Latest / The Iconic Midlife with Roxy Manning / World Renowned Menopause Expert Dr. Louise Newson Talks Hormones, HRT & the Lies Women Were Told About Menopause

Transcript

World Renowned Menopause Expert Dr. Louise Newson Talks Hormones, HRT & the Lies Women Were Told About Menopause · The Iconic Midlife with Roxy Manning

• 0:00
  Hi
• 0:00
  everyone.
• 0:01
  A
• 0:01
  quick
• 0:01
  note
• 0:02
  before
• 0:02
  we
• 0:02
  start
• 0:02
  today's
• 0:03
  episode.
• 0:04
  This
• 0:04
  week
• 0:05
  I'm
• 0:05
  in
• 0:05
  Washington
• 0:06
  D.C.
• 0:06
  attending
• 0:07
  the
• 0:07
  National
• 0:07
  Conference
• 0:08
  on
• 0:08
  Women's
• 0:09
  Health
• 0:09
  where
• 0:10
  some
• 0:10
  of
• 0:10
  the
• 0:10
  most
• 0:10
  important
• 0:11
  conversations
• 0:11
  about
• 0:12
  women's
• 0:12
  health
• 0:13
  and
• 0:13
  midlife
• 0:14
  are
• 0:14
  happening
• 0:14
  right
• 0:15
  now.
• 0:16
  So
• 0:16
  it
• 0:16
  felt
• 0:16
  like
• 0:17
  the
• 0:17
  perfect
• 0:17
  time
• 0:18
  to
• 0:18
  revisit
• 0:19
  one
• 0:19
  of
• 0:19
  the
• 0:19
  most
• 0:19
  important
• 0:20
  conversations
• 0:21
  we've
• 0:21
  had
• 0:22
  on
• 0:22
  this
• 0:22
  show.
• 0:23
  My
• 0:23
  interview
• 0:24
  with
• 0:24
  Dr.
• 0:24
  Louise
• 0:25
  Newson,
• 0:26
  one
• 0:26
  of
• 0:26
  the
• 0:26
  world's
• 0:27
  leading
• 0:27
  voices
• 0:27
  on
• 0:28
  menopause
• 0:28
  and
• 0:28
  hormone
• 0:29
  health.
• 0:30
  If
• 0:30
  you
• 0:30
  haven't
• 0:31
  heard
• 0:31
  this
• 0:31
  episode
• 0:32
  yet,
• 0:32
  you're
• 0:33
  in
• 0:33
  for
• 0:33
  an
• 0:33
  incredibly
• 0:34
  eye
• 0:34
  opening
• 0:35
  conversation.
• 0:36
  And
• 0:36
  if
• 0:36
  you
• 0:37
  have,
• 0:37
  it's
• 0:38
  absolutely
• 0:38
  worth
• 0:39
  hearing
• 0:39
  again.
• 0:40
  Let's
• 0:40
  get
• 0:41
  into
• 0:41
  it.
• 0:41
  You
• 0:41
  know,
• 0:42
  there's
• 0:42
  also
• 0:42
  just
• 0:42
  a
• 0:43
  such
• 0:43
  a
• 0:43
  huge
• 0:44
  mental
• 0:44
  health
• 0:44
  component.
• 0:45
  So
• 0:46
  we're
• 0:46
  talking
• 0:46
  about
• 0:46
  40
• 0:47
  years
• 0:47
  ago.
• 0:48
  Knowledge
• 0:48
  is
• 0:49
  power.
• 0:49
  So
• 0:49
  when
• 0:50
  a
• 0:50
  woman
• 0:50
  is
• 0:50
  going
• 0:50
  into
• 0:51
  her
• 0:51
  doctor
• 0:51
  and
• 0:52
  she's
• 0:52
  talking
• 0:52
  to
• 0:52
  her
• 0:52
  GP
• 0:53
  or
• 0:54
  a
• 0:54
  gynecologist
• 0:55
  and
• 0:55
  is,
• 0:55
  you
• 0:55
  know,
• 0:56
  in
• 0:56
  the
• 0:56
  throes
• 0:56
  of
• 0:57
  menopause
• 0:57
  and
• 0:57
  perimenopause,
• 0:58
  yet
• 0:58
  they
• 0:58
  have
• 0:59
  natural
• 0:59
  hormones
• 0:59
  back
• 1:00
  at
• 1:00
  the
• 1:00
  right
• 1:00
  dose
• 1:01
  and
• 1:01
  type
• 1:02
  and
• 1:02
  they
• 1:02
  are
• 1:02
  transformed.
• 1:03
  You
• 1:04
  know,
• 1:04
  we're
• 1:04
  putting
• 1:04
  people
• 1:04
  in
• 1:05
  these
• 1:05
  chemical
• 1:05
  straitjackets,
• 1:06
  giving
• 1:07
  them
• 1:07
  highly
• 1:08
  toxic
• 1:08
  drugs
• 1:09
  without
• 1:09
  thinking
• 1:10
  about
• 1:10
  safe
• 1:10
  hormones.
• 1:11
  With
• 1:11
  perimenopause
• 1:12
  and
• 1:12
  menopause,
• 1:13
  so
• 1:13
  many
• 1:13
  women,
• 1:14
  and
• 1:14
  I
• 1:14
  know,
• 1:14
  I
• 1:14
  feel
• 1:15
  included
• 1:15
  too,
• 1:16
  you
• 1:16
  know,
• 1:16
  do
• 1:16
  we
• 1:16
  just
• 1:16
  feel
• 1:17
  like
• 1:17
  we've
• 1:17
  lost
• 1:17
  ourselves?
• 1:18
  We're
• 1:18
  like,
• 1:18
  who
• 1:18
  are
• 1:18
  we?
• 1:19
  You
• 1:19
  know,
• 1:19
  what
• 1:19
  is
• 1:19
  this?
• 1:20
  If
• 1:20
  I
• 1:20
  had
• 1:20
  a
• 1:21
  rash
• 1:21
  on
• 1:21
  my
• 1:21
  face,
• 1:22
  you
• 1:22
  would
• 1:22
  look
• 1:22
  at
• 1:22
  me
• 1:22
  and
• 1:23
  go,
• 1:23
  oh,
• 1:23
  Louise,
• 1:23
  that
• 1:23
  looks
• 1:24
  painful.
• 1:24
  Have
• 1:24
  you
• 1:24
  seen
• 1:24
  a
• 1:25
  dermatologist?
• 1:26
  Whereas
• 1:26
  if
• 1:26
  I
• 1:26
  tell
• 1:27
  you
• 1:27
  I
• 1:27
  feel
• 1:27
  so
• 1:27
  joyless
• 1:28
  and
• 1:28
  flat
• 1:28
  and
• 1:29
  low,
• 1:29
  you
• 1:29
  might
• 1:29
  go,
• 1:29
  oh,
• 1:30
  it's
• 1:30
  a
• 1:30
  bit
• 1:30
  awkward
• 1:30
  now.
• 1:30
  I
• 1:30
  don't
• 1:31
  quite
• 1:31
  know
• 1:31
  what
• 1:31
  to
• 1:31
  say,
• 1:31
  you
• 1:32
  know,
• 1:35
  okay,
• 1:35
  ladies,
• 1:36
  this
• 1:36
  is
• 1:37
  not
• 1:37
  your
• 1:37
  mom's
• 1:37
  menopause.
• 1:39
  Today
• 1:39
  we're
• 1:39
  diving
• 1:40
  into
• 1:40
  the
• 1:40
  real,
• 1:41
  raw
• 1:42
  and
• 1:42
  revolutionary
• 1:43
  truth
• 1:44
  about
• 1:44
  hormones,
• 1:45
  perimenopause
• 1:46
  and
• 1:47
  what
• 1:47
  the
• 1:47
  heck
• 1:47
  is
• 1:47
  actually
• 1:48
  happening
• 1:48
  to
• 1:49
  our
• 1:49
  bodies
• 1:49
  in
• 1:50
  midlife.
• 1:51
  With
• 1:51
  one
• 1:51
  of
• 1:51
  the
• 1:51
  world's
• 1:52
  leading
• 1:52
  voices
• 1:52
  on
• 1:53
  women's
• 1:53
  health,
• 1:54
  my
• 1:54
  guest
• 1:55
  today
• 1:55
  is
• 1:55
  Dr.
• 1:56
  Louise
• 1:56
  Newson,
• 1:57
  a
• 1:58
  world
• 1:58
  renowned
• 1:59
  menopause
• 1:59
  specialist,
• 2:00
  best
• 2:00
  selling
• 2:01
  author
• 2:01
  and
• 2:02
  founder
• 2:02
  of
• 2:02
  the
• 2:03
  Noosen
• 2:03
  Health,
• 2:04
  Menopause
• 2:04
  and
• 2:05
  Wellbeing
• 2:05
  Center.
• 2:06
  She's
• 2:07
  the
• 2:07
  force
• 2:07
  behind
• 2:08
  some
• 2:08
  of
• 2:08
  the
• 2:08
  most
• 2:08
  important
• 2:09
  research
• 2:10
  and
• 2:10
  policy
• 2:10
  changes
• 2:11
  in
• 2:11
  women's
• 2:12
  health
• 2:12
  care.
• 2:12
  And
• 2:13
  her
• 2:13
  work
• 2:13
  has
• 2:13
  empowered
• 2:14
  millions
• 2:15
  of
• 2:15
  women
• 2:15
  to
• 2:16
  reclaim
• 2:16
  their
• 2:16
  health,
• 2:17
  their
• 2:17
  hormones
• 2:18
  and
• 2:19
  their
• 2:19
  confidence.
• 2:20
  So
• 2:21
  if
• 2:21
  you've
• 2:21
  ever
• 2:21
  been
• 2:21
  told
• 2:22
  it's
• 2:22
  just
• 2:22
  anxiety,
• 2:24
  or
• 2:24
  if
• 2:24
  you've
• 2:25
  ever
• 2:25
  left
• 2:25
  a
• 2:25
  doctor's
• 2:26
  office
• 2:27
  feeling
• 2:27
  more
• 2:28
  confused
• 2:29
  than
• 2:29
  when
• 2:29
  you
• 2:29
  walked
• 2:30
  in,
• 2:30
  or
• 2:30
  if
• 2:31
  you've
• 2:31
  ever
• 2:31
  looked
• 2:31
  in
• 2:31
  the
• 2:31
  mirror
• 2:32
  and
• 2:32
  wondered
• 2:32
  who
• 2:33
  that
• 2:33
  tired,
• 2:33
  brain
• 2:34
  foggy,
• 2:35
  bloated
• 2:35
  woman
• 2:36
  is
• 2:36
  staring
• 2:36
  back
• 2:36
  at
• 2:37
  you.
• 2:37
  This
• 2:37
  conversation
• 2:38
  is
• 2:39
  for
• 2:39
  you.
• 2:40
  Get
• 2:40
  ready
• 2:40
  to
• 2:40
  feel
• 2:41
  informed,
• 2:42
  fired
• 2:42
  up
• 2:42
  and
• 2:43
  seen.
• 2:44
  Let's
• 2:44
  get
• 2:44
  into
• 2:44
  it.
• 2:45
  Welcome
• 2:45
  Dr.
• 2:46
  Newson.
• 2:46
  It's
• 2:47
  wonderful
• 2:47
  to
• 2:47
  have
• 2:47
  you
• 2:47
  here
• 2:48
  today.
• 2:48
  Oh,
• 2:49
  well,
• 2:49
  thank
• 2:49
  you
• 2:49
  for
• 2:49
  inviting
• 2:50
  me.
• 2:50
  It's
• 2:50
  a
• 2:50
  real
• 2:50
  honor
• 2:51
  to
• 2:51
  be
• 2:51
  here.
• 2:52
  Oh,
• 2:52
  I'm
• 2:52
  just
• 2:52
  so
• 2:53
  excited.
• 2:53
  I
• 2:53
  appreciate
• 2:54
  you.
• 2:54
  For
• 2:54
  those
• 2:55
  who
• 2:55
  don't
• 2:55
  know,
• 2:55
  Dr.
• 2:56
  Louise
• 2:56
  Newson
• 2:57
  is
• 2:57
  in
• 2:57
  London.
• 2:58
  So
• 2:58
  we
• 2:59
  are
• 2:59
  excited
• 2:59
  to
• 2:59
  have
• 3:00
  you
• 3:00
  on
• 3:00
  and
• 3:00
  I
• 3:01
  just
• 3:01
  want
• 3:01
  to
• 3:01
  dive
• 3:01
  right
• 3:01
  in
• 3:02
  because
• 3:03
  I
• 3:03
  think
• 3:03
  that
• 3:03
  there
• 3:03
  are
• 3:04
  so
• 3:04
  many
• 3:04
  misconceptions
• 3:05
  and
• 3:06
  so
• 3:06
  many,
• 3:07
  you
• 3:07
  know,
• 3:07
  things
• 3:07
  that
• 3:08
  we've
• 3:08
  heard
• 3:08
  about
• 3:08
  menopause,
• 3:09
  perimenopause,
• 3:10
  the
• 3:10
  hormones,
• 3:10
  everything.
• 3:12
  And
• 3:12
  women
• 3:12
  are
• 3:12
  really
• 3:13
  not
• 3:13
  informed
• 3:13
  about
• 3:14
  their
• 3:14
  bodies.
• 3:15
  So,
• 3:16
  you
• 3:16
  know,
• 3:16
  and
• 3:17
  so
• 3:17
  many
• 3:17
  of
• 3:17
  us,
• 3:17
  when
• 3:17
  we
• 3:18
  go
• 3:18
  to
• 3:18
  the
• 3:18
  doctor,
• 3:19
  we're
• 3:19
  either
• 3:19
  misdiagnosed
• 3:20
  or
• 3:21
  we're
• 3:21
  dismissed
• 3:22
  by
• 3:22
  our
• 3:22
  doctors,
• 3:23
  especially
• 3:24
  during
• 3:24
  perimenopause.
• 3:26
  So
• 3:26
  what
• 3:26
  do
• 3:27
  you,
• 3:27
  why
• 3:27
  do
• 3:27
  you
• 3:27
  think
• 3:28
  that
• 3:28
  the
• 3:28
  medical
• 3:29
  system
• 3:29
  is
• 3:30
  failing
• 3:30
  women
• 3:30
  in
• 3:31
  this
• 3:31
  way?
• 3:31
  You're
• 3:32
  right
• 3:32
  though,
• 3:32
  it's
• 3:33
  due
• 3:33
  a
• 3:33
  lot
• 3:33
  to
• 3:34
  misunderstanding.
• 3:35
  And
• 3:35
  it's
• 3:35
  not
• 3:35
  just
• 3:36
  misunderstanding
• 3:36
  by
• 3:36
  women,
• 3:37
  but
• 3:37
  healthcare
• 3:37
  professionals
• 3:38
  as
• 3:38
  well.
• 3:39
  And
• 3:39
  the
• 3:40
  problem
• 3:40
  is,
• 3:41
  and
• 3:41
  even
• 3:41
  now,
• 3:42
  if
• 3:42
  you
• 3:42
  ask
• 3:42
  someone
• 3:43
  what
• 3:43
  menopause
• 3:44
  means,
• 3:44
  they'll
• 3:44
  tell
• 3:44
  you
• 3:45
  it's
• 3:45
  hot
• 3:45
  flashes.
• 3:46
  It's
• 3:46
  a
• 3:46
  natural
• 3:47
  transition
• 3:47
  that
• 3:47
  women
• 3:48
  go
• 3:48
  through,
• 3:48
  which
• 3:49
  absolutely
• 3:49
  it
• 3:50
  is.
• 3:50
  And
• 3:50
  it
• 3:50
  isn't
• 3:51
  because
• 3:51
  it's
• 3:52
  far
• 3:52
  more
• 3:52
  than
• 3:52
  hot
• 3:52
  flashes.
• 3:53
  It
• 3:54
  may
• 3:54
  be
• 3:54
  natural,
• 3:55
  but
• 3:55
  it's,
• 3:55
  it
• 3:55
  doesn't
• 3:56
  mean
• 3:56
  we
• 3:56
  can't
• 3:56
  treat
• 3:56
  it.
• 3:57
  And
• 3:57
  it's
• 3:57
  not
• 3:57
  a
• 3:58
  transition.
• 3:58
  It's
• 3:58
  not
• 3:58
  something
• 3:59
  we
• 3:59
  will
• 3:59
  just
• 4:00
  phase
• 4:00
  in
• 4:00
  our
• 4:00
  lives.
• 4:01
  So
• 4:02
  women
• 4:02
  have
• 4:03
  been
• 4:03
  told
• 4:03
  wrong
• 4:03
  information,
• 4:04
  but
• 4:04
  so
• 4:04
  have
• 4:04
  doctors.
• 4:05
  You
• 4:05
  know,
• 4:06
  I
• 4:06
  qualified
• 4:07
  quite
• 4:07
  a
• 4:07
  few
• 4:07
  years
• 4:07
  ago
• 4:08
  in
• 4:08
  1994,
• 4:09
  but
• 4:09
  I
• 4:10
  didn't
• 4:10
  have
• 4:10
  any
• 4:10
  formal
• 4:11
  menopause
• 4:11
  training.
• 4:12
  And
• 4:13
  then
• 4:13
  for
• 4:13
  many
• 4:14
  years,
• 4:14
  in
• 4:15
  fact
• 4:15
  decades,
• 4:16
  people,
• 4:17
  doctors
• 4:17
  have
• 4:17
  been
• 4:18
  told
• 4:18
  HRT
• 4:19
  is
• 4:19
  dangerous,
• 4:19
  don't
• 4:20
  prescribe
• 4:20
  it
• 4:20
  for
• 4:20
  women.
• 4:21
  So
• 4:21
  then
• 4:21
  they
• 4:22
  not
• 4:22
  been
• 4:22
  learning
• 4:23
  about
• 4:23
  menopause
• 4:24
  because
• 4:24
  they
• 4:24
  think
• 4:24
  there's
• 4:25
  no
• 4:25
  treatment
• 4:25
  which
• 4:25
  is
• 4:26
  so
• 4:26
  wrong
• 4:27
  on
• 4:27
  so
• 4:27
  many
• 4:27
  levels,
• 4:28
  which
• 4:28
  we
• 4:28
  can
• 4:28
  talk
• 4:28
  about.
• 4:29
  So
• 4:30
  this
• 4:30
  misunderstanding
• 4:31
  has
• 4:31
  carried
• 4:31
  on.
• 4:32
  And
• 4:32
  then
• 4:33
  when
• 4:33
  people
• 4:34
  are
• 4:34
  confused,
• 4:34
  they
• 4:35
  often
• 4:35
  go
• 4:35
  to
• 4:35
  the
• 4:36
  wrong
• 4:36
  sources
• 4:36
  or
• 4:36
  they
• 4:37
  get
• 4:37
  the
• 4:37
  wrong
• 4:37
  information
• 4:37
  or
• 4:38
  they
• 4:38
  speak
• 4:38
  to
• 4:38
  the
• 4:39
  wrong
• 4:39
  people
• 4:39
  and
• 4:40
  then
• 4:40
  it
• 4:40
  causes
• 4:40
  more
• 4:40
  confusion.
• 4:41
  So
• 4:42
  it's
• 4:42
  absolute
• 4:43
  mess.
• 4:44
  And
• 4:44
  this
• 4:44
  is
• 4:44
  a
• 4:45
  travesty
• 4:45
  for
• 4:45
  women
• 4:45
  because
• 4:46
  within,
• 4:47
  amongst
• 4:47
  all
• 4:48
  this
• 4:48
  mess
• 4:48
  and
• 4:48
  confusion,
• 4:50
  women
• 4:50
  are
• 4:50
  suffering
• 4:50
  and
• 4:51
  they're
• 4:51
  having
• 4:51
  health
• 4:52
  risks
• 4:52
  as
• 4:53
  well
• 4:53
  from
• 4:54
  not
• 4:54
  having
• 4:54
  their
• 4:54
  hormone
• 4:55
  health
• 4:55
  addressed
• 4:56
  properly.
• 4:56
  And
• 4:57
  you
• 4:57
  know,
• 4:57
  that
• 4:57
  is
• 4:58
  so
• 4:58
  the
• 4:58
  hot
• 4:59
  button
• 4:59
  topic
• 4:59
  right
• 5:00
  now
• 5:00
  are
• 5:00
  HTRTs.
• 5:01
  I
• 5:01
  mean,
• 5:01
  there's
• 5:02
  so
• 5:02
  much
• 5:02
  confusion
• 5:03
  going
• 5:04
  around
• 5:04
  about
• 5:04
  hormone
• 5:05
  replacement
• 5:06
  therapy.
• 5:06
  Should
• 5:07
  I
• 5:07
  do
• 5:07
  it,
• 5:07
  should
• 5:08
  I
• 5:08
  not
• 5:08
  do
• 5:08
  it?
• 5:09
  What
• 5:09
  are
• 5:09
  my
• 5:10
  risks?
• 5:10
  Like,
• 5:11
  am
• 5:11
  I
• 5:11
  going
• 5:11
  to
• 5:11
  be
• 5:11
  at
• 5:11
  a
• 5:12
  higher
• 5:12
  risk
• 5:12
  for
• 5:12
  breast
• 5:12
  cancer?
• 5:14
  You
• 5:14
  know,
• 5:14
  that's
• 5:15
  a
• 5:15
  lot
• 5:15
  of
• 5:15
  concern
• 5:15
  on
• 5:16
  women's
• 5:16
  minds.
• 5:17
  So
• 5:17
  can
• 5:18
  we
• 5:18
  kind
• 5:18
  of
• 5:18
  break
• 5:19
  that
• 5:19
  down
• 5:19
  and
• 5:20
  kind
• 5:20
  of
• 5:20
  dispel
• 5:21
  some
• 5:22
  of
• 5:22
  the
• 5:22
  untruths
• 5:23
  that
• 5:23
  are
• 5:23
  associated
• 5:23
  with
• 5:24
  hrts?
• 5:25
  And
• 5:25
  is
• 5:25
  it
• 5:25
  for
• 5:25
  everybody?
• 5:26
  Yeah.
• 5:27
  So
• 5:27
  I
• 5:27
  think
• 5:27
  before
• 5:28
  I
• 5:28
  talk
• 5:28
  about
• 5:28
  hrt,
• 5:29
  it's
• 5:29
  worth
• 5:30
  talking
• 5:30
  about
• 5:31
  menopause
• 5:31
  and
• 5:32
  hormones,
• 5:32
  because
• 5:33
  what
• 5:34
  happens
• 5:34
  when
• 5:34
  we
• 5:34
  don't
• 5:35
  have
• 5:35
  those
• 5:35
  hormones?
• 5:36
  It
• 5:36
  can
• 5:36
  affect
• 5:37
  our
• 5:37
  body
• 5:37
  in
• 5:37
  so
• 5:37
  many
• 5:38
  ways.
• 5:38
  But
• 5:39
  when
• 5:39
  we
• 5:39
  talk
• 5:39
  about
• 5:39
  hormones,
• 5:40
  we're
• 5:40
  only
• 5:40
  talking
• 5:41
  about
• 5:41
  three
• 5:41
  hormones.
