Coffee and a live Q & A with Dr. Haver

Previously recorded Q & A with Dr. Haver. Dr. Haver answers questions posed to her by her instagram followers. One of the topics is what are the stages of menopause.
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- About Dr. Mary Claire Haver and The Galveston Diet -
Dr. Mary Claire Haver is board certified in Obstetrics and Gynecology and is a Certified Culinary Medicine Specialist from Tulane University. She is a Louisiana State University Medical Center graduate and completed her Obstetrics and Gynecology residency at the University of Texas Medical Branch (UTMB). She is also a Certified Menopause Specialist through The Menopause Society.
Dr. Haver was a clinical professor at UTMB and The University of Texas Health Science Center at Houston. Dr. Haver has served as a Hospitalist, Associate Residency Director, and Assistant Professor in her career. In 2021 she opened Mary Claire Wellness, a clinic dedicated to caring for the menopausal patient.
Dr. Haver has amassed over 3 million followers across social media by posting advice for women going through menopause. She understands that menopause healthcare is in dire need of change and is proud to be leading the conversation.
Her educational background and her own experience led Dr. Haver to develop the national bestselling book and online program, The Galveston Diet, a three-pronged lifestyle plan that encourages fuel refocusing, intermittent fasting, and anti-inflammatory nutrition to manage hormonal
symptoms, stabilize weight, and revitalize the body as it ages to provide benefits that will last a lifetime. Dr. Haver is working on her second book,
The New Menopause, which will be released in the Spring of 2024.
#menopause #perimenopause #womenshealth #galvestondiet #pauselife #thenewmenopause

[@KayB2020]

Wow. I've lived with increasing muscle and joint pain in my 40's.....100% dismissed by my female PCP. I mean she gave a low dose muscle relaxer but never took me seriously. My pain has only increased since entering full menopause 2 years ago. All my doc did was increase the NSAID doses and continue to tell me that my labs looked fine. This vidcast has changed my life and also will help the many client's I serve. Thank you!! Thank you!! Thank you!!

[@janetgulden-nz1gm]

“You must be a chiropractor.” I’m dying😂😂😂😂

[@thewordsofmytestimony]

That happened to me. All tests were normal, but my symptoms were present.... but I wasn't going to sit back and wait until my doctor's got their crap together and did my own research. I figure a lot of women manage menopause without hormonal therapy....so there has to be a way to get through....and I researched every symptom to see if it was related to perimenopause/menopause..... and every symptom was. Thank God for Jesus because if I didn't have Him, I would be going completely insane!! And of course, during this time, I found you... and I'm truly grateful ❤❤

[@SandyBatten1962]

You have the most integrity of any women’s wellness practitioner. Appreciate your lessons on how to self advocate. The info about how scale weight versus menopausal body composition is where the real focus ought to be and how to deal with that loss of muscle in conjunction with new visceral fat deposition, is so important. I don’t think the chiropractor wants to see your receipts 😂😂

[@maryclairehavermd8473]

Thank you! XOXO Community Support Team

[@thewordsofmytestimony]

Yes!!! leg pain now!!

[@rushael-garem3579]

I love you Doc, you are the only physician who has nailed it regarding vertigo!! No doctor - absolutely none - has made the association between it and menopause. I am so happy you’ve explained it, and with such clarity. I felt I am going nuts. I suddenly developed it and was on meds for a month, which definitely helped out but I just knew there was more to it than the simple diagnosis of “positional vertigo”.Thank youuuu ❤❤❤

[@puffchickpam1]

My vertigo went away once I started HRT

[@HLTrds]

You are my kinda people, love how REAL you are!!

[@maryclairehavermd8473]

Thank you! XOXO Community Support Team

[@thewordsofmytestimony]

I was just told that my incontinent was due to my Ceberal Palsy....I said, "No it's not..I never had problems holding my pee until now..... it's from perimenopause!" I was so mad, I didn't go back. She wanted to do a test in order for me to take this medicine to help me hold my pee. I didn't go back to her, but my regular physician gave me the meds without taking a test and it worked just fine. I was just over seeing any doctor.

[@ChristinaLin73]

Severe hip and knee pain! Thought I was going to need a walker as I could hardly get out of chair to stand. I’m 50!! All my doctors could not figure it out. No one mentioned menopause!! I start HRT this week!

[@thewordsofmytestimony]

Oh, I love you. "I believe her!" I wish you were my doctor.

