Hormones, Health and Hope

In this episode of Soma Says, Dr. Soma sits down with Carolyn Zaumeyer, founder of LowTE Florida and a nationally recognized Nurse Practitioner who has spent over 20 years transforming lives through bioidentical hormone replacement therapy (BHRT).

Carolyn shares her personal journey into hormone therapy and the patient-first philosophy that defines her practice. Together, they unpack common hormone-related challenges—low energy, mood swings, weight gain, and sleep issues—while clarifying the difference between bioidentical and synthetic hormones.

This conversation dives into the myths and misinformation surrounding hormone therapy, the importance of individualized dosing, and Carolyn’s success stories with patients from across the globe. They also explore how hormone therapy can alleviate menopause symptoms, improve quality of life, and empower women to embrace midlife as a season of strength and renewal.

If you’ve ever wondered whether hormone therapy could be right for you—or if you’re simply curious about how to feel more energized, focused, and vibrant—this episode will leave you informed and inspired.

Episode Timeline

00:00 Introduction and Disclaimer

00:52 Meet Carolyn Zaumeyer: Hormone Therapy Expert

02:11 Carolyn's Journey into Hormone Therapy

05:33 The Rise of LowTE Florida

06:42 Understanding Hormone Pellets

07:26 Patient Consultation Process

09:36 Global Reach and Patient Success Stories

17:05 Bioidentical vs. Synthetic Hormones

17:43 Addressing Myths and Misinformation

22:58 Open Access to Hormone Therapy

23:20 Testosterone Therapy Success Stories

23:48 Challenges in Patient-Doctor Communication

25:16 Choosing the Right Hormone Practitioner

26:39 Debunking Hormone Therapy Myths

28:32 Additional Services Offered by the Clinic

31:02 Addressing Sleep Issues in Midlife

35:19 Rapid Fire Questions on Menopause Myths

38:32 Importance of Cardiovascular Screening

41:02 Conclusion and Contact Information

Resources & Links

🌐 Learn more about Carolyn’s work: LowTE Florida 📖 Explore Carolyn’s book and additional resources on hormone therapy 🌐 Connect with Dr. Soma: www.somamandalmd.com 📚 Dr. Soma’s book Midlife Masala — available on Amazon, Barnes & Noble, Kobo, and Youtube version. And after you read Midlife Masala, don’t forget to leave a review for the book, too—your words help more women discover the tools they need to thrive in midlife and beyond.

Episode Transcript

(00:00):
Hi, this is Dr.

(00:01):
Soma.
Just a disclaimer, this podcast is for informational purposes only and isn't intended as medical advice.
Always consult with your doctor before making any changes to your diet, exercise, or health regimen.
Let's go to the show.

