The Hotflash inc podcast (Hotflash inc)

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That time I called myself an ambulance in the middle of the night and waited for it like you would for a taxi.

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Lynette Sheppard is an OG in the menopause space. This former nurse/manager, artist, speaker, advocate has been, for 17 years now, the author of The Menopause Goddess Blog. As she says on the blog, The Change really whooped her upside the head.

Lynette straddles the space between allopathic and naturopathic worlds, and so she's right there in the moderate middle and has some really great insight about how to pull from both of them.  She's also on the other side of this transition and has some really key words for those of us wondering if we will ever make it and if we do, whether it will be better than this.

Highlights:

• Why you should feel good about taking HRT
• The difference in approaches between allopathic and naturopathic medicine
• Why the medical establishment is so stubborn
• Why perimenopause is no time to make any sudden moves
• What happens when you get past the horror of the symptoms
• Why you need your own a group of goddessess
• How men seem to change as they get older (menopause)
• Why she thinks lifestyle changes might matter most

Where you can find Lynette:
Web: Menopause Goddess Blog 

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A short example of why sleep hygiene is important, yet it's the first thing to go when things start to get tough.

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Today Ann Marie is speaking to Rachel Lankester, author of the book Magnificent Midlife and the blog The Mutton Club, host of the Magnificent Midlife podcast and Facebook page The Flock. Rachel has done some deep work deconstructing some of the negative narratives and stereotypes in the UK, which exist all over the rest of the world, too.

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This episode and all of Season 1 are sponsored by Become clothing.

Themes: FDA, HRT, toxins, menopause, perimenopause

Summary: Carmen Stansberry is a nurse practitioner living in San Francisco, California posting to Instagram under the handle Wits and Wellness. I wanted to speak to Carmen because she is so knowledgeable about so many things that impact our care and our health during perimenopause – and not just in the US. She talks a lot about how the for-profit, insurance-based model of health care in the US impacts everything from the FDA approval process to what clinical studies are done to the guidelines doctors use to the screening tests your insurance covers. As a nurse practitioner, Carmen prescribes HRT and she shares her expertise on using bioidentical versions and other advice she gives her patients. She’s also a huge advocate of awareness about the amount of toxins in our environment, whether it’s everyday plastics or the skincare products we use. 

Highlights:
•How the for-profit system impacts health care and why we need to ask questions (4.30)
•Why compounding pharmacies are demonized (9.30)
•Why you need to pay attention to your Vitamin D (14.00)
•How the turf war between conventional and functional medicine impacts women (15.30)
•The underlying problems we need to watch out for in perimenopause (25.45)
•Her mode of prescribing HRT (28.30)
•Back to compounding pharmacies! (36.00)
•How hormone-mimicking toxins in our products are making peri/menopause worse (40.00
•Life changes you might need to make to ease your peri/menopause transition (43.00)

Where to find Carmen:
Instagram: @witsandwellness
Web: The Advanced Practice

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Ann Marie talks about some of the cool things that are happening – including season 2 of the podcast starting Friday, September 9 2022 – before moving on to why perimenopause is all about figuring out how to exist in the middle. Then a few words about something that is definitely not our friend at this time, and that is A-L-C-O-H-O-L.

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Get inspired by Ann Marie's conversation with Amy Schmidt, who is all the things a woman can be at this time of our lives and more. She inspired women through more than 100 episodes of her Fearlessly Facing Fifty podcast before pivoting and launching her Better Than Gossip project. Her journals turned into a book, Cannonball: Fearlessly Facing Midlife and Beyond, a Ted Talk, major television appearances and a big new project. But it wasn’t always this way. Amy lost herself in her 40s – as so many of us do – and she describes how she found her confidence again, and you can too.

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"The minute you get that good night sleep, everything changes." That's from Lilach Mazor Power. Find out how cannabis leader and co-founder of Phoenix-based menopause-focused Revelry Cannabis is helping women sleep better and longer than they ever could – as well as alleviating a bunch of other symptoms, too.

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Dr Suzanne Gilberg-Lenz is an obstetrician-gynecologist practicing in Beverly Hills, California who is passionate about integrative women’s health and has a book on menopause coming out in October.

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Hotflash Inc is a global platform launched by Ann Marie McQueen, a journalist with 25 years of international experience covering health and wellness. It is designed to inform, entertain and encourage the perimenoposse about all things peri/menopause. This episode and all of season 1 is sponsored by Become clothing.

Themes: HRT, insulin resistance, cognition, evolution, supplements, stress response, new research

Summary: Lara Briden is a Canadian naturopath living and practicing in New Zealand. She’s also the author of two books: the bestselling period repair manual and 2021’s hormone repair manual. With 25 years in clinical practice, Lara is used to being ahead of the curve scientifically. She explains how what is controversial now often ends up being evidence-based standard practice down the road. She provides insightful, nuanced and scientifically detailed dissections of the many intersecting issues involved in the peri/menopause transition. That includes the ever-present and critical impact of insulin resistance, which is impacting one in two of us.Lara talks about the various forms of menopause hormone therapy that are available and how to use them, and why you really might want to explore the role of progesterone in managing your perimenopause and menopause symptoms. Lara also talks about her own experiments with taking HRT; takes on the host’s questions about cognitive challenges and why they might be happening, talks about the all-important role of our body’s stress-response system, and highlights some important supplements to look at. Lara also tackles some of misconceptions surrounding the current peri/menopause conversation and addresses the theory that “evolutionary mismatch” is making many of our symptoms worse.

Highlights:
•How and why the naturopathic and integrative doctors are often ahead of the curve in terms of research (3.20)
•How to decipher what’s going on with bioidentical, body identical, commercial and compounded menopause hormone therapy (9:15)
•Progesterone: what’s out there, what’s emerging, and why you may want to consider it for your menopause symptoms (18.30)
•Insulin resistance and cognition (32.38)
•Why she is trying out menopause hormone therapy and how it’s going (41.17) •Proceeding carefully with testosterone (43.45)
•The hypothalamic-pituitary-adrenal (HPA) axis (52)
•The impact of “evolutionary mismatch” on menopause symptoms (57.53)
•Why sugar can cause the brain to self-cannibalize (1.02.12)
•Go-to supplements (1.04.07)

Where to find Lara Briden:
Web: L

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Almost 7,000 people signed up for the Menopause Shift Summit, a project nine months in the making. Ann Marie runs down some of what she and partner Andrea Donsky learned from interviewing 40+ expert speakers over three days.

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MK Czerwiec is a nurse and graphic artist (hence her handle, Comic Nurse) who edited 2020’s Menopause: A Comic Treatment. The book went on to be named on the New York Times’ year-end list of the best graphic novels and won two Will Eisner Comic Industry Awards, including one for best anthology. MK talks all about Graphic Medicine, an emerging field that uses comics to enhance medical education and patient care and help people process trauma and painful experiences. MK is also going through menopause, and she's very interested in finding ways to deal with hot flashes and some of the other symptoms we experience. And stay tuned, because near the end of the podcast she offers one of the best tips I’ve heard for creatively making a plan that we can turn to in our hardest, darkest times.

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As we ramp up to the launch of Hotflash Inc, the podcast Season Two, Ann Marie talks about why she choose "this is going somewhere good" as one of the tag lines for Hotflash Inc; why she's not having the deficiency narrative, weighing menopause hormone therapy for current (and future) health, magic bullets and some vagina stuff.

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I'm journalist and Hotflash Inc founder Ann Marie McQueen and this is my first solo episode. Think of it like MTV Unplugged (GenX, I see you)... stripped down, bell-and-whistle-less. Just me in a hotel room in Ras Al Khaimah, UAE, overstaying my late checkout and wondering about the world and our perimenoposse place in it.

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Today on the podcast Ann Marie talks about why she’s happy she didn’t go on HRT – yet – and is still deeply considering it. She talks about being diagnosed with SIBO, which for the better part of a year was causing three very common perimenopause symptoms. Plus a story about a very nice women and some words about the three experts on social media who have earned their followings with wisdom, experience, forward-thinking and humility.

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Ann Marie speaks to Martha Hickey, professor of obstetrics and gynaecology at the University of Melbourne and co-director of the Gynaecology Research Centre at the Royal Women’s Hospital. Prof Hickey is a leader in developing national guidelines for menopause management in Australia and New Zealand and also in developing a new model of care for managing menopausal symptoms after breast cancer.

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Ann Marie gives an update on the British "hormone deficiency" situation, complete with mansplaining, talks about Sweden's new HRT recommendations and new British women and dementia study, and explains why American actress and businesswoman Tracee Ellis Ross is a member of the perimenoposse. And she has a surprise interview with Cindy Barshop, former Real Housewife of New York and founder of VSPOT Medi-Spa Medi Spa in NYC, where they have a top medical team and every non-surgical measure you need to boost sexual pleasure and wellness no matter what's going on with your hormones.

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This episode and all of season 1 is sponsored by Become clothing. 

Themes: Perimenopause, HRT, lifestyle, relationships, patriarchy, periods

Summary: Warning - there are no fewer than 48 F-bombs in this podcast. And that’s just as it should be, because as Mona Eltahawy explains often, profanity is absolutely required when it comes to taking down the patriarchy. Mona is an Egyptian-American writer and social commentator based in Montreal, Canada. She is the author of several books including Headscarves and Hymens: Why the Middle East Needs a Sexual Revolution and The Seven Necessary Sins for Women and Girls. For the last year or so she has also written the very necessary newsletter Feminist Giant. She is angry and profane and lighthearted and funny; and she’s that way as much about injustice and inequality as she is about menopause kicking her ass. You’ll hear all about it, as well as some of what made her who she is today, what she thinks of the current peri/menopause conversation – and what she thinks needs to change. 

Highlights:
•Why I named my courage after her (4.20)
•Getting her period when she thought she was done with periods (15.20)
•Having no idea she was in perimenopause (19.35)
•Viewing this stage of life as one of emerging (21.57)
•Why billionaires wish they could have hot flashes (24.00)
•Cutting your hair off (29.00) White women talking about menopause (32.20)
•The problem with the “I feel invisible” essay (40.40)
•Why we need to have compassion for our past selves (48.40) 

Where to find Mona:
Web: Feminist Giant
Instagram: @monaeltahawy
Twitter: @monaeltahawy

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TRIGGER WARNING: Suicide and suicide ideation. If you are feeling suicidal, please tell someone, reach out to your local suicide hotline or contact a licensed therapist. This podcast talks about a story I came across in a Norwich, England paper called the Eastern Daily Press Victoria Metcalf-Smith, a solicitor and mother of three who took her own life in April 2021.

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Season Two is coming July 1! But first... Emma Hartley is a British journalist and co-founder of 24hourlondon who conducted an investigation into the UK’s HRT shortages for a publication called Tortoise… in 2018. Emma’s story touched on everything from Donald Trump’s trade war with China to manufacturing facilities in India, but in the end, the problem then and the problem now is much, much closer to home.

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Amy Schmidt lost herself in her 40s – as so many of us do – and if she can find her confidence again, you can too.

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I'm Ann Marie McQueen, a Canadian-born, Middle East-residing, perimenopausing journalist. I'm also founder of Hotflash Inc, which is my one-woman platform to inform, entertain and encourage the global perimenoposse. And I'm here reminding you that while nothing about this peri/menopause transition is easy, it is going somewhere good. My aim is to give you the best information, in the most objective, balanced manner I can muster. I'll give you access to some remarkable people, cutting-edge information and research, new ideas, viewpoints you may not be used to hearing, a global view, some serious talk, and lots and lots of silliness. I'll always trust that you can use your own open, inquiring mind, unique experience, education, experience and perspective to decide what's right for you. Make sure to subscribe so you don't miss an episode, and if you like it, leave a review.

A big thank you to our sponsors:
• Become | Visit becomeclothing.com to receive 20% off all products with the code HOTFLASHINC
• Ritual | Visit JointheRitual.co and use code HOTFLASH to get your first month free.

Join the Hotflash Inc global perimenoposse here:
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TikTok: @hotflashinc
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Twitter: @hotflashincEpisode
website: https://podcasts.bcast.fm/trailer-welcome-to-the-hotflash-inc-podcast

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Ann Marie talks about the upcoming Channel 4 Davina McCall documentary, The Menopause Brain Drain; her own personal – and very expensive – brain drain, and why watching a 5-hour free seminar on TikTok changed everything this week for her (and maybe for you too).

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Ann Marie talks about how, in the early stages of perimenopause she experienced symptoms of adrenal exhaustion that were ultimately successfully treated with a course of DHEA (for several months) and an entire lifestyle overhaul. And she references some of the latest research on the use of DHEA, and the potential of DHEA for treating the symptoms of perimenopause and menopause.

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Dr Jenn Salib Huber is a Canadian registered dietitian, naturopathic doctor and intuitive eating coach and she's on a mission to help women thrive in midlife.

Dr Jenn Salib Huber is a Canadian registered dietitian, naturopathic doctor and intuitive eating coach and she's on a mission to help women thrive in midlife.

She uses Instagram to break down some of the most common things you hear about food, the pervading and stubborn impact of diet culture, and help women navigate the physical and emotional changes that happen in perimenopause and menopause, including their search for food freedom and body confidence.

She's the host of 'The Midlife Feast' podcast and runs Beyond The Scale, a program that helps women "undiet" their lives after 40. 