• 5:42
  We've
• 5:42
  got
• 5:42
  hundreds
• 5:43
  of
• 5:43
  hormones
• 5:43
  in
• 5:44
  our
• 5:44
  body,
• 5:44
  and
• 5:44
  they
• 5:44
  are
• 5:44
  chemical
• 5:45
  messengers
• 5:46
  that
• 5:46
  go
• 5:46
  into
• 5:46
  our
• 5:47
  blood
• 5:47
  and
• 5:47
  affect
• 5:47
  every
• 5:48
  single
• 5:48
  cellular,
• 5:49
  process
• 5:49
  it.
• 5:50
  So
• 5:50
  every
• 5:50
  cell
• 5:51
  responds
• 5:51
  to
• 5:51
  hormones,
• 5:53
  so
• 5:53
  they
• 5:53
  are
• 5:53
  biologically
• 5:54
  active,
• 5:54
  natural
• 5:55
  substances.
• 5:56
  So
• 5:57
  when
• 5:57
  we
• 5:58
  talk
• 5:58
  about
• 5:58
  estrogen,
• 5:59
  we
• 5:59
  talk
• 5:59
  about
• 5:59
  estradiol,
• 6:00
  which
• 6:00
  is
• 6:00
  the.
• 6:00
  The
• 6:01
  most
• 6:01
  important
• 6:02
  form
• 6:02
  of
• 6:02
  estrogen,
• 6:03
  progesterone,
• 6:04
  and
• 6:04
  testosterone
• 6:05
  as
• 6:05
  well,
• 6:05
  which
• 6:05
  is
• 6:05
  an
• 6:05
  important
• 6:06
  female
• 6:06
  hormone.
• 6:07
  So
• 6:08
  when
• 6:08
  we
• 6:08
  give
• 6:08
  hormone
• 6:09
  replacement
• 6:09
  therapy,
• 6:11
  all
• 6:11
  we're
• 6:11
  thinking
• 6:12
  about
• 6:12
  is
• 6:12
  those
• 6:13
  three
• 6:13
  hormones.
• 6:13
  And
• 6:14
  there
• 6:14
  are
• 6:14
  different
• 6:14
  doses,
• 6:14
  there
• 6:15
  are
• 6:15
  different
• 6:15
  types
• 6:16
  of.
• 6:16
  All
• 6:16
  we're
• 6:17
  doing
• 6:17
  is
• 6:17
  replacing
• 6:18
  the
• 6:18
  hormones.
• 6:19
  And
• 6:19
  we
• 6:19
  do
• 6:19
  this
• 6:20
  for
• 6:20
  two
• 6:20
  reasons,
• 6:21
  really.
• 6:21
  The
• 6:22
  first
• 6:22
  is
• 6:22
  to
• 6:22
  improve
• 6:23
  symptoms,
• 6:23
  because
• 6:24
  there
• 6:24
  are
• 6:24
  a
• 6:24
  myriad
• 6:25
  of
• 6:25
  symptoms
• 6:25
  that
• 6:26
  women
• 6:26
  who
• 6:26
  are
• 6:26
  menopausal,
• 6:27
  perimenopausal
• 6:28
  can
• 6:29
  experience,
• 6:30
  mainly
• 6:30
  affecting
• 6:31
  our
• 6:31
  brains,
• 6:31
  actually,
• 6:31
  the
• 6:32
  brain
• 6:32
  fog,
• 6:32
  the
• 6:32
  low
• 6:33
  mood,
• 6:33
  the
• 6:33
  anxiety,
• 6:34
  the
• 6:34
  poor
• 6:35
  sleep,
• 6:35
  the
• 6:35
  irritability,
• 6:37
  the
• 6:37
  feeling
• 6:37
  quite
• 6:38
  joyless
• 6:38
  and
• 6:38
  flat.
• 6:39
  So
• 6:40
  we
• 6:40
  can
• 6:40
  improve
• 6:40
  the
• 6:41
  way
• 6:41
  people
• 6:41
  feel
• 6:41
  with
• 6:42
  hormones,
• 6:42
  which
• 6:42
  actually
• 6:43
  is
• 6:43
  not
• 6:43
  a
• 6:43
  bad
• 6:44
  thing
• 6:44
  if
• 6:45
  women
• 6:45
  feel
• 6:45
  better.
• 6:46
  But
• 6:46
  more
• 6:47
  importantly
• 6:47
  for
• 6:47
  me,
• 6:48
  physician,
• 6:49
  it's
• 6:49
  about
• 6:49
  improving
• 6:50
  our
• 6:50
  future
• 6:51
  health,
• 6:51
  because
• 6:52
  these
• 6:52
  hormones
• 6:53
  work
• 6:53
  on
• 6:54
  every
• 6:54
  cell.
• 6:54
  So
• 6:55
  therefore,
• 6:55
  in
• 6:55
  every
• 6:56
  organ
• 6:56
  of
• 6:56
  our
• 6:56
  body.
• 6:57
  They
• 6:58
  help
• 6:58
  reduce
• 6:58
  inflammation,
• 6:59
  they
• 6:59
  help
• 7:00
  keep
• 7:00
  our
• 7:00
  organs.
• 7:01
  So
• 7:01
  our
• 7:01
  heart,
• 7:01
  our
• 7:01
  bones,
• 7:02
  our
• 7:02
  brains
• 7:03
  work
• 7:04
  better.
• 7:05
  So
• 7:05
  we
• 7:05
  know
• 7:05
  that
• 7:06
  when
• 7:06
  people
• 7:06
  have
• 7:06
  replacement
• 7:07
  hormones
• 7:07
  at
• 7:08
  the
• 7:08
  right
• 7:08
  dose
• 7:08
  and
• 7:08
  type
• 7:09
  for
• 7:09
  them,
• 7:10
  their
• 7:10
  future
• 7:10
  health
• 7:11
  improves.
• 7:11
  They
• 7:11
  have
• 7:12
  a
• 7:12
  lower
• 7:12
  risk
• 7:12
  of
• 7:12
  heart
• 7:13
  disease,
• 7:13
  a
• 7:13
  lower
• 7:14
  risk
• 7:14
  of
• 7:14
  osteoporosis,
• 7:15
  a
• 7:16
  lower
• 7:16
  risk
• 7:16
  of
• 7:17
  type
• 7:17
  2
• 7:17
  diabetes,
• 7:18
  Parkinson's,
• 7:19
  dementia,
• 7:20
  other
• 7:20
  conditions
• 7:20
  as
• 7:21
  well.
• 7:21
  And
• 7:22
  that's
• 7:22
  really
• 7:22
  important
• 7:23
  that
• 7:23
  we
• 7:23
  think
• 7:24
  about
• 7:24
  it
• 7:24
  beyond
• 7:25
  just
• 7:25
  a
• 7:25
  treatment
• 7:25
  for
• 7:26
  a
• 7:26
  few
• 7:26
  hot
• 7:26
  flushes.
• 7:27
  So
• 7:27
  I'm
• 7:27
  glad
• 7:28
  you're
• 7:28
  kind
• 7:29
  of
• 7:29
  laying
• 7:30
  it
• 7:30
  all
• 7:30
  out,
• 7:30
  because
• 7:31
  I
• 7:31
  think
• 7:31
  people
• 7:32
  think
• 7:32
  hormone
• 7:32
  replacement
• 7:33
  therapy,
• 7:33
  and
• 7:33
  they
• 7:33
  think
• 7:34
  it's
• 7:34
  an
• 7:34
  all
• 7:34
  for
• 7:34
  one
• 7:35
  and
• 7:35
  a
• 7:35
  one
• 7:35
  for
• 7:35
  all.
• 7:36
  And
• 7:37
  there's
• 7:37
  one
• 7:37
  treatment.
• 7:38
  But
• 7:39
  really
• 7:39
  there's
• 7:39
  varying
• 7:40
  levels
• 7:40
  of
• 7:41
  these
• 7:41
  different
• 7:41
  hormones
• 7:42
  and
• 7:42
  depending
• 7:42
  on
• 7:43
  what
• 7:43
  the
• 7:43
  needs
• 7:43
  are
• 7:44
  for
• 7:44
  your
• 7:44
  body
• 7:45
  and
• 7:45
  for
• 7:45
  your
• 7:45
  stage,
• 7:47
  that's
• 7:47
  like,
• 7:48
  that
• 7:48
  would
• 7:48
  be
• 7:48
  the
• 7:48
  hormone.
• 7:49
  It's
• 7:49
  very
• 7:49
  individualized.
• 7:50
  It's
• 7:50
  completely
• 7:50
  individualized.
• 7:51
  And
• 7:51
  it's
• 7:51
  also
• 7:52
  really
• 7:52
  important.
• 7:52
  You
• 7:53
  know,
• 7:53
  when
• 7:53
  I
• 7:54
  talk
• 7:54
  about
• 7:54
  giving
• 7:54
  hormones
• 7:55
  to
• 7:55
  women
• 7:55
  who
• 7:56
  are
• 7:56
  perimenopausal
• 7:57
  and
• 7:57
  menopausal,
• 7:58
  these
• 7:58
  are
• 7:58
  a
• 7:59
  natural.
• 8:00
  They're
• 8:01
  natural
• 8:01
  in
• 8:01
  that
• 8:01
  they
• 8:02
  are
• 8:02
  a
• 8:02
  complete
• 8:02
  replica
• 8:03
  of
• 8:03
  the
• 8:03
  hormones
• 8:03
  we
• 8:03
  have
• 8:04
  when
• 8:04
  we're
• 8:04
  younger.
• 8:05
  When
• 8:05
  I
• 8:05
  talk
• 8:05
  about
• 8:06
  prescribing
• 8:06
  hormones
• 8:07
  as
• 8:07
  part
• 8:08
  of
• 8:08
  contraception,
• 8:08
  these
• 8:09
  are
• 8:09
  all
• 8:09
  synthetic,
• 8:09
  they've
• 8:10
  been
• 8:10
  chemically
• 8:10
  altered.
• 8:11
  Yet
• 8:11
  no
• 8:12
  one
• 8:12
  across
• 8:12
  the
• 8:13
  world
• 8:13
  seems
• 8:13
  to
• 8:13
  worry
• 8:13
  about
• 8:14
  contraception,
• 8:15
  which
• 8:15
  by
• 8:15
  the
• 8:16
  way
• 8:16
  has
• 8:16
  more
• 8:16
  risks
• 8:17
  because
• 8:17
  it's
• 8:17
  not
• 8:17
  a
• 8:17
  natural
• 8:18
  replica.
• 8:19
  But
• 8:19
  these
• 8:19
  are
• 8:19
  natural
• 8:20
  hormones.
• 8:21
  We
• 8:21
  have
• 8:21
  had
• 8:21
  synthetic
• 8:22
  hormones
• 8:22
  in
• 8:22
  the
• 8:22
  past.
• 8:23
  And
• 8:23
  in
• 8:23
  fact,
• 8:24
  the
• 8:24
  HRT
• 8:25
  that
• 8:25
  everyone
• 8:25
  is
• 8:25
  concerned
• 8:26
  about
• 8:26
  from
• 8:26
  the
• 8:27
  whi,
• 8:27
  the
• 8:27
  Women's
• 8:28
  Health
• 8:28
  Initiative
• 8:28
  study
• 8:29
  was
• 8:29
  made
• 8:29
  from
• 8:29
  pregnant
• 8:30
  horses
• 8:30
  urine.
• 8:31
  We
• 8:31
  don't
• 8:32
  use
• 8:32
  that.
• 8:32
  You
• 8:33
  could
• 8:33
  argue
• 8:33
  that
• 8:34
  pregnant
• 8:34
  horses
• 8:34
  urine
• 8:35
  is
• 8:35
  natural,
• 8:36
  but
• 8:36
  it's
• 8:36
  not
• 8:37
  natural
• 8:37
  for
• 8:37
  women
• 8:38
  to
• 8:38
  have.
• 8:39
  So,
• 8:39
  you
• 8:39
  know,
• 8:40
  HRT
• 8:40
  has
• 8:41
  moved
• 8:41
  on.
• 8:41
  But
• 8:41
  when
• 8:42
  we
• 8:42
  talk
• 8:42
  about
• 8:42
  it,
• 8:43
  we
• 8:43
  have
• 8:43
  to
• 8:43
  be
• 8:43
  very
• 8:44
  clear
• 8:44
  and
• 8:44
  particular
• 8:45
  whether
• 8:46
  it's
• 8:46
  a
• 8:46
  natural
• 8:46
  or
• 8:47
  synthetic
• 8:47
  hormone.
• 8:48
  And
• 8:49
  like
• 8:49
  you
• 8:50
  say
• 8:50
  the
• 8:50
  type
• 8:50
  and
• 8:50
  the
• 8:50
  dose,
• 8:51
  because
• 8:52
  if
• 8:52
  you're
• 8:52
  not
• 8:52
  on
• 8:52
  the
• 8:53
  right
• 8:53
  dose,
• 8:53
  if
• 8:54
  you're
• 8:54
  not
• 8:54
  on
• 8:55
  the
• 8:55
  right
• 8:55
  type,
• 8:55
  so
• 8:56
  say
• 8:56
  you're
• 8:56
  testosterone
• 8:57
  deficient
• 8:57
  and
• 8:57
  you're
• 8:58
  only
• 8:58
  having
• 8:58
  estradiol,
• 8:59
  you
• 9:00
  can
• 9:00
  have
• 9:00
  all
• 9:00
  the
• 9:00
  oestrogen
• 9:01
  you
• 9:01
  like,
• 9:01
  but
• 9:01
  it's
• 9:02
  not
• 9:02
  going
• 9:02
  to
• 9:02
  help
• 9:02
  those
• 9:02
  testosterone
• 9:03
  depleted
• 9:04
  cells.
• 9:05
  So
• 9:05
  that's
• 9:06
  where
• 9:06
  it's
• 9:06
  really
• 9:06
  crucially
• 9:07
  important
• 9:07
  that
• 9:08
  everybody
• 9:09
  is
• 9:09
  seen
• 9:09
  as
• 9:09
  an
• 9:09
  individual
• 9:10
  and
• 9:10
  the
• 9:11
  dose
• 9:11
  and
• 9:11
  type
• 9:11
  is
• 9:12
  individualized
• 9:12
  for
• 9:13
  them.
• 9:13
  Now,
• 9:13
  as
• 9:14
  far
• 9:14
  as
• 9:14
  the
• 9:14
  health
• 9:14
  risks
• 9:15
  go,
• 9:16
  who
• 9:16
  are
• 9:16
  the
• 9:16
  women
• 9:17
  that
• 9:17
  should
• 9:17
  not
• 9:17
  be
• 9:18
  taking
• 9:18
  hrt?
• 9:19
  Are
• 9:19
  they
• 9:19
  the
• 9:19
  women
• 9:20
  that
• 9:20
  have
• 9:20
  already
• 9:20
  had
• 9:21
  breast
• 9:21
  cancer
• 9:21
  or
• 9:22
  that
• 9:22
  are
• 9:22
  at
• 9:23
  risk
• 9:23
  for
• 9:24
  breast
• 9:24
  cancer
• 9:24
  and
• 9:25
  other
• 9:25
  female
• 9:26
  cancers
• 9:26
  due
• 9:26
  to
• 9:26
  family
• 9:27
  history?
• 9:27
  So
• 9:28
  as
• 9:29
  a
• 9:29
  doctor,
• 9:29
  my
• 9:30
  role
• 9:30
  really
• 9:30
  is
• 9:30
  to
• 9:31
  help
• 9:31
  women
• 9:32
  make
• 9:32
  the
• 9:32
  right
• 9:32
  decisions
• 9:33
  for
• 9:33
  them
• 9:34
  and
• 9:34
  to
• 9:34
  share
• 9:34
  any
• 9:35
  uncertainty,
• 9:36
  to
• 9:36
  talk
• 9:36
  about
• 9:36
  shared
• 9:37
  decision
• 9:37
  making.
• 9:38
  So
• 9:38
  there
• 9:38
  is
• 9:39
  no
• 9:39
  one
• 9:39
  who
• 9:39
  absolutely
• 9:40
  can't
• 9:40
  have
• 9:41
  anything.
• 9:42
  You
• 9:42
  know,
• 9:42
  that's
• 9:43
  the
• 9:43
  most
• 9:43
  important
• 9:44
  thing
• 9:44
  is
• 9:44
  that
• 9:45
  there's
• 9:45
  never
• 9:45
  been
• 9:46
  a
• 9:46
  study
• 9:46
  to
• 9:46
  show
• 9:46
  that
• 9:47
  people
• 9:47
  are
• 9:47
  going
• 9:47
  to
• 9:48
  literally
• 9:48
  die
• 9:49
  overnight
• 9:49
  by
• 9:49
  having
• 9:50
  their
• 9:50
  own
• 9:50
  hormones
• 9:50
  back.
• 9:51
  So
• 9:51
  then
• 9:52
  we
• 9:52
  look
• 9:52
  at
• 9:52
  the
• 9:52
  evidence,
• 9:53
  but
• 9:53
  sometimes
• 9:53
  there's
• 9:54
  lack
• 9:54
  of
• 9:54
  evidence.
• 9:55
  So
• 9:55
  if
• 9:56
  we
• 9:56
  answer
• 9:57
  the
• 9:57
  easy
• 9:57
  things
• 9:57
  first,
• 9:58
  lots
• 9:58
  of
• 9:58
  people
• 9:59
  are
• 9:59
  told
• 9:59
  they
• 9:59
  can't
• 9:59
  have
• 10:00
  HRT
• 10:00
  because
• 10:00
  they've
• 10:01
  had
• 10:01
  a
• 10:01
  history
• 10:01
  of
• 10:01
  a
• 10:01
  clot,
• 10:02
  for
• 10:02
  example,
• 10:03
  or
• 10:03
  they
• 10:04
  have
• 10:04
  migraine,
• 10:05
  or
• 10:05
  there's
• 10:05
  someone
• 10:05
  in
• 10:06
  their
• 10:06
  family's
• 10:06
  got
• 10:06
  a
• 10:06
  history
• 10:07
  of
• 10:07
  clot.
• 10:08
  Now,
• 10:08
  older
• 10:08
  types
• 10:09
  of
• 10:09
  hormones
• 10:09
  and
• 10:10
  tablet
• 10:11
  oestrogen
• 10:12
  do
• 10:12
  contain
• 10:13
  a
• 10:13
  small
• 10:13
  risk
• 10:13
  of
• 10:13
  clot
• 10:14
  associated
• 10:14
  with
• 10:14
  them.
• 10:15
  But
• 10:15
  the
• 10:16
  natural
• 10:16
  hormones,
• 10:16
  the
• 10:16
  oestrogen
• 10:17
  through
• 10:17
  the
• 10:17
  skin,
• 10:17
  the
• 10:18
  estradiol,
• 10:18
  the
• 10:18
  natural
• 10:19
  progesterone,
• 10:19
  natural
• 10:20
  testosterone,
• 10:20
  do
• 10:21
  not
• 10:21
  have
• 10:21
  a
• 10:21
  risk
• 10:21
  of
• 10:21
  clot.
• 10:22
  And
• 10:23
  then
• 10:23
  people
• 10:23
  worry
• 10:24
  about
• 10:24
  the
• 10:24
  cancer
• 10:25
  risk.
• 10:25
  Now,
• 10:26
  the
• 10:26
  breast
• 10:26
  cancer
• 10:27
  risk
• 10:27
  has
• 10:27
  been
• 10:28
  associated
• 10:28
  with
• 10:29
  the
• 10:29
  synthetic
• 10:29
  progestogens
• 10:31
  that
• 10:31
  are
• 10:31
  in
• 10:32
  contraception.
• 10:33
  But
• 10:33
  even
• 10:33
  then,
• 10:34
  the
• 10:34
  WHI
• 10:35
  study
• 10:35
  didn't
• 10:35
  show
• 10:35
  it
• 10:36
  was
• 10:36
  statistically
• 10:36
  significant.
• 10:37
  But
• 10:38
  they
• 10:38
  are
• 10:38
  the
• 10:38
  only
• 10:38
  studies
• 10:39
  that
• 10:39
  show
• 10:39
  there
• 10:39
  was
• 10:39
  a
• 10:40
  risk
• 10:40
  with
• 10:40
  breast
• 10:40
  cancer.
• 10:41
  So
• 10:42
  when
• 10:42
  we
• 10:43
  give
• 10:43
  the
• 10:43
  natural
• 10:43
  hormones,
• 10:44
  it's
• 10:45
  unlikely
• 10:45
  to
• 10:45
  be
• 10:45
  increasing
• 10:46
  our
• 10:46
  risk
• 10:46
  of
• 10:47
  cancer,
• 10:47
  because
• 10:48
  younger
• 10:49
  people
• 10:49
  are
• 10:49
  less
• 10:50
  at
• 10:50
  risk
• 10:50
  of
• 10:50
  cancer
• 10:50
  than
• 10:51
  older
• 10:51
  people
• 10:51
  who
• 10:51
  don't
• 10:51
  have
• 10:52
  hormones
• 10:52
  naturally,
• 10:52
  of
• 10:53
  course.
• 10:54
  So
• 10:54
  people
• 10:54
  who
• 10:54
  have
• 10:55
  a
• 10:55
  family
• 10:55
  history
• 10:56
  of
• 10:57
  breast
• 10:57
  cancer
• 10:58
  or
• 10:58
  they've
• 10:58
  had
• 10:59
  a
• 10:59
  history
• 10:59
  of
• 11:00
  most
• 11:00
  types
• 11:00
  of
• 11:01
  cancer,
• 11:01
  they
• 11:01
  can
• 11:01
  still
• 11:02
  usually
• 11:02
  safely
• 11:02
  have
• 11:03
  hormones.
• 11:04
  The
• 11:04
  big
• 11:04
  uncertainty
• 11:05
  is
• 11:05
  women
• 11:05
  who've
• 11:06
  had
• 11:06
  breast
• 11:06
  cancer.
• 11:07
  But
• 11:07
  there
• 11:08
  are
• 11:08
  different
• 11:08
  types,
• 11:09
  there
• 11:09
  are
• 11:09
  different
• 11:09
  grades
• 11:10
  of
• 11:10
  breast
• 11:10
  cancer,
• 11:11
  and
• 11:11
  there
• 11:11
  are
• 11:11
  different
• 11:11
  times.
• 11:12
  Since
• 11:12
  people
• 11:12
  have
• 11:12
  had
• 11:12
  breast
• 11:13
  cancer,
• 11:15
  we
• 11:15
  look
• 11:15
  at
• 11:15
  the
• 11:16
  receptor
• 11:16
  status
• 11:17
  of
• 11:17
  breast
• 11:17
  cancer.
• 11:18
  So
• 11:18
  is
• 11:18
  it
• 11:18
  oestrogen
• 11:19
  receptor
• 11:19
  positive
• 11:19
  or
• 11:20
  negative?
