Revolutionizing Menopause: Why You Might Rethink Hormone Replacement

Subscribe to the video podcast: https://www.youtube.com/@SomaMandalsays/videos   On this episode of Soma Says, Dr. Soma interviews Marjorie Nass, creator of the Pericycle Lift program for high-achieving women navigating perimenopause and menopause. They discuss how traditional methods may not always address root issues and the importance of lifestyle adjustments, particularly through the principles of Ayurveda. Marjorie shares her journey from a high-stress corporate life to becoming a yoga teacher and Ayurvedic coach, emphasizing the significance of aligning with natural rhythms for better health and well-being. They also explore practical tips for improving sleep, managing stress, and adjusting eating habits to thrive during menopause. This episode offers insightful strategies to help women embrace this life stage with confidence and vibrancy.   00:00 Introduction and Disclaimer   00:44 Introducing the Pericycle Lift   01:36 Marjorie Nass's Journey to Wellness   03:35 The Importance of Daily Rhythms   05:28 Embracing Menopause with Ayurveda   07:50 Practical Lifestyle Changes for Better Health   14:39 Client Success Stories   22:38 Understanding Ayurveda's Personalized Approach   23:35 Seasonal Adaptations in Ayurveda   26:03 Connecting with Your Body Through Yoga   27:08 Listening to Your Body's Signals   30:12 Hormones and Lifestyle Changes   36:05 The Role of Pelvic Floor Therapy   38:19 Attracting and Supporting Patients   42:57 Final Thoughts and Contact Information   To learn more about Marjorie Nass, please visit https://marjorienass.com/

Episode Transcript

(00:02):
Hi, this is Dr.
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.

(00:44):
Welcome back to Stoma Says.
Today we're going to be discussing the Pericycle Lift created by Marjorie Nass.
The Pericycle Lift is a program created for high achieving women navigating perimenopause and menopause.
The innovative approach helps you manage symptoms while maintaining confidence, productivity, and vibrancy in your life's next era.

(01:07):
.999Many women face these symptoms while juggling demanding personal and professional lives, which It's often exacerbated by a constant state of fight or flight. 11 00:01:17,929.999 --> 00:01:23,919.999 traditional methods like hormone testing, diets, and supplements might not address the root issues. 12 00:01:24,289.999 --> 00:01:35,939.998 The pericycle lift looks deeper, offering tailored strategies to help you manage life's pressures and regain control, ensuring you thrive without the worry of disruptive symptoms. 13 00:01:36,369.998 --> 00:01:37,589.998 Let's welcome Marjorie Ness. 14 00:01:41,802.312 --> 00:01:43,102.312 it's not just the, what you eat. 15 00:01:43,172.312 --> 00:02:01,758.457 It's when, where, how, having a good night's sleep is one of the best things you can do throughout your life reconnecting with how we feel is a big part of what I teach. 16 00:02:03,818.457 --> 00:02:05,568.407 Welcome to my podcast. 17 00:02:05,568.407 --> 00:02:05,908.457 Soma says. 18 00:02:06,903.457 --> 00:02:07,973.457 Thank you for having me. 19 00:02:07,973.457 --> 00:02:09,513.457 It's really great to be here. 20 00:02:09,543.457 --> 00:02:17,13.457 And honored to be here speaking with you as your physician to want to, hear from a perspective that's different. 21 00:02:17,83.456 --> 00:02:22,483.456 And my background is in yoga and yoga is wellness science, which is Ayurveda. 22 00:02:22,903.457 --> 00:02:32,573.457 And before I started yoga, I was a corporate type A person, running around New York City and I really burnt out. 23 00:02:32,633.457 --> 00:02:34,303.456 I overloaded my system. 24 00:02:34,323.457 --> 00:02:35,793.456 I was totally burnt out. 25 00:02:36,83.456 --> 00:02:41,833.454 Lots of GI issues, bad periods and anxiety and depression. 26 00:02:41,833.554 --> 00:02:44,3.455 So I was lucky enough to find yoga. 27 00:02:45,43.455 --> 00:02:48,713.455 And it took me a while, to get there because I was so busy. 28 00:02:48,763.455 --> 00:02:53,813.455 And then once I really started to practice on a regular basis, it changed everything. 29 00:02:54,323.455 --> 00:02:57,323.454 Long story short, I became a yoga teacher. 30 00:02:57,543.455 --> 00:03:02,563.456 My GI that was the first thing that really changed was my GI symptoms. 31 00:03:02,983.456 --> 00:03:08,43.456 And when I, and then I felt stronger and I didn't get sick as much. 32 00:03:08,53.456 --> 00:03:09,613.456 My mood was better. 33 00:03:09,993.456 --> 00:03:19,563.456 And so when I learned more about what the effects were about the breath and about the movement and about being present, which helps with stress. 34 00:03:20,113.455 --> 00:03:26,543.455 And I loved it so much that I decided to become a yoga teacher because I wanted to share this with other women. 35 00:03:26,853.455 --> 00:03:33,323.455 And I continued studying and then yoga's wellness science, Ayurveda started really intriguing me. 36 00:03:33,563.455 --> 00:03:34,533.455 It's like the world needs. 37 00:03:35,188.455 --> 00:03:39,478.455 Once I started studying Airveda, it aligns with nature's rhythms. 38 00:03:40,368.455 --> 00:03:51,188.453 It is a little bit specific for each person, but what I teach is the simplicity of the daily rhythms and the monthly rhythms and the seasonal rhythms. 39 00:03:51,658.453 --> 00:03:57,28.454 And once I started teaching that the results from my clients were just amazing. 40 00:03:57,28.454 --> 00:04:03,48.454 Not only were they getting out of pain, which was my specialty in yoga, but they started sleeping better and they started feeling better. 41 00:04:03,48.454 --> 00:04:09,28.454 So I really integrated those two things into my teaching and my workshops and my retreats. 42 00:04:09,418.453 --> 00:04:14,768.454 And as I approached menopause, I didn't really have any symptoms. 43 00:04:14,798.454 --> 00:04:20,473.454 Like I learned about perimenopause and I was like, my periods were a little bit different, but I felt okay. 44 00:04:20,723.454 --> 00:04:27,33.454 And then I went through menopause and postmenopause, and I had a pretty easy time. 45 00:04:27,463.454 --> 00:04:36,3.453 And some of the women that I started working with were having really difficulty, whether it was sleeping, whether it was hot flashes, whether it was weight gain. 46 00:04:36,293.453 --> 00:04:41,198.454 But the women that I've been working with for years, Also had an easier time. 47 00:04:41,478.454 --> 00:04:49,248.453 So I knew that following, this protocol, these rhythms was really helpful and was just key. 48 00:04:49,588.454 --> 00:04:54,418.453 And, some women decided to go on hormones that were having a difficult time. 49 00:04:55,38.454 --> 00:04:57,648.454 And it helped them, but it only got them so far. 50 00:04:57,718.454 --> 00:05:04,28.455 And then when they started to add these practices that help manage stress, we can't eliminate stress. 51 00:05:04,78.454 --> 00:05:05,578.455 Like we have a less stressful life. 52 00:05:05,668.454 --> 00:05:09,478.453 It's, we all have stress and it's how we deal with the pressures of life. 53 00:05:09,888.454 --> 00:05:14,748.454 So that's why I decided to specialize in this area and with these women. 54 00:05:15,78.454 --> 00:05:28,248.454 And now that I'm, eight or nine years post menopause, I I feel like it can see the whole process and I'm, I love working with women through this transition, which is also an emotional transition and a life transition. 55 00:05:28,798.454 --> 00:05:31,848.454 Ayurveda means the science of light in Sanskrit. 56 00:05:31,848.454 --> 00:05:41,178.455 Again, it's yoga's wellness science and it means like how to align one of my teachers said it's like a blueprint and how to live in a body. 57 00:05:41,588.455 --> 00:05:46,138.455 And a lot of that is, and for those of you who don't know, it's thousands of years old. 58 00:05:46,138.455 --> 00:05:47,808.42166667 It originated in India. 