Full Transcript Sleep, Insulin Sensitivity, and Weight 0:02 If your sleep is bad, you actually your 0:02 If your sleep is bad, you actually your insulin sensitivity starts to go down 0:04 insulin sensitivity starts to go down 0:04 insulin sensitivity starts to go down and you're already in sort of a in a 0:06 and you're already in sort of a in a 0:06 and you're already in sort of a in a worse situation.
Introduction to Progesterone and Weight Gain 0:13 >> Does progesterone cause weight gain? 0:13 >> Does progesterone cause weight gain? What women on HRT need to know. Hi, I'm 0:15 What women on HRT need to know. Hi, I'm 0:15 What women on HRT need to know. Hi, I'm Dr. Valerie Davidson from the 0:17 Dr. Valerie Davidson from the 0:17 Dr. Valerie Davidson from the Progressive Health Podcast. 0:18 Progressive Health Podcast. 0:18 Progressive Health Podcast. >> I'm Dr. Mackie from the Progressive 0:19 >> I'm Dr. Mackie from the Progressive 0:19 >> I'm Dr. Mackie from the Progressive Health Podcast. Uh so on the last 0:22 Health Podcast. Uh so on the last 0:22 Health Podcast. Uh so on the last episode, which you can find up here, we 0:23 episode, which you can find up here, we 0:24 episode, which you can find up here, we talked about estradiol and weight gain. 0:26 talked about estradiol and weight gain. 0:26 talked about estradiol and weight gain. Uh and now we're going to talk about 0:27 Uh and now we're going to talk about 0:27 Uh and now we're going to talk about progesterone and weight gain. Now, 0:29 progesterone and weight gain. Now, 0:29 progesterone and weight gain. Now, weight gain is such a huge topic, so 0:32 weight gain is such a huge topic, so 0:32 weight gain is such a huge topic, so we're just kind of hitting a few 0:34 we're just kind of hitting a few 0:34 we're just kind of hitting a few fundamentals here about progesterone.
Oral Micronized Progesterone Basics 0:36 fundamentals here about progesterone. 0:36 fundamentals here about progesterone. Now, oral progesterone has probably been 0:38 Now, oral progesterone has probably been 0:38 Now, oral progesterone has probably been the most common form of progesterone, 0:40 the most common form of progesterone, 0:40 the most common form of progesterone, HRT, for years, but there's a lot of 0:43 HRT, for years, but there's a lot of 0:43 HRT, for years, but there's a lot of other types of progesterone, HRT, as 0:45 other types of progesterone, HRT, as 0:45 other types of progesterone, HRT, as well. Right now, we're going to kind of 0:46 well. Right now, we're going to kind of 0:46 well. Right now, we're going to kind of talk about just the oral micronized 0:48 talk about just the oral micronized 0:48 talk about just the oral micronized progesterone. So, of course, it's bio 0:50 progesterone. So, of course, it's bio 0:50 progesterone. So, of course, it's bio identical is how that influences 0:53 identical is how that influences 0:53 identical is how that influences possible weight gain. Now, there's kind
Sleep Benefits vs Morning Grogginess 0:56 possible weight gain. Now, there's kind 0:56 possible weight gain. Now, there's kind of two aspects to this because some 0:58 of two aspects to this because some 0:58 of two aspects to this because some women when they take their oral 0:59 women when they take their oral 1:00 women when they take their oral progesterone, they love it. They say, "I 1:02 progesterone, they love it. They say, "I 1:02 progesterone, they love it. They say, "I sleep great. My stress is better the 1:04 sleep great. My stress is better the 1:04 sleep great. My stress is better the next day. My mood is better. I'm well 1:06 next day. My mood is better. I'm well 1:06 next day. My mood is better. I'm well rested." And they actually lose weight 1:08 rested." And they actually lose weight 1:08 rested." And they actually lose weight because then they go to the gym. They 1:09 because then they go to the gym. They 1:09 because then they go to the gym. They make different choices. They feel really 1:11 make different choices. They feel really 1:11 make different choices. They feel really good. Their cortisol is going down 1:12 good. Their cortisol is going down 1:12 good. Their cortisol is going down because they feel like they're able to 1:14 because they feel like they're able to 1:14 because they feel like they're able to balance their stress better. So, that's 1:16 balance their stress better. So, that's 1:16 balance their stress better. So, that's one aspect. And then there's another 1:18 one aspect. And then there's another 1:18 one aspect. And then there's another aspect of women where they just say they 1:20 aspect of women where they just say they 1:20 aspect of women where they just say they actually start to gain weight taking 1:23 actually start to gain weight taking 1:23 actually start to gain weight taking orally. 