(00:52):
.000228882Today we're thrilled to welcome Carolyn Zaumeyer, founder of LowTE Florida and a nationally recognized Nurse Practitioner with more than two decades of experience in women’s health. 7 00:01:03,630.000190735 --> 00:01:15,299.999313355 Carolyn has dedicated her career to helping men and women regain vitality through bioidentical hormone replacement therapy, with a special focus on balancing testosterone, estrogen, and progesterone. 8 00:01:16,139.999465942 --> 00:01:27,870.000915527 At LowTE Florida, she takes a patient-first approach, looking beyond lab numbers to truly listen to how people feel whether it’s low energy, mood changes, or struggles with weight and sleep. 9 00:01:28,890.001373291 --> 00:01:36,710.001068115 Carolyn is passionate about breaking the stigma around hormone therapy and showing that midlife can be a time of renewed strength, clarity, and joy. 10 00:01:37,289.999084473 --> 00:01:53,937.653 Carolyn, welcome to Soma Says we can’t wait to dive into your insights on hormones, longevity, and living with balance It's great to have you on the show. 11 00:01:55,17.653 --> 00:01:55,347.653 Oh, it's my pleasure. 12 00:01:55,617.653 --> 00:01:55,857.653 Yeah. 13 00:01:55,857.653 --> 00:01:57,627.653 all I talk about is women's health. 14 00:01:57,627.653 --> 00:01:59,427.653 That's all I do also at work. 15 00:01:59,797.653 --> 00:02:01,447.653 So you're right at home. 16 00:02:01,797.653 --> 00:02:10,197.653 And let's learn about who you are and what you do, and then we can go down our questions and educate our listeners. 17 00:02:11,212.653 --> 00:02:15,712.653 I am Carolyn Meyer, nurse practitioner from Low T Florida in Fort Lauderdale, Florida. 18 00:02:16,162.653 --> 00:02:22,792.653 And I, inadvertently became a bioidentical hormone expert, when I graduated nurse practitioner school. 19 00:02:22,902.653 --> 00:02:31,172.653 I was fortunate enough to be hired by a very nice, O-B-G-Y-N and I was, curious as to his treatment programs and all that. 20 00:02:31,172.653 --> 00:02:36,782.653 So I shared a desk with him and, 'cause I knew, I just didn't know enough and I kept reviewing the charts, the whole thing. 21 00:02:36,842.653 --> 00:02:40,922.653 I saw his little trend for menopausal women was psych referral. 22 00:02:40,952.653 --> 00:02:45,152.653 Psych referral I didn't know anything about hormones when I graduated nurse practitioner school. 23 00:02:45,152.653 --> 00:02:46,772.653 I said, there's two things I will not do. 24 00:02:47,42.653 --> 00:02:47,672.653 That's right. 25 00:02:47,672.653 --> 00:02:49,682.653 Prescriptions for hormones or thyroid. 26 00:02:50,12.653 --> 00:02:54,752.653 Now I'm the number one prescriber of MP thyroid in Florida and the number one hormone provider in Florida. 27 00:02:54,752.653 --> 00:02:59,822.653 You make plans, God laughs they say so, right? I went to him with a stack of charts. 28 00:02:59,822.653 --> 00:03:02,372.653 I collected 'em and I said, listen, all these ladies can't be nuts. 29 00:03:02,372.653 --> 00:03:03,842.653 You're sending 'em to the psychiatrist. 30 00:03:03,842.653 --> 00:03:05,42.653 He says they are. 31 00:03:05,77.653 --> 00:03:10,347.653 They're crying, they're miserable, they're sweaty, they're hot, they hate their husbands, their relationships are in a mess. 32 00:03:10,347.653 --> 00:03:11,607.653 They need to get their lives together. 33 00:03:11,977.653 --> 00:03:13,477.653 And he says, God bless you. 34 00:03:13,477.653 --> 00:03:15,667.653 You take the old birds, I'll go deliver babies. 35 00:03:15,667.653 --> 00:03:16,597.653 And I said, perfect. 36 00:03:16,957.653 --> 00:03:16,987.653 Okay. 37 00:03:16,987.653 --> 00:03:22,87.653 So then, and this is a new nurse practitioner brain coming out, and I just had to find my way with it. 38 00:03:22,387.653 --> 00:03:25,687.653 So I started, and this is back in the days of Premarin and Prevea. 39 00:03:25,687.653 --> 00:03:27,97.653 It has even got before Prempro. 40 00:03:27,407.653 --> 00:03:32,687.653 so I started helping some patients with it and I kept getting these fabulous phone calls like, oh my God, you changed my life. 41 00:03:33,177.653 --> 00:03:34,257.653 You gave me my life back. 42 00:03:34,257.653 --> 00:03:35,367.653 My husband likes me better. 43 00:03:35,367.653 --> 00:03:36,327.653 I like me better. 44 00:03:36,327.653 --> 00:03:42,297.653 And this is just with the estrogen and progesterone or progestin it was just like, it kept feeding on me. 45 00:03:42,297.653 --> 00:03:43,557.653 Okay, this is good. 46 00:03:43,557.653 --> 00:03:46,107.653 We're helping these women that other people are not helping. 47 00:03:46,347.653 --> 00:03:46,557.653 Yeah. 48 00:03:46,557.653 --> 00:03:52,47.653 then the old Women's Health Initiative came through in the, in 2002, as and blew our hormones out of the water. 49 00:03:52,207.653 --> 00:03:52,267.653 Yeah. 50 00:03:52,267.653 --> 00:03:55,327.653 And over 80% of the American women went off their hormones. 51 00:03:55,327.653 --> 00:03:57,287.653 So I thought, we gotta find a way to help these ladies. 52 00:03:57,657.653 --> 00:04:01,807.653 Safely so that they can feel better and have the second half of their life Good. 53 00:04:02,137.653 --> 00:04:04,837.653 Yeah, because, traditional medicine just wasn't supplying it. 54 00:04:05,227.653 --> 00:04:13,97.653 So I had heard about bioidenticals, but I actually had to Google what is a bioidentical hormone, and the bio stands for biology, meaning it's plant-based. 55 00:04:13,97.653 --> 00:04:15,497.653 Ours are, our products are made from wild jams. 56 00:04:15,767.653 --> 00:04:21,347.653 Identical is referencing the chemical, molecular structure in our product is exactly the same as what our ovaries produce. 57 00:04:21,397.653 --> 00:04:23,287.653 For both testosterone and estradiol. 58 00:04:23,707.653 --> 00:04:34,987.653 Once I figured out what it was, I knew I wanted to learn more, so I researched out and found four of the nation's greats and I actually went to them throughout the country and studied under them, and I'd come back all excited. 59 00:04:34,987.653 --> 00:04:36,337.653 Oh my God, this is fabulous. 60 00:04:36,337.653 --> 00:04:38,587.653 This is a great way to get women feeling better. 61 00:04:38,637.653 --> 00:04:44,452.653 They weren't really giving good dosing information, it's oh, put a little pearl here and rub it in or a ribbon. 62 00:04:44,452.653 --> 00:04:46,492.653 And it's wait, I got a seed pearl or a jumble pearl. 63 00:04:46,492.653 --> 00:04:48,172.653 I got a quarter inch ribbon or a one inch. 64 00:04:48,322.653 --> 00:04:52,222.653 It just wasn't precise enough for my brain, my, yeah, black and white red brain. 65 00:04:52,672.653 --> 00:04:57,342.653 And so finally on the fourth teaching, I went, first I went to Salt Lake City with, Dr. 66 00:04:57,342.653 --> 00:04:57,852.653 Neil Rouser. 67 00:04:58,572.653 --> 00:04:59,922.653 I went to Orlando with Dr. 68 00:04:59,922.653 --> 00:05:02,802.653 Sanita Patty, Went to Naples, Florida with Dr. 69 00:05:02,802.653 --> 00:05:03,912.653 David Rosen suite. 70 00:05:04,457.653 --> 00:05:06,857.653 Then finally I went to Texas and studied under Dr. 71 00:05:06,857.653 --> 00:05:21,387.653 Gary Donitz and it all came together and, he really taught me the dosing and the nuances of it because everybody's different, If I give three women that are exact same height, weight, age, the same hormones, totally different reactions. 72 00:05:21,397.653 --> 00:05:24,37.653 So he helped me really tweak it, fine tune it. 73 00:05:24,537.653 --> 00:05:31,87.653 I'm very conservative with my dosing in the beginning and then step it up as needed, 'cause little is good, more is and always better. 74 00:05:31,627.653 --> 00:05:33,547.653 And, that really got me going. 75 00:05:33,667.653 --> 00:05:38,287.653 And then I started my little low TE Florida practice with zero patients. 76 00:05:38,347.653 --> 00:05:40,357.653 And, I had my gynecology practice. 77 00:05:40,357.653 --> 00:05:44,77.653 I had a, office-based insurance, GYM practice. 78 00:05:44,77.653 --> 00:05:44,467.653 It was huge. 79 00:05:44,517.653 --> 00:05:46,647.653 But I was working very hard and not. 80 00:05:46,692.653 --> 00:05:47,622.653 Making any money. 81 00:05:47,622.653 --> 00:05:51,252.653 I was supporting the practice, the building, the people, but not myself. 82 00:05:51,312.653 --> 00:05:58,62.653 And so this new type of practice was helpful because it wasn't covered under insurance, it was cash based. 83 00:05:58,62.653 --> 00:06:00,642.653 And so I was able to convert my practice. 84 00:06:00,692.653 --> 00:06:02,882.653 I met with a local OB, GYN. 85 00:06:02,882.653 --> 00:06:05,612.653 I said, look, you take all the GYN, I'll do the hormones. 86 00:06:05,612.653 --> 00:06:06,722.653 'cause she's I don't know this. 87 00:06:06,722.653 --> 00:06:07,682.653 And I'm like, I know you don't. 88 00:06:07,742.653 --> 00:06:08,942.653 Okay, so I got this. 89 00:06:09,197.653 --> 00:06:09,477.653 Yeah. 90 00:06:09,582.653 --> 00:06:13,512.653 so she was feeding my practice a little bit and all of a sudden it just exploded. 91 00:06:13,602.653 --> 00:06:17,442.653 And we've had geometrical growth over the years, over and over. 92 00:06:17,772.653 --> 00:06:19,992.653 This last year or two, I slowed down a little bit. 93 00:06:19,992.653 --> 00:06:23,802.653 I had to help a brother with cancer go through his fight and he didn't win. 94 00:06:24,102.653 --> 00:06:25,122.653 Hence the farm. 95 00:06:25,212.653 --> 00:06:26,112.653 My cowboy hat. 96 00:06:26,112.653 --> 00:06:27,882.653 This was his farm that he left to us. 97 00:06:27,987.653 --> 00:06:28,277.653 Okay. 98 00:06:28,277.653 --> 00:06:31,912.653 And so then as I turned six five, I thought, Ugh, I need Fridays off. 99 00:06:31,912.653 --> 00:06:34,162.653 So that's why I'm still on the farm right now. 100 00:06:34,402.653 --> 00:06:34,642.653 Okay. 101 00:06:34,692.653 --> 00:06:36,642.653 so my practice is very busy. 102 00:06:36,642.653 --> 00:06:41,892.653 I work usually Monday through Thursday and, have pelleted over 23,000 butts. 103 00:06:42,262.653 --> 00:06:44,62.653 What I use is the hormone pellets. 104 00:06:44,97.653 --> 00:06:48,642.653 And inject the upper outer quadrant of the buttock and, have a lot of very satisfied patients. 