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Health & Fitness

Menopause Rescue

Dr. Polly Watson

Women may spend over a decade of their lives experiencing symptoms around menopause transition, while just over 10% of women’s healthcare professionals feel comfortable treating menopause. The conversation around menopause has evolved beyond hot flashes and night sweats to include how hormonal changes affect bone, brain, mood, heart and mental health. Midlife women can feel like they are drowning in symptoms. Many of them are not well served by health care providers who haven’t updated their knowledge on hormones since the WHI 20 years ago and influencers who are peddling potions and lotions which may not be effective. Menopause Rescue is here to give you a hand up.

I’m a board certified gynecologist with certification in menopausal medicine as well as functional medicine. My goal is to revolutionize the menopause dialogue, using the transition as a spark to ignite health promotion. Secondly, we will discuss solutions for low libido, weight gain, mood changes, brain fog, hot flashes and night sweats, insomnia and sexual pain and dive into the nuances of each topic, empowering women to determine what is uniquely relevant for them.

This podcast is for women who are curious about their health and curate a mindset around menopause as an opportunity for growth. Many of us at this time in our lives are at a high point in our relationships and our careers. We know ourselves and know how to create boundaries and have defined our values in a way that we simply didn’t have the wisdom to do in our 20 and 30s. Women in their 40s and 50s are at the perfect moment to take up some space in their lives and step into this transition with strength. Every other week we will gather to review topics that are relevant to menopause and take you behind the scenes with hormone specialists to help you cull and decipher health recommendations to find your unique solution.

  • 64 episodes
  • Updated Friday

Episodes64

  • Jan 10, 2025 · 20 min

    Breast Pain 101: Causes, Remedies, and Misconceptions

    In this episode of Menopause Rescue, Dr. Polly Watson tackles the all-too-common challenge of breast pain during menopause and perimenopause. She delves into the culprits behind discomfort, such as poorly fitting bras, weight fluctuations, caffeine consumption, and hormonal shifts. Dr. Watson provides practical solutions for alleviating breast pain, such as moderating caffeine and alcohol consumption, and incorporating phytoestrogens like flax into the diet. She also highlights the importance of consulting a healthcare provider for any concerning changes in breast health. Tune in for expert insights and practical advice to help you find relief and restore comfort. Quotes “Many women are wearing bra sizes that are not correct for them, and that’s a huge reason why they have breast pain.” “Caffeine makes breast pain worse for a lot of women, and it can take months for that caffeine effect to resolve.” “A plant-based estrogen or phytoestrogen is weaker than your body's own estrogen and can help balance either too much or too little estrogen.” Resources Hamama Microgreens Grow Kit Vitanica Breast Cycle Blend Connect with Dr. Polly Watson Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

  • Dec 20, 2024 · 27 min

    What to Know Before Stopping an Antidepressant

    In this episode of Menopause Rescue, Dr. Polly Watson discusses the systems and strategies necessary for safely weaning off antidepressants. She emphasizes the importance of collaboration with healthcare providers, the role of nutrition in mental health, and the significance of various vitamins and minerals in serotonin production. Dr. Watson provides practical advice on optimizing diet and supplements to support mental health during this transition, while also addressing the balance between holistic and conventional medicine. Quotes “If you are someone who’s benefited from antidepressants and they are working well for you, then I absolutely celebrate that.” “When you wean off the medication, your brain has not been reminded how to make serotonin and you can actually have some pretty significant withdrawal symptoms if your brain doesn't have the precursors and the cofactors that it needs to make serotonin.” “I would argue very strongly that [holistic providers] should not de-prescribe anything without communicating with the person who recommended it.” Resources Rebecca Katz Triple Triple Brittle Recipe Connect with Dr. Polly Watson Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

  • Dec 6, 2024 · 21 min

    5 Opportunities for Women to Optimize Health

    In this episode of Menopause Rescue, Dr. Polly Watson and nurse practitioner Kate Willis discuss five key opportunities for women to optimize their health, particularly during menopause. They emphasize the importance of protein intake, quality sleep, strength training, effective stress management, and thoughtful hormone sourcing. The conversation provides practical tips and insights for women to enhance their well-being and navigate health challenges during this transitional phase of life. Quotes "If you're not fueling muscle, you can't build it. We need protein to fuel muscle. And as we age, we utilize protein less efficiently, making it crucial to prioritize quality protein and the right amount." Dr. Polly Watson “When we don't sleep well, we have worse insulin sensitivity, higher blood sugars, more inflammation, and hormonal imbalances that impact overall health." Kate Willis NP-C "Stress management is like brushing your teeth—a skill to develop daily. When life throws a curveball, you'll be more resilient and able to respond better." Dr. Polly Watson Resources Protein Cheat Sheet Connect with Dr. Polly Watson & Kate Willis NP-C: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

