AMAZING DISCUSSION! I’m a personal trainer whose menopausal clients aren’t losing weight and they want to know WHY! And now it’s happening to me! This was SO EYE OPENING to as the the implementation of HRT AND semiglutides for success at weight control with resistance training to control muscle loss! THANK YOU FOR ALL YOU ARE DOING FOR WOMEN❤️
Check out Dr Wendy Sweet & her My Menopause Transformation courses re weight loss & perimenopause and menopause. Very lifestyle based but also heavily based in research & science.
My guess would be if you located a provider on the North American menopause society website, the provider could provide provide you with a source. I just finished my personal training certification and I plan to partner with some providers myself. After going through the perimenopause weight gain myself having paid 4 trainers who gave me cookie cutter workouts and nutrition plans designed for women in their 20s 🙄I decided to get certified and at 48 My physical fitness and overall health has drastically improved.
I am SOOOOOO excited! I just went to my appointment with my gynecologist and she HEARD me! She listened and with compassion and empathy prescribed me testosterone, progesterone and estrogen! Then- she referred me to The Pause Life! I have been following Dr Mary Clare for about six months already- which is what empowered me to ask for a referral back to my gyno who was my provider when I was younger and going through issues with fibroids. I feel so loved. It is wonderful to feel validated and supported. My terrible pcp did me one solid and granted my request for a referral. She is a woman and about 30 and looked at me like I was pathetic for wanting to have a sex drive, keep my muscle mass and bone health and not have reoccurring utis and urinary issues. How dare I not want to shrivel up like a prune at 51??? She told me I needed to temper my expectations because I wasn’t going to feel 20 again. 1:30
Loving the passion here! I’m 51 and fall into this group of being gaslit for 10 years. I finally saw a provider from Haver’s list and started an estrogen patch. THANK YOU!
I’m ready for some semi glutites almost. After watching this. I started menopause and gained at least 15 and can’t loose a lb to kill me and need help. I work out 3 days a week and eat healthy. Ugggg also 47
Please let me know how the patch is working for you…I have an appointment with a gynecologist (haven’t been to a gynecologist since I gave birth to my daughter 14 years ago at 39 years of age!😬) in April and am really hoping I would be a good candidate for estrogen patch! 🙏
@@ambyrfifer4419 Same! Except I am 57, never had a problem with weight before and now can’t stop eating. You probably eat healthier than me though. I struggle but do eat better then I ever have.
I started with the .25. And didn’t work And then up to .05. And felt a difference . Stayed here to so far….. I still get hot flashes but not near as bad as I was
As a 45 yr old female slowly approaching perimenopause, a Physical therapist assistant, certified personal trainer and certified nutritional health coach, I love this conversation! I am a huge advocate for collaborative health care approach! Muscle mass is key for all women especially as we age!!! Thank you for depth of this conversation!
Two phenomenal women, thank you for your contribution to supporting and listening to women with tge flow on posivitive affect, helping wellbeing, relationships and families. Thank you, thank you. ❤🙏 bless you
I wish so badly that my mom could still be a candidate for HT. Sadly she was deprived of it 20+ years ago because the prescribed meds for her was SSRIs and I am so angered by that. By coming across Dr Haver and all these information coming to light now so I can begin to take care of me so that I can be as healthy as I can be and be there to support her and my dad. Thank you for fighting and giving voice to the need for HT in women’s health!
Time for a podcast series ladies! Both of you together have so much to share and it’s essential to get this info out there! I’m an RN and have learned so much in this one conversation! Also, what if a post menopausal woman is not obese but immediately gained 15 lbs after being the same weight her entire life and cannot shake that extra weight! VELCRO! Meds not an option? Only food and exercise?
In this scenario you have the opportunity to lose weight with lifestyle. Eat meals and avoid snacks. Make sure you get protein, fiber, and healthy fats at each meal. That's a terrific place to start. No night-time eating is important too.
@@heatherawadmd7858 i tried that it is not sufficient ! in France they advice progesterone more than oestrogene for post menopausal women ! why you did not talk about progesterone treatment only ? there is so many approaches that women are lost ! we do not trust the pharmaceutical industry anymore too ! Whilst WHO has recognized Menopause as an illness, it is not given the right attn by the medical corps saying one thing and the other every other year !
I’m a personal trainer and I have been following you for quite a while and have learned so much from you. My focus is peri menopause, menopause and post menopausal women. I suggest all my clients follow you so they can get the same information I get from you. I’m so thankful I found you and am getting educated about his phase of our lives. You help me help my clients navigate the change. 😊
This is fascinating! I'm also having a SAD EPIPHANY of the CULTURAL BIAS I have as an American in my 50s when listening to a language difference between doctors. It makes me feel like crying. What a world we've grown up in. I'm thankful to have the awareness now of how the media has shaped our views and assumptions.
Outstanding guest speaker and great questions and answers from you both. SO helpful. So informative. I wish I found you years ago. Thank you for your service to women.
I need to send this video to my husband. You guys are explaining everything so well. He’s sooooo against drugs especially weight loss drugs. I’m on HRT and just started Wegovy.
I hope it all goes well. I love my HRT been on it 14 years, have reversed type 2 D but it keeps coming back as I just cant exercise much due to leg hardware and my appetite is voracious, always has been. How did you convince your doc to give Wegovy to you? here in Canada they say I'm just borderline and eat less exercise more...well it works to a point. I just cant lose the last 40 lbs...
The doctor will prescribe it if you meet the criteria for Wegovy which is BMI of 27 with comorbidity such as high bp or high cholesterol or BMI of 30 and up, But my insurance wanted me to prove to them that I attended a weight loss program, which I did with my previous Dr. Anyways I’m experiencing weird side effects with Wegovy. I have severe muscle aches and fatigue which are nowhere mentioned as Wegovy side effects. I just realized it was from Wegovy. I’m planning to stop it. I’ll just continue exercising and try to diet. Of course not everyone is the same. I wish you luck with your weight loss journey.
Amazing information! Have recently started watching a lot of your videos Dr. Haver, and I am actually getting excited, because I know that I am not going crazy about all the symptoms I have been having. I made an appointment to go see my doctor on Monday!
I still remember the phen-phen craze in the 90s and all those young women taking those drugs to lose weight and ending up needing heart-lung transplants to live due to those drugs. I will wait this out to see how this goes over time.
Great discussion!!! Due to my family’s cancer history, my oncologist and gynecologist (she introduced me to Dr. Haver 💙) agreed HRT isn't an option. So diet, exercise, lifestyle, and building muscle are paramount to navigating perimenopause and thereafter.
would you mind explaining why HRT isn’t an option for you? my mom has cancer and you mentioned your family having a history of the same, so i’m curious and trying to prepare myself and advocate when i go to the doctor in case they don’t already have this info. thank you 🙏🏾❣️
HRT definitely put me back to my pre-40 shape, lost tonnes of weight in one year , maybe a bit too much, but I was always trying to keep weight on. So this explains perfectly why I've always had issues with keeping weight on me pre-40, it was estrogen !! Tha KS ladies xx
Excellent episode! Thank you! I am on 😮 tomorrow I will be putting on a estradiol patch and a tiny bit of testosterone gel for the first time. I am excited and hopeful it will help with my post menopausal symptoms. I will turn 58 at the end of the month and had a hysterectomy 2 months ago.
