,840 --> 00:11:01,920 Speaker 2: it is too late to start hormone replacement therapy, and 188 00:11:01,960 --> 00:11:06,920 Speaker 2: the answer is it's never too early to start hormone 189 00:11:06,960 --> 00:11:12,839 Speaker 2: replacement therapy or start talking to your physicians about the 190 00:11:12,960 --> 00:11:18,360 Speaker 2: changes that you're feeling with hormone replacement. Therapy or with 191 00:11:18,600 --> 00:11:22,920 Speaker 2: your cycles or with your changes in your cycles. But 192 00:11:23,000 --> 00:11:26,280 Speaker 2: the hope and the goal is to start hormone replacement 193 00:11:26,320 --> 00:11:32,440 Speaker 2: therapy for menopause if you're able to start within five 194 00:11:32,480 --> 00:11:36,640 Speaker 2: to ten years of menopause. The sooner we start it, 195 00:11:36,760 --> 00:11:39,760 Speaker 2: the more likely we are and the more able we 196 00:11:39,800 --> 00:11:43,400 Speaker 2: are to prevent the complications related to the bone and 197 00:11:43,480 --> 00:11:47,360 Speaker 2: to the brain and to the heart. So our hope 198 00:11:47,440 --> 00:11:50,600 Speaker 2: is that we can start it as people are transitioning 199 00:11:50,880 --> 00:11:52,719 Speaker 2: or as soon after. 200 00:11:53,760 --> 00:11:56,000 Speaker 3: The cycle stop as possible. 201 00:11:57,400 --> 00:12:00,679 Speaker 2: The second question that everyone asks is how long can 202 00:12:00,720 --> 00:12:04,319 Speaker 2: I take it? And the answer to that question is 203 00:12:05,559 --> 00:12:11,320 Speaker 2: really indefinitely, But the risk has to be assessed year 204 00:12:11,360 --> 00:12:15,920 Speaker 2: to year as other health issues come come into play, 205 00:12:16,640 --> 00:12:19,840 Speaker 2: and in women who have active breast cancers or in 206 00:12:20,000 --> 00:12:23,680 Speaker 2: women who have active heart disease, then the risk and 207 00:12:23,760 --> 00:12:27,680 Speaker 2: benefit so the hormone therapy has to be has to 208 00:12:27,720 --> 00:12:28,600 Speaker 2: be weighed. 209 00:12:32,520 --> 00:12:33,600 Speaker 1: I didn't know if there was going to be a 210 00:12:33,600 --> 00:12:34,960 Speaker 1: third one. I was pausing. 211 00:12:35,760 --> 00:12:37,160 Speaker 3: I don't know if there's a third one. 212 00:12:37,320 --> 00:12:38,400 Speaker 1: Oh yeah, okay, go ahead, good. 213 00:12:38,480 --> 00:12:40,040 Speaker 2: Those are the two, I mean, those are the big ones, 214 00:12:40,080 --> 00:12:41,880 Speaker 2: like when do we start and how long can we 215 00:12:41,920 --> 00:12:42,200 Speaker 2: take it? 216 00:12:42,280 --> 00:12:46,319 Speaker 3: Right? Those are the two big questions people ask. 217 00:12:46,440 --> 00:12:49,040 Speaker 1: Is let me start and let me stop there, because 218 00:12:49,080 --> 00:12:51,360 Speaker 1: I think a lot of people are asking. A lot 219 00:12:51,400 --> 00:12:54,120 Speaker 1: of people are on a budget, maybe a fixed income. 220 00:12:54,720 --> 00:12:56,680 Speaker 1: Is this the sort of thing that insurance covers. 221 00:12:58,679 --> 00:13:03,520 Speaker 2: I know you're a hormone replacement therapy Yeah, no, yeah, 222 00:13:04,440 --> 00:13:10,080 Speaker 2: there are many FDA approved hormone replacement therapies, and yes, 223 00:13:10,440 --> 00:13:11,599 Speaker 2: insurance will. 224 00:13:11,360 --> 00:13:14,120 Speaker 3: Cover the majority of hormone replacement therapy. 225 00:13:15,240 --> 00:13:17,640 Speaker 1: Is that true also in your practice, since you're a 226 00:13:17,679 --> 00:13:20,640 Speaker 1: Concieres doctor, it is true. 227 00:13:20,720 --> 00:13:24,840 Speaker 2: Yes, So testosterone is not covered by insurance for women 228 00:13:25,120 --> 00:13:29,079 Speaker 2: because testosterone is no an FDA approved therapy right in 229 00:13:29,880 --> 00:13:34,920 Speaker 2: the United States, So women who choose to use testosterone 230 00:13:34,920 --> 00:13:40,240 Speaker 2: therapy will have to pay for that. Although there's very 231 00:13:40,360 --> 00:13:43,000 Speaker 2: you know, this is it's not a new medication. This 232 00:13:43,120 --> 00:13:46,120 Speaker 2: is not it's not like we're using fancy testosterone. There's 233 00:13:46,720 --> 00:13:53,920 Speaker 2: it's a very affordable medication. So, uh, but estrogen and progesterone. 