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Speaker 1: Hey, everyone, it's Jackie Goldschneider and Ensler and we are

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Speaker 1: two Jersey Jays.

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Speaker 2: Hi, guys, how's everyone? We haven't even seen each other.

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Speaker 3: I know Jackie has come back to us from Italy.

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Speaker 1: I was only there for six days, but it was magical. Yeah,

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Speaker 1: I haven't been well. I keep saying I haven't been

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Speaker 1: to Europe. I went to Dublin on the show last year,

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Speaker 1: and I keep forgetting because you know that was like show, but.

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Speaker 2: You mean ever you've never been. I haven't been since

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Speaker 2: my honeymoon in Italy. It was amazing.

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Speaker 1: I said to Evan, as soon as the kids are

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Speaker 1: all in college, I want to go for like eight weeks,

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Speaker 1: get a in a villa in Tuscany, right and kind

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Speaker 1: of know in Rome, love with people.

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Speaker 3: Yes, I think it's the only place in Italy that

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Speaker 3: actually haven't been mm hm, because we've spent a lot

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Speaker 3: of time there with them without the kids. It was

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Speaker 3: I know, I always hear that you were aware Vietnam, Right,

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Speaker 3: I went to Vietnam. That's insane, which was over the top,

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Speaker 3: you know. Jeff suggested it for our anniversary we hit

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Speaker 3: twenty five years.

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Speaker 2: Oh congrat thank you God.

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Speaker 3: So he had suggested it, and I had heard people

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Speaker 3: like saying how beautiful it was. And obviously there's so

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Speaker 3: much history. I'm not really a history buff, but I

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Speaker 3: just heard that it was so unreal and different. And

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Speaker 3: the truth is, it felt like I was, you know,

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Speaker 3: on a different planet, and that was part of what

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Speaker 3: was so great about it. It's just, you know, it's

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Speaker 3: like it was like sensory overload, and it was so beautiful,

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Speaker 3: and there's.

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Speaker 2: So much history. You know.

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Speaker 3: I was like stepping in tunnels where the Vietcong had,

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Speaker 3: you know, conducted there the whole war. And the people,

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Speaker 3: the Vietnamese to these people are the nicest, really kindest people.

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Speaker 3: I mean, there's so much poverty in the country, and

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Speaker 3: but our guide was telling us there's really not a

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Speaker 3: lot of depression.

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Speaker 2: There's very little crime. It's a communist country.

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Speaker 3: They don't you know, if you get caught dealing drugs,

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Speaker 3: you're executed. It's also there's just so much history and

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Speaker 3: there's so much beauty. We went we cruised Hawong Bay,

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Speaker 3: which is like one of the Seven Wonders of the World,

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Speaker 3: and we went to Saigon, which is like going to

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Speaker 3: New York City, and we ate like our body weight

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Speaker 3: in fu, which is like yeah, yeah, like the noodles,

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Speaker 3: and it was just I don't know, it was just

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Speaker 3: really amazing and it was nice to get just out

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Speaker 3: of town and get some perspective.

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Speaker 2: Yeah, do you feel like that that.

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Speaker 1: I agree with that. I'm so interested when you just

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Speaker 1: said there's no depression. I know, like mental health I

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Speaker 1: don't know about in the United States. I think mental

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Speaker 1: health is so much better. And you know, I've been

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Speaker 1: listening to all these other podcasts lately about because I

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Speaker 1: want to understand food. I really do, Like I never

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Speaker 1: understood food. I always just stayed away from it. The

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Speaker 1: first like quarter of my life. I just ate, like

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Speaker 1: not knowing anything, just ate and ate and eat, and

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Speaker 1: then I stopped eating. So I'm at this point now

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Speaker 1: where I want to understand what food to you because

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Speaker 1: I really want to get to a place where like

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Speaker 1: full enjoyment, full recovery, full everything. And a lot of

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Speaker 1: what I'm listening to is talking about what the like

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Speaker 1: the gut and how the gut impacts everything and like

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Speaker 1: well process foods due to your hormones and your gut

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Speaker 1: and your brain and all those connections. So I'm kind

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Speaker 1: of into that right now.

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Speaker 3: So well, when we travel, Jeff and I are foodies.

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Speaker 3: And when I say foodies, I don't mean that we

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Speaker 3: only want to go to Michelin Star restaurants. I mean

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Speaker 3: we love to eat, like we can base whole vacations

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Speaker 3: around that. The three meals a day. But that was

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Speaker 3: part of what was so amazing is that the food

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Speaker 3: is so different in terms of the depression. That was

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Speaker 3: what one guide said to us, and we had three

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Speaker 3: different guides. So when we woke up one morning, we

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Speaker 3: literally went outside it I don't know, seven thirty because

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Speaker 3: weet a pack day, and everyone was out and about

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Speaker 3: in the square in I think we were in Hanoi, Hanoi.

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Speaker 3: I'm still not pronouncing it correctly, probably, but anyway, and

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Speaker 3: exercising and old people, young people, music playing, but not

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Speaker 3: exercising in like a frenetic way. Like it didn't seem

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Speaker 3: like anybody was exercising to burn calories. People were either

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Speaker 3: playing paddleball or they were doing tai chi, or they

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Speaker 3: were doing sort of like a line dance, you know,

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Speaker 3: and just with each other and laughing, and it was

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Speaker 3: really really cool to see. Like I don't I personally

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Speaker 3: because I always hated exercise. I don't think of exercise

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Speaker 3: like that, but that's how exercise sort of is there

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Speaker 3: outside of.

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Speaker 2: The United States. Sh It's really different. And just a

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Speaker 2: quick question if you don't mind, not at all.

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Speaker 1: So, being on ozembic, did you find that you could

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Speaker 1: eat all the things that you wanted to eat?

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Speaker 2: Or did you get like full and sick?

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Speaker 3: No, truth be told. I stopped taking it. Well, I

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Speaker 3: wasn't I was going to be there longer, so I

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Speaker 3: didn't want to take it with me. Oh so because

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Speaker 3: someone wanted I didn't need to travel with it and

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Speaker 3: travel with needles and whatever else. But and I'd stopped

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Speaker 3: taking taking it the week before just because because of

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Speaker 3: that reason, Like I wanted to have.

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Speaker 2: I wanted my entire appetite. I still do.

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Speaker 1: I still eat and enjoy, but like, but it doesn't

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Speaker 1: want any like it stays in you.

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Speaker 3: I ate a lot and I loved every minute of it.

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Speaker 3: It was amazing. And by the way, speaking of eating,

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Speaker 3: I do want to know about the pizza.

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Speaker 2: Oh, the pizza. I don't know if you guys know,

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Speaker 2: it was really good. So the backstory of the pizza.

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Speaker 1: So you know that I've recovered from anorexia I was

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Speaker 1: anorexic for eighteen years, and even though I recovered, I

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Speaker 1: still had a lot of disordered eating, So not an

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Speaker 1: eating disorder, but disordered eating where I was afraid of

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Speaker 1: a lot of foods And so I was eating enough,

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Speaker 1: I was eating enough calories, and I was eating real

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Speaker 1: foods now, but I I was still scared of a

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Speaker 1: lot of foods. And right at the very tip top

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Speaker 1: of that list was pizza. I have not had pizza

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Speaker 1: since nineteen ninety eight.

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Speaker 2: Wow.

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Speaker 1: Yeah, So I figured, let me have my first piece

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Speaker 1: in Well. I was going to do it in Naples,

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Speaker 1: but then that didn't end up working out, so I

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Speaker 1: had it in Rome.

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Speaker 2: Okay.

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Speaker 1: And the kids were really like supportive, except for Hudson.

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Speaker 1: Love Hudson Dearly so cute. But the whole time he

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Speaker 1: was like, why are you recording this? Who gives a

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Speaker 1: shit if pizza? Why don't you just eat the pizza?

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Speaker 1: If you want the pizza, just eat the pizza. Why

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Speaker 1: don't we have to record it? Like he was touch

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Speaker 1: a little old.

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Speaker 2: How old is he gets? Thirteen?

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Speaker 1: Right?

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Speaker 3: Yeah?

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Speaker 4: And he was such a little jerk about it. Oh

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Speaker 4: but he was so cute, he was cute. Oh but anyway. Yeah,

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Speaker 4: the kids, except for Hudson, were very supportive. And because

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Speaker 4: I've never seen me eat pizza before and I've taken

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Speaker 4: a number pizza a million times and never had it

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Speaker 4: with them.

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Speaker 2: Have they think that they internalized it? Like they they

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Speaker 2: know that.

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Speaker 1: You have think my older ones understood what was going on.

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Speaker 1: And Jonas and I shared one and it was great.

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Speaker 1: I really ate out of my comfort zone in Italy

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Speaker 1: and it was great. A little scary for me. I

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Speaker 1: do have this fear. Listen, I have a fear regularly

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Speaker 1: of gaining weight. But with every everyone around me so

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Speaker 1: thin right now, it's compounded, right, so, but it didn't

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Speaker 1: hold me back.

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Speaker 2: And I really I ate very freely. And let me

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Speaker 2: ask you, that was the pizza? Did it live up to?

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Speaker 3: You know, you have this, I'm sure, this crazy image

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Speaker 3: of it and how amazing it is and yet how

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Speaker 3: restricted you have to be around it, And did it

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Speaker 3: live up to?

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Speaker 2: Yeah?

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Speaker 5: It was.

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Speaker 2: It was pretty damn good. It wasn't like my favorite thing. Ever.

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Speaker 1: Yeah, I don't think that I'm going to be like

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Speaker 1: a pizza fishing auto, but maybe I haven't had like

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Speaker 1: enough pizza. I'll tell you the best thing that I

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Speaker 1: had there was I also haven't drank orange juice in

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Speaker 1: about thirty years.

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Speaker 2: I had.

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Speaker 1: A blood orange juice and it was like it wasn't

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Speaker 1: even it was like a red It was so unbelievable.

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Speaker 2: It was like eating candy. It was. I had a

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Speaker 2: lot of things there that were just outstanding. If you're

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Speaker 2: going to go somewhere to eat, it's certainly going to

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Speaker 2: be Italy. Yeah. Yeah, but it was great.

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Speaker 5: It was fabulous.

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Speaker 1: And now I'm back in New Jersey, then most place

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Speaker 1: on earth.

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Speaker 3: Let's not be silly. And that gets your buslers, all right,

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Speaker 3: you guys. So, uh, today, of all things, we are

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Speaker 3: talking about something that I've gone through.

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Speaker 2: Jackie is probably going getting through it. I I'm not sure.

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Speaker 3: Well, this is a really sexy, sexy topic today. We

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Speaker 3: are talking menopause. Menopause, and I'll tell you how it

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Speaker 3: ties in. I was with some friends last weekend and

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Speaker 3: one of them just finished menopause and she said, I

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Speaker 3: used to know how to lose weight when I wanted to,

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Speaker 3: and now my body holds onto everything.

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Speaker 1: Yeah that's menopause. Yeah, And that scared the shit out

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Speaker 1: of me. And I will say I don't know that

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Speaker 1: much about menopause because I haven't entered it yet, I

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Speaker 1: don't think, and I am scared shitless because of all

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Speaker 1: the things that I have heard. Well, i'll tell you

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Speaker 1: you as somebody who's now postmenopausal, I don't know where exactly,

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Speaker 1: and our guests can maybe talk us through that where

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Speaker 1: you change from being in menopause to post menopause. But

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Speaker 1: I at fifty one, I had my last period, like

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Speaker 1: exactly at fifty, like my birthday, like in August of

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Speaker 1: my fiftieth year, and I didn't have it for another year.

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Speaker 1: So I've been in menopause and now postmenopausal for quite

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Speaker 1: some time. I don't know that it's the weight gain

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Speaker 1: is as dramatic or has been as scary to me.

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Speaker 1: I always had issues with my weight anyway, So but

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Speaker 1: there's so much about it that's difficult.

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Speaker 2: There's also I have.

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Speaker 3: I was talking about it actually during the past oversay

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Speaker 3: or with my cousins because they always want to know

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Speaker 3: what we're going to talk about on our next podcast,

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Speaker 3: And my cousin Debbie was like, the menopause is the greatest,

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Speaker 3: Like I love not getting my period, and I kind

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Speaker 3: of feel like I think at one point I felt

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Speaker 3: a little.

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Speaker 2: About not getting my period anymore, just.

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Speaker 3: In the sense that, like, I'm really getting older and I,

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Speaker 3: even if I wanted to have a baby, which I

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Speaker 3: didn't to was always my number, I couldn't and like

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Speaker 3: that felt a little sad to me, you know, and

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Speaker 3: sort of what goes along with this, right, there is

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Speaker 3: certainly a deterioration and not what do you mean a

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Speaker 3: deterioration physically, Yes, of your body. And so I guess

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Speaker 3: maybe our guest will enlighten us a little bit on that.

