Speaker 1: You're all the same age, do y'all look the same? No? Right,
Speaker 1: health risks you know, X, Y and Z, so like,
Speaker 1: don't use age as a reason that you can or
Speaker 1: can't do and do anything. It's it's very paternalistic, it's
Speaker 1: very not individualized. It's a stupid way to think about things.
Speaker 2: Hi everyone, my name is Haley and this is Laura
Speaker 2: and welcome to the Body Pod. So welcome everyone to
Speaker 2: this bonus zoom with doctor Kelly Casperson.
Speaker 3: I'm so excited.
Speaker 2: Kelly is as I just mentioned, a good time all
Speaker 2: around in person on a zoom. We love her. So
Speaker 2: we're gonna get right to the questions.
Speaker 3: Kelly.
Speaker 1: Welcome, thank you for having me, Happy to be here,
Speaker 1: happy to be back. Welcome everybody.
Speaker 3: We love having you back.
Speaker 1: As usual.
Speaker 2: We will try to take some questions at the end
Speaker 2: if we have time, but I'm going to get to
Speaker 2: all of the questions first that you all have submitted.
Speaker 2: So question number one, can bag EFM help improve increased
Speaker 2: urge for urination. I don't have incontinence issues, but find
Speaker 2: I can increase frequency avoiding in the last year.
Speaker 1: Yes, that is like I'm like, I'm usually like I
Speaker 1: just have very long answers, usually because I want to
Speaker 1: like explain why and all these things. But I'm like
Speaker 1: then he can't get through all the questions, like that's
Speaker 1: a yes.
Speaker 2: Okay, Well we only have like thirty four, which I
Speaker 2: mean is not a small amount, but it's not like, Okay.
Speaker 1: We'll do yes and knows where we where we can?
Speaker 1: Is that yeah? Perfect? Yes? Absolutely? Badge em for the
Speaker 1: wind for the bladders. Also decreases urinary tract infection and
Speaker 1: burning with urination and bladder leakage and getting up at
Speaker 1: night top.
Speaker 2: Okay, So let's go into how is that different than
Speaker 2: like just using like vaginal estrogen.
Speaker 1: Badge of M is vaginal estrogen.
Speaker 2: Oh okay, I was like, that's it's new to me.
Speaker 2: I've never heard that that name.
Speaker 1: There's a lot of different names. The generic is estra dial.
Speaker 2: And how does that compare if you have like leakage
Speaker 2: or anything to like the what did you tell me
Speaker 2: to take that one time?
Speaker 1: The or the were we talking about mir Betrick?
Speaker 2: No, the injections, what are the injections checked for? Oh?
Speaker 1: Bulkhamd ulkamid okay ulkamed Okay. Well, now we're in the
Speaker 1: middle of this conversation. Okay, So bladder leakage is complex
Speaker 1: and there are multiple types of bladder leakage. And for
Speaker 1: everybody who doesn't know, I'm a urologist, which is why
Speaker 1: I get to say all these things because I'm like
Speaker 1: the most trained in bladders besides pelvic floor physical therapists
Speaker 1: who are also awesome. So there's two main types of
Speaker 1: bladder leakage. Urge, which is overactive bladder, urgency frequency, leak
Speaker 1: with leak just getting your pants down, leak out of
Speaker 1: the way to the toilet, leak with the key in
Speaker 1: the door. Urgency that's overactive bladder. And then there's stress
Speaker 1: in continence, which is leaking with cough sneezed, laugh a force.
Speaker 1: So bulkamed is basically filler for the errethra. If you
Speaker 1: think of filler for your cheeks or your lips, it
Speaker 1: is filler for your urethra that insurance covers and that
Speaker 1: helps with stress in continence so cough sneezed, laugh filler.
Speaker 1: Bulkamed does not help with overactive bladder, which is urgency
Speaker 1: frequency getting up at night to pe leak with that.
Speaker 1: But botox, which we think of in our face botox
Speaker 1: in the bladder is for overactive bladder urgency frequency. So
Speaker 1: to narrow that down, stress in continents, bulkamed urgent continents,
Speaker 1: overactive bladder, botox, pelvic floor physical therapy both of them,
Speaker 1: vaginal estrogen both of them, and if you have both
Speaker 1: of them, if I leak when I cough, and I
Speaker 1: also have urgency frequency, when you have both, it's called
Speaker 1: mixed incontinence. Pelvic floor physical therapy works awesome for it
Speaker 1: win that I win.
Speaker 2: Know where the botox is getting inserted when you do
Speaker 2: it in the good question.
Speaker 1: So urologists will take a flexible camera digital camera after
Speaker 1: they've numbed up your bladder with numbing jelly, flexible camera
Speaker 1: into the bladder and directly injected into the bladder muscle.
Speaker 1: That bladder muscle is what gets spastic with overactive bladder.
Speaker 1: So in the bladder outpatient procedure besides the numbing part,
Speaker 1: takes two minutes. I love botox for in the bladder
Speaker 1: because it's so easy, it's painless, and women do really
Speaker 1: great with it. It's been after you approved since twenty thirteen,
Speaker 1: so it's like not new at this point. Just nobody
Speaker 1: knows about it.
Speaker 2: Okay, I'm gonna try it because I've been scared to
Speaker 2: try it for you.
Speaker 1: Have a good urologist near Denver. I do, She'll do.
Speaker 3: She'll give us the bladder Boutique. How cute? Does that?
Speaker 3: That like makes you want to go in?
Speaker 1: No, it's so good, doctor Alex Rogers, for anybody in
Speaker 1: the foothills of.
Speaker 3: Colorado, He's fantastic.
Speaker 2: Okay, let's move on to there's so much discussion on
Speaker 2: perimenopause right now. But what does postmenopause look like, what
Speaker 2: happens in this stage of life, and how does it
Speaker 2: affect the fitness journey?
Speaker 1: Love that and this will be the next forty five minutes,
Speaker 1: just kidding. So to define things for people, because these
Speaker 1: words get thrown around and you've really got to define them.
Speaker 1: So the word menopause was made up hundreds of years
Speaker 1: ago by a male physician, and it means one year
Speaker 1: with no natural periods. So at the three hundred and
Speaker 1: sixty sixth day after you had your last period, that
Speaker 1: is your official menopause day. In the years leading up
Speaker 1: to that, when the ovaries are fluctuating in their horrmone production,
Speaker 1: that is called peri menopause perry, meaning surrounding, but we
Speaker 1: usually mean like the before of menopause. So let's say
Speaker 1: it's been six months since you had a natural period,
Speaker 1: that's perimenopause. You're not officially in menopause until you've had
Speaker 1: no period for one year. The bummer with that is
Speaker 1: two things. Number One, one third of American women don't
Speaker 1: have natural periods. What they have iud's hysterectomies, uterine oblations,
Speaker 1: or they just get pregnant really late and then never
Speaker 1: have a period again. Right, So it's a bad definition
Speaker 1: because one third of women don't have a period to
Speaker 1: be like, let me check, let's see where this is
Speaker 1: birth control pills, right. And then the other bummer with
Speaker 1: that word is that it tells you what happens as
Speaker 1: a result of what's actually happening. Let me explain that
Speaker 1: the word menopause means one you're no period. Well, what's
Speaker 1: happening in your life isn't just your periods running out?
Speaker 1: You have no periods because your hormones are low, and
Speaker 1: so a lot of women think menopause just means no periods.
Speaker 1: That's actually a consequence of what's actually happening, which is
Speaker 1: you are outliving your ovaries. So just like when we
Speaker 1: outlive our eyes, we get glasses. We outlive our ears,
Speaker 1: we get hearing aids. We outlive our teeth, we get
Speaker 1: implants or dental work. We outlive our knee, we get
Speaker 1: a knee replacement. We outlive our heart valve, we get
Speaker 1: a heart valve replacement. I'm building this up to say,
Speaker 1: why the one organ when we outlive it, we don't
Speaker 1: replace it. Start thinking about things like that because people
Speaker 1: will say they'll shame women into not seeking health care
Speaker 1: by saying menopause is natural. Yes, it is natural. So
Speaker 1: is childbirth, so is breaking a bone. And we don't
Speaker 1: tell people just to deal with it. We help them
Speaker 1: out with it. So that's how I like to think
Speaker 1: about this, and like to think about how we encourage
Speaker 1: women to seek help or not, and how we shame
Speaker 1: them and tell them they should X, Y and z
Speaker 1: instead of saying, well, we replace all other body parts
Speaker 1: if we can, including testicles. About twenty percent of men
Speaker 1: will outlive the life span of their testicles, and we
Speaker 1: don't tell them it's natural. We say, oh, we've got
Speaker 1: totosterone options for that. So if I could change anything,
Speaker 1: it would be in getting women to understand what this
Speaker 1: actually is because so many women just think it's a
Speaker 1: hot flash or no periods. Those are the consequences of
Speaker 1: no hormones. So that's why we always got it. I
Speaker 1: always have to start with definitions because there's a lot
Speaker 1: of assumptions of what it is if we don't kind
Speaker 1: of clear it up in the beginning. So the question
Speaker 1: was how does that affect training going forward? And the
Speaker 1: other one other definition post menopause. What's that mean? Postmenopause
Speaker 1: means all the days after that one day after year,
Speaker 1: no periods for one year, right, so if you haven't
Speaker 1: had any periods for a year and two days, you're
Speaker 1: technically post menopause. But the problem with the language of
Speaker 1: postmenopause is women think they're over something, or they're through something,
Speaker 1: or like now things don't don't mean them, or something
Speaker 1: like that. But every single day after a year of
Speaker 1: no periods, you have low hormones. So there's no over menopause.
Speaker 1: There's no done with menopause. You always will have low
Speaker 1: hormones until you die unless you choose to replace them.
Speaker 1: So to get women to think this is you living
Speaker 1: longer than your ovary life span, we live longer than
Speaker 1: lots of body parts. The only difference is we replace
Speaker 1: all the other body parts. We just kind of shame
Speaker 1: women when it comes to replacing ovarian hormones. But we
Speaker 1: replace thyroid, we replace insulin, we replace joints and ligaments
Speaker 1: and heart valves and teeth and eyes and ears. That's
Speaker 1: a very natural thing to replace what we've outlived. And
Speaker 1: I really want people to think about that. And the
Speaker 1: other thing I say in my book is I'm not
Speaker 1: here to tell you what to do. I don't care
Speaker 1: if you go on hormones. Frankly, like I don't care
Speaker 1: your body not mine. I make my choices, you make yours.
