CALL IT: Microdosing, Ozempic, and Perimenopause

You know those questions you’re too embarrassed to ask your OBGYN?

Camilla and Jessica have you covered cause they’re asking all the awkward questions for you! Joined by Dr. A and Mary Alice Haney from SHE MD, no question is too cringe.

From the horrors of hormone imbalance, to your real risk for breast cancer, to the pros and cons of GLP-1 injections like Ozempic, SHE MD has you covered from puberty to perimenopause and beyond! The doctors will see you now.

See omnystudio.com/listener for privacy information.

Episode Transcript

Speaker 1 (00:00):
Call It What It Is with Jessica Capshaw and Camille Luddington,
an iHeartRadio podcast.

Speaker 2 (00:18):
Well, Hello, Hello, Hello, Hello Call It crew, and welcome
to another episode of Call It What It Is.

Speaker 3 (00:26):
Quite excited about today's Call It What It Is?

Speaker 2 (00:28):
Well as a as an ob g U I N myself, Jessica, Oh, yes,
of course, doctor Joe Wilson, I forgot. Yeah, I'm I'm
excited to share it with fellow obs today.

Speaker 3 (00:40):
I do believe that I also have worked.

Speaker 1 (00:44):
I mean, I'm doctor Arizona Robins works interred disciplinarily.

Speaker 3 (00:49):
There's been lots of specialties I've had in case you know,
I do remember that from my liking too many, too many,
She's been too many, too many specialties. Pick how can
you be good at them?

Speaker 2 (01:02):
All?

Speaker 3 (01:02):
Come on and it's obnoxious.

Speaker 1 (01:05):
Well, anyways, We're going to have a real life doctor
on today and I'm really excited about it.

Speaker 3 (01:09):
Let's talk about her.

Speaker 1 (01:10):
Yeah, so doctor Ali, well everyone calls her doctor a
but her name is doctor Ali Abadi, and she is
in Los Angeles, and she is a prominent obegu I N.
Since two thousand and two, she has been on a
ton of television shows because she's very sought out, she's
very sought after, an expert in all things. She's been

(01:31):
on a million shows that Doctor Kardashians, Doctor Phil and
all of them, and she's the leading authority. So we
have her on because also her partner happens to be
one of the most dynamic women I know who I
know personally and comes from a totally different world, which
is the fashion world, but being an incredibly smart woman,

(01:53):
and also being someone who as long as I've known
Mary Alice, she's always been in the center of things.
So whether it was a party or a topic or
just really anything there, she's just really always been squarely
in the center.

Speaker 2 (02:10):
And the crew know who she is. The crew should
be familiar because she has done an episode with us before.

Speaker 1 (02:16):
Yes, Yes, Yes, Yes, And she also has done a
ton of things like Beyond you know, Good Morning America
and Today and showcasing her fashion expertise. She also has
her own line, a fashion line called Haney, which is
her last name. She's been a stylist, she's been an editor,
she's sort of really kind of done it all within
that world. And we're gonna find out how she and

(02:38):
Doctor A linked up in just a bit so.

Speaker 3 (02:41):
Doctor A and.

Speaker 1 (02:42):
Mary Alice have their own podcast called she MD where
they talk about all the things, and today I think
we're gonna get into just some of the things that
you and I are talking about and that are top
of mind for us.

Speaker 2 (02:54):
You know what I really need to ask about. And
you're gonna laugh because I know perimenopause is everywhere, like
you can.

Speaker 3 (03:01):
I know that word now. Yeah, it's cool to talk about.

Speaker 2 (03:05):
If someone said to me, what is it, I still
could not tell you.

Speaker 3 (03:10):
You would say, I don't know. I don't know. Well,
then we might need to just start there. I've loved you, yeah,
because I'm this is that's probably because you need a
working definition. You need a working definition, and we can
get you one. Yes, I have.

Speaker 2 (03:26):
We have so many questions. The crew gave us some
great ones and we are going to be investigating them all.

Speaker 3 (03:33):
I love it. Okay, Well, here we are, Mary Alice
and doctor A. It's so nice to meet you.

Speaker 2 (03:39):
I'm Jessica and I'm Camilla, and we just did a
whole intro on both of you guys and talked about
the expertise that you have and how we are just
so excited to have you on because the crew that
listen have so many questions.

Speaker 3 (03:53):
We have so many questions do they do? But it
did start when we were talking about both of you.

Speaker 1 (03:58):
Clearly, when you get to the level of I'm gonna
call it performance, even though I know doctoring isn't a performance.
It just was for me when I was a doctor,
that was a performance. But I know it's not a
performance for you. But when you get to the level
that both of you are working at.

Speaker 3 (04:13):
It's sort of it invites the question of like, how
did you two meet?

Speaker 1 (04:20):
Right like you're both operating in your worlds because we
were talking about how incredible both of you were, and
you can go on and on and on.

Speaker 3 (04:26):
About both of you, but how did you come together?

Speaker 4 (04:29):
Well, I get to tell the story because it's my
favorite story ever. So when I was a fashion designer
for years and years, and I was in the fashion
industry for thirty years, and I COVID happened, and my
fashion line was red carpet Cocktail, so nobody was wearing
I was.

Speaker 3 (04:44):
Gonna say that probably wasn't doing so well.

Speaker 5 (04:45):
No one does so well.

Speaker 4 (04:46):
And finally my head, you know, and I'm an entrepreneur,
and it was my fifth business and all these things,
but I had to shut it down, and I was
really upset about it and sat and at the same time,
my father got very, very sick with Parkinson's and my
mom sort of wasn't great, and I started diving into
my own health and turning fifty and what that looked like.

(05:07):
I was listening to Peter Attiya. I was listening to
the hub room in lab and there was nothing there
for women. I mean, every now and then there would
be one segment here, one segment there. And so I
went to our mutual friend, the beautiful Molly Simms, had
asked me to co host when her host was not there,
and I said, well, can I bring some doctors on
from that land from the lens of a woman and

(05:27):
get them to talk about that. I'm really interested in
that I'm deep diving. So she said yes. And then
one day, this gorgeous, tall drink of wire walks in
and Molly said, Hey, you're going to want to stay.

Speaker 5 (05:39):
We just had this brain doctor.

Speaker 4 (05:40):
She says, you're going to want to stay because she's
going to talk about Ozimpic And I thought, oh my god, Ozimpic,
who doesn't want to talk about.

Speaker 5 (05:46):
Ozemp like, I want to know all about ozempic.

Speaker 4 (05:48):
And we were waiting and doctor A Tice started telling
me about her her own breast cancer journey and how
she saved her life with breast cancer and how she
brought ozimpic and Minjara and all those for her PCOS patients.
And I've said, what the hell's PCOS? I don't even
know what PCs is? And she explained, fifteen percent of
all women have it, leading cause of infertility, seventy five

(06:10):
percent don't have it. It's you know, it's a silent
epidemic in women. And I just could not believe that
I was so educated as a woman. I didn't know
all all of this. I didn't know about lifetime risks
and breast cancer, which I'm gonna let her talk about
it as she does so eloquently, so I just it
just a light bulb went in my head. After the podcast,
I took her out to lunch and I said, will
you let me and I get chills thinking about this,

(06:32):
will you let me bring you into the eyes and
ears and homes of every woman in the world who
need this medical advice, like really clear the correct information
that they can't get because either they don't have the
access to the kind of doctors like you, or they
live in places that don't even have doctors.