Thank you for sharing all this great information. It’s heartening to hear from wonderfully caring, knowledgeable and articulate doctors who are willing to put themselves out there and share what they’re learning
Have listened to so many of your podcasts. I lived in France,I am old to start HRT (77) but my Doctor reccomended it bec. i broke several bones inc hip and femur since starting menopause. Felt so much better since starting HRT re sleeping, bladder control etc. Then moved to London and had an NHS medication evaluation by pharmacist, she said, do you know "HRT causes Breast Cancer and stroke"w/o a family history. "R u willing to take the risk." Was so upset and scared after speaking to her.
when it comes to menopause treatment i feel France is so much ahead ! I am French and was living abroad and it is a nightmare how they approach menopause! It is just unbelievable the worse ever are the dutch who consider menopause not to be a chronic illness and will tell you we will not test your hormone level just accept the change and deal with it! they just recommend to take vitamines that is on top you are paying from your pocket not covered eventhough recommended by the Dr! Women are treated like in the medieval system in Netherlands , only country in the world i believe who push women to natural deliverance during pregnancy wto morphine or anything;..so much stories there the world must know ! all the foreigners go back to their country origin for treatment coz Dutch women are so used to the system they just accept the system as it is !
This was awesome. Thank you SO much to both. Very informative. I’m in NY and will reach out to you doctor and thank you Dr Haver always for all your helpful videos. Xo
You need to watch macronutrients (make sure it’s accurate for your weight and weight loss goals), stay hydrated and sleep, sleep, sleep. HRT is not the holy grail on its own. You have to weight train .. get protein right at 1g for every pound of body weight. This, along with HRT will work but noting on its own❤
@@sussannekeith5676 I’ve been watching macros for quite a while not and average 90-110 g per day and prioritize fiber as well. i’ve tried not to get too restrictive on other macros is I kept protein and fiber in check. Maybe it’s time to cut calories…?
Probably bc this is how our bodies are made to be as we age. God designed it to be this way but I agree with the doctor that if there’s a way to minimize the symptoms so we can live our full best lives and it doesn’t jeopardize our health Why Not ? Right
My oncologist told me no HRT because my tumor was triple positive. In fact, the prescribed estrogen inhibitor. Did I understand correctly that HRT is ok despite breast cancer? I fit your description exactly. 1-2 lbs a year. I definitely feel muscle loss. My old workouts don’t seem to work anymore.
The answer varies by individual with the exception of vaginal estrogen which is safe for everyone. Other types of HRT are a more nuanced discussion to weight your health risks versus your benefits. Do you follow Dr. Corinne Menn on social media? She has great content on this topic and is a breast cancer survivor herself. Her instagram is @mennobgyn ~ XO Community Support Team
Thank you so much! I will follow Corrine Menn. I also have a MD appointment coming up in a couple months. I’ll ask some questions. Thank you for your feedback!
I am 53 going on 54 this year… I am so relieved to hear that I’m not going insane and there’s a reason for my madness. Last year i got my periods in April and this year in January. I thought I was done with them!🙄Both last year and this year have been really tough… lots of weight gain, even when I continue to walk 2-2.5 miles a day, do 20-30 minutes of yoga daily, experiencing hot flashes and night sweats, feeling achy, sad and sometimes frustrated. Whenever I mentioned my symptoms to my endocrinologist she prescribed gabapentin. I do not want to take that medication which is for depression and has many side effects! I scheduled an appointment with a gynecologist that still is a few months ahead while I continue to suffer😢 I am hoping that she will put me on HRT. I hope that I am still a candidate although I’m almost reaching post menopause. I have added more fiber, less carbs, and more protein in my diet. I have been taking vitamin D for years! I do not have diabetes or hypertension. My cholesterol is a little up but do not need medication. I am hoping HRT will help stabilize me!🙏
This was a great video. I want to thank you for putting this conversation out there. These medications have been game changers. But knowing the info in protein and retaining muscle mass is important.
If you don’t have bad symptoms of menopause should a woman still consider HRT?? To support bodily functions- skeletal, etc? I have minor hot flashes. Should one consider only taking supplements instead (D, mag, collagen, probiotic, Fish oil, etc.?)
I started using HRT patches because of very low Hormones and Brainfog. After a week on HRT i had so many side effects like worsen Brainfog,Depression,Nausea, Memory loss,Slow thinking,Tiredness and Headaches. The only benefit that I got from using it was better sleep. I have stopped using the HRT patches for a week now and all the symptoms disappeared.I guess it is not for everyone.
👏👏👏conversation. I use your supplement line. I have hyperthyroidism. My eyebrows were thinning and getting shorter. Since taking your supplement line, my eyebrows are fuller!
Iv learned from research as well that the hormone insulin raises as our oestrogen declines, insulin is a storage hormone and when we are in a chronic state of high insulin levels not only dose this put us at risk of insulin resistance but also the risk is diabetes. Fasting for 16-20 hours can really assist with keeping our insulin in check by draining our glycogen tank between meals/drinks. Weight loss is a lot easier when we fast and there are studies that suggest that fasting can actually increase our metabolism, improve inflammation, heal our body. It’s worth incorporating every tool we can to help our bodies working with them for the most positive outcomes.
I'm not lower to take HRT because of borderline ovarian tumor. My total oopherectomy and hysterectomy was 6 months ago. I've been doing clean keto with intermittent fasting. I did two extended fasts for 5 days of water only. I've had much success. I haven't had major hot flashes and my sleep is still good. I don't want diabetes or bone/muscle loss. 😢
I'd like to know more about DHEA. Use with HRT, effects on blood sugar, weight/visceral fat and can it be taken during other meds. What is the best DHEA form to use.
My very favorite segment of yours EVER!!👏👏👏👏👏👍🏻and that’s saying something bc I love them all. Just wow, 2 amazingly intelligent women dedicating your careers to lifting up women❤❤❤this is how it’s supposed to be, thank you so much for your time, passion, and efforts to this channel. I used to have my own channel and know how much work it is with little $ return. I’m a professional astrologer and an RN, if you’d ever like a full astrology reading on the house, let me know!
Very educational! I was 25 when I got a total hysterectomy so 3 years ago, due to severe endometriosis. My doctor was a male so for the first year he wouldn’t prescribe me any type of HRT. My hot flashes got in the way of work & daily life. Hot flashes would make me loose my breath. Now I’m struggling with the tummy fat!! This gave me a lot of insight. Thanks so much!!
Losing your ovaries at such a young age puts you at risk for multiple health issues later in life unfortunately. This subject includes osteoporosis, heart disease , dementia. You should be on hormone replacement until the normal age of menopause. You need to find a competent doctor quickly.
Just reread your post, do you mean that your in informed( idiot) doctor waited a year after your total hysterectomy and THEN gave you hormones??? They should have given you an estrogen patch as they wheeled you into the recovery room!!!
@@lindajones4849 ohh yes! i quickly found a new doctor who explained all the negative effect s of having 0 Estrogen ! it is crazy how much can be affected! i have since been put on HRT and feel absolutely AMAZING! my quality of life has done a complete 360. now i can live like a normal 28 year old :)
What about hormones and weight gain for women who are not menopausal? any advice for them? Do you take patients who are not in menopause but having hormonal issues?