Speaker 1: But I do care desperately that you're educated about it
Speaker 1: and you can make an educated decision in what you
Speaker 1: want to do, and you're not making a disc vision
Speaker 1: from fear or for lack of education. And that's what
Speaker 1: my book is about. And after you read the book,
Speaker 1: you'll be like I likely we'll be choosing hormones now,
Speaker 1: thank you very much, because we have decades of data
Speaker 1: on how they help us. So what do hormones do
Speaker 1: and how is this tie to the question hormones and
Speaker 1: the hormone receptors are in every single organ in your body,
Speaker 1: and hormones help healthy cells stay healthy. What does that mean?
Speaker 1: That means that they don't do so good at treating
Speaker 1: disease once you have it, they work much better in
Speaker 1: preventing disease. So we know that women who choose not
Speaker 1: to take hormones postmenopause have a higher risk of osteoarthritis. Well,
Speaker 1: that affects your training, doesn't it. Women who choose not
Speaker 1: to be on hormones have a higher rate of bone fracture. Well,
Speaker 1: that affects your training, doesn't it. Women who choose not
Speaker 1: to be on hormones have a higher rate of insulin
Speaker 1: resistance and diabetes and depression. Oh, well, that all affects
Speaker 1: your training, doesn't it. So you'll you'll hear people and
Speaker 1: be like, hormones doesn't don't specifically help your muscles grow, well,
Speaker 1: not if you don't work your muscles and feed your muscles, right,
Speaker 1: But hormones help heal healthy muscles stay healthy, and we
Speaker 1: have some decent data that the hormones can help muscles grow,
Speaker 1: but not without eating well and training them. So you
Speaker 1: can't just like throw on an estrogen patch or t
Speaker 1: stostroone and like get beautiful biceps, you actually have to
Speaker 1: do the work. But all hormones do is help healthy
Speaker 1: cells stay healthy. So of course that likely will help
Speaker 1: your training.
Speaker 3: Okay, so how is that?
Speaker 1: That was long? But we had to do some we
Speaker 1: had to do some definitions.
Speaker 3: We had to I love it.
Speaker 2: Where do you see the research going in the next
Speaker 2: I don't know, let's say through until twenty thirty, so we.
Speaker 3: Have maybe four years of research.
Speaker 2: Do you do you foresee any more research looking into
Speaker 2: you know, potential muscle benefits, more bone studies.
Speaker 3: Where do you see the research going?
Speaker 1: What I see happening right now, that's happening pretty fast
Speaker 1: is brain, brain, brain, brain, And I think this is
Speaker 1: my my prediction. I won't take bets on it, but
Speaker 1: my prediction is within five years we're going to pretty
Speaker 1: confidently say yeah, this stuff prevents dementia on a much more.
Speaker 1: We've got pretty decent data that we can say it
Speaker 1: right now, but we're getting stronger and stronger on that data.
Speaker 1: And so to me, I'm like, listen, if you're sitting
Speaker 1: around waiting for the another thirty year study, you're gonna
Speaker 1: be dead by then, right, Like we're not dead, but
Speaker 1: like too old to prevent the dementia. So we have
Speaker 1: to use the data that we have right now to
Speaker 1: make the best decisions. And the way that the data
Speaker 1: on the brain is going within a couple of years,
Speaker 1: it's going to be pretty solid that if you start
Speaker 1: this stuff early, you're going to have a significant dementia
Speaker 1: prevention on your side. And so for me, I'm like, listen,
Speaker 1: wait around if you want for that data. But like
Speaker 1: all arrows are pointing in that direction, So why wouldn't
Speaker 1: you start now? I think that's going to be a
Speaker 1: lot more than muscle and bone. I mean, the bone
Speaker 1: data we already know. Like to me, I'm like, there's
Speaker 1: no more research that needs to be done to show
Speaker 1: the protective benefits on bone at this point, Like everybody
Speaker 1: knows that, and I think the way we're seeing more
Speaker 1: midlife women train, there will probably be more and better
Speaker 1: data on muscle. But again, muscle, muscle builds not on
Speaker 1: hormones alone, right, So it's like you've got to lift heavy,
Speaker 1: you've got to eat, you've got to sleep, Like so
Speaker 1: much has to be right for a muscle to grow.
Speaker 1: But can people grow muscles without being on hormones. Absolutely, yes,
Speaker 1: because it takes many things to get muscles to grow.
Speaker 1: But yeah, it's okay, the data's coming. But you know,
Speaker 1: the argument is like, we don't have a randomized placebo
Speaker 1: control trial looking at prevention, and it's like, oh, did
Speaker 1: you do you have a billion dollars to cough that
Speaker 1: up to have? Like that statement is so pointless because
Speaker 1: of what it costs to do a long term, randomized
Speaker 1: we'll seeble control trial. It's like, you got to make
Speaker 1: the decision with the data we have now, because it's
Speaker 1: unrealistic to wait for some philanthropists to give you a
Speaker 1: billion dollars to study this.
Speaker 2: Yeah. Yeah, I mean that's that's the big problem with
Speaker 2: a lot of research or lack of research. It's the
Speaker 2: timing and the money. Yep.
Speaker 3: Okay.
Speaker 2: So if we move on to what are the three
Speaker 2: bogus or grifty claims products slash treatments women should be
Speaker 2: wary of. I am a woman's health NP and have
Speaker 2: taken the Heather Hirsh course.
Speaker 1: Unfortunately, good job.
Speaker 2: A lot of women in this very vulnerable time of
Speaker 2: life getting taken advantage of. And I want to be
Speaker 2: more educated around the things that are being peddled that
Speaker 2: just aren't as effective but cost a lot of money.
Speaker 1: Yes, very expensive red light vibrator, that's a thing. Yes,
Speaker 1: I won't name any names.
Speaker 2: Okay, that's one.
Speaker 1: But if it's a big ass hard plastic vibrator with
Speaker 1: red light therapy on it and it's hundreds of dollars,
Speaker 1: don't buy it. Please do, please do not put this
Speaker 1: clip on social media. But you can put it on
Speaker 1: your podcast. That's fine. But that's specifically. So that's one
Speaker 1: that really bothers me. What else? What other myths really
Speaker 1: bother me? I don't know. I mean, here's the thing.
Speaker 1: People complain when nobody's supporting women, supporting women's needs, supporting
Speaker 1: women's products, supporting women's research. We get all cranky when
Speaker 1: people aren't doing that. And then when people are like
Speaker 1: female owned company trying to help women, to support women,
Speaker 1: and here's some products to help women, we're like grifters, right, Like,
Speaker 1: you can't have both. You can't have people not in
Speaker 1: this space, and then a bunch of people in this space,
Speaker 1: you know what I'm saying. So it's like, I truly
Speaker 1: believe a lot of people are trying to help women
Speaker 1: with women's problems. So I was at I was at
Speaker 1: this entrepreneurial thing in Seattle, and somebody came up and
Speaker 1: they are developing a cooling vest, like it's like a
Speaker 1: sports bra thing and it helps cool you. And I'm like, great, well,
Speaker 1: you know if you go on hormones that treats hot
Speaker 1: flashes by ninety percent, Like, I'm literally trying to put
Speaker 1: your product out of business. And she had no idea
Speaker 1: that hormones treat that problem so well, So I'm like,
Speaker 1: why are you developing a product that, like I am
Speaker 1: trying to I'm trying to put you out of business
Speaker 1: because if women actually were on hormones, they're not going
Speaker 1: to have hot flashes. They don't need your product, right,
Speaker 1: So it's that's the thing, is like, don't don't create
Speaker 1: a product for like something that if you actually helped
Speaker 1: the woman, they wouldn't have that problem.
Speaker 2: Yeah, I think so. I was just at the I
Speaker 2: don't know wherever I thought you were going to be,
Speaker 2: but you weren't there.
Speaker 1: In plain what.
Speaker 2: Hers remember I saw I did with you the week
Speaker 2: before and I was like, I don't know, I was
Speaker 2: going to go to this.
Speaker 3: One conference that you were at. Yeah, I canceled that
Speaker 3: one and went to the South Run in New York.
Speaker 1: Honey, but this.
Speaker 2: One like we got this whole bag of goodies, you
Speaker 2: know at the end. But half of these products there
Speaker 2: was like some this is what I think of when
Speaker 2: I think of like grifter products. It was like some
Speaker 2: tea and it was like, you know, this will take
Speaker 2: away cellulite and boost your energy. And I'm like, this
Speaker 2: is just not getting.
Speaker 3: This at a menopause conference.
Speaker 2: And then there was some like there was some like
Speaker 2: neck roll that's supposed to like I don't know, take
Speaker 2: years off whatever.
Speaker 3: I've been trying it. It's not working right.
Speaker 2: But those things, of all of these products that are
Speaker 2: now targeted to women in this age group that it's
Speaker 2: like come.
Speaker 1: On, well yeah, but I yeah, I agree. And I
Speaker 1: think women are vulnerable because they're undertreated. They feel miserable.
Speaker 1: They think there's a quick fix, because that's the American
Speaker 1: dream is to have a quick fix to everything. Is like,
Speaker 1: can I do something besides exercise, please? It's like no,
Speaker 1: at the end of the day, Like at the end
Speaker 1: of the day, there's like nothing actually better than exercise.
Speaker 1: And here I am. I prescribe hormones for a living
Speaker 1: I am a physician. I know so much about hormones.
Speaker 1: I wrote a book on it. My podcast is mostly
Speaker 1: about hormones. And nothing is better than exercise. Nothing is
Speaker 1: better than exercise. If you were like Kelly, you could
Speaker 1: wear an estrogen patch for the rest of your life
Speaker 1: and not exercise, or you could exercise and not have hormones.
Speaker 1: Like pick the exercise and that and hormones do a lot,
Speaker 1: but nothing is better than exercise. So like to me,
Speaker 1: I'm like, are all these products just trying to get
Speaker 1: women to like they're like, can I do something besides exercise?
Speaker 1: Like we exercise?
Speaker 2: There's nothing better, There's nothing better. That's the tagline of
Speaker 2: the night. Okay, that's a USU.
