Full Transcript Intro and patch basics 0:02 So, a lot of hot showers are going to 0:02 So, a lot of hot showers are going to cause blood vessels to dilate, which 0:04 cause blood vessels to dilate, which 0:04 cause blood vessels to dilate, which could cause that estradile to go right 0:06 could cause that estradile to go right 0:06 could cause that estradile to go right into the system. 0:09 into the system. 0:09 into the system. >> How to make your estradile patch work 0:12 >> How to make your estradile patch work 0:12 >> How to make your estradile patch work better. Hi, I'm Dr. Valerie Davidson 0:14 better. Hi, I'm Dr. Valerie Davidson 0:14 better. Hi, I'm Dr. Valerie Davidson from the Progressive Health Podcast. 0:16 from the Progressive Health Podcast. 0:16 from the Progressive Health Podcast. >> I'm Dr. Mackey from the Progressive 0:17 >> I'm Dr. Mackey from the Progressive 0:17 >> I'm Dr. Mackey from the Progressive Health Podcast. So, as you just stated,
Hack 1: Best patch placement 0:19 Health Podcast. So, as you just stated, 0:19 Health Podcast. So, as you just stated, we're going to talk about uh we have 0:20 we're going to talk about uh we have 0:20 we're going to talk about uh we have four hacks that women can use uh to try 0:24 four hacks that women can use uh to try 0:24 four hacks that women can use uh to try to get the most out of their patch that 0:25 to get the most out of their patch that 0:25 to get the most out of their patch that they can. So the first one is location 0:28 they can. So the first one is location 0:28 they can. So the first one is location and actually putting it on your bum is 0:30 and actually putting it on your bum is 0:30 and actually putting it on your bum is better in some respects than putting it 0:32 better in some respects than putting it 0:32 better in some respects than putting it on your stomach. Putting on your bum can 0:34 on your stomach. Putting on your bum can 0:34 on your stomach. Putting on your bum can have a really good deliverance of that 0:36 have a really good deliverance of that 0:36 have a really good deliverance of that hormones of the estradile into your 0:37 hormones of the estradile into your 0:37 hormones of the estradile into your bloodstream and it's less likely to 0:40 bloodstream and it's less likely to 0:40 bloodstream and it's less likely to crease or have like your your waistline 0:43 crease or have like your your waistline 0:43 crease or have like your your waistline rubbing on it or the seat belt rubbing 0:44 rubbing on it or the seat belt rubbing 0:44 rubbing on it or the seat belt rubbing on it or folding because we want to keep 0:46 on it or folding because we want to keep 0:46 on it or folding because we want to keep that patch really stuck on there. 0:48 that patch really stuck on there. 0:48 that patch really stuck on there. >> Uh okay, number two uh is uh prepping
Hack 2: Prep skin before applying 0:51 >> Uh okay, number two uh is uh prepping 0:51 >> Uh okay, number two uh is uh prepping the skin before application. 0:53 the skin before application. 0:53 the skin before application. >> Yeah, a couple of things with that. So 0:55 >> Yeah, a couple of things with that. So 0:55 >> Yeah, a couple of things with that. So you definitely want it to be more cool 0:57 you definitely want it to be more cool 0:57 you definitely want it to be more cool and dry. So putting it on right after a 0:59 and dry. So putting it on right after a 0:59 and dry. So putting it on right after a warm shower is not the best time to 1:01 warm shower is not the best time to 1:01 warm shower is not the best time to apply your estradi patch. So if you 1:03 apply your estradi patch. So if you 1:04 apply your estradi patch. So if you shower in the morning, put your patch on 1:05 shower in the morning, put your patch on 1:06 shower in the morning, put your patch on in the evening when your skin is cool. 1:08 in the evening when your skin is cool. 1:08 in the evening when your skin is cool. And you also want to make sure that 1:09 And you also want to make sure that 1:09 And you also want to make sure that there's not a lot of dead skin cells so 1:11 there's not a lot of dead skin cells so 1:11 there's not a lot of dead skin cells so you can even loofah the area when you 1:14 you can even loofah the area when you 1:14 you can even loofah the area when you wear are in the shower in the morning to 1:15 wear are in the shower in the morning to 1:15 wear are in the shower in the morning to really get those skin cells off. And if 1:17 really get those skin cells off. And if 1:17 really get those skin cells off. And if you're, you know, we put on moisturizer, 1:19 you're, you know, we put on moisturizer, 1:19 you're, you know, we put on moisturizer, so if your skin feels a little bit like 1:21 so if your skin feels a little bit like 1:21 so if your skin feels a little bit like you have some moisturizer on or maybe it 1:23 you have some moisturizer on or maybe it 1:23 you have some moisturizer on or maybe it feels a little bit oily, you can take an 1:24 feels a little bit oily, you can take an 1:24 feels a little bit oily, you can take an alcohol swab and swab it, but make sure
