YouSaid · the spoken record

Mary Claire Haver

lines on the record: 97
first: 2023-12-18
most recent: 2023-12-18
sittings or episodes: 1
sources: podcast

Every line below is reproduced as it was said and linked to the record it came from. Nothing here is summarised or generated. Directory · Search · Corrections

“I love you There's nothing more than love. Had done Three times of my dad too, my um. Bob and Jude were five years apart and my dad was shortly after Jude, you know, watching my parents bury three kids was a lot. Welcome”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“That's always been my superpower, I think. And I realize that very quickly in my career was that I had this knack of being able to take something really complicated and break it down into terms that people could understand. That most people would be able to grasp and walk away from.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And I don't, you know, I know a lot of it was lifestyle, but I still have those genetics. And I'm about to survive three of my six brothers. And outlive. And I know that these choices that I make with my nutrition, my exercise, my sleep, my stress reduction, what I call the menopause toolkit, you know, and my choice for HRT are all, I want to see my grandkids one day. if I'm lucky enough to have any. I want to watch these women I've raised grow up and you know be the women they're meant to be and that choice might get taken away from me if I'm not careful so you know a lot of what I do and why I do it is because I have to I may not get the choice”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Was really hard to watch and love him through his choices, you know. And he ultimately died in 2015. He had a stroke. And then I was able to go do his end of life care. And the first book I wrote, I talk about him in the book because in my rush to deliver his care, I forgot my own. And that's when I realized I was menopausal was through my grief process. I thought I was grieving, I gaslit myself. Like, no, no, you're not sleeping. You're waking up all night. You're, you know, upset and your mental health and your brain fog is all because you're just grieving his death. And then my next brother, Jude, was diagnosed with stage four esophageal cancer. Shortly, he was diagnosed when Bob died. And then he survived a few years. So Bob died at 56, and Jude died at 57.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Had HIV and had also contracted hepatitis. And he was doing great on his HIV meds. His counts were good. He was healthy, functional. He'd been with the same partner for over 30 years. But then his liver was getting worse and worse.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So my I'm one of eight children I have six brothers and my oldest brother Jepp died when I was nine years old from acute lymphostetic leukemia. One of the most common forms of childhood leukemia now the cure rate is 95%. But at the time he was put into remission and then he came out of remission in his late teens and died like a year and a half later. So my childhood was that that year and a half was all about trying to save him. And everything my family did of taking him to Memphis, which was so far from Louisiana where I grew up to St. Jude's Hospital, the last ditch effort to try to, you know, find another chemotherapy regimen, which he failed. Kind of drove me. But, you know, it was leukemia. It was childhood. It was one of those things. Fast forward to 20, he died in 2015. So 2010, my brother, I knew.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So, my mantra is menopause is inevitable Suffering is not but you're going to have to advocate for yourself because society has failed us. Our medical system is built to fail the menopausal woman and there is good help out there. You're going to have to do the legwork. I've got tons of resources on my website to help you list of articles to print out and hand to your doctor symptomatic sheets that you can like keep track journals that you can hand to your physician any way that I can help you advocate for yourself because I can't be everyone's doctor, but that this is real. You're not crazy. This is happening and there are lots of things that we can do, even non-hormonal. Don't feel like if you're not a candidate for hormone therapy that you're stuck, you know, exercise, nutrition, other pharmacology, stress reduction, sleep. It's time to take care of yourself first so that you can have the best end of your life that you.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Sometimes doing a protein bar or a shake middle of the day to help with that. And then in the evening, now we're empty nesting. So it's just my husband and I. And so he, you know, we'll kind of discuss what do we have in the freezer. We'll pull out some salmon or, you know, we'll make some, I don't know, burgers or something. And we try to be protein centric and then we're adding in like a beautiful salad with lots of avocado and chickpeas on the side. So I think I covered it all. Yeah. So I'm typically done eating by 8 p.m. If it's an office day, I'll either exercise when I get back. I'm struggling to get up. I do a lot of great work in the morning. So it's hard for me to get to the gym and the office. So I'll save my work out for when I get home from work.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so I tend to, I break my fast at around noon-ish, typically if I'm hungry before, if I'm traveling or, you know, on a plane, I don't do well on a plane without food. And so on a normal day when I'm like going to clinic, and the night before is when my diet starts, I will pack up my meals and snacks that I'm going to take to the office with me when I see patients. And so I know what I've got. I'm doing, you know, I'm loading up on protein. I'm doing something green, some kind of a green veggie. I'm doing lots of fruit. I've got nuts and seeds. I eat nuts and seeds all day long for the anti-inflammatory benefits and for the healthy fats and for the fiber. And so I've got all that. So I'll break my fast at about noon. And then between patients, I'm constantly snacking. I'm really focusing on protein for myself. I don't have a weight problem. And so I'm trying to get stronger. And so my protein needs have really increased. And so I'm.