Highlights: 

• How the menopause conversation is changing (4.30)
• What she loves about menopause (5.15)
• Early (ish) menopause (7.00)
• Being hormone sensitive (10.00)
• The power of and problem with nutrition (11.19)
• The issue of research into nutrition and lifestyle (18.50)
• The sugar conversation (23.10) 
• The problem with restrictions (26.00)
• Insulin resistance and the best way to combat it (28.55)
• The obsession with inflammation (32.15)
• The problem with armchair medicine (34.30)
• How to stay well beyond menopause (41.15)

Where to find Jenn:

Instagram: @menopause.nutritionist

TikTok: @menopause.nutritionist

Web: JennSalibHuber.ca

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Dr Kourtney Sims has an unusual combination of skillsets when it comes to menopause, and has really dedicated her continuing education post-medical school to understanding this transition. The Texas-based, North American Menopause Society-certified obstetrician-gynecologist is also an herbalist, a yoga teacher, and a functional integrative women's health advocate. And she's chief medical advisor to Phenology, which is a new US company led by former Silicon Valley executive Jess Graham aimed at offering relief and guidance to women through supplements and rescue remedies.

Highlights:

• What MDs learn about menopause in medical school
• The lack of oversight of menopause treatment 
• How the system works in the UK (hint: it’s driven by pharma)
• Her take on the “menopause is a disease” narrative
• The holistic, energetic, ritual-based view of menopause
• Do worse symptoms mean larger health problems? 
• Menopause hormone therapy, disease prevention, longevity and antiaging 
• HRT + the individual 
• Why other countries are doing research on herbs and not the US
• 2 good herbs you may not have heard of for sleep + hot flashes
• Tracking perimenopause by testing progesterone levels
• What the women she sees who have an easier time have in common

Where to find more:
Web: DrKourtney.com, Myphenology.com

And no affiliation, but if you wanted to check out Phenology, use code HOTFLASHINC for 10 percent off your order.

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We hear this message all the time: compounding pharmacies and the bioidentical hormones they produce are dangerous and unregulated. But, are they? To find out Ann Marie turns to two people who are inside the industry, which accounts for about 1 to 2 per cent of drugs sold, and gets a very different story. They are Scott Brunner, CEO of the Alliance for Pharmacy Compounding, which represents compounding pharmacists and technicians as well as prescribers, educators, researchers and suppliers in the United States, and Jennifer Burch, a doctor of pharmacy and owner of the independent pharmacy her father started in Durham, North Carolina. Although this episode focuses on the compounding pharmacies industry in the US, there are takeaways that can be applied all over the world. 

Highlights: 

• The drug industry began with compounding pharmacies – so why are they still here? (4.45)

• The rigorous regulatory framework in place to oversee them (5.50)

• How compounding pharmacies help patients traditional pharmaceuticals cannot – including in menopause (7.32)

• Examples in peri/menopause where compounded medications help where pharmaceuticals cannot (10.13)

• How practioners work collaboratively with compounding pharmacists (12.30) 

• The one way pharmacists can tell if a medication is working for a patient (13.10)

• How compounded menopause hormone therapy works and is overseen by pharmacists, practitioners and patient consulation for peri/menopause symptoms – and how it’s different from how the majority of HRT prescriptions handled (13.30)

• The rare cases where compounding has gone wrong (17.30)

• The difference between synthetic and bioidentical hormones (and how even doctors confuse them) (19.01)

• Why you probably want to skip medroxyprogesterone and go for bioidentical progesterone instead (21.00)

• The imminent threat facing the compounding industry (26.00)

• Why the compounding isn’t even suited to the large-scale clinical trials it’s demonized for not having – and how it’s actually tested (27.23)

• The issue of pellets (and why the Alliance wants a more rigorous reporting system for adverse events for all drugs) (37.30)

• The case that may have scarred the FDA about compounding pharmacies (42.20)

• Are compounded medications really more expensive?(43.30)

Find out more:
Web: Compounding.com
Twitter: A4PC @a4pcrx Jennifer Burch

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Ann Marie speaks with Sally Mueller and Michelle Jacobs, who as co-founders of the skin and supplement line Womaness have surged to the forefront of the industry since they launched in 2021. 

Highlights: 

• Celebrities and menopause (4.00)
• How they settled on their brand of menopositivity (9.12)
• Why a business partnership is like a marriage (11.26)
• How to run a company with your BFF (12.45)
• The fun way they deal with disagreements (15.21)
• Their own perimenopause and menopause experiences (19.36)
• What Sally wish she knew earlier about taking care of herself (25.00)
• What's menopause + what's life? (28.00)
• Why so many of us are taking big chances these days (31.32)

SPONSORS:

Become anti-flush cooling clothing | Now shipping to the US! | Use code HOTFLASHINC to get a 20 percent discount

If you liked this episode and you wanted to do some shopping, Hotflash inc is part of the Womaness affiliate network. Use the code HFINC20 to get a 20 percent discount (fyi: Hotflash inc will get a percentage of the sale).

Web: Womaness.com
Instagram: @womaness
Twitter: @mywomaness
TikTok: @womaness

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Karen Arthur is the ultimate multi-potentate: a leader in the global menopause space; former teacher, fashion creative, model, activist, grandmother, mentor and so much more. Her podcast Menopause Whilst Black is now in it’s third season; she’s been featured across major media platforms in Britain and North America, and she’s a well-respected and reasonable presence on social media. Karen speaks on a range of topics including mental wellbeing and finding courage to change your mind, your direction and your life. 

Highlights:

• The power of learning to make choices (4.00)
• Realizing it was always peri/menopause (5.45)
• “I fell down a hole” (8.00)
• Navigating the space between saying “f*** it” to the life you don’t want and finding one you do (11.00)
• What helped her out of physical pain (18.27)
• Recognizing and rejecting expectations (27.15)
• A path to curating the next decades of your life (36.21)
• Affirmations are woo-woo but they work (39.50)
• What she found out about Black women in menopause (49.05)
• What helps her in menopause, including HRT, and why you have to be patient (59.50)
• We can change – and should – change our minds (1.07.29)

Where to find Karen: 

Web: TheKarenArthur.com
Podcast: MenopauseWhilstBlack
Instagram: @MenopauseWhilstBlack
Twitter: @thekarenarthur

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Ann Marie McQueen speaks to Irene Ndagire, a physiotherapist based in Kampala, Uganda.

She runs the Women’s Health Foundation, launched in 2014, and has been advising women on all aspects of menopause.  She recently launched Menopause Uganda to help even more people menopause symptoms, fear and other issues associated with the transition. She's also doing something that people working for menopause awareness have not been able to do – involve men. Although women in Uganda face some unique circumstances, you will hear that our similarities are much more than our differences. 

Among the topics: 

• How Irene got interested in menopause (her mother's was not so hot) (4.05)
• The biggest fear of women in Uganda (5.00)
• What women are experiencing in terms of symptoms (6.10)
• How they got men involved (6.45)
• Why most women don't take HRT in Uganda (8.30)
• Food is menopause medicine (9.15)
• Walking is a great exercise but... (12.30)
• Hot flashes are big in Uganda too (13.50)
• Menopause = old (16.15)
• The first menopause research in Uganda (18.55)
• What they need to help support women (20.50)
• How Irene got her nickname (24.20)

Where to find Menopause Uganda:
Web: Whfuganda.org
Twitter: @MenopauseUg

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Jill Angelo is the co-founder and CEO of Gennev, a virtual care platform for menopause in the US. Jill spotted an opportunity six years ago, and although Gennev started out a little different than it has ended up, they were one of the first companies to become a leader in this space. And over the pandemic Gennev pivoted to providing education and telemedicine for menopause relief to thousands of women via one-on-one and group visits through a team of ob/gyns and registered dietitians. And they must have done something right: because, the company was recently acquired by Unified Health Care Group – one of the first acquisitions in the new fast-growing menopause space.

Highlights:

• What happened when she noticed people leaving the workforce
• What women in the workplace who are going through menopause need from their employers
• The gifts menopause brings us
• How her perimenopause is going at 48
•  How Gennev started selling a lubricant and morphed into telehealth and HRT during the pandemic
• How menopause treatment is unique to each person
• What changes she’s seen in the menopause conversation
• Her take on the safety of HRT right now
• The menopause research she’s most excited about
• What annoys her about celebrities and menopause 
• Why she wants every woman to get an M-check starting at 45
• How she got over her nerves talking about menopause

Where to find Gennev:
Web: Gennev.com
Instagram: @mygennev
Twitter: @mygennev

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Update: Rochelle has since exited Pause-Well Aging. 

It’s hard to believe that when Rochelle Weitzner launched her company in 2019, Pause-Well Aging was the first to target the wide-open menopause space. The beauty industry veteran ran or helped run brands like Erno Laszlo, Laura Mercier Cosmetics and RéVive Skincare before she started having hot flashes, brain fog and other “experiences”, leading her to start thinking about entering the well-aging (never anti) space in an entirely new, pretty badass way. And she just won the Female Founder of the Year award from CEW cosmetics (sharing it with Bobbi Brown). 

Highlights: 

• The two big walls she encountered when starting out
• How menopause marketing is censored on Google
• Her big pet peeve about the  “gua sha” trend 
• How the Pause-Well fascia stimulating tool works
• What helped her own menopause (and what complicated it)
• Why she doesn’t like the word "symptoms"
• What people get wrong about clean beauty
• Peptides, collagen, parabens + formaldehyde 
• Where we are on “menowashing”
• The one big thing she did for her own health 
• Menopause as a “passage to power”
• Why she trademarked "Well-Aging" 
• Her dream for the future

Where to find Rochelle and Pause Well-Aging: 

Web: Pausewellaging.com
Instagram: @pausewellaging; @rochelleweitzner
Twitter: @pausewellaging
TikTok: @pausewellaging

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FYI: this is a very important replay of one of my most popular episodes, which was originally posted in November. 

Jennifer Harrington is a naturopathic doctor based in Sydney, Australia. Her interest in natural therapies started when she was diagnosed with PCOS in her early twenties and told she may struggle to ever have children. After experimenting with birth control pills, but found her symptoms got worse and found her way to naturopathy, and she got better. Although she had a career in television, she decided to retrain so she could help other women. After graduating she worked at the famous Chiva Som Health Resort in Thailand and later opened her own clinic. In 2014 she started Menopause Natural Solutions, and she now helps perimenopausal and menopausal women all over the world. 

In this episode you will learn about:

• Jennifer’s own perimenopausal journey, which includes massive blood loss, uterine polyps and fibroids 
• Why fibroids happen and what can be done about them
• The importance of salt and electrolytes
• What happens to ovulation in perimenopause
• What the gut microbiome has to do with estrogen 
• Why you need to know how you metabolize estrogen 
• The role of inflammation, insulin resistance and Tamoxifen
• The one thing that you might be missing that can help massively in perimenopause
• The mistake most women make with HRT
• Alternative treatments for vaginal dryness
• Why thrush shifts to BV in perimenopause 

Where to find Jennifer: 

Web Menopausenaturalsolution
Podcast Menopause Natural Solutions
Facebook menopausenaturalsolutions
Instagram @menopausenaturalsolutions
YouTube @menopausenaturalsolutions

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Esther Blum is an integrative dietitian and lifestyle coach based in New York City. She’s a bestselling author and has been on a number of the top US shows including Dr Oz and the Goop Podcast. In her fifth and latest book, See You Later, Ovulator, she draws on 27+ years in nutritional counseling as well as her own personal experience to give women the resources they need to find the exact treatment, testing and follow up they need to start feeling like themselves again. (This is a woman who used to research how to get over hangovers, so she doesn’t expect you to live like a monk.)

In this podcast we cover: 

• Esther’s own perimenopause experience
• ‘Rampant negligence’ about menopause in medicine
• All the tests she does
• Why ‘normal is not optimal’
• The things you need to sort out before you go on hormone therapy
• The power of progesterone
• Why drinking alcohol and HRT don’t mix 
• Why and when you need carbs 
• How the birth control pill complicates everything
• The awesome things about this time of life 

Stay tuned to the end for her giveaway, too. 

Where to find Esther: 

Web: EstherBlum.com
Instagram: @gorgeousesther

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In the last 3+ years longtime friends Patty Pappas and Carrie Mapes have completely transformed how THC and CBD can be delivered to help people through peri/menopause, all without any psychoactive effect. They were stay-at-home moms when they dreamed up and launched their fast-growing California-based company Hello Again, which recently expanded from Everyday and Sleep versions beyond the midlife bracket. The details of how they became game-changing entrepreneurs and executed their vision –  in a pandemic, no less – is rare, awe-inspiring and relevant to all of us. Stay tuned to hear the fascinating story of how they continue to beat the odds and their perimenopause symptoms, too. 

