September 12, 2025 • 33 mins
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Speaker 1 (00:04):
It's that time time, time, time, luck and look for
Michael Very show is on the air. It's Charlie from
BlackBerry Smoke. I can feel a good one coming on.
(00:25):
Maybe some of our older men out there. By older,
I mean fifty plus, not the young guys. Yet there's
reasons women can be crazy. Us guys when we're in
the locker room, we have these conversations and whether we're
right or not, and regardless of if it's obnoxious to women,
that's how we talk and how we feel. But there
is a certain moment at which for many men and
(00:47):
my dad went through it and we as teenageer, you did,
or you feel like man, mom or your wife. She's
just not the same, and I don't like this person
she's become. And somehow she goes from yelling at me
and accusing me of things and judging me for everything,
to me saying I've had enough, and all of a
sudden she's the victim and she's crying and now I'm
(01:07):
a monster. So menopause may be a part of some
of that. That's one of the reasons I want to
talk about this, and because a lot of women when
I mentioned the subject, said thank you for bringing this up,
because I think a lot of women are not getting
treatment for this. They've never sought medical treatment, and I
would at least like them to know what's available for that,
because hey, we only get one life, why not have
(01:30):
the best one. And I'm not one for a lack
of personal responsibility, quite the opposite. But you've got to
understand if most really fat people eat too much and
don't exercise, but there are that very small group of
people that have a thyroid problem and they're going to
be really fat for those reasons. Let's talk about how
we can help people, what options are out there, and
(01:53):
that is a lot of women at a certain age.
That's why our guest is Anu Davis, A n U
is how you spell it? Doctor ANUW. Davis. She's River
Oaks Doctors Group and this is one of her areas
of expertise. Uh, what was the last question I asked
going into the break ramon, can you stay with us?
Was not the question? You goof rewind the tape and
(02:13):
tell me do you remember the question?
Speaker 2 (02:16):
I mean, these are the questions, right, what are.
Speaker 3 (02:20):
What are women feeling? How do we treat it?
Speaker 2 (02:24):
And how do they they need to advocate for themselves
right now.
Speaker 3 (02:28):
Their doctors haven't had.
Speaker 2 (02:29):
The tools right, and so that's kind of that's kind
of what is how can they abccate for themselves a
little bit so that they can get the treatments they
need because they're out there.
Speaker 1 (02:40):
So what I'm just I'm sifting through these questions. So
one of the so they call it HRT hormone replacement therapy,
I don't know. I'm taking notes and trying to I'm
trying to ask the questions that people ask me to
ask us they're living it. I'm more just kind of curious.
Are we talking mostly estrogen? What are the these hormones
that we're replacing? And forgive me if you said it
(03:02):
and I was reading looking for other materials.
Speaker 2 (03:06):
Sure, so we are replacing estrogen, progesterone, and sometimes testosterone. Okay,
the main hormones that are replaced your estrogen and progesterone,
and then testosterone is also replaced in many cases. But
because it's not FDA proved in the United States for women,
it becomes a more nuanced thing that you need to
(03:27):
go to specialists who do this to get testosterone therapy
for women. And so that's why it's not as mainstream,
but the hormone that we replaced our estrogen and progesterone.
And the idea is that women at menopause stop.
Speaker 3 (03:47):
Making these hormones.
Speaker 2 (03:49):
And there is some clear advantage to replacing these hormones
that we're no longer making, because when we see when
these hormones are depleted, we see a very clear and
bone loss very immediately. Within three years, we see increase
in cardiovascular di these, we see increase in Alzheimer's. And
(04:18):
why would we stop replacing this at age fifty one? Like,
why would we want to increase the risk of all
these things when all we have to do is replace
a hormone that the body already the body's not making anymore.
Speaker 1 (04:31):
So hear me out here. I have had folks who
read a lot about this, including a doctor who shared
with me who shall remain unnamed, said to me that
the body begins the dying process long before you die,
and that remember, we're built on a chassis for two
thousand and three thousand years ago, so we're living in
(04:51):
an age where we're living in some cases to be
one hundred. The body wasn't prepared for that, So the
tiers are wearing out the transmission, giving out the starter
doesn't work. So there's this idea. According to a number
of people, it's kind of a school of thought that
you're beginning to die. Your body is beginning this shutdown process,
and the loss of hormones is part of that. The
(05:14):
theory being the replacement of the hormones is kind of
like CPR, like no, no, no, we got not only
some living, some good living to do. Our friend Mohit
Kara is coming out with a book called sex Span
about the fact that older couples that are married still
want to have sex. But they want to have they
want to have enjoyable sex and that's part of the
(05:35):
relationship and then a lot of these hormonal issues are
preventing that. And so the idea is, if they want
to have this kind of relationship as they get older,
that's an expression of their love. Let's help them get there.
So I will move to the question of sexual dysfunction
in women as they get older. You kind of mentioned
(05:56):
it earlier. Pain, dryness, lack of enjoyment, lack of drive.
Could you speak to that?
Speaker 2 (06:06):
Sure, so not uncommon at all as part of the
hormones being depleted. The estrogen being depleted, the progesterone being depleted,
the testosterone being depleted. After menopause, women experience a lot
of pain with sex and lack of libido, So we
want to address those things if they're able to be addressed.
Speaker 3 (06:29):
And in addition to that, when the women see changes
in their.
Speaker 2 (06:35):
Vagina, the risk of urinary tract infections and illness actually
goes up too, So there's medical reasons in addition to
sexual reasons and feeling of well being reasons to replace
these hormones.
Speaker 1 (06:52):
We have a very popular host on the air in
Houston named Dana Tyson. She's on Sunday Night and nine
point one, and she over the years has mentioned vaginal dryness.
She's a very attractive woman and I jokingly told her
in the hallway one day, I said, Dana, please don't
(07:14):
ruin my fantasy. Every man in the building has it
out for you. And then you got to go and
start talking about that stuff. And she said, Michael, that's
the whole point. That's why I have to talk about it.
But she has spent a lot of time over the
years talking about an aging woman and the sexual process
and all this is that something that can be fixed.
Speaker 2 (07:36):
It is something that can be fixed, but it's better
if we prevent it from happening. So if we start
hormone treatment earlier, so closer to when menopause starts, within
five to ten years, we prevent.
Speaker 3 (07:52):
These things from happening.
Speaker 2 (07:54):
And that's kind of the bigger point of all this
is to prevent it, right, to make to not get
there to where we have national drynas in pain and
we've been suffering for five years or ten years, and
we're just getting crankier by the moment, right like we're
not thinking straight. If we can catch it as it
begins to happen and treat it in that time, then
(08:17):
we prevent the stuff.
Speaker 1 (08:19):
From that hold There week, doctor any Davis as our guest.