59 00:05:48,218.42166667 --> 00:05:50,998.42166667 And some of the simplest things make sense. 60 00:05:51,338.42166667 --> 00:06:05,98.41966667 Because for the vast majority of those thousands of years, we didn't live in the modern world, and we slept when it was dark, and we were awake when it was light, because as mammals, that, that works best. 61 00:06:05,488.41966667 --> 00:06:09,598.42066667 And, we've totally gotten away from that rhythm. 62 00:06:10,238.41966667 --> 00:06:34,168.41966667 And so realigning with that rhythm in a simple way, of going to sleep at the same time and eating at the same time and prioritizing this idea of just slowing down before we eat before we start our day and choosing How we're going to start our day. 63 00:06:34,188.41966667 --> 00:06:36,558.41966667 Some of those are just the simplest things. 64 00:06:36,918.41966667 --> 00:06:47,408.41966667 I worked with a client and she, the first thing she started with her day was looking at the stock market was looking at her finances and that goes up and down each day. 65 00:06:47,418.41866667 --> 00:07:07,733.41966667 So are you going to allow that? Something that's outside yourself that arguably you have no control over, decide how you're going to start your day, or can you start your day in a mindful way where instead of the world's coming at you, whether that's the news, whether it's texts from a million people from work and say, just starting the day intentionally. 66 00:07:08,123.41866667 --> 00:07:10,223.41966667 So something as simple as that. 67 00:07:10,958.41966667 --> 00:07:20,258.41966667 Some people are behind their schedules already behind when they get up in the morning and having the ability to start the day in a different way. 68 00:07:20,308.41966667 --> 00:07:23,248.41966667 Now, of course, that starts with a good night's sleep. 69 00:07:23,538.41966667 --> 00:07:30,608.41866667 I say a good night's sleep starts in the morning so that we're setting this cycle up intentionally. 70 00:07:31,28.41866667 --> 00:07:37,78.41866667 But if we're constantly feeling stress, we feel more stressed and then we're not digesting as well. 71 00:07:37,768.41866667 --> 00:07:39,18.41866667 And then we're tired. 72 00:07:39,348.41966667 --> 00:07:50,168.41966667 And hormones can help, but unless we're dealing with the way that the stress hormones are leaving our life, they can only help so much. 73 00:07:50,198.41966667 --> 00:07:59,708.41916667 And this is also a lifestyle, for women in perimenopause and menopause, like you've got another 40 years, 35, 45 years ahead of you. 74 00:08:00,198.41916667 --> 00:08:08,688.41916667 And These are habits and routines and things to learn that are simple that are going to make a huge difference in how you feel. 75 00:08:08,748.41816667 --> 00:08:13,738.41916667 Because once women are tired, because they're not sleeping, everything goes off the rails. 76 00:08:14,98.41916667 --> 00:08:21,528.41816667 You're not thinking clearly, you have more brain fog, you're more achy, you're more hungry. 77 00:08:22,43.41916667 --> 00:08:23,653.41916667 And you're more irritable. 78 00:08:23,783.41916667 --> 00:08:27,313.41916667 So that's going to affect everybody else in your life. 79 00:08:27,313.41916667 --> 00:08:30,43.41916667 So making these changes can be a challenge. 80 00:08:30,43.41916667 --> 00:08:40,43.41916667 But when we remember how much everybody around us is going to benefit, that sometimes is the thing to say, okay, it's time I'm going to take care of myself. 81 00:08:40,593.41916667 --> 00:08:43,413.41916667 And previous to being. 82 00:08:43,763.41916667 --> 00:08:45,483.41916667 A coach in this field. 83 00:08:45,733.41916667 --> 00:08:52,858.41916667 Is that what you consider yourself a coach or absolutely a peri slash menopause slash post menopause coach. 84 00:08:52,858.41916667 --> 00:08:56,198.41916667 What was your background? You worked, you were working in finance yourself. 85 00:08:56,268.41816667 --> 00:08:58,208.41916667 So I was, I call it corporate. 86 00:08:58,268.41916667 --> 00:08:58,518.41916667 Yeah. 87 00:08:58,618.41916667 --> 00:08:59,38.41916667 Like that. 88 00:09:00,658.41916667 --> 00:09:04,8.41916667 And how long did you do that for? So I did that for 10 years. 89 00:09:04,88.41916667 --> 00:09:04,488.41916667 Okay. 90 00:09:04,498.41916667 --> 00:09:07,318.41916667 I did that to my early thirties. 91 00:09:07,368.41916667 --> 00:09:07,738.41916667 Okay. 92 00:09:07,778.41916667 --> 00:09:11,558.41816667 And as I said, was not healthy in any way. 93 00:09:11,828.41916667 --> 00:09:15,288.41816667 And I tell the story this is how, I have this stressful day. 94 00:09:15,628.41916667 --> 00:09:18,698.41916667 I'd go to the gym and this is so dating myself. 95 00:09:18,988.41916667 --> 00:09:19,988.41916667 I'd go to the gym. 96 00:09:20,368.41916667 --> 00:09:23,108.41916667 I'd be on the stair master with my walk, man. 97 00:09:23,498.41916667 --> 00:09:27,258.41916667 Reading the newspaper and watching TV all at the same time. 98 00:09:28,88.41916667 --> 00:09:32,38.41916667 So for somebody who's I can't do yoga because my mind is all over the place. 99 00:09:32,98.41916667 --> 00:09:32,658.41916667 I get it. 100 00:09:32,668.41916667 --> 00:09:36,658.41916667 The first time I went to yoga, the teacher started us on our back breathing. 101 00:09:37,188.41816667 --> 00:09:45,878.41916667 And I lasted about two minutes and I ran out of the room because I was so stressed and I wasn't handling the pressures of life. 102 00:09:45,938.41916667 --> 00:09:52,848.41816667 And all of those stress hormones were leading to all of these issues, whether they were physical issues or emotional issues. 103 00:09:53,318.41916667 --> 00:09:53,828.41916667 And. 104 00:09:54,118.41916667 --> 00:10:05,88.41816667 I know for some women, like they can get away with that in their 20s and into their 30s, but without changing some of the things that we're doing, our body is going to speak up. 105 00:10:05,248.41916667 --> 00:10:06,48.41916667 And that's what I say. 106 00:10:06,48.41916667 --> 00:10:08,918.41916667 It's like listening to your body's messages. 107 00:10:08,918.41916667 --> 00:10:10,778.41816667 I was speaking with a woman yesterday. 108 00:10:11,703.41916667 --> 00:10:15,413.41916667 And she goes to the gym like four or five times a week. 109 00:10:15,463.41916667 --> 00:10:15,853.41916667 Great. 110 00:10:15,873.41916667 --> 00:10:17,683.41916667 It's the first thing she does in the morning. 111 00:10:17,913.41916667 --> 00:10:19,973.41916667 And I asked her what kind of exercise she was doing. 112 00:10:19,973.41916667 --> 00:10:21,413.41916667 She was like, Oh, I run. 113 00:10:21,733.41916667 --> 00:10:23,343.41916667 But sometime my knee hurts me. 114 00:10:23,343.41916667 --> 00:10:24,103.41916667 So I can't. 115 00:10:24,523.41916667 --> 00:10:25,973.41966667 And it's that's a message. 116 00:10:25,973.41966667 --> 00:10:29,83.41966667 If you've been running for 20, 30 years, maybe. 117 00:10:29,98.41966667 --> 00:10:36,878.41966667 Your shorter runs or maybe some of them are going to be walks and we get so attached to what we've been doing for our life, but our body's different. 118 00:10:37,178.41966667 --> 00:10:45,398.41966667 And so listening to that and honoring about this stage of life, and that's also part of Ayurveda is the different stages we go through life. 119 00:10:45,418.41966667 --> 00:10:49,698.41966667 And as we go through menopause, late forties, fifties, we're in this different. 