Dr. Mary Claire Haver: How to Navigate Menopause & Perimenopause for Maximum Health & Vitality
ฝัง
- เผยแพร่เมื่อ 26 มิ.ย. 2024
- In this episode, my guest is Dr. Mary Claire Haver, MD, a board-certified OB/GYN and an expert on women’s health and menopause. We discuss the biology and symptoms of perimenopause and menopause and their effects on body composition, cardiometabolic health, mental health, and longevity. She explains the lifestyle factors, including nutrition, resistance training, sleep, and supplements, that can better prepare women for and improve symptoms of both perimenopause and menopause. We also discuss hormone replacement therapy (HRT) and whether HRT impacts the incidence of breast cancer or can affect cardiovascular health.
We also discuss contraception, cellulite, polycystic ovary syndrome (PCOS), and how to reduce the risk of osteoporosis. This episode is rich in actionable information related to what is known about menopause and perimenopause and the stages before, allowing women of all ages to best navigate these life stages.
Access the full show notes, including referenced articles, books, people mentioned, and additional resources: www.hubermanlab.com/episode/d...
Thank you to our sponsors
AG1: drinkag1.com/huberman
AeroPress: aeropress.com/huberman
Eight Sleep: eightsleep.com/huberman
BetterHelp: betterhelp.com/huberman
InsideTracker: insidetracker.com/huberman
Huberman Lab Social & Website
Instagram: / hubermanlab
Threads: www.threads.net/@hubermanlab
Twitter: / hubermanlab
Facebook: / hubermanlab
TikTok: / hubermanlab
LinkedIn: / andrew-huberman
Website: www.hubermanlab.com
Newsletter: www.hubermanlab.com/newsletter
Dr. Mary Claire Haver
Clinical website: maryclairewellness.com
The ‘Pause Life: thepauselife.com
The New Menopause (book): amzn.to/4bJHsg5
The Galveston Diet: thepauselife.com/pages/the-ga...
TikTok: / drmaryclaire
Instagram: / drmaryclaire
TH-cam: / @maryclairehavermd8473
Facebook: / drmaryclaire
LinkedIn: / the-pause-life
Timestamps
00:00:00 Dr. Mary Claire Haver
00:02:04 Sponsors: AeroPress, Eight Sleep & BetterHelp
00:06:26 Menopause, Age of Onset
00:09:50 Perimenopause, Hormones & “Zone of Chaos”
00:14:42 Perimenopause, Estrogen & Mental Health
00:20:04 Perimenopause Symptoms; Tool: Lifestyle Factors & Ovarian Health
00:25:26 Early Menopause, Premature Ovarian Failure; Estrogen Therapy
00:29:42 Sponsor: AG1
00:31:31 Contraception, Transdermal, IUDs; Menopause Onset, Freezing Eggs
00:38:18 Women’s Health: Misconceptions & Research
00:45:01 Tool: Diet, Preparing for Peri-/Menopause; Visceral Fat
00:48:31 Tools: Body Composition, Muscle & Menopause, Protein Intake
00:51:42 Menopause: Genetics, Symptoms; Tools: Waist-to-Hip Ratio; Gut Microbiome
00:58:22 Galveston vs. Mediterranean Diet, Fasting, Tool: Building Muscle
01:05:18 Sponsor: InsideTracker
01:06:29 Hot Flashes; Estrogen Hormone Replacement Therapy (HRT), Breast Cancer Risk & Cognition
01:15:36 Estrogen HRT, Cardiovascular Disease, Blood Clotting; “Meno-posse”
01:24:00 Estrogen & Testosterone: Starting HRT & Ranges
01:30:36 Other Hormones, Thyroid & DHEA; Local Treatment, Urinary Symptoms
01:37:57 OB/GYN Medical Education & Menopause
01:41:30 Supplements, Fiber, Tools: Osteoporosis “Prevention Pack”
01:46:53 Collagen, Cellulite, Bone Density
01:51:42 HRT, Vertigo, Tinnitus, Dry Eye; Conditions Precluding HRT
01:55:27 Polycystic Ovary Syndrome (PCOS) & Treatment; GLP-1, Addictive Behaviors
02:01:55 Post-menopause & HRT, Sustained HRT Usage
02:04:58 Mental Health, Perimenopause vs. Menopause; Sleep Disruptions, Alcohol
02:09:09 Male Support; Rekindle Libido
02:12:46 HRT Rash Side-Effect; Acupuncture; Visceral Fat
02:16:24 Zero-Cost Support, Spotify & Apple Reviews, TH-cam Feedback, Sponsors, Social Media, Neural Network Newsletter
#HubermanLab #WomensHealth #Health
Title Card Photo Credit: Mike Blabac - www.blabacphoto.com
Disclaimer: www.hubermanlab.com/disclaimer - วิทยาศาสตร์และเทคโนโลยี
Thank you for watching. If you enjoyed this topic and episode, please click the "like" button and subscribe to our channel here on TH-cam. Thank you for your interest in science!
