If only doctors like these were affordable to everyone. I'm on the early side of these problems, and I looked up functional medicine doctors in my area who specialize in hormonal issues, and the INITIAL cost was nearly $2,000 (this did not include supplements or ongoing testing). If I feel it's necessary, I'll spend the money, but it sure would be nice to have treatment like this covered by insurance. The fact that it isn't feels criminal. This information in this video is so incredibly helpful, so thank you both!
I agree, it is criminal. Health Care in the US is a criminal enterprise, as is the Food Industry, and several organizations which take their money and appear “scientific.”
Agree 100%. When you are on Medicare it’s impossible unless you have deep pockets to pay for it on your own. Ask me how I know, 76 yo here and unable to pay out of pocket.
OMG, that's insane. I found a functional medicine practitioner who is a chiropractor. The initial visit was in the $400 range. Every 3 weeks I go in for another visit and supplements. That's about $250. Honestly, it wasn't that long ago I was unable afford that so I'm very lucky I can do it now. I'm hoping you can find a practitioner who is more affordable.
Katie there are less expensive alternatives to a doctor that can help. I am a certified functional nutrition and lifestyle practitioner. Some of my collegues specialize in women’s hormones and menopausal issues. We can’t diagnose but we use food, supplements and lifestyle changes to access, recommend and track your issues. We can run many tests too that help determine your path. Everyone is different and everything matters!
I think the biggest obstacle is finding a doctor that cares about the details! I find that most doctors downplay what you say to them. It’s REALLY frustrating.
Please let your guest complete their thoughts Dr. Hyman. I really could have gotten more from this interview if she fully completed sharing this very vital information for us women going through this challenging time. Thank you for having her on your podcast.
Agree, he is the one talking more than her as his guest and with the topic of menopause? Please, not disrespectful but when u invite a guest let her talk more. U can have ur own topic and explain anything u want. I did not get much info coz of her not finishing her explanation. She's most of the time cut off.
@@The3wilksYes I found it annoying. Let your guest speak and plus she's a woman and she's gone through it and has experience unlike him which his never gone through it and will never go through it.
I wish doctors were being taught more about menopause so that when your in your 40’s and changes start you actually have an expert that can actually help us!!!
To all you courageous doctors out there, thank you so much. It is so needed as we are getting sick and diseased from all the modernized food products, chemicals, fertilizers, contaminated water, vape stores, alcohol, and other harmful drugs. We need to wake everyone up to what is happening.
I've heard other people make this comment, but I feel he perfectly complements the discussions and adds important information. Funny how we all see things differently.
The problem is insurance companies don’t cover non conventional medicine. The average person is not able to afford the future of medicine and all of the tests,
The talk about testing, but if you are in an HMO like me, seems like they only want to test for certain things, like A1C but not for fasting insulin or anything else. Feels like they want to react to as problem you already have instead of preventing it in the first place. 😢😢😢
I’m sorry but hrt has improved my life entirely & mixed with magnesium Glycinate, NMN & he adds healthy eating after total hysterectomy due to tumours I feel amazing. I also take a small dose of testosterone (ovaries contain 50%) & weight training with quick cardio short interval workouts max length 45 minutes with rest 1-2 minutes between & listening to my body. Women need to advocate for themselves 😊
God I'm so glad my doctors are from Australia and S. Africa. I've been on compound BiEst and Progesterone since 40 y.o. I'm 65 still on em. So grateful.
Hi. I live in South Africa and there is help here for menopause. I am so grateful. Have been on HRT since age 50. I am now 60 and I am reluctant to stop. I took a 6 months break and it was miserable.
thank you for sharing this video on such a helpful topic! hearing about safe weight management and overall health from Aspect Health services really resonated with me. i decided to take a holistic approach to my well-being, and it has made a positive difference. now, i feel more confident and energized every day. by focusing on both my health and my self-assurance, ive embraced a new lifestyle that i love. gratitude for the insightful content!
True. Mark asks the question then cant help himself to chime in and either answer it himself or promote the clinic....let the guest answer the question!!
What a charming and knowledgable lady, totally used to Mark interrupting (got to love him) but would LOVE an appointment with Dr Geyer, how would I go about this? 🙏🏻
Unbeknownst to me, thinking it was fine and normal, I was on the low dose birth control pill for about 35 years. When I turned 52, my doctor took me off and only a few months later, WHAM! Hot flashes, mood swings, it was horrible. That was 15 years ago and at the time hormone replacement was questionable. I suffered through and even though I am much better now, I still have a couple moments a day. I am a healthy, normal weight and my bone density scan came back with osteopenia in one hip and mild osteoarthritis in the other! I’m upping my exercise and eating even healthier, hoping to turn it back!🤞🏼 It was a rough road, but I’m turning it around!!
Absolutely same story here: 35 ys on COMBI-pill and now my SHBG is really high and my free testosterone level extremely low (= "free androgen index"). It was a special pill for skin problems (=anti-testosterone)... I show all the typical symptoms of low Testosterone and have been struggling for over a year to just get a minimal dose... my doctors are scared of it (and I would be their first patient) and did not even know that they had to test for FREE (!!!) Testosterone... But I do not give up and fight for my complete HRT ( including a proper dose of T!!!) and try to inform as many women as possible about this scandal! Best wishes from Germany 🇩🇪
I’m 64.5 and made the mistake of going off hrt after 10 years. It was horrible 🥵🤪. I have found a health and hormone doctor and I’m back on hormone replacement therapy 🥳. I got my life back and I’m eating healthier and exercising again. I got my Groove Back 😅. My husband is happy 😊 ❤.
@@freebie2585same for me I’ve been asking for years bout HRT , now that I’m. 63 yrs old and was more forward about asking for HRT my OBGYN says I’m not a good candidate due to my age 63 and the fact that I am eight years post menopause, she said the risks outweigh the benefits so she said no for me for HRT but she did say I’m going to testosterone. I’m so confused.
At 50 I started bio identical HRT in the form of a cream with estrogen and testosterone in the morning. At night I take a 150mg tablet of progesterone. All of this was prescribed after blood tests done by my functional doctor. I feel great and my gynaecologist says my hormones are in perfect balance. I’m now 55. Before I started bio identical hormones, I had horrible menopausal symptoms, including waking at 3am, hot flashes, fatigue and moodiness. I sleep like a baby now and am feeling mentally and physically alert.