Speaker 1 (06:51):
That gives me the chills because Mary, Alice and Camilla
is here's my witness to say that. When we were
talking about you, I said that you, as long as
I've known you have always been in the epicenter of
things and been and been surrounded by the energy of
so many things.

Speaker 3 (07:08):
And if they're like.

Speaker 1 (07:09):
There's certain people when you when you need something or
want something that just like come to mind. Everybody has
them right that you're just like, I'm gonna call them
because they're gonna know where to send me next.

Speaker 3 (07:18):
And you're that. So it does not.

Speaker 1 (07:20):
Surprise me at all that you found yourself, you know,
in this, in this, in this tiny little instance, next
to someone who knows so much, and that then you
took advantage of that to bring doctor A to the
rest of the world so that that story tracks for me.

Speaker 4 (07:33):
And that's MD and that's where it is. And it
just blew up so fast because Olivia mon doctor A
safe your life, you know, with breast cancer. She came
out and told the story and it just like launched
our little podcast into the universe.

Speaker 1 (07:44):
I took the test because of it, we get so
proud of you.

Speaker 2 (07:48):
I took it.

Speaker 3 (07:49):
There's a link on your Instagram, I think to it right.

Speaker 4 (07:52):
Yep, there's a link, and there's on our website. But
we get dms every day from from people whose lives
have been saved. I watched that episode or I got
my you know who who go on you know, watched
the Phoebe Hancock episode on PCOS and now know what's
wrong with them, these little girls with eating disorders for
the first time, I mean the d ms that we
get and when your life has purpose and passion, it's amazing.

(08:16):
So that's that's how I've met this gorgeous thing.

Speaker 1 (08:19):
Yes, yes, yes, and you bring your sparkle. You both
have sparkles, and you know what a little sparkle does.

Speaker 3 (08:24):
It does it's helpful.

Speaker 6 (08:26):
It's helpful, and without her I would have never done this.

Speaker 3 (08:30):
Well, I'm grateful that you do.

Speaker 1 (08:32):
I'm I'm interested if you if you, if you all
are into it at starting at the very beginning with
your O, B G U.

Speaker 3 (08:38):
I N background, which would be I have three daughters.

Speaker 1 (08:42):
One of them who's right outside my window, giving me
this heart the heart sign. But I have three I
have a son and three daughters, and there's all these
things that we think we know because we're women, and
we're supposed to just pass them on to our daughters
because right, they're women and we're women.

Speaker 3 (08:59):
So don't we know everything about being a woman because
we're a woman. No, we don't.

Speaker 1 (09:04):
And so often because you just can't even fill all
you know, you can't, you don't have room for everything
in your brain. I found myself in a doctor's appointment. Actually,
let's back that up.

Speaker 3 (09:13):
I didn't.

Speaker 1 (09:13):
I actually found myself in a moment where someone said
to me, oh, when do how.

Speaker 3 (09:18):
Old are you when you have your first O B appointment?

Speaker 1 (09:21):
And like, not just go to your pediatrician, but how
old are you when you go to your first OB appointment?

Speaker 3 (09:25):
And I was like, I don't know.

Speaker 7 (09:28):
That's a good question.

Speaker 2 (09:30):
Yeah, I want to know too. I have a little
girl too, so.

Speaker 3 (09:32):
That's the question how old should you be?

Speaker 1 (09:35):
Or I mean, what is the best best practices around
how old you are when you go to your first
OB appointment?

Speaker 6 (09:42):
So I would say j Y N appointment hopefully not
OBI appointment.

Speaker 3 (09:46):
Yeah you know, and I see pregnant.

Speaker 6 (09:49):
So hopefully you're not pregnant as a teenager, because if
you're pregnant, then you need to go to an ob gyn.
Even if you're twelve years old, you need an ob
but you start with gyn exam. Generally speaking, it's either
three years after first intercourse or age twenty one if
everything else is perfect. However, let's say, as she was mentioning,

(10:12):
if you have a teenager with pcos, irregular periods, weight gain, acne,
facial hair, body hair depression, anxiety, and you suspect that
they have polycystic ovarian syndrome. And sometimes pediatricians have a
hard time diagnosing these patients or managing these patients. So
those are patients I do see in my office for

(10:33):
young girls who are sexually active, if they want birth control,
if they need SDD testing, painful periods, anal periods, hormone,
irregular periods, acne, so any other issues, especially if they're
pediatrician is not handling it, then they usually come to
us and we start seeing them. So I see patients

(10:55):
as young as twelve. I have fourteen year olds with
polycystico varian syndrome who are morbidly obese that I'm trying to.
You know, I have them on let's say we'll go
v for weight loss, and I treat them for their
PCOS with mett Foreman, with sperno lacton, painful periods. You know,
I have fourteen year olds that I've done egg count

(11:17):
on when I suspected endometriosis, and they have an egg
count of a forty year old. So it's it all depends.
So you can't just say, oh, you're not eighteen yet,
so you need to stay with your pediatrician. I mean,
some pediatricians are very, very involved and well read, and
they know pcos and endometriosis and they can handle it themselves.

(11:39):
But for a majority of patients, they need to come
and find specialists to take care of those issues.

Speaker 2 (11:44):
So I have a question because if someone's listening right
now and they have a teenage daughter, I'm thinking of
some of those symptoms are listed right So for PCOS
for example, and a teenager, so acne, weight gain, maybe anxiety,
mood swings.

Speaker 3 (12:01):
Irregular periods. Those are things that I probably.

Speaker 2 (12:05):
Had also when I probably have, I don't, and I
don't I don't, but I feel like those I guess
my question is is some of those things can just
be you know, you're going through puberty right like you're
breaking out and you're gonna be any weight. What is
something that people can look out for that really determines

(12:27):
something different, So.

Speaker 7 (12:29):
It's very good points.

Speaker 6 (12:30):
So usually actually symptoms of PCOS and with teenagers going
through hormonal changes can overlap. Just like you said the acne,
irregular periods could be common, but usually in order to
diagnose polycistic ovarian syndrome in teenagers, we need irregular periods

(12:52):
and we usually look for symptoms of high testosterone, especially
facial hair and body hair. These patients usually have history
of some form of mood disorder, anxiety depression. A lot
of them require psychiatric you know visits at some point.
A lot of them are on medications. They tend to

(13:14):
gain weight. Seventy five percent of them gain a lot
of weight. These are usually overweight teenagers who are eating
the same thing as the other teenagers, exercising the same amount,
but they cannot lose weight. These are teenagers with eating disorder.
You know, I always if you want to find PCOS patients,
go knock on the doors of these eating disorder centers

(13:36):
because they get dismissed and they don't get diagnosed, they
end up, you know, in the wrong path. Having said that,
they're lean PCOS patients, which is twenty five percent of
PCOS patients who also can have eating disorders, so it's
a combination of symptoms. It's very, very tricky to diagnose
pcos in a teenager, but it's always good to run

(13:59):
a hormone to listen to them, review their symptoms and
what I do instead of I don't like labeling teenagers
with anything, but I do treat their symptoms because, like,
if you have a teenager who's two hundred pounds at
her BMI is thirty, you want her to not lose
her self esteem and not pay down the wrong path

(14:21):
and become boleemic and have all these other issues. So
I will help them lose their weight. I will help
them regularly, make their periods regular. If they have a
lot of acne, I fix it. If they have facial
hair and body hair, I address it without really giving
them a diagnosis, but I honitor them. But the most
important thing I do if I suspect endometriosis, which is

(14:44):
in my personal opinion, there's a strong association between pcos
and endometriosis and if they have painful periods that can
affect their egg count and quality. So I do check
in eggcount as early as fourteen if I have to.

