Thank you for this. I am constantly talking to my friends about educating themselves. SO many women don’t educate OR advocate for themselves. The person that cared the most about you and knows yourself the best is YOU!!
You introduced me to Dr. Susan, for that I am forever grateful. I have been on pellets for two years now and it has been lifechanging. I tell all of my friends about them. Here in the northeast, it was very difficult to find a provider, but I did thanks to the knowledge I gained by listening to Dr. Susan. I feel amazing and my marriage has improved so much. Please continue to educate us regarding pellets and women's health over 50. I would love to hear more from women who are on pellets and if they have experienced any changes and how they manage their doses. Thanks again.
I am HRT and my quality of life is great, no more vaginal dryness, joint pain, anxiety, hot flashes, libido is great now so no more menopause symptoms ❤❤❤ ❤❤❤❤❤
Wonderfully informative! Thank you Dominique and Dr. Susan! I am 47 and officially menopausal since it’s been one whole year since my last period. I have found that my moods have stabilized and I feel calm and happy. Only now do I look back and see with clarity that my mood swings over the last 5-ish years (and my tendency to overreact and cry easily) were indeed due to perimenopause. I can’t believe I didn’t recognize that in the midst of it. Anyway, my hot flashes have been relatively mild, thankfully. I gained ten pounds over the perimenopausal years, but over the last several months I have lost the weight by tightening up my eating habits and learning to really limit sugar and carbs (and late night snacking). This was not initially easy, as I was blessed all of my life to be able to eat whatever/whenever and still stay slender. One thing that has really concerned me, however, is that my cholesterol began to creep up about 18 months before I was officially menopausal. I am slender and do not eat terribly, so I wondered if the cholesterol changes are possibly related to the severe drop in estrogen?
I had a partial hysterectomy @ 28 (endometriosis) then later had my ovaries removed @ 34 and I was on HRT util I was hit by a near-fatal stroke @ 50 What a great video, thank you both so much.. I really enjoyed watching and listening to two highly itelligent, informative women - able to respond and truthfully answer so many varied questions. Also by openly discussing your own menopause journeys and treatments I believe it must have given the listeners a great deal of comfort and supplied the answers that so many of us women want to hear.(it did this for me) Great Job ladies, well done on subject selection, Dominique - love you and everything you do so much. Keep up this kind of video it was terrific
Great podcast Dominique and Dr. Susan. I've been seeking HRT treatment for about 3 months now. I've had three doctors turn me a away telling me it's dangerous and another telling me to join weight watchers. 😡I know you don't know me but , I am not overweight. This podcast has me fired up to keep seeking the treatment I need. Thank you
This podcast, its host and guests are such a blessing. The knowledge being shared on women’s issue after 50 is priceless. Thank you to all involved to make this podcast happen. 🥰
Thank you so❤ much Dominique for this and Dr. Susan for taking the time and giving us the opportunity to ask these very important and valuable questions. Love you two!!
I’m 54 and in 2020 went through chemo/ radiation for breast cancer. It’s a hard decision when it comes to whether to go on instructions from oncologist of taking cancer med (estrogen blocker) or HRT when there’s so much info now showing that the benefits far outweigh the old stigma that associate it with causing breast cancer. I love these episodes.
thank you so much Dr Susan . best questions and helpful to listen to other women .ask and get thoughtful answers and of course without your platform Dominique it would not be. 🙏
Great podcast. I am 54 and Doctor Susan has really inspired me to fight for myself when I go to the doctor. I have a blood condition that caused a blood clot in my 30s that had nothing to do with Estrogen but my doctors do not want to give it to me even though I take medication to prevent blood clots. I am not giving up though.
I am one of those 10% that never had hot flashes. I’m 64 and don’t have trouble sleeping either. I do take magnesium, vit D K2, B vitamins and eat clean, no soda, very little sugar, and exercise regularly. Weight/strength training, very little cardio. I’m also spend a lot of time outdoors and don’t have any negative people in my life😉. Great video ladies!
My lifestyle and supplement regimen is the same, and I'm almost 51. No symptoms, except for occasional very light periods and some hot flashes that are triggered by activity (and aren't really disruptive). Of course, that could change as I get closer to menopause, but I'm hopeful. Sleeping well and lots of energy. No alcohol, little processed sugar or gluten. I honestly think a consistently healthy routine for years is your best bet for happy aging overall.
Such a great info packed video. Now to get my male GP to listen be receptive!! I heard the “well your almost fifty, to now “ well your over 50”. It’s like being ignored. To me it was simple ask, labs to see where my levels where. Why, sleep issues, brain fog, moodiness effecting my happy. I’m going to approach it again!! Thank you Dominique and Dr. Susan.
Thank you all for sharing your stories. I have recently noticed a few common menopausal symptoms that I am struggling with and will be contacting my doctor soon to discuss this further. Many thanks to Dominique and Dr. Susan for their knowledge and advice on this matter, because it does matter!! I feel like I’m going crazy sometimes but I know I’m not alone!!
