Hormones Shape Every Woman’s Life | For Mannerless Women - Legally Clueless

Episode Transcript
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Speaker 1 (00:00):
Welcome to for maneralist women. I'm your host, A Delo Yango.

Speaker 2 (00:03):
And this is a space that is committed to naturing
a new generation of shame free women who are ready
to meet their best selves. In this episode, we're diving
into the wonderful world of homones. And helping us do
that is doctor Amanda Kenya, who is a holistic obstetrician
and gynecologist who is particularly.

Speaker 1 (00:23):
Passionate about homones. First of all, we thank you for
making time to deal with us. Thanks you, thank you
for having me and the work that you do.

Speaker 2 (00:42):
Like, I really appreciate especially African women in the medical
field who are helping other women understand things that impact
our health.

Speaker 1 (00:52):
It's so refreshing to see someone who looks like you,
I know, and it's such fulfilling work. And it's actually
the best part of my job education and breaking down
breaking down complex things a simple way that everyone can understand.
So in this episode we're focused on homones.

Speaker 2 (01:10):
Right, tell me why we never or like when we
talk about our health, we always separate our homes.

Speaker 1 (01:18):
Why shouldn't we do that? Like? How do homones impact
our health in general? Right? Yeah, it's so good that
you asked that question the way you did, because I
only say hormone health is equals to health. There's no
health without hormone health. So even if even outside of
women's health, if you're talking about diabetics with insulin, which
is a hormone, if we're talking about tyroid illness with

(01:39):
the thyroid hormone, so do our hormones have a very
very important partic play in our general health. And like
we're talking earlier, it's not just about fertility and getting
pregnant is staying pregnant, And it's not just about periods
and whether they're regular or not. It's also about your
mental health. It's about your bone health, it's about your tails.

(02:00):
Because women's hormones affect almost every organ in the body,
so it's important for us to know what hormones are,
which ones we have, and how they impact us throughout
our life stages.

Speaker 2 (02:11):
It's so interesting that you bring up homones outside of
fertility and say periods, because I think even for me,
I never used to think about them outside of oh,
it's almost back period.

Speaker 1 (02:23):
That's why. And even then it's from a very general
or when someone says I'm feeling hormon all right, yeah,
and so there was and my doctor came on in
the first season, there was a situation where I was
not sleeping right, and I've never had sleep issues. And
then just three days straight, I tried all the white

(02:47):
noise on counting and I was just that three I'm
still counting, and I was just like, what is happening?

Speaker 2 (02:55):
And when I finally went to see and we did
all my work, all my tests, she was like, my cortisol.

Speaker 1 (03:00):
Levels were so high. She was like, you could have
counted infinity and you would still not sleep. And now
it's the first time I was like, hormones sleep, you know,
like outside of periods and stuff.

Speaker 2 (03:18):
So what do you feel women need to be aware
of in terms of women's health when it comes to
the hormones that impact us outside of periods and fertility.

Speaker 1 (03:30):
Yeah, which hormones and what do they impact? Right? So
we're going to talk about three main hormones today, Estrogen, progesterone,
and testosterone. Many women don't know that we actually produce
testosterone and it's actually the most bioactive hormony in our bodies. Wow, right,
It has a lot of functions everywhere, even even in

(03:52):
our bones, our brains, This is interesting because when you
say the first thing I need is like men, right,
But for example, your sex drive or libido is mainly
driven by testosterone, and so in later stages of life,
when you're having a problem with your libido, we test
your testosterone and if it's low, we can actually replace.

(04:12):
We can actually give your testosterone cream to help with that.
So as our cycle progresses, if you have a regular cycle,
these hormones are being produced in a very specific kind
of cyclical way. One goes up, one goes down, progestone
is rising. I don't want to get into the nativities
confuse people, but basically, these hormones are supposed to follow

(04:33):
a very specific kind of rhythm, like a play or
like a piece of music. And if there is any
point where there's a disruption, like if someone's phone starts
ringing in the middle of a concert, fields start going
haywire and you feel it. So most of what happens
is women feel these changes, but they don't know what's

(04:55):
causing them, and maybe they're not paying that much attention.
Maybe they're not journaling about their symptoms. And a huge
advocate for journaling about just your symptoms, not necessarily about
mental health. Ye, how is your body feeling when you
wake up in the morning? How did you sleep? Did
you wake up at two to three a m. Did
you wake up several times to pee? Are you still

(05:19):
tired after waking up? Are you hungry? Are you nauseated
at the end of the day as you're going to sleep.
What time is it? Are you sleepy? You know, if
it's you, it's probably like back then to be like
three am. Yeah, So all these things, it's important to
know what makes you feel what. So estrogen generally makes

(05:41):
you feel good, Okay, it's usually highest around as we
are going towards of relation, and that's why we're relating.
We're feeling good and we have energy and we want
to be out there right. And then after that, after
you o relate, the little fluid filled cyst that has

(06:02):
just released an egg, it heals itself up and now
it becomes what we call a copper slutium and it
starts producing progesterone. Okay, Now, progesterone, if it's not being
balanced so well by the amount of estrogen that's in
your body, it can do one of two things. Either
it's going to make you feel nice and calm, which

(06:22):
is why we even give progesterone later in life when
you have a bit of anxiety or you can't sleep,
you can make you feel nice and calm and sleepy
and relaxed. Or if it's a bit too much for
the amount of estrogen you're producing to balance it out,
can make you feel grumpy, moody, fatigued. Right. Progesterone is

(06:44):
mostly the hormone that is used to maintain a pregnancy,
so it's been produced in large amounts in pregnancy. So
when you think about a woman in a first trimester,
that's progesterone that's doing that sleepiness, the nausea, the moodiness. Yeah,
can really put you down. So that's why after ovulation

(07:04):
some women go into that little tip, right, because even
when you're when you're talking about the moodiness, yes, I
was just like, yeah, that's yeah. So until your period
comes and you're like, oh, so that's why I've been
feeling terrible. Right. I can't tell you how many times

(07:27):
you kind of like, I'm not too sure, it's so crazy,
like I've been having my period for so long. But
even sometimes when I'm in that zone, yeah, I'll be like,
why am I just so, what's happening. Yeah, and then
after a while my period comes, Like that's why, thank god,
I was supposed to I was about to book an
appointment by therapist, but I'm okay, I'm fine, that's good. Yeah, yeah, yeah.

(07:52):
So that's your hormones. Yeah, and if everything is going okay,
you might not notice anything untoward. But for some women
there are Soviet these symptoms we are describing can be severe,
like you had doctor Bundi on talking about that, so
I don't want to go too much into that, but basically,
when they're out of balance, it's not just your period

(08:15):
that's going to be affected. It's your mental health as
well and how you feel and later on in life,
your heart health, your brain health, and your memory, your skin.
You know, your teeth, your lungs, your liver, your digestion,
literally everything, your joints.

