My grandmother (91 years old) , always healthy and the only time she saw a doctor was when she broke her arm: Her "secret" 1- When you wake up , drink 2 Cups of water and keep moving for 1/2 hour, before having breakfast (olive oil+ Wholegrain bread+Big cup of Naturally fermented milk) preferably.. 2- only eat when you are really hungry, when you hear the Gurgling of your belly .. 3- No snacks, soft drinks, coffee & tea between meals ... 4- Eat slowly and chew your food very very well .. 5- Good 8 hours of sleep ,and no need to take a nap during the day, walking or keeping moving is better. BIG SALAM from morocco..
Adam, thanks for the great advice! That grandma that lived to 104 with a can of Dr. Pepper a day, could probably go to 120 with even better health without it...
I’m 80 I agree that the older you get the More exercise for body and mind you need. I had HRT for 5 Years which was made an enormous difference to my menopausal symtoms. I have improved my diet in the past 2 years . Including nuts grains lots of fruit and veg . Reducing carbs .eating plenty of protein and have slowly lost weight and have lots of energy . I do 2 ballet classes a week .such an enjoyable way of exercising ,to beautiful music I go on health walks with a group. And belong to U 3 A .Enjoying my old age !
Good for you, Ruth! Aspirational. I just turned 48 yesterday. I hope to be active like you describe into my 70s/80s!! It’s so crucial, I concur. Blessings.
I’m 57 year old 4 years that my period stopped I don’t have any symptoms so far. I walk everyday for 1 hour and 3 times per week weightlifting. I eat salad and fruits some carbs and a lot of nuts. I only drink water and SAGE TEA every night. So far all is good 🙏🙏
Diet, Diet, Diet try to eat organic drop sugar, caffeine, alcohol eat low carb, do light cardio, strength train do pilates, long walks, rebounder. Get in a suna a few times a week. Stay away from toxic makeup and body products. Work on your emotions including pass truma and SLEEP! Love yoursef❤
This is for me. Middle life crisis with the responsibility for teenage kids and looking after elderly parents while running a professional career with frequent traveling between continents. Sometimes I feel I am dying.
I am through the menopause at 65. I was put on HRT abroad and asked my GP in London to continue the prescription and he refused. It greatly enhances my life and I feel well. I don't live in UK anymore and still take it. The point is, he had nothing else to offer and just didn't appear to care. YES! Menopause has very negative connotations in the ageist culture. Symptoms are not only physical but mental. It's depressing seeing the changes in the body and accepting them.
It's nature at work. Then we mess with mother nature because it feels better for the moment. Meanwhile we scratch our heads wondering why the incidences of physical and mental health maladies are skyrocketing.
Great podcast!!! Yes get healthy without meds first. Then if certain conditions present get treatment. Eating real food. Nothing out of a can or a box or a wrapper. Mostly organic vegetables & non hormone proteins. Little to no alcohol or sugar. Hydration!Walking. Weight training. Yoga. Pilates. Meditation. Good quality relationships. Rewarding career/work. Deep breathing. Massages. Play and having fun💫🤍 enjoy every moment!!
I wish the nhs would see a patient holistically, i see myself holistically and i have to manage the segmented department specialists and try to lead the balancing of all of those, as its to my detriment if one shifts too far, the scales tip and it all goes out of whack. So in part I agree, im active, im mindful, i eat well, im healthy, dont drink, dont smoke, but when parts of your body are missing and perimenopause hits the turmoil and symptoms strike you down and you are left with segments being managed by different specialists!! Ultimately you dont talk about how perimenopause can make you plummet without a fully functioning body, no one does, the lack of research, the lack of awareness is staggering. I welcome menopause, i cam wait for a level playing field so some stability can be achieved, but right now HRT is critical to me even functioning!
HRT lifted me back to life after 15 years of not knowing what was happening to my brain. Now I am able to work on all the pillars of health and after 4 years I am getting there. If I forget a dose I feel really awful 2 days later.
The link between loss of oestrogen and osteoporosis was skipped over a bit. HRT doesn't only help with hot flushes, it helps slow down bone resorption, which as was said, happens silently, until you fall and break bones and don't recover well. The rapid decline in hormones after menopause was mentioned, more could have been said about the consequences of that decline on our bones 😊xx
Risk factors for osteoporosis include smoking, alcohol consumption, lack of weight bearing exercise (midlife women are the most inactive group in society) excessive sugar, medications including SSRI's, Proton pump inhibitors and steroids used to treat asthma, chemicals in our food, nutritional deficiencies, stress and menopause. As with our brain health and metabolic health, menopause is a risk factor for osteoporosis and not a cause. A mineral dense healthy diet, exercise and sunshine help to prevent osteoporosis.
@@louisecarr HRT has also been shown to keep bones strong and reduce the risk of getting osteoporosis. If you already have osteoporosis it can strengthen your bones and reduce your risk of breaking a bone.
@@louisecarr good point. If it was the cause then every single middle aged female I the world would have had Osteoporosis before the 80s. People can't stand the idea of a healthy lifestyle these days. They convince themselves eating one apple a week and the occasional squat is them being healthy.
@@anne-louisegoldie This is also true of whole food nutrition and exercise. It is like she said in the podcast...it is nuanced and making small changes to your diet and lifestyle also make a difference. She also stated that we have more research on nutrition and lifestyle than we do on HRT, especially when doctors are prescribing doses out of license. www.ncbi.nlm.nih.gov/pmc/articles/PMC5793325/
I had a relatively easy menopause and now take bio identical HRT, not for hot flashes but to protect my bones. I stopped all alcohol and white sugar. The freedom of not having monthly periods is great. I celebrated menopause.
Summary was generated by Summatim, let us know if there are any inaccuracies! 🤖 0:24: Women have more control over their health than they think 1:14: Misinformation can spread on social media 3:21: Women are struggling more today than before 3:40: Challenges for midlife women 0:57: Importance of raising awareness 3:53: Phases of women's lives 0:29: Puberty and menopause are complex processes 1:41: Importance of talking about puberty 0:59: Cultural differences in talking about women's health 17:55: Introduction 18:48: Menopause as a deficiency state 19:42: Empowerment and uplifting 20:51: Perimenopause and menopause 22:39: Hormone problems in younger women 25:33: Age and ethnicity 26:00: Common symptoms 35:54: Stress and Menopause 36:23: Modern Lifestyles and Menopause 36:53: Menopause Symptoms 38:47: Diagnosing Menopause 46:23: HRT and Menopause 47:04: History of HRT 49:27: Individualized Treatment 53:41: Study shows increased risk of breast cancer with older HRT treatments 54:27: Majority of HRT treatment was oral and synthetic 54:38: Subsequent analysis suggests risks generally in older women who started HRT much later 56:33: Transdermal estrogen reduces risk of blood clots 57:49: Increased risk of breast cancer more with estrogen-progesterone combinations 58:20: Cumulative increased risk of breast cancer with HRT over time 59:56: Importance of seeing educated healthcare professionals for nuanced discussions 1:05:48: Vaginal estrogen appears to be safe for breast cancer survivors 1:03:44: HRT after breast cancer diagnosis is a contraindication 1:11:36: Introduction 1:12:27: Free Guide 1:13:00: Clinical Experience 1:14:34: Other Medical Problems 1:16:13: Lifestyle Changes 1:18:49: Small Changes 1:17:41: Joan McDonald 1:22:01: Medication 1:23:07: Over Medicalization 1:24:40: Non-Hormone Options 1:29:31: Weight management 1:31:31: Bone loss 1:37:04: Dementia risk 1:43:10: Stress management
Yesssssss. Women and even young girls everywhere need to love their periods, their bodies, their cycles and understand the bodies cycles. I removed my IUD years ago and it allowed me to hear my body more clearly. Great interview.
I've learned more about menopause transition in this conversation than anywhere else. Absolutely amazing and empowering. It is a transition, it's not forever, you still have estrogen and hormones just less if them. Lifestyle, diet and exercise has a huge effect on your symptoms and there are different meds that can help. As a 45yr old women, I really needed this
42:30 Exactly. Ayurveda sees menopause as a natural, healthy part of life. The change in hormones in menopause exposes underlying issues. I am way past menopause at 61 and still have a libido and good health and take no HRT. I get really annoyed at all the talk about needing to take meds for menopause.
