Latest / I Choose Me with Jennie Garth / I Choose...More of Dr. Mary Claire Haver

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I Choose...More of Dr. Mary Claire Haver · I Choose Me with Jennie Garth

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  Speaker 1: You're listening to I Choose Me with Jenny Garth. Hi, everyone,
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  Speaker 1: welcome to I Choose Me. This podcast is all about
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  Speaker 1: the choices we make and where they lead us. My
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  Speaker 1: guest today is back for more. You listeners. Absolutely loved
• 0:21
  Speaker 1: her the last time we had her on the podcast,
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  Speaker 1: and I always love talking to her. She is a
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  Speaker 1: wealth of information and I am so excited to chat
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  Speaker 1: with her some more today. She's a board certified o
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  Speaker 1: bg yan and a New York Times best selling author
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  Speaker 1: of The New Menopause. Please welcome doctor Mary Claire Haver
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  Speaker 1: back to the podcast. Hi, doctor Mary Claire. I'm so
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  Speaker 1: glad you're here. You are our very first in studio guest.
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  Speaker 1: This is really exciting for me because we had this
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  Speaker 1: little studio built and I'm so glad that you are
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  Speaker 1: here to break it in.
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  Speaker 2: So excited to be here and couldn't make I Choose
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  Speaker 2: Me event. I know fires and rescheduling, and when they
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  Speaker 2: said she would love to have you come in live
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  Speaker 2: to do the podcast, I was like, absolutely, Oh good.
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  Speaker 1: I'm so glad because yeah, you were very missed at
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  Speaker 1: the live event. We had to make do without you, though.
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  Speaker 2: But hopefully we heard it was fantastic. We did.
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  Speaker 1: We had a great time, and I think we reached
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  Speaker 1: a lot of women, so that's all that mattered. But yeah,
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  Speaker 1: we're here, and you just saw my husband moving the
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  Speaker 1: car for us out of the bar shot. So you
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  Speaker 1: were asking what he does, and I told you he's
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  Speaker 1: in the restaurant business, and you said, you're in the
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  Speaker 1: You came.
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  Speaker 2: My family, So I grew up in a large restaurant family.
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  Speaker 2: My parents had their own but my mother is a
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  Speaker 2: landry and in the South, Like if your listener's like,
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  Speaker 2: wait a minute, there's this whole Landry's restaurant chain that
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  Speaker 2: is huge and kind of got bought out, you know,
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  Speaker 2: by a big, bigger conglomerate, but the name's still there.
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  Speaker 2: So like, my grandfather's name is on all these restaurants
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  Speaker 2: and it's really kind of cool. But I just grew up.
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  Speaker 2: My first job was peeling shrimp stuff in crabs, and
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  Speaker 2: then I was graduated to being a hostess, and I
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  Speaker 2: learned how to wait tables and I became a bartender.
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  Speaker 2: That is super fun.
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  Speaker 1: All through college, you did all that, and my husband
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  Speaker 1: would love talking to you, because.
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  Speaker 2: Yeah, I mean, I know we're speaking and out the
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  Speaker 2: late hours, the you know, employee drama, all the things.
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  Speaker 1: Yeah, I'm learning about all that, especially the employee drama.
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  Speaker 1: But it does affect the family. It's all in kind
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  Speaker 1: of business, kind of like what you're doing now, Hi,
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  Speaker 1: it's your life you have your life has changed dramatically. Yeah, yeah,
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  Speaker 1: what did you always want to be a doctor?
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  Speaker 2: No? I wanted to be a movie star, so I
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  Speaker 2: thought Vallerina, you know, little girl stuff. And I had
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  Speaker 2: an older brother. I have four older brothers, but one
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  Speaker 2: of my older brothers like really kind of lived his
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  Speaker 2: life through me. He was gay, and he was at
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  Speaker 2: a time in the seventies when you couldn't really express yourself,
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  Speaker 2: so he would. I was his muse. He would dress
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  Speaker 2: me up, he would oh in fake draws, he would
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  Speaker 2: video me. It was the funnest brother to have growing up,
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  Speaker 2: like I always wanted and a gay brother. Geza my
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  Speaker 2: cheerleader tryouts. You can't imagine how immaculate the choreography was,
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  Speaker 2: like my prom outfits, my hair and my makeup everything,
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  Speaker 2: And so he really kind of expressed himself in ways
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  Speaker 2: through me. And we're ten years apart, so that was amazing.
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  Speaker 2: What a special bond growing up yeah, he did pass away,
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  Speaker 2: so like part of my journey, part of my story
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  Speaker 2: is his life and death, you know, kind of mixed
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  Speaker 2: in with my own menopause and.
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  Speaker 1: What made you want to become a doctor.
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  Speaker 2: So I, you know, went to college, not really sure
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  Speaker 2: what I wanted to do. And my mom and dad
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  Speaker 2: had moved to Florida to try to open a restaurant
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  Speaker 2: there and it wasn't going well. So my mom kind
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  Speaker 2: of sat me down and said, we don't want you
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  Speaker 2: to go to college. You need to stay and work
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  Speaker 2: and help the family. And I said no, and I
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  Speaker 2: ran away from home and I moved in with my grandmother. Yeah,
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  Speaker 2: that's enrolled myself in college.
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  Speaker 1: It sounds so traumatic when you say I ran away
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  Speaker 1: from home.
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  Speaker 2: But you ran back to Louisian. Okay. So I had,
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  Speaker 2: you know, borrowed money to get a plane to get
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  Speaker 2: I had my stuff in a paper bag. It all
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  Speaker 2: worked out, but like I was like a rebel. I
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  Speaker 2: didn't have luggage. So I put some clothes in like
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  Speaker 2: a grocery bag paper bag, like the old brown bags,
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  Speaker 2: and like took it on the plane on my lap flew.
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  Speaker 2: My cousin picked me up, and I just kind of
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  Speaker 2: hung out, started working waiting tables, and then enrolled in college.
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  Speaker 2: It was five dollars enrollment fee. My tuition was a
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  Speaker 2: couple hundred bucks, you know, for the local community college.
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  Speaker 2: And off I went. And then, you know, we made
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  Speaker 2: made up with my parents and everything was fine. They
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  Speaker 2: moved back home, and you know, we got through that.
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  Speaker 2: But when I was an undergrad, I started taking a
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  Speaker 2: bunch of science classes, like for fun. Like I was
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  Speaker 2: not a great student. I didn't apply myself in high school.
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  Speaker 2: I was a cheerleader. I was super fun at night,
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  Speaker 2: you know. And then I get to college and my
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  Speaker 2: parents imminent bankruptcy kind of shook. I was shook, you know,
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  Speaker 2: and I was realizing, you know, I have a choice here,
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  Speaker 2: and let me see what happens if I actually study.
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  Speaker 2: Turns out I was a great student.
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  Speaker 1: Turns out you're a pretty smart lady.
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  Speaker 2: Yeah. So I took a few science classes just to
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  Speaker 2: feel it out, and I fell in love with geology.
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  Speaker 2: So I have an undergraduate degree in geology. I worked
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  Speaker 2: as a geologist for a couple of years. That's how
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  Speaker 2: I met my husband, who was oil and gas. And
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  Speaker 2: then in the middle of the work, I was like
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  Speaker 2: I don't want to do this forever, Like what else
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  Speaker 2: can I do with a science degree? And I thought
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  Speaker 2: about nursing, and I thought about med school, and I thought, well,
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  Speaker 2: let me just take the mcap and see what happens.
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  Speaker 2: And I literally like triped my way into medical school.
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  Speaker 2: And so I started med school at twenty six and
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  Speaker 2: finished at thirty. My husband I got married in the process,
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  Speaker 2: and then I did my residency in Obgoyn at the
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  Speaker 2: University of Texas Medical Branch in Galveston, which is pretty
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  Speaker 2: much the area where we've settled since nineteen ninety four.
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  Speaker 1: Wow, what a great story. I love the paper bag party.
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  Speaker 1: That's really an exciting part for me. I can't imagine
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  Speaker 1: you're so brave to do that.
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  Speaker 2: I just knew, you know, I've always been driven. I've
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  Speaker 2: always you know, the one characteristic people would use to
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  Speaker 2: describe me who know me, is driven. And I it's
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  Speaker 2: if my husband jokes, you'll never get to the top
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  Speaker 2: of your mountain. You're always going to find something else
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  Speaker 2: to do, something else to climb, some other passion project,
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  Speaker 2: you know, And it's like, I really, you know, I
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  Speaker 2: went through menopause. I was beginning to empty nest like
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  Speaker 2: all of these things. My brother died. All of these
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  Speaker 2: things kind of happened at once to really allow me
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  Speaker 2: to rethink my future. Give me time and space now
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  Speaker 2: that my kids would launch successfully to figure out what
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  Speaker 2: I wanted and where I wanted to go. I mean,
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  Speaker 2: I thought I'd just be a really happy basic obgun,
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  Speaker 2: nothing wrong with it. I did it well for twenty years, teaching,
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  Speaker 2: residence medical, you know, forever until I retired. But that
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  Speaker 2: is not what life had in store for me.
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  Speaker 1: I love that, and it wasn't until you were empty nesting.
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  Speaker 2: Well that I had. Yeah, you know, like the kids
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  Speaker 2: when things took off from me on TikTok. Catherine was
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  Speaker 2: home from college for COVID and Maddie was homeschooling, so
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  Speaker 2: like that's kind of you know, where we were. I
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  Speaker 2: had an eighteen year old and a fifteen year old
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  Speaker 2: and so you know, they didn't need me all the time.
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  Speaker 2: We were home, and I was just getting really creative
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  Speaker 2: on social media and trying to teach. And that's when
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  Speaker 2: things kind of really took off.
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  Speaker 1: What made you want to do that though? What made
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  Speaker 1: you want to pick up your phone and start recording?
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  Speaker 2: And my own experience with menopause and realizing that there
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  Speaker 2: was a huge gap in my own education and knowledge,
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  Speaker 2: in the poor information and poor care I had given
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  Speaker 2: to patients in menopause for most of my career. I mean, honestly,
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  Speaker 2: I was a terrible menopause doctor for most of my
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  Speaker 2: career until I sadly went through it myself. And if
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  Speaker 2: any of my former patients are listening, I'm sorry, but
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  Speaker 2: it really took my experience and realizing this is not okay.
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  Speaker 2: You know, I thought hormone therapy was dangerous. I thought
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  Speaker 2: all the things you know that had been taught to me,
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  Speaker 2: and no one in my continuing medical education had put
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  Speaker 2: forth some of the newer information. How the WHI studies
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  Speaker 2: happened walked back the safety and efficacy and hormone therapy
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  Speaker 2: was really really you know, our understanding had totally changed,
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  Speaker 2: and that you know, for most women, the benefits far
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  Speaker 2: outweigh the risks. And I you know, in twenty years
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  Speaker 2: of postgraduate education, no one had put that in front
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  Speaker 2: of me in a medical research article. And I'm like,
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  Speaker 2: this is not okay. Yeah, And I thought, well, I'm
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  Speaker 2: just one person. I started with zero followers, right, No
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  Speaker 2: one knew who I was. I was just random obigen
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  Speaker 2: from Texas, you know, from an island off the shore
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  Speaker 2: of Texas, and it just grew on its own, completely organically.
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  Speaker 1: That's so amazing, like, because it is hard to start
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  Speaker 1: from zero, you.
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  Speaker 2: Know, I think we all did you know now a
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  Speaker 2: lot of people don't you buy followers or whatever. But yeah,
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  Speaker 2: and of course I have dopamin receptors like everyone else.
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  Speaker 2: When you see people responding and liking and sharing and
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  Speaker 2: things that kind of go viral, you're like, oh, you know,
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  Speaker 2: let me do more of this. You do more education,
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  Speaker 2: let me ask more questions, and let me get curious.
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  Speaker 2: You know, when ten thousand women on social media send
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  Speaker 2: you a d or comment about their frozen shoulder and menopause,
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  Speaker 2: I don't immediately dismiss them. What is that?
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  Speaker 1: I'm sorry, we're gonna just jump right now. I got curious,
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  Speaker 1: what is that frozen shoulder connection?
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  Speaker 2: Because I my gosh, do I have.
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  Speaker 1: An injured shoulder from just something I did lifting weights
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  Speaker 1: and working out? Or do I have frozen shoulder? Is
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  Speaker 1: that part of menopause a symptimes?
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  Speaker 2: Yeah, so there is something we now know. This is
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  Speaker 2: a newer finding called musculo skeletal syndrome of menopause. And
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  Speaker 2: my dear friend, doctor Vonda Wright with copdic surgeon wrote
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  Speaker 2: that paper and now it is an accepted, you know,
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  Speaker 2: medical diagnosis. But what it is is there are estrogen
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  Speaker 2: receptors everywhere in our body and our brains and our bones,
• 9:41
  Speaker 2: and our muscles, and our gut and our kidney and
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  Speaker 2: our lungs and our heart and our skin, you know,
• 9:45
  Speaker 2: in our jener urinary system. But what she really honed
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  Speaker 2: in on was specifically in the muscles, tendons and bones.