I’m am so frustrated hearing this because since going through menopause I have so many health issues where I recently learned was actually caused by diminished estrogen. No doctor EVER discussed this and were just perplexed as to why I tested for the issues I have been diagnosed with because of my healthy clean lifestyle. I am68 and over 10 years post menopause l have to accept that I most likely will have a shortened life span.
I had to go through it all without any help as HRT sent my blood pressure up so couldn't take it...thank goodness! Started early 2 years after a hysterectomy for very painful heavy periods and aneamia. Migraines got worse...it was a nightmare and no real help except a myriad of migraine meds. Was going through Mental or stressful time with teenagers out of control and childhood trauma around the same time...just a nightmare time!!
well I started menopause at 35 doctor said impossible, at 40 my menstrual cycle was almost none existent after years of flooding clots and pain, I got some HRT but was only allowed that from 40 until 50. at 45 I had stress at work and was putting on weight despite the diet suggested, and my libido was just gone. I went to the Dr thinking I am only 45, she kind of shrugged and chuckled. No help just lose weight. My knees went bad, the next 10 years of failing to lose weight and knees meaning I saw a surgeon who would not help me because I was too fat. In 2018 I started low carb/keto, I am still on this journey but I have noticed my body cannot controlled my temperature, I got some vaginal hormones but only for 3 months I do not believe our GPs are interested
What about us 18 yrs into menopause, began early, so many symptoms. I can't find a Dr who will put me on them. Is it a lost cause? Please do another segment on us!
Sadly, most people cannot afford this out of pocket expense. Our system is built upon being sick first before any tests can be done. It sucks as I'd love to dig deep into learning about what is going on inside my body. I am healthy, and love to keep it that way. Most doctors in the system know zero about menopause or nutrition. What are we to do?
I'm not sure anything is broken and needing fixed here. What if a woman's body stopping estrogen production is necessary and it's not actually a problem but a sign that she's perfectly normal and healthy? And what if replacing the estrogen is inhibiting the female body from moving to her next phase of aging? Kinda like puberty. Most people don't agree with puberty blockers but a girl's first cycle (and often beyond) is VERY unpleasant, painful, and sometimes debilitating. We don't intervene or stop that process or insert hormones because it's a natural part of the process. If every woman stops estrogen production during menopause then doesn't it make sense that she should stop producing estrogen? Should we be replacing something every woman's body loses naturally? When do we conclude that it's a natural process that shouldn't be trifled with? I understand wanting to help with symptoms (God help me, I'm there) but we don't' replace baby teeth with fake or other animal's teeth because we know the adult teeth are coming in and it's a natural part of human aging. The child's mouth isn't broken so we pull the teeth and wait. The symptoms are very uncomfortable for the kid but we don't have remedies for loose teeth. Very little intervention needed. This is quite obvious because we SEE it happening but with internal issues it's not quite that obvious. What if menopause is naturally removing the estrogen from ladies because it needs to replace it with something else that we don't understand because we haven't really done a lot of looking into it? You generally don't find something you aren't looking for. I'm sure you can tell I know very little about this but I don't understand why every human complaint has to have a medical intervention.
I think women are living longer, and menopause is a sign of our body shutting down. It means we are dying. Women age three times faster than a man once they go into post menopause. The bones get weaker, heart disease goes up and the brain suffers. All due to a hormone deficiency. The ovaries shut down, and the adrenal glands take over producing a little estrogen until the time of death. Honestly I don’t know what the answer is. Intervention to survive all this and die in the end feeling good or suffering for years on end and then dying.
@@x.y.7385, you’re right. It’s when the ovaries shut down and our bodies aren’t making hormones like before causing all kinds of health issues is the problem. My periods were easy. Menopause has been way harder.
I am 60 years old, and very health conscious. I exercise regularly, am a healthy weight, and am vegan. I was never overly bothered by hot flashes, mood swings, and the symptoms that are usually mentioned. I went through menopause at 51 years of age. Even though I have been taking Premarin for about 4 years, I have been have a huge problem with overactive bladder and what is called post menopausal urogenital syndrome. ( for a little over a year) I wish that this was discussed more in videos about menopause.
If men come in with ED do they get asked about the teenaged kids and their stress and their elderly parents? Or do they just get the Viagra/ testosterone.???
Lying here on my day bed, as i go through the migraine during my period. Sometimes its bad, an year ago I ditched the strong prescriptions, and went trying to fix my gut biome, no sugars, stressing less, more good sleep etc..the migraines are less severe..still there...also i try to get in magnesium, zinc, B6, D3, a week before my periods...its working...here and there... Seems youtube is my new doctor, thats for the discussions
I went on Prozac at 48 and that regulated my sleep and helped with mood swings. I almost took a leave of absence because I was waking up at 3am every early morning
In my late forties, I learned that Keeping my adrenals functioning well and getting my liver, gallbladder and digestive system working optimally reduced my symptoms of perimenopausal significantly, reduced my bloated adenomyosis belly, back pain etc and returned my crazy periods back to normal without surgery (only option)
I have practised yoga since my early 30s. Now I am 65. I never took medication for menopause and believe it was regular yoga that helped as well as a non meat diet.
You are one of the lucky ones. My mom was too. 20% of women breeze through menopause. There’s no rhyme or reason why. Their periods just stop. My mom wasn’t the healthiest of eaters and she never exercised.
It might be more with genetics, healthy environment and eating clean (not so much ultra processed junk). My whole family has a history of "breezing through", despite no or very little exercise, no yoga, being overweight, eating bread, milk, meat .. but not eating junk food nor drinking soda.
Yes also I'll say that being on a 'clean' vegan diet for 4 years actually ruined my hormones and landed me in the hospital getting iron infusion. My hormones are still dead. Not every one is the same
No mention of testosterone? It’s so sad the way low T is ignored in women. You can be perfectly healthy, but if your T is low you will feel horrible. No one addresses this. They only focus on estrogen and progesterone.
This is helpful in formation in this video but not the whole story at all. I think there is more inforamtion out there that is more up to date. There is good information here. Hyman is not a menopause expert (Despite what he thinks) at all but has some inforamtion that is helpful
Low T has been huge for me- terrible anxiety, losing muscle, no stamina. No doc could "figure it out" until I finally found one that said "let's check your hormones". My T was at 6, when it should have been at least 40.