Speaker 2 (08:34):
That's why you say there is no health without without
home health. Yeah, exactly, because when you're listening all of
these things, I'm just like, I would never think my
teeth and hormones would be in the same sentence. So
it's so good to like be hearing this. Before we
get to some of the phrases, that women will experience

(08:56):
and just to understand what's happening hormonally there. We talk
about the balancing because when I'm hearing you talk about this,
I'm getting so.

Speaker 1 (09:06):
Just I'm me in all of our bodies. I'm just
like wow, this as you say, the orchestra is Yeah,
it doesn't matter if me I'm busy navigating traffic or whatever.
There's an orchestra doing your best. Yeah. I'm just like wow,
my body is like incredible. Right, when does the balancing happen?
And what affects the balancing that's outside of fertility and

(09:30):
very the balancing is happening every single minute. Why your
body is using everything you're giving it to make sure
the hormone the orchestra is going smooth. And what you
feed it, whether it's through your eyes and your ears right, wow,
your mouth, the food you're taking in the sense you're spraying, yeah,

(09:53):
the kind of physical exercise you're doing, how much you're sleeping,
how you're managing your stress. All these aspects of your
lifestyle are influencing your hormone balance and your hormone regulation.
I prefer the word regulation. Yeah, And if we don't
pay attention to what we feed our bodies, our hormone

(10:16):
regulation can go off and things that happening. But we're busy,
we as women are busy taking care of other people,
our children, our partners, work, We're carrying so many loads
and you don't realize, Oh, suddenly I'm really gaining weight
and you don't know it's just your hormones, right. Or

(10:37):
I can't sleep. I can't remember the last time I
had three years of sleep at a time, and that's
your hormones. Yeah, Or your relationships are becoming really strange,
your friends or your partner, and you kind of feel
like you're losing grasp, you're losing control. So many of
my patients who had hormone disregulation either because of pcos
or perimenopaus and menopause, once we get those hormones to

(11:00):
be more regulated, they're like, do you know what, I
realized that I don't want to be in this relationship
anymore my partner, or I realized that I need to
quit my Job's that's the part of my life that
just needs to be fixed. Yeah, so there's like a clarity. Yes,
clarity is a word. Clarity is a word. The other day,

(11:21):
one of my lovely patients who's had such a huge
transformation said, I suddenly have clarity, and it's like being
in perimenopause or having my hormones so low and suppressed
for so many years. Yeah, it made me not realize
that I was just going with the flow. I was
like a little empty bottle in a river, just being

(11:42):
blown wherever. Yeah, and now I want to be the
main character. I want to take control of my story.
And that's just because of romons. Can you imagine something
that you think is so small but it's actually so
big and it's so impactful, right, And which is why
it's so important for women to have this knowledge, because
I feel like when you're in that zone of dysregulation,

(12:03):
you know somethings off, but you're like, what, what is it?
What's going on? Because even like I don't know if
it's the right word to use, but like illness has
been presented to us as you feel pain or you
have a flu, like it's something you can see there
you can say, oh, this is something, but here it's
like I feel off, but like it can shout yeah,

(12:26):
I can't. I just in fact, the term is I
don't feel like myself. Women say that all the time
in my office, and I know exactly what they're referring.

Speaker 2 (12:35):
Yeah, you've touched on perimenopause and menopause, and I feel
like there's a lot of fear.

Speaker 1 (12:42):
Okay, let me not speak for a lot of women. Yeah, personally,
I'm trying to get all the information. Yeah, because I'm like, Hey,
I'm scared, guys, you guys are is this another storm
where I've been trying into how do I am?

Speaker 3 (13:00):
All?

Speaker 1 (13:00):
Right? So what is happening to us hormonally when we
talk about perimenopause into menopause? Yeah? Yeah, it's interesting that
you now introduce this topic the way you did, because
I do feel like a lot of us present information
in a way that is fearful and fear mongerie. Ye Like, okay,

(13:21):
So premenopause, menopause, I don't know. I hope you're ready,
you know. I try to present it in a way
that I hope you're ready, you know, and I can
help you be ready. This is how we can be ready. Okay,
let me start with menopause and then walk work my
way okay backward. Yeah, So menopause is defined as twelve
months without a period. Okay, it should sound which shouldn't

(13:44):
be heaven, but it's sure and it is in a way.
You can make it heaven. Everything's up to you. Yeah.
So that day when it's reached twelve months without a period,
that's menopause, and the day after that your postmenopausal for
the rest of your life. Right. So now up to
fifteen to twenty years before that time, you can you're

(14:04):
in perimenopols or you can start having experiencing perimenopol symptoms okay, okay,
which are similar to menopause symptoms. Okay. The only difference
is you're still having a period or you're not having
a period. Okay, right, So that need it can start
in your statis right, twenty is that, Yeah, and you

(14:25):
can be feeling great. If you're feeling good, there's no issue.
Don't let anyone make you do anything to extra just
because you're a bit older. But if you start we
want women to know that there are some things they
can start feeling, and if they do feel them, there's help.
There's no need to suffer in silence. So usually one
of the first changes that you'll notice is your period. Okay,

(14:48):
your period might start coming closer and closer. Yeah, or
father and father part. You can become heavier, more painful,
or lighter. It can become irregular. Our periods are one
of the first signs that something is changing. And that
was the first time for me as well. I love
your word that something's changed, not something's wrong. I mean

(15:10):
it's a natural. Yeah, everything we're talking about is natural.
But how we deal with it is how it's going
to affect us. Yeah. Right, Then aside from your periods,
these your mental let me say, effect on how your
brain works, memory, word finding. Oh, this is what I'm

(15:32):
looking for. Like just just during our conversation, Earliel's right,
tell you making for a wife and then eventually found it.
It happens even outside of periment or but you find
it happening more and more commonly, it'll start affecting your
performance at work. You start forgetting things around the house,
blaming people, and then when when you find it, you
make it disappear because yeah, exactly, and your sleep, like

(15:59):
you talked about your mood, depression, anxiety, irritability, right, your
kids will start complaining that you're now becoming too strict
you have any tolerance for them whatsoever? Right, And in fact,
these symptoms that I'm talking about are so many about

(16:22):
one hundred Yeah, and we won't even be able to
get into all of them. But let's see, from your
head to your toes, almost everything would be affected. How
much hair you're producing. You start noticing hair thinning, Your
ears might become itchy and dry on the inside. You
might become more sensitive to certain sounds, like someone chewing

(16:42):
or dishes clanging right, like, why are you breathing? Why
can't I hear you breathing? Right? It's actually called menopause
ridge or for your menopause rigecause it's so nice to know,
because I do have a friend, she said.