234 00:13:53,360 --> 00:13:56,840 Speaker 3: Replacement is is FDA approved And. 235 00:13:56,760 --> 00:13:58,280 Speaker 1: Well, I will tell you I want I want you 236 00:13:58,360 --> 00:14:00,000 Speaker 1: to go to number three, but I would tell you 237 00:14:00,640 --> 00:14:04,520 Speaker 1: I have had no hit Kara, our mutual friend, my 238 00:14:04,679 --> 00:14:08,560 Speaker 1: urologist on the air multiple times and at some point 239 00:14:08,600 --> 00:14:12,920 Speaker 1: it comes around to testosterone for women, obviously in limited amounts, 240 00:14:13,360 --> 00:14:16,240 Speaker 1: And I get emails from dudes who have never heard 241 00:14:16,240 --> 00:14:18,079 Speaker 1: of this, and they think their wife's going to grow 242 00:14:18,120 --> 00:14:20,960 Speaker 1: hair on her boobs and it's not happening. And not 243 00:14:21,000 --> 00:14:26,280 Speaker 1: only that, it has been shown to have phenomenal results 244 00:14:26,440 --> 00:14:28,920 Speaker 1: in many women. And if you think about the fact 245 00:14:28,960 --> 00:14:33,680 Speaker 1: that women, as they get older, their body is as 246 00:14:33,720 --> 00:14:37,800 Speaker 1: far from you want muscle mass, you want some strength, 247 00:14:37,880 --> 00:14:41,680 Speaker 1: you want all those things that are represented by testosterone. 248 00:14:41,720 --> 00:14:45,560 Speaker 1: So ladies, don't be freaked out by that. I read 249 00:14:45,600 --> 00:14:47,920 Speaker 1: a lot on the subject, and I am personally a 250 00:14:48,000 --> 00:14:55,480 Speaker 1: non doctor believer. But what was number three? I don't know. 251 00:14:55,640 --> 00:14:59,960 Speaker 2: Oh my gosh. So when should we start at? How 252 00:15:00,080 --> 00:15:04,560 Speaker 2: long can we take it? And then which I mean 253 00:15:04,600 --> 00:15:07,360 Speaker 2: they people want to know what they can expect, right. 254 00:15:09,640 --> 00:15:12,840 Speaker 2: The doses of these medications do have to be adjusted. 255 00:15:13,640 --> 00:15:18,560 Speaker 2: It depending on how often your physician does this like 256 00:15:18,640 --> 00:15:20,920 Speaker 2: it may take a couple of tries, so be patient 257 00:15:20,960 --> 00:15:27,280 Speaker 2: with it, and depending on how you respond. But remember, 258 00:15:27,280 --> 00:15:30,280 Speaker 2: we're replacing hormone that your body doesn't make anymore. 259 00:15:30,320 --> 00:15:36,080 Speaker 3: We are not you know, we're not giving you something else. 260 00:15:36,440 --> 00:15:39,800 Speaker 2: So it's just replacing something that your body stopped making? 261 00:15:43,440 --> 00:15:44,200 Speaker 1: Was there another one? 262 00:15:44,800 --> 00:15:47,360 Speaker 3: And then we I don't know, I can't remember. 263 00:15:48,560 --> 00:15:52,440 Speaker 1: Oh that's right, So let me ask you this. I'm 264 00:15:52,480 --> 00:15:54,720 Speaker 1: just sifting through all the questions I had, and I 265 00:15:54,720 --> 00:15:56,280 Speaker 1: had made a lot of notes, and I can't get 266 00:15:56,320 --> 00:15:58,000 Speaker 1: to all of them. But one of the ones that 267 00:15:58,040 --> 00:16:01,800 Speaker 1: came up a lot is if a woman was on 268 00:16:01,880 --> 00:16:05,200 Speaker 1: the pill, is that going to affect her? And I 269 00:16:05,240 --> 00:16:09,560 Speaker 1: found a post by a fellow who is kind of 270 00:16:09,560 --> 00:16:12,160 Speaker 1: a bodybuilder wellness guy, and I'll just read you the 271 00:16:12,280 --> 00:16:16,520 Speaker 1: quote that coming up with doctor Anu Anu, doctor a 272 00:16:16,640 --> 00:16:20,960 Speaker 1: new Davis count listening to the Michael Berry Show podcast, 273 00:16:21,360 --> 00:16:25,760 Speaker 1: is sexy be sexy? One of the questions, since we're 274 00:16:25,760 --> 00:16:28,200 Speaker 1: talking about menopause with an expert on the subject. Her 275 00:16:28,240 --> 00:16:32,640 Speaker 1: name is doctor Anu Anu Davis. She's in Houston at 276 00:16:32,640 --> 00:16:38,000 Speaker 1: the River Oaks Doctors Group, and she is an expert 277 00:16:38,040 --> 00:16:43,480 Speaker 1: in diabetes. She's a concierge doctor, and she is a 278 00:16:43,560 --> 00:16:47,440 Speaker 1: menopause expert. And over dinner at our home, she mentioned 279 00:16:47,440 --> 00:16:49,640 Speaker 1: menopause and my wife said, get her on the air. 280 00:16:49,880 --> 00:16:52,640 Speaker 1: Women want to hear about that. Whether you like it 281 00:16:52,760 --> 00:16:55,240 Speaker 1: or not, we're all interested in it. I said, Okay, 282 00:16:55,840 --> 00:16:59,240 Speaker 1: so we did, and my next question is or so 283 00:16:59,320 --> 00:17:02,560 Speaker 1: we are as we speak. My next question is related 284 00:17:02,680 --> 00:17:08,520 Speaker 1: to birth control and as women get older who have 285 00:17:08,680 --> 00:17:13,440 Speaker 1: been on birth control earlier. Obviously, if you're perimenopausal or menopausal, 286 00:17:13,480 --> 00:17:16,959 Speaker 1: you're not having your period anymore, so you're not getting pregnant, presumably. 