Latest / THE PERIOD WHISPERER PODCAST - Perimenopause, Menopause, Cortisol, Weight Loss, Hormone Balancing, Insomnia, Hot Flashes, Night Sweats, Libido, Your Guide To Thriving In MidLife / Eps 458: The Hot Flash Survival Guide Every Woman In Their 40s Needs with Jennifer Gularson

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Eps 458: The Hot Flash Survival Guide Every Woman In Their 40s Needs with Jennifer Gularson · THE PERIOD WHISPERER PODCAST - Perimenopause, Menopause, Cortisol, Weight Loss, Hormone Balancing, Insomnia, Hot Flashes, Night Sweats, Libido, Your Guide To Thriving In MidLife

• 0:00
  [SPEAKER_01]: What is the best way to stop a hot flash moment?
• 0:05
  [SPEAKER_00]: Your estrogen has up and down and up and down.
• 0:08
  [SPEAKER_00]: Your space becomes very narrow.
• 0:11
  [SPEAKER_00]: What your brain will tolerate as far as estrogen levels.
• 0:13
  [SPEAKER_00]: And once it dips down below that level, it just triggers this cascade of events definitely being overweight, smoking, alcohol.
• 0:23
  [SPEAKER_00]: Some of the environmental things that you are exposing your body to can also contribute.
• 0:29
  [SPEAKER_00]: Sometimes you can prevent it by just being really well hydrated.
• 0:33
  [SPEAKER_01]: Do you have any thoughts for the women who are frustrated by the sensitivity of their body right now?
• 0:45
  [SPEAKER_01]: What's up, Sister?
• 0:46
  [SPEAKER_01]: Welcome back to the period whisperer podcast.
• 0:48
  [SPEAKER_01]: The show, helping pairing menopause and menopause women destress your body and decode what it's saying to you so you can own your own health, energy and weight loss again.
• 0:58
  [SPEAKER_01]: If you're new, I'm so happy you're here.
• 1:00
  [SPEAKER_01]: I'm Greia, I'm your host, a recovery people pleaser and haslatic, turn functional and holistic hormones specialist.
• 1:07
  [SPEAKER_01]: Let's lean in and learn what your body is saying to you.
• 1:13
  [SPEAKER_01]: Hey there, sister.
• 1:14
  [SPEAKER_01]: Welcome back to the period list for podcast.
• 1:16
  [SPEAKER_01]: I'm your host, free again, functional diagnostic nutrition practitioner, women's health expert.
• 1:21
  [SPEAKER_01]: This is the show for health conscious women in mid-life who are stuck and need doing all the things and the things aren't working and are ready to stop guessing and uncover the root causes behind their symptoms.
• 1:33
  [SPEAKER_01]: Today, we're going to talk about one of the most recognizable and honestly, I think one of the most frustrating symptoms of parry menopause and menopause hot flashes.
• 1:43
  [SPEAKER_01]: If you've ever been standing in line at the grocery store, sitting in a meeting, trying to sleep at two o'clock in the morning or just simply enjoying the day when suddenly it feels like someone turned on your internal thermostat, cranked it up by 30 degrees, then I think you know exactly what I'm talking about.
• 2:00
  [SPEAKER_01]: For many women hot flashes become something they simply learn to live with, they're told it's just a part of this journey, part of menopause, but I think the big question is is it, do we have to just suffer through it?
• 2:12
  [SPEAKER_01]: Why do hot flashes even happen in the first place?
• 2:15
  [SPEAKER_01]: Why do some women barely experience them?
• 2:17
  [SPEAKER_01]: Well, others have dozens a day, which is wild when you think about it.
• 2:22
  [SPEAKER_01]: what actually helps you when one hits and and even perhaps more importantly, how do you know when what your experience isn't just menopause and deserves a closer look.
• 2:31
  [SPEAKER_01]: And that is exactly what we're diving into today.
• 2:34
  [SPEAKER_01]: My amazing guest today is Jennifer Gullerson, a board-certified physician's assistant Institute for functional medicine certified practitioner and nationally respected expert in women's midlife health.
• 2:45
  [SPEAKER_01]: So we are in
• 2:46
  [SPEAKER_01]: really good hands today.
• 2:48
  [SPEAKER_01]: She's familiar with bioidentical hormone replacement therapy longevity medicine and functional medicine.
• 2:53
  [SPEAKER_01]: Jennifer has spent more than two decades helping women navigate perimenopause and menopause with personalized science-backed care, translating complex hormone science into practical strategies.
• 3:04
  [SPEAKER_01]: Don't we love that?
• 3:04
  [SPEAKER_01]: We all want this simple answer.
• 3:06
  [SPEAKER_01]: and help women feel like themselves again.
• 3:09
  [SPEAKER_01]: So whether you're just starting to notice changes in your cycle, whether you're struggling with hot flashes or night sweats or wondering if hormone replacement therapy is for you, this conversation is packed with practical takeaways that I think you can start using right away.
• 3:22
  [SPEAKER_01]: So Jennifer, welcome to the podcast.
• 3:24
  [SPEAKER_01]: I'm so excited to have you here.
• 3:26
  [SPEAKER_01]: Thank you so much.
• 3:27
  [SPEAKER_01]: It sounds like you've accomplished a lot in your life.
• 3:29
  [SPEAKER_01]: You've been busy.
• 3:32
  [SPEAKER_00]: Yeah, I think it's a little bit of a, I was at the right place at the right time.
• 3:35
  [SPEAKER_00]: So that's good.
• 3:37
  [SPEAKER_01]: I'm sure it was more than that.
• 3:38
  [SPEAKER_01]: I'm sure there was a lot of hard work.
• 3:40
  [SPEAKER_01]: Well, but you know, before we dive into hot flashes and menopause, I'd love for you to tell everyone and a little bit about yourself about your journey, what led you into functional medicine, and ultimately specializing in helping women through mid-life.
• 3:54
  [SPEAKER_00]: Yeah, so I was a classically trained physician assistant, one of my first jobs was in actually an oncology where I took care of a lot of breast cancer patients and once I got pregnant with my third child, I was looking for something that might have been a little bit easier for me schedule wise and I happened to join a medicine spa so I was doing Botox and fillers and lasers and learning about skin care and it just so happened that that practice was owned by three women.
• 4:23
  [SPEAKER_00]: And one of the women, the doctor of the practice, she started going through menopause and was yelling at people and just didn't know what was going on and was determined to figure out and finally I remember the day she came in she's like I finally figured out why I'm such a
• 4:39
  [SPEAKER_00]: B-I-T-C-N-H-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I-I
• 5:08
  [SPEAKER_00]: them fairly well with the hormones but then notice you know there's a thyroid issue there's adrenals there's your gut I mean it's all starts with the gut so we went down the functional path which I think has served me well and I have a very different way of looking at medicine than a lot of my colleagues which I'd been sort of ridiculed for a while and thought I was like weird and we will but now everybody's circling back and like well tell me what this magnesium stuff and I know you said stuff about the poop but why do I
• 5:39
  [SPEAKER_00]: So that's sort of how I got started and then I moved to a practice here outside of D.C. and just became known as the person that listens, validates, and then tries to come up with the root cause of why you feel crappy.
