Dr. Haver Talks About Visceral Fat in Q & A

[@MO-xm1kj]

I am 55 now and postmenopausal but I had a hell of a time at 45. I went into the doctor with hot flashes and feeling kind of crazy and they blew me off. The doc told me I was too young to have those symptoms. I’ve been living with a lot of craziness over the last 10 years. Thank you for helping me see that I wasn’t crazy just completely unbalanced hormonally the next step is to buy your book . Thank you for being our advocate.

[@crh251]

Sadly doctors are clueless when it comes to menopause. 45 is not too early. A lot of women go into perimenopause in their mid-30’s. I was 44. I finished at 52. I’m now 60.

[@jazzwithwings]

Thank you for your comment! ❤This is my same story. Iam so thankful to have found this wonderful Dr. 😊

[@tabithawardleonard8908]

I've been watching a lot of videos that women have been struggling with their weight during perimenopause and menopause. Ever since I've been going to Perry menopause. My weight has been very, very low. So does anybody have any recommendations about low weight and having a problem gaining it? It's very rare for someone to be able to be low weight and not be able to gain weight. I'm struggling with it for sure.

[@crh251]

@@tabithawardleonard8908, I think perimenopause affects everyone differently. I could not gain any weight before perimenopause. I was extremely thin so I know how you feel. Then menopause changed all that. I do know there are women just like yourself who have problems gaining weight in perimenopause. Keep searching. It all is very hormonal.

[@tabithawardleonard8908]

​@@crh251Thank you so much for that advice and sharing that. With me it's nice to know that other women out there have the same problem. I have had a high metabolism for a long time. But now trying to get the weight on so that I can get estrogen into my body naturally is really hard. I'm like everybody else. And I'm not hungry all day long. But I have to force myself to eat sometimes.

[@kathe.o.]

GOD BLESS you! I'm 73, 20 years post. There has NEVER been an advocating doctor, male or female, who addressed our women issues. I wish this information had been available during my years of HELL. I was repeatedly told it was in my head. My husband declared me insane & cold. When on HRT it helped. But there was not enough information to know what was going on. Sisters listen to Dr. Marie Claire.

[@SoniaMillion]

So glad I found you!! I thought I was going crazy, turns out I'm just a woman. Thank you for being our Captain on this Menopausal Cruise

[@clarifyingquestions]

58 years old - 0.6923 waist to hip; 120/60 blood pressure , 46 rising heart rate Done DAILY 30g x 3 meals protein, walk 30 min as fast as I can, weight train 3x week and well rested. Dont drink, smoke, eat highly processed foods. Im working everyday to think and do differently. Stay strong, Everyone. Merry Christmas and a very Happy New Year.

[@CanButler85]

Goals 🎉

[@vhelma21945]

Visceral Fat is a serious issue on Pre Menopause & Menopause! Thanks for educating all of us ❤

[@kathieod10]

What do you think of the REMS Echolight test for bone integrity for osteoperosis? There are only a few locations in US. May be worth setting up in Fwd, TX?

[@EleanorPearson-lk4sn]

I'm 53 and started having heart issues because of my weight. Fell into that "eat carbs - gain weight" trap and totally cut out carbs, which made my health worse. My kids gifted me the aspect health sensor, and I've been tracking my health there. The strain on my heart has decreased and I've dropped 4 lbs🙏🙏

[@trishbech9082]

Keep at it Eleanor! Good for you 😊

[@tammyh3518]

Impressive that you can talk and stay on that high incline on the treadmill!! Personally, as an exercise enthusiast it motivates and encourages me. Love it ❤️!

[@carriengugi3405]

I have been using cronometer food tracker for almost 3 years and it's a game changer at showing me my macro and micro nutrients break down. I focus on my calories, my protein intake and fiber intake. I'm 40 years old and my average fiber intake with most days is 50-65g of fiber...some days I get up to 75g of fiber 🙌 and I have never been more regular than I am right now. Colon cancer is high in my family and I'm not going to be another statistic with it.... I follow an 80/20 rule approach with 80% whole clean foods and 20% "fun" foods or treats....and since tracking my macros over the last 3 years I have lost 35 pounds....slow and steady wins the race. I need to have my visceral fat levels checked but that waist to hip ratio is a good starting point.

[@jennifertharp659]

Great ideas! Thank you for mentioning this tool and the grams of fiber. I appreciate these insights.

