WEBVTT
1
00:00:01.297 --> 00:00:24.297
Mornings have a rhythm. You can hear it, feel it. And at Quaker, we fuel it. With 100% whole grain oats and a good source of fiber in every bowl, helping you turn that rhythm into your soundtrack for a great day. Fuel to start whatever's next. Quaker, official sponsor of FIFA World Cup 26.
2
00:00:30.406 --> 00:01:00.106
Hey, it's Christy from Lululemon, and I'm here at the office checking out the Shake It Out shorts. These have been my go-tos, and I kind of think of them as a middle ground between a true run short and a more playful, athletic, sporty short. They have all the performance you want for running, so a comfy liner, our lightweight, swift fabric, even a pocket for your keys. But what I really like is the flowy fit and layered hem. It gives it a little bit of volume, a little bit of fun, so they feel as good on a run as they do just at coffee afterwards. You can find the Shake It Out shorts in-store now or online at lululemon.com.
3
00:01:02.671 --> 00:01:29.249
Chevy is called the heartbeat of America for a reason. With SUVs made to move with your rhythm. The versatile Equinox tackles your entire day. The spacious Traverse fits your crew and your whole weekend. And Trax brings style with value you can count on. All infused with tech that has your back. So your drive always hits the right chord. Chevrolet. Together let's drive it.
4
00:01:30.582 --> 00:01:58.662
Why do you think that there are so many high-performing, health-conscious women, I mean, women that are like watching all the shows, reading everything, doing all the right things, and they're still struggling? They're struggling with weight, struggling with digestion, energy. What's going on? I think chronic or significant childhood events have a way of unwinding and perimenopause. You know, whatever adaptive patterns someone has...
5
00:01:58.662 --> 00:02:16.567
created to be able to deal with what they experienced as a child or young adult becomes very maladaptive at some point. And I say this lovingly as someone who has an ACE score of nine, I have quite a high ACE score. And so in perimenopause, the wheels fell off the bus and it has a lot to do with these changes in hormones. All of a sudden,
6
00:02:16.567 --> 00:02:41.474
you know, whatever adaptive strategies you had before. It's like, it's suddenly like the getting up early in the morning and forcing yourself through a workout and not dealing with your stress. And all of a sudden these things start to come out. The autoimmune conditions really become problematic. So I think for a lot of people, underlying trauma and stress is at the basis for a lot of issues that I see in women in middle age that are doing all the other work that,
7
00:02:41.812 --> 00:02:58.653
and then not understanding that complex in a relationship. So think about how chronic stress and trauma rewires your autonomic nervous system. So suddenly you have someone who has a kind of sympathetic dominant state where they have elevated cortisol. Cortisol is not a bad hormone. It gets such a bad...
8
00:02:58.653 --> 00:03:25.518
I'm so sick of the exercise cortisol situation online. So thank you. It's like hormetic stress. But understanding that, you know, if stress is persistent and bothersome over time, what does cortisol do? It catabolic, so it breaks down muscle. It impacts your immune system. You're gonna be more susceptible to opportunistic infections, more likely to develop leaky guts. I mean, cortisol can be caustic over time. And so I think for a lot of people,
9
00:03:25.518 --> 00:03:41.515
they don't understand how that kind of rewires your nervous system and also impacts your health on such a significant level. So I think this is my working hypothesis. There are a lot of women in perimenopause and menopause that suddenly that trauma that they suppressed
10
00:03:41.515 --> 00:04:08.212
They pretend it wasn't there, avails itself. I think this contributes to a lot of midlife divorces. I think it also contributes to a lot of health problems that women experience. So I would say it is not just the gut health piece that's not being addressed. I would also say on the other side of that is this chronic trauma piece that is not being looked at. And I think, you know, even with all the experts that I know you and I have had on our podcasts, no one's really speaking to that. And yet I think it is something that...
11
00:04:08.212 --> 00:04:12.599
is really pervasive and corrosive. And if you don't deal with your shit...
