Latest / The Iconic Midlife with Roxy Manning / The #1 Health Risk for Women Isn’t What You Think with Dr. Suzanne Steinbaum

Transcript

The #1 Health Risk for Women Isn’t What You Think with Dr. Suzanne Steinbaum · The Iconic Midlife with Roxy Manning

0:00
Are
0:00
you
0:00
in
0:00
menopause?
0:01
Are
0:01
you
0:01
having
0:01
multiple
0:02
hot
0:02
flashes?
0:03
Having
0:03
a
0:04
lot
0:04
of
0:04
hot
0:04
flashes
0:05
increases
0:05
your
0:05
risk
0:06
of
0:06
heart
0:06
disease.
0:06
They
0:07
go
0:07
hand
0:07
in
0:07
hand.
0:08
So
0:09
what
0:09
are
0:09
those
0:10
silent
0:10
symptoms
0:11
that
0:11
we
0:11
might
0:11
not
0:12
be
0:12
looking
0:12
for?
0:12
10,000
0:13
is
0:13
the
0:13
number
0:14
we
0:14
should
0:14
hit.
0:15
I
0:15
mean,
0:15
there's
0:15
some
0:16
controversy
0:16
around
0:17
it.
0:18
Listening
0:18
to
0:18
your
0:18
body
0:19
is
0:20
really
0:20
interesting
0:21
and
0:22
can
0:22
be
0:22
potentially
0:23
dicey.
0:24
We
0:24
know
0:24
sitting
0:25
is
0:25
the
0:25
new
0:25
smoking,
0:26
that's
0:26
for
0:26
sure.
0:27
In
0:27
the
0:27
ranking
0:28
of
0:28
the
0:28
delivery
0:29
system,
0:29
is
0:29
there
0:29
one
0:30
that's
0:30
typically
0:30
safer
0:31
than
0:31
the
0:32
other?
0:32
Yeah,
0:33
like
0:33
that
0:33
Estrogen
0:34
cream
0:34
is
0:34
super
0:35
safe.
0:35
An
0:36
estrogen
0:36
patch
0:37
is
0:37
super
0:37
safe.
0:38
Isn't
0:38
that
0:39
so
0:39
cool?
0:39
Yes.
0:39
Another
0:40
one
0:40
of
0:40
those
0:40
small
0:41
tips,
0:41
right?
0:42
What
0:42
are
0:42
the
0:43
labs?
0:43
What
0:44
are
0:44
the
0:44
scans?
0:44
What
0:45
are
0:45
the
0:45
metrics
0:46
we
0:46
should
0:46
be
0:47
asking
0:47
our
0:47
doctors?
0:48
This
0:49
is
0:49
so
0:49
much
0:50
about
0:50
educating
0:51
yourself
0:52
and
0:52
really
0:53
understanding
0:54
how
0:54
to
0:54
communicate
0:55
with
0:55
your
0:55
doctor.
0:56
The
0:56
Mediterranean
0:57
diet
0:58
that
0:58
has
0:58
consistently
0:59
shown
1:00
to
1:00
decrease
1:01
cardiovascular
1:02
risk.
1:02
For
1:02
a
1:03
while
1:03
now,
1:03
people
1:03
have
1:04
been
1:04
saying,
1:04
oh,
1:04
red
1:05
wine
1:05
is
1:05
good
1:05
for
1:05
your
1:06
heart.
1:06
Now
1:06
is
1:07
this
1:07
true?
1:08
Everyone's
1:09
always
1:09
asking,
1:10
what
1:10
can
1:10
I
1:10
drink?
1:11
Exactly.
1:12
Just
1:12
asking
1:13
for
1:13
a
1:13
friend.
1:19
Today's
1:20
guest
1:20
is
1:20
someone
1:21
every
1:21
woman
1:21
over
1:22
40
1:22
needs
1:23
in
1:23
her
1:23
corner
1:23
and
1:24
in
1:24
her
1:24
contact
1:25
list.
1:25
Dr.
1:26
Suzanne
1:26
Steinbaum
1:27
is
1:27
a
1:27
New
1:28
York
1:28
based
1:28
board
1:29
certified
1:29
cardiovascular
1:30
cardiologist
1:30
and
1:31
one
1:31
of
1:31
the
1:31
nation's
1:32
leading
1:32
voices
1:33
on
1:33
women's
1:34
heart
1:34
health.
1:34
She's
1:35
been
1:35
featured
1:36
everywhere
1:36
from
1:36
the
1:36
Today
1:37
show
1:37
to
1:37
Oprah's
1:38
O
1:38
Magazine,
1:39
and
1:39
she's
1:40
made
1:40
it
1:40
her
1:40
life's
1:40
work
1:41
to
1:41
challenge
1:42
the
1:42
way
1:42
medicine
1:42
sees
1:43
women
1:43
and
1:44
more
1:44
importantly,
1:45
how
1:45
women
1:46
see
1:46
themselves.
1:47
In
1:47
this
1:48
episode,
1:48
we
1:49
dive
1:49
into
1:49
the
1:49
silent
1:50
symptoms
1:50
of
1:51
heart
1:51
disease.
1:52
The
1:52
real
1:52
story
1:53
on
1:53
hormones
1:53
and
1:54
heart
1:54
health,
1:55
and
1:55
the
1:55
game
1:55
changing
1:56
questions
1:57
women
1:57
should
1:57
be
1:57
asking
1:58
their
1:58
doctors
1:59
and
1:59
but
1:59
often
1:59
don't.
2:00
We
2:00
also
2:01
talk
2:01
about
2:01
the
2:01
ways
2:02
women
2:02
are
2:03
still
2:03
being
2:03
gaslit
2:04
and
2:04
dismissed
2:04
in
2:04
the
2:04
medical
2:05
system
2:05
and
2:06
how
2:06
you
2:06
can
2:06
start
2:07
advocating
2:07
for
2:07
yourself
2:08
even
2:09
if
2:09
you've
2:09
been
2:09
told
2:09
it's
2:10
just
2:10
stress
2:10
or
2:11
you're
2:11
fine.
2:12
If
2:12
you've
2:13
ever
2:13
been
2:13
confused,
2:13
frustrated,
2:14
or
2:14
exhausted
2:15
by
2:15
the
2:15
state
2:16
of
2:16
women's
2:16
health
2:16
care,
2:17
this
2:17
conversation
2:18
will
2:18
make
2:18
you
2:18
feel
2:19
seen,
2:19
smarter,
2:20
and
2:20
more
2:20
powerful.
2:21
Follow
2:22
the
2:22
iconic
2:22
midlife
2:23
wherever
2:23
you
2:23
get
2:23
your
2:24
podcasts
2:25
and
2:25
share
2:25
this
2:25
episode
2:26
with
2:26
someone
2:26
you
2:26
love.
2:27
Because
2:28
protecting
2:28
your
2:29
heart
2:29
is
2:29
more
2:29
than
2:30
physical.
2:30
It's
2:31
personal.
2:32
All
2:32
right.
2:32
Welcome
2:33
to
2:33
the
2:33
iconic
2:34
midlife.
2:34
Dr.
2:35
Steinbaum,
2:35
it's
2:36
a
2:36
pleasure
2:36
to
2:36
have
2:36
you.
2:37
Thank
2:38
you
2:38
so
2:38
much.
2:39
Thank
2:39
you,
2:39
thank
2:40
you.
2:40
How's
2:40
your
2:40
day
2:40
going?
2:41
You're
2:41
in
2:41
New
2:41
York,
2:42
right?
2:42
I
2:43
am.
2:43
I
2:43
am
2:43
in
2:44
New
2:44
York
2:44
and
2:44
it's
2:45
sunny
2:45
and
2:46
very,
2:46
very
2:46
hot
2:48
summertime
2:48
in
2:48
New
2:49
York.
2:49
It's
2:49
a
2:49
Thing.
2:51
It's
2:51
a
2:51
thing.
2:52
Right.
2:53
Well,
2:53
we're
2:53
so
2:53
excited
2:54
to
2:54
have
2:54
you.
2:55
You
2:55
know,
2:55
I
2:55
get
2:56
messages
2:56
and
2:57
DMS
2:57
from
2:58
women
2:58
who
2:58
listen
2:59
to
2:59
the
2:59
show
3:00
who
3:00
are
3:01
asking
3:01
me
3:01
health
3:01
questions
3:02
all
3:02
the
3:03
time.
3:03
So
3:03
I'm
3:03
grateful
3:04
to
3:04
have
3:04
you,
3:04
one
3:05
of
3:05
the
3:05
top
3:06
cardiac
3:07
doctors
3:07
in
3:07
our
3:08
country,
3:08
here
3:08
joining
3:09
us
3:09
to
3:10
talk
3:10
about
3:10
heart
3:10
health,
3:11
because
3:11
I
3:11
know
3:11
heart
3:11
health
3:12
is
3:12
something
3:12
that,
3:13
you
3:13
know,
3:13
sometimes
3:14
takes
3:14
the
3:14
back
3:14
seat
3:15
when
3:15
we're
3:15
talking
3:16
about
3:16
women's
3:16
health.
3:17
You
3:17
know,
3:17
there's
3:17
a.
3:18
There's
3:18
a
3:18
big
3:18
focus
3:19
on
3:19
cancer
3:20
and
3:20
breast
3:20
cancer
3:20
and
3:21
a
3:21
lot
3:21
of
3:21
other
3:22
ailments,
3:22
which,
3:22
of
3:23
course,
3:23
we
3:23
should
3:24
definitely
3:24
be
3:24
talking
3:25
about
3:25
those.
3:25
But
3:26
sometimes
3:26
the
3:26
heart
3:26
gets
3:27
sort
3:27
of
3:27
put
3:27
in
3:28
the
3:28
background.
3:28
So
3:28
I'm
3:29
glad
3:29
you're
3:29
here
3:29
to
3:29
discuss,
3:30
because
3:30
there's
3:30
a
3:31
lot
3:31
to
3:31
talk
3:31
about.
3:33
You
3:33
know,
3:33
you've
3:33
said
3:34
in
3:34
the
3:34
past
3:34
that
3:35
women's
3:35
hearts
3:36
don't
3:36
just
3:36
break.
3:37
They're
3:37
ignored,
3:38
misread,
3:39
and
3:39
misunderstood.
3:41
So
3:41
what
3:41
do
3:41
you
3:41
think
3:41
is
3:42
the
3:42
biggest
3:42
myth
3:43
about
3:43
heart
3:44
disease
3:44
in
3:44
women?
3:44
And
3:45
especially
3:45
in
3:45
midlife?
3:47
This
3:47
is
3:47
the
3:47
hugest
3:48
topic,
3:49
because
3:49
this
3:50
is
3:50
the
3:50
reason
3:51
that
3:51
we're
3:51
in
3:52
this
3:52
situation
3:53
when
3:54
we
3:54
go
3:54
back
3:54
in
3:55
time,
3:57
more
3:57
women
3:57
started
3:58
dying
3:58
of
3:58
heart
3:59
disease
3:59
than
4:00
all
4:00
cancers
4:01
combined
4:02
in
4:02
1986.
4:05
And
4:05
the
4:06
reason
4:06
for
4:06
that
4:07
was
4:08
for
4:08
the
4:08
20
4:09
years
4:10
prior
4:11
to,
4:12
all
4:12
the
4:12
research
4:12
was
4:13
done
4:13
on
4:13
men.
4:14
And
4:14
so
4:15
that
4:15
research
4:16
was
4:16
extrapolated
4:17
to
4:18
women's
4:18
hearts,
4:18
but
4:19
the
4:19
research
4:19
was
4:19
not
4:20
done
4:20
on
4:20
women.
4:21
I
4:21
always
4:21
joke
4:21
around.
4:22
That
4:22
was
4:22
about
4:22
the
4:23
same
4:23
time
4:23
that
4:23
women
4:23
entered
4:24
the
4:24
workforce
4:25
equally
4:26
as
4:26
much
4:26
as
4:26
men.
4:27
So,
4:27
yay,
4:28
we
4:28
got
4:28
what
4:28
we
4:29
wanted,
4:29
and
4:30
we're
4:30
getting
4:30
the
4:31
disease
4:31
as
4:31
well.
4:32
But
4:32
at
4:32
that
4:33
point,
4:33
that
4:33
research
4:34
was
4:34
a
4:34
huge
4:34
issue.
4:35
The
4:35
next
4:36
piece
4:36
is
4:36
that
4:36
in
4:37
medical
4:37
school,
4:38
and
4:38
in
4:38
fact,
4:38
even
4:38
when
4:39
I
4:39
was
4:39
in
4:39
medical
4:39
school,
4:40
we
4:41
were
4:41
not
4:41
taught
4:41
that
4:42
women
4:42
got
4:42
heart
4:42
disease.
4:43
So
4:43
the
4:44
doctors
4:44
themselves
4:46
do
4:46
not
4:46
look
4:47
at
4:47
women
4:47
as
4:48
candidates
4:48
of
4:48
getting
4:49
heart
4:49
disease.
4:49
It's
4:50
a
4:50
man's
4:50
disease,
4:51
according
4:51
to
4:51
the
4:52
doctors.
4:53
And
4:53
then
4:53
lastly,
4:54
and
4:54
the
4:54
third
4:55
part
4:55
of
4:55
this
4:55
problem
4:56
are
4:56
the
4:56
women,
4:57
because
4:58
when
4:58
you
4:59
ask
4:59
women
5:00
what
5:00
their
5:01
greatest
5:01
health
5:01
threat
5:02
is,
5:02
guess
5:02
what
5:02
they
5:02
say?
5:03
Do
5:03
they
5:03
say
5:03
breast
5:04
cancer?
5:04
Breast
5:05
cancer.
5:06
Yeah.
5:07
I
5:07
think
5:07
that's
5:07
the
5:07
one
5:07
that
5:08
gets
5:08
the
5:08
most
5:08
publicity.
5:09
Right.
5:09
They
5:10
did
5:10
a
5:10
great
5:11
job.
5:11
They
5:11
have
5:12
a
5:12
great
5:12
publicity
5:13
campaign.
5:14
But
5:14
it's
5:15
partially
5:15
that
5:16
women
5:16
don't
5:16
know
5:16
that
5:17
heart
5:17
disease
5:17
is
5:18
her
5:18
greatest
5:18
health
5:19
threat.
5:19
And
5:20
there
5:20
have
5:20
been
5:20
so
5:21
many
5:21
times
5:21
I've
5:22
stood
5:22
in
5:22
front
5:22
of
5:23
a
5:23
room
5:23
of
5:25
hundreds,
5:25
thousands
5:26
of
5:26
women
5:26
and
5:26
said,
5:27
no,
5:28
it's
5:28
not
5:28
breast
5:29
cancer,
5:29
it's
5:29
heart
5:29
disease.
5:30
And
5:30
I'll
5:30
go
5:30
through
5:31
an
5:31
hour
5:31
explaining
5:32
why.
5:32
And
5:32
at
5:33
the
5:33
End.
5:33
And
5:33
I
5:33
say,
5:34
what
5:34
is
5:34
your
5:34
greatest
5:35
health
5:35
threat?
5:35
And
5:36
they
5:36
all
5:36
raise
5:36
their
5:36
hand
5:36
and
5:37
go,
5:37
breast
5:37
cancer.
5:38
Like,
5:38
wait,
5:39
where
5:39
were
5:39
you?
5:39
You
5:40
know,
5:40
we're
5:40
just
5:41
so
5:42
indoctrinated
5:43
to
5:43
really
5:43
focus
5:44
on
5:44
that.
5:44
And
5:45
lastly,
5:45
when
5:45
we
5:46
think
5:46
of
5:46
women's
5:46
health,
5:47
we
5:47
really
5:48
are
5:48
focused
5:49
on
5:49
our
5:49
hormones,
5:50
whether
5:51
it's
5:51
hormones
5:51
in
5:52
pregnancy
5:53
or
5:53
hormones
5:53
through
5:54
perimenopause
5:54
and
5:55
menopause.
5:55
And
5:56
what
5:56
we
5:56
need
5:56
to
5:57
realize.
5:57
Are
5:58
you
5:58
ready
5:58
for
5:58
this
5:58
stat?
5:59
40%
6:01
of
6:01
our
6:01
lives
6:02
we
6:03
spend
6:03
in
6:03
menopause.
6:04
70%
6:04
of
6:05
women,
6:05
70%
6:06
will
6:06
have
6:07
some
6:07
form
6:07
of
6:07
heart
6:07
disease.
6:09
Wow.
6:09
That's
6:10
a
6:10
huge
6:10
statistic.
6:11
I
6:11
mean,
6:11
that's
6:11
a
6:12
lot
6:13
huge,
6:14
right?
6:14
Wow.
6:15
Wow.
6:15
So
6:16
with
6:16
midlife
6:17
comes
6:17
all
6:17
of
6:18
these
6:18
shifting
6:18
hormones
6:19
and
6:20
sleep
6:20
issues
6:21
and
6:21
stress.
6:22
You
6:22
know,
6:23
so
6:23
what
6:23
are
6:23
some
6:23
of
6:24
the
6:24
early
6:24
warning
6:25
signs
6:25
that
6:26
we
6:26
can
6:26
see
6:27
when
6:27
it
6:27
comes
6:28
to
6:28
heart
6:28
disease,
6:28
and
6:29
what
6:29
are
6:29
women
6:29
overlooking?
6:31
If
6:31
you
6:31
have
6:31
a
6:32
heart,
6:32
you're
6:32
at
6:33
risk
6:33
for
6:33
heart
6:33
disease,
6:34
plain
6:34
and
6:35
simple.
6:35
And
6:36
so
6:36
I
6:36
think
6:37
one
6:37
of
6:37
the
6:37
biggest
6:38
issues
6:38
is
6:39
that
6:39
women
6:39
don't
6:40
think
6:40
it's
6:40
their
6:41
problem.
6:41
It's
6:41
everyone
6:41
else's
6:42
problem
6:42
but
6:42
their
6:43
own.
6:43
And
6:44
so
6:44
the
6:44
reality
6:45
is
6:45
we
6:45
have
6:45
to
6:46
really
6:46
start
6:46
understanding
6:48
that
6:48
heart
6:48
disease
6:49
is
6:49
our
6:49
greatest
6:50
health
6:50
threat.
6:50
No
6:51
matter
6:51
what
6:51
we
6:52
look
6:52
like
6:52
on
6:52
the
6:52
outside,
6:53
it's
6:54
not
6:54
really
6:54
how
6:55
thin
6:55
we
6:55
are
6:56
or
6:57
what
6:57
our
6:57
skin
6:58
texture
6:58
is,
6:58
although
6:59
that
6:59
does
6:59
have
6:59
an
6:59
impact.
7:00
But
7:00
it's
7:00
really
7:01
what's
7:01
going
7:01
on
7:01
on
7:02
the
7:02
inside.
7:02
And
7:03
that
7:03
comes
7:03
down
7:03
to
7:03
risk
7:04
factors.
7:05
Those
7:05
risk
7:06
factors
7:06
are
7:06
things
7:06
like
7:07
high
7:07
blood
7:07
pressure
7:08
and
7:08
high
7:08
cholesterol,
7:09
elevated
7:10
sugars.
7:11
We
7:11
all
7:11
got
7:11
the
7:12
message
7:12
about
7:12
smoking,
7:13
and
7:14
we
7:14
know
7:14
that
7:14
being
7:14
overweight
7:15
isn't
7:16
great,
7:16
and
7:17
we
7:17
know
7:17
that
7:17
diet
7:18
is
7:18
bad,
7:18
but
7:19
stress
7:19
and
7:19
lack
7:20
of
7:20
sleep
7:20
are
7:20
also
7:21
issues.
7:22
But
7:22
then
7:22
we
7:23
have
7:23
to
7:23
go
7:23
back.
7:24
What's
7:24
our
7:24
family
7:25
history,
7:26
and
7:26
what
7:26
is
7:27
it
7:27
a
7:27
family
7:27
history
7:28
of?
7:30
Did
7:31
we
7:31
have
7:31
any
7:31
problems
7:32
during
7:32
pregnancy?