Highlights: 

• How Hello Again was born out of a need for new symptom solutions
• Carrie and Patty’s particular perimenopause issues (and why HRT wasn’t enough)
• How and why THC + CBD work with our body’s endocannabanoid system
• Why it had to be a “vagitory”
• How their  “vagitory” impacts  gentiourinary syndrome of menopause 
• Why the 80s “war on drugs” still messes with us
• New Hello Again products + expansion plans
• Their take on the wisdom of menopause  

Where to find Hello Again:

Web: HelloAgainproducts.comInstagram: @HelloAgainProducts

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What a discussion this is. (The first explicit one too!) Jessica Jolie Badonsky is a New York City-based, board-certified family nurse practitioner and North American Menopause Society certified practitioner with more 18 years of experience in the medical arena. She is also a life coach who specializes in menopausal health, human sexuality, medicinal cannabis, and intimate wellness. And during her own menopause journey, she discovered how much more there was to to all this than hot flashes and mood swings. She is also the founder of Agelust Labs, a group progam designed to reframe the menopausal mindset with a fresh, modern approach that integrates science and spirit to help you through your meno-morphosis.

All the highlights in our conversation: 

• Why she went on HRT 
• How it’s going – good and bad
• ADHD and perimenopause
• How giving birth is like perimenopause
• Using hormone therapy to “take the pressure off”
• Why she uses a compounding pharmacy 
• The launch of Agelust Labs
• How we change about sex in menopause 
• The first mention of “queef” in the Hotflash inc podcast 
• Changing sexual attitudes – and dynamics – within a long-term relationship
• The nascent but fascinating possibility of psychedelics and menopause
• Understanding the endocannabanoid system and perimenopause 

Where you can find Jessica: 

Instagram: @agelustco @jessica_jolie_np
Web: Privatepartsofwellness.com

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Amy Fleming is way too young to be going through menopause, but her attitude about it would outshine many of her much older peers. 

She was just 27 when a series of painful issues landed her in the hospital multiple times, and ultimately found out that she was going through primary ovarian insufficiency (POI, which I accidentally call "premature" in the intro) and ultimately, premature menopause. Now, at 29, she's sharing her experiences, raising awareness for the #makemenopausematter campaign, changing the face of menopause and smashing the taboo for old or younger people to educate themselves on this inevitable life transition.

Find out how she's managed to put purpose to her pain and is helping others do the same.

Highlights:

• How she finally got the right diagnosis
• How her peers and fiance (now husband) reacted
• Finding the right HRT path
• What lifestyle adjustments work best
• How she handled the psychological impact of such an unexpected event
• Her advice for others who are going through this
• How to best advocate for yourself in this situation
• The most helpful resources

Fact check: Women do not make more testosterone than men, we make more testosterone than estrogen.

Where to find Amy:
Instagram: @girl_poiwer

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Ann Marie is back with a solo episode, her last of the year. Get ready as she makes sense of a crazy year she's still trying to make sense of, and looks at taking that wisdom forward, so maybe you can make a little sense of where you are headed too.

Highlights:

• Why our bodies and brains work overtime to keep us safe – and why we need to recognize it when they do
•  It’s not all perimenopause
• We've got to move what we can and lift heavy things
• Duh: hormone therapy is a really good way to deal with perimenopause symptoms
• Big pharma is working overtime on us – and no one is watching
• Why how we talk about menopause is important
• Have you thought about choline? Here's why you might want to
• Everyone needs to learn this: Progestin and progesterone are not the same thing
• If you want to get to know yourself, quit drinking and eating crap
• If you feel called to do something, just do it and find out why later
• “Low and slow” for the win

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Ann Garnier is CEO and founder of Lisa Health, the US company that launched an app for menopause called Midday in conjunction with Mayo Clinic. Ann has been a senior technology executive in the healthcare space her entire career, and it just so happens that when she started Lisa Health, she was also going through perimenopause. 

The Midday app is on the cutting edge: soon it will be able to detect and predict hot flashes and other symptoms, and recommend remedies and solutions.

Highlights: 

• How her own menopause experience fuelled this technology
• Her drive to keep GenX women involved in the technology conversation
• How deep tech and data science can help us understand menopause – and predict hot flashes and other symptoms 
• The problem with most symptom trackers
• Where they get their evidence-based guidance
• The important conversations we need to be having – and the control we need to be giving up
• Staking our claim for “more” – fine is not good enough
• Why someone needs to make a red wine that perimenopausal women can drink without getting hot flashes 
• Her dream research

Where to find Ann:

Web: Midday.health
Instagram: @midday.health
Twitter: @MiddayHealth
Facebook: @MiddayHealth 

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Brooke Faught is a nurse practitioner and director of the Women's Institute for Sexual Health, a division of Urology Associates in Nashville, Tennessee. She knows a lot about testosterone and women’s sexual health because she uses it in her practice every day. I first came across Brooke when she presented her research and experience during the North American Menopause Society 2020 Virtual Annual Meeting, and then spoke to her again in 2022 for an update on advances in treatment and guidance. 

Although Brooke uses a range of hormones to help women get back to their full sexual function and desire in peri/menopause, our conversation focuses on testosterone because it is so often overlooked. 

We talked all about why testosterone can be so effective for a range of symptoms, why the research is catching up to practice, and how women can talk to their doctors about it. 

Highlights: 

• Why testosterone is just as important in women
• What role it plays
• How it’s prescribed and used and what forms it comes in
• What it can help
• The range of sexual issues connected to perimenopause that women aren’t always made aware of 
• What the research says 
• The importance of testing
• How the hormone receptor system works 
• Estrogen and testosterone used together
• Risks and side effects 
• Testosterone pellets – and why some people use them
• The International Society for the Study of Women's Sexual Health, ISSWSH
• Why your sexual enjoyment is worth the time and effort  

Where to find Brooke: 

IG: @brookefaught_sexmed
Web: WishNashville.com

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Dr. Rachel S. Rubin is one of the most important voices on social media, advocating for women’s sexual health. Her frank manner and deep educational background – she is that rare combination of board-certified urologist and sexual medicine specialist and one of only a handful of physicians with fellowship training in sexual medicine for all genders – makes her uniquely positioned to talk about the range of issues we can face during the perimenopause transition. 

She’s also education chair for the International Society for the Study of Women’s Sexual Health and associate editor for the journal Sexual Medicine Reviews. Dr. Rubin completed her medical education at Tufts University, her urology training at Georgetown University, and her sexual medicine fellowship training with Dr. Irwin Goldstein in San Diego. We spoke at the Menopause Shift Summit. 

Highlights:

• How the push for ‘natural’ hurts our sexual and urinary health
• Why urinary tract issues are directly linked to menopause
• The conversation around women’s sexual health needs to focus on biology too, not just psychosocial factors
• Why your sexual health takes a village 
• Hormone therapy is THE solution for genitourinary syndrome of menopause
• Breaking down the different kinds of vaginal hormone therapy: estrogen, DHEA and testosterone
• All about testosterone: pellets, systemic and vaginal
• Orgasm problems and what we can do about them
• Focusing on joy and pleasure, not penetration
• Hollywood’s sex problem
• Kegels and apps and lasers 

Where to find Rachel: 

Web: RachelRubinMD.com
Instagram: @drrachelrubin
Twitter: @drrachelrubin

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Gerianne DiPiano is chairman and CEO of FemmePharma, which produces among other things a range of solutions for women going through menopause. That includes personal lubricants and moisturizers, and hot flash and sleep remedies. Geri has had a three-decade career in women's health, working at the top levels of the pharmaceutical industry as well as founding her own companies. She has amazing stories to tell about the business of menopause, about the science behind hormone therapy and various products. We talk about everything from clinical trials to letting your hair go gray. 

Highlights:

• Hormones sure, but women need options for individual symptoms
• The problem with a lot of vaginal moisturizers and hormone therapies
• How we are conditioned to take hormones and what might be the problem with that
• There are risks to hormone therapy – don’t let anyone tell you there’s not
• Why you need to fact check influencers, doctors on social media + your own doctor (PubMed is a great place to start)
• What we’ve finally figured out about women – and how to use that power
• We’ve finally reached a North American menopause revolution – and what needs to follow
• A peek inside her experience as one of the only women inside Big pharma at the C-suite level
• How the traditionally male-dominated Big Pharma continues to impact women’s health care today
• The anecdote you have to hear about the possibility of a testosterone patch from Geri’s former career
• The one big thing pharmaceutical companies need to do in developing products for women safely
• Her peri/menopause experience + philosophy
• Becoming a certified silver sister

Where to find FemmePharma and Mia Vita:

Web: FemmePharma.com
Instagram: @FemmePharma

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 Are you sick of spending money in menopause? According to a report from the Female Founders Fund women in North America spend an average of US$2,000 finding solutions. 

But it doesn’t have to be that way. Today I share many of the tips and tricks I’ve learned to feel better now from the evidence, from experts I’ve interviewed and from my own experience. This audio from the session I held in January with Hotflash inc Substack subscribers. 

I hope you enjoy it. 

Highlights:

• Dealing with ANTS
• When to take a break from your phone and why
• Suggestions for the daily nervous system resets you need
• Why you need to feel your feelings
• Learning from Lucky Girl TikTok
• Finding good leaders
• Air quality
• Tips for combatting insulin resistance 
• You need minerals!
• The missing fascia link
• Where to strength train and stretch for free
• Why you need even 2 minutes of morning light
• My special middle-of-the-night sleep rescue remedy

Want to become a Substack subscriber and get access to 27+ years of journalism experience tackling this major life transition? Use this link to get 20 percent off to my paid membership. Or just get the free version.  

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Lynette Sheppard is such an important voice in the menopause space because she has such depth of experience and context for this conversation. The former nurse/manager, artist, speaker, advocate and more has, for 17 years now, been the author of The Menopause Goddess Blog. She started it, and gathered a group of 15 women around her, when "the change" started and  "really whooped her upside the head".

Lynette beautifully straddles the space between allopathic and naturopathic worlds, and so she's right there in the moderate middle and has some really great insight about how to pull from both of them in these overloaded, binary times we live in.  She's also on the other side of this transition and has some really key words for those of us wondering if we will ever make it and if we do, whether it will be better than this.

Highlights:

• Why you should feel good about taking HRT
• The difference in approaches between allopathic and naturopathic medicine
• Why the medical establishment is so stubborn
• Why perimenopause is no time to make any sudden moves
• What happens when you get past the horror of the symptoms
• Why you need your own a group of goddessess
• How men seem to change as they get older (menopause)
• Why she thinks lifestyle changes might matter most
• Some really useful relationship and sex life advice
• Why you need to be kinder and gentler to yourself, now more than ever
• Why you need your own Menopause Goddess circle

Where you can find Lynette:

Web: Menopause Goddess Blog 

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BIG NEWS: Hotflash inc is the #1 Women's Health Podcast on Goodpods, and in the top 1.5 percent of podcasts according to Listen Notes. 

Thanks so much for making that happen! 

While Hotflash inc takes a break, we are replaying a popular episode:

Dr Maria Luque is an Austin, Texas-based, United States Air Force veteran (she was a fitness program manager) and health science professor who studied fitness in menopause for her doctorate.

She is bothered by the reams of health, fitness and nutrition information on social media, never mind when it comes to what we are supposed to be doing in peri/menopause.  Her approach is careful, measured, and science-based, and at 47, she's really frank about her own challenges at this stage of life with brain fog, body image and more. She's also a huge fan of putting on muscle and all that can do for us, both now and down the road.

This episode was #66, originally published on March 18, 2023.

Highlights:

• Why it's better to add things that take things away (3.45)
• Losing weight doesn't address a poor body image (4.07)
• Why we are all tired of fitness (5.41)
• How the diet and fitness world is designed to bamboozle you (7.26)
• Diet and exercise can never fix everything – and it never did  (10.12)
• How perimenopause is opening up a Pandora's box (12.42)
• We have the wisdom to figure this out, we just need to listen (18.34)
• Why the HRT conversation needs a little more moderation (21.50)
• Navigating the tricky world of interpreting research (25.41)
• Other problems in menopause reporting + research (29:16)

Where to find Maria:
Web: Fitnessinmenopause.com
IG: @drmarialuque
Twitter: @DoctorLuque
Ideafit: Dr Luque

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Today I unleash an update on my own epic perimenopause experience, which began sometime in my early 40s, wreaked all sorts of havoc, and continues to this day – aged 52, looking ahead to turning 53.

I cover a lot here, so buckle up!

• A little about my early years and what led to Hotflash inc
• A taster of some of the symptoms I've dealt with
• What's going on with me now, physically and emotionally
• What my new gynecologist has to say about all of it
• A focus on my forgetfullness
• The crying, with a guest appearance by my American friend Lizzie Bermudez
• Why my perimenopause is like a video game, and where I feel I'm at in the levels
• How I'm turning into a recluse, but I know it's temporary
• My lengthy recounting of a night in Paris where I got mugged by a gang of teenagers and dealt with a hideously drunk Englishman – all in one night
• A list of things I've been crying about
• What's going on with my vagina
• The sensory stuff
• My love for Wise Power and authors Alexandra Pope and Sjanie Hugo Wurlitzer, founders of Red School, which is a book I opened at just the right time 
• How I'm resting, puttering and snudging 

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Kate Deering is a San Diego-based personal trainer, holistic nutritionist and author of the ground-breaking book How to Heal Your Metabolism. 

Kate has some no-nonsense guidance for healing broken metabolisms and how to make the transition through menopause as easy as possible by drawing on the pro-metabolic approach to nutrition. 

