Avsnitt
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How can women find optimal intimacy in all stages of life, including during perimenopause? Most women experience perimenopause around their early forties, and a woman’s body goes through a lot of changes at this time, some of which greatly impact their desire to be intimate with their partners.
Taking steps early on is a woman’s best tool for navigating these changes. However, it’s important to note that the solutions for a woman in menopause are not the same as those experiencing perimenopause. While there is a decline in estrogen, testosterone, and progesterone, there is not a complete loss of estrogen.
During perimenopause, it’s not abnormal for women to act out of character or behave differently than normal. This may be due in part because estrogen is an agitating hormone—and fluctuations can have a significant impact on a woman’s life.
If you’re a woman who’s been feeling especially anxious, angry, and frustrated, having sex is going to be at the bottom of your priority list. You may also feel like your partner is the enemy as your body deals with these intense hormonal ups and downs. At the same time, you may also feel an increased craving for sweet and salty foods.
As if dealing with these changes weren’t difficult enough, changes to hormones and diet can also influence insulin resistance and weight gain, which may lead you to feel even less sexy. If you haven’t been through perimenopause yet, remember it’s something all women have to go through. Be proactive in your approach to these changes if you want to be prepared.
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If you’re a woman who struggles with pain and discomfort during intimacy, you’re not alone. There are a multitude of conditions that limit women in terms of intimacy, and they suffer in silence. In this episode, we’re diving into this topic and sharing possible solutions.
As women age and go through menopause, they experience significant shifts in their hormones. These shifts, such as the loss of estrogen, can lead to vaginal dryness and other issues of sexual dysfunction. The good news is that estrogen deficiency is easily addressed through a cream or vaginal insert.
Once a woman loses her estrogen, it does not come back. This is important to note for women looking to balance their hormones when balance is no longer an option. Once the ovaries have run out of eggs, we have to deal with the reality of final estrogen loss in women and the difficult symptoms that come along with this change.
Most women will need to try various hormone replacement methods until they find the perfect one for them. There’s no reason to fear it either. Any concern about the relationship between estrogen replacement and cancer is unfounded—cancer rates naturally rise as we get older no matter what.
If you want to restore intimacy, there is help out there. Estrogen replacement is worth trying, even if you’ve tried it before and the method you used didn’t work for you. You should feel encouraged to try a different method of delivery with a doctor who is well versed in hormone replacement therapy.
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Saknas det avsnitt?
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We’re continuing our conversation about concierge medical practices this week. There were a few reasons I decided to go with a membership practice; the first one being financial survival.
Our healthcare system has been compromised, and something has to change. Doctors have almost no choice but to go cash and stop accepting insurance or go concierge to survive. The membership fee isn’t put in place for profit, it’s there for necessity.
In an insurance-driven healthcare market, medical providers are penalized if they decide to spend a longer amount of time with patients. Providers are compensated more greatly if they see four patients over one hour, rather than seeing one patient for that full hour. This is just one example of how the healthcare industry is driven by greed.
You may have visited medical offices where the practice hasn’t invested in growing their team or adding the latest supportive technology. These are two things we do invest in to make our services the best they can be. We have even made it possible for our patients to text us so they can reach us more easily.
It’s additions like this that make it easy for patients to choose to pay the membership fee. We focus on education, but this takes an investment in training and equipping our staff with the information they need. Ultimately, only you can decide if a membership practice is right for you. If you value your health, it may be worth it to you.
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Do you know what the benefits of a concierge medical practice are? There are a few to cover for both doctors and patients. In today's economy, our purchasing power has been reduced. So, everyone wants to know: is a medical practice membership really worth it?
The simple answer is that if you can get the same services—quantity and quality—from someone else who does not require a membership, it’s not a good deal. But all medical practices are unique and will provide their own specific services. It really depends on the quality of service and the type of services you need.
Many medical practices must go concierge to keep their doors open. If you feel frustrated about not being able to afford the care you want, consider the root cause. It’s not the doctor’s fault. Behind the curtain, doctors themselves have very little options unless they want to be at the mercy of the insurance companies.