105 00:06:49,307.653 --> 00:06:55,637.653 And what kind of hormones do you use in pellet form? a lot, some providers are doing just the testosterone 'cause they're afraid of the estradiol. 106 00:06:55,877.653 --> 00:06:56,57.653 Yeah. 107 00:06:56,57.653 --> 00:07:00,227.653 Because if you give the patient too much in a pellet of estradiol, it can trigger breakthrough bleeding. 108 00:07:00,227.653 --> 00:07:02,27.653 And then it's just this whole thing of getting it. 109 00:07:02,82.653 --> 00:07:03,972.653 To stop is not fun. 110 00:07:03,972.653 --> 00:07:10,842.653 So I've learned how to dose it properly where I can give them a whisper of estradiol to start, see if that takes care of the symptoms. 111 00:07:10,842.653 --> 00:07:19,862.653 But I include for women, that are in menopause, if they're, FSH is in the postmenopausal range I'll bring in just a whisper of the estradiol along with the testosterone. 112 00:07:20,252.653 --> 00:07:23,102.653 And then of course, if they have a uterus, they get the oral progesterone. 113 00:07:23,572.653 --> 00:07:24,802.653 that's what goes in the pellet. 114 00:07:25,132.653 --> 00:07:25,552.653 Okay. 115 00:07:25,832.653 --> 00:07:26,192.653 All right. 116 00:07:26,242.653 --> 00:07:37,712.653 And so take me through, I'm coming into your clinic and I'm having problems sleeping and I can't think, and my memory is totally gone and, libido is shot. 117 00:07:38,22.653 --> 00:07:40,637.653 What would you do for me? As a midlife. 118 00:07:40,637.653 --> 00:07:41,27.653 Yeah, I hear that. 119 00:07:41,77.653 --> 00:07:42,667.653 I hear that time and time again. 120 00:07:42,767.653 --> 00:07:51,317.653 What our system is, and it's pretty good, we've got it down pretty good, is first of all, you can go on our website and fill out your patient packet, and that gives me a lot of good information. 121 00:07:51,647.653 --> 00:07:53,567.653 And then once you do that, our new patient. 122 00:07:53,722.653 --> 00:08:00,112.653 Coordinator will reach out and call you and say, do you have any recent labs? Send them to me a recent mammogram. 123 00:08:00,112.653 --> 00:08:02,302.653 We like to have a good mammogram on file to start. 124 00:08:02,672.653 --> 00:08:09,632.653 if you don't have the labs, we can either get you into my office, we have very good pricing for cash, pricing for labs, or we can send you a prescription. 125 00:08:09,632.653 --> 00:08:12,332.653 You can go to LabCorp request and hope that your insurance covers. 126 00:08:12,477.653 --> 00:08:16,837.653 Once we have the, patient packet and the labs, then the games begin. 127 00:08:16,887.653 --> 00:08:31,247.653 We set up, my new patient coordinator, Grisel, she sets up a time on my schedule where I can have a telephone, consultation with a patient, and I've got most of their information there, and I pretty much know what I'm gonna do, but I need to talk to them again about the nuances. 128 00:08:31,297.653 --> 00:08:39,837.653 What are your top three symptoms you're trying to get? Is it mostly sleep, libido, mood, or is it hot flashes during the day? Vaginal dryness. 129 00:08:40,77.653 --> 00:08:40,827.653 And as those are. 130 00:08:42,57.653 --> 00:08:45,777.653 Some of 'em are estrogen related and some are progesterone or testosterone related. 131 00:08:45,782.653 --> 00:08:57,762.653 So we bring that all together, during the consultation, and then once the consultation's done, I can actually get you on the schedule like the next day or next couple days and get you treated and then af after the treatment. 132 00:08:57,822.653 --> 00:09:04,92.653 We have you do your labs again, just the hormones and the thyroid at six weeks and that's when we can tweak it. 133 00:09:04,482.653 --> 00:09:07,782.653 Because I do dose out conservatively on the first pellet. 134 00:09:08,232.653 --> 00:09:18,442.653 A lot of times I may need to add a little bit more, but I don't wanna give them too much in the beginning because, testosterone, if it's too much, especially for an older lady, it can cause this nipple tenderness. 135 00:09:18,442.653 --> 00:09:20,32.653 It just doesn't wanna go away. 136 00:09:20,302.653 --> 00:09:22,102.653 And it's hard for them to even take a shower. 137 00:09:22,102.653 --> 00:09:23,92.653 It can be that bad. 138 00:09:23,422.653 --> 00:09:29,657.653 And for younger women, if it's too much estradiol, like I said, it can cause a little bit of breakthrough bleeding it's a little dance that we do. 139 00:09:30,197.653 --> 00:09:30,947.653 But I've got it. 140 00:09:30,947.653 --> 00:09:34,307.653 I've been dancing for a while, so we've got it figured out. 141 00:09:34,587.653 --> 00:09:36,87.653 So that's how we get started. 142 00:09:36,137.653 --> 00:09:41,537.653 people will say to me, I was on a podcast the other day with Billy Carson, I don't know if you're familiar with him. 143 00:09:41,687.653 --> 00:09:43,807.653 But, he's internationally renowned. 144 00:09:43,927.653 --> 00:09:46,87.653 We had over 4,000 views on it, the whole thing. 145 00:09:46,387.653 --> 00:09:47,947.653 I'm getting inquiries from. 146 00:09:48,412.653 --> 00:09:52,22.653 Australia, Africa, all over the world. 147 00:09:52,82.653 --> 00:09:59,642.653 And it's like, how are you gonna fix me? And I'm like, oh my gosh, what did I do? I opened a can of worms, but I do have people that travel to see me. 148 00:09:59,642.653 --> 00:09:59,702.653 Yeah. 149 00:09:59,702.653 --> 00:10:03,332.653 I have one lady that comes every three months from Nigeria. 150 00:10:03,542.653 --> 00:10:03,782.653 Wow. 151 00:10:03,782.653 --> 00:10:05,312.653 I have one from Romania. 152 00:10:05,377.653 --> 00:10:06,787.653 Two from Scotland. 153 00:10:06,787.653 --> 00:10:08,617.653 One is an actress, a TV actress. 154 00:10:08,977.653 --> 00:10:13,147.653 I have two from Hawaii throughout the United States, south America, The Bahamas. 155 00:10:13,147.653 --> 00:10:18,367.653 I have probably over 150 patients from, say Nassau, that fly over, get their pellet fly home. 156 00:10:18,367.653 --> 00:10:22,507.653 So if they're motivated to feel good, they'll find a way, Yeah. 157 00:10:22,507.653 --> 00:10:28,277.653 And then talk to me, more so my audience, because a lot of people don't necessarily know what pellets are. 158 00:10:28,277.653 --> 00:10:28,307.653 Okay. 159 00:10:28,517.653 --> 00:10:32,897.653 Educate my audience as to what pellets are, how they're inserted, and how they work. 160 00:10:33,617.653 --> 00:10:44,47.653 Pellets are just compacted hormone in a tiny little pellet picture, like a tic tac, that, will be inserted underneath your skin, usually in the upper outer quadrant or your buttock, or sometimes into the little love handles. 161 00:10:44,287.653 --> 00:10:45,637.653 It just needs to go into fat. 162 00:10:45,637.653 --> 00:10:46,927.653 It only absorbs in fat. 163 00:10:47,197.653 --> 00:10:50,887.653 If you put it in a glass of water, a year later, you'll go back, it'll be perfectly fine. 164 00:10:50,887.653 --> 00:10:52,687.653 But if it's in fat, it dissolves. 165 00:10:53,117.653 --> 00:10:56,477.653 The pellets themselves have been used in this country for well over 80 years. 166 00:10:56,782.653 --> 00:11:00,512.653 You don't hear about it because plant-based things can't be, patented. 167 00:11:00,512.653 --> 00:11:10,272.653 So big pharma hasn't come in, put a fancy name on it, have a lady singing about it, because there's no money behind it, a big pharmaceutical company to pay for those commercials. 168 00:11:10,642.653 --> 00:11:15,257.653 The pellets we use, since they were, it was 1939 is the first studies I can find. 169 00:11:15,257.653 --> 00:11:17,27.653 I found them in 1979. 170 00:11:17,27.653 --> 00:11:25,777.653 I was training in surgery in Memphis, Tennessee, and we did a hysterectomy on a woman, closed her up, rolled her over, put the pellets in so that when she woke up, she wouldn't feel so bad. 171 00:11:26,377.653 --> 00:11:35,937.653 So since they've been used in this country for so many years, we have hundreds of studies showing not only the feel-good effects, the safety, and also how much healthier it is to age with youthful hormones. 172 00:11:36,267.653 --> 00:11:43,317.653 When your blood supply passes by, it picks up the little pieces of hormone and gently raises the hormone levels up during the first four to six weeks. 173 00:11:43,497.653 --> 00:11:48,457.653 And that's when we test Your blood at that six week mark And then we have our dosing, dialed in. 174 00:11:48,837.653 --> 00:11:50,967.653 very rarely do I have to tweak it. 175 00:11:51,67.653 --> 00:11:59,967.653 I've been doing it for so long, and what's interesting is, in my mind, looking at the paperwork at the patient packet, even over the telephone, I'll have it figured out what I wanna give that patient. 176 00:12:00,327.653 --> 00:12:03,507.653 Sometimes it happens like maybe twice a week they'll walk in. 177 00:12:03,507.653 --> 00:12:04,257.653 I'm like, oh no. 178 00:12:04,552.653 --> 00:12:08,362.653 And then I change it just because of their body habitus, just how they're built. 179 00:12:08,412.653 --> 00:12:10,202.653 I know that, that's not gonna be good. 180 00:12:10,202.653 --> 00:12:12,722.653 We need to bring it down, or it's not gonna be enough. 181 00:12:12,722.653 --> 00:12:13,922.653 We need to bring it up a level. 182 00:12:13,972.653 --> 00:12:19,412.653 If I see that they're really muscular and they're working out like, maniacs, they're gonna burn through it quicker and need a little bit more. 183 00:12:19,777.653 --> 00:12:20,227.653 Okay. 184 00:12:20,437.653 --> 00:12:30,407.653 And you were mentioning where you've decided, where things need tweaking just by how the patient looks like, what are you looking for specifically? I do that for more of the dosing. 185 00:12:30,597.653 --> 00:12:35,997.653 For the six week mark, it's more talking on the phone, which symptoms have been resolved, which haven't. 186 00:12:36,472.653 --> 00:12:38,662.653 And then looking at the numbers on the labs. 187 00:12:38,712.653 --> 00:12:39,912.653 the numbers are just numbers. 188 00:12:39,912.653 --> 00:12:41,532.653 It's most important how you feel. 189 00:12:41,752.653 --> 00:12:49,22.653 However, it does give me some guidance, if I see that the testosterone is off the chart, but our libido isn't there, we probably have a high. 190 00:12:49,207.653 --> 00:12:50,647.653 Sex hormone binding globulin. 