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Speaker 1: Welcome to you need therapy. I'm really excited about the

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Speaker 1: conversation that we are going to have no matter where

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Speaker 1: it goes. I want to introduce. Can I call you

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Speaker 1: Dr Shoma or do you like to go by your

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Speaker 1: last name? I usually know by Dr Data. That's just

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Speaker 1: what I've been, okay, plenty years now, so that's where

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Speaker 1: I feel. That's comfortable, beautiful, welcome, and can you tell

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Speaker 1: the audience a little bit about what you do, what

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Speaker 1: you specialize in, where you got to where you are.

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Speaker 1: Just give us a brief summary of who you are.

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Speaker 1: Absolutely so, I'm a Board certified o B g N.

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Speaker 1: Really the g N side of that has been most

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Speaker 1: of the focus of my practice for the past fifteen years.

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Speaker 1: I've been in Manhattan area very happily, and more recently

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Speaker 1: I am in the position of head of Wellness Medicine

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Speaker 1: for Modern Age, which is how you and I connected.

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Speaker 1: My background really makes a lot of sense, I think

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Speaker 1: for modern Age when you look at it from full spectrum.

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Speaker 1: A lot of my focus has been in hormone health

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Speaker 1: because as I've gone on in practice, a lot of

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Speaker 1: my patients, especially you know, seeing a lot of patients

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Speaker 1: with endometrio says fibroids, you fertility challenges As they went

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Speaker 1: through their processes, their aging journey, these issues of hormonal

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Speaker 1: transitions just throughout naturally natural stages of life were coming up.

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Speaker 1: And I realized this is was really a pain point

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Speaker 1: for a number of women, more than I realized, and

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Speaker 1: it just kept coming up over and over. So I

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Speaker 1: kind of on my own, you know, path to self education,

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Speaker 1: realized this was an area where there was essentially a

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Speaker 1: care gap, and with my interest in that, I had

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Speaker 1: opened a small office and actually I offered a number

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Speaker 1: of services, but who kept showing up was women kind

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Speaker 1: of trying to figure out their hormone balance. And that

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Speaker 1: was anywhere from you know, women in their thirties, forties, fifties.

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Speaker 1: So modern age had reached down to me earlier this

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Speaker 1: year because of my my background more and hormone health

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Speaker 1: um and of course just you know, passion for women's

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Speaker 1: health in general, and we really shared the same model

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Speaker 1: that let's get talking and let's get educated about issues

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Speaker 1: early on. You know, these changes are things that happened

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Speaker 1: really gradually, So how can we educate, empower and support

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Speaker 1: really what's a natural aging process. But we've been stuck

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Speaker 1: so long in this anti aging mentality. It's not seen

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Speaker 1: as something positive and you know, really a beautiful thing,

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Speaker 1: and we just really want to help it go as

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Speaker 1: well as possible. But right now we're not seeing physicians

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Speaker 1: and patients alike have that kind of conversation or have

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Speaker 1: the time for that early. So we really want to

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Speaker 1: start it as early as we can and partner with

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Speaker 1: you through really a great natural aging process. I'm glad

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Speaker 1: you said all that because I'm sitting here thinking, honestly,

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Speaker 1: my head is blank, being like, well, I don't even

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Speaker 1: know what any of that means, Like I don't even

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Speaker 1: know how my hormones are supposed to change. It almost

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Speaker 1: feels like a conversation i'd be scared to have. I

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Speaker 1: don't know if it's the fact that there's not a

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Speaker 1: space there, but like I tie menopause to like hormones

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Speaker 1: changing in my right, Like that is right, So in

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Speaker 1: my head, I'm like, I don't want to think about

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Speaker 1: that happening because that means this is might sound bad,

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Speaker 1: but that means I'm old, and that means this, and

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Speaker 1: that means that, and I'm trying to like, I mean,

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Speaker 1: in the world you said this anti aging, it's all

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Speaker 1: about making yourself look young, making your life longer. So

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Speaker 1: I haven't ever wanted to talk about it, and it's

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Speaker 1: felt like it doesn't apply to me. That's a conversation

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Speaker 1: we have a lot all the time, and there's a

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Speaker 1: lot of this realization from our side that you know what,

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Speaker 1: aging is not just meno pause, Aging is not just

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Speaker 1: end of life, right, It's actually happening every day in

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Speaker 1: a in a very gradual way. So if you're looking

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Speaker 1: at it more, and how are we keeping things optimized?

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Speaker 1: Where can we controlled the controllables? Anti aging really makes

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Speaker 1: no sense to me because we're going to age right

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Speaker 1: and and are we gonna focus on doing that in

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Speaker 1: howard in a healthy way or do we want to

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Speaker 1: just fight it right? And and I think that's really

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Speaker 1: like the focus point for us is informing early changes.

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Speaker 1: Guess what when you're you know, perceptions like twenties, thirties,

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Speaker 1: like that's something so far down the road for me,

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Speaker 1: that's the thing not applicable at all, but actually in

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Speaker 1: your even your thirties, your bone health is changing, Your

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Speaker 1: home owne health is changing. For instance, for for women

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Speaker 1: and men to stuffs from is already starting to kind

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Speaker 1: of go on this very gradual decline. It may not

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Speaker 1: be felt as dramatically, but all these things are happening

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Speaker 1: in small ways. So wouldn't it be great if we

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Speaker 1: could have a conversation, Hey, these things are already starting.

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Speaker 1: It may not be something you're feeling, but there are

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Speaker 1: a lot of you know, like ways in your lifestyle

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Speaker 1: you can support optimizing that down the road we see

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Speaker 1: maybe become more symptomatic and you know, mid forties, late forties,

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Speaker 1: early fifties, But a lot of that is because it's

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Speaker 1: very shocking and it's sometimes a complete surprise, and you

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Speaker 1: know it's something that like, oh my god, I hear

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Speaker 1: all the time. Nobody told me about this. Why didn't

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Speaker 1: they tell me this was coming all along? You know,

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Speaker 1: you talk about the changes of puberty and then pregnancy

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Speaker 1: and fertility, and then it just kind of drops off, right,

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Speaker 1: So we've had this kind of step back and say, hey,

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Speaker 1: you know, we are having conversations, but we're having them

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Speaker 1: way too late. So for you know, women in their

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Speaker 1: thirties also, why not start thinking about hormone health. Yes,

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Speaker 1: that will probably strike more as fertility and menstrual health,

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Speaker 1: but all of those really are kind of long term

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Speaker 1: processes that are you know, decades to come, um and

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Speaker 1: and we can really make it a healthy thing. And

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Speaker 1: then that negativity, that feeling like oh, you know, I've

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Speaker 1: heard so many times feel like oh at this loss

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Speaker 1: of control, I don't know what's going on with my body.

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Speaker 1: I'm feeling like, you know, old and attractive, losing that vitality. Well,

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Speaker 1: you know, part of it is just accepting aging as

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Speaker 1: as as a positive thing. Like for me, I'm aging.

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Speaker 1: It means I'm seeing my kids grow up, I'm seeing

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Speaker 1: you know, kind of continue my relationships, my my husband,

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Speaker 1: I get to raise our family. Well why would I

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Speaker 1: associate us getting old together as a negative thing? Right?

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Speaker 1: But yeah, there are going to be some changes. But

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Speaker 1: what we see is while we have extended lifespan in

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Speaker 1: modern medicine, we haven't necessarily extended quality of life. So

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Speaker 1: I think that's a real kind of an area where

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Speaker 1: we can have a lot of room for improvement. But

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Speaker 1: a lot of them do come from understanding our daily

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Speaker 1: ways that we can impact that daily ways, you know,

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Speaker 1: and that's hormone health information, lifestyle changes, and it really

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Speaker 1: goes such such a long way. Okay, So I kind

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Speaker 1: of liked. I think I picked this up where you

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Speaker 1: said use two words, and I like how you said,

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Speaker 1: we're like trying to optimize hormone health rather than in

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Speaker 1: the back of my head, it's always been like an afterthought,

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Speaker 1: so we would have to manage it. So instead of

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Speaker 1: managing it, how do we optimize your health? So I'm

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Speaker 1: in my thirties, I have listeners from eighteen to I

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Speaker 1: don't know as old as it gets. I think there's

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Speaker 1: a big chunk of us that are in our thirties

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Speaker 1: to forties, and so can we talk about like ways

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Speaker 1: that we might optimize I don't even know what that

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Speaker 1: means to optimize my hornon hormone health. I know things

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Speaker 1: are changing, and I think, for I'll speak for myself

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Speaker 1: as somebody who's in her thirties and hasn't had had kids.

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Speaker 1: I think maybe one of the reasons I might not

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Speaker 1: want to talk about it is because what you just

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Speaker 1: said is like fertility pops up in my head and

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Speaker 1: I start getting scared and I might not want to know.

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Speaker 1: So let's say I am somebody that wants to have

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Speaker 1: kids in the future, are there things that I might

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Speaker 1: do to optimize that or like you said, lifestyle changes

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Speaker 1: are ways that I just like live my daily life

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Speaker 1: that might impact that. Yeah. Absolutely, I think first and foremost,

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Speaker 1: hormone hall is just like a lot of health issues,

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Speaker 1: there's so many individual factors. So you know, I have

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Speaker 1: a lot of patients. They'll come to me and they'll

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Speaker 1: be like, oh my gosh, two of my friends are

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Speaker 1: you know, going through this or using this medication or

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Speaker 1: using that, And it's really such an individual thing. So

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Speaker 1: I do urge patients of any age, and you know,

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Speaker 1: if you're thinking of something like this to really have

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Speaker 1: a very focused conversation with someone who has the time.

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Speaker 1: I think there's a lot of limited time with doctors

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Speaker 1: and it can it can make these conversations very short,

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Speaker 1: but it is sometimes really complex and really multi layer.

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Speaker 1: I think. Fortunately, also, there are a lot of great

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Speaker 1: resources podcasts like your own, and they kind of give

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Speaker 1: you an opportunity to do some self education and bring

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Speaker 1: in some questions that are maybe more than you know

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Speaker 1: the basics. So self education plus finding the right provider,

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Speaker 1: and if you're not having the right conversations with your duc,

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Speaker 1: find somewhere you will. It's okay, you know, it's it's

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Speaker 1: okay to find the right fit and also to have

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Speaker 1: the extensive conversations you need. Um and I've just start

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Speaker 1: so many stories about just issues getting ignored and like, yeah,

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Speaker 1: I didn't think that sounded right, and go with that

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Speaker 1: gut feeling, because if you're not having the right conversations,

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Speaker 1: please do because education here is so important. I think

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Speaker 1: issues like you know, fertility, hormone management. We automatically think like, oh,

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Speaker 1: menopause and like taking hormones or you know, taking something

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Speaker 1: really invasive. But a lot of the kind of surprise

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Speaker 1: and delight I get out of patients when I talk

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Speaker 1: about it is like oh wow, I didn't know these

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Speaker 1: are all connected. So you know, we'll talk about a

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Speaker 1: lot of different layers and then how to think of

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Speaker 1: you know, aging through the different decades of life, and

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Speaker 1: that can range from your obviously diet is a biggie like, right,

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Speaker 1: how your body is interacting with the environment, and especially

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Speaker 1: what we are learning about you know, diet inflammation, gut health,

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Speaker 1: and that's very very much involved with hormone health all right,

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Speaker 1: So which may be very surprising like oh, are you

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Speaker 1: taking a probiotic? And and people are really baffled, like

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Speaker 1: why are you asking about my digestion track or why

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Speaker 1: are you asking about my diet? But all of that

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Speaker 1: really influences your hormone balance as well, because don't forget

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Speaker 1: corsal insulin, things that have to do with your blood

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Speaker 1: sugar and your sugar metabolism, burning fast story for all

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Speaker 1: those things are those are also hormones and so there's

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Speaker 1: a lot of connections are really well orchestrated complex you know,

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Speaker 1: web of of hormones that all play together. So you know,

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Speaker 1: things like diet stress management, right, that's sure something that

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Speaker 1: you're really familiar with our stress hormones and how they

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Speaker 1: affect the downstream hormone balance, inflammation, and sometimes it's just

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Speaker 1: you know, that's why we talk about mindfulness, and that's

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Speaker 1: again this really strong connection with health and emotional health,

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Speaker 1: mental health and the physical being. Not only do we know,

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Speaker 1: you know that attitudes and perceptions on our health and

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Speaker 1: how we're aging and how we're going through different processes,

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Speaker 1: they we really do see that effects health outcomes. And

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Speaker 1: if you think about it, you know, the brain and

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Speaker 1: perceived stresses or you know, kind of stresses. They're they're

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Speaker 1: not direct physical traumas, but they can be just these

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Speaker 1: you know, emotional health challenges, mental challenges, perceived stresses. How

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Speaker 1: we bring that in has so much to do with

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Speaker 1: how the brain signals to release certain hormones. So they

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Speaker 1: are actually really directly connected when you think about it.

