Female Hormone Expert: How To Lose Fat, Reduce Stress & Stay Young After 40+ | Dr. Sara Gottfried

[@DhruPurohit]

Get my FREE guide Raise Your Omega 3's when you sign up for my weekly health newsletter at www.dhrupurohit.com/omega3

[@amshininglight]

@DhruPurohit would you be so kind and tell me the dentist - I need this expansion appliance- I did the same thing with Invisalign and braces and am suffering now with head neck and spine pain - and my jaw /bite is very off. I would be so so grateful

[@HH-gv8mx]

Why are continuous glucose monitor so expensive? And are there any other cheaper options to continuously monitor your glucose.?

[@la_baby_khalil7703]

👍🙏😘🙏

[@siobhancleary3018]

@@HH-gv8mxgreat question

[@v.j.l.4073]

@@HH-gv8mxh

[@body.mind.spirit.health]

There is not enough people talking about women health out there! Thank you very much for this precious guest

[@foxyauragems6146]

Menopause Barbie. Just don’t follow her nutrition

[@nicolemanners8604]

I’ve been told by all the doctors that nothing is wrong with me for the last 15 years! But I felt like everything is wrong! No, I understand that I started going through perimenopause ! Not a single doctor ever mentioned that I might be going through hormonal changes 😢

[@Himmiefan]

@@nicolemanners8604 There's been so little research into menopause so that many think that it's just the periods ending and women can't get pregnant any longer, as if that's the core of our existence.

[@lucasley20]

The redistribution of the weight is ABSOLUTELY real! My body looks so different now even with daily workouts and a balanced diet.

[@MaryamSyed-v1h]

Thanks for sharing, how old are you?

[@Lolipop59]

What is your regimen? Thank you very much.

[@sharinecheah5183]

Same goes to me... even I did intermittent fasting, the midsection will always the hardest to lose fat over there. Then if over-trained, I got injury easily even before 45 I was a hiker, trained for marathon and weight lifting. I need to give up all just for the body to recover from injury. Since then, things changed. I have to reset and reset to adapt the body changes.

[@IndigoBellyDance]

Yep! I exercise and try to eat reasonably well & man my weight keeps packing on

[@mariamendez4459]

I am 46 have become a therapist at this time of my life, and would like to support women encountering perimenopause and menopause through the mental aspect of these transitions.

[@radiantheartwoman]

I need that help! The physical aspect is hard enough but the mentalnemotional inner process that is happening is disorienting, scary, sad, and so much more

[@TJMotionPictures]

Cortisol-sleep: GET RID OF ALL TOXIC THINGS AND PEOPLE. NO QUESTIONS, ASKED. FIRM. IT MUST GO. ZERO TOLERANCE. RUN AWAY IF YOU HAVE TO.

[@jbug884]

I’d love to run away! 😂

[@DawnMaxwell-y4z]

I believe that too from what I’ve been going through for the past 10 years. Im fully in menopause, starting bleeding 2013 OBGYN said thin lining of my uterus. 8 months later it stated again ( all slightly bleeding 1 day only) the next OBGYN said I had a uterine polyp . I started to gain weight which I was always medium sized. Now, 11 years later I can’t get the weight off and stressed , depressed bc of family members passing away I’m bleeding off and on since the pandemic and passing clot , no pain though . I’m tired of this .

[@SL71111]

I really feel like doing that sometimes just heal my high cortisol 😔

[@jakemelinko]

If say your can't control exterior, learn to cope with the stress from inside.. let it pass on through

[@sandracarter7231]

After a total hysterectomy I went into instant menopause. Weight is a major issue. Quitting sugar. Keto helped me lose 60 lbs.

[@eveelliot2109]

Most of my life I've been a skinny mini. Menopausal weight gain I've discovered is simplistically "Sugar" inc: artificial sugars & salt hypersensitivity. Stress ( Cortisol) sleepless nights. My weight climbed, until I decided to get ruthless with all foods ^ drinks containing sugar. Exercise 3 times a week weight lifting n cardio. Weight is dropping off...consistency is key...

[@LIFE0530]

Parvovirus B19 thyroid Dr Fletchas

[@joanneclark8256]

​@@LIFE0530???

[@AlitaMee]

thanks for the hope

[@elsab5782]

What’s your experience on flour and processed food like pasta? I stopped eating that

[@kd2533]

Biggest difference in my early 40's is I've lost the drive to socialise and I prefer to be in bed early.

[@mrsANGRYh]

I feel the same, I am suffering from social anxiety and feelings of not being good enough. So I just stay home when not working and don’t socialise at all.

[@halasipipacs]

It's biology. Most people get married and have children by their 40's so you stop going out by then, even if you're signal and have no children.

[@5-es4mn]

​@@halasipipacs Women should not get married. If a woman is single, she us young forever.

[@loriscott3290]

Me, too. I hv insomnia from this low estrogen and I’m on plenty of hormones, but I’m so tired. Even to bed at 8:00 I only get 3 hrs sleep if I’m lucky

[@Go.Bex.]

​@@halasipipacs Definitely going to the store to buy some chicken!😂

[@hennerslecat]

Women are also so time strapped these days, managing careers and family. And it's increasingly harder to make ends meet. Our kids are entering a broken world and we carry all the emotional strain of this. It's so hard to have time to make homemade dinners and on a budget or to have time to exercise or the money to join a gym / class.

[@angelaluishealing]

so true! I wish we could go back in time and have stay home mums as a norm!

[@d26s10]

Absolutely agree about being time strapped. I genuinely don’t think this modern fast paced life, working full time and running a house is suited to women. We need that softer, slow life so it’s like we’re constantly running uphill and getting nowhere.. a treadmill on incline and trying not to fall off. In terms of homemade dinners, I do a lot of one pot meals with extra portions and freeze them. If it’s a meal that takes more than 15 mins to prep and cook, there’s no way I’m doing just one portion! I utilise the exercise videos on KZbin for free. I refuse to pay a gym membership and spend even more precious time driving to and from the gym… sometimes my exercise is walking on the spot after a meal to lower the glucose spike or dancing around my bedroom to a few of my favourite songs to raise my heart rate. The best thing is, you don’t even need to look presentable! Sometimes I exercise in my pajamas that are going to be washed that day…again saving time and less laundry. Hope this gives some inspiration 😊

[@jmw-q4u]

So dump the career.

[@Janet-e8z]

You don’t have to join the gym. There are so many videos exercises at home, just buy you weights.

