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Maryann Jacobsen is a registered dietitian with a master’s degree in nutrition. She has extensive experience with developmental stages, researching health topics, and writing. She’s also a forward-thinker who realizes that when it comes to aging, midlife doesn’t get nearly the attention it needs – and for the past five years, she’s been working to change that.
Maryann has a common-sense, independent thinking approach; she dives deep into research to uncover innovative and original insights. I feel like she’s my soul sister when it comes to these things, and the way the narrative is being crafted around perimenopause and menopause, in particular.
Her goal is for every woman to have the basic knowledge she needs to make informed health decisions. We cover a lot of ground here: including the role of hormones, the significance of micronutrients like iron and choline, nitric oxide's impact on health, and the necessity of a holistic approach to manage symptoms. The episode also sheds light on how lifestyle changes can enhance the effectiveness of hormone therapy and addresses commonly overlooked issues such as sleep-disordered breathing and its impact on health during midlife.
Topics covered:
Why it’s not as simple as “eat right and exercise” in midlife The risks of drinking while taking hormone therapy (that no one is talking about) All the things that are more interesting than hormone therapy Resistance breathing for reducing inflammation and other benefits The overlooked (and vital role) of nitric oxide All the ways to increase your nitric oxideHormone therapy, sure, but have you heard about beets? Pycnogenol Nasal breathing, headaches and sleep apnea The mixed results of hormone therapy Sunlight The nuances of post-menopause estrogen productionWhy we both are reticent about going estrogen Why beets aren’t much help for vaginasWhere to find Maryann and Midlife Strong:
Substack: Midlife Strong
Instagram: Midlife Strong
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In this solo episode, Hotflash inc podcast host and founder Ann Marie McQueen writes down all the questions she has about hormone therapy (and what we hear about hormone therapy).
This is a long time coming: she's been researching perimenopause, menopause and women's midlife health for 5+ years now.
Settle in. And if you have any questions of your own, use that handy text message feature and send them our way.
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Dr Amy Divaraniya is the CEO and Founder of Oova, a leading women’s health platform known for its physician-backed fertility and perimenopause at-home hormone monitoring. Oova empowers people to take control of their hormone health from their first period and to their last and beyond. Prior to founding Oova, Dr. Divaraniya spent 10 years as a data scientist, leading and publishing research in personal genomics and biomarker discovery.
We talk about the pressing issues and misconceptions surrounding perimenopause and fertility, shedding light on the importance of hormone monitoring and personalized health care. Together, they highlight the generational shift in women demanding better understanding and treatment for perimenopause while emphasizing the critical aspects of hormone balance, the interplay of fertility and perimenopause, and the future of personalized medical treatments in women's health.
Topics covered:
02:04 Fertility and hormone monitoring
04:47 Understanding hormonal cycles
08:21 The role of ovulation
10:20 Perimenopause data insights
15:45 Testing for perimenopause
19:45 Understanding progesterone and estrogen balance
20:16 Navigating perimenopause and IVF
21:15 Future of perimenopause and menopause treatments
22:08 Clinical research and data in women's health
23:22 Personalized medicine for perimenopause
25:55 Fertility concerns and technological advances
27:51 Hormone tracking and testing
32:40 Survey insights on perimenopause
38:15 Final thoughts and podcast disclaimer
Check out Oova's The State of Perimenopause Report.Find out more about Oova on their website.
Follow Oova on Instagram.
Connect with Amy on LinkedIn.
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If there is anything I like people going through peri menopause to know, if there's anything I'd like you to know, it's that no matter what route you take, no matter how you feel physically, the very best thing you can do emotionally and spiritually is to begin the painful, healing, scary, but fruitful reckoning with your past so you can properly face your future.
The transformative minefield for that, for me. And I want you to be able to experience this too. Let me get you started with my I forgive you letter to myself.
