1
00:00:03,400 --> 00:00:05,560
Speaker 1: It's that time time, time.

2
00:00:05,480 --> 00:00:06,040
Speaker 2: Time.

3
00:00:07,280 --> 00:00:13,400
Speaker 1: Luck And look, so Michael Verry Show is on the air.

4
00:00:20,600 --> 00:00:23,360
Speaker 1: It's Charlie from BlackBerrys Mother. I can feel a good

5
00:00:23,360 --> 00:00:25,520
Speaker 1: one coming on. It's to Michael Berry Show.

6
00:00:25,840 --> 00:00:28,880
Speaker 3: I realize that people come to the show with expectations

7
00:00:28,920 --> 00:00:30,280
Speaker 3: that turn into demands.

8
00:00:30,360 --> 00:00:31,480
Speaker 1: Maybe you want.

9
00:00:31,240 --> 00:00:36,160
Speaker 3: To talk about Charlie Kirk's assassination. I told you two

10
00:00:36,240 --> 00:00:39,560
Speaker 3: days ago we were going to talk about it Wednesday evening,

11
00:00:40,240 --> 00:00:41,640
Speaker 3: and it was the only thing we were going to

12
00:00:41,680 --> 00:00:43,320
Speaker 3: do for the entirety of the show.

13
00:00:43,960 --> 00:00:46,519
Speaker 1: I told you yesterday I was going to do.

14
00:00:46,479 --> 00:00:51,320
Speaker 3: It all morning and all evening for my own mental health.

15
00:00:51,400 --> 00:00:56,800
Speaker 3: I've got to move on. We will come back on

16
00:00:57,120 --> 00:00:59,880
Speaker 3: with developments during the top and bottom of the hour.

17
00:01:00,320 --> 00:01:03,720
Speaker 3: You will find news developments from our news departments across

18
00:01:03,720 --> 00:01:08,920
Speaker 3: the country. But I've got to We've got to be strong,

19
00:01:09,880 --> 00:01:12,279
Speaker 3: and we've got to be the rock for other people

20
00:01:12,280 --> 00:01:17,920
Speaker 3: around us. We have paid tribute to Charlie, which I

21
00:01:17,920 --> 00:01:21,280
Speaker 3: think is the most important. Law enforcement will do their job,

22
00:01:21,360 --> 00:01:23,480
Speaker 3: the system will do their job, the President will do

23
00:01:23,560 --> 00:01:24,120
Speaker 3: his job.

24
00:01:25,720 --> 00:01:27,959
Speaker 1: But our job is to continue to move on.

25
00:01:28,160 --> 00:01:31,480
Speaker 3: Keep the trains run, and keep the kids fed, keep

26
00:01:31,680 --> 00:01:36,200
Speaker 3: educating them, keep treating the ill, keep building things and

27
00:01:36,240 --> 00:01:41,800
Speaker 3: making things and fixing things and using our talents for good.

28
00:01:42,880 --> 00:01:44,360
Speaker 3: So with that, I will set up what we're going

29
00:01:44,440 --> 00:01:47,440
Speaker 3: to talk about today. And by the way, it's okay

30
00:01:47,520 --> 00:01:50,160
Speaker 3: for you to come to the show not like what

31
00:01:50,240 --> 00:01:53,800
Speaker 3: we're talking about and turn it off. I know that

32
00:01:53,840 --> 00:01:56,560
Speaker 3: makes the programmers angry. You don't have to send me

33
00:01:56,600 --> 00:01:59,160
Speaker 3: an email, Hey, Michael, I don't like what you're talking

34
00:01:59,160 --> 00:02:02,480
Speaker 3: about today. I know I'm going to get that. I

35
00:02:02,520 --> 00:02:06,320
Speaker 3: got it this morning. But this was a discussion that

36
00:02:06,400 --> 00:02:10,040
Speaker 3: was important to me. I had planned to air it

37
00:02:10,080 --> 00:02:14,280
Speaker 3: this evening. A lot of people forward at emails to

38
00:02:14,320 --> 00:02:18,880
Speaker 3: other people to tune in, and that's what we're going

39
00:02:18,960 --> 00:02:22,360
Speaker 3: to do. And if you don't like that, by all means, hey,

40
00:02:22,480 --> 00:02:25,520
Speaker 3: it's not going to hurt my feelings. Don't get butt

41
00:02:25,560 --> 00:02:28,079
Speaker 3: hurt over it. Just find something else. There's a lot

42
00:02:28,160 --> 00:02:29,200
Speaker 3: else out there you.

43
00:02:29,120 --> 00:02:29,720
Speaker 1: Can go do.

44
00:02:30,480 --> 00:02:33,799
Speaker 3: All right, So I said we were going to talk

45
00:02:33,840 --> 00:02:40,359
Speaker 3: about menopause. We're going to talk about women's health issues

46
00:02:40,520 --> 00:02:45,880
Speaker 3: as they age. I have planned to do that today

47
00:02:46,760 --> 00:02:49,680
Speaker 3: and I've done right by Charlie. And by the way,

48
00:02:50,120 --> 00:02:52,680
Speaker 3: we will continue to talk about Charlie and his legacy

49
00:02:52,840 --> 00:02:55,720
Speaker 3: next week. But this was the day we planned to

50
00:02:55,720 --> 00:02:57,920
Speaker 3: do this and we are going to stick to it.

51
00:02:58,639 --> 00:03:02,440
Speaker 3: So maybe maybe some folks need a break. Maybe you

52
00:03:02,440 --> 00:03:04,600
Speaker 3: you know, and some folks need a break. Don't realize

53
00:03:04,639 --> 00:03:09,919
Speaker 3: it because you know, Charlie Kirk didn't do campus speeches

54
00:03:09,960 --> 00:03:12,240
Speaker 3: twenty four hours a day. He had a wife and

55
00:03:12,360 --> 00:03:14,960
Speaker 3: kids and and things to get away from all that.

56
00:03:15,080 --> 00:03:19,880
Speaker 3: It's not healthy to obsess over that, folks. This is

57
00:03:19,919 --> 00:03:24,280
Speaker 3: a marathon, not a sprint. Okay, all right, So with

58
00:03:24,400 --> 00:03:30,600
Speaker 3: that we go into our conversation about menopause with doctor Anew.

59
00:03:30,360 --> 00:03:31,679
Speaker 1: Davis spelled a n u.

60
00:03:31,960 --> 00:03:36,040
Speaker 3: Anew Davis out of Houston, and uh and yeah, here

61
00:03:36,040 --> 00:03:39,760
Speaker 3: we go. Let's start with this very simple question. And

62
00:03:39,760 --> 00:03:41,080
Speaker 3: by the way, if you want to look her up,

63
00:03:41,320 --> 00:03:44,720
Speaker 3: it's river Oaks Doctors Group. But her name is spelled

64
00:03:44,760 --> 00:03:47,120
Speaker 3: a n u. She won't be the only on new

65
00:03:47,120 --> 00:03:48,840
Speaker 3: I knew the shore for Honorah. That's a very common

66
00:03:48,880 --> 00:03:50,920
Speaker 3: end the name, but it's Unknewed Davis. I guarantee it's

67
00:03:50,920 --> 00:03:53,000
Speaker 3: probably the only one of those. So let's start with

68
00:03:53,080 --> 00:03:56,240
Speaker 3: a very simple question. What is menopause?