[@rrijecanka]

@@jmw-q4uit’s not possible for everyone, in Sweden we cannot live with one month’s salary. I never was feminist, I hate when they say we have a choice. No, we don’t. I have no choice to stay at home and take care of family. Not right now, have to work. And that’s only I want. Don’t get me wrong, I love my job, I’m educated… but now I think my family is more important…it’s too much pressure on women today, but they can thank that to feminism…

[@annekelly1233]

Thanks for this discussion. After menopause I had my visceral fat measured and discovered I had a lot of it.Plus I was also pre-diabetic. After researching, I have cut out ultra processed food , decreased my alcohol consumption and do short bouts of maximum exercise (re Dr Sean O'Mara). I have now lost 7kg , no longer pre diabetic, halved my triglycerides and have lowered my insulin!! Take charge of your life.

[@JennifertxCarnivore]

I agree, everyone go watch Dr. Sean O’Mara on visceral fat and how plant based processed foods and whole plant foods causes it and going carnivore reverses it.

[@Sacred-Heart-of-Jesus829]

Congratulations on your successful weight loss! I need to lose about 25 pounds and have had difficulties sleeping through the night. I am going to check out the short bouts of maximum exercise that you commented on.

[@annekelly1233]

good luck

[@ingridjobst1618]

I totally agree. I was slightly overweight after menopause I could not lose weight anymore. I also cut out all ultra processed food, I do short burst exercises and I lost 5 kgs. And yes, go watch Dr. Sean O'Mara. Ps. Keep checking the foodlabels!!

[@meriksen_]

I'm also following Sean Omara's protocol... What a valuable message from a doctor!

[@ladybird169]

I'm currently at 25 min. I usually don't listen 2 hrs videos but this is so refreshing after all those hyped up vids. I find all that yelling and fast talking obnoxous and my ears hurt. It is rarely to find video like this, where people just talk in their normal voice and pace. Highly appretiated.

[@Dana-bp1hk]

That is because this is hosted by a male who is interested in the subject.

[@freshmanenglishhelp]

Her voice is soothing. She informs.

[@Fashionseesta]

Heres a crazy one. As an "older mother" (36) I'd never felt so balanced and at peace as when I was pregnant. For my baby, I quit sugar, I cared for myself for the first time ever, quit alcohol obviously, I exercised and I managed stressful situations. Essentially, I loved myself. This upload is great, and helped me understand exactly what I did. Now I need to get back into my pregnancy state of being lol!

[@mave5428]

Spot on: every decade us women have a new game changer on hormones but 50 is by far the hardest challenge, tough to find the break through thanks for this ..

[@marykennedysherin3330]

Until you get to 60 😂😅

[@MyOneLive]

Is how I feel. Turned 50 and literally all changed sooo fast I got scared! When 60 comes along, I hope I can have this down pack.. lol

[@avefenix4ever]

I just turned 50 and suddenly my body is failing un every way

[@Cgggg6876]

What exactly happens. Please share

[@bellelacroix5938]

After suffering with lymphedema for 7 years in my forties at 53 I took the bull by the horns and started studying how Europeans deal with it because AMA doesn't care unless cancer's your lymph nodes I could hardly walk one block let alone 10 minutes after being a athlete most of my life I started taking those 10 minutes a day and making sure I walked in my house and bumped it up to dancing then decided to take on diet which had just been lazy feel good carbohydrates ice cream sweets after being a lacto vegetarian for 20 years and slowly got rid of the carbs went completely organic made huge salads a day with everything in them and I even drink a beer once in a while and eat no bread no pasta no tortillas no pizza no sugar and I got down to my fighting weight in my size for Levi from high school losing a pound a year and it was not a struggle because the foods that I could eat are the foods that I love like egg omelets avocado olive oil nuts and seeds every manner of vegetable bananas bananas and peanut butter and every once in a while a little piece of chocolate so flavorful like a little piece of cheese you only needed a little bit life is so much better when you just do the thing that is not that hard but necessary after 50 New Life ladies were liberated

[@TheMothernerd]

Walking after meals and consuming a small amount of vinegar 20 minutes before your meal hugely helps with glucose spikes after meals and energy partitioning.

[@SassyO100]

I second that. I take only one tablespoon of apple cider vinager in the morning - I found I couldnt tolerate it before each meal. How much vinager are you taking?

[@yo-yo9663]

Wow. I listened to this in two parts. The first part was informative but the second part was just a whole other level of profound. I did not expect to hear about trauma, epigenetic genes and psychedelics. This woman is ahead of our time!

[@littlebitmckee8234]

I am so happy she mentioned stress a number of times. I’m a recently retired nursing professor. ICU has been my specialty, but wellness is my love. I wrote a book called “peace management.” it is a program to retrain your brain not to trigger the stress response. Emotions are a response to the thought. Stress is possibly the number one comorbidity or many illnesses.

[@ladybird169]

Intresting! I spent all my adult life being careful around my thoughts. Time waisted! Thoughts are in response of emotions, being aware or not.

[@littlebitmckee8234]

Emotions are the response to the thought - which then creates the environment for similar thought to be generated. I explain this in my seminars, which I rarely give now that I am retired. If there is a way to reach out to me, I would be happy to help. Maybe my email tied to my name? I don’t want to put my contact info on here.

[@silviavianna2323]

Hi, can I find an audio copie of your book online? Thank you kindly. Silvia

[@BeautifulDreamerK]

My mom is an icu nurse and finally retired a few years ago. Now that she’s retired, she’s lost so much weight. She thinks it’s from the stress from work + the night shift.

[@littlebitmckee8234]

@@BeautifulDreamerK absolutely. As an ICU nurse you run on cortisol and caffeine

[@karendavenport2721]

Wish I knew all the before! At 65 I’m balancing weight, exercise and mental clarity. Love this information! Never too late 😅

[@michellelo2010]

The insomnia no one talks about coming into menopause and how it impacts one’s mental health.

[@alixanderiashay4049]

I agree, insomnia is very real. I’m a certified hypnotherapist and I made myself a self hypnosis bedtime playlist. It has helped me tremendously. I no longer have insomnia. I sleep through the night. I’ve lost 35 pounds. With hypnosis and with intermittent fasting focusing on a carnivore diet. I’m more happy now than I’ve ever been in my life.

[@Hasmiral]

Progesterone helped me a lot. Try it.

