Latest / Cultural Wars | America Out Loud News / Why no one is talking about perimenopause (and why it matters)
Transcript
- 0:06Welcome to the unto take a deep breath.
- 0:11Take the higher roll.
- 0:13That's what they always say.
- 0:14Let's see if they know the way.
- 0:16They won't take it from me.
- 0:20Don't ever dive himself with swiping juice and dream.
- 0:24You made your own so kid can scream.
- 0:29With a never ending force.
- 0:31You never had the chance.
- 0:33So watch it with calm my friend because this is whoa.
- 0:44It's time.
- 0:54Hey guys, and welcome back to the Nurses Report on America Out Loud.
- 0:59I'm your host, Ashley Caputo, registered nurse and functional medicine practitioner.
- 1:05I am also founder of Rooted Wellness, Functional Health.
- 1:10I created that business to help women, specifically 35 and up experiencing symptoms with menopause, perimenopause, and help you just bring some balance and restore balance back into your life.
- 1:25I bring that up today because that is the topic we are diving into perimenopause, because it doesn't get talked about the way that it should.
- 1:47Women in their 30s and 40s, they walk around exhausted, anxious, overstimulated, gaining weight, not sleeping, feeling completely unlike themselves.
- 2:03And then going to the doctor and being told your labs are normal, you're just stressed.
- 2:11Maybe you need an antidepressant.
- 2:14Here's a little sleeping pill to help.
- 2:16And listen, I'm not anti-medication.
- 2:19I think there's a time and a place, right?
- 2:21But I do think that we over-medicate and we inappropriately medicate.
- 2:44You know, and what bothers me is when no one stops and they just think, why?
- 2:51Why is this happening?
- 2:52Why is she feeling this way?
- 2:54And get to the root cause.
- 2:56And that's what functional medicine is all about, right?
- 2:59Getting to the root cause of what's going on.
- 3:03So like, why are there so many women suddenly anxious in their 30s and 40s?
- 3:10Maybe they've never had anxiety before, they've never had any of these issues, and then all of a sudden, you deal with anxiety on a daily basis, mood swings, your tolerance level, your patience is just not there.
- 3:25Why are women waking up at 3 a.m.
- 3:28every single night disrupting your sleep?
- 3:32Why are women used to being able?
- 3:35Or sorry, why are women able to to lose weight previously, right?
- 3:40Like I remember in my 20s and stuff.
- 3:44If I had like an event coming up, you just drop 10 pounds, no big deal.
- 3:49And then you hit 30 and it becomes a little bit harder.
- 3:52Then you hit 40.
- 3:54And guys, it it's almost like it's impossible.
- 3:57No matter what you do, you can't get rid of the weight.
- 4:02And a lot of the time, the answer is perimenopause.
- 4:06It has something to do with your hormones.
- 4:08Your body's just changing, it's different than it used to be.
- 4:12You go to the doctor and they say, well, calories in versus calories out.
- 4:18So you know, eat less and move more, and it fixes everything.
- 4:22And that's just so far from the truth.
- 4:25It's such bad advice, and I it absolutely drives me insane when doctors say that.
- 4:36And doctors have told me that.
- 4:38You know, after my second baby, I went to the doctor because I thought I was just I was being a good person, right?
- 4:45I'm like, I'm I should have a primary care doctor.
- 4:47And I just I didn't have one.
- 4:49I'd been pregnant, you know.
- 4:51Um my oldest is seven.
- 4:54I had him two years later.
- 4:55I was pregnant again, and then um, you know, so I mostly saw my my midwife and and OBs, and I never had a primary care doctor, so I thought, why not?
- 5:07I should have one, right?
- 5:08So I went to the doctor and he asked, you know, do you have any concerns?
- 5:12And I said, Well, you know, I had a really great pregnancy.
- 5:18I lost a lot of weight after I had the baby, but then all of a sudden something switched.
- 5:26It it just it was like a light switch, and I went from being able to maintain a healthy weight and have energy and feeling good, to all of a sudden I gained all this weight to where I ended up weighing more after my second pregnancy than I weighed during my pregnancy.
- 5:47And so I told him I was like, look, I I didn't really change much.
- 5:51I mean, yes, I'm under stress, you have a baby, it was breastfeeding, trying to work, doing all the things.
- 5:58So, yeah, stress played a factor, lack of sleep, but nothing that really should have been impacting my weight so much.
- 6:06So his solution was two things.
- 6:10Eat less and move more.
- 6:12You're probably just eating too many calories.
- 6:19Well, when you're done breastfeeding, come back in and we'll get you on a weight loss medication.
- 6:25That was it.
- 6:26That's what he told me.
- 6:28You know, no, like let's check your labs, like you know, make sure your thyroids are working, let's see what your hormones are doing.
- 6:35Nothing.
- 6:37I had to request labs, and he didn't even run everything that I requested.
- 6:43I wanted a fasting insulin.
- 6:45He he wouldn't run that.
- 6:46I wanted a full thyroid panel.
- 6:49He wouldn't do that.
- 6:50He only checked TSH.
- 6:52I asked for a hemoglobin A1C.
- 6:55He did throw that on there, although he said he only does that for people that are diabetic.
- 7:00People that are diabetic.
- 7:02And my labs came back.
- 7:02And my labs came back.
- 7:06He sent me a message in the portal, and he said, Everything's fine.
- 7:06He sent me a message in the portal, and he said, Everything's fine, you're good.
- 7:09You're good.
- 7:11And I messaged him back, and I said, Okay, but none of this addresses why I'm having trouble losing weight.
- 7:11And I messaged him back and I said, okay, but none of this addresses why I'm having trouble losing weight.