1:23 orally. 1:23 orally. >> Yeah. you know now 1:27 >> Yeah. you know now 1:27 >> Yeah. you know now especially in par menopause um you know 1:29 especially in par menopause um you know 1:29 especially in par menopause um you know not sleeping is going to make you gain 1:31 not sleeping is going to make you gain 1:31 not sleeping is going to make you gain weight right if your sleep is if your 1:33 weight right if your sleep is if your 1:33 weight right if your sleep is if your sleep is bad you actually your insulin 1:35 sleep is bad you actually your insulin 1:35 sleep is bad you actually your insulin sensitivity starts to go down and then 1:38 sensitivity starts to go down and then 1:38 sensitivity starts to go down and then that just starts to spiral and then you 1:40 that just starts to spiral and then you 1:40 that just starts to spiral and then you go into menopause and you're already in 1:42 go into menopause and you're already in 1:42 go into menopause and you're already in sort of a you know in a worse situation. 1:45 sort of a you know in a worse situation. 1:45 sort of a you know in a worse situation. Okay. And for all the women that we 1:47 Okay. And for all the women that we 1:47 Okay. And for all the women that we worked with over the years, that sleep 1:49 worked with over the years, that sleep 1:49 worked with over the years, that sleep disruption happens, you know, somewhere 1:50 disruption happens, you know, somewhere 1:50 disruption happens, you know, somewhere in the early 40s to the, you know, mid 1:53 in the early 40s to the, you know, mid 1:53 in the early 40s to the, you know, mid to late 40s. Uh, and you know, sometimes 1:55 to late 40s. Uh, and you know, sometimes 1:56 to late 40s. Uh, and you know, sometimes their stress levels are super high and 1:57 their stress levels are super high and 1:58 their stress levels are super high and they can't, you know, their deep sleep 1:59 they can't, you know, their deep sleep 1:59 they can't, you know, their deep sleep or their res restorative restful sleep 2:01 or their res restorative restful sleep 2:02 or their res restorative restful sleep is just non-existent. So that oral 2:04 is just non-existent. So that oral 2:04 is just non-existent. So that oral progesterone can be really beneficial 2:05 progesterone can be really beneficial 2:05 progesterone can be really beneficial for that because that progesterone will 2:07 for that because that progesterone will 2:07 for that because that progesterone will convert into alopregolone which is a 2:09 convert into alopregolone which is a 2:09 convert into alopregolone which is a metabolite of progesterone and that can 2:12 metabolite of progesterone and that can 2:12 metabolite of progesterone and that can really help kind of modulate your GABA 2:14 really help kind of modulate your GABA 2:14 really help kind of modulate your GABA receptors. People sleep through the 2:17 receptors. People sleep through the 2:17 receptors. People sleep through the night better. But there's this other 2:19 night better. But there's this other 2:19 night better. But there's this other aspect where that alopregenolone or the 2:21 aspect where that alopregenolone or the 2:21 aspect where that alopregenolone or the progesterone metabolites cause them to 2:23 progesterone metabolites cause them to 2:23 progesterone metabolites cause them to feel really groggy the next day. They're 2:25 feel really groggy the next day. They're 2:25 feel really groggy the next day. They're like, "Oh, I'm tired." In fact, I had a 2:27 like, "Oh, I'm tired." In fact, I had a 2:27 like, "Oh, I'm tired." In fact, I had a patient uh a couple of weeks ago and she