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  Speaker 2: What are we seeing and what we were diagnosing for
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  Speaker 2: a lot of women as fibromyalgia, you know, frozen shoulders
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  Speaker 2: definitely related. And there were two researchers out of Duke University,
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  Speaker 2: one in obgen and one no if I had the
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  Speaker 2: lord correct orthpedic surgeon and obgen and I think they
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  Speaker 2: were having lunch in the cafeteria and talking about all
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  Speaker 2: these women with frozen shoulder could there be a relation
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  Speaker 2: to menopause. They're all the same age, you know, all
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  Speaker 2: in that age group. And they looked at they just
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  Speaker 2: pulled all the charts and said, holy crap. Yeah, women
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  Speaker 2: a HRT don't get it as much. They have shorter
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  Speaker 2: courses of frozen shoulder and they do better on the
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  Speaker 2: long term. So that kind of led to you know,
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  Speaker 2: no one in orthopedics would publish it. Why they said, no, no, no, no,
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  Speaker 2: can't be related. Well, there's anything in orthopedics is related
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  Speaker 2: to menopause. Come on, And that's why didn't they want
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  Speaker 2: to share that, because they just you know, forever women's
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  Speaker 2: health outside of reproduction has been marginalized and made secondary,
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  Speaker 2: and so that would take a whole group well ninety eight,
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  Speaker 2: if I have the numbers right, less than ten percent
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  Speaker 2: of orthpedic surgeons are female. That's one. That's one of
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  Speaker 2: the problems right, right, And when your whole career has
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  Speaker 2: been built around menopause should have nothing to do with this,
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  Speaker 2: it's really hard to accept maybe we were wrong and
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  Speaker 2: maybe we got this wrong, and so the menopause journals
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  Speaker 2: published it, but it's out there. It's pretty amazing.
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  Speaker 1: That's the thing about having a female doctor. For me,
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  Speaker 1: I've always been drawn to having a female doctor. And
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  Speaker 1: it sort of ties into what you were saying about
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  Speaker 1: you didn't even really know how to help your patients
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  Speaker 1: until you had gone through it. So when I see
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  Speaker 1: a male doctor, I'm like, you have no idea how
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  Speaker 1: I feel in this body of a female. And so
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  Speaker 1: I can imagine that when you had that sort of
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  Speaker 1: awakening as you were experiencing perimenopause and menopause like you,
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  Speaker 1: it must have been so eye opening for.
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  Speaker 2: You, I mean, ie opening when I got curious about
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  Speaker 2: my own symptoms and started digging in the literature and
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  Speaker 2: was actually finding studies to support what I was going
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  Speaker 2: through and how it could be related, because it just
• 11:51
  Speaker 2: didn't make sense. And then there was like the rage
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  Speaker 2: and shame, shame because we weren't coaching women appropriately, we
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  Speaker 2: weren't reckoning this. You know, I was brought up, brought
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  Speaker 2: up in the medical system. I say brought up as
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  Speaker 2: a child, but I mean, you know, in my medical
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  Speaker 2: education there was this underlying current of bias that it's
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  Speaker 2: all in her head, that women tend to somaticize psychological issues,
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  Speaker 2: not men.
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  Speaker 1: That's not true, and why why do they?
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  Speaker 2: It's historical, you know, because you know, if you look
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  Speaker 2: at eleanor Clihorn, unwell woman, if you read that excellent
• 12:29
  Speaker 2: book for your follower, and another one is Elizabeth Coman
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  Speaker 2: just wrote it's all on her head. And they both
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  Speaker 2: of them go through the historical perspective, one from a
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  Speaker 2: you know, social scientists perspective, the other from a physician perspective,
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  Speaker 2: but basically comes to the same conclusion. This bias has
• 12:42
  Speaker 2: been built historically into the system where outside of your
• 12:46
  Speaker 2: uterus and what it can do for making baby babies
• 12:51
  Speaker 2: and a few diseases and needing to be surgically removed
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  Speaker 2: way too often than it probably should. Men are women
• 12:57
  Speaker 2: are small men? So all of the focus was on men.
• 13:02
  Speaker 2: The studies were done on men by men, and we're
• 13:04
  Speaker 2: just going to assume, which you know, wasn't that unreasonable?
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  Speaker 2: Why would the women are small men? Right? They just
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  Speaker 2: have breast and uteruses. Well, now we know biologically makes
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  Speaker 2: me completely different. But it took women going into medicine,
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  Speaker 2: women going into the labs, women stepping back and saying, hey, no,
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  Speaker 2: actually we're not small men. We disease differently. I mean,
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  Speaker 2: Elizabeth Commen points out for and I learned this in
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  Speaker 2: school in cardiovascular disease. Okay, when a woman has a
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  Speaker 2: heart attack, the way she presents is called a typical
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  Speaker 2: chest pain. Even though we're fifty one percent of the population.
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  Speaker 2: Here's why men tend to have larger vessel disease. It's
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  Speaker 2: called the little maker right for the heart attack, it's
• 13:48
  Speaker 2: the bigger vessels coming right out of the order that
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  Speaker 2: don't dive in to feed the heart muscle. Right, That's
• 13:52
  Speaker 2: where the plaques and the clouds happen. Right. However, for women,
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  Speaker 2: we have more microvascular diffuse disease deeper down when the
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  Speaker 2: vessels start splitting off. So the way we present with
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  Speaker 2: a heart attack is fatigue, abdominal pain, shortness of breath
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  Speaker 2: instead of the classic symptoms of how a man tends
• 14:12
  Speaker 2: to have a heart attack, you know, grabbing their chest,
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  Speaker 2: radiating up their neck, down their arm. You know, that's very,
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  Speaker 2: very classic. But it's only classic for men, not women.
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  Speaker 2: And so at the end of the day, when we
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  Speaker 2: talk about, you know, the gender health gap, when a
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  Speaker 2: woman walks into the ED emergency department with signs of
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  Speaker 2: a heart attack, she is fifty percent more likely to die.
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  Speaker 2: She is much more likely to be misdiagnosed with anxiety.
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  Speaker 2: And this is not this is not laid at the
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  Speaker 2: feet of one particular physician. These are most docs are
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  Speaker 2: good people who went to school and did all this
• 14:48
  Speaker 2: training and paid all this money to go help people.
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  Speaker 2: But this is built into the training program and this
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  Speaker 2: is where the work needs to be done.
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  Speaker 1: You know. I feel like when they say to a
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  Speaker 1: woman who is showing signs of a heart attack, it's
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  Speaker 1: anxiety that gives you a sense of oh, it's just
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  Speaker 1: in my head. I'm imagined she believes it. She believes it,
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  Speaker 1: and maybe he she the doctor, is saying that because
• 15:10
  Speaker 1: he they want to settle her, reassure her that everything's okay,
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  Speaker 1: you know, you know that kind of She's more like
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  Speaker 1: they feel like.
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  Speaker 2: Anxiety met than pain, medicine or appropriate treatment for her
• 15:24
  Speaker 2: for her heart.
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  Speaker 1: So wild, you know, we just did the I Choose
• 15:28
  Speaker 1: Me Live and we had a wonderful cardiologist there, doctor Kittlesen,
• 15:32
  Speaker 1: and she really brought some eye opening messages to the audience,
• 15:37
  Speaker 1: so much that one of our attendees went home later
• 15:42
  Speaker 1: that night and was feeling a little off and she said,
• 15:45
  Speaker 1: maybe it was just over stimulation from the event and
• 15:48
  Speaker 1: such a big day. And she said, you know what,
• 15:51
  Speaker 1: I'm going to listen to my gut on this. After
• 15:53
  Speaker 1: all I heard today about listening to my body and
• 15:56
  Speaker 1: questioning anything between my nose and my navel feeling anything
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  Speaker 1: in this area. So she took herself to the emergency
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  Speaker 1: room and she was suffering from a minor heart attack.
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  Speaker 2: Yeah, and she would.
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  Speaker 1: Have normally ignored it. And then it's just I feel uneasier, weird, servous,
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  Speaker 1: you know.
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  Speaker 2: Part of it is also sociological. Women are taught to
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  Speaker 2: accept pain and not listen to their bodies and not
• 16:19
  Speaker 2: know themselves better. And there is a certain subset, especially
• 16:23
  Speaker 2: in the menopause space. And this is what I've discovered,
• 16:26
  Speaker 2: and I think this is changing. But kind of a
• 16:29
  Speaker 2: lot of the people who kind of controlled the narrative
• 16:32
  Speaker 2: around menopause really didn't feel like women were capable of
• 16:36
  Speaker 2: making decisions for themselves what they When you look at
• 16:42
  Speaker 2: how you know, it's like I'm the expert. Listen to
• 16:45
  Speaker 2: me instead of tell me how you're feeling. What are
• 16:48
  Speaker 2: your goals? You know, It's like you can't possibly listen
• 16:51
  Speaker 2: to a set of facts and information and make a
• 16:55
  Speaker 2: decision for yourself. I need to tell you what to
• 16:58
  Speaker 2: do and how to do it. And this is the
• 16:59
  Speaker 2: only right way. And I refuse to believe that. I
• 17:03
  Speaker 2: think women are fucking amazing. Yeah, and I think women.
• 17:06
  Speaker 2: I tell you, women, when armed with good information, make
• 17:10
  Speaker 2: good decisions for themselves and their families. And a lot
• 17:13
  Speaker 2: of the way that we've constructed around women's health and
• 17:16
  Speaker 2: women's health after reproduction ins is not allowing for that.
• 17:19
  Speaker 2: It's like, here's a guideline. You must follow the guideline
• 17:21
  Speaker 2: to the t. Therefore, we cannot step outside of the
• 17:24
  Speaker 2: guideline if it's not working for you, because this is
• 17:26
  Speaker 2: the only way that is not working for the vast
• 17:29
  Speaker 2: majority of women, right.
• 17:30
  Speaker 1: And so often deferring to people outside of ourselves, like
• 17:34
  Speaker 1: whether it is a doctor or whether it's our spouse.
• 17:36
  Speaker 1: So your body better than anybody, and you know when
• 17:40
  Speaker 1: something's wrong, and a woman's intuition is rarely wrong.
• 17:43
  Speaker 2: That's what I've learned.
• 17:44
  Speaker 1: It's true. It's so powerful. It's a little scary. Yeah,
• 17:55
  Speaker 1: you were saying before about fibromyalgia. I think we might
• 17:59
  Speaker 1: have talked about this private, and you gave me doctor
• 18:01
  Speaker 1: Von to write, You gave me her information. I haven't
• 18:04
  Speaker 1: called her yet, but I need to because I just
• 18:06
  Speaker 1: have body pain that I shouldn't be having. You know,
• 18:10
  Speaker 1: I'm very active. I feel better in my physically that
• 18:15
  Speaker 1: I ever have, but my body hurts.
• 18:18
  Speaker 2: So there's a and I'm writing The New Perimenopause right now,
• 18:21
  Speaker 2: and there's a chapter in the book where we talk
• 18:25
  Speaker 2: about things that are commonly diagnosed in women, and it's
• 18:28
  Speaker 2: one of those Well, if nothing else, we're just gonna
• 18:30
  Speaker 2: call it fibromyalgia. If nothing else, we're gonna call it
• 18:33
  Speaker 2: inter social systeinism. If nothing else, we're gonna call it
• 18:35
  Speaker 2: adrenal fatigue, or you know, this kind of laundry list
• 18:38
  Speaker 2: of very vague diagnoses. And what we're saying on our
• 18:42
  Speaker 2: end is this is probably how menopause is showing up
• 18:47
  Speaker 2: in her body.
• 18:49
  Speaker 1: It's wild because there's so many ways it can show up. Yeah, forever.
• 18:52
  Speaker 2: So when you look at the you know, there's a
• 18:54
  Speaker 2: beautiful paper that looked at the G coupled deestrogen receptors
• 18:58
  Speaker 2: throughout the human body, right, and they e up the brain,
• 19:01
  Speaker 2: the heart, the end, the thelium which is the blood fussels, right,
• 19:04
  Speaker 2: the lining of the blood vessels, the bones, the muscles,
• 19:07
  Speaker 2: the kidney, the we know breston uterus. Everybody knows this
• 19:09
  Speaker 2: where estrogen works, but it's everywhere. And you when you
• 19:13
  Speaker 2: go to these subspecialty papers and like that's when I
• 19:16
  Speaker 2: wrote new penopause. I was like, Okay, I would go
• 19:18
  Speaker 2: to PubMed and I would type in menopause and heart
• 19:23
  Speaker 2: and just see what was out there. You know, menopause
• 19:25
  Speaker 2: and bones. You know, we have a lot of information osteoporosis,
• 19:29
  Speaker 2: but you know, menopause and joint pain, menopause and dry skin,
• 19:33
  Speaker 2: menopause and dry eyes. And I was like, WHOA, people
• 19:37
  Speaker 2: are actually doing this research all over the world and
• 19:40
  Speaker 2: they're making all these conclusions, and they're they're checking the
• 19:44
  Speaker 2: status of dry eye, dry mouth, dry vagina from pre
• 19:48
  Speaker 2: perry and postmenopausal women and tracking them across the transition.