69
00:03:59,280 --> 00:04:02,000
Speaker 2: So, Michael, thank you for having me on, and I'm

70
00:04:02,040 --> 00:04:04,320
Speaker 2: excited to talk to you about and answer all your

71
00:04:04,360 --> 00:04:05,720
Speaker 2: burning menopause questions.

72
00:04:06,200 --> 00:04:11,720
Speaker 1: So first related to but that's a whole different question.

73
00:04:14,440 --> 00:04:18,240
Speaker 2: Well those are different questions. But you're burning menopause questions.

74
00:04:18,240 --> 00:04:22,239
Speaker 2: You want to know the answers. So the most important

75
00:04:22,279 --> 00:04:24,240
Speaker 2: first thing is to actually know what menopause is. So

76
00:04:24,360 --> 00:04:29,599
Speaker 2: menopause is the point at which women stop having cycles

77
00:04:30,520 --> 00:04:35,479
Speaker 2: and mintral cycles, that is, and once a woman has

78
00:04:35,520 --> 00:04:38,520
Speaker 2: not had a minstrual cycle for twelve months, that's when

79
00:04:38,560 --> 00:04:43,840
Speaker 2: it's she's called in menopause. The big issue with all

80
00:04:43,880 --> 00:04:47,200
Speaker 2: this is Pete. Women's mintual cycles can start changing up

81
00:04:47,200 --> 00:04:51,080
Speaker 2: to ten years before the cycles actually actually stop, so

82
00:04:51,200 --> 00:04:56,080
Speaker 2: then the whole time before that is called perimenopause. So

83
00:04:56,160 --> 00:04:59,120
Speaker 2: that's what we tend to be talking about, is perimenopause

84
00:04:59,240 --> 00:04:59,960
Speaker 2: and menopause.

85
00:05:00,360 --> 00:05:02,000
Speaker 1: I've heard that I didn't know what it meant to you.

86
00:05:02,240 --> 00:05:05,320
Speaker 3: Is that about a ten year that happens about ten

87
00:05:05,400 --> 00:05:07,080
Speaker 3: years before she goes into menopause.

88
00:05:08,520 --> 00:05:11,800
Speaker 2: Well, sometimes it can be a nice, happy twelve months

89
00:05:11,800 --> 00:05:16,000
Speaker 2: of stuff. Sometimes it can be up to ten years.

90
00:05:16,000 --> 00:05:18,400
Speaker 2: So somewhere in the four to ten year range is

91
00:05:18,440 --> 00:05:23,400
Speaker 2: what perimenopause can be. But up to ten years of

92
00:05:23,480 --> 00:05:28,440
Speaker 2: fluctuation and transition before the actual pause happens. All right,

93
00:05:28,480 --> 00:05:33,479
Speaker 2: go ahead, And then menopause is the twenty or thirty

94
00:05:33,560 --> 00:05:37,479
Speaker 2: years that women live after the cycle stop. Then they're

95
00:05:38,080 --> 00:05:43,719
Speaker 2: considered to be postmenopausal. And that's the whole. Our job

96
00:05:43,800 --> 00:05:46,440
Speaker 2: is to maintain help through that twenty or thirty years,

97
00:05:47,000 --> 00:05:48,400
Speaker 2: so the whole.

98
00:05:48,480 --> 00:05:50,279
Speaker 4: When people start talking about.

99
00:05:50,000 --> 00:05:55,040
Speaker 2: Menopause or perimenopause, the words are often interchangeable, but menopause

100
00:05:55,080 --> 00:05:57,599
Speaker 2: itself is when the periods stop for twelve months.

101
00:05:58,000 --> 00:06:05,000
Speaker 3: Juh yeah, And is that just nature's way because we

102
00:06:05,400 --> 00:06:07,800
Speaker 3: probably weren't meant to live this long, that a woman

103
00:06:07,960 --> 00:06:13,240
Speaker 3: is beyond her reproductive life and so there's no need

104
00:06:13,400 --> 00:06:14,160
Speaker 3: for that cycle.

105
00:06:14,200 --> 00:06:16,000
Speaker 1: And let me just say before we start.

106
00:06:16,400 --> 00:06:19,239
Speaker 3: First of all, I'm a dude, so never having gone

107
00:06:19,279 --> 00:06:21,560
Speaker 3: through that, we all know its secondhand.

108
00:06:22,560 --> 00:06:24,599
Speaker 1: I'm trying to I have had a lot of women

109
00:06:24,640 --> 00:06:25,160
Speaker 1: tell me they.

110
00:06:25,040 --> 00:06:27,440
Speaker 3: Are excited to hear what you have to say and

111
00:06:27,800 --> 00:06:29,640
Speaker 3: to learn more about this, and they're glad that it's

112
00:06:29,680 --> 00:06:34,200
Speaker 3: being discussed publicly, including some folks, some rather prominent folks

113
00:06:34,480 --> 00:06:35,240
Speaker 3: that surprised me.

114
00:06:35,240 --> 00:06:36,720
Speaker 1: They were willing to put their name behind this.

115
00:06:36,800 --> 00:06:38,160
Speaker 3: But I'm not going to say their names who were

116
00:06:38,200 --> 00:06:40,720
Speaker 3: quite interested to learn more. But we will talk more

117
00:06:40,760 --> 00:06:44,560
Speaker 3: to doctor Anu Anu Davis of the river Oaks Doctors

118
00:06:44,600 --> 00:06:48,240
Speaker 3: Group about Yeah, menopause, that's what we're talking about. I

119
00:06:48,680 --> 00:06:52,000
Speaker 3: don't care if somebody decustakes you. You can't shoot Michael.

120
00:06:53,640 --> 00:06:54,440
Speaker 1: It's been books.

121
00:06:55,480 --> 00:06:57,680
Speaker 3: It took too long to introduce because this comes out

122
00:06:57,720 --> 00:07:00,120
Speaker 3: of left field, and I wanted people to understand I'm

123
00:07:00,120 --> 00:07:01,960
Speaker 3: not going to do that again. Doctor Anew Davis is

124
00:07:01,960 --> 00:07:05,119
Speaker 3: our guest. She's a menopause expert river Oaks Doctors Group.

125
00:07:05,320 --> 00:07:09,360
Speaker 3: She's in Houston, and this is something she is passionate about,

126
00:07:09,480 --> 00:07:14,160
Speaker 3: is treating women with menopause. And my question was do

127
00:07:14,240 --> 00:07:17,239
Speaker 3: women stop having a menstrual cycle because they are past

128
00:07:17,320 --> 00:07:22,520
Speaker 3: the age that they should be, or are typically giving

129
00:07:22,600 --> 00:07:24,480
Speaker 3: birth or is there some other reason.

130
00:07:26,320 --> 00:07:31,800
Speaker 2: No, it's a natural process. Okay, the periods stop because

131
00:07:31,880 --> 00:07:35,240
Speaker 2: of your past reproductive age. The issue is is that

132
00:07:35,280 --> 00:07:38,560
Speaker 2: we live for another thirty years after that. Right, our

133
00:07:38,600 --> 00:07:42,120
Speaker 2: life expectancy is seventy five to eighty five, So in

134
00:07:42,160 --> 00:07:45,880
Speaker 2: that thirty years we want to maintain our health. There's

135
00:07:45,920 --> 00:07:48,440
Speaker 2: been a lot of issue and discussion about whether these

136
00:07:48,480 --> 00:07:52,280
Speaker 2: hormones are useful and what happens, and how do we

137
00:07:52,320 --> 00:07:55,720
Speaker 2: maintain women's health in that thirty years because we all

138
00:07:55,760 --> 00:08:00,400
Speaker 2: want to be upright and functional in thinking straight. That's

139
00:08:00,560 --> 00:08:04,240
Speaker 2: the reason that menopause gets so much discussion. And what

140
00:08:04,400 --> 00:08:06,680
Speaker 2: happens to women's hormones and how do we treat this

141
00:08:06,920 --> 00:08:11,760
Speaker 2: and what other symptoms and issues come up because of them?

