Full Transcript Intro and HRT context 0:02 working on insulin resistance. We're 0:02 working on insulin resistance. We're working on sleep. Yeah. Or if their 0:04 working on sleep. Yeah. Or if their 0:04 working on sleep. Yeah. Or if their levels are low, or maybe it's we raise 0:06 levels are low, or maybe it's we raise 0:06 levels are low, or maybe it's we raise it from 30 up to 80 and they feel 0:08 it from 30 up to 80 and they feel 0:08 it from 30 up to 80 and they feel horrible. 0:13 >> Seven HRT myths that people still 0:13 >> Seven HRT myths that people still believe. Hi, I'm Dr. Valerie Davidson
Podcast introduction and womenu2019s health background 0:15 believe. Hi, I'm Dr. Valerie Davidson 0:16 believe. Hi, I'm Dr. Valerie Davidson from the Progressive Health Podcast. 0:17 from the Progressive Health Podcast. 0:17 from the Progressive Health Podcast. >> And I'm Dr. Mackie from the Progressive 0:19 >> And I'm Dr. Mackie from the Progressive 0:19 >> And I'm Dr. Mackie from the Progressive Health Podcast. Uh so we've been doing 0:21 Health Podcast. Uh so we've been doing 0:21 Health Podcast. Uh so we've been doing this for over 20 years. The evolution or 0:24 this for over 20 years. The evolution or 0:24 this for over 20 years. The evolution or the progression of HRT and the awareness 0:27 the progression of HRT and the awareness 0:27 the progression of HRT and the awareness is incredible, right? Right. Cuz when we 0:29 is incredible, right? Right. Cuz when we 0:29 is incredible, right? Right. Cuz when we started doing this, everyone was sort of 0:31 started doing this, everyone was sort of 0:31 started doing this, everyone was sort of still in that mindset of anti hormone, 0:33 still in that mindset of anti hormone, 0:33 still in that mindset of anti hormone, but women were sort of desperate. 0:35 but women were sort of desperate. 0:35 but women were sort of desperate. >> Oh, yeah. No, women were neglected. 0:37 >> Oh, yeah. No, women were neglected. 0:38 >> Oh, yeah. No, women were neglected. There's a whole generation of women that 0:39 There's a whole generation of women that 0:39 There's a whole generation of women that were neglected with HRT. In fact, I 0:42 were neglected with HRT. In fact, I 0:42 were neglected with HRT. In fact, I don't want to get on the soap box, but 0:43 don't want to get on the soap box, but 0:43 don't want to get on the soap box, but you know, women's health in general has 0:45 you know, women's health in general has 0:45 you know, women's health in general has always been on the back burner. So, I'm 0:47 always been on the back burner. So, I'm 0:47 always been on the back burner. So, I'm glad that we're actually putting women's 0:48 glad that we're actually putting women's 0:48 glad that we're actually putting women's health up front and center and how 0:50 health up front and center and how 0:50 health up front and center and how different it is from men's health. 0:52 different it is from men's health. 0:52 different it is from men's health. >> Yeah. Well, uh, you know, and not that
Why HRT needs ongoing adjustment 0:54 >> Yeah. Well, uh, you know, and not that 0:54 >> Yeah. Well, uh, you know, and not that it's a bad thing. Women are a lot more 0:56 it's a bad thing. Women are a lot more 0:56 it's a bad thing. Women are a lot more complicated. Um, there's a lot more 0:57 complicated. Um, there's a lot more 0:57 complicated. Um, there's a lot more things that worth it. 0:59 things that worth it. 0:59 things that worth it. >> Of of course, there's a lot more things 1:00 >> Of of course, there's a lot more things 1:00 >> Of of course, there's a lot more things that can go wrong. There's a lot more 1:02 that can go wrong. There's a lot more 1:02 that can go wrong. There's a lot more potential symptoms. Uh you know, and 1:05 potential symptoms. Uh you know, and 1:05 potential symptoms. Uh you know, and uh and men men just don't really care 1:08 uh and men men just don't really care 1:08 uh and men men just don't really care until there's a major problem. But women 1:10 until there's a major problem. But women 1:10 until there's a major problem. But women are always looking for answers, 1:12 are always looking for answers, 1:12 are always looking for answers, solutions. They keep pushing, pushing, 1:14 solutions. They keep pushing, pushing, 1:14 solutions. They keep pushing, pushing, asking, asking. And that's great because 1:16 asking, asking. And that's great because 1:16 asking, asking. And that's great because they have helped this evolution of the 1:18 they have helped this evolution of the 1:18 they have helped this evolution of the of the where HRT is now because now 1:21 of the where HRT is now because now 1:21 of the where HRT is now because now everyone's talking about it. So, which 1:23 everyone's talking about it. So, which 1:23 everyone's talking about it. So, which is why we're going to do this what we 1:24 is why we're going to do this what we 1:24 is why we're going to do this what we think are some of the superficial seven 1:27 think are some of the superficial seven 1:27 think are some of the superficial seven myths and then we'll come up with 1:28 myths and then we'll come up with 1:28 myths and then we'll come up with another seven and another seven and 1:30 another seven and another seven and 1:30 another seven and another seven and another seven. 1:30 another seven. 1:30 another seven. >> Oh. Oh, yeah. There's way more than 1:32 >> Oh. Oh, yeah. There's way more than 1:32 >> Oh. Oh, yeah. There's way more than seven myths and I'm sure after we go 1:34 seven myths and I'm sure after we go 1:34 seven myths and I'm sure after we go through this, if any of you have your 1:36 through this, if any of you have your 1:36 through this, if any of you have your own or you've experienced it, please put 1:38 own or you've experienced it, please put 1:38 own or you've experienced it, please put it in the comments. I'd love to hear. 1:40 it in the comments. I'd love to hear. 1:40 it in the comments. I'd love to hear. So, the first myth is once I find my 1:43 So, the first myth is once I find my 1:43 So, the first myth is once I find my hormone dose, it should never change. 1:46 hormone dose, it should never change. 1:46 hormone dose, it should never change. >> Uh yeah. Uh, I mean, usually you have a 1:49 >> Uh yeah. Uh, I mean, usually you have a 1:49 >> Uh yeah. Uh, I mean, usually you have a starting dose and then it sort of 1:51 starting dose and then it sort of 1:51 starting dose and then it sort of changes from there. Um, it's usually 1:54 changes from there. Um, it's usually 1:54 changes from there. Um, it's usually never meant to be a, you know, one dose 1:56 never meant to be a, you know, one dose 1:56 never meant to be a, you know, one dose and you're on that forever. 1:57 and you're on that forever. 1:57 and you're on that forever. >> Well, I tell patients all the time 1:59 >> Well, I tell patients all the time 1:59 >> Well, I tell patients all the time because I did have one patient say, "Oh, 2:00 because I did have one patient say, "Oh, 2:00 because I did have one patient say, "Oh, I kind of feel like a guinea pig." And 2:02 I kind of feel like a guinea pig." And 2:02 I kind of feel like a guinea pig." And I'm like, "Well, you're the reason your 2:04 I'm like, "Well, you're the reason your 2:04 I'm like, "Well, you're the reason your dose is changing, I mean, it doesn't 2:06 dose is changing, I mean, it doesn't 2:06 dose is changing, I mean, it doesn't change every day, but the reason we 2:08 change every day, but the reason we 2:08 change every day, but the reason we change your dose every so often is 2:10 change your dose every so often is 2:10 change your dose every so often is because you're changing, right? your age 2:12 because you're changing, right? your age 2:12 because you're changing, right? your age is changing, your life is changing, your 2:14 is changing, your life is changing, your 2:14 is changing, your life is changing, your stress is changing, our environment is 2:16 stress is changing, our environment is 2:16 stress is changing, our environment is changing. So, as we're, you know, as 2:19 changing. So, as we're, you know, as 2:19 changing. So, as we're, you know, as we're looking at the whole picture, 2:21 we're looking at the whole picture, 2:21 we're looking at the whole picture, we're not just looking at blood work or, 2:23 we're not just looking at blood work or, 2:23 we're not just looking at blood work or, you know, here's your estrogen, 2:24 you know, here's your estrogen, 2:24 you know, here's your estrogen, progesterone, you know, go on your way.
