WEBVTT 1 00:00:07.440 --> 00:00:09.059 You know, there are a lot of doctors 2 00:00:09.360 --> 00:00:11.700 these days who are getting into menopause 3 00:00:12.344 --> 00:00:16.845 providing. So you can actually, if you look hard enough, find a menopause provider. 4 00:00:17.064 --> 00:00:22.204 And fortunately, more and more are coming online every single day, which is fantastic. 5 00:00:22.904 --> 00:00:24.180 We need them. Right? 6 00:00:24.660 --> 00:00:28.520 Dr. Lorraine Maita has been one for a very long time. 7 00:00:28.820 --> 00:00:37.239 And in this presentation, she's gonna be talking about bioidentical hormones, the Women's Health Initiative study that really messed things up for us back in 2001, 8 00:00:38.075 --> 00:00:39.775 along with liver detoxification 9 00:00:40.635 --> 00:00:41.135 and 10 00:00:41.515 --> 00:00:46.335 why we need to pay attention to this and so much more. So she does a fantastic 11 00:00:46.635 --> 00:00:49.295 job of making a very comprehensive 12 00:00:50.350 --> 00:00:54.370 explanation of all of that in a very concise and easy to understand way. 13 00:00:54.430 --> 00:00:56.750 So I'm really looking forward to having you watch this. 14 00:00:56.750 --> 00:01:03.230 As a matter of fact, if you do watch this, I think a lot of the other information you're gonna be receiving in the summit will make even more sense. 15 00:01:03.230 --> 00:01:05.725 It's not essential because we have so many great presentations. 16 00:01:06.105 --> 00:01:11.645 But this one is almost like your, you know, compass, your guide for the rest of them as well. 17 00:01:12.104 --> 00:01:12.604 Enjoy. 18 00:01:13.305 --> 00:01:17.725 Hello. I'm Dr. Lorraine Maita, a triple board certified MD 19 00:01:18.140 --> 00:01:19.759 who's always loved hormones. 20 00:01:20.380 --> 00:01:24.479 And I'm here to help you turn hormone havoc to hormone harmony. 21 00:01:25.020 --> 00:01:26.479 So whether you're a 22 00:01:26.860 --> 00:01:28.880 person who's afraid of hormones, 23 00:01:29.820 --> 00:01:37.594 thinking about being on hormones, on hormones, or not satisfied with hormones or a practitioner who wants to learn some of the nuances 24 00:01:37.975 --> 00:01:40.235 that I've learned over my 30 year career. 25 00:01:40.695 --> 00:01:42.075 I'm here to share 26 00:01:42.615 --> 00:01:43.914 what I have learned, 27 00:01:44.534 --> 00:01:47.595 and I'm a lifelong learner and continuing to learn. 28 00:01:48.210 --> 00:01:50.790 So here here's my story. Here's my why. 29 00:01:51.250 --> 00:01:52.690 Here I was right out of, 30 00:01:54.450 --> 00:01:56.230 hospital setting. I was 31 00:01:56.610 --> 00:02:01.990 a doctor in the emergency room and I've worked in outpatient clinics right in the heart of New York City. 32 00:02:02.130 --> 00:02:04.445 And I thought I saw everything. 33 00:02:04.745 --> 00:02:09.725 Right? Oh my god. There was nothing I didn't see. There was nothing I didn't wasn't prepared for 34 00:02:10.104 --> 00:02:12.125 until I went to work for a company. 35 00:02:12.825 --> 00:02:18.765 And back in the day, there were very few women executives. You can count maybe on one hand. 36 00:02:19.250 --> 00:02:24.150 And I'm in my office one day and one of the most powerful women in the organization 37 00:02:24.450 --> 00:02:25.909 came down to me and said, 38 00:02:26.450 --> 00:02:27.829 you gotta help me. 39 00:02:28.530 --> 00:02:31.670 I'm standing in front of a group of men 40 00:02:32.105 --> 00:02:38.525 giving a presentation, and I got a hot flash. And I started to sweat, and I forgot my words. 41 00:02:38.905 --> 00:02:41.965 And the men were either casting their eyes down like 42 00:02:42.345 --> 00:02:46.614 I can't look at this or elbowing each other, snuck chuckling. 43 00:02:46.980 --> 00:02:49.080 She said, I'll never be taken seriously. 44 00:02:49.540 --> 00:02:52.440 There are so few women leaders in this company. 45 00:02:52.740 --> 00:02:54.340 I wanna make an impression. 46 00:02:54.340 --> 00:03:01.125 And that was a challenge to me, and I rose to the occasion and I learned a lot. And I became 47 00:03:01.425 --> 00:03:04.645 sort of the woman's health expert in the company, and 48 00:03:04.945 --> 00:03:10.785 women generously shared their stories. And I helped many, and it was like the pied piper. 49 00:03:10.785 --> 00:03:13.365 They would come down. I want what she has. So 50 00:03:13.740 --> 00:03:17.040 that's how it started. And then I went through perimenopause 51 00:03:17.500 --> 00:03:18.400 and I thought 52 00:03:19.260 --> 00:03:20.880 what's happening to me? 53 00:03:21.260 --> 00:03:23.760 My best friend said your personality changed. 54 00:03:24.220 --> 00:03:30.315 I was tired, I was irritable, I couldn't sleep. I was gaining weight. I was losing my hair. 55 00:03:30.855 --> 00:03:34.315 I just felt out of control, and I was anxious. 56 00:03:35.175 --> 00:03:42.395 And I thought it was because it was happened around the time of nine eleven that I thought that's what was the cause of it all. 57 00:03:42.560 --> 00:03:45.379 But then I realized it was my hormones and, 58 00:03:46.560 --> 00:03:51.680 you know, I destroyed a lot of relationships during that time because I was so tired and irritable. 59 00:03:51.680 --> 00:03:57.525 Even though I chose the right words, the tone of voice turned people off and you'd see people like 60 00:03:58.004 --> 00:04:01.605 tiptoeing around me like what kind of mood is she in today? 61 00:04:01.605 --> 00:04:05.784 And it was very hurtful and I felt extremely out of control. 62 00:04:06.325 --> 00:04:08.105 I had issues in my family 63 00:04:08.885 --> 00:04:09.385 and 64 00:04:09.830 --> 00:04:14.890 I ended up quitting my job because I'm I had to choose between helping my family 65 00:04:15.750 --> 00:04:19.290 or my job. And I knew at that point I couldn't do both. 66 00:04:19.589 --> 00:04:22.330 But the minute I went on progesterone, it was like 67 00:04:22.835 --> 00:04:26.455 the clouds parted, the sun came out, I could handle anything. 68 00:04:26.835 --> 00:04:30.775 And I kind of regretted quitting that job. It was a fabulous job. 69 00:04:30.915 --> 00:04:33.975 I was the chief medical officer of a huge company, 70 00:04:34.435 --> 00:04:35.975 one of only 2 women 71 00:04:36.355 --> 00:04:37.735 in the entire field. 72 00:04:38.280 --> 00:04:38.780 And 73 00:04:39.400 --> 00:04:39.900 it 74 00:04:41.320 --> 00:04:45.180 it just I felt so out of control, and I had to make a choice. 75 00:04:45.560 --> 00:04:50.540 So what I'm here to explain to you is you don't have to suffer in silence. 76 00:04:51.104 --> 00:04:56.005 Learn from what I've learned. I want to share with you my knowledge, my wisdom, my experience 77 00:04:56.544 --> 00:05:01.125 so that you can make informed decisions. So whatever I tell you here today, 78 00:05:01.585 --> 00:05:05.285 I'd like you to always discuss this with your health care practitioner because 79 00:05:06.030 --> 00:05:10.050 I don't know you, and I can't be your doctor through the Internet. 80 00:05:11.390 --> 00:05:14.210 But I do want to share some principles that 81 00:05:14.830 --> 00:05:22.025 I learned over the years, and now there's no turning back. Once you know it, you can't unknow it. 82 00:05:22.485 --> 00:05:29.625 And I want to share my screen so that you can learn about how to turn hormone harmony into 83 00:05:30.085 --> 00:05:31.145 hormone havoc 84 00:05:31.525 --> 00:05:32.825 into hormone harmony. 