142
00:08:12,360 --> 00:08:15,160
Speaker 3: And what are these hormones we're talking about? What do

143
00:08:15,240 --> 00:08:18,680
Speaker 3: they control? Is this sexual drive? Is it diet?

144
00:08:19,440 --> 00:08:19,760
Speaker 2: Is it?

145
00:08:20,720 --> 00:08:20,960
Speaker 1: You know?

146
00:08:21,240 --> 00:08:23,920
Speaker 3: When I was when my mom was forty in nineteen

147
00:08:23,960 --> 00:08:28,560
Speaker 3: eighty five, she started I lost my mom and a

148
00:08:28,640 --> 00:08:31,560
Speaker 3: crazy woman poultrygeisted it into her body and she screamed

149
00:08:31,560 --> 00:08:34,160
Speaker 3: and hollered, and when we would go, Mom, what in

150
00:08:34,200 --> 00:08:36,240
Speaker 3: the world, and she'd say, I'm going through menopause.

151
00:08:36,240 --> 00:08:38,600
Speaker 1: I'm having hot flashes. Can you talk through that?

152
00:08:38,679 --> 00:08:44,000
Speaker 3: Because I can be as clinical and not silly as

153
00:08:44,000 --> 00:08:45,720
Speaker 3: I want to be, but there's a lot of dudes going,

154
00:08:46,000 --> 00:08:47,720
Speaker 3: can you explain to me what's going on with my

155
00:08:47,760 --> 00:08:48,520
Speaker 3: wife right now?

156
00:08:50,600 --> 00:08:55,720
Speaker 2: Well, so we know that hormones fluctuate all the time,

157
00:08:56,240 --> 00:09:00,360
Speaker 2: but as the hormones decline, we have realized that there's

158
00:09:00,520 --> 00:09:05,440
Speaker 2: estrogen receptors everywhere, and so the hot flashes and the

159
00:09:05,559 --> 00:09:07,960
Speaker 2: night sweats. That's the first thing that we talk about.

160
00:09:08,080 --> 00:09:12,800
Speaker 2: But the mood can become just mood stability can become

161
00:09:12,840 --> 00:09:16,320
Speaker 2: a problem, sleep can become a problem. Women start to

162
00:09:16,360 --> 00:09:19,120
Speaker 2: have joint pain, vaginal dryness, pain with sex.

163
00:09:19,600 --> 00:09:22,320
Speaker 4: There's up to one hundred different symptoms.

164
00:09:21,760 --> 00:09:26,840
Speaker 2: That can occur once as the hormones are fluctuating and declining.

165
00:09:26,960 --> 00:09:30,680
Speaker 2: So that's the problem women are suffering and it's making

166
00:09:30,760 --> 00:09:31,640
Speaker 2: them less functional.

167
00:09:33,320 --> 00:09:34,600
Speaker 1: So that's a.

168
00:09:37,600 --> 00:09:37,760
Speaker 3: Yeah.

169
00:09:38,360 --> 00:09:42,920
Speaker 2: So there's lots of different things going on, and the

170
00:09:42,960 --> 00:09:46,400
Speaker 2: big question is, you know, are is replacing these hormones

171
00:09:46,520 --> 00:09:50,280
Speaker 2: it It's been taboo for a long time. And part

172
00:09:50,280 --> 00:09:52,280
Speaker 2: of the reason for that is because there was a

173
00:09:52,280 --> 00:09:55,480
Speaker 2: big study it came out in two thousand and two

174
00:09:55,920 --> 00:09:56,800
Speaker 2: that called.

175
00:09:56,640 --> 00:09:57,760
Speaker 4: The Women's Health Initiative.

176
00:09:58,200 --> 00:10:01,800
Speaker 2: And when that happened, when that said came out, because

177
00:10:01,800 --> 00:10:06,000
Speaker 2: of the way the study ended, it was publicized that

178
00:10:06,320 --> 00:10:09,960
Speaker 2: hormone replacement is bad and that hormone replacement causes breast

179
00:10:09,960 --> 00:10:15,559
Speaker 2: cancer and increases cardiovascular disease. So when that happened, the

180
00:10:15,840 --> 00:10:18,800
Speaker 2: women who were on hormone replacement at that time for

181
00:10:19,000 --> 00:10:23,400
Speaker 2: treatment of their menopausal symptoms, the rate of hormone replacement

182
00:10:23,440 --> 00:10:26,760
Speaker 2: went from forty percent of women postmenopause were taking hormone

183
00:10:26,760 --> 00:10:30,600
Speaker 2: replacement to something like five to six percent. The guidelines

184
00:10:30,640 --> 00:10:34,280
Speaker 2: from all the medical societies came out that hormone replacement

185
00:10:34,360 --> 00:10:39,160
Speaker 2: causes breast cancer. So for twenty years, many women did

186
00:10:39,200 --> 00:10:42,920
Speaker 2: not receive hormone replacement that they received because the doctors

187
00:10:42,960 --> 00:10:46,840
Speaker 2: were taught that hormones cost breast cancer.

188
00:10:47,360 --> 00:10:48,360
Speaker 1: In your person.

189
00:10:48,760 --> 00:10:51,199
Speaker 3: And the reason do you think, though, that hormone replacement

190
00:10:51,840 --> 00:10:53,120
Speaker 3: causes breast cancer.

191
00:10:54,520 --> 00:10:56,600
Speaker 4: Hormone replacement does not cause breast cancer.

192
00:10:57,200 --> 00:11:02,320
Speaker 2: So the reason some of this has come to light

193
00:11:02,600 --> 00:11:05,400
Speaker 2: in this last year is because in twenty twenty four

194
00:11:06,200 --> 00:11:09,959
Speaker 2: last year, they came back and reanalyzed all the data

195
00:11:10,240 --> 00:11:13,960
Speaker 2: from the Women's Health Initiative. And so now twenty years

196
00:11:14,040 --> 00:11:17,400
Speaker 2: later they've come back out and they've started talking about

197
00:11:18,559 --> 00:11:24,120
Speaker 2: where how the data was analyzed incorrectly, and they've come

198
00:11:24,160 --> 00:11:28,360
Speaker 2: back out and said, well, women's horderon replacement does not cause.

199
00:11:28,120 --> 00:11:30,600
Speaker 4: Cardiovascal disease, it does not cause breast cancer.

200
00:11:31,320 --> 00:11:33,560
Speaker 2: And for those of us who've been sitting in our

201
00:11:33,600 --> 00:11:37,360
Speaker 2: corner of the world treating this, we never stopped giving

202
00:11:38,400 --> 00:11:43,040
Speaker 2: hormone replacement because we know that hormone replacement is important

203
00:11:43,040 --> 00:11:47,040
Speaker 2: for bone health, it's important for cardiovascular health, it's important

204
00:11:47,040 --> 00:11:51,840
Speaker 2: for brain health, and it may and so that's why

205
00:11:51,880 --> 00:11:53,040
Speaker 2: we get hormone replacement.

