No.

Listen.

You all are very young.

Okay? To be frank.

It's just because...

I think the numbers have shifted, right? Like if you go back 20 years, the Golden Girls were in their 50s.

Crazy.

you like creams or patches? Yeah, so

Did you hear a lot about perimenopause when you

started? Absolutely not.

So remember, I was of the generation when the Women's Health Initiative study was released.

That study was published where they said hormones are bad.

It's going to cause them to get breast cancer, heart attacks and strokes.

So overnight, we really were trained not to prescribe hormones anymore.

So they just say, don't, don't, really? Don't.

Is it something that you have to request or what? You

sure

um And I think a big part of it is hand-holding and being available for questions.

So if they get a little cramp after they put on the patch, nothing's wrong.

Right.

Because the next thing that they do is take it off.

Of course.

Okay.

Sure.

Is the blood work that you're doing, is that the s- standard typical panel that every woman is getting, or, uh, or do we need to be asking for more?

Y- yeah, no, it's definitely not standard.

[laughs] Um, I started with the standard, and I kept adding and adding.

I'll never forget, my partners were like, "What are you checking all this stuff for?" I'm like, "Well, that's for your heart, and that's for this." So my panel has actually expanded.

Now, mind you, there are all different ways of going about this.

You know, Quest Diagnostics does it.

Like, it...

Is there a practice or a supplement or a- an area where if you could snap your fingers, every woman in the world would be doing this, and they would benefit in longevity?

Mm.

Reproductive, and that's it, and everything else is kind of put to the side, right? But what we know is it's all interweaved together, interrelated, and the ovary ...

is an organ, just like any other organ in the body, that sends signals, and you can actually look at those signals and see the quality of the ovary, how it's doing, and have a predictor for the future, not just in terms of fertility, but in terms of hormone production-

Right.

Yet I have women who come and sit across from me every day and they say, "But if my ovary is done making hormones at menopause, and that's the way nature intended it, why do I need to replace them now?" Right? "If I'm done, I don't need them.

Obviously there's a reason." And what I say to them is, women are living longer than the age span of their ovary.

So we're kind of outliving, because originally women, you know, we lived in our, until our 40s basically.

If every woman could receive one lesson about her future health in her 20s, what would it be? Oh,

that's so good.

Like I don't even know where to start with that one.

So really, I think it's all about living longer.

These are the buzzwords we're hearing, right? Longevity.

What is longevity? Longevity just means living longer.

And by statistics, we know women live longer than men overall by about five years.

Do you think strength training is very vital when you hit the perimenopause, menopause stage? Oh,

If, when it comes to these labs, when do you say, "You know what? Let's talk about starting identical hormones," and when is it appropriate? And because back in the day, women, as were given or- oral contraceptives for decades, and now there's another switch of, and it's not necessarily the same.

Right.

I'm just gonna finish up on the blood work, because there's a couple other things that I've recently, in the past few years, added to, and that's cardiovascular health.

Because we know our menopausal women, that's, at 50 is really, 50, 51, when we hit menopause, is where our risk of cardiovascular disease, which has always been lower than men, it, at this transition phase that we actually catch up to and surpass men for having a higher risk of cardiovascular disease, and I don't think a lot of women know that.

And you've been in rooms where it's one of those things I do now, and I ask, "What, who knows what the number one risk factor is for women after 50 for mortality?" And majority of them go for breast cancer, because that's what's been out there.

And when I tell them it's heart disease, they're shocked.

They're taken back.

What's going on there?

We deal with

it.

We move on.

But what did that look like? It didn't look too optimistic.

If we remember, like our grandmothers were cute and all, but like they would get shorter and smaller and frail looking.

We're not looking like that.

This generation of peri, postmenopausal women are not that.

Do you want to see a women's specific one? Are you comfortable with the way things are? Do you think it's unnecessary in most people? Like where do you stand on it?