Menopause Update | HRT | Bone Density | I'm Shocked!

[@StephieFaith]

I’m a radiographer and performed DEXA scans on patients daily starting 15+ years ago. I had many performed on myself as well to train other techs, so I have a good baseline of where I was starting in my early 30s before any natural bone loss we get as we age began. I just had my first menopausal DEXA scan a few months ago (at 49 due to breast cancer and possible treatments). The information and treatment knowledge/recommendations have come a LONG way from when I began in my career! It sounds like your previous doctors were going by the old information and have not updated their knowledge. One thing to keep in mind, once you are post menopausal the chances of being able to actually gain back any bone density is very difficult. And it’s not going to be a quick thing if you do. Your body stops naturally building more bone in your mid 30s, so it’s like fighting an uphill battle at best, even if you are doing everything perfect. You are really aiming to minimize or eliminate any bone loss at best. There are also studies that have shown that balance is really the main indicator of a fracture risk as much as bone density. So doing balance, coordination, and core exercises are just as important as weight bearing and lifting for long term fracture risk. Also as a personal note, make sure you are doing weight bearing exercises (not just lifting but bearing weight like push ups or yoga poses) to keep up the bone strength in your wrists and forearms. That is an area that they do not normally test your density but is an area that is at as much risk of getting a fracture as your hips and spine. Especially if you have a small frame.

[@tsheils7717]

Do you know which women are taking HRT and if yes, are their DEXA scans typically better than women not on HRT?

[@howdie729]

great question and great idea for more studies on this!@@tsheils7717

[@Elem70]

This is all BRILLIANT insight and advice. So spot on. Looking at mortality risk after falls starting at even 65 is harrowing. Stay off ladders, install grab bars in showers, and do allllll the core stabilizing is what I’m gently coaching my parents on :)

[@rocamom98]

Thanks for this. What do you see in women taking Fosamax? I went from osteoporosis to osteopenia in 3 yrs and have 2 more years on it. Also I agree about balance and body weight - I do Barre3 online daily. Its whole body, balance and weights-focused.

[@vickimorris4802]

have you seen an improvement with women who have received reclast infusions?

[@StephanieMissouri]

I’m trying not to cry. You shelled out more information in 25 minutes than I’ve heard from my medical professionals in the past 15 years. I’ve been beyond miserable and nearly housebound for the last 5. Thank you Angie.

[@emmaleechase613]

Women are losing their careers and marriages over menopause issues. It's very serious. In the UK, they are saying 10% of women are leavening careers due to Peri and Meno symptoms. It's heartbreaking.

[@elizabethparkhurst2824]

Immediately go to menopause Barbie! Dr. Barbara Taylor is a gynecological surgeon and is the source for menopause

[@elizabethparkhurst2824]

Go on to #1 video of meno barbie

[@belle3536]

This was so informative! 🙌

[@jeanetteh.9240]

Find a new doctor. If the first one you interview seems uninformed or uncaring, move on to the next. You may also be able to find a competent nurse practitioner, but my experience with one regarding HRT was dismal.

[@lynettekeene8686]

There are so many "academic doctors" (as one rude gyno referred to herself as), who know so little about menopause and have the ancient mentality that HRT is dangerous. I suffered for 3 years without HRT and had no quality of life. It caused damage to my body, I cannot undo. It still upsets me that no doctor would listen or was hesitant in addressing the hormone issues. You cannot just slap a patch on. It's not a "one size fits all" problem. Finally, found a doctor (out of pocket unfortunately) who has my HRT compounded strictly to my hormonal needs. But it took me 10 years to find him!!!!! This needs to change!

[@NinorahDeux]

Which damage did you have please ? Bone density ?

[@astralartist4]

@@NinorahDeux for me almost every tooth in the back is my mouth cracked and came off at gumline - one time two in one month starting a few months after period stopped. 20 yrs later every back tooth is crowned or bonded. (Approx 15 molars)

[@astralartist4]

@@lynettekeene8686 yes i had to pay out of pocket (just for dr visit). All other labs and hrt med covered by insurance

[@belebele1982]

My personal experience was that I had to go prepared. My first doctor gave me HRT without hesitation. She listened to me and wrote me a prescription for FDA approved Bioidentical hormone therapy. Her husband is a research scientist in gynecology and they both moved to Switzerland after the pandemic. My new gyno did the fear speech how estrogen might increase breast cancer in some women….This OBG was very knowledgeable in women’s reproductive health. So I told her what I wanted and I went back to my primary doctor who I totally adore and she gave me a referral to see a menopause specialist - if you are on HMO, if they don’t have a specialist within network they have to give you a referral out of network so you can receive treatment. I get the estradiol patch (0.075 x 2 a week) for $10 a month and progesterone for another $10. testosterone is compounded as it is not FDA approved for women and not considered by insurance. I also track my protein intake, do impact exercises, wear a weighted vest, and started to pick up heavy stuff which I don’t like but it has to be done. Good luck!

[@kaynethrift9690]

What amount of testosterone are you taking and how was that amount determined for you? Thanks!

[@bekkaadair854]

I’m 51 in the San Francisco bay area. My female doctor actually got mad when i pushed her about doing HRT in the perimenopausal stage. Her ego was more important than my health. what?!? so upsetting. i’ve just gotten HRT through a telehealth service. nearly all symptoms gone in one month! so hope the darkness around woman’s health is lifted by the time my 23 yr old is going through the change.

[@cambaprincess9976]

Was it hard to find a telehealth provider? Please tell us how did you find yours.

[@simoneleone]

I had a similar experience. The doctor actually said that HRT is the stuff of witch doctors. She then went on to suggest various over the counter remedies for each of my symptoms. I couldn't believe it. She totally dismissed all of my concerns. Shameful. Here's to being heard!

[@DMV-z2t]

hello I live in the east bay! you can try Ricki pollycove in sf. she doesn't take insurance. she is fabulous

[@bekkaadair854]

@@cambaprincess9976 just went on reddit and found a subreddit that listed the top 10. also, many podcasters will have a gyno guest and they are helping people remotely.

[@crestaschiefer5297]

@@cambaprincess9976 check out an article by sheknows november 15 2023 7 telehealth companies that help women in menopause

[@MarilynPhillips]

I am 68 years old and have been on HRT for 23 years. My health is excellent. I am thankful for a very forward-thinking doctor.

[@SheriApproved]

That's amazing. I'm in my early 40s and doing as much research as possible.

[@SewWhittle]

is it really necessary to be on HRT for SO many years? Just curious.

[@aleksandrawalczak-zacierka9365]

@@SewWhittle Yes, it is. My mother stopped taking HRT (slowly) two years ago, when she reached 70. Her health has collapsed since then and she wishes she hadn't stopped taking it. Nowadays doctors say that women should take it as long as they want to. Damn right.

[@jackiecronin7778]

@@aleksandrawalczak-zacierka9365 I agree. My mother had life long health issues as a result of an early menopause ( age 38. She was 18 when her periods started ) She had a nervous breakdown soon after and never recovered, ending up with MS which killed her at 60. No hrt in the 70s obviously. I fought for years to get hrt but it was at the time all the controversy from the NIH studies were done which as we now know were later to be all discredited. I was heading down the same road as my poor mother until I finally put my foot down with my doctors. When I finally went on hrt at age 54 it was like flicking a light switch. I slept through the night for the first time in 10 years. Finally, I could go for a walk without needing a bathroom. I suffered all this for 7/8 years at least if not longer. I made my own decisions re hrt and haven’t regretted it a day since. And like your mom I will remain on it til i pass as for me the benefits are immense. I have good bones, a healthy heart and can function as a human being. GPs were never trained in menopause issues at med school which is why they don’t want to discuss the issue. ( this is thankfully changing now) So, ladies, we all have to be our own advocates on this one. 💪

[@mannapt]

My question is, if you have been on HRT and feel like you want to increase Estrogen amount is it typically safe to do so. I’ve been on estrogen and progesterone for seven years. I’ve asked my doctor to increase the estrogen simply because I feel that some of my early symptoms of menopause have returned with the continued decreasing of the hormones from the ovaries. And also osteopenia as well. Btw I Love your videos Angie! I have been following you since the start of your KZbin journey.. I love that you do all the research and your followers get the benefit of the knowledge and education that you’ve provided for them to make informed decisions of their own. ❤

[@balynch4780]

This woman is a "Rock Star" for women over 45. I have learned more from her about menopause, skin, anti-aging, hair, make up, gadgets, etc. than all my other YT subs, docs, holistic retreats, gym trainer, med spa and nutritionist combine. I hands down believe that the information I learn from her has added years to my life and and taken a decade off of my face. Just love her.

[@stephgreen3070]

It is so frustrating to know that there was a whole generation of women who were denied hrt therapy because of a flawed study. My mom was one of those women. She just had to white knuckle through it. It’s shameful how our medical issues are treated, as women. And I’m so glad that we as women are standing up and telling the medical establishment that we are not going to stand for being mis and under treated any more.

[@graftonqueen5453]

So true!!! It makes me so angry and upset when I think what my mother had to go through, and how no doctor I've seen up until just last week would even talk about HRT to me. Something has to change. A man can get Viagra without any problem at all fully covered by insurance, and I can't get the hormones that I need to live a normal life without jumping through hoops and paying out-of-pocket.

[@loneranger7573]

You dont need a regular doctor to get hormones anymore. when I started 14 years ago, I ordered online progesterone and biest. I told my doc I was doing this and she'd better prescribe it so I got covered from insurance, and she agreed. Nowadays, Naturopaths and other docs can Rx it anyway.

[@brendadufaur37]

Your words speak profound trurh. I am 65 and got a dexa and was greatly troubled by bone loss but my primary care male doctor was zero concerned. Also, years ago I never got proper doctor care and info about HRT. So I'm very discoursged. I found out I have half my right hip cartilage eaten away and have osteoadrthritis degenerative disease. Traditional medicine and doctors are inadequate and let women down completely so I am trying to get back on track. For my sister too who now has to walk with a crutcch, despite taking ballet classes 3 times a week. I've been very upset over all of this but trying to get on top of it now. Social media all the way. Older women aren't even a side note in the traditional medicine field. Doctors have uniformly minimalized my pain and denied I even have it. I have had to fight for every test, for every mri. It's been maddening. I'm going to try to save myself and my sister. I bike and walk but if I do too much it really hearts and I dont want to take pain pills. I have a cardiologist appt soon for chronic overwhelming severe exhaustion and weakness the cause of which is yet to be discovered despite it taking 90% of my health and vigor away.

[@jennfeinstein4125]

My mom is also one of those women, now has pretty bad osteoporosis....

[@Zeldamom4]

My mother was in that category as well. She suffered many symptoms needlessly and at that time, I was 12 years old just beginning puberty and was watching her, not knowing what was happening to her, and her doctor never told her. Such a shame…..She eventually showed symptoms of dementia, which I’m sure was either caused or exacerbated by the absence of estrogen. I wish I could go back in time and give her the help that is available to us now.

[@ElizabethGalarza1]

The doctor that said that the bone density cannot be reversed is wrong. When my mom was 79, she was diagnosed with osteoporosis and prescribed Bonviva once a month, she only took it twice. We decided to replace the bonviva with calcium + D3+ K2. Two years later her bone density was back to normal. She's 88 now and a few months ago she slipped and fell off 3 stairs. My brother got very scared and took her to the doctor who was so surprised about how strong her bones are, nothing happened to her after falling down at 88!

[@popgems]

How much calcium+D3+K2 does your Mom take?

[@PeaceIsJesusChrist]

My mom fell hard on her hip at mid 70, and she didn’t even have a fracture! But yet, the scan said she had osteoporosis…. Obviously she didn’t. Those scan results are rubbish. 🔍 why the dexa bone density test doesn’t work here on YT. Basically, bone density doesn’t equal bone strength. She does a little weight lifting, uses a whole body vibration machine, eats whole (real) foods. Red light therapy can greatly help too, but she wasn’t even doing that at the time.

[@LeonieGirlnDaWorld]

I was diagnoses with a dexa scan as osteoporosis due to chemo and large amounts of prednisone. 4 years later at the next Dexa Scan I was diagnosed with ostopenia - I had reversed my bone loss thru D3 and K2 as well!! All the doctors and specialist said was "whatever you are doing, keep it up'!!! I am 69. I cant take calcium as I have calcifications in some arteries. Leonie

[@kathycostello4104]

I take magnesium as recommended by my Chiropractor to help my muscles and joints. Also helps sleep and digestion. Be well everyone!

[@magpiegirl3783]

That is a rather remarkable story. If you have osteoporosis, complete reversal within 2 years by just supplements is highly unlikely - improvement, possibly but going from at least a -2.5 or greater back to zero would make her a miracle.