Speaker 4 (14:59):
If exosix, yeah, and that's one of the reasons that
we started ov which is our PCOS. So when I
met her, she said, I have two things that I
want to do in this world. One, every woman needs
to know her lifetime with the breast cancer. And we
really sort of knocked that out of the park when
Olivia came out, and yet what she did. And the
second one was to, you know, make the world know
what PCOS is because if you think about it, fifteen

(15:22):
percent of all women have it. It's a leading cause
of infertility with indometriosis, but seventy five percent don't know
they have it.

Speaker 1 (15:29):
And as Camilla just pointed out, there's so many symptoms
that don't any They seem like symptoms of being human
and so for being a woman.

Speaker 7 (15:36):
And you know, she's right.

Speaker 6 (15:37):
And because these symptoms are complicated, doctors have a hesitation
of diagnosing these patients and that's why they go dismissed.

Speaker 7 (15:45):
To this day, they still.

Speaker 6 (15:47):
Tell patients you need to have a high testosterone in
your blood to get the diagnosis for PCOS. That's not true,
So that's not one of the criteria. You don't have
to have a high testosterone in your blood. So there's
just a lot of misinformation. And you know, part of
she MD, part of this OV platform we created is
to have a place for patients to go to educate themselves,

(16:08):
because you have to become your own health advocate. If
you become your own health advocate, then you once you're informed,
you can go to that appointment knowing the what questions
you need to ask and what treatments you need to
ask for.

Speaker 4 (16:25):
And that's why, like we have the exact questions that
she gives every single patient that she thinks might have
PCOS on the website for free. You just go on
and you take these tests and it tells you if
you have the likelihood. And then we created you know,
obviously OV the supplement that is the all natural version
of and it treats all the different levels of PCOS.

(16:45):
So it's been amazing and kind of life changing. Like
I said, we really.

Speaker 6 (16:49):
And you know, we always talk about this. If imagine
if men had a condition that would cause them to
become infertile, gain weight, I lost, facial hair, body hair,
mood disorder, eating disorder, make them infertile, have their sperm
count goes down, go down, or scar their scrotum. Do

(17:10):
you think majority of them would go dismiss.

Speaker 1 (17:13):
I'm guessing now I'm gonna go with no.

Speaker 3 (17:17):
No, yeah, yeah, yeah yeah yeah.

Speaker 6 (17:19):
But I mean so PCOS and endometriosis are top two
causes of infertility on the planet. Majority of patients are
never diagnosed. I mean, I honestly for this, I want
to take credit because we've talked so much about PCOS endometriosis.

(17:39):
There were a lot of talks before that, but really
PCOS is starting to become more you know known.

Speaker 3 (17:47):
I hear that. I hear that in stereo.

Speaker 1 (17:49):
It might be the places i'm you know, the rooms
I'm in as well, but I do really hear that.
And I and again, I think that you've done a
beautiful job with you know, your partnership with Olivia and
the store worries and just the vulnerability that you have
both brought to it and have turned it into strength.
It is really really so it's so emotional, but it's

(18:10):
also so educational, and it's very inspiring.

Speaker 3 (18:14):
And inspiring to be proactive.

Speaker 1 (18:16):
I feel the same way about the pcos and because
I think that's the other thing that everyone's talking about,

(18:37):
my journey with perimenopause or anything adjacent to it. Was
literally a friend who just was I don't know, five,
five or six years older, who found herself in the
time of life where she was really struggling, like there
were all the things, all the symptoms, all the things
that were just hard and you could see it. She
was wearing it, and I remember talking to her and

(18:59):
she was just starting to pull at the string and
she was starting to advocate for herself ask the question.
This was, by the way, maybe four or five years ago,
and I think four or five years ago feels like
a little bit of the tipping point where people were
talking about it more and she had access and it
was and that was fantastic. But she I mean, my
memory of it was like in a movie. But it

(19:20):
was like she grabbed me by my shirt and was like,
you need to get ahead of this shit, and I was, okay,
we can I add on to this.

Speaker 2 (19:30):
Because then we went to Paris, you guys, and Jess
grabbed beat me by my shirt and said, you need
to get on this shit. And what I said to
her at the beginning of this is listen now, I
had never even heard of the word paramenopause until two
years ago. I'm forty one. I see it everywhere. If

(19:50):
someone still asked me now what it is, I actually
still don't know. So we've had let's start. There many
questions about this, So what is it? I cannot define
what it is, and so many people still cannot.

Speaker 3 (20:05):
I still I think that's true, So yes, what is it?

Speaker 6 (20:08):
So very good question. Average let's start backwards. Average age
of menopause is fifty one and a half. Definition of
menopause is no period for twelve consecutive months, So if
you go one full year without a period, that's considered menopause.
Seven to ten years before menopause, women go through perimenopause.

(20:33):
These are early changes that happens in our body, and
different women experience different symptoms, and it could start as
early as our mid to late thirties to early forties.
So range of menopause is forty five to fifty five,
average being fifty.

Speaker 7 (20:54):
One and a half.

Speaker 6 (20:55):
So if let's say your body is going to go
through menopause at forty five seven to ten years before
that is thirty five thirty eight years of age, you
might start perimenopause. So you can't look at someone and say, oh,
you're thirty eight years old, you're not menopausal yet because
you're not fifty yet, so it doesn't go that way.

(21:17):
You listen to symptoms, and you really don't need to
chase after hormones. Obviously, you look at symptoms. You want
to do hormone tests because you don't want to miss
thyroid dysfunction, which is very very common and can have
a lot of symptoms similar to perimenopause. You can have
hair loss, you can have weight gain, you can have
irregular period hot flashes, all of that with your thyroid issues.

(21:41):
So you want to do a hormone test just to
make sure everything is okay. But then you look at symptoms.
Some patients think they need to have irregular periods to
go to become perimenopausal.

Speaker 7 (21:54):
It's not true.

Speaker 6 (21:55):
There's some women who have regular cycles and then boom,
it stops for a year and never comes back.

Speaker 3 (22:01):
Wow.

Speaker 7 (22:01):
And then there are women who.

Speaker 6 (22:03):
Have irregular periods before their periods completely stop. So you
can't always go with your periods.