Speaker 1: You should brand that Kelly Bapcot Fitness. There's nothing to exercise,
Speaker 1: There's nothing better.
Speaker 2: Yes, yes, Well think if something happens on the end,
Speaker 2: and it will, it will go Okay. So, twelve years
Speaker 2: post MENO, sixty six years old osteoporosis, want to start
Speaker 2: transdermal low dose HRT but also have moderate calcium plaque.
Speaker 2: I feel like it's a toss up fall and break
Speaker 2: a hip versus heart attack. Thoughts on starting HRT. I
Speaker 2: do train with a trainer three times a week.
Speaker 1: I love it. So make sure you're lifting and that
Speaker 1: you're eating enough proteins you can build your bones back.
Speaker 1: Everybody thinks, here's another myth. Everybody thinks that a bone
Speaker 1: is like a fixed rod that never changes. Like bones
Speaker 1: change depending upon the stress put upon them. Why do
Speaker 1: you think astronauts can't walk when they come back from
Speaker 1: the International Space Station? Right, It's like because bones and
Speaker 1: muscles change because of their environment. So it all is
Speaker 1: not lost if you aren't on hormones. And I always
Speaker 1: just want to say that, you know, because people are like,
Speaker 1: but I can't take hormones. The majority, and I will
Speaker 1: put I will put a ton of money on this.
Speaker 1: The majority of people who think they can't take hormones
Speaker 1: are wrong. I will repeat that, the majority of people
Speaker 1: who think they can't take hormones are wrong. Now you
Speaker 1: need a qualified, trained hormone practitioner who knows that the
Speaker 1: age greater than ten years postmenopause, you can't take hormones.
Speaker 1: That is a myth. It's not true. If you read,
Speaker 1: I would say it's this is free online for anybody
Speaker 1: who's a baild NERD twenty twenty two menopause guidelines. It
Speaker 1: says benefit outweighs the risk if you start within ten
Speaker 1: years of your last period, benefit out weighs the risk.
Speaker 1: You need to know how strong how strongly worded that is.
Speaker 1: Medical system doesn't say that for many things the benefit
Speaker 1: out weighs the risk. That is a massive statement. Okay,
Speaker 1: now it's ten years and one day since your last period.
Speaker 1: Did something magically change on that one day? Right? You
Speaker 1: can see how arbitrary that ten year rule is. Okay,
Speaker 1: so nine years and eleven months before you're after your period,
Speaker 1: that's fine, and then ten years and one month after
Speaker 1: your period, that's not fine. Like, think about this logically,
Speaker 1: it makes no sense. But they drew a line in
Speaker 1: the sand. You gotta draw a line in the sand
Speaker 1: somewhere and say after ten years, risk is individualized, benefits individualized.
Speaker 1: Consult with an expert. A lot of people who aren't experts,
Speaker 1: they say that means you can't have any hormones after
Speaker 1: ten years. No, No, what it means coronary artery calcium score,
Speaker 1: which is what that woman said. There is no coronary
Speaker 1: artery calcium score at which hormones are contraindicated. You need
Speaker 1: an expert to be able to know that though you
Speaker 1: have risk, you have risk, you're older and you haven't
Speaker 1: bet on hormones for ten years, there's risk, that risk
Speaker 1: is very minimal, especially with a transdermal lessure dial path,
Speaker 1: so you need to see an expert. Doctors are getting
Speaker 1: trained faster than they ever have, doctors, nurse practitioners PAS,
Speaker 1: and everybody who can prescribe. But they're still behind, but
Speaker 1: they're catching up. And the boomers. I have a chapter
Speaker 1: in my boot called the Boomers Are Pissed. I have
Speaker 1: a podcast episode called the Boomers Are Pissed because the
Speaker 1: boomers were average age fifty one in two thousand and
Speaker 1: two when the media scared all the women about their
Speaker 1: hormones and said hormones cause heart disease and breast cancer.
Speaker 1: They do not, but they didn't get their hormones. And
Speaker 1: they're fifty one and now they're seventy and they're pissed
Speaker 1: because they didn't get them then and now they think
Speaker 1: they can't get them now. About a third of my
Speaker 1: practice is perimenopause. Because perimenopause it's a very symptomatic state
Speaker 1: because it's reverse puberty, right, hormones up and down, up
Speaker 1: and down, up and down. I would argue that's the
Speaker 1: hardest part to treat because you're you're on a boat
Speaker 1: on a wavy water. Postmenopause, you don't have any hormones.
Speaker 1: There's no waves anymore. We just get to fill the boat, right,
Speaker 1: So a third is perimenopause, a third is average menopause
Speaker 1: fifty one year olds, and then a third of my
Speaker 1: practice is women in their seventies because they're pissed because
Speaker 1: their friends are breaking hips, they've got osteoporosis and osteopedia.
Speaker 1: They've been told they can't have hormones and they want
Speaker 1: a chance. So if you don't have an informed doctor,
Speaker 1: you go to MIDI, go to Alloy, go to joy JOI.
Speaker 1: There's lots of online clinics now that see women in
Speaker 1: most states. And I always say, have a warm audience.
Speaker 1: Right If your doctor doesn't prescribe hormones and isn't up
Speaker 1: to date on all of this, that's not a really
Speaker 1: warm audience. But these online clinics they prescribe hormones as
Speaker 1: a business. That's their business. It's a warm audience, so
Speaker 1: check them out.
Speaker 2: Okay, perfect, All right, So next question I've learned recently
Speaker 2: that with menopause it is common. This is like the
Speaker 2: question of the night kell You're gonna love this one.
Speaker 2: It is common that there is a thinning of the labia.
Speaker 2: This in turn makes this tissue very easily irritated during
Speaker 2: any type of friction while exercising, running, cycling, swimming. Have
Speaker 2: unfortunately been dealing with this for the past few years
Speaker 2: as a woman who exercises daily. Do you have any
Speaker 2: suggestions to alleviate this problem?
Speaker 1: Yes, fix it.
Speaker 3: With vaginal estrogen, with hormones.
Speaker 1: So people like again, it's it's health literacy, right, Like
Speaker 1: your labia and your clitteris, and your volva and your
Speaker 1: vagina and your bladder for that matter, all became adult
Speaker 1: structures because of hormones. It's no mystery. If you know
Speaker 1: what menopause is. You living longer than the production of
Speaker 1: your ovarian hormones. So if you know what that is,
Speaker 1: And now you say, oh, the things that required hormones
Speaker 1: to be functional are changing because the hormones are gone. Yes, oh,
Speaker 1: replace the hormones. So I mean it gets bad. You know,
Speaker 1: people joke, Oh, show, what's a little vaginal dryness? Blah blah,
Speaker 1: Like these women can't sit. They can't sit. Every time
Speaker 1: they pee, they have to like spray their whole perineum
Speaker 1: with water because it burns so much. They want to cry.
Speaker 1: They've stopped having sex years ago. Like this is a
Speaker 1: massively big, painful problem, and women get dismissed all the
Speaker 1: time because of it. But it's like, this is a
Speaker 1: legitimate issue. So hormones, hormones, hormones, hormones. See somebody who's
Speaker 1: trained in a good pelvic exam, who can see what's
Speaker 1: going on. There's lots of different options. There's they're cheap
Speaker 1: Mark Cuban costs plus drugs vaginal estrogen thirteen dollars plus shipping.
Speaker 1: Do not be I always tell all my patients you
Speaker 1: should not be paying more than thirty or forty dollars
Speaker 1: for your vaginal estrogen cream. I can get it for
Speaker 1: thirteen dollars Mark Cuban, Pharmacy, Generic better around Forever.
Speaker 2: Skin care for down there, Skin care for down there.
Speaker 3: I learned that from you. Okay.
Speaker 2: So, if someone has high lp A, is there an
Speaker 2: increased risk for blood clots leading to heart attack and
Speaker 2: stroke from using an estrogen patch. No, I LPA is
Speaker 2: a risk factor by itself for sticky or blood promoting
Speaker 2: Arthur scrolerosis. It is genetic like familiar hypo cholesterol.
Speaker 3: Cholesterol.
Speaker 1: Lema, helly, you're doing awesome. These are hard these are
Speaker 1: hard words. Good job.
Speaker 3: First of all, my eyes are terrible.
Speaker 1: I the question last week, you're sitting in the dark.
Speaker 1: First of all, you.
Speaker 2: So Kelly said you look like a floating head black
Speaker 2: with a black background.
Speaker 3: So now I feel like I need to show Neil.
Speaker 1: He's in a dark cave everybody, and she's reading very
Speaker 1: hard words and she needs her reading glasses and she
Speaker 1: is doing great.
Speaker 3: And a person is born with that. Okay, that was
Speaker 3: the question. Whew, another one of those.
Speaker 1: Yeah, well you did great. So LP little A is
Speaker 1: basically a technical form of cholesterol, for lack of a
Speaker 1: better term, it's a newer risk factor. Not everybody checks it,
Speaker 1: not all insurances cover it, but it is actually a
Speaker 1: more accurate risk factor than LDL cholesterol alone or total
Speaker 1: cholesterol alone, I think, especially in the female community. So
Speaker 1: everybody says it's genetic and fixed and you can't do
Speaker 1: a darn thing about it. Not true. Guess what lowers
Speaker 1: LP little a estrogen? So every time I see like
Speaker 1: it's this is a fixed gen I just read it
Speaker 1: in the Economists this week. It's a fixed genetic component.
Speaker 1: Uh ah, I guess what happened to my LP little
Speaker 1: A when I threw on my estragar patch. So so
Speaker 1: there you go. Cardiac risk does go up when hormones
Speaker 1: go down because estrogen is anti inflammatory. Estrogen helps keep
Speaker 1: cholesterol low. And we can go into that further so
Speaker 1: people understand it. But LP little A is not a
Speaker 1: contraindication to hormone therapy. If anything, it's a reason to
Speaker 1: consider hormone therapy, right, Like, decrease your risks as much
Speaker 1: as possible and make sure your metabolic health is dialed
Speaker 1: in if you've got some risk factors optim Because here's
Speaker 1: the thing, this will be the next book. People think
Speaker 1: that their health is like fixed, Like, oh, this is
Speaker 1: how it is. Like No, why do you think the
Speaker 1: astronauts don't walk when they come back to earth? Because
Speaker 1: your body changes based upon the forces surrounding it, what
Speaker 1: you feed it, how you move it, how you sleep,
Speaker 1: how you deal with stress. Are you feeling it? Alcohol?
