Latest / Get Real with Jim Weiss / Dr. Mary Claire Haver: Menopause, Aging & Living Longer

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Dr. Mary Claire Haver: Menopause, Aging & Living Longer · Get Real with Jim Weiss

• 0:00
  Speaker 1: So thanks for doing this. I've wanted to talk to
• 0:02
  Speaker 1: you in a little more depth really about the business
• 0:04
  Speaker 1: you're building because as an entrepreneur myself, kind of what
• 0:09
  Speaker 1: started as an e-book has become a company. The Pause
• 0:12
  Speaker 1: Life is generating millions in revenue, probably more to come.
• 0:17
  Speaker 1: How do you make sense of that? What do you
• 0:19
  Speaker 1: think and why do you think this business grew quickly
• 0:22
  Speaker 1: and is it what you expected? No, not at all.
• 0:25
  Speaker 2: 20 years ago, I thought I would be just doing
• 0:28
  Speaker 2: traditional private practice in the same academic position I was
• 0:33
  Speaker 2: in until I retired somewhere at 70, 80. But the
• 0:36
  Speaker 2: academic climate was changing so much. And it really went
• 0:40
  Speaker 2: from a charity system where I felt like I was
• 0:42
  Speaker 2: making a big difference. I mean, I loved all of
• 0:44
  Speaker 2: my patients, even with private insurance, to this very economically
• 0:48
  Speaker 2: driven business that I just became increasingly uncomfortable with as
• 0:53
  Speaker 2: far as the corporatization of medicine, right? And why I
• 0:56
  Speaker 2: went into medicine. So that was kind of one part
• 0:58
  Speaker 2: of like, can I keep doing this for the next
• 1:01
  Speaker 2: 30 years? And The second was the administrative burden was rocketing.
• 1:06
  Speaker 2: They were hiring. All these medical institutions were taking on
• 1:09
  Speaker 2: private equity. Layers and layers and layers of administration were
• 1:13
  Speaker 2: coming in above us and really ratcheting down on how
• 1:16
  Speaker 2: much time we could spend with patients, how many patients
• 1:18
  Speaker 2: we were expected to see, and these metrics of nothing
• 1:23
  Speaker 2: to do with patient care, right? Right.
• 1:25
  Speaker 1: KPIs.
• 1:26
  Speaker 2: KPIs that had nothing to do with healthy patients, you know,
• 1:29
  Speaker 2: everything to do with making more money. So, I mean,
• 1:31
  Speaker 2: all of that was happening, you know, so why'd you
• 1:34
  Speaker 2: pivot from that to starting a business? I started in
• 1:37
  Speaker 2: the nutrition space as a hobby, as I was so
• 1:41
  Speaker 2: interested in nutrition, realized I really didn't learn much, nothing
• 1:44
  Speaker 2: undergrad because I was a geology major. And then nothing
• 1:47
  Speaker 2: in medical school or residency other than like severe nutrition
• 1:50
  Speaker 2: deficiencies like kwashiorkor, you know, for severe protein malnutrition. or scurvy,
• 1:56
  Speaker 2: really nothing about healthy eating. And so in that curiosity,
• 2:00
  Speaker 2: I decided to enroll in a course through, the professor
• 2:03
  Speaker 2: was at Tulane, but it was culinary medicine. And it
• 2:07
  Speaker 2: was this combination of registered dieticians, nutritionists, chefs, internal medicine doctors,
• 2:13
  Speaker 2: people managing obesity, and how to really teach our patients
• 2:16
  Speaker 2: how to eat well and right, and give them concrete
• 2:19
  Speaker 2: cooking techniques in school. So actually to get that certification,
• 2:22
  Speaker 2: I had to go to test kitchens with all these
• 2:25
  Speaker 2: chefs and learning how to teach people how to cook
• 2:27
  Speaker 2: healthy spaghetti or just basic stuff. So that was incredible.
• 2:31
  Speaker 2: So I started teaching some of the techniques to my
• 2:34
  Speaker 2: patients and I started talking about it online and really
• 2:37
  Speaker 2: doing a deep dive at the time into how is
• 2:39
  Speaker 2: menopause affecting all of this? Why are all these women
• 2:41
  Speaker 2: gaining weight? And it's not because they've turned lazy. I
• 2:44
  Speaker 2: was one of them. All my girlfriends were running marathons.
• 2:46
  Speaker 2: We're working out regularly, like nothing in heart. you know,
• 2:50
  Speaker 2: day-to-day lives had changed other than we were all perimenopausal.
• 2:53
  Speaker 2: My husband kept seeing my frustration and he sat me down.
• 2:56
  Speaker 2: He's like, you're a scientist, figure this out. Like, stop complaining.
