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How One Doctor Prescribed Herself a New Life · I Choose Me with Jennie Garth

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  Speaker 1: You're listening to I Choose Me with Jenny Girl. Welcome
• 0:09
  Speaker 1: to I Choose Me, the podcast about chasing joy, finding purpose,
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  Speaker 1: and embracing reinvention.
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  Speaker 2: Dr.
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  Speaker 1: Sonia Singla is with me to bring her perspective in
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  Speaker 1: both Western medicine and Ayurvedic practice for our health.
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  Speaker 3: Hello, Dr.
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  Speaker 1: Sonia.
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  Speaker 2: Hi, thanks so much for having me.
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  Speaker 1: Okay, you started a center for women. How many years
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  Speaker 1: ago was it and what made you want to do
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  Speaker 1: this and why?
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  Speaker 2: Yeah, you know, what's amazing about midlife is that you
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  Speaker 2: really use all the experiences and sort of they culminate
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  Speaker 2: into this thing that you couldn't have ever imagined, right?
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  Speaker 2: So I was 39 years old and I went through
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  Speaker 2: premature menopause. So not perimenopause, but actual menopause. I had
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  Speaker 2: three young kids, a young husband, I was running a business,
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  Speaker 2: and I just was not prepared for the cascade of
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  Speaker 2: symptoms that ensued. I was a doctor, so you would
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  Speaker 2: think that I would be able to sort of figure
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  Speaker 2: this out. I went to lots of well-meaning physicians and colleagues,
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  Speaker 2: and no one put anything together. My frozen shoulder, my
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  Speaker 2: new onset glaucoma, my plantar fasciitis, my chronic bronchitis. You
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  Speaker 2: name it, I had it.
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  Speaker 3: Wait, is all of that from menopause?
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  Speaker 2: All of that was.
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  Speaker 1: And tell me, wait, you said also you skipped perimenopause
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  Speaker 1: and went straight to menopause.
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  Speaker 2: I just, you know, I don't know why, but for
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  Speaker 2: whatever reason, the normal age of menopause is about 51
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  Speaker 2: years old. So anywhere between 45 and 55 is considered normal,
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  Speaker 2: you know, menopause age. I, for whatever reason that is
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  Speaker 2: still unknown to me, I went through menopause at 39.
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  Speaker 2: And so I had just had my last baby not
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  Speaker 2: that long ago. So I was really confused and hadn't
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  Speaker 2: learned anything about menopause in my medical school training. And so, right. Yes.
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  Speaker 2: And things are changing and I'm glad we're having this conversation,
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  Speaker 2: but you know, 15 years ago, this just was not
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  Speaker 2: a thing that was talked about. And, And doctors just
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  Speaker 2: didn't really understand. And so when I went in for
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  Speaker 2: my frozen shoulder, it was like, well, I guess you
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  Speaker 2: might need surgery. When I went in for my chronic bronchitis,
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  Speaker 2: it was like, well, you have adult onset asthma. And
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  Speaker 2: I was like, well, that doesn't make any sense. And
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  Speaker 2: they're like, well, but you grew up in Ohio and
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  Speaker 2: you moved to California. So it's a different climate. I
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  Speaker 2: was like, 25 years ago, I moved from Ohio to California.
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  Speaker 2: So this doesn't make any sense. And so I really
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  Speaker 2: pushed back. And I just was sort of met with
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  Speaker 2: a shrug. And, you know, and so as women do
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  Speaker 2: when they're dismissed, we just sort of take things into
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  Speaker 2: our own hands. And I wrote myself a prescription for
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  Speaker 2: hormone replacement therapy. I didn't know what I was doing.
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  Speaker 2: And I felt better. I did. But I didn't feel
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  Speaker 2: like myself. You know, I was still really struggling day
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  Speaker 2: to day. And I thought about a time in my
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  Speaker 2: life when I felt nourished, when I sort of felt whole.
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  Speaker 2: And that was childhood. My grandmother lived with me until
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  Speaker 2: she died. She was from India. She didn't speak any English.