The vision for my practice has been in the works for a very long time. For 12 years, I have been building and developing my team, technology, and services while making minimal profit. I would love to be able to help my patients out of the goodness of my heart, but that’s not feasible if I want to continue helping clients achieve hormone optimization while restoring their highest level of health.
I love my job, my team, my patients, and all that we can do for them. It’s worth more than money, and it makes it easy to get out of bed in the morning. If you take anything from this episode, remember that in most cases, your doctor and their team are truly there to help you.
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Let’s get back into part two of our discussion about valuable markers to look for when it comes to anti-aging. In the first episode, we covered markers such as a cardiovascular assessment, body composition, and cancer screenings.
Both men and women should be undergoing regular colonoscopies to screen for cancer. If possible, opt for a whole-body MRI to screen for various cancers—many can be caught before they become symptomatic. There are also blood tests that can help test for cancers in the very early stages.
A bone density evaluation is also important when it comes to aging. This scan should be done as a baseline when you are 50. By testing early, you can identify your level of risk for problems down the road. For women specifically, it’s very important to do regular mammograms and annual pap tests. Men should be doing regular prostate checks.
The importance of vision and hearing testing is often overlooked, but it should also be considered as a marker of health as you age. Of course, you will have to seek an outside provider (like an ophthalmologist and a hearing specialist) to complete these exams. You may also need to seek out blood testing in separate facilities too.
This all can add additional time and effort to getting a comprehensive view of your health, which is why there aren’t many people over 50 who seek out a full view of their anti-aging markers. In our wellness exams, we take our time to cover all of the important aspects of aging. It is crucial at this age to have health professionals on your side who are committed to walking the journey with you.
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What are the most valuable things to focus on when making an anti-aging plan with your doctor? In this episode we’re discussing just that. Everyone’s body changes over time, but you can make aging easier if you get support sooner rather than later.
Over time, you may start to notice your energy levels decline—and perhaps you are softer in areas than you were before. Weight loss or even maintaining your weight becomes more difficult as we age, and your mood may also change too. Some of these changes are subtle, but they are bound to happen as a part of aging.
The most important part of your anti-aging wellness exam is the time spent assessing your current state of health. This should be a thorough interview that covers every system in the body. A comprehensive blood test should be ordered, even if you have zero signs and symptoms or generally feel great.
Your doctor should also do an in-depth cardiovascular assessment. The reality is there aren’t always signs and symptoms when you have a heart problem. Heart disease gives no warning, which is why preventative care of your cardiovascular health is essential. A cancer screening is also crucial—the statistics show that digestive cancers and respiratory cancers are the most dangerous as we age.
Abdominal visceral fat is also a key marker for wellness as we age. Your metabolic health is important too, so make healthy choices when it comes to what you include in your diet. In the next episode, I’ll share even more anti-aging markers to prioritize with your health professionals.
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Chronic stress is recognized as a major stress of disability and mortality worldwide. According to the World Health Organization, stress is a state of worry or mental tension caused by a difficult situation. Stress is a natural response, and it prompts us to take action under certain circumstances. However, when stress becomes chronic, it can be very damaging to our health.
Chronic stress is associated with many different health consequences. What you do, what you think, and how you feel when you’re stressed matters—and it greatly impacts your body. If you want to live a long life, you have to be able to manage stress when it comes up.
If you’re stressed for a long time, cortisol will be released for a prolonged duration. This can lead to adrenal dysfunction, which means your body is releasing too much cortisol or not enough. Chronic stress can also lead to maladaptive coping, for example drinking alcohol. This will negatively impact your liver, hormones, and more.
Stress zaps your energy, and it can make you feel fatigued no matter how much rest you get. It also damages and weakens your immune system, leaving you prone to illness and infections. Long-term stress damages your gut lining, resulting in a cascade of symptoms that can heavily impact your gut health, and it could even lead to autoimmunity.
