WEBVTT
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On last week's episode, I shared with you my story so far with hormone replacement therapy.
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And I've gotten so much positive, curious, interested feedback from that episode that we're gonna make a little series.
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It's a series of two, but that counts as a series.
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And today I'm pulling in an interview that I did with a very well-known OBGYN who talks about vibrant aging.
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And this is gonna go really nicely now that we're digging into this topic already.
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Let's talk about it.
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Welcome to Mind Your Midlife, your go-to resource for confidence and success, one thought at a time.
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Unlike most advice out there, we believe that simply telling you to believe in yourself or change your habits isn't enough to wake up excited about life or feel truly confident in your body.
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Each week, you'll gain actionable strategies and, oh my goodness, powerful insights to stop feeling stuck and start loving your midlife.
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This is the Mind Your Midlife podcast.
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There's no one size fits all solution to moving through perimenopause and menopause in a smooth, less bumpy, less painful, and upsetting manner.
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There's no one size fits-all solution.
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And that being said, I want you and me to be as informed as we can be.
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And so if you haven't listened to the previous episode of Mind Your Midlife, make sure that you do that.
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You don't have to pause right at this moment and go listen to that one.
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You can do it after this, but I want to make sure that you're aware they go together.
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You will see the link in the show notes, or you can just scroll right down.
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It's a previous episode.
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And listen, that's my story.
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This interview I actually recorded a while back when I was still starting to make a lot of the decisions that I was making for where I was gonna go with my story.
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And so knowing that, I think you're gonna see how I ended up where I did.
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That's why I say these two go together.
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And right now, as these episodes are releasing, it's the holiday period.
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Maybe you have a little extra time to go for a walk and have a listen.
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Maybe you need a break from whoever's at your house.
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So listen to both.
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And I also had an extra conversation with today's guest about what she actually eats because you're gonna hear us talk about healthy and anti-inflammatory eating and kind of allude to it a few times.
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We went into that in more detail, and she had some really cool advice and cool ideas and tips.
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And so that extra piece is going to be in the confidence deep dive bonus episode series this week.
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Now, this month, you may or may not know, the series is how to stop being your own worst enemy, and it comes out every Wednesday on the private podcast on Apple, or you can subscribe if you don't use Apple at CherylpFisher.com/slash bonuse episodes.
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But I'm taking a little break from that series this week, and I'm going to throw in this discussion I had with her about ways of eating in an anti-inflammatory way that could be really, really meaningful and powerful for you.
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So make sure you check that out.
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My guest is Dr.
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Prudence Hall.
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She is a pioneer in what she calls vibrant aging.
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Now, to me, vibrant aging means I can do what I want to do during this period of life.
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I can go exercise at bar class here in my neighborhood where there's lots of 20-somethings, and I can hang with them in that difficult bar class, which if you don't know what that is, it's like Pilates, sort of.
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And Dr.
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Prudence feels the same way.
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She is a physician, a gynecologist, and she believes aging doesn't mean decline, it means opportunity.
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And she uses a holistic approach, not simply a medication approach.
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She looks at sleep, movement, nutrition, optimizing hormone levels so that we can have energy, creativity, and confidence.
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All right.
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Let's keep learning more of that, right?
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She also co-authored a book with Suzanne Summers that you are going to hear about.
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Grab it from the show notes.
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And let's jump in.
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Tell us you talk about vibrant aging, and we've talked about it before we've recorded.
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And coming back to ourselves, and this is mind your midlife, so of course I'm interested in this.
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But what does vibrant aging really mean to you in practice?
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Yeah.
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Well, it means a whole bunch of things.
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But first of all, I would say there's a childlike kind of um aspect to it.
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For example, you wake up after eight hours, nine hours of deep sleep, and it's a summer's day, and you're excited and ready to play, ready to learn, uh, ready to say, hey, that's a good way of doing it rather than this way, very flexible, sort of like a child.
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And so that is uh kind of the feeling of radiant or vibrant, vibrant aging.
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And then there's on the physical level, there's the uh an absence of disease.
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So not growing old and developing heart disease and high blood pressure, dementia, autoimmunity, cancers, all you know, so many different diseases that are normally accepted as diseases of older aging.
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No, that that's optional generally, and to to not have those kind of ages, uh aging diseases are, I think is a very important part of vibrant aging.
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And then on a spiritual level, feeling connected to ourselves or to the no-self if we really exist, and to consciousness and to feel secure in uh expressing love, in giving love, which I think is the primary reason that I'm here.
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So all of those things lead to a life that's just full of uh passion.
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Joseph Campbell once said, follow your passion.
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You know, what are you passionate about?
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And that is a really important element of vibrant and radiant living.
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I agree.
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And it's interesting how life can kind of beat us down and we sort of forget about the passion part, you know, or just robots going through day after day after day.