Speaker 4 (22:10):
I'm fifty three and I still have my period, but
every now and minutes, I mean, and.

Speaker 7 (22:13):
I are perimenopausal.

Speaker 4 (22:15):
I'm perimenopausal, but I almost want to kill my husband
twenty four. I want to Kafi, and I want to
look over there, and I'm sweating, and I'm like, you know,
I'm peeing every five minutes. So I know that I
am perimenopausal, even though I get my period every day correctly,
not every day.

Speaker 5 (22:30):
I was gonna say, wait, what, No, so what is it?

Speaker 3 (22:33):
Exactly?

Speaker 2 (22:33):
It's that you're like, what, what? What should I be
looking out for?

Speaker 7 (22:37):
So very good?

Speaker 6 (22:38):
So as we go through perimenopause, we start having fluctuations
in our hormones and a decline in our estrogen, especially,
which helps us with a lot of these symptoms. So
as we get fluctuations in these hormones, our periods can
become irregular. We can start having cause flashes, night sweats,

(22:58):
brain fog, hair loss, skin thinning, vaginal dryness, painful sex,
frozen shoulder joint pain, weight gain, what else? Facial hair
did I say?

Speaker 3 (23:13):
I mean?

Speaker 6 (23:13):
The list goes on and on and on. There are
over one hundred symptoms that can happen. So it's a
combination of these symptoms, and you don't have to jump
and treat someone with hormones because sometimes, let's say you
can have someone who shows up with I don't know,
hair loss or weight gain, then you can specifically treat
those symptoms. But when you have someone who shows up
with a lot of these symptoms, sleep disturbances, brain fog

(23:37):
is up there, because really, you think you're going crazy, right,
you leave your keys, you leave the room, you come back,
you you know, you really think some I mean one
of the most common symptoms patients complain is I think.
They come to my office and they're like, I think
I'm having dementia because I forget everything.

Speaker 1 (23:53):
So this begs the question that my friend and I
got into. Can you get ahead of it? So like,
do you actually need to wait for the symptoms to
arrive and then and then the blood panel and all
that and then treat that.

Speaker 4 (24:07):
Well or do you slap hormones all over you? Like
I had seven patches of hormones when I met doctor A,
and she's like, more is not more, Let's take some
of those off.

Speaker 3 (24:17):
And for those that don't know, that is a form
of the treatment.

Speaker 1 (24:20):
That is how you can get the medicine is in
these patches that you stick to your skins.

Speaker 5 (24:23):
So that's a great question. That's actually I want to know.
Can you get in front of it?

Speaker 6 (24:28):
So you don't want to really start treating yourself if
you have no symptoms, it doesn't make sense. So if
you have regular peers, you have no hot slashes, no
brain fog, no joint pain, no weight gain, no vaginal dryness,
painful sex, sleep disturbances, anxiety, mood changes, none of that,
why would I treat you?

Speaker 1 (24:44):
Are you alive, by the way, if you have none
of those, but go ahead.

Speaker 3 (24:47):
I was like, shuck, show all those symptoms, check your pulse.

Speaker 6 (24:58):
But if you have any of those sim ms, especially
if it's affecting your life, then absolutely So. I had
a patient today she said, you know what, I have
some night sweats.

Speaker 7 (25:07):
Does it bother you?

Speaker 6 (25:09):
Not?

Speaker 1 (25:09):
Really?

Speaker 6 (25:09):
Do you have any other symptoms? No, I'm not going
to run at forty one in a panic mode and
start treating her. You know, these patients show up and
you know they're like, I don't feel well. Yeah, you know,
I'm starting for the past three months. I have brain fog,
I don't sleep well, I snap, I'm more anxious, I

(25:30):
have palpitations, I'm gaining weight, I sex hurts. And you
don't have to have all of these symptoms. It's a
combination of these symptoms. And that's when we start the conversation.

Speaker 1 (25:40):
But isn't that the point that would be so great
because you two have been such angels in two incredibly
important categories. Is that it is that is to take
you said a very important word, which is panic. I
don't want to panic. I don't want anyone I love
to panic. And so when I say, like, get ahead
of it, it's like, I think that I'm thinking in

(26:01):
terms of this is now part of the conversation. This
was not being talked about before. So I feel comforted
number one, that it's being talked about. Then it's being
talked about in the time that I'm asking the questions,
right like oh, because I often I'm also one of
those people who has a high tolerance for pain and
just keeps going and I don't even know that I

(26:22):
have a symptom until someone says, do.

Speaker 3 (26:24):
You have this? This?

Speaker 1 (26:25):
This, this, this, this, I'm like, yeah, I got yeah,
I got all of them. I got all know what
what happens now? And they're like, oh, so, it's it's
like I feel like there's there's opportunity and there's this
call to action to have us not panic but just
be educated, understand and feel our bodies and not normalize discomfort,

(26:47):
not normalize pain, not normalize someone going you're fine, but actually.

Speaker 3 (26:52):
Say I don't feel great.

Speaker 1 (26:54):
I don't feel fine. This does cause me discomfort or pain.
It's distracting, by the way. It's how about that the
fact that when our bodies are not working in the
right way, it's distracting.

Speaker 3 (27:05):
And we have jobs. We have jobs in the.

Speaker 1 (27:07):
House, we have jobs out of the house, we have
we have shit to do. So I love that people
are talking about this, and I'm so I'm so grateful
that there are things that we can do. So it
sounds like you are The first thing you're doing is
talking to your person, whoever that is, and going through
what your symptoms are and whether or not you can
address those.

Speaker 6 (27:25):
I think the first step is to educate yourself about
symptoms of perimenopause.

Speaker 3 (27:30):
Gotcha.

Speaker 6 (27:31):
Unfortunately, even now, when you go to your gynecologist, because
of that time limitation, you know, if you're spending ten
minutes with your doctor, you don't even have time to
go for me to list all those symptoms, It'll take
me ten minutes to list all the symptoms. Yeah, and
explain everything to you more than ten minutes. So a
lot of patients get dismissed. So it's good to educate yourself.

(27:52):
It all starts with self advocacy. Once you have to
know what perimenopause is. Now we learn it, you have
to know what symptoms to look for and just know
that we can fix it and their treatment options, and
not every patient will have the same exact treatment option,

(28:13):
so you have to That's why it's so important to
go to someone who prescribes hormones who understands it. Because
I might put a progesterone IUD in one person and
give them an estrogen patch. With the next person, I
might give a progesterone micronized progesterone at night with their
estrogen patch. With the third person, I might give her

(28:34):
a birth control pill to regulate her symptoms. So we
don't throw everyone in one basket. And I can sit here,
I mean I can go through it quickly and explain
it to you guys. But it's hard for someone at
home to know what they exactly need.

