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

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

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

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

“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

“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

“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

"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

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

Understanding the menopause transition involves addressing common misconceptions, particularly about hormone replacement therapy (HRT). Dr. Polly Watson addresses the enduring myth that associates all forms of HRT with breast cancer, tracing its origins to a misinterpretation of the Women's Health Initiative study. She clarifies the distinction between bioidentical progesterone and synthetic progestogens, highlighting their differing effects on breast cancer risk. Furthermore, she emphasizes the significance of personalized HRT protocols.

Dispelling the belief that HRT's sole purpose is to combat hot flashes, Dr. Polly delves into its FDA-approved benefits and beyond. These include easing joint pain, improving mood, supporting cardiovascular health, and preventing osteoporosis. She also addresses the crucial, yet often overlooked, aspect of vaginal health in menopausal well-being.

This episode goes further to clarify that not all HRT is created equal, distinguishing between the forms of estrogen administration and their associated risks, and debunking the common fear that HRT invariably leads to weight gain. Dr. Polly explains that menopause itself, not HRT, often triggers changes in the body that can affect weight.

Moreover, Dr. Polly explores the world of FDA-approved bioidentical hormones, debunking the myth that only compounded hormones fit this category. She offers a reality check on testosterone's role in libido and introduces promising non-hormonal treatments for those unable to use HRT due to medical reasons.

Dr. Polly encourages listeners to approach menopause armed with facts and to seek customized care from their healthcare providers.  

Quotes

• “If we're talking about hormone replacement therapy and breast cancer risk, the type of progesterone or progestogen really matters in relation to that risk.” (05:58 | Dr. Polly Watson)
• “We live in a really polluted world. There are lots of complicated facts, family history, lifestyle, alcohol use, body mass index, breast density, all of those things come into breast cancer risk. So we can never guarantee anyone, there's no risk of breast cancer, but we can make more insightful choices when we're offering hormone replacement therapy.” (06:26 | Dr. Polly Watson) 
• “It's important to understand that hormone replacement therapy is FDA approved only for four things: hot flashes, night sweats, urogenital symptoms like vaginal dryness, sexual pain, and the prevention of osteoporosis. So we know that giving estrogen, particularly earlier in the menopause transition, can delay bone loss.” (07:21 | Dr. Polly Watson) 
• “I think where I see the greatest positive health change is if we can get people to sleep, if you can treat their vasomotor symptoms and get them to be able to sleep, then they have the bandwidth to do all the work they need to lift weights, eat more protein, build more lean muscle mass, glycemically balanced nutritional load, et cetera. ” (15:05 | Dr. Polly Watson) 
• “Women need a very clear and honest conversation about sexual health and libido.” (22:23 | Dr. Polly Watson) 

Links

https://www.menopause.org/docs/default-source/professional/nams-2022-hormone-therapy-position-statement.pdf

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

What will hormone tests tell me and why is my doctor so resistant to ordering them? Dr. Polly Watson explores the complexities and controversies surrounding hormone assessment in midlife women. She addresses the frustrations many women experience when their symptoms are dismissed or when they are denied hormone testing by healthcare providers.

Dr. Polly discusses the critical role hormones like FSH, estradiol, progesterone, and testosterone play, particularly through perimenopause. She explains why a single hormone test might not provide a comprehensive overview, whereas a series of tests can guide you toward understanding and managing symptoms related to menopause. From exploring the benefits of bioidentical micronized progesterone for mood and sleep improvements to investigating the neuroprotective potential of estrogen, Dr. Polly covers ground that's often overlooked in mainstream healthcare.

This episode of Menopause Rescue shines a light on the challenges faced by women with irregular menstrual cycles, including those with PCOS or those who have undergone specific procedures. While hormone testing isn't a “crystal ball” for predicting the timing of menopause or the resolution of symptoms, a comprehensive and thoughtful approach can serve as a fundamental support for women navigating these hormonal transitions.

Quotes

• "Oftentimes women leave healthcare interactions feeling dismissed and unheard." (02:02 | Dr. Polly Watson)
• “It is appalling to me that the message many women are getting from the healthcare system is that we only are going to feel good prior to having children. And then after that, it's just downhill. And that's not acceptable.” (03:46 | Dr. Polly Watson) 
• “Many of us in perimenopause kind of feel like we're stuck in PMS. Our fuse can feel really short. Again, the world is also feeling really polarized and triggered, and so sometimes it's hard to figure out if this is hormonal or if it's just being a modern human. So hormone testing can bring a little bit of clarity if it's done correctly within some context.” (14:33 | Dr. Polly Watson)
• “Rather than just saying ‘hormones change, we don't check them,’ this is an opportunity to give some bandwidth back in a woman's life. This is an opportunity to perhaps help her sleep. This is an opportunity to give her a little bit of grace, a little bit of cushion, if you will, if she's feeling irritable and maybe she also has kids and teens who are also feeling irritable. So in my mind, not checking the progesterone or addressing the progesterone deficiency is really a missed opportunity to offer a relatively simple solution that can make a huge impact in this transition period.” (17:46 | Dr. Polly Watson) 
• "Hormone testing can be unpredictable. It may be helpful to get several measurements in conjunction with comprehensive labs and clinical symptoms to make an assessment. I would say that hormone testing can be insightful in women who don't have regular periods due to an IUD, an ablation, or a hysterectomy. We don't have a test that will predict when menopause will occur or when symptoms are going to start or stop." (30:02 | 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

Menopause is a natural yet often misunderstood phase in every woman's life, marked by mixed emotions and misconceptions about this significant transition. In this inaugural episode of "Menopause Rescue," Dr. Polly Watson, a gynecologist certified by the Menopause Society and renowned for integrating traditional and functional medicine, shares a personal catalyst for her career in women’s health—her mother’s early menopause experience. Her story goes beyond her own path through medical training on gynecology and menopause. It's a wake-up call, urging us to fundamentally change how we talk about and manage menopause care.

