Latest / The Body Pod / Dr. Kelly Casperson on HRT Myths, Hormones, and Why Exercise Beats Everything

Transcript

Dr. Kelly Casperson on HRT Myths, Hormones, and Why Exercise Beats Everything · The Body Pod

• 0:00
  Speaker 1: You're all the same age, do y'all look the same? No? Right,
• 0:05
  Speaker 1: health risks you know, X, Y and Z, so like,
• 0:08
  Speaker 1: don't use age as a reason that you can or
• 0:12
  Speaker 1: can't do and do anything. It's it's very paternalistic, it's
• 0:17
  Speaker 1: very not individualized. It's a stupid way to think about things.
• 0:23
  Speaker 2: Hi everyone, my name is Haley and this is Laura
• 0:26
  Speaker 2: and welcome to the Body Pod. So welcome everyone to
• 0:32
  Speaker 2: this bonus zoom with doctor Kelly Casperson.
• 0:35
  Speaker 3: I'm so excited.
• 0:36
  Speaker 2: Kelly is as I just mentioned, a good time all
• 0:40
  Speaker 2: around in person on a zoom. We love her. So
• 0:44
  Speaker 2: we're gonna get right to the questions.
• 0:46
  Speaker 3: Kelly.
• 0:47
  Speaker 1: Welcome, thank you for having me, Happy to be here,
• 0:49
  Speaker 1: happy to be back. Welcome everybody.
• 0:52
  Speaker 3: We love having you back.
• 0:54
  Speaker 1: As usual.
• 0:55
  Speaker 2: We will try to take some questions at the end
• 0:58
  Speaker 2: if we have time, but I'm going to get to
• 1:00
  Speaker 2: all of the questions first that you all have submitted.
• 1:03
  Speaker 2: So question number one, can bag EFM help improve increased
• 1:09
  Speaker 2: urge for urination. I don't have incontinence issues, but find
• 1:13
  Speaker 2: I can increase frequency avoiding in the last year.
• 1:16
  Speaker 1: Yes, that is like I'm like, I'm usually like I
• 1:20
  Speaker 1: just have very long answers, usually because I want to
• 1:22
  Speaker 1: like explain why and all these things. But I'm like
• 1:24
  Speaker 1: then he can't get through all the questions, like that's
• 1:26
  Speaker 1: a yes.
• 1:27
  Speaker 2: Okay, Well we only have like thirty four, which I
• 1:30
  Speaker 2: mean is not a small amount, but it's not like, Okay.
• 1:34
  Speaker 1: We'll do yes and knows where we where we can?
• 1:36
  Speaker 1: Is that yeah? Perfect? Yes? Absolutely? Badge em for the
• 1:40
  Speaker 1: wind for the bladders. Also decreases urinary tract infection and
• 1:43
  Speaker 1: burning with urination and bladder leakage and getting up at
• 1:46
  Speaker 1: night top.
• 1:47
  Speaker 2: Okay, So let's go into how is that different than
• 1:52
  Speaker 2: like just using like vaginal estrogen.
• 1:55
  Speaker 1: Badge of M is vaginal estrogen.
• 1:58
  Speaker 2: Oh okay, I was like, that's it's new to me.
• 2:00
  Speaker 2: I've never heard that that name.
• 2:03
  Speaker 1: There's a lot of different names. The generic is estra dial.
• 2:07
  Speaker 2: And how does that compare if you have like leakage
• 2:10
  Speaker 2: or anything to like the what did you tell me
• 2:16
  Speaker 2: to take that one time?
• 2:17
  Speaker 1: The or the were we talking about mir Betrick?
• 2:20
  Speaker 2: No, the injections, what are the injections checked for? Oh?
• 2:24
  Speaker 1: Bulkhamd ulkamid okay ulkamed Okay. Well, now we're in the
• 2:29
  Speaker 1: middle of this conversation. Okay, So bladder leakage is complex
• 2:33
  Speaker 1: and there are multiple types of bladder leakage. And for
• 2:35
  Speaker 1: everybody who doesn't know, I'm a urologist, which is why
• 2:38
  Speaker 1: I get to say all these things because I'm like
• 2:40
  Speaker 1: the most trained in bladders besides pelvic floor physical therapists
• 2:44
  Speaker 1: who are also awesome. So there's two main types of
• 2:48
  Speaker 1: bladder leakage. Urge, which is overactive bladder, urgency frequency, leak
• 2:52
  Speaker 1: with leak just getting your pants down, leak out of
• 2:55
  Speaker 1: the way to the toilet, leak with the key in
• 2:57
  Speaker 1: the door. Urgency that's overactive bladder. And then there's stress
• 3:01
  Speaker 1: in continence, which is leaking with cough sneezed, laugh a force.
• 3:06
  Speaker 1: So bulkamed is basically filler for the errethra. If you
• 3:10
  Speaker 1: think of filler for your cheeks or your lips, it
• 3:13
  Speaker 1: is filler for your urethra that insurance covers and that
• 3:16
  Speaker 1: helps with stress in continence so cough sneezed, laugh filler.
• 3:21
  Speaker 1: Bulkamed does not help with overactive bladder, which is urgency
• 3:25
  Speaker 1: frequency getting up at night to pe leak with that.
• 3:29
  Speaker 1: But botox, which we think of in our face botox
• 3:33
  Speaker 1: in the bladder is for overactive bladder urgency frequency. So
• 3:38
  Speaker 1: to narrow that down, stress in continents, bulkamed urgent continents,
• 3:42
  Speaker 1: overactive bladder, botox, pelvic floor physical therapy both of them,
• 3:47
  Speaker 1: vaginal estrogen both of them, and if you have both
• 3:50
  Speaker 1: of them, if I leak when I cough, and I
• 3:52
  Speaker 1: also have urgency frequency, when you have both, it's called
• 3:55
  Speaker 1: mixed incontinence. Pelvic floor physical therapy works awesome for it
• 4:00
  Speaker 1: win that I win.
• 4:01
  Speaker 2: Know where the botox is getting inserted when you do
• 4:04
  Speaker 2: it in the good question.
• 4:06
  Speaker 1: So urologists will take a flexible camera digital camera after
• 4:10
  Speaker 1: they've numbed up your bladder with numbing jelly, flexible camera
• 4:14
  Speaker 1: into the bladder and directly injected into the bladder muscle.
• 4:19
  Speaker 1: That bladder muscle is what gets spastic with overactive bladder.
• 4:22
  Speaker 1: So in the bladder outpatient procedure besides the numbing part,
• 4:27
  Speaker 1: takes two minutes. I love botox for in the bladder
• 4:31
  Speaker 1: because it's so easy, it's painless, and women do really
• 4:34
  Speaker 1: great with it. It's been after you approved since twenty thirteen,
• 4:37
  Speaker 1: so it's like not new at this point. Just nobody
• 4:40
  Speaker 1: knows about it.
• 4:41
  Speaker 2: Okay, I'm gonna try it because I've been scared to
• 4:44
  Speaker 2: try it for you.
• 4:45
  Speaker 1: Have a good urologist near Denver. I do, She'll do.
• 4:49
  Speaker 3: She'll give us the bladder Boutique. How cute? Does that?
• 4:51
  Speaker 3: That like makes you want to go in?
• 4:53
  Speaker 1: No, it's so good, doctor Alex Rogers, for anybody in
• 4:56
  Speaker 1: the foothills of.
• 4:58
  Speaker 3: Colorado, He's fantastic.
• 5:00
  Speaker 2: Okay, let's move on to there's so much discussion on
• 5:03
  Speaker 2: perimenopause right now. But what does postmenopause look like, what
• 5:08
  Speaker 2: happens in this stage of life, and how does it
• 5:10
  Speaker 2: affect the fitness journey?
• 5:13
  Speaker 1: Love that and this will be the next forty five minutes,
• 5:17
  Speaker 1: just kidding. So to define things for people, because these
• 5:20
  Speaker 1: words get thrown around and you've really got to define them.
• 5:23
  Speaker 1: So the word menopause was made up hundreds of years
• 5:27
  Speaker 1: ago by a male physician, and it means one year
• 5:30
  Speaker 1: with no natural periods. So at the three hundred and
• 5:33
  Speaker 1: sixty sixth day after you had your last period, that
• 5:37
  Speaker 1: is your official menopause day. In the years leading up
• 5:40
  Speaker 1: to that, when the ovaries are fluctuating in their horrmone production,
• 5:44
  Speaker 1: that is called peri menopause perry, meaning surrounding, but we
• 5:48
  Speaker 1: usually mean like the before of menopause. So let's say
• 5:51
  Speaker 1: it's been six months since you had a natural period,
• 5:54
  Speaker 1: that's perimenopause. You're not officially in menopause until you've had
• 5:57
  Speaker 1: no period for one year. The bummer with that is
• 6:02
  Speaker 1: two things. Number One, one third of American women don't
• 6:05
  Speaker 1: have natural periods. What they have iud's hysterectomies, uterine oblations,
• 6:12
  Speaker 1: or they just get pregnant really late and then never
• 6:14
  Speaker 1: have a period again. Right, So it's a bad definition
• 6:17
  Speaker 1: because one third of women don't have a period to
• 6:20
  Speaker 1: be like, let me check, let's see where this is
• 6:23
  Speaker 1: birth control pills, right. And then the other bummer with
• 6:26
  Speaker 1: that word is that it tells you what happens as
• 6:31
  Speaker 1: a result of what's actually happening. Let me explain that
• 6:37
  Speaker 1: the word menopause means one you're no period. Well, what's
• 6:40
  Speaker 1: happening in your life isn't just your periods running out?
• 6:43
  Speaker 1: You have no periods because your hormones are low, and
• 6:46
  Speaker 1: so a lot of women think menopause just means no periods.
• 6:50
  Speaker 1: That's actually a consequence of what's actually happening, which is
• 6:54
  Speaker 1: you are outliving your ovaries. So just like when we
• 6:57
  Speaker 1: outlive our eyes, we get glasses. We outlive our ears,
• 7:00
  Speaker 1: we get hearing aids. We outlive our teeth, we get
• 7:02
  Speaker 1: implants or dental work. We outlive our knee, we get
• 7:04
  Speaker 1: a knee replacement. We outlive our heart valve, we get
• 7:07
  Speaker 1: a heart valve replacement. I'm building this up to say,
• 7:11
  Speaker 1: why the one organ when we outlive it, we don't
• 7:14
  Speaker 1: replace it. Start thinking about things like that because people
• 7:18
  Speaker 1: will say they'll shame women into not seeking health care
• 7:22
  Speaker 1: by saying menopause is natural. Yes, it is natural. So
• 7:27
  Speaker 1: is childbirth, so is breaking a bone. And we don't
• 7:30
  Speaker 1: tell people just to deal with it. We help them
• 7:32
  Speaker 1: out with it. So that's how I like to think
• 7:35
  Speaker 1: about this, and like to think about how we encourage
• 7:40
  Speaker 1: women to seek help or not, and how we shame
• 7:42
  Speaker 1: them and tell them they should X, Y and z
• 7:46
  Speaker 1: instead of saying, well, we replace all other body parts
• 7:49
  Speaker 1: if we can, including testicles. About twenty percent of men
• 7:52
  Speaker 1: will outlive the life span of their testicles, and we
• 7:56
  Speaker 1: don't tell them it's natural. We say, oh, we've got
• 7:59
  Speaker 1: totosterone options for that. So if I could change anything,
• 8:02
  Speaker 1: it would be in getting women to understand what this
• 8:05
  Speaker 1: actually is because so many women just think it's a
• 8:08
  Speaker 1: hot flash or no periods. Those are the consequences of
• 8:13
  Speaker 1: no hormones. So that's why we always got it. I
• 8:16
  Speaker 1: always have to start with definitions because there's a lot
• 8:19
  Speaker 1: of assumptions of what it is if we don't kind
• 8:21
  Speaker 1: of clear it up in the beginning. So the question
• 8:23
  Speaker 1: was how does that affect training going forward? And the
• 8:28
  Speaker 1: other one other definition post menopause. What's that mean? Postmenopause
• 8:32
  Speaker 1: means all the days after that one day after year,
• 8:35
  Speaker 1: no periods for one year, right, so if you haven't
• 8:38
  Speaker 1: had any periods for a year and two days, you're
• 8:42
  Speaker 1: technically post menopause. But the problem with the language of
• 8:47
  Speaker 1: postmenopause is women think they're over something, or they're through something,
• 8:52
  Speaker 1: or like now things don't don't mean them, or something
• 8:56
  Speaker 1: like that. But every single day after a year of
• 9:00
  Speaker 1: no periods, you have low hormones. So there's no over menopause.
• 9:04
  Speaker 1: There's no done with menopause. You always will have low
• 9:07
  Speaker 1: hormones until you die unless you choose to replace them.
• 9:11
  Speaker 1: So to get women to think this is you living
• 9:13
  Speaker 1: longer than your ovary life span, we live longer than
• 9:17
  Speaker 1: lots of body parts. The only difference is we replace
• 9:20
  Speaker 1: all the other body parts. We just kind of shame
• 9:23
  Speaker 1: women when it comes to replacing ovarian hormones. But we
• 9:27
  Speaker 1: replace thyroid, we replace insulin, we replace joints and ligaments
• 9:33
  Speaker 1: and heart valves and teeth and eyes and ears. That's
• 9:36
  Speaker 1: a very natural thing to replace what we've outlived. And
• 9:40
  Speaker 1: I really want people to think about that. And the
• 9:43
  Speaker 1: other thing I say in my book is I'm not
• 9:45
  Speaker 1: here to tell you what to do. I don't care
• 9:46
  Speaker 1: if you go on hormones. Frankly, like I don't care
• 9:49
  Speaker 1: your body not mine. I make my choices, you make yours.
