July 17, 2026 • 44 mins
Nadia talks with Dr. Caissa Troutman with Midlife reMDy about women's health issues.
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Speaker 1 (00:00):
It's time for the My trim Line Radio Show with
Nadia on WHP five eighty. Nadia is the owner of
trim Line Weight Loss Centers, locally owned and operated here
in Central PA. If you have a question or comment
for Nadia, please call five four to ohooh five eighty,
or you can send an email to Nadia at mytrimline
dot com. Now with today's show, here's Nadia.
Speaker 2 (00:23):
Hell everyone, and happy Sunday to you. I hope you're
having a fantastic weekend. I mean, boy, it is definitely
hot out there, we know that, and smoky. It's very
very smoky out there. So I hope you are keeping healthy,
taking care of yourself, covering up whatever, don't be outside
too much, hydrate all that good stuff. So thank you
(00:44):
so much for tuning in. I always want to thank
you for tuning in and listening. And you know, last
week I got a lot of clients that listen to
the radio show, which I love. They love when I
do have guests. I actually love when I have guests.
So I have a wonderful special guest here today and
I hope you can enjoyed when we talk about some
fun facts possibly and facts. Actually her and I. We
(01:05):
had lunch last week and then we had such a
great time. But I like to call her doctor case.
She probably goes by something different, but I really do
like it. Please introduce yourself and tell everybody.
Speaker 1 (01:15):
What you do.
Speaker 3 (01:16):
Yes, well, thank you Nadia for having me back. This
is number two.
Speaker 2 (01:20):
It is, We're gonna We're gonna keep it more often
like then before you thank you for having me back.
Naugh Yet, please don't do it anymore. This is number
two and forty two.
Speaker 3 (01:28):
You know, it's always fun because we just gotta like
talk and it's true naturally, But so hi, everybody. I
am doctor Casey's trout and doctor case is absolutely fine.
I am a quadruple board thirty five visition with my
own practice called Midlife Remedy in right here in Camp Hill, Pennsylvania,
and I helped women thirty five and over understand their
(01:49):
midlife biology.
Speaker 2 (01:51):
Yeah, midlife thirty five. I don't know if I was
thirty five. Mind if nobody WI will say I'm midlife,
but I'm definitely midlife now.
Speaker 3 (01:58):
Yes, and now she does think that's the big thing
is when we say midlife, people think, oh, that's.
Speaker 2 (02:03):
Like fifties, sixties.
Speaker 3 (02:06):
Yeah, the reality is the changes that can happen can
happen at thirty five.
Speaker 2 (02:11):
I agree. I mean, I remember long, long time ago
when I was thirty five. I don't think I had
any issues. I mean I might, I might not remember,
but and I don't have that much issues to begin with.
I mean, I know, beg art bags to differ on
that one when he has to deal with me every Sunday,
every Sunday, that's totally different. But I think there's a
(02:33):
lot of things that people go through. And you and
I talked about this at lunch, and I said, this
is exciting because now we're going to be on the
radio this Sunday, and you know it will be kind
of Contributional of our conversation was and we were talking
about the wonderful metopause and metopause and you know, people,
what people go through and being on the shots, are
not on the shots, and so what do you find
(02:54):
that being with most of your patients, or that you're
going to divulge anything, But what is like the I
guess thing that people are struggling with? Do you think
I know, it's a lot. I'm just talking more about
health and wellness and the reasons that they come to you, like,
what are the some bigger ones. Yeah, I mean that
is a big question. I don't know where to start.
Speaker 3 (03:13):
So my focus is mostly women, right, but I do
see some guy patients. But for the most part, I
think it is just number one, not feeling like themselves,
like not feeling like themselves where they just don't they
don't recognize the person in front of the mirror anymore.
Speaker 2 (03:33):
And I know that's also slightly vague.
Speaker 3 (03:35):
That could be so many things, absolutely, but part of
that is their mental capacity, their emotional capacity, and of
course their body. So it's not just the body part.
It's also like their brain and how they're functioning with
their within their marriages and their lives and their work
and how they're showing up in life.
Speaker 2 (03:54):
Yeah, I think, and I know it's a bad question,
but I think that's what I really want people to
know because it's so vast, Right, if you really stand
in front of a mirror and take a look at yourself,
there's a lot that is positive, hopefully, and then there's
some that we struggle. I think everybody struggles something a
little bit, yes, especially in this world. Absolutely, like if
(04:15):
anybody else other thinks, oh my god, my life is crazy.
I'm not good at dealing with things I'm not doing
as You're not alone, I mean, I think everybody, including me.
I mean not that I'm saying I'm really special about it,
but I have things a little bit under control. But
even me, I feel very overwhelmed. Sometimes we were juggling
so many things, and in this world things are just
(04:36):
not really easy. I don't. I just don't. I think
it's getting hard or as times going by, and I
don't think. I think life is just not as easy
as it used to be a long.
Speaker 3 (04:45):
Time, right though, I mean, and a way of kind
of maybe putting it into like buckets, although it's really
hard to put them in the buckets.
Speaker 2 (04:51):
Right.
Speaker 3 (04:52):
It's the biology, the psychology, and then the social part, right, biology,
Like our bodies are changing, right, so part of that is,
you know, the things that we would normally expect to change,
hormonal changes, et cetera. Psychology, Like we're all affected by
so many things in life. So yeah, how we react
to these things. Emotional anxiety, depression at schedtera, that's also
(05:13):
part of it, and relationships and all that.
Speaker 2 (05:15):
Well, that's what you and I were talking about, you know,
because I have a you know, I have a master's
in psychology of weight loss and weight management and food science.
Like you're you really deal because you're you're obviously your doctor, right,
And I don't deal with medications or the human body
and a sense of the actual body too much. I
really like to deal with the human brain a lot.
It's a fascinating I love it. I absolutely love every
(05:37):
minute of it. And I'm honestly, I don't want to
put myself on the back. I'm very very good at it,
at what you know, kind of deciphering and talking to people.
And that's why a lot of doctors refer to patients
to me, because for me, it's I really I've been
doing this for such a long time, like over thirty years,
and I had and I've lost fifty seven pounds myself, right,
so I've gone through it myself. I've gone through menopause
(05:57):
and post metopause, if you want to call that anymore.
Speaker 3 (06:00):
I was about to say, you never really get over menopause.
You're in a post menopausal state.
Speaker 2 (06:04):
I was going to ask you, isn't at some point
I'm not. I'm not menopause. I can just cut that
out or is it I'm going to die with menopause
post menopause, So I.
Speaker 3 (06:12):
Guess we go back to definitions to kind of make
anything right. So menopause is literally the one year after
we stop having mental cycles. Yeah, and part of that
from a cellular level or a biological level, that simply
means that we don't have our estrogen progesterone and you know,
very little distosterone anymore. So technically you're never really over menopause,
(06:33):
so postmenopausal.
Speaker 2 (06:34):
Forever, right, Yeah, So even though somebody could not have
their cycle for like five, eight, ten, fifteen years, it
doesn't matter. You're still post menopause menopausal. Yeah, because yeah,
I think at one point I just wanted to be nothing.
You know, they were like you're done, Okay, it's over.
Speaker 3 (06:51):
And that's one of the big things to do with
about because you know, again, menopause is an estrogen deprivation state.
We don't have it anymore, and we know without estrogen
there are some conditions that are going to be present
and chronic bone loss, etcetera. You know, there's also something
called GSM, which affects you're an arrt through your narrow
(07:11):
syndrome of menopause.
Speaker 2 (07:14):
Am I allowed to see that out? Yes, okay, you
absolutely are the same thing bad. I didn't think I
think about that.
Speaker 3 (07:20):
So these are all chronic conditions brought about that partly
by lack of fasterogen.
Speaker 2 (07:26):
So you know, see, and I told you that I
don't really like to go on medication. I'm not really.
I mean, I think it's necessary. A lot of things
are necessary needed. I'm not against it. I just if
I don't have to do it, I'm not going to
do it right if I can control it, I should say.
But you know, I went through menopause early and I
got a dexa scant done probably about I want to say,
(07:47):
five years ago. Uh huh, I don't know when someone
around there. Four years ago maybe three something. Time goes
by very weird for me. And then I had a
tiny bit of astipinia tiny bit and my my left
hip okay, and I think it's because I sleep on it,
do you know what I mean? Like my body partially
that's in my brain. I'm gonna blame it partially on that.
So I've been sleeping differently. But and that kind of
(08:10):
bothered me because I eat really healthy, I work out.
You know, I take calcium. I mean, you name it,
I like really try to. And then when I saw
that a tiny the doctors like it's very tiny. I
don't care. I do so much wie mine And it's
because I went through you know, menopausteras so early. Yeah.
Speaker 3 (08:27):
Yeah, and oustinpinia is actually one of the FDA approved
indications for hormone therapy. Right, And here's what I always
say to people patients is like, you don't need hormones
to live, like, you.
Speaker 2 (08:39):
Know, you don't have to.
Speaker 3 (08:40):
You know, nobody has to be on hormone therapy, right,
It's absolutely a choice. You can still live your life
without hormone therapy. The question gets to be.
Speaker 2 (08:48):
What kind of quality of life, correct will you be living?
You know?
Speaker 3 (08:52):
And again very new once. Right, everybody's different, everybody's story
is different. So that's kind of how I look at it.
And also, yes, yes it is medication, but is what
we're doing is especially if for youse have they approved
by identical hormon therapy.
Speaker 2 (09:06):
And that's recent that they have approved it and actually
acknowledged it. Well it's in the nineteen seventies. Yeah, it's
not necessary, but I mean just the hormo therapy of
the sense of the menopause and for you know, insurance
to even.
Speaker 3 (09:18):
It's been there, it's been it's been covered for a while.
We just haven't been using it because of the big scare. Yeah,
but it was scaring people with it a lot. And
then the hormone How do you suggest hormone therapy? Like,
what is your suggestion if somebody wants to go about
doing it? Yeah, So how I always go about this
is I think every woman should have a personalized risk
(09:39):
benefit discussion, right, So it's not like everybody should be
on hormon therapy, not at all. It's nuanced conversation. So
how I approach my patients is always like what are
your goals? Right, Like, what what do you want out
of life? Like you, you know kind of you know,
similar to you, like you live an amazing, healthy life
(10:00):
doing all the things that you can, and then you
see oustopenia, right, so yeah, you probably want to do
all that you can to prevent osteoporosis, which happens in
one out of two women statistic.
Speaker 2 (10:12):
That's a really yeah, that's a really between one of us.
It's probably me, okay, because don't check your head. Arg
Okay because I'm very, I'm very I'm still not over
it when I got that results right, One out of
two is horrible statistics.
Speaker 3 (10:30):
Absolutely other statistic is one in three women will have
cardiovascular disease.
