Full Transcript Podcast Introduction 0:02 [Music] 0:02 [Music] Welcome to the Longevity Protocol with 0:04 Welcome to the Longevity Protocol with 0:04 Welcome to the Longevity Protocol with Dr. Christina Bosch and Dr. John A. 0:06 Dr. Christina Bosch and Dr. John A. 0:07 Dr. Christina Bosch and Dr. John A. Robinson. We'll be your guides to 0:09 Robinson. We'll be your guides to 0:09 Robinson. We'll be your guides to uncovering the secrets to optimal 0:11 uncovering the secrets to optimal 0:11 uncovering the secrets to optimal health, better sex, and happiness. From 0:14 health, better sex, and happiness. From 0:14 health, better sex, and happiness. From debunking aging myths to exploring the 0:16 debunking aging myths to exploring the 0:16 debunking aging myths to exploring the science behind what it means to live the 0:18 science behind what it means to live the 0:18 science behind what it means to live the longevity protocol. We'll dive into a 0:21 longevity protocol. We'll dive into a 0:21 longevity protocol. We'll dive into a wide range of topics. 0:24 wide range of topics. 0:24 wide range of topics. So get ready for an exhilarating journey 0:27 So get ready for an exhilarating journey 0:27 So get ready for an exhilarating journey in what it means to live well and feel 0:29 in what it means to live well and feel 0:29 in what it means to live well and feel your very best at any age.
Menopause Overview and Symptoms 0:40 Menopause. Yes, menopause. This is a 0:40 Menopause. Yes, menopause. This is a it's a hot topic for us because we talk 0:42 it's a hot topic for us because we talk 0:42 it's a hot topic for us because we talk about it all the time. It's a hot topic 0:44 about it all the time. It's a hot topic 0:44 about it all the time. It's a hot topic and it's a literally it's it's a hot 0:46 and it's a literally it's it's a hot 0:46 and it's a literally it's it's a hot flashy 0:48 flashy 0:48 flashy kind of topic. Yes. A sweaty kind of 0:50 kind of topic. Yes. A sweaty kind of 0:50 kind of topic. Yes. A sweaty kind of topic. Yuck. And all kinds of things. 0:53 topic. Yuck. And all kinds of things. 0:53 topic. Yuck. And all kinds of things. Yeah. And we're going to talk about that 0:54 Yeah. And we're going to talk about that 0:54 Yeah. And we're going to talk about that today. We're going to talk about 0:55 today. We're going to talk about 0:55 today. We're going to talk about menopause. Uh and this is a two-part uh 0:59 menopause. Uh and this is a two-part uh 0:59 menopause. Uh and this is a two-part uh episode. I'm excited about this because 1:01 episode. I'm excited about this because 1:01 episode. I'm excited about this because we we said let's kind of really get into 1:03 we we said let's kind of really get into 1:03 we we said let's kind of really get into it and and talk about all things 1:05 it and and talk about all things 1:05 it and and talk about all things menopause. So this if you're wanting to 1:07 menopause. So this if you're wanting to 1:07 menopause. So this if you're wanting to understand more about menopause, this is 1:09 understand more about menopause, this is 1:09 understand more about menopause, this is the 1:10 the 1:10 the episode and it's two parts. We're going 1:13 episode and it's two parts. We're going 1:13 episode and it's two parts. We're going to get into the menopausal matrix as we 1:16 to get into the menopausal matrix as we 1:16 to get into the menopausal matrix as we call it that the whole kind of concept 1:18 call it that the whole kind of concept 1:18 call it that the whole kind of concept behind what is menopause? How do we 1:21 behind what is menopause? How do we 1:21 behind what is menopause? How do we diagnose it? what does it mean? Um what 1:23 diagnose it? what does it mean? Um what 1:23 diagnose it? what does it mean? Um what are some of the technical things behind 1:25 are some of the technical things behind 1:25 are some of the technical things behind what estrogen does and testosterone in a 1:27 what estrogen does and testosterone in a 1:27 what estrogen does and testosterone in a woman's body? And then the second part 1:30 woman's body? And then the second part 1:30 woman's body? And then the second part we're going to actually talk about uh 1:32 we're going to actually talk about uh 1:32 we're going to actually talk about uh menopausal advocacy and dispelling those 1:35 menopausal advocacy and dispelling those 1:35 menopausal advocacy and dispelling those myths in and around that and um what 1:38 myths in and around that and um what 1:38 myths in and around that and um what that actually means because there's 1:39 that actually means because there's 1:39 that actually means because there's actually now advocacy out there for 1:42 actually now advocacy out there for 1:42 actually now advocacy out there for menopause. Things have changed. I mean a 1:45 menopause. Things have changed. I mean a 1:45 menopause. Things have changed. I mean a lot of things have changed. Yeah. Um I I 1:48 lot of things have changed. Yeah. Um I I 1:48 lot of things have changed. Yeah. Um I I want to say just because as we talk 1:49 want to say just because as we talk 1:49 want to say just because as we talk about advocacy often the biggest 1:52 about advocacy often the biggest 1:52 about advocacy often the biggest advocate in a woman's life should be her 1:55 advocate in a woman's life should be her 1:55 advocate in a woman's life should be her partner like her husband. So when we're 1:58 partner like her husband. So when we're 1:58 partner like her husband. So when we're delving into the ideas of menopause this 2:00 delving into the ideas of menopause this 2:00 delving into the ideas of menopause this is not a woman only episode. It's really 2:02 is not a woman only episode. It's really 2:02 is not a woman only episode. It's really great for men to listen to this so that 2:04 great for men to listen to this so that 2:04 great for men to listen to this so that they can have a better understanding 2:06 they can have a better understanding 2:06 they can have a better understanding into their females process because it's 2:09 into their females process because it's 2:09 into their females process because it's not an an it's often not an easy thing 2:13 not an an it's often not an easy thing 2:13 not an an it's often not an easy thing to go through. 2:15 to go through. 2:15 to go through. It isn't. And part of the reason I think 2:17 It isn't. And part of the reason I think 2:17 It isn't. And part of the reason I think it is difficult for women aside from all 2:19 it is difficult for women aside from all 2:19 it is difficult for women aside from all of this general symptomatic hell that 2:22 of this general symptomatic hell that 2:22 of this general symptomatic hell that they can go through um they have people 2:24 they can go through um they have people 2:24 they can go through um they have people around them that are not understanding 2:26 around them that are not understanding 2:26 around them that are not understanding their their spouse. It could be even 2:27 their their spouse. It could be even 2:28 their their spouse. It could be even their kids or themselves. I mean they 2:29 their kids or themselves. I mean they 2:30 their kids or themselves. I mean they just don't know or their doctor that 2:31 just don't know or their doctor that 2:31 just don't know or their doctor that definitely doesn't understand. How many 2:33 definitely doesn't understand. How many 2:33 definitely doesn't understand. How many times we've heard, you know, these a 2:35 times we've heard, you know, these a 2:35 times we've heard, you know, these a woman right around 50 going in and 2:37 woman right around 50 going in and 2:37 woman right around 50 going in and talking to some young doctors around 30 2:40 talking to some young doctors around 30 2:40 talking to some young doctors around 30 odd and and she's sort of half rolling 2:42 odd and and she's sort of half rolling 2:42 odd and and she's sort of half rolling her eyes and just saying, "Ah, you got 2:43 her eyes and just saying, "Ah, you got 2:43 her eyes and just saying, "Ah, you got to live with it." Right? And we've seen 2:45 to live with it." Right? And we've seen 2:45 to live with it." Right? And we've seen actually patients come and say, you 2:47 actually patients come and say, you 2:47 actually patients come and say, you know, and they stay with their their 2:48 know, and they stay with their their 2:48 know, and they stay with their their gynecologist and that same gynecologist 2:51 gynecologist and that same gynecologist 2:51 gynecologist and that same gynecologist after a certain number of years um then 2:53 after a certain number of years um then 2:53 after a certain number of years um then comes back and said, "Can can you tell 2:55 comes back and said, "Can can you tell 2:55 comes back and said, "Can can you tell me the name of that doctor you're going 2:56 me the name of that doctor you're going 2:56 me the name of that doctor you're going to now I'm starting to have a hot flash. 2:58 to now I'm starting to have a hot flash. 2:58 to now I'm starting to have a hot flash. I know what you're finally saying." You 3:00 I know what you're finally saying." You 3:00 I know what you're finally saying." You know, where prior they were saying, 3:01 know, where prior they were saying, 3:01 know, where prior they were saying, "Don't worry about it. Don't do 3:02 "Don't worry about it. Don't do 3:02 "Don't worry about it. Don't do hormones. It's going to cause breast 3:04 hormones. It's going to cause breast 3:04 hormones. It's going to cause breast cancer and all that other kind of 3:05 cancer and all that other kind of 3:05 cancer and all that other kind of nonsense." Um so yes, this is a two-part 3:07 nonsense." Um so yes, this is a two-part 3:07 nonsense." Um so yes, this is a two-part episode. This first part here, let's get 3:09 episode. This first part here, let's get 3:09 episode. This first part here, let's get into the uh what what is menopause? What 3:12 into the uh what what is menopause? What 3:12 into the uh what what is menopause? What are some of the symptoms? how and what 3:14 are some of the symptoms? how and what 3:14 are some of the symptoms? how and what it is that we do to be able to help 3:16 it is that we do to be able to help 3:16 it is that we do to be able to help women with that. Uh let's start on that
Defining Menopause and Diagnosis 3:19 women with that. Uh let's start on that 3:19 women with that. Uh let's start on that now. Okay. I mean, what do we say when 3:23 now. Okay. I mean, what do we say when 3:23 now. Okay. I mean, what do we say when we're saying menopause? How do we define 3:25 we're saying menopause? How do we define 3:25 we're saying menopause? How do we define that? I mean, we've talked about this 3:29 that? I mean, we've talked about this 3:29 that? I mean, we've talked about this before, but it's important to remember 3:30 before, but it's important to remember 3:30 before, but it's important to remember that this is really a period of time. 3:33 that this is really a period of time. 3:33 that this is really a period of time. So, you're either basically premenopause 3:35 So, you're either basically premenopause 3:35 So, you're either basically premenopause or postmenopause. Menopause can be a 3:38 or postmenopause. Menopause can be a 3:38 or postmenopause. Menopause can be a pretty lengthy um amount of time in 3:41 pretty lengthy um amount of time in 3:41 pretty lengthy um amount of time in which a female is having irregular 3:43 which a female is having irregular 3:43 which a female is having irregular periods or no period and then the period 3:45 periods or no period and then the period 3:45 periods or no period and then the period can come back. Um so being 3:49 can come back. Um so being 3:49 can come back. Um so being postmenopausal is defined as having gone 3:51 postmenopausal is defined as having gone 3:51 postmenopausal is defined as having gone 12 consecutive months without a 3:53 12 consecutive months without a 3:53 12 consecutive months without a menstrual cycle. If you go 11 months and 3:57 menstrual cycle. If you go 11 months and 3:57 menstrual cycle. If you go 11 months and 3 weeks and 6 days and then you start 3:59 3 weeks and 6 days and then you start 3:59 3 weeks and 6 days and then you start bleeding, you're not done. Yeah. You're 4:01 bleeding, you're not done. Yeah. You're 4:01 bleeding, you're not done. Yeah. You're permenopausal. Yeah. You're not you're 4:03 permenopausal. Yeah. You're not you're 4:03 permenopausal. Yeah. You're not you're not there fully into it yet. Yeah. It's 4:06 not there fully into it yet. Yeah. It's 4:06 not there fully into it yet. Yeah. It's it's and with menopause it is a I always 4:09 it's and with menopause it is a I always 4:09 it's and with menopause it is a I always say it's a permanent state or condition 4:10 say it's a permanent state or condition 4:10 say it's a permanent state or condition of being. Once you're there, you're 4:12 of being. Once you're there, you're 4:12 of being. Once you're there, you're there. Um so that's you know sometimes 4:15 there. Um so that's you know sometimes 4:15 there. Um so that's you know sometimes that term of even post-menopausal gets 4:17 that term of even post-menopausal gets 4:17 that term of even post-menopausal gets kind of confusing. There's this line 4:20 kind of confusing. There's this line 4:20 kind of confusing. There's this line between not being there and being there. 