• 9:52
  Speaker 1: But I do care desperately that you're educated about it
• 9:55
  Speaker 1: and you can make an educated decision in what you
• 9:57
  Speaker 1: want to do, and you're not making a disc vision
• 10:00
  Speaker 1: from fear or for lack of education. And that's what
• 10:04
  Speaker 1: my book is about. And after you read the book,
• 10:06
  Speaker 1: you'll be like I likely we'll be choosing hormones now,
• 10:09
  Speaker 1: thank you very much, because we have decades of data
• 10:11
  Speaker 1: on how they help us. So what do hormones do
• 10:15
  Speaker 1: and how is this tie to the question hormones and
• 10:17
  Speaker 1: the hormone receptors are in every single organ in your body,
• 10:21
  Speaker 1: and hormones help healthy cells stay healthy. What does that mean?
• 10:26
  Speaker 1: That means that they don't do so good at treating
• 10:29
  Speaker 1: disease once you have it, they work much better in
• 10:32
  Speaker 1: preventing disease. So we know that women who choose not
• 10:37
  Speaker 1: to take hormones postmenopause have a higher risk of osteoarthritis. Well,
• 10:41
  Speaker 1: that affects your training, doesn't it. Women who choose not
• 10:44
  Speaker 1: to be on hormones have a higher rate of bone fracture. Well,
• 10:47
  Speaker 1: that affects your training, doesn't it. Women who choose not
• 10:50
  Speaker 1: to be on hormones have a higher rate of insulin
• 10:52
  Speaker 1: resistance and diabetes and depression. Oh, well, that all affects
• 10:57
  Speaker 1: your training, doesn't it. So you'll you'll hear people and
• 11:00
  Speaker 1: be like, hormones doesn't don't specifically help your muscles grow, well,
• 11:04
  Speaker 1: not if you don't work your muscles and feed your muscles, right,
• 11:08
  Speaker 1: But hormones help heal healthy muscles stay healthy, and we
• 11:12
  Speaker 1: have some decent data that the hormones can help muscles grow,
• 11:16
  Speaker 1: but not without eating well and training them. So you
• 11:19
  Speaker 1: can't just like throw on an estrogen patch or t
• 11:21
  Speaker 1: stostroone and like get beautiful biceps, you actually have to
• 11:24
  Speaker 1: do the work. But all hormones do is help healthy
• 11:28
  Speaker 1: cells stay healthy. So of course that likely will help
• 11:33
  Speaker 1: your training.
• 11:34
  Speaker 3: Okay, so how is that?
• 11:35
  Speaker 1: That was long? But we had to do some we
• 11:37
  Speaker 1: had to do some definitions.
• 11:38
  Speaker 3: We had to I love it.
• 11:41
  Speaker 2: Where do you see the research going in the next
• 11:45
  Speaker 2: I don't know, let's say through until twenty thirty, so we.
• 11:50
  Speaker 3: Have maybe four years of research.
• 11:54
  Speaker 2: Do you do you foresee any more research looking into
• 12:00
  Speaker 2: you know, potential muscle benefits, more bone studies.
• 12:05
  Speaker 3: Where do you see the research going?
• 12:07
  Speaker 1: What I see happening right now, that's happening pretty fast
• 12:10
  Speaker 1: is brain, brain, brain, brain, And I think this is
• 12:15
  Speaker 1: my my prediction. I won't take bets on it, but
• 12:17
  Speaker 1: my prediction is within five years we're going to pretty
• 12:21
  Speaker 1: confidently say yeah, this stuff prevents dementia on a much more.
• 12:24
  Speaker 1: We've got pretty decent data that we can say it
• 12:27
  Speaker 1: right now, but we're getting stronger and stronger on that data.
• 12:31
  Speaker 1: And so to me, I'm like, listen, if you're sitting
• 12:33
  Speaker 1: around waiting for the another thirty year study, you're gonna
• 12:37
  Speaker 1: be dead by then, right, Like we're not dead, but
• 12:39
  Speaker 1: like too old to prevent the dementia. So we have
• 12:42
  Speaker 1: to use the data that we have right now to
• 12:44
  Speaker 1: make the best decisions. And the way that the data
• 12:46
  Speaker 1: on the brain is going within a couple of years,
• 12:49
  Speaker 1: it's going to be pretty solid that if you start
• 12:51
  Speaker 1: this stuff early, you're going to have a significant dementia
• 12:53
  Speaker 1: prevention on your side. And so for me, I'm like, listen,
• 12:57
  Speaker 1: wait around if you want for that data. But like
• 13:00
  Speaker 1: all arrows are pointing in that direction, So why wouldn't
• 13:03
  Speaker 1: you start now? I think that's going to be a
• 13:06
  Speaker 1: lot more than muscle and bone. I mean, the bone
• 13:09
  Speaker 1: data we already know. Like to me, I'm like, there's
• 13:11
  Speaker 1: no more research that needs to be done to show
• 13:14
  Speaker 1: the protective benefits on bone at this point, Like everybody
• 13:18
  Speaker 1: knows that, and I think the way we're seeing more
• 13:22
  Speaker 1: midlife women train, there will probably be more and better
• 13:26
  Speaker 1: data on muscle. But again, muscle, muscle builds not on
• 13:30
  Speaker 1: hormones alone, right, So it's like you've got to lift heavy,
• 13:33
  Speaker 1: you've got to eat, you've got to sleep, Like so
• 13:36
  Speaker 1: much has to be right for a muscle to grow.
• 13:38
  Speaker 1: But can people grow muscles without being on hormones. Absolutely, yes,
• 13:42
  Speaker 1: because it takes many things to get muscles to grow.
• 13:46
  Speaker 1: But yeah, it's okay, the data's coming. But you know,
• 13:49
  Speaker 1: the argument is like, we don't have a randomized placebo
• 13:52
  Speaker 1: control trial looking at prevention, and it's like, oh, did
• 13:55
  Speaker 1: you do you have a billion dollars to cough that
• 13:56
  Speaker 1: up to have? Like that statement is so pointless because
• 14:01
  Speaker 1: of what it costs to do a long term, randomized
• 14:03
  Speaker 1: we'll seeble control trial. It's like, you got to make
• 14:05
  Speaker 1: the decision with the data we have now, because it's
• 14:08
  Speaker 1: unrealistic to wait for some philanthropists to give you a
• 14:11
  Speaker 1: billion dollars to study this.
• 14:13
  Speaker 2: Yeah. Yeah, I mean that's that's the big problem with
• 14:17
  Speaker 2: a lot of research or lack of research. It's the
• 14:20
  Speaker 2: timing and the money. Yep.
• 14:23
  Speaker 3: Okay.
• 14:24
  Speaker 2: So if we move on to what are the three
• 14:28
  Speaker 2: bogus or grifty claims products slash treatments women should be
• 14:34
  Speaker 2: wary of. I am a woman's health NP and have
• 14:37
  Speaker 2: taken the Heather Hirsh course.
• 14:40
  Speaker 1: Unfortunately, good job.
• 14:41
  Speaker 2: A lot of women in this very vulnerable time of
• 14:45
  Speaker 2: life getting taken advantage of. And I want to be
• 14:48
  Speaker 2: more educated around the things that are being peddled that
• 14:52
  Speaker 2: just aren't as effective but cost a lot of money.
• 14:56
  Speaker 1: Yes, very expensive red light vibrator, that's a thing. Yes,
• 15:01
  Speaker 1: I won't name any names.
• 15:02
  Speaker 2: Okay, that's one.
• 15:04
  Speaker 1: But if it's a big ass hard plastic vibrator with
• 15:07
  Speaker 1: red light therapy on it and it's hundreds of dollars,
• 15:11
  Speaker 1: don't buy it. Please do, please do not put this
• 15:14
  Speaker 1: clip on social media. But you can put it on
• 15:16
  Speaker 1: your podcast. That's fine. But that's specifically. So that's one
• 15:21
  Speaker 1: that really bothers me. What else? What other myths really
• 15:25
  Speaker 1: bother me? I don't know. I mean, here's the thing.
• 15:29
  Speaker 1: People complain when nobody's supporting women, supporting women's needs, supporting
• 15:34
  Speaker 1: women's products, supporting women's research. We get all cranky when
• 15:37
  Speaker 1: people aren't doing that. And then when people are like
• 15:39
  Speaker 1: female owned company trying to help women, to support women,
• 15:42
  Speaker 1: and here's some products to help women, we're like grifters, right, Like,
• 15:45
  Speaker 1: you can't have both. You can't have people not in
• 15:48
  Speaker 1: this space, and then a bunch of people in this space,
• 15:51
  Speaker 1: you know what I'm saying. So it's like, I truly
• 15:53
  Speaker 1: believe a lot of people are trying to help women
• 15:56
  Speaker 1: with women's problems. So I was at I was at
• 15:58
  Speaker 1: this entrepreneurial thing in Seattle, and somebody came up and
• 16:03
  Speaker 1: they are developing a cooling vest, like it's like a
• 16:07
  Speaker 1: sports bra thing and it helps cool you. And I'm like, great, well,
• 16:10
  Speaker 1: you know if you go on hormones that treats hot
• 16:12
  Speaker 1: flashes by ninety percent, Like, I'm literally trying to put
• 16:15
  Speaker 1: your product out of business. And she had no idea
• 16:18
  Speaker 1: that hormones treat that problem so well, So I'm like,
• 16:22
  Speaker 1: why are you developing a product that, like I am
• 16:25
  Speaker 1: trying to I'm trying to put you out of business
• 16:27
  Speaker 1: because if women actually were on hormones, they're not going
• 16:30
  Speaker 1: to have hot flashes. They don't need your product, right,
• 16:33
  Speaker 1: So it's that's the thing, is like, don't don't create
• 16:36
  Speaker 1: a product for like something that if you actually helped
• 16:38
  Speaker 1: the woman, they wouldn't have that problem.
• 16:40
  Speaker 2: Yeah, I think so. I was just at the I
• 16:44
  Speaker 2: don't know wherever I thought you were going to be,
• 16:46
  Speaker 2: but you weren't there.
• 16:47
  Speaker 1: In plain what.
• 16:50
  Speaker 2: Hers remember I saw I did with you the week
• 16:53
  Speaker 2: before and I was like, I don't know, I was
• 16:55
  Speaker 2: going to go to this.
• 16:56
  Speaker 3: One conference that you were at. Yeah, I canceled that
• 16:59
  Speaker 3: one and went to the South Run in New York.
• 17:00
  Speaker 1: Honey, but this.
• 17:02
  Speaker 2: One like we got this whole bag of goodies, you
• 17:06
  Speaker 2: know at the end. But half of these products there
• 17:08
  Speaker 2: was like some this is what I think of when
• 17:11
  Speaker 2: I think of like grifter products. It was like some
• 17:15
  Speaker 2: tea and it was like, you know, this will take
• 17:19
  Speaker 2: away cellulite and boost your energy. And I'm like, this
• 17:23
  Speaker 2: is just not getting.
• 17:25
  Speaker 3: This at a menopause conference.
• 17:27
  Speaker 2: And then there was some like there was some like
• 17:29
  Speaker 2: neck roll that's supposed to like I don't know, take
• 17:32
  Speaker 2: years off whatever.
• 17:33
  Speaker 3: I've been trying it. It's not working right.
• 17:36
  Speaker 2: But those things, of all of these products that are
• 17:39
  Speaker 2: now targeted to women in this age group that it's
• 17:42
  Speaker 2: like come.
• 17:44
  Speaker 1: On, well yeah, but I yeah, I agree. And I
• 17:46
  Speaker 1: think women are vulnerable because they're undertreated. They feel miserable.
• 17:52
  Speaker 1: They think there's a quick fix, because that's the American
• 17:55
  Speaker 1: dream is to have a quick fix to everything. Is like,
• 17:58
  Speaker 1: can I do something besides exercise, please? It's like no,
• 18:01
  Speaker 1: at the end of the day, Like at the end
• 18:03
  Speaker 1: of the day, there's like nothing actually better than exercise.
• 18:06
  Speaker 1: And here I am. I prescribe hormones for a living
• 18:09
  Speaker 1: I am a physician. I know so much about hormones.
• 18:11
  Speaker 1: I wrote a book on it. My podcast is mostly
• 18:13
  Speaker 1: about hormones. And nothing is better than exercise. Nothing is
• 18:19
  Speaker 1: better than exercise. If you were like Kelly, you could
• 18:22
  Speaker 1: wear an estrogen patch for the rest of your life
• 18:24
  Speaker 1: and not exercise, or you could exercise and not have hormones.
• 18:28
  Speaker 1: Like pick the exercise and that and hormones do a lot,
• 18:32
  Speaker 1: but nothing is better than exercise. So like to me,
• 18:34
  Speaker 1: I'm like, are all these products just trying to get
• 18:36
  Speaker 1: women to like they're like, can I do something besides exercise?
• 18:40
  Speaker 1: Like we exercise?
• 18:42
  Speaker 2: There's nothing better, There's nothing better. That's the tagline of
• 18:45
  Speaker 2: the night. Okay, that's a USU.