[@Missgevious]

@@Hasmiraldo you you take orally? If so, is it a compounded tablet or how does it come?😊

[@Hasmiral]

@@Missgevious I take Progestan 100mg capsules under my tongue, it is called sublingual. It melts into your skin, I don`t swallow it so it doesnt go to my liver.

[@Mimulus2717]

@michellelo2010. Agreed! When hot flashes kept me awake when I went into menopause, my female doctor doctor said just get used to it, she did not support the use of HRT. Insomnia really did a number on my mood and cognition. And it is viscious cycle, where crappy sleep makes for a crappy day that feeds into another night of crappy sleep and more anxiety because you know your going to not be able to fall asleep when you wake with a hot flash at 1 am. I got a new doctor who wrote me a Rx for HRT and it was game changing.

[@allicee8339]

6 and a half minutes in she totally described my experience with all details being accurate including the way my complaints were addressed at gyno. EXACTLY the same experience

[@SingleMomMission]

I'm a 55 y/o Mammographer. I've been on Bioidentical HRT for over 2 years, though my sister died of breast cancer @ 48. My quailty of health had rapidly declined. High Cholesterol, Osteoporosis, Memory Loss, Dry skin/hair, Muscle loss, Redistribution of fat, and Rapid aging. Just to name a few! What quality of life would I have in a few years if I continued to decline so rapidly? I now look younger than I did 10 years ago, my Cholesterol is down, and my memory is back! I do a skin care routine, including microneedling and glycolic acid, to help reverse the aging. I'm never going off BHRT, and my doctor agrees! I am very fortunate but initially had to hire a Naturopath doctor and pay out of pocket. Today, my GYN and BHRT are covered by insurance.

[@saphire9823]

Thank you for sharing. No issues with the HRT?

[@jamiehoward6906]

As a medical professional are you not aware that the WHI studies have been walked back? It’s a misnomer that estrogen causes breast cancer.

[@jamiehoward6906]

@@saphire9823read estrogen matters. The WHI studies were bogus. Yes. Bogus.

[@joanneclark8256]

​@@jamiehoward6906 that's been debunked claure haver MD

[@joanneclark8256]

​@@jamiehoward6906Mary Claire MD

[@bridgetcameron8229]

Lost 25 pounds in 2 months doing carnivore. Energy is amazing! I walk 5 miles a day. Sleep great. Brain is focused. Body aches are gone. I'm almost 62. ❤

[@madj7152]

How much meat do you eat in a day? I tried carnivore but cant get full and feeling weak. i dont know how much meat i need to eat in a day

[@SanctifiedLady]

I wish I was rich, retired or being taken care of I would too! Congratulations 🎉

[@viet9irl]

@@madj7152 the general guideline is eat until you’re full then eat a little more. I translate it to 1.5 x your normal portion size. For weight loss, it’s 1-0.8 g of protein per goal weight. Try to keep your fat to protein ratio at least 50/50. you can do some lean protein days and some high fat days. The first 2-3 days you may feel weak and fatigue from the carbs withdrawals. When you eat, heavily salt your food. As salty as you can still enjoy the food. I’m not an expert. Just what I’ve learned and works for me. I’m not giving medical advice.

[@sannitrinh3067]

I feel the exact same becoming a vegetarian! 🎉

[@bridgetcameron8229]

@@madj7152 weakness comes from a lack of electrolytes. Add unrefined sea salt. Not full enough? Eat more meat and add fat, such as butter. All the best!

[@taniasantosdasilva7150]

❤I appreciate the compassion and empathy from both people present in this conversation.❤

[@muzikaishokolad]

I like her tone, it is calming, not over expressive as some other speakers.

[@olololo9224]

So great when women especially at menopause stage can stay home and have a calmer life.

[@silentvoice4970]

You mean like 17 years after menopause at age 67, retirement age? Menopause hits at age 50 ish, long before 'staying home' lol

[@marciaevans-v1s]

What planet are you on, 50s are when we are in the prime of our careers why be stuck at home?

[@silentvoice4970]

@marciaevans-v1s Yeah. This is why young adults guess me to be 30, because I don't look like a little old granny. The perception of 50 is like 'omg, old and sleepy'. In reality, it's gym, work, socialise, travel, live, love, life!

[@nutech1810]

You sound boring. I followed the advice of men, & stopped associating with most middle-aged + women. They get boring & act like old fuddy duddies. This ages you rapidly. All my friends are younger now. Older women are depressing, & I can see why men don't want to date them anymore.

[@straightedgeveganbel2453]

Someone needs to do an episode dedicated to women that had total hysterectomys in their 20s and 30s.

[@kbearwest9880]

Amen!! Please!!

[@tamzmercier4251]

Yes!!!

[@joanneclark8256]

Its the sane in 2 hrs 😊😢

[@gracecallowayable]

YES!!!👠👠👠

[@Tethero66]

This is great. I’m definitely having my cortisol checked. When I take a really clean magnesium in the right dosage. I sleep well and I’ve been struggling my entire life. Magnesium helps when you find the right one and the right dosage and stop alcohol and caffeine and sugar after a certain time

[@MarieLouiseLudwig]

I will never ever forget - I was 45. Starting menopause and bleeding like crazy. Had a D and C. Nope. Had to have a uterine ablation. Bleeding stopped. BTW, before that surgery I was given the drug Mifepristone with zero warning. OMG. I thought I was giving birth seriously. There was no follow up from dr after ablation. I was thrown into menopause. The symptoms. I asked and asked and asked - that entire OB GYN team - help me. I was drying out. Sweating and losing my sex drive. You know what my male doctor told me? "Get into bed naked. That's all you need to remember." HUH??????? No advice on biodenticals. Nothing. This was 17 years ago. I am now in my mid 60s. Scared to death. Aging rapidly because I was advised - no hormones. They cause cancer. What happens to my generation now? I know our grandmothers did not have hormones. But my grandparents also slept in separate rooms. I never saw affection. They looked old. Kinda feel like I was sentenced to a slow, painful death as I await osteoporosis, dementia, my husband leaving and more. Just wow ......

[@livelearn06livelearn86]

You are knowledgeable enough it seems, never to late to turn your health around. Talk to your doctors.

[@Alecram57]

Try to see if you can find a menopause clinic in your area.