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In this episode, the focus is on the transformative journey of Rebekah Brown, a narrative research specialist and founder of the vibrant midlife community and supplement brand Liminal (formerly MPowder). Rebekah discusses her personal experiences with perimenopause and the physical and emotional transitions it entails. The conversation delves into the importance of addressing stress, sleep issues, and the rebranding journey from MPowder to Liminal. Topics such as hormone therapy, societal narratives surrounding menopause, the challenges of midlife, and the benefits of naturopathic practices like herbal remedies, acupuncture, and yoga are covered. Emphasis is placed on the collective wisdom and agency of women, the impact of societal constructs, and the need for a nuanced, science-based discussion around hormonal health. This episode highlights the significance of storytelling, community, and the blending of traditional and modern medical approaches to empower women navigating this stage of life.
Highlights:00:31 Rebecca's menopause journey
03:48 Launching and rebranding a company
07:38 The importance of community and research
11:44 Navigating health narratives
21:56 The role of journalism in female health
24:40 The menopause supplement market: A reality check
25:48 Emerging trends and innovations in menopause supplements
26:41 Navigating the noise: identifying quality products
27:54 The complexities of botanical health claims
29:21 The role of botanicals in menopause
32:18 The importance of regulatory change
34:54 Personal experiences with botanicals
41:04 Naturopathy and menopause: a holistic approach
44:43 Advice for women struggling with perimenopause
50:20 What's next for LiminalLinks:
Website https://mpowder.store/
Instagram https://www.instagram.com/mpowderstore
Facebook https://www.facebook.com/mpowderstore/
LinkedIn https://www.linkedin.com/company/mpowder
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This podcast was originally posted in November 23, 2023.
Dr June Chin knows about pain and how to treat it on the deepest levels: from her own experiences that started in her teens years and through to that of patients.She’s an integrative medical cannabis physician and has spent more than20 years working in holistic medicine.
She is currently a professor at New York University and Syracuse University teaching Cannabis Health and Science, Vice Chair for the Cannabis Advisory Board for the New York State Office of Cannabis Management and Chair of the Health, Safety and Research Committee for New York State’s Office of Cannabis Management. She is the author of the book Cannabis and CBD for Health and Wellness and founded and operated seven bicoastal integrative cannabis medicine clinics in California, New York, and Connecticut.
Her training includes studying nutritional biochemistry at Cornell University, osteopathic medicine at Touro University, medical acupuncture at Harvard University, and research at Columbia University, Center for Complementary and Alternative Medicine in Women’s Health.
Through her work as a clinician, professor, and author, she has created medical protocols for the industry and internationally accepted methods for cannabinoid formulations, research, education, and training programs. She is also the chief medical officer for NNABI.
Highlights:
The personal experience that drew her to holistic medicine, and cannabis in particularThe 101 on our endocannabanoid system The different forms of cannabis – and how CBD is different The interplay between CBD and hormone therapyThe intersection between perimenopause and the endocannabanoid system?How specifically can cannabis and CBD help Her work with the startup NNABI, which is providing a CBD solution for perimenopauseHer take on some of the other alternative, plant-based medicines and psychedelics being developed to treat peri/menopauseHer top advice for women in perimenopauseWhere to find Dr Chin:
IG: @nnabi.life @drjunechin
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This podcast originally ran on October 21, 2023.
This week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital’s NHS Foundation Trust and an associate professor in Women’s Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media.
He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.