- 7:17He said, like I said at our appointment, you are probably overeating.
- 7:17He said, like I said at our appointment, you are probably overeating.
- 7:23You need to log your food, count your calories, and move more.
- 7:23You need to log your food, count your calories, and move more.
- 7:30Get to the gym.
- 7:33So, you know, I said, let me entertain this because I knew for a fact I was not overeating calories.
- 7:40I barely ate because I was so busy.
- 7:42I had two kids.
- 7:44When do you have time to eat?
- 7:45Right?
- 7:45You feed everybody else, and then you hope to get some scraps in at some point.
- 7:50So I personally felt like I was probably under eating.
- 7:55So he said, you know what?
- 7:57Let me log my food.
- 7:59And I did it for two weeks.
- 8:00I logged my food and I sent him the results.
- 8:03I said, I want you to take a look at what I'm eating on a daily basis.
- 8:07Plus, I'm chasing two kids around, and I do work out at home, and I do have a gym membership.
- 8:17So you tell me how I need to eat less and move more.
- 8:22And he responded back, and he said, Well, then I guess you should see an endocrinologist.
- 8:29End of story.
- 8:30That was it.
- 8:32I've never felt so dismissed and unheard than I did in those moments, right?
- 8:40Because the doctor just completely disregarded anything could be going on with me.
- 8:52And not once did he ever talk about like, well, let's talk about your protein intake, or where are you getting your calories?
- 9:00I see that your calories are low.
- 9:02Where are these calories coming from?
- 9:04How much protein are you getting?
- 9:06None of that was addressed.
- 9:08All he cared about was how many calories I was taking in on a day.
- 9:13And that is just so far removed from what we need to be focusing on, especially women that are in their 30s and 40s.
- 9:25And I mean, this goes for women in their 50s and 60s too.
- 9:28But a lot of the times you depending on when you go into to menopause, right?
- 9:34Which menopause definition is when you have not had a period in a year.
- 9:40So for a lot of women, perimenopause definition is just the time prior to menopause.
- 9:49So for a lot of women, you're actually in perimenopause for a really long time 10, 20 years sometimes.
- 9:57And all of this means is it's kind of like this general term that your hormones are changing, right?
- 10:04Like, I mean nobody really sits down to focus on what this means for you as a whole person, body, mind, soul, you know, uh they just know that that your hormones are changing, you're going towards menopause, you'll be there soon.
- 10:24And it's just it's so frustrating because this is something that really impacts women's everyday lives.
- 10:33And a lot of the times women don't even realize what's happening, why it's happening, um, because they think, well, I'm in my 30s, I'm not even close to menopause yet.
- 10:46I I've talked to some women and I asked them, I said, what do you think perimenopause is?
- 10:55And some of the responses I've gotten were pretty shocking.
- 10:59Um, but not really, you know, I mean I I just I thought there was more of an understanding, but when you really think about it, where would people get this information?
- 11:10I mean, unless you're getting it, you know, from from Instagram and and TikTok, you know, you have a lot of women talking about it now, which I think it's great to get it out there and and talk about it, but you do have to make sure that you are, you know, getting your information from good sources.
- 11:28And I do feel like um, and maybe it's just me and and and how I grew up, but I feel like our mom's generation didn't really talk about this.
- 11:40But you always hear about like mom's happy pill, right?
- 11:44Like they they talk about like Prozac.
- 11:46I think there used to be a trend with like Valium, you know, and moms took it to kind of calm their anxiety, calm them down, and to be able to deal with the kids and life and all the things that life throws at you.
- 11:58But I kind of wonder, you know, were women really struggling during perimenopause and just nobody was really addressing it, talking about it, or even knew that it was even happening.
- 12:12And when you do talk about things like these, you hear people talk about menopause, right?
- 12:18You hear you hear I'm going through the change and you're having hot flashes, maybe mood swings, but nobody really stops and explains perimenopause because it's not just about hot flashes, it's not just about mood swings, there's so much more to it.
- 12:39Nobody explained that hormone changes, like I said, these start years before menopause.
- 12:46And honestly, I think a lot of women, you know, they assume if you're still having a regular cycle, then it can't be hormones, it's not perimenopause.
- 12:56Meanwhile, you're struggling with exhaustion, maybe you're snapping at everybody, you're overstimulated constantly.
- 13:07Y'all, I can attest to this.
- 13:09This is something that I've never really experienced before, but I constantly feel overstimulated.
- 13:18Things that, you know, I have multiple things going on.
- 13:21I've always been somebody who multitasks, and uh, like for example, from an early age, I've always had like three jobs.
- 13:31I've never just had one job.
- 13:33I've always worked multiple jobs.
- 13:35Maybe I have a like um some side gig I'm doing, or I have some project I'm doing, or I taught Zumba for a while.
- 13:43I did all these things, and it was never overwhelming.
- 13:46I mean, I'd have busy days.
- 13:48Sometimes I'd be like, man, I'm I'm exhausted, you know, overwhelmed if you have when I was in nursing school and you have um a test coming up or something, but easily manageable.
- 14:00I was able to tolerate it just fine.
- 14:00I was able to tolerate it just fine, and now just everyday life stuff, you know, like, oh, I have to make breakfast and make coffee and feed the dogs, and then that seems like it's too much.
- 14:03And now just everyday life stuff, you know, like, oh, I have to make breakfast and make coffee and feed the dogs.
- 14:12And then that seems like it's too much.
- 14:16And I've I've never been like that.
- 14:16And I've I've never been like that.
- 14:18And that's something that I'm really struggling with because I don't like it.
- 14:18And that's something that I'm really struggling with because I don't like it.