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Speaker 1: So we're all about fostering those relationships. The concept of

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Speaker 1: what we see is subjective age. It's different from your

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Speaker 1: chronologic age, right, that's just like a number of years

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Speaker 1: in existence. But subjective age is actually how you're going

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Speaker 1: through it with visible signs of aging, how you're feeling,

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Speaker 1: how you're feeling about the aging process, your lifestyle choices,

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Speaker 1: and we're seeing how all that is correlating with longevity

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Speaker 1: and healthy easing. So the attitudes and perceptions of that

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Speaker 1: process are so important, and we really feel like that

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Speaker 1: comes from a lot of empowerment, education and and you know,

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Speaker 1: early recognition of these vital processes and healthy aging. So

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Speaker 1: can we break down because as I'm sitting here, I'm

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Speaker 1: assuming other people are wondering this too, But can you

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Speaker 1: break down exactly what a hormone is when we're talking

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Speaker 1: about hormones, because well, my assumption is a lot of

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Speaker 1: people are just thinking about testosterone, estrogen, that kind of stuff. Yeah,

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Speaker 1: and those are the sex mormones that are probably what

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Speaker 1: we talk about most comedy. But you know, you can

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Speaker 1: think about them as we call them, the chemical messengers.

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Speaker 1: So there are several different types of glands in our

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Speaker 1: hormonal system. So you know, we think of ovaries and

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Speaker 1: get things like that, but then also don't forget it

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Speaker 1: about the adrenal glands, you know, where cortosols the pituitary.

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Speaker 1: It's really a whole system where hormones are secreted and

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Speaker 1: they are basically carrying a message for an you know,

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Speaker 1: and another organs to facilitate a certain function. And again,

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Speaker 1: like I said, people forget you know, insulin portos all

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Speaker 1: all of those times as well, they're just bringing along

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Speaker 1: a chemical messenger to help another organ acting. You know,

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Speaker 1: it's its role in the body. And so a lot

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Speaker 1: of times it's a little bit like, oh, I always

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Speaker 1: think about my estrogen and testosterone, but I don't think

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Speaker 1: about all of the other hormones that go with it, syroid.

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Speaker 1: There's really a whole, very fine balance and really everyday

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Speaker 1: kind of things can affect that. So I mentioned diet,

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Speaker 1: but also you know your your stressed management, you know,

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Speaker 1: I know, dress isn't something that you can gain or

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Speaker 1: take off the plate or you know a lot of

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Speaker 1: my patients are less and this is just my my lifestyle,

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Speaker 1: my work style. But how is that affecting your body?

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Speaker 1: How are you processing that that will affect your stress? More? Means? Right,

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Speaker 1: you're you're sleep. You know, we're in a very circadian rhythm,

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Speaker 1: and we're in a very particular cycle of hormones. And

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Speaker 1: they really know when in a day, or especially for women,

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Speaker 1: a month, there at high levels and low levels. And

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Speaker 1: so that takes a lot of you know, kind of

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Speaker 1: taking in inputs from your surrounding, your environment, whether it's

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Speaker 1: light or stress or you know, food or whatever it is.

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Speaker 1: It's taking in a lot of inputs and kind of

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Speaker 1: creating those cycles of the ups and downs. Can I

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Speaker 1: ask that question about sleep? So I'll ask this two ways. So,

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Speaker 1: something I've noticed about sleep as a therapist and just

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Speaker 1: a human that knows people of different ages is often

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Speaker 1: times sleep is like having a hard time falling asleep

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Speaker 1: or staying asleep, or feeling like you're getting good rest.

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Speaker 1: I see that often with people who are struggling with

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Speaker 1: anxiety or depression. Whether it's like maybe somebody who's depressed

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Speaker 1: is maybe sleeping or feeling that they're sleeping all the time,

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Speaker 1: but they're not getting good rested. And then also I

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Speaker 1: see that as we're getting older, the RESTful sleep and

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Speaker 1: the ability to sleep is diminishing. So are there things

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Speaker 1: that we can do to help with our hormonal health

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Speaker 1: that will impact those things? Absolutely? And it's not easy.

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Speaker 1: It's not easy because you know, you're a busy person,

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Speaker 1: you know how it is one of the first things

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Speaker 1: we cut is sleep, you know, like, um was the

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Speaker 1: work today, We'll just sleep tomorrow. And it's unfortunate, but

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Speaker 1: it is part of the hustle culture, and I think

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Speaker 1: we kind of have to reevaluate what are we seeing

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Speaker 1: this takeaway from us? Um It's definitely something we talk

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Speaker 1: a lot about with parimenopause and menopause because there is

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Speaker 1: that difficulty UM a lot more trouble staying asleep sus

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Speaker 1: staying sleep. So yes, there is some age related patterns there.

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Speaker 1: But I think again, where can be the control of

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Speaker 1: the controllables. I think, you know about eight hours is

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Speaker 1: what we see is ideal. I think of it as

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Speaker 1: you know, sleep is when your cleaning crew comes in

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Speaker 1: and kind of like you know, breaks down the party

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Speaker 1: and and gets things ready for the next day. DNA

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Speaker 1: repair is happening, you know, hormone balance is definitely a

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Speaker 1: lot of that actually is happening, uh with sufficient sleep,

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Speaker 1: so we're eating for about eight hours. If you think

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Speaker 1: about let's just take something like hortosol, it actually you know,

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Speaker 1: peeks in the morning and we'll we'll drop off. But

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Speaker 1: some people even use like that's when like boxes things

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Speaker 1: like that. But if you can get out, optimize your light,

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Speaker 1: optimize that peak time of your cortisol, then you usually

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Speaker 1: kind of end up winding down about fourteen to sixteen

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Speaker 1: hours later. I think just the amount of sleep if

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Speaker 1: you can focus on that. And then number two, what

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Speaker 1: are we all doing as we're getting ready to go

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Speaker 1: to bed. We're on our phone, we have a screen going,

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Speaker 1: we have a TV going. You really want what we

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Speaker 1: call sleep hiking. And again sleep is really complex, multi layered,

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Speaker 1: but just some easy things to try that you can

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Speaker 1: like do at home and on your own and test out.

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Speaker 1: Is the environment you're sleeping in. I mean, especially we

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Speaker 1: see like people who work in you know, like day

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Speaker 1: night shifts, it really impacts how much sleep they can

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Speaker 1: get and what they're used to and then how that

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Speaker 1: impacts their hormone balance and their overall health. So it's

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Speaker 1: it's a very real thing, and we really are how

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Speaker 1: this natural rhythm and disrupting that can can take its

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Speaker 1: toll so amount of sleep, sleep hygiene. Even if it's

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Speaker 1: something like you know, how can you kind of get

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Speaker 1: your mind to to winden down? Right, This is a

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Speaker 1: lot of like that. This is the timing you know,

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Speaker 1: the racing starts thought and you're perseverating and all these things.

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Speaker 1: If you're you know, winding down kind of your whole environment,

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Speaker 1: maybe pick a time when you have to put down

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Speaker 1: you know, like the work, emails, the screens, maybe get

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Speaker 1: into a more dim uh, you know, dim your life,

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Speaker 1: and then this is a great time for something like

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Speaker 1: guided meditation or something that's going to put you more

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Speaker 1: into that parasympathetic mode where the you know, deep breathing,

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Speaker 1: slow breathing, and try and really optimize everything you can

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Speaker 1: to just get that slowing down. And if that's happening

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Speaker 1: day after day after day, hopefully your body is you know,

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Speaker 1: kind of picking up on that rhythm. It's not the

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Speaker 1: easiest thing to do getting you know, that sleep and

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Speaker 1: having a perfect wind down, But we're doing very much

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Speaker 1: the opposite right now. So what are you even smallways

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Speaker 1: that we can improve that? And I also started thinking

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Speaker 1: about like, okay, so with exercise and movement as and

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Speaker 1: I've started implementing this for myself. I'm used to being

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Speaker 1: somebody who did like really intense hard workouts, and I

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Speaker 1: love them, but I also know that, like, as I'm

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Speaker 1: getting older, maybe my body doesn't want to do those anymore.

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Speaker 1: And so are there ways to move in recommendations that

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Speaker 1: you might have for people to again optimize their hormone health.

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Speaker 1: I've seen a lot of people posting like about doing

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Speaker 1: different exercises through the different stages of their cycle and

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Speaker 1: stuff like that. I don't really I don't know if

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Speaker 1: that's what I'm asking or just things that are going

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Speaker 1: to be like more kind and helpful to our body

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Speaker 1: versus types of exercise that might work against us as

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Speaker 1: we're trying to optimize our health as we age. A

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Speaker 1: big thing I would say, we see because you know,

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Speaker 1: people are really savvy these days. You know, they're very

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Speaker 1: informed on fitness, and they have favorite workouts and and

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Speaker 1: they're putting in the time. But sometimes what we see

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Speaker 1: at modern age, which it's we almost have to say,

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Speaker 1: you know, don't forget, you need the restorative too, because

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Speaker 1: it's it's not a coincidence that you're just doing these

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Speaker 1: super super high intensity workouts. PCOS is a great example, right,

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Speaker 1: So we're already dealing with, you know, some increased to stosterone,

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Speaker 1: insulin resistance, cortisol, and when you're just doing hit hit, hit,

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Speaker 1: hit hit, instead of kind of balancing the cortisol and

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Speaker 1: letting it go up and down, it's now working against

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Speaker 1: us getting kind of overstimulated. And then you're you're hanging

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Speaker 1: onto calories, hang onto it. You're you're kind of getting

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Speaker 1: out of that Paris sympathetic phase and you're you're kind

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Speaker 1: of overdoing it, so you're in a causing additional stress

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Speaker 1: on the body. The balance is really important, and it's

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Speaker 1: just not it's not just a matter of you know,

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Speaker 1: young or old, but the balance is really important even

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Speaker 1: when you're younger. You want to think ahead. You know again,

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Speaker 1: you're you got your skeleton, you have your joints, you

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Speaker 1: know your how do you kind of optimize the function.

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Speaker 1: If you're someone who's really athletic, Yeah, you do have

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Speaker 1: to change over time, and I will give like you know,

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Speaker 1: fitness regimen changes here, But a lot of what I

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Speaker 1: discuss is, you know, for the patients I see, don't

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Speaker 1: forget that exercise can be too much as well, and

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Speaker 1: even for younger women sometimes we can see that too

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Speaker 1: much is actually where we're further dropping to thusterne or

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Speaker 1: further hanging onto calories from overdoing it. So you want

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Speaker 1: to make sure you're really doing more of the restorative

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Speaker 1: kind of you know, low and slow sometimes to strength conditions.

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Speaker 1: You know, strength training and resistance training is huge. Muscle

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Speaker 1: is so much more efficient at at burning calories and

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Speaker 1: again optimizes the hormone balance we need, So that really

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Speaker 1: should be a big part of the formula as well.

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Speaker 1: And that also as you age, helps prevent joint injury,

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Speaker 1: helps support bone density, helps as if you're going into

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Speaker 1: those years where you're you know, your test upsment is

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Speaker 1: gradually decreasing, you're we are losing some muscle mass over time.

