Beyond the Hot Flash: New Frontiers in Menopause Management with Dr. Mary Claire Haver

[@annknows802]

Watching Dr Mary Claire is why i started researching perimenipause and got on HRT. Losing weight, getting better sleep, less joint pain, and less anxiety

[@karenjordan3011]

Me too, hot flashes were the least of my symptoms it was severe joint and muscular pain and poor sleep. On HRT for about 4 months and all symptoms are vastly improved 😊

[@heavenlypickler]

After how long can you see the improvement from menopausal symptoms?

[@sabrinadeep7154]

Here in Spain we have Menopause clinics, covered by state healthcare and private healthcare, where you go and see a doctor about all this stuff. My doctor started telling me to go when I was like 39.

[@kellywebster6428]

Thanks for trying to unwind the gross injustice done to women.

[@rosiek649]

Gosh Dr Youn really knows how to get the best out of anybody. This the best Dr Mary interview I’ve seen

[@josephinemiller4780]

I’m 60 and my periods completely stopped when I turned 42. Since then I’ve never had any menopausal symptoms. No hot flashes, nothing and I’m obviously not on any hrt’s. I feel very lucky.

[@iss8504]

You're part of that 30% who can make estrogen at the tissue level. It's enough to avoid the worst symptoms but maybe not enough to prevent the big 3 diseases. Make sure you get bone screening, and you absolutely avoid metabolic syndrome. Going into menopause i started becoming metabolically unwell.

[@josephinemiller4780]

@@iss8504 which 3 diseases?

[@veronicamartin6977]

@@josephinemiller4780 osteoporosis, heart attack, dementia

[@tlc9279]

❤❤❤ Two of my favorite KZbin doctors! I’m 52 and have been on estradiol patch & micronized progesterone since December. My mood, sleep and skin problems improved, which I didn’t even know had to do with hormones. I have more energy and motivation, and lost 7 lbs in 2 months. I lift heavier, do zone 2 cardio regularly and track macros & micronutrients using Cronometer app + a food scale per dr. Mary Claire’s recommendation. Thank you for helping so many women & their partners by spreading your knowledge and passion.

[@jaykaira9939]

I am so happy to hear it’s working for you. I am thinking of taking HRT, but too scared, just wondering how many mg of micro progesterone are taking please? Thanks

[@acidroads4277]

I'm excited to have found this video with Dr. Youn. I have watched a bunch of Dr. Haver's video trying to figure out if she recommends estradiol alone or does it always go alongside progesterone. I see you take both. Would you be able to share anything about this with us? Please & thank you 🙏🏼

[@tlc9279]

You have to take both to prevent uterine wall thickening & bleeding. I’m on 0.05 patch + 100mg progesterone. I started with 0.0375 patch with little improvement, so increased after 3 months. Then I had some spotting (which is normal), so took 200mg for 5-7 days which stopped the bleeding, then back to 100mg. 200mg was making me drowsy but should be safe. It took me a 2-3 months to get the right dose, and it could change overtime. Every woman is different- and consult with your gyno.

[@acidroads4277]

⁠@@tlc9279thank you. I'll talk to my Obgyn bc I was recently only given estradiol.

[@charleedell92]

​@@jaykaira9939There's no need to fear something that your own body produced for decades. I think all the fear mongering around HRT is really irresponsible and harmful to women, yet psychiatric medication is prescribed to menopausal women in bucketloads without anyone considering the harms.

[@user-nh3ik3qj5y]

I am a victim of BII and also a victim of gas lighting by doctors. I had a hysterectomy at age 21 and I frequently asked about replacements when I was about 27 and going through multiple symptoms. I was told it was diagnosed multiple missed diagnosis's. After by the grace of God, living through bii and started studying menopause wanting to optimize my health and Healing. I reached out to midi and after speaking to a specialists I learned tons! Most importantly I learned that I should have been on replacements when symptoms hit hard at age 27. After being placed on hrt I have been feeling better. I want to Thank you for educating me and for assisting me to the knowledge to advocate for myself and research the right specialist for me as NO pcp could help and was dismissing my symptoms and thinking I am crazy! I will continue to learn from you! I just love you!!

[@ttinkers1062]

Dr Haver is so incredibly knowledgeable.