• 5:54
  [SPEAKER_01]: Yeah, I love that.
• 5:55
  [SPEAKER_01]: Why do I, because that's really what we're like, why do I feel crappy?
• 5:57
  [SPEAKER_01]: And why is that?
• 5:59
  [SPEAKER_01]: I love that.
• 6:00
  [SPEAKER_01]: Let's start with the basics.
• 6:01
  [SPEAKER_01]: Then you hear for everyone listening, what exactly is happening in the body during a hot flash?
• 6:07
  [SPEAKER_01]: Like why do they happen?
• 6:08
  [SPEAKER_01]: What's going on?
• 6:09
  [SPEAKER_00]: Yeah, I think hot flashes get the most notoriety, but there's so many other symptoms that come along with menopause and hairy menopause.
• 6:18
  [SPEAKER_00]: See, you may have some friends who are like, I know I'm only 42, 37, 40, whatever.
• 6:24
  [SPEAKER_00]: And I am getting hot flashes right before my period.
• 6:27
  [SPEAKER_00]: And those are sort of those hairy menopause.
• 6:29
  [SPEAKER_00]: Symptoms.
• 6:29
  [SPEAKER_00]: So it's not uncommon.
• 6:31
  [SPEAKER_00]: You don't have to be in menopause to have the symptoms.
• 6:34
  [SPEAKER_00]: But basically during menopause impairment applies to your estrogen is up and down and up and down.
• 6:40
  [SPEAKER_00]: And your brain becomes very volatile as to how, where in that little, your space becomes very narrow what your brain will tolerate as far as estrogen levels.
• 6:50
  [SPEAKER_00]: And once it dips down below that level,
• 6:53
  [SPEAKER_00]: It just triggers this cascade of events that causes the heart, sometimes the heart palpitations, the vasodialation, so you get red all your blood vessels dilate and you get little pink cheeks and then you get sweaty because that's what it's trying to do.
• 7:09
  [SPEAKER_00]: It's trying to cool you down.
• 7:11
  [SPEAKER_00]: So your thermostat becomes a little bit wonky and it's mostly because those
• 7:18
  [SPEAKER_01]: And is it purely genetic why some women will get hot flashes versus heart palpitations versus whatever.
• 7:26
  [SPEAKER_01]: Yeah.
• 7:26
  [SPEAKER_01]: Yeah.
• 7:27
  [SPEAKER_01]: That's the fluctuating estrogen.
• 7:29
  [SPEAKER_00]: Yes.
• 7:30
  [SPEAKER_00]: And no.
• 7:30
  [SPEAKER_00]: So notoriously women of color suffer more and longer.
• 7:35
  [SPEAKER_00]: And then some people have nothing.
• 7:37
  [SPEAKER_00]: So I don't know.
• 7:38
  [SPEAKER_00]: I've girlfriends who've never even had one of those.
• 7:41
  [SPEAKER_00]: I've had minimal because I've been on hormones.
• 7:43
  [SPEAKER_00]: So I know that.
• 7:44
  [SPEAKER_00]: But I know what they feel like.
• 7:46
  [SPEAKER_00]: But stress, so sometimes it's your environmental conditions to stress can definitely increase the amount that it takes to dip down to set off your triggers.
• 7:57
  [SPEAKER_00]: If you're a little bit overweight or if you have insulin resistance, sometimes that trigger will be a little bit more set to go off a little bit more quickly.
• 8:06
  [SPEAKER_00]: Definitely being dehydrated, especially during the summer, some people say like, oh, the summer so much worse for hot flashes, true, just because your
• 8:16
  [SPEAKER_00]: Even little increases or decreases in temperature can make that hot flash just set off.
• 8:23
  [SPEAKER_00]: So in some medications can make it a little bit worse, definitely being overweight, smoking, alcohol, some of the environmental things that you are exposing your body too can also contribute up.
• 8:35
  [SPEAKER_01]: Yeah, I've heard like spicy foods as well, caffeine, things like that are all
• 8:42
  [SPEAKER_00]: Yes, absolutely.
• 8:43
  [SPEAKER_00]: And being annoyed with me, like just like having just be like if you're adrenaline kicks off because you're like so frustrated or people aren't listening to you that can trigger it to grow hot flash.
• 8:55
  [SPEAKER_01]: Oh, that's fascinating.
• 8:56
  [SPEAKER_00]: Are you getting ready for a big meeting and this is where in the workplace it becomes.
• 9:00
  [SPEAKER_00]: sort of a workplace issue where you are, I'm sure a lot of your listeners are go getters, they're prioritizing their health and they have probably have jobs that require a lot of intellectual knowledge and they are a little bit stressed and boom, comes up and you're peeling things off and grabbing the portable fan that we have in our hearing outless,
• 9:27
  [SPEAKER_01]: I mean, besides the obvious of like a night sweat happens at night, what is the difference between a hot flash and a night sweat?
• 9:35
  [SPEAKER_00]: So the hot flash is something usually you've experienced the whole thing at night and night sweat.
• 9:41
  [SPEAKER_00]: You probably had a hot flash and then you inspire a little bit and then you probably most of us have the fan going and that perspiration cools your supposed to cool your body down and you wake up a little bit chilled.
• 9:56
  [SPEAKER_00]: Typically, the same thing usually will happen at night, but you may not experience the whole thing because you've slept through half of it, now you're just chatting your teeth or chattering and you wake up just wet.
• 10:05
  [SPEAKER_01]: Can there be night sweats that are different that are not due to this fluctuating estrogen during this time?
• 10:12
  [SPEAKER_00]: Sometimes I have found that women who maybe have a couple cocktails at night because of the alcohol content and the glucose spike their insulin will come up and try and pull that glucose down so you actually get sort of a little crisis where the glucose goes down a little bit and that can either one trigger a hot flash or just your body goes into this.
• 10:35
  [SPEAKER_00]: low glucose system where then, yes, you'd feel like it is a hot flush that that could do that.
• 10:41
  [SPEAKER_00]: And then the cortisol at 3 a.m. our cortisol spikes if you already have high cortisol that can set off a cascade of events that are like a hot flush too.
• 10:51
  [SPEAKER_01]: that's really helpful to understand the difference and that they're both happening.
• 10:54
  [SPEAKER_01]: So I want to kind of give some real value because something you do really well is walk us through like tips on how to handle or stop a hot flash.