Myth 2: normal blood work means perfect dosing 2:26 progesterone, you know, go on your way. 2:26 progesterone, you know, go on your way. I'll see you in a couple of years or 2:27 I'll see you in a couple of years or 2:27 I'll see you in a couple of years or that's just it. We're looking at how are 2:29 that's just it. We're looking at how are 2:29 that's just it. We're looking at how are your sleeping, how are your libido, did 2:31 your sleeping, how are your libido, did 2:31 your sleeping, how are your libido, did you go through a divorce, are you dating 2:33 you go through a divorce, are you dating 2:33 you go through a divorce, are you dating again? You know, there's so many 2:34 again? You know, there's so many 2:34 again? You know, there's so many different nuances to life that affect 2:36 different nuances to life that affect 2:36 different nuances to life that affect our cortisol, that affect our adrenal 2:38 our cortisol, that affect our adrenal 2:38 our cortisol, that affect our adrenal glands, that affect our thyroid, and can 2:40 glands, that affect our thyroid, and can 2:40 glands, that affect our thyroid, and can affect the way we respond to our 2:41 affect the way we respond to our 2:42 affect the way we respond to our hormones and how we want to change up 2:43 hormones and how we want to change up 2:43 hormones and how we want to change up those doses. 2:44 those doses. 2:44 those doses. >> Yeah. Yeah. So, usually I don't know, we 2:47 >> Yeah. Yeah. So, usually I don't know, we 2:47 >> Yeah. Yeah. So, usually I don't know, we don't usually put anybody on one dose 2:48 don't usually put anybody on one dose 2:48 don't usually put anybody on one dose and they're on it forever. Usually, you 2:50 and they're on it forever. Usually, you 2:50 and they're on it forever. Usually, you start someone somewhere and then it 2:52 start someone somewhere and then it 2:52 start someone somewhere and then it progresses from there. 2:53 progresses from there. 2:53 progresses from there. >> Exactly. Because we want to optimize the 2:55 >> Exactly. Because we want to optimize the 2:55 >> Exactly. Because we want to optimize the thing with HRT. Of course, we're looking 2:57 thing with HRT. Of course, we're looking 2:57 thing with HRT. Of course, we're looking at long-term health, but we also want to 2:59 at long-term health, but we also want to 2:59 at long-term health, but we also want to optimize, you know, our longevity, our 3:02 optimize, you know, our longevity, our 3:02 optimize, you know, our longevity, our health, avoid chronic disease, and feel 3:05 health, avoid chronic disease, and feel 3:05 health, avoid chronic disease, and feel really good in the moment. 3:06 really good in the moment. 3:06 really good in the moment. >> Yeah. Uh, yeah. So, let's go on to myth 3:09 >> Yeah. Uh, yeah. So, let's go on to myth 3:09 >> Yeah. Uh, yeah. So, let's go on to myth number two. 3:09 number two. 3:09 number two. >> If my blood work is normal, my hormone 3:12 >> If my blood work is normal, my hormone 3:12 >> If my blood work is normal, my hormone dose is perfect. 3:14 dose is perfect. 3:14 dose is perfect. >> Yeah. Myth. Yeah. 3:16 >> Yeah. Myth. Yeah. 3:16 >> Yeah. Myth. Yeah. >> Total myth. 3:17 >> Total myth. 3:17 >> Total myth. >> Yeah. Is you can't really you can't 3:19 >> Yeah. Is you can't really you can't 3:19 >> Yeah. Is you can't really you can't really tell a lot about how a woman's 3:22 really tell a lot about how a woman's 3:22 really tell a lot about how a woman's feeling based on her hormonal blood 3:24 feeling based on her hormonal blood 3:24 feeling based on her hormonal blood work. It's just a snapshot of your day 3:27 work. It's just a snapshot of your day 3:27 work. It's just a snapshot of your day if you're doing blood work, right? It's 3:28 if you're doing blood work, right? It's 3:28 if you're doing blood work, right? It's just a sha snapshot of your life, but it 3:30 just a sha snapshot of your life, but it 3:30 just a sha snapshot of your life, but it gives you insight. We want to take that 3:32 gives you insight. We want to take that 3:32 gives you insight. We want to take that objective data and pair it with your 3:34 objective data and pair it with your 3:34 objective data and pair it with your symptoms to say, "Okay, look, your 3:36 symptoms to say, "Okay, look, your 3:36 symptoms to say, "Okay, look, your estrogen level might be, you know, at 3:39 estrogen level might be, you know, at 3:39 estrogen level might be, you know, at 30. Are you having symptoms of low 3:41 30. Are you having symptoms of low 3:41 30. Are you having symptoms of low estrogen?" Now, if they're having 3:43 estrogen?" Now, if they're having 3:43 estrogen?" Now, if they're having symptoms of low estrogen, but their 3:44 symptoms of low estrogen, but their 3:44 symptoms of low estrogen, but their their estradiol level is 230, we might 3:47 their estradiol level is 230, we might 3:47 their estradiol level is 230, we might say, "Okay, well, let's tease this apart 3:49 say, "Okay, well, let's tease this apart 3:49 say, "Okay, well, let's tease this apart a bit." It's just something that you go 3:51 a bit." It's just something that you go 3:51 a bit." It's just something that you go in tandem. And I do feel like blood work 3:53 in tandem. And I do feel like blood work 3:53 in tandem. And I do feel like blood work is really great to do because when 3:55 is really great to do because when 3:55 is really great to do because when you're doing like for example 3:56 you're doing like for example 3:56 you're doing like for example cholesterol when women go through 3:58 cholesterol when women go through 3:58 cholesterol when women go through menopause and that estrogen drops their 4:00 menopause and that estrogen drops their 4:00 menopause and that estrogen drops their LDL cholesterol goes up. I used to be 4:02 LDL cholesterol goes up. I used to be 4:02 LDL cholesterol goes up. I used to be baffled by that in the early 2000s like 4:04 baffled by that in the early 2000s like 4:04 baffled by that in the early 2000s like oh maybe genetics is creeping in when we 4:06 oh maybe genetics is creeping in when we 4:06 oh maybe genetics is creeping in when we hit menopause. But no it was really 4:08 hit menopause. But no it was really 4:08 hit menopause. But no it was really because when estrogen drops your LDL 4:10 because when estrogen drops your LDL 4:10 because when estrogen drops your LDL cholesterol goes up. So different 4:11 cholesterol goes up. So different 4:11 cholesterol goes up. So different factors happen. So you want to have that 4:13 factors happen. So you want to have that 4:13 factors happen. So you want to have that aspect. And what I love with women when 4:15 aspect. And what I love with women when 4:15 aspect. And what I love with women when we're doing HRT is they're feeling good. 4:18 we're doing HRT is they're feeling good. 4:18 we're doing HRT is they're feeling good. And then I'll show them, hey look, your 4:20 And then I'll show them, hey look, your 4:20 And then I'll show them, hey look, your LDL cholesterol came down and they 4:22 LDL cholesterol came down and they 4:22 LDL cholesterol came down and they didn't change anything. Or, oh, look, 4:23 didn't change anything. Or, oh, look, 4:23 didn't change anything. Or, oh, look, you reduced your hemoglobin A1C because 4:25 you reduced your hemoglobin A1C because 4:25 you reduced your hemoglobin A1C because you were feeling better, you're sleeping 4:26 you were feeling better, you're sleeping 4:26 you were feeling better, you're sleeping better, you're exercising now. So 4:28 better, you're exercising now. So 4:28 better, you're exercising now. So there's, you know, there I do feel like 4:30 there's, you know, there I do feel like 4:30 there's, you know, there I do feel like the blood work does give some validation 4:32 the blood work does give some validation 4:32 the blood work does give some validation and it can give some people some hope 4:33 and it can give some people some hope 4:33 and it can give some people some hope and it can also tell people, hey, 4:35 and it can also tell people, hey, 4:35 and it can also tell people, hey, listen, there's some changes we need to 4:37 listen, there's some changes we need to 4:37 listen, there's some changes we need to make. 4:37 make. 4:37 make. >> Absolutely. 4:38 >> Absolutely. 