191 00:12:50,647.653 --> 00:12:55,317.653 So we need to add in some free te to break that up, so it's like a little puzzle piece. 192 00:12:55,317.653 --> 00:12:55,797.653 It's fun. 193 00:12:57,477.653 --> 00:12:57,717.653 I love it. 194 00:12:58,917.653 --> 00:13:03,477.653 I think a lot of people feel like this is the most annoying thing to go through. 195 00:13:03,507.653 --> 00:13:08,997.653 if I didn't have access to this, it would be bad because when my hormones wear down, it is not pretty. 196 00:13:09,47.653 --> 00:13:11,327.653 my mood comes down, my sleep is disruptive. 197 00:13:11,327.653 --> 00:13:12,227.653 I get snappy. 198 00:13:12,537.653 --> 00:13:14,457.653 I say things I should never say. 199 00:13:14,677.653 --> 00:13:18,757.653 I kick out my husband and his dog and then I realize there's nothing wrong with either one of them. 200 00:13:18,997.653 --> 00:13:20,977.653 And then I like, okay, I need a pellet now. 201 00:13:21,7.653 --> 00:13:25,387.653 And it's amazing the different things that different people notice as the hormones are coming down. 202 00:13:25,437.653 --> 00:13:32,697.653 I have some women that notice their joint pain comes back with a vengeance You don't realize how good you're feeling until it starts to wear off. 203 00:13:32,827.653 --> 00:13:35,317.653 Then you're like, oh wow, this was really doing something. 204 00:13:35,617.653 --> 00:13:41,687.653 so that can be a real thing where when the hormones are coming down, they're experiencing more symptoms. 205 00:13:41,687.653 --> 00:13:44,477.653 So what do you recommend? So women don't. 206 00:13:44,667.653 --> 00:13:46,977.653 Experience that down feeling. 207 00:13:47,517.653 --> 00:13:53,487.653 What we do is we put you on this schedule for three months after your original pellet, and that usually is a good place to catch you. 208 00:13:53,667.653 --> 00:14:07,237.653 a lot of people will stay on that schedule coming in, but what I want you to feel is just I want it to come down a little bit, but I don't want it to go down to the gutter where we started, because many of the women I start with have no estrogen, no testosterone, no progesterone. 209 00:14:07,477.653 --> 00:14:08,587.653 I don't want you down there. 210 00:14:08,587.653 --> 00:14:10,117.653 I want it to go down a little bit. 211 00:14:10,372.653 --> 00:14:11,632.653 So we can bring you back up. 212 00:14:11,632.653 --> 00:14:11,662.653 Okay. 213 00:14:11,902.653 --> 00:14:16,582.653 So as soon as you start to notice some of the good things going away, that's your perfect time to get a pate. 214 00:14:17,152.653 --> 00:14:17,872.653 Give us a call. 215 00:14:17,872.653 --> 00:14:18,592.653 We'll get you right in. 216 00:14:18,972.653 --> 00:14:19,422.653 Okay. 217 00:14:19,662.653 --> 00:14:20,142.653 Got it. 218 00:14:20,322.653 --> 00:14:20,832.653 Got it. 219 00:14:21,402.653 --> 00:14:25,182.653 And then you wrote a book, right? Yeah, I have one here. 220 00:14:27,472.653 --> 00:14:39,622.653 The reason I wrote it is because I say all these things that it helps, decrease cardiac issues, osteoporosis, it actually helps rebuild bone arthritis, Alzheimer's, dementia, and even breast cancer. 221 00:14:40,782.653 --> 00:14:43,212.653 I needed something to back up what I was saying. 222 00:14:43,212.653 --> 00:14:45,252.653 I wanted to put the science on paper. 223 00:14:45,552.653 --> 00:14:49,872.653 So that's what I did in this book is I explained how this works. 224 00:14:49,872.653 --> 00:15:01,147.653 How it does help with these different things, because clinically I know that it does relay bone because I've seen it time and time again of women with osteoporosis, with it correcting. 225 00:15:01,762.653 --> 00:15:04,312.653 Without taking any of those evil medications. 226 00:15:04,312.653 --> 00:15:07,12.653 It can give you a necrotic jaw or bone cancer. 227 00:15:07,62.653 --> 00:15:10,692.653 No, this naturally will help rebuild that bone. 228 00:15:10,692.653 --> 00:15:12,882.653 And I have some women coming in just for that. 229 00:15:13,292.653 --> 00:15:18,842.653 Because they have osteoporosis, their mother had it, and they wanna do their best not to age with osteoporosis. 230 00:15:18,847.653 --> 00:15:22,117.653 I've seen it over the years doing like a DEXA scan every two years. 231 00:15:22,297.653 --> 00:15:22,597.653 See it. 232 00:15:22,597.653 --> 00:15:24,277.653 Correcting, correcting, correcting. 233 00:15:24,277.653 --> 00:15:26,257.653 I have one that had like severe osteoporosis. 234 00:15:26,257.653 --> 00:15:29,587.653 She's now in osteopenia and so she's, she was crying. 235 00:15:29,587.653 --> 00:15:30,397.653 She was so excited. 236 00:15:30,397.653 --> 00:15:34,987.653 She says, I just knew I was gonna have a horrible old age, like my mother and I didn't want to do that. 237 00:15:35,377.653 --> 00:15:36,327.653 And we were rocking it. 238 00:15:36,657.653 --> 00:15:37,47.653 Yeah. 239 00:15:37,467.653 --> 00:15:43,377.653 I think there's a whole generation of women that, my mom included that just got skipped over, Yeah. 240 00:15:43,427.653 --> 00:15:52,397.653 When it comes when it comes to this, and I often wonder what could have been, who knows if she would've accepted hormone treatment at that time or not, right? Yeah. 241 00:15:52,457.653 --> 00:15:54,42.653 But, I often wonder about that. 242 00:15:54,372.653 --> 00:15:59,97.653 I tell you, my mother was on hormones thanks to Carolyn, for most of her life. 243 00:15:59,127.653 --> 00:16:01,767.653 She had 'em naturally, then she had a hysterectomy. 244 00:16:01,767.653 --> 00:16:09,117.653 Then I started correcting her with Premarin and Provera, and then Prempro, and she's 91 and she's clear in the head. 245 00:16:09,732.653 --> 00:16:11,232.653 Alzheimer's Dementia, none. 246 00:16:11,652.653 --> 00:16:16,512.653 She's singing in the choir, learning new music every week, driving her golf cart around, just adopted another dog. 247 00:16:16,722.653 --> 00:16:19,122.653 Her skin is nice and thick and healthy like ours. 248 00:16:19,362.653 --> 00:16:25,972.653 It's spotted and a little bit wrinkly, but it's not that thin fryable skin that you see in some older women looks like you could tear it. 249 00:16:26,677.653 --> 00:16:29,227.653 And that's from not aging with estrogen. 250 00:16:29,812.653 --> 00:16:32,692.653 If you age with estrogen, you should have healthy skin. 251 00:16:32,932.653 --> 00:16:39,352.653 Your same thing's going on downstairs as what's going on up here, right? So if it's crispy up here, it's crispy down there and that's not good. 252 00:16:40,552.653 --> 00:16:42,22.653 We don't want a crunchy vagina. 253 00:16:42,52.653 --> 00:16:42,802.653 We want it good. 254 00:16:43,802.653 --> 00:16:54,122.653 I remember with my mother years ago when I first started doing this, we were sitting at a restaurant on the beach and, I was pointing out toward the ladies that had the benefit of estrogen as they age versus the other ones. 255 00:16:54,122.653 --> 00:16:55,322.653 It was so clear. 256 00:16:56,417.653 --> 00:16:56,707.653 Yeah. 257 00:16:56,747.653 --> 00:16:59,697.653 You need estrogen to support the collagen, production. 258 00:16:59,892.653 --> 00:17:00,52.653 Absolutely. 259 00:17:00,182.653 --> 00:17:00,242.653 Yeah. 260 00:17:00,242.653 --> 00:17:04,442.653 Even if you're taking collagen, if you don't have the estrogen, it's not necessarily gonna help you. 261 00:17:04,862.653 --> 00:17:05,312.653 Yep. 262 00:17:05,522.653 --> 00:17:16,99.592 Bioidentical hormone replacement what is it? What we do is there's two basic different sciences of hormones and there's the, Synthetic hormones that we grew up with. 263 00:17:16,99.592 --> 00:17:19,909.592 The Premarin Provera birth control, that was all synthetic hormone. 264 00:17:20,239.592 --> 00:17:22,849.592 Bioidentical is the plant-based ones that we use. 265 00:17:22,849.592 --> 00:17:22,999.592 Got it. 266 00:17:23,179.592 --> 00:17:25,129.592 And that's, they're like apples and oranges. 267 00:17:25,339.592 --> 00:17:27,679.592 What was bad about this one is good about this one. 268 00:17:27,679.592 --> 00:17:30,589.592 Like the, synthetic, progestin. 269 00:17:30,689.592 --> 00:17:30,959.592 It. 270 00:17:31,9.592 --> 00:17:32,629.592 Cause deep vein thrombosis. 271 00:17:32,629.592 --> 00:17:32,689.592 Yeah. 272 00:17:33,149.592 --> 00:17:38,159.592 Heart attack, stroke, breast cancer, Alzheimer's, and ours is supporting all that stuff. 273 00:17:38,159.592 --> 00:17:39,539.592 Preventing all that stuff. 274 00:17:39,539.592 --> 00:17:43,669.592 So it's and that's what really is, I think that may be one of your questions. 275 00:17:43,719.592 --> 00:17:47,664.592 What is the biggest myth out there? Or problem that people are hearing. 276 00:17:47,944.592 --> 00:17:58,354.592 That just is a true, and what bothers me the most is, and they do it on the national news all the time, they don't say whether the study they're reporting on is on synthetic. 277 00:17:58,764.592 --> 00:17:59,904.592 Or bioidentical. 278 00:18:00,34.592 --> 00:18:06,714.592 And most of the reporting they're doing now is they're regurgitating stuff from the breakdown of the Women's Health Initiative in 2002. 279 00:18:07,434.592 --> 00:18:07,604.592 Yes, I agree. 280 00:18:07,654.592 --> 00:18:11,489.592 But I had one, on, I think it was, I have her name down. 281 00:18:11,489.592 --> 00:18:13,599.592 I'm gonna send her a book, on CBS. 282 00:18:13,779.592 --> 00:18:18,909.592 She kept referring to progestin, the evil progestins that caused all these things as progesterone. 283 00:18:19,189.592 --> 00:18:22,489.592 If I was just a viewer watching that, I would've stopped my progesterone. 284 00:18:22,669.592 --> 00:18:29,239.592 And that's not good because if you have estrogen on board, you have to have your progesterone to balance it out so you don't get endometrial cancer. 285 00:18:29,419.592 --> 00:18:29,659.592 Exactly. 286 00:18:29,659.592 --> 00:18:37,499.592 So she did a real disservice to women by not saying the right hormone, so I have a little letter conscribed I'm gonna have to send. 287 00:18:38,684.592 --> 00:18:41,179.592 When did this happen? It was about two or three weeks. 