The #1 Menopause Doctor: How to Lose Belly Fat, Sleep Better, & Stop Suffering Now (YouTube Video Transcript)

(00:00:00) Your YouTube transcript will appear here (00:00:01) hey I'm so glad you're here I promised (00:00:03) you I'd be in the studio today Shay all (00:00:06) day she's here too you can't see Maddie (00:00:08) but she's right behind you so we are (00:00:10) about to have the amazing Dr Mary Claire (00:00:14) uh Haver jump in that seat and I just (00:00:17) want to tell you this is going to be one (00:00:18) of those episodes that's going to change (00:00:19) your life and it will change the life of (00:00:21) every girl and woman you know so please (00:00:23) share it share it share it are you ready (00:00:25) you ready to start the Mel Robins (00:00:26) podcast I know you are me too don't (00:00:28) forget to subscribe Mah let's do this we (00:00:31) were living Our Lives managing our (00:00:33) stress managing our weight doing all the (00:00:36) things and then all of a sudden you (00:00:37) can't put your finger on it but (00:00:39) something's changed that's exactly what (00:00:41) everybody says and whether this is (00:00:43) happening to you or you've heard your (00:00:45) sister or your mother or your partner (00:00:47) say this we start going my my pants are (00:00:49) not fitting I am grouchy suddenly I feel (00:00:53) like I have ADHD or brain fog or (00:00:55) dementia I don't feel like myself in my (00:00:58) body you are every single who comes to (00:01:01) my (00:01:02) office this exact same (00:01:06) [Music] (00:01:11) story hey it's Mel and I'm so glad that (00:01:14) you're here today whether you're (00:01:15) listening for yourself or because (00:01:17) someone that you loved shared this (00:01:19) episode with you I want to welcome you (00:01:20) to the Mel Robins podcast family and (00:01:23) thank you thank you for making this (00:01:24) podcast one of the most popular podcasts (00:01:27) in the entire world it is an absolute (00:01:29) honor to be able to spend some time with (00:01:31) you today and I want to start by (00:01:33) acknowledging you for something you (00:01:36) could be listening or watching to a (00:01:37) bazillion things right now but you chose (00:01:40) to take some time for yourself and (00:01:41) listen to something that can help you (00:01:43) create a better life and today holy cow (00:01:47) is that going to happen because we are (00:01:49) digging into a topic that is impacting (00:01:51) nearly 1.2 billion people it also (00:01:54) happens to be one of the most requested (00:01:56) subjects that you've been asking me to (00:01:58) cover and one of the reasons why you (00:02:00) want me to cover it is because there is (00:02:01) so much confusion so much conflicting (00:02:04) information about this subject what am I (00:02:06) talking about menopause it is time that (00:02:09) you feel informed about what's going on (00:02:12) with your body your brain and your (00:02:13) hormones and if this is not impacting (00:02:15) you personally do not change this listen (00:02:20) because it is impacting someone you love (00:02:23) oh I have been dying to have this (00:02:26) conversation about women's hormone (00:02:28) health and menopause with you because I (00:02:30) got to be honest with you every single (00:02:34) friend of mine has been texting and (00:02:36) dming each other we are lighting up the (00:02:39) group chats I am no longer sending my (00:02:41) friends memes and funny quotes right now (00:02:43) you know what I'm sending them articles (00:02:45) about hormone changes articles about (00:02:47) supplements I've been complaining to my (00:02:48) poor husband Chris about how bloated (00:02:50) itchy irritated I am I'm confused about (00:02:53) what to do and you know what this (00:02:56) approach is not helping Chris to (00:02:57) understand me it's not helping me to (00:03:00) understand the changes that I'm (00:03:01) experiencing and I'm sharing this with (00:03:03) you because if you're overwhelmed by the (00:03:05) topic of hormone changes or menopause or (00:03:08) you're experiencing challenges with your (00:03:10) monthly cycle or maybe you're just tired (00:03:13) you're tired of hearing your mother or (00:03:15) your significant other complain about (00:03:16) the changes in her body boy oh boy are (00:03:19) you about to learn a lot one of the (00:03:22) reasons why so many of you feel so (00:03:25) powerless about your hormones is because (00:03:27) your doctor is probably not informed (00:03:29) about this topic either so you're not (00:03:32) getting the answers the information and (00:03:34) the simple things that you can do that (00:03:37) you deserve well that changes today (00:03:39) because your friend Mel Robbins has (00:03:41) tracked down one of the leading (00:03:44) Specialists on menopause and estrogen (00:03:46) deficiency she has hopped on a plane (00:03:49) from Texas and this woman is so busy I (00:03:51) cannot believe she's taken time out to (00:03:53) be with you and me here in our studios (00:03:55) in Boston she has come to share with you (00:03:58) everything that the research says and (00:03:59) more importantly the simple things that (00:04:03) you can do and there's a lot that is (00:04:06) going to surprise you today for example (00:04:09) didn't know param menopause can start as (00:04:11) early as the age of 35 and you know I (00:04:15) know that hot flashes and belly fat are (00:04:17) symptoms of hormone changes it's (00:04:19) probably just the symptoms that I (00:04:20) complain about the most but current (00:04:23) research is finding that things like (00:04:24) ringing in your ears frozen shoulder I (00:04:27) didn't even know that was a thing dry (00:04:28) skin dry mouth body odor anxiety fatigue (00:04:33) lack of a sex drive autoimmune diseases (00:04:35) and on and on can all potentially be (00:04:38) tied back to the changes your body is (00:04:41) experiencing because of menopause I am (00:04:43) so honored for you to meet our expert (00:04:45) today because she's going to simplify (00:04:46) this topic so that you no longer feel (00:04:49) overwhelmed and left behind by the (00:04:52) medical community but rather you feel (00:04:54) empowered and excited about what you can (00:04:56) do so let me tell you a little bit about (00:04:59) Dr Mary CLA Haver she is a board (00:05:02) certified Obstetrics and Gynecology (00:05:05) specialist Dr Haver is also a certified (00:05:07) menopause practitioner from the (00:05:09) menopause society and you're going to (00:05:10) learn why that's actually a very big (00:05:12) deal a little bit later in our (00:05:14) conversation she's also a certified (00:05:16) culinary medicine specialist from Tain (00:05:18) University a best-selling author and (00:05:21) author of The Incredible brand new book (00:05:24) the new menopause she's the founder of (00:05:26) the maryclair wellness clinic which is (00:05:28) dedicated to the care of menop pusle (00:05:30) patience and this is really important (00:05:33) she has two kids and just like me she's (00:05:35) 55 she's juggling a big career a (00:05:39) marriage and motherhood and she has so (00:05:41) much to share with you today that you (00:05:44) will be able to apply to your life as (00:05:46) you're listening as soon as you're done (00:05:49) and I want to remind you this is not (00:05:50) just for you please share this with (00:05:52) every single woman that you know because (00:05:54) what you are about to hear will change (00:05:56) your life and hers without further Ado (00:05:59) please please help me welcome Dr Haver (00:06:02) to the Mel Robbins podcast thanks for (00:06:04) having me thank you so excited to be (00:06:07) here and share all things menopause you (00:06:10) are so passionate about this topic and (00:06:12) you even get very emotional about it (00:06:14) when you think about it why are you so (00:06:16) passionate about this because in my own (00:06:19) journey of going through menopause and (00:06:23) realizing what a gap there was in my own (00:06:25) training and how I really wasn't the (00:06:28) best menopause provider for a long time (00:06:31) uh I have such a need to get out there (00:06:33) and teach and share because we are not (00:06:36) teaching our medical students and (00:06:38) residents in you know our nurse (00:06:40) practitioners much about menopause care (00:06:42) outside of the most cliche of symptoms (00:06:45) and how to manage them we're going to (00:06:46) live a third of our lives like this a (00:06:49) third of our lives like this a third of (00:06:52) your lives and you know after (00:06:54) reproductive options are taken off the (00:06:56) table it's almost like medicine leaves (00:06:58) us behind I want to be an 80-year-old (00:07:00) climbing that mountain kicking ass (00:07:02) having a career healthy and if I don't (00:07:06) Implement changes today I'm not going to (00:07:09) be able to reach that goal (00:07:11) so why is it that there is so little (00:07:15) information about hormone changes and (00:07:19) menopause and you go to your doctor and (00:07:23) it's sort of like oh well you're going (00:07:25) to deal with this for about 10 years and (00:07:27) then you know that's just the way that (00:07:29) it is what what is up with this so if (00:07:32) you go to PubMed which is basically (00:07:34) Google for healthcare professionals um (00:07:37) which is where it's like a repository of (00:07:38) medical studies and you put in the word (00:07:40) pregnancy you'll get about 1.1 million (00:07:43) articles all important great stuff right (00:07:45) it's important that we have healthy (00:07:47) pregnancies and we deliver children in a (00:07:49) healthy way and Etc when you put in the (00:07:51) word (00:07:52) menopause we get 94,000 articles we only (00:07:55) get 10% of the funding that means 10% of (00:07:57) the brain power 10% of the research (00:08:00) for the last third of our lives and you (00:08:03) know we do live a little bit longer than (00:08:05) men but we're going to spend 20% of that (00:08:08) in poor health in decline in disability (00:08:12) and this is avoidable I hear the word (00:08:14) menopause and I think out to pasture (00:08:16) right you're done and I thought that for (00:08:18) a long time too and then I'm Gen X you (00:08:22) know what to hell with that I'm I want (00:08:25) to live a good life I want to feel like (00:08:28) I can go to the gym I can play with (00:08:30) grand babies I can roll on the floor I (00:08:31) can climb a mountain I can run a company (00:08:33) I can do all these things and I'm not (00:08:34) I'm refusing to just accept the medical (00:08:38) definition of getting older for a woman (00:08:39) which is very different than a man so (00:08:41) when we're born we have about a million (00:08:43) plus or minus eggs so from birth until (00:08:46) you know we die we're slowly losing that (00:08:49) egg count and it starts accelerating as (00:08:50) we get older so by the time we're 30 (00:08:52) we're down to about 10% of our egg (00:08:54) supply well hold on a second by the time (00:08:57) you're 30 mhm you've already lost 90% of (00:09:01) the eggs that you were born with that's (00:09:03) correct I don't know