85 00:05:33.925 --> 00:05:35.545 So now you know my why. 86 00:05:36.270 --> 00:05:39.330 And I was I'm sorry. This is the wrong slide. 87 00:05:40.030 --> 00:05:42.130 So what I learned over the years is that 88 00:05:43.710 --> 00:05:45.410 hormones control everything, 89 00:05:46.350 --> 00:05:48.610 but you control your hormones. 90 00:05:49.105 --> 00:05:57.525 What you eat, what you drink, how much you sleep, how much you exercise, the stress you're under, the toxins you're exposed to, all of this is gonna affect your hormones. 91 00:05:57.825 --> 00:06:01.125 So you're never one and done. So people say, well, you know, 92 00:06:01.460 --> 00:06:04.520 the this dose, is it always gonna remain the same? 93 00:06:06.340 --> 00:06:07.160 Not really. 94 00:06:08.100 --> 00:06:10.100 It can for years, and years, and years. 95 00:06:10.100 --> 00:06:17.035 And what I saw is that many people who were very well controlled and had pretty good habits, they stayed on the same dose for 10 years. 96 00:06:17.035 --> 00:06:19.215 And then the pandemic came about and 97 00:06:20.155 --> 00:06:22.175 all the hormones went into havoc. 98 00:06:23.995 --> 00:06:24.815 And people 99 00:06:25.755 --> 00:06:28.655 ate more, drank more, didn't sleep as well, 100 00:06:29.099 --> 00:06:30.000 and were stressed. 101 00:06:33.740 --> 00:06:39.120 What holds many women back is that they think hormones cause breast cancer. 102 00:06:39.180 --> 00:06:40.719 So let me tell you the backstory. 103 00:06:41.444 --> 00:06:46.425 The women's health initiative is, you know, back in the day, every woman was on hormones. 104 00:06:46.485 --> 00:06:48.884 When I started everyone was on hormones. 105 00:06:48.884 --> 00:06:53.525 It was almost malpractice not to give them hormones because they felt so much better. 106 00:06:53.525 --> 00:06:54.664 They were more productive 107 00:06:55.620 --> 00:06:56.120 and 108 00:06:57.140 --> 00:06:59.960 their quality of life was so much more improved. 109 00:07:00.660 --> 00:07:02.200 But the Women's Health Initiative, 110 00:07:02.820 --> 00:07:06.440 the press got a hold of it before it went through peer review. 111 00:07:07.395 --> 00:07:12.275 And what came out was it increases heart attack and stroke and it increased breast cancer. 112 00:07:12.275 --> 00:07:13.095 And that misinformation 113 00:07:13.475 --> 00:07:14.675 got out and it 114 00:07:15.555 --> 00:07:16.294 this is 115 00:07:16.595 --> 00:07:19.175 a 24 years 22 years later. 116 00:07:19.555 --> 00:07:20.455 It's still 117 00:07:21.410 --> 00:07:24.550 accepted as the truth, but it's not. 118 00:07:25.169 --> 00:07:27.510 So when they took a look at that study, 119 00:07:29.010 --> 00:07:30.630 they really realized that 120 00:07:32.130 --> 00:07:35.190 estrogen alone, women on estrogen alone 121 00:07:36.544 --> 00:07:38.885 did they had a decreased risk of breast cancer 122 00:07:39.505 --> 00:07:41.525 and that the control group 123 00:07:42.065 --> 00:07:47.525 that they used to compare women not on hormones, women on hormones was actually a lower 124 00:07:47.905 --> 00:07:49.525 risk than the general population. 125 00:07:50.340 --> 00:07:55.480 And the people on hormones actually were at the same risk as the general population. 126 00:07:55.860 --> 00:08:02.200 But when you compare the 2, there were 8 more cases of breast cancer. So this caused all women 127 00:08:02.580 --> 00:08:04.040 to go off their hormones. 128 00:08:05.265 --> 00:08:08.965 And what we know now from a deeper analysis is 129 00:08:10.385 --> 00:08:10.885 bioidentical 130 00:08:11.425 --> 00:08:15.525 hormone replacement therapy does not cause breast cancer. 131 00:08:16.225 --> 00:08:18.240 The benefits outweigh the risk. 132 00:08:18.720 --> 00:08:22.099 The North American Menopause Society and 20 other organizations 133 00:08:23.039 --> 00:08:24.979 endorse the safety and efficacy 134 00:08:25.599 --> 00:08:30.099 of bio of hormone replacement therapy. Now they call it MHT, 135 00:08:30.479 --> 00:08:32.179 menopause hormone therapy. 136 00:08:32.534 --> 00:08:37.595 You're gonna see HRT, hormone replacement therapy and you're gonna see BHRT, 137 00:08:38.454 --> 00:08:41.355 bio identical hormone replacement therapy. 138 00:08:41.975 --> 00:08:44.394 Bio identical means they're the exact 139 00:08:45.254 --> 00:08:45.754 same 140 00:08:46.149 --> 00:08:48.709 chemical structure as the hormones in your body. 141 00:08:48.709 --> 00:08:51.930 So your body recognize them, knows exactly what to do with them. 142 00:08:52.070 --> 00:08:55.209 And we know what hormones do if there's too much or too little. 143 00:08:55.510 --> 00:09:00.010 And what was used in that women's health initiative was Premarin and Provera, 144 00:09:00.645 --> 00:09:04.425 which was Premarin was made from horse urine. It's not bioidentical. 145 00:09:05.205 --> 00:09:09.465 And at the time, they didn't have a way to make natural bioidentical 146 00:09:09.845 --> 00:09:10.345 progesterone. 147 00:09:11.125 --> 00:09:13.545 So there were flaws in 148 00:09:13.870 --> 00:09:15.928 the way that study was Pimentel, 149 00:09:16.670 --> 00:09:18.530 but the truth now about 150 00:09:19.230 --> 00:09:24.130 hormone replacement therapy is it does not cause breast cancer. Although 151 00:09:24.510 --> 00:09:25.010 progesterone, 152 00:09:25.995 --> 00:09:26.975 natural bioidentical 153 00:09:27.275 --> 00:09:35.995 progesterone, one study showed a decreased risk during the 1st 5 years, another study showed no increased risk, and another study showed a slight increased risk. 154 00:09:35.995 --> 00:09:36.495 So 155 00:09:36.875 --> 00:09:42.400 you have to really look at the the press when it comes out and it says hormones cause cancer. 156 00:09:42.620 --> 00:09:44.080 What study did they 157 00:09:45.020 --> 00:09:50.880 talk what did they cite? And what kind of hormones as well as when did it was started? 158 00:09:53.635 --> 00:09:56.455 Now, women have this full sense of security. 159 00:09:56.515 --> 00:09:59.255 Well, if I'm not on hormones, I won't get breast cancer. 160 00:09:59.635 --> 00:10:02.455 I'm not going to go on hormones even though I feel miserable, 161 00:10:03.075 --> 00:10:04.135 I can't sleep, 162 00:10:04.460 --> 00:10:08.240 I'm gaining weight, I can't think straight and 163 00:10:08.940 --> 00:10:10.000 my bones are 164 00:10:10.380 --> 00:10:10.880 weakening. 165 00:10:11.740 --> 00:10:16.800 If I don't go, I'm so scared of breast cancer, I'm not going to take hormones. Well, 166 00:10:18.245 --> 00:10:27.064 we still make hormones even in menopause and we make a type of hormones in our fat and adrenal glands called estrone. 167 00:10:27.445 --> 00:10:30.105 You know, estrone is the hormone made in menopause. 168 00:10:30.630 --> 00:10:35.690 Estradiol is the hormone that keeps us young and healthy and prevents, you know, cardiovascular 169 00:10:36.150 --> 00:10:36.650 disease, 170 00:10:37.270 --> 00:10:37.770 dementia 171 00:10:38.310 --> 00:10:38.710 and, 172 00:10:39.270 --> 00:10:41.530 osteoporosis as well as other benefits. 173 00:10:41.670 --> 00:10:46.165 And estriol is the hormone that has on the skin and mucus membrane. 174 00:10:46.165 --> 00:10:50.985 It keeps your vagina moist and keeps the eyes and the mouth moist. 175 00:10:52.165 --> 00:10:56.185 It's a weak estrogen, and it's even given to women who have cancer. 