Episode Transcript
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Speaker 1 (00:01):
She said, it's now never I got fighting in my blood.
Speaker 2 (00:09):
I'm Tiff. This is roll with the punches and we're
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Their team of Melbourne family lawyers have extensive experience in
(00:29):
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reach out to Mark and the team at www dot
test Artfamilylawyers dot com dot au get a team. Welcome
(00:53):
back to the show. This is roll with the punches,
as you know, because they just listen to the whole
intro before I said that. So, I don't know why
I'm telling you a game. Maybe because I don't have
a guest to welcome to the show today, so maybe
I'll say Tivity Cook, Welcome to the show. Anyway. Here
is the episode that I have been promising you that
(01:14):
I would record a bit, a bit lazier. I started
recording the other day and then I had a malfunctioned
with my it, and look, then, I'll be honest, got
a bit sick of talking about it, so I thought
i'd come back to it anyway. I am here to
share with you an update on my perimenopause and HRT journey.
(01:37):
So where shall we start? So I did my first
episode on this topic. Let me get the number for you,
and you can go and listen to that if you
feel like it. You don't have to, you're already listening
to this. You may as well hang around here. But
I recorded my first little share on this topic in
(01:58):
episode nine two one, and that was on the twenty
sixth of June. So at that point in time, I
had been on HRT for a couple of months, and
I had just gotten a prescription due to having my
blood tested for testosterone which came back frightfully low. Just
(02:20):
had my bloods tested and I'd gotten a prescription for testosterone.
And so now it is as I record this, it's
the twentieth of August, so August, June, July August, so
we are two months into testosterone, three months ish into HRT,
(02:42):
and also a range of supplements that I have chosen
to begin taking to support specific genetic variations that I have,
so I thought i'd share all these with you. Please
note that none of this, obviously is advice. It's just
(03:03):
me sharing my experiment with me and the information that
I've sought out in the experience I've had, and how
it's panning out for me so far. Lots and lots
of great conversations that I've been happening as a result
of sharing a lot of this information, and a lot
of people thanking me for being so open and vulnerable
about it. And you know what, what is weird or
(03:25):
not weird, but what is bothersome to me is the
fact that we need to thank anybody for speaking out
loud about this topic because so many of us, it appears,
once you open the door on it, everybody seems to
be going through aversion I've got all so many people.
Obviously feels like that for me because I'm having all
(03:47):
the conversations, so there's a good bias there. But I
was kind of surprised at just how many people had
reached out and asked questions and been interested, and so
it's been awesome. It's great that it's helpful in one
way or another, and it's great to be able to
start the conversation for people I wish, I guess I wish.
(04:10):
If there's one thing I wished, it was that because
I'm about two years into my hormones causing me a
fair amount of chaos. And what is really interesting about
this time in our life is I've had a lot
of conversations. I've had conversations with people on the show
on menopause and perimenopause, and so there's been lots of
(04:32):
awareness even in my world. But when it came time
that I started having shifts and symptoms, there was still
such a lack of information and knowledge and understanding that
there's just so many boxers to check off to understand
what actually is it that I'm experiencing and going through.
(04:56):
And it took me. So it took me twelve months
to go and see Adopt and ask about HRT, and
then I started that a year ago. I'd started HRT initially,
but I'd stopped it about ten days in because I
had to go and get breast examinations and just all
of the things that you need to do to be
sure that you're okay to go on HRT. As I
(05:17):
hit pause and had those full transparency. I had to
go to see a breast specialist because I had came
up with some stuff on my scans that just needed
to be checked off. Turns out it was all good,
absolutely no problems. But by that time that I went
through a few weeks of that process, I just thought
to myself, I'd stopped taking it, and I thought, I'll
just I'll really focus on getting my sleep in order.
(05:42):
Any stop, you know, cutting back on caffeine and any
type of stimulants that ADHD stimulant medication that I would
occasionally have. I still was questioning whether or not that
was ranking havoc on my nervous system. So it waited,
and turns out I waited a year. So then at
the end of May, I decided to jump back on
(06:04):
the HRT, so I started taking it again. Within it
the first month, I went back to the doctor said, hey,
I need another prescription for this. By the way, in
this amount of time, I've also had conversations about testosterone
and I'd like to get my levels checked. I did
rant on this last time, so I I go on
and on about it, but it does astound me that
(06:25):
inting initially testing my hormones on this topic. The doctor
who I was seeing, who deals with menopause and perimenopause,
didn't test testosterone given the symptoms I was experiencing. So
for me specifically, my symptoms were definitely like they represented
burnout and fatigue, which is why it took me so
(06:46):
long to go or should it? Like? Is this my hormones?
