WEBVTT 1 00:00:00.240 --> 00:00:04.919 You're all the same age, do y'all look the same? No? Right, 2 00:00:05.040 --> 00:00:08.039 health risks you know, X, Y and Z, so like, 3 00:00:08.160 --> 00:00:12.039 don't use age as a reason that you can or 4 00:00:12.080 --> 00:00:17.440 can't do and do anything. It's it's very paternalistic, it's 5 00:00:17.760 --> 00:00:22.160 very not individualized. It's a stupid way to think about things. 6 00:00:23.559 --> 00:00:26.120 Hi everyone, my name is Haley and this is Laura 7 00:00:26.359 --> 00:00:32.320 and welcome to the Body Pod. So welcome everyone to 8 00:00:32.439 --> 00:00:35.479 this bonus zoom with doctor Kelly Casperson. 9 00:00:35.679 --> 00:00:36.679 I'm so excited. 10 00:00:36.799 --> 00:00:40.240 Kelly is as I just mentioned, a good time all 11 00:00:40.280 --> 00:00:44.039 around in person on a zoom. We love her. So 12 00:00:44.520 --> 00:00:46.640 we're gonna get right to the questions. 13 00:00:46.719 --> 00:00:47.000 Kelly. 14 00:00:47.159 --> 00:00:49.920 Welcome, thank you for having me, Happy to be here, 15 00:00:49.960 --> 00:00:52.280 happy to be back. Welcome everybody. 16 00:00:52.759 --> 00:00:54.000 We love having you back. 17 00:00:54.880 --> 00:00:55.520 As usual. 18 00:00:55.640 --> 00:00:58.200 We will try to take some questions at the end 19 00:00:58.399 --> 00:01:00.079 if we have time, but I'm going to get to 20 00:01:00.119 --> 00:01:03.200 all of the questions first that you all have submitted. 21 00:01:03.320 --> 00:01:09.239 So question number one, can bag EFM help improve increased 22 00:01:09.400 --> 00:01:13.280 urge for urination. I don't have incontinence issues, but find 23 00:01:13.319 --> 00:01:16.439 I can increase frequency avoiding in the last year. 24 00:01:16.920 --> 00:01:20.400 Yes, that is like I'm like, I'm usually like I 25 00:01:20.519 --> 00:01:22.719 just have very long answers, usually because I want to 26 00:01:22.719 --> 00:01:24.400 like explain why and all these things. But I'm like 27 00:01:24.400 --> 00:01:26.280 then he can't get through all the questions, like that's 28 00:01:26.280 --> 00:01:26.840 a yes. 29 00:01:27.120 --> 00:01:30.000 Okay, Well we only have like thirty four, which I 30 00:01:30.000 --> 00:01:34.560 mean is not a small amount, but it's not like, Okay. 31 00:01:34.400 --> 00:01:36.239 We'll do yes and knows where we where we can? 32 00:01:36.480 --> 00:01:40.560 Is that yeah? Perfect? Yes? Absolutely? Badge em for the 33 00:01:40.560 --> 00:01:43.719 wind for the bladders. Also decreases urinary tract infection and 34 00:01:43.760 --> 00:01:46.239 burning with urination and bladder leakage and getting up at 35 00:01:46.280 --> 00:01:46.599 night top. 36 00:01:47.480 --> 00:01:52.200 Okay, So let's go into how is that different than 37 00:01:52.359 --> 00:01:55.000 like just using like vaginal estrogen. 38 00:01:55.640 --> 00:01:57.439 Badge of M is vaginal estrogen. 39 00:01:58.079 --> 00:02:00.480 Oh okay, I was like, that's it's new to me. 40 00:02:00.519 --> 00:02:03.000 I've never heard that that name. 41 00:02:03.680 --> 00:02:07.319 There's a lot of different names. The generic is estra dial. 42 00:02:07.480 --> 00:02:10.639 And how does that compare if you have like leakage 43 00:02:10.800 --> 00:02:16.280 or anything to like the what did you tell me 44 00:02:16.319 --> 00:02:17.280 to take that one time? 45 00:02:17.400 --> 00:02:20.240 The or the were we talking about mir Betrick? 46 00:02:20.479 --> 00:02:24.639 No, the injections, what are the injections checked for? Oh? 47 00:02:24.719 --> 00:02:29.400 Bulkhamd ulkamid okay ulkamed Okay. Well, now we're in the 48 00:02:29.439 --> 00:02:33.199 middle of this conversation. Okay, So bladder leakage is complex 49 00:02:33.280 --> 00:02:35.439 and there are multiple types of bladder leakage. And for 50 00:02:35.479 --> 00:02:37.879 everybody who doesn't know, I'm a urologist, which is why 51 00:02:38.000 --> 00:02:40.240 I get to say all these things because I'm like 52 00:02:40.319 --> 00:02:43.840 the most trained in bladders besides pelvic floor physical therapists 53 00:02:44.080 --> 00:02:48.000 who are also awesome. So there's two main types of 54 00:02:48.000 --> 00:02:52.759 bladder leakage. Urge, which is overactive bladder, urgency frequency, leak 55 00:02:52.840 --> 00:02:55.479 with leak just getting your pants down, leak out of 56 00:02:55.479 --> 00:02:57.319 the way to the toilet, leak with the key in 57 00:02:57.360 --> 00:03:01.439 the door. Urgency that's overactive bladder. And then there's stress 58 00:03:01.479 --> 00:03:05.719 in continence, which is leaking with cough sneezed, laugh a force. 