The Biggest Myths About Hormone Replacement Therapy, Busted by a Nurse Practitioner

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[SPEAKER_04]: And I would have women come to me and say, you know, I just don't feel right and I was just bound by, you know, rules and regulations as far as like, oh, sorry, you're just getting older.

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[SPEAKER_04]: It's going to have to deal with it.

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[SPEAKER_04]: I have my doctorate nursing.

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[SPEAKER_04]: I am family nurse practitioner.

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[SPEAKER_04]: I own transformations while I'm spa three weeks with the pellet and I feel a hundred percent better.

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[SPEAKER_02]: And I think another question is, does estrogen cause cancer?

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[SPEAKER_03]: Hey guys, welcome back to A Skin-Based Pod.

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[SPEAKER_03]: I'm your host, Lena.

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[SPEAKER_03]: License Estition.

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[SPEAKER_03]: And today, I have Tania.

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[SPEAKER_03]: Hi, retired, um, Special Aid Pera.

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[SPEAKER_03]: Kristen, Kristen Sandborn, License Estition.

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[SPEAKER_03]: And Carrie.

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[SPEAKER_03]: Carrie Harkness, Family Nurse Practitioner.

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[SPEAKER_03]: I was, as everyone knows, I wasn't here last.

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[SPEAKER_03]: recording session, Carrie.

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[SPEAKER_03]: Let's start off.

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[SPEAKER_03]: I know you that they've met you in one podcast before, but let's just remind them about what you do.

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[SPEAKER_04]: So, Carrie Harkton's I may have my doctorate nursing I am family nurse practitioner.

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[SPEAKER_04]: I own transformations while I was bought and lease some it.

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[SPEAKER_04]: And so we offer hormone replacement therapy, colon hydrotherapy, IV therapy, and aesthetics.

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[SPEAKER_03]: So today we want to get into because y'all had a fun conversation about hormones and we had a great conversation.

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[SPEAKER_03]: We we had a net with us and it was It was actually a side of us out on that one though because when mom said you had a network home, I was like oh man Yeah, that would be a good time.

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[SPEAKER_03]: I did so we're gonna get deep dive into a little bit more about hormones and what causes that stuff

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[SPEAKER_02]: Yeah, I think that comes from a lot of questions from viewers we had asked if anybody had questions if you wanted us to bring you on a professional that does hormone replacement therapy and these are some of the questions that you were asking.

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[SPEAKER_02]: So we are going to answer those today.

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[SPEAKER_03]: So from all the time with the first one here, so what are some of the first changes in, because since we deal with skin so much, what are some of the first changes in skin that makes

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[SPEAKER_03]: of whatever's going on there.

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[SPEAKER_03]: I don't see as much as Chris and does.

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[SPEAKER_02]: I see a lot of it and I have a lot of clients that come in and their skin is dry.

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[SPEAKER_02]: They are tired.

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[SPEAKER_02]: They are worn out and they're having some of these, these other symptoms going on.

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[SPEAKER_02]: Carey, what is the,

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[SPEAKER_02]: Number one thing that you see that people come to you that are starting to go through menopause, but don't really know they're going through menopause.

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[SPEAKER_02]: What are some of those initial symptoms?

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[SPEAKER_04]: Just not feeling like themselves.

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[SPEAKER_04]: You know, that's kind of like the overall thing that they say is, I just don't feel like myself whether it's her sex drive, hot flashes and things like that.

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[SPEAKER_04]: Feeling a lot of times that's what we think about as hot flashes.

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[SPEAKER_04]: It's not always that can be brain fog, anxiety, not sleeping like I used to.

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[SPEAKER_04]: Not able to get the same,

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[SPEAKER_04]: benefits from my workouts that I did before would be dough, but you have just not feeling like themselves.

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[SPEAKER_04]: Yeah.

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[SPEAKER_04]: So then we kind of have a fill out a questionnaire and then we kind of pinpoint, okay, what does that mean and what does that look like?