That involves learning to understand your body and giving it the fuel it needs to function properly. She explains why menopause symptoms, and slow metabolism, can both come as a result of over-exercising, eating too little and putting yourself under too much stress in earlier life, and dispels popular myths such as the idea that eating carbs will make you put on weight. I watched a friend of mine transform in her 40s by doing this, and I’ve done it myself and felt the difference. Her take is that throwing hormones and supplements at the symptoms of menopause was never going to be an effective solution. Instead, her take is that we need to learn to look at healing any underlying issues, and and nurture and heal our body so that it can go through the process feeling healthy and strong.

Kate and I spoke last year as part of the first Menopause Shift Summit and I found her way of approaching this so helpful I wanted you to hear it. 

Highlights: 

• Why she doesn’t blame slowing metabolism on age
• What’s going on when perimenopause catches up with you
• What the bio-energetic, pro-metabolic way of eating looks like
• Pro-metabolic eating, organ meats and shellfish
• Gut and digestive issues and peri/menopause
• Why orange juice and dairy aren’t on this particular sh*t list 
• “Anti-metabolic” foods, however, are
• The issue with supplements
• How to square intermittent fasting with pro-metabolic eating (hint: you don’t)

Where you can find Kate: 

Web: KateDeering.com

IG: @katedeeringfitness

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BIG NEWS: Hotflash inc is the #1 Women's Health Podcast on Goodpods, and in the top 1.5 percent of podcasts according to Listen Notes. 

Thanks so much for making that happen! 

While Hotflash inc takes a break, we are replaying a popular and confounding episode here: 

With so much hype surrounding menopause hormone therapy today, it’s very hard to know what or who to believe. 

There is a big push to portray HRT not only as helpful for menopause symptoms, but also as a preventative for cardiovascular disease. But does this bear out in the research we have so far, most of which lumps bioidenticals and synthetic hormones into one basket? That was the question of the latest literature review published in the American Heart Association’ journal Circulation this past Valentine’s Day – Rethinking Menopausal Hormone Therapy: For Whom, What, When, and How Long? – that looked at 96 papers, articles and studies. The authors included gynecologists, women’s health internists, endocrinologists, as well as Stephanie Faubion, medical director for the North American Menopause Society, all members of the American College of Cardiology Cardiovascular Disease in Women Committee. 

Kathryn Lindley, an MD and clinical investigator in the Division of Cardiovascular Medicine at Vanderbilt University Medical Center and one of the authors of the paper is my guest on the podcast this week to break down these findings.

This episode was originally #63 and published on February 18, 2023.

Highlights: 

• why cardiologists have shied away from the topic of HRT
• why HRT isn't recommended for prevention of cardiovascular disease (even if it seems like it should be)
• the case for HRT to help symptoms
• calculating the of using HRT for symptoms ("it's not zero but...")
• why other health conditions matter
• when it comes to vaginal estrogen...
• respecting the HRT "the window of opportunity" 
• so, what can you do to prevent heart disease and stroke?
• the case for assessing reproductive risk factors (and what you need to tell your doctors about your previous reproductive life – even if she doesn't ask)
• the importance of taking in medical news in the media with "skepticism"
• the case for keeping top of your health during perimenopause and taking action early for your future health

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I'm a journalist critical thinking my way through my own perimenopause.

In searching for good information, balance and context for myself, the Substack I publish on the subject, various social media accounts, and the interviews and solo episodes I do on this podcast, sometimes I just get floored at the things I see and hear on social media and in traditional media about menopause.

The reality is, I interview doctors all the time and they are knowledgeable and doing good work and passionate and all over the world, and they are also all over the place  on the basics, and have loads of blind spots.

But you wouldn't know that to look at social media.

The research is scant, considering half of women go through peri/menopause, and I just don't think as a journalist and a researcher there is room for this much certainty.

Hence, this episode.

As always: listen to the disclaimer at the end: this is not health advice.

Among the things I talk about here:

• the promise of HRT for prevention of dementia and cardiovascular disease vs the literature

• doctors menopause gurus on social media

• what 'medical gaslighting' actually is vs what people on social media are saying it is

• the missing conversation about autoimmune disorders vis-a-vis peri/menopause

• my own ongoing issues accessing hormone therapy from doctors in the Middle East

• the importance of going beyond menopause as an explanation for why more women experience dementia (and a host of other issues) than men

• asking why people get bejiggity about progesterone

• scary, uninformed yet appealing-to-the-masses influencers

• going from raising awareness about perimenopause to terrifying women – and is that better?

• an argument for the low and slow approach

• questioning the narrative that this isn't supposed to be happening

Studies referenced:

Global consensus testosterone position statement
Journal of Clinical Endocrinology and Metabolism
HRT for symptoms or prevention of dementia and cardiovascular disease
Menopause: The Journal of the North American Menopause Society 2022
Circulation, the Journal of the American Heart A

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A special episode in which I talk all about being beset with a variety of health problems that could spell trouble, and how that made me feel, and what I was finally able to do about it. 

This is a podcast for anyone who is trying to get help but is tired, sick and down, or for someone who wants to avoid feeling that way. 

It's about getting help, making it through, and finally deciding that enough is enough, and you are going to truly do what you have to so you can heal and move forward. 

Also, my perennial search for a doctor who will help me find some damn HRT continues. 

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Day raver, cold swimmer, rabble-rouser, educator, author, podcaster, academic and publisher of scientific papers: Joyce Harper is a professor of reproductive science at the Institute for Women's Health, University College London. 

She’s also author of the 2021 book Your Fertile Years and hosts the podcast Why didn’t anyone tell me this?

Harper is uncompromised and unflappable. She is all about the evidence. She’s not opposed to HRT but isn’t a breathless enthusiast either. It has to be about the evidence, she argues, otherwise it’s just stories and anecdotes that don’t add up to anything. 

NB: We are both members of a balanced-approach group called MenoClarity, and we recorded this podcast before Joyce was quoted in a controversial Daily Mail article alleging excessive and unsafe HRT prescribing practices at a chain of private clinics in the UK. 

When I followed up with her about it, she said: "We need to give women accurate information about the menopause and treatments. In the UK we've created huge negativity – some suggesting menopause is a disorder. It's not fair to women and I really worry for the next generations who are now nearing menopause. Menopause can be difficult for some. But for most it's a transition and life post menopause can be the most exciting and liberating stage of our lives."

(As always, I’m not a medical professional and this podcast is not medical advice.  Expert opinion varies widely. Please listen to the disclaimer at the end podcast as well.) 

Highlights: 

• Almost 30 years after she completed her PhD, women still don’t understand their bodies
• Why we need to teach people what’s “normal” so they know when to seek help
• How she approaches research – and how we need to as well 
• Her top myths in women’s health and menopause
• When you should go on HRT and why dosing matters 
• How overall health sets you up for perimenopause
• Issues with the push for testosterone
• Why anecdotes are not research 
• Her research-based conclusions the claims that can prevent dementia 
• Why being post-menopause is so great 
• Her homework assignment for every perimenopausal woman

Where to find Joyce:

Web: Joyceharper.com; Globalwomenconnected.com
Twitter:

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Dr Mary Claire Haver is a Texas-based board-certified ob-gyn and Certified Culinary Medicine specialist. She’s also TikTok’s top menopause doc with two million followers, published The Galveston Diet in January and is working on another book, this one specifically about menopause. 

I spoke to Dr Haver in early April and we talked about everything from hard times to why she believes every woman should take hormone therapy to reduce their risk of disease. 

Remember to listen to the disclaimer at the end and remember, this is not medical advice. (For counterpoints on hormone therapy for cardiovascular disease prevention, check out episode 66. For counterpoints on compounded hormones, check out episode 45. For counterpoints on the evolutionary theory of menopause, check out episode 2.)

Highlights: 

• How she hit the ground running from her very first Tiktok
• Finding out about the gaps in her own education
• Why menopause gets shoved into a little corner
• How the US healthcare system is preventing better menopause care 
• Why she chose to open a private clinic (and why she knows its elitist)
• What board-certified means (and why it’s better - even if it still doesn’t have much to do with menopause)
• How far behind menopause research has been and continues to be
• Her take on how to find good experts to follow – and how to get better care at the doctor’s office
• Her dream for research
• How she prescribes HRT 
• Her take on the progesterone-progestin question (and why she doesn’t like the “demonization” of synthetic hormones)
• Remembering we are all bio-diverse (and will react to HRT in our own way and need lots of options)
• How and why she pivoted to a more pro-hormone therapy message
• Why she says hormone therapy prescribing does not require expensive hormone testing – at any stage 
• Her answer to the question: Should women go on hormone therapy for prevention, not symptom treatment
• Why she thinks our generation is having a harder time in this – and how our mothers are guiding our health choices 
• How trauma is impacting our time in menopause 
• Her advice for you if you’re struggling (and some US telehealth recommendations)

Where to find Dr Haver:

Web:

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Dr Quentin Oury is a leading British GP at a busy NHS service with 16,000 patients. He is focused on men’s health, including the areas of erectile dysfunction and low testosterone. He joins me to talk about a topic that doesn't get much air time, but we are slowly starting to hear more about: andropause.

Many people don’t even know what the word means, but as Dr Oury explains, it’s a little known fact that men can suffer symptoms very similar to that of peri/menopause as their hormones decline with age. 

And when you listen to him describe “manopause” as he sees it in his office, and all the challenges that stand in the way of men recognizing that this is a condition that there is a lot of help available for, the parallels to what women have been going through are uncanny. 

Highlights: 

• How andropause presents – and why it’s confused for other things
• Why his typical patient is often healthy 
• The typical symptoms – including how it impacts mental health
• What’s going on, physiologically
• The testosterone Rx
• How this area is dramatically understudied – even less than menopause
• The link to diabetes – and to medical problems later on
• Why erectile dysfunction and low libido can be a bigger  health issue
• The difference in supplementing testosterone for andropause and the dangerous practice of “juicing” for muscle growth
• Why women are usually the ones who get men to the doctor
• Where to get more information

Where to find Dr Oury (and more info):

Web: H3health.co.uk

Instagram: @dr_q_o

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Morgan Adams is a holistic sleep coach, with two advanced certifications in sleep science coaching. She works withwomen who struggle to get a good night's sleep consistently. 

And that is something she knows all about, because she spent almost a decade using prescription sleeping medication, even though she knew that her overall sleep quality suffered. 

We talk all about her journey to better sleep, her decision to help other people get there too, and how a good night’s sleep actually starts first thing in the morning.

Highlights:

• The scourge of sleep medication 
• Why you want to get outside first thing
• Yes those sunglasses are cute, but…
• Tips to make your phone less attractive 
• The real problem with social media at night
• The role of hormone therapy for sleep in perimenopause 
• Is biohacking your sleep necessary?

And much more…

Where to find Morgan: 

Web: Morganadamswellness.com

IG: @morganadams.wellness

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A solo episode where I talk about my mom.

She died right after she turned 53. 

I am about to turn 53. 

This has been a thing. 

This is a thing for people. 

Also: the gifts my mom gave me by dying young, the message I want to give you about living courageously, with fear, honoring the ones we love that we lose, energy, breaking generational barriers and some funny stories, possibly involving cakes intentionally made to resemble poop.  

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It's a broad claim, but if I’m more clear on what is going on now that I’ve done it, I can guarantee you will be if you listen.  

Dr Kirstey Holland is a Melbourne, Australia-based doctor of Traditional Chinese Medicine who holds a double degree in acupuncture and herbal medicine. She is a practitioner of environmental and nutritional medicine, functional medicine and naturopathy. 

Her approach to perimenopause is grounded in ancient wisdom, and is personalized for every woman to suit our own unique needs – because we are all different. 

And she caught my eye on Instagram because not only is she calm, knowledgeable and relatable, she appears to know more about the totality of perimenopause than most of the other doctors on social media. 

In this podcast, Dr Holland gets at the heart of what is going on with women struggling through this transition with one of the best explanations of what’s happening internally – and how that plays out in our external world – that I’ve ever heard. She explains how this process intersects with the body’s own detoxification process and how we can step up to help, easing our symptoms, reducing inflammation and exposure to future diseases in the process. When you listen to Dr Holland, it becomes clear that in order to experience vitality during this time of transition, it’s essential that we focus on nourishing our brain, gut, adrenals and thyroid. She also talks about everything you need to consider if you are considering hormone therapy, which she is not only taking, but is skilled at prescribing in a tailored and holistic manner. 

Highlights:

• The intersection of trauma and perimenopause
• What is actually happening in our bodies – and how that plays out in our lives
• Why cleaning up what we consume is so important at this juncture
• Why we need to be careful about alcohol
• The vital role of gut health
• Why and how she tests people in perimenopause 
• The essential role of our detox pathways
• Why we need to “restump the house”
• Why do so many doctors seem to have orthorexia?
• Her magic, super-simple nutritional formula
• Why we need to remind ourselves of hunter-gatherers
• How she found her voice

Where to find Dr Holland: 

Web: Thehollandclinic.com
IG: @thehollandclinic

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Dr Mikhail Kogan came to medical marijuana via his work as a geriatrician at GW Medical Faculty Associates and as an associate professor of medicine at George Washington University School of Medicine & Health Sciences in the US. 

He co-wrote one of the most comprehensive books on the subject of cannabis in health care, Medical Marijuana, published in 2021. Although he’s not a menopause marijuana specialist (no one really is, yet), he has really helpful insights as to why the research still needs to catch up with what doctors are seeing in patients, coffee is more addictive than cannabis, and what “going low and slow” really means when it comes to experimenting. 