176 00:10:56.805 --> 00:10:57.705 But estrone 177 00:10:59.590 --> 00:11:03.290 is made in your fat and adrenal glands and it's inflammatory. 178 00:11:04.230 --> 00:11:04.730 Inflammation 179 00:11:05.270 --> 00:11:09.123 is the root cause of almost all illness 180 00:11:09.190 --> 00:11:12.730 and it actually increases the risk of breast cancer and metastases. 181 00:11:13.515 --> 00:11:19.855 So as you start getting your body composition changes and as you start to gain weight in menopause and even perimenopause, 182 00:11:20.555 --> 00:11:22.015 your fat mass increases 183 00:11:22.475 --> 00:11:23.855 and so does your estrogen 184 00:11:24.315 --> 00:11:30.820 and that contributes to inflammation and inflammation can contribute to anything from asthma, allergies, autoimmune, 185 00:11:32.000 --> 00:11:33.060 cancer, diabetes, 186 00:11:34.160 --> 00:11:34.660 cardiovascular 187 00:11:35.120 --> 00:11:35.620 disease, 188 00:11:36.480 --> 00:11:38.899 so on and so forth. Just about anything. 189 00:11:39.839 --> 00:11:41.620 So if you give estradiol, 190 00:11:42.240 --> 00:11:47.455 the feel good estrogen that's anti inflammatory, it's going to displace the estrone, 191 00:11:48.395 --> 00:11:48.895 and 192 00:11:50.155 --> 00:11:50.895 it decreases 193 00:11:51.675 --> 00:11:52.415 the risk. 194 00:11:53.195 --> 00:11:57.695 So you're not out of the woods. You're not out of the woods if you don't take hormones. 195 00:12:00.210 --> 00:12:01.430 There are so many 196 00:12:01.970 --> 00:12:03.110 things that matter 197 00:12:03.650 --> 00:12:05.030 when you start it 198 00:12:05.490 --> 00:12:07.910 and the type that you take. 199 00:12:08.690 --> 00:12:09.510 So the 200 00:12:09.970 --> 00:12:13.590 those latest studies show that the sooner you start, the better. 201 00:12:14.214 --> 00:12:19.115 You get the best benefits when you're under 60 and within 10 years of menopause. 202 00:12:19.654 --> 00:12:24.635 Does that mean if you're over 60 and beyond 10 years of menopause that you can't take it? 203 00:12:24.935 --> 00:12:29.675 No, the results might not be as good. The benefits might not be as dramatic, 204 00:12:30.350 --> 00:12:33.490 but you still can get benefits and you still can take it. 205 00:12:35.070 --> 00:12:37.650 And you can take it after the age of 60. 206 00:12:38.830 --> 00:12:44.850 So what we learned from the women's health initiative and many other studies, estrogen given by mouth, oral estrogen 207 00:12:45.435 --> 00:12:49.855 goes through the liver. It's called first pass through the liver. It causes clots. 208 00:12:50.795 --> 00:12:51.295 However, 209 00:12:51.915 --> 00:12:55.595 if you give it through the skin, it's called transdermal estrogen. 210 00:12:55.595 --> 00:12:58.415 If you give it to the skin, it does not cause clots. 211 00:12:58.770 --> 00:13:00.950 They say the risk of clots is negligible. 212 00:13:01.330 --> 00:13:03.030 No one can ever tell you 213 00:13:03.410 --> 00:13:05.190 no, there's no risk of 214 00:13:05.650 --> 00:13:06.390 of clots, 215 00:13:06.770 --> 00:13:07.270 but 216 00:13:07.730 --> 00:13:12.825 the all the studies point to the risk of transdermal estrogen given through the skin 217 00:13:13.385 --> 00:13:16.679 does not cause clots. And 218 00:13:16.745 --> 00:13:18.685 oral micronized progesterone 219 00:13:19.065 --> 00:13:21.085 is safer than the synthetic 220 00:13:21.545 --> 00:13:22.045 progestins, 221 00:13:22.585 --> 00:13:24.125 otherwise known as medroxyprogesterone provera. 222 00:13:26.220 --> 00:13:28.320 There are other names in there other synthetic 223 00:13:28.699 --> 00:13:29.199 progestins, 224 00:13:29.660 --> 00:13:32.000 but be careful when you read headlines because 225 00:13:32.940 --> 00:13:36.320 the press is going to call it progesterone when it's a progestin, 226 00:13:36.779 --> 00:13:37.920 which is a synthetic 227 00:13:38.475 --> 00:13:42.495 but oral micronized progesterone, the latest studies show it's safer 228 00:13:42.875 --> 00:13:44.495 than synthetic progestins. 229 00:13:45.755 --> 00:13:48.095 And bio identical hormones have 230 00:13:49.195 --> 00:13:51.855 much better benefits than these synthetics. 231 00:13:52.690 --> 00:13:54.710 It decreases the risk of gallstones, 232 00:13:55.570 --> 00:13:57.990 coronary artery spasms and diabetes 233 00:13:58.450 --> 00:14:00.390 as well as other things. 234 00:14:01.570 --> 00:14:04.310 Whereas synthetics increase the risk of gallstones, 235 00:14:04.930 --> 00:14:06.390 coronary artery disease 236 00:14:06.745 --> 00:14:07.485 and diabetes. 237 00:14:08.185 --> 00:14:12.285 And understand that when you read the label, it's gonna have the same exact 238 00:14:12.825 --> 00:14:17.565 warnings as the synthetics because it's a class of drugs and FDA. 239 00:14:18.265 --> 00:14:19.325 In order to 240 00:14:20.160 --> 00:14:26.180 get something approved, they're going to take the most cautious approach and give the same 241 00:14:27.839 --> 00:14:33.060 class of drugs, the same warnings, even though we know from the studies that 242 00:14:33.685 --> 00:14:36.905 transdermal estrogen doesn't cause clots and micronized 243 00:14:37.765 --> 00:14:38.265 progesterone 244 00:14:38.725 --> 00:14:45.065 is safer than synthetics and it decreases the risk of gallstones coronary artery spasms and diabetes. 245 00:14:48.029 --> 00:14:49.329 So, there are many benefits 246 00:14:50.910 --> 00:14:52.850 of bio identical hormone replacement. 247 00:14:53.550 --> 00:14:59.010 My women tell me I got my life back. I feel like myself again. 248 00:15:00.565 --> 00:15:07.785 Hormone replacement therapy improves bone density and decreases fracture risk and that was even shown in the women's health initiative. 249 00:15:08.885 --> 00:15:13.865 There's a myth out there that if you take hormones, it's not going to increase bone density. 250 00:15:13.925 --> 00:15:15.225 But back in the day, 251 00:15:15.670 --> 00:15:16.490 that was 252 00:15:17.110 --> 00:15:20.370 the gold standard of treatment for osteoporosis and 253 00:15:20.870 --> 00:15:22.890 I saw bone density increase 254 00:15:23.350 --> 00:15:29.690 and I've been using hormones for a very, very long time and mostly bio and all bio identical hormones 255 00:15:30.125 --> 00:15:33.825 And every day in my practice, I see bone density increasing. 256 00:15:34.365 --> 00:15:36.145 So that's a myth that 257 00:15:37.645 --> 00:15:41.745 the only the newer drugs increase bone density. They may be faster, 258 00:15:42.285 --> 00:15:42.785 but 259 00:15:44.120 --> 00:15:51.500 hormones are the the drug of choice in Europe for increasing bone density and maybe it should be here. 260 00:15:52.760 --> 00:15:55.100 It actually reduces the risk of cardiovascular 261 00:15:55.480 --> 00:15:56.700 disease and diabetes. 262 00:15:57.975 --> 00:16:01.274 It protects against cognitive decline and 263 00:16:01.575 --> 00:16:06.075 improves your memory and your decision making. You know, you can walk into a room and like 264 00:16:06.535 --> 00:16:12.714 what what what did I come in here for? And that name, it's on the tip of my tongue. Many women 265 00:16:13.149 --> 00:16:17.570 face that and once they go on estrogen, they feel so much better. 266 00:16:18.350 --> 00:16:22.770 It's known to improve the quality of life. You know, when I went through perimenopause, 267 00:16:23.709 --> 00:16:30.055 people told me it changed my personality and my quality of life suffered and so did my relationships. 