[@yrosenblum1]

Hello Angie, I am a provider specializing in metabolic bone disease. I paused your video to take a closer look at your DXA report and noted that your 2023 study was not done on same machine as 2019 exam, thus the two are not directly comparable. Therefore, 2023 study is not technically worse.

[@jasmom3boys]

I would love to connect with you and find someone in my area to investigate my bone loss which was found as early as 2009. So upset the endocrinologist at that time didn’t even suggest doing anything at that point!

[@StephieFaith]

Good point! I was working while watching this so I didn’t notice that. We have always been instructed to have our patients go to the same facility every time for this reason.

[@jeanetteh.9240]

So kind of you to make this effort!

[@cynthiag3065]

OMG, thank you for sharing this information

[@DeyaIV]

This is a very good point, so, the machine and the type of equipment they use for the imaging really matters, my doctor keeps telling me it doesn’t matter, but I don’t have any training in medicine or medical equipment and my common sense tells me it matters, doctors really are good at gaslighting patients, aren’t they? Ugh!

[@kimdorcy5150]

It's amazing how women can come together through technology online to help each other , share experiences, advice, and information so that women can be armed with the knowledge ,resources and support so that we can live healthier lives and to teach our daughters all we have learned.

[@LosOGradysinMexico]

exactly

[@Vonmacfire]

I’m 45 almost 46 and I work with a small group of women slightly older than me none of which even talk about menopause or perimenopause. It’s crazy that women don’t speak with other women about this.

[@karek4635]

​Perhaps they do not want to risk exposing themselves to discrimination from the younger workers, men and women. Personal health is not a workplace topic. It is not the job of older women to educate younger women in the workplace. ​@@Vonmacfire

[@Kate-w3w]

I hate when these doctors say to go on antidepressants when in reality we need our hormones back. HRT is definitely a lifesaver. Thank you for spreading positive information about HRT.

[@emmaleechase613]

Antidepressants can also cause sexual side effects for women (and men). Concerning.

[@crh251]

I agree. A person isn’t deficient in an anti-depressant. They are lacking hormones.

[@ScoobyDoosMom]

There are some really insensitive, ignorant doctors out there. Before I was diagnosed with fibromyalgia (last thing I wanted given the stigma and lack of knowledge & treatments for) & complex regional pain syndrome after a failed foot surgery, My life changed dramatically. The first provider I saw was a male neurologist who referred me to a psychologist. (Sadly, I hear this happens ALL THE TIME!) I’m sure it’s more common with male doctors to female patients but the lack of sensitivity and general ignorance is astounding. We are already suffering when we go to the doctor. We shouldn’t be made to feel worse when leaving there, right? 🤦‍♀️

[@had123ish]

YOU are your own health advocate! Had a male OB/GYN offer me antidepressants and sleep aids. The problem was hypothyroidism, which he never checked.

[@nicolereynolds4907]

I too was offered antidepressants. Made me so mad especially when I asked my doctor if she was using HRT & she said she was.

[@dmurphy4311]

thank you for the information. I am a nurse practitioner and have been singing the praises of estrogen replacement therapy for years. I have gotten a lot of blowback from local physicians. I frequently use your recommendations to have my patience, watch menopause, Taylor, and some of the physicians that you have mentioned. I tell them that this is the best way to convince their doctors that their information is medically appropriate and that it is helpful. I am 72 years old. Have a family history of osteoporosis and I’ve been on HRT since I was 48 years old because of that I do not have osteoporosis. I also do not have heart disease and I do not have the brain fog and the memory difficulties associated with menopause. Keep educating everyone it is so important!

[@jeanetteh.9240]

God bless you for caring about your patients.

[@PinkShips-h9r]

Same here, I've been on HRT for 37 years now, since I was 36. I'm 73. I take .05/0.1mg Estradiol and Norethindrone. My bones are good, no brain fog, no heart disease - my recent Dr told me I'm healthier than a lot of her younger patients.

[@HollyF82]

A great book about this topic is The Estrogen Window by Dr. Mache Seibel, the whole book is about how flawed the NIH womens' study was and how estrogen is actually protective against breast cancer.

[@yayapeeps]

What kind of HRT are you on? Bioidential? Pill form or vaginal? I am having vaginal burning and irration. I have had every test imagined, and I was diagnosed with vaginal dryness. I also have aching bones, headaches, and brain fog. So, my doctor prescribed vaginal estrogen. I am 60 and still have my uterus, and I am a bit overweight. After reading the side effects, I am terrified to take it. Any suggestions?

[@Rachel_Ryder]

Can’t you just prescribe it for them? My NP prescribes Estrogen patch & progesterone. She was happy to prescribe it at the FIRST sign of perimenopause (joint pain, hot flashes). I consider myself incredibly lucky and likely of the first generation of women who won’t have to live a day without hormones.

[@christinamurphy3845]

I used to be a pharmaceutical rep for an osteoporosis medication. I found the best way to measure success on bone integrity after menopause was height measurements. Osteoporosis will lead to crumbling of vertebrae. It is not the only reason we lose height but I used to teach doctors that if the patient loses an inch of height in a year, get them an X-ray to see what is happening in the vertebrae, who cares what the BMD is. If their bones are crumbling, suspect osteoporosis. Crumbling vertebrae lead to the curved, candy cane shaped back. Measure your height each year and ask for an X-ray.

[@theelletrain4775]

Thanks! The more you know! 🌈

[@lynneschultz316]

Thank you.

[@margaret77494]

So I have lost 1 inch and I'm 56. What would you suggest? I'm on Boniva for 1 year and my dead scan results were the same

[@christinamurphy3845]

@@margaret77494 Of course I am not a health care provider but I did used to educate and train family doctors in my territory Ontario Canada on what the studies showed and what the guidelines were so always talk to you health care practitioner. If I were you I would mention the loss of height to my doctor and ask for an xray. They may ask if you have pain in your spine but statistically 2/3 of vertebral fractures have no symptoms. They may say that you could be losing height because your posture is just not as strong (muscle related) or we can also lose height as the spongy disks between our vertebrae shrink with age so vertebral fractures are not the only reason for height loss. If my doctor was dismissive of me mentioning this height loss I would make sure I measure my height every birthday and if I lost another whole inch in a year if would mention it to my doctor again and ask for an xray. On my own I would be looking for videos on functional medicine and osteoporosis to see what the latest findings are and how to prevent on my own too. Because if I got the xray and it showed vertebral fractures and I’m already on the best medications doctors offer, I would be looking to boost my bone health on my own on top of what the doctors suggest. I would type in functional medicine and osteoporosis on KZbin and research a tonne.

[@SandiTink]

I lost .25” from a spinal compression fracture caused by a fall. That’s when I realized that the height measurement during my annual wellness check wasn’t useless. I wish there were a handbook for how to age well.

[@brindagannon7643]

Started my HRT literally two days ago and already feel a night and day difference. Cream immediately stopped my constant peeing. Slept 10 hours just last night!. Women do not have to suffer! I'm 52, this should be the best years of our life!

@brindagannon7643 that is wonderful! Are you taking estrogen, testosterone & progesterone?

[@sgardner4156]

What are you taking? They put me on patches which haven't done anything

[@alwaysright5901]

Don't get HRT from conventional docs. Most doctors don't know the correct dosages nor the right medium to deliver it effectively. Try a wild yam cream. It's not Progesterone. There's a compound called diosgenin in wild yam that tells your body to make its own Progesterone. We're all estrogen dominant because of various factors and progesterone keeps estrogen in check. Look up Barbara O'Neill lectures on hormones as she has a couple of them on KZbin. She's full of knowledge on various subjects, especially hormones. If you're insistent on taking HRT, then see the right doctor knowledgeable on all things HRT. Dr. Robert Mathis in Santa Barbara, CA is that doc. He can see out of state patients. Check out Claudia Glows on KZbin and Dr. Mathis interviews. There are at least 3 videos. Very very informative, the testing he does, the compounding pharmacies he only uses, he connects the dots on all of it. He can keep you steady with hormones or have you still keep your period depending on what your goals are. Listen to these videos and make informed decisions!

[@TonyaA7]

Doc just gave me a cream to try ..Hoping it helps.

[@jenniferlloyd9574]

​@@sgardner4156 If the patches aren't doing anything, you might need a higher dose? Estrogen boosts me; progesterone relaxes me...

[@christinehorner]

I finally paid for Dexascan while still waiting on menopause at 57. I recommend all women request a baseline one at age 50 and then every three years to monitor changes. Yes to 10K D3, K2, Zinc, and Magnesium! No to calcium as it doesn't build bones and sticks to arteries. Thank you for being willing to share private information to help us with our journey. You are a gift to our tribe!

[@bluecurlygirl]

If you take vitamin k2 mk7 it directs the calcium to the bones and away from the arteries. Although I believe leaky gut can cause it to go to the arteries even with the k2 mk7.

[@jacklynallen1776]

Thank you for sharing. What calcium supplements do you take?

[@pinky1068]

what is 10k here do u mean?

[@gloombla]

@@pinky106810 thousand units of vitamin D3

[@SpiritQD]

@@pinky1068 10,000 IU of D3

[@kimberlythomas4373]

Dr Mary Clare Haver was just interviewed on the Huberman Lab podcast as well. I think I learned more about menopause in those 2 hours than the 4 years I’ve been in menopause. Totally worth listening to.

[@NYtoNC]

Isn't she a big promoter of intermittent fasting? I just haven't been able to do that 😢

[@ksc743]

​@@NYtoNC the two aren't mutually exclusive. You can do the one without the other.

[@colleensimmons2324]

I just finished the book by Mary Clare Haver - there is so much information in this book and she is a Menopause only doctor. Every woman should read this book to be informed.

[@KarenKrzywanos]

Agree! Love her!

[@teriholvey5048]

Her books are fantastic. They've taught me so much.

[@melodielumley6450]

Vag estrogen cream is EVERYTHING! Stopped my urge to pee within 2 weeks. I also put a dab in each ear to stop the itching. I take HRT in pill form, and I put on estrogel at night. I am 54, was surgically menopaused at 51. Life was hell, doctors were horrid. I have full Osteoporosis already and I was a crossfiter and marathoner(what?1). Dr. Tayler saved my life when no doctor here (Canada) would prescribe HRT. Things are getting better now.

[@cathystratfold8555]

I’m curious about Estrogen cream in your ears?

[@BloomByCC]

Doctors we're horrid! Absolutely a joke the level of disrespect and misinformation...

[@suzieesqueda4180]

Which vag cream? Prescription?

[@sue6956]

@@suzieesqueda4180Estradiol is the most prescribed.

[@KAT00035]

Okay, so I’m on Myrbetriq for overactive bladder, but it all went along with menopause, vaginal dryness, etc. My sister had non-estrogen related breast cancer (Triple Negative), and my doctors won’t let me be on hormone replacement because of that. I feel like I’m being treated for symptoms for one condition with medicine for a different condition. 😯

[@crystalsmith8102]

Thank you, thank you, thank you! I'm literally crying right now just because I'm finally hearing someone empathize & justify my perimenopause symptoms. I'm 10 years younger than you & I never heard anyone, not my mom, stepmom, grandmother's, aunts, NO ONE talked about this subject. When I started peri, I thought I was literally going crazy or dying. I've been on a peri journey for the last 2-3 years & doing it all on my own with help from social media. I'm just so overwhelmed that you are speaking out for us women. Angie, I cannot express how much respect I have for you & how grateful I am that you are educating women!

[@ginajackson8482]

I was like you❤️ I am 55 now and started peri when I was 47. I take .075 Estradiol, 100mg Progesterone, and Thyroid Armour. I tried Testosterone in cream, a dissolvable and insert. My life is so good now. When all of this started, I literally thought I was going insane!

[@lauralsiek6208]

I can't believe I'm reading all this....Dr's still tell us estradiol leads to breast cancer but it never stopped my research. Thankyou so much for all of this!!!

[@Living-the-joylifeofJC]

I so so relate. I’ve been going through this for15 years without nothing and going crazy and none my doctors don’t help. Thank so much am not alone.

[@christinec2901]

⁠@@ginajackson8482are you still on testosterone? Did it help? And What is Thyroid Armor?

[@puffpiece1375]

It’s secret women’s business. So secret even the women don’t know about it

[@jdbailey442]

I am 47 and started HRT a month ago. It has been a gamechanger for my perimenopause. I sleep like a baby, wake up well rested, the constant urination stopped, and my brain fog is gradually fading. My PMS symptoms have improved and my period is lighter. I never had hot flashes. I am also working on getting my Vitamin D and Ferritin into optimal ranges because they are on the lower end of normal. My Primary Care Physican tried to say my bloodwork was fine. I use MIDI and they take my insurance. The Nurse Practioner that I see virtually is awesome! I do 0.025 estradiol patches that I change 2 times a week and a 200 mg progesterone capsule. I never had any spotting. When I don't forget or fall asleep beforehand, I take magnesium glycinate. I am working on my gut health and eating more because I can go all day without eating and days not eating if I am not feeling well. HRT has far more pros than cons for me, which is why I decided to do it!