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[SPEAKER_02]: I know with me that was my big thing is the brain folk and then of course hot flashes and I think just the lack of interest in just about anything and it was just like what is going on and I've done a warm-one replacement therapy in the past and then I had just lapsed it because I just got busy doing other stuff and that's when I reached out to carry and I was like, carry help me.

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[SPEAKER_02]: I've been going what I'm four or three weeks with the

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[SPEAKER_03]: I don't know why you looked at me.

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[SPEAKER_03]: I have no idea.

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[SPEAKER_00]: And go, no.

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[SPEAKER_00]: It is, it takes its toll because you don't know why what's going on.

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[SPEAKER_00]: And for me, it was the dry, creepy skin, like your skin changes a lot.

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[SPEAKER_00]: And I had a lot hair loss, brain fog, I had just multiple issues.

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[SPEAKER_00]: And I still thought, I still didn't think it was menopause because it's just not there yet.

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[SPEAKER_00]: Yeah, but it was, it was, it was a lot.

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[SPEAKER_03]: I mean, I'm not there yet, but I have a lot of clients that not lie.

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[SPEAKER_03]: I've had a couple that kind of describe what's going on in my mind.

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[SPEAKER_03]: Metapods?

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[SPEAKER_03]: They don't want to hear it.

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[SPEAKER_03]: Karen, what does it want to hear it?

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[SPEAKER_02]: How do you know that?

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[SPEAKER_02]: Oh, that's right.

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[SPEAKER_02]: What is the age that you need to start thinking about either parent metapods or metapods?

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[SPEAKER_04]: I mean, 40s is most common, but I mean, as early as 35, you know, some people start earlier than others, but I could say 40s is average, you know, when it starts.

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[SPEAKER_04]: And we were so used to waiting until it's completely depleted to try to come back from it.

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[SPEAKER_04]: Now we can try to get ahead of it and treat the symptoms.

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[SPEAKER_03]: Okay, just a quick overview of like action, pedestrian and testosterone, because we have so many that do, oh, I'm on testosterone, oh, I'm on estrogen, but it's like from what I know about hormones is like, there needs to be some kind of like e-cling out of about three.

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[SPEAKER_03]: Yeah.

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[SPEAKER_03]: And so I know, I know several are just on one, and they just kind of,

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[SPEAKER_03]: Gaze just gives like a run-out on like estrogen, progesterone, and testosterone, or what they do in the body, and like, yeah.

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[SPEAKER_04]: So I think they are best.

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[SPEAKER_04]: Like you said, being optimized together, that's when you're going to get the most benefit.

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[SPEAKER_04]: But estrogen, I like to think of skin, like we talked about dryness.

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[SPEAKER_04]: And so it can be vaginal, you know, can be overall skin health, hot flashes, night sweats, um, progesterone.

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[SPEAKER_04]: I like to think of sleep primarily and mood, and then also uterine protection.

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[SPEAKER_04]: So if you have a uterus in your own estrogen, you have to take progesterone.

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[SPEAKER_04]: And then testosterone can help with sleep, building muscle, losing body fat, kind of the brain fog.

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[SPEAKER_04]: I mean, they all works thinner justically together, but that's kind of how I like to think of them.

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[SPEAKER_04]: When I get the symptom checklist and then I kind of feel like are these estrogen dominant, are they testosterone, you know, kind of go from there?

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[SPEAKER_02]: What about if somebody has had a hystricomy?

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[SPEAKER_04]: Yeah, I mean, it's still individualized, but it kind of do they still have their ovaries, or they're still producing some hormones, so just seeing their symptoms, their quality of life, but then looking at their labs to kind of see if that supports the symptoms they're having.

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[SPEAKER_02]: Yeah, because that I had one of those questions was from a client is, you know, I've had a history rectomy, so I don't need to worry about hormone replacement therapy, but yet I have all of these symptoms, so what do I do?

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[SPEAKER_04]: Yeah, and those are the ones that we treat the most.

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[SPEAKER_03]: I say, I see a lot more people late 20s, 30s that are done having kids that went ahead and go ahead and take that out.

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[SPEAKER_03]: I'm like, have you talked to a hormone replacement therapist yet?

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[SPEAKER_03]: You really need to if you have taken those hormones out.