120 00:10:50,63.41966667 --> 00:10:55,513.41966667 time of life where it's time to take stock of where we are in our life. 121 00:10:55,533.41966667 --> 00:11:03,168.31866667 We're in the last half or last third of our life and that's very different when we were in our 20s and 30s and 40s. 122 00:11:03,648.41866667 --> 00:11:04,198.41866667 Yes. 123 00:11:04,218.41866667 --> 00:11:10,338.41866667 I, and I think it's a it's a different mindset and the way you're speaking, it's about embracing it. 124 00:11:10,358.41866667 --> 00:11:14,978.41866667 And yeah, obviously being the healthiest that you can be during that time. 125 00:11:15,298.41866667 --> 00:11:27,288.41866667 I often find with a good portion of my patients is that they, they have this attitude like, Oh my God, I've already hit lived half of my life. 126 00:11:27,628.41866667 --> 00:11:29,118.41866667 It's a different mindset. 127 00:11:29,663.41866667 --> 00:11:40,83.41866667 That you're describing, I was just going to say one way to look at differently is like how fortunate that I am because there are women who don't get to say that. 128 00:11:40,933.41866667 --> 00:11:41,233.41866667 Yes. 129 00:11:41,513.41866667 --> 00:11:43,203.41766667 Don't get to reach menopause. 130 00:11:44,248.41866667 --> 00:11:46,798.41866667 Because of whatever that's happened. 131 00:11:46,798.41866667 --> 00:11:50,798.41866667 So it's really a privilege to be at this point. 132 00:11:50,818.41866667 --> 00:11:57,278.41966667 And I think I was thinking about now that I'm 60 my grandfather died when he was in the 60s. 133 00:11:57,348.41966667 --> 00:12:06,538.41916667 And That seems so young now maybe when you're twenties and thirties, like it seems pretty old, my parents lived into their nineties, fortunately, and it just seems wow. 134 00:12:06,548.41916667 --> 00:12:12,628.41866667 So getting to be at this point and how do you want to live it? How do you want to feel? You want to be as active as possible. 135 00:12:12,628.41866667 --> 00:12:14,798.41816667 I call it being the young, cool grandma. 136 00:12:15,848.41816667 --> 00:12:28,438.41916667 I think some of it is the energy that, that there are some people, and it reminds me of another client of mine, she and her husband got married, both her parents, both their parents were in their early sixties when they got married. 137 00:12:28,998.41916667 --> 00:12:32,328.41916667 And it was like, they saw one set of their parents decided this is it. 138 00:12:32,338.41916667 --> 00:12:33,328.41916667 We're just going to get old. 139 00:12:33,328.41916667 --> 00:12:34,578.41916667 We're going to retire. 140 00:12:34,828.41916667 --> 00:12:44,828.42016667 And then the other side of parents were like, we're traveling, we're going, we're doing all the art, cultural things that we want to do and be really involved and be active. 141 00:12:44,888.42016667 --> 00:12:47,732.78683333 So we do have a choice and there's so much mindset about this. 142 00:12:47,732.78683333 --> 00:12:54,328.32016667 And that's also one of the things I want to bring, because if your mindset is I'm so old. 143 00:12:54,548.42016667 --> 00:12:56,48.42016667 You're going to start feeling old. 144 00:12:56,448.42016667 --> 00:13:00,48.42016667 And and that's where we get into that emotional site. 145 00:13:00,78.42016667 --> 00:13:10,748.42016667 And when we're feeling that way and disappointed and upset, our body feels it like there is no difference in your beta perspective in your body and your mind and your emotions. 146 00:13:11,383.42016667 --> 00:13:12,613.42016667 Everything is connected. 147 00:13:12,673.42016667 --> 00:13:21,263.41916667 And I've really experienced that last couple of years where I experienced a lot of loss and have had a lot of issues with mobility. 148 00:13:21,263.42016667 --> 00:13:22,963.41916667 So I've had to work through that. 149 00:13:23,113.41916667 --> 00:13:23,573.41916667 Okay. 150 00:13:23,903.41916667 --> 00:13:24,353.41816667 All right. 151 00:13:24,983.41816667 --> 00:13:35,438.41916667 And was it your own? experiences with hormonal imbalances that, inspired you to learn about these principles. 152 00:13:35,438.41916667 --> 00:13:47,638.41916667 How did you educate yourself? Did you go to formal school or was it just teaching yourself? So with yoga and Ayurveda, it was, formal school. 153 00:13:47,638.41916667 --> 00:13:52,768.41916667 I studied really studied yoga for about 10 years and a couple of different styles. 154 00:13:52,768.41916667 --> 00:13:56,188.42016667 And I really specialize in therapeutic yoga, helping people get out of pain. 155 00:13:56,618.41916667 --> 00:14:09,38.42016667 And then I studied Ayurveda for several years with a teacher and she calls it living Ayurveda, which I love because thousands of years ago, we are living in the world. 156 00:14:09,38.42016667 --> 00:14:25,488.41916667 How can we follow these principles and have the benefits while we are living in 2025? So I think a lot of my listeners they're women, they're in their mid lives and they're always exploring as to what they can do differently to help themselves feel better. 157 00:14:25,568.41916667 --> 00:14:38,578.41916667 And they're probably listening right now and wondering what can she do to help me? So give us an example of a woman, right? That is a client of yours and how you were able to help her. 158 00:14:38,818.41916667 --> 00:14:39,428.41916667 Yeah. 159 00:14:39,818.41916667 --> 00:14:45,728.41816667 So I work with women that are generally professional women that have had. 160 00:14:46,68.41916667 --> 00:14:49,608.41916667 Pretty high stress jobs for their whole life. 161 00:14:49,608.41916667 --> 00:14:57,608.41916667 So what they've been doing in their twenties and thirties and even into their forties, all of a sudden what they were doing before isn't working. 162 00:14:57,908.41916667 --> 00:15:00,518.41866667 Maybe what they were eating now they're not sleeping well. 163 00:15:00,518.41866667 --> 00:15:01,558.41816667 They're having pains. 164 00:15:01,558.41916667 --> 00:15:04,738.42016667 They're, they're, they notice that their body is changing. 165 00:15:05,118.42016667 --> 00:15:10,478.42016667 And so why help them look at the first thing that we're really doing is their lifestyle. 166 00:15:10,808.42016667 --> 00:15:18,768.42016667 And what I mean by that is not just what you're eating or what exercise you're doing, but I call it the what it's not just the, what you eat. 167 00:15:18,838.42016667 --> 00:15:24,158.42016667 It's when, where, how, and even with who. 168 00:15:25,98.42016667 --> 00:15:35,878.42016667 And so we're looking at how are you nourishing yourself for a lot of us? We're not thinking about how we're eating something. 169 00:15:35,918.42016667 --> 00:15:41,658.42016667 So example that I use is If you're eating, and I worked with a woman, she had her own garden. 170 00:15:41,678.42016667 --> 00:15:47,178.42016667 So not only was everything organic, it was like freshly picked and she was eating it. 171 00:15:47,298.42016667 --> 00:15:49,198.42016667 She was eating on the run. 172 00:15:49,548.42016667 --> 00:15:50,898.41916667 She was eating rushed. 173 00:15:51,108.42016667 --> 00:15:53,8.41916667 She was getting much too hungry. 174 00:15:53,408.42016667 --> 00:15:56,538.42016667 And then she was eating very close to bedtime. 175 00:15:57,208.41916667 --> 00:16:00,598.42016667 And so we've all heard, yeah, don't eat too close to bed. 176 00:16:01,68.42016667 --> 00:16:05,648.42016667 But when she understood why that was the case, all of a sudden it makes sense. 177 00:16:05,748.42016667 --> 00:16:06,908.42016667 And I'll explain that. 178 00:16:07,263.42016667 --> 00:16:09,473.42016667 So yes, we're full. 179 00:16:09,503.42016667 --> 00:16:23,713.42016667 We might feel a little bit of heartburn or something like that, but if our body doesn't have the time to digest fully and we go to sleep, it's not going to have that deeper level of repair. 180 00:16:24,513.42016667 --> 00:16:34,903.42016667 And most of the women that I speak with, they're waking up between two and 3am and something is happening in the detoxification process. 