That is spelled A in U if you want to
look her up. We're talking about menopause. Coming up from
Michael Barry Show. I don't believe in growing old gracefully.
I don't mind telling you. I don't want to sit
in a recliner and get old and fat and grumpy
and say get off my front yard. I see people
(08:42):
who choose to live an active life well into their nineties.
I look at the work that Clint Eastwood has done
that will be left to humanity from the time he
was seventy to the present alone, right, And that's amazing.
And I think he's having a great run. And I
(09:04):
think the mindset that, you know what, I'm not just
going to fall apart. I'm going to make decisions. I
also find it to be the case. Look, I'll cut
jokes with the guys as well, but we all know
we love our wives, we love our mothers, we love
our daughters, and we want good things for them. We
want them to be happy, not just in their relationships
but personally and individually, and their health, including their mental health,
(09:26):
and some of that's related to their physical health. And look,
we love to say, oh, she's being hormonal, Well guess
what she is. But I will tell you full disclosure.
Before I was on testosterone, I was grumpier and I
was younger too, over ten years ago. Now, if I
go a while without getting my shot because I get
(09:48):
busy and all that, I'm grumpier, I'm not happy. I
get back on my testosterone and I'm driving along and
I hear the birds chirp. I'm not even joking. When
you replace my male hormone, I hear the birds chirp,
and I think, what a beautiful sound. Anybody that knows
me knows there's two Michaels Jacqueline Hyde, there is, what
(10:09):
a beautiful sound the birds are chirping, and there is
doesn't even hear them and wonders why the world's going
to hell? I like that me more, and it turns
out it's also true for women. It's the natural drug
your body makes. Doctor anew Davis, I'm going to open
up to what are the questions you get the most
(10:29):
related to menopause, the loss of hormones, the aging process
for women, and what are some standard things you want
women to know.
Speaker 2 (10:38):
So the biggest thing that people want to know about menopause,
especially right now, is hormone replacement therapy safe? And the
answer is that for most women, hormone replacement is not
only safe, but it's beneficial. I want women to know.
And women often ask when it is too early, when
it is too late to start hormone replacement therapy, and
(11:01):
the answer is it's never too early to start hormone
replacement therapy or start talking to your physicians about the
changes that you're feeling with hormone replacement. Therapy or with
your cycles or with your changes in your cycles. But
(11:23):
the hope and the goal is to start hormone replacement
therapy for menopause if you're able to start within five
to ten years of menopause. The sooner we start it,
the more likely we are and the more able we
are to prevent the complications related to the bone and
(11:43):
to the brain and to the heart. So our hope
is that we can start it as people are transitioning
or as soon after.
Speaker 3 (11:53):
The cycle stop as possible.
Speaker 2 (11:57):
The second question that everyone asks is how long can
I take it? And the answer to that question is
really indefinitely, But the risk has to be assessed year
to year as other health issues come come into play,
and in women who have active breast cancers or in
(12:20):
women who have active heart disease, then the risk and
benefit so the hormone therapy has to be has to
be weighed.
Speaker 1 (12:32):
I didn't know if there was going to be a
third one. I was pausing.
Speaker 3 (12:35):
I don't know if there's a third one.
Speaker 1 (12:37):
Oh yeah, okay, go ahead, good.
Speaker 2 (12:38):
Those are the two, I mean, those are the big ones,
like when do we start and how long can we
take it?
Speaker 3 (12:42):
Right? Those are the two big questions people ask.
Speaker 1 (12:46):
Is let me start and let me stop there, because
I think a lot of people are asking. A lot
of people are on a budget, maybe a fixed income.
Is this the sort of thing that insurance covers.
Speaker 2 (12:58):
I know you're a hormone replacement therapy Yeah, no, yeah,
there are many FDA approved hormone replacement therapies, and yes,
insurance will.
Speaker 3 (13:11):
Cover the majority of hormone replacement therapy.
Speaker 1 (13:15):
Is that true also in your practice, since you're a
Concieres doctor, it is true.
Speaker 2 (13:20):
Yes, So testosterone is not covered by insurance for women
because testosterone is no an FDA approved therapy right in
the United States, So women who choose to use testosterone
therapy will have to pay for that. Although there's very
you know, this is it's not a new medication. This
(13:43):
is not it's not like we're using fancy testosterone. There's
it's a very affordable medication. So, uh, but estrogen and progesterone.
Speaker 3 (13:53):
Replacement is is FDA approved And.
Speaker 1 (13:56):
Well, I will tell you I want I want you
to go to number three, but I would tell you
I have had no hit Kara, our mutual friend, my
urologist on the air multiple times and at some point
it comes around to testosterone for women, obviously in limited amounts,
And I get emails from dudes who have never heard
of this, and they think their wife's going to grow
(14:18):
hair on her boobs and it's not happening. And not
only that, it has been shown to have phenomenal results
in many women. And if you think about the fact
that women, as they get older, their body is as
far from you want muscle mass, you want some strength,
you want all those things that are represented by testosterone.
(14:41):
So ladies, don't be freaked out by that. I read
a lot on the subject, and I am personally a
non doctor believer. But what was number three? I don't know.
Speaker 2 (14:55):
Oh my gosh. So when should we start at? How
long can we take it? And then which I mean
they people want to know what they can expect, right.
The doses of these medications do have to be adjusted.
It depending on how often your physician does this like
(15:18):
it may take a couple of tries, so be patient
with it, and depending on how you respond. But remember,
we're replacing hormone that your body doesn't make anymore.
Speaker 3 (15:30):
We are not you know, we're not giving you something else.
Speaker 2 (15:36):
So it's just replacing something that your body stopped making?
Speaker 1 (15:43):
Was there another one?
Speaker 3 (15:44):
And then we I don't know, I can't remember.
Speaker 1 (15:48):
Oh that's right, So let me ask you this. I'm
just sifting through all the questions I had, and I
had made a lot of notes, and I can't get
to all of them. But one of the ones that
came up a lot is if a woman was on
the pill, is that going to affect her? And I
found a post by a fellow who is kind of
(16:09):
a bodybuilder wellness guy, and I'll just read you the
quote that coming up with doctor Anu Anu, doctor a
new Davis count listening to the Michael Berry Show podcast,
is sexy be sexy? One of the questions, since we're
talking about menopause with an expert on the subject. Her
name is doctor Anu Anu Davis. She's in Houston at
(16:32):
the River Oaks Doctors Group, and she is an expert
in diabetes. She's a concierge doctor, and she is a
menopause expert. And over dinner at our home, she mentioned
menopause and my wife said, get her on the air.
Women want to hear about that. Whether you like it
(16:52):
or not, we're all interested in it. I said, Okay,
so we did, and my next question is or so
we are as we speak. My next question is related
to birth control and as women get older who have
been on birth control earlier. Obviously, if you're perimenopausal or menopausal,
(17:13):
you're not having your period anymore, so you're not getting pregnant, presumably.