59 00:03:06.360 --> 00:03:10.280 So bulkamed is basically filler for the errethra. If you 60 00:03:10.280 --> 00:03:13.199 think of filler for your cheeks or your lips, it 61 00:03:13.240 --> 00:03:16.560 is filler for your urethra that insurance covers and that 62 00:03:16.680 --> 00:03:21.199 helps with stress in continence so cough sneezed, laugh filler. 63 00:03:21.319 --> 00:03:25.080 Bulkamed does not help with overactive bladder, which is urgency 64 00:03:25.159 --> 00:03:29.080 frequency getting up at night to pe leak with that. 65 00:03:29.240 --> 00:03:33.199 But botox, which we think of in our face botox 66 00:03:33.639 --> 00:03:38.680 in the bladder is for overactive bladder urgency frequency. So 67 00:03:38.759 --> 00:03:42.680 to narrow that down, stress in continents, bulkamed urgent continents, 68 00:03:42.719 --> 00:03:47.159 overactive bladder, botox, pelvic floor physical therapy both of them, 69 00:03:47.719 --> 00:03:50.560 vaginal estrogen both of them, and if you have both 70 00:03:50.560 --> 00:03:52.360 of them, if I leak when I cough, and I 71 00:03:52.400 --> 00:03:55.080 also have urgency frequency, when you have both, it's called 72 00:03:55.199 --> 00:03:59.439 mixed incontinence. Pelvic floor physical therapy works awesome for it 73 00:04:00.080 --> 00:04:01.080 win that I win. 74 00:04:01.319 --> 00:04:04.639 Know where the botox is getting inserted when you do 75 00:04:04.680 --> 00:04:06.560 it in the good question. 76 00:04:06.840 --> 00:04:10.840 So urologists will take a flexible camera digital camera after 77 00:04:10.879 --> 00:04:14.400 they've numbed up your bladder with numbing jelly, flexible camera 78 00:04:14.520 --> 00:04:18.560 into the bladder and directly injected into the bladder muscle. 79 00:04:19.040 --> 00:04:22.160 That bladder muscle is what gets spastic with overactive bladder. 80 00:04:22.639 --> 00:04:26.560 So in the bladder outpatient procedure besides the numbing part, 81 00:04:27.040 --> 00:04:31.120 takes two minutes. I love botox for in the bladder 82 00:04:31.120 --> 00:04:34.920 because it's so easy, it's painless, and women do really 83 00:04:34.959 --> 00:04:37.480 great with it. It's been after you approved since twenty thirteen, 84 00:04:37.879 --> 00:04:40.560 so it's like not new at this point. Just nobody 85 00:04:40.560 --> 00:04:41.120 knows about it. 86 00:04:41.519 --> 00:04:44.480 Okay, I'm gonna try it because I've been scared to 87 00:04:44.680 --> 00:04:45.560 try it for you. 88 00:04:45.680 --> 00:04:49.240 Have a good urologist near Denver. I do, She'll do. 89 00:04:49.439 --> 00:04:51.720 She'll give us the bladder Boutique. How cute? Does that? 90 00:04:51.720 --> 00:04:53.000 That like makes you want to go in? 91 00:04:53.199 --> 00:04:55.959 No, it's so good, doctor Alex Rogers, for anybody in 92 00:04:56.000 --> 00:04:58.040 the foothills of. 93 00:04:58.000 --> 00:04:59.959 Colorado, He's fantastic. 94 00:05:00.040 --> 00:05:03.800 Okay, let's move on to there's so much discussion on 95 00:05:03.879 --> 00:05:08.519 perimenopause right now. But what does postmenopause look like, what 96 00:05:08.720 --> 00:05:10.720 happens in this stage of life, and how does it 97 00:05:10.759 --> 00:05:12.639 affect the fitness journey? 