Menopause And Weight Gain

Join me as I interview Dr. Rocio Salas-Whalen, triple board certified physician in Internal Medicine, Endocrinology and Obesity Medicine as we discuss menopause weight gain, body composition changes, hormones and of course GLP-1 agonists.
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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 #glp1 #semaglutide #ozempic

[@kristinfttb1577]

AMAZING DISCUSSION! I’m a personal trainer whose menopausal clients aren’t losing weight and they want to know WHY! And now it’s happening to me! This was SO EYE OPENING to as the the implementation of HRT AND semiglutides for success at weight control with resistance training to control muscle loss! THANK YOU FOR ALL YOU ARE DOING FOR WOMEN❤️

[@DR17dede]

Thank you for comment!

[@melanieb9172]

Check out Dr Wendy Sweet & her My Menopause Transformation courses re weight loss & perimenopause and menopause. Very lifestyle based but also heavily based in research & science.

[@soniamartinez50]

How can I find a personal trainer where I live that specializes on perimenopausal women’s bodies?

[@brendadaviswilson9243]

My guess would be if you located a provider on the North American menopause society website, the provider could provide provide you with a source. I just finished my personal training certification and I plan to partner with some providers myself. After going through the perimenopause weight gain myself having paid 4 trainers who gave me cookie cutter workouts and nutrition plans designed for women in their 20s 🙄I decided to get certified and at 48 My physical fitness and overall health has drastically improved.

[@ambyrfifer4419]

I’m still so nervous to try such a new drug for weight loss. And taking a drug period. Always been a natural ist

[@caseylynnramirez9559]

I am SOOOOOO excited! I just went to my appointment with my gynecologist and she HEARD me! She listened and with compassion and empathy prescribed me testosterone, progesterone and estrogen! Then- she referred me to The Pause Life! I have been following Dr Mary Clare for about six months already- which is what empowered me to ask for a referral back to my gyno who was my provider when I was younger and going through issues with fibroids. I feel so loved. It is wonderful to feel validated and supported. My terrible pcp did me one solid and granted my request for a referral. She is a woman and about 30 and looked at me like I was pathetic for wanting to have a sex drive, keep my muscle mass and bone health and not have reoccurring utis and urinary issues. How dare I not want to shrivel up like a prune at 51??? She told me I needed to temper my expectations because I wasn’t going to feel 20 again. 1:30

[@MsLuna-cv6lf]

Oh my gosh. That is crazy! I'm glad you found a provider that was willing to help. It's amazing how hard this stuff is to navigate

[@bethannsmith4969]

Ha! I would love an update when she approaches "the change". 😂 That is stinking thinking for sure.

[@daniellev2901]

I wish so badly that my mom could still be a candidate for HT. Sadly she was deprived of it 20+ years ago because the prescribed meds for her was SSRIs and I am so angered by that. By coming across Dr Haver and all these information coming to light now so I can begin to take care of me so that I can be as healthy as I can be and be there to support her and my dad. Thank you for fighting and giving voice to the need for HT in women’s health!

[@loneranger7573]

You should know you can order hormone creams online? that's what I did until I found a good doc.

[@karinwaddell2002]

As a 45 yr old female slowly approaching perimenopause, a Physical therapist assistant, certified personal trainer and certified nutritional health coach, I love this conversation! I am a huge advocate for collaborative health care approach! Muscle mass is key for all women especially as we age!!! Thank you for depth of this conversation!

[@joanneclark8256]

Love your opinion on pcos and insulin resistance

[@joanneclark8256]

In menopause too

[@kellykaraoglu3572]

I still remember the phen-phen craze in the 90s and all those young women taking those drugs to lose weight and ending up needing heart-lung transplants to live due to those drugs. I will wait this out to see how this goes over time.

[@alisonhandley5654]

I’m a personal trainer and I have been following you for quite a while and have learned so much from you. My focus is peri menopause, menopause and post menopausal women. I suggest all my clients follow you so they can get the same information I get from you. I’m so thankful I found you and am getting educated about his phase of our lives. You help me help my clients navigate the change. 😊

[@r6213]

Dr. Haver thank you so much for all you do here. I’m so happy this doctor is in NY, I will surely go visit her. 😊❤

[@Homa_w]

I need to send this video to my husband. You guys are explaining everything so well. He’s sooooo against drugs especially weight loss drugs. I’m on HRT and just started Wegovy.