4:38 >> Absolutely. >> So it's important, but it is not the 4:40 >> So it's important, but it is not the 4:40 >> So it's important, but it is not the only thing, 4:41 only thing, 4:41 only thing, >> right? Our rule has always been or the 4:42 >> right? Our rule has always been or the 4:42 >> right? Our rule has always been or the way we approach things you treat the 4:44 way we approach things you treat the 4:44 way we approach things you treat the patient first and then you look at blood 4:47 patient first and then you look at blood 4:47 patient first and then you look at blood work or like you said in conjunction but 4:49 work or like you said in conjunction but 4:49 work or like you said in conjunction but you you know honestly with HRT 4:51 you you know honestly with HRT 4:51 you you know honestly with HRT especially so much of it is based on the 4:53 especially so much of it is based on the 4:53 especially so much of it is based on the subjective and how they feel uh and then 4:56 subjective and how they feel uh and then 4:56 subjective and how they feel uh and then you look at some numbers because like I 4:58 you look at some numbers because like I 4:58 you look at some numbers because like I said those you know questions if a 5:00 said those you know questions if a 5:00 said those you know questions if a woman's number uh estradial number is on 5:02 woman's number uh estradial number is on 5:02 woman's number uh estradial number is on the lower end but she's feeling fine 5:04 the lower end but she's feeling fine 5:04 the lower end but she's feeling fine okay great but if she's still feeling 5:06 okay great but if she's still feeling 5:06 okay great but if she's still feeling fine but her number like you say is 230 5:08 fine but her number like you say is 230 5:08 fine but her number like you say is 230 well we might need to make an
Myth 3: HRT should be based only on symptoms 5:09 well we might need to make an 5:09 well we might need to make an adjustment. 5:10 adjustment. 5:10 adjustment. >> Yeah. or if their levels are low or 5:12 >> Yeah. or if their levels are low or 5:12 >> Yeah. or if their levels are low or maybe it's we raise it from 30 up to 80 5:14 maybe it's we raise it from 30 up to 80 5:14 maybe it's we raise it from 30 up to 80 and they feel horrible and you know we 5:16 and they feel horrible and you know we 5:16 and they feel horrible and you know we want to look at that. So it's just just 5:18 want to look at that. So it's just just 5:18 want to look at that. So it's just just a little bit of data and it's also when 5:20 a little bit of data and it's also when 5:20 a little bit of data and it's also when you're looking at the data for example 5:23 you're looking at the data for example 5:23 you're looking at the data for example we might have them on a certain dose 5:25 we might have them on a certain dose 5:25 we might have them on a certain dose because they're we're working on insulin 5:27 because they're we're working on insulin 5:27 because they're we're working on insulin resistance we're working on sleep we're 5:29 resistance we're working on sleep we're 5:29 resistance we're working on sleep we're working on and then later we might 5:31 working on and then later we might 5:31 working on and then later we might change that dose because we're working 5:32 change that dose because we're working 5:32 change that dose because we're working more on bone density we're realizing we 5:34 more on bone density we're realizing we 5:34 more on bone density we're realizing we know this is this is a factor we want to 5:36 know this is this is a factor we want to 5:36 know this is this is a factor we want to really tackle a little harder than we 5:37 really tackle a little harder than we 5:37 really tackle a little harder than we did a few years before. So everything's 5:39 did a few years before. So everything's 5:39 did a few years before. So everything's always so your doses can change and even 5:42 always so your doses can change and even 5:42 always so your doses can change and even if your blood work says oh those levels 5:44 if your blood work says oh those levels 5:44 if your blood work says oh those levels look good they might not be good for you 5:47 look good they might not be good for you 5:47 look good they might not be good for you >> right? 5:47 >> right? 5:47 >> right? >> So myth number three is H oh this 5:51 >> So myth number three is H oh this 5:51 >> So myth number three is H oh this actually leads to myth number myth 5:52 actually leads to myth number myth 5:52 actually leads to myth number myth number two leads to myth number three 5:54 number two leads to myth number three 5:54 number two leads to myth number three which is HRT should be based only on 5:57 which is HRT should be based only on 5:57 which is HRT should be based only on symptoms alone. 5:58 symptoms alone. 5:58 symptoms alone. >> Well I sort of said I sort of agree with 6:00 >> Well I sort of said I sort of agree with 6:00 >> Well I sort of said I sort of agree with that a little bit. It should be based on 6:02 that a little bit. It should be based on 6:02 that a little bit. It should be based on symptoms. Yes. Because you treat the 6:04 symptoms. Yes. Because you treat the 6:04 symptoms. Yes. Because you treat the patient not the lab test. Uh you know 6:06 patient not the lab test. Uh you know 6:06 patient not the lab test. Uh you know lab tests are not real. They're just 6:08 lab tests are not real. They're just 6:08 lab tests are not real. They're just numbers on a piece of paper. Um like you 6:10 numbers on a piece of paper. Um like you 6:10 numbers on a piece of paper. Um like you said, they are used as guides to make 6:12 said, they are used as guides to make 6:12 said, they are used as guides to make clinical decision. Um and you have to 6:15 clinical decision. Um and you have to 6:15 clinical decision. Um and you have to decide if that's the right decision to 6:17 decide if that's the right decision to 6:17 decide if that's the right decision to make based on those numbers. But the 6:19 make based on those numbers. But the 6:19 make based on those numbers. But the patient and what they're experiencing 6:21 patient and what they're experiencing 6:21 patient and what they're experiencing and their subjective response is what 6:23 and their subjective response is what 6:23 and their subjective response is what you should, you know, what I think you 6:25 you should, you know, what I think you 6:25 you should, you know, what I think you should go by first. 6:26 should go by first. 6:26 should go by first. >> Absolutely. Symptoms first. So you 6:27 >> Absolutely. Symptoms first. So you 6:28 >> Absolutely. Symptoms first. So you that's why whenever you see a patient 6:29 that's why whenever you see a patient 6:29 that's why whenever you see a patient you get in their intake you ask them all 6:31 you get in their intake you ask them all 6:31 you get in their intake you ask them all the questions and then you keep going 6:34 the questions and then you keep going 6:34 the questions and then you keep going and then that blood work or any kind of 6:36 and then that blood work or any kind of 6:36 and then that blood work or any kind of laboratory findings would be kind of 6:39 laboratory findings would be kind of 6:39 laboratory findings would be kind of adjunct to help build the picture 6:40 adjunct to help build the picture 6:40 adjunct to help build the picture because somebody might be saying I'm so 6:42 because somebody might be saying I'm so 6:42 because somebody might be saying I'm so tired I feel like I need to raise my 6:43 tired I feel like I need to raise my 6:43 tired I feel like I need to raise my estrogen I'm so tired turns out their 6:45 estrogen I'm so tired turns out their 6:45 estrogen I'm so tired turns out their feritin's low I I see a lot of women 6:47 feritin's low I I see a lot of women 6:47 feritin's low I I see a lot of women where it runs in families where even if 6:49 where it runs in families where even if 6:49 where it runs in families where even if you're not menrating their feritin tends 6:51 you're not menrating their feritin tends 6:51 you're not menrating their feritin tends to run low which feritin is on one side 6:54 to run low which feritin is on one side 6:54 to run low which feritin is on one side an inflammatory marker on another side 6:56 an inflammatory marker on another side 6:56 an inflammatory marker on another side it's looking at your iron iron store. So 6:58 it's looking at your iron iron store. So 6:58 it's looking at your iron iron store. So you can have low feritin, perfect 6:59 you can have low feritin, perfect 6:59 you can have low feritin, perfect hemoglobin, hematocr, but still have 7:01 hemoglobin, hematocr, but still have 7:01 hemoglobin, hematocr, but still have symptoms like an iron deficiency anemia 7:03 symptoms like an iron deficiency anemia 7:03 symptoms like an iron deficiency anemia or a secondary iron deficiency anemia. 