We need you Doctor’s to go before Congress and plead the case for better health care for women!!! Help us by using your knowledge, status, and platform to be our voices!!! Please!!!
That would be wonderful if she did that. Men’s rx like viagra and testosterone is usually covered by insurance yet most women must pay out of pocket for menopause care and often their providers don’t prescribe HRT.
My Estradiol patch was covered by my insurance, $10 copay, also my progesterone is covered 90 day supply 200mg for $34. I absolutely agree that there are hormone clinics popping up on every corner scamming women with all of these pellets and alternative treatments. Talk to you Gyn, bring with you printed out studies that show the benefits of Estradiol and Progesterone supplementation early on. Also, tell your Doctor what your goals are. Define your goals. If your gaols are to just reduce symptoms, then you will get offered the minimum dose to stop symptoms, however if your goals are to prevent bone loss, cardiovascular aging, neurological aging then you need the optimal dose that you can tolerate without side effects. Having the coversation with tour Doctor is your first step. I highly advise against hormone clinics. Magnesium, Ashwaganda and Progesterone is such a life changer for my sleep. Also, go out for a walk after dinner. Eat dinner as early as possible. Then take a walk after. Try to have 3 - 4 hrs before bed without eating. prioritze protein and healthy fats in your diet. These tips have really helped me control symptoms and feel and look healthy.
@@nicolefrausto4716 you are doing all the right things, way to go, all those things have helped me as well. My estradiol patch is covered by insurance but my compounded micronized progesterone is not but the cost is not too bad.
Quitting alcohol once menopause symptoms started was a game changer for me. Reduced hot flashes, better sleep, more energy, easier to lose weight and overall happier. At age 52, I just wish I had quit sooner. So for some of you who are really suffering, try reducing or even quitting alcohol.
I agree that herbal supplements are useless. There is not a single study showing that they are efficacious for menopausal symptoms. I cannot fathom why so many people still suggest them. It would be nice if giving up alcohol was the solution to ending the nasty symptoms of menopause. I am like Beatrice. I have never consumed alcohol, but have still struggles with menopause.@@Beatrice-nx5ld
@@susanlisak9018 it doesn't help that so many doctors still use it as the best evidence and base treatment decisions on it. I wish they'd stop. I'm not taking oral Premarin or synthetic progestins, I'm symptomatic, and didn't start HRT late in my menopause. So, those findings don't tell me anything about the HRT I actually take 😊xx
Thank you ladies! WE need this! It’s not discussed in families amongst women. My mom and I were just discussing how there should be more awareness & medical consideration (ie. Work accommodations, etc.) . I lost my career due to it.
Sorry, have to load up on bio creams, JYM omega 3’s caps (for MEN), herbs, exercise 3x week, take GABA, Ginkgo, MCT oil for the brain health. The JYM knocked out my hot flashes for years then when they came back and took 2 caps twice a day. Without all the supplements I would have lost it!! ❤
So helpful. Thank you. I pre-ordered "The New Menopause" and my new gyn who I had to seek out new about Dr. Claire's work. I started Patch estradiol and oral progesterone and feeling better. I am 52 and perimenopause; all symptoms including feeling like I was going to have a heart attack have improved). I also did a complete.overhaul on my diet. Anyways, so grateful for these ladies educating all of us!
Thank you for your comment, I've been feeling like I'm having a heart attack! I've never heard anyone say this before. Do you mind telling me what dose of estradiol patch you started with?
As a breast cancer survivor I would like to hear a doctor discuss NON HRT methods for menopause relief! I had a hormone driven cancer and doctors do not like us to take HRT. Please do a video for others like me! We get IGNORED!
Yup. It's interesting many say don't even do hrt. I'm wanting more truth. As many more of us need. MD don't know alot of functional ND n introgratrive. I had a MD NATURAL PATHETHIC INTERGRATIVE HORMONE DR. BEST IN NATION HE RETIRED. BUT I LIKE A WOMEN TO HELP RATHER THEN A MAN. LIKE HE PUT MY MOM ON DHEA TOO BUT I THINK FOR MUTLIPLE OTHER REASONS.
Im 53. Still menstruating. Have fibroids. 2 week long periods. 1 week spotting. 1 week period. Tubes tied. Still have uterus. My OB put me on progesterone daily .35mg. No cycling on or off. My doctor wont give me estrogen because she said I’m still menstruating. I have belly fat, like over night, brain fog, trouble sleeping and staying asleep, emotional like crazy, super stressed and feel like I’m going crazy. Changing my doctor.
@@Contessa998 NO NO progesterone is helpful when your bleeding like that. However I would consider real progesterone like Prometrium, NOt the fake stuff you are taking that is a progestogen. Once your periods stop have hormones tested and treat accordingly with estriol or biest or a combination patch ( and pls take iron supplements or eat liver twice a week and lots of spinach) because you will be anemic with all that bleeding.
Hi, I’m 53 with fibroids. I’ve tried so many things. Estrogen makes the fibroids hemorrhage… I almost needed a transfusion once the estrogen pellets got to a certain level there was no turning back had to wait for it to wear off I got the liletta IUD, it grew on my uterus causing hemorrhage but I could sleep well… they refused to take it out and it came half way out on its own, then they took it out. Then body had to get use to not having progesterone at that level which caused hemorrhage again It’s been 3 months since the IUD and things are getting better Using bio progesterone cream for calmness and magnesium (calm powder) for good, good sleep. I think it’s almost over if we don’t mess with estrogen until a year of no menstrual. Then all the fibroids will begin to shrink down a lot. Exercise 3x week reduces problems with fibroids and helps with heart, brain and bone risks. Be well.
As a dermatologist, I can honestly say, this is one of the best interviews I have seen lately! Congratulations to those amazing MDs. PS: love the comments over oral minoxydil. We have been using it safely for the past 10 years. Greetings from Brazil!
Yes! Yes and yes. I had been asking for progesterone for 2 years now my gynecologist. I think she would prescribe anything if I said that want to conceive at 40+ but peri menopause-oh no! No one takes debilitating insomnia seriously. Bottom line: if men’s testicles were shrinking at the age of 50 we would have a cure for it!
My former FEMALE primary care physician was very dismissive/ scornful of my intractable insomnia. I now have a DO who is more understanding . Sleep is not valued in this culture especially in med school. Doctors in residency are expected to suck it up and function on minimal sleep. Functioning on minimal sleep is considered a badge of honor and doctors inflict this warped view on their patients. And this doc is supposedly a Lifestyle Medicine doctor.
I feel you. I haven't been able to sleep well for 7 years. I'm 62 now, a nightly battle now that I never win😢 soo debilitating but I will have a doctor very soon whom I hope can help
💯 society is far too patriotic! It’s TIME for women to be given the love and respect they deserve - for being the whole reason why this human world keeps getting populated! We women MUST unite together bring the femininity back along with our feminism so we are once and for all put on the pedestal that we all do deserve to be on throughout ALL stages of our lives!
Awesome podcast! Blows my mind that heart disease is the #1 killer of women, which HRT can help prevent. Yet doctors are not educated on the low risks of HRT and that the benefits outweigh the low risks (for most). And strength over skinny, yes!!!
Keep the weight normal, work out/ exercise. Take anything out of diet that will make you gain weight or affect your heart. We have to do all we can for our brains, hearts and bones and exercise is the cure for all three
This makes me so mad that the medical profession takes menopause as an “oh well it’s just a part of life “attitude” and it’s difficult to get any obgyn to listen to what we know about our own bodies. I had the same obgn since I was 18, she delivered my 5 children and took me through all the ups and downs of female stuff and my peri menopause until she retired in 2013 when I was 52. I was on a low dose birth control pill in my mid 30’s after my last child and She and I discussed the fact that since I was healthy and had no family history of breast cancer or other medical issues that I could stay on the birth control pill through menopause to keep my bones strong and my heart healthy through this journey and we’d keep testing to see how I was doing. I was on and off it to see where I was throughout all of this and was feeling amazing Sadly she retired and the new obgyn immediately took me off birth control and threw me into full blown menopause at the age of 52 and it was the most horrific time of my life. She had all my medical records and knew what the game plan was but she refused and said well those aren’t my beliefs. I found a new doctor and she was horrified that I was taken off the pill cold turkey and she offered to put me on an antidepressant for my hot flashes but I declined to do that. I researched and found some natural products that helped ease the symptoms and I am now 62 and on the other side. I eat well and exercise BUT I have achy joints, sleep deprived, dry skin, no motivation and just plain blah feeling. So we “old” women have to suffer unless we go to 100 doctors and hope to find one needle in the hay stack who will listen. I am now, as I believe, over the age to start estrogen therapy and will have to take meds to allow me to enjoy a long and healthy life but I am sure passing this info as well as Dr. Havers findings along to my daughter, nieces and any young woman I know before they go through this. Thanks for bringing this to the forefront 😊
Some female obgyns don’t like their own female bodies. Medical school training teaches them to think and be like men. That training overrides their female intuition and empathy. Sad.
