Full Transcript The Womenu2019s Health Research Gap 0:02 We make up 50% a little actually more 0:02 We make up 50% a little actually more than 50% of the population but I think 0:03 than 50% of the population but I think 0:04 than 50% of the population but I think almost all of us are drawn to the thing 0:06 almost all of us are drawn to the thing 0:06 almost all of us are drawn to the thing that we are passionate about because of 0:08 that we are passionate about because of 0:08 that we are passionate about because of our own experience. For me it really 0:10 our own experience. For me it really 0:10 our own experience. For me it really came from my diagnosis of colitis first 0:13 came from my diagnosis of colitis first 0:13 came from my diagnosis of colitis first kind of going down that road and all of 0:14 kind of going down that road and all of 0:14 kind of going down that road and all of a sudden learning like oh out of 10 0:16 a sudden learning like oh out of 10 0:16 a sudden learning like oh out of 10 people nine are women. I'm like well 0:17 people nine are women. I'm like well 0:18 people nine are women. I'm like well that's an interesting statistic for 0:19 that's an interesting statistic for 0:19 that's an interesting statistic for autoimmunity and then you start looking 0:20 autoimmunity and then you start looking 0:20 autoimmunity and then you start looking at other risk factors heart disease 0:23 at other risk factors heart disease 0:23 at other risk factors heart disease Alzheimer's and dementia three out of 0:24 Alzheimer's and dementia three out of 0:24 Alzheimer's and dementia three out of four. And so the reality is is we have 0:26 four. And so the reality is is we have 0:26 four. And so the reality is is we have such an enormous gap in women's health 0:28 such an enormous gap in women's health 0:28 such an enormous gap in women's health and particularly around research and 0:30 and particularly around research and 0:30 and particularly around research and legitimate research. You know, women are 0:32 legitimate research. You know, women are 0:32 legitimate research. You know, women are just little tiny longerhaired men. I 0:34 just little tiny longerhaired men. I 0:34 just little tiny longerhaired men. I don't play that. We're not bikinis. We 0:36 don't play that. We're not bikinis. We 0:36 don't play that. We're not bikinis. We are a full human and we deserve our own 0:38 are a full human and we deserve our own 0:38 are a full human and we deserve our own research. Agreed. What are we supposed 0:40 research. Agreed. What are we supposed 0:40 research. Agreed. What are we supposed to do about hormone issues and 0:42 to do about hormone issues and 0:42 to do about hormone issues and disregulated hormones in a world where 0:45 disregulated hormones in a world where 0:45 disregulated hormones in a world where we're getting this onslaught of 0:47 we're getting this onslaught of 0:47 we're getting this onslaught of endocrine disruptors from the chemicals 0:49 endocrine disruptors from the chemicals 0:49 endocrine disruptors from the chemicals in our food and water? How are we 0:50 in our food and water? How are we 0:50 in our food and water? How are we supposed to navigate that with hormone 0:52 supposed to navigate that with hormone 0:52 supposed to navigate that with hormone issues today? So here's things like I
Estrogen And Cancer Myth 0:53 issues today? So here's things like I 0:53 issues today? So here's things like I I'm obviously really really logical you 0:55 I'm obviously really really logical you 0:55 I'm obviously really really logical you know I've been in software before 0:56 know I've been in software before 0:56 know I've been in software before engineering obviously biochemistry that 0:58 engineering obviously biochemistry that 0:58 engineering obviously biochemistry that was like my love language. The thing 1:00 was like my love language. The thing 1:00 was like my love language. The thing that never meshed for me was okay if we 1:03 that never meshed for me was okay if we 1:03 that never meshed for me was okay if we look at women as a whole about 4 in 1000 1:06 look at women as a whole about 4 in 1000 1:06 look at women as a whole about 4 in 1000 will have the risk for breast cancer 1:07 will have the risk for breast cancer 1:07 will have the risk for breast cancer over their lifetime. I'm going to use 1:08 over their lifetime. I'm going to use 1:08 over their lifetime. I'm going to use this as an example but when you go 1:10 this as an example but when you go 1:10 this as an example but when you go through menopause that starts to 1:11 through menopause that starts to 1:11 through menopause that starts to accelerate at this extraordinary rate 1:13 accelerate at this extraordinary rate 1:13 accelerate at this extraordinary rate right and then by the time you're about 