But here I'll just read you a post and we'll
start there. The use of hormonal contraceptives by tens of
millions of women could plausibly be having population level effects
on behavior, including political behavior. A new study shows that
(17:33):
women who use hormonal contraceptives exhibit significantly stronger emotional responses
than women who are naturally cycling, and they also interestingly
remember fewer details of negative events. A study last year
showed that hormonal contraceptives shrink the ventromedial prefrontal cortex, a
(17:57):
region of the brain involved in fear processing and emotional control.
Are hormonal contraceptives making our ladies crazy? And what are
hormonal contraceptives?
Speaker 2 (18:11):
Okay, so hormone. So the hormone that's in that are
in most hormonal contraceptives are actually different than the hormone
that we use in most hormone replacement therapy. In hormone
replacement therapy we use I hate the term, but we
(18:38):
use We use hormones as much that are not artificial.
The hormones in birth control are similar to what your
body makes. But the hormones and hormone replacement therapy are
much lower doses, and they are probably about thirty to
(18:59):
fifty percent of the doses in birth control pills, and
they are actually a different compound replacing the hormone that
your body makes. So we give women in horm in menopause,
estradol and progesterone, which is a little bit different than
the actual medications that we give in birth control pills.
(19:23):
But I don't know that I address the actual question.
Speaker 1 (19:26):
Well, that's okay, take a moment. I mean, what effect
do you think that that does have. I'm coming at it,
and so is the fellow who posted. I don't know him.
He's raw eggs national. I don't know what that means.
I don't know who he is, could be, could be anyone.
But this idea, well, I'll just lay it out there.
I'm not one of the men's words. There is this idea
that there are a bunch of screeching women out there
(19:50):
who can't be reasoned with. Who are voting by our calculation.
I don't ask you to address politics, but by our calculation,
they're unreasonable and they're voting we believe wrong. You take
the woman who at the Phillies game, who's come to
be known as Phillies Karen, takes the ball away from
the kid on his birthday, and now everybody hates her.
(20:10):
You know, there is this idea, and I think people
are concerned about it now. It's mostly coming from men. Fairness,
we have our own perspective. We don't have a lot
of tolerance for the emotional side. But I'm curious to
know if you think that is affecting writ large a
lot of women.
Speaker 2 (20:31):
I mean, I mean, I don't think that it's affecting
a lot of women.
Speaker 3 (20:35):
I don't know like that.
Speaker 2 (20:37):
There's the use of birth control pills has gone down significantly,
probably in the last twenty years, because of the same
fears that have reduced hormone replacement therapy. That what most women,
after the short periods that they need to use birth
control pills have actually stopped using them. So I don't
know that this is some global occurrence. But I don't
(20:59):
know that I all can really speak to it either.
Speaker 1 (21:02):
Okay, fair enough? Did you speak to how long a
woman should be on this sort of treatment? I mean
a woman enters into this perimenopause where she's not cycling,
as you say, any longer, and then a woman, I
guess you treat this. Is this a treatment for life?
(21:23):
I mean how long is it reasonable to be on this?
Speaker 2 (21:27):
So it is reasonable to be on this medication indefinitely
as long as you don't come up against things health
wise that make you have to stop it. So right now,
the things that would make you have to stop taking
hormone replacement therapy is if you have an active breast
(21:48):
cancer that has receptors for estrogen or progesterone. So women
who are diagnosed with active breast cancers that have receptors
for estrogen progesterone, they should not take breath control. Women
who have active heart disease meaning they just had a
heart attack, they just had a or just had a
(22:10):
stroke or a cloth of some sort, those women should
have to stop their.
Speaker 3 (22:17):
Hormone replacement therapy.
Speaker 2 (22:20):
And so that's who sometimes we have to stop it.
Those women at this time. We can sometimes restart it,
but that has to be done on an individual basis.
It is not unreasonable, however, to plan on taking these
medications indefinitely.
Speaker 1 (22:39):
And that's okay. It sounds like you're saying that's okay, Yeah.
Speaker 3 (22:47):
That's great.
Speaker 2 (22:48):
I mean, as long as it's helping them and protecting
their bones and doing their doing what it's supposed to
be and not hurting them, we can stay on it indefinitely.
Speaker 1 (22:57):
So let's talk women's health. Generally for women fifty plus,
if somebody is under your treatment, then you get an
opportunity to talk through all of these things. And being
a concierge doctor, you don't have to see seventy five
patients today. That's the reason people pay more and pay
cash outside of insurance for a concierge doctor is to
be able to sit down and talk to you at length.
(23:18):
Everybody's been in that doctor's office where he's got you know,
you waited two hours to get in to see him,
two hours over the time or her, and then they've
got thirty seconds for you. They can write your script
and send you on your way. That's the reason people
go to concierge doctors because they can sit down and
talk through Hey, i'm having hot flashes. Hey, this is
my worry. Let's talk women's health generally, and I want
(23:42):
to talk. It's going to take me a moment. I'm
going to have to I'm gonna have to go to
a break here, but I'll tease the questions to give
you a moment to think about it. And that is diet.
I have become mildly obsessed with diet, not in terms
of the word that we used in the seven and eighties,
as in lose weight, eat less, fat free, sugar free,
(24:05):
whatever that I want to talk about diet. My wife's
a big believer in this Mediterranean diet and the idea
that you don't have to eat, you don't have to starve,
and you don't have to eat tiny amounts, and you
don't have to eat products that are tasteless. In fact,
(24:27):
quite the opposite. You can eat God's bounty that he
put on this earth for us for a natural tasty,
in some cases high fat, good fat foods, and be
way healthier than people who constantly say, oh no, no,
I couldn't eat cake. I am on a diet, and
then that self denial leads to them later gorging on
four pieces of it. When we talk about overall good health.
(24:50):
It doesn't mean you have to be miserable and in
a state of constant self denial. I think it's important
people understand that. We'll continue out conversation with menopause andabetes.
Concierge doctor a newt An you, David Pas he worn
the button two eight all for just four hundred and
ninety nine dollars right now at wards. If you could
find it, miet the Michael Barry with these features for
(25:13):
less money by it. Doctor On new Davis is our guest.
She is a concierge doctor in Houston who treats my
father as of the last few months. And may I
say masterfully she is a diabetes expert. She's a concierge
general practitioner as well. And if anybody's wondering what that means,
(25:34):
I'll give you the quick rundown. And that means instead
of going to a doctor, waiting for three hours to
see them in the in the waiting room, rushing in,
waiting in another room, waiting in another room, they come in, Hi,
how are you? What do you need your script for?