[@bigbitsmama4802]

I couldn't afford to keep looking for a good doctor Who cared. If you can read you can learn. You can get your hormone panel online, Most of them have people who will go over it with you, and you can do your own reading and learn what is normal. What is low normal what is high normal etc.... Then you can order your own hormones from india Or canada

[@mindyann8903]

Just want to say you look absolutely gorgeous & Big hugs - being a woman is so TUFF ! I’ll be 42 next month and want to be prepared as possible and women like you (and others in the comments) who are wiser and use their voice are really inspiring. Maybe you can use this to educate other women. Praying for you ! ❤️

[@MarieLouiseLudwig]

@@Alecram57 it's too late. Nothing can be done for my age aside from creams and my spouse does not want exposure to those. I know :(

[@Naniizar]

I'm 34 just got rid of my mirena, I'm taking the route of carnivore to heal my fibroids. I want to trust a primal, more simple approach.

[@roxannecaiolino9509]

Amen. Lot of good results. No nary Jane or physcidelics. We don't have to be high.Amen

[@setme4ree]

Water fasting for 30 days would reduce them most likely. I was in a group and it happened to one girl. I think she did 2 to completely rid her body of them. My ex did water fasts and his skin would glow, but they arent for everyone. I intermittently fast but not long term yet. I’d research it, if carni doesnt work you could try it! Lots of science on it

[@Soapgirl64]

Carnivore rocks… I think you’ll be very happy with the results.

[@tallchick1966]

I’m curious as to how one gets necessary fiber from carnivore. I’m not knocking it. Just wondering. 😊

[@Soapgirl64]

@@tallchick1966 it isn’t necessary. Our gut isn’t designed to digest fiber. One sign of proof is the insane amount of digestive issues in the population.

[@sandyfoot]

I knew what I needed to do but literally was not allowed (by society and family) to do what I knew in needed to do. We are expected to perform at work like men now thanks to the ‘feminist’ movement. Society does not give a perimenopausal or post menopausal woman a break. We have to act our way through decades. It’s exhausting. I believe this is a big factor in raised divorce rates. Women are absolutely exhausted and literally want a divorce to get some sleep, peace, and space to be how they actually are. To be authentically female. The whole of society need education on menopause, not just women.

[@Hope-uq1vn]

Well said.

[@southernbanker1946]

Too bad not enough women feel this way and allow the natural state of the male and female framework to come back as nature intends. Maybe if enough women would stand up for it and quit teaching thier daughters and grand-daughters these new feminist ways, the pendulum might begin to swing back over time.

[@SirenASMR_]

@@southernbanker1946it’s men as well men don’t act like men they act like women now and expect women to do way to much

[@Maggiebenjee]

Since when does feminism say "work like men"? And when in women's history did women stay home outside of white women in the mid 20th century?????

[@TamiShey]

@sandyfoot I totally agree with you. Women wanted to be equal and now they have to work like male do which is too much on women’s body.

[@jbug884]

To do list- Cut out sugar, cut out caffeine, start weight lifting, start sleeping in the spare room, or divorce husband! Learn to say no more!

[@fortusibanyoni8458]

😂😂😂

[@JuliaCloonan]

🤣

[@cleopatrabeauty3753]

😂😂

[@kianafabunmi7365]

This🤣🤣🤣🤣 I’m actually serving the papers this week.

[@Sandra2972]

😂😂😂😂😂

[@MrsSheffield]

FOOD is definitely a big part of the hormone issues in women (and men), people eat fast food every week, if not every day, even grabbing a muffin or donut at a coffee shop counts. Back in the day, eating out was a "treat" and you went out to eat as a family, never alone. Women started working, and raising children, and household chores, etc; whereas before women ran the household (very well I might add), because they didn't have the added stress and time that work takes up. The traditional "nuclear" way of life was WAY healthier for the entire family. Yes women went through menopause back then too, but they didn't have all of these stresses on top of it. You would be lucky if you have a spouse who helps with raising the children and the household chores (cooking meals, laundry, cleaning, doctors appointments, soccer practice, pay bills, etc), it's hard to be 50/50 ALL the time, but if it's give and take on a regular basis, that can take a TON of stress off the woman or one of the spouses.

[@nidashaikh8390]

In India ,women had accidental pregnancies at 49yrs also, they were housewifes who finished their chores and took afternoon naps. They were fertile at 50, menopause would begin post 55yrs. They cooked fresh meals and only focus on the house and family .

[@joanneclark8256]

So if 1 eats processed can or oackages or frozen they get hormones imbalances? So what foes 1 eat and does the food need to be organic beef ? Chicken? ....

[@Himmiefan]

@@joanneclark8256 Processed food and foods packaged in plastic do have chemicals that can affect the body. Eat organic and buy raw vegetables and freeze them yourself if necessary. Diet and exercise have a huge effect, but many doctors just want women to shove handfulls of hormones to keep the levels artificially high, and we don't know the long-term effects yet.

[@kkcarricaburu6042]

Thank you Sarah for being so vulnerable to share your life story. You you have help me? We all are looking forward to your book.

[@upandoutie]

Just a quarter of the way through this but when talking about stress that women just seem to experience more she hasn't brought up thus far that during the pandemic assault on women and children went way up. Not to mention the financial inequities and the burden of child and elder care. Doctor Gabor Mate could add alot to this conversation . Thank you

[@TheAly1109]

This has been absolutely amazing. Thank you so much both of you. I feel renewed in finding answers and help for my body and health. ❤️

[@dd5783]

Thanks Dr. P! This is really helpful to women!!! More guests like this please!!!!

[@vegancatlady1017]

when I did my hormone test this year, my estrogen & testosterone levels were way too high and to combat this I have been using progesterone cream. It’s okay.

[@zkirkwood6090]

I hope someone answer your question so we can all learn !

[@carriecastanos]

Interesting 😊how are you now?

[@krystalgrace6006]

I am loving the esoteric part of this talk as I believe this is an area in womens health and healing that could open up some grand enlightment.

[@carolinebrown8965]

3 Life Extension Neuro-Mag (sold on Amazon) capsules a day and 1/4 cup ground flax seeds a day stopped my hot flashes !

[@crh251]

The flaxseeds are phytoestrogens. They mimic estrogen so that’s why they helped your hot flashes. Great job!

