May 3, 2023

Navigating Perimenopause and Menopause with Hormone Replacement Therapy and How it Affects Weight Loss with Dr. Rosensweet [Ep. 41]

Navigating Perimenopause and Menopause with Hormone Replacement Therapy and How it Affects Weight Loss with Dr. Rosensweet [Ep. 41]
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Live Well

Have you heard of hormone replacement therapy? Most of us have and unfortunately many are worried about using it. Or we just don't realize the importance. Dr. Rosensweet labels the early 2000’s study on HRT and then the resulting press coverage as “outrageously odd, crazy, misogynistic.” Basically it was completely incorrect and led to women being afraid to receive HRT.  

In this episode, you will learn here how incredibly protective hormones are to women’s health. Remember that menopause is actually a fairly new occurrence in human history. He says “You know, for the couple hundred thousand years humans have been alive, there was no such thing as menopause!”

We are living longer, but we want to also live better, and you’ll see here today that hormones are essential to making our health span match our life span. 


Download Dr. Rosensweet’s book HERE


MEDICAL DISCLAIMER: this podcast is for informational purposes only. Please discuss all treatment with your personal physician or medical care provider and come to your own conclusions. 

About Dr. Rosensweet:

Dr. Rosensweet graduated from the University of Michigan Medical School in 1968. Since 1971, he has been in private medical practice, with offices in Florida, New Mexico, California, and Colorado. Early in his career, Dr. Rosensweet trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico.

He is a nationally known lecturer and presenter at The American Academy of Anti-Aging Medicine (A4M), The American College for Advancement in Medicine (ACAM), The Age Management Medicine Group (AMMG), and more. In 2019, he was called to Washington to speak in front of The National Academies of Science Engineering and Medicine (NASEM) on “The Safety and Efficacy of Bioidentical Hormones.”

Dr. R is the Founder of The Menopause Method and The Institute of BioIdentical Medicine, where he has been training medical professionals to master cBHRT using the most advanced and modern tools. His protocol has been used to treat more than 12,000 women.


More from Dr. Rosensweet:


More from Well with Lisa:

More from Well with Lisa:

WEBVTT

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This is the eat.

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Well, think.

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Well live well podcast.

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I'm Lisa Salsbury, and this is episode 41, navigating perimenopause and menopause with hormone replacement therapy and how it affects weight loss with Dr.

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David Rosensweet.

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Now before you younger listeners tune out thinking that this isn't affecting you.

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You're going to learn from Dr.

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Rosensweet, that once you reach your thirties, your hormones are declining and you are in peri-menopause as this is the time proceeding menopause.

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So just by virtue of your age, once you reached the thirties, you may not be having classic symptoms, but things that you may not attribute to menopause or perimenopause rather.

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Are actually occurring because of the decline in hormones.

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I loved editing this episode and listening and learning from Dr.

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Rosensweet.

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Again, we recorded this about a month ago and I've been dying to put it out.

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I was saving it to do a whole series on menopause, but those other interviews just haven't happened yet.

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So I will put those out when we get them scheduled and keep talking about these things that are affecting us in this peri-menopause time and how to combat them.

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So please feel free to send me any questions about this and I will be sure to ask the next expert I have on this topic.

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I will tell you too, that after doing this interview, I did ask my regular gynecologist about bioidentical hormone replacement therapy.

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And she agreed with me and started me on a very tiny dose of topical estrogen.

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She isn't trained in Dr.

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Rosensweet menopause method, but just for those listening, wondering when we get to the point in the interview talking about HRT and what doctors will prescribe it.

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You totally can start with your regular gynecologist and see what she can do for you.

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It is totally worth an ask.

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So don't forget also to download Dr.

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Rosensweet, free book to have a little bit more language around this topic.

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And that link of course, is in the show notes.

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Welcome to Eat Well, Think Well, Live Well; the podcast for women who want to lose weight, but are tired of counting and calculating all the food.

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I'm your host, Lisa Salsbury.

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I'm a certified health and weight loss coach and life coach, and most importantly a recovered chronic dieter.

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I'll teach you to figure out why you are eating when you aren't hungry, instead of worrying so much about what you are eating.

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Welcome back to the Eat Well Think Well Live Well podcast today.

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My guest is Dr.

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Daved Rosensweet.

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I'm super excited.

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He reached out to me and thought that his knowledge about menopause and his expertise was really gonna be a value to my audience, and I totally agreed.

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So.

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We have had a couple of questions recently about menopause.

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A little bit about perimenopause, so I know this is kind of the age range that my listeners are in, so I'm super excited to have him.

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I'm gonna let him introduce himself and then we'll jump into our conversation.

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I'm a medical doctor.

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I was traditionally trained.

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I I love medical school, I love my traditional training.

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It was like arriving at temple or synagogue for me.

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And then, uh, when I left medical school, I started getting interested in things that really related to health and, and root cause.

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So I did a lot of work with nutrition and, uh, the exposure we have to toxicity and detoxification.

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With exercise and with the elephant in most people's room, a dysfunctional response to the stresses of life because that disrupts the immune system, disrupts the hormonal system.

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Yeah, we can do fight or flight biology, but it takes a toll on us.

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Cuz I was really interested in what's getting my patients ill.

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I mean, how do we.

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And then, um, about 30 years ago, a patient of mine that I knew really well stormed into my office.

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She was in her mid forties She did not have an appointment.

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She flew open my examining room door, my consultation room door, and she told me, look, I'm going crazy and don't pretend, you know, I'm telling you I'm going crazy.

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This is big.

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and, uh, serendipitously, so to speak, although I don't think life works like that.

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Um, I had been speaking to a world expert on progesterone and I gave her progesterone.

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She was in her mid forties and she, three weeks later, I got a letter from her saying, my God, this stuff is miraculous.

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I mean, I feel so much better.

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That was pretty dramatic.

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You don't often people, by the time they've gotten ill, it's, it is often a slow moving process to do the various changes we need to do, and we don't necessarily see these tremendously dramatic results.

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Well, I, these were tremendously dramatic and before I knew it, I was seeing a lot of women in the perimenopause and menopause.

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And then I decided to specialize in it for the last 30 years.

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I, I've really headed towards total specialization in it because it's a, it's an amazing thing.

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It happens to a hundred percent of men and women.

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We start out at the age of 20, and that's when we're putting out our peak ovarian or testicular hormones,

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Mm-hmm.

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and then it's declined from that moment.

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and in the thirties a lot of women don't really feel that decline, but it's taking place.

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And some women do.

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They periods start getting irregular and they start getting, uh, return of ps.

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They start not sleeping as well, mood issues because they're losing their ovarian hormones.

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Mm-hmm.

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And then comes the magic day when the period ceased entirely and there's a almost a full.

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Of, of the most powerful biochemicals in a woman's body amongst them, there's other powerful biochemicals of that magnitude.

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Thyroid hormone, some adrenal hormones.

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But these ovarian hormones, estrogen, progesterone, a woman's body treasures these and without them, the declines that you see that ultimately result in assisted living facilities, nursing homes.

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Adult, diapers.

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Why do people wind up there?

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And most Women wind up there because of the loss.

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of ovarian hormones,

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Hmm.

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the loss of muscle and bones.

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big cause of like generalized aging then?

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Is that what you're

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there there's very specific declines because these hormones are so important.

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Yeah, we could say generalized.

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But specifically, there's loss of bones, loss of muscle, loss of cognitive ability, loss of energy, loss of libido, loss of vagina, loss of bladder control, loss of arterial protection, that estrogen confers vulnerability to a heart attack and stroke.

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These all derive primarily from the loss of ovarian hormones.

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Yeah.

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Yeah.