• 3:01
  Speaker 2: What would you tell the girls? And so that's when
• 3:04
  Speaker 2: I started working with the nutrition department at the university
• 3:07
  Speaker 2: I was at at the time. And them giving me
• 3:10
  Speaker 2: all this information on inflammation and menopause and changes in
• 3:13
  Speaker 2: the gut microbiome and changes in where we store fat,
• 3:17
  Speaker 2: like we're starting to store fat in our abdomens, very
• 3:19
  Speaker 2: different than what we did when we were younger. So anyway,
• 3:22
  Speaker 2: around that, I created an ebook because I was talking
• 3:25
  Speaker 2: about it on social media all the time. And people
• 3:27
  Speaker 2: like put it all together. And for my patients, I
• 3:29
  Speaker 2: was just Xeroxing the same little guidebook that I had made.
• 3:33
  Speaker 2: And the ebook was a disaster. So no one bought it.
• 3:37
  Speaker 2: I didn't know how to market it. I didn't really
• 3:39
  Speaker 2: know what I was doing. But someone in this physician
• 3:42
  Speaker 2: entrepreneur group on Facebook that I was in said, hey,
• 3:45
  Speaker 2: why don't you do one of those online courses? And
• 3:48
  Speaker 2: I was like, what's an online course? So I looked into,
• 3:51
  Speaker 2: I ended up going with, gosh, Jim, I can't even
• 3:54
  Speaker 2: remember what it was, but I just took a course
• 3:56
  Speaker 2: on how to do an online course, right? How to
• 3:58
  Speaker 2: make one. And it turns out all these things that
• 4:00
  Speaker 2: I was teaching people on Facebook and in clinic, I
• 4:02
  Speaker 2: could just make into me recording the videos and having
• 4:06
  Speaker 2: little guidebooks to go with. In the beginning, it was
• 4:08
  Speaker 2: very rudimentary. It was me, I'm not a graphic artist,
• 4:11
  Speaker 2: just creating stuff. And one of the other docs in
• 4:14
  Speaker 2: the group said, you should charge for this because it
• 4:17
  Speaker 2: was free because someone's going to steal this idea and
• 4:19
  Speaker 2: you'll be really disappointed. No one's really talking about the
• 4:22
  Speaker 2: intersection of menopause with us. So I was like, okay.
• 4:24
  Speaker 2: So we started charging for the course and like we were,
• 4:28
  Speaker 2: it started with doctors joining, learning, contributing, like doing their
• 4:33
  Speaker 2: own research, giving me articles. And it was this big
• 4:35
  Speaker 2: collaborative effort. And then they're sharing it with their patients
• 4:38
  Speaker 2: and it just kind of grew organically. So one of
• 4:41
  Speaker 2: the things that came from that, I was recommending supplementing
• 4:44
  Speaker 2: fiber and pretty much fiber and vitamin D to start
• 4:47
  Speaker 2: with constantly. Everybody was low. No one was getting, not
• 4:50
  Speaker 2: say no one. Most women were not getting enough fiber.
• 4:52
  Speaker 2: Most women were deficient in vitamin D that we were
• 4:54
  Speaker 2: checking in clinic. So I had another friend come and say,
• 4:58
  Speaker 2: you can do your own supplements and make sure they're
• 5:01
  Speaker 2: third-party tested, high quality, great. I'm like, I don't, doctors
• 5:03
  Speaker 2: don't do supplements. That is... like crossing an ethical barrier.
• 5:07
  Speaker 2: We were just taught that's a no, no, whatever. And
• 5:09
  Speaker 2: they're like, listen, you're making Thorne all this money. You
• 5:13
  Speaker 2: can make the high quality supplement you want, put exactly
• 5:15
  Speaker 2: what you want in it. So we explored a little
• 5:17
  Speaker 2: bit and decided, you know what? We'll just market it
• 5:21
  Speaker 2: to the followers in our program who were doing our
• 5:24
  Speaker 2: online course. So we did that and it was successful.
• 5:28
  Speaker 2: So then we kind of opened it up to a
• 5:29
  Speaker 2: bigger audience. And what I didn't realize, Jim, was that
• 5:32
  Speaker 2: Women were more likely to buy a bottle of vitamin
• 5:34
  Speaker 2: D for me than to sign up for our online
• 5:37
  Speaker 2: nutrition coaching class, like 10 to 1. And I just didn't,
• 5:41
  Speaker 2: I had to sit with that for a little while.
• 5:43
  Speaker 2: And so I considered it a gateway drug. Like, okay,
• 5:45
  Speaker 2: we're going to replenish their vitamin D that they're deficient in,
• 5:48
  Speaker 2: but then we're going to try to lead them back
• 5:50
  Speaker 2: to the nutrition course because this is more than a
• 5:52
  Speaker 2: bottle of vitamin D, right? This is more than a
• 5:54
  Speaker 2: jar of fiber. How do we keep her healthy for
• 5:56
  Speaker 2: the next 30 years? And it's a toolkit. We kind
• 5:58
  Speaker 2: of just kept building... as the online explosion around menopause
• 6:03
  Speaker 2: and me talking about nutrition and lifestyle. But as soon
• 6:06
  Speaker 2: as we, and then I wrote Galveston Diet, right? Which
• 6:08
  Speaker 2: is like the compilation of everything that I had learned.
