1 00:00:00,880 --> 00:00:05,199 Speaker 1: The Michael Barry Joe. So when what's the delivery mechanism? 2 00:00:05,240 --> 00:00:07,240 Speaker 1: Is that a pill? Is that a shot? And how 3 00:00:07,280 --> 00:00:12,320 Speaker 1: soon do women start noticing a real change in life 4 00:00:12,400 --> 00:00:16,280 Speaker 1: from the hot flashes to feeling better to a better 5 00:00:16,840 --> 00:00:19,320 Speaker 1: And I'm assuming most of this is estrogen, but can 6 00:00:19,360 --> 00:00:20,200 Speaker 1: you speak to that. 7 00:00:21,920 --> 00:00:28,280 Speaker 2: Sure? So there's three hormones. The main two are estrogen 8 00:00:28,320 --> 00:00:36,920 Speaker 2: and progesterone. Okay, the estrogen is the one that's responsible 9 00:00:37,000 --> 00:00:40,800 Speaker 2: for protecting the heart and protecting the bones, and probably 10 00:00:40,880 --> 00:00:45,880 Speaker 2: protecting the brain and protecting the colon. And so that's 11 00:00:46,240 --> 00:00:49,560 Speaker 2: the hormon the main hormone that needs to be replaced. 12 00:00:50,159 --> 00:00:54,080 Speaker 2: If women have a uterus, we give them progesterone also 13 00:00:54,720 --> 00:00:59,400 Speaker 2: to protect their uterus in the in the menopuzzle time, 14 00:01:00,840 --> 00:01:06,039 Speaker 2: we the medications can be given by pill, they can 15 00:01:06,080 --> 00:01:11,160 Speaker 2: get by patch, they can be given by cream, and 16 00:01:11,200 --> 00:01:15,640 Speaker 2: so some of that is preference, and some of that 17 00:01:16,200 --> 00:01:21,000 Speaker 2: is just kind of what works for people and what 18 00:01:21,120 --> 00:01:25,360 Speaker 2: works for their day to day lives. But the form 19 00:01:25,440 --> 00:01:28,600 Speaker 2: the medications are the same. It's still we're just replacing 20 00:01:28,640 --> 00:01:33,240 Speaker 2: hormone that their bodies aren't making. So the form is 21 00:01:33,400 --> 00:01:36,080 Speaker 2: just a preference issue. 22 00:01:37,880 --> 00:01:41,560 Speaker 1: That brings me to the next question, you said, if 23 00:01:41,560 --> 00:01:44,800 Speaker 1: they have a uterus, meaning of course that if they 24 00:01:44,800 --> 00:01:48,680 Speaker 1: don't have a uterus, they've had a hysterectomy, which my 25 00:01:48,800 --> 00:01:51,160 Speaker 1: mom had. And by the way, if anybody out there 26 00:01:51,200 --> 00:01:53,360 Speaker 1: is wondering, why is he throwing his mom under the 27 00:01:53,360 --> 00:01:57,360 Speaker 1: bus given her medical history. She was interviewed by the 28 00:01:57,480 --> 00:02:01,800 Speaker 1: local news about all of this. She was happy to 29 00:02:01,840 --> 00:02:04,360 Speaker 1: talk about it. She was a little ahead of her 30 00:02:04,400 --> 00:02:06,800 Speaker 1: time in terms of being willing to talk about women's 31 00:02:06,800 --> 00:02:10,040 Speaker 1: issues when other people wouldn't. She was a tough woman. 32 00:02:10,800 --> 00:02:16,120 Speaker 1: But we will talk about post hysterectomy and treatments for that. Yeah, 33 00:02:16,360 --> 00:02:20,160 Speaker 1: we're actually talking menopause with an expert, doctor ahnu in you, 34 00:02:20,440 --> 00:02:25,399 Speaker 1: doctor anud Davis. There's reasons women can be crazy. Us guys, 35 00:02:25,440 --> 00:02:27,520 Speaker 1: when we're in the locker room, we have these conversations 36 00:02:27,560 --> 00:02:30,520 Speaker 1: and whether we're right or not, and regardless of if 37 00:02:30,560 --> 00:02:32,600 Speaker 1: it's obnoxious to women, that's how we talk and how 38 00:02:32,600 --> 00:02:35,600 Speaker 1: we feel. But there is a certain moment at which 39 00:02:35,720 --> 00:02:37,520 Speaker 1: for many men and my dad went through it and 40 00:02:37,560 --> 00:02:39,799 Speaker 1: we as teenage you did where you feel like man, 41 00:02:39,960 --> 00:02:44,040 Speaker 1: mom or your wife, she's just not the same and 42 00:02:44,160 --> 00:02:47,840 Speaker 1: I don't like this person she's become and somehow she 43 00:02:47,919 --> 00:02:50,640 Speaker 1: goes from yelling at me and accusing me of things 44 00:02:50,680 --> 00:02:54,440 Speaker 1: and judging me for everything, to me saying I've had enough, 45 00:02:54,480 --> 00:02:56,119 Speaker 1: and all of a sudden she's the victim and she's 46 00:02:56,160 --> 00:03:00,120 Speaker 1: crying and now I'm a monster. So menopause may be 47 00:03:00,160 --> 00:03:02,799 Speaker 1: a part of some of that. That's one of the 48 00:03:02,800 --> 00:03:04,880 Speaker 1: reasons I want to talk about this, and because a 49 00:03:04,880 --> 00:03:07,040 Speaker 1: lot of women when I mentioned the subject, said thank 50 00:03:07,080 --> 00:03:09,040 Speaker 1: you for bringing this up. Because I think a lot 51 00:03:09,040 --> 00:03:12,720 Speaker 1: of women are not getting treatment for this. They've never 52 00:03:12,840 --> 00:03:15,480 Speaker 1: sought medical treatment, and I would at least like them 53 00:03:15,520 --> 00:03:18,040 Speaker 1: to know what's available for that, because hey, we only 54 00:03:18,080 --> 00:03:21,040 Speaker 1: get one life, why not have the best one. And 55 00:03:21,240 --> 00:03:24,320 Speaker 1: I'm not one for a lack of personal responsibility, quite 56 00:03:24,320 --> 00:03:28,520 Speaker 1: the opposite. But you've got to understand if most really 57 00:03:28,560 --> 00:03:31,760 Speaker 1: fat people eat too much and don't exercise, but there 58 00:03:31,840 --> 00:03:33,800 Speaker 1: are that very small group of people that have a 59 00:03:33,800 --> 00:03:37,240 Speaker 1: thyroid problem and they're going to be really fat for 60 00:03:37,320 --> 00:03:40,360 Speaker 1: those reasons. Let's talk about how we can help people 61 00:03:40,800 --> 00:03:43,400 Speaker 1: what options are out there, and that is a lot 62 00:03:43,400 --> 00:03:45,440 Speaker 1: of women at a certain age. That's why our guest 63 00:03:45,520 --> 00:03:47,560 Speaker 1: is Anu Davis. A n U is how you spell 64 00:03:47,600 --> 00:03:51,360 Speaker 1: it doctor Anew Davis. She's River Oaks Doctors Group and 65 00:03:51,480 --> 00:03:55,240 Speaker 1: this is one of her areas of expertise. What was 66 00:03:55,280 --> 00:03:57,440 Speaker 1: the last question I asked going into the break Ramon, 67 00:03:59,680 --> 00:04:01,480 Speaker 1: can you stay with us? Was not the question? You 68 00:04:01,560 --> 00:04:04,080 Speaker 1: goof rewind the tape and tell me do you remember? 69 00:04:04,440 --> 00:04:05,280 Speaker 1: Do you remember the question? 70 00:04:06,120 --> 00:04:10,000 Speaker 2: I mean, these are the questions, right what a what 71 00:04:10,120 --> 00:04:14,840 Speaker 2: are women feeling? How do we treat it? And how 72 00:04:14,880 --> 00:04:17,719 Speaker 2: do they They need to advocate for themselves right now? 73 00:04:17,800 --> 00:04:21,359 Speaker 2: Their doctors haven't had the tools right and so that's 74 00:04:21,560 --> 00:04:24,280 Speaker 2: kind of that's kind of what is how can they 75 00:04:24,320 --> 00:04:26,839 Speaker 2: advocate for themselves a little bit so that they can 76 00:04:26,920 --> 00:04:29,279 Speaker 2: get the treatments they need because they're out there? 