7:33
Adverse
7:34
outcomes
7:34
of
7:35
pregnancy,
7:35
like
7:36
preeclampsia
7:37
or
7:37
gestational
7:37
diabetes
7:38
increases
7:39
our
7:39
risk
7:40
significantly
7:41
later
7:42
in
7:42
life.
7:43
So
7:43
understanding
7:44
who
7:44
we
7:44
are
7:45
throughout
7:46
our
7:46
lifespan
7:47
becomes
7:48
really
7:48
important
7:48
to
7:49
understand
7:49
our
7:49
own
7:50
personal
7:50
risk.
7:51
And
7:51
believe
7:51
it
7:51
or
7:52
not,
7:52
something
7:52
like
7:52
depression
7:53
increases
7:54
our
7:54
risk
7:55
2
7:55
times
7:56
normal
7:57
compared
7:57
to
7:58
someone
7:58
who's
7:58
not
7:58
depressed.
7:59
So
8:00
how
8:00
we
8:00
think,
8:00
how
8:01
we
8:01
feel,
8:02
who
8:02
we
8:02
are,
8:03
all
8:03
of
8:03
these
8:04
things
8:04
matter.
8:05
So
8:06
we
8:06
hear
8:06
about
8:06
these
8:07
silent
8:08
symptoms,
8:08
you
8:08
know,
8:09
of
8:09
heart
8:09
disease
8:09
in
8:10
women
8:10
that
8:11
women
8:11
just
8:11
ignore
8:12
a
8:12
lot
8:12
of
8:12
the
8:12
time.
8:13
So
8:13
what
8:14
are
8:14
those
8:14
silent
8:15
symptoms
8:15
that
8:16
we
8:16
might
8:16
not
8:16
be
8:16
looking
8:17
for,
8:17
but
8:17
that
8:17
are
8:18
happening?
8:19
And
8:19
how
8:19
can
8:19
we
8:20
tell
8:20
the
8:20
difference
8:20
between
8:21
that
8:21
and
8:21
something
8:22
like
8:22
anxiety
8:23
or
8:24
being
8:24
nervous
8:25
or
8:25
something.
8:26
Something
8:26
else
8:26
that
8:27
it
8:27
could
8:27
be
8:27
misrepresented
8:28
for.
8:30
So
8:30
some
8:30
of
8:30
the
8:30
symptoms
8:31
that
8:31
we
8:31
have
8:32
is
8:33
a
8:33
chest
8:34
pain,
8:34
but
8:34
it's
8:35
not
8:35
really
8:35
pain.
8:36
It's
8:36
like
8:36
pressure
8:37
or
8:37
discomfort.
8:39
But
8:39
also
8:40
something
8:40
like
8:41
palpitations,
8:42
shortness
8:43
of
8:43
breath,
8:43
jaw
8:44
pain,
8:44
back
8:45
pain,
8:46
difficulty
8:47
sleeping
8:47
could
8:48
actually
8:48
be
8:48
part
8:49
of
8:49
it,
8:49
but
8:50
also
8:50
flu
8:50
like
8:51
symptoms.
8:52
I
8:52
think
8:52
one
8:52
of
8:52
the
8:53
funniest
8:53
things
8:53
is
8:54
that
8:54
when
8:54
I
8:55
give
8:55
a
8:55
lecture
8:55
about
8:56
this
8:56
and
8:56
I
8:57
list
8:57
these
8:57
symptoms
8:58
to
8:59
a
8:59
group
8:59
of
8:59
New
8:59
Yorkers,
9:00
everyone's
9:01
like
9:01
very
9:02
uncomfortable
9:02
in
9:02
their
9:03
seats.
9:03
They're
9:03
like,
9:03
yeah,
9:03
we
9:04
live
9:04
like
9:04
this
9:04
every
9:05
day.
9:05
How
9:05
do
9:05
we
9:06
know
9:06
it's
9:06
not
9:06
our
9:07
hearts?
9:08
And
9:08
this
9:09
is
9:09
when
9:09
I
9:09
think
9:10
exercise
9:11
becomes
9:11
really
9:11
interesting.
9:13
Because
9:13
if
9:14
you're
9:14
used
9:14
to
9:14
doing
9:15
a
9:15
certain
9:15
amount
9:16
of
9:16
activity
9:17
and
9:17
all
9:17
of
9:18
a
9:18
sudden
9:18
you
9:18
can't.
9:20
That
9:20
is
9:21
probably
9:21
one
9:21
of
9:21
the
9:22
most
9:22
important
9:23
symptoms
9:24
of
9:24
knowing
9:24
something's
9:25
going
9:25
on
9:25
with
9:26
your
9:26
heart.
9:27
So
9:27
is
9:27
it
9:27
like
9:27
getting
9:28
more
9:28
winded
9:29
when
9:29
you're
9:29
working
9:29
out
9:30
or
9:30
physically?
9:30
You
9:31
just
9:31
cannot
9:31
do,
9:31
like
9:32
the
9:32
movements
9:33
and
9:33
things
9:33
like
9:33
that.
9:33
Anything.
9:34
Like
9:34
if
9:34
you're
9:35
feeling
9:35
more
9:35
winded,
9:36
you're
9:36
feeling
9:37
discomfort
9:38
that
9:38
you
9:38
didn't
9:38
have,
9:39
or
9:39
it's
9:39
harder
9:40
for
9:40
you,
9:41
or
9:41
your.
9:42
Your
9:42
heart's
9:42
beating
9:43
faster,
9:44
no
9:44
matter
9:44
what
9:44
it
9:45
is,
9:46
you
9:46
should
9:46
always
9:47
feel
9:48
the
9:48
same
9:49
that
9:49
you
9:49
felt
9:50
the
9:50
day
9:50
before
9:50
or
9:50
two
9:51
days
9:51
before.
9:51
Obviously,
9:52
if
9:52
you
9:52
haven't
9:53
done
9:53
anything
9:53
for
9:54
a
9:54
long
9:54
period
9:54
of
9:54
time
9:54
and
9:55
you're
9:55
getting
9:55
back
9:55
to
9:56
it,
9:56
you're
9:56
going
9:56
to
9:56
feel
9:57
out
9:57
of
9:57
shape.
9:58
But
9:58
this
9:58
is
9:58
really
9:59
used
9:59
kind
10:00
of
10:00
as
10:00
this
10:01
is
10:01
the
10:01
bar,
10:01
you
10:02
know,
10:02
this
10:02
is
10:02
what
10:02
we're
10:03
going
10:03
to
10:03
compare
10:03
ourselves
10:04
to.
10:04
And
10:05
what
10:05
about
10:05
shortness
10:05
of
10:06
breath?
10:06
Is
10:06
that
10:07
also
10:07
could.
10:07
Is
10:08
that
10:08
something
10:08
that
10:08
could
10:08
be
10:09
a
10:09
symptom
10:09
of
10:10
heart
10:10
disease
10:10
or.
10:11
Absolutely.
10:13
We
10:13
know
10:14
that
10:14
you're
10:14
gonna
10:14
get
10:14
short
10:14
of
10:15
breath
10:15
the
10:15
more
10:15
you
10:15
exercise.
10:16
That's
10:17
normal.
10:17
But
10:18
if
10:18
you're
10:18
doing
10:19
something
10:19
very
10:20
little,
10:21
not
10:21
a
10:21
lot,
10:21
or
10:22
the
10:22
same
10:22
amount
10:23
that
10:23
you
10:23
were
10:23
doing
10:23
and
10:23
you're
10:24
getting
10:24
those
10:24
symptoms,
10:25
it's
10:25
a
10:25
problem,
10:26
something's
10:27
wrong.
10:27
You
10:27
know,
10:28
you've
10:28
been
10:28
outspoken
10:28
about
10:29
women
10:30
being
10:30
underdiagnosed
10:31
and
10:32
undertreated
10:33
in
10:33
cardiology.
10:34
So
10:34
how
10:35
can
10:35
we
10:35
become
10:35
stronger
10:36
advocates
10:37
for
10:37
ourselves
10:38
when
10:38
we're
10:38
in
10:38
the
10:38
exam
10:39
room?
10:40
This
10:40
is
10:41
so
10:41
much
10:41
about
10:42
educating
10:43
yourself
10:44
and
10:44
really
10:45
understanding
10:46
how
10:46
to
10:46
communicate
10:47
with
10:47
your
10:47
doctor.
10:48
So
10:49
much
10:49
of
10:49
my
10:49
career
10:50
I've
10:50
spent
10:51
really,
10:51
you
10:52
know,
10:52
I
10:52
wrote
10:52
a
10:52
book
10:53
and
10:53
I'm
10:53
speaking
10:54
because
10:55
it's
10:55
about
10:56
empowering
10:57
women
10:58
to
10:58
take
10:58
charge
10:59
of
10:59
their
10:59
own
10:59
health,
10:59
becoming
11:00
their
11:00
own
11:00
best
11:00
self
11:01
advocate.
11:02
And
11:03
part
11:03
of
11:03
that
11:04
is
11:04
knowing
11:04
exactly
11:05
what
11:05
I
11:05
started
11:05
with.
11:07
What
11:07
are
11:07
your
11:07
risk
11:07
factors?
11:08
What
11:09
are
11:09
your
11:09
personal
11:09
risk
11:10
factors
11:10
in
11:10
your
11:11
Lifespan,
11:12
what's
11:12
your
11:12
family
11:13
history?
11:13
What's
11:14
your
11:14
blood
11:14
pressure?
11:14
What's
11:15
your
11:15
cholesterol?
11:16
What
11:16
happened
11:17
during
11:17
pregnancy?
11:18
Or
11:19
are
11:19
you
11:19
in
11:19
menopause?
11:20
Are
11:20
you
11:20
having
11:21
multiple
11:21
hot
11:21
flashes?
11:22
Having
11:23
a
11:23
lot
11:23
of
11:23
hot
11:23
flashes
11:24
increases
11:24
your
11:25
risk
11:25
of
11:25
heart
11:25
disease.
11:26
They
11:26
go
11:26
hand
11:26
in
11:27
hand.
11:28
So
11:28
really
11:29
understanding
11:30
all
11:30
of
11:31
these
11:31
different
11:31
components,
11:33
that's
11:33
the
11:33
first
11:34
step
11:34
in
11:34
saying
11:35
to
11:35
your
11:35
doctor,
11:36
these
11:36
are
11:36
my
11:37
risks.
11:38
This
11:38
is
11:38
who
11:38
I
11:39
am.
11:39
And
11:40
I'm
11:40
having
11:40
this
11:41
symptom,
11:42
so
11:42
I'm
11:42
concerned
11:43
about
11:43
my
11:43
heart.
11:44
See,
11:45
I'm
11:45
so
11:45
glad
11:45
you're
11:45
bringing
11:46
up
11:46
the
11:46
hot
11:46
flashes
11:46
and
11:47
some
11:47
of
11:47
the
11:47
other
11:47
symptoms
11:48
that
11:48
we
11:48
face
11:48
during
11:49
perimenopause
11:50
and
11:50
menopause,
11:51
because
11:52
this
11:52
is
11:52
such
11:52
a
11:53
transitional
11:53
time
11:54
for
11:54
us.
11:55
And
11:56
so
11:56
when
11:56
you're
11:57
over
11:57
40
11:57
and
11:58
you're
11:58
going
11:58
through
11:59
these
11:59
stages
11:59
of
12:00
life,
12:00
how
12:01
do
12:01
we
12:01
protect
12:02
ourselves
12:02
in,
12:03
you
12:03
know,
12:03
when
12:03
it
12:04
comes
12:04
to
12:04
our
12:04
cardiac
12:04
cardiovascular
12:05
health?
12:05
And
12:05
if
12:05
we're
12:06
experiencing
12:06
these
12:07
symptoms,
12:07
I
12:07
mean,
12:08
how
12:08
do
12:08
we
12:08
know
12:09
the
12:09
difference?
12:09
Because,
12:09
you
12:10
know,
12:10
that's
12:10
very
12:11
common
12:12
during
12:12
this
12:12
time.
12:13
It
12:14
is.
12:14
It's
12:14
really
12:15
important
12:16
to
12:17
pay
12:17
attention,
12:19
and
12:19
it's
12:19
really
12:19
hard
12:20
to
12:20
know
12:21
what
12:21
to
12:21
pay
12:21
attention
12:21
to
12:22
because
12:22
so
12:22
much
12:23
is
12:23
happening.
12:23
Right?
12:25
And
12:25
so,
12:25
again,
12:26
I
12:26
go
12:26
back
12:26
to,
12:27
like,
12:27
the
12:27
basics.
12:28
Who
12:29
was
12:29
I
12:29
on
12:29
Monday
12:30
and
12:30
who
12:30
am
12:31
I
12:31
on
12:31
Wednesday?
12:31
Do
12:32
you
12:32
know
12:32
what
12:32
I
12:32
mean?
12:33
And
12:33
am
12:33
I
12:34
feeling
12:34
differently?
12:35
A
12:36
lot
12:36
of
12:36
women
12:36
will
12:36
experience
12:37
palpitations.
12:38
That's
12:39
really,
12:39
really
12:39
common
12:40
during
12:41
perimenopause
12:42
and
12:42
menopause.
12:43
Doesn't
12:44
mean
12:44
you
12:44
ignore
12:44
it.
12:45
It
12:45
means,
12:46
got
12:47
it.
12:47
Get
12:47
it
12:47
checked.
12:48
Just
12:48
find
12:48
out.
12:48
Make
12:49
sure
12:49
if
12:49
it's
12:49
okay.
12:51
Sometimes
12:52
women
12:52
will
12:52
say
12:53
they
12:53
went
12:53
to
12:53
their
12:53
doctor,
12:54
they
12:54
were
12:54
told
12:54
they're
12:54
fine,
12:55
and
12:55
they're
12:56
essentially
12:56
blown
12:56
off.
12:57
I
12:57
don't
12:57
like
12:58
that.
12:58
Get
12:58
another
12:59
doctor.
13:00
You
13:00
know,
13:00
really
13:00
find
13:01
out
13:01
what's
13:01
going
13:02
on.
13:03
But
13:03
in
13:03
understanding
13:04
if
13:05
your
13:05
symptoms
13:06
matter,
13:07
see
13:07
what
13:07
makes
13:07
them
13:08
better,
13:08
see
13:09
what
13:09
makes
13:09
them
13:09
worse,
13:10
see
13:10
if
13:11
you
13:11
can
13:11
pinpoint
13:12
it
13:12
to
13:12
something.
13:13
Meaning
13:14
if
13:14
it's
13:14
happening
13:15
when
13:15
you're
13:16
lying
13:16
down
13:16
at
13:17
night,
13:18
might
13:18
not
13:18
be
13:18
your
13:19
heart.
13:19
If
13:19
it's
13:20
happening
13:20
more
13:20
often
13:21
when
13:21
you're
13:22
exercising
13:22
or
13:23
when
13:23
you're
13:23
really
13:23
stressed,
13:24
it's
13:25
very
13:25
possible
13:25
it
13:26
could
13:26
be
13:26
your
13:26
heart.
13:27
So
13:27
if
13:28
you're
13:28
lying
13:28
down,
13:29
it's
13:29
probably
13:29
not
13:30
your
13:30
heart.
13:30
Then
13:30
if
13:30
you're
13:31
kind
13:31
of
13:31
experiencing
13:31
this,
13:32
really,
13:33
is
13:33
it
13:33
just
13:33
because
13:33
of
13:34
you
13:34
being
13:34
more
13:35
relaxed
13:35
or.
13:36
I'm
13:37
gonna
13:37
give
13:37
you
13:37
a
13:37
little
13:38
Biology
13:38
101
13:39
lesson,
13:40
please.
13:41
Okay,
13:42
now
13:43
you'll
13:43
get
13:43
it.
13:43
Okay.
13:44
So
13:44
the
13:45
heart's
13:45
job
13:46
is
13:46
to
13:47
deliver
13:47
blood.
13:48
The
13:49
blood
13:49
carries
13:49
oxygen,
13:51
and
13:51
oxygen
13:52
is
13:52
what
13:52
all
13:52
of
13:52
our
13:53
muscles
13:53
need.
13:54
Our
13:54
heart
13:54
muscle
13:55
Every
13:55
single
13:56
muscle,
13:56
right?
13:57
When
13:57
you
13:58
exercise,
13:59
when
13:59
you're
13:59
out
13:59
and
14:00
about,
14:01
your
14:01
muscles
14:02
need
14:02
more
14:02
oxygen.
14:04
So
14:04
your
14:04
heart
14:05
starts
14:05
pumping
14:06
and
14:06
beating
14:07
more
14:07
blood.
14:08
If
14:08
there's
14:09
problems
14:09
with
14:10
the
14:10
arteries,
14:11
it
14:11
cannot
14:13
deliver
14:13
as
14:14
much
14:14
blood
14:14
and
14:15
as
14:15
much
14:16
oxygen.
14:17
This
14:17
is
14:17
a
14:17
simple
14:18
supply
14:18
and
14:19
demand
14:19
equation.
14:21
When
14:21
you
14:21
exercise,
14:23
your
14:23
demand
14:23
goes
14:24
up.
14:24
If
14:25
there's
14:25
a
14:25
problem
14:25
with
14:25
the
14:26
arteries,
14:26
your
14:27
supply
14:27
goes
14:28
down.
14:28
And
14:29
that
14:29
supply
14:30
and
14:30
demand
14:30
mismatch
14:31
is
14:32
what
14:32
leads
14:33
to
14:33
symptoms.
14:34
When
14:35
you're
14:35
lying
14:35
in
14:36
bed,
14:36
there's
14:37
no
14:37
demand.
14:39
You're
14:39
just.
14:41
You
14:41
should
14:41
be
14:42
just
14:43
calm,
14:44
right?
14:44
And
14:45
so
14:45
the
14:45
only
14:46
time
14:46
your
14:46
demand
14:47
goes
14:47
up
14:47
is
14:47
when
14:48
your
14:48
heart
14:48
rate
14:48
goes
14:49
up.
14:49
What
14:50
increases
14:50
your
14:51
heart
14:51
rate?
14:52
And
14:52
that's
14:53
when
14:53
it
14:53
becomes
14:54
really
14:54
important
14:55
to
14:55
pay
14:56
attention
14:56
to
14:56
symptoms.
14:58
Okay.
14:59
You
14:59
know,
14:59
there
14:59
is
15:00
so
15:00
much
15:00
discussion
15:01
right
15:01
now
15:01
on
15:02
hrts
15:03
and
15:03
bioidentical
15:04
hormones.
15:05
And,
15:06
you
15:06
know,
15:06
I
15:06
think
15:06
there's
15:07
a
15:07
lot
15:07
of
15:07
confusion
15:08
out
15:08
there
15:08
because
15:09
we're
15:09
hearing
15:10
one
15:10
thing
15:10
and
15:10
then
15:10
somebody
15:11
else
15:11
is
15:11
saying
15:11
something
15:12
else.
15:13
But
15:13
when
15:13
it
15:13
comes
15:14
to
15:14
the
15:14
heart,
15:15
are
15:16
HRTs
15:17
beneficial
15:18
to
15:18
heart
15:19
health?
15:19
Do
15:19
they
15:20
actually
15:20
help
15:21
in
15:22
any
15:22
way?
15:23
So
15:23
the
15:24
Women's
15:24
Health
15:24
Initiative,
15:25
which
15:25
was
15:25
the
15:26
meanest,
15:26
most
15:27
horrible
15:27
study
15:27
to
15:28
ever
15:28
be
15:28
released,
15:31
said
15:31
that
15:32
hormone
15:32
replacement
15:33
therapy,
15:34
estrogen
15:35
is
15:35
dangerous,
15:36
increases
15:37
the
15:37
risk
15:37
of
15:37
heart
15:37
disease,
15:38
clotting,
15:38
all
15:38
of
15:39
this.
15:39
And
15:39
this
15:39
is
15:39
not
15:40
true.
15:41
This
15:41
is
15:41
not
15:41
true.
15:43
The
15:43
study
15:43
design
15:44
was
15:45
really
15:46
for
15:46
older
15:47
women.