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Not small You know muscles, strength over skinny. And so the muscle mass that you develop now is going to serve you so much more than the lack of fat or this perceived lack of fat that you think you need. Don't worry about the curves that you have. That's natural. That's the way you're built. Let's get some muscle.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So, you know, I came from the 20 years of just trying, I was exercising to be smaller. And now I'm moving to be stronger. And so now I'm doing resistance training. So I have a treadmill that I set up on an incline. And I do a lot of Zoom calls there. I do lots of meetings there. So when I'm working from home and working on the Galveston diet or the new book, I'm doing on my treadmill but at an incline. So I'm really working on my legs. I will wear weighted vest so that I'm getting the upper body. So I'm doing this for bone density. I'm doing a lot more lifting than I ever, ever, ever did in my life because I have a body scanner in my office. I have sarcopenia. I have a genetic lobe. I'm very thin individual and was not blessed with a lot of muscle mass. And the fact that I focused on being thin for so long and that was my social currency as you know I was thin I was healthy. Probably I've lost, you know, I lost that window of opportunity to gain more muscle easily in my 20s and 30s. So what I would tell my 35 year old self, what I preached to my daughters is focus on being strong.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Sleep apnea is when you stop breathing or you snore quite a bit, you see the palate relaxes and you're not getting as much oxygen into the body and into the brain. It's a big health risk.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Said than done, though, right? Yes, if their sleep disruption is due to hormones, then it's such an easy fix. I just give them the water they were drinking and they sleep again. Where the struggle is if someone's never been a good sleeper, then that's probably out of my era of expertise. I'm going to send them to a sleep medicine specialist. One of the things that we now see a correlation is asleep apnea, even in a thin patient and menopause in women. We're seeing a big bump in the sleep apnea rates in women who are, they don't even have to have a weight problem.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So sleep disruption is massive, massive, massive in perimenopause and menopause. And when we don't sleep, we see everything. I tell patients, that's the thing we need to work on first. We need to get you sleeping because nothing's going to work until your body is able to restore itself. That's when we build muscle. That's when our brain resets. That's when our whole body, you know, and if you're having disrupted sleep. You're waking up at three in the morning, and your brain is racing. I mean, everything is worse. Your cortisol levels spike. Your insulin resistance goes up. Everything gets worse. And so when my patients come in, we focus on sleep first and nutrition pretty much.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Think of what I'm grateful for. Focus on that gratitude, you know. And I love teaching that to patients and to my followers of really putting yourself first, you know, the thought of you have to put your own oxygen mask on first before you can go take care of your family and all the other things on your plate and just. Giving my brain that time to just relax and let it flow and just let the thoughts, you know, and just focus on me for that. That's really made a huge difference for me.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So I really like headspace. I know there's some good meditation apps. I really thought meditation was woo-woo and not. Anything that I would just sit there and my brain would be bouncing all over the place. But once I went through menopause and suffered so horribly from the mental side effects and the death, you know, all this happening at once to me with my brother's death, aging parents, teenage girls in the house, you know, and realized something's got to give. And so I hired like a counselor. I went to therapy. And she recommended getting an app to help guide me through meditation. And that has really turned the needle for me. You know, carving out that it's just five or ten minutes in the morning to”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Multiple reasons for that. The way we were trained, the way we were taught to approach a woman's medical issues, and also the fear, unfounded fear around the women's health initiative and what it did to physicians feeling confident about prescribing hormone therapy.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And so much of what women were going through in menopause were dismissed as psychological. And really multiple times in their life. You know, it's all in her head. We never said it's all in his head. That's not a thing on the warth's. You know, it's all in her head was very much alive and well in my training and along a lot of my practice. I find myself now even having to pull myself back a little bit just because that was ingrained so much to always look for the psychological reason. I mean, women, a woman right now in 2023 is more likely to be prescribed in antidepressant for her menopause than hormone therapy.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And so they are finding that they are having better cognition, feeling better, having more energy, etc. But there is no manopause. Their testicles don't stop working. I mean, it would be as if your testicle shriveled up and died at 51. That's the equivalent.