288 00:18:41,179.592 --> 00:18:42,139.592 Two or three weeks ago. 289 00:18:42,199.592 --> 00:18:42,649.592 Okay. 290 00:18:42,769.592 --> 00:18:51,424.592 And what I've been seeing, like even on Good Morning America, maybe two months ago, all of a sudden there was this headline that, hormones are now safe for Menopausal Women. 291 00:18:51,934.592 --> 00:18:52,54.592 And I'm like, oh. 292 00:18:52,239.592 --> 00:18:53,409.592 Finally they got it. 293 00:18:53,439.592 --> 00:18:53,919.592 Okay. 294 00:18:54,169.592 --> 00:19:02,29.592 They go back and everything was great till the end where they said Yes, if you start before menopause, it's good for you, but not after. 295 00:19:02,129.592 --> 00:19:04,259.592 And you should only really stay on it for six years. 296 00:19:04,529.592 --> 00:19:05,219.592 About a hundred. 297 00:19:05,219.592 --> 00:19:05,489.592 Okay. 298 00:19:05,489.592 --> 00:19:08,729.592 So at 50 you don't get to feel good for another 50 years. 299 00:19:08,759.592 --> 00:19:08,969.592 Yeah. 300 00:19:08,969.592 --> 00:19:12,119.592 So it's just so wrong because there's nothing wrong with it. 301 00:19:12,119.592 --> 00:19:12,389.592 Yeah. 302 00:19:12,389.592 --> 00:19:15,709.592 Just, it's exactly the same as what your ovaries produced, yes. 303 00:19:15,709.592 --> 00:19:24,454.592 How could that be bad? Yeah, so it just, that's the thing is they just don't identify, bioidentical versus synthetic, and it's so very different. 304 00:19:24,994.592 --> 00:19:30,334.592 I feel bad for, women in general because I think, there's obviously more of an awareness. 305 00:19:30,334.592 --> 00:19:32,284.592 It's being covered on social media more. 306 00:19:32,284.592 --> 00:19:40,994.592 There are more doctors coming out, healthcare practitioners who are coming out and talking about all of this, and it's come to the limelight. 307 00:19:41,94.592 --> 00:19:45,804.592 I think patients don't necessarily know what's right or wrong. 308 00:19:46,329.592 --> 00:19:49,939.592 it was something that I saw, and I can't think of what it was. 309 00:19:50,239.592 --> 00:19:53,59.592 It was just recently, that's my brain fog kicking in. 310 00:19:53,59.592 --> 00:19:56,519.592 But, whatever it was, I was like, that's not right. 311 00:19:56,824.592 --> 00:19:59,14.592 Whatever she's saying, that's not correct. 312 00:19:59,194.592 --> 00:19:59,374.592 Yeah. 313 00:19:59,424.592 --> 00:20:08,604.592 And so then I have to think about my patients or just women in general who are caught in the crossfires of all of this now it's like information that. 314 00:20:08,899.592 --> 00:20:11,659.592 may not be totally accurate, right? Yes. 315 00:20:11,659.592 --> 00:20:16,874.592 And it's even more confusing and it's hard for them to sort it out because they don't really understand it. 316 00:20:16,874.592 --> 00:20:21,354.592 You have to understand it to sort it out and to know that, this is bioidentical versus this isn't. 317 00:20:21,654.592 --> 00:20:24,864.592 A patient told me the other day, she says, we're doing the work for our daughters. 318 00:20:25,564.592 --> 00:20:26,734.592 We're going through all this. 319 00:20:26,734.592 --> 00:20:36,934.592 We're exploring it, we're learning it so that we can share it with our daughters because as she was walking in the room, she was hanging up telling a coworker that I'm here where you're gonna be next week, I'm getting my pellet. 320 00:20:36,984.592 --> 00:20:41,4.592 Because she's sharing the good news, because she doesn't want everybody to feel bad. 321 00:20:41,334.592 --> 00:20:46,284.592 And it's good that women are talking about it, but there's so much misinformation even on Dr. 322 00:20:46,284.592 --> 00:20:46,734.592 Google. 323 00:20:46,744.592 --> 00:20:49,594.592 It's just like you can't believe everything you read. 324 00:20:49,974.592 --> 00:20:54,174.592 You have to really see the source, see the study, dissect it, find out. 325 00:20:54,304.5919993 --> 00:20:54,714.5919976 Get Dr. 326 00:20:54,714.5919976 --> 00:20:56,834.5919428 Soma's new book, Midlife Masala. 327 00:20:57,284.5919905 --> 00:21:01,234.5920381 Available wherever books are sold on Amazon, Barnes Noble, Kobo and Bookbub. 328 00:21:01,894.5918856 --> 00:21:06,534.5922289 Or download the Thinkific companion resource directly from her website, somamandalmd.com 329 00:21:07,394.5918856 --> 00:21:15,322.092 After reading Midlife Masala, please leave a review on Amazon, Barnes Noble, or Goodreads your feedback makes a huge difference! Yeah. 330 00:21:15,502.092 --> 00:21:26,622.092 Which is good that they found in that what they're studying is that, in the Women's Health Initiative in 2002, that the estrogen arm, the women without a uterus that didn't have to take the progestin did great. 331 00:21:26,842.092 --> 00:21:29,22.092 Less breast cancer, Alzheimer's a whole bit. 332 00:21:29,22.092 --> 00:21:29,82.092 Yeah. 333 00:21:29,132.092 --> 00:21:32,552.092 it's a lot of information to try to sort out on your own. 334 00:21:32,552.092 --> 00:21:35,872.092 And, what I do every day is take those phone calls. 335 00:21:36,122.092 --> 00:21:40,262.092 I've been researching this, and I'm like, yeah, I have too for about 40 years. 336 00:21:40,262.092 --> 00:21:48,202.092 What'd you learn? Here's the thing though I was in residency when the WHI came out and. 337 00:21:48,427.092 --> 00:21:49,777.092 We had something called Journal Club. 338 00:21:49,777.092 --> 00:21:55,907.092 I was at NYU and so we had this journal club where we would dissect, the article, research that came out. 339 00:21:56,147.092 --> 00:21:59,117.092 A lot of these things we already knew at that time. 340 00:21:59,497.092 --> 00:22:07,387.092 At least my fellow residents, we had already in our journal club pointed out the flaws of that study. 341 00:22:08,177.092 --> 00:22:08,657.092 Yes. 342 00:22:08,787.092 --> 00:22:09,927.092 And that's fabulous. 343 00:22:09,927.092 --> 00:22:10,197.092 Yeah. 344 00:22:10,197.092 --> 00:22:12,447.092 But that didn't hit the front page of the newspaper. 345 00:22:12,477.092 --> 00:22:12,957.092 No. 346 00:22:12,957.092 --> 00:22:15,897.092 What hit the front page of the newspaper was Hormones kill, yeah. 347 00:22:16,167.092 --> 00:22:17,607.092 Don't get on hormones. 348 00:22:17,607.092 --> 00:22:18,117.092 Oh my gosh. 349 00:22:18,117.092 --> 00:22:19,597.092 Your breasts are gonna fall off, no. 350 00:22:19,747.092 --> 00:22:20,197.092 Yeah. 351 00:22:20,957.092 --> 00:22:28,977.092 I still remember, being in that journal club and going through it and then always feeling confused okay, we've already dissected this. 352 00:22:29,187.092 --> 00:22:35,407.092 And certain things, are not as scary as they seem, but yet, this is the way it's being portrayed. 353 00:22:35,407.092 --> 00:22:41,167.092 And that's why I always feel like women, a generation of women, got a raw deal. 354 00:22:41,457.092 --> 00:22:42,507.092 Out of all of this. 355 00:22:42,997.092 --> 00:22:44,677.092 So we were talking about Go ahead. 356 00:22:45,157.092 --> 00:22:54,937.092 I applaud you and your journal club because you guys were progressive, because, in my book it lays out that like only five to 6% of the medical schools even addressed menopause and hormones. 357 00:22:54,937.092 --> 00:23:00,307.092 So you guys were ahead of it, good job As someone who sees patients who seek you out. 358 00:23:00,357.092 --> 00:23:03,627.092 Can anyone see you? It sounds like anyone who wants to see you can see you. 359 00:23:03,627.092 --> 00:23:04,227.092 Absolutely. 360 00:23:04,227.092 --> 00:23:14,817.092 I treat Some of my patients are even young patients, like I've got a one, one young man, he is 22 and he is got this very rare condition that just is making his body just really. 361 00:23:15,717.092 --> 00:23:17,907.092 Not good, losing his bowels, the whole thing. 362 00:23:18,207.092 --> 00:23:20,337.092 And he just needed a little bit of happiness. 363 00:23:20,337.092 --> 00:23:26,617.092 And so we got him a little bit of testosterone cream and it was life changing for him, so I do see people of all ages. 364 00:23:26,617.092 --> 00:23:30,577.092 My oldest patient, I believe is 92 and is still playing tennis. 365 00:23:30,967.092 --> 00:23:31,27.092 Okay. 366 00:23:31,637.092 --> 00:23:34,247.092 So I have all age groups, both male and female. 367 00:23:34,247.092 --> 00:23:36,107.092 About 30% of my practice is male. 368 00:23:36,212.092 --> 00:23:39,242.092 they get great results and they just keep coming back. 369 00:23:39,242.092 --> 00:23:41,192.092 I've got like a 94% return rate. 370 00:23:41,477.092 --> 00:23:47,542.092 For the second pellet, meaning it meant that much to the patient to go through it, lay a little bit of money down and get their pellets. 371 00:23:47,632.092 --> 00:23:47,692.092 Yeah. 372 00:23:48,417.092 --> 00:23:54,757.092 For someone who's looking, maybe they want to, be in the same state as their healthcare practitioner. 373 00:23:54,947.092 --> 00:23:58,927.092 I often find that some of the patients who seek me out, they feel. 374 00:23:59,517.092 --> 00:24:06,567.092 Frustrated that they're not able to necessarily have that conversation because I serve as their primary care physician. 375 00:24:06,667.092 --> 00:24:12,907.092 they're not even entirely sure that I'm the doctor to prescribe them medications or even have that discussion. 376 00:24:13,387.092 --> 00:24:13,657.092 Yes. 377 00:24:13,717.092 --> 00:24:18,897.092 I'll give you an One time I went through the whole song and dance with them, it took 20 or 30 minutes. 378 00:24:18,897.092 --> 00:24:20,152.092 To have that whole discussion. 379 00:24:20,152.092 --> 00:24:29,432.092 the patient was like, okay, so then who's gonna prescribe the medication for me? So I was like, what do you think this is? I know I go through it too. 380 00:24:29,852.092 --> 00:24:30,147.092 I go through it. 381 00:24:30,167.092 --> 00:24:31,322.092 Do you? Okay. 382 00:24:31,322.092 --> 00:24:31,532.092 Yeah. 383 00:24:31,532.092 --> 00:24:32,582.092 You're not alone on that. 384 00:24:32,952.092 --> 00:24:34,572.092 And that can be a little frustrating. 