00:34:20.180um i never knew that an iud people are going to come at me in my comments uh released progesterone
00:34:29.620some of them i just learned that right now oh okay so not every not everything not everyone so
00:34:35.320so you get this this in order to balance it out now here's my question and i'm going to come back
00:34:41.900to the when is it natural when should we be messing with it all of those kind of questions
00:34:46.420and what you're saying i think um is that it's it's your mental and physical health if they are
00:34:54.320debilitated debilitating if they are overwhelming if they are all-encompassing you need to get
00:35:01.120something to live the rest of your life now would you then argue if your symptoms are minimal
00:35:07.280then that's not something that you look toward no i'm why should you suffer yeah it's like people
00:35:15.360it's like women that go and have a a a natural birth or women that go and have gas and air or
00:35:21.740women that go and have an epidural when they have child it's your choice yeah yeah yeah no one there's1.00
00:35:28.040no there's no badge that's handed out that says you have to suffer some women are gonna rough0.76
00:35:33.760i'm just gonna say i'm i'm not gonna take any hrt i'm i don't want to put anything
00:35:38.000artificial in my body i don't want it great your choice there's so many
00:35:44.800yeah um but i'll take an advil um my question is
00:35:53.760uh the the comparison to insulin and i just again i just i like the back and forth i like to be able
00:35:59.520to like really, you know, sort of dive into all of the possibilities because the comparison to
00:36:05.120estrogen and then the comparison to this, the natural functionality of the body would have
00:36:12.760insulin and would have it for the duration for the most part of your life. It's only if your
00:36:20.680body's not working the way it's supposed to, that you wouldn't have insulin and it wouldn't regulate.
00:36:26.480Now, here's my question. If our natural status of our body is supposed to be around 50, this stops and then we go into another sort of physiological phase of life. Do you think it's a good idea? Regardless about like good idea is a strong word. I'm not trying to be judgmental here. I'm just trying to make the same argument for testosterone in men.
00:36:51.300i don't know why you got to be 65 getting shot so you can you know elon musk it up over here i don't
00:36:58.900i don't quite understand that but do you think that if it's a natural cycle of the body should
00:37:06.660we step out of its way so let me or are we smart enough now to so let me ask you the question what
00:37:12.660was the average lifespan of women back in the day oh i love it right when people are smarter than me1.00
00:37:20.020yeah 45 50 so back in the day you were dropping dead at 50 you didn't need estrogen that's number
00:37:27.700one like you were dead so that's number one interest right hrt there's a misconception
00:37:36.260that you have to stop hrt so women will say to me yeah but i can only take it for a few years and
00:37:41.620then they're going to take it off me anyway so why have a good thing and then it takes away from me
00:37:46.260bs right there is no you are entitled to take hrt and i'm not by the way i'm not promoting hrt i
00:37:54.760also i have clients that will come to me and they'll say i want to go down a natural route
00:37:58.400and we use black kahosh and we use diet i want to talk about all those things we'll come i want
00:38:03.660to talk about the natural things you can do as well so i'm not here just to promote hrt but you
00:38:08.720don't have to stop it taking hrt the rule on hrt is as long as it's benefiting you
00:38:14.420as long as the pros outweigh the cons you can take it to the day you drop dead
00:38:18.520no one's no one has to take it off you okay but it does prevent it does help to prevent0.88
00:38:26.980heart disease it does help to prevent hip problems because a lot of women in the in
00:38:32.880in the world will die from hip problems my right hip's been killing me okay that's one thing you
00:38:39.280also need bovine collagen darling that's that will help massively with a hip problem
00:38:43.600we're back to the cows we were just got off the horses no we're back to oh did we oh yeah we
00:38:48.540but yeah this is a different animal also very large also on a farm different species
00:38:54.440what is bovine okay wait okay we'll come back to bovine yes collagen fabulous all right i'll send
00:39:02.500you some okay okay with the pork rinds in i'll have to smuggle the pork rinds but the bovine
00:39:10.240collagen yeah you can send the bovine collagen but the pork rinds we're gonna have to hide
00:39:14.880because we're not allowed to have that guy yeah but um but it helps with hip problems as well0.98
00:39:20.400because a lot of women will that will actually go into hospital because they've broken their hip0.98