12
00:04:12.970 --> 00:04:38.789
it is going to come back to get you. It's stinky. I'll link to Amy Apigian. We've had her on a couple of times. But it makes me think of this. I literally said this today on a podcast. I said, you know, if I could go back and tell my younger self, it would be learn how to manage your stress before you get into perimenopause. Because if you don't. Because if you don't, guess what? And so that's just taking it to the next level. I had an ACE score of six.
13
00:04:38.789 --> 00:04:56.069
And I have not met someone with a nine. And maybe tell someone what that means. Yeah. Oh, yeah. So I think when we talk about trauma, I think most of us acknowledge, and I trained in inner city Baltimore. So I saw murder, rape, suicide. I mean, horrible things that we, there's no one's going to question that that is traumatizing.
14
00:04:56.069 --> 00:05:24.672
But I'm really speaking to the little T trauma, the insidious stuff, the addiction, neglect, whether it's emotional or physical, you know, other types of, you know, stressors, loneliness or bullying. And it's, you know, this kind of cumulative long-term effect of these things that can really impact us. And so certainly for me, in my childhood with, I had an alcoholic parent who was on the spectrum. I think we all had alcoholic parents in our age range. Yes. Alcoholic parents. Tim and I talk about this. It's like.
15
00:05:24.672 --> 00:05:42.475
And a narcissistic mother. And so growing up in that environment, the way that I adapted was to be like the good kid. So I got good grades and I was popular and I never gave my parents a problem. But it gets to a point that's very heavy to hold for a long period of time. And so I think for...
16
00:05:42.475 --> 00:06:00.818
Those of us that have experienced those things, we adapt to our environments. Probably why I became a nurse and later a nurse practitioner because I wanted to help take care of others. And so the service to others kind of mentality, but I think for so many people listening, whether you experienced overt neglect or other things,
17
00:06:00.818 --> 00:06:20.866
I think it imprints us and it becomes much harder to wear that mask as we get older. The mask comes down in the absence of hormones. Estrogen is a people-pleasing hormone. I can tell you as a reformed people pleaser, I don't know how I ever survived in the absence of that degree of estrogen that I had when I was still in traditional allopathic medicine.
18
00:06:20.866 --> 00:06:43.681
But I think for a lot of people, the mask comes off in perimenopause. People find their voice and suddenly they really start standing up for themselves in a way that I think can be very positive and uplifting. It doesn't have to be negative. Yeah. But you have to put the work in. And so I think this is that time where people have to put the work in. If you're that busy, stressed midlife woman and now the mask is coming down.
19
00:06:43.681 --> 00:07:06.310
What would move the needle fastest to get you back into some kind of homeostasis? Yeah, I would say first and foremost, you got to sleep. So that's usually the first thing that we're addressing. You need to find some form of stress management that you can do consistently. And what might work for you and I may not work for someone else, whether that's putting your feet in the earth, whether it's getting the connection to nature in the morning, whether it's taking a walk. Dogs.
20
00:07:06.378 --> 00:07:26.594
Yes, dogs. Between us both, we have six dogs. Learning how to say no. Like how hard is it as a people-pleased or know how to say no and not explain yourself? You know, when estrogen comes down, you say no. To everything. Like it's that beautiful switch that once these things come down, even with hormone replacement, they're not the same. Nope. And all of a sudden you're like, oh, you don't like me?
21
00:07:26.594 --> 00:07:51.215
don't care. No, I'm not going to go there just because you asked me. Yeah, it doesn't work that way. Don't need to. Yeah. But I mean, I think having boundaries is a way to preserve your sanity and your stress management. I think other things that I think about that are kind of like low-lying fruit, like learning how to eat less often. You know, we as a nation eat, you know, anywhere from seven to 10 times a day. It's like, you don't have to intermittent fast, but even 12 or 13 hours of digestive rest.