• 11:02
  [SPEAKER_01]: So for the women listening, they're like, let's say they're standing in line at Costco or they are, you know, trying to do a work meeting, you're giving this presentation or they're waking up to range.
• 11:11
  [SPEAKER_01]: What is the best way to stop a hot flash moment?
• 11:19
  [SPEAKER_00]: you might not be able to stop it.
• 11:21
  [SPEAKER_00]: I think the best thing is actually prevention.
• 11:24
  [SPEAKER_00]: So making sure you're well hydrated using your electrolytes, making sure you get good sleep.
• 11:29
  [SPEAKER_00]: All the basics, your diet's dialed in and you're working out, but hydration is really important because if you are well hydrated, then it takes so much more energy for your body to think about boiling tea.
• 11:46
  [SPEAKER_00]: So if you're mostly filled with water and you're very well hydrated, it takes a lot of energy to raise that core temperature to where you actually feel it.
• 11:54
  [SPEAKER_00]: So sometimes you can prevent it by just being really well hydrated.
• 11:58
  [SPEAKER_00]: But let's just say you're in the middle of Costco, kids are screaming, you have a full cart coat of crochet.
• 12:04
  [SPEAKER_00]: So definitely not panicking because when you feel it and you're like, oh my gosh, people are staring at me and I know this is happening.
• 12:12
  [SPEAKER_00]: Your adrenaline is going to kick up and you're going to sort of exponentially increase all these symptoms because your heart will race a little bit more.
• 12:19
  [SPEAKER_00]: But doing things like box breathing, going through the motions of relaxing taking a second, maybe pull off and to like, you know, where all the tissues are of Costco way back in the back, just pull off or go in the dairy section.
• 12:34
  [SPEAKER_00]: I always freeze in the section for a second.
• 12:38
  [SPEAKER_00]: Cooling your neck and your wrist.
• 12:40
  [SPEAKER_00]: Some people have, I like peppermint oil actually because you it gives you that feeling you can put on the back of your neck.
• 12:46
  [SPEAKER_00]: So that's kind of a little tip.
• 12:48
  [SPEAKER_00]: But if you're at a sporting event, I used to do this with my kids.
• 12:52
  [SPEAKER_00]: I would freeze wet washcloths and wet like a hand towel and put that around your neck.
• 12:58
  [SPEAKER_00]: I've seen women lately with the fans that are sort of around your neck.
• 13:02
  [SPEAKER_00]: Yeah.
• 13:03
  [SPEAKER_00]: Yeah, I love it.
• 13:05
  [SPEAKER_00]: Definitely go in layers.
• 13:06
  [SPEAKER_00]: So unzip, take it out, get out of the sun, pull off.
• 13:11
  [SPEAKER_00]: Just know that this is a normal physiologic thing that's happening and you can respect it, breathe through it, and then try and let's go grab some water.
• 13:20
  [SPEAKER_01]: I love that example you gave around like the boiling water for tea because even if you take it to like, well, if you're only boiling half a cup of water, it's going to boil a lot faster than if you have a full kettle that you're filling and trying to boil.
• 13:31
  [SPEAKER_01]: So if you make sure that your body's a full kettle of water, then it's going to take a lot longer for that to set off when an incredible hack and peppermint oil.
• 13:38
  [SPEAKER_00]: I haven't heard those before.
• 13:40
  [SPEAKER_01]: What do you say, because I think one of the realities of midlife for women is that because our sex hormones are becoming more unpredictable or retiring in general, we do have less I think cushion for resiliency so it starts to feel like, you know, even these tips that we all say as practitioners of like,
• 13:59
  [SPEAKER_01]: how we're eating and how we're sleeping.
• 14:01
  [SPEAKER_01]: It starts to feel like we have to be super on it to everything, which I know can be, I appreciate is frustrating and also really important.
• 14:10
  [SPEAKER_01]: Like, what do you do have any thoughts for the women who are frustrated by the sensitivity of their body right now?
• 14:16
  [SPEAKER_00]: Well, I think it's important to sort of train for this event, so dialing in and not being overwhelmed about all the stupid things you have to do at the protein and the fiber and the magnesium and the sleep, you know, each of these things can be in their own little silo and it's just developing good habits in your 30s and 40s, so then when you get to this point, things can be a little bit more muted if you will, but I agree there's so many.
• 14:42
  [SPEAKER_00]: Women have to do so many things that can become overwhelming.
• 14:46
  [SPEAKER_00]: I think you just need a lot of grace with yourself.
• 14:49
  [SPEAKER_00]: And then institute a peripheral brain like a chat GBT to help you organize your staff and find you to take your supplements and offload some of this brain work to some another being so that you don't have to stress out about it so much.
• 15:05
  [SPEAKER_01]: great tip.
• 15:06
  [SPEAKER_01]: Just throw it into Shaji B.T.
• 15:07
  [SPEAKER_01]: You can even audio message.
• 15:08
  [SPEAKER_01]: I have to do all of these things in a day.
• 15:10
  [SPEAKER_01]: It helped me organize it.
• 15:12
  [SPEAKER_00]: Yes.
• 15:12
  [SPEAKER_00]: In fact, I had one of my patients today.
• 15:16
  [SPEAKER_00]: She has some executive, she's younger, she's in her 20s, but she has some executive functioning and has issues or challenges.
• 15:25
  [SPEAKER_00]: I said, and she's 26.
• 15:26
  [SPEAKER_00]: I'm like, okay, well, do you use Cloud, do you chat to you?
• 15:29
  [SPEAKER_00]: But what do you use?
• 15:30
  [SPEAKER_00]: And she's like, I don't use any of those.
• 15:31
  [SPEAKER_00]: I said, okay, girl.
• 15:33
  [SPEAKER_00]: So then I said, let me show you what you do.
• 15:35
  [SPEAKER_00]: So I went on and I actually did the prompts.
• 15:37
  [SPEAKER_00]: I said, I have patients that have executive functioning.
• 15:40
  [SPEAKER_00]: Challenges, can you tell me how to use you?
• 15:43
  [SPEAKER_00]: Give the prompts to my patients so that they can, they can just say, I need a three meals with 30 grams of protein, 15 grams of fiber.
• 15:52
  [SPEAKER_00]: I don't like seafood.
• 15:54
  [SPEAKER_00]: I have this in my kitchen.
• 15:56
  [SPEAKER_00]: What else do I need and what are the recipes?
• 15:58
  [SPEAKER_00]: And I want you to plan it all out for me.
• 16:00
  [SPEAKER_00]: And she said, it'll do that.
• 16:01
  [SPEAKER_00]: I said, it will do that and more.
• 16:02
  [SPEAKER_00]: You just have to give it.