287 00:17:17,720 --> 00:17:19,480 Speaker 1: But here I'll just read you a post and we'll 288 00:17:19,520 --> 00:17:23,359 Speaker 1: start there. The use of hormonal contraceptives by tens of 289 00:17:23,359 --> 00:17:28,680 Speaker 1: millions of women could plausibly be having population level effects 290 00:17:28,760 --> 00:17:33,800 Speaker 1: on behavior, including political behavior. A new study shows that 291 00:17:33,880 --> 00:17:40,520 Speaker 1: women who use hormonal contraceptives exhibit significantly stronger emotional responses 292 00:17:41,000 --> 00:17:46,160 Speaker 1: than women who are naturally cycling, and they also interestingly 293 00:17:46,480 --> 00:17:50,880 Speaker 1: remember fewer details of negative events. A study last year 294 00:17:50,960 --> 00:17:57,800 Speaker 1: showed that hormonal contraceptives shrink the ventromedial prefrontal cortex, a 295 00:17:57,960 --> 00:18:02,200 Speaker 1: region of the brain involved in fear processing and emotional control. 296 00:18:03,160 --> 00:18:08,400 Speaker 1: Are hormonal contraceptives making our ladies crazy? And what are 297 00:18:08,760 --> 00:18:10,439 Speaker 1: hormonal contraceptives? 298 00:18:11,119 --> 00:18:17,959 Speaker 2: Okay, so hormone. So the hormone that's in that are 299 00:18:18,000 --> 00:18:25,400 Speaker 2: in most hormonal contraceptives are actually different than the hormone 300 00:18:25,400 --> 00:18:30,280 Speaker 2: that we use in most hormone replacement therapy. In hormone 301 00:18:30,320 --> 00:18:37,879 Speaker 2: replacement therapy we use I hate the term, but we 302 00:18:38,000 --> 00:18:41,919 Speaker 2: use We use hormones as much that are not artificial. 303 00:18:42,000 --> 00:18:48,800 Speaker 2: The hormones in birth control are similar to what your 304 00:18:48,800 --> 00:18:51,719 Speaker 2: body makes. But the hormones and hormone replacement therapy are 305 00:18:51,800 --> 00:18:58,960 Speaker 2: much lower doses, and they are probably about thirty to 306 00:18:59,000 --> 00:19:03,479 Speaker 2: fifty percent of the doses in birth control pills, and 307 00:19:03,760 --> 00:19:07,359 Speaker 2: they are actually a different compound replacing the hormone that 308 00:19:07,440 --> 00:19:10,919 Speaker 2: your body makes. So we give women in horm in menopause, 309 00:19:11,080 --> 00:19:18,880 Speaker 2: estradol and progesterone, which is a little bit different than 310 00:19:18,880 --> 00:19:22,600 Speaker 2: the actual medications that we give in birth control pills. 311 00:19:23,680 --> 00:19:26,320 Speaker 2: But I don't know that I address the actual question. 312 00:19:26,640 --> 00:19:29,880 Speaker 1: Well, that's okay, take a moment. I mean, what effect 313 00:19:29,880 --> 00:19:32,760 Speaker 1: do you think that that does have. I'm coming at it, 314 00:19:32,920 --> 00:19:35,200 Speaker 1: and so is the fellow who posted. I don't know him. 315 00:19:35,240 --> 00:19:37,640 Speaker 1: He's raw eggs national. I don't know what that means. 316 00:19:37,640 --> 00:19:39,679 Speaker 1: I don't know who he is, could be, could be anyone. 317 00:19:40,359 --> 00:19:43,719 Speaker 1: But this idea, well, I'll just lay it out there. 318 00:19:43,760 --> 00:19:46,200 Speaker 1: I'm not one of the men's words. There is this idea 319 00:19:46,560 --> 00:19:49,639 Speaker 1: that there are a bunch of screeching women out there 320 00:19:50,440 --> 00:19:53,680 Speaker 1: who can't be reasoned with. Who are voting by our calculation. 321 00:19:53,800 --> 00:19:56,760 Speaker 1: I don't ask you to address politics, but by our calculation, 322 00:19:57,359 --> 00:20:02,440 Speaker 1: they're unreasonable and they're voting we believe wrong. You take 323 00:20:02,480 --> 00:20:04,960 Speaker 1: the woman who at the Phillies game, who's come to 324 00:20:04,960 --> 00:20:07,160 Speaker 1: be known as Phillies Karen, takes the ball away from 325 00:20:07,160 --> 00:20:10,160 Speaker 1: the kid on his birthday, and now everybody hates her. 326 00:20:10,520 --> 00:20:13,800 Speaker 1: You know, there is this idea, and I think people 327 00:20:13,920 --> 00:20:17,040 Speaker 1: are concerned about it now. It's mostly coming from men. Fairness, 328 00:20:17,040 --> 00:20:19,040 Speaker 1: we have our own perspective. We don't have a lot 329 00:20:19,040 --> 00:20:22,159 Speaker 1: of tolerance for the emotional side. But I'm curious to 330 00:20:22,240 --> 00:20:27,840 Speaker 1: know if you think that is affecting writ large a 331 00:20:27,920 --> 00:20:28,760 Speaker 1: lot of women. 