why I never knew (00:09:06) that I I I kind of feel sort of dumb (00:09:10) that I've gone through 55 years of my (00:09:12) life and I did not know that we're down (00:09:16) to about 10% and at 40 3% 3% at 40% mhm (00:09:22) wow yeah and you lose your period (00:09:25) because you have no more eggs so there's (00:09:28) no more need to go through you can't (00:09:30) ovulate so yeah there's nothing but (00:09:34) doesn't it make sense now of course it (00:09:36) makes sense why it's harder to get (00:09:37) pregnant when you're older why you're (00:09:39) more likely to have a chromosomal (00:09:40) abnormality you know because the number (00:09:42) and quality of your eggs is declining (00:09:43) with age what happens for females is (00:09:47) that our endocrine system especially the (00:09:49) ovaries age at twice as fast a rate than (00:09:53) the rest of our body the endocrine (00:09:54) system is where our hormones are created (00:09:57) okay all of our estradi our progesterone (00:10:00) about at least half of our testosterone (00:10:02) is created in those ovaries every single (00:10:06) month every single day however when we (00:10:08) get to per menopause things start (00:10:10) changing and when we get to full (00:10:12) menopause we have no eggs left the (00:10:15) ovaries decline we're losing our ovaries (00:10:19) at the average age of 51 they stop (00:10:21) producing sex hormones and we basically (00:10:23) are forced to live the last third of our (00:10:25) lives without the benefit of estrogen (00:10:28) progesterone and about half of our (00:10:30) testosterone (00:10:32) I get this at a (00:10:36) level that I've never understood this (00:10:38) before because when you really just put (00:10:41) it in the context of you're born with a (00:10:43) million eggs and from the moment you (00:10:46) start your menstrual cycle and the (00:10:48) hormones are going up and down there is (00:10:50) a purpose associated with the design of (00:10:53) your body and once that stops everything (00:10:58) gets disrupted correct your body oh why (00:11:01) has nobody studied this what the hell (00:11:04) people are studying it um you know when (00:11:07) we look at OBGYN The Residency women yes (00:11:12) I'm OBG Women's Health super proud of (00:11:14) what I learned in my training right (00:11:16) pediatric gy you know Gynecology (00:11:19) Oncology surgery babies fertility all (00:11:22) this stuff minipa got shoved in this (00:11:25) tiny little box like she's going to have (00:11:27) a few hot flashes and maybe some vaginal (00:11:30) dryness her bones might get a little (00:11:32) weaker and and that's it we only want to (00:11:35) give her estrogen if she can't tolerate (00:11:38) anything else if nothing else is working (00:11:40) then fine give it to her but you know (00:11:42) you might kill (00:11:43) her (00:11:45) wow wow our bodies thrived on this (00:11:48) hormone right for 50 years 51 years on (00:11:52) average by this hormone you mean estr (00:11:53) estrogen and testosterone and (00:11:55) progesterone you know like we were we (00:11:57) were living Our Lives managing our (00:11:59) stress us managing our way doing all the (00:12:02) things and then all of a sudden you (00:12:03) can't put your finger on it but (00:12:05) something's changed that's exactly what (00:12:08) everybody says and whether this is (00:12:10) happening to you or you've heard your (00:12:12) sister or your mother or your partner (00:12:13) say this we start going I'm doing the (00:12:16) same stuff I've always done like my my (00:12:18) pants are not fitting I am grouchy (00:12:22) suddenly I feel like I have ADHD or (00:12:24) brain fog or dementia I don't feel like (00:12:28) myself in my body you are every single (00:12:30) patient who comes to my (00:12:31) office this exact same story what would (00:12:35) you as a gynecologist do when a woman (00:12:39) would come in as they did for years and (00:12:41) years and years before you became one of (00:12:42) the world's leading experts in this what (00:12:45) would you do as a doctor I'll tell you a (00:12:47) story from my training so we had (00:12:49) Gynecology clinic in residency and I was (00:12:51) an intern and so um we had you know OBS (00:12:54) divided into two sections and so in gy (00:12:57) clinic we had you know the surgical (00:12:59) cases coming in and so all the residents (00:13:01) would line up like six or seven of us (00:13:03) and the upper levels would run for the (00:13:05) surgery cases cuz they want to operate (00:13:07) right and US interns would be left with (00:13:10) whatever was left and they'd be like oh (00:13:13) you got a ww a ww a ww in room 12 good (00:13:17) luck with that and a (00:13:19) ww this wasn't written in the chart my (00:13:21) professors never said this this was kind (00:13:23) of lore handed down from upper level res (00:13:25) you can do it with a Texas accent cuz (00:13:26) that's where I trained so these guys in (00:13:28) cowboy boots walking up and down the hey (00:13:30) you got a ww in room 12 good luck with (00:13:32) that you know and it met whiny woman so (00:13:36) here was this woman coming in and this (00:13:39) was a public health hospital you know so (00:13:41) she's desperate she can't sleep she's (00:13:44) gaining weight she's not happy she's (00:13:46) having maybe headaches I mean just this (00:13:48) kind of laundry list of very vague (00:13:50) complaints but she was still having (00:13:52) periods yes maybe IR regular maybe (00:13:54) heavier maybe lighter maybe you know and (00:13:57) and just this and you were like h it's (00:13:59) just part of aging if she came in (00:14:01) complaining of libido I was a deer in (00:14:03) the headlights like I didn't know what (00:14:05) to tell her like we were taught nothing (00:14:07) about the female sexual response or (00:14:10) medications that might help or you know (00:14:12) go out and have some wine relax get a (00:14:14) new boyfriend you know all the other (00:14:16) complaints I would start sending her to (00:14:18) other Specialists like let's go see a (00:14:20) cardiologist for the palpitations and (00:14:21) the you know um neurologist for your (00:14:24) headaches and the you know and she'd (00:14:26) walk out of my office with six referrals (00:14:28) and I didn't know enough to say let's (00:14:30) try some hormone therapy and see if (00:14:33) these things get better I'll do some (00:14:35) blood work let's make sure it's not (00:14:36) autoimmune disease or hypothyroidism I (00:14:38) was doing that I just think back on that (00:14:40) and that we can do so much better we got (00:14:43) to do a better job training every single (00:14:45) Healthcare professional in all (00:14:47) Specialties about how special menopause (00:14:49) is and what the lack of estrogen is (00:14:51) doing to each and every organ system (00:14:53) each female has a unique expression of (00:14:56) our menopause so where you may have had (00:14:58) palpitations for frozen shoulder and dry (00:15:00) vagina I would have had hot flashes (00:15:02) night sweats and horrible (00:15:04) rage and you know doctors like a (00:15:07) checklist of symptoms it's how we're (00:15:09) trained recall you know but the you know (00:15:12) we're trained to look for ducks how does (00:15:14) it does it walk like a duck talk like a (00:15:15) duck it's a duck and everyone's Duck's a (00:15:17) little bit different you mentioned that (00:15:19) every organ in a female body yes every (00:15:23) organ system yeah every organ system has (00:15:26) receptors or has what for estrogen (00:15:29) that's where the research is really (00:15:30) exciting right now is that Duke (00:15:32) University did this elegant study (00:15:34) looking at frozen shoulder which is (00:15:36) adhesive capsulitis so common in women (00:15:39) especially in menopause and she a woman (00:15:41) finally a woman head of a orthopedic (00:15:43) surgery Department talked to the woman (00:15:46) head of an OB gen department at a big (00:15:48) university and they're like something (00:15:49) a't right and they did the studies and (00:15:51) they showed that women on hormone (00:15:53) therapy have a lower chance of frozen (00:15:55) shoulder they pulled all the data they (00:15:57) look and they're like why would that be (00:15:59) so then now they're going in and and (00:16:01) doing biopsies of all these joints and (00:16:02) saying there's tons of estrogen (00:16:04) receptors here and when we lose that (00:16:06) estrogen we're seeing Mass it's a it's (00:16:09) an anti-inflammatory hormone in the (00:16:11) bones and joints so we have arthralgia (00:16:13) joint pain capsulitis all of this stuff (00:16:16) tremendously flares and some of your (00:16:17) listeners were like oh my God right now (00:16:20) I had frozen shoulder so really really (00:16:22) common or hip pain or joint pain or you (00:16:24) can't roll over in the bed it's so (00:16:26) painful and you have no injury wait I (00:16:30) I'm sitting here (00:16:32) feeling one revelatory oh my God oh my (00:16:36) God oh my God like there are there are (00:16:38) times in bed where I am laying there and (00:16:43) I will go to roll over and it's as if I (00:16:46) have to pry myself over I'm so (00:16:49) stiff (00:16:51) wow that makes so much sense actually so (00:16:55) if the estrogen receptors are in your (00:17:00) organ (00:17:01) system that then presumes that it's (00:17:05) impacting liver function kidney (00:17:08) function everything lung function heart (00:17:11) function brain function genital urinary (00:17:13) function as we know bones osteoporosis (00:17:17) we've known forever that's a that's a (00:17:20) no-brainer wow and so I want you as (00:17:24) you're (00:17:26) listening to Dr Havert to just really (00:17:29) think about this for a (00:17:31) second that every single aspect of your (00:17:35) organ system from your brain to every (00:17:38) organ to your muscles all of it is used (00:17:41) to functioning with (00:17:43) estrogen it makes so much sense if you (00:17:46) take out one of the main ingredients to (00:17:49) the female body's Optimal (00:17:52) Health of course everything is going to (00:17:56) go Haywire mhm Dr Haver (00:17:59) I just am so grateful that you're here (00:18:01) and I want to take a quick moment we got (00:18:03) to hit the pause uh in (00:18:06) menopause and hear a word from our (00:18:08) amazing sponsors and please take a (00:18:10) listen to our sponsors because they are (00:18:12) allowing me to bring you Dr Haver at (00:18:15) zero cost so take a listen but don't you (00:18:17) dare go anywhere let me tell you why Dr (00:18:19) Haver and I are going to be waiting for (00:18:21) you after this short break stay with us (00:18:24) welcome back it's your friend Mel (00:18:26) Robbins and I am here with the (00:18:28) remarkable Dr Claire Haver her new book (00:18:31) is the new menopause and she is an (00:18:34) expert in women's hormones health so (00:18:37) you've now got this estrogen deficiency (00:18:40) well it low not zero menopause is zero (00:18:42) but still but I'm saying so so I want (00:18:45) you to pay attention to what Dr Haver is (00:18:47) about to explain to you because your (00:18:50) body