Why get annoyed? Broaden your perspective....some women do simply benefit. Why choose to narrow your mind and heart just because you had a trouble free experience, only to then judge other treatments and by default other people's suffering when it appears different to your experience?
I went into surgical menopause at the age 38…😔 Today almost 30 years later if I eat sugar or packaged goods I go into hot flashes and night 😓… If there is another option take it-don’t let them take your stuff🥸
I'm 60...never even thought of HRT, and lived very happily through my menopause symptoms which were mostly just hot flashes. I have no regrets about hitting menopause and I LOVE not bleeding!
Dr. Mindy Pelz has said that bleeding each month (periods) is an opportunity for the body to eliminate toxins. So you no longer have that detoxification happening... but good luck to you regardless.
Once I stopped eating sugar, my hot flashes went away. When I added an anti-inflammatory diet, supplementation and eliminated stress, all of my other symptoms went away (hypertension, depression, irritability, digestive issues, electrolytes imbalance, sleep issues).
I had to leave an active role in the NHS on the frontline in emergencies etc as the on call after 30 years was exhausting me ontop very long highly stressful day because management in the NHS do not support a 50 plus year old professional woman who just needs to stop on call after a very long service but can do the rest of the job ok. I was mortified to leave and the financial impact was huge, there needs to be more compassion in the NHS for experienced staff who can no longer stretch their nights and days into one whilst going through these body changes.
@@arianasilesia2500 Aww sorry to hear that, there's no discussion, I even went to occupational health department and they recommended no more on call due to lack of sleep already and management rejected their suggestions. No negotiation, it's work yourself into burnout or quit.
I've been following your podcast for a couple of year and was looking forward to a podcast about menopause. In my opinion, the subject was too much simplified by the interviewed doctor and she contradicted herself at least twice. I wish you had interviewed Dr Louise Newson, who is doing wonderful work on awareness and treatment of menopause. I dont even live in UK but I really love her work. I myself went through menopause and the impact it has had in my life was huge. This was not also discussed or considered by the interviewed. Women who get depressed and get antidepressiva because no doctor thought aboute menopause, brain fog, memory problem, etc. For all women reading this and willing to learn more about menopause check Dr. Louise Newson.
I would encourage women to experiment with diet. I Had terrible hot sweats and through careful consideration I eliminated any white food, potatoes, sugar pasta, bread cheese and dairy etc and any carbohydrates as well as eliminating alcohol and meat. I know this sounds extreme, however I have absolutely no hot sweats anymore. For me, I feel this is worth it! I could be in a minority here but again I would definitely encourage you to give it a go, because there really isn't any discussion on diet and I think this needs consideration. 😊❤
Veg, (excluding sweet potato and white potatoes), seeds, lentils, chickpeas, spinach. Use ground almonds for flour and coconut yoghurt. And oily fish, tuna etc. It's a commitment but it is worth it. Try it out and see.
One thing she didn’t mention is that menstrual cycles for girls are starting earlier and earlier. She said it is being taught in schools now, but it needs to be taught even earlier, as many girls are now getting their periods as early as the third grade, when it used to be in middle school.
We tend to think many things are fundamentally different now than they were for all time up to this point. It wouldn't make sense that our bodies evolved so drastically over one generation or two. Nor that the weather is suddenly so much worse. But there's no doubt it *seems* like things are suddenly different. Just like it seemed so to people in the past.
Thank you for levelling this conversation. My cycle stopped 2 years ago, I am 55, I feel fantastic. No HRT, no symptoms. There has been very little opportunity to share this for many reasons. Please can we open the conversation 🙏
I'm asking because mom is 48 it's been 2 years since she got menopause and she's in an awful state the symptoms are really taking a toll on everyone at home not just her
@@vinishag.8909 hi 👋 Thank you for asking, we need to open this conversation 🙏 I have practiced yoga and also teach for over 25 years. I have been a swimmer all my life and took to open water, cold swimming around 8 years ago. I have never eaten processed food, and eat a plant based vegetarian diet since i was 13 with occasional fish added when its from a really good source. I gave up coffee 15 years ago, i do drink tea, and now hardly any alcohol. I’m totally backing all this doctor says, its a commitment that is daily and finding the ways that work for you as an individual to mitigate stress. This works for me! We are all unique and its a process… i so hope this can help? Definitely lifestyle changes, and patience while the mind and body find its rhythm and balance again i wish you all the best and so hope this can help 🙏
@@vinishag.8909 "your body in balance" by Dr Neal Barnard is great. The first 41 pages are online if you want to see a preview. He recommends a whole food plant based diet. Low/no salt, oil and sugar. A half cup of soya beans daily helps reduce or eliminate hot flashes.
I’m 54 (55 in Sept)and had my last period at 52. I’m doing great. I occasionally have a night sweat but have found that is usually after I’ve eaten cruddy food, especially later in the day. No HRT.
Thanks for this talk. I totally agree that we need to start taking back control. I was at the point of considering HRT but then drastically improved my diet (Zoe) and all symptoms of hot sweats, anxiety etc went. Now blood pressure is significantly lower as is my cholesterol. It’s really important to look at your whole lifestyle.
@@SD-yf8lp Zoe nutrition programme. Is personalised to you but basically very little ultra processed foods, v little refined sugar, wholegrains rather than white pasta and rice etc and lots of healthy fats from nuts, Greek yoghurt, avocados etc. I’m a lifelong vegetarian already but was previously eating v carb and sugar heavy diet. Has transformed my mental health tbh.
Due to being the mirena coil for years, I was going through peri and menopause before I had a clue what was going on. It was only 1 year on HRT I realised I was menopausal. I got the coil removed as I was loosing my hair in handfuls after a new coil was put in for the progesterone and contraception. My hair is recovering slowly, now. I’ve been on the coil for many years and my hair has been thin, but it used to he a lot thicker in my younger years. I’m post menopausal and thankfully getting fitter and more mood stable. So glad that’s all behind me now. I still take minimal hrt for my bones.
I have watched countless hours on the topics regarding nutrition, blood sugar, auto immune, peri meno pause, menopause etc. This video is full of information! I highly recommend sharing this video with friends and family...young and older! Thank you to all those involved in making this video!
This was a really helpful and informative discussion. Im 59 and went through menopause at 57, although I feel better now than ever, Ive felt pressure to go on HRT for longevity reasons. Im now going to just continue doing what I have been doing, eating good natural food, meditating in the morning and walking daily. Ive recently purchased resistance bands and will start to use those for muscle strength. Thanks again for a great episode.
Thank you for this interview. With so much about this subject right now - the information can be overwhelming, confusing and make you panic about taking drastic action. I feel like this was such a breath of fresh air. It felt like the most real perspective I have heard on this subject. Thank you!
When I was done with having children, I was very relieved that I began showing signs of menopause because I knew how much freedom from all kinds of inconveniences and discomforts Funnily enough, my husband got depressed when I told him! His italian mother was raised by a mother who was very steeped in ideas about mental instability and cessation of sexual relations had created a real negative impression. Frankly, after getting some sleep problems and hot flashes under control, it was absolutely great, and he got over his concerns. He died in his 50s and so we didn't get to take full advantage of it. I haven't had a period in almost 30 years, and I rarely get migraines or hot flashes, and I've never taken estrogen. I'm healthier now, for sure. Hot flashes seem related to consuming sugars for me. Is that common?
Sincere sympathy for the loss of your husband. 60 over here in US and for me diet & exercise are the key to minimizing feeling the affects and agree 💯 about the sugar as it also affects me negatively similarly to you presenting with night sweats. I gave up alcohol 30 years ago. One of the best things I recommend to my clients. 🤍💫
People are struggling for all the reasons discussed here… and THEN there’s the basic health issues around FOOD & Toxins, which is at the base of our expanding chronic diseases for all age groups.
When I requested a trial of HRT, my GP was horrified and threw her hands in the air declaring I’d get breast cancer. I then signed up for a telephone consultation with Dr Louise Newson’s menopause health clinic. The doctor wasn’t happy to proceed with HRT until I could provide proof that my distended abdomen was not due to cancer. I have been having scans, blood tests, a hysteroscopy then finally, tests for my adrenal function. Interestingly, the endocrinologist insisted that after menopause, the adrenals do not provide any oestrogen hormones at all. I was prompted to mention this because it was mentioned in this video the complete opposite.