Dr. Polly shines a spotlight on the significant lack of menopause-focused education within medical training and the healthcare system, encouraging women to proactively manage their health during the menopausal transition. She advocates for a holistic approach that integrates lifestyle changes, hormone replacement therapy, and functional medicine to tackle the challenges of this pivotal phase in women's lives.

In this episode, you'll have an in-depth look into the urgent need for a revolutionary change in menopause care–an area currently cluttered with misleading products and promises. Dr. Polly describes this as seeking a "perfect absolutist solution." Leveraging her extensive expertise, she is determined to bridge the gap between conventional and holistic medicine, striving to provide women with a well-rounded perspective on how to approach menopausal treatments.

Tune in as Dr. Polly sets the stage for a podcast series dedicated to empowering women through proactive health management, fostering an environment of support that offers evidence-based guidance and insightful discussions.

Quotes

• "At one point during some very frustrating medical journey, I went to the doctor's appointment with my mom and I remember sitting there and being almost embarrassed for the healthcare provider. He was so emphatic and he was digging in so deep and he was a little combative and a little bit argumentative and he wasn't listening. And I just remember at that point thinking, okay, I've got to go into medicine. I've got to serve women. This is absolutely unacceptable. And I knew I could do better, which isn't saying much because at that point, the bar was really low. So my mom was a huge motivator for me to go into women's health." (02:13 | Dr. Polly Watson) 
• "I really want to offer a menopause or midlife as this catalyst to create what we need for the second half of our lives. And I see that as something that's really positive and hopeful. And I'm not sure that a lot of the conversation around menopause is positive and hopeful. So I'd really like to offer that optimism in this space." (11:26 | Dr. Polly Watson) 
• "Unfortunately, women are trying to re-engage with the healthcare system and the health care system hasn't been adequately trained in menopausal medicine most of the time. And so women are leaving that health care interaction super frustrated and often not getting their needs met." (12:23 | Dr. Polly Watson) 
• "I would really like to create a space for discussion of complexity and nuance and try to get away from some of the absolutist claims and have a little bit more realistic conversation about what might work for someone and what might not work for someone else. I think that a lot of the claims are one size fits all recommendations. I don't think there is a one size fits all for menopause." (13:07 | Dr. Polly Watson)
• "I'd like to create some space so that we can embrace complexity with a growth mindset. We can approach this with curiosity and hopefully some optimism. The revolution happens when women are at the center of their health creation. We want to shift the emphasis from health coming from without,  to health coming from within you." (14:10 | Dr. Polly Watson) 
• "I want to help you discern both holistic claims and conventional claims and hopefully serve as a bridge to sort of bring you the best of both of those worlds." (18:27 | 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

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

Welcome to Menopause Rescue: an alternative health podcast hosted by hormone specialist Polly Watson, MD, FACOG, NCMP.

This is a show where women gather to be empowered to gain clarity and to use their menopausal transition to level up their health. Menopause can be a destabilizing time when women feel betrayed by their bodies. Sleep is hijacked, mood feels unpredictable and libido takes a nosedive. What used to work to get wellness back on track doesn't seem to work anymore. Lacking tools and desperate for relief, the marketplace has flooded women with an overwhelming amount of information and products, which may lack evidence and safety.

Dr. Polly Watson is a gynecologist with over 20 years of experience. Dr. Watson has traditional medical training as well as certification in menopausal medicine and functional medicine.

Menopause Rescue will help you discern both conventional and holistic options. It will clarify controversy and offer tools to make the second half of your life your best. This series is here to rescue the conversation around menopause, putting you back in control of your health.

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

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

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

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

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

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

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

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

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

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

In this episode, Dr. Polly Watson and Dr. Jill Valerius explore the mechanisms of GLP-1 Medications, the impact of chronic inflammation on health and the cultural biases surrounding weight management. This conversation emphasizes the importance of understanding the side effects of these medications, particularly concerning muscle loss, and the need for proper patient monitoring and support. They advocate for empathy in healthcare, recognizing the challenges patients face, and provide practical tips for managing nutrition and exercise while using these medications.

Quotes

• "These drugs are not the answer, but they are a tool…like exercise, diet, and nutrition. These are all tools in our toolbox." - Dr. Jill Valerius
• "If you haven’t experienced food noise, you don’t have a real appreciation for how much headspace it takes." - Dr. Polly Watson
• “One thing that this kind of type of drug is really highlighting to us is how prevalent chronic disease, obesity, these kinds of things have become.” - Dr. Jill Valerius

Connect with Dr. Jill Valerius

Webcast: https://www.knowewell.com/webinar/empowering-patients-toward-healthier-tomorrow-menopause-myths

New Patient: https://nowhealthpalmer.com/

Instagram: https://www.instagram.com/jillvalerius/

YouTube: https://www.youtube.com/channel/UCINJ_OgF6JLRtG2kV8RkERg

Resources: https://linktr.ee/drvalerius?utm_source=linktree_profile_share&ltsid=c52fa83c-7089-4b19-a34b-bbad396aa92d

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

Description

In this episode of Menopause Rescue, Dr. Polly Watson with guests Dr. Tamandra Morgan (UCSF Breast Surgery & Survivorship Fellow) and Allison Fiskalini (WISDOM Director) discuss the WISDOM Study, which aims to revolutionize breast cancer screening through personalized risk assessment and genetic testing. They explore current screening practices, the importance of understanding individual risk factors, and the need for diversity in research. The conversation emphasizes empowering women with knowledge about their health and the significance of participating in studies like WISDOM for better outcomes in breast cancer prevention and treatment.