7:05 or a secondary iron deficiency anemia. 7:05 or a secondary iron deficiency anemia. Maybe it's their thyroid. So let's make 7:07 Maybe it's their thyroid. So let's make 7:07 Maybe it's their thyroid. So let's make sure their thyroid is not too high or 7:09 sure their thyroid is not too high or 7:09 sure their thyroid is not too high or it's not too low. So there's other 7:10 it's not too low. So there's other 7:10 it's not too low. So there's other aspects that you want to make sure 7:12 aspects that you want to make sure 7:12 aspects that you want to make sure you're, you know, kind of going into. 7:14 you're, you know, kind of going into. 7:14 you're, you know, kind of going into. And also you're not neglecting and just 7:16 And also you're not neglecting and just 7:16 And also you're not neglecting and just like focusing on the hormones. There 7:17 like focusing on the hormones. There 7:17 like focusing on the hormones. There could be something else that we want to 7:18 could be something else that we want to 7:18 could be something else that we want to look at like autoimmune components. We 7:20 look at like autoimmune components. We 7:20 look at like autoimmune components. We might want to run an ANA if things 7:22 might want to run an ANA if things 7:22 might want to run an ANA if things aren't improving because maybe it's not 7:24 aren't improving because maybe it's not 7:24 aren't improving because maybe it's not just about the hormones. So symptoms are
Myth 4: hot flashes are the only menopause symptom 7:26 just about the hormones. So symptoms are 7:26 just about the hormones. So symptoms are important, but I think we want to look 7:28 important, but I think we want to look 7:28 important, but I think we want to look at the big picture. 7:29 at the big picture. 7:29 at the big picture. >> Absolutely. 7:30 >> Absolutely. 7:30 >> Absolutely. >> So myth number four is, and this was 7:33 >> So myth number four is, and this was 7:33 >> So myth number four is, and this was more back in the 2000s, um even like 7:35 more back in the 2000s, um even like 7:35 more back in the 2000s, um even like probably the '9s, too, is if my hot 7:37 probably the '9s, too, is if my hot 7:37 probably the '9s, too, is if my hot flashes are gone, my hormones must be 7:39 flashes are gone, my hormones must be 7:39 flashes are gone, my hormones must be perfect. 7:40 perfect. 7:40 perfect. >> Yeah, there I will say there is quite a 7:42 >> Yeah, there I will say there is quite a 7:42 >> Yeah, there I will say there is quite a bit of a transition on what brought 7:45 bit of a transition on what brought 7:45 bit of a transition on what brought women into the clinic or into the 7:47 women into the clinic or into the 7:47 women into the clinic or into the office. In the back then in the you 7:49 office. In the back then in the you 7:49 office. In the back then in the you know, early 2000s, it was hot flashes, 7:52 know, early 2000s, it was hot flashes, 7:52 know, early 2000s, it was hot flashes, night sweats, and insomnia. You know, 7:54 night sweats, and insomnia. You know, 7:54 night sweats, and insomnia. You know, the the AC is because we are in the 7:56 the the AC is because we are in the 7:56 the the AC is because we are in the southwest at Southwest at the time, so 7:58 southwest at Southwest at the time, so 7:58 southwest at Southwest at the time, so it's blazing hot and women are 8:01 it's blazing hot and women are 8:01 it's blazing hot and women are miserable. The house is like a meat 8:03 miserable. The house is like a meat 8:03 miserable. The house is like a meat locker. Everyone else is freezing. Uh, 8:06 locker. Everyone else is freezing. Uh, 8:06 locker. Everyone else is freezing. Uh, you know, okay. Yeah, she's in 8:07 you know, okay. Yeah, she's in 8:07 you know, okay. Yeah, she's in menopause. So, that's an easy problem to 8:09 menopause. So, that's an easy problem to 8:09 menopause. So, that's an easy problem to solve. Give them a little bit of, you 8:10 solve. Give them a little bit of, you 8:10 solve. Give them a little bit of, you know, bias or a little estrogen cream. 8:12 know, bias or a little estrogen cream. 8:12 know, bias or a little estrogen cream. Um, that's an easy problem. Now, it 8:14 Um, that's an easy problem. Now, it 8:14 Um, that's an easy problem. Now, it seems like women are, you know, they're 8:16 seems like women are, you know, they're 8:16 seems like women are, you know, they're they're well aware that that's 8:18 they're well aware that that's 8:18 they're well aware that that's menopause. And now they're, you know, 8:20 menopause. And now they're, you know, 8:20 menopause. And now they're, you know, looking at all the other things that 8:22 looking at all the other things that 8:22 looking at all the other things that menopause can do to a woman. 8:23 menopause can do to a woman. 8:23 menopause can do to a woman. >> Yeah. Cuz I remember when I was very a 8:26 >> Yeah. Cuz I remember when I was very a 8:26 >> Yeah. Cuz I remember when I was very a lot younger in my 30s in 2004 and I had 8:29 lot younger in my 30s in 2004 and I had 8:29 lot younger in my 30s in 2004 and I had patients that would come and see me. 8:31 patients that would come and see me. 8:31 patients that would come and see me. Brandon, I was still in I was in 8:32 Brandon, I was still in I was in 8:32 Brandon, I was still in I was in pmenopause, not in menopause. But I kn 8:35 pmenopause, not in menopause. But I kn 8:35 pmenopause, not in menopause. But I kn they would come in and say they're 8:36 they would come in and say they're 8:36 they would come in and say they're having 8:36 having 8:36 having >> You weren't in per menopause in your 8:37 >> You weren't in per menopause in your 8:38 >> You weren't in per menopause in your >> That was more my late 30s. But when I 8:40 >> That was more my late 30s. But when I 8:40 >> That was more my late 30s. But when I had um patients that would come in and 8:42 had um patients that would come in and 8:42 had um patients that would come in and sit across from me, they'd talk about 8:43 sit across from me, they'd talk about 8:43 sit across from me, they'd talk about their hot flashes and their night sweats 8:45 their hot flashes and their night sweats 8:45 their hot flashes and their night sweats and then their eyes would get kind of 8:47 and then their eyes would get kind of 8:47 and then their eyes would get kind of bigger as I'm saying, "Well, what about 8:49 bigger as I'm saying, "Well, what about 8:49 bigger as I'm saying, "Well, what about brain fog? Are you getting headaches? 8:51 brain fog? Are you getting headaches? 8:51 brain fog? Are you getting headaches? You know, how, you know, are you are you 8:52 You know, how, you know, are you are you 8:52 You know, how, you know, are you are you feeling kind of like achy, but it's you 8:54 feeling kind of like achy, but it's you 8:54 feeling kind of like achy, but it's you can't really pinpoint which joint it is? 8:56 can't really pinpoint which joint it is? 8:56 can't really pinpoint which joint it is? Are are you feeling booty or forgetful? 8:59 Are are you feeling booty or forgetful? 