Speaker 4 (28:49):
Which is why we started the podcast. Like we literally
have an a puzzle mena puzzle episode. We have a
brain health episode, we have a pc wess episode. We
have so that you can go in every phase of
your life and have the doctor a cheat sheet with you,
so that when you walk into your doctor, you're armed
and you say, hey, this is what I have, these
are my symptoms, this is what I think is And

(29:10):
if it's not doctor A, it's you know, the biggest
medical heart doctor or the brain doctor or whatever. It's
what there's not enough information. Excuse me, let me, let
me reiterate. There's not enough correct information, factual information really
readily available to women. And this is this has to change,

(29:31):
and you having us on this podcast makes that change. Yeah,
you have talking to doctor A asking these very important questions.
Every single woman is going to go through menopause, That is.

Speaker 5 (29:41):
The one thing we know.

Speaker 4 (29:42):
Yes, it's important as a woman, and you die at
a certain point and you're lucky enough to live long enough,
you're going to go through menopause, but you don't have
to suffer through it.

Speaker 2 (29:50):
And is every single woman going to go through paramenopause
or there's some women that don't go through that and
just there straight into menopause.

Speaker 6 (29:58):
No, you go through pair perimenopause and then you go
through menopause. But different women have different symptoms. Some women
go through menopause and they never experience hot flashes. Some
women go through menopause and they never experience irregular periods.
That's why the treatment, especially in perimenopause. One message I
want to make very clear is you don't need to

(30:19):
become menopausal without a period for a year to start
hormone replacement. Most of the time, for most patients, I
actually start them on hormone replacement therapy years before they
hit menopause.

Speaker 3 (30:31):
Let's get ahead of this. I'm talking about.

Speaker 5 (30:35):
Ahead of it.

Speaker 6 (30:36):
But as long as you're not treating someone who's premenopausal,
meaning they're not even in the perimenopause, they have regular
cycles and they have no symptoms. But for someone for example,
who has irregular periods only and they maybe have some
hot flashes and they're not smokers and they need birth control,

(30:57):
putting them on a low those birth control is a
great option to treat their symptoms of perimenopause. For another
person who's really, really anxious and who's not sleeping well
and mood is an issue, then I would start them
with a micronized progesterone at night just to calm their
nerves down. Because micronized progesterone at night, if you give

(31:19):
them hundred milligrams of a compounded natural progesterone, it helps
them sleep well and it helps with their mood. I
also add two forms of magnesium for those patients that say,
magnesium three and eight and magnesium glycinate. Three and eight
is the only form of magnesium that crosses the blood
brain barrier and calms the brain down, and the glycinate

(31:40):
relaxes our body. So if you give them progesterone and
these two magnesiums, they are nerves, they calm down, and
they sleep better. So for that patient, I might just
do the progesterone. Another patient who has endometriosis heavy periods,
painful periods, I might do a progesterone IUD and once
I slow down their bleeding and I make their periods

(32:04):
super light, then I'm going to add the estrogen patches.
That's why you know I can sit here and do
a full episode on just perimenopod.

Speaker 3 (32:15):
I mean this is I can understand why you are.

Speaker 5 (32:17):
I don't understand this every day. I just learned so much.

Speaker 4 (32:22):
But the other thing I want to make sure that
we're talking about too, is that there is a group
of women. I mean that again, Like I'm somebody that
throws hormone patches all over me anytime I possibly can.
But you had breast cancer, you can't. So will you
talk a little bit about a woman who does their
lifetime risk? It's high? Like what do you do to
make sure before you know? Do they take a genetic test?
Like what do you do, like kind of walk through

(32:43):
what every patient that walks into your office does.

Speaker 7 (32:46):
So that's a very good point.

Speaker 6 (32:48):
So when for every woman on this planet, and I've
always said this, if you know your first name, last name,
date of birth, you need to know your lifetime risk
of breast cancer and that number. You need to know
that number as early as age thirty. So it's very
important because an average American woman has a twelve point
five percent chance of getting breast cancer. Now, if you

(33:09):
have family history of breast cancer, that goes up. If
you have any biopsies that shows atipia, that can go up.
If you're morbidly obese, it can push your lifetime risk up.
So there are different factors, and there's a calculator. It's
on GMD. You can go enter all your information and
it will tell you what your lifetime risk or breast

(33:30):
cancer is. Anything twenty percent or more is considered high risk.
For high risk patients, we start breast imaging as early
as thirty, not forty. So this is a very important
point because to this day, a lot of women, I
mean thanks to Olivia mund this has changed, but a
lot of women still go to the doctor at age

(33:50):
thirty eight and they feel a lump in their breast
and their doctor says, you're too young for a mammogram,
and we know it's not true. So you start your
mammogram ten years before your first or second degree relative
was diagnosed with breast cancer, or you start depending on
your lifetime risk of breast cancer. If your average risk,

(34:11):
then you can start at age forty. If your lifetime
risk is twenty percent or more, you start as early
as thirty. Let's say I had a patient today when
I left my office who is brock a positive with
a lifetime risk above eighty percent. Her paternal aunt was
diagnosed with breast cancer at age twenty nine. So that

(34:35):
patient who was twenty two today, I sent her for
breast imaging because she falls into the high risk category.
So you can she already had some other cancer that
she was diagnosed with.

Speaker 3 (34:48):
So you've done the test.

Speaker 1 (34:49):
I mean, I think everybody listening to this period that's
just like right now, pause, press pause, just go do it.

Speaker 6 (34:54):
So, and there many genetic tests out there. In my office,
I do the MYRAS genetic tests by Myriad. My risk
calculates the patient's lifetime risk of breast cancer. So that's
an information that is calculated by my Risk for the
patients by Myriad, and the test is called my Risk.

(35:16):
But in addition to that, they also look for little
markers in the DNA that so they check you for
forty eight cancer causing genes.

Speaker 4 (35:25):
Because procas is the one we hear all the time,
but there's forty eight other cancer.

Speaker 6 (35:30):
Causing genes, not all of them associated with breast cancer,
but other cancers associated with other cancers. But in addition
to that, Mariad looks in the DNA for tiny little
markers that some women carry in their genes that can
bump up their life the risk of breast cancer. And
some women walk around with a lot of those markers

(35:51):
that are silent and you don't know about them until
you do this test. So and those markers can bump
up your lifetime risk. You can go from a lifetime
risk of eighteen percent to thirty eight percent if you
have a lot of those tiny markers in your DNA
unrelated to these major genetic mutations like the BRAKA and
check too on PLB two and all these other genetic

(36:13):
tests that are associated with breast cancer.

Speaker 7 (36:16):
So again, knowledge is power. You can't you know.

Speaker 6 (36:19):
I had no family history of any cancers, I had
no gene mutations. I never smoked, never did drugs, I
was never overweight, I was never on hormones. But my
lifetime risk of breast cancer was thirty seven percent because
of this biopsy in my breast that showed atipia. So
thirty seven percent for someone who had no family history

(36:40):
of gene mutation. So someone like me would be a
poster child of someone who should never get breast cancer, right,
But my lifetime risk was thirty seven percent, And I
pushed my doctors to give me a double mastectomy because
I had little kids and I didn't want to get
breast cancer, and everyone called me crazy, paranoid.

Speaker 7 (37:00):
They told me, you know.

Speaker 6 (37:01):
I was being anxious and I didn't have to worry
about it until I finally after a year, found the
doctor who was willing to do it. She did my
double mastectomy prophylactically.