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So there's a lot of debate about menopause. The short answer is not really. We see men's testosterone levels peak at about age 19. No shocker there. And then this very slow kind of downtick until they stabilize at about age 35 to 40 and then they stay stable for the rest of their lives. But there's a difference between There's a big variation from man to man where the curve, the shape of the curve looks the same. But as far as normal men's range is from 236 to about a thousand. So there's a big, you know, man-to-man variation. And there is a lot of men who are supplementing when they come in on the low end, and they're feeling a lot better. Now, this is not my area of expertise. This is not, you know, I just read a lot of this research, you know, on testosterone and men are included in it.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Understand what's going on. And so One bravo for wanting to be helpful. Two, say it with love, say it gently. Let's and then find a provider or find a healthcare provider to go in and start the conversation. And one of my best visits with my patients are when their partners come and that the conversation is held together. And it really opens their minds, you know, to what's going on in her body and helps understand like what we can do therapeutically, what needs to be done at home. This is a special time for her. She's going to need extra help. We're going to get through this. You know, it doesn't have to destroy your sexual life or your relationship or whatever. It definitely can take a toll if left untreated. But, you know, bless him for doing it. Like we talked about a little bit earlier, you know, there's probably a fair amount of dissolutions of relationships because no one's talking about this process and what it could do to someone.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“I think You it usually begins with something you can't quite put your finger on. She's reacting differently. She's not as resilient as she used to be. She's not managing situations the same way I think once we start taking this shame and the stigma out, him suggesting that perhaps this is menopause will not cause her to fly off the handle, I think, you know, normalizing this conversation, removing the stigma, it might make everyone go, oh, I mean, I didn't realize it in myself. You know, I thought it was grief related. And I was like, wait, when was my last period? When was my last period? Oh, I think I'm in menopause. I mean, I was, and then I was like, oh, God, menopause. You know, even for myself, it was such a negative connotation. I had that sex in the city episode in my head when Samantha thought she was in menopause and how horrible it was for her. And then turns out she wasn't and everything was better again. And I'm like, gosh, is this, you know, first of all, I applaud him for wanting to try to do something because so many, you think women don't understand.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Find menopause care in their backyard, you know, that they have to get on a plane to come and see me because they cannot find cure wherever they are. So I've started a list of providers on my website that my followers recommend where they found good menopause care. They write a testimonial and we just compile them and we just look online and make sure it's a real doctor and they have a phone number that works. And then the North American Menopause Society now called NAM.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“may be ten pounds of muscle, lost a tremendous amount of fat, she feels amazing. She has this beautiful, you know, she's backed her intimacy level that she desired so much before. She is absolutely thriving on all aspects and she's constantly sharing her studies, her story online so that other women can learn that they don't have to suffer as well. And she just can't believe the thing that makes her angry is that she didn't come sooner and that she suffered for so long without looking for help and she couldn't find it. She came from San Antonio, which is about a three and a half hour drive to come and see me. So here's the scary thing for me, or it's honorable. I have patience, so I have this menopause clinic I started two years ago. I have a waiting list that's longer than this wall. And women are flying in regularly to come and see me, which is such an honor. And I'm so grateful that they trust me. But it's ridiculous that they can't.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“You know, I had okay. I had a patient who came in and Her name is Michael, and she won't mind me saying it because we're really good friends and she came in and typical, overweight, not sleeping, some brain fog issues, some joints, aching, aches and pains, all the things. And sweetest woman, absolutely adored her husband, you know, like, but was struggling with desire as well. So we started her, you know, I developed a nutrition plan for her. She hired a personal trainer. She got to the gym. She got serious about, you know, lifting. She started on hormone therapy. And she is my biggest cheerleader, you know, on social because she's constantly, she's lost probably about 60 pounds of body fat because we get to measure her. So in my clinic, I have inbody scanner where I can measure muscle mass and visceral fat. So it's not just the number on the scale. I'm able to tell them. So she's probably gain gain.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“I know that you're coming from the UK. Our health systems are a little bit different, but because my reach is so large now, I try to include all the different health systems when I'm talking about your options.