268 00:16:30.435 --> 00:16:31.895 I lost my self confidence, 269 00:16:32.355 --> 00:16:33.735 I lost my self esteem 270 00:16:34.355 --> 00:16:39.015 and damaged many, many relationships and even quit my job because I just 271 00:16:39.395 --> 00:16:40.295 was overwhelmed 272 00:16:40.770 --> 00:16:41.270 from 273 00:16:41.730 --> 00:16:46.530 not being able to sleep, from being tired and anxious and gaining weight. 274 00:16:46.530 --> 00:16:50.070 And even though I did everything right, everything went wrong. 275 00:16:51.010 --> 00:16:51.750 So what 276 00:16:53.165 --> 00:16:53.665 oral 277 00:16:54.125 --> 00:16:58.785 progesterone does is improve sleep quality. It also decreases anxiety. 278 00:16:59.245 --> 00:17:03.725 That's the first thing that women tell me is like, oh my God, I slept through the night. 279 00:17:03.725 --> 00:17:05.424 Oh, it feels so good. 280 00:17:06.270 --> 00:17:06.930 It actually 281 00:17:07.550 --> 00:17:14.109 decreases the risk of all causes of death. And when you don't sleep, it increases many, many things. 282 00:17:14.109 --> 00:17:16.050 It increases the risk of many illnesses 283 00:17:17.070 --> 00:17:22.915 and release that vaginal dryness, the painful sex and the frequent urinary tract infections. 284 00:17:23.535 --> 00:17:30.995 Many women go from doctor to doctor and they're treated for urinary tract infections when a little vaginal estrogen and even, 285 00:17:31.455 --> 00:17:37.460 estrogen through the skin can stop that. I had somebody come to me after 8 years of suffering 286 00:17:38.720 --> 00:17:44.260 and she can't go back. She's now like doesn't get any urinary tract infections anymore 287 00:17:45.040 --> 00:17:47.780 and restores libido, enhances your 288 00:17:48.080 --> 00:17:53.945 sexual relationships and because you you feel energetic and clear and 289 00:17:55.924 --> 00:17:57.465 it improves all relationships. 290 00:17:58.725 --> 00:18:02.664 It also has a secret. It reduces the risk of gastric, esophageal, 291 00:18:03.044 --> 00:18:04.904 colorectal and lung cancer. 292 00:18:05.480 --> 00:18:07.980 So there are so many benefits to taking 293 00:18:08.360 --> 00:18:08.860 bioidentical 294 00:18:09.240 --> 00:18:09.740 hormones. 295 00:18:11.960 --> 00:18:14.920 But there are some reasons why you shouldn't take it. 296 00:18:14.920 --> 00:18:18.060 And again, always check with your doctor because 297 00:18:18.434 --> 00:18:25.654 I don't know you and I don't know all of your history, but if you've ever had a pulmonary embolism or history of clots, 298 00:18:26.115 --> 00:18:29.654 it may not be due to estrogen, but that may be 299 00:18:30.630 --> 00:18:33.690 predispose you to developing clots. So even though 300 00:18:34.550 --> 00:18:45.370 we know that transdermal estrogen doesn't cause clots, you may have a tendency to clots anyway and nobody wants to take that chance, especially a pulmonary embolism because you can, 301 00:18:45.725 --> 00:18:47.425 you know, you can die from that. 302 00:18:48.445 --> 00:18:51.185 BRCA gene increases your risk of breast cancer. 303 00:18:51.405 --> 00:18:56.705 So that would be a reason why you may not want to take hormones and 304 00:18:57.165 --> 00:19:00.065 there are women who get bilateral mastectomy 305 00:19:01.060 --> 00:19:01.640 or ovarianectomy 306 00:19:02.500 --> 00:19:06.180 in order to be on hormones because they're so miserable without them. 307 00:19:06.180 --> 00:19:13.640 So again, it's an individual quality of life issue, but I I don't in a I don't give hormones 308 00:19:14.260 --> 00:19:15.000 in the 309 00:19:15.304 --> 00:19:16.365 in these situations, 310 00:19:17.465 --> 00:19:19.085 and the history of breast cancer. 311 00:19:23.785 --> 00:19:25.565 But again, talk to your doctor. 312 00:19:29.280 --> 00:19:30.720 So the earlier we start, the better. 313 00:19:30.720 --> 00:19:43.415 I know this is about menopause, but some of you think you might be in menopause, but there there are symptoms of perimenopause are very similar to the symptoms of menopause except that the hormones are fluctuating and and you might bleed. 314 00:19:43.415 --> 00:19:47.735 I know I went for 10 months with no bleeding and I thought, yes, I'm done. 315 00:19:47.735 --> 00:19:55.434 And no, I wasn't and it came with a vengeance and I have so many other people that go 10, 11 months and and they're still 316 00:19:55.950 --> 00:19:58.770 bleeding. It can last for about 10 years 317 00:19:59.309 --> 00:20:02.210 and there are about 35 symptoms of perimenopause 318 00:20:02.590 --> 00:20:03.330 and menopause. 319 00:20:03.950 --> 00:20:04.450 And 320 00:20:04.830 --> 00:20:05.330 perimenopause 321 00:20:05.630 --> 00:20:09.570 is characterized by fluctuating hormones. They're all over the place, 322 00:20:09.885 --> 00:20:12.865 Just like I felt out of control and all over the place. 323 00:20:12.925 --> 00:20:17.005 You know, perimenopause is like being in a rowboat in rough seas with no oars. 324 00:20:17.005 --> 00:20:20.785 You're just bounced around by your hormones. And it's a terrible feeling. 325 00:20:21.245 --> 00:20:25.425 Women who have all those symptoms, many symptoms, nobody ties it together. 326 00:20:25.700 --> 00:20:28.840 I had a woman who went to a cardiologist because she had palpitations. 327 00:20:29.540 --> 00:20:37.559 I went and she also had these creepy crawly feelings on her skin and she went to a neurologist and then she had dry vagina and the gynecologist 328 00:20:38.420 --> 00:20:43.333 wasn't trained in menopause or perimenopause and just gave her lubricants and 329 00:20:43.835 --> 00:20:45.855 you know there and there was gastrointestinal 330 00:20:47.195 --> 00:20:52.095 gas and bloating and weight gain and you know you can go from doctor to doctor 331 00:20:52.395 --> 00:20:53.215 and not 332 00:20:53.515 --> 00:20:57.660 put the pieces together. So no all these symptoms can be related to perimenopause 333 00:20:58.040 --> 00:20:58.860 and menopause. 334 00:20:59.960 --> 00:21:03.020 So the best time to start hormones is during perimenopause, 335 00:21:03.320 --> 00:21:07.260 which can precede menopause by 10 years. You know, you're in perimenopause 336 00:21:07.800 --> 00:21:10.285 when you start getting anxious, irritable, 337 00:21:10.905 --> 00:21:14.105 you can't sleep, you're gaining weight, you get some mental fog. 338 00:21:14.105 --> 00:21:19.485 Those are the most mood swings are big. So those are the most common symptoms. 339 00:21:19.545 --> 00:21:21.965 But again, as I said, there are 35 symptoms 340 00:21:22.639 --> 00:21:25.700 and I write a lot of blogs about that and I have, 341 00:21:26.159 --> 00:21:30.340 you know, citations for studies if you ever want to go deeper. 342 00:21:31.200 --> 00:21:34.740 So the best part time to start the hormones is during perimenopause 343 00:21:35.120 --> 00:21:36.500 because you can prevent 344 00:21:37.200 --> 00:21:37.700 long 345 00:21:38.765 --> 00:21:39.585 term issues. 346 00:21:39.885 --> 00:21:46.385 You start to lose the most bone during perimenopause and nobody even starts to measure bone until you're in menopause. 