Not a single doctor I have ever spoken to about menopause wanted to have that conversation. They shy totally away from it. Women are being absolutely neglected. Plus, doctors really need to update their knowledge. Why the hell do I pay a doctor when I had to do all the research myself so I could try and get some help from the doctor.
I'm not surprised symptoms are getting worse I've stopped eating sugar and so far the only symptoms of perimenopause I've had are irregular periods. The amount of added sugar to so many products is higher than its ever been.
I still have to get to the end of this episode but just wanted to mention that I just started HRT no to reduce my symptoms but to prevent osteoporosis and heart problems in the future. I’m very healthy and fit but don’t think it’s enough😢
I just wish women's health would be seen as more than "reproductive" or "fertility health". I had an ovary removed because doctors wouldn't give me any sort of treatment for it unless I was trying to get pregnant.
I really like Dr Annice wanting to give women back control. I find the pro HRT narrative is quite disabling, as it makes a woman feel the only way out of perimenopause is that option, then you're at the mercy of the HRT, which I've been finding. I'm on HRT because I found symptoms unbearable. It's been helpful but hasn't been the magic bullet I'd have hoped for. However, I'm learning now with podcasts like this, that there's more I can do with my lifestyle and diet that could help me more and even allow me to possibly wean off the HRT. I understand there are some women who need it e.g. those who've had a hysterectomy. So I believe there's a time and place for it.
I had to stop about 53 min in because she never mentioned that women need estrogen for bone, brain and heart health. She seems to be one of those who think HRT is only for symptom relief. That is just not the case. Most women can safely take HRT well beyond menopause and should. This has been documented and is practiced by other reputable menopause providers. If anyone has watched the whole thing and can tell me she eventually talks about it, I will finish watching.
Menopause is a risk factor for osteoporosis, dementia and cardiovascular disease but not a cause. Stress, smoking, poor diet, excessive sugar and lack of exercise are also risk factors for each of these disease states. The gold standard for protecting your brain and heart health are nutrition and exercise. Diet and exercise can prevent and reverse these disease states. The power is in your hands to prevent these diseases and women need to take action at midlife, our symptoms are a wake up call. HRT is another path you can take where you medicate to prevent these diseases. If I was on HRT, I would still be making changes to improve my diet and to exercise to extend my overall longevity and protect my health. HRT medication and diet and lifestyle changes are not mutually exclusive.
@@mdjones35 We know that the natural change to lower estrogen levels at midlife is a risk factor to our bone health and not a cause because not all women get osteopenia at midlife. It depends on their lifestyle and their other risk factors like smoking, lack of exercise, excess sugar and processed food in the diet, nutritional deficiencies and lack of vitamin D. As she stated repeatedly, it is not black and white but is nuanced. You can live your life with all these risk factors and menopause is the straw that breaks the camels back and you have osteopenia. You can live your life with all these risk factors and then take estrogen to protect your bones. You can live your life with all these risk factors and then stop smoking, start exercising and eat plenty of calcium rich leafy greens and not need HRT for bone health, heart health or brain health. We are living in a soup and all of these elements are risk factors. Research is showing that women in Japan experience some bone density loss but do not have the fractures we experience in the West and this could be due to collagen....so we are still learning about what we need to prevent fractures and bone density.
One thing I wish was discussed further. Dr Annice mentioned HRT can be taken as long as their is symptoms. While taking HRT, it is possible you will no longer experience symptoms, so that is harder to gauge. What happens when you stop taking HRT and isn’t adequate estradiol important for optimum health as we age? Or is this better as a transition for a shorter period and will still have benefits later once off?
Funny listening to your talk. I was ten and had my first period and was in screaming pain for a month. No one talked about it. So when my daughter was nine I talked about it a lot. Her Dad was not pleased but when she had it, it was a much better experience. Seriously knowledge is power
Such great insight : there is so much to be understood about women and hormones. These changes are huge transitions and we all want to live a better life during that time. It all seems to be taboo to talk about and also we are wiped of the face of the earth when we are in menopause - I don’t even like that name meaning ending. Western culture has created a fear based programming on these changes. Other countries celebrate, have natural therapy and also talk openly about women and hormonal changes, especially around libido and sexuality. A women’s intuition is never wrong - usually we are given hunches to make changes in our diet, exercise, hormone changes and what to do about it. We must also engage in the spiritual side of these changes too. When you combine science and spirituality you have a fat better experience. Wisdom talks and sheds its light from the inside out. ❤
Thank you for this podcast, i have been following your channel for a while now, you always have good guests and i like that you let them speak and then offer handy summaries. Keep up the great work! Thankyou!
I am 73 going 74 this November I worked for cardio and do body stretching everyday like 100 times per day and it has been good to me no back pain whatsoever.
I'm still on the fence with taking hrt for bone and heart health etc. I can't quite believe the massive shift from Dr's saying its risky taking hrt to now its not as risky. How do we know that in 30 years they got it wrong and the women taking hrt have illness and disease due taking the hrt so I'm still not sure what to do.
All part of the government agenda to not empower women, to not have women on her because it costs them so much more money due to Brexit pushing up the cost of medicines. It's aale dominated culture in the UK that implies once you get over a certain age you don't deserve medicines as you are on the scrap heap
Many thanks for opening up the discussion that HRT may not always be the answer to menopausal symptoms. I have been blaming hormones for my frequent migraines but more often than not it’s due to too much alcohol at weekends. This podcast has given me the wake up call that I need to vastly reduce my alcohol consumption as for whatever reason my middle aged body just can’t hack it anymore.
I stopped drinking during the pandemic...after an uptick in my drinking 😬 I haven't hit menopause yet, turn 49 soon so it's coming in the next 5-10 years. I really have worked on nervous system regulation...since alcohol was an avoidance "go-to" for coping etc. Yoga with Adriene, she's on TH-cam (suggested by a D.O. I went to), has helped with that. It helps with vagus nerve reset. I started with a simple 5 minute morning routine, something doable & went from there. Sleep hygiene has been imperative and I do a 10 min sleep meditation every night. I'm also careful about what I eat. I feel so much better. More relaxed, more able to handle things. It's not perfect, but light years away from alcohol and all the issues it caused me (known and unknown (at the time)). I wish you that too! 💫
Many thanks for your suggestions & that giving up alcohol has been such a positive outcome. I know it would be for me too, it’s just so hard to try & stop when family & friends all drink. I should have done it in lockdown too!
Thank you this was very informative 🙏🏻 I have just gone through double breast cancer (inflammatory breast cancer) treatment & yes I was on HRT which I found absolutely amazing but due to high cancer recurrence risk am no longer on it… now have stubborn weight gain which will not shift & horrendous hot flashes not much FUN
Such conflicting info out there. I was told natural progesterone was protective against bc along with estradiol. Lately I've heard it increases risk. Then you hear that you should loose weight to reduce risks yet thinner people have more dense breast tissue which puts you at a greater risk of bc.
Dr Chatterjee, could you possibly consider asking Dr Louise Newson if she would consider being a guest on your podcast about the topic of menopause. I enjoy your podcast but this particular episode rang alarm bells.
From what I’m hearing I am lucky my HRT patches sorted me right out!! 😮 however I did make some significant lifestyle changes around the same time of using them. So may be a combo of the two?
Thanks for the chat I started my menapouse when I was 45 I'm now 60 with no menapouse treatment since having covid really bad before the vaccine I am always feeling unwell very tired all the time then I had the covid vaccine after 3months ever since I've become pre diabetic more and more unwell I can not explain how bad my menapouse is now then it was when I was 45😢😞☹️
I doing great in my menopause I in the past have mental health issues the Dr's normally tell me be careful in menopause and my brain let out my wisdom inner peace I am strong than never. Just let you know 😊 Thank you Dr for your generosity and wisdom 🙏
Thank you for sharing. I'm 57 years young and took care of my health, fitness, nutrition since teenage years. I use an integrative- 360 holistic approach and never take medicine. I feel amazing, youthful and vibrant...no HRT! Never smoked...zero alcohol.
One of the best doc. Also manageable time frame of under 2 hrs. She gave critical talking points that deserve to be isolated and brought out as 'shorts or mini video' too. Women need to find this vety data and so many GP's need updateing of such. I am so lucky lto have specialists that are uni prof.'s also so I get all the current data. Most women don't thus discussuons as such are sooo important. Please bring this guest back.
