Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Today, I am honored to connect with Dr. Mary Claire Haver, a board-certified OBGYN who has dedicated her entire adult life to championing women's health. 

Dr. Haver is the visionary creator of the Galveston Diet, the first and only nutrition program ever designed by a female OBGYN to cater to menopausal women. 

In our conversation today, Dr. Haver shares her background, and we discuss her new book, The Galveston Diet. We examine the glaring systemic gap where the health of middle-aged women remains undervalued and underfunded in research, and our discussion touches on various facets of women's health, including perimenopausal symptoms, the distinction between chronological and endocrine aging, the scientific misconceptions surrounding weight gain and hormones, the advantages of intermittent fasting, inflammation, macros. We also get into the supplements Dr. Haver finds beneficial for women in middle age, in addition to dissecting the impact of non-nutritive sweeteners and the role of continuous glucose monitors.

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Today, I am thrilled to speak with Dr. Carrie Jones to delve into the concept of the "middle pause," which refers to the transition from perimenopause to menopause. We’ll examine how lifestyle habits that were effective in women's 20s and 30s may lose their efficacy during this phase. Dr. Jones emphasizes the reduced capacity to "burn the candle at both ends" and the transition from people-pleasing to more straightforward communication. We’ll cover the behavioral impacts of hormonal changes, the significance of hormone replacement therapy (HRT), and the importance of adrenal health. We both stress the need for women to seek supportive healthcare providers and embrace this transitional period. Tune in!

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Bio: Dr. Carrie Jones

Dr. Carrie Jones is an internationally recognized speaker, consultant, author, and educator on the topic of women's health and hormones with over 20 years in the industry. Dubbed the “Queen of Hormones,” Dr. Jones is a Naturopathic Physician who did her 2-year residency focused on women's health and endocrinology. She went on to get her Master of Public Health (MPH), was one of the first to become board-certified through the American Board of Naturopathic Endocrinology (FABNE), and is a Menopause Society Certified Practitioner (MSCP). She was the first Medical Director for Precision Analytical (the DUTCH Test) and the first Head of Medical Education at Rupa Health. She co-hosts the highly popular show, the Root Cause Medicine Podcast which has over 10 million downloads. She is the Clinical Expert for the Lifestyle Matrix Resource Center, was on Under Armour’s Human Performance Council, and is an advisor for MetaPause. Currently, she is the Chief Medical Officer at NuEthix Formulations.

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Today, I am thrilled to reconnect with my friend and colleague, Dr. Nina Teicholz, an investigative science journalist, author, nutritional thought leader, and a science writer I love to follow. 

In our conversation today, Dr. Teicholz highlights the challenges of distinguishing real news from propaganda, and we examine how nutritional dogma shapes the identity of many individuals. We explore the history and consequences of our food guidelines, including the Diet-Heart Hypothesis and the Seven Countries Study, looking at the impact of cancel culture in science, the role of seed oils and processed carbohydrates, and the misconceptions about red and processed meats. She also shares her vision for the future, which includes much-needed shifts in nutritional guidelines to improve metabolic health. 

This discussion with Nina Teicholz is eye-opening, so you may want to listen to it more than once.

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Bio: Nina Teicholz

Nina Teicholz, a science journalist, is the author of the New York Times bestseller The Big Fat Surprise, which upended the conventional wisdom on dietary fat–especially saturated fat—and spurred a new conversation about whether these fats in fact cause heart disease. Named a *Best Book* of the Year by The Economist, The Wall Street Journal, and Mother Jones, among others, it continues to be called a must-read for anyone seeking to understand the amazing story of how we came to believe fat is bad for health and what a better diet might look like. Nina is also the founder of the Nutrition Coalition, a non-profit working to ensure that government nutrition policy is transparent and evidence-based-work for which she’s been asked to testify before the U.S. Department of Agriculture and the Canadian Senate. Teicholz is a graduate of Stanford and Oxford Universities and previously served as associate director of the Center for Globalization and Sustainable Development at Columbia University. Dr. Teicholz lives in New York City with her husband and two sons.

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Today, I am honored to connect with Catharine Arnston, the Founder, CEO, and Chief Scientific Officer of ENERGYbits. 

I was fortunate to have had the opportunity to meet Catharine in person this past July at KetoCon in Austin. Much of her work focuses on optimizing mitochondrial function and recognizing that mitochondria are pivotal to our metabolism, longevity, brain and gut health, sleep, digestion, and almost everything else. 

