How to Approach Your Doctor About HRT
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- เผยแพร่เมื่อ 14 มี.ค. 2023
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- About Dr. Mary Claire Haver and The Galveston Diet -
Dr. Mary Claire Haver is board certified in Obstetrics and Gynecology and is a Certified Culinary Medicine Specialist from Tulane University. She is a Louisiana State University Medical Center graduate and completed her Obstetrics and Gynecology residency at the University of Texas Medical Branch (UTMB). She is also a Certified Menopause Specialist through The Menopause Society.
Dr. Haver was a clinical professor at UTMB and The University of Texas Health Science Center at Houston. Dr. Haver has served as a Hospitalist, Associate Residency Director, and Assistant Professor in her career. In 2021 she opened Mary Claire Wellness, a clinic dedicated to caring for the menopausal patient.
Dr. Haver has amassed over 3 million followers across social media by posting advice for women going through menopause. She understands that menopause healthcare is in dire need of change and is proud to be leading the conversation.
Her educational background and her own experience led Dr. Haver to develop the national bestselling book and online program, The Galveston Diet, a three-pronged lifestyle plan that encourages fuel refocusing, intermittent fasting, and anti-inflammatory nutrition to manage hormonal
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The New Menopause, which will be released in the Spring of 2024.
#menopause #perimenopause #womenshealth #galvestondiet #pauselife #thenewmenopause - วิทยาศาสตร์และเทคโนโลยี
I am in the middle of this right now. Was gaining weight for no reason. Found out I was insulin resistance but they never did a hormonal panel to see if my other hormones were imbalance. I just asked my endocrinologist yesterday for a hormones panel. This so frustrating that a patient has to tell a dr. what to do. I am 55 years young and would like them to do their job!
I agree. I went through this also.
Also insurance companies don't want to cover hrt
OBGYN resident here - YES! Menopause care is so under-represented in residency. I really appreciate your videos and helping me find constructive ways to approach the non-evidence based topics. Thanks!!
I moved from Canada to Portugal last year and for the first time in my life a gynaecologist offered HRT for my menopausal symptoms.
I am not having hot flashes or night sweats, thankfully, but the weight gain and joint aches sucks. My doctor told me exercise more and eat less. In his defense, I said no to HRT out of fear from cancer but hearing you makes me rethink HRT.
I've asked my OB/Gyn for a hormonal panel 2 years in a row to see a snapshot of where my hormones were after being in menopause for approx 7 years. symptoms were belly weight gain, sleep disruption, and night time hot flashes. Was informed by my doctor that I just needed to watch what I was eating more closely and see you next year. Are you kidding?!
Docs need you to be sicker so you remain a client.
You need a new OBGYN
x2 General Practitioners would not prescribe HRT. They suggested anti-depressant and CBT. I am fighting to get to see a menopause specialist. I will not back down. I am advocating hard. Hello from London, UK : - )
I asked for a hormone panel and was told “do some research and tell me what you want. There are 10,000 hormones”. So I asked my NP friend and then asked for “Total testosterone , Estradiol, Progesterone , FSH LH, Fasting insulin ,Androtesterone” Dr said their lab couldn’t do the androtestosterone but did the others. My bioavailable testosterone was less than 1. My estradiol was 11.8. My progest was 0.41. I’m only 42. THEN insurance only covered half of the labs for some reason so now I owe $200!
Don't feel bad I have to pay 1300 for a vit d test my lpn ordered due to my fatigue and my insurance denied it. 1300$ for one test! Good luck 💕
I can’t even get a panel called in. What was your FSH? Just curious, but it should have been high.
I had an appointment yesterday with Dr. Jennifer Roelands in Fullerton, Ca she specializes in Holistic solutions for Gut and Hormone Health.
I found her through you! I Thank you so much!