Quotes

• "Close to 70% of participants did not have a first-degree relative with cancer but were found to be carriers of a mutation. These are individuals who may not have been tested under traditional guidelines." - Dr. Tamandra Morgan
• "We’re moving beyond the 'one-size-fits-all' approach by incorporating factors like age, family history, breast density, BMI, menopausal status, and genetic testing into personalized screenings." - Allison Fiscalini
• "This study isn’t just about helping yourself. It’s about contributing to research that will change guidelines, improve practices, and bring breast cancer prevention into the 21st century." - Allison Fiscalini

Connect with the WISDOM Study

Website: https://www.thewisdomstudy.org/

Join the Study: https://www.athena-wisdom.org/portal/WsdWelcome

Instagram: https://www.instagram.com/joinwisdom

Facebook: https://www.facebook.com/thewisdomstudy.org/

YouTube: https://www.youtube.com/channel/UCGvjrhh8_5Ml-YyCdMfF0ew

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

In this episode of Menopause Rescue, Dr. Polly Watson and nurse practitioner Kate Willis delve into the complex topic of hair loss in women, particularly during menopause. They discuss the different types of hair loss, including telogen effluvium and androgenic alopecia, and explore the underlying causes, testing methods, and treatment options. The conversation emphasizes the importance of understanding individual health histories, lifestyle factors, and the role of nutrition in managing hair health. In this conversation, Kate and Polly discuss various treatments, both conventional and holistic, as well as practical hair care advice for maintaining scalp health.

Quotes

• "I think it's important to be paying attention to patients and be really moving forward with a solution before they're seeing visible hair loss or hair thinning." - Kate Willis NP-C
• "We don't actually notice hair thinning until about 50% of our scalp density is lost, which is a lot." - Kate Willis NP-C
• "Maybe stress management doesn't have to be complicated. Maybe it means you just walk around the block in your neighborhood and listen to the birds and just unplug for 20 minutes." - Dr. Polly Watson
• "Everybody deserves to feel heard - when people really start to notice a clinical difference, they've already lost quite a bit of hair." - Dr. Polly Watson

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

In this episode of Menopause Rescue, Dr. Polly Watson discusses the evolving understanding of Hormone Replacement Therapy (HRT) and its implications for women's health. She emphasizes that HRT does not have a strict expiration date and that personalized medicine is crucial in managing menopausal symptoms. The conversation covers the historical context of HRT, the importance of considering individual health factors, and the need for a nuanced discussion around risks, particularly concerning breast cancer. Dr. Watson advocates for a shift in perspective towards extending health span and improving quality of life for women in menopause.

Quotes

• “This idea that once you're 60 or once you're 65, you're no longer having to manage menopausal symptoms is just simply not true." - Dr. Polly Watson
• "We used to say use the dose for the shortest amount of time. And now we're really in an era of personalized medicine and shared decision-making." - Dr. Polly Watson
• "We’re shifting this idea that we’re only using hormone replacement therapy for hot flashes and night sweats to thinking about extending health span—extending the time of our lives where we are feeling vital, healthy, and active." - Dr. Polly Watson

Resources

Menopause Society 2022 Hormone Therapy Position Statement

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

In this episode of Menopause Rescue, Dr. Polly Watson and Dr. Elizabeth Cox dive deep into how hormonal changes impact brain health during midlife. They focus on ADHD, brain fog, and other cognitive challenges many women face during menopause and perimenopause. This conversation uncovers the complexities of diagnosing ADHD in women, the intersection of ADHD and anxiety, and how cardiovascular health plays a crucial role in managing attention disorders. They discuss practical lifestyle strategies, essential tools for symptom management, and how cultural biases affect ADHD diagnosis in women. Plus, they highlight the pivotal role of nutrition, sleep, and self-care in supporting cognitive function. Tune in to learn how to empower yourself with knowledge and explore effective treatment options to regain mental clarity and well-being!

Quotes

• "A stimulant can help some women, but for others, it can make anxiety worse—getting the right diagnosis is critical." - Dr. Elizabeth Cox
• "Having a little bit of poor recall is different than a diagnosis of attention deficit disorder." - Dr. Elizabeth Cox
• "My patient told me, ‘My phone is robbing me from investing in myself, my family, and my community,’ and that really stuck with me." - Dr. Polly Watson

Listen to more expert insights from Dr. Cox on past episodes of Menopause Rescue:

• Psychiatrist’s Guide to Mood During Menopause (Part 1)
• Psychiatrist’s Guide to Reproductive Psychiatry During Menopause (Part 2)

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

In this enlightening conversation, Dr. Polly Watson and pelvic floor physical therapist Blair Watson explore the often-overlooked issue of sexual pain and the transformative power of pelvic floor therapy. They break down what to expect during an initial consultation, helping patients feel prepared and at ease. The discussion highlights the importance of understanding pelvic anatomy, effective communication with healthcare providers, and practical strategies for managing sexual pain. Listeners will learn about the role of targeted exercises, the benefits of personalized treatment, and how self-advocacy can empower individuals to seek the care they deserve. Whether you're navigating menopause, experiencing pelvic discomfort, or looking to improve your sexual health, this episode offers expert insights and actionable solutions for lasting relief.

