The Shocking Myths Keeping Women Sick
Are your midlife symptoms really “just aging”—or could they be signs of perimenopause your doctor has overlooked?
In this empowering episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Dr. Mariza Snyder, renowned women’s hormone expert and author of The Perimenopause Revolution, to explore the unspoken truth about hormone health during midlife. They dive deep into the misunderstood world of perimenopause—highlighting its symptoms, common misdiagnoses, and why so many women feel gaslit by the medical system.
Dr. Snyder shares her own health journey, including the debilitating burnout that sparked her passion for integrative hormone health. The conversation challenges outdated ideas about estrogen, debunks fear-driven narratives around hormone therapy, and offers evidence-based strategies to reclaim vitality and balance. This episode is a must-listen for any woman navigating her 30s, 40s, or 50s who’s ready to understand her body—and advocate for it—like never before.
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Guest info and links:
Dr. Mariza Snyder is a powerhouse advocate for midlife women, drawing on over 17 years of experience as a practitioner, author, and speaker to lead a transformational movement for women navigating perimenopause and beyond.
Through her top-rated podcast, Energized with Dr. Mariza—boasting 13 million+ downloads—and a thriving social media community of over 400,000 followers with 8 million monthly views, she delivers trusted, science-backed strategies for optimizing hormonal and metabolic health.
Her upcoming book, The Perimenopause Revolution (Hay House, October 2025), promises to be the definitive guide for women ready to take charge of their health and embrace this life stage with clarity, confidence, and resilience.
Explore practical tools and resources for thriving in perimenopause at 👉 drmariza.com
Blog/Transcription:
0:00 [Music]
0:05 Welcome to this episode of Hormones, Metabolism, and You. I’m your host, Dr. Cassie Smith. I’m a functional medicine
0:10 endocrinologist. Did you know that it takes five to six office visits as a woman complaining about symptoms of
0:17 pmenopause before somebody puts the dots together and actually says, “Hey, you have permenopause.” Well, today we’re
0:23 hoping to decrease the number of office visits that you have to have and the stress and symptoms and just painful
0:30 permenopausal process by bringing you this episode. I brought in the leading expert on permenopause, Dr. Marica
0:37 Snyder. She has a book coming out on October 21st called The Perry Menopausal Revolution. You will not want to miss
0:43 grabbing this book. You can pre-order it with all sorts of special stuff. But she we had the most amazing conversation. So
0:49 we are describing to you why it takes so long with all these different symptoms that no one can connect in per
0:55 menopause. It is a neuroindocrine issue. You have you can get hot sweats, you can
1:00 get night, you know, like hot flashes, night sweats, but the main thing women are going to have are a lot of a lot of
1:06 brain issues. They’re tired, they’re fatigued, their weight starts changing, but they’re very irritable. And
1:11 sometimes we’re like, why are we so irritable? We don’t even know. It affects our sleep. It affects our mood. And it just doctors don’t know what to
1:18 do with this because unfortunately 31% of OBGYNS have zero menopausal care in
1:24 training. These are the people who are supposed to be like hormone experts, right? 31% get no menopausal training. I
1:31 was an endocrinology fellowship, very little menopausal training. Primary care doesn’t really get it either. And so
1:37 it’s like the buck is passed to everyone and nobody knows what to do. Now thankfully there are people out there, functional medicine doctors who
1:43 understand how important hormones are. But the crazy thing you guys is like perry menopause you treat it with
1:48 testosterone when you lose testosterone and then you add progesterone. There is no like bad side effect of progesterone.
1:54 It is an FDA approved medication. So why more people are not started on progesterone instead of SSRIs, I will
2:00 never understand. Right now in the United States, there are 66 million women who are on SSRIs. I’m gonna bet
2:06 that most of those women are permenopausal and somebody wrote them an SSRI because they didn’t connect all those dots and they really need
2:13 progesterone. Now, that’s of course not all of the women listening to this, but a lot of you, if you are having issues
2:19 and you’re struggling with your weight and you’re irritable and your mood and you can’t sleep, your brain is foggy,
2:24 your periods are becoming irregular, it looks like a crime scene when you have a period now, you’re having tons of pain.
2:30 Like, none of this is normal even in your 40s. and you go somewhere and the doctor says, “Well, you’re still having periods, so you’re fine. You’re not
2:36 menopausal.” Well, that doesn’t mean you’re not permenopausal. And that doesn’t mean we need we don’t need to start fixing these things before you
2:43 become full-on menopausal because you lose bone health as you transition into menopause. And you don’t just lose it
2:49 overnight. So, we talk about this like you’re going to lose it as you’re becoming permenopausal. So, we need to
2:54 start like preventing these things now if you’re having all these symptoms. So, I think this episode is going to
3:00 resonate and be so powerful for so many of you. If you’re listening to this and you’re like, “Yeah, I have all these unrelated symptoms and no one can figure
3:06 out why, and I just don’t feel like myself. I’m so tired.” I mean, it’s probably your hormones. You very well
3:12 are probably in menopause. If you’re not being treated with testosterone, you’ve probably lost your testosterone. It’s
3:17 time for some progesterone. And eventually, you’re going to need estrogen. And we’ve got to put all these things together. And we need advocates.
3:22 We have to be advocates for ourselves, and we have to find doctors that will advocate for us. And so we also talk about how to do that. What labs do you
3:29 need? Demand that you have labs. We have a lab interpretation guide on Modern Endocrine’s site. It is free. Go
3:36 download it. Take it with you to your appointment with all these symptoms and say, “I think I might be in pmenopause.
3:41 I would like some micronized progesterone.” I mean, that is the solution. And so, I’m so excited to
3:47 share this episode with you guys. I think it’s going to be so beneficial and impactful for so many people. So, Dr.
3:54 Dr. Mara Snder is a powerhouse advocate for middle life women leveraging 17 plus
4:00 years as a practitioner, author, and speaker to spark a massive movement in women in pmenopause and beyond. She
4:06 actually has a podcast as well. It’s called Energize with Dr. Mara. She gets 13 million She’s had 13 million
4:12 downloads total. She is very passionate. She has a great social media following. So, make sure you follow her. We’ll put
4:17 all that in the show notes. And her upcoming book, like I said, the permenopausal revolution is being it
4:23 will come out October 21st and by Hay House. And that’s her publisher. And she
4:29 is providing you with these resources if you pre-order the book that are amazing
4:34 as well. She also read it, so it’ll be available on Audible. And so I’m just so excited to have her here to help you
4:40 guys realize all of these symptoms and help you figure out how to navigate pmenopause. So let’s do it. So today I
4:49 have Dr. Marica Snyder and I wanted to bring her on to talk to you guys about hormones. She has an exciting new book
4:56 coming out. So I’m going to let her talk to you guys a little bit about what she does, how she got here because I know
5:04 you guys love to know our our pain and helping you and then tell us a little bit about her book which is centered
5:11 around perry menopause. So thanks for coming on. Oh, thanks for having me. I’m so excited to move this conversation forward and
5:18 support the I want to say it’s about 25 million women in perry menopause in the US alone.