Highlights of our discussion:
Hormone therapy (HT) 101WHI: good, bad and what we can learn from it 20 years onEstrogen in the pill vs estrogen in HT All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiolGetting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country Pharmaceutical company produced HT vs compounding pharmacy versionsthe big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendationsthe pill, HRT and breast cancer riskwhy problems with the pill don’t get flagged and HRT does Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)What’s what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)how long you really need to take HRT to see if it’s workingwhy HT works for some people and not othersDr Talaulikar’s favourite non-hormonal treatmentsWhere to find Dr Talaulikar:
X: @VikramSinai
Web: Menopause Clinic London
Menopause Research and Education Fund
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FULL DISCLOSURE: Jen and I recorded this interview last year. Almost a year ago. It was and is so important to me that I am sharing it with you now, with Jen’s blessing. (It fell into the “I took a short break to build my business and then my dad died suddenly” gap. You know the one ;)
Anyway, Jen is a very hardworking, accomplished entrepreneur and champion of midlife women. She runs the Jen Marples Agency and her goal is to help women over 40 get seen, heard, paid and to make an impact. She’s also the host of The Jen Marples Show: You’re Not too F***ing Old (soon to be called just You’re Not Too F***ing Old). We talk about it all: why you need to find supportive groups and new tribes (and what to do when yours isn’t working), ending friendships, dealing with ageism and the profound beauty and peace that comes with middle age and menopause. Jen believes you have to be a strong advocate for your own health. And she shares her own challenging journey, with endometriosis, IVF, perimenopause/massive burnout and ultimately reclaiming her vitality through rest, reinvention and getting her sleep back through the power of hormone therapy (thanks for delaying your nightly progesterone wind-down for us, Jen! The episode also touches on the essential book The Upgrade by neuroscientist Dr Louann Brizendine and offers advice on how and why you need to prioritize health care, making investments even when it’s not covered by insurance.
01:42 The power of language
03:00 Challenging ageism
05:41 Embracing midlife
10:06 Financial impacts of ageism
12:15 Navigating negative programming
26:15 Dealing with friendship loss
28:46 Navigating toxic relationships
29:44 Embracing new friendships
32:08 Perimenopause and Burnout
35:42 Hormone therapy journey
39:29 Advocating for women's health
49:59 Starting over at midlife
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Joe Sealey is a former UK footballer who is married to UK businesswoman Nicole, and they are both cast members of The Real Housewives of Cheshire. He's also comforting and cracking men and women alike up with his ongoing commentary on living with a woman in menopause. Joe jokes a lot, but he also gets serious about the challenges and changes experienced during Nicole's perimenopause and menopause, the importance of communication between partners, and how the couple navigates their journey together. Joe also offers some solid menopause tips for men and women alike.
Find Joe on:
TikTok @Joe_Sealey
Instagram @JoeSealey
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Hotflash inc founder and host Ann Marie McQueen talks about the first-ever perimenopause month, Hot Flash Day (courtesy of Stripes) and the annual meeting of The Menopause Society of North America.
She talks about sleep, hot flashes, weird quirks of research; hypnosis and cognitive behavioral therapy. Some new numbers on how many women in the US are taking hormone therapy (it’s way less than you think) and asks why only estrogen is considered hormone therapy. She talks about three of her best friends, who were transformed by exogenous hormones. And she talks about her own spiritual awakening through menopause, which sounds annoying but hopefully is not.
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Today Hotflash inc founder Ann Marie McQueen is speaking with a board-certified gynecologist whose surgical career was focused on fibroids and endometriosis before she discovered her love for functional medicine and holistic therapy and discovered what it could do for women struggling with menopause, hormones and wellness. Dr Masghati, who offers virtual consults worldwide in four languages, talks about treating patients from Lebanon to the Philippines, about the balance of estrogen and progesterone, the role of testosterone, the relevance of detoxification, ADHD in midlife, why some people want compounded hormones and why no matter what, we all need individualized treatments. The conversation also delves into the misconceptions about hormone therapies, such as pellets, and how to support women as they undergo psychological and physical changes.
01:59 Dr Masghati’s journey to holistic medicine
03:35 Understanding hormonal imbalances (and estrogen dominance, even if you call it something else)
03:56 Global perspectives on women's health
06:02 Environmental factors affecting hormones
10:27 The importance of progesterone
17:58 Challenges in hormone treatment
20:02 The role of functional medicine
29:03 Liver health and hormone balance
34:11 Thyroid and insulin resistance
34:44 Liver detox and macronutrients
35:13 Hormones and sleep
36:12 Diet and exercise tips
38:28 ADHD and hormonal changes
41:19 Managing ADHD symptoms in perimenopause
47:29 Hormone therapy options
52:07 Risks and side effects of hormone therapy
57:55 Hormones and disease prevention
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In part 2 of her interview with Buff Bones' Rebekah Rotstein tells Hotflash inc founder Ann Marie McQueen about the complexities of health during perimenopause and menopause, highlighting the importance of both mineral density, muscles, tendons, collagen and fascia.