Appetite, Cravings, and Hormone Balance 2:30 patient uh a couple of weeks ago and she 2:30 patient uh a couple of weeks ago and she was waking. She couldn't get going. She 2:32 was waking. She couldn't get going. She 2:32 was waking. She couldn't get going. She goes, "I couldn't get up, go to the gym. 2:34 goes, "I couldn't get up, go to the gym. 2:34 goes, "I couldn't get up, go to the gym. I was just really tired. Felt like I was 2:36 I was just really tired. Felt like I was 2:36 I was just really tired. Felt like I was getting a headache. And then right 2:38 getting a headache. And then right 2:38 getting a headache. And then right around, you know, noon to 1, she started 2:40 around, you know, noon to 1, she started 2:40 around, you know, noon to 1, she started to pick up. And that was because of the 2:42 to pick up. And that was because of the 2:42 to pick up. And that was because of the oral progesterone was just that 2:44 oral progesterone was just that 2:44 oral progesterone was just that alopregen alolone was just making her 2:46 alopregen alolone was just making her 2:46 alopregen alolone was just making her really super tired the next morning. So 2:47 really super tired the next morning. So 2:48 really super tired the next morning. So I switched her to a vaginal 2:50 I switched her to a vaginal 2:50 I switched her to a vaginal progesterone. So we could try to bypass 2:52 progesterone. So we could try to bypass 2:52 progesterone. So we could try to bypass that first pass through the liver and 2:54 that first pass through the liver and 2:54 that first pass through the liver and not have her feel so groggy the next 2:56 not have her feel so groggy the next 2:56 not have her feel so groggy the next morning. So that's one aspect is if 2:57 morning. So that's one aspect is if 2:57 morning. So that's one aspect is if you're tired morning you're not hitting 2:59 you're tired morning you're not hitting 2:59 you're tired morning you're not hitting the ground running maybe you're pressing 3:01 the ground running maybe you're pressing 3:01 the ground running maybe you're pressing snooze you're not going to the gym so 3:03 snooze you're not going to the gym so 3:03 snooze you're not going to the gym so you could have less activity so then 3:05 you could have less activity so then 3:05 you could have less activity so then you're going to be gaining weight and 3:07 you're going to be gaining weight and 3:07 you're going to be gaining weight and then there was the other aspect that 3:08 then there was the other aspect that 3:08 then there was the other aspect that progesterone is so let me back up a 3:11 progesterone is so let me back up a 3:12 progesterone is so let me back up a little bit. So estradile actually helps 3:14 little bit. So estradile actually helps 3:14 little bit. So estradile actually helps reduce your appetite. That's that's 3:16 reduce your appetite. That's that's 3:16 reduce your appetite. That's that's actually a good thing. You know in some 3:17 actually a good thing. You know in some 3:18 actually a good thing. You know in some respects you know you want to make sure 3:19 respects you know you want to make sure 3:19 respects you know you want to make sure you're getting your macros and your 3:20 you're getting your macros and your 3:20 you're getting your macros and your protein in. But if that estradile is 3:22 protein in. But if that estradile is 3:22 protein in. But if that estradile is reducing the appetite, sometimes 3:24 reducing the appetite, sometimes 3:24 reducing the appetite, sometimes progesterone 3:25 progesterone 3:25 progesterone blocks that where progesterone can cause 3:27 blocks that where progesterone can cause 3:28 blocks that where progesterone can cause your appetite to go up or your cravings 3:29 your appetite to go up or your cravings 3:29 your appetite to go up or your cravings to go up. 3:30 to go up. 3:30 to go up. >> Yeah. If you think about the menstrual 3:32 >> Yeah. If you think about the menstrual 3:32 >> Yeah. If you think about the menstrual cycle, you know, the 7 to 10 days before 3:34 cycle, you know, the 7 to 10 days before 3:34 cycle, you know, the 7 to 10 days before a woman's going to get her period, you 3:36 a woman's going to get her period, you 3:36 a woman's going to get her period, you know, she wants a little bit of 3:37 know, she wants a little bit of 3:37 know, she wants a little bit of chocolate, she wants something sweet, 3:38 chocolate, she wants something sweet, 3:38 chocolate, she wants something sweet, she wants, you know, there's, you know, 3:40 she wants, you know, there's, you know, 3:40 she wants, you know, there's, you know, the mechanism that's kind of, you know, 3:43 the mechanism that's kind of, you know, 3:43 the mechanism that's kind of, you know, creating that environment. And now you 3:45 creating that environment. And now you 3:45 creating that environment. And now you might be munching a little bit more than 3:46 might be munching a little bit more