December 1, 2025 • 51 mins
Hot flashes aren’t the whole story. We sit down with Kaya Health clinicians Diane and Sierra for frank, science‑rooted talk about perimenopause, menopause, and andropause—and why so many of us feel “off” even when our labs say “normal.” If weight creeps up despite clean eating, sleep breaks at 2 a.m., or your moods swing without warning, you’ll learn what those symptoms signal and how to respond with smarter, safer care.
We break down what changes in the 40s versus the 50s, and why both estrogen highs and lows can feel confusingly similar. You’ll hear why bioidentical hormones are not the same as synthetics, how progesterone can calm night sweats and anxiety. We unpack pellet therapy pros and cons, outline safer dose‑adjustable options, and explain how delivery methods like topical estradiol can lower clot risk. For anyone with complex histories—including clots or cancer—we discuss risk‑aware paths, shared decision‑making, and why being heard matters.
Men, you’re in this too. Andropause brings a slow slide in testosterone that affects energy, libido, body composition, and brain clarity—and yes, you need some estrogen for cardiovascular protection. This is prevention, not vanity: better sleep before weight loss, nutrient‑dense food before pills, movement and muscle to protect longevity, and targeted bioidentical hormones to restore function, not chase youth. If you’ve felt dismissed by eight‑minute visits and “everything looks normal,” this conversation offers a roadmap to care that treats the person, not just the paper.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_04 (00:02):
Hey, welcome back or welcome to the Jesus Fix It
Podcast, the show where we talkabout life, the ups, the downs,
a little pop culture, andeverything in between.
I'm Jess and I'm Steph.
SPEAKER_03 (00:14):
Every other week we dive into the things we're
asking Jesus to fix.
And let's be real, there's alot.
You can always count on us tokeep it real.
SPEAKER_04 (00:23):
Share some laughs with us, and maybe a few tears
as we tackle the big and smallstuff with faith and honesty.
So grab your coffee and let'sget into it.
Okay, we're gonna start bysaying, guys, you are welcome.
Don't leave.
Don't leave.
We're talking about menopausetoday.
And very menopause.
Very menopause.
And anthropause.
SPEAKER_03 (00:46):
There you go.
Oh, don't we get the number?
SPEAKER_04 (00:48):
Do we know what that is yet?
SPEAKER_03 (00:49):
We're going to get into it, but it's the male
version, from what my tinylittle bit of understanding is.
It's the male version ofmenopause.
Okay.
It happens.
It's a thing.
So, men, stick a stick around.
You're gonna learn somethingwith us.
SPEAKER_04 (01:03):
Okay, but ladies, we know a lot of ladies have been
waiting for this episode.
And so we have actually beenwaiting.
There are so many questions.
Oh my gosh.
We're not teaching you anything.
We actually have experts here.
Oh, yeah.
Uh we have some friends with usfrom Kaya Health, and we're
(01:24):
gonna let them introducethemselves, tell them about
their practice and about whatthey do, and then we're just
gonna get into it.
And again, man, you don't haveto stick around.
We're praying you will, becausethere may be a lady in your life
who uh you just may need someeducation.
And uh there are some things foryou too.
(01:44):
So um stick around, enjoy theconversation.
We have been waiting for thisepisode.
And uh without further ado ado.
Ado and you I get to talk everyday.
No, like how is that that Idon't even know stuff know the
(02:05):
words and you know what?
Yes, you're telling me onMonday.
SPEAKER_05 (02:12):
Feels like it.
Um sorry, go ahead.
You're fine.
Um, so I'm Sierra.
I've been working at Kai Healthnow coming up on two and a half
years.
Crazy.
It is crazy.
Originally I went to JeffersonCollege of Health Sciences and
got my nursing degree, worked incardiac surgery, ICU for a
(02:34):
little bit, and then decidedthat I wanted to do a little bit
more um with medicine and have alittle bit more autonomy.
And so I went back to NP schoolthrough Liberty.
And during that journey, I gotto meet Diane and Dr.
Anderson at Kaya Health duringCOVID because I needed clinical
hours and they were the onlyones that would take me.
(02:56):
And during that, I got to fallin love with women's health and
hormones.
And Diane was gracious enough totake me under her wing, thank
God, and mentored me through thewhole thing.
And now I have been uhspecialized in bioidential
hormone replacement therapy, alittle bit of women's health,
and then direct primary carehealth.
SPEAKER_01 (03:19):
I am Diane.
I am a nurse practitioner.
I actually did not start mycareer in medicine.
I actually started inpharmaceutical advertising and
did um high-level management foryears.
Um, my husband was injured,couldn't get doctors to listen
um and actually treat theproblem.
They just wanted to do surgery.
(03:40):
And so I did what I tell mypatients not to do and studied
myself and treated him myself.
And today he still has not hadsurgery.
We're about twenty, almosttwenty years past that point.
But I realized, man, you know,I'm I I kind of push hard and I
ask a lot of questions and Idon't take no um very, very
easily.
So I went back to school, um,got my nursing degree.
(04:02):
I was a resource nurse, I knewexactly where I want to be,
never wanted to really teach,just wanted to um help patients.
And I love the natural, I lovetreating with food, with um it's
the least amount ofpharmaceuticals, the least
amount of anything that I cantry and treat with lifestyle.
And so I worked in traditionalmedicine with insurance for
years, kind of got run into theground seeing 30, 35 patients a
(04:25):
day, which is what the averagetraditional provider sees, and
decided I needed to do somethingelse.
Um, during that time, because Ilove the natural.
I'd been involved in hormonesand all that from the very start
of my nursing career and thenfurther on into my nurse
practitioner.
So, like Sierra said, we've bothbeen trained outside of just our
(04:46):
nurse practitioner degrees.
Um, we've taken additionalclasses.
I've been working with hormonesfor 10 plus years.
It's what I love, it's what Ibreathe.
I enjoy it very, very much.
Um, and so I just sent out threeresumes to different places in
Lynchburg and said, let the dicefall where they will, um and
we'll see what happens.
And Dr.
Anderson was uh gracious enoughto call me.
(05:08):
Our visions aligned, and kind ofthe rest is history.
So I've been working at Kaya.
I do a lot with hormones.
I had a dream come true lastyear, opened a PCOS clinic.
Um I myself have PCOSendometriosis, and I was told I
could never have children, and Ihave five beautiful children.
And with the training and whatwe do, Bolsier and I have helped
a number of women achievemotherhood that we're told
(05:31):
you'll never be a mom withbiological children.
So it's been amazing.
Um, really, really cool.
There's a lot of those storieson our review page as well.
So very rewarding.
Yes, very rewarding.
That's what we do.
Um, we love it.
Not just that, but like yousaid, about perimenopause,
postmenopause, andropause.
(05:52):
We work with it all every day.
SPEAKER_04 (05:54):
I can't wait to get to that word.
We're gonna talk about that.
We're gonna talk about that.
And we're gonna make sure thatwe link all of your information
and make sure that if anybodywants to know more about Kyer,
we're gonna make sure they haveaccess to the case.
For sure.
We've got that.
Yeah.
SPEAKER_05 (06:09):
The website explains most things.
Uh just questions answered, andthen you can always call the
office.
Yep.
And we're happy to pick up thephone and answer.
We're gonna make sure they haveall of your contact info and all
that stuff.
SPEAKER_01 (06:20):
Yeah, more providers coming in 2026 to help us out.
We are getting full.
Um, but if anybody's interested,yeah, for sure, go to the
website.
We've got a waiting list.
Um, both the new providers in2026 will be doing hormones as
well.
I oversee all the training andall of that.
But we're very excited aboutthat.
SPEAKER_04 (06:38):
Awesome.
We'll make sure to hook y'allup.
Well, I mean, with you knowwhatever you think.
I didn't mean for it to soundlike that, but you know what I'm
saying.
They're gonna hook info withinfo.
SPEAKER_03 (06:51):
Menopause and parry.
Yeah.
Just hearing those wordssometimes makes you sweat.
Well, it makes me sweat.
SPEAKER_04 (06:57):
You sweat anyway.
True.
Girl.
Um, some real talk about itthough.
Why is this such a hot topicright now?
I don't feel like five, 10 yearsago, people were really bringing
awareness to it.
And right now on my socials.
Oh gosh, it's people are talkingabout this.
(07:18):
And even my mom, she's I love mymom.
She's an old school mama, andshe's even more open to talking
about it because I think we weretalking about earlier before we
even cut the mics on.
We were talking about, you know,our generation, I'm 48, Steph,
you're 44.
You know, our parents, when theydid talk about it, you know, it
was hot flashes.
(07:40):
And, you know, your menstrualcycle will eventually end and
da-da-da-da-da.
And I just thought, oh, so I'mjust gonna sweat a lot.
And it's so much more than that.
You'll certainly do that.
SPEAKER_05 (07:51):
Yes, there's a lot more to it.
It didn't used to be a topic fordinner conversation.
It's not a dinner tableconversation, but now I think
with the internet and access toinformation, women are
advocating for themselves forthe first time because women's
health has been notoriously anunderserved segment of medicine,
(08:12):
because it will say it how itis, but it was a man's world for
a long time when it came tomedicine.
And so now women are reallysaying, Hey, I don't feel good,
and these other countries aredoing this.
I would like to be myself again.
That's what I hear the most, isthat I just don't feel like
myself.
(08:32):
Like this isn't me.
And they come in wanting helpand advocating for themselves.
Yeah.
SPEAKER_01 (08:37):
Social media has been a big part of it, you know,
because everybody talks abouteverything on social media.
So that's certainly been a bigpart of getting the conversation
out there, and it is a greattool.
It also can be a great nemesisbecause there's a lot of false
information on um social media,but it has been a big help in
getting the word out for peopleto be able to talk about and
(09:00):
say, Hey, you're not the onlyone that's dealing with this.
Maybe we need to see somebody.
So it's yeah, one of the biggestthings is that women will come
in and say, I'm gaining weightand haven't changed anything.
You know?
SPEAKER_04 (09:14):
Right?
Right?
All the things.
SPEAKER_05 (09:17):
I've I've cut out sugar, I've stopped eating.
Yeah, that's I've done nothing.
And I have 20 pounds, andnothing is helping.
SPEAKER_03 (09:26):
Yes.
And I don't have the money to goget a whole new wardrobe every
other week.
Every other week.
unknown (09:32):
Yeah.
SPEAKER_01 (09:32):
Yeah, it's it's that is one of the big ones.
Um, like you said, the sweating,yeah.
Perimenopause, you drip atnight, and postmenopause, you
drip during the day.
You know, so it's on it's onboth sides of it.
And during the 40s, that'stypical perimenopause age.
That is estrogen excess.
Postmenopause, it's a depletionof estrogen.
SPEAKER_05 (09:56):
And the fun thing is the too high of estrogen and a
lack of estrogen cause similarsymptoms when it comes to the
symptom side of things.
So women are like, I've beendealing with this for 10 years,
and you're like, I'm so glad youwalked in.
Let's try to help.
We can turn it around.
SPEAKER_01 (10:14):
And perimenopause is like that though.
You have some women who willsuffer for 10 years with
symptoms and be told that thisis normal.
Because on paper, their levelswill look, quote, within normal
limits.
Yep.
So nobody is willing to treat.
But some women also have aperiod and then they never have
a period again.
And it's like, what?
(10:35):
How'd you get so lucky?
And they're like, Oh, I neverfelt anything.
That is rare.
That was my mom.
Yeah.
Yeah.
Lucky, right?
SPEAKER_03 (10:42):
Yeah, she was like, because I talk about this all
the time.
Sure.
And she's like, I literallydon't even remember having going
through peri or menopause.
She's like, I don't even, shedidn't even know the word
perimenopause.
And and yeah, she's like, Ididn't have any.
You just go from no having aperiodopause to nothing.
SPEAKER_04 (10:59):
And that's the assumption, though, is that you
just suffer through it.
It's like you, this is as awoman, you are just this is what
you do.
You just suffer through it, andthen when when it's over, it's
over.
This is what you do.
SPEAKER_05 (11:11):
And I think the medical world shied away from
perimenopause because for a longtime the only thing that they
offered for help was birthcontrol.
Well, that's still the onlything that's taught in school,
isn't it?
Synthetically, shout out to mymom, but they had her on birth
control for 30 years until I waslike, hey, you're in menopause.
Let's pull this back.
(11:32):
We can optimize some stuff.
And she's my poster child forhormones.
Your mom's amazing, yeah.
Yeah.
SPEAKER_04 (11:39):
That was my aunt.
When I found out my aunt was onbirth control for so long.
She has breast cancer now, bythe way.
But she was on hormones for somany years.
SPEAKER_02 (11:53):
Yeah.
SPEAKER_04 (11:53):
When they were trying to test to see if she had
hormone-fed breast cancer, justbecause she was on the birth
control for so many years.