  • Nov 22, 2024 · 21 min

    Navigating Menopause: A Guide for Partners

    In this conversation, Dr. Polly Watson and her husband Ben Watson discuss the challenges and changes that women face during perimenopause while focusing on how partners can provide support with compassion. They explore emotional fluctuations, sleep disruptions, and the importance of empathy and curiosity in maintaining a healthy relationship during this transition. Together they share personal anecdotes and practical advice for navigating these changes together, emphasizing the need for open communication and shared responsibilities. Quotes “If you're a partner and you're trying to support someone who's going through really big changes, responding with curiosity and with empathy is usually going to get you in a better situation with your family system, with your relationship with that person, better than with judgment and criticism. “ Dr. Polly Watson “We share a lot of the domestic work and have figured out over time which parts fit our temperaments. I’m quite happy to do the cleanup, and you’re in control of the creative work in the kitchen.”​ Ben Watson Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast-disclaimer

  • Nov 8, 2024 · 41 min

    Midlife Muscle with Dr. Taylor and Caroline Pope

    In this conversation, Dr. Taylor Pope and Caroline Pope, owners of Chain Effect in Raleigh, join Dr. Polly Watson for a discussion on the importance of strength training, nutrition, and stress management during perimenopause and menopause. They emphasize that individuals can continue to build strength at any age and highlight the significance of adequate protein intake for muscle development. The discussion also covers the impact of stress on sleep patterns and introduces vagal toning as a method to enhance relaxation. Additionally, they explore the challenges women face during perimenopause, including the effects of alcohol on health and sleep. Quotes “If you can maintain your muscle mass and have really solid blood sugar control, we could stop a lot of disease in its tracks before it happens.” Dr. Polly Watson “You can get stronger at any age, so unless you're at your absolute top threshold, you have a lot of room to grow in strength every single year.” Dr. Taylor Pope “You're not going to build muscle if you're not eating enough protein, enough fuel for the exercise.” Caroline Pope Links Vagal Toning Exercise handout Vagus Nerve Explained Connect with Chain Effect: Website: https://www.chaineffect.us/ Instagram: https://www.instagram.com/chain_effect/ Facebook: https://www.facebook.com/Chaineffect/ YouTube: https://www.youtube.com/channel/UCLIY-JYx9xzWSdH1TYPiA_g Podcast: https://www.buzzsprout.com/2300953 Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Oct 25, 2024 · 32 min

    What Does Your Women's Healthcare Expert Use at Home?

    In this episode of Menopause Rescue, Dr. Polly Watson and nurse practitioner Kate Willis discuss their favorite resources to support women's health during perimenopause and menopause. They explore fitness programs that emphasize the importance of mobility and injury prevention, and introduce the concept of 'exercise snacks' for daily movement. They discuss meal prep hacks for families with different lifestyle needs and the use of blood glucose monitors for metabolic health. Kate and Dr. Watson emphasize the importance of nervous system health, recommending Primal Trust as a tool for holistic well-being. They also discuss the benefits of the Femmenessence supplement and addressing vaginal health with Intrarosa. Packed with practical advice and personal insights, this episode empowers women to take charge of their health and well-being during this transformative phase. Quotes “As we're really getting stronger, we really want to make sure we're emphasizing mobility, injury prevention and just not feeling so creaky.” Dr. Polly Watson “An exercise snack is just like it sounds. It's a small bit of exercise. These are things that really we can fit in through the day.” Kate Willis NP-C “We've done all this sort of shame and blame of I'm not trying hard enough and I'm not counting my macros enough. Well, maybe the stress from all that is actually counterproductive.” Dr. Polly Watson “The longer I do this work and the more I have life experience being a human, the more I realize that our nervous systems are really, really foundational to our health and our healing. We live in a world that really assaults our nervous system on a minute by minute basis.” Kate Willis NP-C Links Movement: Evlo Fitness Katie Bowman Jill Miller Yoga Nutrition The Real Food Dieticians Nom Nom Paleo Primal Kitchen Gotham Greens Banza Pasta Lifestyle Standing Desk Riser and Walking Pad Primal Trust Femmenessence Stelo Continuous Glucose Monitor Connect with Dr. Polly Watson and Kate Willis NP-C: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Oct 11, 2024 · 27 min

