Latest / Limitless Living with Fredricka Davis / 073: Does HRT Prevent Dementia? What the Latest Research Really Tells Midlife Women

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073: Does HRT Prevent Dementia? What the Latest Research Really Tells Midlife Women · Limitless Living with Fredricka Davis

• 0:32
  SPEAKER_00: Hello and welcome back to the Limitless Living podcast.
• 0:37
  SPEAKER_00: I'm Frederica Davis, and today is a Wellness Reset Thursday.
• 0:42
  SPEAKER_00: So I want to talk to you today about something that caught my attention recently.
• 0:47
  SPEAKER_00: And I've seen it multiple places, multiple ways.
• 0:50
  SPEAKER_00: And I have clients that have been asking me.
• 0:53
  SPEAKER_00: So you may have seen it too.
• 0:55
  SPEAKER_00: A new study came out saying that women who used hormonal replacement therapy, HRT, had a lower risk of dementia.
• 1:02
  SPEAKER_00: If dementia has touched your family as it has mine, that is not a headline that you simply scroll past.
• 1:09
  SPEAKER_00: That's when you stop deading your tracks in and read.
• 1:12
  SPEAKER_00: And I don't know about you, but my mother had dementia.
• 1:15
  SPEAKER_00: And I know what it's like to just watch someone you love slowly lose parts of herself and her ability to be independent and be who she once was.
• 1:27
  SPEAKER_00: And when you have lived through that, witnessed that, stood next to that, it is very easy to become frightened by your own forgetfulness sometimes.
• 1:39
  SPEAKER_00: We all lose a word occasionally.
• 1:42
  SPEAKER_00: We know perfectly well, or a name.
• 1:44
  SPEAKER_00: We've all walked into a room and cannot remember why we walked into there.
• 1:48
  SPEAKER_00: Uh sometimes I do that three times a day, or maybe read a paragraph three times over and over because our mind is somewhere else and we're just not getting it.
• 1:57
  SPEAKER_00: And in those moments, of course, it's normal for us to wonder.
• 2:01
  SPEAKER_00: You know, it's normal for you to wonder to yourself, is this menopause?
• 2:05
  SPEAKER_00: Am I exhausted?
• 2:07
  SPEAKER_00: Is it stress?
• 2:08
  SPEAKER_00: Or could it be something a little bit more serious?
• 2:12
  SPEAKER_00: So when I saw this new research, I really wanted to understand what was actually going on, what it actually meant.
• 2:20
  SPEAKER_00: Not what the loudest headline was screaming at me either, because I've seen headlines both ways for and against us.
• 2:29
  SPEAKER_00: And I am somebody who likes to research and decipher and really evaluate myself.
• 2:34
  SPEAKER_00: And not what someone on social media decided that this study proved.
• 2:40
  SPEAKER_00: What actually did the research tell us?
• 2:43
  SPEAKER_00: So here is the short answer.
• 2:46
  SPEAKER_00: The new research is absolutely encouraging, but it still does not quite prove that HRT prevents dementia.
• 2:54
  SPEAKER_00: And that is really the important thing that I want you to understand today.
• 2:59
  SPEAKER_00: The study followed more than 183,000 postmenopausal women in the United Kingdom for an average of about 13 years.
• 3:09
  SPEAKER_00: So that's a pretty good-sized study and length of time.
• 3:13
  SPEAKER_00: The women who had used HRT for at least a year were diagnosed with dementia less often than the women classified as non-HRT users.
• 3:25
  SPEAKER_00: Now that's significant, right?
• 3:27
  SPEAKER_00: Overall, HRT users had about a 10% lower rate of dementia and about a 16% lower rate of Alzheimer's disease.
• 3:40
  SPEAKER_00: Not huge, but hey, listen, wouldn't you want any reduction?
• 3:45
  SPEAKER_00: I know I would.
• 3:46
  SPEAKER_00: Now weighing that against potential side effects gets a little trickier now.
• 3:52
  SPEAKER_00: So there was an association for sure that appeared to be stronger in some women, including those who had actually gone through surgical menopause and women who carried the APOE for genetic variant, which is connected with a higher risk of Alzheimer's disease.
• 4:13
  SPEAKER_00: Now, I don't know whether I have that variant or not.
• 4:14
  SPEAKER_00: Maybe you do, maybe you don't.
• 4:17
  SPEAKER_00: These are things that are worth paying attention to.
• 4:19
  SPEAKER_00: These are details worth paying attention to.
