What Can You Do To Advocate for Yourself at the Doctors Office?
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- เผยแพร่เมื่อ 20 ธ.ค. 2023
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- About Dr. Mary Claire Haver and The Galveston Diet -
Dr. Mary Claire Haver is board certified in Obstetrics and Gynecology and is a Certified Culinary Medicine Specialist from Tulane University. She is a Louisiana State University Medical Center graduate and completed her Obstetrics and Gynecology residency at the University of Texas Medical Branch (UTMB). She is also a Certified Menopause Specialist through The Menopause Society.
Dr. Haver was a clinical professor at UTMB and The University of Texas Health Science Center at Houston. Dr. Haver has served as a Hospitalist, Associate Residency Director, and Assistant Professor in her career. In 2021 she opened Mary Claire Wellness, a clinic dedicated to caring for the menopausal patient.
Dr. Haver has amassed over 3 million followers across social media by posting advice for women going through menopause. She understands that menopause healthcare is in dire need of change and is proud to be leading the conversation.
Her educational background and her own experience led Dr. Haver to develop the national bestselling book and online program, The Galveston Diet, a three-pronged lifestyle plan that encourages fuel refocusing, intermittent fasting, and anti-inflammatory nutrition to manage hormonal
symptoms, stabilize weight, and revitalize the body as it ages to provide benefits that will last a lifetime. Dr. Haver is working on her second book,
The New Menopause, which will be released in the Spring of 2024.
#menopause #perimenopause #womenshealth #galvestondiet #pauselife #thenewmenopause
I'm so glad that we are getting this information but it also pisses me off that we can't just go to a physician and expect evidence based, current science
So true!!!
It is interesting to me that so little time is spent on menopause in residency since a woman spends roughly 1/3 of her life post menopausal. That doesn't even count the 10 years spent in peri-menopause! When I was in peri-menopause my OB GYN literally said to me that I really didn't need her anymore...I could simply have my PCP do my yearly pap and breast exams. I basically felt like since I was done having babies my female reproductive system was no longer anything special requiring a specialist. It really stung.
Got that same push-off from mine!
@@a_woman_who_loves_to_lift Thank you. Honestly, I'm not really sure why it shocked me. Having worked in healthcare I know their goal is cash generating PROCEDURES and not actual healthcare.
I went to an OBGYN in a new city 8 years ago carrying a printed copy of Menopause Barbie’s info and the whole book Estrogen Matters 😂 I went to a dr from the NAMS list as suggested and it still took me 3 dr visits to find a dr that would discuss this. I went based on symptoms not a blood test. I wanted relief from what I was going through. I finally found a dr that was open to discussion but even she wanted to lower my dose and discontinue by 60 so I switched again. I’m glad there is more information now.
Hang in there if you are not getting the help you need.
Same experience, here! It is maddening!!! Where are all the feminists our there!?!?
My doctor just keeps telling me I'll get breast cancer and terrorizes me about getting of HRT. Its ridiculous!!!
You have completely turned around my opinion on HRT. Wow was I so misinformed. I will be talking to my OBGYN IN Feb about HRT and even told my friends to start following you and told them they will be blown away about all the misinformation we have been fed. Thank you thank you thank you ❤😊
navigating perimenopause has been a personal journey, facing challenges like many women. your video on menopause care struck a chord. it's a struggle to find informed healthcare. aspect health has been a part of my personalized journey. every woman deserves tailored care. take care.
My Dr kicked me out while I was on the chair. Half naked, after I asked him to explaine menopause to me, since he said that I am not in menopause. I explained every possible symptom. He seid, I should keep asking my friends and Google like before. They seemed to have helped me in the past.😮 I mentionend, that I keep informed.
I was so shocked. I now have a new Doc an hours drive away, and am treated and responding😊
Thanx again for all your Information.
Steffi from germany
Shame on this doc. You should write a google review on him. We all need to start speaking up for the medical world to realize they need to keep up!
Had hysterectomy at age 38 due to cancer. Menopause symptoms started around age 40 - hot flashes, night sweats. By age 45 - debilitating migraines, high cholesterol. By age 50 - chronic Vitamin D and Vitamin B12 deficiency. Age 52, muscle weakness and joint pain, high cholesterol. Neurologists in one place diagnosed myasthenia gravis, another state said did not have and said my symptoms were due to 'mental problems'. Have had digestive, IBS issues, hiatal hernia repair. Scheduled for re-eval on myasthenia since muscle weakness progressing. Everything you've described sounds like post menopause problems. I have always asked the doctors if my issues could be hormonal due to early menopause and always get the brush off. No more EMG needles. I'm going to insist on hormonal evaluations. Thank you.