He joined us as part of last year’s Menopause Shift Summit, and if you didn’t catch him there, you can catch him here. 

Highlights:

• Why cannabis can be a ‘godsend’ for older adults
• Whatever medical problem we can think of, cannabis has a role 
• A reminder that cannabis was the most heavily used medicine before the 1930s 
• A look at our body’s own unique ‘endocannabinoid’ system – what he calls the oldest hormonal system in our body
• The potential role of reductions in that system in our perimenopause experience
• The myth that there is no cannabis research – and an overview of what that research shows
• His prediction about cannabis for Alzheimer’s and Parkinson’s
• Low-and-slow and the ‘J curve’ and dosing 
• Why he says the cautionary advice over cannabis from addiction specialists is very different from medicinal applications 
• Back to myths, he’s also talking about medical marijuana and addiction
• His top advice for what and how to buy

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In a week where we had the release of the new Davina McCall documentary Pill Revolution, Holly Grigg-Spall joins the Hotflash inc podcast to talk all about hormonal birth control.

Holly is the author of the 2013 book Sweetening The Pill: Or How We Got Hooked on Hormonal Birth Control, and a writer on 2021's The Business of Birth Control documentary.

Hotflash inc founder Ann Marie McQueen asks Holly all about what happened after her book was published, reaction to it and the documentary, and some of the top lines about what she found out during her years of research, all based on her own experience.

And they talk about how the conversation around menopause hormone therapy relates to the conversation around the pill, and how previous pill use could be informing perimenopause and menopause.

Sit back and dive in as we address one of the controversial subjects of our time.

Resources:

• Sweetening the Pill: or How We Got Hooked on Hormonal Birth Control
• SweeteningThePill.com
• TheBusinessofBirthControl.com

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Karen Newby is a UK-based nutritional therapist and author of The Natural Menopause Method - a nutritional guide to perimenopause and beyond.

She runs a specialist menopause clinic and hosts regular retreats, corporate talks and workshops, helping women toward greater midlife vitality. A complementary practitioner, she often works with GP menopause specialists and women on hormone therapy.

Her approach is highly practical, realistic and achievable as we deal with very low bandwidth in amongst our turbo charged, modern day world.

Highlights:

• therapeutic foods explained, including phytoestrogens
• the power of changing the first hour of your day
• her take on ultraprocessed foods + menopause
• her gentle method of cleansing to get on with feeling better
• how being "hurried women" is hurting us
• why we need to nurture our thyroid, liver and adrenals so they can do their work
• ditching years of diet industry nonsense
• what she learned about perimenopause from living in China
• sugar and hot flashes
• the role of stress

Web: www.karennewby.com
IG: @karen.newby.nutritionist


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Dr Angela DeRosa is a doctor of osteopathy, integrative physician and hormone specialist in Arizona. She has a unique take on the current peri/menopause landscape as a doctor of osteopathy who also worked as senior medical director for Procter & Gamble, helping them launch osteoporosis treatments and try – and fail – to get a testosterone patch for women approved for use in 2004.

During her years with the pharmaceutical division, she saw firsthand how women’s ability to get proper medical care and treatment is thwarted due to politics, gender bias and poorly trained physicians. Her mission is to teach women about what’s happening to them physically, how they can obtain proper treatment, and how to change the paradigm of medicine so women everywhere can live healthier and happier lives.

Dr DeRosa discusses her view and experience of testosterone, which she says few doctors understand. This includes her endorsement of and cautions about the controversial use of pellets, as well as the important role of the thyroid, the vital interplay with blood sugar and the road to insulin resistance, and much more.

Highlights: 

•  What it’s like working for Big Pharma 
•  Her view on Intrinsa, the Proctor & Gamble testosterone patch the FDA did not approve almost 20 years ago
•  We are more than estrogen – and why testosterone is pivotal
•  The vital interplay between falling testosterone and insulin resistance
•  The crucial thyroid piece – and why thyroid health must come first
•  Why so many people don’t understand how to properly administer testosterone
•  Why pellets are like colour TV (and what people get wrong about them
•  How to avoid unsafe doses 
•  What is "fulminant fear", why it's rare and how to avoid it
•  Her take on “menopause is natural” 
•  Her take on fezolinetant, aka Veozah, the non-hormonal drug for hot flashes 
•  Why you want your hormone therapy to be “biomemetic” aka bioidentical
•  What you think you know about compounding pharmacies is wrong (including that they are always “expensive”) 
•  Why we need to look at the “whole universe” of what’s available 

Where to find Dr DeRosa: 

• drhotflash.com
• hormonalhealthinstitute.com

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KC Councilor is an assistant professor in Communication, Media, and Screen Studies at Southern Connecticut State University. He is also a cartoonist who draws about the experiences of being a trans and transitioning person in the world.

His graphic memoir, Between You and Me: Transitional Comics, came out in 2019.

He has also published comics in numerous academic journals, including the Annals of Internal Medicine, Literature and Medicine, Communication and Critical/Cultural Studies, and Women's Studies in Communication. His comic Cycles was published in the Eisner Award-winning anthology Menopause: A Comic Treatment. 

Highlights

• Why he’s ready to talk about feminity
• The comic that brought him on the podcast
• What it’s like going through puberty and menopause at the same time
• At 41, how he feels about the possibility of perimenopause
• Being a trans person in the US right now
• Feelings in fatherhood
• The loud and angry state of trans in the US
• The issue of trans violence 
• What medical care has been like

Find out more about KC and his work:
Web: www.kccouncilor.com
Instagram: @betweenyouandmetranscomics

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This conversation was life-shifting for me and I hope it will be for you too. Elisa Kurylowicz is a Canadian former World Cup freestyle mogul skier turned coach and wellness mentor and host of the highly rated Elisa Unfiltered Podcast. Elisa teaches the practice of intuitive awareness, helping women to love themselves in body, business and life. She joins the Hotflash inc podcast for an epic (but so worth it) episode about the hard process of waking up to your conditioned mind so you can heal yourself.  

Highlights: 

• What happens when you face an Olympic-level 
• Cigarettes, booze, Ramen noodles and anger
• Waking up – and then going back to sleep
• How to start asking yourself big questions
• Seeing the world for what it is
• Men is a midlife crisis, women it’s menopause
• What’s going on with our urge to belong?
• Recognizing the teachers who help lift us up
• Keys to practicing intuitive awareness
• The big scary wall of what real change might mean
• Psilocybin therapy + microdosing
• Recognizing narratives around alcohol – and breaking out 
• Navigating the early stages of perimenopause while trying to get pregnant

Where to find Elisa:

• Web: elisaunfiltered.com
• IG: @ElisaKurylowicz

Adele Stratton (Elisa’s coach) IG @phoenixrisinghc

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Michelle Aspinwall is a Medical Intuitive, Body Whisperer, and transformative healer whose mission is to shift women’s health specifically beyond 40. 

Michelle works with women worldwide using both science and spirit channeling leading them through specific and transformative health challenges. She teaches women that how they think, believe, support, and nourish themselves creates the foundation for her to become her most magnetic and vibrant being for the entirety of her life.

She also believes that we are humans and spiritual beings, and because of that, we can take part in the entire smorgasbord of the earth’s experience: East, West, and everything in between. (As in: she uses testosterone and acupuncture for her perimenopausal symptoms)

Highlights: 

• How are various systems work together
• The vital years from 37-50
• Perimenopause and our crown chakra
• Developing our intuitive muscles
• Why and how it hurts not to tell your truth during this transition – and why it has everything and nothing to do time
• Our experience, our perception of the experience, and the stories about the experience 
• Using hormones for the human parts of us to augment and assist our spiritual selves
• Understanding the magnitude of source and how it’s reflected in us 
• Why we need to tend to our heart more than ever now – and how to begin to do that 
• How she manages her thyroid and Hashimoto’s with Western and Eastern medicine, food and living in truth 
• How the stress of the world heightens our symptoms and disorders – and how to navigate the turmoil and tumult energetically 

Where to find Michelle: 

• Web: michelleaspinwall.com
• TikTok: @BodyWhisperer
• IG: @Michellepaspinwall
• FB: Body Whisperer Lounge
• Free Meditation

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Dr. Burt Webb is an Arizona-based ob-gyn and intimate wellness specialist with a holistic approach to women’s health. (He also represents the non-invasive soundwave treatment Cliovana, which we discuss in part 2 of this podcast.)

He joins the Hotflash inc podcast to talk about how our entire body plays a role in our vaginal health – and genitourinary syndrome of menopause (GSM). With almost 30 years in practice treating women, he is one of the most switched-on mainstream practitioners to appear on the podcast. 

Contrary to the prevailing narrative – oh how we love that here – he believes a dry vagina isn’t always just a dry vagina due to menopause. And he explains all the different factors that may be going into this. 

This is a fascinating conversation and the first-ever two-part episode. Stay tuned to next week when he gets into all the different treatments, hormone therapy and otherwise – that he uses to treat the entire pelvic region. This is very different to what you are hearing elsewhere. 

Highlights: 

• The role of blood flow and nutrients in menopause – and in particular, vagina stuff 
• How and why the vagina gets lubricated (hint: it’s like a cheesecloth)
• How your gut microbiome impacts you mind, body and vagina
• The role of food insensitivities – and chemicals in processed food – in GSM 
• Why a probiotic isn’t enough 
• Vaginal hormone therapy in treating GSM 
• Why you need pharmaceutical-grade supplements (it’s about the absorption) 
• Why he looks at the tissues – and the four areas where symptoms of dryness and pain in the vagina appear
• How inflammation contributes to poor sexual health and ultimately heart disease 
• Vaginal estrogen and breast cancer - the consensus opinion 
• Why he believes most vaginal estrogen is not used correctly – and how it should be

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Dr. Burt Webb is an Arizona-based ob-gyn and intimate wellness specialist who takes a holistic, functional, integrative approach to women’s health. (He also represents the non-invasive soundwave treatment Cliovana, which we discuss in part 2 of this podcast.)

This week he gets into all the different treatments, hormone therapy and otherwise – that he uses for the entire pelvic region. With almost 30 years in practice treating women, he is one of the most switched-on mainstream practitioners to appear on the podcast. 

This is a fascinating conversation and the second in our first-ever two-part episode. Don’t forget to listen back to last week, on episode 83, when we talked all about why he believes a dry vagina isn’t always just a dry vagina due to menopause. And gives us major guidance on how to tackle the issue systemically. 

Highlights: 

• Vaginal estrogen and breast cancer, including specifics on how to use it differently 
• “They aren’t as familiar with the vagina” (who he’s talking about)
• That time he coached a young woman on a plane about vaginal health (she asked) 
• How he uses vaginal 
• DHEA? 
• Additional ingredients in vaginal estrogen and why they may not work for you
• Why your clitoris is a lot bigger than you think – and any treatment needs to focus on all of it 
• Why women need to educate themselves – and men – about their bodies  
• How the body’s own healing factors can be harnessed to help your vagina
• Cliovana, radio frequency, laser treatments and the O-shot – and what’s best for what issue
• Why mixing and matching – and tissue health – are key to treating each women individually
• What to look for in an intimate wellness specialist 
• How the placebo effect plays a part in treatment 

Web: cliovana.com

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BIG NEWS: Hotflash inc is the #1 Women's Health Podcast on Goodpods, and in the top 1.5 percent of podcasts according to Listen Notes. 

Thanks so much for making that happen! 

In today's episode, I talk about traveling to New York for my first big event on behalf of Hotflash inc. 

And how I finally realized that I belong in the room. 

The broad themes are connection, confidence and purpose.

But the main point, as it always seems to be, is loving and accepting yourself. And how to get there, even if it seems like it takes a lifetime. 

I talk about the long, hard road to building the confidence to feel worthy of being there, and to keep confident while there, about the essential-ness of connecting with other people, and of the beauty in finding and having a sense of purpose – all essentials, and all things that it can feel like midlife and peri/menopause threatens. 

But if you let them, they can be just the opposite. 

I talk about the feeling of ALMOST entering menopause, meeting heroes, becoming your own hero, and what it feels like to start to see yourself, accept yourself, and BECOME yourself, after all this time. 

Also discussed in this episode:

Not wearing heels when everyone else is + the beauty of proper hair and makeup

How I got involved with Perry, the sisterhood for perimenopause

Perry panel members: State of Menopause’s Stacy London, Menopocalypse author and Nyah Health cofounder Amanda Thebe, Behavioural Sleep Doc Dr. Shelby Harris,  The Menopause mogul Dr. Joy’El Ballard, Endocrinologist Dr. Disha Narang, journalist and midlife influencer Tamsen Fadel, ob-gyn and menopause expert Dr Sharon Malone and most inspirational-in-midlife maven Rachel Hughes

Yvonne, Hotflash inc perimenoposse member extraordinaire

Coffee in Bryant Park with pro-aging advocate Skylar Liberty Rose (apologies, I say ROSS)

Menopause Multiverse Cocktail Hour in Harlem: Hosted by Omisade Burney-Scott (Black Girl's Guide to Menopause) and featuring many amazing women including Karen Arthur (Menopause Whilst Black); Jessica Jolie (Age Lust) and and the fearless, wonderfully profane and inspiring Mona Eltahawy, who has such astonishing courage that I switched my own nickname for summoning courage from LADY BALLS MONAS

The hero’s journey of menopause and midlife 

Showing up for yourself

Thank you so much to Perry and Omi and sparks & honey and everyone el

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The Hotflash inc podcast is the #1 podcast in Women’s Health on Goodpods and in the top 1.5 percent on Listen Notes. Thank you for making that happen! 