Speaker 2 (10:34):
Guy, Now that's not gonna be me, Thank God, I
hope God.
Speaker 3 (10:38):
Yeah, but that that is something that can be because
of estrogen py you know, so for cardiovascular disease, just
for example, before menopause or before fifty and I can't
remember the cutoff, men have a higher risk of cardiovascular disease,
and then around fifties. Don't quote me on the age,
but typically it's a menopausal age women start to catch
(10:58):
up to cardiovascular disease incidents. And that the idea, the
theory is because we lose estrogen, we lose.
Speaker 2 (11:06):
So I would I want to come back and talk
about that because I think that's really interesting. You know,
that's one thing we don't want to catch men from,
you know what I mean, that's not that's not one
thing we want to prevail is getting carded. We don't
want to be ahead of that. We don't want to
do that for that one thing. Okay, we're just not
going to do it. You guys can keep that one,
but absolutely you want to get some information, you can
go to my trimline dot com. You can always book
(11:28):
that free fifteen minute chat. And I'm really getting into,
you know, my Master's of psychology of you know, weight
loss and weight management. That way, we're doing a lot
of public speaking and doctor k will come with me, right,
don't you think so that's good? We love public speaking,
so definitely we'll come. We'll do luncheons and you're like,
oh my gosh, you guys might be expensive. Honestly, sometimes
we do lunch and learns for free because we really
(11:49):
like to educate people and that way you get to
know us a little bit better. So you can go
to my trimline dot com and acquire about that. We're
going to take a break and we'll be right back now.
Speaker 4 (11:57):
Back to my trim Line radio ship with Nadia here
on news radio WHV five eighty.
Speaker 2 (12:04):
Hello, welcome back, and thank you so much for listening.
I really appreciate it. I hope I just want you
to learn something. Honestly, I don't want you to journ
trim Line. I don't want you to you know what
we do. We want you to do that. We want
you to go to doctor Kse But honestly, we really
want to educate you to have a better, healthier and
totally a better quality of life. And right now I
(12:24):
have a wonderful guest. Please introduce yourself again, doctor Kase.
I'm calling you that. That's your new nickname. Now that's perfect,
it's great.
Speaker 3 (12:30):
Hi everybody, It's doctor k Strapman, physician, founder of Midlife Remedy.
Speaker 2 (12:35):
I love it. Yeah, and you're don't you say what?
It was a quadruple what.
Speaker 3 (12:39):
So I'm a quadruple board CERTI five.
Speaker 2 (12:40):
I love it. Yeah, I'm a family Medicine which is
where I've trained for most of my life.
Speaker 3 (12:45):
But I also have special certified board for obc to
Medicine colon their medicine am a Menopause Society certified.
Speaker 2 (12:53):
Very nice. Yeah, and we're talking about that. And I
know if the guys are listening to, like, ah, this
man of Oazo talk. Oh am I listening to this listening.
It gets to get you to know your wife, your
significant other, your girlfriend, your I don't know face, even daughters,
you know what I mean? Anybody you get to know
your female companion, female whatever in your life better. I mean,
(13:17):
then why wouldn't you want to know them better and
understand what they're really going through because I think it
enhances your relationship. It helps you to be able to
understand better no matter what capacity of women's in your life.
I really think it will help you, know.
Speaker 3 (13:31):
I mean, women are fifty one percent of the population.
And whenever I do talks and there are men and
the audience, I always say, I know we're going to
talk about female stuff, but men listen up exactly because
when you said you will have someone in your life
mom's sister, you know, niece, daughter, it will affect all
of us in one way or another.
Speaker 2 (13:51):
And you'll get to understand us. I mean, we do
try to understand your men. It's almost very, very difficult.
But this way you can also, you know, kind of
get to know what we're going through, especially if you
have someone a female in your life that is going
through that. And you know, pre menopause and menopause and postmenopause,
they're just all menopause that are painful. Okay, it's just
not there's no good part about it. But before we
(14:12):
got off to the commercial, we talked about treating it
with hormone replacement homotherapy, and I think I told you
it's probably about maybe three months maybe or two months.
I don't even know, actually three months that I'm taking
estradal right, I'm like, you know, And the only I
told you the main reason I wanted to do it
was for my bone density. That was the big one.
(14:33):
And obviously it has made my sleep very better. And
you said you broke that down because there's three, right,
so please explain that just what we talked about a
little bit on the break. Yeah.
Speaker 3 (14:43):
So, I mean, so there's three quote unquote sex hormones
that we talk about, but we really that's a misnomer
because there are these hormones affects every single part of
our body, a lot of cells in our body, including
your brain, heart HR. That'll be your estrogen, progesterone, and
a stosterone.
Speaker 2 (15:01):
Yeah, and do men have all three?
Speaker 1 (15:03):
Yep?
Speaker 2 (15:03):
Yep. So here's a fun fact.
Speaker 3 (15:05):
Yeah, So if you are in menopause, let's say not
you necessarily, but if you're old and you have a
male partner, that male partner will have more estrogen in
their body than the postmenopausal women.
Speaker 2 (15:19):
Isn't that crazy? That is crazy? So they're not the
more feminine, they're just that just means how deprived women
are of their estrogen. That's horrible. And then testosterone goes
down from both and especially.
Speaker 3 (15:31):
For men correct so it goes so the stosterone is
not necessarily a menopausal thing. The starstone decline is an
age related and so it equally affects men and women.
Women have one tenth of the amount of the sauceron
in our body, but even if it's less than men,
it doesn't mean it doesn't affect us.
Speaker 2 (15:50):
Absolutely no, I mean we you know, as I said,
I'm taking yours. You have to take your estrogen with
your progesterone. They have to go together.
Speaker 3 (15:57):
If you have a URUS, you need to be on
asterne to protect the urine lining. If you don't have US,
you can still take progesterone for other reasons than protecting them,
you know, for other reasons that are beneficial.
Speaker 2 (16:11):
Yeah, I have both because I still have it. So,
but we talked about testosterone, like, and that's the only
one that I'm not doing anything with, right and I
and I was saying, and you put the you know,
as I always do a layman's term, you do the
professional term. I'm like, yeah, the testogia you know, it's
like the little sex a you know, it's like where
you you know, you're like, you know, you get a
little frisky, you know. Isn't that the testosterone aspect for
women in men?
Speaker 3 (16:32):
So so let's talk about women first and then we'll
talk about so for women. Technically, testosterone is not f
DAY approved for women in the US, but it is
in other countries. Right, if we don't have an FDA
approved formulation, I should say so. But the stosterone, there
are guidelines supported reasons. The guideline supported reason for for
(16:55):
using it female dose physiologic female dose is for postman
apostles libido or hyperactive sexual disorder or HSDD. So these
are women that you know are in relationships with their
partner and you know so and now have no desire
for sex. Putting them on Stowstone improves their desire libido,
(17:17):
et cetera. But here's the thing that we always talk
about it again, we should back up and kind of
think about what are hormones. Hormones are literally messengers, right.
They're produced in one part, which is the very They
go around our body and the bloodstream and then any
cell that has a receptor, that cell will get the
message and libido or desire or sexual desire is not
(17:39):
in one corner of our brain, you know what I mean.
There are two stosterone receptors all over our brain. So
to say that it's only for libido, I think it's
kind of silly because it will also activate other parts
of our brain. So in some studies and some clinical
application that I've seen in my practice and other journal articles,
(18:02):
et cetera, is it helps with brain fog like motivation,
very nice. It helps with also muscle mass. It also
helps it bone density, so there's a lot of a
lot of ways it can also help. But the guidelines
support it.
Speaker 2 (18:18):
It's use for yeah, I mean they mainly talk about
it the libido. It helps that, which I think it's
very important in relationships.
Speaker 3 (18:24):
Honestly one percent social health is health, yes, you know,
But again the other caveat there is it's not the
only thing. Like you know, starting the saw on, it
doesn't make you have you know, immediate like desire, right,
so yeah, like you're in your twenties, right, Yeah, we
always I always describe it to my patients. It's really
that biopsychosocial approach, right, biology, psychology and social approach for
(18:48):
desire and good relationships to come back.
Speaker 2 (18:50):
And I think so, So what bothers me about what
you said is that it's not readily available for women
in the United States, Like, so can women get it?
Speaker 3 (19:01):
Yeah, so let me rephrase. So it is so there's
no f DAY approved product for women. So in my
practice when I would prescribe it, I would prescribe a
male version of cream and have my patients mcguivert or
aka micro dose it. So like one tube if it
was a male would.
Speaker 2 (19:22):
Be one day. For my female patients, I tell them
this one tube, you use it over ten days? Got it? So,
because it's not like we don't need as much as
they do.
Speaker 3 (19:32):
Correct, we're one tenth typically one tenth. But when I
say there's no if they approve a product doesn't mean
that it's not available, but it's not if they approve,
which means it's not covered by insurance of course.
Speaker 2 (19:43):
So that's the main reason as well.
Speaker 3 (19:45):
And again it's just harder because it's hard to apply
the divide one tube into ten days, So it's sometimes
can be frustrating for it.
Speaker 2 (19:56):
That is frustrating because I mean, I know there's places
that are made for men to literally get touched astrum,
you know what I mean, to have the pellets that
have the cream. There's a pellette involved. I know that
the metopa does that, so I mean there's different ways
that they can do it. And then we women have
to like take a cream and decide in our head
(20:16):
how we're going to break it down for ten days.
Speaker 3 (20:18):
Well, so technically the options are available for men, are
available for women as well, and there's different schools of
thoughts for that.
Speaker 2 (20:26):
I know there are. So basically I have to pay
out of pocket. Is that that's what it is, because
it's not it's not approved, right, It's not that it's
anything dangerous. You just basically you just have to pay
out of pocket.
Speaker 3 (20:37):
It's not dangerous, especially if you're being supported by someone
who knows what they're doing exactly and monitor that's other
key and monitored. So the goal with the stosterone therapy
is we want to give physiologic dosing. We don't want
to go super therapeutic all. So physiologic simply means giving
your body back what your body's seen before. So for example,
I'm almost fifty. If I check my level and it's
(20:58):
I checked my level before it was like fifteen or twenty,
I can't remember. That means when now it's in my twenties,
it was double that. So our goal is not to
give like make it one hundred, right, Yeah, just just
go to what you used to be. That just gives
us more likelihood for side effects, problems issues.
Speaker 2 (21:14):
So yeah, that's actually awesome. I love that. I mean,
and I think I don't know if I need to
look into that, but I think anybody out there that
is listening and you're wondering, you're wondering if I should
be on you know, estrogen or pedesterone or even testosterone,
male or female, because I think male really they get
very very affected by low testosterone. I think that's like
(21:36):
wait wise, the fogginess obviously they are sex drive, you know,
like that really affects them considerably when it's really low
for them. Do you agree?
