5 essentials for your menopause toolkit with Dr. Mary Claire Haver & Dr. Sarah Berry
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- Äas pĆidĂĄn 2. 06. 2024
- Learn how your body responds to food. Take our FREE quiz đ zoe.com/podcast
The menopause transition can bring unexpected challenges - the effects can significantly impact daily life and long-term health.
Dr. Mary Claire Haver is a board-certified gynaecologist and a menopause specialist. She's helped thousands of women in perimenopause and menopause to realise their health goals. In todayâs episode, she joins Jonathan and ZOE's Chief Scientist Dr. Sarah Berry to shed light on what to expect during these life stages.
Sarah and Mary Claire describe practical strategies for managing symptoms, critical conversations to have with healthcare providers, and how to advocate for yourself effectively in medical settings.
Follow ZOE on Instagram: / zoe
Timecodes:
00:00 Introduction
01:22 Quickfire questions
05:53 There is a lack of menopause training in medical school
07:02 Most women are going into menopause blind
07:43 Why menopause symptoms vary
09:30 The hormonal âzone of chaosâ
12:11 ZOE PREDICT data on menopause symptoms
13:36 How long do perimenopause symptoms last?
17:52 Perimenopause comes earlier than you think
18:34 Why hormone tests are worthless
20:53 The risk of chronic disease in menopause
24:53 Why does menopause increase hunger?
27:20 Your doctor may not be as supportive as you want them to be
28:39 Medicine and research is male-dominated
32:34 How to talk to your doctor about menopause
34:12 Pregnancy research - 10x more extensive than menopause research!
35:14 Mary Claireâs tool kit of strategies for menopause
36:34 What are the long-term health benefits of hormone replacement therapy?
38:36 Is HRT is safe for most women?
42:47 Brand new ZOE study results: diet and menopause
49:16 Top 3 tips to help with symptoms
54:34 What is âfrozen shoulderâ and how can you treat it?
Mary Claire's new book: The New Menopause
www.amazon.co.uk/New-Menopaus...
Mentioned in today's episode:
The controversial history of hormone replacement therapy, from Medicina
Link: www.mdpi.com/1648-9144/55/9/602
Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention: A Scientific Statement From the American Heart Association, from Circulation.
Link: www.ahajournals.org/doi/10.11...
Dr. Vonda Wright's website: www.drvondawright.com/
Have feedback or a topic you'd like us to cover? Let us know here: gf6hx47iu5g.typeform.com/topi...
Episode transcripts are available here: zoe.com/learn/category/podcasts - VÄda a technologie
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I'm only 11 minutes into this video, and I am in tears about the lack of knowledge and the lack of caring by our medical professionals. I know this first hand. Women make up 50% of the population but are treated like we don't matter or matter as much. đą
It's important to talk about women's health. đ
I wish I could say I knew all this already, as a nurse whoâs worked in ob/gyn for years, had an Oestrogen dependent breast cancer and went through a speeded up menopause at 48 due to Tamoxifen, but so much of this has been a surprise to me as well. Iâm now slowly getting past the sadness and Iâm on to the rage part.
The frustration is real. My Mirena was taken out this week. I have been prescribed Venlofaxine. No hormones allowed. I am also in tears.
As life expectancy of our species is 40 years, our bodies is not designed to go through menopause.A woman should be able to reproduce till end of her life like other mammals, so menopause is not a natural condition. As now we live much longer than our bodies is designed for by nature, indeed we suffer the consequences of lack of hormons etc. Medicine can't do much about it. Homeopathy and naturopathy offer some help but even that is limited.
Youâre so right. Massive change needed on a grand scale xx
I came across menopause Barbie on CZcams last year. She is also a dr who went through it. Her channel opened my eyes to what was happening to me. My mum and aunts would not talk about it so I was on my own. I actually thought I was going crazy with the brain fog. So I educated myself and made a drs appt armed with a checklist of symptoms and research papers. My dr listened and I have been on hrt for 9mths now. Omg what a difference it has made to my life. I am still carrying extra pounds around my middle and the search for a remedy for that lead me to Dr Mary Clair. I cut out sugar and complex carbohydrates and increased my protein intake. I have lost about 5lbs on my one. Do I ordered the Galveston diet book, which only came yesterday. I have high hopes for the future now. And hope to be back in the size 10 cloths in that future. Best wishes to all you lovely ladies out there on your personal journeys back to yourself. And for all of you who have daughters please prepare them, I have mine. Love and blessings â€
43:10 nutrition 46:59 plant rich diet 48:27 soy isoflavones 49:42 the 3 big things (more fiber, less added sugars, more muscle training)
Was surprised testosterone wasnât mentioned. Women produce more testosterone than oestrogen in their ovaries but itâs rarely replaced in the UK. Yet a good level of testosterone helps increase and maintain muscle strength meaning we support our joints. Not to mention our libido
I think the problem with testosterone in women is we know even less about estrogen. Also you can easily take too much testosterone and no testosterone treatment has been approved in women.