• 6:11
  Speaker 2: Galveston Diet did really, really well, but immediately I pivoted.
• 6:16
  Speaker 2: I was like, I don't want to be stuck in
• 6:17
  Speaker 2: this niche of diet, right? It's got a four letter.
• 6:21
  Speaker 2: It's a bad name. I don't want to be known
• 6:23
  Speaker 2: as a diet doctor. This is about menopause.
• 6:25
  Speaker 1: This is a lifestyle too, right?
• 6:27
  Speaker 2: This is a big transition. So I immediately wanted to
• 6:31
  Speaker 2: write the new menopause and got to work on it.
• 6:34
  Speaker 2: So went back to my publisher and was like, listen,
• 6:35
  Speaker 2: I know we just wrote a book, but I have
• 6:36
  Speaker 2: to write another one. So like 14 months later, we
• 6:40
  Speaker 2: published the new menopause. And I basically shut down for
• 6:42
  Speaker 2: a year to get all the research done and to
• 6:44
  Speaker 2: get that book written. And this is before Chad GPT.
• 6:47
  Speaker 2: This is like, Mary Claire going to the library.
• 6:49
  Speaker 1: You really had to write it.
• 6:50
  Speaker 2: Right. So as my discussion of all things menopause widened
• 6:55
  Speaker 2: from just nutrition and weight gain into joint pain, into sleeplessness,
• 7:01
  Speaker 2: into all of the whole body things that are happening, well,
• 7:05
  Speaker 2: supplement sales are still going to go up. People are curious.
• 7:07
  Speaker 2: They're coming into the program. They're learning about nutrition. They're
• 7:10
  Speaker 2: buying supplements. We started doing challenges. Our email list kept growing.
• 7:14
  Speaker 2: So now our email list is almost two and a
• 7:16
  Speaker 2: half million. strong and we do a lot of education.
• 7:20
  Speaker 2: What I focused on was I don't want anybody to
• 7:24
  Speaker 2: come to our website and say, she's just trying to
• 7:26
  Speaker 2: sell me something. I want to be education first and
• 7:30
  Speaker 2: sales are second. And that's why we have no private
• 7:32
  Speaker 2: equity and no backing because my husband and I have
• 7:35
  Speaker 2: completely funded this whole thing ourselves. We talked to a
• 7:38
  Speaker 2: few companies. We went through a near acquisition. Right, I
• 7:40
  Speaker 2: knew that. Everybody wanted to shift, right? And I was like, no,
• 7:44
  Speaker 2: I will lose credibility. Like nothing is more important to
• 7:47
  Speaker 2: me than a woman trusting me.
• 7:49
  Speaker 1: Right, and that's a bigger issue today with chat GBT
• 7:53
  Speaker 1: and all the AI concerns anyway, right? We want to- Right.
• 7:57
  Speaker 1: Everyone tells me how important having trusted sources is.
• 8:02
  Speaker 2: Are. And, you know, I really have another book in
• 8:05
  Speaker 2: my head. I want to do like the post-menopause book,
• 8:07
  Speaker 2: like the longevity book for women or my version of that.
• 8:10
  Speaker 2: There's a couple of ones out here, but I'm just
• 8:12
  Speaker 2: holding off until we figure out what the hell's happening
• 8:14
  Speaker 2: with chat, you know, because how can we incorporate this
• 8:18
  Speaker 2: tool without writing it for, you know, and I think
• 8:20
  Speaker 2: there's too much suspicion right now in the marketplace. Yeah. Right.
• 8:24
  Speaker 1: Well, you went through that near acquisition. Instead, you hired
• 8:27
  Speaker 1: a CEO who I know pretty well, and you became
• 8:29
  Speaker 1: chairman of the board. I know a lot about that.
• 8:31
  Speaker 1: I did that. What did that transition teach you? How
• 8:35
  Speaker 1: are you doing with it? And why did you do it?
• 8:38
  Speaker 2: A company approached us, a really lovely company, and I
• 8:41
  Speaker 2: have nothing bad to say about them, and wanted to
• 8:43
  Speaker 2: consider bringing us into their fold. And they would help
• 8:46
  Speaker 2: us get into retail, Target, Walmart, that kind of stuff.
• 8:49
  Speaker 2: I don't know how to do that. We were totally DTC.
• 8:52
  Speaker 2: We just got on Amazon a few months ago, okay?
• 8:54
  Speaker 1: Right.
• 8:55
  Speaker 2: And we have a mutual friend who is now my
• 8:57
  Speaker 2: CEO who had worked at Amazon for a decade and
• 9:03
  Speaker 2: knew that business inside and out and had been CEO
• 9:06
  Speaker 2: of another menopause start brand. And she'd been just quietly
• 9:09
  Speaker 2: counseling me on the side as a consultant and just
• 9:12
  Speaker 2: because she's a lovely person. The near acquisition taught us
• 9:15
  Speaker 2: what we were missing, right? I was at the limit
• 9:18
  Speaker 2: of my business acumen. I needed to be doing research.