than 3:46 might be munching a little bit more than you really want to. or your desire for 3:49 you really want to. or your desire for 3:49 you really want to. or your desire for refined carbohydrates might go up. You 3:51 refined carbohydrates might go up. You 3:51 refined carbohydrates might go up. You know, of course, that's going to 3:53 know, of course, that's going to 3:53 know, of course, that's going to potentially contribute to the weight 3:54 potentially contribute to the weight 3:54 potentially contribute to the weight gain. 3:54 gain. 3:54 gain. >> Yeah. So, that's one one aspect with 3:56 >> Yeah. So, that's one one aspect with 3:56 >> Yeah. So, that's one one aspect with that progesterone is that it's going to 3:58 that progesterone is that it's going to 3:58 that progesterone is that it's going to increase up the cravings. A lot of 4:00 increase up the cravings. A lot of 4:00 increase up the cravings. A lot of people say, "Yeah, cravings for carbs or 4:02 people say, "Yeah, cravings for carbs or 4:02 people say, "Yeah, cravings for carbs or their appetite is a little bit bigger." 4:04 their appetite is a little bit bigger." 4:04 their appetite is a little bit bigger." So, they want to instead of eating a 4:05 So, they want to instead of eating a 4:05 So, they want to instead of eating a certain portion like, "Oh, I'm going to 4:06 certain portion like, "Oh, I'm going to 4:06 certain portion like, "Oh, I'm going to go back for seconds." So, that's one way 4:08 go back for seconds." So, that's one way 4:08 go back for seconds." So, that's one way you might want to readjust your 4:10 you might want to readjust your 4:10 you might want to readjust your progesterone and estrogen balance. So, 4:12 progesterone and estrogen balance. So, 4:12 progesterone and estrogen balance. So, maybe that estradiol is a little bit too 4:14 maybe that estradiol is a little bit too 4:14 maybe that estradiol is a little bit too low. So that progesterone is influencing 4:17 low. So that progesterone is influencing 4:17 low. So that progesterone is influencing more of a higher appetite. Maybe you 4:19 more of a higher appetite. Maybe you 4:19 more of a higher appetite. Maybe you need either either raise the estradile. 4:21 need either either raise the estradile. 4:21 need either either raise the estradile. Oh, wait. This is for medical, not this 4:23 Oh, wait. This is for medical, not this 4:23 Oh, wait. This is for medical, not this is for educational advice, not for 4:25 is for educational advice, not for 4:26 is for educational advice, not for medical advice. Just got to preface
Progesterone, Insulin Resistance, and Weight Gain 4:27 medical advice. Just got to preface 4:27 medical advice. Just got to preface that. But maybe if that were the case, 4:29 that. But maybe if that were the case, 4:29 that. But maybe if that were the case, you'd want to raise your estradile or 4:30 you'd want to raise your estradile or 4:30 you'd want to raise your estradile or lower that progesterone level. So 4:32 lower that progesterone level. So 4:32 lower that progesterone level. So because of the appetite. 4:33 because of the appetite. 4:33 because of the appetite. >> Yeah. Right. And uh now the last one was 4:36 >> Yeah. Right. And uh now the last one was 4:36 >> Yeah. Right. And uh now the last one was on estradile. This one's on 4:37 on estradile. This one's on 4:37 on estradile. This one's on progesterone. we're going to do sort of 4:39 progesterone. we're going to do sort of 4:39 progesterone. we're going to do sort of how to, you know, how to mitigate some 4:41 how to, you know, how to mitigate some 4:41 how to, you know, how to mitigate some of that weight gain, uh, you know, 4:42 of that weight gain, uh, you know, 4:42 of that weight gain, uh, you know, either the next episode or the one 4:44 either the next episode or the one 4:44 either the next episode or the one after. Um, so we'll come back around 4:46 after. Um, so we'll come back around 4:46 after. Um, so we'll come back around with some solutions around that. Um, 4:48 with some solutions around that. Um, 4:48 with some solutions around that. Um, but, 4:50 but, 4:50 but, uh, you know, does it gain does it make 4:52 uh, you know, does it gain does it make 4:52 uh, you know, does it gain does it make you gain weight directly? 4:54 you gain weight directly? 