181 00:16:34,963.42016667 --> 00:16:47,683.4201667 And so if your body is working on deep digesting your evening meal, You're going to be more tired and you're going to be hot because digestion creates heat. 182 00:16:47,783.4201667 --> 00:16:52,943.4201667 If you think about like the fire and digestion and people have heartburn when they're out of balance. 183 00:16:53,273.4201667 --> 00:16:54,453.4191667 So that's the first thing. 184 00:16:54,453.4191667 --> 00:17:05,43.4201667 One of the first things we look at in terms of sleep is what is your food? What's your intake like? Because if we're eating stressed, we're not going to get the full benefit. 185 00:17:05,213.4201667 --> 00:17:09,903.4201667 And if we're stressed and we're taking supplements, we're not going to be digesting them well. 186 00:17:10,513.4201667 --> 00:17:13,693.4201667 So those are some of the first things that we look at. 187 00:17:13,733.4201667 --> 00:17:27,933.4201667 And again, we're looking at how are you starting your day? And what kind of information are you taking in? How are you ending your evening? There's a lot of simple things and, we're, they're more aware or more aware of them now, especially the light at night. 188 00:17:28,663.4201667 --> 00:17:42,613.4191667 But there are other things about what are you taking in? What are the conversations you're having? What are you taking care of at night? Because having a good night's sleep is one of the best things you can do throughout your life. 189 00:17:43,23.4201667 --> 00:17:45,923.4201667 And it's hard to change like without sleep. 190 00:17:45,943.4201667 --> 00:17:48,63.4201667 Support like you can understand it. 191 00:17:48,63.4201667 --> 00:17:58,883.4201667 You can have hundreds of books on your shelves and taking courses and work with people, but without that support and that deeper understanding and that coaching, it can be really difficult. 192 00:17:58,893.4201667 --> 00:18:00,313.4201667 Some people, no problem. 193 00:18:00,313.4201667 --> 00:18:02,343.4191667 You tell them one thing to do and they do it. 194 00:18:02,673.4201667 --> 00:18:07,153.4201667 So with this client that I'm thinking of, she was actually the one who started her day looking. 195 00:18:07,243.4201667 --> 00:18:09,363.4201667 She said, I wake up from the moment I wake up. 196 00:18:09,573.4201667 --> 00:18:11,23.4201667 I'm thinking about my clients. 197 00:18:11,23.4201667 --> 00:18:11,753.4201667 She's a realtor. 198 00:18:12,83.4201667 --> 00:18:13,433.4201667 I'm thinking about my clients. 199 00:18:13,433.4201667 --> 00:18:17,763.4201667 Who do I need to call? Who do I need to show this to? And her mind was starting that way. 200 00:18:18,23.4201667 --> 00:18:22,863.4201667 So she didn't have the time to settle and be with herself and be quiet. 201 00:18:23,643.4201667 --> 00:18:30,773.4191667 And we started incorporating that and her day started out very differently and where she felt like she had to be so busy. 202 00:18:32,173.4201667 --> 00:18:46,593.4201667 Things have perspective about what she was putting her energy into and she had these tools to help her settle herself during the day, worked out a way that she could have a different kind of meal in the middle of the day. 203 00:18:46,593.4201667 --> 00:18:49,923.4196667 So she wasn't starving at the end of the day and things like that. 204 00:18:49,923.4196667 --> 00:18:51,663.4191667 So looking at it more. 205 00:18:51,913.4201667 --> 00:18:55,103.4201667 from what we're eating to how and when. 206 00:18:55,403.4201667 --> 00:19:04,703.4191667 If somebody's listening to this and you're eating right now while you're listening to a podcast or watching YouTube, your body's not getting the message that it's time to digest. 207 00:19:04,703.4191667 --> 00:19:07,503.4191667 And I always say this think about the miracle. 208 00:19:07,553.4191667 --> 00:19:12,383.4191667 You have this food that plants, the animals that ate the plants, and it becomes your body. 209 00:19:12,873.4191667 --> 00:19:19,203.4191667 So if we're not paying attention to that, First of all, you're probably going to be hungry because you don't realize and you've eaten quickly. 210 00:19:19,253.4191667 --> 00:19:26,563.4191667 But there isn't that appreciation and that gratitude and that comes with all of this and with yoga and Ayurveda as well. 211 00:19:27,733.4181667 --> 00:19:48,823.4191667 And when you guided her to make some changes in her lifestyle in terms of when she was eating, what she was eating what did you see in terms of symptom relief? What was the difference that she experienced? So she was having heart palpitations and I'm not a physician. 212 00:19:49,113.4191667 --> 00:19:53,563.4191667 She had everything checked out by cardiologists, had all the tests and everything. 213 00:19:53,593.4191667 --> 00:19:59,143.4191667 And she learned about the connections with heart palpitations and menopause. 214 00:19:59,183.4191667 --> 00:20:05,68.4181667 I don't know if you see that a lot, there's also a connection With hot flashes and palpitations. 215 00:20:05,78.4181667 --> 00:20:06,168.4181667 Some women get both. 216 00:20:06,618.4181667 --> 00:20:09,938.4181667 So she had those and was, and is very fit. 217 00:20:09,938.4181667 --> 00:20:11,528.4171667 And it was alarming to her. 218 00:20:11,528.4181667 --> 00:20:13,538.4176667 And of course relief when nothing came up. 219 00:20:13,538.4176667 --> 00:20:18,438.4181667 So that was the the point where she realized she had to do something because it was scary. 220 00:20:18,448.4181667 --> 00:20:20,918.4181667 It affected her on vacation, et cetera, et cetera. 221 00:20:22,78.4181667 --> 00:20:29,238.4181667 So we worked on how she could manage the stress that was going on in her life. 222 00:20:30,598.4181667 --> 00:20:31,748.4181667 Everything from breathing. 223 00:20:32,168.4181667 --> 00:20:35,138.4181667 And breathing techniques, very specific techniques. 224 00:20:35,138.4181667 --> 00:20:42,138.4181667 Yoga has a whole science of reading to how her day was going and how her evening was going. 225 00:20:42,628.4181667 --> 00:20:47,228.4181667 And she was scared that this was going to be the rest of her life. 226 00:20:47,518.4181667 --> 00:20:49,828.4171667 She saw how it was affecting her family. 227 00:20:50,128.4171667 --> 00:20:58,588.4171667 She saw how it was affecting her work and she committed to this idea of, okay, I'm going to learn about breathing. 228 00:20:58,733.4181667 --> 00:21:02,753.4181667 Where in my life, what in my life has brought me to this point. 229 00:21:03,183.4181667 --> 00:21:14,68.4181667 And that included her movement, her exercise when she was eating and some tweaks in what she was eating because It's not the same for everyone. 230 00:21:14,748.4181667 --> 00:21:19,108.4181667 Of course, we want to eat fresh organic food, but what we eat is different for everyone. 231 00:21:19,308.4181667 --> 00:21:21,338.4171667 And it's different in the seasons. 232 00:21:21,628.4181667 --> 00:21:24,348.4181667 And that's what we learned from Ayurveda as well. 233 00:21:24,598.4181667 --> 00:21:31,68.4181667 I used to live in New York city for most of my life and I'd see people and it was like 20 degrees and they'd be carrying around ice coffee. 234 00:21:32,788.4181667 --> 00:21:35,458.4181667 And it doesn't make sense, I've spoken to people with it. 235 00:21:35,458.4181667 --> 00:21:37,8.4181667 Oh, I just like it cold. 236 00:21:37,628.4181667 --> 00:21:39,828.4181667 So that interferes with digestion. 237 00:21:39,828.4181667 --> 00:21:48,998.4181667 It's also just think about it and think about how nice it is when you have a warm cup of tea or a warm soup or a warm stew in the winter. 238 00:21:49,68.4181667 --> 00:21:52,448.4181667 And that would feel quite right in the summer. 239 00:21:53,48.4191667 --> 00:22:00,388.4191667 And if you're eating salad, In the winter, also not a great idea because it's going to be harder to digest. 