• 9:20
  Speaker 2: I needed to be on the internet talking about the
• 9:22
  Speaker 2: latest menopause breakthroughs and da-da-da-da-da and debunking myths. I didn't
• 9:26
  Speaker 2: need to be trying to manage contracts. This is not
• 9:30
  Speaker 2: my strong suit. So it taught us where some key
• 9:33
  Speaker 2: holes were in our business plan. We didn't go with
• 9:36
  Speaker 2: the acquisition because it just didn't feel right at the end.
• 9:39
  Speaker 2: Good company, I wish them the best, but at the
• 9:41
  Speaker 2: end of the day, it was a deal I absolutely
• 9:43
  Speaker 2: could walk away from, and we did. And so my
• 9:46
  Speaker 2: husband and I were like, it's ours. We own it completely.
• 9:49
  Speaker 2: Nothing's going to harm us if we don't do this.
• 9:51
  Speaker 2: So we said no to the money and we just
• 9:52
  Speaker 2: kept going. And then we hired the people in place.
• 9:56
  Speaker 2: So now we have, we're about to go into a
• 9:59
  Speaker 2: large retail. I can't talk about it yet, but you
• 10:01
  Speaker 2: will be seeing us in the spring in a very
• 10:03
  Speaker 2: large retailer. You know, we're really going to expand. We've
• 10:06
  Speaker 2: gone into Amazon. You can find our products on Amazon.
• 10:08
  Speaker 2: Now hiring the CEO, hiring a key marketing person is
• 10:12
  Speaker 2: really just allowed us to continue to grow in the
• 10:15
  Speaker 2: right direction. And like I was doing pap smears 10
• 10:18
  Speaker 2: years ago. I knew nothing about business.
• 10:21
  Speaker 1: So it's an important point because I think it's good
• 10:25
  Speaker 1: to know yourself and what you're good at and what
• 10:28
  Speaker 1: you want to spend time at and then get experts
• 10:31
  Speaker 1: on board who can do the things you don't love
• 10:33
  Speaker 1: as much. And I think business grows as a result.
• 10:36
  Speaker 1: And I think people don't really get that. You know,
• 10:39
  Speaker 1: they think they have to micromanage it. everything and every aspect.
• 10:43
  Speaker 2: You can, you'll go crazy or you'll explode. And I
• 10:46
  Speaker 2: got really good advice from a businessman here in Galveston
• 10:49
  Speaker 2: who said, every time you double your business, the system
• 10:53
  Speaker 2: in place that you have is going to break and
• 10:55
  Speaker 2: that's okay. It's expected. And you're going to gain people.
• 10:59
  Speaker 2: You're going to lose people who worked two years ago,
• 11:02
  Speaker 2: may not be the best person in that position now.
• 11:04
  Speaker 2: And you just have to remember, focus on what you're
• 11:07
  Speaker 2: good at, bring in the people you need.
• 11:09
  Speaker 1: Right. And I've learned that myself, right? At each stage,
• 11:14
  Speaker 1: what is working for a 100-person company doesn't work for
• 11:18
  Speaker 1: a 200-person company and beyond. You have to keep changing
• 11:22
  Speaker 1: it all appropriately, keep the good stuff. But you've learned
• 11:27
  Speaker 1: that earlier, which is a really good thing, which means
• 11:30
  Speaker 1: you'll scale faster, in my experience. Since publishing the books
• 11:35
  Speaker 1: and launching Unpaused, have there been any revelations... that you
• 11:40
  Speaker 1: wish you had known while writing those books initially?
• 11:43
  Speaker 2: Not so much the book. No one has criticized me
• 11:46
  Speaker 2: for the books. The books are solid. The books are evidence-based.
• 11:49
  Speaker 2: There's like zero, like the harshest critics of mine. have
• 11:53
  Speaker 2: not gone near the books. Like, the books are pristine.
• 11:56
  Speaker 2: They stand. But they come after me for being a businesswoman.
• 11:59
  Speaker 2: The harshest critic, really, it boils down to marketing to
• 12:03
  Speaker 2: a vulnerable population.
• 12:05
  Speaker 1: So what do you think's driving that? When you sit
• 12:07
  Speaker 1: and you think about it and you know you're doing
• 12:09
  Speaker 1: the right thing and you're reaching more patients and more
• 12:12
  Speaker 1: people potentially with a mostly positive message, incredible evidence and information.
• 12:18
  Speaker 1: What do you think is driving that and how do
• 12:20
  Speaker 1: you handle it?
• 12:21
  Speaker 2: So my therapist has taught me when people come after you,
• 12:24
  Speaker 2: first of all, don't be afraid to look into their background.
• 12:28
  Speaker 2: So 90% of the people who come after me have
• 12:30
  Speaker 2: similar businesses and they're just trying to maintain market share.