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I'm a big fan of, I've, I've said this phrase on the podcast before and I got it from someone else.

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I don't, I don't even remember who, but just the idea of making our health span.

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match our lifespan.

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And so this is really critical here because I don't just wanna live to a hundred.

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I wanna live to a hundred and be completely functional and still be driving and getting up and down off the floor in my nineties.

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I really want to be As healthy as possible, yes, I'm gonna have beautiful wrinkles, and yes, I'm gonna have gray hair and that is all completely fine with me.

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I just wanna be able to get my own groceries and not worry that I'm gonna fall down.

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And so this is really critical then to pay attention to those female hormones.

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When we start having these symptoms and we could go over things like what are like menopause and perimenopause symptoms.

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I think you kind of covered some of them.

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I recently had I, well, let me just be honest.

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I have a marina i u d and I know that that's, some people are like, it's not a problem at all.

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Other people are like, rip that thing out.

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I don't know how you feel about that.

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And my listeners can decide what they want, but in any.

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Very, very, very light periods because of it.

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but I've noticed, even though I have that.

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it's getting more irregular and all of a sudden, like I have like this tiny period and then 10 days later I'm like, gushing, wait for the first time.

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Like since I've even been on it and I'm like, okay.

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Hello, hello.

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Perimenopause.

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Uh, this morning I woke up in, um, a complete sweat.

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I was like, why are my pajamas so, so wet this morning?

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That's fun.

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So it's just these tiny little things.

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I think most women probably are pretty aware.

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But what do you think is, what do you think are symptoms.

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we aren't aware, like we know irregular periods, night sweats.

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most women know this.

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What are some things that are happening that are perimenopause that women don't realize or don't attribute to that and are maybe signals for them to start getting help?

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Well, it's a, it's a great question because although 75% of women have really dramatic symptoms, such as the ones you just named.

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Welcome to Perimenopause Year in, um, 25% of women don't have symptoms and they look around, they say, what's this big deal about menopause?

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It's my menopause is easy yet for a hundred percent of women, as estrogens decline, you start losing bone.

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We don't feel.

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you start losing cognitive function.

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You start having memory issues and o often the ability to think clearly.

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You start having mood issues from the loss of these hormones.

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I've heard women tell me that they didn't even realize it until they started getting treated with testosterone, that they lost some core drive there in decision making.

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Because testosterone is not a male hormone.

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That's very, very incorrect.

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Women have twice as much, testosterone as they have estrogen, estrodiol, the most potent estrogen.

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So mood sleep.

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a natural calmness can be replaced by a subtle anxiety, you know, it's not a hundred percent of the day, but, uh, this, there can be a, a declining mood and the ability to sleep deeply.

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Or you can wake up in the middle of the night and and be in a sweat.

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Now by the time you make it to sweats, you have got major estrogen.

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And the optimal time to address it is now.

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we love, when we're able to interact with a woman who's in the perimenopause, it's the easiest time.

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It's a, it's a more complex time to treat because of the erraticness of the hormonals, Environment in the perimenopause.

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But it's the best time of all.

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So best to really start treatment.

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When we're first seeing signs of perimenopause.

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Is there a certain age or just watch for symptoms?

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Well, it cha it's different women, woman to woman for a lot of different reasons.

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Some women start picking up on irregular periods and the kind of symptoms that you're having in their thirties.

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Well, for sure.

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Here's the, the, the benchmark.

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your optimal ovarian output took place when you were 20 plus or minus a couple years, and it gradually declined.

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So what's the impact of that decline and when does it lead to really life alerting symptoms?

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Sometimes it's in the thirties, if a woman is regular, is used to clockwork periods and she realizes she's not clockwork.

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And that there's even some cycles where she gets breast tenderness or irritable, or PMs, oops.

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She stopped ovulating that cycle.

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She didn't ovulate, she didn't put out progesterone.

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The greatest calmer that exists for women.

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So the best thing I could offer is, and I believe my team has done this, is that your listeners could receive a.

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PDF copy of our, the book we wrote for women.

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We wrote it for women.

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It's called Happy, healthy Hormones, and it describes insignificant detail, the kind of things to be on the lookout for and how to address it.

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I think, uh, we've really laid down the roadmap, the best way to address this,

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And you're a fan of, of hormone treatment.

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oh, am I

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Yeah.

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Tell us about that.

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So, so we are like, okay, it's time to get treatment, it's time to like, address this.

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what is the best treatment?

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Well, the things that you focus your professional career on, they all matter.

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Big time, proper nutrition, detoxification, proper exercise, they all matter.

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But when it comes to hormones, you're gonna do one of two things.

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Those ovaries and that those testicles.

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they do decline.

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And I've never seen it different.

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It happens to everybody.

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You know, for the couple hundred thousand years humans have been alive.

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There was no such thing as menopause women.

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That's right.

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Yeah.

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Little, little death therapy took care of that.

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But when hygiene improved and all the other agriculture improved, nutrition improved, uh, we started living beyond the natural design here.

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Mm-hmm.

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the Chinese figured this out.

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They, for over a thousand years, they have been administering hormones to their aristocracy.

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What they figured out doing was they sent healthy young women into an outhouse and collected vast amounts of healthy young women urine.

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And they sent healthy young men into a different outhouse, collected their urine, dried it out, and the aristocracy took the powder that was left behind because they contained hormones.

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That was the beginning of bioidentical hormones, same molecule, but in medicine when something's not working like it used.

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you've got two choices.

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You either figure out some medicine or herb.

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Herbs are medicine that forced the body to react in such a way that you get the desired outcome.

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So for example, could you take an herb that would jolt those ovaries back into production?

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It doesn't work.

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Can you take a variety of herbs cuz people seem to be more friendly to herbs.

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I certainly, uh, I'm a holistic medical doctor.

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I love herbs for their medicinal use.

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Could a woman take something that's sort of simulated the effects of these powerful biochemicals?

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Yeah, but it doesn't work.

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You're gonna run across very, very few women who say, oh yeah, I took this Herb Cohosh or Vitex and everything returned to normal.

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These women don't exist out there,

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Mm-hmm.

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Yeah, Jining helps.

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There's things you can do or we've, we've had this opportunity since the 1980s to take plant derived same molecule as produced in the ovary or the testicles.

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We can take it in topical form, we can rub it onto our skin, cuz that's the healthiest way to take estrogen is to rub it on your skin

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So that's considered a bioidentical hormone.

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Yeah, same molecule as the ovary used to put out.

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Same molecule as the testicle used to put out

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And when, when people say they're on bioidentical hormones for menopause treatment, what hormone is that?

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What are they taking?

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Well, there there's a wide variety of beginners treating women Menopause or very at the other end of the spectrum experts, very few experts, a lot of beginners, a few intermediates, and so it depends on the quality of what the woman is receiving.

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When you get into the compounded bioidentical world, it gets a lot better.

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and that's what you do.

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For your patients.

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So what do you

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because we, because we individualize the treatment of every individual woman, because women are so individual, as are men.

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There's some women who they function beautifully and are very healthy with this level of estrogen.

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They have periods or the periods of regular, they, uh, can, they're fertile.

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They can have babies, but there's other women who need three times that amount.

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to be healthy regular periods.

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So there's a tremendous variance, individual woman.

00:17:03.509 --> 00:17:12.118
So the best approach to this is you individualize the treatment with each individual woman and you go on a journey to do that.

00:17:12.493 --> 00:17:12.913
yeah.

00:17:12.943 --> 00:17:16.273
That's why people don't say I'm on bioidentical estrogen.

00:17:16.273 --> 00:17:19.993
They say I'm on bioidentical hormones because it's customized

00:17:20.532 --> 00:17:21.673
Then they get four, they.