[@loneranger7573]

I hope it all goes well. I love my HRT been on it 14 years, have reversed type 2 D but it keeps coming back as I just cant exercise much due to leg hardware and my appetite is voracious, always has been. How did you convince your doc to give Wegovy to you? here in Canada they say I'm just borderline and eat less exercise more...well it works to a point. I just cant lose the last 40 lbs...

[@Homa_w]

The doctor will prescribe it if you meet the criteria for Wegovy which is BMI of 27 with comorbidity such as high bp or high cholesterol or BMI of 30 and up, But my insurance wanted me to prove to them that I attended a weight loss program, which I did with my previous Dr. Anyways I’m experiencing weird side effects with Wegovy. I have severe muscle aches and fatigue which are nowhere mentioned as Wegovy side effects. I just realized it was from Wegovy. I’m planning to stop it. I’ll just continue exercising and try to diet. Of course not everyone is the same. I wish you luck with your weight loss journey.

[@mustardseedfaith11]

Great discussion!!! Due to my family’s cancer history, my oncologist and gynecologist (she introduced me to Dr. Haver 💙) agreed HRT isn't an option. So diet, exercise, lifestyle, and building muscle are paramount to navigating perimenopause and thereafter.

[@joanneclark8256]

I'm 51 and pcos insulin resistance and worry this doctors are so messed up .

[@luluc4927]

Wow!! You doctors are amazing and knowledgeable about women. God bless you ❤

[@susanafelibertt8658]

You are right!!! My husband was pretty sad before I start with pellets. The change is huge 🎉

[@taragibbons6616]

Outstanding guest speaker and great questions and answers from you both. SO helpful. So informative. I wish I found you years ago. Thank you for your service to women.

[@atiyaqureshi433]

I am 53 going on 54 this year… I am so relieved to hear that I’m not going insane and there’s a reason for my madness. Last year i got my periods in April and this year in January. I thought I was done with them!🙄Both last year and this year have been really tough… lots of weight gain, even when I continue to walk 2-2.5 miles a day, do 20-30 minutes of yoga daily, experiencing hot flashes and night sweats, feeling achy, sad and sometimes frustrated. Whenever I mentioned my symptoms to my endocrinologist she prescribed gabapentin. I do not want to take that medication which is for depression and has many side effects! I scheduled an appointment with a gynecologist that still is a few months ahead while I continue to suffer😢 I am hoping that she will put me on HRT. I hope that I am still a candidate although I’m almost reaching post menopause. I have added more fiber, less carbs, and more protein in my diet. I have been taking vitamin D for years! I do not have diabetes or hypertension. My cholesterol is a little up but do not need medication. I am hoping HRT will help stabilize me!🙏

[@empresslove2120]

Iv learned from research as well that the hormone insulin raises as our oestrogen declines, insulin is a storage hormone and when we are in a chronic state of high insulin levels not only dose this put us at risk of insulin resistance but also the risk is diabetes. Fasting for 16-20 hours can really assist with keeping our insulin in check by draining our glycogen tank between meals/drinks. Weight loss is a lot easier when we fast and there are studies that suggest that fasting can actually increase our metabolism, improve inflammation, heal our body. It’s worth incorporating every tool we can to help our bodies working with them for the most positive outcomes.

[@joanneclark8256]

I have pcos and insulin resistance. I'm assuming cause belly fat and non exercise ... now menopause.. l keep hearing do keto do carnivore..lm so lost

[@kathystclair9485]

After watching this video it is so dishearning to know what I have been through during me pause that could have potentially been prevented. At 51 I stopped having periods and 3 months later had extreme panic attacks along with anxiety. Along with the classic symptoms I had one that doctors could not figure out for 9 months. I had stinging, burning, electric shocks 24/7. I was sent to every specialist you could imagine. They put me on anti depression drug, an anxiety med that I cannot get off of and I am 67. My gyno unfortunately is not a proponent of HRT so I suffered 7 years before I found a doctor who would put me on HRT. I refuse to be without it now, unless there is a health issue that will not let me continue. Breast cancer does not run in my family. I wish I had this k owledge sooner. We need more educated OBGYN's who special woman's health AFTER having babies. That's all most of them know. How to deli er babies!

[@echase416]

Do you want to get off your antidepressant (Effexor, etc)? Your MD needs to be prescribing a ‘Cross-taper Withdrawal’. With the way Effexor half-life works, it’s typically 1 dose of fluoxetine. The half-life of the latter is so long, it can actually be taken once every 7 days. In contrast, venlafaxine has a very short half-life, so that’s why the acute withdrawal (‘discontinuation syndrome’) hits hard when people try to stop. The Pharmacist may have to the explain this ‘Cross-taper Withdrawal’ protocol to the MD so they can Rx it.