• 12:34
  Speaker 2: They come after personal attacks and me being a straight
• 12:37
  Speaker 2: A student. Always the best doctor, always the friendliest, always
• 12:41
  Speaker 2: the yes girl, always the people pleaser. My whole life,
• 12:44
  Speaker 2: you know, I have asked permission for everything. I'm taking
• 12:47
  Speaker 2: something away from them. Power, authority, or money. You know,
• 12:51
  Speaker 2: I'm eating into their market share, whatever. So you just
• 12:55
  Speaker 2: have to keep that in mind.
• 12:56
  Speaker 1: It hurts.
• 12:57
  Speaker 2: I don't love it, you know, and I have to
• 12:58
  Speaker 2: sit with it for a few days sometimes and take
• 13:00
  Speaker 2: a deep breath because it is so personal on some levels.
• 13:03
  Speaker 2: But then you have to ask yourself, what do I
• 13:05
  Speaker 2: know is true? What I know is true. And it
• 13:07
  Speaker 2: never fails. I'll be in an airport in a bathroom
• 13:10
  Speaker 2: and some women will come up to me with tears
• 13:12
  Speaker 2: in their eyes, you know, in the middle of me
• 13:15
  Speaker 2: having an existential crisis over being attacked on social media
• 13:18
  Speaker 2: to tell me that something I did or said changed
• 13:20
  Speaker 2: her life for the better. And she's just so grateful.
• 13:23
  Speaker 2: And so that is what I have to hold on to.
• 13:26
  Speaker 1: I'm sure you hear that more often, but they do.
• 13:29
  Speaker 2: I hear it a lot. Yeah. Yeah. I mean, I
• 13:32
  Speaker 2: travel a lot. So people are in airports. They have
• 13:36
  Speaker 2: no fear. And they love to come up to me,
• 13:38
  Speaker 2: which is fine. I'm like, please come talk to me.
• 13:40
  Speaker 1: I'm just a normal person.
• 13:41
  Speaker 2: That's awesome.
• 13:41
  Speaker 1: Well, that's great. So that certainly makes up for it.
• 13:43
  Speaker 1: We always dwell on the negative.
• 13:45
  Speaker 2: I don't know.
• 13:45
  Speaker 1: It's just human nature. What can you accomplish through the
• 13:48
  Speaker 1: podcast and unpause that you couldn't through the clinic?
• 13:51
  Speaker 2: Yeah. I mean, just a bigger audience. And for me,
• 13:54
  Speaker 2: the podcast was never about me. It was never, I'm
• 13:56
  Speaker 2: plenty popular. We're making great money. We're meeting so many goals,
• 14:00
  Speaker 2: but I wanted to elevate other voices. I am not
• 14:02
  Speaker 2: the only person trying to change the world here. And
• 14:04
  Speaker 2: other people don't have my access, don't have my platform,
• 14:07
  Speaker 2: don't have my ability to do whatever the hell I
• 14:10
  Speaker 2: do on social media. And I wanted to take those
• 14:12
  Speaker 2: basic researchers. I wanted to take those other voices, these
• 14:16
  Speaker 2: people who are toiling away almost in obscurity sometimes, and
• 14:20
  Speaker 2: elevate them so that the world can realize this is
• 14:23
  Speaker 2: way bigger than Marie Claire.
• 14:25
  Speaker 1: So October's Breast Cancer Awareness Month. And my twin sister, Beth,
• 14:29
  Speaker 1: who I think you've met just under went her second
• 14:32
  Speaker 1: round of breast treatment. So did another close friend. What
• 14:35
  Speaker 1: do women, you know, what do you want women to
• 14:38
  Speaker 1: understand more clearly about protecting and checking their breast health
• 14:43
  Speaker 1: as we go into that? How much do you emphasize that?
• 14:46
  Speaker 2: Be aggressive. Be, you know, especially if you have a
• 14:51
  Speaker 2: family history, especially even though only three to five percent
• 14:55
  Speaker 2: of breast cancers are actually genetic. You know, a lot
• 14:57
  Speaker 2: of women don't understand. Well, my mom didn't have it.
• 14:59
  Speaker 2: My aunts didn't have it. I'm not really at risk. Yes,
• 15:02
  Speaker 2: you are. You're a woman with breasts. So don't miss
• 15:05
  Speaker 2: your mammograms. You know, if something feels abnormal or weird,
• 15:09
  Speaker 2: bring it up to your doctor. Demand a scan. My
• 15:12
  Speaker 2: mother-in-law has stage four breast cancer, had a lump for
• 15:16
  Speaker 2: 10 years. Her primary care doctor told her, no big deal.
• 15:20
  Speaker 2: You're too old for breast cancer. That's my practice right there.
• 15:22
  Speaker 2: He's not practicing anymore. And she probably had a very
• 15:26
  Speaker 2: low-staged cancer that could have been taken care of. And
• 15:29
  Speaker 2: now she has massive bone mets. Nothing wrong with her
• 15:31
  Speaker 2: brain or the rest of her body. She's just in
• 15:33
  Speaker 2: constant pain. And she will die from this. And I'm like,
• 15:37
  Speaker 2: this was avoidable. And so she didn't have anyone to
• 15:40
  Speaker 2: advocate for her. And she didn't know how to advocate
• 15:42
  Speaker 2: for herself. And so if I do nothing else than
• 15:44
  Speaker 2: teach women how to stand up for themselves in a
• 15:47
  Speaker 2: clinician's office and demand, then it's worth it.