Great episode on such an important issue. Please please please make one on PCOS!
Thank you Andrew❤
I'm really disappointed in this discussion. It comes off as an infomercial for the following reasons: 1) HRT is still experimental. 2) she sells HRT at her clinic/sells books. 3) VERY IMPORTANT: NO disclosure of reports correlating HRT with subsequent uterine cancers, breast cancers, strokes, clotting.
How convenient all that data is not disclosed. Guess it doesn't help with the "selling points" to promote HRT. The majority of symptoms are directly related to minimal exercise, alcohol use, eating processed foods, lots of sugar/candy. Not to mention years and years of hormonal birth control use and how that disrupts a woman's body at menopause. Be honest. Do a FULL disclosure. There are international clinical studies with disastrous results re HRT. Do your research.
So critical! I’m so happy that younger woman will not suffer as I did because Dr. Haver and Dr. Huberman are educating us! I had PCOS, fibroids, endometriosis, pituitary tumor, migraines, and killer periods. By my own research, I did bio identical hormones with a nurse practitioner after surgical menopause. At 68, I still do low levels of estrogen, but I have to fight for it every year with my insurance company.
@@christinat.7264 she actually addresses these concerns repeatedly
30 year old male and listened to every minute.
Bless your heart. ❤
Thank you!
Wonderful man!!!
23 here!!!! This is so revolutionary and good to know as a prevention!! Glad to have found this podcast :)
I'm impressed!
Easily one of your most important episodes. Women are so under-served, dismissed, neglected, and denied by their physicians once child bearing years are ending/ over.
And before that to be honest.
And during child bearing years to be honest.
The amount of obstetric abuse that goes on in antenatal clinics, delivery rooms and maternity wards, and the absolute dismissal of pain management is obscene.
Totally agree, women are rarely prepared and taught about any of the major changes and transformations they go through in life. Even childbirth, we are only told the nice and positive things to look forward too but no one tells you what to expect after and all the changes your body and mind go through. We need more and more episodes to break the stigma about women's health and bodies.
Well said.
Yes!!!
This is truly Andrew Huberman at his finest - so respectful, asking highly informed questions and such a great listener. This is why he's so successful!
I totally agree. Kudos Andrew.😃🤙
I watched Dr. Mary Claire Haver previously and was so impressed that I started talking with my wife about the topic, asking questions and relating what I had learned. Now she is taking HRT and talking with her girlfriends about this a lot. She is clearly perimenopausal at 50 but very fit, athletic and concerned with her nutrition so she is not relying exclusively on the HRT. Her friends are all at different stages but the fact they are now talking about it seems very beneficial. So as a husband, providing a safe place to discuss how she is feeling and being supportive in her search for answers, can make a huge difference in my experience.
So beautiful ❤
You get a gold star for being a supportive husband!
You're a fantastic husband, mine doesn't have a clue about this .
Do you have a brother?!? 😉
50+ year old male…..listened to every minute for my wife I will share with her and all my friends. Thank you for this AH and Dr. Claire.
❤❤❤❤🎉
Good man
Great episode! I had a hysterectomy and oophorectomy at age 23. Doctors tried to take me off estrogen supplements several times, claiming high risks. Once it became available, I was on transdermal (FemRing was by far the best, but as noted by Dr. Haver, too pricy), so felt my risks were low, and would just find new doctors who would prescribe it. Life with it is challenging (still have many symptoms of menopause), but without was impossible. I’m now 73 -- no cancer, no clots. great bone density and cardiac health, waist to hip ratio 0.76, no meds other than the estrogen patch. For my entire adult life, I’ve exercised, consumed a moderately high protein diet (80 to 120 grams/day), quality fats, fruits and vegetables, etc. A healthy, active lifestyle makes all the difference in how we age, even with the challenge of 50 years of menopause.
I love this! Way to take charge of your health. Thank you for sharing your 40 year experience.
Amazing!
Oh my gosh. It is basically an emergency that EVERY doctor watches this and begins the path to learn. As a woman I am praying Mary will be able to continue the research on all of this and get more and more physicians to learn.
What's scary to me is how many doctors are practicing in the field and don't have a clue.
I just graduated as an FNP. I will be giving HRT.
As a daughter of a 47 yo, I'm so blessed to have this as a tool to share with my mom as she has begun to experience perimenopause. Thank you doctors for the generosity ❤
You are a good daughter. ❤
Every woman should listen to this, my wife went through menopause in her late 30’s , she’s now 56 and a recent bone scan showed she has the bone density of a 74 year old!. As a bodybuilder of 30 plus years she’s finally listened to my advice of resistance training being the elixir for life and makes you hard to kill.