[@claudinehellmuth]

Which practitioner do you see there? Can you choose or do you get assigned someone

[@myname2339]

I see Dr Heather Hirsch who used to consult with midi she put me on a one a week vitamin D supplement the highest you can be on and finally my vitamin D is in optimal range. Years my Gp just kept telling me “get more vitamin D.” I wish I could use midi but they haven’t come to NJ yet. Dr. Hirsch is expensive but the only doctor who ever listened to me in the last 4 years. I started HRT last year at 47 and agree it’s such a game changer.

[@phoggee]

What is MIDI?

[@jessicahitchens6926]

VitD3 not Vitamin D. They are different..

[@Rachel_Ryder]

MIDI girlie here, too! I see Emily Amoe, NP and she is just a delight. Had no qualms starting me on HRT at age 42 at the first sign of peri. Theyre literally a lifesaver!

[@KristenPowell-wu4xn]

I’m a family physician and I wanted to let you know that your bone density has been normal! Osteopenia t score range is -1.1 to -2.4. Normal t scores are -1.0 or higher and osteoporosis is -2.5 or lower. You’re doing great! I’m also studying to get my menopause certification through NAMS. 😊

[@belwynne1386]

This is huge. I am 68 and my spinal bone density is-.1(Z). My test said I have osteopenia. I have started an OTC calcium supplement but good to know I don’t need to jump off a cliff!

[@healthyinformation]

Do you recommend any mineral supplements for your patients?

[@astralartist4]

Thank you - very helpful. They can be confusing to interpret.

[@strangerthingsaresaid7655]

My cousin who was always thin and pretty until she hit menopause and gained 60lbs fast, and looked old and masculine. She got on hrt and lost all her weight, looks younger and is happy again. Keep your estrogen as long as possible or age miserably.

[@lovelocked5385]

Soy isoflavones non GMO, red clover, evening primrose, natural progesterone cream, natural estrogen cream .. Blessings

[@strangerthingsaresaid7655]

@@lovelocked5385 I agree!

[@jagsterr1]

My doctor says estrogen causes breast cancer, so I stopped 15 years ago. It's hard to know who to believe.

[@strangerthingsaresaid7655]

@jagsterr1 it only causes breast if you take it without progesterone. If estrogen caused cancer, then teenage girls would all have cancer since they have an abundance of estrogen. Conventional doctors aren't as educated on hormones as you think. Read a book by a very educated doctor called "younger" and the "hormone cure" by Dr. Sara Gotfried. You can find it at a library and take notes, or buy it. Everything you need to know about your body and hormones is in her book. Easy to read and enjoyable. You'll be glad you did.

[@jessicahitchens6926]

Bio identical creams do not do that. Some women are susceptible to cancer growths from the systemic HRT. As in Estradiol. Everyone is so different though. What are their lifestyles like...

[@karenhanretty3280]

Please consider asking Dr. Haver questions about slowing or preventing the likelihood of dementia while we're still in our 40s and 50s. I'm so glad you've taken on the topic of menopause. It's been quite discouraging how little interest my GP has in this issue, even though she's a female doctor. She's been dismissive of my questions and concerns.

[@carriehealth]

Check your omega 3 levels. Omega 3’s and healthy fats are necessary for brain health ❤

[@kristinfrunza3279]

This

[@kellyvendrasco1945]

Same😡

[@puffpiece1375]

You need to get a new doctor

[@winning3329]

​@carriehealth You are so right about this. I was having really bad brain fog and omega fatty acids helped.

[@marymiller8370]

Would like to add- I had a second DEXA scan and it showed significant bone loss; so much so that they thought I had bone cancer. Fast forward 6 months and I paid out of pocket for another DEXA on the same machine and found out the prior one was flawed. Turns out DEXA scans can have errors. Such an informative video. Thank you so much!

[@AngieHotandFlashy]

Thanks for sharing that!

[@kathybrinn7469]

Same thing happened to me. My first dexa in Oct showed osteoporosis in spine. I saw an endocrinologist who had me repeat from the same type machine I had years before and now in Feb, I’m just osteopenia.

[@stephaniekornegay6478]

Thank you for another open and honest video. It is helpful and informative, and I appreciate you❤

[@angelica4736]

My dexa also showed osteopenia in the left hip. I wonder if that has anything to do with being right side dominant. If we tend to use our right side more over a lifetime it adds up maybe?

[@angelica4736]

Question: is 0.25 estradiol dose therapeutic enough to protect brain, heart and bones?

[@Kirbydidit]

I had a DEXA scan in February 2024 at age 57 to check my body composition and my bone density levels are good. I've been lifting weights and running since I was 20. What was shocking to me is that, as you said, DEXA scans are not recommended until women reach the age of 65! And the way they are diagnosed with osteopenia/osteoporosis is when we fall and have a fracture! This is NUTS! I've been telling all of my female friends my age to get a DEXA scan to get a baseline of their bone density ASAP!

[@sonomacountyrealestate-lor2546]

I’m 63 and purchased a rebounder at 60 to add to my daily 1.5 hour workouts. I use it first thing in the morning prior to any other workout and I can’t believe the difference it’s made to my joints, my energy, my balance, and my overall health. It’s amazing for lymphatic drainage and an unexpected surprise it helped to strengthen my pelvic floor so no more frequent bathroom runs. I just put on some fun music or watch a KZbin rebounder video routine. Start slow maybe 10-15 minutes. Good luck Angie!

[@kittana911]

Wow! 1.5 hour daily workouts ?! You put all of us to shame. I'm happy if I close my 30 min Apple ring

[@kyhi6900]

I had asked my dr for a bone density test at 35 and she said usually one wasn’t taken until menopause but she allowed it anyway. Long story short I’ve been on bone meds since I was 35!

[@westernnut8407]

Thanks for posting this. I've been talking with my Dr about a rebounder for lymphatic drainage so it's good to hear what it's done for you.

[@debgilbert3206]

Wow! Good to know!

[@annashiegl]

I have a grade 3 prolapse, no amount of kegels or pelvic floor physiotherapy have helped, do you think a rebounder would do some good? It's worth a try I think

[@axisgirlvaughn7446]

I am 85. At 30 I had a hystectomy but the ovaries were left. I was determined to start HRT when appropriate and when at about 50 I had some very mild night sweats my doctor started me on the estrogen patch and I have had a patch on my behind ever since. Through the years there has been tweaking. For instance after that study I insisted on continuing it but agreed to lower the dose (I did my due diligence and learned the patch was not implicated in any of the problems - only the oral form). Then, when I needed more help with vaginal symptoms, I started using Estring in addition to the patch. I recently stopped Estring because it had become painful and difficult to remove and increased dosage of patch to .075 (once weekly). I intend to continue the patch the rest of my life. As to bones - I have small bones. My first scan showed osteopenia but it has not worsened through the years. In fact, the last one showed some improvement. I take D3 and my blood tests show excellent levels. I get at least 8000 steps daily including 30 minutes on the treadmill. I would love for more information on hormonal health in later years, including addressing urinary incontinence in the form of urgency etc. I do try to get as much protein as possible but it is hard to get to 100 when I’m 5’3” and about 125 lbs. I try!

[@jennieoh8543]

Do you take Calcium and K2? Thamk you so much!!

[@TracyD.-wp8yx]

look into vaginal estrogen cream for help with vaginal and urinary issues. cheap and effective.

[@axisgirlvaughn7446]

@@jennieoh8543I take calcium and I will have to check about the k. It could be in my other supplements.

[@elizabethtorres6890]

You can get to 100+ grams of protein. I do it - am 5’4” & 118 lbs.

[@MaggieFrett]

I’m so happy to see that there are women in their 80’s that advocated for themselves and had their Gynecologist’s support with HRT. It looks like you are doing everything that you can for longevity. My mom is younger than you and stopped taking HRT in 2002. Sadly she has Osteoporosis, High blood and has had blood clots due to her lack of energy and inactivity. I am thankful to Angie for bringing menopause awareness and the benefits of HRT, it is because of her that I began my menopause education. As soon as I learned what happens during menopause, I decided that I would take HRT when D Day came. I started taking HRT, 19:31 D3/K2, and Omegas. I started taking Magnesium in my 40’s. I need to get a DEXA. I also need to figure out if I need more estradiol. At first I noticed a huge improvement with HRT, but lately I have been feeling tired and think that I am not absorbing it well, therefore I plan to ask for a higher dose. I agree 💯 with Angie regarding the importance of diet, protein and lifting heavy weights. I follow many of the same Dr.s that Angie follows and I am grateful to be able to get all this free valuable information that I have been following to the T. At 53, I have managed to loose weight and hit my target weight. I plan to stay on HRT for life!

[@sheilajames3188]

Please ask Dr. Haver what we women should do who were convinced by the study not to take HRT and now it is too late. I am now 64 but went through menopause at age 48 when the study results that said not to use HRT were being promoted everywhere. It was so discouraging when the message started changing several years ago, and I realized I had missed the HRT window as they say you can only start it within 10 years of menopause. I am past the point of hot flashes and such but feel doomed regarding bone density and brain health due to my body's absence of estrogen. Thank you, Angie!

[@kimmySchulze]

Same for me! I’m 65, had hysterectomy in 2008. Diagnosed with osteopenia, etc etc.

[@missbellejacques]

I hope she asks this question. I am trying to find out the same info for my mom who is 66. She’s just learning about the updates to HRT and is interested but it’s been hard to find sufficient information.

[@user-nx4ml3fv4y]

I am in this very scenario. I would love to have Angie ask this question on behalf of all of us in this situation!!

[@tracyvision]

11 years ago when I hit menopause my doc was only comfortable with prescribing bioID estrogen vaginal cream to make sex comfortable since it was local and therefore low risk. And I’m grateful for it - it works. I never started on systemic HRT and don’t have any symptoms - I sleep fine, no weight gain and no more hot flashes. 11 years ago the data allegedly said one thing. Now it seems to say another. The one thing that has not changed is how Mother Nature designed me. Other than the vaginal cream, I choose not to medicate natural aging. Big media, social media and big pharma is constantly bombarding us with doom and gloom about aging. I choose not to feel scared about things I cannot change. What I choose to do instead is what I can to support my body naturally. I eat nutritious food, I exercise lightly every day (I’m also over punishing my body in the gym), and I take good quality supplements to support my overall health. For women who are suffering, it’s great that they can now feel safe using HRT. But some of us are doing fine without it. I occasionally watch these kind of videos wondering if anyone is ever going to post one about going happily through menopause naturally.

[@janisrich1952]

It’s never too late to start a vaginal hormone. There are experts on KZbin explaining that.

[@fionab2333]

Genitourinary syndrome of menopause (formerly Vaginal atrophy) is super common but sadly, rarely talked about. I went into full menopause at age 46 and I’ve been on HRT (including estrogen pessaries) ever since. I feel so much better since being on it, like my old self. Thank you for bringing more awareness to this topic.

[@roberta9622]

I am almost 79. When I turned 60, I heard a lecture by an OBGYN Dr who talked about Bioidentical Hormone Replacement. I took a blood test and then went to a Compounding Pharmacy to get my prescription filled. The pharmacist takes a substance and changes the structure to exactly match the hormone your body would be making if it still manufactured those hormones. A combination of estradiol ,estriol, progesterone and testosterone. My prescription has not changed all these years. I have done a lot of reading to understand all of the great effects with the help that these hormones support with emotional, physical and mental wellbeing. Beat of luck to all those going forward❤️❤️❤️

[@olderandwiser127]

Please could you share the name of the compound pharmacy. I have tried several without results. Would like to look into the one you use. Thank you.

[@mleys3248]

Finally someone mentioning testosterone. Before menopause, we as women have more testosterone then estrogen in our bodies. We have less testosterone then men. But we have more testosterone then estrogen. Once in menopause, not only don't we produce estrogen and progesterone, but we go to level 0 in testosteron too. Why are there so few people talking about that. Testosterone has an impact on bone density too.

[@roberta9622]

@@olderandwiser127 hi, I am in California and use San Ysidro Pharmancy….also have used ClearSpring Pharmancy in Colorado good luck…

[@irisrichmond2423]

Hi Angie thank you so much for sharing!! What an uphill battle. I’m 55 years young and right smack in the middle of Post menopause. I have spoken with several functional medicine doctors and since you still have your uterus it’s very important to take progesterone with Estradiol patch!! Progesterone protects the uterus!!!