77 00:04:30,080 --> 00:04:33,080 Speaker 1: So what I'm just looking, I'm sifting through these questions. 78 00:04:33,279 --> 00:04:36,760 Speaker 1: So one of the so they call it HRT hormone 79 00:04:36,800 --> 00:04:40,960 Speaker 1: replacement therapy. I don't know. I'm taking notes and trying 80 00:04:41,000 --> 00:04:42,840 Speaker 1: to I'm trying to ask the questions that people ask 81 00:04:42,920 --> 00:04:45,600 Speaker 1: me to ask us they're living it. I'm more just 82 00:04:45,680 --> 00:04:49,360 Speaker 1: kind of curious, are we talking mostly estrogen? What are 83 00:04:49,360 --> 00:04:51,440 Speaker 1: these hormones that we're replacing? And forgive me if you 84 00:04:51,480 --> 00:04:53,880 Speaker 1: said it, and I was reading looking for other materials. 85 00:04:55,640 --> 00:05:01,680 Speaker 2: Sure, so we are replacing estrogen, progesterone, and sometimes testosterone. Okay, 86 00:05:02,200 --> 00:05:05,520 Speaker 2: the main hormones that are replaced your estrogen and progesterone, 87 00:05:06,360 --> 00:05:10,760 Speaker 2: and then testosterone is also replaced in many cases. But 88 00:05:11,279 --> 00:05:14,119 Speaker 2: because it's not FDA approved in the United States for women, 89 00:05:14,400 --> 00:05:17,039 Speaker 2: it becomes a more nuanced thing that you need to 90 00:05:17,080 --> 00:05:21,400 Speaker 2: go to specialists who do this to get testosterone therapy 91 00:05:21,400 --> 00:05:28,200 Speaker 2: for women, and so that's why it's not as mainstream. 92 00:05:28,560 --> 00:05:32,360 Speaker 2: But the hormones that we replaced are estrogen and progesterone, 93 00:05:32,400 --> 00:05:37,520 Speaker 2: and the idea is that women at menopause stop making 94 00:05:37,560 --> 00:05:42,800 Speaker 2: these hormones. And there is some clear advantage to replacing 95 00:05:42,839 --> 00:05:46,960 Speaker 2: these hormones that we're no longer making, because when we 96 00:05:47,120 --> 00:05:50,240 Speaker 2: see when these hormones are depleted, we see a very 97 00:05:50,360 --> 00:05:55,880 Speaker 2: clear and bone loss very immediately within three years, we 98 00:05:55,960 --> 00:06:04,680 Speaker 2: see increasing cardiovascular disease, we see increase in Alzheimer's. And 99 00:06:07,920 --> 00:06:11,839 Speaker 2: why would we stop replacing this at age fifty one? Like, 100 00:06:11,920 --> 00:06:14,000 Speaker 2: why would we want to increase the risk of all 101 00:06:14,040 --> 00:06:16,720 Speaker 2: these things when all we have to do is replace 102 00:06:16,720 --> 00:06:20,040 Speaker 2: the hormone that the body already the body's not making anymore. 103 00:06:21,040 --> 00:06:24,840 Speaker 1: So hear me out here. I have had folks who 104 00:06:24,880 --> 00:06:27,200 Speaker 1: read a lot about this, including a doctor who shared 105 00:06:27,240 --> 00:06:30,039 Speaker 1: with me who shall remain unnamed, said to me that 106 00:06:30,120 --> 00:06:33,120 Speaker 1: the body begins the dying process long before you die, 107 00:06:33,680 --> 00:06:38,400 Speaker 1: and that remember, we're built on a chassis for two 108 00:06:38,480 --> 00:06:41,080 Speaker 1: thousand and three thousand years ago, so we're living in 109 00:06:41,080 --> 00:06:43,840 Speaker 1: an age where we're living, in some cases to be 110 00:06:43,880 --> 00:06:46,440 Speaker 1: one hundred. The body wasn't prepared for that, so the 111 00:06:46,520 --> 00:06:50,559 Speaker 1: tires are wearing out, the transmissions giving out, the starter 112 00:06:50,680 --> 00:06:54,600 Speaker 1: doesn't work. So there's this idea. According to a number 113 00:06:54,600 --> 00:06:56,360 Speaker 1: of people, it's kind of a school of thought that 114 00:06:56,400 --> 00:07:00,000 Speaker 1: you're beginning to die. Your body is beginning this shutdown process, 115 00:07:00,400 --> 00:07:03,440 Speaker 1: and the loss of hormones is part of that. The 116 00:07:03,440 --> 00:07:05,920 Speaker 1: theory being the replacement of the hormones is kind of 117 00:07:05,960 --> 00:07:08,880 Speaker 1: like CPR, like no, no, no, we got not only 118 00:07:08,920 --> 00:07:12,720 Speaker 1: some living, some good living to do. Our friend Mohit 119 00:07:12,800 --> 00:07:14,840 Speaker 1: Kara is coming out with a book called sex Span 120 00:07:15,440 --> 00:07:18,800 Speaker 1: about the fact that you know, older couples that are 121 00:07:18,840 --> 00:07:21,040 Speaker 1: married still want to have sex, but they want to 122 00:07:21,080 --> 00:07:24,600 Speaker 1: have they want to have enjoyable sex, and that's part 123 00:07:24,640 --> 00:07:27,320 Speaker 1: of the relationship, and that a lot of these hormonal 124 00:07:27,400 --> 00:07:31,680 Speaker 1: issues are preventing that. And so the idea is, if 125 00:07:31,680 --> 00:07:33,880 Speaker 1: they want to have this kind of relationship as they 126 00:07:33,920 --> 00:07:36,480 Speaker 1: get older, that's an expression of their love. Let's help 127 00:07:36,520 --> 00:07:40,320 Speaker 1: them get there. So I will move to the question 128 00:07:40,560 --> 00:07:45,280 Speaker 1: of sexual dysfunction in women as they get older. You 129 00:07:45,400 --> 00:07:50,560 Speaker 1: kind of mentioned it earlier. Pain, dryness, lack of enjoyment, 130 00:07:50,640 --> 00:07:53,160 Speaker 1: lack of drive. Could you speak to that? 131 00:07:55,680 --> 00:07:59,560 Speaker 2: Sure? So not uncommon at all. As part of the 132 00:07:59,600 --> 00:08:03,840 Speaker 2: hormone is being depleted, the estrogen being depleted, the progesterone 133 00:08:03,840 --> 00:08:09,040 Speaker 2: being depleted, the testosterone being depleted. After menopause, women experience 134 00:08:09,160 --> 00:08:14,080 Speaker 2: a lot of pain with sex and lack of libido. 135 00:08:14,360 --> 00:08:17,440 Speaker 2: So we want to address those things if they're able 136 00:08:17,440 --> 00:08:23,200 Speaker 2: to be addressed. And in addition to that, when the 137 00:08:23,280 --> 00:08:28,400 Speaker 2: women see changes in their vagina, the risk of urinary 138 00:08:28,440 --> 00:08:32,840 Speaker 2: tract infections and illness actually goes up too. So there's 139 00:08:33,080 --> 00:08:37,720 Speaker 2: medical reasons in addition to sexual reasons and feeling of 140 00:08:37,720 --> 00:08:40,400 Speaker 2: well being reasons to replace these hormones. 141 00:08:42,360 --> 00:08:47,160 Speaker 1: We have a very popular host on the air in 142 00:08:47,240 --> 00:08:51,320 Speaker 1: Houston named Dana Tyson. She's on Sunday nine and nine 143 00:08:51,360 --> 00:08:58,120 Speaker 1: point one, and she over the years has mentioned vaginal dryness. 