98 00:05:13.519 --> 00:05:16.600 Love that and this will be the next forty five minutes, 99 00:05:17.000 --> 00:05:20.360 just kidding. So to define things for people, because these 100 00:05:20.360 --> 00:05:23.600 words get thrown around and you've really got to define them. 101 00:05:23.879 --> 00:05:27.120 So the word menopause was made up hundreds of years 102 00:05:27.120 --> 00:05:30.240 ago by a male physician, and it means one year 103 00:05:30.319 --> 00:05:33.399 with no natural periods. So at the three hundred and 104 00:05:33.439 --> 00:05:37.040 sixty sixth day after you had your last period, that 105 00:05:37.160 --> 00:05:40.720 is your official menopause day. In the years leading up 106 00:05:40.759 --> 00:05:44.519 to that, when the ovaries are fluctuating in their horrmone production, 107 00:05:44.639 --> 00:05:48.240 that is called peri menopause perry, meaning surrounding, but we 108 00:05:48.360 --> 00:05:51.720 usually mean like the before of menopause. So let's say 109 00:05:51.720 --> 00:05:54.199 it's been six months since you had a natural period, 110 00:05:54.399 --> 00:05:57.680 that's perimenopause. You're not officially in menopause until you've had 111 00:05:57.680 --> 00:06:02.199 no period for one year. The bummer with that is 112 00:06:02.240 --> 00:06:05.920 two things. Number One, one third of American women don't 113 00:06:05.920 --> 00:06:11.920 have natural periods. What they have iud's hysterectomies, uterine oblations, 114 00:06:12.639 --> 00:06:14.240 or they just get pregnant really late and then never 115 00:06:14.240 --> 00:06:17.360 have a period again. Right, So it's a bad definition 116 00:06:17.480 --> 00:06:20.079 because one third of women don't have a period to 117 00:06:20.120 --> 00:06:22.079 be like, let me check, let's see where this is 118 00:06:23.199 --> 00:06:26.800 birth control pills, right. And then the other bummer with 119 00:06:26.839 --> 00:06:31.240 that word is that it tells you what happens as 120 00:06:31.279 --> 00:06:36.000 a result of what's actually happening. Let me explain that 121 00:06:37.319 --> 00:06:40.560 the word menopause means one you're no period. Well, what's 122 00:06:40.600 --> 00:06:43.480 happening in your life isn't just your periods running out? 123 00:06:43.639 --> 00:06:46.560 You have no periods because your hormones are low, and 124 00:06:46.639 --> 00:06:49.839 so a lot of women think menopause just means no periods. 125 00:06:50.040 --> 00:06:54.319 That's actually a consequence of what's actually happening, which is 126 00:06:54.399 --> 00:06:57.519 you are outliving your ovaries. So just like when we 127 00:06:57.560 --> 00:07:00.319 outlive our eyes, we get glasses. We outlive our ears, 128 00:07:00.360 --> 00:07:02.399 we get hearing aids. We outlive our teeth, we get 129 00:07:02.439 --> 00:07:04.759 implants or dental work. We outlive our knee, we get 130 00:07:04.759 --> 00:07:07.680 a knee replacement. We outlive our heart valve, we get 131 00:07:07.720 --> 00:07:10.800 a heart valve replacement. I'm building this up to say, 132 00:07:11.319 --> 00:07:14.639 why the one organ when we outlive it, we don't 133 00:07:14.639 --> 00:07:18.680 replace it. Start thinking about things like that because people 134 00:07:18.680 --> 00:07:21.879 will say they'll shame women into not seeking health care 135 00:07:22.000 --> 00:07:27.120 by saying menopause is natural. Yes, it is natural. So 136 00:07:27.279 --> 00:07:30.319 is childbirth, so is breaking a bone. And we don't 137 00:07:30.319 --> 00:07:32.800 tell people just to deal with it. We help them 138 00:07:32.839 --> 00:07:35.560 out with it. So that's how I like to think 139 00:07:35.600 --> 00:07:40.240 about this, and like to think about how we encourage 140 00:07:40.279 --> 00:07:42.759 women to seek help or not, and how we shame 141 00:07:42.839 --> 00:07:45.439 them and tell them they should X, Y and z 142 00:07:46.199 --> 00:07:49.000 instead of saying, well, we replace all other body parts 143 00:07:49.040 --> 00:07:52.160 if we can, including testicles. About twenty percent of men 144 00:07:52.240 --> 00:07:55.800 will outlive the life span of their testicles, and we 145 00:07:56.079 --> 00:07:58.959 don't tell them it's natural. We say, oh, we've got 146 00:07:59.000 --> 00:08:02.600 totosterone options for that. So if I could change anything, 147 00:08:02.639 --> 00:08:05.759 it would be in getting women to understand what this 148 00:08:05.959 --> 00:08:08.800 actually is because so many women just think it's a 149 00:08:08.800 --> 00:08:13.319 hot flash or no periods. Those are the consequences of 150 00:08:13.759 --> 00:08:16.560 no hormones. So that's why we always got it. I 151 00:08:16.600 --> 00:08:19.040 always have to start with definitions because there's a lot 152 00:08:19.120 --> 