Stress hurts your sleep, which keeps your body and brain from recharging when it needs it most. Chronic stress plays a significant role in the onset of serious psychiatric conditions. It can also accelerate aging. Make time for family, friends, fun, and physical activity regularly to ease your stress levels and stay healthy.
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Let’s continue our deep discussion on preparing for menopause. In part one, we talked about the changes you can expect in perimenopause and menopause, and explored the importance of awareness around this hormonal shift. In this episode, we’re exploring specific ways you can support this transition.
If you want to improve your experience going through perimenopause and menopause, you should first consider how you feel about hormones. If you think you’d like to explore hormone replacement therapy, you’ll want to align yourself with a doctor who has expertise in that area.
It’s important to remember that a loss of hormones has a significant effect on your body, whether that loss brings you to an average rate or not. Just because you still have expected rates of hormones present doesn’t necessarily mean you’re producing the optimal amounts for you.
Estrogen, testosterone, and progesterone are not dangerous. They do not suddenly cause cancer after you turn a certain age. The naysayers are usually missing out on crucial information, leaving them considerably misinformed. Hormones administered at the correct dosage and with the proper consideration for hormonal balance are perfectly safe.
So, what’s the magic hormone for menopause? Testosterone can do wonders for your mood, energy, and sex life. There are different methods you can try, and if you give it some time to get your dosing right, you could get a boost that makes you feel like you’re decades younger. Menopause can look however you want it to. The choice is yours.
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Is there such a thing as preparing for menopause? This is a topic not many people are discussing, but they should be. Menopause impacts women, but that impact will also have an effect on the other people in their lives, like their partner and children.
Many women struggle with procrastination when it comes to prioritizing themselves. However, the best thing we can do for ourselves is prepare for menopause early on so we can have the tools to make this transition easier. The first thing you need to prepare for menopause adequately is awareness. Ignoring it won’t make it go away.
Perimenopause is the transition into menopause, and it can last anywhere from two to ten years. This is when hormones decline, and so does egg quality as well as egg quantity. All women should know this, especially those in their 30s who still desire to have children. The more eggs you have, the longer you will produce natural progesterone and estrogen.
Understanding and knowing what is happening in your body is crucial for a smooth navigation through this time in your life. Perimenopause brings a lot of hormonal fluctuations, and therefore a lot of ups and downs. There will be changes to your metabolic rate, desire for intimacy, and more.
The changes in hormones can also alter the way you react to stress. In fact, one might see a possible correlation between hormonal changes in men and women and the breakdown of marriages when a couple reaches their 40s or 50s. Hormone therapy can help couples deal with some of these issues and symptoms, but lifestyle changes that support a healthy, balanced body should be the first priority.
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In this episode, we’re continuing our conversation about wellness checks in your 40s. Last time we discussed weight, height, body mass composition, and cardiovascular health. Blood pressure, specifically hypertension, is a silent killer and is another very important aspect of your health that you should know about.
Most doctor’s visits are brief. They spend about 15 minutes with you, and they may order some simple blood tests—but they don’t often invest in your longer health journey. Comprehensive wellness checks should include an in-depth analysis of all the important markers. Keep this in mind if you’re choosing a new doctor in your 40s.
Men are experiencing a low testosterone epidemic, and this is regardless of age. This is something that men in their 40s should address with their doctor. For women in their 40s, it’s common to experience perimenopause, a stage in which estrogen and progesterone production declines. Women should be able to share details of their cycle to their doctor during a visit.
If you’re overweight or obese, you’ll want to have your doctor check your fasting insulin and fasting glucose. Insulin resistance is the beginning of diabetes, and if you catch this during the pre-diabetes phase, it is reversible.
Cortisol isn’t that important to look at in your 40s unless you’re concerned about adrenal dysfunction. Many cancers manifest at this stage in life, making this a good time to be diligent and check your family history for cancer. Focus on your essential wellness markers and create a starting point so you’re walking into your 50s as healthy as you can be.