206
00:11:54,160 --> 00:11:58,680
Speaker 3: So I know, doctor Davis, I can't help, but saying

207
00:11:58,960 --> 00:12:04,320
Speaker 3: the parallel, he I'm a big proponent of testosterone and

208
00:12:04,440 --> 00:12:08,840
Speaker 3: a testosterone replacement, and our mutual friend Moe with Kara

209
00:12:09,000 --> 00:12:11,800
Speaker 3: is a big book believer in testosterone replacements.

210
00:12:11,880 --> 00:12:14,880
Speaker 1: It's done wonders for me. And the same thing.

211
00:12:14,920 --> 00:12:17,360
Speaker 3: I get people emailing me and say, hey, my general

212
00:12:17,360 --> 00:12:20,560
Speaker 3: physician who hasn't kept up with developments and this says

213
00:12:20,559 --> 00:12:22,439
Speaker 3: I'm going to get prostate cancer if I do it

214
00:12:22,800 --> 00:12:25,760
Speaker 3: because of one study forever ago that said that, And

215
00:12:25,840 --> 00:12:30,359
Speaker 3: now most people don't believe it. And it's very frustrating

216
00:12:30,360 --> 00:12:33,040
Speaker 3: because it seems like there's a strange parallel between this

217
00:12:33,360 --> 00:12:36,320
Speaker 3: because I think a lot of women do need hormone

218
00:12:36,360 --> 00:12:40,040
Speaker 3: replacement for them to be happier and healthier and have

219
00:12:40,120 --> 00:12:43,240
Speaker 3: healthier marriages. I see a lot of guys divorcing their

220
00:12:43,280 --> 00:12:46,079
Speaker 3: wives because they think she went crazy. She didn't go crazy.

221
00:12:46,280 --> 00:12:48,640
Speaker 3: Her body is working against her. Am I right in that.

222
00:12:50,440 --> 00:12:55,720
Speaker 4: You are correct. So there was even time when obi

223
00:12:55,800 --> 00:12:56,480
Speaker 4: Jen's were.

224
00:12:56,360 --> 00:13:03,000
Speaker 2: Taught thattive behavioral therapy would help hot flashes, But if

225
00:13:03,040 --> 00:13:06,600
Speaker 2: your body is having a physiologic reaction, you can't talk it.

226
00:13:06,600 --> 00:13:07,680
Speaker 4: Out of a hot flash.

227
00:13:07,720 --> 00:13:11,040
Speaker 2: You cannot talk your body out of having a hot flash.

228
00:13:11,160 --> 00:13:16,800
Speaker 2: So there are there's exactly that that women struggle and

229
00:13:16,840 --> 00:13:22,200
Speaker 2: suffer with hormone fluctuations. That and you know, for a

230
00:13:22,240 --> 00:13:24,520
Speaker 2: long time they're ignored anyway because they're trying to get

231
00:13:24,520 --> 00:13:29,080
Speaker 2: pregnant during reproductive age and there's you know, during pregnancy,

232
00:13:29,120 --> 00:13:31,840
Speaker 2: you just have to deal with that because your focus

233
00:13:31,920 --> 00:13:36,800
Speaker 2: is on being pregnant and protecting the baby. But post pregnancy,

234
00:13:37,240 --> 00:13:40,840
Speaker 2: like women are struggling with all these hormonal fluctuations, and

235
00:13:41,480 --> 00:13:46,080
Speaker 2: because they've been sold that hormone replacement is not good

236
00:13:46,120 --> 00:13:49,560
Speaker 2: for you or can be harmful to you, many women

237
00:13:49,679 --> 00:13:53,320
Speaker 2: avoid they avoid. Not only do they avoid hormone replacement

238
00:13:53,360 --> 00:13:57,000
Speaker 2: after menopause, it some will actively avoid birth control pills

239
00:13:57,160 --> 00:14:05,160
Speaker 2: and treatments for their hormone fluctuations, which are really affecting

240
00:14:05,160 --> 00:14:10,760
Speaker 2: their day to day life. But sometimes this is nuanced, right,

241
00:14:10,840 --> 00:14:14,880
Speaker 2: like you have to get in there and understand where

242
00:14:14,960 --> 00:14:16,360
Speaker 2: these hormones can benefit you.

243
00:14:18,960 --> 00:14:21,000
Speaker 1: Well, it just strikes me.

244
00:14:22,480 --> 00:14:27,000
Speaker 3: That a lot of married couples divorce after they've been

245
00:14:27,080 --> 00:14:30,680
Speaker 3: through the toughest and maybe most rewarding years of their marriage,

246
00:14:30,800 --> 00:14:33,520
Speaker 3: that is, their kids leave high school. And the thing

247
00:14:33,600 --> 00:14:36,600
Speaker 3: I hear men say in the locker room at the

248
00:14:36,640 --> 00:14:40,920
Speaker 3: cigar lounge at the bar is I just couldn't deal

249
00:14:40,960 --> 00:14:44,320
Speaker 3: with her moods anymore. And I think, man, you built

250
00:14:44,360 --> 00:14:47,000
Speaker 3: a life together. It's one thing if he's running off

251
00:14:47,080 --> 00:14:50,160
Speaker 3: chasing strippers or he's running away with the secretary. But

252
00:14:50,280 --> 00:14:52,520
Speaker 3: when he can't be in the in the house with

253
00:14:52,560 --> 00:14:54,800
Speaker 3: her because of the mood swings and the hot flashes,

254
00:14:55,240 --> 00:14:58,360
Speaker 3: that's a horrible, horrible thing to lose a marriage over

255
00:14:58,400 --> 00:15:00,760
Speaker 3: that hold with me, doctor and new David, we're talking

256
00:15:00,760 --> 00:15:02,120
Speaker 3: about menopause coming up.

257
00:15:02,360 --> 00:15:09,200
Speaker 2: Hell, yes, we're gonna take your ar fifteen eighty opao, Yes, yes, yes.

258
00:15:09,360 --> 00:15:11,160
Speaker 1: Doctor Andrew Davis is our guest.

259
00:15:11,280 --> 00:15:16,760
Speaker 3: She is passionate about the treatment of women with menopause.

260
00:15:17,240 --> 00:15:20,880
Speaker 3: She's a concierge doctor. She's actually my father's doctor. No,

261
00:15:20,960 --> 00:15:23,760
Speaker 3: he doesn't have menopause. He's eighty five with diabetes. But

262
00:15:23,840 --> 00:15:27,160
Speaker 3: she's a concierge doctor. That is your general practitioner. That

263
00:15:27,240 --> 00:15:31,480
Speaker 3: means just your primary that you go to for whatever

264
00:15:31,560 --> 00:15:37,040
Speaker 3: else with a specialty into chronology, and that's all your

265
00:15:37,120 --> 00:15:40,240
Speaker 3: glands and hormones and all those sorts of things. And

266
00:15:40,960 --> 00:15:44,600
Speaker 3: she handles my dad's diabetes and may I say, masterfully,

267
00:15:45,320 --> 00:15:49,160
Speaker 3: which is not an easy thing. And she handles and

268
00:15:49,560 --> 00:15:52,680
Speaker 3: focuses on menopause. And we decided it was time to

269
00:15:52,720 --> 00:15:56,760
Speaker 3: have that conversation in public. So I want to I

270
00:15:56,800 --> 00:15:59,400
Speaker 3: guess I'm going into the soft science opposed to the

271
00:15:59,440 --> 00:16:01,760
Speaker 3: medical science, and I want your expertise.