4:22 between not being there and being there. 4:22 between not being there and being there. But then menopausal versus 4:25 But then menopausal versus 4:25 But then menopausal versus postmenopausal tends to make it sound 4:27 postmenopausal tends to make it sound 4:27 postmenopausal tends to make it sound like there's two different things. You 4:29 like there's two different things. You 4:29 like there's two different things. You know, John, I think it is two different 4:31 know, John, I think it is two different 4:32 know, John, I think it is two different things if the female is doing HRT. I 4:35 things if the female is doing HRT. I 4:35 things if the female is doing HRT. I really do. Oh, that's a that's a good 4:37 really do. Oh, that's a that's a good 4:37 really do. Oh, that's a that's a good way to put it because I think if you're 4:38 way to put it because I think if you're 4:38 way to put it because I think if you're doing hormone replacement therapy now 4:41 doing hormone replacement therapy now 4:41 doing hormone replacement therapy now you're just menopausal. Then you're just 4:42 you're just menopausal. Then you're just 4:42 you're just menopausal. Then you're just postmenopausal. Oh. Oh, I see. Oh, I 4:44 postmenopausal. Oh. Oh, I see. Oh, I 4:44 postmenopausal. Oh. Oh, I see. Oh, I see. You no longer have a period. I see. 4:47 see. You no longer have a period. I see. 4:47 see. You no longer have a period. I see. But you are still feel but excuse me. 4:49 But you are still feel but excuse me. 4:49 But you are still feel but excuse me. You no longer have a period and you feel 4:52 You no longer have a period and you feel 4:52 You no longer have a period and you feel well. You just no longer have a period. 4:53 well. You just no longer have a period. 4:53 well. You just no longer have a period. Yeah. And that's and you're feeling well 4:55 Yeah. And that's and you're feeling well 4:55 Yeah. And that's and you're feeling well because you're on hormones. Y Yeah. You 4:57 because you're on hormones. Y Yeah. You 4:57 because you're on hormones. Y Yeah. You could be postmenopausal and just not 4:58 could be postmenopausal and just not 4:58 could be postmenopausal and just not feeling well. So, I understand what 5:00 feeling well. So, I understand what 5:00 feeling well. So, I understand what you're saying about how it's this like 5:01 you're saying about how it's this like 5:01 you're saying about how it's this like eternal stage, but it's only an eternal 5:03 eternal stage, but it's only an eternal 5:03 eternal stage, but it's only an eternal stage of their symptoms 5:04 stage of their symptoms 5:05 stage of their symptoms associated. Otherwise, you're either 5:07 associated. Otherwise, you're either 5:07 associated. Otherwise, you're either bleeding or not bleeding from a 5:08 bleeding or not bleeding from a 5:08 bleeding or not bleeding from a menstrual cycle. Yeah. Well, we can 5:10 menstrual cycle. Yeah. Well, we can 5:10 menstrual cycle. Yeah. Well, we can define menopause also as just sort of 5:12 define menopause also as just sort of 5:12 define menopause also as just sort of all of the things that go along with it 5:14 all of the things that go along with it 5:14 all of the things that go along with it that increase disease risk, 5:15 that increase disease risk, 5:15 that increase disease risk, cardiovascular disease, diabetes, 5:17 cardiovascular disease, diabetes, 5:17 cardiovascular disease, diabetes, osteoporosis, Alzheimer's disease, and 5:19 osteoporosis, Alzheimer's disease, and 5:19 osteoporosis, Alzheimer's disease, and then weird things like fat deposition, 5:23 then weird things like fat deposition, 5:23 then weird things like fat deposition, right? fat in places that don't seem to 5:26 right? fat in places that don't seem to 5:26 right? fat in places that don't seem to make any sense like the you know the the 5:30 make any sense like the you know the the 5:30 make any sense like the you know the the top of your back here. Yeah. Why the 5:32 top of your back here. Yeah. Why the 5:32 top of your back here. Yeah. Why the armpits 5:34 armpits 5:34 armpits the that really pisses me off. I got to 5:37 the that really pisses me off. I got to 5:37 the that really pisses me off. I got to tell you. I mean I I had babies late and 5:39 tell you. I mean I I had babies late and 5:40 tell you. I mean I I had babies late and I got huge with all of them and 5:41 I got huge with all of them and 5:41 I got huge with all of them and thankfully I've worked hard to get my 5:43 thankfully I've worked hard to get my 5:43 thankfully I've worked hard to get my body quoted 5:45 body quoted 5:45 body quoted back. But you know screw those things. 5:48 back. But you know screw those things. 5:48 back. But you know screw those things. Those like what's this armpit situation? 5:52 Those like what's this armpit situation? 5:52 Those like what's this armpit situation? I don't know. I don't know what that's 5:54 I don't know. I don't know what that's 5:54 I don't know. I don't know what that's about. Things that women have told me 5:55 about. Things that women have told me 5:55 about. Things that women have told me over the years that I'm like, okay, I 5:57 over the years that I'm like, okay, I 5:57 over the years that I'm like, okay, I mean, not that I rolled my eyes at them. 5:59 mean, not that I rolled my eyes at them. 5:59 mean, not that I rolled my eyes at them. No, I've always been wise enough um to 6:02 No, I've always been wise enough um to 6:02 No, I've always been wise enough um to to validate their concerns, but you 6:04 to validate their concerns, but you 6:04 to validate their concerns, but you can't understand until you experience 6:07 can't understand until you experience 6:07 can't understand until you experience something like an armpit getting fatter. 6:14 Yeah. So, okay. So, a menopausal symptom 6:14 Yeah. So, okay. So, a menopausal symptom number one, uh fat. Okay. Uh but yes, 6:19 number one, uh fat. Okay. Uh but yes, 6:19 number one, uh fat. Okay. Uh but yes, there's many things. the hot flashes, 6:20 there's many things. the hot flashes, 6:20 there's many things. the hot flashes, the night sweats, the sleeping 6:21 the night sweats, the sleeping 6:21 the night sweats, the sleeping difficulties, um all kinds of mood 6:23 difficulties, um all kinds of mood 6:23 difficulties, um all kinds of mood disorders. Yeah. Sleep. Yeah. That and 6:25 disorders. Yeah. Sleep. Yeah. That and 6:25 disorders. Yeah. Sleep. Yeah. That and that is often disturbed just simply 6:27 that is often disturbed just simply 6:27 that is often disturbed just simply because you're having a night sweat at 6:29 because you're having a night sweat at 6:29 because you're having a night sweat at night. That's part of the disturbance. 6:31 night. That's part of the disturbance. 6:31 night. That's part of the disturbance. But, uh the the ability to get into REM 6:33 But, uh the the ability to get into REM 6:33 But, uh the the ability to get into REM and to stay in REM is often affected by 6:36 and to stay in REM is often affected by 6:36 and to stay in REM is often affected by the lack of the hormone. 6:38 the lack of the hormone. 6:38 the lack of the hormone. Okay. So, how do we diagnose it? Many of 6:40 Okay. So, how do we diagnose it? Many of 6:40 Okay. So, how do we diagnose it? Many of these things we're saying here were just 6:41 these things we're saying here were just 6:41 these things we're saying here were just talking about symptoms. Symptoms. Um 6:43 talking about symptoms. Symptoms. Um 6:43 talking about symptoms. Symptoms. Um what's going on? libido and that was, 6:45 what's going on? libido and that was, 6:45 what's going on? libido and that was, you know, of course, uh, anxiety, 6:47 you know, of course, uh, anxiety, 6:47 you know, of course, uh, anxiety, depression, mood swings, irritability, 6:48 depression, mood swings, irritability, 6:48 depression, mood swings, irritability, all those things that go on with it. Um, 6:51 all those things that go on with it. Um, 6:51 all those things that go on with it. Um, and and we distinctly measure their 6:53 and and we distinctly measure their 6:53 and and we distinctly measure their armpit fat and we check that out, make 6:55 armpit fat and we check that out, make 6:55 armpit fat and we check that out, make sure what's going on with that. And that 6:56 sure what's going on with that. And that 6:56 sure what's going on with that. And that helps us to understand, but it's also 6:58 helps us to understand, but it's also 6:58 helps us to understand, but it's also we're diagnosing it based on labs. Yeah. 7:00 we're diagnosing it based on labs. Yeah. 7:00 we're diagnosing it based on labs. Yeah. Based on labs, what's going on with 7:01 Based on labs, what's going on with 7:02 Based on labs, what's going on with their estrogen, uh, their testosterone, 7:04 their estrogen, uh, their testosterone, 7:04 their estrogen, uh, their testosterone, and we check something called follical 7:05 and we check something called follical 7:05 and we check something called follical stimulating hormone that winds up being 7:07 stimulating hormone that winds up being 7:07 stimulating hormone that winds up being really, really important to understand 7:09 really, really important to understand 7:09 really, really important to understand where they're at in that menstrual cycle 7:12 where they're at in that menstrual cycle 7:12 where they're at in that menstrual cycle process. what's going on with the FSH. 7:14 process. what's going on with the FSH. 7:14 process. what's going on with the FSH. If your doctor is not checking FSH when 7:17 If your doctor is not checking FSH when 7:17 If your doctor is not checking FSH when it comes to determining what's happening
Wisdom, Growth, and Forgiveness 7:20 it comes to determining what's happening 7:20 it comes to determining what's happening with your menopausal situation, they do 7:23 with your menopausal situation, they do 7:23 with your menopausal situation, they do not know what they're doing. Yeah. I 7:24 not know what they're doing. Yeah. I 7:24 not know what they're doing. Yeah. I mean, I would say personally, and let's 7:27 mean, I would say personally, and let's 7:27 mean, I would say personally, and let's just take the idea of birth control out 7:28 just take the idea of birth control out 7:28 just take the idea of birth control out of the conversation. Let's just start 7:29 of the conversation. Let's just start 7:29 of the conversation. Let's just start with the premise that there's no birth 7:30 with the premise that there's no birth 7:30 with the premise that there's no birth control involved. Okay. Right. Cuz that 7:32 control involved. Okay. Right. Cuz that 7:32 control involved. Okay. Right. Cuz that could misrepresent um levels. Um, I 7:36 could misrepresent um levels. Um, I 7:36 could misrepresent um levels. Um, I would say that the symptoms and then the 7:37 would say that the symptoms and then the 7:37 would say that the symptoms and then the FSH are going to be the primary way that 7:39 FSH are going to be the primary way that 7:39 FSH are going to be the primary way that I'm diagnosing and really understanding 7:43 I'm diagnosing and really understanding 7:43 I'm diagnosing and really understanding what the treatment approach should be to 7:45 what the treatment approach should be to 7:45 what the treatment approach should be to help guide my females through their 7:48 help guide my females through their 7:48 help guide my females through their menopausal journey. 7:50 menopausal journey. 