I love listening to you both discussing this topic. My female, should I say doctor told me to take Lexapro and talk to a therapist! No test , no nothing!! I'm 49 and she did not help at all.
Hi Nadia: my bet is your doc has not gone through perimenopause/ menopause yet. Women's Health, especially menopause is grossly under researched and a recent PhD lecturing on menopause and Alzheimer's said only 1 in 5 obgyns get any training in menopause. Mostly in pregnancy / birth control/ gyno surgeries.
Not all doctors are perimenopas or menopause literate. Lifting heavy weights, intermittent fasting and not eating highly processed food are guaranteed to balance hormones.
Menopause wasn't too bad for me (despite sandwich generation life), so when hot flashes would start, I would drink a quart of Organic soy milk over 3-4 days and they would go away.
Check Dr. Mary Clair Haver and Dr. Mindy Pelz. They both have some great info to help without HRT. I don’t have insurance and I am managing with dietary changes and supplements.
Try Maca Root. I use the brand Femminesce. Also, vit D & magnesium are huge at perimenopause. I also eat lots of free range eggs & increase my protein at every meal. Avoid sugar & flour.
Hi I started going through the menopause 5 months ago . I instantly suffered from really intense hot flushes day and night. I tried a few different natural products but no relief. I then researched more and found info about isoflavones plus red clover and my flushes reduced by 90% . I still have warm moments but nothing like i was having, its a real life saver for me😊
The first part of this video, is a biography of my life. I’m 60 now. I’m sugar addicted, I still have hot flashes and mood swings for a week out of each month. There is just so much to think about and not sure if it’s just already too late for me to address.
I always love what you and your guests talk about. It makes a lot of sense. However, it is absolutely limited by access and separates by socioeconomic realities. Health is accessible to those who can afford it. Yes, there's a basic component of diy that anyone can access but good care, like what you discuss, is very limited in the bottom 70 percent of the health care system. So .. policy influence ?
Great... I've already struggled with stress and poor sleep all my life, and now you're telling me it's going to get worse?? I'm almost 39 and I don't want to get any older :(
I never can find an answer to this: what happens to Brain, Bone and Heart health once you go off of HRT? Many doctors only want you on it for 5 years or less. I'm assuming once you go off, the benefits go away too or are they accumulative?
Environmental toxins- fluoride in the water, chemicals in our foods, chemicals trails in our skies daily….are you doing anything to stop these atrocities ? You have the power base.
Very helpful. A further question: I have been trying to find information on HRT, particularly whether there is a consensus on how long HRT should be applied. Is it a year or less, or 2 to 5 years, or 10 years, or 20 years and longer? Is HRT mainly aimed at managing the transition period of hormonal changes or can it be used indefinitely to reap certain benefits without significant risks?
I never appeared to have gone through any significant changes over the menopause years (never had any mood swings; body sweats. . ) and don’t know if it was due to those being some stressful years or what?! Anyways, no complaints. I never ever had issues during my monthly cycle, either but was on a birth control pill from 14years onwards until having children in my 30’s. I appear to have gotten off easy compared to many women.
Our healthcare sucks! I see a Naturopath who is so open minded and listens and respects how I want to move forward with my health but that will all change once I am on Medicare since they don’t cover Naturopaths. Why not??? They are doctors! I am absolutely not on the same page with traditional MDs so I will need to figure it out when the time comes. My plan is to continue to live a healthy lifestyle from all I have learned from these amazing online doctors. Hopefully I won’t need an MD except for when I am hospitalized. 😟
Try Maca Root. I use the brand Femminesce. Also, vit D & magnesium are huge at perimenopause. I also eat lots of free range eggs & increase my protein at every meal. Avoid sugar & flour.
I am 57 and never took hormones… I am at a good weight and don’t think I had negative effects for not taking any. I really didn’t have symptoms either like hot flashes and so on.
All of these specialty tests are not covered by most commercial health plans. One of my doctors coded one of my blood tests as checking for obesity but had to change that code for insulin issues instead so they would pay for it. If I eat edamame, or eat soy protein or milk, I will have a migraine and flushing symptoms like a hot flash.
GREAT, so how much does all this huge amount of testing cost? How much is covered by health insurance. How can you not mention thus? 51:42 "Looking at everything" seems like a shotgun approach and is overwhelming for the patient. 51:42 .
Why would you put your example patient on a plant based only diet? I keep hearing people need more protein as we age and it is hard to get only on plants. Trust me, I’ve tried.
We are so afraid of expressing oursekves, conditioned "not"be difficult" difficult for example, not human to not be "one of those women" but, suffeeing everywhere, heartbrwaking, loss of quality life.
I don't think you can, not to mention you cannot undo whatever damage has been done. 5-10 years is the last to start hrt to prevent more damage or keep menopausal symptoms at bay.
Dr Mark, I have a 24 year old daughter with a pituitary lesson causing extreme hormone fluctuations. I believe it could be a symptom instead of a cause, but conventional medicine doesn't look at anything other than new drugs to try 😢 Any thoughts or suggestions? Thank you
And vitamin D3, is synthetic, and is actually a poison! As a matter if fact a lot of stuff that's in supplements it's labeled not for human consumption! And vitamin industry is actually run by Big Pharma. You can really go down a rabbit hole if you start to research where supplements come from and it's not good.
Gratitude for this. To have said it: pretty sure sugar causes Alzheimer's (type 3 diabetes), menopause and dementia. Healthy Keto has healthy fat, your brain is fat, hormones are cholesterol, fat is life. Personally mid 50s, regular cycle, no menopause symptoms. Sugar is deadly, it's a fact. It causes blindness, death, it's very statistically linked to dementia, Alzheimer's and more too. Doubtless it effects our sensitive reproductive systems. Makes more sense than fat doesn't it? Gluconeogenesis, your liver makes all the sugar (1-2 tsps) your body needs. Sugar is subsidized by the US government. $$$. Sugar is poisonous in large or continuous amounts. It hurts women more than men but it kills us all. Pretty sure it causes menopause too.