385 00:24:34,602.092 --> 00:24:51,792.092 Because it's kinda like discounting what you, it is like the, I've been researching this and, it can put you over the edge sometimes, but you just gotta take a breath and, understand that these, and what I have to remind my staff, is that the women coming in a lot of times can be a little bit sharp, and a little bit not nice. 386 00:24:52,432.092 --> 00:24:55,522.092 And I just tell them, remember, they don't have hormones. 387 00:24:55,522.092 --> 00:24:56,482.092 It's not their fault. 388 00:24:56,782.092 --> 00:24:58,342.092 They don't have the nice hormones. 389 00:24:58,342.092 --> 00:25:00,22.092 I'll give it to 'em when they leave. 390 00:25:00,22.092 --> 00:25:00,832.092 They'll be all happy. 391 00:25:00,832.092 --> 00:25:03,562.092 And they are, and they leave, and then they're nice from then on. 392 00:25:03,802.092 --> 00:25:06,312.092 But sometimes they come in just oh, they're all menopause. 393 00:25:06,532.092 --> 00:25:08,32.092 but no man can ever say that. 394 00:25:08,97.092 --> 00:25:08,387.092 Okay. 395 00:25:09,52.092 --> 00:25:09,552.092 That's right. 396 00:25:10,402.092 --> 00:25:14,332.092 It's It's saying, are you on your period? No, they can't say that either. 397 00:25:16,562.092 --> 00:25:39,792.092 what I was leading to with my question is a lot of, if you were to guide my listeners as to who, what to look for in someone who can guide them, what should they look for in a practitioner who can guide them through this transition? It's very hard because, what happened is many, practitioners have added hormones onto their practice. 398 00:25:39,842.092 --> 00:25:43,507.092 As basically just a moneymaker They don't know it, they don't understand it. 399 00:25:43,507.092 --> 00:25:46,567.092 They can't handle the nuances, what do you do? Oh my gosh. 400 00:25:46,567.092 --> 00:25:47,627.092 You has, breakthrough bleeding. 401 00:25:47,627.092 --> 00:25:53,67.092 How do you handle that? And there's even, like I, I know of a psychiatrist and a neurosurgeon that are pelleting people. 402 00:25:53,862.092 --> 00:26:13,82.092 What do they know about gynecology and handling breakthrough bleeding? I look for somebody that's been in the field for a while and, it's hard to say, I can't tell you a website to go to, to find the perfect practitioner because people can pop up on these training and research sites that have done one pallet, so it's okay. 403 00:26:13,82.092 --> 00:26:14,12.092 I don't wanna be number two. 404 00:26:14,587.092 --> 00:26:18,427.092 So I guess asking, what their history is or a lot of times it's all on their website. 405 00:26:18,477.092 --> 00:26:29,137.092 Did they start doing it yesterday? If there's no picture of the practitioner, if there's no history about the practitioner, a bio or anything like that, I'd probably turn around, yeah. 406 00:26:29,357.092 --> 00:26:31,907.092 Because you wanna be totally transparent, I am who I am. 407 00:26:31,907.092 --> 00:26:37,817.092 I'm a nurse practitioner, not a doctor, but I have been studying hormones for most of my life and I got this. 408 00:26:38,87.092 --> 00:26:38,357.092 Yeah. 409 00:26:38,777.092 --> 00:26:39,17.092 Yeah. 410 00:26:39,687.092 --> 00:26:50,657.092 When patients ask you, oh, I, oh, that study that came out in 2002, it showed that I have a higher risk of breast cancer and heart disease and blood clots and what have you. 411 00:26:51,57.092 --> 00:26:55,22.092 How do you educate them? Like how do you go through the steps with them? Yeah. 412 00:26:55,22.092 --> 00:26:56,762.092 very rarely do people ask about it. 413 00:26:56,792.092 --> 00:26:58,412.092 They just know that there was bad press. 414 00:26:58,412.092 --> 00:27:00,452.092 A while ago it came out that hormones are bad. 415 00:27:00,582.092 --> 00:27:06,702.092 But what I try to explain to 'em is what we've talked about that it was the evil progestin and not the progesterone. 416 00:27:06,752.092 --> 00:27:10,232.092 If they had done that study, and plus it was a bad study because it. 417 00:27:10,862.092 --> 00:27:12,122.092 All the same delivery system. 418 00:27:12,122.092 --> 00:27:14,132.092 Oral, which first passed through the liver, not good. 419 00:27:14,137.092 --> 00:27:17,647.092 All the exact same dose, no matter how big or small the women were. 420 00:27:17,847.092 --> 00:27:21,147.092 it just, the wrong hormones, the synthetic. 421 00:27:21,507.092 --> 00:27:29,127.092 So that's what I try to tell 'em is it was a bad study, poorly done with the wrong hormones and what we use is totally different. 422 00:27:29,127.092 --> 00:27:30,207.092 It's like apples and oranges. 423 00:27:30,207.092 --> 00:27:30,897.092 Ours is good. 424 00:27:30,897.092 --> 00:27:32,7.092 That was not so good. 425 00:27:32,367.092 --> 00:27:50,847.092 And, the interesting thing is even a lot of pharmacists don't know the difference between progestin versus progesterone, to the point that I spoke at, one of our local pharmacology meetings with a pharmacist in, I think it was three counties, and we had over 250 pharmacists there, and I thought, oh my gosh, they're gonna roast me. 426 00:27:50,847.092 --> 00:27:55,707.092 they were totally silent because I was explaining the three different progestins versus the progesterone. 427 00:27:56,17.092 --> 00:27:59,167.092 The bad part about the progesterone, the good part of the progesterone. 428 00:27:59,167.092 --> 00:28:02,317.092 And they'll even put in the wrong, little flyer with the pills. 429 00:28:02,317.092 --> 00:28:04,177.092 You'll get your progesterone and it'll say progestin. 430 00:28:04,177.092 --> 00:28:06,412.092 And they'll call me, oh my God, I'm gonna have a blood clot. 431 00:28:06,412.092 --> 00:28:08,482.092 No, they just don't know. 432 00:28:09,902.092 --> 00:28:10,172.092 Wow. 433 00:28:10,172.092 --> 00:28:11,432.092 that still happens. 434 00:28:12,92.092 --> 00:28:12,482.092 Okay. 435 00:28:13,17.092 --> 00:28:13,347.092 All right. 436 00:28:13,347.092 --> 00:28:18,267.092 Yeah, no I got a, instead of a Z-pack the other day, I got a packet of FOA bags. 437 00:28:18,417.092 --> 00:28:19,107.092 Oh my god. 438 00:28:20,337.092 --> 00:28:20,967.092 Little different. 439 00:28:22,827.092 --> 00:28:25,47.092 And then when I told the pharmacist, she says, oh, okay. 440 00:28:25,107.092 --> 00:28:27,567.092 And then she says, I'll have your ready for you in a half an hour. 441 00:28:27,567.092 --> 00:28:27,707.092 And I'm like. 442 00:28:28,467.092 --> 00:28:38,37.092 Do you realize what you just did? What other services does your clinics, provide? What we do is 95% hormones. 443 00:28:38,127.092 --> 00:28:38,547.092 Okay. 444 00:28:38,547.092 --> 00:28:46,977.092 It's really my focus and that's probably what you would wanna look for in a provider is one that does a lot of it or enough of it to be knowledgeable in it. 445 00:28:47,337.092 --> 00:28:49,887.092 And, I do a little bit of vaginal rejuvenation. 446 00:28:49,887.092 --> 00:28:51,447.092 It's a laser treatment for the vagina. 447 00:28:51,447.092 --> 00:28:51,837.092 It helps with. 448 00:28:52,97.092 --> 00:28:57,647.092 mild urinary incontinence helps snug up the vagina and helps reset the pH balance. 449 00:28:57,647.092 --> 00:28:59,657.092 So I do that just one or two a month. 450 00:28:59,707.092 --> 00:28:59,997.092 Okay. 451 00:29:00,2.092 --> 00:29:06,312.092 I've got a fabulous nurse working for me that's doing fabulous Botox, and she'll still be doing fillers, but I don't do that. 452 00:29:06,387.092 --> 00:29:06,417.092 Okay. 453 00:29:07,377.092 --> 00:29:08,97.092 I'm not good at it. 454 00:29:08,337.092 --> 00:29:09,237.092 I'll just jam it in there. 455 00:29:09,237.092 --> 00:29:09,897.092 Hope for the best. 456 00:29:11,817.092 --> 00:29:12,867.092 So you don't want me doing it. 457 00:29:13,677.092 --> 00:29:14,787.092 I'll do my own, but nobody else. 458 00:29:15,577.092 --> 00:29:16,687.092 oh, we do some weight loss. 459 00:29:16,747.092 --> 00:29:17,47.092 Yeah. 460 00:29:17,47.092 --> 00:29:18,877.092 And we play with different weight loss programs. 461 00:29:19,177.092 --> 00:29:19,207.092 Okay. 462 00:29:19,257.092 --> 00:29:22,497.092 You've probably heard of the HCG diet and a lot of people poo it. 463 00:29:22,617.092 --> 00:29:23,847.092 It's been around forever. 464 00:29:23,997.092 --> 00:29:24,207.092 Yeah. 465 00:29:24,207.092 --> 00:29:25,437.092 But it's very safe and it's very. 466 00:29:25,622.092 --> 00:29:28,637.092 Quick, 10 to 20 pounds in three weeks and I've written a book on it. 467 00:29:28,697.092 --> 00:29:30,17.092 We, so we have it all down. 468 00:29:30,417.092 --> 00:29:33,57.092 And we have people that really like that because they can knock it down. 469 00:29:33,57.092 --> 00:29:36,87.092 We help 'em stabilize, lock it in so they don't just gain it right back. 470 00:29:36,267.092 --> 00:29:36,567.092 Okay. 471 00:29:36,567.092 --> 00:29:38,157.092 Teach 'em how to eat for the future. 472 00:29:38,212.092 --> 00:29:38,502.092 Yeah. 473 00:29:39,557.092 --> 00:29:39,677.092 Yeah. 474 00:29:40,667.092 --> 00:29:41,447.092 where I am. 475 00:29:41,447.092 --> 00:29:44,917.092 The HCG Jet Diet isn't really, nobody's doing it. 476 00:29:45,187.092 --> 00:29:45,397.092 Yeah. 477 00:29:45,817.092 --> 00:29:46,537.092 It's a secret. 478 00:29:47,647.092 --> 00:29:50,407.092 What happened is a lot of places were doing it. 479 00:29:50,407.092 --> 00:29:50,497.092 Yeah. 480 00:29:50,497.092 --> 00:29:52,87.092 And then the, laws changed. 481 00:29:52,87.092 --> 00:29:57,347.092 Pharma, the, big pharma got the compounding pharmacy shut down on making the HCG. 482 00:29:57,737.092 --> 00:29:57,917.092 Okay. 483 00:29:57,917.092 --> 00:29:59,807.092 So it was no longer available. 484 00:29:59,807.092 --> 00:30:00,57.092 Okay. 485 00:30:00,757.092 --> 00:30:06,967.092 Everybody but me stopped doing it, but I researched out how I could buy it from big Pharma. 486 00:30:06,967.092 --> 00:30:06,997.092 Okay. 487 00:30:06,997.092 --> 00:30:09,457.092 It's more expensive, but I've got the real stuff. 488 00:30:09,637.092 --> 00:30:09,667.092 Okay. 489 00:30:09,787.092 --> 00:30:12,457.092 And I've just carried on and it's so good. 490 00:30:12,457.092 --> 00:30:15,7.092 And I've never had anybody have a health issue with it. 491 00:30:15,7.092 --> 00:30:15,37.092 Okay. 492 00:30:15,307.092 --> 00:30:16,87.092 I spoke to Dr. 493 00:30:16,87.092 --> 00:30:20,457.092 Oz about it and he's he says there's not a white paper out there that'll take away the appetite. 