Loved the podcast! As a 67 year old woman who had a complete hysterectomy in 2009, I found a doctor who gave me bioidentical hormones which helped my hot flashes, etc. She took me off those hormones 2 years later telling me that I'd be at risk for breast cancer, blood clots, heart disease, etc. She also said that sooner or later you'll go thru hot flashes....do you want them now or when you're much older? So I went off the hormone treatment. Now, at 67 I've been diagnosed with osteoporosis and feel like I've put myself at risk for heart disease and dementia. Makes me angry that I was misinformed by a medical doctor. I'm now on hormone pellets and have never felt better! It's been more than 10 years since my hormone treatment stopped, is it too late to help prevent bone loss, heart disease and dementia since starting back on hormones?
Thanks to both of you ladies for your expertise and guidance on this thorny subject. HRT changed my life so much for the better. I hope this podcast helps educate others and steer them to healthier and happier lives. Very much appreciated.
This was such a great podcast. The question about stopping HRT is going to come up in my annual physical next month with my GP. If I don’t get the answer I want I’ll be finding a menopause specialist. I appreciate the reinforcement on what I already believed and the medical facts so I can have them at the ready. 💯💯⭐️⭐️⭐️⭐️⭐️
So very informative thank you. I had thyroid cancer, had my thyroid removed. I had breast cancer also BRCA2, I’ve had ovaries removed, double mastectomy, and at 57 I am taking estradiol transvaginally. I wish I had the opportunity to call and ask a question I would love to know the mental health impact of hormonal imbalance as it relates to depression. Im sure there’s a correlation I just wish my doctor would help me balance hormones and not always want me to go on SSRI s I believe there is a great need for many but I don’t do well on those meds. I want to start upstream and have a Dr tell me it’s ok with BRCA and past breast cancer that I can take PR and ER and even testosterone. Blessing to all
I'm finding all of the information valuable. Would you consider doing a podcast on the positive aspects of getting older. Maybe a 101 reason to enjoy/ love being a mature woman. If you have already covered this I apologize. I haven't listened to all of the podcasts yet. Thank you for all of the work that you put into each video and podcast❤
The only way I managed to get rid of my belly fat was to go on looong daily walks! Nothing else worked for me but some 2 to 3 hours of walking in nature!
@@doodieevanshenagan3330 We all have ONE life only! If our biggest asset is not our health, we have our priorities in the wrong order! Nothing compares to a sound body and mind! Not all money and fortune are worth anything without full mental and physical health.
What should I do my primary has told me my estradiol patch is on the black box list and I am to wean off. I’m going to .25 for 3 months and then no more. (Just turned 56 and have been on patch since 2019, had total hysterectomy due to endometriosis in 2017) Anybody have any suggestions or thoughts on this 😮?
Hello and good morning. First of all thank you for such an insightful podcast. Very informative I would like to find out a bit more in-depth about the pro and cons of the different HRT treatments. I’m on pellets but lately I been hearing that is the worst HRT form. Is this correct? Thank you both for the time provided Wonderful podcast! 😊
I’m 55 and just had a hysterectomy. Excited to watch. Post procedure I’ve stopped progesterone and testosterone. My MD mentioned testosterone can cause hair loss and hair growth both in places we don’t want. Now I’m wondering if I should go back on it for the positive effects mentioned?
Regards to the previous comment- These are not drugs, but hormones we make in our body ! And testosterone doesn't cause any adverse symptoms if it's dosed correctly in the level that's appropriate for a female -remember we've had it all of our lives !
What dosage of magnesium to regularize the sleeping cycle? Even if it is not related to menopause, but probably anxiety…..even though I follow a healthy lifestyle with nutrition and exercise ? Thank you❤❤❤
There are a lot of different types of magnesium that have different effects so the dosing is different for each The product I take for sleep is called neuroMag by designs for health- it's mag threonate (not mag citrate that would be used to speed up bowel function , for example). The dose is 3 capsules a night - each has around 150 mg . I also take one of their products called insomnitol (includes 5HTP and melatonin)
I have been taking oral Estradiol for about 20 years since my hysterectomy at 36 years of age… I feel good on it!! Had tried the patch but would get migraines every time I changed it so I went on the oral tablets. My concern is should I be taking asa or fish oil to help with the blood clotting factor? Or the risk of blood clots happen when first taking it.? Does the risk increase of blood clots as you age? Are the patches different now days vs the patch 20 years ago? Anyone have any insight on this !! Thank you!!
@@rosej9686 i recently decreased my daily dose of oral estradiol due to high triglycerides. I have not had my blood tested but will soon. I am interested in the patch but afraid I will have the same reaction with the migraines.
I can’t wait to hear this video. I’m 51, almost 52 and I’m still getting light periods. I’m waiting for menopause to kick in but seems weird to still be getting light menstrual cycles.
I'm 74, and it's the best thing I've done for my health: brain, heart,muscles...check the studies..Dr. Susan has wonderful factual studies of this and where to find them....and talk about energy!!! 😊
Thank you again Dominique for another great topic. Dr. Susan mentioned that she wears an Oura ring for sleep. Is it possible to get the name and where she purchased this.