• 4:22
  SPEAKER_00: This was a large study following women for a long, significant period of time, but it was an observational study.
• 4:31
  SPEAKER_00: So in plain English, the researchers looked at what had happened in the lives of these women.
• 4:38
  SPEAKER_00: They did not randomly give one group HRT and another group a placebo and then follow them under controlled conditions.
• 4:46
  SPEAKER_00: So this is something to consider when you're looking at these results.
• 4:51
  SPEAKER_00: So that means HRT may have contributed to the difference, but there may have also been other differences that were contributing factors between the women who used the HRT or those who didn't.
• 5:06
  SPEAKER_00: So the study gives researchers a very good reason to keep looking, which is exciting and promising, and I'm thrilled about.
• 5:15
  SPEAKER_00: It does not, however, give any of us a reason to announce that HRT prevents dementia.
• 5:22
  SPEAKER_00: And I am seeing this in social media and on headlines and having clients ask me about this.
• 5:28
  SPEAKER_00: So I think that this is where a lot of the confusion begins.
• 5:33
  SPEAKER_00: We want our health information to give us a clean yes or no.
• 5:38
  SPEAKER_00: We want to see a headline and have it be yes or no, good or bad.
• 5:43
  SPEAKER_00: And should every woman take it or should every woman avoid it?
• 5:47
  SPEAKER_00: And that's what we're seeing in all these different headlines.
• 5:50
  SPEAKER_00: But that is actually just simply not how your body works.
• 5:55
  SPEAKER_00: Honestly, it is not how good health care works either.
• 6:00
  SPEAKER_00: So HRT is not one single treatment.
• 6:03
  SPEAKER_00: There are different hormones, there are different doses, there are different ways of taking the hormones.
• 6:11
  SPEAKER_00: A woman who begins HRT near the time of menopause is not in the same situation as a woman beginning it many years later.
• 6:21
  SPEAKER_00: A woman who experienced surgical menopause may have different considerations from a woman who went through menopause naturally.
• 6:31
  SPEAKER_00: So your symptoms, your age, medical history, um, your family history, your medications, your cardiovascular health, cancer history and risk factors, and a whole host of other risks all belong in the conversation.
• 6:52
  SPEAKER_00: That is why I do not want you to hear this episode as either an endorsement of HRT or a warning against it.
• 7:03
  SPEAKER_00: I'm following the research, I'm following the data, I'm following what I am seeing and hearing clients who have chosen to do it or chosen not to do it, what they are going through and what they are experiencing.
• 7:16
  SPEAKER_00: So this is where I'm coming from.
• 7:18
  SPEAKER_00: The current medical guidance is still HRT should not be started solely for the purpose of preventing dementia.
• 7:28
  SPEAKER_00: And that's what we're talking about mainly about right now in today's episode.
• 7:32
  SPEAKER_00: Now, there's other reasons that maybe you want to start HRT, but right now we're talking about dementia and the headlines that we're seeing.
• 7:38
  SPEAKER_00: And it does not mean HRT cannot be helpful.
• 7:41
  SPEAKER_00: Hormone therapy can be very effective for other syndromes, such as your hot flashes and night sweats.
• 7:48
  SPEAKER_00: And it can offer other benefits for the appropriately selected woman.
• 7:56
  SPEAKER_00: Now, if you're waking up repeatedly all night long because of night sweats and HRT comes along and it helps you sleep better, you're probably going to feel like you think clearer and like you function better because you are finally sleeping.
• 8:14
  SPEAKER_00: You're also going to be restoring and regenerating your cells and your energy and everything in your body because now you're getting really good sleep.
• 8:27
  SPEAKER_00: And that is a meaningful improvement, not just in your life, but also another little cofactor that can potentially decrease your risk factors for dementia indirectly.
• 8:38
  SPEAKER_00: But feeling mentally because of your symptoms and sleep having improved is not the same as knowing that the HRT will prevent dementia later.
• 8:49
  SPEAKER_00: And HRT comes with potential side effects.
• 8:53
  SPEAKER_00: So this is the difference.
• 8:55
  SPEAKER_00: And we do not need to make this more complicated than really that.
• 9:01
  SPEAKER_00: I also want to talk about brain fog here because I know when people are thinking dementia or they've experienced or been around it or they're afraid of it, any level of brain fog can be really frightening.
• 9:14
  SPEAKER_00: Changes in your level of concentration or the way that you recall words or your memory, they're really common during all sorts of times in our life, stressful times, but especially menopause and the transition.