Speaker 2 (16:58):
As she was getting approaching menopause, she could hear her
partner blink right, what's.

Speaker 1 (17:04):
Like, Oh my god, yeah, I know we're all linking.
Can you step on your eye lids? That's crazy? Yeah.
Even your sense of taste, right, any sense of smell,
like your favorite perfume is just not doing it for
you anymore, irritating you. Some food used to like you
don't like anymore. Your skin now is becoming really dry,

(17:25):
or you're developing adult acne. Yeah, your heart suddenly you
have palpitations. Yeah, you're hearing some skipped beats, or your
breathing is not so good anymore, you have random shortness
of breath, or you're developing asthma in perimenopause, your digestion suddenly,
you're not tolerating certain foods right, like oh these days

(17:47):
when I eat a tomato, I get acidity. Right, Just
random things wheat, lactose, your joints, joint pains, and the fingers,
the elbows, the knee that I'm close. Yeah, your bladder
now can become irritated because your blood needs as straten

(18:07):
as well, and you're peeing more often doing a day.
Sometimes at night you wake up twice or twice to peep,
or you know that if you get pressed you need
to run to the loo immediately or you leak, or
if you sneeze, you leak. Right.

Speaker 2 (18:23):
This is so interesting because one, I don't know if
there are different personas of patients, but I did realize
there's a point where I started and it just came
and then it went.

Speaker 1 (18:36):
I would wake up in the night so many.

Speaker 4 (18:38):
Times to pee, and I don't know why. For Google,
I was just like, this is this diabetic And She's like, no,
But I think it's important even as you're breaking this down.
Then when you're confronted with anything that's like.

Speaker 2 (18:58):
Now changing, you're not panicking, almost like okay, I.

Speaker 1 (19:02):
Knew something like this. Yeah, I know this, Cay come,
yeah exactly, I'm ready for this. Do you experience hot
flashes in PIM, Yes, you can hot flashes that's during
the day or even cold flashes. And then at night
you have the same You have drenching night sweats. You
have to wake up, change your sheets or you have
to sleep on a towel. You have to sleep with
that fun and then your partner, if you have a partner,

(19:25):
is cold, so you have to like angle late us.
It can it can be quite challenging. But yeah, hot
flashes can happen as well. And then as we keep
going down to the genitals, Yeah, your valva and your vagina,
So your valva is everything thatlse outside, and you have
vagina is the passage inside can become dry, irritated, thin,

(19:49):
and so that can cause painful intercourse and it can
cause an increase in urinary tract infections and vaginal infections
because now the tissues there are not as sturdy as
they should be. Your lips can become so thin and
start being resolved, and your small labya can disappear as

(20:11):
you get older. So it's important for us to know
that these things are preventable, yeah, if caught ali and
also reversible. If this is something experiencing, there's a way out.
Should not suffer alone. I just love hearing what you're
saying because it's also reminding me of Harry Berry, right,

(20:31):
her story.

Speaker 2 (20:32):
She's been sharing her story and I actually thought, actually,
that's true. I remember listening to an interview she gave
and she thought menopause would never happen to her, and.

Speaker 1 (20:41):
Actually thought, yeah, I think maybe because you see it
as an illness, right, so you're just like, no, and
not just this stage of woman. Yeah, right, that is inevitable,
and that is in fact a blessing because if you have,
if you're in menopause, you've lived long enough to be

(21:02):
in menopause, right, And that's a gift that not everyone has.
And so we should not take it as the beginning
of your decline, the beginning of the end, but rather
just a new stage, a new chapter that opens up
so many other possibilities and opportunities.

Speaker 2 (21:18):
And now these options to make you as comfortable this process.
I remember when she talked just when you're talking about
the vagina, she talked about.

Speaker 1 (21:29):
Wanting to enjoy sex and she finally had this partner
which was like, yes, it's odd, do it. And then
she has they have sex and she wakes up, she
goes to the bathroom and all of a sudden, she
can't move. She's in pain.

Speaker 2 (21:46):
And she did talk about the dryness and like I
can't remember the medical term, but it was misdiagnosed.

Speaker 1 (21:55):
First as her peace Oh wow, so you can imagine
that mosation and you have that man, yeah, is it you? Yeah?
What has been going on? You know, and then finally
doing her own research and realizing this is what I'm thinking,
and this is what I'm going through, right, And so

(22:17):
it's just maybe we can talk a bit about like,
even as your agent for women enjoying sex can be
you can still have a full sexual life that can
be enjoyed, right. Yeah, So that's not just for men.
You know, some women when they come to me, and

(22:38):
you know, they tell me about the symptoms they're having,
But since I know they might not be aware of
all the symptoms, I ask them about a few, like
targeted Okay, so we haven't talked about your sex life.
How is the libido? And then someonere like, for what, Yeah,
what do you mean for what? Is it something interested
in or do you just feel like there's no need

(22:59):
for it? Then as you talk more than like, Okay,
you know it's something I would like, but I thought
that now it's gone and there's no possibility yet there is. Oh,
you can imagine if you're feeling pain. Yeah, you just say, well,
it's not for me, but we could feel a pain. No, right,
you mentioned something else, which is post menopause, which I

(23:19):
actually have never even thought about. I just thoughts Ferry.
Then we get in and we're in menopause is actually
just one day? It's that day that marks twelve months.
A lotter period after that your post menopause. Yeah, and
so is postmenopause. Are we still carrying on these symptoms? Yeah?
Or is it just a lot of the time. A

(23:40):
lot of the time you have symptoms for maybe we
say seven around seven to ten years, but later studies
are showing that even up to fifteen years after menopause
you can still be experiencing symptoms like the hot flashes
were talking about in the Green fog. So it's important
for everyone to get individualized care. A lady in her

(24:01):
seventies who has been having these hot flashes and a
depression and anxiety for years, and she's just waiting for
them to stop because she's been told it takes five
to ten years. Right, But wherever you are in your journey,
seek help if you need it.

Speaker 2 (24:16):
Yeah, is there's something it will be such a waste,
like you writing for ten years agony and entertain or discomfort.