Hilarious that you believe such nonsense, About memooause...the rest I believe...menopause is all about hormones disregulation.and not just sex hormones
Love this conversation! I would love to be a patient of yours but you’re too dang far 😢. I’m selective on who to see because they’re lots of frauds out there in this field. Any chance you can recommend someone in Los Angeles,CA?? Thank you for all you do.
I am in FL and a patient of Dr. Geyer’s. I only have to go 1 time per year (new law in MA) the rest we do via ZOOM & phone calls. I am able to write off the travel as it is for medical purposes. Totally worth it! 👌🏻
@@lionessm235How did you contact Dr.Geyer to book an appointment? I am willing to fly out to where she is located. I’ve been suffering for the last year an a half . Don’t know what else to do.
Thank you for this video! Lots of useful information. I wish this type of approach was availble to all women. What do you think of "Duavee"? It was suggested to me as HRT but I read it comes from pregnant horses urine...Is it like Premarin? Honestly, I'm struggling with menopause symptoms and the decision to take it. It's not easy.
I just had my thyroid levels checked because of hypothyroidism. $600 after insurance. I can't even imagine how much all the testing they discussed would cost. Not that any Dr. I've ever been to would even consider them.
$600 for a thyroid test? The actual cost is less than $10. (I'm in Canada, and my dr always tests TSH first with any new change because, as he says, it's the most likely and cheapest test to determine if that's the cause.
I got through nine years of perimenopause on my own. Only diet, supplements and exercise. I suffered at times, but I made it to the other side. Then four years into post menopause, the broken sleep continued. I realized I hadn’t slept a full night in 13 years. I was raising two kids, and I was exhausted and non-functional. I couldn’t even drive in fear of being in an accident. I had tried everything for my sleep and then finally I went and saw a menopause specialist. One week later after being on bioidenticals I was sleeping again. They were a lifesaver. Hormones may not be for everyone, but for me I could no longer function. I now have my life back. I’m sleeping again and even my blood pressure reversed.
May I ask how old you were when you started HRT? There are differing opinions on whether or not you can take them after 5-10 years post menopausal. And would you share what you’re taking? TIA
@@bethtori2640, I wear an estradiol patch that I change twice a week, and I take an oral progesterone every night before bed. Both are made from plants (bioidentical). I sleep all night now, my blood pressure has returned to normal, and my bones have become stronger according to my recent DexaScan. I forgot to mention that I have been on them for 2 1/2 years. I’m 60 years old. I started taking them six years after my last period. Knowing what I know now, I definitely would have started earlier.
OK Dr Hyman, I am a fan. You were just on diary of a ceo, one thing you need to learn from Steven is just let your guest TALK for Christ sake. Ask a question let her get out her train of thought out instead of constantly interrupting. That's why DOAC is one of the best podcasts.
If only doctors like these were affordable to everyone. I'm on the early side of these problems, and I looked up functional medicine doctors in my area who specialize in hormonal issues, and the INITIAL cost was nearly $2,000 (this did not include supplements or ongoing testing). If I feel it's necessary, I'll spend the money, but it sure would be nice to have treatment like this covered by insurance. The fact that it isn't feels criminal. This information in this video is so incredibly helpful, so thank you both!
I agree, it is criminal. Health Care in the US is a criminal enterprise, as is the Food Industry, and several organizations which take their money and appear “scientific.”
Agree 100%. When you are on Medicare it’s impossible unless you have deep pockets to pay for it on your own. Ask me how I know, 76 yo here and unable to pay out of pocket.
OMG, that's insane. I found a functional medicine practitioner who is a chiropractor. The initial visit was in the $400 range. Every 3 weeks I go in for another visit and supplements. That's about $250.
Honestly, it wasn't that long ago I was unable afford that so I'm very lucky I can do it now. I'm hoping you can find a practitioner who is more affordable.
@@jaykay3839Thank you, I appreciate that!
Katie there are less expensive alternatives to a doctor that can help. I am a certified functional nutrition and lifestyle practitioner. Some of my collegues specialize in women’s hormones and menopausal issues. We can’t diagnose but we use food, supplements and lifestyle changes to access, recommend and track your issues. We can run many tests too that help determine your path. Everyone is different and everything matters!
I think the biggest obstacle is finding a doctor that cares about the details! I find that most doctors downplay what you say to them. It’s REALLY frustrating.
Please let your guest complete their thoughts Dr. Hyman. I really could have gotten more from this interview if she fully completed sharing this very vital information for us women going through this challenging time. Thank you for having her on your podcast.
Estrogen is essential component.
Agree. Seemed like he was more interested in showing how much he knows (competing with her) and promoting his clinic.
Agree, he is the one talking more than her as his guest and with the topic of menopause? Please, not disrespectful but when u invite a guest let her talk more. U can have ur own topic and explain anything u want. I did not get much info coz of her not finishing her explanation. She's most of the time cut off.
@@The3wilksYes I found it annoying. Let your guest speak and plus she's a woman and she's gone through it and has experience unlike him which his never gone through it and will never go through it.
It’s like listening to a deep conversation between 2 superstars… I’m loving it!
I wish doctors were being taught more about menopause so that when your in your 40’s and changes start you actually have an expert that can actually help us!!!
To all you courageous doctors out there, thank you so much. It is so needed as we are getting sick and diseased from all the modernized food products, chemicals, fertilizers, contaminated water, vape stores, alcohol, and other harmful drugs. We need to wake everyone up to what is happening.
Too many interruptions. Goodness knows how this doctor did not lose her mind!
I love him, but he is not a good interviewer.
@@Butterflybabexoxo yes, I feel the same!
He has a bad habit of this in all interviews.
I've heard other people make this comment, but I feel he perfectly complements the discussions and adds important information. Funny how we all see things differently.
The problem is insurance companies don’t cover non conventional medicine. The average person is not able to afford the future of medicine and all of the tests,
I see a functional medicine dr...my insurance company covers my visits
Just….let…her…talk!
Thank you for saying this. I'll find her on another video with a more respectful host.
Conversational narcissist is a term they use 🫢
(specific to how they operate in conversation)
The talk about testing, but if you are in an HMO like me, seems like they only want to test for certain things, like A1C but not for fasting insulin or anything else. Feels like they want to react to as problem you already have instead of preventing it in the first place. 😢😢😢
2 highly intelligent and honest doctors!