15:47
It
15:47
wasn't
15:48
looking
15:48
at
15:48
women
15:48
who
15:49
were
15:49
on
15:49
hormone
15:49
replacement
15:50
within
15:51
the
15:51
first
15:51
10
15:52
years
15:52
of
15:53
menopause,
15:53
which
15:54
we
15:54
know
15:54
for
15:54
sure
15:55
it's
15:56
protective.
15:57
But
15:57
every
15:57
woman's
15:58
a
15:58
little
15:58
different,
15:59
and
15:59
the
16:00
way
16:00
that
16:00
estrogen
16:01
is
16:01
delivered
16:02
is
16:02
different.
16:03
Your
16:04
risk
16:04
of
16:04
clotting
16:05
goes
16:05
up
16:05
if
16:05
it's
16:05
taken
16:06
orally
16:07
versus
16:08
if
16:08
you
16:08
have
16:08
it
16:09
vaginally
16:10
or
16:10
through
16:10
a
16:10
patch.
16:11
And
16:12
what
16:12
we
16:12
know
16:12
through
16:13
menopause
16:13
is
16:14
that
16:14
inside
16:15
the
16:15
lining
16:15
of
16:15
the
16:16
artery,
16:17
estrogen
16:18
keeps
16:18
the
16:18
artery
16:19
dilating,
16:20
supple.
16:21
It's
16:22
like
16:22
it
16:22
can
16:23
expand
16:23
and
16:24
contract.
16:25
It's
16:25
just
16:26
like
16:26
our
16:26
skin
16:27
is
16:27
supple
16:27
when
16:27
we're
16:28
young.
16:28
It's
16:28
the
16:28
same
16:29
idea.
16:30
And
16:30
as
16:31
we
16:31
go
16:31
through
16:31
menopause,
16:32
there
16:32
are
16:33
two
16:33
major
16:33
things
16:34
that
16:34
happen.
16:35
There
16:35
is
16:36
an
16:36
increase
16:37
in
16:37
a
16:37
hormone
16:38
called
16:38
endothelin,
16:39
one
16:40
which
16:40
makes
16:41
the
16:41
arteries
16:41
contract,
16:42
and
16:43
there's
16:43
a
16:43
decrease
16:44
in
16:44
nitric
16:45
oxide.
16:46
And
16:46
nitric
16:47
oxide
16:47
makes
16:48
arteries
16:48
dilate.
16:49
So
16:50
when
16:50
you
16:50
have
16:50
the
16:51
bad
16:53
hormone
16:54
go
16:54
up
16:54
and
16:55
the
16:55
good
16:55
hormone
16:56
go
16:56
down,
16:57
your
16:57
arteries
16:58
are
16:58
constricted.
17:00
This
17:00
arterial
17:01
constriction
17:02
and
17:02
this
17:02
stiffness
17:03
in
17:03
the
17:03
arteries
17:04
is
17:05
what
17:05
leads
17:05
to
17:05
things
17:06
like
17:06
high
17:06
blood
17:06
pressure
17:07
and
17:07
what
17:08
leads
17:08
to
17:08
the
17:09
increase
17:09
in
17:10
the
17:10
potential
17:10
of
17:11
developing
17:11
plaque
17:12
in
17:12
the
17:12
arteries.
17:13
That
17:13
lining
17:14
of
17:14
the
17:14
artery,
17:15
as
17:15
it
17:15
loses
17:16
estrogen,
17:17
becomes
17:17
stiff.
17:18
It's
17:18
called
17:19
endothelial
17:20
dysfunction.
17:21
And
17:21
when
17:22
arteries
17:22
are
17:23
stiff
17:24
and
17:24
cholesterol
17:25
goes
17:25
up
17:26
and
17:26
sugars
17:26
go
17:27
up
17:27
and
17:27
obesity
17:28
and
17:29
you're
17:29
not
17:29
exercising
17:30
as
17:30
much
17:31
as
17:31
the
17:31
potential
17:32
to
17:32
have
17:32
these
17:33
micro
17:33
tears,
17:34
these
17:34
little
17:34
tears
17:35
inside
17:35
the
17:35
lining
17:36
of
17:36
the
17:36
artery
17:37
happens.
17:38
And
17:38
when
17:38
those
17:38
little
17:39
tears
17:39
happen,
17:40
then
17:41
that's
17:41
how
17:41
plaque
17:42
develops
17:42
and
17:42
heart
17:43
disease
17:43
develops.
17:45
When
17:45
you
17:45
take
17:46
estrogen,
17:47
the
17:47
arteries
17:48
stay
17:49
supple,
17:50
they
17:50
stay
17:51
not
17:52
as
17:52
stiff.
17:53
I
17:53
always
17:53
say
17:53
it's
17:54
the
17:54
difference
17:54
between
17:54
a
17:55
pipe
17:55
cleaner
17:56
that
17:56
bends
17:57
and
17:57
a
17:57
popsicle
17:58
stick
17:58
that
17:58
breaks.
17:59
When
18:00
estrogen
18:00
goes
18:01
down,
18:01
you
18:01
turn
18:02
into
18:02
a
18:02
popsicle
18:03
stick.
18:03
When
18:04
estrogen
18:04
is
18:04
up,
18:04
it's
18:05
a
18:05
pipe
18:05
cleaner,
18:06
and
18:06
it
18:06
just
18:06
can't
18:07
break.
18:08
Oh,
18:08
that's
18:09
such
18:09
a
18:09
good
18:09
point.
18:11
So
18:12
estrogen
18:12
is
18:12
protective
18:13
in
18:13
that
18:13
way.
18:14
Is
18:14
testosterone,
18:15
is
18:15
progesterone,
18:16
Are
18:16
they
18:16
all
18:17
protective
18:18
of
18:18
the
18:18
heart
18:18
or
18:18
is
18:19
it
18:19
mostly
18:19
estrogen?
18:21
So
18:21
it's
18:21
mostly
18:21
estrogen,
18:22
but
18:22
if
18:23
you
18:23
have
18:23
a
18:23
uterus,
18:24
you
18:24
have
18:24
to
18:24
protect
18:25
that,
18:25
and
18:26
that's
18:26
when
18:26
progesterone
18:27
becomes
18:28
important.
18:29
Testosterone
18:30
has
18:30
another
18:30
mechanism,
18:31
but
18:32
when
18:32
we
18:32
really
18:33
focus
18:33
on
18:33
arterial
18:34
health,
18:34
we're
18:34
really
18:35
focusing
18:35
on
18:35
that
18:36
estrogen
18:36
component.
18:37
You
18:37
know,
18:38
it's
18:38
like
18:38
you're
18:38
saying
18:39
every
18:39
woman
18:39
is
18:39
different.
18:40
So
18:40
it's
18:40
kind
18:40
of
18:40
a
18:40
balance.
18:41
And
18:42
I
18:42
think,
18:42
you
18:42
know,
18:42
you
18:43
have
18:43
to
18:43
talk
18:43
to
18:43
your
18:43
doctor
18:44
about
18:44
these
18:44
things
18:44
about,
18:45
you
18:45
know,
18:45
if
18:45
you
18:45
want
18:46
to
18:46
go
18:46
on
18:46
the
18:46
HRT
18:46
or
18:47
not.
18:47
But
18:47
it
18:48
was
18:48
interesting.
18:48
I
18:48
actually
18:49
got
18:49
my
18:49
yearly
18:50
mammogram
18:51
yesterday,
18:52
being
18:52
a
18:52
good
18:52
girl
18:53
because
18:53
everybody
18:54
should
18:54
always
18:54
do
18:54
their
18:55
screenings.
18:55
Don't
18:56
skip,
18:56
ladies.
18:57
But
18:57
I
18:57
was
18:57
talking
18:57
to
18:58
my
18:58
doctor,
18:58
and
18:59
I
18:59
think
18:59
maybe
18:59
because
19:00
she
19:00
is
19:00
so
19:01
hyper
19:01
aware
19:02
of
19:02
breast
19:02
cancer,
19:02
because
19:03
that
19:03
is,
19:03
you
19:04
know,
19:04
her
19:04
specialty,
19:05
she
19:06
actually,
19:06
you
19:07
know,
19:07
advised,
19:08
don't
19:09
do
19:09
it
19:09
unless
19:09
you
19:10
have
19:10
to,
19:10
and
19:10
if
19:10
you
19:11
do
19:11
it,
19:11
do
19:12
it
19:12
for
19:12
a
19:12
short
19:12
period
19:13
of
19:13
time.
19:14
So
19:14
again,
19:15
like,
19:15
it's
19:16
so
19:16
confusing
19:16
to
19:17
me.
19:18
That's
19:18
not
19:18
really
19:18
what
19:19
the
19:19
data
19:19
shows.
19:21
And
19:22
it's
19:22
an
19:23
interesting
19:23
time
19:24
to
19:24
speak
19:24
to
19:24
you.
19:25
Yesterday,
19:26
a
19:26
group
19:26
of
19:27
colleagues
19:28
went
19:29
to
19:29
the
19:29
FDA
19:30
to
19:31
remove
19:31
the
19:31
black
19:32
box
19:32
warning
19:33
off
19:34
of
19:34
vaginal
19:35
estrogen.
19:37
There
19:37
has
19:37
been
19:37
a
19:38
black
19:38
box
19:38
warning
19:39
saying
19:39
this
19:39
is
19:39
dangerous
19:40
to
19:40
take.
19:41
Since
19:41
the
19:41
Women's
19:42
Health
19:42
Initiative,
19:43
this,
19:43
as
19:44
I
19:44
said,
19:44
was
19:44
the
19:44
meanest
19:45
thing
19:45
to
19:45
ever
19:46
happen.
19:46
And
19:47
yesterday,
19:48
two
19:48
hours
19:48
of
19:49
the
19:49
most
19:49
articulate
19:50
argument.
19:51
I'm
19:52
so
19:52
proud
19:53
of
19:53
these
19:54
doctors
19:55
to
19:55
really
19:57
have
19:57
not
19:58
only
19:58
stated
19:59
the
20:00
reasons
20:00
why
20:00
it's
20:01
wrong,
20:01
but
20:02
really
20:02
talked
20:02
about
20:03
the
20:03
personal
20:03
impact
20:04
it's
20:04
had
20:04
on
20:04
their
20:04
own
20:05
families
20:05
and
20:05
patients,
20:06
which
20:07
was
20:07
just
20:08
amazing
20:08
to
20:08
listen
20:09
to
20:09
and
20:10
the
20:10
point
20:10
is
20:11
that,
20:11
as
20:11
doctors
20:13
remember
20:13
when
20:14
we
20:14
started
20:14
this,
20:14
I
20:15
said
20:15
the
20:15
research.
20:16
The
20:16
research,
20:18
the
20:18
research
20:18
that
20:19
was
20:19
done
20:20
made
20:21
doctors
20:21
believe
20:22
this
20:22
is
20:22
going
20:22
to
20:23
give
20:23
my
20:23
patients
20:23
breast
20:24
cancer,
20:24
but
20:25
it's
20:25
not
20:25
true.
20:26
And
20:26
more
20:26
research
20:27
that's
20:27
out
20:28
there
20:28
really
20:29
shows
20:29
that
20:29
that's
20:30
not
20:30
the
20:30
case.
20:31
And
20:32
so
20:32
I'm
20:32
not
20:33
sure
20:33
if
20:33
I
20:34
would
20:34
say
20:34
that
20:35
this
20:35
doctor
20:36
is
20:36
really
20:37
looking
20:37
at
20:37
you
20:37
individually
20:38
and
20:38
looking
20:39
at
20:39
the
20:39
different
20:39
ways
20:40
that
20:40
estrogen
20:41
could
20:41
be
20:41
delivered
20:42
to
20:42
you
20:42
intravaginally.
20:44
Cream
20:44
is
20:44
so
20:45
safe
20:46
for
20:46
the
20:46
majority
20:47
of
20:47
women
20:48
that
20:49
I
20:49
don't
20:50
know
20:50
if
20:50
we
20:50
should
20:51
put
20:51
that
20:52
kind
20:52
of
20:53
estrogen
20:53
in
20:54
the
20:54
bucket
20:54
of
20:54
what
20:54
she's
20:55
talking
20:55
about.
20:56
You
20:56
know,
20:57
the
20:57
delivery
20:57
system
20:58
and
20:58
who
20:59
that
20:59
individual
20:59
patient
21:00
is
21:00
matters
21:01
a
21:01
lot.
21:02
In
21:02
the
21:02
ranking
21:03
of
21:03
the
21:03
delivery
21:04
system.
21:04
Is
21:04
there
21:04
one
21:05
that's
21:05
typically
21:05
safer
21:06
than
21:06
the
21:07
other?
21:08
Yeah,
21:08
like
21:08
that
21:08
estrogen
21:09
cream
21:09
is
21:10
super
21:10
safe.
21:11
An
21:11
estrogen
21:11
patch
21:12
is
21:12
super
21:13
safe.
21:14
Duavy,
21:15
which
21:15
is
21:15
an
21:16
oral
21:17
hormone
21:18
replacement,
21:19
actually
21:19
has
21:19
been
21:20
shown
21:20
to
21:20
prevent
21:21
breast
21:21
cancer.
21:23
So
21:23
there
21:24
are
21:24
many
21:25
different
21:25
types
21:26
of
21:26
estrogen.
21:27
There's
21:28
many
21:28
different
21:28
types
21:29
of
21:29
hormone
21:29
replacement.
21:31
And
21:32
really,
21:33
having
21:33
a
21:33
doctor
21:34
that
21:34
can
21:34
talk
21:34
through
21:36
this
21:36
complicated,
21:37
complicated
21:38
story
21:39
is
21:40
the
21:40
most
21:40
important.
21:41
And
21:41
one
21:41
thing
21:42
I
21:42
think
21:42
is
21:42
important
21:43
to
21:43
bring
21:43
up.
21:44
You're
21:44
talking
21:45
to
21:45
your
21:46
doctor
21:46
who's
21:47
so
21:47
obsessed
21:47
about
21:48
breast
21:48
cancer,
21:49
about
21:49
hormones,
21:51
and
21:51
then
21:51
we
21:51
talk
21:52
to
21:52
the
21:52
doctor
21:52
who's
21:53
so
21:53
obsessed
21:54
about,
21:56
let's
21:56
say,
21:57
your
21:57
endocrine
21:58
system
21:58
or
21:58
your
21:58
rheumatologic
21:59
system
22:00
or
22:00
your
22:00
heart
22:01
or
22:02
your
22:03
risk
22:03
of
22:03
breast
22:03
cancer.
22:04
Like
22:04
everyone
22:05
is
22:05
compartmentalized
22:07
in
22:07
this
22:07
conversation.
22:08
You
22:09
need
22:09
to
22:09
find
22:09
the
22:09
doctor
22:10
that
22:10
knows
22:10
you
22:10
really
22:11
well,
22:11
who
22:12
also
22:12
knows
22:13
hormones
22:14
really
22:14
well,
22:15
and
22:15
that's
22:16
the
22:16
doctor
22:16
that
22:16
you
22:16
have
22:17
to
22:17
talk
22:17
to.
22:18
What
22:18
I
22:18
think
22:18
is
22:18
also
22:19
interesting,
22:19
one
22:20
more
22:20
point
22:21
is
22:21
when
22:21
you
22:22
talk
22:22
to
22:22
all
22:23
of
22:23
these
22:23
doctors
22:24
who,
22:24
again,
22:25
spoke
22:25
at
22:25
the
22:26
fda,
22:27
and
22:28
when
22:28
you
22:28
talk
22:28
to
22:29
myself,
22:30
how
22:30
much
22:31
time
22:31
we
22:31
were
22:32
taught
22:32
about
22:32
menopause
22:33
in
22:33
medical
22:33
school,
22:35
I
22:35
don't
22:35
know,
22:35
like
22:35
an
22:36
hour.
22:37
Every
22:38
single
22:38
one
22:38
of
22:38
these
22:39
doctors
22:40
became
22:41
so
22:41
educated,
22:43
and
22:43
a
22:43
lot
22:43
of
22:44
times
22:44
self
22:44
educated.
22:45
Now
22:45
there's
22:46
different
22:46
classes
22:47
and
22:47
programs
22:48
and
22:48
courses
22:49
and
22:49
fellowships,
22:50
but
22:51
a
22:51
lot
22:51
of
22:51
these
22:52
doctors
22:52
were
22:52
about
22:52
the
22:53
same
22:53
age.
22:53
We
22:53
had
22:54
to
22:54
learn
22:55
preventive
22:55
cardiology.
22:57
We
22:57
had
22:57
to
22:57
learn
22:58
about
22:58
hormones.
22:59
They
22:59
really
23:00
learned.
23:00
Are
23:01
experts
23:01
in
23:01
the
23:01
field.
23:02
And
23:03
it's
23:03
the
23:03
kind
23:03
of
23:04
field
23:04
that's
23:04
so
23:05
complicated
23:05
that
23:06
I
23:06
think
23:06
you
23:06
need
23:06
an
23:06
expert.
23:07
You
23:07
know,
23:08
I
23:08
think
23:08
that's
23:08
a
23:08
great
23:09
point
23:09
too,
23:09
that
23:09
you're
23:09
bringing
23:10
up,
23:10
is
23:10
that
23:10
so
23:11
many
23:11
doctors
23:11
are
23:12
not
23:12
even
23:12
educated
23:13
about
23:13
menopause
23:13
and
23:14
peri.
23:14
Perimenopause,
23:15
especially,
23:16
because
23:17
that
23:17
kind
23:17
of
23:18
seems
23:18
like
23:18
the
23:18
black
23:18
hole
23:19
to
23:19
a
23:19
lot
23:19
of
23:20
people.
23:20
You
23:20
know,
23:20
it's
23:20
like,
23:21
are
23:21
you
23:21
in
23:21
it?
23:21
Are
23:22
you
23:22
not
23:22
in
23:22
it?
23:22
Is
23:23
it,
23:23
you
23:23
know,
23:23
happening?
23:24
Is
23:24
it
23:24
not?
23:25
So
23:25
I
23:25
do
23:25
think,
23:26
think,
23:26
you
23:26
know,
23:27
there
23:27
needs
23:27
to
23:28
be
23:28
more
23:28
education
23:30
for
23:30
doctors,
23:31
right,
23:31
to
23:31
kind
23:31
of
23:32
understand
23:32
what
23:33
is
23:33
happening.
23:34
Even
23:34
female
23:35
doctors
23:35
who
23:35
actually
23:35
are
23:36
going
23:36
through
23:36
the
23:36
same
23:37
process.
23:38
One
23:38
of
23:39
the
23:39
most
23:40
interesting
23:41
conversations
23:42
I
23:42
ever
23:42
had
23:43
was
23:43
on
23:44
a
23:44
panel
23:44
with
23:45
a
23:45
group
23:45
of
23:46
doctors,
23:46
all
23:46
women.
23:48
One
23:48
was
23:49
a
23:50
urologist
23:51
focusing
23:51
on
23:52
women,
23:54
Very
23:54
interestingly,
23:55
in
23:55
menopause,
23:56
urinary
23:57
tract
23:57
infections,
23:58
so
23:59
incredibly
24:01
common.
24:02
But
24:03
vaginal
24:04
estrogen
24:04
prevents
24:05
urinary
24:06
tract
24:06
infections.
24:07
Oh,
24:08
so
24:09
simple,
24:09
simple
24:10
problem,
24:10
solution,
24:11
right?
24:12
And
24:12
so
24:12
there
24:13
was
24:13
this
24:13
urologist,
24:14
there
24:14
was
24:15
a
24:16
menopause
24:16
specialist,
24:17
a
24:17
gynecologist,
24:19
myself.
24:20
And
24:21
the
24:22
urologist
24:23
said,
24:23
I
24:23
don't
24:24
know
24:24
why
24:24
we're
24:24
thinking
24:25
of
24:25
menopause
24:25
as
24:26
being
24:26
an
24:26
issue.
24:27
It's
24:27
just
24:27
normal,
24:28
like,
24:28
get
24:29
over
24:29
it.
24:29
And
24:30
everyone
24:30
went,
24:32
I
24:32
thought,
24:32
oh,
24:33
my
24:33
God,
24:33
someone's
24:34
gonna
24:34
absolutely
24:35
kill
24:35
her.
24:35
You
24:35
know,
24:36
it
24:36
was.