9:00 Are are you feeling booty or forgetful? How's your libido?" we talk about 9:01 How's your libido?" we talk about 9:01 How's your libido?" we talk about vaginal dryness. Are you having pain 9:03 vaginal dryness. Are you having pain 9:03 vaginal dryness. Are you having pain with intercourse? Do you even want to 9:04 with intercourse? Do you even want to 9:04 with intercourse? Do you even want to have intercourse? And they'd be like, 9:06 have intercourse? And they'd be like, 9:06 have intercourse? And they'd be like, that's that's part of the hormones. I'm 9:08 that's that's part of the hormones. I'm 9:08 that's that's part of the hormones. I'm like, oh yeah, mental energy, that 9:11 like, oh yeah, mental energy, that 9:11 like, oh yeah, mental energy, that clarity, that is all part of the 9:13 clarity, that is all part of the 9:13 clarity, that is all part of the hormones because the hormones affect us 9:14 hormones because the hormones affect us 9:14 hormones because the hormones affect us entirely, not just our thermostat. So, 9:17 entirely, not just our thermostat. So, 9:17 entirely, not just our thermostat. So, of course, the hot flashes and the night 9:18 of course, the hot flashes and the night 9:18 of course, the hot flashes and the night sweats, everyone knows my mom's going 9:20 sweats, everyone knows my mom's going 9:20 sweats, everyone knows my mom's going through the menopause cuz they're on hot 9:22 through the menopause cuz they're on hot 9:22 through the menopause cuz they're on hot flashes, but there's so much so much 9:24 flashes, but there's so much so much 9:24 flashes, but there's so much so much more to that. So, that's where we want 9:26 more to that. So, that's where we want 9:26 more to that. So, that's where we want to look at. Yeah. whole encompassing and 9:29 to look at. Yeah. whole encompassing and 9:29 to look at. Yeah. whole encompassing and that's what I love about now you know 9:30 that's what I love about now you know 9:30 that's what I love about now you know here what is it 2026 that women are 9:32 here what is it 2026 that women are 9:32 here what is it 2026 that women are saying hey my hormones are related to my 9:35 saying hey my hormones are related to my 9:35 saying hey my hormones are related to my mood my hormones are related to my joint 9:37 mood my hormones are related to my joint 9:37 mood my hormones are related to my joint pain so it's nice to see that you know 9:39 pain so it's nice to see that you know 9:39 pain so it's nice to see that you know the eclectic mix of symptoms that go 9:41 the eclectic mix of symptoms that go 9:41 the eclectic mix of symptoms that go with the HRT and the hormones 9:43 with the HRT and the hormones 9:43 with the HRT and the hormones >> yeah well you know it's really 9:44 >> yeah well you know it's really 9:44 >> yeah well you know it's really interesting if you took a man's 9:45 interesting if you took a man's 9:45 interesting if you took a man's testosterone from let's say a good 9:47 testosterone from let's say a good 9:47 testosterone from let's say a good number 700 750 9:50 number 700 750 9:50 number 700 750 down to you know andropause numbers 9:52 down to you know andropause numbers 9:52 down to you know andropause numbers where their number is 150 you know uh of 9:56 where their number is 150 you know uh of 9:56 where their number is 150 you know uh of course that man's going to feel quite a 9:58 course that man's going to feel quite a 9:58 course that man's going to feel quite a bit different in every aspect of his 10:01 bit different in every aspect of his 10:01 bit different in every aspect of his life. Um, how can we think that that 10:03 life. Um, how can we think that that 10:03 life. Um, how can we think that that would not be possible for a woman? I 10:05 would not be possible for a woman? I 10:05 would not be possible for a woman? I mean, the the ignorance there is sort of 10:08 mean, the the ignorance there is sort of 10:08 mean, the the ignorance there is sort of laughable that it's taken until this 10:10 laughable that it's taken until this 10:10 laughable that it's taken until this time in 2026 for that realization to be 10:13 time in 2026 for that realization to be 10:13 time in 2026 for that realization to be like, uh, hormones have a huge impact 10:15 like, uh, hormones have a huge impact 10:15 like, uh, hormones have a huge impact how we look and feel. Um, I mean, it 10:18 how we look and feel. Um, I mean, it 10:18 how we look and feel. Um, I mean, it just sort of seems obvious. 10:19 just sort of seems obvious. 10:19 just sort of seems obvious. >> Yeah. Not to mention, you know, our 10:21 >> Yeah. Not to mention, you know, our 10:21 >> Yeah. Not to mention, you know, our longevity and our health 15, 20 years 10:24 longevity and our health 15, 20 years 10:24 longevity and our health 15, 20 years down the road, right? So, oh, and this 10:26 down the road, right? So, oh, and this 10:26 down the road, right? So, oh, and this is myth number five. HRT hormones cause
Myth 5: HRT causes cancer 10:30 is myth number five. HRT hormones cause 10:30 is myth number five. HRT hormones cause cancer. 10:33 cancer. 10:33 cancer. >> Well, that's got a double-edged question 10:35 >> Well, that's got a double-edged question 10:35 >> Well, that's got a double-edged question to it. Um, yes and no. Now, uterine 10:39 to it. Um, yes and no. Now, uterine 10:39 to it. Um, yes and no. Now, uterine cancer is the one that every 10:40 cancer is the one that every 10:40 cancer is the one that every practitioner is trying to prevent. We 10:42 practitioner is trying to prevent. We 10:42 practitioner is trying to prevent. We don't want Now, granted, the good thing 10:43 don't want Now, granted, the good thing 10:43 don't want Now, granted, the good thing about uterine cancer is that it's a not 10:46 about uterine cancer is that it's a not 10:46 about uterine cancer is that it's a not aggressive. It's a slow growing, at 10:48 aggressive. It's a slow growing, at 10:48 aggressive. It's a slow growing, at least in general, if it's hormone 10:51 least in general, if it's hormone 10:51 least in general, if it's hormone induced, you know. Um so every 10:53 induced, you know. Um so every 10:53 induced, you know. Um so every practitioner is trying to guard against 10:55 practitioner is trying to guard against 10:55 practitioner is trying to guard against that or protect their patients from 10:56 that or protect their patients from 10:56 that or protect their patients from that. So that's the one caveat when you 10:59 that. So that's the one caveat when you 10:59 that. So that's the one caveat when you say that you know hormones cause cancer. 11:01 say that you know hormones cause cancer. 11:02 say that you know hormones cause cancer. It could. Okay. That's why the rule is 11:03 It could. Okay. That's why the rule is 11:04 It could. Okay. That's why the rule is you never give a woman unopposed 11:05 you never give a woman unopposed 11:05 you never give a woman unopposed estrogen. So 11:06 estrogen. So 11:06 estrogen. So >> if they have a if they have a uterus 11:08 >> if they have a if they have a uterus 11:08 >> if they have a if they have a uterus >> have a uterus they have to have 11:09 >> have a uterus they have to have 11:09 >> have a uterus they have to have progesterone to offset or to protect 11:11 progesterone to offset or to protect 11:11 progesterone to offset or to protect against the stimulation of the estrogen. 11:15 against the stimulation of the estrogen. 11:15 against the stimulation of the estrogen. But breast cancer is the one that 11:16 But breast cancer is the one that 11:16 But breast cancer is the one that everyone's really concerned about. And 11:17 everyone's really concerned about. And 11:17 everyone's really concerned about. And that's just not true. 11:19 that's just not true. 11:19 that's just not true. >> No. And that that's why now it's really 11:20 >> No. And that that's why now it's really 11:20 >> No. And that that's why now it's really nice because they took that black box 11:22 nice because they took that black box 11:22 nice because they took that black box warning off of HRT that you know 11:25 warning off of HRT that you know 11:25 warning off of HRT that you know hormones don't cause cancer. But I 11:27 hormones don't cause cancer. But I 11:27 hormones don't cause cancer. But I remember back in the day you know people 11:29 remember back in the day you know people 11:29 remember back in the day you know people were not happy with me putting women on 11:32 were not happy with me putting women on 11:32 were not happy with me putting women on HRT you know and you know anywhere 11:34 HRT you know and you know anywhere 11:34 HRT you know and you know anywhere honestly from 2000 when I started in 11:36 honestly from 2000 when I started in 11:36 honestly from 2000 when I started in 2004 to probably even 2016 11:41 2004 to probably even 2016 11:41 2004 to probably even 2016 when things kind of softened up. Not 11:43 when things kind of softened up. Not 11:43 when things kind of softened up. Not even that long ago, 11:44 even that long ago, 11:44 even that long ago, >> that long ago when there was a little 11:46 >> that long ago when there was a little 11:46 >> that long ago when there was a little bit more awareness and softening of that 11:48 bit more awareness and softening of that 11:48 bit more awareness and softening of that HRT picture like they were like no G 11:51 HRT picture like they were like no G 11:51 HRT picture like they were like no G there were breast specialists especially 11:53 there were breast specialists especially 11:54 there were breast specialists especially would be like oh that's going to give 11:55 would be like oh that's