Speaker 3 (21:44):
Yeah, and yes, it definitely affects them if you kind
of look at the symptoms that can be part of it.
Speaker 2 (21:51):
That the you know, low motivation, it's low libido etcheter. Yes, yes, yeah,
you're gonna say, okay, I'm gonna we'll take a break
because you're gonna finish that thought because you're about to
say something, you rolled your eyes and you're like, I'm
not gonna say it. Yeah, I'm going to have you
think about it on the break a little bit. And
I definitely want to know what it is. Nobody can
(22:11):
see what you did, but I just said it, and
everybody wants to know what it is. So you can
absolutely you know, doctor Case and I will love to educate.
We can come to your job, your luncheon, do whatever,
public speaking, free speaking, go to my trimline dot com.
Absolutely inquire about it and you get one on one attention.
When it comes to your weight loss, it comes to
your nutrition, it comes to anything regarding your body. We're
(22:34):
going to take a break and we'll be right back.
Speaker 3 (22:37):
Welcome back.
Speaker 4 (22:38):
This is the My trim Line Radio Show with Nadia
here on NewsRadio DOUBHB five eighty.
Speaker 2 (22:45):
Hello, welcome back, and thank you so much for listening,
and I hope you're enjoying the show so far. I
have a wonderful guest here today, very very knowledgeable. My goodness.
I love like the aspect of what you know to
what I know are two different things. And I love
it because I get very excited when you talk about things,
because you know, before I got my degree in master's
and you know in psychology, O, weait lost my management
(23:06):
and everything that I got in food science. I did
work with John Hopkins for a while, which was amazing.
I was going to be a doctor before that. But
I'm like, yeah, if I really wanted to go to
that far, and you are a doctor, So please tell
everybody introduce yourself again.
Speaker 3 (23:19):
Please, yes, hello, everybody. My name is doctor Kesa Troutman.
I am a physician, founder, the physician founder of a
practice in camp Hill called Midlife Remedy and I help
women thirty five and over understand their midlife biology.
Speaker 2 (23:31):
Yep. And we need help. We need especially, we need
all the help we need. And if you're listening, you're
tuning in now because after church some people then tune in.
You're like, well, I'm a guy, why should I be
listening to this? We said this. The more you listen
to this in a sense of it, get to know
your significant other better, the women in your life better,
because understanding each other is very very crucial. I mean
communication is extremely important. But also knowing that you know,
(23:56):
when women go through menopause or pre menopause or post menopause.
We'll not make it up. Okay, yeah, we don't. We
don't want to be miserable. Okay, I mean, I know
there's some women out there that I want to be miserable.
I get it, but most of us do not want
to be that way. And you know, you never know.
And I'll tell the story. It's like totally random. But
a couple of days ago, I went to Costco. Imagine
(24:18):
that art, I know. Don't say one word. I go
to Costco all the time. I'm a Costco edict, Okay,
but I do. But I went to Costco and I came.
I was in a hurry. I was trying to run
and pick up something and leave. Okay, it was it
was actually for my glasses, okay, because I'm going blind.
I guess I can't see. Getting older and reading are
just like very scary to me now. And I ran
in and I came around the corner a little sharp,
(24:39):
you know myself. I was walking and then this lady
with two kids. Okay, I'm gonna say fourteen fifteen whatever,
maybe sixteen seventeen, and I came in front of her.
Still a lot of space, right, It's not like I
ran into her or whatever into her cart and I
looked at it as I said, I'm really sorry, right,
and she went rolled her eyes and whatever like that,
(25:02):
and I said, and I said, how rude. And then
she goes, you didn't say that to me, did you?
I said, I said that to you exactly. I said,
you're very rude. I apologize to you, and you still
decided to give me a face and say basically crap
to me, right, And I said, you should know better
to donify your kids, right. Yeah, I mean it really
(25:22):
really upset me because you know, when you're kind and
you're trying to be and somebody's just didn't know. When
I was walking away, I'm like, there's something making her
horribly unhappy, right, Like there's triggers. Like even she was
pretty overweight. I'm not saying that was you know, she
was at least fifty sixty pounds overweight, and I'm not
trying to say that could be the reason, but I
(25:43):
feel that when somebody is that it wasn't me being
kind of going in front of her dad made her
that freaking angry, right, There's other things that compiled maybe
to her being that way, and I think part of
it could be what we women go through.
Speaker 3 (25:59):
You know, we never know what one is walking, right, Yeah,
that's that terminology. I think, like, you don't know what
but past someone is walking about.
Speaker 2 (26:06):
You're like me, don't do slangs. Okay, So well I
well you and I are, I know what to foreigners. Okay,
I can't help you. I was trying to help you,
but I'm like, I think, like, you don't walk in
somebody's shoes.
Speaker 3 (26:20):
What is it?
Speaker 2 (26:20):
I'm bad? Okay, So everybody knows I'm bad. Okay, So
what is it, Art, You're not even helping us, You're
even kind of messing me up. I did that to
Art all the time. I mess up slags. Some of
you can't be in the same shoes of someone something.
Everybody else don't judge someone unless you walk them down
their shoes something something like that. Yes, yes, and that's
(26:40):
very true. Right, So it's angry. I'm like, okay, I
don't know what she's going through. But partially going back
to the whole, and this is like for men to
know these things in the sense that we women do
go through and we kind of juggle so many things,
and to be under the stable really honestly is it's
(27:00):
really to be having compassion and having grace, having grace
for them and having grace for yourself, I think is
extremely important. Yeah. So when we look at the menopause,
because you kind of want to like the definition of it,
yeah right, Yeah, what would you say, would it be
in a sense of what we talked about on break?
Speaker 1 (27:16):
Yeah?
Speaker 3 (27:16):
So, I mean the definition of menopause is again loss
of estrogen, right, and in women we can define it
symptom wise if we.
Speaker 2 (27:26):
Have not had a period in a year. So it's
a very retrospective.
Speaker 3 (27:31):
Look like where I am now, I don't know if
I'll be in menopause, you know how, you know, like
now I'm not, meaning it's still retrospective.
Speaker 2 (27:39):
So it's not very helpful at all at this one
point in nine.
Speaker 3 (27:44):
So the average age of menopause in the US is
fifty one point five or fifty two. But here's the thing,
the heart, not that it's the one thing that a
lot of people don't understand yet, really is what perry
menopause is beforehand? You yes, yes, so there's pre menopause, perimenopause.
(28:04):
Menopause is literally one day. Menopause is literally one day
the day after menopause is your postmenopausal.
Speaker 2 (28:11):
Until like you know, whatever God wants to call you.
Speaker 3 (28:15):
Right, So, perimenopause is the years before menopause and it
can last an average of four years, but for some
women it can be ten years. And the issue with
perimenopause is it's it's not as quote unquote easy to
define because there's no blood tests to define it. And
it's not like, Okay, the descript descripture typically is irregular period,
(28:40):
but how many women don't get periods for I don't know,
an id or a blasion, et cetera. And so the
official definition is really when we start having irregular periods.
But here's what's interesting is we know menopause, perimenopause affects
more than our periods. So there's some day there's so
data just that really it's the brain symptoms anxiety, insomnia,
(29:05):
brain fog, depression. We actually call perimenopause the window of
vulnerability from a mental health anxiety depressure, especially depression. H
One article stated that, like, highest rate of suicide is
in the perimenopausal age group. And again why because we
(29:28):
have more roles, Like we're doing more things usually sandwich generation,
you're maybe taking care of younger you know people, and
then elder and then taking care of older yep, and
then life.
Speaker 2 (29:41):
I mean like working looking a job, I mean so
much pressure. And not to mention the pressure we put
on ourselves, I think, oh, yeah, the women are great
with that. We're very very good with that. So that's interesting.
That's really interesting because I think people in anybody listening
out there, the pop should research us a little bit, right,
and there is help for it, right, isn't isn't the
(30:04):
like is this a time that they can do hormone therapy?
Isn't it the best time to actually do hormone therapy?
Speaker 3 (30:11):
So I always say new ones discussion, right, but yes,
like there's some data, Like I mean I start patients
in paramounopause with hormone therapy, again depending on their history
their goals. But I have a lot of patients that
come to me and one of their top three issues
is their anxiety, mood, anger, rage, Like those are kind
of again very mental health aspect. Yes, Like people would
(30:36):
be like I never had anxiety and now I'm just
anxious all the time. Or my anxiety and depression was
well controlled for you know, since I was twenty and
now I'm just angry again, or even concentration. You know,
my ADHD was controlled, now it's not controlled. Or I've
never had ADHD and.
Speaker 2 (30:54):
Now I feel like I have ADHD.
Speaker 3 (30:57):
So again, it's the brain is affected by these hormonal
fluctuations that.
Speaker 2 (31:02):
We get in bearing. So I think that's really and
it's an individualized thing. That's why you and I both
do individualized things, like we don't we don't do groups,
we don't do whatever. We really give when I want
attention to anybody that comes to us, which I think
the brain for me, the psychology of things is just incredible.
We like, I believe in the power of the mind,
like in a big, big way, huge. And you know,
(31:24):
we talked about this, I feel like and we talked
about this over lunch when we had it. We talked
about the some break like and and I put it
probably bad terminology that I believe that people in general
are a little bit lazy, right, And you're like, well,
I don't think they're lazy, I said lazy. By I'm
not saying that. You know, you're just in a corner
not doing anything. You just get up like at noon
(31:45):
and you know, go to I'm not talking about that
kind of lazy. I'm talking about research and the sense
of what am I, what am I going through and
not listen to somebody just because oh, like I have
doctors and I know not you that tell women that
are in their fifties or six these like let's say
they gained belly fat or they're not doing themselves and
they're not themselves. They don't feel sexy, they don't feel
(32:06):
any anything mentally good. They're like, well, you know what,
you're fifty seven. I mean, doctor tells them that, well,
you know you're you're not kind of like saying this
is it, yeah, like this is it, You're fifty seven,
don't worry about it, like you know, and she goes,
I feel like I'm frumpy. You know you're fifty eight.
You know you might as well like, no, just be
good with it, just deal with it. Yeah, I mean
(32:26):
they yeah, they literally women have said to me like,
I feel frumpy and they're like, well, you know at
true age. I'm like, no, no, you should not feel
that way, and you should not any age, at any age,
and you should not allow somebody to tell you that
that's that well you really are at this age you
might as well just deal with it. To me, that
that the laziness is is. You know, when we break down,
(32:49):
and I said, this end the grade. If we break down,
I'm not going to change like you know it. Fix
my own car, I'm gonna go take it to somewhere
to fix it.
Speaker 3 (32:56):
Right.