[@kmjdebay]

@@mleys3248 I agree with both of you! I am 77 and have been on HRT since I was 48. I breezed through my 50s on a 0.075 estradiol patch, then at 60 my testosterone dropped to zero and I felt I was crashing. I had to change everything. I had moved and went through that long process of finding the right provider. I have now been with the same doctor for 15 years. He was my GYN, then left the group and only does HRT. I have low dose pellets inserted under the skin (in the fat) on my butt every 4 months. Testosterone and estradiol. He keeps up on the science and says testosterone is critical for bones. He is about to retire completely, and I will have to go through that whole search again. Sigh. But I know what works for me. I feel strong, slim and supple still. I have stamina to keep hiking, walking up hills and swimming.

[@rebeccatrono3376]

Protein is CRITICAL to help prevent bone loss. It's involved in every function in our bodies as well as the construction of our bodies. If you're not taking in enough protein, your body will access that protein from your bones. Key information women need. And reversing changes in the body is like trying to turn a cruise ship around...it takes time.

[@cynthiagilbreth1352]

So true! Most women don’t get nearly enough protein.

[@jac3271]

Absolutely true yet so many women don’t eat sufficient protein. Not only does it facilitate retention of muscle, but bone health. Also, sufficient Vitamin D and, very important, Vitamin K2 so calcium is directed into the bones. So many doctors haven’t a clue about nutrition. Sad.

[@pallavisreetambraparni6995]

Yes. I try to eat as much protein as possible. It's hard for us vegetarians though because we are on plant based diet. Vegetarian sources of protein include: tofu, tempeh, chickpeas, kidney beans, black beans, cantalini beans, navy beans, all types of beans, lentils and pulses, cheese, and since I am Indian, paneer( Indian cheese)

[@cynthiagilbreth1352]

@@pallavisreetambraparni6995 except for the tofu, all those are incomplete sources and not very bioavailable. I don’t envy you

[@sunmoonstars3879]

Animal protein is key to thriving in later life, the vast majority of women cannot get enough using plant source protein. Ditch the vege and vegans diets and get animal based, your body and hormonal system will do so so much better on it.

[@ceejayford]

I have to add that, through Angie, I found Dr. Taylor. I had a virtual visit with Dr. Taylor and at the age of 60, started HRT through my local GYN. I was so lucky to find a doctor who was willing to start me on estrogen. At first I also took progesterone but was still having break through bleeding. After months of monitoring and a variety of tests, I decided to have a full hysterectomy. Turns out I had a rather large fibroid but no symptoms besides the bleeding. I still take estrogen and have that injected once every 4 weeks. I also use vaginal inserts 2x a week. My libido is back, I sleep well, and I'm hoping my next bone scan shows my osteopenia has been halted - I turn 65 at the end of April. All of this I owe to the information Angie and Dr. Taylor share on their channels. I would never have received the education about menopause without them.

[@micheleaustin-budzius1472]

What vaginal insert do you take?

[@hrsydrmr]

I’m curious to know what vaginal insert you use as well.

[@ceejayford]

@@micheleaustin-budzius1472 The generic form of Vagifem

[@ceejayford]

@@hrsydrmr The generic form of Vagifem

[@fashionlvr9850]

Angie, thank you for shining a light on bone density. So important for all of us women to share. DEXA Scans don't measure the quality of bones, they only measure how well your bones absorb X-ray. Then they compare your score to a 35 year old's bones. I agree that weight bearing exercise (using heavy weights, jumping, stomping) will help increase bone mass, as well as eating healthy, getting enough of the right protein, and supplementing with high quality vitamins and minerals. Our bones are in a constant state of renewal. Bone is living tissue that is constantly being broken down and replaced. Osteoblasts = new cells that form new bones and grow and heal existing bones. Osteoclasts = the body's process of breaking down bone in order to build it up again. See a functional medicine doctor to get advice, not your usual PCP. Also highly recommend watching Dr. Peter Osborne's video on osteoporosis and bone density. ♥

[@ssmith2162]

Hi Angie, re: Dr. Haver: a lot of post menopause info focuses on HRT, but I’m interested in knowing about solutions available to those of us who have survived breast cancer and been told that we are not eligible for HRT. Thank you so much for covering menopause! It’s great to have you as a trustworthy resource!

[@mmags]

Thank you for asking this question @ssmith2162. I’d like to add I’m a survivor as well as BRCA2 positive news help with all the symptoms at 57. Flashes sleep and joy meter is so low. Thank you Angie! Fellow Bostonian here live in So Cal now. Good luck with the Creator House project sounds like a blast!

[@mimimalone548]

Reveree and vitamin E suppositories for this breast cancer survivor. No Vagifem, it made me unwell.

[@ΔόμναΠαπαδοπούλου-λ1ψ]

Εγώ έχοντας κάνει υστερεκτομη πριν τρία χρόνια στα 49 μου και έχοντας όζους στο στήθος μου παίρνω ένα φυτικό σκεύασμα το οποίο εξαφάνισε σχεδόν όλα τα μετεμμηνοπαυσιακα συμπτώματα όπως δυσκολίες στον ύπνο και στην λειτουργία του εντέρου,κόπωση,κακή διάθεση.Το σκεύασμα λέγεται New Life της Helenvita,σίγουρα δεν θα υπάρχει στην Αμερική σου γράφω όμως παρακάτω τα συστατικά του μήπως βρεις κάτι παρόμοιο,φυσικά αφού συμβουλευτείς και τον γιατρό σου :Soybeanextract,red clover extract,black cohosh extract,milk thistle extract,citrus bioflavonoids,ascorbic acid,microcrystalline cellulose,vitamin E(DL-alpha tocopheryl),acetate powder,sage extract,pyridoxine hydrochloride.Σου ευχομαι να είσαι πάντα υγιής και χαρούμενη!✨❤️🇬🇷✨

[@mmags]

@@mimimalone548thank you!

[@howdie729]

At 11:11 Angie mentions she follows doctor Corrine Menn who is a menopause expert and a breast cancer survivor. Might have some answers.

[@MQS11]

It is mind boggling how ill-prepared most women are to recognize and deal with menopause symptoms. Thank goodness for internet. It has made it easier than ever to access information on a vast range of topics. You are making a difference Angie 💯Thank you 😊❤

[@erin723]

It’s not so mind-boggling when you realize that all health studies over the past century were done on (and by) men. 🤔

[@ladye6907]

Unfortunately even on the internet you get a lot of mixed opinions. At the end you don’t know who to believe ?!

[@samwiseg7380]

No one discusses it. Never heard my mom, grandma, aunts say a word. Now when I broach the subject I notice no one answers and they change the subject. Talk about making someone feel crazy!

[@jessicahitchens6926]

You trust yourself and listen to your body.

[@teresapaulson414]

I have read many of the responses and have not seen pelvic floor physical therapy(PFPT) mentioned for the incontinence issues. First I would like to thank Angie for her research based information and being so generous in sharing her own experiences and just getting the information out there regarding women's health. I have been a PFPT for over 25 years. Please ask your Dr for a PT referral and get your pelvic floor assessed as well. You may need strengthening or you may be holding the muscles tight and need to learn to let go first and then work on proprioception of the muscles. Some muscles (internally) may need help in "waking up" and some may need to let go. Core strength, glute strength, fluid intake, the timing of voiding(awareness of "just in case voiding" , frequent voiding or waiting too long), correct breathing, how to lift properly can all be very helpful also. Vaginal estrogen cream is a game changer for many, but make sure you know what is happening with the pelvic floor muscles as well.

[@modelagenterin8308]

YEP! REFORMER PILATES HAS WORKED MIRACLES ON MY PELVIC FLOOR STRENGTH

[@jeanetteh.9240]

Beware that pelvic floor therapy involves insertion of the therapist's fingers into the vagina. I was not told about this ahead of my appointment, and presumably because I have a lot of scar tissue, I was left in pain for hours afterward. When I canceled my next appointment, the therapist did offer to help me with other treatments, which she did.

[@sundoesshine8583]

I completely reverse my osteopenia and osteoporosis (pretty bad levels) in several years with just hrt. I don't even eat an especially good diet or even exercise aside from walking the dogs. I had no idea it was even possible and am so thankful.

[@IdeaArt-eq1jk]

Ditto. What type you take.?

[@sandrasayner8351]

Hi Angie! I am 74 years young and have been on bioidentical HRT since I was perimenopausal at age 46. The HRT is the only prescription that I use. Along with that, I have consistently made adjustments to my workout routine, nutrition, and supplements. My last bone density test showed that I am showing slight osteopenia. The issues that I am noticing are ringing in my ears, mild incontinence and low libido. I have a wonderful doctor, Dr. Brenda Smith but she retired from her practice last year. Three years ago, I found your website and I cannot thank you enough for your recommendations relative to skincare and makeup. Hardly a day goes by that I am not complimented on my beautiful skin. You are a lovely gem and very much appreciated! Sandra Sayner in Kansas City

[@sharonbeers4621]

I am 66 and have been on BHRT cream for 10 years. One year ago started slight incontinence and low libido. I was prescribed an estrogen vaginal cream twice weekly and it has reversed both symptoms.

[@jac3271]

Bio identical HRT is awesome.

[@halfamo2422]

@@jac3271 For many women, yes. For me, I didn't end up with slight spotting but major blood loss and a huge emergency transfusion. I wouldn't go near it again. Instead, I've made big diet changes and exercise/move more. Every body is different.

[@shannonrodriguez8165]

@sandrasayner8351 I love hearing that!!! I just started BHRT at age 45 and I’m finally starting to feel like my old self.

[@Nottallblonde]

74 is not young honey…

[@theresamcdonald-smith5046]

I have been on HRT for 15 years. Started cycling, estradiol, progesterone, and testosterone creams from a compounding pharmacy. I started before I was fully in menopause. I never stopped my period, and I cycle my hormones so they are at levels like they were when I was in my 20s. Still having a period at 64 years old and it’s well worth it. I really do believe that using the topical creams is the way to go. Bio identical, of course!

[@monicajackson1914]

What's the benefit though of still getting your period at 64?😮

[@vchafab]

How do you know where in your cycle to use which creams?

[@theresamcdonald-smith5046]

@@vchafab have bloodwork done to determine your doses. Cycle is 28 days. First 2 weeks take estradiol and testosterone. Add progesterone for last 14 days. Period starts on or about 1st day of next cycle. The amounts of each vary through the cycle, just like they did when you were younger and making all your own hormones. You need to see a holistic doctor.

[@PinkShips-h9r]

I was told that there's no need to have periods if you're done having children and to take my HRT everyday. I've never had any menopause symptoms and at 73, I've had very little bone loss, nothing abnormal. I'm still the same height I've always been. I had endometriosis, so my periods were torture - it took burning my abdomen with a hot water bottle to finally have a Dr tell me that I didn't need to suffer like that all those years and to just take my HRT everyday so I would stop having periods. It changed my life.

[@theresamcdonald-smith5046]

@@PinkShips-h9r I tried static dosing with no period, and I just didn’t feel as good. Once I started cycling and kept my period, I felt so much better.

[@christmasbaby4161]

I turned 55 in December. Started powerlifting at 50. Today I’m squatting 315 benching 170 and deadlifting 381 I’m about 148lbs I’ve been on hrt for about 7 years and it was a life saver. All this to say it’s never too late to start exercise/movement and please do not be afraid to lift heavy, you will not get bulky. Mindset is everything the body is a remarkable thing.

[@MISSYMINX261]

Omg, you are a rock star that is fantastic !! I find that menopause has made it so hard to workout, it seems I am constantly tweaking a muscle, tendon etc. I warm up properly prior to working out. Did you at any point have that issue?

[@user-hx7mi7ml8u]

Wow, you must built like a tank.

[@christmasbaby4161]

@@MISSYMINX261 I have found that staying on a 12 week block of exercises helps with that issue. My movements don’t change only reps and sets. This also helps ingrain movement patterns Also every 4/5th week is a deload week to bring fatigue levels down.

[@christmasbaby4161]

@@user-hx7mi7ml8u I started at 123 moved up to 132 and now at 148. Hardly a tank but if you want to get stronger you’re going to get bigger

[@womanofacertainage5892]

@@christmasbaby4161 Could you please explain that like I'm in 3rd grade? I don't know what most of that means. Thank you!

[@mellizabedoya9432]

I became full menopausal at 45 which was my last period . I’ve been in such rollercoaster , my moods , no energy , low libido , just existing , 0 life excitement. I told my GYN these symptoms and because I empathized my emotional part he said oh that might not be bc of the menopausa. I guess he wanted to go the depression route, I said I did enough research they know all these is due to my hormone imbalance. I have no medical insurance , he prescribed prempro and I pay out of pocket $100 after all the RX discounts . I’m so desperate, I decided to take HRT . I can’t foresee living the rest of my life this miserable 😢. I have so much faith that this will help me . I used to go to the gym , but I have no energy nor desire .

