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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232526 | [S1] ... this exact same story. [S2] What would you, as a gynecologist, do when a woman would come in, as they did for years and years and years before you became one of the world's leading experts in this, what would you do as a doctor? [S1] I'll tell you | 14.68 | 3.363461 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232526.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232527 | [S1] ... a story from my training. So we had gynecology clinic in residency and I was an intern. And so, um, we had, you know, OB's divided into two sections. And so in gyne clinic we had, you know, the surgical cases coming in. And so all the residents would line up, like six or seven of us, and the upper levels would... | 25.56 | 3.465705 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232527.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232528 | [S1] You got a WW. [S2] A WW? [S1] A WW in room 12. Good luck with that. And a WW, this wasn't written in the chart. My professors never said this. This was kind of lore handed down from upper level resident. And you can do it with a Texas accent 'cause that's where I train. So these guys in cowboy boots walking up and... | 24.6 | 3.557972 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232528.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232529 | [S1] And this was a public health hospital, you know, so she's desperate. [S2] Yeah. [S1] She can't sleep. She's gaining weight. She's not happy. She's having maybe headaches. I mean, just this kind of laundry list of very vague complaints. But she was still having periods. [S2] Yes. [S1] Maybe irregular, maybe heavier... | 26.2 | 3.425212 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232529.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232530 | [S1] About how special menopause is and what the lack of estrogen is doing to each and every organ system. Each female has a unique expression of our menopause. So where you may have had palpitations, frozen shoulder and dry vagina, I would have had hot flashes, night sweats, and horrible rage. And, you know, doctors l... | 23.64 | 3.462568 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232530.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232531 | [S1] ... have a lower chance of frozen shoulder. They pulled all the data, they looked, and they're like, "Why would that be?" [S2] Why? [S1] So then now they're going in and, and doing biopsies of all these joints and saying, "There's tons of estrogen receptors here." And when we lose that estrogen, we're seeing mass ... | 29.88 | 3.387781 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232531.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232532 | [S1] Wow. [S2] Mm-hmm. [S1] That makes so much sense, actually. So if the estrogen receptors are in your organ system, that then presumes that it's impacting liver function, kidney function, everything. [S2] Mm-hmm. Lung function, heart function, brain function, genital urinary function, as we know, bones, osteoporosis... | 29.48 | 3.351346 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232532.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232533 | [S1] ... to Dr. Haver, to just really think about this for a second, that every single aspect of your organ system, from your brain, to every organ, to your muscles, all of it is used to functioning with estrogen. [S2] Mm-hmm. [S1] It makes so much sense. If you take out one of the main ingredients to the female body's... | 25.8 | 3.451926 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232533.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232534 | [S1] Of course, everything is going to go haywire. [S2] Mm-hmm. [S1] Dr. Haver, I just am so grateful that you're here, and I want to take a quick moment. | 10.52 | 3.090978 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232534.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232535 | [S1] We got to hit the pause, uh, in menopause. [S2] [LAUGHS] [S1] And hear a word from our amazing sponsors. And please take a listen to our sponsors because they are allowing me to bring you Dr. Haver at zero cost. So take a listen. But don't you dare go anywhere, and let me tell you why. Dr. Haver and I are going to... | 20.68 | 3.333391 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232535.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232536 | [S1] Welcome back. It's your friend Mel Robbins, and I am here with the remarkable Dr. Mary Claire Haver. Her new book is The New Menopause, and she is an expert in women's hormones health. So you've now got this estrogen deficiency. [S2] Well, it, low, not zero. [S1] Okay. [S2] Menopause is zero. [S1] But still, but I... | 20.36 | 3.26536 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232536.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232537 | [S1] So you're kind of, that's, you're shedding and starting over. So in those first 14 days, we call that the follicular phase. So that's when our follicles, which are the little sacs that our eggs sit in- [S2] Mm-hmm. [S1] ... start saying, "Okay, one of us is gonna win." So 100, 200 of them are like, "It's a race." ... | 27.16 | 3.489377 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232537.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232538 | [S1] We hit about day 14-ish, depending on the cycle. And then the estrogen level's at its highest. [S2] Okay. [S1] The brain is like, "Okay, we need to ovulate." The LH surges, and that's, that's the thing that makes the egg pop. And that one, one or two eggs come out. [S2] And then when the egg pops, the popping also... | 23.32 | 3.337789 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232538.