00:17:22.768 --> 00:17:26.127
Well, every woman loses all four.

00:17:26.923 --> 00:17:27.282
okay?

00:17:27.448 --> 00:17:33.837
The estrogen family, progesterone, testosterone, and D H E A, they're all coming out of the ovary

00:17:34.163 --> 00:17:34.772
Mm-hmm.

00:17:35.667 --> 00:17:38.127
and, and women lose all of them.

00:17:39.448 --> 00:17:41.097
Women are in nursing homes.

00:17:41.758 --> 00:17:44.188
The major reason is the loss of testosterone.

00:17:44.637 --> 00:17:45.538
You lose muscle.

00:17:45.982 --> 00:17:52.522
Which I've always taught is the natural sarcopenia is a natural muscle wasting that happens with age.

00:17:52.522 --> 00:18:03.442
And I encourage my clients to continue weight training and that sort of thing lifestyle-wise, but we also then need some of that testosterone to, to carry on.

00:18:03.448 --> 00:18:03.712
Okay.

00:18:04.853 --> 00:18:06.502
and sarcopenia.

00:18:06.563 --> 00:18:08.303
There's nothing natural about it.

00:18:09.472 --> 00:18:11.093
It's just happened

00:18:11.782 --> 00:18:12.173
right.

00:18:12.173 --> 00:18:20.772
I just mean like it's kind of like what happens with aging as far as you're not so much doing anything wrong is this is just what happens if you don't do anything.

00:18:20.982 --> 00:18:24.792
If you don't do anything to combat it, that's what will happen.

00:18:26.248 --> 00:18:27.837
that's a hundred percent accurate.

00:18:28.317 --> 00:18:33.538
As a gerontologist taught us in medical school, sarcopenia is the bane of the elderly.

00:18:34.502 --> 00:18:34.853
Mm.

00:18:34.917 --> 00:18:45.387
they're all losing muscle, and the ones who aren't losing muscle, sometimes you can really achieve decent things with vigorous, robust exercise programs,

00:18:45.702 --> 00:18:46.313
Mm-hmm.

00:18:46.738 --> 00:18:47.397
that's rare.

00:18:48.448 --> 00:18:54.508
You need the combination of a vigorous or decent or humane exercise program.

00:18:54.748 --> 00:18:56.067
You can't get away without it.

00:18:57.732 --> 00:19:01.962
And the hormones you need, you need the androgens, you need testosterone and d h A.

00:19:02.383 --> 00:19:07.903
That combination will give you what you want, is to be alive and active.

00:19:07.903 --> 00:19:09.762
And God, you might even have libido.

00:19:10.333 --> 00:19:10.813
You might even,

00:19:11.593 --> 00:19:12.083
What?

00:19:12.282 --> 00:19:21.133
I know, I know a patient who's 81, he and his partner are having, uh, the most intense orgasms they've ever.

00:19:22.258 --> 00:19:23.367
In their lives.

00:19:24.028 --> 00:19:32.337
A lot of it is because the great personal growth that occurred that allows them to get more intimate and close on every level.

00:19:33.448 --> 00:19:39.057
And a lot of it is the bio identical hormones, that they just kept up with not useful levels.

00:19:39.057 --> 00:19:40.637
They're not taking youth useful levels,

00:19:41.615 --> 00:19:44.885
So how does that work with, long-term use then?

00:19:44.885 --> 00:19:53.796
If we are getting on those bioidentical hormones at the start of perimenopause, so sometime for some women in their thirties, typically, probably more in the forties.

00:19:54.516 --> 00:20:01.266
Then do we plan to be on those adjusted every so often for the rest of our lives?

00:20:01.296 --> 00:20:02.705
Or how does that work?

00:20:04.776 --> 00:20:05.645
answer is yes,

00:20:05.806 --> 00:20:06.226
Yes.

00:20:06.455 --> 00:20:06.945
Okay.

00:20:07.445 --> 00:20:15.665
Or another way to find out is not to interview me as a doctor, cuz I've got a pony in the race here, right?

00:20:16.296 --> 00:20:17.375
,strongly opinionated.

00:20:17.826 --> 00:20:26.885
Talk to a woman who's been on bioidenticals for a while and ask her how, how much she'd love to stop taking them or talk to a man.

00:20:26.885 --> 00:20:31.996
And for example, I take my testosterone every day and I wouldn't dream of stopping.

00:20:32.871 --> 00:20:34.951
For every single day that I'm on this planet,

00:20:36.135 --> 00:20:36.625
Okay.

00:20:36.810 --> 00:20:37.530
to stop them.

00:20:37.800 --> 00:20:54.240
You're this whole, the whole fallacy around stopping occurred by this outrageously odd, crazy, misogynistic, human historical event that took place in the early two thousands with the public.

00:20:55.711 --> 00:21:06.443
Of an article, a medical study that scared women into thinking that if I take hormones, I'm going to get breast cancer, I'm gonna increase risk for breast cancer.

00:21:06.743 --> 00:21:08.273
That was never in the study.

00:21:08.403 --> 00:21:12.124
I think most women are probably aware of it and wondering like, why are we talking about these?

00:21:12.124 --> 00:21:15.243
Because it's been shown that like, that's not safe.

00:21:15.243 --> 00:21:17.199
So yeah, please, please get into that.

00:21:17.669 --> 00:21:20.058
Yeah, it poisoned the medical community.

00:21:20.058 --> 00:21:21.949
It poisoned women all over the world.

00:21:22.338 --> 00:21:31.288
And even in the original article that came out, the press grabbed something out of that article and failed to see what the science actually said in the article.

00:21:32.578 --> 00:21:36.784
There was two hormones being tested, pregnant me urine derived estro.

00:21:37.743 --> 00:21:49.663
And what that study showed is that women who were on pregnant marrow, urine derived estrogen had less incidence of breast cancer, heart attack and stroke than women who went untreated.

00:21:50.713 --> 00:21:51.794
That was right in the study,

00:21:52.094 --> 00:21:55.723
and yet the opposite is what the press published.

00:21:56.284 --> 00:21:56.884
That's right.

00:21:57.273 --> 00:22:09.713
it was because there was this other arm of the study in which women were given something called prempro that's a combination of Premarin and something like, like in your marina i u d.

00:22:10.193 --> 00:22:11.334
It's a progestin.

00:22:12.173 --> 00:22:16.104
And it did not ha have a scientifically proven increased risk.

00:22:16.614 --> 00:22:26.503
In fact, it said, the 1.26 relative risk was statistically insignificant, and that's what it said in the study in medicine.

00:22:26.509 --> 00:22:29.034
That means don't draw any conclusions about this folks.

00:22:29.963 --> 00:22:42.443
There is no medical significance of it proven, and that original article, it's authors republished a retraction of that article in 2016.

00:22:42.923 --> 00:22:45.713
They said after 18 years of follow up, there is no increased.

00:22:46.273 --> 00:22:47.923
But so few people have heard of that.

00:22:48.584 --> 00:22:55.509
That means the American public and the providers, they're still working off of false knowledge.

00:22:55.838 --> 00:22:58.598
But here's the science, and I'm so glad you brought this up.

00:22:59.469 --> 00:23:00.489
Here's the science.

00:23:01.959 --> 00:23:06.788
We are all at risk for thousands of diagnoses.

00:23:07.598 --> 00:23:09.249
A lot of'em are not cool.

00:23:10.098 --> 00:23:12.838
And we're all at risk for hundreds of cancers.

00:23:14.249 --> 00:23:23.189
And the very factors that you are addressing in your work in helping people with their health are the causes.

00:23:23.189 --> 00:23:36.778
There are causes of illness, there's causes, and they come down to basically issues of nutrition, issues of toxicity, issues of too little or too much exercise or issues of a dysfunctional.

