September 12, 2025 • 33 mins
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Speaker 1 (00:00):
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
(00:21):
my dad went through it and we as teenager did
where 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
(00:42):
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
(01:04):
have the best one. And I'm not one for a
lack of personal responsibility, quite the opposite. But you got
to understand if 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,
(01:27):
and that is a lot of women at a certain age.
That's why our guest is on new Davis a n
U is how you spell it? Doctor anew 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
(01:48):
tell me do you remember the question?
Speaker 2 (01:51):
I mean, these are the questions, right, what are women feeling?
How do we treat it? And how do they They
need to advocate for themselves right now their doctors haven't
had the tools right and so that's kind of that's
kind of what is how can they advocate for themselves
a little bit so that they can get the treatments
(02:12):
they need because they're out there.
Speaker 1 (02:15):
So what I'm just look, 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.
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 these
hormones that we're replacing? And forgive me if you said
(02:36):
it and I was reading looking for other materials.
Speaker 2 (02:40):
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 is also replaced in many cases,
but because it's not FDA approved in the United States
for women, it becomes the more nuanced thing that you
(03:01):
need to go to specialists who do this to get
to stosterone therapy for women, and so that's why it's
not as mainstream. But the hormones that we replaced are
estrogen and progesterone, and the idea is that women at
menopause stop making these hormones, and there is some clear
(03:25):
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 disease, we see
(03:45):
increase in Alzheimer's. And 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 the hormone that the body
already the body's not making anymore.
Speaker 1 (04:06):
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
(04:26):
an age where we're living in some cases to be
one hundred. The body wasn't prepared for that. So the
tires are wearing out, the transmissions 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.
(04:48):
The 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 you know, 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
(05:09):
of their 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
(05:30):
kind of mentioned it earlier. Pain, dryness, lack of enjoyment,
lack of drive. Could you speak to that?
Speaker 2 (05:40):
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.
(06:03):
And in addition to that, when the women see changes
in their 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 (06:27):
We have a very popular host on the air in
Houston named Dana Tyson. She's on Sunday nine 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
(06:49):
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 been 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 (07:10):
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 these things from happening.
And that's kind of the bigger point of all this
(07:31):
is to prevent it, right, to make to not get
there to where where we have vaginal dryness in pain
and we've been suffering for five years or ten years,
and we're just getting crankier by the moment, right, and
we're not thinking straight. If we can catch it as
it begins to happen and treat it in those in
that time, then we prevent the stuff from happening. There.
Speaker 1 (07:55):
Lead doctor is our guest that is spelled A in
you if you want to look her up. We're talking
about menopause. Coming up to 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 who choose to live an
(08:17):
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 think the mindset that,
(08:40):
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 mental health, and some of that's related
(09:01):
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 busy and all that, I'm grumpier,
(09:25):
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 a beautiful sound. The birds are chirping
and there is doesn't even hear them and wonders why
(09:48):
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 Arnew Davis, I'm
going to open up to what are the questions you
get the most related to menopause, the loss of hormones,
the aging process for women, and what are some standard
(10:10):
things you want women to know.
Speaker 2 (10:12):
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 is too early? When is
too late to start hormone replacement therapy, And the answer
(10:38):
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 the hope
and the goal is to start hormone replacement therapy for menopause.
(11:02):
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 to the brain
and to the heart. So our hope is that we
can start it as people are transitioning, or as soon
(11:26):
after the cycle stop as possible. The second question that
ever anyone 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
(11:47):
other health issues come into play, and in women who
have active breast cancers or in women who have active
heart disease, then the risk and benefits of the hormone
theory has to be has to be weighed.
Speaker 1 (12:07):
I didn't know if there was going to be a
third one. I was pausing.
Speaker 2 (12:10):
I don't know if there's a third one.
Speaker 1 (12:12):
Oh yeah, okay, go ahead, good.
Speaker 2 (12:13):
Those are the two, I mean, those are the big ones,
like when do we start and how long can we
take it? Right? Those are the two big questions people ask, is.
Speaker 1 (12:21):
This let me stop? 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 (12:33):
I know you're a hormone replacement therapy. Yeah, no, yeah,
there are many FDA approved hormone replacement therapies, and yes,
insurance will cover the majority of hormone replacement therapy.
Speaker 1 (12:50):
Is that true also in your practice, since you're a Concieres.
Speaker 2 (12:53):
Doctor, it is true. Yes, So testosterone is not covered
by insurance for women because testosterone is non FDA approved
therapy in the United States, So women who choose to
use testosterone therapy will have to pay for that. Although
(13:14):
there's very you know, this is it's not a new medication.