Speaker 1 (24:24):
Yeah, and maybe you could have been helped. Yeah. And
in the same way, someone who's much younger can still
go into menopause. We call that premature menopause, which can
happen for the age of fourteen. Most of the time
we're not able to find out a specific reason, but
there's certain things like surgery or that affected your ovaries,
some infections in your childhood like mops that attacked the

(24:47):
over eaes, chemotherapy and certain things that affect your over
infection can make you go into menopause sooner, like in
your thirties. That's called premature ovarian insufficiency. And so a
woman in athat is going to be experiencing hot flashes,
night sweats, depression, vaginal dryness, and it won't even cross

(25:07):
her mind that this could be perimenopause or menopause because
of her age. Yeah, because of her age and what
society knows to be Menopauds are conditioned, right, So it's
important for us for all women and men, yes, to know,
just have awareness. Yeah, so that if you hear or
see something, just let someone know. Hey. I think in fact,

(25:29):
many of my patients who come they say someone told
them I think that's perimenopause. Yeah, it's not them just
randomly thinking I'm not. Is this which is so wonderful? Yeah,
it is like group find out or you just mentioned
something so casually someone and they're like, I think you
should say a guiny. Yeah. Yeah. It's funny because I
was at a forum recently and we were talking about

(25:51):
menopause and I was like, ladies who were slightly older
than me talking about the hot flashes and they're walking
around with fans. Yeah.

Speaker 2 (25:58):
One of them talked about being with their mom and
experiencing a hot flash and you know Russian for the
fun like, she was saying, you could I'm not really experiencing,
but she said, you can feel it coming, so you
quickly like are like waves and then her mom was
like so she was telling her mom, no, these are

(26:19):
the effects.

Speaker 1 (26:19):
I'm like getting periment and her mom was like, ah,
what is that? How old are you? Then she said, ah, yeah, yeah, yeah.
That's also when I started harrying a fan, right, And
we were saying, yeah, we always had those aunts who
are like funing, furious other family, but we didn't We
didn't know what they know. And even I guess for them,

(26:41):
there was no conversation. It was like the hush thing.
It was seen as you know, there was a lot
of stigma around it. There still is, to be honest,
but maybe much less so. And so they weren't talking
about it. They weren't seeking help. It's just something I
manage on my own. I know it's natural, and this
is what we do. This is what we go towards women. Yeah, changing,

(27:01):
And I want to understand in terms of the three
homes we talked about when we start going to perimenopause,
what happened. Yeah, So remember when I said after twelve
months of no period, that's menopause. That's when all the
hormones are low almost zero for some women, extremely low.
Estrogen is down, protesterone is down, Testosterone is down. Now

(27:24):
during perimenopause, which is up to twenty years before menopause,
these hormones are fluctuating, so they're not necessarily low all
the time. When they're low is when you're having your symptoms, right,
So one day. That's why we don't test hormones to
diagnose perimenopause, because I can test your hormones now, all
of them, estrogen, protesterone, testosterone, Everything's wonderful and fine. Yeah,

(27:44):
six hours later, I can test them again and everything
is zero. So that's why we use primarily your symptoms
to make a diagnosis. So during perimenopause, your humones are
fluctuating in a very irregular and unpredictable manner. The orchestra
is drunk basically, or the conduct and it's a mess.
So your period is all over the place. Your mood,

(28:06):
your mental equity, your heart, your digestion, everything is just
not going according to plant for the way it's opposed to.
And usually after that fluctuation, then things start going down slowly,
and the first thing to go down is progesterone. It
starts going down the soonest and then that's what affects

(28:26):
your mood, that irritability, a little bit of depression, the
feeling low, unable to sleep, feeling agitated. Yeah, and then
estrogen follows, and that's when we get the hot flashes
and you know a bit of central weight gain or

(28:49):
difficulty losing weight. Someone will tell you, you know, I
haven't changed my diet. My physical activity is the same,
but for some reason, I'm just putting on fat in
the middle itch section match WI t do no matter
which diet I go on. I've tried intermittent, I've tried that,
I'm working out like crazy. It's your hormones. Yeah, right,
And so in the stage of life, we cannot use

(29:10):
the same strategies to maintain our physics the way we
want as we did when you're younger, because the reason
is different. Yes, the reason is different. It's not because
you're over eating or you're not exercising. Yeah, to your hormones.
And then testosterone is going down throughout yes, steadily. Yeah,
And that's why we have the symptoms when we do

(29:31):
and the way we do. So what can we do
to ensure, like, I really want women to have full
lives because already society once we cross I want to
say even thirty, right, Yeah, they start treating us as
though our value is now gone. Yeah, which is crazy,

(29:55):
which means like our value, we're only worthy for what
twenty years, if at all? Because you know what I mean,
which is just so terrible. Like you, I want all
women to live a full life.

Speaker 2 (30:10):
Very comfortable, and that they can be whatever they want
to do and not feel like, you know, I can't
do this because of this, right, So, how do we
manage this process as we go into perimenopause and menopause
so that it's a bit smoother.

Speaker 1 (30:26):
Yeah, So I like to have a holistic I like
to do holistic measures managing someone's symptoms or even if
they come without symptoms and they just want to check up.
We are not just going to be prescribing things. We
want to make sure that every aspect of your lifestyle

(30:47):
is supporting your health goals. Right, So let's start with nutrition.
You had Michelle here on a research episode talking about
how to eat, how to get in enough proteines. So
in the stage of life, we really like to support
your body with a Mediterranean diet that's been sure to
be a really healthy diet and has lots of healthy fats.

(31:11):
It has whole foods, all cabs. You know, I like
to tell women now in the stage of life, whatever
you're eating needs to resemble as much as possible what
it looked like when it came out of the ground
or from the animal. Right, chaparty is great. Actually, after
talk recently, I said, I ask the audience, does your

(31:33):
party look like anything that came from God? And then
everyone is like, yes, it looks like manna. Like I
feel you and to shave, just trying to really trying
to hang on. There's nothing wrong with eating your favorite foods.
But now we're gonna try and reel back, and instead
of completely removing the things we love, we're gonna start
adding things we need. I like that, right, so have

(31:57):
your chair party have whatever, but add that five, I
add that protein that you need. Leave your sugars for last.
You know, even order I need to eat food on
your plate makes a difference. Wow, how high your glucose
spikes after our meal, which relates to how high your
internem spike depends on order you need to eat your food.