144 00:08:58,720 --> 00:09:01,640 Speaker 1: She's a very attractive one. And I jokingly told her 145 00:09:01,640 --> 00:09:04,120 Speaker 1: in the hallway one day, I said, Dana, please don't 146 00:09:04,200 --> 00:09:07,679 Speaker 1: ruin my fantasy. Every man in the building has it 147 00:09:07,720 --> 00:09:09,160 Speaker 1: out for you. And then you got to go and 148 00:09:09,160 --> 00:09:11,160 Speaker 1: start talking about that stuff. And she said, Michael, that's 149 00:09:11,200 --> 00:09:13,760 Speaker 1: the whole point. That's why I have to talk about it. 150 00:09:14,240 --> 00:09:16,000 Speaker 1: But she has spent a lot of time over the 151 00:09:16,080 --> 00:09:20,320 Speaker 1: years talking about an aging woman and the sexual process 152 00:09:20,800 --> 00:09:23,640 Speaker 1: and all this is that something that can be fixed. 153 00:09:25,520 --> 00:09:28,920 Speaker 2: It is something that can be fixed, but it's better 154 00:09:29,000 --> 00:09:32,920 Speaker 2: if we prevent it from happening. So if we start 155 00:09:33,120 --> 00:09:39,320 Speaker 2: hormone treatment earlier, so closer to when menopause starts, within 156 00:09:39,760 --> 00:09:42,960 Speaker 2: five to ten years, we prevent these things from happening. 157 00:09:43,600 --> 00:09:46,040 Speaker 2: And that's kind of the bigger point of all this 158 00:09:46,200 --> 00:09:49,200 Speaker 2: is to prevent it, right, to make to not get 159 00:09:49,200 --> 00:09:52,000 Speaker 2: there to where where we have vaginal dryness in pain, 160 00:09:52,040 --> 00:09:54,679 Speaker 2: and we've been suffering for five years or ten years, 161 00:09:55,720 --> 00:09:59,280 Speaker 2: and we're just getting crankier by the moment, right, and 162 00:09:59,600 --> 00:10:03,280 Speaker 2: we're not thinking straight. If we can catch it as 163 00:10:03,320 --> 00:10:06,640 Speaker 2: it begins to happen and treat it in that time, 164 00:10:07,080 --> 00:10:08,600 Speaker 2: then we prevent the. 165 00:10:08,600 --> 00:10:11,600 Speaker 1: Stuff from hold her out there, Doctor Andy Davis Best 166 00:10:11,800 --> 00:10:13,959 Speaker 1: is our guest that is spelled a U if you 167 00:10:14,000 --> 00:10:16,000 Speaker 1: want to look her up. We're talking about menopause coming 168 00:10:16,080 --> 00:10:19,720 Speaker 1: up to Michael Berry Show. I don't want to sit 169 00:10:19,840 --> 00:10:22,560 Speaker 1: in a recliner and get old and fat and grumpy 170 00:10:22,600 --> 00:10:26,040 Speaker 1: and say get off my front yard. I see people 171 00:10:26,120 --> 00:10:30,960 Speaker 1: who choose to live an active life well into their nineties. 172 00:10:31,480 --> 00:10:35,559 Speaker 1: I look at the work that Clint Eastwood has done 173 00:10:35,600 --> 00:10:39,640 Speaker 1: that will be left to humanity from the time he 174 00:10:39,760 --> 00:10:44,880 Speaker 1: was seventy to the present alone, right, And that's amazing. 175 00:10:45,320 --> 00:10:48,520 Speaker 1: And I think he's having a great run. And I 176 00:10:48,520 --> 00:10:51,240 Speaker 1: think the mindset that, you know what, I'm not just 177 00:10:51,320 --> 00:10:54,920 Speaker 1: going to fall apart. I'm going to make decisions. I 178 00:10:55,000 --> 00:10:56,920 Speaker 1: also find it to be the case. Look, I'll cut 179 00:10:57,000 --> 00:10:58,640 Speaker 1: jokes with the guys as well, but we all know 180 00:10:58,720 --> 00:11:01,160 Speaker 1: we love our wives, we love our we love our daughters, 181 00:11:01,640 --> 00:11:03,679 Speaker 1: and we want good things for them. Who want them 182 00:11:03,760 --> 00:11:07,320 Speaker 1: to be happy, not just in their relationships but personally 183 00:11:07,320 --> 00:11:10,560 Speaker 1: and individually and their health, including their mental health, and 184 00:11:10,600 --> 00:11:14,600 Speaker 1: some of that's related to their physical health. And look, 185 00:11:14,920 --> 00:11:17,520 Speaker 1: we love to say, oh she's being hormonal, Well guess 186 00:11:17,559 --> 00:11:20,920 Speaker 1: what she is. But I will tell you full disclosure 187 00:11:21,880 --> 00:11:26,160 Speaker 1: before I was on testosterone, I was grumpier and I 188 00:11:26,240 --> 00:11:30,080 Speaker 1: was younger too, over ten years ago. Now, if I 189 00:11:30,160 --> 00:11:32,800 Speaker 1: go a while without getting my shot because I get 190 00:11:32,840 --> 00:11:37,240 Speaker 1: busy and all that, I'm grumpier, I'm not happy. I 191 00:11:37,280 --> 00:11:40,240 Speaker 1: get back on my testosterone and I'm driving along and 192 00:11:40,280 --> 00:11:43,040 Speaker 1: I hear the birds chirp. I'm not even joking when 193 00:11:43,080 --> 00:11:46,880 Speaker 1: you replace my male hormone. I hear the birds chirp, 194 00:11:46,920 --> 00:11:49,920 Speaker 1: and I think, what a beautiful sound. Anybody that knows 195 00:11:49,960 --> 00:11:53,480 Speaker 1: me knows there's two Michaels Jacqueline Hyde. There is, what 196 00:11:53,520 --> 00:11:55,760 Speaker 1: a beautiful sound the birds are chirping, and there is 197 00:11:56,600 --> 00:11:59,280 Speaker 1: doesn't even hear them and wonders why the world's going 198 00:11:59,320 --> 00:12:02,360 Speaker 1: to hell? I like that me more, and it turns 199 00:12:02,360 --> 00:12:05,800 Speaker 1: out it's also true for women. It's the natural drug 200 00:12:05,880 --> 00:12:09,760 Speaker 1: your body makes. Doctor anew Davis, I'm going to open 201 00:12:09,880 --> 00:12:13,560 Speaker 1: up to what are the questions you get the most 202 00:12:13,800 --> 00:12:18,079 Speaker 1: related to menopause, the loss of hormones, the aging process 203 00:12:18,280 --> 00:12:20,800 Speaker 1: for women, and what are some standard things you want 204 00:12:20,840 --> 00:12:21,480 Speaker 1: women to know. 205 00:12:22,640 --> 00:12:26,160 Speaker 2: So, the biggest thing that people want to know about menopause, 206 00:12:26,280 --> 00:12:31,040 Speaker 2: especially right now, is hormone replacement therapy safe? And the 207 00:12:31,120 --> 00:12:34,480 Speaker 2: answer is that for most women, hormone replacement is not 208 00:12:34,520 --> 00:12:39,080 Speaker 2: only safe, but it's beneficial. I want women to know. 209 00:12:39,200 --> 00:12:42,319 Speaker 2: And women often ask when is too early? When is 210 00:12:42,400 --> 00:12:48,120 Speaker 2: too late to start hormone replacement therapy, And the answer 211 00:12:48,200 --> 00:12:52,280 Speaker 2: is it's never too early to start hormone replacement therapy 212 00:12:52,559 --> 00:12:57,840 Speaker 2: or start talking to your physicians about the changes that 213 00:12:57,880 --> 00:13:03,800 Speaker 2: you're feeling with hormone replacement therapy or with your cycles, 214 00:13:03,920 --> 00:13:08,000 Speaker 2: or with your changes in your cycles. But the hope 215 00:13:08,080 --> 00:13:11,240 Speaker 2: and the goal is to start hormone replacement therapy for 216 00:13:11,400 --> 00:13:17,240 Speaker 2: menopause if you're able to start within five to ten 217 00:13:17,360 --> 00:13:21,959 Speaker 2: years of menopause. The sooner we start it, the more 218 00:13:22,200 --> 00:13:24,560 Speaker 2: likely we are and the more able we are to 219 00:13:24,640 --> 00:13:28,200 Speaker 2: prevent the complications related to the bone and to the 220 00:13:28,200 --> 00:13:32,080 Speaker 2: brain and to the heart. So our hope is that 221 00:13:32,120 --> 00:13:35,600 Speaker 2: we can start it as people are transitioning or as 222 00:13:35,640 --> 00:13:42,800 Speaker 2: soon after the cycle stop as possible. The second question 223 00:13:42,840 --> 00:13:45,679 Speaker 2: that ever anyone asks is how long can I take it? 224 00:13:46,240 --> 00:13:52,600 Speaker 2: And the answer to that question is really indefinitely, but 225 00:13:53,120 --> 00:13:56,960 Speaker 2: the risk has to be assessed year to year as 226 00:13:57,120 --> 00:14:02,440 Speaker 2: other health issues come come into play. And in women 227 00:14:02,520 --> 00:14:05,199 Speaker 2: who have active breast cancers or in women who have 228 00:14:05,280 --> 00:14:09,000 Speaker 2: active heart disease, then the risk and benefit, so the 229 00:14:09,280 --> 00:14:13,120 Speaker 2: hormone therapy has to be has to be weighed. 230 00:14:17,040 --> 00:14:18,120 Speaker 1: I didn't know if there was going to be a 231 00:14:18,120 --> 00:14:19,520 Speaker 1: third one. I was pausing. 232 00:14:20,320 --> 00:14:21,720 Speaker 2: I don't know if there's a third one. 233 00:14:21,840 --> 00:14:22,920 Speaker 1: Oh yeah, okay, go ahead, good. 234 00:14:23,000 --> 00:14:24,560 Speaker 2: Those are the two, I mean, those are the big ones, 235 00:14:24,600 --> 00:14:26,400 Speaker 2: like when do we start and how long can we 236 00:14:26,440 --> 00:14:30,480 Speaker 2: take it? Right? Those are the two big questions people. 237 00:14:30,320 --> 00:14:33,360 Speaker 1: Ask, is this let me stop and let me stop there, 238 00:14:33,360 --> 00:14:35,840 Speaker 1: because I think a lot of people are asking. A 239 00:14:35,840 --> 00:14:38,680 Speaker 1: lot of people are on a budget, maybe a fixed income. 240 00:14:39,280 --> 00:14:41,280 Speaker 1: Is this the sort of thing that insurance covers? 241 00:14:43,280 --> 00:14:48,960 Speaker 2: I know, you're a hormone replacement therapy Yeah, no, yeah, 242 00:14:49,040 --> 00:14:54,640 Speaker 2: there are many FDA approved hormone replacement therapies, and yes, 243 00:14:55,040 --> 00:14:58,720 Speaker 2: insurance will cover the majority of hormone replacement therapy. 244 00:14:59,800 --> 00:15:02,320 Speaker 1: Is that's true also in your practice, since you're a 245 00:15:02,320 --> 00:15:05,240 Speaker 1: concierges doctor, it is true. 246 00:15:05,320 --> 00:15:09,480 Speaker 2: Yes, So testosterone is not covered by insurance for women 247 00:15:09,760 --> 00:15:14,600 Speaker 2: because testosterone is non FDA approved therapy right in the 248 00:15:14,680 --> 00:15:20,880 Speaker 2: United States, So women who choose to use testosterone therapy 249 00:15:21,520 --> 00:15:25,120 Speaker 2: will have to pay for that. Although there's very you 250 00:15:25,160 --> 00:15:27,880 Speaker 2: know this is it's not a new medication. This is 251 00:15:27,920 --> 00:15:31,600 Speaker 2: not it's not like we're using fancy testosterone. There's it's 252 00:15:31,600 --> 00:15:38,000 Speaker 2: a very affordable medication. So uh, but estrogen and progesterone 253 00:15:38,040 --> 00:15:41,200 Speaker 2: replacement is is FDA approved? 254 00:15:41,200 --> 00:15:42,920 Speaker 1: And well, I will tell you, I want, I want 255 00:15:42,960 --> 00:15:44,520 Speaker 1: you to go to number three, but I would tell 256 00:15:44,560 --> 00:15:49,120 Speaker 1: you I have had no hit Cara, our mutual friend, 257 00:15:49,160 --> 00:15:52,920 Speaker 1: my urologist on the air multiple times, and at some 258 00:15:53,040 --> 00:15:56,720 Speaker 1: point it comes around to testosterone for women, obviously in 259 00:15:56,800 --> 00:16:00,320 Speaker 1: limited amounts, and I get emails from dudes who have 260 00:16:00,440 --> 00:16:02,480 Speaker 1: never heard of this, and they think their wife's going 261 00:16:02,560 --> 00:16:05,080 Speaker 1: to grow hair on her boobs and it's not happening. 262 00:16:05,440 --> 00:16:08,120 Speaker 1: And not only that, it has been shown to have 263 00:16:08,440 --> 00:16:13,200 Speaker 1: phenomenal results in many women. And if you think about 264 00:16:13,240 --> 00:16:17,240 Speaker 1: the fact that women, as they get older, their body 265 00:16:17,520 --> 00:16:21,840 Speaker 1: is as far from you want muscle mass, you want 266 00:16:21,920 --> 00:16:25,360 Speaker 1: some strength, you want all those things that are represented 267 00:16:25,400 --> 00:16:29,840 Speaker 1: by testosterone. So ladies, don't be freaked out by that. 268 00:16:29,960 --> 00:16:31,880 Speaker 1: I've read a lot on the subject, and I am 269 00:16:31,960 --> 00:16:38,720 Speaker 1: personally a non doctor believer. But what was number three? 270 00:16:39,760 --> 00:16:44,240 Speaker 2: I don't know. Oh my gosh, So how when should 271 00:16:44,240 --> 00:16:48,640 Speaker 2: we start it? How long can we take it? And 272 00:16:48,680 --> 00:16:51,000 Speaker 2: then which I mean the people want to know what 273 00:16:51,040 --> 00:16:56,560 Speaker 2: they can expect, right. The doses of these medications do 274 00:16:56,720 --> 00:17:02,200 Speaker 2: have to be adjusted depending on how often your physician 275 00:17:02,360 --> 00:17:04,919 Speaker 2: does this like it may take a couple of tries, 276 00:17:05,000 --> 00:17:11,440 Speaker 2: so be patient with it and depending on how you respond. 277 00:17:11,560 --> 00:17:15,160 Speaker 2: But remember, we're replacing hormone that your body doesn't make anymore. 278 00:17:15,200 --> 00:17:21,000 Speaker 2: We are not you know, we're not giving you something else. 279 00:17:21,320 --> 00:17:24,720 Speaker 2: So it's just replacing something that your body stopped making. 280 00:17:28,359 --> 00:17:29,080 Speaker 1: Was there another one? 281 00:17:29,720 --> 00:17:32,240 Speaker 2: And then we I don't know, I can't remember. 