494 00:30:20,787.092 --> 00:30:21,597.092 I've done it enough. 495 00:30:21,597.092 --> 00:30:23,157.092 I know it takes away the appetite. 496 00:30:23,187.092 --> 00:30:24,687.092 You get to where you don't even want to eat anything. 497 00:30:25,727.092 --> 00:30:27,972.092 Is it an injection or Yeah. 498 00:30:28,157.092 --> 00:30:28,367.092 Yeah. 499 00:30:28,367.092 --> 00:30:31,427.092 It's a Tiny little diabetic needle injection into the abdomen. 500 00:30:31,427.092 --> 00:30:32,417.092 You do it every morning. 501 00:30:32,487.092 --> 00:30:34,257.092 And, the first week is incredible. 502 00:30:34,257.092 --> 00:30:35,907.092 Most people lose five to 10 pounds. 503 00:30:36,97.092 --> 00:30:39,707.092 And so that really encourages you to stick with it 'cause it's not fun. 504 00:30:39,777.092 --> 00:30:42,597.092 You're not eating the fun foods and drinking the fun drinks and everybody else. 505 00:30:43,292.092 --> 00:30:46,377.092 Is it something that you have to maintain or No. 506 00:30:46,592.092 --> 00:30:47,882.092 No, that's the good part. 507 00:30:47,882.092 --> 00:30:52,272.092 That's the good part because the GLP ones, I don't know what the future holds. 508 00:30:52,542.092 --> 00:30:57,262.092 If everybody's gonna go off and gain it all right back then, what good do we do? yes. 509 00:30:57,262.092 --> 00:30:59,122.092 A lot of questions for the future on that one. 510 00:30:59,792.092 --> 00:31:09,497.092 The pharma companies are making a lot of money off of it now, one of the biggest complaints that I have for women in midlife, right? Sleep issues. 511 00:31:09,547.092 --> 00:31:19,387.092 sleep obviously can be a big component and it can get affected when you are having these hormonal imbalances during menopause and perimenopause. 512 00:31:19,837.092 --> 00:31:34,927.092 So how do you address, besides the hormone replacement, how do you address the sleep issues with your patients? If they're not corrected, usually with our hormone therapy, most people will say they get a much more delicious sleep. 513 00:31:35,117.092 --> 00:31:37,847.092 if they don't, then we have to dive a little bit deeper. 514 00:31:37,967.092 --> 00:31:38,417.092 Yeah. 515 00:31:38,417.092 --> 00:31:41,7.092 And there's so many components that go into it. 516 00:31:41,7.092 --> 00:31:45,717.092 Their environment, their exercise, their eating, drinking, alcohol, the whole thing. 517 00:31:45,927.092 --> 00:31:46,137.092 Yeah. 518 00:31:46,187.092 --> 00:31:53,112.092 so we have to do a deeper dive, but then there's also sleep studies because a lot of people have, sleep apnea that they don't even know about. 519 00:31:53,162.092 --> 00:31:55,112.092 they say that, you don't snore, you don't have it. 520 00:31:55,202.092 --> 00:31:55,832.092 That's wrong. 521 00:31:56,142.092 --> 00:32:00,272.092 You can just be like a little purr, like a cat and still have sleep apnea. 522 00:32:00,302.092 --> 00:32:01,802.092 A sleep study is a good thing. 523 00:32:02,212.092 --> 00:32:08,302.092 No, I encourage a lot of my patients when I can't necessarily figure out what's driving the insomnia. 524 00:32:08,372.092 --> 00:32:14,882.092 I'm like, listen, there's so many insurances that cover it while you're at home, Instead of having to go to the Sleep Central, let's just get one done. 525 00:32:15,282.092 --> 00:32:16,652.092 oftentimes it's right there. 526 00:32:16,752.092 --> 00:32:16,992.092 Yeah. 527 00:32:16,992.092 --> 00:32:17,2.092 Yeah. 528 00:32:17,582.092 --> 00:32:38,152.092 With hormone replacement, even with, women who are having, discomfort with intercourse and, if the HRT is often not enough, so how do you address that? Is it the vaginal rejuvenation? Are you using topical, agents as well? How do you help them through that? Yeah, it can be a combo, but usually I can get it taken care of with. 529 00:32:38,452.092 --> 00:32:38,992.092 Hormones. 530 00:32:39,52.092 --> 00:32:45,742.092 Yeah, because estrogen is the moisture hormone, right? It helps with dry eye joint pain, right? Dry vagina skin. 531 00:32:46,52.092 --> 00:32:47,822.092 So usually I can dose that up. 532 00:32:47,822.092 --> 00:32:55,642.092 It just depends on their age, and I may have to take it, adding on a patch instead of a more of the pellet or, the vaginal suppositories or creams. 533 00:32:55,762.092 --> 00:32:57,892.092 if the secretory glands aren't working. 534 00:32:57,892.092 --> 00:33:02,767.092 Then the vaginal rejuvenation works because it's basically like getting a laser on your face. 535 00:33:02,767.092 --> 00:33:05,777.092 It's knocking off that top layer, waking those cells up. 536 00:33:06,77.092 --> 00:33:06,377.092 Got it. 537 00:33:06,377.092 --> 00:33:08,237.092 And so a lot of times they have much better moisture. 538 00:33:08,567.092 --> 00:33:08,887.092 Okay. 539 00:33:09,157.092 --> 00:33:09,637.092 All right. 540 00:33:10,117.092 --> 00:33:20,837.092 And, with the hormone replacement that you are using, do you find that, often addresses the midlife bulge, the abdominal girth? That's a tough one. 541 00:33:20,917.092 --> 00:33:22,207.092 That's a tough one. 542 00:33:22,257.092 --> 00:33:25,197.092 I do have more people losing weight than gaining weight. 543 00:33:25,467.092 --> 00:33:25,557.092 Okay. 544 00:33:25,557.092 --> 00:33:27,597.092 But that abdomen is a tough bear. 545 00:33:27,957.092 --> 00:33:28,17.092 Yeah. 546 00:33:28,17.092 --> 00:33:43,47.092 and I feel bad, because I have these girls, they'd sit in my office and they'd grab their middle and they're like, what the hell is this? I used to have a flat stomach, you know what happened? And, studies show women gain 10 pounds with or without hormones during menopause, and apparently that's where it's landing. 547 00:33:43,107.092 --> 00:33:46,512.092 And I tell 'em about food choices, after menopause Yeah. 548 00:33:46,572.092 --> 00:33:49,212.092 Our bodies start processing food differently. 549 00:33:49,242.092 --> 00:33:49,542.092 Yeah. 550 00:33:49,592.092 --> 00:33:52,592.092 When we were in our teens, we could eat fruit for a day and lose 10 pounds. 551 00:33:52,592.092 --> 00:33:52,652.092 Yeah. 552 00:33:52,682.092 --> 00:33:54,392.092 Now, nah, that doesn't work. 553 00:33:54,542.092 --> 00:33:54,722.092 No. 554 00:33:54,802.092 --> 00:34:04,242.092 But it seems like anything white that you eat sugar, flour, rice, potatoes, bagels, chips, crackers, all that's what wants to land in the abdomen and stay there. 555 00:34:04,582.092 --> 00:34:05,692.092 Oh, but I love bread. 556 00:34:05,692.092 --> 00:34:05,962.092 Yeah. 557 00:34:05,962.092 --> 00:34:06,622.092 Loves you too. 558 00:34:06,622.092 --> 00:34:10,402.092 It doesn't wanna leave you, it's gonna hang around there for a while unless you change your behaviors. 559 00:34:10,532.092 --> 00:34:11,702.092 So that's the first thing. 560 00:34:11,702.092 --> 00:34:16,742.092 'cause I had, one girl that go, went totally without any of that for like just two weeks and lost nine pounds. 561 00:34:17,297.092 --> 00:34:27,107.092 And it was just with that, she said every time she opened the fridge, she'd hear my voice and I'm like, oh my God, this beautiful voice croaking at you. 562 00:34:27,107.092 --> 00:34:27,917.092 Don't eat that. 563 00:34:28,917.092 --> 00:34:36,327.092 So yeah, I think that's the one because if you go like on a straight keto, Mostly meat, maybe some green vegetables, it usually will go away. 564 00:34:36,327.092 --> 00:34:37,107.092 But that's hard. 565 00:34:37,197.092 --> 00:34:38,67.092 Hard to maintain. 566 00:34:38,157.092 --> 00:34:39,207.092 It is it, with life. 567 00:34:39,267.092 --> 00:34:46,817.092 It's not sustainable, And then I never wanna say that alcohol could be a problem, because I don't wanna tell somebody to stop drinking. 568 00:34:47,217.092 --> 00:34:51,597.092 but I had this one lady that wanted to lose her little belly for a dress to wear to a wedding. 569 00:34:51,757.092 --> 00:34:54,707.092 and I knew she was a wine drink, and I said, okay, let's stop the wine. 570 00:34:54,707.092 --> 00:34:55,907.092 Just the wine for two weeks. 571 00:34:55,912.092 --> 00:34:56,52.092 Yeah. 572 00:34:56,747.092 --> 00:34:57,77.092 Boom. 573 00:34:57,77.092 --> 00:34:57,977.092 Her stomach went fine. 574 00:34:57,982.092 --> 00:34:59,302.092 She went to the wedding, she came back. 575 00:34:59,302.092 --> 00:35:01,882.092 She says, I'm happier with my little belly and my wine. 576 00:35:02,102.092 --> 00:35:03,362.092 She made a life choice. 577 00:35:03,542.092 --> 00:35:04,232.092 Exactly. 578 00:35:04,237.092 --> 00:35:07,837.092 if you try these different little things, you may notice a nice difference. 579 00:35:08,417.092 --> 00:35:12,652.092 It's subtle, I've noticed that the wine, for a lot of my patients can be a trigger. 580 00:35:12,652.092 --> 00:35:12,712.092 Yeah. 581 00:35:13,22.092 --> 00:35:13,892.092 Caffeine. 582 00:35:13,947.092 --> 00:35:17,827.092 Can also be a thing, causing some, hormonal stuff. 583 00:35:18,607.092 --> 00:35:19,567.092 So it can be tricky. 584 00:35:19,957.092 --> 00:35:22,417.092 Let's play some rapid fire questions. 585 00:35:22,837.092 --> 00:35:23,292.092 tell us speed dating. 586 00:35:24,22.092 --> 00:35:24,612.092 Speed dating. 587 00:35:25,147.092 --> 00:35:26,887.092 Have you ever been speed dating? I hate it. 588 00:35:27,887.092 --> 00:35:28,457.092 Fire away. 589 00:35:28,547.092 --> 00:35:32,777.092 Tell us about a myth about menopause that you wish would totally disappear. 590 00:35:32,837.092 --> 00:35:33,382.092 Like right now. 591 00:35:34,807.092 --> 00:35:36,917.092 That, hormonal therapies cause cancer. 592 00:35:37,37.092 --> 00:35:47,477.092 One lab value that is totally in over interpreted, and one that people, doctors, patients, nurses, should watch more closely. 593 00:35:48,52.092 --> 00:35:49,282.092 for menopausal women. 594 00:35:49,332.092 --> 00:35:50,592.092 Or premenopausal women. 595 00:35:51,882.092 --> 00:35:52,692.092 Let's say both. 596 00:35:53,82.092 --> 00:35:53,592.092 Okay. 597 00:35:53,682.092 --> 00:35:53,922.092 Yeah. 598 00:35:53,922.092 --> 00:35:58,832.092 Pr, progesterone and the postmenopausal woman, really doesn't give me anything to work with. 599 00:35:58,842.092 --> 00:36:01,682.092 So it's I honestly don't even test it unless they ask for it. 600 00:36:01,862.092 --> 00:36:02,282.092 Okay. 601 00:36:02,282.092 --> 00:36:08,272.092 I know to protect their vagina, their uterus from the buildup of the lining of the uterus at 200 milligrams. 