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232539 | [S1] So we have a, some women suffer horribly from it, but we have premenstrual dysphoric disorder, PMDD, bloating, swelling. Now we think the bloating and swelling is from the really high progesterone levels. That drop of estrogen, our mental health changes. [S2] How does it change our mental health when you have a de... | 19.32 | 3.350087 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232539.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232540 | [S1] Play. [S2] So it looks like when your estrogen levels are optimal, you know, at a nice healthy level, we have really efficient serotonin and norepinephrine. So those are two key hormones that we see in depression, right? [S1] Okay. [S2] They're low in women who are depressed. [S1] Okay. [S2] And so for women who a... | 19.64 | 3.492607 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232540.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232541 | [S1] headaches. [S2] There's menstrual migraines. [S1] And you also can feel a slump in terms of depressive symptoms or anxious symptoms because of the decrease in estrogen. [S2] That's what we think. [S1] And I would imagine brain fog, ADHD, all of these other neurodivergent kind of issues that people might have also ... | 27.16 | 3.361149 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232541.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232542 | [S1] And then all of a sudden, her resilience against this has stopped because she's lost her estrogen, her testosterone, you know, however that fits in for her. And all of a sudden she's now so symptomatic. And at the time in her life that she needs those facilities to be functioning at all levels. [S2] Mm-hmm. [S1] Y... | 22.2 | 3.463419 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232542.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232543 | [S1] ... or you're talking about the period in your life where estrogen declines, it of course- [S2] Your executive functioning tanks. [S1] Yes. Of course it makes sense. And now the system's going haywire and inflamed. It's not got the firepower to help you focus on the thing that you need to do right now. [S2] Right. | 16.4 | 3.068394 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232543.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232544 | [S1] Wow, that makes so much sense. I didn't understand the fact that when estrogen declines, that all of the symptoms that I was feeling, that that has to do with hormone fluctuation. What's interesting is if you were to start tracking your cycle, which everybody should do- [S2] Mm-hmm. [S1] ... you would probably, ov... | 26.84 | 3.367233 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232544.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232545 | [S1] ... of the month. And when you start to feel a little foggier, when you start to feel more irritable, when you start to feel more bloated, you might notice more headaches, you might notice, which then allows you to be more compassionate with yourself. [S2] Mm-hmm. [S1] Because I think knowing this, it will probabl... | 24.96 | 3.368239 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232545.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232546 | [S1] When you feel the symptoms, you think, "Something's very wrong with me." [S2] So, estrogen's an anti-inflammatory hormone. [S1] When you doctors say anti-inflammatory, I really don't know what you mean. [S2] Sure. [S1] And it seems like everything is inflammatory these days. And so, you have such a freaking unbeli... | 26.12 | 3.46885 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232546.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232547 | [S1] Well, it's easiest to think about it in terms of acute and chronic inflammation. [S2] Okay. [S1] Acute inflammation, everybody knows. You got a virus, you twisted your ankle, you stepped on a nail, you, you know, it's the- [S2] I don't know what that means. [S1] ... body's response- [S2] Okay. [S1] ... to an acute... | 28.76 | 3.37659 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232547.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232548 | [S1] Goes on alert. [S2] Okay. [S1] Make this stop. We need to fix it. So it rushes blood flow so things get red and swollen. It pumps fluid in the area to try to wall off whatever this invader is. [S2] Mm. [S1] Your white blood cells, which are in, in infection fighters and, and inflammation, those are all in pro-infl... | 23.04 | 3.486986 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232548.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232549 | [S1] ... inflammation, a code word in medicine for your body is in an alarm state trying to address something. [S2] Yes. [S1] Okay. I think I got it now. [S2] Right. And it's all the little biological processes that make that happen. [S1] Okay. [S2] Yeah. So that's acute inflammation. [S1] Got it. [S2] Right? We need t... | 23.92 | 3.457786 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232549.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232550 | [S1] I think I just got this. Let me see if I can explain this back to you. So chronic inflammation, which you said is a sort of like something's a little off, is that feeling where you're just like, something's not right in my body. [S2] Mm-hmm. [S1] Like I just don't feel comfortable in my body. [S2] Mm-hmm. [S1] But... | 19.72 | 3.466241 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232550.