7:50 menopausal journey. Yes. 7:52 Yes. 7:52 Yes. Okay. You know, um, everything seems to 7:55 Okay. You know, um, everything seems to 7:55 Okay. You know, um, everything seems to have a a sort of a spiritual take. 7:58 have a a sort of a spiritual take. 7:58 have a a sort of a spiritual take. Hopefully, hopefully. And and certainly 8:00 Hopefully, hopefully. And and certainly 8:00 Hopefully, hopefully. And and certainly when it comes to menopause, I think that 8:02 when it comes to menopause, I think that 8:02 when it comes to menopause, I think that there is that relationship there with 8:04 there is that relationship there with 8:04 there is that relationship there with that. Um, when women are starting to go 8:07 that. Um, when women are starting to go 8:07 that. Um, when women are starting to go through that, they're they're having the 8:08 through that, they're they're having the 8:08 through that, they're they're having the mental and emotional issues, too. But it 8:10 mental and emotional issues, too. But it 8:10 mental and emotional issues, too. But it inevitably kind of bridges into what 8:13 inevitably kind of bridges into what 8:13 inevitably kind of bridges into what does this time in my life now mean to me 8:16 does this time in my life now mean to me 8:16 does this time in my life now mean to me um spiritually? Do I have a spiritual 8:19 um spiritually? Do I have a spiritual 8:19 um spiritually? Do I have a spiritual path or not? Um, it helps you to even 8:22 path or not? Um, it helps you to even 8:22 path or not? Um, it helps you to even perhaps even recognize that. But just in 8:24 perhaps even recognize that. But just in 8:24 perhaps even recognize that. But just in and of itself, menopause has a spiritual 8:27 and of itself, menopause has a spiritual 8:27 and of itself, menopause has a spiritual sort of definition to it. Um, it is very 8:31 sort of definition to it. Um, it is very 8:31 sort of definition to it. Um, it is very much about personal growth. Whether or 8:33 much about personal growth. Whether or 8:33 much about personal growth. Whether or not you've had personal growth, that's 8:34 not you've had personal growth, that's 8:34 not you've had personal growth, that's the big thing, growing. But did you 8:37 the big thing, growing. But did you 8:37 the big thing, growing. But did you figure it out? Let me let me interrupt 8:39 figure it out? Let me let me interrupt 8:39 figure it out? Let me let me interrupt you for a second. This whole section 8:41 you for a second. This whole section 8:41 you for a second. This whole section that is at the top of our notes because 8:43 that is at the top of our notes because 8:44 that is at the top of our notes because that's how important it is is probably 8:46 that's how important it is is probably 8:46 that's how important it is is probably the most under uh poorly understood and 8:50 the most under uh poorly understood and 8:51 the most under uh poorly understood and underrepresented part of the aging 8:55 underrepresented part of the aging 8:55 underrepresented part of the aging female. Mhm. So I really just I want to 8:58 female. Mhm. So I really just I want to 8:58 female. Mhm. So I really just I want to take a moment to pause before you keep 8:59 take a moment to pause before you keep 8:59 take a moment to pause before you keep delving into it to say women listen up 9:02 delving into it to say women listen up 9:02 delving into it to say women listen up and men because this is the piece that 9:05 and men because this is the piece that 9:05 and men because this is the piece that they are not receiving. They're not 9:08 they are not receiving. They're not 9:08 they are not receiving. They're not being told and this is what helps us 9:11 being told and this is what helps us 9:11 being told and this is what helps us women feel so much better about this 9:15 women feel so much better about this 9:15 women feel so much better about this idea of getting older. So go ahead. 9:19 idea of getting older. So go ahead. 9:19 idea of getting older. So go ahead. Well, you're to that it is a transition 9:23 Well, you're to that it is a transition 9:23 Well, you're to that it is a transition into a deeper understanding about 9:26 into a deeper understanding about 9:26 into a deeper understanding about yourself and your position then as a 9:29 yourself and your position then as a 9:29 yourself and your position then as a woman. It is a it's a maturity. I mean 9:32 woman. It is a it's a maturity. I mean 9:32 woman. It is a it's a maturity. I mean this happens with men but in a different 9:33 this happens with men but in a different 9:34 this happens with men but in a different way. It's it's a women have this passage 9:38 way. It's it's a women have this passage 9:38 way. It's it's a women have this passage and rights of passage. It happens at 9:40 and rights of passage. It happens at 9:40 and rights of passage. It happens at menration uh as a as a young girl moving 9:44 menration uh as a as a young girl moving 9:44 menration uh as a as a young girl moving into womanhood. Uh and then it's it's 9:47 into womanhood. Uh and then it's it's 9:47 into womanhood. Uh and then it's it's also represented by this other sort of 9:49 also represented by this other sort of 9:49 also represented by this other sort of physical change. Women go through these 9:51 physical change. Women go through these 9:51 physical change. Women go through these kinds of things and their rights of 9:53 kinds of things and their rights of 9:53 kinds of things and their rights of passage that mean something and can mean 9:56 passage that mean something and can mean 9:56 passage that mean something and can mean even more if they understand it more. So 9:59 even more if they understand it more. So 9:59 even more if they understand it more. So yes, personal growth it very much about 10:01 yes, personal growth it very much about 10:01 yes, personal growth it very much about releasing the past. I think that you you 10:04 releasing the past. I think that you you 10:04 releasing the past. I think that you you can't re you can't move on I think until 10:07 can't re you can't move on I think until 10:07 can't re you can't move on I think until you've released the past and all of that 10:09 you've released the past and all of that 10:09 you've released the past and all of that gets brought up at this moment of of 10:13 gets brought up at this moment of of 10:13 gets brought up at this moment of of menopause. So, it's about wisdom. It's 10:15 menopause. So, it's about wisdom. It's 10:16 menopause. So, it's about wisdom. It's about wisdom. Wisdom, that's the word. I 10:17 about wisdom. Wisdom, that's the word. I 10:17 about wisdom. Wisdom, that's the word. I mean, release the path. The past. I 10:20 mean, release the path. The past. I 10:20 mean, release the path. The past. I think the idea of releasing the 10:23 think the idea of releasing the 10:23 think the idea of releasing the past is that you're untying yourself 10:27 past is that you're untying yourself 10:27 past is that you're untying yourself from blame, excuses, regrets. 10:33 from blame, excuses, regrets. 10:33 from blame, excuses, regrets. We we bring our past with us wherever we 10:37 We we bring our past with us wherever we 10:37 We we bring our past with us wherever we go in the sense that it's what's shaped 10:39 go in the sense that it's what's shaped 10:39 go in the sense that it's what's shaped us. But how it shapes you depends on 10:43 us. But how it shapes you depends on 10:43 us. But how it shapes you depends on your relationship to the past. So if you 10:45 your relationship to the past. So if you 10:45 your relationship to the past. So if you bring the past with you because you've 10:47 bring the past with you because you've 10:48 bring the past with you because you've learned things, that's where that wisdom 10:50 learned things, that's where that wisdom 10:50 learned things, that's where that wisdom comes from because you've seen, you've 10:52 comes from because you've seen, you've 10:52 comes from because you've seen, you've experienced, you've absorbed, you've 10:55 experienced, you've absorbed, you've 10:55 experienced, you've absorbed, you've evolved, then you're taking the past 10:57 evolved, then you're taking the past 10:57 evolved, then you're taking the past with you. When you say release the past, 10:59 with you. When you say release the past, 10:59 with you. When you say release the past, I think what you I think what you mean 11:00 I think what you I think what you mean 11:00 I think what you I think what you mean is that you're letting go of you're 11:03 is that you're letting go of you're 11:03 is that you're letting go of you're forgiving. You're forgiving. You're 11:05 forgiving. You're forgiving. You're 11:05 forgiving. You're forgiving. You're forgiving. And the self and others. Yes. 11:08 forgiving. And the self and others. Yes. 11:08 forgiving. And the self and others. Yes. And that that's what I wanted to say 11:09 And that that's what I wanted to say 11:09 And that that's what I wanted to say that it is yeah you got to forgive all 11:11 that it is yeah you got to forgive all 11:11 that it is yeah you got to forgive all the other ones all the trespasses 11:13 the other ones all the trespasses 11:13 the other ones all the trespasses against you uh but also your own 11:15 against you uh but also your own 11:15 against you uh but also your own trespasses and what you've done um and 11:18 trespasses and what you've done um and 11:18 trespasses and what you've done um and if you can continue to really forgive 11:20 if you can continue to really forgive 11:20 if you can continue to really forgive that at this pivotal moment then you can 11:23 that at this pivotal moment then you can 11:23 that at this pivotal moment then you can evolve into this next transition. I 11:25 evolve into this next transition. I 11:25 evolve into this next transition. I think that's where many women and men 11:27 think that's where many women and men 11:27 think that's where many women and men can get stuck at this transition that 11:29 can get stuck at this transition that 11:29 can get stuck at this transition that tends to happen right at around 50. 11:31 tends to happen right at around 50. 11:31 tends to happen right at around 50. There has to be levels of forgiveness 11:33 There has to be levels of forgiveness 11:33 There has to be levels of forgiveness that goes on so you can have your past 11:36 that goes on so you can have your past 11:36 that goes on so you can have your past and and take it with you, but it's in a 11:39 and and take it with you, but it's in a 11:39 and and take it with you, but it's in a way that's comfortable because you've 11:40 way that's comfortable because you've 11:40 way that's comfortable because you've forgiven, right? So that wisdom, you 11:41 forgiven, right? So that wisdom, you 11:42 forgiven, right? So that wisdom, you know, the idea of the crone, the crone 11:43 know, the idea of the crone, the crone 11:43 know, the idea of the crone, the crone nowadays gets pic pictured um or 11:46 nowadays gets pic pictured um or 11:46 nowadays gets pic pictured um or depicted as some ugly old witch who's 11:49 depicted as some ugly old witch who's 11:49 depicted as some ugly old witch who's poisoning poor Snow White. But that's 11:51 poisoning poor Snow White. But that's 11:52 poisoning poor Snow White. But that's not really what the crone was. The crone 11:54 not really what the crone was. The crone 11:54 not really what the crone was. The crone really was a symbolic of the wise woman 11:56 really was a symbolic of the wise woman 11:56 really was a symbolic of the wise woman of the community. The one who had 11:58 of the community. The one who had 11:58 of the community. The one who had experienced enough cycles around the sun 12:01 experienced enough cycles around the sun 12:01 experienced enough cycles around the sun where she had seen enough to offer her 12:04 where she had seen enough to offer her 12:04 where she had seen enough to offer her experiences to either prevent or heal or 12:09 experiences to either prevent or heal or 12:09 experiences to either prevent or heal or or or just enhance. Right? So when we're 12:12 or or just enhance. Right? So when we're 12:12 or or just enhance. Right? So when we're talking about menopause, we're seeing in 12:15 talking about menopause, we're seeing in 12:15 talking about menopause, we're seeing in modern day society that people end up 12:17 modern day society that people end up 12:17 modern day society that people end up saying, "Oh, I'm having these midlife 12:18 saying, "Oh, I'm having these midlife 12:18 saying, "Oh, I'm having these midlife crisises. I don't actually know who I am 12:20 crisises. I don't actually know who I am 12:20 crisises. I don't actually know who I am at this stage." When it's the opposite. 12:22 at this stage." When it's the opposite. 12:22 at this stage." When it's the opposite. what we should be doing is saying what 12:25 what we should be doing is saying what 12:25 what we should be doing is saying what have I experienced and who then do I 12:27 have I experienced and who then do I 12:28 have I experienced and who then do I choose to be moving forward. 12:30 choose to be moving forward. 12:30 choose to be moving forward. It's what what a great opportunity. 12:33 It's what what a great opportunity. 12:33 It's what what a great opportunity. Yeah. And what makes all of that easier. 12:35 Yeah. And what makes all of that easier. 12:35 Yeah. And what makes all of that easier. So, now let's kind of get into some of 12:36 So, now let's kind of get into some of 12:36 So, now let's kind of get into some of the uh nuances of um how we treat it