[@loriallred4727]

I take Estrodiol patch and progesterone - belly fat (maybe visceral … maybe not) has not budged for years and keeps increasing.

[@jessicagrimsland7337]

Me too !

[@sussannekeith5676]

You need to watch macronutrients (make sure it’s accurate for your weight and weight loss goals), stay hydrated and sleep, sleep, sleep. HRT is not the holy grail on its own. You have to weight train .. get protein right at 1g for every pound of body weight. This, along with HRT will work but noting on its own❤

[@everhappy6312]

Me too unfortunately.

[@loriallred4727]

@@sussannekeith5676 I’ve been watching macros for quite a while not and average 90-110 g per day and prioritize fiber as well. i’ve tried not to get too restrictive on other macros is I kept protein and fiber in check. Maybe it’s time to cut calories…?

[@melissafeldhaus4424]

Thays exactly what they did to me! Threw me the atni anxiety and anti depressants until i said no more.

[@myrel543]

Why dr in USA doing this???

[@silverlagomorpha3177]

That’s what I got. Three days in, unable to sleep, lying on the couch, unable to get up, thinking only about pain in my whole body, I said I can’t this antidepressant anymore. “Well, I guess you really don’t want help.”

[@crystalhillman9084]

I am not a doctor in any way can you let me know why we aren't just replacing the amount of hormones we had at least in our 40s premenopausal

[@DR17dede]

This is a good question.

[@jenny12-h1x]

Probably bc this is how our bodies are made to be as we age. God designed it to be this way but I agree with the doctor that if there’s a way to minimize the symptoms so we can live our full best lives and it doesn’t jeopardize our health Why Not ? Right

[@JoyfulAstrology]

My very favorite segment of yours EVER!!👏👏👏👏👏👍🏻and that’s saying something bc I love them all. Just wow, 2 amazingly intelligent women dedicating your careers to lifting up women❤❤❤this is how it’s supposed to be, thank you so much for your time, passion, and efforts to this channel. I used to have my own channel and know how much work it is with little $ return. I’m a professional astrologer and an RN, if you’d ever like a full astrology reading on the house, let me know!

[@Chorkymom]

Loving the passion here! I’m 51 and fall into this group of being gaslit for 10 years. I finally saw a provider from Haver’s list and started an estrogen patch. THANK YOU!

[@ambyrfifer4419]

I’m ready for some semi glutites almost. After watching this. I started menopause and gained at least 15 and can’t loose a lb to kill me and need help. I work out 3 days a week and eat healthy. Ugggg also 47

[@atiyaqureshi433]

Please let me know how the patch is working for you…I have an appointment with a gynecologist (haven’t been to a gynecologist since I gave birth to my daughter 14 years ago at 39 years of age!😬) in April and am really hoping I would be a good candidate for estrogen patch! 🙏

[@Bambi12-764]

⁠​⁠@@ambyrfifer4419 Same! Except I am 57, never had a problem with weight before and now can’t stop eating. You probably eat healthier than me though. I struggle but do eat better then I ever have.

[@kristyholt452]

Could you please tell me what dose of estradiol you started with? I have an appointment soon

[@ambyrfifer4419]

I started with the .25. And didn’t work And then up to .05. And felt a difference . Stayed here to so far….. I still get hot flashes but not near as bad as I was

[@Blueskies1180]

Great collab interview! Thank you 😊

[@jenny12-h1x]

Awesome discussion and great information !!

[@gingerjoy5836]

Great stuff! Thank yall!🙌🏼🩷

[@rondacompton7206]

I have been on BHRT testosterone and progesterone for 5 years. I started Estrogen a little over a year ago because I started having hot flashes. I have a new Dr. and they took me off the Estrogen because my mother had breast cancer. =(

[@irishmarie9892]

This is an extremely frustrating issue for me. I have history of a blood clot after a hysterectomy in 2023. Blood clot was gone within three months. I have yet to find a doctor who will prescribe HRT for me because of that blood clot. I’ve even brought up YOU and the things you’ve said about this not being the case (and that I just need a specific kind of HRT), but they still refuse to prescribe. I am beyond frustrated and upset, as I’ve put on so much weight since my surgery. I’ve tried restricting calories. Fasting. Exercising more. The pounds keep coming on. I went from a size 8 to a 14 in one year. My joints hurt. My acid reflux off the charts and barely controlled with meds. My blood tests show I’m pre-diabetic. I’ve been in tears at office visits. My hematologist just referred me to an endocrinologist, who she hopes can put me on some kind of weight mgmt medication. I have to wait a month for an available appt. Sigh. I hope it’s not a waste of my time when I meet with them. I cannot continue like this.