• 11:21
  And
• 11:21
  firstly,
• 11:22
  it's
• 11:22
  worth
• 11:22
  explaining
• 11:23
  that
• 11:23
  an
• 11:24
  estrogen
• 11:24
  receptor
• 11:24
  positive
• 11:25
  breast
• 11:25
  cancer
• 11:26
  does
• 11:26
  not
• 11:26
  mean
• 11:26
  it's
• 11:26
  been
• 11:26
  caused
• 11:27
  by
• 11:27
  breast
• 11:27
  cancer.
• 11:28
  It
• 11:29
  means
• 11:29
  it's
• 11:29
  got
• 11:29
  oestrogen
• 11:30
  receptors
• 11:30
  on
• 11:30
  it.
• 11:30
  We
• 11:31
  have
• 11:31
  oestrogen
• 11:31
  receptors
• 11:32
  on
• 11:32
  every
• 11:32
  cell
• 11:32
  in
• 11:33
  our
• 11:33
  body.
• 11:33
  If
• 11:34
  a
• 11:34
  cancer
• 11:34
  becomes
• 11:35
  mutated,
• 11:36
  then
• 11:37
  it's
• 11:37
  going
• 11:37
  to
• 11:37
  lose
• 11:38
  some
• 11:38
  of
• 11:38
  its
• 11:38
  receptor
• 11:39
  status
• 11:39
  and
• 11:39
  become
• 11:39
  oestrogen
• 11:40
  receptor
• 11:40
  negative.
• 11:42
  But
• 11:43
  we
• 11:43
  don't
• 11:43
  know
• 11:43
  whether
• 11:44
  giving
• 11:44
  oestrogen
• 11:45
  to
• 11:45
  women
• 11:45
  with
• 11:45
  oestrogen
• 11:46
  positive
• 11:46
  breast
• 11:46
  cancers
• 11:47
  or
• 11:48
  oestrogen
• 11:48
  receptor
• 11:49
  positive
• 11:49
  breast
• 11:49
  cancers
• 11:50
  increases
• 11:50
  their
• 11:51
  risk
• 11:51
  of
• 11:51
  a
• 11:51
  recurrence
• 11:52
  or
• 11:52
  a
• 11:53
  worst
• 11:54
  outcome
• 11:54
  going
• 11:54
  forward.
• 11:55
  Some
• 11:56
  studies
• 11:56
  have
• 11:56
  shown
• 11:57
  that
• 11:57
  women
• 11:57
  do
• 11:57
  better
• 11:58
  after
• 11:58
  having
• 11:58
  hrt,
• 11:59
  but
• 12:00
  the
• 12:00
  studies
• 12:00
  haven't
• 12:01
  been
• 12:01
  set
• 12:01
  up
• 12:01
  in
• 12:02
  the
• 12:02
  right
• 12:02
  way
• 12:03
  for
• 12:03
  the
• 12:03
  right
• 12:03
  length
• 12:03
  of
• 12:04
  time.
• 12:04
  So
• 12:05
  then
• 12:05
  we're
• 12:05
  dealing
• 12:05
  with
• 12:05
  uncertainty.
• 12:07
  Now,
• 12:07
  there
• 12:08
  are
• 12:08
  different
• 12:08
  types
• 12:09
  of
• 12:09
  hormones,
• 12:09
  like
• 12:09
  I've
• 12:10
  said.
• 12:10
  Some
• 12:11
  studies
• 12:11
  have
• 12:11
  shown
• 12:11
  that
• 12:11
  women
• 12:12
  who
• 12:12
  have
• 12:12
  testosterone
• 12:13
  after
• 12:13
  breast
• 12:13
  cancer
• 12:14
  have
• 12:14
  a
• 12:14
  better
• 12:14
  outcome,
• 12:15
  a
• 12:15
  less
• 12:16
  incidence
• 12:16
  of
• 12:16
  recurrence,
• 12:17
  and
• 12:18
  less
• 12:19
  instance
• 12:19
  of
• 12:20
  problems
• 12:20
  going
• 12:21
  forwards
• 12:21
  with
• 12:21
  their
• 12:21
  breast
• 12:22
  cancer.
• 12:23
  We
• 12:24
  also
• 12:24
  know
• 12:24
  that
• 12:25
  women
• 12:25
  who
• 12:25
  take
• 12:25
  hrt,
• 12:26
  whether
• 12:26
  they've
• 12:26
  had
• 12:27
  breast
• 12:27
  cancer
• 12:27
  or
• 12:27
  not,
• 12:28
  as
• 12:28
  I've
• 12:28
  said,
• 12:28
  have
• 12:29
  a
• 12:29
  lower
• 12:29
  risk
• 12:30
  of
• 12:30
  osteoporosis
• 12:31
  and
• 12:31
  heart
• 12:32
  disease
• 12:32
  and
• 12:33
  feel
• 12:33
  better.
• 12:34
  So
• 12:34
  we
• 12:34
  see
• 12:35
  people
• 12:35
  in
• 12:35
  our
• 12:35
  clinic
• 12:36
  who
• 12:36
  have
• 12:36
  had
• 12:37
  Breast
• 12:37
  cancer,
• 12:38
  some
• 12:38
  of
• 12:38
  them
• 12:39
  might
• 12:39
  have
• 12:39
  been
• 12:39
  10,
• 12:39
  20
• 12:40
  years
• 12:40
  ago.
• 12:40
  They've
• 12:41
  been
• 12:41
  told
• 12:41
  they
• 12:41
  can
• 12:41
  never
• 12:42
  have
• 12:42
  hormones,
• 12:43
  yet
• 12:43
  they've
• 12:43
  got
• 12:43
  osteoporosis,
• 12:44
  they've
• 12:45
  given
• 12:45
  up
• 12:45
  their
• 12:45
  job,
• 12:46
  they're
• 12:46
  feeling
• 12:46
  so
• 12:47
  awful,
• 12:47
  they've
• 12:47
  tried
• 12:48
  every
• 12:48
  supplement
• 12:48
  under
• 12:49
  the
• 12:49
  sun,
• 12:50
  they've
• 12:50
  been
• 12:50
  on
• 12:50
  antidepressants,
• 12:51
  they've
• 12:51
  been
• 12:51
  on
• 12:52
  alternatives.
• 12:53
  And
• 12:53
  they
• 12:53
  say,
• 12:53
  do
• 12:54
  you
• 12:54
  know
• 12:54
  what,
• 12:54
  Dr.
• 12:54
  Newson,
• 12:55
  it
• 12:55
  might
• 12:56
  increase
• 12:56
  my
• 12:56
  risk,
• 12:57
  but
• 12:57
  I
• 12:57
  know
• 12:57
  what
• 12:58
  it's
• 12:58
  like
• 12:58
  to
• 12:58
  have
• 12:58
  had
• 12:58
  breast
• 12:59
  cancer
• 12:59
  and
• 12:59
  I'll
• 12:59
  forego
• 13:00
  that
• 13:00
  risk
• 13:01
  if
• 13:01
  it
• 13:01
  means
• 13:01
  my
• 13:02
  bones
• 13:02
  will
• 13:02
  be
• 13:02
  stronger,
• 13:03
  if
• 13:04
  it
• 13:04
  means
• 13:04
  that
• 13:04
  I'll
• 13:04
  be
• 13:05
  a
• 13:05
  happier
• 13:05
  person,
• 13:06
  if
• 13:06
  it
• 13:06
  means
• 13:06
  I
• 13:06
  can
• 13:06
  reduce
• 13:07
  some
• 13:07
  of
• 13:07
  these
• 13:07
  antidepressants.
• 13:08
  And
• 13:09
  that's
• 13:09
  what
• 13:09
  I
• 13:09
  said
• 13:10
  at
• 13:10
  the
• 13:10
  beginning.
• 13:10
  It's
• 13:10
  an
• 13:11
  individualized
• 13:11
  choice,
• 13:12
  really.
• 13:14
  I
• 13:14
  feel
• 13:14
  really
• 13:14
  sad
• 13:15
  when
• 13:15
  people
• 13:15
  are
• 13:15
  just
• 13:16
  told,
• 13:16
  no,
• 13:17
  you
• 13:17
  can
• 13:17
  never
• 13:17
  have
• 13:19
  HRT
• 13:19
  because
• 13:20
  there's
• 13:20
  no
• 13:21
  evidence
• 13:21
  that
• 13:21
  it's
• 13:22
  absolutely
• 13:22
  harmful.
• 13:23
  And
• 13:23
  even
• 13:23
  if
• 13:24
  we
• 13:24
  did
• 13:24
  have
• 13:24
  that
• 13:24
  evidence,
• 13:25
  we
• 13:25
  still
• 13:25
  know
• 13:26
  it's
• 13:26
  beneficial
• 13:26
  as
• 13:27
  well.
• 13:27
  And
• 13:27
  that's
• 13:27
  where
• 13:27
  it
• 13:28
  comes
• 13:28
  to
• 13:28
  a
• 13:28
  very
• 13:28
  individualized
• 13:29
  consultations.
• 13:31
  In
• 13:31
  the
• 13:31
  case
• 13:32
  that
• 13:32
  a
• 13:32
  woman,
• 13:33
  let's
• 13:33
  say
• 13:33
  she
• 13:33
  is
• 13:34
  not
• 13:34
  able
• 13:34
  to
• 13:34
  take
• 13:35
  an
• 13:35
  HRT
• 13:35
  due
• 13:36
  to,
• 13:36
  you
• 13:36
  know,
• 13:37
  hormone
• 13:38
  receptive
• 13:38
  breast
• 13:39
  cancer,
• 13:39
  is
• 13:40
  there
• 13:40
  a
• 13:40
  natural
• 13:41
  supplement
• 13:41
  that
• 13:42
  would
• 13:43
  alleviate
• 13:43
  some
• 13:44
  of
• 13:44
  the
• 13:44
  symptoms
• 13:44
  or
• 13:45
  help
• 13:45
  through
• 13:45
  menopause?
• 13:46
  So
• 13:46
  we
• 13:46
  need
• 13:46
  to
• 13:46
  think
• 13:46
  about,
• 13:47
  when
• 13:47
  we
• 13:47
  talk
• 13:47
  about
• 13:47
  a
• 13:48
  natural
• 13:48
  supplement
• 13:49
  supplement,
• 13:49
  because
• 13:49
  hormones
• 13:50
  are
• 13:50
  natural.
• 13:51
  Of
• 13:51
  course,
• 13:52
  there
• 13:52
  are
• 13:53
  lots
• 13:53
  of
• 13:53
  things
• 13:53
  that
• 13:53
  are
• 13:54
  marketed
• 13:54
  as
• 13:54
  natural,
• 13:55
  but
• 13:55
  they
• 13:55
  can
• 13:56
  be
• 13:56
  risky.
• 13:56
  You
• 13:56
  know,
• 13:56
  there's
• 13:57
  lots
• 13:57
  of
• 13:57
  things
• 13:57
  that
• 13:58
  grow
• 13:58
  in
• 13:58
  my
• 13:58
  garden
• 13:59
  that
• 13:59
  are
• 13:59
  natural,
• 14:00
  but
• 14:00
  I.
• 14:00
  They
• 14:00
  could
• 14:01
  be
• 14:01
  poisonous
• 14:01
  if
• 14:01
  I
• 14:02
  ingest
• 14:02
  them.
• 14:03
  So
• 14:03
  we
• 14:03
  have
• 14:03
  to
• 14:03
  be
• 14:04
  careful
• 14:04
  what
• 14:04
  we
• 14:04
  take.
• 14:05
  When
• 14:06
  we
• 14:06
  think
• 14:06
  about
• 14:07
  supplements
• 14:07
  for
• 14:07
  menopause,
• 14:08
  a
• 14:08
  lot
• 14:08
  of
• 14:08
  them
• 14:09
  are
• 14:09
  marketed
• 14:10
  to
• 14:10
  vulnerable
• 14:11
  women.
• 14:11
  And
• 14:12
  so
• 14:12
  we
• 14:12
  have
• 14:13
  to
• 14:13
  think
• 14:13
  about,
• 14:13
  firstly,
• 14:14
  are
• 14:14
  they
• 14:14
  going
• 14:14
  to
• 14:14
  help
• 14:14
  symptoms
• 14:15
  and
• 14:15
  secondly,
• 14:15
  are
• 14:16
  they
• 14:16
  going
• 14:16
  to
• 14:16
  help
• 14:16
  future
• 14:17
  health?
• 14:18
  Some
• 14:19
  might
• 14:20
  improve
• 14:20
  symptoms,
• 14:21
  so
• 14:21
  things
• 14:21
  like
• 14:22
  sage
• 14:22
  might
• 14:23
  improve
• 14:23
  some
• 14:23
  hot
• 14:23
  flushes
• 14:24
  and
• 14:24
  sweats.
• 14:25
  Some
• 14:25
  of
• 14:26
  the
• 14:26
  other
• 14:26
  drugs
• 14:27
  that
• 14:27
  sometimes
• 14:28
  are
• 14:28
  prescribed
• 14:28
  non
• 14:28
  hormonal
• 14:29
  drugs
• 14:30
  might
• 14:30
  help
• 14:30
  flushes
• 14:31
  and
• 14:31
  sweats,
• 14:31
  but
• 14:32
  they
• 14:32
  very
• 14:33
  seldom,
• 14:33
  there's
• 14:34
  no
• 14:34
  evidence
• 14:34
  often
• 14:35
  that
• 14:35
  they're
• 14:35
  going
• 14:35
  to
• 14:35
  improve
• 14:36
  the
• 14:36
  brain
• 14:37
  fog,
• 14:37
  the
• 14:37
  fatigue,
• 14:38
  the
• 14:38
  muscle
• 14:38
  and
• 14:38
  joint
• 14:39
  pains,
• 14:39
  the
• 14:39
  urinary
• 14:39
  tract
• 14:40
  infections,
• 14:40
  for
• 14:40
  example.
• 14:42
  But
• 14:42
  also
• 14:42
  it's
• 14:43
  looking
• 14:43
  at
• 14:43
  future
• 14:43
  health.
• 14:44
  So
• 14:45
  if
• 14:45
  someone
• 14:45
  doesn't
• 14:45
  want
• 14:46
  to
• 14:46
  take
• 14:46
  hormones
• 14:46
  for
• 14:47
  whatever
• 14:47
  reason,
• 14:48
  then
• 14:48
  we
• 14:49
  need
• 14:49
  to
• 14:49
  look
• 14:49
  at
• 14:49
  how
• 14:50
  am
• 14:50
  I
• 14:50
  going
• 14:50
  to
• 14:50
  reduce
• 14:51
  that
• 14:51
  person's
• 14:52
  risk
• 14:52
  of
• 14:52
  heart
• 14:52
  disease,
• 14:53
  increase
• 14:54
  their
• 14:54
  bone
• 14:54
  strength.
• 14:55
  So
• 14:55
  I
• 14:55
  might
• 14:55
  be
• 14:56
  thinking
• 14:56
  about
• 14:56
  vitamin
• 14:57
  D
• 14:57
  supplement,
• 14:58
  I
• 14:58
  might
• 14:58
  be
• 14:58
  thinking
• 14:58
  about
• 14:59
  magnesium,
• 15:00
  or
• 15:00
  I
• 15:00
  might
• 15:00
  be
• 15:01
  thinking
• 15:01
  about
• 15:01
  a
• 15:01
  probiotic
• 15:02
  for
• 15:03
  their
• 15:03
  future
• 15:03
  health
• 15:04
  rather
• 15:04
  than
• 15:05
  for
• 15:05
  their
• 15:05
  menopause.
• 15:06
  Because
• 15:07
  we
• 15:07
  need
• 15:07
  to
• 15:07
  be
• 15:07
  thinking
• 15:08
  about
• 15:08
  menopause
• 15:09
  as
• 15:09
  something
• 15:09
  that
• 15:09
  lasts
• 15:10
  with
• 15:10
  us
• 15:10
  forever.
• 15:11
  So
• 15:11
  it's
• 15:11
  not
• 15:12
  just
• 15:12
  a
• 15:12
  transition,
• 15:13
  because
• 15:13
  once
• 15:14
  the
• 15:14
  hormones
• 15:14
  are
• 15:14
  low,
• 15:15
  they're
• 15:15
  low
• 15:15
  forever.
• 15:16
  So
• 15:16
  whether
• 15:16
  we
• 15:16
  have
• 15:17
  symptoms
• 15:17
  or
• 15:17
  not,
• 15:18
  we
• 15:18
  still
• 15:18
  have
• 15:19
  this
• 15:19
  risk
• 15:19
  of
• 15:19
  diseases.
• 15:20
  And
• 15:21
  so
• 15:21
  some
• 15:21
  of
• 15:21
  people
• 15:22
  are
• 15:22
  thinking,
• 15:22
  oh,
• 15:22
  I
• 15:23
  just
• 15:23
  have
• 15:23
  a
• 15:23
  quick
• 15:23
  fix
• 15:23
  to
• 15:24
  help
• 15:24
  a
• 15:24
  few
• 15:24
  symptoms
• 15:25
  that
• 15:25
  might
• 15:25
  last
• 15:25
  for
• 15:25
  a
• 15:25
  short
• 15:26
  period
• 15:26
  of
• 15:26
  time.
• 15:27
  Well,
• 15:27
  no,
• 15:27
  let's
• 15:28
  think
• 15:28
  about
• 15:28
  how
• 15:28
  we
• 15:29
  improve
• 15:29
  our
• 15:29
  future
• 15:30
  health
• 15:31
  in
• 15:31
  the
• 15:31
  longer
• 15:31
  term.
• 15:32
  And
• 15:32
  working
• 15:33
  with
• 15:33
  patients,
• 15:33
  whether
• 15:34
  they
• 15:34
  take
• 15:34
  hormones
• 15:34
  or
• 15:35
  not.
• 15:35
  We
• 15:35
  need
• 15:35
  to
• 15:35
  be
• 15:35
  thinking
• 15:36
  very
• 15:36
  holistically
• 15:37
  about
• 15:37
  keeping
• 15:38
  healthy
• 15:39
  and
• 15:39
  preventing
• 15:39
  diseases.
• 15:40
  I'm
• 15:40
  so
• 15:41
  glad
• 15:41
  you
• 15:41
  brought
• 15:41
  that
• 15:41
  up,
• 15:42
  that
• 15:42
  it
• 15:42
  isn't
• 15:42
  just
• 15:43
  a
• 15:43
  transition,
• 15:43
  it
• 15:44
  is
• 15:44
  actually
• 15:44
  a
• 15:44
  life
• 15:45
  stage
• 15:45
  that
• 15:45
  extends
• 15:46
  far
• 15:46
  past
• 15:47
  that.
• 15:47
  Indeed.
• 15:48
  Right.
• 15:49
  And
• 15:49
  it's
• 15:49
  something
• 15:50
  that
• 15:50
  I
• 15:50
  think
• 15:50
  as
• 15:50
  women,
• 15:51
  we
• 15:51
  really
• 15:52
  need
• 15:52
  to,
• 15:53
  you
• 15:53
  know,
• 15:54
  grasp
• 15:54
  and,
• 15:55
  like,
• 15:55
  really
• 15:55
  understand
• 15:56
  that
• 15:56
  you're
• 15:56
  really
• 15:57
  planning
• 15:57
  for
• 15:57
  your
• 15:58
  future
• 15:58
  health.
• 15:58
  And
• 15:58
  it's
• 15:59
  so
• 15:59
  important
• 15:59
  because
• 16:00
  we've
• 16:00
  been
• 16:01
  fed
• 16:01
  all
• 16:01
  this
• 16:01
  misinformation,
• 16:02
  because
• 16:02
  when
• 16:03
  you
• 16:03
  read
• 16:04
  the
• 16:04
  studies,
• 16:04
  they'll
• 16:05
  say,
• 16:05
  oh,
• 16:05
  symptoms
• 16:06
  might
• 16:06
  only
• 16:07
  in
• 16:07
  inverted
• 16:07
  commas
• 16:08
  last
• 16:08
  seven
• 16:08
  to
• 16:09
  ten
• 16:09
  years.
• 16:10
  So
• 16:10
  then
• 16:10
  a
• 16:10
  lot
• 16:10
  of
• 16:10
  women
• 16:11
  think,
• 16:11
  oh,
• 16:11
  right,
• 16:11
  so
• 16:11
  if
• 16:12
  I.
• 16:12
  My
• 16:12
  last
• 16:12
  period
• 16:13
  is
• 16:13
  when
• 16:13
  I'm
• 16:13
  50,
• 16:14
  I'll
• 16:14
  be
• 16:14
  done
• 16:14
  by.
• 16:14
  I'm
• 16:15
  60,
• 16:15
  and
• 16:15
  then
• 16:15
  I'm
• 16:16
  through
• 16:16
  the
• 16:16
  menopause.
• 16:17
  And
• 16:17
  I,
• 16:17
  I
• 16:18
  was
• 16:18
  recently
• 16:18
  in
• 16:18
  New
• 16:18
  York
• 16:19
  and
• 16:19
  I
• 16:19
  went
• 16:19
  out
• 16:19
  to
• 16:19
  dinner
• 16:20
  with
• 16:20
  some
• 16:20
  gorgeous
• 16:20
  ladies
• 16:21
  and
• 16:21
  they
• 16:22
  go,
• 16:22
  oh,
• 16:22
  no,
• 16:22
  I'm
• 16:22
  through
• 16:23
  the
• 16:23
  menopause.
• 16:23
  It's
• 16:24
  like,
• 16:24
  you're
• 16:24
  not.
• 16:24
  You're
• 16:24
  still
• 16:24
  alive.
• 16:25
  How
• 16:25
  can
• 16:25
  you
• 16:25
  be
• 16:26
  through
• 16:26
  it?
• 16:26
  You
• 16:26
  are
• 16:27
  always
• 16:27
  going
• 16:27
  to
• 16:27
  be
• 16:27
  menopausal.
• 16:28
  And
• 16:28
  then
• 16:28
  they
• 16:29
  were
• 16:29
  like,
• 16:29
  oh,
• 16:30
  my
• 16:30
  goodness,
• 16:30
  what
• 16:30
  you
• 16:30
  mean
• 16:30
  I've
• 16:31
  always
• 16:31
  got
• 16:31
  low
• 16:31
  hormones?
• 16:32
  It's
• 16:33
  like,
• 16:33
  yeah,
• 16:34
  so
• 16:35
  it's
• 16:35
  a
• 16:35
  different
• 16:35
  mindset.
• 16:36
  But
• 16:36
  we
• 16:36
  have
• 16:36
  to
• 16:36
  be
• 16:37
  waking
• 16:37
  up
• 16:37
  to
• 16:37
  it
• 16:37
  because
• 16:37
  we're
• 16:38
  living
• 16:38
  longer
• 16:38
  as
• 16:38
  women,
• 16:39
  which
• 16:39
  is
• 16:39
  great.
• 16:40
  But
• 16:40
  we
• 16:41
  all
• 16:41
  want
• 16:41
  to
• 16:41
  be
• 16:41
  healthy,
• 16:42
  don't
• 16:42
  we?