Am I just burnt out? What is going on? So
I'd stopped recovering from training and I'd started and then
I had started waking up at three am in the night.
I've always had a bit of trouble speaking on a
very active mind, so having trouble speaking through periods of time,
(07:11):
speaking sleeping through periods of time has always been something
that ebbs and flows in my life. But this whole
waking up at three am was completely new and felt
very different. And also I would, yeah, I would, I
would go to bed and go to sleep. And if
I didn't get to sleep, and this is still true, Cha,
this is where I go to bed at nana o'clock.
(07:32):
If I'm awake too much later, I will. It's almost
like I can feel the courters all rise in my
body and I know I'm not going to go to sleep.
So worked in my sleep routine. But the other thing
I started noticing was a real feeling, physical feeling, physical
sensations at times of bouts of anxiety and in moments
(07:55):
where it didn't really make sense to me. I was like,
I don't really know why I am feeling like this.
There's nothing going on, there's no rush. My life's are
rush sometimes, let's be honest. But that didn't feel that
didn't feel normal to me. So those were the things
that I was mainly experiencing. So going on testosterone, it's
(08:18):
andro fem is a cream for with testosterone for women.
It's super super, super low dose. It's nothing like the
dosage for that people are injecting for sports performance or anything.
So lots of ladies have been asking me about it
and feeling really scared. Here's the thing with testosterone that
I have learned so far. It is approved for postmenopausal women,
(08:42):
but not for perimenopausal women. I feel like I saw
something recently about that had or is shifting. Perhaps I
could be wrong about that, so don't quote me on it. However,
the conversation with most GPS is still absolutely taboo. I
just had a chat with another menopause coach. She works
(09:03):
in leadership and she works in helping workplaces menopause in
the workplace. But she was incredibly knowledgeable, and she told
me that doctors kept one hour of training around menopause.
So understanding, you got to understand that a lot of
the gps that you go and speak to, they have
(09:24):
no idea about testosterone. It's a very taboo thing. They're
kind of frightened of it. And if you google it,
you'll say, if you put too much of this gram one,
you're going to grow a beid and sea later change
your blood. It ain't. That is not the case in
terms of how I started feeling the first couple of
weeks on HRT, in terms of so when I say
(09:45):
HRT in this conversation, I mean estrodge in gel and
progest her own tablets. And if I'm going to talk
about testosterone, old taste testosterone so that I don't have
to quit keep bluddy it's lane it. So first couple
of weeks on HRT, my sleep and recovery felt like
a backpedal. I was my recovery, especially when sleep wasn't
(10:06):
too bad, but my HRV levels and my sleep quality
taint which was kind of interesting because progesterone has a
really calming effect, so it usually can help It can
help you with sleep and relaxation of a night, So
that was really interesting. I think just a period of
time for my body adjusting and finding it's new normal
(10:27):
with these new hormones coming in. So the first couple
of weeks was like that, the next couple not a
lot of change. By that time I started taking applying
the andro FM, which is the testosterone, and then over
the next two to three weeks I started to feel
a lot better. Too early for testosterone. Testosterone will take
(10:51):
three to four weeks to even start making any notable
adjustments in your body, so it's very slow burned there.
So I knew that when I started feeling a bit better,
it wasn't It wasn't the testosterone straight off the bat.
But what was really interesting was not just sleeping better
and not waking up at three am. I still have
(11:12):
the odd random day, don't get me wrong, And there's
still like my sleep hygiene has to be so on point.
I did a bet at nine pm now nine pm
lights off, put a meditation on no scrolling and bullshit,
and bam, we're good. But What was really interesting, and
I've said this on probably some of the episodes. We've
(11:34):
talked about this with guests before. What I found really
interesting was this sense of self, this feeling of my
sense of self, this familiar old Tiff, like Tiff that
had a spark, TIF that felt like it was unexpected.