Speaker 1: For the love of God, if you have a risk
Speaker 1: factor of heart disease, do not effing drink alcohol. Right, Like,
Speaker 1: that's what I want people to understand because they're like, oh,
Speaker 1: this is how it is. I got delta bad hand. No,
Speaker 1: you didn't know, you didn't like some The genetic risk
Speaker 1: for disease is actually very small compared to lifestyle risk
Speaker 1: for disease.
Speaker 2: Yes, you're dropping bombs left and right, Kelly, I'm gonna
Speaker 2: just walk around.
Speaker 1: So I've been doing this for a while, Haley, because
Speaker 1: I think LP little so my first rodeo Haley.
Speaker 2: Okay, if somebody's on estrogen gel and progesterone for for
Speaker 2: four to five months but still experience breakthrough bleeding went
Speaker 2: through menopause five years ago, is there should you be concerned?
Speaker 1: I usually say it about six months again, like you know,
Speaker 1: are your hormone levels too high? Is something too low?
Speaker 1: I hate the word balance, but I would think, like,
Speaker 1: you know, what's what are the doses can be adjusted,
Speaker 1: but especially in early menopause, like your tissues are just
Speaker 1: responding to hormones that you that you're giving them. So
Speaker 1: uh takes a while, but if it you know, to me,
Speaker 1: I have a very low threshold for getting a vaginal
Speaker 1: ultrasound just to see what's going on. You have a fibroid. That's,
Speaker 1: you know, liking to bleed because you're giving it hormones.
Speaker 1: But I have a low threshold for working it up.
Speaker 1: But especially in young menopause, when you start hormones, it
Speaker 1: can bleed again because the uterus loves hormones. So the
Speaker 1: uters is just kind of waking up.
Speaker 2: Okay, I'm on the wavy boat, Kelly, I'm on the
Speaker 2: way boat, and I want to get off. I don't.
Speaker 1: I want to get off the wavy sea sick. But
Speaker 1: I lost my cookies on this waving boat.
Speaker 2: I've lost my cookies. I left my dog outside last night,
Speaker 2: like luckily not all night because it was cold, but
Speaker 2: things that I just don't don't do.
Speaker 3: And the floodgate's are open.
Speaker 1: Yeah, it's yours, and adjust your hormones, Hayley.
Speaker 3: I know I need to talk to Heather.
Speaker 1: We need to, we need to, we need to dial
Speaker 1: it in and let's let's let's expand that to be
Speaker 1: useful to other people here. Hormone therapy is not one
Speaker 1: size fits all. And the thing I see very commonly,
Speaker 1: especially in the insurance based healthcare system, where like you
Speaker 1: might see your doctor once a year or twice a year,
Speaker 1: as people are like, Carls didn't work for me. No,
Speaker 1: you just didn't adjust them as need right. So that
Speaker 1: is like, oh, you might need things adjusted right now,
Speaker 1: might need some more estrogen.
Speaker 3: Like so I just.
Speaker 2: Saw this on Instagram. Does estrogen? Is that like progesterone
Speaker 2: helps you fall asleep and then estrogen helps you stay asleep?
Speaker 1: Yep.
Speaker 2: If I'm waking up in the middle of the night.
Speaker 2: I'm not trying to turn this into the Haley Show, somebody.
Speaker 1: It is the Haley Show, though, so it does get
Speaker 1: to be about Haley.
Speaker 2: Somebody asked us in Shred and I was like, that's
Speaker 2: a good question.
Speaker 3: That's me too.
Speaker 2: So if you're waking up in the middle of then
Speaker 2: I could an estrogen does change help?
Speaker 1: Yep? Or a progesterone they both can help?
Speaker 3: Okay, yep?
Speaker 1: Yes is the answer?
Speaker 3: Yes?
Speaker 2: I love The answer is tonight's related to menopause and
Speaker 2: is there anything you can recommend to get rid of it.
Speaker 2: I'm on hormone therapy and it has subsided during the day,
Speaker 2: but the nights are still noisy. Ah.
Speaker 1: Interesting, lots of reasons. So tonight is for people who
Speaker 1: don't know that's ringing in the ears. It's super annoying.
Speaker 1: It's like drive underagina, right, Like how bad is driv vagina?
Speaker 1: It's like how bad is ringing in the ear? Dude,
Speaker 1: it's bother. It's a problem. Like it's like you blurry eyes, right,
Speaker 1: how bad is dry eyes? It's a problem. Like all
Speaker 1: of these things are a problem. So ringing the ears
Speaker 1: can happen for many reasons. Low, low, or fluctuating hormones
Speaker 1: is one of them. So to me, I would be like,
Speaker 1: you know, what's your dose? Do you want to try
Speaker 1: our higher dose? But it's not. Hormones don't fix everything
Speaker 1: that ails us, but they help healthy cells stay healthy.
Speaker 1: And sometimes our doses do need to be adjusted. And yes,
Speaker 1: it's a thing. There's more vertigo. My grandma had horrific
Speaker 1: vertigo and my mom has bad vertigo, And so I
Speaker 1: always care about the conditions that I'm like, Hey, does
Speaker 1: hormones help decrease these things that my ladies have? Right?
Speaker 1: Women who take hormones have less vertigo. Women who take
Speaker 1: hormones have less macular degeneration. So again, hormones help healthy
Speaker 1: cells stay healthy. I want to have healthy cells as
Speaker 1: long as I can. That's the thing to think about.
Speaker 1: It's like, don't just try to fix it once it's broken.
Speaker 1: We want to keep the ship upright. We don't want
Speaker 1: to pull the ship from the bottom of the ocean.
Speaker 1: We want to keep it up right. We want to
Speaker 1: keep the water from going in the ship.
Speaker 3: Yes, keep the water out of the ship. Okay.
Speaker 2: For someone who has an elevated risk of breast cancer
Speaker 2: and a history of seizures, is there any Are there
Speaker 2: any forms of hormones that are safe to take?
Speaker 1: Hormones don't cause breast cancer. Let's figure that out first.
Speaker 1: So really, it's a what is it? What's that called
Speaker 1: a non sequitor when you're like saying something but like,
Speaker 1: hormones aren't even related to this question, Like, hormones don't
Speaker 1: cause breast cancer. Next question, So optimize. If you have
Speaker 1: a high family risk of breast cancer, you better not
Speaker 1: be e f and drink and any alcohol. Girlfriend, ten
Speaker 1: percent of breast cancers are from alcohol in this country,
Speaker 1: knock it off.
Speaker 3: What about seizures.
Speaker 1: Seizures are not a reason not to be on hormones.
Speaker 1: I'm not sure why they think that is.
Speaker 2: Okay, And I'm also going to throw in the legal
Speaker 2: advice that Kelly is not your is not anyone's physician.
Speaker 3: This is for.
Speaker 1: Education purposes only. Red hairing. I'm like, what is that word?
Speaker 1: When you just say something that's like random and not related?
Speaker 1: Is that a red herring? I don't know.
Speaker 3: I think so.
Speaker 1: But in all serious is if that person was my patient,
Speaker 1: I would say, what is your actual risk for breast cancer?
Speaker 1: Are you up to date on screening? Do you need
Speaker 1: a bigger genetic workout work up? I send people to
Speaker 1: my geneticist people when they want to, right, because these
Speaker 1: women they're just sitting passively being like, I've got this risk,
Speaker 1: I better not do anything for my health. Right, And
Speaker 1: it's like, why do you think Let's have people think
Speaker 1: for a hot second, why do you think that most
Speaker 1: women who are diagnosed with breast cancer are postmenopause, not
Speaker 1: on any hormones. Like the majority of people who get
Speaker 1: breast cancer have no hormones in their bodies.
Speaker 2: Let's let that sink in, sinking in, right, it's sinking in.
Speaker 1: And the Big two thousand and two Women's Health Initiative,
Speaker 1: people who are on estrogen alone at a twenty percent
Speaker 1: decrease risk of breast cancer. And if you got breast cancer,
Speaker 1: you died less if you were on hormones leading up
Speaker 1: to the breast cancer diagnosis. Like, get educated. I can't
Speaker 1: encourage people to get more educated on this. You're living
Speaker 1: in fear. You're making shitty health decisions because you're afraid
Speaker 1: get educated about this. Like living in fear sucks, absolutely sucks.
Speaker 1: Like knock it off, feisty tonight, Haley, But this is
Speaker 1: this is in the dark, Haley.
Speaker 2: In the dark and Kelly after dark. Okay, what about
Speaker 2: cardiac health? That that too, is like a cardiac risk
Speaker 2: for someone over sixty five, same thing you kind of
Speaker 2: covered that, right.
Speaker 1: Oh well, cardiac risk is not a contraindication to hormone therapy.
Speaker 1: And remember when we say hormone therapy, what do people
Speaker 1: think of They think of swallowing an estrogen pill. Right,
Speaker 1: Hormones are a very big tent, very big tent. Lots
Speaker 1: of animals in the zoo, right, vaginal estrogen like wallabies
Speaker 1: and koalas both. Right, So when people say hormones, they
Speaker 1: the colloquial thought is estrogen or oral estrogen, which is
Speaker 1: what the risks were. And remember the risk from the
Speaker 1: wr was oral synthetic that was oranges. We're applying that
Speaker 1: to Apple, it's very different. So under the hormone tent,
Speaker 1: we've got progesterone, testosterone, transdermal estrogen, vaginal estrogen, all these
Speaker 1: different things. And so if you think I can't take hormones,
Speaker 1: that's insane. That's a very big tent. You got to
Speaker 1: break it down and be specific. So cardiac risk factors,
Speaker 1: there's you know, what are you know, what are your
Speaker 1: cardiac risk factors? And how would starting hormones make that worse?
Speaker 1: Think about it biologically, physiologically, for cellularly, right, like this
Speaker 1: is this is all logic and biology. It's actually once
Speaker 1: you know it, and the experts like this isn't We're
Speaker 1: not talking about like beliefs in Santa Claus Like this
Speaker 1: is like science and health. It's like not that bad,
Speaker 1: it's not that scary once you understand it. Factor five
Speaker 1: Leiden is not a contraindication to hormone therapy.