00:08:21.680 of assumptions of what it is if we don't kind 153 00:08:21.680 --> 00:08:23.519 of clear it up in the beginning. So the question 154 00:08:23.800 --> 00:08:28.120 was how does that affect training going forward? And the 155 00:08:28.160 --> 00:08:32.399 other one other definition post menopause. What's that mean? Postmenopause 156 00:08:32.440 --> 00:08:35.840 means all the days after that one day after year, 157 00:08:35.960 --> 00:08:38.960 no periods for one year, right, so if you haven't 158 00:08:38.960 --> 00:08:42.000 had any periods for a year and two days, you're 159 00:08:42.039 --> 00:08:46.919 technically post menopause. But the problem with the language of 160 00:08:47.120 --> 00:08:52.159 postmenopause is women think they're over something, or they're through something, 161 00:08:52.600 --> 00:08:56.840 or like now things don't don't mean them, or something 162 00:08:56.879 --> 00:09:00.080 like that. But every single day after a year of 163 00:09:00.159 --> 00:09:04.000 no periods, you have low hormones. So there's no over menopause. 164 00:09:04.039 --> 00:09:07.519 There's no done with menopause. You always will have low 165 00:09:07.559 --> 00:09:11.080 hormones until you die unless you choose to replace them. 166 00:09:11.519 --> 00:09:13.720 So to get women to think this is you living 167 00:09:13.799 --> 00:09:17.360 longer than your ovary life span, we live longer than 168 00:09:17.440 --> 00:09:20.080 lots of body parts. The only difference is we replace 169 00:09:20.279 --> 00:09:23.120 all the other body parts. We just kind of shame 170 00:09:23.200 --> 00:09:27.480 women when it comes to replacing ovarian hormones. But we 171 00:09:27.519 --> 00:09:33.080 replace thyroid, we replace insulin, we replace joints and ligaments 172 00:09:33.080 --> 00:09:36.159 and heart valves and teeth and eyes and ears. That's 173 00:09:36.200 --> 00:09:40.799 a very natural thing to replace what we've outlived. And 174 00:09:40.879 --> 00:09:43.080 I really want people to think about that. And the 175 00:09:43.120 --> 00:09:45.320 other thing I say in my book is I'm not 176 00:09:45.320 --> 00:09:46.639 here to tell you what to do. I don't care 177 00:09:46.679 --> 00:09:48.679 if you go on hormones. Frankly, like I don't care 178 00:09:49.120 --> 00:09:51.919 your body not mine. I make my choices, you make yours. 179 00:09:52.320 --> 00:09:55.039 But I do care desperately that you're educated about it 180 00:09:55.279 --> 00:09:57.840 and you can make an educated decision in what you 181 00:09:57.960 --> 00:10:00.320 want to do, and you're not making a disc vision 182 00:10:00.519 --> 00:10:04.200 from fear or for lack of education. And that's what 183 00:10:04.639 --> 00:10:06.679 my book is about. And after you read the book, 184 00:10:06.679 --> 00:10:09.120 you'll be like I likely we'll be choosing hormones now, 185 00:10:09.120 --> 00:10:11.440 thank you very much, because we have decades of data 186 00:10:11.519 --> 00:10:15.000 on how they help us. So what do hormones do 187 00:10:15.159 --> 00:10:17.399 and how is this tie to the question hormones and 188 00:10:17.399 --> 00:10:20.440 the hormone receptors are in every single organ in your body, 189 00:10:21.360 --> 00:10:26.200 and hormones help healthy cells stay healthy. What does that mean? 190 00:10:26.480 --> 00:10:29.159 That means that they don't do so good at treating 191 00:10:29.240 --> 00:10:32.480 disease once you have it, they work much better in 192 00:10:32.799 --> 00:10:36.840 preventing disease. So we know that women who choose not 193 00:10:37.000 --> 00:10:41.440 to take hormones postmenopause have a higher risk of osteoarthritis. Well, 194 00:10:41.440 --> 00:10:44.600 that affects your training, doesn't it. Women who choose not 195 00:10:44.720 --> 00:10:47.679 to be on hormones have a higher rate of bone fracture. Well, 196 00:10:47.679 --> 00:10:50.519 that affects your training, doesn't it. Women who choose not 197 00:10:50.639 --> 00:10:52.799 to be on hormones have a higher rate of insulin 198 00:10:52.879 --> 00:10:57.879 resistance and diabetes and depression. Oh, well, that all affects 199 00:10:57.919 --> 00:11:00.799 your training, doesn't it. So you'll you'll hear people and 200 