[@lgardner6867]

Thank you for sharing your mother’s experience Dhru because that’s exactly what I’m dealing with and my cortisol levels are through the roof due to chronic stress & lifetime trauma. I truly appreciate this honest conversation about our hormones and I will seek oral progesterone instead of transdermal to aid in better sleep. I’m fearful of estrogen but will seek a new, functional physician, a fresh thyroid panel, and Sara’s books + ‘Forever Young’. 📚 A doctor’s recommendation for me was “I don’t know what else to do for you but just eat cucumbers & lettuce because there were no fat people in concentration camps.” 😮😢

[@siobhancleary3018]

Holy cow a Dr said that about concentration camps At least you be right there’s a lot less carbohydrates which have been more like what he should’ve said no words

[@randibass7558]

Sorry for dumb doctor.

[@AP-nx6xo]

I’m 61. I take meds for hypothyroid and I use estradiol cream every day. I had a total hysterectomy at 36. Ovaries… everything out. Because of Suzanne Somers. The author of the books on bioidentical hormones, I insisted on HRT otherwise I think I would have gone insane and I’m not kidding. You don’t have to suffer ladies. Progesterone is good for irritability and anxiety for example. Give it a try. Find a doctor who understands your needs

[@Susieq26754]

Testosterone not progesterone. Progesterone will make a woman really depressed.

[@auaticamazon]

@@Susieq26754too much progesterone might make you depressed. You have to take an appropriate dose

[@LFlowers36-o3p]

I came off POP aged 50. Apart from 8 years of sleep disturbance (and obviously zero periods) I have no idea when my menopause happened. Never had a hot flash or any of the other common symptoms. I’ve recently got my sleep back together. I’m down over 50lb, do resistance training and walk everywhere.

[@TJMotionPictures]

I just realized after 7 years Im no longer holding my breath. I just realized here today why I was doing it. Its probably why I thought I was having heart problems and was going to die young and I had to accept it.

[@holistichealthtipswithjoni]

same as it ever was and love the MDs who have come on board... nutrition, movement, yoga (which includes resistance when well taught), meditation, breathwork, embodied practices, plant medicines when applicable... for the win

[@purplepink5630]

Wish this long video was broken into chapters so that it's easier to digest and go to sections of interest vs wading through 2+hrs of video. Some of us in the medical field already know most of this information so offering such a long video in chapters would've helped to go to sections of novel info

[@joanneclark8256]

Medical system #SUCKS ..NEVER HELPED ME GASS LITE

[@MuffySSwiftpath]

I wished it had chapters so I didn't have to screenshot where I paused before going off to do something else then coming back and trying to find my place maker

[@upandoutie]

Also, as women get older they become very marginalized and invisible... and ya, that's stressful

[@randibass7558]

Haha...so true!!! I was told retirement women go into making mosiacs! Ha. But, it's true, taking up a challenging new topic engages you.

[@PeaceIsJesusChrist]

The older women I know are valued by their husbands, families and friends-maybe some more than others, but I don’t see growing older as meaning I’ll be less valued by others-more like the opposite. ❤

[@MrsSheffield]

Unfortunately, this "brushing off" of women's health issues by medical professionals is SO prevelant. I was dismissed for months due to all of sudden heavy heavy bleeding non-stop and extreme pain, worse than child labor by a thousand times, went to Emergency several times, went to family doctor, went to walk-in doctors, all brushed me off saying I'm just getting older, it's just hormones changing. Family doc put me on birth control to control bleeding, it somewhat worked but not a hundred percent, I was still bleeding very heavy on the 7 days off birth control. All this while I was waiting to see a gyno, because the wait list was SO long at any gyno I called. Minimum 2 month wait. Emergency room doctors put me on other meds to reduce bleeding, which didn't help at all. All they kept doing was ultrasounds and it kept showing fibroids/cysts, so the docs kept chalking it up to these things and nothing else. Finally got in to see the gyno, and she immediately said she thinks it's cancer and I need to get biopsied immediately. I was at the oncologist a day later and diagnosed with cerival cancer. No one in the months prior bothered to check me internally, and if the wait list for gynos wasn't so long, I wouldn't been diagnosed earlier and started treatment sooner. DO NOT ALLOW doctors to brush you off, I wish I had been more insistent. Although I didn't suspect cancer at all, I KNEW something was not right, and it's wasn't "just hormones". GET your pap tests regularly as early as age 30. Thank you for this episode, I wish more doctors/healthcare professionals watch these types of videos/podcasts, but most of them think they know it all already and/or don't really care about patients, they will do bare minimum.

[@Flojo9229]

@Blueskies7775 you are so lucky to be ALIVE! They should be sued!! And struck off.

[@siobhancleary3018]

Such a horrible thing to have to happen to you due to the neglect of doctors

[@crh251]

This is what is called medical gaslighting. It’s ridiculous how doctors do this.

[@Rockerlady]

An MRI showed I have less brain volume than most people my age. I had this test at age 50. I am concerned because there is dementia in my family but at much older age ( past 80). This is the first time I have heard hormonal changes being connected to the brain. Very informative, thanks!

[@EvaVas03]

My mom is 70 she had a stroke. I started buying Ginko Biloba for memory its helping. Blessings

[@franoconnor4658]

reduce stress, that's the most important thing add coconut oil to your diet. It's so good for our brains

[@Helen-nv8el]

A wonderful talk. I'm 82 ans started hrt at age 50. It saved my sanity and I've been using bio identical cream until changing my GP who was horrified, and talked me into stopping. 6 months down the track I feel awful as a result, brain fog, depression, expanding waistline, and hips and generally feeling "old". I 've found a practitioner who will prescibe it for me again but after 6 months without, is that too long a gap to start again ? I would appreciate any feedback ?

[@foxyauragems6146]

Barbara Taylor

[@cearilindubhlaoi9507]

Definitely not long of a gap at all...go back on it & don't ever go off it again.. its protection 😊

[@contrary8880]

This interview with Dr. Gottfried was BY FAR wayyy better than the one with Huberman...thank you so much. I am subscribing now. 🙏🏾✨

[@AngelaCrump-Volcy]

Good discussion. Dr Mindy Pelz Fast Like a Girl and Dr Anna -the Girl friend doctor are also excellent resources in the area of women’s hormones.

[@melmel8907]

AGREE!!!

[@mirriaevans7923]

I feel that my MD is partially responsible for me having T2D because he did not tell me that I was headed to T2. I didnt know what the glucose reading meant and when I ask him he said oh dont worry. I could have changed my situation. I tell people today to ask questions and get the understanding instead of trusting doctors with your health. 😢. Thanks for the video❤

[@ucheakali5294]

You can reverse t2d. Please take control and educate yourself.