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Speaker 1: So if it's already kind of in your routine to

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Speaker 1: accommodate for strength and resistance training, then you're already at

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Speaker 1: an advantage. So I always kind of reminded women of

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Speaker 1: that my my husband's and chiropractors. So I always think

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Speaker 1: about movement and I've I've done a lot of pelvic

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Speaker 1: pain and that the you know, public floor is like

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Speaker 1: a big source of muscle tension, and it's really so

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Speaker 1: linked in with they includes the back. You really are thinking,

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Speaker 1: you want to be thinking long term, you know, and

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Speaker 1: so you know, mobility exercise, restorative exercises, you have to

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Speaker 1: get those in and that's really a more reasonable long

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Speaker 1: term play. Just like a you know, like a deprivation

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Speaker 1: diet is not along it does not set you up

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Speaker 1: for long term success. The same thing with with exercise.

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Speaker 1: I love like our focus, but you want to make

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Speaker 1: sure you're not overdoing it as well. And then you

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Speaker 1: want to set yourself up for the long term being

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Speaker 1: able to enjoy you know, a sports and fitness and

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Speaker 1: you know, athletic activities, um, and you're setting yourself for

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Speaker 1: you know, muscles, for for strength, for phone density, all

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Speaker 1: these things that are going to change and are probably

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Speaker 1: already changing to you know, microscopic degrees in your thirties.

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Speaker 1: So why not you know, just already get that started.

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Speaker 1: You know, there's I just had seventeen things pop in

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Speaker 1: my head as you're saying that. And one of them

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Speaker 1: is so when you talk about pelvit pain, that can

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Speaker 1: be a direct result at times. I know you can't

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Speaker 1: like die. I'm not time anyway specific, but pelvit pain

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Speaker 1: can be a direct result of like overworking certain muscles

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Speaker 1: with workouts. A public floor. I think it's a tricky

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Speaker 1: I don't want to call it a concept. It's a

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Speaker 1: part of our of that, but it's just tricky. It's

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Speaker 1: it's it's such a big, strong muscle group and we

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Speaker 1: see definitely changes just natural ages, natural aging changes with

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Speaker 1: the public floor. We think more about the loss and

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Speaker 1: the laxity and you know some of the incontinence things

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Speaker 1: like that or bladder leakage um that can start very young,

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Speaker 1: and that's more related to a laxity, and that's what

428
00:23:27,440 --> 00:23:30,640
Speaker 1: we hear about. On the other side, there's also, uh,

429
00:23:30,760 --> 00:23:34,240
Speaker 1: this whole condition of pelvic floor, you know, kind of tension,

430
00:23:34,320 --> 00:23:37,280
Speaker 1: muscle tension, and I have seen it in a number

431
00:23:37,320 --> 00:23:40,359
Speaker 1: of my athletes where it's hard to kind of think

432
00:23:40,400 --> 00:23:43,400
Speaker 1: about it and in a focused way stretch and remember

433
00:23:43,440 --> 00:23:47,119
Speaker 1: to incorporate it unless it's really like a conscious effort

434
00:23:47,560 --> 00:23:50,520
Speaker 1: um and a concerted effort. But I I always say,

435
00:23:50,560 --> 00:23:54,320
Speaker 1: you know, it's sometimes it's actually in other things we do.

436
00:23:54,400 --> 00:23:56,720
Speaker 1: Like even if you think of something like happy baby

437
00:23:56,880 --> 00:23:59,440
Speaker 1: or you know, pigeon pose, you're actually getting the great

438
00:23:59,440 --> 00:24:03,280
Speaker 1: public floor stretches. But if you're someone who is um

439
00:24:03,320 --> 00:24:07,480
Speaker 1: and it's often just not recognized, you know, the pelpfloor attention.

440
00:24:07,520 --> 00:24:10,320
Speaker 1: We're always thinking about like laxity, public floor strength, let's

441
00:24:10,320 --> 00:24:13,280
Speaker 1: do a hundred keegles, but what we don't realize it

442
00:24:13,320 --> 00:24:16,159
Speaker 1: can also go the other way. And it's really, like

443
00:24:16,200 --> 00:24:19,119
Speaker 1: I said, very connected with your hips includes lower back.

444
00:24:19,560 --> 00:24:22,119
Speaker 1: I'll have patients even come in saying like I just

445
00:24:22,200 --> 00:24:24,440
Speaker 1: have no idea why I have so much pain with

446
00:24:24,840 --> 00:24:27,919
Speaker 1: penetrative sects or you know, always having to go to

447
00:24:27,920 --> 00:24:30,159
Speaker 1: the bathroom. You know, all these things that are just

448
00:24:30,640 --> 00:24:33,600
Speaker 1: very vague kind of symptoms. But it's it's something to consider.

449
00:24:33,960 --> 00:24:36,399
Speaker 1: And then as you're kind of going through natural aging,

450
00:24:36,800 --> 00:24:39,840
Speaker 1: you may see that you're you're losing some of the strength. Right,

451
00:24:39,880 --> 00:24:42,760
Speaker 1: So that's if you're already someone who's working out and

452
00:24:42,840 --> 00:24:46,000
Speaker 1: kind of doing more of these restoring things like yoga pilates,

453
00:24:46,000 --> 00:24:48,040
Speaker 1: they do a good job of really good job of

454
00:24:48,520 --> 00:24:51,680
Speaker 1: head to toast strengthening, but I actually see focused moves

455
00:24:51,680 --> 00:24:54,440
Speaker 1: there that will help the pulp up floor. Okay, so

456
00:24:54,480 --> 00:24:56,960
Speaker 1: this is going to be a concept. I think that's

457
00:24:57,000 --> 00:25:00,040
Speaker 1: going It was for me hard for to understand and

458
00:25:00,200 --> 00:25:02,359
Speaker 1: where And I'm glad you're saying a lot of this

459
00:25:02,440 --> 00:25:05,880
Speaker 1: because I think I'm a therapist, so I don't have

460
00:25:06,080 --> 00:25:08,920
Speaker 1: as much ground to stand on there. Like well, I

461
00:25:09,000 --> 00:25:10,800
Speaker 1: might say this and they're like, oh yeah, but still

462
00:25:11,160 --> 00:25:15,800
Speaker 1: the idea that if we are overworking a certain muscle

463
00:25:15,800 --> 00:25:18,960
Speaker 1: group or type of exercise, that is going to work

464
00:25:19,040 --> 00:25:22,919
Speaker 1: against us because a lot of what I see and

465
00:25:22,920 --> 00:25:26,040
Speaker 1: and and as somebody who has been immersed in that

466
00:25:26,560 --> 00:25:31,520
Speaker 1: place and in that community, is like the harder, the longer,

467
00:25:31,600 --> 00:25:35,560
Speaker 1: the bigger, the louder the workout, the more you sweat,

468
00:25:35,600 --> 00:25:39,320
Speaker 1: the like I mean, there's so much I see in

469
00:25:39,359 --> 00:25:42,960
Speaker 1: the fitness world of like bragging rights when it comes

470
00:25:42,960 --> 00:25:46,120
Speaker 1: to the toughness of that and what I'm hearing from

471
00:25:46,160 --> 00:25:49,320
Speaker 1: you and what I hope that I'm saying back so

472
00:25:49,400 --> 00:25:51,840
Speaker 1: people can really take note of it is a lot

473
00:25:51,880 --> 00:25:55,080
Speaker 1: of times that stuff that people are might be getting

474
00:25:55,119 --> 00:25:58,119
Speaker 1: notoriety and bragging about in in the fitness culture, it

475
00:25:58,200 --> 00:26:02,760
Speaker 1: might really be working against you in so many ways,

476
00:26:02,760 --> 00:26:06,400
Speaker 1: like so many ways, especially with like you saying that

477
00:26:06,560 --> 00:26:09,280
Speaker 1: doing things that are more restorative like yoga. I just

478
00:26:09,480 --> 00:26:11,280
Speaker 1: keep hearing yoga in my head, even if you're not

479
00:26:11,280 --> 00:26:14,400
Speaker 1: saying yoga like that's going to be better for your

480
00:26:14,440 --> 00:26:18,680
Speaker 1: health to an extent than going to five hit boot

481
00:26:18,680 --> 00:26:22,160
Speaker 1: camp classes a week. Yeah, it's just you know, again,

482
00:26:22,280 --> 00:26:26,600
Speaker 1: it's super individual. It depends your goals, right, It's it's

483
00:26:26,720 --> 00:26:30,840
Speaker 1: very varied. But I think my message is it isn't

484
00:26:30,880 --> 00:26:34,119
Speaker 1: always more and more and more is better on different levels.

485
00:26:34,200 --> 00:26:36,480
Speaker 1: You know. It's like if you you don't want your

486
00:26:36,760 --> 00:26:39,960
Speaker 1: fitness and diet even and everything to be one note, right,

487
00:26:40,000 --> 00:26:41,880
Speaker 1: and I think you know you're you're I saw your

488
00:26:41,920 --> 00:26:46,800
Speaker 1: your fitness professional too. So the concept of engaging in

489
00:26:46,840 --> 00:26:50,840
Speaker 1: different types of activity and you know, using different muscle groups,

490
00:26:50,880 --> 00:26:54,119
Speaker 1: and it doesn't mean you're not intensely physically active. It

491
00:26:54,160 --> 00:26:56,800
Speaker 1: just means you don't have to be like to a

492
00:26:56,880 --> 00:26:59,719
Speaker 1: dronal and rush like all day every day. But you know,

493
00:26:59,760 --> 00:27:02,400
Speaker 1: it really all works together and it does benefit you

494
00:27:02,560 --> 00:27:06,040
Speaker 1: in the sense of muscular skeletal strain, in terms of

495
00:27:06,040 --> 00:27:09,280
Speaker 1: your hormone balance to really change it up and and

496
00:27:09,400 --> 00:27:11,840
Speaker 1: I think in the end it might be more enjoyable too,

497
00:27:12,240 --> 00:27:15,359
Speaker 1: you know so, and what a great way to build

498
00:27:15,440 --> 00:27:20,320
Speaker 1: positive experience, to build longevity with your fitness, to build

499
00:27:20,560 --> 00:27:22,800
Speaker 1: you know community. I think you're someone that taps into

500
00:27:22,840 --> 00:27:25,400
Speaker 1: fitness community a lot, and we see that that really

501
00:27:25,720 --> 00:27:31,280
Speaker 1: helps again ages perceptions, experience, lived lived reality of going

502
00:27:31,280 --> 00:27:34,760
Speaker 1: through these phases. So instead of just going like crazy

503
00:27:35,080 --> 00:27:38,800
Speaker 1: and and really hitting way too hard and not getting

504
00:27:38,880 --> 00:27:41,879
Speaker 1: out of it what you think that you should be achieving,

505
00:27:42,240 --> 00:27:44,520
Speaker 1: you may need to take a step back and say, Okay, well,

506
00:27:44,520 --> 00:27:46,520
Speaker 1: how do I get this to be more well rounded?

507
00:27:46,640 --> 00:27:49,840
Speaker 1: And and I think you'd be surprised a lot of times.

508
00:27:49,880 --> 00:27:53,520
Speaker 1: So what we see also for for aging is like, hey,

509
00:27:53,600 --> 00:27:55,560
Speaker 1: how how long do you want to keep this going?

510
00:27:55,840 --> 00:27:58,760
Speaker 1: What are your goals? Right and and just like every

511
00:27:58,800 --> 00:28:01,640
Speaker 1: other system, that we want this to be along part

512
00:28:01,680 --> 00:28:04,320
Speaker 1: of your life and how can we do that. How

513
00:28:04,320 --> 00:28:07,119
Speaker 1: are you taking care of yourself and how can we

514
00:28:07,160 --> 00:28:09,440
Speaker 1: support you in doing that in a way that you're

515
00:28:09,480 --> 00:28:14,240
Speaker 1: thinking long term? And it may not be the traditional

516
00:28:14,320 --> 00:28:17,639
Speaker 1: what you think you have to do. Yeah, And I

517
00:28:17,680 --> 00:28:19,399
Speaker 1: think part of that it's bringing me back to the

518
00:28:19,440 --> 00:28:22,239
Speaker 1: beginning of this conversation where it's like I don't want

519
00:28:22,280 --> 00:28:24,040
Speaker 1: to think about the long term. I want to think

520
00:28:24,040 --> 00:28:26,120
Speaker 1: of the here and now and the here and now

521
00:28:26,280 --> 00:28:29,439
Speaker 1: like ILL used to example, so I used to teach

522
00:28:29,440 --> 00:28:31,920
Speaker 1: I don't anymore. I used to teach cycling, indoor cycling.