272
00:16:02,360 --> 00:16:04,120
Speaker 1: One of the things that bothers.

273
00:16:03,720 --> 00:16:07,360
Speaker 3: Me a lot, and I will confess this is to

274
00:16:07,440 --> 00:16:13,600
Speaker 3: watch couples who are fifty three to sixty five. They

275
00:16:13,640 --> 00:16:16,040
Speaker 3: got the kids through high school, they seemingly had a

276
00:16:16,080 --> 00:16:19,840
Speaker 3: solid marriage, and then he says I'm done with you,

277
00:16:20,040 --> 00:16:23,600
Speaker 3: or maybe she thinks she wants out, and then he

278
00:16:23,720 --> 00:16:26,760
Speaker 3: may go off and remarry, but she's miserable and all

279
00:16:26,800 --> 00:16:29,240
Speaker 3: of that is lost, and the kids are sad because

280
00:16:29,240 --> 00:16:32,320
Speaker 3: their innocence and their childhood is lost. They didn't fight

281
00:16:32,400 --> 00:16:36,680
Speaker 3: all those years. I think it's this hormonal imbalance. Can

282
00:16:36,720 --> 00:16:37,480
Speaker 3: you speak to that.

283
00:16:40,760 --> 00:16:46,840
Speaker 2: I mean, there is a significant amount of dysfunction that

284
00:16:46,920 --> 00:16:50,040
Speaker 2: happens right like if you're not able to have If

285
00:16:50,080 --> 00:16:52,240
Speaker 2: you're not able to sleep, and then you're not able

286
00:16:52,280 --> 00:16:57,240
Speaker 2: to have conversations, and then sex is painful and you're

287
00:16:57,280 --> 00:17:00,360
Speaker 2: not able to have those conversations with your partner, than

288
00:17:00,440 --> 00:17:04,600
Speaker 2: the health of your of your relationship declines, and that

289
00:17:05,720 --> 00:17:09,880
Speaker 2: from the testosterone side, that that becomes the thing that

290
00:17:10,240 --> 00:17:12,840
Speaker 2: the whole marriage has to be treated. Right, the sexual

291
00:17:12,840 --> 00:17:15,280
Speaker 2: health of a marriage has to be treated, but some

292
00:17:15,359 --> 00:17:17,800
Speaker 2: of that has to be treated. Each person has to

293
00:17:17,840 --> 00:17:24,480
Speaker 2: individually be healthy. So these women they've been they're they're suffering, right,

294
00:17:24,520 --> 00:17:27,520
Speaker 2: They're suffering because they they can't think straight and they

295
00:17:27,600 --> 00:17:33,399
Speaker 2: can't sleep, and they're you know, sex is painful and

296
00:17:33,920 --> 00:17:38,360
Speaker 2: they're and they're not able to fix it and they

297
00:17:38,359 --> 00:17:41,400
Speaker 2: go see their doctor and their doctors have said, well,

298
00:17:41,680 --> 00:17:45,679
Speaker 2: I mean, there's not really much we can do, and

299
00:17:45,760 --> 00:17:48,840
Speaker 2: then they get when they get that answer, they they

300
00:17:48,880 --> 00:17:52,720
Speaker 2: do feel like they're losing their minds, right, And when

301
00:17:52,840 --> 00:17:57,160
Speaker 2: that happens, I mean how they aren't able to communicate

302
00:17:57,200 --> 00:17:59,679
Speaker 2: with their partners, to talk to them. So it is

303
00:17:59,720 --> 00:18:02,119
Speaker 2: part of it, right, the whole the relationship has to

304
00:18:02,160 --> 00:18:06,800
Speaker 2: be treated and that can contribute to them.

305
00:18:06,880 --> 00:18:08,480
Speaker 4: It's a sad thing to see.

306
00:18:08,640 --> 00:18:12,639
Speaker 3: You've spoken generally about treatment. What does treatment look like?

307
00:18:12,800 --> 00:18:15,439
Speaker 3: So give me kind of I know there is no

308
00:18:15,600 --> 00:18:19,960
Speaker 3: standard patient, but lady walks in, roughly what age is

309
00:18:20,040 --> 00:18:22,040
Speaker 3: she most likely to be if she walks in, If

310
00:18:22,080 --> 00:18:24,679
Speaker 3: I'm building a profile, why did she come to you?

311
00:18:24,760 --> 00:18:27,000
Speaker 3: How did she know she had a problem, What are

312
00:18:27,000 --> 00:18:29,280
Speaker 3: the tests, what's the diagnosis?

313
00:18:29,280 --> 00:18:31,280
Speaker 1: And how are you treating her? I got five minutes

314
00:18:31,320 --> 00:18:31,920
Speaker 1: in this segment.

315
00:18:33,960 --> 00:18:37,880
Speaker 2: So the average age for menopause, for when the periods

316
00:18:37,920 --> 00:18:41,800
Speaker 2: actually stop, is about fifty one. I would say most

317
00:18:41,840 --> 00:18:45,560
Speaker 2: people come to me in their mid forties starting to

318
00:18:45,640 --> 00:18:50,119
Speaker 2: notice certain symptoms. They start to notice hot flashes and

319
00:18:50,240 --> 00:18:56,040
Speaker 2: night slits, everybody's different. Other things people notice are joint

320
00:18:56,119 --> 00:19:02,320
Speaker 2: pain with sex, brain fog. People come for different reasons

321
00:19:03,760 --> 00:19:07,000
Speaker 2: and they start to notice some irregularity in their cycles

322
00:19:07,920 --> 00:19:08,840
Speaker 2: when they show up.

323
00:19:09,160 --> 00:19:13,520
Speaker 4: The main way of figuring this out is by history.

324
00:19:13,960 --> 00:19:17,800
Speaker 2: We do do labs to make sure that there isn't

325
00:19:17,800 --> 00:19:23,080
Speaker 2: something else causing these symptoms, and then we start really

326
00:19:24,680 --> 00:19:28,359
Speaker 2: thinking about you know, and we do history, take a

327
00:19:28,440 --> 00:19:33,640
Speaker 2: history to learn about how her cycles were before and

328
00:19:33,880 --> 00:19:37,000
Speaker 2: how things have changed, and you know, all the way

329
00:19:37,040 --> 00:19:41,000
Speaker 2: through pregnancies, so all that stuff. It makes a difference

330
00:19:41,440 --> 00:19:46,199
Speaker 2: and helps us prepare for the transition through menopause and

331
00:19:46,240 --> 00:19:49,920
Speaker 2: determine what the best treatments would be. So in addition

332
00:19:50,200 --> 00:19:55,920
Speaker 2: to using hormones as treatment, which is which are very

333
00:19:56,000 --> 00:20:00,560
Speaker 2: useful in treating the hot flashes and some of those symptoms,

334
00:20:01,200 --> 00:20:05,280
Speaker 2: then we also assess risk for health for the long term. Right,

335
00:20:05,400 --> 00:20:08,120
Speaker 2: we also want to increase nutrition, and we also want

336
00:20:08,160 --> 00:20:11,240
Speaker 2: to improve exercise because hormones can do a lot, but

337
00:20:11,320 --> 00:20:17,800
Speaker 2: they can't fix everything. So in order to help overall

338
00:20:17,920 --> 00:20:23,960
Speaker 2: health and prevent complications and keep women stronger for those

339
00:20:24,160 --> 00:20:27,560
Speaker 2: last thirty years of their lives, we spend a lot

340
00:20:27,560 --> 00:20:31,000
Speaker 2: of time in addition to talking about how hormones may

341
00:20:31,040 --> 00:20:35,040
Speaker 2: be part of the treatment, but also nutrition and also exercise.