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What is important when it comes to your health in your 40s? The 40s is an important decade of life because it’s one of subtle decline; the beginning of widespread changes to come. While you might feel like you’re in good health, there are still some key things to pay attention to. The sooner you make these things a priority, the better.
In your 40s, look for a doctor that has the energy, time, and dedication to create an aging plan with you. It might cost you to find a physician that can work with you on this, but it’s worth it—especially if you can add on bloodwork that will give you even greater insights into your health status.
A health checkup at this age should include your weight, height, blood pressure, and circumference of your abdomen. It’s also critical to look at your body mass composition. If you’re avoiding having these numbers checked with your doctor, you’re choosing to stay in the dark, but it won’t change the reality you’re facing.
There are also many devices that can be used as tools to help you with anti-aging. Some of these can even help you with subcutaneous fat, which is extremely difficult to get rid of. When you’re working towards greater health, don’t get discouraged that you’re not where you want to be. Keep moving forward, because the effort you put in now counts.
For men, elevated resting heart rates is something to pay attention to. It should never be over 80. Your exercise heart rate should also be within a healthy range. Investing in your health now matters if you want to feel well in your 50s, 60s, 70s and beyond.
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In this episode we’re continuing our discussion of wellness pearls for men and women in their 30s. At this age, you should have no urinary trouble. If you use the bathroom multiple times each night, or you’re dealing with feelings of urgency, you should bring this up to your doctor. This could potentially be a urinary tract infection, which women are more likely to experience overall.
Most physicians that complete a wellness exam don’t ask about sexual health—but they should. As your doctor, they should be prepared to not only hear about any problem you have, but also be ready to guide you towards a solution. Painful sex, low sexual desire, and inability to maintain arousal are just a few symptoms you may want to discuss.
In your 30s, you should be at your peak of health. Your joints should be able to support just about any activity without limitations. An adequate amount of muscle mass at this age can also help you age more gracefully. Muscle tissue is metabolically active, so it helps you burn calories.
At this age, you’ll also want to consider the health of your skin. Your skin looks its best when your skin microbiome is healthy and your immune system is strong. Any rash at this age may indicate immune system dysfunction or possible food allergies. For many women with dry skin, the underlying cause is low estrogen.
Hair loss is another issue that is important to take note of, especially in your 30s. It could signal an issue with your hormones, your vitamins, your immune system, or your digestion. You should also have great focus and cognitive function. If you have any concerning symptoms, write them down and review them with your doctor at your next wellness check.
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What should a physician focus on when their patient is a man or a woman in their 30s? For women, their 30s set the tone for a smooth and easy—or potentially difficult—perimenopause stage. For both men and women, the 30’s should represent a peak in health.
Women who are 35 years old and above who are planning on having children should discuss this with their doctor, and the sooner the better. After this point, a woman’s eggs may be of less quality than they once were, and thus conception may be a more difficult process.
A comprehensive doctor should perform an in-depth analysis of your health at this stage, helping you discover and deal with any potential problems early on. If you’re experiencing symptoms like fatigue, insomnia, or weight changes, make sure you let your doctor know.
Whether intentionally or unintentionally experiencing disrupted sleep in your 30s, it’s important to address it as early as you can. Your sleep quality has a profound impact on your overall health, and at this stage in life it’s imperative you get the necessary duration and quality.
Intestinal health issues are another one that should not be overlooked, as these can be related to your immune system health. We have a tendency to excuse symptoms like gas and bloating as “normal,” but in reality, these issues should not be ignored. If you’ve had any nagging symptoms in your body in the last twelve months, bring them to your doctor’s attention as soon as possible.
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Many doctors and health providers of young women are overburdened and overworked. This can cause them to skim over critical aspects for their patients, so it helps to know what to ask for when a wellness check is being done. The more informed you can be as a patient, the more likely you are to receive a better experience.
Height, weight, temperature, heart rate, and last menstrual period are crucial starting points of a wellness exam. Though some of these checks, like weight, can make young women feel uncomfortable, it is imperative that they are done.