00:39:24.880and complication complication it will prematurely end their existence life yeah so you're saying
00:39:34.960hrt can be um forever it can be uh you're talking about synthetic are there more natural compounds
00:39:43.680of hormone replacement that people can do well there's different so the most common form of hrt
00:39:49.840is um bioidentical you can then go down the route of body identical which is where you go to a lab
00:39:57.920and you get tested and they produce um a type of hrt that's identical to your body
00:40:04.960wow is that really expensive it's really expensive and the the jury's out
00:40:09.440they haven't done enough testing on it yet to say if it's you know the the results are
00:40:17.120but it gets very it's it's it's it's expensive and and some people swear by it i haven't tested
00:40:21.680it myself so anything i don't test myself i don't know right right right um so you can have
00:40:27.520bio-identical which is synthetic yeah and then you can have body identical yeah which is pregnant
00:40:34.900mares anymore created for you no horses used in the filming of this podcast no we don't do that
00:40:41.160one all right uh okay and then and then you can do natural um okay method so this for example
00:40:49.660there's things like um wild yam cream and while yeah wild yam cream there's a very famous one i
00:40:55.980know if it's canadian actually dr anna's like your gorgeous wife is it um yeah maybe she did it
00:41:03.660she didn't tell me anything i mean she well i think that's a whole other side are you creating
00:41:09.300really nice to know i mean darling you're just keeping some secrets i'll ask her when we get
00:41:21.260off yeah she's so sweet uh so okay so what is this you literally is it cream like
00:41:25.840body cream it's it's a cream it's just it's in like a little it's like a tincture ointment type
00:41:30.280of cream um dr annis is a very famous one i i have a lifestyle brand that we use so because i'm
00:41:36.420always recommending things so i just started a brand and we use one called napiers scottish
00:41:41.080and it comes in a little tube or a little jar and you just put like a little circle on your inner
00:41:45.900thigh or on your inner arm and it literally helps your body to help you to produce your natural
00:41:51.900estrogen because when you stop producing estrogen in your ovaries your body produces a secondary0.98
00:41:57.720source which is in the fat cells around your tummy so women get very upset that they start
00:42:04.380to get that little bit more fat around their bellies and they start kind of hating their0.99
00:42:08.600bodies and getting angry with their bodies but the body's actually doing that to help produce
00:42:13.080a secondary source of estrogen so that's we get very angry but help them right right right so it's
00:42:23.720trying to balance out so so technically then this is kind of interesting technically a natural a
00:42:30.180natural physiological response to us not dying at 49 when we lose our estrogen is our body starts
00:42:37.200doing it in a different way we just don't like it because on people it makes our bodies yeah it's
00:42:42.540actually trying to help you so it gets this little body is trying to do it yeah yeah your body's um
00:42:48.220amazing and it's trying to help you by by producing this little cushion what we call our muffin tops
00:42:55.260and it's trying to help you by providing that cushion because in there is it's not as good a
00:42:59.420source of estrogen as the one that's produced from your ovaries but it's a secondary source
00:43:04.140and it's it's trying to help you just give you that last kind of hurrah of eastern that push
00:43:10.780right now question i've heard a lot of people say that if you're going to do hrt if you're gonna if
00:43:16.780you're gonna try to balance out these hormones synthetically or bioidentically what body
00:43:22.060identically whatever you're gonna do you should do it in perimenopause before it's in menopause
00:43:27.580complete well i mean start at whatever age you like but the earlier the better you get better
00:43:33.500results if the earlier you start so if you're thinking about it just the you're getting better
00:43:39.820results the earlier you start for sure right so so what would be the process so like for example
00:43:47.080me i don't think that i have outside of maybe more of an erratic kind of period and it really
00:43:53.200some days does think it might kill me if that might be how i go um uh maybe a little bit of
00:44:00.340sweating at night maybe some brain fog maybe a little bit of lack of some energy so i walk into
00:44:07.440my doctor's office i say i'm not having it by the way i think my doctor might be the kind of person
00:44:11.740that we say joe you this is what you're this is just who you are so get over it so what do we
00:44:18.880push for we push for i want to test my hormone levels or do i want to go to a gynecologist
