March 14, 2025 • 51 mins
In this episode, Dr. Jen welcomes special guest Sarah Knerl, co-owner of Core Essentials Physical Therapy. Together, they explore the sexual benefits of testosterone and the vital role it plays in sexual wellbeing. Sarah highlights the importance of pelvic floor physical therapy in assisting men and women with complex and challenging personal health concerns.
To Make and Appointment with Core Essentials Physical Therapy
1901 Vestal Parkway East Vestal, NY
607-444-3151
Jennifer Cobb PT and Sarah Knerl PTA
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
Okay, welcome back.
This is Dr.
Jennifer Hopkins, an integrativemedicine specialist certified in
hormone health with a passionfor biohacking, the human body,
diligent researcher, professor,health advocate, and wellness
enthusiasts.
This raw and real podcastexplores holistic wellness and
self-empowerment from a uniqueperspective.
(00:22):
Join us as we embark on thistransformative adventure.
Turn the volume up and let's getreal.
I am grateful you are here.
Okay, so today I am joined bySarah Neural, co-owner of Core
Essentials Physical Therapy, aspecialty PT clinic in pelvic
floor therapy, and I'm sograteful you're here, Sarah.
(00:42):
I'm happy to be here.
Thank you for having me.
Absolutely.
Can you tell listeners a littlebit about what you do?
Because I think pelvic floor ismore of a new.
Modality and I certainly havehad it done on myself'cause I
was having a lot of recurringurinary tract infections.
So I don't know that I knewanything about it up until
probably a couple years ago.
(01:02):
Sure.
It is fairly new and upcoming.
Pelvic floor therapy deals a lotwith the muscles that are within
the pelvic floor and the hipmuscles.
They are impacted by a lot ofthings, though.
They're impacted by spinemovement, by your abdominals.
And then specifically forwomen's health, we take a lot,
we take care of a lot of womenwho deal with pelvic pain with
(01:25):
intercourse interstitialcystitis, endometriosis it's
huge in pre and postpartum care.
And all throughout life stagessuch as going into puberty.
Having babies and then intomenopause.
Your pelvic floor takes a tollas we age, so we deal a lot with
men, women, children.
(01:47):
Oh, tell'em specifically whatyou do for men.
So for men, we typically see menpost prostatectomy.
They will have complaints ofurinary leakage when that
prostate is removed.
So they get in to see us so wecan work.
On the pelvic floor musclesthemselves, because men have the
same exact muscles that we do.
We have a couple more in there,but ideally we have the same.
(02:09):
And we do a lot of pelvic floortraining with them to help them
regain continence.
And then as well as men do havequite a bit of pelvic pain.
We do have a ca like smallcaseload right now of men with
pelvic pain pain in thetesticles, pain with
ejaculation.
So we are dealing with lookingat tight tissues around the hips
again and releasing tension inthe pelvic floor.
(02:30):
Wow.
So pain with ejaculation is,could be related to tight
muscles in the hips.
Absolutely.
Oh, that's fascinating.
I wouldn't have thought of that.
Yep.
Hip flexors and play a huge rolein that.
And abdominals muscles.
Yeah.
And we know people are so tight.
Oh yes.
We all love to do, the strengthtraining, we love to do the
running.
We love to do all that thing,but the thing that we don't do a
(02:52):
lot of is taking care ofbreathing and doing maybe some
yoga and doing the stretching.
We don't spend enough time doingthat.
Yes.
So we do a lot of teachingpeople how to also lengthen
their tissues.
That's very smart.
I think especially arrayathletes do more with we're more
of we want the results.
(03:13):
We don't worry about thestretching the muscle.
The recovery is an importantpiece.
Yes.
That we're all missing.
Yes.
It's huge.
And then you put on top of that,people are super magnesium
deficient, which relaxes themuscle.
And it's like the, it just keepsgoing on and on.
Oh yeah.
People are more tense, they'remore stressed.
So I think people's muscles arepretty tense, so I'm thankful
that you guys are doing thatwork.
(03:34):
Yeah, it's really exciting.
We are, we just started twoyears ago in this area, so
we're.
Happy to be here and servicingour community.
Where is your clinic located?
So we're at on the VesselParkway, across from Planet
pre-owned.
We have a small clinic there.
We treat one-on-one.
And there's three practitionersthere right now yeah.
That's beautiful.
(03:54):
And I did not go to you'cause Ididn't know you.
I think I actually went beforeyou guys started.
Yeah.
And it was not that sameexperience.
Yes.
It was not really a one-on-one.
It was weird.
It was awkward.
This is not that.
So I really wanna encouragepeople if they are having any
issues in the pelvic floor areato search you guys out, because
I think what you're doing ismiraculous.
(04:14):
Yep.
Jen, Jennifer Cobb, who's mybusiness partner, and I really
wanted to create a space thatwas comforting, more spa-like
experience as much as you canand less medical office because
you are dealing with a lot of.
Trauma and, embarrassment.
People come in and they'reembarrassed.
Of course, girl, no one wants toput to join out there.
(04:34):
No, I know.
So we really put a lot ofthought into creating a very
nice space for people and so farthey've really enjoyed it.
So That's amazing.
Yeah.
I wish I had gotten toexperience you guys.
Really?
Yes.
That's, I makes such adifference.
Yes, it really does.
And you are right.
A lot of women and men havetrauma in that area
specifically, and I know thatfor me to sit there and to put
(04:58):
my feet up, like it was justawkward.
And I know that you don't makeit that way.
No.
Everything is very much talkedthrough and explain to the
patient.
And we always let them know it'syour body, your decision.
It's not necessarily that wehave to look at the pelvic
floor.
We have many other things we canlook at.
The pelvic floor is impacted,like I said, from head to toe.
So really it's not just aboutlooking at one body part.
(05:21):
Oh, that's smart.
I get that.
Like you said with the headflexers.
Yep.
Plays a huge role.
That's so interesting.
Yeah.
Thank you for sharing that.
Of course.
I'm excited for the work thatyou're doing here and I know
that it's helping a lot of menand women, so that's amazing.
The one population I think thatprobably needs to come see you
more are the postpartum women.
Absolutely right.
Yes.
(05:41):
Ideally, in my perfect world Iwould see women prior to
pregnancy.
Or well, not prior to pregnancy,I would like to see them in
their second trimester tospecifically take a look at the
pelvic floor, even if they'renot having pain.
Just to establish how theirpelvic floor is doing, how
they're coordinating becausethat gives us a good idea on
how.
We can help prep them for maybean easier delivery, less
(06:05):
C-section rate.
Decreas, who doesn't want thatdecreased tearing?
Who doesn't want that decreasedtearing?
Everyone should be signing upfor that.
Truly Sign me up.
Goodness.
And then, like you said,specifically postpartum I like
to see all mama's two weekspostpartum.
At that time we start working onmobility.
Even if they're vaginal orC-section, we start working on
mobility and body posture.
(06:25):
And we just lend in extrasupport for mamas because the
hormones are just.
Oh, crazy.
I feel so bad for mothersbecause I, you are one of the
only practices that actuallysupports them.
And I say that piece is reallymissing.
People where we're so good aboutpaying attention to'em before
the baby comes, right?
And during pregnancy.
(06:45):
And then once the baby's here,you're right, their hormones are
all over the place and theydon't feel well.
Everybody's attention is towardsbabies.
As soon as well, being a newermother too.
Yeah.
My goodness.
Yep.
I went through the experiencemyself 14 months ago for the
first time, and Yeah, it is,it's a journey and it can be a
lonely one.
So to have a support system,even if that is going to
(07:09):
physical therapy.
You, it's important to havethat, because it makes you feel
like you don't have to suffer insilence.
And I think a lot of women thatare having babies do feel that
way.
Yes.
I feel like they just are like,oh, this is normal.
Or, Hey, this, I just have toget through this.
And their moms, they're justpushing through because they
have a small human to carry for.
(07:29):
Exactly.
And they're trying to heal theirbodies at the same time, and
they're not getting sleep andtheir nutrition is off it's
just, oh girl.
It's like the trifecta it of nonnightmare for these poor women.
It is.
I always say women that havebabies are superheroes.
You really all are.
Because it's a big deal.
And if you look at, if you hadany other injury, say you had an
ACL injury, you had a shouldersurgery, you would be in a
(07:53):
sling.
You would be put on rest for sixdays, right?
To take care of yourself.
You would not be going back towork in six to 12 weeks.
From an injury, and I tell allmy mom is, and then they're
always surprised to hear, I say,nine months in, nine months out,
at least to feel wow.
Start feeling your body is semicoming back to you.
(08:15):
I love that.
I'm gonna use that if that'sokay.
Yeah, absolutely.
Yeah.
I never thought of it that way,but you're right.
It makes sense.
Yes.
Everybody just expects you tobounce back.
You go to the doctor in sixweeks and they're like.
You're good to go.
Yeah.
That's absurd to me.
That's absurd.
You grew a human in your body.
Yes.
It's no small feat.
Yes.
Nine months in, nine months out.
And I think it really puts inperspective for them that this
(08:38):
is a journey and this is ahealing journey, and it is an
injury.
You did a big thing.
A heal.
Really, probably the biggestthing you could do.
Essentially.
As a human.
Yeah.
You grew a human.
Oh, wow.
It's ama.
The whole process is me.
It still amazes me to this day.
I know, but I think in ourculture, we're so used to, oh,
it's so big, congratulations.
Oh, the baby's cute.
See you later.
(08:58):
Exactly.
It's just we don't.
We don't think about therecovery.
It really does take Right.
And the hormones are everywhere.
Oh my gosh.
You wanna share your experiencea little bit?
I absolutely do, because that'show we met, right?
That is how we met.
So after I delivered my daughterI was in a bad place.
I was having a lot of anxiety,postpartum anxiety.
(09:21):
On the verge of probably somepostpartum depression.
I had a lot going on in my lifeanyways.
I had lost my dogs around thesame time that my daughter was
born.
And I just felt like somebodytook my brain and removed it
from my body.
Like I couldn't really makethese decisions that I know I'm
an intelligent human.
I've been around kids, but assoon as somebody handed me this
(09:41):
baby, I was like, oh my gosh,what do I do with it?
Which probably a lot of womenfeel that way.
Yes.
And so you're just.
You go into a survival mode.
And then as I went, down myjourney a little bit I was
working on my pelvic floor stuffand I was like, something just
feels off.
I just, and my hair started tofall out after I stopped
(10:02):
breastfeeding.
Like six, nine months in my hairstarted to fall out.
And I was like, they're, andthey're like, oh, take some
postpartum.
Prenatal vitamins.
Prenatal vitamins.
That's their answer, literally.
And they tried to put me on someantidepressants and I did it for
a little bit, I just didn't feelany change.
So I weaned myself off of thatstuff and I was like, good for
(10:23):
you.
I really don't think onepostpartum pill, prenatal pill
is cut for everybody.
I was like, what?
What if my hormones aredifferent than somebody else's
hormones?
And of course they are.
And through.
She does myofascial like stuff,release, release for I just met
her through Facebook, but shehad recommended you.
Oh, I'm so grateful that she hada patient that had gone to you
(10:45):
and had a wonderful experience.
So I read a little bit aboutyou.
You worked in hormones, youreally worked on like taking
care of the whole body and whatis going on?
So then I made an appointmentand we dove into the realm of.
Not just hormones, but Oh mygosh.
The amount of blood work andeverything like that, like
deficiency in immunity and likeeverything like that.
(11:09):
You really get a clearerpicture.
Yeah.
You get, you really get to seethe whole body.
You get to see the whole body.
Yeah.
And you get tested for thingslike.
That nobody will test you for.
Yeah.
Simple things like B12 D,vitamin C, coenzyme Q 10.
These are all important thingsand a lot of us are extremely
deficient in minerals andvitamins because it's just not
(11:29):
in our food and or people areeating packaged items that have
really no life or vitality tothem.
Yeah it's been a journey.
So starting on some hormonethings, my life has completely
changed and I've been somebodywho has dealt with some anxiety
my whole life.
It started in childhood.
(11:50):
I use sports and running and.
Athleticism as like my outlet,it always helped calm me.
I've done therapy on and off foryears and that helped.
It gave me, of course, wonderfulcoping strategies, but it always
lingered.
And then when I started workingwith you and I started taking
some of this.
These things that you haveoffered me with, based off my
(12:12):
blood work.
It has completely changed thatfor the first time in my life.
Really?
I didn't even know that.
That's beautiful.
Yep.
And so my anxiety, I was like.
As an at all time low that it'sever been like, I feel like I
can focus and have energy and Iwanna give you a high five.
I don't wanna cry high five.
(12:34):
I'm giving you an air high five.