You are not too old to go back on HRT. I just started oral Micronized Progesterone, transdermal Estradiol patch, and topical vaginal Estradiol cream (for GSM) more than 10 years post-menopause and at 60 years old. My new gynecologist is great and feels confident that I’m in good shape to start; namely, no history of heart issues, cardiac calcium score is zero, no insulin resistance or pre-diabetes, no obesity. I’m doing amazing; I’m sleeping better, have less irritability & brain fog, and vaginal dryness/pain are much improved. I’m hoping my bones and brain will be better protected now that I’ve started HRT.
dealing with menopause challenges was tough. stumbled upon this video by dr. mary claire haver, discussing treatments and hormone replacement therapy. her insights resonated with my struggles. traditional education lacked info on hormone optimization. controversy around studies, like the women's health initiative, made things confusing. dr. haver's tailored approach, focusing on symptoms over lab values, hit home. reminded me of my journey. Aspect Health played a role in my understanding. valuable info for women managing menopause. grateful for this perspective!
Thank you both for covering this topic. I had just about every symptom of perimenopause including chest pain. Went to the cardiologist who dismissed all my concerns, offered no opinion on whether I should consider BHRT and just told me that I would have accept the possible risks without telling me what they could be. I directly asked if my hormone issues could be connected to my chest pain and he looked at me like I was silly and lastly said if my tests came back okay then he will just put me on a statin and sent me on my way. I am now on BHRT, no thanks to him, and all symptoms are gone. I've been working on lifestyle and I am very curious to see my labs after replacing hormones in combination with lifestyle changes but I can already tell you that I feel great.
Excellent content and so very needed. I'm seeing a Menopause Specialist in Houston. Sadly, it took going through three ignorant gynecologists before I found help. Ironically, all those doctors were listed on the NAMS site as Menopause specialists. Very disturbing. Once actually had me on estrogen yet not progesterone! Fortunately, I found another doctor that was like Holy SHIT, she only put you on Estrogen!! Way too little teaching and accountability in the Medical field toward women's health.
Beautiful informative conversation! Thank you from the bottom of heart Dr. Mary Claire and Dr. Gabrielle Lyon for being out in front for the sister-hood, you are changing the game for us. ❤🙏
Been on topical bioidentical hormones for about 13 years. Was still menstruating when I started; estradiol, progesterone, and testosterone. I cycle them through the month and still have my period at 63 years old. Feel fantastic!
@@natalieroy4849 yes. Like clockwork. I cycle my hormones so they are the same as if I was in my 20’s. I tried stat dosing with no period, and I just didn’t feel as good. As far as I understand, I will have a period for as long as I do the hormones.
@@DdDd-pk4pu I see Dr. Fred. Bloem in Kensington, MD. I know of some people who use Miami Hormones online. You just need to search bioidentical hormone replacement therapy for the area in which you live.
I’m so happy to have witnessed you both in an interview together. Two amazing powerful forces changing lives. Also I wanted to say how proud I was to see you on Tamron Hall spreading your message. I’m so happy for your success your growth and I wish you continued prosperity and blessings!❤
The needless suffering the medical community and society at large expects women to endure is criminal. I'm 55 and perimenopausal and sh*t has gone off the rails over the past month. Thanking these doctors for sounding the alarm.
without HRT I am a total mess, crying, no energy, gain weight, just awful. I am on it now for 14 years, and will continue forever. I have a great hormone specialist and everything is great now. Odd though, that all the friends at the gym who are still working out and feeling great are the ones on a patch or estrogel like me. many stopped going to gym, and a few got cancers, and they are the ones NOT on hormones...
Very few could go to the gym being severely deficient. Yes some women get by and have good Estrigen receptors in the brain. But a huge majority do not. Also we are fighting pollutants/pesticides/xeno estrogens/atomisaton. We are most certainly not like our grandmothers. Mine died at 49 in 1962 she was an older mother and left small children.
I quit sugar, alcohol and no more hot flashes, I sleep better too. I eat mostly raw veggies and protein but im still having a problem getting rid of this belly that grew out of nowhere. I look 4 months pregnant, my hair is thinning..ugh! and I eat clean, do resistance training, weights etc ..and I feel like this extra weight is not going ANYWHERE 😢 I asked my doctor about HRT and she said she would not recommend it because now there are studies about getting ovarian and cervical cancer due to HRT. I just take vitamins, pre and probiotics, hair vitamins So I'm taking this like a champ. 😩
Thank you so much for this conversation! I learned so much! I did not know the positive impact on preventing cardiovascular disease or the improvement in reducing visceral fat!! Since I started Estradiol patch and progesterone 8 months ago I’ve lost 38 pounds and reduced visceral fat by 4 pounds. I attributed it to the changes I made in my diet and exercise. Which I’m sure did contribute. But I didn’t change all that much because I was already doing all the things and I was still just gaining and gaining every month. Now, I feel incredible. Thinking I’m going to ask my dr about testosterone now too. I wish every woman would watch this!!
That's awesome. I work so hard on my nutrition and exercise (heavy lifting) muscle resistance etc. .and I have so much body fat since going into menopause. Last month my doctor (a female my age ) told me if I go on HRT the fat loss will be minimal if at all.
This is for Dr Haver! So glad you tried the testosterone! I was on the gel and finally got the injection 3 mg 2x a week. My sex drive is the best it’s ever been in my life. I am 51 and my fiancé is on it himself and we are like a teens which we both love. It helped with sex drive and muscle retention and brain fog, but nothing has helped me with sleep, still don’t sleep great and using tch to help but I am a light sleeper.
Do you maybe have high evening cortisol? That can keep you up And 400-800mg rhodiola can help correct that Paired of course with good leading up to sleep practices
Thank you so so much Dr. Gabrielle and Dr. Mary for this insightful eye-opening hit of truth that I needed to hear! Women are amazing creatures of this world and our bodies are spectacular and not falling into the myth that as we move into menopause, we are not valuable, attractive and strong contributors because I see so many of them and we are! Also, amazing advice that your fantastic OB/GYN, who delivers your babies and helped you through all those other little body things is not necessarily going to be your menopause guru! Kudos to both of you amazing strong, professional women, spreading the word and teaching all of us ladies!❤
Uk here!! 🇬🇧 I am 48 and only now realise I am going through menopause as an afro caribbean woman I also found out we start early! So all this time 8 years I gave had sleep and depression! GP has changed my coil at 8 years old and I will start the gel in 4 weeks as they want to see if I settle with the coil also I am a nurse! Thanks for your content!
I am 46, still have my periods and ovulate and I feel good. But when I have a symptom any symptom, social media accuses me of being perimenopausal 😳👎🏻💩 I never thought I would want HRT at menopause or menopause but now I believe I may take HRT before when I am truly perimenopausal. Maybe even estrogen creams too 🤷🏻♀️
I am someone that’s can’t now take hrt because diagnosed with hormonal breast cancer 3 years ago the drs wouldn’t even allow me to have vaginal estrogen it’s hard coping with no hormones in my body mental health is tuff I think about woman who take hormones blockers because of their breast cancer what is happening to there bodies with heart diseases osteoporosis dementia and so on
@@carolynarnott5002 vaginal estrogen is fine! HRT may be fine for you as well! I am on everything and a breast cancer thriver! Each woman should get a personal in depth consultation. We deserve quality of life!!! Please look up these two Doctors. Dr. Susan Hardwick-Smith at Complete Midlife Wellness Center in Houston, Texas. She also has a RUclips channel, podcast and Instagram. Dr. Kelly Casperson RUclips, podcast, Instagram, etc. 🤗🌺 Bright Blessings
@@carolynarnott5002You’ve not been given accurate info, especially with regards to topical (non-systemic) vaginal Estradiol cream. Shame on your doctors.
Question: When discussing the standard of care, time stamp 35:40, reference is made to the AHA stating "loud and clear" that statins are not as effective as early HRT at treating CVD in women. Where can I find this documented? I'm compiling some references and would like to see what the AHA has recntly stated. I found a summary article released by Cleveland Clinic which is interesting but falls short of linking the benefits of HRT on cardiovascular health. Thanks!
Check with Dr Casey Means. She is a massive advocate against statins. They weaken muscles and guess what your heart is???? Also the numbers and percentages of heart attacks is not going down despite statins being one of the top drugs being prescribed.
I was recently offered HRT from my doctor and I said no way because of all the risks I heard about for the last 20 years. This conversation has convinced me to take another look. Sounds like a lot of protective benefits. Is it possible to link some of the studies mentioned in the conversation so we can review the data? Thank you for the conversation
I felt the same way until I really do the research to understand more about the HRT. More positive things than the unknown . Now I am on the Estradiol patch only have good things to say.