00:44:25.140or do i want to go to a naturopath or a menopause expert what do i do i knew you were going to say
00:44:31.020that so the test for perimenopause is incredibly unreliable amazing i know chef's kiss on that one
00:44:39.760um so the testing for two hormones lsh and f fsh and lh so the luteinizing hormones and
00:44:46.040follicle stimulating hormones and remember that i said right eastern does this
00:44:51.160yeah throughout your cycle so you could go in there and test it one day and they go joe
00:44:57.320do you know what fantastic fine you're fine darling absolutely no worries and you can go in
00:45:02.760the week later and he goes yeah week later and he goes my god you're on your knees darling
00:45:09.000hormone hormone potluck so this is the problem with the test
00:45:16.440so i have and i can give you the link for it i have i'm just thinking if i've got one handily
00:45:20.600next to me i don't think i have i have a symptom checklist that i mentioned earlier if you fill it
00:45:26.200out and there's a tracker on it because doctors are very good at saying i don't i can't see the
00:45:32.040evidence i don't know what you're talking about so if you have any kind of tracker a symptom tracker
00:45:38.600and you give them a print out of it and go these are the these this is the evidence this is the
00:45:42.920symptoms this is the evidence statistically i've had hot night sweats for this percentage
00:45:49.560then i've had women in their 30s have gone on given the the tracker and the checklist
00:45:54.040and the doctor's gone oh that makes sense because they can see the evidence in front of them
00:45:58.200but if you just verbally say i'm having night sweats like oh you'll be fine yeah so as much
00:46:04.520as you can evidence now if you are over so in the uk we have something called nice guidelines and
00:46:13.400not like oh and that lovely nice as in n-i-c-e right okay and those guidelines say if you're
00:46:19.32045 years or older and you're presenting with vasomotor symptoms now vasomotor symptoms are
00:46:25.640night sweats hot flashes anything cold chills anything to the veins expanding whatever okay
00:46:32.680then you can have hrt regardless of no test needed okay pause is hrt is the level of hrt
00:46:43.640and the dosage the same for everybody if they can't really if you're saying they can't really
00:46:49.800identify it how do they come up with a dosage so it depends on the severity of your symptoms
00:46:54.520and your age they would start you on a lower dose or an average dose and and how severe your
00:47:00.840symptoms are so again that's when a tracker or checklist would come in so for example the
00:47:05.960patches i was talking about they come in strengths of 25 50 75 and 100 so if you were just going in
00:47:15.560first of all they'd start you on a lower dose because they prefer you to on a lower dose to
00:47:19.720start with so they might start you know 25 they would then do you a three-month review a six-month
00:47:24.600review and so on to make sure that you were on the lowest dose that to start with and then if
00:47:31.800if your symptoms were still reoccurring they would then go up and there's other things like
00:47:36.820um for example topical estrogen which I can talk about as well which is vaginal estrogen if you
00:47:42.200need some extra help long story but vaginal atrophy is fun um so you would go and you
00:47:51.760yeah that's a whole other that's such a fun conversation with a doctor that's so fun
00:48:00.340listen yeah okay fun yeah it's fun yeah yeah so then you start at a low dose and then they kind
00:48:08.360of scale you up higher dose if your symptoms aren't lessening so if you went to your doctor
00:48:13.820and you say to your doctor i'm presenting with these symptoms i'm having night flashes i'm 49
00:48:18.680years old i'm having hot flashes i'm having night sweats i'd like to explore that conversation
00:48:23.940i want to have you have to go in there with this kind of attitude of i'm this age
00:48:29.780are you having vasomotor symptoms this is what i want
00:48:34.540and then they go oh okay but if you go there and kind of like is it okay they'll be like no
00:48:42.660you don't need it right no you're fine right but that's what i'm saying out here this helps i know
00:48:49.560i know that they're okay so it's it it's very hard because you you want a test right like you
00:48:58.320want a blood test that says, Oh, this is where you're at. Here's the medication in order to
00:49:03.400balance it. Because I'm assuming when a guy goes in and measures his testosterone,
00:49:07.620is it a little bit clearer of a picture? Very. And if you want to measure your testosterone,
00:49:13.460it'd be like that. It's a level. Annoying. Yeah. Always. It's just a level. It's just a level.
00:49:20.060This is your testosterone. Bing. But as it would be your insulin, as it would be your thyroid.