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And even though I said, okay, that happened in the Palisades fire, okay, that happened.
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I accept that.
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Then there's all the stuff with the insurance companies that I'm still saying, okay, it just happened.
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There is a lesson in this.
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So I think approaching adversity with a sense of what is new that I needed to learn.
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Was it, you know, a non-attachment to possessions?
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Was it just, was there something better out there for me?
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And I I really am now seeing in some ways why personally my house might have built, I mean, burned and have given me a gift.
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But it's it's uh, yeah, those things arise and then we struggle with them and we work through them, and we can still be vibrant and radiant.
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And I would just throw in there that it is okay to be mad about them at first as well.
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Yeah, because if somebody's if you're listening and you're thinking her house burned and she's getting something good out of it, I'm sure that wasn't the case at the beginning.
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That was the case.
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And actually, I I'm I'm I I I actually that was the case.
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However, other things can get to me, and it's not the case.
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So I don't, I I wouldn't advise our listeners or either you or I, as you well know, to stuff emotions and say, I am not feeling this way.
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You know, it's like total grief, total loss.
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Okay, let it come through.
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That too.
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I I didn't actually feel that with the house, but it with other things, especially a loss of love, I can really feel that way.
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And then it's just like, okay, I'm surrendered to it.
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Yeah.
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Just let's work it through.
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Yeah.
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Yeah, feel it and work through it.
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Yeah, I agree.
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And I want to come back to something else you said because you said I can't remember if this was the exact phrase, but you said the absence of illness, basically.
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And I just want to say that again because it it almost feels sometimes like we think that as we get older, we're going to have chronic diseases and problems and illnesses, and that's the way it is.
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And you're saying that's not the way it is.
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That is absolutely not the way it has to be.
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So we mind the bottom line with our physicality, and that means a lot of different things.
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It's kind of a puzzle that's put together as to how do we depart, do we avoid these diseases as so many people uh have when they get older?
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And there's there's a very, I think, a clear path, and it takes some effort and it takes some knowledge, but we do not have to age with diseases.
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I everybody who's listening, hear that.
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I just like I want everybody to hear that, including myself.
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When it happens us to move it fast.
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Yeah.
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Yeah.
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We do not have to age with diseases.
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Okay, so what about some of your patients maybe who have had had either physical or kind of emotional mental concerns, kind of felt lost in midlife, and you've worked with them on this concept of vibrant aging and on the different ways that they can make changes.
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How have you seen this help them?
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Oh, uh dramatically.
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So patients will come to me with a very high cholesterol, high blood sugar, and I measure the hemoglobin A1C that's like how much uh you know sugar is surrounding the cells.
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So that's over the last four months.
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And they come with all kinds of problems hypertension, uh, autoimmune diseases, and by balancing their hormones back to youthful levels, and there are a lot of hormones that I balance, uh also setting up an exercise program or something that they love to do in terms of movement, and how to really eat an anti-inflammatory or a low inflammation, pretty low carbohydrate, natural diet, you know, from the land, pasture-raised, organic as much as possible.
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Uh Cheryl, I've seen them change from not wanting to leave the couch to being active and dancing and writing novels and traveling the world, setting up uh all kinds of um of beautiful things to help people in the world, schools for children where there's no education in some countries for children, and stopping the sex trade, you know, things like that.
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So really powerful things.
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Once we get our energy and our confidence back, and we start believing that our passion and what's actually inside of us, you know, those desires and that yearning and who we actually are, that we might be afraid to ever show anyone, once we start really working with that true being, magic happens.
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Just magic.
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Yeah.
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What do you think is the turning point for a lot of people when this kind of starts to really change things for them?
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Is it that they start eating better, they start exercising?
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I mean, probably the real answer is everything, but is there some period where it where it flips?
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Yeah, yeah.
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So I I would call the turning point for many women, rather than the misery of menopause, the magic of menopause.
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Because when you go from feeling uh fairly immense suffering and and decline in the physical body and a decline in joy and our emotions, to really feeling wonderful, 35, 30, when we had all these dreams in life.
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So that's the turning point.
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So menopause strips us of energy, health, uh, emotional well-being and balance, and a lot of other things.
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You know, we gain 30 or 40 pounds, we can't sleep, we're irritated, we're just moody as heck.
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And we take it out on our loved ones, and then we feel more and more alone.
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So isolation is a very common menopausal or perimenopausal symptom.
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And menopause starts at 44 to 48 and perimenopause at 35 to maybe 43.
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So it can start, it starts a lot earlier than when I started this work four decades ago.
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Um, and then hormones.
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That's that's why I'm still doing this, Cheryl, after four decades, balancing women's hormones because it happens so quickly.