[@ldybozz]

I think I did too at that age. 9 yrs ago. I don't remember when my last period was. But it was definitely in my 40s. So far the weight gain & hard to lose, insomnia & def mood swings are my problems. I didn't have medical insurance till 2 1/2 yrs ago thru my job. Did the PREMPRO work? I've been telling my dr about my symptoms & nothing has been done.🤨

[@smac72bigz]

Oh my gosh I thought it was just me! I was sent to a therapist and to a Psychiatrist with neither of my doctors being willing to even just check my hormones! You would think your Gynecologist who does only women’s health would be all over this. But NO! When I found my current HRT physician, she straight away brought me back to being myself again! It absolutely gave me my life back!

[@traceytrotter9934]

It's still a mans world. :(

[@StrideOrDie71]

@@traceytrotter9934Not true. My former gyn was a woman and was completely dismissive of my symptoms. She’s taking an antidepressant for HER symptoms and told me that should be “proof enough” for me that it works. Bad doctors of both genders exist.

[@barbaracohen541]

Gf 😊😊

[@anneg8319]

This happened to me in South Carolina. I just never went to the psychiatrist cause I knew that wasn't the problem. Where did you find your current HRT physician, please?

[@smac72bigz]

@@anneg8319 my physician is Dr. Connie Carver and her clinic is called Forum Health in Greenville. She’s amazing!

[@graftonqueen5453]

Angie, you are the reason I asked my urologist about HRT, and it turns out she is a big fan of Dr. Haver! I'm 55 years old, post menopausal, and starting .05 Estradiol patch and oral progesterone, and I'm taking vaginal estrogen to try to help prevent my frequent UTIs. If I had not discovered you I would never have known to ask. 😢😮 Thank you for always helping women of a certain age what's your extensive research on so many relevant subjects. You are literally saving my life. ❤ The bad news is that health insurance doesn't cover a lot of the needs of 50% of the population, which is shameful and blatant discrimination. So looking forward to your collab vid!

[@brindagannon7643]

My regiment I started two days ago already a huge difference! Women need to know this!

[@janetcox1927]

Angie, SO grateful for your HRT updates... they are very informative! For reference, I'm in my mid 60s and am postmenopausal (as of my mid 50s). I was on a HRT patch that helped me so much... stopped my hot flashes, slowed much of the hair loss I was experiencing, improved my sleep, helped me to think with more clarity. Then my health insurance changed and the new plan didn't cover HRT patches 😢 and I could no longer afford to stay on them. I'd tried oral delivery previously and it didn't work nearly as well. So fast forward, I've been off all HRT for 5+ years and all my symptoms are back and my life quality is so much worse. Please ask your meno docs if someone like me can go back on estrogen after being off for several years. I hope it's not too late! Thanks Angie!

[@debrashort4665]

I'm 62. Is it too late to start hrt?

[@elaine2158]

@@janetcox1927 Oof course you can. Just go back and ask for it. Get a different health insurance plan, or just take the oral stuff. It's better than nothing until you can get the patches again.

[@elaine2158]

@@debrashort4665 That depends when you hit menopause. If it was early menopause at like 30 then yes most likely too late. If it was 5 years ago then no you're fine to start now.

[@kimnarveson5190]

Thank you for this amazing information! My MD took me off my HRT after 10 years. I have spent the last 4 years miserable! My physical is coming and I am going to have a conversaion with her. No woman should have to sleep in a pool of her own sweat!

[@MsSusieHomemaker]

Check with online telemedicine providers. I used Evernow for 9 months before I found a local gyn who would prescribe for me (it was a bit cheaper going locally). I was very pleased with Evernow, but know there are other online providers too such as MyAlloy, Winona, & Gennev.

[@PinkShips-h9r]

And you have the right to decide what you want to take - she had no business taking off HRT! I'm 73 and have been taking it since I was 36! My immune system attacked my ovaries. I never experienced the symptoms of menopause, but I missed a few periods at 36 and that's when I found out I had Hashimotos then hypothyroidism. The risks are very low for stroke and breast cancer, your Dr needs to read and keep up! I'm so sorry you've suffered for 4 years!

[@kimnarveson5190]

@@PinkShips-h9r Thank you for your support and encouragement! I feel like most providers are not educated enough on this topic. Sad.

[@jessicahitchens6926]

Get another doctor.4 years!!

[@ManishaHerczyk1]

Great video! I’m a nutritionist, yoga and meditation teacher, and PT. Just wanted to clarify here- they have actually done studies showing that your body CAN actually absorb more than 30g of protein in one sitting, so you don’t necessarily have to space out your protein intake throughout the day in order to absorb it (but obviously you can still do that if it works better for your meals!) 😊

[@kkmc-i3i]

I was suffering horribly with menopause. I couldn't stand to be in my own skin 24/7. I feel like I had an extreme case of all the symptoms. I was told flat out NO several times for HRT. One male Dr told me that women have been going through it since the beginning of time. It was something I needed to deal with and refused to prescribe HRT. Finally, I got a Dr. that was in his sixties. He told me there was no reason to suffer. He explained what caused cancer was when they only prescribed estrogen. If you have a uterus, you must have progesterone along with estrogen or you have a high risk of cancer. HRT medication helps with your heart health and bone health. My mom is in her early 80s. She is convinced it's slowed down her age progression as far as health and skin go. It gave me back my life. Of course, you shouldn't be on HRT meds if you are high risk for cancer. Or have it in your family.

[@dzingunyte]

woman life is damn hard. all these health issues. i wish to all woman get through it as smooth as possible

[@carolwong9279]

I agree its difficult being a women, but I love it none the less. I love feeling feminine, love makeup and love Angie's videos.

[@b.walker5955]

I am wise, I am strong, I am invincible. I am WOMAN. 🎶🎶~ Helen Reddy

[@wendywittmann]

It is hard being female but I wouldn't want it any other way! I love that females can be tough and tender, smart and sexy, and can change their minds whenever they choose. I kind of feel sorry for my male friends and family, such small world they can inhabit. Thanks to Angie for being a fearless female and also, thanks to her (chemist?) Dad for helping raise such a strong, smart, and lovely daughter!

[@dzingunyte]

@@wendywittmann definitely. I can't imagine myself being a male 😁 just love to all fellow woman out here! You are all strong!

[@crh251]

@@dzingunyte, you’re so right! Us women get our periods at a young age, then some of us have babies and then later we have to deal with menopause. It’s definitely not easy. I always tell my friends I’m either coming back as a man or a cat. 😂

[@aneyedr]

Please do a comprehensive supplement review and recommended dosages with your upcoming creator colab video. Thank you

[@mamamurph1939]

Yes please!❤❤❤

[@Cazzawitch]

I'm 60, post menopause for 5 years and have been on low dose of HRT for a year which has been literally a life saver. My symptoms were considered severe and the worst was a horrific impending feeling of doom just before a hot flush hit and I would feel extremely ill for hours after, not nauseous, but very ill. No one I know has had this and I would like to know what causes it. I ended up depressed and almost suicidal because I felt so ill all the time. Thank your this opportunity. Carol from New Zealand.

[@carolwong9279]

I have osteoporosis diagnosed when I herniated a cervical disc when I was 54 years old. Menopause at age 53. Tried HRT did not mke a difference so I stopped (but my symptoms were very mild). What has helped me is my lifestyle change to a whole food plant based diet, sleep and stress management. The first year after change in diet, my DEXA scan stabiliblized. The following year, there was actually a small improvement in my DEXA scan. Since then, no change but stable. I am almost 65 years old and I have never felt better. I do have arthritis which has helped with turmeric and red light therapy. Thanks to your recommendation, I started taking vital proteins marine collagen. Hoping it will help my joints. I know this may not work for everyone but it has for me. Thank you for your videos. All the best to you ❤

[@dorothysay8327]

Plant-based is a boondoggle, imho. I was vegetarian for many many years -thoughtfully, with supplements and careful about protein intake -and still had interstitial fat (the bad kind), demineralization of my teeth, muscle wasting and fatigue. Oh and osteopenia. I went to full omnivore on the advise of a very good, integrative-medicine doctor? and have NEVER felt better.

[@loriscott3290]

Do u have any idea how lucky you are? 🫤

[@trustmemysonisadoctor8479]

I tore the ligaments in my right ankle a few years back and ended up in the plastic orthopedic boot, I had to wear it 24 hours a day for the first month only taking it off to shower. The boot caused severe joint pain in my left knee and hip, the orthopedic surgeon recommended hyaluronic acid with the correct "moleculer weight" said use the brand Baxyl 1 tsp 2x a day for 3-4 weeks then reduced the dose to 1/2 tsp 1-2x a day and to increase or decrease dose as needed.. For me it was a miracle, no more joint pain anywhere! I am at a maintenance dose of 1/2 tsp. daily for over 5 years.

[@321morlan4]

Which type of red light device do you use to help with arthritis? Thanks!

[@carolwong9279]

@@321morlan4 I have the mitopro 1500 and have used it for the past 2 years. But my DEXA scan improved before I used the red light panel. I love my panel. I recently purchased the Mito Mobile device so I can travel with it.

[@cochondinde8106]

The Mirena coil does not contain a bio- or body-identical progesterone. It contains a synthetic progestin which is not natural. We have progesterone receptors all over our body so it is not just beneficial for protecting the uterus. Progesterone promotes new bone growth. Oestrogen only slows down bone loss; it does not promote new bone growth. There are three oestrogens; estradiol (which is the most potent), estrone which (which is less potent) and estriol (which is the least potent but the safest). Bio- and body-identical progesterone, as well as its many other beneficial properties, helps the body use fat as energy, unlike oestrogen which stores fat on the body. When we age oestrogen production falls quite considerably but progesterone falls to zero. Without progesterone, therefore, the body is hormonally imbalanced. Lastly, oestrogen is an inflammatory hormone and when not balanced with progesterone (bio- or body-identical) causes cells to grow out of control and this can cause cells to mutate into cancerous cells.

[@MichelleSprowitz-uw3lb]

Interesting, my Dr prescribed 100 mg progesterone nightly even though I have a Mirena (Albeit 6 yrs old Mirena). Im also on the dotti patch and so far so good.

[@elaine2158]

@@MichelleSprowitz-uw3lb That's probably because your Mirena is so old. Doctors don't seem to believe that progesterone has any important systemic function, which is really weird.

[@Sissyksgirl]

@@elaine2158- yes! I am shocked when I hear women say that their healthcare professional told them that it is not needed after a hysterectomy etc.

[@jennieoh8543]

@@Sissyksgirl Menopause Taylor does not take progesterone? Menopause can be confusing at times!!!

[@rach1972]

I had my last period at 47. I'm 52 now and have never been on HRT. I thought I had it pretty easy, until I developed vaginal atrophy, which isn't often talked about. It has been devastating to be honest. I had to do all the research myself, my Doctor just prescribed me creams. I've recently started a course of Oestrogen pessaries under a new Doctor, it's helped with the dryness, but unfortunately, the atrophy can't be reversed. I wish I had known this before as HRT in the early stages would of helped immensely. I still think many Doctors aren't properly educated on other symptoms associated with the Menopause. Thanks Angie as always your videos are a good source of info.

[@veganangel68]

Look into the MonaLisa Touch laser to treat atrophy.

[@4everyoung24]

There are treatments to help. If your doctor has said there is no more to do I’d seek out one of the doctors listed in the NAMS directory for a consultation.

[@jackiekelso6145]

Almost 63 and post menopausal since 2016…I had horrible vaginal atrophy too….it hurt to even walk sometimes and especially when riding a bike, which I love to do. My OB/GYN put me on Estradiol inserts twice a week about 5 years ago. You start out using one everyday for 2 weeks and then go down to twice a week. It has worked wonders and everything has “plumped back up” according to my doctor, and I have no issues with the atrophy now. I hope you can find some relief.

[@julieseifert7314]

Oh yes it can! I had this problem. I was devastated. Imagine saying to your husband at 49 sorry but it's too painful I just can't do it. Or maybe you can imagine it. It took me several years of complaining to my doctors every time I saw them but I finally am over that. I am on Mimvey HRT & also estrogen cream. For this problem it's best to do both. It took years to fix it but now finally at 52 I'm good to go. Keep at it. If we all yell and scream loud enough doctors will eventually have to take us seriously if just to get us to shut up.

[@midlife_minimalist]

@@jackiekelso6145They gave me a cream which I really hate because it’s hard to clean the applicator. She mentioned she could switch me to suppositories-is that what you use? She just started me at 2X a week right from the start. I’ve had improvement but according to my gyno menopause has not been kind to me in that aspect. Go figure I had no apparent symptoms other than mental. No hot flashes, sleep well.

[@Larameme]

Once again you are such a lifesaver. I cannot tell you how valuable all of your content has been since I started watching you in 2021. Everything from my skincare routine to my menopause regimen has improved because of you and your thoughtful and intelligent research into these things, saving all of us the time and effort! Thank you!