4:54 you gain weight directly? Not really. Uh, now if you think about 4:56 Not really. Uh, now if you think about 4:56 Not really. Uh, now if you think about it, the only fattorring hormone in the 4:58 it, the only fattorring hormone in the 4:58 it, the only fattorring hormone in the body is insulin, right? So progesterone 5:01 body is insulin, right? So progesterone 5:01 body is insulin, right? So progesterone doesn't have a mechanism to store fat 5:03 doesn't have a mechanism to store fat 5:03 doesn't have a mechanism to store fat directly. Estrogen does not have a 5:05 directly. Estrogen does not have a 5:05 directly. Estrogen does not have a mechanism to store fat directly. 5:07 mechanism to store fat directly. 5:07 mechanism to store fat directly. um you know so um does it does it cause 5:11 um you know so um does it does it cause 5:11 um you know so um does it does it cause weight gain you know maybe a little bit 5:13 weight gain you know maybe a little bit 5:13 weight gain you know maybe a little bit >> well maybe indirectly so just to flip on 5:17 >> well maybe indirectly so just to flip on 5:17 >> well maybe indirectly so just to flip on the flip side on a side note what about 5:19 the flip side on a side note what about 5:19 the flip side on a side note what about like progesterines so you know oral 5:22 like progesterines so you know oral 5:22 like progesterines so you know oral micronized progesterone is bio identical 5:25 micronized progesterone is bio identical 5:25 micronized progesterone is bio identical what about these synthetic progesterines 5:27 what about these synthetic progesterines 5:28 what about these synthetic progesterines and their effect on insulin resistance 5:29 and their effect on insulin resistance 5:30 and their effect on insulin resistance or insulin sensitivity 5:31 or insulin sensitivity 5:31 or insulin sensitivity >> yeah right so proestines not 5:33 >> yeah right so proestines not 5:33 >> yeah right so proestines not progesterone progesterines have a much 5:36 progesterone progesterines have a much 5:36 progesterone progesterines have a much more pronounced effect uh on reducing 5:40 more pronounced effect uh on reducing 5:40 more pronounced effect uh on reducing insulin sensitivity, which essentially 5:42 insulin sensitivity, which essentially 5:42 insulin sensitivity, which essentially means that your body is going to end up 5:44 means that your body is going to end up 5:44 means that your body is going to end up producing more of more insulin. 5:46 producing more of more insulin. 5:46 producing more of more insulin. >> Pancreas has to pump out more insulin to 5:48 >> Pancreas has to pump out more insulin to 5:48 >> Pancreas has to pump out more insulin to keep that blood sugar level, more 5:50 keep that blood sugar level, more 5:50 keep that blood sugar level, more insulin, which is a direct fat storage 5:53 insulin, which is a direct fat storage 5:53 insulin, which is a direct fat storage hormone, is going to cause weight gain. 5:55 hormone, is going to cause weight gain. 5:55 hormone, is going to cause weight gain. So, is that why 5:56 So, is that why 5:56 So, is that why >> when women in their 20s go on birth 5:58 >> when women in their 20s go on birth 5:58 >> when women in their 20s go on birth control pills, they gain 10 pounds? 6:00 control pills, they gain 10 pounds? 6:00 control pills, they gain 10 pounds? >> Yeah, pretty much. I mean, that's a it's 6:02 >> Yeah, pretty much. I mean, that's a it's 6:02 >> Yeah, pretty much. I mean, that's a it's a much more um if you compare them side 6:04 a much more um if you compare them side 6:04 a much more um if you compare them side by side, you know, oral contraception to 6:08 by side, you know, oral contraception to 6:08 by side, you know, oral contraception to um oral micronized progesterone, the the 6:11 um oral micronized progesterone, the the 6:11 um oral micronized progesterone, the the contraception is going to cause much 6:13 contraception is going to cause much 6:13 contraception is going to cause much more consistency. I mean, how many women 6:15 more consistency. I mean, how many women 6:15 more consistency. I mean, how many women have um that are watching that have 6:16 have um that are watching that have 6:16 have um that are watching that have taken birth control in their life and 6:18 taken birth control in their life and 6:18 taken birth control in their life and did not gain weight. Okay, that number 6:20 did not gain weight. Okay, that number 6:20 did not gain weight. Okay, that number is very small. You know, maybe not 6:22 is very small. You know, maybe not 6:22 is very small. You know, maybe