You can get it privately but it costs a fortune
It's really appalling that menopausal women are so discrimated against. There was a testosterone patch approved and licensed for women in the UK around 2005-ish . The company stopped supplying it, perhaps because doctors didn't want to prescribe it?
I've heard there's a new testosterone patch for women coming soon, next year or two. Fingers crossed đxx â@@saskhiker3935
Yes, it does so many beneficial things. As all the hormones do đ
I went straight to MyAlloy in the U.S. My HMO here in California can barely detect the difference between a lung infection and allergies. It's SO very beurocratic. đź
MyAlloy assed my symptoms, declared I was peri-menopausal, and off I went with supplemental estrodial and progesterone. 2 mo ths in, and I feel SO much better than before I began the treatment.
Finally!! Thank you ZOE for inviting Dr. Mary Claire Haver!
You're so welcome!! đ
â@@joinZOEđđ đźđąđđlâ€
Game changer ... after two years dealing with frozen shoulder and right after that hot flashes started, it was when I felt like my body was screaming " you have to move". I ended up joining the gym and now start my work out routine at 6am - two days strength training and 3 days moderate cardio (Monday to Fridays). After six weeks, my hot flashes went away. I do really hope they never come back!
After my periods stopped I got sore knees, sore neck, muscle weakness and aches, terrible fatigue, frequent migraine. I thought there must be something seriously wrong with me and went to the doctor multiple times for tests etc. She never once suggested it was menopause - nor did other doctors in the practice. It probably was as these symptoms came on overnight and I have adjusted to them over the years.
My aunt went through horrible menopause. Never understood, one minute she was nice, the next minute she was yelling, and screaming! I thought she was going crazy. It was never talked about, and still not talked about. So happy dr. Haver,is educating us. I have both of her books! And have shared the book with my daughter so she doesnât have to suffer the way my aunt did, or the thousands of women out there! Thank you dr. Haverâ€ïž
I recently had a blood test done which flagged that my blood sugar was higher than it should be. I was shocked because I generally thought I had a healthy diet, but mostly because my diet hasn't changed and I'd always had healthy markers before. This podcast gives a very clear explanation for the reason. I am going through menopause and this is a major symptom. We really need to learn more and have better education around how we can make changes to prepare for these changes. The doctor I saw was not helpful, simply told me things I should not eat, without suggesting what I should eat instead. When another symptom is feeling hungry, this is doubly unhelpful. Thanks Zoe and keep up the great work.
Same here. I was told that I was prediabetic, elevated cholesterol and high blood pressure đźAll during menopause and post menopauseđ€
I just got my tests the past week and glucose also had gone to the roof I was so nervous and sad and I just realizaed with this video that since i had an hysterectomy 4 months ago and the ovaries where removed as well this are the results. Not my cardiologist nor my gynecologist told me about these consequences and the cardiologist gave me 2 medicines to reduce these levels without taking into account my previous surgery. A real dissapoinment with health practitioners out there. I am in a very sad position since being in an underdeveloped country, I can only rely on talks like this that hopefully will give me some tools to use from.now.
My weighted vest is an 11 month old baby - had him at 45. đ
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Iâm sharing this episode with every woman I know! What also needs to be included in the conversation is how in the US, HRT treatment is cost-prohibitive to many women because it is not covered by insurance, therefore, not accessible if youâre not willing to pay out of pocket! Thank you for spreading education into the world! â€
Hot flashes and sleepiness nights are so draining đą I exercise but definitely have to make changes on my diet and get hormones therapy. Iâam 56 and take zero meds, very healthy since birth but hot flashes are becoming way too often.