- 14:23I like to be able to do a bunch of things and to handle it and tolerate it and just get through it and be fine.
- 14:23I like to be able to do a bunch of things and to handle it and tolerate it and just get through it and be fine.
- 14:30Um, but things are changing, right?
- 14:33So I'm I'm having to accept that and address it in different ways rather than just get frustrated with myself.
- 14:41Another thing women go through is you gain a lot of belly weight.
- 14:47Um everybody throughout life, right?
- 14:50Like you you gain weight, you lose weight.
- 14:52Some people have been skinny their whole lives, some people have struggled with having extra weight on, but it seems like when you start once you hit that 30 marker, when you do gain weight, even if your weight's just kind of fluctuating, it's all around your belly, which is really dangerous.
- 15:08It's not a good place for you to be gaining weight.
- 15:12And then the sleep struggles come in.
- 15:15So you've you've probably, if you're like me, I started having kids later in life.
- 15:20So I still have little kids, but they finally sleep through the night.
- 15:25Nobody's waking me up in the middle of the night, but now I wake up in the middle of the night.
- 15:30So I remember those early years, you know, with the kids.
- 15:35And you just kind of push through the newborn phase, and you're like, one day it's not gonna be like this.
- 15:40One day I will get to sleep, right?
- 15:43You know, one day I'm gonna be able to sleep through the night, no one's gonna be waking me up.
- 15:49And then that finally happens, and now here comes perimenopause, like waking you up in the middle of the night.
- 15:55And it can be hormone like cortisol fluctuation.
- 15:59It can also be due to blood sugar.
- 16:01So those are some of the two like main causes.
- 16:04But a lot of women in perimenopause just struggle with insomnia altogether.
- 16:08Like maybe you can't fall asleep or you can't stay asleep, you wake up in the middle of the night and you can't go back to sleep.
- 16:15It's it can be a real struggle, and then that just adds on to you feeling stressed, to you feeling overwhelmed, to you having that anxiety, the brain fog, which is another one, you know, you experience brain fog, um, a loss of motivation, too.
- 16:35And this one um gets women in trouble because they finally open up and they talk to their doctor about it and they tell them, you know, hey, I um I I've been struggling with motivation.
- 16:50I I I just don't have a lot of motivation anymore.
- 16:53I'm not sleeping well, I'm exhausted all the time, I just don't feel like doing anything.
- 16:59And the first thing the doctor does is say, well, let's get you on an antidepressant.
- 17:05And I see this all the time.
- 17:07Women come to me for help, and when we're going over their meds, you know, they tell me that their doctor put them on an antidepressant because they've never in their life had depression and just all of a sudden really started um feeling this this depression and have no idea where it came from.
- 17:30So they put them on an antidepressant and they give them something to help them sleep, you know, and it it's crazy to me because nobody's really addressing like maybe you do need an antidepressant, although I I'm not a big fan, but you know, I'm not here to tell people what they they need or or or don't need.
- 17:51Um, I think these drugs are overprescribed, and I think they can be very dangerous um if not used properly and if not dosed properly, and and there's a lot of side effects that come with them.
- 18:04So that's that's a show for another time.
- 18:06We could talk about that.
- 18:08But you know, these these drugs are just thrown at women, like here, this is gonna fix all your problems.
- 18:14And I've never understood prescribing an antidepressant and never requiring the person to attend therapy.
- 18:24You know, an antidepressant is not meant to just fix all of your problems.
- 18:29You have to do work along with it.
- 18:32So, you know, these these primary care providers are prescribing these drugs that they really just shouldn't be prescribing, and there's no follow-up or follow-through with these medications.
- 18:44And I I just think that it's a recipe for disaster, but that's that's kind of my opinion.
- 18:50Another symptom um women experience is anxious, anxiety.
- 18:55And not really a reason.
- 18:57Maybe you've never struggled with anxiety, and now all of a sudden you are.
- 19:01You know, and I think as women, what do we do?
- 19:04We blame ourselves, we feel guilty about it.
- 19:07I'm not a good enough mom, I'm not a good enough wife, you know, I can't handle why can't I handle everything?
- 19:14Why can't I keep the house clean?
- 19:17You know, you're trying to do everything, and you just feel like you're failing.
- 19:21And and women tell me that.
- 19:23I felt that, you know, you feel like you're just you're a failure.
- 19:28You are fail failing at mom life, you're failing at being a wife, you're failing at just life in general.
- 19:35You don't feel like yourself, you know.
- 19:39It it's it's uh it's an odd feeling to feel like a completely different person, and then to just not know what's wrong with you, right?
- 19:49Like that's that's hard to walk around with to have all these feelings and just not know what's wrong.
- 19:55And a lot of the times, um women won't tell anybody.
- 20:00I mean, men for that matter, you know, when you when you have these feelings, uh depression, anxiety and and and just feeling overstimulated, you know, whoever's experiencing these are embarrassing feelings and kind of taboo at times, and so people keep it to themselves and and don't tell anybody, and so then you're not getting help.
- 20:23It it should be more of a conversation for women.
- 20:29I think when you go to your OB doctor, right?
- 20:32Like you go get your your pap smear or whatever, and you're there, like there should be an assessment.
- 20:40The last time I saw a gynecologist, she asked, she said, Well, how are your cycles?
- 20:47I said, Well, they're pretty regular, 27 days, give or give or take one or two days.
- 20:53And she said, Are they really heavy?
- 20:55I said, No, just the the first day.
- 20:58That's it.
- 20:59And then she said, Oh, okay, you're good.
- 21:00And she said, Oh, okay, you're good.
- 21:02I said, Well, you know, I'm in my 40s now.