That's you know what, that'swhat makes doing what I do worth
it when women and or men tell methat.
It's oh, thank God.
Because it's always a journeyfor everyone.
It is.
And everybody, like I said,there isn't one cocktail that
fits all.
No.
And that's why it's verydifficult to practice this kind
of medicine.
Absolutely.
'cause every woman and or man'shormones are different.
(12:56):
And I can imagine they'rechanging throughout the
lifetime.
Of course.
A woman's hormones changeliterally every day for 28 days.
And that's if you have a perfect28 day cycle.
So it's, you have to really beable to play with things and you
wanna tell people what you didspecifically for hormones.
Sure.
I am taking a testosterone.
So I'm doing the testosteronepellet which has increased.
(13:17):
So I originally also came to Jenbecause my sex libido life was
not there so postpartum.
Everybody tells you, good luckwith that.
You won't be interested.
And I believe that for a littlewhile, but things that I
specifically noticed.
Was that I didn't have very muchfeeling to my clit horse.
(13:40):
And I was like, which by the waysounds like a nightmare.
What?
I like, you're like, what ishappening right now?
I was like, alright, the tissuesare healing down there.
And that was fine.
I gave it the time.
I did the healing, I did thethings.
But man, let me tell you, it waslike nobody was home.
Yeah.
I love how open you are aboutit, and that's why we really
wanted to talk about this,right?
(14:00):
Because I'm too very open aboutthose things.
And I think it's important forwomen to know specifically and
men, because if you are in aheterosexual relationship,
they're on the other side ofthis.
But I think it's important forwomen to understand that.
They're not alone.
Things are happening to theirbody.
And honestly, even women thathaven't had babies, I've had a
lot of women say to me, I'venever had an orgasm.
(14:22):
How tons.
I'm like, what?
Tons?
What are like, how are youliving?
Really what is good about, howare you living?
What is good about being anadult other than having a
healthy sex life?
And thankfully I have awonderful husband who is very
supportive and we had awonderful relationship before.
My daughter and I work in pelvicfloor therapy, so I.
(14:46):
I think the only reason that Ireally went down this rabbit
path and just didn't put it,push it aside.
Like I feel like the majority ofwomen are like, nah, whatever.
It doesn't matter.
It doesn't matter.
It goes on the back burner.
So putting.
You're putting yourself on theback burner, right?
You're putting orgasms on theback burner.
Yeah.
Forget that girl.
Why would you ever do that?
And in a way, you are puttingyour relationship on the back
(15:08):
burner.
That's, I think, the part thatwomen don't, again, this is if
you're in a heterosexualrelationship, right?
But I think that big thing isthat when you put your
relationship on the back burner,I don't think men necessarily.
If you're with another woman,they may understand more, but if
you're with a man, I don't thinkthey get it.
They do not get it right,because they don't go through
(15:30):
any hormone changes really.
Yeah.
Until later in life.
Their cycle's 24 or it's 24hours.
So even as they're pulsingthrough, it's not like us where
it's different every single dayfor 20 Ts.
They're going through theircycle in 24 hours.
That's really for them.
They don't have the ups anddowns emotionally that we have,
but they also have not had thetrauma of birth.
(15:52):
And or being a full-time,working full-time, being a
full-time mom, being a full-timewife, whatever it is, that's a
lot of stress for women.
Women really carry a lot ofweight.
They really do.
And yeah, so noticing that mysex life was.
Non-existent really.
And I wasn't feeling any senseof pleasure really.
(16:15):
And my, it wasn't on my husbandbecause I was like, it was there
before.
So I was like, I have to gethelp and working in pelvic floor
therapy.
That's why I had that knowledgeand I was like, this can't be
right.
There are other things that arecontributing to this.
I'm not dead.
Yeah, so that's what really.
Made me seek you out as well, isthat I need my sex life back
(16:36):
because orgasms are so importantto releasing tension, right?
Stress management, all of thesethings.
Exactly.
Orgasms play a huge role in yourbody.
And so yeah, we have, I'vestarted on a testosterone pellet
and my libido is come back fullforce.
That's amazing.
(16:57):
My sex life is great.
My orgasms are wonderful.
I love that.
But here's the interesting part.
So before that, testosterone,you weren't feeling that way?
I was not feeling that way.
Wow.
So it really was thetestosterone and the big thing
with the pellet is that I feellike it works really well when
you're in your thirties andforties, specifically because
(17:19):
your other hormones are all overthe place.
And most of us are so low intestosterone.
If you say to women, what is thehormone you have the most of?
They're gonna say estradiol alot of times.
Yep.
Not true testosterone.
Really?
We have more testosterone thananything else.
It's just we have less than men,obviously.
But we need it.
(17:40):
And it's the get shit donehormone.
Yeah.
You know what I'm saying?
It's the, I wanna have sex.
I feel sexy.
It just makes you feel betterabout yourself and you give less
of a shit about all the dumbstuff you do.
And I feel like.
It also allowed me to wake up inthe morning and be like, let's
go energy.
Not just Oh, the energy.
Yeah, the energy that comes withit.
(18:01):
Huge.
I didn't realize how much I wassuffering, like waking up every
day and feeling fatigued, like Iwas like, ah, I didn't get
enough sleep.
I had a good sleeper.
Like my baby is a good sleeperand so I would get good for you.
Yeah, I would get some, I wouldget eight hours and I'd still
wake up and I'd be dragging ass.
Yeah.
I take some testosterone and I'mwaking up.
(18:22):
I'm cheery.
I'm happy to be, I love that up.
I'm like ready to start my day.
You're telling everyone mysecret now.
Yeah, I'm, they're like, youhave so much energy.
You're so happy.
I'm like, it's calledtestosterone.
Testosterone.
Now.
I think the pellet works wellbecause you and I were talking
about this.
It puts you up to such a highlevel that you really get the
(18:44):
sex drive of a 17-year-old man.
It's wild, right?
Oh yeah.
We and I were talking about themindset.
Yes.
But I think the thing that Iliked about experiencing that
was it gave you some insightinto men.
And how they feel about sex andlike what the thoughts actually
are.
You'll probably explain itbetter than I do.
Yeah.
So what I experienced was it wasalmost worse than hunger.
(19:09):
Yeah.
Like you had a feeling that youhad, or a scratch that you had
to itch.
You have to satiate this orgasm.
You need to have sex, you haveto do something for it.
So I even told my husband,they're not just, these sexual
beings that are horny and likejust perverted all the time,
you're not being a pervert.
They're literally having thattestosterone.
(19:30):
Yeah.
Which is, it's a normal feeling.
It should, you have to scratchthe itch though.
No, you and I talked about thatwas so interesting.
It gave me so much insight intohow men think and feel, and I
was like, oh, you're alwayslike, oh, come on, stop.
And you always think, oh, that'sall men have on their mind.
It really is on the forefront ofyour mind.
It really is.
And you have to take care ofevery, or you can't do anything
(19:52):
else.
And I even said, I apologizefor, being cranky when you're
like that, because now Iunderstand.
You know what?
That's so beautiful.
That's why you have a reallygood relationship with your
husband.
He's now you get it.
And I, and same thing for me.
I'm like, Ooh, that'sfascinating.
Right?
And women wouldn't get thatunless they experienced it.
(20:12):
And then, thinking of it viceversa, like men don't know what
you're going through withhormone changes and things like
that.
That's why the communicationpiece is so important.
I think a lot of us lack that inour relationships, even if it's
just friendships.
But we have to take the time tocommunicate with other people
because even in our romanticrelationships, if they, our
(20:34):
partner doesn't understand howwe're really feeling or what's
going on, we just tend to beshort.
It's the time, we don't take thetime to explain.
I just really don't have anysexual desire.
I don't know where it went.
I don't know what happenedbecause you know what ends up
happening?
That person thinks that we haveno interest in them and it has
nothing to do with that.
It has nothing to do with that,really.
(20:55):
And that's the hard part,especially I think because men
have this desire, right?
And that this thing that theyhave to feed, so they really
don't understand.
Yeah it's interesting.
You wonder how manyrelationships suffer as you go
into perimenopause, things likethat.
There's no.
Literally there's I a hundredpercent believe that this is why
(21:18):
divorces happen at this age.
I would agree with you goingthrough all of this experience
and men, if you have to get thatexperience, that scratch that
itch, then you, they need to dothat.
Exactly.
And you have to be that partner.
Yeah.
You have to step up.
But also you need to take careof yourself.
Like why, at what point did yousay, ah, who cares about an
(21:39):
orgasm?
'cause listen I don't understandthat.
I'm gonna be honest.
Again, I don't have kids, soprobably for me, I don't have
that level of stress.
Or that responsibility.
But I'm like, what else is goodabout being an adult?
It's all bills andresponsibilities.
And what were you like in yourtwenties?
Girl, talk to yourself.
What were you like, I was fun.
Yeah, you were fun.
(22:00):
And you're not dead.
Like you're not dead.
So I feel like we just, we do,we get thrown into a busy life,
whether that's kids work, payingthe bills.
We get into relationships.
We get married, we're with oursignificant others for 10 plus
years.
And so you just think it's thisnormal process.
Everybody goes through itbecause we've normalized it so
(22:21):
much over so many years.
Yeah, but it's a new time.
There is help and people need toseek it.
Take care of yourself.
Take care of yourself.
I love that.
If you're not feeling optimal, Iwould encourage you to seek out
bioidentical hormones.
Absolutely.
Seek out peptides.
I think at the end of the day,it's like saying to someone, oh,
(22:43):
you have diabetes.
Don't take medication well asyou age, your hormones decline.
We know that.
We've seen that.
We see the research.
So if we're telling men andwomen not to.
Help themselves supplement andfeel optimal.
Like why would we do that?
We're not telling other peoplenot to take medications or to
help themselves with theirdiabetes or their heart disease,
(23:06):
whatever it is.
And these actually help youprevent those things.
And I think the other part isthat people have fear around
hormones because of the previousresearch.
Yes.
Which is all nonsense.
Can you talk a little bit moreabout that?
Yeah, I'm happy to.
Thank you.
So the Women's Health Initiativethat came out years ago really
talked more about synthetichormones.
(23:27):
That's really the research thatwas being done.
Yes.
Synthetic hormones are not goodfor you.
They may potentially causebreast cancer, but that's not
what we're doing.
By the way, Les are literallymade out of yams.
A little bit of soy, they'remade out of plants essentially.
So the body is very intelligent,but it doesn't understand when
(23:48):
you are chemically compoundingsomething to look similar.
For example, the estradiol ischemically compounded from a yam
to look similar to the estradiolcompound in our body.
So when you're putting thatestradiol cream on, or getting
that pellet or whatever it is,your body doesn't know the
difference.
So it really feels good takingit.
(24:11):
And I have to be honest withyou, a lot of these you can
simply take in a cream form.
The pellets are amazing as faras the testosterone goes for the
sex drive.
And I'll tell you, I've donethem and I was like insatiable
to have orgasms.
And it was like the best time ofmy life.
Truly.
I'm not gonna lie about that.
And I'm very open about thatbecause I feel like it's
(24:31):
important.
It is.
It is very important.
It's so important.
You can take a cream, I'm on thecream of testosterone just
because it's hard for me to goget a pellet.
I have to go to town for theday.
Can't do it to myself.
I haven't figured that out yet.
But yeah, it's, the cream isstill fantastic and or the
injection.
So it, for testosteronespecifically, it really depends
on whatever the woman wants todo and the man for that matter.
(24:53):
But men and women feel so muchbetter because it's not just
women that are lacking a sexdrive.
It's men too.
And you know who a lot of timesit is the young men.
Really interesting.
I had a patient last week, hewas young, like 27, and he's I
have no sex.
I've had multiple young men.
I have no sex drive.
And when I look at theirtestosterone levels, they are
(25:15):
lower than a 70-year-old man.
What do you think is greatimpacting that question?
It's all the the disruptors, theendocrine disruptors, like the
plastic the phthalates.
The parabens.
It's all the poison basically.
And I think across the board,what we're seeing is.
This is purposeful to somedegree.
(25:37):
If you have humans that areassertive, that want to come
together to uprise, to say, Hey,stop poisoning us, or whatever,
that's a problem for those thatwanna make us sick and or wanna
keep us down, essentially.
But if you, because if we lookat the research, testosterone
levels are down almost 50%really.
Yes, in men and women.
(25:57):
Wow.
If you have a 27-year-old thathas a testosterone level of, I
think it was three 11, again, aseven.
I have 7-year-old patients thathave testosterone levels that
are 500.
Wow.
Now, every person's different,right?
Every human is different, andsome men may feel good at 700,
or some men may feel good at1200.
So that's where thatindividualized medicine comes
(26:18):
in.