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Speaker 3: But things start to happen, and especially in this day

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Speaker 3: and age, when you can do so much about your

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Speaker 3: outward physical appearance, right, and you can have like, as

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Speaker 3: I know very well, surgeries and lasers and you know,

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Speaker 3: you can exercise and you can do all of this

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Speaker 3: stuff to look young, but you can't stop the clock. Yes,

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Speaker 3: So it's like you know, and I'm we could talk

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Speaker 3: about this also with our expert. But at the beginning

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Speaker 3: of it, the joint pain was really bad.

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Speaker 2: Oh, I didn't even know about that.

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Speaker 1: Yeah, I'm scared of all the other shit that I've

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Speaker 1: heard about her, you know, about like the that you

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Speaker 1: don't sleep well.

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Speaker 2: I always sleep well. Oh, okay, and it's different for everyone.

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Speaker 3: So oh yeah, I could sleep anywhere any time period,

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Speaker 3: Like Jeff's like there's twenty four hours in the day,

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Speaker 3: you sleep twenty five. But the sweats and you remember

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Speaker 3: Jack on the.

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Speaker 1: Show, Oh my god, so can I tell everybody sweet.

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Speaker 1: One of the very first times that Jen filmed with

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Speaker 1: me for the show, it was at Margaret's house. Yeah,

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Speaker 1: we were playing like a game night and it was

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Speaker 1: and Chen shows up and she is just sweating room.

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Speaker 2: It was horbying, horb Margaret was just drying. Yes, the

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Speaker 2: whole season. Oh my god.

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Speaker 3: Remember the one when we did at Dolores's house and

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Speaker 3: when she told me we were going to go to

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Speaker 3: Ireland and that you just saw me just fanning myself

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Speaker 3: with like a paper plate. Yeah, and that's a lot people,

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Speaker 3: at least my friends and family and people that have

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Speaker 3: gone through it and are going through it. That's the

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Speaker 3: biggest complaint usually is not just night sweats, but hot flashes.

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Speaker 2: So that's really hard to deal with.

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Speaker 3: Although now I've now I'm on estrogen and so I'm

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Speaker 3: in a different place or hormone replacement. But also, I

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Speaker 3: mean it's not just listen, I can bring that perspective

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Speaker 3: to it. But also I think our our hosts may

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Speaker 3: tell you that you're in peri menopause, like whether or

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Speaker 3: not you know it.

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Speaker 1: Maybe I don't know because I haven't gotten my period

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Speaker 1: in twenty years. So I write my period with anorexia,

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Speaker 1: and I never got it back right, So I don't

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Speaker 1: know if I'm if I'm in Perry pre I don't

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Speaker 1: know the difference between any of them. I have so

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Speaker 1: many questions. Our expert is quite an expert.

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Speaker 2: Yes, by the way, she is.

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Speaker 1: Her knee is doctor Wendy Chorney. She's a doctor of

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Speaker 1: physical therapy who's been taking care of women for over

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Speaker 1: twenty years. She specializes in the treatment of pelvic pain,

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Speaker 1: pre and post surgery, pregnancy related pain issues, EDS, sexual dysfunction,

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Speaker 1: and orthopedics.

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Speaker 2: Yep.

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Speaker 1: She's a practicing clinician, educator, and author, and she is

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Speaker 1: the menopause expert.

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Speaker 2: We did you watch the TikTok? She has a TikTok

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Speaker 2: episode what do you call a TikTok? I don't know.

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Speaker 3: Thing that got like one over one million views, and

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Speaker 3: it's like it's about menopause, but it's about Perry and

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Speaker 3: then post and so just watching it for me, I

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Speaker 3: because I've just recently heard about doctor Wendy, and I

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Speaker 3: was like all in as soon as I started listening

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Speaker 3: to it. It's just so interesting how women it's not,

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Speaker 3: you know, a one year thing, it's it is. It

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Speaker 3: goes on for quite some time. It starts probably before

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Speaker 3: you would think, and doesn't kind of stop. Really, I

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Speaker 3: mean postmenopause, I guess goes on forever. But and there's

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Speaker 3: so many changes, and I think it's now becoming this

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Speaker 3: multimillion dollar industry like it hasn't. I don't think menopause

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Speaker 3: has been talked about in the past like it's being

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Speaker 3: talked about now.

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Speaker 2: Oh no, for sure.

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Speaker 1: I mean you google menopause and like a million things

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Speaker 1: come up, right, There's there's quite a few experts, but

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Speaker 1: no one like doctor Wendy. So I'm very excited. I'm

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Speaker 1: going to pepper her with questions. All right, so are

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Speaker 1: you ready for doctor Wendy. We're ready for doctor Wendy.

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Speaker 2: Let's talk there.

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Speaker 3: Hey, Hi Wendy, Hi Wendy Wendy. We are absolutely so

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Speaker 3: happy to have you. I don't think I've ever spoken

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Speaker 3: to a menopause expert. You, I mean, you are you're

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Speaker 3: a menopause expert.

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Speaker 5: Yes, well, so by default what happened was, I'm you know,

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Speaker 5: a doctor, Wendy Turney. I'm a physical therapist. I specialize

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Speaker 5: the women's health. I specialize in all the things that

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Speaker 5: happen to women postpartum, your sie, joint, your joints, muscle pain, whatever.

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Speaker 5: But I started to notice my population aging and then

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Speaker 5: oh my gosh, joint pain, frozen shoulder, planar fresh itis.

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Speaker 5: Their hair was thinning, their skin, and like, I take

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Speaker 5: care of women for net pain. And I was holding

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Speaker 5: the heads of all these women as they're crying, and

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Speaker 5: I'm like, okay, can a fiscal therapist be a menopause specialist?

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Speaker 5: And the answer is yes. I don't prescribe hormones, but

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Speaker 5: I can help you in your lifestyle modifications, point you

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Speaker 5: in the direction of the doctor that will prescribe you hormones,

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Speaker 5: answer all the questions. So it sounds like I'm basically, yeah,

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Speaker 5: best friend with all the answers, and I'll just point

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Speaker 5: you where you need to go.

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Speaker 2: Oh my goodness.

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Speaker 1: Well, let me just preface by saying that Jen and

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Speaker 1: I are in two very interesting positions in life. So

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Speaker 1: I have not yet entered menopause as far as I know,

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Speaker 1: and Jen.

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Speaker 5: Is on other side, Harry menopause.

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Speaker 2: I don't really know what that means. Can you clear

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Speaker 2: it all up?

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Speaker 1: What is pre menopause, perimenopause, postmenopause, like, what is all

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Speaker 1: of it?

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Speaker 5: Well, so here's the thing I think if we talk

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Speaker 5: about it like as a general definition. First, so menopause

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Speaker 5: by technical medical definition is three hundred and sixty five

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Speaker 5: days since your last period. That is when you have

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Speaker 5: reached menopause. But here's the joke bee kind of part

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Speaker 5: that nobody knows. Perimenopause is seven to ten years prior,

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Speaker 5: and perimenopause is like seven to ten and it has

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Speaker 5: two different brackets, So there's early and then there's late

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Speaker 5: and late perimenopause is when you have those period changes

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Speaker 5: in vasomotor symptoms, and that's when people think, oh, that

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Speaker 5: must be menopause, but it is even earlier. There are

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Speaker 5: many other symptoms. So then you reach menopause like the

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Speaker 5: one day, and then there's post menopause, and even postmenopause

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Speaker 5: has early and late, and early postmenopause can have the

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Speaker 5: bvasomotor symptoms like those hots like burning within the inside

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Speaker 5: for a few seconds to a few minutes to not

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Speaker 5: being able to sleep, frozen shoulder joint pain. So like

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Speaker 5: it's a it's a transition.

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Speaker 3: What is I'm sorry why I don't I don't mean

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Speaker 3: to cut up, but I just want to make sure

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Speaker 3: I ask this because I'm confused. So menopause as opposed

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Speaker 3: to perry or post does it only last that day?

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Speaker 3: Like when I reached the year, I was in menopause

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Speaker 3: that day and then I was postmenopause. Yes, kind of

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Speaker 3: only menopause for a day. News, everybody menopause last day.

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Speaker 5: It's like the menopause. You should celevate that. It's like

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Speaker 5: the menopause transition though, is what people don't realize. And

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Speaker 5: then like perimenopause is early and late. There's like two

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Speaker 5: separate sections, and then postmenopause is two separate sections. And

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Speaker 5: the ten years like in the middle. So the five

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Speaker 5: years before menopause and the five years after menopause is

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Speaker 5: when all the worst changes happen. Interesting, well, like it's

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Speaker 5: a bigger spectrum. And so once you're five, let's say

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Speaker 5: three to five years post menopause, I'm five, your hormones

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Speaker 5: are yeah, so your hormones are much more stable. So

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Speaker 5: mentally you are better. You are clear, you know who

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Speaker 5: you are. You will fight the war and have zero

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Speaker 5: problems doing it. Speak your mind. Your bone density might

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Speaker 5: have shifted, it might not be the best. So this

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Speaker 5: is where we like lean into your lifestyle modifications of

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Speaker 5: we need to lift to keep that bone mass, we

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Speaker 5: need to walk to keep our heart healthy. You need

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Speaker 5: to moisturize everything under the sun. You know, like it

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Speaker 5: is kind of a different game, and we fight hard.

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Speaker 6: So let me absolutely in late Pree is pre pre

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Speaker 6: is Perry.

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Speaker 2: Parry in late is in late Perry and early.

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Speaker 1: Posts is when you're gonna have most of the symptoms correct.

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Speaker 5: The ones that are most commonly known. Yeah, so like

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Speaker 5: early perimenopause could be things like heart palpitations, anxiety. You've

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Speaker 5: noticed your body is shifting shapes and you're like, why

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Speaker 5: does my arm look like a hit? What is this?

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Speaker 5: Like I've been working out, I'm meaning the same, why

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Speaker 5: do I have this fat and less muscle? And so

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Speaker 5: it's a whole shift in everything because people don't realize

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Speaker 5: estrogen effects every system in your body, So your skin,

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Speaker 5: your hair, it's it's wild. So you might start to

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Speaker 5: notice your skin is a little thinner, your skin's a

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Speaker 5: little drier, the wrinkles by your eyes, your hair is

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Speaker 5: getting a little more thin, and it's all these subtle changes.

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Speaker 5: But people don't know. And if you don't know, how

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Speaker 5: can you help yourself?

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Speaker 2: And that's because of estrogen.

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Speaker 5: And that's yeah, So estrogen is not just for breast

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Speaker 5: and vaginal health, but every system of the body. And

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Speaker 5: what happens in menopause to estrogen, So estrogen as we

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Speaker 5: know it from the ovaries basically goes bye bye, like

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Speaker 5: you have like one percent of the estrogen you would

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Speaker 5: have had when you were twenty five. Like it's just bad.

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Speaker 5: And then there are other hormones that kick up, like

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Speaker 5: you might have more testosterone, you might have the weaker

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Speaker 5: estrogen estrone. But this is why hormone replacement therapy is

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Speaker 5: kind of like liquid gold for a majority of people.

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Speaker 2: Yeah, most people don't feld.

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Speaker 5: Yeah it is. But like people think, I feel like

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Speaker 5: there's a stigma even with the word estrogen, that estrogen

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Speaker 5: causes cancer.

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Speaker 2: Breast cancer. I remember my mom.

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Speaker 3: Yeah, back in the day, there were so many there

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Speaker 3: were studies. I don't know what happened to those studies,

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Speaker 3: but I think there have been now more study is

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Speaker 3: health initiative.

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Speaker 5: Okay, it was a bad research study that came out

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Speaker 5: mass blasted to the public. So this is before social

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Speaker 5: media and they couldn't like tell people, oh no, we

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Speaker 5: messed up, we misinterpreted it, we did things wrong. And

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Speaker 5: so now that belief system that menopauses old people and

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Speaker 5: estrogens causes cancer, like, I feel like people think that

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Speaker 5: and it's none of those are true.

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Speaker 3: When I went on estrogen replacement, I was worried about

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Speaker 3: that because I had remembered from when my mom had

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Speaker 3: gone on estrogen and then she went off of it

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Speaker 3: because she was very worried about breast cancer. So I asked, well,

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Speaker 3: I have a gynecologist, and I also have somebody who

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Speaker 3: was in charge of all of my HRT and hormone

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Speaker 3: stuff and papside anyway, but I said, okay, so it

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Speaker 3: doesn't cause cancer, right, hormone replacement, But can it in

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Speaker 3: fact like almost bring it to the surface. Let's say

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Speaker 3: that you have cancer cells that are brewing. By putting

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Speaker 3: estrogen into your body, are you then activating you know,

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Speaker 3: you're becoming almost getting things up and moving again, And

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Speaker 3: so can so.