[@janenebuchanan9166]

Please let me know what you find out. I’m in the same boat! I’m so frustrated I just want to cry. I had a DVT after my hysterectomy also! Menopause sucks!!!

[@joanneclark8256]

Love to hear as well.. good luck

[@KimIsaiahGoodwin]

Their is telehealth drs that will prescribe it

[@juliecarr2267]

I’m super Leary about anything effecting my dopamine levels synthetically.

[@cherylboyd4915]

What about post menopause after age 69 I love all of these podcast from Dr Haver.

[@maryclairehavermd8473]

Whenever Dr. Haver talks about menopause she is generally referring to the time from menopause on through the rest of your life. ~ XO Community Support Team

[@tabathaogost4982]

This is all great to know, but here in Toronto I can't even get a family doctor to see me never mind believe me that I would like HRT. The last walk-in clinic I went to, sure enough prescribed me anti-depressants.

[@DR17dede]

Keep trying different places. You have to really be your own advocate here. That’s been my experience.

[@s.7948]

I had to fight for a year and a half went to gynaecologists General practitioner who would not listen spoke to a menopause specialist and she confirmed that all my symptoms were perimenopausal I wanted to cry. Thank god I didn't take the anti depressants.

[@myrel543]

Omg terriivble.

[@lindalorenzoni5615]

Hi I live in Toronto! Prosper menopause on line is a great platform of nurse practitioners that will give you a thorough consultation and prescribe you hormone replacement. I have an appointment with Dr. Damian’s Castleman. She is an ND that is also certified as a menopause practitioner and can prescribe health Canada approved products. These are great options, however, depends on what benefits you have because these are out of pocket costs. However, the prescriptions they give you are covered under any drug healthcare plan.

[@tabathaogost4982]

@@lindalorenzoni5615 wow thank you for this!!! The internet came through!!!

[@SherriSanford]

What about taking bioidentical hormones or estradiol patch when you have history of a fib and on blood thinners?

[@sghaua]

Wish I could be seen by Dr Salas 😭

[@TheMcDonalds-wi6qu]

Great discussion, shame about us cutting short at the end when the UK question popped up about name in UK of the drugs dis used at the start of session.

[@KimIsaiahGoodwin]

I have heard synethic estrogen causes weight gain and cancer advised to take progesterone to help balance all hormones. And taking compounded HRT is the healthy way. I see a natural Dr that told me this as well. I just can’t afford to go to her anymore.

[@lylaalaraify5928]

Very important complicated subject What I can do to lose body belly fats in menpose and mantain it

[@lisaevans5843]

Very informative! Thank you!

[@maryclairehavermd8473]

Glad it was helpful!

[@SB-es8ri]

This is the video I needed!

[@stephanierussell230]

Thank you for this!

[@sallycottrell-parks6374]

Thank you so much great information..

[@lawlessastrology]

Fantastic! Thank you.

[@lgnlynays7977]

Dr. Haver, your hair is luscious. What’s your routine to keep it healthy and abundant during menopause?

[@nancybass1962]

Technically I am not an HRT candidate anymore because I had stage 0 insitu that was determined to be estrogen fed. I have packed on the visceral fat in my trunk 😢. I have seriously thought about stopping the anastozole, but I don’t think anyone would let me use the estrogen patch again. I already had osteopenia and type 2 diabetes- not over weight. Very frustrating.

[@NamaStevie108]

My doc wants me to start hrt for-my bones due to having osteoporosis at only age 33. I am terrified of the weight gain people have said they have experienced when starting hrt.. I’m confused as you say hrt actually helps with trimming belly fat, but then others say it increases….can you clarify?

[@yasnamonardez4189]

Please Dr Marie Claire can you speak about migraines I started my HRT with the hope of getting rid of the migraines but the opposite happened I know this is a different topic but can you consider in the future talk about migraines during menopause. Thank you 🙏

[@zenogphoto]

Yes please!! This is also a topic that concerns me. With HRT I get Migraines so bad that I want to die. And I never really experience headaches

[@anagalbinski5564]

I am 58 and stopped estrogen after doing it for 10 years. Should i get back on the estrogen patch? I dont have a uterous so I stopped progesterone.