• 18:47
  Speaker 1: You should brand that Kelly Bapcot Fitness. There's nothing to exercise,
• 18:51
  Speaker 1: There's nothing better.
• 18:53
  Speaker 2: Yes, yes, Well think if something happens on the end,
• 18:56
  Speaker 2: and it will, it will go Okay. So, twelve years
• 19:00
  Speaker 2: post MENO, sixty six years old osteoporosis, want to start
• 19:04
  Speaker 2: transdermal low dose HRT but also have moderate calcium plaque.
• 19:09
  Speaker 2: I feel like it's a toss up fall and break
• 19:11
  Speaker 2: a hip versus heart attack. Thoughts on starting HRT. I
• 19:15
  Speaker 2: do train with a trainer three times a week.
• 19:17
  Speaker 1: I love it. So make sure you're lifting and that
• 19:21
  Speaker 1: you're eating enough proteins you can build your bones back.
• 19:23
  Speaker 1: Everybody thinks, here's another myth. Everybody thinks that a bone
• 19:27
  Speaker 1: is like a fixed rod that never changes. Like bones
• 19:31
  Speaker 1: change depending upon the stress put upon them. Why do
• 19:35
  Speaker 1: you think astronauts can't walk when they come back from
• 19:37
  Speaker 1: the International Space Station? Right, It's like because bones and
• 19:41
  Speaker 1: muscles change because of their environment. So it all is
• 19:46
  Speaker 1: not lost if you aren't on hormones. And I always
• 19:48
  Speaker 1: just want to say that, you know, because people are like,
• 19:51
  Speaker 1: but I can't take hormones. The majority, and I will
• 19:54
  Speaker 1: put I will put a ton of money on this.
• 19:57
  Speaker 1: The majority of people who think they can't take hormones
• 20:00
  Speaker 1: are wrong. I will repeat that, the majority of people
• 20:04
  Speaker 1: who think they can't take hormones are wrong. Now you
• 20:08
  Speaker 1: need a qualified, trained hormone practitioner who knows that the
• 20:13
  Speaker 1: age greater than ten years postmenopause, you can't take hormones.
• 20:17
  Speaker 1: That is a myth. It's not true. If you read,
• 20:19
  Speaker 1: I would say it's this is free online for anybody
• 20:21
  Speaker 1: who's a baild NERD twenty twenty two menopause guidelines. It
• 20:27
  Speaker 1: says benefit outweighs the risk if you start within ten
• 20:32
  Speaker 1: years of your last period, benefit out weighs the risk.
• 20:36
  Speaker 1: You need to know how strong how strongly worded that is.
• 20:42
  Speaker 1: Medical system doesn't say that for many things the benefit
• 20:46
  Speaker 1: out weighs the risk. That is a massive statement. Okay,
• 20:52
  Speaker 1: now it's ten years and one day since your last period.
• 20:57
  Speaker 1: Did something magically change on that one day? Right? You
• 21:00
  Speaker 1: can see how arbitrary that ten year rule is. Okay,
• 21:03
  Speaker 1: so nine years and eleven months before you're after your period,
• 21:07
  Speaker 1: that's fine, and then ten years and one month after
• 21:10
  Speaker 1: your period, that's not fine. Like, think about this logically,
• 21:14
  Speaker 1: it makes no sense. But they drew a line in
• 21:16
  Speaker 1: the sand. You gotta draw a line in the sand
• 21:17
  Speaker 1: somewhere and say after ten years, risk is individualized, benefits individualized.
• 21:22
  Speaker 1: Consult with an expert. A lot of people who aren't experts,
• 21:25
  Speaker 1: they say that means you can't have any hormones after
• 21:28
  Speaker 1: ten years. No, No, what it means coronary artery calcium score,
• 21:32
  Speaker 1: which is what that woman said. There is no coronary
• 21:34
  Speaker 1: artery calcium score at which hormones are contraindicated. You need
• 21:38
  Speaker 1: an expert to be able to know that though you
• 21:41
  Speaker 1: have risk, you have risk, you're older and you haven't
• 21:44
  Speaker 1: bet on hormones for ten years, there's risk, that risk
• 21:46
  Speaker 1: is very minimal, especially with a transdermal lessure dial path,
• 21:50
  Speaker 1: so you need to see an expert. Doctors are getting
• 21:54
  Speaker 1: trained faster than they ever have, doctors, nurse practitioners PAS,
• 21:58
  Speaker 1: and everybody who can prescribe. But they're still behind, but
• 22:02
  Speaker 1: they're catching up. And the boomers. I have a chapter
• 22:05
  Speaker 1: in my boot called the Boomers Are Pissed. I have
• 22:07
  Speaker 1: a podcast episode called the Boomers Are Pissed because the
• 22:10
  Speaker 1: boomers were average age fifty one in two thousand and
• 22:12
  Speaker 1: two when the media scared all the women about their
• 22:15
  Speaker 1: hormones and said hormones cause heart disease and breast cancer.
• 22:18
  Speaker 1: They do not, but they didn't get their hormones. And
• 22:20
  Speaker 1: they're fifty one and now they're seventy and they're pissed
• 22:24
  Speaker 1: because they didn't get them then and now they think
• 22:26
  Speaker 1: they can't get them now. About a third of my
• 22:28
  Speaker 1: practice is perimenopause. Because perimenopause it's a very symptomatic state
• 22:33
  Speaker 1: because it's reverse puberty, right, hormones up and down, up
• 22:35
  Speaker 1: and down, up and down. I would argue that's the
• 22:37
  Speaker 1: hardest part to treat because you're you're on a boat
• 22:43
  Speaker 1: on a wavy water. Postmenopause, you don't have any hormones.
• 22:46
  Speaker 1: There's no waves anymore. We just get to fill the boat, right,
• 22:50
  Speaker 1: So a third is perimenopause, a third is average menopause
• 22:54
  Speaker 1: fifty one year olds, and then a third of my
• 22:56
  Speaker 1: practice is women in their seventies because they're pissed because
• 23:00
  Speaker 1: their friends are breaking hips, they've got osteoporosis and osteopedia.
• 23:03
  Speaker 1: They've been told they can't have hormones and they want
• 23:07
  Speaker 1: a chance. So if you don't have an informed doctor,
• 23:10
  Speaker 1: you go to MIDI, go to Alloy, go to joy JOI.
• 23:14
  Speaker 1: There's lots of online clinics now that see women in
• 23:18
  Speaker 1: most states. And I always say, have a warm audience.
• 23:22
  Speaker 1: Right If your doctor doesn't prescribe hormones and isn't up
• 23:26
  Speaker 1: to date on all of this, that's not a really
• 23:28
  Speaker 1: warm audience. But these online clinics they prescribe hormones as
• 23:32
  Speaker 1: a business. That's their business. It's a warm audience, so
• 23:35
  Speaker 1: check them out.
• 23:36
  Speaker 2: Okay, perfect, All right, So next question I've learned recently
• 23:41
  Speaker 2: that with menopause it is common. This is like the
• 23:45
  Speaker 2: question of the night kell You're gonna love this one.
• 23:47
  Speaker 2: It is common that there is a thinning of the labia.
• 23:50
  Speaker 2: This in turn makes this tissue very easily irritated during
• 23:54
  Speaker 2: any type of friction while exercising, running, cycling, swimming. Have
• 23:58
  Speaker 2: unfortunately been dealing with this for the past few years
• 24:02
  Speaker 2: as a woman who exercises daily. Do you have any
• 24:04
  Speaker 2: suggestions to alleviate this problem?
• 24:06
  Speaker 1: Yes, fix it.
• 24:07
  Speaker 3: With vaginal estrogen, with hormones.
• 24:10
  Speaker 1: So people like again, it's it's health literacy, right, Like
• 24:14
  Speaker 1: your labia and your clitteris, and your volva and your
• 24:16
  Speaker 1: vagina and your bladder for that matter, all became adult
• 24:19
  Speaker 1: structures because of hormones. It's no mystery. If you know
• 24:24
  Speaker 1: what menopause is. You living longer than the production of
• 24:27
  Speaker 1: your ovarian hormones. So if you know what that is,
• 24:31
  Speaker 1: And now you say, oh, the things that required hormones
• 24:34
  Speaker 1: to be functional are changing because the hormones are gone. Yes, oh,
• 24:39
  Speaker 1: replace the hormones. So I mean it gets bad. You know,
• 24:43
  Speaker 1: people joke, Oh, show, what's a little vaginal dryness? Blah blah,
• 24:46
  Speaker 1: Like these women can't sit. They can't sit. Every time
• 24:49
  Speaker 1: they pee, they have to like spray their whole perineum
• 24:52
  Speaker 1: with water because it burns so much. They want to cry.
• 24:54
  Speaker 1: They've stopped having sex years ago. Like this is a
• 24:57
  Speaker 1: massively big, painful problem, and women get dismissed all the
• 25:02
  Speaker 1: time because of it. But it's like, this is a
• 25:04
  Speaker 1: legitimate issue. So hormones, hormones, hormones, hormones. See somebody who's
• 25:10
  Speaker 1: trained in a good pelvic exam, who can see what's
• 25:13
  Speaker 1: going on. There's lots of different options. There's they're cheap
• 25:18
  Speaker 1: Mark Cuban costs plus drugs vaginal estrogen thirteen dollars plus shipping.
• 25:23
  Speaker 1: Do not be I always tell all my patients you
• 25:24
  Speaker 1: should not be paying more than thirty or forty dollars
• 25:27
  Speaker 1: for your vaginal estrogen cream. I can get it for
• 25:29
  Speaker 1: thirteen dollars Mark Cuban, Pharmacy, Generic better around Forever.
• 25:34
  Speaker 2: Skin care for down there, Skin care for down there.
• 25:37
  Speaker 3: I learned that from you. Okay.
• 25:40
  Speaker 2: So, if someone has high lp A, is there an
• 25:45
  Speaker 2: increased risk for blood clots leading to heart attack and
• 25:48
  Speaker 2: stroke from using an estrogen patch. No, I LPA is
• 25:53
  Speaker 2: a risk factor by itself for sticky or blood promoting
• 25:57
  Speaker 2: Arthur scrolerosis. It is genetic like familiar hypo cholesterol.
• 26:04
  Speaker 3: Cholesterol.
• 26:05
  Speaker 1: Lema, helly, you're doing awesome. These are hard these are
• 26:09
  Speaker 1: hard words. Good job.
• 26:11
  Speaker 3: First of all, my eyes are terrible.
• 26:13
  Speaker 1: I the question last week, you're sitting in the dark.
• 26:16
  Speaker 1: First of all, you.
• 26:17
  Speaker 2: So Kelly said you look like a floating head black
• 26:21
  Speaker 2: with a black background.
• 26:22
  Speaker 3: So now I feel like I need to show Neil.
• 26:25
  Speaker 1: He's in a dark cave everybody, and she's reading very
• 26:27
  Speaker 1: hard words and she needs her reading glasses and she
• 26:29
  Speaker 1: is doing great.
• 26:30
  Speaker 3: And a person is born with that. Okay, that was
• 26:32
  Speaker 3: the question. Whew, another one of those.
• 26:36
  Speaker 1: Yeah, well you did great. So LP little A is
• 26:39
  Speaker 1: basically a technical form of cholesterol, for lack of a
• 26:42
  Speaker 1: better term, it's a newer risk factor. Not everybody checks it,
• 26:47
  Speaker 1: not all insurances cover it, but it is actually a
• 26:50
  Speaker 1: more accurate risk factor than LDL cholesterol alone or total
• 26:54
  Speaker 1: cholesterol alone, I think, especially in the female community. So
• 26:59
  Speaker 1: everybody says it's genetic and fixed and you can't do
• 27:01
  Speaker 1: a darn thing about it. Not true. Guess what lowers
• 27:04
  Speaker 1: LP little a estrogen? So every time I see like
• 27:07
  Speaker 1: it's this is a fixed gen I just read it
• 27:09
  Speaker 1: in the Economists this week. It's a fixed genetic component.
• 27:11
  Speaker 1: Uh ah, I guess what happened to my LP little
• 27:13
  Speaker 1: A when I threw on my estragar patch. So so
• 27:16
  Speaker 1: there you go. Cardiac risk does go up when hormones
• 27:19
  Speaker 1: go down because estrogen is anti inflammatory. Estrogen helps keep
• 27:23
  Speaker 1: cholesterol low. And we can go into that further so
• 27:26
  Speaker 1: people understand it. But LP little A is not a
• 27:29
  Speaker 1: contraindication to hormone therapy. If anything, it's a reason to
• 27:32
  Speaker 1: consider hormone therapy, right, Like, decrease your risks as much
• 27:35
  Speaker 1: as possible and make sure your metabolic health is dialed
• 27:39
  Speaker 1: in if you've got some risk factors optim Because here's
• 27:43
  Speaker 1: the thing, this will be the next book. People think
• 27:46
  Speaker 1: that their health is like fixed, Like, oh, this is
• 27:48
  Speaker 1: how it is. Like No, why do you think the
• 27:50
  Speaker 1: astronauts don't walk when they come back to earth? Because
• 27:52
  Speaker 1: your body changes based upon the forces surrounding it, what
• 27:56
  Speaker 1: you feed it, how you move it, how you sleep,
• 27:59
  Speaker 1: how you deal with stress. Are you feeling it? Alcohol?