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  Speaker 2: And so we had this like wonderful relationship that consisted of,
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  Speaker 2: you know, intermingling of language, you know, like mining things
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  Speaker 2: to each other and cooking. And so I thought, oh, well,
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  Speaker 2: it's because I was a child and I was lucky
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  Speaker 2: enough to have, you know, a decent childhood. So I
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  Speaker 2: felt nourished. But then when I really peeled back the layers,
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  Speaker 2: when I was in the hospital, you know, for 20 years,
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  Speaker 2: I was a clinical researcher. And I saw that women
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  Speaker 2: were just not getting the care that they needed. You know,
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  Speaker 2: so many women were just getting hysterectomy sort of left
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  Speaker 2: and right without really deepening the understanding of why women
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  Speaker 2: had all these symptoms. They were taking care of everyone else.
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  Speaker 2: You know, all the things that we do during the
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  Speaker 2: time of the sandwich generation where we're taking care of our,
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  Speaker 2: our elderly parents and our young children. And I just
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  Speaker 2: saw so many women struggling. And so with that, with
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  Speaker 2: sort of feeling like, okay, when I was a child out,
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  Speaker 2: I felt whole, I went down this path of Ayurveda.
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  Speaker 2: And that's when I really began to feel like myself again,
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  Speaker 2: to feel like, okay, I can get through this. I
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  Speaker 2: was really young. And so I was forced to sort
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  Speaker 2: of deal with it. And, um, I realized that my
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  Speaker 2: friends who now are going through it in their 50s
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  Speaker 2: sometimes say, well, it's age. You know, there's nothing I
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  Speaker 2: can do. It's aging. And so I felt like, no,
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  Speaker 2: that's not true. This is a physiologic change in life.
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  Speaker 2: There are things that you can do.
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  Speaker 3: And so I have a question about that.
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  Speaker 1: What is it that Ayurvedic for people that don't know
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  Speaker 1: that's based in Indian medicine?
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  Speaker 2: Correct. That's a great question. So Ayurveda literally means the
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  Speaker 2: science of life, right? It's a 5,000-year-old system of medicine
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  Speaker 2: that really looks at the daily rituals of life in
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  Speaker 2: terms of health, getting to the root cause. So it's
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  Speaker 2: not just symptom management. It's about, okay, how do you eat?
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  Speaker 2: How do you nourish yourself? How do you move your body?
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  Speaker 2: How do you sleep? How do you breathe?
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  Speaker 1: It feels like such a more personal sort of like
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  Speaker 1: deep dive experience. into the core of what your humanness
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  Speaker 1: is and what your body needs, whereas Western medicine is
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  Speaker 1: more symptomatic or let's give you medicine, let's give you
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  Speaker 1: a prescription for something.
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  Speaker 2: Absolutely, you just nailed it.
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  Speaker 1: I know a lot of people are scared about the
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  Speaker 1: idea of alternative medicine and science medicine or the merging,
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  Speaker 1: smirging of those two worlds. What do you recommend to people?
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  Speaker 2: You know, I think my father framed my life sort
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  Speaker 2: of best. He said, take the best and leave the rest, right?
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  Speaker 2: And so in my whole life, I've sort of, you know, parent,
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  Speaker 2: you know, my parenting style, the child of immigrants, it's
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  Speaker 2: always been really trying to live that out. And so
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  Speaker 2: I think you can look at Western medicine and all
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  Speaker 2: the wonderful things that it's brought us, right? We're living
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  Speaker 2: longer and that's because of clean water and, you know,
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  Speaker 2: sanitation and medication and surgery and all of those wonderful things.
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  Speaker 2: So women are living so much longer, but how are
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  Speaker 2: they living? What's their quality of life? Every time a
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  Speaker 2: patient comes into my office, I say there's three things,
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  Speaker 2: there's three takeaways from today, right? Inflammation is the core
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  Speaker 2: driver of disease. How do we bring down your inflammation?