They write you a script, send you on your way,
and you feel like WHOA I need to talk to
him and you're out the door. But the insurance covered it.
(25:54):
That was a good thing. Conciers doctors are not for
the faint of heart. It's not cheap, but it's not
that much when you consider what you get. You have
their cell phone. In most cases, you can call them
all hours a day. Instead of seeing seventy five patients
in a day, they typically see five or six. So
you know, she's spent an hour and a half with
my dad at her first meeting. I like that. I'm
(26:15):
willing to pay for that at this point, at eighty five,
for him to sit and talk through every aspect of
his life. That's what a Conciers doctor does. She does
that as your family doctor, as your general doctor. She's
a diabetes expert, and she's a menopause expert. They're all
kind of in the same field of what's going on
with your body. We talked a little bit about women's
(26:37):
health going in, and I posed the question about a
proper diet that is also enjoyable because nobody wants to
be miserable. Talk about what we should and shouldn't be
eaten if we're a sixty year old woman.
Speaker 2 (26:51):
Well, the main things that we should be doing is
focusing on strong not skinny.
Speaker 3 (26:56):
Right.
Speaker 2 (26:56):
The goal is to increase protein intake to protect those
muscles from breakdown, because then the muscles protect the bones.
So we want to eat lots, we want to focus
on our protein. We want to focus on fiber and vegetables,
and we have want to avoid foods that are pro inflammatory.
(27:18):
So inflammatory foods are things that have artificial dyes and
that will make us sick. Right, So what we want
to eat is as much real food as we can eat,
and we want to focus on protein and fiber. And
when we do that, we become stronger. And that's what
(27:40):
I try to focus my patients on is just and
focus myself on, is just, you know, cut out the
stuff that we know we have no business eating anyway,
and eat more real food. That's step one is just
eating more real food. So Vediterranean diets are breat I
think you said that that's what you like to do,
(28:02):
and that's great, right, Lots of lean protein, lots of vegetable,
but strong, not skinny.
Speaker 3 (28:09):
That's what I tell people.
Speaker 1 (28:10):
Well, I want to be clear. My wife is an aesthetic,
a health nut, a very disciplined saint. I am not
I don't want you to get in the impression I
eat properly, I said, my wife does that. You know
my wife, she is very disciplined. I am not. I
don't want to get credit for something I don't deserve.
(28:30):
But anyway, go ahead.
Speaker 2 (28:33):
Well, you know that's that's where our focus should be
because the nutrition does matter. It makes a huge difference
in terms of our overall well being and protection of
our bodies.
Speaker 1 (28:45):
All right, I want you to think about menopause. Okayod no, no,
I'd rather ask you finish.
Speaker 2 (28:54):
The thing about menopause, and that without changing anything. When
women transition to menopause, without changing anything in their diet
and exercise, their body fat increases by ten to fifteen percent.
So you're talking about So you take someone like your wife,
(29:15):
who's healthy and who does all the right things, just
making that hormone goes going go away as part of
this natural transition, increases her body fat by ten to
fifteen percent.
Speaker 3 (29:29):
She's going to be mad.
Speaker 2 (29:31):
Let me just tell you, people get this makes people
mad when you're doing all the right things, and you're
eating your protein and you do your exercise, and you
just are gaining weight for no reason. So these are
healthy women who are functioning and working and doing all
the things that they're supposed to. When they gain five
to ten pounds of body fat because their hormones left
(29:54):
their body.
Speaker 3 (29:56):
They get mad.
Speaker 2 (29:57):
So this is I mean many times, this is why
they show up in my office. Right, that's the first reason,
because they're like, what do you mean what is happening
to my body? I am losing I just gained five
or ten pounds and for no reason.
Speaker 3 (30:15):
So all those discipline women.
Speaker 2 (30:17):
That's when they show up to my office is because
they're mad about this, and we do we back up
and we replace the hormones. But then we make sure
the proteins intact and that they're feeding their muscles and
that they're not doing things to cause muscle breakdown, and.
Speaker 3 (30:37):
That their digestive tracts.
Speaker 2 (30:38):
Are working the way that they're supposed to, and that
their guts are working the way that they're supposed to.
So all those things that become part of the menopausal treatment.
Speaker 1 (30:47):
Let's talk about a cross curricular expertise of yours. I'd
be remiss if I didn't talk about the opposite side
of my father's situation as a diabetic male eighty five
six fifty to seventy year old diabetic female. Are the
treatments you suggest applying for her going to be different
(31:08):
if she's diabetic?
Speaker 3 (31:12):
So, I'm sorry, how old did you say? But a mena?
Speaker 2 (31:15):
So say a woman who has yeah, who's in her forties,
who's my patient who has diabetes?
Speaker 3 (31:21):
Already?
Speaker 2 (31:23):
It becomes much more specific, right, It depends on how
long she's had diabetes, what complications she has related to
her diabetes. Where if she is a healthy diabetic who
just has diabetes, we replace. We would replace her hormones
the same way that we would replace anybody's hormones.
Speaker 3 (31:41):
If she has.
Speaker 2 (31:42):
Active heart disease or has other complications related to her diabetes,
then it may become more complicated.
Speaker 3 (31:50):
And more nuanced. Interesting, But I mean, yeah, I mean
it gets so when.
Speaker 2 (31:58):
People have other medical problem and we have to deal
each of those has to become a thing and come
into the discussion.
Speaker 1 (32:08):
I never believed my dad.
Speaker 3 (32:09):
You know, with your dad, Yeah, but.
Speaker 2 (32:12):
With your dad, he has typed one diabetes, right, so
he is a very unique person. But you would never
think to not replace his insulin, right like he has.
He stopped making insulin when he was twenty or thirty
years old, and he would never not replace his insulin.
Speaker 1 (32:30):
I never believed that my dad would live to be
eighty five years old. I am excited and thrilled to
see how he has been able to enjoy so many
years because of his own self disciplined, frankly, but because
of medical advancements. And so I think it's important to
remember as AFK, as RFK is in front of the
(32:53):
Senate talking about you know, I'm an anti vaccine or
I don't ask you to speak to that, but I'm
an anti vaccine, or I'm an anti big farm of person,
I'm an anti lot of the craziness. But there are
so many good people out there, folks like this woman
we're talking to, who are passionate about treating you and
(33:15):
healing you and helping you be happy, who are respectful
of your opinions, who are respectful of your boundaries, respectful
of your choices, whether you take the shot or not.
That's how medicine should be practiced by people who respect you,
care about you, and are knowledgeable about their subjects. Because remember,
the doctor is not God, and the doctor is not
(33:37):
the god of you. When you ought it is your
life and your choice, doctor au Davis, Thank you so
much for being our guest.
Speaker 2 (33:44):
I reel you it for jore helsst you're doing.