22
00:07:51.215 --> 00:08:13.928
Those are simple things that people can do up front. Well, simple in that I'm saying it is simple. Sometimes the sleep piece is elusive and takes a while to tease out. But I think for a lot of individuals, I'm not talking about buying a gadget or doing some complicated diet. Although I've been using this Pulsetto. I love Pulsetto. I'm obsessed with this thing. Do you know, did it impact your HRV? It's the only thing I've ever used. It's dropped. My HRV's gone up. Yeah, it's the...
23
00:08:13.928 --> 00:08:36.845
I will tell you, I've tried all the gadgets because they send me all the gadgets. I'm like, this didn't do a thing. And I'm so hopeful. I'm like, oh, please do something. This one does something. Yeah, my HRV has gone up, which is what I've been telling people. I'm like, I was almost hesitant to say anything because I didn't know about it when I wrote my book. That's number one. Number two, I was like, I'm cautiously optimistic. Like, oh my God. I love it.
24
00:08:36.845 --> 00:09:02.798
And I'm someone that I know when my HRV goes down because it impacts everything else. But I think for a lot of people, they want us to say a gadget. And I'm like, you can do breath work, whatever the thing like you said. Box breathing. Like instead of doing CrossFit six days a week with no, or Orange Theory Fitness six days a week with no recovery, like learn how to take a slow-fo yoga class or get outside and walk in nature. Like I'm talking about simple things that we know...
25
00:09:02.798 --> 00:09:27.959
on a very basic level, are going to improve your quality of life, but are also going to have a positive net impact on the microbiome. This is before we even get to complicated stuff. I mean, I run the gamut in the book. I mean, that was, you know, I spent a concerted effort to make sure it ran from simple free stuff all the way up to, you know, interventions that involve other experts and hiring people to help you and stuff like that. So let's deeper dive on estrobalones.
26
00:09:27.959 --> 00:09:57.710
So this is your estrogen processing center of the microbiome. It is really important. It's important both before menopause and after. But it's where your body, you know, the liver is this primary site to break down things that you're exposed to. I'm going to oversimplify things. But to break it into water-soluble compounds where it goes to the gut and it's supposed to get packaged up like a present and pooped out of your body. But what can happen is if you don't have the right microbiome constituency, you're eating a garbage diet, you're super stressed.
27
00:09:57.710 --> 00:10:26.380
your estrogen can get recirculated. And these are the symptoms that make women really unhappy in perimenopause. This is when breast tenderness, weight loss resistance, brain fog, rashes, digestive concerns. I mean, it runs the gamut. For me, from my perspective, if you understand that the estroblum is nurtured by the way we manage our lifestyle and the types of foods that we eat and the way we manage our stress, we've talked about stress, like this Goldilocks effect of stress, like beneficial stress, right amount, right time,
28
00:10:26.380 --> 00:10:52.064
versus chronic stress, and how the estrobilome is so important for managing and mitigating how we excrete our estrogen. And here's the thing, even in menopause, even if you're on HRT, if you're exposed to a lot of estrogen-mimicking chemicals in your environment, personal care products, or food, that can throw off the estrobilome. So it does matter what we use in our personal lives. It is not irrelevant. It is not woo-woo.
29
00:10:52.064 --> 00:11:19.115
You know, we know that these estrogen-mimicking chemicals can be 100 or even up to 1,000 times more potent than the hormone itself. So if you think it's not important, I always remind people, like, don't be paranoid, but just make conscientious efforts when you're purchasing deodorant or you are drinking your water. And I acknowledge, like, when I travel through airports, I don't stress about getting a bottle of water. It's like, yes, I'm exposed to some microplastics, but I need the hydration and I'm not going to stress about it. But I think for a lot of people, they assume it's just irrelevant.
30
00:11:19.115 --> 00:11:44.140
Would you be looking at, say, a urine hormone test? Like, how would you know if this is working correctly? Yeah. But there's also in stool testing, we look at things like beta-glucuronidase, which is an important enzyme that goes in and kind of helps break down the estrogen. And if it's elevated, it can be a sign that maybe things are not optimal. I think for a lot of people, it's really just getting a sense of symptoms. And then we can look at blood work.