[@serrinamarieyozsa9447]

You absolutely can reverse it. Jason Fung MD is a good start. Lots of info on KZbin.

[@crh251]

Besides Dr. Jason Fung, look up Benjamin Bikman. He’s here on KZbin. He wrote the excellent book “Why We Get Sick”. Unfortunately most doctors only look at glucose and not fasting insulin. Glucose can be perfectly normal, but insulin can be sky high. Good luck on your journey. You can heal yourself.

[@avehanahcasino2139]

I needed to hear this. Every woman needs to hear this particularly those who are in transition to pre-menopause and menopause. Thank you so much to you both. God bless you.

[@isabelstover5559]

Just WOW - this interview gives so much to think about. Thank you!

[@olga_b344]

Does anyone have time stamps? What are the action points - like what do we do? Thanks ❤

[@EmmanuelSunday-ux3hp]

Thank you Doctor isibor herbal supplement which healed my wife hormonal imbalances with no side effects

[@jenniferespenscheid5865]

I’m really happy that you’re putting all this information out there. One thing that really bums me out, frustrates me, and borderline makes me angry though is the fact that most of these tests are not available for most of us. It’s the testing that caused so much, never mind things that can help us. I appreciate all this information but once again if there’s a way you can direct your resources to getting middle class people access to these important test that’s where the real help is needed

[@BellambiFredRoberts]

Absolutely FANTASTIC KZbin post, thank YOU !

[@UrbanCajunGirl]

I’m loving your channel. Could you list the discussion topic for each chapter instead of just 1, 2, 3…so we can easily scan and share?

[@suziee3383]

Well after listening to this I see that sleep is my problem. I went through menopause at 42 years old. My cycle just stopped. Never had a weight issue before that. After that I haven't slept in 33 years and gained 100 lbs. No help from doctors. My thyroid is beautiful according to my doctor. Checked for the fourth time last week. I've been using ashwagandha for a little while now and still not sleeping. Started weight training 5 months ago and have only lost 2 lbs. Tried keto and lost no weight. I don't think there is any hope for me to be a healthy weight ever again.

[@foxyauragems6146]

As you think...

[@MrsSheffield]

@suziee3383 There is ALWAYS hope, never give up. See if you can find a functional or integrative doctor or a Naturopath near you. You can get a urine test to check hormones as well, Bio-Identical Hormone Replacement Therapy is highly recommended by a lot of people. You won't know if it will work for you until you give it several months to a year to find the right dosage that works best for your body. This will help you with your sleep, which is essential for everything else to work properly.

[@ucheakali5294]

There is hope. You need to stick to the things you are trying. Educate yourself. There is hope. Please be encouraged.

[@tpustina3318]

Twin Cities Metabolics-Dr Larsen

[@flippingholder]

Have you gotten tested for sleep apnea? Perhaps you need a cpap to help with sleep.

[@jeanpollack5102]

Thank you Sara Gottlieb! I help women get through hormonal changes using your protocol.I help women with a persoanalized lifestyle changes with wonderful results. Thank you!

[@janicemaslanko1376]

I am going to tweet this out as Dr. Gottfried is so right in everything she said. Thank you ♥

[@EstherLilyW]

Dr, your voice crackle and cottonball cords is what I have had while I was perimenopausal. I'm just a few months younger than you, but chemo flipped me to postmeopaused. I am BHRT by Glow and Dr.Sands. my voice cottonball effect and crackle disappeared BUT, this effing weight still won't budge and can not eat for a week and still nothing moves. Addressed trauma and spiking cortisol, and Still! ..low carb, no dairy, no sugar no caffeine. I really am fed up. Help? Or point me to who can help precision therapies? In Calgary Ab??

[@MrsSheffield]

Have you tried cutting out gluten? Or intermittent fasting along with weight training, but don't go crazy with the amount of weights, start low to build up. You don't want to injure your joints. Hello from Ontario, Canada 🇨🇦

[@EstherLilyW]

@@MrsSheffield I don't eat gluten or dairy for the past 12 years...

[@EstherLilyW]

@@MrsSheffield I guess weight training it is...I feel at least now I can do it...

[@trebolrojo]

The root of all changes and problems is a lack of proper nutrition, perhaps this is the first problem to solve. All commercial food goes after more profits first, and competition is fierce, and because of this, all food is advertised as better than the competition. However, almost any can, box, or bag is not fresh food, and maybe that is an indication of what to eat or not. Another good indicator of something odd is the constant increase in cloth sizes.

[@mammadijacopo3347]

Well said! Nutrition is number one point to rectify

[@terilynnnelson572]

This problem just started for me at age 59… after having knee surgery… I gained 10 solid pounds and I’ve been struggling to take it off. My metabolism has always been pretty high and I’m very active, but I’m having to cut out a lot of things I used to be able to eat… now slowly getting back into shape but its hard work!

[@katebruno9255]

What you’ve described is me to a tee. I took oral progesterone for a couple years and it helped a lot. Then my 18 yo daughter was diagnosed with a large meningioma which caused epilepsy. Her tumor was tested and has progesterone receptors so she was encouraged to not utilize any hormones and it freaked me out. I did a deep dive and learned many women get these brain tumors in menopause due to HRT. Any suggestions for alternative options that aren’t hormones?

[@foxyauragems6146]

Dr bar at Taylor says they don’t .

[@MrsSheffield]

@@foxyauragems6146 Bio-Identical Hormone Replacement Therapy is plant-based, HRT is animal based and not identical to human biology. You have to find a good doctor/naturopath or integrative doctor who is trained in BHRT to figure out where your hormones are at, and your dosage. It is much more tailored than traditional/synthetic hormone therapy (HRT). OR you can speak with a naturopath/natural herbalist, to figure out how to use foods, herbs and/or supplements to deal with the hormonal changes. Hope that helps. Good luck :)

[@petsnaturetv1690]

DIM find at Health Store. It's bunch of cruciferous vegetables

[@crh251]

That’s the first I’ve ever heard of this. Our brains have estrogen receptors all over it so we do well with estrogen. I’m not so sure about progesterone being a problem, but if you get the chance read the book Estrogen Matters. It was written by an oncologist who has helped hundreds of women over the past twenty plus years. Regarding the brain, another good book is the XX Brain. It’s all about women having healthy brains. Wishing you and your daughter well.