- 21:02I said, Well, you know, I'm in my 40s now.
- 21:06I'm pretty sure I'm going through perimenopause.
- 21:06I'm pretty sure I'm going through perimenopause.
- 21:10She said, Well, no, your cycles are regular.
- 21:10She said, Well, no, your cycles are regular.
- 21:12You're fine.
- 21:12You're fine.
- 21:14And that was it.
- 21:14And that was it.
- 21:15End of conversation.
- 21:15End of conversation.
- 21:18No other questions about depression, anxiety, um, gaining weight, difficulty sleeping.
- 21:18No other questions about depression, anxiety, um, gaining weight, difficulty sleeping.
- 21:24None of these.
- 21:24None of these.
- 21:25None of that was assessed.
- 21:25None of that was assessed.
- 21:27And I think that's um.
- 21:27And I think that's um, I think that's just an important part of any assessment.
- 21:34Any assessment, whether you're a gynecologist, primary care doctor, psychiatrist, whatever you are, like those are basic things that you would you would talk about.
- 21:46So this is uh the point where women, I think they usually start thinking, maybe I am I am depressed, maybe I'm just lazy.
- 21:56You know, I'm just getting older.
- 21:58And then you start internalizing that.
- 22:01You start blaming yourselves.
- 22:02Meanwhile, your body, your body is screaming for support, and you are ignoring all the signals.
- 22:13You know, your body's sending out SOS signals, and you're just kind of writing it off, maybe taking a pill to try to suppress it.
- 22:22And honestly, a lot of women are just carrying around so much, you know, and there's so much expected of us, and not that there's not expectations for men, don't get me wrong.
- 22:35Dads and husbands, they have high expectations on themselves as well.
- 22:40And you know, for women, we're the the caregivers, we um we carry babies for goodness sakes, you know.
- 22:50We we create and grow an entire human and raise them for women that don't have children.
- 22:58Maybe you're career driven and and you've been you know putting so much pressure on yourself to be successful, and that's not easy either, or you're doing both, you're raising children and going after a career.
- 23:12Then you have the house to take care of, a husband to take care of, and you know, you have all of these things, and we put a lot on ourselves and you carry it around because you know that that's what's expected of you, and that's what you expect from yourself, and so you never ask for help, and you just feel like you're drowning, right?
- 23:35I've been there, guys.
- 23:37I I felt that I've I felt like I am drowning in life, and there is just no life preserver being thrown out, and you just can't figure out why.
- 23:51You know, I mean, it it and then you see all these um these wellness uh influencers out there, eat more protein, do this, do that, and you're trying to do all the things, and you get the red light, and you put the stuff on your face, and you you know, you do all the things and you still just feel like you're failing.
- 24:13On that note, we are actually gonna jump to a break.
- 24:17I didn't even see the time.
- 24:19Um, hopefully when we come back, uh Amy is gonna be joining me.
- 24:23She is wrapped up right now.
- 24:24Y'all, that's a whole nother podcast, too.
- 24:27Um, we are in battle right now for her son getting his IVIG.
- 24:32So um, we kind of needed a break from talking about that today, but we will get you guys updated on that.
- 24:40So we're gonna hop into a break, and hopefully, when we come back, Amy might be on with me.
- 24:45Um, otherwise she's still on hold and she won't be able to jump on.
- 24:49But hang in there with me, guys.
- 24:51When we get back, we'll dive more into perimenopause.
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- 26:56America Out Loud Doc News is that place to awaken your heart, soul, and mind to the all-about truth.
- 27:09Okay, guys, welcome back to the Nurses Report on America Out Loud.
- 27:14I'm so glad you're here with me today.
- 27:16Again, I'm your host, Ashley Caputo.
- 27:19And at some point, Amy might pop in um as a guest.
- 27:23So she was she was scheduled to be with us today to kind of dive into this and bring a different perspective of dealing with with perimenopause.
- 27:33But um, again, she is she is in battle right now for her son to get the medications he needs and deserves.
- 27:42Um, I'm right there with her, helping, and it's y'all, it's an uphill battle, and we just keep getting stonewalled.
- 27:50So it's it's um it's been quite the adventure, and we will we'll have to do an episode updating um all of our listeners on what's going on, but I kind of needed a break, talking from it and dealing with it because it's something that that we've been dealing with um morning tonight, every single day.
- 28:00On what's going on, but I kind of needed a break talking from it and dealing with it because it's something that we've been dealing with morning to night, every single day.
- 28:14So I was like, let me shift gears and just talk about something I'm really passionate about.
- 28:15So I was like, let me shift gears and just talk about something I'm really passionate about.
- 28:19So I was like, let's let's talk about perimenopause because it's something that I work with clients one-on-one together with them.
- 28:19So I was like, let's let's talk about perimenopause because it's something that I work with clients one on one together with them.
- 28:28Um, and and I work.
- 28:28Um and I work with clients that uh that are needing all sorts of different things, right?
- 28:34But like my specialty is I want to be a place that women can come to feel safe, feel heard, not get dismissed, and be able to really get to the root cause because perimenopause is something that we are going to go through, but you don't have to struggle through it.
- 28:55You don't have to wear the symptoms as a badge of honor because it's you're going through the change, and all women do it.
- 29:05Unfortunately, what happens is you know, we're so heavily exposed to stress, to toxins, to poor diet.
- 29:16You know, we have all these ultra-processed foods, and a lot of the stuff causes inflammation in our body.
- 29:24And so you have years of this, right?
- 29:26Like years building up, and then your body is all of a sudden like, you know what, I can't do it anymore.
- 29:35So not only are you experiencing hormone changes, which all women go through.