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232551 | [S1] What I'm also wondering is if the female body and intelligent design of the month is designed based on cycles of estrogen in particular, and estrogen gets removed, either because of menopause or PCOS or- [S2] Surgeries. [S1] ... or surgery or whatever, that something to your body's natural process every month is w... | 28.6 | 3.392797 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232551.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232552 | [S1] ... the hell? [S2] So in the heart, let's talk about the heart. [S1] Okay. [S2] When we get to this like hyper-inflammatory state, we see palpitations, that sinoatrial node. So there's a little node, there's a little, little part of the heart where it sends out a signal to control our heartbeat. It's called the SA... | 27.28 | 3.496576 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232552.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232553 | [S1] ... to cover the cost of a lot of the diagnostic stuff that actually points to what is causing this. [S2] Medicare does not pay for a menopause visit. [S1] That's insane. [S2] Right. | 13.24 | 3.424468 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232553.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232554 | [S1] What? [S2] Yeah. Your well-woman exam. That is devolved into screening for breast and cervical cancer. That's it. You know, that 15 minutes with your legs in stirrups is not the time to, like, do a comprehensive menopause visit. So you need to schedule another visit, you know, go in with your, armed with questions... | 21.4 | 3.525881 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232554.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232555 | [S1] And it sounds like, don't call it a menopause visit. Say, I'm having lots of symptoms, but don't call it, so it gets covered. [S2] Exactly. [S1] Wow. Wow. Okay. So the heart, the lungs, how does estrogen impact- [S2] Asthma. Inflammatory disease. [S1] What? [S2] We see an increase in asthma, and actually, asthma t... | 23.36 | 3.404429 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232555.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232556 | [S1] Well, that makes sense because it's like an internal system functioning thing where the oil and the gas is no longer in the engine. [S2] Yeah. [S1] Wow. What about like your digestive track? How- | 9.8 | 3.22646 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232556.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232558 | [S1] And that accelerates in menopause. So we end up with this porous bone with holes in it, basically, that is a lot easier to fracture. Now, if you fracture your hip, so if you're 65 plus, and that is 10 years away from us, and we fall climbing up a ladder, chasing a grandbaby, hopefully, maybe one day, no pressure t... | 26.64 | 3.469298 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232558.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232559 | [S1] And if we survive- [S2] Hold on. Hold- I need everybody to hear that. This is really serious. She's basically saying bone density starts to decrease based on the decrease in estrogen. [S1] Mm-hmm. | 13.96 | 3.421642 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232559.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232560 | [S1] And aging. [S2] And aging. And that makes you more fragile and prone to having a broken bone. And she is also saying this is preventable. [S1] Mm-hmm. For most women. [S2] For most women. But if you fall and break a hip at the age of 65, 29% of you will die. [S1] In the first year. [S2] In the first year. [S1] Wit... | 25.84 | 3.402311 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232560.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232562 | [S1] And that's, that's where the work begins. [S2] Wow. All right, we've covered bones. [S1] Mm-hmm. [S2] What else? [S1] Genital Urinary Syndrome of Menopause. [S2] Okay, what is that? [S1] So that is a big mouthful. It used to be called senile vagina. [S2] [LAUGHS] [S1] That was a medical term. [S2] That sounds ugly... | 24.64 | 3.341459 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232562.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232563 | [S1] Welcome to Western medicine. [S2] Wow. [S1] In the 1950s. Then they changed it because it was so offensive, to atrophic vaginitis. Again, doesn't sound much better. [S2] No. [S1] So our genital urinary system, the bladder, the vagina, the vulva, that whole space from your pubic bone to your, to the end of your tai... | 28.16 | 3.309113 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232563.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232565 | [S1] ... just gritting her teeth through, through sex. [S2] And that is because that entire- [S1] And it's horribly uncomfortable. I'm a hiker. And so I've got to use, even with, you know, systemic estrogen, if I don't make sure that area is, is well moisturized- [S2] Right. | 15.24 | 3.304689 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232565.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232567 | [S1] ... is- [S2] Preventable. [S1] Prev- preventable. [S2] Yeah. Now, let's talk about how it can kill you. Recurrent UTIs. The bladder health, the urethra health, besides incontinence, the number one treatment for recurrent UTIs in a post-menopausal woman, the most effective treatment is vaginal estrogen, not chronic... | 21.88 | 3.412434 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232567.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232568 | [S1] This is amazing. [S2] Yeah. [S1] And it, and here's what I love about it. It makes so much sense. I love how you have explained this to us. And I also love the fact that because you've explained it this way, and because we've put it in the context of the month, and we've put it in the context of your intelligent d... | 29.64 | 3.28599 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232568.