This 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 replacement is is FDA approved.
Speaker 1 (13:31):
And well, I will tell you I want I want
you to go to number three, But I would tell
you I have had Mo hit Cara, 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
(13:52):
to grow 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
(14:15):
by testosterone. So ladies, don't be freaked out by that.
I've read a lot on the subject, and I am
personally a non doctor believer. But what was number three?
Speaker 2 (14:29):
I don't know, Oh my gosh. So how when should
we start it? How long can we take it? And
then which I mean? The 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
(14:51):
physician does this like it may take a couple of tries,
so be patient with it, and the on how you respond.
But remember, we're replacing hormone that your body doesn't make anymore.
We are not you know, we're not giving you something else.
So it's just replacing something that your body stopped making.
Speaker 1 (15:18):
Was there another one?
Speaker 2 (15:19):
And then we I don't know, I can't.
Speaker 1 (15:22):
Remember, that's all 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 who is
(15:44):
kind of a bodybuilder wellness guy, and I'll just read
you the quote that coming up with doctor Anu David
au doctor anew Davids listening to the Michael Berry Show
podcast is sexy be sexy? So 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
(16:08):
at the River Oaks Doctor's 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
(16:28):
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,
(16:49):
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 women who use hormonal contraceptives exhibit significantly stronger
(17:14):
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 region of the brain involved in fear processing and
(17:36):
emotional control. Are hormonal contraceptives making our ladies crazy? In?
What are hormonal contraceptives?
Speaker 2 (17:47):
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
(18:13):
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
(18:34):
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,
estra dial and progesterone, which is a little bit different
than the actual medications that we give in birth control pills.
(18:59):
But I don't that I address the actual question.
Speaker 1 (19:02):
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 worries. There is this
idea that there are a bunch of screeching women out
(19:25):
there 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 Philly's Karen, takes the ball
away from the kid on his birthday, and now everybody
(19:45):
hates her. 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 a
affecting writ large a lot of women.
Speaker 2 (20:07):
I mean, I mean, I don't think that it's affecting
a lot of women. I don't know like that. 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,
(20:28):
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
know that I can really speak to it either.
Speaker 1 (20:38):
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 paramenopause 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?
(20:59):
I mean, how long is it reasonable to be on this?
Speaker 2 (21:03):
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
(21:24):
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
(21:46):
stroke or a clot of some sort, those women should
have should stop their hormone replacement therapy. And and so
that's who and so 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.
(22:08):
It is not unreasonable, however, to plan on taking these
medications indefinitely.
Speaker 1 (22:15):
And that's okay. It sounds like you're saying that's okay, Yeah.
Speaker 2 (22:24):
That's great. 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 (22:34):
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.
(22:55):
Everybody's been in that doctor's office where he's got you know,
you waited two hours to get into 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 to talk.
(23:19):
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 seventies and eighties, as
in lose weight, eat less, fat free, sugar free, whatever
(23:42):
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, you know, products that are tasteless.
(24:03):
In fact, 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'm on a diet, and then
that self denial leads to them later gorging on four
(24:24):
pieces of it. When we talk about overall good health,
that 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 our conversation with menopause and diabetes.
Concierge doctor a new Anu David. He is the one button,
two eights all for just four hundred and ninety nine
(24:44):
dollars right now at wards. If you can find it,
mit them Michael Berry with these features for less money,
buy 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
(25:07):
practitioner as well. And if anybody's wondering what that means,
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 waiting room, rushing in, waiting in
another room, waiting in another room, they come in, HI,
hire you, what do you need your script for? They
write you a script, send you on your way and
you feel like, WHOA I needed to talk to him
(25:28):
and you're out the door. But the insurance covered it.
That was a good thing. Consiers doctors are not for
the feint 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 spent an hour and a half with
(25:48):
my dad at her first meeting. I like that. I'm
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 concier's doctor is. 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
(26:10):
with your body. We talked a little bit about women's
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.
Speaker 2 (26:25):
Woman, well, the main things that we should be doing
is focusing on strong, not skinny, right. 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.
(26:48):
We want to focus on fiber and vegetables, and we
want to avoid foods that are pro inflammatory. 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. We
want to focus on protein and fiber, and when we
(27:14):
do that, we become stronger. And that's what I try
to focus my patients on, is just and focus myself on,
is just, you know, cut 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 Mediterranean diets are great. I think you
(27:36):
said that that's what you like to do, and that's great, right,
Lots of lean protein, lots of vegetable, but strong, not skinny.
That's what I tell people.