Speaker 2: Oh I love you just saw that one coming in. Okay,
Speaker 2: there's a whole there's a whole bunch there. What are
Speaker 2: the options ten years post meno to preserve bone health
Speaker 2: at sixty so you can still like start and see
Speaker 2: bone benefits after some Yeah.
Speaker 1: We start women in their seventies on hormones all the time. Okay,
Speaker 1: you need a trained clinician who understands individual risks and benefits, right,
Speaker 1: So for me, for me to be like everybody, No,
Speaker 1: you have individual risks and benefits, but the majority this
Speaker 1: is what I Why are you? Why are you making
Speaker 1: age an issue? Like what other health condition are you?
Speaker 2: Like?
Speaker 1: Nope, because you're fifty seven? Like do we do that
Speaker 1: to men? Sorry? Men over the age of sixty, you
Speaker 1: can't have estosterone? Like this age thing is very stupid,
Speaker 1: but it came because the guidelines say risk benefit outweighs
Speaker 1: risk ten years under. But have you ever been to
Speaker 1: a high school reunion?
Speaker 3: Like, everyone's never been to any I went to? Well
Speaker 3: that's it.
Speaker 1: Yeah, I'm not. I have thirty coming up, but I'm
Speaker 1: not sure if I'm going to go. But the whole
Speaker 1: point is for anybody who's been to a high school reunion,
Speaker 1: you're all the same age. Do y'all look the same? No? Right,
Speaker 1: health risks you know, X, Y, and Z, so like,
Speaker 1: don't use age as a reason that you can or
Speaker 1: can't do and do anything. It's it's it's very paternalistic.
Speaker 1: It's very not individualized. It's a stupid way to think
Speaker 1: about things.
Speaker 2: Okay, could you please talk about obtaining testosterone in Canada
Speaker 2: and how to present to a doctor as this seems
Speaker 2: to be done very rarely here, not like FDA approved
Speaker 2: for libido, although should be approved for other things as well.
Speaker 1: Canada man like Canada, so I ever, just Rid. Everybody
Speaker 1: knows I take care of Canadians. I live twenty miles
Speaker 1: from the Canadian border. Canada's got some healthcare issues, but
Speaker 1: Canada's got legitimate access issues. But every providence is different
Speaker 1: on can you seek second opinions and can you pay
Speaker 1: cash for concier like every providence is different in Canada,
Speaker 1: So it is it's individualized. I'd say get educated, advocate
Speaker 1: for yourself. Once we're America is going to get an
Speaker 1: FDA approved female dose testosterone probably within the next three years,
Speaker 1: and that's gonna be a very exciting time because because
Speaker 1: I'm already busy, wait wait till that happens. So it's coming.
Speaker 1: I mean Australia, New Zealand, South Africa and the UK
Speaker 1: already have a female dose diest asterone product, so I
Speaker 1: don't know, that's what I'm saying Canada's underserved. Canadians are
Speaker 1: suffering greatly. The Canadian system is broken in different ways
Speaker 1: than the American system is broken, but access is a
Speaker 1: big problem.
Speaker 2: In ken I'm telling you, the Aussies have it figured out.
Speaker 2: They have the testosterone dose, they have you know, social
Speaker 2: media ban.
Speaker 3: They are just leading the way down there.
Speaker 1: They've been a pretty sweet system. I actually like, you know,
Speaker 1: when I was over there and I was learning about it,
Speaker 1: I'm like, uh, can America have this system? It's like
Speaker 1: pay for more individualized care. But they've got a nice
Speaker 1: safety net if you can't do that. Like, I like
Speaker 1: it from everything I've read about it and experience and
Speaker 1: talk to people when I was there, I'm like, Australia
Speaker 1: is good, but this is what's not good about Australia.
Speaker 1: Just to pick on Australia for a second, guess what
Speaker 1: happened in twenty twenty five. Dementia became the leading cause
Speaker 1: of death and the k the UK is right behind.
Speaker 3: Yikes.
Speaker 1: Yeah, America America would be if we just didn't die
Speaker 1: so much sooner from other crappy things. It's a testament
Speaker 1: to their living longer. But they've got legitimate metabolic health
Speaker 1: crazy drinkers, right, So like dementia is now their leading
Speaker 1: cause of death. It's frightening.
Speaker 2: I understand HRT and how it can alleviate some metopause symptoms,
Speaker 2: but if the choice is no HRT, how can natural
Speaker 2: how can you use natural substances to get similar results?
Speaker 3: I'm looking for relief from hot flashes?
Speaker 1: Ah, well, the question is what is why can't you
Speaker 1: take hormones? Because remember what I said earlier, the majority
Speaker 1: of people who think they can't take hormones can take hormones,
Speaker 1: and there is there is nothing more natural than what
Speaker 1: you're overy naturally produces. Don't be fooled into thinking there's
Speaker 1: something more natural than what you're overy naturally produces. That says,
Speaker 1: that's like the definition of natural is just exactly what
Speaker 1: you always made and then just giving it back to
Speaker 1: So that would be my question is like why can't
Speaker 1: you take hormones? And then number two, there's non hormonal
Speaker 1: FDA approved medications for hot flashes vioza is, besilinitent and
Speaker 1: n xolinitin, which just got FT approved. They're expensive, af
Speaker 1: they don't protect your bones, they don't do anything else.
Speaker 1: They only work on hot flashes, So they're like ten
Speaker 1: times the cost and they only fix one thing, but
Speaker 1: they are available. And the other thing is exercise, exercise, exercise, exercise, exercise,
Speaker 1: exercise helps a lot.
Speaker 2: Okay, moving on to Addie. Thoughts on it and how
Speaker 2: long do you have to take it? Is it like
Speaker 2: Viagra where you have to take it daily like to
Speaker 2: get in the mood or is it working on other
Speaker 2: good questions?
Speaker 1: So, Addie is an FDA approved medication for hypoactive sexual
Speaker 1: desire disorder, which is a medical term for low libido.
Speaker 1: It is a once daily pill taken at night. Side
Speaker 1: effects include mild weight loss and better sleep, So nice parks,
Speaker 1: don't drink to the more than two alcoholic drinks a day,
Speaker 1: or skip your dose. The generic is called flobanserine. It
Speaker 1: has been FDA proof for years now. Not many people
Speaker 1: know about it. Cost is an issue for many people.
Speaker 1: It is not like Viagra viagre. How does viagra work?
Speaker 1: Viagra's of blood flow drug blood flow. Blood flow to
Speaker 1: the penis equals erections, blood flow to the glitterus equals orgasms.
Speaker 1: So Viagar's a blood flow drug. Addy or flobanserine, same thing,
Speaker 1: just generic and Brandy. It is a dopamine drug, So
Speaker 1: why do you desire things because of your dopamine pathway
Speaker 1: in the brain. You desire things that are rewarding, right,
Speaker 1: So don't take a drug and hopes that it's going
Speaker 1: to increase your desire. If sex isn't good for you
Speaker 1: in the first place, right, you'll never make me crave
Speaker 1: mushy broccoli. Can't do it no matter if, even if
Speaker 1: you increase my dopamine, I don't like it. So that's
Speaker 1: I think that's the issue for a lot of women
Speaker 1: is they don't understand how sex works in the first place.
Speaker 1: They I haven't been prioritizing good sex in the first place.
Speaker 1: And then they're like, I really wish I loved shitty sex,
Speaker 1: and I'm like, you can't. You can't love shitty sex.
Speaker 1: It doesn't work that way. So work on the sex.
Speaker 1: And then if you want to want and sex is rewarding,
Speaker 1: you just want to want it. That's where these medications
Speaker 1: come in. So I always recommend reading my book, listening
Speaker 1: to my podcast Understand Sex First. We did not get
Speaker 1: a good sex education. Understand sex first, understand the medications
Speaker 1: and option. But what happens when a woman doesn't understand
Speaker 1: how sex works or their brain works, and you just
Speaker 1: give her a pill and then guess what, the pill
Speaker 1: didn't work, shocking. Then she feels like a medication failure
Speaker 1: and she feels worse. So to me, it's education, education, education,
Speaker 1: and then try it. It's a very safe drug. To me,
Speaker 1: I'm like, it's incredibly safe and it helps about sixty
Speaker 1: percent of people. Cost is the problem, and sex education
Speaker 1: can go a long way. And dollar for dollar testosterone
Speaker 1: helps desire as much as Addie does, and it's way
Speaker 1: cheaper and it also helps with other things. So yeah, Actually,
Speaker 1: I just had an abstract at a medical conference. I
Speaker 1: think it was the Sexual Medicine Society in North America
Speaker 1: last month a month before. I don't know. I didn't go.
Speaker 1: I've I've been busy doing taking box warnings off of
Speaker 1: vaginal estrogen. But basically was a comparison between testosterone and
Speaker 1: Addie and Filisi and like, dollar for dollar testosterone is
Speaker 1: an excellent bang for your book, but not everybody can
Speaker 1: access that. And I have nothing wrong with Addie, Like,
Speaker 1: my only complaint is women don't have sex. Ad That's
Speaker 1: not ADDIE's fault. ADDIE's an excellent, very safe drug.
Speaker 2: Okay, do you recommend peptide therapy where indicated? What is
Speaker 2: the best way to find a highly competent doctor offering
Speaker 2: this any downside to this treatment?
Speaker 1: Yeah? So for people who don't know, peptides are basically
Speaker 1: pieces of proteins. It's all a peptide is. Peptide is
Speaker 1: like a very sexy term right now, That's all it
Speaker 1: means is it's a piece of a protein. Like, let's
Speaker 1: not give it any more magic than it is. Glp
Speaker 1: Ones are peptides. Yeah, So like when you say it,
Speaker 1: when people say peptide therapy, you have to be more
Speaker 1: specific because there's tons of peptides out there. Most peptide
Speaker 1: in the peptide land. Glp ones are like the most
Speaker 1: well known, most well used. But there's a It's not
Speaker 1: that peptides don't work. I'm not talking glp ones now. Now,
Speaker 1: I'm talking about like the ones that are not FD approved.
Speaker 1: It's that the source, the source for them is very challenging,
Speaker 1: Like how do you know you're getting a safe source?
Speaker 1: Even more like, say you've got a doctor who's going
Speaker 1: to give you peptides, how do you know it's sourced well?