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232569 | [S1] ... where we're focused on menopause, but you can also go, "Oh, I can take this information, I can share it with my sister, my girlfriend, my roommates," so that they understand that the second half of their cycle, you're starting to experience baby symptoms, or maybe they're bigger symptoms, but that this is all ... | 29.88 | 3.502567 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232569.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232570 | [S1] Not only improve somebody's life, you might actually save somebody's life. So we're going to be waiting for you after a short break. We're going deeper into the solutions, including the three things that Dr. Haver says all of you need to be adding into your diet right now. Stay with us. Welcome back. It's your fri... | 29.88 | 3.403235 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232570.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232571 | [S1] So I like to start in the middle, 'cause there's a lot of misconception around terminology. So medically, and I think this is a problem, menopause is defined as one day in your life, one year after your last menstrual cycle. [S2] Yes. [S1] Okay. Most women know that. Everything after that is post-menopause. | 19.44 | 3.551425 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232571.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232572 | [S1] So what's perimenopause? So perimenopause, the best I can define it is, remember, we're losing o- ovarian function our whole lives from the day we're born. [S2] Yes. [S1] However, there's a point in time when your body notices. [S2] So you said that we have only 10% of our eggs left- [S1] By 30. [S2] ... by 30. So... | 21.4 | 3.148462 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232572.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232573 | [S1] It's 7 to 10 years before your period stops. So 35 to 45, perimenopause is gonna begin. You're gonna start noticing something's not right. It could be the cliche symptoms of hot flashes. You know why hot flashes define menopause? [S2] No. [S1] 'Cause you can't blame it on anything else. [S2] Oh, that's true. [S1] ... | 29.2 | 3.518269 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232573.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232574 | [S1] Oh, that's another problem. The brain is pumping hormones as hard as it can. [S2] Right. [S1] And so in that perimenopause, I call it the zone of chaos. [S2] Yes. [S1] You're squeaking an egg out now and then, but you're having massive surges of it. We'll see estrogen levels like you were pregnant with triplets. Y... | 27.84 | 3.533614 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232574.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232575 | [S1] That makes perfect sense. Because if your system is in chaos, regardless of your age, by the way. [S2] Right. [S1] But if your system is in chaos because it's having to work so hard to just do the thing that it's supposed to do- [S2] To try to do the basic biologic function. [S1] No wonder you start to feel all so... | 19.32 | 3.39739 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232575.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232576 | [S1] I'm sitting here reacting to everything that you're saying because I'm thinking, I don't even really remember anybody talking about perimenopause as anything other than your period might get irregular. [S2] Mm-hmm. [S1] But none of these other symptoms. I mean, this is very illuminating, and I feel kind of bad tha... | 29.8 | 3.398885 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232576.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232577 | [S1] ... when you're in menopause. [S2] So once those ovaries fail, and I know that term is harsh, but, you know, once the ovarian, once the eggs are gone, no more periods. You will, any vaginal bleeding after menopause needs to be evaluated by a gynecologist. There might be something wrong, okay? You should never have... | 29.8 | 3.349979 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232577.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232579 | [S1] So period of menopause is that one day where like, "Yep." It signifies your ovarian failure. You will never have another egg that's able to be fertilized again. [S2] Okay. [S1] At the end. There's no more left. [S2] Okay. [S1] So, and then for the rest of your life, you're post-menopausal. Now, some of the symptom... | 17.88 | 3.30834 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232579.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232580 | [S1] It might take several years, like the hot flashes do tend to go away. The sleep disruptions, if they're related to hot flashes and night sweats, do tend to get better. Might take seven to 10 years. [S2] Seven to 10 years? [S1] So forever. [S2] I think they should go away like, I'm thinking like a couple of weeks. ... | 14.72 | 3.368691 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232580.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232581 | [S1] I just realized I'm talking about it wrong. 'Cause I always say I'm in menopause, I'm going through menopause, I've hit menopause, and you're saying once you actually get to that date where you've had not, you haven't had a period for a year, it ain't coming back, that's menopause. But technically now, I'm in post... | 27.04 | 3.404003 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232581.