But it's dumbfounding to me thatyoung men are so low.
That is amazing.
And so when you go to, so say Iwent to my gynecologist and I
had them run a hormone panel.
Why does it usually come backnormal compared to what I have
experienced here?
(26:39):
Great question.
So when you look at those quoteunquote reference ranges that
any of the labs will have.
They are so wide that anythinglooks normal on their scale.
In all seriousness, when youcome here, I have optimal levels
because we know generally wherepeople feel good, where we start
to lose symptoms and we feeloptimal specifically to the
(27:01):
hormones Well as.
As well as all the vitamins andminerals too, right?
And the thyroid and everythingin between.
But the big thing is that wedon't want you just to be on
that range.
We want you to be.
Optimally in that range at thetop of it generally, so that you
are feeling good.
So my levels are very differentin that regard because if you
are S, my range starts very higha lot of times.
(27:24):
Because based on the research ofwhat men and women feel good,
right?
So a lot of my values are baseddepending upon the sex, because
obviously our hormones make abig, a difference, right?
We have different testosteronelevels than men.
So obviously theirs is a lothigher than ours.
But men go through andropausetoo, so they start to lose
testosterone as they age, whichis interesting because.
(27:46):
It's fascinating to see howtheir sex drive starts to
decline too.
What age does their startcompared to women usually?
That's a great, yeah, that's agreat question.
Usually what I've seen is aroundprobably forties, okay.
Forties and fifties.
So similar around some women.
Women, but I believe that thereis a instance of women go
(28:08):
possibly going intoperimenopause earlier in life.
Oh my gosh.
I had someone the other day apatient, she was like 32 and she
was frantic'cause she wanted tohave more kids.
And of course she went to theGYN office and they were telling
her she had polycystic ovaries.
Yeah, ovarian insufficiency.
Yeah.
S.
Yeah.
And this is a little differentthan the PCOS.
(28:30):
Yeah.
This is where she's actually notmaking enough estradiol and
progesterone, so she has aninsufficiency and I thought, oh
my God, she's so young.
That diagnosis isn't exciting tome.
And I told her.
Don't allow this to upset youbecause, she felt totally
defeated.
Sure.
Which is terrible.
You're in your early thirtiesand you wanna have kids and
they're basically like, I don'tknow.
Yeah.
You better start praying.
(28:50):
Really?
Yeah.
And they didn't do anything forher other than give her guess
what they gave her?
What?
Birth control stop.
Yeah.
And I'm like, wait, she wants toget pregnant, right?
But they're like you don't haveenough hormones, so we're gonna
give you the synthetic birthcontrol.
God bless America.
Anyway, don't get started withbirth control.
It's very early in the morning.
It's scary because I said toher, this actually does the
(29:13):
opposite.
When you are taking synthetichormones, you are not gonna
build any of your own.
Your body again, doesn't knowthe difference.
So I told her, let's just lookat your baseline levels.
Let's go to the lab.
I'll order the stuff and let'sdo a full panel.
The other thing they don't lookat is testosterone for women a
lot of times.
So how can you look at a woman'sfertility when you're missing an
(29:36):
entire hormone panel?
Makes no sense to me.
No, they all have to be inbalance.
And I think that in womentestosterone drops in their
early thirties.
Okay.
Yeah, it's, it starts to droppretty early.
Now again, we tend to see that,that progesterone starts to
decrease first, but then thattestosterone is really
(29:58):
noticeable.
Like I would say none of my 30year olds have ever been optimal
in testosterone.
That's just sad.
It's sad.
But then you see the correlationwith.
Now we know why people's sexdrive is much lower.
Because if you don't have thatget up and go that spritz, spa,
whatever you wanna call it,uhhuh, that desire to have an
orgasm, you don't care.
(30:19):
You don't care.
And I do feel like a lot of thesymptoms that present are
fatigue.
They anxiety, just like normalthings that we think are, oh,
I'm just stressed, or I'm justbusy.
So because that, and that maycontribute to women not seeking
help as well.
I gotta be honest with you, mostpeople are not busier than me in
(30:39):
all seriousness, right?
Yeah.
So when they say to me, I'm toobig, I may not have children,
but I have three jobs, right?
Yeah.
Yes.
And, a lot of responsibility,but when they say, I'm too busy,
it's that's an excuse.
That's not really what it is.
You really should get yourhormones checked, right?
And, or maybe you're not in arelationship where it feels
safe.
Or whatever.
That part,'cause I think that'sa big piece of it too.
I do, I feel like you have tohave a supportive partner.
(31:03):
Absolutely.
And you have to feel comfortablein your relationship.
Oh, because you have to havethose, you have to have those
conversations.
You have to have thoseconversations.
Because like I had with myhusband, I was like, it just
doesn't feel right, like there,and it's not you and I.
And there was a point duringthat now that I'm thinking back,
that he was like, is it me?
(31:23):
Of course, every any sane personwould think that, right?
Why doesn't she wanna have sexwith me, right?
Like, why doesn't she like meanymore?
Does she not love me?
Is she not finding meattractive?
Like you get all of you, youspin, right?
You spin and you think it's you,of course, and you blame
yourself.
And it absolutely had nothing todo with him.
And I feel like men experiencethat as well.
Why doesn't she want me?
(31:44):
Why?
She doesn't love me.
No.
We're not in this.
I think it's worse for men.
I do, in my experience, I do.
It's interesting.
I think it's worse for them andthen they spiral quicker than we
do.
I agree.
I feel like as women, we justput it on the back burner.
It's not really that important.
We don't, we know we don'tprioritize ourselves because
we're so busy.
Take, we're caretakers ofcourse.
(32:05):
We take care of everyone else,of course.
And because possibly we've maybenever had.
An orgasm.
Maybe we've been low intestosterone our whole life, or
maybe we've never had that.
I feel like a 17-year-old boy.
So you don't get it.
You don't get what they're goingthrough, right?
You just find'em annoying.
You just find them annoying.
You just find'em annoying.
(32:25):
You're like, leave me alone.
Stop.
Yeah, stop looking at me.
Stop touching me.
Yeah, stop it.
Yeah, you can't touch my butt.
Can't touch my boob.
Leave me alone.
So I do feel.
Bad for males and I hope thisreaches them and reaches women
to seek Me too assistance.
Absolutely.
And giving men some grace,right?
Telling the women to give mensome grace.
(32:45):
My God, because you and I bothknow what it feels like to think
like a 17-year-old and justwanna have an orgasm.
Yes.
I don't care what I have to doright now.
I'm gonna go have an orgasm.
Yep.
That's the wildest like thoughtin the world.
'cause you're right, it's worsethan hunger.
It is.
Because I don't give a shitabout food.
It's just sitting there nagging.
Until you fix it.
Until you really get, giveyourself that orgasm.
(33:06):
Yes.
And I was telling a patient theother day.
I have a patient who, she's beenin a marriage for a long time,
has kids they've been through alot of trauma, she's had cancer,
things like that.
Oh gosh.
And I was telling her the otherday about hormones and she is in
a place where she is finallyinto her husband again and
(33:27):
things are looking up for her.
And her relationship is great.
She was sharing this all with meand I was telling her that my
experience with testosterone andhow, you feel like a 17-year-old
boy.
So I was saying how I totallyget how men feel, and she was
like, I think you just validatedmy husband.
See, so I'm gonna go home andI'm gonna validate him.
(33:48):
Oh, I love that.
So it's really important becauseI never talked to anyone about
that until I had thatconversation with you and I, and
that's why you and I essentiallywanted to do this together.
Yes.
And have this conversationbecause women really don't get
it.
They don't.
Unless you get a testosteronelevel that's really optimal and
understand how a guy thinks, youjust won't understand it.
(34:08):
And that's why we're encouragingwomen to, number one, have your
hormones tested.
Yes.
Let's see where you're at.
I feel like in your twenties,should you probably get a
baseline of where you'reabsolutely at.
20 year olds are not Well.
Not well across the board.
They're outrageously anxious.
They have, their gut health isterrible.
They're just not doing well.
(34:29):
Listen, I actually feel bad forthis generation because I don't
know the year that wifi actuallycame out, this causes DNA
damage.
It's, even though we don't seeit and it's invisible, people
forget being exposed to these,your entire life is a problem,
especially when you're in yourdevelopmental years.
I unplug my wifi at night.
I've said that a hundred times.
(34:50):
There's no reason people needsecurity cameras unless they're
in a bad section.
Or they're worried or they'rescared of like maybe violence or
something like that.
But patients all the time willsay my, my ring doorbell.
Who cares?
You are more worried about thatring doorbell being online at
night than your health, right?
It's causing DNA damage that isan issue.
And you see'em walking aroundwith like air pods, air, oh
(35:12):
yeah.
Take those outta your ears.
Oh, take those outta your ears.
You're microwaving your brain.
It's terrifying.
You literally are microwavingyour brain when you use those
things.
People just need to, we're justnot mine.
Life is so busy and I thinkpeople are, they're just like
just trying to get through theirdays.
And I get that.
'cause there are some days whereI'm like, Ooh, I just need to
(35:34):
get through this day.
Absolutely.
And I'm sure you felt that too.
Oh, absolutely.
But you need to connect morewith your body and understand
what you're doing every day.
The choices you're making doaffect your health.
So yeah, the 20, I just feel badfor the 20 year olds and
needless and the food has beenpoisoned for a very long time
now.
Like you and I at least grew up,probably those first, 15, 20
(35:55):
years, we were not exposed tothe amount of plastics.
We were not exposed to thepoison and the food, and we were
not exposed to wifi.
That makes a, that's a bigdifference in our DNA and our
resilience.
And then you look at, sobaseline twenties and then
tracking all throughoutthirties.
No, definitely tracking.
Yep.
Because ideally you want tosupplement anywhere that you
(36:17):
need to.
And what we've seen, a lot ofthe 20 year olds and even the 30
year olds, they have a lot ofanxiety like you were talking
about earlier.
Absolutely, yes.
And that is progesterone most ofthe time.
So if I can give you a littlebit of progesterone and I call
it happy cream, literally, I'llhave it compounded in a cream
and you can carry it with you.
And you put that on if you needit throughout the day and it
does calm you down.
(36:38):
I would so much rather seepeople using that.
It's natural.
You can't get too much whenyou're in, in, when you're
either pregnant or in yourmother's womb.
You have huge amounts ofprogesterone.
So we've all been exposed tovery high levels, and that's why
women say that they feel reallygood when they're pregnant.
Yes, you have that happy glow.
Yes.
And you feel great.
(36:58):
That's progesterone.
Yes.
So it's interesting when we giveit to women as a quote unquote,
a happy cream, they're like, oh,that.
I literally got a text messageyesterday from one of my
patients, she's inperimenopause, and she went for
an interview and she said, Ihave you to thank, because I
went to that interview and I wasable to, number one, recall
(37:19):
everything that I wanted to say.
Number two, I was sharp, so Iwas able to like, answer the
questions appropriately andbecause of balancing her
hormones huge.
So not only does it impact yoursex life.
Oh, your brain.
Your brain and how you can relayinformation, how you interview,
how you can work your workefficiency, everything.
(37:41):
Your focus.
Your focus.
That's a big deal too.
Your focus.
'cause you'll get that, Heysquirrel, oh, over there.
And a lot of people call it mombrain.
Yes, mom brain, right?
I'm like that.
That's the hormones.
It's just the imbalance of thehormones.
When I'm taking estradiol, Ihave so much an easier time
focusing.
I never had a problem until Ihit perimenopause, but I would
(38:04):
be like, Ooh, I just need to dothis, and I'd be all over the
place, and I'm like, no.
That estradiol is huge, and alot of people will go to,
they'll say, oh, I have a DHD,or whatever the case is.
And I'm not saying people don'thave that, but try the estradiol
first.
Try the, let's balance yourhormones first right before you
go to those pharmaceuticals.
(38:24):
Okay.
And so you were also talkingabout how when you're in your
mother's womb, you're swimmingand progesterone, you're
swimming and progesterone.
What does that do to males?
Oh, that's interesting.
It's the same thing I give menprogesterone.
If men can't sleep at night ortheir progesterone is really
low, I'll give themprogesterone.
I'll give it to them foranxiety, and it works extremely
(38:45):
well.
It's just like any of the otherhormones.
You have to have a balance.
Now, men don't need as muchprogesterone as we do, but they
need a decent amount and theyjust don't have enough.
A lot of them.
Interesting.
Yeah.
And in Europe, they've beengiving men progesterone for a
long time, and a lot ofbodybuilders use it because as
they raise their testosteroneand their testosterone's
(39:06):
optimal, you have to remember,you have to have that triad, you
have to have that balance.
So you, if you're giving someonea lot of testosterone, they may
need progesterone to offset.