Speaker 7 (37:11):
That was my choice.

Speaker 6 (37:12):
I'm not saying for people to run and do a
double mess text to me, but that's what I wanted.
And a week later they called me and they told
me I had breast cancer and going into my mestech
to me, I had a negative mammogram, ultrasound and ABNI
and MRI.

Speaker 3 (37:26):
Wow, it's terrifying.

Speaker 5 (37:30):
Yourself.

Speaker 4 (37:30):
Women know their bodies, they do when they think something
is wrong, something is wrong. Tys always says that She's like,
when a woman comes into my office and they tell
me something is wrong and everybody else is saying it's
not something is wrong.

Speaker 1 (37:45):
You believe me, yes, because what a good segue, only
because you know you're talking to us, and every podcast
is different and every combination.

Speaker 3 (38:04):
Of people is different.

Speaker 1 (38:05):
So Camilla is my best friend, and Camilla has and
lives in the world with health anxiety.

Speaker 3 (38:11):
So I'm listening to you.

Speaker 1 (38:12):
To talk through her ears and I'm like, oh, okay,
So because when you have health anxiety and you actually
have been told you actually can't trust how you your
your suspicions, you can't trust your feelings because there's this
other thing that's happening. I mean, Camilla, I don't want
to speak for you.

Speaker 2 (38:30):
No, no, it's true. I mean you guys, if I
stub my toe, I think my foot's going to come
off like that's you know, That's where I'm at. So
I understand what Jess is saying. I think that what
is really helpful. I took the test that I clicked
on the link and did the test, and I'm fortunate
enough I haven't done the further testing, but you know, according.

Speaker 3 (38:49):
To I'm definitely my risk myeriod is like average.

Speaker 2 (38:53):
But I think that for someone with me, it is
comforting to have that knowledge where you know you're not
you don't just feel like you're gaslighting yourself and and
all those things. What I do want to talk about, though,
that I feel like we skipped a little bit, is
we were going to talk about the hormone element of
treating paramount and breast cancer.

Speaker 3 (39:18):
And menopause. So I would love to know more about that.

Speaker 6 (39:20):
But before we go there, I want to add one thing.
I don't want people to run and do.

Speaker 7 (39:25):
The miris tests. You have to qualify for it.

Speaker 6 (39:28):
Okay, if you have you need to have family history gotcha,
certain cancers to qualify for the mariad tests. And the
qualifications are on their side or your doctor. There's a
questionnaire you have to answer it, and if you qualify,
you can take the test.

Speaker 4 (39:43):
Gotcha, But you have every single woman take it that
walks into your office.

Speaker 6 (39:47):
Only if they qualify. So if you have no family
histor you qualify. A lot of us have family hits
your breast cancer.

Speaker 7 (39:53):
A lot of women have.

Speaker 6 (39:55):
You know, if you have a relative with ovarian cancer,
we do that. You call for the test. If you
have let's say your father had aggressive prostate cancer, you qualify.
If you have a first or second degree relative with
pancreatic cancer, you qualify. If you have I don't know
an at who had breast cancer under age fifty, you qualify.

(40:15):
So there's qualification criteria. We don't randomly do a myrus
test if someone has no family history of cancer.

Speaker 1 (40:23):
Got cha.

Speaker 6 (40:24):
That And now let's talk about breast cancer and perimenopause.
So a lot of patients like myself, as they go
through perimenopause or menopause, they don't have the option of
hormone replacement, and for those patients, we treat them with
non hormonal options. For example, let's say you have hot flashes,
there's prescriptions. Let's say it's called bristel, which is a

(40:46):
generic form of I'm sorry, it's Paxel is a generic
form of it, and basically it treats the symptoms of
hot flashes and night sweats. If they can't sleep, we
give them prescriptions like transit or magnesium to help them sweep.
If they have hair loss, we give them monoxidel. If
they have vaginal dryness, we treat it with mona lisa,

(41:07):
a laser or other hyaluronic acid vaginal inserts to fix
their vaginal dryness. A lot of patients with breast cancer
do qualify for vaginal estrogen because majority of it does
not get absorbed, especially the ones in the pill form.
So those are all options, so we treat. If they're
gain weight, we give them glp ones to lose the weight.

(41:29):
We put them on met form in, so you know,
we again we treat their symptoms without having to give
them hormones. And there are some patients who go through
perimenopause and they really don't want to take hormone replacement.
Even for those patients, we do symptomatic treatment and we
treat their specific symptom as they're going through perimenopause. I

(41:51):
want to add one thing. Twenty percent of women carry
a genetic mutation called apo E four, which increases their risk.
Put in, it puts them at a higher risk of
having dementia in their life. It doesn't mean they're going
to get dementia, but it increases their lifetime risk for
getting dementia. And for those patients, they do benefit from

(42:11):
hormone replacement, especially at the time of menopause, for about
seven years. That's the data we have. So I usually
check the apo E four gene on my patients and
if they have it, I usually do the counseling for
hormone replacement if they qualify.

Speaker 2 (42:30):
Okay, how long This is probably like a really silly question,
but how long does menopause last?

Speaker 6 (42:36):
Menopause is no period for a year, but the symptoms
can vary.

Speaker 2 (42:40):
Right.

Speaker 6 (42:40):
I have seventy five year olds when they don't take
their hormone replacement. They have hot flashes nights with when
they feel terrible, and then help patients go through menopause
and they feel nothing. Wow, you know, so yeah.

Speaker 3 (42:52):
So crazy. It's usually that we're all snowflakes, that we're snowflakes.
We're snowflakes, each one of those those or snowflakes.

Speaker 2 (43:02):
I definitely want to talk about g LP ones.

Speaker 1 (43:05):
I was gonna say, I feel like it's interesting. I
feel like the crew is interested in the weight gain
aspect of probably life, but yes, specific to perimenopause. And
then also I think that there's been some interest in
how alcohol uh plays into all of this.

Speaker 7 (43:24):
With the GLP ones.

Speaker 3 (43:25):
You mean, well, I think that.

Speaker 1 (43:27):
I I mean I feel like people talk about sort
of like you know, we live in a culture where
there's the cocktail parties, Mary Alice, you and I have
talked about this too, where it's like, you know, it's
like all the like you can once you put your
attention on it, when you put your attention on not drinking,
all of a sudden, you're very aware of just how
much people drink, and so you can put yourself in
the bucket of like I have a casual drink and
then you look at your week and you're like every day,

(43:51):
like you know what I mean, Like, that's not a
casual drink and you so, I certainly, you know, put
a lot more attention in my life on you know,
just sort of going, well, all right, let's put attention
on it.

Speaker 3 (44:03):
What is it?

Speaker 1 (44:04):
So just how alcohol affects us at different ages. Obviously
people use alcohol in different ways, but medically speaking, you know,
during the during this period of perimenopause or menopause, is
there any difference in how you metabolize alcohol? Is there
any difference in your in your understanding of it, or

(44:25):
your attitude towards it, or what is the what's the
information is power?

Speaker 5 (44:30):
We talk about this all the times.