Quotes

• "You deserve more than just pain-free sex. You deserve great sex or the sex you want to have, right? Whatever that means for you." - Dr. Polly Watson
• “I am explaining everything that I'm doing along the way and I'm asking for consent and feedback at all times.” - Blair Watson
• “Sometimes it is very simple changes that can make a big difference.” - Blair Watson

Links

Intimate Rose Pelvic Wand

Connect with Blair Watson PT:

Website: https://www.blairwatsonpt.com/

Instagram: https://www.instagram.com/blairwatson_pt/

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

In this episode of Menopause Rescue, Polly Watson and Kate Willis discuss the increasing rates of ADHD diagnoses among midlife women and the role of lithium as a potential treatment. They explore how hormonal changes can impact attention and behavior, the benefits of low-dose lithium compared to traditional ADHD medications, and the importance of lifestyle factors in managing attention issues. The conversation also touches on the potential of lithium in preventing dementia and practical tips for evaluating its effectiveness.

Quotes

• “Hormone fluctuations in midlife really impact attention—and many women feel like they’re unraveling.” - Kate Willis
• “Lithium increases brain-derived neurotrophic factor, helping to protect and regenerate neurons.” - Kate Willis
• “Losing your filter at midlife isn’t always about attitude—it’s a sign your nervous system is overwhelmed.” - Polly Watson

Product Links

Pure Encapsulations Lithium Orotate 5mg

Seeking Health Lithium Orotate

Biotics Research ADHS®

Check out other episodes with Kate!

Why Is Glucose Control So Important in Midlife Health?

A Functional Approach to Hair Loss

5 Opportunities for Women to Optimize Health

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

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

In this episode of Menopause Rescue, Dr. Polly Watson explores osteoporosis in women over 50, shedding light on why it's a critical yet often overlooked aspect of women’s health during and after menopause. Dr. Watson shares personal experiences and expert insights on the complex factors that affect bone health, including hormonal changes, medications, lifestyle habits, and nutrition.

Listeners will learn about effective osteoporosis prevention strategies, such as weight-bearing exercises, proper nutrition, stress reduction, and sleep hygiene. The episode also uncovers the limitations of DEXA scans in diagnosing osteoporosis and emphasizes the role of community support and informed decision-making in maintaining strong bones. Whether you're approaching menopause or well into it, this episode empowers women to take control of their bone health through practical, science-backed information.

Quotes

• "Osteoporosis affects nearly half of women over 50. And it's not just a bone issue—it's a whole person issue." Dr. Polly Watson
• “Calcium alone has not been shown to improve bone mineral density.” Dr. Polly Watson
• “This is a time to not just focus on preventing fractures, but to move through your life with energy, strength, and confidence.” Dr. Polly Watson

Resources

EWG’s Water Filter Guide

EWG’s Guide to Air Filters

Calcium and Vitamin K Foods Handout

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

In this episode of Menopause Rescue, Dr. Polly Watson explores the groundbreaking LIFTMOR Study by Dr. Belinda Beck, which demonstrates how high-intensity resistance training can significantly improve bone mineral density in postmenopausal women - even those already diagnosed with osteoporosis. Dr. Watson breaks down the study’s key findings, safety measures, and practical takeaways, offering listeners an empowering perspective on strength, aging, and reclaiming physical confidence. This episode is ideal for anyone looking to approach midlife with grit and resilience.

Quotes

• “Let’s stop talking to ourselves like we are fragile and about to be broken.” - Dr. Polly Watson
• “Just eight months of 30 minutes a week, twice a week with weighted exercises… showed improvement in both the spine and the hip.” - Dr. Polly Watson
• “This isn’t just about muscles. It’s about quality of life, independence, and confidence.” - Dr. Polly Watson

Resources

The LIFTMOR Study

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

In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis NP-C discuss the most common supplements they recommend for women in various hormonal stages, particularly during menopause. They emphasize the importance of quality and sourcing when buying supplements. From demystifying magnesium types to explaining the synergy between vitamin D and K2, this conversation offers clarity and actionable advice for anyone looking to support their health with evidence-based supplementation.

Quotes

• “You can never out-supplement an unhealthy lifestyle.” - Dr. Polly Watson
• “We think a lot about calcium for bone health and Vitamin D, but magnesium is actually really essential for good bone density.” - Kate Willis NP-C
• “Berberine is great but it is not going to do what a GLP-1 injectable medication does for weight loss.” - Kate Willis NP-C

Resources

Supplements for Women’s Hormone Balance Infographic

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

In this insightful episode, Dr. Polly Watson is joined by Dr. Ami Ingram, a functional medicine physician with a specialty in mold-related illness. Together, they delve into the often-overlooked health impacts of mold exposure by highlighting how its symptoms can closely mimic or overlap with conditions like perimenopause, PCOS, and other hormonal imbalances. The conversation covers everything from recognizing the signs of mold toxicity to effective diagnostic strategies and the critical role of home testing. Both doctors share their personal experiences with mold, shedding light on how isolating the journey can be and emphasizing the power of community in the healing process. Dr. Ingram also introduces her accessible educational resources designed to empower individuals facing mold-related health issues - offering practical guidance, support, and most importantly, hope.