I'm a retired healthcare executive and when I went through menopause, I sought help among my network of medical professionals. NONE of them could help and NONE of them had any clue about hormone replacement. So, I found myself a Functional Medicine MD. She saved my life! She tested me for everything and put me on HRT. I lost 30 lbs and all my symptoms disappeared in a matter of weeks. Unfortunately, people may have to go outside conventional medicine to find proper menopause treatment. I'm in So. California and I'd love to recommend my Functional Medicine MD to women in my area.
I adore you, you have helped me waaaaayyy more than a doctor sitting in front of me with my whole medical history at their fingertips 🤷🏻♀️
"Our SUCKASS....." I love the realness Dr. MC!!!! TY
I think there should be a whole other specialist who serves only peri through and beyond menopause
I love the Estradiol patch 0.6mg. I’m so happy my PCP agreed to prescribe it for me. I’m 59 and had a hysterectomy 2 years ago. I feel so much better with HRT.
Reading the comments I count myself lucky. My old OBGYN left last year and a young doc took over for him. I called, told the admin I haven't slept since last year and need help. Got an appointment the next day, told her about my symptoms, had my checkup, ultrasound and bloodwork. She had the hormone aplicator spray ready to show me how to use it, gave me the prescription and told me to call on my progress with HRT. And since I'm in the EU it's all free.
It is especially difficult when you are over age 65. The last time I saw an OBGYN I was treated like I was a Street Person. I am clean, I am well groomed, I have insurance. I was treated like a leper.
It was SHOCKING!
I went in for a pap smear. I was experiencing cramping and wasn't sure if it was my bladder or my uterus. I was begrudgingly given a pap smear. I was depressed, anxious. Last period was at age 48.
The Dr was actually angry that she had to see me.
Horrible. So sorry you were treated that way. ( I am 69)
I know what you mean 😢 I'm 67. They act like you do NOT belong!!
This all happens bc of the system: Doctors will not profit from a menopausal woman. So sad but that’s reality
I was offered nothing asked for HRT, only option was PREMPRO, after I year I still felt tired but a bit better than before. After watching your channel I asked for editorial Patch & oral progesterone. My OBGYN would not prescribe so I did my research and found an HRT specialist who prescribed. I've been on it a few months feeling way better however OB did not properly tell me how or when to take progesterone or patch. I learned the hard way after weeks of trial and error I figured out taking progesterone on an empty stomach before bed works and helps me sleep. Replace patch once a week placing them in different areas below waste like bum hips stomach to not irritate skin. I am a fitness trainer and feeling myself again. I also brought my research articles to 1st visit w HRT splat and she laughed she said I made her nervous. That taking patch & oral progesterone still leaves me at a high risk of demtentia, heart disease, blood clots, etc.. As long as benefits out way risk I will take HRT. Hope this helps others. Thank you Dr. For your honesty and sharing your experiences. ❤
My Wife's OBGYN says "everything's normal" - meanwhile she is slowly deteriorating before my eyes - all the major symptoms and any time I suggest seeing a Perimenopause / menopause specialist, it's met with "My OBGYN says..." and then hostility and derision because "I just want sex" - frustrating that she is not receiving the proper medical support. Painful sex (so almost a decade since anything), Uterine and cervical cysts, itchy skin, no touch, no kiss, zero libido or desire, depression, migraines (given Prozac of course), middle weight gain, joint pain, hot flashes, night sweats, insulin resistance, cholesterol and Thyroid issues - her periods are still regular and heavy - at 55 it looks like this last 10 years will drag on. She is exhausted from fighting all of the issues and they are simply over addressing the symptoms and neglecting her obvious hormone imbalance. I am at a loss on what to do to get her to see someone in the NAMS list
Perhaps she would explore our website. We have great education. Here is a perfect "starter" article. thepauselife.com/blogs/the-pause-blog/the-ultimate-menopause-toolkit-an-anti-inflammatory-approach-to-managing-menopause
~ Community Support Team
@@maryclairehavermd8473Thank you
I asked my last OB about treatment for perimenopause symptoms, looked at me like I was insane! She told me that she could do a breast exam and a pap smear. Needless to say, I have now found a functional med doc. My new doctor has helped a little but isn't very extensive with treatment due to time limitations of a very busy practice. This new physician is ridiculously overscheduled because everyone in town sees her, and nobody wants "SOC" treatment anymore.