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232582 | [S1] Menopause, and four of them live underwater. Beluga whales and a few, one of the killer whales. [S2] Really? [S1] So, yeah, no other mammals on land, really, that we can figure out. Maybe one giraffe. They're looking at one particular giraffe. Go- We are, like, really unique in that we have menopause. And we think... | 29.8 | 2.823287 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232582.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232583 | [S1] Okay. [S2] The ovaries can't make that anymore. Maybe a tiny bit, but really not clinically significant. Estrone, really weak estrogen. [S1] Okay. [S2] Estriol, which is created in our placentas when we're pregnant, but pharmacologists have been able to recreate it and it's used in like one or two formulations of ... | 29.88 | 3.482797 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232583.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232584 | [S1] ... one hormone replacement therapy. I'm, that's not one of my favorites. [S2] No, but I mean in your body. [S1] So your estrogen level is not zero, but your estrogi- but it's less than 1% of it was when you were 25. So let me give it to you that way. [S2] Got it. Less than 1%- [S1] Yeah. [S2] ... of what it was w... | 23.48 | 2.907178 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232584.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232585 | [S1] die without it, you'll just die faster and less healthy. [S2] And more im- miserable. [S1] Mm-hmm. [S2] Wow. I'm trying to digest this stat. I wanna make sure you didn't miss this. When you think about the estrogen levels that you have at the age of 25, you only have 1% of that- [S1] Mm-hmm. [S2] ... when- [S1] Of... | 29.2 | 3.421308 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232585.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232586 | [S1] And our march to death begins. [S2] Pff. [S1] [LAUGHS] [S2] Not anymore, Dr. Haber, because- [S1] Not anymore. [LAUGHS] [S2] ... you are here to make sure that does not happen, because we are capable of doing simple things to optimize our health- [S1] Yeah. [S2] ... and live a long and happy- [S1] Healthy life. [S... | 26.32 | 3.206514 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232586.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232587 | [S1] question. So when I'm, have patients come to me in clinic and we talk about menopause care, I do it in the form of a tool kit. [S2] Okay. [S1] We start with nutrition. We talk about movement and exercise. We talk about stress reduction, sleep optimization. Then we talk about pharmacologic options like hormone ther... | 25.72 | 3.602771 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232587.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232588 | [S1] So let's take these one at a time. [S2] Mm-hmm. [S1] Who is not a candidate for hormone replacement? | 6.24 | 3.41717 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232588.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232589 | [S1] ... therapy. [S2] Very few people, actually. There's a lot of misunderstanding and misconception around who can and can't take hormone therapy. Absolute contraindications, undiagnosed vaginal bleeding. You need to go see your gynecologist. You might need an ultrasound or biopsy. Like, if you're having undiagnosed,... | 28.84 | 3.534816 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232589.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232590 | [S1] ... shouldn't be on estrogen therapy, active blood clot, active stroke, you know, once those six month markers and, and the workup for those things have happened, it's a possibility. [S2] Okay. [S1] It's a nuanced conversation, but not an absolute contraindication. Neither is breast cancer. [S2] Wow. [S1] There ar... | 22.68 | 3.358047 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232590.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232591 | [S1] You know, you- [S2] You could be a candidate. [S1] You could be a candidate. Now, again, nuanced conversation, risks and benefits coming back and forth. [S2] Mm-hmm. [S1] A family history of breast cancer, not a contraindication. A family history of a blood clot or a history that you have of MTHFR or some of the b... | 23.6 | 3.452402 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232591.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232592 | [S1] Even if you have a history of breast cancer, that does not- [S2] 100% preclude you from having the option. [S1] Gotcha. There are ways for you, with the counsel of your physician- [S2] Right. [S1] ... to explore hormone replacement therapy, even if you have- [S2] So, the thing that a woman with breast cancer is mo... | 26.96 | 3.316247 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232592.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232593 | [S1] A lower cardiovascular disease death rate and a lower cardiovascular disease at all. Like death from cardiovascular release or, or a new, a heart attack. [S2] Wow. [S1] And let me tell you something else. [S2] Tell me. [S1] It'll blow your mind. | 12.76 | 3.424575 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232593.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232594 | [S1] So, primary prevention strategies for cardiovascular disease. So, women are given statins all the time for high cholesterol. [S2] Has never been shown to decrease her risk of cardiovascular death. [S1] Yes, in a man, but not in a woman. Ace Inhibitors, a blood pressure medication, is often recommended as primary p... | 19.56 | 3.492024 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232594.