00:23:37.933 --> 00:23:41.534
To the stress of life, a perpetual fight or flight response.

00:23:41.683 --> 00:23:43.064
Those are the only causes.

00:23:43.064 --> 00:23:44.443
There aren't other causes.

00:23:44.923 --> 00:23:46.483
There are some mysteries.

00:23:46.933 --> 00:23:57.253
There are some people who get ill and they're unexplainable, but those four causes that you're addressing are the causes of all illness, including cancer.

00:23:58.079 --> 00:24:08.130
And there's hundreds and thousands of indiscretions that people can do over the course of their life of nutrition, detoxification, et cetera, and that's causes illness.

00:24:09.269 --> 00:24:13.440
But at any rate, we're all vulnerable to hundreds of cancers we could have.

00:24:13.619 --> 00:24:20.160
And as a male, I have especially increased relative risk for prostate cancer and there's risk for that.

00:24:20.849 --> 00:24:23.640
And they're modern reasons they didn't used to be this way.

00:24:24.269 --> 00:24:25.200
And women.

00:24:25.815 --> 00:24:29.914
Have slightly increased relative risk for getting breast cancer over other cancers.

00:24:30.184 --> 00:24:36.125
And there's very specific reasons for this and they're modern reasons that has changed over the course of my medical lifetime.

00:24:36.125 --> 00:24:39.125
It didn't used to be as prevalent as it is today.

00:24:40.595 --> 00:24:53.224
However, given all that, and thanks for bearing with me here, but it's such an important topic given all that women who are treated with hormones are at less.

00:24:53.477 --> 00:24:59.477
Risk for breast cancer, heart attack, and stroke than women who go untreated.

00:25:00.227 --> 00:25:02.446
And that is the science.

00:25:03.196 --> 00:25:07.037
And it's beautifully outlined in my book for women who get my book.

00:25:07.037 --> 00:25:09.287
Chapter three, I go into it in depth.

00:25:09.707 --> 00:25:16.696
And then there's a bible written by an oncologist, a cancer specialist who specialized in breast cancer.

00:25:17.237 --> 00:25:20.416
And that book's called Estrogen Matters, and I cite that in my book.

00:25:20.416 --> 00:25:21.227
So if you wanna know the.

00:25:22.487 --> 00:25:27.317
We're all at risk, but we're at less risk if we're treated with hormones.

00:25:27.957 --> 00:25:31.076
So how do we, how do we ask for this?

00:25:31.076 --> 00:25:38.546
If our kind of mainstream medical doctors, which I think most people are, you know, that's their first line of defense.

00:25:38.546 --> 00:25:43.796
They're probably not heading to a functional medicine doctor first, or a naturopath that might be able to prescribe these.

00:25:43.875 --> 00:25:52.455
If we are just using our regular doctors, are they able to prescribe these bioidentical hormones or do we have to go to some sort of specialist?

00:25:52.875 --> 00:26:01.263
And the other part of this is what kind of testing do we need prior to requesting this or saying, Hey, I, I think I need this.

00:26:02.114 --> 00:26:04.243
I'm a big fan of advocating for yourself.

00:26:04.298 --> 00:26:22.028
I appreciate those that have, you know, done the education and gone to middle school school and I want their wisdom, but at the same time, I want to advocate and I think there's a difference between, you know, being a, a Google doctor and just web m d everything, and saying, Hey, I need some help with this.

00:26:22.028 --> 00:26:23.259
So I, you know what I mean?

00:26:23.888 --> 00:26:24.648
I I love it.

00:26:26.298 --> 00:26:30.898
This is exactly how I love a discussion like this to take place.

00:26:30.903 --> 00:26:37.946
You're bringing up the most important questions, well, you know.

00:26:38.682 --> 00:26:48.701
Traditionally trained medical doctors and nurse practitioners, they can do a tremendous service for us when we catch them in their knowledge base and their expertise.

00:26:49.602 --> 00:26:54.642
But if you tie and take them outside their knowledge base, you're not gonna get anywhere.

00:26:55.481 --> 00:26:59.261
And the whole medical community has been poisoned.

00:26:59.682 --> 00:27:01.241
Their minds have been poisoned.

00:27:01.247 --> 00:27:05.981
I use that intense language because it's been so disrupt.

00:27:07.317 --> 00:27:15.086
they're afraid to treat their patients with hormones because of that 2002 study that got so much press.

00:27:15.926 --> 00:27:21.237
And so you've named the remedy, you gotta advocate for yourself.

00:27:22.886 --> 00:27:25.376
Now the landscape is changing.

00:27:25.957 --> 00:27:29.936
This how I laid down the non-risk.

00:27:30.416 --> 00:27:33.386
The women who had are treated with hormones are at less.

00:27:35.051 --> 00:27:38.501
It's creeping back in, but creeping.

00:27:39.336 --> 00:27:42.517
the bioidentical hormones are creeping back in, is that what you're saying?

00:27:43.152 --> 00:27:43.632
no.

00:27:44.051 --> 00:27:44.711
no.

00:27:44.981 --> 00:27:48.521
The knowledge that women are at less risk if they're taking

00:27:48.561 --> 00:27:54.531
So some people are starting to say, Hey, we really read the study, and that's not really accurate.

00:27:55.412 --> 00:27:56.261
a few.

00:27:57.144 --> 00:27:58.898
and a few have read Dr.

00:27:58.898 --> 00:27:59.739
Blooming and Dr.

00:28:00.058 --> 00:28:04.868
TAVR's book and they get what the real science is, but it's pretty rare.

00:28:04.868 --> 00:28:15.038
I, if I had to guess, I'd say less than 1%, 2% of the world population are really familiar with the science is, I told you what the science is.

00:28:15.459 --> 00:28:18.669
I'm gonna go farther with the science is a little bit of a distraction.

00:28:19.598 --> 00:28:24.265
Women who have had breast cancer and have had that breast cancer properly treat.

00:28:24.795 --> 00:28:32.535
They have an increased relative risk of getting a recurrence over a woman who's never had breast cancer is of getting breast cancer.

00:28:33.464 --> 00:28:37.815
But women who have had breast cancer had that breast cancer properly treated.

00:28:38.924 --> 00:28:45.315
They're at less risk for recurrence if they're treated with hormones than if they're not treated.

00:28:45.963 --> 00:28:47.433
That's how profound this is.

00:28:47.943 --> 00:28:54.574
Women who have a special genetic propensity for breast cancer and ovarian cancer, they have something called a documentation.

00:28:55.473 --> 00:29:04.753
They have an increased relative risk of getting breast cancer over women who don't have that mutation, but they're at less relative risk for getting breast cancer if they're treated with hormones.

00:29:05.173 --> 00:29:10.114
And the hormones that have been most studied in this regard are horse urine derived estro.

00:29:11.939 --> 00:29:19.374
or horse urine drive estrogens coupled with the, abnormal molecule that's in the Mirena, iud.

00:29:19.403 --> 00:29:20.753
God bless IUDs.

00:29:21.084 --> 00:29:24.413
They're a fantastic, tool, that's for sure.

00:29:25.074 --> 00:29:36.423
Um, and Mirena is very popular and for good reasons, but there are others The bottom line is a woman has got to, at this day and age, 2023, these very primitive human times.

00:29:37.354 --> 00:29:40.594
A woman has got to become an advocate for her own self.

00:29:40.653 --> 00:29:43.354
And here's the only job, the only.

00:29:45.394 --> 00:29:52.834
you have to go find a healthcare provider that has gotten education in treating women in menopause.

00:29:53.349 --> 00:29:55.450
It's not there in our original training.