I've been in birth control pills since I was 18 years old (now I'm 45), I never experienced side effects or any trouble, but with the second dose of the covid vaccine I started to have circulatory problems, my AR got so much worse and because different especialists were saying that birth control pills were the cause for clogged arteries and problems with the vaccine I stoped it (without any medical supervision) I have to say, I really felt terrrible, I couldn't sleep, I got so swollen and have so much pain, my hair fell down, my face sag, I got terrible hot flashes... After nine months my ob put me again in hormonal replacement (estradiol valerate-dienogest) and now I feel like a normal person again, I do strength training 3 to 4 times a week, I can sleep, I don't have hot flashes or any other pre menopausal symptom, so I am so grateful for my pills and always will speak in favor of hormonal replacement, thank you for sharing your knowledge and expertise in this field, thank you both❤
Thank you so much ladies, this was a wonderful and insightful listen! I wasn’t happy with with my NP told me yesterday of my perimenopause symptoms that I was experiencing so I hope to soon make an appointment with an available practitioner at Dr Mary Claire Haver’s wellness clinic soon since it’s only 45 mins away! Frozen shoulders, bone/joint pains throughout body, ringing in ear, trouble sleeping, hot flashes, etc are not normal! Just because I’m 45 with pretty regular cycles doesn’t automatically rule me out with having perimenopause related symptoms and don’t tell me it’s because I’m aging. BS! Despite knee and shoulder pains, I still try to get at least 3 days of resistance training in as well as hopping into a group class. Sorry, just venting after my appt yesterday. ❤
I’m so grateful for this discussion. I was lucky have a great Dr who understood I was going through perimenopause. My husband loves Dr Lyon’s longevity topics but was mostly in the dark regarding what longevity will look like for me because of menopause. Woman have such a different aging experience. This video really educated him on what I’m going through and I learned some new things too. It’s because of Drs like both of you that are helping woman like me live with vigor!
I am 57, Had hysterectomy @ 48 years old, kept the ovaries I started the patch last year . I couldn't sleep at night now backing to be myself. Also I have the cream for dryness, irritating , itching when needed . All female should have access to this with affordable price. Quite expensive even with the insurance. So check the Good Rx.
So glad I use BioHRT creams. At 42 with no estrogen or progesterone, elevated FSH I'm on same trajectory as my Mum who went through menopause mid 40's. Her experience minus help of hormones was pure hell.
What REALLY needs to happen FIRST, is to allow women to renew their prescriptions without having to go to the doctor!!! Unless she is experiencing any issues, we should not be forced to go through the exam and hassle just to get what we already know is working! I’m even fine with a phone call from my doctor’s nurse or NP. I also believe insurance should allow for 6 month-1 year supply that doesn’t cost an arm and a leg!!! Women are NOT a priority! Where are all the feminist out here???
I had a 90 point drop in my LDL in the first 6 months of estradiol, progesterone, and 3 of those months testosterone as well. I eat very well overall, but really did nothing else than HRT!
Love your guest today. Has anyone heard of Dr. Barbara Taylor, Menopause "Barbie"? She has a you tube channel that is dedicated to Menopause. You might want to invite her to your channel to discuss. She is a retired an OBGYN also very knowledgeable in the topic of Menopause.
An excellent in depth discussion. Thank you for this enlightening and informative conversation. I think the important take home message is all women experience menopause differently but mostly all women would benefit from HRT. Also nutrition and fitness are important.
I really appreciated this podcast... My wife was literally asking me about some menopausal symptoms this morning. I was surprised not to hear anything about DHEA. Any thoughts on this supplement? I wish that we lived closer to Dr Marie Clair!
I'm an RN in an OB/GYN office and I'm trying to educate my patients the best I can. I love your podcasts and they are so beneficial. I have finished menopause and am on an estrogen patch but no progesterone or testosterone. I tried testosterone shots and I didn't do well on them. Do you use minoxidil for testosterone or hair loss??
Finding a provider is not easy! My GP ran all the labs and will not prescribe HRT, but the earliest I can get in to see a menopause recommended physician is April. And I live in the Chicago area!
Try calling a compounding pharmacy and ask the pharmacist if she can recommend a referral to a sympathetic provider. This is how I found a provider to help me.
I don’t know how many years I’m post menopause since I don’t have a uterus but I am still having nights sweats and mild hot flashes during the day at 64. One Doctor gave me bio identical estriol , and it wasn’t long before I was sleeping really good through the night, but then another doctor freaked out and said it was going to give me a heart attack or stroke so I stopped.
There were so many gaps in this discussion and the delay was distracting. What about those that can't take estrogen replacement because of a history of blood clots? We're just SOL?
They touched on that, but you should ask your practitioner... I believe as long as the hormone doesn’t pass through the liver you are safe. So, with oral estrogen, once it gets digested & goes through the liver, clotting factors are initiated- she mentions that towards the beginning. Anyway, you would need alternative delivery methods (& me too 😊)
There's no increased risk of clots from oestrogen through the skin. Patches, sprays, gels carry no additional risk of clots. Good to know about this 😊xx
Spironolactone cleared my acne after DECADES of awful skin but it was expensive and required a doctors visit so I quit and the acne came back, but then I came across a video by Organic Olivia about acne and LYSINE so I switched over and cleared up again - my hair back then was always VERY THICK
I'm so glad that you're emphasising that hot flushes and night sweats are just one part of the picture. And really, really appreciate your saying that optimal doses aren't necessarily reflected in the available approved doses. I'm in the UK, and 100mcg patch isn't enough for me, but it's the maximum my GP prescribes. Hope these restrictions are changed so that the dose fits the woman, not the other way around. Thank you 😊xx
I’m 7 years post menopause and finally decided to get on HRT! I was on a pill form of progesterone and a pill of estrogen but I don’t like taking pills so she put me on a cream and within a few weeks I started spotting heavily and had ovary pressure/heaviness. That cream had 30 GM C E2 (1.5 mg) and PROG (160 mg)/GM ANHYDR She lowered the dose to 1 mg and 150mg . My question is whether you think this is a good way to go or should I try a patch? The dr says the patch is not a good way to go! I’ve also got a testosterone pellet in my rear! Another question is whether HRT is linked to UTIs?? I am now having one and it’s horrible! Thank you 🙏🏼 for any assistance!
I think the best HRT medications are: 1) oral Micronized Progesterone; 2) transdermal Estradiol patch; and 3) topical (non-systemic) vaginal Estradiol cream for GSM symptoms. P.S. The best way to treat UTIs is with vaginal Estradiol cream. Look up all the things it helps with for Genitourinary Syndrome of Menopause (GSM) issues, which used to be called vaginal atrophy.
What about the use of phytosterols to build up DHEA? Can you give us info on this as opposed to standard HRT as an option? I’ve been using them for 20 years (now 58). I’m likely 2-or 3 years post M. (Mirena removed 8months ago). My bone density is still that of a 20 year old at 99%. I get it checked 5 yearly via DEXA.
Personally, I wouldn’t risk my heart, brain, or bone health long term by not considering HRT while it’s still an option. Phytosterols are not a replacement for Estradiol/Progesterone.
Can someone tell me the name of the option cited for women that cannot tolerate progesterone, even compounded? It's at approximately minute 18:40. She mentions that it's expensive, but if it works then it's worth it. Does anyone have any experience with it or with progesterone intolerance? Thank you in advance for any reply!
I believe the medication is Duavee. Also I was advised that if you take your prometrium vaginally instead of orally it reduces side effects. It has for me. Good luck!
I have had terrible side effects with progesterone tablets. Thought I was going insane. Nightmares.. palpitations.. feeling like a zombie. Stopped taking the tablets. Patches were a little easier until they upped the dose due to short supply of my usual patch. Symptoms have resurfaced but not quite as bad. Wish there was an alternative. My body seems so sensitive to this hormone. Good luck.