• 19:51
  Speaker 2: And I'm like, no one's talking about these women are
• 19:53
  Speaker 2: suffering in silence. No one's helping them. They're just blowing
• 19:56
  Speaker 2: them off. They're getting gas lit. They're said, this is
• 19:58
  Speaker 2: just you know, a we're all aging, we all know this, right,
• 20:02
  Speaker 2: but menopause accelerates the aging process across a multiple organ system.
• 20:07
  Speaker 2: That sucks, and it's not fair. No so. And there
• 20:10
  Speaker 2: are definitely the ways that we can intervene. Pharmacology, lifestyle changes,
• 20:14
  Speaker 2: nutrition supplements, all of it. You know, the whole toolkit
• 20:17
  Speaker 2: is important.
• 20:18
  Speaker 1: Why why why? After I know, giving it life to people.
• 20:23
  Speaker 2: I mean, it just seems such and it's the perfect
• 20:26
  Speaker 2: chase where prevention. You know, I grew up the medical
• 20:30
  Speaker 2: system is band aid medicine. Right, something breaks, we know
• 20:32
  Speaker 2: how to fix it. You know, you have fibroids, I
• 20:35
  Speaker 2: know how to fix that. You have heavy periods, I
• 20:36
  Speaker 2: know how to fix that. But we get such little
• 20:39
  Speaker 2: training and teaching around prevention, around nutrition, around what the
• 20:43
  Speaker 2: right movement for that patient would be, how to individualize
• 20:46
  Speaker 2: treatment care. And that's where I think the money, the work,
• 20:49
  Speaker 2: the research has to has to focus. And it's not
• 20:53
  Speaker 2: happening yet.
• 20:53
  Speaker 1: And it's not happening in our school systems, that's for sure.
• 20:56
  Speaker 1: They teach, you know, in health class about puberty and yeah,
• 21:00
  Speaker 1: oh when you're going to be able to have a baby,
• 21:01
  Speaker 1: and how you can get pregnant, all the things, But
• 21:04
  Speaker 1: never once was anyone ever mentioning menopause, perimenopause, what happened?
• 21:09
  Speaker 2: They're not even words used in like no, no, no, in
• 21:11
  Speaker 2: a in a classroom. They're like taboo, which is a
• 21:14
  Speaker 2: normal physiologic part of life.
• 21:16
  Speaker 1: Why teachings have never heard of it?
• 21:18
  Speaker 2: Yeah, no, it's it's huge.
• 21:19
  Speaker 1: Do you think there will come a time when when
• 21:21
  Speaker 1: they're teaching about menopause in health class.
• 21:23
  Speaker 2: So I hope, so we have a very I mean,
• 21:26
  Speaker 2: I just hope they're going to teach about it in
• 21:28
  Speaker 2: medical school.
• 21:28
  Speaker 1: That'd be a good start.
• 21:29
  Speaker 2: So when I was in med school, I had one
• 21:33
  Speaker 2: lecture on menopause in a four year curriculum. One lecture,
• 21:37
  Speaker 2: one lecture in four years in four years. Wow. And
• 21:40
  Speaker 2: then when I did my ob gyn residency, which I'm
• 21:44
  Speaker 2: super proud of, and I learned amazing stuff. I mean,
• 21:47
  Speaker 2: I am a boss in a labor room, you know,
• 21:49
  Speaker 2: I got it.
• 21:50
  Speaker 1: I wish you delivered the baby.
• 21:51
  Speaker 2: I am such a good laborist, Like I am the funnest,
• 21:54
  Speaker 2: most wonderful, and I got all the skills, you know,
• 21:57
  Speaker 2: and I like this handmode. I'm a great surgeon. Yeah
• 22:00
  Speaker 2: that was my children, just stosia, you know. But where
• 22:05
  Speaker 2: I now realize this huge gap was in menopause care.
• 22:09
  Speaker 2: So I did. We did reproductive into chronology. So you
• 22:12
  Speaker 2: have obstetrics, right, getting pregnant, staying pregnant, postpartum. That's more
• 22:16
  Speaker 2: than fifty percent of our training, which is important. Right.
• 22:18
  Speaker 2: We need to be able to bring life into the
• 22:20
  Speaker 2: world safely all the things, take care of the emergencies,
• 22:23
  Speaker 2: shepherd the healthy pregnancies, you know, and then then gynecology
• 22:27
  Speaker 2: is everything else. So in gynecology now the the little
• 22:30
  Speaker 2: box that's left for gynecology, we have oncology, so uterine cancer,
• 22:35
  Speaker 2: vulvar cancer, vaginal cancer, all the gnecologic cancers. We do
• 22:38
  Speaker 2: a little bit of breast, you know, pediatric gnecology, all
• 22:42
  Speaker 2: the pediatric things that could happen, how the special treatment
• 22:45
  Speaker 2: you know, you know, we do reproductive and ine chronology,
• 22:48
  Speaker 2: getting people pregnant and all the kind of intocrine disorders
• 22:50
  Speaker 2: that can happen through childhood and women. And then menopause
• 22:54
  Speaker 2: is just this little, tiny, tiny sliver. So I got
• 22:57
  Speaker 2: six hours six one hour lectures my second ear for residency.
• 23:01
  Speaker 2: We had no clinics devoted to menopause, you know, and
• 23:04
  Speaker 2: if we saw a menopausal patient, you know, we did
• 23:08
  Speaker 2: our best to take care of for her, but we
• 23:10
  Speaker 2: weren't really weren't given a big tool kit on how
• 23:12
  Speaker 2: to help her if she had severe hot flashes. When
• 23:14
  Speaker 2: I was training, we offered her hormone therapy. At the time,
• 23:17
  Speaker 2: when I went through most of my training, about forty
• 23:19
  Speaker 2: percent of women ended up on hormone therapy postmenopause, and
• 23:23
  Speaker 2: it was recommended by the American Academy of Physicians, but
• 23:25
  Speaker 2: it was like all women should consider this, right. And
• 23:28
  Speaker 2: my very last year is when the bomb dropped from
• 23:32
  Speaker 2: the Women's Health Initiative and everyone was terrified. Everyone jumped
• 23:36
  Speaker 2: and I you know, jump ship threw the prescriptions away,
• 23:38
  Speaker 2: terrified that we're going to give people breast cancer and
• 23:40
  Speaker 2: that just wasn't true. And the same megaphone that's it
• 23:43
  Speaker 2: was like viral before viral. Right. It was the number
• 23:45
  Speaker 2: one medical news story of two thousand and two. It
• 23:47
  Speaker 2: was on the cover of every newspaper. They had a
• 23:50
  Speaker 2: press conference, it was on TV. Nancy Snyderman on Good
• 23:53
  Speaker 2: Morning America said I would never put a woman on it,
• 23:55
  Speaker 2: you know, and she with what was presented to her,
• 23:58
  Speaker 2: I can see the reasoning. That's the way I felt too.
• 24:01
  Speaker 2: But then as all of that got walked back, no
• 24:04
  Speaker 2: one talked about it. No one to this day in
• 24:07
  Speaker 2: the American College of Obi, jan who I love and
• 24:09
  Speaker 2: I'm super proud to be a part of, has not
• 24:11
  Speaker 2: changed the menopause hormon therapy guideline since twenty fourteen. It
• 24:16
  Speaker 2: is twenty twenty.
• 24:16
  Speaker 1: Five is that going to change.
• 24:19
  Speaker 2: I don't know. They kind of have their hands full
• 24:21
  Speaker 2: right now with all the reproductive stuff going on. You know,
• 24:24
  Speaker 2: the American Board is who we get recertified every year,
• 24:27
  Speaker 2: and I have to say we had six men out
• 24:29
  Speaker 2: of one hundred and twelve for the first time. We
• 24:31
  Speaker 2: usually have one maybe a year. We had six menopause
• 24:35
  Speaker 2: like serious menopause related articles and I did a jig
• 24:38
  Speaker 2: a dance of joy. But they're elective. You don't have
• 24:41
  Speaker 2: to read them, those particular ones, you know. So it's
• 24:44
  Speaker 2: getting better. There's about twenty or maybe thirty percent of
• 24:48
  Speaker 2: residencies now that offer an elective menopause course. But it
• 24:53
  Speaker 2: is elective. So what I'm demanding. So doctor Jennifer Wiswilf,
• 24:57
  Speaker 2: who's an NYU attorney and she's a professor at in
• 25:01
  Speaker 2: WYU Law. She and I co author the Citizen's Guide
• 25:04
  Speaker 2: in Menopause Advocacy. So we have six policies that we're
• 25:06
  Speaker 2: trying to get enacted, and we teach people how to
• 25:08
  Speaker 2: write your congressman. I still believe in democracy, despite what
• 25:12
  Speaker 2: the world is thinking right now about the US, but
• 25:14
  Speaker 2: I still believe that we have power and our votes count.
• 25:17
  Speaker 2: And so teaching women. These are six policy things, and
• 25:21
  Speaker 2: one is mandatory menopause education for all clinicians.
• 25:24
  Speaker 1: Amen, Okay, I'm at school.
• 25:28
  Speaker 2: Every person who's going to touch a woman needs to
• 25:30
  Speaker 2: know about menopause and how it affects. And every orthopedic
• 25:33
  Speaker 2: surgeon needs to know, and every urologist and ever. You know,
• 25:35
  Speaker 2: this is big. This is the last third of our life.
• 25:39
  Speaker 1: This sounds like a no brainer. It's so horrifying.
• 25:42
  Speaker 2: Policy change the other one, Yeah, take the black box warning.
• 25:46
  Speaker 2: Have you picked up vaginal estrogen yet? And you should?
• 25:49
  Speaker 2: You open up the packet and it's like you're going
• 25:51
  Speaker 2: to die. It's not true, Anthony.
• 25:54
  Speaker 1: Those letters, so I don't know that. I've already loved
• 25:57
  Speaker 1: that vision.
• 25:59
  Speaker 2: Not to mention the.
• 26:00
  Speaker 1: Eyesight is that part that's not related?
• 26:04
  Speaker 2: Okay?
• 26:04
  Speaker 1: I was hoping I could blame everything, sadly know. Okay,
• 26:08
  Speaker 1: So that's two.
• 26:09
  Speaker 2: Yeah, oh yeah, we have six, So I'm on the spot.
• 26:12
  Speaker 2: I'm sorry, Oh, black box warning, more education funding funding,
• 26:16
  Speaker 2: So in twenty twenty three, and who knows what's going
• 26:18
  Speaker 2: to happen with NIH funding. Things are changing rapidly right now.
• 26:22
  Speaker 2: But let's goh, historically, in twenty twenty three of a
• 26:25
  Speaker 2: forty three billion dollar budget, ten to fifteen billion went
• 26:29
  Speaker 2: to women's health. Most of that was reproduction, right, and
• 26:31
  Speaker 2: a little bit to ovarian uterine cancer. Important stuff. We're
• 26:35
  Speaker 2: half the population, Okay, menopause got one five million, fifteen
• 26:40
  Speaker 2: out of forty three billion dollars. That's point oh three percent.
• 26:44
  Speaker 2: Point oh three percent. So right, now, you go to PubMed,
• 26:47
  Speaker 2: which is the clearinghouse of medical journal articles where I
• 26:50
  Speaker 2: go to look for stuff, important stuff. Right, I type
• 26:53
  Speaker 2: in the word pregnancy, so that means every time pregnancy
• 26:56
  Speaker 2: is mentioned in an article, we got about one point
• 26:58
  Speaker 2: one million articles. We are just ripe juicy with obstetric information,
• 27:04
  Speaker 2: even though we have terrible obstetrical outcomes in the US
• 27:07
  Speaker 2: compared to other industrialised country. But that's another conversation. Ye.
• 27:10
  Speaker 2: Then I type in the word menopause. We have ninety
• 27:12
  Speaker 2: eight thousand, more than ten to one. So that's brain power,
• 27:17
  Speaker 2: funding expertise, people who give a shit. I type in
• 27:21
  Speaker 2: the word perimenopause six thousand, eight hundred. Okay, that is
• 27:26
  Speaker 2: why I'm so excited that you're writing the new Perimenopause,
• 27:30
  Speaker 2: because that is an audience that really needs So I'm
• 27:34
  Speaker 2: running off of those six thousand, eight hundreds compared to
• 27:38
  Speaker 2: the sixty eight thousand. I had to write the new Menopause.