Hack 3: Avoid heat and hot showers 1:27 alcohol swab and swab it, but make sure 1:27 alcohol swab and swab it, but make sure that it dries completely. But do know 1:29 that it dries completely. But do know 1:29 that it dries completely. But do know that some people are allergic to those 1:31 that some people are allergic to those 1:31 that some people are allergic to those little alcohol swabs. So just know if 1:32 little alcohol swabs. So just know if 1:32 little alcohol swabs. So just know if you are, you aren't. But definitely you 1:34 you are, you aren't. But definitely you 1:34 you are, you aren't. But definitely you want cool, dry skin. 1:36 want cool, dry skin. 1:36 want cool, dry skin. >> Number three is uh you just have uh on 1:39 >> Number three is uh you just have uh on 1:39 >> Number three is uh you just have uh on our little write up here, you have heat. 1:41 our little write up here, you have heat. 1:41 our little write up here, you have heat. What do you mean by heat? Well, you 1:43 What do you mean by heat? Well, you 1:43 What do you mean by heat? Well, you know, you go to the gym and you get hot 1:45 know, you go to the gym and you get hot 1:45 know, you go to the gym and you get hot and then you come home and you take 1:46 and then you come home and you take 1:46 and then you come home and you take another shower or maybe you want to 1:48 another shower or maybe you want to 1:48 another shower or maybe you want to shower again. So, a lot of hot showers 1:50 shower again. So, a lot of hot showers 1:50 shower again. So, a lot of hot showers are going to cause because heat causes 1:52 are going to cause because heat causes 1:52 are going to cause because heat causes blood vessels to dilate. So, that might 1:55 blood vessels to dilate. So, that might 1:55 blood vessels to dilate. So, that might cause the delivery of the estradile 1:57 cause the delivery of the estradile 1:57 cause the delivery of the estradile that's supposed to be going in at a 1:58 that's supposed to be going in at a 1:58 that's supposed to be going in at a certain rate to go in a little bit 2:00 certain rate to go in a little bit 2:00 certain rate to go in a little bit faster. So having, you know, even even 2:04 faster. So having, you know, even even 2:04 faster. So having, you know, even even people when they're um, you know, going 2:05 people when they're um, you know, going 2:05 people when they're um, you know, going in a sauna or hot tubs, you know, going 2:07 in a sauna or hot tubs, you know, going 2:07 in a sauna or hot tubs, you know, going in a hot tub, that's going to cause a 2:08 in a hot tub, that's going to cause a 2:08 in a hot tub, that's going to cause a lot of heat, which could cause that 2:10 lot of heat, which could cause that 2:10 lot of heat, which could cause that estradile to go right into the system. 2:12 estradile to go right into the system. 2:12 estradile to go right into the system. Cuz that is one thing that I've noticed 2:14 Cuz that is one thing that I've noticed 2:14 Cuz that is one thing that I've noticed with some patients sometimes when I do 2:16 with some patients sometimes when I do 2:16 with some patients sometimes when I do their blood test right after they apply 2:18 their blood test right after they apply 2:18 their blood test right after they apply that estradiol patch. So they put it on 2:20 that estradiol patch. So they put it on 2:20 that estradiol patch. So they put it on last night, they do some blood work this 2:21 last night, they do some blood work this 2:21 last night, they do some blood work this afternoon, the next day, it is a little 2:24 afternoon, the next day, it is a little 2:24 afternoon, the next day, it is a little higher than, you know, maybe the second 2:26 higher than, you know, maybe the second 2:26 higher than, you know, maybe the second day of applying it. And is that because 2:28 day of applying it. And is that because 2:28 day of applying it. And is that because it wears out? It's pro. I say, you know, 2:30 it wears out? It's pro. I say, you know, 2:30 it wears out? It's pro. I say, you know, a little bit, but also too if hot 2:33 a little bit, but also too if hot 2:33 a little bit, but also too if hot showers can start to kind of, you know, 2:35 showers can start to kind of, you know, 2:35 showers can start to kind of, you know, dose dump that reservoir and then there 2:37 dose dump that reservoir and then there 2:37 dose dump that reservoir and then there just isn't anything left in there.