00:11:00.840 --> 00:11:04.120 be like, hormones doesn't don't specifically help your muscles grow, well, 201 00:11:04.159 --> 00:11:08.200 not if you don't work your muscles and feed your muscles, right, 202 00:11:08.399 --> 00:11:12.039 But hormones help heal healthy muscles stay healthy, and we 203 00:11:12.080 --> 00:11:16.240 have some decent data that the hormones can help muscles grow, 204 00:11:16.480 --> 00:11:19.919 but not without eating well and training them. So you 205 00:11:19.919 --> 00:11:21.759 can't just like throw on an estrogen patch or t 206 00:11:21.840 --> 00:11:24.559 stostroone and like get beautiful biceps, you actually have to 207 00:11:24.600 --> 00:11:28.759 do the work. But all hormones do is help healthy 208 00:11:28.919 --> 00:11:33.759 cells stay healthy. So of course that likely will help 209 00:11:33.799 --> 00:11:34.320 your training. 210 00:11:34.440 --> 00:11:35.639 Okay, so how is that? 211 00:11:35.639 --> 00:11:37.200 That was long? But we had to do some we 212 00:11:37.240 --> 00:11:39.000 had to do some definitions. 213 00:11:38.919 --> 00:11:39.960 We had to I love it. 214 00:11:41.360 --> 00:11:45.480 Where do you see the research going in the next 215 00:11:45.879 --> 00:11:50.440 I don't know, let's say through until twenty thirty, so we. 216 00:11:50.360 --> 00:11:54.039 Have maybe four years of research. 217 00:11:54.120 --> 00:11:59.240 Do you do you foresee any more research looking into 218 00:12:00.080 --> 00:12:05.080 you know, potential muscle benefits, more bone studies. 219 00:12:05.519 --> 00:12:07.120 Where do you see the research going? 220 00:12:07.480 --> 00:12:10.639 What I see happening right now, that's happening pretty fast 221 00:12:10.840 --> 00:12:15.080 is brain, brain, brain, brain, And I think this is 222 00:12:15.080 --> 00:12:17.759 my my prediction. I won't take bets on it, but 223 00:12:17.840 --> 00:12:21.240 my prediction is within five years we're going to pretty 224 00:12:21.240 --> 00:12:24.600 confidently say yeah, this stuff prevents dementia on a much more. 225 00:12:24.960 --> 00:12:27.039 We've got pretty decent data that we can say it 226 00:12:27.120 --> 00:12:30.679 right now, but we're getting stronger and stronger on that data. 227 00:12:31.279 --> 00:12:33.320 And so to me, I'm like, listen, if you're sitting 228 00:12:33.360 --> 00:12:37.639 around waiting for the another thirty year study, you're gonna 229 00:12:37.639 --> 00:12:39.840 be dead by then, right, Like we're not dead, but 230 00:12:39.919 --> 00:12:42.279 like too old to prevent the dementia. So we have 231 00:12:42.360 --> 00:12:44.200 to use the data that we have right now to 232 00:12:44.240 --> 00:12:46.679 make the best decisions. And the way that the data 233 00:12:46.720 --> 00:12:49.360 on the brain is going within a couple of years, 234 00:12:49.399 --> 00:12:51.440 it's going to be pretty solid that if you start 235 00:12:51.440 --> 00:12:53.840 this stuff early, you're going to have a significant dementia 236 00:12:53.879 --> 00:12:57.200 prevention on your side. And so for me, I'm like, listen, 237 00:12:57.240 --> 00:12:59.799 wait around if you want for that data. But like 238 00:13:00.200 --> 00:13:03.399 all arrows are pointing in that direction, So why wouldn't 239 00:13:03.440 --> 00:13:06.399 you start now? I think that's going to be a 240 00:13:06.440 --> 00:13:09.480 lot more than muscle and bone. I mean, the bone 241 00:13:09.559 --> 00:13:11.320 data we already know. Like to me, I'm like, there's 242 00:13:11.360 --> 00:13:14.320 no more research that needs to be done to show 243 00:13:14.399 --> 00:13:18.159 the protective benefits on bone at this point, Like everybody 244 00:13:18.200 --> 00:13:22.360 knows that, and I think the way we're seeing more 245 00:13:22.480 --> 00:13:26.440 midlife women train, there will probably be more and better 246 00:13:26.559 --> 00:13:29.919 data on muscle. But again, muscle, muscle builds not on 247 00:13:30.000 --> 00:13:33.399 hormones alone, right, So it's like you've got to lift heavy, 248 00:13:33.440 --> 00:13:35.919 you've got to eat, you've got to sleep, Like so 249 00:13:36.080 --> 00:13:38.080 much has to be right for a muscle to grow. 250 00:13:38.799 --> 00:13:42.679 