282 00:17:33,600 --> 00:17:37,400 Speaker 1: That's all right, So let me ask you this. I'm 283 00:17:37,440 --> 00:17:39,639 Speaker 1: just sifting through all the questions I had, and I 284 00:17:39,680 --> 00:17:41,240 Speaker 1: had made a lot of notes and I can't get 285 00:17:41,240 --> 00:17:42,919 Speaker 1: to all of them. But one of the ones that 286 00:17:42,960 --> 00:17:46,760 Speaker 1: came up a lot is if a woman was on 287 00:17:46,840 --> 00:17:50,159 Speaker 1: the pill, is that going to affect her? And I 288 00:17:50,200 --> 00:17:54,440 Speaker 1: found a post by a fellow who who is kind 289 00:17:54,440 --> 00:17:56,959 Speaker 1: of a bodybuilder wellness guy, and I'll just read you 290 00:17:57,119 --> 00:18:01,520 Speaker 1: the quote that coming up with doctor A doctor on 291 00:18:01,600 --> 00:18:06,479 Speaker 1: New Davis listening to the Michael Berry Show podcast is 292 00:18:06,560 --> 00:18:10,720 Speaker 1: sexy be sexy. My name is doctor anu A in 293 00:18:10,880 --> 00:18:15,240 Speaker 1: You Davis. She's in Houston at the River Oaks Doctor's Group, 294 00:18:15,840 --> 00:18:21,399 Speaker 1: and she is an expert in diabetes. She's a concierge doctor, 295 00:18:22,560 --> 00:18:26,719 Speaker 1: and she is a menopause expert. And over dinner at 296 00:18:26,720 --> 00:18:29,760 Speaker 1: our home, she mentioned menopause, and my wife said, get 297 00:18:29,800 --> 00:18:32,200 Speaker 1: her on the air. Women want to hear about that. 298 00:18:32,680 --> 00:18:35,359 Speaker 1: Whether you like it or not, we're all interested in it. 299 00:18:35,560 --> 00:18:38,800 Speaker 1: I said, okay, so we did, and my next question 300 00:18:39,119 --> 00:18:42,200 Speaker 1: is or so we are as we speak. My next 301 00:18:42,240 --> 00:18:48,920 Speaker 1: question is related to birth control and as women get 302 00:18:48,960 --> 00:18:51,840 Speaker 1: older who have been on birth control earlier. Obviously, if 303 00:18:51,880 --> 00:18:55,720 Speaker 1: you're perimenopausal or menopausal, you're not having your period anymore, 304 00:18:55,800 --> 00:18:59,480 Speaker 1: so you're not getting pregnant, presumably. But here I'll just 305 00:18:59,520 --> 00:19:01,919 Speaker 1: read you au and we'll start there. The use of 306 00:19:02,000 --> 00:19:06,680 Speaker 1: hormonal contraceptives by tens of millions of women could plausibly 307 00:19:07,240 --> 00:19:12,560 Speaker 1: be having population level effects on behavior, including political behavior. 308 00:19:13,080 --> 00:19:17,480 Speaker 1: A new study shows that women who use hormonal contraceptives 309 00:19:17,920 --> 00:19:24,440 Speaker 1: exhibit significantly stronger emotional responses than women who are naturally cycling, 310 00:19:24,920 --> 00:19:30,280 Speaker 1: and they also interestingly remember fewer details of negative events. 311 00:19:30,800 --> 00:19:35,359 Speaker 1: A study last year showed that hormonal contraceptives shrink the 312 00:19:35,480 --> 00:19:40,760 Speaker 1: ventromedial prefrontal cortex, a region of the brain involved in 313 00:19:40,880 --> 00:19:47,600 Speaker 1: fear processing and emotional control are hormonal contraceptives making our 314 00:19:47,680 --> 00:19:51,240 Speaker 1: ladies crazy? In what are hormonal contraceptives? 315 00:19:52,240 --> 00:19:59,080 Speaker 2: Okay, so hormone. So the hormone that's in that are 316 00:19:59,119 --> 00:20:06,520 Speaker 2: in most hormonal contraceptives are actually different than the hormone 317 00:20:06,520 --> 00:20:11,400 Speaker 2: that we use in most hormone replacement therapy. In hormone 318 00:20:11,440 --> 00:20:19,000 Speaker 2: replacement therapy, we use I hate the term, but we 319 00:20:19,119 --> 00:20:23,080 Speaker 2: use we use hormones as much that are not artificial. 320 00:20:23,119 --> 00:20:29,919 Speaker 2: The hormones in birth control are similar to what your 321 00:20:29,960 --> 00:20:32,880 Speaker 2: body makes, but the hormones and hormone replacement therapy are 322 00:20:32,960 --> 00:20:40,159 Speaker 2: much lower doses, and they are probably about thirty to 323 00:20:40,160 --> 00:20:44,639 Speaker 2: fifty percent of the doses in birth control pills, and 324 00:20:44,920 --> 00:20:48,600 Speaker 2: they are actually a different compound replacing the hormone that 325 00:20:48,640 --> 00:20:52,480 Speaker 2: your body makes. So we give women in menopause estra 326 00:20:52,600 --> 00:20:59,919 Speaker 2: dial and progesterone, which is a little bit different than 327 00:20:59,960 --> 00:21:03,760 Speaker 2: the actual medications that we give in birth control pills. 328 00:21:04,880 --> 00:21:07,560 Speaker 2: But I don't know that I address the actual question. 329 00:21:07,880 --> 00:21:11,040 Speaker 1: Well, that's okay, take a moment. I mean, what effect 330 00:21:11,119 --> 00:21:14,000 Speaker 1: do you think that that does have? I'm coming at it, 331 00:21:14,160 --> 00:21:16,440 Speaker 1: and so is the fellow who posted I don't know him. 332 00:21:16,480 --> 00:21:18,880 Speaker 1: He's raw Eggs National I don't know what that means. 333 00:21:18,880 --> 00:21:20,919 Speaker 1: I don't know who he is, could be could be anyone. 334 00:21:21,600 --> 00:21:25,000 Speaker 1: But this idea, well, I'll just lay it out there. 335 00:21:25,000 --> 00:21:26,879 Speaker 1: I'm not one of the men's words. There is this 336 00:21:27,040 --> 00:21:30,600 Speaker 1: idea that there are a bunch of screeching women out 337 00:21:30,640 --> 00:21:34,200 Speaker 1: there who can't be reasoned with, who are voting by 338 00:21:34,240 --> 00:21:37,040 Speaker 1: our calculation. I don't ask you to address politics, but 339 00:21:37,080 --> 00:21:43,160 Speaker 1: by our calculation, they're unreasonable and they're voting we believe wrong. 340 00:21:43,400 --> 00:21:46,000 Speaker 1: You take the woman who at the Phillies game, who's 341 00:21:46,040 --> 00:21:47,960 Speaker 1: come to be known as Phillies' careen, takes the ball 342 00:21:48,000 --> 00:21:50,960 Speaker 1: away from the kid on his birthday, and now everybody 343 00:21:51,000 --> 00:21:54,199 Speaker 1: hates her. You know, there is this idea, and I 344 00:21:54,240 --> 00:21:57,120 Speaker 1: think people are concerned about it. Now. It's mostly coming 345 00:21:57,160 --> 00:22:00,080 Speaker 1: from men. Fairness. We have our own perspective. I have 346 00:22:00,160 --> 00:22:02,880 Speaker 1: a lot of tolerance for the emotional side. But I'm 347 00:22:02,920 --> 00:22:07,919 Speaker 1: curious to know if you think that is affecting writ 348 00:22:08,000 --> 00:22:10,119 Speaker 1: large a lot of women. 349 00:22:13,040 --> 00:22:16,560 Speaker 2: I mean, I mean, I don't think that it's affecting 350 00:22:16,600 --> 00:22:19,360 Speaker 2: a lot of women. I don't know like that. There's 351 00:22:19,960 --> 00:22:22,960 Speaker 2: the use of birth control pills has gone down significantly, 352 00:22:23,960 --> 00:22:26,639 Speaker 2: probably in the last twenty years, because of the same 353 00:22:26,720 --> 00:22:32,960 Speaker 2: fears that have reduced hormone replacement therapy. That what most women, 354 00:22:33,359 --> 00:22:35,680 Speaker 2: after the short periods that they need to use birth 355 00:22:35,680 --> 00:22:38,120 Speaker 2: control pills have actually stopped using them. So I don't 356 00:22:38,119 --> 00:22:40,440 Speaker 2: know that this is some global occurrence, but I don't 357 00:22:40,480 --> 00:22:42,480 Speaker 2: know that I all can really speak to it either. 