Andrea Donsky is a Canadian nutritionist who turned her own terrible and epic perimenopause into a movement – and a company. Now a Menopause Educator and Researcher with 300,000+ TikTok followers, she is on a mission to change the conversation around perimenopause and menopause.

An entrepreneur with more than 23 years of experience in the health and wellness industry, Andrea hosts the weekly ‘Menopause Reimagined’ podcast, and appears as a menopause expert on television across North America. To date, Andrea has appeared in over 400 TV segments and has been featured on every major network across the U.S and Canada.

Her newest venture, Morphus, (which signifies ‘metamorphosis’ + ‘us’ as a community), empowers women over the age of 35 to “Reimagine Menopause” as a journey of empowerment so they feel heard, supported, and validated. Morphus empowers women to take control of their symptoms and health with nutrition, resources, and science-backed supplements. 

Andrea and her business partner Randy are also my partners in the Menopause Shift Summit, which is returning next year! 

Highlights: 

• What launched her into becoming a menopause researcher and entrepreneur (hint: A horrid, epic perimenopause)
• Why she focused on symptomology
• Starting to understand supplements through ingredients 
• The big problem she had with one of the most common menopause ingredients 
• Why you need to know about guar fiber 
• Pycnogenol: What it is, why she loves it and how much you really need
• The one thing you need to know before you take a supplement (hint: It’s super-simple but most of us miss it 
• Toco-what? 
• The two things you need to address early in perimenopause 
• Her one golden rule about supplements 
• The scoop on black seed oil – and why it’s magic for menopausers
• What to watch out for when it comes to supplement additives (and why they could be the reason what you tried isn’t working)
• Why too many ingredients is a big supplement red flag 
• The benefit of new supplements vs older varieties 
• Why perimenopause is like updating your cell phone’s software
• The goodies of menopause (stay tuned: there are MANY and they are AMAZING)
• The magnesium-stress loop 

Learn more at

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Tania Elfersy is a transformative coach, speaker and award-winning author specializing in midlife women's health. Tania has spent years researching perimenopause and menopause: what causes it, what makes it worse and what can relieve the symptoms. She suffered too, and then after a profound emotional shift, became free of her own physical and emotional symptoms naturally and simply, through insight alone.

Tania set up The Wiser Woman project in 2015 to help women transform their experience of midlife change. Through her coaching, writing and teaching, Tania focuses on connecting women to the innate brilliance of their bodies, having seen that healing occurs with ease when we relax into the divine intelligence within.

Highlights: 

• Recognizing and rejecting the negative narratives surrounding menopause in media and on social media
• How we “innocently” make our health worse by what’s going on in our minds
• The healing process as a shift in consciousness
• Her take on the #menopauserevolution and what is really going on in the UK 
• Do we really need HRT? And could it “desensitize” us to the truth of menopause?
• How to lean into becoming a Wiser Woman
• How to manage – not try to change – our thoughts

Where to find more of Tania: 

• Web: The Wiser Woman
• Facebook: @Tania.Elfersy
• Linkedin: Tania Elfersy

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There is something that is discussed very little in the current wave of menopause awareness, yet it is, in essence, our very structure.

Yet obviously our DNA is a very big piece of this midlife puzzle. 

And if you, like me, thought that DNA testing was something to avoid, because you don’t want to find out what diseases you are going to die of, then today’s conversation with Kashif Khan, founder of The DNA Company and author of The DNA Way, will be very eye-opening.

The DNA Way is all about using your individual DNA to prevent health issues. The DNA Company has amassed years of in-depth genetic analysis on the DNA results of more than 7,000 people, unlocking valuable insights into mood, behaviour and mental health, energy, diet and nutrition, weight management, sleep, and more.

This is about using epigenetics to overcome your genetic legacy. 

Rather than serving as a possible inescapable prophesy, DNA testing provides actionable recommendations for all the most confusing health concerns we have, and can provide guidance on what foods to eat, how to exercise, where and how to work, and more. As Kashif writes in his book and tells me in the podcast, this has helped him prevent or reverse illness, slow down the aging process, and optimize performance. 

And it can do the same for you.

Kashif explains DNA in a way that I never really understood it before, and he provided vital insight – and a much different take – on things like reducing our breast cancer risk, and how we can more safely use menopause hormone therapy. 

It’s like a human instruction manual – for menopause too. Get ready to have your mind blown. Mine certainly was.

If you like what you hear: Hotflash inc has partnered with The DNA Company to provide listeners with an exclusive 10 percent discount on the DNA Company’s DNA 360 Report. 

Click here and use promo code HOTFLASHINC.

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Hotflash inc is the #1 podcast in Women's Health on Goodpods and in the top 1.5 percent globally according to Listen Notes. 

A quick update this week on where I am at right now, and how I feel about it, and what I think it means.

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Paula Rastrick is a British psychotherapist who was prescribed too-high levels of hormone therapy at a private clinic in the UK, which ended up causing more physical and emotional problems than she originally sought treatment for. 

She is also complex trauma survivor and classed as a Highly Sensitive Person and her mission is to raise awareness of both and how they impact menopause transition.

Her episode runs in the same week that the British Menopause Society released a warning about reports of high doses of menopause hormone therapy being given in the UK, and the syndrome known as tachyphlaxis. This is what happens when people taking drugs find the drugs to be less effective over time, and in the case of hormone therapy, can mean women with high estradiol levels may believe they need more estrogen, and also that women with higher levels of estrogen can experience adverse mood-related symptoms. 

Paula has create the brain body method of working with women on post-traumatic growth, resilience and healing.. She works with clients one-on-one and has just begun offering affordable monthly workshops that educate women about their body’s stress and trauma responses and gives them tools to handle and process it which you can access through her website. 

Highlights of our conversation: 

• Her story of being overprescribed HRT
• The vastly understood role of childhood trauma and highly sensitive people in perimenopause 
• Why all mood issues are not simply another perimenopause  “symptom” 
• What happens when too much estrogen hits a highly sensitive brain
• Remembering HRT is a pharmaceutical drug, not our body’s actual hormones 
• Low and slow as a guiding principle 
• ADHD, neurodiversity and more
• Why menopause needs to connect the dots with other research
• Why menopause is a bio-psycho-social transitio
• Differential diagnosis and the danger of counting everything as a perimenopause symptom
• Is there such a thing as menopause mood disorder? 
• Narrowing the conversation is not helping women
• Why trauma isn’t about the event - it’s about how you process the event 
• Libido loss – and the pain and stress of knowing that our relationships need work – in perimenopause 
• HRT as a baseline to tackle everything else rather than a magic pill 
• What do you do when you listen and think ‘this sounds like me’
• The book she recommends you start with if you think this might be you

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We hear this message all the time: compounding pharmacies and the bioidentical hormones they produce are dangerous and unregulated.

But, are they? In an encore episode of Hotflash inc, to find out we turned to two people who are inside the industry, which accounts for about 1 to 2 per cent of drugs sold, and getsa very different story. 

Meet Scott Brunner, CEO of the Alliance for Pharmacy Compounding, which represents compounding pharmacists and technicians as well as prescribers, educators, researchers and suppliers in the United States, and Jennifer Burch, a doctor of pharmacy and owner of the independent pharmacy her father started in Durham, North Carolina. Although this episode focuses on the compounding pharmacies industry in the US, there are takeaways that can be applied all over the world. 

Highlights: 

• The drug industry began with compounding pharmacies – so why are they still here? (4.45)

• The rigorous regulatory framework in place to oversee them (5.50)

• How compounding pharmacies help patients traditional pharmaceuticals cannot – including in menopause (7.32)

• Examples in peri/menopause where compounded medications help where pharmaceuticals cannot (10.13)

• How practioners work collaboratively with compounding pharmacists (12.30) 

• The one way pharmacists can tell if a medication is working for a patient (13.10)

• How compounded menopause hormone therapy works and is overseen by pharmacists, practitioners and patient consulation for peri/menopause symptoms – and how it’s different from how the majority of HRT prescriptions handled (13.30)

• The rare cases where compounding has gone wrong (17.30)

• The difference between synthetic and bioidentical hormones (and how even doctors confuse them) (19.01)

• Why you probably want to skip medroxyprogesterone and go for bioidentical progesterone instead (21.00)

• The imminent threat facing the compounding industry (26.00)

• Why the compounding isn’t even suited to the large-scale clinical trials it’s demonized for not having – and how it’s actually tested (27.23)

• The issue of pellets (and why the Alliance wants a more rigorous reporting system for adverse events for all drugs) (37.30)

• The case that may have scarred the FDA about compounding pharmacies (42.20)

• Are compounded medications really more expensive?(43.30)

Find out more:
Web: Compounding.com
Twitter: A4PC

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FUD = Fear, uncertainty and doubt

This is a special solo episode on the eve of Menoapuse Awareness Month to talk about the current situation that exists where people are trying to scare women into taking hormone therapy, whether they need it or not. 

I talk about why that doesn’t make any sense, doesn’t align with any of the current advice from the bodies who guide doctors on how to handle all this, where it’s coming from and how you can try and make sense of what’s going on and make an informed decision about what is right for you – hormone therapy or no hormone therapy – by using simple common sense. 

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The first encore guest on the Hotlflash inc podcast is the women's health ND Lara Briden, who is a calm, cool, collected and highly knowledgeable voice in the women’s health space. 

She is the author of two books, period repair manual and hormone repair manual, is  a sought after speaker and guest, has her own podcast and helps 171 thousand people on Instagram sort fact from fiction. 

She’s also a student of the endocrinologist, Dr Jerilynn Prior, who she mentions several times in the podcast, and a passionate advocate for shifting some of the focus during this transition onto progesterone from estrogen, which gets all the attention. 

We discuss why perimenopause might seem like chaos, but it really isn't, and why. And a portion of the podcast is dedicated to the evolutionary aspect, which Lara is passionate about because she's also an evolutionary biologist!

Highlights: 

• Why ‘the four phases of menopause’ is unhelpful
• Recap on our menstrual cycle 
• The real four phases – of perimenopause
• What menopause really means (and why it’s going to be okay there)
• How the “chaos” is temporary – and what’s causing it
• Why there are really just 9 symptoms of perimenopause 
• The one symptom of menopause that does linger
• Why do much of perimenopause is about other things, but is also about perimenopause
• Why everyone gets the history of menopause wrong – and why understanding it (and seeing it reflected in the animal kingdom) tells us so much about what it really is
• The one thing that makes it all worse

Where to find Lara:

Larabriden.com
The Lara Briden Podcast
IG: @larabriden
X: @larabriden

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“Just put it out there. No one expects you to be perfect.”

When Colleen Rosenblum talks about starting the Hot Flashes & Cool Topics podcast with her partner Bridgett Biagi Garratt in 2019, you kind of want to stand up and cheer. These Nashville-based friends – Colleen is an attorney turned pilates instructor, Brigit is a former elementary school teacher –  are two of the most clear-headed voices in the North American midlife sp, all the things that happen in midlife and how we get through them. 

They also just had their first IRL Hot Flashes & Cool Topics with Prime Women event this month, where they talked about menopause, midlife and a lot more. 

Highlights: 

• Navigating politics  in the menopause space 
• Doctors private public 
• Doing scary new things in midlife 
• How backward it was (and still is) that midlife have the purchasing power but are left out of media coverage
• Shining a light on the positives of midlife 
• Growing through the grief and loss in your empty nest 
• Starting over and deciding what you want to do with the rest of your life
• What they’ve learned interviewing doctors
• The most controversial topic they’ve come across – testosterone pellets – and Bridget’s own experience with them
• Why we don’t want to change doctors – even when ours knows nothing about perimenopause 
• How being scared of menopause can make it harder 
• Colleen and Bridget look back on their own perimenopause experiences
• Why they left their careers behind and how they feel about it now 
• What it felt like when they launched their podcast – and why women need to stop underestimating the experience they have in life 

NB: For an alternative view about  testosterone, check out episode 58 with Nashville, Tennessee-based nurse practitioner Brooke Faught and for testosterone pellets, listen to episode 79 with Phoenix, Arizona-based integrative physician Dr Angela DeRosa. 

For more on HFCT:
Hot Flashes & Cool Topics
Facebook
Instagram

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This week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.

Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital’s NHS Foundation Trust and an associate professor in Women’s Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media. 

He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.

Highlights of our discussion: 

• Hormone therapy (HT) 101
• WHI: good, bad and what we can learn from it 20 years on
• Estrogen in the pill vs estrogen in HT 
• All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiol
• Getting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country 
• Pharmaceutical company produced HT vs compounding pharmacy versions
• the big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendations
• the pill, HRT and breast cancer risk
• why problems with the pill don’t get flagged and HRT does 
• Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)
• What’s what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)
• how long you really need to take HRT to see if it’s working
• why HT works for some people and not others
• Dr Talaulikar’s favourite non-hormonal treatments

Where to find Dr Talaulikar:

X: @VikramSinai 

Web: Menopause Clinic London

Menopause Research and Education Fund

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Dr Karyn Eilber is board certified in urology and female pelvic medicine and reconstructive surgery, as well as an associate professor teaching, training and working in administration at Cedars-Sinai Medical Center in Los Angeles. She’s a mom of three, co-founder of the clean, luxury intimacy company Glissant, founding medical partner at Doctorpedia and co-author on the awesomely title book A Woman’s Guide to Her Pelvic Floor: What the F#*@ is Going On Down There?”