347 00:21:47.005 --> 00:21:48.065 So if you're 348 00:21:49.164 --> 00:21:50.480 you need progesterone 349 00:21:51.100 --> 00:21:51.920 and testosterone 350 00:21:52.940 --> 00:21:54.400 to keep your bone progesterone 351 00:21:54.940 --> 00:21:56.000 makes osteoblasts 352 00:21:56.620 --> 00:21:57.760 that build bone. 353 00:21:58.140 --> 00:22:02.880 So during perimenopause, you're not making progesterone or you're not making enough progesterone 354 00:22:03.340 --> 00:22:09.695 and you have what they call estrogen dominance and you start to get cysts in the breast, cysts in the ovaries, 355 00:22:10.315 --> 00:22:10.815 fibroids, 356 00:22:11.435 --> 00:22:15.135 growth of the uterine lining, irregular bleeding, heavy bleeding 357 00:22:15.995 --> 00:22:18.815 and bone loss peaks during this stage. 358 00:22:19.399 --> 00:22:22.220 And those heavy periods can lead to 359 00:22:22.840 --> 00:22:23.820 less iron 360 00:22:24.120 --> 00:22:30.539 and low ferritin. Ferritin is a storage of iron and low ferritin, even if you're not anemic, 361 00:22:31.399 --> 00:22:34.380 can have a big impact on your overall health. 362 00:22:37.395 --> 00:22:38.915 So it's a key. 363 00:22:38.915 --> 00:22:45.655 I test ferritin in all my patients and I even found studies because I always noticed if the ferritin is low, 364 00:22:46.035 --> 00:22:47.575 they got hair loss. 365 00:22:48.260 --> 00:22:49.640 If it's below 70, 366 00:22:50.020 --> 00:22:52.040 many women suffered from hair loss. 367 00:22:52.420 --> 00:22:57.560 They were tired, they were weak, they they didn't their exercise performance wasn't as good. 368 00:22:57.780 --> 00:23:02.840 They had difficulty concentrating or restless leg syndrome. It's well known to test 369 00:23:03.335 --> 00:23:05.035 iron in restless leg syndrome. 370 00:23:06.695 --> 00:23:11.035 But if you have a thyroid disorder, you need iron, you need ferritin. So 371 00:23:11.895 --> 00:23:15.675 your treatment may not work as well if you're being treated for hypothyroidism. 372 00:23:16.970 --> 00:23:19.870 And the ideal levels of ferritin are above 50 373 00:23:20.302 --> 00:23:27.130 and about 70. So low ferritin can cause many problems. And I thought, well, why should it? 374 00:23:27.130 --> 00:23:28.830 Because they're not anemic. 375 00:23:29.290 --> 00:23:29.790 However, 376 00:23:31.035 --> 00:23:33.455 whenever I gave women with low ferritin 377 00:23:33.995 --> 00:23:34.495 iron, 378 00:23:35.435 --> 00:23:40.635 my God, they perked up. And one woman comes back every 2 years and she's I'm tired again. 379 00:23:40.635 --> 00:23:44.875 I measure the ferritin. I said, you just need more. You don't want too much. 380 00:23:44.875 --> 00:23:49.360 You always want to measure. Too much iron is no good and too little is no good. 381 00:23:49.420 --> 00:23:53.760 Generally when you're having a period and you're bleeding, you're losing some iron every month 382 00:23:54.060 --> 00:23:59.360 and you always have to look for the underlying cause in case your ferritin is low and you're not bleeding. 383 00:24:00.175 --> 00:24:01.235 But hair loss, 384 00:24:02.015 --> 00:24:03.395 even without anemia, 385 00:24:04.095 --> 00:24:08.675 iron deficiency and low ferritin causes hair loss, fatigue and weakness. 386 00:24:09.295 --> 00:24:13.635 It alters your ability to concentrate. And I see this in my practice. 387 00:24:13.695 --> 00:24:15.715 There are studies that support this. 388 00:24:17.050 --> 00:24:18.270 You it decreases 389 00:24:18.570 --> 00:24:19.070 productivity 390 00:24:19.610 --> 00:24:21.870 and your ability to think and make decisions. 391 00:24:23.850 --> 00:24:27.045 It also impairs exercise performance and 392 00:24:27.450 --> 00:24:28.430 it's crucial, 393 00:24:28.730 --> 00:24:29.230 crucial 394 00:24:29.755 --> 00:24:30.575 for cardiovascular 395 00:24:30.875 --> 00:24:31.375 health. 396 00:24:31.835 --> 00:24:32.335 So 397 00:24:32.875 --> 00:24:35.534 ask your doctor to measure iron and ferritin 398 00:24:37.515 --> 00:24:43.830 because that may be the key because every woman gets really, really nervous when they start losing their hair. 399 00:24:44.070 --> 00:24:45.370 We say there's only one 400 00:24:45.909 --> 00:24:46.409 emergency. 401 00:24:47.190 --> 00:24:48.250 It's hair loss. 402 00:24:48.549 --> 00:24:54.730 Women can be bleeding and they just take it in stride, but once they start losing their hair, they get really, really 403 00:24:55.271 --> 00:24:56.444 Allison. 404 00:24:56.465 --> 00:25:00.785 And it's awful and there are so many different hormones that contribute to hair loss. 405 00:25:00.785 --> 00:25:04.645 So test, don't guess, but get your ferritin levels checked. 406 00:25:05.185 --> 00:25:10.085 And what I learned through the years that I didn't know when I initially started is that the gut 407 00:25:10.570 --> 00:25:13.630 and hormones and ovaries all talk to each other. 408 00:25:14.170 --> 00:25:16.670 Your gut is a community of cells, 409 00:25:17.610 --> 00:25:18.270 the microbiome, 410 00:25:18.890 --> 00:25:19.870 they're bacteria 411 00:25:20.170 --> 00:25:23.230 that can either be helpful or harmful. 412 00:25:24.215 --> 00:25:29.515 They they could either talk nicely to your hormone system, your immune system or your nervous system 413 00:25:29.895 --> 00:25:31.255 or they can wreak havoc. 414 00:25:31.255 --> 00:25:37.115 So it's a difference between living in a nice neighborhood where everybody gets along, they talk to each other nicely, 415 00:25:37.495 --> 00:25:39.435 they work things out 416 00:25:39.929 --> 00:25:40.429 versus 417 00:25:41.529 --> 00:25:45.149 having a gang move in and blowing up the place. So 418 00:25:46.090 --> 00:25:48.590 your gut health is the key to hormone health 419 00:25:49.450 --> 00:25:55.445 and everything has to work in sequence. You know, you have to digest, you have to eat your food, 420 00:25:55.825 --> 00:25:56.645 you have to 421 00:25:57.105 --> 00:25:57.605 swallow, 422 00:25:59.024 --> 00:26:01.765 absorb it, and you have to move out 423 00:26:02.544 --> 00:26:03.524 all of the 424 00:26:03.904 --> 00:26:04.565 the toxins 425 00:26:05.250 --> 00:26:08.470 that your liver processes, and that's through bowel movements. 426 00:26:09.010 --> 00:26:11.750 So if you're struggling with hormone havoc, 427 00:26:12.850 --> 00:26:14.710 your gut health and toxins 428 00:26:15.410 --> 00:26:24.695 might be the culprit because I have some women, like, I didn't understand why I gave them what everybody else did well on and I measured and it was the right doses. 429 00:26:25.555 --> 00:26:27.735 But what I learned is that 430 00:26:28.515 --> 00:26:29.015 oftentimes, 431 00:26:29.475 --> 00:26:31.975 it's toxins or the gut that 432 00:26:32.380 --> 00:26:34.460 interfere with your feeling good on hormones. 433 00:26:34.460 --> 00:26:37.520 So if you failed hormone replacement therapy in the past, 434 00:26:38.299 --> 00:26:41.600 go to somebody who really understands this connection. 435 00:26:42.700 --> 00:26:46.880 Everything has to be in sync. I say it's like baking a cake. 436 00:26:47.015 --> 00:26:50.315 If you leave out even one ingredient, it's a flop. 437 00:26:55.495 --> 00:26:58.955 So the liver plays a very, very big role, and 438 00:26:59.440 --> 00:27:03.860 it acts like a recycling plant. It takes the estrogen that I give you or 439 00:27:04.400 --> 00:27:13.655 the estrogen you're making in your fat and your adrenal glands or the estrogen that you have as well as any toxins that you're exposed to and it breaks it down. 440 00:27:13.655 --> 00:27:16.795 So it it can sort it like you can have 441 00:27:17.655 --> 00:27:18.795 clean, recyclable 442 00:27:20.615 --> 00:27:24.715 breakdown products that are not so harmful. You can have very toxic 443 00:27:25.575 --> 00:27:26.075 products 444 00:27:26.615 --> 00:27:27.435 that can 445 00:27:28.140 --> 00:27:32.220 damage DNA and increase the risk of breast and prostate cancer. 