31
00:11:44.140 --> 00:12:03.547
Are they metabolizing things properly? But that stool testing piece, I think, can be very important. And then I would say that is where I think stool testing can be really helpful. And it doesn't necessarily mean that everyone has to run out and get a stool test. But I do think having a sense of whether or not the estrobilom, I'm laughing because someone the other day called estrobilomi. And I was like trying so hard not to laugh.
32
00:12:03.547 --> 00:12:22.683
When I was talking to this person, I was like, I get it. It's kind of an awkward way of describing the estrogen processing center of the gut microbiome. So they called it that the entire time. It's sort of like someone has been in their teeth and you didn't tell them. I was like trying so hard. I was like, it makes me think of bologna. And I was like trying to, I was trying very hard not to like correct them. I was like afterwards, I was like, it's a strobola.
33
00:12:22.885 --> 00:12:39.727
They're like, oh, I thought it was a strobilomi. It actually is easier to pronounce a strobilomi. Anyway, if you could delete one piece of advice that women have been given about menopause, what would it be? And what would you replace it with? I think I would encourage women to be...
34
00:12:39.929 --> 00:13:09.292
their own best advocates. So this kind of patriarchal environment where you go to your provider and they tell you what to do. And a lot of the women are being that way. It's like, come on, women. Yeah. I mean, it goes, and it can even be from female providers. They go and they don't, their providers don't want to be challenged. They don't want to be questioned. I'm like, aren't those days behind us? I thought they were. So I think that if you are a middle-aged woman and you're seeking really good care and the person that you are seeing is not providing the care that you want, I give you permission to fire them. I've done it.
35
00:13:09.292 --> 00:13:23.551
I did it. You know, the old days where you had an insurance plan and you had to go to this person and you're like, that is not, you are now hiring someone. It's a free agency. Yeah. It's like the COO of your health. You're the CEO. You better choose wisely. Yeah.
1
00:00:01.297 --> 00:00:24.297
Mornings have a rhythm. You can hear it, feel it. And at Quaker, we fuel it. With 100% whole grain oats and a good source of fiber in every bowl, helping you turn that rhythm into your soundtrack for a great day. Fuel to start whatever's next. Quaker, official sponsor of FIFA World Cup 26.
2
00:00:30.406 --> 00:01:00.106
Hey, it's Christy from Lululemon, and I'm here at the office checking out the Shake It Out shorts. These have been my go-tos, and I kind of think of them as a middle ground between a true run short and a more playful, athletic, sporty short. They have all the performance you want for running, so a comfy liner, our lightweight, swift fabric, even a pocket for your keys. But what I really like is the flowy fit and layered hem. It gives it a little bit of volume, a little bit of fun, so they feel as good on a run as they do just at coffee afterwards. You can find the Shake It Out shorts in-store now or online at lululemon.com.
3
00:01:02.671 --> 00:01:29.249
Chevy is called the heartbeat of America for a reason. With SUVs made to move with your rhythm. The versatile Equinox tackles your entire day. The spacious Traverse fits your crew and your whole weekend. And Trax brings style with value you can count on. All infused with tech that has your back. So your drive always hits the right chord. Chevrolet. Together let's drive it.
4
00:01:30.582 --> 00:01:58.662
Why do you think that there are so many high-performing, health-conscious women, I mean, women that are like watching all the shows, reading everything, doing all the right things, and they're still struggling? They're struggling with weight, struggling with digestion, energy. What's going on? I think chronic or significant childhood events have a way of unwinding and perimenopause. You know, whatever adaptive patterns someone has...