SPEAKER_01 (12:01):
I was like, hormones.
Yeah.
SPEAKER_04 (12:03):
What?
You're still on.
I was like, are you planning onhaving me?
Because she, I was like, why areyou?
SPEAKER_01 (12:09):
You trying to have a baby when you're 48?
I was like, Yeah.
And she's like, that the doctortold me, like, that's what you
but to be fair, that is you gettaught that in school.
You know, it's hard because inschool there's only so much
time.
That's why it's calledpracticing medicine.
Things change on a daily basis.
So you learn the basics inschool and then you get out and
everybody figures out what it isthat they really are in love
(12:32):
with.
And then you go and you studythat.
And you, you know, you find whatfits and what you're passionate
about for us.
That happens to be hormones.
And a lot of people are scaredabout hormones.
We talk perimenopause, and it'slike, oh no, we can't do
hormones because the media hasmade us scared of our own
hormones.
So I always tell people, what doyou think creates a baby?
Hormones, right?
(12:52):
I mean, it's what keeps the babyalive in utero, it's what grows
us into an adult, it's whatkeeps us alive in our 20s and
30s, supposed to be great years,depending on who you ask.
Um and then you get to your 40s,what do you start to experience?
Hormones going out.
That's why you start to seeaging in your 40s.
That's why we have all thesewomen saying, Man, I'm sweating
at night, you know, I'm gainingweight, uh, my blood pressure's
(13:14):
starting to go up.
What is going on?
My cholesterol's going up.
And again, people are stillreally scared of hormones in
their 40s because they get toldyou're gonna get breast cancer.
Well, when do you see breastcancer?
It's in the forties, right?
That's mainly when the majorityof diagnoses are made.
Why is that?
It's because estrogen goesbonkers.
You get really high highs, youget really low lows.
(13:36):
And so if you have somebody whohas a predisposition towards an
estrogen-dominant cancer, that'slikely when it's gonna pop up.
It's not because their hormonesare necessarily killing them,
it's because there's a geneticpredisposition there and your
estrogen's going crazy.
So cancer, by definition, verysimplified, is a cell gone rogue
and it floods out the goodcells, right?
(13:58):
And so if you have that and youhave these high levels of
estrogen sitting there, you'rekind of a sit and duck if you
have a big genetic propensity.
Plus, I could get on a soapboxand talk about the food we eat
and what we put in our bodies,that definitely adds to the
risks.
But your hormones are what havekept you alive, they're what
created your life.
Don't be afraid of your ownhormones.
(14:20):
See somebody who has beentrained in them.
Unfortunately, GYN learn thesame thing we do, it's birth
control.
They don't take classes inbioidentical hormones unless
they go search it out just likeSierra and I did.
So a lot of people go to GYN andthey go to family and they're
thinking they're they're hormonespecialists.
They're not.
I wasn't before I went and didall the training.
(14:41):
So I had the same information.
But then what do you see in the50s?
You see, oh, now I have vaginaldryness, I'm getting UTIs, I got
bacterial vaginosis, my uterusis falling out, my breast have
moved about five inches south,you know?
I've got hypertension, I've gotosteoporosis or osteopenia.
What is happening?
(15:02):
And that's when you start seeingstrokes and heart attacks,
right?
In the 50s.
Why?
Because estrogen went away now.
Now you're in postmenopause.
So estrogen, poor estrogen, itgets a bad rap for what happens
in the 40s.
But you need it.
All those things I just said,you're either gonna take
supplements, pharmaceuticals, oryou're gonna put a little bit of
estrogen back in to avoid thosediseases.
(15:23):
Those are all diseases of aging.
Yeah, it's just the body kind ofgiving out, and that's what
happens in post-menopause.
Men experience it too.
Speaking of andropause, theirhormones slide out the door too.
And when their hormones slideout the door, now you have
erectile dysfunction, they startgaining weight around the
middle, their skin startsgetting saggy, they start losing
hair.
So we all go through it, but thehormones on their way out are
(15:45):
what start the aging process andspeed it up and kick it into
high gear.
When Sierra and I treat, we'renot trying to make somebody
who's 50-20 again.
And that's hard right nowbecause hormones, it's a big
buzzword, right?
You know, everybody's gettinginto hormones, everybody's doing
this.
We do hormones, we use it a lotfor preventative medicine.
There's a lot of folks who areusing it for aesthetics and
(16:07):
stuff.
If that's that's your thing, byall means.
But what we're doing at KaiHealth is we're trying to use it
for preventative medicine.
We're trying to give betterquality of life.
If you're gonna have quantity,you want the quality to go with
it, right?
So we're not trying to makesomebody 20 again, we're not
trying to make them fertile at50.
Um, boy, that'd be miserable.
Um But we're trying to give youprevent the can you imagine?
(16:31):
I can't.
No, y'all made me fall out myhair.
Somebody asked me that the otherday.
I said, you know, I guess it'spossible because you're still
bleeding, but that would bebiblical.
SPEAKER_05 (16:45):
My goal is I want you to have your best golden
years.
Is right?
We all fight for our goldenyears.
We fight for retirement age, wetry to live our best life, we
try to do all the things thatwe're supposed to, but without
the help of the preventativehormones, you can literally
graph it.
Like Diana was saying, ashormones start to tank, women,
(17:08):
we fly off a cliff and hitmenopause and they're gone.
So it's more drastic.
So we talk about it more.
Men, they hit that anthopause,and it's a slow slide, but the
testosterone is going todecline.
And then as you see both ofthose decline, you can see all
the comorbidities that everyoneis talking about and wanting to
avoid your heart disease,stroke, heart attack,
(17:28):
cholesterol, high bloodpressure, cancers, all of those
just start to skyrocket.
The one variable that you canput, it's not a causation, but
it is a correlation, is yourhormones.
SPEAKER_04 (17:40):
My goal is for you to have your best golden years.
That is so like that.
First of all, thank y'all,because we need people like
y'all who are willing to do theresearch and do hormones.
Because if somebody's notresearching it, if somebody is
not willing to do the work, thenwe would just be out here
(18:00):
floundering.
Absolutely.
So yeah, we need somebodywilling to do that.
And also when I was thinkingabout all the things you were
saying about men, you know, howthey, you know, their
midsections grow too and theylose their hair too.
But I noticed like when men gothrough that type of thing, and
I'm not crapping on men rightnow, I'm not.
I'm just making an assumption.
(18:22):
I'm just making an observation.
But when men start to go throughtheir hormonal changes, I notice
it's usually called, oh, they'rehaving a midlife crisis.
But when women spin on it,right?
Yeah.
But when all of those likethings start happening to women,
especially when we start havingthose uh mental um and emotional
(18:44):
changes, oh, we're having abreakdown.
Yeah.
Uh-uh.
Well, it feels like you'rebreaking.
Yeah.
And I'm like, why isn't anybodyever that understanding for us?
And I'm not saying I'm nottrying to play, you know, the
victim here, but I'm just sayingI just wish it's an act of
observation.
Yeah, you know, a little bitmore understanding that this is
(19:06):
a physical, it is somethingphysical and a real medical
thing that's happening here.
SPEAKER_01 (19:12):
It is very medical.
That's yeah, that's a big partof the puzzle, is it is medical
to give somebody their bestgolden years, you have to
combine the medical with thehormones.
It's not just, they're notseparate.
It's all health, it's allpreventative.
And so it is a very medicalthing, but hands down, almost
every patient, I won't say 100%,because this is probably an
(19:35):
exception to that, but at least90% of the women who I have
treated have come to me andsaid, Why isn't anybody else
doing this?
I told people this, you know,right?
You you told us when we firstmet you.
And the reason is because peryour labs, hormones naturally
decrease with age.
And so the labs account forthat.
SPEAKER_05 (19:54):
And they say you're normal.
SPEAKER_01 (19:56):
And you will always fall within normal limits as
you're in your 40s and 50s,because it's normal to have zero
estrogen.
To have crazy estrogen andperimenopause and none in
postmenopause, right?
So you always fall within normallimits.
So it's very hard to findsomebody to treat you if they're
not specialized.
And what we do is notnecessarily treating, it's
(20:16):
called optimization because youare quote normal on paper, but
we want to treat the personsitting in front of us.
And because we're at a directprimary care, we get that
opportunity.
We don't have to do exactly whatinsurance tells us to do because
they need to get their check.
We get to treat the personsitting in front of us, and that
is exactly why Siri and Istarted the careers that we
(20:36):
started.
SPEAKER_05 (20:37):
And that's where other providers are limited is
that insurance is holding thestrings.
You can't legally treatsomething that's quote unquote
normal, right?
I mean so they can't say they'regonna say, Well, nothing's
bolded, right?
When you get back to your labs,you see abnormals is bolded.
So they'll look at it andthey'll say, nothing's bolded,
you're good.
But you go and you say, But I'mstill having symptoms.
(20:59):
I don't feel good.
Right.
I'm still tired, I'm stillgaining weight.
Still not sleeping.
Yes.
I'm depressed.
I'm anxious.
I've never been anxious beforein my life.
All of those things, right?
Yeah.
SPEAKER_04 (21:12):
One of the most frustrating things is going to
your doctor and you say to yourdoctor, I just feel off.
Something is wrong.
Like, I'm not sleeping.
Like I feel I know my body.
SPEAKER_05 (21:24):
And no fault to their own.
They have eight minutes to talkto you, and they're like, Well,
I'm sorry you don't feel good,but your blood pressure is 160
over 100.
So let's prevent you from havinga heart attack.
Right.
And that's all they can do.
And then they move on.
SPEAKER_01 (21:37):
It is.
It's hard for the provider.
I worked in traditionalmedicine.
It's hard for the provider.
I worked through lunch, I workedan hour and a half after
closing, and then I'd put mybabies to bed and chart for
three or four hours, you know.
SPEAKER_04 (21:48):
And we're not crapping on the providers.
We're just saying, it'sfrustrating for both.
Absolutely.
Yeah.
100%.
So then excuse my language.
SPEAKER_01 (21:56):
So we get direct primary care, you know, that's
one of the great parts that whywe love our job so much is
because we get their shortestappointments 30 minutes with our
patients.
We're our appointments areeither 30 minutes or 60 minutes
with each patient.
So we actually get to listen tothe patient.
And that's a huge if you look atthe reviews, almost all of them
will say something about I feelheard.
SPEAKER_03 (22:17):
And you guys mentioned that you have what you
call a cry room.
SPEAKER_01 (22:20):
Well, no, it's a win up.
So it's actually when a room.
It would be, it would probablybe, you know, you'd have to like
stand in line to get in there.
Um But when I first started withDr.
Anderson, it was kind of funnybecause he wasn't actually
(22:40):
planning on hiring, he told me,but our views clicked um and it
just worked.
And so I started at the oldlocation at Boonesboro Direct
Primary Care when that was ourname.
I actually started in a closetbecause I went for an interview.
He was like, I just don't haveanywhere to put you.
And I was like, I don't needmuch space.
I just need a room where I cansee people.
And so I transitioned a closetinto my office, and so many
(23:03):
women would come in and not feelheard.
And again, you know, not sayinganything bad about providers,
gosh, we need more of themactually.
But in traditional medicine, youjust don't have time to do what
we're able to do in directprimary care.
But women would come in and forthe first time they'd be like, I
feel heard, and so they wouldcry.
And so he nicknamed my officethe uh the room of tears.
(23:24):
Um so many women were coming incrying.
And again, it was more so justbecause they for the first time
felt heard, not necessarily Ilike to think I'm a great
provider, and I try.
But I think when as a female, asany patient, really, when you
get to sit with a provider andthey actually hear you, that's
cry worthy, you know, becausethat means that somebody's
(23:45):
actually listening and willingto help.
And I have the time to help,which is a huge thing being a
very important thing.
That's my favorite compliment.
Yeah.
SPEAKER_05 (23:52):
It's the most rewarding.
SPEAKER_01 (23:53):
Yeah.
So there's still a lot of tears.
We we constantly have Kleenex inour office.
Always.
But again, we have time tolisten, and that makes a
difference for patients.
SPEAKER_04 (24:05):
What do you wish every woman knew about this
chapter in their lives, whetherit's peri or menopause?
SPEAKER_05 (24:13):
You're not crazy.
There you go.
Um, because you're not alone.
You're not alone.
I'll have once again, going backto traditional medicine, when
you get taught that somebody'scoming in and they're anxious
and they're depressed, you treatsymptoms and you band-aid it,
right?
Because you can't get to theroot cause because you don't
know any better yet.
And so all these women arecoming in and they're like, the
(24:34):
only thing they offered me wasan SSRI, or which is like Prozac
or Symbolta or Lexapro, just tomask the depression.
And then they come to me andthey're like, now I'm a zombie
and I'm still gaining weight.
Now I have no motivation, I haveno libido, I have nothing.