[@joanneclark8256]

Hope they answer

[@janemasini356]

Im perimenopause and got an underactive thyroid since i was 28,so now having perriimenopse with thyroid and hVing pms, is a nightmare with debilitating symptoms symptoms, sleep anxiety , anxiety,,eyebproblem,caches and pains uti, im on gel estrogen and biodenical progesterone , to help me sleep? As my mireena coil misplaced , im awaiting for op to remove it and replace it as i suffer from heavy bleeding. Im always eating wrong foods cake, biscuits as im depressed and always hungry😮

[@joanneclark8256]

Can men have insulin resistance? Whats best diet for that we gmhave many saying plant base

[@abbyh7301]

Does Dr Salas have a website or KZbin channel?

[@georgiegodfrey2376]

Loved this and really want to take HRT but I used it for 1 year and I was so floored! How I define this is my muscles aches like made, can you please tell me why this is happened as I have just been diagnosed with OA and I really want to take it. I was taking the Estradiol gel and I really want to know why I ached so much. I am 51 and follow the keto genic diet ❤

[@juliahouse7714]

What are your thought on CrossFit training?

[@saphirapatel7848]

Hi, can I use collagen as a protein? I add it to my yogurt and other meals - does this count as protein?

[@joanneclark8256]

Im told l dont have estrogen 2 years ago .. but have pcos ..hysterectomy partial 5 years ago .. uterus gone

[@tennisbabe50]

My daughter in-law had to have emergency surgery to remove her ovaries. She’s 45 years old and now going into full menopause. Where should she start?

[@rachaels.lorimer1521]

I'm really curious about the years of exposure to hormone part you mention around the 31:00 minute mark. What's the impact of having taken years of hormonal birth control on risk of dimentia, etc.?

[@joanneclark8256]

What?? Birth control causes dementia???

[@joanneclark8256]

I thought insulin resistance might

[@UltimateJoke]

I watched coule of videos of her and still dont undersand what type of hrt should i take for premenopause... any one can help please? I am 49 and expeeiencing sleeplessness and hot fashes and muscle pain.

[@MSRez95]

Best thing is to talk to your OBGYN about it. I’m same as you and seeing my doc next week.

[@sinadrop6026]

Thank you 🌸🙌

[@LizBrownYoga]

I’ve only put weight on since having my ovaries removed age 45 and going on HRT; oestrogen, testosterone and progesterone. Symptoms are controlled and blood levels are good and yet my whole body shape has changed and I’m 2 stone heavier. I eat healthily and exercise every day. Any ideas?????

[@erinsmith8702]

the SSRI discussion...I get that HRT should be first line of therapy, but what about those of us who have been on SSRI's since 90s and want off! They don't work any more, yet the withdrawal effects are terrible..Can HRT help mitigate withdrawal effects through slow tapering? Seems like nobody knows what to do with us....

[@joanneclark8256]

Ssri should of helped with menopause

[@allisonstewart766]

My doctor is on board with HRT but says my labs and estrogen levels are great, so I don't need it. I definitely don't want to overdo my estrogen, but it sounds like I need to wait until the labs show that "it's time" for me to replace. But what you're saying is that this should be preventive to get ahead of all of this. And unfortunately, I can't find a provider in my area that will help me. The ones from your site do not call back or respond, at all. And the only provider in the ABOM is with Kaiser, which I'm not. HELP!

[@dniki2152]

What if i already have osteoporosis? Will HRT help, im 61

[@MsLuna-cv6lf]

I am 5 2. And I am currently on a low dose. Vaginal estrogen and low dose daily pill of progesterone. I'm wondering at this point if I should switch to a more systemic estrogen like a patch or an oral pill for the general health benefits for the brain and all the other things that are used to having a certain amount of estrogen. I have a lot of weight gain and muscle loss. And I can't stop eating. And I'm not motivated to eat properly or do any kind of weight training

[@Likittysplit]

Thank you both. You will help a-lot of women. What do you think of post-menopausal HRT? My natural-path doctor still prescribes compound bio-identical hormone cream.

[@tracyC7414]

What is the first medication GLP1, they talked about? Never heard of it.

[@maryclairehavermd8473]

GLP-1 is the classification of drug that includes semiglutide. ~ XO Community Support Team

[@sandracorrales-potts5586]

I missed the boat on HRT. At 62, can I start?

[@joanneclark8256]

If a women has menopause and pcos gigh insulin should a dr help lower thos risks ?? Is ozempic the way???