342
00:20:35,720 --> 00:20:38,879
Speaker 3: Why is nutrition important to menopause, because that's a question

343
00:20:39,119 --> 00:20:44,080
Speaker 3: I received a lot of emails from listener women fifty

344
00:20:44,119 --> 00:20:47,960
Speaker 3: to eighty about how does that affect it?

345
00:20:49,840 --> 00:20:52,240
Speaker 2: Because one of the biggest things that we have to

346
00:20:52,359 --> 00:20:56,880
Speaker 2: do in the last part of our life is keep

347
00:20:56,880 --> 00:21:01,760
Speaker 2: ourselves mobile, and in the most important thing in keeping

348
00:21:01,800 --> 00:21:07,080
Speaker 2: ourselves mobile is maintaining our muscle mass and preventing fractures. Okay,

349
00:21:07,960 --> 00:21:13,520
Speaker 2: and hormone replacement can help us with maintaining our bone health,

350
00:21:14,080 --> 00:21:19,840
Speaker 2: but to maintain our muscle mass, we have to.

351
00:21:18,400 --> 00:21:19,400
Speaker 4: Focus on nutrition.

352
00:21:20,480 --> 00:21:23,520
Speaker 2: We have to focus on nutrition in new ways that

353
00:21:23,640 --> 00:21:26,119
Speaker 2: maybe we haven't in the years before, and we have

354
00:21:26,240 --> 00:21:28,240
Speaker 2: to try to make up for what we messed up,

355
00:21:28,520 --> 00:21:31,960
Speaker 2: you know, way back when, in all the.

356
00:21:32,000 --> 00:21:33,200
Speaker 4: Years we weren't like that.

357
00:21:33,880 --> 00:21:38,120
Speaker 3: I was talking to Stan Duckman, our mutual friend, the cardiologist,

358
00:21:38,200 --> 00:21:42,480
Speaker 3: and we're talking about strategies for good health, especially as.

359
00:21:42,400 --> 00:21:42,920
Speaker 1: You get older.

360
00:21:42,960 --> 00:21:45,800
Speaker 3: We're talking about my dad's health, and he said, you know, Michael,

361
00:21:46,640 --> 00:21:48,440
Speaker 3: I can't figure out a good way to say it,

362
00:21:48,480 --> 00:21:50,600
Speaker 3: but what we want to do. We're all going to

363
00:21:50,640 --> 00:21:53,720
Speaker 3: get sick. And what we want to do is get

364
00:21:53,720 --> 00:21:57,520
Speaker 3: the body strong enough that when that sickness hits, we've

365
00:21:57,520 --> 00:22:01,760
Speaker 3: got some reserves to draw on. We've got good core strength, Yeah,

366
00:22:01,760 --> 00:22:05,200
Speaker 3: we've got low body fat. We've got good muscle and

367
00:22:05,359 --> 00:22:09,720
Speaker 3: bone density and these sorts of things. Let me ask

368
00:22:09,760 --> 00:22:13,840
Speaker 3: you this a minute left in this segment hair loss,

369
00:22:13,880 --> 00:22:16,720
Speaker 3: And I'm trying to kind of make a compositive question.

370
00:22:16,760 --> 00:22:19,879
Speaker 3: A lot of questions about hair loss. It sounds like

371
00:22:19,920 --> 00:22:23,080
Speaker 3: that's typical. Yes, what can be done about that? In

372
00:22:23,119 --> 00:22:23,840
Speaker 3: your treatment?

373
00:22:26,840 --> 00:22:29,440
Speaker 2: Depend I mean, we do have to dig in to

374
00:22:29,520 --> 00:22:32,199
Speaker 2: do a little bit of search for what is causing

375
00:22:32,200 --> 00:22:35,920
Speaker 2: the hair loss. Hair Loss is common with menopause. Hair

376
00:22:35,960 --> 00:22:39,359
Speaker 2: loss can have a genetic component, right if it runs

377
00:22:39,359 --> 00:22:43,320
Speaker 2: in your family and everyone has that male pattern baldness,

378
00:22:43,359 --> 00:22:45,879
Speaker 2: there's not as much you can do about it. But

379
00:22:46,359 --> 00:22:51,120
Speaker 2: nutrition is important. Protein is important, and then there are

380
00:22:51,160 --> 00:22:54,800
Speaker 2: some other medications and topical treatments that can help.

381
00:22:58,000 --> 00:23:01,760
Speaker 3: When you talk about these treatments, I'm going to be

382
00:23:01,840 --> 00:23:03,359
Speaker 3: up against a break here in just a moment, so

383
00:23:03,400 --> 00:23:05,080
Speaker 3: I will ask you and we'll address it on the

384
00:23:05,119 --> 00:23:09,720
Speaker 3: other side. How are these being delivered? Is this a

385
00:23:09,840 --> 00:23:12,240
Speaker 3: pill regiment? Is it typically one pill a day? And

386
00:23:12,280 --> 00:23:13,920
Speaker 3: I know that's going to vary, but I mean talk

387
00:23:13,920 --> 00:23:17,720
Speaker 3: about the composite. Is the shots? How often of those shots?

388
00:23:17,760 --> 00:23:20,000
Speaker 3: How often does somebody A lot of people I think

389
00:23:20,440 --> 00:23:22,960
Speaker 3: are afraid to engage in a relationship where it's going

390
00:23:23,000 --> 00:23:25,040
Speaker 3: to be I'm having to come to the doctor every day.

391
00:23:25,240 --> 00:23:26,800
Speaker 1: Or is this a one and done? What does that

392
00:23:26,880 --> 00:23:28,760
Speaker 1: look like? I'm assuming you have to adjust those.

393
00:23:28,840 --> 00:23:32,920
Speaker 3: We'll continue that conversation with doctor Anu a n U

394
00:23:33,080 --> 00:23:38,600
Speaker 3: doctor Anew Davis, a Houston concierge, doctor intochronologist, diabetes expertise,

395
00:23:38,640 --> 00:23:40,280
Speaker 3: and we're talking menopause coming up.

396
00:23:42,840 --> 00:23:44,560
Speaker 4: What a maroon to.

397
00:23:44,640 --> 00:23:46,720
Speaker 1: Michael, what an ignorandom.

398
00:23:49,280 --> 00:23:52,120
Speaker 3: It strikes me that menopause is something that my mother

399
00:23:52,520 --> 00:23:56,560
Speaker 3: suffered horribly from during my teenage years. And I'll be honest,

400
00:23:57,800 --> 00:24:01,480
Speaker 3: and I've told her this and she's We've had deep conversations.