5
00:01:58.662 --> 00:02:16.567
created to be able to deal with what they experienced as a child or young adult becomes very maladaptive at some point. And I say this lovingly as someone who has an ACE score of nine, I have quite a high ACE score. And so in perimenopause, the wheels fell off the bus and it has a lot to do with these changes in hormones. All of a sudden,
6
00:02:16.567 --> 00:02:41.474
you know, whatever adaptive strategies you had before. It's like, it's suddenly like the getting up early in the morning and forcing yourself through a workout and not dealing with your stress. And all of a sudden these things start to come out. The autoimmune conditions really become problematic. So I think for a lot of people, underlying trauma and stress is at the basis for a lot of issues that I see in women in middle age that are doing all the other work that,
7
00:02:41.812 --> 00:02:58.653
and then not understanding that complex in a relationship. So think about how chronic stress and trauma rewires your autonomic nervous system. So suddenly you have someone who has a kind of sympathetic dominant state where they have elevated cortisol. Cortisol is not a bad hormone. It gets such a bad...
8
00:02:58.653 --> 00:03:25.518
I'm so sick of the exercise cortisol situation online. So thank you. It's like hormetic stress. But understanding that, you know, if stress is persistent and bothersome over time, what does cortisol do? It catabolic, so it breaks down muscle. It impacts your immune system. You're gonna be more susceptible to opportunistic infections, more likely to develop leaky guts. I mean, cortisol can be caustic over time. And so I think for a lot of people,
9
00:03:25.518 --> 00:03:41.515
they don't understand how that kind of rewires your nervous system and also impacts your health on such a significant level. So I think this is my working hypothesis. There are a lot of women in perimenopause and menopause that suddenly that trauma that they suppressed
10
00:03:41.515 --> 00:04:08.212
They pretend it wasn't there, avails itself. I think this contributes to a lot of midlife divorces. I think it also contributes to a lot of health problems that women experience. So I would say it is not just the gut health piece that's not being addressed. I would also say on the other side of that is this chronic trauma piece that is not being looked at. And I think, you know, even with all the experts that I know you and I have had on our podcasts, no one's really speaking to that. And yet I think it is something that...
11
00:04:08.212 --> 00:04:12.599
is really pervasive and corrosive. And if you don't deal with your shit...
12
00:04:12.970 --> 00:04:38.789
it is going to come back to get you. It's stinky. I'll link to Amy Apigian. We've had her on a couple of times. But it makes me think of this. I literally said this today on a podcast. I said, you know, if I could go back and tell my younger self, it would be learn how to manage your stress before you get into perimenopause. Because if you don't. Because if you don't, guess what? And so that's just taking it to the next level. I had an ACE score of six.
13
00:04:38.789 --> 00:04:56.069
And I have not met someone with a nine. And maybe tell someone what that means. Yeah. Oh, yeah. So I think when we talk about trauma, I think most of us acknowledge, and I trained in inner city Baltimore. So I saw murder, rape, suicide. I mean, horrible things that we, there's no one's going to question that that is traumatizing.
14
00:04:56.069 --> 00:05:24.672
But I'm really speaking to the little T trauma, the insidious stuff, the addiction, neglect, whether it's emotional or physical, you know, other types of, you know, stressors, loneliness or bullying. And it's, you know, this kind of cumulative long-term effect of these things that can really impact us. And so certainly for me, in my childhood with, I had an alcoholic parent who was on the spectrum. I think we all had alcoholic parents in our age range. Yes. Alcoholic parents. Tim and I talk about this. It's like.
15
00:05:24.672 --> 00:05:42.475
And a narcissistic mother. And so growing up in that environment, the way that I adapted was to be like the good kid. So I got good grades and I was popular and I never gave my parents a problem. But it gets to a point that's very heavy to hold for a long period of time. And so I think for...
16
00:05:42.475 --> 00:06:00.818
Those of us that have experienced those things, we adapt to our environments. Probably why I became a nurse and later a nurse practitioner because I wanted to help take care of others. And so the service to others kind of mentality, but I think for so many people listening, whether you experienced overt neglect or other things,
17
00:06:00.818 --> 00:06:20.866
I think it imprints us and it becomes much harder to wear that mask as we get older. The mask comes down in the absence of hormones. Estrogen is a people-pleasing hormone. I can tell you as a reformed people pleaser, I don't know how I ever survived in the absence of that degree of estrogen that I had when I was still in traditional allopathic medicine.