Hormone Therapy and Estrogen Benefits 12:40 the uh nuances of um how we treat it 12:40 the uh nuances of um how we treat it because we do kind of see this as a as a 12:42 because we do kind of see this as a as a 12:42 because we do kind of see this as a as a situation that needs a level of support 12:45 situation that needs a level of support 12:45 situation that needs a level of support um to be able to help them move on 12:48 um to be able to help them move on 12:48 um to be able to help them move on with I've said this for years that 12:50 with I've said this for years that 12:50 with I've said this for years that medicine is um anything that helps you 12:52 medicine is um anything that helps you 12:52 medicine is um anything that helps you to understand more about yourself. If 12:56 to understand more about yourself. If 12:56 to understand more about yourself. If that thing that agent doesn't help you 12:58 that thing that agent doesn't help you 12:58 that thing that agent doesn't help you to understand more about yourself, it's 12:59 to understand more about yourself, it's 12:59 to understand more about yourself, it's not really medicine. So, you can use 13:00 not really medicine. So, you can use 13:00 not really medicine. So, you can use many things to help you um understand 13:04 many things to help you um understand 13:04 many things to help you um understand more about yourself and then then it 13:05 more about yourself and then then it 13:05 more about yourself and then then it becomes medicine. Um and and I would say 13:08 becomes medicine. Um and and I would say 13:08 becomes medicine. Um and and I would say even as I've gotten older, I would 13:10 even as I've gotten older, I would 13:10 even as I've gotten older, I would enhance that definition to say that 13:12 enhance that definition to say that 13:12 enhance that definition to say that medicine is anything to not only help 13:14 medicine is anything to not only help 13:14 medicine is anything to not only help you understand more about yourself, but 13:16 you understand more about yourself, but 13:16 you understand more about yourself, but how yourself relates back to God. Um and 13:19 how yourself relates back to God. Um and 13:19 how yourself relates back to God. Um and that that's how I would kind of enhance 13:21 that that's how I would kind of enhance 13:21 that that's how I would kind of enhance that because I wouldn't want to make it 13:22 that because I wouldn't want to make it 13:22 that because I wouldn't want to make it completely, you know, selfish, you know, 13:25 completely, you know, selfish, you know, 13:25 completely, you know, selfish, you know, self-centered only to that. But it's 13:27 self-centered only to that. But it's 13:27 self-centered only to that. But it's that it's not egocentric. it still 13:30 that it's not egocentric. it still 13:30 that it's not egocentric. it still should be a connection to a higher power 13:31 should be a connection to a higher power 13:31 should be a connection to a higher power but ultimately un you know know thyself 13:33 but ultimately un you know know thyself 13:33 but ultimately un you know know thyself that's what it's about um so what are 13:36 that's what it's about um so what are 13:36 that's what it's about um so what are some of those things that we can use now 13:38 some of those things that we can use now 13:38 some of those things that we can use now kind of get out of the esoteric and just 13:39 kind of get out of the esoteric and just 13:39 kind of get out of the esoteric and just kind of talk about the practical I mean 13:41 kind of talk about the practical I mean 13:41 kind of talk about the practical I mean women need estrogen when it starts to go 13:44 women need estrogen when it starts to go 13:44 women need estrogen when it starts to go down um and and you know estrogen has 13:47 down um and and you know estrogen has 13:47 down um and and you know estrogen has been historically so vilified uh for 13:50 been historically so vilified uh for 13:50 been historically so vilified uh for literally a generation since 2002 it has 13:53 literally a generation since 2002 it has 13:53 literally a generation since 2002 it has been fantastic for us to be able to 13:55 been fantastic for us to be able to 13:55 been fantastic for us to be able to stand up very proudly and say that um 13:58 stand up very proudly and say that um 13:58 stand up very proudly and say that um finally They have done away with the 14:01 finally They have done away with the 14:01 finally They have done away with the nonsense of the women's health 14:03 nonsense of the women's health 14:03 nonsense of the women's health initiative and the massive errors that 14:06 initiative and the massive errors that 14:06 initiative and the massive errors that they had made in saying that there was 14:09 they had made in saying that there was 14:09 they had made in saying that there was an association with um breast cancer and 14:11 an association with um breast cancer and 14:11 an association with um breast cancer and estrogen. It was completely wrong and 14:14 estrogen. It was completely wrong and 14:14 estrogen. It was completely wrong and we've now come full circle uh thank God 14:16 we've now come full circle uh thank God 14:16 we've now come full circle uh thank God and understand that it wasn't doing 14:18 and understand that it wasn't doing 14:18 and understand that it wasn't doing that. So, it should allow anyone 14:20 that. So, it should allow anyone 14:20 that. So, it should allow anyone listening if they have any level of 14:23 listening if they have any level of 14:23 listening if they have any level of hesitancy about estrogen as they thought 14:25 hesitancy about estrogen as they thought 14:25 hesitancy about estrogen as they thought it might be because somebody told them 14:26 it might be because somebody told them 14:26 it might be because somebody told them it was related to a breast cancer risk. 14:28 it was related to a breast cancer risk. 14:28 it was related to a breast cancer risk. It is very clear that it just isn't and 14:31 It is very clear that it just isn't and 14:31 It is very clear that it just isn't and it isn't anything to um worry about in 14:34 it isn't anything to um worry about in 14:34 it isn't anything to um worry about in terms of risk. We always need to weigh 14:36 terms of risk. We always need to weigh 14:36 terms of risk. We always need to weigh out risks uh in general in medicine, but 14:39 out risks uh in general in medicine, but 14:39 out risks uh in general in medicine, but ultimately that risk is incredibly small 14:42 ultimately that risk is incredibly small 14:42 ultimately that risk is incredibly small to basically none. It's not what it was 14:45 to basically none. It's not what it was 14:45 to basically none. It's not what it was certainly told that it was. um and that 14:47 certainly told that it was. um and that 14:47 certainly told that it was. um and that women should feel confident about that, 14:49 women should feel confident about that, 14:49 women should feel confident about that, right? So, I think the biggest issue is 14:50 right? So, I think the biggest issue is 14:50 right? So, I think the biggest issue is that because that information has been 14:53 that because that information has been 14:53 that because that information has been rightfully debunked, everyone should 14:55 rightfully debunked, everyone should 14:55 rightfully debunked, everyone should start with the yes. Yes, I would like to 14:58 start with the yes. Yes, I would like to 14:58 start with the yes. Yes, I would like to explore estrogen replacement. Now, 15:00 explore estrogen replacement. Now, 15:00 explore estrogen replacement. Now, whether the nuances of your uh picture 15:04 whether the nuances of your uh picture 15:04 whether the nuances of your uh picture prove to be that you're a candidate or 15:06 prove to be that you're a candidate or 15:06 prove to be that you're a candidate or not a candidate with with most people 15:08 not a candidate with with most people 15:08 not a candidate with with most people proving yes, I am a candidate. The 15:10 proving yes, I am a candidate. The 15:10 proving yes, I am a candidate. The difference is that now people should 15:12 difference is that now people should 15:12 difference is that now people should approach it with a yes. Whereas I think 15:14 approach it with a yes. Whereas I think 15:14 approach it with a yes. Whereas I think prior to the very recent past expose, it 15:18 prior to the very recent past expose, it 15:18 prior to the very recent past expose, it always started with a no. It was like 15:20 always started with a no. It was like 15:20 always started with a no. It was like no, I won't use estrogen. Oh, but I'm 15:23 no, I won't use estrogen. Oh, but I'm 15:23 no, I won't use estrogen. Oh, but I'm doing so horribly. I feel terrible. I I 15:25 doing so horribly. I feel terrible. I I 15:25 doing so horribly. I feel terrible. I I have osteopor all of it was only until 15:27 have osteopor all of it was only until 15:27 have osteopor all of it was only until there was an accumulation of so much 15:30 there was an accumulation of so much 15:30 there was an accumulation of so much craptastic unnecessary aging as a result 15:33 craptastic unnecessary aging as a result 15:33 craptastic unnecessary aging as a result to the massive decline. Yes, estrogen is 15:36 to the massive decline. Yes, estrogen is 15:36 to the massive decline. Yes, estrogen is supposed to go down as we get older, but 15:38 supposed to go down as we get older, but 15:38 supposed to go down as we get older, but it's not supposed to go away. Yeah, that 15:40 it's not supposed to go away. Yeah, that 15:40 it's not supposed to go away. Yeah, that is that's a great point. So many 15:41 is that's a great point. So many 15:41 is that's a great point. So many patients um they suffer they suffer 15:45 patients um they suffer they suffer 15:45 patients um they suffer they suffer unnecessarily and then when they finally 15:47 unnecessarily and then when they finally 15:47 unnecessarily and then when they finally come to us you know we're glad that they 15:49 come to us you know we're glad that they 15:49 come to us you know we're glad that they did obviously but you know and they'll 15:52 did obviously but you know and they'll 15:52 did obviously but you know and they'll even say to us God I should have done 15:53 even say to us God I should have done 15:53 even say to us God I should have done this years ago how many times we hear 15:55 this years ago how many times we hear 15:55 this years ago how many times we hear that and the problem is there's so many 15:56 that and the problem is there's so many 15:56 that and the problem is there's so many conditions that become more difficult to 16:00 conditions that become more difficult to 16:00 conditions that become more difficult to reverse that could have perhaps been 16:03 reverse that could have perhaps been 16:03 reverse that could have perhaps been preventive estrogen replacement therapy 16:05 preventive estrogen replacement therapy 16:05 preventive estrogen replacement therapy had been used in the first place. Yeah. 16:06 had been used in the first place. Yeah. 16:06 had been used in the first place. Yeah. A great example of that would be heart 16:07 A great example of that would be heart 16:07 A great example of that would be heart disease. um and plenty of research to to 16:10 disease. um and plenty of research to to 16:10 disease. um and plenty of research to to sort of support that idea now that u 16:13 sort of support that idea now that u 16:13 sort of support that idea now that u early on prevention or intervention with 16:16 early on prevention or intervention with 16:16 early on prevention or intervention with estrogen therapy etc. um is going to 16:19 estrogen therapy etc. um is going to 16:19 estrogen therapy etc. um is going to help with those kinds of things and it's 16:21 help with those kinds of things and it's 16:21 help with those kinds of things and it's harder to reap those cardiovascular 16:23 harder to reap those cardiovascular 16:23 harder to reap those cardiovascular benefits once the damage is done. Yeah. 16:25 benefits once the damage is done. Yeah. 16:25 benefits once the damage is done. Yeah. And you've waited. You still can do it 16:27 And you've waited. You still can do it 16:28 And you've waited. You still can do it um but uh the the benefit is is harder 16:30 um but uh the the benefit is is harder 16:30 um but uh the the benefit is is harder to reap those benefits. So uh yes early 16:34 to reap those benefits. So uh yes early 16:34 to reap those benefits. So uh yes early uh uh intervention but everyone ladies 16:37 uh uh intervention but everyone ladies 16:37 uh uh intervention but everyone ladies it's not too late. Yep. 16:40 it's not too late. Yep. 16:40 it's not too late. Yep. Um so talk about testosterone uh DHEA. 16:44 Um so talk about testosterone uh DHEA. 16:44 Um so talk about testosterone uh DHEA. Um these are not male hormones. These 16:48 Um these are not male hormones. These 16:48 Um these are not male hormones. These are human hormones. Um women need 16:50 are human hormones. Um women need 16:50 are human hormones. Um women need testosterone for virtually the same 16:52 testosterone for virtually the same 16:52 testosterone for virtually the same exact reasons as men do. Men just need 16:54 exact reasons as men do. Men just need 16:54 exact reasons as men do. Men just need more of it. Um DHEA is another really 16:56 more of it. Um DHEA is another really 16:56 more of it. Um DHEA is another really good one. When it comes to some of the 16:58 good one. When it comes to some of the 16:58 good one. When it comes to some of the symptoms and issues with um menopause,