• 27:41
  Speaker 2: That's like, it's a lot of gray area. It's a
• 27:43
  Speaker 2: lot of you know, me talking to the menopause. What
• 27:46
  Speaker 2: are you doing here? I mean, we're just a think
• 27:47
  Speaker 2: tank at this point. What are you doing? What are
• 27:49
  Speaker 2: you doing? It's worldwide, so it's it's a really cool
• 27:52
  Speaker 2: collaboration of these incredibly bold, brave, smart clinicians who are
• 27:57
  Speaker 2: fighting for women after you know, all women, but really
• 28:00
  Speaker 2: after reproduction. It's really our focus.
• 28:08
  Speaker 1: You talked about the new administration and how that everything
• 28:12
  Speaker 1: is changing so rapidly. Is that going to affect the funding.
• 28:16
  Speaker 2: I'm not sure. I know, NIH budgets are being cut
• 28:19
  Speaker 2: and certain terms are being limited, you know, they're kind
• 28:23
  Speaker 2: of being flagged for review, so anything, you know. I
• 28:25
  Speaker 2: saw the list and sadly, you know, for us, anything
• 28:28
  Speaker 2: that contained the word woman or female or gender. And
• 28:31
  Speaker 2: what shocked me is it didn't like male wasn't on there.
• 28:34
  Speaker 2: I'm like, okay, if we're going to be equal, we're
• 28:36
  Speaker 2: just gonna it's all humans. We're just a human and
• 28:38
  Speaker 2: not male female. But it was only women. But I'm
• 28:41
  Speaker 2: praying and hopeful that clear Heads will realize you know,
• 28:44
  Speaker 2: as the studies come through, it gets flagged, they'll have
• 28:45
  Speaker 2: another set of eyes looking at and say, oh, this
• 28:47
  Speaker 2: was a menopause thing. This is not you know, whatever
• 28:51
  Speaker 2: they're trying to limit. So but again what's exciting is
• 28:56
  Speaker 2: if we can't use ANIH, there are big private funding sources.
• 29:01
  Speaker 2: We have other sources of funding, right And for example,
• 29:04
  Speaker 2: Lisa Mosconi, who wrote The Menopause Brain, just got a
• 29:08
  Speaker 2: fifty million dollar grant from Welcome Leap And it's all
• 29:14
  Speaker 2: like she doesn't have to public like you know, the
• 29:16
  Speaker 2: way the machine of how publications are done and nih
• 29:19
  Speaker 2: funding and how much the university takes. She doesn't have
• 29:22
  Speaker 2: to worry about any of that. All she has to
• 29:24
  Speaker 2: do is solve a problem. And it's how much is
• 29:26
  Speaker 2: menopause related to Alzheimer's disease. So when my patients come
• 29:32
  Speaker 2: to me, they want to put out the menopause fire,
• 29:35
  Speaker 2: they want to become functional again. And that's actually easy
• 29:38
  Speaker 2: for me to help them with. Okay, we get them
• 29:40
  Speaker 2: back to where they're like I got this, I can
• 29:42
  Speaker 2: handle my stress, I got my family, you know, I
• 29:44
  Speaker 2: got it, I'm back in my job, I'm doing whatever.
• 29:46
  Speaker 2: Then we talk about the next thirty years and the
• 29:49
  Speaker 2: diseases that are plaguing her elders. We talk about heart disease,
• 29:53
  Speaker 2: we talk about dementia, We talk about astroporosis, fracture and frailty,
• 29:57
  Speaker 2: and where menopause fits into all all that, and what
• 30:00
  Speaker 2: are the habits, the lifestyle changes we're going to do
• 30:03
  Speaker 2: to decrease that risk. So's I'm so excited that, you know,
• 30:06
  Speaker 2: doctor Mosconi was able to step out of the traditional
• 30:09
  Speaker 2: nih you know, and find this beautiful funding and it
• 30:12
  Speaker 2: is so outcome driven and not publish this paper, you know,
• 30:16
  Speaker 2: Da Da da publisher parish. You know, we've set up
• 30:19
  Speaker 2: this kind of crazy system and how we generate research
• 30:22
  Speaker 2: in this country, good and bad, you know. And so
• 30:24
  Speaker 2: for her it's really freeing to step out of the
• 30:26
  Speaker 2: system and just be evidence focused, right and outcome focused.
• 30:30
  Speaker 2: And she's doing it in three years.
• 30:32
  Speaker 1: Wow.
• 30:32
  Speaker 2: And so when you think of fifteen million dollars, she
• 30:35
  Speaker 2: was fighting for a piece of that fifteen million dollar
• 30:37
  Speaker 2: pie in twenty twenty three, and they just gave her
• 30:40
  Speaker 2: fifty million dollars for herself. That's pretty to make this
• 30:44
  Speaker 2: happen and she's hiring researcher. I mean, it is like
• 30:47
  Speaker 2: amazing and she's going to solve this in three years.
• 30:49
  Speaker 1: All right, that is exciting because yeah, I mean now
• 30:52
  Speaker 1: being in menopause no longer in perimenopause, I want to
• 30:56
  Speaker 1: know what's next is when I'm done with menopause, what happens?
• 30:59
  Speaker 1: Or when am I done with menopause?
• 31:01
  Speaker 2: So postmenopaus is forever. So we've not been able to
• 31:04
  Speaker 2: figure out how to resuscitate the overrease, right, and so
• 31:07
  Speaker 2: you living without the natural production of vestrodyl and progesterone
• 31:11
  Speaker 2: is the rest of your life, right, So your bones
• 31:13
  Speaker 2: are always going to be affected, your general urinary system
• 31:15
  Speaker 2: is always going to be affected, your skin's always going
• 31:17
  Speaker 2: to be affected. You know, all of these things are
• 31:20
  Speaker 2: still happening. Hormone therapy can attenuate a lot of that.
• 31:23
  Speaker 2: But we're still aging and we're accepting that.
• 31:25
  Speaker 1: Right.
• 31:25
  Speaker 2: We know we're getting older. But what we're trying to
• 31:28
  Speaker 2: do is slow down the acceleration that you know, for
• 31:31
  Speaker 2: in premenopausal women enjoy better health than men. Typically, we
• 31:35
  Speaker 2: have better mental health. In general, we have better heart health,
• 31:38
  Speaker 2: but all of that goes to SHDT across the menopause transition.
• 31:41
  Speaker 2: And what we're learning now is by supporting women's hormones
• 31:44
  Speaker 2: through the transition and post we can slow some of
• 31:47
  Speaker 2: that down and give her back resilience. But you know,
• 31:51
  Speaker 2: when you watch the Wellness Bros. And the let's get
• 31:55
  Speaker 2: in the sauna and let's do the ice bath, I'm
• 31:57
  Speaker 2: like the wellness Bros. Any conversation about a female and
• 32:02
  Speaker 2: her health and longevity that doesn't include menopause is a mistake.
• 32:06
  Speaker 2: You know, you can't wellness your way out of menopause,
• 32:09
  Speaker 2: and so you can make your body more resilient to
• 32:12
  Speaker 2: certain things, and you definitely can broad dog menopause. You
• 32:14
  Speaker 2: don't have to be on hormone therapy. That doesn't but
• 32:16
  Speaker 2: it makes a lot life harder. Yeah, it can be
• 32:18
  Speaker 2: a lot harder.
• 32:19
  Speaker 1: What I mean, why would they? I'm I really want
• 32:22
  Speaker 1: to talk more about you, Claire, but I'm still so
• 32:25
  Speaker 1: fascinated by all the menopause discoveries and the research. What
• 32:29
  Speaker 1: so I'm not ever going to be out of menopause
• 32:32
  Speaker 1: or I'm going to go into what's called post menopause.
• 32:34
  Speaker 2: So your postmenopause menopause like is one day, one year
• 32:38
  Speaker 2: your final mistial period. That is the medical definition of menopause.
• 32:41
  Speaker 2: But here's my joke. What if it's leapier. Do you
• 32:43
  Speaker 2: have to go three hundred and sixty six days? What
• 32:45
  Speaker 2: if you've had a hysterectomy, What if you've had an
• 32:46
  Speaker 2: inblation for marine A? You do you don't have periods?
• 32:48
  Speaker 2: What if you don't? What if you have pcos like,
• 32:50
  Speaker 2: do you not get to be menopausal because you didn't
• 32:53
  Speaker 2: hit the year? I mean, it's so random and arbitrary.
• 32:55
  Speaker 2: It is ovary in failure. This is what menopause is.
• 32:58
  Speaker 2: So you have before the overars fail and after the
• 33:00
  Speaker 2: ovaries fail, and then you know, our age twice as
• 33:04
  Speaker 2: fast as any other organ in our body. And it's
• 33:07
  Speaker 2: just reality, and we don't know how to slow it down.
• 33:09
  Speaker 2: We could speed it up. If you smoke, if you
• 33:11
  Speaker 2: have radiation, if you have dominal surgery, if you have
• 33:13
  Speaker 2: a C section, if yes, direct me. You know, we
• 33:15
  Speaker 2: tend to chip off some of the life of the ovaries.
• 33:18
  Speaker 2: But we know that if you don't do those things,
• 33:21
  Speaker 2: and you eat a healthier diet and you exercise regularly,
• 33:24
  Speaker 2: you can stretch as much as the genetic capability of
• 33:27
  Speaker 2: your ovaries that you have. And that's like what the
• 33:31
  Speaker 2: New perimenopause is about, is like setting these women up
• 33:34
  Speaker 2: for success, right.
• 33:35
  Speaker 1: Right, setting them up for success. I think that's so important.
• 33:38
  Speaker 1: And it's for my daughters, yes, and for my daughters
• 33:41
  Speaker 1: who never heard the word menopause.
• 33:44
  Speaker 2: My daughters, God bless them, they know a lot. It's
• 33:47
  Speaker 2: just their vocabulary now.
• 33:50
  Speaker 1: I think my daughters too, and my husband too, Like
• 33:52
  Speaker 1: it's it's not a word that it's like anymore, and
• 33:55
  Speaker 1: it's not taboo. No, we talk about it and I
• 33:57
  Speaker 1: blame everything on it. Yeah, And every time you know,
• 34:00
  Speaker 1: my body hurts, I don't. I'm not afraid to stand
• 34:03
  Speaker 1: up and say, oh, my body's aching today. And I
• 34:06
  Speaker 1: feel like I have justification for those and it's not
• 34:10
  Speaker 1: in my head right now, and I'm not just being complaining.
• 34:13
  Speaker 2: Well, what I love about the New menopause is so
• 34:16
  Speaker 2: many women have reached out and said, you've validated what
• 34:21
  Speaker 2: I'm going through and how much quartersol did we lower
• 34:24
  Speaker 2: just by doing that, just by explaining what's happening, taking
• 34:26
  Speaker 2: the mystery and the shame and the you know, the
• 34:29
  Speaker 2: confusion out of it, being like, oh this makes sense, Okay,
• 34:32
  Speaker 2: it still sucks, but you know, for a lot of women.
• 34:35
  Speaker 2: But like, I get it, I get what's going on.
• 34:37
  Speaker 2: Let's let's figure out, you know, let me go find
• 34:39
  Speaker 2: a partner in this and let me change my diet,
• 34:41
  Speaker 2: let me fix my nutrition, and you'll do whatever I
• 34:43
  Speaker 2: need to do. But like, just knowing that they're armed
• 34:46
  Speaker 2: with information, they're making great decisions for themselves, and they're
• 34:50
  Speaker 2: ending up. I mean, females live longer than men. We
• 34:53
  Speaker 2: win guys, you know, the longevity race, but we're not
• 34:56
  Speaker 2: having good health space. Right. Women are ending up in
• 34:59
  Speaker 2: twenty five percent of their life span being in poorer
• 35:02
  Speaker 2: health than their male twin would.
• 35:03
  Speaker 1: Be because our bodies are made differently, are because we work.
• 35:08
  Speaker 2: So much harder well, the emotional labor. You know, there's
• 35:11
  Speaker 2: a lot of factors keying into this. My sister is
• 35:16
  Speaker 2: the de facto eldest daughter in town with my mother
• 35:19
  Speaker 2: who's aging, and she is also a nurse, so she
• 35:22
  Speaker 2: is managing the bulk of my mother's care. I'm out
• 35:25
  Speaker 2: of town right and I'm flying around doing interviews and
• 35:28
  Speaker 2: my sister is there doing the work, and I'm wondering
• 35:31
  Speaker 2: how much of her life we're chipping away at because
• 35:34
  Speaker 2: of the stress the day to day. My mother is
• 35:36
  Speaker 2: dementia and broke a hip, and you know, managing all
• 35:40
  Speaker 2: these decisions, and that is the plight of most women.
• 35:42
  Speaker 2: And you know, the eldest daughter ends up in a
• 35:45
  Speaker 2: lot of families being the caretaker. So how much is that,
• 35:49
  Speaker 2: you know? But what I want your listeners to understand
• 35:52
  Speaker 2: is I'm super happy. I am literally living my best life.