Great podcast. It’s scary knowing that hormones play a huge roll in men and woman. I’ve been on HRT since 35. I’m 45 now and the HRT stopped working for me. The estrogen helped with hot flashes at 42 when I started and I was doing muscle injection for testosterone as of last year. But the progesterone stopped working for me. The dr would up my meds and my anxiety was so bad. I think it spiked cortisol up. I’ve been doing research on eating meats, high saturated fats help to start hormone function again. Because of the cholesterol . high cortisol or low cortisol can block any hormonal absorption if the body is stressed which Iwas from messing with my hormones. The doctors kept upping my medicine, and it would cause my cortisol to go up through the roof, and it just set me into a very bad place. I’m now learning how salts and iodine are important for thyroid function and balance of electrolytes. It’s been a rough two years but I’ve been eating animal based now for 4 months only eating two bananas a day so no high carbs. I do lift 4 days a week. I do feel better but I’m sure it’s going to take me a year to get my body balanced back out from all the HRT I was put on at 35. I think HRT is good for women who are going through menopause, but being on HRT at very young age, I would not recommend it. I started HRT, because I had very bad migraines around that time of the month, and the progesterone at that time was helping me amazingly, and I was on thyroid meds for hypothyroidism. I’m now off 30mg of thyroid meds. It just really messed with my anxiety to much. We think low fats are a good thing but our body needs the animal fats especially as we age. I ate moderate protein low fat higher carbs and this wrecked me! So I’m hoping I’m on a better path forward on healing my body from with in. 🙏
Hi there, I’m 45 and I’ve weightlifting my whole life and I also have moved a lot with sprinting and incline walking and I have a holistic nutrition degree and I eat very clean and healthy. I am starting to the last two years have headaches migraines right around my cycle I still have my cycle routinely. I did skip one during Covid. One time a couple years ago otherwise very normal and I am putting on the belly fat weight you were talking about even though I exercise more than the normal person and weight Lyft three times more a week how should I ask my holistic doctor to prescribe me form I was given a sublingual progesterone for a little bit because of my headaches a couple years ago and I’m not sure if I noticed the difference or not, but I did stop because I hear that you guys say we should be having them synergistically estrogen and progesterone. Where can I find out how to know what to ask my doctor for and what to take being 45 years old and possibly going through perimenopause I also only have one ovary envelope tube so I was curious as I had lost my ovary fallopian tube when I was 13 I did have three children, thank you for your guidance
I’m 52 going on 53 very soon and still having monthly periods. I tried the BC pill and I had too many side effects. Hopefully I can find something to help me with your advice.
Strong OVER Skinny is an awesome statement! I now eat a protein with my carbs which ARE mostly whole wheat whole grain. Still navigating the nutritional highway as my body reacts differently DAILY to different foods. So its a crap chute as to what everyone else eats and what I CAN eat. Dairy and dairy products are being shoved down our throats, and its a great concern for me. Label reading and the ambiguous terms do NOT help. Manufacturers frel NO obligations to be honest and it hortifies me how far this world has gotten from growing our own foods.
Postmenopausal women are at the worst risk for things that estrogen is protective of, aren't we? I didn't get good advice from docs when I was eligible for HRT. Now it is supposedly too late.
Great information! I have an appointment coming up to get started with my hormones therapy. Do I need to make sure the doctor prescribed both estrogens and progesterone? Many thanks in advance
Oh, ladies…please LISTEN!!! She stated that if you have your uterus, then YES! PROGESTERONE. YOU MUST PAY BETTER ATTENTION TO THISI FORMATION! TAKE NOTES! WATCH AND LISTEN CAREFULLY!
Testosterone (in addition to estradiol and progesterone) in peri at age 43 has made my hair more lustrous and thick, and I need to shave my legs and armpits much more frequently. But no unwanted hair.
any one out there help me to understand at minute 50/40 talking about testosterone yes or not? they talked about minoxidil and after just mixing the benefits of testosterone for muscle mass? I listened few times but I cant get the message. Thanks
I heard someone say in an interview something like "wouldn't it be great if all women were able to have access to estrogen. It would make the world a better place." Made me think maybe they don't want us to be out there feeling good after 45..too much competition..hmm just a thought..I hope this generation really speaks up
Love and follow you both! What about women who have been diagnosed with estrogen based breast cancer? Not those in the throws of treatment, but those who are cleared after treatment? Thoughts?
I wouldn’t be so confident that that’s actually the truth. Since Doctor’s don’t even have a clue about HRT,they’ve been taught that estrogen CAUSES breast cancer…it doesn’t!!! We, WOMEN, were born with ESTROGEN!!!Why is it all of a sudden dangerous!?!? Please check out Menopause Taylor on RUclips as she is addressing this very topic, currently.
Dr John Lee MD (there is a website as well) books and bioidentical progesterone or/and oestrogen creams from Wellsprings Health. All my symptoms gone: frozen shoulder, joint pain, brain fog, weight gain, restlessness, insomnia. Read, read and read again from Lancet, from books not social media. Oh and UK Dr Shirley Bond.
Finally!! amazing women talking about real women issues and menopause. 🎉 refreshing not to scroll and find a men talking about “menopause” just because is a trend. 🙃
I checked out Drink LMNT and it has 1000 mg of sodium! I minimize sodium when I can because so many foods have sodium. Too much sodium is not good for the heart, people with high blood pressure, and it adds to water retention when using creatine. To each his own.
confussing with them talking at the same time but I believe they are saying: testosterone yes but if you have hair loss then take minoxidil. uff , is this interpretation correct? : ) thanks for helping .
What about the zillions of women on estrogen blockers for cancer? The way the body takes in and uses estrogen is confusing to me. I refused the estrogen blockers.
Hi Sara , I have had breast cancer too with a right mastectomy and the post chemo regimine included aromatase inhibitors with the goal of bringing your estrogen to zero. I declined for multiple reasons: I already had osteoporosis, already had joint pain and was concerned about the potentially increased risk of heart attack and about further cognitive decline ( I had memory loss from chemo). My oncologist was concerned because my cancer was estrogen positive but he could not deny the potential side effects. It has been more than two years since my surgery and multiple diagnostic imaging shows no spread of cancer. My second round of Reclast for my bones has triggered nasty joint pain.
Again, the doctors have failed women!!! God created women to have estrogen!!! There is NO STUDY that proves estrogen causes cancer!!! The WHI screwed women. Educate yourself by watching Menopause Taylor on RUclips. She is THE leading expert on HRT and peri-menopause and post-menopause. She explains things in EVEN GREATER DETAIL than here.
Please advise what is the daily dosage of testosteron is safe for a woman? My gyn prescribed me this medication , 1% Androgel, but said to put only small pea- like amount. No significant change in libido after 6 month of usage :(. Should I use more ? And where should I apply it for best results? Thank you!
unless you have a serious medical condition that prevents you from taking estrogen; you should absolutely find a new doctor who understands menopause. Estrogen is the fountain of youth!
What about taking Prometrium vaginally? I was told by my doctor I could do this instead of taking micronized progesterone orally due to intolerable side effects. This approach is helping me.
We need you Doctor’s to go before Congress and plead the case for better health care for women!!! Help us by using your knowledge, status, and platform to be our voices!!! Please!!!
That would be wonderful if she did that. Men’s rx like viagra and testosterone is usually covered by insurance yet most women must pay out of pocket for menopause care and often their providers don’t prescribe HRT.
💯
My Estradiol patch was covered by my insurance, $10 copay, also my progesterone is covered 90 day supply 200mg for $34.
I absolutely agree that there are hormone clinics popping up on every corner scamming women with all of these pellets and alternative treatments. Talk to you Gyn, bring with you printed out studies that show the benefits of Estradiol and Progesterone supplementation early on. Also, tell your Doctor what your goals are. Define your goals. If your gaols are to just reduce symptoms, then you will get offered the minimum dose to stop symptoms, however if your goals are to prevent bone loss, cardiovascular aging, neurological aging then you need the optimal dose that you can tolerate without side effects. Having the coversation with tour Doctor is your first step. I highly advise against hormone clinics. Magnesium, Ashwaganda and Progesterone is such a life changer for my sleep. Also, go out for a walk after dinner. Eat dinner as early as possible. Then take a walk after. Try to have 3 - 4 hrs before bed without eating.
prioritze protein and healthy fats in your diet. These tips have really helped me control symptoms and feel and look healthy.
@@nicolefrausto4716 you are doing all the right things, way to go, all those things have helped me as well. My estradiol patch is covered by insurance but my compounded micronized progesterone is not but the cost is not too bad.
Quitting alcohol once menopause symptoms started was a game changer for me. Reduced hot flashes, better sleep, more energy, easier to lose weight and overall happier. At age 52, I just wish I had quit sooner. So for some of you who are really suffering, try reducing or even quitting alcohol.
I quit couple years before I started having any symptoms. The only thing that helped me was bio identical hormone replacement.
I agree that herbal supplements are useless. There is not a single study showing that they are efficacious for menopausal symptoms. I cannot fathom why so many people still suggest them. It would be nice if giving up alcohol was the solution to ending the nasty symptoms of menopause. I am like Beatrice. I have never consumed alcohol, but have still struggles with menopause.@@Beatrice-nx5ld
I agree, I have noticed when I have a drink or two in the evening, my night sweats kick in almost everytime!!!
I think it depends because I only got symptoms with hard alcohol and red wine. Not sure, we’re all different right?
I had to quit alcohol and do hormone therapy (workout and take supplements) ...finally feel normal
Some women today still didn't get the memo that that study was overturned and they still suffer needlessly😢
and sadly many doctors didnt get the memo and misguide their patients who then suffer needlessly
YES. Heart breaking to watch some friends suffer and they are so afraid of HRT☹️
@@susanlisak9018 it doesn't help that so many doctors still use it as the best evidence and base treatment decisions on it. I wish they'd stop. I'm not taking oral Premarin or synthetic progestins, I'm symptomatic, and didn't start HRT late in my menopause. So, those findings don't tell me anything about the HRT I actually take 😊xx
Thank you ladies! WE need this! It’s not discussed in families amongst women. My mom and I were just discussing how there should be more awareness & medical consideration (ie. Work accommodations, etc.) . I lost my career due to it.