401
00:24:01,480 --> 00:24:04,000
Speaker 3: She passed September nineteenth, but I left nothing out and

402
00:24:04,040 --> 00:24:07,560
Speaker 3: she left nothing out. I resented her. I resented the

403
00:24:07,640 --> 00:24:10,600
Speaker 3: crazy woman who took over my sweet mother. I adored

404
00:24:10,640 --> 00:24:13,520
Speaker 3: my mother, and there was this period of time that

405
00:24:13,600 --> 00:24:18,560
Speaker 3: this awful monster took over my mother my mid teenage years,

406
00:24:18,600 --> 00:24:19,640
Speaker 3: fifteen to eighteen.

407
00:24:20,200 --> 00:24:21,520
Speaker 1: And I didn't like that lady.

408
00:24:21,960 --> 00:24:24,359
Speaker 3: And then at some point that person got bored of

409
00:24:24,359 --> 00:24:26,320
Speaker 3: her and moved on to the next lady. Maybe it

410
00:24:26,400 --> 00:24:29,639
Speaker 3: was your mother or wife, but my mother didn't have

411
00:24:29,720 --> 00:24:34,159
Speaker 3: access to all of the great medical.

412
00:24:33,800 --> 00:24:35,240
Speaker 1: Advancements we do today.

413
00:24:35,680 --> 00:24:38,800
Speaker 3: And an expert like On new Davis, who is our guest,

414
00:24:38,840 --> 00:24:42,040
Speaker 3: I spelled an U on new Davis, and we're talking

415
00:24:42,040 --> 00:24:46,159
Speaker 3: about menopause, Let's talk about hair loss, because that was

416
00:24:46,200 --> 00:24:48,439
Speaker 3: one of the many questions I have in my stack.

417
00:24:48,520 --> 00:24:51,440
Speaker 1: And by the way, I was shocked.

418
00:24:51,119 --> 00:24:54,120
Speaker 3: How many women reached out and were willing to say, yes,

419
00:24:54,280 --> 00:24:57,199
Speaker 3: I want to know more about menopause. It's upsetting me

420
00:24:57,520 --> 00:24:59,920
Speaker 3: or my mother, so let's talk about that.

421
00:25:03,119 --> 00:25:05,960
Speaker 2: Yeah, I mean the menopause question is is kind of

422
00:25:05,960 --> 00:25:07,000
Speaker 2: a crazy one, right.

423
00:25:07,160 --> 00:25:10,520
Speaker 4: Like I remember back I was a baby doctor and.

424
00:25:10,560 --> 00:25:14,359
Speaker 2: I was doing a house call at like maybe like

425
00:25:14,480 --> 00:25:16,439
Speaker 2: when I first started my practice, like ten or fifteen

426
00:25:16,480 --> 00:25:18,040
Speaker 2: years ago, and I was doing this house call on

427
00:25:18,080 --> 00:25:21,880
Speaker 2: this Saturday morning, and I was seeing this little eighty

428
00:25:21,880 --> 00:25:23,560
Speaker 2: one year old woman and I told her I was

429
00:25:23,600 --> 00:25:27,560
Speaker 2: going to give a talk after I finished her house call,

430
00:25:27,600 --> 00:25:29,639
Speaker 2: and I was going to give this talk about menopause.

431
00:25:29,680 --> 00:25:31,880
Speaker 2: And she's like, you don't lie to those people.

432
00:25:32,840 --> 00:25:36,040
Speaker 4: I was like, that's funny. I just can remember her saying,

433
00:25:36,119 --> 00:25:37,919
Speaker 4: don't lie to them, tell them the truth.

434
00:25:37,960 --> 00:25:40,879
Speaker 2: And I said, okay, well, and you know the truth

435
00:25:40,920 --> 00:25:45,359
Speaker 2: has changed and we are learning more every day and

436
00:25:45,800 --> 00:25:49,439
Speaker 2: having been able to go having this change in the

437
00:25:49,440 --> 00:25:52,200
Speaker 2: guidelines and this next year is really going to help women.

438
00:25:52,359 --> 00:25:52,719
Speaker 4: Okay.

439
00:25:54,560 --> 00:25:58,560
Speaker 2: The guy the Menopause Society and the UK societies that

440
00:25:59,200 --> 00:26:03,119
Speaker 2: write about menopause actually changed the guidelines in twenty twenty

441
00:26:03,160 --> 00:26:08,960
Speaker 2: four out and took back all the initial recommendations from

442
00:26:08,960 --> 00:26:09,760
Speaker 2: two thousand and two.

443
00:26:10,320 --> 00:26:12,760
Speaker 4: So because of this, this is why this is so

444
00:26:12,920 --> 00:26:14,880
Speaker 4: important now and why.

445
00:26:17,080 --> 00:26:19,679
Speaker 2: We're trying to do our part to educate you know,

446
00:26:19,760 --> 00:26:22,800
Speaker 2: all the internists who have to see patients all day

447
00:26:22,840 --> 00:26:26,960
Speaker 2: long and who want to be able to treat their

448
00:26:26,960 --> 00:26:30,080
Speaker 2: patients well and give them good treatment, but didn't have

449
00:26:30,200 --> 00:26:33,280
Speaker 2: the knowledge up until then. So the way that this

450
00:26:33,400 --> 00:26:37,280
Speaker 2: looks is that the history.

451
00:26:36,960 --> 00:26:38,120
Speaker 4: Is the most important thing.

452
00:26:38,400 --> 00:26:42,480
Speaker 2: Right First, we take a long history and we try

453
00:26:42,520 --> 00:26:48,560
Speaker 2: to understand kind of how each patient has has done

454
00:26:48,600 --> 00:26:52,360
Speaker 2: through her cycles, and then how her menopause and how

455
00:26:52,400 --> 00:26:57,400
Speaker 2: the transitions are affecting her, and then we aim our

456
00:26:57,480 --> 00:27:03,879
Speaker 2: treatments specifically it helping her and also preventing disease in

457
00:27:03,960 --> 00:27:09,399
Speaker 2: the long term, keeping her strong and healthy, protecting bones,

458
00:27:09,480 --> 00:27:13,800
Speaker 2: protecting her heart, protecting her brain, and making.

459
00:27:13,480 --> 00:27:19,880
Speaker 4: Sure that she is feeling in control of.

460
00:27:19,920 --> 00:27:21,200
Speaker 1: Let's talk about the bones first.

461
00:27:21,840 --> 00:27:25,800
Speaker 3: My mom had severe osteoporosis, so she was on a

462
00:27:25,840 --> 00:27:30,920
Speaker 3: pretty heavy calcium treatment. She never had she had one

463
00:27:31,000 --> 00:27:34,080
Speaker 3: fall that messed her back up. She had out of surgery,

464
00:27:34,160 --> 00:27:38,360
Speaker 3: she got on a darn step ladder like they shouldn't

465
00:27:38,400 --> 00:27:41,680
Speaker 3: be doing. We all know, but in any case it happens, Yeah,

466
00:27:41,720 --> 00:27:42,600
Speaker 3: but sure.

467
00:27:42,400 --> 00:27:43,520
Speaker 1: The bone strength.