• 35:57
  Speaker 2: You know, I'm a fully menopausal woman. I have better boundaries.
• 36:02
  Speaker 2: You know, I did all the things. I got therapy,
• 36:05
  Speaker 2: I learned how to journal, I learned how to take
• 36:07
  Speaker 2: time for me, choose me. I put my own oxygen
• 36:10
  Speaker 2: mask on first, prioritize my needs, my wants, and I
• 36:14
  Speaker 2: wasn't you know, I don't feel selfish about it anymore?
• 36:17
  Speaker 2: Did you? At first? Oh? Absolutely, I'd always put everyone before.
• 36:20
  Speaker 2: That was my role, that was my job. I put
• 36:22
  Speaker 2: my patients before, you know, my children, the niece, and
• 36:26
  Speaker 2: my husband his career. And then finally I was like, no,
• 36:30
  Speaker 2: I can't keep going like this and be menopausal with
• 36:33
  Speaker 2: horrible symptoms and not sleeping and you know, this crazy
• 36:36
  Speaker 2: weight gain. And I would you know, had I not
• 36:39
  Speaker 2: completely like thrown out the rule book and started from
• 36:42
  Speaker 2: scratch and figured it out and taught everybody. As I
• 36:46
  Speaker 2: was going along the way, everything I was learning, I
• 36:48
  Speaker 2: wouldn't be here today. Yeah, and I am in a
• 36:50
  Speaker 2: great spot. I am so looking forward to the next
• 36:53
  Speaker 2: thirty years.
• 36:53
  Speaker 1: I love that message because, yeah, I feel healthier than
• 36:57
  Speaker 1: I've ever felt. Okay, I have so many questions. At
• 37:00
  Speaker 1: my recent I Choose Me Live summit, I was talking
• 37:03
  Speaker 1: to Sasha Petersa who suffers from PCOS. What is the
• 37:08
  Speaker 1: deal with menopause and PCOS?
• 37:09
  Speaker 2: Oh, that is such a tough one because, you know,
• 37:12
  Speaker 2: forever in medicine we have used menstrual cycles to kind
• 37:15
  Speaker 2: of gauge where you are in menopause, because for most
• 37:17
  Speaker 2: women the cycles become somewhat irregular, and it's any kind
• 37:20
  Speaker 2: of a regular two mitsu two, you know, but towards
• 37:23
  Speaker 2: the end you start skipping periods. Women with PCOS don't
• 37:27
  Speaker 2: have who untreated don't have regular periods in general, and
• 37:31
  Speaker 2: so they have no man today. Know, and so a
• 37:33
  Speaker 2: lot of late perimenopause looks almost exactly on a biochemical
• 37:38
  Speaker 2: basis without the you know, like PCOS, our insular resistance increases,
• 37:42
  Speaker 2: you know, you start developing visceral and body fat. You
• 37:45
  Speaker 2: almost become like a mini PCOS patient on your way
• 37:48
  Speaker 2: into full menopause. So it can be really and I
• 37:51
  Speaker 2: have a blog about it, and I have a little
• 37:53
  Speaker 2: checklists like PCOS and then menopause and like where things
• 37:56
  Speaker 2: line up and then where you can tell the difference.
• 37:59
  Speaker 1: Oh God, you have post recently and it had some
• 38:01
  Speaker 1: crazy ass chart about your hormone fluctuation.
• 38:06
  Speaker 2: The zone of chaos.
• 38:07
  Speaker 1: I was blown away at that. I'm going to put
• 38:10
  Speaker 1: that up for our listeners to see the visual of
• 38:12
  Speaker 1: the graph that was just all over the spaghetti and
• 38:16
  Speaker 1: then it flatlined.
• 38:17
  Speaker 2: And then it flat lines. So in premenopause, most women
• 38:20
  Speaker 2: have seen the monthly hormone curved looks like an EKG. Right,
• 38:23
  Speaker 2: you have a astra starts out low and then it
• 38:25
  Speaker 2: surges in ovulation. Then it kind of like tapers off,
• 38:28
  Speaker 2: and then progesterone after ovulation goes up, and that's when
• 38:31
  Speaker 2: our temperature goes up. Like anybody's been through a fertility
• 38:33
  Speaker 2: treatment or natural family planning, you know, we all kind
• 38:36
  Speaker 2: of get that, and all all clinicians know this by heart,
• 38:39
  Speaker 2: so that that is a monthly EKG for a healthy woman.
• 38:42
  Speaker 2: You know, day twelve, she's doing this, Day eighteen, she's
• 38:44
  Speaker 2: doing that, And it repeats over and over and over
• 38:46
  Speaker 2: again beautifully, unless she's pregnant or going through something really stressful,
• 38:49
  Speaker 2: or you know, we're suppressing with birth control pills. In perimenopause, now,
• 38:54
  Speaker 2: the reason why we ovulate is not the ovaries, it's
• 38:58
  Speaker 2: the brain. It starts in the brain, the hypothalmus gland
• 39:03
  Speaker 2: in our brain, it's constantly sensing for estrogen, looking for it.
• 39:08
  Speaker 2: When it gets low, it sends a kickstart signal to
• 39:11
  Speaker 2: the pituitary gland, saying, dude, tell the ovary to get
• 39:14
  Speaker 2: to work. We need an egg, we need some messrogen.
• 39:16
  Speaker 2: We've got to get this level back up. And over's
• 39:17
  Speaker 2: like got it, boss, and pumps out something called LH
• 39:20
  Speaker 2: and FSH to the ovary. That jump starts ovulation, and
• 39:24
  Speaker 2: then the whole thing starts over again, and that is
• 39:26
  Speaker 2: just predictable month after month. In perimenopause, we reach a
• 39:30
  Speaker 2: critical egg thresh hold level. We're born with all of
• 39:34
  Speaker 2: our eggs. Menopause is the end of your eggs no more.
• 39:37
  Speaker 2: We exhaust the supply. So for everyone and it's a
• 39:40
  Speaker 2: different threshold, but whenever your preset threshold is that you
• 39:43
  Speaker 2: have two million eggs left, whatever it is, a million,
• 39:46
  Speaker 2: ten thousand, The signal coming from the brain stops working.
• 39:49
  Speaker 2: There are not enough follicles to recruit. So the brain
• 39:53
  Speaker 2: is like, where's my estrogen? And the petuitiary is like,
• 39:58
  Speaker 2: I sent the signal and we wouldn't respond as being
• 40:02
  Speaker 2: you know, the door is shut. We're not here in
• 40:03
  Speaker 2: the knock at the door. And the brain is like,
• 40:06
  Speaker 2: f this, and so it starts pounding the ovary with
• 40:10
  Speaker 2: higher and higher levels of FSH, which is why FSH
• 40:12
  Speaker 2: levels rise in perimenopause to force the ovulation, and that
• 40:18
  Speaker 2: creates a hormonal zone of chaos. We end up in
• 40:21
  Speaker 2: these wild fluctuations of estradle much higher than you ever
• 40:24
  Speaker 2: had in your premenopausal years, and they crash and you're
• 40:27
  Speaker 2: and they're very unpredictable when the surges happen, and then
• 40:30
  Speaker 2: progesterone never kind of gets as high as it used.
• 40:33
  Speaker 1: To in your premenopausal years, and then what happens when
• 40:36
  Speaker 1: it's flat.
• 40:37
  Speaker 2: And then when you run out of eggs, no estrogen,
• 40:40
  Speaker 2: no estradyle, no progesterone, and f sagenlite to stay elevated.
• 40:44
  Speaker 2: And it's just.
• 40:47
  Speaker 1: That doesn't sound good. The flat lining does not sound like.
• 40:50
  Speaker 2: What I want. Fortunately, with we can replace what's missing
• 40:55
  Speaker 2: in a very bioidentical way with inexpensive FDA approved ups
• 41:00
  Speaker 2: for most women, and they work great, and women feel
• 41:04
  Speaker 2: a lot better, and their bones are stronger, and their
• 41:06
  Speaker 2: general urine every system is healthier, and their skin is
• 41:09
  Speaker 2: more resilient, and their brains are more resilient. The best
• 41:13
  Speaker 2: treatment in perimenopause for new onset depression or anxiety is
• 41:17
  Speaker 2: not an SSRI. It is hormone.
• 41:21
  Speaker 1: That's what they give you. Though. Yeah, we're getting there, okay,
• 41:26
  Speaker 1: So I'm on all the hormones like you because you
• 41:28
  Speaker 1: told me you were on the trifecta.
• 41:29
  Speaker 2: So yeah, I gotta give me some of that trifecta.
• 41:32
  Speaker 1: Feel amazing?
• 41:33
  Speaker 2: How do you feel amazing? Right?
• 41:34
  Speaker 1: What happens if I forget the patch? Because you have
• 41:37
  Speaker 1: to do it every twice a week.
• 41:38
  Speaker 2: Twice a week, So that happens to me. Actually, we
• 41:41
  Speaker 2: were looking at my team over there. I was like,
• 41:43
  Speaker 2: what day is it? What day is it? Yeah, I'm
• 41:44
  Speaker 2: great when I'm at home because I have all my
• 41:46
  Speaker 2: little triggers. But I was like, oh, it's Wednesday. You
• 41:48
  Speaker 2: lose track, you lose track. You know, the patches give
• 41:51
  Speaker 2: you a little bit of grace. You know, they should
• 41:53
  Speaker 2: be changed every three to four days. If you go five,
• 41:55
  Speaker 2: nothing bad, it's going to happen. And one time I
• 41:57
  Speaker 2: really forgot and it took a whole week before I
• 41:59
  Speaker 2: started having hot flashes again.
• 42:01
  Speaker 1: Oh they came back right away.
• 42:02
  Speaker 2: Yeah, progesterone. I do not forget, because this girl likes
• 42:07
  Speaker 2: to sleep and without the progesterone.
• 42:10
  Speaker 1: I think that was the initial reason when I started
• 42:12
  Speaker 1: HRT was that I was losing sleep. And for me,
• 42:15
  Speaker 1: that was a deal breaker. I can't function without sleeping.
• 42:18
  Speaker 1: Everything in me hurts, my brain doesn't work. I'm not
• 42:21
  Speaker 1: pleasant to be around.
• 42:22
  Speaker 2: Yeah. Yeah, that's the first thing. Like I lown in
• 42:26
  Speaker 2: on with my patients is like, we've got to get
• 42:28
  Speaker 2: you sleeping. And it's not going to be a sedative.
• 42:30
  Speaker 2: You know, long term sedative use, long term benadrual use,
• 42:32
  Speaker 2: long term melotonin use is fraught with cognitive disorders down
• 42:37
  Speaker 2: the line. Short term you're sure you go to a
• 42:39
  Speaker 2: different time zone, somebody you know you have an acute response, Yeah,
• 42:42
  Speaker 2: of course, no problem. But like using that dependently to
• 42:45
  Speaker 2: go to sleep every night is not healthy. What about trasodone.
• 42:49
  Speaker 2: Trasodone has an addictive potential. And so what the studies
• 42:53
  Speaker 2: are showing is that long term use of sleep aids
• 42:57
  Speaker 2: are not good for cognition long term, some of us
• 43:00
  Speaker 2: in the menopause, the world think is it's not the
• 43:02
  Speaker 2: maybe the medication as much as not sleeping. Right that
• 43:07
  Speaker 2: women who don't sleep, well, that's when you recharge your brain.
• 43:10
  Speaker 2: And if you're having disrupted, not deep and you're not
• 43:12
  Speaker 2: getting all the phases of sleep. Now that I wear
• 43:14
  Speaker 2: an ORR ring, it's charging. I wear a ring to
• 43:17
  Speaker 2: track my sleep because I have to protect my sleep
• 43:19
  Speaker 2: with my life because my mother has Alzheimer's and I
• 43:23
  Speaker 2: am doing all the things working on alcohol. But you know,
• 43:26
  Speaker 2: all the things that I can to try to decrease
• 43:28
  Speaker 2: that risk for myself so I don't burden my children.
• 43:31
  Speaker 1: So what are the greatest risks for Alzheimer's? Do you
• 43:34
  Speaker 1: think alcohol?
• 43:35
  Speaker 2: You mentioned, Yeah, Lisa Mosconi wrote a beautiful book about it.
• 43:38
  Speaker 2: There's like fourteen and we just had a live But
• 43:40
  Speaker 2: you know, smoking, insulin resistance, diabetes, sedentary lifestyle, you know
• 43:45
  Speaker 2: all the things that lead to heart disease and diabetes
• 43:48
  Speaker 2: and stroke, are all kind of in that list poor
• 43:51
  Speaker 2: dietary choices, things that will decrease your risk social connection.
• 43:57
  Speaker 2: You know, Mama, when my dad died, I mean, bless
• 43:59
  Speaker 2: her hearts, lost three kids and her husband, you know,
• 44:03
  Speaker 2: and I think i'd let myself up in my house too.
• 44:05
  Speaker 2: She just kind of shut the world out and started
• 44:08
  Speaker 2: drinking a lot more. I think she was self medicating.