She started me on the Combipatch 0.05mg-0.14mg/ 24 hrs transdermal film, ER
Today is my second day and I slept like a baby last night. 😊
I cannot wait to see what the future holds ❤
Thank you for educating us🙏🏽
I love that you said “I don’t even know what functional medicine is, I’m evidence based”😂
So many quacks out there confusing women. I believe in you Dr Haver, you’re the real deal!💪
I'm only watching this now, believing myself to be perimenopausal, I'm having to conduct my own research. I approached my G.P, who confirmed I was most probably in peri menopause. I had no offer of tests, let alone HRT treatments! I was told, basically, my body is changing, I have to learn to deal with it, and to maybe consider mindfulness 🤷🏻♀️ that's the UK for you!! This was a female G.P btw
I'm hoping to find a female provider that has gone through it herself. Many of these women are younger than me. Frustrating.
Thanks for empowering us to advocate for ourselves!!!
Age 55, requested help from my gyno NP (woman age 58) who said no and suggested a supplement. Made appointment with gyno MD in same group for a Menopause appointment. He said no, likely to cause cancer. He put me on Escitalopram for the hot flashes. I spoke to my GP who said she was uncomfortable prescribing it. Finally, I found I could get it online from Alloy. I have now taken 100 mg Progesterone and .5 Estradiol. Sleeping so much better, no hot flashes anymore, no depression.
I'm only 37 with hot flashes, severe mood swings, and this month my joints ached to the point of being out of work for a week
Texan, an OBGYN and Passionate!!! Luv ya!!!
Oh geeze you hit the nail on the head for me no period since I turned 50 I will be 60 in July I was told to suck it up and move on and doctors wonder why we don't go back
You tell it sister! You make me laugh but you are spot on.
My doctor was so informative about my E-3 vag cream . I have been using it for 25 years. I went into menopause at age 43 . I had breast cancer the chemo shut me down. It was horrible the side effects. I will not stop using it. It helps so much and it makes me feel like a woman again.
Get on iodine supplements for your Breast cancer
You are a warrior for women
@@VeeKayGreenerGrass I do
So glad to see this here today. Thank you!
Thanks for the info.
At 49 I went to my PCP and told her I was having hot flashes, heart palpitations, very bad mood swings….she told me I was too young to be in menopause, even though I had a partial hysterectomy at age 30. She put me on Zoloft. 😡
Zoloft is wonderful. I was on that for a long time. Should have never stopped it. Now I'm on trintellix and buspirone. Also very good medicine. I have recurring major depression and GAD Generalized anxiety disorder. Blessings 💞
Find another doctor who listens
Time to change doctor! 😮
@@lovelocked5385that’s not her point. She needed to be treated for perimenopause, not depression.
Hi dr Marie Claire! Your book arrived in the post today!!! I’m happy and hopeful now.
You are a blessing
Wow! Thanks for sharing your story!!! Thanks even more for all you do!!!
Thank you for being real. I’m very sorry for the loss of your brothers. Thank you for sharing your story, your knowledge and for opening our eyes!
WOW! What a woman!!!🤗🤗🤗
Thank you for sharing about your loss
I am so very, very sorry for all of your losses...God bless you ❤️
I noticed to referral for Massachusetts. I had a hard time convincing my obgyn to place me on HRT and only wants to do it for a year. I need to find a new provider that knows menopause in Boston.
Great advice, thank you 🙏
Love your passion
Over this significant transition of life for women 👏🏻👏🏻👏🏻
You’re awesome ❤❤❤❤
Hi Dr. Mary. I live in Portugal and the reality of gynecologists confortable with hrt seems to be the same as what you describe in the US. However, I'm happy to tell you that I was given the option in May by my gynecologist🎉.
I know lots of women who are on hrt and the number seems to be growing🎉. So, the trend is changing, I believe.
I love your videos and am constantly learning with your great talks. Thank you!!!!
I'm really happy to hear that you are going to have other assistance to help you in your practice I really hope there could be one in New Hampshire I'm almost willing to travel to come see you myself if I cannot get any help here in Claremont New Hampshire it's a horrible nightmare to have to go through menopause and you cannot get anyone to understand let alone listen to your symptoms and I always go in with a notebook pad to try to inform the doctor that this is what's going on this is what I've been doing and I just started your Galveston diet and I've already lost 12 lb thank you so much for the help I am 56 and I'm think I'm going to order your book today I believe you said it was on Amazon I really have got to get ahead of the situation I am in at my age
I see an lpn after bring ignored by my very busy family doctor for 15 years. My lpn is in my very small town and really listens to me. Matter of fact she is my age and she recommended me to check you out! Im appreciating that very much ❤
Love all your vids and important information - thank you! And where do you get the cute glasses?!