Get her metal tested. You will only find that type of testing at a naturopathic dr. I had osteopenia a few years ago and I was in my early 40s. After a long metal detox protocol, my bone density became normal.
💪
😮😊 Thanks to Huberman, I learned about Sarah Gottfried. She has a food first method, so you might want to look into that too. I don't know, just a thought since she knows alot about women's health!
I'm a 57 year old who has weight trained heavy for years and it really is amazing for keeping the symptoms at bay, but still the aching and weight gain is real.
It is insulting and ridiculous how little most doctors know or care about menopause.
It is very telling of the value ( or lack of it ) of women as they age in western society .
There many other things doctors dont know about like for example how to heal your gut , how to have natural birth at home , etc, doctors know about life and dead things, they deal with emergencies where they need to save someone's life, everything that falls out of that " high risk situation" umbrella, is not something they usually have any idea of
@@zoecoote3746 if you have a victim mentality where you believe you live in a society where nobody sees any value in you, this will happen because unknowingly you created it yourself.
I live in France since 10 years and older women are very valued, many very famous actresses here are in their 50s.
If you keep believing what society tells you to believe, and accepting that victimhood role then somehow you create it yourself.
I know many older women very happy and loved.
Dont contribute to darkness but fully buying into it and playing that role.
When you assume a reality where nobody values you, you also create it.
Maybe the US is a terrible place. But for what I see this doesnt happen at all in Europe
Yes it is!! 65 & taking HRT for the first time- not a single medical professional suggested it, ever. It’s a game changer!
@@KabirSingh93327zoekoot did not create the reality that the majority of docs are NOT trained in how to manage perimenopause / menopause in med school. That rests with who sets the med school curriculum. Formal studies show that statistically mens complaints are taken much more seriously than women. Gender bias in medicine is well documented. Women take longer to get a correct diagnosis . Example: Bindi Irwin went to docs for 10 years before her very painful endometriosis was diagnosed
"We are females - we are not little men with breasts and uteruses. We react differently to medications, diseases, disease burden...that has not been studied adequately."
Dr. Haver’s books and information has changed my life at 53 and has given me hope that I can age gracefully and with good health.
For decades I worried something was seriously wrong with me because of the fluctuations in my mood. EVERY healthcare provider I saw recommended antidepressants & mood stabilizers, reinforcing that fear. I did everything my docs (OB/Gyn, PCP, Psy) told me and continued to struggle - until I found HRT. I try not to think about all the time, energy & money I spent on meds and CBT. I might otherwise have gotten my own phd, or a nicer condo in the city, or been a better friend and family member. Dr H - please keep pushing for better representation in medical education and research!
Me too sister. You would have to pry my HRT out of my cold, dead hands. What a difference it made.
It's so frustrating wasting time down the wrong path. We live and learn. We can now do better, because we know better.
My favourite 2 people in the world of podcasts have come together. 52 and so appreciative ❤️
Came here to say exactly this! 🥰🥰
I have been waiting on this episode for such a long time. Not just for my sake but for my teenage daughters. The first symptoms of perimenopause hit you overnight, and no one explains or even brings out that maybe you're perimenopausal. The doctors see your elevated FSH and just shake it off saying you don't need HRT yet.
My hope is that with all medical podcasts spreading the word on perimenopause, doctors educate themselves so we don't have to "shop" around for a doctor that will prescribe HRT.
Agree. I had to fire a few doctors before finding one who would prescribe HRT. The amount of doctors with obsolete knowledge of menopause is shocking.
@@dantopster Amongst many other things in which Drs are very obsolete... I take care of my body as much as I can so I don't have to see doctors (butchers businessmen) almost never. And I watch/read Andrew's and other very respectable people's content.
hooray for the whole "menoposse" from this 57-year-old -- it's so infuriating how little has been known about basic women's health for SO long, and thank goodness for these doctors who are finally working so hard to turn that around!
I’m 52 and am so glad to see this. Dr. Haver is an amazing advocate for us. I just shared a book Mayo Clinic Press released last month on aging well for women. I love seeing more and more people talk about menopause and am on a mission to show younger women that getting older doesn’t have to be so scary. We got this! :)
Dr. Haver is blowing the lid off what is known about menopause and post menopause. As a 56 year old woman, I was completely unprepared for what I was going through particularly in post menopause. There wasn't any mainstream understanding of either in my experience. I'm still trying to wrap my brain around what is going on with my body. I am now advocating for myself with my PCP. She denied hormone replacement therapy at first and now she has done a 180 and after my thyroid is stabilized for 6 months, she said she is now on board. Dr. Haver has also helped me understand my recent diagnosis of hypothyroidism. It is the loss of estrogen that contributes to so many other disease processes. I hope she's right because she is one of the leaders in this new age of helping women. I am eternally grateful ❤
OMG YES!!!!! I’m 46 and in the middle of perimenopause. On HRT but still not able to get rid of my stubborn belly fat. I’ve been a fan of cold plunging and zone two plus intense exercise (basically doing things I hate to embrace the suck). Lately I’m hearing a lot of noise about how these practices may be counterproductive in the perimenopause years due to the cortisol. I’m so tired of all the conflicting info and optimistic this topic will be addressed on this podcast.