And I often say when talking about stress, we don't
(11:56):
know what we're in the middle of it, especially with stress,
until we're coming out of it. You know, when you
have a really stressful time and you kind of know
that it is stressful and shit, but then as you
come out of it, you go, oh, God, I've been
in a really shit place. So that's a little bit.
What it felt like was this feeling that I knew
I was tired, I knew I was burning out. I
(12:18):
knew I didn't have the spark I used to have,
but I didn't know to what degree. So that was
the most exciting part of starting to feel myself again.
And I was really tensive, so I'm like, oh, I
might just be having a couple of days, but that's
been awesome. I went back to the doctor, so I
(12:42):
had a blood test, because you have to go and
do a blood test again. After starting testosterone. Look, I'm
not one for details. So I started to get to
the getting to the end of my tube of testosterone,
and I was like, oh, I better book that appointment.
So I booked my appointment, and I went in for
my test, and because that would be twelve weeks, because
it's a five point five milligramds a day, so one
(13:05):
hundred days, one hundred mili five twelve weeks, she was
blood test gums back and I am not under anymore.
In fact, I had nudge to myself just ever so
slightly over the range, so we have scaled that back.
But what was really interesting was I was not interesting.
(13:26):
It's careless. Really. I went home and I was like, wow,
what date was that? And then I realized that i've
because I get this stupid charringe right, it's the ridiculous
big plastic syringe. Then you got to suck the cream
up into it, and it doesn't suck up properly, and
then the cream gets around the edge of it and
you currently see like is that the cream or is
there is there any cream in that? I don't know anyway,
(13:46):
so I was probably a bit heavy handed, and I
realized that it was eight weeks. I still had a
couple of probably one to two week it's worth left,
so it probably wasn't that bad. But it was eight
weeks that it was seven weeks actually that I had
gone in for that test when I'm thinking it's twelve.
So I was using more than the half a meal,
(14:07):
So there you go. So I am now using less
and we'll get the blood test again in three months,
just to make sure that we can land it in
a happy medium. Yes, feeling really great. I was using
one and a half pumps of the Estrogeen gel. Don't
know why. I couldn't remember what she told me you
(14:28):
could do. It says one to two pumps. Most people
use two, and she was like, why are not using two?
And I'm like, I don't know. I just felt like,
I don't know. You probably told me. I didn't listen.
So we've increased that to two four pumps. But I
feel really fortunate because I feel I know a lot
of people try the gels it doesn't work, or try
the dosages and have to to and fro and have
to use patches, and before they find if they do,
(14:50):
before they find their happy medium with Hi tea, and
I feel really fortunate because I'm having a really great
result from it off the bat, which is awesome. Now
in addition to that, and I put a lot of
this down to what I'm going to share with you next,
because I think this plays a huge role in addition
(15:12):
to the hrtast. A few years ago, maybe three or
four years ago, I had a smart DNA test, which
is a test that tells you obviously as if it
names about all of your DNA. So I went back
through that test and looked at all of my pathways,
and what drove this was watching content that was telling
(15:34):
me that women with ADHD don't need need estrogen. In fact,
estrogen can sometimes be the problem because they don't methylate
properly and detox of blah. And I was like, oh,
here we go. You find a solution, and then someone's
coming out there and telling you that that solution is
actually the problem. So I went and got this test,
(15:57):
went through all of my genetic markers, figured out what
match what she was saying. So I have variations of
the I'm not gonna say it's full name because I
cannot say the full name and you would laugh at me.
So I'm going to call it the motherfucker gene and
any of most of you, especially people with ADHD. You
(16:19):
know what that gene is. It is the enzyme so
that that gene mthfr is the shortened version of it.
It's enzyme that helps your body convert fol eight to
B nine, which fuels methylation, so that helps us detox hormones,
brain chemicals, DNA repair. It's really important, and if you
(16:42):
have one, there's I think there's one or two variations
of that. I have one, so I don't have the
full dysfunction, but I am a little bit sluggish because
of that when it comes to detoxing and processing and
clearing out all of those things. So here's what I'm
taking for that. So there's that and some other genetic variactions.