(32:17):
So let's start without fibers, so that's any badges on
your plate. Then we go to proteins, then the carbs,
and last sugars, and sugars include fruits, and I think
that's why they designed the meal to be the way
it is, so desert comes last the sugar. How often
you go to a restaurant and you're like, you know
what starts with desserts? Do don't do that? And that's

(32:40):
why they sell they have a salad. But first, right,
there was reason to that rhyme, and so nutrition is important.
And when someone comes to me with symptoms, that's the
first thing of me to discuss. I always ask, what
did you have for breakfast? Usually the answer is nothing, Yeah,
you're rushing out. You're rushing out. Then we go through

(33:04):
all their meals and we realize, first of all, you're
not eating enough to lose weight. Your body is hanging
on to what you have because like, okay, clearly I'm
a soldier going towards it's tough out here, and we
need to hold onto everything I have. So we need
to eat more, but eat better. Right. And then the

(33:24):
next thing we discuss is physical activity, and it's gonna
be really daunting for a lots of women, especially in
the perimenopause space, who have never worked out before. And
so I say, you don't have to join a gym
and start learning out to you all those big scary machines.
You can just start from home. You can get some
dumb bells for gimia. And I try to make it

(33:44):
so easy. I send a document that has links to everything. Okay, yeah,
because you're thinking now, which you know, and that's another
bottleneck and you might not like make it task. Yeah,
you'll stop there. So I tried to make it easy.
Which dumb else? Which are YouTube dividis you can follow
or if possible, I can send you to if you
have the resources, I can send you to someone to

(34:07):
guide you through that process. Even with the nutrition, I
can send you to a nutritionist if you feel like
you need that extra help. Right then, after nutrition and
physical exercise, the next thing is oh and while we're
still on the exercise now, in the perimenopods and menopause space,
our goal should not be just fat loss, but building muscles. Okay,

(34:29):
This muscle is what is going to protect us and
protect our bones as we get older. We need to
be stronger. We need to be able to get off
of a floor on your own without assistance. We need
to be able to have a small trip and fall
and not break, not a fracture or your wrists or
your hip. Right, I'm sure you know of an older

(34:52):
lady in your family who's fallen and had a fracture
and it's a crisis. Yes, it is. And in fact,
if that happens, you a markedly reduced five year survival
rates because now your bed bound for longer aio of time,
your mobility, everything just starts going down. It leads to depression.
So we want to protect our muscles and our bones,

(35:13):
and that is done through resistance training. So even our
physical exercise is now not going for all the rands
in the walks in the world. Those are great, and
operate them, but put an emphasis on resistance training, which
doesn't necessarily mean lifting heavy weight, but it's how you
use the weights that you have. And I think Michelle
talked a lot about that episode. I really hope many

(35:34):
women watch it. Then after that it's the mental health aspect.
We need to manage our stress. Yeah, if managing stress
means removing people, yes you might survival man. Yeah, this
is put yourself fast forwards. Yes, I always say, like

(35:55):
a good market when you think about the most peaceful
time in your day. Yeah, it's like my morning.

Speaker 2 (36:01):
And so I'm always like, would you be okay with
that person being there during this space?

Speaker 1 (36:09):
Would they make it better? Or yeah? Would they take
away from it? Yeah? And there's some people I'm like, oh,
it would be great, Yeah, they would do their other day. Yeah,
we do my all day. And then some people I'm like,
I just would not survive exactly that that would be
my mark. I'm yeah. So even if it's a friend,
your partner or whatever, obviously your children may not be
able to be removed. Yes, if it's a job, a

(36:32):
lot of women in impairmentopause are quitting their jobs or
you know, going into different careers, even going to study
something new because you just want to change careers, like
this is just too toxic for where I am in
life now. If you need support with that, like getting
a therapist, having a strong support system, it's really important

(36:52):
because you can't also separate mental health. You can be
doing everything eating right, taking all your sup working out,
but in here it's a complete and it does affect
anything right, like you with your quarter. So that needs
to be managed as well, and we should be able
to provide people with resources to help with that. And

(37:14):
then the next thing is supplements, right, targeted supplement you So,
I like to say because sometimes women come to me
with like a paper bag full, it's what I'm on?
What should we act like? Run? Is so like you
need this exactly exactly how to try? So someone is

(37:37):
on every day and yet they're not really knowing what
is causing what. These supplements have side effects as well, right,
in which one is causing a side effect? Are they
doing anything? Are they from a reputable company? Because men pause?
As much as the awareness that is being made recently
about it is mostly positive because now women know, but

(37:59):
they're also taking advantage. Yes, right, Yeah, so we try
to give you a targeted supplement regimen for yourself if needed. Yeah,
you check your vitamin D leveled. Vitamin D is a
pro hormone, so it's used to make lots of hormones
in the body and our homes are going, hey what
are doing a period of time, So it's good to

(38:20):
make sure vitamin D is up there and not even
the lab ranges that we use in this country. Ask
your doctor for the ideal range that they want your
vitamin to be at. Right, they should know apart from
vitamin D, magnesium is great. So I think you mentioned it,
so I really want.

Speaker 2 (38:39):
I was that woman who okay, I didn't have many Yeah,
I only had one supplemental staking it is.

Speaker 1 (38:46):
No doctor had told me to take it. Yeah, it was.
My sister was saying it, and she she was like,
I think my I don't get homos anymore. I think
it's this something that I was like, Oh okay, so
I was on zinc. I was saying crit I didn't. Yeah,
most likely you be meaning you don't have acne or
anything like that.

Speaker 5 (39:07):
So my doctors just like, why shave your leg, my sister,
And it can't be new.

Speaker 1 (39:19):
You've got information from someone.

Speaker 2 (39:21):
Yes, And I actually didn't know before that that doctors needed.

Speaker 1 (39:25):
To be involved when it comes to supplements. I genuinely
thought it was just like we have the same there's
no and all supplements are good. You know, you pick
you reason. For example, it makes it makes me relax
and sleepy, but for some people it has what we
call a paradoxical effect. You can give you anxiety palputations.

(39:48):
So you see, if you're just taking the supplement at
any door, yes, without guidance, you might start to wonder
what's going on.

Speaker 2 (39:56):
And which one because I remember the time I had
issues with my digestion as well. So even the magnesium
i'm on with not what many women get on.

Speaker 1 (40:09):
Yeah, right, you're probably taking an oxide or citrates, right,
and so can give you diarrhea.

Speaker 2 (40:16):
Yeah, and now I had to really listen to my
doctor and like still certain things with Ye.

Speaker 1 (40:22):
She's like, now we can move from this, you know
what I mean, But like I don't think we actually
understand that. Yeah, because supplements don't have a prescription, not regulated,
anyone can put anything a supplement and then at the
bottom these a disclaimer this has not been you know,
proven or whatever on your own. All the best though,

(40:44):
thanks for purchasing. Yeah, that's a bit unfair. So always
try and have some guidance. And you know, now information
is so widely available online. Even to get reputable information
is just look, look and make sure that the information
maybe is coming from a university website or a hospital website.