I listened to what this doctor had to say about nutrition and exercise and just in the past week completely overhauled my diet and exercise and I already feel some relief. I have the occasional hot flush, was ravenously hungry, had ALOT of indigestion, bloating where I look 7mos pregnant after just a small meal, extreme fatigue where I would sleep all weekend and not accomplish a thing, alot of aches and pains, a migraine that went on day after day for months last year which I had really no choice but to continue working through at full time job, i don't think I have cold shoulder but I seem to have an inability to relax and breathe deep always very clenched and does cause me pain and discomfort in the right shoulder. I had just an absolutely wicked perimenopause nonstop bleeding for several years until finally got to a gyno actually about another issue and she straight away put me on an IUD and it gradually stopped the excessive flooding bleeding. That was the worst, again all while working full time. So much fun to be working having anxiety, hot flashes and gallons of blood flooding out of you. And yes not one person warned me of any of this other than the weight gain and inability to lose weight in menopause. Thanks to these people for giving us their knowledge on the topic, so grateful. Will continue watching for more information.
Btw, for migraines I used to take Tylenol which just added to the fatigue, i found that using the peppermint oil rollerball on temples works very well as does having a peppermint oil diffuser in my office that runs all day, office smells like peppermint but it's a pleasant scent and coworkers do not mind at all.
Iâm sooooooo grateful that finally we talk about menopause. I have all the symptoms, the worse are hot flashes, every half an hour or so, anytime of the day and night. Itâs so constant that I canât stand anymore.
I am listening to this and Iâm thinking OMG why didnât my Dr., tell me this? I have had so many symptoms, I have used over the counter supplements for the past 9.5 years brain fog , headaches, hot flashes, frozen shoulder, weight gain, no sleep maybe 3-4 hours if Iâm lucky lack of energy, depression it just goes on and on⊠I was told that my frozen shoulder was arthritis, Iâm just getting old. I fought back on that but after 3 years of pain, finally they listened. It made no sense that one shoulder to hurt so bad and after 2 years it went away and then the other arm started. I seriously thought I was losing my mind and my quality of life was mind. I finally went into my Dr and demanded a specialist. Now Iâm finding out it might be too late, but my Dr is trying.
Ladies fight to get seen by a doctor who specializes in hormones, this is your life.
I have had all vertigo, joint pain, flushes, tinnitus, bloat, digestive, forgetfulness, dry skin. I feel twenty years older all of a sudden.
Whole world woman needs this information specially doctors đź all lenguajes please
Thank you for making the time for this topic.
These conversations are so important for us women facing menopause! I was only 44 when my periods stopped. In my late 30s I was perimenopausal, but no doctor seemed to consider that. Somehow it was almost liberating when my periods became irregular. Doctors still said no way was I going through menopause, but I knew better. I am experiencing a plethora of symptoms, sleeping disorder, anxiety , weight gain and joint pain being the worst. Disrupted sleep makes it really hard to make all the good life style decisions since your energy level is so low . I am a mother of two teenagers , carer for a ill relative and we are to move to a new house soon. I am in survival mode but my doctor still wonders how I am too young to be in menopause.
All these menopause symptoms are probably being diagnosed separately as anxiety, depression, fibromyalgia, osteoarthritis, dementia, etc, yet the root of the cause is low hormones. Every woman should have not only a family doctor but a gyne doctor who is knowledgeable about perimenopause and menopause to guide the patient thru these stages .
Huge thanks to the Dr and she is amazing.
My main symptoms r dizziness,lightheaded,memory problems, hot flashes! Sore joints
I have the same symptoms you have... Dizziness is one of my main symptoms so I went on hrt snd my dizziness dissappear for a while then I had to use more hrt patches.
Thank you so much for this episode. Have hade post covid sympthoms and anxiety for a year (regular check ups with physicians and physiotherapist) but I now realize that some parts of it could be perimenopause as well.
Thanks you, Jonathan, Dr. Sarah & Dr. Mary Claire for the information and a great interview!
I have had 2 frozen shoulders during peri menopause, about 5 years apart. I was never told it was related to pre menopausal symptoms. My GP advised me to rest the first time I had which was the worst advice and resulted in a severe frozen shoulder which meant I could barely lift my arm. The second time I was better informed so got better treatment and kept exercising. Really interesting to see it now linked as a symptom.
As always great podcast. Lots of great information. There is always something new that catches my attention. Thank you!
Thank you for this video, it explains so much more than my go and research has found. Iâm someone who HRT isnât suitable for, could you do a follow-up video centred on nutritional changes that can help other women specifically in our situation. Many thanks, Adele
I still have hot flushes very often every day even at the age of 68. I have a whole food plant based diet since years, and most of my meals are even raw to ensure that the glycemic load of my meal stays low. I also do not eat wheat. The higher the glycemic load, the more intense the hot flushes after eating. I experienced hot flushes the first time the month my periods stopped at the age of 52.
My mother suffered hot flushes till she died at the age of 86.
Some of my friends however never experienced hot flushes so it depends on the person.
Thank you for sharing your story with us.