• 15:50
  Speaker 1: That's simple, straightforward. Why do people then avoid it? What
• 15:55
  Speaker 1: are some of the things they have to overcome to
• 15:57
  Speaker 1: avoid it?
• 15:58
  Speaker 2: I think they're fearful. Like hearing that you have cancer
• 16:01
  Speaker 2: and we have to go through this journey is really painful.
• 16:04
  Speaker 2: So a lot of people are avoidant. But I can't
• 16:06
  Speaker 2: stress enough, the earlier we catch these things, The better
• 16:09
  Speaker 2: off you are, the longer your survival and the better
• 16:12
  Speaker 2: off you're going to be. This could be a quick
• 16:14
  Speaker 2: and easy surgery and just some, you know, like instead
• 16:17
  Speaker 2: of something that's going to define the rest of your life.
• 16:20
  Speaker 1: So prevent the event. Chances are you'll get hit by
• 16:22
  Speaker 1: the bouncing ball, but you can, it doesn't have to
• 16:25
  Speaker 1: hurt as bad.
• 16:26
  Speaker 2: There are things that we know are preventative for breast cancer,
• 16:29
  Speaker 2: you know, visceral fat. Risk of obesity. So now we
• 16:32
  Speaker 2: have GLP-1s. That's another reason. We're seeing in patients with
• 16:37
  Speaker 2: breast cancer who were on a GLP-1, the risk of
• 16:39
  Speaker 2: recurrence is lower. There's something all wrapped up in here.
• 16:42
  Speaker 2: Regular exercise, regular sleep, you know, avoiding smoking, all those
• 16:46
  Speaker 2: lifestyle habits still matter. Oh, and alcohol. Alcohol is one
• 16:50
  Speaker 2: of the biggest.
• 16:51
  Speaker 1: Risks out there. Is there such a thing as alcohol
• 16:54
  Speaker 1: in moderation?
• 16:57
  Speaker 2: I have to be clear here, and I do enjoy
• 16:59
  Speaker 2: a glass of wine from time to time, but there
• 17:01
  Speaker 2: is no amount of alcohol that's been proven to be safe.
• 17:03
  Speaker 2: So I cannot say, oh, one glass of wine, no
• 17:05
  Speaker 2: big deal. I'm like, there's a dose-dependent effect for sure.
• 17:09
  Speaker 2: Some women will get away with it, but some it
• 17:11
  Speaker 2: might be the trigger.
• 17:12
  Speaker 1: So that's really interesting to know. You've talked about GLP-1s before.
• 17:17
  Speaker 1: And I don't know if that's something you'll sell in
• 17:20
  Speaker 1: your system or you go to the best studied peptides that,
• 17:24
  Speaker 1: you know, I work around, right? Lilies and Novos and
• 17:28
  Speaker 1: all the rest. Should everybody be on one?
• 17:30
  Speaker 2: I don't think so. No. I mean, should everybody be
• 17:32
  Speaker 2: on HRT? No. Should everybody look at the risks and
• 17:36
  Speaker 2: benefits and see if they're a good candidate? Yes. I
• 17:39
  Speaker 2: think that GLP-1 conversation is going to get bigger and bigger.
• 17:41
  Speaker 2: The more studies we do, the more we learn. And
• 17:44
  Speaker 2: the medicines coming out are better and better and better. Now,
• 17:46
  Speaker 2: we'll never say everyone, no, but I think that there's
• 17:50
  Speaker 2: a place for almost everyone to have a conversation. Could
• 17:53
  Speaker 2: this benefit me and how?
• 17:55
  Speaker 1: Got it. If you could direct funding toward one unanswered
• 17:59
  Speaker 1: question about perimenopause, I think we've asked about this, perimenopause
• 18:02
  Speaker 1: and menopause, what would you wish to tackle first?
• 18:06
  Speaker 2: So one unanswered question would be what serum levels of
• 18:11
  Speaker 2: estradiol are associated with decreasing heart disease. We don't know.
• 18:17
  Speaker 2: We just know she took Perimerin or didn't, and this
• 18:19
  Speaker 2: got better and this didn't get better. We don't know
• 18:22
  Speaker 2: a lot about different formulations. about different progestogens. A lot
• 18:26
  Speaker 2: of that has to be in there. Another place I
• 18:28
  Speaker 2: would put money is education. We are not educating our
• 18:31
  Speaker 2: medical students and residents about menopause. They may get a
• 18:35
  Speaker 2: one-hour lecture in four years. This needs to be a
• 18:38
  Speaker 2: well-integrated part of the curriculum for every single clinician who
• 18:41
  Speaker 2: touches a woman, an adult woman. And so we don't
• 18:44
  Speaker 2: have that yet. There's a bill right now, right now.