- 29:40Oh, and there's Amy.
- 29:41I was just talking about you.
- 29:43Were your ears burning?
- 29:47Okay, I think I'm unmuted now.
- 29:49Yes, I hear you.
- 29:50I hear you.
- 29:50I was telling our our listeners that you were probably gonna hop on we've been talking about perimenopause, and I was just going off on a tangent about um, you know, just kind of feeling dismissed and feeling you know, not heard when you talk about a lot of these symptoms that women experience.
- 30:14So um, so I'm glad you're here.
- 30:16Welcome.
- 30:17And I kind of I did give our listeners just a little bit of update on, you know, we're at war right now at battle with your getting your son's IVIG, and that's what you were dealing with.
- 30:29So um I did promise an update on a podcast we can do um in the near future.
- 30:37Hopefully, we'll have good news.
- 30:39Hoping, hoping so, hoping it's good news.
- 30:41We have a battle plan.
- 30:42We'll see what happens.
- 30:43Okay, good.
- 30:45With that said, um, if the benefits department calls, I will have to abruptly hop off.
- 30:51Yeah.
- 30:52No worries, no worries at all.
- 30:54Um I was kind of talking about how you know I'm 44 now, and I created this space with rooted wellness because I felt like women are so dismissed and feeling um a lot of the changes that they're going through, and that doctors a lot of the times are kind of throwing antidepressants, sleeping pills, you know, and eat less and move more, you know, all these things to treat it.
- 31:25Nobody really understands what perimenopause is, what women are going through.
- 31:29And I don't think eating less is the solution, it's what we're eating.
- 31:33So what we're eating is that needs to be completely changed.
- 31:38Um, and you may have already covered this, but um, you know, for me and myself and I I try to stay with a high protein, high fiber, the healthy fats, because it's so important in our age to keep these things, especially the healthy fats in our diet to promote brain health.
- 31:58We don't want to lose our memory early.
- 32:01Um, and our mineral supports.
- 32:03I I think at this age, we are I think it's fair to say that we are pretty depleted with our minerals because we've you know we're women, we have been through so many phases of life, and um holistically speaking, there's a lot of things that you can look at, like non-invasive ways to know if you have a mineral deficiency, um, like your fingernails.
- 32:26Um, our nails can be a symptom of what our body is lacking.
- 32:30Um, if your half moon, if it's not there, it's a sign of mineral deficiencies.
- 32:36Um if you have check my nails, yes.
- 32:40If you have ridges on your nails, depending if they're horizontal or if they're um, you know, depending on which way they're going on the nail, like all of these are signs that's pointing to something.
- 32:53Um, our body is very smart and it gives us I don't want to say symptoms because it's smart enough to give us the the kind of early warning signs before we even feel like quote unquote medical symptom holistically speaking.
- 33:08Yeah.
- 33:08Yeah, and I was I was talking about that earlier, how uh our bodies kind of sending out an SOS and we're just not hearing it because you you don't know, you know, and I think a lot of the times women blame themselves.
- 33:23You know, you're you feel like you're failing as a mom, failing as a wife, failing in your career because you don't have the energy, you don't have the is that them.
- 33:36No, that's okay.
- 33:37Go ahead, take the call, take the call.
- 33:38Okay, we'll be here if if you can hop back on.
- 33:41Okay, thanks, girl.
- 33:42Yeah.
- 33:43Um so yeah, I think that um, you know, dismissing a lot of these symptoms kind of gets us in a world of trouble, right?
- 33:55Because we're sending out these signals and we continue to ignore them, and then it just it kind of uh bottles up into this storm waiting to erupt.
- 34:07And I think women need to ask for help, right?
- 34:12But there's no safe, there's not a lot of safe spaces to do that.
- 34:16And I mean that, and you know, you go to your doctor, you get dismissed, you tell your gynecologist, she said, uh, you're fine.
- 34:23Um, you talk to your friends, maybe they're not experiencing the same symptoms you are, you know.
- 34:29So it's it's really hard to navigate.
- 34:31Um, so that's uh again, that's why I created rooted wellness functional health, because I wanted to be that space for women to be able to come to and work one-on-one with somebody who really understands what they're going through.
- 34:45Um, and and sometimes some of these things like let's break it down a little bit.
- 34:51If you're experiencing anxiety, sometimes that's low progesterone.
- 34:58Sometimes insomnia is blood sugar crashes, or like we said earlier, cortisol dysregulation.
- 35:00Is blood sugar crashes or like we said earlier cortisol dysregulation.
- 35:06Sometimes the brain fog is in inflammation and stress overload, and just nobody's connecting these dots.
- 35:06Sometimes the brain fog is in inflammation and stress overload, and just nobody's connecting these dots.
- 35:16So let's back it up just a little bit and let's talk about the sleep thing for a minute because I think this is something that um is really frustrating to people.
- 35:16So let's back it up just a little bit and let's talk about the sleep thing for a minute, because I think this is something that um is really frustrating to people.
- 35:27Anyone who has disrupted sleep, like you feel.
- 35:27Anyone who has disrupted sleep, like you feel these effects the next day and maybe even days after.
- 35:34Um and a lot of women will come to me and they'll say, you know, I'm exhausted all day, but then at night my brain won't shut off.
- 35:41I can't go to sleep, so then I just lay there and I want to go to sleep.
- 35:45I'm tired, and I can't.
- 35:47When I finally do fall asleep, I wake up at 3 a.m.
- 35:52And then I'm wide awake again.
- 35:55This is so common in perimenopause.
- 35:58Poster child for perimenopause, right here, you know.
- 36:02It's and then the next day, what do you do?