Speaker 6 (44:32):
Zero tolerance for alcohol. I think you're poisoning your body.
And that was you know, when I first met Mary Alice.
That was my argument with her. You would go to
her house and she had fifty different supplements on her
kitchen counter and trying to go to all these longevity doctors.
And I would tell her, you know, the first thing
you have to do is sleep, exercise, and stop drinking alcohol.

(44:53):
She's not a smoker, but if she was smoking, I
would tell her to stop.

Speaker 3 (44:57):
These are the four main things.

Speaker 6 (44:58):
What you put in your mouth is very important. Alcohol
to me is a poison. I don't drink. I've had
maybe I don't know, twenty maybe thirty alcoholic drinks, maybe
wine in my entire lifetime. And I don't think you
need to drink. So you're talking to someone I would
say quit. No one should drink alcohol. And the best

(45:19):
part of GLP ones actually has been this, the craving.
It takes the cravings for alcohol away. And you know,
I started prescribing these medications in twenty fourteen, and I
think that's why I was on the Malliace podcast when
I met her. These medications are not new. In twenty fourteen,
I was using these medications. I remember Trulicity came out.

(45:41):
I'm pretty sure it was twenty fourteen, and back then
I was using it for my PCOS patients for weight loss.
And I had patients in twenty fourteen twenty fifteen losing,
you know, fifty sixty pounds on these medications. So I
know a lot of you know, people think these are
newer medications. They all like it just got better and better.

(46:02):
But we started with Trullicity, it went to Victosa to
sex Senda, to Wogov and no zeen pic and then
it went to zeb Bound than Munjaro. So it just
got better and better and better and people started learning
more about it.

Speaker 1 (46:18):
So let's talk about that, I mean the Camello, let's
jump in the GLP ones.

Speaker 2 (46:22):
Well, I want to know, like, in your opinion, is
there a superior one because there are so many on
them on the market right now, and I know people
that are on Magov, I know people that are on
zeb bound.

Speaker 3 (46:32):
Is there one that you prefer?

Speaker 6 (46:34):
So that's a very good question. It depends on who
you're treating. Right for someone who wants to lose twenty pounds,
I would Sogov specifically has a cardiovascular protection study, but
I think all these other medications they have it too.

Speaker 7 (46:49):
They just they're going to release it soon.

Speaker 6 (46:52):
But right now, if we speak about it, wagov does
have cardiovascular protection, which that's what they.

Speaker 3 (46:58):
Are just as mean exactly.

Speaker 6 (47:00):
It means that it helps long term, it can help
with your risk of coronary artery disease. So these medications,
I just want to make sure people understand these medications
are approoved for obese patients. Obesity is defined with a
BMI of thirty or more, or overweight patients with BMI

(47:20):
of twenty seven with another underlying condition like high blood
pressure of cornary artery disease, something else that affects them
because of their weight. However, over the years, we've started
microdosing patients, let's say, in perimenopause who suddenly or menopause
who gained like ten to fifteen pounds and they can't
lose it, Or with patients who drink a lot of alcohol,

(47:42):
we microdose it and a lot of for PCOS patients,
I've used them for since twenty fourteen. I love these
medications and they've been a game changer for my patients
with PCOS, especially the ones. I have patients who've lost
one hundred and twenty pounds on these medications. Wow pounds.
I mean, these options were not available to these patients.

(48:04):
And honestly, you know, I've never had any weight issues.
And when I go out, I was always the thin, tall,
thin person at the party. But now I walk in
and I'm the average person, and I love that. I
love seeing everyone. Everyone's so healthy. You know, there are
over two hundred diseases associated with obesity, and I feel

(48:27):
like these with the use of these glp ones, we're
reversing its preventative care. Patients are not needing to be
on blood pressure medications. We're reducing the risk of diabetes,
cornary artery disease, dementia, all of it. I mean, I
really think these medications are longevity medications. It brings down inflammation,

(48:49):
It does affect you know, people talk about the muscle mass.
It's true, but when you have someone who's three hundred pounds, yeah,
that patient needs to lose the weight, you know, yes, Yeah,
as they become healthier, they become more motivated to exercise.
So I get it breaks my heart when I see
these negative comments. And I'm not talking about someone who

(49:10):
wants to lose five pounds going on these gp ones.

Speaker 3 (49:12):
Yeah.

Speaker 6 (49:13):
Like I said, these medications are made for patients with
pcos with diabetes who are obese or morbidly obese, and
it's been a game changer for them, really a game changer.

Speaker 2 (49:39):
What does microdosing look like, because it sounds like it's
a shot or a pill that you take usually once
a week, right.

Speaker 6 (49:48):
Yes, So if you take Wagovi, Monjaro or zep bound,
it's one dose you injected depending on which pen you're using,
and you can't really change the dose of it. But
for the ones like let's say sexenda or let's say ozempic,
you can actually use the number of clicks. So let's

(50:11):
say if it's seventy two clicks, if you have a
one milligram.

Speaker 2 (50:14):
There's a dial on the thing that you can correct.
You can figure out how to microdose once a week
and just sort of ravo.

Speaker 6 (50:21):
And sometimes there are a lot of doctors. Let's say
you have a patient who drinks a lot of alcohol
and you want them to stop drinking. You can start
microdosing them. And it's been a game changer. I don't
know if you guys notice or not.

Speaker 7 (50:34):
I go.

Speaker 6 (50:34):
I live in la and I go to a lot
of bar mitzvahs and bat mitzvahs. Over the years I've
gone and I'm not Jewish, but I go to a
lot of parties. And ten years ago, fifteen years ago,
the bar was packed. Now you go to these parties,
no one's drinking.

Speaker 7 (50:53):
Go to rest.

Speaker 6 (50:53):
I went to a restaurant, a fancy restaurant in Pebbly
Hills I was invited to and the waiter was telling me.
How they don't sell desserts anymore, and they don't sell
alcohol anymore. I mean, restaurants are coffering right now.

Speaker 3 (51:07):
Oh I hadn't even thought about that.

Speaker 5 (51:09):
Oh yeah except me, who's still eating desserts.

Speaker 4 (51:12):
Yeah, I'm the last one sitting there.

Speaker 1 (51:18):
You gotta you know what again, You gotta keep them
in business, Mary Alice.

Speaker 6 (51:22):
But people share food, they don't order as many desserts,
They're not drinking as much. Go to restaurants and notice,
go to parties and notice the bar makes sense. I mean,
I'm talking about Los Angeles. It might not be the
case in States.

Speaker 2 (51:37):
I have a question because I think some people were
worried about with GLP one the.

Speaker 3 (51:43):
Thyroid cancer element of it.

Speaker 2 (51:47):
So what if if you have hypothyroidism hyper thyroidism, Like, what.

Speaker 3 (51:52):
Can you is?

Speaker 6 (51:53):
That's completely different? So okay, the the contraindication to GLP
one is a family history of medullary thyroid cancer, which
is a more aggressive form of thyroid cancer. Papillary thyroid cancer,
which is very very common, is not a contraindication. Being

(52:15):
hypo or hyper having hypothyroidism or hyperthyroidism is not a contraindication.
Actually a lot of patients who are hypothyroid. When your
thyroid doesn't function well, you gain a lot of weight.
Those patients do need to be on GLP one, especially
if they're obese, to lose that weight. So that's not
a contraindication. But let's say if you personally had medullary

(52:38):
thyroid cancer, which is a rare form of aggressive thyroid cancer,
or if your mom or dad or aunt and uncle
had it, then we would not prescribe it.