• 16:43
  So
• 16:43
  we've
• 16:43
  got
• 16:43
  to
• 16:43
  be
• 16:44
  thinking
• 16:44
  about
• 16:44
  how
• 16:45
  these
• 16:45
  lack
• 16:45
  of
• 16:45
  hormones
• 16:46
  have
• 16:46
  effects
• 16:46
  on
• 16:47
  our
• 16:47
  bodies.
• 16:49
  Absolutely.
• 16:49
  And
• 16:49
  let's
• 16:50
  talk
• 16:50
  a
• 16:50
  little
• 16:50
  bit
• 16:50
  about
• 16:50
  testosterone,
• 16:51
  because
• 16:51
  that
• 16:52
  is
• 16:52
  such
• 16:53
  a
• 16:53
  hot
• 16:53
  button
• 16:54
  topic.
• 16:54
  You
• 16:54
  know,
• 16:55
  I
• 16:55
  think
• 16:55
  for
• 16:55
  a
• 16:55
  lot
• 16:55
  of
• 16:56
  women,
• 16:56
  they
• 16:57
  think
• 16:57
  the
• 16:57
  word
• 16:57
  testosterone
• 16:58
  and
• 16:58
  they're
• 16:58
  thinking
• 16:58
  about
• 16:59
  their
• 16:59
  partners
• 16:59
  or
• 16:59
  their
• 17:00
  husbands.
• 17:00
  You
• 17:00
  know,
• 17:00
  like,
• 17:01
  you
• 17:01
  know,
• 17:02
  men,
• 17:02
  this
• 17:03
  is
• 17:03
  like
• 17:03
  a
• 17:03
  male
• 17:03
  hormone,
• 17:04
  but
• 17:04
  it
• 17:04
  in
• 17:05
  fact
• 17:05
  is
• 17:05
  not.
• 17:05
  Women
• 17:06
  have
• 17:06
  quite
• 17:06
  a
• 17:06
  bit
• 17:07
  of
• 17:07
  testosterone.
• 17:07
  Yeah.
• 17:08
  And
• 17:08
  it's
• 17:08
  such
• 17:08
  a
• 17:08
  shame,
• 17:09
  isn't
• 17:09
  it,
• 17:09
  that
• 17:09
  they
• 17:10
  called
• 17:10
  it
• 17:10
  testosterone
• 17:11
  from
• 17:11
  the
• 17:11
  bull's
• 17:12
  testes,
• 17:12
  which
• 17:13
  is
• 17:13
  where
• 17:13
  they
• 17:13
  first
• 17:13
  extracted
• 17:14
  it
• 17:14
  from.
• 17:15
  Oh,
• 17:15
  wow.
• 17:16
  It's
• 17:16
  real
• 17:17
  shame.
• 17:17
  If
• 17:17
  they
• 17:18
  called
• 17:18
  it
• 17:18
  anything
• 17:19
  else,
• 17:20
  we
• 17:20
  wouldn't
• 17:20
  be
• 17:20
  having
• 17:21
  this
• 17:21
  debate.
• 17:21
  But
• 17:22
  what's
• 17:23
  really
• 17:23
  interesting
• 17:23
  is
• 17:24
  that
• 17:24
  it's
• 17:24
  the
• 17:24
  most
• 17:24
  biologically
• 17:25
  active
• 17:25
  hormone
• 17:26
  women
• 17:26
  have.
• 17:27
  We
• 17:27
  have
• 17:28
  more
• 17:28
  testosterone
• 17:29
  than
• 17:29
  estrogen
• 17:30
  in
• 17:30
  our
• 17:30
  bodies
• 17:30
  when
• 17:31
  we're
• 17:31
  young,
• 17:32
  when
• 17:32
  we're
• 17:33
  in
• 17:33
  our
• 17:33
  late
• 17:33
  teens,
• 17:34
  early
• 17:34
  20s,
• 17:35
  and
• 17:35
  then
• 17:35
  levels
• 17:36
  start
• 17:36
  to
• 17:36
  decline
• 17:37
  with
• 17:37
  age.
• 17:37
  So
• 17:38
  from
• 17:38
  the
• 17:38
  late
• 17:39
  20s,
• 17:39
  early
• 17:40
  30s,
• 17:40
  our
• 17:40
  levels
• 17:41
  decline
• 17:41
  naturally.
• 17:43
  So
• 17:43
  it's
• 17:43
  not
• 17:43
  really
• 17:44
  a
• 17:44
  menopause
• 17:44
  related
• 17:45
  decline,
• 17:45
  it's
• 17:46
  an
• 17:46
  age
• 17:46
  related
• 17:47
  decline.
• 17:48
  But
• 17:48
  about
• 17:49
  50%
• 17:50
  of
• 17:50
  our
• 17:50
  testosterone
• 17:51
  is
• 17:51
  made
• 17:51
  in
• 17:52
  our
• 17:52
  ovaries.
• 17:53
  So
• 17:53
  those
• 17:53
  women
• 17:54
  that
• 17:54
  have
• 17:54
  a
• 17:54
  surgical
• 17:55
  menopause,
• 17:55
  so
• 17:55
  they
• 17:56
  have
• 17:56
  their
• 17:56
  ovaries
• 17:56
  removed
• 17:57
  at
• 17:57
  a
• 17:57
  young
• 17:57
  age
• 17:58
  will
• 17:58
  reduce
• 17:59
  and
• 17:59
  lower
• 18:00
  their
• 18:00
  testosterone
• 18:01
  quicker
• 18:01
  than
• 18:01
  other
• 18:01
  people.
• 18:02
  But
• 18:03
  testosterone
• 18:03
  works
• 18:04
  on
• 18:04
  every
• 18:04
  cell
• 18:04
  in
• 18:05
  our
• 18:05
  body.
• 18:05
  It's
• 18:06
  made
• 18:06
  in
• 18:06
  our
• 18:06
  brain
• 18:07
  as
• 18:07
  well,
• 18:08
  and
• 18:08
  it's
• 18:08
  a
• 18:08
  very
• 18:08
  important
• 18:09
  hormone
• 18:10
  for
• 18:11
  the
• 18:11
  way
• 18:11
  our
• 18:11
  brains
• 18:12
  work.
• 18:12
  So
• 18:13
  symptoms
• 18:14
  of
• 18:14
  testosterone
• 18:15
  deficiency
• 18:16
  are
• 18:16
  often
• 18:17
  low
• 18:17
  mood,
• 18:17
  reduced
• 18:18
  energy,
• 18:18
  poor
• 18:19
  sleep,
• 18:20
  brain
• 18:20
  fog,
• 18:22
  poor
• 18:22
  concentration,
• 18:24
  but
• 18:24
  also
• 18:25
  headaches,
• 18:25
  migraines,
• 18:26
  muscle
• 18:26
  and
• 18:27
  joint
• 18:27
  pains,
• 18:28
  urinary
• 18:28
  symptoms,
• 18:29
  because
• 18:29
  we
• 18:29
  have
• 18:29
  testosterone
• 18:30
  receptors
• 18:31
  in
• 18:31
  our
• 18:31
  bladder
• 18:31
  as
• 18:31
  well.
• 18:32
  Myriad
• 18:33
  of
• 18:33
  symptoms.
• 18:34
  But
• 18:34
  the
• 18:35
  only
• 18:35
  studies
• 18:35
  really
• 18:36
  that
• 18:36
  have
• 18:36
  been
• 18:36
  done
• 18:36
  on
• 18:37
  testosterone
• 18:37
  in
• 18:38
  women
• 18:38
  have
• 18:38
  been
• 18:38
  looking
• 18:38
  at
• 18:39
  our
• 18:39
  libido
• 18:39
  and
• 18:40
  our
• 18:40
  sexual
• 18:40
  function.
• 18:41
  So
• 18:42
  then
• 18:42
  a
• 18:42
  lot
• 18:42
  of
• 18:42
  menopause
• 18:43
  societies
• 18:44
  and
• 18:44
  some
• 18:44
  specialists
• 18:45
  will
• 18:45
  say,
• 18:45
  well,
• 18:45
  we
• 18:45
  can
• 18:46
  only
• 18:46
  give
• 18:46
  it
• 18:46
  to
• 18:47
  women
• 18:47
  who
• 18:47
  have
• 18:48
  hypoactive
• 18:49
  sexual
• 18:49
  desire
• 18:50
  disorder,
• 18:50
  which
• 18:50
  basically
• 18:51
  means
• 18:51
  they
• 18:51
  have
• 18:52
  really
• 18:52
  awful
• 18:52
  libido
• 18:53
  that's
• 18:53
  giving
• 18:53
  them
• 18:54
  severe
• 18:54
  psychological
• 18:55
  distress
• 18:55
  for
• 18:55
  at
• 18:55
  least
• 18:56
  six
• 18:56
  months,
• 18:57
  which
• 18:57
  in
• 18:57
  my
• 18:57
  mind
• 18:58
  feels
• 18:58
  completely
• 18:58
  barbaric
• 18:59
  because
• 18:59
  in
• 18:59
  medicine
• 19:00
  we
• 19:00
  don't
• 19:00
  watch
• 19:00
  people
• 19:01
  suffer
• 19:01
  for
• 19:01
  at
• 19:02
  least
• 19:02
  six
• 19:02
  months,
• 19:02
  we
• 19:02
  intervene
• 19:03
  a
• 19:03
  bit
• 19:03
  earlier.
• 19:05
  And
• 19:05
  testosterone
• 19:06
  isn't
• 19:06
  just
• 19:07
  about
• 19:07
  sexual.
• 19:08
  Of
• 19:08
  course
• 19:08
  it
• 19:08
  can
• 19:09
  help
• 19:09
  people's
• 19:09
  libido,
• 19:10
  it
• 19:10
  can
• 19:10
  help
• 19:10
  people
• 19:11
  with
• 19:11
  orgasm
• 19:12
  and
• 19:12
  sexual
• 19:12
  desire.
• 19:13
  But
• 19:14
  as
• 19:14
  women,
• 19:14
  it's
• 19:15
  not
• 19:15
  just
• 19:15
  a
• 19:16
  hormone
• 19:16
  related
• 19:16
  thing
• 19:17
  whether
• 19:17
  we
• 19:17
  want
• 19:17
  sex
• 19:17
  or
• 19:18
  not.
• 19:18
  Absolutely.
• 19:19
  And
• 19:19
  I'm
• 19:19
  glad
• 19:19
  you're
• 19:19
  bringing
• 19:20
  that
• 19:20
  up
• 19:20
  also
• 19:20
  because
• 19:21
  I
• 19:21
  think
• 19:21
  sex
• 19:21
  is
• 19:22
  a
• 19:22
  really
• 19:23
  tough
• 19:23
  issue
• 19:23
  at
• 19:24
  this
• 19:24
  stage
• 19:24
  in
• 19:24
  our
• 19:25
  lives.
• 19:25
  You
• 19:25
  know,
• 19:26
  it's
• 19:26
  not
• 19:27
  only
• 19:27
  with
• 19:27
  the
• 19:27
  loss
• 19:27
  of
• 19:28
  hormones
• 19:28
  that
• 19:28
  you
• 19:28
  lose
• 19:29
  sometimes
• 19:29
  the
• 19:29
  desire
• 19:30
  to
• 19:30
  have
• 19:30
  sex,
• 19:30
  but
• 19:30
  it
• 19:30
  can
• 19:31
  actually
• 19:31
  be
• 19:31
  painful.
• 19:32
  Absolutely.
• 19:33
  And
• 19:33
  this
• 19:33
  is
• 19:33
  really
• 19:33
  important.
• 19:34
  And
• 19:34
  you
• 19:34
  know,
• 19:34
  studies
• 19:35
  even
• 19:36
  now
• 19:36
  show
• 19:36
  that
• 19:37
  women
• 19:37
  are
• 19:38
  very
• 19:38
  nervous
• 19:38
  about
• 19:39
  talking
• 19:39
  about
• 19:39
  sex
• 19:40
  to
• 19:40
  their
• 19:40
  healthcare
• 19:40
  professional.
• 19:41
  And
• 19:42
  what's
• 19:42
  really
• 19:42
  sad
• 19:42
  is
• 19:43
  a
• 19:43
  lot
• 19:43
  of
• 19:43
  healthcare
• 19:43
  professionals
• 19:44
  don't
• 19:44
  want
• 19:45
  to
• 19:45
  bring
• 19:45
  up
• 19:45
  sex
• 19:45
  in
• 19:46
  the
• 19:46
  consultation.
• 19:47
  Yeah,
• 19:47
  actually
• 19:48
  the
• 19:48
  more
• 19:48
  I
• 19:48
  talk
• 19:48
  about
• 19:49
  it
• 19:49
  to
• 19:49
  patients,
• 19:49
  the
• 19:50
  more
• 19:50
  they
• 19:50
  say
• 19:50
  I'M
• 19:50
  so
• 19:51
  pleased
• 19:51
  we're
• 19:51
  talking
• 19:51
  about
• 19:52
  it
• 19:52
  because
• 19:52
  I
• 19:52
  don't
• 19:52
  know
• 19:52
  who
• 19:52
  else
• 19:53
  to
• 19:53
  talk
• 19:53
  about.
• 19:54
  And
• 19:54
  symptoms
• 19:54
  of
• 19:55
  vaginal
• 19:55
  dryness,
• 19:56
  soreness,
• 19:56
  irritation
• 19:57
  are
• 19:58
  the
• 19:58
  most
• 19:59
  commonest
• 19:59
  symptoms
• 20:00
  that
• 20:00
  persist
• 20:01
  in
• 20:02
  menopause.
• 20:03
  We
• 20:03
  know
• 20:03
  about
• 20:04
  70%
• 20:04
  of
• 20:05
  menopausal
• 20:05
  women
• 20:05
  have
• 20:06
  vaginalized
• 20:06
  symptoms
• 20:07
  related
• 20:08
  to
• 20:08
  vaginal
• 20:08
  dryness,
• 20:09
  soreness.
• 20:09
  Yet
• 20:09
  only
• 20:10
  about
• 20:10
  10%
• 20:11
  of
• 20:11
  women
• 20:11
  receive
• 20:11
  treatment.
• 20:13
  And
• 20:14
  HRT
• 20:14
  can
• 20:14
  improve
• 20:15
  symptoms.
• 20:15
  But
• 20:15
  more
• 20:15
  importantly,
• 20:16
  vaginal
• 20:16
  hormones
• 20:17
  can.
• 20:18
  Vaginal
• 20:18
  hormones
• 20:19
  are
• 20:19
  very
• 20:19
  low
• 20:19
  dose
• 20:20
  given
• 20:20
  in
• 20:21
  the
• 20:21
  vagina,
• 20:21
  but
• 20:21
  they
• 20:21
  can
• 20:21
  also
• 20:22
  help
• 20:22
  urinary
• 20:22
  symptoms
• 20:23
  as
• 20:23
  well.
• 20:23
  And
• 20:24
  they
• 20:24
  can
• 20:24
  be
• 20:24
  safely
• 20:25
  used,
• 20:25
  usually
• 20:26
  for
• 20:26
  women
• 20:26
  who've
• 20:26
  had
• 20:26
  breast
• 20:27
  cancer
• 20:27
  too.
• 20:28
  So
• 20:28
  even
• 20:28
  if
• 20:29
  women
• 20:29
  don't
• 20:29
  want
• 20:30
  to
• 20:30
  take
• 20:30
  HRT
• 20:31
  or
• 20:31
  they've
• 20:31
  decided
• 20:32
  to
• 20:32
  that
• 20:32
  it's
• 20:33
  not
• 20:33
  for
• 20:33
  them,
• 20:34
  they
• 20:34
  should
• 20:34
  still
• 20:34
  consider
• 20:35
  vaginal
• 20:35
  hormones,
• 20:36
  which
• 20:36
  can
• 20:37
  be
• 20:37
  transformational
• 20:37
  for
• 20:38
  sex,
• 20:39
  but
• 20:39
  also
• 20:39
  just
• 20:40
  for
• 20:40
  reducing
• 20:41
  urinary
• 20:41
  tract
• 20:42
  infections
• 20:42
  and
• 20:43
  cystitis,
• 20:44
  which
• 20:45
  are
• 20:45
  so
• 20:45
  common
• 20:46
  in
• 20:46
  people,
• 20:47
  especially
• 20:47
  as
• 20:47
  they
• 20:47
  age.
• 20:48
  Absolutely.
• 20:49
  And
• 20:49
  also
• 20:49
  this
• 20:50
  phenomenon
• 20:50
  of
• 20:50
  vaginal
• 20:51
  atrophy,
• 20:52
  which
• 20:52
  I
• 20:53
  recently
• 20:53
  learned
• 20:54
  about,
• 20:54
  I
• 20:54
  mean,
• 20:55
  the
• 20:55
  symptoms
• 20:55
  keep
• 20:56
  coming,
• 20:56
  don't
• 20:56
  they?
• 20:57
  Well,
• 20:57
  do
• 20:57
  you
• 20:57
  know
• 20:57
  what
• 20:57
  they
• 20:58
  used
• 20:58
  to
• 20:58
  call
• 20:58
  it?
• 20:58
  Vva.
• 20:59
  So
• 20:59
  vulvovaginal
• 21:00
  atrophy.
• 21:00
  Atrophy.
• 21:01
  Now
• 21:01
  if
• 21:01
  you
• 21:01
  look
• 21:02
  up
• 21:02
  the
• 21:02
  word
• 21:03
  atrophy
• 21:04
  in
• 21:04
  a
• 21:04
  dictionary,
• 21:04
  it's
• 21:04
  actually
• 21:05
  withering
• 21:05
  and
• 21:05
  wasting
• 21:06
  away.
• 21:06
  Like
• 21:07
  which
• 21:07
  part
• 21:07
  of
• 21:07
  our
• 21:08
  anatomy
• 21:08
  really
• 21:09
  wants
• 21:09
  to
• 21:09
  be
• 21:09
  withering
• 21:10
  and
• 21:10
  wasting
• 21:10
  away?
• 21:11
  Right.
• 21:12
  So.
• 21:12
  So
• 21:13
  if
• 21:13
  they
• 21:13
  have
• 21:13
  changed
• 21:14
  the
• 21:14
  nomenclature,
• 21:15
  so
• 21:15
  it's
• 21:16
  gsm,
• 21:16
  genitourinary
• 21:18
  syndrome
• 21:18
  of
• 21:18
  menopause.
• 21:19
  But
• 21:19
  it's
• 21:20
  not
• 21:20
  just
• 21:20
  menopause.
• 21:21
  I
• 21:21
  see
• 21:21
  a
• 21:21
  lot
• 21:21
  of
• 21:21
  young
• 21:21
  women
• 21:22
  who
• 21:22
  are
• 21:22
  perimenopausal
• 21:23
  or
• 21:23
  women
• 21:24
  who
• 21:24
  are
• 21:24
  just
• 21:24
  testosterone
• 21:25
  deficient
• 21:26
  who
• 21:26
  have
• 21:26
  this
• 21:27
  genitourinary
• 21:28
  symptoms.
• 21:29
  So
• 21:29
  we
• 21:30
  need
• 21:30
  to
• 21:30
  be
• 21:30
  really
• 21:30
  tuned
• 21:31
  about
• 21:31
  that
• 21:31
  as
• 21:32
  well.
• 21:32
  Absolutely.
• 21:33
  And
• 21:33
  is
• 21:34
  it
• 21:34
  possible
• 21:35
  for
• 21:35
  somebody,
• 21:35
  let's
• 21:36
  say
• 21:36
  they
• 21:36
  haven't
• 21:36
  started
• 21:37
  hrts
• 21:37
  yet,
• 21:38
  they're
• 21:38
  not
• 21:38
  doing
• 21:39
  hormone
• 21:39
  therapy,
• 21:39
  but
• 21:40
  they
• 21:40
  have
• 21:40
  gained
• 21:40
  the
• 21:40
  weight
• 21:41
  that
• 21:41
  sometimes
• 21:41
  comes
• 21:42
  with
• 21:42
  perimenopause
• 21:43
  and
• 21:43
  menopause.
• 21:44
  Is
• 21:44
  there
• 21:45
  a
• 21:45
  way
• 21:45
  to
• 21:45
  lose
• 21:45
  the
• 21:46
  weight
• 21:47
  without
• 21:47
  taking
• 21:47
  an
• 21:48
  HRT
• 21:48
  or
• 21:49
  before
• 21:49
  you
• 21:49
  start
• 21:49
  taking
• 21:49
  an
• 21:50
  hrt?
• 21:50
  Yes,
• 21:50
  it's
• 21:51
  a
• 21:51
  great
• 21:51
  question.
• 21:51
  And
• 21:52
  you
• 21:52
  know,
• 21:53
  probably
• 21:53
  every
• 21:53
  woman
• 21:53
  wants
• 21:54
  or
• 21:54
  thinks
• 21:54
  about
• 21:55
  their
• 21:55
  weight
• 21:55
  or
• 21:55
  wants
• 21:55
  to
• 21:55
  lose
• 21:56
  a
• 21:56
  bit
• 21:56
  of
• 21:56
  weight.
• 21:56
  I
• 21:56
  mean,
• 21:56
  it's
• 21:57
  just.
• 21:57
  I
• 21:57
  don't
• 21:57
  know,
• 21:57
  there's
• 21:58
  something
• 21:58
  about
• 21:58
  our
• 21:58
  genetic
• 21:59
  profile,
• 21:59
  probably.
• 22:00
  But
• 22:00
  we
• 22:01
  know
• 22:01
  that
• 22:01
  our
• 22:01
  metabolism
• 22:02
  changes
• 22:03
  with
• 22:03
  our
• 22:03
  hormones,
• 22:04
  especially
• 22:05
  estradiol
• 22:05
  and
• 22:06
  testosterone.
• 22:07
  They
• 22:07
  have
• 22:07
  direct
• 22:08
  effects
• 22:08
  in
• 22:08
  our
• 22:09
  brain,
• 22:09
  which
• 22:10
  helps
• 22:10
  our
• 22:10
  metabolism.
• 22:11
  And
• 22:12
  our
• 22:12
  brain
• 22:12
  has
• 22:12
  very
• 22:13
  direct
• 22:13
  pathways
• 22:14
  with
• 22:14
  our
• 22:14
  liver,
• 22:14
  but
• 22:15
  also
• 22:15
  our
• 22:15
  pancreas
• 22:16
  and
• 22:16
  our
• 22:16
  glucose
• 22:17
  metabolism
• 22:17
  and
• 22:18
  insulin
• 22:18
  as
• 22:18
  well.
• 22:20
  So
• 22:20
  there
• 22:20
  are
• 22:20
  so
• 22:21
  many
• 22:21
  people.
• 22:21
  And
• 22:22
  I
• 22:22
  feel
• 22:22
  really
• 22:22
  embarrassed
• 22:23
  because
• 22:23
  for
• 22:23
  many
• 22:23
  years,
• 22:24
  people
• 22:24
  would
• 22:24
  come
• 22:24
  to
• 22:25
  me
• 22:25
  as
• 22:25
  a
• 22:25
  GP,
• 22:26
  a
• 22:26
  family
• 22:26
  physician,
• 22:27
  and
• 22:27
  say,
• 22:27
  oh,
• 22:28
  Dr.