Patch variability, humidity, and swimming 2:39 just isn't anything left in there. 2:39 just isn't anything left in there. >> Yeah. The the idea of the patch is 2:40 >> Yeah. The the idea of the patch is 2:40 >> Yeah. The the idea of the patch is supposed to be like a steady release, 2:42 supposed to be like a steady release, 2:42 supposed to be like a steady release, but it's it's not really a steady 2:44 but it's it's not really a steady 2:44 but it's it's not really a steady release. 2:45 release. 2:45 release. >> Yeah. Yeah. Our our body temperature, 2:47 >> Yeah. Yeah. Our our body temperature, 2:47 >> Yeah. Yeah. Our our body temperature, taking showers, get all excited or 2:49 taking showers, get all excited or 2:49 taking showers, get all excited or something, you know, it's, you know, 2:51 something, you know, it's, you know, 2:51 something, you know, it's, you know, that there's some variability there. So, 2:53 that there's some variability there. So, 2:53 that there's some variability there. So, trying to um minimize that heat. So, if 2:55 trying to um minimize that heat. So, if 2:55 trying to um minimize that heat. So, if you don't go in the hot tub, don't go in 2:57 you don't go in the hot tub, don't go in 2:57 you don't go in the hot tub, don't go in the sauna, even though it does sound 2:58 the sauna, even though it does sound 2:58 the sauna, even though it does sound kind of fun. Yeah, it'd be interesting 3:00 kind of fun. Yeah, it'd be interesting 3:00 kind of fun. Yeah, it'd be interesting for the people that are watching that 3:02 for the people that are watching that 3:02 for the people that are watching that live in the south with all that humidity 3:04 live in the south with all that humidity 3:04 live in the south with all that humidity because we've we've predominately been 3:05 because we've we've predominately been 3:05 because we've we've predominately been in the Northwest. Uh I used I'm 3:08 in the Northwest. Uh I used I'm 3:08 in the Northwest. Uh I used I'm originally from the Midwest. Um have 3:10 originally from the Midwest. Um have 3:10 originally from the Midwest. Um have been there for years at least living 3:12 been there for years at least living 3:12 been there for years at least living there. Uh you know, you know, at least 3:15 there. Uh you know, you know, at least 3:15 there. Uh you know, you know, at least in the southwest anyways, it's just dry 3:17 in the southwest anyways, it's just dry 3:17 in the southwest anyways, it's just dry heat. It's very hot, but it's just dry 3:19 heat. It's very hot, but it's just dry 3:19 heat. It's very hot, but it's just dry heat. So, I'm wondering if anyone has 3:20 heat. So, I'm wondering if anyone has 3:20 heat. So, I'm wondering if anyone has any experience living in the south and 3:22 any experience living in the south and 3:22 any experience living in the south and how that patch uh uh adheres to the 3:25 how that patch uh uh adheres to the 3:26 how that patch uh uh adheres to the skin. I'd be really curious to know 3:27 skin. I'd be really curious to know 3:27 skin. I'd be really curious to know about that. I would imagine it'd be 3:28 about that. I would imagine it'd be 3:28 about that. I would imagine it'd be pretty challenging cuz from what I 3:30 pretty challenging cuz from what I 3:30 pretty challenging cuz from what I understand you, you know, you're in the 3:31 understand you, you know, you're in the 3:32 understand you, you know, you're in the south and the minute you shower, you go 3:33 south and the minute you shower, you go 3:33 south and the minute you shower, you go outside and you're sweaty all over 3:35 outside and you're sweaty all over 3:35 outside and you're sweaty all over again. I can't imagine this the patch 3:37 again. I can't imagine this the patch 3:37 again. I can't imagine this the patch sticks very well in a situation like 3:38 sticks very well in a situation like 3:38 sticks very well in a situation like that. 3:39 that. 3:39 that. >> It it doesn't. You know, humidity is one 3:41 >> It it doesn't. You know, humidity is one 3:41 >> It it doesn't. You know, humidity is one of those factors. Also, swimming. You 3:43 of those factors. Also, swimming. You 3:43 of those factors. Also, swimming. You know, some people like to go swimming, 3:44 know, some people like to go swimming, 3:44 know, some people like to go swimming, so that's going to be a factor. So, the 3:46 so that's going to be a factor. So, the 3:46 so that's going to be a factor. So, the other hack, speaking of humidity, would 3:48 other hack, speaking of humidity, would 3:48 other hack, speaking of humidity, would be putting on a cover. Putting actually 3:50 be putting on a cover. Putting