1:15 right and then by the time you're about 1:15 right and then by the time you're about 85 it's one in eight. And so you go, 1:16 85 it's one in eight. And so you go, 1:16 85 it's one in eight. And so you go, okay, we've been told by conventional 1:18 okay, we've been told by conventional 1:18 okay, we've been told by conventional medicine estrogen drives cancer, but yet 1:22 medicine estrogen drives cancer, but yet 1:22 medicine estrogen drives cancer, but yet none of the studies that ever looked at 1:23 none of the studies that ever looked at 1:23 none of the studies that ever looked at hormone replacement in a woman ever 1:26 hormone replacement in a woman ever 1:26 hormone replacement in a woman ever showed that estrogen actually drove the 1:28 showed that estrogen actually drove the 1:28 showed that estrogen actually drove the increase of cancer. Not a single one has 1:30 increase of cancer. Not a single one has 1:30 increase of cancer. Not a single one has ever showed an increase in mortality. 1:31 ever showed an increase in mortality. 1:31 ever showed an increase in mortality. And so I looked at that and I go, okay, 1:32 And so I looked at that and I go, okay, 1:32 And so I looked at that and I go, okay, so let me do the logic thing. So if we 1:35 so let me do the logic thing. So if we 1:35 so let me do the logic thing. So if we have our hormones and they're cycling 1:36 have our hormones and they're cycling 1:36 have our hormones and they're cycling every month up and down, and when you 1:38 every month up and down, and when you 1:38 every month up and down, and when you ovulate, your estrogen can go easily to 1:39 ovulate, your estrogen can go easily to 1:39 ovulate, your estrogen can go easily to 500. When your second half of your 1:41 500. When your second half of your 1:41 500. When your second half of your cycle, it's easily 4 450. So, we have a 1:43 cycle, it's easily 4 450. So, we have a 1:43 cycle, it's easily 4 450. So, we have a lot of estrogen and it's okay to give 1:45 lot of estrogen and it's okay to give 1:45 lot of estrogen and it's okay to give you a birth control pill, but something 1:46 you a birth control pill, but something 1:46 you a birth control pill, but something magical happens at 50 and your hormones 1:49 magical happens at 50 and your hormones 1:49 magical happens at 50 and your hormones and any other hormones now going to kill 1:50 and any other hormones now going to kill 1:50 and any other hormones now going to kill you. And I'm like, but our breast cancer 1:52 you. And I'm like, but our breast cancer 1:52 you. And I'm like, but our breast cancer risk goes up, but we don't have any 1:53 risk goes up, but we don't have any 1:53 risk goes up, but we don't have any hormones. That doesn't make sense. 1:55 hormones. That doesn't make sense. 1:55 hormones. That doesn't make sense. That's not logical. So, 22 years ago, we 1:57 That's not logical. So, 22 years ago, we 1:58 That's not logical. So, 22 years ago, we had a failed, horrible, poorly done 2:00 had a failed, horrible, poorly done 2:00 had a failed, horrible, poorly done study that keeps getting propagated out 2:02 study that keeps getting propagated out 2:02 study that keeps getting propagated out into the media. We took women off 2:04 into the media. We took women off 2:04 into the media. We took women off hormones. Did breast cancer rates go 2:05 hormones. Did breast cancer rates go 2:05 hormones. Did breast cancer rates go down? Not a bit actually went up. And we 2:07 down? Not a bit actually went up. And we 2:07 down? Not a bit actually went up. And we have greater incidences of heart 2:08 have greater incidences of heart 2:08 have greater incidences of heart disease, dementia, and osteoporosis from 2:10 disease, dementia, and osteoporosis from 2:10 disease, dementia, and osteoporosis from it. It defies logic to say that your 2:13 it. It defies logic to say that your 2:14 it. It defies logic to say that your hormone that your body makes suddenly 2:16 hormone that your body makes suddenly 2:16 hormone that your body makes suddenly becomes evil, villainous, and deadly at 2:18 becomes evil, villainous, and deadly at 2:18 becomes evil, villainous, and deadly at a magical number of 50-ish. It's the 2:20 a magical number of 50-ish. It's the 2:20 a magical number of 50-ish. It's the environmental chemicals. And here's my 2:22 environmental chemicals. And here's my 2:22 environmental chemicals. And here's my current hypothesis. It's the reason why 2:23 current hypothesis. It's the reason why 2:24 current hypothesis. It's the reason why I'm building what I'm building. My 2:25 I'm building what I'm building. My 2:25 I'm building what I'm building. My current hypothesis is when you don't 2:26 current hypothesis is when you don't 2:26 current hypothesis is when you don't have your own estrogen to attach that 2:29 have your own estrogen to attach that 2:29 have your own estrogen to attach that keyhole and turn it on, what do you 2:30 keyhole and turn it on, what do you 2:30 keyhole and turn it on, what do you think will do it? Your pesticides, your 2:32 think will do it? Your pesticides, your 2:32 think will do it? Your pesticides, your herbicides, your phalates, your 2:33 herbicides, your phalates, your 2:33 herbicides, your phalates, your fragrances, all of that stuff. And if 2:36 fragrances, all of that stuff. And if 2:36 fragrances, all of that stuff. And if you look at it from a logical 2:37 you look at it from a logical 2:37 you look at it from a logical standpoint, it's also logical science. 