5:23 Yeah, it’s a lot of people. A lot of us. So, how did you So, what do you do every day? Kind of let everyone know because I
5:30 think people like to know like, oh, you know, you’re not just somebody on the street that decided to start talking about perry menopause. Like, how did you
5:37 get here? How do you have your, you know, tell us about your credentials? And then a little bit about your book.
5:43 Yeah, I would say that back in 2010, I started I started in practice in 2008.
5:48 In 2010, my mom, she had me very young when I when she was 19 years old. And so
5:54 in 2010, my mom was in her late 40s and she really gave me a front row seat to
6:00 pmenopause. At the time, my entire practice was midlife women, women in
6:05 pmenopause and in menopause. like I would say between I would say midlife women’s 40 to 60s something years old
6:11 and I remember at the time so many of my patients being siloed to the
6:17 cardiologist the endocrinologist the rheumatoid I mean everywhere psychiatrist
6:22 no one no one connecting the dots that it’s hormones no not not once and I you know for me I I was working with a lot
6:28 of women with chronic migraines um because I had had migraines since I was a little girl I still have them today
6:34 and they’ve really increased in pmenopause. But my mom started going through it and it was around 4748 where
6:42 that was when we would really acknowledge women in pmenopause. It was when you started having those crime
6:48 scene periods where you wouldn’t have a cycle for many months and then all of a sudden you were using, you know, the all
6:54 of the tampons in the tampon box in one day. And my mom was struggling with
7:00 severe mood swings, rage, sleep issues. I mean, the entire gamut. Hot flashes,
7:06 night sweats, all of it. Talk about send me a sign. Make it impossible for me to
7:12 miss. This woman was in pmenopause, late pmenopause. But what was considered at the time pmenopause, she had been
7:20 struggling with sleep issues and fatigue and cognitive issues, but again, low
7:25 stress tolerance. But I you know I remember growing up a big part of the
7:30 narrative was that women suffer and so my my kind of the original symptoms or
7:36 the early symptoms of my mother’s perry menopause was kind of an exacerbation of the daily pain points of everyday life.
7:43 It was just something we were brushing off and dismissing. Even I as her as her
7:48 daughter and a clinician, I was brushing off those symptoms until it became so
7:54 impossible to miss. And as I was watching her navigate doctor after doctor after doctor because it takes
8:00 about just to get to connect the dots between symptoms and pmenopause. It
8:06 takes the average woman five to six office visits. And this is what I was seeing for my mom. She was bouncing from
8:12 OB/GYN to primary doctor to all different types of specialists and no one was connecting the dots. Finally,
8:20 she had a doctor who was willing to give her oral micronized progesterone. But about three months into that journey,
8:26 her doctor went on maternity leave and she got another doctor um who said that
8:32 her symptoms did not indicate oral micronized progesterone and she was taken off of oral micronized
8:37 progesterone and given an SSRI instead. And so it was just this constant mismanagement of care. I ultimately
8:44 stepped in and started managing my mother’s care around 49 years old and really took it over. And I was so deeply
8:51 grateful to just to be a part of that journey and realizing how many women in their 40s into their early 50s were
8:58 being dismissed and gaslit during this transition. Now, fast forward to I’m 43
9:03 years old. My mom is now in her mid60s and I am 2 years postpartum. I have a
9:10 beautiful little boy. He’s he’s almost five right now, but he was just turned two and I had just skated out of
9:16 postpartum. I was still breastfeeding and for a good solid four months I felt
9:21 great. I had great energy. My brain was firing at all cylinders and then the
9:26 symptoms began. And I and I have Hajimoto’s thyroiditis like probably so
9:31 many of your patients. I’ve taken care of a lot of thyroid and Hajimoto’s patients over the years. And during
9:37 postpartum, I watched my antibodies climb. But I wasn’t going to go back on lowdose nrexone. I had been on an
9:42 autoimmune protocol the entire time I was pregnant and through well really
9:48 well before I was pregnant during my pregnancy during postpartum and I was taking all the supplements that I could
9:53 but because I was breastfeeding I was really mindful about ensuring that I was nourishing my son I wasn’t taking
10:00 anything that would mess with with his biology his physiology and so I watched my antibodies creep over those those
10:07 postpartum years and so I thought initially it had to be my thyroid roid because if you look at thyroid symptoms
10:13 and you look at pmenopause symptoms, they look very similar and and you know so often we when we’re trying to figure
10:19 out and we’re trying to connect the dots like what is going on with me, we often go back to what we had experienced in
10:25 the past and by the time you know pmenopause happens to most of us in our late 30s early 40s we’ve lived a lot of
10:32 life and a lot of women whether it’s polycystic ovarian syndrome or thyroid issues or it’s chronic fatigue or
10:39 chronic stress you know we we’ve we’ve had a lot of things come up for us. Maybe it’s irregular menstrual cycles.
10:45 And so I remember it took me about six months to finally connect the dots between my symptoms and it actually
10:53 being perry menopause. Um and that’s the thing about Perry is that it often can
10:58 be something coming back up for review that maybe you had been managing well or
11:04 it could be something that’s that’s new and pmenopause. And so that’s why I think it can be very complicated and a
11:11 little complex to kind of tease out is this perry or is this these other
11:17 symptoms and pmenopause? No, I completely agree. So I have Hashimoto’s as well and PCOS and other
11:24 things. And I think a lot of the things that you said that people are going to resonate with is like you have to see
11:29 five or six doctors before you actually get going in the right direction, which is really sad. Most women in pmenopause
11:36 get put on an SSRI or you know it’s all in their head which is so sad and even
11:42 as a doctor I’ve done this myself and yourself like it takes you a while to connect the dots because what I see with
11:48 pmenopause not only is thyroid but adrenal too like sometimes it’ll be like oh well it’s your adrenal gland you’re
11:54 stressed or oh it’s your thyroid you’re stressed or you know yes it’s a your you know you need some an SSRI when a lot of
12:01 times it is your hormones and your gut plays a big part too. And so if people are listening to this and they’re like,
12:07 “Oh my,” I mean, you know, I think stuff like this is so important for people to realize like it’s not in your head, you
12:12 shouldn’t let your doctors gaslight you. It is, you know, it’s not it is a part of aging. We don’t have to make it a
12:18 normal part of aging, right? Like we can treat it now, I guess we should say, but or mitigate. Yeah, we can mitigate the
12:25 symptoms. Yeah. I always say that pmenopause is your biggest window of opportunity
12:32 because it’s a window of vulnerability. You know, as these hormones, you know, for so so long,
12:38 we always thought that these hormones, the only thing that distinguished us from men was basically the bikini areas.