    Take the Smallest Bite of the Elephant! Lifestyle Medicine for the Overextended

    In this episode of Menopause Rescue, Dr. Polly Watson discusses the importance of making small, manageable changes to improve health during midlife. She emphasizes the need to let go of perfectionism and focus on incremental progress. This conversation covers foundational aspects of health, including nutrition, movement, sleep, and stress management, while encouraging listeners to identify their unique paths to wellness. Dr. Watson also highlights the significance of setting boundaries and prioritizing self-care amidst the challenges of midlife. Quotes “Everybody's health goals don't have to look the same. We're all on this journey to get better, and your version of good could look really different than my version of good. As long as we're both moving towards our version of better, that's all that you need.” “Stress management isn't something we do only when we're feeling uptight. Stress management is one other part of how we care for our bodies and our minds so that hopefully, when life throws us a curveball, we have some tools and are more resilient to handle that change.” “Doing it all is an absolute fairy tale.” Resources Goal Setting Target Easy Food Ideas Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Sep 27, 2024 · 30 min

    End of Life Conversations with a Palliative Care Nurse Practitioner

    In this conversation, Heather Boykin joins Dr. Polly Watson to discuss the essential aspects of palliative care, emphasizing its role in improving the quality of life for individuals facing serious illnesses both for themselves and family members. She highlights the importance of advanced care planning, navigating conversations about personal preferences, and redefining hope in the context of serious illness. Heather gives practical resources for normalizing these conversations with loved ones and planning for future healthcare decisions. Quotes “A lot of people think about advanced care planning as being purely document preparation, but you know, that's only one part of it. It is really reflecting on as we ourselves get along in this journey of life, what's important to us about our medical care.” “Palliative care is a partner with you on the journey. If you have received some news that you know is going to impact your life, it is always a good time, the earlier the better.” “Embracing other ways to care for us when we're sick, redefining hope means that things like hospice or end-of-life care can become an important tool.” Links The Conversation Project - National Healthcare Decisions Day (NHDD) — April 16 Begin the Conversation: Healthcare planning Palliative Care | Serious Illness | Get Palliative Care Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Sep 13, 2024 · 19 min

    Finding Focus

    In this conversation, Dr. Polly Watson discusses the lack of focus and brain fog that many women experience during perimenopause and menopause. She explores various factors that can contribute to these symptoms, including hormonal changes, lifestyle factors, and medical conditions. Dr. Watson emphasizes the importance of addressing the basics, such as thyroid function, blood sugar levels, vitamin deficiencies, and sleep apnea. She also suggests herbal and nutraceutical options that may help improve cognitive function. This episode provides practical tips for enhancing focus and mental clarity during menopause. Quotes “Our brains are not designed to do multiple things at once. Multitasking is a myth. So many of us do much better by block scheduling. Create an environment where it's easier for you to focus.” “Reset your mind by resetting your body. That can be so powerful for women that are maybe like me, maybe a little bit type A, a little bit in your head.” “Holy Basil is neuroprotectant as well as helping with anxiety. It also is an adaptogen, meaning it helps us manage our cortisol, manage our stress a little bit.” Links https://us.fullscript.com/plans/hormonewellnessmd-finding-focus Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Aug 23, 2024 · 18 min

    Why Isn't My HRT Working?

    Dr. Polly Watson discusses why hormone replacement therapy (HRT) may stop working and explores common factors that contribute to changes in effectiveness. She highlights the impact of blood sugar fluctuations, alcohol consumption, medication formulations, liver and gut health, stress, and thyroid hormone levels on HRT. Dr. Watson emphasizes the importance of communication with healthcare providers, monitoring hormone levels, and considering lifestyle factors when experiencing changes in hormone therapy. Quotes “Blood sugar fluctuations are a huge reason why hot flashes and night sweats kind of come back.” "I think of alcohol as a special occasion thing... The metabolites of the alcohol can wake us up and can certainly precipitate hot flashes and night sweats." “If someone starts you on hormones, they need to check your estrogen and progesterone levels, and they also need to check your thyroid levels.” Links Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Aug 9, 2024 · 26 min