2:39 standpoint, it's also logical science. 2:39 standpoint, it's also logical science. It's amazing. What are the cries for
Understanding Perimenopause 2:41 It's amazing. What are the cries for 2:41 It's amazing. What are the cries for help in each stage of life for a female? 2:43 help in each stage of life for a female? 2:43 help in each stage of life for a female? >> You know, if you look at very young 2:44 >> You know, if you look at very young 2:44 >> You know, if you look at very young girls, you know, as we go into puberty, 2:47 girls, you know, as we go into puberty, 2:47 girls, you know, as we go into puberty, right, your ovaries are kind of figuring 2:48 right, your ovaries are kind of figuring 2:48 right, your ovaries are kind of figuring it out. And so, you're getting kind of 2:50 it out. And so, you're getting kind of 2:50 it out. And so, you're getting kind of abnormal expulsion of hormones. So, 2:52 abnormal expulsion of hormones. So, 2:52 abnormal expulsion of hormones. So, they're high, they're low, they're all 2:53 they're high, they're low, they're all 2:54 they're high, they're low, they're all over the place. You usually have crampy 2:55 over the place. You usually have crampy 2:55 over the place. You usually have crampy periods. Like, everything's bad. I 2:56 periods. Like, everything's bad. I 2:56 periods. Like, everything's bad. I remember when I was a kid and I was 2:57 remember when I was a kid and I was 2:57 remember when I was a kid and I was like, being a woman sucks. 2:59 like, being a woman sucks. 2:59 like, being a woman sucks. >> I know. I was like, I don't like this. 3:01 >> I know. I was like, I don't like this. 3:01 >> I know. I was like, I don't like this. The world is ending. 3:03 The world is ending. 3:03 The world is ending. >> Yeah. I was like, this is terrible. What 3:04 >> Yeah. I was like, this is terrible. What 3:04 >> Yeah. I was like, this is terrible. What am I looking forward to? So, you're in 3:05 am I looking forward to? So, you're in 3:05 am I looking forward to? So, you're in kind of hormonal chaos at that time. And 3:08 kind of hormonal chaos at that time. And 3:08 kind of hormonal chaos at that time. And then usually for most of us it starts to 3:10 then usually for most of us it starts to 3:10 then usually for most of us it starts to normalize. We get our own cycle which 3:12 normalize. We get our own cycle which 3:12 normalize. We get our own cycle which could be you know 24 days to 32 days on 3:15 could be you know 24 days to 32 days on 3:15 could be you know 24 days to 32 days on average. And then you know depending on 3:16 average. And then you know depending on 3:16 average. And then you know depending on your fertility some women might have 3:18 your fertility some women might have 3:18 your fertility some women might have lower progesterone levels or higher 3:20 lower progesterone levels or higher 3:20 lower progesterone levels or higher androgens fall into those categories of 3:22 androgens fall into those categories of 3:22 androgens fall into those categories of like PCOS endometriosis. Those are all 3:25 like PCOS endometriosis. Those are all 3:25 like PCOS endometriosis. Those are all signs that the hormones are not balanced 3:27 signs that the hormones are not balanced 3:27 signs that the hormones are not balanced right some of it genetic but that 3:28 right some of it genetic but that 3:28 right some of it genetic but that doesn't mean you have to accept the 3:29 doesn't mean you have to accept the 3:29 doesn't mean you have to accept the genetics. It just means that there's you 3:31 genetics. It just means that there's you 3:31 genetics. It just means that there's you know there's some imbalances there. But 3:32 know there's some imbalances there. But 3:32 know there's some imbalances there. But I think the thing that most people get 3:34 I think the thing that most people get 3:34 I think the thing that most people get really confused by is the pmenopausal 3:37 really confused by is the pmenopausal 3:37 really confused by is the pmenopausal journey. We've told women that menopause 3:40 journey. We've told women that menopause 3:40 journey. We've