not everyone gains the same amount, but you 6:24 everyone gains the same amount, but you 6:24 everyone gains the same amount, but you know, usually it was about 8 to 12 6:25 know, usually it was about 8 to 12 6:25 know, usually it was about 8 to 12 pounds, you know, per individual. um 6:28 pounds, you know, per individual. um 6:28 pounds, you know, per individual. um micronized progesterone does not across 6:31 micronized progesterone does not across 6:31 micronized progesterone does not across the board have as much consistency as 6:33 the board have as much consistency as 6:33 the board have as much consistency as the progesterines do. 6:34 the progesterines do. 6:34 the progesterines do. >> So the progesterone the bio identical 6:36 >> So the progesterone the bio identical 6:36 >> So the progesterone the bio identical oral progesterone definitely is a little 6:39 oral progesterone definitely is a little 6:39 oral progesterone definitely is a little bit more metabolically inert when it 6:40 bit more metabolically inert when it 6:40 bit more metabolically inert when it comes to that. 6:41 comes to that. 6:41 comes to that. >> Yeah. Right. Uh now granted like we 6:43 >> Yeah. Right. Uh now granted like we 6:43 >> Yeah. Right. Uh now granted like we talked about on the last episode 6:44 talked about on the last episode 6:44 talked about on the last episode certainly your status going into 6:46 certainly your status going into 6:46 certainly your status going into menopause or when you're starting HRT of 6:49 menopause or when you're starting HRT of 6:49 menopause or when you're starting HRT of course that's going to have an impact 6:51 course that's going to have an impact 6:51 course that's going to have an impact right. So the more insulin sensitivity 6:52 right. So the more insulin sensitivity 6:52 right. So the more insulin sensitivity you are, the lower your fasting insulin,
Bloating, Dosage, and Individual Tolerance 6:55 you are, the lower your fasting insulin, 6:55 you are, the lower your fasting insulin, you know, the better off you're going to 6:56 you know, the better off you're going to 6:56 you know, the better off you're going to be because we've given women, you know, 6:58 be because we've given women, you know, 6:58 be because we've given women, you know, over the years, lots of women 6:59 over the years, lots of women 7:00 over the years, lots of women progesterone and a lot of them tend to 7:01 progesterone and a lot of them tend to 7:01 progesterone and a lot of them tend to do pretty well. There's that small 7:03 do pretty well. There's that small 7:03 do pretty well. There's that small subset that just does not. 7:04 subset that just does not. 7:04 subset that just does not. >> Yeah. So it's really finding that 7:05 >> Yeah. So it's really finding that 7:06 >> Yeah. So it's really finding that balance for that particular individual. 7:08 balance for that particular individual. 7:08 balance for that particular individual. So if they don't tolerate the oral 7:09 So if they don't tolerate the oral 7:09 So if they don't tolerate the oral progesterone, maybe there might be some 7:11 progesterone, maybe there might be some 7:11 progesterone, maybe there might be some other um ways to offset it, which like 7:13 other um ways to offset it, which like 7:13 other um ways to offset it, which like you said, we'll we'll go into a little 7:14 you said, we'll we'll go into a little 7:14 you said, we'll we'll go into a little more solutions in a different podcast. I 7:16 more solutions in a different podcast. I 7:16 more solutions in a different podcast. I do know that some women will say that 7:18 do know that some women will say that 7:18 do know that some women will say that progesterone makes them bloat. We don't 7:20 progesterone makes them bloat. We don't 7:20 progesterone makes them bloat. We don't know the exact mechanism. There's some 7:23 know the exact mechanism. There's some 7:23 know the exact mechanism. There's some proposed theories that maybe it's a 7:24 proposed theories that maybe it's a 7:24 proposed theories that maybe it's a smooth muscle in the GI or maybe the gut 7:26 smooth muscle in the GI or maybe the gut 7:26 smooth muscle in the GI or maybe the gut microbiome is being altered with 7:28 microbiome is being altered with 7:28 microbiome is being altered with beneficial bacteria. We don't know that, 7:30 beneficial bacteria. We don't know that, 7:30 beneficial bacteria. We don't know that, you know, there's some working theories 7:31 you know, there's some working theories 7:31 you know, there's some working theories out there, but some women when they take 7:33 out there, but some women when they take 7:33 out there, but some women when they take oral progesterone, they will get some 7:35 oral progesterone, they will get some 7:35 oral progesterone, they will get some bloating. Nobody wants to feel bloated. 