    Postmenopausal Bleeding

    In this episode, Dr. Polly Watson delves into the topic of postmenopausal bleeding—a common yet often stressful experience for many women. While most cases are not indicative of cancer, it's crucial to understand the potential causes and necessary evaluations. Dr. Watson provides valuable insights into the risk factors, diagnostic procedures, and ways to advocate for yourself to get the care you need and deserve. Join Dr. Polly Watson as she breaks down the essentials, providing the knowledge and tools needed to navigate postmenopausal bleeding with confidence. Quotes “The good news is that most postmenopausal bleeding is not cancer, but 90% of uterine lining cancer presents with bleeding. So if you have bleeding, we need to evaluate the health of your uterine lining to make sure we're not missing cancer.” “What is postmenopausal bleeding? Well, it's simply bleeding after not having a period for the last 12 months. Now we know that not everybody's body read the textbook, so we see a lot more postmenopausal bleeding in the early postmenopausal period.” “So if someone's healthcare provider suggests a urogenital procedure. I want you to think about how you can make that day easier for yourself.” Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Jul 26, 2024 · 32 min

    Strategies to Avoid Burnout with Dr. Lara Salyer

    Dr. Lara Salyer, a former burned-out physician turned creativity catalyst, shares her insights on preventing burnout and finding flow in life. She emphasizes the importance of setting boundaries and creating space for oneself, especially during life transitions like menopause. Dr. Salyer explains the four phases of the flow cycle (struggle, release, flow, and recovery) and provides tips on how to enhance flow and incorporate recovery into daily life. She also introduces the AHA method for setting goals, which involves anchoring to values, highlighting milestones, and activating flow enhancers. Lastly, she encourages embracing the concept of 'good enough' rather than striving for perfection. Quotes “Burnout happens everywhere, right? Dr. Polly, I mean, it is not just health care, it's firefighters, it's police, it's teachers, it's burned out as a mom, as a spouse, as a friend. I mean, burnout is a term that is the worst because it's sort of the end result of chronic stress and cortisol depletion. And it's awful. We don't want to be in burnout.” “You love being in flow. It feels good. So you don't want to break it, but we have to. We have to pause and recover and unplug and go out and touch grass and do the yoga and the breathing” “We often think of reward as like, okay, let's eat some chocolate. Let's have a glass of wine. And hello. I'm talking to you, menopausal ladies. That's no longer a good reward. Start to explore the other options for rewards.” Resources Discount code for Menopause Rescue listeners: SPECIAL for 20% off https://rightbrainrescue.com/p/reclamation Dr. Lara’s Flow Cycle PDF https://drive.google.com/file/d/1cB7eBLSzPCTDibnzPTjx1W6-JgJV_Mbm/view?usp=sharing Links Connect with Dr. Lara Salyer: Website: https://drlarasalyer.com/ Instagram: https://www.instagram.com/drlarasalyer/ Facebook: https://www.facebook.com/drlarasalyer Podcast: https://open.spotify.com/show/7d96T0XY32NxEefslXhLNo?si=28a4865894334dfa&nd=1&dlsi=65d9cfa50eb24cb0 Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Jul 12, 2024 · 27 min

    Integrative OB GYN's Insights on Hormone Replacement Therapy with Dr. Felice Gersh Part 2

    In this conversation, Dr. Felice Gersh discusses the complexities of different formulations of hormone replacement therapy (HRT) and the benefits of cycling on and off progesterone versus a continuous dose. She emphasizes the importance of considering the whole body when addressing menopause and not waiting until someone is fully menopausal to address the problem. Dr. Gersh also explains the different types of estrogen and their effects on various receptors in the body as well as the benefits of hormone therapy in terms of growth factors, immune system regulation, and cancer prevention. She highlights the need for adequate hormone dosing and the importance of shedding the uterine lining through cyclic progesterone use. Additionally, she discusses the role of lifestyle factors in achieving optimal health as well as the need for informed consent with the use of hormone replacement therapy. Quotes "We're not thinking about menopause as just our periods, right? We're thinking about estrogen and progesterone's effect on our heart, on our brains, on our bones, kind of the whole body." "Hormones are foundational, but not sufficient to healthy longevity. You still have to eat the right foods and work on fitness, sleep, stress, and environmental factors." Links Connect with Dr. Felice Gersh: Website: https://integrativemgi.com/ Instagram: https://www.instagram.com/dr.felicegersh/?hl=en Facebook: https://www.facebook.com/felicegershmd/ YouTube: https://www.youtube.com/channel/UCrbn9RUdGuc6Wq-FT7V4u3g Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Jun 21, 2024 · 35 min