Would love to know the details on the Intra-Rosa (not sure the spelling is correct) vaginal suppository. I currently use a different vaginal suppository for vaginal estrogen but think this could be a better option. Would love the details to ask my doc to make the switch for me. Thank you!
I’m 65 and a 13 year breast cancer survivor. I always was told I can’t do hormone replacement, I don’t really have hot flashes anymore but I have no sexual desire and I can’t sleep well. I just wish we had a doctor like Susan here in Reno that could help me ! Love watching your podcast , you are an inspiration to a lot of woman!❤
Hello, I so appreciate this episode, but unfortunately, whenever I try to suggest a more expansive panel, my request is dismissed. I’m then told that my insurance won’t cover it and even if I offer to pay, it’s dismissed. So I don’t know how to navigate that situation with my doctor.
Depending on your state - you can order your own blood tests at a very discounted rate directly with certain laboratories or providers like Thorne Research amongst others. I would research this. Very often - costs to insurance companies are overly inflated but the willingness to self pay opens up much lower rates. Consult your doctor and if not available to you - please research options within your state to self purchase these tests.
That's right -actually the cash price for the full hormone tests including everything that I mentioned in our office is only about $200 which is less than most people would pay with insurance Cash prices are often quite affordable
Dominique, please have Karen Martel from British Columbia on your podcast. She is so knowledgeable and up to date on the latest studies and information on women's health, especially over the age of 50. She is awesome! I don't agree with everything Dr Susan was saying and I think she needs to do a little more research about the most up to date information. Thank you!
Isn’t the estradiol patch synthetic not bio-identical? I’m on both the estradiol bio-identical cream, testosterone cream and the progesterone cream. I’m 66 and can’t seem to lose weight. I lift weights 3x a week and bike 6 miles 2 days a week. Do you think these hormones are keeping me from losing weight?
The estradiol patch releases plant-based, bio-identical estradiol through your skin and into your bloodstream. I use the Vivelle Dot estradiol patch. It’s small & clear. I change it 2x week. There may be residue on your skin when you remove the patch. A cotton round & some micellar water or witch hazel will remove the residue from the patch in a gentle way. FYI- I’m not a Dr. Wishing you the best.
I’m no expert but it seems to me that if it comes in a package it’s synthetic. The term bio identical is stretched for marketing purposes. Maybe soy/yams were involved in the manufacturing process but the only bio identical hormone is what’s inside your body. They should probably call it bio similar. Maybe. Watch out for that long list of side effects listed on the package insert. My 2 cents anyway.
@@LilyB-vz8lq A proportion of the products on the market for HRT are body identical and use a type of oestrogen called estradiol. This is mainly derived from plant sources, including yams. These products use hormones which are identical to those produced by the body. Bioidentical hormones are made from plant sources; synthetic hormones are made from man-made chemical compounds. I’m not a Dr or an expert but this info is on many reputable sites & this is what Dr. Susan is saying & she is a Dr. & an expert. I hope the doctors info is helpful to you. It can get confusing. Wishing you the best.
Love your videos. Glad you're doing well... Have to say though your hair looks a bit fried blonde. You look so much better with darker hair. This color washes you out. Sorry to be so blunt but you should know.
Really had hoped the importance of estrogen replacement therapy had been discussed with this vital information: If you have your uterus, you need to take estrogen AND progesterone. Estrogen alone will potentially increase your risk of endometrial cancer. If no uterus- estrogen alone is 👍🏻.
@@liana2136 I dont think that will help with the problems. The patches I used before was great, but are no longer available on any pharmacys in my country.
You certainly can restart hormones depending on your specific situation. Many patients are off them for a while and start back on them again, but it depends on your particular Health profile. I would love to see you and Houston and talk to you about it or we also do telemedicine for patients who live in Texas.
@@drsusan It was not clear to me given the nature of the question asked about HRT and breast cancer. If one is actually diagnosed with estrogen-dependent BC, are you saying HRT may be an option? Thank you!
Yes it does increase cell hyperplasia… my friend absolutely cannot take Estrogen in any form. Now you’re alarming us about not getting HRT. My mother never took HRT is 86 and is fine.
I will be very specific with my question: does HRT affect those women with Estrogen-receptor cancer? Also, Susan mentioned the importance of timely mammograms to prevent breast cancer but there are a few of us who had the mammograms (I had one in April 2005- categorized as a young patient) but ended up with stage III breast cancer (diagnosed October 2005). I think that being diligent with your mammograms and self-assessments is not enough. If you can find a silver lining, I was pushed into automatic menopause due to chemo but did not even know I was “officially” in menopause: no symptoms or discomfort or changes in mental function whatsoever. My gynecologist had to order a blood test to determine that I was, in fact, in menopause. The reason I did not know about this transition is that I had been using an IUD prior to this odyssey so I had not had a visible period in years.