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Speaker 5: Well, still, what you're saying like makes perfect sense, right,

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Speaker 5: So if it was sitting there brewing, would estrogen possibly

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Speaker 5: feed that estrogen positive cancer?

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Speaker 2: Right?

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Speaker 5: Yes, But this is why we get our mammograms every

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Speaker 5: year because we can catch it when it's like zero

436
00:21:40,000 --> 00:21:43,199
Speaker 5: stage zero, you know, we can catch it. But our

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Speaker 5: estrogen affects so many other systems, like, for instance, it

438
00:21:46,680 --> 00:21:50,240
Speaker 5: affects our heart, so estrogen helps keep the arteries of

439
00:21:50,240 --> 00:21:52,560
Speaker 5: our heart flexible, so we're less likely to have a

440
00:21:52,600 --> 00:21:55,080
Speaker 5: heart attack. And the number one killer of women is

441
00:21:55,119 --> 00:21:58,080
Speaker 5: heart attacks, not breast cancer. Now, one in eight women

442
00:21:58,119 --> 00:22:00,920
Speaker 5: will get breast cancer, which is exceptionally sad, and our

443
00:22:00,960 --> 00:22:06,399
Speaker 5: friends will, but I think the majority of us feels

444
00:22:06,440 --> 00:22:09,479
Speaker 5: so much better on estrogen When it happens and you

445
00:22:09,520 --> 00:22:11,439
Speaker 5: get that and you're like, I feel like me again,

446
00:22:12,040 --> 00:22:12,560
Speaker 5: it's kind.

447
00:22:12,440 --> 00:22:13,639
Speaker 2: Of just like I have to tell you.

448
00:22:14,760 --> 00:22:17,639
Speaker 3: Well, so I've been on it for I guess a

449
00:22:17,720 --> 00:22:20,040
Speaker 3: year and a half going on maybe almost two years.

450
00:22:20,240 --> 00:22:22,840
Speaker 3: But I had had a surgery that I get the

451
00:22:22,880 --> 00:22:25,560
Speaker 3: pellets put into my body, so it's like a little

452
00:22:25,640 --> 00:22:27,440
Speaker 3: mini I guess almost like a little mini surgery. They're

453
00:22:27,440 --> 00:22:30,679
Speaker 3: all different kinds right, ways to get chestrogen so, and

454
00:22:30,720 --> 00:22:33,159
Speaker 3: that it also has testosterone in the pellet, and then

455
00:22:33,200 --> 00:22:35,719
Speaker 3: I take progesterone and I get my blood drawn all

456
00:22:35,720 --> 00:22:37,760
Speaker 3: the time to make sure the levels are right. Anyway,

457
00:22:38,320 --> 00:22:41,200
Speaker 3: so I had a surgery and I think it actually

458
00:22:41,359 --> 00:22:46,439
Speaker 3: removed the pellet, and it was all of a sudden,

459
00:22:46,840 --> 00:22:50,040
Speaker 3: like within a couple of weeks, I was having crazy

460
00:22:50,040 --> 00:22:51,040
Speaker 3: hot flashes again.

461
00:22:51,800 --> 00:22:54,920
Speaker 2: I was waking up. It came right back hot flashes.

462
00:22:55,000 --> 00:22:57,479
Speaker 3: I started like waking up in the morning, and I

463
00:22:57,600 --> 00:23:00,680
Speaker 3: used to do before I did. Is still called HRT

464
00:23:00,920 --> 00:23:02,960
Speaker 3: or is that an old fashioned way of saying it?

465
00:23:03,000 --> 00:23:06,679
Speaker 5: Well, they just recently started to change it to menopause

466
00:23:06,720 --> 00:23:09,560
Speaker 5: hormonal therapy, but I still say HRT because I kind

467
00:23:09,560 --> 00:23:13,639
Speaker 5: of want people to understand that. I say, if we

468
00:23:13,680 --> 00:23:16,000
Speaker 5: say m HT, people choke.

469
00:23:16,400 --> 00:23:17,600
Speaker 2: HRT is hormon place.

470
00:23:17,680 --> 00:23:20,159
Speaker 3: Yeah, okay, Well I used to wake up before it

471
00:23:20,320 --> 00:23:22,480
Speaker 3: like on a right angle like I was. I would

472
00:23:22,520 --> 00:23:24,680
Speaker 3: literally wake up and I would have to like walk

473
00:23:24,720 --> 00:23:26,679
Speaker 3: a little bit around my room to straighten my body up.

474
00:23:26,680 --> 00:23:28,520
Speaker 3: And I mean what I was, I was, you know,

475
00:23:28,960 --> 00:23:33,000
Speaker 3: early early fifties or getting down the stairs. I mean

476
00:23:33,040 --> 00:23:34,879
Speaker 3: as literally was like I had a hold onto the

477
00:23:34,920 --> 00:23:38,880
Speaker 3: banister like an old woman before estrogen. This is before estrogen.

478
00:23:39,119 --> 00:23:39,960
Speaker 3: It was crazy.

479
00:23:40,080 --> 00:23:42,560
Speaker 5: Yes, yes, but this is why me and the phiscal

480
00:23:42,600 --> 00:23:45,359
Speaker 5: therapists started educating on this because I take care of

481
00:23:45,400 --> 00:23:47,879
Speaker 5: all these women and I have taken I run a

482
00:23:47,920 --> 00:23:50,639
Speaker 5: concierge practice, so I take care of women. And I

483
00:23:50,720 --> 00:23:52,920
Speaker 5: jokingly say I'm a hairdresser for the body. And these

484
00:23:52,920 --> 00:23:55,639
Speaker 5: women have been doing their same exercises, they're same walking,

485
00:23:55,920 --> 00:23:58,560
Speaker 5: and they started to feel more broken, and we would

486
00:23:58,760 --> 00:24:00,920
Speaker 5: do the joint mobility and maybe I would try needle

487
00:24:00,920 --> 00:24:03,320
Speaker 5: them and they would just feel so bad, and then

488
00:24:03,880 --> 00:24:07,359
Speaker 5: they would go on estrogen and then all of a sudden,

489
00:24:07,760 --> 00:24:10,880
Speaker 5: their skins glowing, their hairs glowing. They feel like them

490
00:24:10,960 --> 00:24:13,159
Speaker 5: and they're like, Wendy, it has to be and like

491
00:24:13,280 --> 00:24:16,480
Speaker 5: you're right. And then I read this book called Estrogen Matters,

492
00:24:16,960 --> 00:24:20,679
Speaker 5: and everything we kind of thought about that study that

493
00:24:20,760 --> 00:24:23,440
Speaker 5: told us that estrogen gives us cancer. It pretty much

494
00:24:23,920 --> 00:24:27,720
Speaker 5: shows you in the marks of the whole lovely language. Yes,

495
00:24:27,960 --> 00:24:34,280
Speaker 5: so Estrogen Matters is a book. I highly recommend that

496
00:24:34,960 --> 00:24:37,159
Speaker 5: or is it just Estrogen Matters? So that would be

497
00:24:37,240 --> 00:24:40,119
Speaker 5: number one in my required reading if I do like

498
00:24:40,160 --> 00:24:43,000
Speaker 5: a women's health class, because women need to know that

499
00:24:43,200 --> 00:24:47,280
Speaker 5: estrogen doesn't cause cancer. But if instead have an estrogen

500
00:24:47,320 --> 00:24:51,280
Speaker 5: pop you're saying yeah, yeah, yes, and so that it

501
00:24:51,359 --> 00:24:53,800
Speaker 5: even if you go back in time, right, twenty years ago,

502
00:24:53,920 --> 00:24:56,919
Speaker 5: the hormones are mothers and grandmothers were taking. We're not

503
00:24:56,960 --> 00:24:58,000
Speaker 5: what we have right now.

504
00:24:58,040 --> 00:25:01,360
Speaker 3: We have a whole a bio identical or they were

505
00:25:01,359 --> 00:25:05,399
Speaker 3: bioidon't right, what's the bioidentical the ones we take now?

506
00:25:05,520 --> 00:25:09,840
Speaker 5: So yes, so back in the day, historically speaking, the

507
00:25:10,119 --> 00:25:14,080
Speaker 5: hormones were from pregnant horse urine and it's a whole

508
00:25:14,080 --> 00:25:17,320
Speaker 5: different thing. And we can even get estrogen patches which

509
00:25:17,520 --> 00:25:24,600
Speaker 5: remove the clotting issue that people worry about.

510
00:25:22,760 --> 00:25:24,280
Speaker 2: For fourteen years. Did you not know?

511
00:25:24,720 --> 00:25:27,360
Speaker 1: Yeah, well I had anorexia, so I lost my period

512
00:25:27,400 --> 00:25:30,239
Speaker 1: twenty years ago and my doctors were concerned I had

513
00:25:30,520 --> 00:25:31,760
Speaker 1: zero estrogen level.

514
00:25:32,160 --> 00:25:35,680
Speaker 2: I mean all my kids, yes, saving but yeah, it

515
00:25:35,680 --> 00:25:36,840
Speaker 2: could be a saving grace for you.

516
00:25:36,960 --> 00:25:39,040
Speaker 5: Right, So, like you can all this.

517
00:25:39,080 --> 00:25:41,360
Speaker 2: As anything doctor could certainly tell you.

518
00:25:41,440 --> 00:25:44,240
Speaker 3: I mean, there's very it's a very easy thing to know, right,

519
00:25:44,600 --> 00:25:45,919
Speaker 3: I don't know, is there a blood tests?

520
00:25:47,160 --> 00:25:49,320
Speaker 5: Well, so here's the thing, So you guys are in

521
00:25:49,320 --> 00:25:53,120
Speaker 5: two different stages and so Perimenopause comes in like a whisper,

522
00:25:53,160 --> 00:25:55,639
Speaker 5: and you can't exactly hear it if you're not listening

523
00:25:55,720 --> 00:25:57,720
Speaker 5: for it, and it won't show when your blood tests.

524
00:25:57,720 --> 00:25:59,920
Speaker 5: It shows up in your symptoms. But when you're close

525
00:26:00,119 --> 00:26:03,360
Speaker 5: to reaching menopause, like so, say you're in that last

526
00:26:03,800 --> 00:26:06,720
Speaker 5: three years of perimenopause, you can have two different things

527
00:26:06,720 --> 00:26:09,359
Speaker 5: show up in your blood work AMH and f s

528
00:26:09,560 --> 00:26:11,680
Speaker 5: H these two markers, and your blood work will show

529
00:26:12,359 --> 00:26:15,720
Speaker 5: how much do your ovaries have left? Right, so your

530
00:26:15,760 --> 00:26:18,840
Speaker 5: ovaries are putting out little eggs, and eventually, as you're

531
00:26:18,880 --> 00:26:21,480
Speaker 5: getting close to the end, it's like, okay, I'm going

532
00:26:21,520 --> 00:26:23,399
Speaker 5: to send you a message I'm almost done, and you

533
00:26:23,400 --> 00:26:26,720
Speaker 5: can find that in blood work. Okay, but your normal

534
00:26:26,840 --> 00:26:29,480
Speaker 5: doctor may or may not even know that. And this

535
00:26:29,640 --> 00:26:32,080
Speaker 5: is why a majority of women who come to see

536
00:26:32,080 --> 00:26:34,600
Speaker 5: me and they're I'm screening women for perimenopause as a

537
00:26:34,600 --> 00:26:38,480
Speaker 5: physical therapist. I'm screening them because I think I know them.

538
00:26:38,520 --> 00:26:41,920
Speaker 5: And then they're emotionally laybile and they're crying and they're

539
00:26:41,960 --> 00:26:43,920
Speaker 5: so tough, and I'm like, why are you crying? This

540
00:26:43,960 --> 00:26:44,440
Speaker 5: is not you?

541
00:26:44,680 --> 00:26:45,200
Speaker 2: Did you say?

542
00:26:45,200 --> 00:26:45,720
Speaker 5: I'm sorry?

543
00:26:45,720 --> 00:26:47,960
Speaker 3: I have to interrupt you do you say emotionally laybile?

544
00:26:48,440 --> 00:26:49,320
Speaker 3: I like new words.

545
00:26:49,359 --> 00:26:49,720
Speaker 4: What is that?

546
00:26:49,800 --> 00:26:50,159
Speaker 2: What is that?

547
00:26:50,320 --> 00:26:50,840
Speaker 5: Laybile?

548
00:26:51,400 --> 00:26:53,880
Speaker 2: Basically I never that word before.