If not, I know I will still get a lot out of it. Thank you!
Hi Maria, may I suggest trying a keto diet if you haven’t already. Reducing sugar & 3 x Pilates classes has given me my waist back and I’d say I’m more of a very low carb eater than strictly keto. I also feel so much better.
@@Great_Kate Keto is not a fit for all diet. It increases cortisol in women which can be counterproductive to losing belly fat.
@@Great_Katethanks for the suggestion and I’m happy it works for you and makes you feel better! I’m not sure keto would be realistic or sustainable for me. I need something that also works for my lifestyle.
@@dantopsterif this is true then its definitely not a good fit for me. Based on all the chatter I’m hearing, my cortisol could be the reason for my issues with the belly fat🤷🏻♀️
@@dantopster hi Dan. No diet is a fit for all diet. I did keto for 3 weeks before realizing it’s not something I can strictly keep up with, but through it, I stopped eating complex carbohydrates and sugar to great benefit. Nobody needs the pasta, rice, potatoes and processed sugary foods daily.
Yes the timing for initiation of HRT is important and a theory. There is a generation of women that were denied treatment and we want it NOW. The treatment will alleviate the symptoms and give us our best shot for prevention of long term disease.
Commenting before I even finish the pod- this is the dream team I have been waiting for and that everyone needs! Hormones for women as well as men need to be understood. This is such an excellent start!!
Yes, Dr. Haver. Love her. Thank You for having her on. Love her for her honest, and practical professional information. She has made a positive difference in my life.
I have been on TRT and HRT for about 18 mos (late 40s) and they have been complete game changers for my mental health (will to live ❤), physical health (muscle maintenance/visceral fat loss, sleep!!), engineering career, relationships... all the things. It's criminal that this essential knowledge and care requires a fight with so many doctors.... I'm blessed to be persistent and a strong self advocate who is not afraid to fire a doctor and find a new one.
Is this your regular obgyn?
Yes gurl...get it! 💪
no, my ob-gyn was woefully uneducated (even at the Cleveland clinic!!) I pay out of pocket to see a women's health MD that I found in the NAMS directory. my insurance covers HRT, not TRT, and my blood tests are covered (but not Dutch testing)
I love listening to people who are really passionate about what they do talk about it. She literally could NOT wait to share everything. Amazing.
Totally 😂 Huberman couldn't even finish his question or statement and she just knows and unloads her knowledge, incredible.
This episode is so important. I’ve spent my life as a teacher/personal trainer/fitness competitor and until hitting 40 never paid much attention to the HUGE disparity between women’s and men’s health care. Once I hit 40, I started looking around at all the men my age getting put on hormones and becoming the BEST they’d ever been in life and seeing all my peers (and most women who hadn’t spent a lifetime in fitness like myself) disappearing. Even my own doctor doesn’t ever discuss hormones or perimenopause possibilities with me, but every single man I know over 30 has been put on testosterone and given ED meds without question. I’m happy for my male friends receiving this care, but we REALLY need to push the medical community to open their eyes to women’s needs as well.
At the age of 14, my father (God rests his soul) took me to the gym. I played youth sports, but didn't pick up any weights. Him, being an ex collegiate athlete, showed me how to resistance train. Now, at the ripe age of 48, going through peri-menopause, I greatly appreciate the training. I still train to this day, 2 to 3 times a week. 💪
Fantastic episode!! I’m 62 and have learned more about menopause in this podcast than I have in the past 10 years. 👍🏽
I am so happy that this topic is getting more attention. The current and future generations will benefit greatly with having WELL mothers, grandmothers, great grandmothers, Aunts, sisters etc..WOMAN in their lives. Thank you!🎉
Thank you for not dismissing the war of hormones we have as women. I have had arguments with men who say just eat under the calories and exercise. It’s not that simple. I currently am pumping and when I do so, my prolactin is very high and I struggle losing weight. Once I wean my weight starts to go down as I eat pretty clean and I’m sleeping better. And I cannot tell you how many women who hit menopause(my mom didn’t know about perimenopause!) so many things change.