But can people grow muscles without being on hormones. Absolutely, yes, 251 00:13:42.759 --> 00:13:45.480 because it takes many things to get muscles to grow. 252 00:13:46.360 --> 00:13:49.799 But yeah, it's okay, the data's coming. But you know, 253 00:13:49.840 --> 00:13:52.080 the argument is like, we don't have a randomized placebo 254 00:13:52.120 --> 00:13:55.039 control trial looking at prevention, and it's like, oh, did 255 00:13:55.080 --> 00:13:56.600 you do you have a billion dollars to cough that 256 00:13:56.679 --> 00:14:01.279 up to have? Like that statement is so pointless because 257 00:14:01.279 --> 00:14:03.879 of what it costs to do a long term, randomized 258 00:14:03.919 --> 00:14:05.799 we'll seeble control trial. It's like, you got to make 259 00:14:05.840 --> 00:14:08.200 the decision with the data we have now, because it's 260 00:14:08.320 --> 00:14:11.639 unrealistic to wait for some philanthropists to give you a 261 00:14:11.639 --> 00:14:12.960 billion dollars to study this. 262 00:14:13.840 --> 00:14:16.960 Yeah. Yeah, I mean that's that's the big problem with 263 00:14:17.039 --> 00:14:20.879 a lot of research or lack of research. It's the 264 00:14:20.960 --> 00:14:22.799 timing and the money. Yep. 265 00:14:23.799 --> 00:14:24.159 Okay. 266 00:14:24.240 --> 00:14:27.559 So if we move on to what are the three 267 00:14:28.559 --> 00:14:34.039 bogus or grifty claims products slash treatments women should be 268 00:14:34.159 --> 00:14:37.799 wary of. I am a woman's health NP and have 269 00:14:37.960 --> 00:14:39.879 taken the Heather Hirsh course. 270 00:14:40.080 --> 00:14:41.039 Unfortunately, good job. 271 00:14:41.919 --> 00:14:45.559 A lot of women in this very vulnerable time of 272 00:14:45.600 --> 00:14:48.320 life getting taken advantage of. And I want to be 273 00:14:48.639 --> 00:14:52.279 more educated around the things that are being peddled that 274 00:14:52.480 --> 00:14:55.759 just aren't as effective but cost a lot of money. 275 00:14:56.080 --> 00:15:01.519 Yes, very expensive red light vibrator, that's a thing. Yes, 276 00:15:01.559 --> 00:15:02.639 I won't name any names. 277 00:15:02.759 --> 00:15:03.759 Okay, that's one. 278 00:15:04.759 --> 00:15:07.840 But if it's a big ass hard plastic vibrator with 279 00:15:07.879 --> 00:15:11.480 red light therapy on it and it's hundreds of dollars, 280 00:15:11.759 --> 00:15:14.320 don't buy it. Please do, please do not put this 281 00:15:14.360 --> 00:15:16.600 clip on social media. But you can put it on 282 00:15:16.600 --> 00:15:21.080 your podcast. That's fine. But that's specifically. So that's one 283 00:15:21.120 --> 00:15:25.919 that really bothers me. What else? What other myths really 284 00:15:25.919 --> 00:15:28.639 bother me? I don't know. I mean, here's the thing. 285 00:15:29.600 --> 00:15:34.480 People complain when nobody's supporting women, supporting women's needs, supporting 286 00:15:34.480 --> 00:15:37.200 women's products, supporting women's research. We get all cranky when 287 00:15:37.240 --> 00:15:39.600 people aren't doing that. And then when people are like 288 00:15:39.879 --> 00:15:42.519 female owned company trying to help women, to support women, 289 00:15:42.600 --> 00:15:45.440 and here's some products to help women, we're like grifters, right, Like, 290 00:15:45.720 --> 00:15:47.960 you can't have both. You can't have people not in 291 00:15:48.080 --> 00:15:50.120 this space, and then a bunch of people in this space, 292 00:15:51.440 --> 00:15:53.639 you know what I'm saying. So it's like, I truly 293 00:15:53.720 --> 00:15:55.960 believe a lot of people are trying to help women 294 00:15:56.000 --> 00:15:58.840 with women's problems. So I was at I was at 295 00:15:58.840 --> 00:16:03.120 this entrepreneurial thing in Seattle, and somebody came up and 296 00:16:03.200 --> 00:16:07.039 they are developing a cooling vest, like it's like a 297 00:16:07.039 --> 00:16:10.320 sports bra thing and it helps cool you. And I'm like, great, well, 298 00:16:10.360 --> 00:16:12.720 you know if you go on hormones that treats hot 299 00:16:12.720 --> 00:16:15.720 flashes by ninety percent, Like, I'm literally trying to put 300 00:16:15.720 --> 00:16:18.759 your product out of