• 16:03
  [SPEAKER_00]: So I made a PDF so I can hand a patient and say, this is what I want you to do.
• 16:09
  [SPEAKER_01]: That's so smart.
• 16:10
  [SPEAKER_01]: And it is, I think it's one of, you know, there's a lot of, I think, pluses and minuses to everything, all of tech, but one of the beautiful positives, I think, of AI, is that it can take a lot of the like workout of things for you, which is really an house.
• 16:24
  [SPEAKER_00]: Or, you know, I'm seeing a lot of women midlife have an increase in their ADHD symptoms or ADD symptoms.
• 16:30
  [SPEAKER_00]: I think this one of the prompts was, I have all this to do.
• 16:35
  [SPEAKER_00]: How do I prioritize it and how do I start?
• 16:37
  [SPEAKER_00]: Because that's one of the symptoms that you're just overwhelmed and can't start.
• 16:41
  [SPEAKER_00]: My wife has ADHD, so I'm going to be like, we need to hit this.
• 16:44
  [SPEAKER_01]: It's always like, should I get this app?
• 16:45
  [SPEAKER_01]: I'm like, yes, you should get the app.
• 16:47
  [SPEAKER_01]: Now I'm going to make sure the app happens on her phone and be like, next time, you'd guess what I'm doing.
• 16:51
  [SPEAKER_01]: Where do I begin?
• 16:52
  [SPEAKER_01]: I love that.
• 16:53
  [SPEAKER_01]: That's a great tip, Jennifer.
• 16:54
  [SPEAKER_01]: Thank you.
• 16:55
  [SPEAKER_01]: OK. One of the things I really wanted to talk to you about is this idea that women are told to blame everything on like, perimenopause and menopause.
• 17:03
  [SPEAKER_01]: What symptoms should we not brush off as just menopause and actually get evaluated?
• 17:10
  [SPEAKER_00]: Oh, so the list is long.
• 17:12
  [SPEAKER_00]: The problem with estrogen and hormones in general is that they, you have receptors on every cell of your body.
• 17:18
  [SPEAKER_00]: So there are, when you look at, if you even say the can you list the top 100 symptoms of metaphors, a lot of the things are things that people are experiencing.
• 17:28
  [SPEAKER_00]: But I think when you have changes that happen abruptly or that are causing that just
• 17:37
  [SPEAKER_00]: completely different than what you've been experiencing before.
• 17:40
  [SPEAKER_00]: That's worth investigating.
• 17:41
  [SPEAKER_00]: It doesn't mean that lower hormones are contributing to it, but you also, you know, you're going to want to look at your thyroid, your cortisol, you're going to look at your gut, all those things.
• 17:51
  [SPEAKER_00]: So especially things like anxiety, panic attacks, depression, not sleeping, can't think, memory concerns.
• 17:59
  [SPEAKER_00]: There's a lot of memory concerns.
• 18:01
  [SPEAKER_00]: Estrogen definitely helps with that, but having all of those things checked out,
• 18:06
  [SPEAKER_00]: obviously joint pain, low libido hair thinnings.
• 18:10
  [SPEAKER_00]: There can be one reason for all of these things, but there also can be a lot of little reasons for many of them.
• 18:15
  [SPEAKER_00]: So that's why getting our IOS so do a lot of nutrient testing, so low D and low B vitamins, the magnesium, your zinc,
• 18:23
  [SPEAKER_00]: Selenium.
• 18:24
  [SPEAKER_00]: It could be a thyroid.
• 18:25
  [SPEAKER_00]: It could be your antibodies.
• 18:26
  [SPEAKER_00]: You're gluten.
• 18:28
  [SPEAKER_01]: I'm so.
• 18:28
  [SPEAKER_01]: Yeah, gee, are gotten to spiosis.
• 18:30
  [SPEAKER_01]: Yeah, I totally.
• 18:31
  [SPEAKER_01]: Yeah.
• 18:32
  [SPEAKER_00]: So getting sort of a broad, you know, they come in and they're like, I did all my labs.
• 18:36
  [SPEAKER_00]: Everything is normal.
• 18:38
  [SPEAKER_00]: I'm like, okay, yeah, but you did two thyroid tests.
• 18:40
  [SPEAKER_00]: I usually do eight or 10.
• 18:42
  [SPEAKER_00]: You check D, but you didn't check B or fully.
• 18:45
  [SPEAKER_00]: We can.
• 18:46
  [SPEAKER_00]: So I think there's things that are, if it doesn't seem right to you, then you just keep looking.
• 18:51
  [SPEAKER_01]: Yeah, I think that's such an important message for women.
• 18:54
  [SPEAKER_00]: You're intuition is usually correct.
• 18:56
  [SPEAKER_00]: Yes.
• 18:57
  [SPEAKER_01]: Yeah, there's, and there's a lot more to the story than what our conventional labs offer us.
• 19:02
  [SPEAKER_01]: They offer us typically, they offer us assurance that they're, you're not diseased.
• 19:08
  [SPEAKER_00]: No, no, there's an intervention.
• 19:10
  [SPEAKER_00]: Yes, yeah, which is wonderful.
• 19:12
  [SPEAKER_01]: We want those fine labs and then that rules some nice things out for us.
• 19:16
  [SPEAKER_01]: And then we have to look deeper, which is, you know, where those functional labs are.
• 19:20
  [SPEAKER_01]: Those I love that you talked about, you know, eight markers on the thyroid, I agree, so important.
• 19:25
  [SPEAKER_01]: Let's shift into a little bit of hormone replacement talk than hormone replacement therapy.
• 19:30
  [SPEAKER_01]: I think I feel like this has become one of the hottest topics these days and women's health, where once it was hardly talked about right, we had that black box warning.
• 19:36
  [SPEAKER_01]: What do you think is the biggest misconception women still have about hormone replacement therapy?
• 19:42
  [SPEAKER_00]: Oh, gosh, breast cancer, I think that's the biggest thing.
• 19:46
  [SPEAKER_00]: still that they're going to get breast cancer.
• 19:49
  [SPEAKER_00]: It's funny because we're so well versed in birth control pills, but they're still a little bit the other thing about hormone replacement, the big three are the heart disease blood clots and of course cancer.
• 20:01
  [SPEAKER_00]: So blood clots, you're actually a little bit it's more risky being on birth control than doing hormone replacement because hormone replacement is such a lower level of hormones than you're doing when you're in birth control so I think it's funny we just sort of dismiss the birth control but we go crazy over hormone replacement.
• 20:18
  [SPEAKER_01]: So I'm going to trust, because that's really, I don't think a lot of women understand that when you're taking hormone replacement, it is less hormone than the birth control all of us that have been on since we were 15.
• 20:28
  [SPEAKER_00]: Yes, much less, about 10 times less.