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Imagine if that was 10% of men. I think it would be a national emergency. I think there would be, you know, we would divert military funding in the U.S. to get this fixed. And it's just something we don't talk about or offer much help. And so then that leaves desire. So most women who are in secure relationships love their partner, miss that part of the intimacy that they used to have, that desire to initiate, that desire, yes, this seems like a good idea, that goes away with menopause a lot. And so for those women, testosterone might be helpful. or there's a couple of FDA-approved medications as well, Addie and Vilicei. And so we have talked about costs and, you know, how to get it prescribed and, you know, testosterone, there's no FDA approved option for women. So quite often I will have to compound that medication for them at a local compounding pharmacy versus going to Dwayne Reed or a CVS or Walgreens to pick it up using their insurance.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Okay, so it's very common. So when we talk about female sexual function, there's kind of five buckets why a woman would be suffering or not happy, okay. One is a relationship disorder and no amount of medication really helps with that. So we want to make sure she's in a good place with her relationship supportive partner. All that. So we have a discussion about that. Then there's an arousal disorder where that's what most men are treated for when they talk about libido issues. It's really nothing's wrong here. They're struggling to maintain an erection. And so we use Viagra and those type of medications for that. So if a woman has an arousal disorder, vaginal Viagra can be helpful for that. So we talk about that. We talk about orgasmic disorders. Some women have about 10% of women will never have an orgasm in their life.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Symptoms. So I will get blood work. Sometimes I'm getting hormones to see if I'm not clear where she is in her journey. I may get blood work to help me define if she's peri or postmenopausal, especially if she's had a hysterectomy. I'll get a lot of blood work around checking her thyroid, a lot of things look like menopause, right? So, you know, fatigue and night sweats, that might be hypothyroidism, weight gain, hypothyroidism, autoimmune disease, all this rheumatoid arthritis. I want to make sure I'm not missing something else that looks a lot like perimenopause. So I'm doing blood work around that nutrition deficiencies, vitamin D. Her basic labs for her blood count and her electrolytes. I'm doing this full panel, okay? But then I'm beginning to treat immediately. And so we have a discussion around her sexual wellness. Is she struggling with desire? Then we'll have a discussion around testosterone.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“If it persists past several months, we'll get ultrasounds to make sure we're not missing a polyp or something there. But it's one of the things I warn my patients about. So things I worry about, you know, headaches. Some women, depending on the formulation. So for the patch, it has an adhesive, right, to get it to stick to your skin. And there's probably 10% of women will have some kind of an allergic reaction to the adhesive. So then we have to look for alternative forms. So thankfully, there are multiple forms on the market. for patients, we have to do some trial and error to find out not only which formulation is going to work best for her, but also what dosing is going to work best for her.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And so estrogen, so we have to look at each. So when we look at hormone replacement therapy, we have our estrogens, we have our androgens, which would be testosterone, DHEA, and estrogen dione. And then we have our progesterone, which is the bioidentical form progesterone. There are synthetic proges available, but I tend to just prescribe the progesterone. And so each of them has issues that might happen. So with estrogen, you can see headaches. So that's kind of a red flag for us. We worry. You can see migraines getting worse. So those are patients. You have to be really careful with going low dose. You can see unexplained. So 40% of patients on menopausal hormone therapy will have vaginal bleeding. Doesn't mean it's a period. We have not woken your ovaries up. They're gone. We are just stimulating that tissue in the lining of the uterus and it's bleeding a little bit. It's usually self-limited. It can go away on it.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So it depends on the country. So, in the UK, it tends to be a gel or a cream, which is where most GPs, if you can get one, that will follow the guidelines and prescribe it. I think it's the most easiest pharmacologic option to get in the UK. In the U.S., it tends to be the patch for the non-oral form. We also have pills available as well. There's a caveat with estrogen pills. There's something whenever we ingest anything, food, medication, goes into our stomach, into the intestines, and then it gets picked up by the portal hepatic circulation, the liver. And so the portal vein goes straight to the liver for processing. And when that bump of estrogen or testosterone typically hits the liver, we see some problems with, for testosterone, it's liver toxicity.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So we have no. So when we look at hormone replacement therapy, we have or any medication, we have like steroids is a good way to think of it. So say you have a rash and you go to your pharmacy and you pick up a, you know, cortisone cream. That's local therapy, right? So vaginal estrogen cream, there's pills, there's different ways to put it in the vagina, but that's considered local therapy. It's not absorbed systemically. We're just treating it kind of at the moment. Systemic therapy is when it's treating everything, our brains, our bones, our general urinary, you know, from the inside out. And so you can ingest it. There's creams, there's patches, there's rings, there's pellets that are now available. There's multiple ways to get this medication into your body.