Congratulations on being a breast cancer survivor and absolutely with a stage three estrogen,receptor positive breast cancer we would be looking for other options and one of those certainly could be testosterone with an estrogen blocker. If you look at the Research from Dr. Rebecca Glaser online you will see that she is pioneered most of this research for her own breast cancer patients. So there is still help available even for breast cancer patients and lots of things we can do to help you to feel better, but I would definitely investigate testosterone.used with an estrogen blocker and you don't have to worry about the common complaint that oncologist have, which is that some testosterone does aromatize into estradiol, but that can be prevented and Rebecca Glaser's patients had more than 85% reduction in their symptoms so that would be a great resource to investigate! And for vaginal dryness, laser is a fantastic option for breast cancer patients
Thank you for your comment as I recently completed treatment for hormone positive breast cancer and was advised by my oncologists that I must take a hormone blocker, and must not take HRT or use estradiol vaginally. My cancer, while found early with no lymph node involvement, was invasive lobular carcinoma. Guess they’re erring on the side of caution.
@@drsusan I love your answer because it aligns with what I had learned from your participation in this podcast about carefully dosed Testosterone (that fact was no longer under my radar by the end of the podcast), and now I learn that it can be prescribed with estrogen blockers- this is definitely a light in the tunnel that I will research more with my gynecologist and my oncologist. Thank you for taking the time to help me with a lifeline!
Actually, the controversy mostly comes from people (including doctors) who not are well educated in the latest studies in hormone replacement. There's really not much if any controversy! The controversy came from a study that is now 21 years old and has been replaced by a lot more meaningful research
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I take estradiol one milligram with progesterone .5. Would using the estrogen, patch or cream have the same positive side effects as the oral pill? Thank you so much for passing along such important information, great video!
They certainly can, but the WHI study was funded by the government- not that it makes it perfect, but certainly with minimal conflicts, it was funded by the national Institute of health
Agreed 3 different products mentioned in a row! And she had it embedded 3 different times during the podcast, and then the spots YT runs on top of the others. It was a lot.
No symptoms of menopause…just happened overnight following my sister’s cancer battle. Got it at 44… no hot flashes, no sweats, no major weight gain. But MENOPAUSE at 44….. 😮
Thank you for this. I am constantly talking to my friends about educating themselves. SO many women don’t educate OR advocate for themselves. The person that cared the most about you and knows yourself the best is YOU!!
You introduced me to Dr. Susan, for that I am forever grateful. I have been on pellets for two years now and it has been lifechanging. I tell all of my friends about them. Here in the northeast, it was very difficult to find a provider, but I did thanks to the knowledge I gained by listening to Dr. Susan. I feel amazing and my marriage has improved so much. Please continue to educate us regarding pellets and women's health over 50. I would love to hear more from women who are on pellets and if they have experienced any changes and how they manage their doses. Thanks again.
Thank you Dominique for having Dr Susan with you to answer questions ❤️
I am HRT and my quality of life is great, no more vaginal dryness, joint pain, anxiety, hot flashes, libido is great now so no more menopause symptoms ❤❤❤ ❤❤❤❤❤
Wonderfully informative! Thank you Dominique and Dr. Susan! I am 47 and officially menopausal since it’s been one whole year since my last period. I have found that my moods have stabilized and I feel calm and happy. Only now do I look back and see with clarity that my mood swings over the last 5-ish years (and my tendency to overreact and cry easily) were indeed due to perimenopause. I can’t believe I didn’t recognize that in the midst of it. Anyway, my hot flashes have been relatively mild, thankfully. I gained ten pounds over the perimenopausal years, but over the last several months I have lost the weight by tightening up my eating habits and learning to really limit sugar and carbs (and late night snacking). This was not initially easy, as I was blessed all of my life to be able to eat whatever/whenever and still stay slender. One thing that has really concerned me, however, is that my cholesterol began to creep up about 18 months before I was officially menopausal. I am slender and do not eat terribly, so I wondered if the cholesterol changes are possibly related to the severe drop in estrogen?
I had a partial hysterectomy @ 28 (endometriosis) then later had my ovaries removed @ 34 and I was on HRT util I was hit by a near-fatal stroke @ 50 What a great video, thank you both so much.. I really enjoyed watching and listening to two highly itelligent, informative women - able to respond and truthfully answer so many varied questions. Also by openly discussing your own menopause journeys and treatments I believe it must have given the listeners a great deal of comfort and supplied the answers that so many of us women want to hear.(it did this for me) Great Job ladies, well done on subject selection, Dominique - love you and everything you do so much. Keep up this kind of video it was terrific
Great podcast Dominique and Dr. Susan. I've been seeking HRT treatment for about 3 months now. I've had three doctors turn me a away telling me it's dangerous and another telling me to join weight watchers. 😡I know you don't know me but , I am not overweight. This podcast has me fired up to keep seeking the treatment I need. Thank you
So informative! Every woman needs this information. Love it when you two get together. Thank you ❤🙌🙏
Thank you Dominic and Dr Susan 🙏 this was so interesting as I'm going through menopause and learnt so much on this segment ❤
This podcast, its host and guests are such a blessing. The knowledge being shared on women’s issue after 50 is priceless. Thank you to all involved to make this podcast happen. 🥰
Thank you so❤ much Dominique for this and Dr. Susan for taking the time and giving us the opportunity to ask these very important and valuable questions. Love you two!!