told women that menopause is when it all happens. And that's a 3:41 is when it all happens. And that's a 3:41 is when it all happens. And that's a single day in your life. That's one year 3:43 single day in your life. That's one year 3:43 single day in your life. That's one year from the last time you had a menstrual 3:44 from the last time you had a menstrual 3:44 from the last time you had a menstrual cycle. That's the end of the 3:46 cycle. That's the end of the 3:46 cycle. That's the end of the permenopausal season. But the average 3:48 permenopausal season. But the average 3:48 permenopausal season. But the average woman spends at least eight years 3:50 woman spends at least eight years 3:50 woman spends at least eight years symptomatic. Remember, it's a bell 3:51 symptomatic. Remember, it's a bell 3:52 symptomatic. Remember, it's a bell curve, everybody. So that means some of 3:53 curve, everybody. So that means some of 3:53 curve, everybody. So that means some of us are outliers for 16 and some of us 3:55 us are outliers for 16 and some of us 3:55 us are outliers for 16 and some of us ski through with very few symptoms. And 3:57 ski through with very few symptoms. And 3:57 ski through with very few symptoms. And the lack of symptoms doesn't mean 3:58 the lack of symptoms doesn't mean 3:58 the lack of symptoms doesn't mean something's not going on. uh just means 4:00 something's not going on. uh just means 4:00 something's not going on. uh just means that you're not presenting those 4:01 that you're not presenting those 4:01 that you're not presenting those symptoms. If you look at it, you have 4:03 symptoms. If you look at it, you have 4:03 symptoms. If you look at it, you have kind of three stages. Early pmenopause, 4:05 kind of three stages. Early pmenopause, 4:05 kind of three stages. Early pmenopause, right? Which usually means that your 4:07 right? Which usually means that your 4:07 right? Which usually means that your progesterone levels are starting to 4:08 progesterone levels are starting to 4:08 progesterone levels are starting to decline. Testosterone has already been 4:10 decline. Testosterone has already been 4:10 decline. Testosterone has already been sliding downhill from 20. It doesn't 4:12 sliding downhill from 20. It doesn't 4:12 sliding downhill from 20. It doesn't vary that much. It just keeps going 4:13 vary that much. It just keeps going 4:13 vary that much. It just keeps going downhill. But progesterone starts to 4:15 downhill. But progesterone starts to 4:15 downhill. But progesterone starts to decline. So, usually you get crime scene 4:16 decline. So, usually you get crime scene 4:16 decline. So, usually you get crime scene periods, fibroids, heavy periods, more 4:19 periods, fibroids, heavy periods, more 4:19 periods, fibroids, heavy periods, more frequent periods. Like that was what was 4:21 frequent periods. Like that was what was 4:21 frequent periods. Like that was what was it for me. I was like, "Oh, awesome. I 4:22 it for me. I was like, "Oh, awesome. I 4:22 it for me. I was like, "Oh, awesome. I get to have a period every 21 days." And 4:24 get to have a period every 21 days." And 4:24 get to have a period every 21 days." And it's like a crime scene, you know? So, 4:26 it's like a crime scene, you know? So, 4:26 it's like a crime scene, you know? So, you're like, "Okay, never wear white." 4:28 you're like, "Okay, never wear white." 4:28 you're like, "Okay, never wear white." you know, all the things you think about 4:30 you know, all the things you think about 4:30 you know, all the things you think about how you address that time period 4:32 how you address that time period 4:32 how you address that time period relative to the midline where 4:34 relative to the midline where 4:34 relative to the midline where everything's starting to get crazy. So 4:35 everything's starting to get crazy. So 4:35 everything's starting to get crazy. So now progesterone is declining and now 4:38 now progesterone is declining and now 4:38 now progesterone is declining and now estrogen has attached itself to a bunchy 4:40 estrogen has attached itself to a bunchy 4:40 estrogen has attached itself to a bunchy gourd and so it's going up and down and 4:42 gourd and so it's going up and down and 4:42 gourd and so it's going up and down and up and down, up and down. So then you 4:43 up and down, up and down. So then you 4:43 up and down, up and down. So then you get hot flashes, night sweats and brain 4:44 get hot flashes, night sweats and brain 4:44 get hot flashes, night sweats and brain fog and you know mood swings and rage