Over her years of practice, she’s also become open to alternative approaches to medicine and all the new – and old – things that can help. “No pun intended,” she says. “You gotta think outside the box.” 

Highlights: 

Why vibrators are important in perimenopause
How to choose a vibrator
Why kegal exercises are not one sized fits all
The very important role of a pelvic floor physical therapist 
The intersection between our urinary tracts, pelvic floors and overall vaginal health 
Vaginal estrogen is safe! (Even if the packaging makes you think otherwise)
Why systemic estrogen may not be enough for your vagina 
The latest tech: lasers, sound waves and O Shots 
Bioidentical hormones and testosterone pellets
Our rapidly advancing understanding of the vaginal microbiome
What’s going on with all the infections? (Hint: It’s about the lactobacillus)
Boric acid for BV: the doctor’s Rx (and what you have to watch out for)
Goop, vaginal (vulvar) steaming and jade eggs
Falling bladder: what it is and how to treat it
Glissant and the importance of using clean lube (and some CBD)
What young women are doing differently at the gynecologist 
Is vaginal estrogen mandatory? 

Where to find Dr Eilber:
Web: Glissantlove.com
LinkedIn: @KarynEilber
Instagram: @dreilber

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Dr June Chin knows about pain and how to treat it on the deepest levels: from her own experiences that started in her teens years and through to that of patients. 

She’s an integrative medical cannabis physician and has spent more than20  years working in holistic medicine. 

She is currently a professor at New York University and Syracuse University teaching Cannabis Health and Science, Vice Chair for the Cannabis Advisory Board for the New York State Office of Cannabis Management and Chair of the Health, Safety and Research Committee for New York State’s Office of Cannabis Management. She is the author of the book Cannabis and CBD for Health and Wellness and founded and operated seven bicoastal integrative cannabis medicine clinics in California, New York, and Connecticut.  

Her training includes studying nutritional biochemistry at Cornell University, osteopathic medicine at Touro University, medical acupuncture at Harvard University, and research at Columbia University, Center for Complementary and Alternative Medicine in Women’s Health. 

Through her work as a clinician, professor, and author, she has created medical protocols for the industry and internationally accepted methods for cannabinoid formulations, research, education, and training programs. She is also the chief medical officer for NNABI. 

Highlights: 

• The personal experience that drew her to holistic medicine, and cannabis in particular
• The 101 on our endocannabanoid system 
• The different forms of cannabis – and how CBD is different 
• The interplay between CBD and hormone therapy
• The intersection between perimenopause and the endocannabanoid system?
• How specifically can cannabis and CBD help 
• Her work with the startup NNABI, which is providing a CBD solution for perimenopause
• Her take on some of the other alternative, plant-based medicines and psychedelics being developed to treat peri/menopause
• Her top advice for women in perimenopause

Where to find Dr Chin:

IG: @nnabi.life @drjunechin

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I started the Hotflash inc podcast two years ago on a wing and a prayer and a glass desk, and quickly learned that is the worst possible surface for audio.

Along the way I have spoken to the top experts in the world, found out an incredible amount of things, and refined and iterated the podcast intensely, getting it to the point that I'm pretty sure it's – and me – are ready for our own slot at SiriusXM, or at least a bunch of other improvements.

Take a listen as I break down some of the things that other people aren't talking about. Because asking questions about uncomfortable things? That's what I do.

And don't forget to celebrate, because we have launched our first merch. The "you can be in my #perimenoposse" shirt. I think they are pretty darn swell. 

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This is a very special podcast, because it’s with a person who is so authentic and honest about what she’s been through – a rare thing indeed. Over in Canada (Peterborough, Ontario, to be specific) Deborah Porteous takes us back eight years to when she was 53, going through menopause – and had never had an orgasm. Through the love of a patient and attentive partner  that soon changed. 

It was through their search for a workable lubricant that Pleasure Pods, a disruptive company that produces 100 percent plant-based solid product, was born. They are now for sale at Amazon Canada, in more than 50 stores in Ontario, and this autumn became the first such brand to win the CHFA LaunchPad Award at the CHFA LaunchPad and Show in Toronto. 

Highlights (there are many): 

• Deborah's history – it’s going to resonate
• The shame, abandonment, ADHD piece (try not to cry) 
• You can rejuvenate your vagina: part 1 
• How the pandemic fueled the launch of Pleasure Pods (a moisturizer AND a lube)
• Breaking down the ingredients and what they do
• Why she thinks a you need to check out a modern adult sex store (she’s toured to more than 50)
• The problem with most lubricants (silicon, water-based, hybrid, coconut oil) – in menopause, in particular
• You can rejuvenate your vagina: part 2
• The power of orgasms
• Her message to women: you need to use it
• What she has learned about abandonment and it’s impact on relationships, and self-love 
• Her ADHD journey and diagnosis (get a tissue)
• Straight talk about what it’s been like being a GenX women
• Why she doesn’t want to get married now
• Her menopause experience (what happened and what helped)

Names mentioned:

Dr. Carolin Klein, registered psychologist and director of the West Coast Centre for Sex Therapy, 

Becoming Cliterate Why Orgasm Equality Matters--And How to Get It by Nicole Prause 

Where to find Pleasure Pods:

WEB: Thepleasurepods.com
IG: @thepleasurepods
YOUTUBE: @thepleasurepods
FACEBOOK: @plantbuttersandoils
LinkedIn:/@pleasure-products-inc/

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I have two power players in this perimenopause space: half of the four-person team that founded Wile, “a plant-powered hormonal and emotional wellness brand for women 40+ that reframes midlife as a time of peak power”. (You will hear the word “tincture”)

Introductions: Gwendolyn Floyd is a venture-backed serial social entrepreneur – five companies and counting – and Wile’s co-founder and CEO. The title of this podcast is “4 women go through perimenopause” because not only is Gwen a perimenopausal woman, but she watched her mother be buffeted by this transition too. Julie Kucinski is Wile’s co-founder and chief marketing officer, coming from the worlds of beauty and wellness and some of the biggest brands of our time. American actress Judy Greer and former journalist-turned-entrepreneur Corey Schlolibo round out the foursome, and they’ve also got some pretty influential investors along for the ride, including US tennis star Serena Williams. 

I did this interview back in the summer, but the conversation has legs. We talked about the current reality of this space, what’s happening with women, how the options facing us are complementary, what we face on the job and in our home lives and what it means to square up with the heroine’s journey of menopause all still stand. You will hear the word tinctures a lot too. 

There are many highlights in this frank discussion of the business of perimenopause, as well as the realities of what it is to go through perimenopause.

They include: 

• Why DON’T companies pay attention to women over 40?
• There is no ‘natural vs HrT’, only natural and HrT
• Calling in versus calling out and getting defensive on social media 
• How they came to build their formulation (under the guidance of XXX)
• The one thing you want to know about most of the products you use 
• Yeah, we get angry. Okay? 
• How pretending that we are perfect emotionally – and in every other way – hurts and harms us. 
• Acknowledging we have a lot going – and a tincture or two – and resilience. 
• Why menopause needs the straw in the turtle’s nose moment to blow the consciousness up 
• Why the workplace isn’t even close to accepting perimenopause (and why it’s, for us, just the latest hurtle)

Where to connect with Wile:

Web: Wilewomen.com/
IG: @WileWomen

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Dr Vonda Wright is an American double board-certified orthopedic sports medicine surgeon, who has spent a career working with high-level atheletes and immersed in clinical research. 

She’s also a woman in her mid-50s who experienced terrible body pain and a range of other symptoms. All of that combined is fuelling her mission to educate women everywhere about the importance of taking care of our bones, muscles, ligaments and tendons as we age. 

We talk about the complexities of perimenopause, menopause, and mobility issues, and the lack of research in the area of Musculoskeletal Syndrome of Menopause, a term she coined. And we talk about all the interventions – diet, supplements, activity and more – to alleviate the symptoms and prevent problems like osteoporosis, muscle loss and fractures.

Highlights: 

00:33 The Importance of Bone and Muscle Health

01:23 The Impact of Aging and Menopause on Musculoskeletal Health

03:08 The Misdiagnosis of Perimenopause Pain

04:57 The Need for Research Funding in Women's Health

06:33 The Musculoskeletal Syndrome of Menopause

13:22 The Role of Mobility in Maintaining Health

15:56 Understanding Bone Mineral Density and Osteoporosis

23:17 Strategies for Maintaining Bone and Muscle Health

24:48 Breaking Old Habits and Embracing a Healthy Lifestyle

25:12 Understanding the Importance of a Balanced Diet

25:56 The Controversy Surrounding Calcium Intake

26:36 The Essential Role of Vitamin D

28:43 The Debate on Hormone Therapy

29:34 The Impact of Estrogen on Women's Health

34:22 The Fear and Reality of Frozen Shoulder

43:04 Exploring Cutting-Edge Treatments

45:24 Final Words of Hope and Inspiration

Where to find Dr Vonda Wright

Web: Drvondawright.com

IG: @drvondawright

TikTok: @drvondawright

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I'm giving a talk at the Organic & Real show in Dubai and this is my test run. 

I talk about the intersection of my 30-year journalism career, which launched around the same time as my mother's death from pancreatic cancer. 

And how that set me on a path to finding out whatever I could about health and wellness, all while I struggled with unchecked IBS that resulted in a health explosion in the autumn on 2022. 

I talk about what I've learned from all the people I've interviewed and all the research I've done, and how combined with my search for answers for myself and my mom, that has informed a lot of my life. 

How I got to where I was and how I got to where I am. 

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Today we are doing something a little bit different because let’s be honest, everyone is overwhelmed right now and I’m no different. 

This summer I was a guest on Sherry Jibb’s Happy & Healthy in Midlife Summit, and had a great conversation with her about so many things we don’t talk about much in the menopause conversation. 

Sherry is a registered yoga teacher, a movement educator in Pilates mat and reformer, reiki practitioner and personal trainer. She’s also a person who deeply understands the menopause transition exists on so many levels, and gets just what a mind-body-soul transformation it is. In her words, in this interview: “It's a de-conditioning.  It's a letting go of what society tells us is the recipe that we need to finding the recipe for ourselves. And love and compassion is the only way to do that.”

I just loved this interview. In it you will learn:

• More about my journalism career and what drew me to the Middle East
• What happened to my weight and how I got there
• How I think taking care of our health is actually  simple – but not easy
• Why it's time to take radical responsibility for your health
• Some details about my stormy “transmenopausal year” 
• The essentials of grieving 
• Some of the things that helped me through perimenopause
• Why we need a toolbox

Where you can find Sherry Jibb:

Web: SherryJibb.com
IG: @sherryjibb_balancedmidlife

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I'm taking a short break, and we are going to come back stronger than ever. 

Here I explain why! 

I also butcher Joe Pulizzi's name, and for that I am sorry. 

See you soon. AMx

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Embracing Change and Finding Strength in Uncertainty

Listen in as I reflect on a pivotal moment triggered by a quote from the Mel Robbins podcast, leading to the tough decision to pause the Hotflash inc newsletter and podcast – and the easier decision to bring it back. 

00:00 Facing Fear and Making Tough Decisions

00:33 Personal Struggles and Overcoming Challenges

01:22 A Life-Altering Event

02:18 Finding Strength and Moving Forward

03:00 Reviving the Newsletter and Podcast

03:57 A Balanced Approach to Menopause

04:42 Gratitude and Moving Ahead

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Hotflash inc – the platform designed to find the true truth in perimenopause, menopause and beyond – makes a return to the podcast world this week! 

In the first episode back journalist and host Ann Marie McQueen interviews Lara Briden, an expert in women's health and author of the new book The Metabolism Reset.

They discuss the complexity of this entire subject, insulin resistance, the impact of modern diets, and the importance of understanding how our bodies respond to different types of food and exercise. 

Briden, a naturopathic doctor and author of period repair manual and hormone repair manual, shares her valuable and moderate insights on achieving metabolic health through tailored approaches, emphasizing gentler methods and the importance of addressing underlying health issues like gut health and autoimmunity. 

This episode aims to help listeners understand and manage their metabolic health effectively during the menopause transition.

00:48 Introducing Midi Health

01:21 Lara Briden's Influence and new book

02:04 Conversation with Lara Briden

03:31 Understanding Metabolic Health

05:42 The Role of Hunger and Satiety

14:50 Impact of Modern Food Environment

21:30 Debate on Vegetable Oils

28:06 Navigating Food Allergies in Restaurants

28:27 Understanding Metabolic Endotoxemia

28:47 Gut Health and Metabolic Health Connection

29:54 Patient Stories: Gut Health and Insulin Resistance

34:52 Exploring Insulin Resistance

37:27 Signs and Diagnosis of Insulin Resistance

40:30 Treatment Approaches for Insulin Resistance

43:20 Perimenopause and Insulin Resistance

43:34 The Importance of Movement and Protein

49:29 Final Thoughts and Reflections

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Exploring the Truths of Perimenopause and Menopause with Ann Marie McQueenJournalist Ann Marie McQueen delves into the realities of perimenopause, menopause, midlife, and beyond. She emphasizes the importance of opening our minds to new possibilities and shares her journey as a proud woman in her 50s. Join the discussion on Hotflash inc and gain insights into navigating this significant life transition.