• 9:29
  SPEAKER_00: And the menopause society reports that literally 40 to 60 percent of midlife women experience some type of cognitive symptom.
• 9:39
  SPEAKER_00: Now, if you're feeling distracted or you're having trouble remembering names, maybe you're losing your train of thought a little bit more frequently, halfway through your sentences, or just generally less sharp.
• 9:54
  SPEAKER_00: This could be explained, especially when you're tired, especially when you're stressed or overwhelmed or not sleeping well.
• 10:04
  SPEAKER_00: Those experiences do not automatically necessarily have to mean that you are developing dementia.
• 10:11
  SPEAKER_00: And I also want to address these changes.
• 10:14
  SPEAKER_00: If you're feeling like you are having these meaningful changes, they are not to be dismissed.
• 10:21
  SPEAKER_00: If your memory is becoming progressively worse, or it's interfering with your daily life or affecting your safety, or maybe it's making it hard for you to manage your money or your medications, or causing you to become more confused in familiar places, then you definitely want to speak with somebody qualified.
• 10:43
  SPEAKER_00: You want to seek a medical professional because these are changes that you want to monitor, you want to know.
• 10:49
  SPEAKER_00: And if something changes for you suddenly, that's definitely another reason to seek some immediate attention.
• 10:57
  SPEAKER_00: So I want to stress that getting just a just getting more sleep isn't going to fix something if something is really truly going on.
• 11:04
  SPEAKER_00: So it is smart to pay attention.
• 11:09
  SPEAKER_00: There are many possibilities, though, here.
• 11:11
  SPEAKER_00: There are many, many reasons you may not be feeling as clear as you used to.
• 11:16
  SPEAKER_00: Menopause is, of course, potentially part of it if you are at that age.
• 11:22
  SPEAKER_00: But let's say you're experiencing this and you're not at that age, or it's not menopause related, or maybe it is menopause related, but it's being made worse because you have sleep deprivation.
• 11:35
  SPEAKER_00: Sleep apnea, that's another one.
• 11:37
  SPEAKER_00: Sleep apnea goes undiagnosed all too often and is potentially something that will lead to many, many, many other problems.
• 11:48
  SPEAKER_00: And depression, anxiety, and chronic stress, all of those can contribute to brain fog, to not being able to keep your train of thought, to all the things that we're talking about.
• 12:03
  SPEAKER_00: Chronic nervous system dysregulation, that's another issue.
• 12:08
  SPEAKER_00: Thyroid problems, vitamin deficiencies can do this.
• 12:13
  SPEAKER_00: Pain, especially chronic pain, but even sudden onset pain, but but chronic pain can do this.
• 12:19
  SPEAKER_00: Medications can do this because all medications come with a list of potential side effects.
• 12:24
  SPEAKER_00: And often this can be associated with that.
• 12:27
  SPEAKER_00: And then there are also other health conditions that can affect the way your brain feels and functions.
• 12:32
  SPEAKER_00: Now you deserve more than being told, oh, you're just getting older.
• 12:38
  SPEAKER_00: So I want to stress that.
• 12:40
  SPEAKER_00: If you go into a healthcare professional and you see them in their office and they dismiss you, they're not the right healthcare professional, or you need to speak up more.
• 12:49
  SPEAKER_00: You deserve to have your concerns heard and appropriately evaluated.
• 12:55
  SPEAKER_00: So being informed helps you do this.
• 12:57
  SPEAKER_00: Having questions prepared ahead of time helps you do this.
• 13:01
  SPEAKER_00: If you're considering the HRT or already using it, and you're wondering what this new study means for you, then here's a few questions I would suggest you ask yourself and or take with you to your practitioner.
• 13:15
  SPEAKER_00: So first, ask yourself what it is that you hope HRT will do for you, your goals for the HRT.
• 13:29
  SPEAKER_00: Have that ready and prepared.
• 13:31
  SPEAKER_00: What are the symptoms you're experiencing and you're hoping it will help with?
• 13:35
  SPEAKER_00: And then you want to ask things like considering my age, considering my symptoms, my health history, what are the likely benefits and the risks for me?
• 13:45
  SPEAKER_00: Also ask what are the daily lifestyle changes I can make that will have a direct or even an indirect effect on this?
• 13:57
  SPEAKER_00: And which type of hormones are we talking about potentially doing?
• 14:01
  SPEAKER_00: And what dose?
• 14:02
  SPEAKER_00: And how will the delivery be?
• 14:05
  SPEAKER_00: Pill, patch, cream, what will it be?