00:49:25.220it's the estrogen it's this i'm women are just more complicated i know well that's why i catch
00:49:30.520women because they're more fun we're just more complicated physiologically emotionally
00:49:34.900well there are and i've looked at some places where there are menopause focused clinics or
00:49:44.140health centers uh natural paths connected to them um i've spoken to people from the states
00:49:50.080who have endocrinologists that they can go to they pay out of pocket and the endocrinologist
00:49:55.060measures it, I guess, over, you know, a specific range of time to really get a gauge on how high
00:50:01.840you go, how low you go and where we're supposed to be at. I've gone through IVF. So when you're
00:50:06.900talking about FSH and all of those indicators, I've gone through cycles and IUI cycles where
00:50:12.900they measure it over, you know, a eight to 10 day period. And so they really get an idea. And that
00:50:19.520fsh number that is a number that is a very specific number right um on a day on a day time
00:50:30.320but it's not the same okay so the next day or the next day or the next day
00:50:35.200well that's why they do it over a certain amount of time right they wouldn't do that
00:50:39.200if they were checking you for perimenopause right what but they should shouldn't that be
00:50:44.400test yeah that'd be lovely we're gonna do blood tests and over a cycle over your your whatever
00:50:53.200cycle and we are going to do a blood test every day to see what the range is doesn't that make
00:50:57.920sense yeah that would be beautiful and they just don't do it because they don't want to spend the
00:51:02.720money because they don't want to include it in our health care yeah yeah so if i paid for it after
00:51:07.520the endocrinologist in the states are doing i'm guessing the endocrinologist in the states because
00:51:12.080you're going to pay for it out of pocket or it's private insurance they're going to do well here
00:51:16.800we're going to charge you x amount for every day we get a blood test and you're going to get this
00:51:20.560as your end result and then we can medicate and we can we can address it properly i don't i have
00:51:27.440no idea how the states works in terms of healthcare i mean you guys have i think you have like the
00:51:31.200menopause foundation of canada so you can go to um yeah you do okay um i like it yeah it's called
00:51:39.840the mfc about menopause canada so they have guidelines that are like a general guidelines
00:51:48.080that your um different regions can follow but i don't know what they say right the kind of testing
00:51:53.520but as far as i know that i don't know anyone that would actually test that's why it's just so
00:51:58.960impossible unless they were willing to test you every single day over a whole cycle
00:52:03.440but it's not impossible it's it's not impossible theoretically but you know yourself with your
00:52:10.900periods the first sign that women will always say with perimenopause is my periods are just
00:52:15.480whappy like they're closer together the further apart they're spotting they're heavy they're0.91
00:52:20.440shorter they're well even if you were to do it like because they always start day one on a certain
00:52:27.680day right so even if you do it from that day one even if it's for a 10 days part or a 14 day
00:52:34.480cycle regardless of what happens thereafter that would seem to be a good start would be lovely
00:52:40.480wouldn't it so so this is just money what we're saying right now this is financial this isn't
00:52:48.560about not having research this isn't about not understanding this is simply about we are not
00:52:54.880going to put money into adequately testing the duration of a cycle for women to figure out
00:53:02.320exactly where they are in this particular stage of life and what hrt levels would help mitigate that
00:53:09.280that's what you're telling me pretty much i mean this is where the the yeah i mean what can i say
00:53:17.440okay no so this is where it's like but that's interesting because because that
00:53:23.600What I find interesting, that's not about research. That's not about is this the case or isn't this the case. That's not about anything other than flat out money.
00:53:33.660So what it does, seemingly, is it sets up a really clear, identifiable goal and demand that women of different countries can stipulate, can protest for, can create communities in order to access something that already exists, something that is clear, something that is relatively easy, by the way, to do within that particular cycle.