has been experiencing mild symptoms (00:18:54) of this for your entire life you just (00:18:58) probably thought (00:19:00) it was whatever but this is the symptoms (00:19:04) of a drop of estrogen how is estrogen (00:19:08) helping your body and your organ system (00:19:12) run in the most optimal way efficient (00:19:15) manner okay so the first you know half (00:19:18) of our cycle so you have a period you (00:19:21) know the first day you bleed is day one (00:19:23) of your cycle so you're kind of that's (00:19:25) you're shedding and starting over so in (00:19:26) those first 14 days we call that the fic (00:19:29) phase so that's when our follicles which (00:19:31) are the little sacks that our eggs sit (00:19:33) in start saying okay one of us is going (00:19:35) to win so 100 200 of them are like it's (00:19:38) a race the hormones are starting to okay (00:19:41) you know the brain's like our estrogen's (00:19:43) low let's go let's go estrogen starts to (00:19:46) rise and then that lining starts to (00:19:48) thicken up again getting ready for a (00:19:49) potential baby then we hit about day (00:19:53) 14ish depending on the cycle and then (00:19:56) the estrogen level is at its highest (00:19:58) okay the brain is like okay we need to (00:20:00) ovulate the LH surges and that's that's (00:20:04) the thing that makes the egg pop and (00:20:06) that one one or two eggs come out and (00:20:08) then when the egg pops the popping also (00:20:12) creates a little surge of estrogen just (00:20:15) a little bit more okay and then (00:20:16) progesterone starts being produced where (00:20:19) that egg came out from okay that's a (00:20:21) really efficient Factory for creating (00:20:22) progesterone then that progesterone (00:20:24) starts rising in that second half you're (00:20:27) very slight but it's there kind of (00:20:29) mimicking what's to come when we totally (00:20:30) lose our estrogen and so in the second (00:20:33) half of this month and this cycle as the (00:20:36) estrogen starts decline what happens in (00:20:39) your body so we have a some women suffer (00:20:42) horribly from it but we have (00:20:44) premenstrual dysphoric disorder pmdd (00:20:48) bloating swelling now we think the (00:20:50) bloating and swelling is from the really (00:20:52) high progesterone levels that drop of (00:20:54) estrogen our mental health changes how (00:20:56) does it change our mental health when (00:20:57) you have a decline in estrogen so (00:21:00) there's a lot of research going on right (00:21:02) now but we know that tons of estrogen (00:21:04) receptors in the brain and our serotonin (00:21:07) is affected how does estrogen and (00:21:10) serotonin play so it looks like when (00:21:13) your estrogen levels are optimal you (00:21:15) know at a nice healthy level we have (00:21:18) really efficient serotonin and (00:21:21) norepinephrine so those are two key (00:21:23) hormones that we see in depression right (00:21:25) they're low in dep in women who are (00:21:26) depressed and so for women sensitive to (00:21:30) it that we're seeing the PMS the pmdd (00:21:34) you know those women tend to do okay on (00:21:36) a SSRI for a short term they only take (00:21:38) it two weeks out of the month or some of (00:21:39) them like to take it every month but it (00:21:41) really is from that estrogen decline we (00:21:44) see menstrual migraine headaches some (00:21:46) women with a declining estrogen the (00:21:48) blood vessels will slightly um squeeze (00:21:51) in in certain areas of the brain which (00:21:52) will trigger a migraine headache and so (00:21:55) wait a minute so migraine headaches (00:21:57) there's menstrual migraines and you also (00:22:01) can feel a slump in terms of depressive (00:22:04) symptoms or anxious symptoms because of (00:22:08) the decrease in estrogen that's what we (00:22:10) think and I would imagine brain fog ADHD (00:22:13) all of these other neurod Divergent kind (00:22:16) of issues that people might have also (00:22:19) then see an impact from the decline in (00:22:21) estrogen there's a definite pickup (00:22:24) worsening with people with known ADHD (00:22:26) through the menopause transition per (00:22:28) menopause into to menopause and we don't (00:22:31) really know if it's a new diagnosis of (00:22:34) ADHD or she was kind of making (00:22:37) it until per menopause and then because (00:22:39) it's a spectrum yeah and then all of a (00:22:42) sudden her resilience against this has (00:22:44) stopped because she's lost her estrogen (00:22:46) her Regester testosterone you know (00:22:48) however that fits in for her and all of (00:22:50) a sudden she's now so symptomatic and at (00:22:52) the time in her life that she needs (00:22:54) those facilities to be functioning at (00:22:56) all levels you know career women are (00:22:58) having leave their jobs we're seeing you (00:23:00) know massive economic impact from this (00:23:02) in the workforce and you know what I (00:23:04) love about the fact that people are (00:23:06) researching this is that knowing that (00:23:08) it's a neurode Divergent condition and (00:23:10) that there are estrogen receptors in the (00:23:12) brain whether you're talking about the (00:23:14) second half of the monthly cycle or (00:23:18) you're talking about the period in your (00:23:20) life where estrogen declines that of (00:23:22) course you're executive functioning (00:23:24) tanks yes of course it makes sense and (00:23:27) now the system's going haywire and (00:23:29) claimed it's not got the Firepower to (00:23:31) help you focus on the thing that you (00:23:33) need to do right now wow that makes so (00:23:36) much sense I didn't understand the fact (00:23:39) that when estrogen declines at all of (00:23:41) the symptoms that I was feeling that (00:23:43) that has to do with hormone fluctuation (00:23:45) what's interesting is if you were to (00:23:46) start tracking your cycle which (00:23:49) everybody should do MH you would (00:23:51) probably over the course of several (00:23:53) months start to notice a correlation if (00:23:57) not a direct connection between that (00:24:00) halfway marker of the month and when you (00:24:03) start to feel a little foggier when you (00:24:06) start to feel more irritable when you (00:24:08) start to feel more bloated you might (00:24:09) notice more headaches you might notice (00:24:12) which then allows you to be more (00:24:13) compassionate with yourself because I (00:24:16) think knowing this it will probably put (00:24:19) symptoms in the context of how estrogen (00:24:24) helps you feel (00:24:26) better and what it feels like when your (00:24:29) health is more optimal versus these (00:24:32) symptoms that come up (00:24:34) because when you feel the symptoms you (00:24:37) think something's very wrong with me so (00:24:39) estrogen's an anti-inflammatory hormone (00:24:42) when you doctors say (00:24:44) anti-inflammatory I really don't know (00:24:46) what you mean and it seems like (00:24:48) everything is inflammatory these days (00:24:50) and so you have such a freaking (00:24:53) unbelievably cool way of explaining (00:24:55) things how do you how would you describe (00:24:58) anti-in inflammatory inflammatory sure (00:25:01) so it's easiest to think about it in (00:25:03) terms of acute and chronic inflammation (00:25:05) okay acute inflammation everybody knows (00:25:07) you got a virus you twisted your ankle (00:25:10) you stepped on a nail you you know it's (00:25:12) I don't know what that means body's (00:25:14) response okay to an acute injury so what (00:25:17) happens you you breach some barrier in (00:25:21) your body a virus breaches it you know a (00:25:23) nail you twist your ankle you have some (00:25:25) Orthopedic injury you break a bone okay (00:25:28) immediately your immune system goes on (00:25:31) alert okay make this stop we need to fix (00:25:33) it so it rushes blood flow so things get (00:25:36) red and swollen it pumps fluid in the (00:25:39) area to try to wall off whatever this (00:25:42) Invader is your white blood cells which (00:25:45) are in in infection Fighters and and (00:25:47) inflammation those are all in (00:25:49) pro-inflammatory cells in our body (00:25:53) inflammation a code word in medicine for (00:25:56) your body is in an alarm state trying to (00:25:59) address something yes okay I think I got (00:26:01) it and it's all the little biological (00:26:03) processes that make that happen so (00:26:05) that's acute inflammation right we need (00:26:08) that to stay alive bre boom get to (00:26:10) workl but then you're healed okay (00:26:13) chronic inflammation is when that system (00:26:15) gets turned on a little (00:26:17) bit you don't it's kind of something not (00:26:20) right but it won't shut off so we're so (00:26:25) you have this chronic state of of things (00:26:27) being chewed up and and laid down and (00:26:30) and you know an estrogen kind of calms (00:26:32) that process down I think I just got (00:26:35) this let me see if I can explain this (00:26:36) back to you so chronic inflammation (00:26:40) which you said is a sort of like (00:26:42) something's little off is that feeling (00:26:44) where you're just like something's not (00:26:46) right in my body like I just don't feel (00:26:49) comfortable in my body but I don't know (00:26:52) what it is and it can affect a joint (00:26:54) your whole body your gut your head your (00:26:56) whatever you know autoimmune disease is (00:26:59) basically non-stop chronic and acute (00:27:01) inflammation so and and it can calm down (00:27:04) a little bit but what that inflammatory (00:27:06) process does is chips away at our organ (00:27:09) systems well what I'm also wondering is (00:27:13) if the female body and intelligent (00:27:16) design of the month is designed based on (00:27:20) cycles of estrogen in particular and (00:27:24) estrogen gets removed either because of (00:27:28) menopause or PCOS or changes or surgery (00:27:31) or whatever that something to your (00:27:35) body's natural process every month of (00:27:38) shutting down that inflammation and now (00:27:40) your whole body's like something's wrong (00:27:43) right we need some estrogen down there (00:27:44) and the body doesn't respond can't do it (00:27:46) again they're done it's like your whole (00:27:49) body's like whoa broken bone something's (00:27:50) wrong what are we doing and it races (00:27:52) everywhere so in the joints we see (00:27:56) arthralgias just this that arthralgia is (00:27:58) pain in the joint that sounds like an (00:28:00) ugly version of arthritis arthis it (00:28:02) sounds like something that you would get (00:28:04) in one of these fantasy novel you know (00:28:05) the arthis comes over the hill so in the (00:28:08) heart let's talk about the heart okay (00:28:10) when we get to this like (00:28:11) hyperinflammatory State we see (00:28:13) palpitations that Sino atrial node so (00:28:14) there's a little node there's a little (00:28:16) little part of the heart where it sends (00:28:18) out a signal to control our heartbeat (00:28:20) it's called the SA node sinoatrial node (00:28:22) that thing is super responsive to (00:28:24) estrogen and likes estrogen and likes it (00:28:26) keeps it calm and like beaing in a night (00:28:28) thing you take estrogen away all of a (00:28:30) sudden some women will start having (00:28:31) palpitations out of nowhere wow and they (00:28:35) go to the cardiologist they get their (00:28:36) million dooll workup and they're like H (00:28:39) don't know what's going on and we're not (00:28:41) training the cardiologist to say this (00:28:43) might be part part of her menopausal (00:28:45) picture and you want to know something (00:28:46) else that I'm just like actually as my (00:28:49) brain is churning and all this is (00:28:51) starting to go click click click is that (00:28:54) if there's not comprehensive training (00:28:58) and if there's not (00:28:59) advocacy (00:29:01) for what these symptoms are then there's (00:29:05) also no health insurance code to cover (00:29:10) the cost of a lot of the diagnostic (00:29:12) stuff that actually points to what is (00:29:14) causing this Medicare does not pay for a (00:29:16) menopause (00:29:18) visit that's insane (00:29:22) right what yeah your wellwoman exam that (00:29:26) is devolved into screening for breast (00:29:28) and cervical cancer that's it you know (00:29:31) that 15 minutes with your legs and stups (00:29:33) is not the time to like do a (00:29:34) comprehensive menopause visit so you (00:29:36) need to schedule another visit you know (00:29:39) go in with you're armed with questions (00:29:41) go in with your family history and all (00:29:43) sounds like don't call it a menopause (00:29:45) visit say I'm having lots of symptoms (00:29:47) but don't call so it gets covered (00:29:49) exactly wow wow okay so the heart the (00:29:53) lungs how does estrogen impact (00:29:56) inflammatory disease we an increase in (00:29:59) asthma and actually asthma that doesn't (00:30:01) respond as well to the typical um (00:30:05) bronchodilators well that makes sense (00:30:07) because it's like an internal system (00:30:09) functioning thing where the oil and the (00:30:11) gas is no longer in the engine y wow (00:30:14) what about like your digestive tract how (00:30:16) so the the gut you know the gut health (00:30:18) changes dramatically and when the gut (00:30:20) health changes and the gut microbiome (00:30:21) changes how we kind of reprocess our (00:30:24) estrogen changes a bit as well the kind (00:30:27) of the metabolism part of it and so you (00:30:30) know lots of research going on in that (00:30:31) area right now our bones we've known (00:30:34) forever osteoporosis now what your (00:30:37) listeners may not realize is that (00:30:39) osteoporosis is completely preventable (00:30:42) for most (00:30:43) women and they don't know how we're not (00:30:45) diagnosing osteoporosis usually until (00:30:48) you have a (00:30:49) fracture and 50% of women before they (00:30:52) die will have an osteoporotic fracture (00:30:55) so just for somebody who's listening (00:30:57) that doesn't know what that word means M (00:31:00) could you is that like fragile bones (00:31:02) bones density what does that mean bone (00:31:04) so our bones density maxes out the dent (00:31:08) like how thick and strong our bones are (00:31:10) the thicker the stronger the more (00:31:11) resilient to fracture they are okay in (00:31:14) general when and we're constantly (00:31:16) remodeling our bones which is why when (00:31:18) we and I'll say I'll explain that in a (00:31:19) minute which is why when we break them (00:31:21) they fix themselves if you line them up (00:31:23) interesting so we are constantly chewing (00:31:26) up bone like Pac-Man and then pooping (00:31:28) out new bone behind it you know really (00:31:30) yes and so we're always the bones you (00:31:33) were born with were not the bones you (00:31:34) had at 10 or not the bones you have at (00:31:36) 20 we have totally chewed up and laid (00:31:39) down all new bone what happens in (00:31:41) menopause or in women with chronic (00:31:44) suppression of ovulation chronic low you (00:31:46) know postpartum multiple babies we start (00:31:50) chewing up more bone faster than we can (00:31:52) lay it down and that accelerates in (00:31:55) menopause so we end up with this porous (00:31:56) bone with holes in it basically that is (00:31:59) a lot easier to fracture now if you (00:32:01) fracture your hip so if you're 65 plus (00:32:04) and that is 10 years away from us and we (00:32:06) fall climbing up a ladder chasing a (00:32:08) grandbaby hopefully maybe one day no (00:32:10) pressure to my children um and we trip (00:32:13) we and we we take out a hip even with (00:32:16) surgical repair we have a 29% chance of (00:32:18) death in that first year and if we I (00:32:22) need everybody to hear that this is (00:32:24) really serious she's basically saying (00:32:27) bone Den (00:32:29) starts to decrease based on the decrease (00:32:33) in estrogen and aging and aging and that (00:32:36) makes you more fragile and prone to (00:32:39) having a broken bone and she is also (00:32:42) saying this is preventable for most (00:32:44) women for most women but if you fall and (00:32:48) break a hip at the age of (00:32:50) 65 29% of you will die in the first year (00:32:54) in the first year with surgery without (00:32:55) surgery it's like (00:32:57) 79% so they're all getting (00:33:00) surgery yeah wow and so say you survive (00:33:04) the rest of your life is marked with (00:33:06) chronic (00:33:07) disability not being able to take care (00:33:09) of yourself which is you know my (00:33:10) patients don't come in saying I want to (00:33:12) rock a bikini they're looking at their (00:33:14) mothers they're looking at their aunts (00:33:16) and they're like get me off of this path (00:33:18) I don't want this yes or they're looking (00:33:20) at a really healthy mom who's running (00:33:23) around and doing is not for real not (00:33:24) decrepit taking care of herself you know (00:33:26) and they're like make sure I stay on (00:33:28) this (00:33:29) path and that's that's where the work (00:33:31) begins wow all right we've covered bones (00:33:35) mhm what else genital urinary syndrome (00:33:38) of menopause okay what is that so that (00:33:40) is a big mouthful it used to be called (00:33:42) scile (00:33:43) vagina that was a medical term cile (00:33:47) vagina cile vagina was a medical term (00:33:50) yeah it sounds like a GU a bunch of guys (00:33:52) got around got really wasted welcome to (00:33:55) Western medicine wow in the 1950s then (00:33:58) they changed it because it was so (00:33:59) offensive to at trophic vaginitis again (00:34:01) doesn't sound much better no so our (00:34:05) genital urinary system the bladder the (00:34:07) vagina the vulva that whole space from (00:34:10) your pubic bone to your to the end of (00:34:11) your tailbone just all of that area is (00:34:14) highly sensitive and highly estrogenized (00:34:17) and when that estrogen level drops we (00:34:20) lose elasticity we lose so (00:34:22) stretchability of the vagina which might (00:34:25) be helpful on occasion is that why sex (00:34:27) is painful sometimes for most women they (00:34:29) have atro atrophic area so they've lost (00:34:32) their elasticity they can't make mucus (00:34:34) anymore the tissue is thin if you look (00:34:36) at a biopsy a premenopausal vagina it's (00:34:38) this thick velvety elastic beautiful (00:34:41) like bring it baby yes and then this (00:34:43) postmenopausal woman who's never been (00:34:45) treated it looks like the Sahara Desert (00:34:47) you know you've lost layers and layers (00:34:48) and layers of tissue it's very dry it's (00:34:50) very small and she's just gritting her (00:34:52) teeth through through sex and hor (00:34:56) uncomfortable I'm a hi (00:34:59) and so I've got to use H even with you (00:35:01) know systemic estrogen if I don't make (00:35:04) sure that area is is well moisturized (00:35:06) right things might and also the (00:35:08) architecture changes a little bit so (00:35:10) things are hanging at different levels (00:35:12) and so I love to hike and so I'm going (00:35:15) to have some chafing and things that I (00:35:17) never had before I need to make sure I'm (00:35:18) getting lubrication in that area so I (00:35:21) can hike comfortably besides everything (00:35:22) else I want to do in that area and (00:35:25) this is preventable pre preventable yeah (00:35:29) now let's talk about how it can kill you (00:35:31) recurrent (00:35:32) UTI the bladder health the urethra (00:35:36) Health besides incontinence the number (00:35:39) one treatment for recurrent UTI in a (00:35:41) post-menopausal woman the most effective (00:35:43) treatment is vaginal estrogen not (00:35:46) chronic (00:35:47) antibiotics I'm going to save someone's (00:35:49) life by this podcast because I'm going (00:35:51) to keep someone from dying from Euros (00:35:53) sepsis because she got vaginal estrogen (00:35:56) after listening to this podcast (00:35:59) this is amazing yeah and it and here's (00:36:02) what I love about it it makes so much (00:36:04) sense I love how you have explained this (00:36:07) to us and I also love the fact that (00:36:11) because you've explained it this way and (00:36:13) because we've put it in the context of (00:36:16) the month and we've put it in the (00:36:18) context of your intelligent design and (00:36:21) the way that you've always been running (00:36:23) or and you know we've all had periods (00:36:24) where it hasn't been running optimally (00:36:26) that you can also take the information (00:36:29) that you're learning right now where (00:36:30) we're focused on menopause but you can (00:36:32) also go oh I can take this information I (00:36:34) can share it with my sister my (00:36:36) girlfriend my roommates so that they (00:36:39) understand that the second half of their (00:36:41) cycle you're starting to experience baby (00:36:43) symptoms or maybe they bigger symptoms (00:36:46) but that this is all the same might be a (00:36:48) precursor to what the bigger picture is (00:36:50) kinding yes I am going to send this (00:36:53) episode to every single woman I know I (00:36:55) am sending this to my daughters so as we (00:36:57) take a quick pause hear a word from our (00:36:59) sponsors take a moment and share this to (00:37:01) people because I want this information (00:37:03) out to absolutely everyone because every (00:37:06) single woman on the planet every girl (00:37:08) needs to understand what is going on in (00:37:11) her body and the role that estrogen (00:37:14) plays in her overall health you never (00:37:16) know you could truly not only improve (00:37:18) somebody's life you might actually save (00:37:20) somebody's life so we're going to be (00:37:21) waiting for you after a short break (00:37:23) we're going deeper into the solutions (00:37:25) including the three things that Dr Haver (00:37:28) says all of you need to be adding into (00:37:31) your diet right now stay with us welcome (00:37:34) back it's your friend M I am here with (00:37:36) the remarkable Dr Haver thank you for (00:37:38) sharing this with everybody I know it's (00:37:40) making a huge difference to have this (00:37:42) information now let's talk about what (00:37:44) per menopause is and when it begins