(24:55):
And so it's just saying that itthe band-aid can be useful in
certain situations.
Like once again, pharmaceuticalshave increased your quantity of
life, but not necessarilyquality, and we can get to the
root cause on most of thosethings, and it's just by
(25:15):
optimizing your hormones.
Now, does it fix everything?
Absolutely not.
Does it give you a betterfighting chance?
Absolutely not.
SPEAKER_01 (25:23):
Yeah, so echoing that, yeah, you're definitely
not crazy.
You're not alone, you're not theminority, it's just no nobody
else is talking.
So it's very, very common um tofeel and be told that you're
crazy.
It's very common to go to yourprimary care and be told
everything's normal because ittypically will be on paper.
Find somebody who has time totreat the patient, which is
(25:46):
somebody who has more time withyou in their office, is always
gonna be that person.
And somebody who's interestedand trained well.
And I would say don't be afraidof what you're already
producing.
Yeah.
That's the big thing is talkingto people because so many of the
studies that are put out, andit's really hard to find studies
on bioidentical, those arehidden.
What you're gonna see when youGoogle most of the time is
(26:09):
synthetic hormones.
The whole women's healthinitiative.
That was not done onbioidentical, but scared every
woman.
And every woman thought, oh mygosh, my hormones are killing
me.
Quite the contrary, they'rethey're what brought you into
this world.
They will take you out of thisworld, but not necessarily
because everybody's gonna getcancer, but because they're
gonna decline one day and thenthey're gonna stop producing.
(26:29):
And at that time, you got tochoose, am I gonna use prolia or
am I gonna use estrogen toprevent osteoporosis?
So don't be afraid of whatyou're already producing.
That's what we do.
We manipulate a little bit ofwhat you're already producing to
give you better quality of life.
It's just the levels are goingout because that is a natural
process of aging.
So if you can use those aspreventative medicine, do that
(26:51):
first.
You have a lot less side effectsmanipulating what you're already
making than putting a foreignsubstance into your body.
Again, I I use pharmaceuticalssparingly, but I do use them and
they have their place.
Yeah.
They do have their place.
It's dangerous to swing thependulum to one end or the
other.
(27:12):
Typically in the middle is whereyou're gonna fit best and have
the best outcomes.
But uh we were created withhormones and so if we can use
those first and use thepharmaceuticals just to help get
you where you're going and thentry and let 'em go.
The goal is always the babsolute best health with the
fewest amount of things that youcan be on.
(27:32):
We don't even treat withhormones if you're not
symptomatic.
You don't come into our officeand leave with every hormone uh
that you're producing as ascript.
We treat the person sitting infront of us, and that's really
important because if you're justtreating paper, you're gonna
make somebody feel a lot worse.
You gotta treat the personsitting in front of you, you
gotta listen to them.
That means you're not inmenopause until you're by
(27:55):
definition a year without acycle.
But in that time, you can havewomen who feel great and you can
have women who feel like they'reon the death's store.
Everything in between is normal.
I've been doing this for 10 plusyears.
I've yet to meet one person thesame.
Everybody is different, but weall metabolize different, we
live different, our quality oflife is different, and that is
(28:16):
something that you gotta knowabout that person before you can
actually treat them.
And so find somebody who canlisten to you, find somebody
who's trained well and who caresand who cares and who can listen
and uh and let them use whatyou're already producing first.
It has the least amount of sideeffects.
I've watched DEXA scans improvefrom just giving somebody
estradiol.
Now, not everybody is acandidate for every hormone.
(28:39):
We do take again, it's a medicaltasks.
This is a medical process.
It's not just hand handeverybody some progesterone and
candy form.
That's not what we do.
It is a medical thing.
You need to be medically trainedand you need to understand that
this is still medicine thatyou're dealing with in a way.
But uh when it's appropriate,you give those items.
(29:02):
But you need to know theperson's history.
You would never give somebodyestrogen who's still making
estrogen of their own.
Right.
That's a not a good idea.
We can do a lot more harm thangood that way.
But what do you you were saying?
Hot flashes at night.
That's a big one, right?
Sweating you wake up in a poolof your own sweat.
What hormone is lacking there?
(29:23):
Progesterone.
Progesterone is also one of thesafest hormones you can give.
It's the one that balancesestrogen.
There are ways to decreaseestrogen load by food, and I
talked to patients about that.
But you can help decrease uhcancer risks and things like
that by just knowing how tomanipulate progesterone in the
(29:43):
40s.
SPEAKER_05 (29:44):
Especially my women that have endometriosis and PCR.
That's a big one.
Because you're alreadystruggling to make progesterone
consistently.
And so we worry about youruterus.
We worry about the endometrium.
And so giving you backbioidenticity.
Identical progesterone, which isnot the same as progestins,
which when you start readingstudies, a lot of times they'll
(30:07):
flip the word progesterone andprogesterone.
And progestins are yoursynthetic progesterone.
So that's your birth control.
That's what a lot of studies arebased on.
And so progestins, you can pullup a chart, you can Google it
while we're talking, butprogestins, your synthetics,
will cause weight gain, issueswith sleep, mood issues, whereas
(30:29):
your bioidentical progesteroneactually helps with sleep.
It naturally decreases anxiety.
It helps to counterbalance yourestrogen.
So it decreases risk forendometrial cancer, ovarian
cyst, fibroid cysts that womendeal with, which cause the heavy
bleeding that you see.
The only side effect that I seeis usually maybe sometimes
(30:51):
fatigue the next morning, whichtends to go away.
And I think I've had one in ahundred women have nipple
tenderness, and we adjust howyou take progesterone because
there's a lot of different ways.
This is where you go talk to anexpert because there's a
thousand different ways it feelslike that you can compound
bioidentical hormones to make itfit the individual.
(31:11):
But you have to have somebodythat has a little bit of
experience and support andknowledge and willing to travel
that with you, not willing tolike I will always listen to a
patient that says, Hey, I'mhaving this symptom, and I'll be
like, Okay, I'm gonna take thatseriously.
Let's see if there's another waywe can make this fit for you
instead of everyone.
SPEAKER_01 (31:30):
Yeah.
What uh Sarah was saying wastrue, and you're seeing a lot of
like pellet therapy and thingslike that coming out.
And I would just say, talk towhoever's doing your hormones.
Pellets, that's a big questionwe get.
We do not do pellets at ouroffice, and a big reason for
that is again, we see it as amedical uh now.
What is pellets?
That's where they inject thehormones under your skin and
(31:51):
pellet form, and it's a slowrelease over six months.
There's supposed to not be apeak in a trough, but that's
kind of impossible.
Okay.
When you have a slow release,there's always gonna be some
kind of top of the mountain andlow in the valley.
And that will always happen witha slow release.
You can't really get around it,but there's supposed to be a
little bit to none of that.
(32:13):
However, when we do hormones,you never know when somebody's
gonna come up with something.
You never know how somebody'sgonna metabolize something.
So if I put a bunch of pelletsunder your skin and I have no
idea how you're gonna metabolizeit, you could end up as a female
if you have PCOS growing abeard.
And the only way to stop thatnow is to give you a
pharmaceutical.
I don't want to give youpharmaceuticals.
(32:35):
I'm trying to avoid that.
I'm trying to use natural thingsto better your quality of life.
And so we do not do pellets,there's a lot of complications
with them.
Once they're in, you cannot takethem out.
Period.
End of story.
So if you put it sounds scary.
SPEAKER_04 (32:48):
That does.
SPEAKER_01 (32:55):
Number one, Sierra and I, when we prescribe
hormones, if somebody has a sideeffect, they text us personally
because we're the ones whoprescribed it, and we can make
that side effect typically goaway in 24, 48 hours.
SPEAKER_03 (33:06):
Oh wow.
SPEAKER_01 (33:07):
We'd have very tight control on it.
Whereas with pellets, once youput them in, they're just there.
You cannot get them out.
So two months in, you havesomebody who has a lump in their
breast, god forbid it's anestrogen-dominant cancer, and
you've just loaded them up withsome estrogen under their skin.
You're gonna have to figure outhow to try and decrease that and
cover it up, which means it's avery hard pharmaceutical load on
(33:30):
that person.
And so you know, pellets havetheir place.
If you're traveling a lot, youcan't get in.
If you're military, you're goingoverseas, if you're homebound,
they do have their place.
And if you call themanufacturer, they're not
intended necessarily for theeveryday use.
SPEAKER_04 (33:46):
Gotcha.
SPEAKER_01 (33:47):
Um, so not when there's other options.
There's safer options.
And hey, if you want to dopellets, you know, we'll tell
you risk-benefits.
If you choose that, we'llsupport you the best we can.
Um, we're not here to backanybody into a corner, but
before you go do something,whoever is talking to you,
whether it's a pharmaceutical, avitamin, or hormones, they
(34:08):
should be going over all therisks, all the benefits, and
telling you all this informationso that you can make an educated
decision about what form is bestfor you.
But at Kaya, we like to havevery tight control.
We're very type A.
We are a little bit type A.
Yeah.
I appreciate that.
But you know, their goal is tomake you feel better.
If you're not feeling better,then let me know.
(34:31):
Tell me what's not better, or ifyou're feeling worse at all, I
want to know that immediatelybecause I want to turn that
around.
Yep.
You know, I don't want you tosit there for six months and
feel like crap or have to be onthe pharmaceutical.
Sorry, I said I don't know ifI'm allowed to say that.
I've already been getting away,but I don't want you to feel bad
for all that time when I canadjust that and make that
(34:54):
symptom go away.
Or, God forbid, the worsthappens and you get a cancer
diagnosis, we just stop itimmediately.
We don't have to do a bunch ofpharmaceuticals on the back end
of it.
So there's there are saferoptions out there.
And I would just say before yougo and do something, make sure
that you talk through all of theoptions.
Make sure you look at yourfamily history and know what
your risk factors are from afamilial and genetic standpoint.
SPEAKER_03 (35:16):
Can we dive into that for just a moment?
Because I'm adopted.
So when I said earlier, youknow, my mom had no symptoms, no
blood relations.
And so I also know for myself,like I've had DVTs and PEs four
times.
So I am a permanent on bloodthinners person.
And so whenever back up for somepeople who sorry DVT and PCs in
(35:42):
her legs and her lungs.
SPEAKER_05 (35:43):
Okay, thank you.
SPEAKER_03 (35:45):
Yep, there you go.
Okay.
Um so whenever I'm doingresearch and I'm looking into
you know, what would hormonereplacement therapy look like
for me, it's like, yeah, no,absolutely not.
Don't even touch any of thatbecause you have all of these
already.
SPEAKER_01 (36:02):
Yeah, and what you're reading, unfortunately,
is about your synthetic.
So all of those synthetic, um,that is one of the things that
you have to ask somebody ifyou're gonna put them on a birth
control, you have to ask them ifthey have a history of exactly
what you have a history of,because if you put them on that
synthetic, then you raise therisk of them having that.
Or I'm I'll pick on uh premarin.
(36:23):
Um premarin is made from horseurine.
Okay.
That sounds good.
It's a little old school.
SPEAKER_05 (36:27):
And if you look at the makeup of it, only 17% of it
is your bioidentical estradiol.
Everything else is conjugatedestrogens.
SPEAKER_01 (36:35):
Correct.
So I'm not a 1200-pound equineum mammal.
Um, and most of my patients arenot.
All of my patients are not.
So I'm not going to take um, Ido have a horse.
Um I don't treat it.
But I'm not gonna put a hormonefrom a 1200-pound animal into a
(36:57):
female and then stand back andsay, Oh my god, you had a heart
attack.
SPEAKER_05 (37:01):
I wonder why.
For the layman folk, we'rereferring to the WHI study that
everybody gets theirinformation.
SPEAKER_01 (37:08):
The one that came out in 2000, that was about
premarin.
Um again, 1200-pound four-leggedcreature, which none of us are
that we're speaking to rightnow.
SPEAKER_04 (37:17):
Um I worked in OBGYN for 12 years, and I remember
them prescribing primeran tojust about everyone.
SPEAKER_01 (37:24):
So that was standard of care, yeah, when it came out.
Isn't that crazy?
Yeah.
So that's what I'm saying.
Like you need to understand, andwhoever you're talking to needs
to be telling you.
I mean, if I'm starting somebodyon a pharmaceutical, I pull up,
it's called Hippocrates.
A lot of providers use it, and Iwill show them the side effect
profile and say, you need tounderstand that these are the
common side effects, these arethe serious side effects.
(37:45):
And a lot of people who I takeas new patients, they're on a
heavy-hitting medication.
I'll be like, ugh, was this everjust are you aware of this?
Are you aware of the side effectprofile of this medication?
You have to do the same forhormones.
It's that's the fair thing tothe patient.
If you're going to prescribesomething to somebody, they need
to understand what they'retaking, why they're taking it,
and what the risk factors are.