[@shanroudebush9047]

I need ALL the nitty gritty about testosterone replacement for women. Benefits. Side effects. Where exactly should you put the cream version. Is one version better than another? Do you think the “powers that be” will ever recognize its importance and make it easier for women to get? I love Dr. Mary Claire. I listen to her all the time and am so grateful for all she shares!

[@Lizg5150]

Yes! Info on testosterone for women. Love Dr Mary Claire Haver!

[@Sharon51168]

Yes, can we get insurance to cover Testosterone in post menopausal women? It is a game changer when combined with the correct Estrogen dose.

[@joaniecherp5369]

I highly recommend Biote. Total hysterectomy at age 34 (ovarian cancer), breast cancer 20+ years later. Talked my oncologist into allowing me to get testosterone Biote. Thank God! Of course, with BC I can’t do estrogen. And thank God again as I have an amazing gynecologist - she was my ovarian cancer surgeon, still my gyno, and does my Biote. Also, suggest vagina laser and keeping things active! Testosterone is good for our body, mind, and also, may protect bones from metastasis. Find the right doc!

[@hugvt]

My doc gave me a script for a compound testosterone and it’s a special pharmacy that does compound medicines. Mine is a cream i do one twist of the dial, place on my inner wrist and then rub my wrists together. That’s the only hormone I am on and I have been post menopausal for 4 years now. I do have osteoporosis, I have hypothyroidism and I have a genetic condition called hemochromatosis (iron overload). I still get hot flashes a few times a day, night sweats. Testosterone has helped me to sleep better. The cost I pay is about $49 US dollars for a one month supply. It’s expensive

[@crh251]

@@hugvt, hot flashes are usually a sign of low estrogen. I’m just curious if you don’t mind me asking, but why are you only taking testosterone?

[@stargazerbird]

I put myself on BHRT via the internet way back twenty years ago. I hit the menopause exactly at the time the nurses study came out and there was no way my doctor would prescribe it. The difference was dramatic. I only had a few months of night sweats and all the rest but it was horrible for that time. I feel just normal now. No age related problems. I am 71 and on zero meds, full health, no aches. I run and lift heavy. So glad women are getting HRT prescribed again. Maybe I’ll actually go see my doctor. It’s a good trend

[@LaciRae]

how do You put yourself on BHRT via the internet?? please let me know.

[@loribrooks5596]

@@LaciRaeI’m chiming in because I do the same. I am self-prescribed.There are many sources to use for HRT online (ex. My Alloy, Winona, etc.). I am 51 and still cycle, so I started using birth control and added oral Estrodial. I order from ReliableRX online. It’s been helpful with symptoms.

[@newenglandgirl9523]

That dumb study never told us women that the dangerous results were because it was using Synthetic Hormones, provided by big-pharma. When we use bio-identical hormones there are no side effects!

[@sunmoonstars3879]

@@LaciRae I’ve done this myself at age 50. I watched a ton of relevant stuff on YT, googled & read studies. Then got myself bio identical estrogen & progesterone cream & pregnenelone capsules (all ordered via internet) & use them to mimic a normal cycle. I’m still getting periods but was having night sweats, waking up hideously early, mood swings and brain fog & generally feeling crap. I feel so much better now, I can play around with dose depending on how I feel & my cycle. Good luck.

[@micheleaustin-budzius1472]

What is BHRT?

[@murrayjs27]

I love you. Seriously! I just love every single video you do. The skin care tips, the fun make up tutorials, the important diet & exercise routines, and now THIS video about menopause…! Of all the channels I follow on KZbin, I always get the MOST valuable information and advice from YOU! I wish I knew you personally, because I would love to have you as a friend. I trust you and all you have to share with us. Thank you, THANK YOU!!! 🙏🏻😊😇❤️

[@user-ws3xk3mc8j]

Well said! ❤

[@ellendicks5843]

AMEN!

[@itwasnevraphase]

I cannot commend you enough for speaking about menopause and everything that comes with it. It feels like so often we are just left to deal with the symptoms (or flat out ignored) without any sort of education, help, influence, or way to advocate for ourselves, and that absolutely needs to change. Conversations like these are so incredibly important. Thanks Angie!

[@katem6976]

I'm 44 and was really suffering for 2 years now. Just started HRP this January. It seems my generation is getting into this transition sooner in our life span. Thank you so much for sharing your journey!

[@MichelleSprowitz-uw3lb]

Same and so glad to try it! Im 45 and have been suffering a couple years as well.

[@eva_p]

I'm on bioidentical hormones, the best thing ever! Progesterone capsule nightly is my magic sleeping pill - wouldn't be without it !

[@thedevilandhertrumpets4268]

Oral progesterone solved all my sleeping issues. It’s a game changer.

[@jennieoh8543]

It is great that the pharmacy hrt is all bioidentical now!!!!

[@jgoldfarb3]

Me too! Best thing I ever did!

[@charitydunwoody5410]

Are you saying that your doctor is prescribing your HRT? Does your insurance cover any of your HRT? My GP is not supportive of placing me on HRT, so I am going to try BioTe at my Med spa next week. The cost is $350/3-4 months.

[@WriterSnider]

I’m on regular HRT and that oral progesterone is a game changer! Knocks me right out!

[@waterwoman4799]

Hi Angie, I'm 57, suffered years of chronic insomnia and after a recent hassle of my patch being on back order, I was placed on an oral progesterone along with a different patch. The oral progesterone has magically fixed my sleep issue. It was amazing to finally get the rest I've been missing. On another note, I will have to fight the new doc that says I've been on it long enough and will start to have to wean off it in another year. I said, over my dead body!!! You will not take away my HRT. I will need to find another doctor by then.

[@alit3221]

Angie, God bless you for posting this. I am so very grateful to you. Nearly five years ago, I returned to taking HRT after a bit of a break after my regular gyno yelled at me during an appointment about how dangerous it was to be on it. I was beyond miserable. Then I saw one of your videos with Dr. Taylor, and that helped me to make the decision to go back on--changing doctors and seeing a very gifted functional medicine practitioner instead. I have not regretted it one bit. Like you, I also have heart disease, dementia, severe osteoporosis,etc in my family history as well. My gut told me that I was more at risk of not doing HRT due to all of that. I also had debilitating hot flashes and brain fog. I am 65 and most people don't believe it if I happen to disclose my age. But more importantly, my quality of life is soooo much better now that I have found the right mix for me. I recently switched to the pellet with estrogen and small amount of testosterone, and I still take oral progesterone. So far, so good. But everyone is so different, as you mentioned. Thank you, again, for all you are doing to help women better understand this season of life. I know you have literally helped me personally, to seek a much better direction for my health. Thank you, again.❤

[@AMarie_Mooch]

Great update, Angie. I was sick of doctors ignoring that women need a BASELINE DEXA scan at around 50. My mother has osteo and ended up w/ fractures at 67- they knew she had osteo around age 55!!! I did not want to wait to find out if I even had osteopenia so I just had a scan done. ALL women should have baseline DEXA scan for bones BEFORE they are menopausal and pay for it yourself if you can and have to! It only costs around $100 give/take if not covered by ins. We must all monitor our DEXA scans over time peri and post meno AND HRT not given in a HIGH enough dose will not be preventative enough. See Menopause Taylor's books and videos for details.

[@willow9790]

My 37 year old daughter has just been diagnosed with osteoporosis . No reason for it at all. She’s been told it probably won’t change until post menapause

[@sal3259]

Angie, I had the exact same experience when I went the pre- menopause, menopause and post menopause. I tried everything and was told to avoid HRT from friends who went through years of rollercoaster rides with hormones. I could not sleep with myself let alone my husband. I also experienced 10-12 hot flashes per day, talking to people and instantly dripping, with sweat, no sleep at night, mental confusion - for 5 years. My menopause ended my marriage. My husband did not understand - all he felt was that I was avoiding sex. My male gynecologist didn't feel that this part of a woman's life was his problem and could not relate, in any case. It was the worst time of my life. There ae no resources for woman. For others, over the counter products that claim to help - don't - don't waste your money. Thanks for sharing this for the women behind us. Love your channel!!

[@cherylvardy4073]

Fabulous vlog. Need to watch a few times to absorb all the information for future reference. Im living in & am Australian. Began menopause at 42 now 75. After a few years of being told by doctors that I was depressed (had also moved to Hong Kong for a short period so it was the heat not hot flushes !!!!) Finally found a female Dr who put me on HRT & apologised profusely for the way I had been misdiagnosed. All changed overnight but after a few years all the controversy began about HRT & cancer etc so I stopped using the patches. Due to the information on youtube I decided 2 years ago to inquire again about HRT. Im not on any medications but there is a history of heart disease in my family. Covid restrictions here in OZ were more severe than anywhere worldwide & a lot of us particularly of a "certain age" were house bound or in my case tiny flat restricted for months. This has led to serious mobility issues. Back to my question - the Dr I went to see about getting advice & maybe being put on HRT pretty much looked at me like I was joking and stated with a wave of her hand Quote " why would I bother at this stage of my life!' Im serious, I walked out of that surgery feeling less than human. I worked full time until 72 & left to care for my brother who died of cancer at beginning of 2020 then there was covid. Cant begin to explain how this reaction made me feel - that I was not worthy of a conversation regarding oestrogen. I still wear make up, dance around the room occasionally, love a road trip, housesit to get away from the box I live in, have a sense of humour. In short im still attached to this earth so am I not able to restart on HRT at my age. Is there a cut off point? Would love to know 😊🙋‍♀️

[@CMM-w9n]

I'm so sorry for how you've been treated. I think the standard ( if that term even applies) is within 10 years of menopause or treatment. Definitely contact a supportive HRT medical professional to ce certain

[@dlindsay913]

Thanks for sharing your journey. I went into surgical menopause at 47 due to having the BRAC1 gene and a family history of ovarian/peritoneal cancer. I was given no hormone help post-surgery, for 5 years and I was miserable. Even my tendons were affected. With the help of a functional medicine doctor, I was eventually prescribed oral HRT for a couple of years. It began to affect my liver...so be sure your liver values are checked. Eventually, bio-identical hormones were prescribed when they became available. All of the hormones, estradiol, progesterone, and testosterone can be put on topically in the same formulation. I have been on the bioidentical hormones for 15 years with no liver issues. Currently, the hormones are adjusted after a ZRT Lab saliva test indicates I need a change. Our bodies never quit changing! They are expensive, never covered by insurance, but worth it! Please ask the Doctors about why they aren't prescribing bio-identical hormones. They are made for each individual giving a personal prescription (like your tretinoin subscription) in a pharmaceutical lab. Is it due to the drug companies or the hospitals and medical groups they are connected with restricting what they prescribe? Thank-you!

[@ahorseloverslife6188]

Boosting my protein intake has made a huge difference for me! At 51, I feel better than I did in my 40s. I'm keeping an eye on my macros, aiming for 120g of protein daily. While I don't hit that target every day, I usually land somewhere between 90g and 120g. I highly recommend it; it's truly a game changer!

[@suzanneschreiber212]

How do you achieve your protein goals? On the go makes it hard and also I love things like cottage cheese, but I think it upsets my digestive system.

[@ahorseloverslife6188]

@@suzanneschreiber212 I have protein bread with cottage cheese and honey along with an organic egg for breakfast every day. For dinner, I alternate between chicken, fish, tofu, and protein-filled veggies like for example chickpeas and white beans. At lunch time, I usually enjoy skyr with nuts and berries. I find that using lactose-free cottage cheese and skyr works best for me... maybe it could be a good choice for you too?

[@happyantiaging]

Hummus, edamame, lean chicken, turkey, peanut butter on low carb bread/tortilla, variety of nuts/seeds/chia seeds/basil seeds soaked in almond milk etc.@@suzanneschreiber212

[@denisea.9033]

@@suzanneschreiber212I easily reach 100-150 grams of protein a day with 3-4 eggs w/ground beef, bacon & butter and collagen coffee for breakfast, a snack of cheese and salami or Greek yogurt or milk w/electrolytes; and something like steak and salmon or shrimp for dinner.

[@betha59]

I also follow Dr Susan Hardwick. I’m 64 and am getting pellets with Estrodial and testosterone. Progesterone orally. Feeling great and have ditched my PCP and go to a functional medicine doctor. Much more thorough and specializes in menopause too. We women really have to research and read to find out what is out there to help us in this stage of life!

[@tanasuter5777]

Testosterone alone for me. Dramatic improvement in libido for my tired 71-year old body,!