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[SPEAKER_03]: Even if we are just in our 20s and or 30s, more 30s, because a lot of my friends that were done having kids in their 20s, I hit a little, I think I'm going to ask Chris to this one.

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[SPEAKER_03]: As estrogen clients, what changes do you see most often in your client's skin?

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[SPEAKER_02]: Just the creepiness, the loss of hydration, and you know a lot of fine lines and wrinkles.

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[SPEAKER_02]: And you know they're coming in, they're wanting to fix the fine lines and wrinkles and they're wanting to fit.

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[SPEAKER_02]: And even pigment, I see that the lack of estrogen, you even have some additional aging.

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[SPEAKER_02]: related pigment.

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[SPEAKER_02]: And they're wanting to fix all that.

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[SPEAKER_02]: Well, you know, we can fix the symptoms, but then you've got to fix the root cause.

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[SPEAKER_02]: And so that's where I'm trying to send them out and say, okay, go talk to Carrie.

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[SPEAKER_02]: And you know, just have that conversation with her about hormone replacement therapy.

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[SPEAKER_02]: We can work on fixing the surface layer issues through laser and even, you know, send it

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[SPEAKER_02]: That's kind of what I'm seeing is I'm seeing a lot more 60 and over clients in the last six months And so we're having a lot of those type of conversations and I'm on all three of those medications So I'm on the progesterone that I take at night estrogen that I take at the morning and then that testosterone cream

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[SPEAKER_03]: You know, this might be a good question.

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[SPEAKER_03]: Kind of ask you, what is your biggest, like, I might ask it to her too, because she sees a lot of them.

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[SPEAKER_03]: But what if something you were most surprised to experience when you started your home at once, man?

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[SPEAKER_00]: The mood difference, the overall quality of feeling better, but probably the mood, not as emotional, and not as emotional as in crying.

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[SPEAKER_00]: I mean, sometimes I would cry at the drop all the half of my Ms. Anger.

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[SPEAKER_00]: I mean, it was more of an anger issue or I don't know if I would say anxiety but more anxiety was in there but more just anger like at the drop of the hat where that was an normal thing for me.

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[SPEAKER_00]: So yes, but I think being on all three medications and having my blood work drawn and checked periodically is how I know that I'm in where I need to be because I knew I wasn't after a while and then when they first took blood and said, oh, you're in menopause.

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[SPEAKER_00]: I'm like, oh.

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[SPEAKER_03]: Thank you to that.

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[SPEAKER_00]: But I was and that explained a lot of the symptoms that I was having a lot.

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[SPEAKER_02]: Yeah, I mean, my symptoms were very similar except I had the hot flashes, the night sweats.

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[SPEAKER_02]: And it was like you were laying in a pool of your mid December snow.

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[SPEAKER_03]: And she had the windows in the house.

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[SPEAKER_02]: The house is how like breathing.

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[SPEAKER_02]: Mr. Eric was in trauma.

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[SPEAKER_00]: And then a fan in the window to blow the cold air in even more our house was feeling so cold like it's yes, it's pretty miserable It's not a lot you can do to get rid of it at that point.

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[SPEAKER_02]: Oh, that sucks now I think another question to ask that I have a lot of clients asking is

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[SPEAKER_01]: Did you know that your skin naturally renews itself every four weeks?

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[SPEAKER_01]: That means those fresh new cells need the right care to make sure that they truly shine.

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[SPEAKER_01]: And to keep that radiant healthy glow, we recommend a customized skin care routine every four to six weeks.

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[SPEAKER_01]: Because consistency is where the magic really happens.

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[SPEAKER_01]: Ready to start your skin care journey, click the link in our description to book your next appointment.

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[SPEAKER_01]: Your best skin is waiting.

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[SPEAKER_02]: Now, I think another question to ask that I have a lot of clients asking is, once you do go to your specialist, there's so many different forms of hormone replacement therapy, there's patches, there are pills, there's, I chose the pellet.

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[SPEAKER_02]: What does each do in which do you prefer?

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[SPEAKER_04]: I prefer pellets because that's what I'm an expert in.