Speaker 1: Like that you've got to do your homework on that,
Speaker 1: and there is not much research. So it's a lot
Speaker 1: of like the longevity world, and they'll agree. I'm not
Speaker 1: picking on the longevity world. I think they'll agree with this.
Speaker 1: Longevity likes evidence adjacent, not evidence based evidence adjacent. So
Speaker 1: buyer beware on sourcing on these things, and there's not
Speaker 1: a lot of data. So to me, I'm like, okay,
Speaker 1: make this make sense. Women are afraid of their hormone.
Speaker 1: They're overring naturally makes that has so much data, it's
Speaker 1: been around for eighty years. But you want to go
Speaker 1: inject your shit yourself with non ift approved, sketchy source
Speaker 1: ship that has no research behind it and pay and
Speaker 1: pay like six times the cost. Like if you care
Speaker 1: about safety cost and that I mentioned safety h hormones,
Speaker 1: you're overry naturally makes comes to mind. Yeah, but women
Speaker 1: don't want that. Women want fast, trendy new It's like,
Speaker 1: let me, let me tell you about something that's eighty
Speaker 1: years old. Estrogen in testosterone and.
Speaker 2: Exercise and oh yeah, and exercise.
Speaker 1: Okay, I don't just as so, I don't think peptides
Speaker 1: are bullshit, but we've got serious access problems and we
Speaker 1: have serious research data problems with them, so dollar for dollar,
Speaker 1: I'm gonna put my money in other places.
Speaker 2: First, Okay, so is testosterone? Should it be tested at
Speaker 2: a certain time of day or a certain time of month?
Speaker 3: Does it matter?
Speaker 1: Doesn't matter? The myth was earlier in the day the better.
Speaker 1: There's a little bit of truth to that, because we
Speaker 1: tend to make to stoshroone when we're sleeping, but that
Speaker 1: data is becoming less convincing. So to me, it depends like,
Speaker 1: are you on testosterone? Do we want to check it
Speaker 1: right after your dose to see what your peak is?
Speaker 1: Do we want to check it eight hours after your
Speaker 1: dose to see what your trough is? Or you're not
Speaker 1: on testosterone. We just want to get a baseline that
Speaker 1: check it whenever.
Speaker 2: Okay, for those without a uterus and take progesterone, but
Speaker 2: wonder if they should be cycling it. If so, can
Speaker 2: you go long periods without it and then just take
Speaker 2: it when you feel like you need to balance the
Speaker 2: excess of estrogen or how does the cycling work.
Speaker 1: If you have excess estrogen? Fix that shit? First? To me,
Speaker 1: I'm like, there's no there's a little bit of truth
Speaker 1: to balancing, But a lot of the time. There's no
Speaker 1: truth to balancing, So that's a little niche of a conversation.
Speaker 1: But if your post menopause, remember you have no hormones,
Speaker 1: you're just adding them in. So if your estrogon's too high,
Speaker 1: then your estrogon's too high. Don't don't put something else on,
Speaker 1: Like if you've got a meal that's too salty, Like
Speaker 1: you shouldn't have put the salt in, but now you're
Speaker 1: trying to put something into like make it less salty, right, Like, no,
Speaker 1: just don't put that much. Don't put to them.
Speaker 3: Tonight are on fire. I'm loving it, dude.
Speaker 1: Progesterone is awesome. Progesterone is so good for the brain.
Speaker 1: It's we've got bone data for it. If you're taking
Speaker 1: estrogen at a minimum, you should be taking progesterone at
Speaker 1: least two weeks out of the month. Most people postmenopause
Speaker 1: just take it all the time. It get helps so
Speaker 1: well with sleep. Like women are like, why would I
Speaker 1: only take this twice a two weeks out of the month.
Speaker 1: That's nuts.
Speaker 3: Yeah, Okay.
Speaker 2: If you're on birth control and don't get a regular period,
Speaker 2: how do you know when you've hit menopause. I'm in
Speaker 2: my forties and I'm perimenopause, so start taking estragile patch.
Speaker 2: It's helped tremendously, But I'm curious about how to know
Speaker 2: when the next stage comes.
Speaker 1: Yeah, it doesn't really matter.
Speaker 3: There you go, why does it matter? I guess it doesn't.
Speaker 1: Does it matter? No, You're already on extra dial. That's
Speaker 1: the thing. That's the thing. And I will encourage you
Speaker 1: to think about this. Like everything I say is backed
Speaker 1: up with like data and science and in my book,
Speaker 1: like you never have to take Kelly's word for it.
Speaker 1: It's all out there, my friends. It was not born
Speaker 1: with this knowledge. I got it from somewhere. So menopause
Speaker 1: means one year with no natural period. That is a
Speaker 1: thing that happens because of low hormones. Well, you have
Speaker 1: fluctuating hormones that are sometimes low and perimenopause, right, So
Speaker 1: it's like it doesn't matter if the treatment is hormones.
Speaker 1: It doesn't matter if your postmenopause or menopause. It's a
Speaker 1: made up line in the sand.
Speaker 2: Is there anything that somebody should be asking their physician
Speaker 2: specifically in a topical cream, like for testosterone anything, Like
Speaker 2: they have all of the symptoms they want to take.
Speaker 2: They haven't taken hormones before. But is there any questions
Speaker 2: that they need to ask about the topical gells?
Speaker 1: Are you talking about disostero?
Speaker 2: Yeah?
Speaker 1: Yeah, it's just so. My advice for testosterone is start low,
Speaker 1: go slow, like, don't start any more than five milligrams
Speaker 1: a day, and don't put.
Speaker 3: On half of the tube.
Speaker 1: The body hates what does the body hate? Body hates
Speaker 1: drastic change? Yeah, body hates that. What happens when the
Speaker 1: body has grasster change, Your hair falls out, postpartum, thyroid issues,
Speaker 1: fast weight loss with jlp ones, right, stress, Hair hates
Speaker 1: all of that. Hair hates drastic change. Go slow, Go slow,
Speaker 1: start low, go slow. Somebody say, can you clarify what
Speaker 1: what Kelly said? You have no uterus in your postmenopausal
Speaker 1: and wake up through the night. Can you be prescribed
Speaker 1: progesterone in addition to estrogen? Hell?
Speaker 2: Yeah, yeah, yeah, there we go absolutely even censored.
Speaker 3: She even censored her answer.
Speaker 1: Am I supposed to do that? Do people in Do
Speaker 1: people in Boulder have sensitive ears? I don't think they do. No.
Speaker 2: I was just wondering what I can post. You said,
Speaker 2: I kind of post half of this on my Instagram.
Speaker 2: Gotta find a good clip.
Speaker 1: I don't like calling out specific brands, and I didn't.
Speaker 3: No, you did not.
Speaker 2: My question centers on how we can best separate fact
Speaker 2: from marketing spin when it comes to all things menopause,
Speaker 2: we've become the target. So we kind of talked about this,
Speaker 2: but this is another for all market markets products and
Speaker 2: supplement companies. Menopause now feels like something of a cure.
Speaker 2: What absolute truth truths exists currently about health and well
Speaker 2: being for midlife women.
Speaker 3: I feel like you've covered that with just.
Speaker 1: I feel like we did. There's nothing more natural than
Speaker 1: what your ovaries naturally make. Yeah, okay, so don't be
Speaker 1: marketed into thinking something synthetic that we made as a
Speaker 1: proprietary blend in a factory somewhere is more natural than
Speaker 1: what your ovaries naturally make. It just is not true.
Speaker 3: Yeah, that's a great answer.
Speaker 2: I understand it's common occurrence for there to be an
Speaker 2: increase in abdominal fat during this transition.
Speaker 1: Why Yeah, Oh that's a good one. I see this.
Speaker 1: I see this. Okay. Here's here's the uh, here's the analogy.
Speaker 1: When you're pregnant, all things else being equal, you exercise
Speaker 1: the same, you eat the same, but now you're pregnant. Okay,
Speaker 1: picture picture that. Did you gain weight even though you
Speaker 1: ate the same and exercised the same, Yes, yes you did?
Speaker 1: Why because your body was doing something else?
Speaker 2: Right?
Speaker 1: So the absolute bullshit of like you just need to
Speaker 1: eat less and exercise more, you shouldn't be gaining weight,
Speaker 1: blah blah blah. But your body's doing something different now.
Speaker 1: It's not making the hormones that it used to make.
Speaker 1: So here's a here's a nice way. So I want
Speaker 1: people to think about that, and I want people to
Speaker 1: think about the pregnancy analogy because now they're like, there's
Speaker 1: something different in the body, and I'm gaining weight now
Speaker 1: even though all things else equal, I'm eating the same
Speaker 1: and I'm exercising the same. Right, And you can even
Speaker 1: stay the same weight, but your body composition will change. Okay,
Speaker 1: why called the metabolic syndrome of metapause. Your body is
Speaker 1: trying to make hormones. The body's smart. The body says,
Speaker 1: my brain needs this stuff. Everything else needs this stuff.
Speaker 1: I need to make some now because I don't have
Speaker 1: overra is that are doing it. So the body has
Speaker 1: compensatory mechanisms. This is a long This is a longpiel.
Speaker 1: But if you understand how your body works, how do
Speaker 1: I not become victim and prey to all this predatory
Speaker 1: Understand how your body works. There, so body has compensatory mechanisms.
Speaker 1: It does two things in midlife to try to make hormones.
Speaker 1: What does it do? It increases your cholesterol because cholesterol
Speaker 1: pathway is where to stosterone and estrogen come from. So
Speaker 1: it's like I'll make more cholesterol to try to get
Speaker 1: some hormones to push through this pathway. Compensatory mechanism meaning
Speaker 1: it doesn't work that well and there's risks to having
Speaker 1: too high a cholesterol, but it doesn't Why did my
Speaker 1: cholesterol go up this year? I didn't change my diet,
Speaker 1: I didn't change my exercise. My cholesterol just went up
Speaker 1: because I'm one year more to perimenopause, right, my hormones
Speaker 1: are going down. Number two second, compensatory mechanism increased visceral
Speaker 1: fat increased pooch around the belly. Why did your body
Speaker 1: just start doing that? Because your body's smart, it needs hormones.
Speaker 1: It's trying to make hormones. Visceral fat makes shitty hormones.
Speaker 1: It makes the inflammatory type of hormones, it makes the
Speaker 1: high type of hormones that are linked to breast cancer.