She outlines the Buff Bones comprehensive exercise plan to hit all the targets in a week, emphasizing personalized care and the importance of mobility and motor control exercises. They explore the impact of collagen, estrogen and (briefly) progesterone on bone health and dive into the fascinating role of fascia in the body's connective tissue system – and in menopause.
02:01 Building bone and muscle through menopause
04:38 The importance of mobility
07:03 Collagen and bone density
09:40 Hormone therapy and bone health
18:46 The role of fascia in health
NB: These episodes were recorded in late 2023.
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In this episode, host Ann Marie McQueen tries to explain her long and convoluted relationship to and quest for hormone therapy.
This is an episode about her experiences, made more complicated by living abroad, reluctant doctors and by years spent wandering in a wilderness of emotional and physical symptoms no one could explain.
Until everything blew up. And let's not forget the gut issues.
In it you will see that even with all her resources, and a global platform all about menopause and midlife, Ann Marie is still trying to find the right recipe for her. The search continues.
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In this episode, host and Hotflash inc founder Ann Marie McQueen interviews Rebecca Rotstein.
Rebekah is the founder of Buff Bones, a medically endorsed exercise method for bone and joint health with on-demand classes and trained instructors in more than 30 countries. Rebekah is a former ballet dancer who has trained athletes and deeply studied the body, including cadaver dissections, along with coursework and fascia research, somatic studies, and visceral manipulation.
She serves on bone health working groups in the US, contributing to their recommendations. She's a Pilates teacher, advocate and well-known speaker.
Part 1 of this conversation delves into into the intricacies of bone and joint health, sharing evidence-based studies that emphasize the need for high-intensity exercise to increase bone density after menopause. They discuss societal misconceptions, the importance of understanding one's body type, the critical roles of muscle tension and gravity in bone health, and the impacts of early life habits on long-term bone health.
Next week in Part 2: What you do to keep your bones, muscles, tendons and fascia strong.
NB: These episodes were recorded in late 2023.
02:52 The Importance of bone health
04:00 Research and misconceptions in bone health
05:49 Backlash and misunderstandings
10:46 Rebekah's personal journey with osteoporosis
19:03 The interconnectedness of bones and muscles
33:14 Preventing bone problems from early life
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Hotflash inc founder and host Ann Marie McQueen sits down with Dr Leigh Erin Connealy, a leading figure in integrative medicine, known for her unique approach in combining conventional and alternative treatments in addressing chronic illnesses and cancer. Dr Connealy is the founder of the Center for New Medicine and the Cancer Center for Healing in Irvine, California and author of two books: The Cancer Revolution and the Be Perfectly Healthy. She is also co-founder of leading hormone brand, Raena Health.
She talks about why so many people are getting cancer, how to make chemotherapy more effective and less lethal, why prevention needs to be the focus. For Dr Connealy, the question we need to be asking: what is going on with your terrain, and why is it making cancer? Everything from the food we eat to the chemicals we surround ourselves with to the emotional work we aren’t doing is causing this. And find out what she thinks our number one risk is – why and what we can do about it. (It’s probably not what you are thinking)
Dr Connealy wants us all to know that in most cases, cancer is 10 years in the making. She has really good guidance for women considering hormone therapy, explaining the differences in synthetic hormones and the importance of the “orchestra”, including progesterone and pregnanalone, and more than one kind of estrogen. She explains why there is no one solution that fits all women – even though that’s what mainstream medicine wants us to believe – and gives guidance on the particular cocktail, with tweaks, that she likes to prescribe. She also gives her take on whether hormone therapy prevents cancer – its worth listening to the end just to hear what she has to say about that – and addresses that ongoing fear women have, which is weighing our fear of breast cancer risk when considering hormone therapy.