• 14:08
  SPEAKER_00: How long will it take for me reasonably to be doing this to know whether it's going to work for me or not work for me?
• 14:18
  SPEAKER_00: What other hormonal or non-hormonal options should I also consider?
• 14:25
  SPEAKER_00: And if you're concerned about your memory, I would also ask, based on my family history, based on my own medical history, how does that potentially influence the way I will react to taking HRT?
• 14:42
  SPEAKER_00: And if you're concerned about your memory, say it directly.
• 14:46
  SPEAKER_00: Speak up.
• 14:47
  SPEAKER_00: Don't tuck it into that last little 30 seconds of your appointment, or not ask at all.
• 14:53
  SPEAKER_00: So many of you are not asking about it.
• 14:55
  SPEAKER_00: You're talking about it a little here or there, or you're not talking about it at all because you're embarrassed by it.
• 15:01
  SPEAKER_00: Bring it up, talk about it, do some research, be informed.
• 15:06
  SPEAKER_00: Write down what you notice.
• 15:08
  SPEAKER_00: When did it begin?
• 15:10
  SPEAKER_00: Is it becoming worse?
• 15:13
  SPEAKER_00: Does it seem like it's connected to poor sleep or stress or any other symptoms?
• 15:19
  SPEAKER_00: Has anyone close to you been noticing a change in you?
• 15:24
  SPEAKER_00: Bring that concern into the room clearly enough for someone to help you evaluate it.
• 15:31
  SPEAKER_00: The 2024 Lancet Commission estimated that a substantial percentage of dementia cases may actually be prevented or delayed by addressing health and lifestyle factors all through our lives.
• 15:50
  SPEAKER_00: I'm gonna say that again.
• 15:52
  SPEAKER_00: You may be able to prevent or delay dementia by addressing health and lifestyle factors.
• 16:01
  SPEAKER_00: Now, this matters extra to me because I come at wellness from a whole person point of view.
• 16:10
  SPEAKER_00: This is what I teach, this is what I do in my office, this is what we do in my programs.
• 16:16
  SPEAKER_00: Your brain here, and today talking about your brain, your brain is not sitting up.
• 16:22
  SPEAKER_00: Your brain is not sitting up there operating separately from the rest.
• 16:28
  SPEAKER_00: Your brain is not sitting up there on top of your neck, operating separately from all the rest of your body or the rest of your life.
• 16:39
  SPEAKER_00: Your blood pressure plays a role, cholesterol levels, blood sugar, sleep, movement, the amount of exercise you get, hearing loss can play a role, vision, emotional health, stress levels, and your connection with other people.
• 16:57
  SPEAKER_00: All of these things are part of the bigger picture and can contribute.
• 17:03
  SPEAKER_00: So that doesn't mean, now that does not mean you do everything right, and there's a guarantee that you will never develop dementia.
• 17:12
  SPEAKER_00: We do not have that kind of control.
• 17:14
  SPEAKER_00: Genetics, aging, access to care.
• 17:18
  SPEAKER_00: Uh, there are all these other health factors, that is true.
• 17:22
  SPEAKER_00: But it does mean that caring for your brain is connected to how well you care for yourself, your whole self.
• 17:30
  SPEAKER_00: So let me give you a few very practical places to look at this point.
• 17:35
  SPEAKER_00: First, support your circulation and your cardiovascular health.
• 17:39
  SPEAKER_00: Your brain needs healthy blood flow.
• 17:42
  SPEAKER_00: Know your blood pressure, your cholesterol, and your blood sugar.
• 17:45
  SPEAKER_00: If your numbers are not where they should be, work with someone.
• 17:49
  SPEAKER_00: Do not ignore them.
• 17:51
  SPEAKER_00: Second, move your body.
• 17:53
  SPEAKER_00: Do not have to become a marathon runner.
• 17:55
  SPEAKER_00: All you need to do is walk and use some light weights.
• 17:58
  SPEAKER_00: You can even use your own body weight and do my kitchen counter routine that I've talked about before.
• 18:05
  SPEAKER_00: Stretch.
• 18:05
  SPEAKER_00: Dance in your kitchen.
• 18:07
  SPEAKER_00: Do the kind of movement your body can safely do, but do it consistently.
• 18:13
  SPEAKER_00: That's the key right there is doing it consistently.
• 18:15
  SPEAKER_00: Movement supports your circulation, strength, balance, your mood and sleep.
• 18:22
  SPEAKER_00: And all of those things matter as we age.