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232595 | [S1] Wow. [S2] Yeah. That's when I get mad. [S1] I can tell. [S2] What are we doing? [S1] I'm glad you're doing something. And I'm glad that you're here because when you say it like that, it's outrageous. [S2] We are more than our breasts. [S1] Like it makes you feel like we're guinea pigs. | 13.56 | 3.451743 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232595.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232596 | [S1] We are more than our breasts. [S2] Yeah. [S1] And you deserve the conversation. You deserve the option. For each woman, it is a risk to benefit ratio. I don't think every woman is going to choose hormone therapy, but I think every woman deserves the conversation based on modern medicine and what we know now. [S2] ... | 26.96 | 3.268756 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232596.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232597 | [S1] ... study, it was a little bit flawed in the way they set it up. Because the average age in this study was 62, not 50, 51, when most women will go through menopause. So they did a study that was looking at one, just one particular type of hormone therapy, primrin, which is- [S2] Okay. [S1] ... C-E-E, conjugated eq... | 26.64 | 3.472399 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232597.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232598 | [S1] And then the women with a uterus got estrogen plus a progestogen. And then the women without a uterus got estrogen only. [S2] Okay. [S1] And they, there was a placebo group in each set. [S2] Okay. [S1] Okay? And then they started them on hormone therapy, average age of 62, and then followed them. [S2] And so they ... | 19.16 | 3.408524 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232598.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232599 | [S1] Yes. [S2] So, so when they went back and stratified the data and looked at it, so what they said was, well, it doesn't really help cardiovascular disease. Well, no, because it's, by the time you're 62, and they had women in their 70s in the study, they probably already had it, you know? [S1] So is the bottom line ... | 27.24 | 3.515298 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232599.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232600 | [S1] And this is recently. Like recently, they have literally said that wasn't really accurate, it's not really true. And so the reason why it's important to say this is because there is this murmur out there that hormone- [S2] Still. [S1] ... replacement therapy is- [S2] Causes cancer. [S1] Causes cancer. [S2] Causes ... | 27.48 | 3.442729 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232600.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232602 | [S1] ... to get most of our nutrients from food. And we only supplement where there's a gap or you have an allergy, an intolerance, and then we go in from there. There are a few supplements that are non-essential nutrients that might be helpful, like turmeric, right? That's not anything we have to eat to survive, but i... | 29.68 | 3.421972 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232602.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232605 | [S1] ... or the brand names, has been studied in like SSRI-resistant depression. So antidepressant, you know, resistant depression in patients. They've added in this, it seemed to be helpful. And my patients, you know, followers, it's so helpful for sleep, anxiety, so I'm often recommending that one at night. [S2] And ... | 26.84 | 3.47354 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232605.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232606 | [S1] So, pumpkin seeds, um, spinach, you know, green, leafy greens are rich in mag- [S2] Mm-hmm. [S1] ... generally. I have a lot of lists on my website where we list all this stuff. [S2] Great. We will link to all this. [S1] Mm-hmm. [S2] And what's the third thing? [S1] So, I'm always looking at omega-3 fatty acids. U... | 29.16 | 3.395907 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232606.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232607 | [S1] So Omega-3s, if you can't get a good source of that, that's a very reasonable thing to supplement every day. One of the richest sources of that is gonna be your salmon, your mackerel, your tuna, your fatty fish. [S2] Mm-hmm. Mm-hmm. [S1] Your cold water fish. Um, and then I check a vitamin D level on every woman w... | 20.72 | 3.424865 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232607.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232609 | [S1] So if you are eating the fiber and the magnesium and the omega-3s, and you're also taking the vitamin D supplement, how do you make sure that your body can actually absorb it or that your gut health is okay? Like, do you also recommend that people take a probiotic? [S2] So I do. They've done some studies looking a... | 27.84 | 3.297034 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232609.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232610 | [S1] And there were some really positive results of, you know, it's hard to measure gut health. [S2] Yes. [S1] You know, we don't walk around with stool samples and they're counting the microbes in it, but you know when you're bloated, you know when you're having regular bowel movements, you know how you feel. When we ... | 28.92 | 3.277449 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232610.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232612 | [S1] That's part of it. Um, so we know that an independent risk factor for visceral fat deposition, what we call belly fat in layman's terms. Visceral fat means inside the, wrapping around the organs, you know, inside the abdomen. That fat is very different than the curvy fat, than subcutaneous fat. That visceral fat i... | 29.88 | 3.552404 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232612.