(17:04):
I won't go through them all, but one is the
c O and T whatever that is, again one that
seems to get talked about a lot, and then there's
a bunch of other bndbn BDNF. Look, let's leave this
conversation for the experts. I'll just tell you what I'm
taking and you can just know that it's because of
the things that come up in my DNA test. So again,
(17:27):
definitely not telling you to go and take these supplements.
But it's a really great idea maybe to go and
find out if you're going to be using HRT or anything,
even if you're not, like go and get a DNA
test and see. Because we spend so much money on
supplements and shit, and half the time we don't even
(17:49):
need them. So prior to this, the only supplements I
took were fish oil. I was taking creatine because i've
taken that for quite a while. That's great for your body,
your muscles and recovery, but it is brilliant for cognition,
and after learning about that quite some time ago, i've
(18:10):
always taken that. I have now in over the last
couple of months, increased my dose from five grands a
day to ten. There's heaps of research. At ten grams
a day, that's when you start to get the cognitive benefits.
So creatine, fish oil, vitamin D. But when I test,
I am often not deficient in vitamin D. My DNA
(18:32):
test tells me that I have a tendency to be,
but it never is the case, but I do test
for it and check on it. So those are the
three things. Oh, and magnesium I would take Magnesium I
was a little bit lazy with it. Here's some notes
about magnesium. Recently, on a podcast with David gillesb we
learned that most magnesium this is important. Listen up. Most
(18:55):
magnesiums in supplements have B six vitamin BC. It's added
to them because it helps the body process or absorb.
Vitamin B six is something that builds up in our
body to toxic levels. It is not great at all.
And you will notice that if you use a magnesium
(19:17):
supplement and it I think there's another name for it
as well, the vitamin B. But if you want to
know if it's got it in there, just have a
look at the notes and if it says if you
experience tingling blah blah blah, stop using, then that means
it's got vitamin B six in it. So turf that out. Now.
When I turfed that out, he went and got a
(19:37):
brand that I was told to get of magnesium. However
I got magnesium citrate. This was a new lesson for me,
and maybe everybody else knows it, but I sure didn't.
Magnesium citrate actually is predominantly used in the gut for
gut health. Okay, keeping your regular So here, I am
(19:57):
taking a form of magnesium. When I want something that
comes from a nervous system and supports muscle recovery and
regulate glucos and all of those great things. That was
taking the wrong sort. So magnesium, glassate, glysinnate. That is
the one I am now taking. So from those three things,
they were the things that the only someone ones I
ever took. This is what I now take to help
(20:22):
support my detoxification pathways and help process, especially given that
I'm now on these hormones. So activated B complex or
a methyl B so either method if you look in
this stety called a methylated B or an activated B complex.
These two are specific quite specific to the detox pathways
(20:42):
and specifically for hormone regulation. Talked about it with the
recent podcast with Amelia Phillips. She mentioned these two. So
I was quite excited. Once NAC which is n acetyline
n acetyl system. There you go, look at me. I
sound like a real SCIENTI it's great for inflammation, a
(21:02):
mood boost, glue to thione, and great for detoxification. D
I am. I do not have it written down the
benoxiously large full name of that, so again I'm not
going to say it d I am that helps process
estrogen properly. So that's a that's a big one for
(21:25):
specifically for perimenopause. For me. Inocetol is another one that
I take. It supports insulin sensitivity and the stress. It
helps to the stress response, So a lot of my
genetic variabilities around dealing with stress is not great. Inocetol, innostole, innocetol.
(21:49):
If I'm even saying these right, maybe not. Anyway, that's
what I take that for. This is a doozy. This
next one we have always had. Like I said before,
i'd sleep shooes and nothing has ever worked like no
sleeping aids, no Valerian No, what's that other one called melatonin?
(22:10):
Oh you take malotonein Yes, it doesn't do bunny anything
for me. However, I take this Gabba. I take it
in powder form. I get most of my supplements from
bulk nutrients. They are so great in terms of price,
so great, and they're not filled with any shit. So
I take Gabba. I take it before bed. Has a
(22:31):
bit of a it can have a bit of a
tingly effect, a little bit which I don't feel anymore,
but I did when I first started taking it. And
that is great for calming your nervous systems so you
can actually switch off. And I find I have that
just before bed, pop the kids in bed. It's the
(22:52):
kids and my cat and dog, of course, and I'll
go and lay down in bed, and I by the
time I have turned on my little meditation notably fading fast,
and it puts me straight to sleep. It is so good.