[@tracyhock4730]

Can you share with me the studies about the higher mortality for women not on HRT who are under 40 with oophorectomy, please?

[@maryclairehavermd8473]

www.ncbi.nlm.nih.gov/pmc/articles/PMC3256559

[@Sillybilly486]

You mention that you only treat symptoms, not to a specific level of hormones. But you also say that HRT is preventative for heart health, bone density and brain health. So if I don’t get hot flushes should I miss out on these benefits? No HRT unless I have hot flushes?

[@maryclairehavermd8473]

Dr. Haver prescribes HRT for her patients for reasons other than just hot flashes. This would be a conversation to have with your doctor to talk about any other symptoms or reasons that you might benefit from HRT. ~ XO Community Support Team

[@joanneclark8256]

How much spironolactone would be given?? Hairloss ?

[@edithirizarry372]

Self conscious is real ugh I just started HRT and pee myself lol not funny but why us 😢

[@janenebuchanan9166]

What are your options when you can’t go on estrogen or hormone therapy? I have hx of DVT and was told I cannot have hormone treatments.

[@lindajones4849]

My understanding is that transdermal estrogen as in a patch or cream will greatly reduce the risk of a blood clot . Iam not a doctor , so do your research. If you do to o get n hormones don't nt ake oral estrogen.

[@carousel...]

Is it a good/bad idea to take CLA Supplements around perimenopause?

[@lourdes4341]

I am 59 years old and unfortunately, never got on estrogen or HRT due to hearing all the scary side effects and now suffering for 7 years with hot flashes at night waking up soaked and mood changes, weight gain, vaginal dryness. Is it too late for me to start HRT😊

[@maryclairehavermd8473]

You deserve a conversation with a menopause educated doctor to discuss your personal health risks versus the benefits of HRT for you. Here is an article to help you find a menopause educated doctor. There are also telemedicine options in case you live in an area that doesn't have a lot of choice in doctors. thepauselife.com/blogs/the-pause-blog/top-4-tips-for-finding-top-notch-menopause-care?_pos=1&_sid=7f7cde004&_ss=r ~ XO Community Support Team

[@SherriJ.-hq8xe]

I’m 57 pretty much over the hot flashes and other symptoms but I gained 10-15 lbs around belly ? Do I need HRT or can I do other things without medicine ?

[@madetobeamom]

Does the doctor have any resources or someone she could recommend I see as a woman with PCOS at 50 and how is this factoring in with menopause. Thanks!!

[@joanneclark8256]

I have pcos and menopause. Damn Dr says it's no longer cause in menopause and l just shake my head ... Do you have hairloss?

[@madetobeamom]

@@joanneclark8256 Yes. Hair loss and still dealing with facial hair.

[@leenatawfek6492]

What about women over 62??

[@bonnied.3051]

Where do I find a physician in Canada with same views? I am struggling with obesity, metabolic syndrome/ elevated Hba1c. Would love to go on this med but want to be monitored appropriately.

[@maryclairehavermd8473]

This organization might be able to help. They have a recommended physicians list. menopausefoundationcanada.ca/ ~ XO Community Support Team

[@bonnied.3051]

thanks so much!

[@CynthiaGonzales-c8w]

I am 67 have taken Prempro since I was 48 or so, should I get off of it or continue on it . Last month I decided to get off of it on my own , but still having hot flashes at night , feels like I’m sleeping on a heating pad in the middle of the night .Is the longevity a problem or is it save to continue. I’m truly enjoying your informative discussions. Cindy

[@maryclairehavermd8473]

The decision to stop HRT should be one that you have with your doctor to determine if your personal health risks out weigh the benefits of taking it. ~ XO Community Support Team

[@annellegonzalez474]

Do you have a referral for anyone in south fl ( Boca Raton area)?? I’m post menopausal and desperately trying to find help , I’m 56. Thank yoi

[@maryclairehavermd8473]

Here is an article to help you find a menopause educated doctor. There are also telemedicine options in case you live in an area that doesn't have a lot of choice in doctors. thepauselife.com/blogs/the-pause-blog/top-4-tips-for-finding-top-notch-menopause-care ~ XO Community Support Team

[@joanneclark8256]

Can you nit regain if stop ...