[@ginnyscott7255]

I am a pharmacy technician in Canada and years ago I worked in a compounding pharmacy where we made an estrogen cream. They had been making it for a long time before I worked there but at some point before my employment they started mixing it in a mix master. So the first time I made it when I started putting it in the 30 and 60 gm tubes I thought I would make 30 gm tubes and if I made 300 grams at a time I would logically get ten tubes but I got many more tubes than I should have. I pointed it out to the pharmacist owner and said I am pretty sure the mix master is whipping too much air into the cream and then the 30 grams of cream would not fit into the 30 gram tube. We stopped using it immediately and went back to the slower unguator. The pharmacist had hired me because I had worked for 10 years in pharmaceutical manufacturing. I am not sure how long women would have gone on getting a lower dose had not noticed this. I hope compounding pharmacies have more regulations now.

[@Lovealways40276]

I'm on my Patches and it's working wonders for me 👍🏾💯

[@PrototypeM]

Dr Youn, can't thank you enough for this wonderful video. She is one of my most faves on this issue. You did such a fabulous job at making it simple enough for layman to understand and how you kept summarising the key points especially the healthy cell theory. Please keep doing these videos, so many women are benefiting from this, who have no access to this knowledge and system to get bhrt.

[@elainec5333]

Every specialty could benefit from knowing more about menopause like she mentioned but I would add that every specialty would benefit knowing more about diet, nutrition, environmental toxicity (ie toxic mold illness, heavy metal poisoning, emf exposure, etc.) also. This is where functional medicine comes into the conversation.

[@MidwestGirl123]

I really appreciate you bringing up the musculoskeletal syndrome of menopause. I feel like I live at the physical therapy clinic because of tendonitis and nerve pain popping up here, there, and everywhere.

[@bettinagordon2348]

I had a hysterectomy at 40 for severe endometriosis and started HRT patches a year or so later. I read about the study but still decided to keep using it as no familial breast cancer. I’m still taking it and I’m now 63. My heart is 100% healthy, my bones are strong and while I did gain a lot of weight initially mainly due to hypothyroidism, I have lost it again slowly. Aside from osteoarthritis, I feel really good and my mind is still really sharp. I’m no longer depressed and life is great. My OBGYN said I could use until my 90’s. Lately I found out that if you take HRT from early on it helps protect you from Alzheimers which my mother started getting in her late 60’s. God I hope so! I still get my regular screening like mammograms etc though.

[@carolschwaber6552]

TY for having DR Haver to discuss this important topic!

[@wonderwoman4726]

This was a wonderful interview and I can’t wait to get the books and see my doctor

[@harmoniouslivingsolutions]

She’s so fantastic!!! Thank you for having Dr Haver as a guest! This is an awesome interview! ❤

[@sheilaking9122]

Thank you. Was so enlightening and helpful.

[@aracelimiramontes1543]

Best video yet! Love these doctors!!! Love the break down of the studies and stigma of hormone therapy. HRT has saved me! My mental health is so much better. My shoulder pain is so much better. Thank you Dr Harver ❤ Your voice makes a difference.

[@mia-gl1tn]

thank you dr Youn

[@cfgsunshine]

Spectacular!

[@dragonwithagirltattoo598]

Thank you Dr. Youn and Dr. Mary. I’m going thru he- with menopause right now. I wouldn’t consider HRT before since breast cancer runs in my family. I will talk with my doctor about it now.

[@lindajones4849]

You might consider getting genetic testing to see if you have an option increased risk of breast cancer.

[@tinawilson5104]

This an amazing video. I've left comments on so many of her videos. I feel as though most doctors who aren't educated in menopause write patients off. It's leading me to look into other options, MyWinona. These 2 are rare find in doctors. The Healthcare system today is designed for more administrative less patient care. What can you do when most doctors dismiss that menopause systems are not real or are not treatable?

[@cleanqueen75]

Since menopause at age 56. Now my cholestrol and LDL is high and my pcp keeps hounding me to go on a statin which I refuse to take. I’ve been taking bio-identical hormones since 2012. I exercise, eat healthy but can’t seem to get my numbers down. I’ve been seeing a nutritionist for a month now to try to lose weight hoping that will help.

[@AnimalFarm341]

Are you on testosterone?

[@cleanqueen75]

@@AnimalFarm341 yes the cream

[@AnimalFarm341]

@@cleanqueen75 I wonder if your levels are high enough. I haven’t retested my cholesterol yet, but my first retest for thyroid after hrt including t didn’t improve my thyroid. Just Thursday, my testosterone was doubled and levothyroxine was added. I’ll retest June and am going to ask about my cholesterol as it was high last I tested.