523
00:28:32,119 --> 00:28:34,959
Speaker 1: And something that I really struggled with was a lot

524
00:28:35,040 --> 00:28:38,400
Speaker 1: of And I also come from I work and eating disorders,

525
00:28:38,440 --> 00:28:41,200
Speaker 1: and I have a history of my own exercise addiction

526
00:28:41,240 --> 00:28:45,160
Speaker 1: where I totally overdid it. So in this community, I

527
00:28:45,160 --> 00:28:47,040
Speaker 1: would see a lot of people that were taking to

528
00:28:47,280 --> 00:28:51,120
Speaker 1: three classes a day every day, and from exercise just

529
00:28:51,160 --> 00:28:54,840
Speaker 1: strictly like mental health, like exercise perspective, I'm like, that

530
00:28:55,160 --> 00:28:57,840
Speaker 1: is not good. We shouldn't have to be doing that

531
00:28:57,920 --> 00:29:01,480
Speaker 1: much exercise to maintain our health. That's hard for I

532
00:29:01,480 --> 00:29:04,440
Speaker 1: think a lot of the world to see because exercises

533
00:29:04,480 --> 00:29:07,000
Speaker 1: touted us such a good thing, so how could we

534
00:29:07,040 --> 00:29:10,280
Speaker 1: have too much of that? But I went to a

535
00:29:10,320 --> 00:29:14,440
Speaker 1: massage therapist pretty recently, and I thought I was going

536
00:29:14,480 --> 00:29:16,320
Speaker 1: to get a relaxing aside. And it was not that.

537
00:29:16,720 --> 00:29:18,160
Speaker 1: It was really great. It was probably one of the

538
00:29:18,200 --> 00:29:20,600
Speaker 1: best massages I've ever had. But she started asking me

539
00:29:20,720 --> 00:29:23,400
Speaker 1: questions and she had known me when we had both

540
00:29:23,440 --> 00:29:26,080
Speaker 1: worked at like a kickboxing studio, and she said, what

541
00:29:26,120 --> 00:29:28,040
Speaker 1: are you doing these days? And I used to be

542
00:29:28,080 --> 00:29:29,800
Speaker 1: a big runner and all that, and I said, well,

543
00:29:30,240 --> 00:29:33,880
Speaker 1: I'm teaching cycling and i am still running, and I'm

544
00:29:33,920 --> 00:29:38,800
Speaker 1: still going to kickboxing, and I'm doing all of running, kickboxing, cycling,

545
00:29:38,840 --> 00:29:40,400
Speaker 1: I'm doing all of them. So I'm not doing the

546
00:29:40,440 --> 00:29:43,080
Speaker 1: same things. In my head, I'm like, I'm killing it.

547
00:29:43,160 --> 00:29:46,920
Speaker 1: I'm doing so good. I have variety. And she like,

548
00:29:47,200 --> 00:29:50,440
Speaker 1: as she's just like touching my body like gently, barely

549
00:29:50,440 --> 00:29:53,160
Speaker 1: even started doing anything. She was like, you know, those

550
00:29:53,160 --> 00:29:56,800
Speaker 1: things are all really good, and walking is really good too,

551
00:29:57,640 --> 00:30:00,240
Speaker 1: And I when she said that, I was like yeah, yeah.

552
00:30:00,320 --> 00:30:02,440
Speaker 1: And then we started talking and she kind of described

553
00:30:02,440 --> 00:30:04,120
Speaker 1: what she was just kind of seen and like my

554
00:30:04,240 --> 00:30:08,720
Speaker 1: posture and my muscle tension and all that, and she said,

555
00:30:09,000 --> 00:30:11,080
Speaker 1: you want to be able to take a kickboxing class

556
00:30:11,120 --> 00:30:14,000
Speaker 1: when you're like fifty, you can't keep going at this level.

557
00:30:14,840 --> 00:30:18,360
Speaker 1: And I think that that's a really hard thing. Even

558
00:30:18,400 --> 00:30:21,960
Speaker 1: as somebody who's in recovery and and works in this area,

559
00:30:22,240 --> 00:30:26,800
Speaker 1: it's still hard to understand that, like maybe more of

560
00:30:26,840 --> 00:30:30,440
Speaker 1: this isn't better. But what happened I guess this is

561
00:30:30,480 --> 00:30:32,920
Speaker 1: a really long way for me to ask, what is

562
00:30:32,960 --> 00:30:36,920
Speaker 1: it When I'm doing really high intensity workouts over and over?

563
00:30:37,400 --> 00:30:42,400
Speaker 1: Am I creating more corticel in my body? Yeah? You're yeah,

564
00:30:42,440 --> 00:30:45,400
Speaker 1: You're kind of promoting more of the stress ms, right,

565
00:30:45,480 --> 00:30:47,520
Speaker 1: and then your body is like, oh my gosh, we're

566
00:30:47,520 --> 00:30:51,000
Speaker 1: an attack mode, you know, and and and hanging onto

567
00:30:51,040 --> 00:30:55,600
Speaker 1: all your calories. You know, there's some downstream probably shift

568
00:30:55,680 --> 00:31:00,640
Speaker 1: in the ideal of hormone balance, inflammation all of okay,

569
00:31:01,320 --> 00:31:11,480
Speaker 1: inflammation from over over work. Okay, So when we are

570
00:31:11,600 --> 00:31:14,200
Speaker 1: using because it is something that helps the mental health,

571
00:31:14,320 --> 00:31:18,080
Speaker 1: like movement helps with depression, we know that, like it

572
00:31:18,240 --> 00:31:20,800
Speaker 1: is a very it's helps with anxiety. We know that.

573
00:31:21,440 --> 00:31:24,080
Speaker 1: And I might suggest to a client like, hey, like,

574
00:31:24,720 --> 00:31:27,640
Speaker 1: I don't need you to go start running marathons, but

575
00:31:27,720 --> 00:31:30,120
Speaker 1: how do we get some movement in like ten fift

576
00:31:30,360 --> 00:31:33,240
Speaker 1: twenty minutes a day. Let's start with that. But then

577
00:31:33,240 --> 00:31:34,760
Speaker 1: I have and and then I have clients that at

578
00:31:34,760 --> 00:31:36,400
Speaker 1: a hard time doing that. But then I have these

579
00:31:36,440 --> 00:31:39,480
Speaker 1: other clients who are like, Okay, let's use movement as

580
00:31:39,880 --> 00:31:44,200
Speaker 1: one of your skills to help better your mental health

581
00:31:44,240 --> 00:31:46,840
Speaker 1: and your anxiety and all that, and they can't comprehend

582
00:31:46,920 --> 00:31:49,480
Speaker 1: why I don't want them to go to a high

583
00:31:49,520 --> 00:31:51,960
Speaker 1: intensity class because in their head it's like I have

584
00:31:52,040 --> 00:31:54,240
Speaker 1: frustration and I have anger, I'm gonna go get it out.

585
00:31:54,360 --> 00:31:57,080
Speaker 1: And in my head it's like, well, you're more just

586
00:31:57,200 --> 00:32:00,080
Speaker 1: building more inside of your body. I think, yeah. And

587
00:32:00,680 --> 00:32:04,200
Speaker 1: it's it's funny how fitness is very emotional, right, Like

588
00:32:04,240 --> 00:32:07,920
Speaker 1: people really latch on a certain workouts and certain routines,

589
00:32:08,120 --> 00:32:10,680
Speaker 1: and you know, there there is a lot of m

590
00:32:11,000 --> 00:32:14,040
Speaker 1: I enjoy this, I don't enjoy that, And sometimes it

591
00:32:14,120 --> 00:32:16,600
Speaker 1: just takes a matter of like what do I enjoy

592
00:32:16,640 --> 00:32:20,280
Speaker 1: about it? But just just trying or being exposed or

593
00:32:20,320 --> 00:32:23,120
Speaker 1: if even if you know, like hey, we really don't

594
00:32:23,240 --> 00:32:26,360
Speaker 1: think like this isn't actually so great, Like you're taking

595
00:32:26,640 --> 00:32:28,920
Speaker 1: you know, three spring classes a day, and yeah, that's

596
00:32:28,960 --> 00:32:32,560
Speaker 1: super intense and all of it. But it actually, you know,

597
00:32:32,680 --> 00:32:36,720
Speaker 1: maybe we see these type of muscle injuries are long term.

598
00:32:36,880 --> 00:32:38,720
Speaker 1: You know, this is how it's really a straight on

599
00:32:38,800 --> 00:32:41,440
Speaker 1: your joints and this is what it's doing to your hormones,

600
00:32:41,480 --> 00:32:43,480
Speaker 1: and I think it's taking a step back, and that's

601
00:32:43,480 --> 00:32:46,719
Speaker 1: actually a really smart form of self care is just

602
00:32:46,800 --> 00:32:50,200
Speaker 1: to say, okay, something I enjoy how do I you know,

603
00:32:50,280 --> 00:32:53,040
Speaker 1: kind of get it in all its colors and all

604
00:32:53,080 --> 00:32:56,480
Speaker 1: its varieties and and really just try things out. And

605
00:32:56,640 --> 00:33:00,240
Speaker 1: you know, I'm in New York, so like you're super like, no,

606
00:33:00,400 --> 00:33:02,400
Speaker 1: I know what I want. We're very interest about everything,

607
00:33:02,480 --> 00:33:04,120
Speaker 1: Like you know, it's it's kind of just send all

608
00:33:04,120 --> 00:33:07,480
Speaker 1: the time. But in the end, is that really getting

609
00:33:07,520 --> 00:33:10,560
Speaker 1: accomplished what you need? And why is it? And I

610
00:33:10,600 --> 00:33:12,600
Speaker 1: think similarly, I kind of want to go back if

611
00:33:12,600 --> 00:33:14,280
Speaker 1: you don't. I also like I don't want to know.

612
00:33:14,440 --> 00:33:16,160
Speaker 1: I don't want to try the things. I don't want

613
00:33:16,160 --> 00:33:20,280
Speaker 1: to know certain information. But it's like things that are inevitable.

614
00:33:20,480 --> 00:33:22,840
Speaker 1: You know, you do these things, you're gonna run yourself

615
00:33:22,840 --> 00:33:24,760
Speaker 1: into the ground. And these are the injuries that we

616
00:33:24,800 --> 00:33:28,160
Speaker 1: see all the time from this over exertion and this

617
00:33:28,360 --> 00:33:31,280
Speaker 1: kind of like overdoing it. Or on the other hand,

618
00:33:31,600 --> 00:33:35,040
Speaker 1: just what is it that gets you really nervous about

619
00:33:35,080 --> 00:33:38,720
Speaker 1: thinking about aging? And you know, things like fertility or

620
00:33:38,760 --> 00:33:41,160
Speaker 1: you know, changes in your phones. We we know these

621
00:33:41,160 --> 00:33:44,400
Speaker 1: things are happening. We know down the road what's gonna come.