24:36
It
24:36
was
24:37
interesting,
24:38
but
24:39
she
24:40
went
24:41
through
24:41
school
24:43
training
24:44
when
24:44
that's
24:45
what
24:45
it
24:45
was
24:46
thought
24:46
of.
24:47
What
24:48
I
24:48
think
24:48
is
24:48
interesting
24:49
is
24:49
that
24:51
we're
24:51
not
24:51
going
24:51
to
24:51
call
24:52
this
24:52
an
24:52
illness,
24:53
but
24:53
we
24:54
are
24:54
going
24:54
to
24:54
call
24:54
it
24:55
a
24:56
transition
24:56
time
24:57
that
24:57
has
24:57
a
24:58
profound
24:59
impact
24:59
on
25:00
health,
25:01
whether
25:01
it's
25:02
heart
25:02
disease,
25:03
cognitive
25:04
issues,
25:05
bone
25:06
health,
25:07
urinary
25:07
tract
25:08
infection,
25:08
I
25:09
mean,
25:10
sexual
25:10
health,
25:12
and
25:12
let's
25:12
talk
25:12
about
25:13
quality
25:13
of
25:13
life
25:14
with
25:15
sleep.
25:15
I'm
25:15
going
25:15
to
25:15
go
25:15
back
25:16
to
25:16
cognition,
25:16
but
25:17
mood
25:17
disorders,
25:17
hot
25:18
flashes,
25:18
all
25:18
of
25:19
these
25:19
things,
25:20
this
25:20
transition.
25:22
And
25:22
we
25:23
joke
25:23
around,
25:23
if
25:24
this
25:24
transition
25:24
happened
25:25
to
25:25
men,
25:26
it
25:26
wouldn't
25:26
necessarily
25:27
be
25:27
in
25:28
this
25:28
situation.
25:29
And
25:29
that's
25:29
a
25:30
little
25:30
bit
25:31
from
25:31
how
25:31
the
25:31
healthcare
25:32
system
25:32
and
25:32
the
25:33
pharmaceutical
25:34
industry,
25:34
you
25:35
know,
25:35
it's
25:35
just
25:36
a
25:36
different
25:37
dynamic.
25:38
And
25:38
so
25:39
I
25:39
don't
25:39
want
25:39
women
25:40
to
25:40
think
25:40
they're
25:40
sick,
25:41
but
25:41
I
25:41
want
25:42
women
25:42
to
25:42
realize
25:43
that
25:43
there
25:43
is
25:43
a
25:44
way
25:44
to
25:44
prevent
25:45
all
25:45
the
25:45
disease
25:46
processes
25:47
that
25:47
you're
25:48
about
25:48
to
25:48
enter
25:49
by
25:49
simply
25:50
treating
25:51
the
25:51
problem
25:51
and
25:52
the
25:52
root
25:52
cause.
25:53
And
25:53
the
25:53
root
25:54
cause
25:54
oftentimes
25:55
is
25:55
hormonal
25:56
fluctuations
25:57
and
25:58
the
25:58
reduction
25:58
of
25:59
estrogen.
26:00
Absolutely.
26:01
You
26:02
know,
26:02
with
26:02
lack
26:02
of
26:02
sleep.
26:03
Because
26:04
lack
26:04
of
26:05
sleep
26:05
is
26:05
such
26:06
a
26:06
big
26:06
part
26:07
of
26:08
perimenopause
26:09
and
26:09
menopause.
26:10
And
26:10
can
26:10
the
26:11
lack
26:11
of
26:11
sleep
26:12
actually
26:12
affect
26:13
your
26:13
heart
26:13
health?
26:15
You
26:16
know,
26:17
I
26:17
think
26:17
this
26:18
question
26:18
is
26:18
so
26:19
important
26:20
because
26:21
we're
26:22
one
26:22
being,
26:23
right?
26:25
All
26:25
of
26:25
this
26:26
is
26:26
me,
26:27
not
26:27
from
26:27
here
26:28
up,
26:28
not
26:28
from
26:29
here
26:29
down.
26:30
And
26:30
you
26:30
bring
26:30
up
26:31
a
26:31
point
26:31
that
26:32
is
26:32
really,
26:33
it
26:33
matters
26:33
for
26:34
everyone
26:34
to
26:34
understand.
26:35
When
26:36
you
26:36
don't
26:36
sleep,
26:37
what
26:37
happens?
26:38
Well,
26:39
there
26:39
is
26:39
an
26:40
increase
26:40
in
26:40
blood
26:40
pressure,
26:41
There
26:41
is
26:42
an
26:42
increase
26:43
in
26:43
the
26:43
potential
26:44
of
26:44
gaining
26:44
weight
26:45
and
26:45
obesity.
26:46
There
26:47
is
26:47
the
26:47
increase
26:47
of
26:48
inflammation.
26:49
There
26:49
is
26:49
potentially
26:50
the
26:50
increase
26:50
of
26:50
cholesterol.
26:51
I
26:52
mean,
26:52
then
26:52
there's
26:52
a
26:52
decrease
26:53
in
26:53
cognition.
26:54
I
26:54
can
26:54
go
26:54
through
26:54
the
26:55
loop,
26:55
but
26:56
it's
26:56
a
26:56
lot
26:56
about
26:57
the
26:57
stress
26:58
hormones,
26:58
epinephrine,
26:59
norepinephrine,
27:00
and
27:00
the
27:00
real
27:01
tough
27:01
one,
27:01
which
27:01
is
27:02
cortisol.
27:03
Cortisol
27:04
increases
27:04
inflammation.
27:06
And
27:06
what
27:06
does
27:06
this
27:07
maelstrom
27:07
do?
27:08
It
27:08
actually
27:08
leads
27:09
to
27:09
heart
27:09
disease.
27:10
When
27:11
you
27:11
think
27:11
about
27:13
the
27:13
training
27:14
that
27:14
goes
27:14
on,
27:15
I
27:15
believe
27:15
it's
27:15
the
27:16
CIA,
27:16
Navy
27:17
seals.
27:17
There
27:17
was
27:17
a
27:18
study
27:18
looking
27:18
at
27:20
really
27:20
sleep
27:20
deprivation
27:21
and
27:21
what
27:22
it
27:22
does
27:22
to
27:22
people.
27:24
But
27:24
100%
27:25
when
27:26
you
27:26
look
27:26
at
27:27
sleep
27:28
deprivation
27:28
and
27:28
what
27:28
it
27:29
does
27:29
to
27:29
us,
27:30
cholesterol
27:31
goes
27:31
up,
27:32
blood
27:32
pressure.
27:33
You
27:33
cannot
27:34
manage
27:34
blood
27:35
pressure
27:35
if
27:35
you're
27:35
not
27:36
sleeping.
27:36
And
27:36
we
27:36
know
27:36
that
27:37
a
27:37
little
27:37
bit.
27:37
We
27:38
see
27:38
that
27:38
in
27:38
sleep
27:39
apnea.
27:40
But
27:40
there's
27:40
also
27:41
this
27:41
profound
27:42
impact
27:42
it
27:43
has
27:43
on
27:44
every,
27:44
every
27:45
aspect
27:45
of
27:45
us
27:46
and
27:46
our
27:46
well
27:46
being.
27:47
Absolutely.
27:48
You
27:48
know,
27:49
and
27:49
I'm
27:49
glad
27:49
you're
27:49
bringing
27:50
up
27:50
the
27:50
inflammation
27:51
and
27:51
the
27:51
cortisol
27:52
of
27:52
it
27:52
all,
27:53
because
27:53
that
27:53
is
27:54
stressful
27:54
on
27:55
the
27:55
heart
27:56
and
27:56
oftentimes
27:57
again,
27:57
it's
27:57
sort
27:58
of
27:58
overlooked
27:58
or
27:59
pushed
27:59
aside.
28:00
So
28:00
what
28:01
lifestyle
28:02
changes
28:03
actually
28:04
make
28:04
a
28:04
difference
28:05
when
28:05
it
28:05
comes
28:06
to
28:06
lowering
28:06
cortisol
28:07
and
28:07
lowering
28:08
your
28:08
inflammation
28:09
and
28:10
helping
28:10
relieve
28:11
some
28:11
of
28:11
that
28:11
stress?
28:13
It
28:13
starts
28:14
with
28:14
the
28:14
second
28:14
you
28:15
wake
28:15
up
28:15
in
28:15
the
28:16
morning.
28:18
Not
28:19
getting
28:19
on
28:19
that
28:19
phone.
28:20
Right.
28:21
You
28:21
know,
28:21
I
28:21
keep
28:21
saying,
28:22
if
28:22
we
28:23
start
28:23
every
28:23
day,
28:24
good
28:25
morning
28:25
and
28:25
welcome
28:26
to
28:26
a
28:26
brand
28:26
new
28:27
day.
28:28
Fake
28:29
it
28:29
till
28:29
you
28:29
make
28:29
it.
28:30
There
28:30
is
28:31
something
28:31
to
28:31
be
28:31
said
28:32
about
28:32
that.
28:33
There's
28:33
this
28:33
incredible
28:34
study
28:35
that
28:35
showed
28:36
as
28:36
we
28:36
age,
28:37
we
28:37
become
28:38
naturally
28:39
more
28:39
pessimistic
28:41
and
28:41
that
28:42
people
28:42
who
28:42
are
28:44
optimistic
28:45
have
28:46
longer
28:46
lifespans.
28:48
So
28:48
I
28:49
am
28:49
not
28:49
kidding
28:49
when
28:49
I
28:50
tell
28:50
you,
28:50
get
28:50
up
28:50
and
28:51
smile
28:51
no
28:52
matter
28:52
what,
28:53
because
28:53
that
28:54
actually
28:54
decreases
28:55
the
28:55
cortisol.
28:57
And
28:57
as
28:57
your
28:58
day
28:58
goes
28:58
on,
28:59
every
28:59
single
28:59
choice
29:00
you
29:00
make,
29:01
from
29:01
what
29:01
you
29:01
eat
29:02
to
29:02
how
29:03
you
29:03
choose
29:03
to
29:04
move,
29:05
I
29:05
can
29:06
tell
29:06
you
29:07
the
29:07
relationships
29:08
you
29:08
have.
29:08
Think
29:09
about,
29:09
you
29:09
know,
29:10
that
29:10
person
29:11
that
29:11
sucks
29:12
the
29:12
energy
29:12
out
29:13
of
29:13
you
29:13
versus
29:14
that
29:14
person
29:15
that
29:15
just
29:16
makes
29:16
you
29:16
happy.
29:17
That
29:17
shifts
29:18
your
29:18
cortisol
29:19
level,
29:20
you
29:20
know,
29:20
how
29:20
you
29:21
interact
29:21
with
29:22
every
29:22
aspect
29:22
of
29:23
your
29:23
life.
29:23
There's
29:24
a
29:24
study
29:24
that
29:24
looks
29:25
at
29:25
job
29:25
stress.
29:26
It
29:27
was
29:27
a
29:27
nurses
29:28
health
29:28
study,
29:29
and
29:29
it
29:29
showed
29:30
it
29:31
was
29:31
looking
29:31
at
29:31
nurses
29:32
who
29:32
really
29:32
are
29:32
under
29:33
a
29:33
lot
29:33
of
29:33
stress.
29:33
And
29:34
in
29:34
this
29:34
study,
29:34
there
29:35
was
29:35
a
29:35
30%
29:36
increase
29:37
in
29:37
risk
29:37
for
29:38
heart
29:38
disease
29:39
for
29:41
people
29:41
who
29:41
are
29:42
under
29:43
stress
29:43
at
29:43
work.
29:45
So
29:45
it's
29:46
about
29:46
how
29:46
you
29:47
move
29:48
exercise,
29:48
but
29:49
throughout
29:49
your
29:49
day,
29:50
you
29:50
can't
29:50
sit
29:51
all
29:51
day.
29:51
We
29:51
know
29:51
sitting
29:52
is
29:52
the
29:52
New
29:52
smoking,
29:53
that's
29:53
for
29:53
sure.
29:54
Right.
29:55
It's
29:55
about
29:56
what
29:56
you
29:57
eat,
29:57
but
29:58
how
29:58
you
29:58
nourish
29:59
yourself.
30:00
You
30:00
know,
30:00
it's
30:00
not
30:00
the
30:01
calories
30:01
in,
30:02
calories
30:02
out
30:02
concept.
30:03
It's
30:04
the
30:04
quality
30:04
of
30:05
that
30:05
food
30:05
you
30:05
put
30:05
in
30:05
your
30:06
mouth
30:06
and
30:07
really
30:08
how
30:08
you're
30:08
going
30:09
to
30:11
nourish
30:12
your
30:12
body.
30:13
Right.
30:13
It's
30:14
about
30:15
stress
30:16
management
30:17
and
30:18
it's
30:18
about
30:18
your
30:18
relationships
30:19
and
30:19
your
30:19
job
30:20
and
30:20
your
30:21
point
30:21
of
30:21
view
30:21
and
30:22
your
30:22
perspective,
30:23
and
30:23
it's
30:24
about
30:24
how
30:25
well
30:25
you
30:25
sleep
30:26
and
30:26
when
30:26
you
30:26
go
30:26
to
30:27
bed.
30:27
Every
30:28
little
30:28
part
30:28
of
30:29
the
30:29
day
30:29
impacts
30:30
your
30:30
heart.
30:31
I'm
30:31
going
30:32
to
30:32
tell
30:32
you,
30:32
I
30:33
always
30:33
say
30:33
live
30:34
from
30:34
the
30:34
heart
30:35
because
30:35
your
30:35
heart
30:36
is
30:36
like
30:36
the
30:36
metronome
30:37
of
30:37
your
30:37
life.
30:38
It
30:38
is
30:39
carrying
30:40
the
30:40
good
30:41
times
30:41
and
30:42
it
30:42
is
30:42
carrying
30:43
the
30:43
bad.
30:44
And
30:44
the
30:45
idea
30:45
of
30:45
being
30:46
heart
30:46
sick
30:47
and
30:48
of
30:48
really
30:49
feeling
30:49
heart
30:50
throbs.
30:51
Like,
30:51
we
30:51
understand
30:52
as
30:53
women,
30:54
we
30:54
do
30:54
live
30:54
from
30:54
the
30:55
heart.
30:55
We
30:55
carry
30:56
all
30:56
of
30:56
this
30:57
in
30:57
our
30:57
hearts.
30:58
And
30:59
so
30:59
how
30:59
we
30:59
choose
31:00
to
31:00
live
31:01
are
31:01
perceptions.
31:03
It
31:03
matters
31:04
more
31:04
than
31:04
you
31:04
could
31:04
ever
31:05
imagine.
31:06
Hmm.
31:07
You
31:07
know,
31:07
in
31:07
midlife,
31:08
we're
31:08
also
31:09
taught
31:09
we
31:09
need
31:09
to
31:10
lift
31:10
heavy
31:10
weights.
31:11
You
31:11
know,
31:11
that's
31:11
like
31:12
the
31:12
exercise
31:12
that
31:13
is
31:13
recommended
31:13
to
31:14
us.
31:15
So,
31:15
A,
31:16
does
31:16
that
31:16
help
31:17
our
31:17
heart
31:17
health
31:17
or
31:18
B,
31:18
and
31:18
B,
31:19
should
31:19
we
31:19
also
31:20
be
31:20
doing
31:20
cardio?
31:21
And
31:22
how
31:22
much
31:22
cardio,
31:23
how
31:23
much
31:23
weightlifting,
31:24
what
31:25
can
31:25
really
31:25
keep
31:25
our
31:25
hearts
31:26
healthy
31:26
when
31:26
it
31:27
comes
31:27
to
31:27
exercise?
31:29
I
31:29
think
31:29
this
31:29
is
31:29
another
31:30
great
31:30
question
31:30
because
31:31
there's
31:31
always.
31:32
Everyone
31:32
has
31:33
their
31:33
perspectives.
31:34
And
31:35
so
31:35
when
31:35
we
31:35
think
31:35
about
31:36
heavy
31:36
weights,
31:37
that's
31:37
really
31:37
good
31:38
to
31:38
prevent
31:38
osteoporosis,
31:39
and
31:40
that's
31:40
the
31:40
reason
31:41
behind
31:41
healthy
31:41
weights.
31:42
When
31:43
we
31:43
look
31:43
at
31:43
the
31:43
recommendations
31:44
by
31:44
the
31:44
American
31:45
Heart
31:45
association,
31:46
we
31:46
look
31:46
at
31:46
big
31:47
picture.
31:48
It's
31:48
30
31:49
minutes,
31:50
five
31:50
days
31:50
a
31:50
week
31:51
of
31:51
moderate
31:52
intensity
31:52
exercise.
31:54
So
31:54
this
31:54
doesn't
31:55
mean,
31:55
like,
31:56
back
31:56
in
31:56
the
31:56
day,
31:56
we
31:57
exercised
31:57
till
31:58
we
31:58
vomited
31:58
or
31:58
else
31:59
we
31:59
didn't
31:59
exercise.
31:59
Right?
32:00
Totally.
32:00
That's
32:01
not
32:01
what
32:01
we.
32:01
We
32:01
need
32:01
to
32:02
do.
32:03
It's
32:03
really
32:03
exercising
32:04
at
32:05
this
32:05
very
32:06
moderate
32:06
intensity
32:07
zone.
32:08
And
32:08
that's
32:08
when
32:09
you
32:09
feel
32:09
like
32:09
you're
32:10
a
32:10
little
32:10
short
32:11
of
32:11
breath,
32:11
but
32:11
you
32:11
can
32:12
finish
32:12
a
32:12
sentence.
32:13
So,
32:14
like
32:15
this,
32:16
that
32:16
means
32:17
you're
32:17
in
32:17
that
32:17
moderate
32:18
intensity
32:18
zone.
32:19
So
32:19
that
32:19
shortness
32:19
of
32:19
breath
32:20
isn't.
32:21
It's
32:21
just
32:22
a
32:22
little
32:22
bit.
32:22
And
32:23
for
32:23
30
32:23
minutes,
32:24
five
32:24
days
32:24
a
32:24
week,
32:25
that's
32:25
the
32:25
cardio
32:26
piece.
32:27
We
32:27
want
32:27
to
32:28
do
32:28
weightlifting
32:29
at
32:29
least
32:30
two
32:30
days
32:30
a
32:30
week
32:31
of
32:31
major
32:32
muscle
32:32
groups.
32:33
I
32:34
talk
32:34
to
32:34
women
32:35
a
32:35
lot
32:35
about
32:36
making
32:36
sure
32:37
your
32:37
joints
32:38
can
32:39
really
32:39
manage
32:40
heavy
32:40
weights.
32:41
I
32:41
wouldn't
32:41
force
32:42
heavy,
32:42
heavy
32:43
weights.
32:43
If
32:44
you
32:44
have
32:44
crickety
32:45
knees
32:45
and
32:45
crickety
32:46
hips,
32:46
you
32:46
know,
32:47
be
32:47
careful.
32:48
But
32:48
Weight
32:49
training
32:49
twice
32:50
a
32:50
week,
32:51
really,
32:52
12
32:52
to
32:52
15
32:54
repetitions
32:54
for
32:55
at
32:55
least
32:55
two
32:55
sets.
32:56
But
32:57
you
32:57
want
32:57
to.
32:58
You
32:58
want
32:58
to
32:58
lift
32:59
weights
32:59
till
32:59
failure.
33:00
And
33:00
that's
33:01
really
33:01
what
33:01
the
33:01
heavy
33:02
weight
33:02
concept
33:03
is
33:03
about.
33:03
This
33:04
idea
33:04
of
33:05
getting
33:05
to
33:05
failure.
33:06
Heavy
33:07
weights
33:07
for
33:07
someone
33:07
who's
33:08
been
33:08
lifting
33:08
weight
33:08
for
33:09
years
33:09
is
33:10
different
33:10
than
33:11
heavy
33:11
weights
33:11
for
33:12
someone
33:12
who
33:12
just
33:12
started.
33:13
So
33:14
let's
33:14
not
33:14
think
33:14
of
33:14
heavy
33:15
weights.
33:15
Let's
33:16
just
33:16
think
33:16
of
33:16
not
33:17
being
33:17
able
33:17
to.