Speaker 1 (27:47):
I want to be clear. My wife is an esthetic,
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. You know my wife,
she is very disciplined. I am not. I don't want
to get credit for something I don't deserve. But anyway,
(28:07):
go ahead.
Speaker 2 (28:10):
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. All right, about menopause?
Speaker 1 (28:23):
Okay, good, go.
Speaker 2 (28:25):
Ahead?
Speaker 1 (28:26):
What no? No, I'd rather you.
Speaker 2 (28:28):
Finished 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
(28:50):
like your wife, 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. She's going to be mad.
Let me just tell you, people, get this makes people
mad when you're doing all the right things and you're
(29:13):
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
their body, they get mad. So this is I mean
(29:36):
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.
So all those disciplined women, that's when they show up
to my office is because they're mad about this, and
(29:58):
we do we back up and 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 that their digestive tracts are working
the way that they're supposed to, and that their guts
are working the way that they're supposed to. So all
(30:20):
those things that become part of the menopausal treatment.
Speaker 1 (30:24):
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
a six fifty to seventy year old diabetic female. Are
the treatments you suggest applying for her going to be
(30:44):
different if she's diabetic?
Speaker 2 (30:48):
So I'm sorry, how old did you say, but a man,
So say a woman who has yeah, who's in her forties,
who's my patient who has diabetes? Already 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
(31:09):
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. If she has active heart disease
or has other complications related to her diabetes, then it
may become more complicated and more nuanced. Interesting, But I mean, yeah,
(31:33):
I mean it gets so when people have other medical problems,
then we have to deal each of those has to
become a thing and come into the discussion.
Speaker 1 (31:44):
I never believed my dad, you know, with.
Speaker 2 (31:46):
Your dad, 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 years thirty
years old, and you would never not replace his insulin.
Speaker 1 (32:06):
I never believed 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 discipline, frankly, but because of
medical advancements, and so I think it's important to remember
(32:26):
as as rfks in front of the Senate talking about
you know, I'm an anti vacciner. I don't ask you
to speak to that, but I'm an anti vacciner. I'm
an anti big farmer 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
(32:50):
about treating you and healing you and helping you be happy,
who are respectful of your opinions, who are respectful of
your boundary, 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,
(33:13):
and the doctor is not the god of you, and
you are. It is your life and your choices. Doctor
au Davis, thank you so much for being our guests.
I really really appreciate it.
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
(00:21):
my dad went through it and we as teenager did
where 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
(00:42):
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
(01:04):
have the best one. And I'm not one for a
lack of personal responsibility, quite the opposite. But you got
to understand if 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,
(01:27):
and that is a lot of women at a certain age.
That's why our guest is on new Davis a n
U is how you spell it? Doctor anew 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
(01:48):
tell me do you remember the question?
Speaker 2 (01:51):
I mean, these are the questions, right, what are women feeling?
How do we treat it? And how do they They
need to advocate for themselves right now their doctors haven't
had the tools right and so that's kind of that's
kind of what is how can they advocate for themselves
a little bit so that they can get the treatments
(02:12):
they need because they're out there.
Speaker 1 (02:15):
So what I'm just look, 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.
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 these
hormones that we're replacing? And forgive me if you said
(02:36):
it and I was reading looking for other materials.
Speaker 2 (02:40):
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 is also replaced in many cases,
but because it's not FDA approved in the United States
for women, it becomes the more nuanced thing that you
(03:01):
need to go to specialists who do this to get
to stosterone therapy for women, and so that's why it's
not as mainstream. But the hormones that we replaced are
estrogen and progesterone, and the idea is that women at
menopause stop making these hormones, and there is some clear
(03:25):
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 disease, we see
(03:45):
increase in Alzheimer's. And 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 the hormone that the body
already the body's not making anymore.
Speaker 1 (04:06):
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
(04:26):
an age where we're living in some cases to be
one hundred. The body wasn't prepared for that. So the
tires are wearing out, the transmissions 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.
(04:48):
The 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 you know, 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
(05:09):
of their 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
(05:30):
kind of mentioned it earlier. Pain, dryness, lack of enjoyment,
lack of drive. Could you speak to that?
Speaker 2 (05:40):
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.
(06:03):
And in addition to that, when the women see changes
in their 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 (06:27):
We have a very popular host on the air in
Houston named Dana Tyson. She's on Sunday nine 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
(06:49):
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 been 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 (07:10):
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 these things from happening.
And that's kind of the bigger point of all this
(07:31):
is to prevent it, right, to make to not get
there to where where we have vaginal dryness in pain
and we've been suffering for five years or ten years,
and we're just getting crankier by the moment, right, and
we're not thinking straight. If we can catch it as
it begins to happen and treat it in those in
that time, then we prevent the stuff from happening. There.