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[SPEAKER_04]: And I like that they're bio-identical.

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[SPEAKER_04]: So the molecule that they use to make the pellets is identical to what our body has.

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[SPEAKER_04]: It's plant-based, but it's identical.

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[SPEAKER_04]: So our body doesn't recognize it that's foreign.

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[SPEAKER_04]: And I like it because it's get it and forget it.

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[SPEAKER_04]: So for women, it's every three to four months.

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[SPEAKER_04]: Usually they can go four months.

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[SPEAKER_04]: Men, it's about five months.

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[SPEAKER_04]: But I like that we can place it.

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[SPEAKER_04]: And then you don't have as many like highs and lows because it's just a slow steady release.

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[SPEAKER_04]: So that's why I prefer it, but I mean, I could justify all of them.

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[SPEAKER_04]: And if somebody prefers another modality that they've had, you know, good results with, we can do that.

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[SPEAKER_04]: But I feel like with the creams and they were great, but some people don't absorb, you know, I don't know.

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[SPEAKER_04]: And then injections are sometimes highs and lows.

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[SPEAKER_04]: But again, there's some people that like them.

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[SPEAKER_04]: That's what they know.

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[SPEAKER_04]: And that's what they're used to.

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[SPEAKER_04]: And there's definitely a place for it.

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[SPEAKER_04]: But I prefer pellets.

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[SPEAKER_00]: How can you relate the pellet?

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[SPEAKER_00]: Is there a certain one of my trying to say like a specific individual like how do you know Christians may be way different than mine or mine may be off the charts and need so how do you know that we tell it so we look at I use biotein so they have a lot of evidence-based practice stuff that we look at so like age height

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[SPEAKER_04]: weight your levels and so it's gonna not be specific for you per se but like your age you're weight your height your symptoms and all that is taken to consideration to consider what dose that you need based on those levels and symptoms okay if you need you know if you feel like you don't have enough testosterone can you change that whenever you insert the next pellet okay so usually we'll check it before we start you and then two weeks before your next round we used to care

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[SPEAKER_04]: we care more about where you at when we're getting ready to treat you again.

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[SPEAKER_04]: And then we make a adjustments based off that like how were your symptoms?

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[SPEAKER_04]: Have you had any medical history changes?

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[SPEAKER_04]: And then what are your levels showing us?

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[SPEAKER_04]: And then we can go up, we can go down, or keep it the same.

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[SPEAKER_02]: And I think another question is, does estrogen cause cancer?

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[SPEAKER_04]: No.

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[SPEAKER_04]: Um, there.

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[SPEAKER_04]: There was, yeah, that study that created a lot of false controversy.

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[SPEAKER_04]: Yes.

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[SPEAKER_04]: Yes.

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[SPEAKER_04]: Yes.

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[SPEAKER_04]: Yes.

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[SPEAKER_04]: It can be protective, you know, for cancer.

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[SPEAKER_04]: So it just depends on your medical history.

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[SPEAKER_04]: And, but no, it can be protective.

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[SPEAKER_03]: That's what I was just going to say as to say it's so personal and like your medical history.

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[SPEAKER_03]: Thank you.

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[SPEAKER_03]: I've got to know your family history.

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[SPEAKER_02]: of an estrogen-infused cancer, you know, if you know that you have that in your family, then you know, you need to let your practitioner know.

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[SPEAKER_02]: If you have a history of cancer or breast cancer, whatever, let your practitioner know so that, you know, they can look and then and monitor, you close your character.

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[SPEAKER_00]: Monitor.

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[SPEAKER_02]: Yeah.

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[SPEAKER_00]: Is it just breast cancer or You know, other like uterine?

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[SPEAKER_00]: Yes, but I really is that.

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[SPEAKER_00]: So if it was a lung cancer from a parent or grandparents, they don't take that so much in consideration as they do your reproductive.

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[SPEAKER_00]: Right, interns.

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[SPEAKER_00]: You know, type things.

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[SPEAKER_00]: So that's really with that.

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[SPEAKER_00]: Okay.

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[SPEAKER_04]: Yep, but we still like to know all that.