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232613 | [S1] ... still important, but they're not the only thing. But their visceral fat levels went down. So for that reason, I'm like, eat something rich in a probiotic every day. Yogurt, miso, kimchi, whatever floats your boat. If you can't tolerate that, then you want to consider supplementing. [S2] Gotcha. Talk to us abou... | 28.24 | 3.542912 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232613.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232615 | [S1] ... you. [S2] It, I did, all of my exercise was to be thin. [S1] Yep. [S2] And to maintain a certain body shape that was part of my social currency. [S1] Mm-hmm. [S2] And if I could go back and talk to my, what I tell my children all the time, we need to w- move our bodies to be strong, not skinny. And that we are... | 29.72 | 3.505553 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232615.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232616 | [S1] Right. So we have to look at why you're having a hard time. [S2] Mm-hmm. [S1] Um, progesterone goes a long way to helping us sleep. And so estrogen leads to hot flashes and night sweats, which are completely sleep disruptive. I mean, even with hormone therapy, I still have a thermometer leg that I have to throw ou... | 29.6 | 3.515416 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232616.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232617 | [S1] Anti, yeah, sorry. [S2] Wow, that's a big one. [S1] Anti-anxiety effect. [S2] Okay. [S1] So if your sleep disruption is also ha, you're having racing thoughts at night, you can't shut that brain off. [S2] Yes. Yes. This is my daughter. [S1] Progesterone is beautiful for these women, especially in perimenopause whe... | 24.84 | 3.292255 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232617.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232618 | [S1] All right. [S2] So estrogen, progesterone. But also sleep hygiene. We can't negate the fact that we're on our phones too much at night. [S1] Mm-hmm. [S2] Blue light, not setting up an environment for good sleep, a snoring partner, especially some of us, you know, and all the things we need to do to set ourselves u... | 25.4 | 3.440858 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232618.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232619 | [S1] And I have to make that choice. I can't drink like I used to, thank God. You know, the college days. Most of the women in my practice and on social media are commenting, every time I talk about it, they're like, "Yep, gave it up. It's not worth it." [S2] If you're choosing to drink, you're choosing not to sleep. I... | 21.16 | 3.170932 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232619.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232620 | [S1] and make those choices that can lead to us having healthier lives. [S2] Well, I think that's like the really exciting thing of this. Because when you don't understand what's happening, you get stuck in this cycle of feeling overwhelmed and that there's something wrong with you and you're constantly- [S1] Your doct... | 19.76 | 3.320263 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232620.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232621 | [S1] It increases the quality of your life, and it increases your lifespan, and it increases your vitality- [S2] Yeah. [S1] ... over that lifespan. And that's why this is so important. You know, one of the greatest things about social media is that | 18.36 | 3.03721 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232621.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232623 | [S1] You don't feel alone. Of course I knew that the hot flash was from menopause. I had no idea that the brain fog was menopausal. I had no idea that, uh, some of the joint pain was an issue. [S2] Mm-hmm. [S1] And I certainly knew that the sex drive lowering was part of what was going on, but I'll tell you, it was rea... | 21.64 | 3.485527 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232623.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232625 | [S1] Yeah, I- [S2] Do I have to stop eating? Do I have to, like, exercise like crazy? D- What do I need to do? Like, what is happening? And discovering that it was menopause, it only kinda went, okay, great. But then when I went- [S1] Now what? [S2] ... to my doctor and they're like, "Oh, got- [S1] Work out more, eat l... | 29.12 | 3.154607 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232625.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232627 | [S1] That, I called the PhD nutritionist at the university I was employed at. I was like, "What the hell is going on in menopause? Because my patients can't lose it. I'm struggling. I'm starving myself. I'm working at all the time." They're like, "Yeah, there's something going on in menopause. We think it has to do wit... | 21.68 | 2.844024 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232627.mp3 | [
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bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232628 | [S1] I was like, "Whoa, whoa, whoa. Inflammation, estrogen, visceral fat. What is this visceral fat thing? No one ever taught me that in school. Whoa, whoa, whoa, whoa. My diabetes risk. Let me check my cholesterol. Holy shit, it's elevated." [S2] Yes. [S1] Like, oh my God. And then that, that's why I wrote the book, t... | 14.56 | 3.409807 | 24,000 | audio/en/bilibili_data_22095156_BV19a4y1q7Yz_p156_BV19a4y1q7Yz_p156_m4-dialogue_0232628.mp3 | [
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