• 22:28
  Newson,
• 22:28
  I
• 22:28
  put
• 22:28
  on
• 22:29
  all
• 22:29
  this
• 22:29
  weight
• 22:29
  and
• 22:29
  my
• 22:29
  lifestyle
• 22:30
  hasn't
• 22:30
  changed.
• 22:30
  And
• 22:30
  I'd
• 22:31
  look
• 22:31
  at
• 22:31
  them
• 22:31
  and
• 22:31
  go,
• 22:31
  really,
• 22:32
  surely
• 22:33
  you're
• 22:33
  sneaking
• 22:33
  in
• 22:34
  some
• 22:34
  extra
• 22:34
  whatever.
• 22:35
  But
• 22:35
  actually,
• 22:36
  no,
• 22:36
  their
• 22:36
  metabolism
• 22:37
  is
• 22:37
  changing
• 22:38
  and
• 22:39
  also
• 22:39
  the
• 22:39
  way
• 22:39
  they
• 22:40
  respond,
• 22:41
  the
• 22:41
  way
• 22:41
  they
• 22:41
  have
• 22:42
  some
• 22:42
  insulin
• 22:42
  resistance
• 22:43
  can
• 22:44
  increase
• 22:44
  quite
• 22:45
  early
• 22:45
  on
• 22:46
  and
• 22:46
  often
• 22:47
  they
• 22:47
  think
• 22:48
  they're
• 22:48
  not
• 22:48
  perimenopausal
• 22:49
  or
• 22:49
  they
• 22:50
  think
• 22:50
  they
• 22:50
  might
• 22:50
  not
• 22:51
  have
• 22:51
  testosterone
• 22:52
  deficiency,
• 22:52
  but
• 22:52
  they
• 22:52
  probably
• 22:53
  have.
• 22:54
  And
• 22:54
  we
• 22:54
  know
• 22:54
  that
• 22:55
  when
• 22:55
  people
• 22:55
  have
• 22:55
  replacement
• 22:56
  hormones,
• 22:57
  their
• 22:58
  sugar
• 22:58
  levels
• 22:58
  can
• 22:59
  improve
• 23:00
  and
• 23:00
  their
• 23:00
  metabolism
• 23:01
  can
• 23:01
  improve.
• 23:02
  We
• 23:02
  know
• 23:03
  there's
• 23:03
  like
• 23:03
  a
• 23:03
  massive
• 23:04
  thing,
• 23:04
  isn't
• 23:04
  there,
• 23:04
  for
• 23:04
  all
• 23:05
  the
• 23:05
  GLP1s,
• 23:06
  which
• 23:07
  I
• 23:07
  don't
• 23:07
  actually
• 23:08
  prescribe,
• 23:08
  because
• 23:09
  I
• 23:09
  think
• 23:09
  it's
• 23:10
  a
• 23:10
  lot
• 23:10
  better
• 23:10
  if
• 23:11
  you
• 23:11
  can
• 23:11
  look
• 23:11
  at
• 23:11
  the
• 23:11
  underlying
• 23:12
  cause.
• 23:13
  So
• 23:13
  a
• 23:13
  lot
• 23:13
  of
• 23:14
  people
• 23:14
  actually
• 23:15
  have
• 23:15
  maybe
• 23:16
  some
• 23:16
  PMS
• 23:17
  or
• 23:17
  premenstrual
• 23:18
  syndrome
• 23:18
  or
• 23:18
  pmdd,
• 23:19
  premenstrual
• 23:20
  Dysphoric
• 23:20
  disorder.
• 23:21
  So
• 23:21
  they
• 23:21
  might
• 23:21
  find
• 23:22
  it's
• 23:22
  those
• 23:23
  week
• 23:23
  or
• 23:23
  days
• 23:24
  before
• 23:24
  their
• 23:24
  periods,
• 23:25
  they
• 23:25
  have
• 23:25
  sugar
• 23:25
  cravings,
• 23:26
  they're
• 23:27
  eating
• 23:27
  more,
• 23:27
  they're
• 23:28
  having
• 23:28
  more
• 23:28
  comfort
• 23:29
  foods
• 23:29
  because
• 23:29
  they're
• 23:30
  feeling
• 23:30
  lower
• 23:30
  in
• 23:30
  their
• 23:30
  mood,
• 23:31
  and
• 23:31
  that
• 23:31
  will
• 23:32
  change
• 23:32
  their
• 23:32
  metabolism
• 23:33
  because
• 23:33
  their
• 23:34
  estradiol
• 23:34
  is
• 23:35
  dropping
• 23:35
  before
• 23:35
  their
• 23:35
  periods.
• 23:37
  So
• 23:37
  they
• 23:37
  might
• 23:37
  not
• 23:38
  be
• 23:38
  officially
• 23:39
  perimenopausal,
• 23:40
  but
• 23:40
  they
• 23:40
  will
• 23:40
  have
• 23:40
  hormonal
• 23:41
  changes.
• 23:42
  So
• 23:42
  we
• 23:42
  need
• 23:42
  to
• 23:43
  be
• 23:43
  thinking
• 23:43
  about
• 23:43
  these
• 23:44
  hormonal
• 23:45
  changes
• 23:45
  and
• 23:46
  helping
• 23:46
  them
• 23:47
  replace
• 23:47
  them
• 23:47
  with
• 23:47
  natural
• 23:48
  hormones,
• 23:48
  which
• 23:49
  cannot
• 23:49
  often
• 23:50
  improve.
• 23:51
  A
• 23:51
  lot
• 23:51
  of
• 23:51
  people
• 23:51
  are
• 23:52
  given
• 23:52
  synthetic
• 23:53
  hormones
• 23:53
  when
• 23:53
  they're
• 23:53
  younger.
• 23:54
  So
• 23:54
  contraception,
• 23:55
  because
• 23:55
  doctors
• 23:56
  will
• 23:56
  often
• 23:56
  say,
• 23:56
  oh,
• 23:57
  well,
• 23:57
  this
• 23:57
  will
• 23:57
  smooth
• 23:57
  out
• 23:57
  your
• 23:58
  hormones.
• 23:59
  Well,
• 23:59
  it
• 23:59
  won't.
• 23:59
  It
• 23:59
  will
• 24:00
  block
• 24:00
  all
• 24:00
  your
• 24:00
  hormones
• 24:01
  working.
• 24:01
  So
• 24:02
  a
• 24:02
  lot
• 24:02
  of
• 24:02
  people
• 24:02
  on
• 24:02
  contraception
• 24:03
  tend
• 24:03
  to
• 24:04
  put
• 24:04
  on
• 24:04
  weight
• 24:05
  or
• 24:05
  they
• 24:05
  find
• 24:06
  it
• 24:06
  harder
• 24:06
  to
• 24:06
  build
• 24:07
  muscle,
• 24:07
  harder
• 24:07
  to
• 24:08
  exercise.
• 24:09
  So
• 24:09
  we
• 24:09
  need
• 24:10
  to
• 24:10
  be
• 24:10
  really,
• 24:10
  I
• 24:11
  think,
• 24:11
  thinking
• 24:11
  about
• 24:12
  hormones,
• 24:12
  thinking
• 24:13
  about
• 24:13
  lifestyle
• 24:14
  before
• 24:14
  we
• 24:14
  do
• 24:15
  anything
• 24:15
  else
• 24:16
  about
• 24:16
  weight.
• 24:18
  So
• 24:18
  if
• 24:18
  somebody
• 24:19
  is
• 24:19
  taking
• 24:19
  the
• 24:19
  GLP1s
• 24:20
  and
• 24:20
  the
• 24:20
  Ozempic,
• 24:21
  is
• 24:21
  that
• 24:21
  gonna
• 24:22
  have
• 24:22
  an
• 24:22
  effect
• 24:22
  on
• 24:23
  their
• 24:23
  menopause,
• 24:24
  their
• 24:24
  perimenopause?
• 24:26
  Are
• 24:27
  the
• 24:27
  two.
• 24:27
  Do
• 24:27
  they
• 24:27
  go
• 24:28
  hand
• 24:28
  in
• 24:28
  hand?
• 24:28
  Probably
• 24:29
  not.
• 24:29
  I
• 24:29
  mean,
• 24:29
  there's
• 24:30
  been
• 24:30
  very
• 24:30
  little
• 24:31
  work.
• 24:32
  When
• 24:32
  you
• 24:33
  look,
• 24:33
  there
• 24:33
  are
• 24:33
  some
• 24:33
  studies
• 24:34
  that
• 24:34
  show
• 24:34
  if
• 24:34
  people
• 24:34
  are
• 24:35
  on
• 24:35
  GLP1s
• 24:36
  and
• 24:36
  HRT,
• 24:36
  they'll
• 24:37
  have
• 24:37
  better
• 24:37
  weight
• 24:37
  loss.
• 24:38
  One
• 24:39
  of
• 24:39
  the
• 24:39
  concerns,
• 24:39
  as
• 24:39
  I'm
• 24:40
  sure
• 24:40
  you
• 24:40
  know,
• 24:40
  is
• 24:41
  that
• 24:41
  when
• 24:41
  women,
• 24:42
  or
• 24:42
  some
• 24:42
  women
• 24:42
  who
• 24:43
  take
• 24:43
  GLP1s,
• 24:44
  they
• 24:45
  will
• 24:45
  lose
• 24:46
  fat.
• 24:46
  But
• 24:46
  they'll
• 24:46
  also
• 24:47
  lose
• 24:47
  lean
• 24:48
  muscle
• 24:48
  mass
• 24:49
  as
• 24:49
  well.
• 24:50
  And
• 24:51
  so
• 24:51
  without
• 24:52
  our
• 24:52
  hormones,
• 24:53
  we
• 24:53
  have
• 24:53
  an
• 24:53
  increased
• 24:54
  risk
• 24:54
  of
• 24:54
  something
• 24:54
  called
• 24:55
  osteosarcopenia,
• 24:56
  which
• 24:56
  means
• 24:57
  loss
• 24:57
  of
• 24:58
  muscle
• 24:58
  and
• 24:59
  bone
• 24:59
  density
• 25:00
  too.
• 25:01
  If
• 25:01
  we
• 25:01
  have
• 25:01
  loss
• 25:02
  of
• 25:02
  muscles,
• 25:03
  it
• 25:03
  often
• 25:04
  means
• 25:04
  we're
• 25:05
  less
• 25:05
  strong,
• 25:05
  we're
• 25:06
  more
• 25:06
  likely
• 25:06
  to
• 25:06
  fall.
• 25:07
  If
• 25:07
  we
• 25:07
  have.
• 25:07
  Our
• 25:07
  bones
• 25:08
  are
• 25:08
  weaker,
• 25:08
  we're
• 25:08
  more
• 25:09
  likely
• 25:09
  to
• 25:09
  have
• 25:09
  osteoporosis.
• 25:11
  So
• 25:11
  we
• 25:11
  don't
• 25:12
  want
• 25:12
  a
• 25:12
  drug
• 25:12
  that's
• 25:12
  going
• 25:13
  to
• 25:13
  make
• 25:13
  that
• 25:14
  worse
• 25:14
  for
• 25:14
  us
• 25:14
  as
• 25:15
  well.
• 25:16
  So
• 25:16
  we
• 25:16
  have
• 25:16
  to
• 25:16
  be
• 25:17
  really
• 25:17
  careful.
• 25:18
  There
• 25:18
  is
• 25:19
  a
• 25:19
  role,
• 25:19
  I'm
• 25:19
  sure,
• 25:19
  for
• 25:20
  GLP1s
• 25:21
  for
• 25:21
  some
• 25:21
  people,
• 25:22
  but
• 25:22
  so
• 25:22
  many
• 25:23
  women
• 25:23
  are
• 25:23
  taking
• 25:24
  them
• 25:24
  as
• 25:24
  a
• 25:24
  quick
• 25:25
  fix.
• 25:25
  And
• 25:25
  I
• 25:26
  know,
• 25:26
  like
• 25:26
  doctors
• 25:27
  in
• 25:27
  the
• 25:27
  UK
• 25:28
  and
• 25:28
  probably
• 25:28
  with
• 25:29
  you
• 25:29
  as
• 25:29
  well,
• 25:30
  are
• 25:30
  just
• 25:30
  going,
• 25:30
  oh,
• 25:31
  yeah,
• 25:31
  just
• 25:31
  try
• 25:31
  a
• 25:31
  low
• 25:32
  dose,
• 25:32
  just
• 25:32
  have
• 25:32
  these.
• 25:33
  But
• 25:33
  they're
• 25:34
  not
• 25:34
  treating
• 25:34
  the
• 25:34
  underlying
• 25:35
  problem.
• 25:35
  And
• 25:35
  in
• 25:36
  medicine,
• 25:36
  you
• 25:36
  want
• 25:36
  to
• 25:36
  treat
• 25:37
  the
• 25:37
  underlying
• 25:37
  cause.
• 25:38
  So
• 25:39
  it's
• 25:39
  balancing
• 25:39
  hormones,
• 25:40
  obviously,
• 25:40
  making
• 25:40
  sure
• 25:41
  people's
• 25:41
  thyroid
• 25:42
  is
• 25:42
  working
• 25:42
  well
• 25:42
  as
• 25:42
  well,
• 25:43
  because
• 25:43
  all
• 25:43
  our
• 25:43
  hormones
• 25:44
  work
• 25:44
  very
• 25:44
  closely
• 25:45
  together.
• 25:45
  They
• 25:45
  don't
• 25:46
  work
• 25:46
  in
• 25:46
  isolation.
• 25:47
  Absolutely.
• 25:48
  And
• 25:49
  what
• 25:49
  are
• 25:49
  three
• 25:50
  actionable
• 25:51
  lifestyle
• 25:52
  changes
• 25:52
  that
• 25:52
  women
• 25:53
  could
• 25:53
  make
• 25:53
  today
• 25:54
  that
• 25:54
  would
• 25:54
  have
• 25:55
  a
• 25:55
  positive
• 25:55
  effect
• 25:56
  on
• 25:56
  their
• 25:56
  health
• 25:56
  10
• 25:57
  years
• 25:57
  from
• 25:57
  now?
• 25:57
  So.
• 25:58
  Well,
• 25:58
  the
• 25:58
  most
• 25:58
  important
• 25:58
  thing,
• 25:59
  I
• 25:59
  think,
• 25:59
  is
• 25:59
  to
• 25:59
  be
• 25:59
  really
• 25:59
  honest
• 26:00
  with
• 26:00
  yourself.
• 26:02
  We
• 26:03
  all
• 26:03
  know
• 26:03
  what
• 26:03
  we
• 26:03
  should
• 26:03
  do,
• 26:04
  but
• 26:04
  sometimes
• 26:05
  it's
• 26:05
  hard.
• 26:06
  I
• 26:06
  think
• 26:06
  adding
• 26:07
  something
• 26:07
  to
• 26:07
  your
• 26:08
  diet
• 26:08
  is
• 26:08
  really
• 26:08
  important.
• 26:09
  So
• 26:09
  increasing
• 26:10
  the
• 26:10
  amount
• 26:11
  of
• 26:11
  fibre
• 26:11
  that
• 26:11
  we
• 26:12
  have
• 26:12
  and
• 26:13
  natural
• 26:13
  foods
• 26:14
  that
• 26:14
  we
• 26:14
  have,
• 26:14
  as
• 26:15
  in
• 26:15
  food
• 26:15
  that
• 26:15
  you
• 26:15
  could
• 26:16
  potentially
• 26:16
  grow
• 26:17
  in
• 26:17
  your
• 26:17
  garden,
• 26:18
  that
• 26:18
  you
• 26:18
  would
• 26:18
  recognize
• 26:19
  that
• 26:19
  hasn't
• 26:19
  been
• 26:20
  chemically
• 26:20
  altered.
• 26:21
  So
• 26:21
  you
• 26:21
  want
• 26:22
  the
• 26:22
  real
• 26:22
  deal,
• 26:23
  you
• 26:23
  want
• 26:23
  those
• 26:24
  fresh
• 26:24
  strawberries,
• 26:25
  not
• 26:25
  strawberry
• 26:26
  flavoured
• 26:27
  goodness
• 26:27
  only
• 26:27
  knows
• 26:28
  what,
• 26:28
  because
• 26:28
  that
• 26:29
  makes
• 26:29
  a
• 26:29
  real
• 26:29
  difference.
• 26:31
  I
• 26:31
  think,
• 26:32
  also
• 26:32
  finding
• 26:33
  some
• 26:34
  exercise
• 26:34
  that
• 26:35
  you
• 26:35
  enjoy,
• 26:36
  like,
• 26:36
  we
• 26:37
  can
• 26:37
  all
• 26:37
  do
• 26:37
  more
• 26:37
  exercise,
• 26:38
  but
• 26:39
  I
• 26:39
  look
• 26:39
  at
• 26:39
  my
• 26:40
  husband
• 26:40
  on
• 26:40
  his
• 26:40
  exercise
• 26:41
  bike
• 26:41
  and
• 26:42
  if
• 26:42
  I
• 26:42
  do
• 26:42
  more
• 26:42
  than
• 26:43
  20
• 26:43
  minutes,
• 26:43
  it
• 26:43
  will
• 26:43
  induce
• 26:44
  a
• 26:44
  migraine.
• 26:44
  I'm
• 26:44
  very
• 26:45
  sensitive
• 26:45
  to
• 26:45
  migraines,
• 26:46
  so
• 26:46
  I
• 26:47
  circumvent
• 26:47
  it
• 26:48
  because
• 26:48
  I
• 26:48
  do
• 26:48
  a
• 26:48
  lot
• 26:48
  of
• 26:48
  yoga
• 26:49
  instead.
• 26:49
  And
• 26:50
  he
• 26:50
  looks
• 26:50
  at
• 26:50
  me
• 26:50
  doing
• 26:50
  yoga
• 26:51
  and
• 26:51
  thinks,
• 26:51
  oh,
• 26:51
  that's
• 26:52
  not
• 26:52
  real
• 26:52
  exercise.
• 26:53
  But
• 26:53
  you
• 26:53
  know
• 26:53
  what,
• 26:53
  I'm
• 26:53
  a
• 26:54
  lot
• 26:54
  more
• 26:54
  flexible
• 26:54
  than
• 26:55
  him
• 26:55
  and
• 26:55
  my
• 26:55
  pelvic
• 26:56
  floor
• 26:56
  is
• 26:56
  probably
• 26:56
  a
• 26:57
  lot
• 26:57
  better
• 26:57
  than
• 26:57
  his.
• 26:57
  So.
• 26:58
  But
• 26:58
  you've
• 26:58
  got
• 26:59
  to
• 26:59
  find
• 26:59
  something
• 26:59
  that
• 26:59
  you
• 26:59
  enjoy.
• 27:00
  So
• 27:01
  doing
• 27:01
  exercise,
• 27:03
  looking
• 27:03
  at
• 27:03
  what
• 27:03
  you're
• 27:03
  eating,
• 27:04
  and
• 27:04
  the
• 27:04
  other
• 27:05
  thing
• 27:05
  is
• 27:05
  really
• 27:06
  important
• 27:06
  to
• 27:06
  look
• 27:06
  at
• 27:06
  what
• 27:06
  you're
• 27:07
  drinking.
• 27:08
  So,
• 27:08
  I
• 27:08
  mean,
• 27:08
  I
• 27:09
  don't
• 27:09
  drink
• 27:09
  alcohol.
• 27:10
  I
• 27:10
  don't
• 27:10
  expect
• 27:10
  everyone
• 27:11
  to
• 27:11
  be
• 27:12
  teetotal,
• 27:12
  but
• 27:13
  alcohol
• 27:14
  has
• 27:14
  a
• 27:14
  lot
• 27:14
  of
• 27:15
  calories
• 27:15
  and.
• 27:15
  But
• 27:16
  it
• 27:16
  also
• 27:16
  can
• 27:16
  affect
• 27:17
  our
• 27:17
  hormones
• 27:17
  and
• 27:18
  our
• 27:18
  metabolism.
• 27:19
  But
• 27:19
  not
• 27:20
  just
• 27:20
  alcohol.
• 27:21
  You
• 27:21
  know,
• 27:21
  go
• 27:22
  into
• 27:22
  any
• 27:22
  store
• 27:23
  and
• 27:23
  it's
• 27:23
  full
• 27:24
  of
• 27:24
  brightly
• 27:24
  colored
• 27:25
  drinks.
• 27:26
  Like
• 27:26
  all
• 27:26
  these
• 27:27
  drinks
• 27:27
  are
• 27:27
  chemicals
• 27:28
  in
• 27:28
  our
• 27:28
  body.
• 27:29
  Even
• 27:29
  if
• 27:29
  they're
• 27:30
  low
• 27:30
  sugar
• 27:30
  or
• 27:31
  whatever,
• 27:31
  they're
• 27:31
  labeled,
• 27:32
  we
• 27:32
  should
• 27:33
  just
• 27:33
  be
• 27:33
  drinking
• 27:33
  water.
• 27:34
  So
• 27:35
  do
• 27:35
  not
• 27:35
  be
• 27:35
  hoodwinked
• 27:36
  to
• 27:36
  think
• 27:36
  that
• 27:36
  these
• 27:37
  locale
• 27:38
  sugar
• 27:38
  free
• 27:39
  goodness
• 27:39
  owes
• 27:39
  what
• 27:40
  are
• 27:40
  not
• 27:41
  affecting
• 27:41
  our
• 27:41
  metabolism
• 27:42
  because
• 27:42
  they
• 27:42
  will
• 27:42
  be.
• 27:43
  So
• 27:44
  looking
• 27:44
  at
• 27:44
  what
• 27:44
  you
• 27:44
  drink
• 27:45
  as
• 27:45
  well
• 27:45
  as
• 27:46
  eat
• 27:46
  and
• 27:46
  exercise
• 27:47
  are
• 27:47
  really
• 27:47
  important.
• 27:48
  You
• 27:48
  know,
• 27:48
  there's
• 27:48
  also
• 27:49
  just
• 27:49
  such
• 27:49
  a
• 27:50
  huge
• 27:50
  mental
• 27:51
  health
• 27:51
  component
• 27:52
  with
• 27:52
  perimenopause
• 27:53
  and
• 27:53
  menopause
• 27:54
  and
• 27:54
  so
• 27:55
  many
• 27:55
  women.
• 27:55
  And
• 27:56
  I
• 27:56
  know,
• 27:56
  I
• 27:56
  feel
• 27:56
  included
• 27:57
  too.
• 27:58
  You
• 27:58
  know,
• 27:58
  do
• 27:58
  we
• 27:58
  just
• 27:59
  feel
• 27:59
  like
• 27:59
  we've
• 27:59
  lost
• 27:59
  ourselves?
• 28:00
  We're
• 28:00
  like,
• 28:01
  who
• 28:01
  are
• 28:01
  we?
• 28:01
  You
• 28:01
  know,
• 28:02
  what
• 28:03
  is
• 28:03
  this?