business. And she had no idea 301 00:16:18.840 --> 00:16:22.360 that hormones treat that problem so well, So I'm like, 302 00:16:22.519 --> 00:16:25.879 why are you developing a product that, like I am 303 00:16:25.919 --> 00:16:27.399 trying to I'm trying to put you out of business 304 00:16:27.399 --> 00:16:30.000 because if women actually were on hormones, they're not going 305 00:16:30.080 --> 00:16:32.919 to have hot flashes. They don't need your product, right, 306 00:16:33.000 --> 00:16:36.200 So it's that's the thing, is like, don't don't create 307 00:16:36.240 --> 00:16:38.879 a product for like something that if you actually helped 308 00:16:38.879 --> 00:16:40.320 the woman, they wouldn't have that problem. 309 00:16:40.440 --> 00:16:44.279 Yeah, I think so. I was just at the I 310 00:16:44.320 --> 00:16:46.159 don't know wherever I thought you were going to be, 311 00:16:46.240 --> 00:16:46.879 but you weren't there. 312 00:16:47.440 --> 00:16:49.000 In plain what. 313 00:16:50.480 --> 00:16:53.840 Hers remember I saw I did with you the week 314 00:16:53.879 --> 00:16:55.519 before and I was like, I don't know, I was 315 00:16:55.559 --> 00:16:56.240 going to go to this. 316 00:16:56.159 --> 00:16:59.159 One conference that you were at. Yeah, I canceled that 317 00:16:59.200 --> 00:17:00.519 one and went to the South Run in New York. 318 00:17:00.559 --> 00:17:02.679 Honey, but this. 319 00:17:02.600 --> 00:17:06.240 One like we got this whole bag of goodies, you 320 00:17:06.240 --> 00:17:08.880 know at the end. But half of these products there 321 00:17:08.960 --> 00:17:11.559 was like some this is what I think of when 322 00:17:11.599 --> 00:17:14.759 I think of like grifter products. It was like some 323 00:17:15.039 --> 00:17:19.000 tea and it was like, you know, this will take 324 00:17:19.039 --> 00:17:23.440 away cellulite and boost your energy. And I'm like, this 325 00:17:23.480 --> 00:17:25.799 is just not getting. 326 00:17:25.440 --> 00:17:27.440 This at a menopause conference. 327 00:17:27.440 --> 00:17:29.640 And then there was some like there was some like 328 00:17:29.880 --> 00:17:32.400 neck roll that's supposed to like I don't know, take 329 00:17:32.519 --> 00:17:33.640 years off whatever. 330 00:17:33.680 --> 00:17:36.119 I've been trying it. It's not working right. 331 00:17:36.160 --> 00:17:39.200 But those things, of all of these products that are 332 00:17:39.240 --> 00:17:42.880 now targeted to women in this age group that it's 333 00:17:42.960 --> 00:17:44.279 like come. 334 00:17:44.119 --> 00:17:46.720 On, well yeah, but I yeah, I agree. And I 335 00:17:46.720 --> 00:17:51.279 think women are vulnerable because they're undertreated. They feel miserable. 336 00:17:52.079 --> 00:17:55.000 They think there's a quick fix, because that's the American 337 00:17:55.079 --> 00:17:57.759 dream is to have a quick fix to everything. Is like, 338 00:17:58.279 --> 00:18:01.480 can I do something besides exercise, please? It's like no, 339 00:18:01.599 --> 00:18:03.119 at the end of the day, Like at the end 340 00:18:03.119 --> 00:18:06.240 of the day, there's like nothing actually better than exercise. 341 00:18:06.279 --> 00:18:09.519 And here I am. I prescribe hormones for a living 342 00:18:09.599 --> 00:18:11.839 I am a physician. I know so much about hormones. 343 00:18:11.839 --> 00:18:13.880 I wrote a book on it. My podcast is mostly 344 00:18:13.920 --> 00:18:19.559 about hormones. And nothing is better than exercise. Nothing is 345 00:18:19.599 --> 00:18:22.200 better than exercise. If you were like Kelly, you could 346 00:18:22.279 --> 00:18:24.200 wear an estrogen patch for the rest of your life 347 00:18:24.799 --> 00:18:27.920 and not exercise, or you could exercise and not have hormones. 348 00:18:28.000 --> 00:18:31.680 Like pick the exercise and that and hormones do a lot, 349 00:18:32.480 --> 00:18:34.599 but nothing is better than exercise. So like to me, 350 00:18:34.640 --> 00:18:36.680 I'm like, are all these products just trying to get 351 00:18:36.680 --> 00:18:39.799 women to like they're like, can I do something besides exercise? 352 00:18:40.480 --> 00:18:41.839 Like we exercise? 