I’m sorry but hrt has improved my life entirely & mixed with magnesium Glycinate, NMN & he adds healthy eating after total hysterectomy due to tumours I feel amazing. I also take a small dose of testosterone (ovaries contain 50%) & weight training with quick cardio short interval workouts max length 45 minutes with rest 1-2 minutes between & listening to my body. Women need to advocate for themselves 😊
🎉 right its working for you so its real, this stuff blown off too long by all! My gosh
God I'm so glad my doctors are from Australia and S. Africa. I've been on compound BiEst and Progesterone since 40 y.o. I'm 65 still on em. So grateful.
Hi. I live in South Africa and there is help here for menopause. I am so grateful. Have been on HRT since age 50. I am now 60 and I am reluctant to stop. I took a 6 months break and it was miserable.
@@traceyseymour2652are you on bio identical or not?
For F sake I grew up in Ireland and my mother would turn up in her grave listening to this Bullshit
I'm from South Africa as well, Hrt is available here without time limit on taking them.
thank you for sharing this video on such a helpful topic! hearing about safe weight management and overall health from Aspect Health services really resonated with me. i decided to take a holistic approach to my well-being, and it has made a positive difference. now, i feel more confident and energized every day. by focusing on both my health and my self-assurance, ive embraced a new lifestyle that i love. gratitude for the insightful content!
Let her talk. Stop interrupting her.
True. Mark asks the question then cant help himself to chime in and either answer it himself or promote the clinic....let the guest answer the question!!
Ungrateful swines!!!
All the time
Am I missing something?
We lose out on so much valuable information when he talks and redirects the conversation. Please let her speak.
What a charming and knowledgable lady, totally used to Mark interrupting (got to love him) but would LOVE an appointment with Dr Geyer, how would I go about this? 🙏🏻
Unbeknownst to me, thinking it was fine and normal, I was on the low dose birth control pill for about 35 years.
When I turned 52, my doctor took me off and only a few months later, WHAM! Hot flashes, mood swings, it was horrible. That was 15 years ago and at the time hormone replacement was questionable. I suffered through and even though I am much better now, I still have a couple moments a day. I am a healthy, normal weight and my bone density scan came back with osteopenia in one hip and mild osteoarthritis in the other! I’m upping my exercise and eating even healthier, hoping to turn it back!🤞🏼 It was a rough road, but I’m turning it around!!
Up your protein. Exercise, if cardio, is catabolic to muscle. You need muscle too for bone health
Absolutely same story here: 35 ys on COMBI-pill and now my SHBG is really high and my free testosterone level extremely low (= "free androgen index"). It was a special pill for skin problems (=anti-testosterone)... I show all the typical symptoms of low Testosterone and have been struggling for over a year to just get a minimal dose... my doctors are scared of it (and I would be their first patient) and did not even know that they had to test for FREE (!!!) Testosterone... But I do not give up and fight for my complete HRT ( including a proper dose of T!!!) and try to inform as many women as possible about this scandal!
Best wishes from Germany 🇩🇪
I’m 64.5 and made the mistake of going off hrt after 10 years. It was horrible 🥵🤪. I have found a health and hormone doctor and I’m back on hormone replacement therapy 🥳. I got my life back and I’m eating healthier and exercising again. I got my Groove Back 😅. My husband is happy 😊 ❤.
What Dr?! I'm 63, Dr refused back when I could've been on hormones & now says too late. Can't find a Dr who will put me on. I'm in San Diego.
Wish I could find a doctor that would give me hormones
@@freebie2585same for me I’ve been asking for years bout HRT , now that I’m. 63 yrs old and was more forward about asking for HRT my OBGYN says I’m not a good candidate due to my age 63 and the fact that I am eight years post menopause, she said the risks outweigh the benefits so she said no for me for HRT but she did say I’m going to testosterone. I’m so confused.
At 50 I started bio identical HRT in the form of a cream with estrogen and testosterone in the morning. At night I take a 150mg tablet of progesterone. All of this was prescribed after blood tests done by my functional doctor. I feel great and my gynaecologist says my hormones are in perfect balance. I’m now 55. Before I started bio identical hormones, I had horrible menopausal symptoms, including waking at 3am, hot flashes, fatigue and moodiness. I sleep like a baby now and am feeling mentally and physically alert.
Please let her talk
I’m am so frustrated hearing this because since going through menopause I have so many health issues where I recently learned was actually caused by diminished estrogen. No doctor EVER discussed this and were just perplexed as to why I tested for the issues I have been diagnosed with because of my healthy clean lifestyle. I am68 and over 10 years post menopause l have to accept that I most likely will have a shortened life span.
You are not too old for it. Check the newest research released for women past the 10 yr mark. Menopause journal on women over 65
I had to go through it all without any help as HRT sent my blood pressure up so couldn't take it...thank goodness! Started early 2 years after a hysterectomy for very painful heavy periods and aneamia. Migraines got worse...it was a nightmare and no real help except a myriad of migraine meds. Was going through Mental or stressful time with teenagers out of control and childhood trauma around the same time...just a nightmare time!!
well I started menopause at 35 doctor said impossible, at 40 my menstrual cycle was almost none existent after years of flooding clots and pain, I got some HRT but was only allowed that from 40 until 50. at 45 I had stress at work and was putting on weight despite the diet suggested, and my libido was just gone. I went to the Dr thinking I am only 45, she kind of shrugged and chuckled. No help just lose weight. My knees went bad, the next 10 years of failing to lose weight and knees meaning I saw a surgeon who would not help me because I was too fat. In 2018 I started low carb/keto, I am still on this journey but I have noticed my body cannot controlled my temperature, I got some vaginal hormones but only for 3 months I do not believe our GPs are interested
Solutions Please 🙏
What about us 18 yrs into menopause, began early, so many symptoms. I can't find a Dr who will put me on them. Is it a lost cause? Please do another segment on us!