    Integrative OB GYN's Insights on Hormone Replacement Therapy with Dr. Felice Gersh Part 1

    In this conversation, Dr. Polly Watson interviews Dr. Felice Gersh on the benefits of hormone replacement therapy and cardiovascular health. Dr. Gersh clarifies the difference between bioidentical hormones and non naturally occurring hormones, particularly in terms of cardiovascular health. She discusses the Women's Health Initiative study and its impact on the perception of hormone replacement therapy as well as the larger implications of how this study was designed. Dr. Gersh emphasizes the importance of proper dosing and the need for individualized hormone therapy based on the specific needs of each woman. She also highlights the lack of clinical data and the need for more research in this area. Quotes “Everyone agrees that exercise, sleep, and eating organic fruits and vegetables are good for health. It's also understood that the benefits depend on consistency and quantity, as sporadic efforts won't yield significant results.” Links Connect with Dr. Felice Gersh: Website: https://integrativemgi.com/ Instagram: https://www.instagram.com/dr.felicegersh/?hl=en Facebook: https://www.facebook.com/felicegershmd/ YouTube: https://www.youtube.com/channel/UCrbn9RUdGuc6Wq-FT7V4u3g Publication: ​​https://www.sciencedirect.com/journal/progress-in-cardiovascular-diseases Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer

  • Jun 7, 2024 · 18 min

    Psychiatrist’s Guide to Reproductive Psychiatry During Menopause - Part 2

    Navigating midlife hormonal changes requires personalized mental health strategies. In this episode, Dr. Polly Watson continues her discussion with Dr. Elizabeth Cox, a board-certified psychiatrist specializing in reproductive psychiatry from UNC Chapel Hill. With over a decade of experience, Dr. Cox highlights the critical impact of hormonal changes on women’s mental health during midlife. The episode explores the use of antidepressants for perimenopausal women, focusing on the decision-making process for pharmaceutical intervention, especially when anxiety or mood disruptions affect quality of life. Dr. Cox emphasizes tailoring treatments to each patient’s values and lifestyle goals. Addressing concerns like weight gain and sexual dysfunction, Dr. Cox suggests strategies such as adjusting medication dosages, using supplementary medications like Buspar or Wellbutrin, and exploring topical agents like CBD oil. Open communication between patients and providers is key to managing these side effects. Dr. Cox also discusses the role of genetic testing in personalizing mental health treatments, particularly for those with multiple unsuccessful medication trials or severe side effects. Her approach in reproductive psychiatry emphasizes caution, minimalism, and collaboration, creating a supportive environment for women during hormonal transitions. Quotes “If consistently you’re feeling like your anxiety or your mood symptoms are in the driver’s seat and that you’re in the back seat, just kind of like along for the ride, that feels problematic.” (03:05 | Dr. Elizabeth Cox) “The weight gain typically should be like 5-10 pounds max, more of like water weight. But that being said, everybody’s different. So I’m always open-minded here.” (08:37 | Dr. Elizabeth Cox) “What I feel from this conversation with you is this balance, this gentleness, a lot of choice, a lot of partnership, right? And I think so often women are offered antidepressant medication without a lot of this kind of more nuanced conversation and they feel like they’ve been put off and then they’re closing themselves off to something that might actually be helpful, but they have fear around it, they felt shame around it, they felt judgment around it.” (16:24 | Dr. Polly Watson) Links Connect with Dr. Elizabeth Cox: Website: https://www.resetyourhealthandwellness.com/ Instagram: https://www.instagram.com/reset_healthandwellness/ Facebook: Reset Health & Wellness, PLLC Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm

  • May 24, 2024 · 21 min

    Psychiatrist’s Guide to Mood During Perimenopause & Menopause - Part 1

    “We think that different women’s brains have different sensitivities to changes in hormones,” says Dr. Elizabeth Cox. “It’s not so much about absolute levels of hormones that we think are the issue, but the actual fluctuations and changes,” she elaborates. In this episode, Dr. Cox, alongside Dr. Polly Watson, discusses the impact of these hormonal fluctuations on women’s mental health throughout menstruation, postpartum, and menopause. Dr. Cox highlights the importance of identifying women at risk due to heightened sensitivity to these changes and advocates for preventive strategies such as lifestyle changes and therapy. The episode covers Cognitive Behavioral Therapy (CBT) for alleviating menopausal symptoms, the role of antidepressants, and the importance of cautious medication use. Dr. Watson and Dr. Cox shed light on the vital need for personalized care and encourage women to take active steps in prioritizing their health during the menopausal transition. Quotes “We think that different women’s brains have different sensitivities to changes in hormones. It’s not so much about absolute levels of hormones that we think are the issue, but the actual fluctuations and changes.” (02:18 | Dr. Elizabeth Cox) “I recommend therapy to everyone. I think it can be so nice to be able to process relationships and stressors, changes when you’re nearing that phase of life—like you’re entering a new chapter and there’s a lot to process there too. So adding in some therapy can be another wellness initiative to do.” (09:05 | Dr. Elizabeth Cox) “Some amount of anxiety is good and creates resilience and it’s part of our life and being human. I still want you to be able to feel sad sometimes if something really sad happens or to feel excited. If you feel apathetic and like a zombie and numb, you’re on the wrong medicine or you’re on too high of a dose. But you should still feel like you, but just not as stressed and your bandwidth should feel better.” (18:58 | Dr. Elizabeth Cox) Links Connect with Dr. Elizabeth Cox: Website: https://www.resetyourhealthandwellness.com/ Instagram: https://www.instagram.com/reset_healthandwellness/ Facebook: Reset Health & Wellness, PLLC Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources New Patient: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course Instagram: https://instagram.com/hormonewellnessmd Facebook: https://www.facebook.com/hormonewellnessmd YouTube: https://www.youtube.com/channel/UCG4Tw8oHGR_6wBZmXrTu9xA Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm

  • May 3, 2024 · 54 min

    Pediatrician's Guide to Preparing Parents for the College Transition

    “I retired from my pediatric practice to make a broader impact on children's wellness,” says Dr. Hope Seidel, a seasoned pediatrician and parenting coach. “I strongly believe that wellness begins at home,” she asserts. Together with Dr. Polly Watson, they address the challenges parents face as their children transition to college and adulthood, offering insights on fostering independence and resilience in young adults. Dr. Seidel focuses on critical issues affecting adolescent wellness, including the harmful effects of excessive academic and social pressures. She emphasizes the importance of self-efficacy, enabling young adults to tackle their own challenges, and equips them with essential life skills such as handling failure, being financially literate, and setting personal boundaries. Dr. Watson and Dr. Seidel address questions from listeners and provide guidance on managing complex situations like co-parenting with a difficult ex-partner, urging parents to focus on being the healthiest version of oneself so that children can recognize the difference between healthy and unhealthy parenting. Dr. Seidel advocates for transparent conversations about college costs and the necessity for children to navigate their educational journeys independently, avoiding parental interference. This episode encourages parents to support their college-aged children by fostering autonomy and carefully considering their own motivations when communicating, to avoid imposing their emotional needs on their children. Quotes “Change your narrative – that being a good parent is defined by other people in your life. We all get to decide what it means for us and we don't want to have our kids be accountable for our feelings of adequacy as parents. It's not their job to make us feel like good parents.” (04:55 | Dr. Hope Seidel) “When it comes to life skills, we grossly underestimate what our kids can do or should do. We pressure them to excel in this kind of hyper-competitive world, thinking that that's the way to success. Frankly, we're teaching them that's the way to success. Then we sometimes don't teach them the basic skills that truly fuel the capacity for self-efficacy. We interfere with their building blocks of feeling self-confident. Self-efficacy is the belief in your ability to complete your own tasks, to reach a goal, to be able to manage your own situations.” (06:54 | Dr. Hope Seidel) “When I really feel sad, I look at my kids' life through their lens, of all that's possible, which is sometimes all that's ending. I can feel so much hope when I can look at it through what they have to look forward to. I would recommend you do that with your kids. Their life is full of possibility and excitement right now. We don't want to steal that from them while we're dealing with our own kind of emotional stuff as we figure this time out.” (49:57 | Dr. Hope Seidel) “Our kids are going to live different lives than ours if we're doing it right. They are going to learn to trust a compass that's their own, not ours. They are going to be exposed to things that they have to figure out how to navigate because we won't always be there. The better we get at providing them with that opportunity, with this soft place to land on the other side, the greater their capacity for success. (51:34 | Dr. Hope Seidel) Links Connect with Dr. Hope Seidel: Learn more about Dr. Seidel: www.parentwithhope.com Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm

  • Apr 19, 2024 · 26 min

    Glucose Control: Why Is Glucose Control So Important in Midlife Health?