Dr Connealy is recognized for her personalized, holistic approach. This episode is nothing short of a masterclass on how to get our inner house in order.
Highlights:
01:56 The importance of personalized medicine
02:07 The rise of chronic diseases
03:09 The need for preventive healthcare
04:44 Challenges in cancer treatment
13:08 The importance of self-care
14:40 The impact of EMFs on health
28:12 The power of essential oils
28:46 Reprogramming the mind with EVOX
29:41 Healing affirmations and subconscious reprogramming
33:37 The importance of sleep and water purification
34:14 Nourishing rour body with proper nutrition
35:01 The role of exercise and movement
35:47 Detoxification and cleasing methods
38:42 Understanding hormonal health and therapy
39:23 Personal experiences with hormonal treatments
46:10 The importance of individualized hormonal care
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This week Florida orthopedic sports medicine surgeon Dr Vonda Wright published a review paper Climacteric, the journal of the International Menopause Society, introducing Musculoskeletal Syndrome of Menopause. The paper has been shared widely across social media, and this interview with Dr Wright is an edited version from last year diving into Dr Wright’s efforts to create awareness of this constellation of muscle and joint problems experienced during perimenopause.
This is an issue close to Dr Wright’s heart: it was the first thing she went though in perimenopause.
Listen in as she explains why MSM is her mission, just what happens to our bones and muscles as we get older, and delves into the need for proper diagnosis and preventive measures such as exercise and diet, and the importance of estrogen in maintaining bone health.
1:33 Why she’s back
2:45 Musculoskeletal Syndrome of Menopause
3:46 Personal experiences and reflections
4:09 Understanding bone health
12:22 The importance of mobility
22:15 Diet and supplements for bone health
26:58 Hormone therapy and long-term health
31:05 Her words of hope
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In this mini solo episode, recorded in August 2023, Ann Marie shares her first insights into what being in menopause will be like.
Spoiler alert: It's good. Maybe not worth it. But very good.
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You may have been hearing a lot about testosterone lately – what it is, why we need it, why we can’t get it… I’ve gone to Melbourne, Australia to ask an expert in women’s hormones across our lifespan, and one of the few people who has studied testosterone in-depth.
Professor Susan Davis is a clinician researcher, consulting endocrinologist and head of the Monash University Women’s Health Research Program in Melbourne.
She is going to help us to tackle the current confusion – and hype – over testosterone, armed with what she knows best: the evidence. We talk about it all: tthe evidence, benefits, and potential misconceptions about testosterone supplementation for women, especially during menopause and perimenopause; the difficulty in measuring testosterone accurately, the placebo effect, risks and benefits of different hormone therapies, including testosterone pellets and creams, and the critical importance of credible sources of information. Professor Davis also highlights her extensive research, including studies on the cardiovascular effects of low testosterone and the physiological impacts on women's health.
03:38 Testosterone's role in a women's hormone structure
06:35 Challenges in measuring testosterone
19:50 Testosterone and cardiovascular health
30:02 The misleading promises of testosterone therapy
32:55 The controversy surrounding pellets
36:17 Breast cancer risks and hormone therapy
40:15 Testosterone for menopausal symptoms
42:12 The role of DHEA in hormone therapy
44:49 The impact of birth control pills
46:26 Navigating hormone therapy and misinformation
50:50 Current research and future directions
53:33 The Influence of social media on health information
56:10 Conclusion and credible resources
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Dr Bibi Ayesha Lockhat is a Traditional Arabic and Islamic Medicine (TAIM) Specialist practicing in the Middle East at Zulal Wellness Resort at China Som – Qatar, the only place in the in the world to be reviving this traditional holistic healing system.
She holds two degrees from The University of The Western Cape (UWC), a Bachelor of Complementary Health Sciences and a Bachelor of Complementary Medicine with a Major in Unani Tibb Medicine.
TAIM dates back to 1025, the Greek philosophers, Muslim physician Ibn Sina and his famous The Canon of Medicine. The crucial difference is the focus on balance over the Western tendency to suppress symptoms.