358 00:22:43,640 --> 00:22:49,159 Speaker 1: Okay, fair enough, did you speak to how long a 359 00:22:49,240 --> 00:22:51,800 Speaker 1: woman should be on this sort of treatment? I mean, 360 00:22:52,440 --> 00:22:56,600 Speaker 1: a woman enters into this paramenopause, where's she's not cycling 361 00:22:56,640 --> 00:23:00,560 Speaker 1: as you say, any longer? And then a woman, Uh, 362 00:23:02,000 --> 00:23:04,800 Speaker 1: I guess you treat this? Is this a treatment for life? 363 00:23:04,920 --> 00:23:07,000 Speaker 1: I mean how long is it reasonable to be on this? 364 00:23:09,080 --> 00:23:12,960 Speaker 2: So it is reasonable to be on this medication indefinitely 365 00:23:14,400 --> 00:23:19,280 Speaker 2: as long as you don't come up against things health 366 00:23:19,320 --> 00:23:23,400 Speaker 2: wise that make you have to stop it. So right now, 367 00:23:23,640 --> 00:23:26,360 Speaker 2: the things that would make you have to stop taking 368 00:23:26,520 --> 00:23:29,679 Speaker 2: hormone replacement therapy is if you have an active breast 369 00:23:29,680 --> 00:23:34,560 Speaker 2: cancer that has receptors for estrogen or progesterone. So women 370 00:23:34,600 --> 00:23:38,960 Speaker 2: who are diagnosed with active breast cancers that have receptors 371 00:23:38,960 --> 00:23:44,280 Speaker 2: for estrogen progesterone, they should not take breath control. Women 372 00:23:44,320 --> 00:23:48,040 Speaker 2: who have active heart disease, meaning they just had a 373 00:23:48,040 --> 00:23:52,280 Speaker 2: heart attack, they just had or just had a stroke 374 00:23:52,600 --> 00:23:55,679 Speaker 2: or a clot of some sort. Those women should have 375 00:23:55,920 --> 00:24:03,879 Speaker 2: should stop their hormone replace and therapy, and so that's 376 00:24:03,920 --> 00:24:06,680 Speaker 2: who and so sometimes we have to stop it those 377 00:24:06,720 --> 00:24:10,040 Speaker 2: women at this time. We can sometimes restart it, but 378 00:24:10,119 --> 00:24:13,600 Speaker 2: that has to be done on an individual basis. It 379 00:24:13,680 --> 00:24:18,080 Speaker 2: is not unreasonable, however, to plan on taking these medications indefinitely. 380 00:24:21,080 --> 00:24:26,440 Speaker 1: And that's okay. It sounds like you're saying that's. 381 00:24:26,240 --> 00:24:31,120 Speaker 2: Okay, Yeah, that's great. I mean, as long as it's 382 00:24:31,160 --> 00:24:34,880 Speaker 2: helping them and protecting their bones and doing their doing 383 00:24:34,880 --> 00:24:37,200 Speaker 2: what it's supposed to be and not hurting them, we 384 00:24:37,760 --> 00:24:39,000 Speaker 2: can stay on it indefinitely. 385 00:24:39,480 --> 00:24:44,400 Speaker 1: So let's talk women's health. Generally for women fifty plus, 386 00:24:44,520 --> 00:24:47,040 Speaker 1: if somebody is under your treatment, then you get an 387 00:24:47,040 --> 00:24:49,159 Speaker 1: opportunity to talk through all of these things. And being 388 00:24:49,200 --> 00:24:51,440 Speaker 1: a concierge doctor, you don't have to see seventy five 389 00:24:51,440 --> 00:24:54,400 Speaker 1: patients today. That's the reason people pay more and pay 390 00:24:54,520 --> 00:24:58,480 Speaker 1: cash outside of insurance for a concierge doctor is to 391 00:24:58,520 --> 00:25:00,480 Speaker 1: be able to sit down and talk to you at length. 392 00:25:00,520 --> 00:25:03,720 Speaker 1: Everybody's been in that doctor's office where he's got you know, 393 00:25:03,760 --> 00:25:05,639 Speaker 1: you waited two hours to get in to see him, 394 00:25:05,640 --> 00:25:08,680 Speaker 1: two hours over the time or her, and then they've 395 00:25:08,680 --> 00:25:10,720 Speaker 1: got thirty seconds for you. They can write your script 396 00:25:10,760 --> 00:25:12,600 Speaker 1: and send you on your way. That's the reason people 397 00:25:12,640 --> 00:25:14,760 Speaker 1: go to concierge doctors because they can sit down and 398 00:25:14,800 --> 00:25:17,439 Speaker 1: talk through Hey, I'm having hot flashes. Hey, this is 399 00:25:17,440 --> 00:25:24,120 Speaker 1: my worry. Let's talk women's health generally, and I want 400 00:25:24,160 --> 00:25:26,400 Speaker 1: to talk. It's going to take me a moment. I'm 401 00:25:26,440 --> 00:25:28,040 Speaker 1: going to have to I'm gonna have to go to 402 00:25:28,480 --> 00:25:31,200 Speaker 1: a break here, but I'll tease the questions to give 403 00:25:31,200 --> 00:25:34,400 Speaker 1: you a moment to think about it. And that is diet. 404 00:25:34,840 --> 00:25:39,520 Speaker 1: I have become mildly obsessed with diet, not in terms 405 00:25:39,560 --> 00:25:42,639 Speaker 1: of the word that we used in the seventies and eighties, 406 00:25:42,680 --> 00:25:47,480 Speaker 1: as in lose weight, eat less, fat free, sugar free, 407 00:25:47,520 --> 00:25:51,280 Speaker 1: whatever that I want to talk about diet. My wife's 408 00:25:51,280 --> 00:25:56,119 Speaker 1: a big believer in this Mediterranean diet and the idea 409 00:25:56,640 --> 00:25:59,840 Speaker 1: that you don't have to eat, you don't have to 410 00:26:01,040 --> 00:26:05,399 Speaker 1: and you don't have to eat tiny amounts, and you 411 00:26:05,440 --> 00:26:08,880 Speaker 1: don't have to eat, you know, products that are tasteless. 412 00:26:08,920 --> 00:26:12,480 Speaker 1: In fact, quite the opposite. You can eat God's bounty 413 00:26:12,520 --> 00:26:14,040 Speaker 1: that he put on this earth for us for a 414 00:26:14,240 --> 00:26:18,800 Speaker 1: natural tasty in some cases high fat, good fat foods, 415 00:26:19,240 --> 00:26:23,080 Speaker 1: and be way healthier than people who constantly say, oh no, no, 416 00:26:23,119 --> 00:26:26,320 Speaker 1: I couldn't eat cake. I'm on a diet, and then 417 00:26:26,359 --> 00:26:29,320 Speaker 1: that self denial leads to them later gorging on four 418 00:26:29,359 --> 00:26:32,200 Speaker 1: pieces of it. When we talk about overall good health, 419 00:26:32,520 --> 00:26:35,119 Speaker 1: it doesn't mean you have to be miserable and in 420 00:26:35,119 --> 00:26:38,240 Speaker 1: a state of constant self denial. I think it's important 421 00:26:38,280 --> 00:26:41,600 Speaker 1: people understand that. We'll continue our conversation with menopause and 422 00:26:41,680 --> 00:26:46,960 Speaker 1: diabetes concierge doctor Anu Anu David hes E one butt 423 00:26:47,000 --> 00:26:49,720 Speaker 1: in tuning all for just four hundred and ninety nine 424 00:26:49,760 --> 00:26:52,560 Speaker 1: dollars right now at wards. If you can find it, 425 00:26:52,680 --> 00:26:55,879 Speaker 1: mit them. Michael Berry with these features for less money 426 00:26:56,320 --> 00:27:01,000 Speaker 1: buy it. Doctor on New Davis is our. She is 427 00:27:01,240 --> 00:27:05,000 Speaker 1: a concierge doctor in Houston who treats my father as 428 00:27:05,040 --> 00:27:07,320 Speaker 1: of the last few months. And may I say masterfully 429 00:27:07,760 --> 00:27:12,440 Speaker 1: she is a diabetes expert. She's a concierge general practitioner 430 00:27:12,480 --> 00:27:15,280 Speaker 1: as well. And if anybody's wondering what that means, I'll 431 00:27:15,280 --> 00:27:18,159 Speaker 1: give you the quick rundown. And that means instead of 432 00:27:18,200 --> 00:27:20,440 Speaker 1: going to a doctor waiting for three hours to see 433 00:27:20,440 --> 00:27:25,240 Speaker 1: them in the waiting room, rushing in, waiting in another room, 434 00:27:25,560 --> 00:27:28,280 Speaker 1: waiting in another room. They come in, Hi, how are you? 435 00:27:28,320 --> 00:27:30,159 Speaker 1: What do you need your script for? They write you 436 00:27:30,160 --> 00:27:32,160 Speaker 1: a script, send you on your way, and you feel like, WHOA, 437 00:27:32,160 --> 00:27:34,120 Speaker 1: I needed to talk to him and you're out the door. 438 00:27:34,160 --> 00:27:36,160 Speaker 1: But the insurance covered it. That was a good thing. 