Just gone back on HRT,age67 .
From the UK NHS.
feel great.
Hi Gillian. I’m 64 and never had HRT. Bummer for me. Hit menopause at 45. How long were you on HRT originally and how long were you not taking it before getting back on it? I’d like to talk to my Dr about starting on a low dose.
I found a dr on your list! I see her next month. I comment on another yt you had out a year ago. I just seen my OBGYN about my weight issues. However, she believes my issue is stemming from my insulant resistance hormone and not my ovarian hormone. She wants to put me on wengovy injections. She also mention that maybe I didn't need to see the other dr (that's in her same practice).
Please open a clinic on the east coast.
I had a complete hysterectomy and my OB GYN only slightly suggested it and then dismissed me, saying I didn't need to come back, I could just see my PCP. And yeah, given antidepressants. Now, 14 years later, I have a multitude of health problems from gut to skin to cholesterol to T2d to trouble sleeping...the list goes on. And nobody listens...or thinks it could be tied to hormones.
What if your estradiol level is “normal low” but still have all the symptoms. I mean getting help is hard when it’s low, now getting help when it’s “WNL” impossible!
You are my hero!
Thank you for the advice
Oh m g!!! I ❤ you!!!!! Thank you so so much!!!
I’m so sorry for your losses. Thank you so much for all you do!!
Loving this so far
BTW, the women's health unit at the VA is the smallest room in the entire facility.
Unsurprisingly. Sad.
yes, estradial patch, low dose. It does help with my hot flashes.
Happy belated birthday Bob ❤
Wow your poor mom. So hard for you and the family 😊
I’m taking DHEA with DIM and it has CHANGED MY LIFE!
What's DIM?
@@JimJam7256 google it
Loved your interview with Steve barrett
Hope you guys have an amazing Christmas 🎄 and New Year’s 🎉 together… Sending you lots of love ❤❤❤❤from Canada 🇨🇦 Thank you so much for all that you do ❤
My Dr. Actually shrugged her shoulders when I told her about all of my issues when I was in the peak of my menopause journey, that was five years ago. I've yet to receive any help.
What is the problem with HRT after 60? I’m still working and I need help!
Im coming to your clinic
I was offered HRT by the oncologist, after going through cervical cancer radiotherapy/chemo. And I'm post-menopausal, in my early 40s due to this. I didn't find it helpful with the oncologist, I wanted more information, but she just wanted to "throw" HRT at me and send me home. So I declined, because I didn't know anything about it...after weeks of researching, I decided to go to my gynecologist with the information I learned so we can decide what is best for me at this time. I have also been suggested to use birth control for now because of my young age, and HRT doesn't have the high dose of estrogen that a younger women needs.
I’m confused. Estradiol is the gold standard estrogen type used for HRT. Daily oral estradiol doses range from 0.5-2mg per day. The most-commonly used birth control pills deliver 0.025-0.035 mg of estradiol per day. That’s waaay less than HRT. Young women aren’t estrogen deficient like peri and menopausal women are. Why would they need higher doses?
What if you are over 60 and have never been on HRT is it too late???
You are beautiful inside and out
For the article that we can take to our doctor on the updated position on HRT, on the blog that article has 26 pages so do we take all of that to our doctor? Or is there a shorter version?
What are your thoughts on estrogen & cancer? 3 yrs. post colon cancer surgery stage 2.
So I’ve been watching your videos for a a while now. And I was wondering if we know much about egg donations and how they may or may not affect menopause. I’ve found conflicting information.
I had a partial hysterectomy at 24 years old. I'm 54 now. For decades I was told my hormones levels were great, no need for hrt. Last year, I was miserable. The doctor only gave me 0.5mg Premarin cream 3x a week. I need help and will tell them to book a problem visit this year.
❤
Sorry can’t seem to find the printable material 🥴
No offered treatment. Never brought it up. Both my gyn docs,. Dismissed hrt.
Is HRT still an option if I've had a history of fibroids?
Sent a message to the provider (VA) explaining that I wanted a women's health consult referral. They told me that I could not get a referral because they don't refer for pap smears after age 60 unless you've had cancer. I told them I have had cancer - treated at the VA. (They don't know how to read a history). I also had to demand iron last year because they can't read lab reports either. My iron was so low I could barely breath. Told them I wanted information about hormone replacement treatment. They offered me Prozac for hot flashes. In 15 years of being treated at this facility I was allowed once to see a gynecologist. I had to wait 30 minutes while 3 doctors stood outside the door complaining about not being allowed to leave early to beat traffic to the beach on a Friday afternoon. I was their last patient. If they stopped complaining and saw me they could have been out of there. How do you win?