33:18
If
33:18
you
33:18
could
33:18
do
33:18
it
33:18
for
33:19
30
33:19
reps,
33:20
too
33:20
light.
33:20
It's
33:21
really
33:21
about
33:21
that
33:22
12
33:22
to
33:22
15.
33:23
And
33:23
the
33:23
other
33:24
part
33:24
of
33:24
your
33:24
question,
33:25
does
33:26
that
33:26
help
33:26
your
33:26
heart?
33:27
And
33:28
the
33:28
answer
33:28
is
33:28
absolutely
33:29
yes.
33:29
And
33:29
I
33:30
really
33:30
want
33:30
to
33:31
explain
33:31
this
33:31
because
33:31
I
33:31
think
33:31
it's
33:32
such
33:32
an
33:32
interesting
33:33
piece.
33:35
We
33:35
have
33:36
two
33:36
sets
33:36
of
33:36
muscle
33:37
fibers.
33:38
We
33:38
have
33:38
the
33:38
slow
33:39
and
33:39
the
33:39
fast,
33:40
and
33:40
we
33:40
build
33:40
up
33:41
the
33:41
slow
33:42
when
33:42
we
33:42
lift
33:42
weights.
33:44
Mitochondria,
33:45
which
33:46
are
33:46
the
33:46
energy
33:47
storage
33:48
cells,
33:49
get
33:50
built
33:50
up
33:50
in
33:50
those
33:51
slow
33:51
muscle
33:51
fibers.
33:53
So
33:53
they
33:54
only
33:54
get
33:54
built
33:54
up
33:54
when
33:55
you
33:55
lift
33:55
weights,
33:56
but
33:56
they
33:56
get
33:56
used
33:57
by
33:58
your
33:58
fast
33:58
muscle
33:59
fibers,
33:59
the
33:59
ones
34:00
that
34:01
you
34:01
need
34:01
for
34:01
cardio
34:02
exercise.
34:03
So
34:04
to
34:04
get
34:04
into
34:04
shape,
34:05
you
34:05
need
34:05
a
34:06
lot
34:06
of
34:06
mitochondria.
34:07
And
34:07
so
34:07
when
34:08
you
34:08
lift
34:08
weights,
34:08
you
34:09
get
34:09
into
34:09
better
34:10
shape
34:10
faster.
34:11
Oh,
34:12
that's
34:12
really
34:12
interesting.
34:13
Yeah.
34:13
Isn't
34:14
that
34:14
so
34:14
cool
34:14
how
34:15
the
34:15
body
34:15
does
34:16
that?
34:16
The
34:17
body
34:17
is
34:17
so
34:17
intelligent,
34:18
you
34:18
know,
34:18
it's
34:19
so
34:19
smart.
34:19
Right?
34:20
Who
34:20
thought
34:20
of
34:20
that?
34:21
Right?
34:22
Exactly.
34:23
Like,
34:24
this
34:24
is
34:24
genius.
34:25
This
34:25
is
34:26
brilliant.
34:27
So,
34:27
yes,
34:28
the
34:29
answer
34:29
is
34:29
yes,
34:30
but
34:30
not
34:30
for
34:30
a
34:30
reason
34:31
that's
34:31
intuitive.
34:32
For
34:32
this
34:33
incredible
34:33
reason
34:34
that
34:35
I
34:35
just
34:35
wanted
34:36
to
34:36
share.
34:36
Yeah,
34:37
no,
34:37
that's
34:37
amazing.
34:38
You
34:38
know,
34:39
there's
34:39
a
34:39
lot
34:39
of.
34:40
Also
34:40
a
34:40
lot
34:40
of
34:40
chatter
34:41
around
34:42
biohacking
34:43
and
34:43
superfoods
34:44
and
34:45
supplements.
34:46
So
34:47
how
34:47
do
34:47
those
34:48
things
34:48
play
34:48
into
34:49
keeping
34:50
your
34:50
heart
34:50
healthy?
34:50
Like,
34:51
are
34:51
there
34:51
certain
34:52
supplements
34:53
we
34:53
should
34:53
be
34:53
taking?
34:54
Are
34:54
there
34:54
foods
34:55
we
34:55
should
34:55
be
34:55
eating?
34:55
Are
34:56
there
34:56
biohack
34:56
tricks
34:57
that
34:57
we
34:57
should
34:57
be
34:57
doing
34:58
to
34:58
keep
34:58
our
34:58
hearts
34:59
healthy?
35:00
It's
35:01
so
35:01
funny.
35:03
I
35:03
did
35:03
one
35:04
of
35:04
the
35:04
first
35:04
preventive
35:05
cardiology
35:05
fellowships
35:06
in
35:06
the
35:06
country,
35:08
and
35:08
it
35:08
was
35:08
like.
35:09
I
35:09
keep
35:09
saying
35:09
it
35:09
was
35:09
20
35:10
years
35:10
ago,
35:10
but
35:10
honestly,
35:11
I've
35:11
been
35:11
saying
35:11
20
35:11
years
35:12
for,
35:12
like,
35:12
the
35:12
past
35:12
25
35:13
years.
35:13
So
35:13
I
35:14
don't
35:14
know
35:14
how
35:14
long
35:14
it's
35:14
been.
35:15
It
35:15
was
35:16
a
35:16
long
35:16
time.
35:17
It
35:17
always
35:18
feels
35:18
like,
35:18
you
35:18
know,
35:19
it's
35:19
the
35:19
80s
35:19
or
35:20
20
35:20
years
35:20
ago.
35:21
Yeah,
35:22
it's
35:22
kind
35:22
of
35:22
like
35:22
that.
35:24
Totally.
35:25
So
35:26
we
35:26
called
35:26
it
35:26
prevention.
35:29
Now
35:29
it's
35:29
called
35:29
biohacking.
35:30
But
35:33
it's
35:34
something
35:34
that's
35:34
been
35:34
around
35:34
for
35:35
a
35:35
really
35:35
long
35:35
time,
35:36
and
35:36
I
35:36
think
35:36
that's
35:37
such
35:37
a
35:37
cool
35:38
phrase.
35:40
But
35:40
when
35:41
it
35:41
comes
35:41
down
35:41
to
35:42
it
35:42
we've
35:42
known
35:42
a
35:43
lot
35:43
of
35:43
this
35:43
stuff
35:44
for
35:44
a
35:44
really
35:44
long
35:45
time.
35:46
And
35:47
these
35:47
superfoods,
35:49
it's
35:50
really
35:50
based
35:50
on
35:51
antioxidants.
35:53
It's
35:54
really
35:54
based
35:54
on
35:55
all
35:55
these
35:55
different
35:56
components
35:57
that
35:57
help
35:58
dilate
35:58
the
35:58
arteries.
35:59
It
36:00
comes
36:00
down
36:00
to
36:00
everything
36:01
that
36:01
we've
36:01
talked
36:02
about
36:02
so
36:02
far.
36:03
How
36:03
do
36:03
we
36:03
keep
36:04
the
36:04
endothelium
36:05
healthy,
36:05
how
36:06
do
36:06
we
36:06
keep
36:06
the
36:06
arteries
36:07
healthy,
36:08
how
36:08
do
36:08
we
36:08
build
36:09
up
36:09
mitochondria?
36:11
All
36:11
these
36:11
things
36:11
that
36:12
we're
36:12
talking
36:12
about
36:12
now,
36:13
let's
36:13
call
36:14
it
36:14
biohacking
36:15
for
36:15
a
36:15
second.
36:16
There
36:16
are
36:16
certain
36:17
supplements
36:17
that
36:17
we
36:18
know
36:18
help
36:18
build
36:18
up
36:19
mitochondria,
36:20
nac
36:21
nad,
36:22
those
36:23
sort
36:23
of
36:23
things.
36:24
If
36:24
you
36:24
lift
36:25
weights,
36:25
you're
36:25
also
36:26
building
36:26
up
36:26
vitamin
36:27
D.
36:27
There
36:27
are
36:28
ways
36:28
to
36:28
do
36:28
it
36:28
that
36:29
we
36:29
can
36:29
figure
36:29
out
36:30
most
36:30
of
36:30
the
36:30
time
36:31
internally,
36:31
but
36:32
sometimes
36:33
supplement
36:33
wise.
36:35
When
36:35
we
36:35
think
36:35
about
36:36
superfoods,
36:37
Omega
36:37
3
36:38
is
36:38
a
36:38
superfood
36:39
right
36:40
now.
36:40
Omega
36:41
3
36:41
is
36:41
something
36:42
our
36:42
body
36:42
doesn't
36:43
make,
36:43
so
36:43
we
36:43
have
36:43
to
36:44
get
36:44
it
36:44
by
36:44
food.
36:45
What's
36:45
really
36:46
interesting
36:46
is
36:47
it's
36:47
variably
36:48
absorbed.
36:49
Somebody
36:50
can
36:50
be
36:50
eating
36:50
salmon
36:51
three
36:51
days
36:51
a
36:51
week
36:52
and
36:52
have
36:52
an
36:52
amazing
36:52
omega
36:53
3.
36:53
Somebody
36:54
could
36:54
eat
36:54
it
36:54
three
36:54
days
36:54
a
36:55
week
36:55
and
36:55
have
36:55
a
36:55
low
36:55
omega
36:56
3.
36:56
So
36:57
we're
36:57
not
36:57
100%
36:58
sure.
36:58
But
36:59
what's
36:59
great
36:59
is
37:00
that
37:00
you
37:00
can
37:00
get
37:00
it
37:00
checked
37:01
through
37:01
a
37:01
blood
37:02
test.
37:03
That
37:03
might
37:04
be
37:04
a
37:04
supplement
37:04
you
37:05
need.
37:05
Does
37:05
everyone
37:05
need
37:06
an
37:06
omega
37:06
3
37:06
for
37:07
biohacking?
37:08
Not
37:08
necessarily.
37:09
Because
37:09
if
37:09
you're
37:10
eating
37:10
a
37:10
healthy
37:10
diet
37:11
and
37:11
you're
37:11
absorbing
37:12
enough,
37:12
you
37:13
might
37:13
not
37:13
need
37:13
it.
37:14
So
37:15
when
37:15
we
37:15
go
37:15
through
37:16
this
37:16
concept,
37:18
I
37:18
take
37:18
it
37:18
back
37:19
to
37:19
what
37:19
we
37:19
know,
37:20
which
37:20
is
37:21
there
37:21
is
37:21
such
37:22
a
37:22
thing
37:22
as
37:23
personalized
37:24
preventive
37:25
strategies,
37:26
and
37:26
there
37:26
is
37:27
not
37:27
one
37:27
size
37:28
fits
37:28
all
37:28
of
37:29
biohacking
37:30
that's
37:30
needed
37:30
for
37:31
everyone.
37:32
I
37:32
think
37:33
what
37:33
becomes
37:33
really
37:34
interesting
37:34
and
37:35
what
37:35
I
37:35
really
37:35
love
37:36
are
37:36
all
37:37
these
37:37
wearables.
37:38
It
37:38
makes
37:38
some
37:38
of
37:38
my
37:39
patients
37:39
insane.
37:40
I'm
37:40
like,
37:40
take
37:40
it
37:40
off,
37:42
you're
37:42
fine.
37:43
But
37:43
we
37:43
know
37:43
things
37:44
like
37:44
heart
37:45
rate
37:45
variability.
37:46
Heart
37:46
rate
37:47
variability
37:47
is
37:48
connected
37:48
to
37:48
our
37:49
autonomic
37:49
nervous
37:50
system.
37:51
That
37:51
autonomic
37:52
nervous
37:52
system
37:53
is
37:53
the
37:53
sympathetic,
37:54
the
37:54
fight
37:54
or
37:54
flight,
37:55
and
37:55
the
37:56
parasympathetic,
37:57
which
37:57
is
37:57
really
37:57
the
37:57
resting
37:58
one.
37:58
The
37:59
parasympathetic
38:00
is
38:00
in
38:00
charge
38:01
when
38:01
we're
38:02
in
38:02
great
38:02
shape
38:02
or
38:03
when
38:03
we're
38:03
resilient.
38:04
And
38:05
so
38:05
when
38:05
you
38:06
have
38:06
a
38:06
high
38:07
heart
38:07
rate
38:08
variability,
38:09
it
38:09
means
38:10
that
38:10
your
38:10
parasympathetic
38:11
nervous
38:11
system
38:12
is
38:12
in
38:12
charge,
38:13
which
38:13
is
38:13
great.
38:14
I
38:15
get
38:15
texts
38:16
and
38:16
emails
38:17
all
38:17
day
38:17
long.
38:18
My
38:18
heart
38:18
rate
38:19
variability
38:19
is
38:20
16.
38:20
Oh
38:20
my
38:21
God,
38:21
am
38:21
I
38:21
dying?
38:23
And
38:23
it's
38:24
like,
38:24
okay,
38:25
what's
38:26
happening?
38:27
Because
38:27
everything
38:28
affects
38:28
the
38:28
heart
38:28
rate
38:29
variability.
38:29
But
38:30
if
38:30
you
38:30
understand
38:31
yourself
38:32
and
38:33
you
38:33
say
38:33
my
38:33
heart
38:34
rate
38:34
variability
38:35
goes
38:35
down
38:36
when
38:36
I
38:37
drink
38:37
three
38:38
glasses
38:38
of
38:38
wine
38:39
and
38:39
it
38:40
goes
38:40
up
38:40
when
38:41
I
38:41
don't
38:41
drink
38:41
wine,
38:42
you're
38:43
in
38:43
control
38:44
of
38:44
your
38:44
heart
38:44
rate
38:45
variability
38:45
more
38:46
than
38:46
you
38:46
know.
38:47
And
38:47
what
38:48
you
38:48
have
38:48
to
38:48
understand
38:49
is
38:49
all
38:49
these
38:50
devices
38:50
and
38:50
biohacking
38:52
are
38:52
almost
38:53
irrelevant
38:54
if
38:54
you're
38:54
not
38:54
self
38:55
reflective.
38:56
You've
38:56
gotta
38:57
become
38:57
a
38:57
journalist
38:58
of
38:59
your
38:59
own
38:59
life
39:00
to
39:00
understand
39:01
who
39:01
you
39:01
are,
39:02
to
39:02
know
39:03
how
39:03
to
39:03
use
39:03
those
39:04
biohacking
39:05
tools
39:05
or
39:05
these
39:06
smart
39:06
devices
39:07
or
39:07
tracking
39:08
devices
39:08
to
39:09
your
39:09
advantage.
39:10
And
39:10
unless
39:11
you
39:11
have
39:11
that
39:11
self
39:12
reflection,
39:13
it's
39:13
just
39:13
a
39:14
lot
39:14
of
39:14
stuff.
39:15
Absolutely.
39:17
You
39:17
know,
39:17
I'm
39:17
glad
39:18
you
39:18
brought
39:18
up
39:18
alcohol
39:19
because,
39:20
you
39:20
know,
39:21
it's
39:21
just
39:21
the
39:22
ever
39:22
present
39:22
debate,
39:23
alcohol
39:24
and
39:24
how
39:25
it
39:25
affects
39:25
us
39:25
in
39:26
perimenopause,
39:27
menopause,
39:28
midlife,
39:29
but
39:29
also
39:29
how
39:30
it
39:30
affects
39:30
the
39:30
heart.
39:31
I
39:31
mean,
39:32
for
39:33
a
39:33
while
39:33
now,
39:33
people
39:34
have
39:34
been
39:34
saying,
39:34
oh,
39:35
red
39:35
wine
39:35
is
39:35
good
39:36
for
39:36
your
39:36
heart.
39:36
Now
39:37
is
39:38
this
39:38
true?
39:39
Are
39:39
there
39:40
better
39:40
alcohols
39:41
to
39:41
drink
39:41
than
39:42
others
39:42
as
39:42
it
39:43
relates
39:43
to
39:43
heart
39:43
health?
39:45
Just
39:45
asking
39:45
for.
39:45
Everyone's
39:46
always
39:46
asking,
39:46
just
39:46
asking
39:46
for
39:47
a
39:47
friend.
39:47
Why
39:47
can
39:47
I
39:47
drink?
39:48
Exactly.
39:49
Just
39:49
asking
39:50
for
39:50
a
39:50
friend.
39:53
So
39:54
it
39:54
goes
39:54
back
39:55
to
39:56
what
39:56
we
39:56
call
39:56
the
39:56
French
39:57
paradox.
39:58
And
39:58
the
39:59
French
39:59
paradox
40:00
said
40:01
French
40:01
people
40:02
are
40:02
drinking
40:03
red
40:03
wine
40:03
and
40:04
living
40:04
longer.
40:06
Well,
40:06
back
40:06
in
40:07
that
40:07
time
40:07
when
40:08
this
40:08
French
40:08
paradox
40:09
was
40:09
established,
40:10
it
40:11
was
40:11
when
40:12
we
40:12
were
40:12
comparing
40:13
French
40:13
people
40:14
to
40:14
sort
40:15
of
40:15
what
40:15
Americans
40:15
were
40:16
doing
40:16
and
40:16
we
40:17
were
40:18
eating
40:18
an
40:18
American
40:19
diet
40:19
that
40:20
mostly
40:20
was
40:21
supersized,
40:23
higher
40:24
in
40:24
sugars,
40:25
more
40:26
sedentary.
40:27
And
40:28
in
40:28
this
40:28
French
40:28
paradox,
40:29
we
40:29
were
40:30
saying
40:30
French
40:30
people
40:30
drank
40:31
wine
40:31
and
40:31
smoked
40:32
and
40:32
they
40:32
live
40:32
longer.
40:32
It
40:33
must
40:33
be
40:33
the
40:33
wine.
40:34
Well,
40:36
okay,
40:36
let's
40:37
just
40:37
go
40:37
back
40:37
on
40:38
that.
40:38
Because
40:39
in
40:39
red
40:40
wine,
40:41
we
40:41
know
40:41
that
40:42
there
40:42
are
40:43
antioxidants.
40:44
We
40:45
know,
40:45
actually,
40:46
I
40:46
believe
40:46
it's
40:46
a
40:47
Burgundy,
40:48
that
40:48
there's
40:49
a
40:49
lot
40:50
of
40:50
different
40:50
components
40:52
that
40:52
are
40:52
actually
40:53
really
40:54
healthy
40:54
for
40:55
our
40:55
hearts.
40:56
Resveratrol
40:57
is
40:57
one
40:57
of
40:58
them.
40:59
And
40:59
these
41:00
things
41:00
help
41:00
to
41:00
dilate
41:01
the
41:01
artery.
41:01
They're
41:02
really
41:02
good
41:02
for
41:02
the
41:03
endothelium.
41:04
Antioxidants
41:05
prevent
41:06
LDL
41:07
from
41:07
oxidizing
41:08
and
41:08
leading
41:08
to
41:09
plaque
41:09
formation.
41:10
So
41:10
wine
41:11
has
41:11
a
41:11
lot
41:11
of
41:12
great
41:12
stuff
41:12
in
41:13
it.
41:14
You'd
41:14
have
41:14
to
41:15
drink
41:15
a
41:15
lot
41:15
of
41:15
wine
41:16
to
41:16
get
41:16
a
41:16
lot
41:17
of
41:17
the
41:17
high
41:18
intensity
41:18
benefits.
41:19
Which
41:19
again,
41:20
goes
41:20
back
41:20
to
41:20
biohacking.
41:21
There
41:22
are
41:22
some
41:23
high
41:24
concentration
41:25
products
41:26
out
41:26
there
41:26
with
41:27
resveratrol
41:28
and
41:28
an
41:29
absorption
41:30
kind
41:30
of
41:31
resveratrol
41:32
that's
41:33
really
41:33
healthy
41:33
for
41:33
the
41:33
lining
41:34
of
41:34
the
41:34
artery.
41:34
Increasing
41:35
nitric
41:35
oxide,
41:36
helping
41:36
the
41:36
arteries
41:37
dilate.
41:38
So
41:39
there
41:39
are
41:40
benefits.
41:41
But
41:42
when
41:42
we
41:43
look
41:43
at,
41:43
and
41:44
this
41:44
Honestly,
41:45
this
41:45
study
41:45
came
41:46
out
41:46
recently
41:46
from
41:47
the
41:47
American
41:47
Heart
41:48
Association.