Never took medecines , only organic healthy natural food never had processed food , never had coca or pepsi, only natural plant based drinks plants I pick up myself....I dont know what means menopause I ve never been so well and full of energy ! My best advise have a healthy life it is never too late. It takes a lot of work to get the right informations he took me a life time of investigating, reading, inquiring . Raw food is best for me...Work on yourself , get the knowledge . I french I suppose in the United States a lot of bad food a lot of sugar (poison) everywhere...my american friends tell me it is so difficult to eat healthy foid there !
Thank you so much for this interview Dr Chatterjee. I now feel much more informed, as a woman experiencing menopause, as to how to manage it and to age more healthily. I thank Dr Mukherjee too, for sharing her expertise. Much appreciated! Be well 🌹
I wonder if going to a carnivore diet would help? Have there been any studies on low carb diet vs. menopause? Why should such a natural process be so traumatic for women? Surely a woman is not so fragile to be so messed up by this process? Something else HAS to be going on? Same as the high proportion of older men with prostate problems. Is it diet or what? I think maybe diet or vaccines. Our lives shouldn't so messed up just cos we get older. What about looking back through time? Have women ALWAYS had menopause problems? Have men ALWAYS had prostate problems? Hormone treatment CANNOT be the solution, since menopause IS going to result in LESS hormones. HRT just helps the symptoms. A bandaid solution to just treat the symptoms but not cure the cause. I wanna hear how women on carnivore diets go on HRT. "All women may benefit from HRT" sounds like something the drug companies would say. They would LOVE this to be the case, which is why they like to say T2D is uncurable, & would require supplemental treatment for the rest of their lives. Another constant revenue source for drug companies. Why am I not surprised? Increased breast cancer risk of HRT? Then it CANNOT be the solution can it? A dead end. Look somewhere else.
HRT does more than just relieve symptoms it protects your bone density and can reverse ostopenian. It protects your heart from cardiovascular disease. It also protects the brain loads of studies done there on the importance of estrogen as we age ..so protects against dementia ..without your hormones your body will age faster..
Some women have reported benefits from going carnivore. Carbs seem to contribute to more inflammation in the body, so it makes sense to reduce them or eliminate them. As for HRT, you can get natural, bioidentical HRT that isn't pharmaceutical in nature.
Any fellas? Come on there's gotta be a fundamental, simple cause of prostate enlargement which wrecks so many men's lives? I'm 62 & can pee ok, so far! But I never wanna have prostate probs. Could it be microplastics? Whatever it is, I'm staying on the carnivore diet!
Wish I had this info 7 years ago when my symptoms started. At the same time my mental health began to decline and I'm wondering if there was a correlation. I think I put whatever I experienced down to my mental health.
I have been on estradiol cream since I was 37. I had a total hysterectomy / ovaries out too. I’m 61 and I’m still on it. The only downside may be that it destroyed my thyroid ; not sure. Some drs say it’s possible I’m on thyroid meds for the past 20 years as well.
We are so blessed today that our children are taught in school and they are all taught the same accurate information- not the myths and folklore that used to go around. And most parents do talk - completely different era
Very interesting topic and we all women needs awareness of what our body is going through in the mid life and thanks for Dr. Annice Mukherjee expertise on this subject, very helpful 🙏🙏🙏
This is why I’m so proud of my company launch the first of its kind no hormones no soy solution for women in various stages worldwide all natural first of its kind and to bring awareness just like the two of you were talking about that used to be taboo❤
Was Dr. Mukherjee talking specifically about synthetic, pharmaceutical HRT or natural, bioidentical HRT? There seems to be stronger efficacy and less risks with natural, bioidentical HRT (in the form of transdermal creams and the like).
I never took hormones and did not have hysterectomy I just let it stopped I had my period non stop for a year but did not like surgery so I opted not to do it and I am glad I did nothing and I am fine.
Why does it seem like every channel I watched lately seems like they are pushing HRT more than before, what’s up with that? Maybe because Oprah is saying it’s so great?
The menopause is an anomaly in many ways. I can hopefully prevent type 2 diabetes with a healthy lifestyle, but often a great diet can do nothing to improve appalling menopause symptoms. The menopause is not being over medicalised. it's being dreadfully under- treated and sometimes misdiagnosed.
Obesogenic👉 hormone disruptive chemicals in foods / environment . Modern food environment has contributed to chronic health women’s health (we die more of heart disease) conditions/ insulin resistance
Well I am in my seventies as a teen I had a hard time with cramps my mum asked me which of her friends did I want to talk to about mensuration when it first started later she took me to see a woman doctor who wanted to put me on birth control medication in the early sixties she said it would help the pain. I told her I didn’t want to be a Guinea pig I was one opinionated teenager who managed with exercise to ease my pain as the over the counter pain medication didn’t help. I was in my mid thirties when my son was born due to high blood pressure I spent 10 days in the hospital before they induced his birth they had me on monitors I never felt the contractions yet I didn’t have an epidural or anything to deal with pain I didn’t have any pain except for Charlie horses LoL you can imagine my astonishment that afterwards when I had a period there wasn’t any pain. When menopause started I looked forward to feeling hot I missed having that symptom . Must be genetic because my Mum Didn’t have hot flashes either . 😮
Women are struggling more now than they were years ago because so many GPs refuse to prescribe HRT citing ridiculous reasons like ' it causes cancer ' or 'memtal health issues are the issue not menopause. This denial of what women need is causing huge unnecessary stress ontop of all the other daily life stressors
My grandmother (91 years old) , always healthy and the only time she saw a doctor was when she broke her arm:
Her "secret"
1- When you wake up , drink 2 Cups of water and keep moving for 1/2 hour, before having breakfast (olive oil+ Wholegrain bread+Big cup of Naturally fermented milk) preferably..
2- only eat when you are really hungry, when you hear the Gurgling of your belly ..
3- No snacks, soft drinks, coffee & tea between meals ...
4- Eat slowly and chew your food very very well ..
5- Good 8 hours of sleep ,and no need to take a nap during the day, walking or keeping moving is better.
BIG SALAM from morocco..
My grandma was 104 and drank a can of Dr. Pepper every single day. She said it was her secret to great health and long life! ♥️
@@KandyKoatedKrafts 😂 love it!
Adam, thanks for the great advice!
That grandma that lived to 104 with a can of Dr. Pepper a day, could probably go to 120 with even better health without it...
I’d love to be able to sleep 8 hours. That’s my biggest peri menopause symptom
@@KandyKoatedKraftsis a can of Dr pepper Soda?
I’m 80 I agree that the older you get the More exercise for body and mind you need. I had HRT for 5 Years which was made an enormous difference to my menopausal symtoms. I have improved my diet in the past 2 years . Including nuts grains lots of fruit and veg . Reducing carbs .eating plenty of protein and have slowly lost weight and have lots of energy . I do 2 ballet classes a week .such an enjoyable way of exercising ,to beautiful music I go on health walks with a group. And belong to U 3 A .Enjoying my old age !
Good for you, Ruth! Aspirational. I just turned 48 yesterday. I hope to be active like you describe into my 70s/80s!! It’s so crucial, I concur. Blessings.
👏 Kudos, Ruth!
Woww 👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼 Weldon
Amen 🙏🏾
Thanks for sharing what you’re doing, Ruth! I am making changes now so I can be like you when I grow up. 💕
I’m 57 year old 4 years that my period stopped I don’t have any symptoms so far. I walk everyday for 1 hour and 3 times per week weightlifting. I eat salad and fruits some carbs and a lot of nuts. I only drink water and SAGE TEA every night. So far all is good 🙏🙏
Thanks for the guidance
Diet, Diet, Diet try to eat organic drop sugar, caffeine, alcohol eat low carb, do light cardio, strength train do pilates, long walks, rebounder. Get in a suna a few times a week. Stay away from toxic makeup and body products.
Work on your emotions including pass truma and SLEEP!
Love yoursef❤
I did all this - and still went through a hellish experience. The only thing that helped was bio-identical HRT.
❤totally agree with you
@@SuzanneU I'm sorry to hear that. We are all different. No shaming from me. You do what you have to do❤️
This is for me. Middle life crisis with the responsibility for teenage kids and looking after elderly parents while running a professional career with frequent traveling between continents. Sometimes I feel I am dying.