Speaker 1 (33:49):
Thank you and good night.
It's that time time, time, time, luck and look for
Michael Very show is on the air. It's Charlie from
BlackBerry Smoke. I can feel a good one coming on.
(00:25):
Maybe some of our older men out there. By older,
I mean fifty plus, not the young guys. Yet there's
reasons women can be crazy. Us guys when we're in
the locker room, we have these conversations and whether we're
right or not, and regardless of if it's obnoxious to women,
that's how we talk and how we feel. But there
is a certain moment at which for many men and
(00:47):
my dad went through it and we as teenageer, you did,
or you feel like man, mom or your wife. She's
just not the same, and I don't like this person
she's become. And somehow she goes from yelling at me
and accusing me of things and judging me for everything,
to me saying I've had enough, and all of a
sudden she's the victim and she's crying and now I'm
(01:07):
a monster. So menopause may be a part of some
of that. That's one of the reasons I want to
talk about this, and because a lot of women when
I mentioned the subject, said thank you for bringing this up,
because I think a lot of women are not getting
treatment for this. They've never sought medical treatment, and I
would at least like them to know what's available for that,
because hey, we only get one life, why not have
(01:30):
the best one. And I'm not one for a lack
of personal responsibility, quite the opposite. But you've got to
understand if most really fat people eat too much and
don't exercise, but there are that very small group of
people that have a thyroid problem and they're going to
be really fat for those reasons. Let's talk about how
we can help people, what options are out there, and
(01:53):
that is a lot of women at a certain age.
That's why our guest is Anu Davis, A n U
is how you spell it? Doctor ANUW. Davis. She's River
Oaks Doctors Group and this is one of her areas
of expertise. Uh, what was the last question I asked
going into the break ramon, can you stay with us?
Was not the question? You goof rewind the tape and
(02:13):
tell me do you remember the question?
Speaker 2 (02:16):
I mean, these are the questions, right, what are.
Speaker 3 (02:20):
What are women feeling? How do we treat it?
Speaker 2 (02:24):
And how do they they need to advocate for themselves
right now.
Speaker 3 (02:28):
Their doctors haven't had.
Speaker 2 (02:29):
The tools right, and so that's kind of that's kind
of what is how can they abccate for themselves a
little bit so that they can get the treatments they
need because they're out there.
Speaker 1 (02:40):
So what I'm just I'm sifting through these questions. So
one of the so they call it HRT hormone replacement therapy,
I don't know. I'm taking notes and trying to I'm
trying to ask the questions that people ask me to
ask us they're living it. I'm more just kind of curious.
Are we talking mostly estrogen? What are the these hormones
that we're replacing? And forgive me if you said it
(03:02):
and I was reading looking for other materials.
Speaker 2 (03:06):
Sure, so we are replacing estrogen, progesterone, and sometimes testosterone. Okay,
the main hormones that are replaced your estrogen and progesterone,
and then testosterone is also replaced in many cases. But
because it's not FDA proved in the United States for women,
it becomes a more nuanced thing that you need to
(03:27):
go to specialists who do this to get testosterone therapy
for women. And so that's why it's not as mainstream,
but the hormone that we replaced our estrogen and progesterone.
And the idea is that women at menopause stop.
Speaker 3 (03:47):
Making these hormones.
Speaker 2 (03:49):
And there is some clear advantage to replacing these hormones
that we're no longer making, because when we see when
these hormones are depleted, we see a very clear and
bone loss very immediately. Within three years, we see increase
in cardiovascular di these, we see increase in Alzheimer's. And
(04:18):
why would we stop replacing this at age fifty one? Like,
why would we want to increase the risk of all
these things when all we have to do is replace
a hormone that the body already the body's not making anymore.
Speaker 1 (04:31):
So hear me out here. I have had folks who
read a lot about this, including a doctor who shared
with me who shall remain unnamed, said to me that
the body begins the dying process long before you die,
and that remember, we're built on a chassis for two
thousand and three thousand years ago, so we're living in
(04:51):
an age where we're living in some cases to be
one hundred. The body wasn't prepared for that, So the
tiers are wearing out the transmission, giving out the starter
doesn't work. So there's this idea. According to a number
of people, it's kind of a school of thought that
you're beginning to die. Your body is beginning this shutdown process,
and the loss of hormones is part of that. The
(05:14):
theory being the replacement of the hormones is kind of
like CPR, like no, no, no, we got not only
some living, some good living to do. Our friend Mohit
Kara is coming out with a book called sex Span
about the fact that older couples that are married still
want to have sex. But they want to have they
want to have enjoyable sex and that's part of the
(05:35):
relationship and then a lot of these hormonal issues are
preventing that. And so the idea is, if they want
to have this kind of relationship as they get older,
that's an expression of their love. Let's help them get there.
So I will move to the question of sexual dysfunction
in women as they get older. You kind of mentioned
(05:56):
it earlier. Pain, dryness, lack of enjoyment, lack of drive.
Could you speak to that?
Speaker 2 (06:06):
Sure, so not uncommon at all as part of the
hormones being depleted. The estrogen being depleted, the progesterone being depleted,
the testosterone being depleted. After menopause, women experience a lot
of pain with sex and lack of libido, So we
want to address those things if they're able to be addressed.
Speaker 3 (06:29):
And in addition to that, when the women see changes
in their.
Speaker 2 (06:35):
Vagina, the risk of urinary tract infections and illness actually
goes up too, So there's medical reasons in addition to
sexual reasons and feeling of well being reasons to replace
these hormones.
Speaker 1 (06:52):
We have a very popular host on the air in
Houston named Dana Tyson. She's on Sunday Night and nine
point one, and she over the years has mentioned vaginal dryness.
She's a very attractive woman and I jokingly told her
in the hallway one day, I said, Dana, please don't
(07:14):
ruin my fantasy. Every man in the building has it
out for you. And then you got to go and
start talking about that stuff. And she said, Michael, that's
the whole point. That's why I have to talk about it.
But she has spent a lot of time over the
years talking about an aging woman and the sexual process
and all this is that something that can be fixed.
Speaker 2 (07:36):
It is something that can be fixed, but it's better
if we prevent it from happening. So if we start
hormone treatment earlier, so closer to when menopause starts, within
five to ten years, we prevent.
Speaker 3 (07:52):
These things from happening.
Speaker 2 (07:54):
And that's kind of the bigger point of all this
is to prevent it, right, to make to not get
there to where we have national drynas in pain and
we've been suffering for five years or ten years, and
we're just getting crankier by the moment, right like we're
not thinking straight. If we can catch it as it
begins to happen and treat it in that time, then
(08:17):
we prevent the stuff.
Speaker 1 (08:19):
From that hold There week, doctor any Davis as our guest.