240 00:22:00,668.4191667 --> 00:22:08,188.4191667 So did that answer your question about how I helped her? Because by the end of our time together, she had her routines together. 241 00:22:08,468.4181667 --> 00:22:10,128.4191667 Work was less stressful. 242 00:22:10,488.4181667 --> 00:22:23,488.4171667 Some of the news stuff was less stressful and she was able to be with herself and also feel very confident and confident that she she was 58, that she could move through. 243 00:22:23,808.4181667 --> 00:22:37,848.4171667 this next phase of her life and feel great and be able to be an example for others, which she found that she was happening to because people were commenting on how, not just how she looked, but it's like a beam. 244 00:22:38,143.4171667 --> 00:22:44,333.4171667 It's like you see somebody who's stressed, you see somebody who's not, it's just a way of holding yourself and like that. 245 00:22:45,453.4171667 --> 00:23:01,423.4161667 I think one of the things that I find fascinating about Ayurveda is that it's not a one size fits all, right? There's the pitta, there's the kapha, right? There's all, and your makeup is going to probably be different than mine. 246 00:23:01,893.4161667 --> 00:23:02,363.4161667 Yes. 247 00:23:02,423.4161667 --> 00:23:10,53.4161667 And the difference between Western medicine is where I'm like, I talk about estrogen and progesterone and maybe some testosterone replacement. 248 00:23:10,453.4161667 --> 00:23:20,253.4146667 It, this, it, this is different because the recommendations in terms of what you're eating and, when you should be, resting and all sorts of stuff are going to be different. 249 00:23:20,743.4146667 --> 00:23:27,863.4146667 Based on what Ayurveda determines your makeup or your body type is. 250 00:23:28,333.4146667 --> 00:23:34,803.4126667 So I think that's what you're touching upon it is, but what applies to everyone. 251 00:23:35,373.4136667 --> 00:23:39,873.4136667 Is the seasons and I'm in Southern California now, but it's cool. 252 00:23:39,873.4136667 --> 00:23:40,563.4136667 It's still cold. 253 00:23:40,563.4136667 --> 00:23:41,993.4136667 It's not like New York. 254 00:23:41,993.4136667 --> 00:23:46,413.4136667 It's 40, 45 degrees but it's still colder than it is in the summer. 255 00:23:46,483.4136667 --> 00:23:52,413.4131667 Honoring that and again, when I'm working with someone, then I, and you can call it your, the word is dosha. 256 00:23:52,413.4131667 --> 00:23:56,213.4136667 It means constitution, your makeup, but that's not primary. 257 00:23:56,213.4136667 --> 00:24:02,43.4136667 That gets a little bit more specific and I think it can create, and I learned this again from my teacher. 258 00:24:03,223.4136667 --> 00:24:04,763.4136667 Create an identity. 259 00:24:04,803.4136667 --> 00:24:06,963.4136667 That's like a little bit too much of an identity. 260 00:24:07,23.4136667 --> 00:24:22,13.4126667 And I know I'm a little guilty of that, like I'm using it as an excuse, but I can tell what somebody is by, just by looking at them, but also by hearing about, the symptoms that they have in their body makeup and things like that. 261 00:24:22,23.4126667 --> 00:24:23,883.4126667 So that's a part of it. 262 00:24:24,143.4136667 --> 00:24:31,143.4136667 And we talk about like increases so if you're drinking iced coffee in the winter, you're going to get colder. 263 00:24:31,153.4126667 --> 00:24:32,333.4136667 It's like cold and cold. 264 00:24:32,723.4136667 --> 00:24:37,913.4126667 If you're having a hot stew during the winter, that's going to create more natural heat. 265 00:24:38,203.4136667 --> 00:24:39,63.4136667 in the body. 266 00:24:39,83.4136667 --> 00:24:40,423.4136667 And you can think about it. 267 00:24:40,423.4136667 --> 00:24:42,723.4136667 If you're really cold and you come in, you have something to drink. 268 00:24:42,723.4136667 --> 00:24:43,443.4136667 It's so soothing. 269 00:24:43,443.4136667 --> 00:24:44,143.4136667 It's so warming. 270 00:24:44,413.4136667 --> 00:24:46,813.4136667 If you have a cold salad, it's not going to feel like that. 271 00:24:47,103.4136667 --> 00:24:51,483.4146667 Just like in the summer, if you had a hot soup, it would make you feel hotter. 272 00:24:51,493.4146667 --> 00:24:55,373.4141667 So cooler, lighter more light. 273 00:24:55,383.4141667 --> 00:24:58,983.4141667 And that's, those are the qualities that we talk about. 274 00:24:59,558.4141667 --> 00:25:02,828.4141667 Yeah, I definitely appreciate all that. 275 00:25:02,828.4141667 --> 00:25:06,688.4141667 And I'm not in any way an expert in Ayurveda. 276 00:25:06,698.4141667 --> 00:25:19,208.4136667 I'm familiar with a small fraction of it, but some of the things that I do gravitate towards, like I don't want to have, a hot beverage usually in the summertime. 277 00:25:19,508.4136667 --> 00:25:30,438.4146667 And I usually try to keep it cold, not necessarily ice cold, but a little bit cooler, and the same thing when the winter when it's cold, I'm in New Jersey and it's been freezing here. 278 00:25:30,808.4146667 --> 00:25:32,908.4151667 it just doesn't feel right for my body. 279 00:25:33,418.4151667 --> 00:25:38,703.4161667 And what I want to say, and that's totally right, That's the principle of Ayurveda. 280 00:25:39,163.4161667 --> 00:25:45,13.4161667 There are women, there are people that are not connected with that part of themselves. 281 00:25:45,533.4151667 --> 00:25:47,563.4161667 They're not, they don't feel it. 282 00:25:47,563.4161667 --> 00:25:50,323.4161667 It is surprising to me. 283 00:25:50,593.4151667 --> 00:25:58,403.4161667 But we're a culture that's connected with our mind and thoughts and very much focused on that. 284 00:25:58,733.4161667 --> 00:26:02,423.4161667 We're focused on the outer body and how it looks. 285 00:26:02,803.4151667 --> 00:26:03,438.3161667 But that's Ayurveda. 286 00:26:03,678.4161667 --> 00:26:08,518.4161667 Reconnecting with how we feel is a big part of what I teach. 287 00:26:08,778.4161667 --> 00:26:11,138.4161667 That's really what I started to learn in yoga. 288 00:26:11,148.4161667 --> 00:26:18,28.4161667 I was like, how does this feel when I hold this post instead of just like burning calories on mindlessly on the stair master. 289 00:26:18,268.4161667 --> 00:26:27,933.4161667 And that's what's really great about yoga is you use every part of your body very mindfully and It's usually it was for me. 290 00:26:27,933.4161667 --> 00:26:30,533.4161667 It was very hard, even though I thought it was really good shape. 291 00:26:30,533.4161667 --> 00:26:42,603.4151667 So this idea of what kind of practices are you using? How are you moving your body? And are you more connected to it? Because I find that a lot of women have been ignoring these symptoms. 292 00:26:43,153.4151667 --> 00:26:44,83.4151667 That have been around. 293 00:26:44,303.4151667 --> 00:26:45,113.4151667 I think so. 294 00:26:45,113.4151667 --> 00:26:46,773.4151667 And it might be habit. 295 00:26:47,103.4151667 --> 00:26:49,803.4151667 I'm not necessarily sure, but I do see that. 296 00:26:49,923.4151667 --> 00:26:52,43.4161667 And some of it I see within myself too. 297 00:26:52,563.4151667 --> 00:27:01,333.4151667 So I've started questioning more as to, okay, why are you doing this when it doesn't necessarily make you feel the best. 298 00:27:01,683.4151667 --> 00:27:02,233.4151667 Yeah. 299 00:27:02,333.4151667 --> 00:27:06,43.4161667 So that could be eating later than I need to be being more mindful. 300 00:27:06,388.4161667 --> 00:27:07,488.4161667 About my decisions. 301 00:27:08,538.4161667 --> 00:27:12,258.4161667 I'd love to speak to that a little bit because there are two examples that I use. 302 00:27:12,268.4161667 --> 00:27:17,508.4161667 So if we're quiet in the evening, we will feel tired. 303 00:27:18,788.4161667 --> 00:27:29,918.4161667 At a certain point, but often if you're not getting late not stopping work until later and you're eating later, you're not going to feel that tired. 