I’m 54 and in 2020 went through chemo/ radiation for breast cancer. It’s a hard decision when it comes to whether to go on instructions from oncologist of taking cancer med (estrogen blocker) or HRT when there’s so much info now showing that the benefits far outweigh the old stigma that associate it with causing breast cancer. I love these episodes.
thank you so much Dr Susan . best questions and helpful to listen to other women .ask and get thoughtful answers and of course without your platform Dominique it would not be. 🙏
Great podcast. I am 54 and Doctor Susan has really inspired me to fight for myself when I go to the doctor. I have a blood condition that caused a blood clot in my 30s that had nothing to do with Estrogen but my doctors do not want to give it to me even though I take medication to prevent blood clots. I am not giving up though.
I am one of those 10% that never had hot flashes. I’m 64 and don’t have trouble sleeping either. I do take magnesium, vit D K2, B vitamins and eat clean, no soda, very little sugar, and exercise regularly. Weight/strength training, very little cardio. I’m also spend a lot of time outdoors and don’t have any negative people in my life😉. Great video ladies!
I believe in direct correlation with stress
My lifestyle and supplement regimen is the same, and I'm almost 51. No symptoms, except for occasional very light periods and some hot flashes that are triggered by activity (and aren't really disruptive). Of course, that could change as I get closer to menopause, but I'm hopeful. Sleeping well and lots of energy. No alcohol, little processed sugar or gluten. I honestly think a consistently healthy routine for years is your best bet for happy aging overall.
Yohr last sentence is the key to hapiness... no negative people... i wish and pray for it every day
Did you have hrt
@@starrsteele1340 No, nothing other than the supplements I mentioned. I just added a good fish oil & Ashwagandha.
Such a great info packed video. Now to get my male GP to listen be receptive!! I heard the “well your almost fifty, to now “ well your over 50”. It’s like being ignored. To me it was simple ask, labs to see where my levels where. Why, sleep issues, brain fog, moodiness effecting my happy. I’m going to approach it again!! Thank you Dominique and Dr. Susan.
Thank you all for sharing your stories. I have recently noticed a few common menopausal symptoms that I am struggling with and will be contacting my doctor soon to discuss this further. Many thanks to Dominique and Dr. Susan for their knowledge and advice on this matter, because it does matter!! I feel like I’m going crazy sometimes but I know I’m not alone!!
Loved the podcast! As a 67 year old woman who had a complete hysterectomy in 2009, I found a doctor who gave me bioidentical hormones which helped my hot flashes, etc. She took me off those hormones 2 years later telling me that I'd be at risk for breast cancer, blood clots, heart disease, etc. She also said that sooner or later you'll go thru hot flashes....do you want them now or when you're much older? So I went off the hormone treatment. Now, at 67 I've been diagnosed with osteoporosis and feel like I've put myself at risk for heart disease and dementia. Makes me angry that I was misinformed by a medical doctor. I'm now on hormone pellets and have never felt better! It's been more than 10 years since my hormone treatment stopped, is it too late to help prevent bone loss, heart disease and dementia since starting back on hormones?
So so very helpful! Thank you Dr. Susan and Dominique!
Thank you both for doing this! 🎉
Great interview Dominique !!! Thanks for the information from a great guest and doctor....🌞
Love Love this podcast! I also noticed you changed the setting :) Very nice. Thanks Ladies, including Courtney behind the scenes XOXO
You are so elegant Dominique 🦋
Thank you so much for this incredibly helpful information!!
Very informative information
Thanks ladies
Thanks to both of you ladies for your expertise and guidance on this thorny subject. HRT changed my life so much for the better. I hope this podcast helps educate others and steer them to healthier and happier lives. Very much appreciated.
❤thank you !
Thank you! Timely, Important, Helpful and Informative! Please do more 😊
Such valuable information ladies 🎉 thank you so much!
This was such a great podcast. The question about stopping HRT is going to come up in my annual physical next month with my GP. If I don’t get the answer I want I’ll be finding a menopause specialist. I appreciate the reinforcement on what I already believed and the medical facts so I can have them at the ready. 💯💯⭐️⭐️⭐️⭐️⭐️
Thank you for this podcast! It was fantastic!
Very informative. Thank you❤
Yes agree 1000% the questions were some of mine..Sooo helpful ..TY!!!
Great information! Thank you.
So very informative thank you. I had thyroid cancer, had my thyroid removed. I had breast cancer also BRCA2, I’ve had ovaries removed, double mastectomy, and at 57 I am taking estradiol transvaginally. I wish I had the opportunity to call and ask a question I would love to know the mental health impact of hormonal imbalance as it relates to depression. Im sure there’s a correlation I just wish my doctor would help me balance hormones and not always want me to go on SSRI s I believe there is a great need for many but I don’t do well on those meds. I want to start upstream and have a Dr tell me it’s ok with BRCA and past breast cancer that I can take PR and ER and even testosterone.
Blessing to all
Thank you such good advice ❤
So I took your advice on the womaness let’s neck … I got it and tried it and yes, it’s lovely … Ty for this great recommendation😊
Thank you❤️❤️❤️
I'm finding all of the information valuable. Would you consider doing a podcast on the positive aspects of getting older. Maybe a 101 reason to enjoy/ love being a mature woman. If you have already covered this I apologize. I haven't listened to all of the podcasts yet. Thank you for all of the work that you put into each video and podcast❤
You're exactly right there are so many fantastic things about being in Midlife. It really is the best time of life!
