00:03:36.260And yeah, we focus on, we have a wellness side and we have an aesthetic side.
00:03:40.300And those two on the wellness side, both the hormone replacement therapy and the GLP weight
00:03:46.780loss is something those two things are huge in our practice um and again like you're saying you
00:03:53.220can't go to a dinner without them coming up immediately i have this conversation all day
00:03:57.580every day in my treatment room and the two of them go together so it makes sense that
00:04:02.120we're having this conversation about the two of them it truly does and it brings me so much joy
00:04:07.860when problems impact men it seems like they're fixed almost immediately like we've been seeing
00:04:14.780ads for male pattern baldness and erectile dysfunction forever. And now we're finally,
00:04:22.140finally addressing things that make life more difficult for women.
00:04:26.660Yeah. And I think that's great. You know, we as women, a lot of times we focus on everyone else.
00:04:31.120So I don't think we advocate for ourselves enough. And then on top of that, these are
00:04:36.080sensitive subjects we're talking about. People are judging whether they should be or not.
00:04:40.520So it's hard to have these conversations to feel comfortable and safe having them.
00:04:44.200Yeah, it's totally true. So I started on a GLP, oh my gosh, I guess about a year and a half ago. And when I did that, it was still not totally OK to talk about all the time. Like people were like, well, you shouldn't be going on this. You're just you're getting rid of vanity weight. And how dare you? But I talked about it really openly. And women were so happy because they're like, I'm sick of feeling ashamed about this.
00:05:10.220When did you really start focusing on this in your practice?0.99
00:05:14.820We actually started offering weight loss here almost three years ago.
00:05:30.800And I don't know if you know, the GLP-3 is about to hit the market.
00:05:33.960And that's something that we should have access to very shortly.
00:05:36.820and it's just it has changed people's lives and that's what we're here for we're here
00:05:42.580to promote people's wellness and make them feel better and have a better quality of life
00:05:47.580yeah yeah and and and i love that i want to break it down a little bit what is the difference
00:05:53.540between a glp1 a glp2 and then oh the upcoming glp3 i know the new hot sexy uh drug right um
00:06:01.700Though the GLP-1s hit one receptor and the GLP-2s hit that same receptor plus another receptor, side effect profile can be a little different from medication to medication.
00:06:13.320And then the GLP-3 will hit a third receptor, which is the glucagon receptor.
00:06:18.960And that is reportedly there's less side effects, higher percentages of weight loss, and as well as fat burning from that glucagon receptor.
00:06:28.780So a good option may be for people who had side effects from the other ones or who are plateaued at their weight loss.
00:06:37.300I think it's going to be great for a lot of people who have that like central weight, that central obesity.
00:06:43.320I had so many side effects when I first started taking them.
00:06:48.660They're all completely gone now, but I was nauseous.
00:06:53.560It felt like kind of morning sickness.
00:06:56.300the first trimester of morning sickness um if i ate too much i would i would throw up it was it
00:07:03.220was gross i'm like i've i hadn't experienced this since i was pregnant uh and i had those for about
00:07:09.340eight weeks and then they started to taper off and to go away i haven't talked about this since
00:07:15.120i've been i'm on a moderate dose now i'm kind of on a maintenance dose uh and i think i don't know
00:07:23.240I don't know if I'm going to be on it forever, but I lost 30 pounds, 30 pounds that I had gained over having three babies in eight years in my late 30s, early 40s.
00:07:36.220And I say this all the time. I think I went straight from making babies and breastfeeding them into perimenopause because I had my last baby at 42, right?
00:07:45.800I stopped breastfeeding at 43. And so then all of a sudden I go straight into perimenopause.
00:07:51.120from that. My hormones have been wacky. There's no way that I was going to lose that weight on
00:07:55.860my own. And I was so uncomfortable. My joints hurt. My sleep was bad. I mean, my sleep is now
00:08:01.480still bad because of the perimenopause, but my body didn't feel okay. This didn't have to do,
00:08:07.320you know, with a lot of people saying vanity. And this had to do with, I didn't feel right in my
00:08:11.980body. Do you hear that from a lot of patients? All the time. And a lot of it has to do with
00:08:17.240inflammation. So that's one of the most amazing things that these medications do is the reduction
00:08:22.720in inflammation. So let's say you weren't on one. We could draw your inflammatory markers today.