going to give 11:55 would be like oh that's going to give you cancer that's going to give you 11:56 you cancer that's going to give you 11:56 you cancer that's going to give you cancer and it just really it really you 11:59 cancer and it just really it really you 11:59 cancer and it just really it really you know like I said it's number five HRT 12:02 know like I said it's number five HRT 12:02 know like I said it's number five HRT does not give you cancer. Now, like you 12:05 does not give you cancer. Now, like you 12:05 does not give you cancer. Now, like you said, the dose dosing and how you're 12:07 said, the dose dosing and how you're 12:07 said, the dose dosing and how you're approaching it with somebody with a 12:08 approaching it with somebody with a 12:08 approaching it with somebody with a uterus, you want to be careful of not 12:09 uterus, you want to be careful of not 12:10 uterus, you want to be careful of not increasing the risk of uterine cancer, 12:11 increasing the risk of uterine cancer, 12:11 increasing the risk of uterine cancer, but it doesn't help other cancers. No. 12:15 but it doesn't help other cancers. No. 12:15 but it doesn't help other cancers. No. >> Yeah. Now, uh, you know, granted 13% I 12:19 >> Yeah. Now, uh, you know, granted 13% I 12:19 >> Yeah. Now, uh, you know, granted 13% I think is the last number that I heard 12:20 think is the last number that I heard 12:20 think is the last number that I heard that women in America are going to 12:22 that women in America are going to 12:22 that women in America are going to develop breast cancer specifically. Um, 12:25 develop breast cancer specifically. Um, 12:25 develop breast cancer specifically. Um, something is driving that. I think it's 12:27 something is driving that. I think it's 12:27 something is driving that. I think it's environmental. I think that it is um 12:30 environmental. I think that it is um 12:30 environmental. I think that it is um metabolic, right? insulin um you know 12:33 metabolic, right? insulin um you know 12:34 metabolic, right? insulin um you know insulin that is a little bit much you 12:37 insulin that is a little bit much you 12:37 insulin that is a little bit much you know or hyperinsulinemia or pre-diabetes 12:39 know or hyperinsulinemia or pre-diabetes 12:39 know or hyperinsulinemia or pre-diabetes or metabolic syndrome that's where we 12:41 or metabolic syndrome that's where we 12:42 or metabolic syndrome that's where we got to look that's where we have to sort 12:43 got to look that's where we have to sort 12:43 got to look that's where we have to sort of use that knowledge to protect women 12:47 of use that knowledge to protect women 12:47 of use that knowledge to protect women and then now that plus some hormones now 12:49 and then now that plus some hormones now 12:49 and then now that plus some hormones now they're they're set up for future 12:51 they're they're set up for future 12:51 they're they're set up for future success 12:52 success 12:52 success >> and then here we are myth number six
Myth 6: more estrogen is always better 12:54 >> and then here we are myth number six 12:54 >> and then here we are myth number six more estrogen is always better 12:58 more estrogen is always better 12:58 more estrogen is always better >> sometimes it is 12:59 >> sometimes it is 12:59 >> sometimes it is >> yeah [laughter] 13:00 >> yeah [laughter] 13:00 >> yeah [laughter] to be honest you know a Couple episodes 13:02 to be honest you know a Couple episodes 13:02 to be honest you know a Couple episodes ago, we were talking about um uh 13:04 ago, we were talking about um uh 13:04 ago, we were talking about um uh estrogen. Uh and most of the time it is 13:07 estrogen. Uh and most of the time it is 13:07 estrogen. Uh and most of the time it is women. Uh you know, usually uh like I 13:10 women. Uh you know, usually uh like I 13:10 women. Uh you know, usually uh like I just said a minute ago, how we look and 13:12 just said a minute ago, how we look and 13:12 just said a minute ago, how we look and feel, hormones play such a huge role in 13:14 feel, hormones play such a huge role in 13:14 feel, hormones play such a huge role in that. And the unfortunate thing for 13:16 that. And the unfortunate thing for 13:16 that. And the unfortunate thing for women is that when you have such when 13:17 women is that when you have such when 13:18 women is that when you have such when they're menrating, you have such this 13:20 they're menrating, you have such this 13:20 they're menrating, you have such this dynamic crazy change that happens over a 13:23 dynamic crazy change that happens over a 13:23 dynamic crazy change that happens over a 4-week period of time and the whole 13:25 4-week period of time and the whole 13:25 4-week period of time and the whole thing starts all over again. You throw 13:26 thing starts all over again. You throw 13:26 thing starts all over again. You throw in some life stress and some other 13:28 in some life stress and some other 13:28 in some life stress and some other things. uh no wonder why um it gets all 13:31 things. uh no wonder why um it gets all 13:31 things. uh no wonder why um it gets all crazy and messed up and they start 13:33 crazy and messed up and they start 13:33 crazy and messed up and they start having you know crazy uh heavy periods 13:36 having you know crazy uh heavy periods 13:36 having you know crazy uh heavy periods or you know a lot of PMS or whatever it 13:38 or you know a lot of PMS or whatever it 13:38 or you know a lot of PMS or whatever it might be. Men are a onetrick pony. They 13:40 might be. Men are a onetrick pony. They 13:40 might be. Men are a onetrick pony. They don't really have that problem. Um you 13:42 don't really have that problem. Um you 13:42 don't really have that problem. Um you know so they don't run into as many uh 13:44 know so they don't run into as many uh 13:44 know so they don't run into as many uh comp potential complications because 13:46 comp potential complications because 13:46 comp potential complications because there's no there's no process going on 13:49 there's no there's no process going on 13:49 there's no there's no process going on there because obviously you know they're 13:50 there because obviously you know they're 13:50 there because obviously you know they're not bearing children. So uh you know 13:53 not bearing children. So uh you know 13:53 not bearing children. So uh you know it's a quite a bit of a different 13:55 it's a quite a bit of a different 13:55 it's a quite a bit of a different process. um you know so it's not 13:57 process. um you know so it's not 13:57 process. um you know so it's not surprising that women have a lot of 13:59 surprising that women have a lot of 13:59 surprising that women have a lot of problems with that 14:00 problems with that 14:00 problems with that >> problems with the estrogen being too 14:02 >> problems with the estrogen being too 14:02 >> problems with the estrogen being too high 14:03 high 14:03 high >> uh well just uh from um uh the just the 14:07 >> uh well just uh from um uh the just the 14:07 >> uh well just uh from um uh the just the the hormonal fluctuations in general. 14:10 the hormonal fluctuations in general. 14:10 the hormonal fluctuations in general. >> Yeah, absolutely. And per menopause that 14:11 >> Yeah, absolutely. And per menopause that 14:11 >> Yeah, absolutely. And per menopause that estradi going skyhigh and then going you 14:14 estradi going skyhigh and then going you 14:14 estradi going skyhigh and then going you know rock bottom low that causes a lot 14:16 know rock bottom low that causes a lot 14:16 know rock bottom low that causes a lot of issues. So I do feel like just over 14:20 of issues. So I do feel like just over 14:20 of issues. So I do feel like just over the years when I would have new patients 14:21 the years when I would have new patients 14:21 the years when I would have new patients come see me and then we have you know a 14:24 come see me and then we have you know a 14:24 come see me and then we have you know a lot of people writing in they were very 14:25 lot of people writing in they were very 14:26 lot of people writing in they were very underdosed. Their bias doses were 14:27 underdosed. Their bias doses were 14:27 underdosed. Their bias doses were minuscule. I mean this is just in my 14:29 minuscule. I mean this is just in my 14:29 minuscule. I mean this is just in my clinical experience. I always felt like 14:30 clinical experience. I always felt like 14:30 clinical experience. I always felt like