For the past 5 years I have been “ trying “ to convince my gyno that I am perimenopauso. After this podcast I found my voice at 47 and I won’t settle till I get the relief i need! 🙏 Thank you.
thank you for this episode. I have followed Dr Marie for a while now. While I agree on a lot that she says, one thing I would like to bring to her attention is her dismissiveness with regards to the effect of the natural supplements. She may be seeing it from a bias point of view. Despite these supplements not being a replacement for HRT, I still think she needs to consider that they can have an effect. Personally I am very sensitive to chaste tree and soy. They can both disrupt my menstrual cycle immediately. I had a client on Reishi to increase her estrogen as she was heading for menopause, preferred natural solution and was hesitant to start HRT. She continued to mensturate (age 59) and the month she stopped reishi, she never mensurated again. While Dr Marie advocates funding for research on this topic, I think ALL aspects, including natural supplementation, should STILL be looked at. Because we actually need the data. Just like there wasn't enough data on HRT, its the exact same boat when it comes to natural supplements. She might say, Well Soy has no real affect, until some one like me uses soy for the first time, and then my cycle gets disrupted.
Absolutely thank you for raising these important points 👏🏽❤️
Totally agree
Agreed. I take a Chinese herbal supplement for menstruation and there’s no doubt that it helps relieve my symptoms and with blood circulation. I also found acupuncture helped, confirmed by improved blood flow. I have yet to begin menopause but have experienced the benefits of herbal supplements in the menses.
Yes! Simple flaxseed stopped my hot flashes. I still have so the other issues but still its good to know if that is your main symptom.
She has radically changed my life. I suffered YEARS without HRT. This is the best interview w her that I've seen. THANK YOU!
Grateful to have this on the podcast as my wife is having lots of hot/ cold intense flashes and things have been going on for more than a year so it’s important for men with females in their lives to understand this information too! I am listening and learning for my benefit and my wife’s as well!! Thank you both for having this conversation !!!
I can't even tell mine that I'm going through it. 😒 Your wife is very lucky.
@@constrainedvision Thank you but I feel more men should care, understand what their partner is going thru! Hopefully your husband will be more helpful!
So grateful for this episode. Dr Haver passionate way of speaking makes this 2 hour podcast feel like 20 minutes! a real gold mine!
I’m 42 and started perimenopause symptoms at 35. I’ve been watching/listening to Dr. Mary Claire for a couple of years now. After my first bout of brain fog coupled with anxiety(which I’ve never suffered from) I thought I was going mad. Then I started logging my symptoms: low labido, fatigue, I was getting thicker in my mid section, mood swings, hot flashes, brain fog, changes in my menses etc. It finally began to all add up what was going on and that I wasn’t crazy and that there was a shift in my body. Thank you helping to spread awareness.
This woman has changed my life and my level of proactivity toward my health. I’m so glad to be seeing a doctor who is also proactive in my perimenopause care.
Thank you. Thank you. Thank you. This was an excellent episode. As a 42-yr-old who is experiencing symptoms of perimenopause, I've been trying to bring awareness because I've had palpitations, night sweats, anxiety, etc. I will refer folks to this podcast and Dr. Mary Claire Haver to my friends far and wide. This is such an encouragement, and I hope more research will be done in this area.
I just sent this podcast to a therapist (my daughter) who recently graduated yet did not learn anything about the effect of estradiol on mental health. This podcast will go beyond helping women as it will affect their family members, co-workers, employers, friends... I am so pleased that men listen to your podcasts and I already see in the comments that some have passed it onto their wives. Outstanding!
I never comment on TH-cam videos, but Dr Huberman, this one was life changing for me, a 48 year old woman. I’ve had 2 children and regular gyn appointments, but no PCP has ever really addressed my fatigue as a potential peri-menopausal symptom. Because I am of healthy weight and still having regular periods they always look to anemia or thyroid-which both turn out fine in blood tests.
Thank you to Dr Haver for giving listeners vital information and resources for this major (and poorly understood) transition in every woman’s life.
Thank you both. I am 53, in the middle of menopause and I made an appointment with my doctor this week. I'm taking control of my health and getting on HRT ASAP.
WELL DONE PROF HUBERMAN!!! Thank you soooo much for considering us older women!! Thanks for Dr Haver for all your work on this very important and under researched topic!!!
I saw Dr Haver on several podcasts, this I hands down the best one, the most professional, comprehensive and scientific.
I’m 53 years old and I’ve been on BHRT for 20 years. My hormones tanked in my early 30s and I was relentless in finding a doctor that would listen to me and know what to do. It took me a while but I found someone and that person has literally saved my life. Now being on BHRT does not preclude you from weight gain as I’ve recently lost 50 pounds and gained muscle through lifestyle changes, but I am a huge advocate of BHRT and have been beating this drum for 20 years to anyone that will listen. Unfortunately, most of my family and friends who complain of symptoms, etc., won’t listen to me or even listen to a podcast like this. Dr. Haver knows what she’s talking about and I wish everyone would listen to her.❤
Have watched all your videos online and I found this one most related to as a 48 yr old woman. This is almost the best interview of Dr Haver among all she did. Thank you very much both of you.