• 28:01
  Speaker 1: For the love of God, if you have a risk
• 28:03
  Speaker 1: factor of heart disease, do not effing drink alcohol. Right, Like,
• 28:07
  Speaker 1: that's what I want people to understand because they're like, oh,
• 28:09
  Speaker 1: this is how it is. I got delta bad hand. No,
• 28:11
  Speaker 1: you didn't know, you didn't like some The genetic risk
• 28:14
  Speaker 1: for disease is actually very small compared to lifestyle risk
• 28:18
  Speaker 1: for disease.
• 28:19
  Speaker 2: Yes, you're dropping bombs left and right, Kelly, I'm gonna
• 28:23
  Speaker 2: just walk around.
• 28:23
  Speaker 1: So I've been doing this for a while, Haley, because
• 28:25
  Speaker 1: I think LP little so my first rodeo Haley.
• 28:29
  Speaker 2: Okay, if somebody's on estrogen gel and progesterone for for
• 28:33
  Speaker 2: four to five months but still experience breakthrough bleeding went
• 28:37
  Speaker 2: through menopause five years ago, is there should you be concerned?
• 28:41
  Speaker 1: I usually say it about six months again, like you know,
• 28:45
  Speaker 1: are your hormone levels too high? Is something too low?
• 28:49
  Speaker 1: I hate the word balance, but I would think, like,
• 28:51
  Speaker 1: you know, what's what are the doses can be adjusted,
• 28:55
  Speaker 1: but especially in early menopause, like your tissues are just
• 28:58
  Speaker 1: responding to hormones that you that you're giving them. So
• 29:01
  Speaker 1: uh takes a while, but if it you know, to me,
• 29:03
  Speaker 1: I have a very low threshold for getting a vaginal
• 29:05
  Speaker 1: ultrasound just to see what's going on. You have a fibroid. That's,
• 29:08
  Speaker 1: you know, liking to bleed because you're giving it hormones.
• 29:12
  Speaker 1: But I have a low threshold for working it up.
• 29:14
  Speaker 1: But especially in young menopause, when you start hormones, it
• 29:17
  Speaker 1: can bleed again because the uterus loves hormones. So the
• 29:20
  Speaker 1: uters is just kind of waking up.
• 29:22
  Speaker 2: Okay, I'm on the wavy boat, Kelly, I'm on the
• 29:25
  Speaker 2: way boat, and I want to get off. I don't.
• 29:28
  Speaker 1: I want to get off the wavy sea sick. But
• 29:31
  Speaker 1: I lost my cookies on this waving boat.
• 29:34
  Speaker 2: I've lost my cookies. I left my dog outside last night,
• 29:37
  Speaker 2: like luckily not all night because it was cold, but
• 29:40
  Speaker 2: things that I just don't don't do.
• 29:42
  Speaker 3: And the floodgate's are open.
• 29:44
  Speaker 1: Yeah, it's yours, and adjust your hormones, Hayley.
• 29:48
  Speaker 3: I know I need to talk to Heather.
• 29:49
  Speaker 1: We need to, we need to, we need to dial
• 29:51
  Speaker 1: it in and let's let's let's expand that to be
• 29:55
  Speaker 1: useful to other people here. Hormone therapy is not one
• 29:57
  Speaker 1: size fits all. And the thing I see very commonly,
• 30:01
  Speaker 1: especially in the insurance based healthcare system, where like you
• 30:03
  Speaker 1: might see your doctor once a year or twice a year,
• 30:05
  Speaker 1: as people are like, Carls didn't work for me. No,
• 30:09
  Speaker 1: you just didn't adjust them as need right. So that
• 30:13
  Speaker 1: is like, oh, you might need things adjusted right now,
• 30:16
  Speaker 1: might need some more estrogen.
• 30:17
  Speaker 3: Like so I just.
• 30:19
  Speaker 2: Saw this on Instagram. Does estrogen? Is that like progesterone
• 30:24
  Speaker 2: helps you fall asleep and then estrogen helps you stay asleep?
• 30:27
  Speaker 1: Yep.
• 30:28
  Speaker 2: If I'm waking up in the middle of the night.
• 30:30
  Speaker 2: I'm not trying to turn this into the Haley Show, somebody.
• 30:33
  Speaker 1: It is the Haley Show, though, so it does get
• 30:35
  Speaker 1: to be about Haley.
• 30:36
  Speaker 2: Somebody asked us in Shred and I was like, that's
• 30:38
  Speaker 2: a good question.
• 30:39
  Speaker 3: That's me too.
• 30:40
  Speaker 2: So if you're waking up in the middle of then
• 30:43
  Speaker 2: I could an estrogen does change help?
• 30:47
  Speaker 1: Yep? Or a progesterone they both can help?
• 30:50
  Speaker 3: Okay, yep?
• 30:52
  Speaker 1: Yes is the answer?
• 30:53
  Speaker 3: Yes?
• 30:54
  Speaker 2: I love The answer is tonight's related to menopause and
• 30:57
  Speaker 2: is there anything you can recommend to get rid of it.
• 31:00
  Speaker 2: I'm on hormone therapy and it has subsided during the day,
• 31:02
  Speaker 2: but the nights are still noisy. Ah.
• 31:04
  Speaker 1: Interesting, lots of reasons. So tonight is for people who
• 31:08
  Speaker 1: don't know that's ringing in the ears. It's super annoying.
• 31:11
  Speaker 1: It's like drive underagina, right, Like how bad is driv vagina?
• 31:13
  Speaker 1: It's like how bad is ringing in the ear? Dude,
• 31:15
  Speaker 1: it's bother. It's a problem. Like it's like you blurry eyes, right,
• 31:19
  Speaker 1: how bad is dry eyes? It's a problem. Like all
• 31:21
  Speaker 1: of these things are a problem. So ringing the ears
• 31:24
  Speaker 1: can happen for many reasons. Low, low, or fluctuating hormones
• 31:29
  Speaker 1: is one of them. So to me, I would be like,
• 31:31
  Speaker 1: you know, what's your dose? Do you want to try
• 31:33
  Speaker 1: our higher dose? But it's not. Hormones don't fix everything
• 31:37
  Speaker 1: that ails us, but they help healthy cells stay healthy.
• 31:40
  Speaker 1: And sometimes our doses do need to be adjusted. And yes,
• 31:43
  Speaker 1: it's a thing. There's more vertigo. My grandma had horrific
• 31:49
  Speaker 1: vertigo and my mom has bad vertigo, And so I
• 31:53
  Speaker 1: always care about the conditions that I'm like, Hey, does
• 31:55
  Speaker 1: hormones help decrease these things that my ladies have? Right?
• 31:59
  Speaker 1: Women who take hormones have less vertigo. Women who take
• 32:02
  Speaker 1: hormones have less macular degeneration. So again, hormones help healthy
• 32:10
  Speaker 1: cells stay healthy. I want to have healthy cells as
• 32:14
  Speaker 1: long as I can. That's the thing to think about.
• 32:16
  Speaker 1: It's like, don't just try to fix it once it's broken.
• 32:18
  Speaker 1: We want to keep the ship upright. We don't want
• 32:21
  Speaker 1: to pull the ship from the bottom of the ocean.
• 32:23
  Speaker 1: We want to keep it up right. We want to
• 32:24
  Speaker 1: keep the water from going in the ship.
• 32:26
  Speaker 3: Yes, keep the water out of the ship. Okay.
• 32:29
  Speaker 2: For someone who has an elevated risk of breast cancer
• 32:33
  Speaker 2: and a history of seizures, is there any Are there
• 32:37
  Speaker 2: any forms of hormones that are safe to take?
• 32:39
  Speaker 1: Hormones don't cause breast cancer. Let's figure that out first.
• 32:43
  Speaker 1: So really, it's a what is it? What's that called
• 32:46
  Speaker 1: a non sequitor when you're like saying something but like,
• 32:49
  Speaker 1: hormones aren't even related to this question, Like, hormones don't
• 32:52
  Speaker 1: cause breast cancer. Next question, So optimize. If you have
• 32:56
  Speaker 1: a high family risk of breast cancer, you better not
• 32:58
  Speaker 1: be e f and drink and any alcohol. Girlfriend, ten
• 33:00
  Speaker 1: percent of breast cancers are from alcohol in this country,
• 33:02
  Speaker 1: knock it off.
• 33:03
  Speaker 3: What about seizures.
• 33:05
  Speaker 1: Seizures are not a reason not to be on hormones.
• 33:07
  Speaker 1: I'm not sure why they think that is.
• 33:10
  Speaker 2: Okay, And I'm also going to throw in the legal
• 33:12
  Speaker 2: advice that Kelly is not your is not anyone's physician.
• 33:17
  Speaker 3: This is for.
• 33:18
  Speaker 1: Education purposes only. Red hairing. I'm like, what is that word?
• 33:23
  Speaker 1: When you just say something that's like random and not related?
• 33:26
  Speaker 1: Is that a red herring? I don't know.
• 33:27
  Speaker 3: I think so.
• 33:28
  Speaker 1: But in all serious is if that person was my patient,
• 33:31
  Speaker 1: I would say, what is your actual risk for breast cancer?
• 33:34
  Speaker 1: Are you up to date on screening? Do you need
• 33:37
  Speaker 1: a bigger genetic workout work up? I send people to
• 33:40
  Speaker 1: my geneticist people when they want to, right, because these
• 33:44
  Speaker 1: women they're just sitting passively being like, I've got this risk,
• 33:47
  Speaker 1: I better not do anything for my health. Right, And
• 33:50
  Speaker 1: it's like, why do you think Let's have people think
• 33:52
  Speaker 1: for a hot second, why do you think that most
• 33:54
  Speaker 1: women who are diagnosed with breast cancer are postmenopause, not
• 33:57
  Speaker 1: on any hormones. Like the majority of people who get
• 34:00
  Speaker 1: breast cancer have no hormones in their bodies.
• 34:02
  Speaker 2: Let's let that sink in, sinking in, right, it's sinking in.
• 34:07
  Speaker 1: And the Big two thousand and two Women's Health Initiative,
• 34:10
  Speaker 1: people who are on estrogen alone at a twenty percent
• 34:13
  Speaker 1: decrease risk of breast cancer. And if you got breast cancer,
• 34:17
  Speaker 1: you died less if you were on hormones leading up
• 34:20
  Speaker 1: to the breast cancer diagnosis. Like, get educated. I can't
• 34:26
  Speaker 1: encourage people to get more educated on this. You're living
• 34:29
  Speaker 1: in fear. You're making shitty health decisions because you're afraid
• 34:33
  Speaker 1: get educated about this. Like living in fear sucks, absolutely sucks.
• 34:39
  Speaker 1: Like knock it off, feisty tonight, Haley, But this is
• 34:43
  Speaker 1: this is in the dark, Haley.
• 34:47
  Speaker 2: In the dark and Kelly after dark. Okay, what about
• 34:52
  Speaker 2: cardiac health? That that too, is like a cardiac risk
• 34:57
  Speaker 2: for someone over sixty five, same thing you kind of
• 34:59
  Speaker 2: covered that, right.
• 35:00
  Speaker 1: Oh well, cardiac risk is not a contraindication to hormone therapy.
• 35:05
  Speaker 1: And remember when we say hormone therapy, what do people
• 35:08
  Speaker 1: think of They think of swallowing an estrogen pill. Right,
• 35:12
  Speaker 1: Hormones are a very big tent, very big tent. Lots
• 35:17
  Speaker 1: of animals in the zoo, right, vaginal estrogen like wallabies
• 35:22
  Speaker 1: and koalas both. Right, So when people say hormones, they
• 35:27
  Speaker 1: the colloquial thought is estrogen or oral estrogen, which is
• 35:32
  Speaker 1: what the risks were. And remember the risk from the
• 35:34
  Speaker 1: wr was oral synthetic that was oranges. We're applying that
• 35:39
  Speaker 1: to Apple, it's very different. So under the hormone tent,
• 35:42
  Speaker 1: we've got progesterone, testosterone, transdermal estrogen, vaginal estrogen, all these
• 35:47
  Speaker 1: different things. And so if you think I can't take hormones,
• 35:51
  Speaker 1: that's insane. That's a very big tent. You got to
• 35:53
  Speaker 1: break it down and be specific. So cardiac risk factors,
• 35:56
  Speaker 1: there's you know, what are you know, what are your
• 35:59
  Speaker 1: cardiac risk factors? And how would starting hormones make that worse?
• 36:03
  Speaker 1: Think about it biologically, physiologically, for cellularly, right, like this
• 36:08
  Speaker 1: is this is all logic and biology. It's actually once
• 36:11
  Speaker 1: you know it, and the experts like this isn't We're
• 36:15
  Speaker 1: not talking about like beliefs in Santa Claus Like this
• 36:18
  Speaker 1: is like science and health. It's like not that bad,
• 36:21
  Speaker 1: it's not that scary once you understand it. Factor five
• 36:25
  Speaker 1: Leiden is not a contraindication to hormone therapy.
• 36:27
  Speaker 2: Oh I love you just saw that one coming in. Okay,
• 36:31
  Speaker 2: there's a whole there's a whole bunch there. What are
• 36:34
  Speaker 2: the options ten years post meno to preserve bone health
• 36:39
  Speaker 2: at sixty so you can still like start and see
• 36:43
  Speaker 2: bone benefits after some Yeah.