549
00:26:54,040 --> 00:26:57,399
Speaker 5: Usually, well, usually your friends would that would keep it together,

550
00:26:57,680 --> 00:26:59,120
Speaker 5: that they're unhinged, and you're.

551
00:26:58,960 --> 00:27:01,400
Speaker 3: Like, what is Oh I'm never I was always unhinged

552
00:27:01,440 --> 00:27:03,119
Speaker 3: to you, I never had well.

553
00:27:03,040 --> 00:27:05,200
Speaker 5: So you know your friends when they're postpartum and those

554
00:27:05,200 --> 00:27:10,560
Speaker 5: hormones are like hard, maybe like perimenopause, those hormonal shifts

555
00:27:10,600 --> 00:27:13,240
Speaker 5: are that violent, and so they're just.

556
00:27:13,480 --> 00:27:16,000
Speaker 2: Labile crying all right, So what do you do to then?

557
00:27:16,160 --> 00:27:18,320
Speaker 2: For women short of estrogen?

558
00:27:18,440 --> 00:27:20,880
Speaker 1: Like, so, if you're not prescribing them estrogen, what can

559
00:27:20,920 --> 00:27:21,560
Speaker 1: you do for them?

560
00:27:22,520 --> 00:27:22,720
Speaker 6: Oh?

561
00:27:22,880 --> 00:27:25,480
Speaker 5: Massive amounts of things. So I am the friend that

562
00:27:25,520 --> 00:27:28,080
Speaker 5: comes alongside you and drags you too. You feel better,

563
00:27:28,480 --> 00:27:31,600
Speaker 5: So I am lovingly prodding them on. Okay, let's let's

564
00:27:31,600 --> 00:27:36,160
Speaker 5: get our lifestyle modifications down. Are you lifting because you're

565
00:27:36,200 --> 00:27:38,840
Speaker 5: going to have to lift three times a week for

566
00:27:38,880 --> 00:27:42,080
Speaker 5: at least twenty minutes to turn on your human growth hormone.

567
00:27:42,119 --> 00:27:45,320
Speaker 5: Because our estrogen's leaving, everything's kind of like melting down.

568
00:27:45,359 --> 00:27:48,680
Speaker 5: Our muscles are going away, our bone density is going away.

569
00:27:49,040 --> 00:27:51,560
Speaker 5: So I'm going to kind of prod you to be like, listen,

570
00:27:52,040 --> 00:27:54,480
Speaker 5: your arm's going to turn into squish, squish. You're going

571
00:27:54,520 --> 00:27:56,680
Speaker 5: to have to lift if you want to be strong,

572
00:27:57,040 --> 00:28:00,760
Speaker 5: because you're losing one percent of muscle mass in essence

573
00:28:01,080 --> 00:28:02,160
Speaker 5: after forty.

574
00:28:02,240 --> 00:28:04,760
Speaker 2: So my goal is lift.

575
00:28:05,200 --> 00:28:08,040
Speaker 3: So I have been, but I will tell you that

576
00:28:08,080 --> 00:28:11,639
Speaker 3: it's interesting to exercise for those reasons as opposed to

577
00:28:11,680 --> 00:28:15,359
Speaker 3: my whole life using exercise as a weight management tool.

578
00:28:15,560 --> 00:28:17,879
Speaker 2: But now that does not work now, yeah.

579
00:28:17,800 --> 00:28:20,399
Speaker 3: But the difference also is at at least I have

580
00:28:20,440 --> 00:28:24,520
Speaker 3: found this this kind of exercise, lifting is so much

581
00:28:24,600 --> 00:28:28,119
Speaker 3: more enjoyable, right, like as opposed to running on a

582
00:28:28,160 --> 00:28:30,800
Speaker 3: treadmill or you know whatever.

583
00:28:31,320 --> 00:28:32,000
Speaker 2: Some people love that.

584
00:28:32,040 --> 00:28:35,200
Speaker 3: I'm just really talking about me, you know, being able

585
00:28:35,600 --> 00:28:39,320
Speaker 3: like lifting weights. It's such a different thing, and knowing

586
00:28:39,320 --> 00:28:42,280
Speaker 3: also that I really am doing it to be stronger,

587
00:28:42,480 --> 00:28:45,479
Speaker 3: not just to be thinner. And there's like a pressure

588
00:28:45,520 --> 00:28:49,560
Speaker 3: that it goes away. Yes, yeah, it's a sing and

589
00:28:49,640 --> 00:28:53,280
Speaker 3: it feels really empowering. And for me also after being

590
00:28:53,320 --> 00:28:56,000
Speaker 3: on semi glue tide, like you lose muscle from that

591
00:28:56,120 --> 00:28:58,400
Speaker 3: as well, and so I was warned about that, but

592
00:28:58,760 --> 00:29:01,640
Speaker 3: knowing of course that as I get older, they say

593
00:29:01,640 --> 00:29:04,360
Speaker 3: you want to lift your grandkids, you better start, you know,

594
00:29:04,720 --> 00:29:07,600
Speaker 3: lifting now. And I would like to lift a grand kid,

595
00:29:07,840 --> 00:29:11,480
Speaker 3: so anyway, but that type of exercise. And I don't

596
00:29:11,520 --> 00:29:15,320
Speaker 3: go to the gym and do heavy you know, machines,

597
00:29:15,360 --> 00:29:16,200
Speaker 3: but I lift weights.

598
00:29:16,240 --> 00:29:16,560
Speaker 2: That's it.

599
00:29:16,600 --> 00:29:18,600
Speaker 3: I you know, I actually have somebody now that comes

600
00:29:18,600 --> 00:29:19,760
Speaker 3: so that I can stay on my game.

601
00:29:19,880 --> 00:29:21,480
Speaker 1: So, doctor Wendi, can I ask you about some of

602
00:29:21,480 --> 00:29:24,400
Speaker 1: the emotional aspects because that really scares me.

603
00:29:24,640 --> 00:29:28,600
Speaker 5: That's well, that's because that is the early kind of

604
00:29:28,680 --> 00:29:32,160
Speaker 5: symptoms of perimenopause. And that's what gets you because you

605
00:29:32,200 --> 00:29:34,680
Speaker 5: didn't know that that was tied in. And that's kind

606
00:29:34,680 --> 00:29:37,920
Speaker 5: of one of those early secret things. Like you could

607
00:29:37,960 --> 00:29:41,400
Speaker 5: feel more anxious, you could feel kind of like nervous,

608
00:29:41,440 --> 00:29:46,680
Speaker 5: you could feel like panic detects well, estrogen, remember, is protective.

609
00:29:46,680 --> 00:29:48,480
Speaker 5: That's what I kind of try to tell my patients.

610
00:29:48,520 --> 00:29:50,520
Speaker 5: I'm like, I want you to know that estrogen is protective,

611
00:29:50,560 --> 00:29:53,200
Speaker 5: and it's protective across the board, right, So it's protective

612
00:29:53,240 --> 00:29:56,240
Speaker 5: of your breast health, your vaginal health. We know your skin,

613
00:29:56,560 --> 00:30:00,160
Speaker 5: we know your hair, but also your brain. And so

614
00:30:00,480 --> 00:30:04,400
Speaker 5: when you feel like, oh my gosh, I feel a

615
00:30:04,440 --> 00:30:08,880
Speaker 5: little crazy, that's that volatile hormones shifting, and as you

616
00:30:08,920 --> 00:30:12,080
Speaker 5: get further along in life, I mean all of us,

617
00:30:12,160 --> 00:30:15,120
Speaker 5: as we age, we're losing our eggs. We're putting them out,

618
00:30:15,440 --> 00:30:17,440
Speaker 5: they're going away, We're putting them out. But as we

619
00:30:17,480 --> 00:30:20,200
Speaker 5: get closer to the end, it's so much harder for

620
00:30:20,280 --> 00:30:22,000
Speaker 5: that ovary to put out that little egg, and your

621
00:30:22,000 --> 00:30:25,400
Speaker 5: hormones are just all over, and so your emotions are

622
00:30:25,440 --> 00:30:29,719
Speaker 5: all over. Now she's postmenopause, so she doesn't have that fluctuation,

623
00:30:29,960 --> 00:30:31,840
Speaker 5: so she kind of feels like a rock star. She's

624
00:30:31,880 --> 00:30:34,400
Speaker 5: like solid, she knows who she is.

625
00:30:34,680 --> 00:30:37,480
Speaker 3: We talked about about like the beauty of getting older.

626
00:30:37,560 --> 00:30:39,920
Speaker 3: One of the many things that's good.

627
00:30:39,760 --> 00:30:42,280
Speaker 1: About it has been this attitude that I have that

628
00:30:42,800 --> 00:30:43,480
Speaker 1: is so different.

629
00:30:43,560 --> 00:30:47,280
Speaker 5: You're stable hormonally, and we have to appreciate that we

630
00:30:47,320 --> 00:30:50,360
Speaker 5: are cyclical beings. But when you are in that moment

631
00:30:50,440 --> 00:30:54,040
Speaker 5: and you feel all those feelings, you know, the research

632
00:30:54,080 --> 00:30:57,480
Speaker 5: does show that women going through perimenopause do not get

633
00:30:57,920 --> 00:31:02,920
Speaker 5: more diagnoses of depression. They just feel those depressive symptoms

634
00:31:03,000 --> 00:31:07,720
Speaker 5: come back again. They feel them very intensely. Because estrogen

635
00:31:07,840 --> 00:31:11,440
Speaker 5: is neuroprotective, it's protective of our brain and now our

636
00:31:11,480 --> 00:31:14,880
Speaker 5: old problems could be coming back to bother us. So

637
00:31:15,520 --> 00:31:18,000
Speaker 5: I only figured out I was perimenopause because I'm writing

638
00:31:18,000 --> 00:31:20,520
Speaker 5: a book on the science of women's health and wellness,

639
00:31:20,960 --> 00:31:26,280
Speaker 5: and I was like typing all these symptoms, I'm like, yes, yes, yes, right,

640
00:31:26,840 --> 00:31:29,080
Speaker 5: and then the other part that kind of struck me.

641
00:31:29,120 --> 00:31:31,120
Speaker 5: There's two things, and see if it speaks to you.

642
00:31:31,520 --> 00:31:35,200
Speaker 5: It reminded me of my postpartum blues, because my brain

643
00:31:35,480 --> 00:31:38,440
Speaker 5: the two days before my period was no longer me.

644
00:31:38,720 --> 00:31:41,960
Speaker 5: I felt horrible, I felt anxious, and I felt worried,

645
00:31:41,960 --> 00:31:44,080
Speaker 5: and it reminded me of how I felt postpartum.

646
00:31:44,360 --> 00:31:46,960
Speaker 2: Do you ever feel that I wasn't an experience.

647
00:31:47,160 --> 00:31:49,959
Speaker 3: I don't remember experiencing too much what post partum?

648
00:31:50,160 --> 00:31:54,840
Speaker 1: I had very bad postpartum anxiety, not depression. I had anxiety, like.

649
00:31:56,480 --> 00:31:59,200
Speaker 3: Yeah, well, I mean I know a lot, a lot

650
00:31:59,240 --> 00:32:01,720
Speaker 3: a lot of women do experience that. One thing that

651
00:32:01,800 --> 00:32:14,840
Speaker 3: I managed to escape. Doctor Wendy, let me ask you this. So,

652
00:32:16,200 --> 00:32:22,000
Speaker 3: in terms of depression tied into menopause, one of the

653
00:32:22,040 --> 00:32:24,560
Speaker 3: things that I have heard and that some of my

654
00:32:24,560 --> 00:32:28,840
Speaker 3: friends have tried, especially with hot flashes, is a very

655
00:32:28,880 --> 00:32:32,080
Speaker 3: low dose of let's say prozac. I think I think

656
00:32:32,120 --> 00:32:36,160
Speaker 3: maybe it's just prozac helps hot flashes. I mean, I'm

657
00:32:36,240 --> 00:32:38,640
Speaker 3: you know, I'm a prozac baby. I've been on prozac

658
00:32:39,200 --> 00:32:41,400
Speaker 3: for as long as I can remember. But I think

659
00:32:41,400 --> 00:32:44,640
Speaker 3: it's interesting that you know, it doesn't it's not only

660
00:32:44,680 --> 00:32:49,480
Speaker 3: for the mind, but also physically can help you with

661
00:32:49,520 --> 00:32:52,520
Speaker 3: some of these menopausal and I don't know, maybe perimenopausal symptoms.

662
00:32:52,520 --> 00:32:56,120
Speaker 3: And there's such a stigma around antidepressants, they can also

663
00:32:56,200 --> 00:32:57,240
Speaker 3: maybe help you physically.

664
00:32:57,400 --> 00:32:57,960
Speaker 2: Is that true?