[@cleanqueen75]

@@AnimalFarm341 my dose of the thyroid meds was increased. About every 5 months I get bloodwork done and once a year she does a saliva test to see where I’m at.

[@user-js6nh4go8e]

Unless all doctors are trained thoroughly on menopause, nothing you say will go any further than your KZbin channel and women will continue to be forcibly diagnosed as depressed, and antidepressants will be shoved down their throats. Doctors will also be glad to hand off prescriptions that help hot flashes, even in cases where hot flashes are mild yet the anxiety that comes out of nowhere, is debilitating. But, oh, no! They can't help with that anxiety. At all! That's just depression. Here is your depression medication that you do not need. You know what really makes people depressed? Doctors who have all the power in the world, but do not listen to their patients and treat them as though they are stupid and uneducated despite their level of education.

[@juanitahill5247]

What can a woman do when spending a full decade from doctor to doctor, knowing exactly what is wrong a not finding one single doctot to prescribe the needed hormones ?

[@lindajones4849]

You can try alternative medicine docs, try a certified menopause provider. Yes , it is a royal pain to go from doctor to doctor when you don't feel well. Being disregarded is emotionally distressing. Also look into acupuncturist that is experienced at treating menopause- look for one who is also an herbalist. Good luck

[@marywiggins7411]

Find one by telehealth

[@elainec5333]

Google alloy and midi if you’re looking for hrt.

[@cathycoppin5682]

Hi can’t take hrt. Cause of progesterones. I trie most and it depress in me. Don’t know what to do help ?

[@elainec5333]

Did these studies take into account dietary, alcohol, exercise, sleep and toxin exposure habits too? Bc many factors influence experimental results. Are there long term studies on the current types of prescriptions of hrt being used today?

[@teresasmmmtjourney1316]

One thing I noticed most on all the podcast I listen to they never address help for women who cannot take hrt's due to cancer. I'm sure there are a lot of others including myself a two-time cancer survivor who would love to go on hrt's but have been told it's not a good way for us to live longer. Any tips and tricks for us?

[@iss8504]

Go read the book by Avrum Bluming and Carol Tavris. Bluming is a breast cancer oncologist. He treated his wife with hrt after her breast cancer.

[@elainec5333]

There are many other options that women in the know have been using prior to hrt. Just google it or use AI.

[@questioneverything1776]

The only thing that doesn’t sit well is the diet culture and restrictive dieting from the “Galveston Diet” which can increase stress itself and anxiety around food and ones body and can push some women into disordered eating or full on eating disorders. I mean here we are again being judged and criticized by the size of our bodies during an important transitional time in our life . If women are taking care of their hormones they shouldn’t need to do a bunch of restrictive things which is completely exhausting and stress producing. Also, a nutrition certificate does not necessarily make one a specialist. BUT I really appreciate all of Dr Havers info especially around menopause and hormones and advocating for women’s health. The info is a godsend and I really appreciate all the time she is taking to educate and spread this news.

[@lindajones4849]

I have listened to multiple podcasts by Dr. Claver and she is very complimentary about the knowledge registered dietitians have. You have a point about triggering disordered eating . But Dr. Claver has a point too. If what you are doing isn't working to control your weight something needs to change. I recommend everyone listened to Dr Robert Lustig on the dangers of ultraprocessed food ( no fiber ,pharmacological doses of sugar) . Food companies deliberately add huge doses of sugar to their packaged food because they know people will buy more and eat more. Sugar ( table sugar) is two molecules joined together - glucose joined with fructose. Fructose is the molecules that triggers the reward centers in the brain. We have a massive obesity epidemiologist in the developed world. Weaning from packaged junk food is part of staying healthy.

[@lindajones4849]

Ok - food restrictions may trigger disordered eating in some women. But we have a WORLDWIDE obesity epidemic in developed countries i n large part Due to the pharmacological doses of sugar in ultraprocessed food. See lectures by Dr Robert Lustig on this topic and the dangers of eating large amounts of sugar laced ultraprocessed food. Keeping your weight out of the obesity range is part of staying healthy.

[@AnimalFarm341]

Claudia glows channel has touched on this because she had disordered eating in the past

[@questioneverything1776]

@@lindajones4849 I’m not for obesity and acknowledge our obesigenic environment and processed highly palatable food problem. Please read again what I wrote again to get better clarity and scope about what I’m saying.

[@charleedell92]

Love the video, my Nana was also given barbaric electric shock treatment in her menopause years that was so violent it broke her teeth and turned her into a shuffling zombie.