Quotes

• “We all have mold. But it’s the type, the load, and how your body handles it that matters.” Dr. Ami Ingram
• “Healing from mold isn’t just about the body - it’s about calming the brain and rebuilding connection.” Dr. Polly Watson
• “We all have a toxic barrel - some have big spigots, some small. When it overflows, symptoms appear.” Dr. Ami Ingram

Resources

Visual Contrast Sensitivity (VCS) Test

ISEAI Resources: Designed by experts for patients and clinicians treating mold-related illness.

Connect with Dr. Ami Ingram

Online Courses: https://family-functional-medicine.teachable.com/

Website: https://www.familyfunctionalmed.com/

New Patient: https://www.familyfunctionalmed.com/discovery-consult/

Instagram: https://www.instagram.com/familyfunctional_med/

Facebook: https://www.facebook.com/familyfunctionalmed/

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

In this episode, Dr. Polly Watson is joined by Kate Willis NP-C to debunk fitness myths and deliver real-world guidance on how women can build and preserve muscle during perimenopause and menopause. From progressive overload to protein needs, creatine, stress recovery, and smarter training, this episode is packed with practical strategies to help you feel stronger, not just skinnier. Whether you're brand new to strength training or looking to break through a plateau, you'll find science-backed insights and empowering advice to support your midlife health journey.

Quotes

• "Exercise is a stressor and if it’s not dosed correctly, it can make you feel worse, not better." - Kate Willis NP-C
• “If we're trying to build muscle, we need to be having adequate nutrition to feed muscle.” - Dr. Polly Watson
• "You're not going to bulk up with physiologic levels of testosterone - you’re going to get toned and strong." - Kate Willis NP-C

Resources

Protein Cheat Sheet

Evlo Fitness

Dr. Stacy Sims - Power Happens

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

In this episode, Dr. Polly Watson welcomes integrative cardiologist and functional medicine expert Dr. Regina Druz for an eye-opening conversation about the often overlooked intersection of heart health and menopause. Together, they unpack how hormonal shifts in perimenopause and menopause can cause unexpected changes in cholesterol, blood pressure, fat distribution and heart rhythm. Dr. Druz explains why traditional risk calculators often miss the mark for women, what new markers like ApoB and Lp(a) really tell us, and how wearable tech and advanced imaging can offer deeper insights. Whether you're already tracking your health closely or just starting to ask questions, this episode will give you the tools to take charge of your cardiovascular future and advocate for the care you deserve.

Quotes

• “More women die of heart disease than of breast cancer.” - Dr. Polly Watson
• “Menopause doesn't create new risk factors - it amplifies the ones that are already there.” - Dr. Regina Druz
• “We spend 40% of our lives in post-menopause. Do we want to be vibrant or in the ER with hypertensive urgency?” - Dr. Regina Druz

Connect with Dr. Regina Druz

New Patient: https://holisticheartcenters.com/steps-one-two-three/

Podcast: https://holisticheartcenters.com/own-your-heart-health-podcast-with-dr-regina-druz/

Website: https://holisticheartcenters.com/

Instagram: https://www.instagram.com/dr.reginadruz/

Facebook: https://www.facebook.com/holisticheartcenters

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

In this episode, Dr. Polly Watson is joined by functional medicine nurse practitioner Kate Willis to unpack the real reasons behind perimenopausal fatigue. Together, they explore how hormonal shifts, disrupted sleep, nutrient deficiencies, blood sugar imbalances, and chronic stress all converge to drain energy during midlife. Rather than accepting fatigue as “just part of aging,” Dr. Watson and Kate take a root-cause, whole-body approach. They discuss actionable strategies - from hormone testing and mitochondrial support to building muscle and managing stress - that help women reclaim their energy and vitality. Whether you're struggling with brain fog, burnout, or broken sleep, this episode offers clarity, compassion, and a clear roadmap to feel like yourself again.

Quotes

• "Fatigue is one of the top complaints we hear from women in perimenopause - you’re not alone, and it’s not just in your head." - Kate Willis NP-C
• "I remember putting on that estrogen patch and two days later thinking, 'She’s back.' It was like flipping a switch." - Dr. Polly Watson
• "Listening to women is key - not just checking boxes or writing prescriptions. We have to ask what’s really going on beneath the fatigue." - Kate Willis NP-C

Resources

Kate Willis NP-C and Niki D’Agostino on Primal Trust for Nervous System Healing

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

Dr. Polly Watson sits down with Dr. Terri Peña, a board-certified physician and functional medicine expert, to explore how women can reclaim their health and energy in midlife and beyond. Dr. Peña introduces her 4M Method - Metrics, Metabolism, Muscle, and Mojo - a framework that empowers women to move from feeling dismissed and depleted to strong, vital, and confident. They discuss why traditional medicine often fails midlife women, how to get real answers when labs look “normal” but you still feel off, and why building muscle is essential for longevity. Plus, Dr. Peña shares powerful nervous system tools like box breathing to help regulate stress, and talks about how knowing your energy and action style can improve self-care and healthcare outcomes.