622
00:33:44,800 --> 00:33:47,480
Speaker 1: Do you want to be blindsided? You know, like do

623
00:33:47,520 --> 00:33:48,800
Speaker 1: you want to kind of just I'll deal with it

624
00:33:48,800 --> 00:33:51,320
Speaker 1: when I deal with it, or if we say like, hey,

625
00:33:51,640 --> 00:33:53,920
Speaker 1: this is when maybe you'll notice the change in your

626
00:33:54,080 --> 00:33:57,080
Speaker 1: test us through own skin here, you know, like kind

627
00:33:57,080 --> 00:34:00,720
Speaker 1: of talk through what to expect and maybe things. It's

628
00:34:00,720 --> 00:34:02,480
Speaker 1: not going to reverse it. We're not going to find

629
00:34:02,480 --> 00:34:06,120
Speaker 1: the cure to not age ever, but you know, how

630
00:34:06,160 --> 00:34:09,799
Speaker 1: can we support it done in a in a educated way,

631
00:34:09,880 --> 00:34:13,200
Speaker 1: informed way making choices that you know the long term

632
00:34:13,200 --> 00:34:16,080
Speaker 1: play is going to be optimized. I hear that fertility

633
00:34:16,120 --> 00:34:18,080
Speaker 1: conversation all the time. I don't want to know. I'll

634
00:34:18,120 --> 00:34:20,319
Speaker 1: figure it out when it comes. So when do we

635
00:34:20,400 --> 00:34:23,200
Speaker 1: need to have that conversation? When would you suggest having

636
00:34:23,800 --> 00:34:27,440
Speaker 1: a conversation about how to maintain your health so that

637
00:34:27,520 --> 00:34:29,799
Speaker 1: if you do want to have kids, does that need

638
00:34:29,840 --> 00:34:32,520
Speaker 1: to start early? It's impossible to say that, right. Nobody

639
00:34:32,520 --> 00:34:34,840
Speaker 1: can just say like, hey, biological, I need to do that.

640
00:34:34,880 --> 00:34:38,160
Speaker 1: There's the biology of it, uh, And we know that

641
00:34:38,960 --> 00:34:41,279
Speaker 1: at the heart of it, we know that the over

642
00:34:41,360 --> 00:34:46,320
Speaker 1: eating ages much more quickly than other organs. Right, So

643
00:34:46,920 --> 00:34:49,480
Speaker 1: there's a lot of fact different factors for fertility, but

644
00:34:49,600 --> 00:34:52,799
Speaker 1: that we know, we know ages a factor, And I

645
00:34:52,840 --> 00:34:55,680
Speaker 1: think the thing is like just figuring out maybe your

646
00:34:55,800 --> 00:34:58,719
Speaker 1: your general thoughts on it. You know, a lot of

647
00:34:58,760 --> 00:35:01,520
Speaker 1: times it's maybe hard to approach that conversation with a partner,

648
00:35:01,760 --> 00:35:04,640
Speaker 1: but I think just figure out, like I do, think

649
00:35:04,680 --> 00:35:08,400
Speaker 1: it does deserve the time to say is this a

650
00:35:08,440 --> 00:35:10,880
Speaker 1: priority for me? Now? When does this happen? I have

651
00:35:10,960 --> 00:35:13,400
Speaker 1: a lot of conversations and being at g y N,

652
00:35:13,480 --> 00:35:15,960
Speaker 1: this is not something we don't really do it fertility

653
00:35:16,040 --> 00:35:18,680
Speaker 1: care directly per se at modern age, but just you know,

654
00:35:18,680 --> 00:35:24,280
Speaker 1: knowing women's health really have those conversations early and whether

655
00:35:24,360 --> 00:35:27,319
Speaker 1: that means like hey, okay, I'm just gonna wait and

656
00:35:27,680 --> 00:35:30,520
Speaker 1: I'm okay either way, but a lot of you know

657
00:35:30,520 --> 00:35:31,719
Speaker 1: what I'm it will come to me and say like

658
00:35:31,760 --> 00:35:33,319
Speaker 1: I know I want to be pregnant. I just don't

659
00:35:33,320 --> 00:35:35,480
Speaker 1: want to think about it now. But then you know,

660
00:35:35,520 --> 00:35:37,719
Speaker 1: there's a window and and it's hard to think about.

661
00:35:37,800 --> 00:35:40,799
Speaker 1: It's complex and it's like adulting, and you know, it's

662
00:35:40,840 --> 00:35:43,920
Speaker 1: it's it brings up a lot of reality and sometimes,

663
00:35:43,960 --> 00:35:45,400
Speaker 1: like I've heard a lot like well then I have

664
00:35:45,480 --> 00:35:47,880
Speaker 1: to think about what are my career goals? And I'm

665
00:35:47,920 --> 00:35:49,879
Speaker 1: I happy with where I am and where am I going.

666
00:35:49,960 --> 00:35:54,879
Speaker 1: It's it's very emotional and again it's complicated, but I thought,

667
00:35:55,160 --> 00:35:57,239
Speaker 1: at the end of the day, the hard fact is,

668
00:35:57,640 --> 00:36:00,640
Speaker 1: you know, we we can't get pregnant or all our lives.

669
00:36:00,719 --> 00:36:04,320
Speaker 1: We have somewhat of a window. And if it's something

670
00:36:04,480 --> 00:36:06,480
Speaker 1: I think the first question is like is it something

671
00:36:06,600 --> 00:36:08,840
Speaker 1: definitely in your plan or not? Or is it a

672
00:36:08,920 --> 00:36:11,480
Speaker 1: question mark? If it's something you want to maintain as

673
00:36:11,520 --> 00:36:14,080
Speaker 1: an option, like really talk about it and think about

674
00:36:14,120 --> 00:36:17,359
Speaker 1: it and have that discussion earlier around and later with

675
00:36:17,840 --> 00:36:22,399
Speaker 1: your provider. And I think just that is a lot.

676
00:36:22,520 --> 00:36:25,400
Speaker 1: I think just acknowledging it because I I'll bring it

677
00:36:25,480 --> 00:36:27,680
Speaker 1: up and it's like, oh, I don't know if do anything.

678
00:36:27,760 --> 00:36:30,520
Speaker 1: I just started thinking about that, Well, I would say, yes,

679
00:36:30,600 --> 00:36:33,319
Speaker 1: you know early, earlier is better. And I think in

680
00:36:33,360 --> 00:36:36,279
Speaker 1: general that's that's what we see. So certainly for modern age,

681
00:36:36,320 --> 00:36:39,719
Speaker 1: we have a lot of really symptomatic issues that we

682
00:36:39,760 --> 00:36:41,799
Speaker 1: can you know, kind of address. So a big one

683
00:36:41,920 --> 00:36:46,560
Speaker 1: is like fatigue or you know, uh, why am I

684
00:36:46,640 --> 00:36:49,960
Speaker 1: holding onto this? You know, wait the mid section or

685
00:36:50,400 --> 00:36:52,960
Speaker 1: losing libido, you know, all all of these kind of

686
00:36:53,000 --> 00:36:55,640
Speaker 1: symptoms and changes and that's what usually brings people to

687
00:36:55,840 --> 00:36:58,680
Speaker 1: us and we can talk through kind of get options,

688
00:36:58,840 --> 00:37:01,520
Speaker 1: get some choices, and tree and plants. But then also

689
00:37:01,920 --> 00:37:04,920
Speaker 1: we want to like sneak in let's also think about

690
00:37:04,960 --> 00:37:07,719
Speaker 1: the next you know, next time twenty thirty years. What

691
00:37:07,800 --> 00:37:11,360
Speaker 1: can we think about with like say pcos or something

692
00:37:11,440 --> 00:37:14,160
Speaker 1: like that. You know, we're thinking about the concept of

693
00:37:14,160 --> 00:37:18,120
Speaker 1: insulin resistance, so we want to make sure you're getting

694
00:37:18,120 --> 00:37:20,920
Speaker 1: those tracked regularly. You're kind of thinking about how to

695
00:37:21,120 --> 00:37:24,600
Speaker 1: incorporate more high protein little cards in a reasonable way.

696
00:37:24,640 --> 00:37:26,880
Speaker 1: We want to think about the you know, kind of

697
00:37:26,960 --> 00:37:30,319
Speaker 1: long term and be checking that similarly with you know,

698
00:37:30,400 --> 00:37:33,000
Speaker 1: like even parimenopause, which is you know, in your in

699
00:37:33,000 --> 00:37:36,680
Speaker 1: your in your forties. You know, you're you're thinking like, okay,

700
00:37:36,719 --> 00:37:38,879
Speaker 1: we're just I'm just trying to get through this, but

701
00:37:39,160 --> 00:37:41,760
Speaker 1: this is a time when it's going to start thinking

702
00:37:41,760 --> 00:37:44,359
Speaker 1: about once you're in menopause, you know, down the road

703
00:37:45,080 --> 00:37:47,520
Speaker 1: heart help, brain health, phone help. We want to kind

704
00:37:47,560 --> 00:37:50,759
Speaker 1: of start putting things into play and start changing our

705
00:37:50,800 --> 00:37:54,240
Speaker 1: attitudes that these are all things that that shift. Yeah,

706
00:37:54,400 --> 00:37:57,759
Speaker 1: and I'm also sitting here thinking I feel like a

707
00:37:57,800 --> 00:38:01,120
Speaker 1: little silly because I'm like, wait a second, why have

708
00:38:01,640 --> 00:38:05,839
Speaker 1: therapists not been working side by side with people like

709
00:38:05,920 --> 00:38:09,520
Speaker 1: you forever? Because it seems like a lot of changes,

710
00:38:09,680 --> 00:38:13,440
Speaker 1: whether that's stress that turns to anxiety that turns to

711
00:38:13,520 --> 00:38:16,799
Speaker 1: depression or whatever. So much of this has to do

712
00:38:16,880 --> 00:38:19,400
Speaker 1: the fact that your hormones are changing throughout your lifespan,

713
00:38:20,120 --> 00:38:23,239
Speaker 1: so where somebody might all the sudden developed depression later

714
00:38:23,400 --> 00:38:25,680
Speaker 1: in their life and they're like, what I've been I've

715
00:38:25,680 --> 00:38:27,919
Speaker 1: never struggled with this. I've never suffered from this. It's

716
00:38:28,200 --> 00:38:30,719
Speaker 1: might be a natural response to some hormone changes in

717
00:38:30,760 --> 00:38:35,200
Speaker 1: their body or something. Does that make sense? So I'm

718
00:38:35,239 --> 00:38:37,480
Speaker 1: sitting here thinking about, like, oh, there's so many I

719
00:38:37,880 --> 00:38:40,160
Speaker 1: need to reach out in our area to to people

720
00:38:40,200 --> 00:38:42,520
Speaker 1: like you, because there's so many things that we might

721
00:38:42,560 --> 00:38:46,360
Speaker 1: get stuck on that might have a very natural explanation

722
00:38:46,480 --> 00:38:50,960
Speaker 1: and and maybe the solution isn't something that somebody wants,

723
00:38:51,000 --> 00:38:53,759
Speaker 1: Like you were talking about sleep, Like I think a

724
00:38:53,760 --> 00:38:56,200
Speaker 1: lot of people when I have conversations around sleep, they're like,

725
00:38:56,239 --> 00:38:58,000
Speaker 1: but I can't but I have to watch TV to

726
00:38:58,000 --> 00:39:01,080
Speaker 1: go to sleep, or I have to work these hours,

727
00:39:01,280 --> 00:39:04,120
Speaker 1: or I have to check my email before I go

728
00:39:04,160 --> 00:39:06,879
Speaker 1: to bed, or whatever, like whatever it is. I think.

729
00:39:07,440 --> 00:39:11,000
Speaker 1: Or I'm a college student and this is just our lifestyle,

730
00:39:11,239 --> 00:39:14,359
Speaker 1: and I like any of that so they don't like

731
00:39:14,480 --> 00:39:17,840
Speaker 1: the the Okay, well this might really help and impact

732
00:39:18,280 --> 00:39:20,560
Speaker 1: because what I kind of hear you saying is there's

733
00:39:20,600 --> 00:39:26,600
Speaker 1: a lot of like natural lifestyle changes and movements that

734
00:39:26,640 --> 00:39:29,840
Speaker 1: can help repair some of the hormone and balances that

735
00:39:29,880 --> 00:39:34,120
Speaker 1: we might I think those are where those are great starts, right,

736
00:39:34,120 --> 00:39:36,759
Speaker 1: And those are kind of like daily action things you

737
00:39:36,800 --> 00:39:38,760
Speaker 1: can do. You don't need to go see a doctor

738
00:39:38,880 --> 00:39:41,080
Speaker 1: for that. No one needs to like give you, you know,

739
00:39:41,120 --> 00:39:44,040
Speaker 1: prescribe you something and there's no device needed. You know.

740
00:39:44,080 --> 00:39:46,839
Speaker 1: Those are kind of like daily actionable things you can do.