That is spelled A in U if you want to
look her up. We're talking about menopause. Coming up from
Michael Barry Show. I don't believe in growing old gracefully.
I don't mind telling you. I don't want to sit
in a recliner and get old and fat and grumpy
and say get off my front yard. I see people
(08:42):
who choose to live an active life well into their nineties.
I look at the work that Clint Eastwood has done
that will be left to humanity from the time he
was seventy to the present alone, right, And that's amazing.
And I think he's having a great run. And I
(09:04):
think the mindset that, you know what, I'm not just
going to fall apart. I'm going to make decisions. I
also find it to be the case. Look, I'll cut
jokes with the guys as well, but we all know
we love our wives, we love our mothers, we love
our daughters, and we want good things for them. We
want them to be happy, not just in their relationships
but personally and individually, and their health, including their mental health,
(09:26):
and some of that's related to their physical health. And look,
we love to say, oh, she's being hormonal, Well guess
what she is. But I will tell you full disclosure.
Before I was on testosterone, I was grumpier and I
was younger too, over ten years ago. Now, if I
go a while without getting my shot because I get
(09:48):
busy and all that, I'm grumpier, I'm not happy. I
get back on my testosterone and I'm driving along and
I hear the birds chirp. I'm not even joking. When
you replace my male hormone, I hear the birds chirp,
and I think, what a beautiful sound. Anybody that knows
me knows there's two Michaels Jacqueline Hyde, there is, what
(10:09):
a beautiful sound the birds are chirping, and there is
doesn't even hear them and wonders why the world's going
to hell? I like that me more, and it turns
out it's also true for women. It's the natural drug
your body makes. Doctor anew Davis, I'm going to open
up to what are the questions you get the most
(10:29):
related to menopause, the loss of hormones, the aging process
for women, and what are some standard things you want
women to know.
Speaker 2 (10:38):
So the biggest thing that people want to know about menopause,
especially right now, is hormone replacement therapy safe? And the
answer is that for most women, hormone replacement is not
only safe, but it's beneficial. I want women to know.
And women often ask when it is too early, when
it is too late to start hormone replacement therapy, and
(11:01):
the answer is it's never too early to start hormone
replacement therapy or start talking to your physicians about the
changes that you're feeling with hormone replacement. Therapy or with
your cycles or with your changes in your cycles. But
(11:23):
the hope and the goal is to start hormone replacement
therapy for menopause if you're able to start within five
to ten years of menopause. The sooner we start it,
the more likely we are and the more able we
are to prevent the complications related to the bone and
(11:43):
to the brain and to the heart. So our hope
is that we can start it as people are transitioning
or as soon after.
Speaker 3 (11:53):
The cycle stop as possible.
Speaker 2 (11:57):
The second question that everyone asks is how long can
I take it? And the answer to that question is
really indefinitely, But the risk has to be assessed year
to year as other health issues come come into play,
and in women who have active breast cancers or in
(12:20):
women who have active heart disease, then the risk and
benefit so the hormone therapy has to be has to
be weighed.
Speaker 1 (12:32):
I didn't know if there was going to be a
third one. I was pausing.
Speaker 3 (12:35):
I don't know if there's a third one.
Speaker 1 (12:37):
Oh yeah, okay, go ahead, good.
Speaker 2 (12:38):
Those are the two, I mean, those are the big ones,
like when do we start and how long can we
take it?
Speaker 3 (12:42):
Right? Those are the two big questions people ask.
Speaker 1 (12:46):
Is let me start and let me stop there, because
I think a lot of people are asking. A lot
of people are on a budget, maybe a fixed income.
Is this the sort of thing that insurance covers.
Speaker 2 (12:58):
I know you're a hormone replacement therapy Yeah, no, yeah,
there are many FDA approved hormone replacement therapies, and yes,
insurance will.
Speaker 3 (13:11):
Cover the majority of hormone replacement therapy.
Speaker 1 (13:15):
Is that true also in your practice, since you're a
Concieres doctor, it is true.
Speaker 2 (13:20):
Yes, So testosterone is not covered by insurance for women
because testosterone is no an FDA approved therapy right in
the United States, So women who choose to use testosterone
therapy will have to pay for that. Although there's very
you know, this is it's not a new medication. This
(13:43):
is not it's not like we're using fancy testosterone. There's
it's a very affordable medication. So, uh, but estrogen and progesterone.
Speaker 3 (13:53):
Replacement is is FDA approved And.
Speaker 1 (13:56):
Well, I will tell you I want I want you
to go to number three, but I would tell you
I have had no hit Kara, our mutual friend, my
urologist on the air multiple times and at some point
it comes around to testosterone for women, obviously in limited amounts,
And I get emails from dudes who have never heard
of this, and they think their wife's going to grow
(14:18):
hair on her boobs and it's not happening. And not
only that, it has been shown to have phenomenal results
in many women. And if you think about the fact
that women, as they get older, their body is as
far from you want muscle mass, you want some strength,
you want all those things that are represented by testosterone.
(14:41):
So ladies, don't be freaked out by that. I read
a lot on the subject, and I am personally a
non doctor believer. But what was number three? I don't know.
Speaker 2 (14:55):
Oh my gosh. So when should we start at? How
long can we take it? And then which I mean
they people want to know what they can expect, right.
The doses of these medications do have to be adjusted.
It depending on how often your physician does this like
(15:18):
it may take a couple of tries, so be patient
with it, and depending on how you respond. But remember,
we're replacing hormone that your body doesn't make anymore.
Speaker 3 (15:30):
We are not you know, we're not giving you something else.
Speaker 2 (15:36):
So it's just replacing something that your body stopped making?
Speaker 1 (15:43):
Was there another one?
Speaker 3 (15:44):
And then we I don't know, I can't remember.
Speaker 1 (15:48):
Oh that's right, So let me ask you this. I'm
just sifting through all the questions I had, and I
had made a lot of notes, and I can't get
to all of them. But one of the ones that
came up a lot is if a woman was on
the pill, is that going to affect her? And I
found a post by a fellow who is kind of
(16:09):
a bodybuilder wellness guy, and I'll just read you the
quote that coming up with doctor Anu Anu, doctor a
new Davis count listening to the Michael Berry Show podcast,
is sexy be sexy? One of the questions, since we're
talking about menopause with an expert on the subject. Her
name is doctor Anu Anu Davis. She's in Houston at
(16:32):
the River Oaks Doctors Group, and she is an expert
in diabetes. She's a concierge doctor, and she is a
menopause expert. And over dinner at our home, she mentioned
menopause and my wife said, get her on the air.
Women want to hear about that. Whether you like it
(16:52):
or not, we're all interested in it. I said, Okay,
so we did, and my next question is or so
we are as we speak. My next question is related
to birth control and as women get older who have
been on birth control earlier. Obviously, if you're perimenopausal or menopausal,
(17:13):
you're not having your period anymore, so you're not getting pregnant, presumably.