Quotes

• “I tell my patients I don’t want them to end up feeble, frail or forgetful.” - Dr. Terri Peña
• “We create health in the second half of life by setting boundaries and saying yes to ourselves.” - Dr. Polly Watson
• “Just because your labs are in normal ranges doesn’t mean they’re optimal.” - Dr. Terri Peña

Connect with Dr. Terri Peña

Website: https://www.terripenamd.com

New Patient: https://www.terripenamd.com/contact-us

Instagram: https://www.instagram.com/ever.well.woman/

Facebook: https://www.facebook.com/people/EverWell-Woman/61566033042007/

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

Feeling overwhelmed by stress, trauma, or the changes that come with midlife and menopause? In this episode of Menopause Rescue, Dr. Polly Watson talks with embodiment expert Mary Stokes, founder of Embody Being, about how reconnecting with the body can bring clarity, balance, and resilience. Together, they explore practical tools rooted in somatic awareness that help women heal, regulate their nervous systems, and discover new strength during life’s biggest transitions.

Mary shares her personal journey of navigating chronic illness, trauma, and menopause, and how embodiment practices like mindful breathing, shifting posture, and broadening awareness can transform both emotional and physical health. She highlights the difference between traditional psychotherapy and somatic work, emphasizing the body as a teacher and guide rather than something to “fix.”

Quotes

• “Trauma is an experience we couldn’t fully digest in the moment—and life will present it again until we do.” - Mary Stokes
• “We’re taught in Western medicine to label and blame disease, but embodiment looks at the whole person—mind, body, and spirit.” - Dr. Polly Watson
• “Instead of focusing on what’s broken, we can regulate toward what’s working.” - Mary Stokes

Connect with Mary Stokes, MS

Website: https://www.embodybeing.com/

New Patient: marystokes@gmail.com

Phone: 919-601-7121 (call or text)

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

In this enlightening episode, Dr. Polly Watson is joined by Dr. Joanna Hooten of Clara Dermatology as she delves into melasma, a prevalent skin condition marked by brown discoloration that often affects women undergoing hormonal changes. Dr. Hooten unpacks the multifaceted causes and triggers of melasma, highlighting factors such as sun exposure, hormonal fluctuations, and genetic predisposition. She underscores the critical role of sun protection in prevention and navigates through an array of effective treatment options. Learn about topical treatments like hydroquinone, the benefits of oral medications such as tranexamic acid, and the potential of procedures like micro needling and laser treatments. With actionable insights and a hopeful perspective, this episode equips listeners with the knowledge to manage melasma successfully. 

Quotes

• “The single most important factor for people who have melasma, and I like to say for everybody, because we all have skin and live on the earth, is sun protection.” - Dr. Joanna Hooten
• "It's important to be aware of potential triggers like heat from hot yoga or saunas, which can affect melasma." - Dr. Joanna Hooten
• "Hormonal fluctuations, such as those from hormone replacement therapy or birth control, can really turn on a light switch for melasma." - Dr. Joanna Hooten

Connect with Dr. Joanna Hooten

Website: https://claradermatology.com/

New Patient: https://claradermatology.com/consult/

Instagram: https://www.instagram.com/clara.derm/

Facebook: https://www.facebook.com/clara.derm

TikTok: https://www.tiktok.com/@clara.derm

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

In this episode of Menopause Rescue, Dr. Polly Watson sits down with nurse practitioner Kate Willis to cut through the noise of anti-aging skincare. Together, they explore science-backed strategies for midlife skin health, from topical estrogen and retinoids to vitamin C, hyaluronic acid, and sunscreen. Whether you’re curious about estrogen creams, frustrated with retinol irritation, or just want a clear guide to midlife skincare, this episode gives you practical, evidence-based advice to help your skin stay healthy, resilient, and radiant through menopause and beyond. This is the first in a three-part series with Kate covering skin and hair concerns in midlife. 

Quotes

• “We’re not trying to make everyone look like Barbie. We want to help people feel comfortable in the skin they’re in.” – Dr. Polly Watson
• “Consistency is key. Skincare is not a six-month project — it’s daily maintenance for the long haul.” – Kate Willis NP-C
• “Both estradiol and estriol creams showed improvements in wrinkles, elasticity, collagen, and hydration — without changing systemic hormone levels.” – Kate Willis NP-C

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

In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis NP-C continue their skin and hair series, focusing on melasma, a chronic skin condition that causes hyperpigmentation. Together, they unpack the underlying causes, treatment options, and long-term strategies to manage this frustrating and often recurrent condition. Kate explains why melasma is so difficult to treat, the role of hormones, genetics, and UV exposure, and highlights both traditional therapies and exciting newer options like oral and topical tranexamic acid. The conversation also covers layering therapies, the importance of sun protection, and how patients can make practical decisions about short-term versus maintenance treatments.

Quotes

• “Melasma is a tough and chronic pigment condition that’s triggered by UV, heat, hormones, and genetics.” - Kate Willis NP-C
• “We’re not just treating the surface of the skin. Melasma has deeper layers and even a vascular component.” - Kate Willis NP-C
• “Melasma is not a one-and-done condition. It requires lifelong prevention, ongoing treatment, and a long-term mindset.” - Dr. Polly Watson

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

In this empowering episode of Menopause Rescue, Dr. Polly Watson welcomes back Kate Willis, NP for an in-depth look at two of the most frustrating issues women face during midlife — rosacea and hair loss — and how custom-compounded treatments can make all the difference. Together, they unpack the root causes behind these issues and explore both functional medicine and evidence-based dermatologic treatments to help women restore healthy, radiant skin and stronger, fuller hair. This episode is packed with actionable insights on how compounded therapies, gut health, and lifestyle changes can work together to restore your confidence, improve skin tone, and revive healthy hair growth during menopause.