• 20:31
  [SPEAKER_01]: I'm glad that you just shared that.
• 20:33
  [SPEAKER_01]: That's so incredible.
• 20:34
  [SPEAKER_01]: Okay, sorry, I didn't mean to interrupt.
• 20:36
  [SPEAKER_01]: Yeah, that was such an important part.
• 20:38
  [SPEAKER_00]: And I think a lot of women have when they come in with symptoms, their GYN and not to put them down or their practitioner, but they just don't know because they we didn't learn this stuff and school is they'll say you're too young for hormone replacement, let's just put you on the pill that basically just shuts everything down it's an easy fix ish, but you're taking synthetic hormones why not just give you a little bit of what your body already likes and know is what to do with.
• 21:07
  [SPEAKER_00]: So that would be another myth is that I'm not in menopause, so therefore I don't qualify for hormone replacement, not true.
• 21:15
  [SPEAKER_00]: In your period menopause, you can definitely get in period menopause.
• 21:19
  [SPEAKER_00]: My job is to make sure you don't go below a certain number to trigger all your symptoms.
• 21:24
  [SPEAKER_00]: So we're just giving you sort of a safety net, a low dose to help.
• 21:28
  [SPEAKER_00]: I love that.
• 21:30
  [SPEAKER_01]: I feel like there's a lot of different, like it's not consistent when women are right now are going to their conventional doctors or their gynecologist around and requesting hormone replacement therapy or considering going on it.
• 21:43
  [SPEAKER_01]: How it is decided that they might need it is very different.
• 21:46
  [SPEAKER_01]: Some are purely based on symptoms.
• 21:49
  [SPEAKER_01]: Some will run some conventional labs and look at the hormones.
• 21:52
  [SPEAKER_01]: What do you like to look at before you recommend
• 21:58
  [SPEAKER_00]: So I'm big on both, so I think the more information you have, the better you can make a decision and it's always shared and sometimes we're guessing because as you know there's limitations for all these things, but I had a patient come in and she's like, you're going to think I'm crazy, but she had this the old school calendar that she's writing and she's writing symptoms.
• 22:19
  [SPEAKER_00]: I was like, no, that's exactly what you should do.
• 22:21
  [SPEAKER_00]: This is helpful, you know, writing your symptoms down and knowing when your period started stopped.
• 22:26
  [SPEAKER_00]: where you bloating, cramps, clots, all of that stuff.
• 22:30
  [SPEAKER_00]: I didn't sleep, I was horny, I wasn't horny, I would vaginal discharge, no discharge, whatever it is.
• 22:36
  [SPEAKER_00]: Writing all that down and coming in is really important.
• 22:39
  [SPEAKER_00]: I do get labs, but if a patient doesn't want them, then that's fine with me too.
• 22:45
  [SPEAKER_00]: It's not a hill I'm gonna die on.
• 22:47
  [SPEAKER_00]: From testosterone, I really do like to get labs if I'm gonna replace that.
• 22:52
  [SPEAKER_00]: Otherwise, especially with Astrogen, if I have a good piece and with good history, I can be like, well, let's try a patch here for this week.
• 22:59
  [SPEAKER_00]: I've tried some progesterone here, but yeah, there is no clear cut and I really don't think there should be because everybody's different.
• 23:07
  [SPEAKER_01]: That's right.
• 23:08
  [SPEAKER_00]: It takes a long time.
• 23:10
  [SPEAKER_00]: Now, you know, I have to give a talk to my colleagues, my PA colleagues in Maryland in a couple weeks and I'm like, okay, what's the minimum they need to know?
• 23:18
  [SPEAKER_00]: What are they going to do?
• 23:19
  [SPEAKER_00]: Because they're not going to be able to spend the 90 minutes I get with my patients first time.
• 23:23
  [SPEAKER_00]: So I get a ton of history starting from when they're born all the way to where they're sitting now.
• 23:35
  [SPEAKER_00]: So how do I get them to even not get down to where I'm going to help most of these people?
• 23:42
  [SPEAKER_00]: And what is the bare minimum that they need to know how to safely and adequately treat these women?
• 23:48
  [SPEAKER_00]: Because I used to think that no one's going to come to see me because now everybody's prescribing, but I was like, I have the people in this world are women and all of them go through meniply.
• 23:57
  [SPEAKER_00]: So I think there's going to be a patience for me to see.
• 24:04
  [SPEAKER_00]: But I feel very privileged to have the time to spend with my patients.
• 24:08
  [SPEAKER_00]: But yes, we don't do a good job of educating there are some that are getting educated through the Metapaus society.
• 24:15
  [SPEAKER_00]: And I know Rachel Rubin, I'm behind on her classes, but I'm just taking them just to know that I'm up to date.
• 24:21
  [SPEAKER_00]: But it's also, I've spent so long watching patients and watching what happens, that it is a little bit of trial and error sometimes.
• 24:31
  [SPEAKER_01]: It's an art and a science.
• 24:33
  [SPEAKER_01]: isn't it?
• 24:33
  [SPEAKER_01]: It's not like there is not a lot of one-size-fits-all and so it does or I love when you said like it's so helpful if someone does bring in data for you because your relationship with your practitioner, it's a two-way street, isn't it?
• 24:47
  [SPEAKER_01]: So, oh yeah, part of the journey is the data that we need to collect and pay attention to what our body is saying when we're just starting hormones because it might you might need something different than
• 24:59
  [SPEAKER_00]: And your cycles are all different.
• 25:01
  [SPEAKER_00]: So especially if you have like PCOS, sometimes you're not abulating or if you're getting into your 40s, sometimes you're not abulating.
• 25:07
  [SPEAKER_00]: Yeah, the egg develops, but just nothing happened.
• 25:10
  [SPEAKER_00]: And then if I did blood work that time, I make a decision just based on blood work that isn't appropriate for next cycle.
• 25:17
  [SPEAKER_00]: Oh, that's really interesting.
• 25:19
  [SPEAKER_01]: What are your favorite forms?
• 25:22
  [SPEAKER_01]: Or what do you find it to be the most effective forms of
• 25:29
  [SPEAKER_00]: Break it up at the estrogen into like vaginal estrogen and then systemic estrogen.
• 25:34
  [SPEAKER_00]: So vaginal estrogen is appropriate for anybody.
• 25:36
  [SPEAKER_00]: There are very, very few cases where you can't have vaginal estrogen.
• 25:41
  [SPEAKER_00]: And I always tell my patients who are, you know, in their 40s or 50s are like, I don't have dryness.
• 25:46
  [SPEAKER_00]: I don't need it.
• 25:47
  [SPEAKER_00]: I said, just wait, your 80 year old vagina will be happy when you just start using this twice a week.
• 25:53
  [SPEAKER_00]: Just do it for the rest of your life.