665
00:32:58,960 --> 00:33:01,560
Speaker 5: Yes, So, so when you look at who is in

666
00:33:01,600 --> 00:33:06,360
Speaker 5: control of prescribing prescriptions and doing the regulations. The North

667
00:33:06,400 --> 00:33:09,760
Speaker 5: American Menopause Society, which is rebranded to the Menopause Society,

668
00:33:09,960 --> 00:33:14,480
Speaker 5: every year puts out recommendations and they do recommend SSRIs,

669
00:33:14,680 --> 00:33:17,640
Speaker 5: which is the select of serotonin reuptake they are. They

670
00:33:17,680 --> 00:33:18,479
Speaker 5: do recommend that.

671
00:33:18,600 --> 00:33:20,120
Speaker 2: However, I recommend them too.

672
00:33:20,200 --> 00:33:25,840
Speaker 5: By the way, the gold standard though is hormones is estrogen.

673
00:33:25,960 --> 00:33:30,120
Speaker 5: So like technically speaking, if they were to pick, they'd

674
00:33:30,160 --> 00:33:34,240
Speaker 5: pick replacing your hormones if you can. And sometimes people

675
00:33:34,280 --> 00:33:37,760
Speaker 5: get estrogen or they get their menopause hormone therapy and

676
00:33:37,800 --> 00:33:40,400
Speaker 5: it's still like they still don't feel right, and then

677
00:33:40,440 --> 00:33:43,560
Speaker 5: they will add in that SSRI so, but some people

678
00:33:43,560 --> 00:33:48,200
Speaker 5: are so opposed to both and so menopause, that transition

679
00:33:48,400 --> 00:33:52,760
Speaker 5: is a very unique experience based on you, your chemicals, your genetics,

680
00:33:53,160 --> 00:33:55,720
Speaker 5: and so yeah, I am personally for both of those

681
00:33:55,800 --> 00:33:57,960
Speaker 5: because I am on both of those too. I feel

682
00:33:58,000 --> 00:34:00,200
Speaker 5: the same way you do. But it changed my life.

683
00:34:00,240 --> 00:34:05,320
Speaker 5: But I had an epiphany because I couldn't recognize perimenopause

684
00:34:05,360 --> 00:34:08,600
Speaker 5: and myself. At first, it was my facialist when I

685
00:34:08,680 --> 00:34:11,439
Speaker 5: was getting like laser electrolysis for like, what the heck

686
00:34:11,520 --> 00:34:13,759
Speaker 5: is his face here? And then I'm crying to my

687
00:34:14,000 --> 00:34:16,160
Speaker 5: facialists like I don't know what's row with me. I'm happy,

688
00:34:16,200 --> 00:34:18,520
Speaker 5: I have a good job, I love my partner well.

689
00:34:18,560 --> 00:34:21,799
Speaker 5: And she's like, Wendy, do you feel like there's a blue.

690
00:34:21,560 --> 00:34:24,000
Speaker 2: Cloud that publish you? And I'm like not black.

691
00:34:24,080 --> 00:34:27,440
Speaker 5: She like pats my arm, She's like, you need to

692
00:34:27,440 --> 00:34:30,040
Speaker 5: go on your hormones and go back on your antidepressants.

693
00:34:30,160 --> 00:34:34,040
Speaker 5: Liked oh, and then it went away. Okay, So can

694
00:34:34,080 --> 00:34:34,799
Speaker 5: I ask you a question.

695
00:34:35,600 --> 00:34:38,279
Speaker 1: Let's say you have somebody who really doesn't want to

696
00:34:38,440 --> 00:34:42,360
Speaker 1: use hormones. Are there holistic ways that people can improve

697
00:34:42,360 --> 00:34:44,840
Speaker 1: their well being during before and after?

698
00:34:46,680 --> 00:34:50,040
Speaker 5: Yes, what well. So menopause is a unique experience. Every

699
00:34:50,080 --> 00:34:53,520
Speaker 5: person's experience is unique, and how you treat your menopause

700
00:34:53,640 --> 00:34:55,960
Speaker 5: is also unique based on your beliefs. There are some

701
00:34:56,000 --> 00:34:58,480
Speaker 5: of my patients that don't want to see a menopause specialist.

702
00:34:58,520 --> 00:35:00,480
Speaker 5: There are some of my patients that say me up,

703
00:35:00,600 --> 00:35:03,279
Speaker 5: tell me when can I see him next week? And

704
00:35:03,360 --> 00:35:05,800
Speaker 5: so there are so many options. But I do believe

705
00:35:06,320 --> 00:35:08,560
Speaker 5: whether you want to do hormones or not, this is

706
00:35:08,600 --> 00:35:12,439
Speaker 5: where I come in the lifestyle modifications. So I am

707
00:35:13,239 --> 00:35:15,920
Speaker 5: about to do a study this fall for the use

708
00:35:15,960 --> 00:35:20,359
Speaker 5: of yoga for perimenopause and menopause because it will help

709
00:35:20,400 --> 00:35:24,280
Speaker 5: you have as a tool, calm your mind, help you breathe,

710
00:35:24,600 --> 00:35:29,360
Speaker 5: help keep your joints flexible. An example is that yoga

711
00:35:29,600 --> 00:35:33,240
Speaker 5: doesn't actually change your basomotor symptoms according to the Menopause Society,

712
00:35:33,560 --> 00:35:35,840
Speaker 5: but it does make you feel better. In that moment.

713
00:35:36,080 --> 00:35:39,160
Speaker 5: Your joints feel looser. You've had a moment to stop

714
00:35:39,200 --> 00:35:41,760
Speaker 5: and be you. You've had maybe twenty minutes where somebody's

715
00:35:41,800 --> 00:35:45,200
Speaker 5: not touching you, and that helps you regulate your nervous system,

716
00:35:45,560 --> 00:35:50,600
Speaker 5: which that menopause transition is. Everything's justsregulated. Your nervous systems

717
00:35:50,640 --> 00:35:54,600
Speaker 5: just regulated. Your hormones are just regulated. So moving keeps

718
00:35:54,640 --> 00:35:58,080
Speaker 5: you flexible and helps quite your mind. And those are

719
00:35:58,120 --> 00:36:00,840
Speaker 5: the things I kind of lean into because it's free.

720
00:36:01,200 --> 00:36:04,040
Speaker 5: Everyone can do it, but it's hard because you have

721
00:36:04,120 --> 00:36:07,160
Speaker 5: to change your lifestyle, and we try to do it

722
00:36:07,160 --> 00:36:11,120
Speaker 5: in a little bit. Now. Some people believe in certain supplements.

723
00:36:12,000 --> 00:36:17,080
Speaker 5: The Menopause Society doesn't necessarily recommend anything in replacement, like

724
00:36:17,120 --> 00:36:20,520
Speaker 5: a non hormone, non hormonal kind of drug, but they

725
00:36:20,520 --> 00:36:23,600
Speaker 5: do suggest that you nourish yourself. Right, So what I

726
00:36:23,640 --> 00:36:26,440
Speaker 5: tell my patients are are you living your best life?

727
00:36:27,040 --> 00:36:29,080
Speaker 5: Are you getting twenty five grams of fiber a day

728
00:36:29,600 --> 00:36:32,960
Speaker 5: because you need to have fiber to get that estrogen

729
00:36:33,000 --> 00:36:35,560
Speaker 5: and all those hormones as you metabolize them through you.

730
00:36:36,000 --> 00:36:40,240
Speaker 5: Are you consuming enough protein because we know your muscle

731
00:36:40,239 --> 00:36:44,799
Speaker 5: mass is leaving during this transition, things like that. So

732
00:36:45,400 --> 00:36:50,680
Speaker 5: taking omega threes because estrogen helps you with inflammation, and taking.

733
00:36:50,560 --> 00:36:54,040
Speaker 3: I take the mega omega threes, I take what do

734
00:36:54,120 --> 00:36:57,160
Speaker 3: they I bet you know them, those big yellow ones?

735
00:36:58,520 --> 00:37:00,680
Speaker 3: Oh my god, and they like have brought my cholesterol

736
00:37:00,719 --> 00:37:03,920
Speaker 3: down and Jeff, my husband's cholesterol down. What do they

737
00:37:03,960 --> 00:37:06,239
Speaker 3: call Oh it's They're amazing and they tate. They have

738
00:37:06,320 --> 00:37:09,040
Speaker 3: like a lemon scent. They don't smell like I know,

739
00:37:09,120 --> 00:37:11,200
Speaker 3: I have to run a stair, I know, right, But Monday,

740
00:37:11,200 --> 00:37:13,200
Speaker 3: I thought maybe you would know. They're expensive, they're on

741
00:37:13,280 --> 00:37:14,640
Speaker 3: the they're on the pricey side.

742
00:37:15,840 --> 00:37:18,839
Speaker 5: I don't. Well, so I use the brand Nordic Naturals. Yes,

743
00:37:18,840 --> 00:37:21,560
Speaker 5: I also have. I think yes, Okay, I think yeah,

744
00:37:21,640 --> 00:37:25,839
Speaker 5: probably it is so probably, but like, notice how you

745
00:37:25,880 --> 00:37:27,839
Speaker 5: said and I didn't even say this, but notice how

746
00:37:27,840 --> 00:37:30,080
Speaker 5: you said. You know what, It brought my cholesterol down

747
00:37:30,360 --> 00:37:34,040
Speaker 5: because when your hormones left the party, when estrogen said

748
00:37:34,040 --> 00:37:37,319
Speaker 5: bye bye, and estrogen is protective of everything, your court

749
00:37:37,440 --> 00:37:41,120
Speaker 5: is all slowly creeped up. Your cholesterol slowly creeped up.

750
00:37:41,320 --> 00:37:44,320
Speaker 5: Then you started taking Omega threes to take your inflammation down,

751
00:37:44,719 --> 00:37:48,000
Speaker 5: and then your cholesterol came down. And I asked you, like,

752
00:37:49,239 --> 00:37:51,320
Speaker 5: can I start taking you can take Omega threes?

753
00:37:51,760 --> 00:37:56,120
Speaker 2: Now they get kids for brain function.

754
00:37:55,920 --> 00:37:57,880
Speaker 5: Right, yes, brain function?

755
00:37:58,320 --> 00:38:00,920
Speaker 2: Yeah, my numbers are all yeah, so all the time.

756
00:38:01,120 --> 00:38:03,760
Speaker 5: Some of my patients don't even want to take Omega

757
00:38:03,800 --> 00:38:06,239
Speaker 5: three is because they eat salmon three times a week,

758
00:38:06,360 --> 00:38:08,640
Speaker 5: so they're getting their omega threes from oily fish and

759
00:38:08,680 --> 00:38:11,640
Speaker 5: I'm like, okay, great, so we're checking off the boxes.

760
00:38:11,760 --> 00:38:14,240
Speaker 5: Are you doing your fiber now, you're doing your omega threes?

761
00:38:14,719 --> 00:38:17,280
Speaker 5: You know, next we got to do are you eating protein?

762
00:38:17,320 --> 00:38:19,560
Speaker 5: Because we have to nourish you. We have to help

763
00:38:19,640 --> 00:38:23,640
Speaker 5: you make muscle. Because the weird thing is estrogen is

764
00:38:23,719 --> 00:38:26,239
Speaker 5: tied to your muscle. And that's the crazy part, right,

765
00:38:26,680 --> 00:38:29,920
Speaker 5: That's something that I learned recently. Because we know that

766
00:38:29,960 --> 00:38:33,120
Speaker 5: testoster is important for men's muscle. Why did we never

767
00:38:33,160 --> 00:38:35,560
Speaker 5: think that estrogen was important for our muscle? Why did

768
00:38:35,560 --> 00:38:38,960
Speaker 5: we never think that? The research just now shows that.

769
00:38:38,840 --> 00:38:41,719
Speaker 3: So and you're and you also your testosterone does go

770
00:38:41,800 --> 00:38:46,319
Speaker 3: down as well. Right, so even in women, it is

771
00:38:46,360 --> 00:38:50,040
Speaker 3: related to muscle testosterone. Right, I'm making this up, certainly,

772
00:38:50,080 --> 00:38:52,239
Speaker 3: no more than I do. Nope, it's fair raising both, right,

773
00:38:52,280 --> 00:38:54,400
Speaker 3: and I don't even know. And then throw progesterone in.

774
00:38:54,520 --> 00:38:57,200
Speaker 3: Don't ask me. I have no idea what that does.

775
00:38:57,239 --> 00:38:59,640
Speaker 3: But I think you're supposed to have it, right if.

776
00:38:59,600 --> 00:39:01,840
Speaker 5: Your text it's the lining of your it protects your uterus.