My mum also still gets hot flushes, she 86! She never had HRT but definitely suffered, but maybe not as much as I suffer!!
I very much sympathise, I am in the same situation at 69, though I can't tie any hot flush to any particular food. To read the comments here that some people have suffered up to 87 gives me no hope. I had hoped that the 10 years so far suffered would see an end to it.
I'm stumped too. I'm one of the junk food vegans and I am barely getting hot flashes. I do eat a ton of beans so I get fiber above average levels but I only eat tofu sometimes and I don't drink soymilk or eat edamame. Maybe the hot flashes is in our genetics more than we know.
â@NiaLaLa_V Some women suffer hot flashes, not all of course, and some have hot flashes for a short period at the beginning of menopause only. âFood is not certainly the cause but can trigger this condition in some individuals, also hot humid climate/weather is a terrible trigger for this condition.
I have suffered with very intense hot flashes for almost 24 years, from perimenopause to post menopause. Since I have changed my diet to the Zoe recommended diet, lots of variety and fibre, my hot flashes have decreased. Also, I was told last September I had type 2 diabetes. In November 2023, I discovered Zoe and the glucose goddess. From that night on, I changed the order of how I ate and my entire life changed. My blood sugar went from 7 to 6.3 in less than five weeks, and three months later it is now 6. Now if I could just get rid of the hot flashes forever.
I'm a junk food vegan but I end up high fiber because I LOVE beans and I am barely having hot flashes but all the other symptoms are kicking my ass. I haven't cried this much since I was 14. Thank science for all the women sharing information with us, I would be so lost without it.
Started Menopause at aged 38. I am now 68 and suffering continuously throughout that time. I live in Western Australia, and the medical response is not good. I still feel different symptoms now, and if you need help from a specialist, you need plenty of money. I feel helpless. Thank you for this video.
I absolutely love the zoe podcasts, I've learned so much from them! It's always a treat when a new episode comes. But Jonathan, when can a gal from Norway be a zoe member?
Hopefully one day đ€thanks for the support in the meantime!
My blood pressure went through the roof a few months into starting the combi patches and I felt constantly tired and low in mood. The only positive was a reduction in hot flashes. I would say it was a total disaster, and only after discontinuing the patches did I feel like myself again. This is something rarely talked about on these shows: many women react badly to progesterone, cannot process it, and it actually makes their symptoms worse.
Were you advised you could have the coil and then have oestrogen only patches or gel?
Agreed. Felt dreadful and tried variations. The pendulum will swing the other way in a couple of years.
Was it bio-identical progesterone.
Probably make a difference
Truth! Wild yam cream helps so much more than ingesting progesterone for me. Pill or birth control made my moods absolutely nuts.
Thank you. Great discussion.
What often is not discussed are symptoms of estrogen dominance, which really are not fun at all either.
Food, sleep, movement, strength training, and HRT. Thank you đ
Hopefully there will one day be a home testing kit for our hormones, like there is for blood sugar levels for diabetics.
To see where our natural hormones are in perimenopause, and then to check if we're absorbing our HRT properly in post menopause. It's such an issue trying to get tested by the GP, so much better to do it ourselves at home as often as needed. Levels do matter, not just whether or not we're still getting symptoms of hot flushes. Especially for bone loss protection after menopause đxx
I want home test kits for everything, including common cold types, especially since some of them can kill us so we need to know when to see a doctor and when to just stay home and rest.
The one video i was looking forward! I wish i could have been selected for the USA study because my doctors didn't even think about my hormonal changes . Of course I am clueless about what to expect but I recently came to conclusion that my problems/symptoms are perimenopause
We hope you found this podcast useful đ
Great interview!
Very informative.
Of all symptoms, hot flashes were the worst for me. Over 50 per day! Trouble sleeping was number 2. Love my estradiol patch. â€
Wonderfully impactful podcast. Thank you this will help so many women and I feel finally vindicated about my terrible frozen shoulders journeys lasting 5 years and I just knew it was hormone related and was just told Iâm female and over 40. It was half a decade of preventable pain and virtually no sleep. I am so pleased things are changing through quality presentations such as this. Thank you
Sure, it's just being female and over 40. That's called PERIMENOPAUSE.
Thank you so much for this podcast. It was very interesting. I was also wondering if Zoe is available in countries other than the UK and the USA? Or if there is an international roll-out plan?
This is so informative. How sad that people are suffering because they donât have access to this knowledge, and how wrong is it that the medical profession focus their data on males, which is not helpful to females in many ways.