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  Speaker 2: This decade of perimenopause and menopause, let's say, you know, forties, fifties,
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  Speaker 2: even early sixties, that is a time where, where disease
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  Speaker 2: state accelerates. How do we slow that down? Right. And
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  Speaker 2: then lastly, what is your quality of life? What do
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  Speaker 2: you want this next chapter to look like? And so
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  Speaker 2: in a way, you know, my, my, my patients ask me, well, why,
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  Speaker 2: why does this happen to women? Why does this not
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  Speaker 2: happen to men? And I really didn't have a great answer.
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  Speaker 2: You know, there's all these hypotheses, the grandmother hypothesis, you know, um,
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  Speaker 2: But why doesn't it pertain to men? And then I
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  Speaker 2: realized sort of this forced reckoning, right? When we're in menopause,
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  Speaker 2: we're sort of forced to sort of step back and say, okay,
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  Speaker 2: my body's not working the way it used to. What
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  Speaker 2: can I do?
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  Speaker 1: What can I do?
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  Speaker 2: But beyond that, how do I live life more intentionally?
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  Speaker 2: How do I live inside myself with purpose? So when
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  Speaker 2: I look at Eastern and Western medicine, it's not about
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  Speaker 2: choosing sides. It's about sort of integrating both of those.
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  Speaker 2: I want to, when I give a medication to a patient,
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  Speaker 2: I want that rigorous science. I want that clinical study
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  Speaker 2: behind it to say, okay, the risk benefit ratio. I
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  Speaker 2: always say to my patients, okay, if I'm going to
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  Speaker 2: give you a medication, I want to make sure that
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  Speaker 2: that risk benefit ratio really looks like here's the benefits
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  Speaker 2: and here's the risks. I don't want it to look
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  Speaker 2: like that, right? And when I say, when I talk
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  Speaker 2: about the quality of your life, right, I don't need
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  Speaker 2: a Harvard study to say that, Meditation calms you. We
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  Speaker 2: don't need a clinical trial to know that loneliness hurts, right?
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  Speaker 2: And community heals. We know that in our hearts, women's
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  Speaker 2: intuition is so strong. And so when we talk about
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  Speaker 2: lived experience and wisdom, that's really kind of what Ayurveda is, right?
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  Speaker 2: It's sort of like connecting back with yourself. It's your
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  Speaker 2: I choose me. It's so much about kind of realizing
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  Speaker 2: that all the things that we know... Sleep, you know, movement, exercise, breathing.
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  Speaker 2: We've known that, you know, our whole lives.
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  Speaker 1: So you created a place where women can go and
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  Speaker 1: get the best of all the things without the worst.
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  Speaker 2: That's right. That's the hope. Yes.
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  Speaker 1: What does a woman experience when she comes in? I mean,
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  Speaker 1: I love it that you had this drive to make
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  Speaker 1: this place for women and out of need. But what's
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  Speaker 1: it like if I'm a new person and I come
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  Speaker 1: in and what am I going to experience?
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  Speaker 2: Yeah. And so we always say, so one of the things,
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  Speaker 2: you know, that there's tension between Western and Eastern medicine
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  Speaker 2: is time. Right. So. In Western medicine, it's like, okay,
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  Speaker 2: you come in for a quick visit. Here's your, you know,
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  Speaker 2: you have a biochemical imbalance. We're going to give you
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  Speaker 2: a biochemical medication to fix it. Okay. In and out
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  Speaker 2: symptom control, like you talked about, right? In Ayurvedic medicine
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  Speaker 2: or Eastern medicine, we need time to sort of say, okay,
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  Speaker 2: let's talk about this. How are you feeling? You know,
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  Speaker 2: how are you sleeping? How's your sex life? All of
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  Speaker 2: these things, you know, where's the stillness in your body?
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  Speaker 2: When do you find time to do that? And so
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  Speaker 2: I need that time with patients and the patients need
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  Speaker 2: to have the time to be able to do some
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  Speaker 2: of the work.
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  Speaker 3: And so when you come in and out situation, it's.