• 25:54
  [SPEAKER_00]: You will be very happy you did.
• 25:56
  [SPEAKER_00]: You will never have to catch up.
• 25:57
  [SPEAKER_00]: So the vaginal estrogen, I use creams, I use the inserts, I use DHA, all those work really well.
• 26:06
  [SPEAKER_00]: Now if you're looking for something systemically for the hot flashes and the cardio protection and all the other good stuff bone protection, I typically like a patch.
• 26:16
  [SPEAKER_00]: There is a shortage here in the U.S. because there's so many women that are on it I actually went through true Canada pharmacy personally for my own patch because I like I need some extras just based on the shortage here so I like the patch it gives you a nice delivery it's pretty reliable although within the brands were finding because we have so many more women on it now that some of the brands are a little bit different because.
• 26:42
  [SPEAKER_00]: most of the brands are all generic.
• 26:43
  [SPEAKER_00]: So they have up to a 20% difference in what the FDA approved dose is.
• 26:51
  [SPEAKER_00]: So whereas if something's FDA approved and it's the branded form, it has to be right if FDA tested, it has to be within 5%.
• 26:59
  [SPEAKER_00]: There's way more leeway in the the generics.
• 27:02
  [SPEAKER_00]: But at this point, like every other month, I'm like, okay, what brand am I going to get this week?
• 27:07
  [SPEAKER_00]: What brand?
• 27:07
  [SPEAKER_00]: That's my.
• 27:08
  [SPEAKER_00]: So I do like patches.
• 27:10
  [SPEAKER_00]: I do like that twice a week versus the once a week, only because the adhesive sometimes can get irritating and sometimes it doesn't it falls off midtime.
• 27:21
  [SPEAKER_00]: And they only give you, you know, monthly, you know, if you're doing it weekly, they give you four patches.
• 27:25
  [SPEAKER_00]: Like, well, when happens, if one falls off, you're, I mean, this is where women are just screwed all over the place and then for a month, you only get eight patches.
• 27:35
  [SPEAKER_00]: So sometimes the month is more than for 28 days, you know, frustrating.
• 27:39
  [SPEAKER_00]: So you're always sort of a patch behind when it comes to our comes to these things.
• 27:44
  [SPEAKER_00]: But I do like the patch.
• 27:45
  [SPEAKER_00]: I do use in for women who are pairing menopause.
• 27:49
  [SPEAKER_00]: I use the gel packets.
• 27:51
  [SPEAKER_00]: Because sometimes they don't need three days of the patch or they need to do a half a packet or two packets, just depending on their symptoms, I give them, I teach them how to do themselves.
• 28:02
  [SPEAKER_00]: I kind of stay away from oral estrogen, although it is not as scary as.
• 28:09
  [SPEAKER_00]: synthetic estrogen.
• 28:10
  [SPEAKER_00]: So the estrogen diet that we use now is not what we used before.
• 28:16
  [SPEAKER_00]: So that's the estrogen.
• 28:17
  [SPEAKER_00]: And then, and I also do pellets, but there's there's there's there for people that sort of want those.
• 28:22
  [SPEAKER_00]: And we've tried other things and doesn't work.
• 28:25
  [SPEAKER_00]: I also do injectable estrogen, same as testosterone.
• 28:28
  [SPEAKER_00]: So I offer all of them because like I said, not everybody's the same.
• 28:31
  [SPEAKER_00]: And some people need problems.
• 28:33
  [SPEAKER_00]: Progesterone, I go with oral, progesterone, but now that I treat so many people, I do have a small percentage of women who can't tolerate the oral progesterone, so I'll use it vaginally and I'm awful between compounded and commercial.
• 28:47
  [SPEAKER_00]: I like the compounded because you can make it sustained release.
• 28:50
  [SPEAKER_00]: And you can make it for my Perry Metapuzzle Women 50 milligrams so that they can do sit themselves throughout their, you know, they're not stuck to that 100 or 200.
• 28:58
  [SPEAKER_00]: Yeah, you know, and then I'm using it vaginally too.
• 29:03
  [SPEAKER_00]: So the commercially available progesterone that's either the 100 or 200.
• 29:07
  [SPEAKER_00]: I'm using it vaginally for women who cannot tolerate the oral or I'm using it both.
• 29:12
  [SPEAKER_01]: They're still having some bleeding.
• 29:13
  [SPEAKER_00]: So I'll use it vaginally and they like it because it helps them sleep so they use it oral.
• 29:17
  [SPEAKER_01]: And then with testosterone and I'm sorry, I find this so it's so great to have you on and to talk through this because I'm a non-prescriber.
• 29:25
  [SPEAKER_01]: But I so I hear a lot through my clients as they come in.
• 29:28
  [SPEAKER_01]: You know, when you're looking at testosterone, what you said you often like to look at testosterone levels before you prescribe, what are the levels that you look for or does it really also have to do more with symptoms?
• 29:40
  [SPEAKER_00]: both, but okay, so for women, typically in your blood work and you want to get a total testosterone and a free testosterone and you want to get a DHT because you want to see what your metabolites is like.
• 29:54
  [SPEAKER_00]: But for a total testosterone women feel good between 50 and 100 and here are levels go up to 60 so most of my women are like too high and people freak out and it's But that's just because the range is just wrong for women.
• 30:11
  [SPEAKER_00]: And then a free between two three four and that can vary.
• 30:16
  [SPEAKER_00]: Then you just watch the dihydrat testosterone, especially if they're getting a little acne and greasy skin here's okay.
• 30:22
  [SPEAKER_00]: So for testosterone, there's no FDA approved form of testosterone in the US for replacement.
• 30:27
  [SPEAKER_00]: That doesn't mean that we don't have a ton of studies that show that it's good for us, that it helps, that it helps our brain, that it helps our muscles, it helps our bone, it helps our libido, our motivation, our umph, this could be why a women leave the workforce because they just don't have that drive anymore, and this can help.
• 30:45
  [SPEAKER_00]: I typically start with creams five milligrams cream is typically the dose I work with compounding pharmacies to do that and then if DHT sends tends to be a problem, I'll switch to an injectable okay warm only because the conversion is a little bit less than injectable and then I also offer pellets.
• 31:07
  [SPEAKER_00]: for the testosterone.
• 31:08
  [SPEAKER_00]: But yeah, I do the blood work and then follow them.
• 31:12
  [SPEAKER_00]: The guidelines say you don't have to if you use five milligrams, you don't have to.
• 31:16
  [SPEAKER_00]: But I've seen patients be a little bit too high on even just five milligrams.
• 31:21
  [SPEAKER_00]: So today I saw a patient her total.
• 31:24
  [SPEAKER_00]: I think was like in the
• 31:29
  [SPEAKER_00]: Let's try 2.5.