I am through the menopause at 65. I was put on HRT abroad and asked my GP in London to continue the prescription and he refused. It greatly enhances my life and I feel well. I don't live in UK anymore and still take it. The point is, he had nothing else to offer and just didn't appear to care.
YES! Menopause has very negative connotations in the ageist culture. Symptoms are not only physical but mental. It's depressing seeing the changes in the body and accepting them.
I hope you got your hrt somehwre else. Many stories of women being dismissed or put on anti deps by GPs. Be well.
I retired to a foreign country and bought HRT over the counter. Used it til my late '60's.
Highly recommend it. So you get hot flashes at 70. So what?
GPS in the UK prescribe HRT now. I had no issues getting a prescription
It's nature at work. Then we mess with mother nature because it feels better for the moment. Meanwhile we scratch our heads wondering why the incidences of physical and mental health maladies are skyrocketing.
@@angelaramsay1778 thank you. I did. I live in Egypt and can buy it over the counter!
I am a Caribbean woman and I stop seeing my cycle in my 50’s.
It helps to have a better diet.
@gloria. 100%. 👏🏾
Thank you xx
Great podcast!!! Yes get healthy without meds first. Then if certain conditions present get treatment. Eating real food. Nothing out of a can or a box or a wrapper. Mostly organic vegetables & non hormone proteins. Little to no alcohol or sugar. Hydration!Walking. Weight training. Yoga. Pilates. Meditation. Good quality relationships. Rewarding career/work. Deep breathing. Massages. Play and having fun💫🤍 enjoy every moment!!
I wish the nhs would see a patient holistically, i see myself holistically and i have to manage the segmented department specialists and try to lead the balancing of all of those, as its to my detriment if one shifts too far, the scales tip and it all goes out of whack. So in part I agree, im active, im mindful, i eat well, im healthy, dont drink, dont smoke, but when parts of your body are missing and perimenopause hits the turmoil and symptoms strike you down and you are left with segments being managed by different specialists!! Ultimately you dont talk about how perimenopause can make you plummet without a fully functioning body, no one does, the lack of research, the lack of awareness is staggering. I welcome menopause, i cam wait for a level playing field so some stability can be achieved, but right now HRT is critical to me even functioning!
HRT lifted me back to life after 15 years of not knowing what was happening to my brain. Now I am able to work on all the pillars of health and after 4 years I am getting there. If I forget a dose I feel really awful 2 days later.
The link between loss of oestrogen and osteoporosis was skipped over a bit. HRT doesn't only help with hot flushes, it helps slow down bone resorption, which as was said, happens silently, until you fall and break bones and don't recover well. The rapid decline in hormones after menopause was mentioned, more could have been said about the consequences of that decline on our bones 😊xx
Risk factors for osteoporosis include smoking, alcohol consumption, lack of weight bearing exercise (midlife women are the most inactive group in society) excessive sugar, medications including SSRI's, Proton pump inhibitors and steroids used to treat asthma, chemicals in our food, nutritional deficiencies, stress and menopause. As with our brain health and metabolic health, menopause is a risk factor for osteoporosis and not a cause. A mineral dense healthy diet, exercise and sunshine help to prevent osteoporosis.
@@louisecarr HRT has also been shown to keep bones strong and reduce the risk of getting osteoporosis. If you already have osteoporosis it can strengthen your bones and reduce your risk of breaking a bone.
@@louisecarr good point. If it was the cause then every single middle aged female I the world would have had Osteoporosis before the 80s. People can't stand the idea of a healthy lifestyle these days. They convince themselves eating one apple a week and the occasional squat is them being healthy.
@@anne-louisegoldie This is also true of whole food nutrition and exercise. It is like she said in the podcast...it is nuanced and making small changes to your diet and lifestyle also make a difference. She also stated that we have more research on nutrition and lifestyle than we do on HRT, especially when doctors are prescribing doses out of license. www.ncbi.nlm.nih.gov/pmc/articles/PMC5793325/
I think she was trying to say that exercise and lifestyle can make a big impact here
I had a relatively easy menopause and now take bio identical HRT, not for hot flashes but to protect my bones. I stopped all alcohol and white sugar. The freedom of not having monthly periods is great. I celebrated menopause.
Time to Save your blood 😂
Thank you Linda for positive sharing! Let's celebrate the change for all women ❤
Summary was generated by Summatim, let us know if there are any inaccuracies! 🤖
0:24: Women have more control over their health than they think
1:14: Misinformation can spread on social media
3:21: Women are struggling more today than before
3:40: Challenges for midlife women
0:57: Importance of raising awareness
3:53: Phases of women's lives
0:29: Puberty and menopause are complex processes
1:41: Importance of talking about puberty
0:59: Cultural differences in talking about women's health
17:55: Introduction
18:48: Menopause as a deficiency state
19:42: Empowerment and uplifting
20:51: Perimenopause and menopause
22:39: Hormone problems in younger women
25:33: Age and ethnicity
26:00: Common symptoms
35:54: Stress and Menopause
36:23: Modern Lifestyles and Menopause
36:53: Menopause Symptoms
38:47: Diagnosing Menopause
46:23: HRT and Menopause
47:04: History of HRT
49:27: Individualized Treatment
53:41: Study shows increased risk of breast cancer with older HRT treatments
54:27: Majority of HRT treatment was oral and synthetic
54:38: Subsequent analysis suggests risks generally in older women who started HRT much later
56:33: Transdermal estrogen reduces risk of blood clots
57:49: Increased risk of breast cancer more with estrogen-progesterone combinations
58:20: Cumulative increased risk of breast cancer with HRT over time
59:56: Importance of seeing educated healthcare professionals for nuanced discussions
1:05:48: Vaginal estrogen appears to be safe for breast cancer survivors
1:03:44: HRT after breast cancer diagnosis is a contraindication
1:11:36: Introduction
1:12:27: Free Guide
1:13:00: Clinical Experience
1:14:34: Other Medical Problems
1:16:13: Lifestyle Changes
1:18:49: Small Changes
1:17:41: Joan McDonald
1:22:01: Medication
1:23:07: Over Medicalization
1:24:40: Non-Hormone Options
1:29:31: Weight management
1:31:31: Bone loss
1:37:04: Dementia risk
1:43:10: Stress management
Sooooo helpful, just wanted to take notes myself THX!!!!!!
Mahalo this is Very Helpful and I hoping to find timestamps! 🤗🤗🤗🤙🏻🤙🏻🤙🏻🤙🏻
Yesssssss. Women and even young girls everywhere need to love their periods, their bodies, their cycles and understand the bodies cycles. I removed my IUD years ago and it allowed me to hear my body more clearly. Great interview.
I've learned more about menopause transition in this conversation than anywhere else. Absolutely amazing and empowering. It is a transition, it's not forever, you still have estrogen and hormones just less if them. Lifestyle, diet and exercise has a huge effect on your symptoms and there are different meds that can help. As a 45yr old women, I really needed this
This information here is bullshit.
Menopause IS forever and your hormone levels fall to zero.
42:30 Exactly.
Ayurveda sees menopause as a natural, healthy part of life. The change in hormones in menopause exposes underlying issues. I am way past menopause at 61 and still have a libido and good health and take no HRT. I get really annoyed at all the talk about needing to take meds for menopause.
You don't come out of menupause once you enter into it you are there for the rest of your life ..hormones do not return ..
Me too!
Why get annoyed? Broaden your perspective....some women do simply benefit. Why choose to narrow your mind and heart just because you had a trouble free experience, only to then judge other treatments and by default other people's suffering when it appears different to your experience?
I went into surgical menopause at the age 38…😔
Today almost 30 years later if I eat sugar or packaged goods I go into hot flashes and night 😓…
If there is another option take it-don’t let them take your stuff🥸
I'm 60...never even thought of HRT, and lived very happily through my menopause symptoms which were mostly just hot flashes. I have no regrets about hitting menopause and I LOVE not bleeding!
Dr. Mindy Pelz has said that bleeding each month (periods) is an opportunity for the body to eliminate toxins. So you no longer have that detoxification happening... but good luck to you regardless.
Once I stopped eating sugar, my hot flashes went away. When I added an anti-inflammatory diet, supplementation and eliminated stress, all of my other symptoms went away (hypertension, depression, irritability, digestive issues, electrolytes imbalance, sleep issues).