sure (00:37:47) so I like to start in the middle because (00:37:48) there's a lot of misconception around (00:37:50) terminology so medically and I think (00:37:53) this is a problem menopause is defined (00:37:56) as one day in your life (00:37:58) one year after your last menstrual cycle (00:38:01) yes okay most women know that everything (00:38:05) after that is (00:38:06) postmenopause so what's perimenopause so (00:38:09) perimenopause the best I can Define it (00:38:11) is remember we're losing o ovarian (00:38:13) function our whole lives from the day (00:38:15) we're born however there's a point in (00:38:17) time when your body notices so you said (00:38:21) that we have only 10% of our eggs left (00:38:25) by 30 so is that when it starts so it (00:38:28) depends on your body it's when your body (00:38:30) is like something's not right it could (00:38:32) be mental challenges it could be gut (00:38:34) challenges it could be inflammation in (00:38:36) your joints it could be irregular (00:38:37) periods heavy periods light period No (00:38:39) period you know it's really variable how (00:38:41) it presents but something has changed (00:38:43) nothing in your world has changed (00:38:45) something inside of you has changed okay (00:38:47) and so per menopause is often defined by (00:38:50) irregular periods like in the medical (00:38:52) journals but it's a lot more than that (00:38:55) it's 7 to 10 years before your period (00:38:59) stops so 35 to 45 per menopause is going (00:39:03) to begin you're going to start noticing (00:39:04) something's not right it could be the (00:39:06) cliche symptoms of hot flashes you know (00:39:08) why hot flashes Define menopause no (00:39:10) because you can't blame it on anything (00:39:11) else oh that's true unless it's (00:39:13) tuberculosis like nothing else causes a (00:39:15) hot flash pretty much unless you have a (00:39:17) fever than menopause so that's why it's (00:39:20) the heart you know the bell ringer of (00:39:23) menopause but what other symptoms might (00:39:26) you be experiencing (00:39:28) you know arthralgias frozen shoulder (00:39:31) joint pain gut dis you know constipation (00:39:35) diarrhea you know you name the organ (00:39:37) system in asthma flares new asthma new (00:39:40) autoimmune disease dry skin dry eyes dry (00:39:43) vagina dry mouth it goes on and on and (00:39:45) on so it would seem based on the science (00:39:49) here that anytime a woman goes to the (00:39:52) doctor and has any kind of complaint (00:39:55) like that in terms of the symptom that (00:39:58) one of the standard procedures should be (00:40:00) test your freaking hormones so that's (00:40:02) another problem the brain is pumping (00:40:04) hormones as hard as it can right and so (00:40:07) in that per menopause I call it the zone (00:40:09) of chaos yes you're squeaking an egg out (00:40:11) now and then but you're having massive (00:40:13) surges of that we'll see estrogen levels (00:40:15) like you were pregnant with triplets you (00:40:17) know three 400 they're temporary because (00:40:19) you're you had to work so hard to get (00:40:21) that egg out you know and then then it (00:40:23) just plummets down to nothing is this (00:40:26) why our emotions are all over the place (00:40:28) during the month that's what we (00:40:30) think that makes perfect (00:40:32) sense because if your system is in chaos (00:40:37) regardless of your age by the way right (00:40:39) but if your system is in chaos because (00:40:41) it's having to work so hard to just do (00:40:43) the thing TR do the basic biologic (00:40:45) function no wonder you start to feel all (00:40:49) sorts of things go Haywire MH and so do (00:40:52) the same things that you would recommend (00:40:55) for a woman who is officially in (00:40:58) menopause are those the same things that (00:40:59) you should be doing if it's per (00:41:02) menopause or it is the estrogen (00:41:04) deficient symptoms that you experience (00:41:06) in the second half of the month so this (00:41:08) is where the art and the science come in (00:41:09) and menopause because some women will do (00:41:13) well with just some progesterone support (00:41:15) some women will need estrogen and (00:41:17) progesterone support we don't have a lot (00:41:19) of great studies on the best way to (00:41:21) support a women's hormones in per (00:41:22) menopause so it's a little bit of the (00:41:24) Wild West we also we're not teaching our (00:41:26) residents IAL students traines how to (00:41:29) recognize it how to diagnose it you (00:41:31) really I don't need blood test to (00:41:32) diagnose per menopause I just listen to (00:41:34) the patient and believe her I'm sitting (00:41:37) here reacting to everything that you're (00:41:38) saying because I'm thinking I don't even (00:41:39) really remember anybody talking about (00:41:42) per menopause as anything other than (00:41:44) your period might get irregular but none (00:41:47) of these other symptoms I mean this is (00:41:50) very Illuminating and I feel kind of bad (00:41:53) that I didn't know that because I had no (00:41:56) clue what was happening right I would (00:41:58) love to now focus on menopause and are (00:42:02) you still in a monthly cycle like what (00:42:04) is happening when you're in menopause so (00:42:06) once those ovaries fail and I know that (00:42:08) term is harsh but you know once the (00:42:10) ovarian once the eggs are gone no more (00:42:13) periods you will any vaginal bleeding (00:42:15) after menopause needs to be evaluated by (00:42:17) a gynecologist there might be something (00:42:19) wrong okay you should never have another (00:42:22) period again so your periods stop or (00:42:25) they first they become shorter longer (00:42:28) it's really it could be anything but (00:42:30) eventually they just kind of stop some (00:42:32) women will wake up and never have (00:42:33) another period others will have this (00:42:36) kind of skipping months and months (00:42:38) between until they finally end mine was (00:42:40) like Chucky just kind of kept popping up (00:42:43) you you know like Oh I thought you were (00:42:45) gone yeah and here you are again yes so (00:42:48) once you've gone a year then most (00:42:50) scientists agree that you're done okay (00:42:53) if you're over the age of 45 and you (00:42:54) hadn't had a period for a year you are a (00:42:56) postmenopausal woman that's the clinical (00:42:58) definition and what is the technical (00:43:00) definition of when you've moved from per (00:43:02) menopause to menopause so Peri to (00:43:05) menopause is that one day we're like yep (00:43:07) it it signifies your ovarian failure you (00:43:09) will never have another egg that's able (00:43:11) to be fertilized again okay the end (00:43:13) there's no more left okay so and then (00:43:16) for the rest of your life you're (00:43:17) postmenopausal now some of the symptoms (00:43:19) you experience get better it might take (00:43:22) several years like the hot flashes do (00:43:24) tend to go away the Sleep disruptions if (00:43:27) they're related to hot flashes and night (00:43:28) sweats do tend to get better might take (00:43:31) 7 to 10 years 7 to 10 years I said go (00:43:34) away like I'm thinking like might take (00:43:36) shorter but I I want to give people a (00:43:38) very clear picture and so a lot of women (00:43:40) are like well I went through my (00:43:41) menopause like I'm done with that and (00:43:43) I'm like your bones are still (00:43:44) deteriorating your risk of (00:43:45) cardiovascular disease is still (00:43:47) increased like those your genital (00:43:49) urinary system without support is (00:43:52) failing and you know these are the (00:43:55) things that don't go away in your (00:43:56) postmenopause (00:43:58) I just realized I'm talking about it (00:44:00) wrong because I always say I'm in (00:44:02) menopause I'm going through menopause (00:44:05) I've hit menopause and you're saying (00:44:08) once you actually get to that date where (00:44:10) you've had not you've haven't had a (00:44:12) period for a year it ain't coming back (00:44:14) that's menopause but technically now I'm (00:44:17) in postmenopause Forever wow so when you (00:44:22) are postmenopausal do you have any (00:44:24) estrogen at all so there are four estrog (00:44:27) that our body can make the number one (00:44:30) heavy hitter most biologically active (00:44:32) does the bulk of the work is estradiol (00:44:34) and that's what's mostly created in our (00:44:36) ovaries okay testosterone can be (00:44:40) peripherally converted at a very small (00:44:42) rate to some estrad or estrone so (00:44:44) estrone is what's created in our fat (00:44:46) cells so the heavier the more (00:44:48) subcutaneous fat you are the higher your (00:44:50) estrone level is which is why heavier (00:44:53) women are more likely to have an amral (00:44:55) cancer and other estrogen related (00:44:56) cancers is this also why one of the (00:44:59) symptoms when estrogen starts to decline (00:45:01) is that your arms get flabby and you (00:45:03) start to gain weight around your stomach (00:45:05) because your body once it's signaling (00:45:07) there's not enough estrogen being (00:45:09) created in your ovaries your body starts (00:45:11) to try to create and hold on to it in (00:45:13) your fat so there are theories around (00:45:15) that the anthropologists are are (00:45:17) scratching their heads because there's (00:45:18) only five mammals that go through (00:45:21) menopod and four of them live underwat (00:45:23) beluga whales and a few one of the (00:45:25) killer whales yeah really so yeah other (00:45:28) mammals on land really that we can (00:45:29) figure out maybe one giraffe they're (00:45:31) looking at one particular giraffe go we (00:45:33) like really unique in that we have a (00:45:34) menopause and we think because we've (00:45:37) just artificially extended our life past (00:45:39) our Evolution with Modern Health and (00:45:42) sanitation and all the things that Keep (00:45:44) Us (00:45:45) Alive that's wild we weren't designed to (00:45:47) live this long so we have estradiol (00:45:50) that's gone okay the ovaries can't make (00:45:52) that anymore maybe a tiny bit but really (00:45:53) not clinically significant estrone (00:45:56) really weak estrogen okay (00:45:58) estol which is created in our placentas (00:46:01) when we're pregnant but pharmacologists (00:46:03) have been able to recreate it and it's (00:46:04) used in like one or two formulations of (00:46:06) hormone therapy it's not one of my (00:46:08) favorites and then there's this other (00:46:09) one called esterol very fancy that the (00:46:13) fetuses that when we're in the womb (00:46:14) that's another one that we make with (00:46:16) fetal cells and that one has also been (00:46:18) synthesized and is used in a couple of (00:46:20) one hormone replacement therapy I'm (00:46:22) that's not one of my favorites no but I (00:46:23) mean in your body so your estrogen level (00:46:25) is not zero but your estret but it's (00:46:27) less than 1% of it was when you were 25 (00:46:30) so let me give it to you that way got it (00:46:32) less than 1% yeah of what it was when (00:46:35) you