Iâm 48 now, still having regular periods but started with sleep disturbance a few years ago, heavy bleeding and now frozen shoulder.
It was Marie Claire who taught me that it was a symptom of perimenopause. But all the doctors I have seen have wanted to refute that. Although they have given me help (physio, steroid injection and I am now on HRT).
Be careful with the steroid injections as it can lower bone density.
Thank you Zoeđđđ
Yes, we do stop moving as much! Because our energy level has TANKED, it's a huge catch-22 and we are caught! Thank you so muchđ for spreading this information far and wide so that We can educate our physicians âčïž
After experiencing my hot flashes along with an anxiety attacks, it became just way too much for me- along with migraines (I had migraines as a kid going into adolescence and now coming out) I started on BIHR for 10 years and I stopped at 10 bc little did I know that I was growing 3 wonderfully large fibroids on the top of my uterus and two more- one on each side. Itâs been a nightmare- adding on the passing of loved ones, Covid and loosing a job. My mind is a complete mess.
There's so much great info in this, thank you - but why oh why given the multiple times it was emphasised that we need to get away from the idea that hot flashes are the main symptom of menopause is the thumbnail focused on hot flashes - I nearly didn't watch it!
The Women's Health Initiative also did not differentiate between the effect of Premarin (conjugated from mare urine) vs. Estradiol (bioidentical).
When is Zoe coming to Mexico as a part of the population research group? How can I be of help?
Thank you so very much for all the invaluable information you share.
Brilliant video ... for those not used to weighted vests or have back problems 5% bodyweight maybe easier and build up to 10%
my IBS got worse with peri menopause. i am now more cautious about sugar coffee and junk foods.
So, as a woman, now in POST menopausal status and like you said having NO 'Heads Up,'
"Hey this is what is Going to Happen to you and this is What you can DO now to make it easier" ... like most every woman I have talked to- especially in the past 20 years, I now KNOW what I CAN DO, what should have happened, what types of medical providers to look for and what NOT to, things that happen with Medical/health insurance, etc. I would like to HELP with this Menopause Education on a LARGE Scale effort and want to know, besides just talking about it when or if it comes up in conversation- HOW can I actually Help on a Larger scale?
I see all of a sudden a rise in people 'saying/claiming' to BE menopause experts or coaches and charging for 'so called certifications on Menopause', but with all I've read and heard in person like at your Book Signings, educational talks, etc., How is this even possible? Only 4% of the Female Population is even on HRT/MRT or even KNOW about it, and Western Medicine Doctors have less than 5 HOURS of Education on the Subject of Menopause, how is it possible that people are saying they can 'certify' you as a Certified Menopause Coach or Counselor, etc.? How are 'they' even qualified to do so?..... I want to help and on a large scale because our FUTURE Generations NEED TO KNOW what they should expect for this entire rest of their lives. I had NO idea even though I am very well educated, well read, well travelled, intelligent, articulate, lead a healthy active athletic holistic lifestyle, etc. I was completely Blindsided. -
I want to help but I don't want to be someone with fake qualifications like buying one of these so called Menopause Coach courses. If youre NOT a Medical Practitioner with a Medical Degree or Certification, how do we women who want to help on a large scale help you share this all important message on Menopause?
That was amazing.
I had a frozen shoulder that came on quickly. A physical therapist gave me a pain prescription and a set of exercises to do at home after the first episode. It was able to beat it down in about a month. I kept the exercise instructions and tools to stop the second shoulder from seizing up once it started there.
Can you describe what kind of excercises you did?
Fantastic video ....If you are newbie to weighted vest perhaps start lower than 10% body weight and work up to it unless you are used to lifting weights.
Thanks for this information! . I would have liked to know a little more about the negatives of using estrogen. My doctor just said hang in there and don't take any estrogen it causes cancer. Also would the part that briefly mention vibration and weighted vests for bone health. Was that a vibration plate? đ
Amazing information. Any chance you could enable subtitles in Polish? I would love to be able to share this with my mum.
I wish scientists would include eastern diets in their research because the Mediterranean diet only addresses half the worldâs population. There must be reasons Japan has one of the longest life expectancies and doesnât even have a word for menopause.
They do have a Japanese word for it. And there is some research and they suspect it from isoflavones in soy. They do have menopause. Maybe their obvious symptoms are less (hot flashes) and maybe they would express trouble with symptoms less because of culture differences. I donât know. But I would like to see some studies done for sure, especially on all symptoms of menopause.
My dad referred to it as âthe changeâ when my mom went through Menopause!