332 00:20:31,680 --> 00:20:35,200 Speaker 2: I mean, I mean, I don't think that it's affecting 333 00:20:35,240 --> 00:20:35,879 Speaker 2: a lot of women. 334 00:20:35,920 --> 00:20:37,760 Speaker 3: I don't know like that. 335 00:20:37,800 --> 00:20:41,600 Speaker 2: There's the use of birth control pills has gone down significantly, 336 00:20:42,600 --> 00:20:45,280 Speaker 2: probably in the last twenty years, because of the same 337 00:20:45,359 --> 00:20:51,600 Speaker 2: fears that have reduced hormone replacement therapy. That what most women, 338 00:20:51,960 --> 00:20:54,280 Speaker 2: after the short periods that they need to use birth 339 00:20:54,280 --> 00:20:56,720 Speaker 2: control pills have actually stopped using them. So I don't 340 00:20:56,760 --> 00:20:59,040 Speaker 2: know that this is some global occurrence. But I don't 341 00:20:59,080 --> 00:21:01,359 Speaker 2: know that I all can really speak to it either. 342 00:21:02,240 --> 00:21:07,760 Speaker 1: Okay, fair enough? Did you speak to how long a 343 00:21:07,840 --> 00:21:10,400 Speaker 1: woman should be on this sort of treatment? I mean 344 00:21:11,040 --> 00:21:15,160 Speaker 1: a woman enters into this perimenopause where she's not cycling, 345 00:21:15,200 --> 00:21:20,639 Speaker 1: as you say, any longer, and then a woman, I 346 00:21:20,640 --> 00:21:23,359 Speaker 1: guess you treat this. Is this a treatment for life? 347 00:21:23,440 --> 00:21:25,640 Speaker 1: I mean how long is it reasonable to be on this? 348 00:21:27,640 --> 00:21:31,520 Speaker 2: So it is reasonable to be on this medication indefinitely 349 00:21:32,920 --> 00:21:37,840 Speaker 2: as long as you don't come up against things health 350 00:21:37,880 --> 00:21:41,920 Speaker 2: wise that make you have to stop it. So right now, 351 00:21:42,160 --> 00:21:44,879 Speaker 2: the things that would make you have to stop taking 352 00:21:45,040 --> 00:21:48,200 Speaker 2: hormone replacement therapy is if you have an active breast 353 00:21:48,200 --> 00:21:53,040 Speaker 2: cancer that has receptors for estrogen or progesterone. So women 354 00:21:53,080 --> 00:21:57,440 Speaker 2: who are diagnosed with active breast cancers that have receptors 355 00:21:57,440 --> 00:22:02,760 Speaker 2: for estrogen progesterone, they should not take breath control. Women 356 00:22:02,800 --> 00:22:06,520 Speaker 2: who have active heart disease meaning they just had a 357 00:22:06,520 --> 00:22:10,359 Speaker 2: heart attack, they just had a or just had a 358 00:22:10,400 --> 00:22:14,000 Speaker 2: stroke or a cloth of some sort, those women should 359 00:22:14,040 --> 00:22:15,840 Speaker 2: have to stop their. 360 00:22:17,880 --> 00:22:19,240 Speaker 3: Hormone replacement therapy. 361 00:22:20,760 --> 00:22:24,359 Speaker 2: And so that's who sometimes we have to stop it. 362 00:22:24,880 --> 00:22:28,359 Speaker 2: Those women at this time. We can sometimes restart it, 363 00:22:28,400 --> 00:22:31,200 Speaker 2: but that has to be done on an individual basis. 364 00:22:31,880 --> 00:22:35,080 Speaker 2: It is not unreasonable, however, to plan on taking these 365 00:22:35,160 --> 00:22:36,480 Speaker 2: medications indefinitely. 366 00:22:39,480 --> 00:22:47,440 Speaker 1: And that's okay. It sounds like you're saying that's okay, Yeah. 367 00:22:47,800 --> 00:22:48,320 Speaker 3: That's great. 368 00:22:48,400 --> 00:22:51,240 Speaker 2: I mean, as long as it's helping them and protecting 369 00:22:51,240 --> 00:22:53,920 Speaker 2: their bones and doing their doing what it's supposed to 370 00:22:53,960 --> 00:22:57,440 Speaker 2: be and not hurting them, we can stay on it indefinitely. 