After watching this video it is so dishearning to know what I have been through during me pause that could have potentially been prevented. At 51 I stopped having periods and 3 months later had extreme panic attacks along with anxiety. Along with the classic symptoms I had one that doctors could not figure out for 9 months. I had stinging, burning, electric shocks 24/7. I was sent to every specialist you could imagine. They put me on anti depression drug, an anxiety med that I cannot get off of and I am 67. My gyno unfortunately is not a proponent of HRT so I suffered 7 years before I found a doctor who would put me on HRT. I refuse to be without it now, unless there is a health issue that will not let me continue. Breast cancer does not run in my family. I wish I had this k owledge sooner. We need more educated OBGYN's who special woman's health AFTER having babies. That's all most of them know. How to deli er babies!
Do you want to get off your antidepressant (Effexor, etc)? Your MD needs to be prescribing a ‘Cross-taper Withdrawal’. With the way Effexor half-life works, it’s typically 1 dose of fluoxetine. The half-life of the latter is so long, it can actually be taken once every 7 days. In contrast, venlafaxine has a very short half-life, so that’s why the acute withdrawal (‘discontinuation syndrome’) hits hard when people try to stop. The Pharmacist may have to the explain this ‘Cross-taper Withdrawal’ protocol to the MD so they can Rx it.
That’s what I got. Three days in, unable to sleep, lying on the couch, unable to get up, thinking only about pain in my whole body, I said I can’t this antidepressant anymore. “Well, I guess you really don’t want help.”
I'm 53 and its been 7 months since my last period. Some new things I've been experiencing are hot flashes, vaginal dryness, decreased sex drive, mood swings, brain fog, slight weight gain, GERD and bloating got much worse. I'm afraid of HRT because my aunt developed breast cancer after starting HRT many years ago probably 20-30 yrs ago. Is HRT safer now? I'd prefer to use more natural remedies. I've noticed when I eat cleaner and I've recently increased my walking I feel alot better!
Im perimenopause and got an underactive thyroid since i was 28,so now having perriimenopse with thyroid and hVing pms, is a nightmare with debilitating symptoms symptoms, sleep anxiety , anxiety,,eyebproblem,caches and pains uti, im on gel estrogen and biodenical progesterone , to help me sleep? As my mireena coil misplaced , im awaiting for op to remove it and replace it as i suffer from heavy bleeding. Im always eating wrong foods cake, biscuits as im depressed and always hungry😮
Can you please address side effects of HRT? I’m having a horrible time. Very tender and sore breasts, backache and bloating that is worse than before HRT. Do these effects subside? I’ve been on it a month. Thank you.
I have been on compound Semaglutide for the past 10 months, it worked for me to lose my goal weight but reached my max dose. I am perimenopause and I’m scared to increase weight after I leave it. What dose of Semaglutide do you recommend for long term use?
I have been on estradiol and progesterone for five years. Life saver!!! A year ago, I had a total hysterectomy at the recommendation of my gyn. She asked me to get off the progesterone and decrease my estradiol by half. Without the progesterone, I feel exhausted and not good at all. Is there a way to find how much of each my body actually needs.
This should be a conversation you have with your prescribing doctor to discuss the benefits of progesterone for you regardless of if you need to have it to protect the uterine lining. If you need a second opinion this article might help. thepauselife.com/blogs/the-pause-blog/top-4-tips-for-finding-top-notch-menopause-care?_pos=1&_sid=7f7cde004&_ss=r ~ XO Community Support Team
How has these helped you?Did you try them both at the same time or at different times can you tell me if how it made you feel and why the process wrong is no longer making you feel a certain way
Great discussion, shame about us cutting short at the end when the UK question popped up about name in UK of the drugs dis used at the start of session.
Hi. I have recently found you and I'm so excited. I've been listening to your book and I'm halfway through. Tomorrow I see my gynecologist and my rheumatologist and I am armed with a series of questions for them. Thank you. I have a four year-old daughter,and I would like to know if you have any suggestions on following the Galveston diet while still providing for the food health needs of children. Thank you!
The basis of the diet is anti-inflammatory eating which should be good for everyone in your family. The weight loss macros would not apply to anyone not trying to lose weight. We suggest consulting your child's doctor about this. ~ XO Community Support Team
There was a comment at around minute 40 about vaginal estrogen and DHEA but there is a bit of sound glitch and she didn't talk about the DHEA and how it was dosed or prescribed or taken. Can you please touch on DHEA and what dose and how best to take it? Thank you
I wish I herd about this many years ago I started pellets therapy 2 in half years ago I now 60 I didn’t have no hormones in me is better to do the patch i do the injections.
My doc wants me to start hrt for-my bones due to having osteoporosis at only age 33. I am terrified of the weight gain people have said they have experienced when starting hrt.. I’m confused as you say hrt actually helps with trimming belly fat, but then others say it increases….can you clarify?
The slowing down of the metabolism is associated with the drop in testosterone as we age, and muscle loss is also associated with the drop in testosterone as we age! Estrogen slows the metabolism down because it directly influences the thyroid, estrogen slows down thyroid activity and we burn less calories! It's absolutely true that estrogen reduces and prevents visceral fat though, because it regulates insulin!
I wish I could’ve asked about fibroids and HRT. should a woman with a 6 cm fibroid at 50 yo get the uterus removed prior to menopause? What is the best route to take?
Loved this and really want to take HRT but I used it for 1 year and I was so floored! How I define this is my muscles aches like made, can you please tell me why this is happened as I have just been diagnosed with OA and I really want to take it. I was taking the Estradiol gel and I really want to know why I ached so much. I am 51 and follow the keto genic diet ❤
Whenever Dr. Haver talks about menopause she is generally referring to the time from menopause on through the rest of your life. ~ XO Community Support Team
I am 5 2. And I am currently on a low dose. Vaginal estrogen and low dose daily pill of progesterone. I'm wondering at this point if I should switch to a more systemic estrogen like a patch or an oral pill for the general health benefits for the brain and all the other things that are used to having a certain amount of estrogen. I have a lot of weight gain and muscle loss. And I can't stop eating. And I'm not motivated to eat properly or do any kind of weight training
Wow...Awesome interview full of important information. At what age can Estrogen replacement not be useful or not worth replacing for someone in Menopause for years? Thank you so much for this valuable information.
That is really an individual conversation. It would be based on your individual health benefits versus your health risks. We have a free Empowerment Guide that can help you advocate for yourself with your doctor. It also includes resources to find a menopause educated doctor including Telehealth options. Here is the link to request it: mailchi.mp/00fb4ddf891c/empowerment-guide ~ XO Community Support Team
I'm really curious about the years of exposure to hormone part you mention around the 31:00 minute mark. What's the impact of having taken years of hormonal birth control on risk of dimentia, etc.?
I asked for blood work about where my hormones are at at this moment. My doctor said there are exams but there is no reason for them because you know, “What purpose does it serve?” 😞 Ummmmm, I want to know if I will passing through hell soon!
I could be wrong but what I thought I heard was them say that testing isn't as important as the symptoms because one person at 50 is happy while another is in hell. I was frustrated when my gyn said the same thing to me.
I would suggest asking your Dr to order the blood work so you can get a baseline for future reference. If she outright declines ask for reason. If she makes you feel uncomfortable, questioning your own decision etc, you might have to switch providers. That holds even more weight if you are experiencing symptoms that can not be explained by other things. Listen to your gut, Doctors don’t know everything, smart one know that and are willing to learn.