12:45 I know you’re very familiar with bikini medicine. And we were like, you know, it’s the boobs and it’s the ovaries and
12:50 the uterus. And that’s the only difference between us and men. And now we know we’re ve it’s very clear that
12:55 these hormones are whole body hormones. They are regulating I mean we know that with the decline of estrogen you’re
13:02 talking about the gut microbiome that we see a decline in diversity of that gut microbiome. We know that estrogen is
13:08 regulating bone growth muscle growth. It is the CEO of the brain. We know that it
13:14 is a major player in insulin sensitivity and blood sugar regulation. And so as
13:19 these hormones begin to falter and decline erratically all of a sudden the
13:24 entire body becomes more on high alert, we lose that protective shield that was,
13:30 you know, that was keeping us that was keeping us well protected. You know, that was keeping a lot of symptoms at
13:35 bay. And so I always tell women that you’re not broken like you just said. It’s just that your body is calling for
13:42 a new level of support, a new level of care. And if you’re not getting that from your provider, you’re going to have
13:48 to go and find one that will provide you the level of care that you deserve in this journey. You know, it’s it’s a
13:54 bummer that so often what women are recommended is oral hormone
13:59 contraception, you know, oral oral birth control pills and SSRIs. I believe it’s 66 million women in the US are on an
14:07 anti-depressant or anti-anxiety medication in this country. And that number significantly increased after the
14:14 women’s health initiative in 2002 where we took women basically women were taken
14:19 off hormone replacement therapy and because many of the symptoms of pmenopause are due to this massive
14:26 neuroindocrine transition brain related symptoms um mood related symptoms kind
14:32 of the the catch-all pill the panacea has been SSRIs for women.
14:38 Yeah. No. Amen. I completely agree. It’s like and that’s kind of what they taught us in medical school too, right? Like I
14:44 graduated medical school in 2011 and then I graduated. So yeah, after the women’s health
14:50 initiative, yeah, 2008, they taught you like, oh, you just, you know, give them SSRIs and it actually
14:57 makes things worse because it affects your gut, right? You know this. So oral contraception definitely makes your gut
15:03 worse, makes everything worse, but then so does SSRIs sometimes. And it’s just
15:09 it’s really sad what we put women through. It’s kind of like, you know, it kind of stinks cuz like PCOS is very
15:16 difficult to diagnose as well, right? And a lot of women spend 5, seven years, 10 years getting diagnosed with PCOS and
15:21 then it’s like, okay, maybe we kind of know what’s going on for a few years and then you go to this permenopausal phase
15:27 and the same thing. And then once you transition through this beautiful part of life, then you get into menopause and
15:34 now you’ve got to find a doctor or fight with somebody about whether you should be on hormones or not, right? So it’s
15:39 just like kind of not fair. We sort of absolutely not in our way.
15:44 And I would argue from a clinical p perspective if women are experiencing up
15:50 to 40 different symptoms in pmenopause due to the decline of progesterone,
15:55 estrogen, testosterone. And mind you, these are not operating in a silo. This is where we see uh autoimmune begin to
16:03 creep up. If if a woman hasn’t been diagnosed with autoimmunity yet, you know, pmenopause is kind of again that
16:09 window of vulnerability. We see thyroid levels go down. We see a deregulation of cortisol. We see more insulin
16:15 resistance. We see melatonin decline. So, we see circadian rhythm disruption across the board. so many other hormones
16:22 are being affected as well at the same time that you know it’s not like perry
16:27 men I think one of the biggest myths I want to dispel today is that you know you hear a lot about perry menopause being this window of chaos this
16:34 transition of chaos but I I want women to know that it doesn’t end like it’s
16:39 not like oh now you’re in menopause and you start over it’s it’s a lot of the
16:45 shifts that are happening these are silent shifts no one is feeling their blood pressure creep up. Very few people
16:52 are feeling insulin resistance. We may notice the belly compos, like the belly fat, the composition changes that’s
16:58 happening with our body. Um, but often we’re not feeling a lot of these silent shifts. We’re not feeling our brain
17:03 becoming more inflamed. We’re not feeling our cardiovascular markers go out of range. And so I want women to
17:10 understand that a lot of what’s happening in pmenopause is going to be a continuum as we move into
17:16 post-menopause. And so I am a big proponent for women to be having the
17:22 conversation around HRT, hormone replacement therapy, as early as their 40s so that we can get in front of the
17:29 neuro degeneration. We can get in front of the cardioabolic dysfunction that we can get in front of bone loss. You know,
17:36 we lose up to 20% of bone by the time we are in early super early menopause. That
17:43 was happening in pmenopause. It didn’t your bone didn’t just wait until you were 51 years old to start you know um
17:51 falling apart to start we start losing that bone. No, it’s happening in our 40s. And so the reason why I speak into
17:58 this transition as that window of metabolic opportunity is because it is.
18:04 As those hormones decline, our metabolic health becomes less resilient if we
18:09 don’t take certain measures to shore it up. There’s a lot that we can during in
18:14 this phase. I want women to know this isn’t the beginning of the end. But in order to futureproof our health, we
18:20 really need to be on top of it as we move through perry menopause into our 50s, 60s, and beyond.