371 00:22:57,880 --> 00:23:02,800 Speaker 1: So let's talk women's health. Generally for women fifty plus, 372 00:23:02,920 --> 00:23:05,439 Speaker 1: if somebody is under your treatment, then you get an 373 00:23:05,440 --> 00:23:07,560 Speaker 1: opportunity to talk through all of these things. And being 374 00:23:07,600 --> 00:23:09,800 Speaker 1: a concierge doctor, you don't have to see seventy five 375 00:23:09,840 --> 00:23:12,800 Speaker 1: patients today. That's the reason people pay more and pay 376 00:23:12,880 --> 00:23:16,879 Speaker 1: cash outside of insurance for a concierge doctor is to 377 00:23:16,880 --> 00:23:18,800 Speaker 1: be able to sit down and talk to you at length. 378 00:23:18,880 --> 00:23:22,080 Speaker 1: Everybody's been in that doctor's office where he's got you know, 379 00:23:22,119 --> 00:23:24,000 Speaker 1: you waited two hours to get in to see him, 380 00:23:24,000 --> 00:23:27,040 Speaker 1: two hours over the time or her, and then they've 381 00:23:27,040 --> 00:23:29,119 Speaker 1: got thirty seconds for you. They can write your script 382 00:23:29,119 --> 00:23:30,919 Speaker 1: and send you on your way. That's the reason people 383 00:23:30,960 --> 00:23:33,080 Speaker 1: go to concierge doctors because they can sit down and 384 00:23:33,119 --> 00:23:35,760 Speaker 1: talk through Hey, i'm having hot flashes. Hey, this is 385 00:23:35,800 --> 00:23:42,440 Speaker 1: my worry. Let's talk women's health generally, and I want 386 00:23:42,480 --> 00:23:44,720 Speaker 1: to talk. It's going to take me a moment. I'm 387 00:23:44,760 --> 00:23:46,359 Speaker 1: going to have to I'm gonna have to go to 388 00:23:46,800 --> 00:23:49,480 Speaker 1: a break here, but I'll tease the questions to give 389 00:23:49,520 --> 00:23:52,720 Speaker 1: you a moment to think about it. And that is diet. 390 00:23:53,119 --> 00:23:57,800 Speaker 1: I have become mildly obsessed with diet, not in terms 391 00:23:57,880 --> 00:24:00,920 Speaker 1: of the word that we used in the seven and eighties, 392 00:24:00,960 --> 00:24:05,760 Speaker 1: as in lose weight, eat less, fat free, sugar free, 393 00:24:05,800 --> 00:24:09,520 Speaker 1: whatever that I want to talk about diet. My wife's 394 00:24:09,560 --> 00:24:14,399 Speaker 1: a big believer in this Mediterranean diet and the idea 395 00:24:14,880 --> 00:24:18,600 Speaker 1: that you don't have to eat, you don't have to starve, 396 00:24:19,320 --> 00:24:23,679 Speaker 1: and you don't have to eat tiny amounts, and you 397 00:24:23,680 --> 00:24:27,480 Speaker 1: don't have to eat products that are tasteless. In fact, 398 00:24:27,560 --> 00:24:30,919 Speaker 1: quite the opposite. You can eat God's bounty that he 399 00:24:31,000 --> 00:24:33,920 Speaker 1: put on this earth for us for a natural tasty, 400 00:24:34,000 --> 00:24:37,760 Speaker 1: in some cases high fat, good fat foods, and be 401 00:24:37,880 --> 00:24:41,280 Speaker 1: way healthier than people who constantly say, oh no, no, 402 00:24:41,359 --> 00:24:44,320 Speaker 1: I couldn't eat cake. I am on a diet, and 403 00:24:44,359 --> 00:24:47,199 Speaker 1: then that self denial leads to them later gorging on 404 00:24:47,280 --> 00:24:50,400 Speaker 1: four pieces of it. When we talk about overall good health. 405 00:24:50,760 --> 00:24:53,280 Speaker 1: It doesn't mean you have to be miserable and in 406 00:24:53,320 --> 00:24:56,480 Speaker 1: a state of constant self denial. I think it's important 407 00:24:56,480 --> 00:25:00,440 Speaker 1: people understand that. We'll continue out conversation with menopause andabetes. 408 00:25:00,840 --> 00:25:04,760 Speaker 1: Concierge doctor a newt An you, David Pas he worn 409 00:25:04,840 --> 00:25:07,359 Speaker 1: the button two eight all for just four hundred and 410 00:25:07,440 --> 00:25:10,440 Speaker 1: ninety nine dollars right now at wards. If you could 411 00:25:10,440 --> 00:25:13,240 Speaker 1: find it, miet the Michael Barry with these features for 412 00:25:13,440 --> 00:25:19,159 Speaker 1: less money by it. Doctor On new Davis is our guest. 413 00:25:19,359 --> 00:25:22,720 Speaker 1: She is a concierge doctor in Houston who treats my 414 00:25:22,840 --> 00:25:25,280 Speaker 1: father as of the last few months. And may I 415 00:25:25,320 --> 00:25:30,159 Speaker 1: say masterfully she is a diabetes expert. She's a concierge 416 00:25:30,240 --> 00:25:33,960 Speaker 1: general practitioner as well. And if anybody's wondering what that means, 417 00:25:34,000 --> 00:25:36,959 Speaker 1: I'll give you the quick rundown. And that means instead 418 00:25:36,960 --> 00:25:39,080 Speaker 1: of going to a doctor, waiting for three hours to 419 00:25:39,080 --> 00:25:42,320 Speaker 1: see them in the in the waiting room, rushing in, 420 