• 18:47
  Speaker 2: They're debating it at 3.30 or 2.30, my time, today
• 18:51
  Speaker 2: when we're recording this. In Congress, trying to mandate menopause
• 18:55
  Speaker 2: education in medical schools if they receive funding from the
• 18:58
  Speaker 2: federal government.
• 18:59
  Speaker 1: So what about the women that are doing this at
• 19:02
  Speaker 1: aesthetics practices? You know, they've added these things. So don't
• 19:07
  Speaker 1: they need education, too?
• 19:09
  Speaker 2: I think everybody needs education. And I think buyer beware.
• 19:13
  Speaker 2: There are risks and benefits. I don't want to say
• 19:15
  Speaker 2: that HRT is a miracle drug or GLP-1 is a
• 19:18
  Speaker 2: miracle drug. And I know at least for GLP-1s, people
• 19:20
  Speaker 2: are desperate. They want them and they are going to
• 19:23
  Speaker 2: places they would never go, back alleys almost, to get
• 19:26
  Speaker 2: this medication and actually getting it from gray markets, right?
• 19:29
  Speaker 2: I have a friend in town who's on which isn't
• 19:32
  Speaker 2: FDA approved yet. And I was like, what? What?
• 19:36
  Speaker 1: So, and she's- I know, I hear that kind of stuff. Yeah.
• 19:39
  Speaker 2: Well-educated. So I'm like, listen, where's this coming from? Like,
• 19:44
  Speaker 2: who's mixing this up?
• 19:45
  Speaker 1: I know.
• 19:46
  Speaker 2: But as far as like the other peptides that are-
• 19:49
  Speaker 2: you know, untested in humans, our clinic doesn't go near those.
• 19:54
  Speaker 2: We just stick to, you know, insulins of peptide, GLP-1s
• 19:57
  Speaker 2: are different peptides. I am looking forward to retatrutide being
• 20:01
  Speaker 2: FDA approved and then being able to offer it safely
• 20:04
  Speaker 2: to my patients.
• 20:05
  Speaker 1: Amazing. Lightning round, because I know we got to go.
• 20:08
  Speaker 1: One menopause myth you would retire tomorrow.
• 20:11
  Speaker 2: That it's only hot flashes.
• 20:12
  Speaker 1: Most overrated wellness trends.
• 20:16
  Speaker 2: Peptides.
• 20:17
  Speaker 1: Wow.
• 20:18
  Speaker 2: Yeah. Untested peptides.
• 20:19
  Speaker 1: Okay. Untested. Got it.
• 20:22
  Speaker 2: Yeah.
• 20:23
  Speaker 1: The well-tested ones I think we can go with. Best
• 20:25
  Speaker 1: part of getting older?
• 20:27
  Speaker 2: Getting older. I love it. Like I am, Jim, I
• 20:30
  Speaker 2: am literally 58. I just had a birthday and living
• 20:36
  Speaker 2: my best life. Like, I have better relationships, better physical intimacy, better,
• 20:41
  Speaker 2: I'm more successful financially. I am, I look forward to
• 20:44
  Speaker 2: every day. You know, I've totally changed the way I eat,
• 20:47
  Speaker 2: the way I exercise, the way I think about my
• 20:49
  Speaker 2: stress relief, my medication. I am putting myself first. I
• 20:52
  Speaker 2: don't give a shit, you know, the things that used
• 20:55
  Speaker 2: to bother me anymore. I just, you know, I've got
• 20:57
  Speaker 2: two adult children who are thriving, thank God. And watching
• 21:00
  Speaker 2: my mother die is one of the hardest things I've
• 21:04
  Speaker 2: ever done. And I'm just so determined that like, how
• 21:08
  Speaker 2: her life has ended up is not going to be
• 21:10
  Speaker 2: my children's future.
• 21:11
  Speaker 1: Or yours.
• 21:11
  Speaker 2: With frailty and Alzheimer's. Or my, you know, maybe I'm
• 21:15
  Speaker 2: doing everything I can, but I refuse for this to
• 21:17
  Speaker 2: be my daughter's reality.
• 21:18
  Speaker 1: So everyone should get started sooner, it sounds like. That
• 21:22
  Speaker 1: seems to be the message.
• 21:23
  Speaker 2: Thinking about how you want to age. Because it's in
• 21:26
  Speaker 2: your control. So much of it is in your control.
• 21:29
  Speaker 2: If you run the cancer gauntlet and that doesn't get
• 21:31
  Speaker 2: you young, then how do you want to spend those
• 21:34
  Speaker 2: last 10 years?
• 21:36
  Speaker 1: What would you tell your 40 year old self? Oh
• 21:39
  Speaker 1: my God.
• 21:39
  Speaker 2: Don't worry so much about, you know, a brother of
• 21:42
  Speaker 2: mine died at 56 and one at 57. And so
• 21:46
  Speaker 2: I was in my forties. So like at 40, like
• 21:49
  Speaker 2: my kids were teenagers and they were driving me crazy.