And to balance them out.
Interesting.
And most of the time theirestradiol is actually okay
because of all of the plasticsand all of that stuff.
(39:27):
And you will metabolize sometestosterone into estradiol.
So you know, their estrogen isusually okay.
Just because of our environment,unfortunately.
That's amazing.
Yeah.
Or they're too high.
Okay.
See now that's the other pieceof it.
Like a lot of the young guysthat their testosterone is low,
it's because their estradiol istoo high because of all the
plastics.
'cause of the plastics and theendocrine disruptors.
(39:49):
Okay.
Yeah.
So then you're putting them ontestosterone and seeing Yes.
And hoping to get rid of some ofthat that estradiol and matter
of fact, putting them onprogesterone because I need to
be able to balance thatestradiol.
Okay.
And are there things people cando so say you have some, a young
man in their twenties low ontestosterone, and can they.
(40:13):
Undo some of the damage, likeOh, absolutely.
If they start getting rid of theplastics and really paying
attention to the toxins thatthey're surrounded around.
Yeah.
And like eating better.
Can, is that something that theycan naturally do, or do you feel
like they will need tosupplement?
No, absolutely.
I think that's always the firstthing is we gotta get you out of
that estrogen dominance, becausethat's where cancer comes as
(40:33):
estrogen dominant.
So we need to get you outtathere anyway.
But the other piece of that isthat when we're giving them
progesterone, we're blockingsome of that estrogen because
we're balancing it.
So if they're not, if they don'thave enough progesterone, their
estrogen just is do, it keepsclimbing up that ladder because
it's not, it's estradiol is likeits sister and it needs its
(40:53):
sister to stay in balance.
Okay.
And without that, they justkeep, so it's not just enough to
give men testosterone.
And really the young guys, ifthey still wanna have kids,
we're not giving themtestosterone.
We're giving them, it's calledine is one of the things that
you can give them.
So it promotes them to actuallybuild more testosterone on their
own.
Okay.
(41:14):
So just helping their body helpitself.
Helping their body help itself.
Because at the end of the day,we want them to produce as much
testosterone on their own.
Because it's almost castrate aboat.
And you give a testosterone,their fertility definitely
decreases, which older men don'tcare, they don't care as much.
But maybe somebody in theirtwenties, thirties, of course,
if you wanna still have kids,then that's not the right option
(41:35):
for you.
So we need to be mindful of thattoo.
That makes a big difference.
Yeah.
Interesting.
And for women doesn't affect ourf fertility.
Being on testosterone doesn't,yeah.
Doesn't affect it.
I just say to'em, obviously ifyou're on it then and you
conceive, you wanna come off,you wanna come off.
You don't want a big bodybuilderin there.
Building big babies.
Nobody wants that for yourpelvic floor either.
(41:55):
I was gonna say, you wanna givebirth to that no.
And yeah, so in my clinic I seea lot of women who come in as
well, and they have.
They're later in life.
They have a lot of deestrogenized tissues in their
vaginal area.
Tell people about that.
So they have a lot of vaginaldryness.
Their tissues have changed.
(42:15):
They may have more urinaryleakage.
They have pain with intercourse,so they're staying away from it.
And one thing that I dorecommend is that estradiol.
Yes.
Because not only does it make Itell'em it's like a moisturizer.
It is.
And correct me if I'm wrong, I'mlike, it's a moisturizer for
your face, but it's for yourvagina.
Absolutely.
Your vagina needs Absolutely.
(42:35):
The estol.
To plump up the tissues.
Yes.
To make those tissues strong andhealthy.
So if you take away thatestrogen, which happens when we
go into menopause, right?
Then if you're taking away that,then it's.
Your tissues are shrivelingalmost.
Or that's a great visual forpeople.
They're wasting.
They're wasting, yes.
(42:55):
Yeah.
So it's like muscle wastingbasically.
It's like muscle wasting for thevaginal tissue.
Yes.
And can you, so I know most ofthe time it's prescribed just
two times a week.
I've noticed sometimes it's notenough for women.
Is it something that you canjust use?
Oh, use it every day.
If you need to, really whatthose women probably need, they
can start with the vaginalestradiol, but they probably
(43:17):
need one systemically.
So a cream that's made wherethey can put it on the rest of
their body, because ideally you,yes, the vaginal symptoms are
extremely important, right?
But also we're gonna get brainsymptoms, right?
That's where that, like thatrecollection comes in short-term
memory impairment.
So we also wanna do that.
So it prevents us from gettingstrokes.
(43:39):
It protects our heart, protectsus from getting dementia.
So yes, the vaginal tissue is.
Outrageously important as yousaid, because it thins and
people have painful intercourse,and that's another reason women
aren't having sex.
Absolutely.
Absolutely.
If it's painful, why would youwanna do it?
Yes.
You definitely don't.
You definitely don't.
Yeah, and that's where it'sgreat to go see Sarah because
she can help you through thatprocess, but you can honestly
(44:01):
take that vaginal estradiolevery day if you needed to.
And is the cream that you putelsewhere for your brain and
things like that, is thatdifferent than the estradiol?
It's the same.
It's estradiol, it's just, orestradiol.
Yeah.
It's just made, it's not madedifferently.
It's just that you're putting iton and it's going systemically.
Through the whole body versusjust the vaginal tissue.
(44:22):
Okay.
Now some women will say, oh,I've had breast cancer and I
just and that part I understand'cause they're gonna be nervous,
so I get that.
But the vaginal piece of it,that's not going through your
whole body systemically.
And if it, if a little bit'sgoing through, it's a teeny bit.
But women need to start usingthat vaginally, especially if
they're having any pain orsymptoms.
Yeah.
And I feel like it doesn't getto them soon enough.
(44:44):
Of course, most of the time.
And Yeah, I think one of thethings that I've had patients
bring up is they're like, oh,they hear me talk the word
estrogen, and they are freak,freak out because they're like,
Nope, I have a history of breastcancer in my family.
There's no way.
And it's that misinformationthat's been printed many years
ago.
Yes.
And also with women, the fear oftestosterone.
(45:06):
Like you're gonna grow hair allover your body.
You're going, your clits gonnabe swollen shock's.
Darn it.
I was gonna say, I'm upset aboutthat.
I was gonna say I'm okay withthis.
So if it needs, so my pori ismore sensitive, I'm gonna more
orgasms.
Okay.
So be it.
Yeah.
Darn.
Which actually is not a badthing.
(45:26):
And if you have more blood flowto your clitoris and to your
labia, that's a good thing.
You're more sensitive.
That's not a bad thing.
People are thinking about thisall wrong.
Yeah.
But I do get the sense of thisbeing scared about the
estradiol, if you have ahistory, but listen, genetics
just because you have a familyhistory, genetics are, with
(45:48):
epigenetics coming out, we knowthat a lot of it's based on
lifestyle.
It's like the gun or thegenetics.
The bullet is your lifestyle.
Are, how are you really livingyour life?
A lot of women, there's a breastsurgeon, she was a previous
oncologist.
Or again, I guess she is abreast oncologist, Jennifer.
Oh, I can't, I think Sullivan isher last name.
(46:09):
She has a clinic down inPhiladelphia, and she will be
the first to tell you that sheabsolutely does not.
She'll give her patients thathad breast cancer, estradiol all
day long.
Really all day long.
She's someone's gotta treatthese women.
They're suffering.
Suffering.
And they're we've scared them sobadly that we're not giving them
anything.
And I have to be honest withyou, I'm not opposed to that, in
(46:32):
a very controlled, monitoredmanner.
So if you just keep yourselfmonitored or you have a good
provider, you need, that's theimportant part.
Exactly.
You have to have that goodprovider to, guide you.
And it's really not fair to sayto women.
That have had cancer, whateverit is.
You can never have estradiol,right?
Are you kidding me?
If it's gonna protect you fromgetting dementia, it's gonna
(46:54):
protect your bone.
So that you don't fall andyou're frail as you age.
It's, I say to women, what doyou wanna look like in the, what
do you want the next 10 years ofyour life to look like?
Do you wanna be frail and weak?
And sexless sounds terrible.
Yeah, sounds terrible, right?
Yes.
We have to stop being so scaredof bioidentical hormones.
And I say to women, this is madeout of a yam, this bioidentical
(47:17):
estradiol.
If a yams gonna give you cancer,we got way bigger problems.
You know what I mean?
What about what are you doing?
You know what I mean?
What about that food that you'reeating?
So I think people aren't reallyconnecting the dots.
What are they doing in theirlifestyle that may, maybe
they're not handling theirstress at all, maybe they're not
exercising.
Those things put you at a muchgreater risk for getting the
seed.
Then a little vaginal cream,then a little vaginal cream.
(47:39):
Yeah.
And really let's, we needquality of life.
We do.
We do, and it doesn't end at 30and it doesn't end at 40 and it
doesn't end at 50.
No.
No.
And I put women in theirseventies on estradiol.
Absolutely.
I've had 90 year olds come intomy clinic and they're like.
So I need to get rid of thisurinary incontinence because
girl, I'm not dead.
(47:59):
I'm having sex.
I love it.
I love it.
And she's I don't mean toembarrass you.
I was like, you're notembarrassing me.
I'm clapping for you.
I love that they, because thatgeneration was not that open.
No.
So I love that they talked toyou about that and it's far and
few in between, but when I meetthose women, gosh, they are so
spicy.
They're amazing.
Love them.
I was gonna say, those are like,those are your tribe, right?
(48:22):
They are.
They are the CY women.
I love older adults.
Me too.
They're my tribe for sure.
Me too.
Especially when they say stufflike that because good for the
night.
I'm, listen, I hope I'm justlike her.
Me too.
I was like, I wanna be you whenI grow up.
That sounds amazing.
I love that.
I love that for women.
Yeah.
Yeah.
But I think it, it is justoverall just bringing awareness.
(48:42):
I agree.
Awareness that it shouldn't bescary.
Do the research, find the rightperson Absolutely.
To help guide you in thisjourney and.
And please get help.
Please.
Yeah.
Stop.
Stop suffering.
I think that's always my messageto men and women.
Yes.
Stop suffering.
If you don't feel optimal.
Let's you know, let's look atwhat's going on.
There's no magic bullet foranything.
(49:03):
No.
We'd be billionaires if therewas.
And I think the other thing isthat people have to start taking
responsibility for their ownhealth as well.
Absolutely.
I'm here to guide you.
Correct.
I'm not gonna fix you.
I'm here to guide you.
It really is dependent upon whatyou're doing on your end as
well.
And I'll tell patients the samething.
I don't have a magic wand orelse I would make a million
bucks, right?
(49:23):
You have to put in the workalways.
If you are not putting in thework, you are not gonna see the
results.
Exactly, so you, it is all aboutwhat I do, I feel is mostly
education.
I'm here to educate you on mypiece of knowledge, and that's
the beautiful thing that I'malso finding in building these
relationships with you.
I've referred patients to you.
(49:44):
Oh, and let me tell you, they'reall coming back and they're so
happy.
They're so happy.
They're, thank you for seeingthat.
But really I find the peoplethat, they're ready to they know
they want change, right?
They want to change and they'regonna do the things.
And that's the key, right?
Because it's okay to seek helpas long as you're ready to do it
right.
If you're not, then it makes ita little frustrating for you and
(50:06):
the other person.
And I too refer people to youbecause I think it's so
important.
The pelvic floor does not getnearly enough attention, but I
think it's starting to.
I think so.
Oh, definitely.
It's starting to, and then thehormone thing is not getting
enough attention, and I'm seeingit.
Skyrocket.
I think in the next, I'm hopefulin the next 15 plus years that
Oh, absolutely everybody isgetting the treatment that they
(50:28):
deserve as they as they should.
Right?
Because it's simply, it'sputting back into the body what
makes you feel good.
And who doesn't want that?
Yeah, stop chalking it up tostress and I have a busy life
and I'm tired.
Oh my God.
Because the hormones actuallyprobably will help you with
that, right?
Absolutely.
Stop being tired.
You don't have, you can betired.
(50:49):
We're all tired.
But it's a symptom.
It is truly a symptom.
You're right.
It's very much a symptom.
And do you just need sometestosterone?
You just need a littletestosterone.
That's right, girl.
Thank you so much for coming ontoday.
Absolutely.
Thank you for having me.
You are very welcome.
So if you have any pelvic floorissues, you need to go see Sarah
because she's amazing and I knowthat her partner Jennifer, is
(51:10):
amazing too.
So thank you very much.
Thank you.
Wishing you love light andabundance, and remember, true
health is wealth.
Until next time, shine yourlight bright.
The opinions and medical adviceshared by Dr.