• 36:44
  Speaker 1: We start women in their seventies on hormones all the time. Okay,
• 36:48
  Speaker 1: you need a trained clinician who understands individual risks and benefits, right,
• 36:52
  Speaker 1: So for me, for me to be like everybody, No,
• 36:56
  Speaker 1: you have individual risks and benefits, but the majority this
• 37:01
  Speaker 1: is what I Why are you? Why are you making
• 37:04
  Speaker 1: age an issue? Like what other health condition are you?
• 37:06
  Speaker 2: Like?
• 37:06
  Speaker 1: Nope, because you're fifty seven? Like do we do that
• 37:10
  Speaker 1: to men? Sorry? Men over the age of sixty, you
• 37:12
  Speaker 1: can't have estosterone? Like this age thing is very stupid,
• 37:16
  Speaker 1: but it came because the guidelines say risk benefit outweighs
• 37:21
  Speaker 1: risk ten years under. But have you ever been to
• 37:25
  Speaker 1: a high school reunion?
• 37:26
  Speaker 3: Like, everyone's never been to any I went to? Well
• 37:29
  Speaker 3: that's it.
• 37:29
  Speaker 1: Yeah, I'm not. I have thirty coming up, but I'm
• 37:32
  Speaker 1: not sure if I'm going to go. But the whole
• 37:34
  Speaker 1: point is for anybody who's been to a high school reunion,
• 37:36
  Speaker 1: you're all the same age. Do y'all look the same? No? Right,
• 37:41
  Speaker 1: health risks you know, X, Y, and Z, so like,
• 37:44
  Speaker 1: don't use age as a reason that you can or
• 37:48
  Speaker 1: can't do and do anything. It's it's it's very paternalistic.
• 37:53
  Speaker 1: It's very not individualized. It's a stupid way to think
• 37:58
  Speaker 1: about things.
• 37:59
  Speaker 2: Okay, could you please talk about obtaining testosterone in Canada
• 38:04
  Speaker 2: and how to present to a doctor as this seems
• 38:06
  Speaker 2: to be done very rarely here, not like FDA approved
• 38:09
  Speaker 2: for libido, although should be approved for other things as well.
• 38:13
  Speaker 1: Canada man like Canada, so I ever, just Rid. Everybody
• 38:18
  Speaker 1: knows I take care of Canadians. I live twenty miles
• 38:20
  Speaker 1: from the Canadian border. Canada's got some healthcare issues, but
• 38:24
  Speaker 1: Canada's got legitimate access issues. But every providence is different
• 38:30
  Speaker 1: on can you seek second opinions and can you pay
• 38:33
  Speaker 1: cash for concier like every providence is different in Canada,
• 38:38
  Speaker 1: So it is it's individualized. I'd say get educated, advocate
• 38:43
  Speaker 1: for yourself. Once we're America is going to get an
• 38:47
  Speaker 1: FDA approved female dose testosterone probably within the next three years,
• 38:50
  Speaker 1: and that's gonna be a very exciting time because because
• 38:53
  Speaker 1: I'm already busy, wait wait till that happens. So it's coming.
• 39:00
  Speaker 1: I mean Australia, New Zealand, South Africa and the UK
• 39:02
  Speaker 1: already have a female dose diest asterone product, so I
• 39:06
  Speaker 1: don't know, that's what I'm saying Canada's underserved. Canadians are
• 39:09
  Speaker 1: suffering greatly. The Canadian system is broken in different ways
• 39:15
  Speaker 1: than the American system is broken, but access is a
• 39:18
  Speaker 1: big problem.
• 39:19
  Speaker 2: In ken I'm telling you, the Aussies have it figured out.
• 39:22
  Speaker 2: They have the testosterone dose, they have you know, social
• 39:26
  Speaker 2: media ban.
• 39:27
  Speaker 3: They are just leading the way down there.
• 39:30
  Speaker 1: They've been a pretty sweet system. I actually like, you know,
• 39:33
  Speaker 1: when I was over there and I was learning about it,
• 39:34
  Speaker 1: I'm like, uh, can America have this system? It's like
• 39:39
  Speaker 1: pay for more individualized care. But they've got a nice
• 39:42
  Speaker 1: safety net if you can't do that. Like, I like
• 39:45
  Speaker 1: it from everything I've read about it and experience and
• 39:47
  Speaker 1: talk to people when I was there, I'm like, Australia
• 39:49
  Speaker 1: is good, but this is what's not good about Australia.
• 39:52
  Speaker 1: Just to pick on Australia for a second, guess what
• 39:55
  Speaker 1: happened in twenty twenty five. Dementia became the leading cause
• 39:58
  Speaker 1: of death and the k the UK is right behind.
• 40:02
  Speaker 3: Yikes.
• 40:02
  Speaker 1: Yeah, America America would be if we just didn't die
• 40:05
  Speaker 1: so much sooner from other crappy things. It's a testament
• 40:09
  Speaker 1: to their living longer. But they've got legitimate metabolic health
• 40:13
  Speaker 1: crazy drinkers, right, So like dementia is now their leading
• 40:17
  Speaker 1: cause of death. It's frightening.
• 40:19
  Speaker 2: I understand HRT and how it can alleviate some metopause symptoms,
• 40:22
  Speaker 2: but if the choice is no HRT, how can natural
• 40:26
  Speaker 2: how can you use natural substances to get similar results?
• 40:29
  Speaker 3: I'm looking for relief from hot flashes?
• 40:32
  Speaker 1: Ah, well, the question is what is why can't you
• 40:35
  Speaker 1: take hormones? Because remember what I said earlier, the majority
• 40:38
  Speaker 1: of people who think they can't take hormones can take hormones,
• 40:40
  Speaker 1: and there is there is nothing more natural than what
• 40:43
  Speaker 1: you're overy naturally produces. Don't be fooled into thinking there's
• 40:46
  Speaker 1: something more natural than what you're overy naturally produces. That says,
• 40:51
  Speaker 1: that's like the definition of natural is just exactly what
• 40:54
  Speaker 1: you always made and then just giving it back to
• 40:56
  Speaker 1: So that would be my question is like why can't
• 40:58
  Speaker 1: you take hormones? And then number two, there's non hormonal
• 41:02
  Speaker 1: FDA approved medications for hot flashes vioza is, besilinitent and
• 41:07
  Speaker 1: n xolinitin, which just got FT approved. They're expensive, af
• 41:11
  Speaker 1: they don't protect your bones, they don't do anything else.
• 41:14
  Speaker 1: They only work on hot flashes, So they're like ten
• 41:17
  Speaker 1: times the cost and they only fix one thing, but
• 41:20
  Speaker 1: they are available. And the other thing is exercise, exercise, exercise, exercise, exercise,
• 41:26
  Speaker 1: exercise helps a lot.
• 41:28
  Speaker 2: Okay, moving on to Addie. Thoughts on it and how
• 41:31
  Speaker 2: long do you have to take it? Is it like
• 41:34
  Speaker 2: Viagra where you have to take it daily like to
• 41:36
  Speaker 2: get in the mood or is it working on other
• 41:40
  Speaker 2: good questions?
• 41:41
  Speaker 1: So, Addie is an FDA approved medication for hypoactive sexual
• 41:46
  Speaker 1: desire disorder, which is a medical term for low libido.
• 41:49
  Speaker 1: It is a once daily pill taken at night. Side
• 41:52
  Speaker 1: effects include mild weight loss and better sleep, So nice parks,
• 41:56
  Speaker 1: don't drink to the more than two alcoholic drinks a day,
• 42:00
  Speaker 1: or skip your dose. The generic is called flobanserine. It
• 42:04
  Speaker 1: has been FDA proof for years now. Not many people
• 42:07
  Speaker 1: know about it. Cost is an issue for many people.
• 42:11
  Speaker 1: It is not like Viagra viagre. How does viagra work?
• 42:14
  Speaker 1: Viagra's of blood flow drug blood flow. Blood flow to
• 42:18
  Speaker 1: the penis equals erections, blood flow to the glitterus equals orgasms.
• 42:22
  Speaker 1: So Viagar's a blood flow drug. Addy or flobanserine, same thing,
• 42:27
  Speaker 1: just generic and Brandy. It is a dopamine drug, So
• 42:33
  Speaker 1: why do you desire things because of your dopamine pathway
• 42:36
  Speaker 1: in the brain. You desire things that are rewarding, right,
• 42:40
  Speaker 1: So don't take a drug and hopes that it's going
• 42:42
  Speaker 1: to increase your desire. If sex isn't good for you
• 42:45
  Speaker 1: in the first place, right, you'll never make me crave
• 42:47
  Speaker 1: mushy broccoli. Can't do it no matter if, even if
• 42:50
  Speaker 1: you increase my dopamine, I don't like it. So that's
• 42:55
  Speaker 1: I think that's the issue for a lot of women
• 42:57
  Speaker 1: is they don't understand how sex works in the first place.
• 42:59
  Speaker 1: They I haven't been prioritizing good sex in the first place.
• 43:02
  Speaker 1: And then they're like, I really wish I loved shitty sex,
• 43:05
  Speaker 1: and I'm like, you can't. You can't love shitty sex.
• 43:07
  Speaker 1: It doesn't work that way. So work on the sex.
• 43:11
  Speaker 1: And then if you want to want and sex is rewarding,
• 43:14
  Speaker 1: you just want to want it. That's where these medications
• 43:16
  Speaker 1: come in. So I always recommend reading my book, listening
• 43:19
  Speaker 1: to my podcast Understand Sex First. We did not get
• 43:22
  Speaker 1: a good sex education. Understand sex first, understand the medications
• 43:25
  Speaker 1: and option. But what happens when a woman doesn't understand
• 43:30
  Speaker 1: how sex works or their brain works, and you just
• 43:31
  Speaker 1: give her a pill and then guess what, the pill
• 43:33
  Speaker 1: didn't work, shocking. Then she feels like a medication failure
• 43:36
  Speaker 1: and she feels worse. So to me, it's education, education, education,
• 43:40
  Speaker 1: and then try it. It's a very safe drug. To me,
• 43:43
  Speaker 1: I'm like, it's incredibly safe and it helps about sixty
• 43:46
  Speaker 1: percent of people. Cost is the problem, and sex education
• 43:50
  Speaker 1: can go a long way. And dollar for dollar testosterone
• 43:55
  Speaker 1: helps desire as much as Addie does, and it's way
• 43:59
  Speaker 1: cheaper and it also helps with other things. So yeah, Actually,
• 44:04
  Speaker 1: I just had an abstract at a medical conference. I
• 44:07
  Speaker 1: think it was the Sexual Medicine Society in North America
• 44:10
  Speaker 1: last month a month before. I don't know. I didn't go.
• 44:12
  Speaker 1: I've I've been busy doing taking box warnings off of
• 44:15
  Speaker 1: vaginal estrogen. But basically was a comparison between testosterone and
• 44:19
  Speaker 1: Addie and Filisi and like, dollar for dollar testosterone is
• 44:25
  Speaker 1: an excellent bang for your book, but not everybody can
• 44:28
  Speaker 1: access that. And I have nothing wrong with Addie, Like,
• 44:33
  Speaker 1: my only complaint is women don't have sex. Ad That's
• 44:35
  Speaker 1: not ADDIE's fault. ADDIE's an excellent, very safe drug.
• 44:40
  Speaker 2: Okay, do you recommend peptide therapy where indicated? What is
• 44:44
  Speaker 2: the best way to find a highly competent doctor offering
• 44:47
  Speaker 2: this any downside to this treatment?
• 44:49
  Speaker 1: Yeah? So for people who don't know, peptides are basically
• 44:53
  Speaker 1: pieces of proteins. It's all a peptide is. Peptide is
• 44:56
  Speaker 1: like a very sexy term right now, That's all it
• 44:58
  Speaker 1: means is it's a piece of a protein. Like, let's
• 45:02
  Speaker 1: not give it any more magic than it is. Glp
• 45:04
  Speaker 1: Ones are peptides. Yeah, So like when you say it,
• 45:07
  Speaker 1: when people say peptide therapy, you have to be more
• 45:09
  Speaker 1: specific because there's tons of peptides out there. Most peptide
• 45:14
  Speaker 1: in the peptide land. Glp ones are like the most
• 45:18
  Speaker 1: well known, most well used. But there's a It's not
• 45:23
  Speaker 1: that peptides don't work. I'm not talking glp ones now. Now,
• 45:27
  Speaker 1: I'm talking about like the ones that are not FD approved.
• 45:29
  Speaker 1: It's that the source, the source for them is very challenging,
• 45:35
  Speaker 1: Like how do you know you're getting a safe source?
• 45:37
  Speaker 1: Even more like, say you've got a doctor who's going
• 45:38
  Speaker 1: to give you peptides, how do you know it's sourced well?
• 45:40
  Speaker 1: Like that you've got to do your homework on that,
• 45:43
  Speaker 1: and there is not much research. So it's a lot
• 45:47
  Speaker 1: of like the longevity world, and they'll agree. I'm not
• 45:50
  Speaker 1: picking on the longevity world. I think they'll agree with this.
• 45:52
  Speaker 1: Longevity likes evidence adjacent, not evidence based evidence adjacent. So
• 46:00
  Speaker 1: buyer beware on sourcing on these things, and there's not
• 46:04
  Speaker 1: a lot of data. So to me, I'm like, okay,
• 46:06
  Speaker 1: make this make sense. Women are afraid of their hormone.