they needed more estrogen. They needed 14:32 they needed more estrogen. They needed 14:32 they needed more estrogen. They needed more estradi. But at the same time too 14:34 more estradi. But at the same time too 14:34 more estradi. But at the same time too much of a good thing isn't always a good 14:35 much of a good thing isn't always a good 14:36 much of a good thing isn't always a good thing. So if it's like hey I'm feeling 14:37 thing. So if it's like hey I'm feeling 14:37 thing. So if it's like hey I'm feeling more t like I had this other patient new 14:40 more t like I had this other patient new 14:40 more t like I had this other patient new one that came to me and she goes yeah I 14:41 one that came to me and she goes yeah I 14:41 one that came to me and she goes yeah I wasn't feeling good. So, my practitioner 14:43 wasn't feeling good. So, my practitioner 14:43 wasn't feeling good. So, my practitioner just kept raising her my estradi and now 14:44 just kept raising her my estradi and now 14:44 just kept raising her my estradi and now she's bleeding like crazy and you know 14:47 she's bleeding like crazy and you know 14:47 she's bleeding like crazy and you know spotting and all over and she's gained 14:48 spotting and all over and she's gained 14:48 spotting and all over and she's gained some weight which we'll go into hormones 14:50 some weight which we'll go into hormones 14:50 some weight which we'll go into hormones and weight gain in another podcast. It's 14:53 and weight gain in another podcast. It's 14:53 and weight gain in another podcast. It's not that she needed more. We needed to 14:55 not that she needed more. We needed to 14:55 not that she needed more. We needed to balance her hormones. So, we're looking 14:57 balance her hormones. So, we're looking 14:57 balance her hormones. So, we're looking like you said women were complicated. 14:58 like you said women were complicated. 14:58 like you said women were complicated. We're not the onetrick pony. We're 15:00 We're not the onetrick pony. We're 15:00 We're not the onetrick pony. We're complicated but we're worth it. So, 15:01 complicated but we're worth it. So, 15:02 complicated but we're worth it. So, we've got our adrenal hormones running 15:03 we've got our adrenal hormones running 15:04 we've got our adrenal hormones running around. We got our thyroid hormones 15:05 around. We got our thyroid hormones 15:05 around. We got our thyroid hormones running around. We have our estrogen, 15:06 running around. We have our estrogen, 15:06 running around. We have our estrogen, our progesterone, our testosterone. We 15:08 our progesterone, our testosterone. We 15:08 our progesterone, our testosterone. We have everything that we want. We're like 15:10 have everything that we want. We're like 15:10 have everything that we want. We're like a symphony of hormones, right? We're the 15:13 a symphony of hormones, right? We're the 15:13 a symphony of hormones, right? We're the orchestra, not the one instrument. It's 15:15 orchestra, not the one instrument. It's 15:15 orchestra, not the one instrument. It's so we want to make sure that that's 15:17 so we want to make sure that that's 15:17 so we want to make sure that that's balanced. So instead of saying, "Here, 15:18 balanced. So instead of saying, "Here, 15:18 balanced. So instead of saying, "Here, let's just throw more estrogen at you," 15:20 let's just throw more estrogen at you," 15:20 let's just throw more estrogen at you," we want to look at that whole picture. 15:21 we want to look at that whole picture. 15:21 we want to look at that whole picture. So that's part of part of that, you 15:23 So that's part of part of that, you 15:23 So that's part of part of that, you know, that myth number six, more 15:25 know, that myth number six, more 15:25 know, that myth number six, more estrogen is always better. Balance is 15:27 estrogen is always better. Balance is 15:27 estrogen is always better. Balance is always better. 15:29 always better. 15:29 always better. >> Um, we got one one more to go. 15:30 >> Um, we got one one more to go. 15:30 >> Um, we got one one more to go. >> We got one more to go. Myth number seven
Myth 7: feeling unwell always means hormones are off 15:33 >> We got one more to go. Myth number seven 15:33 >> We got one more to go. Myth number seven is I don't feel well, so my hormones 15:35 is I don't feel well, so my hormones 15:35 is I don't feel well, so my hormones must be off. 15:37 must be off. 15:37 must be off. >> Well, again, that one could be true. Um, 15:39 >> Well, again, that one could be true. Um, 15:39 >> Well, again, that one could be true. Um, but it could be, as you just alluded to, 15:41 but it could be, as you just alluded to, 15:41 but it could be, as you just alluded to, it could be lots of other factors that 15:43 it could be lots of other factors that 15:43 it could be lots of other factors that is attributing to how they feel on a 15:45 is attributing to how they feel on a 15:45 is attributing to how they feel on a daily basis. But I just said hormones 15:47 daily basis. But I just said hormones 15:47 daily basis. But I just said hormones have a huge impact on how we look and 15:49 have a huge impact on how we look and 15:49 have a huge impact on how we look and feel. Um, that's a good place to start. 15:52 feel. Um, that's a good place to start. 15:52 feel. Um, that's a good place to start. >> Absolutely. If someone's not feeling 15:53 >> Absolutely. If someone's not feeling 15:53 >> Absolutely. If someone's not feeling well, let's look at your hormones. You 15:55 well, let's look at your hormones. You 15:55 well, let's look at your hormones. You know, whether you're 19 years old or 15:57 know, whether you're 19 years old or 15:57 know, whether you're 19 years old or you're 49 years old, let's look at your 15:59 you're 49 years old, let's look at your 15:59 you're 49 years old, let's look at your hormones. Let's look at your HRT. Let's 16:02 hormones. Let's look at your HRT. Let's 16:02 hormones. Let's look at your HRT. Let's look at that. But there's, like I'd 16:03 look at that. But there's, like I'd 16:03 look at that. But there's, like I'd mentioned earlier, there's so many 16:05 mentioned earlier, there's so many 16:05 mentioned earlier, there's so many aspects, other aspects to look at. We 16:07 aspects, other aspects to look at. We 16:07 aspects, other aspects to look at. We want to look at their adrenal health, 16:09 want to look at their adrenal health, 16:09 want to look at their adrenal health, their thyroid health, what their stress 16:11 their thyroid health, what their stress 16:11 their thyroid health, what their stress life is, what their nutrition is, what 16:13 life is, what their nutrition is, what 16:13 life is, what their nutrition is, what their macros are, you know, what their 16:14 their macros are, you know, what their 16:14 their macros are, you know, what their lifestyle is like. There's a whole 16:16 lifestyle is like. There's a whole 16:16 lifestyle is like. There's a whole bunch. So, that's where it needs to not 16:19 bunch. So, that's where it needs to not 16:19 bunch. So, that's where it needs to not just be here, take these hormones, run 16:20 just be here, take these hormones, run 16:20 just be here, take these hormones, run off home, and you're going to feel like, 16:21 off home, and you're going to feel like, 16:22 off home, and you're going to feel like, you know, unicorns and rainbows for the 16:23 you know, unicorns and rainbows for the 16:23 you know, unicorns and rainbows for the rest of your life. It's not really like 16:25 rest of your life. It's not really like 16:25 rest of your life. It's not really like that. It's about that balance. Like, 16:27 that. It's about that balance. Like, 16:27 that. It's about that balance. Like, like I know I've had a lot of um other 16:29 like I know I've had a lot of um other 16:29 like I know I've had a lot of um other like I'll patients, it's so funny, 16:31 like I'll patients, it's so funny, 16:31 like I'll patients, it's so funny, they'll um like see trainers or 16:32 they'll um like see trainers or 16:32 they'll um like see trainers or nutritionists and maybe they're not 16:34 nutritionists and maybe they're not 16:34 nutritionists and maybe they're not getting the results that they want and 16:35 getting the results that they want and 16:35 getting the results that they want and they'll say, "Oh, it's your hormones." 16:36 they'll say, "Oh, it's your hormones." 