439 00:27:37,160 --> 00:27:40,520 Speaker 1: Conciers doctors are not for the feint of heart. It's 440 00:27:40,560 --> 00:27:42,959 Speaker 1: not cheap, but it's not that much when you consider 441 00:27:43,000 --> 00:27:44,960 Speaker 1: what you get. You have their cell phone. In most cases, 442 00:27:45,000 --> 00:27:47,000 Speaker 1: you can call them all hours a day. Instead of 443 00:27:47,000 --> 00:27:50,000 Speaker 1: seeing seventy five patients in a day, they typically see 444 00:27:50,040 --> 00:27:53,080 Speaker 1: five or six. So you know, she spent an hour 445 00:27:53,080 --> 00:27:54,879 Speaker 1: and a half with my dad at her first meeting. 446 00:27:55,160 --> 00:27:57,880 Speaker 1: I like that. I'm willing to pay for that at 447 00:27:57,880 --> 00:28:00,240 Speaker 1: this point, at eighty five, for him to sit and 448 00:28:00,320 --> 00:28:03,560 Speaker 1: talk through every aspect of his life. That's what a 449 00:28:03,600 --> 00:28:07,120 Speaker 1: conciers doctor is. She does that as your family doctor, 450 00:28:07,119 --> 00:28:10,760 Speaker 1: as your general doctor. She's a diabetes expert, and she's 451 00:28:10,800 --> 00:28:13,200 Speaker 1: a menopause expert. They're all kind of in the same 452 00:28:13,280 --> 00:28:17,719 Speaker 1: field of what's going on with your body. We talked 453 00:28:17,720 --> 00:28:20,359 Speaker 1: a little bit about women's health going in, and I 454 00:28:20,440 --> 00:28:24,560 Speaker 1: posed the question about a proper diet that is also enjoyable, 455 00:28:24,600 --> 00:28:27,119 Speaker 1: because nobody wants to be miserable. Talk about what we 456 00:28:27,160 --> 00:28:29,640 Speaker 1: should and shouldn't be eaten. If we're a sixty. 457 00:28:29,400 --> 00:28:34,320 Speaker 2: Year old woman, well, the main things that we should 458 00:28:34,359 --> 00:28:37,240 Speaker 2: be doing is focusing on strong not skinny. 459 00:28:37,440 --> 00:28:37,640 Speaker 1: Right. 460 00:28:37,760 --> 00:28:41,800 Speaker 2: The goal is to increase protein intake to protect those 461 00:28:41,880 --> 00:28:45,720 Speaker 2: muscles from breakdown, because then the muscles protect the bones. 462 00:28:47,040 --> 00:28:52,360 Speaker 2: So we want to eat lots. We want to focus 463 00:28:52,400 --> 00:28:56,040 Speaker 2: on our protein. We want to focus on fiber and vegetables, 464 00:28:56,360 --> 00:28:59,400 Speaker 2: and we want to avoid foods that are pro inflammatory, 465 00:29:00,040 --> 00:29:07,360 Speaker 2: flammatory foods or things that have artificial dyes and that 466 00:29:07,480 --> 00:29:10,080 Speaker 2: will make us sick. Right, So what we want to 467 00:29:10,120 --> 00:29:12,240 Speaker 2: eat is as much real food as we can eat. 468 00:29:12,440 --> 00:29:18,440 Speaker 2: We want to focus on protein and fiber, and when 469 00:29:18,480 --> 00:29:21,560 Speaker 2: we do that, we become stronger. And that's what I 470 00:29:21,680 --> 00:29:24,760 Speaker 2: try to focus my patients on is just and focus 471 00:29:24,800 --> 00:29:28,080 Speaker 2: myself on, is just, you know, cut cut out the 472 00:29:28,080 --> 00:29:30,480 Speaker 2: stuff that we know we have no business eating anyway, 473 00:29:30,520 --> 00:29:34,320 Speaker 2: and eat more real food. That's step one is just 474 00:29:34,440 --> 00:29:40,600 Speaker 2: eating more real food. So Mediterranean diets are great. I 475 00:29:40,600 --> 00:29:43,160 Speaker 2: think you said that that's what you like to do, 476 00:29:43,440 --> 00:29:47,040 Speaker 2: and that's great, right, lots of lean protein, lots of vegetable, 477 00:29:49,200 --> 00:29:51,360 Speaker 2: but strong, not skinny. That's what I tell people. 478 00:29:52,000 --> 00:29:55,200 Speaker 1: I want to be clear. My wife is an esthetic, 479 00:29:56,400 --> 00:30:00,280 Speaker 1: a health nut, a very disciplined saint. I am not. 480 00:30:00,400 --> 00:30:03,040 Speaker 1: I don't want you get in the impression I eat properly, 481 00:30:03,240 --> 00:30:06,600 Speaker 1: I said, my wife does that? You know my wife, 482 00:30:07,760 --> 00:30:09,880 Speaker 1: she is very disciplined. I am not. 483 00:30:09,960 --> 00:30:10,200 Speaker 2: I don't. 484 00:30:10,200 --> 00:30:11,920 Speaker 1: I don't want to get credit for something I don't deserve. 485 00:30:11,920 --> 00:30:13,080 Speaker 1: But anyway, go ahead. 486 00:30:14,680 --> 00:30:17,320 Speaker 2: Well you know that's that's where our focus should be 487 00:30:17,320 --> 00:30:20,680 Speaker 2: because the nutrition does matter. It makes a huge difference 488 00:30:20,760 --> 00:30:25,160 Speaker 2: in terms of our overall well being and protection of 489 00:30:25,200 --> 00:30:28,240 Speaker 2: our bodies. All right, I want you to think about menopause. 490 00:30:28,400 --> 00:30:32,200 Speaker 1: Okay, good, good, go ahead? God what No, No, I'd. 491 00:30:32,040 --> 00:30:40,200 Speaker 2: Rather you finish the thing about menopause, and that without 492 00:30:40,360 --> 00:30:47,120 Speaker 2: changing anything. When women transition to menopause without changing anything 493 00:30:47,200 --> 00:30:52,160 Speaker 2: in their diet and exercise, their body fat increases by 494 00:30:52,240 --> 00:30:54,920 Speaker 2: ten to fifteen percent. So you're talking about so you 495 00:30:55,040 --> 00:30:58,200 Speaker 2: take someone like your wife, who's healthy and who does 496 00:30:58,240 --> 00:31:02,600 Speaker 2: all the right things, just making that hormone go go 497 00:31:02,840 --> 00:31:08,160 Speaker 2: go away as part of this natural transition. Increases her 498 00:31:08,240 --> 00:31:11,720 Speaker 2: body fat by ten to fifteen percent, She's gonna be mad. 499 00:31:12,320 --> 00:31:15,080 Speaker 2: Let me just tell you, people, get this makes people 500 00:31:15,120 --> 00:31:17,840 Speaker 2: mad when you're doing all the right things and you're 501 00:31:17,880 --> 00:31:21,520 Speaker 2: eating your protein and you do your exercise, and you 502 00:31:21,560 --> 00:31:23,760 Speaker 2: just are gaining weight for no reason. So these are 503 00:31:24,040 --> 00:31:29,080 Speaker 2: healthy women who are functioning and working and doing all 504 00:31:29,120 --> 00:31:32,240 Speaker 2: the things that they're supposed to. When they gain five 505 00:31:32,280 --> 00:31:36,000 Speaker 2: to ten pounds of body fat because their hormones left 506 00:31:36,000 --> 00:31:40,520 Speaker 2: their body, they get mad. So this is I mean 507 00:31:40,800 --> 00:31:43,320 Speaker 2: many times, this is why they show up in my office. Right, 508 00:31:43,400 --> 00:31:48,040 Speaker 2: that's the first reason, because they're like, what do you mean, 509 00:31:48,160 --> 00:31:51,680 Speaker 2: what is happening to my body? I am losing I 510 00:31:51,800 --> 00:31:55,200 Speaker 2: just gained five or ten pounds and for no reason. 