So I take that. I think that might be it.
So recap creatine, fish oil, vitamin D, but I don't
(23:16):
supplement it because I don't need to. But I check it.
Magnesium glacinate, activate A B nac dm inostyle and gabba bam.
That's what I'm taking. So I've been taking those four
maybe six weeks or so now, and I am feeling
(23:36):
bloody amazing. And I'll tell you this as well, I
have never been great at consistently taking that stuff, especially
when I've got to open up one hundred bloody different
packets now every morning to have all of those things.
And it's not super cheap. I think I thought i'd
run the numbers as I was recording this. I'm run
(23:57):
the numbers on that kind of wish I didn't, so
my supplements will work out to about probably eleven or
twelve hundred dollars a year, So that's that's an investment.
But tell you what to feel, the way I feel
now compared to the way I was going to feel,
that is money. I have no issue spending. So other
(24:21):
changes I've made. Other changes I've made obviously the sleep.
Sleep's been a big one. I've gone off drinking much ever. Ever,
Like I'm not a big drinker anyway, I rarely drink,
but I'm not a non drinker. I'm not opposed to it.
But whilst I was in this last phase of just
fucking everything ruining, I could have one drink and when
(24:44):
I wake up the next day, my sleep quality has
been so shattered from that drink that it's just not
worth it. Like everything was taxing me so much, so
no booze and I stopped doing so. I've leaned into
heavy strength training and not doing I got to the
point where even doing a thirty minute boxing class would
(25:07):
leave me feeling so shattered. But also sometimes just as
I would start. I love that style of training. I
love one of those people that loves to sweat, loves
to push hard, loves to do the hard thing. I
used to do that for gone like never under an hour.
Love that shit. And so to get to the point
where sometimes I'd start and I'd feel it, I feel resentful.
(25:30):
I'm like, I don't want to do this, Like my
body would just be like fucking stop, like I wanted
to do it, but then my body would just it
was almost like I could feel the stress and that
the resentment happened the moment I'd started to just get
the body moving at that intensity. It was really weird.
So complete completely stopped that the last couple of months,
but just starting to reintroduce one to two sessions a
(25:54):
week of maybe a lot and this is just kind
of as I feel like it and when, but aiming
for once or twice a week, maybe a short run
three out the four k's, maybe a twenty or thirty
minute boxing session or a hit workout or even a
ten minute like high intensity blast, just because I love
that and I think there's a huge benefit in that
style of training, in that cardio training. But you know,
(26:18):
really what's important at this time is understanding that all
of this is stress on the body, and our hormones
and stress hormones are all shifting because perimetopause, and so relearning,
like you can't just keep doing what you used to do,
So relearning what is good for me? Now? How do
I find the balance between doing what I really want
(26:39):
to do and doing what my body really wants to do?
The strength training is the bomb, honestly, get around that.
That's the best, loving it and maybe that's all. Oh
I've got one funny story. Remember I did a carry
on on Instagram one day saying I had a funny
slash annoying story to tell you. I feel like I
(27:00):
told you I had to, but now I can't remember
one of them. Anyway. This was after I'd been given
the testosterone and I I was having a conversation with
Harps at the gym about he was asking about how
much were you, like just asking about the dose and
how much we use and where I put it, and
(27:20):
I said how much I was using. But then he said,
I know there's how much testoterone in the cream, and
then there's Matt. So I was like, oh, that's interesting.
So I went down a rabbit while of asking chat
gpt about absorption rates and kind of what dosage is
I was actually taking and when I was reading about this,
and obviously it says don't like, don't touch and other
(27:43):
people when you've got the cream on, because you might,
you know, and don't touch your pets. And I'm like, well,
that's all right, so I put it at that point. Oh,
this was the annoying thing. At that point. I was
putting it on my buttocks because that's where my doctor
told me to put it. After researching this, I was
I found that the buttocks is not the best place
for absorption. It's a pretty crap site to be pulling it.