777
00:39:01,880 --> 00:39:04,640
Speaker 5: So if you have a uterus, you if you take estrogen,

778
00:39:04,680 --> 00:39:06,239
Speaker 5: you're going to take progesterone. But if you see a

779
00:39:06,239 --> 00:39:09,759
Speaker 5: menopause specialist, they will know those things. So that's the

780
00:39:09,840 --> 00:39:12,440
Speaker 5: joy of seeing a specialist that you're like, listen, here

781
00:39:12,440 --> 00:39:15,640
Speaker 5: are my symptoms. Help me. But as a fiscal therapist,

782
00:39:15,680 --> 00:39:20,000
Speaker 5: I screen people for perimenopause and then I say, please

783
00:39:20,320 --> 00:39:23,280
Speaker 5: go talk to your doctor step one, talk to your OBGYN,

784
00:39:23,520 --> 00:39:25,680
Speaker 5: talk to your family medicine, whoever you can talk to,

785
00:39:26,080 --> 00:39:28,880
Speaker 5: and if they deny you a conversation, we go to

786
00:39:28,920 --> 00:39:31,200
Speaker 5: someone else. And I can't tell you how many of

787
00:39:31,239 --> 00:39:33,799
Speaker 5: my patients, how many doctor visits, how many specialists they

788
00:39:33,840 --> 00:39:37,600
Speaker 5: had to see to find somebody to give them the conversation. Yes,

789
00:39:37,800 --> 00:39:42,680
Speaker 5: because apparently menopause is not taught in med school, and

790
00:39:42,760 --> 00:39:46,600
Speaker 5: unless you have a specialty, many people feel uncomfortable prescribing

791
00:39:46,600 --> 00:39:48,440
Speaker 5: hormones or even having the conversation.

792
00:39:48,600 --> 00:39:49,560
Speaker 2: Yes, I know that's true.

793
00:39:49,600 --> 00:39:52,719
Speaker 3: I know that my mic onecologist was willing to give me,

794
00:39:52,920 --> 00:39:56,359
Speaker 3: I guess, some cream for vaginal dryness and for all

795
00:39:56,400 --> 00:39:59,880
Speaker 3: the other treats that come along with menopause. But the

796
00:40:00,080 --> 00:40:03,280
Speaker 3: pellets were a different thing, and so we had discussions

797
00:40:03,280 --> 00:40:06,480
Speaker 3: about them. He's not necessarily all for them for different reasons,

798
00:40:06,480 --> 00:40:09,040
Speaker 3: not because of cancer because he actually thinks that they

799
00:40:09,040 --> 00:40:10,120
Speaker 3: could affect your heart.

800
00:40:11,040 --> 00:40:12,360
Speaker 2: I've read so much now.

801
00:40:12,239 --> 00:40:14,800
Speaker 5: And there's so many different things, right, So it's so

802
00:40:14,840 --> 00:40:19,040
Speaker 5: many different camps. So you make your menopause plan that

803
00:40:19,200 --> 00:40:22,799
Speaker 5: is unique for you, for how you feel, for your symptoms.

804
00:40:23,440 --> 00:40:26,440
Speaker 5: But it's not easy to find a healthcare provider. So

805
00:40:26,480 --> 00:40:29,160
Speaker 5: I always tell my patients to go to menopause dot org,

806
00:40:29,719 --> 00:40:33,279
Speaker 5: type in new zip code and find a practitioner near you.

807
00:40:34,000 --> 00:40:38,399
Speaker 5: And people really have to fight to be seen if

808
00:40:38,840 --> 00:40:41,960
Speaker 5: there is no one near you. There are telehealth options

809
00:40:42,000 --> 00:40:44,759
Speaker 5: thanks to covid. For instance. I work closely with a

810
00:40:44,800 --> 00:40:48,520
Speaker 5: company called Alloy a l o y dot com and

811
00:40:48,640 --> 00:40:52,000
Speaker 5: they are leading the charge on women's health. They are

812
00:40:52,040 --> 00:40:54,960
Speaker 5: doing things in Washington. They have the best in the

813
00:40:55,000 --> 00:40:57,880
Speaker 5: country working for them, and they're really like top notch.

814
00:40:58,080 --> 00:41:02,000
Speaker 1: Do insurance companies tend to hover the hormone replacement for

815
00:41:02,040 --> 00:41:05,160
Speaker 1: women in menopause mind mind doesn't really.

816
00:41:04,920 --> 00:41:08,760
Speaker 5: They can it's not compounded. If you take a pill,

817
00:41:09,360 --> 00:41:11,680
Speaker 5: if a progesterone pill, I think when I say.

818
00:41:11,920 --> 00:41:14,239
Speaker 3: Maybe, but now what I'm doing with this I don't know,

819
00:41:14,280 --> 00:41:16,560
Speaker 3: and we're all going to run out of time. But

820
00:41:16,600 --> 00:41:18,279
Speaker 3: I also would love to know what you think about

821
00:41:18,280 --> 00:41:20,400
Speaker 3: the pellets versus the creams and the patches.

822
00:41:20,440 --> 00:41:23,080
Speaker 5: But you know, oh, that's it's fascinating. I can tell

823
00:41:23,080 --> 00:41:26,720
Speaker 5: you that a little bit. But I'm low in testosterone.

824
00:41:26,760 --> 00:41:30,080
Speaker 5: There is no FDA approved testosterone for females. So I

825
00:41:30,120 --> 00:41:33,759
Speaker 5: pay fifty plus bucks a month to have compounded testosterone

826
00:41:33,760 --> 00:41:37,799
Speaker 5: with progesterone to help me. And it's a shame that

827
00:41:38,080 --> 00:41:40,920
Speaker 5: we don't even have FDA of approval, but men do,

828
00:41:41,560 --> 00:41:45,320
Speaker 5: so men can get a prescription for testosterone, but I can't,

829
00:41:45,600 --> 00:41:48,719
Speaker 5: so I have to pay a compounding pharmacy to do it.

830
00:41:49,320 --> 00:41:52,880
Speaker 5: But the thing is, it's interesting is I started to

831
00:41:52,920 --> 00:41:55,160
Speaker 5: notice that because my muscle bulk was going away and

832
00:41:55,200 --> 00:41:57,600
Speaker 5: I'm lifting and I'm working now, and where are my

833
00:41:57,680 --> 00:42:01,520
Speaker 5: muscles well? Because my testosterone was low, because my hormones

834
00:42:01,520 --> 00:42:04,359
Speaker 5: were shifting and my body was changing shapes. And that's

835
00:42:04,400 --> 00:42:07,000
Speaker 5: that part of me as a physical therapist. I'm listening

836
00:42:07,000 --> 00:42:10,800
Speaker 5: to these women like cry on my table, like I'm sad,

837
00:42:11,040 --> 00:42:14,520
Speaker 5: i feel fat, I'm gaining weight. I haven't changed my diet,

838
00:42:14,560 --> 00:42:16,680
Speaker 5: and I'm like, I know what to do.

839
00:42:17,400 --> 00:42:18,120
Speaker 4: I know what to do?

840
00:42:18,320 --> 00:42:20,800
Speaker 5: You know, going to find you a menopause specialist.

841
00:42:22,280 --> 00:42:25,279
Speaker 3: Because we try to be an all inclusive podcast as

842
00:42:25,360 --> 00:42:28,480
Speaker 3: much as possible men. And it's funny because I was

843
00:42:28,560 --> 00:42:32,560
Speaker 3: discussing this with my husband when he was asking me

844
00:42:32,560 --> 00:42:34,400
Speaker 3: about what our next episode is going to be whatever,

845
00:42:34,680 --> 00:42:37,839
Speaker 3: But there are at I think similar ages. There are

846
00:42:37,880 --> 00:42:40,000
Speaker 3: things going on with men as well. I don't know

847
00:42:40,000 --> 00:42:40,799
Speaker 3: if there's something I.

848
00:42:40,760 --> 00:42:43,879
Speaker 5: Call it menopause, right, thank you, thank you Paul.

849
00:42:43,920 --> 00:42:45,799
Speaker 3: And what's involved in MANIF And I want to I

850
00:42:45,840 --> 00:42:47,520
Speaker 3: just want all of our listeners. I'm hoping that we

851
00:42:47,600 --> 00:42:53,080
Speaker 3: have all different sexes, so to know that you're not alone.

852
00:42:53,440 --> 00:42:55,600
Speaker 2: We're not alone. Right, Something does happen to men as well?

853
00:42:55,680 --> 00:42:57,640
Speaker 2: What happens to men? They don't lose their pair, also.

854
00:42:57,480 --> 00:43:02,240
Speaker 5: Get low testosterone manifact. I actually talked to the well

855
00:43:02,360 --> 00:43:05,600
Speaker 5: so they will have kind of similar symptoms to women,

856
00:43:05,880 --> 00:43:08,279
Speaker 5: like how we do with menopause. They might feel fatigued,

857
00:43:08,320 --> 00:43:11,400
Speaker 5: they might feel kind of blue, and they can't make muscle.

858
00:43:11,719 --> 00:43:14,120
Speaker 5: And one of the things that you can do to

859
00:43:14,320 --> 00:43:18,880
Speaker 5: help your testosterone is lift, like move your body a lift,

860
00:43:19,200 --> 00:43:21,759
Speaker 5: But men have to work harder and they have to

861
00:43:21,840 --> 00:43:24,400
Speaker 5: lift longer to turn on their human growth hormone and

862
00:43:24,440 --> 00:43:27,120
Speaker 5: get that testosterone boost. Thean women. Women only have to

863
00:43:27,160 --> 00:43:30,160
Speaker 5: technically lift twenty minutes to turn on our human growth

864
00:43:30,200 --> 00:43:32,400
Speaker 5: hormone and get things going. Men have to do like

865
00:43:32,440 --> 00:43:33,560
Speaker 5: forty forty five minutes.

866
00:43:33,719 --> 00:43:34,200
Speaker 2: Wow.

867
00:43:34,280 --> 00:43:37,560
Speaker 6: Finally, Yes, I know, because I don't feel bad for

868
00:43:37,680 --> 00:43:46,360
Speaker 6: men on a gender Wow.

869
00:43:48,080 --> 00:43:51,319
Speaker 1: So if a woman who's going through menopause, I know.

870
00:43:51,400 --> 00:43:53,600
Speaker 1: Jen was saying that one of the things that affected

871
00:43:53,600 --> 00:43:56,680
Speaker 1: her was she was very sad about not being able

872
00:43:56,719 --> 00:43:58,600
Speaker 1: to have children anymore, whether or not you want it.

873
00:43:58,640 --> 00:44:00,560
Speaker 3: No, I didn't want I didn't want more children. It's

874
00:44:00,560 --> 00:44:02,279
Speaker 3: just this idea that my body couldn't, that.

875
00:44:02,239 --> 00:44:04,799
Speaker 1: You can't, And that's sort of like one of the

876
00:44:04,840 --> 00:44:07,319
Speaker 1: things that being a woman is is being able to

877
00:44:07,320 --> 00:44:07,879
Speaker 1: bear a child.

878
00:44:08,160 --> 00:44:09,440
Speaker 2: So when that's over, you can.

879
00:44:09,560 --> 00:44:11,880
Speaker 5: So there are some people that feel that very deeply.

880
00:44:11,960 --> 00:44:15,080
Speaker 5: You're right. So as the person who is, I'm to say,

881
00:44:15,120 --> 00:44:17,600
Speaker 5: I'm your BFF, your friend that's going to drag you

882
00:44:17,640 --> 00:44:21,200
Speaker 5: through this. You know, I will say, well, what are

883
00:44:21,239 --> 00:44:24,040
Speaker 5: you planning on having more kids? And they're like no, no,

884
00:44:24,360 --> 00:44:27,200
Speaker 5: and I'm like okay, but we were always meant to

885
00:44:27,239 --> 00:44:30,920
Speaker 5: have this transition, right, we don't want to have children

886
00:44:30,960 --> 00:44:33,239
Speaker 5: forever and always. Now I will say I have learned

887
00:44:33,280 --> 00:44:37,440
Speaker 5: from TikTok that it is very sad for some because

888
00:44:37,480 --> 00:44:41,200
Speaker 5: some women desperately wanted children and they tried and they tried,

889
00:44:41,360 --> 00:44:46,399
Speaker 5: and menopause is heartbreaking for them because they didn't get

890
00:44:46,400 --> 00:44:49,880
Speaker 5: that chance. And and that that is just that is

891
00:44:50,000 --> 00:44:52,239
Speaker 5: I don't want to that is that is that is

892
00:44:52,520 --> 00:44:54,800
Speaker 5: supreme sadness. That's a different sadness.

893
00:44:55,280 --> 00:44:59,880
Speaker 3: That's different, and I don't I don't want to compare that.