Oh I wish I had met a doctor like Dr.Susan when I was 50. Thank you for this podcast!❤
Any talks on relationships after menopause how we change thx cheers
The only way I managed to get rid of my belly fat was to go on looong daily walks!
Nothing else worked for me but some 2 to 3 hours of walking in nature!
Who has 2 or 3 hrs to walk in the woods??? Lucky you‼️
@@doodieevanshenagan3330 We all have ONE life only! If our biggest asset is not our health, we have our priorities in the wrong order!
Nothing compares to a sound body and mind! Not all money and fortune are worth anything without full mental and physical health.
What should I do my primary has told me my estradiol patch is on the black box list and I am to wean off. I’m going to .25 for 3 months and then no more. (Just turned 56 and have been on patch since 2019, had total hysterectomy due to endometriosis in 2017)
Anybody have any suggestions or thoughts on this 😮?
Where do you get the Aura ring?
Hello and good morning. First of all thank you for such an insightful podcast. Very informative
I would like to find out a bit more in-depth about the pro and cons of the different HRT treatments. I’m on pellets but lately I been hearing that is the worst HRT form. Is this correct? Thank you both for the time provided Wonderful podcast! 😊
What are the side effects of HRT…besides breast cancer risk?
40:00 such good advices for my next doctor‘s appointment.
Love this one. Does Gabor have a colour that resembles Raquel Welch golden russet please?
I’m 55 and just had a hysterectomy. Excited to watch. Post procedure I’ve stopped progesterone and testosterone. My MD mentioned testosterone can cause hair loss and hair growth both in places we don’t want. Now I’m wondering if I should go back on it for the positive effects mentioned?
STOP WITH THE DRUGS!!! GID MADE US TO NATURALLY GO THRU CHANGES!!!
Regards to the previous comment- These are not drugs, but hormones we make in our body ! And testosterone doesn't cause any adverse symptoms if it's dosed correctly in the level that's appropriate for a female -remember we've had it all of our lives !
What dosage of magnesium to regularize the sleeping cycle? Even if it is not related to menopause, but probably anxiety…..even though I follow a healthy lifestyle with nutrition and exercise ? Thank you❤❤❤
There are a lot of different types of magnesium that have different effects so the dosing is different for each
The product I take for sleep is called neuroMag by designs for health- it's mag threonate (not mag citrate that would be used to speed up bowel function , for example).
The dose is 3 capsules a night - each has around 150 mg . I also take one of their products called insomnitol (includes 5HTP and melatonin)
Does anyone know what’s the appropriate dose of testosterone for women?
This is marvelous, thank you so very much... !
This was so interesting and helpful. Tha k you ladies so much. Please continue this conversation.
I have been taking oral Estradiol for about 20 years since my hysterectomy at 36 years of age… I feel good on it!! Had tried the patch but would get migraines every time I changed it so I went on the oral tablets. My concern is should I be taking asa or fish oil to help with the blood clotting factor? Or the risk of blood clots happen when first taking it.? Does the risk increase of blood clots as you age? Are the patches different now days vs the patch 20 years ago? Anyone have any insight on this !! Thank you!!
I'd like to know more about the patches too. I recently switched to them from oral estradiol because my triglycerides were going up.
I’ve heard there are fewer risks associated with HRT patches as opposed to tablets.
@@rosej9686 i recently decreased my daily dose of oral estradiol due to high triglycerides. I have not had my blood tested but will soon. I am interested in the patch but afraid I will have the same reaction with the migraines.
@@mrsbluesky9750 I have read that as well.
@@Hibernia2324 I do not have any of those you mentioned.. but I had a brother you passed from a severe stroke.
Great info, what credentials should I look for when seeking out a menopause specialist?
I can’t wait to hear this video. I’m 51, almost 52 and I’m still getting light periods. I’m waiting for menopause to kick in but seems weird to still be getting light menstrual cycles.
Yes, perimenopause is definitely characterized by all kinds of weird ups and downs in your cycle!! Susan
I’m 73 with insomnia. Do you think I should check my hormones? Or at my age is not longer necessary?
😂😂😂😂😂😂😂😂
I'm 74, and it's the best thing I've done for my health: brain, heart,muscles...check the studies..Dr. Susan has wonderful factual studies of this and where to find them....and talk about energy!!! 😊
Definitely check out your hormone levels
Is .0375 usually high enough for menopause symptoms and is 100 mg more common or is 200mg for progesterone?
Thank you again Dominique for another great topic. Dr. Susan mentioned that she wears an Oura ring for sleep. Is it possible to get the name and where she purchased this.
Looks great. A little pricey though…
You refer to the twice-weekly patch being the way to go. I'm on the .05% estradiol WEEKLY patch. Is it inferior?
Great information, thank you. Dominique, your hair is beautiful 🥰
She has a beautiful face too.
LOVE DR. SUSAN !