- 36:06You didn't get any sleep.
- 36:07So you're you're taking in the caffeine, then you feel more stressed than usual because it's hard to tolerate stress when you're tired.
- 36:16Your blood sugar probably crashes, and you feel more anxiety.
- 36:21It's a cycle, it's it's this cycle that it can be really hard to get out of.
- 36:26And then let's talk about weight gain.
- 36:29Right?
- 36:30Your sleep's already being disrupted, which puts you more at risk for gaining weight, it disrupts your blood sugar, your more insulin sensed your your you have um lack of insulin sensitivity.
- 36:46Sorry, my my brain lit, see brain fog right there.
- 36:50Um of the the things that can happen with all of this is you know, you start gaining weight.
- 36:56We talked about that belly fat, and this one's emotional for women because you're trying all the things and you feel like you're failing, you're doing what the doctor says, eating less, and like Amy said, we shouldn't be eating less, we probably should be eating more, and you need to focus more on protein, healthy fats to get a well-balanced diet, and to support hormone metabolism to support hormone production, right?
- 37:27And then you're like, Well, I gotta go to the gym.
- 37:31So you go to the gym and you become uh you know, a workout a holic, which is actually putting a lot of stress on your body.
- 37:38Now, I am not saying don't go work out, ladies.
- 37:41I wish it, I wish you could get a free pass to not have to work out.
- 37:44I would be super excited.
- 37:46I absolutely hate working out, but I do it, but I hate it, I don't like it, I don't enjoy it.
- 37:52That sounds awful, but it's really like I I would if I could leave it out, I totally would, but I get how important it is, so I really have to kind of trick myself into liking it.
- 38:04Um, I do try to find things that I like, like I do like yoga, right?
- 38:09And I love doing yoga under the red light, when the house is quiet, maybe the kids are still sleeping.
- 38:17Um, I love doing that.
- 38:18I love going to the park and walking, so I'll do that.
- 38:22Maybe wear a weighted vest.
- 38:24Be careful though, that can be hard on your back.
- 38:26But I I do love my weighted vest.
- 38:28Um, you know, those are things I enjoy.
- 38:30I have a Peloton, it's okay.
- 38:33I mean, I like it once I've done it, but getting getting to the bike and getting on it is always a struggle for me, right?
- 38:43So there's just there, there's there's something about working out.
- 38:47I just you know, I I know it's hard for a lot of people, but sometimes you get in a cycle where you're working out really hard because you you want to lose weight, and it's actually adding stress onto your body, and you might need to lay off the cardio and just do some strength training.
- 39:08If if someone comes to me and they have a high stress load, and they're really struggling, I do not tell them to stop working out, but I do tell them they need to slow down.
- 39:22Switch out some of their workout days with stretching and yoga, maybe Pilates, and add more strength training than cardio.
- 39:32I'm cool with cardio, I think it's great for cardiovascular health, right?
- 39:36Getting that heart rate up, super good for you.
- 39:38But if you're going to do that, I usually recommend HIT high-intensity interval training, and you do short periods of that and you get your heart rate up.
- 39:50So I prefer that than going to the gym and going hardcore for like an hour.
- 39:55It really does put a lot of stress on your body, and sometimes you have to slow it down, and it might not be long term, but in that time of high stress, you need to take it down a notch and not just add more stress.
- 40:10And a lot of the times women will notice a difference when they stop pushing themselves so hard, and they just slow down, and instead of you know, running to the gym, doing a hardcore workout for 30 minutes to an hour, then going home, cooking dinner, bathing the kids, getting them to bed, you know, researching or doing whatever they do, and then trying to go to bed and get up and go to work again.
- 40:35If they just take 30 minutes to meditate, to relax, to stretch, and to do some yoga, gentle yoga, um, they actually will start to notice a difference in their weight loss and health journey, you know, that that they were they were stuck with your stuck at before, you know, now they maybe start to make progress because you're reducing some of that stress.
- 41:02I know I kind of went off on a tangent about that, but I think it's really important for women, especially in your 30s and 40s to focus more on switch it up and focus more on on strength training than it is cardio, and from then on, 40s, 50, 60s, 70s, strength training is where it's at.
- 41:24You cannot treat your 40-year-old body the way you treated your 25-year-old body.
- 41:29It's just you just can't do it.
- 41:33So I feel like women are left with, okay, now what?
- 41:41You you're telling me nobody can help me, and that all of this is hormones.
- 41:46So what do I do?
- 41:48You know, so I think first stop a hard stop.
- 41:52Like you you gotta to evaluate exactly what's going on in your life, you know.
- 41:58Um stop blaming yourself.
- 42:00Blaming yourself.
- 42:02Your body is not broken, right?
- 42:02Your body is not broken, right?
- 42:06You are just changing.
- 42:06You are just changing.
- 42:08So you need to support, get back to the basics, support the foundations.
- 42:08So you need to support, get back to the basics, support the foundations.
- 42:15So you want to focus on protein.
- 42:15So you want to focus on protein.
- 42:18And I know there's a big hype about protein now.
- 42:18And I know there's a big hype about protein now, and and people are like, no, you don't want to eat too much protein and all listen, we do not, most people do not eat too much protein.
- 42:21And people are like, no, you don't want to eat too much protein and all.
- 42:25Listen, we do not, most people do not eat too much protein.
- 42:29Usually you
- 42:29Usually you're under eating protein.
- 42:31I try to get 30 grams of protein at each of my meals, and it's a struggle sometimes.
- 42:38And so I have to add like a protein shake to get that extra protein because I really struggle with getting enough.