(41:06):
Just make sure it's not just a random blogger giving
this information. So that you can protect yourself and their health,
right and not what works for So I even never
really post how much magnesium helped me because I was
that person who heard oh that sound like No, I
don't want to like I don't want someone to see

(41:28):
this and be like yeah, okay, just like yeah please,
But you know, I think magnesium is pretty safe. Yea,
talk about it, talk about it, Let women know, Let
them know, and then they can look for more information
else to might sleep with courage. So glad. Yeah, okay.
So apart from apart from vitamin D, magnesium, this fish

(41:50):
oil which is really important O Maga three or you
can just take cord liver oil. It has a perfect
balance of retamin D, retimin A and and omega threes
right and also again not to omega three, six and
nine okay right, three specifically because nine can be in
pro inflammatory. It can actually be making things worse because

(42:13):
as our homons are fluctuating during this period of life,
and when estrogen specifically is going down in the menopause,
then that estrogen is anti inflammatory. So after menopause you
are in a pro inflammatory state and you need things
that reduce information in the bad yeah, because now that
the is like, yeah, really low. So if you add
things that are going to yeah, you're not helping. If

(42:34):
you're taking processed foods. If you're living a sedentary life,
the inflammation is just piling on, putting your risk of
more cancers and heart disease and weighting. I think I've
only mentioned ashwaganda for women to try calm down. So
these are some of the common supplements that I consider,
and specific ones for different symptoms that someone is having. Yeah, okay.

(42:56):
And then finally that one of the the arms that
we used to fight these symptoms in permnopause is hormone therapy.

Speaker 5 (43:06):
Right.

Speaker 1 (43:06):
We used to call it hormone replacement therapy. Yeah, now
we're calling it menopause hormone therapy, okay. And the difference
is if a woman in her thirties, for whatever reason,
her ovaries are not functioning well, then she's not producing
the right amount of hormones for someone her age. So
we're going to give her HRT hormone replacement therapy. We

(43:29):
want her homon profile to resemble that of someone her age,
So we're giving a quite a high dose. That's hormone replacement.
We're replacing every year, and he's missing MDHD. Is us
simply giving you a small dose of hormones to relieve
your symptoms. We're not making you we're trying to make
you look at it, right, that's not necessary. We just

(43:50):
want to give you a little bit to help with
your symptoms. And if we're really thinking about dose age,
the dose of menopause hormone therapy is about a third
of the dose of hormones in the back control pill. Okay,
so women come fear fearful saying I was gonna say,
these hormones, but you are comfortable taking a bad control Yeah,

(44:12):
So now that you know that, the dose is much lower. Yeah.
And secondly, we're now not using synthetic hormons like the
ones in the back control pill. We're using bioidentical or
body identical hormones, which are an exact copy of the
hormones that your body is producing. You know, the risk
is much much lower. Yeah. Because I was gonna say,

(44:33):
I think back in the day, there was just like
when we only knew it as hormone replacement therapy, it
was like, oh cancer. Yeah. So, I mean as much
as I was scared, I didn't really understand it because
I was so young. But I was just like, oh no, no, no, no,
I don't want it. Does I don't want I'm like, yeah,

(44:53):
but your body's producing hormones. Yeah, right, But it was
just like we just we don't understand. Imagine telling a
diabetic intuline hormone is so dangerous for you and stay
away from it, you know, or someone with a thyroids.
It's just hormones. Yeah, how they are used, when they
are used, and the types of hormones is what impacts

(45:14):
the safety profile.

Speaker 2 (45:15):
Yeah, and so for when we stay in MHD, right,
it's patients specific, Yeah, isn't it right?

Speaker 1 (45:24):
It is. So again, those three hormones that we spoke
about are the same ones that we're going to be
considering to replace or to give you. Estrogen, progesteron, and testosterone. Okay,
so let's start with estrogen. Your estrogen going down is
what's responsible for most of the symptoms you're experiencing perimenopause.

(45:44):
So we're going to give you estrogen. It can be
given in form of appeal, which we tend not to prefer.
I'll tell you why. It can also be given through
the skin, so that's called transdermal. It's going through yours.
That's either through a cream or a gel or patch.
And then why we don't give it through a pill

(46:06):
as much as we can is because once the hormone passes,
it gets digested, just like anything else you eat, and
then anything that gets digested has to pass through the
liver for it to be processed. Now, when estrogen is
being processed in the liver, the liver produces satin proteins,
tiny tiny proteins that increase your blood clotting. So taking

(46:28):
an oral estrogen peel can increase the risk of getting
a blood clot and this clot can be in your
lungs or in your leg or your arm. That's called
deep vein trombosis, and we want to avoid that. So
why don't we just use the safer ones like the creams,
the patches, or the gels. In other countries they have

(46:49):
they're so lucky to have other formulations like sprays which
you can spray under your tongue, and rings which can
stay in your vaginal canal for up to three months
at a time. But for us, for now, we have
the creams and the gels and the patches which work
really well. Now, if I give you estrogen on its
own and you have a uterus, the lining of a

(47:11):
uterus is going to become thick and thick and thick,
and it's going to be unregulated, just thickening up, and
you're going to start bleeding irregularly. And this thick thickening
will increase your risk of getting cancer of the lining
of the uterus. So if you have a uterus, we
have to give you the young of as they the

(47:33):
young is progesterone. So we give you progesterone to make
sure that the lining of alluterus remains thain and that
we eliminate the risk of that cancer. And so this
progesterone can either be given as an insert in the
vagina or a cream, which we tend not to prescribe
because it doesn't absorb so well. Most commonly we give

(47:55):
it in form of appeal at night because it makes
you relaxed, It makes you so dated and feel for
some women, they feel a bit high. Don't get too excited,
don't get too excited. Yeah, so we give it at night. Yeah,
progestion makes you feel good right now. If you don't

(48:17):
have a terrus, yes, we can also give you progestion
for those other benefits, but we're really not trying to
protect the lining of anything. Yeah, So mostly we're going
to focus on giving you estrogen on its own, and
that's going to make you feel better with your symptoms.
And then if you have low libido and we test

(48:37):
your testosterone and it's low, then we can consider prescribing
a testosterone cream as well, which is applied daily to
help with your sex drive and it also happens to
help with brain fuck and energy levels and just makes
you feel like a go get out, better performance at
the gym and everything. But of course everything needs to
be regulated, yes to me, sure that it continues to

(49:01):
be safe.

Speaker 2 (49:02):
And so are you how long do you have this MHD?
Like is it a one time thing?

Speaker 1 (49:09):
Do you put? A great question? So first of all,
when do we start? Yeah? Right, you can start at
any time, yeah, but the best time to start is
within ten years of menopause. Remember menopause and twelve months
without a period. Yes, So once you go twelve months
without a period, if you are planning to start homo therapy,
try and do it within ten years of that time.