Speaker 2 (32:57):
If my AC breaks down, I'm gonna go out there
and take some tools and try to fix it. I'm
going to call an AC person person to come and
fix it. I don't understand how we humans that are
in pain, not healthy, not happy, we don't seek help
to help ourselves, right, like go to a professional, to
you or meet to be like you know what, I
don't feel like myself and I want to come somewhere
(33:19):
where somebody understands me, give me some guidance, give me
some help, and if we're a fit, let's move on together.
Right Like, That's what I'm talking about, and I really
and you had a great point on that too. I'm
going to take a break. We're going to come back
and I want to talk about how you kind of
approach it. Like our thought process is the same. I'm
just a little bit more blunt when it comes to things.
(33:40):
And you know how we should take control and you're
definitely more medical side of it, which I absolutely love.
So you know you absolutely can hire well, we're free anyways,
but doctor Case and I would do luncheons. We'd love
to come and educate your you know, anywhere from your
luncheon to your corporation to anything that you've got. We're
going to take a break and we be right back.
Speaker 4 (34:01):
Let's get back to the My trim Line Radio show
with Nadia on Use Radio doubl HP five eighty.
Speaker 2 (34:08):
Hell, we'll come back and thank you so much for listening.
I hope you're enjoying this show so far and learning something.
We really want you to learn something. Feel motivated and
confident to make a change for the better, you know,
that's all. It is a tiny little change for the better.
And I have a wonderful guest today. I'm so happy
that you came today. Honestly, we have a good time
and time goes by so quickly. Yes, doctor Case, please
(34:29):
tell everybody again last time introduced yourself.
Speaker 3 (34:31):
This is it? Yeah, Hi everybody, I'm doctor Kase Trauman
and I have a practice called Midlife Remedy where I
help women thirty five and over understand their.
Speaker 2 (34:40):
Midlife biology, which is important because honestly, we women go
through a lot and we've been talking about pre perry
menopause and a menopause and postmenopause, right, I mean there's
a lot of versions of that darn menopause going on, right, Okay,
and too, and we'll talked about before the break. I
(35:00):
feel like people should take more initiative. I'll take the
word lazy out of there. Take take more initiative to
find things out for themselves, right, Yeah, to help themselves. Yeah.
And the biggest thing is I think most humans feel
like they should be able to do it on their own. Yeah.
I think.
Speaker 3 (35:18):
I think when it comes to health, right, like, because
for example, like ac, like I know I don't know
how to fix my ac, but how to eat better
or how to like I don't know, handle stress. Sometimes
I think we just think we should be and and
for some people.
Speaker 2 (35:34):
They definitely can.
Speaker 3 (35:35):
But I think, you know, for some if they're struggling
and it's been going on for a while, I think
it would be a smart decision right to kind of
ask for help.
Speaker 2 (35:47):
And the one thing I will say.
Speaker 3 (35:48):
About this about this kind of thought process too, is
especially for women, we are told by providers or by
society that this is normal.
Speaker 2 (35:59):
Like you like your point earlier, like this is me crazy.
Speaker 3 (36:02):
Yeah. So it's like if the message of your provider
or your your peers is like this is part of aging,
welcome to the club, this is normal, and you normalize
that this metabolic dysfunction, then sometimes people will be like, Okay,
if this is normal, Dan, this is it? Yeah yeah,
but so I think part of it is like we
(36:23):
need to recognize it. It is not normal, right, And
then you have a you you can't do something like
you were saying earlier and that there are strategies. There
are so many ways that you can approach whatever it
is that you're struggling with, whether it's mental health or physical.
Speaker 2 (36:37):
Health, especially mental health. Like if you're struggling mental health, right, so,
whether you have lost weight and you have to wait
what would be the shots or not shots? That in
itself is a challenging thing. If you always overweight and
now you're not overweight, I mean that psychologically you need
to deal with that. You feel like and I'm happy,
(36:58):
I'm great, I'm off medications, I'm what I want to wear.
There is a psychology behind that that let's say you're
overweight and now you're not right. Yeah, there's a lot
that goes with it. You know, when I was overweight,
I mean I know exactly how it was and how
people looked at me, how guys talk to me. You know,
how I went through school to then when I lost
my weight, and how change things changed.
Speaker 3 (37:21):
It was.
Speaker 2 (37:21):
It was very much a psychological change because now you know,
it's getting attention or I could, you know, wear things
that I typically would never even imagine wearing. I mean,
there's a lot. I can go on and on about
what happened. So I really believe that. And when somebody
says we'll come to the club, No, there's no club.
There's the club of being frumpy when you're overweight. That
(37:41):
that club should not exist. Okay, I think that club
needs to go away.
Speaker 3 (37:45):
And more to your point to for someone who like
if someone came from a higher weight set point and
now is in a lower weight yes, psychologically absolutely there's that,
but also biologically absolutely definitely, And you may know this
as much like I know you know this, like your
body is fighting a different set point, a different biology
(38:08):
than someone who's never been overweight.
Speaker 2 (38:10):
Yeah, I mean it's an answer your body. We humans
want to protect ourselves. So when we're if our body
thinks like it's starving itself or you're losing weight, it's
going to fight you. It's going to absolutely fight you.
So it's not that you're doing anything wrong. You just
you have to actually learn to eat healthy, eat more,
not eat less right and for your body absolutely and
(38:31):
then and if you're on the weight loss shots, you
really need to learn. I can't stress this enough to
eat healthy just because you're losing weight and you come
off whatever ABC medication because of the weight loss. The
weight loss made you come off of your blood pressure medication,
your clash flow medication or a ONEZ went down right
the weight loss? Does it not so much that you
(38:52):
nutritionally did it sound to lose the weight?
Speaker 1 (38:55):
You know?
Speaker 2 (38:55):
So to me, those are two different things. Like you
can lose weight and those your muscle man and then
come off all those medications, but it doesn't mean that
you nourish your body the right way and you got
the right nourishments and minerals and kept your muscle mass
and did it in a healthy way. Right, So those
are there's very very different variables on how to lose
weight and then how to deal with it and to
(39:17):
do it in a way that is healthy, that's nutritionally
sound right.
Speaker 3 (39:22):
I didn't want to say this is where you and
I will usually have our discussion and sticking points. Yeah,
because for me, definitely, if I start someone on a
medication and they are medically appropriate for that medication, there's
biology at lay. So it's probably not somebody I would
say you should get off of the medicine.
Speaker 2 (39:40):
Oh yeah, yeah, So.
Speaker 3 (39:42):
But I understand your point where it's not just eating less,
it's supporting your body in the right way because you
kind of need all the nutrient.
Speaker 2 (39:49):
Yeah, even if you're micro managing GLP ones right microding,
thank you Mike for dosing it, you still need to
learn how to eat health health. You cannot be just
meant That's what I'm saying. You know, even when people
were taking diabetes shots or you know whatever insulant, you
still need to kind of, of course try to do
something a little bit healthy.
Speaker 3 (40:09):
Eating less oreos, right, Like you have to eat like
your protein, your fiber, drink your water, so yes, and
a lot of a lot of oreos.
Speaker 2 (40:19):
But I've added not an oreo in a long time.
I love it in milk. By the way, if I'm
going to have it, the milk better be there. I'm
not going to eat a dry oreo. Okay, that's all
I'm not gonna do. But that is yummy. You know
you made me get so. Anyways, the thing is is
that I think that we need to put things into
perspective and even if you're microdocing, even if you have
(40:40):
to be on thyroum medication, which I fully understand that
you know there's certain medications you have to be on,
you should still do things to make it healthy around it.
I think that's what I'm talking about, right.
Speaker 3 (40:51):
And again the idea, Yes, weight loss is a goal,
but living healthier and you and I have the same
very must.
Speaker 2 (40:58):
It's like the still live healthy.
Speaker 3 (41:01):
The goal is to like live longer lives, healthier lives
where you're doing more things and not just be girled
in a corner, you know, like when you're older, Like
that's a miserable.
Speaker 2 (41:10):
Oh yeah, but even I mean there are a lot
of unhealthy active people out there.
Speaker 4 (41:15):
Right.
Speaker 2 (41:16):
The key is is how help, how healthy, how how
happy are you in your life? Like your quality of
your life I think is extremely important and that belongs
to you, Like, take initiative to make the quality of
your life better. I'm not saying, b you don't need
to be one hundred and fifteen pounds and six pack
abs or you know, a muscle bound whatever energy person.
(41:39):
I'm saying to just be at a quality of life
that you can say, you know what, I don't need
to be old and frumpy, right, don't And I don't
have to like feel like I don't want to be
intimate with my significant other because I just can't handle it.
It just it's not I don't have it. It's not
in me. I think. I think we need to research
and be able to be like, you know what, how
(42:00):
can I make the quality of my life God given
for I have another ten another fifteen years to live?
How can I make that better? And that takes initiative
to do so. Yeah, And the way you get to
decide exactly what it's in your hands. It's in your hands,
and it doesn't you don't. You can totally get help,
you know, if you can't do it on your own,
if you've been saying it, I'm going to lose weight
(42:21):
on my own. I'm going to eat better. On my own,
I'm going to mentally make myself healthier whatever, and it
hasn't happened. My point is, go get help. Yeah right,
that's why we're here. That's exactly what it is. I mean,
I go, I get professional help for a lot of things,
you know, whether it's my car, whether it's my ac
whether I go to the gym, to somebody to hold
me accountable. I mean, you name it. I do that,
(42:43):
and I want to urge people out there to do
that for themselves because I think that is what truly
changes the path that you're on. I mean, I think
that's my point, yep.
Speaker 3 (42:54):
I mean one hundred percent, you know, I mean same.
I invest for my own health. That's how I look
at it.
Speaker 2 (43:00):
Whether it's coaching, whether it's counseling, anything. I agree see
that it is an investment in yourself. And that's what
I want people to totally understand. You are investing in yourself,
in your future, not who you are right now, but
who you're going to be in five years from now,
ten years from now. That's what you're investing in you
when you look at it at this point, See, I
love it. I know you and I agreed on a lot.
(43:22):
You and I have a different perspective, but we absolutely
believe the same thing. And it actually makes sense because
you know, you're you're a doctor, you do that side
of it. I don't. I'm not that right. I'm totally
a psychology the totally. We're totally too different, but very
much the same and we believe in the same thing.
So I want to thank you so much for coming today.
I really appreciate it, and I hope everybody reaches out
(43:43):
to you and please say the name of your place
one more time and that way people can listen.
Speaker 3 (43:48):
Absolutely so my practice is Midlife Remedy r e md Y.
You can also follow me in social same tag Midlife
Remedy on Facebook, Instagram, and tikto.
Speaker 2 (43:57):
Thank you so much, and I hope everybody out there listening.