Quotes

• “I love that we can now use compounding to personalize skincare and hair loss treatments for each woman’s needs.” - Dr. Polly Watson
• “Rosacea is frustrating, and we see it emerge or worsen during midlife — it’s a chronic inflammatory condition that demands a personalized approach.” – Kate Willis
• “The skin barrier is everything — it keeps moisture in and irritation out. Protecting it is the foundation of healthy skin at any age.” – Kate Willis

Resources

Episode 26: A Functional Approach to Hair Loss

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

In this episode of Menopause Rescue, Dr. Polly Watson delves into the significance of hormone therapy for women over 60, breaking down common misconceptions and barriers to treatment. She highlights the importance of personalized care and the benefits of hormone therapy in alleviating symptoms, safeguarding bone health, and enhancing sleep quality. Dr. Watson also addresses the risks, clarifying how modern hormone formulations differ from past studies, and reassures listeners about the safety of hormone therapy when used appropriately. Tune in to gain a clearer understanding of hormone therapy's role in improving quality of life for women beyond menopause.

Quotes

• "Hormones around the time of menopause transition are going to provide the greatest benefit for cardiovascular health, bone health, and brain health." - Dr. Polly Watson
• "Almost half of women are still symptomatic at that age. If we look at women who are in their 70s, 10 to 15% of them still have vasomotor symptoms." - Dr. Polly Watson
• “One in two postmenopausal women will have an osteoporotic fracture in their lifetime. Let that sink in for a minute.” - Dr. Polly Watson
• “There is system-wide discouragement to prescribing hormones to women over 60, which is not evidence-based.” - Dr. Polly Watson
• “Withdrawal of hormones is followed by significant bone loss — after four years off, your bones look like you never took it.” - Dr. Polly Watson

Resources

References for Starting Hormones Over 60

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

Are you wondering why your body seems to change during midlife even when your habits haven’t? Do you feel unsure whether your “normal” labs are actually telling the full story of your health?

In this episode, Dr. Polly Watson and nurse practitioner Kate Willis break down how menopause, metabolism, and heart health are connected. Together, they show how understanding your labs, lifestyle, and hormones can help you stay healthier and stronger through midlife.

🌸 Many women experience rising cholesterol and blood pressure in menopause even without changing their diet or exercise. 🌸 Triglycerides can reveal early metabolic problems long before blood sugar becomes abnormal. 🌸 Stress alone can spike blood sugar levels, even without eating any food. 🌸 Alcohol intake as low as eight drinks per week can raise heart disease risk by 45% in midlife women. 🌸 Whole-food proteins, leafy greens, and fiber-rich meals support heart and metabolic health better than processed protein snacks. 🌸 Continuous glucose monitors help women understand how foods, sleep, and stress affect their blood sugar in real time. 🌸 A history of gestational diabetes, PCOS, or early menopause increases long-term cardiovascular risk and should be part of every woman’s health plan.

If you’re navigating midlife changes and want clear, compassionate guidance, this episode gives you the tools and reassurance you need. You’ll walk away with simple steps that help you feel informed, empowered, and in control of your health.

📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

🩺 Looking for Personalized Hormone Care in North Carolina? Hormone Wellness MD serves women across North Carolina. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, and Greensboro, with virtual visits available statewide. If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

Website: https://hormonewellnessmd.com Email: info@hormonewellnessmd.com Call: (919) 364-3430

📲 Follow Hormone Wellness MD: Instagram: https://www.instagram.com/hormonewellnessmd Podcast: https://hormonewellnessmd.com/podcast

In this episode of Menopause Rescue, Dr. Polly Watson delves into the side effects of hormone replacement therapy (HRT), shedding light on common issues like abnormal bleeding, breast tenderness, mood swings, fluid retention, skin irritation, and changes in vaginal discharge. With a focus on reassurance and practical solutions, Dr. Watson emphasizes that many of these side effects are temporary and manageable. Tune in for expert advice on navigating HRT and fostering open communication with your healthcare provider.

Quotes

• “Almost 40% of hormone replacement therapy users are gonna have some sort of unexpected bleeding, especially in the first three to six months.” - Dr. Polly Watson
• “Perimenopause is puberty in reverse.” - Dr. Polly Watson
• “About 3% of people have the opposite reaction to progesterone — instead of getting calm, they get super agitated.” - Dr. Polly Watson

Resources

• Menopause Rescue Ep 13: Postmenopausal Bleeding
• Menopause Rescue Ep 40: Understanding Melasma: Dermatologist Insights on Causes, Triggers, and Treatments
• Menopause Rescue Ep 42: Melasma in Midlife: What Every Woman Needs to Know
• British Menopause Society - Management of unscheduled bleeding on hormone replacement therapy (HRT)

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

Hashtags

#menopauserescue #podcastepisode #podcastrecommendations  #hormonereplacementtherapy #medication #perimenopause #womenshealth #menopausesociety #hormonalhealth #midlife #wellness #healthcare #sexualhealth #menopausemanagement 

Description

In this episode of Menopause Rescue, Dr. Polly Watson and Kate Willis explore the vital components of cardiometabolic health, with a particular focus on deciphering both basic and advanced lab tests. They cover the nuances of lipid panels, the impact of triglycerides, and the influence of thyroid disease on cardiovascular health. The discussion extends to inflammation markers like C-reactive protein and the critical role of insulin resistance. Delving deeper, they shed light on advanced lipid markers such as APO-B and APO-A1, and the importance of LDL particle size in evaluating cardiovascular risk. This episode underscores the importance of a holistic health strategy for women in midlife to enhance their cardiometabolic well-being.