Eat meat
@@russvetBut many meat eaters suffer menop symps 😮
Sadly, most people cannot afford this out of pocket expense. Our system is built upon being sick first before any tests can be done. It sucks as I'd love to dig deep into learning about what is going on inside my body. I am healthy, and love to keep it that way. Most doctors in the system know zero about menopause or nutrition. What are we to do?
order the hormone creams online like I did, 20 to 45 bucks a bottle lasts 3 months. iherb or biovea
I'm not sure anything is broken and needing fixed here. What if a woman's body stopping estrogen production is necessary and it's not actually a problem but a sign that she's perfectly normal and healthy? And what if replacing the estrogen is inhibiting the female body from moving to her next phase of aging? Kinda like puberty. Most people don't agree with puberty blockers but a girl's first cycle (and often beyond) is VERY unpleasant, painful, and sometimes debilitating. We don't intervene or stop that process or insert hormones because it's a natural part of the process. If every woman stops estrogen production during menopause then doesn't it make sense that she should stop producing estrogen? Should we be replacing something every woman's body loses naturally? When do we conclude that it's a natural process that shouldn't be trifled with? I understand wanting to help with symptoms (God help me, I'm there) but we don't' replace baby teeth with fake or other animal's teeth because we know the adult teeth are coming in and it's a natural part of human aging. The child's mouth isn't broken so we pull the teeth and wait. The symptoms are very uncomfortable for the kid but we don't have remedies for loose teeth. Very little intervention needed. This is quite obvious because we SEE it happening but with internal issues it's not quite that obvious. What if menopause is naturally removing the estrogen from ladies because it needs to replace it with something else that we don't understand because we haven't really done a lot of looking into it? You generally don't find something you aren't looking for. I'm sure you can tell I know very little about this but I don't understand why every human complaint has to have a medical intervention.
I love this thought!
Exactly!
I think women are living longer, and menopause is a sign of our body shutting down. It means we are dying. Women age three times faster than a man once they go into post menopause. The bones get weaker, heart disease goes up and the brain suffers. All due to a hormone deficiency. The ovaries shut down, and the adrenal glands take over producing a little estrogen until the time of death. Honestly I don’t know what the answer is. Intervention to survive all this and die in the end feeling good or suffering for years on end and then dying.
A menstrual cycle should not be unpleasant, painful, or debilitating. If it is, that is a problem.
@@x.y.7385, you’re right. It’s when the ovaries shut down and our bodies aren’t making hormones like before causing all kinds of health issues is the problem. My periods were easy. Menopause has been way harder.
I am 60 years old, and very health conscious. I exercise regularly, am a healthy weight, and am vegan. I was never overly bothered by hot flashes, mood swings, and the symptoms that are usually mentioned. I went through menopause at 51 years of age. Even though I have been taking Premarin for about 4 years, I have been have a huge problem with overactive bladder and what is called post menopausal urogenital syndrome. ( for a little over a year) I wish that this was discussed more in videos about menopause.
@kali542 Cream, and it was helping at first, but not so much anymore.
Even though you are on premarin you may need a topical estrogen cream for the urogenital syndrome ( happened to me)
Even though you are on premarin you may need a topical estrogen cream for the urogenital syndrome ( happened to me)
If men come in with ED do they get asked about the teenaged kids and their stress and their elderly parents? Or do they just get the Viagra/ testosterone.???
Lying here on my day bed, as i go through the migraine during my period. Sometimes its bad, an year ago I ditched the strong prescriptions, and went trying to fix my gut biome, no sugars, stressing less, more good sleep etc..the migraines are less severe..still there...also i try to get in magnesium, zinc, B6, D3, a week before my periods...its working...here and there...
Seems youtube is my new doctor, thats for the discussions
I love his validating this topic, dang overdue for women
I went on Prozac at 48 and that regulated my sleep and helped with mood swings. I almost took a leave of absence because I was waking up at 3am every early morning
3 am wakeup is associated with cortisol disregulation and low blood sugar. A spoon of nut butter or half avocado before bed might take care of it.
Let this wise woman talk ❤
Thank you for this educational video, Dr. Hyman ❤
10 minutes in already hooked on the conversation 👍
Thank you for giving us information that we are not getting from the normal medical community.
In my late forties, I learned that Keeping my adrenals functioning well and getting my liver, gallbladder and digestive system working optimally reduced my symptoms of perimenopausal significantly, reduced my bloated adenomyosis belly, back pain etc and returned my crazy periods back to normal without surgery (only option)
@ 7:55 - those hot flash triggers are also histamine triggers. Hot flashes/warm flushes and histamine intolerance seem to be connected for many women.
I have practised yoga since my early 30s. Now I am 65. I never took medication for menopause and believe it was regular yoga that helped as well as a non meat diet.
You are one of the lucky ones. My mom was too. 20% of women breeze through menopause. There’s no rhyme or reason why. Their periods just stop. My mom wasn’t the healthiest of eaters and she never exercised.
It might be more with genetics, healthy environment and eating clean (not so much ultra processed junk). My whole family has a history of "breezing through", despite no or very little exercise, no yoga, being overweight, eating bread, milk, meat .. but not eating junk food nor drinking soda.
You just lucky genetically, kinda won a genetic lottery... im in yoga since age 23, now I'm 43 in early peremenopose - I have awful symptoms...
Yes also I'll say that being on a 'clean' vegan diet for 4 years actually ruined my hormones and landed me in the hospital getting iron infusion.
My hormones are still dead. Not every one is the same
Ranch raised beef is so nutritional. You're really missing out in so many vitamins and amino acids.
No mention of testosterone? It’s so sad the way low T is ignored in women. You can be perfectly healthy, but if your T is low you will feel horrible. No one addresses this. They only focus on estrogen and progesterone.
I guess you didn’t listen?
This is helpful in formation in this video but not the whole story at all. I think there is more inforamtion out there that is more up to date. There is good information here. Hyman is not a menopause expert (Despite what he thinks) at all but has some inforamtion that is helpful
I had practically no T. The test said cannot be detected. I felt incredibly bad. Taking DHEA helped me immensely.
Low T has been huge for me- terrible anxiety, losing muscle, no stamina. No doc could "figure it out" until I finally found one that said "let's check your hormones". My T was at 6, when it should have been at least 40.
How did you address the low testosterone?
again thank you!!for all!
I love listening to you both discussing this topic. My female, should I say doctor told me to take Lexapro and talk to a therapist! No test , no nothing!! I'm 49 and she did not help at all.
Hi Nadia: my bet is your doc has not gone through perimenopause/ menopause yet. Women's Health, especially menopause is grossly under researched and a recent PhD lecturing on menopause and Alzheimer's said only 1 in 5 obgyns get any training in menopause. Mostly in pregnancy / birth control/ gyno surgeries.