Speaker 1: The body is smart here. We are beating women up
Speaker 1: being like you should just eat the same and exercise
Speaker 1: the same, and this doesn't actually happening. Well, the body's
Speaker 1: trying to make hormones and it does it in two
Speaker 1: compensatory ways, and it does it poorly because that's not
Speaker 1: as good of a way of as just your ovaries
Speaker 1: making it. So that's the long story of like, visceral
Speaker 1: fat increase is real, and there's actually a reason why
Speaker 1: it's happening. Don't let anybody tell you that it is.
Speaker 1: It Does it happen in everybody? No, But it happens,
Speaker 1: and it happens for a reason. It's because your Escherton's
Speaker 1: going down. Yeah, if you understand your body, it all
Speaker 1: makes sense.
Speaker 3: Hey has thinking on the use of estrogen shifted.
Speaker 2: I was told a year ago that they wouldn't prescribe
Speaker 2: me estrogen until I lose periods, only put me on progesterone,
Speaker 2: even though it did little to my big list of symptoms.
Speaker 3: Should I go in again and demand it?
Speaker 2: I have PCOS so not sure, if there's any influence
Speaker 2: on that decision or not.
Speaker 1: If I can beat this into you understand your body,
Speaker 1: understand that a period happening. It is a not an
Speaker 1: accurate thing to see it, to say if you can
Speaker 1: have hormones or not remember periods, that's that's a made
Speaker 1: up word called menopause. What's happening. Your ovaries are decreasing
Speaker 1: their overyproduction of hormones until it's so low you don't
Speaker 1: get periods anymore. That what's that mean? That means your
Speaker 1: estrogen can be low before your periods end. The level
Speaker 1: at which of estrogen that you need to have a
Speaker 1: period is different than the level of what you need
Speaker 1: for bone protection, brain to work properly, all that stuff.
Speaker 1: So using a period is actually somebody who doesn't understand
Speaker 1: how bodies work. Right. And here's the other thing about it.
Speaker 1: Here's there's my biggest argument for hormones and perimenopause. Your
Speaker 1: greatest loss of bone strength, health density, whatever you want
Speaker 1: to say, is in the two years leading up to
Speaker 1: your period ending. Millennials are smart. They're paying attention to
Speaker 1: the boomers and the gen xers, and they're like, hey,
Speaker 1: we see you guys suffering We've got this great idea,
Speaker 1: let's not suffer. And the gen X and the boomers
Speaker 1: are looking at the millennials and they're like, oh, good idea.
Speaker 1: We thought it was a badge of honor. And the
Speaker 1: millennials are like, no, this looks shitty. Let's not suffer
Speaker 1: in the first place. So, yeah, it is changing, would
Speaker 1: just becoming a lot more common to start on testosterone,
Speaker 1: progesterone and estrogen in the perimenopause. Remember, menopause is a
Speaker 1: made up term for a made up thing that doesn't
Speaker 1: describe what's actually happening, So don't use it as a
Speaker 1: reason to tell women they can't have health care.
Speaker 2: Okay, I know that taking estrogen helps with bone health.
Speaker 2: Does that also include the bone in your jaw? I
Speaker 2: have pretty significant gum reception and my Periodona said it
Speaker 2: was because of bone loss.
Speaker 1: Yeah, yeah, it's not as well studied, but there was
Speaker 1: just a study on women on hormones had less periodontitis.
Speaker 1: So inflammation of the gums in which we know, of course,
Speaker 1: is associated with heart disease. Right, what is estrogen esher
Speaker 1: is the hormone that helps healthy cells stay healthy. So
Speaker 1: you take that away, cells can't function as well, and
Speaker 1: estrogen is anti inflammatory, so you see a lot more
Speaker 1: inflammation start happening in the body when the hormones go low.
Speaker 1: Joint aches and pains, osteoarthritis, chronic pain, inflammatory things like
Speaker 1: rheumatard arthritis, fibromyalgia, gum disease. Right, like, all this inflammatory
Speaker 1: stuff like this is happening out of the blue. No
Speaker 1: it's not. You're living longer than your ovarian hormone production.
Speaker 1: We know why this is happening and we can treat it.
Speaker 2: Yeah. Yes, that's how we started this conversation.
Speaker 1: One person said, they're loving our conversation. Goods is the sasses,
Speaker 1: the sasas is for some people. The sass is in listen,
Speaker 1: how do you get How do you get adults to learn?
Speaker 1: Do not bore them. If you bore them, they can't learn.
Speaker 1: They must stay entertained.
Speaker 3: I told you, Kelly was a good time all the time.
Speaker 1: Do not bor. Do not bore the adults.
Speaker 3: Not bore the adults.
Speaker 2: What are the pros and cons of using an estrogen
Speaker 2: patch versus taking the pill?
Speaker 1: Oh, well, they're both good. The pill is the bill's
Speaker 1: dollar for dollar. If all you care about is dollars,
Speaker 1: the pill is the cheapest way to go. Pill slightly
Speaker 1: increase risk of blood clot it's not it's not huge,
Speaker 1: but the transdermal patch is no risk of blood clot,
Speaker 1: so it's a little bit higher than no risk of
Speaker 1: blood clot. If you worry about sexual desire, the pill
Speaker 1: can decrease sexual desire because of the way it's processed
Speaker 1: through the liver, increasing sex hormone binding globulin. But it
Speaker 1: gets a little technical, but if you if you meet
Speaker 1: with a hormone expert, they can walk you through all
Speaker 1: of that. But know this, the the like bread and butter,
Speaker 1: intro to hormones is usually a transdermal patch. It's the
Speaker 1: most common thing, but not everybody absorbs at the same rate.
Speaker 1: Some people, you know, they've got skin that just doesn't
Speaker 1: absorb hormones well from a patch. We start thinking of
Speaker 1: them meeting oral. Some women just need higher doses to
Speaker 1: hormones and need oral. So is somebody just asked, is
Speaker 1: the gel as effective as the patch? Yeah, they're pretty interchangeable,
Speaker 1: and the gel's getting cheaper, so it's it's a reasonable
Speaker 1: option for people.
Speaker 2: Okay, now we're going into rapid firetime because we have
Speaker 2: like five minutes where.
Speaker 3: We have to bounce.
Speaker 2: My feet hurt in the morning when I get out
Speaker 2: of bed and walk. Is this perimenopause related? And what
Speaker 2: should I do?
Speaker 1: That's a good question. It can be. I mean other
Speaker 1: things I think of, just like are your hips tight
Speaker 1: or your knees tight or your ankle's tight? Right, like,
Speaker 1: are things tight? You need mobility? Blah blah blah. But
Speaker 1: a lot of people and so doctor vonder Wright published
Speaker 1: a paper it's open access, meaning it's free online. I
Speaker 1: think it was twenty twenty four. It's called the Muscoskeletal
Speaker 1: Syndrome of Menopause, free online. If you want to read it,
Speaker 1: you can bring it into your doctor. But so many
Speaker 1: women's aches and pains get better when they are on hormones.
Speaker 1: So remember, just to simplify that hormones and hormone receptors
Speaker 1: are in every single cell in your body, including your
Speaker 1: joints and your ligaments and your tendons. And hormones are
Speaker 1: anti inflammatory. So many many women, whether it's estrogen or testosterone,
Speaker 1: because I see it a lot with dysosterone, their pain
Speaker 1: is a lot better.
Speaker 2: Yeah, okay, so we've talked about other benefits. Does HRT
Speaker 2: help with brain fog and cognitive function. I've been told
Speaker 2: that it does not adaptogens. In addition, is not relieving
Speaker 2: the brain.
Speaker 3: Fog at all. I want to know this too, because
Speaker 3: mine still there.
Speaker 1: Clearly I need Haley, you need more hormones.
Speaker 2: Well, Hewther's on my I will text Heather as soon
Speaker 2: as I can.
Speaker 1: Can't you get some labs done. Let's see what Haley's
Speaker 1: estra dial is. Anybody want to take bets If you're
Speaker 1: on hormones and it's and you don't think it's work,
Speaker 1: and you can always try a higher dose, you can
Speaker 1: get your you can get your. I mean I've got
Speaker 1: some patients they just need higher doses of hormones to function. Yeah,
Speaker 1: hormones help brand cells.
Speaker 2: What is going to help? So if outside of if
Speaker 2: this is for testosterone only, outside of low libido, why
Speaker 2: would somebody want to take it?
Speaker 1: Because your ovaries make it and your ovaries decline making
Speaker 1: it as you age, and some people really like the
Speaker 1: idea of having their their cells be as healthy as possible.
Speaker 1: So in America, there's zero FDA approved products for testosterum
Speaker 1: for women. We're actively trying to work on that. I
Speaker 1: literally had a talk with HHS last week, Health and
Speaker 1: Human Services. It's happening. Once it happens, it'll open up
Speaker 1: the flood gates on it. So there's a very different
Speaker 1: thing between this is not rapid fire. Sorry I'm completely failing.
Speaker 1: There's a very different thing between what's FDA approved and
Speaker 1: what things actually help with. What do I mean by that?
Speaker 1: A lot of people take birth control not to not
Speaker 1: get pregnant. They take it for other reasons off label, right,
Speaker 1: So when we talk about the benefits of testosterone, we're
Speaker 1: talking about off label indications. It doesn't mean it doesn't work,
Speaker 1: It doesn't mean there isn't any data. It just means
Speaker 1: we don't have an FDA approved indication. Why is that
Speaker 1: a problem, Well, doctors are We're actually allowed to give
Speaker 1: drugs for whatever reason we want, right, Like people don't
Speaker 1: know that, but insurance has decided we're gonna pay for
Speaker 1: things that are FDA approved. So that's the big problem
Speaker 1: because a lot of doctors are like, I only I'm
Speaker 1: only gonna do it is FD approved. Well they do.
Speaker 1: I guarantee your doctor does non FD approve shit every
Speaker 1: single fing day. I guarantee you they do. Because you
Speaker 1: can't practice medicine without doing that. But why it matters
Speaker 1: is women have a higher cost to care because they've
Speaker 1: don't have a testosterone that's ft approved. I stop with
Speaker 1: that now because that's not rapid fire.
Speaker 2: Okay, can a woman with androgenic alopecia take to time estosterone?