But here I'll just read you a post and we'll
start there. The use of hormonal contraceptives by tens of
millions of women could plausibly be having population level effects
on behavior, including political behavior. A new study shows that
(17:33):
women who use hormonal contraceptives exhibit significantly stronger emotional responses
than women who are naturally cycling, and they also interestingly
remember fewer details of negative events. A study last year
showed that hormonal contraceptives shrink the ventromedial prefrontal cortex, a
(17:57):
region of the brain involved in fear processing and emotional control.
Are hormonal contraceptives making our ladies crazy? And what are
hormonal contraceptives?
Speaker 2 (18:11):
Okay, so hormone. So the hormone that's in that are
in most hormonal contraceptives are actually different than the hormone
that we use in most hormone replacement therapy. In hormone
replacement therapy we use I hate the term, but we
(18:38):
use We use hormones as much that are not artificial.
The hormones in birth control are similar to what your
body makes. But the hormones and hormone replacement therapy are
much lower doses, and they are probably about thirty to
(18:59):
fifty percent of the doses in birth control pills, and
they are actually a different compound replacing the hormone that
your body makes. So we give women in horm in menopause,
estradol and progesterone, which is a little bit different than
the actual medications that we give in birth control pills.
(19:23):
But I don't know that I address the actual question.
Speaker 1 (19:26):
Well, that's okay, take a moment. I mean, what effect
do you think that that does have. I'm coming at it,
and so is the fellow who posted. I don't know him.
He's raw eggs national. I don't know what that means.
I don't know who he is, could be, could be anyone.
But this idea, well, I'll just lay it out there.
I'm not one of the men's words. There is this idea
that there are a bunch of screeching women out there
(19:50):
who can't be reasoned with. Who are voting by our calculation.
I don't ask you to address politics, but by our calculation,
they're unreasonable and they're voting we believe wrong. You take
the woman who at the Phillies game, who's come to
be known as Phillies Karen, takes the ball away from
the kid on his birthday, and now everybody hates her.
(20:10):
You know, there is this idea, and I think people
are concerned about it now. It's mostly coming from men. Fairness,
we have our own perspective. We don't have a lot
of tolerance for the emotional side. But I'm curious to
know if you think that is affecting writ large a
lot of women.
Speaker 2 (20:31):
I mean, I mean, I don't think that it's affecting
a lot of women.
Speaker 3 (20:35):
I don't know like that.
Speaker 2 (20:37):
There's the use of birth control pills has gone down significantly,
probably in the last twenty years, because of the same
fears that have reduced hormone replacement therapy. That what most women,
after the short periods that they need to use birth
control pills have actually stopped using them. So I don't
know that this is some global occurrence. But I don't
(20:59):
know that I all can really speak to it either.
Speaker 1 (21:02):
Okay, fair enough? Did you speak to how long a
woman should be on this sort of treatment? I mean
a woman enters into this perimenopause where she's not cycling,
as you say, any longer, and then a woman, I
guess you treat this. Is this a treatment for life?
(21:23):
I mean how long is it reasonable to be on this?
Speaker 2 (21:27):
So it is reasonable to be on this medication indefinitely
as long as you don't come up against things health
wise that make you have to stop it. So right now,
the things that would make you have to stop taking
hormone replacement therapy is if you have an active breast
(21:48):
cancer that has receptors for estrogen or progesterone. So women
who are diagnosed with active breast cancers that have receptors
for estrogen progesterone, they should not take breath control. Women
who have active heart disease meaning they just had a
heart attack, they just had a or just had a
(22:10):
stroke or a cloth of some sort, those women should
have to stop their.
Speaker 3 (22:17):
Hormone replacement therapy.
Speaker 2 (22:20):
And so that's who sometimes we have to stop it.
Those women at this time. We can sometimes restart it,
but that has to be done on an individual basis.
It is not unreasonable, however, to plan on taking these
medications indefinitely.
Speaker 1 (22:39):
And that's okay. It sounds like you're saying that's okay, Yeah.
Speaker 3 (22:47):
That's great.
Speaker 2 (22:48):
I mean, as long as it's helping them and protecting
their bones and doing their doing what it's supposed to
be and not hurting them, we can stay on it indefinitely.
Speaker 1 (22:57):
So let's talk women's health. Generally for women fifty plus,
if somebody is under your treatment, then you get an
opportunity to talk through all of these things. And being
a concierge doctor, you don't have to see seventy five
patients today. That's the reason people pay more and pay
cash outside of insurance for a concierge doctor is to
be able to sit down and talk to you at length.
(23:18):
Everybody's been in that doctor's office where he's got you know,
you waited two hours to get in to see him,
two hours over the time or her, and then they've
got thirty seconds for you. They can write your script
and send you on your way. That's the reason people
go to concierge doctors because they can sit down and
talk through Hey, i'm having hot flashes. Hey, this is
my worry. Let's talk women's health generally, and I want
(23:42):
to talk. It's going to take me a moment. I'm
going to have to I'm gonna have to go to
a break here, but I'll tease the questions to give
you a moment to think about it. And that is diet.
I have become mildly obsessed with diet, not in terms
of the word that we used in the seven and eighties,
as in lose weight, eat less, fat free, sugar free,
(24:05):
whatever that I want to talk about diet. My wife's
a big believer in this Mediterranean diet and the idea
that you don't have to eat, you don't have to starve,
and you don't have to eat tiny amounts, and you
don't have to eat products that are tasteless. In fact,
(24:27):
quite the opposite. You can eat God's bounty that he
put on this earth for us for a natural tasty,
in some cases high fat, good fat foods, and be
way healthier than people who constantly say, oh no, no,
I couldn't eat cake. I am on a diet, and
then that self denial leads to them later gorging on
four pieces of it. When we talk about overall good health.
(24:50):
It doesn't mean you have to be miserable and in
a state of constant self denial. I think it's important
people understand that. We'll continue out conversation with menopause andabetes.
Concierge doctor a newt An you, David Pas he worn
the button two eight all for just four hundred and
ninety nine dollars right now at wards. If you could
find it, miet the Michael Barry with these features for
(25:13):
less money by it. Doctor On new Davis is our guest.
She is a concierge doctor in Houston who treats my
father as of the last few months. And may I
say masterfully she is a diabetes expert. She's a concierge
general practitioner as well. And if anybody's wondering what that means,
(25:34):
I'll give you the quick rundown. And that means instead
of going to a doctor, waiting for three hours to
see them in the in the waiting room, rushing in,
waiting in another room, waiting in another room, they come in, Hi,
how are you? What do you need your script for?
They write you a script, send you on your way,
and you feel like WHOA I need to talk to
him and you're out the door. But the insurance covered it.