• 28:04
  So
• 28:04
  what
• 28:04
  advice
• 28:05
  would
• 28:05
  you
• 28:05
  give
• 28:06
  to
• 28:06
  women
• 28:06
  who
• 28:07
  feel
• 28:07
  like
• 28:07
  they've
• 28:08
  lost
• 28:08
  themselves
• 28:08
  and
• 28:08
  are
• 28:09
  really
• 28:09
  struggling
• 28:10
  with
• 28:10
  their
• 28:10
  mental
• 28:11
  health
• 28:11
  during
• 28:11
  this
• 28:11
  time?
• 28:12
  Most
• 28:12
  important
• 28:13
  thing
• 28:13
  is,
• 28:14
  is
• 28:14
  to
• 28:14
  recognize
• 28:15
  it
• 28:15
  and
• 28:16
  really
• 28:16
  think
• 28:16
  about
• 28:17
  hormones.
• 28:17
  So
• 28:18
  I
• 28:18
  was
• 28:18
  reading
• 28:19
  a
• 28:19
  book
• 28:19
  recently,
• 28:19
  it
• 28:19
  was
• 28:19
  a
• 28:20
  book
• 28:20
  I've
• 28:20
  read
• 28:20
  a
• 28:20
  few
• 28:20
  years
• 28:20
  ago,
• 28:21
  but
• 28:21
  it's
• 28:21
  about
• 28:21
  mental
• 28:22
  health
• 28:22
  and
• 28:22
  hormones
• 28:23
  and
• 28:23
  the
• 28:23
  brain.
• 28:23
  And
• 28:23
  it
• 28:24
  was
• 28:24
  written
• 28:24
  in
• 28:24
  the
• 28:24
  1980s,
• 28:25
  so
• 28:26
  we're
• 28:26
  talking
• 28:26
  about
• 28:27
  40
• 28:27
  years
• 28:27
  ago.
• 28:28
  And
• 28:28
  it's
• 28:29
  showing
• 28:29
  the
• 28:29
  role
• 28:29
  of
• 28:30
  hormones
• 28:30
  in
• 28:30
  our
• 28:30
  brain,
• 28:31
  how
• 28:31
  it
• 28:31
  helps
• 28:31
  our
• 28:31
  brains
• 28:32
  to
• 28:32
  grow
• 28:33
  the
• 28:33
  cells,
• 28:33
  to
• 28:34
  grow
• 28:34
  the
• 28:34
  nerves,
• 28:34
  to
• 28:35
  grow
• 28:35
  the
• 28:35
  connections
• 28:36
  between
• 28:36
  the
• 28:36
  nerves
• 28:36
  to
• 28:37
  work
• 28:37
  well.
• 28:38
  And
• 28:38
  also
• 28:38
  it
• 28:39
  helps
• 28:39
  other
• 28:39
  neurotransmitters.
• 28:40
  So
• 28:40
  neurotransmitters
• 28:41
  are
• 28:41
  chemicals
• 28:42
  and
• 28:42
  that
• 28:42
  send
• 28:42
  messages
• 28:43
  from
• 28:43
  one
• 28:43
  part
• 28:43
  of
• 28:43
  the
• 28:43
  brain
• 28:44
  to
• 28:44
  another.
• 28:45
  And
• 28:46
  we
• 28:46
  know
• 28:46
  about
• 28:46
  neurotransmitters
• 28:47
  such
• 28:47
  as
• 28:48
  serotonin,
• 28:48
  our
• 28:48
  happy
• 28:49
  hormone,
• 28:49
  or
• 28:49
  dopamine,
• 28:50
  our
• 28:50
  reward
• 28:51
  hormone.
• 28:51
  If
• 28:52
  we
• 28:52
  have
• 28:52
  low
• 28:52
  estradiol
• 28:53
  in
• 28:53
  our
• 28:54
  brain,
• 28:54
  it
• 28:55
  then
• 28:55
  has
• 28:55
  an
• 28:56
  effect
• 28:56
  where
• 28:56
  we
• 28:57
  have
• 28:57
  low
• 28:57
  serotonin
• 28:58
  and
• 28:59
  low
• 28:59
  dopamine
• 29:00
  so
• 29:00
  often
• 29:01
  reduces
• 29:01
  our
• 29:02
  mood.
• 29:02
  We
• 29:03
  feel
• 29:03
  just
• 29:03
  joyless
• 29:04
  and
• 29:04
  flat
• 29:05
  because
• 29:05
  we
• 29:05
  don't
• 29:05
  have
• 29:06
  dopamine.
• 29:06
  So
• 29:07
  we
• 29:07
  could
• 29:07
  do
• 29:07
  something
• 29:07
  that
• 29:07
  we'd
• 29:08
  normally
• 29:08
  enjoy
• 29:08
  and
• 29:08
  just
• 29:09
  like,
• 29:09
  oh,
• 29:09
  what's
• 29:09
  the
• 29:09
  point?
• 29:10
  So
• 29:10
  if
• 29:11
  we
• 29:11
  know
• 29:11
  why
• 29:11
  it
• 29:11
  works,
• 29:13
  try
• 29:13
  and
• 29:13
  treat
• 29:14
  the
• 29:14
  underlying
• 29:14
  cause.
• 29:15
  So
• 29:15
  having
• 29:15
  the
• 29:15
  right
• 29:16
  dose
• 29:16
  of
• 29:16
  Estrada
• 29:17
  will
• 29:17
  increase
• 29:17
  our
• 29:18
  serotonin,
• 29:18
  increase
• 29:19
  our
• 29:19
  dopamine,
• 29:20
  for
• 29:20
  example,
• 29:21
  increase
• 29:22
  the
• 29:22
  nerve
• 29:22
  pathways.
• 29:24
  So
• 29:24
  many
• 29:24
  women
• 29:25
  are
• 29:25
  given
• 29:25
  antidepressants.
• 29:27
  And
• 29:27
  antidepressants
• 29:28
  will
• 29:28
  work
• 29:29
  if
• 29:29
  people
• 29:29
  are
• 29:29
  truly
• 29:30
  clinically
• 29:30
  depressed,
• 29:31
  but
• 29:32
  they
• 29:32
  won't
• 29:32
  improve
• 29:32
  the
• 29:33
  low
• 29:33
  mood,
• 29:33
  the
• 29:33
  anxiety,
• 29:34
  the
• 29:34
  feeling
• 29:35
  of
• 29:35
  worthlessness
• 29:35
  and
• 29:36
  joyless
• 29:37
  if
• 29:37
  it's
• 29:37
  related
• 29:38
  to
• 29:38
  hormones.
• 29:39
  So
• 29:39
  we
• 29:39
  need
• 29:40
  to
• 29:40
  be
• 29:40
  questioning
• 29:40
  ourselves
• 29:41
  as
• 29:41
  women
• 29:41
  if
• 29:42
  we
• 29:42
  think
• 29:42
  we're
• 29:43
  depressed
• 29:44
  and
• 29:44
  we're
• 29:44
  being
• 29:44
  offered
• 29:45
  hormone,
• 29:45
  we've
• 29:46
  been
• 29:46
  offered
• 29:47
  antidepressants,
• 29:48
  but
• 29:48
  we
• 29:48
  feel
• 29:48
  there
• 29:49
  might
• 29:49
  be
• 29:49
  a
• 29:49
  hormonal
• 29:49
  component.
• 29:50
  Sure,
• 29:51
  you
• 29:51
  can
• 29:51
  have
• 29:51
  the
• 29:51
  antidepressant,
• 29:52
  but
• 29:52
  think
• 29:53
  about
• 29:53
  hormones
• 29:53
  as
• 29:54
  well.
• 29:54
  Think
• 29:55
  about
• 29:55
  hormones
• 29:56
  improving
• 29:56
  our
• 29:56
  mental
• 29:57
  health,
• 29:57
  because
• 29:57
  they
• 29:57
  often
• 29:58
  do.
• 29:59
  And
• 29:59
  the
• 30:00
  hormones
• 30:00
  that
• 30:01
  really
• 30:01
  make
• 30:02
  a
• 30:02
  difference
• 30:02
  in
• 30:02
  my
• 30:03
  hearing,
• 30:03
  vast
• 30:03
  clinical
• 30:04
  experience
• 30:05
  in
• 30:05
  practices
• 30:05
  is
• 30:06
  actually
• 30:06
  the
• 30:06
  addition
• 30:06
  of
• 30:06
  testosterone.
• 30:08
  You
• 30:08
  know,
• 30:08
  I
• 30:08
  see
• 30:09
  so
• 30:09
  many
• 30:09
  women
• 30:09
  who
• 30:10
  have
• 30:10
  been
• 30:10
  given
• 30:11
  not
• 30:11
  just
• 30:11
  antidepressants,
• 30:12
  but
• 30:12
  lithium,
• 30:13
  olanzapine,
• 30:14
  electroconvulsive
• 30:15
  therapy.
• 30:16
  There's
• 30:16
  a
• 30:16
  vogue
• 30:17
  over
• 30:17
  here
• 30:17
  now
• 30:17
  that
• 30:18
  people
• 30:18
  have
• 30:18
  ketamine
• 30:19
  infusions
• 30:19
  for
• 30:20
  their
• 30:20
  so
• 30:20
  called
• 30:20
  treatment
• 30:21
  resistant
• 30:21
  depression,
• 30:22
  yet
• 30:23
  they
• 30:23
  have
• 30:23
  natural
• 30:24
  hormones
• 30:24
  back
• 30:24
  at
• 30:24
  the
• 30:25
  right
• 30:25
  dose
• 30:25
  and
• 30:25
  type,
• 30:26
  and
• 30:26
  they
• 30:26
  are
• 30:26
  transformed.
• 30:28
  You
• 30:29
  know,
• 30:29
  we're
• 30:29
  putting
• 30:29
  people
• 30:29
  in
• 30:30
  these
• 30:30
  chemical
• 30:30
  straitjackets,
• 30:31
  giving
• 30:32
  them
• 30:32
  highly
• 30:33
  toxic
• 30:33
  drugs
• 30:34
  without
• 30:34
  thinking
• 30:34
  about
• 30:35
  safe
• 30:35
  hormones.
• 30:36
  So
• 30:37
  we
• 30:37
  need
• 30:37
  to
• 30:37
  be
• 30:38
  helping
• 30:38
  others
• 30:39
  as
• 30:39
  well.
• 30:39
  Because
• 30:40
  sometimes
• 30:40
  when
• 30:40
  you
• 30:40
  have
• 30:40
  a
• 30:41
  mental
• 30:41
  health
• 30:41
  condition,
• 30:42
  you
• 30:42
  can't
• 30:43
  recognize
• 30:43
  it
• 30:43
  in
• 30:43
  yourself.
• 30:44
  So
• 30:45
  you
• 30:45
  need
• 30:45
  your
• 30:45
  partner,
• 30:45
  your
• 30:46
  friend,
• 30:46
  your
• 30:46
  work
• 30:46
  colleague
• 30:47
  to
• 30:47
  go,
• 30:47
  louise,
• 30:48
  you're
• 30:48
  not
• 30:48
  quite
• 30:48
  the
• 30:48
  same.
• 30:49
  You
• 30:49
  know,
• 30:49
  is
• 30:50
  there
• 30:50
  something
• 30:50
  else
• 30:50
  going
• 30:51
  on
• 30:51
  or
• 30:51
  could
• 30:52
  it
• 30:52
  be
• 30:52
  related
• 30:52
  to
• 30:53
  your
• 30:53
  hormones?
• 30:53
  You
• 30:54
  know,
• 30:54
  I'm
• 30:54
  glad
• 30:54
  you're
• 30:54
  saying
• 30:55
  that
• 30:55
  too,
• 30:55
  because
• 30:55
  I
• 30:56
  opened
• 30:56
  up
• 30:56
  my
• 30:56
  DMs
• 30:57
  and
• 30:58
  asked
• 30:58
  the
• 30:58
  audience,
• 30:59
  you
• 30:59
  know,
• 30:59
  I
• 30:59
  said,
• 30:59
  are
• 31:00
  there
• 31:00
  questions
• 31:00
  that
• 31:01
  you
• 31:01
  have?
• 31:01
  And
• 31:01
  you
• 31:01
  would
• 31:02
  be
• 31:02
  so
• 31:03
  shocked
• 31:03
  at
• 31:03
  how
• 31:04
  many
• 31:04
  husbands,
• 31:04
  boyfriends,
• 31:06
  partners
• 31:06
  reached
• 31:07
  out
• 31:07
  to
• 31:07
  me
• 31:07
  and
• 31:08
  said,
• 31:08
  you
• 31:09
  know,
• 31:09
  my
• 31:09
  wife,
• 31:10
  my
• 31:10
  girlfriend,
• 31:10
  my
• 31:11
  friend
• 31:11
  is
• 31:11
  going
• 31:12
  through
• 31:12
  this
• 31:12
  and
• 31:13
  I
• 31:13
  don't
• 31:13
  know
• 31:13
  how
• 31:13
  to
• 31:13
  help
• 31:13
  her.
• 31:14
  It's
• 31:14
  really
• 31:14
  hard.
• 31:15
  It's
• 31:15
  so
• 31:15
  hard.
• 31:17
  And
• 31:17
  you
• 31:17
  know
• 31:17
  what
• 31:17
  I
• 31:17
  mean,
• 31:18
  this
• 31:18
  is
• 31:18
  funny,
• 31:18
  but
• 31:18
  it's
• 31:19
  not
• 31:19
  funny.
• 31:19
  But
• 31:20
  my
• 31:20
  husband's
• 31:21
  a
• 31:21
  doctor
• 31:21
  and
• 31:22
  a
• 31:23
  few
• 31:23
  days
• 31:23
  ago
• 31:24
  I
• 31:24
  thought
• 31:25
  I
• 31:25
  would
• 31:25
  just
• 31:25
  try
• 31:25
  a
• 31:26
  different
• 31:26
  formulation
• 31:26
  of
• 31:27
  testosterone
• 31:27
  because
• 31:28
  I've
• 31:28
  been
• 31:28
  on
• 31:28
  the
• 31:28
  same
• 31:28
  dose
• 31:29
  for
• 31:29
  a
• 31:29
  while
• 31:29
  and,
• 31:30
  and
• 31:30
  I
• 31:30
  thought,
• 31:30
  well,
• 31:30
  I'd
• 31:31
  just
• 31:31
  try
• 31:31
  this
• 31:31
  gel
• 31:32
  rather
• 31:32
  than
• 31:32
  the
• 31:32
  cream
• 31:33
  that
• 31:33
  I
• 31:33
  use.
• 31:33
  And
• 31:34
  over
• 31:35
  the
• 31:35
  last
• 31:35
  three
• 31:35
  days,
• 31:36
  I've
• 31:37
  been
• 31:37
  sleeping
• 31:37
  in
• 31:38
  the
• 31:38
  day,
• 31:38
  I've
• 31:38
  been
• 31:39
  irritable,
• 31:39
  I've
• 31:40
  been
• 31:40
  tired,
• 31:40
  I've
• 31:41
  had
• 31:41
  joint
• 31:41
  pain,
• 31:42
  I've
• 31:42
  had
• 31:43
  a
• 31:43
  three
• 31:43
  day
• 31:43
  migraine.
• 31:44
  And
• 31:44
  my
• 31:45
  husband
• 31:45
  just
• 31:45
  looked
• 31:45
  at
• 31:46
  me,
• 31:46
  went,
• 31:46
  ugh,
• 31:46
  are
• 31:47
  you
• 31:47
  perimenopausal
• 31:48
  again?
• 31:48
  Because
• 31:49
  you're
• 31:49
  just
• 31:49
  the
• 31:49
  same
• 31:49
  as
• 31:49
  you
• 31:50
  were
• 31:50
  eight
• 31:50
  years
• 31:50
  ago.
• 31:51
  And
• 31:51
  I
• 31:51
  went,
• 31:51
  oh,
• 31:52
  do
• 31:52
  you
• 31:52
  know
• 31:52
  what,
• 31:52
  Paul?
• 31:52
  I've
• 31:53
  just
• 31:53
  changed
• 31:53
  my
• 31:53
  dose
• 31:54
  of
• 31:54
  hormones.
• 31:55
  And
• 31:55
  he
• 31:55
  was
• 31:55
  like,
• 31:56
  oh
• 31:56
  my
• 31:56
  God,
• 31:56
  go
• 31:57
  back
• 31:57
  to
• 31:57
  what
• 31:57
  you
• 31:57
  were
• 31:57
  on
• 31:57
  before.
• 31:58
  And.
• 31:59
  But
• 31:59
  I
• 32:00
  knew
• 32:00
  that
• 32:00
  I'd
• 32:01
  changed,
• 32:03
  but
• 32:03
  he
• 32:04
  didn't
• 32:04
  know,
• 32:04
  but
• 32:04
  he
• 32:04
  recognized.
• 32:05
  But
• 32:05
  eight
• 32:05
  years
• 32:06
  ago,
• 32:06
  we
• 32:06
  had
• 32:07
  six
• 32:07
  months
• 32:07
  of
• 32:08
  almost
• 32:08
  hell
• 32:08
  where
• 32:08
  I
• 32:09
  was
• 32:09
  shouting,
• 32:09
  it
• 32:09
  was
• 32:09
  awful,
• 32:10
  and
• 32:10
  he
• 32:11
  didn't
• 32:11
  recognize.
• 32:12
  And
• 32:12
  I
• 32:12
  wish
• 32:12
  he
• 32:13
  had
• 32:13
  the
• 32:13
  knowledge
• 32:13
  he
• 32:14
  has
• 32:14
  now
• 32:14
  because
• 32:15
  if,
• 32:15
  you
• 32:15
  know,
• 32:16
  a
• 32:16
  few
• 32:16
  days,
• 32:16
  a
• 32:16
  few
• 32:16
  weeks,
• 32:17
  he
• 32:17
  would
• 32:17
  have
• 32:17
  then
• 32:17
  said,
• 32:17
  oh,
• 32:18
  Louise,
• 32:19
  perhaps,
• 32:19
  you
• 32:20
  know,
• 32:20
  you
• 32:20
  need
• 32:20
  to
• 32:21
  learn
• 32:21
  a
• 32:21
  bit
• 32:21
  more
• 32:21
  about
• 32:21
  hormones.
• 32:22
  And
• 32:22
  it's
• 32:22
  really
• 32:23
  hard
• 32:23
  for
• 32:23
  partners
• 32:24
  because,
• 32:25
  you
• 32:25
  know,
• 32:25
  divorce
• 32:25
  rate
• 32:26
  increases
• 32:26
  in
• 32:26
  the
• 32:27
  40s
• 32:27
  and,
• 32:28
  you
• 32:28
  know,
• 32:28
  I've
• 32:28
  spoken
• 32:29
  to
• 32:29
  so
• 32:29
  many
• 32:29
  partners,
• 32:30
  either
• 32:31
  male
• 32:31
  or
• 32:31
  female
• 32:32
  partners,
• 32:32
  of
• 32:32
  women
• 32:33
  who
• 32:33
  just
• 32:33
  say,
• 32:34
  look,
• 32:34
  this
• 32:34
  isn't
• 32:35
  the
• 32:35
  person
• 32:35
  that
• 32:35
  I
• 32:36
  fell
• 32:36
  in
• 32:36
  love
• 32:36
  with.
• 32:37
  But
• 32:37
  every
• 32:37
  time
• 32:37
  I
• 32:38
  talk
• 32:38
  to
• 32:38
  her,
• 32:39
  she's
• 32:39
  irritable,
• 32:40
  she's
• 32:40
  flat,
• 32:40
  she
• 32:40
  bursts
• 32:41
  into
• 32:41
  tears,
• 32:42
  like,
• 32:42
  what
• 32:42
  have
• 32:42
  I
• 32:42
  done
• 32:43
  with
• 32:43
  social
• 32:43
  tempered?
• 32:45
  And
• 32:45
  it's
• 32:45
  not
• 32:45
  even.
• 32:46
  A
• 32:46
  lot
• 32:46
  of
• 32:46
  them
• 32:46
  obviously
• 32:47
  aren't
• 32:47
  having
• 32:47
  sex,
• 32:48
  but
• 32:48
  they're
• 32:48
  not
• 32:48
  having
• 32:48
  any
• 32:49
  physical
• 32:49
  contact.
• 32:50
  You
• 32:50
  know,
• 32:51
  they're
• 32:51
  just.
• 32:52
  And
• 32:52
  it's
• 32:52
  really
• 32:52
  hard
• 32:53
  because
• 32:53
  that
• 32:53
  woman
• 32:54
  is
• 32:54
  often
• 32:55
  feeling
• 32:55
  so
• 32:56
  isolated
• 32:57
  and
• 32:57
  so
• 32:58
  scared
• 32:59
  and
• 32:59
  so
• 33:00
  it's
• 33:01
  so
• 33:01
  hard
• 33:02
  to
• 33:02
  conceptualize.
• 33:04
  And
• 33:04
  it's
• 33:04
  very
• 33:04
  different
• 33:05
  to
• 33:05
  clinical
• 33:05
  depression
• 33:07
  because
• 33:07
  a
• 33:08
  lot
• 33:08
  of
• 33:08
  women
• 33:08
  I
• 33:08
  see,
• 33:08
  even
• 33:09
  women
• 33:09
  who
• 33:09
  are
• 33:09
  really
• 33:09
  in
• 33:10
  the
• 33:10
  depths
• 33:10
  of
• 33:10
  despair,
• 33:11
  don't
• 33:11
  want
• 33:11
  to
• 33:12
  be
• 33:12
  like
• 33:12
  this.
• 33:12
  They'll
• 33:12
  do
• 33:13
  anything
• 33:13
  to
• 33:13
  feel
• 33:14
  better.
• 33:15
  Whereas
• 33:15
  women
• 33:15
  who
• 33:15
  are
• 33:16
  clinically
• 33:16
  depressed
• 33:17
  don't
• 33:17
  have
• 33:18
  the
• 33:18
  same
• 33:18
  insight.
• 33:19
  They'll
• 33:19
  just
• 33:19
  do
• 33:19
  whatever.
• 33:20
  I
• 33:20
  don't.
• 33:20
  Don't
• 33:20
  really
• 33:21
  care,
• 33:21
  because
• 33:22
  these
• 33:22
  women
• 33:22
  are
• 33:23
  petrified
• 33:24
  of
• 33:24
  how
• 33:24
  they're
• 33:24
  feeling,
• 33:25
  but
• 33:25
  they
• 33:25
  don't
• 33:26
  know
• 33:26
  who
• 33:26
  to
• 33:26
  talk
• 33:26
  to.
• 33:26
  And
• 33:27
  mental
• 33:28
  health,
• 33:28
  I
• 33:28
  think,
• 33:29
  is
• 33:29
  still
• 33:29
  really
• 33:30
  difficult.
• 33:30
  Like,
• 33:30
  if
• 33:31
  I
• 33:31
  had
• 33:31
  a
• 33:31
  rash
• 33:32
  on
• 33:32
  my
• 33:32
  face,
• 33:32
  you
• 33:33
  would
• 33:33
  look
• 33:33
  at
• 33:33
  me
• 33:33
  and
• 33:33
  go,
• 33:33
  oh,
• 33:34
  Louise,
• 33:34
  that
• 33:34
  looks
• 33:34
  painful.