    “Glucose impacts everything,” says Kate Willis, a nurse practitioner certified in functional medicine from the Institute for Functional Medicine. Alongside Dr. Polly Watson, she discusses glucose control for midlife women's health. This episode uncovers the foundational role of glucose in energy regulation, mood stability, mental clarity, and the avoidance of long-term health risks such as metabolic syndrome, cancer, heart disease, and neurocognitive disorders. Kate brings her expertise to the forefront, explaining the complexities of insulin resistance—a condition in which the body requires more insulin to process glucose, potentially leading to serious health complications, including inflammation, weight gain, and an increased risk of cardiovascular disease. She highlights a common but often overlooked issue for women undergoing perimenopause and menopause: the changing dynamics of carbohydrate processing. This sheds light on the necessity of lifestyle and dietary changes to maintain optimal insulin sensitivity, emphasizing the pivotal role of nutrition in managing these transitions. Dr. Watson and Kate advocate for the use of continuous glucose monitors (CGMs) as a safe and informative tool for patients to gain a deeper understanding of their metabolic health. This is especially beneficial for those struggling with weight issues, PCOS, or who are at risk of developing prediabetes. They assert that CGMs enable patients to proactively manage their health during the challenging midlife years. Furthermore, they stress the importance of incorporating a nutritional perspective into glucose management, aiming for a holistic approach that encompasses dietary adjustments to ensure the best possible health outcomes. Quotes "We have glucose receptors all over our body. Our glucose levels impact how we feel and how we stay healthy as we age." (01:30 | Kate Willis) "One of the things that happens during perimenopause and menopause is we tend to develop some relative insulin resistance. This does not mean that every woman who is going through menopause will develop type 2 diabetes or need medication. But it does mean that we will have a shift in the way that our bodies handle carbohydrates. We may need to make some changes in our lifestyle, our diets, or the way we exercise to really support being insulin sensitive." (05:06 | Kate Willis) "When we're having a lot of ups and downs with blood glucose levels, a CGM can be a great tool to clue us into why we may feel tired at certain times of the day." (08:44 | Kate Willis) "To be able to see in real time what food is doing to your blood sugar level is very powerful. I think that data helps inform change and helps fuel change for many people." (13:10 | Kate Willis) "I think about women who are struggling with their weight, women who are struggling with things like PCOS. We know there's often some insulin resistance that is going along with PCOS. For people who are having trouble identifying what to eat, and what nutrition plan works for them, blood sugar is not the only thing we look at when we're choosing a food plan or choosing nutrition, but it certainly is part of the equation. And so, I think it's helpful to give people a tool to use to help navigate their food choices." (19:09 | Kate Willis) Links Connect with Kate Willis: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Meet Kate Willis: https://hormonewellnessmd.com/kate-willis Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm

  • Apr 5, 2024 · 28 min

    Weight Gain in Midlife - Part 2

    "Midlife women are often caught up in a sea of symptoms," says Dr. Polly Watson. "Too often, they're overwhelmed by the lack of support from mainstream healthcare. They're inundated with so-called experts who are selling solutions which may lack credibility." Dr. Polly addresses the common mistakes and misconceptions related to weight gain in midlife women. She emphasizes the importance of personalized approaches to health and weight loss, debunking the myths of calorie restriction and macro tracking as universal solutions. Highlighting the importance of adequate protein intake, Dr. Polly cautions against the pitfalls of excessive fasting and alcohol consumption. She highlights the often underestimated impact of stress hormones, exercise habits, and sleep quality on managing weight during menopause. By exploring ways to balance life's stressors, Dr. Polly encourages her listeners to tune into their bodies and adapt their health strategies accordingly. She provides practical advice on evaluating the effectiveness of weight loss efforts, which includes tracking sleep patterns and leveraging technology such as continuous glucose monitors and the innovative Lumen device. This episode is a call to action for women in midlife to prioritize self-care, acknowledge their distinct health needs, and eliminate unnecessary stressors. By making informed health decisions in consultation with healthcare professionals, they can go through a more personalized journey towards achieving optimal health and weight management during menopause. Quotes "Fasting can have a lot of benefits, but I think that many people do well with short periods of fasting and times where they're allowing themselves to eat more. We're encouraging metabolic flexibility." (03:22 | Dr. Polly Watson) "A lot of women struggle with stress hormones which promote weight loss resistance. When our cortisol is high, we're going to become more insulin resistant. We're going to kind of get that SpongeBob SquarePants look–the belly fat look. We all need to have active stress management." (06:16 | Dr. Polly Watson) "I've seen plenty of women end up being depleted and exhausted by constant restriction. To make matters worse, as they continue to restrict and restrict, they're often not losing just fat mass, but they're also losing lean muscle mass because they're eating so much less; they're not eating enough protein and they're too tired to exercise. So if they do lose weight, they end up being less metabolically healthy than when they started because they've lost lean muscle. Your body is smart. As you continue to restrict calories, your body will adapt to use less fuel. So calories in, calories out isn't good science. It's not true. And eventually it can often lead to you gaining more weight back because you're less metabolically healthy when you started." (11:50 | Dr. Polly Watson) "There are some simple things we can look for that can help give us clues if we're being a little too intense and we're pushing too hard. The first one's really basic. I would say: “what's going on with your sleep? Are you sleeping through the night? Do you wake up feeling refreshed?” A lot of times when we start restricting carbs, when we start doing a lot more fasting, sometimes sleep gets disrupted. So if you're really struggling with sleep after starting a new health-promoting behavior, I would argue that sleep is probably one of the most important things we can do for our health." (20:00 | Dr. Polly Watson) "Give yourself permission to find a solution that works for you and give yourself permission not to keep beating your head against the wall and really pushing harder and harder and harder with something that may not be working. Maybe the solution is to do less." (26:51 | Dr. Polly Watson) Links Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm

  • Apr 5, 2024 · 20 min

    Weight Gain in Midlife - Part 1

    At a point in a woman's life when balance seems like it should come effortlessly, menopause introduces complexities that can tip the scales. Dr. Polly Watson tackles the common issue of weight gain during menopause—a concern for many, despite their best efforts at maintaining a healthy lifestyle. Dr. Polly explains the hormonal upheavals that lead to increased insulin resistance. This shift predisposes the body to store glucose as fat, especially around the abdomen. It is further exacerbated by factors such as sleep disruption and stress, making the weight management journey more challenging. Highlighting the importance of muscle mass in energy expenditure, Dr. Polly advocates for a combination of adequate protein intake and resistance training. She delves into the complexities of maintaining metabolic rate during menopause, emphasizing that the focus should extend beyond achieving a specific physique to fostering a body that’s strong and resilient. In part two of the discussion, Dr. Polly will delve into the many pieces of weight management advice found on social media and various media outlets. She aims to provide a discerning look at common weight loss recommendations, evaluating their potential benefits and pitfalls to guide listeners toward a personalized approach to maintaining their health. Quotes "We're living in a culture that promotes thinness as health, which is actually not often accurate. Our goal should be metabolic health. So what does that mean? Metabolic health means that your body has normal blood pressure, normal triglycerides, normal lipids, normal blood sugar, and your waist circumference is less than 34.6 inches in women. So when I'm thinking about health promoting behaviors at midlife and menopausal transition, I'm thinking about resolving insulin resistance, maintenance and promotion of lean muscle mass, quality sleep, diverse exercise with an emphasis on lifting heavy weights and doing the mobility work so we don't get injured, an anti-inflammatory diet, and fulfilling social connections." (04:46 | Dr. Polly Watson) "Sleep disruption is another huge reason why midlife women are gaining weight. And we see sleep disruption affect weight at a lot of moments in the reproductive life cycle." (08:19 | Dr. Polly Watson) "Women who are having hot flashes, night sweats, sleep disruption, and who are getting less than six hours of sleep a night have a much more difficult time losing weight than women who are getting adequate restorative sleep." (08:56 | Dr. Polly Watson) "As we age, we are losing muscle mass each year. And as our lean muscle mass goes down, our metabolic rate goes down because muscle burns more energy than fat. So this is one thing that makes me so crazy is that a lot of times I see women restricting, restricting, restricting, and they're not eating enough protein. And so they're really promoting loss of lean muscle, which if they do lose weight on that very restrictive plan, they're gonna end that plan less metabolically healthy than they started. And they're more likely to gain all the weight back and then some because they have less muscle mass than when they started." (13:41 | Dr. Polly Watson) "Understanding some of the hormonal effects that affect our whole body will really help give you the tools to feel like you have a little bit more control over what's going on with your health." (18:53 | Dr. Polly Watson) Links Connect with Dr. Polly Watson: Website: https://hormonewellnessmd.com/podcast Resources: https://hormonewellnessmd.com/podcast-resources Disclaimer: https://hormonewellnessmd.com/podcast#Disclaimer Podcast production and show notes provided by HiveCast.fm