Not all doctors are perimenopas or menopause literate. Lifting heavy weights, intermittent fasting and not eating highly processed food are guaranteed to balance hormones.
So good. All the HRT in the world won't give us an optimized body and mind if all the other problems are left to progress!!!
Keep up the amazing work 🥳
What are the options for a woman who has various menopause symptoms but no insurance?
Menopause wasn't too bad for me (despite sandwich generation life), so when hot flashes would start, I would drink a quart of Organic soy milk over 3-4 days and they would go away.
Check Dr. Mary Clair Haver and Dr. Mindy Pelz. They both have some great info to help without HRT. I don’t have insurance and I am managing with dietary changes and supplements.
Try Maca Root. I use the brand Femminesce. Also, vit D & magnesium are huge at perimenopause. I also eat lots of free range eggs & increase my protein at every meal. Avoid sugar & flour.
Hi I started going through the menopause 5 months ago . I instantly suffered from really intense hot flushes day and night. I tried a few different natural products but no relief.
I then researched more and found info about isoflavones plus red clover and my flushes reduced by 90% . I still have warm moments but nothing like i was having, its a real life saver for me😊
@@kristinenelson990 My doctor prescribed Femessence. How did it help you?
The first part of this video, is a biography of my life. I’m 60 now. I’m sugar addicted, I still have hot flashes and mood swings for a week out of each month. There is just so much to think about and not sure if it’s just already too late for me to address.
What is your opinion on DHEA?
They mention it near the end
I always love what you and your guests talk about. It makes a lot of sense. However, it is absolutely limited by access and separates by socioeconomic realities. Health is accessible to those who can afford it. Yes, there's a basic component of diy that anyone can access but good care, like what you discuss, is very limited in the bottom 70 percent of the health care system. So .. policy influence ?
To be wealthy and have this level of care accessible must be a wonderful thing…
Great... I've already struggled with stress and poor sleep all my life, and now you're telling me it's going to get worse?? I'm almost 39 and I don't want to get any older :(
awesome content!! So helpful
I never can find an answer to this: what happens to Brain, Bone and Heart health once you go off of HRT? Many doctors only want you on it for 5 years or less. I'm assuming once you go off, the benefits go away too or are they accumulative?
Environmental toxins- fluoride in the water, chemicals in our foods, chemicals trails in our skies daily….are you doing anything to stop these atrocities ? You have the power base.
Poison injections
Very helpful. A further question:
I have been trying to find information on HRT, particularly whether there is a consensus on how long HRT should be applied. Is it a year or less, or 2 to 5 years, or 10 years, or 20 years and longer?
Is HRT mainly aimed at managing the transition period of hormonal changes or can it be used indefinitely to reap certain benefits without significant risks?
What’s the answer?
How do we know if you all now finally got it right? This time.
I never appeared to have gone through any significant changes over the menopause years (never had any mood swings; body sweats. . ) and don’t know if it was due to those being some stressful years or what?! Anyways, no complaints. I never ever had issues during my monthly cycle, either but was on a birth control pill from 14years onwards until having children in my 30’s. I appear to have gotten off easy compared to many women.
Whoa whoa.. Dr. Mark, I completely agree with you. It’s impossible that it’s a design flaw.
Our healthcare sucks! I see a Naturopath who is so open minded and listens and respects how I want to move forward with my health but that will all change once I am on Medicare since they don’t cover Naturopaths. Why not??? They are doctors! I am absolutely not on the same page with traditional MDs so I will need to figure it out when the time comes. My plan is to continue to live a healthy lifestyle from all I have learned from these amazing online doctors. Hopefully I won’t need an MD except for when I am hospitalized. 😟
I would love to know if they have ever done a study on blood types and menopause symptoms.
Love all the information, but which insurance companies cover these types of test?
Or the hormones
Herbs worked for me for perimenopause and menopause. Cheap, easy.
Which herbs did you use?
Share please
Try Maca Root. I use the brand Femminesce. Also, vit D & magnesium are huge at perimenopause. I also eat lots of free range eggs & increase my protein at every meal. Avoid sugar & flour.
@@kristinenelson990 thanks Kristine! 😊
Is there a center in California such as the Lenox Institute or Dr Geyers Utah center
Yes, if anyone recommends a specialist in Bay Area/NorCal, I'd like to know.
I am 57 and never took hormones… I am at a good weight and don’t think I had negative effects for not taking any. I really didn’t have symptoms either like hot flashes and so on.
I LOVE her Labradorite necklace!! ❤😍
Very helpful video thanks
I am seriously a hot mess… and it’s true that if you don’t have a lg income there is no help from dr’s like this.
My mom didnt have any sympthoms, I have never drink or smoke, excercise, eat healthy and I have a lot of symphtoms. So I don't know 🤔
❤ this video helped a lot
I kept pressing on my screen thinking the bug was on my screen. Nope, crawling up Dr. Hyman’s shirt.😲 22:21
All of these specialty tests are not covered by most commercial health plans. One of my doctors coded one of my blood tests as checking for obesity but had to change that code for insulin issues instead so they would pay for it. If I eat edamame, or eat soy protein or milk, I will have a migraine and flushing symptoms like a hot flash.
It looked like a lady bug 🐞
@@jlbutters2
Lol, that’s what I thought. 😆
Thank you for making me laugh… I needed that 😂
Laughter is the best medicine 💊 ❤
Oh my!!😅
I simply do not earn enough money to pay for these tests. It’s very frustrating to know help us out there that I can not attain.
Thank you.
What can be done about the collapsing air way ?
Lots of things, splints orthodontics ,c paps, myofunctional therapy
Great interview!❤
GREAT, so how much does all this huge amount of testing cost? How much is covered by health insurance. How can you not mention thus? 51:42 "Looking at everything" seems like a shotgun approach and is overwhelming for the patient. 51:42 .
Mark i got to tell you that i am 74 yrs and i was on hrt in my 50s and menopause was hellish for me so us women need help .
Why would you put your example patient on a plant based only diet? I keep hearing people need more protein as we age and it is hard to get only on plants. Trust me, I’ve tried.