(28:05):
So I was annoyed about that because I'm like, well,
I'm deficient, and now she's giving me this super expensive
bloody cream and I'm sticking it on the most least
absorbent place on my body, hoping for the best. But
it meant that it was covered up, but I wasn't
bloody smearing it all over my animals. But that made
me think to myself, I wonder if estrogen's the same,
(28:25):
and obviously it is. And I realized my cat used
to sleep or sleeps in the studio that I'm recording
in right now, because she would keep because my sleep's precious.
She would walk on my face and waitness, So I
never trusted her to access not their dream of night.
But when I got back from Queensland recently, i'd started
letting her have the run her house and she was
(28:46):
snut she were hoping for that and snuggle with me
had it was the best ever. And I realized so
about a week before this, I was starting, you know,
she was being a real dick, like just being annoying
and disruptive all the time and cranky, and I was like, oh,
And then first couple of weeks she would come and
hop me bed and snuggle with me, and then she
(29:07):
would like instead she would just be pouncing on my
and like attacking my hands instead, I'm like, you're mean shit.
Noticeably to the point where when I went to give
her her a little snack before bed, because that's what
I would lure her into her bedroom with snacks, I
dare say I wasn't going to take those off of her.
(29:27):
But as I was giving these snacks, I was like,
I've changed the snacks. Maybe there's something in these snacks
that's making her an asshole. No, it was she was
sleeping on the arm that I had been applying estrogen
gel to. She was getting hormonal. It was only about
(29:48):
two three weeks. Two three weeks, I think hilarious, but
absolutely not hilarious because if animals, if cats are exposed
to that for a couple weeks, it's fine, they'll start
to get you know, you'll start to see signs with
their carry on. But if they are continually exposed to that,
it can be really, really, really devastating for their health
(30:11):
and it's dangerous. So I was really grateful that I
have to be doing a bit of a scroll on
that curious question and stumbled upon that. So if you
if you're taking HRD, don't cut all your cat in
the arm that you're putting estrogen on. Is my final
(30:33):
piece of advice. Feel free to reach out and ask
me any questions remembering the furthest thing from an expert
you ever did see. But I just think, I like,
I've got more guests coming on the show to talk
about this topic because it just seems like there's such
a lack of information and support for people out there.
(30:55):
So if you've got specific questions that you haven't yet
had answered on the show, please let me know because
I've got guests coming up and I would love to
be able to point us all in the right direction
to get those answers. Amerely a Phillips that was just
one recently. She does the Dutch test, which is a
great hormonal panel that you can do prior to taking
(31:15):
HRT because HRT will change the results, but that will
give you a really definite reading of what your body's doing.
When we go to the GP and get a test
on our estrogen and progesterone that fluctuates wildly, the test
actually means nothing, which again irritate to me that we
even have to do it. Yeah, but do this test
(31:36):
and then you go in and they're like, well, it's
in normal range, but we don't actually look at that
because it swings so wildly. It doesn't mean anything like
what any fucking what did you do in the first
place for? And then opposite to that, you don't test
testosterone when that's the one that can be the problem.
So annoying. Anyway, my biggest piece of advice is go
and find out as much information as you can from
(32:02):
as many sources as you can that you can find
that you feel a trustworthy before reaching out to a GP.
And when you go and see that GP, have in
mind what you would like and arm yourself with the
conversation you need to have. I've had people reach out
to me saying that they have had their testosterone tested,
(32:26):
the levels have come back low. In one case love
more than me. So they've tested this lady's testosterone. Her
testosterone has come back low, and the doctor has said
women don't have testosterone, so like, why would you test it?
Then if you're not going to take action on the problem.
So it can be a frustrating space, but you will
(32:50):
find people willing to help, but you are going to
have to do a bit of a bit of self
exploration on the knowledge. And and I look feel like
I've got a great result with what I've done so far,
but I'm sure. I mean, if I had known about
the Dutch test before, I might have done that before.
I did this just to just to get extra data.
(33:12):
But I'm happy with her I've landed. I hope that
this is helpful. Fear it. Please reach out and let
me know. Send this to anyone you think might enjoy
listening to it or get some benefit front. Please follow
the show if you're not already, that would be super
super super super super helpful. Head on over to Apple
Podcasts and leave a five star rating, a review that
would be amazing. Thank you so much, being love to
(33:34):
you and see you next time.
Speaker 1 (33:38):
She said, it's now never. I got fighting in my blood,
got it a gust, got to