Speaker 1: Ah? Is it actually androgenic alopecia? Do you have a
Speaker 1: diagnosis from a hair specialist dermatologist that's androgenic alopecia? My
Speaker 1: guess is no, because they don't even call it androgenic
Speaker 1: alopecia anymore. So it's an old term that doesn't really
Speaker 1: exist anymore and doesn't actually happen because you have high androgens.
Speaker 1: So I challenge the diagnosis and then I would individually
Speaker 1: say what's your risk and benefit? Are you optimized as
Speaker 1: far as hair? And remember testosterone does do women not
Speaker 1: have hair when they're thirty two? I'm asking because that's
Speaker 1: when you have a very that's when you have a
Speaker 1: very high testosterone, right, So it's not that testosterone causes
Speaker 1: hair loss. It's rapid change of hormones. So the women
Speaker 1: who have no testosterone and they get a very high
Speaker 1: dose of testosterone, their hair falls out, not because of
Speaker 1: specifically because of the drastic change. Hair hates drastic change
Speaker 1: hates it. That's why I say start low, go slow
Speaker 1: with testosterone, and I guarantee you you probably don't have
Speaker 1: androgenic alopetira unless you're the very very very small amount
Speaker 1: of people who actually do, and they don't actually call
Speaker 1: it that anymore anyways. So I always encourage people with
Speaker 1: any worry for hair loss. Dermatologist who specializes in hair
Speaker 1: is your best friend. And they're actually they're kind of
Speaker 1: hard to come by.
Speaker 3: Okay.
Speaker 2: Is there a difference between the pill and the cream
Speaker 2: ESTRADILESU pository?
Speaker 1: Ah, great question. I like them both. It's anything's better
Speaker 1: than nothing. But I have I call it the Casper
Speaker 1: sing cream bias. The reason is for two things. Number One,
Speaker 1: there is nothing cheaper than the cream. Cream is the
Speaker 1: cheapest vaginal estrogen product, and ideally, if you get your way,
Speaker 1: you're gonna live forty years beyond your ovarian life span, right,
Speaker 1: so we need cheap hormonth And then number two, you
Speaker 1: can put the the cream on your clitterus, on your
Speaker 1: labia the entrance to the vulva. It's a nice oval
Speaker 1: the entrance, right. I call it the six o'clock spot.
Speaker 1: This is on your vestibule or your vulva. This gets
Speaker 1: tight and thinned. And this is where pain with pen
Speaker 1: tration comes in a lot. And so if you just
Speaker 1: put a pill up your vagina so it's up here,
Speaker 1: it can't help this area. And if you have cream,
Speaker 1: you can rub it in. So I say rub it
Speaker 1: in like you're in Texas in August and it's sunscreen
Speaker 1: and you don't want to get sunburned. It it.
Speaker 3: Okay?
Speaker 1: Haley's like, got it?
Speaker 2: Got it balanced? Vertigo issues are they common in Perry?
Speaker 3: And it can be and hormones help, it can help.
Speaker 1: I'm not yeah, not always not. You know everybody. There's
Speaker 1: there's many inner ear issues people can have, but hormones.
Speaker 1: You have estrogen receptors in your inner ear.
Speaker 2: So what is the baseline for test for testosterone levels?
Speaker 1: I female testosterone mass spectroscopy. Don't get a male testosterone
Speaker 1: lab test. It's very inaccurate in levels less than one hundred,
Speaker 1: and all women's testosterone is less than one hundred. This
Speaker 1: is the best interview Haley has done that I've listened to, Laurie.
Speaker 1: How many have you listened to? You gotta give us
Speaker 1: get sent to dominator.
Speaker 2: Have you heard the first body Pod episode?
Speaker 1: Because this fire, I'm telling you, she says a lot.
Speaker 1: Okay that it's a valid compliment.
Speaker 3: There were some.
Speaker 1: This is also my first one.
Speaker 3: Kelly's coming back on.
Speaker 2: We're gonna have to have a part to you, guys
Speaker 2: because we are out of time. Side effects for testosterone,
Speaker 2: last question.
Speaker 1: If you go too high you get side effects of
Speaker 1: high tsosterone, so start low, go slow. It's very rare
Speaker 1: at female physiologic doses to have side effects. But side
Speaker 1: effects may include greasy skin, acne, more more hair where
Speaker 1: you don't want it. But at female dose it's very rare.
Speaker 2: And how do you know what the female dose is?
Speaker 2: Because I if you guys were paid attention to my instagram,
Speaker 2: Like a month ago, I got prescribed from someone local
Speaker 2: and it said take the whole and I was like,
Speaker 2: for sure, this is wrong because I'm running out of
Speaker 2: This is way too much.
Speaker 1: I do crazy things in Boulder. Uh well, I'm allowed
Speaker 1: to say that. I lived in Denver for six years.
Speaker 1: They have surgical astrologers in Boulder. It's a weird place.
Speaker 3: So don't overdo it.
Speaker 1: I mean, don't overdo it. Five milligrams transfer on five
Speaker 1: milligrams a day. Mail dose is fifty milligrams, so five
Speaker 1: milligrams a day is one tenth the male dose that's
Speaker 1: in the guidelines. There's International guidelines for testosterone for women
Speaker 1: for low sexual desire. But I have a whole chapter
Speaker 1: in my book on testosterone and it's of the three
Speaker 1: hormones ta stasone, estrogen, progesterone, testosterone is the first one
Speaker 1: in the book because it's the one we actually make
Speaker 1: the most of.
Speaker 3: Yeah, and it's like.
Speaker 1: Uh yeah, my So, my website's Kellycasperson MD dot com.
Speaker 1: My clinic is the Casperson Clinic. You just go to
Speaker 1: my website and click on clinic. I see patients in
Speaker 1: Washington State right now. But I'm getting a California and
Speaker 1: Oregon license because I want to take care the whole.
Speaker 1: I five corner. Other online clinics for for hormones or
Speaker 1: testosterone j O I, Joy excellent, love them, midimid I
Speaker 1: dot com. MIDI takes insurance, but MIDI doesn't. Middy does
Speaker 1: less testosterone states than Joy does right now. But here's
Speaker 1: the good exciting thing. I think we're gonna have a chance.
Speaker 1: So testosterone is regulated by the DEA because of the
Speaker 1: Olympic doping scandals of the nineteen eighties. It's a whole thing.
Speaker 1: It's in the book. But we're actually going to deregulate.
Speaker 1: We we the people are going to deregulate testosterone. So
Speaker 1: hopefully you state by state won't be an issue anymore.
Speaker 1: It'll just be like any other prescription. That's the hope.
Speaker 1: That's a hope for twenty twenty six. But I explain
Speaker 1: that all in the book. If you're like, what why
Speaker 1: is testosterone called?
Speaker 3: Book? Name?
Speaker 2: Well?
Speaker 1: Books called? What is the book called the menopause? Moment
Speaker 1: Hormones Science, the menopause movement? I know it's a menopause.
Speaker 3: Okay, you have a book there.
Speaker 1: Yeah, I've got a whole bunch of way I don't know,
Speaker 1: a whole bunch of them way over here.
Speaker 2: Hold up, yeah, if you if you were one of
Speaker 2: the lucky ones that got Kelly's book, I just wrouted
Speaker 2: myself out and said I haven't had time to read it,
Speaker 2: so she needs to give me the cliff notes.
Speaker 3: But there it is.
Speaker 1: Oh, somebody put the link. That's so nice. Amazon, Burns
Speaker 1: and Noble, et cetera, et cetera. And if you like
Speaker 1: my voice, I do the audio.
Speaker 3: Yeah, there you go, that's what you can.
Speaker 1: I promise I'll have you laughing by page sixty three.
Speaker 1: And if I don't, you need to deal with your stress.
Speaker 2: We've got We had like eighty questions that we never
Speaker 2: even got to in here. So Kelly, this is by
Speaker 2: far the most questions that we've had on.
Speaker 1: This bak Well. I mean, listen, humans are incredibly curious
Speaker 1: about how their bodies were. Like, it's a fascinating topic.
Speaker 2: Yeah, we're gonna have to have a part two for Kelly.
Speaker 3: I love you, Haley next season.
Speaker 2: I know where this is. Like, Kelly is like my
Speaker 2: my girl. So I'm going to whatever conferences she she's
Speaker 2: at next year.
Speaker 3: Yay, No, all right, Uh.
Speaker 1: Yeah, I'm an events page. I'm like, I'm not doing
Speaker 1: what I did this year. This year is crazy. But
Speaker 1: I will very likely be doing Vonda Wright's conference again.
Speaker 1: November twenty twenty six, I'm doing a Florida, freaking Florida.
Speaker 1: I'm doing another Florida conference in November. I might be
Speaker 1: in Florida twice in November. None of those tickets are
Speaker 1: up yet.
Speaker 3: What about Colorado?
Speaker 2: Come on.
Speaker 1: There's something that's penciled in in August, but I haven't
Speaker 1: committed to it.
Speaker 2: Oh okay, well text me when you do.
Speaker 1: I'm like moaning. I'm like, h I love Denver.
Speaker 2: I know you do.
Speaker 3: I know you do. All right?
Speaker 1: Oh side note, this is a side note just for Haley.
Speaker 1: I'll be in Breckenridge for a week in June, but
Speaker 1: it's not public. That's a family thing. But if Hailey
Speaker 1: wants to come up to Brecaley and have.
Speaker 2: A couple of coffees at public, now everyone's gonna know.
Speaker 1: I want Haley to come.
Speaker 2: All right, Thank you everyone for joining. This was a
Speaker 2: great way to end. I knew Kelly would be the
Speaker 2: good closer, So thank you all for joining. For your questions,
Speaker 2: we tried to get through as many as possible.
Speaker 1: You did great. Those were hard words, Haley, those were
Speaker 1: hard medical terms. You doing very good.
Speaker 2: I know every time I'm like, I'm going to bring
Speaker 2: up my readers and then I don't and I'm sitting here.
Speaker 3: I wish you could see the font here.
Speaker 1: You said hypercholesterol emia like, and that's impressive.
Speaker 2: I was.
Speaker 3: That was stressful. All right? Thanks shred babes. I love you.
Speaker 2: All.
Speaker 1: Love you, shred babes.
Speaker 3: All, thanks for joining Kelli, love you bye. Thanks for
Speaker 3: listening everyone.
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