Why Hormones Fluctuate 4:47 fog and you know mood swings and rage 4:47 fog and you know mood swings and rage and all the other sort of symptoms that 4:49 and all the other sort of symptoms that 4:49 and all the other sort of symptoms that can go with it, heart palpitations. You 4:51 can go with it, heart palpitations. You 4:51 can go with it, heart palpitations. You know what we do to address that will be 4:53 know what we do to address that will be 4:53 know what we do to address that will be different. So sometimes it's maybe 4:54 different. So sometimes it's maybe 4:54 different. So sometimes it's maybe putting progesterone in, other times it 4:56 putting progesterone in, other times it 4:56 putting progesterone in, other times it might be putting progesterone and 4:57 might be putting progesterone and 4:57 might be putting progesterone and testosterone in. You know, as you enter 4:59 testosterone in. You know, as you enter 4:59 testosterone in. You know, as you enter that sort of last phase, the sort of 5:01 that sort of last phase, the sort of 5:01 that sort of last phase, the sort of last part of the chaotic period. What I 5:03 last part of the chaotic period. What I 5:03 last part of the chaotic period. What I always was afraid of, and it's I would 5:05 always was afraid of, and it's I would 5:05 always was afraid of, and it's I would say this is a disservice functional 5:06 say this is a disservice functional 5:06 say this is a disservice functional medicine does to the community. And some 5:08 medicine does to the community. And some 5:08 medicine does to the community. And some of it's because we're lacking the 5:09 of it's because we're lacking the 5:09 of it's because we're lacking the research, is I knew I was estrogen 5:11 research, is I knew I was estrogen 5:11 research, is I knew I was estrogen dominant. Anybody watching this can tell 5:12 dominant. Anybody watching this can tell 5:12 dominant. Anybody watching this can tell I got a badon dunk butt. I'm chesty. You 5:14 I got a badon dunk butt. I'm chesty. You 5:14 I got a badon dunk butt. I'm chesty. You know, if you're curvy, you had estrogen 5:16 know, if you're curvy, you had estrogen 5:16 know, if you're curvy, you had estrogen quite a bit. So I had been told and I 5:18 quite a bit. So I had been told and I 5:18 quite a bit. So I had been told and I had had labs, you know, previously and 5:20 had had labs, you know, previously and 5:20 had had labs, you know, previously and all this time that said you are estrogen 5:21 all this time that said you are estrogen 5:22 all this time that said you are estrogen dominant. So, I'm like, "Okay, I'm 5:23 dominant. So, I'm like, "Okay, I'm 5:23 dominant. So, I'm like, "Okay, I'm terrified by estrogen. I couldn't 5:24 terrified by estrogen. I couldn't 5:24 terrified by estrogen. I couldn't possibly have it until the end." But 5:26 possibly have it until the end." But 5:26 possibly have it until the end." But when you get into that last chaotic 5:28 when you get into that last chaotic 5:28 when you get into that last chaotic period where it's all over the place, 5:29 period where it's all over the place, 5:30 period where it's all over the place, you can still have a period and it be 5:31 you can still have a period and it be 5:32 you can still have a period and it be very, very low. And nobody knows that. 5:33 very, very low. And nobody knows that. 5:33 very, very low. And nobody knows that. You think, "Oh, if I'm still having a 5:35 You think, "Oh, if I'm still having a 5:35 You think, "Oh, if I'm still having a period, I must still be estrogen 5:36 period, I must still be estrogen 5:36 period, I must still be estrogen dominant. I'm not there yet, so I can't 5:37 dominant. I'm not there yet, so I can't 5:37 dominant. I'm not there yet, so I can't start estrogen." And what I can tell you 5:39 start estrogen." And what I can tell you 5:39 start estrogen." And what I can tell you from my clinical experience and my own 5:41 from my clinical experience and my own 5:41 from my clinical experience and my own experience, I didn't do this with 5:43 experience, I didn't do this with 5:43 experience, I didn't do this with myself. if I waited until it was all 5:44 myself. if I waited until it was all 5:44 myself. if I waited until it was all done right before I added estrogen cuz I 5:46 done right before I added estrogen cuz I 5:46 done right before I added estrogen cuz I was afraid I was going to get too much 5:47 was afraid I was going to get too much 5:47 was afraid I was going to get too much is that you can often stabilize that 5:49 is that you can often stabilize that 5:49 is that you can often stabilize that bungee cord experience by stabilizing 5:51 bungee cord experience by stabilizing 5:51 bungee cord experience by stabilizing the estrogen with a little bit of 5:53 the estrogen with a little bit of 5:53 the estrogen with a little bit of replacement depending on the person cuz 5:54 replacement depending on the person cuz 5:54 replacement depending on the person cuz the other thing again thinking logically 5:56 the other thing again thinking logically 