Speaker 1 (07:55):
Lead doctor is our guest that is spelled A in
you if you want to look her up. We're talking
about menopause. Coming up to 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 who choose to live an
(08:17):
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 think the mindset that,
(08:40):
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 mental health, and some of that's related
(09:01):
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 busy and all that, I'm grumpier,
(09:25):
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 a beautiful sound. The birds are chirping
and there is doesn't even hear them and wonders why
(09:48):
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 Arnew Davis, I'm
going to open up to what are the questions you
get the most related to menopause, the loss of hormones,
the aging process for women, and what are some standard
(10:10):
things you want women to know.
Speaker 2 (10:12):
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 is too early? When is
too late to start hormone replacement therapy, And the answer
(10:38):
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 the hope
and the goal is to start hormone replacement therapy for menopause.
(11:02):
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 to the brain
and to the heart. So our hope is that we
can start it as people are transitioning, or as soon
(11:26):
after the cycle stop as possible. The second question that
ever anyone 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
(11:47):
other health issues come into play, and in women who
have active breast cancers or in women who have active
heart disease, then the risk and benefits of the hormone
theory has to be has to be weighed.
Speaker 1 (12:07):
I didn't know if there was going to be a
third one. I was pausing.
Speaker 2 (12:10):
I don't know if there's a third one.
Speaker 1 (12:12):
Oh yeah, okay, go ahead, good.
Speaker 2 (12:13):
Those are the two, I mean, those are the big ones,
like when do we start and how long can we
take it? Right? Those are the two big questions people ask, is.
Speaker 1 (12:21):
This let me stop? 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 (12:33):
I know you're a hormone replacement therapy. Yeah, no, yeah,
there are many FDA approved hormone replacement therapies, and yes,
insurance will cover the majority of hormone replacement therapy.
Speaker 1 (12:50):
Is that true also in your practice, since you're a Concieres.
Speaker 2 (12:53):
Doctor, it is true. Yes, So testosterone is not covered
by insurance for women because testosterone is non FDA approved
therapy in the United States, So women who choose to
use testosterone therapy will have to pay for that. Although
(13:14):
there's very you know, this is it's not a new medication.
This 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 replacement is is FDA approved.
Speaker 1 (13:31):
And well, I will tell you I want I want
you to go to number three, But I would tell
you I have had Mo hit Cara, 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
(13:52):
to grow 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
(14:15):
by testosterone. So ladies, don't be freaked out by that.
I've read a lot on the subject, and I am
personally a non doctor believer. But what was number three?
Speaker 2 (14:29):
I don't know, Oh my gosh. So how when should
we start it? How long can we take it? And
then which I mean? The 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
(14:51):
physician does this like it may take a couple of tries,
so be patient with it, and the on how you respond.
But remember, we're replacing hormone that your body doesn't make anymore.
We are not you know, we're not giving you something else.
So it's just replacing something that your body stopped making.
Speaker 1 (15:18):
Was there another one?
Speaker 2 (15:19):
And then we I don't know, I can't.
Speaker 1 (15:22):
Remember, that's all 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 who is
(15:44):
kind of a bodybuilder wellness guy, and I'll just read
you the quote that coming up with doctor Anu David
au doctor anew Davids listening to the Michael Berry Show
podcast is sexy be sexy? So 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
(16:08):
at the River Oaks Doctor's 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
(16:28):
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,
(16:49):
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 women who use hormonal contraceptives exhibit significantly stronger
(17:14):
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 region of the brain involved in fear processing and
(17:36):
emotional control. Are hormonal contraceptives making our ladies crazy? In?
What are hormonal contraceptives?
Speaker 2 (17:47):
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
(18:13):
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
(18:34):
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,
estra dial and progesterone, which is a little bit different
than the actual medications that we give in birth control pills.
(18:59):
But I don't that I address the actual question.
Speaker 1 (19:02):
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 worries. There is this
idea that there are a bunch of screeching women out
(19:25):
there 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 Philly's Karen, takes the ball
away from the kid on his birthday, and now everybody
(19:45):
hates her. 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 a
affecting writ large a lot of women.
Speaker 2 (20:07):
I mean, I mean, I don't think that it's affecting
a lot of women. I don't know like that. 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,
(20:28):
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
know that I can really speak to it either.
Speaker 1 (20:38):
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 paramenopause 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?
(20:59):
I mean, how long is it reasonable to be on this?