• 18:25
  SPEAKER_00: They all give us the quality of life that we all hope to have well into our later years.
• 18:31
  SPEAKER_00: Third, nourish your brain instead of looking for one magical brain food.
• 18:36
  SPEAKER_00: Build most of your meals around real, nutrient-dense food.
• 18:43
  SPEAKER_00: That means including enough protein, colorful plants, healthy fats and fiber, staying hydrated.
• 18:51
  SPEAKER_00: You don't need to eat perfectly every day, but your brain cannot consistently do its best work when your body is undernourished or dehydrated or riding a blood sugar roller coaster all day long.
• 19:04
  SPEAKER_00: I want to give you an example.
• 19:05
  SPEAKER_00: I may have mentioned this before.
• 19:07
  SPEAKER_00: I have come to learn absolutely that my energy throughout the day, my brain power out throughout the entire day, and my clarity, my quick thinking throughout the day are grossly affected by what I have for breakfast.
• 19:28
  SPEAKER_00: Grossly.
• 19:29
  SPEAKER_00: Yes, by sleep, but grossly affected also by what I eat in the morning.
• 19:34
  SPEAKER_00: And for me, if I start my day with protein or protein and vegetables, I have energy throughout the entire day.
• 19:43
  SPEAKER_00: And if I wait to have my carbohydrates until the evening, my body responds much better with boundless energy, clarity, and so much less brain fog.
• 19:54
  SPEAKER_00: And that is going through all these menopause years.
• 19:57
  SPEAKER_00: So listen to your body, nourish it the way it needs to be nourished.
• 20:03
  SPEAKER_00: You may not have the same scenario.
• 20:04
  SPEAKER_00: That might not be the case for you.
• 20:06
  SPEAKER_00: But for me, that is definitely something I have discovered as I have listened and really paid attention.
• 20:13
  SPEAKER_00: Fourth, I want you to take your sleep seriously.
• 20:16
  SPEAKER_00: If hot flashes, pain, anxiety, insomnia, uh, or snoring are repeatedly disrupting your sleep, don't ignore them.
• 20:30
  SPEAKER_00: Do not simply accept the exhaustion as part of getting older.
• 20:34
  SPEAKER_00: It's not.
• 20:37
  SPEAKER_00: Find out what is interfering with your sleep and what kind of support you need to get it under control and give you a good night's sleep.
• 20:47
  SPEAKER_00: Even improving it 10, 20% can make a huge difference in your health, your overall health.
• 20:53
  SPEAKER_00: Not just your brain health, but your overall health.
• 20:55
  SPEAKER_00: Fifth, keep using your brain and stay connected.
• 20:58
  SPEAKER_00: Learn something.
• 20:59
  SPEAKER_00: Learn a new language.
• 21:00
  SPEAKER_00: Oh my gosh, there's so many language apps out there now.
• 21:03
  SPEAKER_00: There's so many ways to learn a new language.
• 21:05
  SPEAKER_00: Do Sudoku, whatever it is, keep your brain active.
• 21:09
  SPEAKER_00: Figure something out.
• 21:10
  SPEAKER_00: Write your book.
• 21:11
  SPEAKER_00: Do something.
• 21:12
  SPEAKER_00: Read, write, listen to music, have conversations that make you think.
• 21:19
  SPEAKER_00: I will tell you, hands down, I really don't care for small talk.
• 21:24
  SPEAKER_00: It's just not something I care for.
• 21:26
  SPEAKER_00: We all have to do it sometimes in the right settings, but I don't care for it.
• 21:29
  SPEAKER_00: I like meaningful, deep conversations.
• 21:32
  SPEAKER_00: This also uses your brain and it connects you to the person you're with.
• 21:38
  SPEAKER_00: So keeping your brain active and staying connected really can make a difference.
• 21:45
  SPEAKER_00: That means spending time with people who make you laugh, people who help you feel like you are part of something.
• 21:53
  SPEAKER_00: Social isolation and depression really matter in terms of your brain health.
• 22:01
  SPEAKER_00: And don't overlook your hearing and your vision.
• 22:04
  SPEAKER_00: If you cannot hear the conversation or clearly see what's going on around you, it becomes much easier for you to pull back from people and activities without even realizing you're doing it.
• 22:32
  SPEAKER_00: Enormous wellness project because if you do that and you try to do all of these things all at once, it's probably not going to stick.
• 22:40
  SPEAKER_00: But I do want you to be looking at your whole picture.