41:49
When
41:49
we
41:49
look
41:49
at
41:49
the
41:50
benefits
41:51
versus
41:51
the
41:52
risk,
41:52
it
41:53
doesn't
41:53
necessarily
41:54
pan
41:54
out.
41:55
And
41:55
for
41:55
many
41:56
years
41:56
we
41:56
said
41:57
for
41:57
women,
41:58
a
41:58
four
41:58
ounce
41:59
glass
41:59
of
41:59
red
41:59
wine
42:00
versus
42:01
for
42:01
men,
42:02
a
42:02
six
42:02
ounce
42:03
glass
42:03
of
42:03
red
42:04
wine
42:04
is
42:05
fine.
42:05
I'm
42:05
sorry.
42:07
I
42:07
think
42:07
men
42:07
were
42:07
allowed
42:08
8
42:08
ounces
42:08
and
42:08
women
42:09
were
42:09
allowed
42:09
6
42:10
ounces.
42:11
That
42:11
was
42:11
really
42:12
what
42:12
it
42:12
looked
42:12
at.
42:13
We
42:13
are
42:14
allowed
42:14
less
42:15
because
42:15
our
42:15
livers
42:16
don't
42:16
process
42:17
alcohol
42:18
as
42:19
well
42:19
as
42:19
men.
42:20
And
42:21
so
42:22
that's
42:22
what
42:23
we
42:23
used
42:23
to
42:23
recommend.
42:24
And
42:24
now
42:25
American
42:26
Heart
42:26
is
42:26
saying
42:27
maybe
42:27
it's
42:28
not
42:28
necessary.
42:29
We
42:29
know
42:29
alcohol
42:30
in
42:30
excess
42:32
can
42:32
lead
42:32
to
42:33
something
42:33
called
42:33
the
42:33
holiday
42:34
heart
42:34
syndrome,
42:35
which
42:35
is
42:35
atrial
42:36
fibrillation
42:37
and
42:37
arrhythmia
42:38
that
42:39
is
42:39
actually
42:39
very
42:40
commonly
42:40
triggered
42:41
by
42:42
alcohol.
42:43
And
42:43
then
42:43
the
42:43
other
42:44
piece
42:44
of
42:44
it
42:45
are
42:45
the
42:45
sugars,
42:46
which
42:46
kind
42:46
of
42:47
is
42:47
really
42:48
answering
42:48
your
42:48
question
42:49
a
42:49
little
42:49
bit.
42:50
So
42:50
we
42:50
have
42:50
a
42:50
lot
42:50
of
42:51
good
42:51
stuff
42:51
from
42:52
wine,
42:53
but
42:53
it's
42:53
also
42:53
higher
42:54
in
42:54
sugar
42:54
than
42:55
some
42:55
other
42:56
alcohols
42:56
like
42:57
tequila
42:58
or
42:58
vodka.
42:59
Clear
43:00
stuff,
43:00
gin,
43:01
things
43:01
like
43:01
that.
43:02
Less
43:03
sugar
43:03
content,
43:05
but
43:05
higher
43:06
in
43:06
alcohol
43:06
content.
43:07
And
43:08
so,
43:08
you
43:09
know,
43:09
in
43:09
the
43:09
big
43:10
picture,
43:10
which
43:10
one
43:11
is
43:11
better
43:11
to
43:11
drink?
43:12
It
43:12
depends
43:13
what
43:13
your
43:13
goal
43:13
is
43:14
if
43:14
you
43:14
want
43:14
a
43:14
low
43:15
sugar.
43:17
But
43:17
having
43:18
a
43:18
lot
43:18
of
43:18
alcohol
43:19
isn't
43:19
great
43:19
either.
43:20
Right.
43:21
And
43:21
so
43:21
I
43:21
think
43:22
what
43:22
we've
43:22
come
43:23
to
43:23
understand
43:23
especially,
43:24
especially
43:24
through
43:25
menopause,
43:26
we
43:26
talk
43:26
about
43:26
tolerance.
43:28
Your
43:28
tolerance
43:28
goes
43:29
down.
43:29
Your
43:29
liver's
43:30
metabolism
43:31
of
43:31
alcohol
43:32
gets
43:32
more
43:32
challenging
43:34
as
43:35
your,
43:36
your
43:36
body
43:36
shifts
43:37
in
43:37
terms
43:37
of
43:38
lean
43:38
muscle
43:39
mass
43:39
and
43:39
fat
43:39
mass.
43:40
The
43:40
whole
43:41
concept
43:41
behind
43:42
alcohol
43:43
becomes
43:43
more
43:44
challenging.
43:44
And,
43:44
and
43:45
women
43:45
tend
43:45
not
43:46
to
43:46
really
43:46
be
43:47
able
43:47
to
43:47
process
43:47
it
43:48
as
43:48
well
43:49
through
43:49
that
43:49
menopausal
43:50
process
43:50
process.
43:51
So
43:51
those
43:51
are
43:52
the
43:52
facts.
43:52
What
43:53
you
43:53
do
43:53
with
43:53
that
43:53
information,
43:54
I
43:54
think
43:54
becomes
43:55
very
43:55
personal.
43:56
Right,
43:57
I
43:57
know,
43:57
you're
43:58
right.
43:58
You
43:58
could
43:58
go
43:58
many
43:58
different
43:59
ways
43:59
with
43:59
that.
44:00
Right.
44:01
Yeah.
44:01
I
44:01
don't
44:02
know
44:02
what
44:02
the
44:02
take
44:02
home
44:02
is
44:03
here,
44:03
but
44:04
I'm
44:04
going
44:04
to
44:04
say
44:04
less
44:04
is
44:05
more.
44:05
And
44:05
if
44:05
you
44:05
don't
44:06
drink,
44:07
starting
44:07
to
44:07
drink
44:08
to
44:08
protect
44:08
arterial
44:09
disease
44:10
is
44:10
not
44:10
really
44:11
what
44:11
I'm
44:11
suggesting.
44:12
Right.
44:13
Is
44:13
it
44:13
a
44:13
good
44:14
idea
44:14
to
44:14
take
44:15
resveratrol
44:16
supplements?
44:18
Kind
44:18
of
44:18
getting
44:19
so
44:19
obsessed
44:20
with
44:20
this
44:20
topic
44:21
because
44:22
I
44:22
studied
44:23
it
44:23
years
44:23
ago
44:24
and
44:25
years
44:25
ago
44:27
it
44:27
didn't
44:27
pan
44:28
out
44:28
to
44:29
really
44:29
show
44:30
to
44:30
have
44:31
that
44:31
significant
44:32
of
44:32
a
44:32
benefit.
44:33
And
44:34
there
44:34
are
44:34
ways
44:35
that
44:35
I
44:35
actually
44:35
look
44:36
at
44:36
this.
44:36
It's
44:36
called
44:37
arterial
44:38
dilatation.
44:38
Brachial
44:39
arterial
44:40
dilatation.
44:40
I
44:40
have
44:41
different
44:41
tools
44:42
in
44:42
my
44:42
office
44:43
that
44:43
I
44:43
can
44:43
actually
44:44
use
44:45
to
44:45
help
44:45
see
44:45
if
44:46
some
44:46
of
44:46
these
44:46
supplements
44:47
do
44:48
lead
44:48
to
44:48
benefit.
44:49
There's
44:50
a
44:50
company
44:51
that
44:51
I've
44:51
just
44:51
been
44:52
introduced
44:52
to
44:53
that
44:53
has.
44:54
It's
44:54
called
44:54
a
44:54
raciad
44:55
form
44:55
of
44:55
resveratrol.
44:57
And
44:57
this
44:58
specific
44:58
form
44:59
of
44:59
resveratrol
45:01
is
45:01
actually
45:02
very
45:03
absorbable.
45:04
So
45:04
you
45:05
don't
45:05
need
45:05
as
45:05
much
45:06
to
45:06
have
45:07
as
45:08
much
45:08
of
45:08
a
45:08
benefit.
45:09
Meaning
45:10
in
45:10
the
45:10
past
45:10
we
45:10
needed
45:11
so
45:11
much
45:11
resveratrol
45:12
to
45:13
really
45:13
have
45:13
an
45:13
impact
45:13
of
45:14
the
45:14
arteries
45:15
that
45:15
it
45:15
was
45:15
almost
45:15
impossible
45:16
to
45:16
get.
45:17
And
45:17
what
45:17
I'm
45:17
seeing
45:18
through
45:18
this
45:19
supplement
45:19
is
45:20
you
45:20
actually
45:20
need
45:21
less.
45:22
You
45:22
can
45:23
get
45:23
it
45:23
in
45:23
these
45:24
high
45:24
concentrated,
45:25
highly
45:25
absorbable
45:26
form
45:27
and
45:28
it
45:28
increases
45:28
nitric
45:29
oxide
45:30
and
45:30
it
45:30
decreases
45:31
the
45:31
endothelin
45:32
one,
45:32
which
45:32
is
45:32
exactly
45:33
what
45:33
happens
45:34
during
45:34
menopause.
45:35
So
45:36
I
45:36
started
45:36
taking
45:36
it
45:37
myself.
45:38
I
45:38
am
45:39
going
45:39
into
45:39
my
45:39
fourth
45:40
month.
45:41
I
45:41
have
45:41
a
45:41
little
45:42
bit
45:42
more
45:42
energy
45:42
and
45:43
I'm
45:43
actually
45:43
doing
45:44
better
45:44
on
45:45
the
45:45
peloton.
45:45
I
45:46
go
45:46
on
45:46
the
45:46
peloton
45:46
as
45:47
my
45:47
way
45:47
to
45:47
see
45:48
if
45:48
there's
45:49
an
45:49
increase
45:49
in
45:49
my
45:49
VO2
45:50
max.
45:50
Am
45:51
I
45:51
doing
45:51
better?
45:51
And
45:52
I'm
45:52
seeing
45:52
some
45:53
subtle
45:53
improvements.
45:55
So
45:55
there
45:55
might
45:56
be
45:56
an
45:56
impact
45:57
of
45:57
resveratrol.
45:59
It
45:59
just
45:59
matters
46:00
on
46:00
the
46:01
type.
46:02
The
46:03
name
46:03
of
46:03
this
46:03
company
46:03
is
46:04
Vinia.
46:04
It's
46:04
an
46:05
interesting
46:05
look
46:05
it
46:06
up.
46:07
I'm
46:07
just
46:08
putting
46:08
it
46:08
out
46:08
there.
46:09
Possibly
46:10
this
46:10
form
46:10
is
46:11
better.
46:12
I
46:13
like
46:13
to
46:15
say
46:16
I'm
46:16
not
46:17
selling
46:17
anyone's.
46:18
I'm
46:19
just
46:19
doing
46:19
the
46:19
research
46:20
and
46:20
doing
46:20
it
46:21
on
46:21
my
46:21
own
46:21
and
46:22
trying
46:22
to
46:22
find
46:22
out
46:23
what
46:23
works
46:23
and
46:23
what
46:24
doesn't.
46:25
That's
46:25
a
46:25
great
46:25
idea.
46:26
I
46:26
mean,
46:27
why
46:27
not
46:27
test
46:27
it
46:27
out
46:28
personally
46:28
and
46:29
see?
46:29
Right?
46:30
That's
46:30
why
46:31
I
46:31
have
46:31
all
46:31
these
46:31
toys
46:32
on
46:32
my
46:32
body,
46:32
because
46:33
I
46:33
like
46:33
to
46:33
see
46:34
how
46:34
it
46:34
works.
46:35
Because
46:35
before
46:35
I
46:35
recommend
46:36
it
46:36
to
46:36
anyone.
46:36
Oh,
46:37
that's
46:37
great.
46:38
So
46:39
how
46:39
do
46:40
we
46:40
know
46:40
if
46:40
we're
46:41
absorbing?
46:42
Because
46:42
everyone
46:43
has
46:43
a
46:43
different
46:43
absorption
46:44
rate
46:44
when
46:44
it
46:44
comes
46:45
to
46:45
supplements
46:46
and
46:46
vitamins
46:46
and
46:46
things
46:47
like
46:47
that.
46:47
So
46:48
how
46:48
can
46:48
we
46:48
tell
46:49
the
46:49
rate
46:49
at
46:50
which
46:50
we're
46:50
absorbing
46:51
things?
46:51
And
46:51
is
46:51
there
46:51
a
46:52
way
46:52
to
46:52
improve
46:53
that
46:53
if
46:53
we
46:53
need
46:54
to?
46:55
So
46:55
I
46:55
don't
46:56
think
46:56
we
46:56
can
46:56
tell
46:57
what
46:57
you're
46:57
asking
46:58
about
46:58
is
46:58
metabolism.
46:59
I
46:59
don't
47:00
think
47:00
we
47:00
can
47:00
talk.
47:01
We
47:01
can
47:01
tell
47:01
the
47:01
metabolism
47:02
of
47:03
things,
47:03
but
47:04
we
47:04
can
47:04
tell
47:05
levels.
47:06
And
47:06
I
47:07
find
47:07
this
47:07
interesting
47:08
that
47:08
this
47:09
isn't
47:09
more
47:10
part
47:10
of
47:10
our
47:10
conversation
47:12
that
47:15
we
47:15
really
47:15
can
47:16
check
47:17
our
47:17
blood
47:17
tests.
47:18
We
47:18
can
47:19
check
47:19
for
47:20
vitamin
47:20
D,
47:21
magnesium
47:23
omega
47:23
3.
47:24
We
47:25
can
47:25
check
47:25
for
47:25
coenzyme
47:26
Q10.
47:27
We
47:27
can
47:27
actually
47:28
just
47:28
do
47:29
a
47:29
simple
47:29
blood
47:29
test
47:30
and
47:30
find
47:30
out
47:30
what
47:30
our
47:31
levels
47:31
are.
47:32
I
47:32
think
47:32
that's
47:32
really
47:33
important
47:33
to
47:33
understand.
47:34
That's
47:35
for
47:35
some
47:36
supplements.
47:37
We
47:37
can't
47:37
tell
47:37
it
47:38
for
47:38
everything
47:39
like
47:39
resveratrol.
47:40
Right
47:40
now
47:40
we
47:41
can't
47:41
But
47:42
I
47:42
can
47:42
tell
47:43
from
47:44
the
47:44
testing
47:44
that
47:45
I
47:45
do
47:45
that
47:46
really
47:46
looks
47:46
for
47:47
arterial
47:47
dilatation.
47:49
That's
47:49
a
47:49
good
47:50
point.
47:51
So
47:51
when
47:51
we
47:51
are
47:51
going
47:52
into
47:52
our
47:52
doctor's
47:53
office
47:53
and
47:53
we
47:53
want
47:54
to
47:54
know
47:55
how
47:55
healthy
47:55
our
47:55
heart
47:56
is,
47:57
what
47:57
are
47:57
the
47:58
labs,
47:58
what
47:59
are
47:59
the
47:59
scans,
47:59
what
48:00
are
48:00
the
48:00
metrics
48:01
we
48:01
should
48:01
be
48:02
asking
48:02
our
48:02
doctors?
48:04
So
48:04
this
48:05
becomes
48:06
really
48:07
interesting
48:09
because
48:11
kind
48:11
of
48:11
like
48:12
the
48:12
conversation
48:13
that
48:13
you
48:13
had
48:14
with
48:15
your
48:15
doctor
48:15
about
48:16
hormones
48:16
and
48:16
breast
48:17
cancer.
48:18
It
48:18
depends
48:19
a
48:19
lot
48:20
on
48:21
who
48:21
your
48:21
doctor
48:21
is
48:23
and
48:23
what
48:23
your
48:23
doctor's
48:24
training
48:24
is,
48:25
what
48:25
your
48:26
doctor's
48:27
background
48:27
is
48:28
as
48:28
a
48:28
preventive
48:29
cardiology.
48:30
I
48:31
come
48:31
to
48:31
this
48:32
conversation
48:33
with
48:33
a
48:33
lot
48:34
of
48:34
different
48:34
kinds
48:35
of
48:35
testing
48:36
that
48:37
can
48:37
tell
48:37
me
48:38
about
48:39
arterial
48:40
health.
48:41
But
48:41
let
48:41
me
48:41
give
48:42
you
48:42
the
48:43
standard,
48:44
and
48:44
then
48:45
let
48:45
me
48:45
tell
48:46
you
48:46
what
48:46
I
48:46
do,
48:47
and
48:47
then
48:47
let
48:48
me
48:48
tell
48:48
you
48:48
where
48:48
you
48:49
can
48:49
find
48:49
out
48:49
a
48:49
little
48:50
bit
48:50
more,
48:50
actually.
48:52
So
48:52
everybody
48:53
needs
48:53
to
48:53
know
48:53
their
48:54
cholesterol.
48:55
It's
48:55
a
48:55
cholesterol
48:56
panel.
48:57
There
48:57
are
48:57
some
48:58
advanced
48:58
testing
48:59
that
48:59
tells
49:00
you
49:00
your
49:01
sizes
49:02
of
49:03
cholesterol,
49:03
your
49:04
particle
49:04
sizes.
49:05
It
49:05
tells
49:06
you
49:06
about
49:06
inflammation
49:07
in
49:07
the
49:08
arteries.
49:09
And
49:09
this
49:09
advanced
49:10
testing
49:10
also
49:11
tells
49:11
you
49:12
some
49:12
genetic
49:12
markers.
49:13
I
49:13
think
49:14
everyone
49:14
needs
49:15
a
49:15
LP
49:16
lipoprotein
49:17
little
49:17
A,
49:18
that
49:18
is
49:18
a
49:19
genetic
49:19
marker
49:20
that
49:20
actually
49:20
increases
49:21
your
49:21
risk
49:21
of
49:22
early
49:22
heart
49:23
disease.
49:23
I
49:24
think
49:24
everyone
49:24
needs
49:25
an
49:25
apoe,
49:26
which
49:27
is
49:27
also
49:27
a
49:27
genetic
49:28
marker
49:28
that
49:29
can
49:29
tell
49:29
you
49:29
your
49:30
risk
49:30
for
49:31
early
49:31
heart
49:31
disease
49:32
and
49:32
Alzheimer's,
49:33
as
49:34
well
49:34
as
49:34
your
49:34
risk
49:35
for
49:35
diabetes
49:36
or
49:36
metabolic
49:37
syndrome.
49:38
I
49:39
think
49:39
everybody
49:40
needs
49:40
to
49:41
have
49:41
their
49:41
thyroid
49:42
checked,
49:43
as
49:43
well
49:44
as
49:44
just
49:44
a
49:44
standard
49:45
cbc,
49:46
standard
49:48
blood
49:48
counts.
49:50
I
49:50
also
49:50
think
49:51
it
49:51
becomes
49:51
important
49:53
that
49:53
we
49:53
look
49:54
at
49:54
inflammatory
49:55
markers.
49:56
Hscrp,
49:57
high
49:57
sensitive
49:58
crp,
49:59
which
49:59
becomes
50:00
really
50:00
relevant.
50:01
And
50:01
then
50:02
those
50:02
other
50:02
things
50:02
that
50:03
I
50:03
Talked
50:03
about,
50:03
Omega
50:04
3,
50:04
vitamin
50:05
D,
50:05
magnesium,
50:07
we
50:07
can
50:07
check
50:07
them.
50:07
It's
50:08
important
50:08
to
50:08
get
50:09
them
50:09
checked
50:11
when
50:11
you
50:11
are
50:12
young.
50:13
Everyone
50:13
needs
50:13
a
50:13
baseline.
50:14
If
50:15
you
50:15
start
50:15
having
50:15
symptoms
50:16
or
50:16
family
50:16
history
50:17
that
50:17
starts
50:18
at
50:18
age
50:18
20.
50:19
When
50:19
you
50:20
start
50:20
going
50:20
through
50:21
perimenopause,
50:22
you
50:23
need
50:23
other
50:23
testing
50:24
and
50:24
echocardiogram,
50:25
which
50:25
is
50:25
an
50:25
ultrasound
50:26
of
50:26
the
50:26
heart.