Go to mitrum dot dot com and you can absolutely
get more information. Have a wonderful Sunday.
It's time for the My trim Line Radio Show with
Nadia on WHP five eighty. Nadia is the owner of
trim Line Weight Loss Centers, locally owned and operated here
in Central PA. If you have a question or comment
for Nadia, please call five four to ohooh five eighty,
or you can send an email to Nadia at mytrimline
dot com. Now with today's show, here's Nadia.
Speaker 2 (00:23):
Hell everyone, and happy Sunday to you. I hope you're
having a fantastic weekend. I mean, boy, it is definitely
hot out there, we know that, and smoky. It's very
very smoky out there. So I hope you are keeping healthy,
taking care of yourself, covering up whatever, don't be outside
too much, hydrate all that good stuff. So thank you
(00:44):
so much for tuning in. I always want to thank
you for tuning in and listening. And you know, last
week I got a lot of clients that listen to
the radio show, which I love. They love when I
do have guests. I actually love when I have guests.
So I have a wonderful special guest here today and
I hope you can enjoyed when we talk about some
fun facts possibly and facts. Actually her and I. We
(01:05):
had lunch last week and then we had such a
great time. But I like to call her doctor case.
She probably goes by something different, but I really do
like it. Please introduce yourself and tell everybody.
Speaker 1 (01:15):
What you do.
Speaker 3 (01:16):
Yes, well, thank you Nadia for having me back. This
is number two.
Speaker 2 (01:20):
It is, We're gonna We're gonna keep it more often
like then before you thank you for having me back.
Naugh Yet, please don't do it anymore. This is number
two and forty two.
Speaker 3 (01:28):
You know, it's always fun because we just gotta like
talk and it's true naturally, But so hi, everybody. I
am doctor Casey's trout and doctor case is absolutely fine.
I am a quadruple board thirty five visition with my
own practice called Midlife Remedy in right here in Camp Hill, Pennsylvania,
and I helped women thirty five and over understand their
(01:49):
midlife biology.
Speaker 2 (01:51):
Yeah, midlife thirty five. I don't know if I was
thirty five. Mind if nobody WI will say I'm midlife,
but I'm definitely midlife now.
Speaker 3 (01:58):
Yes, and now she does think that's the big thing
is when we say midlife, people think, oh, that's.
Speaker 2 (02:03):
Like fifties, sixties.
Speaker 3 (02:06):
Yeah, the reality is the changes that can happen can
happen at thirty five.
Speaker 2 (02:11):
I agree. I mean, I remember long, long time ago
when I was thirty five. I don't think I had
any issues. I mean I might, I might not remember,
but and I don't have that much issues to begin with.
I mean, I know, beg art bags to differ on
that one when he has to deal with me every Sunday,
every Sunday, that's totally different. But I think there's a
(02:33):
lot of things that people go through. And you and
I talked about this at lunch, and I said, this
is exciting because now we're going to be on the
radio this Sunday, and you know it will be kind
of Contributional of our conversation was and we were talking
about the wonderful metopause and metopause and you know, people,
what people go through and being on the shots, are
not on the shots, and so what do you find
(02:54):
that being with most of your patients, or that you're
going to divulge anything, But what is like the I
guess thing that people are struggling with? Do you think
I know, it's a lot. I'm just talking more about
health and wellness and the reasons that they come to you, like,
what are the some bigger ones. Yeah, I mean that
is a big question. I don't know where to start.
Speaker 3 (03:13):
So my focus is mostly women, right, but I do
see some guy patients. But for the most part, I
think it is just number one, not feeling like themselves,
like not feeling like themselves where they just don't they
don't recognize the person in front of the mirror anymore.
Speaker 2 (03:33):
And I know that's also slightly vague.
Speaker 3 (03:35):
That could be so many things, absolutely, but part of
that is their mental capacity, their emotional capacity, and of
course their body. So it's not just the body part.
It's also like their brain and how they're functioning with
their within their marriages and their lives and their work
and how they're showing up in life.
Speaker 2 (03:54):
Yeah, I think, and I know it's a bad question,
but I think that's what I really want people to
know because it's so vast, Right, if you really stand
in front of a mirror and take a look at yourself,
there's a lot that is positive, hopefully, and then there's
some that we struggle. I think everybody struggles something a
little bit, yes, especially in this world. Absolutely, like if
(04:15):
anybody else other thinks, oh my god, my life is crazy.
I'm not good at dealing with things I'm not doing
as You're not alone, I mean, I think everybody, including me.
I mean not that I'm saying I'm really special about it,
but I have things a little bit under control. But
even me, I feel very overwhelmed. Sometimes we were juggling
so many things, and in this world things are just
(04:36):
not really easy. I don't. I just don't. I think
it's getting hard or as times going by, and I
don't think. I think life is just not as easy
as it used to be a long.
Speaker 3 (04:45):
Time, right though, I mean, and a way of kind
of maybe putting it into like buckets, although it's really
hard to put them in the buckets.
Speaker 2 (04:51):
Right.
Speaker 3 (04:52):
It's the biology, the psychology, and then the social part, right, biology,
Like our bodies are changing, right, so part of that is,
you know, the things that we would normally expect to change,
hormonal changes, et cetera. Psychology, Like we're all affected by
so many things in life. So yeah, how we react
to these things. Emotional anxiety, depression at schedtera, that's also
(05:13):
part of it, and relationships and all that.
Speaker 2 (05:15):
Well, that's what you and I were talking about, you know,
because I have a you know, I have a master's
in psychology of weight loss and weight management and food science.
Like you're you really deal because you're you're obviously your doctor, right,
And I don't deal with medications or the human body
and a sense of the actual body too much. I
really like to deal with the human brain a lot.
It's a fascinating I love it. I absolutely love every
(05:37):
minute of it. And I'm honestly, I don't want to
put myself on the back. I'm very very good at it,
at what you know, kind of deciphering and talking to people.
And that's why a lot of doctors refer to patients
to me, because for me, it's I really I've been
doing this for such a long time, like over thirty years,
and I had and I've lost fifty seven pounds myself, right,
so I've gone through it myself. I've gone through menopause
(05:57):
and post metopause, if you want to call that anymore.
Speaker 3 (06:00):
I was about to say, you never really get over menopause.
You're in a post menopausal state.
Speaker 2 (06:04):
I was going to ask you, isn't at some point
I'm not. I'm not menopause. I can just cut that
out or is it I'm going to die with menopause
post menopause, So I.
Speaker 3 (06:12):
Guess we go back to definitions to kind of make
anything right. So menopause is literally the one year after
we stop having mental cycles. Yeah, and part of that
from a cellular level or a biological level, that simply
means that we don't have our estrogen progesterone and you know,
very little distosterone anymore. So technically you're never really over menopause,
(06:33):
so postmenopausal.
Speaker 2 (06:34):
Forever, right, Yeah, So even though somebody could not have
their cycle for like five, eight, ten, fifteen years, it
doesn't matter. You're still post menopause menopausal. Yeah, because yeah,
I think at one point I just wanted to be nothing.
You know, they were like you're done, Okay, it's over.
Speaker 3 (06:51):
And that's one of the big things to do with
about because you know, again, menopause is an estrogen deprivation state.
We don't have it anymore, and we know without estrogen
there are some conditions that are going to be present
and chronic bone loss, etcetera. You know, there's also something
called GSM, which affects you're an arrt through your narrow
(07:11):
syndrome of menopause.
Speaker 2 (07:14):
Am I allowed to see that out? Yes, okay, you
absolutely are the same thing bad. I didn't think I
think about that.
Speaker 3 (07:20):
So these are all chronic conditions brought about that partly
by lack of fasterogen.
Speaker 2 (07:26):
So you know, see, and I told you that I
don't really like to go on medication. I'm not really.
I mean, I think it's necessary. A lot of things
are necessary needed. I'm not against it. I just if
I don't have to do it, I'm not going to
do it right if I can control it, I should say.
But you know, I went through menopause early and I
got a dexa scant done probably about I want to say,
(07:47):
five years ago. Uh huh, I don't know when someone
around there. Four years ago maybe three something. Time goes
by very weird for me. And then I had a
tiny bit of astipinia tiny bit and my my left
hip okay, and I think it's because I sleep on it,
do you know what I mean? Like my body partially
that's in my brain. I'm gonna blame it partially on that.
So I've been sleeping differently. But and that kind of
(08:10):
bothered me because I eat really healthy, I work out.
You know, I take calcium. I mean, you name it,
I like really try to. And then when I saw
that a tiny the doctors like it's very tiny. I
don't care. I do so much wie mine And it's
because I went through you know, menopausteras so early. Yeah.
Speaker 3 (08:27):
Yeah, and oustinpinia is actually one of the FDA approved
indications for hormone therapy. Right, And here's what I always
say to people patients is like, you don't need hormones
to live, like, you.
Speaker 2 (08:39):
Know, you don't have to.
Speaker 3 (08:40):
You know, nobody has to be on hormone therapy, right,
It's absolutely a choice. You can still live your life
without hormone therapy. The question gets to be.
Speaker 2 (08:48):
What kind of quality of life, correct will you be living?
You know?
Speaker 3 (08:52):
And again very new once. Right, everybody's different, everybody's story
is different. So that's kind of how I look at it.
And also, yes, yes it is medication, but is what
we're doing is especially if for youse have they approved
by identical hormon therapy.
Speaker 2 (09:06):
And that's recent that they have approved it and actually
acknowledged it. Well it's in the nineteen seventies. Yeah, it's
not necessary, but I mean just the hormo therapy of
the sense of the menopause and for you know, insurance
to even.
Speaker 3 (09:18):
It's been there, it's been it's been covered for a while.
We just haven't been using it because of the big scare. Yeah,
but it was scaring people with it a lot. And
then the hormone How do you suggest hormone therapy? Like,
what is your suggestion if somebody wants to go about
doing it? Yeah, So how I always go about this
is I think every woman should have a personalized risk
(09:39):
benefit discussion, right, So it's not like everybody should be
on hormon therapy, not at all. It's nuanced conversation. So
how I approach my patients is always like what are
your goals? Right, Like, what what do you want out
of life? Like you, you know kind of you know,
similar to you, like you live an amazing, healthy life
(10:00):
doing all the things that you can, and then you
see oustopenia, right, so yeah, you probably want to do
all that you can to prevent osteoporosis, which happens in
one out of two women statistic.
Speaker 2 (10:12):
That's a really yeah, that's a really between one of us.
It's probably me, okay, because don't check your head. Arg
Okay because I'm very, I'm very I'm still not over
it when I got that results right, One out of
two is horrible statistics.
Speaker 3 (10:30):
Absolutely other statistic is one in three women will have
cardiovascular disease.