00:29:55.450 --> 00:30:11.500
It's you have to go outta your way to get that training and you've gotta find a provider in your state that really understands this, the whole of treating women with hormones and that the woman yourself, you feel comfortable with that.

00:30:13.474 --> 00:30:15.005
That's your only job really.

00:30:15.275 --> 00:30:30.295
You can facilitate that job by reading my book, happy Healthy Hormones, Because you'll be more informed, but your main job is to find someone who's saying, I treat women in menopause with compounded bi identical hormones.

00:30:30.420 --> 00:30:30.869
Okay.

00:30:30.930 --> 00:30:31.079
So.

00:30:31.170 --> 00:30:33.085
Those are the words we're, we're looking for.

00:30:33.355 --> 00:30:36.954
And then they will know what testing to do in order to,

00:30:37.099 --> 00:30:37.970
me answer that.

00:30:38.660 --> 00:30:39.619
No testing.

00:30:39.654 --> 00:30:40.404
No testing.

00:30:41.150 --> 00:30:46.490
We test a hundred percent of the women's hormone levels, but not in the beginning.

00:30:46.490 --> 00:30:47.539
It's perilous.

00:30:47.545 --> 00:30:52.565
Like to test a woman like you, would be a a mistake.

00:30:52.684 --> 00:30:53.315
Big, big.

00:30:53.829 --> 00:30:54.640
why is that?

00:30:55.167 --> 00:31:04.708
10 years ago, your ovaries were putting out estrogens, for example, in a very predictable, amazingly coordinated way.

00:31:05.188 --> 00:31:13.708
If this is day one of the cycle, it gradually rises, then it falls, then it rises a little bit and falls again.

00:31:13.708 --> 00:31:15.417
You have a period once a month.

00:31:15.718 --> 00:31:19.827
It's just so amazingly astounding, predictable, and a healthy woman.

00:31:20.397 --> 00:31:21.738
It's, uh, miraculous.

00:31:23.202 --> 00:31:30.353
but when the ovaries stops putting out the robust levels of estrogen, for example, this holds true for the other hormones too.

00:31:31.462 --> 00:31:36.960
The brain, the pituitary register that, and they go, where's the sufficient estrogen?

00:31:36.964 --> 00:31:38.039
We don't have enough here.

00:31:39.269 --> 00:31:41.609
And so there is a remedy.

00:31:42.509 --> 00:31:44.190
The pituitary gland can push.

00:31:45.375 --> 00:31:49.994
Some more stimulating hormone to the ovary to get it to wake up a little more.

00:31:50.894 --> 00:31:52.605
But it only works momentarily.

00:31:53.414 --> 00:31:56.894
So what happens to a woman in a perimenopause is things get erratic.

00:31:57.555 --> 00:32:00.615
Oh, you described an erratic cycle thing happening.

00:32:01.065 --> 00:32:02.684
That's exactly what happens.

00:32:03.134 --> 00:32:06.105
You, your brain registers that you're too low.

00:32:06.255 --> 00:32:07.785
It puts out a stimulating hormone.

00:32:07.785 --> 00:32:10.575
You get this high level, but you can't keep it up.

00:32:10.575 --> 00:32:11.325
So it goes low.

00:32:11.944 --> 00:32:11.984
S.

00:32:12.789 --> 00:32:13.575
up and down.

00:32:13.815 --> 00:32:21.790
So when you tested women in the perimenopause, you get erratic, unpredictable, and results that aren't useful.

00:32:21.796 --> 00:32:22.840
How did I learn this?

00:32:23.111 --> 00:32:27.371
I tested women in the perimenopause and I remember sitting in front of a patient of mine.

00:32:28.240 --> 00:32:29.560
She was your age.

00:32:29.901 --> 00:32:32.871
I'm showing her her test results.

00:32:33.424 --> 00:32:36.779
We use state-of-the-art test results, 24 hour urine hormone testing.

00:32:37.522 --> 00:32:42.803
and she's having hot flashes and she's waking up in the middle of the night and she can't fall back to sleep.

00:32:43.222 --> 00:32:53.093
I know she's got low estrogen and I'm showing you that her test shows high estrogens and I say, well, I definitely wanna treat you with estrogens cuz you're having hot flashes.

00:32:53.097 --> 00:32:54.563
So I know that you're low.

00:32:54.563 --> 00:32:56.573
In general, you might have been high on that.

00:32:56.782 --> 00:33:00.173
She looks at me like, what kind of crazy man are you?

00:33:01.042 --> 00:33:02.853
You you're gonna give me estrogens.

00:33:02.857 --> 00:33:04.252
One of my estrogens are high.

00:33:05.347 --> 00:33:08.887
So it's perilous to test a woman, the perimenopause, and there's no need to

00:33:09.103 --> 00:33:14.803
Because if you tested her two days later, she would show low and four days later she's high again.

00:33:14.803 --> 00:33:18.343
Or mid, like it's just not, you'd have to test every single day of the month.

00:33:18.343 --> 00:33:19.482
And that would be cost prohibitive.

00:33:19.867 --> 00:33:33.488
Precisely, and what you would happen is you would see that she might have be high on some days, low on others, but when you add up the total amount of estrogen she's putting out in a month, it's low, and that's why she broke out in a sweat.

00:33:33.998 --> 00:33:39.515
The general lovely level of estrogen that women thrive on it's not there anymore.

00:33:39.515 --> 00:33:40.055
It's low.

00:33:40.954 --> 00:33:42.545
Now we test a hundred percent of the.

00:33:43.865 --> 00:33:46.835
Perimenopause, menopause, but we only do.

00:33:46.835 --> 00:33:55.444
So when we've developed a program where the woman says to me, at the three month market, the six month mark, she says, wow, I feel great.

00:33:55.450 --> 00:33:56.345
I feel really good.

00:33:56.555 --> 00:33:57.815
I feel like myself again.

00:33:59.075 --> 00:34:04.744
Well, we, we confirm that with testing because just alleviating symptoms doesn't work.

00:34:04.744 --> 00:34:05.684
It's not accurate.

00:34:06.710 --> 00:34:16.610
in 75% of the women who say, wow, we went on this dose determining journey where we started low and gradually increased and we alleviated my symptoms.

00:34:16.610 --> 00:34:20.329
I feel so much better now when we do that.

00:34:21.110 --> 00:34:29.449
You can get symptom alleviation, but 75% of the women will not have their optimal amount, and we want optimal amount and we know what those.

00:34:29.880 --> 00:34:30.369
Okay.

00:34:30.784 --> 00:34:38.014
Uh, for example, on the low end, a woman's gotta have enough estrogen to protect her bones in her vagina, and we know what those numbers are.

00:34:38.735 --> 00:34:46.655
And the high end, we don't want a woman to have too much estrogen, so she's overstimulating her breast glandular tissue in leading to breast density.

00:34:46.659 --> 00:34:47.465
That's a risk.

00:34:47.469 --> 00:34:48.454
We don't wanna do that.

00:34:48.574 --> 00:34:53.405
So we know if that wonderful, optimal zone is not too much and not too.

00:34:54.965 --> 00:35:04.715
And so even though when we alleviate symptoms, 25% of the women are in that optimal zone, but 25% have got too much and 50% have got too little.

00:35:04.954 --> 00:35:05.914
So we tweak it.

00:35:06.184 --> 00:35:12.014
We don't even have to test them again because, we've gotten so close that a tweak will carry them a year easily.

00:35:12.735 --> 00:35:13.096
Okay.

00:35:13.096 --> 00:35:27.005
So, a little bit of a different topic, but because my show, we talk a lot about maintaining and losing weight, a big deal is women just are constantly saying, well, you know, you just can't lose weight after menopause.

00:35:27.036 --> 00:35:28.835
You just, it's just too hard.