Your doctor should also do a review of all your health systems. This includes vision, hearing, cardiovascular, and joint and muscle health. If you are having any gastrointestinal issues, these should be shared with your health care provider. 80% of autoimmune issues happen in women, and they are on the rise. Telltale signs of inflammation are achiness and stiffness.
Mental health should also be covered during your health check, and you should also discuss your period. Your doctor will want to know if your period is reliable and whether or not your pain is tolerable. If you aren’t able to go to work or school during your period, it’s a sign of hormonal imbalance or disease.
We are in the midst of a fertility crisis, so if you are a young woman planning to have children, be sure to bring this up at your next doctor’s visit. A woman’s ability to have children declines in her 30s. You can ask your provider to check your ovarian reserve, which is a great indicator for ovarian health. This is especially important if you are planning to have children after 30.
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In this episode we’re addressing health in young boys and young men, including what to watch for as far as health checks. The number-one marker for wellness (in both young men and young women) is body composition. This is important to know, as more than 1 in 5 young people struggle with obesity which is associated with serious health issues.
20% of teenagers experience mental health problems in any given year. These problems are often established by age 14. It’s important to check in on the mental health of young people and intervene as early as possible. A check of the sexual organs should also be done in young men to reduce issues and ensure healthy development.
Between 15 and 20, it’s a good idea to check hormone levels as well. Certain hormones, like testosterone and thyroid hormones, play a crucial role at this time. Nutritional markers like iron, and B12 should also be monitored if possible.
Men aged 20 to 30 are affected heavily by the food habits they’ve picked up in their teen years. Health care providers should also be asking young men about their alcohol, tobacco, and drug use. They should also ask if they are sexually active and promote safe sex practices.
Digestive health issues are often overlooked in young men. Issues with bloating, heartburn, and diarrhea should be noted. The physical exam (which comes after a verbal check) should be followed by comprehensive testing, including hormone testing and sperm analysis. If a young man is going to be confident and well-functioning, healthy hormone levels are a must.
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What are the signs of health in a young woman? Each doctor may have a different approach to their wellness exams. Knowing the details of what your health provider offers can help you decide if choosing them is the right option for you. This is especially important for women, whose health needs are highly underserved.
Women are usually recommended three specific exams: breast exams, a Papanicolaou (Pap) test, and a general physical. From ages 11-16, it’s important to consider the shift in hormones happening primarily in the ovaries. The importance of endocrine disruptors from their diet and environment shouldn’t be underestimated at this time.
Young women should be educated early on about the importance of regular exercise and a healthy diet. They should also be made aware that processed foods are highly addictive. It is much easier to develop healthy habits than it is to change them later down the road.
Endocrine disruptors and some pathological issues can lead to early menarche (an early first period) in young women. An early first period is associated with mental health issues, weight issues, early menopause, and more. This is an important health marker to look for in young women.
If a young woman is struggling with their health, their doctor should check iron, vitamin D, and vitamin B12. They should also do a simple urine test to check for heavy metals. There should also be an emphasis on interpersonal skills and coping skills to help young women manage stress and feelings of overwhelm. The consequences of failing to address mental health issue at a young age will have an impact in adulthood.
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If you want to avoid spending money on costly surgeries, procedures, medications, and illnesses, choose a doctor to partner with to better your health. Be sure to pick a physician who will work with you towards your wellness goals. While it will cost money to do this, you can consider it an investment in your health.
The tests and labs your insurance usually covers are not always enough to tell your provider if there is a serious medical problem. You can have normal panels in your annual exam and still have underlying health issues. Getting a checkup 1-3 times a year is more important than anything else you could do.
You take care of your house and ensure it doesn’t get damaged. You look after your car and get it the maintenance it needs. You have home insurance, and you have car insurance—and you hope you never need it. So why wouldn’t you take these same principles and apply it to your health?
It can be frustrating to work in a system that operates slowly, and perhaps you don’t get as much time with your doctor as you’d hoped. Many doctors decide to go into private practice so that they can avoid working with insurance companies and operate with a different business model.