(38:06):
And that's the great part aboutbioidentical.
You don't have those naturallyoccurring with your hormones.
When you see the PEs, you seethe blood clots and things like
that.
You typically see those in the40s, right?
Were those more recent?
Or were you did you start havingthem younger?
SPEAKER_03 (38:21):
Yeah, my first one that I had, I was in college, I
was 22.
SPEAKER_01 (38:24):
Yeah, so there may be a genetic predisposition for
you.
We just don't know it becauseyou know, or you might know.
Some folks who are adopted dohave that information.
But those are most likely notoccurring because of your
natural hormones.
But if anyone puts you on anysynthetic hormones, you would
likely have a very highreoccurrence of those issues.
(38:47):
But here's the other great thingabout bioidentical hormones.
We don't even have to touch youwith estrogen.
If you say, I'm just notcomfortable with it, that's
fine.
Guess what?
We can manipulate your thyroid,we can put you on some
progesterone, and we can do themas your symptoms suggest.
SPEAKER_03 (39:02):
Right.
SPEAKER_01 (39:02):
I have women who have been scared to death of
estrogen and they're not gonnatouch it.
It's not my job to sit there andbully them into taking it.
We talk about the risk, we talkabout the benefit.
If they're not comfortable, thenthey're going to not feel great
on it because they're gonna beconstantly worried about it.
That's more damage to them thangood because they will be
constantly worried.
(39:24):
I'm not gonna do that to them.
But there are other hormonesthat I can help them with that
still decrease diseases.
Testosterone.
That is your neurovascularprevention.
I have several patients I treatwith Parkinson's with
testosterone, and they've seen agreat benefit in their symptoms
from testosterone because it'sneurovascular prevention.
We like our licenses, and so um,even though hormones are safe,
(39:46):
there's a lot of folks who arenervous about it.
And so we're very careful who wetreat.
If we treat somebody who has ahistory of cancer, we will talk
to their oncologist first andmake sure that they're on board.
But I had one lady she's beatbreast cancer three times.
She's amazing.
And our poor thing was suicidalbecause she couldn't sleep.
She couldn't handle any of thesleep meds and just just a mess.
(40:10):
And I felt so bad for her.
But she said, If you if youcould just make me sleep, you
know, I just need sleep.
But um, she'd be up for 42, 40,72 hours at a time.
And you can imagine, I mean,lack of sleep is connected with
cancer for crying out loud.
You know, I mean, that's thefirst thing you have to treat.
That's the first thing Icorrect, even if somebody's
coming in about weight loss, andthey'll be like, Did you just
hear me?
I said, I need to lose weight.
(40:30):
I'm like, Yeah, you can't dothat unless you're sleeping.
And so I put her onprogesterone.
Progesterone has absolutely zerorisk of causing cancer.
Progesterone is your naturalsleep mediator, it's your
natural mood stabilizer.
Think of all the women that youknow who have been put on
antidepressants, anti-anxietymeds, and sleep meds starting in
their 50s.
Uh that's postmenopause.
Now you have no progesterone.
(40:53):
So then you start gettingprescribed things for anxiety,
depression, and sleep becauseyou can't handle any of that
anymore.
You can't sleep and you'reyou're anxious for no reason.
So I gave her progesterone, andI did not know that she was
friends with this other personthat I knew.
And that person came up and gaveme a hug, and they said, You
saved my friend's life.
And I was like, I don't know whoyou're talking about, but I
thank you.
(41:13):
I'm so happy.
Yeah, I'm so happy.
She said it changed itabsolutely changed my life.
I just had another lady theother day say her husband said
he finally has his wife back.
They've been married for 30years.
So it changes lives when you doit, you do it well and you
listen to somebody.
That's the biggest thing.
We will hear you, it's we willlisten, you will be heard.
(41:34):
If nothing else, you will beheard.
And sometimes that's what peopleneed in their 40s, you know,
when you're being told you'recrazy 24-7 by everybody,
including your kids.
SPEAKER_03 (41:44):
And this is normal, even though you're crazy.
It's normal.
SPEAKER_01 (41:47):
And you do feel crazy, you know.
I've got five kids, they tell meI'm crazy all the time.
Sometimes I think you're right.
SPEAKER_05 (41:55):
And I'll circle back on estrogen for a little bit.
There's a lot of fear associatedwith estrogen of it causing
blood clots, of it causingcancer.
And so when you sit down with meand I go through the risks and
benefits of bioidenticalestradiol, which once again is
very different than yoursynthetic estrogens, I go
(42:15):
through all those risks andbenefits and I go through
studies.
And so bioidentical estradiol isnever going to cause breast
cancer.
If it caused breast cancer,every female would have it
because we all producebioidentical estradiol, right?
Especially in that periodmenopause period.
However, if you were to developan estrogen-based cancer, it
would feed it absolutely becauseit is estrogen.
(42:37):
And so that's where the riskscome from.
But they've done a study wherethey took two groups, one that
they both had breast cancer,they both went into remission,
and they gave one of thosegroups bioidentical estradiol.
And the relapse rates weresignificantly lower in the group
that took bioidential estradiolthan the group that did not.
(42:58):
And so it does show a protectivefactor.
This is why we prescribe it.
And there's a lot of studiesthat show that bioidentical
estradiol stabilizes the plaquein your heart.
And so it doesn't matter ifyou've been a vegan your entire
life, you're gonna develop alittle bit of plaque.
It's part of aging.
And so that helps to stabilizethat and reduce your risk of
heart attack, reduce your riskof stroke.
(43:20):
It is the treatment forosteoporosis, it's the treatment
for vaginal atrophy or vaginaldryness.
And so we don't think of that asa health thing because we don't
talk about it as women, right?
But if you start looking atvaginal dryness, that puts you
at an increased risk forbacterial vaginosis, which
requires an antibiotic, puts youat an increased risk for UTIs,
(43:42):
which as we age, we start seeingeuroscepsis, yeast infections,
all of these things thatdecrease quality of life.
And so estradiol is a hugefactor when it comes to
prevention.
So there's a lot of differentways that you can take
bioidentical estradiol too.
So for patients that do have ahigher risk when it comes to
blood clots and or cancer,there's a conversation of if you
(44:06):
want to do this and understandthe risks and benefits, both
ways, we can do topical creams,which reduces your risk
threefold because it's not goingthrough your liver.
And so there's a lot ofconversations to be had.
So I don't want anybody to bescared and be like, well, I've
had this.
It's absolutely off the tablefor me.
Oh good.
It's not it's a conversationone-on-one.
SPEAKER_03 (44:28):
I just love this conversation that we've been
having because there's so muchinformation that you guys are
giving us.
It is a lot, and it's amazing tojust sit here and think about
it.
That, you know, the four of usjust had this lovely
conversation aboutperimenopause, about menopause,
and there's still still so muchmore information that could be
(44:48):
had, whereas usually it's justnot talked about, right?
SPEAKER_01 (44:52):
And you mentioned andropause too.
So on to piggyback on what Sarahwas saying, benefits of
estrogen, there are actuallystudies coming out suggesting
giving estrogen to men, whichmen don't cut me off yet.
Hear me out.
You do need estrogen.
Okay, you're not gonna grow fromtestosterone.
Correct.
It is aromatized, conjugated,whatever fancy word you want to
(45:15):
use, but your testosteroneconverts into estrogen.
You need that.
That is cardiovascularprevention.
So as you age, again, goingthrough andropause and your
testosterone levels fall, sodoes your estrogen.
Think about when men startseeing a lot of hypertension,
heart attack, strokes.
It's in their 50s too.
So they don't have estrogen,they have lost that protective
factor.
And so when that happens, if youcan give the male back his
(45:39):
testosterone, he will make hisown estrogen.
It is very helpful.
Just like women needtestosterone, we just don't need
as much.
But men need estrogen, they justdon't need as much, right?
But we all need those twohormones.
It's really important for both,and that happens often.
I know Siorcina just as much asI have.
You treat one sp one one part ofthe spousal unit, and the other
(46:01):
part comes in and says, Wait fortarget families because they're
using whatever you did for them,do for me because they feel
better.
SPEAKER_04 (46:08):
So do you have men come in for treatment?
Oh, a lot.
Okay, absolutely.
SPEAKER_01 (46:13):
We both use it on pretty much all of our patients.
SPEAKER_04 (46:16):
Uh-huh.
SPEAKER_01 (46:17):
Because the goal is to use the fewest amount of
foreign substances for the body.
The goal is always use the leastamount of stuff with the highest
amount of benefit for yourhealth.
So if we have to usepharmaceuticals, we will.
But we're gonna try andmanipulate diet, sleep,
lifestyle factors, try and getyour hormones straight before we
throw in things that are foreignto the body, including, I mean,
(46:39):
I love people who know me, theyknow I love my supplements.
Um, I use Chinese herbs for H.
pylori.
Like, there's a lot of stuffthat you can use for different
things, but if you can getsomebody's lifestyle right, if
you can get their hormonesbalanced, you have to use so
much less of that.
And it's wonderful.
It saves them money, it improvestheir health, it decreases side
effects.
(47:00):
There's so much, so muchbenefit.
Um, and again, we have time todo that because our appointments
are 30 and 60 minutes.
Um, that's very hard to do intraditional medicine with how
short of a period of time thatyou um see folks.
But that is something that weuse.
I mean, I talk hormones everyday.
SPEAKER_05 (47:16):
Whether you're 14 or 82, I'm asking you questions.
And you may not even realize I'masking you questions about your
hormones, but I'm asking a lotabout a lot of symptoms that are
related to hormones.
And there's quite a few books,thank God now, that relate your
menstrual cycle to your sixvital signs.
So there's not a woman out therethat I'm not asking about how
(47:37):
regular is your cycle, how heavyis your bleeding, how do you
feel, what's your PMS like?
Because I shouldn't have people,yeah.
People listen.
SPEAKER_03 (47:47):
And that's just mind-blowing.
SPEAKER_05 (47:49):
Mind-blowing, right?
Yeah.
SPEAKER_01 (47:50):
One of my favorite books is called The Period
Manual.
SPEAKER_05 (47:54):
That's where the vital sound comes from.
Oh man, it's such a good one.
SPEAKER_01 (47:57):
It's if you want a good book to learn about your
body, especially moms of teenagegirls were pleased with it.
For sure.
And it's very easy tounderstand.
It's called the Period Manual.
Um, and I would try and say theauthor, but I would butcher it.
It's a pink book with a whitewriting.
I have no short-term memoryanymore.
That was due to a concussion,not just because I'm old.
Um don't let the gray hair foolyou.
(48:20):
Laura Bryden.
There you go.
It's Laura Bryden.
She's right.
So in the US, everybody's like,oh man, my PMS is for like two
weeks or one week.
And that's everybody has PMS.
You should not like your periodshould come and go without an
event.
Isn't that bizarre?
It would be nice.
SPEAKER_05 (48:37):
I want it to be a surprise each month.
Yeah.
I want it to be not hearing.
You're here.
So excited.
SPEAKER_01 (48:44):
Hello.
But again, that's affect it'saffected by the food we eat, our
sleep, the amount of stuff thatwe take.
It there's so many factors thatplay into it.
And so we work a lot with youngwomen, women in their 20s, 30s.
Like I said, we've helpednumerous women.
We even have a bell in ouroffice now for women who get
pregnant who were told you cannever have a baby.
Um, because it's happened somany times.
(49:05):
We're not fertility experts, Iwill tell you that.
We're hormone experts, um, butit kind of wraps it into itself.
But we do a lot of that.
But your period should not be ahuge issue every month.
It should not have you throwingup, running a fever, on the
floor, calling out of work.
SPEAKER_05 (49:22):
Absolutely not.
SPEAKER_01 (49:23):
That should not be a thing.
That's a big thing in the US.
SPEAKER_02 (49:26):
Yeah.
SPEAKER_01 (49:26):
That is not a big thing around the world.
And it shouldn't be.
So if it is for you, please comesee Kaya.
And if we don't have somebody tosee you right now, we will in
2026.
There's a waiting list and wewill help you.
SPEAKER_04 (49:39):
We could go on for hours about this, but we also
want you to go see them.
Uh but we do thank you for atleast opening up this
conversation and just making itnot such a taboo thing.
Right.
And being able to just bring itto the dinner table.
(50:00):
Exactly.
Yeah.
SPEAKER_01 (50:01):
Your spouse may not thank you.
Your kids may not like that.
But definitely talk more.
Talk more about it becauseyou're not alone.
If you're feeling reallydepressed, if you're feeling
like, man, I'm the only one onearth experiencing this, you're
not.
I promise you, you're not.
If you are 40, even 38, andyou're having those symptoms,
you are not alone.
No.
So talk about it.
Come see us.
We will help you.
(50:22):
But see somebody who's actuallytrained.