00:08:27.600We could start you on one. And that's the first thing we would see before you lost any weight,0.90
00:08:33.160your inflammatory markers would come down and you would feel better because we've reduced that
00:08:37.380inflammation. I can tell you personally that when it's been too long in between my injections,
00:08:42.460my hip hurts. And I, you know, I even have patients who have rheumatoid arthritis and
00:08:48.040they're controlled on their meds, but they gain some weight. They're on these two and they can
00:08:52.000tell when it's time for another injection because they hurt again. But yeah, I think that's exactly
00:08:57.900what I'm hearing from people. Yep. That is so fascinating. And I don't know if we talk about
00:09:02.580this enough, but like my body hurts less after being on the GLPs. What do these drugs do? Why
00:09:09.840does it decrease the inflammation in our bodies by regulating our response to glucose and how our
00:09:18.760body is managing all of that it also you know on some level helps regulate other hormones so that
00:09:25.100helps too and when we get into talking about hormone replacement therapy you know therapy
00:09:29.520both you know estradiol and testosterone can affect our inflammation and joint pain and all
00:09:35.960in addition to a bunch of other things yeah i know and my mom who is 70 years old who's also
00:09:41.740been on it for about nine months now she's lost 30 pounds and so i mean she's so happy and she just
00:09:49.080she walks better now than she ever did before her body can move again she works out in the gym
00:09:55.780every day and i'm just i'm really happy with how it's worked out for me and for most of the people
00:10:03.620that I know. So are you on these shots too? Yes, I did start a low dose for, mostly for
00:10:10.460anti-inflammatory benefits. We do, and we do that too. I'm sure you've heard, you know, the buzzword,
00:10:16.300the micro dosing. We do have people on very low doses. I have not increased my dose at all because
00:10:22.020I didn't need to lose a bunch of weight, but I feel different. I actually had someone say to me
00:10:26.900today, what are you doing? And we were able to have that conversation, the patient I saw right
00:10:31.620before jumping on here with you. But yeah, we have, you know, I think that's a big part of all
00:10:36.520of this too, is how it's being dosed, the source that things are coming from, how it's being dosed,
00:10:41.980making sure you know where, who your provider is and where these medications are coming from
00:10:48.020is super important. Right. Right. Absolutely. And I feel like there are a lot of places that
00:10:56.780are claiming that they're getting you these meds and you don't necessarily know where they're coming
00:11:01.360from, that feels very dangerous to me. Maybe I've just been watching too much of season one of The
00:11:05.380Pit where everything has fentanyl in it. But you should be going to a doctor to get these things,
00:11:11.140right? You should definitely vet your medical provider. Absolutely. Yes. And, you know, the
00:11:17.100scary thing is that you're not overthinking this. I know there are places we are very
00:11:23.260comfortable with who our pharmacy is. They send us purity data every time they make a new batch
00:11:28.960of the medications. But there are places, especially the online pharmacies, where they're
00:11:34.040getting these toutered versions from China. They're mixing them up themselves, slapping their label on
00:11:39.680it, and you have no idea what you're getting. So you're absolutely correct. You should be going to
00:11:44.280a practice where there is close medical supervision and make sure that the practice itself is
00:11:50.060reputable. There's a lot of people out there claiming, like you're saying, that they're
00:11:55.380offering these things but you know um there's a lot of a lot of smoke and mirrors out there
00:12:00.820a lot of smoke and mirrors out there it's true it's true so we're going to take a quick break
00:12:06.200and when we get back i want to debunk a lot of the myths around these drugs perfect
00:12:09.620i don't think i can be your friend isabella said rebecca's stomach flipped this is the
00:12:21.740love story of real hinge couple Isabella
00:12:51.620monthly fees and 100 free trades. You already got this because you are made to trade and TD
00:12:58.640Easy Trade is made to help. Download it now. Okay, we're back. What are some of the most
00:13:08.040common questions you get when it comes to the GLPs? What are some of the myths out there that
00:13:13.760you want to debunk? You know, I think people worry about, people are always concerned about
00:13:19.780side effects, right? We do a lot of educating. That's why I kind of mentioned that about going
00:13:25.080to the right medical provider. I'm going to catch a lot of flack if I say you should only go to a
00:13:29.420doctor. So that's why I kind of like skirted a real mess. Yeah, no, of course. But we do a lot
00:13:35.700of educating with our patients. So they know they're supposed to be eating protein. They know
00:13:39.680how many calories they're supposed to be eating. So maybe diet is a good thing to talk about,
00:13:46.020diet side effects um am i gonna have to be on this forever yeah is a big question too i think
00:13:54.380that's the question i still have i still have that question because when i went off of it i
00:13:58.440started gaining weight again uh and i didn't feel good that is the other thing when i went off the
00:14:03.440glp i think it's because of what you were talking about because of the inflammation i started to
00:14:07.860feel crappy right and so now i am on a low dose and i feel really good again my weight is very
00:14:14.140steady and it's I don't want to lose any more weight like I'm actually worried that if I lose
00:14:18.100more weight I'm going to start to look like the Crypt Keeper because I'm a 45 year old woman I
00:14:21.040have no collagen left so uh yeah I just want to maintain I feel comfortable in my body right now
00:14:27.340and this is where I where I think I want to be uh but yeah I mean is this a thing people have to be
00:14:32.920on forever because it's also expensive I pay out of pocket for it yeah and most people do um I would
00:14:37.520say most of our patients probably wouldn't qualify with insurance or anything anyway so that's why
00:14:44.140you know they come to see us because they didn't anywhere else but you're like strict about what
00:14:50.220we do i mean we've got protocols and we do things you know but there's a lot of places that's kind
00:14:55.580of what it's getting at you don't like you don't know what you're getting right here's your month
00:14:58.440of dosing and you're like and they feel like crap because no one's keeping an eye on you know
00:15:03.340right exactly like i remember i was so thirsty because my body wasn't remembering to drink
00:15:08.780enough water was the thing you i felt full i felt full all the time uh and while not having a lot
00:15:16.240of the food noise was really nice uh you know i was i was definitely dehydrated i had to have some
00:15:21.460electrolytes what are your recommendations for protein i find that it feels like my full-time
00:15:28.020job to eat enough protein in a day. I don't know how anyone possibly eats their, you know, the
00:15:34.400rights, the amount that social media tells us to eat, which is what, like one gram per pound of
00:15:41.000weight. Every time we see people, that comes up. Hydration comes up. I mean, we talk about it all
00:15:49.220the time. Yeah. How much protein should I be eating? A gram per pound, if you can. A gram per
00:15:56.100How do you get that much protein? How do you do that?