I had a doctor try to “treat” my hot flashes with a beta-blocker!!!
Why in the fridge?
My Gyno told me after 5 years she will MAKE SURE I'm off my HRT. WOW!!! New gyno required :(
Can you talk about women in their early 60s I will be 63 next month. Should be post menopausal but just started waking up soaked after being wide awake earlier during sleeping hours, now I have frozen shoulder, dry eyes and skin, hair just falls out ex: leaning into the dishwasher, brush my hair and take a shower with globs of hair all out and in my shoulders. Last period was 12 yrs ago. My hands and feet get hot making it hard to sleep or use ice packs. Is this still menopause and can I still do BHRT?
Yes, fuck that!!!!!
I’m 60, can I start hrt? Nobody wanted to give me hrt because I had a maternal aunt with breast cancer, can it help me now or is it too late?
Women are stuck in the middle of all of this MISINFORMATION concerning HRT! I just want to easily be able to get my HRT that I know I need!!! We don’t deny diabetics of their hormone, insulin!!!
If you've had LLE superficial blood clots can you take HRT?
Transdermal HRT has not been shown to cause blood clots at all. Check into that. Good luck!
I heard yes, with transdermal hormones
My doctor prescribed tibilone. Is this as effective as HRT?
Tibolone is a synthetic hormone. It is a form of HRT. Dr. Haver prefers Estradiol and oral micronized progesterone. ~ XO Community Support Team
My urogyn gave me yuvafem suppository for after surgery but is slowly taking me off.
Any advice for low income patients - like those of us on disability and medicaid? A lot of lifestyle changes are simply unaffordable to us. Are there treatments or even consultations that state medicaid won't cover? How do we prepared to be turned down for that care due to our income level? What can I focus on in my free time because I don't work anymore?
to add: things i've done for myself so far recently are: started using a walking treadmill, eating more protein, taking over the counter sleep aids on important nights, over the counter multi "old lady" supplements. i also am a brain injury victim and it's so easy to get overwhelmed with all the many things to consider and change habits on!!
I have fibroids, i have night sweats, belly fat, joint pain, headaches, depression, anxiety, my periods are lasting a month. I was given .35 mg of progesterone and sent on my way. I asked for estrogen and was told no because i still get my period. I have seen no improvement after almost 6 months. I will be 53 in 2 months. I take supplements. I exercise. I have an active job. Can i take estrogen if i still get my period?
When i told my doctor I was having problems I was told I needed a vacation. No HRT for me ever. I asked three diffenrent doctors
Are you in the US?
A clean diet
Why dose menopause cause anxiety
Went to doc with atrophy and black lesion. He did nothing said since i was single no relationship no treatment.
I would like all medical doctors to be trained in menopause care, no matter their specialty! Menopause affects the whole body, not just the area that gynecologists specialize in. I wouldn’t think I’d need a gynecologist for brain fog, memory problems, muscle and joint pains or the anxiety and depression that occurs with peri- and post menopause, to name only a few. That’s why I initially asked my PCP if she could prescribe HRT for me, just as she prescribes my thyroid hormone. She got a panic-stricken look on her face and said “oh no, I don’t do that. You’ll need to be monitored…” she meant by a gynecologist.
In my opinion, all doctor specialties need to know about all possible symptoms, so they can refer a woman to a gynecologist, if they’re afraid to treat her.
Before the 1997 WHI-Women’s Health Initiative, so-called research, women were immediately put on Het at post-menopause!!! Now, Doctor’s are not only uneducated about HRT, they are terrified. Therefore!p, they have terrified women! Estrogen the life-giving hormone women NEED AND ARE BORN WITH!!!
I am 68 at 50 my Obgyn give me Estrogen’s for 7 year’s three years later I have lung cancer she stopped my treatment the last 3 years I don’t fill good developed pain in my shoulders, back pain little sleep joints pain and losing my memory all they’re giving me is Steroids and pain killers, please helme what’s going wrong with my body and brain. Thank you very much for your support.
I know you have mentioned that women who have had a partial hysterectomy ( still have ovaries) do not need progesterone, but my NP suggested it. I've tried regular tablets, wick release, and cream, even a very low dose. They all make me feel awful. Almost hungover, and super depressed. I want to eat everything. Will it eventually help with balancing hormones and weight? Will I be estrogen dominant and cause more issues for myself if I just use the patch?