(49:32):
That is when it's the safest. So if starting later
is still possible, but you get the most benefits on
your heart and your brain when you start earlier. And
you can also start in perimenopause many women do. Okay,
so you can start in perimenopause and menopause preferably within

(49:53):
that ten years, but you can still start after. Everything
will just have to be individualized. Yeah, and then how long?
So before when we used to prescribe synthetic hormones, So
a synthetic hormone is a hormon that's like a copy
of a key. Right, your key that you naturally have

(50:14):
opens your door very easily, but you can make a copy.
It will still open the door. Maybe it'll jam, it
should be a bit finnicky. So that's the synthetic hormones.
So they still do the job that you know. That's
why we used to prescribe them, but they have a
bit more severe side effects and also the safety profile

(50:35):
in terms of breast cancer was a little bit higher. Okay,
so now that we're using body identical hormones. So back then, sorry,
we used to say five to ten years on the
hormone therapy because we wanted to stop these hormones as
soon as you can, because we're not so sure about
the safety. Now women are on hormones for as long

(50:56):
as the benefits outweigh the risks. Okay, and for most
and that is for life. The homes are not just
helping your symptoms. They're also protecting your heart from heart disease.
They're protecting you from diabetes. They are reducing your risk
of depression and anxiety. They're protecting your bones from becoming
weak and fracturing. They're protecting you from dementia and Alzheimer's,

(51:17):
and they're making you live longer, studies have shown. So
a woman will be like, so why am I stopping? Yeah?
Why just give me one lidies on why? Right? So,
unless there's something that comes up healthwise, there's really no
reason to stop. This is such good information to know
because I feel like what happened is, you know how
like bad news travels allowed them fast, We remained that

(51:42):
you got stuck there in two thousand and two, there
is also that huge study came out and we ignore
the later studies that you are dispelling it, right, Yeah,
I didn't even notice it because I do remember because
my mom my mom passed away from breast cancer. So
if I risk own, I just but it's not for me,

(52:05):
absolutely not. So it's good to understand even why, Hey guys,
this is safer.

Speaker 2 (52:12):
Yeah, because like, when you break it down, it makes
me understand.

Speaker 1 (52:16):
Okay, yeah, this is so far from back then. So
having a family member who had breast cancer does not
exclude you from being able to have homo therapy. I
thought it did, and I made that decision myself. I
had so thank you. Right, it's just fair. Yeah, it's

(52:37):
fair here. But once you have the information, you can
make a decision. Yes.

Speaker 2 (52:43):
And I just love that every what you're sharing brings
so much hope because I feel like when even before
we used to say the big m like monster, not
that you can.

Speaker 1 (52:58):
Do, it's gonna put you down. This gives you hope.
It's likeful, Hey, it's a new city. Help. And I'm
still going to be exactly exactly like I tell women,
like when you start feeling hot flashes all these changes,
don't see it as oh no, now everything is down here.
See it as okay, so now this is my chance

(53:19):
to change my lifestyle. This is my alarm. That's okay,
we can do better. Yes, and let's do that even
kind of fun, like trying to target your supplement and
actually shown, okay, what exercise is working for me? Now
my relationships, it's just a new look on life. Yeah,

(53:39):
so we did reach out to.

Speaker 2 (53:41):
Our community and we told them that you were coming
and if they had any questions.

Speaker 1 (53:46):
Around hormone health, around hormone therapy.

Speaker 2 (53:51):
Now, so there are what questions would they they send
in for you, And so we got Sally who sent
in a question. We're going to take a listener or
watch to the question and then we'll be right back
with the answer.

Speaker 3 (54:05):
Hi, Adele, thank you for this opportunity. I have two
questions for the doctor. The first one is does hormone
replacement therapy increase the risk of cancer? And does the
risk differ based on the type of hormone replacement therapy issue,
for example, estrogen only versus combined therapy. Then my second

(54:25):
question is can hormone replacement therapy, especially topical of vaginal
estrogen help improve the symptoms in patients with licends littlesess?

Speaker 1 (54:36):
Thank you, so thanks Sally for your very very serious
two questions, very very yeah, brilliant questions. Yeah, and question
especially first one that I answer often. So when she
asked about cancer, I'm going to assume she's talking about
breast cancer because that's the most common cancer we're referring to.

(54:57):
When we talk about risk of taking and oppose hormone therapy.
So it's a nuanced conversation. I'm not going to pretend
like it's black and white. Yeah, right now, if you
don't have a uterus and we're giving you estrogen on
its own, you do not have an increased risk of
breast cancer, Okay, And depending on which estrogen you're using,

(55:19):
your risk of breast cancer might actually go down.

Speaker 5 (55:23):
Right.

Speaker 1 (55:23):
Interesting, Now, if you have a uterus, we're also giving
you progesterone to protect your uterus. Now, combining the progesterone
and estrogen does increase the risk of breast cancer by
a very very very small percentage, right, But again, it
depends on when we start giving you that hormone, how

(55:46):
long we're giving it to you, for which progesterone specifically,
and the formulation as well. So if we are using
the current guidelines recommend that we use the body identical progesterone,
which is called micronized progesterone, as opposed to the synthetic
lookalikes that we used to use before. So even later

(56:09):
studies done as early as last year are showing that
using this type of progesterone has almost no risk of
increasing your risk of has almost no risk of breast cancer,
and so now we know that it's much much safer
than we thought. The risk of breast cancer is higher

(56:29):
when you are living a sedentary lifestyle compared to taking
menopods hormone therapy. If you're not exercising regularly, your risk
of breast cancer is higher than if you are taking
menopodshormone therapy. If you're having two glasses of wine at day,
your risk of breast cancer is higher than if you

(56:50):
are taking menopause homo therapy. So even as we're talking
about risk, it's important to put anything into perspective. Leaving
your house is a risk of not making it back life,
but we have to do what we have to do,
being able to put things into perspective and know that
this is relatively safe, and I think it's what I need.
I need to leave the house to go to work

(57:10):
to make money there. And in fact, now in people
who it's it's a condition or agoraphobia where you want
to stay home because you're scared something happened to you.
So it's pathological to avoid things that are beneficial to
you and that are safe because of a risk that
you have made bigger than it is.

Speaker 2 (57:32):
And even the other like putting into it into perspective
in terms of our lifestyles, things that are in our control,
like I can choose to move my more, I can
choose to reduce or not take any alcohol altogether. So
looking at risks from that perspective, then said, then makes

(57:53):
you say, okay, maybe I can still go this of
MHD and also redeals the same tile in terms of
my life.