50:27
And
50:27
then
50:28
you
50:28
need
50:28
to
50:28
understand
50:29
sort
50:29
of
50:29
functionally
50:31
how
50:31
well
50:31
you're
50:31
doing.
50:32
I
50:33
do
50:33
a
50:33
very
50:33
sensitive
50:34
test
50:35
in
50:35
my
50:35
office
50:36
called
50:36
a
50:36
cardiopulmonary
50:37
exercise
50:38
test,
50:38
that
50:39
we
50:39
look
50:39
for
50:39
things
50:40
like
50:40
VO2
50:41
max,
50:41
but
50:41
we
50:42
test
50:42
for
50:42
other
50:43
metrics
50:44
that
50:44
can
50:44
actually
50:45
determine
50:46
if
50:46
you
50:46
have
50:47
microvascular
50:48
disease
50:49
or
50:49
problems
50:50
with
50:50
the
50:50
arteries
50:51
to
50:52
see
50:52
how
50:52
well
50:52
they
50:53
dilate,
50:53
if
50:53
the
50:54
endothelium
50:55
is
50:55
healthy.
50:56
I
50:56
think
50:56
that's
50:56
really
50:57
important.
50:58
A
50:58
lot
50:58
of
50:58
people
50:59
talk
50:59
about
50:59
a
50:59
calcium
51:00
score,
51:01
which
51:01
is
51:01
a
51:01
CAT
51:02
scan,
51:02
no
51:02
dye,
51:03
no
51:03
contrast,
51:03
that
51:04
looks
51:04
for
51:04
calcification
51:05
in
51:05
the
51:05
arteries.
51:06
I
51:07
have
51:07
mixed
51:07
feelings
51:07
about
51:08
that.
51:08
Calcified
51:09
arteries
51:10
tell
51:10
us
51:10
that
51:11
there
51:11
is
51:12
evidence
51:12
of
51:12
plaque
51:13
in
51:13
the
51:13
arteries,
51:14
but
51:14
it
51:14
doesn't
51:14
tell
51:15
us
51:15
about
51:15
soft
51:16
plaque.
51:17
And
51:17
soft
51:17
plaque
51:18
is
51:19
really
51:19
what's
51:19
vulnerable
51:20
that
51:20
can
51:20
break
51:21
off
51:21
and
51:21
lead
51:22
to
51:22
heart
51:22
attacks.
51:23
It
51:23
also
51:23
tells
51:24
us
51:25
about
51:25
early
51:25
heart
51:25
disease,
51:26
that
51:26
early
51:27
heart
51:27
disease
51:27
is
51:28
developing
51:29
and
51:29
that's
51:30
done
51:30
through
51:30
a
51:31
CAT
51:31
scan
51:31
angiogram
51:32
called
51:32
a
51:32
clearly
51:33
scan.
51:35
So
51:35
there
51:35
are
51:35
multiple
51:36
different
51:36
things
51:36
I
51:37
talk
51:37
about
51:37
functional,
51:38
physiologic,
51:39
anatomic,
51:40
genetic,
51:41
metabolic,
51:42
and
51:43
really
51:43
this
51:44
understanding
51:44
of
51:44
all
51:45
different
51:45
components
51:45
of
51:46
our
51:46
heart
51:46
are
51:46
lasting
51:47
inflammatory
51:48
that
51:48
tells
51:49
us
51:49
exactly
51:50
what's
51:51
going
51:51
on
51:51
with
51:51
our
51:51
heart.
51:53
In
51:53
this
51:53
part
51:53
of
51:53
my
51:54
career,
51:54
I'm
51:55
not
51:55
only
51:55
seeing
51:55
patients.
51:56
I
51:56
launched
51:56
a
51:57
technology
51:57
company
51:58
and
51:59
it's
51:59
called
51:59
Adesso.
52:01
Adeso
52:01
means
52:02
now
52:02
in
52:02
Italian.
52:03
And
52:04
we
52:04
have
52:04
an
52:04
app
52:04
called
52:05
My
52:05
Adesso
52:06
that's
52:07
actually
52:07
in
52:07
the
52:07
app
52:07
store
52:08
that
52:08
goes
52:09
over
52:09
all
52:10
of
52:10
this.
52:10
It's
52:11
not
52:11
only
52:11
about
52:11
education,
52:12
but
52:12
it's
52:12
about
52:13
testing.
52:14
We
52:14
have
52:14
a
52:14
website,
52:15
Adesso
52:16
Health.
52:17
All
52:17
this
52:18
information
52:18
is
52:18
there.
52:19
I
52:19
do
52:19
believe
52:19
that
52:20
education
52:20
and
52:21
empowerment
52:21
is
52:22
the
52:22
most
52:22
important
52:23
thing.
52:23
And
52:23
I
52:23
am
52:24
truly,
52:25
truly
52:25
dedicated
52:26
to
52:27
helping
52:28
women
52:28
get
52:28
as
52:28
healthy
52:29
as
52:29
they
52:29
can
52:30
be.
52:31
And
52:31
so
52:32
check
52:32
it
52:32
out,
52:33
it's
52:33
there
52:33
for
52:34
you.
52:34
And
52:35
really
52:36
understanding
52:37
where
52:37
you
52:37
fit
52:37
in
52:37
in
52:38
terms
52:38
of
52:38
your
52:38
own
52:38
personal
52:39
risk
52:39
becomes
52:40
so
52:40
important.
52:40
And
52:41
that's
52:41
what
52:42
begins
52:42
our
52:42
journey
52:43
on
52:43
the
52:43
app.
52:43
It's
52:44
the
52:44
Adesso
52:44
Heart
52:45
score.
52:45
So
52:45
you
52:45
can
52:46
understand
52:46
what
52:46
your
52:46
own
52:47
risk
52:47
is.
52:48
That's
52:48
great.
52:49
What
52:50
are
52:50
three
52:50
like,
52:50
for
52:51
the
52:51
women
52:51
that
52:51
are
52:51
listening
52:52
today,
52:52
what
52:53
are
52:53
three
52:53
things
52:54
that
52:54
they
52:54
can
52:54
do
52:54
two
52:55
nights
52:55
like
52:56
today,
52:56
as
52:57
they're
52:57
listening
52:58
when
52:58
they
52:58
get
52:58
off,
52:59
what
52:59
can
53:00
they
53:00
do
53:00
to
53:00
three
53:00
things
53:01
that
53:01
they
53:01
could
53:01
do
53:01
to
53:02
improve
53:02
their
53:02
heart
53:03
health?
53:04
I
53:04
believe
53:04
that
53:05
exercise
53:05
is
53:05
the
53:06
best
53:06
medication.
53:07
So
53:08
if
53:08
you
53:08
are
53:09
not
53:09
exercising
53:10
30
53:10
minutes,
53:10
five
53:11
days
53:11
a
53:11
week
53:11
in
53:11
that
53:11
moderate
53:12
intensity
53:12
heart
53:13
rate
53:13
zone,
53:14
tonight
53:16
I
53:16
want
53:16
you
53:16
to
53:16
get
53:16
up
53:17
and
53:17
go
53:17
for
53:17
a
53:17
walk.
53:18
Like,
53:18
just
53:18
go
53:19
for
53:19
a
53:19
walk.
53:20
And
53:20
I
53:20
want
53:20
you
53:21
to
53:21
really
53:21
figure
53:21
out
53:22
what
53:22
that
53:22
moderate
53:23
intensity
53:23
zone
53:23
is.
53:24
If
53:24
you
53:24
don't
53:24
have
53:24
a
53:24
watch,
53:25
you
53:25
know,
53:25
figure
53:25
out
53:26
with
53:26
your
53:26
breath
53:27
what
53:27
that
53:27
feels
53:28
like.
53:29
The
53:29
next
53:29
thing
53:30
is
53:31
pick
53:31
the
53:32
one
53:32
thing
53:33
that
53:34
you
53:34
know
53:34
you're
53:34
not
53:34
doing
53:35
well,
53:36
whether
53:36
it's
53:39
you're
53:39
sneaking
53:39
a
53:39
cigarette
53:40
every
53:40
so
53:40
often,
53:41
which,
53:41
like,
53:42
I
53:42
hear
53:42
people
53:42
say
53:42
it
53:43
doesn't
53:43
really
53:43
count.
53:43
I'm
53:44
like,
53:44
no,
53:44
no,
53:44
it
53:44
really
53:45
does
53:45
count.
53:45
You
53:45
know,
53:46
it
53:46
does.
53:48
It
53:48
counts
53:48
accounts.
53:49
Or
53:49
you're,
53:50
you're
53:50
drinking
53:52
that
53:52
one
53:53
to
53:53
two
53:53
glass
53:53
of
53:53
wine
53:54
like
53:54
every
53:54
night
53:55
instead
53:55
of
53:56
on
53:56
the
53:57
weekends.
53:58
Or
53:58
you're
53:59
not
53:59
sleeping
54:00
enough.
54:00
Like,
54:01
pick
54:01
that
54:01
one
54:02
thing
54:02
that
54:03
you
54:03
know
54:03
that
54:04
you
54:04
don't
54:04
really
54:04
like
54:04
to
54:05
admit
54:05
or
54:05
tell
54:05
anyone
54:07
and
54:07
think
54:08
about
54:09
doing
54:09
one
54:10
small
54:10
thing
54:10
to
54:11
improve
54:11
that
54:12
one
54:12
thing.
54:13
So
54:13
if
54:14
it's
54:14
sneaking
54:15
ice
54:16
cream
54:16
at
54:16
night,
54:17
you
54:17
know,
54:17
sitting
54:17
on
54:18
the
54:18
couch
54:18
after
54:19
11
54:19
o',
54:20
clock,
54:20
go
54:21
to
54:21
bed
54:21
earlier,
54:22
cut
54:22
out
54:22
the
54:22
ice
54:22
cream,
54:23
like,
54:23
figure
54:24
out
54:24
a
54:24
way
54:24
to
54:25
just
54:25
change
54:26
that
54:26
one
54:27
thing.
54:28
What's
54:28
so
54:28
interesting
54:30
is
54:30
if
54:30
you
54:30
change
54:31
that
54:31
one
54:31
thing,
54:33
you
54:33
start
54:33
feeling
54:34
better.
54:35
And
54:35
as
54:35
you
54:35
start
54:36
feeling
54:36
better,
54:37
you
54:37
want
54:37
to
54:37
do
54:38
the
54:38
next
54:38
thing.
54:39
And
54:40
so
54:40
the
54:40
healthier
54:40
you
54:41
feel,
54:41
the
54:41
better
54:42
that
54:42
you
54:42
feel,
54:42
the
54:43
more
54:43
that
54:43
you
54:43
want
54:43
to
54:44
do
54:44
to
54:44
become
54:45
healthy.
54:46
And
54:46
the
54:47
last
54:47
thing
54:48
I
54:48
think
54:49
becomes
54:49
really
54:50
interesting,
54:51
which
54:51
is
54:51
really
54:52
trying
54:52
to
54:53
figure
54:53
out
54:54
how
54:54
to
54:54
actually
54:55
get
54:55
up
54:55
every
54:55
day
54:56
with
54:56
a
54:57
smile
54:57
on
54:57
your
54:57
face
54:57
and
54:58
mean
54:58
it.
54:59
And
54:59
I
54:59
think
54:59
that
54:59
it
55:00
really
55:00
matters
55:02
what
55:02
makes
55:03
us
55:03
happy.
55:04
I
55:04
think
55:05
that
55:06
the
55:06
idea
55:07
of
55:07
happiness
55:08
is
55:08
sort
55:08
of
55:08
elusive
55:09
all
55:09
the
55:10
time,
55:11
but
55:11
understanding
55:12
that
55:12
in
55:12
so
55:13
many
55:13
ways
55:13
it's
55:13
a
55:14
mindset
55:15
and
55:15
picking
55:16
that
55:16
one
55:16
thing
55:17
that
55:17
really
55:18
bothers
55:18
you
55:19
and
55:19
somehow
55:20
turning
55:20
it
55:20
around,
55:21
that
55:22
you
55:22
can
55:22
actually
55:23
create
55:25
good
55:25
hormones
55:26
to
55:26
be
55:26
released
55:27
in
55:27
your
55:27
body
55:28
instead
55:28
of
55:28
those
55:29
stress
55:29
hormones
55:30
to
55:30
really
55:31
find
55:31
a
55:31
way
55:32
to
55:33
get
55:33
up
55:33
every
55:34
morning
55:34
with
55:34
this
55:35
sense
55:35
of
55:35
gratitude
55:36
and
55:36
appreciation,
55:38
to
55:39
kind
55:40
of
55:40
live
55:40
life
55:41
with
55:42
this
55:42
feeling
55:42
of
55:43
purpose
55:43
and
55:43
happiness.
55:45
And
55:45
if
55:46
you
55:46
can
55:46
do
55:46
that,
55:47
it
55:47
actually
55:48
will
55:48
help
55:48
you
55:48
live
55:49
longer,
55:50
happier.
55:51
And
55:51
that's
55:51
truly
55:52
what
55:52
this
55:52
is
55:52
about.
55:53
It's
55:53
about
55:53
living
55:53
from
55:54
the
55:54
heart,
55:55
quality.
55:55
Of
55:55
life
55:56
and
55:56
having
55:56
a
55:56
great
55:56
life,
55:57
you
55:57
know?
55:58
Yeah,
55:58
it's
55:58
true,
55:59
it's
55:59
true.
56:00
So
56:00
I
56:01
would
56:01
love
56:01
to
56:01
know
56:02
how
56:02
you
56:02
are
56:02
living
56:03
iconically
56:04
during
56:05
this
56:05
season
56:06
of
56:06
life.
56:07
I
56:07
think
56:08
what's
56:08
interesting
56:08
for
56:09
me,
56:10
many
56:11
years
56:11
ago
56:12
I
56:12
saw
56:12
this
56:13
study
56:13
about
56:14
really
56:14
living
56:15
people
56:15
who
56:15
live
56:16
life
56:16
with
56:16
passion
56:16
and
56:17
purpose
56:18
that
56:18
are
56:18
really
56:19
living
56:19
a
56:19
purpose
56:20
filled
56:21
life
56:22
no
56:22
matter
56:22
what
56:23
it
56:23
is.
56:23
I
56:23
mean,
56:23
if
56:24
it's
56:24
charity,
56:25
it's
56:25
your
56:25
job,
56:26
it's
56:26
mother,
56:26
whatever
56:27
it
56:27
is,
56:28
but
56:28
it's
56:28
your
56:29
thing.
56:31
And
56:32
I've
56:32
really
56:32
realized
56:33
how
56:34
much,
56:35
how
56:35
important
56:36
that
56:36
is
56:36
for
56:36
me.
56:38
I
56:38
was
56:38
working
56:38
in
56:39
a
56:39
hospital
56:40
and
56:41
for
56:41
20
56:42
years
56:42
saying,
56:42
one
56:43
in
56:43
three
56:43
women
56:43
die
56:43
of
56:43
heart
56:44
disease
56:44
more
56:44
than
56:44
all
56:45
cancers
56:45
combined.
56:45
And
56:46
I
56:46
did
56:46
the
56:46
craziest
56:47
thing.
56:47
I
56:47
left
56:47
the
56:47
hospital
56:48
and
56:48
launched
56:48
a
56:49
technology
56:49
company.
56:50
And
56:51
it
56:51
was
56:51
like,
56:51
what
56:51
are
56:51
you
56:52
thinking?
56:53
You
56:53
know,
56:54
this
56:54
is
56:55
when
56:55
you're
56:55
like,
56:56
you're
56:56
supposed
56:56
to
56:57
slow
56:57
down.
56:59
And
56:59
then
57:00
I'm
57:00
surrounded
57:01
in
57:01
a
57:01
room
57:01
with
57:02
a
57:02
bunch
57:02
of
57:02
entrepreneurs
57:03
in
57:03
their
57:03
20s
57:04
and
57:04
I'm
57:04
like,
57:05
what
57:05
am
57:05
I
57:05
thinking?
57:06
This
57:06
is
57:07
crazy.
57:08
But
57:08
for
57:09
me,
57:09
it
57:09
was
57:09
like,
57:10
I'm
57:10
just,
57:11
this
57:11
is
57:11
my
57:12
purpose.
57:13
This
57:13
is
57:13
my
57:13
reason.
57:14
I
57:15
have
57:15
an
57:15
amazing
57:16
son.
57:16
I
57:16
adore
57:17
and
57:17
love
57:17
him.
57:18
Motherhood
57:18
is
57:19
everything
57:20
to
57:20
me
57:20
for
57:21
him.
57:22
But
57:22
for
57:22
me,
57:23
having
57:24
this
57:24
impact
57:25
on
57:25
women's
57:26
health
57:26
care
57:27
and
57:27
for
57:27
changing
57:28
healthcare
57:28
for
57:29
women
57:29
in
57:29
this
57:29
country
57:30
and
57:30
improving
57:30
their
57:31
quality
57:32
of
57:32
life
57:32
means
57:33
everything.
57:34
And
57:35
instead
57:35
of
57:36
slowing
57:36
down,
57:36
it's
57:37
ramping
57:37
up,
57:38
but
57:38
it's
57:38
living
57:39
life
57:39
with
57:39
a
57:40
purpose
57:40
and
57:40
with
57:40
passion.
57:41
And
57:42
I
57:42
know
57:43
by
57:43
the
57:43
statistics
57:45
that
57:45
if
57:45
you
57:45
do
57:46
that,
57:46
if
57:46
I
57:46
do
57:47
that,
57:47
I'm
57:48
going
57:48
to
57:48
live
57:48
life
57:49
longer
57:49
and
57:50
with
57:50
greater
57:51
vitality.
57:52
And
57:53
I'm
57:53
hoping
57:54
that's
57:54
what
57:54
happens
57:55
even
57:55
on
57:55
those
57:56
stressful
57:56
days
57:56
of
57:58
startup
57:59
land.
57:59
You
57:59
know,
58:00
what
58:01
would
58:01
you
58:01
say
58:01
to.
58:01
Women
58:01
out
58:02
there
58:02
who
58:02
are
58:02
searching
58:03
for
58:03
purpose
58:03
and
58:04
trying
58:04
to
58:05
find
58:05
what
58:05
that
58:06
is
58:06
and
58:06
what
58:06
that
58:06
means
58:07
for
58:07
them?
58:07
Because.
58:07
Because
58:07
a
58:07
lot
58:07
of
58:08
women
58:08
feel
58:09
lost
58:09
or
58:09
confused
58:10
or,
58:11
you
58:11
know,
58:11
they've
58:11
given
58:12
so
58:12
much
58:12
of
58:12
their
58:12
lives
58:13
to
58:13
other
58:14
people.
58:14
Taking
58:15
care
58:15
of
58:15
kids,
58:16
taking
58:16
care
58:16
of
58:16
partners,
58:17
maybe
58:17
working
58:18
like
58:18
you,
58:18
you
58:19
know,
58:19
crazy
58:20
hours,
58:20
just
58:20
doing
58:21
things
58:21
for
58:21
others,
58:22
you
58:22
know,
58:22
not
58:22
really
58:22
doing
58:23
it
58:23
for
58:23
themselves.
58:24
So
58:24
what
58:24
would
58:24
you
58:24
tell
58:24
them?
58:26
I
58:27
really
58:27
think
58:27
it's
58:28
such
58:28
a
58:28
universal
58:29
thing,
58:29
I
58:30
mean,
58:30
for
58:30
all
58:31
women
58:31
of
58:31
all
58:32
walks
58:32
of
58:32
life
58:34
across
58:34
the
58:34
world,
58:35
that
58:36
we
58:36
tend
58:36
to
58:37
just
58:37
put
58:37
ourselves
58:37
last.
58:39
It's
58:39
so
58:40
interesting.
58:40
I
58:41
mean,
58:42
working,
58:43
family,
58:43
friends,
58:45
everything.
58:45
It's
58:45
like,
58:46
I'm
58:46
doing
58:46
this,
58:47
I'm
58:47
doing
58:47
this,
58:47
I'm
58:47
doing
58:47
this.
58:48
And
58:48
like,
58:48
all
58:48
of
58:48
a
58:48
sudden,
58:48
it's
58:49
like,
58:49
okay,
58:49
now
58:49
I'm
58:49
doing
58:50
for
58:50
me.