00:25:43,080 --> 00:25:46,639 Speaker 1: waiting in another room, waiting in another room, they come in, Hi, 421 00:25:46,720 --> 00:25:48,280 Speaker 1: how are you? What do you need your script for? 422 00:25:48,560 --> 00:25:50,160 Speaker 1: They write you a script, send you on your way, 423 00:25:50,200 --> 00:25:51,680 Speaker 1: and you feel like WHOA I need to talk to 424 00:25:51,760 --> 00:25:54,159 Speaker 1: him and you're out the door. But the insurance covered it. 425 00:25:54,359 --> 00:25:58,480 Speaker 1: That was a good thing. Conciers doctors are not for 426 00:25:58,520 --> 00:26:00,720 Speaker 1: the faint of heart. It's not cheap, but it's not 427 00:26:00,760 --> 00:26:02,560 Speaker 1: that much when you consider what you get. You have 428 00:26:02,640 --> 00:26:04,399 Speaker 1: their cell phone. In most cases, you can call them 429 00:26:04,440 --> 00:26:07,120 Speaker 1: all hours a day. Instead of seeing seventy five patients 430 00:26:07,119 --> 00:26:10,199 Speaker 1: in a day, they typically see five or six. So 431 00:26:10,960 --> 00:26:12,439 Speaker 1: you know, she's spent an hour and a half with 432 00:26:12,480 --> 00:26:15,400 Speaker 1: my dad at her first meeting. I like that. I'm 433 00:26:15,400 --> 00:26:17,920 Speaker 1: willing to pay for that at this point, at eighty five, 434 00:26:18,240 --> 00:26:20,960 Speaker 1: for him to sit and talk through every aspect of 435 00:26:20,960 --> 00:26:23,880 Speaker 1: his life. That's what a Conciers doctor does. She does 436 00:26:23,920 --> 00:26:27,840 Speaker 1: that as your family doctor, as your general doctor. She's 437 00:26:27,880 --> 00:26:31,360 Speaker 1: a diabetes expert, and she's a menopause expert. They're all 438 00:26:31,440 --> 00:26:33,479 Speaker 1: kind of in the same field of what's going on 439 00:26:33,560 --> 00:26:37,720 Speaker 1: with your body. We talked a little bit about women's 440 00:26:37,760 --> 00:26:41,200 Speaker 1: health going in, and I posed the question about a 441 00:26:41,320 --> 00:26:44,359 Speaker 1: proper diet that is also enjoyable because nobody wants to 442 00:26:44,359 --> 00:26:46,879 Speaker 1: be miserable. Talk about what we should and shouldn't be 443 00:26:46,880 --> 00:26:48,920 Speaker 1: eaten if we're a sixty year old woman. 444 00:26:51,400 --> 00:26:54,080 Speaker 2: Well, the main things that we should be doing is 445 00:26:54,160 --> 00:26:56,160 Speaker 2: focusing on strong not skinny. 446 00:26:56,320 --> 00:26:56,520 Speaker 3: Right. 447 00:26:56,640 --> 00:27:00,680 Speaker 2: The goal is to increase protein intake to protect those 448 00:27:00,800 --> 00:27:04,600 Speaker 2: muscles from breakdown, because then the muscles protect the bones. 449 00:27:05,920 --> 00:27:11,200 Speaker 2: So we want to eat lots, we want to focus 450 00:27:11,320 --> 00:27:14,959 Speaker 2: on our protein. We want to focus on fiber and vegetables, 451 00:27:15,240 --> 00:27:18,400 Speaker 2: and we have want to avoid foods that are pro inflammatory. 452 00:27:18,520 --> 00:27:25,439 Speaker 2: So inflammatory foods are things that have artificial dyes and 453 00:27:26,119 --> 00:27:28,880 Speaker 2: that will make us sick. Right, So what we want 454 00:27:28,920 --> 00:27:31,120 Speaker 2: to eat is as much real food as we can eat, 455 00:27:31,200 --> 00:27:37,080 Speaker 2: and we want to focus on protein and fiber. And 456 00:27:37,119 --> 00:27:40,320 Speaker 2: when we do that, we become stronger. And that's what 457 00:27:40,359 --> 00:27:43,280 Speaker 2: I try to focus my patients on is just and 458 00:27:43,320 --> 00:27:46,960 Speaker 2: focus myself on, is just, you know, cut out the 459 00:27:47,000 --> 00:27:49,400 Speaker 2: stuff that we know we have no business eating anyway, 460 00:27:49,400 --> 00:27:53,240 Speaker 2: and eat more real food. That's step one is just 461 00:27:53,320 --> 00:27:59,480 Speaker 2: eating more real food. So Vediterranean diets are breat I 462 00:27:59,480 --> 00:28:02,080 Speaker 2: think you said that that's what you like to do, 463 00:28:02,720 --> 00:28:05,920 Speaker 2: and that's great, right, Lots of lean protein, lots of vegetable, 464 00:28:08,119 --> 00:28:09,360 Speaker 2: but strong, not skinny. 465 00:28:09,359 --> 00:28:10,200 Speaker 3: That's what I tell people. 