• 46:09
  Speaker 1: They're overring naturally makes that has so much data, it's
• 46:12
  Speaker 1: been around for eighty years. But you want to go
• 46:15
  Speaker 1: inject your shit yourself with non ift approved, sketchy source
• 46:19
  Speaker 1: ship that has no research behind it and pay and
• 46:21
  Speaker 1: pay like six times the cost. Like if you care
• 46:24
  Speaker 1: about safety cost and that I mentioned safety h hormones,
• 46:31
  Speaker 1: you're overry naturally makes comes to mind. Yeah, but women
• 46:34
  Speaker 1: don't want that. Women want fast, trendy new It's like,
• 46:39
  Speaker 1: let me, let me tell you about something that's eighty
• 46:40
  Speaker 1: years old. Estrogen in testosterone and.
• 46:43
  Speaker 2: Exercise and oh yeah, and exercise.
• 46:47
  Speaker 1: Okay, I don't just as so, I don't think peptides
• 46:50
  Speaker 1: are bullshit, but we've got serious access problems and we
• 46:52
  Speaker 1: have serious research data problems with them, so dollar for dollar,
• 46:56
  Speaker 1: I'm gonna put my money in other places.
• 46:58
  Speaker 2: First, Okay, so is testosterone? Should it be tested at
• 47:03
  Speaker 2: a certain time of day or a certain time of month?
• 47:05
  Speaker 3: Does it matter?
• 47:06
  Speaker 1: Doesn't matter? The myth was earlier in the day the better.
• 47:10
  Speaker 1: There's a little bit of truth to that, because we
• 47:14
  Speaker 1: tend to make to stoshroone when we're sleeping, but that
• 47:16
  Speaker 1: data is becoming less convincing. So to me, it depends like,
• 47:21
  Speaker 1: are you on testosterone? Do we want to check it
• 47:23
  Speaker 1: right after your dose to see what your peak is?
• 47:25
  Speaker 1: Do we want to check it eight hours after your
• 47:27
  Speaker 1: dose to see what your trough is? Or you're not
• 47:29
  Speaker 1: on testosterone. We just want to get a baseline that
• 47:31
  Speaker 1: check it whenever.
• 47:32
  Speaker 2: Okay, for those without a uterus and take progesterone, but
• 47:37
  Speaker 2: wonder if they should be cycling it. If so, can
• 47:40
  Speaker 2: you go long periods without it and then just take
• 47:42
  Speaker 2: it when you feel like you need to balance the
• 47:44
  Speaker 2: excess of estrogen or how does the cycling work.
• 47:47
  Speaker 1: If you have excess estrogen? Fix that shit? First? To me,
• 47:50
  Speaker 1: I'm like, there's no there's a little bit of truth
• 47:53
  Speaker 1: to balancing, But a lot of the time. There's no
• 47:55
  Speaker 1: truth to balancing, So that's a little niche of a conversation.
• 47:59
  Speaker 1: But if your post menopause, remember you have no hormones,
• 48:02
  Speaker 1: you're just adding them in. So if your estrogon's too high,
• 48:06
  Speaker 1: then your estrogon's too high. Don't don't put something else on,
• 48:09
  Speaker 1: Like if you've got a meal that's too salty, Like
• 48:12
  Speaker 1: you shouldn't have put the salt in, but now you're
• 48:14
  Speaker 1: trying to put something into like make it less salty, right, Like, no,
• 48:18
  Speaker 1: just don't put that much. Don't put to them.
• 48:21
  Speaker 3: Tonight are on fire. I'm loving it, dude.
• 48:25
  Speaker 1: Progesterone is awesome. Progesterone is so good for the brain.
• 48:28
  Speaker 1: It's we've got bone data for it. If you're taking
• 48:32
  Speaker 1: estrogen at a minimum, you should be taking progesterone at
• 48:34
  Speaker 1: least two weeks out of the month. Most people postmenopause
• 48:37
  Speaker 1: just take it all the time. It get helps so
• 48:40
  Speaker 1: well with sleep. Like women are like, why would I
• 48:42
  Speaker 1: only take this twice a two weeks out of the month.
• 48:44
  Speaker 1: That's nuts.
• 48:45
  Speaker 3: Yeah, Okay.
• 48:46
  Speaker 2: If you're on birth control and don't get a regular period,
• 48:49
  Speaker 2: how do you know when you've hit menopause. I'm in
• 48:52
  Speaker 2: my forties and I'm perimenopause, so start taking estragile patch.
• 48:56
  Speaker 2: It's helped tremendously, But I'm curious about how to know
• 49:00
  Speaker 2: when the next stage comes.
• 49:01
  Speaker 1: Yeah, it doesn't really matter.
• 49:02
  Speaker 3: There you go, why does it matter? I guess it doesn't.
• 49:06
  Speaker 1: Does it matter? No, You're already on extra dial. That's
• 49:08
  Speaker 1: the thing. That's the thing. And I will encourage you
• 49:11
  Speaker 1: to think about this. Like everything I say is backed
• 49:14
  Speaker 1: up with like data and science and in my book,
• 49:16
  Speaker 1: like you never have to take Kelly's word for it.
• 49:18
  Speaker 1: It's all out there, my friends. It was not born
• 49:20
  Speaker 1: with this knowledge. I got it from somewhere. So menopause
• 49:24
  Speaker 1: means one year with no natural period. That is a
• 49:27
  Speaker 1: thing that happens because of low hormones. Well, you have
• 49:30
  Speaker 1: fluctuating hormones that are sometimes low and perimenopause, right, So
• 49:32
  Speaker 1: it's like it doesn't matter if the treatment is hormones.
• 49:36
  Speaker 1: It doesn't matter if your postmenopause or menopause. It's a
• 49:39
  Speaker 1: made up line in the sand.
• 49:42
  Speaker 2: Is there anything that somebody should be asking their physician
• 49:46
  Speaker 2: specifically in a topical cream, like for testosterone anything, Like
• 49:51
  Speaker 2: they have all of the symptoms they want to take.
• 49:54
  Speaker 2: They haven't taken hormones before. But is there any questions
• 49:57
  Speaker 2: that they need to ask about the topical gells?
• 50:01
  Speaker 1: Are you talking about disostero?
• 50:03
  Speaker 2: Yeah?
• 50:03
  Speaker 1: Yeah, it's just so. My advice for testosterone is start low,
• 50:07
  Speaker 1: go slow, like, don't start any more than five milligrams
• 50:11
  Speaker 1: a day, and don't put.
• 50:12
  Speaker 3: On half of the tube.
• 50:15
  Speaker 1: The body hates what does the body hate? Body hates
• 50:19
  Speaker 1: drastic change? Yeah, body hates that. What happens when the
• 50:22
  Speaker 1: body has grasster change, Your hair falls out, postpartum, thyroid issues,
• 50:27
  Speaker 1: fast weight loss with jlp ones, right, stress, Hair hates
• 50:34
  Speaker 1: all of that. Hair hates drastic change. Go slow, Go slow,
• 50:37
  Speaker 1: start low, go slow. Somebody say, can you clarify what
• 50:40
  Speaker 1: what Kelly said? You have no uterus in your postmenopausal
• 50:43
  Speaker 1: and wake up through the night. Can you be prescribed
• 50:45
  Speaker 1: progesterone in addition to estrogen? Hell?
• 50:47
  Speaker 2: Yeah, yeah, yeah, there we go absolutely even censored.
• 50:51
  Speaker 3: She even censored her answer.
• 50:52
  Speaker 1: Am I supposed to do that? Do people in Do
• 50:55
  Speaker 1: people in Boulder have sensitive ears? I don't think they do. No.
• 50:58
  Speaker 2: I was just wondering what I can post. You said,
• 51:00
  Speaker 2: I kind of post half of this on my Instagram.
• 51:02
  Speaker 2: Gotta find a good clip.
• 51:04
  Speaker 1: I don't like calling out specific brands, and I didn't.
• 51:07
  Speaker 3: No, you did not.
• 51:10
  Speaker 2: My question centers on how we can best separate fact
• 51:14
  Speaker 2: from marketing spin when it comes to all things menopause,
• 51:17
  Speaker 2: we've become the target. So we kind of talked about this,
• 51:20
  Speaker 2: but this is another for all market markets products and
• 51:25
  Speaker 2: supplement companies. Menopause now feels like something of a cure.
• 51:28
  Speaker 2: What absolute truth truths exists currently about health and well
• 51:32
  Speaker 2: being for midlife women.
• 51:33
  Speaker 3: I feel like you've covered that with just.
• 51:34
  Speaker 1: I feel like we did. There's nothing more natural than
• 51:37
  Speaker 1: what your ovaries naturally make. Yeah, okay, so don't be
• 51:41
  Speaker 1: marketed into thinking something synthetic that we made as a
• 51:45
  Speaker 1: proprietary blend in a factory somewhere is more natural than
• 51:48
  Speaker 1: what your ovaries naturally make. It just is not true.
• 51:51
  Speaker 3: Yeah, that's a great answer.
• 51:53
  Speaker 2: I understand it's common occurrence for there to be an
• 51:56
  Speaker 2: increase in abdominal fat during this transition.
• 51:59
  Speaker 1: Why Yeah, Oh that's a good one. I see this.
• 52:02
  Speaker 1: I see this. Okay. Here's here's the uh, here's the analogy.
• 52:05
  Speaker 1: When you're pregnant, all things else being equal, you exercise
• 52:09
  Speaker 1: the same, you eat the same, but now you're pregnant. Okay,
• 52:12
  Speaker 1: picture picture that. Did you gain weight even though you
• 52:18
  Speaker 1: ate the same and exercised the same, Yes, yes you did?
• 52:22
  Speaker 1: Why because your body was doing something else?
• 52:25
  Speaker 2: Right?
• 52:26
  Speaker 1: So the absolute bullshit of like you just need to
• 52:29
  Speaker 1: eat less and exercise more, you shouldn't be gaining weight,
• 52:32
  Speaker 1: blah blah blah. But your body's doing something different now.
• 52:34
  Speaker 1: It's not making the hormones that it used to make.
• 52:37
  Speaker 1: So here's a here's a nice way. So I want
• 52:39
  Speaker 1: people to think about that, and I want people to
• 52:41
  Speaker 1: think about the pregnancy analogy because now they're like, there's
• 52:43
  Speaker 1: something different in the body, and I'm gaining weight now
• 52:46
  Speaker 1: even though all things else equal, I'm eating the same
• 52:48
  Speaker 1: and I'm exercising the same. Right, And you can even
• 52:51
  Speaker 1: stay the same weight, but your body composition will change. Okay,
• 52:56
  Speaker 1: why called the metabolic syndrome of metapause. Your body is
• 53:00
  Speaker 1: trying to make hormones. The body's smart. The body says,
• 53:04
  Speaker 1: my brain needs this stuff. Everything else needs this stuff.
• 53:07
  Speaker 1: I need to make some now because I don't have
• 53:09
  Speaker 1: overra is that are doing it. So the body has
• 53:12
  Speaker 1: compensatory mechanisms. This is a long This is a longpiel.
• 53:17
  Speaker 1: But if you understand how your body works, how do
• 53:20
  Speaker 1: I not become victim and prey to all this predatory
• 53:23
  Speaker 1: Understand how your body works. There, so body has compensatory mechanisms.
• 53:28
  Speaker 1: It does two things in midlife to try to make hormones.
• 53:32
  Speaker 1: What does it do? It increases your cholesterol because cholesterol
• 53:37
  Speaker 1: pathway is where to stosterone and estrogen come from. So
• 53:40
  Speaker 1: it's like I'll make more cholesterol to try to get
• 53:43
  Speaker 1: some hormones to push through this pathway. Compensatory mechanism meaning
• 53:48
  Speaker 1: it doesn't work that well and there's risks to having
• 53:50
  Speaker 1: too high a cholesterol, but it doesn't Why did my
• 53:53
  Speaker 1: cholesterol go up this year? I didn't change my diet,
• 53:56
  Speaker 1: I didn't change my exercise. My cholesterol just went up
• 53:58
  Speaker 1: because I'm one year more to perimenopause, right, my hormones
• 54:03
  Speaker 1: are going down. Number two second, compensatory mechanism increased visceral
• 54:08
  Speaker 1: fat increased pooch around the belly. Why did your body
• 54:11
  Speaker 1: just start doing that? Because your body's smart, it needs hormones.
• 54:15
  Speaker 1: It's trying to make hormones. Visceral fat makes shitty hormones.
• 54:20
  Speaker 1: It makes the inflammatory type of hormones, it makes the
• 54:22
  Speaker 1: high type of hormones that are linked to breast cancer.
• 54:24
  Speaker 1: The body is smart here. We are beating women up
• 54:27
  Speaker 1: being like you should just eat the same and exercise
• 54:29
  Speaker 1: the same, and this doesn't actually happening. Well, the body's
• 54:32
  Speaker 1: trying to make hormones and it does it in two
• 54:33
  Speaker 1: compensatory ways, and it does it poorly because that's not
• 54:37
  Speaker 1: as good of a way of as just your ovaries
• 54:39
  Speaker 1: making it. So that's the long story of like, visceral
• 54:43
  Speaker 1: fat increase is real, and there's actually a reason why
• 54:48
  Speaker 1: it's happening. Don't let anybody tell you that it is.
• 54:50
  Speaker 1: It Does it happen in everybody? No, But it happens,
• 54:53
  Speaker 1: and it happens for a reason. It's because your Escherton's
• 54:55
  Speaker 1: going down. Yeah, if you understand your body, it all
• 54:59
  Speaker 1: makes sense.