[@jenniferh.2065]

I love how you are so real.❤ Thank you for what you do for women!!!

[@carolynkettle1690]

I’m going to get a bone density test soon….I have RA….you have no idea how much sense you are making for me! 🙌🏽❤️🇨🇦

[@kathe.o.]

Dudes need to listen to you, so they can comprehend what their ladies are going through. Oh how wonderful the modern woman can get this information.

[@mls3555]

I'm 53 & have always been fit/active, I've done intermittent fasting naturally (at least 12hrs) all my life & have been the same size since high-school. During perimenopause I noticed my body fat seemed up a tiny bit (figured I needed to get back to strength training). 1 year into menopause I noticed a definite layer of FAT (tummy/torso). I've never had fat across my ribcage WTF??? My weight/size was the same but body composition was definitely different!!! I had been taking DIM & an phytoestrogen capsule - I FELT great(no hotflashes), like my hormones must be balanced. THANKS to your info- I decided to do HRT (not wait until I feel like I need it). My doc said I was pretty balanced, estrogen was low on the edge of the normal range. After 2 full months on .05 estrogen & 100mg progesterone- my excess fat has MELTED OFF!!! I changed literally nothing so I know it was 100% hormone related!!! I am getting back to strength training asap 💪 ❤ I've always slept well but I do sleep way deeper now!! THANK YOU Dr.Haver❤❤❤❤

[@queenofthesouth4205]

I am on Team Mary Claire, she is hear to help us....she is in this fight wirh us❤

[@ChelseaBrown-fz1mj]

Yes she is. I met her in Santa Monica for her book signing.

[@rowillo]

QQ: I am 61 years old…, everything you talk about is/was happening to me. At one point, I was sent to a RA Doc who said I had RA and needed to get on methotrexate, I was 51 yrs old. I REFUSED not believing that was my problem. I educated myself (wish you were around). I changed my diet, took Bromelain and turmeric to get rid of the inflammation. I ate lean (still do). 10 years later, I have no pain, no RA. My biggest problem now. I gained 40 lbs and CAN NOT lose a lb. I gained it fast and it’s STUCK, :(. HELP. Will HRT help me?!? WHY was this NEVER suggested to me?? I was always Lean and Mean with a hard core…. had a four-pack, LOL, now I am Fat and Pudgy. I know it’s NOT heathy, I hate it!!!! I just want to be in balance. If I am depleted in something…, let’s fix it. Thanks for your book and your KZbin.

[@lesliehoran6741]

I'm exactly in the same boat as you. I'd like to know the answer to this question too.

[@donnajohnson3334]

Same boat here.

[@boonavite3200]

Have you tried building muscles via resistance training and higher protein intake? That helps.

[@dancetilldawn484]

Same And I'm a beast in terms of my heart rate biking to the gym, doing a TRX class, doing a Pilates reformer class, playing some pickleball, going into the pool, a cold splurge and a hot tub and the sauna in one day and working out four times a week like that can't budge I no longer have a waste and I've always had a waist and always been curvy and always been able to lose weight fast I believe I have muscle strength cuz I can go through the classes but I have this layer of fat around my middle and over my body I feel like I'm a man's way and I'm like 15 3 I need to be 140 and I can't get to it healthy blood pressure healthy sugar It's unbelievable I need HRT for real

[@carolerobbins9522]

I’m so glad I found your channel. You’re a voice of reason in a sea of misinformation and confusion. I am in my mid 40s, with pcos and adhd, and I have a 42 BMI. I have so much working against me as far as fat loss goes and your advice gives me hope that I can still make my body healthier and live longer even if I never reach a “normal” BMI. Thank you so much.

[@pat-realfoodnanu9050]

I love that you are walking while you share your message. Demonstrating that you can multitask to get movement jn !

[@brandinshaeffer8970]

I wish you would read THE BIG FAT SURPRISE & the Great Cholesterol Myth and stop recommending lean meat. Our healthy ancestors - my great grandparents and older - cooked in lard and prized fat and fatty organs above all other foods. We can agree to disagree on the importance of so much fiber, but the jury is in on fat. It is SO necessary for women.

[@molliegill1559]

Just saw your interview on Diary of a CEO, brilliant! Thank you! So glad to have found you!! 💕

[@ginakelley124]

I’m glad I ran into you. I’m complicated since I’ve had breast cancer at 42 and had my uterus taken out at 49 for heavy bleeding”adenomyosis. I took my measurements and was a .9🥺. I’m going to hit a gym. I’m 53 now and definitely feeling the effects! Thank you for putting this stuff out there. I work on labor and delivery and will start asking my provider questions. Maybe one of the docs I work with has beefed up in this info.