Dr. Haver is not a fan of pellets because the dosage can be difficult to control and they are not FDA approved so you don't always know what you are getting. ~ XO Community Support Team
This is an extremely frustrating issue for me. I have history of a blood clot after a hysterectomy in 2023. Blood clot was gone within three months. I have yet to find a doctor who will prescribe HRT for me because of that blood clot. I’ve even brought up YOU and the things you’ve said about this not being the case (and that I just need a specific kind of HRT), but they still refuse to prescribe. I am beyond frustrated and upset, as I’ve put on so much weight since my surgery. I’ve tried restricting calories. Fasting. Exercising more. The pounds keep coming on. I went from a size 8 to a 14 in one year. My joints hurt. My acid reflux off the charts and barely controlled with meds. My blood tests show I’m pre-diabetic. I’ve been in tears at office visits. My hematologist just referred me to an endocrinologist, who she hopes can put me on some kind of weight mgmt medication. I have to wait a month for an available appt. Sigh. I hope it’s not a waste of my time when I meet with them. I cannot continue like this.
Please let me know what you find out. I’m in the same boat! I’m so frustrated I just want to cry. I had a DVT after my hysterectomy also! Menopause sucks!!!
Thank you both. You will help a-lot of women. What do you think of post-menopausal HRT? My natural-path doctor still prescribes compound bio-identical hormone cream.
Wonderful podcast thank you so much! Is there a link to the article showing the link between early menopause without HRT and all cause mortality?? I couldn’t find show notes …
Great information. I am fortunate that I have affordable access to both HRT and GLP-1 treatment. I did not understand the difference between medically supervised obesity treatment versus the off lable/medi spa treatments. My OBGYN did not have a solution to my weight gain, she told me the HRT would only treat my night sweats, and that perhaps once I was getting enough sleep I would lose the weight, that did not happen. I was able to get a medical weight loss appt because of my BMI and borderline A1C & elevated CHO, both which I never had in peri-menopause. I live a healthy lifestyle so the weight gain was surprising and weight loss resistance very frustrating. I still am curious to see if the healthy weight loss from GLP-1 while maintaining/building muscle post menupause is maintained if you go off the GLP-1. Thank you both!
How can you find a provider that will listen…I’m in menopause..I work out 5-6 days a week which focuses mostly on weight training…I have gained 20lbs and cannot lose the weight…5’3” and have maintained 177-120 until 50…now 140 but told I don’t fit the bmi requirements to qualify for the glps…so am I stuck until I reach the obese category?
I have heard synethic estrogen causes weight gain and cancer advised to take progesterone to help balance all hormones. And taking compounded HRT is the healthy way. I see a natural Dr that told me this as well. I just can’t afford to go to her anymore.
This is all great to know, but here in Toronto I can't even get a family doctor to see me never mind believe me that I would like HRT. The last walk-in clinic I went to, sure enough prescribed me anti-depressants.
I had to fight for a year and a half went to gynaecologists General practitioner who would not listen spoke to a menopause specialist and she confirmed that all my symptoms were perimenopausal I wanted to cry. Thank god I didn't take the anti depressants.
Hi I live in Toronto! Prosper menopause on line is a great platform of nurse practitioners that will give you a thorough consultation and prescribe you hormone replacement. I have an appointment with Dr. Damian’s Castleman. She is an ND that is also certified as a menopause practitioner and can prescribe health Canada approved products. These are great options, however, depends on what benefits you have because these are out of pocket costs. However, the prescriptions they give you are covered under any drug healthcare plan.
the SSRI discussion...I get that HRT should be first line of therapy, but what about those of us who have been on SSRI's since 90s and want off! They don't work any more, yet the withdrawal effects are terrible..Can HRT help mitigate withdrawal effects through slow tapering? Seems like nobody knows what to do with us....
Hi ladies❣️ 18:49 so useful for us what are u doing. What about HRT for women after 60- 62 year old , is it dangerous for cancer?? Or blood clots?? In my country doctors say after 60 they do not suggest it due to cancer danger related.
You mention that you only treat symptoms, not to a specific level of hormones. But you also say that HRT is preventative for heart health, bone density and brain health. So if I don’t get hot flushes should I miss out on these benefits? No HRT unless I have hot flushes?
Dr. Haver prescribes HRT for her patients for reasons other than just hot flashes. This would be a conversation to have with your doctor to talk about any other symptoms or reasons that you might benefit from HRT. ~ XO Community Support Team
AMAZING DISCUSSION! I’m a personal trainer whose menopausal clients aren’t losing weight and they want to know WHY! And now it’s happening to me! This was SO EYE OPENING to as the the implementation of HRT AND semiglutides for success at weight control with resistance training to control muscle loss! THANK YOU FOR ALL YOU ARE DOING FOR WOMEN❤️
Thank you for comment!
Check out Dr Wendy Sweet & her My Menopause Transformation courses re weight loss & perimenopause and menopause. Very lifestyle based but also heavily based in research & science.
How can I find a personal trainer where I live that specializes on perimenopausal women’s bodies?
My guess would be if you located a provider on the North American menopause society website, the provider could provide provide you with a source. I just finished my personal training certification and I plan to partner with some providers myself. After going through the perimenopause weight gain myself having paid 4 trainers who gave me cookie cutter workouts and nutrition plans designed for women in their 20s 🙄I decided to get certified and at 48 My physical fitness and overall health has drastically improved.
I’m still so nervous to try such a new drug for weight loss. And taking a drug period. Always been a natural ist
I am SOOOOOO excited! I just went to my appointment with my gynecologist and she HEARD me! She listened and with compassion and empathy prescribed me testosterone, progesterone and estrogen! Then- she referred me to The Pause Life! I have been following Dr Mary Clare for about six months already- which is what empowered me to ask for a referral back to my gyno who was my provider when I was younger and going through issues with fibroids. I feel so loved. It is wonderful to feel validated and supported. My terrible pcp did me one solid and granted my request for a referral. She is a woman and about 30 and looked at me like I was pathetic for wanting to have a sex drive, keep my muscle mass and bone health and not have reoccurring utis and urinary issues. How dare I not want to shrivel up like a prune at 51??? She told me I needed to temper my expectations because I wasn’t going to feel 20 again. 1:30
Oh my gosh. That is crazy! I'm glad you found a provider that was willing to help. It's amazing how hard this stuff is to navigate
Ha! I would love an update when she approaches "the change". 😂 That is stinking thinking for sure.
Loving the passion here! I’m 51 and fall into this group of being gaslit for 10 years. I finally saw a provider from Haver’s list and started an estrogen patch. THANK YOU!
I’m ready for some semi glutites almost. After watching this. I started menopause and gained at least 15 and can’t loose a lb to kill me and need help. I work out 3 days a week and eat healthy. Ugggg also 47
Please let me know how the patch is working for you…I have an appointment with a gynecologist (haven’t been to a gynecologist since I gave birth to my daughter 14 years ago at 39 years of age!😬) in April and am really hoping I would be a good candidate for estrogen patch! 🙏
@@ambyrfifer4419 Same! Except I am 57, never had a problem with weight before and now can’t stop eating. You probably eat healthier than me though. I struggle but do eat better then I ever have.