Sorry, have to load up on bio creams, JYM omega 3’s caps (for MEN), herbs, exercise 3x week, take GABA, Ginkgo, MCT oil for the brain health.
The JYM knocked out my hot flashes for years then when they came back and took 2 caps twice a day.
Without all the supplements I would have lost it!! ❤
@@SanctifiedLady Thank you so much. I take several supplements and I agree the supplements make a significant difference.
So helpful. Thank you. I pre-ordered "The New Menopause" and my new gyn who I had to seek out new about Dr. Claire's work. I started Patch estradiol and oral progesterone and feeling better. I am 52 and perimenopause; all symptoms including feeling like I was going to have a heart attack have improved). I also did a complete.overhaul on my diet. Anyways, so grateful for these ladies educating all of us!
Thank you for your comment, I've been feeling like I'm having a heart attack! I've never heard anyone say this before. Do you mind telling me what dose of estradiol patch you started with?
I’ve never clicked on a video faster seeing the two of you together!
As a breast cancer survivor I would like to hear a doctor discuss NON HRT methods for menopause relief!
I had a hormone driven cancer and doctors do not like us to take HRT. Please do a video for others like me! We get IGNORED!
Yup. It's interesting many say don't even do hrt. I'm wanting more truth. As many more of us need. MD don't know alot of functional ND n introgratrive. I had a MD NATURAL PATHETHIC INTERGRATIVE HORMONE DR. BEST IN NATION HE RETIRED. BUT I LIKE A WOMEN TO HELP RATHER THEN A MAN.
LIKE HE PUT MY MOM ON DHEA TOO BUT I THINK FOR MUTLIPLE OTHER REASONS.
One day they will day insulin driven
I'm in the same boat and I'm 41
Im 53. Still menstruating. Have fibroids. 2 week long periods. 1 week spotting. 1 week period. Tubes tied. Still have uterus. My OB put me on progesterone daily .35mg. No cycling on or off. My doctor wont give me estrogen because she said I’m still menstruating. I have belly fat, like over night, brain fog, trouble sleeping and staying asleep, emotional like crazy, super stressed and feel like I’m going crazy. Changing my doctor.
Get off the progesterone
@@Contessa998 NO NO progesterone is helpful when your bleeding like that. However I would consider real progesterone like Prometrium, NOt the fake stuff you are taking that is a progestogen. Once your periods stop have hormones tested and treat accordingly with estriol or biest or a combination patch ( and pls take iron supplements or eat liver twice a week and lots of spinach) because you will be anemic with all that bleeding.
@@Contessa998Your comment is dreadful 👎
Hi, I’m 53 with fibroids. I’ve tried so many things.
Estrogen makes the fibroids hemorrhage… I almost needed a transfusion once the estrogen pellets got to a certain level there was no turning back had to wait for it to wear off
I got the liletta IUD, it grew on my uterus causing hemorrhage but I could sleep well… they refused to take it out and it came half way out on its own, then they took it out.
Then body had to get use to not having progesterone at that level which caused hemorrhage again
It’s been 3 months since the IUD and things are getting better
Using bio progesterone cream for calmness and magnesium (calm powder) for good, good sleep.
I think it’s almost over if we don’t mess with estrogen until a year of no menstrual.
Then all the fibroids will begin to shrink down a lot.
Exercise 3x week reduces problems with fibroids and helps with heart, brain and bone risks.
Be well.
No she needs the micronised Progesterone. She isn't on Estradiol. The two work together
As a dermatologist, I can honestly say, this is one of the best interviews I have seen lately! Congratulations to those amazing MDs.
PS: love the comments over oral minoxydil. We have been using it safely for the past 10 years.
Greetings from Brazil!
Yes! Yes and yes. I had been asking for progesterone for 2 years now my gynecologist. I think she would prescribe anything if I said that want to conceive at 40+ but peri menopause-oh no! No one takes debilitating insomnia seriously.
Bottom line: if men’s testicles were shrinking at the age of 50 we would have a cure for it!
So agree! Its disturbing how women's health is treated in the US.
My former FEMALE primary care physician was very dismissive/ scornful of my intractable insomnia. I now have a DO who is more understanding . Sleep is not valued in this culture especially in med school. Doctors in residency are expected to suck it up and function on minimal sleep. Functioning on minimal sleep is considered a badge of honor and doctors inflict this warped view on their patients. And this doc is supposedly a Lifestyle Medicine doctor.
I feel you. I haven't been able to sleep well for 7 years. I'm 62 now, a nightly battle now that I never win😢 soo debilitating but I will have a doctor very soon whom I hope can help
💯 society is far too patriotic! It’s TIME for women to be given the love and respect they deserve - for being the whole reason why this human world keeps getting populated! We women MUST unite together bring the femininity back along with our feminism so we are once and for all put on the pedestal that we all do deserve to be on throughout ALL stages of our lives!
@@xamaqueen1902 Did you mean patriarchal instead of patriotic?
Awesome podcast! Blows my mind that heart disease is the #1 killer of women, which HRT can help prevent. Yet doctors are not educated on the low risks of HRT and that the benefits outweigh the low risks (for most). And strength over skinny, yes!!!
Am interested, have so much going on that with menopause I need some help 😢
Yes correct of course other factors too like k2 mk7 n etc
Keep the weight normal, work out/ exercise. Take anything out of diet that will make you gain weight or affect your heart.
We have to do all we can for our brains, hearts and bones and exercise is the cure for all three
This makes me so mad that the medical profession takes menopause as an “oh well it’s just a part of life “attitude” and it’s difficult to get any obgyn to listen to what we know about our own bodies. I had the same obgn since I was 18, she delivered my 5 children and took me through all the ups and downs of female stuff and my peri menopause until she retired in 2013 when I was 52. I was on a low dose birth control pill in my mid 30’s after my last child and She and I discussed the fact that since I was healthy and had no family history of breast cancer or other medical issues that I could stay on the birth control pill through menopause to keep my bones strong and my heart healthy through this journey and we’d keep testing to see how I was doing. I was on and off it to see where I was throughout all of this and was feeling amazing Sadly she retired and the new obgyn immediately took me off birth control and threw me into full blown menopause at the age of 52 and it was the most horrific time of my life. She had all my medical records and knew what the game plan was but she refused and said well those aren’t my beliefs. I found a new doctor and she was horrified that I was taken off the pill cold turkey and she offered to put me on an antidepressant for my hot flashes but I declined to do that. I researched and found some natural products that helped ease the symptoms and I am now 62 and on the other side. I eat well and exercise BUT I have achy joints, sleep deprived, dry skin, no motivation and just plain blah feeling. So we “old” women have to suffer unless we go to 100 doctors and hope to find one needle in the hay stack who will listen. I am now, as I believe, over the age to start estrogen therapy and will have to take meds to allow me to enjoy a long and healthy life but I am sure passing this info as well as Dr. Havers findings along to my daughter, nieces and any young woman I know before they go through this. Thanks for bringing this to the forefront 😊
Look for a NAMS certified MD. (‘North American Menopause Society’ fellowship graduate.) Google the website. There is a Directory of HRT providers.
Some female obgyns don’t like their own female bodies. Medical school training teaches them to think and be like men. That training overrides their female intuition and empathy. Sad.
You are not too old to go back on HRT. I just started oral Micronized Progesterone, transdermal Estradiol patch, and topical vaginal Estradiol cream (for GSM) more than 10 years post-menopause and at 60 years old. My new gynecologist is great and feels confident that I’m in good shape to start; namely, no history of heart issues, cardiac calcium score is zero, no insulin resistance or pre-diabetes, no obesity. I’m doing amazing; I’m sleeping better, have less irritability & brain fog, and vaginal dryness/pain are much improved. I’m hoping my bones and brain will be better protected now that I’ve started HRT.
🎉 Yesss.. thank you!! WE NEED MORE OF THESE TYPES OF INTERVIEWS!
dealing with menopause challenges was tough. stumbled upon this video by dr. mary claire haver, discussing treatments and hormone replacement therapy. her insights resonated with my struggles. traditional education lacked info on hormone optimization. controversy around studies, like the women's health initiative, made things confusing. dr. haver's tailored approach, focusing on symptoms over lab values, hit home. reminded me of my journey. Aspect Health played a role in my understanding. valuable info for women managing menopause. grateful for this perspective!
Thank you both for covering this topic. I had just about every symptom of perimenopause including chest pain. Went to the cardiologist who dismissed all my concerns, offered no opinion on whether I should consider BHRT and just told me that I would have accept the possible risks without telling me what they could be. I directly asked if my hormone issues could be connected to my chest pain and he looked at me like I was silly and lastly said if my tests came back okay then he will just put me on a statin and sent me on my way. I am now on BHRT, no thanks to him, and all symptoms are gone. I've been working on lifestyle and I am very curious to see my labs after replacing hormones in combination with lifestyle changes but I can already tell you that I feel great.