446 00:27:32.220 --> 00:27:35.120 So there are 3 different types that it makes. 447 00:27:35.820 --> 00:27:37.040 4 and 16 448 00:27:37.820 --> 00:27:40.320 breakdown products are very toxic. 449 00:27:40.995 --> 00:27:47.335 4 is very toxic. 16 is moderately toxic and the non toxic form 2 Oh to hydroxy 450 00:27:47.715 --> 00:27:48.215 estrogen. 451 00:27:48.915 --> 00:27:51.175 Now the toxic estrogen metabolites, 452 00:27:52.195 --> 00:27:59.320 if you make them, most people either had a history of breast or prostate cancer or a family history of breast or prostate cancer. 453 00:27:59.779 --> 00:28:03.700 And we can do a test to find out, do you make these toxic forms? 454 00:28:03.700 --> 00:28:09.394 And if you don't, if you make the toxic forms, we can give you supplements such as DIM, 455 00:28:09.695 --> 00:28:10.195 I3C, 456 00:28:10.735 --> 00:28:11.235 Resveratrol, 457 00:28:11.615 --> 00:28:16.914 or I have some combination formulas that I give to people to make your liver 458 00:28:17.774 --> 00:28:19.154 take those top 459 00:28:19.534 --> 00:28:24.010 make the enzymes that shift it to the less toxic forms. 460 00:28:24.230 --> 00:28:29.770 So always test, don't guess because with the right diet and supplements, you can transform 461 00:28:30.710 --> 00:28:31.690 toxic estrogen 462 00:28:33.030 --> 00:28:35.850 breakdown products, not estrogen because estrogen 463 00:28:36.390 --> 00:28:37.690 does not cause cancer, 464 00:28:38.044 --> 00:28:40.705 but the liver breaks things down, their intermediate 465 00:28:41.085 --> 00:28:42.705 product before it's neutralized 466 00:28:43.485 --> 00:28:44.544 can be toxic 467 00:28:45.085 --> 00:28:51.985 and we need to know that and we need to give you the right diet and supplements to transform the toxic 468 00:28:52.365 --> 00:28:53.550 into non toxic. 469 00:28:58.510 --> 00:29:00.770 In bile, people forget about bile. 470 00:29:01.310 --> 00:29:04.370 Bile is a wonderful substance. We know that it it 471 00:29:05.310 --> 00:29:05.810 can 472 00:29:07.184 --> 00:29:09.044 be used to digest fats, 473 00:29:09.505 --> 00:29:13.044 but bile is also like an antiseptic for your bowel. 474 00:29:13.345 --> 00:29:14.325 You know, it 475 00:29:15.745 --> 00:29:19.924 cleans out the bacteria that shouldn't be in the small intestine. 476 00:29:20.144 --> 00:29:22.580 You know, some people suffer from SIBO, 477 00:29:23.039 --> 00:29:26.820 small intestinal bacterial overgrowth, and they're miserable with 478 00:29:27.120 --> 00:29:29.380 bloating and poor digestion. 479 00:29:31.279 --> 00:29:31.779 So 480 00:29:32.320 --> 00:29:34.815 bile is made by the liver. 481 00:29:34.815 --> 00:29:41.075 And what it also does is it binds estrogen breakdown products, those toxic and non toxic products. 482 00:29:41.615 --> 00:29:42.595 And they, 483 00:29:42.895 --> 00:29:46.115 when it binds it, it removes it through the stool. 484 00:29:47.150 --> 00:29:48.690 Now your gut microbiome 485 00:29:48.990 --> 00:29:53.230 plays a big role. If you have a good gut microbiome, they leave it alone. 486 00:29:53.230 --> 00:29:57.169 They let the bile do its job and move it along. 487 00:29:57.789 --> 00:29:59.809 If you have a poor microbiome 488 00:30:00.190 --> 00:30:02.565 and your microbiome is going to 489 00:30:02.965 --> 00:30:04.664 grow based on what you feed it. 490 00:30:05.445 --> 00:30:07.945 So if you invited people for 491 00:30:08.404 --> 00:30:09.625 burgers, fries, 492 00:30:10.404 --> 00:30:10.904 beer, 493 00:30:11.445 --> 00:30:11.945 soda, 494 00:30:12.804 --> 00:30:13.304 chips, 495 00:30:14.404 --> 00:30:18.809 there you're gonna have a different crowd than than if you had, you know, roasted vegetables, 496 00:30:19.270 --> 00:30:20.169 lean protein, 497 00:30:20.470 --> 00:30:22.409 fresh fruit, fresh salad. 498 00:30:23.830 --> 00:30:25.850 You feed the wrong bacteria, 499 00:30:27.190 --> 00:30:28.490 they're going to grow. 500 00:30:28.950 --> 00:30:30.809 They're gonna produce an enzyme 501 00:30:31.475 --> 00:30:32.295 that cleaves 502 00:30:32.755 --> 00:30:34.215 those toxic metabolites 503 00:30:34.995 --> 00:30:36.055 from the bile, 504 00:30:36.595 --> 00:30:38.935 which is gonna carry it out of your system. 505 00:30:39.475 --> 00:30:40.935 Those toxic metabolites 506 00:30:41.315 --> 00:30:42.055 get reabsorbed 507 00:30:43.309 --> 00:30:48.850 so that all your levels look normal, but what you're doing is reabsorbing the toxic metabolites. 508 00:30:49.470 --> 00:30:49.970 And 509 00:30:51.150 --> 00:30:53.250 we really need to be sure 510 00:30:53.870 --> 00:30:55.330 we have good bile production. 511 00:30:56.030 --> 00:30:58.850 And there are a lot of women that suffer from 512 00:31:00.135 --> 00:31:03.915 poor bowel flow or had their their gallbladder removed. 513 00:31:04.215 --> 00:31:07.435 So I give them TUDCA, taurine, digestive bitters. 514 00:31:07.895 --> 00:31:13.115 So and then if you there's a stool test that will test an enzyme called calcium D-glucarate. 515 00:31:13.830 --> 00:31:16.169 That's the byproduct of a poor microbiome 516 00:31:16.950 --> 00:31:21.690 that cuts the bile off from what it's carrying out. That takes 517 00:31:22.549 --> 00:31:25.049 the estrogens out so they are reabsorbed. 518 00:31:25.270 --> 00:31:29.405 So there is something called calcium D Glucarate which counter acts that enzyme. 519 00:31:29.865 --> 00:31:34.045 But the best thing to do would be to support bile flow 520 00:31:34.745 --> 00:31:38.525 and the next would be to move your bowels to get 521 00:31:39.545 --> 00:31:40.445 rid of them. 522 00:31:42.360 --> 00:31:42.860 So 523 00:31:43.560 --> 00:31:44.540 the gut microbiome 524 00:31:44.920 --> 00:31:47.660 is the silent player in hormonal health. Low 525 00:31:48.200 --> 00:31:50.060 estrogen decreases diversity 526 00:31:50.440 --> 00:31:53.500 of the microbiome and it has a significant impact 527 00:31:54.120 --> 00:31:59.635 from the oral carotid carotid all the way cavity all the way down to your anus. 528 00:32:00.015 --> 00:32:00.755 You know, women, 529 00:32:01.535 --> 00:32:05.715 in menopause or perimenopause sometimes get dry mouth or burning mouth syndrome. 530 00:32:06.015 --> 00:32:07.155 You get more 531 00:32:07.615 --> 00:32:08.595 dental caries 532 00:32:09.215 --> 00:32:09.715 and 533 00:32:10.095 --> 00:32:16.310 then there's more of an increased risk of an autoimmune disease called Sjogren's syndrome. 534 00:32:17.410 --> 00:32:19.430 And that has a lot to do with 535 00:32:19.890 --> 00:32:22.390 the low estrogen. When you have 536 00:32:22.690 --> 00:32:26.225 normal estrogen levels, it increases salivary flow. 537 00:32:26.225 --> 00:32:33.445 That starts a digestive process that keeps everything lubricated and your saliva also has antibacterial 538 00:32:33.905 --> 00:32:34.405 actions. 539 00:32:36.145 --> 00:32:36.965 So those 540 00:32:37.424 --> 00:32:37.924 also 541 00:32:38.970 --> 00:32:39.710 the microbiome 542 00:32:40.250 --> 00:32:50.270 makes vitamins, it makes that hair vitamin biotin, it makes vitamin k that helps your blood clot if you need it clotted and it also makes the calming neurotransmitter 543 00:32:50.730 --> 00:32:52.830 serotonin. It's your natural antidepressant. 544 00:32:56.935 --> 00:32:59.515 And it this disrupted microbiome 545 00:32:59.815 --> 00:33:01.515 can increase your risk of inflammation. 