Omg omg omg I cannot believe this! I asked you for this and here it is! AMAZING!!! Thank you thank you thank you for having Dr Haver on
THANK YOU for having Dr Haver on! I’ve downloaded this podcast to listen during my daily 30-40 minute outside walk(live in Wyoming so constantly losing cell signal on the back 40)! I LOVE her honesty, frankness, lamen explanations for us all to learn and understand. While females are supposed to keep the human race going; it seems that’s the only piece health organizations have ever cared about. NOT what we have to endure after our body is done with that chapter.
Thank you for having Dr Haver on your show. Such a need for more awareness and education on menopause
Outstanding guest - Dr. Haver is the G.O.A.T. of women’s health.
Barely 20 minutes in & feel like crying coz I didn’t know & suffered so so so much for like 7-8 years. 😭
I know how you feel 43 and in perimenopause
Big hugs!
I feel the same way…so relieved to be on HRT now, but so angry & feeling grief for the loss of 25+ years of well being I could have had if I’d been offered HRT rather than anti depressants, statins, etc!!
I’ve had breast cancer at a young age (37) and now when I talk to doctors about helping me with my perimenopause symptoms, they tell me they can’t help me because HRT isn’t for people who’ve had hormone based breast cancer.
But listening to this podcast it makes me question this line of thought. It would be good to get clarity.
Thank you for having such important support for women on your podcast Dr. Huberman. We are all better because of these important conversations & resources. Dr. Leslie Korn from Harvard is someone I would personally love to hear you interview as well. SO grateful!
Wow, what a topic!!! As a 47 years young carnivore suffering from lipedema, will absorb all the knowledge immediately. Thank you...❤🙏
so you heard you need at least 32 grams fiber
Preferred not to!!!😊 Carnivore is much better than others according to my experience as a previous keto who lost more than 30 kilos. 🌸
We need more research on female health!!!
Thank you for discussing this topic! As a pelvic health physical therapist, I see a lot of women with MSK dysfunction secondary to menopause and perimenopause. I can’t wait to pass this information along. Much needed discussion!
I'm going to see a pelvic PT in a few weeks for this very upsetting bladder issue. I wondered if it was related to menopause which I'm right there but just had another period after 8 months of none. Ugghhh!
Good Lord I feel validated! The statement of hormone replacement v SSRIs: I was on SSRIs in my early 30s. In my early 40s I FINALLY got a deep dive hormone panel. No more SSRIs and pursued HRT, and never looked back. I tell any woman I know experiencing issues, to at least get their hormones looked at by an experienced endo!
I had all the usual symptoms of menopause (hot flashes, night sweats, can’t sleep, etc) but also I had horrible aching joints, especially my knees. HRT fixed all of this, plus an eyelid twitch that had gone on for two years continuously. I feel like a million bucks since starting HRT. Also, all my blood tests (cholesterol, hba1c, etc) are all very improved, and I lost 20 pounds. My doctor is totally blown away. Like Marie Claire, I plan to die with my HRT patch on.
this is so wonderful to hear. May I ask what HRT protocol you take? I have an appointment coming up in the next week. I hope to have the same success as you.
Oh OK, now I can add the eye twitching to my long list, never connected that to mp.
Thanks for this one. I didn’t get to have the conversation with my mom before I lost her. I know that would have saved me a lot of grief. Thanks for all you do Andrew.
Sharing this with my girlfriends and all my female in laws, nieces and daughter. Thank You🌹
Thanks Doctors! Im 48 and no clear diagnosis of perimenopause or menopause, but so many symptoms that you spoke about. I now feel prepared for my next gyno visit.
What a wonderful addition to the episodes. I have been anxiously awaiting this combination of knowledge. I have been following Dr. Haver for over 10 years. She is such an advocate for “the health of women”. As a nurse practitioner, I am always intrigued by the new information she shares. Looking forward to seeing more research for perimenopause and menopause! THANK YOU BOTH!! 💕💕💕
So pleased to see this interview. I came across Dr Haver a few months ago and her work is so important. I was very fortunate to find an informed (female) doctor who put me on HRT 20 years ago when I was 51. I have continued in my small way to advocate for HRT. Dr Haver just came out with a book - The New Menopause - everyone should read it.
Can't thank you enough for creating this episode! I had a long, hard road struggling to find medical support and answers on my own 'menopause journey'. Finally, life is sooo much better with HRT, which I also plan to take for many years. The work of MDs like Dr. Mary Haver are invaluable in educating female patients who are in need of informations and solutions, as well as the medical community that is supposed to be supporting them. I have high hopes that this life transition will not be so brutal for future generations of women.
33:06 - Amen. Having endured a stillbirth, an ectopic pregnancy resulting in the loss of my fallopian tube, an emergency C-section and premature birth of my living daughter, four miscarriages, and a second C-section resulting in the live birth of my second daughter, as well as learning through all of that that I have a mild blood clotting disorder, by the time I was 40 and had already used the pill and an IUD to prevent pregnancy in my 20s, I was not going to endure one more intervention - so my husband got a vasectomy. Easiest thing ever.