What supplementation are you referring to, if you don’t mind elaborating? Thank you
I had to leave an active role in the NHS on the frontline in emergencies etc as the on call after 30 years was exhausting me ontop very long highly stressful day because management in the NHS do not support a 50 plus year old professional woman who just needs to stop on call after a very long service but can do the rest of the job ok. I was mortified to leave and the financial impact was huge, there needs to be more compassion in the NHS for experienced staff who can no longer stretch their nights and days into one whilst going through these body changes.
I fully agree I work in hospital setting long 12 hour night shifts at age 50 no end in site no options for scheduling it is very unjust
@@arianasilesia2500 Aww sorry to hear that, there's no discussion, I even went to occupational health department and they recommended no more on call due to lack of sleep already and management rejected their suggestions. No negotiation, it's work yourself into burnout or quit.
I've been following your podcast for a couple of year and was looking forward to a podcast about menopause. In my opinion, the subject was too much simplified by the interviewed doctor and she contradicted herself at least twice. I wish you had interviewed Dr Louise Newson, who is doing wonderful work on awareness and treatment of menopause. I dont even live in UK but I really love her work. I myself went through menopause and the impact it has had in my life was huge. This was not also discussed or considered by the interviewed. Women who get depressed and get antidepressiva because no doctor thought aboute menopause, brain fog, memory problem, etc. For all women reading this and willing to learn more about menopause check Dr. Louise Newson.
Totally agree
I would encourage women to experiment with diet. I Had terrible hot sweats and through careful consideration I eliminated any white food, potatoes, sugar pasta, bread cheese and dairy etc and any carbohydrates as well as eliminating alcohol and meat. I know this sounds extreme, however I have absolutely no hot sweats anymore. For me, I feel this is worth it! I could be in a minority here but again I would definitely encourage you to give it a go, because there really isn't any discussion on diet and I think this needs consideration. 😊❤
If you have eliminated all those foods, then what the hell is there left for you to eat now?
Veg, (excluding sweet potato and white potatoes), seeds, lentils, chickpeas, spinach. Use ground almonds for flour and coconut yoghurt. And oily fish, tuna etc. It's a commitment but it is worth it. Try it out and see.
That's a crazy amount of restriction. Not healthy in it's own right. You cut out far too much.
One thing she didn’t mention is that menstrual cycles for girls are starting earlier and earlier. She said it is being taught in schools now, but it needs to be taught even earlier, as many girls are now getting their periods as early as the third grade, when it used to be in middle school.
Yes, 8-9 is becoming very common.
It’s the fake estrogen that is in foods, environment etc. Plastics is one of the main culprits.
@@cc1k435 that seems so weird to be that young, but I think it's almost that young in many countries.
@@sereanaduwai8313 Can you link to a reputable scientific source for your claim please?
We tend to think many things are fundamentally different now than they were for all time up to this point. It wouldn't make sense that our bodies evolved so drastically over one generation or two. Nor that the weather is suddenly so much worse. But there's no doubt it *seems* like things are suddenly different. Just like it seemed so to people in the past.
Thank you for levelling this conversation. My cycle stopped 2 years ago, I am 55, I feel fantastic. No HRT, no symptoms. There has been very little opportunity to share this for many reasons. Please can we open the conversation 🙏
What unbelievable!? Could you please share a few lifestyle tips on what you've been doing that you need not depend on hrt to feel fantastic
I'm asking because mom is 48 it's been 2 years since she got menopause and she's in an awful state the symptoms are really taking a toll on everyone at home not just her
She is on hrt too but no relief
@@vinishag.8909 hi 👋
Thank you for asking, we need to open this conversation 🙏
I have practiced yoga and also teach for over 25 years. I have been a swimmer all my life and took to open water, cold swimming around 8 years ago. I have never eaten processed food, and eat a plant based vegetarian diet since i was 13 with occasional fish added when its from a really good source. I gave up coffee 15 years ago, i do drink tea, and now hardly any alcohol. I’m totally backing all this doctor says, its a commitment that is daily and finding the ways that work for you as an individual to mitigate stress. This works for me! We are all unique and its a process… i so hope this can help? Definitely lifestyle changes, and patience while the mind and body find its rhythm and balance again i wish you all the best and so hope this can help 🙏
@@vinishag.8909 "your body in balance" by Dr Neal Barnard is great. The first 41 pages are online if you want to see a preview. He recommends a whole food plant based diet. Low/no salt, oil and sugar. A half cup of soya beans daily helps reduce or eliminate hot flashes.
I’m 54 (55 in Sept)and had my last period at 52. I’m doing great. I occasionally have a night sweat but have found that is usually after I’ve eaten cruddy food, especially later in the day. No HRT.
Thanks for this talk. I totally agree that we need to start taking back control. I was at the point of considering HRT but then drastically improved my diet (Zoe) and all symptoms of hot sweats, anxiety etc went. Now blood pressure is significantly lower as is my cholesterol. It’s really important to look at your whole lifestyle.
Congrats!!! What was your diet?
@@SD-yf8lp Zoe nutrition programme. Is personalised to you but basically very little ultra processed foods, v little refined sugar, wholegrains rather than white pasta and rice etc and lots of healthy fats from nuts, Greek yoghurt, avocados etc. I’m a lifelong vegetarian already but was previously eating v carb and sugar heavy diet. Has transformed my mental health tbh.
Lifestyle changes are key using a 360 holistic approach.
Due to being the mirena coil for years, I was going through peri and menopause before I had a clue what was going on. It was only 1 year on HRT I realised I was menopausal. I got the coil removed as I was loosing my hair in handfuls after a new coil was put in for the progesterone and contraception. My hair is recovering slowly, now. I’ve been on the coil for many years and my hair has been thin, but it used to he a lot thicker in my younger years.
I’m post menopausal and thankfully getting fitter and more mood stable. So glad that’s all behind me now. I still take minimal hrt for my bones.
I have watched countless hours on the topics regarding nutrition, blood sugar, auto immune, peri meno pause, menopause etc. This video is full of information! I highly recommend sharing this video with friends and family...young and older! Thank you to all those involved in making this video!
This was a really helpful and informative discussion. Im 59 and went through menopause at 57, although I feel better now than ever, Ive felt pressure to go on HRT for longevity reasons. Im now going to just continue doing what I have been doing, eating good natural food, meditating in the morning and walking daily. Ive recently purchased resistance bands and will start to use those for muscle strength. Thanks again for a great episode.
Thank you for this interview. With so much about this subject right now - the information can be overwhelming, confusing and make you panic about taking drastic action. I feel like this was such a breath of fresh air. It felt like the most real perspective I have heard on this subject. Thank you!
When I was done with having children, I was very relieved that I began showing signs of menopause because I knew how much freedom from all kinds of inconveniences and discomforts Funnily enough, my husband got depressed when I told him! His italian mother was raised by a mother who was very steeped in ideas about mental instability and cessation of sexual relations had created a real negative impression. Frankly, after getting some sleep problems and hot flashes under control, it was absolutely great, and he got over his concerns. He died in his 50s and so we didn't get to take full advantage of it. I haven't had a period in almost 30 years, and I rarely get migraines or hot flashes, and I've never taken estrogen. I'm healthier now, for sure. Hot flashes seem related to consuming sugars for me. Is that common?
Sincere sympathy for the loss of your husband. 60 over here in US and for me diet & exercise are the key to minimizing feeling the affects and agree 💯 about the sugar as it also affects me negatively similarly to you presenting with night sweats. I gave up alcohol 30 years ago. One of the best things I recommend to my clients. 🤍💫
I get night sweats when I’ve eaten crappy during the day, especially if it’s later. I usually sleep at about 8 and stop eating before 5.
The best most comprehensive podcast on the subject. All others glass over the nuances of this complex issue. Thank you.
People are struggling for all the reasons discussed here… and THEN there’s the basic health issues around FOOD & Toxins, which is at the base of our expanding chronic diseases for all age groups.
Excellent optimistic message- Thank you for not demonizing a transformative part of life.
When I requested a trial of HRT, my GP was horrified and threw her hands in the air declaring I’d get breast cancer. I then signed up for a telephone consultation with Dr Louise Newson’s menopause health clinic. The doctor wasn’t happy to proceed with HRT until I could provide proof that my distended abdomen was not due to cancer. I have been having scans, blood tests, a hysteroscopy then finally, tests for my adrenal function. Interestingly, the endocrinologist insisted that after menopause, the adrenals do not provide any oestrogen hormones at all. I was prompted to mention this because it was mentioned in this video the complete opposite.