741
00:39:46,960 --> 00:39:49,120
Speaker 1: We probably don't talk about it enough, you know, I know,

742
00:39:49,239 --> 00:39:52,440
Speaker 1: like me as a position position, even through training and

743
00:39:52,480 --> 00:39:55,399
Speaker 1: through practice, we learned very little about nutrition. We will

744
00:39:55,520 --> 00:39:58,400
Speaker 1: read a little about wellness. So it's not on our radar,

745
00:39:58,800 --> 00:40:01,280
Speaker 1: you know, it's not on our radar. The conversations probably

746
00:40:01,280 --> 00:40:03,439
Speaker 1: aren't being had. I think now there's a lot more

747
00:40:03,840 --> 00:40:08,000
Speaker 1: you know, attention on functional medicine, and I really believe,

748
00:40:08,080 --> 00:40:10,719
Speaker 1: you know, like kind of incorporating the two. So it

749
00:40:10,760 --> 00:40:13,439
Speaker 1: may seemingly be something easy, but then like oh well

750
00:40:13,640 --> 00:40:15,359
Speaker 1: or how are you sleeping, how are you eating? How

751
00:40:15,400 --> 00:40:18,080
Speaker 1: you know all of these things and now well, you know,

752
00:40:18,120 --> 00:40:20,360
Speaker 1: do you know, like long term that's gonna happen. And

753
00:40:20,560 --> 00:40:23,759
Speaker 1: sometimes it's easier to just get a prescription and get

754
00:40:23,800 --> 00:40:25,719
Speaker 1: out of there and take it, and you know, it's

755
00:40:25,760 --> 00:40:28,239
Speaker 1: so much easier, and I wish we could do that,

756
00:40:28,360 --> 00:40:31,239
Speaker 1: but you know that there is some hard work that

757
00:40:31,280 --> 00:40:34,760
Speaker 1: has to be put into it, like Okay, you can't

758
00:40:34,760 --> 00:40:37,719
Speaker 1: sleep or or you are having X issue, and we

759
00:40:37,800 --> 00:40:40,719
Speaker 1: can relate it to why what is it going to

760
00:40:40,880 --> 00:40:44,440
Speaker 1: take to improve that? You know? Is there absolutely no way?

761
00:40:44,840 --> 00:40:47,920
Speaker 1: And then it's like, okay, well can you Is it

762
00:40:47,960 --> 00:40:49,799
Speaker 1: okay to complaint about it if you're not you know,

763
00:40:49,840 --> 00:40:51,680
Speaker 1: if you kind of know a solution but you don't

764
00:40:51,719 --> 00:40:54,000
Speaker 1: even want to do it, you know, like, how can

765
00:40:54,040 --> 00:40:55,719
Speaker 1: we just get you to approach it? How can we

766
00:40:55,760 --> 00:40:57,880
Speaker 1: do it in a baby steps? How can we do

767
00:40:57,920 --> 00:41:01,360
Speaker 1: it in the most miniscule way because they're very you know,

768
00:41:01,440 --> 00:41:04,000
Speaker 1: little thing. Yeah. I think that's where the therapy can

769
00:41:04,040 --> 00:41:05,680
Speaker 1: come in to talk about, well, what makes it so

770
00:41:05,719 --> 00:41:07,680
Speaker 1: hard for you to make these changes? We know? But

771
00:41:07,760 --> 00:41:10,160
Speaker 1: I think what I'm getting from you is there's conversations

772
00:41:10,160 --> 00:41:14,680
Speaker 1: to be had about what are the implications of mental

773
00:41:14,719 --> 00:41:17,560
Speaker 1: health when our hormones are unbalanced because I don't have

774
00:41:17,719 --> 00:41:21,279
Speaker 1: adequate knowledge of that. So where I might think I

775
00:41:21,400 --> 00:41:24,000
Speaker 1: might not know that sleep is the issue, I might

776
00:41:24,000 --> 00:41:25,359
Speaker 1: just be like, well, I mean it would be nice

777
00:41:25,400 --> 00:41:27,240
Speaker 1: if you slept more, but like if you won't whatever.

778
00:41:27,520 --> 00:41:31,279
Speaker 1: But if I knew the implications of all these things

779
00:41:31,320 --> 00:41:35,040
Speaker 1: on our mental health and how our hormones are impacted

780
00:41:35,080 --> 00:41:40,439
Speaker 1: by aging or our lifestyle, I could better I think

781
00:41:40,520 --> 00:41:44,520
Speaker 1: help clients. Absolutely, Yeah, for sure, for sure. I think

782
00:41:44,560 --> 00:41:47,880
Speaker 1: of you know, like any things that are really common,

783
00:41:47,920 --> 00:41:53,440
Speaker 1: So like thyroid thyroids, these pmd D, postpartum you know,

784
00:41:53,560 --> 00:41:57,759
Speaker 1: the whole postpartum phase um and many even perimenopause men

785
00:41:57,800 --> 00:42:02,040
Speaker 1: of us. They are associated with highers of nuanced depression anxiety.

786
00:42:02,520 --> 00:42:04,719
Speaker 1: And so I think you you hit upon a really

787
00:42:04,800 --> 00:42:09,080
Speaker 1: great point. Is there is this degree of fragmented care

788
00:42:09,320 --> 00:42:11,680
Speaker 1: that we get, and how can we make that more

789
00:42:12,120 --> 00:42:14,920
Speaker 1: collaborative integrative. I think this is you know, like a

790
00:42:15,000 --> 00:42:17,200
Speaker 1: great example of it, Like all these things are going

791
00:42:17,280 --> 00:42:19,160
Speaker 1: off and my god, I need to talk to her

792
00:42:19,280 --> 00:42:22,120
Speaker 1: later about how to kill for better sleep. How could

793
00:42:22,120 --> 00:42:25,080
Speaker 1: I you know, with the motivational interview therapy, and so

794
00:42:25,880 --> 00:42:28,560
Speaker 1: there's a lot of opportunity for collaboration. It's just a

795
00:42:28,719 --> 00:42:30,800
Speaker 1: naturally set up that way. It's not like you have

796
00:42:30,920 --> 00:42:35,239
Speaker 1: won office and you're you know, your mental health professionals there,

797
00:42:35,320 --> 00:42:38,000
Speaker 1: and your doctors there, and your fitness persone there, you know,

798
00:42:38,239 --> 00:42:41,200
Speaker 1: when they all are really so needed. I think it's

799
00:42:41,480 --> 00:42:44,520
Speaker 1: unfortunately people have to piecemell it on their own and

800
00:42:44,719 --> 00:42:46,920
Speaker 1: at this point that's just kind of the reality of it.

801
00:42:47,040 --> 00:42:50,480
Speaker 1: But I think on the flip side, saying again my

802
00:42:50,600 --> 00:42:52,320
Speaker 1: patients are like, oh my, I did not know this

803
00:42:52,480 --> 00:42:56,520
Speaker 1: was all connected. I think just really reinforcing that concept

804
00:42:56,800 --> 00:42:59,040
Speaker 1: is is you can make a lot of change without

805
00:42:59,480 --> 00:43:02,080
Speaker 1: you know me, your interventions and and and try them

806
00:43:02,160 --> 00:43:05,240
Speaker 1: first and and it may not be from the perfect

807
00:43:05,520 --> 00:43:08,320
Speaker 1: provider that you think you know, but it is. It

808
00:43:08,400 --> 00:43:11,600
Speaker 1: really does take a whole team to kind of optimize

809
00:43:11,680 --> 00:43:15,440
Speaker 1: your health care sometimes and your your stresses. And it

810
00:43:15,560 --> 00:43:18,920
Speaker 1: may be more people involved, but it absolutely, it absolutely

811
00:43:19,000 --> 00:43:21,880
Speaker 1: does have been on your health is on multiple levels

812
00:43:21,920 --> 00:43:25,200
Speaker 1: and multiple practices you know, integrated into one. You mentioned

813
00:43:25,320 --> 00:43:28,759
Speaker 1: um pmd D And I have so many clients who

814
00:43:29,120 --> 00:43:32,320
Speaker 1: while I've been working with them, have been diagnosed with that,

815
00:43:32,800 --> 00:43:34,560
Speaker 1: not even by me. There's a couple that I was like,

816
00:43:34,600 --> 00:43:35,920
Speaker 1: I think this might be it. I think we need

817
00:43:36,000 --> 00:43:38,640
Speaker 1: to get a doctor involved too and look at other things.

818
00:43:38,719 --> 00:43:43,480
Speaker 1: But if that was not recognized, then we would be

819
00:43:43,640 --> 00:43:47,879
Speaker 1: very confused of like what's going on and it can

820
00:43:47,920 --> 00:43:52,640
Speaker 1: be managed by care from their doctors and medications and

821
00:43:52,760 --> 00:43:55,160
Speaker 1: all of that. It's not something that I can just

822
00:43:55,480 --> 00:43:58,200
Speaker 1: manage in a therapy session. But if I don't know that,

823
00:43:58,320 --> 00:44:00,800
Speaker 1: that's like a hormonal and balance and it's happening like

824
00:44:01,239 --> 00:44:03,759
Speaker 1: and I don't know the intricacies of it. But I

825
00:44:03,840 --> 00:44:06,280
Speaker 1: think that's where I'm like, Yeah, it is hard because

826
00:44:06,680 --> 00:44:10,239
Speaker 1: we can't all. I can't call somebody's doctor every after

827
00:44:10,280 --> 00:44:12,000
Speaker 1: every session. I don't have the time. They don't have

828
00:44:12,080 --> 00:44:15,960
Speaker 1: the time, like everybody sadly is like stretched thin in

829
00:44:16,080 --> 00:44:18,880
Speaker 1: healthcare no matter where you are. And I think it

830
00:44:19,160 --> 00:44:22,400
Speaker 1: it comes down to if I know more, If I,

831
00:44:22,800 --> 00:44:25,440
Speaker 1: if I, as a therapist take time to learn more

832
00:44:25,560 --> 00:44:28,919
Speaker 1: about those things, and then the doctors of the world

833
00:44:29,000 --> 00:44:31,840
Speaker 1: can take time to learn about, Okay, how might trauma

834
00:44:32,160 --> 00:44:35,920
Speaker 1: or this or that effect that as well? Because I

835
00:44:36,040 --> 00:44:38,879
Speaker 1: think that if I wasn't a therapist, I could get

836
00:44:39,000 --> 00:44:43,080
Speaker 1: pretty well, I could get more frustrated with people who

837
00:44:43,120 --> 00:44:46,200
Speaker 1: won't just like do it. Who either won't just going

838
00:44:46,239 --> 00:44:48,400
Speaker 1: back to the exercise, who won't just stop, like, just

839
00:44:48,440 --> 00:44:51,680
Speaker 1: stop exercising that much, it's not that easy, Or who

840
00:44:51,719 --> 00:44:55,200
Speaker 1: won't just start exercising that much, or who won't just

841
00:44:55,440 --> 00:44:59,480
Speaker 1: change their work schedule or change their sleep schedule. I

842
00:44:59,520 --> 00:45:02,760
Speaker 1: would get really frustrate if I didn't know the intricacies

843
00:45:02,880 --> 00:45:05,960
Speaker 1: of their mental health and the things that have made

844
00:45:06,040 --> 00:45:09,120
Speaker 1: those things so difficult for them. And so it's a

845
00:45:09,440 --> 00:45:13,719
Speaker 1: collaborative part on all levels. I'm seeing this more as

846
00:45:13,800 --> 00:45:18,160
Speaker 1: like a professionals issue than the it becomes the patient's issue.

847
00:45:18,719 --> 00:45:21,840
Speaker 1: But if we don't take the time to educate ourselves

848
00:45:22,120 --> 00:45:24,960
Speaker 1: and care, then we're going to miss so much. That's

849
00:45:25,000 --> 00:45:28,440
Speaker 1: exactly how we felt and what we really offer with

850
00:45:28,520 --> 00:45:31,000
Speaker 1: modernity just kind of a chance to kind of so

851
00:45:31,280 --> 00:45:34,480
Speaker 1: together the big picture. We're not trying to replace a

852
00:45:34,560 --> 00:45:37,640
Speaker 1: primary care doctor or noll, B g N N undercnologists.