546 00:33:01.575 --> 00:33:06.075 And we talked about inflammation being the root cause of illness and it increases 547 00:33:07.480 --> 00:33:07.980 obesity, 548 00:33:08.440 --> 00:33:08.940 cardiometabolic 549 00:33:09.559 --> 00:33:12.140 disorders and uterine cancer. So 550 00:33:12.600 --> 00:33:14.700 having the right amount of hormones 551 00:33:15.000 --> 00:33:16.299 helps your microbiome 552 00:33:20.054 --> 00:33:24.794 and think here's my pet peeve and I see so many women who come in 553 00:33:25.095 --> 00:33:25.595 with 554 00:33:29.174 --> 00:33:29.674 constipation 555 00:33:29.975 --> 00:33:31.860 and I asked them, what is that? 556 00:33:32.420 --> 00:33:35.860 I ask them if their bowel movements are, how are their bowel movements? Oh, they're great. 557 00:33:35.860 --> 00:33:38.440 They're normal. I go every 2 or 3 days. 558 00:33:38.980 --> 00:33:44.100 That is normal for you, and you've accepted it as normal, but that is not normal. 559 00:33:44.100 --> 00:33:45.320 That is not optimal. 560 00:33:45.780 --> 00:33:47.559 Your bowel movements matter. 561 00:33:47.925 --> 00:33:53.145 And the analogy I like to use is would you keep flushing a backed up toilet? 562 00:33:53.605 --> 00:33:54.005 No. 563 00:33:54.005 --> 00:34:04.140 Because everything you want to get rid of to flush down the toilet, everything that the the your stool is trying to carry out is just gonna sit there and go right back into your system. 564 00:34:04.760 --> 00:34:08.040 So it's gonna be reabsorbed, and people feel terrible. 565 00:34:08.040 --> 00:34:10.940 And they don't even realize it because it's normal for them. 566 00:34:11.320 --> 00:34:17.795 So daily bowel movements are essential to removing those toxins, and they should look like a log or a snake. 567 00:34:17.795 --> 00:34:18.934 Not little pellets, 568 00:34:19.395 --> 00:34:20.214 not mush, 569 00:34:20.514 --> 00:34:23.255 but a nice little formed log or snake. 570 00:34:23.954 --> 00:34:28.614 And I always tell people the the magic formula is fiber, 571 00:34:29.090 --> 00:34:32.130 start low and go slow. Same thing with magnesium citrate. 572 00:34:32.130 --> 00:34:36.310 There are different types of magnesium but magnesium citrate is good for bowel movements. 573 00:34:36.530 --> 00:34:45.915 But again, with fiber and magnesium, start low and go slow because if you go too fast, you're gonna your system is not ready for that and you might get gas and bloating. 574 00:34:46.454 --> 00:34:46.954 Probiotics 575 00:34:47.974 --> 00:34:50.795 are very helpful and sometimes they add a motility 576 00:34:51.094 --> 00:34:51.594 activator. 577 00:34:52.214 --> 00:34:52.714 But 578 00:34:53.734 --> 00:34:56.474 get your bowels moving daily. 579 00:34:56.889 --> 00:35:01.230 People have told me it totally transformed their lives. They got rid of the bloating, 580 00:35:01.530 --> 00:35:02.270 the fatigue, 581 00:35:02.730 --> 00:35:06.430 the mental fog because they were just reabsorbing all those toxins. 582 00:35:10.625 --> 00:35:14.165 And here's toxins. Where do we get them from? We get them everywhere. 583 00:35:14.545 --> 00:35:17.285 Toxins are everywhere, and they're estrogenic, 584 00:35:17.665 --> 00:35:19.285 meaning they act like estrogen. 585 00:35:19.665 --> 00:35:29.170 So they'll go right on the receptor, get in the nucleus and they do some things like estrogen, but they do other things that you don't want and they're called obesogens 586 00:35:29.470 --> 00:35:29.970 because 587 00:35:30.510 --> 00:35:34.690 estrogen like compounds can make things grow and it makes 588 00:35:35.150 --> 00:35:36.770 people gain fat. 589 00:35:37.605 --> 00:35:38.825 So the big culprit, 590 00:35:39.525 --> 00:35:44.325 that we just can't seem to get away with is BPA and in plastics and coatings. 591 00:35:44.325 --> 00:35:50.025 So I tell people, you know, do the best you can. Don't never, never, ever, ever heat in plastic. 592 00:35:50.670 --> 00:35:55.550 I only use glass containers. I take foods out of storage, can get any kind of plastic. 593 00:35:55.550 --> 00:35:58.530 I I try to buy them without plastic wrapping 594 00:35:58.910 --> 00:36:00.589 if I can. And I, 595 00:36:01.470 --> 00:36:03.490 put them in glass containers. 596 00:36:04.525 --> 00:36:08.225 I make sure I have a reverse osmosis water filter. 597 00:36:09.005 --> 00:36:13.025 Dioxins are in the air. That's when things certain substances burn. 598 00:36:13.565 --> 00:36:14.065 PFAS, 599 00:36:16.100 --> 00:36:17.720 they're forever chemicals. 600 00:36:18.100 --> 00:36:23.960 One of the major contributors are non stick coatings, but they're in a lot of lot of other things 601 00:36:24.260 --> 00:36:25.880 like stain resistant 602 00:36:27.060 --> 00:36:27.560 fabrics, 603 00:36:28.835 --> 00:36:31.174 fire retardants, things like that. 604 00:36:31.555 --> 00:36:36.914 They're everywhere. These forever chemicals are in our water and they're not, it's not even tested. 605 00:36:36.914 --> 00:36:38.375 So make sure you really 606 00:36:38.994 --> 00:36:42.694 check your water filters to see that they eliminate the PFAS. 607 00:36:43.850 --> 00:36:44.510 And phthalates 608 00:36:45.610 --> 00:36:48.350 in plastics that are softer and more pliable. 609 00:36:49.050 --> 00:36:49.870 And PCVs, 610 00:36:50.410 --> 00:36:53.790 transformers, lubricants, they're found in many other places. 611 00:36:54.250 --> 00:36:55.070 But triclosan 612 00:36:56.010 --> 00:36:59.070 is something that people don't realize that 613 00:36:59.625 --> 00:37:01.805 they're in our soaps and hand sanitizers 614 00:37:02.265 --> 00:37:03.005 and mouthwash. 615 00:37:04.425 --> 00:37:09.885 FDA banned triclosan from bar soap, but they didn't ban it from liquid soap. 616 00:37:10.185 --> 00:37:11.405 So that I would 617 00:37:12.570 --> 00:37:15.630 either use a bar soap or clean liquid soap 618 00:37:16.170 --> 00:37:17.150 and hand sanitizers 619 00:37:17.450 --> 00:37:20.910 are good if you're on the move, but soap and water actually works better. 620 00:37:21.530 --> 00:37:24.590 And, you know, be sure if you're going to use a mouthwash 621 00:37:25.210 --> 00:37:25.710 to 622 00:37:26.355 --> 00:37:28.295 to use something that's more natural. 623 00:37:28.835 --> 00:37:32.775 So let's start looking at the labels. I like to use an app called 624 00:37:33.095 --> 00:37:35.255 Skin Deep. It's on the environmentalworkinggroup.org, 625 00:37:37.795 --> 00:37:38.295 ewg.org. 626 00:37:39.849 --> 00:37:43.869 They can guide you to the best water filters, the best cosmetics, 627 00:37:44.569 --> 00:37:45.069 the 628 00:37:45.530 --> 00:37:46.910 clean safe products. 629 00:37:47.369 --> 00:37:54.109 You can use that app to scan the barcodes and it will tell you if your cleaning products are clean, if your cosmetics are clean because 630 00:37:54.505 --> 00:37:57.484 we're exposed to almost 200 toxins a day. 631 00:38:00.105 --> 00:38:02.445 And we should be in a state of detoxification 632 00:38:02.825 --> 00:38:04.285 all the time. And detoxification 633 00:38:05.065 --> 00:38:06.285 is through 634 00:38:06.665 --> 00:38:08.685 breathing, you breathe out CO2, 635 00:38:09.065 --> 00:38:09.965 through sweating, 636 00:38:10.960 --> 00:38:14.020 through bowel movements, kidney movements, and lymph. 637 00:38:14.320 --> 00:38:14.820 So 638 00:38:15.200 --> 00:38:18.900 exercise and sweat and then wash wash it off right away. 639 00:38:19.280 --> 00:38:21.780 Sauna is excellent for removing toxins. 