Medications are not magic pills designed to help you—-there is usually a price to pay in the form of serious or mild side effects. Don’t wait for disease to see a doctor. Choose a doctor who will talk to you about preventing illness, even if it means disrupting your status quo.
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How can you stay healthy in a seemingly uncaring healthcare system? While not every professional in the health space is corrupt or unwilling to help (in fact many are passionate about helping and serving others), the system at large is not designed to allow access to the best possible care.
On top of this, many of us are eating food that is overprocessed and lacking in nutrients, which contributes to a host of health-related issues including obesity, arthritis, diabetes, and cardiovascular disease. But just as food can harm you, it can also heal you. By eating healthy, colorful food you can reduce the need for medication and improve your overall health.
Change is hard, especially when your health professionals haven’t been trained in what is required to be healthy. Doctors of medicine and other medical professionals are trained in how to diagnose and treat disease, but they are not trained in the strategies necessary to avoid getting sick in the first place.
Often, doctors will prescribe medications to help combat the symptoms you're experiencing without doing a deep dive on the underlying cause. For example, if you have an autoimmune condition, you may be given medication to reduce the reaction. However, what is actually going on inside your body and with your immunity is never addressed.
According to the FDA, there are over 20,000 different prescription drugs available. The top four are statins (for cholesterol), metformin (often used for diabetes), lisinopril, and levothyroxine. Patients are led to believe taking these medications is the only way to control or support their conditions. Instead, they should be educated on how to prevent or correct diseases in a holistic way.
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Many people do not truly understand the value of their health until it’s gone. You may even be ignoring the signals your body is giving you, even though the signs may have been present for some time. Yet, when you lose your ability to function optimally, you finally have to confront the reality of your health situation.
The truth is you should value your health above almost everything in life—including your work, career, finances, and your to-do list. All the possessions you have lose their importance without your health. A healthy body is important for the healthy movement you might be taking for granted every day. For example, simply walking from A to B.
Without proper exercise, your muscles and bones will lose their strength and start to deteriorate. A lack of exercise can also affect the way your body uses nourishment and can lead to mood changes, brain fog, weight gain, and more. All exercise is good exercise, whether it’s yoga, working out in the gym, or running outside.
Exercise is important for your body, but it is also important for your brain. When you’re engaged in exercise, you become more present in the moment, which can also be great for your emotional health. Excuses will always be there, but your health won’t—so you have to make it a priority to move your body and find the right kind of exercise for you.
The best thing you can do for your health is make exercise a daily non-negotiable activity. It can help you maintain your bones and joints, grow muscle, support your heart health, and maintain a healthier hormone balance, just to name a few. Remember: your body was made to move.
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Why are Americans dealing with so many health issues, including chronic conditions and mental health issues? The first question we need to answer is this: what does it really mean to be healthy? According to the World Health organization, health is a state of complete physical, mental, and social wellbeing—not just the absence of disease.
Only 12% of adults in the US are metabolically healthy, and as a society we are getting sicker and heavier. It’s important for people to work to be at peace in their lives and within themselves. Developing healthy habits is so important for maintaining your physical, mental, and emotional health. This includes movement and healthy sleep habits.
Social isolation, domestic violence, relationship breakdowns, and work problems can impact your mental health. Aspects of our modern world, like access to technology and social media, can also hurt mental health when used incorrectly or too often.
There are five metabolic health markers you should know about: your blood glucose, your triglycerides, HDL cholesterol, blood pressure, and waist circumference. Elevated blood pressure is a major risk factor for heart and stroke, and you can have high blood pressure without knowing it. The less stress you have, the better for your blood pressure.
An increasing number of people are dealing with multiple chronic conditions. In fact, 12% of Americans have at least five chronic conditions. We need to make a change, starting with diet. We are what we eat, and you may not be eating as healthily as you think. Start there if you want to begin making changes to your health today.
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- Visa fler