• 22:43
  SPEAKER_00: Choose one thing out of all of this that is the one thing that needs your attention most.
• 22:50
  SPEAKER_00: Maybe that's going to be your sleep.
• 22:52
  SPEAKER_00: That's a big one that affects many different areas, a great place to start.
• 22:55
  SPEAKER_00: Then maybe it's going to be staying hydrated.
• 22:57
  SPEAKER_00: Then maybe it's going to be moving more.
• 22:59
  SPEAKER_00: But don't do this all at once.
• 23:01
  SPEAKER_00: Just do one at a time, make it part of your daily habit, and then move to the next thing.
• 23:06
  SPEAKER_00: And if you need to schedule your physical, learn your numbers, making, you know, make time to take a 10-minute walk after your dinner.
• 23:21
  SPEAKER_00: Maybe you need, you know, look at the whole picture and choose part, choose and choose the part that needs the most attention right now.
• 23:33
  SPEAKER_00: Maybe for you it's going to be scheduling the physical and learning what your numbers actually are, getting the blood work and figuring that out.
• 23:41
  SPEAKER_00: Maybe what you really need to do is just work in somehow throughout the day a 10-minute walk.
• 23:47
  SPEAKER_00: Maybe it's after lunch, maybe it's after dinner, or add more protein and plants to the meals you're already eating.
• 23:54
  SPEAKER_00: Or maybe for you it's making the appointment about your sleep or your hearing or your vision or your depression or your anxiety or getting a coach to help you reduce the stress in your life, or somebody who can help you learn to really implement these habits and have them stick and getting the support that you need.
• 24:18
  SPEAKER_00: That's what a whole person approach to wellness looks like.
• 24:24
  SPEAKER_00: And this is what whole person wellness looks like to me.
• 24:27
  SPEAKER_00: It's how I have been healing my body.
• 24:31
  SPEAKER_00: It's not about chasing one miracle answer or doing a big giant overhaul.
• 24:35
  SPEAKER_00: It's about supporting the conditions that allow your brain and your body to function as well as they possibly can.
• 24:44
  SPEAKER_00: And then taking the next right step, the next simple, small, sustainable, small shift over and over and over again.
• 24:54
  SPEAKER_00: So back to HRT.
• 24:55
  SPEAKER_00: Does it prevent dementia?
• 24:57
  SPEAKER_00: We do not know yet that it does, but it does show promise.
• 25:02
  SPEAKER_00: The new research is encouraging and it may help researchers, I'm hoping anyway, understand which women could actually really benefit from this most.
• 25:14
  SPEAKER_00: Right now, though, I'm not convinced that it's a treatment to prevent dementia.
• 25:21
  SPEAKER_00: So if you're looking to take it for that as your sole purpose, I encourage you to weigh that out.
• 25:28
  SPEAKER_00: If you're looking, however, at HRT as an appropriate or helpful treatment for other reasons, then it warrants a conversation.
• 25:38
  SPEAKER_00: For this week's reset, I want you to choose one unanswered question that you might have in the back of your mind that you haven't really been dealing with about your midlife journey and health.
• 25:49
  SPEAKER_00: Maybe that's a question about your hormones or about your memory or your energy.
• 25:56
  SPEAKER_00: Maybe it's about something else, uh, vaginal health, cholesterol.
• 26:01
  SPEAKER_00: I mean, it could be anything.
• 26:02
  SPEAKER_00: Write the question down.
• 26:05
  SPEAKER_00: Then take one step towards getting yourself a reliable potential next step.
• 26:12
  SPEAKER_00: Make the appointment or send the message or start tracking the symptoms, ask for a referral.
• 26:19
  SPEAKER_00: But one question and one next step.
• 26:22
  SPEAKER_00: And you don't need to solve it all at once.
• 26:25
  SPEAKER_00: If today's show resonated with you, and you know a woman who might be a little bit worried or confused about the HRT and the dementia headlines that keep popping up all over the place, then share this episode with her.
• 26:38
  SPEAKER_00: Then share this episode with her.
• 26:40
  SPEAKER_00: We don't need more fear or exaggerated promises.
• 26:43
  SPEAKER_00: What we really need is reliable information, better questions, and care that sees you as the whole woman.
• 26:51
  SPEAKER_00: And if you would like some more grounded conversations about your wellness or about creating changes that really fit your actual life, come join us inside, come join us inside the limitless living for women who are becoming community on Facebook.
• 27:06
  SPEAKER_00: So until our next episode, be rooted, be resilient, and be limitless.