5:56 the other thing again thinking logically if you were a estrogen dominant woman 5:59 if you were a estrogen dominant woman 5:59 if you were a estrogen dominant woman what do you think you have a lot of 6:00 what do you think you have a lot of 6:00 what do you think you have a lot of receptors for estrogen yeah absorb who's 6:02 receptors for estrogen yeah absorb who's 6:02 receptors for estrogen yeah absorb who's going to feel it more profoundly when it 6:04 going to feel it more profoundly when it 6:04 going to feel it more profoundly when it starts to nose dive somebody who has a 6:06 starts to nose dive somebody who has a 6:06 starts to nose dive somebody who has a lot of receptors and so we shouldn't 6:07 lot of receptors and so we shouldn't 6:07 lot of receptors and so we shouldn't take it away or be frightened of it when 6:09 take it away or be frightened of it when 6:09 take it away or be frightened of it when your body is actually crying for it you 6:11 your body is actually crying for it you 6:11 your body is actually crying for it you have those different stages ages that 6:13 have those different stages ages that 6:13 have those different stages ages that you have to kind of look at, you know, 6:14 you have to kind of look at, you know, 6:14 you have to kind of look at, you know, and then you have to add the thyroid 6:16 and then you have to add the thyroid 6:16 and then you have to add the thyroid issues and the adrenal issues and all 6:18 issues and the adrenal issues and all 6:18 issues and the adrenal issues and all those other things. You can't ignore 6:19 those other things. You can't ignore 6:19 those other things. You can't ignore that. 6:19 that. 6:19 that. >> I have so much discomfort around the 6:22 >> I have so much discomfort around the 6:22 >> I have so much discomfort around the whole hormone replacement industry. 6:24 whole hormone replacement industry. 6:24 whole hormone replacement industry. >> Oh, yeah. Anywhere where there's just a
Concerns About HRT 6:25 >> Oh, yeah. Anywhere where there's just a 6:25 >> Oh, yeah. Anywhere where there's just a ton of money being made, I want people 6:27 ton of money being made, I want people 6:27 ton of money being made, I want people to have great discernment about what are 6:29 to have great discernment about what are 6:29 to have great discernment about what are the right decisions for them. What are 6:30 the right decisions for them. What are 6:30 the right decisions for them. What are the factors when you're considering 6:32 the factors when you're considering 6:32 the factors when you're considering different hormone replacement therapies, 6:34 different hormone replacement therapies, 6:34 different hormone replacement therapies, which ones are more toxic? Which ones 6:36 which ones are more toxic? Which ones 6:36 which ones are more toxic? Which ones are more compatible with your body's own 6:39 are more compatible with your body's own 6:39 are more compatible with your body's own strategies and rhythms? So the rule is
Synthetic Vs Bioidentical Hormones 6:41 strategies and rhythms? So the rule is 6:41 strategies and rhythms? So the rule is if it's synthetic like hydroxyp 6:43 if it's synthetic like hydroxyp 6:43 if it's synthetic like hydroxyp progesterine, birth control pills, IUDs 6:46 progesterine, birth control pills, IUDs 6:46 progesterine, birth control pills, IUDs and things like that, you don't want 6:47 and things like that, you don't want 6:47 and things like that, you don't want those. Those are not long-term 6:49 those. Those are not long-term 6:49 those. Those are not long-term strategies for menopause, you know, 6:50 strategies for menopause, you know, 6:50 strategies for menopause, you know, pmenopause and menopause and beyond. Why 6:52 pmenopause and menopause and beyond. Why 6:52 pmenopause and menopause and beyond. Why not? Why does that matter? Oral 6:54 not? Why does that matter? Oral 6:54 not? Why does that matter? Oral estrogen. So the most commonly used oral 6:56 estrogen. So the most commonly used oral 6:56 estrogen. So the most commonly used oral estrogen for decades was primarin. And 6:58 estrogen for decades was primarin. And 6:58 estrogen for decades was primarin. And primarin is made from pregnant horses 7:00 primarin is made from pregnant horses 7:00 primarin is made from pregnant horses pee. And it's got 13 estrogens in it. We 7:02 pee. And it's got 13 estrogens in it. We 7:02 pee. And it's got 13 estrogens in it. We only make three. So all 13 of those 7:04 only make three. So all 13 of those 7:04 only make three. So all 13 of those estrogens when you take them orally go 7:06 estrogens when you take them orally go 7:06 estrogens when you take them orally go straight to the liver. They pass through 7:08 straight to the liver. They pass through 7:08 straight to the liver. They pass through those