Testosterone, DHEA, and Sexual Health 17:00 symptoms and issues with um menopause, 17:00 symptoms and issues with um menopause, vaginal dryness um 17:03 vaginal dryness um 17:03 vaginal dryness um is without sounding too dramatic, 17:06 is without sounding too dramatic, 17:06 is without sounding too dramatic, vaginal dryness can be a 17:09 vaginal dryness can be a 17:09 vaginal dryness can be a lifethreatening 17:11 lifethreatening 17:11 lifethreatening issue. And the reason it is is because 17:14 issue. And the reason it is is because 17:14 issue. And the reason it is is because it can lead into frequent uh urinary 17:17 it can lead into frequent uh urinary 17:18 it can lead into frequent uh urinary tract infections, UTI of which can in 17:21 tract infections, UTI of which can in 17:21 tract infections, UTI of which can in rare cases become very complicated and 17:23 rare cases become very complicated and 17:23 rare cases become very complicated and go into sepsis. And yes, there are 17:25 go into sepsis. And yes, there are 17:26 go into sepsis. And yes, there are deaths related to uh comp complicated uh 17:29 deaths related to uh comp complicated uh 17:29 deaths related to uh comp complicated uh UTI and a lot of that was because there 17:32 UTI and a lot of that was because there 17:32 UTI and a lot of that was because there was vaginal dryness that could have been 17:34 was vaginal dryness that could have been 17:34 was vaginal dryness that could have been handled incredibly simply by estrogen 17:37 handled incredibly simply by estrogen 17:37 handled incredibly simply by estrogen andor testosterone andor DHEA. We have 17:40 andor testosterone andor DHEA. We have 17:40 andor testosterone andor DHEA. We have found if there is vaginal dryness and um 17:45 found if there is vaginal dryness and um 17:45 found if there is vaginal dryness and um pain with intercourse and those kind of 17:47 pain with intercourse and those kind of 17:47 pain with intercourse and those kind of things, DHEA cream locally is it can be 17:50 things, DHEA cream locally is it can be 17:50 things, DHEA cream locally is it can be magic uh for women. And we've had 17:53 magic uh for women. And we've had 17:53 magic uh for women. And we've had patients that we've talked about on 17:55 patients that we've talked about on 17:55 patients that we've talked about on podcast regarding that. Yeah. Um so it's 17:59 podcast regarding that. Yeah. Um so it's 17:59 podcast regarding that. Yeah. Um so it's uh know that that is there for you too. 18:00 uh know that that is there for you too. 18:00 uh know that that is there for you too. But testosterone that's helping with 18:02 But testosterone that's helping with 18:02 But testosterone that's helping with libido 18:04 libido 18:04 libido and bone and muscle. Yes. Yeah. Okay. 18:08 and bone and muscle. Yes. Yeah. Okay. 18:08 and bone and muscle. Yes. Yeah. Okay. Metabolism, decreasing fat, helping 18:10 Metabolism, decreasing fat, helping 18:10 Metabolism, decreasing fat, helping insulin to work better. Um testosterone 18:12 insulin to work better. Um testosterone 18:12 insulin to work better. Um testosterone is helping with a lot of mental 18:15 is helping with a lot of mental 18:15 is helping with a lot of mental emotional things. So big. It's a it 18:18 emotional things. So big. It's a it 18:18 emotional things. So big. It's a it helps with um stress resilience. 18:21 helps with um stress resilience. 18:21 helps with um stress resilience. it it's massive. So, uh and estrogen is 18:24 it it's massive. So, uh and estrogen is 18:24 it it's massive. So, uh and estrogen is doing many of those things too that we 18:26 doing many of those things too that we 18:26 doing many of those things too that we were just saying. Um but they they each 18:28 were just saying. Um but they they each 18:28 were just saying. Um but they they each have their own uh benefits and that for 18:32 have their own uh benefits and that for 18:32 have their own uh benefits and that for us we just put it all together. So 18:33 us we just put it all together. So 18:34 us we just put it all together. So comprehensive estrogen, progesterone, 18:36 comprehensive estrogen, progesterone, 18:36 comprehensive estrogen, progesterone, testosterone, DHEA and other hormones. 18:39 testosterone, DHEA and other hormones. 18:39 testosterone, DHEA and other hormones. All of that should be considered for the 18:41 All of that should be considered for the 18:41 All of that should be considered for the menopausal woman. 18:42 menopausal woman. 18:43 menopausal woman. Yeah. you know, this this sort of mental 18:45 Yeah. you know, this this sort of mental 18:46 Yeah. you know, this this sort of mental and emotional um 18:47 and emotional um 18:47 and emotional um issue is also, you know, I always say to 18:51 issue is also, you know, I always say to 18:51 issue is also, you know, I always say to patients, you don't have a a Prozac 18:53 patients, you don't have a a Prozac 18:53 patients, you don't have a a Prozac deficiency. Uh there's no such thing. Uh 18:55 deficiency. Uh there's no such thing. Uh 18:55 deficiency. Uh there's no such thing. Uh but there is such thing as a hormonal 18:57 but there is such thing as a hormonal 18:57 but there is such thing as a hormonal deficiency like estrogen and 18:58 deficiency like estrogen and 18:58 deficiency like estrogen and testosterone. And it is those hormones 19:00 testosterone. And it is those hormones 19:00 testosterone. And it is those hormones that will help with serotonin and 19:03 that will help with serotonin and 19:03 that will help with serotonin and epinephrine and norepinephrine and 19:05 epinephrine and norepinephrine and 19:05 epinephrine and norepinephrine and dopamine, all those neurochemicals that 19:07 dopamine, all those neurochemicals that 19:07 dopamine, all those neurochemicals that sometimes we're using these other agents 19:08 sometimes we're using these other agents 19:08 sometimes we're using these other agents for that may be necessary, but many 19:10 for that may be necessary, but many 19:10 for that may be necessary, but many times it doesn't have to be because 19:12 times it doesn't have to be because 19:12 times it doesn't have to be because often patients will come in on those 19:14 often patients will come in on those 19:14 often patients will come in on those types of medications. Um, we said in 19:15 types of medications. Um, we said in 19:15 types of medications. Um, we said in another podcast that often they're being 19:17 another podcast that often they're being 19:17 another podcast that often they're being given by uh primary care physicians and 19:19 given by uh primary care physicians and 19:19 given by uh primary care physicians and all that sort of haphazardly. They use 19:21 all that sort of haphazardly. They use 19:22 all that sort of haphazardly. They use it off label for hot flashes and night 19:24 it off label for hot flashes and night 19:24 it off label for hot flashes and night sweats and it's not an it's not the 19:27 sweats and it's not an it's not the 19:27 sweats and it's not an it's not the right agent most of the time. what they 19:29 right agent most of the time. what they 19:29 right agent most of the time. what they needed was the hormone replacement 19:30 needed was the hormone replacement 19:30 needed was the hormone replacement therapy to help and that's going to be 19:32 therapy to help and that's going to be 19:32 therapy to help and that's going to be the more accurate uh agent for that. You 19:35 the more accurate uh agent for that. You 19:35 the more accurate uh agent for that. You know, one of the good ways I think to 19:38 know, one of the good ways I think to 19:38 know, one of the good ways I think to tell is if you're using one of these uh 19:41 tell is if you're using one of these uh 19:41 tell is if you're using one of these uh medications because you're having 19:44 medications because you're having 19:44 medications because you're having low-grade anxiety and sleep disturbance, 19:47 low-grade anxiety and sleep disturbance, 19:48 low-grade anxiety and sleep disturbance, okay, but you're also having vaginal 19:50 okay, but you're also having vaginal 19:50 okay, but you're also having vaginal dryness. You're also having a loss of 19:52 dryness. You're also having a loss of 19:52 dryness. You're also having a loss of fat in the cheeks and in the breast, but 19:55 fat in the cheeks and in the breast, but 19:56 fat in the cheeks and in the breast, but you're having extra fat in the abdomen 19:57 you're having extra fat in the abdomen 19:58 you're having extra fat in the abdomen where you never had it before. You're 19:59 where you never had it before. You're 19:59 where you never had it before. You're also weaker. You're also losing your 20:02 also weaker. You're also losing your 20:02 also weaker. You're also losing your libido for sex and intimacy and 20:04 libido for sex and intimacy and 20:04 libido for sex and intimacy and connection. And so, if you have all of 20:07 connection. And so, if you have all of 20:07 connection. And so, if you have all of these symptoms, then it's probably not 20:11 these symptoms, then it's probably not 20:11 these symptoms, then it's probably not that you're just suffering from anxiety. 20:13 that you're just suffering from anxiety. 20:13 that you're just suffering from anxiety. It's probably that you're having a 20:15 It's probably that you're having a 20:15 It's probably that you're having a systemic deficiency in hormones that is 20:18 systemic deficiency in hormones that is 20:18 systemic deficiency in hormones that is resulting in this complex presentation. 20:20 resulting in this complex presentation. 20:20 resulting in this complex presentation. Yeah, that's a great point where that's 20:22 Yeah, that's a great point where that's 20:22 Yeah, that's a great point where that's a that chicken or egg thing that want 20:24 a that chicken or egg thing that want 20:24 a that chicken or egg thing that want you know once you have these direct 20:27 you know once you have these direct 20:27 you know once you have these direct physical issues that's obviously not 20:29 physical issues that's obviously not 20:29 physical issues that's obviously not making you feel good about yourself and 20:31 making you feel good about yourself and 20:31 making you feel good about yourself and then again vice versa it's just it's a 20:33 then again vice versa it's just it's a 20:33 then again vice versa it's just it's a nasty spiral. So um you got to stop that 20:37 nasty spiral. So um you got to stop that 20:37 nasty spiral. So um you got to stop that that crazy train and and you can you 20:39 that crazy train and and you can you 20:40 that crazy train and and you can you know one thing that we said that we 20:41 know one thing that we said that we 20:41 know one thing that we said that we wanted to focus on here was 20:42 wanted to focus on here was 20:42 wanted to focus on here was gastrointestinal issues in menopause and 20:45 gastrointestinal issues in menopause and 20:45 gastrointestinal issues in menopause and we wanted to focus on that because it's 20:47 we wanted to focus on that because it's 20:47 we wanted to focus on that because it's not often known. So yes, uh you have 20:50 not often known. So yes, uh you have 20:50 not often known. So yes, uh you have issues with the gut when you have a lack 20:54 issues with the gut when you have a lack 20:54 issues with the gut when you have a lack of estrogen. That is uh really really 20:56 of estrogen. That is uh really really 20:56 of estrogen. That is uh really really important for people to understand um 20:58 important for people to understand um 20:58 important for people to understand um that because it's a very common you know
Gut Health and Estrogen 21:00 that because it's a very common you know 21:00 that because it's a very common you know that just having bloating that that's 21:02 that just having bloating that that's 21:02 that just having bloating that that's probably one of the most common things 21:03 probably one of the most common things 21:03 probably one of the most common things you hear as it relates to women and 21:05 you hear as it relates to women and 21:05 you hear as it relates to women and hormones and periods and all that that 21:07 hormones and periods and all that that 21:07 hormones and periods and all that that concept of bloating. But even bloating 21:09 concept of bloating. But even bloating 21:09 concept of bloating. But even bloating that's occurring in menopause and there 21:11 that's occurring in menopause and there 21:11 that's occurring in menopause and there isn't hardly any estrogen around and 21:12 isn't hardly any estrogen around and 21:12 isn't hardly any estrogen around and they're actually having worse times with 21:14 they're actually having worse times with 21:14 they're actually having worse times with digestion. Yeah. And this is a really 21:16 digestion. Yeah. And this is a really 21:16 digestion. Yeah. And this is a really big deal 21:17 big deal 21:17 big deal because the the gut is the second brain. 21:20 because the the gut is the second brain. 