Speaker 1 (58:02):
That's the modifiable risk factors. Some women are born with
an increased risk of breast cancer because of the genes
they have. They can't do anything about that, but they
can work on what they eat and how much they
move and their stress manageress, you know, so there are
things we can do. Let's focus on the things that
can change or we can change, rather than on risks

(58:25):
that are really small and the fear based thought process. Yeah,
okay and yeah. She also had the second question about
whether estrogen is used to treat like and sclerosis. So
like and sclerosis for the audience watching, is a chronic
inflammatory condition of the valver So your lips down there,

(58:48):
they become really dry and itchy and irritated, throughout, very uncomfortable,
and it's usually a very progressive condition and there's a
lot of scarrying from the tea, shoes are get inflamed,
and then there's the itching. It's really uncomfortable down there.
It's like having iced infection on steroids, like times are hundred, constantly, constantly,

(59:12):
And so she's asking about if estrogen cream down there
can help, and that's a good segue into using estrogen cream.
We'll get into that. But basically the main stay of
treatment of li Liken sclerosis is steroids, okay, and that's
usually going to be prescribed by a dermatologist. A high
dose steroid cream is going to be used to treat you. However,

(59:33):
adding estrogen, adding an estrogen cream down there can be
beneficial just to help with the comfort. So while they're
treating you with a steroid, the estrogen cream is helping
you to feel better, to be a bit soothed, and
for less inflammation to be in that area. So definitely
I would include it in a treatment plan for liken. Yeah,
that was such a good question. And what did you

(59:54):
want to add on about that estrogen? Yeah cream, So
most of my patients from the age of thirty five
to forty. If you walk into my office from thirty
five and above. If you walk into my office for
whatever reason, you're probably walking out with an estrogen feed prescription, right,
even if you didn't come for anything to do that. So,

(01:00:16):
like I said in Perimenopause and Menopause, estrogen is all
over the place, and a lot of the time it's declining. Now,
our genitals are very very sensitive to estrogen. So the
vulva becomes thin and eating like I told you earlier,
and you start getting your t's and your intercourse becomes painful.
You're not self lubricating as well as you used to,

(01:00:37):
and so we give you a very very small dose
of estrogen to use vaginally. I even send the video
of how to use it. I love it, And you
only have to use it twice a week forever because
the decline in your tissues down there is inevitable and
when it starts, it's progressive, right, So we want to

(01:00:58):
catch it ali, keep you juicy and comfortable down there,
and just prevent all these recurring totis and vaginal infections
that are coming, and also support your bladder. Yeah, do
you know what I love about this? Like I'm listening
to you talk, and I'm saying so many women will
watch this and acknowledge that nothing is wrong with I

(01:01:23):
think that even if we look at because we're talking
about the estrogen cream, right, if you're not arriving in sex,
yeah the same way you did back in the day. Yeah,
oh you're not even around.

Speaker 2 (01:01:38):
Yeah, you feel like something is wrong with you. And
if you have a partner who is not compassionate, kind
or aware, yeah, but they will make you feel worse
like you are the pro exactly. And so I feel
like now it's just like when you gift to them,
it's just this clarity of fire.

Speaker 1 (01:01:57):
First. Wait, so wait, it's not only me but all
number two there's nothing wrong, it's completely natural, right, Yeah,
but there's.

Speaker 2 (01:02:06):
Help, there's help and their interventions. So that I think
is like just so important. So to that woman who's
watching this right now.

Speaker 1 (01:02:15):
What is the next smallest step they can take towards
homone health, like like a really good homone health. Right,
So if you I'll speak to two different women, okay, right,
so if you have access, because we need to also
acknowledge that not everyone can just walk into a holistic

(01:02:36):
ecologists' offices, check my homemones. Homone tests are known to
be very expensive. Insurance doesn't cover many of them. So
if you're not able, I want you to know that
everything starts at home. So just start with the nutrition,
start with the moving, start with managing what you can

(01:02:59):
the more viable lifestyle factors, the stress, the stress, see
if that helps, right, and do your research. And there's
so much information out there. Start by watching this. Yeah
you're watching it. And then if you can, if you're able,
go and see a gynecologist and tell them you want

(01:03:21):
to know how your humans are doing right. No one
should say are you getting periods every month? Perfect? You're good? Yeah,
you want to be tested. You want to know how
things are looking, even if there's nothing wrong. It's just
an annual check. You want to see how fast things
are declining. You have time, you know, we have lots
of women come in their photos and they're like, now

(01:03:42):
I'm thinking of having baby. Ye if we had tested
that specific hormon, which is your anti milaium hormone, we
need two years prior, we would have known that you
didn't have much time, and now unfortunately it's too late. Right,
So we have conversations in the gay Nie, it's not
just for treating infection or putting a coil or starting

(01:04:05):
family planning. Yeah, it's also about planning for the future. Yeah.
So we were able to use lab tests and journaling
to sort of have a little peek into your future
and make decisions now that will impact you later. So
if you can make an appointment to see a holistic ecologist,
I would say, do that and tell them you want
a thorough hormone check and make sure when you live there,

(01:04:30):
you're living with advice about nutrition, living with advice about
physical exercise and tangible, tangible things you can do to
make yourself feel better. I love this so much because
then it's even I was at a forum where there's
a lady talking about it was a finance for us, yeah,
but they were talking about you can actually start putting

(01:04:51):
aside money yeah for your MHT like now, right, And
I said, huh, actually sad.

Speaker 6 (01:05:01):
That, but if you go see actually went now, you
can actually be like, Okay, so I need to start
thinking about four years from now, five years from now,
ten years from now, you know.

Speaker 1 (01:05:11):
And so that is such a wonderful place to be.
I think sometimes we think I'm going to like, I know,
when something feels terribly left, yeah, or when I'm pregnant. Yeah, yeah, exactly,
but there's so much more to be done in that office. Yeah,
thank you so much. I really enjoyed this tourisation. And
I just think, like you know, sometimes we've heard from

(01:05:34):
doctors when they start talking, we're starting like, what's that
word now because they pronounce it. No. I just feel
so empowered, right, and I'm just like, yeah, I know this,
this this, I'm so glad and.

Speaker 2 (01:05:46):
I see the link between fitness, nutrition, lifestyle, I hold
on your health right and just appreciating my body.

Speaker 1 (01:05:55):
So thank you for coming and thinking having the work
you're doing. Right. We really hope that you enjoy this episode.
In the description, we have all the links in case
you want to reach out to doctor Kenya and you
want to know more about scheduling that appointment, so you
can be like, Okay, tell me the status of my homewans.
Make sure that you like this episode, share it with

(01:06:18):
all the Manneris or almost manners women in your life,
and subscribe so that you don't miss out on the
next episode. And before I finalize everything, I also have
to say a big thank you to Polished Holmes who
are one of our partners here add legally to West Africa.
They are responsible for this wonderful sets that we have

(01:06:39):
and without the set, we couldn't be having this wonderful conversation.
So thank you to Polished Homes,

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Hormones Shape Every Woman’s Life | For Mannerless Women

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.css-14f5ked{margin:0;word-break:break-word;display:-webkit-box;-webkit-box-orient:vertical;box-orient:vertical;-webkit-line-clamp:2;overflow:hidden;}Hormones Shape Every Woman’s Life | For Mannerless Women