detox pathways where you got to be 7:10 those detox pathways where you got to be 7:10 those detox pathways where you got to be able to wrap the right wrapper in the 7:11 able to wrap the right wrapper in the 7:12 able to wrap the right wrapper in the right order. All of those have to go 7:13 right order. All of those have to go 7:13 right order. All of those have to go through that. Then you have to actually 7:15 through that. Then you have to actually 7:15 through that. Then you have to actually take it and then it goes out into the 7:17 take it and then it goes out into the 7:17 take it and then it goes out into the bloodstream and then starts to work. But 7:18 bloodstream and then starts to work. But 7:18 bloodstream and then starts to work. But it's not just those 13 estrogens. Now we 7:21 it's not just those 13 estrogens. Now we 7:21 it's not just those 13 estrogens. Now we have the other byproducts your liver 7:22 have the other byproducts your liver 7:22 have the other byproducts your liver made, some of which are really 7:23 made, some of which are really 7:23 made, some of which are really pro-inflammatory. And so in much older 7:25 pro-inflammatory. And so in much older 7:25 pro-inflammatory. And so in much older women, oral estrogen is associated with 7:27 women, oral estrogen is associated with 7:27 women, oral estrogen is associated with stroke and heart attack risk because of 7:29 stroke and heart attack risk because of 7:29 stroke and heart attack risk because of the metabolites, because it's given 7:30 the metabolites, because it's given 7:30 the metabolites, because it's given orally. So today, estrogen is generally 7:33 orally. So today, estrogen is generally 7:33 orally. So today, estrogen is generally given topically. There is a bio 7:34 given topically. There is a bio 7:34 given topically. There is a bio identical form of estradiol in a pill. 7:36 identical form of estradiol in a pill. 7:36 identical form of estradiol in a pill. I'm still not a fan because again it's 7:38 I'm still not a fan because again it's 7:38 I'm still not a fan because again it's going to go to liver first because you 7:39 going to go to liver first because you 7:39 going to go to liver first because you swallowed it and it's given as a patch 7:40 swallowed it and it's given as a patch 7:40 swallowed it and it's given as a patch or a cream or an oil or a pellet. Here's 7:43 or a cream or an oil or a pellet. Here's 7:43 or a cream or an oil or a pellet. Here's the reality. Pellets go underneath the 7:44 the reality. Pellets go underneath the 7:44 the reality. Pellets go underneath the muscle. They're tiny and they are bio 7:46 muscle. They're tiny and they are bio 7:46 muscle. They're tiny and they are bio identical but they have other non you 7:48 identical but they have other non you 7:48 identical but they have other non you know ingredients in them that are going 7:51 know ingredients in them that are going 7:51 know ingredients in them that are going into your body. Your body creates a 7:52 into your body. Your body creates a 7:52 into your body. Your body creates a little capsule around it. It's a small 7:54 little capsule around it. It's a small 7:54 little capsule around it. It's a small surgical experience. Then your body's 7:56 surgical experience. Then your body's 7:56 surgical experience. Then your body's going to slowly absorb it. But that 7:57 going to slowly absorb it. But that 7:57 going to slowly absorb it. But that absorbability is just dependent on you 8:00 absorbability is just dependent on you 8:00 absorbability is just dependent on you individually how much you exercise your 8:01 individually how much you exercise your 8:01 individually how much you exercise your own unique biochemistry. And I have seen 8:03 own unique biochemistry. And I have seen 8:03 own unique biochemistry. And I have seen we do pellets in our clinic, but it's 8:05 we do pellets in our clinic, but it's 8:06 we do pellets in our clinic, but it's begrudgingly we make sure that it's 8:08 begrudgingly we make sure that it's 8:08 begrudgingly we make sure that it's moving in the right direction and it's 8:09 moving in the right direction and it's 8:09 moving in the right direction and it's not getting too high cuz over time it 8:11 not getting too high cuz over time it 8:11 not getting too high cuz over time it starts building. And then you have the 8:12 starts building. And then you have the 8:12 starts building. And then you have the patches. Well, the patches are great. 8:14 patches. Well, the patches are great. 8:14 patches. Well, the patches are great. They're bio identical, but you've got an 8:16 They're bio identical, but you've got an 8:16 They're bio identical, but you've got an adhesive. So if you're a chemically 8:17 adhesive. So if you're a chemically 8:17 adhesive. So if you're a chemically sensitive person, do you want to stick 8:18 sensitive person, do you want to stick 8:18 sensitive person, do you want to stick an adhesive on you? Cuz they've got a