Jennifer Hopkins or her guestsare not meant to replace
(51:30):
traditional medical deviceservices.
If you believe you may have amedical issue, contact your
healthcare provider immediately.
The information provided here isnot intended to diagnose, treat,
or cure any illness, disease, ormedical condition.
Always consult your healthcareprovider before beginning
anything new.
Okay, welcome back.
This is Dr.
Jennifer Hopkins, an integrativemedicine specialist certified in
hormone health with a passionfor biohacking, the human body,
diligent researcher, professor,health advocate, and wellness
enthusiasts.
This raw and real podcastexplores holistic wellness and
self-empowerment from a uniqueperspective.
(00:22):
Join us as we embark on thistransformative adventure.
Turn the volume up and let's getreal.
I am grateful you are here.
Okay, so today I am joined bySarah Neural, co-owner of Core
Essentials Physical Therapy, aspecialty PT clinic in pelvic
floor therapy, and I'm sograteful you're here, Sarah.
(00:42):
I'm happy to be here.
Thank you for having me.
Absolutely.
Can you tell listeners a littlebit about what you do?
Because I think pelvic floor ismore of a new.
Modality and I certainly havehad it done on myself'cause I
was having a lot of recurringurinary tract infections.
So I don't know that I knewanything about it up until
probably a couple years ago.
(01:02):
Sure.
It is fairly new and upcoming.
Pelvic floor therapy deals a lotwith the muscles that are within
the pelvic floor and the hipmuscles.
They are impacted by a lot ofthings, though.
They're impacted by spinemovement, by your abdominals.
And then specifically forwomen's health, we take a lot,
we take care of a lot of womenwho deal with pelvic pain with
(01:25):
intercourse interstitialcystitis, endometriosis it's
huge in pre and postpartum care.
And all throughout life stagessuch as going into puberty.
Having babies and then intomenopause.
Your pelvic floor takes a tollas we age, so we deal a lot with
men, women, children.
(01:47):
Oh, tell'em specifically whatyou do for men.
So for men, we typically see menpost prostatectomy.
They will have complaints ofurinary leakage when that
prostate is removed.
So they get in to see us so wecan work.
On the pelvic floor musclesthemselves, because men have the
same exact muscles that we do.
We have a couple more in there,but ideally we have the same.
(02:09):
And we do a lot of pelvic floortraining with them to help them
regain continence.
And then as well as men do havequite a bit of pelvic pain.
We do have a ca like smallcaseload right now of men with
pelvic pain pain in thetesticles, pain with
ejaculation.
So we are dealing with lookingat tight tissues around the hips
again and releasing tension inthe pelvic floor.
(02:30):
Wow.
So pain with ejaculation is,could be related to tight
muscles in the hips.
Absolutely.
Oh, that's fascinating.
I wouldn't have thought of that.
Yep.
Hip flexors and play a huge rolein that.
And abdominals muscles.
Yeah.
And we know people are so tight.
Oh yes.
We all love to do, the strengthtraining, we love to do the
running.
We love to do all that thing,but the thing that we don't do a
(02:52):
lot of is taking care ofbreathing and doing maybe some
yoga and doing the stretching.
We don't spend enough time doingthat.
Yes.
So we do a lot of teachingpeople how to also lengthen
their tissues.
That's very smart.
I think especially arrayathletes do more with we're more
of we want the results.
(03:13):
We don't worry about thestretching the muscle.
The recovery is an importantpiece.
Yes.
That we're all missing.
Yes.
It's huge.
And then you put on top of that,people are super magnesium
deficient, which relaxes themuscle.
And it's like the, it just keepsgoing on and on.
Oh yeah.
People are more tense, they'remore stressed.
So I think people's muscles arepretty tense, so I'm thankful
that you guys are doing thatwork.
(03:34):
Yeah, it's really exciting.
We are, we just started twoyears ago in this area, so
we're.
Happy to be here and servicingour community.
Where is your clinic located?
So we're at on the VesselParkway, across from Planet
pre-owned.
We have a small clinic there.
We treat one-on-one.
And there's three practitionersthere right now yeah.
That's beautiful.
(03:54):
And I did not go to you'cause Ididn't know you.
I think I actually went beforeyou guys started.
Yeah.
And it was not that sameexperience.
Yes.
It was not really a one-on-one.
It was weird.
It was awkward.
This is not that.
So I really wanna encouragepeople if they are having any
issues in the pelvic floor areato search you guys out, because
I think what you're doing ismiraculous.
(04:14):
Yep.
Jen, Jennifer Cobb, who's mybusiness partner, and I really
wanted to create a space thatwas comforting, more spa-like
experience as much as you canand less medical office because
you are dealing with a lot of.
Trauma and, embarrassment.
People come in and they'reembarrassed.
Of course, girl, no one wants toput to join out there.
(04:34):
No, I know.
So we really put a lot ofthought into creating a very
nice space for people and so farthey've really enjoyed it.
So That's amazing.
Yeah.
I wish I had gotten toexperience you guys.
Really?
Yes.
That's, I makes such adifference.
Yes, it really does.
And you are right.
A lot of women and men havetrauma in that area
specifically, and I know thatfor me to sit there and to put
(04:58):
my feet up, like it was justawkward.
And I know that you don't makeit that way.
No.
Everything is very much talkedthrough and explain to the
patient.
And we always let them know it'syour body, your decision.
It's not necessarily that wehave to look at the pelvic
floor.
We have many other things we canlook at.
The pelvic floor is impacted,like I said, from head to toe.
So really it's not just aboutlooking at one body part.
(05:21):
Oh, that's smart.
I get that.
Like you said with the headflexers.
Yep.
Plays a huge role.
That's so interesting.
Yeah.
Thank you for sharing that.
Of course.
I'm excited for the work thatyou're doing here and I know
that it's helping a lot of menand women, so that's amazing.
The one population I think thatprobably needs to come see you
more are the postpartum women.
Absolutely right.
Yes.
(05:41):
Ideally, in my perfect world Iwould see women prior to
pregnancy.
Or well, not prior to pregnancy,I would like to see them in
their second trimester tospecifically take a look at the
pelvic floor, even if they'renot having pain.
Just to establish how theirpelvic floor is doing, how
they're coordinating becausethat gives us a good idea on
how.
We can help prep them for maybean easier delivery, less
(06:05):
C-section rate.
Decreas, who doesn't want thatdecreased tearing?
Who doesn't want that decreasedtearing?
Everyone should be signing upfor that.
Truly Sign me up.
Goodness.
And then, like you said,specifically postpartum I like
to see all mama's two weekspostpartum.
At that time we start working onmobility.
Even if they're vaginal orC-section, we start working on
mobility and body posture.
(06:25):
And we just lend in extrasupport for mamas because the
hormones are just.
Oh, crazy.
I feel so bad for mothersbecause I, you are one of the
only practices that actuallysupports them.
And I say that piece is reallymissing.
People where we're so good aboutpaying attention to'em before
the baby comes, right?
And during pregnancy.
(06:45):
And then once the baby's here,you're right, their hormones are
all over the place and theydon't feel well.
Everybody's attention is towardsbabies.
As soon as well, being a newermother too.
Yeah.
My goodness.
Yep.
I went through the experiencemyself 14 months ago for the
first time, and Yeah, it is,it's a journey and it can be a
lonely one.
So to have a support system,even if that is going to
(07:09):
physical therapy.
You, it's important to havethat, because it makes you feel
like you don't have to suffer insilence.
And I think a lot of women thatare having babies do feel that
way.
Yes.
I feel like they just are like,oh, this is normal.
Or, Hey, this, I just have toget through this.
And their moms, they're justpushing through because they
have a small human to carry for.
(07:29):
Exactly.
And they're trying to heal theirbodies at the same time, and
they're not getting sleep andtheir nutrition is off it's
just, oh girl.
It's like the trifecta it of nonnightmare for these poor women.
It is.
I always say women that havebabies are superheroes.
You really all are.
Because it's a big deal.
And if you look at, if you hadany other injury, say you had an
ACL injury, you had a shouldersurgery, you would be in a
(07:53):
sling.
You would be put on rest for sixdays, right?
To take care of yourself.
You would not be going back towork in six to 12 weeks.
From an injury, and I tell allmy mom is, and then they're
always surprised to hear, I say,nine months in, nine months out,
at least to feel wow.
Start feeling your body is semicoming back to you.
(08:15):
I love that.
I'm gonna use that if that'sokay.
Yeah, absolutely.
Yeah.
I never thought of it that way,but you're right.
It makes sense.
Yes.
Everybody just expects you tobounce back.
You go to the doctor in sixweeks and they're like.
You're good to go.
Yeah.
That's absurd to me.
That's absurd.
You grew a human in your body.
Yes.
It's no small feat.
Yes.
Nine months in, nine months out.
And I think it really puts inperspective for them that this
(08:38):
is a journey and this is ahealing journey, and it is an
injury.
You did a big thing.
A heal.
Really, probably the biggestthing you could do.
Essentially.
As a human.
Yeah.
You grew a human.
Oh, wow.
It's ama.
The whole process is me.
It still amazes me to this day.
I know, but I think in ourculture, we're so used to, oh,
it's so big, congratulations.
Oh, the baby's cute.
See you later.
(08:58):
Exactly.
It's just we don't.
We don't think about therecovery.
It really does take Right.
And the hormones are everywhere.
Oh my gosh.
You wanna share your experiencea little bit?
I absolutely do, because that'show we met, right?
That is how we met.
So after I delivered my daughterI was in a bad place.
I was having a lot of anxiety,postpartum anxiety.
(09:21):
On the verge of probably somepostpartum depression.
I had a lot going on in my lifeanyways.
I had lost my dogs around thesame time that my daughter was
born.
And I just felt like somebodytook my brain and removed it
from my body.
Like I couldn't really makethese decisions that I know I'm
an intelligent human.
I've been around kids, but assoon as somebody handed me this
(09:41):
baby, I was like, oh my gosh,what do I do with it?
Which probably a lot of womenfeel that way.
Yes.
And so you're just.
You go into a survival mode.
And then as I went, down myjourney a little bit I was
working on my pelvic floor stuffand I was like, something just
feels off.
I just, and my hair started tofall out after I stopped
(10:02):
breastfeeding.
Like six, nine months in my hairstarted to fall out.
And I was like, they're, andthey're like, oh, take some
postpartum.
Prenatal vitamins.
Prenatal vitamins.
That's their answer, literally.
And they tried to put me on someantidepressants and I did it for
a little bit, I just didn't feelany change.
So I weaned myself off of thatstuff and I was like, good for
(10:23):
you.
I really don't think onepostpartum pill, prenatal pill
is cut for everybody.
I was like, what?
What if my hormones aredifferent than somebody else's
hormones?
And of course they are.
And through.
She does myofascial like stuff,release, release for I just met
her through Facebook, but shehad recommended you.
Oh, I'm so grateful that she hada patient that had gone to you
(10:45):
and had a wonderful experience.
So I read a little bit aboutyou.
You worked in hormones, youreally worked on like taking
care of the whole body and whatis going on?
So then I made an appointmentand we dove into the realm of.
Not just hormones, but Oh mygosh.
The amount of blood work andeverything like that, like
deficiency in immunity and likeeverything like that.
(11:09):
You really get a clearerpicture.
Yeah.
You get, you really get to seethe whole body.
You get to see the whole body.
Yeah.
And you get tested for thingslike.
That nobody will test you for.
Yeah.
Simple things like B12 D,vitamin C, coenzyme Q 10.
These are all important thingsand a lot of us are extremely
deficient in minerals andvitamins because it's just not
(11:29):
in our food and or people areeating packaged items that have
really no life or vitality tothem.
Yeah it's been a journey.
So starting on some hormonethings, my life has completely
changed and I've been somebodywho has dealt with some anxiety
my whole life.
It started in childhood.
(11:50):
I use sports and running and.
Athleticism as like my outlet,it always helped calm me.
I've done therapy on and off foryears and that helped.
It gave me, of course, wonderfulcoping strategies, but it always
lingered.
And then when I started workingwith you and I started taking
some of this.
These things that you haveoffered me with, based off my
(12:12):
blood work.
It has completely changed thatfor the first time in my life.
Really?
I didn't even know that.
That's beautiful.
Yep.
And so my anxiety, I was like.
As an at all time low that it'sever been like, I feel like I
can focus and have energy and Iwanna give you a high five.
I don't wanna cry high five.
(12:34):
I'm giving you an air high five.
That's you know what, that'swhat makes doing what I do worth
it when women and or men tell methat.
It's oh, thank God.
Because it's always a journeyfor everyone.
It is.
And everybody, like I said,there isn't one cocktail that
fits all.
No.
And that's why it's verydifficult to practice this kind
of medicine.