Thank you for having this guest on! I follow her and she is magnificent! So are you! Cindy
What a great combo! So happy to hear both of you together. ❤
Excellent content and so very needed. I'm seeing a Menopause Specialist in Houston. Sadly, it took going through three ignorant gynecologists before I found help. Ironically, all those doctors were listed on the NAMS site as Menopause specialists. Very disturbing. Once actually had me on estrogen yet not progesterone! Fortunately, I found another doctor that was like Holy SHIT, she only put you on Estrogen!! Way too little teaching and accountability in the Medical field toward women's health.
Dr. Mary is in Houston.
Beautiful informative conversation! Thank you from the bottom of heart Dr. Mary Claire and Dr. Gabrielle Lyon for being out in front for the sister-hood, you are changing the game for us. ❤🙏
Been on topical bioidentical hormones for about 13 years. Was still menstruating when I started; estradiol, progesterone, and testosterone. I cycle them through the month and still have my period at 63 years old. Feel fantastic!
That's great that you feel wonderful but you still have your period at 63? Every month, reliably and predictable?
@@natalieroy4849 yes. Like clockwork. I cycle my hormones so they are the same as if I was in my 20’s. I tried stat dosing with no period, and I just didn’t feel as good. As far as I understand, I will have a period for as long as I do the hormones.
Where and Who did you go to get your supplements ? ❤
@@DdDd-pk4pu I see Dr. Fred. Bloem in Kensington, MD. I know of some people who use Miami Hormones online. You just need to search bioidentical hormone replacement therapy for the area in which you live.
Are you on the Wiley Protocol by chance?
Just found you. What about women after 70, where do we start? I’m looking forward to hear for you. Thank you
Same question 🙋♀️
Two beautiful and knowledgeable women right here. Thank you so much ladies!!
I’m so happy to have witnessed you both in an interview together. Two amazing powerful forces changing lives. Also I wanted to say how proud I was to see you on Tamron Hall spreading your message. I’m so happy for your success your growth and I wish you continued prosperity and blessings!❤
The needless suffering the medical community and society at large expects women to endure is criminal. I'm 55 and perimenopausal and sh*t has gone off the rails over the past month. Thanking these doctors for sounding the alarm.
without HRT I am a total mess, crying, no energy, gain weight, just awful. I am on it now for 14 years, and will continue forever. I have a great hormone specialist and everything is great now. Odd though, that all the friends at the gym who are still working out and feeling great are the ones on a patch or estrogel like me. many stopped going to gym, and a few got cancers, and they are the ones NOT on hormones...
Very few could go to the gym being severely deficient. Yes some women get by and have good Estrigen receptors in the brain. But a huge majority do not. Also we are fighting pollutants/pesticides/xeno estrogens/atomisaton. We are most certainly not like our grandmothers. Mine died at 49 in 1962 she was an older mother and left small children.
Estrogen = E2= Estradiol
I quit sugar, alcohol and no more hot flashes, I sleep better too. I eat mostly raw veggies and protein but im still having a problem getting rid of this belly that grew out of nowhere. I look 4 months pregnant, my hair is thinning..ugh! and I eat clean, do resistance training, weights etc ..and I feel like this extra weight is not going ANYWHERE 😢 I asked my doctor about HRT and she said she would not recommend it because now there are studies about getting ovarian and cervical cancer due to HRT. I just take vitamins, pre and probiotics, hair vitamins So I'm taking this like a champ. 😩
Get a new doctor
Yep, your doctor is giving you bad info 👎
Food isn't going to replace your ovaries. You will continue to have body composition problems until you treat your deficiency.
get a new doctor ...
Thank you so much for this conversation! I learned so much! I did not know the positive impact on preventing cardiovascular disease or the improvement in reducing visceral fat!! Since I started Estradiol patch and progesterone 8 months ago I’ve lost 38 pounds and reduced visceral fat by 4 pounds. I attributed it to the changes I made in my diet and exercise. Which I’m sure did contribute. But I didn’t change all that much because I was already doing all the things and I was still just gaining and gaining every month. Now, I feel incredible. Thinking I’m going to ask my dr about testosterone now too. I wish every woman would watch this!!
That's awesome. I work so hard on my nutrition and exercise (heavy lifting) muscle resistance etc. .and I have so much body fat since going into menopause. Last month my doctor (a female my age ) told me if I go on HRT the fat loss will be minimal if at all.
This is for Dr Haver! So glad you tried the testosterone! I was on the gel and finally got the injection 3 mg 2x a week. My sex drive is the best it’s ever been in my life. I am 51 and my fiancé is on it himself and we are like a teens which we both love. It helped with sex drive and muscle retention and brain fog, but nothing has helped me with sleep, still don’t sleep great and using tch to help but I am a light sleeper.
Are you also on progesterone and oestrogen? Xxx
Do you maybe have high evening cortisol? That can keep you up
And 400-800mg rhodiola can help correct that
Paired of course with good leading up to sleep practices
My sleep has improved considerably since going on oral Micronized Progesterone 200 mg
Thank you so so much Dr. Gabrielle and Dr. Mary for this insightful eye-opening hit of truth that I needed to hear! Women are amazing creatures of this world and our bodies are spectacular and not falling into the myth that as we move into menopause, we are not valuable, attractive and strong contributors because I see so many of them and we are! Also, amazing advice that your fantastic OB/GYN, who delivers your babies and helped you through all those other little body things is not necessarily going to be your menopause guru! Kudos to both of you amazing strong, professional women, spreading the word and teaching all of us ladies!❤
Uk here!! 🇬🇧 I am 48 and only now realise I am going through menopause as an afro caribbean woman I also found out we start early! So all this time 8 years I gave had sleep and depression! GP has changed my coil at 8 years old and I will start the gel in 4 weeks as they want to see if I settle with the coil also I am a nurse! Thanks for your content!
Coil?
Love her …her knowledge is so comforting.
This was AMAZING! My two favorite women to learn from!!
Love love love Dr Mary Claire Haver!!!! Thank you Ladies!!
The ads are quite annoying
thanks for this ! just recently started HRT and i'm at baseline assessement in forever strong. great job ladies!
I am 46, still have my periods and ovulate and I feel good. But when I have a symptom any symptom, social media accuses me of being perimenopausal 😳👎🏻💩
I never thought I would want HRT at menopause or menopause but now I believe I may take HRT before when I am truly perimenopausal. Maybe even estrogen creams too 🤷🏻♀️
Yes ladies…
Please comment on whether breast cancer patients with hormone positive breast cancer should still take hormones!
I am someone that’s can’t now take hrt because diagnosed with hormonal breast cancer 3 years ago the drs wouldn’t even allow me to have vaginal estrogen it’s hard coping with no hormones in my body mental health is tuff I think about woman who take hormones blockers because of their breast cancer what is happening to there bodies with heart diseases osteoporosis dementia and so on
PLEASE do yourself a favor: Watch Menopause Taylor on RUclips!!! She is THE leading expert on HRT!!!
@@carolynarnott5002 vaginal estrogen is fine! HRT may be fine for you as well! I am on everything and a breast cancer thriver! Each woman should get a personal in depth consultation. We deserve quality of life!!!
Please look up these two Doctors. Dr. Susan Hardwick-Smith at Complete Midlife Wellness Center in Houston, Texas. She also has a RUclips channel, podcast and Instagram.
Dr. Kelly Casperson RUclips, podcast, Instagram, etc.
🤗🌺 Bright Blessings
@@carolynarnott5002You’ve not been given accurate info, especially with regards to topical (non-systemic) vaginal Estradiol cream. Shame on your doctors.
Question: When discussing the standard of care, time stamp 35:40, reference is made to the AHA stating "loud and clear" that statins are not as effective as early HRT at treating CVD in women. Where can I find this documented? I'm compiling some references and would like to see what the AHA has recntly stated. I found a summary article released by Cleveland Clinic which is interesting but falls short of linking the benefits of HRT on cardiovascular health. Thanks!
Check with Dr Casey Means. She is a massive advocate against statins. They weaken muscles and guess what your heart is???? Also the numbers and percentages of heart attacks is not going down despite statins being one of the top drugs being prescribed.
I was recently offered HRT from my doctor and I said no way because of all the risks I heard about for the last 20 years. This conversation has convinced me to take another look. Sounds like a lot of protective benefits. Is it possible to link some of the studies mentioned in the conversation so we can review the data? Thank you for the conversation
I felt the same way until I really do the research to understand more about the HRT. More positive things than the unknown . Now I am on the Estradiol patch only have good things to say.
WHI. Google it.
@@Dong-j2cwhat are the dose levels on Estrodial patch, please?