Brilliant podcast. Would love to know if omega 7 sea buckthorn helps mitigate dryness and also âstickyâ blood
Check out âA Vogel â Eileen Talks Menopause she covers so much more in her weekly videos on it ,Iâm sure sheâs mentioned this .
OMG I had frozen shoulder in each of my shoulders in peri-menopause. I had NO idea it was related!! It was so painful and took over a year to resolve for each one with therapy. This was the early days of over ten years of so many dreadful symptoms that I wished I would just die because I didn't want to be in this body anymore.
I just learned that my frozen shoulder might have been due to menopause!!! Thanks to some recent surge in articles on the topic I now know that my high cholesterol which took me by surprise is due to menopause as well. Women need to swap notes on this topic more freely, and help each other out.
Iâm a 60 year old female , at age 57 my cholesterol skyrocketed to 7.4 for no reason and I had chronic joint pain and my BP also skyrocketed.My physician put me on a cholesterol pill and two blood pressure pills, I had very bad side effects from these pills. This year I sought out a physician that practiced womenâs health. I started hormone therapy and within 12 weeks my cholesterol dropped to 4.3 and I came off one of my two blood pressure pills.
Yes, it's really shocking that there's no hesitation with the statins and BP meds, but how about addressing the underlying issues, the cliff drop in hormones? Glad you found a doctor who knows what women need đxx
No mention of depression in peri meno & post menopause. Nor the role of Testosterone in womenâs health & wellbeing. Please cover all bases.
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You mention LDL as bad cholesterol. Do you distinguish between normal "buoyant" LDL and small-dense LDL? Maybe you discussed it in another episode - is there a good paper on this?
Would be interested to know about menopause and PCOS as well as there seems to be little research done. Symptoms are very similar in PCOS to menopause.
What are your thoughts on carnivore diet/way of life?
Hello, I recently joined the Zoe programme. Canât really say that it is working for me. I am 50 and has a partial hysterectomy at age 30, I had an ultrasound 1.5 years ago and it showed my overies shrunk away and could start with HRT. Was given estrodial gel but I got terrible acne and water retention. I also suffer from a underactive thyroid my Endocrinologist has schande the estridial gel to a patch. First he gave me a combination estrogen/progesterone, which seem to have been much better for me. But my GP change it to Estrogen 50 (apparently you should t take progesterone when you had a hysterectomy). The ache come back and then the patch dosage was lowered to .25. Canât say this made any difference.. besides the ulcer acne, I struggle to sleep or stay asleep. I am gaining weight and just feel very low. My blood tests shows my thyroid levels are normal on my current thyroxine dosage. I also have a herniated lumber disc, facet joined cyst and stenosis. I get groin and hip pain and the MRI shows lambrum tear. I donât know what to do, do zo go back on the higher patch for bone prevention and does it really make such a huge difference to take a combination estrogen/progesterone patch when you had a partial hysterectomy but it works better? And then the other question could something else cause the acne besides the patch? My endocrinologist said just accept things as they are forget about getting your weight on track you are an aging woman âŠ
You people can talk endlessly about the advantages of HRT (hormone therapy) but the fact is that the care system of most countries in the world do NOT bother with HRT. Here in the Netherlands HRT is only prescribed for women whose WORKING life is extremely disrupted by SOME symptoms of perimenopause. The rest of us just need to stop whining and go see an expensive 'menopause consultant'. Who will only give tips on how to hide the symptoms better so others don't see them and throws supplements at our head untill we drown in them.
I'll send this to my mother
Hoping she finds it helpful! đ€
I enjoyed this podcast but I really would like more specific information about diet...just saying fibre is not enough. What does 25g equal etc
Are you coming to Australia???
I m 58 after 8 years in menopause ; I just saw a Dr she prescribed Estradiol 10 MCG vaginal once a day for 14 days then one tablet twice a week ; also Tolterodine Tartrate 1MG tablets - Why I m getting mild colics like menstruation pain after taking these? It has been 8 days: my husband said to wait .
It would be useful to have transparency around payment to US MDs in terms of income/licen to practice as MD/money from big pharma by prescribing HRT and also greater transparency around associated risks of cancer of the breast and womb.
I still have hot flushes after 20 years. Even after starting HRT two years ago I had respite but they have gradually returned.
I also had frozen shoulder in peri menopause - didn't realis the connection until this podcast. Interestingly I had another episode of frozen shoulder when I started the HRT again did not realise the connection
Yes i had tinnitus, until i started hrt and it disappeared! Now battling against muscle loss, so have added testosterone to the mix, so far i feel a difference in energy levels, and brain fog is reducing finally. So i really feel that we need ALL hormones to try to rebalance
Were you prescribed testosterone? Which country are you from? Thanks.