were (00:46:36) 25 holy (00:46:38) smokes and your body needs it it will (00:46:42) function better with it and you will not (00:46:44) die without it you'll just die faster (00:46:46) and less healthy and miserable MH wow (00:46:50) I'm trying to digest this stat I want to (00:46:52) make sure you didn't miss this when you (00:46:54) think about the estrogen levels that you (00:46:56) have at the age of 25 you only have 1% (00:46:59) of that MH when a vestral yeah you are (00:47:02) postmenopausal and the only sources for (00:47:05) your body to create it are ovaries or a (00:47:08) little bit in the periphery you know in (00:47:10) other cells you know it that's (00:47:13) it (00:47:15) wow and our march to death (00:47:19) begins not anymore Dr ha because you are (00:47:22) here to make sure that does not happen (00:47:24) because we are capable of doing simple (00:47:27) things to optimize our health and live a (00:47:30) long and happy juicy Amazing Life (00:47:33) vibrant as a medical doctor as a woman (00:47:36) who is going through this right now what (00:47:39) do we do now that we know what do we do (00:47:42) great question so when I'm have patients (00:47:45) come to me in clinic and we talk about (00:47:47) menopause care I do it in the form of a (00:47:49) toolkit okay we start with nutrition we (00:47:52) talk about movement and exercise we talk (00:47:54) about stress reduction sleep (00:47:56) optimization then then we talk about (00:47:58) pharmacologic options like hormone (00:48:00) therapy or or if she's not a candidate (00:48:02) then other options for her based on her (00:48:04) symptoms we also talk about supplements (00:48:06) that might be helpful so let's take (00:48:08) these one at a time who is not a (00:48:11) candidate for hormone replacement (00:48:14) therapy very few people actually there's (00:48:16) a lot of misunderstanding and (00:48:18) misconception around who can and can't (00:48:20) take hormone therapy absolute (00:48:22) contraindications undiagnosed vaginal (00:48:24) bleeding you need to go see your (00:48:26) gynecologist you might need an (00:48:28) ultrasound or biopsy like if you're (00:48:29) having undiagnosed we don't know why (00:48:31) you're not bleeding normally please go (00:48:33) get that evaluated before we start (00:48:35) hormone therapy because it might be a (00:48:37) tumor that is estrogen Fed so we need to (00:48:40) work on that um active breast cancer (00:48:42) shouldn't be on estrogen therapy active (00:48:44) blood clot active stroke you know once (00:48:47) those six-month markers and and the (00:48:49) workout for those things have happened (00:48:51) it's a possibility okay it's a nuanced (00:48:54) conversation but not an absolute (00:48:55) contraindication neither is bre cancer (00:48:58) wow there are certain breast cancers (00:49:00) that after (00:49:02) treatment you know could be a could be a (00:49:05) candidate now again nuanced conversation (00:49:08) risks and benefits coming back and forth (00:49:11) a family history of breast cancer not a (00:49:12) contraindication a family history of a (00:49:14) blood clot or a history that you have of (00:49:16) MTHFR or some of the blood clotting (00:49:19) high-risk blood clots as long as you (00:49:21) avoid oral estrogen we're not going to (00:49:23) increase your clotting risk you're (00:49:25) saying that (00:49:28) even if you have a history of breast (00:49:31) cancer that does not 100% preclude you (00:49:35) from having the option gotcha there are (00:49:37) ways for you with the counsel of your (00:49:41) physician right to explore hormone (00:49:44) replacement therapy even if you have so (00:49:48) the thing that a woman with breast (00:49:50) cancer is most likely to die from yes is (00:49:53) cardiovascular (00:49:55) disease not breast cancer she's 90% (00:49:57) survival cure (00:49:59) rate and when we go through menopause we (00:50:02) see a dramatic uptick in our risk of (00:50:05) cardiovascular disease actually women on (00:50:07) hormone therapy if given it that really (00:50:10) that we have a w juicy window of (00:50:12) opportunity the first 10 years of your (00:50:14) menopause estrogen is protective and (00:50:17) women on HRT between 50 and 59 is or (00:50:20) within those first 10 years have a lower (00:50:23) alcohol's mortality a lower (00:50:25) cardiovascular disease death death rate (00:50:27) and a lower cardiovascular disease at (00:50:30) all like death from cardiovascular or or (00:50:32) a new a heart attack wow and let me tell (00:50:36) you something else blow your (00:50:38) mind so primary prevention strategies (00:50:41) for cardiovascular disease so women are (00:50:42) given statins all the time for high (00:50:44) cholesterol has never been shown to (00:50:46) decrease her risk of cardiovascular (00:50:47) death yes in a man but not in a woman (00:50:51) ACE inhibitors a blood pressure (00:50:52) medication is often recommended as (00:50:54) primary prevention never been shown to (00:50:56) be helpful in a woman woman only in men (00:50:59) aspirin baby aspirin never been shown to (00:51:02) be primary preventative for a heart (00:51:04) attack only in men yet we're (00:51:05) recommending this stuff to women all the (00:51:07) time and we've taken from many women the (00:51:08) conversation or the option of hormone (00:51:10) therapy is off the table when that is (00:51:13) the one thing that is going to decrease (00:51:15) her risk besides lifestyle of course wow (00:51:18) yeah that's when I get mad I can tell (00:51:21) what are we doing I'm glad you're doing (00:51:23) something and I'm glad that you're here (00:51:25) because when you say like that it's (00:51:28) outrageous it makes feel like guinea (00:51:30) pigs we are more than our breasts and (00:51:33) you deserve the conversation you deserve (00:51:35) the option for each woman it is a risk (00:51:38) to benefit ratio I don't think every (00:51:40) woman is going to choose hormone therapy (00:51:42) but I think every woman deserves the (00:51:44) conversation based on modern medicine (00:51:46) and what we know now can you just (00:51:49) quickly (00:51:50) say why there is such a hysteria yes (00:51:55) yeah around hormone replacement therapy (00:51:57) I'll tell you why a beautiful study (00:51:58) there's a little bit flawed in the way (00:51:59) they set it up because the average age (00:52:01) in the study was 62 not 5051 when most (00:52:05) women will go through menopause so they (00:52:07) did a study that was looking at one just (00:52:10) one particular type of hormone therapy (00:52:12) primin which is CE conjugated equin (00:52:15) estrogens was meant to show that yes (00:52:17) hormone therapy is absolutely protective (00:52:20) for cardiovascular disease they had two (00:52:22) groups women who have a uterus women who (00:52:24) have don't and then the women with (00:52:26) uterus got estrogen plus a progestogen (00:52:29) and then the woman without a uterus got (00:52:30) estrogen only okay and they there was a (00:52:32) placebo group in each set okay okay and (00:52:35) then they started them on hormone (00:52:36) therapy average age of 62 and Then (00:52:38) followed them and so they were outside (00:52:41) the window the hormone really start yes (00:52:44) so so when they went back and stratified (00:52:48) the data and looked at it so what they (00:52:50) said was what it doesn't really help (00:52:51) cardiovascular disease well no because (00:52:53) it's by the time you're 62 and they had (00:52:55) women in their 70s in the study they (00:52:57) probably already had it you know so is (00:52:59) the bottom line that there was the (00:53:01) biggest kind of study that was written (00:53:03) about the study itself was flawed and (00:53:06) then the reporting became hysterical yes (00:53:08) and the kind of lore many of their (00:53:11) findings at that hysterical reporting (00:53:13) were walked back there's only one that (00:53:15) still stands and it's still (00:53:16) controversial and this is recently like (00:53:19) recently they have literally said that (00:53:23) wasn't really accurate it's not really (00:53:26) true and so the reason why it's (00:53:28) important to say this is because there (00:53:30) is this murmur out there that hormone (00:53:32) replacement therapy is causes cancer (00:53:34) causes cancer super dangerous blah blah (00:53:37) blah blah and you're saying there are (00:53:40) certain categories where you should not (00:53:42) be on but for the vast majority of the (00:53:44) women in your life this is an option you (00:53:47) need to be exploring yes and it's not (00:53:49) only safe it actually increases your (00:53:52) health out outcomes so the majority of (00:53:56) us are are a safe candidate for hormone (00:53:59) replacement therapy what about (00:54:01) supplements like what are the (00:54:02) supplements that we need to take we (00:54:04) really should try to get most of our (00:54:06) nutrients from food and we only (00:54:07) supplement where there's a gap or you (00:54:09) have an allergy and intolerance and then (00:54:11) we go in from there there are a few (00:54:12) supplements that are non like essential (00:54:15) nutrients that might be helpful like (00:54:17) turmeric right that's not anything we (00:54:19) have to eat to survive but it has some (00:54:21) pretty powerful antioxidant (00:54:22) anti-inflammatory properties and that (00:54:24) some women might find helpful but when (00:54:26) we're talking about the things if I had (00:54:27) my like top three things I would (00:54:29) recommend to everyone fiber track your (00:54:31) fiber for a couple of weeks get a (00:54:33) nutrition tracker see where you're at (00:54:35) fiber does so much in our bodies number (00:54:37) one feeds the gut microbiome that's its (00:54:39) food so that's the Prebiotic give me (00:54:42) example of what like fiber legumes Berry (00:54:45) oh legumes so uh n um beans okay beans (00:54:50) so it's a class of of beans peanuts are (00:54:53) actually legumes as well typically (00:54:54) really high in fiber okay um um berries (00:54:58) really high in fiber seeds and nuts (00:55:01) really high in fiber those are kind of (00:55:02) avocado or you know that's my go-to to (00:55:04) make sure I'm like getting my fiber go (00:55:06) also has healthy fats and other vitamins (00:55:08) and minerals and nutrients mag magnesium (00:55:11) and this confuses me because I'm not (00:55:13) quite sure what type of magnesium to (00:55:16) take oh great question your glycinates (00:55:18) your Tates your citrates um and (00:55:22) etherates are good because they readily (00:55:24) absorbed into the bloodstream so now we (00:55:26) have nice magnesium levels in our blood (00:55:28) there's also benefit some of them are (00:55:31) better than others about Crossing that (00:55:32) blood brain barrier so the brain (00:55:35) protects itself there's a membrane (00:55:37) around the brain that it doesn't have (00:55:39) this 100% free flow of nutrients back (00:55:41) and forth It's really selective about (00:55:43) What it lets in so mag alanate which (00:55:46) magine or neuromag are the brand names (00:55:49) has been studied and like SSRI resistant (00:55:52) depression so anti-depressant you know (00:55:54) resistant depression in patients added (00:55:57) in this it seemed to be helpful it and (00:55:59) my patients you know followers it's so (00:56:01) helpful for Sleep anxiety so I'm often (00:56:03) recommending that one at what one was (00:56:05) that one magnesium L3 and8 okay so (00:56:09) you're saying Fiers is number one (00:56:10) magnesium is number two how do you get (00:56:13) magnesium naturally so pumpkin seeds um (00:56:16) spinach you know green leafy greens are (00:56:18) rich in mag generally I have a lot of (00:56:20) list on my website where we list all (00:56:22) this we will link to all this and what's (00:56:23) the third thing so I'm always looking at (00:56:25) omega-3 fatty acids (00:56:27) um omegas are usually found in fatty (00:56:30) fish also in flax um one of my favorite (00:56:34) ways I'll do this little yogurt and I'll (00:56:36) have flax hemp and chia seeds so I'm (00:56:38) just hitting all my antioxidants my (00:56:39) anti-inflammatory my fiber Allin one um (00:56:43) so Omega-3s if you can't get a good (00:56:45) source of that that's a very reasonable (00:56:47) thing to supplement every day one of the (00:56:49) richest sources of that is going to be (00:56:51) your salmon your mackerel your tuna your (00:56:52) fatty fish your cold water fish um and (00:56:55) then I check a vitam D level on every (00:56:57) woman who'll let me stick a needle ler (00:57:00) um 80% of my patients not not just low I (00:57:02) mean deficient and there's a million (00:57:05) reasons for this we don't absorb it very (00:57:06) well because our gut health declines (00:57:08) we're protecting our skin from the Sun (00:57:10) you know which is another place and (00:57:12) we're not really creating it in our skin (00:57:14) as fast as we used to so and vitamin D (00:57:17) is a hormone that has a million you know (00:57:21) processes in the body so I'm like let's (00:57:23) start here and get those vitamin D (00:57:24) levels up because you're just not (00:57:26) working as efficiently as you could a (00:57:29) lot of us I've noticed in my uh group (00:57:31) chats with my girlfriends that when we (00:57:34) finally get in to see somebody who knows (00:57:36) what they're doing and you do a blood (00:57:38) draw and you get your panels back almost (00:57:40) all of us have magnesium deficiency (00:57:44) vitamin B deficiency vitamin D (00:57:47) deficiency and heightened cholesterol (00:57:50) yes so again about 70 80% of my patients (00:57:55) have an an explain no changes in diet or (00:57:58) exercise rise in cholesterol absolutely (00:58:01) secondary to estrogen deficiency and (00:58:03) again rushing to put her on a Statin is (00:58:05) not will make her her cholesterol go (00:58:07) down but is not going to decrease her (00:58:09) risk of cardiovascular disease and women (00:58:12) who are on HRT have higher hdls and (00:58:15) lower ldls than women who are not when (00:58:17) you compare the two groups so just being (00:58:20) menopausal is an independent risk factor (00:58:22) for an un unhealthy cholesterol profile (00:58:25) so if you are eating the fiber and the (00:58:28) magnesia magnesium and the Omega-3s and (00:58:31) you're also taking the vitamin uh D (00:58:35) supplement how do you make sure that (00:58:38) your body can actually absorb it or that (00:58:40) your gut health is okay like do you also (00:58:43) recommend that people take a probiotic (00:58:45) so I do they've done some studies (00:58:47) looking at probiotic supplementation in (00:58:49) women with obesity and hypertension who (00:58:51) were also postmenopausal and there were (00:58:53) some really positive results of you know (00:58:56) it's hard to measure gut health you know (00:58:58) we don't walk around stool samples and (00:59:00) they're counting the microbes in it but (00:59:01) you know when you're bloated you know (00:59:02) when you're having regular bowel (00:59:03) movements you know how you feel when we (00:59:05) go through menopause and lose our (00:59:07) estrogen the gut microbiome loses (00:59:09) diversity no matter how many probiotics (00:59:11) you take or you know there are things we (00:59:12) can do workarounds but the loss of (00:59:16) estrogen will change your gut microbiome (00:59:20) to the profile of a (00:59:22) man's is that why we get a belly part of (00:59:25) it (00:59:27) that's part of it um so we know that an (00:59:29) independent risk factor for visceral fat (00:59:31) deposition what we call belly fat in (00:59:33) layman's terms visceral fat means inside (00:59:35) the or wrapping around the organs you (00:59:37) know inside the abdomen that fat is very (00:59:39) different than the curvy fat than (00:59:41) subcutaneous fat that visceral fat is a (00:59:44) marker for cardiovascular disease (00:59:46) diabetes stroke and so women who were on (00:59:49) the probiotic versus placebo had lower (00:59:52) blood pressure and lower visceral fat (00:59:54) weights didn't change you know Cal are (00:59:56) still important but they're not the only (00:59:58) thing but their visceral fat levels went (01:00:00) down so for that reason I'm like eat (01:00:02) something rich in a probiotic every day (01:00:04) yogurt miso kimchi whatever floats your (01:00:06) boat if you can't tolerate that then you (01:00:09) want to consider supplementing gotcha (01:00:11) talk to us about exercise MH so what (01:00:14) kind of exercise is critical I grew up (01:00:16) in the 80s and I was the cardio Queen I (01:00:20) did so many step aerobics classes I (01:00:22) taught them it would make your head spin (01:00:24) I did not I can actually see that I (01:00:25) would take aerobics class with you it I (01:00:29) did all of my exercise was to be thin (01:00:31) yep and to maintain a certain body shape (01:00:33) that was part of my social (01:00:35) currency and if I could go back and talk (01:00:37) to my what I tell my children all the (01:00:39) time we need to move our bodies to be (01:00:42) strong not skinny and that we are (01:00:45) chipping away this constant caloric (01:00:46) restriction and all this cardio is (01:00:48) chipping away at our bone and muscle (01:00:50) strength which we are going to (01:00:52) desperately need as we age especially if (01:00:54) you're built like me y and (01:00:57) I didn't pick up weights until I was (01:00:59) well into my 40s there's never too late (01:01:01) anybody listening at any age can start (01:01:04) weight training and you should so I (01:01:06) think that getting people to let go of (01:01:08) this notion that thin is the way to be (01:01:12) and that you're way better off having a (01:01:14) little more curves and a lot more muscle (01:01:16) is going to serve you in these (01:01:18) menopausal years so much better than (01:01:21) just being skinny I have followed all (01:01:23) this advice and I have switched up the (01:01:26) entire way I approach exercise I now (01:01:28) resist in strain three days a week um (01:01:31) and if you're having a hard time (01:01:34) sleeping what do you recommend right so (01:01:37) we have to look at why you're having a (01:01:38) hard time um (01:01:41) progesterone goes a long way to helping (01:01:44) us sleep and so estrogen leads to hot (01:01:48) flashes and night sweats which are (01:01:50) completely sleep disruptive I mean even (01:01:53) with hormone therapy I still have a (01:01:54) thermometer leg that I have to throw out (01:01:56) theter leg I was just talking to a (01:01:59) friend this morning she's like oh well I (01:02:02) just stick my leg out and the fan hits (01:02:03) it and that's how I cool myself down and (01:02:05) then throw it back in throw it out throw (01:02:08) it back in so I'm like okay let's get (01:02:09) you on some estrogen you know and so say (01:02:12) she's had a hysterectomy and she doesn't (01:02:14) have to have progesterone progesterone (01:02:15) is an option so I'm like you know people (01:02:19) sleep deeper it has an antic effect what (01:02:22) is that word so anti- anxiety anti- anic (01:02:25) effect anti yeah sorry wow anti anxiety (01:02:28) effect so if your sleep disruption is (01:02:31) also H you're having racing thoughts at (01:02:33) night you can shut that brain off yes (01:02:36) this is my daughter (01:02:38) progesterone is beautiful for these (01:02:41) women especially in perimenopause when (01:02:43) we're skipping ovulations and we're not (01:02:44) giving that monthly surge of (01:02:46) progesterone is this an option for (01:02:48) somebody who's even before per menopause (01:02:50) you could yeah yeah you can safely take (01:02:52) progesterone every day even if you're (01:02:54) premenopausal wow really helpful wow all (01:02:58) right so estrogen progesterone but also (01:03:01) sleep hygiene we can't negate the fact (01:03:03) that we're on our phones too much at (01:03:04) night blue light not setting up an (01:03:07) environment for good sleep a snoring (01:03:09) partner especially some of you know and (01:03:11) all the things we need to do to set (01:03:13) ourselves up for success for sleep and (01:03:14) then when you sprinkle in the hormone (01:03:16) changes it's a disaster for some women (01:03:18) and that's really something I zero in on (01:03:21) with my patients what do we need to know (01:03:23) about (01:03:24) alcohol I don't know any woman who's in (01:03:26) her menopausal Journey who is processing (01:03:28) alcohol the way she used to the (01:03:30) tolerance seems to be going down I'm (01:03:32) excited to see some more research come (01:03:33) out about this but in my world like I (01:03:37) have to go in my personal experience if (01:03:39) I'm choosing to have a drink I am (01:03:41) choosing not to sleep I'm going to be up (01:03:43) at 3: 2:32 3:31 whatever it is and it is (01:03:47) like a bomb going off even one (01:03:50) glass and I have to make that choice I (01:03:54) can't drink like I used to thank God you (01:03:57) know those College days most of the (01:03:59) women in my practice and on social media (01:04:01) are commenting every time I talk about (01:04:02) it they're like yep gave it up it's not (01:04:05) worth (01:04:06) it if you're choosing to drink you're (01:04:08) choosing not to sleep it really is that (01:04:10) simple yeah wow so women you know I've (01:04:14) said this (01:04:15) before we're living longer but we're (01:04:18) living in poorer health I I don't want (01:04:20) the longer lifespan if I'm going to be (01:04:22) decrepit and I'm going to be disabled (01:04:24) and I'm my children are going to worry (01:04:25) about me every day (01:04:27) day (01:04:29) I think that you know as my this next (01:04:32) gen our daughters come up through this (01:04:34) and they have their options and they (01:04:36) know what's happening in their bodies (01:04:37) and they understand it we're going to (01:04:39) keep that lifespan but we're going to (01:04:40) improve our health (01:04:41) span and make those choices that can (01:04:44) lead to us having healthier lives well I (01:04:47) think that's like the really exciting (01:04:50) thing of this because when you don't (01:04:53) understand what's happening you get (01:04:54) stuck in the