18
00:06:20.866 --> 00:06:43.681
But I think for a lot of people, the mask comes off in perimenopause. People find their voice and suddenly they really start standing up for themselves in a way that I think can be very positive and uplifting. It doesn't have to be negative. Yeah. But you have to put the work in. And so I think this is that time where people have to put the work in. If you're that busy, stressed midlife woman and now the mask is coming down.
19
00:06:43.681 --> 00:07:06.310
What would move the needle fastest to get you back into some kind of homeostasis? Yeah, I would say first and foremost, you got to sleep. So that's usually the first thing that we're addressing. You need to find some form of stress management that you can do consistently. And what might work for you and I may not work for someone else, whether that's putting your feet in the earth, whether it's getting the connection to nature in the morning, whether it's taking a walk. Dogs.
20
00:07:06.378 --> 00:07:26.594
Yes, dogs. Between us both, we have six dogs. Learning how to say no. Like how hard is it as a people-pleased or know how to say no and not explain yourself? You know, when estrogen comes down, you say no. To everything. Like it's that beautiful switch that once these things come down, even with hormone replacement, they're not the same. Nope. And all of a sudden you're like, oh, you don't like me?
21
00:07:26.594 --> 00:07:51.215
don't care. No, I'm not going to go there just because you asked me. Yeah, it doesn't work that way. Don't need to. Yeah. But I mean, I think having boundaries is a way to preserve your sanity and your stress management. I think other things that I think about that are kind of like low-lying fruit, like learning how to eat less often. You know, we as a nation eat, you know, anywhere from seven to 10 times a day. It's like, you don't have to intermittent fast, but even 12 or 13 hours of digestive rest.
22
00:07:51.215 --> 00:08:13.928
Those are simple things that people can do up front. Well, simple in that I'm saying it is simple. Sometimes the sleep piece is elusive and takes a while to tease out. But I think for a lot of individuals, I'm not talking about buying a gadget or doing some complicated diet. Although I've been using this Pulsetto. I love Pulsetto. I'm obsessed with this thing. Do you know, did it impact your HRV? It's the only thing I've ever used. It's dropped. My HRV's gone up. Yeah, it's the...
23
00:08:13.928 --> 00:08:36.845
I will tell you, I've tried all the gadgets because they send me all the gadgets. I'm like, this didn't do a thing. And I'm so hopeful. I'm like, oh, please do something. This one does something. Yeah, my HRV has gone up, which is what I've been telling people. I'm like, I was almost hesitant to say anything because I didn't know about it when I wrote my book. That's number one. Number two, I was like, I'm cautiously optimistic. Like, oh my God. I love it.
24
00:08:36.845 --> 00:09:02.798
And I'm someone that I know when my HRV goes down because it impacts everything else. But I think for a lot of people, they want us to say a gadget. And I'm like, you can do breath work, whatever the thing like you said. Box breathing. Like instead of doing CrossFit six days a week with no, or Orange Theory Fitness six days a week with no recovery, like learn how to take a slow-fo yoga class or get outside and walk in nature. Like I'm talking about simple things that we know...
25
00:09:02.798 --> 00:09:27.959
on a very basic level, are going to improve your quality of life, but are also going to have a positive net impact on the microbiome. This is before we even get to complicated stuff. I mean, I run the gamut in the book. I mean, that was, you know, I spent a concerted effort to make sure it ran from simple free stuff all the way up to, you know, interventions that involve other experts and hiring people to help you and stuff like that. So let's deeper dive on estrobalones.