[@MamaLee5]

I go to a functional medicine doc too. I swear by this approach especially after Angie’s experiences! 😅. My problem was estrogen dominance causing problems so I was put on bio-identical hormones to balance. Hormones are responsible for so many body processes I wonder how ladies survived without them. 🤔

[@melaniestell5383]

@@MamaLee5 so what happens when cancer comes along & they take the hormones away???? No one has mentioned cancer?! Thanks

[@MsQ275]

​@@melaniestell5383not sure if I'm understanding you but are you referring to the NHI study that wrongly correlated cancer and HRT?

[@pamgraham7603]

I don’t think she’s correlating, only stating that women do contract cancer for unknown reasons. So what then? she asks.

[@lisaellis5951]

Angie, THANK YOU for this video. I'm 67 and have been on HRT for about 15 years. It has changed my life. I moved last month and have been looking for a new doc. I just went to the North American Menopause Society site, as you suggested, and I've found someone. She sounds like exactly who I've been looking for! I've already scheduled my appt. Wouldn't have known to look there had you not talked about your personal experience.

[@deanneschaugaard2744]

I've been post menopausal since age 41. I started HRT last year, and can't be happier! I have been on the bio-idendical pellets that are inserted every 3 months. It took a little while to find my sweet spot, but I'm happy with how I feel and sleep. One thing I noticed during this video is the lack of mentioning testosterone. As I understand, testosterone plays a major role in a woman's heart health, cognitive fuction, strength building, and bone density.

[@lezlier.6679]

🙋‍♀️ I have a question. PLEASE talk about testosterone therapy for women, including pellet therapy. The North American menopause society, and I believe the international menopause society both do not recommend testosterone therapy for women and the doctor I follow on social media, who is very heavy in science and research (Dr.Jen Gunter and has some best selling books) always says to run away from a doctor if they want to prescribe you bioidentical testosterone from a compound pharmacy because those are not FDA approved.

[@kmjdebay]

I've been on testosterone pellets for 15 years (I'm 77 now). I also get low dose Estradiol with that - I'm still working and it helps me think - tried without, but I really need it. I was on the estradiol patch for 10 years, and was fine until my testosterone dropped to zero, lost my pubic hair (TMI), and lost my interest in everything, and low libido. My doctor was trained by Rebecca Glaser, a pioneer in the field of testosterone pellets for women.

[@deedee9299]

Thank you for discussing this topic, Angie. I am 67 and I’ve been on HRT for 13 years and do not want to stop. The more I find out about taking HRT the more I hear that it’s good for your heart, bones, libido and brain ,and less about getting breast cancer. That study done in the seventies was talked about for years and was very flawed from what many experts have found out. When meeting with the experts, please ask their opinion about taking HRT indefinitely, if you are a healthy aging female that takes care of herself as you do. Thank you again!

[@wagashi]

I'm only 40 but until I saw Angie's videos on menopause I honestly had no idea it existed, that it came with so many symptoms, and that it's something women can actually do something about. Thanks to this great info I feel a lot better equipped to do what's best for me when the time comes. Thanks, Angie! ❤

[@AngieHotandFlashy]

OMG, YES! I'm so happy you started learning about menopause from my videos!! Having the information to make the best decisions for you is what it's all about! 💜

[@melaniestell5383]

@@AngieHotandFlashy I am 66 & took HRT since 54. Then 6 mos ago I was diagnosed with Kidney cancer & taken off ALL my HRT. NOone has talked about having cancer & NO HORMONES------could u ask the DR. her opinion about that? Former Texan here too!!!!!

[@debgilbert3206]

I relay everything I've learned to my DIL, on my social media page, basically to anyone who will listen. I am also surprise how many women don't know a thing about menapause.

[@brookeb7994]

​@@melaniestell5383ClaudiaGlows just interviewed her home doc. He suggested low hormones can contribute to cancer. I recommend checking out her interview with him.

[@jessicahitchens6926]

What??? Your starting peri at 40. Your my age hiw could you not know about your endocrine system. People are mind boggling 🤣

[@bmwanlass]

I don't know about the machine used for your DXA scan, but the machine used for mine scans the right or left side, but not both. Maybe your machine does both sides? Some do. When I got my last scan a year ago, I asked why only one side is scanned. The tech said they scan the non-dominate side, because whatever is going on with that side is also happening on the other side. In other words, bone loss in the left hip almost certainly means bone loss in the right hip, too. I started HRT 12 years too late (due to the horrendous 2002 study, that's another story), but the first year was the lowest dose, which had no effect on bone loss. I got my first scan when I was 50 and already had osteopenia. I was postmenopausal by age 54. By age 59, I had full-blown osteoporosis. I learned from Dr. Taylor two years ago that I needed to be on the next higher dose HRT. I was on that for one year when I had my DXA scan last year, and there was no further bone loss from two years before. Given you are 10 years younger than I am and have been on HRT much sooner than me, it is discouraging that your last scan showed slightly more bone loss from your last scan. My choice for HRT is the estrogen Femring and oral progesterone. I wanted the IUD but I was not a candidate. The only good thing about oral progesterone is that it does help with insomnia, but otherwise it has the same unpleasant side affects it did during our reproductive years, minus the monthly cramps and bleeding. To help with bone loss, I take MK7 with D3 10,000.

[@kimberleylandon7645]

Hi Angie, thank you for covering this topic. In the summer of 2023 I started having major issues with skipped heart beats. I had them in the past but just periodically. I started having them nonstop for days, and I’m not exaggerating. I went to a cardiologist. I did a week long heart monitor and then a stress test. Even though I know I was having skipped beats during both tests, he said I was normal and that my heart was healthy. Looong story short, I went to my gynecologist thinking it might be something associated with menopause. My gynecologist said he didn’t think so and said I was too far into menopause to start HRT. My GP put me on an antidepressant- low dose. She said they have been shown to help with menopause symptoms. Since I was not getting any support anywhere else, and I was completely exhausted by this time, I agreed. It has helped tremendously with my symptoms. However, I would like to get off of it and do something else that is more healthy in the long run. If you can find out any information in the area of heart health and tachycardia, I would be so grateful. Thank you again

[@bluecurlygirl]

I had high blood pressure and irregular heart beats. Started on estradiol 5 days ago and my blood pressure is back to normal already. No irregular heart beats recorded yet but I'm hopeful. You're never too late to start hrt. I'm 10 years since the start of my symptoms and have only just started. Tons of info out there. And I got put on anti-depressants too - low dose. Sertraline. I was an incoherent zombie for 3.5 years until my kids broke down crying begging me to come off it as they couldn't understand a word I was saying. So I weaned myself off it and never told the doc until one day he said "you'll be wanting a script for your sertraline as well won't you?" (I'm on meds for epilepsy) and I told him no that I had finished with that nonsense months prior. A few years ago another doc tried to put me back on them saying that it was a "magic pill that would put a smile on your face". I laughed in her face and walked out saying "Yeah it must be magic. Just the mention of it has me in fits of laughter. You can keep it. I don't need it." And you don't either. But unless your aim is dementia and/or an early death, you DO NEED your hormones.

[@mimimalone548]

If you have skipped or extra heartbeats check your thyroid.

[@heatherl3328]

Thank you SO MUCH!! The amount of research you do in menopause (your original video got me started in hormones LIFE CHANGING), skin care… HUGE IMPROVEMENTS!!! Thank you so much, you’re changing lives for the better!!! I don’t have the time or patience to do your deep dives so you are a gem that I’ve shared with many friends!!❤

[@ellendicks5843]

SO true. ❤. Angie is far and away ahead of anyone doing research.

[@dawnmcwhirter4232]

Yes 🎉 I follow Dr. Mary Claire Haver, Dr. Vonda Wright, and Dr. Kelly Casper… amazing !!!!! Thank God for these women

[@samwiseg7380]

It also doesn't help that perimenopause and menopause come right at the most stressful time of life and out of left field. One minute you are of childbearing age taking care of your kids and the next you have the drama of teens and young adults plus the care of aging parents and relatives, throw in a pandemic and a spouse retiring plus a college student reluctantly taking a gap year... suddenly i feel like I'm dying and have ABSOLUTELY no idea what's happening. 😢😢😢 Luckily i tweaked my diet to eliminate sugar and anything processed, lost a bit of weight (10 lbs?), and did some intermittent fasting. Almost all the symptoms went away. In researching i read that our adrenals back up our hormones but not if they're stressed out - how can they not be?!

[@VanillaCat1977]

Please speak more put this issue! Menopause Taylor helped educate me so much. She is great! We need to talk more with our friends about this issue.

[@missparker855]

I can tell you that HRT saved my life. I was thinking dark thoughts and thought if this is what life is going to be like, I want to give up. When I was first going through menopause, I told my PCP about my symptoms, mostly night sweats and insomnia, and she said that’s just the way it goes during menopause. After pretty much begging, a year later she prescribed the patch. I had some bleeding, so I finally went to an OBGYN and she said it’s normal but if it persisted, she wanted to check for cysts. Sure enough I had one which was removed. The bleeding stopped and now I am somewhat back to normal. I’m willing to take whatever risks there may be, because the way I felt was awful. I can’t believe how much hormones rule your body.

[@AngieHotandFlashy]

It's just not right that our quality of life has been dismissed by doctors for the last 20 years. I'm so happy it's finally changing, and that you got the help you needed! xo ~ a.

[@yolandaquinones1647]

How long does it take for the patch to work? I’ve been on it for 3 weeks and I haven’t really seen much improvement. I’m hoping it just takes time to work.

[@tela1653]

​@@yolandaquinones1647please, be patient. Give it three months at least. Also be aware every woman feels good at different dose levels. And it also depends on where you are in perimenopause or menopause. I started more than 5 years ago at the age of 48. Had the same dark thoughts the lady mentioned in the comment you responded to. I started on a low dose, which helped to get me back to myself🎉. As time has passed I have increased the dose because my estrogen levels have dropped over the years as I am aging. (At 48 I still had a regular menstrual cycle so obviously still had a lot of my own estrogen. That has decreased of course hence the dose has increased). Also some women respond better to gels. I have used both, noticed no difference but anecdotally I heard that some women don't absorb the hormones from a patch that well and others have less success with the gel. I now use the gel because I am allergic to the patches. And don't forget the progesterone and testosteron. Testosterone has helped me immensely with stiffness in my joints and as a bonus I feel it helps to keep my skin plumper.

[@neyisek6928]

At 45 is started really going down hill. I felt awful and hardly recognized myself. It was a couple of years later there started being tons of info about menopause flooding social media. Menopause Taylor was the first person and at the time I found her about the only one giving such in depth info. I was so grateful to be hearing more than just info on night sweats and hot flashes. I had a laundry list of other symptoms . I went into this very healthy working out and walking daily. Eating very well tracking hrv for near a decade, sleep for 5 years. Never smoked, never drink etc. Felt like how can I be so healthy and feel so miserable?

[@tela1653]

​@@yolandaquinones1647it seems my earlier and fairly extensive reply to you has been removed. So here a short reply. Give it time, at least 3 months. And also be aware of where you are in perimenopause or menopause that may influence the dosage for hrt to be effective.

[@lezlier.6679]

Workout with Cee! Lift with Cee has 30 minute dumbbell workouts only and she’s awesome 😊

[@karenshaner7130]

She's great!

[@mwoodward178]

Thank you for all this information. I am 46 and was struggling with iron deficiency anemia. I found a doctor who finally helped me…basically I ended up getting an IUD which helped with the excessive bleeding. I look forward to following all these doctors! Again, thank you so much!!

[@lorrainewilkins1032]

This happens to men as well. My husband went to his Dr in his early 50’s having issues with low energy. He was prescribed antidepressants and ED medication. He searched out a hormone specialist ( one of 2 in our city of over 1 million people) and has been on HRT ever since. He is now 73- looks 20 years younger and has the energy of a 40 year old. When he had such great and almost instant relief , I went to his specialist. I’m 14 years younger and started therapy in my 40’s, with estrogen as soon as my levels dropped in my 50’s. We have our blood tested every 3 months and our dosages adjusted as needed.

[@cristinav5043]

they say not to test on blood often.

[@lorrainewilkins1032]

@@cristinav5043 Oh , interesting. Who says that and why?

[@sweetpeace5]

That’s all fantastic!! But nobody needs bloodwork every 3 months. Sounds like a money grab. If you take HRT & things are all going great then once a year is plenty.

[@lorrainewilkins1032]

@@sweetpeace5 I also have thyroid issues that need to be monitored. It doesn’t cost me anything. Canadian.

[@Trinityproductions777]

is it just testosterone for your husband or does he get other things? I am doing BHRT & trying to convince my husband it would be beneficial for longevity (but he does not need a libido boost!)