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Navigating Midlife Grief: A Personal Journey

In this deeply emotional and personal video, host Ann Marie McQueen  shares her experience of navigating midlife grief and loss, specifically focusing on the recent death of her father. 

An audio essay about grief, loss, Boomers and their stuff.

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In this episode, host and midlife and menopause journalist Ann Marie McQueen speaks with iconic American model Kim Alexis. 

They explore Kim's extensive career when she dominated the modeling industry. They talk about what it was like to appear on over 500 magazine – sometimes all of them at once – and cover her journey through competitive sports, her faith, clean living, marriage and menopause.  

Kim shares personal stories about her transition into menopause, her choice to use hormone therapy – and the controversial delivery method of pellets – and how she navigates various health claims and misinformation prevalent in the social media age. 

They also discuss the impact of environmental disruptors on health and, possibly, menopause, the evolving standards of beauty and self-image in aging, and the importance of self-care, self-inquiry, adaptation and outreach in midlife.

02:32 Kim Alexis on Social Media and Going Viral

03:01 Natural Beauty and Aging Gracefully

06:06 The Modeling Industry Then and Now

10:54 Health, Fitness, and Post-Modeling Career

12:30 Navigating Nutrition and Wellness Trends

21:13 Adapting to Life's Changes

21:19 Skincare from the Inside Out

22:32 Personal Skincare Routines

23:45 Hormonal Shifts and Menopause

28:33 Hormone Therapy Controversy

33:21 Emotional and Soul Searching

36:49 Finding Love Later in Life

39:02 Advice for Reinventing Yourself

42:40 Future Plans and Giving Back

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Sjanie Hugo Wurlitzer and Alexandra Pope are pioneers in the emerging field of menstruality, which my spell check says isn’t even a word! Basically they have created a new lexicon, along with a new approach not only to our health and wellbeing, but our creativity and leadership, and our spiritual life – all based on becoming conscious of the power of monthly cycles. They are the co-founders of Red School, and co-authors of Wild Power: discover the magic of the menstrual cycle and awaken the feminine path to power . Their menopause book Wise Power: Discover the liberating power of menopause to awaken authority, purpose and belonging came out in 2022. I tried to interview them then, sent a few emails, didn’t hear anything back. And then, they wrote to me – and as you will hear, they did it right at the perfect time. 

Between Sjanjie and Alexandra they have more than 45 years of experience doing this kind of work, and today they teach around the world, helping women understand that from puberty to perimenopause and beyond, we are engaged in a bio-psycho-social-spiritual process of maturing… A message that is very, very different to what most of us are used to getting. 

The discussion covers the practical and cyclical nature of menopause, the significance of menstrual cycle awareness, and the power of self-care and setting boundaries. They also address the often-overlooked grief and the mental health challenges associated with menopause, emphasizing the need for community, support, and a broader societal understanding of this pivotal life stage. The episode concludes with a look at the potential of menopause as a time of personal and spiritual awakening, offering practical tips and discussing their upcoming course to help women navigate this profound transition.

00:00 Introduction to Perimenopause and Menopause

00:20 Challenges in Finding Menopause Support

00:42 The Role of MidiHealth

01:18 Personal Journey and Podcast Sponsorship

04:54 The Impact of 'Wise Power' Book

07:49 Menopause as a Transformative Experience

09:57 Cycle Awareness and Menopause

15:49 Navigating Menopause with Awareness

26:16 The Power of Menopause

37:11 Acknowledging the Struggles of Menopause

38:33 The Role of Modern Medicine

39:06 Cultural Crisis and Menopause

40:28 The Importance of Community Support

42:42 Practical Tips for Navigating Menopause

46:56 Embracing the Power of 'No'

47:36 Navigating Relationship Changes

53:26 The Psychological and Spiritual Journey

54:13 Addressing

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Dr Bibi Ayesha Lockhat is a Traditional Arabic and Islamic Medicine (TAIM) Specialist practicing in the Middle East at Zulal Wellness Resort at China Som – Qatar, the only place in the  in the world to be reviving this traditional holistic healing system.

She holds two degrees from The University of The Western Cape (UWC), a Bachelor of Complementary Health Sciences and a Bachelor of Complementary Medicine with a Major in Unani Tibb Medicine.

TAIM dates back to 1025, the Greek philosophers, Muslim physician Ibn Sina and his famous The Canon of Medicine. The crucial difference is the focus on balance over the Western tendency to suppress symptoms. 

She tells us what TAIM is all about, how it works with prophetic foods mentioned in Quranic scripture, why it’s crucial in diagnosis and subsequent therapy, and we all might want to learn about how it works based on four humors and six lifestyle factors to fuel physis – our body’s own innate ability to heal itself. 

She talks about how TAIM relates to, incorporates and differs from other practices, such as Traditional Chinese Medicine, Auyrveda and Western medicine. And then there is her TAIM-based approach to midlife imbalances of the body and acceleration of inflammatory process – for men in andropause and women in perimenopause – using lifestyle interventions, which is dramatically different that what we hear in North America. (She might have used the phrase “tunnel vision”.)

She believes TAIM as crucially important in both diagnosis and subsequent therapy and is well-versed and knowledgeable on several ‘hands-on’ therapies, such as massage, acupressure, aromatherapy, and therapeutic cupping. She enjoys offering and treating patients/guests with an extensive range of natural herbal medicines registered for specific ailments.

01:37 Understanding Traditional Arabic and Islamic Medicine (TAIM)

03:11 Comparing Western, Eastern, and TAIM Approaches

05:17 Diagnostic Methods in TAIM

05:57 Identifying Humors and Constitutions

11:02 Addressing Common Health Concerns and midlife hormonal imbalances

15:28 The Role of Nutrition in TAIM

36:15 Sleep and Lifestyle Factors

41:30 The Importance of Sunlight and Environmental Exposure

44:31 Conclusion and Final Thoughts

Resources: 

The Traditional Healer’s Guide by Hakim Chishti 

Ibn Sina’s The Canon of Medicine 

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In this mini solo episode, recorded in August 2023, Ann Marie shares her first insights into what being in menopause will be like. 

Spoiler alert: It's good. Maybe not worth it. But very good. 

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You may have been hearing a lot about testosterone lately – what it is, why we need it, why we can’t get it… I’ve gone to Melbourne, Australia to ask an expert in women’s hormones across our lifespan, and one of the few people who has studied testosterone in-depth. 

Professor Susan Davis is a clinician researcher, consulting endocrinologist and head of the Monash University Women’s Health Research Program in Melbourne.

She is going to help us to tackle the current confusion – and hype – over testosterone, armed with what she knows best: the evidence. We talk about it all: tthe evidence, benefits, and potential misconceptions about testosterone supplementation for women, especially during menopause and perimenopause; the difficulty in measuring testosterone accurately, the placebo effect, risks and benefits of different hormone therapies, including testosterone pellets and creams, and the critical importance of credible sources of information. Professor Davis also highlights her extensive research, including studies on the cardiovascular effects of low testosterone and the physiological impacts on women's health.

03:38 Testosterone's role in a women's hormone structure

06:35 Challenges in measuring testosterone

19:50 Testosterone and cardiovascular health

30:02 The misleading promises of testosterone therapy

32:55 The controversy surrounding pellets

36:17 Breast cancer risks and hormone therapy

40:15 Testosterone for menopausal symptoms

42:12 The role of DHEA in hormone therapy

44:49 The impact of birth control pills

46:26 Navigating hormone therapy and misinformation

50:50 Current research and future directions

53:33 The Influence of social media on health information

56:10 Conclusion and credible resources

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This week Florida orthopedic sports medicine surgeon Dr Vonda Wright published a review paper Climacteric, the journal of the International Menopause Society, introducing Musculoskeletal Syndrome of Menopause. The paper has been shared widely across social media, and this interview with Dr Wright is an edited version from last year diving into Dr Wright’s efforts to create awareness of this constellation of muscle and joint problems experienced during perimenopause. 

This is an issue close to Dr Wright’s heart: it was the first thing she went though in perimenopause. 

Listen in as she explains why MSM is her mission, just what happens to our bones and muscles as we get older, and delves into the need for proper diagnosis and preventive measures such as exercise and diet, and the importance of estrogen in maintaining bone health. 

1:33 Why she’s back

2:45 Musculoskeletal Syndrome of Menopause

3:46 Personal experiences and reflections

4:09 Understanding bone health

12:22 The importance of mobility

22:15 Diet and supplements for bone health

26:58 Hormone therapy and long-term health

31:05 Her words of hope 

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Hotflash inc founder and host Ann Marie McQueen sits down with Dr Leigh Erin Connealy, a leading figure in integrative medicine, known for her unique approach in combining conventional and alternative treatments in addressing chronic illnesses and cancer. Dr Connealy is the founder of the Center for New Medicine and the Cancer Center for Healing in Irvine, California and author of two books: The Cancer Revolution and the Be Perfectly Healthy. She is also co-founder of leading hormone brand, Raena Health.

She talks about why so many people are getting cancer, how to make chemotherapy more effective and less lethal, why prevention needs to be the focus. For Dr Connealy, the question we need to be asking: what is going on with your terrain, and why is it making cancer? Everything from the food we eat to the chemicals we surround ourselves with to the emotional work we aren’t doing is causing this. And find out what she thinks our number one risk is – why and what we can do about it. (It’s probably not what you are thinking)

Dr Connealy wants us all to know that in most cases, cancer is 10 years in the making. She has really good guidance for women considering hormone therapy, explaining the differences in synthetic hormones and the importance of the “orchestra”, including progesterone and pregnanalone, and more than one kind of estrogen. She explains why there is no one solution that fits all women – even though that’s what mainstream medicine wants us to believe – and gives guidance on the particular cocktail, with tweaks, that she likes to prescribe. She also gives her take on whether hormone therapy prevents cancer – its worth listening to the end just to hear what she has to say about that – and addresses that ongoing fear women have, which is weighing our fear of breast cancer risk when considering hormone therapy. 

Dr Connealy is recognized for her personalized, holistic approach. This episode is nothing short of a masterclass on how to get our inner house in order. 

Highlights: 

01:56 The importance of personalized medicine

02:07 The rise of chronic diseases

03:09 The need for preventive healthcare

04:44 Challenges in cancer treatment

13:08 The importance of self-care

14:40 The impact of EMFs on health

28:12 The power of essential oils

28:46 Reprogramming the mind with EVOX

29:41 Healing affirmations and subconscious reprogramming

33:37 The importance of sleep and water purification

34:14 Nourishing rour body with proper nutrition

35:01 The

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In this episode, host and Hotflash inc founder Ann Marie McQueen interviews Rebecca Rotstein.

Rebekah is the founder of Buff Bones, a medically endorsed exercise method for bone and joint health with on-demand classes and trained instructors in more than 30 countries. Rebekah is a former ballet dancer who has trained athletes and deeply studied the body, including cadaver dissections, along with coursework and fascia research, somatic studies, and visceral manipulation. 

She serves on bone health working groups in the US, contributing to their recommendations. She's a Pilates teacher, advocate and well-known speaker.

Part 1 of this conversation delves into into the intricacies of bone and joint health, sharing evidence-based studies that emphasize the need for high-intensity exercise to increase bone density after menopause. They discuss societal misconceptions, the importance of understanding one's body type, the critical roles of muscle tension and gravity in bone health, and the impacts of early life habits on long-term bone health.

Next week in Part 2: What you do to keep your bones, muscles, tendons and fascia strong. 

NB: These episodes were recorded in late 2023. 

02:52 The Importance of bone health
04:00 Research and misconceptions in bone health
05:49 Backlash and misunderstandings
10:46 Rebekah's personal journey with osteoporosis
19:03 The interconnectedness of bones and muscles
33:14 Preventing bone problems from early life

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In part 2 of her interview with Buff Bones' Rebekah Rotstein tells Hotflash inc founder Ann Marie McQueen about the complexities of health during perimenopause and menopause, highlighting the importance of both mineral density, muscles, tendons, collagen and fascia. 

She outlines the Buff Bones comprehensive exercise plan to hit all the targets in a week, emphasizing personalized care and the importance of mobility and motor control exercises. They explore the impact of collagen, estrogen and (briefly) progesterone on bone health and dive into the fascinating role of fascia in the body's connective tissue system – and in menopause. 

02:01 Building bone and muscle through menopause
04:38 The importance of mobility
07:03 Collagen and bone density
09:40 Hormone therapy and bone health
18:46 The role of fascia in health

NB: These episodes were recorded in late 2023. 

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In this episode, host Ann Marie McQueen tries to explain her long and convoluted relationship to and quest for hormone therapy. 

This is an episode about her experiences, made more complicated by living abroad,  reluctant doctors and by years spent wandering in a wilderness of emotional and physical symptoms no one could explain. 

Until everything blew up. And let's not forget the gut issues.

In it you will see that even with all her resources, and a global platform all about menopause and midlife, Ann Marie is still trying to find the right recipe for her. The search continues. 

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