640 00:38:22.400 --> 00:38:26.100 Dry brushing from the periphery, like the ends of your 641 00:38:26.934 --> 00:38:31.115 fingers all the way up towards the heart and from your legs up towards the heart, 642 00:38:32.214 --> 00:38:33.515 jumping on a rebounder. 643 00:38:34.535 --> 00:38:37.755 Massage is good for getting the lymph flowing, 644 00:38:38.694 --> 00:38:42.059 making sure you're drinking enough water to make your urine, 645 00:38:43.880 --> 00:38:45.900 mild yellow like Allison yellow, 646 00:38:46.359 --> 00:38:49.880 and moving your bowels. Like you said, it's my pet peeve. 647 00:38:49.880 --> 00:38:52.780 You gotta move your bowels and take a good dump. 648 00:38:53.160 --> 00:38:55.980 Make sure you're pooping out a log or a snake. 649 00:38:58.635 --> 00:39:03.935 And everything has to work together because like I said, if you leave out even one ingredient, 650 00:39:05.355 --> 00:39:06.415 you're a flop. 651 00:39:06.875 --> 00:39:11.695 So the brain is affected by your hormones. Hormones are potent neurotransmitters. 652 00:39:12.780 --> 00:39:13.820 They affect your mood. 653 00:39:13.820 --> 00:39:17.920 So estrogen, progesterone, testosterone, they all have receptors in your brain. 654 00:39:18.380 --> 00:39:20.080 So the and your brain is 655 00:39:20.540 --> 00:39:21.680 what you think, 656 00:39:22.220 --> 00:39:23.440 your thoughts control 657 00:39:23.740 --> 00:39:26.640 your feelings, your feelings control your actions, 658 00:39:27.085 --> 00:39:29.165 and your actions control your results. 659 00:39:29.165 --> 00:39:33.565 So it starts up here in the brain and you gotta keep that brain clean. 660 00:39:33.565 --> 00:39:36.065 People are so worried about dementia and Alzheimer's 661 00:39:36.605 --> 00:39:41.790 and there's a there are a lot of studies now that hormones decrease the risk of Pimentel. 662 00:39:42.270 --> 00:39:49.810 And Dale Bredesen wrote a book about reversing Alzheimer's and he gives hormones to people over 60 who are having cognitive 663 00:39:50.190 --> 00:39:50.690 dysfunction. 664 00:39:51.950 --> 00:39:55.330 Love your liver, keep it in a state of chronic detoxification 665 00:39:55.710 --> 00:39:56.850 and you can take 666 00:39:57.605 --> 00:39:58.505 herbal formulas. 667 00:39:59.924 --> 00:40:04.265 But I always say decrease the toxins coming in. I love glutathione 668 00:40:04.565 --> 00:40:05.464 or an acetylcysteine 669 00:40:06.244 --> 00:40:07.865 that helps. It's a master 670 00:40:08.325 --> 00:40:08.825 antioxidant 671 00:40:09.444 --> 00:40:10.184 and detoxifier. 672 00:40:10.565 --> 00:40:13.010 But if you're sensitive to sulfur, 673 00:40:13.470 --> 00:40:17.970 then that's not for you. But there are herbs like milk thistle and dandelion 674 00:40:18.830 --> 00:40:21.570 and artichoke that are very helpful for your liver. 675 00:40:21.950 --> 00:40:25.455 The gallbladder's gotta be working and, you know, do your best. 676 00:40:26.495 --> 00:40:34.915 I've had people who were on the verge of having surgery and I helped them change their diet and gave them supplements so that their bile flowed better and 677 00:40:35.215 --> 00:40:38.755 they stopped having pain and inflammation and they didn't need the surgery. 678 00:40:38.815 --> 00:40:41.315 So I can't say that for everyone, but 679 00:40:41.900 --> 00:40:43.760 all of these things can be fixed. 680 00:40:44.300 --> 00:40:49.680 And the earlier you start, the better. The gut microbiome has a lot to do with what you feed it. 681 00:40:49.820 --> 00:40:51.280 You know, whole foods, 682 00:40:51.740 --> 00:40:52.240 unprocessed, 683 00:40:54.105 --> 00:40:56.605 fresh fruits and vegetables, lean protein, 684 00:40:56.985 --> 00:40:58.045 nuts, seeds, 685 00:41:00.505 --> 00:41:03.965 and not so much seed, but nuts. And any any fish, 686 00:41:04.345 --> 00:41:04.845 avocado, 687 00:41:05.225 --> 00:41:05.725 olives, 688 00:41:06.880 --> 00:41:10.420 and nuts in any of their oils are very anti inflammatory 689 00:41:10.800 --> 00:41:13.859 and you feed your gut microbiome, you keep it away from 690 00:41:14.320 --> 00:41:14.820 sugar 691 00:41:15.359 --> 00:41:15.859 and 692 00:41:16.640 --> 00:41:20.545 processed grains, even gluten free, they're processed. Sorry. 693 00:41:20.545 --> 00:41:27.365 You know, if you're sensitive to gluten and you're eating gluten free, they're processed and they raise blood sugar and that feeds 694 00:41:27.665 --> 00:41:28.565 the microbiome 695 00:41:28.865 --> 00:41:30.005 that's not as helpful. 696 00:41:30.705 --> 00:41:33.150 Bowel movements, I discussed it to death. 697 00:41:34.430 --> 00:41:35.410 Healthy nutrition, 698 00:41:35.710 --> 00:41:38.049 good lifestyle, getting sleep, exercise, 699 00:41:38.990 --> 00:41:39.490 hydration, 700 00:41:40.589 --> 00:41:47.010 and being out in nature or doing something joyful and even staying away from toxic people. 701 00:41:47.595 --> 00:41:52.095 And hormones, how do your hormones balance? All these things can help your hormones. 702 00:41:52.555 --> 00:41:54.015 And when you don't 703 00:41:54.715 --> 00:41:55.775 respond well, 704 00:41:56.075 --> 00:41:58.095 it's probably one of these things. 705 00:42:00.630 --> 00:42:01.130 So 706 00:42:01.430 --> 00:42:02.890 doing hormones right 707 00:42:03.190 --> 00:42:06.970 test, don't guess. Get a Dutch test. It tells me the, 708 00:42:07.349 --> 00:42:11.205 estrogen metabolites. If you're having issues with gut health, 709 00:42:12.405 --> 00:42:12.905 do 710 00:42:13.205 --> 00:42:17.065 GI effects. We can actually look at what what's in there. 711 00:42:17.845 --> 00:42:19.065 Unburden your liver. 712 00:42:19.605 --> 00:42:23.065 Start looking at labels and and buying more nontoxic 713 00:42:23.445 --> 00:42:23.945 products. 714 00:42:24.260 --> 00:42:26.920 Keep your bile flowing. Move your bowels daily 715 00:42:27.460 --> 00:42:28.359 and use 716 00:42:28.660 --> 00:42:31.000 bio identical hormones at the right time, 717 00:42:31.300 --> 00:42:33.559 the right type, in the right way 718 00:42:33.859 --> 00:42:39.934 so you can live a happy, healthy, quality life. I teach a lot of courses. I give you the studies. 719 00:42:40.555 --> 00:42:44.655 So visit me. You know, visit me on TheFeelGoodAgainInstitute.com 720 00:42:46.155 --> 00:42:47.375 where you can get 721 00:42:48.714 --> 00:42:49.214 education 722 00:42:49.914 --> 00:42:51.295 through free downloads, 723 00:42:51.835 --> 00:42:52.335 blogs, 724 00:42:53.330 --> 00:42:53.830 courses, 725 00:42:54.690 --> 00:42:58.230 some courses are live, some are group, some are on your own. 726 00:42:58.290 --> 00:43:07.270 And then if you're in New York, New Jersey, Pennsylvania and Florida and you want somebody who has expertise with hormone replacement therapy and putting all those pieces together. 727 00:43:07.490 --> 00:43:13.665 I'm an internist, so I don't isolate one system as you can see. We look at everything 728 00:43:14.525 --> 00:43:17.025 so you can live a quality life. 729 00:43:17.405 --> 00:43:20.385 Get your life back. Say yes to you 730 00:43:21.085 --> 00:43:22.545 and get rid of the fear 731 00:43:23.650 --> 00:43:26.310 and take care. So the recipe for good health 732 00:43:26.610 --> 00:43:28.630 is taking care of all these things. 733 00:43:29.730 --> 00:43:33.510 Thank you for joining me. I hope you learn something from this.