Youre a JOY ❤❤❤
Thank you
The greatest experiment ever performed on women is a must read!
I have been trying for 7 years! both gyne and gp told me I cannot take hrt for disease prevention and that was my main reason I wanted it as well as all the symptoms of misery - no history of breast cancer blood clots but big history of osteoporosis and heart disease and Alzheimer’s- what motivated me finally my dad passed if heart disease- found a doctor 8 years later and am now on patch- it was very hard to get this- now I have osteopenia which I may have prevented if I was on it earlier. Thank you for educating us - I switched another gyne who I love and has your book!
Boron for osteoporosis... And lift heavy weights.
No, I'm 54 and haven't been offered treatment. At 49 I went to my previous GP (a young female doctor) to talk me about my minor symptoms. She just said "Well, if I had a pound for every middle-aged who said the same thing to me!". Last year I spoke to a young male doctor who was more interested and knowledgeable but he didn't ask for my symptoms, just wanted me to do my own research about HRT and get back to him. I've been having a low mood for a long time and haven't gotten round to actioning this yet.
Yes please
Know the clinical guidelines in your country, better still take a copy with you. If you want hrt, tell the doctor that. If you just go in and list your symptoms without clearly stating your objectives you are less likely to get treated appropriately. Take a friend or family member. When asked about family history, make sure they know everyone who had osteoporosis. If your second cousin's neighbour had breast cancer or a blood clot, maybe leave that out. It has no bearing on you but a less confident provider could jump on it to deny you hrt. Be clear you want a therapeutic dose of your chosen preparation, not the lowest available dose of whatever their formulary says is cheapest. And don't be discouraged if you don't get anywhere the first time. Keep going. Be as tenacious as you would if your child needed medical treatment. If offered antidepressants, decline them (unless you actually are depressed) and even then you still deserve treatment for menopausal symptoms as well!
Have asked about hormones for over a decade. Told by every type of doctor I couldn’t get them bec a sibling had blood clots. Learned from you patches are ok. Will try again. Meanwhile multiple med issues, incl sever Osteo.
So far, my experience has been this 100%. FINALLY offered lo loestrin as a temp solution, but only one month! It helped. Yesterday got my doctor (GP) to Rx Climara Pro combo patch, but I don't think my insurance will cover. I will pay. My doc was nice but reluctant, mentioned needing to be one year without periods, and only being on HRT for short time, to 60yo max.
Would love if you did a video discussing the difference and similarities between hormonal birth control and HRT. It seems as though most practitioners are comfortable prescribing hormones in the form of birth control but not otherwise. Please discuss. I'm baffled and I'm thinking of just staying on hormonal birth control for as long as possible since it is easier.
Same. I wonder what the next step is after BCPs.
I come from supplement industry. Love that you are recommending probiotics! I have preached this for years! Love the Garden of Life you take, but I prefer the Renew Life 150bil with 40 strain diversity. You are so correct, it is the diversity that makes the difference. These are pricey, but worth every penny. Just stock up during sales. I always ask customer or friends who balk at the price... "Would you pay $70/month for magic fix to help you lose weight?" All say yes. They spend money on other things: apps, gyms, non proven weight loss supplements, etc. Probiotics can be like magic for SO many things, even mood. Loving you!
I was recommended the renew Life critical care probiotic years ago when I had a lot of stomach problems. I tried the garden of Life brand and it did absolutely nothing for me and it actually made the problem worse. But the renew life brand I've stuck with it and it's been wonderful for my tummy.
Wow, women’s health is still really not taken seriously by a lot of medical profession. There should be advanced training on menopause and other aspects of women’s health that women are dealing with every day.
Hi doctor , wow you are beautiful and also you don’t look 54 you look amazing ❤🙏😊
Unfortunately I was put on a cocktail of medication that I am afraid to stop taking. Now, I am a walking pharmacy and take those forever? My sister is worse.