[@maryclairehavermd8473]

Thank you! XOXO Community Support Team

[@jdickson3755]

I have idiopathic vertigo and tinnitus.. started at the same time at age 47 !!!

[@melissalepper5880]

Wow did not know about tinnitus being a symptom of menopause now that I think about when my tinnitus started and it was around peri to menopause years. Thanks!

[@annemarieedwards68]

One of your best!!

[@rhondakiblinger7339]

This has been the Most HELPFUL PAGE FOR ME!

[@kcopkcop9370]

You are a breath of fresh air! ✨️

[@Jewel-888]

I want to say thank you.. I’m so grateful I’ve found you. 🙏🏼 Love your tell it like it is style!!

[@HLTrds]

We Appreciate you give us all this info!!😊

[@maryclairehavermd8473]

Thank you! XOXO Community Support Team

[@luluc4927]

I am so happy to have found you I've been wanting to get information from someone like you one that truly understand what women goes through, I really appreciate that you care for us women thank you ❤

[@valariesellers2584]

I absolutely frickin love your videos!! You are a amazing informational resource and I respect the hell out of you for sticking up for menopausal women that have been ignored for too long. Thank you so very much I recommend you to every woman I know. What you’re doing matters to so many women.

[@melissaisaac6973]

You are a gem!!! So real and honest.. this information has helped me so much. Years ago I got a blood clot so I had to come off their replacement. Oral estrogen I was on before I even could enjoy any type of benefits. I had no idea, like five years later that I could take something. I'm like a soda can rusting away. Thank you thank you thank you... I'm about to do something about that

[@christinemack2153]

Good Morning

[@tammyshank8397]

Thank you for this frank, informative session! You are an amazing advocate for women’s health & menopausal awareness! Keep the straight talk coming! ❤

[@HLTrds]

I love your mindset!!!! Yes you are soo right!!!! America is a sick care country not a preventative healthcare model!!! Thanks for your proactive and being our warrior for peri and menopause women!!

[@maryclairehavermd8473]

Thank you so much for your kind words for Dr. Haver! XOXO Community Support Team

[@MooneeraTifloen]

Thank you Dr Haver. You are amazing. You are so on point with Everything. I have frozen shoulder knee pain back pain ankle pain. I'm on Livifeme but I'm not getting the full relief I will speak to my doctor about changing over to estradiol instead. Thanks so much it helps to know I'm not in this alone.

[@debbielucas9120]

Thank you for sharing what we need as women. I learned so much from you. Went to my dr. And thankfully she gave the estradiol patch. After yrs on compounded bi est. Which didn't really help. Never was offered the patch until I learned from you. The patch is life changing. Your awesome.. ❤

[@maryclairehavermd8473]

Thank you so much for your kind words for Dr. Haver! We are so happy you were able to find help! XOXO Community Support Team

[@vickipenman]

I adore you ❤

[@sallyshields6553]

Omg could not agree more.

[@millytorres9777]

Okay❤I am going to listen to this again 😂😂😂love it.

[@maryclairehavermd8473]

Thank you! XOXO Community Support Team

[@diana12701]

I got your book I learn so much from you thank you for caring for women🙏

[@maryclairehavermd8473]

We are so happy to hear that you have the book! XOXO Community Support Team

[@janegardener1662]

Dry eye disease has been a problem for sure.

[@paulagaudet7528]

Hey Jane. I’m here as an interested patient too and I’m working my way through the Menopause Practice clinicians guide to help me have a deeper understanding of Womens heath. My day-job is running a large optometry practice with 10 doctors. I also have a Tier 3 Ocular surface disease clinic. I hope you don’t mind if I share a tip. As you know the mainstay of OSD treatment involves ocular lubricants and some sort of heating device for the meibomian glands. I recommend dedicating one bottle of ocular lubricant to your bedside table to instill your morning and bedtime dose while lying down. I find it binds much better to the corneal surface so it doesn’t just drain down the back of your throat. It’s a small tip but I hope you find it helps.

[@debgilbert3206]

You are so right, Dr. Haver! Life is never easy at any age. So I hate the b.s. about older women just can't handle all the things anymore. Lack of resilience is the key due to lack of estrogen. Also, I do get brain tremors like I would get when I tried to get off my antidepressants too quickly. At first I thought I was losing it...until you mentioned it as one of the symptoms. Hallelujah!! I can't wait for your next book.❤❤

[@CrystallyLavender]

What are brain tremors? Never heard of it before.