Choosing Safer Hormone Therapy 8:20 an adhesive on you? Cuz they've got a 8:20 an adhesive on you? Cuz they've got a bunch of polymers and other things in it 8:22 bunch of polymers and other things in it 8:22 bunch of polymers and other things in it that are endocrine disrupting. And then 8:24 that are endocrine disrupting. And then 8:24 that are endocrine disrupting. And then the compounded creams in order for them 8:26 the compounded creams in order for them 8:26 the compounded creams in order for them not to separate. So it's kind of like if 8:28 not to separate. So it's kind of like if 8:28 not to separate. So it's kind of like if you put like mayonnaise out and let it 8:29 you put like mayonnaise out and let it 8:29 you put like mayonnaise out and let it sit, it would separate and be like oily 8:31 sit, it would separate and be like oily 8:31 sit, it would separate and be like oily and then chunky stuff on top. Well, they 8:33 and then chunky stuff on top. Well, they 8:33 and then chunky stuff on top. Well, they put all of these solvents in it so it'll 8:35 put all of these solvents in it so it'll 8:35 put all of these solvents in it so it'll stay in solution. Well, those solvents 8:36 stay in solution. Well, those solvents 8:36 stay in solution. Well, those solvents are endocrine disrupting. A lot of women 8:38 are endocrine disrupting. A lot of women 8:38 are endocrine disrupting. A lot of women will say, "Well, I was taking this cream 8:40 will say, "Well, I was taking this cream 8:40 will say, "Well, I was taking this cream and it seemed to work, but this one 8:41 and it seemed to work, but this one 8:41 and it seemed to work, but this one doesn't." I'm like, "It's the base, 8:43 doesn't." I'm like, "It's the base, 8:43 doesn't." I'm like, "It's the base, right? It's probably not the hormone. 8:44 right? It's probably not the hormone. 8:44 right? It's probably not the hormone. It's the base." We use a bio identical 8:46 It's the base." We use a bio identical 8:46 It's the base." We use a bio identical hormone and hoba oil. Two ingredients, 8:49 hormone and hoba oil. Two ingredients, 8:49 hormone and hoba oil. Two ingredients, that's it. Hoba oil is a waxy like oil. 8:51 that's it. Hoba oil is a waxy like oil. 8:51 that's it. Hoba oil is a waxy like oil. It absorbs rapidly to the skin and 8:53 It absorbs rapidly to the skin and 8:53 It absorbs rapidly to the skin and delivers without having any exipients in 8:55 delivers without having any exipients in 8:55 delivers without having any exipients in it. That took a long time to get to. We 8:57 it. That took a long time to get to. We 8:57 it. That took a long time to get to. We have to think about where we're taking 8:58 have to think about where we're taking 8:58 have to think about where we're taking it and how we're taking it. And same 8:59 it and how we're taking it. And same 8:59 it and how we're taking it. And same thing with testosterone. Testosterone is 9:01 thing with testosterone. Testosterone is 9:01 thing with testosterone. Testosterone is not actually FDA approved for women and 9:03 not actually FDA approved for women and 9:03 not actually FDA approved for women and female doses. So if you go to a 9:05 female doses. So if you go to a 9:05 female doses. So if you go to a conventional or menopause society 9:07 conventional or menopause society 9:07 conventional or menopause society trained doctor, they're going to give 9:08 trained doctor, they're going to give 9:08 trained doctor, they're going to give you androgel which is dosed for men and 9:10 you androgel which is dosed for men and 9:10 you androgel which is dosed for men and are going to go guess and put a little 9:11 are going to go guess and put a little 9:11 are going to go guess and put a little bit on and then they poo poo compounded 9:13 bit on and then they poo poo compounded 9:13 bit on and then they poo poo compounded but again if it's compounded in cream 9:15 but again if it's compounded in cream 9:15 but again if it's compounded in cream you are putting on a cream that's got 9:17 you are putting on a cream that's got 9:17 you are putting on a cream that's got solvents in it. Um we obviously do the 9:19 solvents in it. Um we obviously do the 9:19 solvents in it. Um we obviously do the hoba oil. We have to look at it and say 9:21 hoba oil. We have to look at it and say 9:21 hoba oil. We have to look at it and say I don't want to take hormones that are 9:23 I don't want to take hormones that are 9:23 I don't want to take hormones that are adding additional endocrine disrupting 9:25 adding additional endocrine disrupting 9:25 adding additional endocrine disrupting things.
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