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[SPEAKER_04]: So they, you know, because it could impact it, but generally speaking, the main one are reproductive.

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[SPEAKER_04]: Where does the pellet go?

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[SPEAKER_04]: Some cutaneous tissue.

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[SPEAKER_04]: Most of the time we'll put it in your backside.

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[SPEAKER_04]: Okay.

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[SPEAKER_04]: So if people are super active and because we recommend minimizing like glute activity for a few days So you're you know, we want that incision to heal But if they don't have any downtime, then we can put it in their flank and they just can't do like Sit up so we're Russian twists for a couple days But most people will just make a tiny incision back here and

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[SPEAKER_02]: I love the fact that I don't have to remember to put a cream on.

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[SPEAKER_02]: I mean, I'm horrible.

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[SPEAKER_02]: I forget to do, I forget to take my daily vitamins.

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[SPEAKER_02]: The pellet works really well for me so that I don't have to make sure that I'm remembering to do that.

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[SPEAKER_02]: Remember to take my supplements.

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[SPEAKER_02]: Remember to put my cranes on because I will forget.

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[SPEAKER_02]: And then I'll screw everything up.

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[SPEAKER_00]: The brain fog is still over there.

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[SPEAKER_00]: It is.

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[SPEAKER_00]: It's still here.

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[SPEAKER_03]: It's a real.

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[SPEAKER_03]: I think that's a family thing because I think I get it from more to.

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[SPEAKER_02]: No, Lena, you're just in your own world.

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[SPEAKER_02]: That too.

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[SPEAKER_03]: She just cuts a bit.

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[SPEAKER_03]: That's a good question.

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[SPEAKER_03]: Everyone, how long does it typically take before you start noticing improvements when you start HRT?

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[SPEAKER_03]: Have what we start with?

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[SPEAKER_03]: Or on HRT?

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[SPEAKER_00]: How long did it take you to really notice?

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[SPEAKER_00]: Um, I think I started to feel better.

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[SPEAKER_00]: Now, again, I had to adjust dosages for a while to get the numbers where they need it to be.

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[SPEAKER_00]: But I would say the very beginning and I did start with the patch.

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[SPEAKER_00]: and even it was a low dose, but I couldn't get the patches stay on.

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[SPEAKER_00]: It was trouble for me and may not be for other people, and then I had to put a taga dorm over it to make it stick.

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[SPEAKER_00]: But I would say once I got on the pill form of the progesterone, the estrogen, and then the testosterone cream,

14:37.043 --> 14:44.166
[SPEAKER_00]: I would say it probably took me a good month to six weeks to just feel better and I wasn't easy for you.

14:44.226 --> 14:47.867
[SPEAKER_00]: For me, but I think I was really in my numbers where everywhere.

14:48.127 --> 14:49.488
[SPEAKER_00]: She was very great.

14:49.508 --> 14:50.108
[SPEAKER_00]: I was great.

14:50.268 --> 14:51.249
[SPEAKER_00]: And they were everywhere.

14:51.269 --> 14:54.970
[SPEAKER_00]: So I think it took a lot of taking blood and seeing where my numbers were.

14:55.410 --> 14:56.851
[SPEAKER_00]: But now I feel way better.

14:57.371 --> 14:58.031
[SPEAKER_00]: Feel way better.

14:58.372 --> 14:59.512
[SPEAKER_00]: Your body needs that.

14:59.972 --> 15:02.753
[SPEAKER_00]: Even when you're going to menopause, you still need that estrogen.

15:02.773 --> 15:04.014
[SPEAKER_00]: You need that kind of stuff.

15:04.574 --> 15:09.697
[SPEAKER_00]: you need that in your body, I think, and it does help protect from negative feelings of not.

15:09.917 --> 15:12.519
[SPEAKER_02]: I usually see my facial clients every four to six weeks.

15:12.979 --> 15:20.724
[SPEAKER_02]: And if they start HRT, I can tell the next time in the four to six weeks period, you know, a total change in their skin.

15:20.764 --> 15:26.868
[SPEAKER_02]: They start having that glow back to their skin, you know, it's just the fine line and wrinkles are still there, but they're softer.