Not a single doctor I have ever spoken to about menopause wanted to have that conversation. They shy totally away from it. Women are being absolutely neglected. Plus, doctors really need to update their knowledge. Why the hell do I pay a doctor when I had to do all the research myself so I could try and get some help from the doctor.
I'm not surprised symptoms are getting worse I've stopped eating sugar and so far the only symptoms of perimenopause I've had are irregular periods. The amount of added sugar to so many products is higher than its ever been.
I still have to get to the end of this episode but just wanted to mention that I just started HRT no to reduce my symptoms but to prevent osteoporosis and heart problems in the future. I’m very healthy and fit but don’t think it’s enough😢
I just wish women's health would be seen as more than "reproductive" or "fertility health".
I had an ovary removed because doctors wouldn't give me any sort of treatment for it unless I was trying to get pregnant.
I really like Dr Annice wanting to give women back control. I find the pro HRT narrative is quite disabling, as it makes a woman feel the only way out of perimenopause is that option, then you're at the mercy of the HRT, which I've been finding. I'm on HRT because I found symptoms unbearable. It's been helpful but hasn't been the magic bullet I'd have hoped for. However, I'm learning now with podcasts like this, that there's more I can do with my lifestyle and diet that could help me more and even allow me to possibly wean off the HRT. I understand there are some women who need it e.g. those who've had a hysterectomy. So I believe there's a time and place for it.
So refreshing to see two intelligent people talk this through with sensitivity and clarity ..learned a Lot ..Thank you .
I had to stop about 53 min in because she never mentioned that women need estrogen for bone, brain and heart health. She seems to be one of those who think HRT is only for symptom relief. That is just not the case. Most women can safely take HRT well beyond menopause and should. This has been documented and is practiced by other reputable menopause providers. If anyone has watched the whole thing and can tell me she eventually talks about it, I will finish watching.
She touches on this right at the end
Menopause is a risk factor for osteoporosis, dementia and cardiovascular disease but not a cause.
Stress, smoking, poor diet, excessive sugar and lack of exercise are also risk factors for each of these disease states.
The gold standard for protecting your brain and heart health are nutrition and exercise. Diet and exercise can prevent and reverse these disease states.
The power is in your hands to prevent these diseases and women need to take action at midlife, our symptoms are a wake up call. HRT is another path you can take where you medicate to prevent these diseases.
If I was on HRT, I would still be making changes to improve my diet and to exercise to extend my overall longevity and protect my health. HRT medication and diet and lifestyle changes are not mutually exclusive.
Loss of estrogen actually is a cause. There is clear research that estrogen therapy helps to prevent those three things.
At 1 hour 30 she talks about bone density drop
@@mdjones35 We know that the natural change to lower estrogen levels at midlife is a risk factor to our bone health and not a cause because not all women get osteopenia at midlife. It depends on their lifestyle and their other risk factors like smoking, lack of exercise, excess sugar and processed food in the diet, nutritional deficiencies and lack of vitamin D. As she stated repeatedly, it is not black and white but is nuanced.
You can live your life with all these risk factors and menopause is the straw that breaks the camels back and you have osteopenia.
You can live your life with all these risk factors and then take estrogen to protect your bones.
You can live your life with all these risk factors and then stop smoking, start exercising and eat plenty of calcium rich leafy greens and not need HRT for bone health, heart health or brain health.
We are living in a soup and all of these elements are risk factors.
Research is showing that women in Japan experience some bone density loss but do not have the fractures we experience in the West and this could be due to collagen....so we are still learning about what we need to prevent fractures and bone density.
One thing I wish was discussed further. Dr Annice mentioned HRT can be taken as long as their is symptoms. While taking HRT, it is possible you will no longer experience symptoms, so that is harder to gauge. What happens when you stop taking HRT and isn’t adequate estradiol important for optimum health as we age? Or is this better as a transition for a shorter period and will still have benefits later once off?
Funny listening to your talk. I was ten and had my first period and was in screaming pain for a month. No one talked about it. So when my daughter was nine I talked about it a lot. Her Dad was not pleased but when she had it, it was a much better experience. Seriously knowledge is power
Thanks for sharing this. The hormones at this age are truly impactful and it is hard to know what to do.
Such great insight : there is so much to be understood about women and hormones. These changes are huge transitions and we all want to live a better life during that time. It all seems to be taboo to talk about and also we are wiped of the face of the earth when we are in menopause - I don’t even like that name meaning ending. Western culture has created a fear based programming on these changes. Other countries celebrate, have natural therapy and also talk openly about women and hormonal changes, especially around libido and sexuality. A women’s intuition is never wrong - usually we are given hunches to make changes in our diet, exercise, hormone changes and what to do about it. We must also engage in the spiritual side of these changes too. When you combine science and spirituality you have a fat better experience. Wisdom talks and sheds its light from the inside out. ❤
I was hoping to hear more of diet changes vs meds. I definitely feel better since I made change of what I eat and exercise help a lot 😊
Thank you for this podcast, i have been following your channel for a while now, you always have good guests and i like that you let them speak and then offer handy summaries. Keep up the great work! Thankyou!
I am 73 going 74 this November I worked for cardio and do body stretching everyday like 100 times per day and it has been good to me no back pain whatsoever.
I'm still on the fence with taking hrt for bone and heart health etc. I can't quite believe the massive shift from Dr's saying its risky taking hrt to now its not as risky. How do we know that in 30 years they got it wrong and the women taking hrt have illness and disease due taking the hrt so I'm still not sure what to do.
Ok what I take away is - HRT not the way to go unless the symptoms are really debilitating.
Thank you for another great episode 🙏❤️
All part of the government agenda to not empower women, to not have women on her because it costs them so much more money due to Brexit pushing up the cost of medicines. It's aale dominated culture in the UK that implies once you get over a certain age you don't deserve medicines as you are on the scrap heap
Many thanks for opening up the discussion that HRT may not always be the answer to menopausal symptoms. I have been blaming hormones for my frequent migraines but more often than not it’s due to too much alcohol at weekends. This podcast has given me the wake up call that I need to vastly reduce my alcohol consumption as for whatever reason my middle aged body just can’t hack it anymore.
I stopped drinking during the pandemic...after an uptick in my drinking 😬
I haven't hit menopause yet, turn 49 soon so it's coming in the next 5-10 years. I really have worked on nervous system regulation...since alcohol was an avoidance "go-to" for coping etc.
Yoga with Adriene, she's on TH-cam (suggested by a D.O. I went to), has helped with that. It helps with vagus nerve reset. I started with a simple 5 minute morning routine, something doable & went from there. Sleep hygiene has been imperative and I do a 10 min sleep meditation every night. I'm also careful about what I eat.
I feel so much better. More relaxed, more able to handle things. It's not perfect, but light years away from alcohol and all the issues it caused me (known and unknown (at the time)).
I wish you that too! 💫
Many thanks for your suggestions & that giving up alcohol has been such a positive outcome. I know it would be for me too, it’s just so hard to try & stop when family & friends all drink. I should have done it in lockdown too!
My life could be crazy with menopause but that doesn't make be oblivious to the risk of HRT.
I find magnesium supplements help so much 😊
I used bio-identical estradiol for 6 years with only great benefit.
Thank you this was very informative 🙏🏻 I have just gone through double breast cancer (inflammatory breast cancer) treatment & yes I was on HRT which I found absolutely amazing but due to high cancer recurrence risk am no longer on it… now have stubborn weight gain which will not shift & horrendous hot flashes not much FUN
Such conflicting info out there. I was told natural progesterone was protective against bc along with estradiol. Lately I've heard it increases risk. Then you hear that you should loose weight to reduce risks yet thinner people have more dense breast tissue which puts you at a greater risk of bc.
Dr Chatterjee, could you possibly consider asking Dr Louise Newson if she would consider being a guest on your podcast about the topic of menopause. I enjoy your podcast but this particular episode rang alarm bells.
From what I’m hearing I am lucky my HRT patches sorted me right out!! 😮 however I did make some significant lifestyle changes around the same time of using them. So may be a combo of the two?