Could you please tell me what dose of estradiol you started with? I have an appointment soon
I started with the .25. And didn’t work And then up to .05. And felt a difference . Stayed here to so far….. I still get hot flashes but not near as bad as I was
As a 45 yr old female slowly approaching perimenopause, a Physical therapist assistant, certified personal trainer and certified nutritional health coach, I love this conversation! I am a huge advocate for collaborative health care approach! Muscle mass is key for all women especially as we age!!! Thank you for depth of this conversation!
Love your opinion on pcos and insulin resistance
In menopause too
Two phenomenal women, thank you for your contribution to supporting and listening to women with tge flow on posivitive affect, helping wellbeing, relationships and families. Thank you, thank you. ❤🙏 bless you
This was absolutely fantastic 👏🏾 Thank you for speaking up, sharing and educating us ❤️
I wish so badly that my mom could still be a candidate for HT. Sadly she was deprived of it 20+ years ago because the prescribed meds for her was SSRIs and I am so angered by that. By coming across Dr Haver and all these information coming to light now so I can begin to take care of me so that I can be as healthy as I can be and be there to support her and my dad. Thank you for fighting and giving voice to the need for HT in women’s health!
You should know you can order hormone creams online? that's what I did until I found a good doc.
Dr. Haver thank you so much for all you do here.
I’m so happy this doctor is in NY, I will surely go visit her.
😊❤
Time for a podcast series ladies! Both of you together have so much to share and it’s essential to get this info out there! I’m an RN and have learned so much in this one conversation! Also, what if a post menopausal woman is not obese but immediately gained 15 lbs after being the same weight her entire life and cannot shake that extra weight! VELCRO! Meds not an option? Only food and exercise?
In this scenario you have the opportunity to lose weight with lifestyle. Eat meals and avoid snacks. Make sure you get protein, fiber, and healthy fats at each meal. That's a terrific place to start. No night-time eating is important too.
@@heatherawadmd7858 i tried that it is not sufficient ! in France they advice progesterone more than oestrogene for post menopausal women ! why you did not talk about progesterone treatment only ? there is so many approaches that women are lost ! we do not trust the pharmaceutical industry anymore too ! Whilst WHO has recognized Menopause as an illness, it is not given the right attn by the medical corps saying one thing and the other every other year !
Impossible!! Lol@@heatherawadmd7858
I’m a personal trainer and I have been following you for quite a while and have learned so much from you. My focus is peri menopause, menopause and post menopausal women. I suggest all my clients follow you so they can get the same information I get from you. I’m so thankful I found you and am getting educated about his phase of our lives. You help me help my clients navigate the change. 😊
This is fascinating! I'm also having a SAD EPIPHANY of the CULTURAL BIAS I have as an American in my 50s when listening to a language difference between doctors. It makes me feel like crying.
What a world we've grown up in. I'm thankful to have the awareness now of how the media has shaped our views and assumptions.
Outstanding guest speaker and great questions and answers from you both. SO helpful. So informative. I wish I found you years ago. Thank you for your service to women.
Wow!! You doctors are amazing and knowledgeable about women. God bless you ❤
I need to send this video to my husband. You guys are explaining everything so well. He’s sooooo against drugs especially weight loss drugs. I’m on HRT and just started Wegovy.
I hope it all goes well. I love my HRT been on it 14 years, have reversed type 2 D but it keeps coming back as I just cant exercise much due to leg hardware and my appetite is voracious, always has been. How did you convince your doc to give Wegovy to you? here in Canada they say I'm just borderline and eat less exercise more...well it works to a point. I just cant lose the last 40 lbs...
The doctor will prescribe it if you meet the criteria for Wegovy which is BMI of 27 with comorbidity such as high bp or high cholesterol or BMI of 30 and up, But my insurance wanted me to prove to them that I attended a weight loss program, which I did with my previous Dr. Anyways I’m experiencing weird side effects with Wegovy. I have severe muscle aches and fatigue which are nowhere mentioned as Wegovy side effects. I just realized it was from Wegovy. I’m planning to stop it. I’ll just continue exercising and try to diet. Of course not everyone is the same. I wish you luck with your weight loss journey.
Amazing information! Have recently started watching a lot of your videos Dr. Haver, and I am actually getting excited, because I know that I am not going crazy about all the symptoms I have been having. I made an appointment to go see my doctor on Monday!
You are right!!! My husband was pretty sad before I start with pellets. The change is huge 🎉
I still remember the phen-phen craze in the 90s and all those young women taking those drugs to lose weight and ending up needing heart-lung transplants to live due to those drugs. I will wait this out to see how this goes over time.
Great discussion!!! Due to my family’s cancer history, my oncologist and gynecologist (she introduced me to Dr. Haver 💙) agreed HRT isn't an option. So diet, exercise, lifestyle, and building muscle are paramount to navigating perimenopause and thereafter.
I'm 51 and pcos insulin resistance and worry this doctors are so messed up .
would you mind explaining why HRT isn’t an option for you? my mom has cancer and you mentioned your family having a history of the same, so i’m curious and trying to prepare myself and advocate when i go to the doctor in case they don’t already have this info. thank you 🙏🏾❣️
HRT definitely put me back to my pre-40 shape, lost tonnes of weight in one year , maybe a bit too much, but I was always trying to keep weight on. So this explains perfectly why I've always had issues with keeping weight on me pre-40, it was estrogen !! Tha KS ladies xx
That has not happened to me at all 😢
What RHT are you currently taking?
@@jenifercoto4870 patches
@@hazeldellis what hrt are you on please ?
Think your incredible thank you from UK. Personal a trainer 46 and changed way I trainer and eat since starting menopause x
Excellent episode! Thank you! I am on 😮 tomorrow I will be putting on a estradiol patch and a tiny bit of testosterone gel for the first time. I am excited and hopeful it will help with my post menopausal symptoms. I will turn 58 at the end of the month and had a hysterectomy 2 months ago.
Thank you for sharing all this great information. It’s heartening to hear from wonderfully caring, knowledgeable and articulate doctors who are willing to put themselves out there and share what they’re learning
Have listened to so many of your podcasts. I lived in France,I am old to start HRT (77) but my Doctor reccomended it bec. i broke several bones inc hip and femur since starting menopause. Felt so much better since starting HRT re sleeping, bladder control etc. Then moved to London and had an NHS medication evaluation by pharmacist, she said, do you know "HRT causes Breast Cancer and stroke"w/o a family history. "R u willing to take the risk." Was so upset and scared after speaking to her.
Ask her if she knows the difference between the oral estrogen Rxs and the Rx transdermal patch hormones? She sounds uninformed.
when it comes to menopause treatment i feel France is so much ahead ! I am French and was living abroad and it is a nightmare how they approach menopause! It is just unbelievable the worse ever are the dutch who consider menopause not to be a chronic illness and will tell you we will not test your hormone level just accept the change and deal with it! they just recommend to take vitamines that is on top you are paying from your pocket not covered eventhough recommended by the Dr! Women are treated like in the medieval system in Netherlands , only country in the world i believe who push women to natural deliverance during pregnancy wto morphine or anything;..so much stories there the world must know ! all the foreigners go back to their country origin for treatment coz Dutch women are so used to the system they just accept the system as it is !
Also, I lived in Galveston and still visit there frequently! Love from Bellaire
This was awesome. Thank you SO much to both. Very informative. I’m in NY and will reach out to you doctor and thank you Dr Haver always for all your helpful videos. Xo
I’m on my first steps with BHRT I’m so happy. I wish I totally understand you girls my mother lengua is Spanish . ❤ thank you
I take Estrodiol patch and progesterone - belly fat (maybe visceral … maybe not) has not budged for years and keeps increasing.