00:15:59.040It's hard without a shake or a protein bar or, you know, I mean, I don't know about you, but I can't eat that much chicken in a day to get any protein.
00:16:07.360I can't eat that much chicken. I can't eat that. I just had two hard-boiled eggs. I can't eat any more eggs for today.
00:16:12.200I've eaten all of the cottage cheese that I can eat. So I guess we have to do a shake, right?
00:16:17.240I do, because that's an easy way to get 30 grams of protein.
00:16:21.220And most of them are pretty good. You know, some people worry about the aftertaste. I tell people if you drink the shake I drink, you probably should be okay because my teenage son will drink it. So that's it right there that it doesn't taste enough. But yeah, a shake, a protein bar, some sort of, you just got to be careful. You know, you really have to look at those too to make sure there's not a lot of hidden sugar in them.
00:16:43.500Right, exactly. Because sugar is going to trigger a lot more inflammation too, right?
00:16:48.340yeah yeah i am yeah i can't i can't do it without a shake i have been eating some of the chomps
00:16:54.380meat sticks i enjoy it i enjoy a good meat stick they're stupidly expensive too yes they are like
00:16:59.660five dollars a meat stick they are yeah they really are they really are yeah but 20 grams of
00:17:05.360protein protein in that big chomp so i'm like all right bring it on and then with a shake and then
00:17:10.820i'm close to it and then i just then i only have to have one tub of cottage cheese for the day right
00:17:15.740Exactly. Yeah, no, it's not it's not easy. I mean, also, I was just talking to a girlfriend on the phone about trying to get in 10,000 steps a day. I live in a city. We don't drive anywhere in 10,000 steps is still impossible. So it does feel like there's just so many things that we should be doing. And as long as we're aiming for these things and we're trying, is that good enough?
00:17:37.860I think for women, especially over 40, in general, resistance training is more important than your cardio. And that is huge with these medications too, because regardless if we do everything right, you're still going to lose a little bit of muscle mass. I mean, that's what we're trying to avoid, right, with the protein consumption. So doing some sort of resistance activity is really going to benefit you in the long run.
00:18:02.720And that's the other thing, too. You know, people are like, I'm not losing fast enough. Well, if you're losing too fast, then you're losing muscle mass. And it's not just the weight that you want to be losing. So we have to keep a close eye on that, too, which is why we talk about that. We discuss it extensively at every visit with our patients.
00:18:20.540Right. Right. So with resistance training, does that mean 30 minutes of weights a day? Or can you
00:18:26.000be doing 10 minutes of weights a day and some resistance bands and just working this into your
00:18:30.860life in a way that actually works for all of my friends are really busy women. Most of them have
00:18:36.680kids. They're like, it's just so much to get everything done. Whatever you can get in. I don't
00:18:41.020want to I think it's worse to tell people you have to do this much and then they're overwhelmed. So
00:18:45.780they do nothing um right so whatever which is how i feel yeah work it in however it works for your
00:18:51.700schedule but you got to do it we we have to do it and i try to practice we all everyone in my
00:18:56.440office is on one um we all try to practice what we preach i mean i've sent patients home with my
00:19:01.700protein shakes before so you have oh my gosh wait what what protein shakes do you drink um and i'm
00:19:06.920not here to promote for any protein shake but uh we i drink the premier protein shakes you can get
00:19:11.960them at costco at sam's um and we get the chocolate uh flavor because my 15 year old son and i both
00:19:17.940drink them and that's that's the shake he'll drink and the flavor he'll drink but fair life too is
00:19:22.260great because it tastes like chocolate milk right yeah easy i mean you know who doesn't want to have
00:19:27.780some some chocolate milk yeah i think i think i think premier is what i have i bought like a
00:19:32.920like palette of them at costco six months ago and so they're just there and just like easy
00:19:38.900easy to grab along with my, my chomp sticks. What about weighted vests? Like, do I need a
00:19:45.120weighted vest? Do they, do they actually work? Uh, I think, you know, if, if that's something
00:19:50.600that moves you, but, uh, I don't think I'm not going to tell everyone they should wear a weighted
00:19:55.080vest. Um, but that certainly would help you get, you know, some exercise in. Um, but, uh, you know,
00:20:02.180I think, like I said, I think resistance training is probably the most important thing any of us
00:20:05.740can do for ourselves, especially over 40. Right, right. Yeah, yeah, absolutely. And
00:20:11.760when you're checking in with patients to make sure they're not losing muscle,
00:20:15.720how do you do that? How do you make sure that they are maintaining a good amount of muscle?