And Dominique, of course! 🥰
Thank you ! Susan
Would love to know the details on the Intra-Rosa (not sure the spelling is correct) vaginal suppository. I currently use a different vaginal suppository for vaginal estrogen but think this could be a better option. Would love the details to ask my doc to make the switch for me. Thank you!
Please Help Me...A Canadian from Ontario needs help finding someone who will do the testosterone pellet every 3 months. Sharon
Is 63 to old to try hormone replacement, also can you take hormone replacement if you are a smoker.
Thank you
I would ask your doctor and would try to get a second opinion. If I heard it right in this podcast, it seems that for smokers there is some risk.
I’m 65 and a 13 year breast cancer survivor. I always was told I can’t do hormone replacement, I don’t really have hot flashes anymore but I have no sexual desire and I can’t sleep well. I just wish we had a doctor like Susan here in Reno that could help me ! Love watching your podcast , you are an inspiration to a lot of woman!❤
You can always come and visit me in Houston. I would love to see you.
!
I wish I could Dr Susan! 😊. Thank you so much for replying.
Hello, I so appreciate this episode, but unfortunately, whenever I try to suggest a more expansive panel, my request is dismissed. I’m then told that my insurance won’t cover it and even if I offer to pay, it’s dismissed. So I don’t know how to navigate that situation with my doctor.
Depending on your state - you can order your own blood tests at a very discounted rate directly with certain laboratories or providers like Thorne Research amongst others. I would research this. Very often - costs to insurance companies are overly inflated but the willingness to self pay opens up much lower rates. Consult your doctor and if not available to you - please research options within your state to self purchase these tests.
That's right -actually the cash price for the full hormone tests including everything that I mentioned in our office is only about $200 which is less than most people would pay with insurance
Cash prices are often quite affordable
Thank you so much! I had no idea that was even an option that would be considered and accepted. Thank you!!
Can you swim everyday in summer with estrogen patch onor do you need to cover it with a waterproof bandage
I’ve gone to the beach and swam with my patch on several times. It’s always stayed on.
I am a triathlete and used to swim for an hour a day with a patch, and it very rarely came off! Susan
Great video and informative
You look so much younger!! Did you do something? Please share!! Thank you in advance!
Can you talk about plant based hormone replacement, or is Estodiol better?
Estradiol is bioidentical and comes from a plant source so it is actually plant-based
Great show🎉
incontinence and tinnittus are the worst symptoms of menopause, especially incontinence though.
Oh how I wish I could find a physician just like you Dr. Susan. Excellent discussion. Thank you 🙂
Come see me and Houston we would love to meet you!
@@drsusan Sadly I live in Wisconsin.
Don't we all
Dominique, please have Karen Martel from British Columbia on your podcast. She is so knowledgeable and up to date on the latest studies and information on women's health, especially over the age of 50. She is awesome! I don't agree with everything Dr Susan was saying and I think she needs to do a little more research about the most up to date information. Thank you!
Isn’t the estradiol patch synthetic not bio-identical? I’m on both the estradiol bio-identical cream, testosterone cream and the progesterone cream. I’m 66 and can’t seem to lose weight. I lift weights 3x a week and bike 6 miles 2 days a week. Do you think these hormones are keeping me from losing weight?
The estradiol patch releases plant-based, bio-identical estradiol through your skin and into your bloodstream. I use the Vivelle Dot estradiol patch. It’s small & clear. I change it 2x week. There may be residue on your skin when you remove the patch. A cotton round & some micellar water or witch hazel will remove the residue from the patch in a gentle way. FYI- I’m not a Dr. Wishing you the best.
Anything that is called estradiol is bioidentical and plant-based, including the patch
I’m no expert but it seems to me that if it comes in a package it’s synthetic. The term bio identical is stretched for marketing purposes. Maybe soy/yams were involved in the manufacturing process but the only bio identical hormone is what’s inside your body. They should probably call it bio similar. Maybe. Watch out for that long list of side effects listed on the package insert. My 2 cents anyway.
@@LilyB-vz8lq A proportion of the products on the market for HRT are body identical and use a type of oestrogen called estradiol. This is mainly derived from plant sources, including yams. These products use hormones which are identical to those produced by the body. Bioidentical hormones are made from plant sources; synthetic hormones are made from man-made chemical compounds. I’m not a Dr or an expert but this info is on many reputable sites & this is what Dr. Susan is saying & she is a Dr. & an expert. I hope the doctors info is helpful to you. It can get confusing. Wishing you the best.
Love your videos. Glad you're doing well... Have to say though your hair looks a bit fried blonde. You look so much better with darker hair. This color washes you out. Sorry to be so blunt but you should know.
Very informative thanks so much for this interview
Thank you ladies! Great information!
Love this, thank you
She is amazing! I wish she were located in Minneapolis.
Come visit me in Houston !
@@drsusan do you do virtual visits?
@@juliepelischek2349I had the same question.
my hrt doc makes me wait 3 months before checking me
Really had hoped the importance of estrogen replacement therapy had been discussed with this vital information:
If you have your uterus, you need to take estrogen AND progesterone.
Estrogen alone will potentially increase your risk of endometrial cancer.