We are on the list to see you. I can't wait!
Your information is ver helpful, thank you. I was surprised you said you didn’t know what a functional doctor/functional medicine is. It’s quite common
Yea. Pretty snotty, ill-informed comment 🙄
Thank you for this !!! Sending you a million and one blessing for a happy healthy life :)
I’m in Canada, any recommendations for advice and medical providers in BC, that you are aware of, thanks.
I had what I believe to be an anxiety attack at work today and had to rush out of my office and go home. My anxiety is through the roof. And I cannot lose weight to save my life. I don’t know what to do!
I was lucky. I was offered an Estrodot patch!
Hi Mary, I have Keurig machine too. What’s the name of your coffee?
My first gynecologist I went to in Connecticut, whom I chose because I saw her name on a list of gynecologist who help women with menopausal symptoms, told me if I was depressed I should go to a therapist but any other menopausal symptoms I would basically have to suck it up about! My new gynecologist I started seeing last weekt wants to try Fosteum Plus (?) and some lifestyle changes. The Fosteum plus isn't covered by my insurance though. Does it help?? I have aaaallll the symptoms you mentioned in the first 5 minutes of your video!!
I shared all my menopause symptoms and was offered the patch it has helped me with hot flashes but the waist keeps growing and I am still having having mood issues.
Hi. I’ll be 48 in a couple days and have been experiencing acute perimenopausal symtoms, most recently plantar fasciitis. The private obgyn I saw suggested birth control. She said ERT was north the best idea at the moment because ERT might provide too much estrogen. Not sure what to do. I can’t take this anymore. My body is falling apart.
When I have talked about menopause automatically they want you to go to a ob/ gynecologist. They don’t try to give you any advice or anything.
I continued my anti depressant because without it during peri/ post menopausal , I was a emotional mess. I started symptoms at 35. I’m now 57.
So my concerns now is hot flashes and the weight gain.
My doctor only tells me to watch what I eat . That’s true but it’s like they don’t even want to help .
I think I’m going to change doctors.
20:12 THANK YOU! 45y/o TOTALLY perimenopausal and has offered antidepressants, the pill, and after me complaining compounding creams…not thrilled with results😢 Considering going to Texas to see you. Do you facilitate closer together appointments and testing for out of town patients? Thank you so much for you work!
Same here I was offered bc pills and antidepressants, never went back to that Dr
How long is HRT possibly ? I have pretty much figured out my own treatment so far . Have palpitations, depression, high blood pressure , etc … so irritated having to doctor myself .
Hi:), probiotics or dygestive enzymes ?
I found someone, but I have to pay cash. Insurance doesn't cover treatment.
What do you think about cyclogest?
Hello Doctor, if I have congestive pelvis síndrome means I’m not a candidate go HRT? Thank you Doctor, you are the best!
I’m curious if my symptoms are low with diet, is hormone replacement necessary for brain and physical health? My doc said wouldn’t prescribe when had symptoms, but diet has helped tremendously.
My wife is simply not receiving the proper care to coordinate any Peri issues along with her Thyroid and PCOS - the doctors are so busy treating the various problems individually, they are not looking at this from a whole perspective. Seems like they simply don't care.
The oral progesterone makes me very sick, 100mg. What are other options pls. Ontario Canada
I have to give credit to Kaiser Permanente because they only checked FSH and prolactin at 42 with symptoms and i got my hrt.
I was put on birth control and given effexor which sent me in a crazy spiral bc I became an unproductive care bear and when I tried to wean off it got scary.
I am a healthy young 85. I am on Hrt patch. Do I recommend. Continuing taking Hrt
I was offered Paxil for hot flashes even though I shared that I am struggling with weight gain as well.
Taking lots of cabbage and broccoli (cruciferous vegetables) helps keep hot flashes away.
Can you checkout MIDI?
I don’t see buy Winona on your blog anymore is there a reason you took them off? I’m using them now
I was offered a small dosage of prempro.