00:20:20.640The first thing we start with, so there are different body scans that you can get done
00:20:24.360that we'll show you. You know, probably best, you don't make anything a pattern, right? So
00:20:30.240where did you start? Where are we now? But there are certain types of body scans that'll do that.
00:20:35.740But the most important thing is we're talking to our patients.
00:21:02.120I, one of my, one of my goals for this year is to drink more water because I'm pretty sure I'm dehydrated like half of the time, right? I just, and I'm not a person who loves drinking water. I trick myself into drinking water. I put it in a big old wine glass, which does sadly make me drink more water.
00:21:20.740uh but yeah and i mean i find like if my mood is low one of the substackers that i follow
00:21:27.120carolyn chambers just posted something about treating your body like a flower like it really
00:21:32.240just wants water and sun and and decent nutrients and i and i think about that a lot when i'm just
00:21:39.220i'm feeling like low or brain foggy i'm like is it perimenopause is it the state of the world
00:21:44.900am i am i hung over or do i just need a glass of water and half the time it's a glass of water
00:21:51.440Makes a big difference, but it is hard to get enough water.
00:22:02.920We are all just, like if aliens came down right now, they would see us all with our massive water bottles staring at these little boxes in our hands.
00:22:11.580And they'd be like, what are these creatures?
00:25:28.540She delivered or she I mean, she got me through two pregnancies, but her schedule is packed and her schedule is packed because it's as if a doctor for women's bodies is a doctor for their entire life.0.92
00:25:42.280She's dealing with people who are pregnant.1.00
00:25:45.080She's she's, you know, delivering babies.1.00
00:25:47.620And I think that women after they've they've gone through that part of their lives need a completely different doctor.0.92
00:25:57.400she doesn't have the time. Like she was two hours late to my last appointment. Yeah. And so0.72
00:26:02.180apologetic. But if she's dealing with that phase of a woman's life, I don't think that those
00:26:07.960doctors have the time to deal with these other parts of a woman's life that are really complex.0.99
00:26:12.500I totally agree. I totally agree. There's definitely not enough providers and not enough0.93
00:26:17.660focusing on this area of women's health for sure. Yeah. Yeah. Why do you think that is?1.00
00:26:23.740I think part of it is the misconceptions over the years. I don't know if you saw they just removed not too long ago the black box warning on hormones. So that was really exciting. I've been telling people for years that was going to happen, but here we are finally. So a little more access to care. And then I think just a lack of knowledge, you know, and the time constraints for those providers.
00:26:47.800um yeah no their time constraints are crazy they truly they truly are the structure of health care
00:26:53.820is a whole nother topic so that's well that's a whole other topic yeah yeah right it's just like
00:26:58.900fixing birth fixing women's health care fixing the entire health care system that would be
00:27:03.640lovely so talk to me about the different kinds of hrt i am now exploring i think a patch i'm so
00:27:13.100curious about testosterone i'm seeing so many stories about women's sex drives being improved
00:27:16.900by testosterone? How does that happen? I love that you asked that question because of all the
00:27:23.000hormones for women, that is the one that is most ignored, I think, for a couple of reasons,
00:27:27.600because people think of it as a male hormone and people don't know what to do with it. So they
00:27:33.600don't check it. Right. Like if you don't know what to do with something, you're not going to
00:27:37.020go looking for it. But testosterone is the most biologically active hormone even in a woman's
00:27:42.720body. And it affects a lot more things than just sex drive. I mean, we're talking a lot of the
00:27:47.280general symptoms you feel, joint aches, generalized fatigue, loss of muscle, weight gain, all of that
00:27:54.380and more, not limiting the conversation that your rainfall, mental clarity, all of that stuff.
00:28:01.700So you have to really look at the whole package when you look at hormones for men and women.