Keep her Up!! You did an excellent interview with Dr. Mary claire Haver!!
I've been in birth control pills since I was 18 years old (now I'm 45), I never experienced side effects or any trouble, but with the second dose of the covid vaccine I started to have circulatory problems, my AR got so much worse and because different especialists were saying that birth control pills were the cause for clogged arteries and problems with the vaccine I stoped it (without any medical supervision) I have to say, I really felt terrrible, I couldn't sleep, I got so swollen and have so much pain, my hair fell down, my face sag, I got terrible hot flashes... After nine months my ob put me again in hormonal replacement (estradiol valerate-dienogest) and now I feel like a normal person again, I do strength training 3 to 4 times a week, I can sleep, I don't have hot flashes or any other pre menopausal symptom, so I am so grateful for my pills and always will speak in favor of hormonal replacement, thank you for sharing your knowledge and expertise in this field, thank you both❤
Thank you so much ladies, this was a wonderful and insightful listen! I wasn’t happy with with my NP told me yesterday of my perimenopause symptoms that I was experiencing so I hope to soon make an appointment with an available practitioner at Dr Mary Claire Haver’s wellness clinic soon since it’s only 45 mins away! Frozen shoulders, bone/joint pains throughout body, ringing in ear, trouble sleeping, hot flashes, etc are not normal! Just because I’m 45 with pretty regular cycles doesn’t automatically rule me out with having perimenopause related symptoms and don’t tell me it’s because I’m aging. BS! Despite knee and shoulder pains, I still try to get at least 3 days of resistance training in as well as hopping into a group class. Sorry, just venting after my appt yesterday. ❤
You can skip ads just think if it as tv that’s how we are able to get this great content
I’m so grateful for this discussion. I was lucky have a great Dr who understood I was going through perimenopause. My husband loves Dr Lyon’s longevity topics but was mostly in the dark regarding what longevity will look like for me because of menopause. Woman have such a different aging experience. This video really educated him on what I’m going through and I learned some new things too. It’s because of Drs like both of you that are helping woman like me live with vigor!
great ladies...great work!!!!congratulations you are both wonderful!!!
I am 57, Had hysterectomy @ 48 years old, kept the ovaries I started the patch last year . I couldn't sleep at night now backing to be myself. Also I have the cream for dryness, irritating , itching when needed . All female should have access to this with affordable price. Quite expensive even with the insurance. So check the Good Rx.
The ads are so frustrating!
So glad I use BioHRT creams. At 42 with no estrogen or progesterone, elevated FSH I'm on same trajectory as my Mum who went through menopause mid 40's. Her experience minus help of hormones was pure hell.
What REALLY needs to happen FIRST, is to allow women to renew their prescriptions without having to go to the doctor!!! Unless she is experiencing any issues, we should not be forced to go through the exam and hassle just to get what we already know is working! I’m even fine with a phone call from my doctor’s nurse or NP. I also believe insurance should allow for 6 month-1 year supply that doesn’t cost an arm and a leg!!! Women are NOT a priority! Where are all the feminist out here???
I had a 90 point drop in my LDL in the first 6 months of estradiol, progesterone, and 3 of those months testosterone as well. I eat very well overall, but really did nothing else than HRT!
Love your guest today. Has anyone heard of Dr. Barbara Taylor, Menopause "Barbie"? She has a you tube channel that is dedicated to Menopause. You might want to invite her to your channel to discuss. She is a retired an OBGYN also very knowledgeable in the topic of Menopause.
An excellent in depth discussion. Thank you for this enlightening and informative conversation. I think the important take home message is all women experience menopause differently but mostly all women would benefit from HRT. Also nutrition and fitness are important.
I really appreciated this podcast... My wife was literally asking me about some menopausal symptoms this morning. I was surprised not to hear anything about DHEA. Any thoughts on this supplement? I wish that we lived closer to Dr Marie Clair!
I'm an RN in an OB/GYN office and I'm trying to educate my patients the best I can. I love your podcasts and they are so beneficial. I have finished menopause and am on an estrogen patch but no progesterone or testosterone. I tried testosterone shots and I didn't do well on them. Do you use minoxidil for testosterone or hair loss??
Finding a provider is not easy! My GP ran all the labs and will not prescribe HRT, but the earliest I can get in to see a menopause recommended physician is April. And I live in the Chicago area!
Onlineprivate consultant
Hello! If you don’t mind me asking, who are you going to see? I also live in the Chicagoland area.
Try calling a compounding pharmacy and ask the pharmacist if she can recommend a referral to a sympathetic provider. This is how I found a provider to help me.
Thank you so much for this ladies! It is so incredibly informative and helpful.
Thank you for educating all of us women! What would we do without all your help???
I don’t know how many years I’m post menopause since I don’t have a uterus but I am still having nights sweats and mild hot flashes during the day at 64. One Doctor gave me bio identical estriol , and it wasn’t long before I was sleeping really good through the night, but then another doctor freaked out and said it was going to give me a heart attack or stroke so I stopped.
I'm making a doctor's appointment to get on HRT, I am in the same boat as you.
The second doctor gave you bad advice, imo
There were so many gaps in this discussion and the delay was distracting. What about those that can't take estrogen replacement because of a history of blood clots? We're just SOL?
Transdermal estradiol has no risk of clot. Hope this helps :*)
They touched on that, but you should ask your practitioner... I believe as long as the hormone doesn’t pass through the liver you are safe. So, with oral estrogen, once it gets digested & goes through the liver, clotting factors are initiated- she mentions that towards the beginning. Anyway, you would need alternative delivery methods (& me too 😊)
There's no increased risk of clots from oestrogen through the skin. Patches, sprays, gels carry no additional risk of clots. Good to know about this 😊xx
Many thanks both of you! Great conversation.
Spironolactone cleared my acne after DECADES of awful skin but it was expensive and required a doctors visit so I quit and the acne came back, but then I came across a video by Organic Olivia about acne and LYSINE so I switched over and cleared up again - my hair back then was always VERY THICK
I'm so glad that you're emphasising that hot flushes and night sweats are just one part of the picture. And really, really appreciate your saying that optimal doses aren't necessarily reflected in the available approved doses. I'm in the UK, and 100mcg patch isn't enough for me, but it's the maximum my GP prescribes. Hope these restrictions are changed so that the dose fits the woman, not the other way around. Thank you 😊xx
How nuch utrogestan do you take with 100mcg parch?
@destinationunknown4959 in the UK the current recommendation is 200mg continuous.
Can’t stop it but can definitely support the body in the best way possible to get through it using herbs, supplements and hormones
I’m 7 years post menopause and finally decided to get on HRT! I was on a pill form of progesterone and a pill of estrogen but I don’t like taking pills so she put me on a cream and within a few weeks I started spotting heavily and had ovary pressure/heaviness. That cream had 30 GM C E2 (1.5 mg) and PROG (160 mg)/GM ANHYDR
She lowered the dose to 1 mg and 150mg .
My question is whether you think this is a good way to go or should I try a patch? The dr says the patch is not a good way to go!
I’ve also got a testosterone pellet in my rear!
Another question is whether HRT is linked to UTIs?? I am now having one and it’s horrible!
Thank you 🙏🏼 for any assistance!
Hey lovely, so you've gone through menopause and continued on hrt? Xx
I think the best HRT medications are: 1) oral Micronized Progesterone; 2) transdermal Estradiol patch; and 3) topical (non-systemic) vaginal Estradiol cream for GSM symptoms.
P.S. The best way to treat UTIs is with vaginal Estradiol cream. Look up all the things it helps with for Genitourinary Syndrome of Menopause (GSM) issues, which used to be called vaginal atrophy.
Great info. Interesting to hear about her personal experience with testosterone. And love seeing women support women :)
I learned so so much! Thank you for this!
54:50 what is the #1 supplemental she said? I heard the dialogue on fiber, but what did she say?
Vitamin D
This was such a good interview. I learned so much. 😊
Thank you. Can we do better with this subject? Yes!
What about the use of phytosterols to build up DHEA? Can you give us info on this as opposed to standard HRT as an option? I’ve been using them for 20 years (now 58). I’m likely 2-or 3 years post M. (Mirena removed 8months ago). My bone density is still that of a 20 year old at 99%. I get it checked 5 yearly via DEXA.
Personally, I wouldn’t risk my heart, brain, or bone health long term by not considering HRT while it’s still an option. Phytosterols are not a replacement for Estradiol/Progesterone.
This was excellent. thank you
Can someone tell me the name of the option cited for women that cannot tolerate progesterone, even compounded? It's at approximately minute 18:40. She mentions that it's expensive, but if it works then it's worth it. Does anyone have any experience with it or with progesterone intolerance? Thank you in advance for any reply!
I believe the medication is Duavee. Also I was advised that if you take your prometrium vaginally instead of orally it reduces side effects. It has for me. Good luck!