853
00:45:37,640 --> 00:45:41,160
Speaker 1: Those are all very necessary providers, but we are setting

854
00:45:41,239 --> 00:45:43,080
Speaker 1: up a system where there's a lot of chance for

855
00:45:43,719 --> 00:45:46,759
Speaker 1: opportunity for a discussion, maybe a little bit more kind

856
00:45:46,840 --> 00:45:51,759
Speaker 1: of true preventive preemptive type of action and education and

857
00:45:52,400 --> 00:45:55,000
Speaker 1: um talking out a lot of things again time with

858
00:45:55,280 --> 00:45:57,440
Speaker 1: doctors right now is limited. I've always been in this

859
00:45:57,960 --> 00:46:01,359
Speaker 1: you know system, and I think you know, doctors would

860
00:46:01,360 --> 00:46:03,120
Speaker 1: like to talk more, patients would like to talk more,

861
00:46:03,440 --> 00:46:06,480
Speaker 1: and so we're offering that opportunity and it can be

862
00:46:06,560 --> 00:46:09,239
Speaker 1: really powerful just because you are realizing, oh my gosh,

863
00:46:09,320 --> 00:46:11,640
Speaker 1: I didn't connect these two things, or oh now I'm

864
00:46:11,680 --> 00:46:14,319
Speaker 1: really seeing the big picture. And that's really the role

865
00:46:14,400 --> 00:46:16,200
Speaker 1: we want to serve is how do you kind of

866
00:46:16,280 --> 00:46:19,000
Speaker 1: put all these things together? Maybe what are some questions

867
00:46:19,080 --> 00:46:20,880
Speaker 1: to go back to your dock with? These are some

868
00:46:21,400 --> 00:46:24,879
Speaker 1: very basics and also even just in our own team

869
00:46:24,960 --> 00:46:28,040
Speaker 1: at Modern Age, we we wanted to address, you know,

870
00:46:28,160 --> 00:46:31,200
Speaker 1: be able to address some of the what we're starting out,

871
00:46:31,239 --> 00:46:34,000
Speaker 1: what is the four concept of you know, skin, hair,

872
00:46:34,040 --> 00:46:37,240
Speaker 1: and hormone and phone health. And we'll keep adding different

873
00:46:37,640 --> 00:46:40,719
Speaker 1: systems as we uh, you know, build them out, but

874
00:46:40,800 --> 00:46:44,759
Speaker 1: we really want to give a comprehensive overview what in

875
00:46:45,200 --> 00:46:48,359
Speaker 1: the professional professionals and the providers we have on the team,

876
00:46:48,680 --> 00:46:51,239
Speaker 1: but also kind of the subject matter and the expertise

877
00:46:51,360 --> 00:46:55,719
Speaker 1: we can offer because that kind of all connected and

878
00:46:55,880 --> 00:46:58,239
Speaker 1: you know, kind of like the flow right now is

879
00:46:58,320 --> 00:47:01,200
Speaker 1: not very easy to ax us and so like you said,

880
00:47:01,280 --> 00:47:03,759
Speaker 1: it's kind of how we're trained and put out into

881
00:47:03,800 --> 00:47:07,800
Speaker 1: the world as as providers and clinicians, and then you know,

882
00:47:07,960 --> 00:47:10,320
Speaker 1: patients are having to kind of piece things together. So

883
00:47:10,440 --> 00:47:13,120
Speaker 1: that's what we're hoping we can really provide some kind

884
00:47:13,160 --> 00:47:18,000
Speaker 1: of a big picture, comprehensive approach. I will say, if anything,

885
00:47:18,280 --> 00:47:21,319
Speaker 1: not the details of what I've learned, the overarching thing

886
00:47:21,440 --> 00:47:24,360
Speaker 1: that I'm taking from this is one, as a professional,

887
00:47:24,520 --> 00:47:26,600
Speaker 1: I have a little bit of work to do, and

888
00:47:26,920 --> 00:47:29,839
Speaker 1: as a human being, I feel like I have work

889
00:47:29,960 --> 00:47:32,360
Speaker 1: to do in this sense that it's only going to

890
00:47:32,480 --> 00:47:36,120
Speaker 1: work against me to avoid what is inevitably going to

891
00:47:36,239 --> 00:47:39,080
Speaker 1: happen with aging and how my body is going to

892
00:47:39,400 --> 00:47:43,200
Speaker 1: respond to that. Yeah, I mean, there's so so many

893
00:47:43,280 --> 00:47:45,520
Speaker 1: good things about each decade of life. You know. It's

894
00:47:45,600 --> 00:47:48,239
Speaker 1: kind of like, um, like I have a ready four

895
00:47:48,280 --> 00:47:49,799
Speaker 1: year old right now, and so a lot of people

896
00:47:49,920 --> 00:47:52,000
Speaker 1: in that phase they're like, oh, my my babies are

897
00:47:52,000 --> 00:47:55,480
Speaker 1: going away. But then I actually also have two older

898
00:47:55,680 --> 00:47:57,880
Speaker 1: sub daughters my my husband's older girls, so we have

899
00:47:58,120 --> 00:48:01,040
Speaker 1: like such a spectrum. So I've that be like, wow,

900
00:48:01,080 --> 00:48:04,120
Speaker 1: there's really great things about every age for the kids,

901
00:48:04,600 --> 00:48:07,160
Speaker 1: and I think for me, I took a step back

902
00:48:07,280 --> 00:48:09,120
Speaker 1: and listening to modern age plastic. Oh, it's like the

903
00:48:09,239 --> 00:48:12,440
Speaker 1: same thing. There's so many cool things to enjoy about,

904
00:48:12,800 --> 00:48:15,759
Speaker 1: you know, all the different ages and different phases of life.

905
00:48:16,120 --> 00:48:18,480
Speaker 1: I think it gets more challenging because what we see

906
00:48:18,680 --> 00:48:21,800
Speaker 1: is obviously there's more health challenges as we get older

907
00:48:21,960 --> 00:48:26,719
Speaker 1: and again trying to optimized, but also really being kind

908
00:48:26,760 --> 00:48:31,000
Speaker 1: of more tapped into what is actually causing chronic disease.

909
00:48:31,280 --> 00:48:33,680
Speaker 1: How do we start really early on and kind of

910
00:48:33,800 --> 00:48:36,239
Speaker 1: just like you know, just like putting good habits in

911
00:48:36,320 --> 00:48:38,960
Speaker 1: any way that we would teach our our kids or

912
00:48:39,000 --> 00:48:41,320
Speaker 1: that we were taught where it's it's good habits, so

913
00:48:41,440 --> 00:48:43,839
Speaker 1: that you can enjoy all these things for us as

914
00:48:43,920 --> 00:48:45,640
Speaker 1: long as you want and the way you want. I

915
00:48:45,719 --> 00:48:48,799
Speaker 1: think we all have these older figures in our lives

916
00:48:48,960 --> 00:48:50,759
Speaker 1: or the community and it's like, oh my gosh, that

917
00:48:50,880 --> 00:48:53,879
Speaker 1: person is like twenty years younger than what they actually are,

918
00:48:53,960 --> 00:48:55,960
Speaker 1: and how did they get there? Well, I think it

919
00:48:56,040 --> 00:48:59,759
Speaker 1: a lot starts by, you know, just not seeing our

920
00:49:00,000 --> 00:49:05,640
Speaker 1: fighting against natural aging and how to really take it

921
00:49:05,719 --> 00:49:08,560
Speaker 1: in in a way that is a positive thing. You know,

922
00:49:08,680 --> 00:49:11,640
Speaker 1: like we were talking about like direct ways that certain

923
00:49:11,719 --> 00:49:15,439
Speaker 1: hormonal effects can can affect mental health. But there's also

924
00:49:15,560 --> 00:49:18,759
Speaker 1: like secondary ways like like now, oh my gosh, I'm

925
00:49:18,840 --> 00:49:21,040
Speaker 1: I'm I post part of them, like I lost my

926
00:49:21,680 --> 00:49:23,440
Speaker 1: the body that I know and I have no control

927
00:49:23,520 --> 00:49:27,200
Speaker 1: over it, it's not mine anymore. Or perimenopause, like oh gosh,

928
00:49:27,280 --> 00:49:29,239
Speaker 1: this is what they're talking about, and and and my

929
00:49:29,840 --> 00:49:32,239
Speaker 1: libido is going and you all these things, and it's

930
00:49:32,239 --> 00:49:36,680
Speaker 1: almost like secondary effect of that is disappointment and and

931
00:49:37,160 --> 00:49:40,080
Speaker 1: you know, putting yourself in this category of like oh

932
00:49:40,160 --> 00:49:43,840
Speaker 1: I'm no longer like you know, attractive or youthful, or

933
00:49:45,040 --> 00:49:47,919
Speaker 1: my life is over. There's there's actually so much there

934
00:49:48,200 --> 00:49:50,920
Speaker 1: and and a lot of it also is like these happen.

935
00:49:51,040 --> 00:49:53,800
Speaker 1: These things happen in isolation. You know, people are really

936
00:49:54,040 --> 00:49:56,920
Speaker 1: have a hard time talking about it, especially like intimacy.

937
00:49:57,200 --> 00:49:59,400
Speaker 1: And when we see these surveys on like who do

938
00:49:59,480 --> 00:50:01,960
Speaker 1: you talk about out your your your health issues with

939
00:50:02,280 --> 00:50:06,320
Speaker 1: and especially like emotional mental health symptoms, same thing for

940
00:50:06,400 --> 00:50:09,120
Speaker 1: intimacy and kind of things like that. Often like the

941
00:50:09,239 --> 00:50:12,959
Speaker 1: bottom last option is talking to a doctor. And it's

942
00:50:13,040 --> 00:50:16,080
Speaker 1: it's very hard to talk to your girlfriends or family

943
00:50:16,120 --> 00:50:18,319
Speaker 1: where you could normally share their things, So it's very

944
00:50:18,480 --> 00:50:22,879
Speaker 1: isolating it's it's it's really lonely. I've heard that all

945
00:50:22,920 --> 00:50:27,279
Speaker 1: the time. And so even just encouraging like guess what,

946
00:50:27,480 --> 00:50:29,400
Speaker 1: you are far from the one going the only one

947
00:50:29,480 --> 00:50:32,520
Speaker 1: going through this. Most likely you're gonna you know, reach

948
00:50:32,560 --> 00:50:34,640
Speaker 1: out and find that this is something that is a

949
00:50:34,719 --> 00:50:38,040
Speaker 1: share experience and that's really powerful. Right. We know how

950
00:50:38,120 --> 00:50:42,320
Speaker 1: community can help mental health. We actually see deep friendships

951
00:50:42,360 --> 00:50:46,359
Speaker 1: and community actually be really great for long term cognitive health,

952
00:50:46,840 --> 00:50:49,359
Speaker 1: and so as we're thinking of brain health and things

953
00:50:49,440 --> 00:50:53,719
Speaker 1: long term, we see those deep connections also playing a

954
00:50:53,920 --> 00:50:58,000
Speaker 1: very very effective role in a healthy aging. So it's

955
00:50:58,040 --> 00:50:59,560
Speaker 1: not it doesn't all have to be like what SoCal

956
00:50:59,600 --> 00:51:01,400
Speaker 1: metal body. And when you're taking right, you're kind of

957
00:51:01,480 --> 00:51:05,560
Speaker 1: creating these these positive habits, positive changes and in a

958
00:51:05,680 --> 00:51:08,839
Speaker 1: way to find to find joy and if a way

959
00:51:08,920 --> 00:51:11,120
Speaker 1: to keep it going in the way that you want

960
00:51:11,160 --> 00:51:13,680
Speaker 1: to keep going. Yeah, well, thank you for this. And

961
00:51:13,960 --> 00:51:15,960
Speaker 1: this popped into my head as you kind of were

962
00:51:15,960 --> 00:51:19,200
Speaker 1: saying all that is. I had the same doctor from

963
00:51:19,239 --> 00:51:23,080
Speaker 1: when I was like in second grade. She retired in

964
00:51:23,160 --> 00:51:26,839
Speaker 1: two thousand and nineteen. It was very sad, but once