My journey has been similar to you❤ and my man recently did the same! I am very happy you can now rest from the trauma, stress and anxiety of getting pregnant. I will pray for healing and a wonderful life with your daughters for you.
@@muchadoaboutkovu thank you! Now that I'm more than a decade past that time in my life, I can look back and am extremely grateful that my daughters got through the gauntlet that is my uterus. I hope that you were also able to build a family, and for many happy years to come.
Amen!
😊😅🎉🎉🎉😊❤❤😊
I love Dr. Haver! Im a 43 year old woman in Peri-menopause. I just discovered all the wonderful information she has to offer, and it couldn't of come into my life at a better time.
That was an amazingly informative episode!… I am 37 and in the past 6 months- 1 year, have started experiencing several symptoms mentioned here relating to perimenopause. I felt like I am too young to be entering that phase of my life, but based on the information in this video, I understand that this may be what I am experiencing. There were so many useful tidbits I can use. I feel much more validated and educated by watching this, so thank you very much, Dr. Huberman, for choosing to explore this topic! ❤
Same. I started experiencing symptoms at 36 and am grateful my OBGYN basically mentioned perimenopause. I'm actively looking for a menopause specific provider because I'm determined to navigate this phase of my life with the best shot of health into my golden years.
My most favorite episode ever . Thank you so much . I hope the men watch this one too .
Grateful you hosted this conversation. Thank you, Andrew!
35 and it all hit me like a freight train. Quit my job due to crippling anxiety. Vertigo, fatigue, hot flashes, cycle changes. I found Dr. haver and sought help. HRT is making me feel 20 again. Normalized my cycle completely also. Just started testosterone cream and its helping so much. Have been on progesterone for 7 months.
Wow! So many good outcomes! Having some similar symptoms.
So grateful for this. 48, and have PCOS. I have 2 sons, and partial hysterectomy, it's nice to get realistic information. Being told 10 years ago, "well your a woman and it's a thing." Left that doctor, and found a new one. Learning as we go.
Thank you,
This was such an informative conversation! Thank you from a woman who has (like most of us) not been informed about what to expect from perimenopause and menopause. These inevitable life stages are decidedly less scary now that I listened to this episode.
Easily my new favorite episode that I’ll come back to over and over. Huberman always asks thoughtful questions and Dr Haver is a well of knowledge at the top of her game. Thank you for sharing this important conversation!
Again.....thank you for this episode. I'm 60 years old.......... been fighting so hard about stuff for 20 years!!!!! Still going through a lot. Dr. Mary......please keep doing what you are doing. I may have a granddaughter someday. Knowledge is power!!!!!!!!!!!
Thank you Dr. Huberman for doing this crucial episode for all women. THANK YOU for not dismissing us. I am a Nurse & have not been acknowledged by my practitioners for help with & through menopause. I feel for my lay sisters even more.
Dr. Haver is the generational expert & as she says, we need more education beginning in medical school & continuing education for practitioners.
Such an important conversation for both women and men, thank you Andrew and Dr Haver
65 took HRT til 59 recommended to stop for health reasons now having “symptoms” after hearing Mary I now have made an appt to seek HRT once again
Wow glad I came across this discussion again
Thank you so much. As a woman with ADHD I knew perimenopause was going to be difficult but OMG! I went from a distinction student to not being able to write an essay. After suffering with many symptoms over the last 10 years with little advice or help HRT, and this is not an understatement, saved me, but I had to ask for it myself!
Just a cautionary tale on weight vests, best not use them when you have degenerative spondylolisthesis, I unwittingly worsened my stenosis😳❤️
As a family physician practicing functional medicine, I have heard all sides (OB-GYN and oncology and integrative space) and read many papers. What I would say is to not misinterpret things in ways that could be harmful to some:
1. The WHI showed that Provera (not Premarin) was carcinogenic, and also we found out it was not good for the cardiovascular system or the brain. Getting rid of long-term Provera treatment was a good thing that came out of the WHI.
2. Premarin got demonized alongside, which was wrong.
3. Be that as it may, we switched to transdermal estradiol (and oral in some places) which is different and I can't find any research (and I've looked and looked) showing that it's a cause of breast cancer (unless I suppose you have a cancer that was not detected at the time you start estradiol).
4. Mind you, prolonged menstrual cycling (women who start early/end late) ARE at increased risk of breast cancer. Also women who have high levels of endogenous estradiol that they make themselves. So estradiol isn't simply all good either. Yes, if you have an early pregnancy that is protective but that's because your breast tissue gets remodeled, not because you are exposed to high levels of estradiol during pregnancy (where anyways estriol reigns, really complicated).
5. Once you have breast cancer, no question anti-estradiol medications help many women immensely. Not all, but you shouldn't suggest that the use of anti estrogen medications in breast cancer is somehow poorly supported. It could be dangerous to believe it doesn't help anyone. It may even help women at very high risk but who haven't had breast cancer yet. Research is ongoing.