00:35:28.835 --> 00:35:31.056
Well, I'm in perimenopause, so it's just too hard to lose weight.

00:35:31.056 --> 00:35:37.121
And I work with them on the thoughts on that because that's just not helpful, like, Of course you're not gonna lose weight if you're thinking I'm not gonna lose weight.

00:35:37.451 --> 00:35:46.360
But what are the real hormonal effects of perimenopause and menopause on weight loss, weight maintenance, those kinds of things.

00:35:46.365 --> 00:35:49.510
And how does the bioidentical hormone affect that?

00:35:50.242 --> 00:35:54.213
Well, you're naming one of the most common complaints of midlife women.

00:35:54.248 --> 00:35:54.367
Hmm.

00:35:55.628 --> 00:35:59.768
They used to be able to maintain healthy weight and now they can't.

00:36:00.103 --> 00:36:03.342
unexplained weight gain too is really frustrating.

00:36:03.478 --> 00:36:04.378
exactly.

00:36:05.079 --> 00:36:06.994
Exactly, but it is explainable.

00:36:07.983 --> 00:36:09.603
It might be unexplained, but it is

00:36:10.349 --> 00:36:10.708
Right.

00:36:10.708 --> 00:36:14.489
Like they, they're like, I haven't changed my eating habits, or, you

00:36:14.733 --> 00:36:15.423
That's right.

00:36:15.994 --> 00:36:22.054
And I'm exercising like a banshee, and I'm doing better than I ever have in the gym, and I'm still gaining weight.

00:36:22.414 --> 00:36:23.134
And here's the.

00:36:24.168 --> 00:36:32.358
Hormones are the most powerful biochemicals in our body, and they affect such things as energy metabolism.

00:36:33.559 --> 00:36:39.048
When you eat food, you eventually convert it to energy and heat.

00:36:39.978 --> 00:36:41.119
that's called metabolism.

00:36:42.028 --> 00:36:44.838
Well, metabolism in young people is red.

00:36:46.293 --> 00:36:53.208
But if we measure the metabolism of most human beings as they grow older, that metabolism declines.

00:36:53.659 --> 00:37:04.009
And instead of burning off those calories, you deposit those calories in the form of fat cuz you don't have the fire power to burn'em off anymore.

00:37:04.619 --> 00:37:04.858
Okay.

00:37:04.858 --> 00:37:17.396
I'm gonna interrupt for a second and I just have a quick question on Another thing that, I have heard and and admittedly taught is part of the reason for that is the sarcopenia that's happening because we have less muscle.

00:37:17.425 --> 00:37:19.916
Is that a contributing factor or not?

00:37:19.916 --> 00:37:22.346
Like what causes the metabolism?

00:37:22.380 --> 00:37:24.751
Indirectly, I'd say there's more direct.

00:37:25.050 --> 00:37:26.400
There's more direct.

00:37:27.391 --> 00:37:30.751
Like for example, and I'm gonna take you on a little journey here.

00:37:31.851 --> 00:37:41.445
If a woman wants to know if she's fertile because she's having trouble getting pregnant, one of the things she can do is a daily temperature to determine whether or not she's ovulating.

00:37:42.449 --> 00:37:46.648
And if she's ovulating, that temperature is gonna go up mid-month.

00:37:46.978 --> 00:37:48.659
Well, why does it go up?

00:37:48.688 --> 00:37:49.909
Why do you get warmer?

00:37:51.148 --> 00:37:52.918
mid month if you ovulate.

00:37:52.949 --> 00:37:56.248
If you don't ovulate, that temperature does not go up.

00:37:56.248 --> 00:37:57.478
You don't get warmer.

00:37:58.228 --> 00:38:01.409
You get warmer because your metabolism increased.

00:38:02.096 --> 00:38:11.545
And the principle hormone that relates to the rate at which you burn, the rate at which you produce energy is thyroid hormone.

00:38:12.545 --> 00:38:15.965
Well, midlife thyroid declines are really epidemic.

00:38:17.286 --> 00:38:20.811
and every functional medicine doctor knows it and is a trained in it.

00:38:21.590 --> 00:38:29.630
But the reason the thyroid hormone starts functioning better mid-cycle is because of a hormone called progesterone.

00:38:30.815 --> 00:38:38.976
When if a woman ovulates, she puts out a, a huge amount of progesterone, mid-cycle, a hundred times more than progesterone than she has estro.

00:38:40.610 --> 00:38:47.661
And that progesterone has so many effects, and one of'em is it helps thyroid hormone work better in thyroid receptor sites.

00:38:49.070 --> 00:38:53.925
So her metabolism goes up if she ovulates and produces that huge amount of progesterone.

00:38:54.617 --> 00:38:56.568
So she gets a temperature increase.

00:38:56.777 --> 00:38:58.768
She produces more energy and more heat.

00:38:59.500 --> 00:39:01.300
If she doesn't ovulate, that doesn't happen.

00:39:01.300 --> 00:39:03.760
The thyroid hormone doesn't get that acceleration.

00:39:04.030 --> 00:39:09.579
Progesterone critical for proper metabolism.

00:39:09.579 --> 00:39:10.329
Metabolism.

00:39:10.329 --> 00:39:19.630
As you eat food and you combine that with oxygen and you produce energy and heat, and them that don't have a vigorous metabolism, they gain weight.

00:39:20.005 --> 00:39:20.125
Hmm.

00:39:20.625 --> 00:39:21.114
Okay.

00:39:21.550 --> 00:39:28.119
They're storing the calories rather than burning them, so that's progesterone's relationship.

00:39:28.750 --> 00:39:46.539
Estrogen is so energizing so much so that when you look at the Olympics and you see women athletes who are doing all kinds of phenomenal, crazy, phenomenal skills, very few of those women are menstruating

00:39:47.594 --> 00:39:49.297
At all or At the event.

00:39:49.512 --> 00:39:50.023
At all.

00:39:50.387 --> 00:39:51.288
Oh.

00:39:52.068 --> 00:40:05.952
at all because they've forced their bodies into these really high level output production states, and in order to do that, they need every hormone they got going.

00:40:07.387 --> 00:40:18.445
So they not only use adrenaline in cortisol, which are so energizing, and thyroid, which is so energizing, estrogen is energizing estrogen, energizes metabolism.

00:40:18.445 --> 00:40:32.545
So instead of the estrogen going down the female pathway, it goes down the Olympics training schedule pathway, and she stops menstruating cuz she's recruiting and diverting her estrogen into those needs.

00:40:32.545 --> 00:40:33.445
The fight or flight.

00:40:34.119 --> 00:40:37.690
And not menstruating is a whole other That's a whole other

00:40:37.699 --> 00:40:38.059
Yeah.

00:40:38.349 --> 00:40:39.302
in and of itself,

00:40:39.766 --> 00:40:48.186
But that's another reason, when your hormones decline, you're not producing enough energy because estrogen matters, testosterone matters.

00:40:48.186 --> 00:40:50.976
And that gets around to your question around testosterone.

00:40:51.791 --> 00:40:56.530
you're less motivated, but mainly it's also an energizing hormone as well.

00:40:56.530 --> 00:41:00.431
And when that starts to decline, you can put on weight for low testosterone reasons.

00:41:00.791 --> 00:41:04.420
So, thyroid, estrogen, progesterone, testosterone.

00:41:04.721 --> 00:41:18.760
These are crucial for an act of vital, high firing output metabolism that burns your food and converts it to energy and heat rather than stores your food, which you do not want.

00:41:19.690 --> 00:41:20.231
to happen.

00:41:20.380 --> 00:41:24.130
So midlife, there's a lot of things that coalesce.

00:41:24.521 --> 00:41:26.590
There's other things that really matter too.