• 31:30
  [SPEAKER_00]: You can play with it.
• 31:31
  [SPEAKER_00]: I'll give you, you know, one click.
• 31:33
  [SPEAKER_00]: It comes in a little clicker.
• 31:34
  [SPEAKER_00]: You know, does, have you seen this?
• 31:36
  [SPEAKER_00]: Yeah, I have.
• 31:36
  [SPEAKER_01]: Yeah, just click that.
• 31:37
  [SPEAKER_00]: Yeah, by these little guys.
• 31:39
  [SPEAKER_00]: So I'm like, try two clicks.
• 31:41
  [SPEAKER_00]: That's 2.5.
• 31:42
  [SPEAKER_00]: You have my permission to go up to three clicks.
• 31:44
  [SPEAKER_00]: And then your max is four.
• 31:45
  [SPEAKER_00]: That will be five and just see how you do.
• 31:48
  [SPEAKER_01]: Yeah, and go up and pay attention to how you're feeling.
• 31:51
  [SPEAKER_00]: And the other thing is like, just try it.
• 31:53
  [SPEAKER_00]: If you go on for six weeks, the two months, and you're like, eh, don't like it.
• 31:57
  [SPEAKER_00]: Don't notice the difference.
• 31:59
  [SPEAKER_00]: Go off.
• 31:59
  [SPEAKER_00]: Then you might notice the difference.
• 32:01
  [SPEAKER_00]: And then you can go back on.
• 32:02
  [SPEAKER_01]: I love this.
• 32:03
  [SPEAKER_01]: So is that a nice window where you recommend, like, if you're going to try hormone replacement therapy, give it the six to eight weeks?
• 32:10
  [SPEAKER_01]: I mean, I really noticed a full negative side effects.
• 32:13
  [SPEAKER_01]: Like, give it the six to eight weeks to really get it to see the potential.
• 32:17
  [SPEAKER_00]: Yes, and even some, especially older women post menopausal who are starting a little bit older, they need to give it, you know, a good three six months for estrogen replacement hot flashes, you should notice in a couple days, a lot of people will be like, oh, at least they'll it'll decrease and not where you're like, oh, okay, this is better and then I see them back in about two months and there's it's better, but not great and then we bump it up a little bit.
• 32:46
  [SPEAKER_01]: Would you say like if you and maybe you've had clients like this if you have clients that come with symptoms we start the hormone replacement and it doesn't change the symptoms is that kind of an indicator for you that like, oh, we might need to look more deeply at the things like the thyroid and the gut and those pieces it depends on how depends on how they present but a lot of women I start them their first visit I'm like, okay, we're going to start this.
• 33:10
  [SPEAKER_00]: be on it for two months.
• 33:12
  [SPEAKER_00]: In two months, we're going to do this huge panel of blood work and probably a stool test and maybe a cortisol test.
• 33:17
  [SPEAKER_00]: But I want you to be on it.
• 33:19
  [SPEAKER_00]: We'll do it and then we'll figure out if there's something else underlying.
• 33:22
  [SPEAKER_00]: They're always is estrogen and progesterone and testosterone are amazing, but they are not the only thing.
• 33:28
  [SPEAKER_00]: And I saw, you know, when I first started talking, I said, you know, we started that in our clinic and we're like, it's just not enough.
• 33:34
  [SPEAKER_00]: There's other stuff.
• 33:35
  [SPEAKER_00]: We're not like men.
• 33:36
  [SPEAKER_00]: You just give them testosterone.
• 33:37
  [SPEAKER_00]: They're happy.
• 33:38
  [SPEAKER_01]: Yeah.
• 33:39
  [SPEAKER_01]: Yeah.
• 33:40
  [SPEAKER_01]: We're talking about bodies that have been to war.
• 33:42
  [SPEAKER_01]: I think in childbirth and many other things haven't been.
• 33:45
  [SPEAKER_01]: Yes.
• 33:46
  [SPEAKER_01]: That's amazing.
• 33:47
  [SPEAKER_01]: Okay.
• 33:47
  [SPEAKER_01]: I want to just ask you a bit of a lifestyle then like for you as a practitioner.
• 33:51
  [SPEAKER_01]: If you could only have women focus on like three daily habits that would make the biggest difference in how they feel in menopause, what would those be?
• 34:00
  [SPEAKER_00]: So I would say start early, start in your 30s like prepare sleep sleep would be my number one because every night your body sort of reboots like a computer and if you don't get that good quality sleep.
• 34:15
  [SPEAKER_00]: if it doesn't get to reboot and fix and get rid of and detoxify, it's just going to go on and keep going.
• 34:22
  [SPEAKER_00]: So then you're you've missed that opportunity.
• 34:23
  [SPEAKER_00]: So sleep is the biggest thing I think for me.
• 34:27
  [SPEAKER_00]: And then whatever you're putting in your body, you know, things on your body, so creams and stuff, but protein, fiber, fruits and vegetables, great, and then lifting heavy things.
• 34:38
  [SPEAKER_00]: So you are investing in your muscle reserves now for when, again, like the 80-year-old vagina, your 80-year-old muscles are going to be happy that you are lifting.
• 34:49
  [SPEAKER_00]: And I think for so long we were in that, you know, I'm older, but we were in the cardio cardio cardio.
• 34:55
  [SPEAKER_00]: And now I love seeing how many younger girls and women are even in their in college.
• 35:03
  [SPEAKER_00]: You know, I was a college athlete, so I was in the gym all the time.
• 35:05
  [SPEAKER_00]: I was lifting, but if you went to the other, you know, went to the gym with all the regular students, they were on the treadmills and the stairwell and the stairwell and now I noticed that there are young women who are lifting heavy things and they're not doing it to get bulky.
• 35:20
  [SPEAKER_00]: They are investing in their muscles because there's muscle fibers.
• 35:25
  [SPEAKER_00]: They remember there's a great memory in it.
• 35:27
  [SPEAKER_00]: Yeah, those would be my top three.
• 35:29
  [SPEAKER_01]: Oh, I love that.
• 35:30
  [SPEAKER_01]: Okay, so like holding space for sleep, good sleep hygiene, good sleep habits, obviously priority.
• 35:34
  [SPEAKER_01]: And you're absolutely right, like we can't even put on muscle if we don't have this leap in the nutrition piece.
• 35:39
  [SPEAKER_01]: And then I'm sure you would add in hydration after our conversation if I can give you a four.
• 35:43
  [SPEAKER_00]: Yes, yes, and sunscreen.
• 35:45
  [SPEAKER_00]: That's a great.
• 35:47
  [SPEAKER_00]: That's true.
• 35:48
  [SPEAKER_01]: I know you also really specialize in longevity and everything.