Me too !
You need to watch macronutrients (make sure it’s accurate for your weight and weight loss goals), stay hydrated and sleep, sleep, sleep. HRT is not the holy grail on its own. You have to weight train .. get protein right at 1g for every pound of body weight. This, along with HRT will work but noting on its own❤
Me too unfortunately.
@@sussannekeith5676 I’ve been watching macros for quite a while not and average 90-110 g per day and prioritize fiber as well. i’ve tried not to get too restrictive on other macros is I kept protein and fiber in check. Maybe it’s time to cut calories…?
I am not a doctor in any way can you let me know why we aren't just replacing the amount of hormones we had at least in our 40s premenopausal
This is a good question.
Probably bc this is how our bodies are made to be as we age. God designed it to be this way but I agree with the doctor that if there’s a way to minimize the symptoms so we can live our full best lives and it doesn’t jeopardize our health Why Not ? Right
What about weight loss and hormonal support post Tamoxifen?
My oncologist told me no HRT because my tumor was triple positive. In fact, the prescribed estrogen inhibitor. Did I understand correctly that HRT is ok despite breast cancer? I fit your description exactly. 1-2 lbs a year. I definitely feel muscle loss. My old workouts don’t seem to work anymore.
The answer varies by individual with the exception of vaginal estrogen which is safe for everyone. Other types of HRT are a more nuanced discussion to weight your health risks versus your benefits. Do you follow Dr. Corinne Menn on social media? She has great content on this topic and is a breast cancer survivor herself. Her instagram is @mennobgyn
~ XO Community Support Team
Thank you so much! I will follow Corrine Menn. I also have a MD appointment coming up in a couple months. I’ll ask some questions. Thank you for your feedback!
Thank you to both of you❤. I am a NP and learned so much from your presentation!
Is HRT recommended if family history of maternal side lipedema and breast cancer?
I would like to know the role of dhea in perimenopause/menopause ?
I am 53 going on 54 this year… I am so relieved to hear that I’m not going insane and there’s a reason for my madness. Last year i got my periods in April and this year in January. I thought I was done with them!🙄Both last year and this year have been really tough… lots of weight gain, even when I continue to walk 2-2.5 miles a day, do 20-30 minutes of yoga daily, experiencing hot flashes and night sweats, feeling achy, sad and sometimes frustrated. Whenever I mentioned my symptoms to my endocrinologist she prescribed gabapentin. I do not want to take that medication which is for depression and has many side effects! I scheduled an appointment with a gynecologist that still is a few months ahead while I continue to suffer😢 I am hoping that she will put me on HRT. I hope that I am still a candidate although I’m almost reaching post menopause. I have added more fiber, less carbs, and more protein in my diet. I have been taking vitamin D for years! I do not have diabetes or hypertension. My cholesterol is a little up but do not need medication. I am hoping HRT will help stabilize me!🙏
Thank you ladies. You two are so needed ❤
This was a great video. I want to thank you for putting this conversation out there.
These medications have been game changers. But knowing the info in protein and retaining muscle mass is important.
If you don’t have bad symptoms of menopause should a woman still consider HRT?? To support bodily functions- skeletal, etc? I have minor hot flashes. Should one consider only taking supplements instead (D, mag, collagen, probiotic, Fish oil, etc.?)
I wonder the same thing. Been researching and can not find an answer. If you find out let me know.
What about taking bioidentical hormones or estradiol patch when you have history of a fib and on blood thinners?
I started using HRT patches because of very low Hormones and Brainfog.
After a week on HRT i had so many side effects like worsen Brainfog,Depression,Nausea, Memory loss,Slow thinking,Tiredness and Headaches.
The only benefit that I got from using it was better sleep.
I have stopped using the HRT patches for a week now and all the symptoms disappeared.I guess it is not for everyone.
I wonder if there are lower dose options? I’d like to use a patch but I’m nervous about the side effects since I have such a sensitive system.
Also, most women I have personally spoken to have said they’ve gained weight and cannot lose it!
I thank God for what you’re doing.
👏👏👏conversation. I use your supplement line. I have hyperthyroidism. My eyebrows were thinning and getting shorter. Since taking your supplement line, my eyebrows are fuller!
What are your thyroid numbers and what numbers make them low
What supplements??
Very important complicated subject
What I can do to lose body belly fats in menpose and mantain it
Iv learned from research as well that the hormone insulin raises as our oestrogen declines, insulin is a storage hormone and when we are in a chronic state of high insulin levels not only dose this put us at risk of insulin resistance but also the risk is diabetes. Fasting for 16-20 hours can really assist with keeping our insulin in check by draining our glycogen tank between meals/drinks. Weight loss is a lot easier when we fast and there are studies that suggest that fasting can actually increase our metabolism, improve inflammation, heal our body. It’s worth incorporating every tool we can to help our bodies working with them for the most positive outcomes.
I have pcos and insulin resistance. I'm assuming cause belly fat and non exercise ... now menopause.. l keep hearing do keto do carnivore..lm so lost
I'm not lower to take HRT because of borderline ovarian tumor. My total oopherectomy and hysterectomy was 6 months ago. I've been doing clean keto with intermittent fasting. I did two extended fasts for 5 days of water only. I've had much success. I haven't had major hot flashes and my sleep is still good. I don't want diabetes or bone/muscle loss. 😢
I'd like to know more about DHEA. Use with HRT, effects on blood sugar, weight/visceral fat and can it be taken during other meds. What is the best DHEA form to use.
There are no studies supporting systemic uses of DHEA. Dr. haver does not prescribe it.
~ XO Community Support Team
Can men have insulin resistance? Whats best diet for that we gmhave many saying plant base
My very favorite segment of yours EVER!!👏👏👏👏👏👍🏻and that’s saying something bc I love them all. Just wow, 2 amazingly intelligent women dedicating your careers to lifting up women❤❤❤this is how it’s supposed to be, thank you so much for your time, passion, and efforts to this channel. I used to have my own channel and know how much work it is with little $ return. I’m a professional astrologer and an RN, if you’d ever like a full astrology reading on the house, let me know!
Very educational! I was 25 when I got a total hysterectomy so 3 years ago, due to severe endometriosis. My doctor was a male so for the first year he wouldn’t prescribe me any type of HRT. My hot flashes got in the way of work & daily life. Hot flashes would make me loose my breath. Now I’m struggling with the tummy fat!! This gave me a lot of insight. Thanks so much!!
Losing your ovaries at such a young age puts you at risk for multiple health issues later in life unfortunately. This subject includes osteoporosis, heart disease , dementia. You should be on hormone replacement until the normal age of menopause. You need to find a competent doctor quickly.
Just reread your post, do you mean that your in informed( idiot) doctor waited a year after your total hysterectomy and THEN gave you hormones??? They should have given you an estrogen patch as they wheeled you into the recovery room!!!
@@lindajones4849 ohh yes! i quickly found a new doctor who explained all the negative effect
s of having 0 Estrogen ! it is crazy how much can be affected! i have since been put on HRT and feel absolutely AMAZING! my quality of life has done a complete 360. now i can live like a normal 28 year old :)
Hi, can I use collagen as a protein? I add it to my yogurt and other meals - does this count as protein?