I have had terrible side effects with progesterone tablets. Thought I was going insane. Nightmares.. palpitations.. feeling like a zombie. Stopped taking the tablets. Patches were a little easier until they upped the dose due to short supply of my usual patch. Symptoms have resurfaced but not quite as bad. Wish there was an alternative. My body seems so sensitive to this hormone.
Good luck.
Both of you, Ladies, are amazing
Thank you. Pre ordering her book now
Great podcast. It’s scary knowing that hormones play a huge roll in men and woman. I’ve been on HRT since 35. I’m 45 now and the HRT stopped working for me. The estrogen helped with hot flashes at 42 when I started and I was doing muscle injection for testosterone as of last year. But the progesterone stopped working for me. The dr would up my meds and my anxiety was so bad. I think it spiked cortisol up. I’ve been doing research on eating meats, high saturated fats help to start hormone function again. Because of the cholesterol . high cortisol or low cortisol can block any hormonal absorption if the body is stressed which Iwas from messing with my hormones. The doctors kept upping my medicine, and it would cause my cortisol to go up through the roof, and it just set me into a very bad place. I’m now learning how salts and iodine are important for thyroid function and balance of electrolytes. It’s been a rough two years but I’ve been eating animal based now for 4 months only eating two bananas a day so no high carbs. I do lift 4 days a week. I do feel better but I’m sure it’s going to take me a year to get my body balanced back out from all the HRT I was put on at 35. I think HRT is good for women who are going through menopause, but being on HRT at very young age, I would not recommend it. I started HRT, because I had very bad migraines around that time of the month, and the progesterone at that time was helping me amazingly, and I was on thyroid meds for hypothyroidism. I’m now off 30mg of thyroid meds. It just really messed with my anxiety to much. We think low fats are a good thing but our body needs the animal fats especially as we age. I ate moderate protein low fat higher carbs and this wrecked me! So I’m hoping I’m on a better path forward on healing my body from with in. 🙏
I was on it from 36 years old to try and become pregnant I got so sick. I had to come off at 52. It was a nightmare I almost died from it.
Are you still menstruating or have you gone into menopause?
Wow! Tons of Botox, lip fillers, and extreme plastic surgery. I’m out.
The sleep is the worst. Ughhh
It sounds like you're on the right track now. Do you follow Dr Elizabeth Bright? She recommends high fat carnivore for hormone health.
Hi there, I’m 45 and I’ve weightlifting my whole life and I also have moved a lot with sprinting and incline walking and I have a holistic nutrition degree and I eat very clean and healthy. I am starting to the last two years have headaches migraines right around my cycle I still have my cycle routinely. I did skip one during Covid. One time a couple years ago otherwise very normal and I am putting on the belly fat weight you were talking about even though I exercise more than the normal person and weight Lyft three times more a week how should I ask my holistic doctor to prescribe me form I was given a sublingual progesterone for a little bit because of my headaches a couple years ago and I’m not sure if I noticed the difference or not, but I did stop because I hear that you guys say we should be having them synergistically estrogen and progesterone. Where can I find out how to know what to ask my doctor for and what to take being 45 years old and possibly going through perimenopause I also only have one ovary envelope tube so I was curious as I had lost my ovary fallopian tube when I was 13 I did have three children, thank you for your guidance
I’m 52 going on 53 very soon and still having monthly periods. I tried the BC pill and I had too many side effects. Hopefully I can find something to help me with your advice.
Strong OVER Skinny is an awesome statement! I now eat a protein with my carbs which ARE mostly whole wheat whole grain. Still navigating the nutritional highway as my body reacts differently DAILY to different foods. So its a crap chute as to what everyone else eats and what I CAN eat. Dairy and dairy products are being shoved down our throats, and its a great concern for me. Label reading and the ambiguous terms do NOT help. Manufacturers frel NO obligations to be honest and it hortifies me how far this world has gotten from growing our own foods.
Postmenopausal women are at the worst risk for things that estrogen is protective of, aren't we? I didn't get good advice from docs when I was eligible for HRT. Now it is supposedly too late.
Not too late. I got biodentical hormones at 65. My primary care and gyn refused me. Now and in the early 2000’s. I feel so much better.
Great information! I have an appointment coming up to get started with my hormones therapy. Do I need to make sure the doctor prescribed both estrogens and progesterone? Many thanks in advance
Oh, ladies…please LISTEN!!! She stated that if you have your uterus, then YES! PROGESTERONE. YOU MUST PAY BETTER ATTENTION TO THISI FORMATION! TAKE NOTES! WATCH AND LISTEN CAREFULLY!
@@melissaculpepper7663I agree!
Testosterone (in addition to estradiol and progesterone) in peri at age 43 has made my hair more lustrous and thick, and I need to shave my legs and armpits much more frequently. But no unwanted hair.
any one out there help me to understand at minute 50/40 talking about testosterone yes or not? they talked about minoxidil and after just mixing the benefits of testosterone for muscle mass? I listened few times but I cant get the message. Thanks
I heard someone say in an interview something like "wouldn't it be great if all women were able to have access to estrogen. It would make the world a better place." Made me think maybe they don't want us to be out there feeling good after 45..too much competition..hmm just a thought..I hope this generation really speaks up
Love and follow you both! What about women who have been diagnosed with estrogen based breast cancer? Not those in the throws of treatment, but those who are cleared after treatment? Thoughts?
I wouldn’t be so confident that that’s actually the truth. Since Doctor’s don’t even have a clue about HRT,they’ve been taught that estrogen CAUSES breast cancer…it doesn’t!!! We, WOMEN, were born with ESTROGEN!!!Why is it all of a sudden dangerous!?!? Please check out Menopause Taylor on RUclips as she is addressing this very topic, currently.
HRT is still an option for you. Watch Dr Haver’s videos on the topic or read her new book, “The New Menopause.”
Yes I am on a Estogen patch .5 2x a week and progesterone 200 mg a night…. Still don’t sleep great though that’s my only symptom left
Check out Dr. Havers recommendations on magnesium supplements, that may help with sleep. It Helps me 😊
Dr John Lee MD (there is a website as well) books and bioidentical progesterone or/and oestrogen creams from Wellsprings Health. All my symptoms gone: frozen shoulder, joint pain, brain fog, weight gain, restlessness, insomnia. Read, read and read again from Lancet, from books not social media. Oh and UK Dr Shirley Bond.
Finally!! amazing women talking about real women issues and menopause. 🎉 refreshing not to scroll and find a men talking about “menopause” just because is a trend. 🙃
Thank you so much for your l nformation❤
I checked out Drink LMNT and it has 1000 mg of sodium! I minimize sodium when I can because so many foods have sodium. Too much sodium is not good for the heart, people with high blood pressure, and it adds to water retention when using creatine. To each his own.
Love all the info !!
confussing with them talking at the same time but I believe they are saying: testosterone yes but if you have hair loss then take minoxidil. uff , is this interpretation correct? : ) thanks for helping .
So if you have awful side-effects, just use additional pharmaceuticals. SMH
It took me 2 weeks for my sleep to go back to normal once I start HRT. I used the patch.
I wish you would have addressed. cycling of progesterone because that is a more physiological pattern.
2 of my favorite powerhouses in one place!! 💪💪
we treat all other diseases of aging so why not menopause....great interview
What about the zillions of women on estrogen blockers for cancer? The way the body takes in and uses estrogen is confusing to me. I refused the estrogen blockers.
Hi Sara , I have had breast cancer too with a right mastectomy and the post chemo regimine included aromatase inhibitors with the goal of bringing your estrogen to zero. I declined for multiple reasons: I already had osteoporosis, already had joint pain and was concerned about the potentially increased risk of heart attack and about further cognitive decline ( I had memory loss from chemo). My oncologist was concerned because my cancer was estrogen positive but he could not deny the potential side effects. It has been more than two years since my surgery and multiple diagnostic imaging shows no spread of cancer. My second round of Reclast for my bones has triggered nasty joint pain.
Again, the doctors have failed women!!! God created women to have estrogen!!! There is NO STUDY that proves estrogen causes cancer!!! The WHI screwed women. Educate yourself by watching Menopause Taylor on RUclips. She is THE leading expert on HRT and peri-menopause and post-menopause. She explains things in EVEN GREATER DETAIL than here.
Please advise what is the daily dosage of testosteron is safe for a woman? My gyn prescribed me this medication , 1% Androgel, but said to put only small pea- like amount. No significant change in libido after 6 month of usage :(. Should I use more ? And where should I apply it for best results? Thank you!
Thank you!
What do you do if the OBGYN’s that you see say no to estrogen if you haven’t been without a period for a year ?
unless you have a serious medical condition that prevents you from taking estrogen; you should absolutely find a new doctor who understands menopause. Estrogen is the fountain of youth!
What about taking Prometrium vaginally? I was told by my doctor I could do this instead of taking micronized progesterone orally due to intolerable side effects. This approach is helping me.
Would love to know