Speaker 2 (10:34):
Guy, Now that's not gonna be me, Thank God, I
hope God.
Speaker 3 (10:38):
Yeah, but that that is something that can be because
of estrogen py you know, so for cardiovascular disease, just
for example, before menopause or before fifty and I can't
remember the cutoff, men have a higher risk of cardiovascular disease,
and then around fifties. Don't quote me on the age,
but typically it's a menopausal age women start to catch
(10:58):
up to cardiovascular disease incidents. And that the idea, the
theory is because we lose estrogen, we lose.
Speaker 2 (11:06):
So I would I want to come back and talk
about that because I think that's really interesting. You know,
that's one thing we don't want to catch men from,
you know what I mean, that's not that's not one
thing we want to prevail is getting carded. We don't
want to be ahead of that. We don't want to
do that for that one thing. Okay, we're just not
going to do it. You guys can keep that one,
but absolutely you want to get some information, you can
go to my trimline dot com. You can always book
(11:28):
that free fifteen minute chat. And I'm really getting into,
you know, my Master's of psychology of you know, weight
loss and weight management. That way, we're doing a lot
of public speaking and doctor k will come with me, right,
don't you think so that's good? We love public speaking,
so definitely we'll come. We'll do luncheons and you're like,
oh my gosh, you guys might be expensive. Honestly, sometimes
we do lunch and learns for free because we really
(11:49):
like to educate people and that way you get to
know us a little bit better. So you can go
to my trimline dot com and acquire about that. We're
going to take a break and we'll be right back now.
Speaker 4 (11:57):
Back to my trim Line radio ship with Nadia here
on news radio WHV five eighty.
Speaker 2 (12:04):
Hello, welcome back, and thank you so much for listening.
I really appreciate it. I hope I just want you
to learn something. Honestly, I don't want you to journ
trim Line. I don't want you to you know what
we do. We want you to do that. We want
you to go to doctor Kse But honestly, we really
want to educate you to have a better, healthier and
totally a better quality of life. And right now I
(12:24):
have a wonderful guest. Please introduce yourself again, doctor Kase.
I'm calling you that. That's your new nickname. Now that's perfect,
it's great.
Speaker 3 (12:30):
Hi everybody, It's doctor k Strapman, physician, founder of Midlife Remedy.
Speaker 2 (12:35):
I love it. Yeah, and you're don't you say what?
It was a quadruple what.
Speaker 3 (12:39):
So I'm a quadruple board CERTI five.
Speaker 2 (12:40):
I love it. Yeah, I'm a family Medicine which is
where I've trained for most of my life.
Speaker 3 (12:45):
But I also have special certified board for obc to
Medicine colon their medicine am a Menopause Society certified.
Speaker 2 (12:53):
Very nice. Yeah, and we're talking about that. And I
know if the guys are listening to, like, ah, this
man of Oazo talk. Oh am I listening to this listening.
It gets to get you to know your wife, your
significant other, your girlfriend, your I don't know face, even daughters,
you know what I mean? Anybody you get to know
your female companion, female whatever in your life better. I mean,
(13:17):
then why wouldn't you want to know them better and
understand what they're really going through because I think it
enhances your relationship. It helps you to be able to
understand better no matter what capacity of women's in your life.
I really think it will help you, know.
Speaker 3 (13:31):
I mean, women are fifty one percent of the population.
And whenever I do talks and there are men and
the audience, I always say, I know we're going to
talk about female stuff, but men listen up exactly because
when you said you will have someone in your life
mom's sister, you know, niece, daughter, it will affect all
of us in one way or another.
Speaker 2 (13:51):
And you'll get to understand us. I mean, we do
try to understand your men. It's almost very, very difficult.
But this way you can also, you know, kind of
get to know what we're going through, especially if you
have someone a female in your life that is going
through that. And you know, pre menopause and menopause and postmenopause,
they're just all menopause that are painful. Okay, it's just
not there's no good part about it. But before we
(14:12):
got off to the commercial, we talked about treating it
with hormone replacement homotherapy, and I think I told you
it's probably about maybe three months maybe or two months.
I don't even know, actually three months that I'm taking
estradal right, I'm like, you know, And the only I
told you the main reason I wanted to do it
was for my bone density. That was the big one.
(14:33):
And obviously it has made my sleep very better. And
you said you broke that down because there's three, right,
so please explain that just what we talked about a
little bit on the break. Yeah.
Speaker 3 (14:43):
So, I mean, so there's three quote unquote sex hormones
that we talk about, but we really that's a misnomer
because there are these hormones affects every single part of
our body, a lot of cells in our body, including
your brain, heart HR. That'll be your estrogen, progesterone, and
a stosterone.
Speaker 2 (15:01):
Yeah, and do men have all three?
Speaker 1 (15:03):
Yep?
Speaker 2 (15:03):
Yep. So here's a fun fact.
Speaker 3 (15:05):
Yeah, So if you are in menopause, let's say not
you necessarily, but if you're old and you have a
male partner, that male partner will have more estrogen in
their body than the postmenopausal women.
Speaker 2 (15:19):
Isn't that crazy? That is crazy? So they're not the
more feminine, they're just that just means how deprived women
are of their estrogen. That's horrible. And then testosterone goes
down from both and especially.
Speaker 3 (15:31):
For men correct so it goes so the stosterone is
not necessarily a menopausal thing. The starstone decline is an
age related and so it equally affects men and women.
Women have one tenth of the amount of the sauceron
in our body, but even if it's less than men,
it doesn't mean it doesn't affect us.
Speaker 2 (15:50):
Absolutely no, I mean we you know, as I said,
I'm taking yours. You have to take your estrogen with
your progesterone. They have to go together.
Speaker 3 (15:57):
If you have a URUS, you need to be on
asterne to protect the urine lining. If you don't have US,
you can still take progesterone for other reasons than protecting them,
you know, for other reasons that are beneficial.
Speaker 2 (16:11):
Yeah, I have both because I still have it. So,
but we talked about testosterone, like, and that's the only
one that I'm not doing anything with, right and I
and I was saying, and you put the you know,
as I always do a layman's term, you do the
professional term. I'm like, yeah, the testogia you know, it's
like the little sex a you know, it's like where
you you know, you're like, you know, you get a
little frisky, you know. Isn't that the testosterone aspect for
women in men?
Speaker 3 (16:32):
So so let's talk about women first and then we'll
talk about so for women. Technically, testosterone is not f
DAY approved for women in the US, but it is
in other countries. Right, if we don't have an FDA
approved formulation, I should say so. But the stosterone, there
are guidelines supported reasons. The guideline supported reason for for
(16:55):
using it female dose physiologic female dose is for postman
apostles libido or hyperactive sexual disorder or HSDD. So these
are women that you know are in relationships with their
partner and you know so and now have no desire
for sex. Putting them on Stowstone improves their desire libido,
(17:17):
et cetera. But here's the thing that we always talk
about it again, we should back up and kind of
think about what are hormones. Hormones are literally messengers, right.
They're produced in one part, which is the very They
go around our body and the bloodstream and then any
cell that has a receptor, that cell will get the
message and libido or desire or sexual desire is not
(17:39):
in one corner of our brain, you know what I mean.
There are two stosterone receptors all over our brain. So
to say that it's only for libido, I think it's
kind of silly because it will also activate other parts
of our brain. So in some studies and some clinical
application that I've seen in my practice and other journal articles,
(18:02):
et cetera, is it helps with brain fog like motivation,
very nice. It helps with also muscle mass. It also
helps it bone density, so there's a lot of a
lot of ways it can also help. But the guidelines
support it.
Speaker 2 (18:18):
It's use for yeah, I mean they mainly talk about
it the libido. It helps that, which I think it's
very important in relationships.
Speaker 3 (18:24):
Honestly one percent social health is health, yes, you know,
But again the other caveat there is it's not the
only thing. Like you know, starting the saw on, it
doesn't make you have you know, immediate like desire, right,
so yeah, like you're in your twenties, right, Yeah, we
always I always describe it to my patients. It's really
that biopsychosocial approach, right, biology, psychology and social approach for
(18:48):
desire and good relationships to come back.
Speaker 2 (18:50):
And I think so, So what bothers me about what
you said is that it's not readily available for women
in the United States, Like, so can women get it?
Speaker 3 (19:01):
Yeah, so let me rephrase. So it is so there's
no f DAY approved product for women. So in my
practice when I would prescribe it, I would prescribe a
male version of cream and have my patients mcguivert or
aka micro dose it. So like one tube if it
was a male would.
Speaker 2 (19:22):
Be one day. For my female patients, I tell them
this one tube, you use it over ten days? Got it? So,
because it's not like we don't need as much as
they do.
Speaker 3 (19:32):
Correct, we're one tenth typically one tenth. But when I
say there's no if they approve a product doesn't mean
that it's not available, but it's not if they approve,
which means it's not covered by insurance of course.
Speaker 2 (19:43):
So that's the main reason as well.
Speaker 3 (19:45):
And again it's just harder because it's hard to apply
the divide one tube into ten days, So it's sometimes
can be frustrating for it.
Speaker 2 (19:56):
That is frustrating because I mean, I know there's places
that are made for men to literally get touched astrum,
you know what I mean, to have the pellets that
have the cream. There's a pellette involved. I know that
the metopa does that, so I mean there's different ways
that they can do it. And then we women have
to like take a cream and decide in our head
(20:16):
how we're going to break it down for ten days.
Speaker 3 (20:18):
Well, so technically the options are available for men, are
available for women as well, and there's different schools of
thoughts for that.
Speaker 2 (20:26):
I know there are. So basically I have to pay
out of pocket. Is that that's what it is, because
it's not it's not approved, right, It's not that it's
anything dangerous. You just basically you just have to pay
out of pocket.
Speaker 3 (20:37):
It's not dangerous, especially if you're being supported by someone
who knows what they're doing exactly and monitor that's other
key and monitored. So the goal with the stosterone therapy
is we want to give physiologic dosing. We don't want
to go super therapeutic all. So physiologic simply means giving
your body back what your body's seen before. So for example,
I'm almost fifty. If I check my level and it's
(20:58):
I checked my level before it was like fifteen or twenty,
I can't remember. That means when now it's in my twenties,
it was double that. So our goal is not to
give like make it one hundred, right, Yeah, just just
go to what you used to be. That just gives
us more likelihood for side effects, problems issues.
Speaker 2 (21:14):
So yeah, that's actually awesome. I love that. I mean,
and I think I don't know if I need to
look into that, but I think anybody out there that
is listening and you're wondering, you're wondering if I should
be on you know, estrogen or pedesterone or even testosterone,
male or female, because I think male really they get
very very affected by low testosterone. I think that's like
(21:36):
wait wise, the fogginess obviously they are sex drive, you know,
like that really affects them considerably when it's really low
for them. Do you agree?