00:54:03.660in order to mitigate all of those, all of those impacts. And at the end of the day, I think it's
00:54:09.900not just because in this, I'm going to say something and people are going to be like,
00:54:12.640oh, Joanna, it's not just because it's women. And, and let's be perfectly honest, women's0.95
00:54:17.800healthcare is a distant second to our counterparts. It's because it's about women who are no longer1.00
00:54:25.700seemingly biologically useful. Yes. And then you have a conversation about women in the workplace.1.00
00:54:33.660and the lack of consideration and anything that's allowed for them when they go to work
00:54:41.420and any accommodations that are made for them in menopause right none zero none what what possible
00:54:48.700none yeah they're not even willing to test and and see where we're at what accommodation
00:54:53.820if there's no proof over here how can they give an accommodation over here1.00
00:54:57.020so there's a massive amount of women that leave the workplace between the ages of 49 and 54.0.99
00:55:03.660because they their their mental acuity and capacity and physical health is just too damaged
00:55:12.140at that moment and in some cases the women at board level get picked on and ridiculed
00:55:19.320by their male counterparts for using fans or having a hot flash or just0.99
00:55:26.000bursting into tears because they're for you what we're losing first of all the whole tear
00:55:31.800what we're losing then is we're losing all of the wisdom, all of the, and I, and I would also
00:55:37.140probably argue this, cause I just heard this. I saw a TikTok the other day where they were talking
00:55:41.960about women getting divorced at menopause age. And this woman's like, that's cause they're done
00:55:48.920with your crap. They're no longer interested. They no longer have hormonal, hormonal capacity1.00
00:55:55.320to put up with your crap at home. And I'm assuming that translates to the workforce.0.99
00:56:00.360so where we used to be a pain in the ass before we're now twice because we're not even interested0.98
00:56:06.540in your feelings into mitigating it and softening the blow on your fragile ego so when we look at0.98
00:56:13.320sorry to go back to unaliving rates but if we look at unaliving rates it goes from 4.3
00:56:18.640percent and this is the uk it goes from 4.3 and then if we go up to the bracket that's like i'll
00:56:25.360give you the exact rate so so i'm not fibbing um we up until 49 years it's 4.3 and then from 50
00:56:33.680years old up until six like 60 something years old it goes up to 9.2 per 100 000
00:56:41.060so literally at 50 exactly it goes from 4.3 to 9.2 yeah that's insane and that's just that's
00:56:52.040i mean statistics don't lie right yeah exactly menopause like precisely and all of those and
00:57:00.340and it's funny because you wonder what and i i think this is most women would would never
00:57:08.920understand that it's this they would think it's them yeah and that's that's you yeah yeah that's
00:57:17.360you wouldn't even achieve it because so many women will come you wouldn't they'll say i thought it
00:57:24.080was just me i thought this was just me i feel so i felt so alone like i i thought that i was the
00:57:30.880only one that felt like that i thought i was going yeah one of one of the most like viral
00:57:37.420tiktoks i ever did was the one that i did and i said i thought i was going mad yeah and that's
00:57:45.020the truth I thought I was losing the plot because I was gaslit I was gaslit by by male doctors I
00:57:51.040thought I was losing the plot I thought I was mad around you whether they're physicians whether
00:57:56.080they're other women who haven't gone through it whether they're um you know men in your world
00:58:02.240none of them can how can we even possibly expect those people to understand it or contend with it
00:58:08.300or accept it or even acknowledge it when the medical community isn't no and this was six
00:58:14.220years ago when the conversation wasn't being had this conversation is a new conversation this is
00:58:20.660important it really is yeah because six years ago no one was talking about it i find it very
00:58:28.460not similar but but obviously somewhat connected because it's all about you know women's bodies
00:58:34.840and hormone levels and reproductive uh capacity because i think it's also connected to the
00:58:40.780conversations that never really happened about IUI and IVF, about all of this stuff. I went
00:58:45.740through it, not because obviously I didn't have the other half of the equation when I wanted to
00:58:52.880have a kid. And so I went through all of these different things. And I remember sitting in these
00:58:58.120like incredibly sterile, because all the fertility clinics are private, right? It's not a publicly
00:59:05.060funded thing. Well, in Canada, it's a little bit funded. The government will chip in. But you sit
00:59:10.000these places and everybody's dead silent yeah everybody going through hell who's going in here
00:59:15.360every day getting you know ultrasound internal ultrasounds done full bladder ultrasounds oh
00:59:21.760they're they're getting their blood taken they're doing all of this stuff every day and then you'll
00:59:26.720have an insemination day and then you'll have a egg retrieval day and all of this very very
00:59:32.800overwhelming sometimes hormonal because if you're on ivf medication you're off like you can be off
00:59:38.720the chair and nobody nobody in this room talks we all sit quietly there could be 40 people ready
00:59:48.960just to do go through it is set dead silent and i often because i i respond very differently now
00:59:55.760now again i have to acknowledge the reason why i was there wasn't because of necessarily an
01:00:01.120infertility problem like i i i hadn't been trying for five or ten years and it wasn't really playing
01:00:07.920plaguing on me and I didn't feel like a failure and all of those things that women go through
01:00:12.060and men in those relationships I was there out of just sort of you know objective necessity
01:00:17.980because that's how it was going to happen happen but you sit there and you think nobody nobody's
01:00:23.920talking about it nobody's making a funny like how did nobody make a full bladder ultrasound joke
01:00:29.860that that's just funny but nobody's doing it nobody's talking about it and then you flip it
01:00:36.920to what we're talking about right now.0.99
01:00:39.420Now, I think more women are starting to talk about both.0.99
01:00:44.060But again, it's this internalized blame, right?