58:50
We
58:50
squeeze
58:51
us
58:51
into
58:51
the
58:52
checklist,
58:52
right?
58:53
And
58:54
so
58:54
at
58:54
some
58:55
point,
58:56
everyone
58:56
has
58:57
to
58:57
have
58:57
that
58:57
moment
58:59
where
58:59
you
58:59
sit
58:59
down
59:00
and
59:01
you
59:01
think
59:01
to
59:01
yourself,
59:02
if
59:02
there
59:03
was
59:03
no
59:03
one
59:03
else,
59:04
no
59:05
one
59:05
else
59:05
on
59:05
the
59:05
planet
59:06
but
59:06
you,
59:07
what
59:08
is
59:08
it
59:08
that
59:08
you
59:08
would
59:09
want
59:09
to
59:09
do?
59:10
And
59:11
that's
59:12
what
59:12
you
59:12
put
59:12
on
59:13
the
59:13
top
59:14
of
59:14
the
59:14
list.
59:15
Just
59:15
for
59:16
a
59:16
little
59:16
bit.
59:17
Not
59:17
every
59:17
day,
59:18
not
59:18
all
59:18
the
59:18
time,
59:19
but
59:19
make
59:20
it
59:20
important
59:20
to
59:21
you,
59:21
make
59:21
it
59:22
worth
59:22
it
59:22
to
59:22
you.
59:23
I
59:23
always
59:24
say,
59:24
and
59:25
I
59:25
do
59:25
this
59:26
now.
59:26
Exercise
59:27
for
59:27
me
59:27
is
59:28
so
59:28
important.
59:29
I
59:29
have
59:29
meetings
59:30
all
59:30
day
59:30
long.
59:31
I
59:31
promise
59:32
you.
59:32
Exercises
59:33
in
59:33
my
59:33
meeting
59:34
calendar,
59:35
it's
59:36
not
59:36
an
59:36
extra.
59:37
It's
59:37
important
59:38
enough
59:38
that
59:39
it
59:39
is
59:39
on
59:39
the
59:40
calendar.
59:41
And
59:41
that's
59:41
what
59:42
you
59:42
have
59:42
to
59:42
start
59:43
doing,
59:43
is
59:43
put
59:44
yourself
59:44
on
59:44
the
59:44
calendar
59:45
just
59:46
like
59:46
everything
59:46
else.
59:47
And
59:47
that
59:47
one
59:48
thing
59:48
that's
59:48
going
59:49
to
59:49
make
59:49
you
59:49
feel
59:49
so
59:50
happy,
59:51
you've
59:51
got
59:51
to
59:51
add
59:52
that
59:52
to
59:52
the
59:52
top
59:53
of
59:53
the
59:53
list.
59:53
And
59:54
don't
59:54
feel
59:54
guilty
59:54
about
59:55
doing
59:55
that,
59:55
right?
59:56
Oh,
59:56
my
59:56
God,
59:57
no.
59:57
You've
59:58
paid
59:58
your
59:58
dues.
59:59
Please.
59:59
And
1:00:00
you
1:00:00
know
1:00:00
what?
1:00:01
We're
1:00:01
talking
1:00:01
about
1:00:01
happiness.
1:00:02
This
1:00:02
is
1:00:03
about
1:00:03
Quality
1:00:03
of
1:00:04
life.
1:00:04
Everyone
1:00:05
should
1:00:05
have
1:00:06
a
1:00:06
little
1:00:06
bit
1:00:07
of
1:00:07
quality
1:00:07
of
1:00:07
life
1:00:08
in
1:00:08
there.
1:00:09
And
1:00:09
that's
1:00:09
what
1:00:09
you
1:00:09
got
1:00:09
to
1:00:10
figure
1:00:10
out,
1:00:10
what
1:00:10
is
1:00:10
going
1:00:11
to
1:00:11
make
1:00:11
me
1:00:11
happy.
1:00:12
Absolutely.
1:00:13
So
1:00:14
what
1:00:14
would
1:00:14
you
1:00:14
tell
1:00:15
your
1:00:15
25
1:00:16
year
1:00:16
old
1:00:16
self
1:00:17
about
1:00:17
20
1:00:18
taking
1:00:18
care
1:00:19
of
1:00:19
your
1:00:19
health?
1:00:21
Well,
1:00:22
I'm
1:00:22
going
1:00:22
to
1:00:23
tell
1:00:23
you
1:00:23
what
1:00:23
I
1:00:23
was
1:00:23
doing
1:00:23
at
1:00:24
that
1:00:24
age.
1:00:25
What
1:00:25
was
1:00:26
Suzanne
1:00:26
like
1:00:27
at
1:00:27
25?
1:00:28
I
1:00:28
was
1:00:29
in
1:00:29
training.
1:00:30
I
1:00:30
was
1:00:30
on
1:00:31
call
1:00:31
every
1:00:32
fourth
1:00:32
night
1:00:32
overnight.
1:00:34
I
1:00:34
was
1:00:34
living
1:00:35
on
1:00:35
jelly
1:00:36
beans
1:00:36
and
1:00:36
coffee.
1:00:38
And
1:00:38
I
1:00:38
was
1:00:39
incredibly
1:00:41
like
1:00:41
unhealthy
1:00:42
in
1:00:42
terms
1:00:43
of
1:00:43
taking
1:00:43
care
1:00:43
of
1:00:43
myself.
1:00:44
But
1:00:44
I
1:00:44
was
1:00:45
25,
1:00:46
exercising,
1:00:46
going
1:00:47
to
1:00:47
dance
1:00:47
classes,
1:00:48
staying
1:00:48
up
1:00:48
all
1:00:48
night,
1:00:49
did
1:00:49
nothing
1:00:50
right.
1:00:51
And
1:00:51
what
1:00:51
I
1:00:52
would
1:00:52
have
1:00:52
told
1:00:52
myself,
1:00:54
slow
1:00:54
down,
1:00:56
because
1:00:56
that
1:00:57
body
1:00:57
of
1:00:57
yours
1:00:58
has
1:00:58
to
1:00:58
last
1:00:59
your
1:00:59
entire
1:01:00
life.
1:01:02
And
1:01:02
what
1:01:03
you
1:01:03
do
1:01:03
today
1:01:04
is
1:01:04
going
1:01:04
to
1:01:05
matter
1:01:05
a
1:01:05
lot
1:01:06
in
1:01:06
5,
1:01:07
10,
1:01:08
15,
1:01:08
20
1:01:09
years.
1:01:10
So
1:01:10
start
1:01:10
taking
1:01:11
care
1:01:11
of
1:01:11
yourself
1:01:11
now.
1:01:13
And
1:01:13
I
1:01:13
think
1:01:13
the
1:01:13
other
1:01:14
thing
1:01:14
that
1:01:14
I
1:01:14
would
1:01:14
definitely
1:01:15
say,
1:01:16
doing
1:01:16
more
1:01:18
doesn't
1:01:18
mean
1:01:18
you're
1:01:19
doing
1:01:19
better.
1:01:20
And
1:01:20
it
1:01:21
took
1:01:21
me
1:01:21
a
1:01:21
really
1:01:21
long
1:01:22
time
1:01:22
to
1:01:22
realize,
1:01:23
slow
1:01:24
down.
1:01:24
You
1:01:25
don't
1:01:25
have
1:01:25
to
1:01:25
do
1:01:26
150
1:01:27
things
1:01:27
in
1:01:27
one
1:01:27
day.
1:01:28
You
1:01:28
can
1:01:29
actually
1:01:29
do
1:01:29
100.
1:01:31
But
1:01:31
be
1:01:31
focused
1:01:32
and
1:01:33
you
1:01:33
might
1:01:33
get
1:01:33
more
1:01:33
done.
1:01:34
We
1:01:34
multitask.
1:01:36
And
1:01:36
there's
1:01:36
studies
1:01:36
that
1:01:37
showing
1:01:37
multitask
1:01:38
does
1:01:38
not
1:01:38
mean
1:01:38
you're
1:01:38
being
1:01:39
more
1:01:39
efficient.
1:01:39
If
1:01:40
you're
1:01:40
more
1:01:40
focused,
1:01:41
you're
1:01:41
more
1:01:41
efficient
1:01:42
and
1:01:42
you
1:01:42
don't
1:01:42
have
1:01:42
to
1:01:42
work
1:01:43
as
1:01:43
hard.
1:01:43
And
1:01:44
it
1:01:44
took
1:01:44
me
1:01:44
a
1:01:44
really
1:01:44
long
1:01:45
time
1:01:45
to
1:01:45
realize
1:01:45
that.
1:01:46
That's
1:01:46
such
1:01:46
a
1:01:47
good
1:01:47
point
1:01:47
too,
1:01:47
because
1:01:47
it's
1:01:48
like
1:01:48
productivity
1:01:49
is
1:01:49
like
1:01:50
the
1:01:50
center
1:01:50
of
1:01:51
all
1:01:51
of
1:01:51
this.
1:01:52
You
1:01:52
know,
1:01:52
it's
1:01:52
like,
1:01:53
how
1:01:53
can
1:01:53
we
1:01:53
be
1:01:53
more
1:01:54
productive?
1:01:54
How
1:01:54
can
1:01:55
we
1:01:55
get
1:01:55
more
1:01:55
done?
1:01:56
You
1:01:56
know,
1:01:56
like
1:01:56
more,
1:01:57
more,
1:01:57
more,
1:01:57
more,
1:01:58
more.
1:01:58
And
1:01:58
it's
1:01:58
like,
1:01:58
just
1:01:59
take
1:01:59
a
1:01:59
minute
1:02:00
and
1:02:00
take
1:02:00
a
1:02:00
breath
1:02:01
and
1:02:01
enjoy
1:02:02
the
1:02:02
moment
1:02:03
that
1:02:03
you're
1:02:03
in.
1:02:03
Right?
1:02:05
Absolutely.
1:02:06
And
1:02:06
that's
1:02:06
the
1:02:06
other
1:02:06
thing.
1:02:07
Mindfulness
1:02:09
is
1:02:09
something
1:02:09
that
1:02:10
I
1:02:10
never
1:02:10
understood
1:02:11
at
1:02:11
25.
1:02:13
You've
1:02:13
got
1:02:13
to
1:02:14
be
1:02:14
where
1:02:14
you're
1:02:14
at,
1:02:15
be
1:02:16
where
1:02:17
you're
1:02:17
at.
1:02:18
And
1:02:19
that
1:02:19
has
1:02:19
been
1:02:20
the
1:02:20
mantra
1:02:21
of
1:02:22
my
1:02:22
life.
1:02:24
When
1:02:24
I
1:02:24
was
1:02:24
being
1:02:25
a
1:02:25
Mom,
1:02:25
I
1:02:26
was
1:02:27
150%
1:02:28
with
1:02:28
my
1:02:28
son.
1:02:29
When
1:02:29
I'm
1:02:29
at
1:02:29
work,
1:02:30
I'm
1:02:30
150%
1:02:32
with
1:02:32
my
1:02:32
patients.
1:02:33
And
1:02:34
that
1:02:34
mindfulness
1:02:36
allows
1:02:36
you
1:02:37
to
1:02:37
show
1:02:38
up
1:02:38
for
1:02:38
everybody
1:02:40
because
1:02:40
all
1:02:41
it
1:02:41
takes
1:02:41
is
1:02:41
attention.
1:02:43
And
1:02:43
where
1:02:44
your
1:02:44
attention
1:02:44
goes
1:02:45
is
1:02:45
what
1:02:46
gets
1:02:46
affected.
1:02:46
It's
1:02:47
all
1:02:47
this
1:02:47
concept
1:02:48
of
1:02:48
energy.
1:02:49
Where
1:02:49
you
1:02:49
put
1:02:50
your
1:02:50
energy
1:02:51
is
1:02:51
what
1:02:51
is
1:02:52
impacted
1:02:52
the
1:02:53
most.
1:02:54
And
1:02:54
I
1:02:54
find
1:02:55
it
1:02:55
fascinating.
1:02:55
My
1:02:56
son
1:02:56
is
1:02:56
18.
1:02:57
He
1:02:57
says
1:02:58
to
1:02:58
me,
1:02:58
mom,
1:02:58
you
1:02:59
were
1:02:59
always
1:02:59
around.
1:03:00
I
1:03:01
literally
1:03:01
am
1:03:02
not
1:03:02
going
1:03:02
to
1:03:02
tell
1:03:02
him
1:03:02
any
1:03:02
different.
1:03:03
I'm
1:03:04
just
1:03:04
like,
1:03:04
okay,
1:03:05
okay.
1:03:07
And
1:03:07
if
1:03:07
he
1:03:08
feels
1:03:08
that
1:03:08
way,
1:03:09
that's
1:03:09
just
1:03:10
amazing.
1:03:10
You
1:03:11
know,
1:03:11
it's
1:03:12
quality
1:03:12
time,
1:03:12
right?
1:03:13
It's
1:03:13
not
1:03:13
quantity
1:03:13
of
1:03:14
time,
1:03:14
it's
1:03:14
quality.
1:03:15
Mindfulness,
1:03:16
attention,
1:03:18
being
1:03:18
present,
1:03:19
all
1:03:19
of
1:03:19
that.
1:03:20
That's
1:03:20
what
1:03:21
we
1:03:21
have
1:03:21
to
1:03:21
do
1:03:21
for
1:03:22
ourselves.
1:03:22
Yes.
1:03:23
And
1:03:23
as
1:03:23
you
1:03:23
go
1:03:23
through
1:03:24
this
1:03:24
transition,
1:03:25
just
1:03:25
turn
1:03:25
it
1:03:26
around
1:03:26
and
1:03:26
put
1:03:27
it
1:03:27
on
1:03:27
you.
1:03:27
Be
1:03:28
present,
1:03:28
be
1:03:29
mindful,
1:03:29
be
1:03:29
there
1:03:29
for
1:03:30
yourself.
1:03:30
Great
1:03:30
advice.
1:03:31
So
1:03:31
impactful.
1:03:32
Thank
1:03:32
you
1:03:33
so
1:03:33
much
1:03:33
for
1:03:33
joining
1:03:34
us
1:03:34
today.
1:03:34
I
1:03:35
mean,
1:03:35
your
1:03:35
words
1:03:35
have
1:03:36
been
1:03:37
so
1:03:37
important
1:03:37
to
1:03:37
hear.
1:03:38
I
1:03:38
mean,
1:03:38
I
1:03:38
know
1:03:38
a
1:03:38
lot
1:03:38
of
1:03:39
women
1:03:39
suffer
1:03:40
a
1:03:40
lot
1:03:40
because
1:03:41
they
1:03:41
just
1:03:42
don't
1:03:42
know.
1:03:42
So
1:03:43
this
1:03:43
knowledge
1:03:43
is
1:03:44
everything.
1:03:44
So
1:03:45
will
1:03:45
you
1:03:45
please
1:03:45
tell
1:03:46
everybody
1:03:46
where
1:03:46
they
1:03:47
can
1:03:47
find
1:03:47
you?
1:03:48
Absolutely.
1:03:49
You
1:03:49
can
1:03:50
find
1:03:50
me.
1:03:51
You
1:03:51
know
1:03:51
the
1:03:51
standard
1:03:52
ways
1:03:52
on
1:03:53
Instagram
1:03:53
and
1:03:54
LinkedIn
1:03:54
and
1:03:55
Facebook.
1:03:55
Dr.
1:03:56
Steinbaum
1:03:57
on
1:03:57
Insta.
1:03:58
I
1:03:58
also
1:03:58
have
1:03:58
a
1:03:59
website,
1:03:59
Dr.
1:03:59
Suzanne
1:04:00
Steinbaum.
1:04:01
You
1:04:01
can
1:04:01
check
1:04:02
out
1:04:02
Maya
1:04:02
Deso
1:04:03
as
1:04:03
well
1:04:05
with
1:04:05
all
1:04:05
of
1:04:05
this
1:04:06
information
1:04:07
and
1:04:07
I
1:04:08
love
1:04:08
to
1:04:08
hear
1:04:09
from
1:04:09
you
1:04:09
on
1:04:09
hear
1:04:10
from
1:04:10
you
1:04:10
on
1:04:10
social.
1:04:11
So
1:04:11
come
1:04:11
find
1:04:11
me.
1:04:12
Wonderful.
1:04:13
Well,
1:04:13
thank
1:04:14
you
1:04:14
so
1:04:14
much.
1:04:14
It
1:04:15
was
1:04:15
such
1:04:15
a
1:04:15
pleasure
1:04:15
to
1:04:16
chat
1:04:16
today
1:04:16
and
1:04:16
thank
1:04:17
you
1:04:17
for
1:04:17
joining
1:04:17
me,
1:04:17
Iconic
1:04:18
midl
1:04:18
Life.
1:04:19
Thank
1:04:19
you.
1:04:19
This
1:04:19
was
1:04:19
super
1:04:20
fun.
1:04:20
Thanks
1:04:20
for
1:04:21
having
1:04:21
me.
1:04:22
That
1:04:22
was
1:04:22
Dr.
1:04:23
Suzanne
1:04:23
Steinbaum.
1:04:24
And
1:04:24
if
1:04:24
you're
1:04:25
anything
1:04:25
like
1:04:25
me,
1:04:26
you're
1:04:26
walking
1:04:26
away
1:04:27
from
1:04:27
this
1:04:27
episode
1:04:28
with
1:04:28
a
1:04:28
new
1:04:29
sense
1:04:29
of
1:04:29
clarity,
1:04:30
power
1:04:30
and
1:04:31
a
1:04:31
few
1:04:31
questions
1:04:32
you're
1:04:32
ready
1:04:32
to
1:04:32
take
1:04:33
to
1:04:33
your
1:04:33
next
1:04:33
doctor's
1:04:34
appointment.
1:04:35
This
1:04:35
is
1:04:35
what
1:04:35
the
1:04:36
iconic
1:04:36
midlife
1:04:37
is
1:04:37
about.
1:04:38
Not
1:04:38
just
1:04:38
aging
1:04:39
well,
1:04:39
but
1:04:39
living
1:04:40
boldly,
1:04:40
asking
1:04:41
better
1:04:41
questions
1:04:42
and
1:04:42
refusing
1:04:43
to
1:04:43
be
1:04:43
over
1:04:44
overlooked
1:04:44
or
1:04:44
underserved.
1:04:45
You
1:04:46
can
1:04:46
find
1:04:46
Dr.
1:04:46
Steinbaum's
1:04:47
work
1:04:47
and
1:04:48
resources
1:04:48
linked
1:04:49
in
1:04:49
the
1:04:49
show
1:04:49
notes
1:04:50
and
1:04:50
I
1:04:50
highly
1:04:51
recommend
1:04:51
following
1:04:52
her
1:04:52
for
1:04:53
insight,
1:04:53
advocacy
1:04:54
and
1:04:55
real
1:04:55
talk
1:04:55
on
1:04:56
women's
1:04:56
health.
1:04:57
If
1:04:57
this
1:04:57
episode
1:04:58
resonated
1:04:58
with
1:04:59
you,
1:04:59
text
1:04:59
it
1:05:00
to
1:05:00
a
1:05:00
friend,
1:05:00
tag
1:05:01
us
1:05:01
in
1:05:01
your
1:05:01
takeaways
1:05:02
and
1:05:02
leave
1:05:03
a
1:05:03
review.
1:05:04
Every
1:05:04
share
1:05:04
helps
1:05:05
this
1:05:05
show
1:05:05
reach
1:05:06
more
1:05:06
women
1:05:06
who
1:05:07
deserve
1:05:07
to
1:05:07
feel
1:05:08
empowered
1:05:08
in
1:05:08
this
1:05:08
season
1:05:09
of
1:05:09
life.
1:05:10
Follow
1:05:10
the
1:05:10
show,
1:05:11
spread
1:05:11
the
1:05:11
word.
1:05:12
And
1:05:12
remember,
1:05:13
we're
1:05:13
not
1:05:13
doing
1:05:13
midlife
1:05:14
quietly.
1:05:15
We're
1:05:15
doing
1:05:15
it
1:05:15
on
1:05:16
our
1:05:16
own
1:05:16
terms.