[@maryclairehavermd8473]

Thank you for your kind words for Dr. Haver! XOXO Community Support Team

[@franceschukwukere209]

The ONLY symptom I did not experience was frozen shoulders.

[@MyFaith2012]

Hi, TMG, dry eyes, joint pain, and fatigue are real side effects of menopause HRT has helped but not with energy, will need to check out your book thank you. Also use reusable kerug for tea/coffee. take care. 😊Thank you for all your time.

[@maryclairehavermd8473]

Thank you! We hope you will check out the book and that it helps you! XOXO Community Support Team

[@HLTrds]

Omg- TMJ, joint pain, acne, all the things!!

[@HLTrds]

I LOVE YOUR Besos comments!!! ❤️❤️❤️‍🔥💪

[@marinabowman8177]

Yes I have been admitted to hospital several times with chest pain. They say it’s not my heart, but no answers. The pain can be unbearable.

[@maryhammond7204]

Try dandelion tea. I add licorice tea for taste. I have a hiatal hernia. The pain is right in the heart area, and it can fool you. I was using gas relief pills but find the tea works better.

[@teresabyars4595]

I thought dry eye which I had would correlate but TMJ..would have not guessed but I’ve started to have lower jaw and teeth grinding…wonderful..said very sarcastically!

[@MsBuffalopoo]

Love your anger directed at the BS. Keep it up.

[@tammycampbell6742]

I have been looking for a video of yours that discusses progesterone sensitivity options. I haven't found any videos like that of your teaching

[@beautythroughout4675]

Yes, I have had heart palpitations but it’s not ongoing it has been situations here and then

[@bricegaillard-bg]

Me too

[@puffchickpam1]

Mine come and go. But hey, they don’t have to be constant

[@pupperbubblegum]

Me!!!!!

[@elizabethgibson7883]

Dr. Mary- what do you think about taking Estrogen-Methyltestos HS tabs? Helpful?

[@johnwalkiewicz7396]

Can you 46:45 comment on mushroom coffee?? RYZE, do you recommend??

[@thewordsofmytestimony]

What do you think of Equelle? It's supposed to act like Estrogen.

[@millytorres9777]

Your awesome 👌 👏 👍 😍 ❤.

[@maryclairehavermd8473]

Thank you!!! XOXO Community Support Team

[@sw6317]

Are we allowed to have a simple espresso or black coffee without any sugar or milk while fasting? Would it break the fast? Thank you SW

[@beautythroughout4675]

Hello Dr. Haver. When we are taking the supple,ents that you suggested for menopause are also in addition to continue taking a multi vitamin and if so which multivitamin do you suggest for women over 50 in peri menopause.

[@maryclairehavermd8473]

Dr. Haver does not take a multi-vitamin as she tries to meet her nutritional needs through food first and foremost. She only supplements in the areas where she is unable to meet the needs through food alone. XOXO Community Support Team

[@juicedtea6934]

What about the change in odor what can I do

[@sandyjohnson1558]

I am 58 on hrt and having hip an all over body pain. Trying to do yoda and see if it helps.

[@luticiasmall817]

My body in pain now I'm at work my knees started hurting me this morning when I woke up n I will be 40 years old next year I been calling my primary doctor n my gyn doctor left messages to them n just had a twinge on my leftside just now n on my right side this morning I think I'm in perimenopause but I do go to my primary doctor in October 3 so I'll see what she say

[@maryclairehavermd8473]

Dr. Haver has a blog on how to approach your healthcare provider about HRT on our website. Link is in this video's description! XOXO Community Support Team

[@sandyjohnson1558]

I am 58 post menopause and on HRT also my doctor says I'm hypothyroid, so I've had to take levothyroxine. An its killing me, the side effects from that medicine.i hate the thyroid medicine I just have so many side effects I feel like I'm going crazy

[@sylvialenze7949]

What can be done for teenage women with strong period cramps?

[@vidyaroy1627]

Would you be able to make a video on women going through Perimenopause and menopause who have suffered from pcos during their reproductive years and how to treat.

[@maryclairehavermd8473]

Dr. Haver has a blog on our website about PCOS and menopause. Link is in this video's description. XOXO Community Support Team

[@wendydouglas-uq8rd]

I’m 60, post menopause for 1.5 years. Menopause has been pretty easy for me and never considered HRT. I did start estradiol vaginal cream 3 years ago for recurrent UTI’s, it was very helpful for that. After listening to you I’m wondering if I missed out by not starting HRT before 60 just for the risk lowering benefits?