Absolutely.
'cause every woman and or man'shormones are different.
(12:56):
And I can imagine they'rechanging throughout the
lifetime.
Of course.
A woman's hormones changeliterally every day for 28 days.
And that's if you have a perfect28 day cycle.
So it's, you have to really beable to play with things and you
wanna tell people what you didspecifically for hormones.
Sure.
I am taking a testosterone.
So I'm doing the testosteronepellet which has increased.
(13:17):
So I originally also came to Jenbecause my sex libido life was
not there so postpartum.
Everybody tells you, good luckwith that.
You won't be interested.
And I believe that for a littlewhile, but things that I
specifically noticed.
Was that I didn't have very muchfeeling to my clit horse.
(13:40):
And I was like, which by the waysounds like a nightmare.
What?
I like, you're like, what ishappening right now?
I was like, alright, the tissuesare healing down there.
And that was fine.
I gave it the time.
I did the healing, I did thethings.
But man, let me tell you, it waslike nobody was home.
Yeah.
I love how open you are aboutit, and that's why we really
wanted to talk about this,right?
(14:00):
Because I'm too very open aboutthose things.
And I think it's important forwomen to know specifically and
men, because if you are in aheterosexual relationship,
they're on the other side ofthis.
But I think it's important forwomen to understand that.
They're not alone.
Things are happening to theirbody.
And honestly, even women thathaven't had babies, I've had a
lot of women say to me, I'venever had an orgasm.
(14:22):
How tons.
I'm like, what?
Tons?
What are like, how are youliving?
Really what is good about, howare you living?
What is good about being anadult other than having a
healthy sex life?
And thankfully I have awonderful husband who is very
supportive and we had awonderful relationship before.
My daughter and I work in pelvicfloor therapy, so I.
(14:46):
I think the only reason that Ireally went down this rabbit
path and just didn't put it,push it aside.
Like I feel like the majority ofwomen are like, nah, whatever.
It doesn't matter.
It doesn't matter.
It goes on the back burner.
So putting.
You're putting yourself on theback burner, right?
You're putting orgasms on theback burner.
Yeah.
Forget that girl.
Why would you ever do that?
And in a way, you are puttingyour relationship on the back
(15:08):
burner.
That's, I think, the part thatwomen don't, again, this is if
you're in a heterosexualrelationship, right?
But I think that big thing isthat when you put your
relationship on the back burner,I don't think men necessarily.
If you're with another woman,they may understand more, but if
you're with a man, I don't thinkthey get it.
They do not get it right,because they don't go through
(15:30):
any hormone changes really.
Yeah.
Until later in life.
Their cycle's 24 or it's 24hours.
So even as they're pulsingthrough, it's not like us where
it's different every single dayfor 20 Ts.
They're going through theircycle in 24 hours.
That's really for them.
They don't have the ups anddowns emotionally that we have,
but they also have not had thetrauma of birth.
(15:52):
And or being a full-time,working full-time, being a
full-time mom, being a full-timewife, whatever it is, that's a
lot of stress for women.
Women really carry a lot ofweight.
They really do.
And yeah, so noticing that mysex life was.
Non-existent really.
And I wasn't feeling any senseof pleasure really.
(16:15):
And my, it wasn't on my husbandbecause I was like, it was there
before.
So I was like, I have to gethelp and working in pelvic floor
therapy.
That's why I had that knowledgeand I was like, this can't be
right.
There are other things that arecontributing to this.
I'm not dead.
Yeah, so that's what really.
Made me seek you out as well, isthat I need my sex life back
(16:36):
because orgasms are so importantto releasing tension, right?
Stress management, all of thesethings.
Exactly.
Orgasms play a huge role in yourbody.
And so yeah, we have, I'vestarted on a testosterone pellet
and my libido is come back fullforce.
That's amazing.
(16:57):
My sex life is great.
My orgasms are wonderful.
I love that.
But here's the interesting part.
So before that, testosterone,you weren't feeling that way?
I was not feeling that way.
Wow.
So it really was thetestosterone and the big thing
with the pellet is that I feellike it works really well when
you're in your thirties andforties, specifically because
(17:19):
your other hormones are all overthe place.
And most of us are so low intestosterone.
If you say to women, what is thehormone you have the most of?
They're gonna say estradiol alot of times.
Yep.
Not true testosterone.
Really?
We have more testosterone thananything else.
It's just we have less than men,obviously.
But we need it.
(17:40):
And it's the get shit donehormone.
Yeah.
You know what I'm saying?
It's the, I wanna have sex.
I feel sexy.
It just makes you feel betterabout yourself and you give less
of a shit about all the dumbstuff you do.
And I feel like.
It also allowed me to wake up inthe morning and be like, let's
go energy.
Not just Oh, the energy.
Yeah, the energy that comes withit.
(18:01):
Huge.
I didn't realize how much I wassuffering, like waking up every
day and feeling fatigued, like Iwas like, ah, I didn't get
enough sleep.
I had a good sleeper.
Like my baby is a good sleeperand so I would get good for you.
Yeah, I would get some, I wouldget eight hours and I'd still
wake up and I'd be dragging ass.
Yeah.
I take some testosterone and I'mwaking up.
(18:22):
I'm cheery.
I'm happy to be, I love that up.
I'm like ready to start my day.
You're telling everyone mysecret now.
Yeah, I'm, they're like, youhave so much energy.
You're so happy.
I'm like, it's calledtestosterone.
Testosterone.
Now.
I think the pellet works wellbecause you and I were talking
about this.
It puts you up to such a highlevel that you really get the
(18:44):
sex drive of a 17-year-old man.
It's wild, right?
Oh yeah.
We and I were talking about themindset.
Yes.
But I think the thing that Iliked about experiencing that
was it gave you some insightinto men.
And how they feel about sex andlike what the thoughts actually
are.
You'll probably explain itbetter than I do.
Yeah.
So what I experienced was it wasalmost worse than hunger.
(19:09):
Yeah.
Like you had a feeling that youhad, or a scratch that you had
to itch.
You have to satiate this orgasm.
You need to have sex, you haveto do something for it.
So I even told my husband,they're not just, these sexual
beings that are horny and likejust perverted all the time,
you're not being a pervert.
They're literally having thattestosterone.
(19:30):
Yeah.
Which is, it's a normal feeling.
It should, you have to scratchthe itch though.
No, you and I talked about thatwas so interesting.
It gave me so much insight intohow men think and feel, and I
was like, oh, you're alwayslike, oh, come on, stop.
And you always think, oh, that'sall men have on their mind.
It really is on the forefront ofyour mind.
It really is.
And you have to take care ofevery, or you can't do anything
(19:52):
else.
And I even said, I apologizefor, being cranky when you're
like that, because now Iunderstand.
You know what?
That's so beautiful.
That's why you have a reallygood relationship with your
husband.
He's now you get it.
And I, and same thing for me.
I'm like, Ooh, that'sfascinating.
Right?
And women wouldn't get thatunless they experienced it.
(20:12):
And then, thinking of it viceversa, like men don't know what
you're going through withhormone changes and things like
that.
That's why the communicationpiece is so important.
I think a lot of us lack that inour relationships, even if it's
just friendships.
But we have to take the time tocommunicate with other people
because even in our romanticrelationships, if they, our
(20:34):
partner doesn't understand howwe're really feeling or what's
going on, we just tend to beshort.
It's the time, we don't take thetime to explain.
I just really don't have anysexual desire.
I don't know where it went.
I don't know what happenedbecause you know what ends up
happening?
That person thinks that we haveno interest in them and it has
nothing to do with that.
It has nothing to do with that,really.
(20:55):
And that's the hard part,especially I think because men
have this desire, right?
And that this thing that theyhave to feed, so they really
don't understand.
Yeah it's interesting.
You wonder how manyrelationships suffer as you go
into perimenopause, things likethat.
There's no.
Literally there's I a hundredpercent believe that this is why
(21:18):
divorces happen at this age.
I would agree with you goingthrough all of this experience
and men, if you have to get thatexperience, that scratch that
itch, then you, they need to dothat.
Exactly.
And you have to be that partner.
Yeah.
You have to step up.
But also you need to take careof yourself.
Like why, at what point did yousay, ah, who cares about an
(21:39):
orgasm?
'cause listen I don't understandthat.
I'm gonna be honest.
Again, I don't have kids, soprobably for me, I don't have
that level of stress.
Or that responsibility.
But I'm like, what else is goodabout being an adult?
It's all bills andresponsibilities.
And what were you like in yourtwenties?
Girl, talk to yourself.
What were you like, I was fun.
Yeah, you were fun.
(22:00):
And you're not dead.
Like you're not dead.
So I feel like we just, we do,we get thrown into a busy life,
whether that's kids work, payingthe bills.
We get into relationships.
We get married, we're with oursignificant others for 10 plus
years.
And so you just think it's thisnormal process.
Everybody goes through itbecause we've normalized it so
(22:21):
much over so many years.
Yeah, but it's a new time.
There is help and people need toseek it.
Take care of yourself.
Take care of yourself.
I love that.
If you're not feeling optimal, Iwould encourage you to seek out
bioidentical hormones.
Absolutely.
Seek out peptides.
I think at the end of the day,it's like saying to someone, oh,
(22:43):
you have diabetes.
Don't take medication well asyou age, your hormones decline.
We know that.
We've seen that.
We see the research.
So if we're telling men andwomen not to.
Help themselves supplement andfeel optimal.
Like why would we do that?
We're not telling other peoplenot to take medications or to
help themselves with theirdiabetes or their heart disease,
(23:06):
whatever it is.
And these actually help youprevent those things.
And I think the other part isthat people have fear around
hormones because of the previousresearch.
Yes.
Which is all nonsense.
Can you talk a little bit moreabout that?
Yeah, I'm happy to.
Thank you.
So the Women's Health Initiativethat came out years ago really
talked more about synthetichormones.
(23:27):
That's really the research thatwas being done.
Yes.
Synthetic hormones are not goodfor you.
They may potentially causebreast cancer, but that's not
what we're doing.
By the way, Les are literallymade out of yams.
A little bit of soy, they'remade out of plants essentially.
So the body is very intelligent,but it doesn't understand when
(23:48):
you are chemically compoundingsomething to look similar.
For example, the estradiol ischemically compounded from a yam
to look similar to the estradiolcompound in our body.
So when you're putting thatestradiol cream on, or getting
that pellet or whatever it is,your body doesn't know the
difference.
So it really feels good takingit.
(24:11):
And I have to be honest withyou, a lot of these you can
simply take in a cream form.
The pellets are amazing as faras the testosterone goes for the
sex drive.
And I'll tell you, I've donethem and I was like insatiable
to have orgasms.
And it was like the best time ofmy life.
Truly.
I'm not gonna lie about that.
And I'm very open about thatbecause I feel like it's
(24:31):
important.
It is.
It is very important.
It's so important.
You can take a cream, I'm on thecream of testosterone just
because it's hard for me to goget a pellet.
I have to go to town for theday.
Can't do it to myself.
I haven't figured that out yet.
But yeah, it's, the cream isstill fantastic and or the
injection.
So it, for testosteronespecifically, it really depends
on whatever the woman wants todo and the man for that matter.
(24:53):
But men and women feel so muchbetter because it's not just
women that are lacking a sexdrive.
It's men too.
And you know who a lot of timesit is the young men.
Really interesting.
I had a patient last week, hewas young, like 27, and he's I
have no sex.
I've had multiple young men.
I have no sex drive.
And when I look at theirtestosterone levels, they are
(25:15):
lower than a 70-year-old man.
What do you think is greatimpacting that question?
It's all the the disruptors, theendocrine disruptors, like the
plastic the phthalates.
The parabens.
It's all the poison basically.
And I think across the board,what we're seeing is.
This is purposeful to somedegree.
(25:37):
If you have humans that areassertive, that want to come
together to uprise, to say, Hey,stop poisoning us, or whatever,
that's a problem for those thatwanna make us sick and or wanna
keep us down, essentially.
But if you, because if we lookat the research, testosterone
levels are down almost 50%really.
Yes, in men and women.
(25:57):
Wow.
If you have a 27-year-old thathas a testosterone level of, I
think it was three 11, again, aseven.
I have 7-year-old patients thathave testosterone levels that
are 500.
Wow.
Now, every person's different,right?
Every human is different, andsome men may feel good at 700,
or some men may feel good at1200.
So that's where thatindividualized medicine comes
(26:18):
in.
But it's dumbfounding to me thatyoung men are so low.
That is amazing.
And so when you go to, so say Iwent to my gynecologist and I
had them run a hormone panel.
Why does it usually come backnormal compared to what I have
experienced here?
(26:39):
Great question.
So when you look at those quoteunquote reference ranges that
any of the labs will have.