What about the effects of gylphosate on women's hormones, health, etc., not to mention the ill health of their parents, spouses and children.
Thanks for the chat I started my menapouse when I was 45 I'm now 60 with no menapouse treatment since having covid really bad before the vaccine I am always feeling unwell very tired all the time then I had the covid vaccine after 3months ever since I've become pre diabetic more and more unwell I can not explain how bad my menapouse is now then it was when I was 45😢😞☹️
What about osteoporosis and heart disease? Supposedly the risk of those go up after menopause due to the lack of hormones.
I doing great in my menopause I in the past have mental health issues the Dr's normally tell me be careful in menopause and my brain let out my wisdom inner peace I am strong than never. Just let you know 😊
Thank you Dr for your generosity and wisdom 🙏
Where you taking oral contraceptive before menopause?
It should be standard to give women tailored hormone administration.
Thank you for sharing. I'm 57 years young and took care of my health, fitness, nutrition since teenage years. I use an integrative- 360 holistic approach and never take medicine. I feel amazing, youthful and vibrant...no HRT! Never smoked...zero alcohol.
One of the best doc. Also manageable time frame of under 2 hrs. She gave critical talking points that deserve to be isolated and brought out as 'shorts or mini video' too. Women need to find this vety data and so many GP's need updateing of such. I am so lucky lto have specialists that are uni prof.'s also so I get all the current data. Most women don't thus discussuons as such are sooo important. Please bring this guest back.
Never took medecines , only organic healthy natural food never had processed food , never had coca or pepsi, only natural plant based drinks plants I pick up myself....I dont know what means menopause I ve never been so well and full of energy ! My best advise have a healthy life it is never too late. It takes a lot of work to get the right informations he took me a life time of investigating, reading, inquiring . Raw food is best for me...Work on yourself , get the knowledge . I french I suppose in the United States a lot of bad food a lot of sugar (poison) everywhere...my american friends tell me it is so difficult to eat healthy foid there !
Thank you so much for this interview Dr Chatterjee. I now feel much more informed, as a woman experiencing menopause, as to how to manage it and to age more healthily. I thank Dr Mukherjee too, for sharing her expertise. Much appreciated! Be well 🌹
Very informative. Thank you for talking about this subject.
Another great interview. Thanks you so much for these great conversations
Oh I have always celebrated menopause apart from the hot flushes🙈
Never been more me than since menopause ❤
I wonder if going to a carnivore diet would help? Have there been any studies on low carb diet vs. menopause? Why should such a natural process be so traumatic for women? Surely a woman is not so fragile to be so messed up by this process? Something else HAS to be going on? Same as the high proportion of older men with prostate problems.
Is it diet or what? I think maybe diet or vaccines. Our lives shouldn't so messed up just cos we get older.
What about looking back through time? Have women ALWAYS had menopause problems? Have men ALWAYS had prostate problems?
Hormone treatment CANNOT be the solution, since menopause IS going to result in LESS hormones. HRT just helps the symptoms. A bandaid solution to just treat the symptoms but not cure the cause.
I wanna hear how women on carnivore diets go on HRT. "All women may benefit from HRT" sounds like something the drug companies would say. They would LOVE this to be the case, which is why they like to say T2D is uncurable, & would require supplemental treatment for the rest of their lives. Another constant revenue source for drug companies. Why am I not surprised?
Increased breast cancer risk of HRT? Then it CANNOT be the solution can it? A dead end. Look somewhere else.
HRT does more than just relieve symptoms it protects your bone density and can reverse ostopenian. It protects your heart from cardiovascular disease. It also protects the brain loads of studies done there on the importance of estrogen as we age ..so protects against dementia ..without your hormones your body will age faster..
Some women have reported benefits from going carnivore. Carbs seem to contribute to more inflammation in the body, so it makes sense to reduce them or eliminate them. As for HRT, you can get natural, bioidentical HRT that isn't pharmaceutical in nature.
Any fellas? Come on there's gotta be a fundamental, simple cause of prostate enlargement which wrecks so many men's lives? I'm 62 & can pee ok, so far! But I never wanna have prostate probs. Could it be microplastics? Whatever it is, I'm staying on the carnivore diet!
Wish I had this info 7 years ago when my symptoms started. At the same time my mental health began to decline and I'm wondering if there was a correlation. I think I put whatever I experienced down to my mental health.
I have been on estradiol cream since I was 37. I had a total hysterectomy / ovaries out too. I’m 61 and I’m still on it. The only downside may be that it destroyed my thyroid ; not sure. Some drs say it’s possible I’m on thyroid meds for the past 20 years as well.
Hi, what do you mean possibly destroyed your thyroid - having the hysterectomy or using the cream?
I'm definitely suffering from hormone issues. The doctors just say take birth control but also say it might not work. Really frustrating!
We are so blessed today that our children are taught in school and they are all taught the same accurate information- not the myths and folklore that used to go around. And most parents do talk - completely different era
Not all schools. Here in America they don’t have gym classes in some of the schools.
This is what makes me subscribe to this channel. So little info abt the importance of reproductive health to anti aging.
Priceless information 🙏🏻
Great info and interview.. thank you! ❤
Thank you❤
Thank you so much Dr. Chatterjee!!! I am 52 and understanding my cycles now...go figure...I wish I had this information when I was younger
Female Health Support Capsules have improved my skin health. My complexion looks clearer and more radiant.
Very interesting topic and we all women needs awareness of what our body is going through in the mid life and thanks for Dr. Annice Mukherjee expertise on this subject, very helpful 🙏🙏🙏
This is why I’m so proud of my company launch the first of its kind no hormones no soy solution for women in various stages worldwide all natural first of its kind and to bring awareness just like the two of you were talking about that used to be taboo❤
Was Dr. Mukherjee talking specifically about synthetic, pharmaceutical HRT or natural, bioidentical HRT? There seems to be stronger efficacy and less risks with natural, bioidentical HRT (in the form of transdermal creams and the like).
Such an important topic. Too many adds ruin listing to it
what is the one thing ?
Excellent. Enjoyed it immensely and learned a lot. Thank You Doctor.
Wow , such another good interview ! Top 🎉
I never took hormones and did not have hysterectomy I just let it stopped I had my period non stop for a year but did not like surgery so I opted not to do it and I am glad I did nothing and I am fine.
Why does it seem like every channel I watched lately seems like they are pushing HRT more than before, what’s up with that? Maybe because Oprah is saying it’s so great?
Oprah is also on Ozempic.
Thank you for this information
The menopause is an anomaly in many ways. I can hopefully prevent type 2 diabetes with a healthy lifestyle, but often a great diet can do nothing to improve appalling menopause symptoms.
The menopause is not being over medicalised. it's being dreadfully under- treated and sometimes misdiagnosed.
Thank you Dr especially for this podcast.I needed it so much ❤🙏🏿
Not what they think but what they know I woud say 🙏
?
Awesome talk, thank you
Obesogenic👉 hormone disruptive chemicals in foods / environment . Modern food environment has contributed to chronic health women’s health (we die more of heart disease) conditions/ insulin resistance
Thank you doctors for this amazing podcast on menopause.
Hydration, B Vitamins, Adequate Protein, Antioxidants, Avoiding Sugar, Avoid Wheat
Well I am in my seventies as a teen I had a hard time with cramps my mum asked me which of her friends did I want to talk to about mensuration when it first started later she took me to see a woman doctor who wanted to put me on birth control medication in the early sixties she said it would help the pain. I told her I didn’t want to be a Guinea pig I was one opinionated teenager who managed with exercise to ease my pain as the over the counter pain medication didn’t help. I was in my mid thirties when my son was born due to high blood pressure I spent 10 days in the hospital before they induced his birth they had me on monitors I never felt the contractions yet I didn’t have an epidural or anything to deal with pain I didn’t have any pain except for Charlie horses LoL you can imagine my astonishment that afterwards when I had a period there wasn’t any pain. When menopause started I looked forward to feeling hot I missed having that symptom . Must be genetic because my Mum Didn’t have hot flashes either . 😮
Good morning 🙏🏾
Women are struggling more now than they were years ago because so many GPs refuse to prescribe HRT citing ridiculous reasons like ' it causes cancer ' or 'memtal health issues are the issue not menopause. This denial of what women need is causing huge unnecessary stress ontop of all the other daily life stressors