Speaker 2 (21:03):
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
(21:24):
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
(21:46):
stroke or a clot of some sort, those women should
have should stop their hormone replacement therapy. And and so
that's who and so 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.
(22:08):
It is not unreasonable, however, to plan on taking these
medications indefinitely.
Speaker 1 (22:15):
And that's okay. It sounds like you're saying that's okay, Yeah.
Speaker 2 (22:24):
That's great. 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 (22:34):
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.
(22:55):
Everybody's been in that doctor's office where he's got you know,
you waited two hours to get into 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 to talk.
(23:19):
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 seventies and eighties, as
in lose weight, eat less, fat free, sugar free, whatever
(23:42):
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, you know, products that are tasteless.
(24:03):
In fact, 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'm on a diet, and then
that self denial leads to them later gorging on four
(24:24):
pieces of it. When we talk about overall good health,
that 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 our conversation with menopause and diabetes.
Concierge doctor a new Anu David. He is the one button,
two eights all for just four hundred and ninety nine
(24:44):
dollars right now at wards. If you can find it,
mit them Michael Berry with these features for less money,
buy 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
(25:07):
practitioner as well. And if anybody's wondering what that means,
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 waiting room, rushing in, waiting in
another room, waiting in another room, they come in, HI,
hire you, what do you need your script for? They
write you a script, send you on your way and
you feel like, WHOA I needed to talk to him
(25:28):
and you're out the door. But the insurance covered it.
That was a good thing. Consiers doctors are not for
the feint 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 spent an hour and a half with
(25:48):
my dad at her first meeting. I like that. I'm
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 concier's doctor is. 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
(26:10):
with your body. We talked a little bit about women's
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.
Speaker 2 (26:25):
Woman, well, the main things that we should be doing
is focusing on strong, not skinny, right. 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.
(26:48):
We want to focus on fiber and vegetables, and we
want to avoid foods that are pro inflammatory. 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. We
want to focus on protein and fiber, and when we
(27:14):
do that, we become stronger. And that's what I try
to focus my patients on, is just and focus myself on,
is just, you know, cut 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 Mediterranean diets are great. I think you
(27:36):
said that that's what you like to do, and that's great, right,
Lots of lean protein, lots of vegetable, but strong, not skinny.
That's what I tell people.
Speaker 1 (27:47):
I want to be clear. My wife is an esthetic,
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. You know my wife,
she is very disciplined. I am not. I don't want
to get credit for something I don't deserve. But anyway,
(28:07):
go ahead.
Speaker 2 (28:10):
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. All right, about menopause?
Speaker 1 (28:23):
Okay, good, go.
Speaker 2 (28:25):
Ahead?
Speaker 1 (28:26):
What no? No, I'd rather you.
Speaker 2 (28:28):
Finished 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
(28:50):
like your wife, 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. She's going to be mad.
Let me just tell you, people, get this makes people
mad when you're doing all the right things and you're
(29:13):
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
their body, they get mad. So this is I mean
(29:36):
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.
So all those disciplined women, that's when they show up
to my office is because they're mad about this, and
(29:58):
we do we back up and 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 that their digestive tracts are working
the way that they're supposed to, and that their guts
are working the way that they're supposed to. So all
(30:20):
those things that become part of the menopausal treatment.
Speaker 1 (30:24):
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
a six fifty to seventy year old diabetic female. Are
the treatments you suggest applying for her going to be
(30:44):
different if she's diabetic?
Speaker 2 (30:48):
So I'm sorry, how old did you say, but a man,
So say a woman who has yeah, who's in her forties,
who's my patient who has diabetes? Already 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
(31:09):
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. If she has active heart disease
or has other complications related to her diabetes, then it
may become more complicated and more nuanced. Interesting, But I mean, yeah,
(31:33):
I mean it gets so when people have other medical problems,
then we have to deal each of those has to
become a thing and come into the discussion.
Speaker 1 (31:44):
I never believed my dad, you know, with.
Speaker 2 (31:46):
Your dad, 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 years thirty
years old, and you would never not replace his insulin.
Speaker 1 (32:06):
I never believed 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 discipline, frankly, but because of
medical advancements, and so I think it's important to remember
(32:26):
as as rfks in front of the Senate talking about
you know, I'm an anti vacciner. I don't ask you
to speak to that, but I'm an anti vacciner. I'm
an anti big farmer 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
(32:50):
about treating you and healing you and helping you be happy,
who are respectful of your opinions, who are respectful of
your boundary, 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,
(33:13):
and the doctor is not the god of you, and
you are. It is your life and your choices. Doctor
au Davis, thank you so much for being our guests.
I really really appreciate it.
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