• 35:51
  [SPEAKER_01]: So obviously these things are really important like the lean muscle I was thinking of putting on muscle like putting on armor for eight year old vagina.
• 36:01
  [SPEAKER_01]: Any other tips for longevity that you think we should be thinking about, you know, now like in our 40s and 50s.
• 36:09
  [SPEAKER_00]: Keeping your mind really active.
• 36:11
  [SPEAKER_00]: That's important.
• 36:12
  [SPEAKER_00]: Making sure you decrease stress, get rid of things that do not serve you.
• 36:16
  [SPEAKER_00]: If it's not a hell, yes, it's an F. No, like get your circle of friends, get your warriors, your tribe.
• 36:24
  [SPEAKER_00]: That it also extends to your healthcare providers, find people that you trust, that you're making sure decision making, shared decision making with them, you're using them as a reference, but then you're also, you know, learning on podcasts, just like yours, you're giving them, you're giving them so much so many options and things to think about.
• 36:42
  [SPEAKER_00]: I like peptides.
• 36:43
  [SPEAKER_00]: I think we're going to hear more and more.
• 36:45
  [SPEAKER_00]: They just had a major role in that the things that we knew were okay to use and have been using.
• 36:51
  [SPEAKER_00]: sort of on the DL for a long time or now going to be mainstream.
• 36:56
  [SPEAKER_00]: I do like the GLPs.
• 36:58
  [SPEAKER_00]: I do think they're here to stay.
• 37:00
  [SPEAKER_00]: I think they can be used judiciously in small quantities to help decrease inflammation.
• 37:05
  [SPEAKER_00]: So the biggest thing is decreasing inflammation.
• 37:08
  [SPEAKER_00]: The person who has the least amount of inflammation is going to live the longest.
• 37:12
  [SPEAKER_00]: You can have the worst cholesterol in the world, but if you don't have inflammation, it doesn't get sticky and you don't have the plaques.
• 37:20
  [SPEAKER_00]: So it all, all of the chronic diseases that we're seeing are parents suffer from arthritis, diabetes, heart disease, Alzheimer's, it all have inflammation and really it starts in the gut, but inflammation at its core.
• 37:34
  [SPEAKER_01]: That's a really great tip.
• 37:36
  [SPEAKER_01]: I love how you explain that about cholesterol versus and if you don't have inflammation and it's not going to set the fire, or like create the spark that creates the problem.
• 37:43
  [SPEAKER_01]: This is an amazing Jennifer.
• 37:44
  [SPEAKER_01]: Thank you so much.
• 37:46
  [SPEAKER_01]: For the women listening who are exhausted, frustrated, you know, waking up every night with hot flashes, wondering if shall ever feel like herself again, what do you want to tell her?
• 37:56
  [SPEAKER_00]: There is hope and you're not alone, get your friends together and I'm hoping that in communities we're starting to talk about this.
• 38:03
  [SPEAKER_00]: We talk about our engagement and our wedding.
• 38:06
  [SPEAKER_00]: We talk about our birth plan.
• 38:07
  [SPEAKER_00]: We talk about diapers.
• 38:08
  [SPEAKER_00]: We talk about all these things, but we're sort of fall off midlife because it's embarrassing.
• 38:14
  [SPEAKER_00]: We're aging.
• 38:15
  [SPEAKER_00]: We may not have the libido and we're sort of stigmatizing it and then
• 38:20
  [SPEAKER_00]: at on top of that, our mothers really were given the tools to speak to us about it because we got ripped out of their hands from the women's health initiative.
• 38:28
  [SPEAKER_00]: So I think there's usually one person in every group that sort of veers out and tries it and bring it back to your group and normalize the conversation.
• 38:38
  [SPEAKER_00]: That's what I would love to see.
• 38:39
  [SPEAKER_01]: I love that.
• 38:41
  [SPEAKER_01]: Do you see women like
• 38:47
  [SPEAKER_00]: So if you're in the Maryland D.C. Virginia area, I see you as a clinician, but I do offer coaching for people who are not, if I can't prescribe for you to help you, I call it like an advocate because I help you talk to your provider and I can even help find a provider that is like minded and maybe brainstorm with them to just sort of help you get organized.
• 39:11
  [SPEAKER_00]: I can be the chat
• 39:14
  [SPEAKER_01]: of that because I do think it is very challenging, you know, we're hearing so much about hormone replacement and you so beautifully shared some incredible knowledge, I think for us, but it's when you go, every woman's experience going to their provider is so different because it's so new in a way.
• 39:31
  [SPEAKER_00]: Yeah, you have to find somebody a provider that's like, I don't know, but let's find out and not a dismissive and I think so many times and I feel bad about it's not that it's just that they don't know and they're too busy to learn.
• 39:45
  [SPEAKER_00]: I don't know but.
• 39:47
  [SPEAKER_00]: If you're going to call yourself a women's health expert, you've got to stay in there every day I come in and I'm like, I listen to this podcast and I learn this and now how do I implement this and now I feel like I don't know anything and it's just one more thing that yes it's important to find people who are interested in it's their passion and I can't set like I said at the beginning it's right right time right place it just dropped in my lap and thank goodness because I love it.
• 40:12
  [SPEAKER_01]: Yeah, I appreciate that.
• 40:13
  [SPEAKER_01]: And I'd love the work you do.
• 40:14
  [SPEAKER_01]: And thank you for the work that you do and the impact you have because I think women need more prescribers like you that understand in a way that to give them peace and to be the best version of themselves.
• 40:25
  [SPEAKER_01]: So thank you for everyone listening.
• 40:27
  [SPEAKER_01]: If they want to learn more from you, get into your world work with you.
• 40:30
  [SPEAKER_01]: Where do they do that?
• 40:32
  [SPEAKER_00]: So I'm on Facebook and Instagram is just my name, Jennifer Glarson, and then it's I have a website is called your best life with Jennifer.com.
• 40:42
  [SPEAKER_00]: You can see all my information about doing stuff virtually, and then usually I have some fun stuff on Instagram.
• 40:50
  [SPEAKER_00]: I try to make it fun.
• 40:50
  [SPEAKER_01]: I love that.
• 40:52
  [SPEAKER_01]: I will put all of those links in the show notes, sisters.
• 40:54
  [SPEAKER_01]: Jennifer, thank you so much for your time today.
• 40:56
  [SPEAKER_00]: You are so welcome.
• 40:58
  [SPEAKER_01]: Sisters, you've got some great tools here, some great information, so take it, use it as a way to be more in your life and not just less on a scale, get unstuck, take action, and we'll catch you in the next episode.
• 41:11
  [SPEAKER_01]: If you're 35 plus and ready to stop guessing, start understanding your hormones and feel your absolute best, hit subscribe.
• 41:18
  [SPEAKER_01]: That's what we do here.