18:26 Amen. I say that to my patients all the time. Like if you What I really hate is when I get a woman who’s like 52, 53,
18:33 just miserable, having hot flashes, you know? I’m like this really stinks because if you would have saw me five
18:38 years ago, we would have never gotten here. And you know, like some people tell me, “Oh, well, my doctor says I
18:44 have to wait until I have hot flashes to start hormones.” And I’m like, “That is the stupidest thing I’ve ever heard
18:50 because do you understand physiologically what’s happening when you have a hot flash? Like you’re having all this vaso constriction. All these
18:56 terrible things are happening in your body. Like why would we make you have this before we treated you?” Like the
19:02 point is to prevent it. And to your point, you know, women lose their testosterone in their 30s sometimes and
19:07 then we’re losing our progesterone by 40. we’re starting to have fluctuations in our estrogen in our mid-4s, sometimes
19:14 earlier. And so, like, yes, layering these hormones in as you need them make
19:19 it so much better. And even when you, you know, I tell my patients this all the time, I’m an endocrinologist. I’m a
19:25 doctor. I’m like pmenopausal already. And like even knowing what I’m doing, sometimes you’re just like, “This is
19:31 kicking my butt.” Right? Like my friend and I talk about this all the time. We’re like, she was like messaging me the other day. She was like, “Penopause
19:37 is killing me.” And I’m like, “I know.” and we know what we’re doing, right? So, it’s like it’s hard and you have to be
19:42 an advocate for yourself and then we have all this misinformation. We have all these people that are scared about
19:48 hormones and then what I really feel bad about Dr. Maresa is these patients are
19:54 stuck in the middle, right? That’s what really stinks. Like I had a conversation with a lady yesterday and she has 40
20:00 symptoms you’re talking about. And I’m like, “You need progesterone and you
20:05 need a little bit of estrogen, not like a ton, but her estrogen levels are pretty low.” And she’s like, “Well, my gynecologist said that that’s going to
20:11 kill me.” And I’m like, “Okay, well, what is your gynecologist doing for your 30 symptoms you just told me?” Well,
20:16 they want me to take an SSRI. I’m like, “Okay, here we go.” You know, and so it’s just it’s hard for the patient
20:22 though, too, right? because they are stuck in this like what do I do? I want to make my gynecologist happy who
20:28 delivered my baby who I trust and I want to make my you know and so it’s just it it is really frustrating. So it’s um
20:34 it’s good that people like you are writing books about things like this so that we can educate people so that we
20:40 are more aware and then unfortunately I think for the people listening to this you know I get questions I’m sure you do
20:45 all the time like well what do I do if my doctor won’t listen give me I mean I think the unfortunate answer is is you
20:52 find a doctor who’s on the same page as you right you absolutely do I mean this we only get one life and you know it breaks my
20:59 heart a stat that always is just so mind-blowing to me that Although we women live four to six years longer than
21:06 men on average, that we spend 25% more of our lives in debilitating health,
21:13 that is not okay. That is not okay at all. And I do agree with you. I’m a big proponent of
21:18 stacking hormones. You know, lot of lot of us don’t know that testosterone is the most biologically active hormone in
21:24 the body. We’re talking confidence, motivation, brain function. It’s not
21:30 just libido, you know, workout recovery. so that you are you are moving and you are building that that muscle that organ
21:37 of longevity. So test don’t guess. Although I will say that that’s not how we diagnose pmenopause, right?
21:43 Pmenopause is a clinical diagnosis based on symptoms, menstrual cycle changes and your age. That’s really the three
21:49 criteria. And you know we have gone almost two generations of providers who
21:56 do not know how to prescribe hormone replacement therapy. We are trying to
22:01 quickly get doctors leveled up back on how to prescribe. But yes, it’s you’re
22:07 going to run into doctors, particularly your OB/GYN, which is more of a surgical residency than anything else, that are
22:14 not going to have menopause care. You know, 10 years ago, less than 20% of OBGYNS had even two hours of menopause
22:22 care. Oh wow. As of 2025, that re the data is now we’re we’re up to 31% of OBGYNS in
22:30 residency that have any level of menopause care. So, in the last decade, we have jumped 10 11%. That’s it. So, I
22:39 just I want women, you know, I I kind of liken it to trying to get milk at the
22:46 hardware store. Like, you’re just not going to find it there. That’s not the place to get it.
22:52 The hardware store. Well, and the sad thing is, you know, I went through an endocrinology fellowship from 2015
22:59 to 2017. And to be honest with you, looking back, I’m like, how much menopausal care did I
23:05 get? I mean, I know how to treat osteoporosis, but did they really teach you about preventing osteoporosis with
23:11 hormones? No. Did I, you know, did I learn or even thyroid looking for osteoporosis? I mean, the
23:18 the standard when we’re we’re recommending prescribing DEXA scans is 65 years old for women,
23:24 right? or te technically they told us 10 years after menopause but still like yes
23:30 to your point like knowing to start doing bone density sooner knowing how to
23:36 properly treat your thyroid I mean even as an endocrinology fellow we didn’t get a lot of hormonal care I mean we did
23:43 some but not a lot and it’s kind of sad and even in my boards there wasn’t a ton
23:49 of questions and I’m actually getting ready to reertify my boards and so I’m interested to see how
23:54 how much but then I’m also interested to see like well if I answer actually correctly which is to give people hormones will
24:00 that be considered wrong or right because it depends on like who you talk to you know so that’s also very
24:05 interesting but it is sad and it’s true like doctors just don’t get this training and I was an internal medicine
24:12 resident right before I was a fellow and like we definitely didn’t get this in internal medicine so like who’s supposed
24:17 to be doing it primary care is not doing it OB/GYN’s not doing it endocrinology is not doing it so like I guess we just
24:23 don’t do it, you know, it’s just it’s crazy. Yeah. Know that it’s it’s it’s extremely
24:29 disappointing and discouraging for women who are listening to this right now thinking, well, where do I go? And I
24:35 will say, you know, there’s a lot of tele medicine companies that are available at this point. But what a lot of what you’re going to get in those
24:41 tele medicine um companies is going to be very standardized dosing. Now, is
24:47 standardized dosing better than no dosing? Yes. And unfortunately, it’s
24:53 probably not going to be very tailored to you. You know, I talk about with hormone replacement therapy, it’s not a one-sizefits-all.
24:58 Correct. Just not just like thyroid medication. You know, you you’ve really got to you’ve got to tailor it. You’ve got to
25:05 and you know, particularly I even think it’s worthwhile. I I look at labs all of the
25:10 time when I’m making when when I’m shifting and trying to tailor and also based on symptoms like how are you
25:16 actually feeling at the time? And you know, as I shared that story about my mom being on oral micronized progesterone and then getting getting
25:23 pulled off, we’re talking about an FDA approved medication, super safe, beyond safe. And
25:30 this my mother was doing amazing on it. Wasn’t having rage attacks, wasn’t
25:36 having severe low mood and mood swings. And yet, even though she was doing great
25:42 on a medication, was pulled off because the doctor was like, I just don’t do this. Yeah. And the crazy thing, so two
25:49 crazy things about that. One with micronized progesterone. To your point, I tell people this all the time, like you can’t really overreplace someone
25:56 with micronized progesterone. And and the way I explain this to people is like when you’re pregnant, do you know how
26:02 high your progesterone levels are? Like I can’t give you so much progesterone that you’re I mean, it’s not going to
26:07 hurt you. And you know, I what kills me too is like I’ll have girls who come to me. I saw one this week who had multiple
26:13 issues with miscarriages, infertility, her progesterone. When I finally saw her was low, I put her on progesterone. I
26:19 fixed her thyroid. She got pregnant. She went to her OB at her 8week checkup and her OB’s like, “Stop the progesterone.”