[@MysticRainDrops]

​​@@crh251 meningiomas (brain tumor) include exposure to radiation, prolonged use of certain hormones ( including flactuation of estrogen Nd progesterone) some genetic disorders (e.g., neurofibromatosis) It happened to my mother .. and it was after she got off hormone replacement therapy abruptly It happens with hormone fluctuations... if a young woman is getting on and off birth control or just has a problem with her hormones naturally.. it can happen. Now this proves the importance the medical field should give to women and women's hormones.. specially as we get older... we live longer and there is no excuse we aren't treated with more respect. There is no reason we should be suffering from so much arthritis, osteoporosis, dryness, and over all quality of life. If men had been the ones that were getting mostly autoimmune diseases, degenerative arthritis, cancers .. we would have probably seen a lot more interest.. Men have to want to be "women" for hormones to be administer like crazy.. trans people are getting more support than menopausal women... I think that is sad. The only good thing that may come out of this "trans" frenzy, is a better understanding of hormones and hormone replacement

[@Fionasichanie]

Carnivore and fasting helps me! ❤ As for my psoriasis on upper neck and foot - the only thing that helps me get rid of flareups is 3 sessions on the solar sunbed!

[@dannye1572]

Castor oil is good for my psoriasis ,you can try!

[@ReeseDaBeast808Tyga]

Plz timestamp ur videos itll help alot

[@user-chrisgou]

Thank you from the bottom of my heart for this excellent book that contains all the information need to approach holistic health !!H δίαιτα για τον νου και το σώμα!❤

[@TJMotionPictures]

I am getting her book for sure! What a gift she is to us. I'm so happy I stumbled on this video and happened to click to view it. It's hard to find good doctors. You have to have the knowledge to make sure you know what you're getting. So you can't lay 100% of your well being on them only.

[@estheraguilar7209]

I totally agree with the meditation and conscious breathing exercises. Since teenage years I experience similar to menopause symptoms due to childhood trauma. So through menopause years I just kept doing exercising, meditation 24/7 it helped me to activate and balance my autonomic system (more Parasympathetic activity) so for me came and went without a significant impact in my life. Very great full for that 🙏

[@denisemc607]

Great discussion - patriarchy ball and chain - so important and hate brain fog and @Sara I love the haircut you rock! ❤

[@1971sunshinegirl]

Wow! This was mind blowing! I seriously thought that I was just crazy with everything that was happening to me. But it was all because of menopause.

[@djroyals3052]

What do you do when you don’t have the money to pay for these tests and to pay for a functional medicine doctor out of pocket??? I have fibromyalgia and only work part time, because of my chronic pain and fatigue. I just barely make ends meet.😢

[@christinatrickeycouch208]

Me too for reall!!😢

[@amygresl3691]

If you can only do one thing for fibromyalgia get on probiotic that doesn't break down in the gut. Take enzymes, eat organic as much as you can especially coffee or cut it out completely. See an acupuncturist in a community setting they are usually sliding scale. Your blood is too sticky. Acupuncture will help your blood move.

[@crh251]

The key to finding a functional medicine doctor is to find a medical doctor who practices functional medicine. They exist, but you have to search for one. That way your insurance covers it.

[@ThingsWeMayNotKnow]

Ulta labs has some cheap tests. 20% off .

[@chateauBoudreau]

I’ve so enjoyed this informative video! I’m 49 and my body has completely changed. PS there was an ad about every 2 minutes it was really hard going

[@hmvusa09]

Right? Ugh. Why so many ads?

[@csb1143]

I know his videos are the worst out of all the Drs I follow and listen to. Money.

[@michellegrantvaughn1561]

Wonderful conversation! Thank you🙏🏻❤️

[@Jcsmile06]

Started peri symptoms at 35! My dr dissmissed it as menopause and gave me anxiety meds. Finally found a good dr that did my blood work. She said my levels were post menopausal 😢. Im still having sympotms even on hrt. Im so at a lose. I dont know what to do anymore.

[@crh251]

You might have to have your hormones adjusted.

[@Jcsmile06]

@crh251 my dr doesnt believe in checking hormones over again. She just wants me to increase the dosage to see how i feel

[@crh251]

@@Jcsmile06 , a lot of doctors do that. Mine does too. She goes on how I feel. I have another doctor who checked my levels. If you’re having anxiety, I would have your doctor go up in dosage. Are you on progesterone too?

[@Jcsmile06]

@crh251 i have increased my estrogen and my breast started to hurt. So i backed down and yes i take progesterone

[@Jcsmile06]

@crh251 i tried to increase my progesterone too at another time. but my joints started to hurt and my vagina got dry. Not sure of thats normal. But once I went back to my regular dose. Those feelings went away

[@MarionMM]

I had to go back on oral contraceptives because my male doctors insist I have depression (keep trying to push SSRIs on me) and not hormone issues causeing my brain fog and fatigue post turning 40. I already feel a lot better.

[@Arggggggggg]

Careful with BCPs. I went on them at 47 and after about 6 months, had DVT and pulmonary embolism with no previous history of clotting issues (and having taken BCPs and other types of BC in the past).

[@marianam666]

Such a wonderful and valuable conversation! Thank you so much! 💙

[@tatianasochirca4832]

Unbelievably great topic and great interviewee

[@DanA-bk2kr]

Very important information. Dr can u please put it in Spanish at least subtitles, please?

[@athenaformosa799]

Balance is the key

[@JennifertxCarnivore]

All Perimenopause reversed for me on carnivore. Even cycles back to normal and no more PMS symptoms. I am age 47 young.

[@ScotlandSandy]

I started carnivore and no change in pms symptoms and I now get 2 periods a month :/ going to go to back on keto.

[@xodroid9853]

​@@ScotlandSandyyou could try the fast like a girl book if you're exploring ideas

[@miaash3870]

I have listened to so many podcasts on menopause and not one single host has ever asked "What blood tests are required before the correct doses of estrogen, progesterone, testosterone,.. are prescribed for the patient?"

[@Candy_labra1111]

Hormones are so up n down everyday. It’s more diagnosed from symptoms and trial n error

[@mazsroy9]

I found 50 to be incredible! Even took a trip through Europe. Could wear my adult daughter’s outfits and felt great. By sixty I’d had a few injuries and my work load was even heavier than before. Changed my diet because I was finding my body was reacting to foods that I’d had no problem with before. Some weight gain. Now, at 72 I am finding myself wondering if the stress levels associated with running our own business has added up. I work out almost everyday being sure to have recovery times and I watch my diet yet my weight has increased and have some weight distribution. I think I seriously need to get my hormones checked. I find it very difficult to find information for older women. Will this change over time? I hope so.