466 00:28:10,280 --> 00:28:14,160 Speaker 1: Well, I want to be clear. My wife is an aesthetic, 467 00:28:15,320 --> 00:28:19,119 Speaker 1: a health nut, a very disciplined saint. I am not 468 00:28:19,320 --> 00:28:21,120 Speaker 1: I don't want you to get in the impression I 469 00:28:21,280 --> 00:28:24,920 Speaker 1: eat properly, I said, my wife does that. You know 470 00:28:24,960 --> 00:28:28,879 Speaker 1: my wife, she is very disciplined. I am not. I 471 00:28:28,920 --> 00:28:30,800 Speaker 1: don't want to get credit for something I don't deserve. 472 00:28:30,840 --> 00:28:31,679 Speaker 1: But anyway, go ahead. 473 00:28:33,600 --> 00:28:36,200 Speaker 2: Well, you know that's that's where our focus should be 474 00:28:36,200 --> 00:28:39,560 Speaker 2: because the nutrition does matter. It makes a huge difference 475 00:28:39,680 --> 00:28:44,040 Speaker 2: in terms of our overall well being and protection of 476 00:28:44,080 --> 00:28:44,760 Speaker 2: our bodies. 477 00:28:45,040 --> 00:28:50,520 Speaker 1: All right, I want you to think about menopause. Okayod no, no, 478 00:28:50,600 --> 00:28:58,040 Speaker 1: I'd rather ask you finish. 479 00:28:54,960 --> 00:29:02,200 Speaker 2: The thing about menopause, and that without changing anything. When 480 00:29:02,280 --> 00:29:06,720 Speaker 2: women transition to menopause, without changing anything in their diet 481 00:29:06,800 --> 00:29:12,320 Speaker 2: and exercise, their body fat increases by ten to fifteen percent. 482 00:29:12,440 --> 00:29:14,960 Speaker 2: So you're talking about So you take someone like your wife, 483 00:29:15,000 --> 00:29:19,160 Speaker 2: who's healthy and who does all the right things, just 484 00:29:19,800 --> 00:29:24,160 Speaker 2: making that hormone goes going go away as part of 485 00:29:24,200 --> 00:29:28,920 Speaker 2: this natural transition, increases her body fat by ten to 486 00:29:28,960 --> 00:29:29,680 Speaker 2: fifteen percent. 487 00:29:29,720 --> 00:29:30,640 Speaker 3: She's going to be mad. 488 00:29:31,200 --> 00:29:33,960 Speaker 2: Let me just tell you, people get this makes people 489 00:29:34,040 --> 00:29:36,760 Speaker 2: mad when you're doing all the right things, and you're 490 00:29:36,760 --> 00:29:40,400 Speaker 2: eating your protein and you do your exercise, and you 491 00:29:40,440 --> 00:29:42,640 Speaker 2: just are gaining weight for no reason. So these are 492 00:29:42,960 --> 00:29:48,000 Speaker 2: healthy women who are functioning and working and doing all 493 00:29:48,000 --> 00:29:51,120 Speaker 2: the things that they're supposed to. When they gain five 494 00:29:51,160 --> 00:29:54,880 Speaker 2: to ten pounds of body fat because their hormones left 495 00:29:54,920 --> 00:29:57,040 Speaker 2: their body. 496 00:29:56,880 --> 00:29:57,800 Speaker 3: They get mad. 497 00:29:57,920 --> 00:30:00,800 Speaker 2: So this is I mean many times, this is why 498 00:30:00,800 --> 00:30:03,440 Speaker 2: they show up in my office. Right, that's the first reason, 499 00:30:05,000 --> 00:30:07,800 Speaker 2: because they're like, what do you mean what is happening 500 00:30:07,840 --> 00:30:11,320 Speaker 2: to my body? I am losing I just gained five 501 00:30:11,400 --> 00:30:14,080 Speaker 2: or ten pounds and for no reason. 502 00:30:15,280 --> 00:30:17,200 Speaker 3: So all those discipline women. 503 00:30:17,160 --> 00:30:19,560 Speaker 2: That's when they show up to my office is because 504 00:30:19,560 --> 00:30:23,160 Speaker 2: they're mad about this, and we do we back up 505 00:30:23,200 --> 00:30:25,840 Speaker 2: and we replace the hormones. But then we make sure 506 00:30:25,880 --> 00:30:30,440 Speaker 2: the proteins intact and that they're feeding their muscles and 507 00:30:30,520 --> 00:30:35,480 Speaker 2: that they're not doing things to cause muscle breakdown, and. 508 00:30:37,600 --> 00:30:39,120 Speaker 3: That their digestive tracts. 509 00:30:38,880 --> 00:30:40,960 Speaker 2: Are working the way that they're supposed to, and that 510 00:30:40,960 --> 00:30:42,920 Speaker 2: their guts are working the way that they're supposed to. 511 00:30:43,720 --> 00:30:47,040 Speaker 2: So all those things that become part of the menopausal treatment. 512 00:30:47,800 --> 00:30:51,320 Speaker 1: Let's talk about a cross curricular expertise of yours. I'd 513 00:30:51,320 --> 00:30:55,080 Speaker 1: be remiss if I didn't talk about the opposite side 514 00:30:55,120 --> 00:30:58,520 Speaker 1: of my father's situation as a diabetic male eighty five 515 00:30:59,680 --> 00:31:04,040 Speaker 1: six fifty to seventy year old diabetic female. Are the 516 00:31:04,080 --> 00:31:08,320 Speaker 1: treatments you suggest applying for her going to be different 517 00:31:08,360 --> 00:31:09,240 Speaker 1: if she's diabetic? 