21:20 because the the gut is the second brain. We say that. So if you have an unhealthy 21:22 We say that. So if you have an unhealthy 21:22 We say that. So if you have an unhealthy gut, then you tend to have um unhealthy 21:24 gut, then you tend to have um unhealthy 21:24 gut, then you tend to have um unhealthy brain. But the other thing is we spend 21:27 brain. But the other thing is we spend 21:27 brain. But the other thing is we spend so much time talking about the root 21:28 so much time talking about the root 21:28 so much time talking about the root cause of illnesses. And if you are not 21:32 cause of illnesses. And if you are not 21:32 cause of illnesses. And if you are not having appropriate digestive function 21:34 having appropriate digestive function 21:34 having appropriate digestive function because your hormones are low, then you 21:37 because your hormones are low, then you 21:37 because your hormones are low, then you are opening the door for a rapid decline 21:39 are opening the door for a rapid decline 21:39 are opening the door for a rapid decline for any number of illnesses that are 21:41 for any number of illnesses that are 21:41 for any number of illnesses that are related chronic inflammatory illnesses 21:44 related chronic inflammatory illnesses 21:44 related chronic inflammatory illnesses that are related to age. So we're having 21:46 that are related to age. So we're having 21:46 that are related to age. So we're having people that are suffering from all these 21:48 people that are suffering from all these 21:48 people that are suffering from all these other things like the osteoporosis for 21:50 other things like the osteoporosis for 21:50 other things like the osteoporosis for example and it really comes back to the 21:53 example and it really comes back to the 21:53 example and it really comes back to the fact that they're not absorbing their 21:55 fact that they're not absorbing their 21:55 fact that they're not absorbing their nutrients well and they're not absorbing 21:57 nutrients well and they're not absorbing 21:57 nutrients well and they're not absorbing their nutrients well because their 21:58 their nutrients well because their 21:58 their nutrients well because their hormones are unnecessarily low. Yes. You 22:01 hormones are unnecessarily low. Yes. You 22:01 hormones are unnecessarily low. Yes. You know there's estrogen 22:03 know there's estrogen 22:03 know there's estrogen receptors up and down inside the gut. Um 22:07 receptors up and down inside the gut. Um 22:07 receptors up and down inside the gut. Um and people often don't think about it 22:10 and people often don't think about it 22:10 and people often don't think about it that way. estrogen, 22:12 that way. estrogen, 22:12 that way. estrogen, we're sex hormones like estrogen and 22:14 we're sex hormones like estrogen and 22:14 we're sex hormones like estrogen and testosterone. We're thinking about, oh, 22:16 testosterone. We're thinking about, oh, 22:16 testosterone. We're thinking about, oh, it's affecting sexual organs and those 22:19 it's affecting sexual organs and those 22:19 it's affecting sexual organs and those types of things. We don't think about 22:20 types of things. We don't think about 22:20 types of things. We don't think about the fact that maybe it's affecting our 22:21 the fact that maybe it's affecting our 22:21 the fact that maybe it's affecting our brain and our muscles. Maybe we think of 22:24 brain and our muscles. Maybe we think of 22:24 brain and our muscles. Maybe we think of bones with estrogen. That might be one 22:25 bones with estrogen. That might be one 22:25 bones with estrogen. That might be one of the ones you think about, but 22:27 of the ones you think about, but 22:27 of the ones you think about, but ultimately uh it is affecting uh your 22:30 ultimately uh it is affecting uh your 22:30 ultimately uh it is affecting uh your your gut. There's receptors for that. 22:32 your gut. There's receptors for that. 22:32 your gut. There's receptors for that. So, it estrogen is a smooth muscle 22:35 So, it estrogen is a smooth muscle 22:35 So, it estrogen is a smooth muscle relaxer. It's it's helping to increase 22:37 relaxer. It's it's helping to increase 22:38 relaxer. It's it's helping to increase motility or movement of um food and and 22:42 motility or movement of um food and and 22:42 motility or movement of um food and and and all that moving through the gut. Um 22:45 and all that moving through the gut. Um 22:45 and all that moving through the gut. Um it's helping to repair um those 22:47 it's helping to repair um those 22:47 it's helping to repair um those epithelial cells. This is just part of 22:49 epithelial cells. This is just part of 22:49 epithelial cells. This is just part of the whole gut repair concept that we do 22:51 the whole gut repair concept that we do 22:51 the whole gut repair concept that we do all the time. We're helping patients 22:52 all the time. We're helping patients 22:52 all the time. We're helping patients with their gut. I love working with the 22:53 with their gut. I love working with the 22:53 with their gut. I love working with the gut. Absolutely. This leaky gut concept 22:55 gut. Absolutely. This leaky gut concept 22:55 gut. Absolutely. This leaky gut concept that people are worried about is 22:57 that people are worried about is 22:57 that people are worried about is prevalent in the menop permenopausal and 23:00 prevalent in the menop permenopausal and 23:00 prevalent in the menop permenopausal and menopausal woman and in part because 23:02 menopausal woman and in part because 23:02 menopausal woman and in part because their estrogen is there to actually help 23:03 their estrogen is there to actually help 23:04 their estrogen is there to actually help with those things. So they need healthy 23:06 with those things. So they need healthy 23:06 with those things. So they need healthy estrogen. Interestingly, part of the 23:08 estrogen. Interestingly, part of the 23:08 estrogen. Interestingly, part of the breakdown of the lining of the gut is 23:11 breakdown of the lining of the gut is 23:11 breakdown of the lining of the gut is made worse by uh synthetic estrogen like 23:13 made worse by uh synthetic estrogen like 23:13 made worse by uh synthetic estrogen like the birth control pill. So you have the 23:15 the birth control pill. So you have the 23:15 the birth control pill. So you have the negatives of the birth control pill 23:17 negatives of the birth control pill 23:17 negatives of the birth control pill affecting the gut, but yet estrogen is 23:19 affecting the gut, but yet estrogen is 23:19 affecting the gut, but yet estrogen is there's receptors there for because it's 23:21 there's receptors there for because it's 23:21 there's receptors there for because it's looking for natural estrogen which is 23:23 looking for natural estrogen which is 23:23 looking for natural estrogen which is what of course uh we promote and use. Um 23:26 what of course uh we promote and use. Um 23:26 what of course uh we promote and use. Um so there's a big difference there. Know 23:27 so there's a big difference there. Know 23:27 so there's a big difference there. Know know that um it's regulating the the gut 23:31 know that um it's regulating the the gut 23:31 know that um it's regulating the the gut microbiota. I mean this gut microbiome 23:33 microbiota. I mean this gut microbiome 23:33 microbiota. I mean this gut microbiome that everybody's talking about now again 23:35 that everybody's talking about now again 23:35 that everybody's talking about now again we've been talking about for decades u 23:37 we've been talking about for decades u 23:37 we've been talking about for decades u but it's really cool to see this uh 23:39 but it's really cool to see this uh 23:39 but it's really cool to see this uh discussion and move towards 23:41 discussion and move towards 23:41 discussion and move towards understanding that because like you said 23:42 understanding that because like you said 23:42 understanding that because like you said the second brain we've been saying that 23:44 the second brain we've been saying that 23:44 the second brain we've been saying that for years and a lot of that has to do 23:46 for years and a lot of that has to do 23:46 for years and a lot of that has to do with the good bacteria the gut 23:48 with the good bacteria the gut 23:48 with the good bacteria the gut microbiome that's there we need to have 23:50 microbiome that's there we need to have 23:50 microbiome that's there we need to have that influenced positively through diet 23:52 that influenced positively through diet 23:52 that influenced positively through diet but ultimately we're getting that with 23:54 but ultimately we're getting that with 23:54 but ultimately we're getting that with estrogen too right that's right 23:57 estrogen too right that's right 23:57 estrogen too right that's right um so yeah you know it's
Bone Health and Hormone Treatment Options 23:59 um so yeah you know it's 23:59 um so yeah you know it's anti-inflammatory it's um it's helping 24:02 anti-inflammatory it's um it's helping 24:02 anti-inflammatory it's um it's helping with neurotransmitter effects. So 24:04 with neurotransmitter effects. So 24:04 with neurotransmitter effects. So estrogen is helping with those 24:05 estrogen is helping with those 24:05 estrogen is helping with those neurotransmitters in the gut. That's the 24:07 neurotransmitters in the gut. That's the 24:07 neurotransmitters in the gut. That's the other thing. So people think about 24:08 other thing. So people think about 24:08 other thing. So people think about neurotransmitters in the brain. And it's 24:10 neurotransmitters in the brain. And it's 24:10 neurotransmitters in the brain. And it's true they're influencing the brain and 24:12 true they're influencing the brain and 24:12 true they're influencing the brain and to some degree being produced in the 24:14 to some degree being produced in the 24:14 to some degree being produced in the brain, but the massive majority of 24:16 brain, but the massive majority of 24:16 brain, but the massive majority of neurotransmitters are actually produced 24:18 neurotransmitters are actually produced 24:18 neurotransmitters are actually produced in the gut that then in turn influence 24:21 in the gut that then in turn influence 24:21 in the gut that then in turn influence the brain. So we need a healthy gut. We 24:23 the brain. So we need a healthy gut. We 24:23 the brain. So we need a healthy gut. We need healthy uh gut microbiota, the the 24:26 need healthy uh gut microbiota, the the 24:26 need healthy uh gut microbiota, the the the microbiome. All of that's influenced 24:29 the microbiome. All of that's influenced 24:29 the microbiome. All of that's influenced by estrogen. Uh so wanted to make sure 24:32 by estrogen. Uh so wanted to make sure 24:32 by estrogen. Uh so wanted to make sure everyone understood that. And then the 24:34 everyone understood that. And then the 24:34 everyone understood that. And then the other kind of things we we talked about 24:36 other kind of things we we talked about 24:36 other kind of things we we talked about uh uh bone issues. Quick shout out to 24:39 uh uh bone issues. Quick shout out to 24:39 uh uh bone issues. Quick shout out to the Osteo Collective, Dr. Doug Lucas, 24:42 the Osteo Collective, Dr. Doug Lucas, 24:42 the Osteo Collective, Dr. Doug Lucas, who's a really a fantastic doctor, uh 24:46 who's a really a fantastic doctor, uh 24:46 who's a really a fantastic doctor, uh orthopedic surgeon, incredible advocate 24:48 orthopedic surgeon, incredible advocate 24:48 orthopedic surgeon, incredible advocate for women's health and and and 24:50 for women's health and and and 24:50 for women's health and and and particularly and specifically 24:51 particularly and specifically 24:51 particularly and specifically osteoporosis because there's no one out 24:54 osteoporosis because there's no one out 24:54 osteoporosis because there's no one out there really doing that. And that's I 24:55 there really doing that. And that's I 24:55 there really doing that. And that's I really learned that from him so much. 24:58 really learned that from him so much. 24:58 really learned that from him so much. Um, and you can follow him on social 24:59 Um, and you can follow him on social 24:59 Um, and you can follow him on social media for sure. Dr. Doug Lucas, we've 25:01 media for sure. Dr. Doug Lucas, we've 25:01 media for sure. Dr. Doug Lucas, we've learned so much by just connecting with 25:04 learned so much by just connecting with 25:04 learned so much by just connecting with him, speaking with him. Um, but 25:06 him, speaking with him. Um, but 25:06 him, speaking with him. Um, but I myself follow him, um, and just get 25:10 I myself follow him, um, and just get 25:10 I myself follow him, um, and just get pearls on a daily from the things he 25:12 pearls on a daily from the things he 25:12 pearls on a daily from the things he posts. So, super cool guy. Yeah. And 25:14 posts. So, super cool guy. Yeah. And 25:14 posts. So, super cool guy. Yeah. And you're right, a big advocate for women's 25:16 you're right, a big advocate for women's 25:16 you're right, a big advocate for women's health. Um, they, uh, they have, uh, 25:19 health. Um, they, uh, they have, uh, 25:19 health. Um, they, uh, they have, uh, online, uh, consultations and all of 25:22 online, uh, consultations and all of 25:22 online, uh, consultations and all of that. Now, what he tends to focus on, 25:24 that. Now, what he tends to focus on, 25:24 that. Now, what he tends to focus on, and this where we can talk about this 25:26 and this where we can talk about this 25:26 and this where we can talk about this because now that this will lead into how 25:27 because now that this will lead into how 25:27 because now that this will lead into how do we treat um hormones, estrogen 25:31 do we treat um hormones, estrogen 25:31 do we treat um hormones, estrogen deficiencies, testosterone deficiencies 25:33 deficiencies, testosterone deficiencies 25:33 deficiencies, testosterone deficiencies for women. Um Dr. Lucas and his group, 25:37 for women. Um Dr. Lucas and his group, 25:37 for women. Um Dr. Lucas and his group, they they they tend to focus on creams. 25:40 they they they tend to focus on creams. 