In our conversation, we dive into what got Catharine passionate about algae. We speak about her transition from a corporate economic development role into a budding entrepreneur, the distinctions between micro and macroalgae, and the more than 100,000 studies that have been done- especially in Asia, that show algae are of the most alkaline and nutrient-dense foods available. We differentiate between spirulina and chlorella and explain their roles in our mitochondrial health. We also discuss how our stressful lifestyles impact our cellular health and talk about autophagy, red light therapy, immune function, and more.

I hope you enjoy today’s eye-opening discussion about the value of consuming microalgae daily. Stay tuned to find out what microalgae are and what they do to keep you healthy!

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Resources:

Why Algae is a Food, Not a Supplement Article

Algae Article

Chlorophyll Article

Collagen Article

I am thrilled to today reconnect with my friend and colleague, Dr. Jenn Simmons, who last joined me on Episode 432. Dr. Jenn is an integrative oncologist, breast surgeon, author, podcast host, and the founder of PerfeQTion Imaging. 

In this episode, we address a range of listener questions, exploring the differences between screenings and diagnostic testing, the use of hormone replacement therapy in breast cancer patients, and more. We also dive into common concerns like fasting, what to do if you find a lump, and the role of targeted supplementation. 

I know you will find this discussion with Dr. Jenn Simmons informative, engaging, and incredibly valuable.

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We have a mashup episode today, exploring heart health during menopause and the benefits of hormone replacement therapy. 

In this episode, Dr. Felice Gersh dives into the role of estrogen in immune function, inflammation, and heart health. Dr. Deb Matthew highlights the importance of assessing cardiovascular risks and hormone balance in perimenopausal and menopausal women to optimize heart health and minimize reliance on statins.

Join us as Dr. Matthew and Dr. Gersh share their insights on heart health, hormones, and menopause.

Ep. 356: Menopause, Heart Health, and HRT with Dr. Felice Gersh

[00:01:53] Dr. Gersh guides listeners in understanding and appreciating the impact of estrogen on immune function, inflammation, and the healing processes within the body.

[49:33] Estradiol is vital for heart health, and its decline after menopause can lead to issues like stiffening of the heart, heart failure, and arrhythmias in women.

Ep. 325 Menopausal Toolkit: Heart, Brain and Hormonal Health with Dr. Deb Matthew

[00:01:30] Most women fear breast cancer more than heart disease, even though cardiovascular disease is the leading cause of death in women. Yet, clinicians fail to talk enough about the effectiveness of hormone replacement therapy in mitigating the risk of heart disease during perimenopause and menopause. 

[00:04:04] While estrogen can benefit the cardiovascular health of women, the risks associated with oral estrogen and synthetic forms, including blood clots and artery plaque instability, have led to hesitancy in using hormone replacement therapy despite its potential long-term benefits when administered correctly.

[00:11:26] The balance of hormones like testosterone, DHEA, and cortisol plays a crucial role in cardiovascular health. Imbalances, such as flat cortisol patterns due to stress, potentially increase the risk of heart disease. Dr. Matthew uses tests like coronary artery scans and coronary intima-media thickness to assess cardiovascular risk in patients before considering hormone replacement therapy.

[00:20:22] Dr. Matthew emphasizes the importance of advanced lipid testing, addressing the nuances of cholesterol particle size and inflammation, balancing hormones, and optimizing thyroid and blood sugar levels to manage cardiovascular risk instead of immediately resorting to statins.

Bio: Dr. Deb Matthew

Dr. Deb Matthew MD, The Happy Hormones Doctor, is a best-selling author, international speaker, educator, wife, and mom of four boys. After suffering for years from fatigue and irritability due to hormone imbalances, her quest to resolve her personal health led her to change everything about her practice of medicine. She has been featured on national podcasts, radio, and broadcast shows, including NBC, ABC, CBS, and FOX. Her books, This Is NOT Normal! and Why Can't I Keep Up Anymore? address hormone health in women and men.

Bio: Dr. Felice Gersh

Dr. Felice Gersh is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. She is also a recognized expert on PCOS.

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I’m delighted to connect with Dr. Izabella Wentz today! She is a PharmD, an internationally acclaimed thyroid specialist, and a licensed pharmacist who has dedicated her career to addressing the root causes of autoimmune thyroid disease. She is also the author of three books. Her most recent book is The Adrenal Transformation Protocol.

Dr. Wentz joins me to dive into how to identify what is going on with our adrenal health and why adrenal issues tend to occur along with thyroid issues. We speak about her background and how it influenced her life’s work, the myth of adrenal fatigue, and HPA dysfunction. We also discuss the physiology of the adrenals, acute versus chronic stress, signs of a dysregulated HPA axis, lifestyle, the impact of trauma, and how Dr. Wentz’s protocol works. 