7:38 bloating. Nobody wants to feel bloated. 7:38 bloating. Nobody wants to feel bloated. >> Yeah. Right. Uh now, that might not 7:40 >> Yeah. Right. Uh now, that might not 7:40 >> Yeah. Right. Uh now, that might not contribute to the scale necessarily, but 7:42 contribute to the scale necessarily, but 7:42 contribute to the scale necessarily, but you know, so there there are at least a 7:44 you know, so there there are at least a 7:44 you know, so there there are at least a couple of, you know, proposed um uh ways 7:47 couple of, you know, proposed um uh ways 7:47 couple of, you know, proposed um uh ways that the scale can go up. 7:49 that the scale can go up. 7:49 that the scale can go up. >> Yeah. So, but you know, the scale is 7:51 >> Yeah. So, but you know, the scale is 7:51 >> Yeah. So, but you know, the scale is elusive and it's kind of evil because 7:53 elusive and it's kind of evil because 7:53 elusive and it's kind of evil because one day it looks this way and the other 7:54 one day it looks this way and the other 7:54 one day it looks this way and the other day it's different. You know, we're all, 7:55 day it's different. You know, we're all, 7:56 day it's different. You know, we're all, you know, so definitely take the scale 7:58 you know, so definitely take the scale 7:58 you know, so definitely take the scale with a grain of salt. It's really more 7:59 with a grain of salt. It's really more 7:59 with a grain of salt. It's really more about measurements. But if you feel 8:00 about measurements. But if you feel 8:00 about measurements. But if you feel like, oh, my pants are tight after 8:02 like, oh, my pants are tight after 8:02 like, oh, my pants are tight after taking the progesterone. It could be 8:03 taking the progesterone. It could be 8:03 taking the progesterone. It could be some bloating. Yeah. 8:04 some bloating. Yeah. 8:04 some bloating. Yeah. >> Or if you feel like you're craving more 8:06 >> Or if you feel like you're craving more 8:06 >> Or if you feel like you're craving more foods, it could be that balance between 8:07 foods, it could be that balance between 8:07 foods, it could be that balance between the estrogen and the progesterone or 8:09 the estrogen and the progesterone or 8:09 the estrogen and the progesterone or that that Alo pregnant is just making 8:12 that that Alo pregnant is just making 8:12 that that Alo pregnant is just making you super tired. Some people are super 8:14 you super tired. Some people are super 8:14 you super tired. Some people are super sensitive to that and some people love 8:16 sensitive to that and some people love 8:16 sensitive to that and some people love the effects of that. It really depends 8:18 the effects of that. It really depends 8:18 the effects of that. It really depends on the person. 8:19 on the person. 8:19 on the person. >> Yeah. Now, the other thing is too is the 8:20 >> Yeah. Now, the other thing is too is the 8:20 >> Yeah. Now, the other thing is too is the starting dosage. If you're So, if you're 8:23 starting dosage. If you're So, if you're 8:23 starting dosage. If you're So, if you're starting HRT or have just started HRT, 8:25 starting HRT or have just started HRT, 8:25 starting HRT or have just started HRT, like we would never put a woman freshly 8:27 like we would never put a woman freshly 8:27 like we would never put a woman freshly into menopause or her first time on on 8:30 into menopause or her first time on on 8:30 into menopause or her first time on on hormones, but around 200 milligrams, 8:32 hormones, but around 200 milligrams, 8:32 hormones, but around 200 milligrams, we'd start her at a at a lower dose and 8:35 we'd start her at a at a lower dose and 8:35 we'd start her at a at a lower dose and then work that dose up over time. 8:36 then work that dose up over time. 8:36 then work that dose up over time. >> Exactly. Because, you know, progesterone 8:38 >> Exactly. Because, you know, progesterone 8:38 >> Exactly. Because, you know, progesterone is a a beautiful hormone. It's great for 8:40 is a a beautiful hormone. It's great for 8:40 is a a beautiful hormone. It's great