actually 3:50 be putting on a cover. Putting actually a waterproof adhesive cover over your 3:53 a waterproof adhesive cover over your 3:53 a waterproof adhesive cover over your estradile patch so that you can go 3:55 estradile patch so that you can go 3:55 estradile patch so that you can go swimming so that you can, you know, if 3:57 swimming so that you can, you know, if 3:57 swimming so that you can, you know, if you're humid, you know, if you're living 3:59 you're humid, you know, if you're living 3:59 you're humid, you know, if you're living in Florida or something and it's humid, 4:01 in Florida or something and it's humid, 4:01 in Florida or something and it's humid, it wouldn't move away or migrate. So, I 4:03 it wouldn't move away or migrate. So, I 4:04 it wouldn't move away or migrate. So, I do feel like putting on that adhesive 4:05 do feel like putting on that adhesive 4:06 do feel like putting on that adhesive covering. So, some people go online, 4:08 covering. So, some people go online, 4:08 covering. So, some people go online, they have different colors. You know, we 4:09 they have different colors. You know, we 4:09 they have different colors. You know, we used to use them over our CGMs when we 4:11 used to use them over our CGMs when we 4:11 used to use them over our CGMs when we wear the continuous glucose monitors. I 4:13 wear the continuous glucose monitors. I 4:14 wear the continuous glucose monitors. I put that cover over there just to keep 4:15 put that cover over there just to keep 4:15 put that cover over there just to keep it from getting hot or having the um you 4:18 it from getting hot or having the um you 4:18 it from getting hot or having the um you know the the humidity. So I would 4:20 know the the humidity. So I would 4:20 know the the humidity. So I would definitely say when you're speaking 4:21 definitely say when you're speaking 4:21 definitely say when you're speaking about the humidity that's hack number 4:23 about the humidity that's hack number 4:23 about the humidity that's hack number four which is just cover up that
Hack 4: Use a protective cover 4:25 four which is just cover up that 4:25 four which is just cover up that estradile patch. 4:26 estradile patch. 4:26 estradile patch. >> Sure. Sure. If you're going to cover it 4:27 >> Sure. Sure. If you're going to cover it 4:27 >> Sure. Sure. If you're going to cover it up you could use if you're familiar um 4:30 up you could use if you're familiar um 4:30 up you could use if you're familiar um with what's called a teederm. Um that 4:32 with what's called a teederm. Um that 4:32 with what's called a teederm. Um that can uh you know give it some nice 4:34 can uh you know give it some nice 4:34 can uh you know give it some nice protection. Um you know so now uh any 4:37 protection. Um you know so now uh any 4:37 protection. Um you know so now uh any other little uh little tips and tricks? 4:39 other little uh little tips and tricks? 4:39 other little uh little tips and tricks? These are the four that we sort of came 4:41 These are the four that we sort of came 4:41 These are the four that we sort of came up with that have the most impact. Is 4:43 up with that have the most impact. Is 4:43 up with that have the most impact. Is there anything else long as we're 4:44 there anything else long as we're 4:44 there anything else long as we're talking about anything else that we 4:46 talking about anything else that we 4:46 talking about anything else that we could add to the list? 4:47 could add to the list? 4:47 could add to the list? >> Well, that would be where you listeners 4:49 >> Well, that would be where you listeners 4:49 >> Well, that would be where you listeners and watchers that we want to ask you. 4:51 and watchers that we want to ask you. 4:51 and watchers that we want to ask you. So, these are some hacks that we worked 4:53 So, these are some hacks that we worked 4:53 So, these are some hacks that we worked with patients to help that estradi patch 4:55 with patients to help that estradi patch 4:55 with patients to help that estradi patch work better. But if any of you have your 4:57 work better. But if any of you have your 4:57 work better. But if any of you have your own hacks, write them in the comments 4:58 own hacks, write them in the comments 4:58 own hacks, write them in the comments below.
Wrap-up and listener feedback 4:59 below. 4:59 below. >> Yeah. Uh, until next time, I'm Dr. 5:01 >> Yeah. Uh, until next time, I'm Dr. 5:01 >> Yeah. Uh, until next time, I'm Dr. Mackey 5:01 Mackey 5:01 Mackey >> and I'm Dr. Valerie. 5:02 >> and I'm Dr. Valerie. 5:02 >> and I'm Dr. Valerie. >> Take care. Bye-bye.
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