I'm in Spain , Europe. My private HRT doctor, who is British (I am British) told me to buy testosterone over the counter in the pharmacy in Spain, due to muscle loss issues. With doing weights it seems to be working
Yes, I suffer from frozen shoulder. I'm on HRT. I tried physical therapy but still suffering from frozen shoulder.
I never got hot flashes or the typical symptoms. I tried biological hormone pills and if they didnât work, I could just stop. Iâm 43 and they have helped me a-lot in the two months Iâve been on them. I donât eat foods with preservatives I barely eat out and I do not eat fast food.. and low alcohol consumption. We all pick different journeys, but I had breast implants. I fully removed them almost a year ago. I can tell you they caused a lot of issues in my body and Iâm not sure if all of it will recover or not. Iâve also been exposed to mold multiple times and Iâm very sensitive to it. Lots of things can disrupt your hormones. I donât know if taking hormone replacement can work for somebody if theyâre living in mold though. Most likely it would be better to have it than not but a lot of the symptoms they talk about are similar to if you have mold in your home or work (or even breast implants or root canals)
I love the idea of exercise snacking!
I must have missed that bit, what does that mean?
Has anyone looked at the Hadza women? How are they experiencing menopause? What can we learn from them?
When I hear things like 70% of people show improvement after following such and such guidelines, I agree that this should be celebrated. But I always think of the 30% who had no improvement. What becomes of them ?
Iâm 63 and too go to a Urologist too get estrogen & progesterone
I have severe osteoarthritis in my
Hip I been asking for HTR no doctor would help me they all said the same thing youâre already in menopause you donât need it my
Health declined from 55 too 63
And I eat a clean diet I still got osteoarthritis I went 2 years with no diagnosis from my groin pain until finally when I went too a surgeon I donât want a hip replacement thatâs not going too solve the root cause ,,, in 1 week of HRT Iâm doing betterâ€
Women have been lied too for over 20 years ,,,, recent study shows and has been redacted
10 million women on HRT had less dieseses
Fantastic content and guests. Great questions and info. Thank you for caring so much as a male host Jonathan.
when i was young i suffered from hormonal imbalance and gynocologiests always wanted to get me to get pregnant now that i am menopausal no one wants to help me with the symptoms. they say: live with it! Thank god i found help from outside my country with an HRT clinic. They should have helped me with my hormones instead of forcing me to get pregnant đĄ something that never materialised
I noticed that if I eat red meat and/or lots of dairy, that's an instant trigger for sleeplessness and hot flashes. I now only eat them on occasion. I try to stay away from food that my body struggles to digest.
For me, Itâs not something top secret or taboo to talk about itâs just I donât know how to make anyone understand it. How to share how I feel. The proper terminology or the science ect.
A very informative video thanks, I am having a joint paint during my menopause and I am having HRT. The symptom is not getting better with the HRT. Unfortunately, the frozen shoulder was only discussed
Perhaps you need a higher dose of
Thatâs interesting- I think it has limited benefits for some people
Sorry to ask - Iâm 41 have past 5/6 months I just feel hot all the time. Never used to feel like this, used to always be cold. Now I canât get down to a t shirt quick enough. I hear about hot flashes/flushes - has anyone ever had feeling of almost always being too hot all the time? Thank you x I seem to get no clarity from the GP why I am feeling the way I do with the changes I am feeling
If a person already has osteoporosis, is it safe to wear a weighted vest?
You totally had me on board until you started talking about " Bad Cholesterol" please stop banding about this term! It's way more nuanced and the most recent studies have actually shown that people with higher "Bad Cholesterol" live longer - FACT! But more importantly you lost me at mediterranean diet. Why aren't you just promoting a whole food diet based on local seasonal minimally processed food? In the UK's case that would be Meat, Fish and Dairy, good quality animal fats, along with seasonal fruits and vegetables. if we want to take elements from the mediterranean thats OK but we have plenty of our own nutrient dense food here in the UK. Why are we complicating nutrition? Those points a side - great episode and I do love Dr Mary Claire Havers work in the menopause space, she is a real trailblazer and her videos have helped me tremendously.
My molars became loose on/off for years!
Here 6y of chaotic arythmia, especially after eating high carbs but mostly all day, many trips to A&E, tiredness for no apparent reason, forgetfulness, and all the psychological consequences. NO hot flush. NO idea of doctors why all these symptoms, and when they tell you it cannot be perimenopause because it doesn't have typical symptoms, you go crazy (and go again to A&E fearing you have a heart attack). Medical training is sooo behind, I lost trust completely.
can periodic skin rashes be a symptom of perimenopause?