26:24 And I was like, “Don’t stop your progesterone.” And she’s like, “Oh, they told me to.” And I’m like, “No, don’t stop your progesterone.” And take it all
26:31 the way to the second trimester. Exactly. I was like, “Worst case scenario, you don’t need it.” Or, “Yeah, but like best case scenario,
26:37 but it’s not going to harm you. Worst case scenario, you have a miscarriage.” And just like people are so freaked out about progesterone and
26:44 micronized progesterone will not hurt you. In the studies did we have issues with madroxy progesterone? Yes. But
26:50 micronized and I say that to people all the time like if you come to my practice and you’re 40 or over and you have a
26:56 even a sniff of like pmenopause. I’m like take this micronized progesterone. And they’re like are you sure? I’m like
27:01 I’m sure if you don’t like at least the OB/GYN didn’t pull her off her thyroid medication. Oh my goodness.
27:06 Right. Um but yeah, it’s it’s just yeah, it’s just a mis especially gosh it’s
27:12 such a there’s such a lot of I mean I know the through line of a lot of what people are hearing is that there’s a lot of mismanagement is happening and and
27:19 unfortunately we have to be our own advocates. You know I tell my patients that they need to go into, you know,
27:25 whatever specialty they’re going to with a piece of paper. It’s so easy to get interrogated as well by a doctor. You
27:31 know, it’s happened to every single one of us. Even even as clinicians and pro and and and and providers, you you’ll be
27:37 in a doctor’s visit and all of a sudden you’re getting pummeled and it can really mess with you. And so I always
27:42 tell you like bring your piece of paper, bring the top symptoms, connect them to how they’re impacting your life because
27:50 doctors, we have to listen if it’s impacting your life. Get clear on the labs. Do your own research. Ask have a
27:57 list of labs that you want ran that you want to look at including full thyroid
28:02 panels, full iron and feritin panels. Are we looking at anemia because of your
28:07 fatigue? Like I want to see the whole everything. I want to see fasting insulin, a full metabolic panel of
28:14 advanced cardiovascular workup. Like especially once we’re in our 40s, we should be looking at all of these things
28:21 full looking at all of your hormones so that we can get a picture. Like I can diagnose pmenopause with a with a number
28:27 of labs, not just the hormone labs. Like I can if your highly sensitive CRP is going up, your insulin’s going up, if
28:33 I’m seeing your cardioabolic lab starting to go out of range and you’re in your early 40s, there’s a good chance
28:39 that pmenopause is also on the scene. Yeah. No, I completely agree. So to your lab point, you know, our patients that
28:45 come in, we do minimum of like 40 labs when they first come in. I agree like do your labs, we do labs often. I use labs
28:53 to adjust, but we listen to your symptoms, too. And then we love Dutch testing if we need to do Dutch testing.
28:58 We do gut testing. Like if you need, you know, I do mold testing. Like functional functional testing.
29:04 Absolutely. I do testing and like, you know, I don’t I try not to do that to everyone, but like you start like I tell my patient,
29:10 you start with the the 40. You start with that panel and go from there. And then if you’re and we give you we
29:15 give you what we need to and if you’re still having symptoms, we keep looking. And the interesting thing is like that’s how I got so interested in gut health
29:22 because I would have all these people where their labs looked great. They had terrible symptoms. They’re on the right stuff. You start looking at your gut,
29:28 their gut, you’re like, “Oh my gosh, this is a train wreck.” And then that’s how I learned about mold because you’d fix people’s guts. Not everyone, but you
29:34 know, you fix people’s guts, they’ve done all these things, everything looks perfect, they still feel bad. All those people have mold. So, it’s just like you
29:41 have to listen to people. And I completely agree. You know, I mean, I truly believe that people don’t come to
29:46 my office and lie to me because they don’t have anything else better to do. I mean, I’m sure they have something better to do than come to my office and
29:52 tell me they feel terrible, right? And so, most doctors are like, “Well, their labs look fine. Who cares?” It’s like,
29:57 well, it doesn’t matter that their labs look fine. Something’s obviously wrong,
30:02 you know? And so, I think that it’s just unfortunately we do have this um
30:08 generation of doctors who forgot how to listen to I’m terrified it’s going to get worse. I don’t know your thoughts,
30:15 doctor. Uh, but like I think with AI, I’m worried that we’re going to learn
30:20 even to like not listen to people more, you know what I mean, in med school. What are your thoughts on that?
30:25 Yeah, it’s been interesting. You know, in a with AI in particular, I see a lot of patients who come in and have they
30:31 they will interpret their own labs with chat GPT. And so that’s kind of smart.
30:36 So I it’s been interesting. And it’s been like a yes and where you’ve got providers who maybe not listening as
30:42 well, but then you’ve got patients that were becoming very much more the CEO of
30:47 their health. Yeah. Um and so they’re looking at they’re looking at functional lab ranges. They’re not looking at the the
30:53 traditional lab range where you know if you look at fasting insulin for example, let’s just take that at let’s say it’s
30:59 like two um the lower scale of fasting insulin will be a two and the higher scale will be 20 and that is normal
31:06 range. Although I don’t want it to be anywhere. I don’t want to be above five or six. Yeah. When I’m looking at my
31:12 patients. And so I’m worried about doctors too though. Like not I’m glad patients have that but like my thought is like you know doctors
31:18 now when they’re going through school I think it’s just going to be unfortunately I think they’re going to like listen less and less because
31:24 they’re so used to this like I mean imagine being in med school right now with all this AI. I was telling my husband last night, I was like, you know
31:30 how many like papers I wrote and pro like I had to go read out of books and stuff and now you can just like
31:35 now you can just spit it into a chap like when you’re studying for boards and stuff if you don’t know you can be like
31:41 tell me everything about whatever and chat GPT will just give you the rundown and it’s like God I don’t know it’s just
31:47 scary. I feel with boards though you’ll still need to know your stuff but yes in terms of papers and research it’s going to get
31:53 a little bit stickier. there have to be some some way of like some level of criteria where you know you can kind of
32:00 sift that out. And to your point, which I I love that because I agree with insulin levels, they have to be less
32:05 than five. And so using AI to interpret your lab sometimes is difficult too because if you know AI says that a
32:12 normal insulin is 20, it’s going to miss things. Which is why you need the these providers that have functional medicine
32:18 training, right? Because if you just look at labs for what they are and don’t put anyone’s symptoms into account,
32:23 you’re going to miss a lot of things, unfortunately. Yeah. I mean, as a functional as when I think about functional medicine and how
32:29 I take care of my patients, I’m looking at a couple things. One, it’s always symptoms, you know, listening to you
32:34 what you’re going through. Labs to validate. And if we need to go down the rabbit hole of more functional labs,
32:40 including gut testing and mold testing and micronutrient testing, then we will.