304 00:27:29,978.4151667 --> 00:27:35,108.4161667 And if you're watching TV or on your phone, it's going to be stimulating. 305 00:27:35,158.4161667 --> 00:27:36,738.4161667 It's not just the light. 306 00:27:37,628.4161667 --> 00:27:45,238.4161667 It's the stimulating subject that you're watching, whether it's a romance or whatever it is, your mind starts moving. 307 00:27:45,248.4161667 --> 00:27:47,978.4151667 And this isn't a way that we want to start calming down. 308 00:27:48,468.4161667 --> 00:27:51,648.4151667 So we're generally not listening to that. 309 00:27:51,778.4151667 --> 00:27:54,348.4151667 And most women are not getting enough sleep. 310 00:27:54,688.4161667 --> 00:27:58,508.4161667 So if we focus on, wow, I'm feeling sleepy at this time. 311 00:27:58,628.4161667 --> 00:28:06,973.4161667 What if we just went to sleep in the morning? You'll feel so much better that you'll be more productive throughout the day. 312 00:28:07,3.4161667 --> 00:28:14,123.4161667 So even if it's 15 minutes, even it's the half hour, the other thing that we're not listening to. 313 00:28:14,393.4161667 --> 00:28:19,463.4161667 And this is like the example that I use, most people will wait until they have to go to the bathroom. 314 00:28:19,623.4171667 --> 00:28:26,828.4161667 And if you're on a car ride, Sometimes you'll be like, Oh, the next exit is 30 minutes away for us to be like, Oh, I can wait. 315 00:28:27,218.4161667 --> 00:28:30,688.4161667 So it's like waiting for this natural function. 316 00:28:31,308.4161667 --> 00:28:33,428.4161667 And that's not good. 317 00:28:33,478.4161667 --> 00:28:36,28.4166667 Your body is telling us something. 318 00:28:36,88.4166667 --> 00:28:39,218.4161667 And it's like those signals of listening to that. 319 00:28:39,248.4171667 --> 00:28:43,143.4181667 Another idea is menstruation, pushing through menstruation. 320 00:28:43,143.4181667 --> 00:28:48,768.4181667 Instead of, Just slowing down just a little bit to honor what the body's going through. 321 00:28:48,838.4181667 --> 00:28:51,668.4181667 And I think that has been totally ignored. 322 00:28:51,978.4181667 --> 00:29:01,78.4191667 Forever and certainly going through work and being, so uncomfortable and not having the ability to just slow down a little bit. 323 00:29:01,108.4191667 --> 00:29:13,483.4191667 And if that's you like slow down in the evening, like really listening, because if we keep ignoring our body, The symptoms are going to get loud and some of them, they finally catch up with us in menopause. 324 00:29:13,533.4191667 --> 00:29:17,963.4181667 It's finally pounding on the door after like little soft, no. 325 00:29:19,368.4191667 --> 00:29:22,648.4191667 I'm always, thinking about how things can fit in. 326 00:29:22,668.4191667 --> 00:29:37,698.4181667 And even though it doesn't necessarily seem like it, I, it, I think corporations should be wise and actually work with you because you would make their employees a lot healthier. 327 00:29:38,208.4191667 --> 00:29:47,498.4191667 And a lot more productive, I think during the day, because all the things that you're talking about, I think would make people healthier. 328 00:29:48,88.4191667 --> 00:29:51,538.4191667 And cause there's a lot of, talk about menopause in the workplace. 329 00:29:51,538.4191667 --> 00:29:58,488.3191667 I was just contacted on LinkedIn to contribute, an article on what the workplace can be doing and policies and all that, but. 330 00:29:58,638.4191667 --> 00:30:07,168.4191667 But it's not just workplace policies, You actually need women to be taking better care of themselves and they need the guidance. 331 00:30:07,518.4191667 --> 00:30:11,998.4186667 I'm glad that, all this has come to the forefront and that there's more of and awareness. 332 00:30:12,508.4186667 --> 00:30:19,548.4186667 But one of the things that's concerning to me, and don't get me wrong, I do prescribe hormones and I do recommend hormones. 333 00:30:19,598.4186667 --> 00:30:23,428.4186667 But I'm not necessarily sure there's being enough done. 334 00:30:24,148.4186667 --> 00:30:53,158.4186667 When it comes to the lifestyle changes that are necessary and the stress management and all the different things that not just for menopausal women, but for all patients, right? how are you sleeping? How are you eating? Are you eating by yourself? Are you feeling lonely? So I, I really think that you are doing a lot of great work and I wish you were closer because I would send you tons of patients. 335 00:30:53,538.4186667 --> 00:30:57,508.4176667 Do you work online? I primarily work online. 336 00:30:57,608.4186667 --> 00:31:06,638.4196667 And I'd be delighted to support your patients and it's it's just that extra piece and when I speak with women about hormones. 337 00:31:07,248.4196667 --> 00:31:09,828.4196667 I hear that I just need to get my hormones checked. 338 00:31:10,728.4196667 --> 00:31:11,268.4196667 Yes. 339 00:31:11,823.4196667 --> 00:31:34,743.4196667 And that's going to be the answer and absolutely it can help to a point, but if women are still living that same kind of lifestyle in their fifties and haven't changed anything, sure, it's going to help them feel so much better, but there may be something on the other side that they can't even imagine about how much better they're feeling. 340 00:31:34,743.4196667 --> 00:31:38,413.4186667 Cause when you look back on it, you're like, I really wasn't feeling that great. 341 00:31:38,413.4196667 --> 00:31:38,763.4196667 Yeah. 342 00:31:39,443.4196667 --> 00:31:41,463.4196667 Yeah, exactly. 343 00:31:41,723.4196667 --> 00:31:52,423.4196667 I think here's the thing that a lot of people misunderstand about hormones, especially during perimenopause, is that your hormones are erratic. 344 00:31:52,693.4186667 --> 00:32:17,183.4186667 I get a better idea of what's going on with your hormones by me speaking with you and understanding what's happening to you at work, how you're sleeping, how you're reacting to things, how often you're having hot flashes or night sweats, or some of the other things that irritability, the joint pains, the fatigue that gives me a better idea. 345 00:32:17,803.4186667 --> 00:32:21,218.4181667 And so I think we, in the Western world. 346 00:32:21,618.4181667 --> 00:32:25,408.4181667 Not to say that this isn't the case in other parts of the world either. 347 00:32:25,708.4181667 --> 00:32:29,288.4181667 But everyone's interested in having all their labs checked. 348 00:32:29,628.4181667 --> 00:32:36,728.4181667 And then more often than not, especially during perimenopause, the labs come back normal. 349 00:32:36,808.4191667 --> 00:32:42,528.4181667 Or sometimes you will, sometimes catch it on the low side, right? But that doesn't mean it's always low. 350 00:32:42,528.4181667 --> 00:32:45,588.3181667 And that's what the definition of perimenopause is. 351 00:32:45,588.4181667 --> 00:32:46,568.4181667 It's erratic. 352 00:32:46,568.4181667 --> 00:32:47,778.4181667 It goes up and down. 353 00:32:48,178.4181667 --> 00:32:51,918.4181667 So the checking the labs does not always help. 354 00:32:52,78.4181667 --> 00:32:52,758.4171667 It doesn't. 355 00:32:52,848.4171667 --> 00:32:57,708.4191667 And that that's my concern that people think, Oh, my hormones are normal. 356 00:32:57,708.4191667 --> 00:33:04,358.4191667 So why am I feeling this way? And then all the things that you're talking about make sense. 357 00:33:04,398.4191667 --> 00:33:08,108.4191667 Cause we're, we can't check labs 24 seven. 358 00:33:08,498.4191667 --> 00:33:12,878.4201667 Maybe then you would catch all, all the different crazy things that happened to our hormones. 359 00:33:13,208.4201667 --> 00:33:17,618.4191667 We live in a society where everyone including myself. 360 00:33:17,618.4201667 --> 00:33:20,678.4201667 We need immediate gratification. 361 00:33:21,28.4201667 --> 00:33:41,593.4201667 Yes, and life Doesn't always work that way More often than not it does not work that way Yes, and I think more people want to hear, just like it's a pill and the hormones are a pill or cream that's going to fix everything. 