00:41:27.041 --> 00:41:30.610
We tend to get insulin resistant, and that's a whole other subject.

00:41:31.150 --> 00:41:36.251
And there's no better recipe for putting on weight, like than low hormones and insulin resistance.

00:41:36.550 --> 00:41:38.021
So there's a lot of things that coalesce.

00:41:38.025 --> 00:41:40.211
It's not a simple thing, but what do you do?

00:41:40.601 --> 00:41:45.791
You improve the insulin resistance through diet and other, tools that we.

00:41:47.465 --> 00:41:56.981
and you, replenish the hormones because they really matter and you're not gonna get that normal metabolism, decent metabolism without it.

00:41:57.721 --> 00:41:58.291
All right.

00:41:58.291 --> 00:42:11.630
Well, I think that we have a lot to think about here and, listeners need to really advocate for themselves, and if they don't have a doctor that's willing to prescribe these bioidentical hormones is to seek one out.

00:42:11.780 --> 00:42:14.210
Sounds like we've got some language available to use.

00:42:14.521 --> 00:42:20.041
in your downloadable book that we can use to talk to our medical professionals about that.

00:42:20.610 --> 00:42:25.081
Um, this is gonna be a compounding pharmacy thing, is that correct?

00:42:25.445 --> 00:42:27.525
Well, that's the best of the best of the best.

00:42:28.456 --> 00:42:35.081
You know, there's all kinds of hormones that are being offered out there, but compounders can individualize for an individual woman.

00:42:35.081 --> 00:42:39.041
Like, no, you just can't do what's with what's commercially available.

00:42:39.851 --> 00:42:40.981
So compounding is the best.

00:42:41.686 --> 00:42:48.407
One idea might be to go, if you're just not sure who to go to for a practitioner, find a local compounding pharmacy.

00:42:48.436 --> 00:42:51.376
Go in there and ask who is prescribing?

00:42:51.653 --> 00:42:52.224
Bingo.

00:42:52.228 --> 00:42:52.974
Lisa.

00:42:54.054 --> 00:42:54.653
Bingo.

00:42:54.653 --> 00:42:56.543
Bingo, bingo, bingo, bingo.

00:42:56.724 --> 00:43:01.923
They know who's prescribing And there are 9,000 of'em in the United States.

00:43:02.583 --> 00:43:08.583
Compounding pharmacists they know who's prescribing, and even more than that, they know who's doing a really good job.

00:43:08.978 --> 00:43:09.579
Mm.

00:43:09.639 --> 00:43:10.059
Yeah.

00:43:10.278 --> 00:43:12.768
of the quality of prescriptions that they're getting.

00:43:13.309 --> 00:43:16.429
So that's the one of the best resources that you can imagine.

00:43:17.239 --> 00:43:25.289
We also, I, I spend 80, 90% of my professional career training and mentoring physicians and nurse practitioners to become expert at.

00:43:25.748 --> 00:43:26.079
Hmm.

00:43:26.643 --> 00:43:28.414
So you can contact us.

00:43:28.623 --> 00:43:37.233
And another great advantage about this time is a woman does not need to see a nurse practitioner or a physician in person.

00:43:37.722 --> 00:43:41.052
For some things, yes, but for menopause, no.

00:43:41.351 --> 00:43:43.902
So that means you got access to your whole state.

00:43:44.137 --> 00:43:44.766
Right.

00:43:44.766 --> 00:43:45.336
Yeah.

00:43:45.342 --> 00:43:51.882
So anyone who's got a license to prescribe in your state, that's taken on specializing in women.

00:43:51.882 --> 00:43:53.742
So you can do the whole thing by telemedicine.

00:43:53.952 --> 00:43:57.581
There is a testosterone exception where you have to see them once in person.

00:43:58.041 --> 00:43:58.521
Okay.

00:43:59.036 --> 00:44:00.717
and there's more and more people getting trained.

00:44:00.717 --> 00:44:02.967
We're, we're, we're training people every day.

00:44:02.996 --> 00:44:04.467
We do weekly grand rounds.

00:44:04.467 --> 00:44:12.126
We've got, we've got a lot of people we've trained, so you might check in with us as well, but what you, what you mentioned, Lisa, that can be a great resource.

00:44:12.126 --> 00:44:14.737
Go to your local con and I like how you said it.

00:44:14.737 --> 00:44:21.007
You said go in there, talk to'em, get'em out from behind the glass because that personal connect.

00:44:22.431 --> 00:44:26.092
it can mean so much rather than trying to do it on the phone or something like that.

00:44:26.092 --> 00:44:28.461
I, I, I loved how you said that.

00:44:28.561 --> 00:44:30.362
that's the, the human way to do it.

00:44:30.362 --> 00:44:31.112
And they care.

00:44:31.112 --> 00:44:37.121
These are, these are caring professionals, so they get to see in person, it's gonna be all that more meaningful to them.

00:44:37.251 --> 00:44:37.436
Yeah.

00:44:38.217 --> 00:44:43.586
I am gonna ask you one other just bonus question since I did kind of mention this about myself.

00:44:44.157 --> 00:44:49.976
For those of us on birth control and I'm well past my childbearing years, I had four kids.

00:44:50.007 --> 00:44:50.847
I'm done with all that.

00:44:50.847 --> 00:44:56.036
My youngest is 15, so I've had an I U D a Mirena i u d for 15 years since my last.

00:44:56.556 --> 00:44:57.577
Should I get it out?

00:44:57.637 --> 00:44:58.507
Is it time?

00:44:58.567 --> 00:44:59.436
How do I know?

00:44:59.737 --> 00:45:04.141
I'm concerned about when do I get this out and start bioidentical hormones?

00:45:04.411 --> 00:45:07.021
Or do I do it in conjunction with.

00:45:07.793 --> 00:45:09.043
Great question.

00:45:09.867 --> 00:45:13.347
I have a, a deep regard for IUDs.

00:45:13.789 --> 00:45:19.570
to me, they're one of the most effective ways of planning when you want to have children.

00:45:20.650 --> 00:45:30.896
that exist, And they're not giving yourself hormones at a young age, which can have some not so wonderful effects, like in the birth control

00:45:30.905 --> 00:45:31.516
Mm-hmm.

00:45:31.856 --> 00:45:34.106
uh, I really much prefer it over the,

00:45:34.481 --> 00:45:37.451
the marina does have some, okay.

00:45:37.570 --> 00:45:37.960
Sorry.

00:45:37.960 --> 00:45:38.411
Go ahead.

00:45:39.275 --> 00:45:43.255
I much prefer like a copper i u d or other IUDs that are there,

00:45:43.661 --> 00:45:44.110
yeah.

00:45:44.425 --> 00:45:58.166
and there's just no way that anyone can guarantee you that you won't get pregnant unless you have some kind of contraception, until you've gone one year without a cycle.

00:45:58.166 --> 00:46:01.496
These is what the gynecologists tell us, and they are correct.

00:46:02.193 --> 00:46:06.643
You can, you can go nine months without having a menstrual period and pop an.

00:46:07.403 --> 00:46:08.333
Out of the blue.

00:46:08.889 --> 00:46:11.260
as you can already see, your periods are declining.

00:46:11.260 --> 00:46:13.940
That's not from the Mirena i i u d.

00:46:15.050 --> 00:46:16.880
It's from your natural function.

00:46:17.510 --> 00:46:21.469
You could leave the marina in and also start hormones.

00:46:21.469 --> 00:46:22.250
No problem.

00:46:22.940 --> 00:46:25.639
You could, you could have the Marino replaced with a copper.

00:46:25.639 --> 00:46:25.789
I.

00:46:27.094 --> 00:46:31.114
and start the hormones, but it doesn't matter that the marine is in there.