Don't be shocked if your GYNsays there's not help or we
don't know about hormones.
They're not hormone experts.
GYNs are not trained inhormones.
They're given the same trainingwe were in school.
They're not hormone experts.
I love my GYN.
He's wonderful, but he's not ahormone expert.
They're mainly surgeons.
(50:43):
I did an extended period inwomen's health, and I absolutely
love that area.
In fact, we just won the area'sbest GYN and OB, which is funny
because we don't do a whole lotof OB, but we help a lot of
women have babies.
So it's really fun.
But go talk to an expert.
Find somebody who will sit downand listen and has the time to
listen.
SPEAKER_00 (51:07):
Find hope and inspiration with Justice Daily
Devotion.
Check out Just DailyDevo.com orsearch Justice Daily Devotion
wherever you listen to podcasts.
Hey, welcome back or welcome to the Jesus Fix It
Podcast, the show where we talkabout life, the ups, the downs,
a little pop culture, andeverything in between.
I'm Jess and I'm Steph.
SPEAKER_03 (00:14):
Every other week we dive into the things we're
asking Jesus to fix.
And let's be real, there's alot.
You can always count on us tokeep it real.
SPEAKER_04 (00:23):
Share some laughs with us, and maybe a few tears
as we tackle the big and smallstuff with faith and honesty.
So grab your coffee and let'sget into it.
Okay, we're gonna start bysaying, guys, you are welcome.
Don't leave.
Don't leave.
We're talking about menopausetoday.
And very menopause.
Very menopause.
And anthropause.
SPEAKER_03 (00:46):
There you go.
Oh, don't we get the number?
SPEAKER_04 (00:48):
Do we know what that is yet?
SPEAKER_03 (00:49):
We're going to get into it, but it's the male
version, from what my tinylittle bit of understanding is.
It's the male version ofmenopause.
Okay.
It happens.
It's a thing.
So, men, stick a stick around.
You're gonna learn somethingwith us.
SPEAKER_04 (01:03):
Okay, but ladies, we know a lot of ladies have been
waiting for this episode.
And so we have actually beenwaiting.
There are so many questions.
Oh my gosh.
We're not teaching you anything.
We actually have experts here.
Oh, yeah.
Uh we have some friends with usfrom Kaya Health, and we're
(01:24):
gonna let them introducethemselves, tell them about
their practice and about whatthey do, and then we're just
gonna get into it.
And again, man, you don't haveto stick around.
We're praying you will, becausethere may be a lady in your life
who uh you just may need someeducation.
And uh there are some things foryou too.
(01:44):
So um stick around, enjoy theconversation.
We have been waiting for thisepisode.
And uh without further ado ado.
Ado and you I get to talk everyday.
No, like how is that that Idon't even know stuff know the
(02:05):
words and you know what?
Yes, you're telling me onMonday.
SPEAKER_05 (02:12):
Feels like it.
Um sorry, go ahead.
You're fine.
Um, so I'm Sierra.
I've been working at Kai Healthnow coming up on two and a half
years.
Crazy.
It is crazy.
Originally I went to JeffersonCollege of Health Sciences and
got my nursing degree, worked incardiac surgery, ICU for a
(02:34):
little bit, and then decidedthat I wanted to do a little bit
more um with medicine and have alittle bit more autonomy.
And so I went back to NP schoolthrough Liberty.
And during that journey, I gotto meet Diane and Dr.
Anderson at Kaya Health duringCOVID because I needed clinical
hours and they were the onlyones that would take me.
(02:56):
And during that, I got to fallin love with women's health and
hormones.
And Diane was gracious enough totake me under her wing, thank
God, and mentored me through thewhole thing.
And now I have been uhspecialized in bioidential
hormone replacement therapy, alittle bit of women's health,
and then direct primary carehealth.
SPEAKER_01 (03:19):
I am Diane.
I am a nurse practitioner.
I actually did not start mycareer in medicine.
I actually started inpharmaceutical advertising and
did um high-level management foryears.
Um, my husband was injured,couldn't get doctors to listen
um and actually treat theproblem.
They just wanted to do surgery.
(03:40):
And so I did what I tell mypatients not to do and studied
myself and treated him myself.
And today he still has not hadsurgery.
We're about twenty, almosttwenty years past that point.
But I realized, man, you know,I'm I I kind of push hard and I
ask a lot of questions and Idon't take no um very, very
easily.
So I went back to school, um,got my nursing degree.
(04:02):
I was a resource nurse, I knewexactly where I want to be,
never wanted to really teach,just wanted to um help patients.
And I love the natural, I lovetreating with food, with um it's
the least amount ofpharmaceuticals, the least
amount of anything that I cantry and treat with lifestyle.
And so I worked in traditionalmedicine with insurance for
years, kind of got run into theground seeing 30, 35 patients a
(04:25):
day, which is what the averagetraditional provider sees, and
decided I needed to do somethingelse.
Um, during that time, because Ilove the natural.
I'd been involved in hormonesand all that from the very start
of my nursing career and thenfurther on into my nurse
practitioner.
So, like Sierra said, we've bothbeen trained outside of just our
(04:46):
nurse practitioner degrees.
Um, we've taken additionalclasses.
I've been working with hormonesfor 10 plus years.
It's what I love, it's what Ibreathe.
I enjoy it very, very much.
Um, and so I just sent out threeresumes to different places in
Lynchburg and said, let the dicefall where they will, um and
we'll see what happens.
And Dr.
Anderson was uh gracious enoughto call me.
(05:08):
Our visions aligned, and kind ofthe rest is history.
So I've been working at Kaya.
I do a lot with hormones.
I had a dream come true lastyear, opened a PCOS clinic.
Um I myself have PCOSendometriosis, and I was told I
could never have children, and Ihave five beautiful children.
And with the training and whatwe do, Bolsier and I have helped
a number of women achievemotherhood that we're told
(05:31):
you'll never be a mom withbiological children.
So it's been amazing.
Um, really, really cool.
There's a lot of those storieson our review page as well.
So very rewarding.
Yes, very rewarding.
That's what we do.
Um, we love it.
Not just that, but like yousaid, about perimenopause,
postmenopause, andropause.
(05:52):
We work with it all every day.
SPEAKER_04 (05:54):
I can't wait to get to that word.
We're gonna talk about that.
We're gonna talk about that.
And we're gonna make sure thatwe link all of your information
and make sure that if anybodywants to know more about Kyer,
we're gonna make sure they haveaccess to the case.
For sure.
We've got that.
Yeah.
SPEAKER_05 (06:09):
The website explains most things.
Uh just questions answered, andthen you can always call the
office.
Yep.
And we're happy to pick up thephone and answer.
We're gonna make sure they haveall of your contact info and all
that stuff.
SPEAKER_01 (06:20):
Yeah, more providers coming in 2026 to help us out.
We are getting full.
Um, but if anybody's interested,yeah, for sure, go to the
website.
We've got a waiting list.
Um, both the new providers in2026 will be doing hormones as
well.
I oversee all the training andall of that.
But we're very excited aboutthat.
SPEAKER_04 (06:38):
Awesome.
We'll make sure to hook y'allup.
Well, I mean, with you knowwhatever you think.
I didn't mean for it to soundlike that, but you know what I'm
saying.
They're gonna hook info withinfo.
SPEAKER_03 (06:51):
Menopause and parry.
Yeah.
Just hearing those wordssometimes makes you sweat.
Well, it makes me sweat.
SPEAKER_04 (06:57):
You sweat anyway.
True.
Girl.
Um, some real talk about itthough.
Why is this such a hot topicright now?
I don't feel like five, 10 yearsago, people were really bringing
awareness to it.
And right now on my socials.
Oh gosh, it's people are talkingabout this.
(07:18):
And even my mom, she's I love mymom.
She's an old school mama, andshe's even more open to talking
about it because I think we weretalking about earlier before we
even cut the mics on.
We were talking about, you know,our generation, I'm 48, Steph,
you're 44.
You know, our parents, when theydid talk about it, you know, it
was hot flashes.
(07:40):
And, you know, your menstrualcycle will eventually end and
da-da-da-da-da.
And I just thought, oh, so I'mjust gonna sweat a lot.
And it's so much more than that.
You'll certainly do that.
SPEAKER_05 (07:51):
Yes, there's a lot more to it.
It didn't used to be a topic fordinner conversation.
It's not a dinner tableconversation, but now I think
with the internet and access toinformation, women are
advocating for themselves forthe first time because women's
health has been notoriously anunderserved segment of medicine,
(08:12):
because it will say it how itis, but it was a man's world for
a long time when it came tomedicine.
And so now women are reallysaying, Hey, I don't feel good,
and these other countries aredoing this.
I would like to be myself again.
That's what I hear the most, isthat I just don't feel like
myself.
(08:32):
Like this isn't me.
And they come in wanting helpand advocating for themselves.
Yeah.
SPEAKER_01 (08:37):
Social media has been a big part of it, you know,
because everybody talks abouteverything on social media.
So that's certainly been a bigpart of getting the conversation
out there, and it is a greattool.
It also can be a great nemesisbecause there's a lot of false
information on um social media,but it has been a big help in
getting the word out for peopleto be able to talk about and
(09:00):
say, Hey, you're not the onlyone that's dealing with this.
Maybe we need to see somebody.
So it's yeah, one of the biggestthings is that women will come
in and say, I'm gaining weightand haven't changed anything.
You know?
SPEAKER_04 (09:14):
Right?
Right?
All the things.
SPEAKER_05 (09:17):
I've I've cut out sugar, I've stopped eating.
Yeah, that's I've done nothing.
And I have 20 pounds, andnothing is helping.
SPEAKER_03 (09:26):
Yes.
And I don't have the money to goget a whole new wardrobe every
other week.
Every other week.
unknown (09:32):
Yeah.
SPEAKER_01 (09:32):
Yeah, it's it's that is one of the big ones.
Um, like you said, the sweating,yeah.
Perimenopause, you drip atnight, and postmenopause, you
drip during the day.
You know, so it's on it's onboth sides of it.
And during the 40s, that'stypical perimenopause age.
That is estrogen excess.
Postmenopause, it's a depletionof estrogen.
SPEAKER_05 (09:56):
And the fun thing is the too high of estrogen and a
lack of estrogen cause similarsymptoms when it comes to the
symptom side of things.
So women are like, I've beendealing with this for 10 years,
and you're like, I'm so glad youwalked in.
Let's try to help.
We can turn it around.
SPEAKER_01 (10:14):
And perimenopause is like that though.
You have some women who willsuffer for 10 years with
symptoms and be told that thisis normal.
Because on paper, their levelswill look, quote, within normal
limits.
Yep.
So nobody is willing to treat.
But some women also have aperiod and then they never have
a period again.
And it's like, what?
(10:35):
How'd you get so lucky?
And they're like, Oh, I neverfelt anything.
That is rare.
That was my mom.
Yeah.
Yeah.
Lucky, right?
SPEAKER_03 (10:42):
Yeah, she was like, because I talk about this all
the time.
Sure.
And she's like, I literallydon't even remember having going
through peri or menopause.
She's like, I don't even, shedidn't even know the word
perimenopause.
And and yeah, she's like, Ididn't have any.
You just go from no having aperiodopause to nothing.
SPEAKER_04 (10:59):
And that's the assumption, though, is that you
just suffer through it.
It's like you, this is as awoman, you are just this is what
you do.
You just suffer through it, andthen when when it's over, it's
over.
This is what you do.
SPEAKER_05 (11:11):
And I think the medical world shied away from
perimenopause because for a longtime the only thing that they
offered for help was birthcontrol.
Well, that's still the onlything that's taught in school,
isn't it?
Synthetically, shout out to mymom, but they had her on birth
control for 30 years until I waslike, hey, you're in menopause.
Let's pull this back.
(11:32):
We can optimize some stuff.
And she's my poster child forhormones.
Your mom's amazing, yeah.
Yeah.
SPEAKER_04 (11:39):
That was my aunt.
When I found out my aunt was onbirth control for so long.
She has breast cancer now, bythe way.
But she was on hormones for somany years.
SPEAKER_02 (11:53):
Yeah.
SPEAKER_04 (11:53):
When they were trying to test to see if she had
hormone-fed breast cancer, justbecause she was on the birth
control for so many years.
SPEAKER_01 (12:01):
I was like, hormones.
Yeah.
SPEAKER_04 (12:03):
What?
You're still on.
I was like, are you planning onhaving me?
Because she, I was like, why areyou?
SPEAKER_01 (12:09):
You trying to have a baby when you're 48?
I was like, Yeah.
And she's like, that the doctortold me, like, that's what you
but to be fair, that is you gettaught that in school.
You know, it's hard because inschool there's only so much
time.
That's why it's calledpracticing medicine.
Things change on a daily basis.
So you learn the basics inschool and then you get out and
everybody figures out what it isthat they really are in love
(12:32):
with.