[@maryclairehavermd8473]

It's not too late to have the conversation with your healthcare provider to see if the benefits outweigh any risks. XOXO Community Support Team

[@karlenedepass9521]

i am a 62 year old woman who has never been on hrt. i did however start Premarin cream in Jan 2023 for vaginal dryness. Furthermore despite being physically active for most of my life i start bp meds in Jan 2023 as well. My sleep is terrible! i go to sleep well but i am awake betweenn 2 to 4 sometimes with panic attacks. What does Dr Haver suggest i do or take to get restful sleep please?

[@teresabyars4595]

Also I have been on an estrogen with a progesterone compound for 10 years with a uterus. Bc of your channel I have switched to alloy for my estrogen patch and a progesterone pill. I’m 62 now what should I be asking/looking for about uterine cancer ? I’m concerned obviously..

[@maryclairehavermd8473]

Unfortunately, Dr. Haver cannot provide medical advice for your specific situation. Please follow up with your healthcare provider with any concerns you may have. XOXO Community Support Team

[@shedevilx1979x]

Listening now and maybe you'll answer it...but I'm 44 with tons of symptoms and tons of lab tests and specialists telling me I'm "NORMAL" when I'm definitely not. I want to try HRT but every seems to keep offering me low dose birth control...which I don't want as it has given me terrible mood swings in the past. I do have regular periods still...does that mean I shouldn't be trying HRT in the form of a patch and progesterone? I just don't know where else to look.

[@victoriafree2365]

In a 60 yr old, what are the risks vs benefits you speak of? Is labia atrophy reversible?

[@johnwalkiewicz7396]

Dr Haver please talk about. I am on Tamoxifen 4 1/2 yrs. Post DCIS, Lumpectomy , radiation tx. ER/PR +, CAN i take HRT??? I am miserable: hot flashes, night sweats. Brain fog, muscle/ joint pain, i cannot sleep more than 4 hrs...fatigue, i am only 58. Feel like i am 80...help...

[@johnwalkiewicz7396]

Can you comment if HRT is recommended in post breast ca. lumpectomy,58 yrs old, for DCIS, radiation tx, on Tamoxifen x 4 1/2 yrs, ER/PR +, Having major menopause sxs.

[@user-zo3sx9fn8p]

Hi! I’m 64 soon to be 65. I had pellets about 6 months ago(before I found you) was assured it would not be more risky due to my age. Had done pellets for a couple of years from age 57 to 60 but stopped for a few years. Trying to decide if I should continue with them or not. Any recommendations?

[@maryclairehavermd8473]

Unfortunately, Dr. Haver cannot provide medical advice for your specific situation. We recommend that you consult with your healthcare provider. If you need a second opinion, Dr. Haver has a wonderful blog on her top 4 tips for finding top notch menopause care on our website. Link is in this video's description! XOXO Community Support Team

[@CanButler85]

Is estrogen therapy an option for a woman? - post hysterectomy, when ovaries are still functioning (just maybe not at the level they use to be), but seemingly not functioning because you experience menopausal symptoms - unexplained weight gain 20lbs in 4 months, high blood pressure, dry skin, drier vagina, hot flashes.

[@marcellahughes5030]

Do you drink black coffee or do you add creamer. Thanks.

[@maryclairehavermd8473]

Dr. Haver enjoys black coffee during her fasting window! XOXO Community Support Team

[@SheSawThings1111]

Is throbbing teeth pain a symptom? I have great teeth and take care of them very well, but the last couple of years they started throbbing terribly - mainly the front six teeth. 😫

[@beautythroughout4675]

A second question I had is. What is different about taking HRT when a person like myself has had a hysterectomy but still have their ovaries. I am currently ovulating maybe once a year. I am on my3rd day of taking estradiol.

[@luciaabbaticchio1500]

I'm interested in this too. I had a tah at 42.

[@user-zh4td7gu8z]

Hi I’ve tried oral and topical progesterone and ended up with unbearable anxiety both times. I think I have progesterone intolerance. What other options do you suggest with with progesterone?

[@marzenarongione4968]

Yes please I am struggling with oral progesterone as well Why isn’t there a vaginal option? I guess iud but finding a doctor who will do it off label is a real challenge!!!