16:36 they'll say, "Oh, it's your hormones." And so they always come back to me and 16:37 And so they always come back to me and 16:37 And so they always come back to me and say they said it's you, it's on my 16:39 say they said it's you, it's on my 16:39 say they said it's you, it's on my hormones, 16:39 hormones, 16:39 hormones, >> right? 16:40 >> right? 16:40 >> right? >> It's a combination of all of it that we 16:43 >> It's a combination of all of it that we 16:43 >> It's a combination of all of it that we want to balance. 16:44 want to balance. 16:44 want to balance. >> Yeah, we've [laughter] heard that many 16:45 >> Yeah, we've [laughter] heard that many 16:45 >> Yeah, we've [laughter] heard that many times over the years. Um but even still, 16:47 times over the years. Um but even still, 16:47 times over the years. Um but even still, even you know trying to lose u change 16:50 even you know trying to lose u change 16:50 even you know trying to lose u change your body composition, lose body fat, 16:52 your body composition, lose body fat, 16:52 your body composition, lose body fat, still hormonally driven. Um but a lot of 16:54 still hormonally driven. Um but a lot of 16:54 still hormonally driven. Um but a lot of times it's not the sex hormones, it's 16:56 times it's not the sex hormones, it's 16:56 times it's not the sex hormones, it's your insulin, it's your cortisol, it's 16:58 your insulin, it's your cortisol, it's 16:58 your insulin, it's your cortisol, it's your sleep. Uh so it's not that there's 17:01 your sleep. Uh so it's not that there's 17:01 your sleep. Uh so it's not that there's one solution or the other or you know or 17:03 one solution or the other or you know or 17:03 one solution or the other or you know or one option. There's so many options that 17:06 one option. There's so many options that 17:06 one option. There's so many options that does make it extremely challenging. Now 17:08 does make it extremely challenging. Now 17:08 does make it extremely challenging. Now in modern medicine, it is everything in 17:11 in modern medicine, it is everything in 17:11 in modern medicine, it is everything in modern medicine is focused on diagnosing 17:14 modern medicine is focused on diagnosing 17:14 modern medicine is focused on diagnosing and treating disease. All these problems 17:16 and treating disease. All these problems 17:16 and treating disease. All these problems that women have, and this is part of the 17:18 that women have, and this is part of the 17:18 that women have, and this is part of the reason why they've been marginalized so 17:19 reason why they've been marginalized so 17:19 reason why they've been marginalized so much is because all these problems are 17:21 much is because all these problems are 17:21 much is because all these problems are not really technically looked at as 17:23 not really technically looked at as 17:23 not really technically looked at as diseases. So if you don't know, if you 17:25 diseases. So if you don't know, if you 17:25 diseases. So if you don't know, if you can't diagnose something, you know, 17:27 can't diagnose something, you know, 17:27 can't diagnose something, you know, through a blood test or, you know, 17:29 through a blood test or, you know, 17:29 through a blood test or, you know, whatever, then how are you supposed to 17:30 whatever, then how are you supposed to 17:30 whatever, then how are you supposed to treat it if you don't know what you're 17:32 treat it if you don't know what you're 17:32 treat it if you don't know what you're treating? uh and you know or there's no 17:34 treating? uh and you know or there's no 17:34 treating? uh and you know or there's no medication you can look up somewhere and 17:36 medication you can look up somewhere and 17:36 medication you can look up somewhere and say okay we'll give this drug for this 17:38 say okay we'll give this drug for this 17:38 say okay we'll give this drug for this problem if that doesn't exist then how 17:40 problem if that doesn't exist then how 17:40 problem if that doesn't exist then how do you know what to do you know and 17:42 do you know what to do you know and 17:42 do you know what to do you know and that's while medicine has been uh you 17:44 that's while medicine has been uh you 17:44 that's while medicine has been uh you know trained or uh physicians have been 17:47 know trained or uh physicians have been 17:47 know trained or uh physicians have been trained for the last 50 years now 17:49 trained for the last 50 years now 17:49 trained for the last 50 years now there's a new crop of physicians like 17:51 there's a new crop of physicians like 17:51 there's a new crop of physicians like you and I that have learned um partially 17:54 you and I that have learned um partially 17:54 you and I that have learned um partially because we listen to the patient we're 17:55 because we listen to the patient we're 17:55 because we listen to the patient we're trying to help the patient and now of 17:57 trying to help the patient and now of 17:57 trying to help the patient and now of course there's a lot of other continuing 17:58 course there's a lot of other continuing 17:58 course there's a lot of other continuing education things um you can learn from 18:01 education things um you can learn from 18:01 education things um you can learn from other doctors that have already um sort 18:03 other doctors that have already um sort 18:03 other doctors that have already um sort of done that. Um so now you know 18:05 of done that. Um so now you know 18:05 of done that. Um so now you know actually how to help your patient. 18:06 actually how to help your patient. 18:06 actually how to help your patient. >> Yeah. So you can step back and look at 18:07 >> Yeah. So you can step back and look at 18:07 >> Yeah. So you can step back and look at the big picture where hormones are one
Wrap-up and listener comments 18:10 the big picture where hormones are one 18:10 the big picture where hormones are one very big piece of the puzzle but there's 18:12 very big piece of the puzzle but there's 18:12 very big piece of the puzzle but there's other pieces of the puzzle that we want 18:13 other pieces of the puzzle that we want 18:13 other pieces of the puzzle that we want to put to for you know longevity for 18:16 to put to for you know longevity for 18:16 to put to for you know longevity for feeling good in the moment and then also 18:18 feeling good in the moment and then also 18:18 feeling good in the moment and then also know for preventing chronic you know 18:20 know for preventing chronic you know 18:20 know for preventing chronic you know chronic conditions. So these are only 18:22 chronic conditions. So these are only 18:22 chronic conditions. So these are only seven myths that you know we were 18:24 seven myths that you know we were 18:24 seven myths that you know we were talking about. There are probably 7,000 18:27 talking about. There are probably 7,000 18:27 talking about. There are probably 7,000 other myths. So, so we'll probably 18:29 other myths. So, so we'll probably 18:29 other myths. So, so we'll probably circle back to this, but I would love 18:30 circle back to this, but I would love 18:30 circle back to this, but I would love anybody's comments on what myths you 18:32 anybody's comments on what myths you 18:32 anybody's comments on what myths you think are out there that people still 18:34 think are out there that people still 18:34 think are out there that people still believe. 18:34 believe. 18:34 believe. >> Yeah, write them down in the comments 18:36 >> Yeah, write them down in the comments 18:36 >> Yeah, write them down in the comments below and then we'll use that as another 18:38 below and then we'll use that as another 18:38 below and then we'll use that as another episode and we'll keep doing it um if 18:41 episode and we'll keep doing it um if 18:41 episode and we'll keep doing it um if there are people keep writing on there 18:42 there are people keep writing on there 18:42 there are people keep writing on there because um it's really nice to get them 18:44 because um it's really nice to get them 18:44 because um it's really nice to get them out in the open and talk about them. 18:46 out in the open and talk about them. 18:46 out in the open and talk about them. >> All right. 18:46 >> All right. 18:46 >> All right. >> Okay. Till next time, I'm Dr. Mackey 18:48 >> Okay. Till next time, I'm Dr. Mackey 18:48 >> Okay. Till next time, I'm Dr. Mackey >> and I'm Dr. Valerie. 18:49 >> and I'm Dr. Valerie. 18:49 >> and I'm Dr. Valerie. >> Take care. Bye-bye.
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