They are so wide that anythinglooks normal on their scale.
In all seriousness, when youcome here, I have optimal levels
because we know generally wherepeople feel good, where we start
to lose symptoms and we feeloptimal specifically to the
(27:01):
hormones Well as.
As well as all the vitamins andminerals too, right?
And the thyroid and everythingin between.
But the big thing is that wedon't want you just to be on
that range.
We want you to be.
Optimally in that range at thetop of it generally, so that you
are feeling good.
So my levels are very differentin that regard because if you
are S, my range starts very higha lot of times.
(27:24):
Because based on the research ofwhat men and women feel good,
right?
So a lot of my values are baseddepending upon the sex, because
obviously our hormones make abig, a difference, right?
We have different testosteronelevels than men.
So obviously theirs is a lothigher than ours.
But men go through andropausetoo, so they start to lose
testosterone as they age, whichis interesting because.
(27:46):
It's fascinating to see howtheir sex drive starts to
decline too.
What age does their startcompared to women usually?
That's a great, yeah, that's agreat question.
Usually what I've seen is aroundprobably forties, okay.
Forties and fifties.
So similar around some women.
Women, but I believe that thereis a instance of women go
(28:08):
possibly going intoperimenopause earlier in life.
Oh my gosh.
I had someone the other day apatient, she was like 32 and she
was frantic'cause she wanted tohave more kids.
And of course she went to theGYN office and they were telling
her she had polycystic ovaries.
Yeah, ovarian insufficiency.
Yeah.
S.
Yeah.
And this is a little differentthan the PCOS.
(28:30):
Yeah.
This is where she's actually notmaking enough estradiol and
progesterone, so she has aninsufficiency and I thought, oh
my God, she's so young.
That diagnosis isn't exciting tome.
And I told her.
Don't allow this to upset youbecause, she felt totally
defeated.
Sure.
Which is terrible.
You're in your early thirtiesand you wanna have kids and
they're basically like, I don'tknow.
Yeah.
You better start praying.
(28:50):
Really?
Yeah.
And they didn't do anything forher other than give her guess
what they gave her?
What?
Birth control stop.
Yeah.
And I'm like, wait, she wants toget pregnant, right?
But they're like you don't haveenough hormones, so we're gonna
give you the synthetic birthcontrol.
God bless America.
Anyway, don't get started withbirth control.
It's very early in the morning.
It's scary because I said toher, this actually does the
(29:13):
opposite.
When you are taking synthetichormones, you are not gonna
build any of your own.
Your body again, doesn't knowthe difference.
So I told her, let's just lookat your baseline levels.
Let's go to the lab.
I'll order the stuff and let'sdo a full panel.
The other thing they don't lookat is testosterone for women a
lot of times.
So how can you look at a woman'sfertility when you're missing an
(29:36):
entire hormone panel?
Makes no sense to me.
No, they all have to be inbalance.
And I think that in womentestosterone drops in their
early thirties.
Okay.
Yeah, it's, it starts to droppretty early.
Now again, we tend to see that,that progesterone starts to
decrease first, but then thattestosterone is really
(29:58):
noticeable.
Like I would say none of my 30year olds have ever been optimal
in testosterone.
That's just sad.
It's sad.
But then you see the correlationwith.
Now we know why people's sexdrive is much lower.
Because if you don't have thatget up and go that spritz, spa,
whatever you wanna call it,uhhuh, that desire to have an
orgasm, you don't care.
(30:19):
You don't care.
And I do feel like a lot of thesymptoms that present are
fatigue.
They anxiety, just like normalthings that we think are, oh,
I'm just stressed, or I'm justbusy.
So because that, and that maycontribute to women not seeking
help as well.
I gotta be honest with you, mostpeople are not busier than me in
(30:39):
all seriousness, right?
Yeah.
So when they say to me, I'm toobig, I may not have children,
but I have three jobs, right?
Yeah.
Yes.
And, a lot of responsibility,but when they say, I'm too busy,
it's that's an excuse.
That's not really what it is.
You really should get yourhormones checked, right?
And, or maybe you're not in arelationship where it feels
safe.
Or whatever.
That part,'cause I think that'sa big piece of it too.
I do, I feel like you have tohave a supportive partner.
(31:03):
Absolutely.
And you have to feel comfortablein your relationship.
Oh, because you have to havethose, you have to have those
conversations.
You have to have thoseconversations.
Because like I had with myhusband, I was like, it just
doesn't feel right, like there,and it's not you and I.
And there was a point duringthat now that I'm thinking back,
that he was like, is it me?
(31:23):
Of course, every any sane personwould think that, right?
Why doesn't she wanna have sexwith me, right?
Like, why doesn't she like meanymore?
Does she not love me?
Is she not finding meattractive?
Like you get all of you, youspin, right?
You spin and you think it's you,of course, and you blame
yourself.
And it absolutely had nothing todo with him.
And I feel like men experiencethat as well.
Why doesn't she want me?
(31:44):
Why?
She doesn't love me.
No.
We're not in this.
I think it's worse for men.
I do, in my experience, I do.
It's interesting.
I think it's worse for them andthen they spiral quicker than we
do.
I agree.
I feel like as women, we justput it on the back burner.
It's not really that important.
We don't, we know we don'tprioritize ourselves because
we're so busy.
Take, we're caretakers ofcourse.
(32:05):
We take care of everyone else,of course.
And because possibly we've maybenever had.
An orgasm.
Maybe we've been low intestosterone our whole life, or
maybe we've never had that.
I feel like a 17-year-old boy.
So you don't get it.
You don't get what they're goingthrough, right?
You just find'em annoying.
You just find them annoying.
You just find'em annoying.
(32:25):
You're like, leave me alone.
Stop.
Yeah, stop looking at me.
Stop touching me.
Yeah, stop it.
Yeah, you can't touch my butt.
Can't touch my boob.
Leave me alone.
So I do feel.
Bad for males and I hope thisreaches them and reaches women
to seek Me too assistance.
Absolutely.
And giving men some grace,right?
Telling the women to give mensome grace.
(32:45):
My God, because you and I bothknow what it feels like to think
like a 17-year-old and justwanna have an orgasm.
Yes.
I don't care what I have to doright now.
I'm gonna go have an orgasm.
Yep.
That's the wildest like thoughtin the world.
'cause you're right, it's worsethan hunger.
It is.
Because I don't give a shitabout food.
It's just sitting there nagging.
Until you fix it.
Until you really get, giveyourself that orgasm.
(33:06):
Yes.
And I was telling a patient theother day.
I have a patient who, she's beenin a marriage for a long time,
has kids they've been through alot of trauma, she's had cancer,
things like that.
Oh gosh.
And I was telling her the otherday about hormones and she is in
a place where she is finallyinto her husband again and
(33:27):
things are looking up for her.
And her relationship is great.
She was sharing this all with meand I was telling her that my
experience with testosterone andhow, you feel like a 17-year-old
boy.
So I was saying how I totallyget how men feel, and she was
like, I think you just validatedmy husband.
See, so I'm gonna go home andI'm gonna validate him.
(33:48):
Oh, I love that.
So it's really important becauseI never talked to anyone about
that until I had thatconversation with you and I, and
that's why you and I essentiallywanted to do this together.
Yes.
And have this conversationbecause women really don't get
it.
They don't.
Unless you get a testosteronelevel that's really optimal and
understand how a guy thinks, youjust won't understand it.
(34:08):
And that's why we're encouragingwomen to, number one, have your
hormones tested.
Yes.
Let's see where you're at.
I feel like in your twenties,should you probably get a
baseline of where you'reabsolutely at.
20 year olds are not Well.
Not well across the board.
They're outrageously anxious.
They have, their gut health isterrible.
They're just not doing well.
(34:29):
Listen, I actually feel bad forthis generation because I don't
know the year that wifi actuallycame out, this causes DNA
damage.
It's, even though we don't seeit and it's invisible, people
forget being exposed to these,your entire life is a problem,
especially when you're in yourdevelopmental years.
I unplug my wifi at night.
I've said that a hundred times.
(34:50):
There's no reason people needsecurity cameras unless they're
in a bad section.
Or they're worried or they'rescared of like maybe violence or
something like that.
But patients all the time willsay my, my ring doorbell.
Who cares?
You are more worried about thatring doorbell being online at
night than your health, right?
It's causing DNA damage that isan issue.
And you see'em walking aroundwith like air pods, air, oh
(35:12):
yeah.
Take those outta your ears.
Oh, take those outta your ears.
You're microwaving your brain.
It's terrifying.
You literally are microwavingyour brain when you use those
things.
People just need to, we're justnot mine.
Life is so busy and I thinkpeople are, they're just like
just trying to get through theirdays.
And I get that.
'cause there are some days whereI'm like, Ooh, I just need to
(35:34):
get through this day.
Absolutely.
And I'm sure you felt that too.
Oh, absolutely.
But you need to connect morewith your body and understand
what you're doing every day.
The choices you're making doaffect your health.
So yeah, the 20, I just feel badfor the 20 year olds and
needless and the food has beenpoisoned for a very long time
now.
Like you and I at least grew up,probably those first, 15, 20
(35:55):
years, we were not exposed tothe amount of plastics.
We were not exposed to thepoison and the food, and we were
not exposed to wifi.
That makes a, that's a bigdifference in our DNA and our
resilience.
And then you look at, sobaseline twenties and then
tracking all throughoutthirties.
No, definitely tracking.
Yep.
Because ideally you want tosupplement anywhere that you
(36:17):
need to.
And what we've seen, a lot ofthe 20 year olds and even the 30
year olds, they have a lot ofanxiety like you were talking
about earlier.
Absolutely, yes.
And that is progesterone most ofthe time.
So if I can give you a littlebit of progesterone and I call
it happy cream, literally, I'llhave it compounded in a cream
and you can carry it with you.
And you put that on if you needit throughout the day and it
does calm you down.
(36:38):
I would so much rather seepeople using that.
It's natural.
You can't get too much whenyou're in, in, when you're
either pregnant or in yourmother's womb.
You have huge amounts ofprogesterone.
So we've all been exposed tovery high levels, and that's why
women say that they feel reallygood when they're pregnant.
Yes, you have that happy glow.
Yes.
And you feel great.
(36:58):
That's progesterone.
Yes.
So it's interesting when we giveit to women as a quote unquote,
a happy cream, they're like, oh,that.
I literally got a text messageyesterday from one of my
patients, she's inperimenopause, and she went for
an interview and she said, Ihave you to thank, because I
went to that interview and I wasable to, number one, recall
(37:19):
everything that I wanted to say.
Number two, I was sharp, so Iwas able to like, answer the
questions appropriately andbecause of balancing her
hormones huge.
So not only does it impact yoursex life.
Oh, your brain.
Your brain and how you can relayinformation, how you interview,
how you can work your workefficiency, everything.
(37:41):
Your focus.
Your focus.
That's a big deal too.
Your focus.
'cause you'll get that, Heysquirrel, oh, over there.
And a lot of people call it mombrain.
Yes, mom brain, right?
I'm like that.
That's the hormones.
It's just the imbalance of thehormones.
When I'm taking estradiol, Ihave so much an easier time
focusing.
I never had a problem until Ihit perimenopause, but I would
(38:04):
be like, Ooh, I just need to dothis, and I'd be all over the
place, and I'm like, no.
That estradiol is huge, and alot of people will go to,
they'll say, oh, I have a DHD,or whatever the case is.
And I'm not saying people don'thave that, but try the estradiol
first.
Try the, let's balance yourhormones first right before you
go to those pharmaceuticals.
(38:24):
Okay.
And so you were also talkingabout how when you're in your
mother's womb, you're swimmingand progesterone, you're
swimming and progesterone.
What does that do to males?
Oh, that's interesting.
It's the same thing I give menprogesterone.
If men can't sleep at night ortheir progesterone is really
low, I'll give themprogesterone.
I'll give it to them foranxiety, and it works extremely
(38:45):
well.
It's just like any of the otherhormones.
You have to have a balance.
Now, men don't need as muchprogesterone as we do, but they
need a decent amount and theyjust don't have enough.
A lot of them.
Interesting.
Yeah.
And in Europe, they've beengiving men progesterone for a
long time, and a lot ofbodybuilders use it because as
they raise their testosteroneand their testosterone's
(39:06):
optimal, you have to remember,you have to have that triad, you
have to have that balance.
So you, if you're giving someonea lot of testosterone, they may
need progesterone to offset.
And to balance them out.
Interesting.
And most of the time theirestradiol is actually okay
because of all of the plasticsand all of that stuff.
(39:27):
And you will metabolize sometestosterone into estradiol.
So you know, their estrogen isusually okay.