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Bio:

Izabella Wentz, PharmD, FASCP, is an internationally acclaimed thyroid specialist and a licensed pharmacist who has dedicated her career to addressing the root causes of autoimmune thyroid disease after being diagnosed with Hashimoto’s thyroiditis in 2009. She is the author of three books on Hashimoto’s: Hashimoto’s Thyroiditis Lifestyle Interventions for Finding and Treating the Root Cause, Hashimoto’s Food Pharmacology, and Hashimoto’s Protocol, which became a #1 New York Times bestseller. Dr. Wentz currently lives in Texas with her husband, Michael, and their son, Dimitry.

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Get Dr. Wentz’s adrenal healing guide: The ABCs of Adrenal Support

Find Dr. Wentz’s new book, The Adrenal Transformation Protocol 

Book Mentioned:

From Fatigued to Fantastic by Jacob Teitelbaum

I am excited today to connect with my friend and colleague, Jackie Piasta. Jackie is Vanderbilt-trained and has been board-certified as a women’s and gender health nurse practitioner. She has been practicing since 2010. She serves on medical advisory committees for several foundations and co-hosts the justASK Podcast. 

In our conversation, we dive into the challenges and complexities surrounding menopausal hormone replacement therapy and FDA-approved formulations, looking at the minute percentage of women currently on menopausal hormone replacement therapy. We discuss supraphysiologic-dosing of hormones and lab work strategies regarding prescribing lifestyle, and Jackie clarifies how she differentiates hypoactive sexual disorder from low libido and dysfunctional uterine bleeding from early menopause. We explore IUDs, ablations, and other long-term bleeding therapy options, explaining how endometriosis can impact the onset of menopause. Jackie also shares her approach to managing patients who have had ablations or are using IUD therapies and not getting regular menstrual cycles, helping them to determine when they transition into menopause.

This conversation is full of valuable insights, and we look forward to having Jackie back for a further deep dive into this pivotal stage of women’s health.

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Welcome to today's special AMA episode, where we dive into questions from listeners regarding supplementation to support hormonal health, hormone replacement therapy, and the specific circumstances surrounding perimenopause and menopause. 

We have included the relevant research links with actionable information to take to your providers. We will also happily share the provider PDF we compiled featuring experts across the United States who specialize in perimenopausal and menopausal hormone replacement therapy and links to MIDI Health, a telemedicine company I find beneficially conservative in that they can provide access to appropriate FDA-approved options to help women use their insurance to gain access to estrogen patches, oral micronized progesterone, and compounded options inexpensively.

I know you will find all the information about hormone replacement therapy, perimenopause, menopause, and targeted supplementation invaluable, and please keep on sending us your questions.

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I am delighted to connect with Brad Kearns today! Brad is a New York Times bestselling author, Guinness World Record setting professional Speedgolfer, #1 ranked USA high jumper, and a former US national champion and triathlete. He hosts the B.rad podcast covering healthy living, peak performance, and personal growth.

Brad has always had high standards and a competitive edge that he never wants to let go of, especially as he ages. In this episode, we define fitness and dive into the cultural programming within the western medicine mindset. We talk about avoiding overtraining or training when we are stressed or sick, stress hormones, and the importance of having an ancestral health perspective on your physical activity. We also spoke about nutritional dogma, nutritional philosophies, critical thinking, and more. 

I hope you enjoy listening to today’s conversation with Brad Kearns as much as I did recording it! Stay tuned to learn how to pursue peak performance with passion throughout your life! 

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Bio:

Brad Kearns is a New York Times bestselling author, Guinness World Record setting professional Speedgolfer, #1 ranked USA age 55-59 high jumper and former US national champion, and #3 world-ranked professional triathlete. He hosts the B.rad podcast covering healthy living, peak performance, and personal growth with his carefree style and lively sense of humor. 

 Brad has written over twenty books on diet, health, peak performance, and ancestral living, and is a popular speaker, retreat host, and host of numerous online multimedia educational courses at BradKearns.com. In 2017, The Keto Reset Diet (co-authored with Mark Sisson) became New York Times bestseller, and #1 ranked overall bestselling book on amazon.com for two days. 

 Brad's main message is to encourage the pursuit of peak performance with passion throughout life. He promotes the importance of performing a daily morning exercise routine for a natural energy boost, improved strength, mobility, and flexibility, and better focus and discipline in all areas of life.

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Resources:

Jay Feldman’s The Energy Balance Podcast

Mark Sisson’s Primal Essential Movements on YouTube

Books mentioned:

Metabolical: The Lure and the Lies of Processed Food, Nutrition, and Modern Medicine by Robert. H. Lustig

The Keto Reset Diet: Reboot Your Metabolism in 21 Days and Burn Fat Forever by Mark Sisson