[@lindsayemigh4283]

Thanks so much for all you do and for your passion for this topic. Literally learning how to deal by watching these and reading your book ❤️

[@thewordsofmytestimony]

My symptoms when this wickedness started 3 years ago: My mouth felt weird. Went to the dentist, he confirmed it's HORMONES! Fatigue Bled for 2 weeks a month, which developed into Anemia. When my period stopped, that's when my crazy symptoms began. Right now, feeling in my fingers are altered. Can't grab and hold things like I used to. It's so irritating! My knees and feet ache. My feet swell. Some food trigger hot flashes, which I don't normally get. I want my feelings in my hands back!

[@angelashymkowich8864]

Must say i am so grateful for you! 56 Post menopausal 19 months. Just had blood work done and estrogen/ progesterone almost nil. I used to be 5'8 and slim but now rapidly gaining weight although eating low cal nutritious meals. Will going on an estradiol patch and progesterone pill eliminate the weight gain? Will i need testosterone as well? Much of the other symptoms are bothersome but i manage. Shout out from Canada!!❤

[@iss8504]

It won't by itself. But it will stop it from packing on in your waist.

[@crh251]

I was slim and trim too until perimenopause. I put on 30 pounds so quickly. I did go on hormones mainly for sleep in post menopause, but honestly they have not helped much with my weight. I just had a full thyroid panel done and am waiting on those results because I am having a tough time losing that perimenopause weight.

[@marzenarongione4968]

Oddly enough estradiol makes me gain weight, I feel heavy and big around my abdomen I am fit , 19 % body fat postmenopausal and every time I try to go on estradiol patch my abdomen gets big and weight gain 5 pounds Some is water but some if fat abdominal and very difficult to get rid off I am on oral progesterone as well but that makes it even worse Very bloated, gaining weight not matter how much I exercise or little food intake Never had this issue before Even after pregnancies I came back to my normal weight with no issue Very frustrating

[@crh251]

@@marzenarongione4968, I’m curious, but are you in perimenopause or are you in post menopause?

[@marzenarongione4968]

@@crh251 post I am 57 Exercise every day Eat supper clean diet No previous weight issues

[@rgomoffat]

Can you open a clinic on the East Coast? PLEASE

[@FunUrth4All]

Smallest part of waist divided by widest part of waist equals your Visceral Fat. .86 and up you have elevated visceral fat. Vegetarian since 2009, vegan since 2017. Lost 80 pounds. Best health ever. Mine us 28 ÷ 38 = .7

[@jenniferbarnes1053]

You are God sent , because I’ve been suffering from this issue. Scrolling the web you popped up. I’m going to try this waist hip .

[@supersoldier5461]

I am 47 and experiencing some changes in my monthly cycles…sometimes late, sometimes early, and they are getting heavier. I have trouble sleeping during my period and get hot during the first few days of the cycle.Also, my ovaries ache at different times of the month. I’ve noticed over the past 3 to 4 months that my digestion is off during ovulation and during my period. Is there a connection? Thank you in advance for your help. I have your book and watch as many of your videos here on KZbin as I can. You are amazing!

[@connieo5382]

Me too my digestive system and my menstruation are tied together

[@tammy-vc3tz]

Thank you for sharing your knowledge/expertise. I find it very useful and informative!

[@lori7008]

Thank you for teaching us!

[@sevilles1]

I’ve heard that sprinting exercise is the best whole body engagement for burning visceral fat and replace muscle in our entire body by sprinting, intense cycling or intense swimming. Dr Sean Omara explains the science of it and how jogging or cross country doesn’t work for eliminating visceral fat and building entire body muscle mass.

[@foxinthesnow1917]

20 percent of humans don't have fast twitch muscle fibers so can't sprint so what are we supposed to do? lol

[@sandracorrales-potts5586]

I'd like to know if I'm still a candidate for HRT, I'm 62? My biggest symptom was weight gain. I was a backpacker, very active... then had a heart condition. I kind of plugged along with all symptoms. Now it's just weight...30lbs to loose. I still walk daily. It's my gut that is horrible. I wish I found you 10 years ago Thank you

[@Gingerinthesouth]

You Rock! Love your info! ❤

[@claudettewhite8663]

I'm 57 almost 58, offered anti depressants. Giant weight gain, aches and pains, headaches, always exhausted irritable.