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  Speaker 2: Not an in and out. And so I say that
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  Speaker 2: first appointment is two hours. And so you come in,
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  Speaker 2: you know, I give you a cup of tea, which
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  Speaker 2: is cumin, cardamom, fennel, cinnamon, you know, just to sort
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  Speaker 2: of ground you. I think white coat syndrome is very real, right?
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  Speaker 2: White coat syndrome is when you come into the doctor's
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  Speaker 2: office and your blood pressure goes up.
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  Speaker 3: Yeah, and you forget everything you want to ask.
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  Speaker 2: And you forget everything. You're like, exactly. Good thing for
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  Speaker 2: chat GPT now because people can pull it up on
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  Speaker 2: their phones if they don't remember. But I say, okay,
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  Speaker 2: you're going to come in. You're going to sit down
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  Speaker 2: and have a cup of tea for five minutes. I'm
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  Speaker 2: not going to kill you with all this paperwork. You're
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  Speaker 2: just going to relax and breathe. And then we start
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  Speaker 2: with an in-body exam, right? Which this in-body machine, it
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  Speaker 2: gives me their skeletal muscle. It gives me their visceral fat.
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  Speaker 2: It gives me a lot of information about where their
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  Speaker 2: body is in this point in time. And I always
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  Speaker 2: say that in-body is going to be our roadmap. We're
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  Speaker 2: going to sort of look at it every month and
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  Speaker 2: see where you are because we're no longer chasing a
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  Speaker 2: number on the scale. I don't care about your weight, right?
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  Speaker 2: It's about how much muscle you have, how much visceral fat,
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  Speaker 2: which is inflammatory, how can we decrease that?
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  Speaker 1: Can you decrease visceral fat?
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  Speaker 3: I'm asking for a friend.
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  Speaker 2: Yes, you can. It's really hard because estrogen is a
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  Speaker 2: great regulator. And once we lose that estrogen, that visceral
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  Speaker 2: fat starts to go up. And the reason is visceral
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  Speaker 2: fat makes a little bit of estrogen. Not a lot,
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  Speaker 2: but once our body stops producing it from our ovaries,
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  Speaker 2: You know, our body is a great compensatory mechanism. You know,
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  Speaker 2: that's the thing our body wants to do right by us.
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  Speaker 2: So it thinks it's doing a good job. But really
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  Speaker 2: what visceral fat is doing is making this little bit
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  Speaker 2: of estrogen that we don't really use. It's not the
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  Speaker 2: kind that we really use. We like estradiol. But in
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  Speaker 2: the meantime, it's kicking out inflammatory markers. Right. So again, right.
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  Speaker 2: Inflammation is the core driver of disease. The things that
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  Speaker 2: we can do. Yes. If hormone replacement therapy is right
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  Speaker 2: for you, that's great to bring back a little bit
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  Speaker 2: of estrogen. You know, I microdose GLP-1s for my patient
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  Speaker 2: to sort of bring that inflammation down. We do sound bath,
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  Speaker 2: you know, to bring down your inflammation. Sound bath?
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  Speaker 1: If you guys have not done a sound bath, just
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  Speaker 1: try it. First of all, if you don't like it,
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  Speaker 1: you can just go to sleep.
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  Speaker 2: That's right. That's exactly right.
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  Speaker 3: Just lay there, go to sleep.
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  Speaker 1: But there's something so healing about that. I love that
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  Speaker 1: you bring it all together under one roof. But what
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  Speaker 1: if somebody can't get to your roof? What if they're
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  Speaker 1: across the country? Do you have like a couple of
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  Speaker 1: things that people can do that are going through it
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  Speaker 1: to help themselves get back to themselves?
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  Speaker 2: Yes. And I would say, start with the basic lab panel.
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  Speaker 2: We want to see your lipid profile. We want to
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  Speaker 2: see your thyroid. We want to see your iron levels. Obviously,
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  Speaker 2: your hemoglobin A1C. We want those cardiometabolic markers. We want
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  Speaker 2: a baseline to see where you are and if we
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  Speaker 2: have if we have some historical data to see if
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  Speaker 2: you're creeping up, you know, in the direction we don't want.