Speaker 3 (21:44):
Yeah, and yes, it definitely affects them if you kind
of look at the symptoms that can be part of it.
Speaker 2 (21:51):
That the you know, low motivation, it's low libido etcheter. Yes, yes, yeah,
you're gonna say, okay, I'm gonna we'll take a break
because you're gonna finish that thought because you're about to
say something, you rolled your eyes and you're like, I'm
not gonna say it. Yeah, I'm going to have you
think about it on the break a little bit. And
I definitely want to know what it is. Nobody can
(22:11):
see what you did, but I just said it, and
everybody wants to know what it is. So you can
absolutely you know, doctor Case and I will love to educate.
We can come to your job, your luncheon, do whatever,
public speaking, free speaking, go to my trimline dot com.
Absolutely inquire about it and you get one on one attention.
When it comes to your weight loss, it comes to
your nutrition, it comes to anything regarding your body. We're
(22:34):
going to take a break and we'll be right back.
Speaker 3 (22:37):
Welcome back.
Speaker 4 (22:38):
This is the My trim Line Radio Show with Nadia
here on NewsRadio DOUBHB five eighty.
Speaker 2 (22:45):
Hello, welcome back, and thank you so much for listening,
and I hope you're enjoying the show so far. I
have a wonderful guest here today, very very knowledgeable. My goodness.
I love like the aspect of what you know to
what I know are two different things. And I love
it because I get very excited when you talk about things,
because you know, before I got my degree in master's
and you know in psychology, O, weait lost my management
(23:06):
and everything that I got in food science. I did
work with John Hopkins for a while, which was amazing.
I was going to be a doctor before that. But
I'm like, yeah, if I really wanted to go to
that far, and you are a doctor, So please tell
everybody introduce yourself again.
Speaker 3 (23:19):
Please, yes, hello, everybody. My name is doctor Kesa Troutman.
I am a physician, founder, the physician founder of a
practice in camp Hill called Midlife Remedy and I help
women thirty five and over understand their midlife biology.
Speaker 2 (23:31):
Yep. And we need help. We need especially, we need
all the help we need. And if you're listening, you're
tuning in now because after church some people then tune in.
You're like, well, I'm a guy, why should I be
listening to this? We said this. The more you listen
to this in a sense of it, get to know
your significant other better, the women in your life better,
because understanding each other is very very crucial. I mean
communication is extremely important. But also knowing that you know,
(23:56):
when women go through menopause or pre menopause or post menopause.
We'll not make it up. Okay, yeah, we don't. We
don't want to be miserable. Okay, I mean, I know
there's some women out there that I want to be miserable.
I get it, but most of us do not want
to be that way. And you know, you never know.
And I'll tell the story. It's like totally random. But
a couple of days ago, I went to Costco. Imagine
(24:18):
that art, I know. Don't say one word. I go
to Costco all the time. I'm a Costco edict, Okay,
but I do. But I went to Costco and I came.
I was in a hurry. I was trying to run
and pick up something and leave. Okay, it was it
was actually for my glasses, okay, because I'm going blind.
I guess I can't see. Getting older and reading are
just like very scary to me now. And I ran
in and I came around the corner a little sharp,
(24:39):
you know myself. I was walking and then this lady
with two kids. Okay, I'm gonna say fourteen fifteen whatever,
maybe sixteen seventeen, and I came in front of her.
Still a lot of space, right, It's not like I
ran into her or whatever into her cart and I
looked at it as I said, I'm really sorry, right,
and she went rolled her eyes and whatever like that,
(25:02):
and I said, and I said, how rude. And then
she goes, you didn't say that to me, did you?
I said, I said that to you exactly. I said,
you're very rude. I apologize to you, and you still
decided to give me a face and say basically crap
to me, right, And I said, you should know better
to donify your kids, right. Yeah, I mean it really
(25:22):
really upset me because you know, when you're kind and
you're trying to be and somebody's just didn't know. When
I was walking away, I'm like, there's something making her
horribly unhappy, right, Like there's triggers. Like even she was
pretty overweight. I'm not saying that was you know, she
was at least fifty sixty pounds overweight, and I'm not
trying to say that could be the reason, but I
(25:43):
feel that when somebody is that it wasn't me being
kind of going in front of her dad made her
that freaking angry, right, There's other things that compiled maybe
to her being that way, and I think part of
it could be what we women go through.
Speaker 3 (25:59):
You know, we never know what one is walking, right, Yeah,
that's that terminology. I think, like, you don't know what
but past someone is walking about.
Speaker 2 (26:06):
You're like me, don't do slangs. Okay, So well I
well you and I are, I know what to foreigners. Okay,
I can't help you. I was trying to help you,
but I'm like, I think, like, you don't walk in
somebody's shoes.
Speaker 3 (26:20):
What is it?
Speaker 2 (26:20):
I'm bad? Okay, So everybody knows I'm bad. Okay, So
what is it, Art, You're not even helping us, You're
even kind of messing me up. I did that to
Art all the time. I mess up slags. Some of
you can't be in the same shoes of someone something.
Everybody else don't judge someone unless you walk them down
their shoes something something like that. Yes, yes, and that's
(26:40):
very true. Right, So it's angry. I'm like, okay, I
don't know what she's going through. But partially going back
to the whole, and this is like for men to
know these things in the sense that we women do
go through and we kind of juggle so many things,
and to be under the stable really honestly is it's
(27:00):
really to be having compassion and having grace, having grace
for them and having grace for yourself, I think is
extremely important. Yeah. So when we look at the menopause,
because you kind of want to like the definition of it,
yeah right, Yeah, what would you say, would it be
in a sense of what we talked about on break?
Speaker 1 (27:16):
Yeah?
Speaker 3 (27:16):
So, I mean the definition of menopause is again loss
of estrogen, right, and in women we can define it
symptom wise if we.
Speaker 2 (27:26):
Have not had a period in a year. So it's
a very retrospective.
Speaker 3 (27:31):
Look like where I am now, I don't know if
I'll be in menopause, you know how, you know, like
now I'm not, meaning it's still retrospective.
Speaker 2 (27:39):
So it's not very helpful at all at this one
point in nine.
Speaker 3 (27:44):
So the average age of menopause in the US is
fifty one point five or fifty two. But here's the thing,
the heart, not that it's the one thing that a
lot of people don't understand yet, really is what perry
menopause is beforehand? You yes, yes, so there's pre menopause, perimenopause.
(28:04):
Menopause is literally one day. Menopause is literally one day
the day after menopause is your postmenopausal.
Speaker 2 (28:11):
Until like you know, whatever God wants to call you.
Speaker 3 (28:15):
Right, So, perimenopause is the years before menopause and it
can last an average of four years, but for some
women it can be ten years. And the issue with
perimenopause is it's it's not as quote unquote easy to
define because there's no blood tests to define it. And
it's not like, Okay, the descript descripture typically is irregular period,
(28:40):
but how many women don't get periods for I don't know,
an id or a blasion, et cetera. And so the
official definition is really when we start having irregular periods.
But here's what's interesting is we know menopause, perimenopause affects
more than our periods. So there's some day there's so
data just that really it's the brain symptoms anxiety, insomnia,
(29:05):
brain fog, depression. We actually call perimenopause the window of
vulnerability from a mental health anxiety depressure, especially depression. H
One article stated that, like, highest rate of suicide is
in the perimenopausal age group. And again why because we
(29:28):
have more roles, Like we're doing more things usually sandwich generation,
you're maybe taking care of younger you know people, and
then elder and then taking care of older yep, and
then life.
Speaker 2 (29:41):
I mean like working looking a job, I mean so
much pressure. And not to mention the pressure we put
on ourselves, I think, oh, yeah, the women are great
with that. We're very very good with that. So that's interesting.
That's really interesting because I think people in anybody listening
out there, the pop should research us a little bit, right,
and there is help for it, right, isn't isn't the
(30:04):
like is this a time that they can do hormone therapy?
Isn't it the best time to actually do hormone therapy?
Speaker 3 (30:11):
So I always say new ones discussion, right, but yes,
like there's some data, Like I mean I start patients
in paramounopause with hormone therapy, again depending on their history
their goals. But I have a lot of patients that
come to me and one of their top three issues
is their anxiety, mood, anger, rage, Like those are kind
of again very mental health aspect. Yes, Like people would
(30:36):
be like I never had anxiety and now I'm just
anxious all the time. Or my anxiety and depression was
well controlled for you know, since I was twenty and
now I'm just angry again, or even concentration. You know,
my ADHD was controlled, now it's not controlled. Or I've
never had ADHD and.
Speaker 2 (30:54):
Now I feel like I have ADHD.
Speaker 3 (30:57):
So again, it's the brain is affected by these hormonal
fluctuations that.
Speaker 2 (31:02):
We get in bearing. So I think that's really and
it's an individualized thing. That's why you and I both
do individualized things, like we don't we don't do groups,
we don't do whatever. We really give when I want
attention to anybody that comes to us, which I think
the brain for me, the psychology of things is just incredible.
We like, I believe in the power of the mind,
like in a big, big way, huge. And you know,
(31:24):
we talked about this, I feel like and we talked
about this over lunch when we had it. We talked
about the some break like and and I put it
probably bad terminology that I believe that people in general
are a little bit lazy, right, And you're like, well,
I don't think they're lazy, I said lazy. By I'm
not saying that. You know, you're just in a corner
not doing anything. You just get up like at noon
(31:45):
and you know, go to I'm not talking about that
kind of lazy. I'm talking about research and the sense
of what am I, what am I going through and
not listen to somebody just because oh, like I have
doctors and I know not you that tell women that
are in their fifties or six these like let's say
they gained belly fat or they're not doing themselves and
they're not themselves. They don't feel sexy, they don't feel
(32:06):
any anything mentally good. They're like, well, you know what,
you're fifty seven. I mean, doctor tells them that, well,
you know you're you're not kind of like saying this
is it, yeah, like this is it, You're fifty seven,
don't worry about it, like you know, and she goes,
I feel like I'm frumpy. You know you're fifty eight.
You know you might as well like, no, just be
good with it, just deal with it. Yeah, I mean
(32:26):
they yeah, they literally women have said to me like,
I feel frumpy and they're like, well, you know at
true age. I'm like, no, no, you should not feel
that way, and you should not any age, at any age,
and you should not allow somebody to tell you that
that's that well you really are at this age you
might as well just deal with it. To me, that
that the laziness is is. You know, when we break down,
(32:49):
and I said, this end the grade. If we break down,
I'm not going to change like you know it. Fix
my own car, I'm gonna go take it to somewhere
to fix it.
Speaker 3 (32:56):
Right.