[@LaurieHoward-f1e]

Thank you for this important info, Angie! I always love your helpful content! I went through menopause at age 42! I did not do HRT because of the big scare that it was bad for you, and because my mom’s identical twin sister died of breast cancer, my endocrinologist did not want me to go on HRT*** Fast forward 18 years, about to turn 60, and I have horrible osteoporosis, vaginal atrophy, brain fog, and often times, sleeplessness, and probably some mild depression. I have lifted heavy weights for most of my adult life (I was a personal trainer for many years), but likely was deficient in protein, calcium, and other nutrients. I’ve recently started increasing protein and have noticed a difference in my strength and energy levels. I also take D3 and K2 but I think I will increase my D3. I take Fosamax for my bones, which has slowed/halted the osteoporosis progression. Still, I do really miss my hormones!!! ***I would be very interested in what your experts think about starting HRT so long/late after starting menopause… could it be all around helpful or would I be opening up a bad can of worms? *** Thanks again and cheers!

[@Phantom19607]

I have a similar question. I am 63 and I am a distance runner. I've been lifting weights off and on since I was 20 (will get back at it after this video). I am taking supplements such as D3 but will add K2 and magnesium. I am post menopausal since I was 42 and back then due to a strong cancer history in my family I was denied HRT. I am still having hot flashes, terrible insomnia, joint pain, dryness and so on. I went to my doctor a month ago after following Dr. Taylor and Dr. Haver (they both great) and because I am 20 years post menopause she offered me antidepressants and sleep aids. (I'm not depressed nor have I ever had depression) as she stated that the Canadian guidelines say do not start HRT when a person is more than 10 years since their last period. I do not present like a typical 63 year old and would like to live a better life. I am also interested in what help is out there for us ladies that were affected by that study and did not receive HRT.

[@knk9657]

I just turned 60 as well; I did try HRT for a while but unfortunately I wasn't absorbing the gel and my Estrogen levels were still low-not sure what to do at this point as a lot of Docs say after 60 you shouldn't be on it anymore-but if you stop taking it don't the benefits of heart, bone and brain go away? So complicated and hard to know what to do.

[@NinorahDeux]

@@knk9657 Maybe take oestrogen orally ? That's what expert doctors do in France when no response. depneds on your risk factors; The idea that you have to stop hrt at 60 is stupid: you have to START it between 50-60, but can go death if you feel good !

[@tquirkyt7118]

I’m so sorry that you and other women have had such a ridiculous time getting the right path with the appropriate HRT by . I did realize how lucky I was to have a doctor who had gone through it and had great info. It did take some trial and error to get the right dosage, but the improvement in symptoms was nearly immediate. I’ve been in it with no issues for 7 years🎉

[@kimberlypotts8922]

Menopause Barbie started you on the corrct regimen. She was serendipitously my neighbor in my high rise in Houston. I was suffering miserably and Barbie saved my life, amen. Barbara Taylor, Menopause Barbie, is an angel. Brilliant, brilliant menopause doc.

[@ktaylor7901]

Thank you for speaking out about this, Angie. I’m 63YOA, and unfortunately, I too was negatively impacted by the misinformation produced by the WHI. Three of my doctors did not support the use of HRT, and I continued to struggle from the symptoms of menopause, and I also developed osteoporosis, and if I had been allowed HRT in 2005, I can’t help but think I would not have developed that disease. I then found Dr. Taylor, aka, Menopause Taylor, and because of her vast knowledge, I found a new GYN that has helped me tremendously with HRT. The medical community should advocate for research to update the WHI.

[@lindabruce2295]

Angie, Dr Louise Newson, a British GP is also an excellent source of information. It was, in fact one of your videos on menopause that got me started on HRT two years ago. Dr Louise Newson was my main source of clinical information and she was great. Based on her information, I searched for a menopause doctor in my town, and lucky me, found the perfect doctor just blocks from my apartment Iwho, unbeknownst to me trained Dr Newson and writes articles with her). However, had it not been for your openness about your menopause story, I would have never started down this path. And, boy, do I finally feel so much better. Thanks for being on KZbin!!

[@suecone2198]

I was on HRT for about 15 years but I started having break through bleeding and when tested my uterus lining had thickened. I didn’t know you could have polyps in your uterus but I did. I was told that they were caused by too much estrogen . The test came back normal which I am thankful for. I have now switched to testosterone as it turns into estrogen, which was a surprise! I have used vagafem for years and I love that it is a small tablet instead of messy cream. I am not sure coming off estrogen completely is the right thing but for now I am not spotting so that is great. I would love to know more about the role that testosterone plays in all of this.

[@stephaniesoter9969]

My GYN had no comment for me going thru menopause at 45-46. I had so much else going on in my life that I didn’t even question. FF 6 years and a radiologist noted that a wrist X-ray appeared osteopenic. My surgeon referred me to a metabolic bone disease specialist in the hospital who ordered a DEXA, ran a battery of tests and together we decided to start an anabolic bone building medicine. I lucked out because I had a lot of orthopedic issues and was in a great facility where they notice more than what they are asked to look at. I’d still be waiting another 8 years for my first DEXA.

[@lightbulb888]

Felice Gersh is an expert in menopause and she recommends much bigger estradiol systemic doses than the ones generally given generally. She says the doses being given aren't just enough to address bones heath as well as other organs. She is good ❤

[@Sarah-Gee]

Finally the comment I was looking for! How come no one mentioned Dr Felice Gersh? !

[@JraeSS]

You are a pioneer and so helpful, honest and generous!

[@pamelachapin3615]

THANK YOU for this update! Your story sounds like mine too. I worked in the Health Care System over 40+ years and I’m an advocate for taking your own health care into your own hands! I researched everything myself when menopause hit and fought to get on BHRT. Makes a huge difference!

[@dianaperrone6473]

I ran across this video a couple of weeks ago and today I got a call from my doctor telling me I have extensive osteoporosis. 15 minutes after the call, you are the first person I looked up to get the full 411 from. I am so grateful that you decided not to retire after all. Your openness and thorough research makes you my 1st go to when I research, and I trust you. Thank you Angie. And Merry Christmas 🎄.

[@viviantaunton9783]

Thank you for being so honest and sharing your experiences. It's not easy to share all that personal information but you have and continue to help others on this platform. I am 63 but have never been on HRT or any kind of hormone replacement. Thank you for sharing.

[@maureenfox7871]

Angie...this was SO informative. I can't thank you enough for all of your hard work and your intense investigation into bone density and menopause. I was told that I was not a candidate for HRT because of breast cancer in my family. I would like to know if this is still true. I know that it was a fallacy that HRT "causes" breast cancer, but is it true that you are not a candidate if there is a history of breast cancer in your family. I would really appreciate a conversation on this topic. Thank you SO much for everything. You are AWESOME.

[@HH-fo9sg]

I thought I was not a candidate for HRT when I asked my doctor about it at age 52, early in my menopause, because my sister had breast cancer. But, my doctor was very well informed about HRT and was not concerned for me. Still taking it in good health 18 years later.

[@kristiet.9315]

After back surgery, the dr. told my daughter twice that my bones were so strong that the surgery took 90 minutes longer. Estrogen is needed for strong bones. When you’re overweight (a little or a lot) those extra fat cells produce estrogen. You know how women put in weight around menopause? It’s nature’s way of giving us some estrogen to help with menopause and bone density. My friends who are thinner have had way more intense menopause symptoms than my friends who are plump. I knew someday there’d be a benefit for those extra pounds! Lol. About HRT - in order to patent a prescription for a natural substance like hormones, they have to tweak the molecule a bit. That means it doesn’t match the body exactly - and it wreaks havoc in the body. The best way to get hormones is to get bio-identical ones that match the human body exactly. Taking the right hormones, I could think clearly. I went from having a “jr. high school brain” back to a “university brain” - and at 68 went back to the university and finished my BA.

[@brendamoore9406]

CONGRATULATIONS on being included on this exciting collaboration with other value Creators!! 🎉 Well deserved!! If I may, I’d like to mention an interview I recently saw on a channel featuring UK Creator John Campbell. In it he interviewed a retired Specialist with decades of experience who asserted that recommendations for vitamin D are FAR below what is actually need by the body. I will search for that video and return here to add a link if located. Thank you for your dedication to bringing useful information to share in a way that makes the viewer feel we’re talking with a trusted friend! ENJOY your time in TX!!

[@brendadufaur37]

Great video. I am 65 and got a dexa and was greatly troubled by bone loss but my primary care male doctor was zero concerned. Also, years ago I never got proper doctor care and info about HRT. So I'm very discoursged. I found out I have half my right hip cartilage eaten away and have osteoadrthritis degenerative disease. Traditional medicine and doctors are inadequate and let women down completely so I am trying to get back on track. For my sister too who now has to walk with a crutcch, despite taking ballet classes 3 times a week. I've been very upset over all of this but trying to get on top of it now. Social media all the way. Older women aren't even a side note in the traditional medicine field. Doctors have uniformly minimalized my pain and denied I even have it. I have had to fight for every test, for every mri. It's been maddening. I'm going to try to save myself and my sister. I bike and walk but if I do too much it really hearts and I dont want to take pain pills. I have a cardiologist appt soon for chronic overwhelming severe exhaustion and weakness the cause of which is yet to be discovered despite it taking 90% of my health and vigor away. Thank you for this video

[@a.d.t717]

Thank you for this update! Menopause is such a journey! I was lucky to have a doctor early on start me on HRT. One of the questions I have is how long should you be on HRT - even my doctor says not forever but why not? I would also love more information on the benefits of testosterone. And as a side note….if you ever get a cortisol shot, it can bring on your period even when you are in menopause. I had a shot for hip bursitis and while they warned it could cause a blood sugar spike they didn’t warn about getting your period. My GYN says they tell orthopedic doctors about it all the time but for some reason they are reluctant to tell menopausal women they could get their period. The medical establishment has so much to be educated on when it comes to menopause.

[@knk9657]

Yes, I wonder how long as well-alot of Docs seemed to think 5 years and that's it, but if you go off don't the benefits of helping with Brain, bones and Heart go away? I can't seem to find any answers to this.

[@Dor-je1zt]

I see so many comments about people being terrified of getting breast cancer because of HRT. That is just one of many risk factors. Just getting older increases your risk, if you have a certain gene (can't remember the name), having dense breasts, family history, age of first menstruation, exposure to certain drugs, obesity, being sedentary, not breast feeding, age of first pregnancy, smoking, drinking, being exposed to certain chemicals, being exposed to radiation are others. If you have family history or the gene, I can understand being very cautious, but many people just focus on HRT and nothing else. You have to weigh the benefits and risks and take everything into consideration & make a choice based on what is right for you. Yes, some women do get breast cancer on HRT, so do many others not on HRT.

[@puffpiece1375]

Nobody talks about the risks of NOT being on HRT

[@IrishPrincess1969]

Oh girl, I feel every word you’re saying! I heard you say you are now taking hrt that’s good, but dose is very important for symptom management. I just had an appt with my doctor today and I’ve had to advocate hard for myself to get her to prescribe estrogen at a dose she’s not comfortable with. On the low,but most commonly prescribed dose of 1-2 pumps of estrogel it didn’t manage joint pain which has been a holy nightmare. I on my own upped my pumps and it made a significant difference in my pain. Today I got her to agree to prescribe 3-4 pumps a day( my labs were good still at 3 pumps so safety wise I’m not worried). I haven’t slept in a solid year. Progesterone is safe to take what seems like high doses. I started at 200mg a night and it’s helping, but today I got prescribed 400 mg so I’m so excited to see if that helps me fall asleep and stay asleep. I also take twice a week or when I remember🙄 an estrogen tablet you insert,to help with lubrication maintenance and it helps to keep you from bladder leakage and vaginal atrophy. And today she also agreed to prescribe androgel which is low doses testosterone which for me I want to see if it helps with energy but it’s supposed to help with sex drive too. If you’re just starting hrt be patient a little bit longer like max a month,sounds like you’ve suffered long enough! If you’re just starting and don’t have a gyno familiar with menopause dosing, find one asap. I have had very dark thoughts for a long time, guaranteed because of the whole no sleep thing, so praying that gets better with my larger dose of micronized progesterone. I’ve kept going(barely) because I have 17 year old triplets at home that are still in high school as well as 3 dogs that depend on me, otherwise I’m not sure I would have hung on this long. I’m choosing not to take antidepressants or sleeping pills,thats always the doctors first go-to suggestion,which I’ve also had to advocate that I’m not taking them,I want to mitigate as much with hormones that my body used to make. Anyway, I feel your pain big time, you’re not caving by taking hrt literally every cell in your body has an estrogen receptors, so to think we’d function just fine without is kinda crazy. You need sleep first,you can’t evaluate any other part of life until you get proper sleep. Give yourself grace, seriously, you must go easy on yourself, this is horrible what you’re going through !Get the sleep thing down ,then you’ll feel human,the fog will lift and you’ll hopefully be able to think more positively about the future.I’ll keep you in my prayers that you’ll find the healthcare and peace you need.❤