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When you think about detoxification, you know, detoxifying the body, that's important, very important, and we do feel better, but it takes six months, eight months, rebuilding the gut, uh, you know, getting into a good exercise program and losing 30, 40 pounds, doing that.
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I mean, that really helps bring our energy back.
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But hormones affect everything, they help to detoxify us, they help to rebuild the gut, they make us want to exercise, they build muscles much more quickly.
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So I would say, and I started in different ways.
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I started saying, okay, we're just gonna work with diet.
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Now that's Jeff Bland's functional medicine approach, and it is highly effective.
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When he started out, uh, the Institute for Functional Medicine and the whole um, you know, integrated way of looking at health, they got miraculous results simply by changing the diet.
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So that's a really close second.
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I would say a first or a second, you know, eliminating the things that are causing inflammation and uh, you know, changing back to a very healthy, good, yeah, very primary basic diet.
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Yeah, yeah.
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I think you've said or referred to hormones as kind of the body's software.
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And hormones, as we know, are regulating cell function in the body.
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They're regulating everything, I dare say, in the body.
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So you're saying that when you are able to balance hormones for women, it's a really fast improvement.
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Did I hear that correctly?
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Absolutely it is fast.
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It doesn't take a week or two, but within a month, a month and a half, two months, women are saying, I definitely feel better.
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I'm sleeping deeper, the hot flushes are gone, I feel much, much better.
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If not, it's like I'm jumping back on with them, you know, more quickly because we check in at a couple of days, we check in at three weeks, we I see them at two months after the first visit.
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So if real magic is not starting to happen, I know exactly the direction to go to.
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Yeah.
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Because I look at their hormones each time, and I'm looking at all of their hormones.
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I I to me it that's such a cool answer because we're we're hit with all these things.
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This could happen and that could happen, and blah, blah, blah, blah, blah.
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But there's something out there that could make us feel better and it will happen quickly.
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Like, oh my goodness, amazing.
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And on top of it, it is a major way to prevent heart disease, hypertension.
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85% of high blood pressure comes from a meta of our metabolic diseases like high blood sugar, too much insulin.
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And 85%.
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So you change the diet, and estrogen will lower inflammation.
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It also lowers uh stress.
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Stress is a huge factor in disease formation.
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Uh, it lowers our LDL cholesterol, as well as the subparticles of LDL that are strongly associated with heart disease.
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That's LP little A and Apo B, apolipoprotein B, APOB.
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And it also, so less inflammation, less stress.
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Oh, and it lowers our blood sugar.
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So those are the core root causes of most diseases, including cancer.
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So hormones will lower all of those quite statistically, quite significantly.
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I I'm sitting here, listener, with my jaw hanging open, because I have over the past few years seen my LDL cholesterol start to go up.
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And there's no reason for that.
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I eat a very healthy diet, or at least a medium healthy diet.
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And so I found that frustrating and I refuse to take medicine for it.
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So I'm getting ready to head out on this quest to figure it out.
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And you're saying that maybe it could be a hormone balance issue.
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It frequently is.
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10% of our diseases that we get are genetic, the rest of it is lifestyle and hormonal and uh toxicity based.
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So yeah, Cheryl, I think I think that's something really worth looking at.
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Yeah, and obviously we're not giving medical advice here.
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So well, we're talking about uh trends and what we can do for ourselves to help our our bodies to grow younger and more vibrant and more healthy.
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And uh it's it's more passing on information because I think a lot of women feel, and men, I take care of men too, but as a gynecologist, it's mainly women, that I think that women feel, well, hormones are dangerous, and I'm gonna develop more breast cancer.
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Well, that was, you know, with primerin, the pregnant mare's urine, uh, and it it was not a bioidentical hormone, it wasn't our hormone, and really it was the synthetic progesterone, madroxy progesterone, that was the carcinogen, increasing breast cancer quite significantly in that study.
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But now it's we are not using those hormones.
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I haven't used those hormones for well, four decades.
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Yeah.
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Yeah.
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So, well, let's go into that a little bit because I I do think that doing an episode about this topic is kind of doing a service in the sense that a lot of women still believe or have heard, or even I feel like doctors still think that there's a lot of controversy about hormone replacement therapy or hormone therapy.
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And it sounds to me like that's not necessarily true, but maybe we just don't have the updated information out there or the updated knowledge.
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So for three decades, I was lifting this thing on my shoulders and, you know, saying it and saying it and saying it.
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And then it tipped, I would say, about seven to eight years ago, where it's like everyone woke up and said, Oh my god, there's years of literature showing how this is a way to really prevent Alzheimer's disease.
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Dr.
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Dale Bredison, brilliant, brilliant researcher.
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He headed the UCLA clinics for uh Alzheimer's disease, Parkinson's, and other forms of dementia.
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And he's personally told me, Prudence, keep prescribing that estrogen for women because it helps their brain so much.