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“symptoms. That's it Know vaginal estrogen, which is just putting estrogen locally in the vagina. So one of the biggest things we see in a huge amount of patients, like well over 50%, is something we call genital urinary syndrome of menopause. And it is the bladder, the vagina, and all of the tissue in between all has a lot of estrogen receptors. And we take the estrogen away, that tissue becomes very thin. We lose elasticity. We see recurrent urinary tract infections. The most likely treatment to help a woman in menopause with recurrent urinary tract infections, which is a major cause of death for women, is vaginal estrogen. And it's safe for everyone, even with breast cancer. And so even that option is taken off the table for so many women who are suffering needlessly with horrible, painful intercourse, dryness, you know, recurring UTIs, and it's just such a simple thing to help a woman.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, relative risk and the relative mortality went down 40%. So we think it's because estrogen feeds a breast cancer cell, but it doesn't cause breast cancer. We are highest levels of estrogen are in pregnancy, and it's so rare to ever be diagnosed with breast cancer. And a healthy breast cell has estrogen receptors. And all that estrogen receptor positive means is that that breast cancer cell went from healthy to cancer through a mutation, but retained its estrogen receptors. And so we can use those receptors against the cancer cell to treat the breast cancer. So that study has been walked back multiple studies have been done, but like the whole mindset has not changed. Myself, as an OBGN, was still the lowest dose for the shortest amount of time and only in women where absolutely nothing else is helping her hot flashes. Menopause was defined by the vasomatic.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And that is the statistic that set the world on fire. So the researchers held a huge press conference at the Watergate Hotel in DC. Every major news outlet, this was before the internet and announced that estrogen causes breast cancer. Now remember, these women were on estrogen plus the progestin, which is called Provera. The estrogen only arm continued for a few more years because the women on estrogen only not only did they not see an increased risk of breast cancer, they had a, I think it was a 20% decreased risk of breast cancer.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“An estrogen and a progesterone arm and each have a placebo. So off we go. Let's take our meds. Let's take our placebo and let's start measuring. What they saw in the estrogen plus progesterone arm after two years was a very slight increased risk of breast cancer versus placebo. Now you have to understand there's a difference between absolute risk and relative risk. So the relative risk went from, so the absolute risk went from four out of a thousand women per year. Two five out of a thousand women per year. So one out of a thousand women treated in the estrogen and progestin worm develop breast cancer over placebo. That is a 25% relative risk increase”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“cardiovascular disease, the average age of the patient was sixty three years old, so that they could see if it was going to affect heart disease because women tend to get that in their sixties and seventies, right? So they recruit, they develop two groups. We have women with utericism, women without women who had had hysterectomies or were born without uteruses. And so each of them had a placebo arm and then a medication arm. When you don't have a uterus, you don't absolutely have to have progesterone. When you have a uterus, it's required to give a woman progesterone as well or a progestin as well to protect the lining of the uterus from the estrogen unopposed estrogen can cause endometrial cancer, but we can negate that by giving her progesterone. You following me? So we have an estrogen only arm.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So let's break it down. Originally the study was designed to see if we knew it from observational studies, was hormone replacement therapy going to truly be protective for cardiovascular disease? That was the function of the study in women who took it versus women who did not. We knew from observational studies that, yes, they had a much lower risk of death from cardiovascular disease and all-cause mortality as meaning death for many cause, as well as heart disease in itself. Okay, atherosclerotic heart disease. So, but that's observational. The way to prove these things is to do a randomized, controlled study versus placebo. So finally, finally, this is 1998, women were getting money. Like there was a new female head of the National Institutes of Health. They were funding this study. This was so exciting. Women were lining up in droves to sign up for it. But because the end game was to prove whether or not it was protective for cardiovascular”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“And that year is marked by horrific pain and not being able to move and just really, really miserable people. And so much of this is preventable. Going on hormone therapy, getting adequate exercise, doing the resistance training, eating the protein, adding in the creatine, making sure you're getting enough vitamin D is going to be huge at protecting my population from this happening as we age. We can prevent the majority of this”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So, osteoporosis is when we lose the density of our bones through, so estrogen, so all of our life, we remodel our bones, right? We chew up bone and we lay down new bone. And so we reach our maximum bone density as females at about age 35. And then it slowly starts to decline through the aging process. And then when we get to menopause, it dramatically, we see a distive loss of bone. So this loss of bone makes the bone weaker and much more likely to fracture when we fall. If you fall and break your hip in menopause. 30% of women with surgery will die in the first year. 70% will die without surgery.