If you still have your uterus you need to take progesterone along with your estradiol.
@@melissaculpepper7663 thank you for responding.🙂 I do not still have my uterus. My NP said that it's very beneficial for hormone balance. I'm just wondering if I will be estrogen dominant if I'm only taking the estrogen patch. Will that make it difficult to lose weight?
No
I am currently using a wellness clinic and am on a biest compound. I don't feel it's consistent, and I want to switch to a patch or possibly a pill, for the consistent dose. Is oral estrogen safe? I've read that the patch can wear off before it's time to switch it out.
I tried bi-est and it helped! What did the trick was the transdermal patch. I didn’t want to do oral because it was my understanding that stomach acids partially destroyed the estradiol. So I have a progesterone oral med at night (which helps me sleep) and estradiol patch I replace 2X weekly. CHANGED. MY. MISERABLE. LIFE. just sharing MY experience.
@@bkmc0340 thank you so much for the input! I'm going this week to an appointment, and I'm hopeful that the patch will get me back on track!
@@BengeFamily98 I wish you the best! I have also been listening to and reading Dr Felice Gersh - she is very knowledgeable and works specifically with women for HRT. You may find her helpful as well. Good luck
to you - it’s a crap
Shoot out there and we really have to fight for our “best life”!
@@bkmc0340 Oh thank you again! I will definitely look her up! I think all of us need every bit of help we can get to educate ourselves!
@@bkmc0340Oral estrogen also has to pass through the liver and is linked to blood clots. Patches have been great and they are affordable in generic.
Estradiol and progesterone
Who would you see for menopause? An OBG? Obviously not my family doctor 😢
Yes, but Google OBYNs in your area that specify menopause treatment.
Her referral database didn’t have any doctors in my area so that’s what I did. Good luck🍀
What is your opinion on hair follicles testing is it more effective
I have gynecologist and am on estrogen only had a hysterectomy 2 yrs qgo. Now my new general dr. Wants to take me off estrogen and i feel its not her place. She says i dont need it and to let nature work. Errrr
Sadly your gynecologist is clueless. I’d find a menopause specialist to help you.
I have had breast cancer, No HRT for me. I have terrible menopause symptoms, hot flashes, night sweats, mood swings all the other things. My Dr. OBGYN, only wants to put me on anti depressants. Help. I’m 77 years old. I’m totally miserable.
I’m 62 and still suffer, I can’t live like this for - my doc better start listening to me now…
Estrogen Matters is an excellent book written by an oncologist who has helped hundreds of women in the past 20 plus years.
Same here , but I’m 48.
Hi Dr Mary. Your videos are so helpful. Ive been going through full menopause for over 3 years now. I was not having any periods at all. Then came the worldwide vaccinations. And i started to get my periods very heavily whilst around people who had been vaccinated. I got them for over 5 weeks straight very heavy while i was still working at the time. My vitamin d was extremely low I left work while i still had them. They went away when i stopped working. I didnt have them for ages again until someone visited that had just been freshly vaccinated. And everytime someone came near me after they had it. Needless to say I DIDNT TAKE IT. I had to stop visitirs whod recently had it coming to my home. This worked. Once i did this i stopped getting it again.
Is this some weird menopause thing? I have had them once more, but the same problem, the person lied about being vaccinated but i overheard them telling someone they had it. What could be going on? Am i actually having reactions to vaccinated people? OR is it menopause. The timing of them everytime was very odd.
Thankyou again for your bery informative videos
Dr, do you do Zoom visits if all lab reports are available to you?
Hip optical
Omg Really?? Dutch test is not needed and The info about pellets 😮
Do u realize the products are reversed for us, when you hold them up to camera
Why are women constantly told to suffer? Men go in with sniffles and walk out with antibiotics. It's infuriating.❤
thank you, you CAN change the way your body reads your DNA. I hope you put Margaret onto research about changing DNA readers. Don't suffer unnecassarily Mary.
Why should you ever get a Covid vaccine 🤷🏻♀️
Can you do one of these without cussing?!?! 😅 Wow not sure if tou are tryign to be "cool" or what .
Agree. Unnecessary. Not professional. I'm used to hearing it around me all over, and I'm not immune to saying a few choice words once in awhile...but not from my healthcare advisors.
Ugg, you just lost me as soon as you said you got your COVID and flu vaccine. Unfollowing.