25:40 they they they tend to focus on creams. Um, again, they're doing a lot of things 25:41 Um, again, they're doing a lot of things 25:41 Um, again, they're doing a lot of things from a tele medicine standpoint, but he 25:43 from a tele medicine standpoint, but he 25:43 from a tele medicine standpoint, but he he was a very open-minded guy and 25:45 he was a very open-minded guy and 25:45 he was a very open-minded guy and because we were on his podcast, I don't 25:47 because we were on his podcast, I don't 25:47 because we were on his podcast, I don't know about a month ago or so. And he 25:50 know about a month ago or so. And he 25:50 know about a month ago or so. And he even said at the end because I said, I 25:51 even said at the end because I said, I 25:51 even said at the end because I said, I want to come on and I really want to 25:53 want to come on and I really want to 25:53 want to come on and I really want to talk about pellets because they, you 25:54 talk about pellets because they, you 25:54 talk about pellets because they, you know, he wasn't a big pellet guy. And 25:56 know, he wasn't a big pellet guy. And 25:56 know, he wasn't a big pellet guy. And he's been learning all of this stuff, I 25:58 he's been learning all of this stuff, I 25:58 he's been learning all of this stuff, I say relatively recently, maybe the past 26:00 say relatively recently, maybe the past 26:00 say relatively recently, maybe the past 5 years or so and and he's been working 26:03 5 years or so and and he's been working 26:03 5 years or so and and he's been working with a lot of other very brilliant uh 26:05 with a lot of other very brilliant uh 26:05 with a lot of other very brilliant uh doctors and providers that are using 26:07 doctors and providers that are using 26:07 doctors and providers that are using creams. So he kind of went into that 26:09 creams. So he kind of went into that 26:09 creams. So he kind of went into that direction just based on who he was being 26:11 direction just based on who he was being 26:12 direction just based on who he was being influenced by. And uh when it comes to 26:15 influenced by. And uh when it comes to 26:15 influenced by. And uh when it comes to hormone pellets, which we believe is one 26:17 hormone pellets, which we believe is one 26:17 hormone pellets, which we believe is one of the best ways to go about it, there's 26:18 of the best ways to go about it, there's 26:18 of the best ways to go about it, there's people out there that that just are flat 26:20 people out there that that just are flat 26:20 people out there that that just are flat out like almost against. But I think 26:22 out like almost against. But I think 26:22 out like almost against. But I think that's how you know that you're working 26:23 that's how you know that you're working 26:24 that's how you know that you're working with someone who's really interested in 26:26 with someone who's really interested in 26:26 with someone who's really interested in the benefit of the patient because they 26:28 the benefit of the patient because they 26:28 the benefit of the patient because they are constantly challenging their own 26:29 are constantly challenging their own 26:29 are constantly challenging their own biases. Yes. That's I I think that is 26:32 biases. Yes. That's I I think that is 26:32 biases. Yes. That's I I think that is that is definitely paramount to being a 26:36 that is definitely paramount to being a 26:36 that is definitely paramount to being a physician. Like I am always trying to 26:39 physician. Like I am always trying to 26:39 physician. Like I am always trying to say what let me listen to the people 26:42 say what let me listen to the people 26:42 say what let me listen to the people that I think I completely disagree with 26:44 that I think I completely disagree with 26:44 that I think I completely disagree with because I want to always challenge my 26:45 because I want to always challenge my 26:45 because I want to always challenge my perspective and estrogen is one of those 26:48 perspective and estrogen is one of those 26:48 perspective and estrogen is one of those great places like what are people saying 26:50 great places like what are people saying 26:50 great places like what are people saying out there about estrogen. Let's hear it. 26:52 out there about estrogen. Let's hear it. 26:52 out there about estrogen. Let's hear it. Let's learn it. And if I can still come 26:53 Let's learn it. And if I can still come 26:54 Let's learn it. And if I can still come back to my answer which is definitely 26:56 back to my answer which is definitely 26:56 back to my answer which is definitely replace the estrogen preferably use 26:58 replace the estrogen preferably use 26:58 replace the estrogen preferably use things like pellets or injections then 27:00 things like pellets or injections then 27:00 things like pellets or injections then I'm doing it with confidence that I'm 27:02 I'm doing it with confidence that I'm 27:02 I'm doing it with confidence that I'm really thinking about the patient's 27:03 really thinking about the patient's 27:03 really thinking about the patient's well-being as the most important 27:05 well-being as the most important 27:05 well-being as the most important decision maker. 27:07 decision maker. 27:07 decision maker. People don't think I was listening to 27:10 People don't think I was listening to 27:10 People don't think I was listening to Dr. Jordan Peterson. What he means by 27:12 Dr. Jordan Peterson. What he means by 27:12 Dr. Jordan Peterson. What he means by that is that that the process of 27:15 that is that that the process of 27:15 that is that that the process of thinking through and challenging 27:16 thinking through and challenging 27:16 thinking through and challenging yourself in your own people just sort of 27:19 yourself in your own people just sort of 27:19 yourself in your own people just sort of absorb things and take it in but they're 27:21 absorb things and take it in but they're 27:21 absorb things and take it in but they're not actually stopping and really 27:23 not actually stopping and really 27:23 not actually stopping and really thinking it through. And the reason is 27:25 thinking it through. And the reason is 27:25 thinking it through. And the reason is as he was saying was because it 27:27 as he was saying was because it 27:27 as he was saying was because it literally does that. You have to 27:28 literally does that. You have to 27:28 literally does that. You have to challenge your own bias in order to 27:30 challenge your own bias in order to 27:30 challenge your own bias in order to think. You have to almost internally 27:32 think. You have to almost internally 27:32 think. You have to almost internally create an argument with yourself and go 27:35 create an argument with yourself and go 27:35 create an argument with yourself and go through that to think. You know, it's 27:37 through that to think. You know, it's 27:37 through that to think. You know, it's funny that you say that. My sister, I 27:38 funny that you say that. My sister, I 27:38 funny that you say that. My sister, I will often say to her, "What are you 27:39 will often say to her, "What are you 27:39 will often say to her, "What are you doing today?" And she'll say things 27:41 doing today?" And she'll say things 27:41 doing today?" And she'll say things like, "I have a lot of things to do, so 27:43 like, "I have a lot of things to do, so 27:43 like, "I have a lot of things to do, so I'm going to go home and think." And I 27:45 I'm going to go home and think." And I 27:45 I'm going to go home and think." And I always kind of make fun of her cuz I'm 27:46 always kind of make fun of her cuz I'm 27:46 always kind of make fun of her cuz I'm like, "You're going to go You're going 27:47 like, "You're going to go You're going 27:47 like, "You're going to go You're going to go home and think." But she's totally 27:50 to go home and think." But she's totally 27:50 to go home and think." But she's totally right. You need to just sit in silence 27:53 right. You need to just sit in silence 27:53 right. You need to just sit in silence with your own thoughts. 27:55 with your own thoughts. 27:55 with your own thoughts. And if you if you have a lot of 27:58 And if you if you have a lot of 27:58 And if you if you have a lot of decisions to make, you need to give 28:00 decisions to make, you need to give 28:00 decisions to make, you need to give yourself the space to make those 28:01 yourself the space to make those 28:01 yourself the space to make those decisions so that you're not just 28:04 decisions so that you're not just 28:04 decisions so that you're not just choosing the easiest answer or the 28:06 choosing the easiest answer or the 28:06 choosing the easiest answer or the fear-based answer or the answer or the 28:08 fear-based answer or the answer or the 28:08 fear-based answer or the answer or the biased answer to make the best 28:10 biased answer to make the best 28:10 biased answer to make the best decisions. You actually have to just sit 28:12 decisions. You actually have to just sit 28:12 decisions. You actually have to just sit down and think. Estrogen helps you do 28:14 down and think. Estrogen helps you do 28:14 down and think. Estrogen helps you do that. Yes. And so do pellets because 28:17 that. Yes. And so do pellets because 28:17 that. Yes. And so do pellets because pellets are the only way to do hormone 28:19 pellets are the only way to do hormone 28:19 pellets are the only way to do hormone replacement therapy. Any other way is 28:21 replacement therapy. Any other way is 28:21 replacement therapy. Any other way is insanity. No, he's definitely I hope 28:23 insanity. No, he's definitely I hope 28:23 insanity. No, he's definitely I hope that never gets taken as a tidbit. He's 28:25 that never gets taken as a tidbit. He's 28:25 that never gets taken as a tidbit. He's definitely saying 28:27 definitely saying 28:27 definitely saying that because we don't use estrogen only 28:30 that because we don't use estrogen only 28:30 that because we don't use estrogen only in the form of a pallet. Correct. We 28:32 in the form of a pallet. Correct. We 28:32 in the form of a pallet. Correct. We don't. Um and so yes, there's there's 28:34 don't. Um and so yes, there's there's 28:34 don't. Um and so yes, there's there's many sort of roads uh to improvement in 28:37 many sort of roads uh to improvement in 28:37 many sort of roads uh to improvement in heaven there. Um so with that said, um 28:41 heaven there. Um so with that said, um 28:41 heaven there. Um so with that said, um when you know how to I believe that in 28:44 when you know how to I believe that in 28:44 when you know how to I believe that in general um hormone pellets are at the 28:46 general um hormone pellets are at the 28:46 general um hormone pellets are at the top of the list of consideration when 28:48 top of the list of consideration when 28:48 top of the list of consideration when you know how to wield that tool. And 28:51 you know how to wield that tool. And 28:51 you know how to wield that tool. And we've been doing it now for 18 years. 28:53 we've been doing it now for 18 years. 28:53 we've been doing it now for 18 years. There's not many people in the country 28:55 There's not many people in the country 28:55 There's not many people in the country that have been doing pellets as long as 28:57 that have been doing pellets as long as 28:57 that have been doing pellets as long as we've been doing pellets. Um, and we 28:59 we've been doing pellets. Um, and we 28:59 we've been doing pellets. Um, and we really know how to do it. Yeah. So, as 29:02 really know how to do it. Yeah. So, as 29:02 really know how to do it. Yeah. So, as there's been more and more people kind 29:03 there's been more and more people kind 29:03 there's been more and more people kind of coming on the bandwagon of hormone 29:05 of coming on the bandwagon of hormone 29:05 of coming on the bandwagon of hormone pellets, 29:07 pellets, 29:07 pellets, um, you get a lot of monkey business out 29:09 um, you get a lot of monkey business out 29:09 um, you get a lot of monkey business out there. True. Yeah. Um, but aside from 29:12 there. True. Yeah. Um, but aside from 29:12 there. True. Yeah. Um, but aside from really perfecting dosing with pellets, 29:15 really perfecting dosing with pellets, 29:15 really perfecting dosing with pellets, what we've also seen are all the other 29:17 what we've also seen are all the other 29:17 what we've also seen are all the other things that people do like the monkey 29:19 things that people do like the monkey 29:19 things that people do like the monkey business with pellets, but we've also 29:21 business with pellets, but we've also 29:21 business with pellets, but we've also seen the creams. We've seen the patches, 29:23 seen the creams. We've seen the patches, 29:23 seen the creams. We've seen the patches, we've seen the injections, we've seen 29:25 we've seen the injections, we've seen 29:25 we've seen the injections, we've seen just herbs. Like we've seen a lot of 29:27 just herbs. Like we've seen a lot of 29:27 just herbs. Like we've seen a lot of things and what we keep coming back to 29:30 things and what we keep coming back to 29:30 things and what we keep coming back to are pellets predominantly predominantly. 29:33 are pellets predominantly predominantly. 29:33 are pellets predominantly predominantly. And with that said, the other route that 29:34 And with that said, the other route that 29:34 And with that said, the other route that we will use is injections. But where 29:37 we will use is injections. But where 29:37 we will use is injections. But where we've come sort of we had to go through 29:40 we've come sort of we had to go through 29:40 we've come sort of we had to go through a discerning process of injections 29:41 a discerning process of injections 29:41 a discerning process of injections because and a challenging of our bias 29:43 because and a challenging of our bias 29:43 because and a challenging of our bias very much so uh and and and sort of 29:46 very much so uh and and and sort of 29:46 very much so uh and and and sort of experimentation on how to do it 29:48 experimentation on how to do it 29:48 experimentation on how to do it correctly for the sake of the patient. 29:49 correctly for the sake of the patient. 29:49 correctly for the sake of the patient. When it came to injections historically 29:51 When it came to injections historically 29:51 When it came to injections historically they were you know now looking back they 29:53 they were you know now looking back they 29:53 they were you know now looking back they were horrible the way they were being 29:54 were horrible the way they were being 29:54 were horrible the way they were being done. But we realized it you know the 29:57 done. But we realized it you know the 29:57 done. But we realized it you know the baby was getting thrown out with the 29:58 baby was getting thrown out with the 29:58 baby was getting thrown out with the bath water on injections because they