And then you go and you studythat.
And you, you know, you find whatfits and what you're passionate
about for us.
That happens to be hormones.
And a lot of people are scaredabout hormones.
We talk perimenopause, and it'slike, oh no, we can't do
hormones because the media hasmade us scared of our own
hormones.
So I always tell people, what doyou think creates a baby?
Hormones, right?
(12:52):
I mean, it's what keeps the babyalive in utero, it's what grows
us into an adult, it's whatkeeps us alive in our 20s and
30s, supposed to be great years,depending on who you ask.
Um and then you get to your 40s,what do you start to experience?
Hormones going out.
That's why you start to seeaging in your 40s.
That's why we have all thesewomen saying, Man, I'm sweating
at night, you know, I'm gainingweight, uh, my blood pressure's
(13:14):
starting to go up.
What is going on?
My cholesterol's going up.
And again, people are stillreally scared of hormones in
their 40s because they get toldyou're gonna get breast cancer.
Well, when do you see breastcancer?
It's in the forties, right?
That's mainly when the majorityof diagnoses are made.
Why is that?
It's because estrogen goesbonkers.
You get really high highs, youget really low lows.
(13:36):
And so if you have somebody whohas a predisposition towards an
estrogen-dominant cancer, that'slikely when it's gonna pop up.
It's not because their hormonesare necessarily killing them,
it's because there's a geneticpredisposition there and your
estrogen's going crazy.
So cancer, by definition, verysimplified, is a cell gone rogue
and it floods out the goodcells, right?
(13:58):
And so if you have that and youhave these high levels of
estrogen sitting there, you'rekind of a sit and duck if you
have a big genetic propensity.
Plus, I could get on a soapboxand talk about the food we eat
and what we put in our bodies,that definitely adds to the
risks.
But your hormones are what havekept you alive, they're what
created your life.
Don't be afraid of your ownhormones.
(14:20):
See somebody who has beentrained in them.
Unfortunately, GYN learn thesame thing we do, it's birth
control.
They don't take classes inbioidentical hormones unless
they go search it out just likeSierra and I did.
So a lot of people go to GYN andthey go to family and they're
thinking they're they're hormonespecialists.
They're not.
I wasn't before I went and didall the training.
(14:41):
So I had the same information.
But then what do you see in the50s?
You see, oh, now I have vaginaldryness, I'm getting UTIs, I got
bacterial vaginosis, my uterusis falling out, my breast have
moved about five inches south,you know?
I've got hypertension, I've gotosteoporosis or osteopenia.
What is happening?
(15:02):
And that's when you start seeingstrokes and heart attacks,
right?
In the 50s.
Why?
Because estrogen went away now.
Now you're in postmenopause.
So estrogen, poor estrogen, itgets a bad rap for what happens
in the 40s.
But you need it.
All those things I just said,you're either gonna take
supplements, pharmaceuticals, oryou're gonna put a little bit of
estrogen back in to avoid thosediseases.
(15:23):
Those are all diseases of aging.
Yeah, it's just the body kind ofgiving out, and that's what
happens in post-menopause.
Men experience it too.
Speaking of andropause, theirhormones slide out the door too.
And when their hormones slideout the door, now you have
erectile dysfunction, they startgaining weight around the
middle, their skin startsgetting saggy, they start losing
hair.
So we all go through it, but thehormones on their way out are
(15:45):
what start the aging process andspeed it up and kick it into
high gear.
When Sierra and I treat, we'renot trying to make somebody
who's 50-20 again.
And that's hard right nowbecause hormones, it's a big
buzzword, right?
You know, everybody's gettinginto hormones, everybody's doing
this.
We do hormones, we use it a lotfor preventative medicine.
There's a lot of folks who areusing it for aesthetics and
(16:07):
stuff.
If that's that's your thing, byall means.
But what we're doing at KaiHealth is we're trying to use it
for preventative medicine.
We're trying to give betterquality of life.
If you're gonna have quantity,you want the quality to go with
it, right?
So we're not trying to makesomebody 20 again, we're not
trying to make them fertile at50.
Um, boy, that'd be miserable.
Um But we're trying to give youprevent the can you imagine?
(16:31):
I can't.
No, y'all made me fall out myhair.
Somebody asked me that the otherday.
I said, you know, I guess it'spossible because you're still
bleeding, but that would bebiblical.
SPEAKER_05 (16:45):
My goal is I want you to have your best golden
years.
Is right?
We all fight for our goldenyears.
We fight for retirement age, wetry to live our best life, we
try to do all the things thatwe're supposed to, but without
the help of the preventativehormones, you can literally
graph it.
Like Diana was saying, ashormones start to tank, women,
(17:08):
we fly off a cliff and hitmenopause and they're gone.
So it's more drastic.
So we talk about it more.
Men, they hit that anthopause,and it's a slow slide, but the
testosterone is going todecline.
And then as you see both ofthose decline, you can see all
the comorbidities that everyoneis talking about and wanting to
avoid your heart disease,stroke, heart attack,
(17:28):
cholesterol, high bloodpressure, cancers, all of those
just start to skyrocket.
The one variable that you canput, it's not a causation, but
it is a correlation, is yourhormones.
SPEAKER_04 (17:40):
My goal is for you to have your best golden years.
That is so like that.
First of all, thank y'all,because we need people like
y'all who are willing to do theresearch and do hormones.
Because if somebody's notresearching it, if somebody is
not willing to do the work, thenwe would just be out here
(18:00):
floundering.
Absolutely.
So yeah, we need somebodywilling to do that.
And also when I was thinkingabout all the things you were
saying about men, you know, howthey, you know, their
midsections grow too and theylose their hair too.
But I noticed like when men gothrough that type of thing, and
I'm not crapping on men rightnow, I'm not.
I'm just making an assumption.
(18:22):
I'm just making an observation.
But when men start to go throughtheir hormonal changes, I notice
it's usually called, oh, they'rehaving a midlife crisis.
But when women spin on it,right?
Yeah.
But when all of those likethings start happening to women,
especially when we start havingthose uh mental um and emotional
(18:44):
changes, oh, we're having abreakdown.
Yeah.
Uh-uh.
Well, it feels like you'rebreaking.
Yeah.
And I'm like, why isn't anybodyever that understanding for us?
And I'm not saying I'm nottrying to play, you know, the
victim here, but I'm just sayingI just wish it's an act of
observation.
Yeah, you know, a little bitmore understanding that this is
(19:06):
a physical, it is somethingphysical and a real medical
thing that's happening here.
SPEAKER_01 (19:12):
It is very medical.
That's yeah, that's a big partof the puzzle, is it is medical
to give somebody their bestgolden years, you have to
combine the medical with thehormones.
It's not just, they're notseparate.
It's all health, it's allpreventative.
And so it is a very medicalthing, but hands down, almost
every patient, I won't say 100%,because this is probably an
(19:35):
exception to that, but at least90% of the women who I have
treated have come to me andsaid, Why isn't anybody else
doing this?
I told people this, you know,right?
You you told us when we firstmet you.
And the reason is because peryour labs, hormones naturally
decrease with age.
And so the labs account forthat.
SPEAKER_05 (19:54):
And they say you're normal.
SPEAKER_01 (19:56):
And you will always fall within normal limits as
you're in your 40s and 50s,because it's normal to have zero
estrogen.
To have crazy estrogen andperimenopause and none in
postmenopause, right?
So you always fall within normallimits.
So it's very hard to findsomebody to treat you if they're
not specialized.
And what we do is notnecessarily treating, it's
(20:16):
called optimization because youare quote normal on paper, but
we want to treat the personsitting in front of us.
And because we're at a directprimary care, we get that
opportunity.
We don't have to do exactly whatinsurance tells us to do because
they need to get their check.
We get to treat the personsitting in front of us, and that
is exactly why Siri and Istarted the careers that we
(20:36):
started.
SPEAKER_05 (20:37):
And that's where other providers are limited is
that insurance is holding thestrings.
You can't legally treatsomething that's quote unquote
normal, right?
I mean so they can't say they'regonna say, Well, nothing's
bolded, right?
When you get back to your labs,you see abnormals is bolded.
So they'll look at it andthey'll say, nothing's bolded,
you're good.
But you go and you say, But I'mstill having symptoms.
(20:59):
I don't feel good.
Right.
I'm still tired, I'm stillgaining weight.
Still not sleeping.
Yes.
I'm depressed.
I'm anxious.
I've never been anxious beforein my life.
All of those things, right?
Yeah.
SPEAKER_04 (21:12):
One of the most frustrating things is going to
your doctor and you say to yourdoctor, I just feel off.
Something is wrong.
Like, I'm not sleeping.
Like I feel I know my body.
SPEAKER_05 (21:24):
And no fault to their own.
They have eight minutes to talkto you, and they're like, Well,
I'm sorry you don't feel good,but your blood pressure is 160
over 100.
So let's prevent you from havinga heart attack.
Right.
And that's all they can do.
And then they move on.
SPEAKER_01 (21:37):
It is.
It's hard for the provider.
I worked in traditionalmedicine.
It's hard for the provider.
I worked through lunch, I workedan hour and a half after
closing, and then I'd put mybabies to bed and chart for
three or four hours, you know.
SPEAKER_04 (21:48):
And we're not crapping on the providers.
We're just saying, it'sfrustrating for both.
Absolutely.
Yeah.
100%.
So then excuse my language.
SPEAKER_01 (21:56):
So we get direct primary care, you know, that's
one of the great parts that whywe love our job so much is
because we get their shortestappointments 30 minutes with our
patients.
We're our appointments areeither 30 minutes or 60 minutes
with each patient.
So we actually get to listen tothe patient.
And that's a huge if you look atthe reviews, almost all of them
will say something about I feelheard.
SPEAKER_03 (22:17):
And you guys mentioned that you have what you
call a cry room.
SPEAKER_01 (22:20):
Well, no, it's a win up.
So it's actually when a room.
It would be, it would probablybe, you know, you'd have to like
stand in line to get in there.
Um But when I first started withDr.
Anderson, it was kind of funnybecause he wasn't actually
(22:40):
planning on hiring, he told me,but our views clicked um and it
just worked.
And so I started at the oldlocation at Boonesboro Direct
Primary Care when that was ourname.
I actually started in a closetbecause I went for an interview.
He was like, I just don't haveanywhere to put you.
And I was like, I don't needmuch space.
I just need a room where I cansee people.
And so I transitioned a closetinto my office, and so many
(23:03):
women would come in and not feelheard.
And again, you know, not sayinganything bad about providers,
gosh, we need more of themactually.
But in traditional medicine, youjust don't have time to do what
we're able to do in directprimary care.
But women would come in and forthe first time they'd be like, I
feel heard, and so they wouldcry.
And so he nicknamed my officethe uh the room of tears.
(23:24):
Um so many women were coming incrying.
And again, it was more so justbecause they for the first time
felt heard, not necessarily Ilike to think I'm a great
provider, and I try.
But I think when as a female, asany patient, really, when you
get to sit with a provider andthey actually hear you, that's
cry worthy, you know, becausethat means that somebody's
(23:45):
actually listening and willingto help.
And I have the time to help,which is a huge thing being a
very important thing.
That's my favorite compliment.
Yeah.
SPEAKER_05 (23:52):
It's the most rewarding.
SPEAKER_01 (23:53):
Yeah.
So there's still a lot of tears.
We we constantly have Kleenex inour office.
Always.
But again, we have time tolisten, and that makes a
difference for patients.
SPEAKER_04 (24:05):
What do you wish every woman knew about this
chapter in their lives, whetherit's peri or menopause?
SPEAKER_05 (24:13):
You're not crazy.
There you go.
Um, because you're not alone.
You're not alone.
I'll have once again, going backto traditional medicine, when
you get taught that somebody'scoming in and they're anxious
and they're depressed, you treatsymptoms and you band-aid it,
right?
Because you can't get to theroot cause because you don't
know any better yet.
And so all these women arecoming in and they're like, the
(24:34):
only thing they offered me wasan SSRI, or which is like Prozac
or Symbolta or Lexapro, just tomask the depression.
And then they come to me andthey're like, now I'm a zombie
and I'm still gaining weight.
Now I have no motivation, I haveno libido, I have nothing.
(24:55):
And so it's just saying that itthe band-aid can be useful in
certain situations.
Like once again, pharmaceuticalshave increased your quantity of
life, but not necessarilyquality, and we can get to the
root cause on most of thosethings, and it's just by
(25:15):
optimizing your hormones.
Now, does it fix everything?
Absolutely not.
Does it give you a betterfighting chance?
Absolutely not.
SPEAKER_01 (25:23):
Yeah, so echoing that, yeah, you're definitely
not crazy.
You're not alone, you're not theminority, it's just no nobody
else is talking.
So it's very, very common um tofeel and be told that you're
crazy.