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  Speaker 2: So baseline labs are great, right? And we can get
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  Speaker 2: those easily from Quest or LabCorp, wherever your local lab is. Okay.
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  Speaker 1: Do you need a doctor just to prescribe that?
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  Speaker 2: You do need to, yes. You know, you need to
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  Speaker 2: get a lab form, right?
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  Speaker 1: And you could probably do that online too nowadays, a
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  Speaker 1: doctor visit.
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  Speaker 2: That's absolutely right. And then I would say, you know,
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  Speaker 2: sort of figure out, okay, where am I? Am I
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  Speaker 2: in perimenopause? Am I in late perimenopause? I always tell
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  Speaker 2: my patients, you know, when you're in perimenopause, every year
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  Speaker 2: you get closer to menopause, things are going to change.
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  Speaker 2: We're going to tweak things. Your periods are going to change.
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  Speaker 2: And so find a doctor that can sort of work
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  Speaker 2: with you. That's probably not just once a year. You're
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  Speaker 2: going to need sort of frequent check-ins, right? If you
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  Speaker 2: can't do a sound bath, you know, I am all
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  Speaker 2: about you know, multitasking, even though we shouldn't optimizing our time,
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  Speaker 2: because the reality is as women, we're busy, right? We
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  Speaker 2: have to drive our kids around. We have doctor's appointments.
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  Speaker 2: We have to take our parents to, there's just not
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  Speaker 2: enough time in the day. I say, take a candle,
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  Speaker 2: light that candle. People will say, it's so hard for
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  Speaker 2: me to meditate. I'm like, I get it. My mind
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  Speaker 2: is going, you know, a million miles a minute all
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  Speaker 2: the time. And I really hard to bring that down.
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  Speaker 2: I light that candle and I say, just look at
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  Speaker 2: the candle flame and breathe for like three minutes, four minutes.
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  Speaker 1: I just took a breath for, I think, the first
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  Speaker 1: time in like two hours when you said that.
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  Speaker 3: I imagine myself doing it. Right.
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  Speaker 2: Imagine yourself just looking at that flame. You don't even
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  Speaker 2: have to close your eyes. So you're just breathing. You're
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  Speaker 2: looking at that flame.
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  Speaker 3: And that's like bringing me back to myself.
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  Speaker 2: That's bringing you back to yourself. And that's it. And
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  Speaker 2: I'll say, you know, before school pick up, do that
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  Speaker 2: for five minutes, you know, close your eyes for a
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  Speaker 2: few minutes, and then you'll sort of see that flame
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  Speaker 2: in your third eye. Focus on that. Blow out that
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  Speaker 2: candle and go about your day.
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  Speaker 1: Those are great tips.
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  Speaker 2: And there's things that you can do at home, right?
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  Speaker 2: A heated yoga mat is just so soothing. You can
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  Speaker 2: get on that at the end of the day, take
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  Speaker 2: some deep breaths. I just bought this machine. It's called
• 15:56
  Speaker 2: shift wave and it's a lawn chair and you sit
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  Speaker 2: on it and it vibrates and we put these headphones
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  Speaker 2: on and it takes you through a guided meditation. And
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  Speaker 2: so while I have an Ayurvedic practitioner who's doing all
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  Speaker 2: these body treatments and does the sound bath and has
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  Speaker 2: the gongs, I also know that these modern technologies, sometimes
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  Speaker 2: people need them because they need the quick 20 minutes.
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  Speaker 2: And so I'll say, okay, all you have is 20
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  Speaker 2: minutes in my office. I'm going to put you on
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  Speaker 2: that chair and We'll do a daytime meditation and then
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  Speaker 2: we'll send you on your way.
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  Speaker 1: And you'll just feel better. These are all great ideas.
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  Speaker 1: Before I let you go, I have to ask you, Dr.
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  Speaker 1: Sonia Singla, what was your last I Choose Me moment?