Pellets, Injections, and Personalized Care 30:00 bath water on injections because they 30:00 bath water on injections because they were just giving large amounts once a 30:02 were just giving large amounts once a 30:02 were just giving large amounts once a month. They were getting these huge 30:03 month. They were getting these huge 30:03 month. They were getting these huge spikes up and big drops down. It was 30:05 spikes up and big drops down. It was 30:05 spikes up and big drops down. It was just dumb the way they were doing it. 30:07 just dumb the way they were doing it. 30:07 just dumb the way they were doing it. So, we just said, "Well, wait a second. 30:08 So, we just said, "Well, wait a second. 30:08 So, we just said, "Well, wait a second. What if we just gave smaller amounts 30:10 What if we just gave smaller amounts 30:10 What if we just gave smaller amounts more frequently? We stopped and we 30:12 more frequently? We stopped and we 30:12 more frequently? We stopped and we thought. Yeah, we stopped and we thought 30:14 thought. Yeah, we stopped and we thought 30:14 thought. Yeah, we stopped and we thought and we challenged uh and uh and and and 30:16 and we challenged uh and uh and and and 30:16 and we challenged uh and uh and and and and dared." I think that's a big part of 30:19 and dared." I think that's a big part of 30:19 and dared." I think that's a big part of thinking as well. You got to sort of be 30:20 thinking as well. You got to sort of be 30:20 thinking as well. You got to sort of be daring. It's definitely a big part of 30:22 daring. It's definitely a big part of 30:22 daring. It's definitely a big part of medicine. A lot of times doctors get 30:23 medicine. A lot of times doctors get 30:23 medicine. A lot of times doctors get complacent and they're not willing to 30:25 complacent and they're not willing to 30:25 complacent and they're not willing to just let let's take a uh quote unquote 30:28 just let let's take a uh quote unquote 30:28 just let let's take a uh quote unquote calculated risk for moving forward and 30:31 calculated risk for moving forward and 30:31 calculated risk for moving forward and seeing how this will help the patient 30:33 seeing how this will help the patient 30:33 seeing how this will help the patient when it's done in a in a controlled way 30:35 when it's done in a in a controlled way 30:35 when it's done in a in a controlled way in a you know thoughtful way. And you've 30:37 in a you know thoughtful way. And you've 30:37 in a you know thoughtful way. And you've said this before, but we're just very 30:38 said this before, but we're just very 30:38 said this before, but we're just very lucky to have patients that are willing 30:41 lucky to have patients that are willing 30:41 lucky to have patients that are willing to play with us these games. And the 30:43 to play with us these games. And the 30:43 to play with us these games. And the reason is and this is important because 30:45 reason is and this is important because 30:45 reason is and this is important because this is how I want all of you to behave. 30:48 this is how I want all of you to behave. 30:48 this is how I want all of you to behave. The reason our patients are willing to 30:50 The reason our patients are willing to 30:50 The reason our patients are willing to experiment with us is because we engage 30:53 experiment with us is because we engage 30:53 experiment with us is because we engage them in so much discussion. We remind 30:56 them in so much discussion. We remind 30:56 them in so much discussion. We remind them that we are there as a 30:58 them that we are there as a 30:58 them that we are there as a guide. Ultimately the responsibility and 31:01 guide. Ultimately the responsibility and 31:01 guide. Ultimately the responsibility and the the decisions about your health lie 31:03 the the decisions about your health lie 31:03 the the decisions about your health lie on you. But to make those decisions, you 31:07 on you. But to make those decisions, you 31:07 on you. But to make those decisions, you have to do your research, challenge your 31:10 have to do your research, challenge your 31:10 have to do your research, challenge your biases, think and find a practitioner 31:13 biases, think and find a practitioner 31:13 biases, think and find a practitioner like us that is really dedicated on one 31:16 like us that is really dedicated on one 31:16 like us that is really dedicated on one thing, which is helping you feel the 31:18 thing, which is helping you feel the 31:18 thing, which is helping you feel the very best you can. Yeah, absolutely. 31:19 very best you can. Yeah, absolutely. 31:19 very best you can. Yeah, absolutely. Having a having an advocate for you as 31:21 Having a having an advocate for you as 31:21 Having a having an advocate for you as you're advocating for yourself and 31:23 you're advocating for yourself and 31:23 you're advocating for yourself and they're advocating for you to advocate 31:26 they're advocating for you to advocate 31:26 they're advocating for you to advocate for yourself, empowering you. And if you 31:29 for yourself, empowering you. And if you 31:29 for yourself, empowering you. And if you are parmenopausal and you are finding 31:32 are parmenopausal and you are finding 31:32 are parmenopausal and you are finding yourself on this chapter of your life 31:35 yourself on this chapter of your life 31:35 yourself on this chapter of your life and you have a doctor who isn't excited 31:37 and you have a doctor who isn't excited 31:37 and you have a doctor who isn't excited about your menopause, I think you're 31:40 about your menopause, I think you're 31:40 about your menopause, I think you're already not partnered up correctly. You 31:43 already not partnered up correctly. You 31:43 already not partnered up correctly. You really need to find that person that 31:44 really need to find that person that 31:44 really need to find that person that says, "Okay, this is great. This is an 31:46 says, "Okay, this is great. This is an 31:46 says, "Okay, this is great. This is an amazing opportunity. This is a very 31:48 amazing opportunity. This is a very 31:48 amazing opportunity. This is a very exciting, a very fulfilling chapter of 31:49 exciting, a very fulfilling chapter of 31:49 exciting, a very fulfilling chapter of the female's life. However, we're not 31:52 the female's life. However, we're not 31:52 the female's life. However, we're not supposed to suffer through this book." 31:54 supposed to suffer through this book." 31:54 supposed to suffer through this book." Not not into suffering. uh we we 31:56 Not not into suffering. uh we we 31:56 Not not into suffering. uh we we definitely uh help people to get through
Resources and Closing 31:59 definitely uh help people to get through 31:59 definitely uh help people to get through all of those things. We're all kind of 32:01 all of those things. We're all kind of 32:01 all of those things. We're all kind of on this this process here. Um we just 32:03 on this this process here. Um we just 32:04 on this this process here. Um we just want to make the ride better and that's 32:05 want to make the ride better and that's 32:05 want to make the ride better and that's definitely what hormone replacement 32:06 definitely what hormone replacement 32:06 definitely what hormone replacement therapy will do uh for the menopausal 32:09 therapy will do uh for the menopausal 32:09 therapy will do uh for the menopausal woman. So or the permenopausal woman. So 32:11 woman. So or the permenopausal woman. So 32:11 woman. So or the permenopausal woman. So definitely get your levels checked, find 32:13 definitely get your levels checked, find 32:13 definitely get your levels checked, find someone that's going to be that 32:14 someone that's going to be that 32:14 someone that's going to be that advocate. Be an advocate for yourself. 32:16 advocate. Be an advocate for yourself. 32:16 advocate. Be an advocate for yourself. Do your research like you said. Um our 32:18 Do your research like you said. Um our 32:18 Do your research like you said. Um our book, obviously our book is a great 32:19 book, obviously our book is a great 32:19 book, obviously our book is a great guide for those people who don't have 32:21 guide for those people who don't have 32:21 guide for those people who don't have access to us. Yes. And everyone can 32:23 access to us. Yes. And everyone can 32:23 access to us. Yes. And everyone can check us out. they can reach out to us 32:25 check us out. they can reach out to us 32:25 check us out. they can reach out to us directly for um for our advice and 32:29 directly for um for our advice and 32:29 directly for um for our advice and opinions. 32:31 opinions. 32:31 opinions. Look forward to seeing 32:33 Look forward to seeing 32:33 Look forward to seeing you. Are you liking what you're hearing? 32:35 you. Are you liking what you're hearing? 32:35 you. Are you liking what you're hearing? Do you want to hear more? Are you loving 32:37 Do you want to hear more? Are you loving 32:37 Do you want to hear more? Are you loving this great content? And do you want to 32:38 this great content? And do you want to 32:38 this great content? And do you want to ask us a question? Please like, 32:40 ask us a question? Please like, 32:40 ask us a question? Please like, subscribe, and comment. You can find all 32:42 subscribe, and comment. You can find all 32:42 subscribe, and comment. You can find all of our links on our social media, 32:44 of our links on our social media, 32:44 of our links on our social media, featured articles, basically everything 32:46 featured articles, basically everything 32:46 featured articles, basically everything we cover at linkree at longevity 32:49 we cover at linkree at longevity 32:49 we cover at linkree at longevity protocol pod. And if you want to 32:51 protocol pod. And if you want to 32:51 protocol pod. And if you want to understand and hear a little bit more 32:52 understand and hear a little bit more 32:52 understand and hear a little bit more about our personal lives, follow us on 32:54 about our personal lives, follow us on 32:54 about our personal lives, follow us on Instagram at the sex docks. Here's where 32:56 Instagram at the sex docks. Here's where 32:56 Instagram at the sex docks. Here's where you can comment and ask questions that 32:58 you can comment and ask questions that 32:58 you can comment and ask questions that we will directly answer in our videos. 33:00 we will directly answer in our videos. 33:00 we will directly answer in our videos. Be sure to subscribe to our Substack. 33:02 Be sure to subscribe to our Substack. 33:02 Be sure to subscribe to our Substack. This is where we get far more 33:03 This is where we get far more 33:03 This is where we get far more information for you, protocols on 33:05 information for you, protocols on 33:05 information for you, protocols on longevity and health, and definitely the 33:07 longevity and health, and definitely the 33:07 longevity and health, and definitely the notes for today's episode. And finally, 33:09 notes for today's episode. And finally, 33:09 notes for today's episode. And finally, if you're ready to make a change, a real 33:11 if you're ready to make a change, a real 33:11 if you're ready to make a change, a real change in your own life, feel free to 33:12 change in your own life, feel free to 33:12 change in your own life, feel free to check us out at our private practice at 33:14 check us out at our private practice at 33:14 check us out at our private practice at hormonezone.com.
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