32:46 But I’m always mindful of cost. You know, that’s something I’m always mindful of. It’s like a it’s a fine balance between you know
32:54 seeing if I can figure this out um based on patient based on on symptoms and
33:00 based on the initial lab panel and then if we need to go deeper but then also the other thing is adherence. So, I’m a
33:07 big fan of being a part of that team with my patient in terms of let’s say for an example, I want you strength
33:13 training four days a week in the gym, but your schedule isn’t going to allow for it or you don’t have the energy yet
33:18 for it. And so, I I’m really mindful about the level of adherence in terms of my recommendations, particularly
33:25 lifestyle medicine. If a patient just can’t do it, I’m like, I want to meet you where you’re at so we can get some
33:31 wins established so that you are feeling confident and motivated to keep moving in the right direction. And so I’m
33:37 usually taking your goals into account and also what is doable for you? What what is adherence that you can that we
33:44 can do together to work as a team? And so all of that is taken into consideration when I’m building protocols.
33:50 Yeah, agreed. Same. I think that’s amazing. So then I guess let me ask you this. I want to ask you some questions
33:56 about symptoms too, but do you only see patients in California? Do you do virtual tellahalth stuff?
34:02 I do virtual tellahalth. Yeah. Yeah. So mostly a lot of my patients are in California, but I see patients out of
34:07 California as well. Okay. So do you have a license in every state or just certain? Not every state. Not every but that but
34:14 like Texas and Colorado like it’s kind of peacemail. Yeah. Not Oklahoma.
34:20 Not Oklahoma. No, I know. We I have a license in 43 or 44 states. So, it is Yeah, it’s kind of
34:26 have to piece them together, but it’s a lot. So, tell us, Dr. Marica, if
34:32 somebody’s lift listening right now and they’re like, “Okay, maybe I’m going through menopause or pmenopause or like
34:38 you said there are up to 40 symptoms or probably even more than that. What are the top 10 symptoms that somebody could
34:45 have like if they’re listening right there like maybe I’m in pmenopause?” What would you say are like the top 10
34:50 that people come to you where you’re like, “Yes, you’re in pmenopause.” The top 10 um are predominantly brain
34:56 related. And I think about permenopause as a neuroendocrine transition.
35:02 Um the connection between the brain and the ovaries. I I always think of it as my son playing telephone with me and how
35:09 that message begins to get garbled between the brain and also the brain is so reliant on these hormones to do its
35:15 job in terms of reg thermmore regulation and and sleep regulation, circadian rhythm, stress response system. So the
35:22 number one symptom of my permenopausal women is going to be weight resistance hands down. Fatigue is another one. But
35:28 then the rest are going to be brain related. From hot flashes to night sweats to sleep issues. 68% of my
35:34 patients are struggling with sleep issues, mood swings, rage, PMS symptoms that have been exacerbated. Um,
35:40 cognitive symptoms including lack of mental energy, lack of word recall, just
35:46 not being a as alert. You know, back in the day, a lot of my women, you know, very high functioning, could have a 100
35:53 tabs open, they could multitask all of them. And then pmenopause hits and they’re just like, what? I can’t manage
35:59 all of these things anymore. this to-do list is feels unmanageable. Um a lack of stress tolerance. So all of a sudden
36:06 things are more harder like just more irritating. Um and the most common symptom of the women in my practice is
36:15 going to be irritation. You know partners, family members, chewing, breathing, existing. This tends
36:21 to be a common theme. Yeah. So those I would say a lot of them are
36:28 brain related symptoms that are initially I’m laughing because literally this morning my husband left like a plate
36:34 with some crumbs on the counter and I just like almost lost my mind. Thankfully he wasn’t here. I like I made
36:40 a funny Tik Tok video out of it but I like almost lost my mind and I’m like this is so stupid. Did I take my
36:45 progesterone last night? You know what I mean? Like it’s just like Exactly. Now you’re like oh I need to take it tonight. Absolutely. Can I take my progesterone last night?
36:52 This is like three crumbs in a plate. And I was just like, and then I was like, this is so dumb. Like just wipe the crumbs onto the plate and put the
36:58 plate in. And then I just kind of And then I I was like literally thinking about it, started laughing about it. So I made a funny TikTok about it. Uh I’m
37:05 going to post later, but I was like, “Yeah, this is what happens in your brain.” Like, yeah, totally. A lot of these symptoms
37:11 are cyclical, too. So I’ll have women who are fine the first half of their cycle in the follicular phase. the estrogen, she’s still showing up pretty
37:17 well, especially in kind of early to mid pmenopause before we, you know, as why
37:23 cycles are still regularly normal. Like there’s we’re still managing a regular cycle. Maybe it’s a couple days shorter,
37:29 but overall, this is when you would go to your doctor and they would say, “You still have a cycle, go home.” Um, so
37:35 you’ll notice that in the follicular phase, you’re fine, but the ludal phase, you know, those two to three days of PMS
37:42 symptoms are now stretching. all of a sudden they’re five, seven, 10 days.
37:47 It’s almost like the entire ludial phase gets hijacked by declining progesterone levels and you know even declining
37:54 estrogen levels. And so that that’s a lot of what my my patients will experience is symptoms that come and go.
38:00 So it can that’s the erratic nature of pmenopause. Like one day you’re okay, the next day you’re not. And so that it
38:06 can be a moving target in a lot of ways. One night you sleep amazing and the next night you wake up at 3:00 a.m. and
38:12 you’re hot and you can’t go back to sleep and you’re just like Yeah. I mean, it’s it’s the craziest thing. So, I was
38:19 Oh, let me ask you this, too. So, let’s talk a little bit about your book. So, it’s called The Perry Menopause
38:26 Revolution. It’s coming out shortly, October 21st. Yes. I have it right here.