It's very common to go to yourprimary care and be told
everything's normal because ittypically will be on paper.
Find somebody who has time totreat the patient, which is
(25:46):
somebody who has more time withyou in their office, is always
gonna be that person.
And somebody who's interestedand trained well.
And I would say don't be afraidof what you're already
producing.
Yeah.
That's the big thing is talkingto people because so many of the
studies that are put out, andit's really hard to find studies
on bioidentical, those arehidden.
What you're gonna see when youGoogle most of the time is
(26:09):
synthetic hormones.
The whole women's healthinitiative.
That was not done onbioidentical, but scared every
woman.
And every woman thought, oh mygosh, my hormones are killing
me.
Quite the contrary, they'rethey're what brought you into
this world.
They will take you out of thisworld, but not necessarily
because everybody's gonna getcancer, but because they're
gonna decline one day and thenthey're gonna stop producing.
(26:29):
And at that time, you got tochoose, am I gonna use prolia or
am I gonna use estrogen toprevent osteoporosis?
So don't be afraid of whatyou're already producing.
That's what we do.
We manipulate a little bit ofwhat you're already producing to
give you better quality of life.
It's just the levels are goingout because that is a natural
process of aging.
So if you can use those aspreventative medicine, do that
(26:51):
first.
You have a lot less side effectsmanipulating what you're already
making than putting a foreignsubstance into your body.
Again, I I use pharmaceuticalssparingly, but I do use them and
they have their place.
Yeah.
They do have their place.
It's dangerous to swing thependulum to one end or the
other.
(27:12):
Typically in the middle is whereyou're gonna fit best and have
the best outcomes.
But uh we were created withhormones and so if we can use
those first and use thepharmaceuticals just to help get
you where you're going and thentry and let 'em go.
The goal is always the babsolute best health with the
fewest amount of things that youcan be on.
(27:32):
We don't even treat withhormones if you're not
symptomatic.
You don't come into our officeand leave with every hormone uh
that you're producing as ascript.
We treat the person sitting infront of us, and that's really
important because if you're justtreating paper, you're gonna
make somebody feel a lot worse.
You gotta treat the personsitting in front of you, you
gotta listen to them.
That means you're not inmenopause until you're by
(27:55):
definition a year without acycle.
But in that time, you can havewomen who feel great and you can
have women who feel like they'reon the death's store.
Everything in between is normal.
I've been doing this for 10 plusyears.
I've yet to meet one person thesame.
Everybody is different, but weall metabolize different, we
live different, our quality oflife is different, and that is
(28:16):
something that you gotta knowabout that person before you can
actually treat them.
And so find somebody who canlisten to you, find somebody
who's trained well and who caresand who cares and who can listen
and uh and let them use whatyou're already producing first.
It has the least amount of sideeffects.
I've watched DEXA scans improvefrom just giving somebody
estradiol.
Now, not everybody is acandidate for every hormone.
(28:39):
We do take again, it's a medicaltasks.
This is a medical process.
It's not just hand handeverybody some progesterone and
candy form.
That's not what we do.
It is a medical thing.
You need to be medically trainedand you need to understand that
this is still medicine thatyou're dealing with in a way.
But uh when it's appropriate,you give those items.
(29:02):
But you need to know theperson's history.
You would never give somebodyestrogen who's still making
estrogen of their own.
Right.
That's a not a good idea.
We can do a lot more harm thangood that way.
But what do you you were saying?
Hot flashes at night.
That's a big one, right?
Sweating you wake up in a poolof your own sweat.
What hormone is lacking there?
(29:23):
Progesterone.
Progesterone is also one of thesafest hormones you can give.
It's the one that balancesestrogen.
There are ways to decreaseestrogen load by food, and I
talked to patients about that.
But you can help decrease uhcancer risks and things like
that by just knowing how tomanipulate progesterone in the
(29:43):
40s.
SPEAKER_05 (29:44):
Especially my women that have endometriosis and PCR.
That's a big one.
Because you're alreadystruggling to make progesterone
consistently.
And so we worry about youruterus.
We worry about the endometrium.
And so giving you backbioidenticity.
Identical progesterone, which isnot the same as progestins,
which when you start readingstudies, a lot of times they'll
(30:07):
flip the word progesterone andprogesterone.
And progestins are yoursynthetic progesterone.
So that's your birth control.
That's what a lot of studies arebased on.
And so progestins, you can pullup a chart, you can Google it
while we're talking, butprogestins, your synthetics,
will cause weight gain, issueswith sleep, mood issues, whereas
(30:29):
your bioidentical progesteroneactually helps with sleep.
It naturally decreases anxiety.
It helps to counterbalance yourestrogen.
So it decreases risk forendometrial cancer, ovarian
cyst, fibroid cysts that womendeal with, which cause the heavy
bleeding that you see.
The only side effect that I seeis usually maybe sometimes
(30:51):
fatigue the next morning, whichtends to go away.
And I think I've had one in ahundred women have nipple
tenderness, and we adjust howyou take progesterone because
there's a lot of different ways.
This is where you go talk to anexpert because there's a
thousand different ways it feelslike that you can compound
bioidentical hormones to make itfit the individual.
(31:11):
But you have to have somebodythat has a little bit of
experience and support andknowledge and willing to travel
that with you, not willing tolike I will always listen to a
patient that says, Hey, I'mhaving this symptom, and I'll be
like, Okay, I'm gonna take thatseriously.
Let's see if there's another waywe can make this fit for you
instead of everyone.
SPEAKER_01 (31:30):
Yeah.
What uh Sarah was saying wastrue, and you're seeing a lot of
like pellet therapy and thingslike that coming out.
And I would just say, talk towhoever's doing your hormones.
Pellets, that's a big questionwe get.
We do not do pellets at ouroffice, and a big reason for
that is again, we see it as amedical uh now.
What is pellets?
That's where they inject thehormones under your skin and
(31:51):
pellet form, and it's a slowrelease over six months.
There's supposed to not be apeak in a trough, but that's
kind of impossible.
Okay.
When you have a slow release,there's always gonna be some
kind of top of the mountain andlow in the valley.
And that will always happen witha slow release.
You can't really get around it,but there's supposed to be a
little bit to none of that.
(32:13):
However, when we do hormones,you never know when somebody's
gonna come up with something.
You never know how somebody'sgonna metabolize something.
So if I put a bunch of pelletsunder your skin and I have no
idea how you're gonna metabolizeit, you could end up as a female
if you have PCOS growing abeard.
And the only way to stop thatnow is to give you a
pharmaceutical.
I don't want to give youpharmaceuticals.
(32:35):
I'm trying to avoid that.
I'm trying to use natural thingsto better your quality of life.
And so we do not do pellets,there's a lot of complications
with them.
Once they're in, you cannot takethem out.
Period.
End of story.
So if you put it sounds scary.
SPEAKER_04 (32:48):
That does.
SPEAKER_01 (32:55):
Number one, Sierra and I, when we prescribe
hormones, if somebody has a sideeffect, they text us personally
because we're the ones whoprescribed it, and we can make
that side effect typically goaway in 24, 48 hours.
SPEAKER_03 (33:06):
Oh wow.
SPEAKER_01 (33:07):
We'd have very tight control on it.
Whereas with pellets, once youput them in, they're just there.
You cannot get them out.
So two months in, you havesomebody who has a lump in their
breast, god forbid it's anestrogen-dominant cancer, and
you've just loaded them up withsome estrogen under their skin.
You're gonna have to figure outhow to try and decrease that and
cover it up, which means it's avery hard pharmaceutical load on
(33:30):
that person.
And so you know, pellets havetheir place.
If you're traveling a lot, youcan't get in.
If you're military, you're goingoverseas, if you're homebound,
they do have their place.
And if you call themanufacturer, they're not
intended necessarily for theeveryday use.
SPEAKER_04 (33:46):
Gotcha.
SPEAKER_01 (33:47):
Um, so not when there's other options.
There's safer options.
And hey, if you want to dopellets, you know, we'll tell
you risk-benefits.
If you choose that, we'llsupport you the best we can.
Um, we're not here to backanybody into a corner, but
before you go do something,whoever is talking to you,
whether it's a pharmaceutical, avitamin, or hormones, they
(34:08):
should be going over all therisks, all the benefits, and
telling you all this informationso that you can make an educated
decision about what form is bestfor you.
But at Kaya, we like to havevery tight control.
We're very type A.
We are a little bit type A.
Yeah.
I appreciate that.
But you know, their goal is tomake you feel better.
If you're not feeling better,then let me know.
(34:31):
Tell me what's not better, or ifyou're feeling worse at all, I
want to know that immediatelybecause I want to turn that
around.
Yep.
You know, I don't want you tosit there for six months and
feel like crap or have to be onthe pharmaceutical.
Sorry, I said I don't know ifI'm allowed to say that.
I've already been getting away,but I don't want you to feel bad
for all that time when I canadjust that and make that
(34:54):
symptom go away.
Or, God forbid, the worsthappens and you get a cancer
diagnosis, we just stop itimmediately.
We don't have to do a bunch ofpharmaceuticals on the back end
of it.
So there's there are saferoptions out there.
And I would just say before yougo and do something, make sure
that you talk through all of theoptions.
Make sure you look at yourfamily history and know what
your risk factors are from afamilial and genetic standpoint.
SPEAKER_03 (35:16):
Can we dive into that for just a moment?
Because I'm adopted.
So when I said earlier, youknow, my mom had no symptoms, no
blood relations.
And so I also know for myself,like I've had DVTs and PEs four
times.
So I am a permanent on bloodthinners person.
And so whenever back up for somepeople who sorry DVT and PCs in
(35:42):
her legs and her lungs.
SPEAKER_05 (35:43):
Okay, thank you.
SPEAKER_03 (35:45):
Yep, there you go.
Okay.
Um so whenever I'm doingresearch and I'm looking into
you know, what would hormonereplacement therapy look like
for me, it's like, yeah, no,absolutely not.
Don't even touch any of thatbecause you have all of these
already.
SPEAKER_01 (36:02):
Yeah, and what you're reading, unfortunately,
is about your synthetic.
So all of those synthetic, um,that is one of the things that
you have to ask somebody ifyou're gonna put them on a birth
control, you have to ask them ifthey have a history of exactly
what you have a history of,because if you put them on that
synthetic, then you raise therisk of them having that.
Or I'm I'll pick on uh premarin.
(36:23):
Um premarin is made from horseurine.
Okay.
That sounds good.
It's a little old school.
SPEAKER_05 (36:27):
And if you look at the makeup of it, only 17% of it
is your bioidentical estradiol.
Everything else is conjugatedestrogens.
SPEAKER_01 (36:35):
Correct.
So I'm not a 1200-pound equineum mammal.
Um, and most of my patients arenot.
All of my patients are not.
So I'm not going to take um, Ido have a horse.
Um I don't treat it.
But I'm not gonna put a hormonefrom a 1200-pound animal into a
(36:57):
female and then stand back andsay, Oh my god, you had a heart
attack.
SPEAKER_05 (37:01):
I wonder why.
For the layman folk, we'rereferring to the WHI study that
everybody gets theirinformation.
SPEAKER_01 (37:08):
The one that came out in 2000, that was about
premarin.
Um again, 1200-pound four-leggedcreature, which none of us are
that we're speaking to rightnow.
SPEAKER_04 (37:17):
Um I worked in OBGYN for 12 years, and I remember
them prescribing primeran tojust about everyone.
SPEAKER_01 (37:24):
So that was standard of care, yeah, when it came out.
Isn't that crazy?
Yeah.
So that's what I'm saying.
Like you need to understand, andwhoever you're talking to needs
to be telling you.
I mean, if I'm starting somebodyon a pharmaceutical, I pull up,
it's called Hippocrates.
A lot of providers use it, and Iwill show them the side effect
profile and say, you need tounderstand that these are the
common side effects, these arethe serious side effects.
(37:45):
And a lot of people who I takeas new patients, they're on a
heavy-hitting medication.
I'll be like, ugh, was this everjust are you aware of this?
Are you aware of the side effectprofile of this medication?
You have to do the same forhormones.
It's that's the fair thing tothe patient.
If you're going to prescribesomething to somebody, they need
to understand what they'retaking, why they're taking it,
and what the risk factors are.
(38:06):
And that's the great part aboutbioidentical.
You don't have those naturallyoccurring with your hormones.
When you see the PEs, you seethe blood clots and things like
that.
You typically see those in the40s, right?
Were those more recent?
Or were you did you start havingthem younger?
SPEAKER_03 (38:21):
Yeah, my first one that I had, I was in college, I
was 22.
SPEAKER_01 (38:24):
Yeah, so there may be a genetic predisposition for
you.
We just don't know it becauseyou know, or you might know.
Some folks who are adopted dohave that information.
But those are most likely notoccurring because of your
natural hormones.