6. Bioidentical progesterone, on the other hand, has been linked (just one study I can find) to breast cancer. The risk doesn't appear to start until at least five years in. This is consistent with what Dr. Haver said: "only" 0.8% of women PER YEAR get breast cancer due to biodentical hormone therapy, but that is PER YEAR, so if you start in the mid-40s to very early 50s, you could have women exposed for 35-45 years, and there is a point at which the increased breast cancer risk would matter.
The conclusion should be: don't suffer with menopausal symptoms without considering bioidentical hormones -- have a *thoughtful* discussion with someone knowledgeable about all your options.
I heard her say 0.8% per year absolute risk, she was downplaying the *relative* risk increase; but when the baseline risk is 15%, then the relative risk increase, when additive over the years, could indeed matter quite a bit.
Thank you thank you and thank you for doing a podcast on this topic. There is so little support for women in this regard 🙏
Thank God! I'm sharing this with my provider.
This podcast gives me hope. I am 43 and experiencing perimenopausal symptoms. I thought I was going crazy! I almost cried from relief when I heard Dr. Haver describe some of the symptoms. With this info and some more research, I feel like I can advocate for myself.
I quit drinking at 49, wend keto/carnivore at 50 and hit 12 month without a period this year (54). I did not have one single symptom of menopause that she mentions - no hot flashes, irritability or brain fog, etc. And no weight gain.
Excellent podcast. I have forwarded this to my friends and family. Every woman needs to be fully informed and educated on menopause care because this is one of the most neglected areas of healthcare. I had to go through several doctors before I found an obgyn that was competent in menopause care.
What a nice way to start the week ✨️
Its like menopause is the second conversation of how babies are made and your parents dont want to explain it. Only its every doctor that should be explaining this, menopause shouldn't be a secret. Why should we have to wait and find out what happens. So glad someone is finally saying it.
Finally this topic is getting the focus it deserves although there is still so much remaining to learn and understand. I went through several Obgyns who would not treat perimenopause outside of tossing a birth control pill at it. One even asked why I would be concerned with my testosterone levels when it is a "male hormone". Finally found a hormone specialist to work with. I work with clients coaching them through peri/meno phase of life and still there is so much knowledge that needs to be brought to the medical community for women's care. Thank you for this interview!
I wish she would let him ask the question before interrupting.
Funny. I see this as totally opposite. I hear him ask a question, she’s ready to answer it, but then he goes on about what he knows about what he just asked her and by the time he’s jabbered on a bit, she has to circle back to the original question in order to answer it.
She cut him off constantly.
Agree, obviously she knows the answer very well but the setup of the question is often for us the uninformed audience to understand the context
Agreed, I think she’s just excited though. And maybe we talk faster at this age!
Watching my mom go through menopause it was clear she was struggling so much. Mentally and physically. I can tell you she did not received half of the information about perimenopause and menopause that is in this video. She just felt it was her, something was wrong with her. When in fact so many women go through it but it's not talked about enough. I am trying to learn all I can now to better my health during that period of my life. I really appreciate doctors like them for providing free information about this topic.
I have learned so much from these two. Not just from this podcast but their individual expertise. Thank you so much for sharing your knowledge. You have no idea how much you are helping others.
Dr. Haver's explanation of Zone of Chaos and why it's hard to test for, was the easiest description of it I've ever heard. Super appreciative.
Wow. One of the absolute BEST podcasts I've ever heard surrounding menopause. Clear and actionable information without the clutter of confusing hormone levels and super weedy science that ultimately lose the big picture. Thank you!❤
Adding my voice to the chorus of Thank You! The knowledge expressed in this discussion will most certainly bring clarity and decrease suffering for so many. I thank you both!
I cannot tell you how excited I am to finally see this conversation happen. THANK YOU!!
Thank you for this podcast!! I’m 42, and have just started HRT. This feels so very important to me, as well as all of my family and friends. Please continue to add more on this subject!! Thank you
So grateful for this episode. I’m 38 and petrified of menopause so I’m so appreciate of any information to help us offset the damaging consequences
I’ve had crazy perimenopause symptoms over the last 5 years and I’m grateful to learn why here. This week I’m meeting with my doctor to discuss hormone replacement therapy so watching this was very timely. Thank you for educating me so I know some of my options before this appointment!
I am a huge fan Of Dr. Haver!!!! And of yours as well. Thank you!
Thanks Dr Huberman, having all this information in one place is purely priceless!
Brilliant Interview with a very smart and dedicated compassionate OBGYN Specialist.Kudos to her for clarification of a very difficult state .Like that it's not an Event but a Process. Thank you. Dr. Srishti Nigam ,Canada
I watch all Mary Claire Haver videos and her own channel... She's one of my favorites!