00:46:31.684 --> 00:46:38.644
if you go to a provider who really knows what they're doing, they're gonna dial in the optimal amount of progesterone.

00:46:39.514 --> 00:46:40.684
Well, let's start with estrogen.

00:46:40.690 --> 00:46:48.364
They're gonna help you figure out how to arrive at the optimal amount of estrogen, the optimal amount of testosterone.

00:46:49.610 --> 00:46:54.110
and yeah, you've got some artificial progesterone in there called progestins.

00:46:54.110 --> 00:46:55.070
It's in the i o D.

00:46:55.099 --> 00:47:04.670
So what you just augment that if you need a little more W you augment it with bioidentical progesterone, so it's very easy to work with a Mirena.

00:47:05.824 --> 00:47:06.315
Okay.

00:47:06.610 --> 00:47:12.289
is not going to stop the ultimate ending of your ovaries.

00:47:12.590 --> 00:47:15.199
So there'll come a time when, look at this.

00:47:15.199 --> 00:47:16.699
I haven't had a period for a year.

00:47:16.704 --> 00:47:18.780
Well, now's the time to take out the Mirena.

00:47:19.699 --> 00:47:20.269
Mm.

00:47:20.809 --> 00:47:26.369
It's just so hard to tell cuz they're so very, very light So sometimes I'm like, was that a period?

00:47:26.519 --> 00:47:27.130
I dunno.

00:47:27.514 --> 00:47:29.494
Well, that's a natural process.

00:47:29.494 --> 00:47:42.275
And you know, the Mirena might be augmenting that, but it doesn't matter so long as you're having, uh, any kind of menstrual bleeding, you're in the range where an ovulation though, not common could happen.

00:47:42.679 --> 00:47:43.219
Yeah.

00:47:43.534 --> 00:47:45.125
So birth control is still an issue.

00:47:45.699 --> 00:47:56.110
I mean, if it was, if it was, up to me and someone, a family member of mine, and I have a lot, a lot of women in my, my family, um, I would recommend switching to a copper i u d

00:47:56.634 --> 00:48:04.038
I've, I've also been considering switching to, uh, you know, a vasectomy cause I could just maybe not be in charge of the birth control.

00:48:04.802 --> 00:48:06.043
well, that's ideal.

00:48:07.023 --> 00:48:08.972
vasectomy is wonderful.

00:48:09.563 --> 00:48:09.773
Yeah.

00:48:09.773 --> 00:48:13.103
that's kind of, I just kind of wanna be done with the birth control.

00:48:13.592 --> 00:48:15.211
So you, you nailed it.

00:48:15.211 --> 00:48:16.501
I mean, that would be the best.

00:48:16.501 --> 00:48:18.391
I think vasectomy is the best.

00:48:18.961 --> 00:48:19.652
The healthiest.

00:48:19.851 --> 00:48:20.641
The safest.

00:48:20.965 --> 00:48:21.835
And it works.

00:48:22.099 --> 00:48:22.728
All right.

00:48:22.956 --> 00:48:23.257
Good.

00:48:23.257 --> 00:48:33.463
And that, that way we can just focus on getting the hormones for the, for the woman to, to styled in and not have to worry about the birth control Well, again, thank you so much.

00:48:33.463 --> 00:48:35.233
Appreciate that extra bonus question.

00:48:35.233 --> 00:48:37.034
That wasn't really part of our topic.

00:48:37.543 --> 00:48:38.833
A little personal there for me.

00:48:38.833 --> 00:48:41.563
Sometimes I, I do ask these personal questions of my guest.

00:48:41.563 --> 00:48:42.643
I'm like, well, I have you.

00:48:42.673 --> 00:48:43.844
Let me just ask you this,

00:48:44.728 --> 00:48:46.889
Well, there's millions of women who have that same

00:48:47.639 --> 00:48:49.409
Yeah, marinas are pretty common,

00:48:50.009 --> 00:48:50.188
Yeah.

00:48:50.458 --> 00:48:50.998
so.

00:48:51.478 --> 00:48:51.719
Good.

00:48:51.719 --> 00:48:56.579
Well, again, thanks so much and we'll put the link to the book in the show notes.

00:48:56.605 --> 00:49:03.304
I'd want to say, just to just to add on, the marina doesn't have no, has no, estrogens,

00:49:03.394 --> 00:49:03.875
right.

00:49:04.505 --> 00:49:06.724
which is the very reason you're getting those hot flashes.

00:49:07.235 --> 00:49:08.554
It has no androgens.

00:49:08.554 --> 00:49:10.235
It has no testosterone in there.

00:49:11.329 --> 00:49:13.010
And you're gonna love testosterone.

00:49:13.010 --> 00:49:18.260
And we all, I often think it's one of the best things we do for women, keep'em out of nursing homes and diapers,

00:49:19.235 --> 00:49:20.074
Yes, please.

00:49:20.179 --> 00:49:22.219
so, yeah, that's right.

00:49:22.219 --> 00:49:25.579
Let's have that health span like you described.

00:49:26.585 --> 00:49:27.184
All right.

00:49:27.347 --> 00:49:31.907
Thank you so much for your time and your wisdom and your experience and sharing it.

00:49:31.907 --> 00:49:34.126
I really, really appreciate it.

00:49:34.222 --> 00:49:35.021
You're welcome.

00:49:36.036 --> 00:49:38.226
I hope you enjoyed this episode with Dr.

00:49:38.226 --> 00:49:39.016
Rosensweet.

00:49:39.036 --> 00:49:47.987
Our recording of got cut off at there at the end, but I did thank him and he was gracious to come on the podcast, and his expertise.

00:49:48.257 --> 00:49:59.717
Grab his in the and let me know how you're doing with perimenopause and menopause, and if you have any questions related to we talked about those times, I'd love to help you.

00:50:01.907 --> 00:50:03.376
hey, thanks for listening today.

00:50:03.677 --> 00:50:08.856
If you're ready to get some personalized coaching from me, I'd encourage you to schedule a free strategy session.

00:50:09.527 --> 00:50:17.117
Visit www.wellwithlisa.as.me or it's easier just to find that link in the show notes.

00:50:17.447 --> 00:50:20.657
We'll talk about where you currently are with your weight loss goals.

00:50:20.896 --> 00:50:22.757
And I'll give you some actionable tools.

00:50:22.936 --> 00:50:24.996
You can start implementing right away.

00:50:25.704 --> 00:50:30.375
Before you go, make sure you subscribe to the podcast so you can receive new episodes, right when they're released.

00:50:30.764 --> 00:50:35.914
And if you're learning something new and enjoying the podcast, I'd love for you to leave me a five star rating and a review.

00:50:36.244 --> 00:50:41.594
Thanks again for joining me, Lisa Salisbury in this episode of Eat Well, Think Well, Live Well.
Daved Rosensweet Profile Photo

Daved Rosensweet

Founder / Medical Director

Dr. Rosensweet graduated from the University of Michigan Medical School in 1968. Since 1971, he has been in private medical practice, with offices in Florida, New Mexico, California, and Colorado. Early in his career, Dr. Rosensweet trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico.
He is a nationally known lecturer and presenter at The American Academy of Anti-Aging Medicine (A4M), The American College for Advancement in Medicine (ACAM), The Age Management Medicine Group (AMMG), and more. In 2019, he was called to Washington to speak in front of The National Academies of Science Engineering and Medicine (NASEM) on “The Safety and Efficacy of Bioidentical Hormones.”
Dr. R is the Founder of The Menopause Method and The Institute of BioIdentical Medicine, where he has been training medical professionals to master cBHRT using the most advanced and modern tools. His protocol has been used to treat more than 12,000 women.