• 33:35
  Have
• 33:35
  you
• 33:35
  seen
• 33:35
  a
• 33:35
  dermatologist?
• 33:36
  Whereas
• 33:37
  if
• 33:37
  I
• 33:37
  tell
• 33:37
  you
• 33:37
  I
• 33:38
  feel
• 33:38
  so
• 33:38
  joyless
• 33:39
  and
• 33:39
  flat
• 33:39
  and
• 33:39
  low,
• 33:39
  you
• 33:40
  might
• 33:40
  go,
• 33:40
  oh,
• 33:40
  it's
• 33:40
  a
• 33:40
  bit
• 33:41
  awkward
• 33:41
  now.
• 33:41
  I
• 33:41
  don't
• 33:41
  quite
• 33:41
  know
• 33:41
  do
• 33:42
  what
• 33:42
  to,
• 33:42
  you
• 33:42
  know,
• 33:43
  but
• 33:44
  we
• 33:44
  need
• 33:44
  help.
• 33:44
  And
• 33:45
  I.
• 33:45
  And
• 33:45
  it.
• 33:45
  But
• 33:45
  it's
• 33:46
  pointing
• 33:46
  people
• 33:46
  to
• 33:46
  hormones.
• 33:47
  And,
• 33:48
  you
• 33:48
  know,
• 33:48
  people
• 33:48
  can
• 33:49
  still
• 33:49
  have
• 33:49
  psychiatric
• 33:50
  medication
• 33:50
  if
• 33:50
  they
• 33:51
  need
• 33:51
  it,
• 33:51
  but
• 33:52
  they
• 33:52
  can
• 33:52
  still
• 33:52
  have
• 33:52
  hormones
• 33:53
  as
• 33:53
  well.
• 33:53
  And
• 33:54
  I'm
• 33:54
  really
• 33:55
  saddened
• 33:55
  that
• 33:56
  psychiatrists
• 33:57
  are
• 33:57
  not
• 33:58
  approaching
• 33:58
  hormones
• 33:59
  in
• 33:59
  a
• 34:00
  really
• 34:01
  embrace
• 34:01
  of
• 34:01
  inclusive
• 34:02
  way.
• 34:02
  They're
• 34:03
  just
• 34:03
  going,
• 34:03
  oh,
• 34:03
  no,
• 34:03
  we
• 34:03
  don't
• 34:04
  prescribe
• 34:04
  hormones.
• 34:04
  Let's
• 34:05
  prescribe
• 34:05
  some
• 34:06
  more
• 34:06
  other
• 34:06
  drugs
• 34:06
  instead.
• 34:07
  Still,
• 34:08
  that's
• 34:08
  the
• 34:08
  crazy
• 34:09
  thing,
• 34:09
  too,
• 34:09
  that
• 34:09
  it's
• 34:10
  not
• 34:10
  treated
• 34:10
  holistically.
• 34:11
  You
• 34:11
  know,
• 34:12
  the
• 34:12
  mind,
• 34:12
  the
• 34:13
  body
• 34:13
  and
• 34:13
  all
• 34:14
  coming
• 34:14
  together.
• 34:14
  And
• 34:15
  it,
• 34:15
  like,
• 34:15
  it
• 34:15
  would
• 34:15
  be
• 34:16
  so
• 34:16
  much
• 34:16
  more
• 34:16
  helpful.
• 34:17
  Yeah.
• 34:17
  And
• 34:17
  I
• 34:17
  think
• 34:18
  it's
• 34:18
  getting
• 34:18
  worse
• 34:18
  because
• 34:19
  medicine's
• 34:19
  very
• 34:20
  siloed.
• 34:20
  You
• 34:20
  know,
• 34:20
  you
• 34:21
  have
• 34:21
  palpitations
• 34:21
  and
• 34:22
  you
• 34:22
  see
• 34:22
  A
• 34:22
  cardiologist,
• 34:23
  you
• 34:23
  have
• 34:23
  urinary
• 34:24
  tract
• 34:24
  infections,
• 34:25
  you'll
• 34:25
  see
• 34:25
  a
• 34:25
  urologist,
• 34:26
  you
• 34:26
  have
• 34:26
  worsening
• 34:27
  migraines,
• 34:27
  headaches,
• 34:27
  you'll
• 34:28
  see
• 34:28
  a
• 34:28
  neurologist,
• 34:29
  no
• 34:29
  one
• 34:29
  will
• 34:30
  think,
• 34:30
  well,
• 34:30
  what's
• 34:31
  joining
• 34:31
  the
• 34:31
  dots?
• 34:32
  What,
• 34:32
  what,
• 34:32
  what
• 34:32
  are
• 34:33
  the
• 34:33
  hormones
• 34:33
  in
• 34:33
  this
• 34:34
  lady?
• 34:34
  So
• 34:35
  then
• 34:35
  people
• 34:35
  are
• 34:35
  given
• 34:36
  a
• 34:36
  heart
• 34:36
  drug
• 34:37
  for
• 34:37
  their
• 34:37
  pelvic
• 34:38
  palpitations,
• 34:38
  antibiotics
• 34:39
  for
• 34:39
  urinary
• 34:40
  tract
• 34:40
  infections,
• 34:42
  often
• 34:42
  quite
• 34:42
  horrible
• 34:43
  drugs
• 34:43
  for
• 34:43
  migraines,
• 34:43
  you
• 34:44
  know,
• 34:44
  and
• 34:44
  so
• 34:45
  then
• 34:45
  people
• 34:45
  are
• 34:45
  getting
• 34:45
  side
• 34:46
  effects,
• 34:46
  they're
• 34:46
  getting
• 34:46
  other
• 34:47
  drugs.
• 34:47
  So,
• 34:48
  you
• 34:48
  know,
• 34:48
  and,
• 34:48
  and
• 34:49
  it's
• 34:49
  awful.
• 34:49
  Even
• 34:50
  if
• 34:50
  you
• 34:50
  think
• 34:50
  about
• 34:51
  pain.
• 34:52
  You
• 34:52
  know,
• 34:52
  people
• 34:53
  in
• 34:53
  menopause
• 34:53
  are
• 34:53
  far
• 34:54
  more
• 34:54
  likely
• 34:54
  to
• 34:54
  have
• 34:54
  chronic
• 34:55
  pain,
• 34:55
  they're
• 34:55
  far
• 34:55
  more
• 34:56
  likely
• 34:56
  to
• 34:56
  prescribe
• 34:57
  opioids
• 34:57
  and
• 34:58
  tramadol,
• 34:58
  highly
• 34:59
  addictive
• 34:59
  drugs
• 35:00
  that
• 35:00
  doctors
• 35:01
  are
• 35:01
  dishing
• 35:01
  out
• 35:01
  like
• 35:02
  Smarties.
• 35:03
  But
• 35:03
  you
• 35:03
  ask
• 35:03
  for
• 35:03
  some
• 35:04
  HRT
• 35:04
  and
• 35:05
  they'll
• 35:05
  be
• 35:05
  going,
• 35:05
  oh,
• 35:05
  oh,
• 35:06
  are
• 35:06
  you
• 35:06
  sure
• 35:07
  you
• 35:07
  want
• 35:07
  that?
• 35:07
  There's
• 35:07
  risk,
• 35:08
  risks.
• 35:08
  It's
• 35:08
  madness.
• 35:09
  Oh
• 35:10
  my
• 35:10
  gosh,
• 35:10
  it's
• 35:10
  absolute
• 35:11
  madness.
• 35:12
  So
• 35:12
  knowledge
• 35:13
  is
• 35:13
  power.
• 35:13
  So
• 35:14
  when
• 35:14
  a
• 35:14
  woman
• 35:14
  is
• 35:15
  going
• 35:15
  into
• 35:15
  her
• 35:15
  doctor
• 35:16
  and
• 35:16
  she's
• 35:16
  talking
• 35:17
  to
• 35:17
  her
• 35:17
  GP
• 35:18
  or
• 35:18
  her
• 35:18
  gynecologist
• 35:19
  and
• 35:19
  is,
• 35:20
  you
• 35:20
  know,
• 35:20
  in
• 35:20
  the
• 35:20
  throes
• 35:21
  of
• 35:21
  menopause
• 35:22
  and
• 35:22
  perimenopause,
• 35:23
  what
• 35:23
  should
• 35:23
  she
• 35:24
  be
• 35:24
  telling
• 35:24
  them
• 35:24
  or
• 35:25
  what
• 35:25
  should
• 35:25
  she
• 35:25
  be
• 35:25
  asking
• 35:26
  them,
• 35:27
  you
• 35:27
  know,
• 35:27
  if
• 35:27
  she's
• 35:27
  feeling
• 35:28
  dismissed?
• 35:28
  So
• 35:29
  the
• 35:29
  most
• 35:29
  important
• 35:29
  thing
• 35:30
  is
• 35:30
  having
• 35:30
  that
• 35:30
  knowledge
• 35:31
  before
• 35:31
  you
• 35:31
  go
• 35:31
  to
• 35:31
  a
• 35:32
  consultation.
• 35:32
  So,
• 35:33
  you
• 35:33
  know,
• 35:33
  download
• 35:34
  Balance,
• 35:34
  the
• 35:34
  free
• 35:35
  app
• 35:35
  that
• 35:35
  I
• 35:35
  created.
• 35:36
  Go
• 35:36
  to
• 35:36
  my
• 35:36
  website,
• 35:37
  drlouisenewson.co.uk,
• 35:38
  we've
• 35:39
  got
• 35:39
  lots
• 35:39
  of
• 35:39
  articles
• 35:40
  on
• 35:40
  there.
• 35:41
  Find
• 35:41
  something
• 35:41
  that
• 35:42
  resonates
• 35:42
  with
• 35:42
  you,
• 35:42
  but
• 35:43
  make
• 35:43
  sure
• 35:43
  it's
• 35:43
  evidence
• 35:43
  based
• 35:44
  information
• 35:44
  that's
• 35:45
  not
• 35:45
  biased
• 35:46
  as
• 35:46
  well.
• 35:47
  I
• 35:47
  don't
• 35:47
  do
• 35:47
  any
• 35:48
  paid
• 35:48
  work
• 35:48
  with
• 35:48
  pharma.
• 35:49
  Just
• 35:49
  for
• 35:49
  complete
• 35:50
  disclosure.
• 35:52
  Make
• 35:52
  sure
• 35:53
  that
• 35:53
  you're
• 35:53
  comfortable
• 35:54
  in
• 35:54
  your
• 35:54
  decision
• 35:55
  and
• 35:55
  then
• 35:55
  be
• 35:55
  really,
• 35:56
  you
• 35:56
  know,
• 35:56
  you
• 35:56
  might
• 35:56
  have
• 35:56
  to
• 35:57
  write
• 35:57
  things
• 35:57
  down.
• 35:57
  It
• 35:58
  can
• 35:58
  be
• 35:58
  quite
• 35:58
  intimidating
• 35:58
  going
• 35:59
  to
• 35:59
  see
• 35:59
  a
• 35:59
  doctor,
• 36:00
  but
• 36:00
  then
• 36:00
  just
• 36:01
  say,
• 36:01
  look,
• 36:02
  I
• 36:02
  think
• 36:02
  or
• 36:03
  I
• 36:03
  know
• 36:03
  that
• 36:03
  I'm
• 36:03
  menopausal
• 36:04
  or
• 36:04
  perimenopausal,
• 36:05
  I
• 36:06
  would
• 36:06
  like
• 36:06
  to
• 36:06
  try
• 36:06
  some
• 36:06
  hormones
• 36:07
  and
• 36:08
  then
• 36:08
  think
• 36:09
  about
• 36:10
  if
• 36:10
  people
• 36:11
  are
• 36:11
  scared
• 36:11
  or
• 36:11
  they're
• 36:12
  not
• 36:12
  prescribing,
• 36:12
  then
• 36:13
  I
• 36:13
  think
• 36:13
  we
• 36:13
  should
• 36:13
  be
• 36:14
  asking
• 36:14
  as
• 36:14
  patients,
• 36:15
  why
• 36:15
  are
• 36:16
  you
• 36:16
  not
• 36:16
  prescribing
• 36:17
  me
• 36:17
  an
• 36:17
  evidence
• 36:17
  based
• 36:18
  treatment?
• 36:18
  Why
• 36:18
  are
• 36:18
  you
• 36:19
  denying
• 36:19
  me
• 36:19
  a
• 36:19
  treatment
• 36:20
  that
• 36:20
  will
• 36:21
  reduce
• 36:21
  my
• 36:21
  risk
• 36:21
  of
• 36:22
  a
• 36:22
  heart
• 36:22
  attack
• 36:22
  and
• 36:23
  osteoporosis
• 36:24
  as
• 36:24
  well
• 36:24
  as
• 36:24
  help
• 36:25
  me
• 36:25
  feel
• 36:25
  better?
• 36:26
  Because
• 36:26
  I
• 36:27
  think
• 36:27
  the
• 36:27
  only
• 36:27
  way
• 36:28
  we
• 36:28
  can
• 36:28
  change
• 36:28
  the
• 36:29
  conversation
• 36:29
  with
• 36:30
  quickly
• 36:31
  is
• 36:31
  by
• 36:31
  women
• 36:32
  leading
• 36:32
  the
• 36:33
  consultations.
• 36:34
  And
• 36:34
  conversations,
• 36:35
  actually.
• 36:35
  But
• 36:35
  you
• 36:35
  have
• 36:36
  to
• 36:36
  have
• 36:36
  the
• 36:36
  knowledge
• 36:36
  first.
• 36:37
  But,
• 36:38
  you
• 36:38
  know,
• 36:38
  share
• 36:38
  your
• 36:39
  knowledge,
• 36:39
  go
• 36:40
  with
• 36:40
  someone
• 36:40
  else,
• 36:40
  go
• 36:40
  with
• 36:41
  a
• 36:41
  friend,
• 36:41
  go
• 36:41
  with
• 36:41
  a
• 36:42
  partner,
• 36:43
  and
• 36:43
  make
• 36:44
  sure
• 36:44
  that
• 36:44
  you
• 36:45
  make
• 36:45
  the
• 36:45
  right
• 36:45
  decisions
• 36:46
  for
• 36:46
  you.
• 36:46
  You
• 36:47
  know,
• 36:47
  we're
• 36:47
  all
• 36:47
  different.
• 36:47
  We're
• 36:48
  allowed
• 36:48
  to
• 36:48
  choose
• 36:48
  different
• 36:49
  things
• 36:49
  in
• 36:49
  life
• 36:49
  and
• 36:50
  we
• 36:50
  can
• 36:50
  choose
• 36:50
  about,
• 36:51
  you
• 36:51
  know,
• 36:51
  what
• 36:52
  we
• 36:52
  do
• 36:52
  with
• 36:52
  our
• 36:52
  hormonal
• 36:53
  health.
• 36:54
  Also
• 36:54
  knowing
• 36:55
  that
• 36:55
  you
• 36:55
  can
• 36:55
  change
• 36:55
  your
• 36:55
  mind
• 36:56
  at
• 36:56
  any
• 36:56
  time.
• 36:57
  So
• 36:57
  if
• 36:57
  you
• 36:57
  decide
• 36:58
  you
• 36:58
  want
• 36:58
  to
• 36:58
  stop
• 36:59
  your
• 36:59
  hormones
• 36:59
  or
• 36:59
  you
• 37:00
  don't
• 37:00
  want
• 37:00
  them
• 37:00
  now,
• 37:00
  but
• 37:01
  you
• 37:01
  might
• 37:01
  want
• 37:01
  them
• 37:01
  in
• 37:01
  a
• 37:01
  few
• 37:02
  years
• 37:02
  time,
• 37:02
  that's
• 37:03
  fine
• 37:03
  as
• 37:03
  well.
• 37:04
  It's
• 37:04
  not
• 37:04
  a
• 37:04
  decision
• 37:05
  that
• 37:05
  you've,
• 37:05
  you
• 37:06
  know,
• 37:06
  drawn
• 37:06
  out
• 37:07
  in
• 37:07
  black
• 37:07
  and
• 37:07
  white
• 37:07
  and
• 37:08
  you
• 37:08
  can't
• 37:08
  change.
• 37:09
  That's
• 37:09
  good
• 37:09
  to
• 37:09
  know.
• 37:09
  And
• 37:10
  are
• 37:10
  there
• 37:11
  any
• 37:11
  supplements
• 37:11
  that
• 37:12
  we
• 37:12
  should
• 37:12
  all
• 37:12
  have
• 37:12
  in
• 37:12
  our
• 37:13
  medicine
• 37:13
  cabinet
• 37:13
  that
• 37:14
  are
• 37:14
  not
• 37:14
  only
• 37:14
  effective
• 37:15
  but,
• 37:15
  you
• 37:16
  know,
• 37:16
  would
• 37:16
  be
• 37:17
  something
• 37:17
  that
• 37:17
  would
• 37:17
  carry
• 37:18
  us
• 37:18
  through?
• 37:18
  Yeah.
• 37:18
  So
• 37:19
  I
• 37:19
  would
• 37:19
  actually,
• 37:20
  as
• 37:20
  a
• 37:20
  rule
• 37:20
  of
• 37:20
  thumb,
• 37:21
  I
• 37:21
  would.
• 37:21
  Anything
• 37:21
  that's
• 37:22
  labeled
• 37:22
  menopause,
• 37:22
  I
• 37:23
  would
• 37:23
  just
• 37:23
  put
• 37:23
  in
• 37:24
  the
• 37:24
  bin
• 37:24
  because
• 37:24
  it's
• 37:24
  often
• 37:24
  marked
• 37:25
  marketing.
• 37:25
  We
• 37:26
  should
• 37:26
  all
• 37:26
  be
• 37:26
  taking
• 37:26
  vitamin
• 37:27
  D,
• 37:27
  actually.
• 37:28
  Vitamin
• 37:29
  D
• 37:29
  is
• 37:29
  really
• 37:29
  good
• 37:29
  for
• 37:30
  our
• 37:30
  bone
• 37:31
  health
• 37:31
  and
• 37:32
  reduces
• 37:32
  inflammation.
• 37:33
  And
• 37:33
  then
• 37:33
  it's
• 37:34
  very
• 37:34
  individualized.
• 37:35
  Actually.
• 37:35
  Some
• 37:35
  women
• 37:36
  choose
• 37:36
  to
• 37:36
  take
• 37:37
  probiotic
• 37:37
  or
• 37:38
  a
• 37:38
  fish
• 37:38
  oil,
• 37:39
  but
• 37:39
  I
• 37:39
  wouldn't
• 37:39
  take
• 37:40
  anything
• 37:40
  just
• 37:40
  because
• 37:41
  you're
• 37:41
  menopausal.
• 37:42
  And
• 37:43
  the
• 37:43
  connection
• 37:43
  between
• 37:44
  menopause
• 37:44
  and
• 37:44
  heart
• 37:45
  health
• 37:45
  is
• 37:45
  something
• 37:45
  that
• 37:46
  I
• 37:46
  think
• 37:46
  a
• 37:46
  lot
• 37:46
  of
• 37:46
  women
• 37:47
  overlook
• 37:48
  and
• 37:48
  they
• 37:48
  also
• 37:49
  go
• 37:49
  hand
• 37:49
  in
• 37:49
  hand.
• 37:50
  So
• 37:51
  keep
• 37:51
  up,
• 37:51
  I
• 37:51
  would
• 37:51
  say,
• 37:52
  I
• 37:52
  mean,
• 37:52
  if
• 37:52
  you
• 37:53
  would
• 37:53
  agree
• 37:53
  to
• 37:53
  keep,
• 37:54
  you
• 37:54
  know,
• 37:54
  the
• 37:54
  heart
• 37:54
  check
• 37:55
  and
• 37:55
  really
• 37:56
  paying
• 37:56
  attention
• 37:57
  to
• 37:57
  that
• 37:57
  as
• 37:57
  well,
• 37:58
  because
• 37:58
  I
• 37:58
  think
• 37:58
  that's
• 37:59
  something
• 37:59
  that's
• 37:59
  very
• 37:59
  overlooked
• 38:00
  and
• 38:00
  that's
• 38:01
  the
• 38:01
  number
• 38:01
  one
• 38:01
  killer
• 38:02
  of
• 38:02
  women.
• 38:02
  Yeah.
• 38:03
  So
• 38:03
  heart
• 38:03
  disease
• 38:03
  and
• 38:03
  dementia,
• 38:04
  number
• 38:04
  one
• 38:05
  killers
• 38:05
  globally.
• 38:06
  In
• 38:06
  women,
• 38:07
  we're
• 38:07
  five
• 38:08
  times
• 38:08
  more
• 38:09
  likely
• 38:09
  to
• 38:09
  have
• 38:09
  a
• 38:09
  heart
• 38:09
  attack
• 38:10
  when
• 38:10
  we're
• 38:10
  menopausal
• 38:11
  if
• 38:11
  we
• 38:11
  don't
• 38:11
  have
• 38:11
  hormones.
• 38:13
  Really
• 38:13
  important
• 38:14
  that
• 38:14
  we
• 38:14
  look
• 38:14
  at
• 38:14
  our
• 38:14
  blood
• 38:15
  pressure,
• 38:16
  you
• 38:16
  know,
• 38:16
  we
• 38:16
  make
• 38:16
  sure
• 38:17
  that
• 38:17
  our
• 38:17
  hearts
• 38:17
  are
• 38:17
  as
• 38:18
  healthy
• 38:18
  as
• 38:18
  possible
• 38:19
  as
• 38:19
  we
• 38:19
  age.
• 38:19
  Definitely,
• 38:20
  definitely.
• 38:21
  And
• 38:22
  what
• 38:22
  does
• 38:22
  thriving
• 38:23
  in
• 38:24
  midlife
• 38:24
  look
• 38:24
  to
• 38:25
  you?
• 38:25
  Just
• 38:25
  being
• 38:26
  the
• 38:26
  best
• 38:26
  version
• 38:26
  of
• 38:26
  yourself.
• 38:27
  I
• 38:27
  think
• 38:28
  the
• 38:28
  whole
• 38:28
  midlife
• 38:29
  is
• 38:29
  a.
• 38:29
  It's
• 38:29
  a
• 38:29
  difficult
• 38:30
  word,
• 38:30
  isn't
• 38:30
  it?
• 38:30
  Because
• 38:30
  when's
• 38:31
  the
• 38:31
  middle
• 38:31
  of
• 38:31
  our
• 38:31
  lives?
• 38:32
  Like,
• 38:32
  who
• 38:32
  knows?
• 38:32
  We
• 38:32
  haven't
• 38:33
  got
• 38:33
  crystal
• 38:33
  ball,
• 38:34
  but
• 38:34
  I
• 38:34
  think,
• 38:35
  you
• 38:35
  know,
• 38:35
  I.
• 38:35
  I'm
• 38:36
  quite
• 38:36
  a
• 38:36
  macabre
• 38:37
  person.
• 38:37
  Sadly.