468
00:27:44,000 --> 00:27:46,880
Speaker 3: I have a trainer, Michael Petrow Petru in home fitness,

469
00:27:47,040 --> 00:27:49,399
Speaker 3: and he trains a lot of elderly folks, and a

470
00:27:49,440 --> 00:27:52,720
Speaker 3: big issue there is avoiding falls because you know the

471
00:27:52,800 --> 00:27:55,399
Speaker 3: old you know, you see it happen, you fall, you

472
00:27:55,480 --> 00:27:58,240
Speaker 3: break your hip, you never really recover. And people say,

473
00:27:58,680 --> 00:28:00,200
Speaker 3: you know, the last three years of his life life

474
00:28:00,320 --> 00:28:05,359
Speaker 3: was horrible, or her life because of the hip never

475
00:28:05,480 --> 00:28:09,840
Speaker 3: really fixed. How much can you do to fix We're

476
00:28:09,840 --> 00:28:12,719
Speaker 3: going to I'm asking one by one, the bone strength,

477
00:28:12,760 --> 00:28:15,200
Speaker 3: the bone density, depending on how bad it's degraded.

478
00:28:17,320 --> 00:28:20,399
Speaker 2: So when we see women in their forties, we're able

479
00:28:20,480 --> 00:28:24,040
Speaker 2: to we have medications that help us build bone. We're

480
00:28:24,119 --> 00:28:30,639
Speaker 2: able if we're able to start hormone replacement before before

481
00:28:30,640 --> 00:28:36,399
Speaker 2: we are at menopause. Bone straight bone density decreases significantly

482
00:28:36,480 --> 00:28:39,360
Speaker 2: in the first thirty six months after menopause. If we're

483
00:28:39,360 --> 00:28:43,959
Speaker 2: able to start hormone replacement to where they never lose

484
00:28:44,600 --> 00:28:47,600
Speaker 2: any estrogen, we're able to protect the bones that they've

485
00:28:49,200 --> 00:28:51,880
Speaker 2: built up up to that point and we don't see

486
00:28:51,880 --> 00:28:58,160
Speaker 2: that loss, and we're able to intervene early to prevent fracture.

487
00:28:58,320 --> 00:29:01,959
Speaker 2: We actually have lots of tools for fracture prevention. But

488
00:29:02,720 --> 00:29:06,160
Speaker 2: if women are able to start hormones to where they

489
00:29:06,200 --> 00:29:10,520
Speaker 2: aren't deprived of these hormones, because realistically, when we talk

490
00:29:10,520 --> 00:29:14,520
Speaker 2: about hormone replacement therapy, we're replacing something that their body's

491
00:29:14,560 --> 00:29:20,720
Speaker 2: just not making anymore. Which their body's not making anymore

492
00:29:21,120 --> 00:29:24,800
Speaker 2: doesn't mean they can't they can't benefit from it, right,

493
00:29:25,560 --> 00:29:29,360
Speaker 2: So they benefit from it. Their bodies just stopped making

494
00:29:29,400 --> 00:29:32,440
Speaker 2: it because of you know where we came from, and

495
00:29:32,560 --> 00:29:35,480
Speaker 2: because before we only lived to fifty five or sixty five,

496
00:29:35,520 --> 00:29:38,360
Speaker 2: and once we were done reproducing, we were finished, right,

497
00:29:39,400 --> 00:29:43,760
Speaker 2: But that's not where we are. We we're replacing something

498
00:29:43,800 --> 00:29:47,640
Speaker 2: our body's not making anymore. So if we do that before,

499
00:29:47,720 --> 00:29:53,360
Speaker 2: the bones feel the depletion of estrogen. So if we

500
00:29:53,440 --> 00:29:57,600
Speaker 2: get that early, then the bones don't deteriorate in that

501
00:29:58,080 --> 00:30:00,240
Speaker 2: initial postmenopustle Periand.

502
00:30:02,000 --> 00:30:07,680
Speaker 1: And so when what's the delivery mechanism? Is that a pill?

503
00:30:07,840 --> 00:30:08,520
Speaker 1: Is that a shot?

504
00:30:08,640 --> 00:30:13,680
Speaker 3: And how soon do women start noticing a real change

505
00:30:13,720 --> 00:30:17,360
Speaker 3: in life from the hot flashes to feeling better to

506
00:30:17,680 --> 00:30:20,560
Speaker 3: a better And I'm assuming most of this is estrogen,

507
00:30:20,640 --> 00:30:22,040
Speaker 3: but can you speak to that.

508
00:30:23,720 --> 00:30:24,120
Speaker 4: Sure?

509
00:30:25,280 --> 00:30:31,640
Speaker 2: So there's three hormones. The main two are estrogen and progesterone. Okay,

510
00:30:32,400 --> 00:30:39,680
Speaker 2: the estrogen is the one that's responsible for protecting the

511
00:30:39,760 --> 00:30:43,680
Speaker 2: heart and protecting the bones, and probably protecting the brain

512
00:30:43,720 --> 00:30:49,000
Speaker 2: and protecting the colon, and so that's the hormon the

513
00:30:49,040 --> 00:30:53,400
Speaker 2: main hormone that needs to be replaced. If women have

514
00:30:53,480 --> 00:30:58,320
Speaker 2: a uterus, we give them progesterone also to protect their uterus.

515
00:30:58,360 --> 00:31:03,080
Speaker 4: In the menopuzzle time, we.

516
00:31:04,200 --> 00:31:08,040
Speaker 2: The medications can be given by pill, they can get

517
00:31:08,160 --> 00:31:13,760
Speaker 2: by patch, they can be given by cream, and so.

518
00:31:13,480 --> 00:31:18,280
Speaker 4: Some of that is preference, and some of that is.

519
00:31:20,280 --> 00:31:23,200
Speaker 2: Just kind of what works for people and what works

520
00:31:23,200 --> 00:31:27,360
Speaker 2: for their day to day lives. But the form the

521
00:31:27,400 --> 00:31:30,880
Speaker 2: medications are the same. It's still we're just replacing hormone

522
00:31:30,960 --> 00:31:35,320
Speaker 2: that their bodies aren't making. So the form is just

523
00:31:36,720 --> 00:31:39,000
Speaker 2: a preference issue.

524
00:31:39,720 --> 00:31:43,400
Speaker 3: That brings me to the next question. You said, if

525
00:31:43,400 --> 00:31:46,520
Speaker 3: they have a uterus, meaning of course that if you

526
00:31:46,640 --> 00:31:50,520
Speaker 3: don't have a uterus, they've had a hysterectomy, which my

527
00:31:50,640 --> 00:31:51,360
Speaker 3: mom had.

528
00:31:51,440 --> 00:31:53,040
Speaker 1: And by the way, if anybody out.

529
00:31:52,880 --> 00:31:55,080
Speaker 3: There is wondering, why is he throwing his mom under

530
00:31:55,120 --> 00:31:59,000
Speaker 3: the bus given her medical history. She was interviewed by

531
00:31:59,080 --> 00:32:02,720
Speaker 3: the local news about all of this in Beaumont. She

532
00:32:02,960 --> 00:32:05,640
Speaker 3: was happy to talk about it. She was a little

533
00:32:05,640 --> 00:32:07,720
Speaker 3: ahead of her time in terms of being willing to

534
00:32:07,760 --> 00:32:10,480
Speaker 3: talk about women's issues when other people wouldn't.

535
00:32:10,480 --> 00:32:11,840
Speaker 1: She was a tough woman.

536
00:32:12,640 --> 00:32:17,840
Speaker 3: But we will talk about post hysterectomy and treatments for that. Yeah,

537
00:32:18,200 --> 00:32:22,040
Speaker 3: we're actually talking menopause with an expert, doctor Anu Anu,

538
00:32:22,280 --> 00:32:23,880
Speaker 3: doctor Anu Davis, and