[@gwenjones1913]

I am Miserable. Right here, right Now!! I’m gaining weight without even trying, I had a total hysterectomy at age 33/34 and it took a solid year to find an estrogen than would actually work for me. It got yanked the minute I turned 50yo, I’m 69 now. I didn’t start with the hot flashes until 12+ years ago and have taken gabapentin all these years. If I had the choice I wouldn’t want the semaglutides, but I can’t use them anyway bc I have gastropherisis., therefore I do Not have an appetite problem! It’s either from the MS I’ve been dx’d with since 1991, or injury to my vagus nerve during a surgery. I’ve lost muscle mass just from MS. The fatigue is so bad I don’t even leave the house unless I have an appt. If I try to get exercise and begin to get Hot~the jig is up! I’m limp. I can barely move. I’m housebound all summer. I don’t know what to do. I’m so fed up at this stage of life, I don’t have that much left to give, but have had so many things taken from me. Four back surgeries and I’ve come apart again. I will Not have any surgery at this weight. I don’t know what to do. I’d give a lot to have One doctor who would help me, but my pcp shuffles me off to someone else when I know dang good and well he’s capable of dealing with a particular issue. Just so fed up.

[@joanneclark8256]

Gastrophersis cause no appetite? Is that insulin resistance? High insulin?

[@liisabjork76]

Can you get hot flashes during peri menopause? I'm 47 I've been getting hot flashes with chills. Almost like withdrawal from a medication, but I'm not withdrawing from anything. I don't feel sick.

[@s.7948]

Yes you can I'm 43 and have been having hot flashes for a year.

[@emmadunning8275]

Sadly you are in withdrawl withdrawal from a super powerful life giving hormones estrogen 😢

[@joanneclark8256]

You can get chills?????

[@minamousdiksmiely]

❤

[@marlenesmith8734]

❤ ❤❤

[@cald3216]

I did use meds and lost weight But still the midlife belly I hate it ! Anything I can do to??

[@kristinfttb1577]

Resistance train!

[@myrel543]

In menopausa we aging so fast,its not problem just body but face.Who have money for botox and hyjaluron its nice.

[@julmacinnis]

Time for a podcast series ladies! Both of you together have so much to share and it’s essential to get this info out there! I’m an RN and have learned so much in this one conversation! Also, what if a post menopausal woman is not obese but immediately gained 15 lbs after being the same weight her entire life and cannot shake that extra weight! VELCRO! Meds not an option? Only food and exercise?

[@heatherawadmd7858]

In this scenario you have the opportunity to lose weight with lifestyle. Eat meals and avoid snacks. Make sure you get protein, fiber, and healthy fats at each meal. That's a terrific place to start. No night-time eating is important too.

[@petitparis9836]

@@heatherawadmd7858 i tried that it is not sufficient ! in France they advice progesterone more than oestrogene for post menopausal women ! why you did not talk about progesterone treatment only ? there is so many approaches that women are lost ! we do not trust the pharmaceutical industry anymore too ! Whilst WHO has recognized Menopause as an illness, it is not given the right attn by the medical corps saying one thing and the other every other year !

[@tracyk415]

Impossible!! Lol​@@heatherawadmd7858

[@dreamwalkerday3342]

I asked for blood work about where my hormones are at at this moment. My doctor said there are exams but there is no reason for them because you know, “What purpose does it serve?” 😞 Ummmmm, I want to know if I will passing through hell soon!

[@iluvjohnny08]

Yup I was told that too!

[@kabc0123]

I could be wrong but what I thought I heard was them say that testing isn't as important as the symptoms because one person at 50 is happy while another is in hell. I was frustrated when my gyn said the same thing to me.

[@kotomszczanka]

I would suggest asking your Dr to order the blood work so you can get a baseline for future reference. If she outright declines ask for reason. If she makes you feel uncomfortable, questioning your own decision etc, you might have to switch providers. That holds even more weight if you are experiencing symptoms that can not be explained by other things. Listen to your gut, Doctors don’t know everything, smart one know that and are willing to learn.

[@RWells-oj7kt]

Is HRT recommended if family history of maternal side lipedema and breast cancer?

[@georgiagruen421]

Have listened to so many of your podcasts. I lived in France,I am old to start HRT (77) but my Doctor reccomended it bec. i broke several bones inc hip and femur since starting menopause. Felt so much better since starting HRT re sleeping, bladder control etc. Then moved to London and had an NHS medication evaluation by pharmacist, she said, do you know "HRT causes Breast Cancer and stroke"w/o a family history. "R u willing to take the risk." Was so upset and scared after speaking to her.

[@echase416]

Ask her if she knows the difference between the oral estrogen Rxs and the Rx transdermal patch hormones? She sounds uninformed.