I would like to know what, apart from taking statins, what can we do about increased cholesterol please.
I don't know either...i'm a 53 marathonian woman who eat very healthy and have higher and higher cholesterol đ§đ€·ââïžđ€·ââïžWTHell ??!!
Hi Jo-anne, we'd recommend these free resources as a starting point:
ZOE podcast with Dr. Sarah Berry: czcams.com/video/5Hi7CfTsx04/video.html
Cholesterol articles: zoe.com/learn/category/health-conditions/cholesterol
@@Move2913 Please see our comment to Jo-Anne!
â@@joinZOE thank you !
This is all so good, and important to get out there. Thank you!!!
How long can a woman be on the estradiol patch? At what age must she stop?
I'd say, for as long as the benefits outweigh the risks for each individual woman. Or for as long as you want to.
I plan to be on it for life đxx
I've had arguments with 3 doctors (one was female) refuting what I am experiencing in my own body. Ask this question 'who is the worlds best expert on your body'?
âIf you donât double down on nutrition, HRT will only help your hot flushesâ. Yup thatâs right. Studies show a lot of people only get relief from hot flushes using HRT. And note the link between lower BMI, HRT and breast cancer and the dismal suggestion HRT is no worse than having a couple off glasses if wine a night. Come on Zoe. You need a balanced view here.
Well, I am 60, I dint know how you think post menopause so easy.... I can still tell the week before I would have had a period by my moods and period poos, can write it in my diary when my periods would have been.
No periiods since 53, still have the frozen shoulder but you are saying too late for me to have HRT.
I wish you had discussed bio identical hormones versus synthetic.
Itâs not too late!
Not too late.
Wow, I wish I could tell when my period would have been. I'm currently reading Dr. Pelz's book on fasting based on hormones. Currently on day 2 of her suggestions, and I feel already relieved of my symptoms. Perhaps, that book can help you. I will be picking up Dr. Haver's book next.
I have high cholesterol level and doctors say that is my diet
The main message is that it's not just about hot flashes, then you make the title 'how to beat hot flashes'
Saying 'people' when you really are talking about women is very confusing in a discussion that not only talks about menopause but also diet in general. I have to fish for other clues and conclusions of the study dr Sarah talks about to find out if it applies to me or not.
This is informative and helpful, but it does rather imply that perimenopausal and menopausal women can be intellectual, emotional, and physical basket cases, and men have used this myth to keep women out of power. In fact, most of the older women I know are smart, empathetic, competent, and either fairly healthy or very healthy, so hooray for us that despite all the hassles we function so well. Also, women typically outlive men, which I'm told is due to the X chromosome being linked to the immune system. Although so much more attention has been paid to men's health ("male as norm"), it would be useful for science to explore the egregious problems linked to testosterone, given that about 80 to 85% of the world's violent crimes are committed by men, 95% of murders, and almost 99% of sexually violent crimes. Testosterone might have been an evolutionary advantage millennia ago, but now it seems to do more harm than good, and it would be a great boon to humanity if science could find a way to tweak it without causing an epidemic of impotence . . . .
Hi Zoe team, i love your channel, and know that youve been advocating eating more plant based food.
January few months back, I got curious on carnivore diet after watching videos of many women witnessing amazing results in getting back their mens, some even after 5 years of stopping. Im almost in my mid 40s, and have stopped getting mine since july last year. Curious, i got myself in eating more fatty red meat based food (not fully carnivore, and still with veggies, and still maintain the no junk or snacks, sugar and seed oil, and low fruit intake to reduce fructose to ease my liver, and very2 low to almost no refined carbs, and no rice noodle whatsoever).. and surprisingly, i got my mens back last month April in normal flow after 3 months of introducing more red meat! Thats 10 months of not having mens! I dont eat any other supplements.. May i know if theres any scientific studies on red meat and menstrual cycle relationship? Is it more beneficial for women to eat more plant or fatty red meat based meal?
Perhaps some very insulin resistant women stop their periods early and think that is the menopause, when in fact it is PCOS leading to amenorrhoea. Improving that insulin resistance by exercise or low carb diet then allows their ovaries to release eggs again.
@@losethesugar agree... that's why I've been low carb and fasting since last year. My brain felt great than ever before when on vegetarian! But physically, I have to admit I was looking frail... but getting mens again just introducing more red meat without sauce is definitely mind blowing... and my physique is definitely looking better