894
00:45:00,000 --> 00:45:02,239
Speaker 3: And I again, very I don't know that it was

895
00:45:02,280 --> 00:45:04,840
Speaker 3: about the fact that I couldn't have children. It was

896
00:45:04,840 --> 00:45:08,920
Speaker 3: about the fact that my body is definitely getting older,

897
00:45:09,000 --> 00:45:13,000
Speaker 3: and there's no denying it, no matter how many.

898
00:45:13,120 --> 00:45:17,480
Speaker 2: Faceless I have. Doesn't if you're j Low, yes.

899
00:45:18,640 --> 00:45:22,280
Speaker 3: Yes, there's not botox that could make me fertile again.

900
00:45:22,360 --> 00:45:25,080
Speaker 3: And so I think it's just there's this realization about

901
00:45:25,080 --> 00:45:28,720
Speaker 3: the fact that maybe even mortality right like it's happening.

902
00:45:29,040 --> 00:45:32,000
Speaker 3: I am, I am getting old, and yet.

903
00:45:31,880 --> 00:45:34,600
Speaker 1: Jen Fessler, I will say, you look better than I

904
00:45:34,640 --> 00:45:37,680
Speaker 1: have ever seen you look ever, and I've only.

905
00:45:37,480 --> 00:45:42,080
Speaker 2: Known I like this. I like this episode.

906
00:45:43,880 --> 00:45:46,440
Speaker 5: This was this was your glow up.

907
00:45:48,200 --> 00:45:48,680
Speaker 2: You look young.

908
00:45:48,719 --> 00:45:50,800
Speaker 3: Listen, That's not just although I will say I feel

909
00:45:50,800 --> 00:45:56,240
Speaker 3: like the hormone replacement absolutely makes me glow. I don't

910
00:45:56,239 --> 00:45:59,280
Speaker 3: my jointstone, all of what doctor Wendy has been discussing

911
00:45:59,320 --> 00:46:03,560
Speaker 3: with us, hair all of that. But I've also yes,

912
00:46:03,600 --> 00:46:07,279
Speaker 3: but I've also spent plenty of money in uh plastics.

913
00:46:07,719 --> 00:46:10,560
Speaker 5: Let's get yeah my final que let me say something

914
00:46:10,600 --> 00:46:14,600
Speaker 5: about that sadness. Yes. So here's the thing. So there

915
00:46:14,760 --> 00:46:17,879
Speaker 5: is sadness in our culture with menopause because I think

916
00:46:17,960 --> 00:46:20,839
Speaker 5: there's like a hush hush, we've normalized women's suffering. In

917
00:46:20,920 --> 00:46:23,719
Speaker 5: other countries, it is not seen the same way it

918
00:46:23,760 --> 00:46:26,840
Speaker 5: is here. It is seen as, let's say, in Asia,

919
00:46:27,040 --> 00:46:29,520
Speaker 5: it is seen as Wow, what a release. I don't

920
00:46:29,520 --> 00:46:32,480
Speaker 5: have to worry about fertility anymore. My body's my own,

921
00:46:32,719 --> 00:46:35,879
Speaker 5: I have wisdom, I'm the top of my family. I

922
00:46:35,960 --> 00:46:38,720
Speaker 5: am the leader I like. So it has a whole

923
00:46:38,760 --> 00:46:39,439
Speaker 5: different view.

924
00:46:39,560 --> 00:46:41,680
Speaker 3: And I can't believe you're saying this and that's where

925
00:46:42,400 --> 00:46:44,800
Speaker 3: that is self, because I was just saying to Jackie,

926
00:46:44,880 --> 00:46:49,239
Speaker 3: I was in Vietnam for almost two weeks and I

927
00:46:49,320 --> 00:46:53,880
Speaker 3: just got back. But in terms of like the the

928
00:46:53,960 --> 00:46:58,359
Speaker 3: older generations, there's such it feels so different, like there's

929
00:46:58,400 --> 00:47:00,640
Speaker 3: not First of all, there's not bota and there's not

930
00:47:00,680 --> 00:47:03,640
Speaker 3: even dyeing your hair, right, there's this acceptance. A lot

931
00:47:03,719 --> 00:47:05,720
Speaker 3: of times the grandparents are taking care of the children

932
00:47:05,920 --> 00:47:08,319
Speaker 3: because they stop working and they and then their kids

933
00:47:08,440 --> 00:47:13,440
Speaker 3: are working, and so they're still vital and they're still

934
00:47:13,640 --> 00:47:16,440
Speaker 3: living their lives, but they're also out on the streets.

935
00:47:16,520 --> 00:47:18,800
Speaker 3: Member Jacko was saying that all these people were exercising

936
00:47:18,840 --> 00:47:21,240
Speaker 3: and dancing. A lot of them were really mose are people.

937
00:47:21,520 --> 00:47:25,719
Speaker 3: They're moving and they're enjoying the process of aging. And

938
00:47:25,760 --> 00:47:28,000
Speaker 3: that's what one of our guides told us as well.

939
00:47:28,120 --> 00:47:30,879
Speaker 3: It's not aging isn't looked at like it's looked at

940
00:47:30,880 --> 00:47:33,320
Speaker 3: here in the US, which I think is so interesting.

941
00:47:34,480 --> 00:47:36,440
Speaker 5: So that's where we need to change our mindset. We

942
00:47:36,600 --> 00:47:39,719
Speaker 5: get to grow old, we also have the luxury some

943
00:47:39,719 --> 00:47:42,520
Speaker 5: people don't even get to have the luxury of exercising

944
00:47:42,840 --> 00:47:45,759
Speaker 5: or finding that menopause specialist or finding a friend to

945
00:47:45,800 --> 00:47:49,319
Speaker 5: talk to. So changing our mindset and trying on an

946
00:47:49,360 --> 00:47:51,960
Speaker 5: idea to see if it fits for you. So, for instance,

947
00:47:52,600 --> 00:47:56,520
Speaker 5: I am a businesswoman and I like the idea of

948
00:47:57,000 --> 00:47:59,399
Speaker 5: when I am postmenopausal, that my hormones will be more

949
00:47:59,440 --> 00:48:02,919
Speaker 5: stable and I will know my hormones will be level,

950
00:48:02,960 --> 00:48:05,160
Speaker 5: my brain will be level, and I will know who

951
00:48:05,200 --> 00:48:07,759
Speaker 5: I am. You know, I do know who I am now,

952
00:48:07,760 --> 00:48:09,839
Speaker 5: but like I do feel like the two days before

953
00:48:09,880 --> 00:48:12,440
Speaker 5: my period, my brain is like a dodo bird. And

954
00:48:12,480 --> 00:48:15,600
Speaker 5: I sometimes will tell my patients, listen if I cry today,

955
00:48:15,920 --> 00:48:18,720
Speaker 5: it's not you. I don't even know. Like I'm happy.

956
00:48:18,800 --> 00:48:21,480
Speaker 5: I just feel a little funny today. And then of

957
00:48:21,480 --> 00:48:25,600
Speaker 5: course then I bleed. But I share that because I

958
00:48:25,800 --> 00:48:29,480
Speaker 5: have days where my brain is just dumb, and I'll

959
00:48:29,480 --> 00:48:31,960
Speaker 5: be like what I am known for being smart? I

960
00:48:32,120 --> 00:48:34,960
Speaker 5: want to be smart. How did my brain leave? Oh,

961
00:48:34,960 --> 00:48:38,400
Speaker 5: my estrogen is leaving, And so I'm just I have

962
00:48:38,440 --> 00:48:41,560
Speaker 5: to fight harder to be me? And so how do

963
00:48:41,640 --> 00:48:44,440
Speaker 5: I support myself? And that's where I come in that

964
00:48:44,480 --> 00:48:48,160
Speaker 5: lifestyle modification. We have to support who we are. We

965
00:48:48,200 --> 00:48:49,799
Speaker 5: do have to try harder, We have to make a

966
00:48:49,840 --> 00:48:52,040
Speaker 5: conscious effort to move, We have to wait lit, I

967
00:48:52,040 --> 00:48:55,000
Speaker 5: have to take omega threes. I have to increase my protein,

968
00:48:55,480 --> 00:48:58,720
Speaker 5: which is like really ridiculously hard to have one grand

969
00:48:58,800 --> 00:49:03,120
Speaker 5: of protein or ideal like my ideal body weight. Like,

970
00:49:03,760 --> 00:49:07,160
Speaker 5: so I'm doing all these things to support me currently

971
00:49:07,719 --> 00:49:09,960
Speaker 5: and future me. So we don't want to look back

972
00:49:10,000 --> 00:49:13,360
Speaker 5: and compare our collagen to twenty year old us, because

973
00:49:13,400 --> 00:49:16,120
Speaker 5: that's just not no, We're going to look at us now.

974
00:49:16,200 --> 00:49:17,040
Speaker 5: How do we support me?

975
00:49:17,160 --> 00:49:17,399
Speaker 2: Now?

976
00:49:17,520 --> 00:49:18,920
Speaker 5: How do I take care of future me?

977
00:49:19,480 --> 00:49:19,680
Speaker 2: Right?

978
00:49:19,800 --> 00:49:22,120
Speaker 5: And that's kind of that mindset I want to have.

979
00:49:22,239 --> 00:49:24,400
Speaker 2: I think along those lines. My final question is going

980
00:49:24,440 --> 00:49:25,839
Speaker 2: to be when.

981
00:49:26,120 --> 00:49:28,520
Speaker 1: So, if you're a woman who's either on the cusp

982
00:49:28,920 --> 00:49:32,120
Speaker 1: of menopause or going through it late forties, early fifties,

983
00:49:32,640 --> 00:49:34,839
Speaker 1: what are your top tips, like how do we get

984
00:49:34,880 --> 00:49:39,160
Speaker 1: ourselves into the best possible shape and mindset to handle

985
00:49:39,200 --> 00:49:40,720
Speaker 1: everything that's going to come at us.

986
00:49:41,920 --> 00:49:46,040
Speaker 5: So it's a real big old lifestyle modification hall. We

987
00:49:46,280 --> 00:49:49,840
Speaker 5: eat to nourish ourselves. We no longer starve ourselves to

988
00:49:49,840 --> 00:49:53,000
Speaker 5: be skinny because that that game won't work in menopause.

989
00:49:53,080 --> 00:49:55,920
Speaker 5: That is not going to fly. We have to move

990
00:49:56,600 --> 00:49:59,600
Speaker 5: our bodies to keep what we have. So we maybe

991
00:49:59,640 --> 00:50:01,879
Speaker 5: had great joints and we didn't have pain, but now

992
00:50:01,920 --> 00:50:05,120
Speaker 5: I have to do mobility every day, like at least

993
00:50:05,120 --> 00:50:07,560
Speaker 5: ten minutes of moving my body, like I practice getting

994
00:50:07,600 --> 00:50:09,759
Speaker 5: to the ground. I have to use it to keep it.

995
00:50:10,160 --> 00:50:13,319
Speaker 5: So moving your body, nourishing your body, and the other

996
00:50:13,400 --> 00:50:17,320
Speaker 5: thing is don't feel bad about resting, Like I don't

997
00:50:17,320 --> 00:50:20,720
Speaker 5: want to heal never did resting, so it's really odd

998
00:50:20,760 --> 00:50:22,799
Speaker 5: the things I say. But like, I want you to

999
00:50:22,840 --> 00:50:24,759
Speaker 5: sleep more if you need to sleep. I want you

1000
00:50:24,840 --> 00:50:27,640
Speaker 5: to move every day, and it doesn't have to be perfect.

1001
00:50:28,000 --> 00:50:30,239
Speaker 5: I want you to nourish your body. And then the

1002
00:50:30,320 --> 00:50:32,799
Speaker 5: other thing. This is what I tell my patients. You know,

1003
00:50:33,040 --> 00:50:36,840
Speaker 5: once I get the whiff of perimenopause coming in, Hey, listen,

1004
00:50:36,880 --> 00:50:38,600
Speaker 5: talk to your doctor. If your doctor doesn't give you

1005
00:50:38,600 --> 00:50:41,200
Speaker 5: a conversation, we need to find you a menopause specialist

1006
00:50:41,280 --> 00:50:44,720
Speaker 5: because you deserve to have a conversation. Every person deserves

1007
00:50:44,760 --> 00:50:48,480
Speaker 5: a conversation, and that really is like being your best advocate.

1008
00:50:49,280 --> 00:50:51,920
Speaker 5: So write down whatever symptoms you think you have in

1009
00:50:51,960 --> 00:50:54,440
Speaker 5: your phone because you're going to probably forget and then

1010
00:50:54,480 --> 00:50:57,280
Speaker 5: freeze up and maybe the brain fog from your perimenopause

1011
00:50:57,320 --> 00:51:01,239
Speaker 5: makes you completely forget, but like, make write it down.