Thank you, thank you for this info! What are the options for a woman who has a history of estrogen receptor positive BRCA?
Awesome discussion and great information !!
What about hormones and weight gain for women who are not menopausal? any advice for them? Do you take patients who are not in menopause but having hormonal issues?
Dr. Haver would recommend an endocrinologist, like Dr. Salas-Whalen in that situation.
~ XO Community Support Team
Thank you so much great information..
What a great conversation - SO informative.
WHERE TO LOCATE IN CANADA TO LOOSE CAREFULLY AND HAVE NO LOSS MUSCLE
After watching this video it is so dishearning to know what I have been through during me pause that could have potentially been prevented. At 51 I stopped having periods and 3 months later had extreme panic attacks along with anxiety. Along with the classic symptoms I had one that doctors could not figure out for 9 months. I had stinging, burning, electric shocks 24/7. I was sent to every specialist you could imagine. They put me on anti depression drug, an anxiety med that I cannot get off of and I am 67. My gyno unfortunately is not a proponent of HRT so I suffered 7 years before I found a doctor who would put me on HRT. I refuse to be without it now, unless there is a health issue that will not let me continue. Breast cancer does not run in my family. I wish I had this k owledge sooner. We need more educated OBGYN's who special woman's health AFTER having babies. That's all most of them know. How to deli er babies!
Do you want to get off your antidepressant (Effexor, etc)? Your MD needs to be prescribing a ‘Cross-taper Withdrawal’.
With the way Effexor half-life works, it’s typically 1 dose of fluoxetine. The half-life of the latter is so long, it can actually be taken once every 7 days. In contrast, venlafaxine has a very short half-life, so that’s why the acute withdrawal (‘discontinuation syndrome’) hits hard when people try to stop. The Pharmacist may have to the explain this ‘Cross-taper Withdrawal’ protocol to the MD so they can Rx it.
Thays exactly what they did to me! Threw me the atni anxiety and anti depressants until i said no more.
Why dr in USA doing this???
That’s what I got. Three days in, unable to sleep, lying on the couch, unable to get up, thinking only about pain in my whole body, I said I can’t this antidepressant anymore. “Well, I guess you really don’t want help.”
I am 58 and stopped estrogen after doing it for 10 years. Should i get back on the estrogen patch? I dont have a uterous so I stopped progesterone.
Hope they answer
I'm 53 and its been 7 months since my last period. Some new things I've been experiencing are hot flashes, vaginal dryness, decreased sex drive, mood swings, brain fog, slight weight gain, GERD and bloating got much worse. I'm afraid of HRT because my aunt developed breast cancer after starting HRT many years ago probably 20-30 yrs ago. Is HRT safer now? I'd prefer to use more natural remedies. I've noticed when I eat cleaner and I've recently increased my walking I feel alot better!
Im perimenopause and got an underactive thyroid since i was 28,so now having perriimenopse with thyroid and hVing pms, is a nightmare with debilitating symptoms symptoms, sleep anxiety , anxiety,,eyebproblem,caches and pains uti, im on gel estrogen and biodenical progesterone , to help me sleep?
As my mireena coil misplaced , im awaiting for op to remove it and replace it as i suffer from heavy bleeding.
Im always eating wrong foods cake, biscuits as im depressed and always hungry😮
Can you please address side effects of HRT? I’m having a horrible time. Very tender and sore breasts, backache and bloating that is worse than before HRT. Do these effects subside? I’ve been on it a month. Thank you.
I definitely am a candidate for HRT. I brought it up with PCP and OBGYN. I’m frustrated with healthcare for women.
Thank you for this!
Great collab interview! Thank you 😊
I have been on compound Semaglutide for the past 10 months, it worked for me to lose my goal weight but reached my max dose. I am perimenopause and I’m scared to increase weight after I leave it. What dose of Semaglutide do you recommend for long term use?
No one knows yet. Its only been out a couple years.
I have been on estradiol and progesterone for five years. Life saver!!!
A year ago, I had a total hysterectomy at the recommendation of my gyn.
She asked me to get off the progesterone and decrease my estradiol by half. Without the progesterone, I feel exhausted and not good at all.
Is there a way to find how much of each my body actually needs.
This should be a conversation you have with your prescribing doctor to discuss the benefits of progesterone for you regardless of if you need to have it to protect the uterine lining. If you need a second opinion this article might help.
thepauselife.com/blogs/the-pause-blog/top-4-tips-for-finding-top-notch-menopause-care?_pos=1&_sid=7f7cde004&_ss=r
~ XO Community Support Team
I thought since you don't have overreasy.Don't require progesterone ???
How has these helped you?Did you try them both at the same time or at different times can you tell me if how it made you feel and why the process wrong is no longer making you feel a certain way
Great discussion, shame about us cutting short at the end when the UK question popped up about name in UK of the drugs dis used at the start of session.
Hi. I have recently found you and I'm so excited. I've been listening to your book and I'm halfway through. Tomorrow I see my gynecologist and my rheumatologist and I am armed with a series of questions for them. Thank you.
I have a four year-old daughter,and I would like to know if you have any suggestions on following the Galveston diet while still providing for the food health needs of children. Thank you!
The basis of the diet is anti-inflammatory eating which should be good for everyone in your family. The weight loss macros would not apply to anyone not trying to lose weight. We suggest consulting your child's doctor about this.
~ XO Community Support Team
There was a comment at around minute 40 about vaginal estrogen and DHEA but there is a bit of sound glitch and she didn't talk about the DHEA and how it was dosed or prescribed or taken. Can you please touch on DHEA and what dose and how best to take it? Thank you
I wish I herd about this many years ago I started pellets therapy 2 in half years ago I now 60 I didn’t have no hormones in me is better to do the patch i do the injections.
My doc wants me to start hrt for-my bones due to having osteoporosis at only age 33. I am terrified of the weight gain people have said they have experienced when starting hrt.. I’m confused as you say hrt actually helps with trimming belly fat, but then others say it increases….can you clarify?
The slowing down of the metabolism is associated with the drop in testosterone as we age, and muscle loss is also associated with the drop in testosterone as we age! Estrogen slows the metabolism down because it directly influences the thyroid, estrogen slows down thyroid activity and we burn less calories! It's absolutely true that estrogen reduces and prevents visceral fat though, because it regulates insulin!
So, what about the testosterone aspect? Should it be restored to women?
@@gwenjones1913I believe that is what Dr Havers advocates. Can get levels tested for clarity first.
I wish I could’ve asked about fibroids and HRT. should a woman with a 6 cm fibroid at 50 yo get the uterus removed prior to menopause? What is the best route to take?
Loved this and really want to take HRT but I used it for 1 year and I was so floored! How I define this is my muscles aches like made, can you please tell me why this is happened as I have just been diagnosed with OA and I really want to take it. I was taking the Estradiol gel and I really want to know why I ached so much. I am 51 and follow the keto genic diet ❤
What about post menopause after age 69 I love all of these podcast from Dr Haver.
Whenever Dr. Haver talks about menopause she is generally referring to the time from menopause on through the rest of your life.