If no uterus- estrogen alone is 👍🏻.
Very true! My mother ended up with uterine cancer because of her misinformed doctor only gave her estrogen.
That is correct and actually a lot of patients benefit from progesterone, even if they don't have a uterus because- it helps so much with sleep!
I Wonder if you can restart hormon treatment when you have been without for a while?
@@liana2136 I dont think that will help with the problems. The patches I used before was great, but are no longer available on any pharmacys in my country.
You certainly can restart hormones depending on your specific situation. Many patients are off them for a while and start back on them again, but it depends on your particular Health profile. I would love to see you and Houston and talk to you about it or we also do telemedicine for patients who live in Texas.
@@drsusan It was not clear to me given the nature of the question asked about HRT and breast cancer. If one is actually diagnosed with estrogen-dependent BC, are you saying HRT may be an option? Thank you!
Estrogen causes fluid retention thus making you feel and look fatter.😮
Yes it does increase cell hyperplasia… my friend absolutely cannot take Estrogen in any form. Now you’re alarming us about not getting HRT. My mother never took HRT is 86 and is fine.
I will be very specific with my question: does HRT affect those women with Estrogen-receptor cancer? Also, Susan mentioned the importance of timely mammograms to prevent breast cancer but there are a few of us who had the mammograms (I had one in April 2005- categorized as a young patient) but ended up with stage III breast cancer (diagnosed October 2005). I think that being diligent with your mammograms and self-assessments is not enough. If you can find a silver lining, I was pushed into automatic menopause due to chemo but did not even know I was “officially” in menopause: no symptoms or discomfort or changes in mental function whatsoever. My gynecologist had to order a blood test to determine that I was, in fact, in menopause. The reason I did not know about this transition is that I had been using an IUD prior to this odyssey so I had not had a visible period in years.
Congratulations on being a breast cancer survivor and absolutely with a stage three estrogen,receptor positive breast cancer we would be looking for other options and one of those certainly could be testosterone with an estrogen blocker. If you look at the Research from Dr. Rebecca Glaser online you will see that she is pioneered most of this research for her own breast cancer patients. So there is still help available even for breast cancer patients and lots of things we can do to help you to feel better, but I would definitely investigate testosterone.used with an estrogen blocker and you don't have to worry about the common complaint that oncologist have, which is that some testosterone does aromatize into estradiol, but that can be prevented and Rebecca Glaser's patients had more than 85% reduction in their symptoms so that would be a great resource to investigate! And for vaginal dryness, laser is a fantastic option for breast cancer patients
Thank you for your comment as I recently completed treatment for hormone positive breast cancer and was advised by my oncologists that I must take a hormone blocker, and must not take HRT or use estradiol vaginally. My cancer, while found early with no lymph node involvement, was invasive lobular carcinoma. Guess they’re erring on the side of caution.
@@drsusan I love your answer because it aligns with what I had learned from your participation in this podcast about carefully dosed Testosterone (that fact was no longer under my radar by the end of the podcast), and now I learn that it can be prescribed with estrogen blockers- this is definitely a light in the tunnel that I will research more with my gynecologist and my oncologist. Thank you for taking the time to help me with a lifeline!
This topic is so controversial. 😢
Actually, the controversy mostly comes from people (including doctors) who not are well educated in the latest studies in hormone replacement. There's really not much if any controversy! The controversy came from a study that is now 21 years old and has been replaced by a lot more meaningful research
Thank You ❤️🤗
Thank you Dominique for this video
🌺🌺🌺
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I take estradiol one milligram with progesterone .5. Would using the estrogen, patch or cream have the same positive side effects as the oral pill? Thank you so much for passing along such important information, great video!
Transdermal estrogen is safer, but if you don't have access to it, I would certainly stay with what you are on!
There's nothing cheeky about asking for the studies, so many doctors say stuff but don't have the studies to prove what they are saying
They certainly can, but the WHI study was funded by the government- not that it makes it perfect, but certainly with minimal conflicts, it was funded by the national Institute of health
Great!!!
Help, please talk about Vaginal dryness…I don’t want to take hormone cream, please give other alternatives that work…please….thank you…
ITS DRY FOR A REASON!!!
@@cathykin514 thank you…
@@chiefswife1212I don’t understand your response to her comment.
@@lezlier.6679I don't either. We all have our beliefs but this is a wonderful podcast as are all of them.
In Dominique’s last Thursday video she mentioned a product for that.
❤❤
Why doesn’t my female doctor know all this
I’ve put on 35kg since menopause and doesn’t matter what I do or eat my weight won’t budge 😢😢😢😢😢😢
Enlightening discussion …. Thank you for answering all the questions we ponder 🙏🙏🙏
Way too many ads.
Saw it just at the beginning.
Agreed 3 different products mentioned in a row! And she had it embedded 3 different times during the podcast, and then the spots YT runs on top of the others. It was a lot.
No symptoms of menopause…just happened overnight following my sister’s cancer battle. Got it at 44… no hot flashes, no sweats, no major weight gain. But MENOPAUSE at 44….. 😮
Been in menopause since age 42.
Thank you Dominique for having Dr Susan with you to answer questions ❤️