Just because of our environment,unfortunately.
That's amazing.
Yeah.
Or they're too high.
Okay.
See now that's the other pieceof it.
Like a lot of the young guysthat their testosterone is low,
it's because their estradiol istoo high because of all the
plastics.
'cause of the plastics and theendocrine disruptors.
(39:49):
Okay.
Yeah.
So then you're putting them ontestosterone and seeing Yes.
And hoping to get rid of some ofthat that estradiol and matter
of fact, putting them onprogesterone because I need to
be able to balance thatestradiol.
Okay.
And are there things people cando so say you have some, a young
man in their twenties low ontestosterone, and can they.
(40:13):
Undo some of the damage, likeOh, absolutely.
If they start getting rid of theplastics and really paying
attention to the toxins thatthey're surrounded around.
Yeah.
And like eating better.
Can, is that something that theycan naturally do, or do you feel
like they will need tosupplement?
No, absolutely.
I think that's always the firstthing is we gotta get you out of
that estrogen dominance, becausethat's where cancer comes as
(40:33):
estrogen dominant.
So we need to get you outtathere anyway.
But the other piece of that isthat when we're giving them
progesterone, we're blockingsome of that estrogen because
we're balancing it.
So if they're not, if they don'thave enough progesterone, their
estrogen just is do, it keepsclimbing up that ladder because
it's not, it's estradiol is likeits sister and it needs its
(40:53):
sister to stay in balance.
Okay.
And without that, they justkeep, so it's not just enough to
give men testosterone.
And really the young guys, ifthey still wanna have kids,
we're not giving themtestosterone.
We're giving them, it's calledine is one of the things that
you can give them.
So it promotes them to actuallybuild more testosterone on their
own.
Okay.
(41:14):
So just helping their body helpitself.
Helping their body help itself.
Because at the end of the day,we want them to produce as much
testosterone on their own.
Because it's almost castrate aboat.
And you give a testosterone,their fertility definitely
decreases, which older men don'tcare, they don't care as much.
But maybe somebody in theirtwenties, thirties, of course,
if you wanna still have kids,then that's not the right option
(41:35):
for you.
So we need to be mindful of thattoo.
That makes a big difference.
Yeah.
Interesting.
And for women doesn't affect ourf fertility.
Being on testosterone doesn't,yeah.
Doesn't affect it.
I just say to'em, obviously ifyou're on it then and you
conceive, you wanna come off,you wanna come off.
You don't want a big bodybuilderin there.
Building big babies.
Nobody wants that for yourpelvic floor either.
(41:55):
I was gonna say, you wanna givebirth to that no.
And yeah, so in my clinic I seea lot of women who come in as
well, and they have.
They're later in life.
They have a lot of deestrogenized tissues in their
vaginal area.
Tell people about that.
So they have a lot of vaginaldryness.
Their tissues have changed.
(42:15):
They may have more urinaryleakage.
They have pain with intercourse,so they're staying away from it.
And one thing that I dorecommend is that estradiol.
Yes.
Because not only does it make Itell'em it's like a moisturizer.
It is.
And correct me if I'm wrong, I'mlike, it's a moisturizer for
your face, but it's for yourvagina.
Absolutely.
Your vagina needs Absolutely.
(42:35):
The estol.
To plump up the tissues.
Yes.
To make those tissues strong andhealthy.
So if you take away thatestrogen, which happens when we
go into menopause, right?
Then if you're taking away that,then it's.
Your tissues are shrivelingalmost.
Or that's a great visual forpeople.
They're wasting.
They're wasting, yes.
(42:55):
Yeah.
So it's like muscle wastingbasically.
It's like muscle wasting for thevaginal tissue.
Yes.
And can you, so I know most ofthe time it's prescribed just
two times a week.
I've noticed sometimes it's notenough for women.
Is it something that you canjust use?
Oh, use it every day.
If you need to, really whatthose women probably need, they
can start with the vaginalestradiol, but they probably
(43:17):
need one systemically.
So a cream that's made wherethey can put it on the rest of
their body, because ideally you,yes, the vaginal symptoms are
extremely important, right?
But also we're gonna get brainsymptoms, right?
That's where that, like thatrecollection comes in short-term
memory impairment.
So we also wanna do that.
So it prevents us from gettingstrokes.
(43:39):
It protects our heart, protectsus from getting dementia.
So yes, the vaginal tissue is.
Outrageously important as yousaid, because it thins and
people have painful intercourse,and that's another reason women
aren't having sex.
Absolutely.
Absolutely.
If it's painful, why would youwanna do it?
Yes.
You definitely don't.
You definitely don't.
Yeah, and that's where it'sgreat to go see Sarah because
she can help you through thatprocess, but you can honestly
(44:01):
take that vaginal estradiolevery day if you needed to.
And is the cream that you putelsewhere for your brain and
things like that, is thatdifferent than the estradiol?
It's the same.
It's estradiol, it's just, orestradiol.
Yeah.
It's just made, it's not madedifferently.
It's just that you're putting iton and it's going systemically.
Through the whole body versusjust the vaginal tissue.
(44:22):
Okay.
Now some women will say, oh,I've had breast cancer and I
just and that part I understand'cause they're gonna be nervous,
so I get that.
But the vaginal piece of it,that's not going through your
whole body systemically.
And if it, if a little bit'sgoing through, it's a teeny bit.
But women need to start usingthat vaginally, especially if
they're having any pain orsymptoms.
Yeah.
And I feel like it doesn't getto them soon enough.
(44:44):
Of course, most of the time.
And Yeah, I think one of thethings that I've had patients
bring up is they're like, oh,they hear me talk the word
estrogen, and they are freak,freak out because they're like,
Nope, I have a history of breastcancer in my family.
There's no way.
And it's that misinformationthat's been printed many years
ago.
Yes.
And also with women, the fear oftestosterone.
(45:06):
Like you're gonna grow hair allover your body.
You're going, your clits gonnabe swollen shock's.
Darn it.
I was gonna say, I'm upset aboutthat.
I was gonna say I'm okay withthis.
So if it needs, so my pori ismore sensitive, I'm gonna more
orgasms.
Okay.
So be it.
Yeah.
Darn.
Which actually is not a badthing.
(45:26):
And if you have more blood flowto your clitoris and to your
labia, that's a good thing.
You're more sensitive.
That's not a bad thing.
People are thinking about thisall wrong.
Yeah.
But I do get the sense of thisbeing scared about the
estradiol, if you have ahistory, but listen, genetics
just because you have a familyhistory, genetics are, with
(45:48):
epigenetics coming out, we knowthat a lot of it's based on
lifestyle.
It's like the gun or thegenetics.
The bullet is your lifestyle.
Are, how are you really livingyour life?
A lot of women, there's a breastsurgeon, she was a previous
oncologist.
Or again, I guess she is abreast oncologist, Jennifer.
Oh, I can't, I think Sullivan isher last name.
(46:09):
She has a clinic down inPhiladelphia, and she will be
the first to tell you that sheabsolutely does not.
She'll give her patients thathad breast cancer, estradiol all
day long.
Really all day long.
She's someone's gotta treatthese women.
They're suffering.
Suffering.
And they're we've scared them sobadly that we're not giving them
anything.
And I have to be honest withyou, I'm not opposed to that, in
(46:32):
a very controlled, monitoredmanner.
So if you just keep yourselfmonitored or you have a good
provider, you need, that's theimportant part.
Exactly.
You have to have that goodprovider to, guide you.
And it's really not fair to sayto women.
That have had cancer, whateverit is.
You can never have estradiol,right?
Are you kidding me?
If it's gonna protect you fromgetting dementia, it's gonna
(46:54):
protect your bone.
So that you don't fall andyou're frail as you age.
It's, I say to women, what doyou wanna look like in the, what
do you want the next 10 years ofyour life to look like?
Do you wanna be frail and weak?
And sexless sounds terrible.
Yeah, sounds terrible, right?
Yes.
We have to stop being so scaredof bioidentical hormones.
And I say to women, this is madeout of a yam, this bioidentical
(47:17):
estradiol.
If a yams gonna give you cancer,we got way bigger problems.
You know what I mean?
What about what are you doing?
You know what I mean?
What about that food that you'reeating?
So I think people aren't reallyconnecting the dots.
What are they doing in theirlifestyle that may, maybe
they're not handling theirstress at all, maybe they're not
exercising.
Those things put you at a muchgreater risk for getting the
seed.
Then a little vaginal cream,then a little vaginal cream.
(47:39):
Yeah.
And really let's, we needquality of life.
We do.
We do, and it doesn't end at 30and it doesn't end at 40 and it
doesn't end at 50.
No.
No.
And I put women in theirseventies on estradiol.
Absolutely.
I've had 90 year olds come intomy clinic and they're like.
So I need to get rid of thisurinary incontinence because
girl, I'm not dead.
(47:59):
I'm having sex.
I love it.
I love it.
And she's I don't mean toembarrass you.
I was like, you're notembarrassing me.
I'm clapping for you.
I love that they, because thatgeneration was not that open.
No.
So I love that they talked toyou about that and it's far and
few in between, but when I meetthose women, gosh, they are so
spicy.
They're amazing.
Love them.
I was gonna say, those are like,those are your tribe, right?
(48:22):
They are.
They are the CY women.
I love older adults.
Me too.
They're my tribe for sure.
Me too.
Especially when they say stufflike that because good for the
night.
I'm, listen, I hope I'm justlike her.
Me too.
I was like, I wanna be you whenI grow up.
That sounds amazing.
I love that.
I love that for women.
Yeah.
Yeah.
But I think it, it is justoverall just bringing awareness.
(48:42):
I agree.
Awareness that it shouldn't bescary.
Do the research, find the rightperson Absolutely.
To help guide you in thisjourney and.
And please get help.
Please.
Yeah.
Stop.
Stop suffering.
I think that's always my messageto men and women.
Yes.
Stop suffering.
If you don't feel optimal.
Let's you know, let's look atwhat's going on.
There's no magic bullet foranything.
(49:03):
No.
We'd be billionaires if therewas.
And I think the other thing isthat people have to start taking
responsibility for their ownhealth as well.
Absolutely.
I'm here to guide you.
Correct.
I'm not gonna fix you.
I'm here to guide you.
It really is dependent upon whatyou're doing on your end as
well.
And I'll tell patients the samething.
I don't have a magic wand orelse I would make a million
bucks, right?
(49:23):
You have to put in the workalways.
If you are not putting in thework, you are not gonna see the
results.
Exactly, so you, it is all aboutwhat I do, I feel is mostly
education.
I'm here to educate you on mypiece of knowledge, and that's
the beautiful thing that I'malso finding in building these
relationships with you.
I've referred patients to you.
(49:44):
Oh, and let me tell you, they'reall coming back and they're so
happy.
They're so happy.
They're, thank you for seeingthat.
But really I find the peoplethat, they're ready to they know
they want change, right?
They want to change and they'regonna do the things.
And that's the key, right?
Because it's okay to seek helpas long as you're ready to do it
right.
If you're not, then it makes ita little frustrating for you and
(50:06):
the other person.
And I too refer people to youbecause I think it's so
important.
The pelvic floor does not getnearly enough attention, but I
think it's starting to.
I think so.
Oh, definitely.
It's starting to, and then thehormone thing is not getting
enough attention, and I'm seeingit.
Skyrocket.
I think in the next, I'm hopefulin the next 15 plus years that
Oh, absolutely everybody isgetting the treatment that they
(50:28):
deserve as they as they should.
Right?
Because it's simply, it'sputting back into the body what
makes you feel good.
And who doesn't want that?
Yeah, stop chalking it up tostress and I have a busy life
and I'm tired.
Oh my God.
Because the hormones actuallyprobably will help you with
that, right?
Absolutely.
Stop being tired.
You don't have, you can betired.
(50:49):
We're all tired.
But it's a symptom.
It is truly a symptom.
You're right.
It's very much a symptom.
And do you just need sometestosterone?
You just need a littletestosterone.
That's right, girl.
Thank you so much for coming ontoday.
Absolutely.
Thank you for having me.
You are very welcome.
So if you have any pelvic floorissues, you need to go see Sarah
because she's amazing and I knowthat her partner Jennifer, is
(51:10):
amazing too.
So thank you very much.
Thank you.
Wishing you love light andabundance, and remember, true
health is wealth.
Until next time, shine yourlight bright.
The opinions and medical adviceshared by Dr.
Jennifer Hopkins or her guestsare not meant to replace
(51:30):
traditional medical deviceservices.
If you believe you may have amedical issue, contact your
healthcare provider immediately.
The information provided here isnot intended to diagnose, treat,
or cure any illness, disease, ormedical condition.
Always consult your healthcareprovider before beginning
anything new.
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