• 44:10
  Speaker 2: And so I'm certain this it hastened her journey to Alzheimer's.
• 44:15
  Speaker 2: And I can't blame her for that. And I'm just
• 44:16
  Speaker 2: trying to have compassion for her to birthday today, say
• 44:19
  Speaker 2: a birthday. She had a good day yesterday, so I
• 44:21
  Speaker 2: was able to have a reasonable conversation with her. I'm sure,
• 44:23
  Speaker 2: happy birthday. And but you know, just frankly, I'm like, Okay,
• 44:29
  Speaker 2: you know, what habits did mom have that I should
• 44:32
  Speaker 2: really work it avoiding and let's get some therapy and
• 44:36
  Speaker 2: let's get these things on the front end so that
• 44:38
  Speaker 2: when the terrible things happened, I don't isolate and shut
• 44:41
  Speaker 2: everyone out of the world, you know, and just go
• 44:44
  Speaker 2: into a kind of a dark place.
• 44:46
  Speaker 1: It's so easy to do, you brain fogs. Happened.
• 44:52
  Speaker 2: It happened. My name is menopause nice to me?
• 44:56
  Speaker 1: It's the best I did QBC Live on airs. Middle
• 45:00
  Speaker 1: my sentence, I'll be like, oh, yeah, no, idea what
• 45:03
  Speaker 1: I'm talking about.
• 45:05
  Speaker 2: So I just kind of yeah, they're fine. I love you.
• 45:08
  Speaker 1: They don't know, they don't know. You talk so much
• 45:16
  Speaker 1: about menopause. You educate so many women. You devote your
• 45:19
  Speaker 1: life to delivering the messages that change people's lives. And
• 45:23
  Speaker 1: so often we're getting these messages from left and right,
• 45:26
  Speaker 1: and it's all of our social media and there's so
• 45:28
  Speaker 1: many things, and it's very overwhelming. What would you say
• 45:32
  Speaker 1: to the person me who is overwhelmed by all the information?
• 45:37
  Speaker 2: You know, find a source you trust. It's like walking
• 45:41
  Speaker 2: into Barnes and Noble back in the day when we
• 45:43
  Speaker 2: did that, right, And you see all the magazines, right,
• 45:46
  Speaker 2: and they're shiny, and which one do I want? And
• 45:49
  Speaker 2: they all have these beautiful things on the cover. They
• 45:51
  Speaker 2: have these catchphrases and these lines, and you're just like, oh,
• 45:54
  Speaker 2: which one do I read? And believe you have to
• 45:56
  Speaker 2: sample and then you have to look at credentials really
• 46:00
  Speaker 2: is one thing, and you know, where's the information coming
• 46:03
  Speaker 2: from and what do they have to gain? Right? Are
• 46:06
  Speaker 2: they trying to dissuade you from a certain thing to
• 46:10
  Speaker 2: get you to buy their product. Right, that's a little
• 46:13
  Speaker 2: bit of a red flag. Are they, you know, truly
• 46:16
  Speaker 2: looking out for your best health and behavior? Are they
• 46:20
  Speaker 2: calling them you know, are they using a credential but not?
• 46:22
  Speaker 2: You know, really you should have whatever your m d
• 46:25
  Speaker 2: d o. You know what, if you're calling yourself a
• 46:28
  Speaker 2: clinician online, you really should in the in your bio
• 46:32
  Speaker 2: have clearly your credentials listed. And when that's kind of
• 46:35
  Speaker 2: sketchy when I see people who have that stuff and
• 46:39
  Speaker 2: just listen to the message. You're an intelligent woman. You
• 46:43
  Speaker 2: know what is resonating with you for me? Right? What
• 46:46
  Speaker 2: is resonating for you? And does that make sense to you?
• 46:49
  Speaker 2: And does that make you feel better? Go for it?
• 46:51
  Speaker 2: That's good information then.
• 46:52
  Speaker 1: Yeah, I mean it's very hard to jump into what
• 46:56
  Speaker 1: we talk about all in about changing our lives to
• 47:00
  Speaker 1: assure us that we're not going to go down the
• 47:01
  Speaker 1: same road as our parents who might not be healthy,
• 47:04
  Speaker 1: and it is daunting.
• 47:07
  Speaker 2: But like, stick to the basics first, right, you see
• 47:09
  Speaker 2: all the micro stuff like the sauna and I have
• 47:12
  Speaker 2: a red light, so full disclosure. But you know, the
• 47:15
  Speaker 2: red light in the sauna. But you know, if you're
• 47:16
  Speaker 2: not sleeping eight hour Like, there's some basic stuff, low
• 47:19
  Speaker 2: inflammatory nutrition, eating pro pattern, right, and I know you're
• 47:23
  Speaker 2: doing that, but like, look at your food, look at
• 47:26
  Speaker 2: the basics your food. How are you moving your body?
• 47:28
  Speaker 2: We need to be weightlifting, We need to be we're
• 47:30
  Speaker 2: doing a resistance training. Otherwise your muscles are deteriorating in
• 47:33
  Speaker 2: front of you. And this is an age related thing
• 47:35
  Speaker 2: that's accelerated with menopause. It doesn't have to happen, but
• 47:38
  Speaker 2: it takes work. Are you getting enough protein? And we
• 47:41
  Speaker 2: were joking off camera, you know, it's our full time
• 47:44
  Speaker 2: job to find protein sources. I wish it was in
• 47:47
  Speaker 2: a pill that we could tolerate. Can you invent a
• 47:49
  Speaker 2: protein healthy I just can't take one. It's just a
• 47:52
  Speaker 2: bigger you know, to get that many amato acids. It's
• 47:54
  Speaker 2: hard to like get this.
• 47:55
  Speaker 1: I'll take more than one if you just make that
• 47:58
  Speaker 1: for me.
• 47:59
  Speaker 2: I'm like, one of my teammates is doing perfect demino,
• 48:02
  Speaker 2: so I have to look into that. Yeah, yee. So
• 48:04
  Speaker 2: you know, I think now that focus is on protein
• 48:07
  Speaker 2: and the benefits of making sure and I'm not talking
• 48:09
  Speaker 2: people are like, oh, I was talking to one of
• 48:11
  Speaker 2: the other podcasts this week about high protein. I go,
• 48:13
  Speaker 2: I don't know what that is. I'm just trying to
• 48:14
  Speaker 2: get enough for me. Yeah, you know, it was more
• 48:17
  Speaker 2: than I was used to getting. So this is now
• 48:20
  Speaker 2: a job for me is to figure out how to
• 48:21
  Speaker 2: work this end of my life in a reasonable fashion. Right.
• 48:24
  Speaker 1: It's it's not easy, but it is doable. Yeah, if
• 48:27
  Speaker 1: we start focusing on the right things, and we start
• 48:29
  Speaker 1: focusing on choosing ourselves and taking better care of ourselves,
• 48:33
  Speaker 1: because at the end of the day, everyone's going to
• 48:36
  Speaker 1: be off doing their own thing and we're going to
• 48:39
  Speaker 1: be sitting there.
• 48:40
  Speaker 2: I want my kids to feel like they have to
• 48:42
  Speaker 2: stop their lives and take to come in. Yeah ten
• 48:45
  Speaker 2: to me, No, you know, I want them to flourish
• 48:47
  Speaker 2: and fly. And the last couple of weeks, gather around
• 48:50
  Speaker 2: and you know, like my dad, my dad had a
• 48:52
  Speaker 2: beautiful death. We all kind of realized that about a
• 48:55
  Speaker 2: month out. You know, we started making plans to come in.
• 48:58
  Speaker 2: We were all there the last couple of weeks and
• 49:00
  Speaker 2: sang songs and told stories and he slipped into unconsciousness
• 49:04
  Speaker 2: the last couple of days and we were all there
• 49:07
  Speaker 2: and it was it was beautiful.
• 49:08
  Speaker 1: That's all you can ask, you know.
• 49:09
  Speaker 2: And I'm like, the women in my family are in
• 49:12
  Speaker 2: nursing homes for years with like falling and you know,
• 49:17
  Speaker 2: with anxiety and all these things, and I'm like, God,
• 49:20
  Speaker 2: this is not a beautiful death. And so many women
• 49:22
  Speaker 2: in our lives are being denied that, you know, from
• 49:25
  Speaker 2: not being set up for success to age.
• 49:27
  Speaker 1: Well, this is all about setting us up for success,
• 49:29
  Speaker 1: about longevity. I love that, you know, I know your
• 49:33
  Speaker 1: life changed so much recently, Like we started initially talking
• 49:36
  Speaker 1: about how's that affected you on a personal note and
• 49:41
  Speaker 1: affected your family. Because fame comes fast and hard sometimes
• 49:46
  Speaker 1: I talked.
• 49:46
  Speaker 2: A little bit about it, and you've dealt with it
• 49:50
  Speaker 2: for a very long time. But you know, not everyone
• 49:53
  Speaker 2: is happy with what I say and do, and I
• 49:56
  Speaker 2: definitely have, you know, for me, having been the straight
• 49:59
  Speaker 2: A student, top of my class, the top producer at
• 50:03
  Speaker 2: my hospital. You know, I was always used to being
• 50:06
  Speaker 2: the it girl, the star, the you know everyone.
• 50:10
  Speaker 1: Because you have that drive you have that you want
• 50:12
  Speaker 1: to achieved.
• 50:13
  Speaker 2: I wanted to. I was a number one people pleaser
• 50:16
  Speaker 2: and one of the hardest things for me. But making
• 50:19
  Speaker 2: this shift and choosing social media as a platform to
• 50:22
  Speaker 2: educate and realizing that I'm a good science communicator. You
• 50:26
  Speaker 2: are the criticism and the people and the people who
• 50:29
  Speaker 2: doubt what my motivations are and where I'm coming from.
• 50:32
  Speaker 2: And that is a path I've never dreamed about navigating.
• 50:36
  Speaker 2: And it is a every day having to take a
• 50:39
  Speaker 2: deep breath and go back to my therapist who says,
• 50:42
  Speaker 2: what do you know is true? What do you know
• 50:45
  Speaker 2: is true about you? And I'm like, I want to
• 50:50
  Speaker 2: change the world. I don't want I want for our
• 50:53
  Speaker 2: daughters to be able to navigate menopause without a care
• 50:57
  Speaker 2: in the world that it is not a major trend
• 51:00
  Speaker 2: into where she feels lost and she's hurting and she's
• 51:05
  Speaker 2: you know, it's the number one time for a woman
• 51:07
  Speaker 2: to commit suicide forty percent of cares by some mental
• 51:09
  Speaker 2: health disorder. Divorce rate skyrocket for I feel good reasons.
• 51:13
  Speaker 1: We feel so like just laws.
• 51:17
  Speaker 2: You know, like that book, there's a reason why it
• 51:19
  Speaker 2: resonates with so many people, And I'm like, if I can,
• 51:23
  Speaker 2: just in the littlest way change that narrative, then the
• 51:27
  Speaker 2: haters are worth it, because I know what's true, and
• 51:30
  Speaker 2: I know me so it's it's good and bad. It's
• 51:32
  Speaker 2: been a lot of life lessons to be learned. But
• 51:35
  Speaker 2: I'm here and I'm not stopping.
• 51:37
  Speaker 1: I know we talked earlier, I think a few months
• 51:39
  Speaker 1: ago when you were kind of struggling with a hit
• 51:42
  Speaker 1: of wall. Yeah.
• 51:43
  Speaker 2: I took a break, It's okay, deep breath, gathered my
• 51:47
  Speaker 2: family around me, and said, what do I want? What
• 51:50
  Speaker 2: do I want to do? When were they?
• 51:51
  Speaker 1: Did they boost you up to the totally?
• 51:53
  Speaker 2: I have the world's greatest friends and team and family
• 51:58
  Speaker 2: and my kids. My kids are probably my daughter to
• 52:00
  Speaker 2: med school. So she's like trying to act like it's
• 52:03
  Speaker 2: not a big deal kind of you know, and she's
• 52:05
  Speaker 2: going through her own journey. She's assured me she's not
• 52:07
  Speaker 2: going into oubiju an you know, she's thinking maybe psychiatry
• 52:11
  Speaker 2: or in Tonal Madison. We'll see, you know. She hasn't
• 52:13
  Speaker 2: even done her real rotations yet. My youngest is doing
• 52:15
  Speaker 2: PR and marketing and mass calm. So I've taken her
• 52:18
  Speaker 2: to events, I've brought her to New York. She's done internships.
• 52:22
  Speaker 1: And is that the one I met at Hello Sunshine?
• 52:25
  Speaker 2: Yeah? Yeah, so that was Maddie, And so you know,
• 52:27
  Speaker 2: they're they're proud, they're a little like, whoa, what just happened?
• 52:31
  Speaker 1: Yeah, but why are these people coming up to my Yeah?