[@crh251]

I had a DexaFit scan to check my visceral fat in June. I had 2.17 pounds of visceral fat. I’m working on it constantly to get it down further. It’s very stubborn.

[@michelemilogetzlaff8125]

Hi I’ve been following you for a while and I would like to clarify what I think I’m hearing if your post menopause like 15 yrs it’s to late for HRT? And can we help naturally with diet to implement some additional hormone help??? Thanks for what you do ❤

[@bethtindel1974]

I started losing hair, started taking minoxidil, developed palpitations went to primary and a cardiologist and they both are like why would you take minoxidil? They acted like I was nuts for wanting to reverse hair loss. Dismissed my other symptoms (not sleeping, hot flashes, feeling crazy). I need to find a Mary Claire near me…I’m 49….

[@joanneclark8256]

Chia seeds do they need soaking ? Fiber..( pre biotics) Soluable fiber food legume, seeds, nuts , fruit, veggies , ...

[@hollytrice8717]

i’ve been told that my estradiol patch (in US) only comes in .025 mcg, .03mcg, or .05mcg…(1) what patch do you have that comes in .5? and (2) what min dosage provides all the benefits (beyond that of finding what helps me with my symptoms)?

[@lydiarose2217]

Hi, love your videos! I'm 50 and Peri. Had partial hysterectomy but have ovaries that are still functioning. I'm on Estradiol patch, no progesterone due to not having a uterus and on a small amount of Testosterone gel. I'm heavier than ever but I know there are some things I need to adjust re food & exercise. I think my Estradiol patch might be too high dose since not menopausal yet so might get that lowered but my question is the Testosterone. I know you're leary of Testosterone from some of your videos. Im just curious if you yourself take any Testosterone or do you ever prescribe it to your patients? Trying to figure out if I should stay on it? Thanks for your time!

[@bethb5915]

She talks about the only cases she'll prescribe testosterone for - go to 41:50 into the video. It doesn't sound like she takes it herself.

[@jandriggs4607]

I had my bone scan and asked about visceral fat results and was told that was a separate scan... the one I was having was only seeing how brittle my bones were and whether I was low in vitamins C and D. I was told I needed more C....do you suppose there are results and I can still get a report from that scan?

[@jandriggs4607]

I also have an Inveifit scale which measures visceral fat..bmi..water..ect. my number on visceral fat is 14. I'll do the W-H measures tomorrow and see where I need to be

[@kindnessmatters5635]

I have a question about the waist to hip ratio:- does this still work for a person that’s very long waisted? I have short legs and a very long torso, so have always been able to carry weight easily without it showing too much ….So even if my waist to hip ratio is within safe range, I’m still concerned as I do have belly fat that jiggles on my abdomen since perimenopause no matter how much I work out and eat healthy.

[@lindalu8565]

I must say your info is wonderful. But if a person is suffering with gut issues, then some people will benefit from eliminating some fruits, veges, processed foods, some dairy because they are high in FODMAPS. Causing inflammation, brain fog, depression etc.

[@sharonvandermerwe4889]

Yes we educated about it through you

[@tanaatkinson7833]

63, bone loss, burning tongue, ringing in ears, hair falling out, although nodules on thyroid?? Should I get checked for hyperparathyroid ?

[@Queenread82]

Oh - regardless of her caloric intake - I wondered about that because if anything I don’t eat enough. I have ADHD and often forget to eat. I do eat fairly healthy but just not regularly.

[@traceyammann2468]

Marie, I also have very narrow hips and have always had no waist even when young and only 50kg! Is there another indicator other than hip:waist ratio?

[@foxinthesnow1917]

I have the same problem

[@claricelehew976]

Working with a compounding pharmacist.. what are your thoughts on that? Results are based on saliva test.

[@claricelehew976]

What do you feel is the best way to test hormones?

[@MichelleBeck-x5h]

I just got test results back from my gynecologist. We had discussed before blood work that options were progesterone cream if needed and for any type of estrogdal that I wanted to patch I did not want to do anything orally. Supposably my one ovary is still working post hysterectomy 11 years. Her suggestion was to put me on birth control and just start it during my cycle. I can't believe she is saying this she's the one who did my surgery and I have not had a cycle for 11 years and she wants to put me on birth control I am not very happy at all. Waiting for the office to mail me my test results and then I'm actually thinking about going to a different doctor and see what they say.