- 42:49I would I would start like if if you've never really focused on protein before, start with like trying to get 25 to 30 grams of protein at each meal, and then you can have a protein snack too if you need that to kind of help you get to your goal.
- 43:05We need to focus on blood sugar.
- 43:07This is huge.
- 43:10Glucose, insulin, insulin's a hormone, right?
- 43:14Like this goes along with perimenopause hand in hand.
- 43:19So you have to focus on blood sugar.
- 43:22Get rid of the sweeteners, get rid of the sugar, all the the processed foods, the cookies, the cakes, the ice cream, all that stuff.
- 43:31You really need to eliminate that from your diet.
- 43:35It's just so detrimental.
- 43:37And I'm not saying you can't have a piece of cake on your birthday, go for it.
- 43:41But a lot of people have these things, have access to them in your home daily, and it's so easy when you're stressed and you're hungry to just grab something out of the pantry.
- 43:53And you want to make sure whatever you're grabbing is not some ultra processed food with high amounts of sugar in it.
- 44:02We are destroying our blood sugar regulation.
- 44:06Um, you also need to focus on sleep.
- 44:10Sleep is so important, and that is way easier said than done, right?
- 44:14Um, but we need to focus on our nervous system, stress management, and then here's one that gets overlooked so much.
- 44:23Your gut, you have to focus on your gut.
- 44:28Now I am not saying go to extremes with any of these.
- 44:31None of this is punishment, right?
- 44:33These are changes that we need to do in our life to promote health, well-being, longevity, hormone balance, and sometimes we just need that permission to kind of slow down, just slow down, slow down and focus on the basics.
- 44:54So with as far as sleep, right?
- 44:58Um how do you go to sleep if you can't sleep?
- 45:04Right?
- 45:05You know, you're struggling with insomnia.
- 45:07Well, the the first thing you have to do um is figure out where you're missing the mark.
- 45:16Okay, so at night, are you feeling wired, like you're exhausted, but you just can't fall asleep.
- 45:23So there's that component.
- 45:25Then there's also um are you falling asleep okay, but you're waking up at three in the morning and then you can't go back to sleep.
- 45:35Or are you going to sleep and you you feel like you slept all night, but then you wake up and you feel exhausted.
- 45:43You know, so all of these um can have different components on what's actually happening in your body.
- 45:53Okay.
- 45:54So let's talk about the not being able to sleep.
- 45:57What happens if you can't fall asleep in the evenings, you can't get your eyes to close, your brain's just running a hundred miles a minute, and you feel like maybe if you're like me, you know, the the kids finally fall asleep, and you're like, oh, I should clean the house and let me make sourdough, and oh, I was gonna, you know, make lunch for tomorrow or meal prep, or I start thinking about all these things that I haven't gotten done throughout the day, and now it's finally quiet, and so then I want I want to get up and go do all these things, even though I'm exhausted.
- 46:35Um, and so I'll I'll I'll do it.
- 46:38But what that's doing is it's it's telling your body you still got things to do and you need to stay awake.
- 46:44So you're you're providing like you know, um almost like you're giving your body a stimulant, you know.
- 46:53It's like, okay, I need a boost of energy, I got lots to do.
- 46:57So what happens is our our cortisol curve, like in the morning when you wake up, your cortisol is lower, and within the first one to two hours of you waking up, you get a boost of cortisol, or you're supposed to, and then that cortisol level starts to fall throughout the day.
- 47:15Well, what can happen is in the evenings, your cortisol level might not fall low enough to to make you want to go to bed, but what's happened is your cortisol might have been flat throughout the day.
- 47:30So earlier in the day, when you were needing a boost, your cortisol level was too low, not low enough for you to go to bed, but not high enough for you to actually like feel energy.
- 47:42So then when you're finally able to sit down, your cortisol is still staying steady when it should be dropping in the evenings, which stimulates you know, your your body to say, okay, it's time to go to bed, you release melatonin, you get tired, you go to sleep.
- 48:01So we have to take a step back and focus on our cortisol, not just going to sleep because I can sit here and tell you all day, just go to bed, you know, just go to bed, close your eyes, don't worry about anything, but it's just not that easy.
- 48:20Um, cortisol being dysregulated contributes to so many things as far as like weight gain, fatigue, and uh brain fog and all of these things.
- 48:34So focusing on cortisol can actually probably help and regulate a lot of things that that you're struggling with.
- 48:43Um sometimes that cortisol is low when it should be high, sometimes it spikes at the wrong time.
- 48:50Um, so it it's it's a real problem, and you have to kind of identify where the problem lies to know how to support it.
- 49:00Support it.
- 49:01Um, you can do a Dutch test.
- 49:02You can do a Dutch test.
- 49:04That is one that I use a lot with my clients.
- 49:04That is one that I use a lot with my clients.
- 49:08You know, I can go based off of their symptoms and probably assume what's going on inside of your body.
- 49:08You know, I can go based off of their symptoms and probably assume what's going on inside of your body, but I like to test, not guess.
- 49:15But I like to test, not guess.
- 49:18But you know, it if you're not, I don't think we always have to test.
- 49:18But um, you know, it if you're not, I don't think we always have to test, but I think when you're in perimenopause, or you're at least like in your 30s and are probably.
- 49:24But I think when you're in perimenopause, or you're at least like in your 30s and are probably approaching perimenopause, uh, doing a Dutch test can be a great indicator on what's going on internally.
- 49:40So it will show your cortisol levels and what your your curve is doing throughout the day so we know how to support it.
- 49:48So there's a lot of um a lot of things that you can do, and strength training is is one of them.
- 50:00So strength training can actually help with your cortisol levels, and so that's one that I always recommend to everybody.