[@TheTriciaLife]

They say not to do cardio or workout everyday. That alone can cause stress in your body or cortisol levels to rise. Walking is ok, you can do cardio but maybe once a week. HIIT training is better for older women. Especially for aging. Maybe incorporate meditation/breathwork. A nature walk can be considered meditation. You should get your hormone panel taken. The Doctor says she gets hers done 4 times a year or once a quarter. She said her cortisol was 3x what normal was when she was stressed out. That was her late 30’s.

[@Youshares]

I never trust doctors since then, I don’t like taking meds, vitamins. I always help myself with alternative homemade meds if I feel something in my body. I don’t like going to the doctor. They are useless. And now I train my kids how to watch what they’re eating to be healthy. Not to eat school free food. They could sometimes but not everyday coz they serve junk. I’ll make sure they eat protein and good fats before eating fruits or a little chips once in awhile. ❤

[@siobhancleary3018]

More power to you to you

[@MoiraStanley]

Same here ....I trust Barbara O'Neill over medical doctors. Bio identical hormones being dished out.What are the long term effects of these?

[@yahsyo]

Bad thing about conituous glucose monitoring is that doctors won’t prescribe it unless your insulin dependent. I’ve tried and Uriel and it just heart breaking and so frustrating. I’m 61, diabetic and menopausal and depressed. I’ve been doing keto for years now. Maybe I’m not doing it right?!🤷🏻‍♀️

[@livelearn06livelearn86]

Try to ease off from keto, more vegetable fibers and some good carbs. Google her diet style, as an example. (The first time, I am listening to her)

[@paulagaudet7528]

This is not true actually. Lots of people with Type 2 diabetes are prescribe glucose monitors. I see several in my clinic a day. There may be variance for what difference insurance companies pay.

[@Soapgirl64]

For my body.. going carnivore was a game changer. Meat, eggs and fat. You’ll watch your diabetes disappear, your mood improve.. so many benefits. I suggest starting with 30 days and see how you feel.

[@jr.6199]

​As the doc suggests here, avoiding processed foods. Research thd diet that has worked for us for 30,000 years, a whole foods diet. It is best for the individual and for the planet. Exercise daily, get your 15 to 30 mins of sun exposure, learn to skip a day or two of not eating anything. Buy a $25 glucose test stip kit to watch your fasting sugars improve. Check out starch expert Dr. John McDougal to learn how starch is not the enemy but in fact makes up the bulk of Blue Zone people's food. Above all you must exercise on your feet vigorously for 30 mins daily to build strength. Then we want to hear from you, to tell us your story of new found energy.

[@laroseblanche9435]

Carnivore no sugar at all

[@saraswatkin9226]

Once you have a baby the body changes forever.

[@KJB0001]

not for me

[@Candy_labra1111]

Yeah I’m not sure if I’m adjusting from late in life baby and two years breastfeeding or early menopause

[@becsta365]

Wow never heard any of this info before! Thank you so much! Will check out the Books too. 🙏

[@tearose3763]

This has been valuable for my 60 yr old postmenopausal body! Thank you

[@HH-gv8mx]

Why are continuous glucose monitor so expensive? And are there any other cheaper options to continuously monitor your glucose.?

[@MizzMM]

This is exactly what my GP did to me as well… Try to give me an SSRI and birth control… I went on cycle, smart, and all the lump in my breast went away, and my region PMS went away He then refused to check my testosterone, so I went to a functional doctor and had a full panel… Turns out I had rock-bottom low testosterone like I thought I went on bio, identical, hormones, and put an end to a two-year chronic fatigue situation. That was so awful. We have to advocate for ourselves! We have to do more than go to the regular doctor… They won’t do anything other than write prescriptions. I love this type of contact is so important for us.

[@mariamebrat5007]

so appreciative of her voice and expertise!!

[@RitaBeitz]

Dr Mindy Pelz is the expert on this for women. Carnivore is great, but interment fasting is the key.

[@joanneclark8256]

Maybe you can share more... I got book on fast like a gal nothing on menopause really... Can you share more ... also heard not good to fast past 12 hrs due to cortisol

[@RitaBeitz]

@@joanneclark8256 she has another book, which I bought and read. The menopause reset. Read it, it’’l help you.

[@maria101xo]

Dr mindy is not even a doctor .

[@RitaBeitz]

@ There are many very talented people who read & research our health. Remember, doctors teachers are Pharma based. This is a bias we can recognize and learn from. The healthiest protocols do not involve drugs. Let food be thy medicine.

[@kellysmom9773]

What a great guest! Thanks for more excellent content!

[@naomiklahn4623]

#carnivore and DHEA - fatloss & return of sex drive. Lifting heavy metal objects (weightlifting) also helps. 64 going on 65

[@joanneclark8256]

Chicken ok?

[@Plnjane6]

@@joanneclark8256yes, but mostly ruminant animals

[@sade.shaday17]

Very wholesome insightful conversation, exceptional delivery.👏🏾

[@ginamanriquez2237]

Never in my life have I watched a podcast with this many commercials. There was a commercial EVERY FIVE MINUTES!!

[@foxyauragems6146]

That’s due to KZbin.you can get premium with no ads* otherwise enjoy the free info

[@csb1143]

I know! I follow a ton of Drs on KZbin, this guys are the worst by far… huge turn off to his great content

[@ladybird169]

I'm at 25 min mark now, and so far there were no commercials

[@KatherynInc.]

I haven't gotten any commercials. Maybe it's random.

[@katmaiholdingllc3963]

Either get premium so you have an ad fee experience or understand the bills get paid with ads. I did the fee version for years, but I finally decided the paid version was worth it to me.

[@hotfiama]

Thank you soooooo much for asking about blood vs saliva testing --so important!!

[@jamiehoward6906]

No it isn’t. Saliva testing is not more accurate than blood testing for a number of reasons. Get out of here with that woo crap.

[@HollyNYC]

This is a FANTASTIC video!! Thank you!! 👍🏻

[@06Joybells]

Life Changing. Thank you for this wise Podcast.

[@AP-nx6xo]

She’s an amazing doctor

[@patp1585]

There needs to be more conversation for women who are post menopausal more than 10 years, were not given hormones and are dealing with low libido, vaginal atrophy, incontinence, sleep issues. No hot flashes, night sweats. What is the solution for them now?