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  Speaker 2: I love this question. So I walked out of the
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  Speaker 2: Miracle Center last week and I was rushing to get home.
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  Speaker 2: I was tired. I had a long day, emotionally drained,
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  Speaker 2: all the things. And so I was going to my car.
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  Speaker 2: I put my purse down. I turned around and I said,
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  Speaker 2: just look, just look at the sky. Look at that
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  Speaker 2: blue sky and those fluffy clouds. As a girl from Cleveland, Ohio,
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  Speaker 2: I dreamt of moving to California, right? from your show, 90210,
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  Speaker 2: from Knott's Landing, like all I did was as a
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  Speaker 2: teenage girl was think, how can I get myself to California, right?
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  Speaker 2: I got here. And then I looked at the Marigold
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  Speaker 2: Center and I saw, you know, the writing on the wall,
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  Speaker 2: the writing on the window. And I looked at my
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  Speaker 2: office and I said, I created this, right? I sort
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  Speaker 2: of imagined this. I dreamt it. I worked so hard
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  Speaker 2: and take a moment and just look at it and
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  Speaker 2: honor that young, girl who had all these dreams and
• 17:42
  Speaker 2: didn't know if any of them were going to come true. And,
• 17:44
  Speaker 2: you know, some of them did and some of them didn't,
• 17:46
  Speaker 2: but this one did. And take a minute for yourself
• 17:49
  Speaker 2: and just enjoy it.
• 17:51
  Speaker 3: Right.
• 17:51
  Speaker 1: That's a great one. Just in the middle of it all,
• 17:54
  Speaker 1: just take a beat and appreciate where you are, how
• 17:58
  Speaker 1: far you've come.
• 17:58
  Speaker 3: I love that one.
• 18:00
  Speaker 2: Dr.
• 18:00
  Speaker 1: Sonia Singla, it's been an honor to have you here.
• 18:03
  Speaker 1: I want to tell everybody about the Marigold Center, which
• 18:06
  Speaker 1: is in Pasadena, California. I need to come to you.
• 18:11
  Speaker 1: I've been putting it off, but now I need to
• 18:14
  Speaker 1: get in there and like, you know, figure some things out.
• 18:18
  Speaker 2: It's going to be great.
• 18:20
  Speaker 3: Expect some calls from me.
• 18:22
  Speaker 2: Wonderful.
• 18:23
  Speaker 1: Thank you so much for joining us. And how can
• 18:25
  Speaker 1: people reach you?
• 18:28
  Speaker 2: You know, I'm on the interweb. So the Marigold Center.
• 18:32
  Speaker 3: The World Wide Web?
• 18:34
  Speaker 2: The World Wide Web.
• 18:35
  Speaker 1: Yep.
• 18:36
  Speaker 2: The marigoldc.com. And I'm on Instagram and I would love
• 18:41
  Speaker 2: to see you. I do telehealth as well. But, you know,
• 18:44
  Speaker 2: there's a lot of there's a lot of good resources
• 18:47
  Speaker 2: out there. I just urge women to sort of take
• 18:50
  Speaker 2: control of their care and remember that there is there's
• 18:55
  Speaker 2: just there's hope on the other side. And there's so
• 18:58
  Speaker 2: much that you can do. Look at all the things
• 19:01
  Speaker 2: that you've done. you know, in your midlife. There's so
• 19:03
  Speaker 2: much joy and creativity on the other side of it.
• 19:06
  Speaker 2: And I just want women to be able to tap
• 19:08
  Speaker 2: into that.
• 19:09
  Speaker 1: Oh, great. You're such a great person. Thank you for
• 19:12
  Speaker 1: coming on and telling us about this.
• 19:14
  Speaker 3: And I'm definitely intrigued. I'm going to look up the
• 19:17
  Speaker 3: Marigold Center. Okay. Look her up, everybody. You want to
• 19:19
  Speaker 3: know what she's doing. Thank you so much.
• 19:22
  Speaker 2: Thank you.