Quotes

• “Diets high in sugar, saturated fat, or simple carbohydrates, alcohol use, thyroid disease, and inactivity can all raise triglycerides.” - Kate Willis NP-C
• “High-sensitivity CRP is a general marker for inflammation. Anything causing inflammation, short- or long-term, can raise it.”   - Kate Willis NP-C
• “Fasting insulin around five or less is ideal. Lab normals go much higher, but that doesn’t mean they’re optimal.” - Kate Willis NP-C
• “If someone's LP(a) is high, that’s their ticket to see a cardiologist—it’s an independent causal factor for cardiovascular disease.” - Dr. Polly Watson
• “Symptoms of hypothyroidism overlap with perimenopause and menopause… If you’re only treating one spoke of the wheel, what else are we missing?”   - Dr. Polly Watson

Resources

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

Hashtags

#menopauserescue #podcastepisode #podcastrecommendations  #hormonereplacementtherapy #medication #perimenopause #womenshealth #menopausesociety #hormonalhealth #midlife #wellness #healthcare #sexualhealth #menopausemanagement 

Are you worried that your menopause symptoms aren’t being taken seriously—or that your experience as a woman of color isn’t reflected in the research? Have you ever wondered why something so “natural” can feel so overwhelming, lonely, and dismissed? 

In this episode of Menopause Rescue, host Dr. Polly Watson sits down with pelvic floor physical therapist Dr. Bridget Ochuko to unpack how menopause, structural racism, and access to care collide for women in midlife. Together, they show how understanding your body, your risks, and your options can transform menopause from something you silently endure into a stage of life you navigate with knowledge, agency, and support.

🌸 Menopause is a natural process, but that doesn’t mean women should be expected to suffer in silence or accept miserable symptoms as their fate.

🌸 Dr. Watson and Dr. Ochuko explain how most medical research was done on white men, leaving women—especially women of color—without accurate guidance for diagnosis, treatment, and symptom patterns.

🌸 The episode exposes how historical abuses like the Tuskegee syphilis study, Henrietta Lacks’ story, and non-consensual surgeries on enslaved Black women still shape distrust and inequities in gynecologic care today.

🌸 You’ll learn how menopause symptoms can show up differently across races—such as earlier onset, more severe symptoms, and more joint and muscle pain—and why delayed treatment raises long-term risks like high blood pressure, stroke, and heart disease.

🌸 Dr. Ochuko breaks down what culturally competent care really means, including seeing each patient as a whole person, listening to lived experience, and understanding how race, stress, income, and history affect health.

🌸 The conversation gives women concrete advocacy tools: how to “interview” providers, switch when you’re not being heard, and insist that your symptoms and quality of life are taken seriously.

🌸 You’ll also hear why pelvic floor physical therapy is a powerful, often-missing piece of menopause care—helping with leaking, pain with sex, constipation, and reconnecting you to your body with trauma-informed, patient-led support.

If you feel dismissed, confused, or alone in midlife, this conversation reminds you that your symptoms are real, your story matters, and you deserve thorough, respectful care. This episode offers both validation and practical tools so you can advocate for yourself, find the right team, and navigate menopause with more confidence and less fear.

📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

🩺 Looking for Personalized Hormone Care in North Carolina?

Hormone Wellness MD serves women across North Carolina. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, and Greensboro, with virtual visits available statewide.

If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

Website: https://hormonewellnessmd.com

Email: info@hormonewellnessmd.com

Call: (919) 364-3430

📲 Follow Hormone Wellness MD:

Instagram: https://www.instagram.com/hormonewellnessmd

Podcast: https://hormonewellnessmd.com/podcast

Have you been told your bone density is “normal” but still worry about fractures? Are you confused about whether a DEXA scan really tells you the whole story about your bone health?

In this episode of Menopause Rescue, Dr. Polly Watson is joined by orthopedic surgeon Dr. Andrew Bush to break down bone health in midlife and menopause and explain why traditional bone density testing may fall short. Together, they explore a more accurate, modern approach to understanding fracture risk and protecting your bones long term.

🌸 Many fractures happen in people with “normal” DEXA scans, showing density alone doesn’t tell the full story.

🌸 Bone health reflects overall health, including nutrition, exercise, inflammation, and hormones.

🌸 Muscle strength plays a major role in determining bone strength.

🌸 Arthritis and bone spurs can falsely elevate DEXA results and mask weak bone.

🌸 REMS is a radiation-free ultrasound technology that evaluates bone structure and fragility risk.

🌸 Knowing whether your bones are strong or fragile matters more than focusing on a T-score alone.

If you’re a midlife woman trying to prevent fractures, stay active, and make informed health decisions, this episode offers clarity, reassurance, and practical insight to help you take control of your bone health with confidence.

📘 Try our 10-minute new patient intro course: https://hormonewellnessmdacademy.teachable.com/p/are-we-a-good-fit-new-patient-welcome-course

🩺 Looking for Personalized Hormone Care in North Carolina?

Hormone Wellness MD serves women across North Carolina. We care for patients in Raleigh, Charlotte, Wilmington, Chapel Hill, Durham, and Greensboro, with virtual visits available statewide.

If you’re ready for expert care rooted in evidence and empathy, we’d love to support you.

Website: https://hormonewellnessmd.com

Email: info@hormonewellnessmd.com

Call: (919) 364-3430

📲 Follow Hormone Wellness MD:

Instagram: https://www.instagram.com/hormonewellnessmd

Podcast: https://hormonewellnessmd.com/podcast