602 00:36:08,517.092 --> 00:36:09,477.092 Is the best dose. 603 00:36:09,527.092 --> 00:36:18,657.092 And so that's, I know that, and I'm not gonna vary from it unless they have a reaction to it where, they feel hungover in the morning or groggy, or just not good depressed, whatever. 604 00:36:18,657.092 --> 00:36:20,757.092 Then I'll switch 'em over to a rapid dissolved tablet. 605 00:36:20,847.092 --> 00:36:21,177.092 Okay. 606 00:36:21,177.092 --> 00:36:22,947.092 But, progesterone overrated. 607 00:36:23,197.092 --> 00:36:27,787.092 I tell you, I have been finding more pre-diabetics of the hemoglobin A1C. 608 00:36:27,847.092 --> 00:36:28,507.092 Oh yeah. 609 00:36:28,507.092 --> 00:36:33,727.092 I tell you, I added that into my panel a couple years ago and I found five diabetics or true diabetics that had no clue. 610 00:36:34,27.092 --> 00:36:34,447.092 Yeah. 611 00:36:34,447.092 --> 00:36:37,267.092 And it could end up dead, so it's that's important. 612 00:36:37,267.092 --> 00:36:39,727.092 So I think the hemoglobin A1C is a great tool. 613 00:36:40,207.092 --> 00:36:51,447.092 I have some patients that I give them some guidance and they're able to correct it, My father came, his, he hemoglobin A1C went high, years ago when I got him going, no sugar, nothing made from white flour. 614 00:36:51,537.092 --> 00:36:52,17.092 Yeah. 615 00:36:52,17.092 --> 00:36:54,327.092 And at least 30 to 40 minutes of fast walking. 616 00:36:54,327.092 --> 00:36:55,467.092 Six days outta seven. 617 00:36:55,767.092 --> 00:36:57,867.092 He died at 86 and he wasn't diabetic. 618 00:36:57,952.092 --> 00:36:58,92.092 Yeah. 619 00:36:58,122.092 --> 00:37:00,852.092 So it, you don't have to, and that's what I try to. 620 00:37:01,437.092 --> 00:37:05,532.092 The reason I think it's so important is we can catch it when it's pre-diabetes And chase it back. 621 00:37:06,332.092 --> 00:37:06,452.092 Absolutely. 622 00:37:06,452.092 --> 00:37:15,847.092 Where if we just wait and like my brother, I have him on Metformin and his doctor wanted to take him off and I said why did she wanna take you off? He said, she said that you don't have diabetes. 623 00:37:16,582.092 --> 00:37:19,42.092 I said, so we wanna wait till you have diabetes. 624 00:37:19,42.092 --> 00:37:20,182.092 To put you on metformin. 625 00:37:20,187.092 --> 00:37:23,302.092 You know you are pre-diabetic, there's a reason you're on it. 626 00:37:23,307.092 --> 00:37:23,487.092 Exactly. 627 00:37:23,632.092 --> 00:37:24,292.092 Yeah. 628 00:37:24,292.092 --> 00:37:25,702.092 he does nothing but that. 629 00:37:26,2.092 --> 00:37:32,242.092 He always calls me, what do I do now? And I said, ignore it, and you just keep taking your metformin, there no harm in it. 630 00:37:32,422.092 --> 00:37:32,762.092 I'm, yeah. 631 00:37:32,827.092 --> 00:37:36,87.092 And I'm always arguing who says that 5.7 632 00:37:36,87.092 --> 00:37:38,997.092 is actually pre-diabetes? Why isn't it 5.6? 633 00:37:39,117.092 --> 00:37:41,7.092 And why is 6.5 634 00:37:41,7.092 --> 00:37:53,637.092 diabetes? Why isn't it six? Point four who made these, you know what the rules, these cutoffs, right? You can have a sugar like several times in a row of 1 26 and still have an A1C of 6.4. 635 00:37:53,787.092 --> 00:37:56,337.092 So that doesn't mean you, you don't have diabetes. 636 00:37:56,717.092 --> 00:37:58,757.092 It's like really ridiculous. 637 00:37:58,847.092 --> 00:38:00,107.092 Yeah, really ridiculous. 638 00:38:00,107.092 --> 00:38:01,7.092 So yeah. 639 00:38:01,7.092 --> 00:38:05,507.092 And then I have patients that are like, oh, I'm, I, my A1C is now 5.5. 640 00:38:05,537.092 --> 00:38:06,827.092 I'm not a diabetic anymore. 641 00:38:06,827.092 --> 00:38:07,107.092 I'm like, Nope. 642 00:38:07,577.092 --> 00:38:08,387.092 You're a diabetic. 643 00:38:09,147.092 --> 00:38:09,577.092 you, Yeah. 644 00:38:09,577.092 --> 00:38:12,7.092 I'm like, you're on manjaro you're on Metformin. 645 00:38:12,7.092 --> 00:38:22,827.092 We have you on, a low gly glycemic diet like, and you're exercising, so we're doing the things to, to treat your diabetes and that's why you're A1C is lowered. 646 00:38:23,167.092 --> 00:38:25,297.092 Yeah, no, you've crossed the threshold. 647 00:38:25,297.092 --> 00:38:26,977.092 You had an A1C of 9.7 648 00:38:26,977.092 --> 00:38:28,452.092 before, so Holy cow. 649 00:38:28,452.092 --> 00:38:28,732.092 Yeah. 650 00:38:28,762.092 --> 00:38:29,52.092 Yeah. 651 00:38:29,182.092 --> 00:38:30,397.092 So there's no going back. 652 00:38:30,397.092 --> 00:38:32,377.092 There's just controlling it and treating it. 653 00:38:32,377.092 --> 00:38:32,437.092 Yeah. 654 00:38:32,877.092 --> 00:38:45,257.092 For me, I think in terms of labs I feel like a more detailed for either premenopausal or postmenopausal or menopausal women, like a detailed cholesterol panel, including a lipoprotein a. 655 00:38:45,762.092 --> 00:38:46,62.092 Yeah. 656 00:38:46,182.092 --> 00:38:51,602.092 I just feel we really need to do our due diligence to screen, for heart disease as much as possible. 657 00:38:51,607.092 --> 00:38:51,857.092 Yeah. 658 00:38:51,962.092 --> 00:38:52,592.092 Yeah. 659 00:38:52,592.092 --> 00:38:57,412.092 They say that more women die of heart disease from heart disease than breast cancer or any cancer, that's right. 660 00:38:57,412.092 --> 00:39:04,142.092 And what I try to encourage, you're doing primary care, you can handle it, but I don't do pri, either cardiology or anything like that. 661 00:39:04,442.092 --> 00:39:10,47.092 But when I have a woman over 50, I'm like, do you have a cardiologist? And they're like, no, I don't need one. 662 00:39:10,47.092 --> 00:39:10,707.092 Yeah, you do. 663 00:39:10,707.092 --> 00:39:12,597.092 You need to at least go in, do your baseline. 664 00:39:12,747.092 --> 00:39:13,317.092 Exactly. 665 00:39:13,317.092 --> 00:39:18,112.092 And I, they find blockages, they find all kinds of wonderful things, so it's at least get established with one. 666 00:39:18,162.092 --> 00:39:19,812.092 Yeah, no, exactly. 667 00:39:20,112.092 --> 00:39:22,92.092 For me and this happened more during. 668 00:39:22,237.092 --> 00:39:28,467.092 COVID when there was like a lack of, doctors in general, and cardiologists were, stuck in the IICU. 669 00:39:28,467.092 --> 00:39:34,77.092 And so there was like a serious lack of cardiologists, pulmonologists, infectious disease doctors. 670 00:39:34,77.092 --> 00:39:39,167.092 So at that time, about five years ago, I was like, okay, I'm gonna be the cardiologist, yeah. 671 00:39:39,197.092 --> 00:39:41,537.092 I'm gonna do all these screenings that I would refer. 672 00:39:41,957.092 --> 00:39:43,607.092 So I continue to do that now. 673 00:39:43,767.092 --> 00:39:51,17.092 I'll have that conversation with them, and then only if I pick up something that's substantial, will I send them out, gotcha. 674 00:39:51,197.092 --> 00:39:52,607.092 Your patients are lucky to have you. 675 00:39:52,727.092 --> 00:39:53,297.092 Oh, thank you. 676 00:39:53,302.092 --> 00:39:53,842.092 Yeah. 677 00:39:53,962.092 --> 00:39:57,942.092 For me, I don't do the cholesterol screening because number one, I don't. 678 00:39:58,252.092 --> 00:40:01,492.092 Feel like the literature is there for women taking a statin. 679 00:40:01,922.092 --> 00:40:04,247.092 I haven't seen one study done on women. 680 00:40:04,997.092 --> 00:40:13,67.092 And, the potential side effects, and then if you can get a calcium score done to find out if you have any of the soft plaques, that can give you some guidance as well. 681 00:40:13,257.092 --> 00:40:17,997.092 And then what another fun thing is I pulled out some old labs from like the eighties I think of mine. 682 00:40:18,297.092 --> 00:40:22,407.092 And I compared the reference ranges and the total cholesterol stayed the same. 683 00:40:22,737.092 --> 00:40:26,427.092 But from my understanding, this is what the word is that big pharma got. 684 00:40:26,772.092 --> 00:40:30,552.092 In cahoots with the labs and got all those other ones moved down. 685 00:40:30,552.092 --> 00:40:32,952.092 So everybody qualifies for a statin then. 686 00:40:33,982.092 --> 00:40:36,662.092 If they have a cardiac event, then, oh boy. 687 00:40:36,742.092 --> 00:40:39,892.092 But that being said, the screening is important and I guess, oh yeah. 688 00:40:40,252.092 --> 00:40:44,752.092 Calcium scores and only when I find something substantial do I refer. 689 00:40:45,112.092 --> 00:40:56,652.092 But I do think part of a good primary care plan especially for women, is to address that and with menopause, we call it a physiologic state, but it increases our risks for heart disease. 690 00:40:56,652.092 --> 00:41:01,212.092 Among us, Unless we get your hormones optimized and that's brings that risk down's. 691 00:41:01,212.092 --> 00:41:01,422.092 That's right. 692 00:41:02,447.092 --> 00:41:03,917.092 Carolyn, it's been a pleasure. 693 00:41:04,17.092 --> 00:41:17,937.092 If we were to look for you in terms of your website, your book, your, social media handles, where would we find you? My website is low, LOW, T as in Tom, E as in Edward, Florida spelled out.com 694 00:41:18,297.092 --> 00:41:21,597.092 and everything is there if you wanna get your hands on this little book. 695 00:41:22,152.092 --> 00:41:25,152.092 Probably shouldn't tell you this, but you can get it from free off my website. 696 00:41:25,542.092 --> 00:41:28,212.092 You just put in your little information and we mail it out to you. 697 00:41:28,542.092 --> 00:41:32,412.092 I've been mailing 'em all over the world since I did that, that thing with Billy Carson. 698 00:41:33,972.092 --> 00:41:35,202.092 Alright, thank you for having me. 699 00:41:35,262.092 --> 00:41:35,772.092 Thank you. 700 00:41:35,772.092 --> 00:41:37,2.092 It was a pleasure getting to know you a little bit. 701 00:41:37,32.092 --> 00:41:41,132.092 And don't forget to like, share and review my podcast. 702 00:41:41,682.092 --> 00:41:45,472.092 Remember, it's always ladies first on Soma Says. 703 00:41:45,772.092 --> 00:41:49,432.092 Let's make a difference one conversation at a time.