[@idaniaguerra8157]

Hi I went to a gynecologist and I told her or my issues with menopause and dint recommend Anything do you have a Dr in miami that could HELP ME Pleasee

[@thewordsofmytestimony]

Sense of feeling in fingers altered. Drives me crazy.

[@cindyhutto7991]

How long can I stay on my estradiol patch? I am a 65 year old who has terrible menopause symptoms at 50. I have been in an estradiol patch for 15 years

[@paulagaudet7528]

Hey Cindy, your doctor needs to look at your personal risk factors on a regular basis, say yearly, unless you have a health change. People can stay in appropriate HRT forever in theory. But the decision of whether you should come off is completely individual.

[@maryclairehavermd8473]

There is no specific age, but please do check in with your healthcare provider regularly to have the conversation about risks vs benefits. XOXO Community Support Team

[@Celeste-.-marie]

"You must be a chiropractor" 😂😂😂

[@marcellahughes5030]

Why would a doctor prescribe Provera 10 mg to a post menopausal woman to take monthly. I thought not having a cycle was the whole point of menopause. Can you explain. Thanks.

[@maryclairehavermd8473]

Unfortunately, Dr. Haver cannot provide medical advice for your specific situation. We do have a blog on our website on finding top notch menopause care if you wish to seek a second opinion. Link is in this video's description!

[@r-anne7375]

Hi, Can I get an IUD if I have a fibroid ?

[@paulagaudet7528]

Depends on location and size of fibroid. An exam and ultrasound should be good info to judge. There’s a slightly higher risk of expelling it with the fibroid but it’s such a good choice for heavy perimenopausal bleeding. Btw, a progesterone IUD is technically an IUS ( system rather than device). IUDs are copper and I believe only for contraception, not treating peri/menopause.

[@r-anne7375]

@@paulagaudet7528 Thank you so much for your answer!

[@maryhammond7204]

Why does spotting and periods happen if it's all been over for almost 20 years? And what can I do about it.

[@paulagaudet7528]

Something funky in your uterus or vagina. Keep checking it even if the first serious of tests says it’s ok. With biopsies, 50% of early cancer can be missed.

[@maryclairehavermd8473]

You should always follow up on any vaginal bleeding after menopause. XOXO Community Support Team

[@kimdavis1091]

Can a full hysterectomy woman take progesterone? Thank you

[@paulagaudet7528]

In case Dr Haver doesn’t get to this question, it is my understanding that oral progesterone has many benefits over just protecting your uterus. So even if it’s gone you can take oral progesterone.

[@kimdavis1091]

@@paulagaudet7528 thank you .. thank you so much for replying 😊

[@juicedtea6934]

Terrible leg cramps like none I’ve ever had before

[@Brokersong]

When you called out another medical peep....

[@SR-um7kd]

I absolutely love you doc but your constant instructions to “tap my face” etc is making us anxious and distracting the attention of the viewers. Please post that on the screen so viewers can get your point while not getting distracted.

[@maryclairehavermd8473]

Thanks for your feedback! XOXO Community Support Team

[@claudiamedianmonahan7670]

I love you so much !! You are so right

[@thewordsofmytestimony]

Right...I was ok before this crap! But, I'm not giving up because I'm still breathing!

[@maryclairehavermd8473]

Exactly! XOXO Community Support Team

[@sallyshields6553]

You are really awesome and your knowledge is incredible. However, your presentation style is kind of starting to feel rough- I love some good cussing but someone as classy as you saying the F word, while vlogging on a very serious and complicated subject, again and again and again) is tacky and non- professional and lacks class. “ I will take you down every time…….” Yikes! I value you and your vlog has helped me tremendously. Just making some observations!

[@rhondakiblinger7339]

I LOVE THAT YOU CUSS DR. HAVER!! DONT CHANGE FOR ANYONE❤

[@littleminna]

Hi. I was wondering is it possible to get perimenopause symptoms even when you're still taking the b c pill? I'm 47, I still have a regular menstruation. But I have sleeping problems, which I never had before. I suffer bloating. But the worst thing of all is that I suddenly started getting panic attacks.

[@vidyaroy1627]

I'm 45 and on bc also wondering because my head is always sweating and i have fatigue don't feel like myself. Can't understand if it's perimenopause Or something else

[@paulagaudet7528]

You most certainly can enter perimenopause while taking oral contraceptives. Trust your instincts. If it seems wrong, it’s wrong.

[@tracycollins9413]

Same question!!!