cycle of feeling (01:04:56) overwhelmed and that there's something (01:04:58) wrong with you and you're constantly (01:05:00) complaining about thep understand yeah (01:05:02) you're constantly complaining about the (01:05:03) symptoms with your with your girlfriends (01:05:05) and with your significant other or (01:05:06) complaining to your kids but what you're (01:05:08) also saying is not only can you get (01:05:11) relief from the symptoms and feel like (01:05:12) yourself again and uh really optimize (01:05:16) your health but that when you do so it (01:05:20) increases the quality of your life and (01:05:23) it increases your lifespan and it inre (01:05:26) increases Your vitality over that (01:05:28) lifespan and that's why this is so (01:05:32) important you know one of the greatest (01:05:33) things about social (01:05:34) media is (01:05:38) that this is the first time in history (01:05:41) that women in our age group actually (01:05:44) have found each other yeah and have (01:05:47) started collectively saying what's going (01:05:49) on with my weight what's going on with (01:05:51) my joint pain what's going on with my (01:05:53) brain fog and you don't feel alone of (01:05:58) course I knew that the hot flash was (01:06:00) from menopause I had no idea that the (01:06:02) brain fog was menopausal I had no idea (01:06:06) that uh some of the joint pain was an (01:06:09) issue and I certainly knew that the sex (01:06:12) drive lowering was part of what was (01:06:14) going on but I'll tell you it was really (01:06:17) when the belly fat and the back fat that (01:06:20) I started to gain and I was so (01:06:23) demoralized because I'm the kind of (01:06:25) person that exercises six days a week I (01:06:29) was doing everything I thought I was (01:06:30) supposed to be doing and even more so I (01:06:34) had stopped drinking during the week so (01:06:37) I had lowered my drinking (01:06:41) significantly and (01:06:43) nothing was doing anything my pants were (01:06:48) not fitting and it was so weird because (01:06:51) I felt swollen all the time and like (01:06:54) it's almost like certain part of my body (01:06:56) didn't change but it I just had this (01:06:59) like Tire around my center and people (01:07:02) would be like well but you're still (01:07:03) really thin I'm like but that's not the (01:07:04) point right that is what where might put (01:07:08) my toe in the water of all this (01:07:10) menopause stuff you were me that is my (01:07:12) exact story I (01:07:15) literally hated the way my body looked I (01:07:19) was self-conscious around my husband of (01:07:22) 28 years like I didn't want him to see (01:07:25) me naked because because I literally was (01:07:27) like I have rolls in my back when I put (01:07:30) my underwear on I've got my skin hanging (01:07:33) out over it I do not know what to do and (01:07:37) so from a pure vanity and confidence and (01:07:42) I just want to feel like myself and this (01:07:44) doesn't feel Fair standpoint I started (01:07:47) to like go get whack a dooodle about it (01:07:51) yeah I do I have to stop eating do I (01:07:53) have to like exercise like crazy what do (01:07:55) I need to do like what is happening (01:07:58) and discovering that it was (01:08:01) menopause it only kind of went okay (01:08:03) great but then when I went to my doctor (01:08:05) and they're like or seven years yeah (01:08:08) like like what the hell yeah exact same (01:08:10) thing happened to me the same feelings I (01:08:12) was weighing myself you know you had to (01:08:13) pee in the middle of the night cuz (01:08:14) menopause I would weigh myself in the (01:08:17) middle of the night in the middle of the (01:08:18) night no wonder you weren't going back (01:08:19) to sleep like oh my God you know and (01:08:22) what is this constantly grabbing my (01:08:24) belly yes so (01:08:26) um my husband was like he was going on a (01:08:29) trip I said when you get back you're (01:08:30) going to have the wife you deserve I'm (01:08:31) going to get this fat under control and (01:08:32) he was like I love you I think you're (01:08:35) beautiful your girls are watching this (01:08:38) behavior and he said you're a smart girl (01:08:39) figure this out you're a scientist and (01:08:41) he got on the plane and I took that as (01:08:43) you know I'm going to figure this out (01:08:46) that I called the PHD nutritionist at (01:08:48) the University I was employed at I was (01:08:49) like what the hell is going on in (01:08:51) menopause because my patients can't lose (01:08:53) it I'm struggling I'm starving myself (01:08:55) I'm working working at all the time (01:08:56) they're like yeah there's something (01:08:58) going on in menopause we think it has to (01:09:00) do with inflammation read all these (01:09:01) articles and hence began the Rabbit (01:09:03) Trail for me of going down well the (01:09:06) rabbit hole and I was like inflammation (01:09:09) estrogen visceral fat what is this (01:09:11) visceral fat thing no one ever taught me (01:09:13) that in school whoa whoa whoa my (01:09:14) diabetes risk let me check my (01:09:15) cholesterol holy it's elevated like (01:09:18) oh my God and then that that's why I (01:09:21) wrote the book to put it all together so (01:09:23) for the person listening I know what (01:09:25) they're now thinking okay great I got to (01:09:27) get the book but how do I find my own Dr (01:09:30) Haver like what how do you I'm dead (01:09:33) serious about this how do you prepare (01:09:35) yourself to go in to your doctor and how (01:09:38) do you find somebody who has been (01:09:41) studying menopause right so in a perfect (01:09:45) world you could just March into your PCP (01:09:47) or your OBGYN even and they would be (01:09:49) like absolutely let's go we're probably (01:09:51) a generation away from this becoming (01:09:53) normal so what can you do now I have a (01:09:56) list on my website of testimonials from (01:09:58) my followers who have found great people (01:10:00) so that's one place the menopause (01:10:02) Society of which I've become certified (01:10:04) is an independent organization of people (01:10:06) who care about menopause do research in (01:10:08) menopause and they have a certification (01:10:10) and training program and so you can find (01:10:13) um at the menopause Society or (01:10:15) menopause.org go on there and find a (01:10:17) certified provider that's another place (01:10:20) to start some of the new tele medicine (01:10:22) companies coming out are built to serve (01:10:25) the menopausal one woman I don't love it (01:10:27) as much as an inperson visit because I (01:10:28) do inperson visits but my God that's all (01:10:31) they do is sit there listen to your (01:10:33) symptoms believe you order a test if you (01:10:35) need them and give you the hormone (01:10:36) therapy you so desperately need I will (01:10:38) link to absolutely everything that (01:10:40) you've recommended including how to find (01:10:42) you find the book uh and reach out to (01:10:46) you in all the resources for this show (01:10:49) awesome do you have any final words of (01:10:52) wisdom to the person listening you know (01:10:54) you're not crazy it's okay find a (01:10:57) community talk about this share this (01:11:00) with everyone we need to normalize this (01:11:02) before we can optimize it and that don't (01:11:05) let your daughters suffer tell them (01:11:07) about your own experience because (01:11:09) they're most likely going to mimic what (01:11:10) you've gone through menopause is (01:11:12) inevitable it's not a bad thing it is a (01:11:14) natural process but you don't have to (01:11:16) suffer what I love about menopause is (01:11:18) women find this power to put themselves (01:11:21) first for the first time in their adult (01:11:23) lives their give a factor goes away (01:11:27) they don't care anymore they are (01:11:29) embracing who they are and I love that (01:11:33) about us you know I'm more successful I (01:11:35) never could have done this in my 30s you (01:11:37) know that what I've been able to build (01:11:39) and I just love that about this age but (01:11:41) I want to keep that going Dr Haver I I (01:11:44) just want to tell you you are a gift I (01:11:47) am so thrilled that you took the time to (01:11:48) be here I do think you are changing and (01:11:51) saving people's lives I hope as you've (01:11:53) listened to her that you've not only (01:11:56) learned a lot about your own body but (01:11:59) that you feel more empowered and that (01:12:01) you have a few very simple things that (01:12:03) you can start doing immediately and I (01:12:05) hope one of the things that you do is (01:12:07) that you take a moment to share this (01:12:09) with every woman that you know and I'm (01:12:11) not just talking the women that are (01:12:14) Perry or postmenopausal I'm talking (01:12:17) every woman in your life because the (01:12:20) information today was about the design (01:12:24) of the female body and about how (01:12:26) estrogen and estrogen Decline and (01:12:29) deficiency impacts her profoundly and so (01:12:32) this really could change somebody that (01:12:35) you care about it could change your life (01:12:38) um so thank you thank you thank you for (01:12:40) taking the time to be with us and I want (01:12:42) to thank you for taking the time for (01:12:45) yourself and taking the time to listen (01:12:47) to something that could help you improve (01:12:49) your life and I want to make sure to (01:12:50) tell you in case nobody else does that I (01:12:53) love you I believe in you and learning (01:12:56) more about your body and your brain and (01:12:59) your hormones and how to optimize your (01:13:03) overall health is one of the most (01:13:05) important things that you can do to (01:13:07) improve your life so I know you feel (01:13:10) empowered to do that after the (01:13:11) conversation today and I'll talk to you (01:13:13) in a few (01:13:15) days oh my God Dr Mary (01:13:22) [Applause] (01:13:24) CL w (01:13:27) [Applause] (01:13:33) look forward that to every woman and (01:13:36) young woman that I know you are (01:13:38) incredible thank you thank you for (01:13:40) giving me a platform oh my gosh thank (01:13:42) you for everything you (01:13:43) [Applause] (01:13:47) do and to you um thank you so much for (01:13:50) being here with me on YouTube for Real (01:13:53) uh aren't you so empowered don't you (01:13:55) want to send this to absolutely every (01:13:57) single girl and woman that you know (01:13:58) please please please share this widely (01:14:00) this is life changing information and (01:14:03) one more thing please hit subscribe (01:14:05) because it allows me to continue to (01:14:07) bring you worldclass experts at zero (01:14:09) cost every single day new videos here on (01:14:12) YouTube and I know what you're thinking (01:14:14) you're thinking okay I I I want to know (01:14:15) more I want to know more so I'm going to (01:14:17) introduce you to the amazing Dr Amy Shaw (01:14:20) she is going to teach you how to (01:14:21) optimize your health and your hormones (01:14:23) and to sleep better and you're going to (01:14:25) love love love Dr Shaw and this video (01:14:31) too