• 21:51
  Speaker 2: And I would have said, they're going to grow up
• 21:52
  Speaker 2: and move away. Like, it's going to be fine. And
• 21:55
  Speaker 2: you're going to miss the shit out of them. And
• 21:57
  Speaker 2: then that, you know, work on your relationship with your
• 21:59
  Speaker 2: partner because he's going to be your rock. When I
• 22:03
  Speaker 2: never imagined this business and like everything he's been able
• 22:06
  Speaker 2: to contribute to it and that my brothers died and
• 22:10
  Speaker 2: from cancer and from liver failure. And like, hold on
• 22:15
  Speaker 2: to those years. You're going to be gifted years they
• 22:17
  Speaker 2: never got.
• 22:17
  Speaker 1: How do you cope with that loss? I've been through it.
• 22:20
  Speaker 1: I get it.
• 22:20
  Speaker 2: But man, you know, this was the year when I
• 22:23
  Speaker 2: turned 58, I survived. I've lost three brothers, one when
• 22:27
  Speaker 2: he was 19 from leukemia. So two from cancer, one
• 22:29
  Speaker 2: from liver failure. So this birthday, I survived all three
• 22:32
  Speaker 2: of my brothers. And it was like a lot. I
• 22:36
  Speaker 2: was hiking in Colorado and I was just crying by
• 22:39
  Speaker 2: myself on the hike. And I just had to like
• 22:42
  Speaker 2: sit with it for a minute and just be like grateful,
• 22:44
  Speaker 2: but sad. And like, you know, I have so many
• 22:47
  Speaker 2: blessings in my life, but this one was just weighing
• 22:49
  Speaker 2: really heavy.
• 22:50
  Speaker 1: What about, so a quick one, plastic surgery.
• 22:54
  Speaker 2: I mean, to each his own. Just you can either
• 22:56
  Speaker 2: look old or look weird. I have thought about it,
• 22:59
  Speaker 2: you know, because I'm on the Internet all the time.
• 23:01
  Speaker 2: My neck's starting to bother me. And I'm like, should I?
• 23:03
  Speaker 2: My foot. I don't want to call her out. But
• 23:05
  Speaker 2: like one of my relatives just had it done. So
• 23:07
  Speaker 2: I'm kind of watching her. And I'm not saying never.
• 23:10
  Speaker 2: But for me, like the fear of looking weird, like
• 23:13
  Speaker 2: I'm starting to see some Hollywood people that don't look normal,
• 23:18
  Speaker 2: you know. And I'm like, I'd rather look like this
• 23:20
  Speaker 2: than that.
• 23:21
  Speaker 1: Right. Got it. Who's your dream unpaused guest?
• 23:25
  Speaker 2: Oh my God. Amy Poehler, Tina Fey.
• 23:27
  Speaker 1: Sweet.
• 23:28
  Speaker 2: Yeah.
• 23:29
  Speaker 1: Yeah. Well, let's get that done.
• 23:30
  Speaker 2: Really funny women, my age.
• 23:33
  Speaker 1: Finish this sentence. Menopause is not the end of?
• 23:37
  Speaker 2: Anything.
• 23:38
  Speaker 1: It sounds like from your perspective, it's the beginning.
• 23:41
  Speaker 2: Yeah. It's like my time for me. It's me. It's
• 23:44
  Speaker 2: my time.
• 23:44
  Speaker 1: Okay. Well, let's drop the mic there. Thanks for all
• 23:47
  Speaker 1: you're doing. Thanks for this time. This was fun and
• 23:50
  Speaker 1: unexpected and it's fun entrepreneuring with you and watching you,
• 23:54
  Speaker 1: how you do it. I'm here to help. And thanks again.
• 23:57
  Speaker 1: All right. Thanks.
• 23:58
  Speaker 2: Can I ask you one more lightning round selfishly? Yes.
• 24:01
  Speaker 2: What would you tell women in their twenties and thirties
• 24:04
  Speaker 2: to stop worrying about?
• 24:06
  Speaker 1: Oh my gosh.
• 24:09
  Speaker 2: If you're fat, if you're, if he likes you, I mean,
• 24:13
  Speaker 2: my kids are in their twenties, you know, work on
• 24:15
  Speaker 2: you and your partner will show up when they show up.
• 24:18
  Speaker 2: you know, like, and when it's meant to be, but
• 24:20
  Speaker 2: like living your life in a pursuit of a partner
• 24:22
  Speaker 2: is not. So just keep working on yourself and, and
• 24:28
  Speaker 2: your partner will find you. That's amazing. Another mic drop.
• 24:31
  Speaker 2: Thanks so much.
• 24:33
  Speaker 1: Hey everyone. Thanks for watching. I really appreciate that you
• 24:36
  Speaker 1: take the time to listen to this and tune in.
• 24:39
  Speaker 1: So please subscribe, follow. I've got a lot of amazing guests.
• 24:44
  Speaker 1: You're going to learn a lot and you're going to
• 24:45
  Speaker 1: feel a lot better because you did it.