362 00:33:41,693.4201667 --> 00:33:55,253.3211667 And I appreciate that you're asking your patients about all those other things and when they're experiencing those things, because if that becomes something that doctors like you are sharing, I think it's going to make a difference. 363 00:33:55,403.4211667 --> 00:33:57,603.4211667 It's just going to, plant the seed. 364 00:33:57,693.4211667 --> 00:34:00,793.4211667 Like maybe, wait, maybe there's something else that I can do. 365 00:34:00,863.4211667 --> 00:34:03,623.4211667 And that goes the same with herbs and supplements. 366 00:34:03,653.4211667 --> 00:34:06,403.4211667 And Ayurveda loves herbs and supplements. 367 00:34:06,403.4211667 --> 00:34:11,603.4201667 And I know, people are reading online sometimes hours a night and they're like, I'll try this. 368 00:34:11,633.4191667 --> 00:34:12,313.4191667 I'll try that. 369 00:34:12,313.4201667 --> 00:34:13,73.4201667 I'll try that. 370 00:34:13,373.4201667 --> 00:34:17,113.4201667 but not looking at simpler changes. 371 00:34:17,253.4201667 --> 00:34:24,593.4201667 And, there are some things, and this is what I say if you're going to try one thing, if you need one thing right now, take three breaths. 372 00:34:25,258.4201667 --> 00:34:26,378.4201667 It's free. 373 00:34:26,978.4201667 --> 00:34:31,18.4201667 You have 30 seconds to do that. 374 00:34:31,68.4201667 --> 00:34:37,28.4201667 Even if you do it when you go to the bathroom, like before you open the door, that really can change everything. 375 00:34:37,88.4191667 --> 00:34:41,98.4191667 I know it's so simple and there's like an old adage, take a deep breath. 376 00:34:41,338.4191667 --> 00:34:45,8.4201667 And it's like those, it's not really cliche, but it's true. 377 00:34:45,468.4201667 --> 00:34:48,8.4201667 And your body is getting the message. 378 00:34:48,218.4201667 --> 00:34:49,388.4201667 that everything's okay. 379 00:34:49,438.4201667 --> 00:34:52,828.4201667 In this moment, everything is okay. 380 00:34:54,338.4201667 --> 00:34:56,458.4201667 It's very important to understand. 381 00:34:56,458.4201667 --> 00:34:59,88.4201667 I'll give you my own example for a bit. 382 00:34:59,88.4201667 --> 00:35:03,508.4186667 And I been dabbling with technology and different devices. 383 00:35:03,508.4186667 --> 00:35:11,448.4191667 And one of the things that I started using and very, limited use was I was interested in knowing how my sugars were running through the day. 384 00:35:11,988.4191667 --> 00:35:17,558.4191667 And like most people, my cortisol levels are higher in the morning, and I get up pretty early. 385 00:35:17,598.4191667 --> 00:35:27,428.4191667 And so the patterns that I was seeing was that my sugars were slightly elevated in the mornings and then it came down during the day. 386 00:35:27,698.4191667 --> 00:35:32,748.4191667 I was like, why are my sugars that high though? So I realized it's the morning stress. 387 00:35:32,748.4191667 --> 00:35:45,648.4181667 So being on my phone, checking my emails, looking at social media, I'm not saying I'm perfect at it now, but one of the things that I started doing is I started meditating. 388 00:35:46,78.4191667 --> 00:35:56,448.4191667 In the morning, and it's like doing a blood test it, I looked at my sugars to see how they were responding to that, and my sugars were lower. 389 00:35:57,628.4181667 --> 00:35:58,558.4181667 Fascinating. 390 00:35:58,868.4191667 --> 00:35:59,458.4191667 Yes. 391 00:36:00,8.4191667 --> 00:36:02,48.4191667 This is not something we're making up. 392 00:36:02,258.4201667 --> 00:36:03,908.4191667 This is, physiologic. 393 00:36:04,118.4191667 --> 00:36:04,548.4191667 Yeah. 394 00:36:04,943.4201667 --> 00:36:05,853.4201667 Question for you. 395 00:36:05,863.4201667 --> 00:36:28,518.4211667 Have you ever worked with a client who came in on hormone replacement and not, again, not saying that hormones are bad, but where they took themselves off of the HRT? So I've had women who are about to go on it and they want to try one more thing. 396 00:36:28,528.4211667 --> 00:36:33,808.4201667 Like it's been prescribed to them and they're like, just want to try one more thing. 397 00:36:33,868.4211667 --> 00:36:35,638.4211667 And then they don't have to go on it. 398 00:36:36,238.4211667 --> 00:36:38,868.4201667 Because they feel so much better, at least for now. 399 00:36:39,383.4211667 --> 00:36:49,763.4201667 And I've worked with women, they're taking vaginal hormones and they stay on those because that's helpful for gyness and atrophy like that. 400 00:36:50,283.4201667 --> 00:36:57,503.4201667 Yes I think, my, my hypothesis is that even if you're balancing your hormones, the age factor is still there. 401 00:36:57,943.4191667 --> 00:37:14,137.0955417 And then once you go through perimenopause, and this can vary from women to woman, the local tissue effect in the vaginal area is not often improved with the lifestyle changes that you're recommending or even HRT. 402 00:37:14,827.1955417 --> 00:37:22,57.1955417 So if I have a woman on HRT, I still recommend that they continue with the vaginal estrogen. 403 00:37:23,567.1955417 --> 00:37:34,467.1955417 What I have heard is women who work with pelvic floor therapists physical therapists, I should say, who are specifically trained in that, that will help. 404 00:37:34,917.1955417 --> 00:37:36,717.1955417 I just recommended a woman. 405 00:37:36,717.1955417 --> 00:37:38,277.1955417 She's actually online. 406 00:37:38,287.1955417 --> 00:37:47,237.1945417 And when I spoke with her about all this, people, women often come to her with incontinence, which is really common in menopause. 407 00:37:47,287.1955417 --> 00:37:50,312.1955417 And they'll find that the dryness is improves. 408 00:37:50,542.1955417 --> 00:37:55,532.1955417 And maybe they're still going to take the hormones, the internal hormones, but it does help. 409 00:37:56,192.1955417 --> 00:37:56,552.1955417 It does. 410 00:37:56,572.1955417 --> 00:38:04,662.1955417 It definitely can help with the weakened muscles that can happen, especially if a woman has had children. 411 00:38:05,27.1955417 --> 00:38:07,427.1955417 The pelvic muscles just become weak. 412 00:38:07,427.1955417 --> 00:38:16,157.1945417 So the pelvic floor therapy should be a first line recommendation for women who are experiencing an incontinence. 413 00:38:16,707.1955417 --> 00:38:29,377.1945417 So tell me How do you attract patients? Are you word of mouth? Do patients find you online? how do you get people to listen to all the wonderful things that you have to share? Thank you. 414 00:38:29,387.1955417 --> 00:38:30,487.1955417 It's changed. 415 00:38:30,537.1955417 --> 00:38:37,567.1955417 Since the pandemic I used to, have local I used to do international retreats and that was word of mouth. 416 00:38:37,567.1955417 --> 00:38:41,737.1955417 And from my in person classes, people would learn about me through there. 417 00:38:42,97.1945417 --> 00:38:44,57.1945417 But I still had an online presence. 418 00:38:45,87.1945417 --> 00:38:48,677.1945417 Lots of of recommendations and now the recommendations still come in. 419 00:38:48,677.1945417 --> 00:38:58,557.1965417 I I have done some, advertising online for some women and it's still word of mouth and through podcasts like this, where. 420 00:38:58,772.1955417 --> 00:39:02,992.1955417 Generous women like you are supporting us to help get the word out. 421 00:39:03,722.1955417 --> 00:39:05,292.1955417 I think it's really important. 422 00:39:05,552.1955417 --> 00:39:10,532.1955417 And I often say this, not just about menopause and perimenopause, but a whole lot of different things. 423 00:39:10,532.1955417 --> 00:39:30,512.1955417 I'll pick diabetes, since I was talking about blood sugar, no one medicine can necessarily do it all if you're eating crap and you're taking diabetic medicines, those, Two things don't necessarily equate, even though your blood sugars may be better on a lab report. 