15:27.308 --> 15:28.889
[SPEAKER_02]: It's just a better health.

15:29.309 --> 15:32.251
[SPEAKER_02]: You know, there's skin just starts to reverse and start to get healthy.

15:32.271 --> 15:36.033
[SPEAKER_02]: We still have things we have to work on, but I can tell a huge difference.

15:36.473 --> 15:40.075
[SPEAKER_00]: Well, when you think menopause, you also think, oh, gosh, I bet that age.

15:40.355 --> 15:42.016
[SPEAKER_00]: Yeah, is everybody gonna start noticing?

15:42.396 --> 15:45.177
[SPEAKER_00]: Now, like, I have the gray hair, but I've had gray hair for years.

15:46.218 --> 15:53.102
[SPEAKER_00]: And I embrace that, but I had a struggle embracing the skin, not wanting the wrinkles, not wanting

15:53.910 --> 16:00.195
[SPEAKER_00]: Yeah, that kind of stuff and taking care of my skin better and thanks to Kristen and I'm amazingly Ageless and Lena.

16:00.475 --> 16:01.536
[SPEAKER_00]: So I love my facials.

16:01.736 --> 16:03.177
[SPEAKER_00]: Yeah, I love taking care of my skin.

16:03.217 --> 16:04.558
[SPEAKER_00]: That's been a big thing for me.

16:04.938 --> 16:09.662
[SPEAKER_02]: And I think another question is, wait, you know, does it affect weight loss?

16:09.722 --> 16:10.563
[SPEAKER_02]: Does it?

16:10.863 --> 16:14.405
[SPEAKER_02]: I felt like I put on pounds whenever I started going through mid-a-pause.

16:14.786 --> 16:21.050
[SPEAKER_02]: And then whenever I got on, I feel as if maybe I don't have as much gut issues since I went.

16:21.391 --> 16:22.712
[SPEAKER_02]: Does that really make a difference?

16:23.272 --> 16:31.858
[SPEAKER_04]: Yeah, so a lot of people, I mean, as, you know, your levels decline and you have a harder time losing fat and building muscle, especially around the mid-section.

16:31.878 --> 16:32.378
[SPEAKER_04]: Mm-hmm.

16:32.398 --> 16:40.223
[SPEAKER_04]: And so, you know, when people ask me, I'm going to lose weight if I go on H or T. I mean, it's not like a weight loss treatment, but it does make your body more efficient at doing what it needs to do.

16:40.283 --> 16:45.687
[SPEAKER_04]: So it definitely can improve your body composition, your ability to build muscle and lose that stubborn belly fat.

16:45.907 --> 16:46.107
[SPEAKER_03]: Mm-hmm.

16:46.207 --> 16:47.288
[SPEAKER_03]: Especially ready working out.

16:47.548 --> 16:59.457
[SPEAKER_04]: Yep, and I'll be see results faster and then just to answer like you were saying and most of my people will say when it kicks in like how long usually like seven to 10 days they will most people start to know to something but it is a continuum.

16:59.497 --> 17:05.482
[SPEAKER_04]: I mean, you might the hot flashes might get better and you're like, oh, now I'm sleeping better and then a month later now you're drives back or

17:05.942 --> 17:06.742
[SPEAKER_03]: It's like anything else.

17:06.762 --> 17:09.544
[SPEAKER_03]: When you try something new, give it, like give it time to work.

17:09.564 --> 17:10.124
[SPEAKER_03]: Yeah.

17:10.204 --> 17:12.845
[SPEAKER_03]: I don't know much stuff that is immediate.

17:13.245 --> 17:15.006
[SPEAKER_02]: And I see the sex drug.

17:15.226 --> 17:17.047
[SPEAKER_02]: Let's just talk about that for just a second.

17:17.507 --> 17:18.928
[SPEAKER_02]: You know, ladies are age.

17:19.308 --> 17:20.748
[SPEAKER_02]: You know, I know I've gone through it.

17:20.989 --> 17:22.509
[SPEAKER_02]: Tain is gone through it and that's gone through it.