Speaker 2 (32:57):
If my AC breaks down, I'm gonna go out there
and take some tools and try to fix it. I'm
going to call an AC person person to come and
fix it. I don't understand how we humans that are
in pain, not healthy, not happy, we don't seek help
to help ourselves, right, like go to a professional, to
you or meet to be like you know what, I
don't feel like myself and I want to come somewhere
(33:19):
where somebody understands me, give me some guidance, give me
some help, and if we're a fit, let's move on together.
Right Like, That's what I'm talking about, and I really
and you had a great point on that too. I'm
going to take a break. We're going to come back
and I want to talk about how you kind of
approach it. Like our thought process is the same. I'm
just a little bit more blunt when it comes to things.
(33:40):
And you know how we should take control and you're
definitely more medical side of it, which I absolutely love.
So you know you absolutely can hire well, we're free anyways,
but doctor Case and I would do luncheons. We'd love
to come and educate your you know, anywhere from your
luncheon to your corporation to anything that you've got. We're
going to take a break and we be right back.
Speaker 4 (34:01):
Let's get back to the My trim Line Radio show
with Nadia on Use Radio doubl HP five eighty.
Speaker 2 (34:08):
Hell, we'll come back and thank you so much for listening.
I hope you're enjoying this show so far and learning something.
We really want you to learn something. Feel motivated and
confident to make a change for the better, you know,
that's all. It is a tiny little change for the better.
And I have a wonderful guest today. I'm so happy
that you came today. Honestly, we have a good time
and time goes by so quickly. Yes, doctor Case, please
(34:29):
tell everybody again last time introduced yourself.
Speaker 3 (34:31):
This is it? Yeah, Hi everybody, I'm doctor Kase Trauman
and I have a practice called Midlife Remedy where I
help women thirty five and over understand their.
Speaker 2 (34:40):
Midlife biology, which is important because honestly, we women go
through a lot and we've been talking about pre perry
menopause and a menopause and postmenopause, right, I mean there's
a lot of versions of that darn menopause going on, right, Okay,
and too, and we'll talked about before the break. I
(35:00):
feel like people should take more initiative. I'll take the
word lazy out of there. Take take more initiative to
find things out for themselves, right, Yeah, to help themselves. Yeah.
And the biggest thing is I think most humans feel
like they should be able to do it on their own. Yeah.
I think.
Speaker 3 (35:18):
I think when it comes to health, right, like, because
for example, like ac, like I know I don't know
how to fix my ac, but how to eat better
or how to like I don't know, handle stress. Sometimes
I think we just think we should be and and
for some people.
Speaker 2 (35:34):
They definitely can.
Speaker 3 (35:35):
But I think, you know, for some if they're struggling
and it's been going on for a while, I think
it would be a smart decision right to kind of
ask for help.
Speaker 2 (35:47):
And the one thing I will say.
Speaker 3 (35:48):
About this about this kind of thought process too, is
especially for women, we are told by providers or by
society that this is normal.
Speaker 2 (35:59):
Like you like your point earlier, like this is me crazy.
Speaker 3 (36:02):
Yeah. So it's like if the message of your provider
or your your peers is like this is part of aging,
welcome to the club, this is normal, and you normalize
that this metabolic dysfunction, then sometimes people will be like, Okay,
if this is normal, Dan, this is it? Yeah yeah,
but so I think part of it is like we
(36:23):
need to recognize it. It is not normal, right, And
then you have a you you can't do something like
you were saying earlier and that there are strategies. There
are so many ways that you can approach whatever it
is that you're struggling with, whether it's mental health or physical.
Speaker 2 (36:37):
Health, especially mental health. Like if you're struggling mental health, right, so,
whether you have lost weight and you have to wait
what would be the shots or not shots? That in
itself is a challenging thing. If you always overweight and
now you're not overweight, I mean that psychologically you need
to deal with that. You feel like and I'm happy,
(36:58):
I'm great, I'm off medications, I'm what I want to wear.
There is a psychology behind that that let's say you're
overweight and now you're not right. Yeah, there's a lot
that goes with it. You know, when I was overweight,
I mean I know exactly how it was and how
people looked at me, how guys talk to me. You know,
how I went through school to then when I lost
my weight, and how change things changed.
Speaker 3 (37:21):
It was.
Speaker 2 (37:21):
It was very much a psychological change because now you know,
it's getting attention or I could, you know, wear things
that I typically would never even imagine wearing. I mean,
there's a lot. I can go on and on about
what happened. So I really believe that. And when somebody
says we'll come to the club, No, there's no club.
There's the club of being frumpy when you're overweight. That
(37:41):
that club should not exist. Okay, I think that club
needs to go away.
Speaker 3 (37:45):
And more to your point to for someone who like
if someone came from a higher weight set point and
now is in a lower weight yes, psychologically absolutely there's that,
but also biologically absolutely definitely, And you may know this
as much like I know you know this, like your
body is fighting a different set point, a different biology
(38:08):
than someone who's never been overweight.
Speaker 2 (38:10):
Yeah, I mean it's an answer your body. We humans
want to protect ourselves. So when we're if our body
thinks like it's starving itself or you're losing weight, it's
going to fight you. It's going to absolutely fight you.
So it's not that you're doing anything wrong. You just
you have to actually learn to eat healthy, eat more,
not eat less right and for your body absolutely and
(38:31):
then and if you're on the weight loss shots, you
really need to learn. I can't stress this enough to
eat healthy just because you're losing weight and you come
off whatever ABC medication because of the weight loss. The
weight loss made you come off of your blood pressure medication,
your clash flow medication or a ONEZ went down right
the weight loss? Does it not so much that you
(38:52):
nutritionally did it sound to lose the weight?
Speaker 1 (38:55):
You know?
Speaker 2 (38:55):
So to me, those are two different things. Like you
can lose weight and those your muscle man and then
come off all those medications, but it doesn't mean that
you nourish your body the right way and you got
the right nourishments and minerals and kept your muscle mass
and did it in a healthy way. Right, So those
are there's very very different variables on how to lose
weight and then how to deal with it and to
(39:17):
do it in a way that is healthy, that's nutritionally
sound right.
Speaker 3 (39:22):
I didn't want to say this is where you and
I will usually have our discussion and sticking points. Yeah,
because for me, definitely, if I start someone on a
medication and they are medically appropriate for that medication, there's
biology at lay. So it's probably not somebody I would
say you should get off of the medicine.
Speaker 2 (39:40):
Oh yeah, yeah, So.
Speaker 3 (39:42):
But I understand your point where it's not just eating less,
it's supporting your body in the right way because you
kind of need all the nutrient.
Speaker 2 (39:49):
Yeah, even if you're micro managing GLP ones right microding,
thank you Mike for dosing it, you still need to
learn how to eat health health. You cannot be just
meant That's what I'm saying. You know, even when people
were taking diabetes shots or you know whatever insulant, you
still need to kind of, of course try to do
something a little bit healthy.
Speaker 3 (40:09):
Eating less oreos, right, Like you have to eat like
your protein, your fiber, drink your water, so yes, and
a lot of a lot of oreos.
Speaker 2 (40:19):
But I've added not an oreo in a long time.
I love it in milk. By the way, if I'm
going to have it, the milk better be there. I'm
not going to eat a dry oreo. Okay, that's all
I'm not gonna do. But that is yummy. You know
you made me get so. Anyways, the thing is is
that I think that we need to put things into
perspective and even if you're microdocing, even if you have
(40:40):
to be on thyroum medication, which I fully understand that
you know there's certain medications you have to be on,
you should still do things to make it healthy around it.
I think that's what I'm talking about, right.
Speaker 3 (40:51):
And again the idea, Yes, weight loss is a goal,
but living healthier and you and I have the same
very must.
Speaker 2 (40:58):
It's like the still live healthy.
Speaker 3 (41:01):
The goal is to like live longer lives, healthier lives
where you're doing more things and not just be girled
in a corner, you know, like when you're older, Like
that's a miserable.
Speaker 2 (41:10):
Oh yeah, but even I mean there are a lot
of unhealthy active people out there.
Speaker 4 (41:15):
Right.
Speaker 2 (41:16):
The key is is how help, how healthy, how how
happy are you in your life? Like your quality of
your life I think is extremely important and that belongs
to you, Like, take initiative to make the quality of
your life better. I'm not saying, b you don't need
to be one hundred and fifteen pounds and six pack
abs or you know, a muscle bound whatever energy person.
(41:39):
I'm saying to just be at a quality of life
that you can say, you know what, I don't need
to be old and frumpy, right, don't And I don't
have to like feel like I don't want to be
intimate with my significant other because I just can't handle it.
It just it's not I don't have it. It's not
in me. I think. I think we need to research
and be able to be like, you know what, how
(42:00):
can I make the quality of my life God given
for I have another ten another fifteen years to live?
How can I make that better? And that takes initiative
to do so. Yeah, And the way you get to
decide exactly what it's in your hands. It's in your hands,
and it doesn't you don't. You can totally get help,
you know, if you can't do it on your own,
if you've been saying it, I'm going to lose weight
(42:21):
on my own. I'm going to eat better. On my own,
I'm going to mentally make myself healthier whatever, and it
hasn't happened. My point is, go get help. Yeah right,
that's why we're here. That's exactly what it is. I mean,
I go, I get professional help for a lot of things,
you know, whether it's my car, whether it's my ac
whether I go to the gym, to somebody to hold
me accountable. I mean, you name it. I do that,
(42:43):
and I want to urge people out there to do
that for themselves because I think that is what truly
changes the path that you're on. I mean, I think
that's my point, yep.
Speaker 3 (42:54):
I mean one hundred percent, you know, I mean same.
I invest for my own health. That's how I look
at it.
Speaker 2 (43:00):
Whether it's coaching, whether it's counseling, anything. I agree see
that it is an investment in yourself. And that's what
I want people to totally understand. You are investing in yourself,
in your future, not who you are right now, but
who you're going to be in five years from now,
ten years from now. That's what you're investing in you
when you look at it at this point, See, I
love it. I know you and I agreed on a lot.
(43:22):
You and I have a different perspective, but we absolutely
believe the same thing. And it actually makes sense because
you know, you're you're a doctor, you do that side
of it. I don't. I'm not that right. I'm totally
a psychology the totally. We're totally too different, but very
much the same and we believe in the same thing.
So I want to thank you so much for coming today.
I really appreciate it, and I hope everybody reaches out
(43:43):
to you and please say the name of your place
one more time and that way people can listen.
Speaker 3 (43:48):
Absolutely so my practice is Midlife Remedy r e md Y.
You can also follow me in social same tag Midlife
Remedy on Facebook, Instagram, and tikto.
Speaker 2 (43:57):
Thank you so much, and I hope everybody out there listening.
Go to mitrum dot dot com and you can absolutely
get more information. Have a wonderful Sunday.
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