(25:54):
That was a good thing. Conciers doctors are not for
the faint of heart. It's not cheap, but it's not
that much when you consider what you get. You have
their cell phone. In most cases, you can call them
all hours a day. Instead of seeing seventy five patients
in a day, they typically see five or six. So
you know, she's spent an hour and a half with
my dad at her first meeting. I like that. I'm
(26:15):
willing to pay for that at this point, at eighty five,
for him to sit and talk through every aspect of
his life. That's what a Conciers doctor does. She does
that as your family doctor, as your general doctor. She's
a diabetes expert, and she's a menopause expert. They're all
kind of in the same field of what's going on
with your body. We talked a little bit about women's
(26:37):
health going in, and I posed the question about a
proper diet that is also enjoyable because nobody wants to
be miserable. Talk about what we should and shouldn't be
eaten if we're a sixty year old woman.
Speaker 2 (26:51):
Well, the main things that we should be doing is
focusing on strong not skinny.
Speaker 3 (26:56):
Right.
Speaker 2 (26:56):
The goal is to increase protein intake to protect those
muscles from breakdown, because then the muscles protect the bones.
So we want to eat lots, we want to focus
on our protein. We want to focus on fiber and vegetables,
and we have want to avoid foods that are pro inflammatory.
(27:18):
So inflammatory foods are things that have artificial dyes and
that will make us sick. Right, So what we want
to eat is as much real food as we can eat,
and we want to focus on protein and fiber. And
when we do that, we become stronger. And that's what
(27:40):
I try to focus my patients on is just and
focus myself on, is just, you know, cut out the
stuff that we know we have no business eating anyway,
and eat more real food. That's step one is just
eating more real food. So Vediterranean diets are breat I
think you said that that's what you like to do,
(28:02):
and that's great, right, Lots of lean protein, lots of vegetable,
but strong, not skinny.
Speaker 3 (28:09):
That's what I tell people.
Speaker 1 (28:10):
Well, I want to be clear. My wife is an aesthetic,
a health nut, a very disciplined saint. I am not
I don't want you to get in the impression I
eat properly, I said, my wife does that. You know
my wife, she is very disciplined. I am not. I
don't want to get credit for something I don't deserve.
(28:30):
But anyway, go ahead.
Speaker 2 (28:33):
Well, you know that's that's where our focus should be
because the nutrition does matter. It makes a huge difference
in terms of our overall well being and protection of
our bodies.
Speaker 1 (28:45):
All right, I want you to think about menopause. Okayod no, no,
I'd rather ask you finish.
Speaker 2 (28:54):
The thing about menopause, and that without changing anything. When
women transition to menopause, without changing anything in their diet
and exercise, their body fat increases by ten to fifteen percent.
So you're talking about So you take someone like your wife,
(29:15):
who's healthy and who does all the right things, just
making that hormone goes going go away as part of
this natural transition, increases her body fat by ten to
fifteen percent.
Speaker 3 (29:29):
She's going to be mad.
Speaker 2 (29:31):
Let me just tell you, people get this makes people
mad when you're doing all the right things, and you're
eating your protein and you do your exercise, and you
just are gaining weight for no reason. So these are
healthy women who are functioning and working and doing all
the things that they're supposed to. When they gain five
to ten pounds of body fat because their hormones left
(29:54):
their body.
Speaker 3 (29:56):
They get mad.
Speaker 2 (29:57):
So this is I mean many times, this is why
they show up in my office. Right, that's the first reason,
because they're like, what do you mean what is happening
to my body? I am losing I just gained five
or ten pounds and for no reason.
Speaker 3 (30:15):
So all those discipline women.
Speaker 2 (30:17):
That's when they show up to my office is because
they're mad about this, and we do we back up
and we replace the hormones. But then we make sure
the proteins intact and that they're feeding their muscles and
that they're not doing things to cause muscle breakdown, and.
Speaker 3 (30:37):
That their digestive tracts.
Speaker 2 (30:38):
Are working the way that they're supposed to, and that
their guts are working the way that they're supposed to.
So all those things that become part of the menopausal treatment.
Speaker 1 (30:47):
Let's talk about a cross curricular expertise of yours. I'd
be remiss if I didn't talk about the opposite side
of my father's situation as a diabetic male eighty five
six fifty to seventy year old diabetic female. Are the
treatments you suggest applying for her going to be different
(31:08):
if she's diabetic?
Speaker 3 (31:12):
So, I'm sorry, how old did you say? But a mena?
Speaker 2 (31:15):
So say a woman who has yeah, who's in her forties,
who's my patient who has diabetes?
Speaker 3 (31:21):
Already?
Speaker 2 (31:23):
It becomes much more specific, right, It depends on how
long she's had diabetes, what complications she has related to
her diabetes. Where if she is a healthy diabetic who
just has diabetes, we replace. We would replace her hormones
the same way that we would replace anybody's hormones.
Speaker 3 (31:41):
If she has.
Speaker 2 (31:42):
Active heart disease or has other complications related to her diabetes,
then it may become more complicated.
Speaker 3 (31:50):
And more nuanced. Interesting, But I mean, yeah, I mean
it gets so when.
Speaker 2 (31:58):
People have other medical problem and we have to deal
each of those has to become a thing and come
into the discussion.
Speaker 1 (32:08):
I never believed my dad.
Speaker 3 (32:09):
You know, with your dad, Yeah, but.
Speaker 2 (32:12):
With your dad, he has typed one diabetes, right, so
he is a very unique person. But you would never
think to not replace his insulin, right like he has.
He stopped making insulin when he was twenty or thirty
years old, and he would never not replace his insulin.
Speaker 1 (32:30):
I never believed that my dad would live to be
eighty five years old. I am excited and thrilled to
see how he has been able to enjoy so many
years because of his own self disciplined, frankly, but because
of medical advancements. And so I think it's important to
remember as AFK, as RFK is in front of the
(32:53):
Senate talking about you know, I'm an anti vaccine or
I don't ask you to speak to that, but I'm
an anti vaccine, or I'm an anti big farm of person,
I'm an anti lot of the craziness. But there are
so many good people out there, folks like this woman
we're talking to, who are passionate about treating you and
(33:15):
healing you and helping you be happy, who are respectful
of your opinions, who are respectful of your boundaries, respectful
of your choices, whether you take the shot or not.
That's how medicine should be practiced by people who respect you,
care about you, and are knowledgeable about their subjects. Because remember,
the doctor is not God, and the doctor is not
(33:37):
the god of you. When you ought it is your
life and your choice, doctor au Davis, Thank you so
much for being our guest.
Speaker 2 (33:44):
I reel you it for jore helsst you're doing.
Speaker 1 (33:49):
Thank you and good night.
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