17:22.609 --> 17:26.211
[SPEAKER_02]: It's just like the farther our husbands are from us, the better off for yard.

17:26.991 --> 17:29.992
[SPEAKER_02]: And you know, I know that affects them mentally.

17:30.433 --> 17:33.034
[SPEAKER_02]: But what does that ever come back?

17:33.154 --> 17:35.715
[SPEAKER_02]: Or is it just something that we have to start to live with?

17:36.227 --> 17:37.889
[SPEAKER_04]: Yeah, do you feel like you got better with pellets?

17:38.930 --> 17:39.310
[SPEAKER_00]: Not yet.

17:39.330 --> 17:42.013
[SPEAKER_03]: OK. Well, I guess I are family trees.

17:42.153 --> 17:43.414
[SPEAKER_03]: There's not much there anyway.

17:44.415 --> 17:44.836
[SPEAKER_00]: I do.

17:45.096 --> 17:46.097
[SPEAKER_00]: I've noticed a difference.

17:46.337 --> 17:48.700
[SPEAKER_00]: So my drive is back, but it's not.

17:50.582 --> 17:54.165
[SPEAKER_00]: It's not where it was before all this menopause stuff started happening to your body.

17:54.225 --> 17:55.767
[SPEAKER_00]: But I will say minus bad.

17:55.787 --> 17:58.590
[SPEAKER_02]: I think it may be because we're not as mad all the time.

17:58.890 --> 18:22.638
[SPEAKER_00]: The true and so at the drop of a hat you're mad no matter they could just look at you wrong and that was part of like what do you look why why you look at me like that and he'd be like I just Was walking through the kitchen I did you know so I think once you get on that Four moon replacement whichever you choose I think you will start to feel better and feel that But you know mine's not where it was, but it's much better than where it was

18:23.328 --> 18:28.791
[SPEAKER_04]: I have a lot of people that do have a significant increase in their sex drive.

18:28.811 --> 18:30.852
[SPEAKER_04]: I mean, I've had one nurse called me Descrimes.

18:30.912 --> 18:33.914
[SPEAKER_04]: She's like, still is back.

18:34.034 --> 18:34.914
[SPEAKER_01]: Yeah.

18:35.454 --> 18:37.035
[SPEAKER_04]: How bad it was until it wasn't.

18:37.135 --> 18:40.437
[SPEAKER_04]: So, I mean, yeah, it's good to hear that.

18:40.897 --> 18:42.998
[SPEAKER_04]: So, you know, that might be a dose adjustment thing.

18:43.078 --> 18:45.080
[SPEAKER_04]: Or, you know, there's lifestyles, all kinds of stuff.

18:45.120 --> 18:49.522
[SPEAKER_04]: But hopefully it helps some, at least if not, bring it back, full circle.

18:50.396 --> 18:53.157
[SPEAKER_02]: when Mr. Eric comes to work in a good mood, then you'll know it's back.

18:54.718 --> 18:57.899
[SPEAKER_03]: You seem grumpy this new opportunity.

18:58.119 --> 18:58.799
[SPEAKER_02]: I'm just kidding.

18:58.819 --> 19:00.340
[SPEAKER_02]: Everybody's grumpy.

19:01.240 --> 19:01.860
[SPEAKER_03]: I have a hard time.

19:01.880 --> 19:06.182
[SPEAKER_03]: This is one time where I kind of feel out of place in a conversation because I don't have this yet.

19:06.202 --> 19:09.383
[SPEAKER_02]: Which by the way, though those that don't know Lena is expecting.

19:09.503 --> 19:10.804
[SPEAKER_03]: Well, I wasn't going to announce it yet.

19:10.844 --> 19:11.504
[SPEAKER_03]: Thank you, Kristen.

19:11.784 --> 19:13.665
[SPEAKER_03]: But I had to announce it because I'm the grandma.

19:13.825 --> 19:19.289
[SPEAKER_03]: So the hormones here have been, I haven't been worried as much about HRT as much as I am filled with hormones.

19:19.789 --> 19:26.053
[SPEAKER_02]: But for those viewers or listeners, in our show notes, we're going to put in how you can contact Carrie.

