Latest / The Iconic Midlife with Roxy Manning / World-Renowned Menopause Expert Dr. Louise Newson: What Every Woman Over 40 Needs to Know

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World-Renowned Menopause Expert Dr. Louise Newson: What Every Woman Over 40 Needs to Know · The Iconic Midlife with Roxy Manning

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