511 00:31:56,400 --> 00:31:59,320 Speaker 2: So all those disciplined women, that's when they show up 512 00:31:59,320 --> 00:32:03,040 Speaker 2: to my office because they're mad about this. And we 513 00:32:03,160 --> 00:32:05,800 Speaker 2: do we back up and we replace the hormones. But 514 00:32:05,840 --> 00:32:10,000 Speaker 2: then we make sure the proteins intact and that they're 515 00:32:10,000 --> 00:32:14,320 Speaker 2: feeding their muscles and that they're not doing things to 516 00:32:14,360 --> 00:32:20,480 Speaker 2: cause muscle breakdown, and that their digestive tracts are working 517 00:32:20,480 --> 00:32:22,560 Speaker 2: the way that they're supposed to, and that their guts 518 00:32:22,600 --> 00:32:25,240 Speaker 2: are working the way that they're supposed to. So all 519 00:32:25,320 --> 00:32:28,480 Speaker 2: those things that become part of the menopausal treatment. 520 00:32:28,880 --> 00:32:32,440 Speaker 1: Let's talk about a cross curricular expertise of yours. I'd 521 00:32:32,440 --> 00:32:36,200 Speaker 1: be remiss if I didn't talk about the opposite side 522 00:32:36,200 --> 00:32:39,600 Speaker 1: of my father's situation as a diabetic male eighty five 523 00:32:40,640 --> 00:32:45,000 Speaker 1: a six fifty to seventy year old diabetic female. Are 524 00:32:45,040 --> 00:32:49,000 Speaker 1: the treatments you suggest applying for her going to be 525 00:32:49,040 --> 00:32:50,400 Speaker 1: different if she's diabetic? 526 00:32:53,280 --> 00:32:56,520 Speaker 2: So, I'm sorry, how old did you say? But a 527 00:32:56,600 --> 00:33:00,040 Speaker 2: mana so? Say a woman who has Yeah, who's in 528 00:33:00,120 --> 00:33:04,239 Speaker 2: her forties, who's my patient who has diabetes? Already? It 529 00:33:04,360 --> 00:33:08,960 Speaker 2: becomes much more specific, right, It depends on how long 530 00:33:09,000 --> 00:33:13,200 Speaker 2: she's had diabetes, what complications she has related to her diabetes. 531 00:33:13,720 --> 00:33:17,840 Speaker 2: Where if she is a healthy diabetic who just has diabetes, 532 00:33:17,880 --> 00:33:20,400 Speaker 2: we replace. We would replace her hormones the same way 533 00:33:20,440 --> 00:33:23,960 Speaker 2: that we would replace anybody's hormones. If she has active 534 00:33:24,000 --> 00:33:28,840 Speaker 2: heart disease or has other complications related to her diabetes, 535 00:33:28,880 --> 00:33:35,440 Speaker 2: then it may become more complicated and more nuanced. Interesting, 536 00:33:36,000 --> 00:33:39,560 Speaker 2: But I mean, yeah, I mean it gets so when 537 00:33:39,640 --> 00:33:42,520 Speaker 2: people have other medical problems, then we have to deal 538 00:33:42,840 --> 00:33:46,400 Speaker 2: each of those has to become a thing and come 539 00:33:46,440 --> 00:33:48,600 Speaker 2: into the discussion. 540 00:33:49,240 --> 00:33:50,720 Speaker 1: I never believed my dad, you know. 541 00:33:50,640 --> 00:33:56,440 Speaker 2: With your dad, with your dad, he has type one diabetes, right, 542 00:33:56,520 --> 00:33:58,920 Speaker 2: so he is a very unique person. But you would 543 00:33:58,920 --> 00:34:01,600 Speaker 2: never think to not re place is insulin right like 544 00:34:01,680 --> 00:34:04,440 Speaker 2: he is. He stopped making insulin when he was twenty 545 00:34:04,560 --> 00:34:08,040 Speaker 2: or thirty years old, and you would never not replace 546 00:34:08,080 --> 00:34:08,640 Speaker 2: his insulin. 547 00:34:11,440 --> 00:34:13,640 Speaker 1: I never believed my dad would live to be eighty 548 00:34:13,680 --> 00:34:21,240 Speaker 1: five years old. I am excited and thrilled to see 549 00:34:21,360 --> 00:34:24,480 Speaker 1: how he has been able to enjoy so many years 550 00:34:25,040 --> 00:34:28,480 Speaker 1: because of his own self disciplined, frankly, but because of 551 00:34:28,560 --> 00:34:31,600 Speaker 1: medical advancements. And so I think it's important to remember 552 00:34:31,640 --> 00:34:36,560 Speaker 1: as as rfks in front of the Senate talking about 553 00:34:37,520 --> 00:34:40,200 Speaker 1: you know, I'm an anti vacciner. I don't ask you 554 00:34:40,239 --> 00:34:42,640 Speaker 1: to speak to that, but I'm an anti vacciner. I'm 555 00:34:42,680 --> 00:34:46,120 Speaker 1: an anti big farmer person. I'm an anti a lot 556 00:34:46,160 --> 00:34:50,320 Speaker 1: of the craziness. But there are so many good people 557 00:34:50,400 --> 00:34:53,439 Speaker 1: out there, folks like this woman we're talking to, who 558 00:34:53,480 --> 00:34:57,520 Speaker 1: are passionate about treating you and healing you and helping 559 00:34:57,560 --> 00:35:02,359 Speaker 1: you be happy, who are respectful of your opinions, who 560 00:35:02,440 --> 00:35:06,680 Speaker 1: are respectful of your boundaries, respectful of your choices, whether 561 00:35:06,719 --> 00:35:10,200 Speaker 1: you take the shot or not. That's how medicine should 562 00:35:10,200 --> 00:35:12,880 Speaker 1: be practiced by people who respect you, care about you, 563 00:35:13,400 --> 00:35:16,920 Speaker 1: and are knowledgeable about their subjects. Because remember, the doctor 564 00:35:17,040 --> 00:35:19,239 Speaker 1: is not God, and the doctor is not the god 565 00:35:19,280 --> 00:35:22,560 Speaker 1: of you you are. It is your life and your choices. 566 00:35:23,080 --> 00:35:25,680 Speaker 1: Doctor Anu Davis, thank you so much for being our guest. 567 00:35:25,800 --> 00:35:29,480 Speaker 1: I really really appreciate it. If you like the Michael 568 00:35:29,520 --> 00:35:34,120 Speaker 1: Berry Show and Podcast, please tell one friend, and if 569 00:35:34,160 --> 00:35:40,160 Speaker 1: you're so inclined, write a nice review of our podcast. Comments, suggestions, questions, 570 00:35:40,239 --> 00:35:44,120 Speaker 1: and interest in being a corporate sponsor and partner can 571 00:35:44,160 --> 00:35:47,600 Speaker 1: be communicated directly to the show at our email address, 572 00:35:48,239 --> 00:35:53,160 Speaker 1: Michael at Michael Berryshow dot com, or simply by clicking 573 00:35:53,160 --> 00:35:57,840 Speaker 1: on our website, Michael Berryshow dot com. The Michael Berry 574 00:35:57,840 --> 00:36:02,040 Speaker 1: Show and Podcast is produced by Ramon Roeblis, the King 575 00:36:02,080 --> 00:36:12,200 Speaker 1: of Ding. Executive producer is Chad Nakanishi. Jim Mudd is 576 00:36:12,239 --> 00:36:18,560 Speaker 1: the creative director. Voices Jingles, Tomfoolery and Shenanigans are provided 577 00:36:18,719 --> 00:36:24,160 Speaker 1: by Chance McLean. Director of Research is Sandy Peterson. 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