353 00:18:42.000 --> 00:18:45.880 There's nothing better, There's nothing better. That's the tagline of 354 00:18:45.880 --> 00:18:47.599 the night. Okay, that's a USU. 355 00:18:47.559 --> 00:18:51.400 You should brand that Kelly Bapcot Fitness. There's nothing to exercise, 356 00:18:51.559 --> 00:18:52.480 There's nothing better. 357 00:18:53.000 --> 00:18:56.720 Yes, yes, Well think if something happens on the end, 358 00:18:56.720 --> 00:18:59.880 and it will, it will go Okay. So, twelve years 359 00:19:00.079 --> 00:19:04.720 post MENO, sixty six years old osteoporosis, want to start 360 00:19:04.799 --> 00:19:09.400 transdermal low dose HRT but also have moderate calcium plaque. 361 00:19:09.400 --> 00:19:11.359 I feel like it's a toss up fall and break 362 00:19:11.359 --> 00:19:15.200 a hip versus heart attack. Thoughts on starting HRT. I 363 00:19:15.240 --> 00:19:17.359 do train with a trainer three times a week. 364 00:19:17.640 --> 00:19:21.160 I love it. So make sure you're lifting and that 365 00:19:21.240 --> 00:19:23.720 you're eating enough proteins you can build your bones back. 366 00:19:23.960 --> 00:19:27.359 Everybody thinks, here's another myth. Everybody thinks that a bone 367 00:19:27.440 --> 00:19:31.599 is like a fixed rod that never changes. Like bones 368 00:19:31.759 --> 00:19:35.359 change depending upon the stress put upon them. Why do 369 00:19:35.359 --> 00:19:37.720 you think astronauts can't walk when they come back from 370 00:19:37.720 --> 00:19:41.279 the International Space Station? Right, It's like because bones and 371 00:19:41.319 --> 00:19:46.240 muscles change because of their environment. So it all is 372 00:19:46.279 --> 00:19:48.720 not lost if you aren't on hormones. And I always 373 00:19:48.720 --> 00:19:51.160 just want to say that, you know, because people are like, 374 00:19:51.160 --> 00:19:54.759 but I can't take hormones. The majority, and I will 375 00:19:54.799 --> 00:19:56.519 put I will put a ton of money on this. 376 00:19:57.599 --> 00:20:00.599 The majority of people who think they can't take hormones 377 00:20:00.599 --> 00:20:04.039 are wrong. I will repeat that, the majority of people 378 00:20:04.039 --> 00:20:08.039 who think they can't take hormones are wrong. Now you 379 00:20:08.119 --> 00:20:13.160 need a qualified, trained hormone practitioner who knows that the 380 00:20:13.880 --> 00:20:17.039 age greater than ten years postmenopause, you can't take hormones. 381 00:20:17.119 --> 00:20:19.720 That is a myth. It's not true. If you read, 382 00:20:19.759 --> 00:20:21.720 I would say it's this is free online for anybody 383 00:20:21.720 --> 00:20:27.720 who's a baild NERD twenty twenty two menopause guidelines. It 384 00:20:27.839 --> 00:20:32.559 says benefit outweighs the risk if you start within ten 385 00:20:32.640 --> 00:20:36.440 years of your last period, benefit out weighs the risk. 386 00:20:36.960 --> 00:20:41.680 You need to know how strong how strongly worded that is. 387 00:20:42.160 --> 00:20:46.240 Medical system doesn't say that for many things the benefit 388 00:20:46.519 --> 00:20:51.839 out weighs the risk. That is a massive statement. Okay, 389 00:20:52.319 --> 00:20:57.319 now it's ten years and one day since your last period. 390 00:20:57.519 --> 00:21:00.519 Did something magically change on that one day? Right? You 391 00:21:00.559 --> 00:21:03.759 can see how arbitrary that ten year rule is. Okay, 392 00:21:03.799 --> 00:21:07.680 so nine years and eleven months before you're after your period, 393 00:21:07.960 --> 00:21:10.759 that's fine, and then ten years and one month after 394 00:21:10.759 --> 00:21:14.440 your period, that's not fine. Like, think about this logically, 395 00:21:14.519 --> 00:21:16.119 it makes no sense. But they drew a line in 396 00:21:16.160 --> 00:21:17.440 the sand. You gotta draw a line in the sand 397 00:21:17.440 --> 00:21:22.440 somewhere and say after ten years, risk is individualized, benefits individualized. 398 00:21:22.839 --> 00:21:25.839 Consult with an expert. A lot of people who aren't experts, 399 00:21:25.880 --> 00:21:28.240 they say that means you can't have any hormones after 400 00:21:28.240 --> 00:21:32.119 ten years. No, No, what it means coronary artery calcium score, 401 00:21:32.160 --> 00:21:34.839