[@kimbadull6448]

Two questions: started hrt pellets at 60 after the weight gain, and all the other symptoms. Has helped a lot - any special info for me why it might include testosterone? Are there factors other than hypoactive sexual desire disorder? They said they do it will all their hrt women- related to that - any info on how to takeoff the extra 25 lbs since I started hrt? I can tell I have inflammation too - and do most of the things on your list. Enjoying finding you!

[@sharonvandermerwe4889]

Thank you for sharing

[@marleypalacios7265]

Hello Dr. How do you know if the symptoms I am having is related to menopause or Thyroid? I have both

[@judithtaylor6916]

67 y.o. Total hysterectomy at 49. Menopausal on estradot patches. Auto-immune diseases of sclerosing alopecia including arthritis, which is a driving force of inflammation. With hypocholesterolaemia , fatty liver disease.So how can one reduce visceral fat when I have no control over to cure these inflammatory diseases. I have a normal bone density. Past history of frozen shoulder.

[@daniellemary9693]

I have a question, my labs show possibly hypothyroidism, and low levels of all sex hormones. I am starting bioidentical HRT. Is this ok if I have hypothyroidism? My rheumatologist tested me for autoimmune and everything is normal except my ANA is positive.

[@digimom82]

Would you talk about surgical menopause? I was 46, my sister 42. I had 2 children, she never married, no children. I had less symptoms, she still does at 57 yo. Both of us obese. I’m T2 but working on it

[@faridadurn6355]

Hello im on menepouse my doc put me on progesterone oral combined with oestrogen gel is that safe to take . Im 49 years old Im still experiencing all the symptoms.

[@loriallred4727]

how do you fast if you have to work out early in the morning and want to get beneficial protein soon after working out?

[@meko3089]

Could you PLEASE 🎉talk more about incontinence and progestrone. You always buzz by it. Does progestrone help you sleep? I have chronic insomnia. Are you supposed to be on progestrone if your on estrogen?

[@kathleenfoxfkafroode9027]

Can I use stevia in black coffee and not break my intermittent fasting period?

[@tammy-vc3tz]

I'm 64 you. I visit Houston often. Am I still a candidate for HRT? Thank you doctor

[@BrittanyMcNeer]

You mentioned it is important to take probiotics. Is there a probiotic that you would recommend for someone with a history of SIBO???

[@katinag6064]

I'm 51! Been in Periomenopause since i was 45. One of my worst symptom is my hair thinning in the crown. Does the hair return to normal, once i hit menopause?

[@VillegasMCeciliah]

It's there a way I can communicate with you directly? An email? Thank you.

[@sandrabolt6628]

Please continue the advice is hip waist ratio under 7. Thanks

[@joanneclark8256]

How do you keep good nutrition or nutrients if fasting often?

[@joanneclark8256]

Thoughts on unicity fiber??? I have high insulin resistance?

[@mydreamhorse12]

Im interested in the estradiol patch. Im on the estrogen cream inserted vaginally and i don't like it. Sometimes i get irritation.

[@crh251]

I’ve been on the estradiol patch for a little over two years. I love it!

[@baljithayre1252]

Very helpful..thank you

[@990free]

I am on Immunosuppressive meds for Kidney) pancreas transplant for 3 yrs and 3 months ago started having extreme shoulder and elbow pain that hasnt stopped yet. My dic us younger and doesn't seem to be listening..... I'm 43yrs old😭😭😭

[@pamvansickle290]

Is it true that if you experience breast soreness when starting hormone therapy, that you get breast cancer?

[@sydneyburgess]

What about smart scales, such as Garmin or GE brand? Do they give a somewhat accurate reading of visceral fat, muscle mass, body fat, etc?

[@marydenney8249]

What happens if you have Hashimotos and you are hypothyroid PLUS you are POST menopausal….how do you treat that? I’m on levothyroxine.112 and Premarin .625 and STILL have symptoms. I’m 72…Help!

[@joanneclark8256]

If you have insulin resistance high cortisol should one do estradiol?

[@MissKrisLoves]

I really want to take HRT but with Histamine Intolerance and possible MCAS I don't know if it's good idea. And no MCAS specialist will take me as a pt in Ontario. 🙁

[@lolozow3533]

Those glasses are beautiful on you!