~ XO Community Support Team
I am 5 2. And I am currently on a low dose. Vaginal estrogen and low dose daily pill of progesterone. I'm wondering at this point if I should switch to a more systemic estrogen like a patch or an oral pill for the general health benefits for the brain and all the other things that are used to having a certain amount of estrogen. I have a lot of weight gain and muscle loss. And I can't stop eating. And I'm not motivated to eat properly or do any kind of weight training
Wow...Awesome interview full of important information. At what age can Estrogen replacement not be useful or not worth replacing for someone in Menopause for years? Thank you so much for this valuable information.
That is really an individual conversation. It would be based on your individual health benefits versus your health risks. We have a free Empowerment Guide that can help you advocate for yourself with your doctor. It also includes resources to find a menopause educated doctor including Telehealth options. Here is the link to request it: mailchi.mp/00fb4ddf891c/empowerment-guide
~ XO Community Support Team
@@maryclairehavermd8473 Thank you so much!👍
I'm really curious about the years of exposure to hormone part you mention around the 31:00 minute mark. What's the impact of having taken years of hormonal birth control on risk of dimentia, etc.?
What?? Birth control causes dementia???
I thought insulin resistance might
Great stuff! Thank yall!🙌🏼🩷
I asked for blood work about where my hormones are at at this moment. My doctor said there are exams but there is no reason for them because you know, “What purpose does it serve?” 😞 Ummmmm, I want to know if I will passing through hell soon!
Yup I was told that too!
I could be wrong but what I thought I heard was them say that testing isn't as important as the symptoms because one person at 50 is happy while another is in hell. I was frustrated when my gyn said the same thing to me.
I would suggest asking your Dr to order the blood work so you can get a baseline for future reference. If she outright declines ask for reason.
If she makes you feel uncomfortable, questioning your own decision etc, you might have to switch providers.
That holds even more weight if you are experiencing symptoms that can not be explained by other things. Listen to your gut, Doctors don’t know everything, smart one know that and are willing to learn.
Is pellet therapy better than topical hrt?
Dr. Haver is not a fan of pellets because the dosage can be difficult to control and they are not FDA approved so you don't always know what you are getting.
~ XO Community Support Team
This is an extremely frustrating issue for me. I have history of a blood clot after a hysterectomy in 2023. Blood clot was gone within three months. I have yet to find a doctor who will prescribe HRT for me because of that blood clot. I’ve even brought up YOU and the things you’ve said about this not being the case (and that I just need a specific kind of HRT), but they still refuse to prescribe. I am beyond frustrated and upset, as I’ve put on so much weight since my surgery. I’ve tried restricting calories. Fasting. Exercising more. The pounds keep coming on. I went from a size 8 to a 14 in one year. My joints hurt. My acid reflux off the charts and barely controlled with meds. My blood tests show I’m pre-diabetic. I’ve been in tears at office visits. My hematologist just referred me to an endocrinologist, who she hopes can put me on some kind of weight mgmt medication. I have to wait a month for an available appt. Sigh. I hope it’s not a waste of my time when I meet with them. I cannot continue like this.
Please let me know what you find out. I’m in the same boat! I’m so frustrated I just want to cry. I had a DVT after my hysterectomy also! Menopause sucks!!!
Love to hear as well.. good luck
Their is telehealth drs that will prescribe it
How much spironolactone would be given?? Hairloss ?
Im told l dont have estrogen 2 years ago .. but have pcos ..hysterectomy partial 5 years ago .. uterus gone
Thank you both. You will help a-lot of women. What do you think of post-menopausal HRT?
My natural-path doctor still prescribes compound bio-identical hormone cream.
Wonderful podcast thank you so much! Is there a link to the article showing the link between early menopause without HRT and all cause mortality?? I couldn’t find show notes …
I think that this is the article. www.ncbi.nlm.nih.gov/pmc/articles/PMC6651856/
~ XO Kristen, Community Support Team
Great information. I am fortunate that I have affordable access to both HRT and GLP-1 treatment. I did not understand the difference between medically supervised obesity treatment versus the off lable/medi spa treatments. My OBGYN did not have a solution to my weight gain, she told me the HRT would only treat my night sweats, and that perhaps once I was getting enough sleep I would lose the weight, that did not happen. I was able to get a medical weight loss appt because of my BMI and borderline A1C & elevated CHO, both which I never had in peri-menopause. I live a healthy lifestyle so the weight gain was surprising and weight loss resistance very frustrating. I still am curious to see if the healthy weight loss from GLP-1 while maintaining/building muscle post menupause is maintained if you go off the GLP-1. Thank you both!
How can you find a provider that will listen…I’m in menopause..I work out 5-6 days a week which focuses mostly on weight training…I have gained 20lbs and cannot lose the weight…5’3” and have maintained 177-120 until 50…now 140 but told I don’t fit the bmi requirements to qualify for the glps…so am I stuck until I reach the obese category?
Does Dr Salas have a website or UA-cam channel?
I’m coming in late. What is the medicine your guest is speaking about?
How are those meds effecting long term the brain ????
I have heard synethic estrogen causes weight gain and cancer advised to take progesterone to help balance all hormones. And taking compounded HRT is the healthy way. I see a natural Dr that told me this as well. I just can’t afford to go to her anymore.
This is all great to know, but here in Toronto I can't even get a family doctor to see me never mind believe me that I would like HRT. The last walk-in clinic I went to, sure enough prescribed me anti-depressants.
Keep trying different places. You have to really be your own advocate here. That’s been my experience.
I had to fight for a year and a half went to gynaecologists General practitioner who would not listen spoke to a menopause specialist and she confirmed that all my symptoms were perimenopausal I wanted to cry. Thank god I didn't take the anti depressants.
Omg terriivble.
Hi I live in Toronto! Prosper menopause on line is a great platform of nurse practitioners that will give you a thorough consultation and prescribe you hormone replacement. I have an appointment with Dr. Damian’s Castleman. She is an ND that is also certified as a menopause practitioner and can prescribe health Canada approved products. These are great options, however, depends on what benefits you have because these are out of pocket costs. However, the prescriptions they give you are covered under any drug healthcare plan.
@@lindalorenzoni5615 wow thank you for this!!! The internet came through!!!
If a women has menopause and pcos gigh insulin should a dr help lower thos risks ?? Is ozempic the way???
Is it a good/bad idea to take CLA Supplements around perimenopause?
Dr. Haver can you tell me where breast cancer patients fall in this scenario of GLP1?
This is a conversation they would want to have with their doctor to see if it is a choice for them. ~ XO Community Support Team
the SSRI discussion...I get that HRT should be first line of therapy, but what about those of us who have been on SSRI's since 90s and want off! They don't work any more, yet the withdrawal effects are terrible..Can HRT help mitigate withdrawal effects through slow tapering? Seems like nobody knows what to do with us....
Ssri should of helped with menopause
Hi ladies❣️
18:49 so useful for us what are u doing.
What about HRT for women after 60- 62 year old , is it dangerous for cancer?? Or blood clots??
In my country doctors say after 60 they do not suggest it due to cancer danger related.
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You mention that you only treat symptoms, not to a specific level of hormones. But you also say that HRT is preventative for heart health, bone density and brain health. So if I don’t get hot flushes should I miss out on these benefits? No HRT unless I have hot flushes?
Dr. Haver prescribes HRT for her patients for reasons other than just hot flashes. This would be a conversation to have with your doctor to talk about any other symptoms or reasons that you might benefit from HRT.
~ XO Community Support Team
Dr. Haver, your hair is luscious. What’s your routine to keep it healthy and abundant during menopause?