• 52:33
  Speaker 2: Like, you know, one time we were out celebrating my
• 52:36
  Speaker 2: niece's birthday in New Orleans, and you know, I get
• 52:39
  Speaker 2: recognized now and we're just like in the corner and
• 52:41
  Speaker 2: like we're dancing the girls. It was my sister and
• 52:44
  Speaker 2: my two daughters and her daughter and like the boyfriends
• 52:46
  Speaker 2: and stuff, and this woman comes up so sweet and
• 52:49
  Speaker 2: was like, oh my god. And my younger daughter like
• 52:54
  Speaker 2: kind of rolled her eyes a little and was like, oh,
• 52:56
  Speaker 2: here we go, you know, and the woman, thank god
• 52:59
  Speaker 2: didn't see. And I was gracious and we took a
• 53:01
  Speaker 2: picture and she went about her way. And the next
• 53:03
  Speaker 2: morning I got up and I looked at my daughter
• 53:04
  Speaker 2: and I said, I get it. You did not ask
• 53:07
  Speaker 2: for this, and I'm so sorry, I said, but this
• 53:09
  Speaker 2: is our life right now, and I don't think it's
• 53:12
  Speaker 2: going to be stopping anytime soon. Can you handle it?
• 53:14
  Speaker 2: She says, yeah, Mom? And I was like, we need
• 53:16
  Speaker 2: to learn to be gracious. That woman was brave enough
• 53:18
  Speaker 2: to come up to me, and she didn't want to
• 53:21
  Speaker 2: interrupt our party, but she felt it was important enough
• 53:23
  Speaker 2: for her to share whatever she wanted to share with me,
• 53:25
  Speaker 2: and I did want to disrupt the party, but you know, this,
• 53:28
  Speaker 2: this is our life, and you know, just us having
• 53:31
  Speaker 2: that communication, she was like, Okay, I don't know how
• 53:34
  Speaker 2: you manage it with your kids for so many years,
• 53:36
  Speaker 2: but you know, this is new and it's like been
• 53:39
  Speaker 2: in the last couple of years since COVID really and
• 53:41
  Speaker 2: we could travel since COVID. So but people are so
• 53:44
  Speaker 2: gracious and kind.
• 53:46
  Speaker 1: Every airpoor bathroom, they just want to they come up
• 53:49
  Speaker 1: and share and share connect. Yeah, and that can be scary,
• 53:53
  Speaker 1: but once you embrace it and you see the effect
• 53:55
  Speaker 1: that you're having on so many people, and then you
• 53:57
  Speaker 1: in return feel how that pushes you forward, it propels
• 54:00
  Speaker 1: you to continue doing it.
• 54:01
  Speaker 2: There's so much love there, there's so much much food
• 54:04
  Speaker 2: that I just I'm embracing it. So but you know,
• 54:07
  Speaker 2: I had to talk to my daughter and be like,
• 54:08
  Speaker 2: don't worrialize in public. I know it's okay.
• 54:13
  Speaker 1: I always try to like kind of remove the photograph
• 54:16
  Speaker 1: taking from my kids so they're not like just standing
• 54:19
  Speaker 1: there like, yeah, mom, exactly. How about like on a
• 54:23
  Speaker 1: personal level, in your marriage, I know you said before
• 54:26
  Speaker 1: you spend a lot of time supporting your husband.
• 54:29
  Speaker 2: Has been the coolest thing. I married a rock star
• 54:33
  Speaker 2: and I didn't realize it. Like I mean, he's a
• 54:35
  Speaker 2: great like world's greatest father, provider, all the things, check
• 54:39
  Speaker 2: the boxes, you know. But as this has grown, he
• 54:43
  Speaker 2: retired from his oil and gas, Like he reached the
• 54:45
  Speaker 2: rule of ninety. If you've ever had anybody in a
• 54:47
  Speaker 2: corporate world, you know they have this age and years
• 54:50
  Speaker 2: of service where they get full retirement benefits. And like
• 54:53
  Speaker 2: he had been kind of quietly helping out in the business,
• 54:55
  Speaker 2: like we have our supplement line and it's it's done
• 54:58
  Speaker 2: really well. And so I was getting frustrated with contracts
• 55:01
  Speaker 2: and negotiations, and you know, he has an MBA and
• 55:04
  Speaker 2: he's an engineer, and so he kind of started putting
• 55:06
  Speaker 2: a toe in the water and meeting with contractors and
• 55:08
  Speaker 2: doing stuff and just making my life so much easier.
• 55:11
  Speaker 2: And so as his retirement age was getting closer last year,
• 55:15
  Speaker 2: I said, you know, you're doing so much. Now I'm
• 55:18
  Speaker 2: going to have to hire. You know, we keep growing.
• 55:20
  Speaker 2: We grew three hundred percent in one year. I'm gonna
• 55:23
  Speaker 2: have I here's someone and pay them your chevron salary
• 55:25
  Speaker 2: to do what you're doing now, And he was like, oh,
• 55:28
  Speaker 2: since you put it that way, I said, you can
• 55:29
  Speaker 2: come work for free, you know. But we work from home.
• 55:34
  Speaker 2: I have a clinic, but you know, I'm in clinic
• 55:35
  Speaker 2: to day's a week, but the days I'll work from
• 55:37
  Speaker 2: home when I'm doing like the business end or researching
• 55:39
  Speaker 2: or writing the book. We're in like separate areas of
• 55:41
  Speaker 2: the house. But I can hear him on calls and
• 55:43
  Speaker 2: I'm like, oh, he's so hot to him to his thing,
• 55:46
  Speaker 2: you know. And we are closer now than we've ever been.
• 55:50
  Speaker 2: You know, a lot of couples really can't work together,
• 55:52
  Speaker 2: and I thought that would be us. I'm sequestered in
• 55:54
  Speaker 2: another room because we're both on calls, but we're just
• 55:59
  Speaker 2: doing this together and we're building it together. Oh.
• 56:02
  Speaker 1: I love that, and I've always wanted that.
• 56:05
  Speaker 2: I and I. You know, this was an accident that
• 56:08
  Speaker 2: the way it all happened, but it is a skill
• 56:10
  Speaker 2: set I didn't realize he had. And we are absolutely
• 56:14
  Speaker 2: hand in hand to bring this together. And he's so supportive.
• 56:18
  Speaker 2: Like I get lost in the sauce right and all
• 56:20
  Speaker 2: of a sudden, I'll look down and he's put a
• 56:22
  Speaker 2: plate of food in front of me. You know when
• 56:24
  Speaker 2: forever I was the cook. You know, I come from
• 56:26
  Speaker 2: a restaurant family. And he's like, well, he says, I
• 56:29
  Speaker 2: just want to eat, so and you're so busy you
• 56:32
  Speaker 2: don't really you stop eating. Yeah, and so he's like,
• 56:34
  Speaker 2: if I want to eat, I need cook. So he's
• 56:37
  Speaker 2: taken over since you know he's working from home, like
• 56:39
  Speaker 2: semi retired. He says, he's working for a startup. You know,
• 56:43
  Speaker 2: it's our family business.
• 56:44
  Speaker 1: So it's that woman business. By the way, I just
• 56:47
  Speaker 1: ordered yesterday for the first time your supplements. I ordered
• 56:49
  Speaker 1: the fiber that you cannot wait because I need more fiber.
• 56:52
  Speaker 1: We all need more fiber in addition to our proteins.
• 56:55
  Speaker 1: So once you come out with the protein pill, let
• 56:57
  Speaker 1: me know. And I got what else? Did I get?
• 56:59
  Speaker 2: The creating that one? Okay, we just have a few.
• 57:02
  Speaker 1: Yeah, it's not overwhelming your supplement.
• 57:05
  Speaker 2: These are nutritional things that women tend to not get
• 57:09
  Speaker 2: in there. Pause and my patients were coming in with
• 57:11
  Speaker 2: all this stuff with fillers and additives, and I was like, yeah, yeah,
• 57:14
  Speaker 2: you know it is. That's another really crowded space where
• 57:18
  Speaker 2: it's hard to see and I was like, can I
• 57:21
  Speaker 2: look into you know, my business partner and I let's
• 57:23
  Speaker 2: suck and do it, Like, like, what would it take
• 57:26
  Speaker 2: for me to build a high quality, tested, you know,
• 57:29
  Speaker 2: ethically sourced, right, you know, good, high quality vitamin D
• 57:33
  Speaker 2: product because my patients were not getting enough vitamin D
• 57:35
  Speaker 2: and I'm scared of some of the stuff they're bringing in.
• 57:38
  Speaker 2: Let's try it. You know, we self funded. I have
• 57:40
  Speaker 2: no VC I have no bankers, I have nothing like
• 57:42
  Speaker 2: my husband. I funded this whole thing out of our
• 57:44
  Speaker 2: own bank account. And you know it's just this beautiful
• 57:47
  Speaker 2: like Mam and pop thing that we've done. But we
• 57:50
  Speaker 2: did it our way and it's tested high quality. You know,
• 57:54
  Speaker 2: you're listeners. They don't want to buy for me. It's fun.
• 57:56
  Speaker 2: All of my information is free. I will never have
• 57:58
  Speaker 2: it behind a pan.
• 57:59
  Speaker 1: There's so much information.
• 58:00
  Speaker 2: We have a website that's sock and pack full of really,
• 58:03
  Speaker 2: so you can live your best life. And you know
• 58:05
  Speaker 2: you choose to support me. Thank you from the bottom
• 58:07
  Speaker 2: of my heart. But we're okay.
• 58:09
  Speaker 1: Yeah, you know, I just want you to be your healthiest,
• 58:11
  Speaker 1: happiest self, right, I mean that's I can feel like
• 58:15
  Speaker 1: if I'm going to buy a supplement, I want to
• 58:16
  Speaker 1: buy it from you. I don't. I'm not associated with you.
• 58:18
  Speaker 2: I know whatever. I'm not. Yeah, I'm not hanging her
• 58:21
  Speaker 2: to say this.
• 58:22
  Speaker 1: I've even bought my own products, like you know what
• 58:24
  Speaker 1: I mean. Like I think, I feel like you know
• 58:26
  Speaker 1: what I need because you've been through it and you've
• 58:29
  Speaker 1: just spent See.
• 58:30
  Speaker 2: Where the gaps are for most women, and I'm like,
• 58:33
  Speaker 2: get a little tracker. They're free. Track what you're eating,
• 58:35
  Speaker 2: see where your gaps are. You know, see if you
• 58:37
  Speaker 2: can get it up from food. But if you can't,
• 58:39
  Speaker 2: I'm here for you.
• 58:40
  Speaker 1: I'm not that good at tracking. That sounds like a
• 58:42
  Speaker 1: lot of work.
• 58:43
  Speaker 2: Really, you know, if they've got a good basic diet,
• 58:46
  Speaker 2: they only need a track for a couple of weeks
• 58:47
  Speaker 2: to just kind of see where they're at. It's like
• 58:49
  Speaker 2: like getting blood work once a year. You want to
• 58:50
  Speaker 2: see where you're at. You know you're probably doing okay,
• 58:52
  Speaker 2: but and then you were like, oh gosh, I'm not
• 58:55
  Speaker 2: getting enough magnesium. I need to work on that. Oh
• 58:58
  Speaker 2: my gosh, I'm only getting tan grims of barbers, which
• 59:00
  Speaker 2: is what most women are getting. We need twenty five
• 59:02
  Speaker 2: to thirty five you know, this is a big gaps
• 59:05
  Speaker 2: that we have.
• 59:06
  Speaker 1: How do I know if I'm getting enough magnesium? Is
• 59:08
  Speaker 1: that like is it my food that I'm getting there?
• 59:11
  Speaker 2: Or so we get a lot of magnesium from food.
• 59:14
  Speaker 2: But so like vitamin D is fat soluble, so like
• 59:17
  Speaker 2: you can check a vitamin D level and it gives
• 59:19
  Speaker 2: you an idea of what her stores are. Magnesium is
• 59:22
  Speaker 2: tough because it's stored in like bone and you know,
• 59:24
  Speaker 2: it's stored in the side of tissues, so we don't
• 59:26
  Speaker 2: have like a good gauge. And it's an electrolyte, so
• 59:29
  Speaker 2: you pee it out all the time. So it's hard
• 59:30
  Speaker 2: to get a one time blood test and be like, oh,
• 59:32
  Speaker 2: I'm low and magnesium. So I really like to use
• 59:35
  Speaker 2: the nutritional intake of magnesium to see where you're at,
• 59:38
  Speaker 2: to see if you need a supplement.
• 59:39
  Speaker 1: Okay, yeah, so that's the tracking. I got to get
• 59:42
  Speaker 1: better about that maybe. And you know what the thing
• 59:44
  Speaker 1: is for me second, experimenting on my phone more so
• 59:47
  Speaker 1: if it's a digital thing, I'm not gonna do it.