She tells us what TAIM is all about, how it works with prophetic foods mentioned in Quranic scripture, why it’s crucial in diagnosis and subsequent therapy, and we all might want to learn about how it works based on four humors and six lifestyle factors to fuel physis – our body’s own innate ability to heal itself.
She talks about how TAIM relates to, incorporates and differs from other practices, such as Traditional Chinese Medicine, Auyrveda and Western medicine. And then there is her TAIM-based approach to midlife imbalances of the body and acceleration of inflammatory process – for men in andropause and women in perimenopause – using lifestyle interventions, which is dramatically different that what we hear in North America. (She might have used the phrase “tunnel vision”.)
She believes TAIM as crucially important in both diagnosis and subsequent therapy and is well-versed and knowledgeable on several ‘hands-on’ therapies, such as massage, acupressure, aromatherapy, and therapeutic cupping. She enjoys offering and treating patients/guests with an extensive range of natural herbal medicines registered for specific ailments.
01:37 Understanding Traditional Arabic and Islamic Medicine (TAIM)
03:11 Comparing Western, Eastern, and TAIM Approaches
05:17 Diagnostic Methods in TAIM
05:57 Identifying Humors and Constitutions
11:02 Addressing Common Health Concerns and midlife hormonal imbalances
15:28 The Role of Nutrition in TAIM
36:15 Sleep and Lifestyle Factors
41:30 The Importance of Sunlight and Environmental Exposure
44:31 Conclusion and Final Thoughts
Resources:
The Traditional Healer’s Guide by Hakim Chishti
Ibn Sina’s The Canon of Medicine
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Sjanie Hugo Wurlitzer and Alexandra Pope are pioneers in the emerging field of menstruality, which my spell check says isn’t even a word! Basically they have created a new lexicon, along with a new approach not only to our health and wellbeing, but our creativity and leadership, and our spiritual life – all based on becoming conscious of the power of monthly cycles. They are the co-founders of Red School, and co-authors of Wild Power: discover the magic of the menstrual cycle and awaken the feminine path to power . Their menopause book Wise Power: Discover the liberating power of menopause to awaken authority, purpose and belonging came out in 2022. I tried to interview them then, sent a few emails, didn’t hear anything back. And then, they wrote to me – and as you will hear, they did it right at the perfect time.
Between Sjanjie and Alexandra they have more than 45 years of experience doing this kind of work, and today they teach around the world, helping women understand that from puberty to perimenopause and beyond, we are engaged in a bio-psycho-social-spiritual process of maturing… A message that is very, very different to what most of us are used to getting.
The discussion covers the practical and cyclical nature of menopause, the significance of menstrual cycle awareness, and the power of self-care and setting boundaries. They also address the often-overlooked grief and the mental health challenges associated with menopause, emphasizing the need for community, support, and a broader societal understanding of this pivotal life stage. The episode concludes with a look at the potential of menopause as a time of personal and spiritual awakening, offering practical tips and discussing their upcoming course to help women navigate this profound transition.
00:00 Introduction to Perimenopause and Menopause
00:20 Challenges in Finding Menopause Support
00:42 The Role of MidiHealth
01:18 Personal Journey and Podcast Sponsorship
04:54 The Impact of 'Wise Power' Book
07:49 Menopause as a Transformative Experience
09:57 Cycle Awareness and Menopause
15:49 Navigating Menopause with Awareness
26:16 The Power of Menopause
37:11 Acknowledging the Struggles of Menopause
38:33 The Role of Modern Medicine
39:06 Cultural Crisis and Menopause
40:28 The Importance of Community Support
42:42 Practical Tips for Navigating Menopause
46:56 Embracing the Power of 'No'
47:36 Navigating Relationship Changes
53:26 The Psychological and Spiritual Journey
54:13 Addressing the Topic of Suicide
01:01:20 The Intersection of Menopause and Global Awakening
01:07:11 Redefining Menopause
01:11:13 Course Information and Final Thoughts
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