Speaker 2 (52:47):
Okay, understaid, Okay, thank you for clearing that up, because
I think there's.

Speaker 4 (52:51):
A lot of information out there that's so it's overwhelming.

Speaker 1 (52:55):
Well now I just want to direct everyone, and I
mean I have so, I mean I found your episode
on PCOS incredible. I think that everybody now needs to
go check out all of your episodes. I'm going to
go check out the ones that that speak to me.
But man, that was that was a ton of information.

Speaker 2 (53:14):
Thank you so much, and please we would love to
have you guys back on because I just know that
the crew is going to have so many more questions
for us after this that we won't be able to answer.

Speaker 5 (53:24):
We loved it, yeah, exactly.

Speaker 1 (53:26):
I'm actually still gonna I'm gonna be it's gonna be
the middle of the night. I'm gonna wake up and say,
I can't think of myself. I can't believe I said
I was going to take my daughter to the O
B g U. I N yeah, right, I said.

Speaker 3 (53:35):
That said it at the beginning.

Speaker 1 (53:37):
It's okay, we don't need we don't need obstetrics for her.
We just need a gynecologist, Jessica. Yes, all right, Capshaw
is back in line. Thank you so so so much
for sending this time with us.

Speaker 4 (53:49):
We love you, guys, And I'm so you know I
I watched the first episode of Grey's Anatomy last night.
I made, I made, I made Tom watched the first
episode of Er, which I hadn't seen since you know,
I was like one for a producer. And then I said,
We've got to watch the first episode of Gray's Anatomy.

Speaker 5 (54:09):
And it holds up, right, it holds up like the
whole thing.

Speaker 6 (54:12):
And so I say, I have a question because I've
never watched it. But my patients often tell me my
fourth I'm an obgyn and I adopted my fourth daughter,
who I delivered, uh, and they tell me there's a
doctor on the show that adopts obgyn who adopts a baby.

Speaker 2 (54:30):
That's me, that's you, that's so I am. Yes, I
played Joe Wilson on the show. She's an obg y n.
This is why it's so fun. And I joked we
did a little intro before you guys came on, and
I said, I, you know, know nothing really, so it's
really fun to talk to you guys.

Speaker 3 (54:46):
And she does.

Speaker 2 (54:47):
She adopts a baby that a baby girl that she
delivered a few seasons ago called Luna.

Speaker 5 (54:53):
So we baby's Coco.

Speaker 7 (54:56):
She's Coco.

Speaker 6 (54:56):
Wait did you guys copy my story?

Speaker 3 (55:02):
I will find out for you next time I talk
to you. But yes, I am you.

Speaker 4 (55:09):
Well, I love you guys. Thank you so much for
having us. We're such big fans. And Jessica, you're one
of my favorite people in the Oh.

Speaker 1 (55:15):
My gosh, right back at you. Any anytime I see you,
I'm right next to you. I find my way there fast.

Speaker 7 (55:21):
She's a way of sunshine.

Speaker 3 (55:23):
It's true. It's true, he really is.

Speaker 7 (55:27):
Thank you for having us.

Speaker 3 (55:28):
We will be more questions with you guys at some point.
Thank you so much. By oh my.

Speaker 2 (55:35):
God, Honestly, I feel like it's just the tip of
the iceberg for me. I kind of talked to them
for like three hours, and I know many things through
my day today that I know I'm gonna be walking
around and be like, wait, I gotta ask them about that.

Speaker 1 (55:49):
Also, it's doctor A makes what she's explaining sound so
simple and so reasonable when it's really not the reason
why likely the things that she was talking about. You're like,
I don't want to I don't know what the definition
of perimenopause is. I don't know what the definition of
menopause is because someone wasn't explaining it very well. But

(56:10):
when you have someone like her the way that she
explains it, the time she takes, the articulation, the choice
of words, you really get it.

Speaker 3 (56:18):
So I feel like we just got so much from that.

Speaker 2 (56:21):
I think so too. And I also think that like
sometimes when you're talking about paramedopause and you know the
hundred symptoms, it's like so intimidating, and then I'm maybe
I'm a little bit of a weirdo, but I actually
get so excited when she starts listing off all the
way she can treat you. Maybe it's my anxiety or
some my health anxiety it's time. It's so incredible. She's like,

(56:43):
we can do this and this and this, and I'm
sat here thinking like, there's not what are you gonna do?

Speaker 3 (56:49):
You gotta deal with it, you know. No, no, no, no,
you never have to do Oh I don't have that.
Oh gosh, we don't work on everyone. I think what's
tough is that, like, not everyone has.

Speaker 1 (56:59):
Her, No, no, no, that's but that's what's so exciting
about living in a time like this where you have
access to podcasts. By the way, not every podcast and
not every person you know giving information is giving correct information.
But I do think that if you if you mind
for the good ones, you have access to.

Speaker 3 (57:16):
People like her.

Speaker 1 (57:17):
I think that's what Mary Alice's you know, mission has
been and so I was very I loved hearing their story.

Speaker 3 (57:23):
But yeah, you mind for the good ones.

Speaker 1 (57:25):
You mind for what works and what speaks to you
and what is sound and correct. And I think that,
you know, shocker to no one me looking on the
half glass full side of things, But there's a lot
of things that are really tough about life and then
or this time in life. And then there's some crazy, wild,

(57:47):
deeply exciting and inspiring parts like, I heard her also
speak to many of the treatments for things tonight.

Speaker 3 (57:53):
It wasn't just all about pharmacology.

Speaker 1 (57:56):
I mean there were there were there were you know,
remedies in there that didn't have to do with that.
It's not all just you know, get yourself to the
CBS and you know, fill out and get the RX
for something. But the but but I heard her really
talking about knowing yourself and trusting yourself and identifying what
your symptoms are so that you can go and you
can speak to someone or I also heard her say

(58:19):
go to your doctor with an idea in hand, because
it's true, not everybody gets a ton of time in there.

Speaker 3 (58:27):
But if you go and you.

Speaker 1 (58:28):
And you have an inkling that something's going on, and
you can do a little research or listen to some
podcasts and see if that's what's going on with you,
and you can go to your doctor and say this
is what I think it might be. You know, maybe
you're a you're a step ahead.

Speaker 3 (58:39):
I agree. Yeah. So anyways, I found it very inspiring.
I loved it. I loved all of it.

Speaker 2 (58:44):
Please you, guys, I know that you have questions after
this too, write us about anything. I mean, we asked
a lot of it, wanting about her mouse, but like
you know anything about you know, labor delivery period, anything, anything, anything,
And we will have them back on to some all
the questions because we are in this with you guys too.

Speaker 3 (59:02):
All right, well, let's call it.

Speaker 2 (59:04):
Call it the end of the episode.