[@lorim3b357]

I feel like if you watched one of her videos, you watched all of them she says the same thing over and over

[@tash4122]

I got prescribed endep ( they use this for bipolar )

[@Yellow-oc4sl]

What about the mini pills over the counter i read something from harvard that it has less side effects , im 40 years old , i was told last year imenapause ,

[@Pumpkin-lk3kc]

❤

[@justinhendler5763]

Can I go in an infrared sauna while using an HRT patch?

[@annierichards7367]

I was told to wear a waterproof band-aid while swimming, I would guess sauna would be the same. 💕

[@user-gs6jm9rv2p]

I go in the sauna no issues with the patch.

[@lindamurray6247]

So I’m turning 60 this year and since my mom had estrogen related breast cancer, no dr would recommend hormone replacement therapy for me. Here I am, still having hot flashes like crazy and my hair is thinning. Ive got some osteoporosis and osteopenia, and my cholesterol is on the rise. I’m otherwise, very healthy. I haven’t meant a dr here on the east coast of Florida, who seems updated on any of this information. Since I’m not sure if I’m in a window where HRT could harm me, I’m pretty scared to try it or trust a dr here to discuss it with. Any suggestions?

[@lovechildaz6613]

Seek out a naturopathic md who is trained in bio identical hormones. Progesterone is also prescribed to keep estrogen safe for lack of a better word.

[@Brenda-oc4cg]

Try midi telehealth for a menopause dr. Online. They got me right in

[@bbenabe]

You can also check the online health providers that Dr. Haver recommends like midi health and alloy.

[@sherylmorgan4802]

I am 70 years old have a estradiol patch 0.50 no uterus etc.. can I take progesterone to help with anxiety etc..

[@NinorahDeux]

Read Marion Gluck : she says yes to your question.

[@AnimalFarm341]

Yes

[@DC-ef8op]

So happy a man is addressing menopause. Sexy❤

[@rondacompton7206]

What about if your mother had breast cancer? I have been on BHRT for over a year and now my Dr. wants to take me off of it once she found out my mother had breast cancer.

[@XeniaAidonopoulou]

Of course you can... definitely find a more knowledgeable provider....

[@stephaniec7425]

My mother has estrogen positive breast cancer and I was told I was okay to take HRT as long as I get my annual mammogram. The benefits outweigh the risks and I’m healthy overall and don’t smoke or drink.

[@feeltheillinois]

oh god. menopause sounds horrific lol. palpitations!!!!!!!!! kill me

[@rosepalmer3525]

Yes..has woke up with them last night.

[@Elietteabdo]

I am on HRT and still have horrible sleep I am frustrated An some one help me? Thanks

[@leesamurphy1110]

Have you tried a different brand. I've tried many I don't like, but I'm fine with the one I am on now. Or you could just need a higher dose ❤

[@Elietteabdo]

@@leesamurphy1110 brands of estrogen patch ? Or types of estrogen deliveries? Thanks for your response

[@peacelove7437]

I’m finally sleeping more than 7 hours. After a miscarriage at 25, I can never sleep more than 6, waking up to pee. I’m 49, on HRT for a year, still have a regular cycle. I can nap and still go to sleep at 11, nap at 4 after work, no longer than an hour. I stop drinking by 8. & pee a lot before bedtime

[@AnimalFarm341]

Are you on testosterone? Also having a full thyroid panel done might give more information.

[@sweettbear95]

I never hear about the treatments for women that have partial hysterectomies.

[@Deesonice777]

From what I have learned if you still have a uterus then you will need both estrogen and medroxyprogesterone. If you don't have a uterus then you will only need estrogen.

[@AnimalFarm341]

Both estrogen and progesterone is best from my understanding as progesterone has a lot to do with calmness and sleep

[@user-bs7wv4nf1o]

Only God No yall Doctors don't no yall just give us anything just for Money 💸💸💸💸💸💸💸 i leave it in God Hands 🙌🙌🙌🙌🙌🙌🙌🙌🙌🙏🙏

[@LP-um8sc]

More research is done on erectile dysfunction 😂

[@carmenswan1926]

You’re not kidding , the little blue pill!, gee, not fair!

[@cald3216]

I’m so sick for the talk about hot flashes !!!! Talk about the relevant other symptoms

[@Yellow-oc4sl]

There are 100 systems of menopause smh I was not happy to find that out , but I'm glad not only women going through the stages of menopause, hang in there ,