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And testosterone for men's brains is really critical.
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So I we woke up actually as a field, you know, as a field of research and and Medical knowledge and and um clinical knowledge to to understand that if you lose all your hormones, you are going to die quickly, maybe a day that you would live.
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So when our hormones are imbalanced and these risks, these these root core causes of aging rise, it is not good.
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It is really dangerous because how many women die of a heart at a heart attack?
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Yeah, so it's the number one cause of death in women.
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And in my practice of almost 40,000 women now, I've had four heart attacks.
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Uh, no deaths, they're all alive, they're all vibrant.
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One of them probably didn't have a heart attack, so it's probably more like three.
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But that number is an extraordinary number in terms of where are all these women dying from heart attacks?
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They aren't in my practice.
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And it also has to do with eating well and exercising.
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But even people who say I'm going through a real stressful time and the eating went south, and the hormone, you know, my exercise is kind of on hold for now, they still are doing well.
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And I've had one patient with a stroke, and thank God she had that stroke.
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She lost a hundred pounds and she got married, and she is so happy.
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It was like with Ram Das, you know, he's one of the gurus of the 60s and 70s.
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He said it was a stroke of luck.
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And um, you know, I don't want anyone else to have a stroke of luck, but there's one stroke in the four heart attacks, all doing well.
00:22:06.259 --> 00:22:08.660
So, anyway, the numbers are behind that.
00:22:08.660 --> 00:22:15.860
You know, research is behind those numbers and supports this kind of happiness over hormonal balance.
00:22:15.860 --> 00:22:19.220
So I don't want women to be afraid of hormones.
00:22:19.220 --> 00:22:25.220
There's a lovely book out there to read, aside from my book, Reading Again Forever, and that's free for everybody to get online.
00:22:25.220 --> 00:22:35.460
But if if uh you are afraid, I would say that the seminal book on hormones are safe was written by Avram Blooming.
00:22:35.460 --> 00:22:37.540
And Avram was an oncologist.
00:22:37.540 --> 00:22:43.620
He recently retired at USC, that's my alma mater too for my medical school and residency in gynecology.
00:22:43.620 --> 00:22:50.740
And he says, in the book, all the studies that show that estrogen doesn't increase hormones.
00:22:50.740 --> 00:23:00.580
And he said, I mean, he says in this book, you know, all the wonderful things that are are very helpful, I think, in terms of not feeling afraid for hormones.
00:23:00.580 --> 00:23:11.779
Even he said, even if my daughter had breast cancer and now she's an approaching menopause, I would tell her that it is safe to use hormones in spite of that history of breast cancer.
00:23:11.940 --> 00:23:12.259
Wow.
00:23:12.500 --> 00:23:17.380
Now that's that has not been the standard of care.
00:23:17.380 --> 00:23:25.540
And when people come to me who have had breast cancer, I make sure that we have an excellent oncologist who says it's okay for her to take hormones.
00:23:25.540 --> 00:23:30.580
You know, the only hormone that was really implicated was progesterone.
00:23:30.580 --> 00:23:36.900
I mean, that that's a hormone that when it's a natural progesterone, it's actually preventative of breast cancer.
00:23:37.460 --> 00:23:43.380
Yes, it was the natural is good, and the progestin was the problem, correct?
00:23:43.380 --> 00:23:44.019
Exactly.
00:23:44.019 --> 00:23:45.220
Yeah, exactly.
00:23:45.220 --> 00:23:45.940
Yeah.
00:23:45.940 --> 00:23:49.940
I it's it's such a lingering misconception.
00:23:49.940 --> 00:24:06.420
And I actually a few months ago had a uh physician's assistant on the podcast, and she just really felt like there was maybe a generation of doctors out there who never got any instruction in this.
00:24:06.420 --> 00:24:12.100
And I don't know if you would agree with that because of that study that came out 20 some years ago.
00:24:12.420 --> 00:24:13.540
Yeah, 2001.
00:24:13.540 --> 00:24:24.980
And then they repeated that study without the progestin, and breast cancer was significantly, significantly lowered with women only on primerin.
00:24:24.980 --> 00:24:33.940
But still, it's not a hormone that decreases inflammation and gets the, you know, lowers the LDL cholesterol and does all of that other wonderful beneficial stuff.
00:24:33.940 --> 00:24:39.220
So yeah, I would say a lot of doctors don't know about perimenopause.
00:24:39.220 --> 00:25:03.620
And women come in and and they put them on the birth control pill, and I've measured many, many hundreds of women, probably thousands of women at this point, uh, on the birth control pill, and their hormone levels look like menopausal women, except for one hormone, that the FSH, which says that they have good amounts of eggs left, so they're fertile, but everything else looks like a menopausal woman.
00:25:03.620 --> 00:25:06.580
And they come in complaining of symptoms of menopause.