I’m scared of esophagil and stomach cancer bc how bad my gastritis is. I want to know more how I can prevent further issues with diet. I have been prescribed protonix but have read over a long period of time that it can reduce my bone density and osteoporosis runs in the family 😕
My primary care doc gave me the combipatch. It's has helped significantly w my hot flashes..is it better to take the progesterone separately as a pill or in this patch? Is BHRT better than this? Thanks do much for your wisdom!!!
Of course incorporation of exercise
Yes hrt
I turn 60 next month and had my last period at 56 with hardly any menopause symptoms except tolerable hot flashes now and then and some weight gain. I have never taken any kind of hormones. Should I now although I'm 60 and really don't have symptoms?
My gyno said HRT was only needed if I was having a lot of symptoms and only short term 🤷🏻♀️
Do you recommend hrt if there is breast cancer history in family (maternal grandmother).?
Winona gives DHEA I believe.
Any doctors in the southwest suburbs of Chicago available? It seems that they are all far from here.
Transdermal estrodiol was perfect for me.
Is estrogen the pill?
Went to my doctor & wasn't offered any treatment. It's very frustrating.
Does estradiol.03 very low and does it have progesterone too? I’m confused sorry to bother.
I was told by one doctor that I was in the process of menopause, I have an IUD so I already do not have a period. I went to an OB/GYN to get my hormone levels tested and she said that since I have an IUD I cannot get my hormone levels tested. She said having the IUD should help me with any symptoms that I would be having if I was in menopause but there’s no way of her telling me if I am in menopause because I have an IUD. I am concerned about the depression, part that I’m having, a little of the mood swings, hair, thinning, breaking off, dry skin.
Hair thinning is thyroid. Take selenium and iodine for your thyroid.
Thinning hair can also be a menopause related thing too, @jackiel7726
My husband thinks I have dementia....I'm hoping it has to do with menopause !
How do we know how to talk about dosages of estrogen & progesterone, if our Dr. is not well versed? What dose to start, how to know when and what adjustments are needed, like what symptoms mean more or less estrogen or more or less progesterone?
You need to find someone that will do bloodwork to find your levels and go from there.
My gyn gave me .25 estrogen patches and 100 mg progesterone to start with then went to .5 estrogen patches.
I am back on HRT second month. I've had 2 migraines, one each month and its always after I had the progesterone back into the mix. Can I do anything to minimize this?
What do you think about maca, viteks, wild yam?
Vitex is great. Taking it for my Estrogen dominance...
I was thrown into menopause surgically at 32. I'm 62 and my new GYN wants me off HRT immediately. She said Im high risk of stroke because of being on HRT for so long. Im starting to experience tons of symptoms which she said is not related. No labs done. Gained 10 lbs in 6 months, can't sleep hot flashes, no energy. I'm very concerned. How do I find a provider that will work with me?
Try fasting...read Fast Like A Girl by Mindy Pelz, see if this helps
Go to the national menopause website and search for a doctor
I am a 55 year old woman who has been in perimenopause for quite a few years. I went to my doctor for HRT and they told me I wasn't a candidate for it because my mother died from breast cancer. I don't know what to do? I take a probiotic everyday, try and remember to take iodine and I rarely eat junk food. I still have hot flashes, disturbed sleep, and a spare tire around my middle, and absolutely no libido. I welcome any suggestions you can offer. Thank you so much for helping us women who don't seem to be relevant anymore since we can't have babies, etc, anymore. So frustrating!
Iodine supplements prevent breast cancer
Those supplement bottles are backwards on screen...
Menopause tool kit what will help reduce inflammation and nutrition and sleep wellness.
My results were consistent with peri menopause. I was offered low dose progesterone and the pill. I have a cousin who got breast cancer after starting HRT and I’m at risk for blood clots. I really need help for my symptoms of fatigue, belly fat, weight gain, and mood swings. What is my best option?
Iodine supplements prevent breast cancer
I do not see anyone in Arizona. Bummer
How do you know how much? I,m on a .5 patch and I feel like I hold so much water. If I go down it’s not enough.😢
Hi my name is Denise from Liverpool England. I love all your bvlogs on utube . I have just been given hrt but testosterone is not available her in England unless I pay £500 to go private I find this so sad .
Ashwarghanda helps for testestorone.