[@Monkeyorapesquad]

I keep hearing different things about skin is it good to exfoliate? Ive heard your suppose to and ive seen your videos where you just wash your face and use retinol? Im just curious. Im 48 and menopausal. Thank you so much

[@LizzStewart]

What type of doctor? Functional Medicine Dr? Regular insurance Dr? I am so tired all the time. I get hot flashes and night sweats. My back hurts and I feel like I'm changing.

[@bronwynst4280]

She recommended Midi health online

[@shillypur6835]

What so you do about bone loss.. I have started to get hip problems

[@poppylove3673]

Chronometer - to track micronutrients.

[@sharonvandermerwe4889]

I clean house and still hairdresser I excise all the time but the heat when you work out but thank you for sharing

[@donnajohnson3334]

What ?. I don't quite get what you mean. Are words missing ?

[@ingridmorgan7893]

At 54 I was in menopause without issues and went on HRT. At 62 I went off HRT AND I’m experiencing menopause blast. I’ve gain 30 lbs, joint ache, anxiety, hot flashes like crazy. I asked to go back on and the nurse practitioner refused. I’m taking supplements - Estroven and Aswaganda. Doesn’t seem to be helping. I don’t know what to do.

[@ingridmorgan7893]

Note I went off of HRT at 60.

[@samanthamorrison6136]

Symptoms- tummy weight gain, fatigue, gassy 😮, forgetful….. 51

[@tanaatkinson7833]

I’m not understanding the ratios? Smaller waist into larger hips?

[@annettebromley9190]

My waist always measures 11 inches smaller than my hips, so I always come out to about .75. Does that mean Ill probably never have visceral fat or do I need a different test. I am 61, weigh 155 and 5'-6".

[@gillianmillington7735]

I am about the same as you.,I was thinking same also..

[@joanneclark8256]

Anyone pls answer is carivore really helping you ? What if fast does the cortisol spike? 11

[@rchristley]

Please give info on best ways to reduce visceral fat

[@cynthiageskes1457]

So women genetically inclined to have extra large butts and their relative waist size is 'small' in comparison are automatically healthier? A female could weigh 300lbs- but as long as her butt is extra large- it's all good? What about females who are not inclined towards large butts and hips? Basically built more like a man with a rack?

[@delphinebez3045]

Ok, how on Earth do you fast, AND eat enough protein to build muscle ???

[@joanneclark8256]

What if thin and have high insulin and cortisol?

[@gabriellamendez5865]

When should hrt be started I’m a 46 year old perimenopausal woman.

[@tanaatkinson7833]

27 waste hips 36, which number divided by which number?

[@stacey.t1010]

Its tougher on us apple shaped girls thats where we get alot of the fat stored

[@Urexbestfriend]

Can i receive estrogen in perimenopause?

[@bronwynst4280]

Yes, Dr Haver recommended Midi Health online

[@nigatayele5357]

What if I have hypothyroidism and also in perimenopause? The symptoms are so confusing.

[@sylkiastewart6098]

Can I use Estrogen at 45 years old?

[@bronwynst4280]

Yes, Dr Haver recommended Midi health online for exactly this ...

[@Fourfolding]

When talking about fat it would be useful to include lipodema, which affects over 10% of women.

[@adriennemenniti2752]

I’d love to get some tips for how to find a physician who can help me navigate similar things in my health. My primary care dr is definitely not that person.

[@shreyapabla5378]

Hi Doc do have recommended Dr.in Canada 🇨🇦 Toronto please

[@maryclairehavermd8473]

This is a resource that should help you find a doctor in Canada. It is under the resources tab. menopausefoundationcanada.ca/ ~ XO Community Support Team

[@jennjennfromthe7643]

Great info and tenacity as always. But...doctors will argue with science. Especially in then endometriosis community and the hell we all have been dealing with, me personally for 30+ years before leaving North America to pay out of pocket for up to date care. So yes, many doctors will argue science from a patient and their fellow colleagues. But with a GP you can usually get on them on your side in the past 3-5 years with evidence, conviction and sadly, aging helps... and if they refuse, make sure you tell them to record: please put in my records you are denying this care and treatment plan.

[@bronwynst4280]

What about DHEA supplementation?

[@2006marsha]

Love you Dr. Mary Clare. I want to make an appointment with your office. Do I just goggle you to get your office?