[@petitparis9836]

when it comes to menopause treatment i feel France is so much ahead ! I am French and was living abroad and it is a nightmare how they approach menopause! It is just unbelievable the worse ever are the dutch who consider menopause not to be a chronic illness and will tell you we will not test your hormone level just accept the change and deal with it! they just recommend to take vitamines that is on top you are paying from your pocket not covered eventhough recommended by the Dr! Women are treated like in the medieval system in Netherlands , only country in the world i believe who push women to natural deliverance during pregnancy wto morphine or anything;..so much stories there the world must know ! all the foreigners go back to their country origin for treatment coz Dutch women are so used to the system they just accept the system as it is !

[@blake3486]

This was absolutely fantastic 👏🏾 Thank you for speaking up, sharing and educating us ❤️

[@sussannekeith5676]

I cam’t find a doctor who will even my hormones as I am post menopausal…. ‘You have no hormones’ was the answer I got… please help😮❤❤❤

[@lejunepier4698]

Midihealth

[@maryclairehavermd8473]

Here is an article to help you find a menopause educated doctor. There are also telemedicine options in case you live in an area that doesn't have a lot of choice in doctors. thepauselife.com/blogs/the-pause-blog/top-4-tips-for-finding-top-notch-menopause-care?_pos=1&_sid=7f7cde004&_ss=r ~ XO Community Support Team

[@crystalhillman9084]

Keep looking for a doctor even if you have to travel a little bit, sweetie

[@dede5004]

I would like to know the role of dhea in perimenopause/menopause ?

[@annprahl1375]

What about weight loss and hormonal support post Tamoxifen?

[@AnchorMoments]

Excellent episode! Thank you! I am on 😮 tomorrow I will be putting on a estradiol patch and a tiny bit of testosterone gel for the first time. I am excited and hopeful it will help with my post menopausal symptoms. I will turn 58 at the end of the month and had a hysterectomy 2 months ago.

[@CoachTinksFemaleFitness]

Think your incredible thank you from UK. Personal a trainer 46 and changed way I trainer and eat since starting menopause x

[@Riekie1970]

I started using HRT patches because of very low Hormones and Brainfog. After a week on HRT i had so many side effects like worsen Brainfog,Depression,Nausea, Memory loss,Slow thinking,Tiredness and Headaches. The only benefit that I got from using it was better sleep. I have stopped using the HRT patches for a week now and all the symptoms disappeared.I guess it is not for everyone.

[@justbeegreen]

I wonder if there are lower dose options? I’d like to use a patch but I’m nervous about the side effects since I have such a sensitive system.

[@Carolina-ws1jc]

Also, most women I have personally spoken to have said they’ve gained weight and cannot lose it!

[@linamartino4150]

Two phenomenal women, thank you for your contribution to supporting and listening to women with tge flow on posivitive affect, helping wellbeing, relationships and families. Thank you, thank you. ❤🙏 bless you

[@smileyface050208]

If you don’t have bad symptoms of menopause should a woman still consider HRT?? To support bodily functions- skeletal, etc? I have minor hot flashes. Should one consider only taking supplements instead (D, mag, collagen, probiotic, Fish oil, etc.?)

[@tlsyoutube8914]

I wonder the same thing. Been researching and can not find an answer. If you find out let me know.

[@ThePsychicStylist]

This is fascinating! I'm also having a SAD EPIPHANY of the CULTURAL BIAS I have as an American in my 50s when listening to a language difference between doctors. It makes me feel like crying. What a world we've grown up in. I'm thankful to have the awareness now of how the media has shaped our views and assumptions.

[@squishysirenita]

I'm only 3 minutes into the video and already wishing to have been born male😫 *sigh...However, how blessed are we to have these beautiful, intelligent, caring women to educate us🙏

[@myrel543]

They have andropausa.

[@tracyhock4730]

I'm not lower to take HRT because of borderline ovarian tumor. My total oopherectomy and hysterectomy was 6 months ago. I've been doing clean keto with intermittent fasting. I did two extended fasts for 5 days of water only. I've had much success. I haven't had major hot flashes and my sleep is still good. I don't want diabetes or bone/muscle loss. 😢

[@KimGlaze]

Amazing information! Have recently started watching a lot of your videos Dr. Haver, and I am actually getting excited, because I know that I am not going crazy about all the symptoms I have been having. I made an appointment to go see my doctor on Monday!

[@MyTorta1]

This was awesome. Thank you SO much to both. Very informative. I’m in NY and will reach out to you doctor and thank you Dr Haver always for all your helpful videos. Xo