I love Dr. Hyman 🙂
OMG Cindy looks exactly like me. Even her mannerism is the same. Unbelievable to see your Doppelgänger. So much fun. Greetings from Australia 🇦🇺 😀👍🥰
My mom is 82 and still has hot flashes.
AMAZING, thanks ❣️
Excellent information! I am going to my internist to get hormone testing done, what is the drops of testosterone you mention at the end??
We are so afraid of expressing oursekves, conditioned "not"be difficult" difficult for example, not human to not be "one of those women" but, suffeeing everywhere, heartbrwaking, loss of quality life.
Interesting. For me HBA1C 31, cholesterol good, thyroid good, great gut health, bp great ect
HRT saved my life!
Which HRT worked for you? Was it Premarin or Provera or bio-identical? I want to do this.
If u had menopause around 20 years ago, can start using some hormone?
You can. You would just need to start slow to wake up your receptors which are located all over your body.
I don't think you can, not to mention you cannot undo whatever damage has been done. 5-10 years is the last to start hrt to prevent more damage or keep menopausal symptoms at bay.
Dr Mark, I have a 24 year old daughter with a pituitary lesson causing extreme hormone fluctuations. I believe it could be a symptom instead of a cause, but conventional medicine doesn't look at anything other than new drugs to try 😢
Any thoughts or suggestions? Thank you
Can you please do a podcast about Vitamin B12 and where it comes from… I recently learned that it can come from sewage and cyanide… I’m so concerned
And vitamin D3, is synthetic, and is actually a poison! As a matter if fact a lot of stuff that's in supplements it's labeled not for human consumption! And vitamin industry is actually run by Big Pharma. You can really go down a rabbit hole if you start to research where supplements come from and it's not good.
So good
Gratitude for this.
To have said it: pretty sure sugar causes Alzheimer's (type 3 diabetes), menopause and dementia.
Healthy Keto has healthy fat, your brain is fat, hormones are cholesterol, fat is life.
Personally mid 50s, regular cycle, no menopause symptoms.
Sugar is deadly, it's a fact. It causes blindness, death, it's very statistically linked to dementia, Alzheimer's and more too. Doubtless it effects our sensitive reproductive systems. Makes more sense than fat doesn't it?
Gluconeogenesis, your liver makes all the sugar (1-2 tsps) your body needs. Sugar is subsidized by the US government. $$$.
Sugar is poisonous in large or continuous amounts. It hurts women more than men but it kills us all. Pretty sure it causes menopause too.
Hilarious that you believe such nonsense, About memooause...the rest I believe...menopause is all about hormones disregulation.and not just sex hormones
@@debiwillis9045 memooause, you're pretty hilarious yourself illiterate hater.
Menopause Barbie (Dr. Barbara Taylor) on UA-cam says the same thing 😊
Love this conversation! I would love to be a patient of yours but you’re too dang far 😢. I’m selective on who to see because they’re lots of frauds out there in this field. Any chance you can recommend someone in Los Angeles,CA?? Thank you for all you do.
I am in FL and a patient of Dr. Geyer’s. I only have to go 1 time per year (new law in MA) the rest we do via ZOOM & phone calls. I am able to write off the travel as it is for medical purposes. Totally worth it! 👌🏻
@@lionessm235How did you contact Dr.Geyer to book an appointment? I am willing to fly out to where she is located. I’ve been suffering for the last year an a half . Don’t know what else to do.
@@lionessm235 good to know thank you. I’ll keep that in mind. I’m keeping my hopes up that I can find a good doc in LA.
@@carynhashimoto6943show notes. Just click on “more” or scroll thru EVERY button on screen. It’s in MA on east coast. There’s a link in description
My God you never let your guest talk 😡
Thank you for this video! Lots of useful information. I wish this type of approach was availble to all women. What do you think of "Duavee"? It was suggested to me as HRT but I read it comes from pregnant horses urine...Is it like Premarin? Honestly, I'm struggling with menopause symptoms and the decision to take it. It's not easy.
I just had my thyroid levels checked because of hypothyroidism. $600 after insurance. I can't even imagine how much all the testing they discussed would cost. Not that any Dr. I've ever been to would even consider them.
$600 for a thyroid test? The actual cost is less than $10. (I'm in Canada, and my dr always tests TSH first with any new change because, as he says, it's the most likely and cheapest test to determine if that's the cause.
I got through nine years of perimenopause on my own. Only diet, supplements and exercise. I suffered at times, but I made it to the other side.
Then four years into post menopause, the broken sleep continued. I realized I hadn’t slept a full night in 13 years. I was raising two kids, and I was exhausted and non-functional. I couldn’t even drive in fear of being in an accident. I had tried everything for my sleep and then finally I went and saw a menopause specialist.
One week later after being on bioidenticals I was sleeping again. They were a lifesaver. Hormones may not be for everyone, but for me I could no longer function. I now have my life back. I’m sleeping again and even my blood pressure reversed.
They are life saving and prevent disease processes.
@@SL-1985, yes I agree. I’m very grateful to finally be on them.
May I ask how old you were when you started HRT? There are differing opinions on whether or not you can take them after 5-10 years post menopausal. And would you share what you’re taking? TIA
@@bethtori2640, I wear an estradiol patch that I change twice a week, and I take an oral progesterone every night before bed. Both are made from plants (bioidentical). I sleep all night now, my blood pressure has returned to normal, and my bones have become stronger according to my recent DexaScan. I forgot to mention that I have been on them for 2 1/2 years. I’m 60 years old. I started taking them six years after my last period. Knowing what I know now, I definitely would have started earlier.
@@bethtori2640, I was 57. I was four years into post menopause.
The bug on his shirt was freaking me out so much I stop listening. Oh nooo where did it go?
So you say coffee needs to be cut out in perimenopausal phase?
Where do I find physicians like you in the Denver area?! So much great information!!
I see Dr Rachel Fischer. She is in Loveland. She is a functional med doc. She has saved me! I’m 51.
Pure essential oils, such as fennel and sage will normally bring estrogen back to normal levels.
OK Dr Hyman, I am a fan. You were just on diary of a ceo, one thing you need to learn from Steven is just let your guest TALK for Christ sake. Ask a question let her get out her train of thought out instead of constantly interrupting. That's why DOAC is one of the best podcasts.
Animal fat and higher protein for the win❤
The quiz & link you mentioned are not here