518 00:31:12,160 --> 00:31:15,760 Speaker 3: So, I'm sorry, how old did you say? But a mena? 519 00:31:15,880 --> 00:31:19,560 Speaker 2: So say a woman who has yeah, who's in her forties, 520 00:31:19,600 --> 00:31:21,680 Speaker 2: who's my patient who has diabetes? 521 00:31:21,720 --> 00:31:22,200 Speaker 3: Already? 522 00:31:23,040 --> 00:31:27,640 Speaker 2: It becomes much more specific, right, It depends on how 523 00:31:27,640 --> 00:31:30,920 Speaker 2: long she's had diabetes, what complications she has related to 524 00:31:31,240 --> 00:31:35,840 Speaker 2: her diabetes. Where if she is a healthy diabetic who 525 00:31:35,880 --> 00:31:38,640 Speaker 2: just has diabetes, we replace. We would replace her hormones 526 00:31:38,680 --> 00:31:41,840 Speaker 2: the same way that we would replace anybody's hormones. 527 00:31:41,880 --> 00:31:42,600 Speaker 3: If she has. 528 00:31:42,520 --> 00:31:47,760 Speaker 2: Active heart disease or has other complications related to her diabetes, 529 00:31:47,800 --> 00:31:50,240 Speaker 2: then it may become more complicated. 530 00:31:50,040 --> 00:31:57,120 Speaker 3: And more nuanced. Interesting, But I mean, yeah, I mean 531 00:31:57,120 --> 00:31:58,720 Speaker 3: it gets so when. 532 00:31:58,560 --> 00:32:01,440 Speaker 2: People have other medical problem and we have to deal 533 00:32:01,720 --> 00:32:05,280 Speaker 2: each of those has to become a thing and come 534 00:32:06,480 --> 00:32:07,480 Speaker 2: into the discussion. 535 00:32:08,160 --> 00:32:09,440 Speaker 1: I never believed my dad. 536 00:32:09,320 --> 00:32:11,080 Speaker 3: You know, with your dad, Yeah, but. 537 00:32:12,720 --> 00:32:15,480 Speaker 2: With your dad, he has typed one diabetes, right, so 538 00:32:15,560 --> 00:32:18,000 Speaker 2: he is a very unique person. But you would never 539 00:32:18,080 --> 00:32:20,840 Speaker 2: think to not replace his insulin, right like he has. 540 00:32:21,160 --> 00:32:23,760 Speaker 2: He stopped making insulin when he was twenty or thirty 541 00:32:23,800 --> 00:32:27,560 Speaker 2: years old, and he would never not replace his insulin. 542 00:32:30,320 --> 00:32:32,160 Speaker 1: I never believed that my dad would live to be 543 00:32:32,240 --> 00:32:39,560 Speaker 1: eighty five years old. I am excited and thrilled to 544 00:32:39,720 --> 00:32:42,880 Speaker 1: see how he has been able to enjoy so many 545 00:32:43,000 --> 00:32:47,280 Speaker 1: years because of his own self disciplined, frankly, but because 546 00:32:47,280 --> 00:32:50,080 Speaker 1: of medical advancements. And so I think it's important to 547 00:32:50,120 --> 00:32:53,280 Speaker 1: remember as AFK, as RFK is in front of the 548 00:32:53,320 --> 00:32:58,560 Speaker 1: Senate talking about you know, I'm an anti vaccine or 549 00:32:58,560 --> 00:33:00,360 Speaker 1: I don't ask you to speak to that, but I'm 550 00:33:00,400 --> 00:33:04,080 Speaker 1: an anti vaccine, or I'm an anti big farm of person, 551 00:33:04,080 --> 00:33:07,280 Speaker 1: I'm an anti lot of the craziness. But there are 552 00:33:07,440 --> 00:33:10,720 Speaker 1: so many good people out there, folks like this woman 553 00:33:10,760 --> 00:33:15,200 Speaker 1: we're talking to, who are passionate about treating you and 554 00:33:15,280 --> 00:33:18,680 Speaker 1: healing you and helping you be happy, who are respectful 555 00:33:19,200 --> 00:33:24,440 Speaker 1: of your opinions, who are respectful of your boundaries, respectful 556 00:33:24,480 --> 00:33:26,840 Speaker 1: of your choices, whether you take the shot or not. 557 00:33:27,600 --> 00:33:31,000 Speaker 1: That's how medicine should be practiced by people who respect you, 558 00:33:31,160 --> 00:33:34,880 Speaker 1: care about you, and are knowledgeable about their subjects. Because remember, 559 00:33:35,280 --> 00:33:37,800 Speaker 1: the doctor is not God, and the doctor is not 560 00:33:37,840 --> 00:33:40,200 Speaker 1: the god of you. When you ought it is your 561 00:33:40,280 --> 00:33:43,640 Speaker 1: life and your choice, doctor au Davis, Thank you so 562 00:33:43,720 --> 00:33:44,560 Speaker 1: much for being our guest. 563 00:33:44,640 --> 00:33:48,640 Speaker 2: I reel you it for jore helsst you're doing. 564 00:33:49,240 --> 00:33:50,840 Speaker 1: Thank you and good night.