38:31 Here we go. Oh, it’s so pretty. I love that. and we are going to put a
38:37 link so that everyone can get it because you’re giving away a lot of freebies if we pre-order it. So, I’m going to pre-order it as well. But I want to ask
38:44 you, I’m gonna have you talk about it and tell us a little bit about it. In there though, you told me you talk a little bit about how your gut affects
38:50 your hormones and my people love gut stuff cuz I talk a lot about gut and I know you specifically target like
38:57 metabolic stuff with the book and how from a metabolic perspective, things that target your gut. tell us a little
39:03 bit like give us five minutes about tell everyone that I’m not crazy how your gut actually does affect your hormones
39:11 and it’s you know it’s a birectional relationship um we would be silly to think that it isn’t right that we know
39:17 that your gut diversity your gut microbiome is having a profound impact on estrogen you know you think about the
39:24 estrobolum and how it’s helping to ensure that we’re metabolizing estrogen that we’re packaging it up safely and
39:30 sending it out I always say with estrogen, you got to use it and lose it con constantly 24/7. Um, but then also
39:37 we know that as hormones are declining, we start to see a decline in gut
39:42 microbiome diversity. So, we start to see more more pathological gut bugs
39:48 start to pop up. And so, women who maybe had never dealt with gut issues in the past, all of a sudden pmenopause are
39:54 beginning to see an increase in inflammation, an increase in gut related symptoms. And it can be a little, you
40:00 know, again, misleading because a lot of the gut symptoms that my women are experiencing are the brain related
40:06 symptoms as well. And so, is it the hormones? Is it the gut? Often it’s both. Um, but more so, I talk a lot
40:13 about the metabolic piece in this book. And I talk about eating metabolically healthy meals, meals that are really
40:19 centered on supporting your gut microbiome. So micronutrient and antioxidant rich foods, omega fatty
40:26 acids, probiotic and prebiotic rich foods. So fermented foods, and foods that are going to help keep blood sugar
40:33 stable. A lot of people don’t realize that a big part of how we stabilize our blood sugar is going to be through our
40:38 gut microbiome. And if our gut microbiome is not healthy, we’re going to have irregular and more variable
40:44 blood sugar issues, which ultimately leads towards poor cellular energy and mitochondrial dysfunction. And so the
40:50 through line for this book in particular is how do we support the gut microbiome so that you have good cellular energy
40:57 and good stable blood sugar. You know the one of the things that I’m trying to protect at most is going to be your
41:03 cardioabolic health. One in three women are going to die of a stroke or a very
41:08 highly preventable heart attack. How do we get in front of that in our 40s? And that’s going to be specifically about
41:15 supporting that gut microbiome, balancing your blood sugar, and ensuring that you have good cellular energy
41:21 that’s reducing inflammation, and that’s keeping insulin at bay. And so that is a big part of what this book is about is
41:28 how do we shore up and protect your cardio health through your gut, your
41:34 blood sugar, and your cellular energy. Yeah, I love that. So that’s the whole
41:40 book. Like is there anything that’s a big part of the book? how the book is broken down is
41:46 yeah the first step of the book is understanding if you’re in pmenopause that’s the question I get most from my
41:52 patients they’re like is this is this pmenopause like what is this and you know and so often it is so one is it
41:59 pmenopause two I want to connect the dots between your symptoms and your future health outcomes because the fact
42:06 that we’re just pretending to ignore your symptoms that it’s only pmenopause is doing such a major disservice to
42:12 women. Next, I break down the metabolic component. What is happening to your metabolism, your gut health, your
42:19 overall cellular energy when these hormones begin to decline? The fact that we are not connecting the dots between
42:25 the decline of these hormones and your future health outcomes is devastating
42:30 for women. It’s this is it’s all connected. The that it’s not that oh
42:36 estrogen, low estrogen is hot flashes and night sweats. These are vasom motor
42:41 symptoms that are significant particularly for your cardioabolic health later in life. The fact that we
42:47 are showing them off as just being a nuisance is so it’s it’s heartbreaking
42:52 and it is damaging to women’s health as they move through this continuum. So then I paint the picture of what the
42:58 metabolic health aspect of this is and then it’s the pillars. So how do we eat to balance our blood sugar? How do we
43:05 support our gut microbiome? How do we optimize our circadian rhythm in our sleep? Community, hormone replacement
43:11 therapy, movement as medicine, all of the big pillars that are going to move the needle in a meaningful way, not only
43:17 during pmenopause, but in the years to come. And then there’s a five-week plan that puts it all together so that you
43:25 have a road map through. This was the book I so desperately wanted when I was 43 years old and I was experiencing my
43:31 my initial permenopausal symptoms. This is the road map that allows you to rewrite your midlife story so that you
43:38 are feeling strong and resilient not only in pmenopause but beyond. That’s
43:43 what the book is going to offer. I love that. So basically any woman needs to get it that has I mean I even
43:51 think if you’re in menopause it’s helpful to go back and put all these things together if you’re in your 20s to
43:56 know what’s coming. Like any woman could read this book and if you’re a good husband, you should read it, too,
44:01 because then you’ll understand what’s going on, right? So, I’m super excited
44:07 to get it and read it. I love that you put a pillar in there about gut health. I really really I mean, that’s like the
44:13 thing that I love to stand on, like how gut health affects all of our It’s foundational,
44:19 100%. And like I love that more and more people are talking about it. I truly think in 10 years if you go to a
44:25 provider and they don’t talk to you about your gut health, about your poop, about then you will go to a different provider. So providers either going to
44:32 get on board or they’re not. But like you know people have been saying this Hypocrates said this 2,000 years ago,
44:37 right? Like let food be thy medicine and medicine be thy food. Like he knew that there were gut issues that we don’t
44:42 understand. So I love that you put that in there as well. So, we’re going to make sure that we have a link for all of
44:48 you guys so that you can go pre-order her book because she’s giving you a lot of freebies. So, you want to get it
44:53 before October 21st and then make sure that we’re following you on social media so we can stay up to date with
44:59 everything, too. So, we’ll put all your stuff in the the show notes as well. Is there anywhere in particular people need
45:05 to know to find you besides social media? I would say um my podcast, Energized with Dr. Maresa is a beautiful
45:12 place to land if you are in midlife and you really want a pathway through. I have so much on gut health, on thyroid
45:18 health, but most importantly on menopause and pmenopause. Every one of every single one of us, this is an
45:24 inevitability. We’re all going to go through this if we live long enough, right? And so how we take care of
45:30 ourselves, how we shore up our health is the most important thing we can do as we
45:36 navigate this journey. And so you’ll learn all of that on the on the show and then go to drraissa.com/book
45:42 for all the bonuses to get the book. If you’re like me, I listen to my book. So I read the book. It’s going to be
45:48 available on Audible. Um that’s that’s a lot of where I know my women are going to be getting the book as well. So I
45:54 just want you to know that that’s going to be available. It’s going to be available there as well. Awesome. Well, thank you. So I want to
46:01 ask you three questions before you go if that’s okay. I ask every guest this.