19:26.433 --> 19:27.874
[SPEAKER_02]: She is inly summit.

19:28.375 --> 19:29.735
[SPEAKER_02]: I'm not very far from here as a bill.

19:30.596 --> 19:37.601
[SPEAKER_02]: So if you are having some of these symptoms or looking into wanting to do some hormone replacement therapy, you can come to us at the shop.

19:37.641 --> 19:38.581
[SPEAKER_02]: We'll send you her way.

19:39.482 --> 19:40.983
[SPEAKER_02]: We'll give you your contact information.

19:42.445 --> 19:47.429
[SPEAKER_03]: And with that, do we have any last little notes to bits we want to put in here?

19:47.830 --> 19:48.170
[SPEAKER_04]: I do.

19:48.210 --> 19:52.934
[SPEAKER_04]: I mean, I just think that, I don't know, it just made me so excited because I came for family practice.

19:52.954 --> 19:58.078
[SPEAKER_04]: So I was so used to being dictated by big pharma and insurance and I would have women come to me and say,

19:58.458 --> 20:06.083
[SPEAKER_04]: you know, I just don't feel right and I was just bound by, you know, rules and regulations as far as, like, well, sorry, you're just getting older, it's going to have to deal with it.

20:06.503 --> 20:12.788
[SPEAKER_04]: And so what makes my heart happy being in this space is that I can, I mean, I really feel like I'm changing lives.

20:12.848 --> 20:24.916
[SPEAKER_04]: I know that sounds kind of cheesy, but so I've got my fire back in that, because anyway, so I just love being able to help people and I just think it's important to know that it's never too early to ask questions and you're not alone.

20:25.256 --> 20:29.118
[SPEAKER_04]: Yes, and to get your lobster on that's like, I'm just like just get your lobster on.

20:29.158 --> 20:30.399
[SPEAKER_04]: Just get your lobster on.

20:30.439 --> 20:31.839
[SPEAKER_04]: Let's get a baseline.

20:32.179 --> 20:34.601
[SPEAKER_04]: Even if you're not there yet, at least you know where you're at.

20:34.621 --> 20:36.061
[SPEAKER_04]: And then we can watch those trends.

20:36.141 --> 20:47.086
[SPEAKER_04]: But I think just knowing that, you know, anywhere from 35 and beyond getting your lobster having the discussion and then identifying what symptoms you may have that may be from.

20:48.347 --> 20:52.171
[SPEAKER_03]: The science and technology has like come so far.

20:52.191 --> 20:56.135
[SPEAKER_03]: I think HRT gets a bad rep because you know, it was just like, it's just give me extra income.

20:56.155 --> 20:56.956
[SPEAKER_03]: It's not going to do nothing.

20:57.337 --> 21:00.320
[SPEAKER_03]: That's some of the stories I've heard, but it's like, no, there's so much more now.

21:00.480 --> 21:02.002
[SPEAKER_03]: They can do so many more things.

21:02.482 --> 21:04.604
[SPEAKER_00]: Don't tell more people that you learn this.

21:04.685 --> 21:07.227
[SPEAKER_00]: In the 1800s, I still want to know what they did back then.

21:07.327 --> 21:08.068
[SPEAKER_00]: I'm from Influenza.

21:08.168 --> 21:08.629
[SPEAKER_00]: It's okay.

21:09.870 --> 21:10.612
[SPEAKER_00]: It coughed wrong.

21:10.652 --> 21:11.114
[SPEAKER_00]: But it did.

21:11.595 --> 21:12.197
[SPEAKER_00]: OK,liness.

21:12.518 --> 21:14.884
[SPEAKER_03]: Well, thank you, Carrie, for being with us today.

21:15.747 --> 21:17.331
[SPEAKER_03]: Thank you guys for hanging out with me.

21:17.371 --> 21:18.715
[SPEAKER_03]: And thank y'all for hanging out with us.

21:18.795 --> 21:20.099
[SPEAKER_03]: And we'll see you all next week.

21:20.400 --> 21:20.901
[SPEAKER_03]: Bye.