• 38:38
  My
• 38:38
  father
• 38:38
  died
• 38:38
  when
• 38:39
  I
• 38:39
  was
• 38:39
  very
• 38:39
  young
• 38:39
  and
• 38:40
  every
• 38:40
  day
• 38:40
  could
• 38:41
  be
• 38:41
  our
• 38:41
  last.
• 38:41
  So
• 38:41
  we've
• 38:42
  got
• 38:42
  to
• 38:42
  make
• 38:42
  the
• 38:42
  most
• 38:43
  of
• 38:43
  it.
• 38:43
  We
• 38:43
  can't
• 38:43
  Be
• 38:43
  thinking,
• 38:44
  well,
• 38:45
  I'll
• 38:45
  do
• 38:45
  this
• 38:45
  in
• 38:45
  the
• 38:45
  future
• 38:46
  or
• 38:46
  maybe
• 38:46
  I'll
• 38:46
  take
• 38:47
  up
• 38:47
  exercise
• 38:47
  in
• 38:47
  future,
• 38:48
  or
• 38:48
  maybe
• 38:48
  I'll
• 38:48
  change
• 38:49
  my
• 38:49
  diet
• 38:49
  or
• 38:49
  maybe
• 38:49
  I'll
• 38:50
  change
• 38:50
  my
• 38:50
  job
• 38:51
  or
• 38:51
  whatever,
• 38:51
  or
• 38:52
  think
• 38:52
  about
• 38:52
  hormones
• 38:53
  in
• 38:53
  the
• 38:53
  future.
• 38:53
  We've
• 38:53
  got
• 38:53
  to
• 38:54
  put
• 38:54
  ourselves
• 38:54
  first.
• 38:55
  And
• 38:55
  I
• 38:55
  think
• 38:56
  one
• 38:56
  of
• 38:56
  the
• 38:56
  big
• 38:56
  things
• 38:57
  is
• 38:57
  just
• 38:57
  to
• 38:57
  be
• 38:57
  a
• 38:57
  bit
• 38:58
  selfish,
• 38:58
  actually.
• 38:59
  Put
• 38:59
  ourselves
• 39:00
  first,
• 39:00
  think
• 39:01
  about
• 39:01
  what
• 39:01
  we're
• 39:01
  going
• 39:02
  to
• 39:02
  do.
• 39:02
  Because
• 39:02
  if
• 39:02
  we
• 39:03
  are
• 39:03
  the
• 39:03
  more
• 39:04
  healthy
• 39:04
  version
• 39:04
  of
• 39:04
  ourselves,
• 39:05
  we
• 39:05
  can
• 39:05
  then
• 39:05
  look
• 39:06
  after
• 39:06
  other
• 39:06
  people.
• 39:07
  And
• 39:07
  that's
• 39:07
  really
• 39:07
  important.
• 39:08
  Absolutely.
• 39:09
  And
• 39:09
  what
• 39:10
  does
• 39:10
  living
• 39:10
  an
• 39:10
  iconic
• 39:11
  midlife
• 39:12
  look
• 39:12
  like
• 39:12
  to
• 39:13
  you?
• 39:13
  Oh,
• 39:13
  I
• 39:13
  wish
• 39:13
  I
• 39:13
  knew.
• 39:14
  If
• 39:14
  I
• 39:14
  knew,
• 39:14
  I
• 39:14
  could
• 39:14
  tell
• 39:15
  you.
• 39:15
  I
• 39:15
  think
• 39:16
  being
• 39:16
  true
• 39:17
  to
• 39:17
  yourself
• 39:17
  and
• 39:18
  not
• 39:18
  comparing
• 39:18
  yourself
• 39:19
  with
• 39:19
  others,
• 39:20
  it's
• 39:20
  so
• 39:20
  easy
• 39:21
  as
• 39:21
  middle
• 39:21
  aged
• 39:21
  women
• 39:22
  to
• 39:22
  compare
• 39:22
  ourselves
• 39:23
  with
• 39:23
  others
• 39:23
  and
• 39:24
  think
• 39:24
  that
• 39:24
  we're
• 39:25
  not
• 39:25
  good
• 39:25
  enough.
• 39:25
  We
• 39:26
  haven't
• 39:26
  got
• 39:26
  this,
• 39:26
  we
• 39:26
  haven't
• 39:27
  done
• 39:27
  this.
• 39:28
  But
• 39:28
  we've
• 39:28
  got
• 39:28
  to
• 39:28
  be
• 39:28
  comfortable
• 39:29
  in
• 39:29
  our
• 39:29
  own
• 39:29
  skin,
• 39:30
  otherwise
• 39:30
  we'll
• 39:31
  just.
• 39:31
  It
• 39:32
  can
• 39:32
  torment
• 39:32
  us.
• 39:33
  And
• 39:33
  what
• 39:33
  is
• 39:34
  one
• 39:34
  midlife
• 39:35
  rule
• 39:35
  that
• 39:35
  you
• 39:35
  are
• 39:35
  breaking?
• 39:36
  Oh,
• 39:37
  people
• 39:37
  have
• 39:38
  called
• 39:38
  me
• 39:38
  a
• 39:38
  disruptor,
• 39:39
  but
• 39:39
  I
• 39:39
  used
• 39:39
  to
• 39:39
  be
• 39:39
  quite
• 39:40
  good
• 39:40
  at.
• 39:40
  I
• 39:41
  was
• 39:41
  never
• 39:41
  a
• 39:41
  naughty
• 39:42
  person
• 39:42
  at
• 39:42
  school,
• 39:43
  but
• 39:44
  I
• 39:44
  don't
• 39:44
  like
• 39:45
  there's
• 39:45
  no
• 39:45
  boundaries.
• 39:46
  I
• 39:46
  think
• 39:46
  what
• 39:47
  we
• 39:47
  can
• 39:47
  do
• 39:47
  now
• 39:49
  in
• 39:49
  this
• 39:50
  sort
• 39:50
  of
• 39:50
  modern
• 39:50
  world
• 39:51
  with
• 39:51
  social
• 39:51
  media,
• 39:52
  with
• 39:52
  media,
• 39:52
  I
• 39:52
  mean,
• 39:52
  look
• 39:52
  at
• 39:53
  us
• 39:53
  doing
• 39:53
  a
• 39:53
  podcast.
• 39:54
  We're
• 39:54
  not
• 39:54
  even
• 39:54
  in
• 39:54
  the
• 39:54
  same
• 39:55
  room.
• 39:55
  We
• 39:55
  couldn't
• 39:56
  have
• 39:56
  done
• 39:56
  that
• 39:56
  before.
• 39:57
  So
• 39:57
  I
• 39:58
  think
• 39:59
  disrupting
• 40:00
  is
• 40:00
  something
• 40:00
  that
• 40:01
  I'm
• 40:01
  doing
• 40:01
  but
• 40:01
  with
• 40:02
  other
• 40:02
  women.
• 40:02
  I'm
• 40:03
  carrying
• 40:03
  women
• 40:03
  with
• 40:03
  me
• 40:03
  in
• 40:04
  everything
• 40:04
  that
• 40:04
  I
• 40:04
  do
• 40:05
  and
• 40:05
  that
• 40:05
  makes
• 40:05
  it
• 40:05
  really
• 40:06
  enjoyable.
• 40:06
  It
• 40:06
  is.
• 40:07
  It's
• 40:07
  such
• 40:07
  a
• 40:07
  wonderful
• 40:08
  feeling
• 40:08
  to
• 40:08
  know
• 40:09
  that
• 40:09
  there's
• 40:09
  a
• 40:09
  community
• 40:10
  behind
• 40:10
  you.
• 40:11
  And
• 40:11
  what
• 40:12
  advice
• 40:12
  would
• 40:12
  you
• 40:12
  give
• 40:13
  your
• 40:13
  25
• 40:13
  year
• 40:14
  old
• 40:14
  self?
• 40:15
  Oh,
• 40:15
  well,
• 40:15
  this
• 40:15
  is
• 40:15
  interesting
• 40:16
  because
• 40:16
  I've
• 40:16
  got
• 40:16
  three
• 40:16
  daughters,
• 40:17
  my
• 40:17
  oldest
• 40:17
  one's
• 40:18
  22.
• 40:19
  I
• 40:19
  would
• 40:20
  just
• 40:20
  be
• 40:20
  more
• 40:20
  kick
• 40:21
  ass.
• 40:21
  I
• 40:21
  would
• 40:21
  be
• 40:22
  making
• 40:22
  sure
• 40:23
  that
• 40:23
  I
• 40:23
  really
• 40:24
  knew
• 40:25
  as
• 40:25
  much
• 40:25
  as
• 40:25
  possible
• 40:26
  about
• 40:26
  my
• 40:26
  hormones.
• 40:27
  So
• 40:27
  my
• 40:27
  oldest
• 40:28
  daughter
• 40:28
  takes
• 40:28
  hormones,
• 40:29
  she
• 40:29
  takes
• 40:29
  natural
• 40:30
  hormones
• 40:30
  and
• 40:30
  lots
• 40:31
  of
• 40:31
  her
• 40:31
  friends
• 40:31
  are
• 40:31
  taking
• 40:32
  synthetic
• 40:32
  contraception
• 40:34
  or
• 40:34
  they're
• 40:34
  feeling
• 40:34
  dreadful.
• 40:35
  And
• 40:35
  she
• 40:35
  said
• 40:35
  to
• 40:36
  them
• 40:36
  the
• 40:36
  other
• 40:36
  day,
• 40:36
  do
• 40:36
  you
• 40:36
  know
• 40:37
  what,
• 40:37
  guys?
• 40:37
  I
• 40:38
  feel
• 40:38
  the
• 40:38
  same
• 40:38
  every
• 40:38
  day
• 40:39
  of
• 40:39
  my
• 40:39
  cycle.
• 40:40
  Like
• 40:40
  I
• 40:40
  don't
• 40:40
  even
• 40:41
  know
• 40:41
  where
• 40:41
  my
• 40:41
  cycle
• 40:42
  is
• 40:42
  because
• 40:42
  I
• 40:42
  feel
• 40:42
  great
• 40:43
  every
• 40:43
  day.
• 40:43
  And
• 40:43
  they
• 40:43
  were
• 40:44
  like,
• 40:44
  no,
• 40:44
  how,
• 40:45
  how
• 40:45
  does
• 40:45
  that
• 40:46
  happen?
• 40:47
  And
• 40:47
  they're
• 40:47
  like,
• 40:47
  let
• 40:48
  me
• 40:48
  let,
• 40:48
  like
• 40:49
  tell
• 40:49
  me
• 40:49
  the
• 40:49
  secret,
• 40:49
  Jess.
• 40:50
  It's
• 40:50
  like,
• 40:50
  well,
• 40:50
  just
• 40:51
  Google
• 40:51
  my
• 40:51
  mom
• 40:51
  and
• 40:52
  you'll
• 40:52
  find
• 40:52
  out
• 40:52
  about
• 40:53
  hormones.
• 40:54
  So,
• 40:54
  you
• 40:54
  know,
• 40:54
  no
• 40:54
  one's
• 40:55
  too
• 40:55
  young
• 40:55
  to
• 40:56
  have
• 40:56
  this
• 40:56
  conversation.
• 40:57
  And
• 40:58
  I
• 40:58
  think
• 40:59
  even
• 40:59
  as
• 40:59
  a
• 40:59
  young
• 41:00
  person,
• 41:00
  if
• 41:00
  you're
• 41:01
  helping
• 41:01
  your
• 41:01
  parent,
• 41:02
  your
• 41:02
  auntie,
• 41:03
  your
• 41:03
  teacher,
• 41:04
  someone
• 41:04
  you
• 41:05
  work
• 41:05
  with,
• 41:05
  or
• 41:05
  for
• 41:06
  you
• 41:06
  as
• 41:06
  you
• 41:06
  become
• 41:07
  older,
• 41:08
  or
• 41:08
  looking
• 41:08
  around
• 41:08
  and
• 41:08
  helping
• 41:09
  your
• 41:09
  friends,
• 41:10
  you
• 41:10
  know,
• 41:10
  Jessica's
• 41:11
  helped
• 41:11
  a
• 41:11
  lot
• 41:11
  of
• 41:11
  friends
• 41:12
  who
• 41:12
  have
• 41:12
  been
• 41:12
  on
• 41:13
  antidepressants,
• 41:13
  all
• 41:14
  sorts,
• 41:14
  and
• 41:14
  now
• 41:14
  they're
• 41:15
  on
• 41:15
  hormones.
• 41:16
  So
• 41:16
  being
• 41:17
  really,
• 41:17
  you
• 41:17
  know,
• 41:18
  inquisitive,
• 41:19
  because
• 41:19
  that's
• 41:20
  how
• 41:20
  this
• 41:20
  conversation
• 41:21
  about
• 41:21
  hormones
• 41:21
  is
• 41:21
  changing,
• 41:22
  because
• 41:22
  women
• 41:22
  are
• 41:22
  asking
• 41:23
  the
• 41:23
  right
• 41:23
  questions.
• 41:24
  And
• 41:25
  if
• 41:26
  somebody
• 41:26
  is
• 41:26
  starting
• 41:27
  natural
• 41:27
  hormones
• 41:28
  that
• 41:28
  young,
• 41:29
  does
• 41:29
  that
• 41:29
  substitute
• 41:30
  for
• 41:30
  contraception
• 41:31
  or
• 41:32
  is
• 41:32
  it
• 41:32
  just
• 41:32
  to
• 41:32
  keep
• 41:32
  hormones?
• 41:33
  This
• 41:33
  is
• 41:33
  a
• 41:33
  whole
• 41:34
  other
• 41:34
  conversation
• 41:34
  because
• 41:35
  what's
• 41:35
  very
• 41:35
  interesting
• 41:36
  is
• 41:36
  that
• 41:36
  HRT
• 41:37
  has
• 41:37
  never
• 41:37
  been
• 41:37
  tested
• 41:38
  as
• 41:38
  a
• 41:38
  contraception.
• 41:39
  But
• 41:40
  we
• 41:40
  have
• 41:40
  to
• 41:40
  remember,
• 41:40
  when
• 41:41
  contraception
• 41:41
  was
• 41:41
  launched
• 41:42
  in
• 41:42
  the
• 41:42
  60s,
• 41:42
  it
• 41:43
  was
• 41:43
  never
• 41:43
  tested
• 41:43
  as
• 41:44
  contraception.
• 41:44
  It
• 41:44
  was
• 41:45
  only
• 41:45
  to
• 41:45
  help
• 41:45
  our
• 41:45
  periods.
• 41:46
  But
• 41:47
  because
• 41:47
  the
• 41:47
  drug
• 41:47
  companies
• 41:48
  knew
• 41:48
  they'd
• 41:48
  make
• 41:48
  a
• 41:48
  lot
• 41:49
  of
• 41:49
  money,
• 41:49
  they
• 41:49
  changed
• 41:49
  the
• 41:49
  licensing
• 41:50
  without
• 41:50
  the
• 41:50
  evidence.
• 41:52
  So,
• 41:52
  you
• 41:52
  know,
• 41:53
  but
• 41:53
  with
• 41:53
  a
• 41:54
  lot
• 41:54
  of
• 41:54
  people
• 41:54
  now,
• 41:54
  younger
• 41:55
  people
• 41:55
  will
• 41:55
  go
• 41:56
  for
• 41:56
  a
• 41:56
  coil,
• 41:56
  even
• 41:57
  a
• 41:57
  copper
• 41:57
  coil,
• 41:57
  for
• 41:58
  example,
• 41:58
  to
• 41:58
  use
• 41:58
  that
• 41:59
  as
• 41:59
  contraception.
• 42:00
  And
• 42:00
  then
• 42:00
  if
• 42:01
  they
• 42:01
  have
• 42:01
  PMS
• 42:02
  or
• 42:02
  PMDD
• 42:03
  like
• 42:04
  my
• 42:04
  daughter
• 42:04
  has,
• 42:04
  they
• 42:04
  might
• 42:05
  use
• 42:05
  natural
• 42:05
  hormones
• 42:06
  just
• 42:06
  to
• 42:06
  top
• 42:07
  up
• 42:07
  their
• 42:07
  own
• 42:07
  hormones.
• 42:08
  So
• 42:09
  they're
• 42:09
  still
• 42:09
  having
• 42:09
  hormones,
• 42:10
  but
• 42:10
  they're
• 42:10
  just
• 42:10
  having
• 42:10
  a
• 42:10
  low
• 42:11
  dose
• 42:11
  to
• 42:11
  just
• 42:11
  top
• 42:12
  up
• 42:12
  and
• 42:12
  regulate
• 42:13
  their
• 42:13
  own
• 42:13
  hormones
• 42:14
  in
• 42:14
  a
• 42:14
  natural
• 42:14
  way.
• 42:15
  Because
• 42:15
  if
• 42:15
  they're
• 42:16
  given
• 42:16
  synthetic
• 42:17
  hormones,
• 42:17
  they'll
• 42:17
  block
• 42:18
  their
• 42:18
  natural
• 42:18
  hormones
• 42:18
  and
• 42:19
  often
• 42:19
  make
• 42:19
  them
• 42:20
  feel
• 42:20
  worse.
• 42:20
  So
• 42:21
  it's
• 42:21
  a
• 42:21
  different
• 42:21
  way
• 42:21
  of
• 42:21
  thinking
• 42:22
  about
• 42:22
  hormones.
• 42:23
  Oh,
• 42:23
  that's
• 42:23
  fascinating.
• 42:24
  And
• 42:24
  I
• 42:24
  bet
• 42:24
  she
• 42:25
  feels
• 42:25
  so
• 42:25
  much
• 42:25
  better,
• 42:25
  too.
• 42:26
  Yes,
• 42:26
  she
• 42:26
  does.
• 42:26
  She
• 42:27
  absolutely
• 42:27
  does.
• 42:27
  And
• 42:27
  she
• 42:27
  has
• 42:28
  really
• 42:28
  bad
• 42:28
  migraines,
• 42:29
  so
• 42:29
  that
• 42:29
  really
• 42:30
  helps
• 42:30
  with
• 42:30
  migraines
• 42:30
  as
• 42:31
  well.
• 42:31
  Dr.
• 42:32
  Newson,
• 42:32
  this
• 42:32
  has
• 42:33
  been
• 42:33
  the
• 42:33
  most
• 42:33
  informative
• 42:34
  hour.
• 42:35
  Thrilled
• 42:36
  to
• 42:37
  have
• 42:37
  had
• 42:37
  you
• 42:37
  on
• 42:37
  the
• 42:37
  iconic
• 42:38
  midlife.
• 42:38
  No
• 42:39
  doubt
• 42:39
  our
• 42:39
  audience
• 42:40
  will
• 42:40
  just
• 42:41
  resonate
• 42:42
  so
• 42:42
  much
• 42:42
  with
• 42:42
  this
• 42:43
  episode.
• 42:43
  So
• 42:44
  I
• 42:44
  thank
• 42:44
  you
• 42:44
  so
• 42:45
  much
• 42:45
  for
• 42:45
  your
• 42:45
  knowledge,
• 42:46
  for
• 42:46
  inviting
• 42:47
  me.
• 42:47
  It's
• 42:47
  been
• 42:47
  a
• 42:47
  lot
• 42:47
  of
• 42:48
  fun.
• 42:48
  Thank
• 42:48
  you.
• 42:49
  Absolutely.
• 42:49
  And
• 42:49
  can
• 42:50
  you
• 42:50
  tell
• 42:50
  the
• 42:50
  audience
• 42:50
  where
• 42:51
  they
• 42:51
  can
• 42:51
  find
• 42:51
  you?
• 42:51
  Yeah,
• 42:51
  the
• 42:51
  easiest
• 42:52
  thing
• 42:52
  is
• 42:52
  just
• 42:52
  go
• 42:52
  to
• 42:52
  my
• 42:53
  website.
• 42:53
  So
• 42:53
  it's
• 42:53
  Dr.
• 42:54
  Doctorlouisenewson.co.uk
• 42:56
  and
• 42:57
  then
• 42:57
  I've
• 42:57
  got
• 42:57
  all
• 42:58
  my
• 42:58
  resources
• 42:58
  and
• 42:59
  information
• 42:59
  there.
• 43:00
  Thank
• 43:00
  you,
• 43:00
  Dr.
• 43:01
  Newson,
• 43:01
  for
• 43:01
  sharing
• 43:02
  your
• 43:02
  wisdom,
• 43:03
  your
• 43:03
  knowledge
• 43:03
  and
• 43:04
  your
• 43:04
  amazing
• 43:04
  expertise
• 43:05
  with
• 43:05
  us
• 43:05
  today
• 43:06
  on
• 43:06
  the
• 43:06
  iconic
• 43:07
  midlife.
• 43:08
  And
• 43:08
  thank
• 43:08
  you
• 43:09
  to
• 43:09
  the
• 43:09
  audience
• 43:09
  for
• 43:09
  listening
• 43:10
  to
• 43:10
  the
• 43:10
  iconic
• 43:11
  midlife.
• 43:11
  If
• 43:12
  today's
• 43:12
  episode
• 43:13
  made
• 43:13
  you
• 43:13
  laugh,
• 43:14
  think,
• 43:15
  or
• 43:15
  feel
• 43:16
  a
• 43:16
  little
• 43:16
  more
• 43:16
  like
• 43:16
  a
• 43:17
  powerhouse,
• 43:17
  because
• 43:18
  you
• 43:18
  are,
• 43:19
  follow
• 43:20
  the
• 43:20
  show
• 43:20
  on
• 43:21
  your
• 43:21
  favorite
• 43:21
  podcast.
• 43:22
  App
• 43:22
  and
• 43:23
  leave
• 43:23
  us
• 43:23
  a
• 43:23
  five
• 43:23
  star
• 43:24
  review.
• 43:24
  Wink
• 43:25
  wink.
• 43:26
  New
• 43:26
  episodes
• 43:27
  drop
• 43:27
  here
• 43:27
  every
• 43:28
  week
• 43:28
  and
• 43:28
  you
• 43:29
  can
• 43:29
  catch
• 43:29
  the
• 43:29
  full
• 43:30
  video
• 43:30
  version
• 43:31
  on
• 43:31
  YouTube
• 43:31
  tomorrow.
• 43:33
  For
• 43:33
  more
• 43:33
  behind
• 43:33
  the
• 43:34
  scenes
• 43:34
  sneak
• 43:34
  peeks
• 43:35
  and
• 43:35
  iconic
• 43:36
  inspo,
• 43:37
  follow
• 43:37
  us
• 43:37
  on
• 43:38
  social
• 43:38
  media
• 43:39
  at
• 43:39
  theiconicmidlife.
• 43:41
  You
• 43:42
  can
• 43:42
  also
• 43:42
  follow
• 43:42
  me
• 43:43
  too.
• 43:43
  Redcarpetroxy
• 43:45
  and
• 43:45
  that's
• 43:45
  with
• 43:46
  a
• 43:46
  Y.
• 43:47
  Stay
• 43:47
  bold,
• 43:47
  stay
• 43:48
  loud
• 43:48
  and
• 43:48
  stay
• 43:49
  iconic.