• 55:00
  Speaker 3: Hey has thinking on the use of estrogen shifted.
• 55:02
  Speaker 2: I was told a year ago that they wouldn't prescribe
• 55:05
  Speaker 2: me estrogen until I lose periods, only put me on progesterone,
• 55:08
  Speaker 2: even though it did little to my big list of symptoms.
• 55:12
  Speaker 3: Should I go in again and demand it?
• 55:14
  Speaker 2: I have PCOS so not sure, if there's any influence
• 55:17
  Speaker 2: on that decision or not.
• 55:18
  Speaker 1: If I can beat this into you understand your body,
• 55:21
  Speaker 1: understand that a period happening. It is a not an
• 55:25
  Speaker 1: accurate thing to see it, to say if you can
• 55:27
  Speaker 1: have hormones or not remember periods, that's that's a made
• 55:30
  Speaker 1: up word called menopause. What's happening. Your ovaries are decreasing
• 55:34
  Speaker 1: their overyproduction of hormones until it's so low you don't
• 55:38
  Speaker 1: get periods anymore. That what's that mean? That means your
• 55:41
  Speaker 1: estrogen can be low before your periods end. The level
• 55:44
  Speaker 1: at which of estrogen that you need to have a
• 55:47
  Speaker 1: period is different than the level of what you need
• 55:50
  Speaker 1: for bone protection, brain to work properly, all that stuff.
• 55:53
  Speaker 1: So using a period is actually somebody who doesn't understand
• 55:56
  Speaker 1: how bodies work. Right. And here's the other thing about it.
• 55:59
  Speaker 1: Here's there's my biggest argument for hormones and perimenopause. Your
• 56:04
  Speaker 1: greatest loss of bone strength, health density, whatever you want
• 56:10
  Speaker 1: to say, is in the two years leading up to
• 56:13
  Speaker 1: your period ending. Millennials are smart. They're paying attention to
• 56:16
  Speaker 1: the boomers and the gen xers, and they're like, hey,
• 56:19
  Speaker 1: we see you guys suffering We've got this great idea,
• 56:21
  Speaker 1: let's not suffer. And the gen X and the boomers
• 56:24
  Speaker 1: are looking at the millennials and they're like, oh, good idea.
• 56:28
  Speaker 1: We thought it was a badge of honor. And the
• 56:29
  Speaker 1: millennials are like, no, this looks shitty. Let's not suffer
• 56:33
  Speaker 1: in the first place. So, yeah, it is changing, would
• 56:36
  Speaker 1: just becoming a lot more common to start on testosterone,
• 56:39
  Speaker 1: progesterone and estrogen in the perimenopause. Remember, menopause is a
• 56:43
  Speaker 1: made up term for a made up thing that doesn't
• 56:45
  Speaker 1: describe what's actually happening, So don't use it as a
• 56:48
  Speaker 1: reason to tell women they can't have health care.
• 56:51
  Speaker 2: Okay, I know that taking estrogen helps with bone health.
• 56:54
  Speaker 2: Does that also include the bone in your jaw? I
• 56:56
  Speaker 2: have pretty significant gum reception and my Periodona said it
• 57:00
  Speaker 2: was because of bone loss.
• 57:02
  Speaker 1: Yeah, yeah, it's not as well studied, but there was
• 57:04
  Speaker 1: just a study on women on hormones had less periodontitis.
• 57:09
  Speaker 1: So inflammation of the gums in which we know, of course,
• 57:12
  Speaker 1: is associated with heart disease. Right, what is estrogen esher
• 57:15
  Speaker 1: is the hormone that helps healthy cells stay healthy. So
• 57:19
  Speaker 1: you take that away, cells can't function as well, and
• 57:22
  Speaker 1: estrogen is anti inflammatory, so you see a lot more
• 57:26
  Speaker 1: inflammation start happening in the body when the hormones go low.
• 57:30
  Speaker 1: Joint aches and pains, osteoarthritis, chronic pain, inflammatory things like
• 57:36
  Speaker 1: rheumatard arthritis, fibromyalgia, gum disease. Right, like, all this inflammatory
• 57:41
  Speaker 1: stuff like this is happening out of the blue. No
• 57:44
  Speaker 1: it's not. You're living longer than your ovarian hormone production.
• 57:48
  Speaker 1: We know why this is happening and we can treat it.
• 57:51
  Speaker 2: Yeah. Yes, that's how we started this conversation.
• 57:55
  Speaker 1: One person said, they're loving our conversation. Goods is the sasses,
• 57:59
  Speaker 1: the sasas is for some people. The sass is in listen,
• 58:03
  Speaker 1: how do you get How do you get adults to learn?
• 58:05
  Speaker 1: Do not bore them. If you bore them, they can't learn.
• 58:09
  Speaker 1: They must stay entertained.
• 58:10
  Speaker 3: I told you, Kelly was a good time all the time.
• 58:14
  Speaker 1: Do not bor. Do not bore the adults.
• 58:16
  Speaker 3: Not bore the adults.
• 58:17
  Speaker 2: What are the pros and cons of using an estrogen
• 58:19
  Speaker 2: patch versus taking the pill?
• 58:22
  Speaker 1: Oh, well, they're both good. The pill is the bill's
• 58:27
  Speaker 1: dollar for dollar. If all you care about is dollars,
• 58:30
  Speaker 1: the pill is the cheapest way to go. Pill slightly
• 58:32
  Speaker 1: increase risk of blood clot it's not it's not huge,
• 58:36
  Speaker 1: but the transdermal patch is no risk of blood clot,
• 58:39
  Speaker 1: so it's a little bit higher than no risk of
• 58:41
  Speaker 1: blood clot. If you worry about sexual desire, the pill
• 58:44
  Speaker 1: can decrease sexual desire because of the way it's processed
• 58:48
  Speaker 1: through the liver, increasing sex hormone binding globulin. But it
• 58:51
  Speaker 1: gets a little technical, but if you if you meet
• 58:54
  Speaker 1: with a hormone expert, they can walk you through all
• 58:56
  Speaker 1: of that. But know this, the the like bread and butter,
• 59:01
  Speaker 1: intro to hormones is usually a transdermal patch. It's the
• 59:04
  Speaker 1: most common thing, but not everybody absorbs at the same rate.
• 59:08
  Speaker 1: Some people, you know, they've got skin that just doesn't
• 59:11
  Speaker 1: absorb hormones well from a patch. We start thinking of
• 59:14
  Speaker 1: them meeting oral. Some women just need higher doses to
• 59:17
  Speaker 1: hormones and need oral. So is somebody just asked, is
• 59:21
  Speaker 1: the gel as effective as the patch? Yeah, they're pretty interchangeable,
• 59:25
  Speaker 1: and the gel's getting cheaper, so it's it's a reasonable
• 59:29
  Speaker 1: option for people.
• 59:30
  Speaker 2: Okay, now we're going into rapid firetime because we have
• 59:33
  Speaker 2: like five minutes where.
• 59:34
  Speaker 3: We have to bounce.
• 59:35
  Speaker 2: My feet hurt in the morning when I get out
• 59:37
  Speaker 2: of bed and walk. Is this perimenopause related? And what
• 59:40
  Speaker 2: should I do?
• 59:42
  Speaker 1: That's a good question. It can be. I mean other
• 59:45
  Speaker 1: things I think of, just like are your hips tight
• 59:47
  Speaker 1: or your knees tight or your ankle's tight? Right, like,
• 59:49
  Speaker 1: are things tight? You need mobility? Blah blah blah. But
• 59:52
  Speaker 1: a lot of people and so doctor vonder Wright published
• 59:55
  Speaker 1: a paper it's open access, meaning it's free online. I
• 59:58
  Speaker 1: think it was twenty twenty four. It's called the Muscoskeletal
• 1:00:01
  Speaker 1: Syndrome of Menopause, free online. If you want to read it,
• 1:00:04
  Speaker 1: you can bring it into your doctor. But so many
• 1:00:06
  Speaker 1: women's aches and pains get better when they are on hormones.
• 1:00:10
  Speaker 1: So remember, just to simplify that hormones and hormone receptors
• 1:00:13
  Speaker 1: are in every single cell in your body, including your
• 1:00:16
  Speaker 1: joints and your ligaments and your tendons. And hormones are
• 1:00:20
  Speaker 1: anti inflammatory. So many many women, whether it's estrogen or testosterone,
• 1:00:26
  Speaker 1: because I see it a lot with dysosterone, their pain
• 1:00:29
  Speaker 1: is a lot better.
• 1:00:30
  Speaker 2: Yeah, okay, so we've talked about other benefits. Does HRT
• 1:00:36
  Speaker 2: help with brain fog and cognitive function. I've been told
• 1:00:39
  Speaker 2: that it does not adaptogens. In addition, is not relieving
• 1:00:44
  Speaker 2: the brain.
• 1:00:44
  Speaker 3: Fog at all. I want to know this too, because
• 1:00:47
  Speaker 3: mine still there.
• 1:00:48
  Speaker 1: Clearly I need Haley, you need more hormones.
• 1:00:50
  Speaker 2: Well, Hewther's on my I will text Heather as soon
• 1:00:53
  Speaker 2: as I can.
• 1:00:54
  Speaker 1: Can't you get some labs done. Let's see what Haley's
• 1:00:56
  Speaker 1: estra dial is. Anybody want to take bets If you're
• 1:01:00
  Speaker 1: on hormones and it's and you don't think it's work,
• 1:01:02
  Speaker 1: and you can always try a higher dose, you can
• 1:01:04
  Speaker 1: get your you can get your. I mean I've got
• 1:01:05
  Speaker 1: some patients they just need higher doses of hormones to function. Yeah,
• 1:01:11
  Speaker 1: hormones help brand cells.
• 1:01:13
  Speaker 2: What is going to help? So if outside of if
• 1:01:17
  Speaker 2: this is for testosterone only, outside of low libido, why
• 1:01:20
  Speaker 2: would somebody want to take it?
• 1:01:22
  Speaker 1: Because your ovaries make it and your ovaries decline making
• 1:01:25
  Speaker 1: it as you age, and some people really like the
• 1:01:27
  Speaker 1: idea of having their their cells be as healthy as possible.
• 1:01:31
  Speaker 1: So in America, there's zero FDA approved products for testosterum
• 1:01:36
  Speaker 1: for women. We're actively trying to work on that. I
• 1:01:39
  Speaker 1: literally had a talk with HHS last week, Health and
• 1:01:43
  Speaker 1: Human Services. It's happening. Once it happens, it'll open up
• 1:01:48
  Speaker 1: the flood gates on it. So there's a very different
• 1:01:52
  Speaker 1: thing between this is not rapid fire. Sorry I'm completely failing.
• 1:01:56
  Speaker 1: There's a very different thing between what's FDA approved and
• 1:02:00
  Speaker 1: what things actually help with. What do I mean by that?
• 1:02:03
  Speaker 1: A lot of people take birth control not to not
• 1:02:05
  Speaker 1: get pregnant. They take it for other reasons off label, right,
• 1:02:08
  Speaker 1: So when we talk about the benefits of testosterone, we're
• 1:02:10
  Speaker 1: talking about off label indications. It doesn't mean it doesn't work,
• 1:02:14
  Speaker 1: It doesn't mean there isn't any data. It just means
• 1:02:16
  Speaker 1: we don't have an FDA approved indication. Why is that
• 1:02:19
  Speaker 1: a problem, Well, doctors are We're actually allowed to give
• 1:02:22
  Speaker 1: drugs for whatever reason we want, right, Like people don't
• 1:02:25
  Speaker 1: know that, but insurance has decided we're gonna pay for
• 1:02:30
  Speaker 1: things that are FDA approved. So that's the big problem
• 1:02:33
  Speaker 1: because a lot of doctors are like, I only I'm
• 1:02:35
  Speaker 1: only gonna do it is FD approved. Well they do.
• 1:02:38
  Speaker 1: I guarantee your doctor does non FD approve shit every
• 1:02:41
  Speaker 1: single fing day. I guarantee you they do. Because you
• 1:02:44
  Speaker 1: can't practice medicine without doing that. But why it matters
• 1:02:47
  Speaker 1: is women have a higher cost to care because they've
• 1:02:51
  Speaker 1: don't have a testosterone that's ft approved. I stop with
• 1:02:53
  Speaker 1: that now because that's not rapid fire.
• 1:02:56
  Speaker 2: Okay, can a woman with androgenic alopecia take to time estosterone?
• 1:03:00
  Speaker 1: Ah? Is it actually androgenic alopecia? Do you have a
• 1:03:04
  Speaker 1: diagnosis from a hair specialist dermatologist that's androgenic alopecia? My
• 1:03:09
  Speaker 1: guess is no, because they don't even call it androgenic
• 1:03:12
  Speaker 1: alopecia anymore. So it's an old term that doesn't really
• 1:03:16
  Speaker 1: exist anymore and doesn't actually happen because you have high androgens.