965
00:51:26,920 --> 00:51:28,560
Speaker 1: she was like life changing and I've talked to her

966
00:51:28,640 --> 00:51:32,080
Speaker 1: about her on this podcast before. But what she said

967
00:51:32,120 --> 00:51:35,000
Speaker 1: to me after I think I was in grad school

968
00:51:35,000 --> 00:51:37,000
Speaker 1: at the time and I was just struggling with some

969
00:51:37,480 --> 00:51:39,160
Speaker 1: stuff and I went to her and we talked a

970
00:51:39,200 --> 00:51:41,919
Speaker 1: little bit, and she said she stayed in there longer

971
00:51:41,960 --> 00:51:44,879
Speaker 1: than she should have um but she said, like, I've

972
00:51:45,040 --> 00:51:47,759
Speaker 1: I almost left my career as a doctor to go

973
00:51:48,560 --> 00:51:50,719
Speaker 1: do some work in counseling because that's the part of

974
00:51:50,760 --> 00:51:53,160
Speaker 1: the job that I love so much, is talking to patients,

975
00:51:53,200 --> 00:51:55,719
Speaker 1: and I don't get to do that. And then so

976
00:51:55,840 --> 00:51:57,719
Speaker 1: she left and I was like went on strike. I

977
00:51:57,800 --> 00:52:00,040
Speaker 1: was like, oh, I'm not finding another doctor, but know

978
00:52:00,239 --> 00:52:02,920
Speaker 1: I had to. So I went to the doctor that

979
00:52:03,239 --> 00:52:06,040
Speaker 1: took over her practice, and the first time I met her,

980
00:52:06,560 --> 00:52:08,920
Speaker 1: she stayed in the room with me for like literally

981
00:52:08,960 --> 00:52:12,360
Speaker 1: an hour, and she I probably got it in trouble

982
00:52:12,400 --> 00:52:14,400
Speaker 1: for doing that, but it was so meaningful to me.

983
00:52:14,440 --> 00:52:17,279
Speaker 1: And she said the same thing. And I think that's

984
00:52:17,280 --> 00:52:20,520
Speaker 1: a bigger overarching issue. But I think what the reason

985
00:52:20,719 --> 00:52:24,080
Speaker 1: that I say that is, as patients, I think sometimes

986
00:52:24,160 --> 00:52:26,480
Speaker 1: we can feel like, oh, we know they don't have

987
00:52:26,520 --> 00:52:28,239
Speaker 1: a lot of time, they're busy, they don't want to

988
00:52:28,239 --> 00:52:29,520
Speaker 1: talk about this, they just want to get us in

989
00:52:29,560 --> 00:52:32,239
Speaker 1: and out when I think, especially from what you're saying,

990
00:52:32,360 --> 00:52:34,200
Speaker 1: is like you love being able to sit and talk

991
00:52:34,239 --> 00:52:37,120
Speaker 1: and educate people and help them understand, and you want

992
00:52:37,160 --> 00:52:39,879
Speaker 1: people to be able to ask questions. And I think

993
00:52:40,440 --> 00:52:42,880
Speaker 1: what I'm finding is more often than not, the doctors

994
00:52:43,200 --> 00:52:45,160
Speaker 1: aren't trying to get you in and out. They might

995
00:52:45,200 --> 00:52:48,120
Speaker 1: feel pressured to do that, but doctors for the most

996
00:52:48,200 --> 00:52:50,960
Speaker 1: part care about you and and want you to be

997
00:52:51,000 --> 00:52:54,080
Speaker 1: able to ask questions. And and maybe there's not the

998
00:52:54,160 --> 00:52:57,480
Speaker 1: time always, but I think that you're never gonna get

999
00:52:57,560 --> 00:53:00,040
Speaker 1: that time if you don't at least ask for it it.

1000
00:53:00,800 --> 00:53:02,440
Speaker 1: So I just say that because I think doctors can

1001
00:53:02,480 --> 00:53:05,560
Speaker 1: get a bad rap for um, not having enough time

1002
00:53:05,600 --> 00:53:07,439
Speaker 1: to speak to people. And I think that you guys,

1003
00:53:07,920 --> 00:53:11,000
Speaker 1: I wish that was different. Yeah, absolutely, thank you so

1004
00:53:11,200 --> 00:53:13,279
Speaker 1: much for saying that. That is just really such a

1005
00:53:13,400 --> 00:53:16,560
Speaker 1: time we comment in this day and age. I think

1006
00:53:16,600 --> 00:53:19,960
Speaker 1: it's that's a big frustration for physicians. Were kind of

1007
00:53:20,080 --> 00:53:23,000
Speaker 1: all on this, you know, especially in like an insurance

1008
00:53:23,080 --> 00:53:26,640
Speaker 1: based world. It's this, you know, very productivity based, and

1009
00:53:27,239 --> 00:53:28,520
Speaker 1: you hear this all the time. Oh my god. They

1010
00:53:28,520 --> 00:53:31,000
Speaker 1: alway spent fifteen minutes with me there is a certain

1011
00:53:31,080 --> 00:53:33,319
Speaker 1: number of patients that have to be seen, and how

1012
00:53:33,400 --> 00:53:36,560
Speaker 1: we contract with insurance and how we're reimbursed and keeping

1013
00:53:36,600 --> 00:53:39,080
Speaker 1: the lights on. And it's sad that there's a business side,

1014
00:53:39,200 --> 00:53:41,080
Speaker 1: but at the end of the day, these are people

1015
00:53:41,120 --> 00:53:45,000
Speaker 1: who've spent twenty years training and you know, the majority

1016
00:53:45,080 --> 00:53:47,640
Speaker 1: of their day goes into taking care of others. So

1017
00:53:47,920 --> 00:53:50,920
Speaker 1: it really truly is there. The system can be challenging

1018
00:53:51,000 --> 00:53:53,319
Speaker 1: on both sides, you know, but know that there are

1019
00:53:53,360 --> 00:53:56,200
Speaker 1: definitely a patient frustrations, but now that there's also physician

1020
00:53:56,239 --> 00:53:59,319
Speaker 1: frustrations in there, I would like to add I've been

1021
00:53:59,400 --> 00:54:02,399
Speaker 1: using talent met in a great way that like, hey,

1022
00:54:02,600 --> 00:54:04,759
Speaker 1: let's talk about I see you in person, we're here

1023
00:54:04,840 --> 00:54:06,600
Speaker 1: for your annual let's take care of what we need

1024
00:54:06,680 --> 00:54:09,279
Speaker 1: to do where it's hands on. Why don't we I

1025
00:54:09,400 --> 00:54:11,960
Speaker 1: know you're concerned about this other topic, why don't we

1026
00:54:12,000 --> 00:54:15,040
Speaker 1: schedule a talented visit and that we can just chat,

1027
00:54:15,480 --> 00:54:17,600
Speaker 1: you know, we can just chat out things, because why

1028
00:54:17,600 --> 00:54:19,239
Speaker 1: don't we use that in a way that we can

1029
00:54:19,320 --> 00:54:22,719
Speaker 1: continue our conversation and continue care. Um That's been really

1030
00:54:22,800 --> 00:54:25,600
Speaker 1: successful for me. Again, modern age, we're a little you know,

1031
00:54:25,680 --> 00:54:28,800
Speaker 1: we're kind of outside that that model. So we we

1032
00:54:28,960 --> 00:54:31,920
Speaker 1: really encourage a lot of discussion. I mean, like, you know,

1033
00:54:32,000 --> 00:54:34,960
Speaker 1: we have forty five hour long minute consults because it's

1034
00:54:35,040 --> 00:54:37,480
Speaker 1: that detailed. But also we want to build that. We

1035
00:54:37,600 --> 00:54:41,040
Speaker 1: want to provide a space where that conversation, that level

1036
00:54:41,239 --> 00:54:44,520
Speaker 1: of knowing what's going on now, what's happened in the past,

1037
00:54:44,600 --> 00:54:46,640
Speaker 1: what's going on now, what are we planning for next?

1038
00:54:46,760 --> 00:54:50,040
Speaker 1: We want those deep conversations to evolve in a system

1039
00:54:50,080 --> 00:54:52,400
Speaker 1: where we know there's just not an opportunity even though

1040
00:54:52,440 --> 00:54:56,320
Speaker 1: it's intended on both sides, you know, but yeah, of

1041
00:54:56,400 --> 00:54:58,239
Speaker 1: course I have my bias, but you don't always hear

1042
00:54:58,280 --> 00:55:01,120
Speaker 1: that opinion. Like, guess what I want to talk more

1043
00:55:01,160 --> 00:55:04,040
Speaker 1: than fifteen minutes? I really do. Um, it's just a

1044
00:55:04,360 --> 00:55:07,120
Speaker 1: list of things I have, taking my notes, stigging off

1045
00:55:07,200 --> 00:55:09,680
Speaker 1: my labs because returning messages, all those things are also

1046
00:55:09,760 --> 00:55:12,520
Speaker 1: have to be done. And it's it's just it's not

1047
00:55:12,800 --> 00:55:14,560
Speaker 1: it's it's like a kind of a lose lose. So

1048
00:55:14,840 --> 00:55:17,160
Speaker 1: hopefully we're going to figure that out. But that was

1049
00:55:17,239 --> 00:55:19,000
Speaker 1: one thing that really drew me to modern age. They

1050
00:55:19,040 --> 00:55:22,439
Speaker 1: were really looking for the time to spend that maybe

1051
00:55:22,520 --> 00:55:24,960
Speaker 1: is not available in the you know, traditional office setting

1052
00:55:25,160 --> 00:55:27,000
Speaker 1: and and how can we really get to know you

1053
00:55:27,120 --> 00:55:29,840
Speaker 1: have can we really partner with you? And that was

1054
00:55:29,920 --> 00:55:32,000
Speaker 1: just so refreshing to me. It was. It was really

1055
00:55:33,080 --> 00:55:35,880
Speaker 1: especially just after going through COVID and kind of reassessing

1056
00:55:36,040 --> 00:55:37,960
Speaker 1: like what are we doing as a health system, how

1057
00:55:38,040 --> 00:55:40,200
Speaker 1: we have to get better? Even for me on a

1058
00:55:40,320 --> 00:55:43,040
Speaker 1: daily basis. Now, I'm kind of like Farnest into my career.

1059
00:55:43,160 --> 00:55:46,640
Speaker 1: I I'm looking for where is innovation gonna happen, where

1060
00:55:46,680 --> 00:55:49,719
Speaker 1: it's change going to happen, whether it be like the

1061
00:55:49,880 --> 00:55:52,960
Speaker 1: kind of health issues we want to address, being chechful

1062
00:55:53,080 --> 00:55:56,239
Speaker 1: about it being you're really connecting. So so this was

1063
00:55:56,320 --> 00:55:59,800
Speaker 1: really refreshing for me, and I think hopefully a a

1064
00:56:00,080 --> 00:56:02,280
Speaker 1: PA learned to come. You know, we're kind of building

1065
00:56:02,320 --> 00:56:05,239
Speaker 1: out this concept of aging wellness and you know you're

1066
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Speaker 1: aging every every single day, no matter how old you are,

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Speaker 1: So we really want to play to a broadst afdroom

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Speaker 1: and so you know, hopefully this is an opportunity to

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Speaker 1: change the kind of discussions we have and and and

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Speaker 1: how long they go. Yeah, I know, thank you and

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Speaker 1: thanks for taking time to talk to me to say

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Speaker 1: because I know, like of course basically we just said

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Speaker 1: everybody's busy, and this does make I appreciate it makes

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Speaker 1: a difference. So thank you, yeah, absolutely, and thank you

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Speaker 1: so much for what you do. This is a great

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Speaker 1: I've listened to some of your episodes and preparation. They

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Speaker 1: were really really insightful and a great you know, I'm

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Speaker 1: sure there's great conversation starters happening, and I know if

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Speaker 1: you said, people are being to found your you know,

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00:56:41,719 --> 00:56:44,200
Speaker 1: to your practice for therapy, so really, you know, like

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Speaker 1: meaningful work you're doing, and some congratulations on that.