But if anyone puts you on anysynthetic hormones, you would
likely have a very highreoccurrence of those issues.
(38:47):
But here's the other great thingabout bioidentical hormones.
We don't even have to touch youwith estrogen.
If you say, I'm just notcomfortable with it, that's
fine.
Guess what?
We can manipulate your thyroid,we can put you on some
progesterone, and we can do themas your symptoms suggest.
SPEAKER_03 (39:02):
Right.
SPEAKER_01 (39:02):
I have women who have been scared to death of
estrogen and they're not gonnatouch it.
It's not my job to sit there andbully them into taking it.
We talk about the risk, we talkabout the benefit.
If they're not comfortable, thenthey're going to not feel great
on it because they're gonna beconstantly worried about it.
That's more damage to them thangood because they will be
constantly worried.
(39:24):
I'm not gonna do that to them.
But there are other hormonesthat I can help them with that
still decrease diseases.
Testosterone.
That is your neurovascularprevention.
I have several patients I treatwith Parkinson's with
testosterone, and they've seen agreat benefit in their symptoms
from testosterone because it'sneurovascular prevention.
We like our licenses, and so um,even though hormones are safe,
(39:46):
there's a lot of folks who arenervous about it.
And so we're very careful who wetreat.
If we treat somebody who has ahistory of cancer, we will talk
to their oncologist first andmake sure that they're on board.
But I had one lady she's beatbreast cancer three times.
She's amazing.
And our poor thing was suicidalbecause she couldn't sleep.
She couldn't handle any of thesleep meds and just just a mess.
(40:10):
And I felt so bad for her.
But she said, If you if youcould just make me sleep, you
know, I just need sleep.
But um, she'd be up for 42, 40,72 hours at a time.
And you can imagine, I mean,lack of sleep is connected with
cancer for crying out loud.
You know, I mean, that's thefirst thing you have to treat.
That's the first thing Icorrect, even if somebody's
coming in about weight loss, andthey'll be like, Did you just
hear me?
I said, I need to lose weight.
(40:30):
I'm like, Yeah, you can't dothat unless you're sleeping.
And so I put her onprogesterone.
Progesterone has absolutely zerorisk of causing cancer.
Progesterone is your naturalsleep mediator, it's your
natural mood stabilizer.
Think of all the women that youknow who have been put on
antidepressants, anti-anxietymeds, and sleep meds starting in
their 50s.
Uh that's postmenopause.
Now you have no progesterone.
(40:53):
So then you start gettingprescribed things for anxiety,
depression, and sleep becauseyou can't handle any of that
anymore.
You can't sleep and you'reyou're anxious for no reason.
So I gave her progesterone, andI did not know that she was
friends with this other personthat I knew.
And that person came up and gaveme a hug, and they said, You
saved my friend's life.
And I was like, I don't know whoyou're talking about, but I
thank you.
(41:13):
I'm so happy.
Yeah, I'm so happy.
She said it changed itabsolutely changed my life.
I just had another lady theother day say her husband said
he finally has his wife back.
They've been married for 30years.
So it changes lives when you doit, you do it well and you
listen to somebody.
That's the biggest thing.
We will hear you, it's we willlisten, you will be heard.
(41:34):
If nothing else, you will beheard.
And sometimes that's what peopleneed in their 40s, you know,
when you're being told you'recrazy 24-7 by everybody,
including your kids.
SPEAKER_03 (41:44):
And this is normal, even though you're crazy.
It's normal.
SPEAKER_01 (41:47):
And you do feel crazy, you know.
I've got five kids, they tell meI'm crazy all the time.
Sometimes I think you're right.
SPEAKER_05 (41:55):
And I'll circle back on estrogen for a little bit.
There's a lot of fear associatedwith estrogen of it causing
blood clots, of it causingcancer.
And so when you sit down with meand I go through the risks and
benefits of bioidenticalestradiol, which once again is
very different than yoursynthetic estrogens, I go
(42:15):
through all those risks andbenefits and I go through
studies.
And so bioidentical estradiol isnever going to cause breast
cancer.
If it caused breast cancer,every female would have it
because we all producebioidentical estradiol, right?
Especially in that periodmenopause period.
However, if you were to developan estrogen-based cancer, it
would feed it absolutely becauseit is estrogen.
(42:37):
And so that's where the riskscome from.
But they've done a study wherethey took two groups, one that
they both had breast cancer,they both went into remission,
and they gave one of thosegroups bioidentical estradiol.
And the relapse rates weresignificantly lower in the group
that took bioidential estradiolthan the group that did not.
(42:58):
And so it does show a protectivefactor.
This is why we prescribe it.
And there's a lot of studiesthat show that bioidentical
estradiol stabilizes the plaquein your heart.
And so it doesn't matter ifyou've been a vegan your entire
life, you're gonna develop alittle bit of plaque.
It's part of aging.
And so that helps to stabilizethat and reduce your risk of
heart attack, reduce your riskof stroke.
(43:20):
It is the treatment forosteoporosis, it's the treatment
for vaginal atrophy or vaginaldryness.
And so we don't think of that asa health thing because we don't
talk about it as women, right?
But if you start looking atvaginal dryness, that puts you
at an increased risk forbacterial vaginosis, which
requires an antibiotic, puts youat an increased risk for UTIs,
(43:42):
which as we age, we start seeingeuroscepsis, yeast infections,
all of these things thatdecrease quality of life.
And so estradiol is a hugefactor when it comes to
prevention.
So there's a lot of differentways that you can take
bioidentical estradiol too.
So for patients that do have ahigher risk when it comes to
blood clots and or cancer,there's a conversation of if you
(44:06):
want to do this and understandthe risks and benefits, both
ways, we can do topical creams,which reduces your risk
threefold because it's not goingthrough your liver.
And so there's a lot ofconversations to be had.
So I don't want anybody to bescared and be like, well, I've
had this.
It's absolutely off the tablefor me.
Oh good.
It's not it's a conversationone-on-one.
SPEAKER_03 (44:28):
I just love this conversation that we've been
having because there's so muchinformation that you guys are
giving us.
It is a lot, and it's amazing tojust sit here and think about
it.
That, you know, the four of usjust had this lovely
conversation aboutperimenopause, about menopause,
and there's still still so muchmore information that could be
(44:48):
had, whereas usually it's justnot talked about, right?
SPEAKER_01 (44:52):
And you mentioned andropause too.
So on to piggyback on what Sarahwas saying, benefits of
estrogen, there are actuallystudies coming out suggesting
giving estrogen to men, whichmen don't cut me off yet.
Hear me out.
You do need estrogen.
Okay, you're not gonna grow fromtestosterone.
Correct.
It is aromatized, conjugated,whatever fancy word you want to
(45:15):
use, but your testosteroneconverts into estrogen.
You need that.
That is cardiovascularprevention.
So as you age, again, goingthrough andropause and your
testosterone levels fall, sodoes your estrogen.
Think about when men startseeing a lot of hypertension,
heart attack, strokes.
It's in their 50s too.
So they don't have estrogen,they have lost that protective
factor.
And so when that happens, if youcan give the male back his
(45:39):
testosterone, he will make hisown estrogen.
It is very helpful.
Just like women needtestosterone, we just don't need
as much.
But men need estrogen, they justdon't need as much, right?
But we all need those twohormones.
It's really important for both,and that happens often.
I know Siorcina just as much asI have.
You treat one sp one one part ofthe spousal unit, and the other
(46:01):
part comes in and says, Wait fortarget families because they're
using whatever you did for them,do for me because they feel
better.
SPEAKER_04 (46:08):
So do you have men come in for treatment?
Oh, a lot.
Okay, absolutely.
SPEAKER_01 (46:13):
We both use it on pretty much all of our patients.
SPEAKER_04 (46:16):
Uh-huh.
SPEAKER_01 (46:17):
Because the goal is to use the fewest amount of
foreign substances for the body.
The goal is always use the leastamount of stuff with the highest
amount of benefit for yourhealth.
So if we have to usepharmaceuticals, we will.
But we're gonna try andmanipulate diet, sleep,
lifestyle factors, try and getyour hormones straight before we
throw in things that are foreignto the body, including, I mean,
(46:39):
I love people who know me, theyknow I love my supplements.
Um, I use Chinese herbs for H.
pylori.
Like, there's a lot of stuffthat you can use for different
things, but if you can getsomebody's lifestyle right, if
you can get their hormonesbalanced, you have to use so
much less of that.
And it's wonderful.
It saves them money, it improvestheir health, it decreases side
effects.
(47:00):
There's so much, so muchbenefit.
Um, and again, we have time todo that because our appointments
are 30 and 60 minutes.
Um, that's very hard to do intraditional medicine with how
short of a period of time thatyou um see folks.
But that is something that weuse.
I mean, I talk hormones everyday.
SPEAKER_05 (47:16):
Whether you're 14 or 82, I'm asking you questions.
And you may not even realize I'masking you questions about your
hormones, but I'm asking a lotabout a lot of symptoms that are
related to hormones.
And there's quite a few books,thank God now, that relate your
menstrual cycle to your sixvital signs.
So there's not a woman out therethat I'm not asking about how
(47:37):
regular is your cycle, how heavyis your bleeding, how do you
feel, what's your PMS like?
Because I shouldn't have people,yeah.
People listen.
SPEAKER_03 (47:47):
And that's just mind-blowing.
SPEAKER_05 (47:49):
Mind-blowing, right?
Yeah.
SPEAKER_01 (47:50):
One of my favorite books is called The Period
Manual.
SPEAKER_05 (47:54):
That's where the vital sound comes from.
Oh man, it's such a good one.
SPEAKER_01 (47:57):
It's if you want a good book to learn about your
body, especially moms of teenagegirls were pleased with it.
For sure.
And it's very easy tounderstand.
It's called the Period Manual.
Um, and I would try and say theauthor, but I would butcher it.
It's a pink book with a whitewriting.
I have no short-term memoryanymore.
That was due to a concussion,not just because I'm old.
Um don't let the gray hair foolyou.
(48:20):
Laura Bryden.
There you go.
It's Laura Bryden.
She's right.
So in the US, everybody's like,oh man, my PMS is for like two
weeks or one week.
And that's everybody has PMS.
You should not like your periodshould come and go without an
event.
Isn't that bizarre?
It would be nice.
SPEAKER_05 (48:37):
I want it to be a surprise each month.
Yeah.
I want it to be not hearing.
You're here.
So excited.
SPEAKER_01 (48:44):
Hello.
But again, that's affect it'saffected by the food we eat, our
sleep, the amount of stuff thatwe take.
It there's so many factors thatplay into it.
And so we work a lot with youngwomen, women in their 20s, 30s.
Like I said, we've helpednumerous women.
We even have a bell in ouroffice now for women who get
pregnant who were told you cannever have a baby.
Um, because it's happened somany times.
(49:05):
We're not fertility experts, Iwill tell you that.
We're hormone experts, um, butit kind of wraps it into itself.
But we do a lot of that.
But your period should not be ahuge issue every month.
It should not have you throwingup, running a fever, on the
floor, calling out of work.
SPEAKER_05 (49:22):
Absolutely not.
SPEAKER_01 (49:23):
That should not be a thing.
That's a big thing in the US.
SPEAKER_02 (49:26):
Yeah.
SPEAKER_01 (49:26):
That is not a big thing around the world.
And it shouldn't be.
So if it is for you, please comesee Kaya.
And if we don't have somebody tosee you right now, we will in
2026.
There's a waiting list and wewill help you.
SPEAKER_04 (49:39):
We could go on for hours about this, but we also
want you to go see them.
Uh but we do thank you for atleast opening up this
conversation and just making itnot such a taboo thing.
Right.
And being able to just bring itto the dinner table.
(50:00):
Exactly.
Yeah.
SPEAKER_01 (50:01):
Your spouse may not thank you.
Your kids may not like that.
But definitely talk more.
Talk more about it becauseyou're not alone.
If you're feeling reallydepressed, if you're feeling
like, man, I'm the only one onearth experiencing this, you're
not.
I promise you, you're not.
If you are 40, even 38, andyou're having those symptoms,
you are not alone.
No.
So talk about it.
Come see us.
We will help you.
(50:22):
But see somebody who's actuallytrained.
Don't be shocked if your GYNsays there's not help or we
don't know about hormones.
They're not hormone experts.
GYNs are not trained inhormones.
They're given the same trainingwe were in school.
They're not hormone experts.
I love my GYN.
He's wonderful, but he's not ahormone expert.
They're mainly surgeons.
(50:43):
I did an extended period inwomen's health, and I absolutely
love that area.
In fact, we just won the area'sbest GYN and OB, which is funny
because we don't do a whole lotof OB, but we help a lot of
women have babies.
So it's really fun.
But go talk to an expert.
Find somebody who will sit downand listen and has the time to
listen.
SPEAKER_00 (51:07):
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