• 59:48
  Speaker 1: But here's what I could do. I could write it
• 59:50
  Speaker 1: down and have somebody else track it for me, put
• 59:52
  Speaker 1: it in the little Yeah, that's gonna work for me.
• 59:55
  Speaker 1: I have just had an epiphany. I'm going to track myself.
• 59:58
  Speaker 1: You guys do it with me. Track, let's track.
• 1:00:01
  Speaker 2: We have little tracking challenges with our followers.
• 1:00:04
  Speaker 1: Yeah, you do. You have some great challenges and just
• 1:00:07
  Speaker 1: so much great information.
• 1:00:08
  Speaker 2: Thank you. It's a labor of love. It's so much fun.
• 1:00:11
  Speaker 1: As a friend. I care about you, like we don't
• 1:00:13
  Speaker 1: go back that far, but I instantly cared about you
• 1:00:16
  Speaker 1: when I met you in the elevator at Q fifty,
• 1:00:18
  Speaker 1: and I feel like I'm in safe hands. I turn
• 1:00:21
  Speaker 1: to you for you know, like my body here, it's
• 1:00:23
  Speaker 1: what can I do? And you send me a doctor
• 1:00:25
  Speaker 1: and I trust your supplements. So I just want to
• 1:00:27
  Speaker 1: thank you for all. I really appreciate that you do
• 1:00:30
  Speaker 1: just for your own ambition, but for your own love
• 1:00:34
  Speaker 1: of helping and educating women. Yeah, because we have to
• 1:00:37
  Speaker 1: do that as women. We have to when we go
• 1:00:40
  Speaker 1: through something, we need to pass that information down.
• 1:00:42
  Speaker 2: And you have to be CEO of your own health care.
• 1:00:45
  Speaker 2: If your listeners nothing else. You have to advocate for yourself.
• 1:00:51
  Speaker 2: You have to do the hustle to keep those bones
• 1:00:53
  Speaker 2: and muscles strong. You have to keep your brain strong.
• 1:00:55
  Speaker 2: You know, like, these are non negotiables if you want
• 1:00:57
  Speaker 2: to age well, and so you know what, any little
• 1:01:00
  Speaker 2: part I can to give you the tools to do
• 1:01:02
  Speaker 2: that better and easier. That just makes me so happy.
• 1:01:06
  Speaker 1: I always said, people ask me over the years, like
• 1:01:08
  Speaker 1: what do you do?
• 1:01:09
  Speaker 2: What you know?
• 1:01:10
  Speaker 1: What are you doing? What are you working on? And
• 1:01:12
  Speaker 1: my answer has always been I've been so confused about
• 1:01:15
  Speaker 1: how to answer that because I do so much, but
• 1:01:17
  Speaker 1: and I can't really narrow it down to one thing.
• 1:01:19
  Speaker 1: So I always ended up saying, I'm the CEO of me,
• 1:01:22
  Speaker 1: and I think every woman should adopt that title as
• 1:01:26
  Speaker 1: the CEO of that of herself. Yeah, I'm the CEO
• 1:01:29
  Speaker 1: of me, I'm the c but ironically I am the
• 1:01:31
  Speaker 1: CEO of me.
• 1:01:32
  Speaker 2: Now.
• 1:01:33
  Speaker 1: Yeah, brands I love, but it's just so wild that
• 1:01:37
  Speaker 1: that can be your full time focus, you know what
• 1:01:39
  Speaker 1: I mean? And it's okay.
• 1:01:40
  Speaker 2: I love you know. When I watch you on QVC,
• 1:01:43
  Speaker 2: it was just super fun for me. You know, when
• 1:01:44
  Speaker 2: you're talking about your line and why you built it
• 1:01:47
  Speaker 2: and how it's for every woman. I love that it's
• 1:01:50
  Speaker 2: you know, every shape, every size, and you know I
• 1:01:52
  Speaker 2: have a body scater of my office for my patients
• 1:01:54
  Speaker 2: and so I'm able to tell her you have that
• 1:01:57
  Speaker 2: you have muscle, you know, like like, look at this
• 1:01:59
  Speaker 2: glorious amount of muscle, and the fact that you have
• 1:02:02
  Speaker 2: is just curves and they're gorgeous and we're gonna dress
• 1:02:04
  Speaker 2: them up and show them off. And they're just crying
• 1:02:06
  Speaker 2: because they've been told that they were obese or something
• 1:02:08
  Speaker 2: their whole life.
• 1:02:09
  Speaker 1: And I'm like, yeah, once you think you're obese, you
• 1:02:11
  Speaker 1: feel like you don't have any muscle anymore.
• 1:02:13
  Speaker 2: No. I mean, and you know, weight and BMI are
• 1:02:16
  Speaker 2: now kicked out right. We're not using them as measures
• 1:02:19
  Speaker 2: of risk of chronic health anymore. We're using things like
• 1:02:22
  Speaker 2: body scanners and abdominal circumference. I mean, like we're getting
• 1:02:25
  Speaker 2: strides there. Yeah. In in cardiovascular health though, yeah, cardiometabolic health,
• 1:02:31
  Speaker 2: we're not doing weight and BMIM anymore. We are working
• 1:02:34
  Speaker 2: that out. We're using the abdominous circumference or the waste
• 1:02:37
  Speaker 2: to ratio plus So b CD is now defined by
• 1:02:41
  Speaker 2: the waste to ratio or abdominous cir comforts plus one
• 1:02:45
  Speaker 2: like cardiometabolis ricks factor like hypertension, insulin resistance, diabetes, et cetera.
• 1:02:50
  Speaker 2: That now is what ob CD is defined by which
• 1:02:52
  Speaker 2: is pretty powerful. It's going to take a minute for
• 1:02:54
  Speaker 2: like the rest of the world to catch up and
• 1:02:56
  Speaker 2: all practitioners, but that is definitely something that's moving in
• 1:02:59
  Speaker 2: the right direct.
• 1:03:01
  Speaker 1: How are you holding up? Are you tired at all
• 1:03:03
  Speaker 1: from all this?
• 1:03:05
  Speaker 2: You know, I'm doing seven podcasts in a special and
• 1:03:08
  Speaker 2: a primetime special, but like, I have the greatest team
• 1:03:11
  Speaker 2: with me, and we are eating super healthy and getting
• 1:03:15
  Speaker 2: our workouts and what kind of and it's a giving
• 1:03:19
  Speaker 2: you know. I'm just giving and giving and giving, and
• 1:03:21
  Speaker 2: that's my favorite thing to do. And I know that
• 1:03:25
  Speaker 2: I'm speaking to a microphone, but we're going to reach
• 1:03:27
  Speaker 2: millions of people with all these conversations and give them
• 1:03:31
  Speaker 2: tools and make them feel better about themselves and give
• 1:03:33
  Speaker 2: them motivation to live their best lives.
• 1:03:36
  Speaker 1: So that is what feels better.
• 1:03:37
  Speaker 2: Yeah, I fly home, go to a Mardi Gral ball
• 1:03:40
  Speaker 2: the next night, okay, yeah, and then the next day
• 1:03:42
  Speaker 2: we fly to Australia or another event. Oh, I'm speaking
• 1:03:46
  Speaker 2: at the Opera House, which is like Buckett whoa. Yeah,
• 1:03:49
  Speaker 2: there's a menopause event at the Sydney Opera House.
• 1:03:52
  Speaker 1: That's so cool.
• 1:03:53
  Speaker 2: So we're doing that. We sold out the opera house
• 1:03:54
  Speaker 2: in like three days. And then the next day we're
• 1:03:57
  Speaker 2: doing a medical conference for clinicians, and I'm doing some
• 1:04:00
  Speaker 2: other you know, work stuff, book stuff around that, and
• 1:04:03
  Speaker 2: then my husband and I are going to take a
• 1:04:05
  Speaker 2: week and just travel nice. Yeah I've never been.
• 1:04:08
  Speaker 1: Oh that's your I guess I haven'ty that. It's always
• 1:04:11
  Speaker 1: been on my list. Yeah, okay, So you're doing so much,
• 1:04:14
  Speaker 1: You're so amazing. You're on the run and you're always
• 1:04:17
  Speaker 1: thinking of how to help other people.
• 1:04:19
  Speaker 2: We're running around with a way to vest on.
• 1:04:21
  Speaker 1: Wait, first of all, the way to vest you told
• 1:04:23
  Speaker 1: me before. You're working on that with QBC.
• 1:04:24
  Speaker 2: How's that? Is there anything? We're still in talks okay, waiting,
• 1:04:28
  Speaker 2: we're in talks so with like a subsidiary. But yeah,
• 1:04:32
  Speaker 2: we're getting there.
• 1:04:33
  Speaker 1: I just bought a little trampoline. How do you feel
• 1:04:35
  Speaker 1: about that?
• 1:04:35
  Speaker 2: So great studies looking at bouncing and jumping and bone density,
• 1:04:42
  Speaker 2: so anything that stimulates the muscular skill little units rebounders
• 1:04:46
  Speaker 2: are showing to have improvement. Just be careful if you're incontinent,
• 1:04:49
  Speaker 2: you know you yeah that out, so go with an
• 1:04:54
  Speaker 2: empty bladder. But there's you know, reasonable studies that look
• 1:04:57
  Speaker 2: at you know, box jumping and bouncing to stimulate the
• 1:05:01
  Speaker 2: muscle skeletal unit for bondicity. Now people like it for
• 1:05:04
  Speaker 2: the pelvic floor. You know, there's other things that it has.
• 1:05:06
  Speaker 2: You know, it's good cardio, it's fun. So yeah, I'm
• 1:05:09
  Speaker 2: a fan.
• 1:05:09
  Speaker 1: I have another question about the weight tovest. Okay, I
• 1:05:12
  Speaker 1: have fake hips. Anytime I carry a bag, a backpack,
• 1:05:15
  Speaker 1: something that adds weight onto my load, my hips don't
• 1:05:19
  Speaker 1: feel good.
• 1:05:20
  Speaker 2: Okay. So the nice thing about the weight of vest,
• 1:05:22
  Speaker 2: so you want to start low. So the benefits for
• 1:05:24
  Speaker 2: bone density seemed to start for most women that This
• 1:05:27
  Speaker 2: was women who were in assisted living, so they were older, frail,
• 1:05:30
  Speaker 2: they already had osteoporosis. We think it's preventive, but no
• 1:05:34
  Speaker 2: one's done that. We're getting there to that study. But
• 1:05:37
  Speaker 2: the weight to vest. The thing about the vest versus
• 1:05:40
  Speaker 2: a backpack is that the weight is equally distributed from
• 1:05:43
  Speaker 2: the back and so you get this just on the
• 1:05:46
  Speaker 2: axial skeleton, so you have it down the spine and
• 1:05:49
  Speaker 2: the hips. Now your hips are bionic, it's so, you know.
• 1:05:52
  Speaker 2: And so I would start lighter than that ten percent.
• 1:05:54
  Speaker 2: I would go with an eight pound to start Okay,
• 1:05:57
  Speaker 2: you know, and then go from there see how you
• 1:06:00
  Speaker 2: do get stronger. The recommendation for osterrobosa starts at ten
• 1:06:04
  Speaker 2: percent of ideal body weight. That might be too heavy
• 1:06:07
  Speaker 2: for someone to start with or not conditioned or you
• 1:06:10
  Speaker 2: already have. You know, you don't want to hurt your hips.
• 1:06:11
  Speaker 2: Get the eight pounder. Okay, cry it out, see how
• 1:06:14
  Speaker 2: you feel, and then when you're strong enough, move up.
• 1:06:17
  Speaker 1: Next time I talk to you, I'm going to be
• 1:06:18
  Speaker 1: wearing my weighted best on my rebounder. Yeah, everything's going
• 1:06:22
  Speaker 1: to be different.
• 1:06:22
  Speaker 2: Drinking your protein, taking your protein, my proteins.
• 1:06:26
  Speaker 1: Oh my god. Okay, with everything that's going on, Mary Claire,
• 1:06:29
  Speaker 1: what was your last I choose me moment? Oh?
• 1:06:32
  Speaker 2: Probably this morning. You know, let them, let them, let them,
• 1:06:37
  Speaker 2: Just learning to take the negative out, focus on the
• 1:06:41
  Speaker 2: positive in the world every day and just keep know
• 1:06:47
  Speaker 2: what is true about myself that I am here for
• 1:06:50
  Speaker 2: a mission, I'm here for a purpose. God put me here,
• 1:06:53
  Speaker 2: and this was not an accident, and that whatever my
• 1:06:56
  Speaker 2: skill set is as a science communicator, as an EmPATH,
• 1:07:00
  Speaker 2: as someone who truly cares about the health of women
• 1:07:03
  Speaker 2: and the health that is being brought forth to the children,
• 1:07:05
  Speaker 2: I brought into this world. I need to keep going.
• 1:07:09
  Speaker 1: That's what you gotta do. I'm here for you. Keep going.
• 1:07:13
  Speaker 1: I love you.
• 1:07:13
  Speaker 2: I love you too,