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So, what we're know in menopause is that aging combined with menopause, we see a dramatic loss of muscle mass with the menopause process. And so in that first 10 years of menopause, we could lose up to 10, sometimes 15% of our muscle mass. And that muscle mass is going to determine your resistance to sugars. So your insulin resistance is really tied to your muscle mass, your functionality, your ability to recover from a fall. And the other thing is what most people don't understand is the musculatoskeletal unit acts as one. So when we have low muscle mass, you are dramatically increasing your risk of osteoporosis. Now, right now, this might shock you, but 50% Of females will have an osteoporotic fracture before they die. And this is almost completely preventable.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So I originally developed Galveston diet for weight loss. You know, but if I had to write it over again, so I went really heavy on fats, you know, healthy fats, lower on carbohydrates and 20% protein. But I think if doing it again, the way I'm counseling my patients now is I'm going much higher on protein. What I've learned since that book was written was how important protein intake is to maintaining muscle mass. I'm also talking a lot about creatine. And there's some nice studies done in what we call it the elderly, 65-year-olds and above, which I'm nine years from that right now. And how creatine supplementation, just creatine supplementation on its own, well, combined with weightlifting, we're seeing bigger gains in the mental pausal patient. Apostle patient. Yeah Bigger muscle mass and strength.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Right. So that's looking at food. We're looking at the macro and micronutrients. So I'm really going hard on fiber and vitamin D and magnesium and things that we tend to as a gender be deficient in, especially with menopause. So I'm really trying to highlight those things to make sure instead of counting calories, let's see how much vitamin D you're getting every day. Let's see how much fiber you're getting every day.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“You can, you can, but I think, you know, when Matson and those researchers were doing their work, their research in Alzheimer's and dementia, there was no keto diet. They were just knowing that people were utilizing ketones for fuel, which is a normal natural process. We sleep. And so we burn through the glucose in our bloodstream, then we burn up what's in our liver and the gluconeogenesis. And then it switches to fat to burn for fuel. And so now there's people who like to take exogenous ketones. I've never experimented with that. I don't, you know, that's, I don't have any literature in menopause to support that use.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“The brain tends to work better using the ketones for fuel than glucose. The glucose is the preferred fuel in the body, you know. But when they did studies, they were animal studies, so take this with a grain of salt. But, you know, and they did the mazes. You know, the animals tended to get through the maze quicker and learn quicker when they were fasted rather than after they were fed. They were a little lazier.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“That's a social construct. There's really not great science. Now, there are humans that will do better by eating more meals more frequently. And that's why I say fasting's not for everyone, especially if it triggers an eating disorder if you have diabetes or you have, you know, hypoglycemia. Fasting may not be for you, but most people can do it successfully. And so I really encourage people to experiment with it and see how they do.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“You know, I do so many things. Yes, it sounds. And so it's hard to tell, but initially, I do find when I'm fasting the clarity of my thought is much better. I get much more work done. It's when I do my best research. It's when I do my best communicating with my followers is in the morning. You'll often, if you follow me on social, I'm always in my pajamas with a cup of coffee while I'm getting ready for work because I just get so excited about something I learn and I want to share it with everyone. And so I do find that once I break my fast, the synapses tend to not work as quickly for me.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“Weeks and by week five, I remember sitting at my desk and I have my lunch ready to go. And I was still at the hospital at the time and saying, oh my God, I made it. It's noon and I don't feel bad. You know, like, so I had just slowly, slowly let my body adapt and adjust. And then I've been fasting, gosh, since 2015, probably 2014. And it's just a normal natural part of my life. I don't even think about it anymore.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT
“So when I'm teaching fasting to my students or to my patients, I recommend the sixteen eight. So that's where Mark Madsen's data. So that sixteen hours of fasting in a row, followed by about an eight hour eating window. Now, for other, you know, again, it's individualized. Some people do great with a 14 hour fast, you know, the 15-hour fast. 16 is just kind of something to shoot for. And if someone's going to consider incorporating fasting into their life, give yourself about a six week trial, you know. Don't just try to go 16 hours without food if you've never done it before. Your body will adapt. And so the advice I got and what I do and what I teach now, so I used to break my fast about six in the morning before I exercised. So I pushed that window to 615 and I did that for three or four days until it felt normal, natural. I wasn't hungry. Then I moved it to 6.30. And then I just kept bumping that window out in 15 minute increments over.”
2023-12-18 · The Diary of a CEO · The No.1 Menopause Doctor: They’re Lying To You About Menopause! Brand New Science! (Men Need To Listen Too!): Mary Claire Haver · IDENTIFIED FROM THE TRANSCRIPT