• 1:03:20
  Speaker 1: So I challenge the diagnosis and then I would individually
• 1:03:24
  Speaker 1: say what's your risk and benefit? Are you optimized as
• 1:03:27
  Speaker 1: far as hair? And remember testosterone does do women not
• 1:03:32
  Speaker 1: have hair when they're thirty two? I'm asking because that's
• 1:03:34
  Speaker 1: when you have a very that's when you have a
• 1:03:36
  Speaker 1: very high testosterone, right, So it's not that testosterone causes
• 1:03:40
  Speaker 1: hair loss. It's rapid change of hormones. So the women
• 1:03:43
  Speaker 1: who have no testosterone and they get a very high
• 1:03:46
  Speaker 1: dose of testosterone, their hair falls out, not because of
• 1:03:49
  Speaker 1: specifically because of the drastic change. Hair hates drastic change
• 1:03:54
  Speaker 1: hates it. That's why I say start low, go slow
• 1:03:57
  Speaker 1: with testosterone, and I guarantee you you probably don't have
• 1:04:00
  Speaker 1: androgenic alopetira unless you're the very very very small amount
• 1:04:03
  Speaker 1: of people who actually do, and they don't actually call
• 1:04:05
  Speaker 1: it that anymore anyways. So I always encourage people with
• 1:04:09
  Speaker 1: any worry for hair loss. Dermatologist who specializes in hair
• 1:04:13
  Speaker 1: is your best friend. And they're actually they're kind of
• 1:04:16
  Speaker 1: hard to come by.
• 1:04:17
  Speaker 3: Okay.
• 1:04:18
  Speaker 2: Is there a difference between the pill and the cream
• 1:04:21
  Speaker 2: ESTRADILESU pository?
• 1:04:23
  Speaker 1: Ah, great question. I like them both. It's anything's better
• 1:04:27
  Speaker 1: than nothing. But I have I call it the Casper
• 1:04:29
  Speaker 1: sing cream bias. The reason is for two things. Number One,
• 1:04:33
  Speaker 1: there is nothing cheaper than the cream. Cream is the
• 1:04:35
  Speaker 1: cheapest vaginal estrogen product, and ideally, if you get your way,
• 1:04:39
  Speaker 1: you're gonna live forty years beyond your ovarian life span, right,
• 1:04:41
  Speaker 1: so we need cheap hormonth And then number two, you
• 1:04:44
  Speaker 1: can put the the cream on your clitterus, on your
• 1:04:47
  Speaker 1: labia the entrance to the vulva. It's a nice oval
• 1:04:51
  Speaker 1: the entrance, right. I call it the six o'clock spot.
• 1:04:54
  Speaker 1: This is on your vestibule or your vulva. This gets
• 1:04:57
  Speaker 1: tight and thinned. And this is where pain with pen
• 1:05:00
  Speaker 1: tration comes in a lot. And so if you just
• 1:05:02
  Speaker 1: put a pill up your vagina so it's up here,
• 1:05:05
  Speaker 1: it can't help this area. And if you have cream,
• 1:05:07
  Speaker 1: you can rub it in. So I say rub it
• 1:05:09
  Speaker 1: in like you're in Texas in August and it's sunscreen
• 1:05:13
  Speaker 1: and you don't want to get sunburned. It it.
• 1:05:17
  Speaker 3: Okay?
• 1:05:18
  Speaker 1: Haley's like, got it?
• 1:05:20
  Speaker 2: Got it balanced? Vertigo issues are they common in Perry?
• 1:05:26
  Speaker 3: And it can be and hormones help, it can help.
• 1:05:31
  Speaker 1: I'm not yeah, not always not. You know everybody. There's
• 1:05:34
  Speaker 1: there's many inner ear issues people can have, but hormones.
• 1:05:37
  Speaker 1: You have estrogen receptors in your inner ear.
• 1:05:41
  Speaker 2: So what is the baseline for test for testosterone levels?
• 1:05:45
  Speaker 1: I female testosterone mass spectroscopy. Don't get a male testosterone
• 1:05:52
  Speaker 1: lab test. It's very inaccurate in levels less than one hundred,
• 1:05:56
  Speaker 1: and all women's testosterone is less than one hundred. This
• 1:05:59
  Speaker 1: is the best interview Haley has done that I've listened to, Laurie.
• 1:06:02
  Speaker 1: How many have you listened to? You gotta give us
• 1:06:05
  Speaker 1: get sent to dominator.
• 1:06:07
  Speaker 2: Have you heard the first body Pod episode?
• 1:06:10
  Speaker 1: Because this fire, I'm telling you, she says a lot.
• 1:06:13
  Speaker 1: Okay that it's a valid compliment.
• 1:06:14
  Speaker 3: There were some.
• 1:06:16
  Speaker 1: This is also my first one.
• 1:06:17
  Speaker 3: Kelly's coming back on.
• 1:06:18
  Speaker 2: We're gonna have to have a part to you, guys
• 1:06:20
  Speaker 2: because we are out of time. Side effects for testosterone,
• 1:06:25
  Speaker 2: last question.
• 1:06:26
  Speaker 1: If you go too high you get side effects of
• 1:06:28
  Speaker 1: high tsosterone, so start low, go slow. It's very rare
• 1:06:33
  Speaker 1: at female physiologic doses to have side effects. But side
• 1:06:36
  Speaker 1: effects may include greasy skin, acne, more more hair where
• 1:06:42
  Speaker 1: you don't want it. But at female dose it's very rare.
• 1:06:46
  Speaker 2: And how do you know what the female dose is?
• 1:06:48
  Speaker 2: Because I if you guys were paid attention to my instagram,
• 1:06:52
  Speaker 2: Like a month ago, I got prescribed from someone local
• 1:06:57
  Speaker 2: and it said take the whole and I was like,
• 1:07:01
  Speaker 2: for sure, this is wrong because I'm running out of
• 1:07:06
  Speaker 2: This is way too much.
• 1:07:08
  Speaker 1: I do crazy things in Boulder. Uh well, I'm allowed
• 1:07:11
  Speaker 1: to say that. I lived in Denver for six years.
• 1:07:13
  Speaker 1: They have surgical astrologers in Boulder. It's a weird place.
• 1:07:16
  Speaker 3: So don't overdo it.
• 1:07:17
  Speaker 1: I mean, don't overdo it. Five milligrams transfer on five
• 1:07:21
  Speaker 1: milligrams a day. Mail dose is fifty milligrams, so five
• 1:07:24
  Speaker 1: milligrams a day is one tenth the male dose that's
• 1:07:27
  Speaker 1: in the guidelines. There's International guidelines for testosterone for women
• 1:07:31
  Speaker 1: for low sexual desire. But I have a whole chapter
• 1:07:35
  Speaker 1: in my book on testosterone and it's of the three
• 1:07:37
  Speaker 1: hormones ta stasone, estrogen, progesterone, testosterone is the first one
• 1:07:41
  Speaker 1: in the book because it's the one we actually make
• 1:07:43
  Speaker 1: the most of.
• 1:07:44
  Speaker 3: Yeah, and it's like.
• 1:07:46
  Speaker 1: Uh yeah, my So, my website's Kellycasperson MD dot com.
• 1:07:50
  Speaker 1: My clinic is the Casperson Clinic. You just go to
• 1:07:53
  Speaker 1: my website and click on clinic. I see patients in
• 1:07:55
  Speaker 1: Washington State right now. But I'm getting a California and
• 1:07:58
  Speaker 1: Oregon license because I want to take care the whole.
• 1:08:00
  Speaker 1: I five corner. Other online clinics for for hormones or
• 1:08:05
  Speaker 1: testosterone j O I, Joy excellent, love them, midimid I
• 1:08:12
  Speaker 1: dot com. MIDI takes insurance, but MIDI doesn't. Middy does
• 1:08:16
  Speaker 1: less testosterone states than Joy does right now. But here's
• 1:08:20
  Speaker 1: the good exciting thing. I think we're gonna have a chance.
• 1:08:23
  Speaker 1: So testosterone is regulated by the DEA because of the
• 1:08:26
  Speaker 1: Olympic doping scandals of the nineteen eighties. It's a whole thing.
• 1:08:29
  Speaker 1: It's in the book. But we're actually going to deregulate.
• 1:08:32
  Speaker 1: We we the people are going to deregulate testosterone. So
• 1:08:36
  Speaker 1: hopefully you state by state won't be an issue anymore.
• 1:08:39
  Speaker 1: It'll just be like any other prescription. That's the hope.
• 1:08:42
  Speaker 1: That's a hope for twenty twenty six. But I explain
• 1:08:44
  Speaker 1: that all in the book. If you're like, what why
• 1:08:45
  Speaker 1: is testosterone called?
• 1:08:46
  Speaker 3: Book? Name?
• 1:08:47
  Speaker 2: Well?
• 1:08:48
  Speaker 1: Books called? What is the book called the menopause? Moment
• 1:08:51
  Speaker 1: Hormones Science, the menopause movement? I know it's a menopause.
• 1:08:58
  Speaker 3: Okay, you have a book there.
• 1:09:00
  Speaker 1: Yeah, I've got a whole bunch of way I don't know,
• 1:09:02
  Speaker 1: a whole bunch of them way over here.
• 1:09:04
  Speaker 2: Hold up, yeah, if you if you were one of
• 1:09:07
  Speaker 2: the lucky ones that got Kelly's book, I just wrouted
• 1:09:12
  Speaker 2: myself out and said I haven't had time to read it,
• 1:09:14
  Speaker 2: so she needs to give me the cliff notes.
• 1:09:16
  Speaker 3: But there it is.
• 1:09:18
  Speaker 1: Oh, somebody put the link. That's so nice. Amazon, Burns
• 1:09:20
  Speaker 1: and Noble, et cetera, et cetera. And if you like
• 1:09:22
  Speaker 1: my voice, I do the audio.
• 1:09:24
  Speaker 3: Yeah, there you go, that's what you can.
• 1:09:26
  Speaker 1: I promise I'll have you laughing by page sixty three.
• 1:09:29
  Speaker 1: And if I don't, you need to deal with your stress.
• 1:09:32
  Speaker 2: We've got We had like eighty questions that we never
• 1:09:34
  Speaker 2: even got to in here. So Kelly, this is by
• 1:09:38
  Speaker 2: far the most questions that we've had on.
• 1:09:41
  Speaker 1: This bak Well. I mean, listen, humans are incredibly curious
• 1:09:45
  Speaker 1: about how their bodies were. Like, it's a fascinating topic.
• 1:09:48
  Speaker 2: Yeah, we're gonna have to have a part two for Kelly.
• 1:09:52
  Speaker 3: I love you, Haley next season.
• 1:09:53
  Speaker 2: I know where this is. Like, Kelly is like my
• 1:09:57
  Speaker 2: my girl. So I'm going to whatever conferences she she's
• 1:10:00
  Speaker 2: at next year.
• 1:10:02
  Speaker 3: Yay, No, all right, Uh.
• 1:10:05
  Speaker 1: Yeah, I'm an events page. I'm like, I'm not doing
• 1:10:08
  Speaker 1: what I did this year. This year is crazy. But
• 1:10:09
  Speaker 1: I will very likely be doing Vonda Wright's conference again.
• 1:10:12
  Speaker 1: November twenty twenty six, I'm doing a Florida, freaking Florida.
• 1:10:17
  Speaker 1: I'm doing another Florida conference in November. I might be
• 1:10:19
  Speaker 1: in Florida twice in November. None of those tickets are
• 1:10:22
  Speaker 1: up yet.
• 1:10:23
  Speaker 3: What about Colorado?
• 1:10:24
  Speaker 2: Come on.
• 1:10:25
  Speaker 1: There's something that's penciled in in August, but I haven't
• 1:10:28
  Speaker 1: committed to it.
• 1:10:30
  Speaker 2: Oh okay, well text me when you do.
• 1:10:32
  Speaker 1: I'm like moaning. I'm like, h I love Denver.
• 1:10:35
  Speaker 2: I know you do.
• 1:10:37
  Speaker 3: I know you do. All right?
• 1:10:38
  Speaker 1: Oh side note, this is a side note just for Haley.
• 1:10:41
  Speaker 1: I'll be in Breckenridge for a week in June, but
• 1:10:43
  Speaker 1: it's not public. That's a family thing. But if Hailey
• 1:10:46
  Speaker 1: wants to come up to Brecaley and have.
• 1:10:47
  Speaker 2: A couple of coffees at public, now everyone's gonna know.
• 1:10:50
  Speaker 1: I want Haley to come.
• 1:10:52
  Speaker 2: All right, Thank you everyone for joining. This was a
• 1:10:54
  Speaker 2: great way to end. I knew Kelly would be the
• 1:10:57
  Speaker 2: good closer, So thank you all for joining. For your questions,
• 1:11:00
  Speaker 2: we tried to get through as many as possible.
• 1:11:03
  Speaker 1: You did great. Those were hard words, Haley, those were
• 1:11:05
  Speaker 1: hard medical terms. You doing very good.
• 1:11:08
  Speaker 2: I know every time I'm like, I'm going to bring
• 1:11:10
  Speaker 2: up my readers and then I don't and I'm sitting here.
• 1:11:12
  Speaker 3: I wish you could see the font here.
• 1:11:14
  Speaker 1: You said hypercholesterol emia like, and that's impressive.
• 1:11:17
  Speaker 2: I was.
• 1:11:18
  Speaker 3: That was stressful. All right? Thanks shred babes. I love you.
• 1:11:22
  Speaker 2: All.
• 1:11:23
  Speaker 1: Love you, shred babes.
• 1:11:24
  Speaker 3: All, thanks for joining Kelli, love you bye. Thanks for
• 1:11:30
  Speaker 3: listening everyone.
• 1:11:31
  Speaker 2: If you enjoyed this episode, please consider giving us a
• 1:11:34
  Speaker 2: five star rating and sharing the body Pod with your
• 1:11:37
  Speaker 2: friends