- 50:10Um you want to kind of you do have to think about your stress levels.
- 50:19Now, this one's tricky because it's easy to say, well, reduce your stress, right?
- 50:25Like, I mean, that's easy to tell anybody, but we're all gonna have stress in our lives.
- 50:30So I think it is good to learn how to handle and manage stress in a in a healthy way, and then that way you're able to take on more and not feel super overwhelmed.
- 50:50But one thing people forget is we have to look at past stressors because if you've been constantly stressed and busy and overwhelmed for years, all of that has affected your adrenal glands, and you can get adrenal gland insufficiency, and so you do have to support those adrenals to be able to balance out your cortisol levels.
- 51:15Um, but a simple thing that you can do at home is you know, lay off the caffeine a little bit.
- 51:21Uh, don't drink caffeine in the mornings before you've had some food in you.
- 51:25Sometimes that can help.
- 51:28Resting when you feel like you need to rest.
- 51:30Um, but one of the best things you can do is, you know, in the morning, um, your cortisol should be higher and at and then gradually lower at night, right?
- 51:43So um getting outside in the morning within the first 30 to 60 minutes of waking up, can help just kind of anchor your circadian rhythm, even five to ten minutes if you can.
- 51:59Your body needs those light signals, okay?
- 52:02So that helps just kind of regulate your overall system, and that can help boost your cortisol levels in the morning.
- 52:11Um, and then like I said, coffee on an empty stomach.
- 52:16Guys, I I do it every day, right?
- 52:19Even though I know I probably shouldn't, I do.
- 52:22Um, but if you're if you're really sensitive, you might want to try holding off on the coffee.
- 52:30Wait till you have some food in you, preferably protein, and then have your coffee and see if that makes a difference for you.
- 52:37That can be huge sometimes.
- 52:39Um it can also the the protein in the morning can help kind of stabilize your blood sugar too.
- 52:46So you're getting a bonus, you know.
- 52:48And then here's another one that we talked about earlier.
- 52:52You want to stop under eating, stop skipping meals, stop over fasting.
- 52:58That's we could do probably a whole show on intermittent fasting.
- 53:02You want to do gentle intermittent fasting during perimenopause and not, you know, I wouldn't go over 14 hours.
- 53:10I usually don't even usually recommend like a 12-hour fast for intermittent fasting when you're in your 30s and up.
- 53:19And you know, just do like a gentle fast and break your fast first thing in the morning with protein.
- 53:26Um, you don't want to over-exercise.
- 53:28We talked about that.
- 53:30You will see that's that's what I'm telling you.
- 53:32I I have women slow it down and take away the the extreme exercising and they start to have more energy and feel better.
- 53:41Why?
- 53:42Because their cortisol is starting to regulate.
- 53:46Um, and then if you're doing these chronic like yo-yo dieting, that can be really detrimental to your adrenal glands and your cortisol levels.
- 53:53Your body takes it on as stress, so don't do that to yourselves.
- 53:58There are some really great adrenal supplements that can help, but I do recommend working with a provider because there's different supplements that have different combinations and they help do different things.
- 54:13So working with somebody and finding out what your cortisol levels are can really give you some insight.
- 54:19Um, the Dutch test also looks at your estrogen, your progesterone, how you're metabolizing your estrogen.
- 54:28Um, for instance, I would have bet money.
- 54:33But I hands down, I would have bet that I had estrogen dominance, that my estrogen levels were super high, right?
- 54:41Like that's just how I felt based on my symptoms.
- 54:44Well, when I did a Dutch test, I realized my estrogen levels totally fine, completely where they should be.
- 54:52They were optimal levels, they went down the right pathways, everything was great.
- 54:57What was wrong was my progesterone was in the toilet, and if you don't have balance between those two, you're gonna feel the estrogen dominant symptoms.
- 55:09So I had to work on my progesterone.
- 55:11If I hadn't tested, I might have focused on the wrong things.
- 55:16But to wrap this up, because listen, y'all, I could keep going.
- 55:19Um, like I said, this is a topic that I just really love.
- 55:23So if you're struggling with perimenopause, please reach out to me.
- 55:28We can work one-on-one together.
- 55:30Um, I offer all different kinds of things, you know, like you could work with me for four months.
- 55:36I have concierge, uh, you can connect with me through Remnet Healthcare.
- 55:41You know, however, please reach out for help.
- 55:44Find someone that can walk with you through this.
- 55:47You don't have to do this alone.
- 55:50But last thoughts, y'all don't over exercise.
- 55:56Self-care, super important.
- 55:59Don't skip meals, don't under eat, focus on protein, and you will start to feel some balance.
- 56:00Meals, don't undereat, focus on protein, and you will start to feel some balance.
- 56:06So I hope this helped.
- 56:06So I hope this helped.
- 56:07I know I I was kind of um all over the place.
- 56:07I know I I was kind of um all over the place.
- 56:11We had Amy in and out, which was awesome.
- 56:11We had Amy in and out, which was awesome.
- 56:14I wish she could have hung out with us more, but I'm so glad that you guys were here with us.
- 56:14I wish she could have hung out with us more, but I'm so glad that you guys were here with us.
- 56:19I hope this resonated with someone, and like I said, if you need help, please find me uh rooted wellness functional health.com.
- 56:19I hope this resonated with someone.
- 56:21And like I said, if you need help, please find me at rootedwellness functional health.com.
- 56:28You can schedule a free
- 56:28You can schedule a free discovery call with me.
- 56:31I would love to work with you and walk with you through all of this and help you restore balance in your life.
- 56:39Until next time, guys, God bless you.
- 56:42Take care, and I will see you next week.