for your bones and for your hair. Some 8:42 your bones and for your hair. Some 8:42 your bones and for your hair. Some people really love it. It just depends 8:44 people really love it. It just depends 8:44 people really love it. It just depends on the dosage and how it fits for them. 8:46 on the dosage and how it fits for them. 8:46 on the dosage and how it fits for them. So, like you said, maybe start at 100 8:48 So, like you said, maybe start at 100 8:48 So, like you said, maybe start at 100 and work your way up. I had a patient 8:50 and work your way up. I had a patient 8:50 and work your way up. I had a patient the other week, I ended up raising up 8:51 the other week, I ended up raising up 8:52 the other week, I ended up raising up her progesterone because just was she 8:54 her progesterone because just was she 8:54 her progesterone because just was she couldn't get past that 3:00 and then we 8:56 couldn't get past that 3:00 and then we 8:56 couldn't get past that 3:00 and then we raise that up and now she could sleep 8:57 raise that up and now she could sleep 8:57 raise that up and now she could sleep till 6 or 5:36. So, it's perfect. You 9:00 till 6 or 5:36. So, it's perfect. You 9:00 till 6 or 5:36. So, it's perfect. You know, it's perfect raising that up, but 9:02 know, it's perfect raising that up, but 9:02 know, it's perfect raising that up, but you got to start somewhere and then work 9:03 you got to start somewhere and then work 9:03 you got to start somewhere and then work your way up then do too much of a good 9:05 your way up then do too much of a good 9:05 your way up then do too much of a good thing and try to back your way out of 9:06 thing and try to back your way out of 9:06 thing and try to back your way out of these side effects. 9:07 these side effects. 9:07 these side effects. >> Yeah. Right. So, uh again, there's some 9:10 >> Yeah. Right. So, uh again, there's some 9:10 >> Yeah. Right. So, uh again, there's some potential, you know, mechanisms there.
Summary and Closing Remarks 9:13 potential, you know, mechanisms there. 9:13 potential, you know, mechanisms there. Uh long story short or to summarize, the 9:16 Uh long story short or to summarize, the 9:16 Uh long story short or to summarize, the estrogen plays a pretty good role and 9:19 estrogen plays a pretty good role and 9:19 estrogen plays a pretty good role and progesterone can sort of offset some of 9:21 progesterone can sort of offset some of 9:21 progesterone can sort of offset some of that, but you can't not take the 9:23 that, but you can't not take the 9:24 that, but you can't not take the progesterone. The progesterone in this 9:25 progesterone. The progesterone in this 9:25 progesterone. The progesterone in this context when you're on HRT, the 9:27 context when you're on HRT, the 9:27 context when you're on HRT, the progesterone is necessary. So, it's, 9:29 progesterone is necessary. So, it's, 9:29 progesterone is necessary. So, it's, >> you know, you can't just not take your 9:31 >> you know, you can't just not take your 9:31 >> you know, you can't just not take your progesterone to not gain any weight. 9:33 progesterone to not gain any weight. 9:33 progesterone to not gain any weight. Yeah. You have to do both because your 9:35 Yeah. You have to do both because your 9:35 Yeah. You have to do both because your practitioner won't like it if you stop 9:36 practitioner won't like it if you stop 9:36 practitioner won't like it if you stop your progesterone if you have a uterus. 9:38 your progesterone if you have a uterus. 9:38 your progesterone if you have a uterus. So, um, any other things you want to 9:40 So, um, any other things you want to 9:40 So, um, any other things you want to add? 9:40 add? 9:40 add? >> Nope. I think this is great. If anybody 9:42 >> Nope. I think this is great. If anybody 9:42 >> Nope. I think this is great. If anybody has their own experience or their own 9:44 has their own experience or their own 9:44 has their own experience or their own comments, please put them in the 9:45 comments, please put them in the 9:45 comments, please put them in the comments section below. 9:46 comments section below. 9:46 comments section below. >> Yeah. Uh, until next time, I'm Dr. 9:48 >> Yeah. Uh, until next time, I'm Dr. 9:48 >> Yeah. Uh, until next time, I'm Dr. Mackey 9:48 Mackey 9:48 Mackey >> and I'm Dr. Valerie. 9:49 >> and I'm Dr. Valerie. 9:49 >> and I'm Dr. Valerie. >> Take care. Bye-bye.
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