1012
00:51:01,640 --> 00:51:04,320
Speaker 5: Fight for future you, because you fight for all your friends,

1013
00:51:04,400 --> 00:51:06,319
Speaker 5: you fight for your family, but now you're gonna have

1014
00:51:06,320 --> 00:51:08,600
Speaker 5: to fight for you with the same vigor that you

1015
00:51:08,640 --> 00:51:11,279
Speaker 5: took care of everybody else in your life. Yes, to

1016
00:51:11,320 --> 00:51:11,799
Speaker 5: take care of you.

1017
00:51:11,920 --> 00:51:14,400
Speaker 1: Speak to your doctor and ask for a menoc specialist

1018
00:51:14,480 --> 00:51:18,759
Speaker 1: and read Estrogen Matters. I'm totally Oh, it's a wonderful book. Yeah,

1019
00:51:18,840 --> 00:51:19,920
Speaker 1: I'm excited to order it.

1020
00:51:19,960 --> 00:51:23,120
Speaker 3: And I'm definitely like because I just feel like I've

1021
00:51:23,200 --> 00:51:27,360
Speaker 3: experienced the difference having had no formone replacement. It's just

1022
00:51:27,880 --> 00:51:30,280
Speaker 3: it's so fabulous for me personally.

1023
00:51:31,440 --> 00:51:34,120
Speaker 1: Now I'm a little less scared knowing that there's things

1024
00:51:34,160 --> 00:51:36,840
Speaker 1: that I can do for it and seeing how clear

1025
00:51:36,920 --> 00:51:38,840
Speaker 1: minded you are on the other side, not a crazy

1026
00:51:38,840 --> 00:51:39,400
Speaker 1: person like me.

1027
00:51:39,640 --> 00:51:42,040
Speaker 3: I'm still a crazy person. Let's not be silly, and

1028
00:51:42,080 --> 00:51:42,919
Speaker 3: we all know it.

1029
00:51:43,560 --> 00:51:44,160
Speaker 2: But that's okay.

1030
00:51:44,280 --> 00:51:47,000
Speaker 5: You don't have to be scared. You can be like prepared,

1031
00:51:47,360 --> 00:51:49,520
Speaker 5: you know, you can be prepared and be like all right,

1032
00:51:49,560 --> 00:51:52,239
Speaker 5: I've got this. Yeah, yes I could do this. Yeah,

1033
00:51:52,360 --> 00:51:53,240
Speaker 5: you can be educated.

1034
00:51:53,280 --> 00:51:54,840
Speaker 2: Tll everyone where we can follow you.

1035
00:51:56,760 --> 00:52:00,080
Speaker 5: We are happy to help all of these people. But

1036
00:52:00,160 --> 00:52:02,960
Speaker 5: I want people to follow me on like TikTok or

1037
00:52:02,960 --> 00:52:06,959
Speaker 5: Instagram or Facebook and kind of like I talk about

1038
00:52:06,960 --> 00:52:10,520
Speaker 5: this every day because I want women to know because

1039
00:52:10,560 --> 00:52:12,560
Speaker 5: knowledge is power. And if you hear me talk about

1040
00:52:12,600 --> 00:52:14,120
Speaker 5: this over and over when it happens to you, you'll

1041
00:52:14,160 --> 00:52:15,759
Speaker 5: be like, oh what I know this?

1042
00:52:16,000 --> 00:52:19,160
Speaker 1: Yeah, I know this, so nothing to be scared of, right,

1043
00:52:19,200 --> 00:52:20,160
Speaker 1: as long as you prepare.

1044
00:52:20,960 --> 00:52:23,160
Speaker 5: I don't think so, I don't. I don't. I mean no,

1045
00:52:23,320 --> 00:52:26,600
Speaker 5: I will say, I can't sugarcoat ith. It does bring

1046
00:52:26,640 --> 00:52:30,359
Speaker 5: out some disease processes, like so you're more likely to

1047
00:52:30,360 --> 00:52:34,040
Speaker 5: have heart disease if you are not doing your cardiovascular health,

1048
00:52:34,080 --> 00:52:35,920
Speaker 5: if you're not doing hormones, if you're not taking your

1049
00:52:35,920 --> 00:52:39,320
Speaker 5: omega threes. But like we, we are meant to age,

1050
00:52:39,880 --> 00:52:42,000
Speaker 5: but the parts you choose to age is a difference.

1051
00:52:42,120 --> 00:52:44,120
Speaker 1: Yeah, there are parts that you can't. I guess even

1052
00:52:44,160 --> 00:52:48,200
Speaker 1: with estrogen replacement, you can't always take away like hot flashes,

1053
00:52:48,239 --> 00:52:50,200
Speaker 1: and they suck, So I can't.

1054
00:52:50,600 --> 00:52:51,080
Speaker 2: I can't see.

1055
00:52:51,239 --> 00:52:52,960
Speaker 1: There's nothing you can do about how well you can.

1056
00:52:53,040 --> 00:52:55,319
Speaker 1: You can take estrogen and even the prosac, but okay,

1057
00:52:55,400 --> 00:52:57,840
Speaker 1: I don't think that it always works the same for everybody.

1058
00:52:57,920 --> 00:53:00,759
Speaker 1: I mean, I experience plenty of hot flash in my

1059
00:53:01,560 --> 00:53:05,080
Speaker 1: in my the last five years. And even with replacement,

1060
00:53:05,160 --> 00:53:05,480
Speaker 1: something you.

1061
00:53:05,800 --> 00:53:09,239
Speaker 5: Got that you know, you so like you are being

1062
00:53:09,280 --> 00:53:11,960
Speaker 5: your own best advocate and and you know there are

1063
00:53:12,040 --> 00:53:15,120
Speaker 5: things that you could possibly do to maybe make you

1064
00:53:15,200 --> 00:53:17,839
Speaker 5: have less hot flashes, but it may not work. You know,

1065
00:53:17,960 --> 00:53:21,960
Speaker 5: sometimes things like not not having alcohol, not having spicy foods,

1066
00:53:22,120 --> 00:53:26,839
Speaker 5: avoiding hot climates. Uh, maybe that sauna triggers your hot

1067
00:53:26,880 --> 00:53:28,440
Speaker 5: flashes and you can't do the sauna.

1068
00:53:28,480 --> 00:53:31,919
Speaker 1: Now, I can't do it to you better than That's

1069
00:53:31,920 --> 00:53:35,520
Speaker 1: another Yeah, is that from menopause? You've always so everything's

1070
00:53:35,560 --> 00:53:39,640
Speaker 1: hormonal menopause. I mean I think you get melasmas. Everything's hormonal, yes.

1071
00:53:39,880 --> 00:53:42,000
Speaker 2: And then yeah, yeah, damn.

1072
00:53:43,719 --> 00:53:48,360
Speaker 5: Control everything controls.

1073
00:53:47,680 --> 00:53:50,080
Speaker 2: My God, talk about hormones.

1074
00:53:50,239 --> 00:53:53,440
Speaker 5: But I think you guys are like a perfect example

1075
00:53:53,880 --> 00:53:59,600
Speaker 5: of every part of perimenopause menopause transition. Much like we're

1076
00:53:59,719 --> 00:54:03,000
Speaker 5: part of it and it's totally natural. It just is

1077
00:54:03,040 --> 00:54:04,160
Speaker 5: a little high maintenance.

1078
00:54:04,440 --> 00:54:05,920
Speaker 2: Yeah yeah, but now kind of.

1079
00:54:05,920 --> 00:54:07,880
Speaker 5: Divas, we kind of do all these extra things.

1080
00:54:08,360 --> 00:54:10,839
Speaker 1: Well, we're grateful for people like you who show us

1081
00:54:10,840 --> 00:54:12,720
Speaker 1: the way, doctor Wendy.

1082
00:54:12,760 --> 00:54:13,359
Speaker 2: Thank you so well.

1083
00:54:13,400 --> 00:54:16,200
Speaker 3: Drag you, no, really, thank you. I've always wanted a

1084
00:54:16,200 --> 00:54:18,600
Speaker 3: best friend that would drag me. I've always wanted to be.

1085
00:54:18,520 --> 00:54:21,000
Speaker 2: A little I need to be a little good. I

1086
00:54:21,080 --> 00:54:25,120
Speaker 2: know you will, I know you will. Thank you so much.

1087
00:54:25,880 --> 00:54:27,400
Speaker 5: Well, thank you for having me. Ladies.

1088
00:54:27,520 --> 00:54:28,800
Speaker 2: Okay, talk soon.

1089
00:54:28,680 --> 00:54:30,880
Speaker 1: Great talking to you, Bye bye bye.

1090
00:54:31,880 --> 00:54:33,799
Speaker 2: That was great. That was amazing.

1091
00:54:34,040 --> 00:54:36,960
Speaker 3: Definitely great in terms of I feel like the range

1092
00:54:37,040 --> 00:54:39,799
Speaker 3: right like where you're at and where I'm at, and

1093
00:54:39,800 --> 00:54:41,960
Speaker 3: I'm hoping we have listeners that go they're even younger

1094
00:54:42,000 --> 00:54:45,200
Speaker 3: than you and older than me. And you know, I

1095
00:54:45,680 --> 00:54:48,960
Speaker 3: do definitely think that it's news to people that Perry

1096
00:54:49,000 --> 00:54:52,560
Speaker 3: menopause starts really early and the changes and some of

1097
00:54:52,560 --> 00:54:56,000
Speaker 3: the stuff you're feeling is about that, right, because I

1098
00:54:56,000 --> 00:54:58,000
Speaker 3: think back in the day, people thought, well, once you

1099
00:54:58,120 --> 00:55:01,960
Speaker 3: hit menopause, that's when everything goes to shit. But it's

1100
00:55:02,239 --> 00:55:03,880
Speaker 3: you know, they're ten years before.

1101
00:55:03,719 --> 00:55:06,080
Speaker 2: We have to change that thinking. Yea, nothing goes to show,

1102
00:55:06,360 --> 00:55:07,240
Speaker 2: certainly not anymore.

1103
00:55:07,239 --> 00:55:09,319
Speaker 1: I'm telling you there's so many, like doctor Wendy saying,

1104
00:55:09,320 --> 00:55:11,799
Speaker 1: there's so many like things that can help and that

1105
00:55:11,960 --> 00:55:13,360
Speaker 1: have in fact helped me.

1106
00:55:13,600 --> 00:55:15,799
Speaker 2: Yeah, amazing. So I'll be turning to you.

1107
00:55:15,920 --> 00:55:17,840
Speaker 1: Yeah, I don't even know, because like I said, I

1108
00:55:17,840 --> 00:55:18,720
Speaker 1: don't get my periods.

1109
00:55:18,760 --> 00:55:19,279
Speaker 2: I don't know.

1110
00:55:19,760 --> 00:55:21,520
Speaker 1: But when I get the first half flash, I'm gonna

1111
00:55:21,520 --> 00:55:24,120
Speaker 1: be over here. Yeah, you're gonna tell me everything, you know.

1112
00:55:25,440 --> 00:55:28,160
Speaker 1: All right, guys, thank you for listening.

1113
00:55:28,440 --> 00:55:28,920
Speaker 2: We love you.

1114
00:55:28,960 --> 00:55:29,240
Speaker 1: Guys.

1115
00:55:29,480 --> 00:55:32,759
Speaker 2: You leave us a review. Make sure to listen and

1116
00:55:32,840 --> 00:55:33,920
Speaker 2: tell your friends about it.

1117
00:55:34,000 --> 00:55:37,000
Speaker 3: Yeah, and also leave us drop us. God, what does

1118
00:55:37,040 --> 00:55:39,759
Speaker 3: it slide into our DMS? Way too old for that.

1119
00:55:39,840 --> 00:55:41,719
Speaker 3: But tell us what you want to talk about, you know,

1120
00:55:42,000 --> 00:55:42,800
Speaker 3: I mean I.

1121
00:55:43,000 --> 00:55:45,000
Speaker 2: We have a bunch of really good ones coming up.

1122
00:55:45,080 --> 00:55:47,080
Speaker 3: Yeah, we have a bunch of great guests. But also,

1123
00:55:47,239 --> 00:55:49,600
Speaker 3: like you know, if you're listening, tell us what's on

1124
00:55:49,640 --> 00:55:52,359
Speaker 3: your mind and tell us what you'd like to hear

1125
00:55:52,360 --> 00:55:53,560
Speaker 3: about or hear us talk about.

1126
00:55:53,760 --> 00:56:03,000
Speaker 2: Yeah, all right, thanks till next time. Bye bye,