424 00:39:30,782.1955417 --> 00:39:35,112.1955417 It's still your diet and how you're treating your body. 425 00:39:35,652.1955417 --> 00:39:38,952.1955417 It's going to take effect in different ways. 426 00:39:39,322.1945417 --> 00:39:49,657.1955417 So the lifestyle, of, What we're eating and when we're eating and less of the processed foods and more sleep are highly important. 427 00:39:49,657.1955417 --> 00:39:53,797.1955417 I, we haven't evolved enough to get away from that. 428 00:39:54,907.1955417 --> 00:40:00,267.1955417 So we still need to keep in mind, right? Those things are very important. 429 00:40:00,947.1955417 --> 00:40:01,337.1955417 And. 430 00:40:01,492.2955417 --> 00:40:12,602.1955417 I often find when I start talking about lifestyle issues, women think that I'm steering away from prescribing hormones. 431 00:40:13,62.1955417 --> 00:40:26,562.1955417 So how do you deal with clients that are hesitant to, let's say adapt to some of the techniques and recommendations that you make? It's a really good question. 432 00:40:27,112.1955417 --> 00:40:30,102.1955417 It depends on how bad their symptoms are. 433 00:40:30,242.1955417 --> 00:40:34,802.1945417 Sometimes women will come to me and they are like really not in a good state. 434 00:40:35,82.1955417 --> 00:40:37,792.1955417 I'll say, I, they need immediate relief. 435 00:40:37,802.1955417 --> 00:40:41,222.1945417 I want them, to see the doctor and they'll start those. 436 00:40:41,452.1945417 --> 00:40:47,742.1945417 And then we'll also start making the changes and, continue to see their doctor like that. 437 00:40:48,442.1945417 --> 00:40:54,832.1945417 And again some women want to do everything they can before they go on hormones. 438 00:40:55,212.1935417 --> 00:40:57,322.1955417 And what I'll talk about with them. 439 00:40:57,547.1945417 --> 00:41:00,377.1945417 As I'll say, you can always go on the hormones. 440 00:41:00,387.1945417 --> 00:41:04,177.1945417 Let's try and make some of these changes burst. 441 00:41:04,717.1945417 --> 00:41:11,107.1945417 And that often, I worked with a woman and she was like, I didn't think I could get through menopause without hormones. 442 00:41:11,277.1945417 --> 00:41:14,27.1945417 That was just the narrative that she had heard. 443 00:41:14,457.1955417 --> 00:41:16,707.1955417 And it was very interesting. 444 00:41:16,707.1955417 --> 00:41:24,467.1945417 She was going through a stressful time and she had some night sweats, but she was going through a very stressful time and and wasn't eating as well. 445 00:41:24,467.1955417 --> 00:41:26,987.1955417 And she had her first hot flash during the day. 446 00:41:27,217.1955417 --> 00:41:34,137.1955417 She was so aware that she knew exactly what had caused it and she was not going to make that choice again. 447 00:41:34,557.1955417 --> 00:41:36,677.1955417 So that's what I would say to her. 448 00:41:36,797.1955417 --> 00:41:49,697.1955417 It's like with surgery, with non life threatening surgery that I used to work with with women that had some sentiment injury, I was like, you can always have the surgery let's see how far we can go without this. 449 00:41:50,217.1955417 --> 00:41:56,637.1945417 That's the approach that I usually take, I actually don't put women on hormones immediately. 450 00:41:57,27.1945417 --> 00:42:09,727.1945417 So I try to make as many lifestyle changes, give it a few months, see what I can do, I, again, we can have the information, but without that support, this is what happened last night. 451 00:42:09,767.1945417 --> 00:42:25,247.1925417 And I do a lot of tracking so that we have some data, what time did I go to sleep? What time did I eat? And how many hot flashes did I have in the middle of the night or the night sweats? just simple things that how bad was it? Because often just the tracking Oh my gosh, it's so clear. 452 00:42:25,587.1925417 --> 00:42:46,867.2935417 And then when it's clear, it's you can decide because if you don't know Or you hear Oh, of course I need more sleep, but how are you going to get that extra sleep? Where is that going to come from? And understanding that these are choices that you're making that are going to not only affect how you feel now, but for many years to come. 453 00:42:46,947.2935417 --> 00:42:47,657.3935417 So it's. 454 00:42:47,882.3935417 --> 00:42:56,362.3935417 The information is amazing, but having someone by your side to help you through this it can be what makes all the difference. 455 00:42:57,562.3935417 --> 00:43:06,682.3930417 Marjorie, for our listeners, how can we find you? How can we learn more about the pericycle lift? Share your handles on social media. 456 00:43:06,692.3930417 --> 00:43:10,582.3940417 So my listeners can find you as readily as possible. 457 00:43:10,947.3940417 --> 00:43:13,147.3940417 Yeah, so my website is MarjorieNass. 458 00:43:13,147.3940417 --> 00:43:16,967.3940417 com and all of my links are on there. 459 00:43:16,977.3940417 --> 00:43:18,427.3940417 I have YouTube. 460 00:43:18,697.3940417 --> 00:43:24,207.2930417 And I have some videos on there, which is really a way to get to know me. 461 00:43:24,207.3930417 --> 00:43:27,937.3930417 I was also just on a really great holistic menopause summit. 462 00:43:28,7.3930417 --> 00:43:31,27.3930417 So it's a really nice conversation that I have there. 463 00:43:31,317.3930417 --> 00:43:32,667.3930417 And I would love to support you. 464 00:43:32,667.3930417 --> 00:43:38,647.3920417 Anyone who is listening to this, we can have a 15 minute, I call it perimenopause assessment. 465 00:43:38,677.3930417 --> 00:43:44,967.3930417 So we can talk about the lifestyle issues that I know are affecting you and what would be the next steps. 466 00:43:45,452.3930417 --> 00:43:47,682.3940417 Sometimes are not inevitable. 467 00:43:47,942.3940417 --> 00:43:57,362.3940417 So whether you are just starting and you begin to dread what's going to happen because your sister, your friends are all going through it and they said, just you wait. 468 00:43:58,267.3940417 --> 00:43:59,977.3940417 That doesn't mean that's going to happen to you. 469 00:43:59,977.3940417 --> 00:44:00,857.3940417 You're an individual. 470 00:44:00,857.3940417 --> 00:44:07,177.3940417 You can make different choices and it doesn't have to be like this miserable time of life. 471 00:44:07,197.3940417 --> 00:44:08,257.3950417 It is mindset. 472 00:44:08,317.3950417 --> 00:44:10,117.3950417 It is habitual changes. 473 00:44:10,327.3950417 --> 00:44:12,757.3950417 But just know that there's hope out there. 474 00:44:13,277.3950417 --> 00:44:14,617.3950417 I totally agree with you. 475 00:44:14,767.3950417 --> 00:44:16,352.2960417 So it's not this. 476 00:44:16,452.3960417 --> 00:44:27,212.3965417 Thing that we should be dreading things happen at times where we do experience certain issues, but yeah I don't like to lead by just wait and see what happens to you. 477 00:44:27,622.3965417 --> 00:44:29,932.3955417 That becomes more of a negative mindset. 478 00:44:30,82.3975417 --> 00:44:34,272.3965417 I feel so it was absolutely wonderful speaking with you. 479 00:44:34,272.3965417 --> 00:44:48,402.3955417 I've learned a lot and I really think that you can help, Support my job as a woman's health specialist and obviously help a ton of women out there who really need your help. 480 00:44:48,902.3955417 --> 00:44:49,292.3955417 Thank you. 481 00:44:49,292.3955417 --> 00:44:54,632.3975417 This has been such a delight and I would be honored to support any of your patients. 482 00:44:54,632.3975417 --> 00:44:58,732.3975417 And don't forget to like, share and review my podcast. 483 00:44:59,282.3975417 --> 00:45:03,72.3975417 Remember, it's always ladies first on Soma Says. 484 00:45:03,372.3975417 --> 00:45:07,32.3975417 Let's make a difference one conversation at a time.