26
00:09:27.959 --> 00:09:57.710
So this is your estrogen processing center of the microbiome. It is really important. It's important both before menopause and after. But it's where your body, you know, the liver is this primary site to break down things that you're exposed to. I'm going to oversimplify things. But to break it into water-soluble compounds where it goes to the gut and it's supposed to get packaged up like a present and pooped out of your body. But what can happen is if you don't have the right microbiome constituency, you're eating a garbage diet, you're super stressed.
27
00:09:57.710 --> 00:10:26.380
your estrogen can get recirculated. And these are the symptoms that make women really unhappy in perimenopause. This is when breast tenderness, weight loss resistance, brain fog, rashes, digestive concerns. I mean, it runs the gamut. For me, from my perspective, if you understand that the estroblum is nurtured by the way we manage our lifestyle and the types of foods that we eat and the way we manage our stress, we've talked about stress, like this Goldilocks effect of stress, like beneficial stress, right amount, right time,
28
00:10:26.380 --> 00:10:52.064
versus chronic stress, and how the estrobilome is so important for managing and mitigating how we excrete our estrogen. And here's the thing, even in menopause, even if you're on HRT, if you're exposed to a lot of estrogen-mimicking chemicals in your environment, personal care products, or food, that can throw off the estrobilome. So it does matter what we use in our personal lives. It is not irrelevant. It is not woo-woo.
29
00:10:52.064 --> 00:11:19.115
You know, we know that these estrogen-mimicking chemicals can be 100 or even up to 1,000 times more potent than the hormone itself. So if you think it's not important, I always remind people, like, don't be paranoid, but just make conscientious efforts when you're purchasing deodorant or you are drinking your water. And I acknowledge, like, when I travel through airports, I don't stress about getting a bottle of water. It's like, yes, I'm exposed to some microplastics, but I need the hydration and I'm not going to stress about it. But I think for a lot of people, they assume it's just irrelevant.
30
00:11:19.115 --> 00:11:44.140
Would you be looking at, say, a urine hormone test? Like, how would you know if this is working correctly? Yeah. But there's also in stool testing, we look at things like beta-glucuronidase, which is an important enzyme that goes in and kind of helps break down the estrogen. And if it's elevated, it can be a sign that maybe things are not optimal. I think for a lot of people, it's really just getting a sense of symptoms. And then we can look at blood work.
31
00:11:44.140 --> 00:12:03.547
Are they metabolizing things properly? But that stool testing piece, I think, can be very important. And then I would say that is where I think stool testing can be really helpful. And it doesn't necessarily mean that everyone has to run out and get a stool test. But I do think having a sense of whether or not the estrobilom, I'm laughing because someone the other day called estrobilomi. And I was like trying so hard not to laugh.
32
00:12:03.547 --> 00:12:22.683
When I was talking to this person, I was like, I get it. It's kind of an awkward way of describing the estrogen processing center of the gut microbiome. So they called it that the entire time. It's sort of like someone has been in their teeth and you didn't tell them. I was like trying so hard. I was like, it makes me think of bologna. And I was like trying to, I was trying very hard not to like correct them. I was like afterwards, I was like, it's a strobola.
33
00:12:22.885 --> 00:12:39.727
They're like, oh, I thought it was a strobilomi. It actually is easier to pronounce a strobilomi. Anyway, if you could delete one piece of advice that women have been given about menopause, what would it be? And what would you replace it with? I think I would encourage women to be...
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their own best advocates. So this kind of patriarchal environment where you go to your provider and they tell you what to do. And a lot of the women are being that way. It's like, come on, women. Yeah. I mean, it goes, and it can even be from female providers. They go and they don't, their providers don't want to be challenged. They don't want to be questioned. I'm like, aren't those days behind us? I thought they were. So I think that if you are a middle-aged woman and you're seeking really good care and the person that you are seeing is not providing the care that you want, I give you permission to fire them. I've done it.
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I did it. You know, the old days where you had an insurance plan and you had to go to this person and you're like, that is not, you are now hiring someone. It's a free agency. Yeah. It's like the COO of your health. You're the CEO. You better choose wisely. Yeah.