46:06 Don’t overthink them. Just like first thing that comes to your mind because people love this. Okay. What is one food that’s most beneficial
46:14 and why? Avocado. Avocado because of the healthy monounsaturated fats and all of the
46:21 incredible fiber. It is such a gutloving food and it helps you to feel full. So
46:26 I’m a big fan. I’m also Latina. So I love I love avocado. I love avocado
46:31 too. Okay. So we are on the same page there. Dr. Dr. Marica, what about what is one thing that anyone can do for
46:38 their health that’s 100% free? Move. Walk after meals.
46:44 Move your body like your life depends on it. Build your life around movement. I love that. And the last question is,
46:50 what is one thing you wish you would have known about your health? Let’s say before you entered perry menopause that
46:56 you would have done differently? I would say functional testing. you know, we had mold in our my house that I
47:01 didn’t we didn’t I obviously it’s so funny you you you’re looking for everything else except for the thing and
47:07 so just just being despite the fact that I do so much functional testing on my patients um I wish I would have turned
47:14 to that sooner for myself and my family. That’s fair. Okay. What are your parting
47:20 words? What should somebody take out of this out of this conversation? I want every woman to know that they are not
47:28 broken and that they deserve a gold standard of care. You deserve to thrive
47:33 not only today but in the second half of your life. And I want you to know that there are doctors like myself out there
47:39 that are advocating for you, that are fighting for you and that are trying to carve a path. So just please believe
47:47 that you deserve it. You deserve to feel amazing. You deserve to feel alive in your body and you deserve that level of
47:54 care to get you there. And if that means you need to advocate for yourself, then so be it. That is not a new that’s not a
48:00 new thing for women. I feel like we have to fight for everything in this world. So, you know, you may have to fight for
48:07 your healthcare, too. I completely agree. And so, I appreciate you coming on, Dr. Marica Snyder, for just to help
48:15 educate women. And I appreciate everything that you do. So, I commend you for that, for, you know, advocating for women, for taking care of women, for
48:21 writing this book while being a mom. It’s a lot of work, but I appreciate that you, you know, you’re doing that to
48:28 help pave this path for women so that we have better outcomes long term and we’re feeling better, right? So, the people
48:34 who do do this, like, we have to, I truly believe we have to like uphold and appreciate and love each other,
48:40 encourage each other because it’s hard work, but it has to be done, right? So, it has to be done. Thank you so much for doing that. We’re
48:46 going to link all your stuff in the show notes and thanks for coming and and educating us about perry menopause.
48:52 Thanks for having me. It’s been such a pleasure. I hope that Dr. Marica and I helped you
48:58 feel more validated with this episode. I know that it can be very frustrating
49:04 when you are going through a difficult just not feeling well, right? Like going
49:10 through seeing doctor after doctor after doctor. Like we talked about, it takes five to six different doctor’s
49:17 appointments to actually be diagnosed with permenopause. And so I just want you to realize that this is a journey.
49:23 It’s not all in your head. You do need to advocate for yourself. We gave you some symptoms to start with from a lab
49:29 perspective. We have a full lab panel that you can download on our website that we recommend you could take with
49:35 you to your doctor’s office. So download it, take it with you, demand those labs. If they won’t do them, find another
49:40 provider. But know that a lot of these symptoms, especially in your 30s and 40s, definitely are usually tied to your
49:46 hormones. And if you don’t get this fixed, it’s going to affect your sleep. It’s going to affect your gut. It will
49:52 decrease your longevity and your health span. So, not only how long you live, but how long you live healthy years. So,
49:59 take this information, arm yourself, make sure that you find the right provider. Modern Endocrine is licensed
50:06 in 43 states. We are still working on the last few states, but all of them are
50:11 listed on our website. We do virtual visits. We are perfectly happy to help you with all your hormonal concerns. So,
50:18 check that out. Make sure that you’re following me wherever you are on social media. I love to give you guys
50:24 information. I’m starting daily walks where I give you guys health information and so feel free to DM me any of your
50:30 questions and I’ll answer them on my walks. Also, let me know what you want to know about on this podcast and I’m
50:36 happy to get guests on that resonate with you and answer the questions that you have. Please, please, please share
50:43 this with somebody that you know. I know you know a woman that’s in perry menopause. So, any woman that you know,
50:48 tag or share this with and even your husband so that maybe he understands as well or your significant other, your
50:54 partner, like share this with everyone because education is knowledge and this is how we get the word out. So, thank
51:00 you so much for your time today. I’m looking forward to our next conversation next week.
51:06 [Music] The information presented, including any materials discussed, referenced, or
51:12 linked within this podcast, are for general educational purposes only. Not
51:17 the practice of medicine. No doctor patient relationship is formed from you listening to this podcast or utilizing
51:23 any of the information provided. I am a doctor, but I am not talking to you as your doctor. The information provided is
51:31 not intended to diagnose or treat health problems or take the place of the professional medical care provided by
51:37 your doctor. If you are experiencing any health problems, including problems you believe have been touched upon in any
51:44 respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor
51:51 whether he or she believes the information I have provided would be helpful to you, but you should still
51:56 consult your doctor immediately and follow his or her medical advice as your treating physician. I’m just here to
52:03 provide you basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with
52:09 your doctor. That’s why we call it back to the basics. Join me on the next episode as we continue our journey.
52:17 [Music]
Disclaimer:
The information presented including any materials discussed, referenced, or linked within this podcast are for general educational purposes only, not the practice of medicine.
No doctor-patient relationship is formed from you listening to this podcast or utilizing any of the information provided.
I am a doctor, but I am not talking to you as your doctor. The information provided is not intended to diagnose or treat health problems or take the place of the professional medical care provided by your doctor.
If you are experiencing any health problems, including problems you believe have been touched upon in any respect within this podcast, you should consult your doctor about the problems without delay. You may ask your doctor whether he or she believes the information I have provided would be helpful to you, but you should still consult your doctor immediately and follow his or her medical advice as your treating physician.
I’m just here to provide you with basic knowledge about the issues we discuss so you are more aware of them and can better discuss them with your doctor.
That’s why we call it Back to the Basics. Join me on the next episode as we continue our journey.