WEBVTT 00:00:00.000 --> 00:00:03.060 There are a lot of women out there who don't 00:00:03.060 --> 00:00:05.040 quite feel right. They've had the test done. 00:00:05.200 --> 00:00:08.660 The tests all look normal. Women are under -researched 00:00:08.660 --> 00:00:11.320 anyway. We've stopped listening to the patient 00:00:11.320 --> 00:00:14.720 in front of us. Six minutes is enough time to 00:00:14.720 --> 00:00:17.839 say hello, write a script, say goodbye. There's 00:00:17.839 --> 00:00:20.359 also an element of women being told their pain 00:00:20.359 --> 00:00:22.920 is not real. I almost missed that too. I said, 00:00:23.079 --> 00:00:26.460 you know, I believe you. So many of us don't 00:00:26.460 --> 00:00:31.870 know who we are anymore playing roles that's 00:00:31.870 --> 00:00:34.350 why when it comes to perimenopause and your hormones 00:00:34.350 --> 00:00:36.929 say you know what fuck this shit when we fall 00:00:36.929 --> 00:00:42.380 off The wagon in perimenopause, we fall off spectacularly. 00:00:42.420 --> 00:00:45.899 It is not acceptable to not have that conversation. 00:00:45.979 --> 00:00:48.240 The only person we have to really live with for 00:00:48.240 --> 00:00:50.939 life is us, women in their 40s particularly. 00:00:51.320 --> 00:00:53.920 They really need to start loving themselves as 00:00:53.920 --> 00:00:57.579 much as they've loved everybody else. The 40s 00:00:57.579 --> 00:01:01.700 Formula. The 40s Formula. The 40s Formula. Hosted 00:01:01.700 --> 00:01:04.629 by Jasmine Dillon. Integrated health strategist 00:01:04.629 --> 00:01:07.670 specializing in gut health, hormones and midlife 00:01:07.670 --> 00:01:10.370 well -being. And Amanda Lim, director of Lift 00:01:10.370 --> 00:01:13.090 Clinic and a leading expert in female strength 00:01:13.090 --> 00:01:16.390 and metabolism. Named one of CNA's top podcasts 00:01:16.390 --> 00:01:20.409 and winner of the 2025 Asia Podcast Awards in 00:01:20.409 --> 00:01:22.709 the Best Health and Wellness Podcast category. 00:01:23.010 --> 00:01:26.170 The 40s Formula is your no fluff, science meets 00:01:26.170 --> 00:01:31.680 real life guide to thriving in your 40s. Have 00:01:31.680 --> 00:01:33.400 you ever noticed that your body reacts differently 00:01:33.400 --> 00:01:36.140 in your 40s? Your sleep feels lighter, anxiety 00:01:36.140 --> 00:01:38.780 feels louder, and energy is less predictable. 00:01:39.180 --> 00:01:41.819 And even though you're not doing less, things 00:01:41.819 --> 00:01:43.939 suddenly feel harder to manage. A lot of women 00:01:43.939 --> 00:01:45.920 experience this and struggle to explain why, 00:01:46.079 --> 00:01:48.299 because the symptoms just don't sit in one place. 00:01:48.760 --> 00:01:51.819 Our guest today is Dr. Olivia Lee -Lesler, an 00:01:51.819 --> 00:01:55.340 Australian medical doctor and an expert in psychoneuroimmunology 00:01:55.340 --> 00:01:58.099 and longevity medicine, known for her ability 00:01:58.099 --> 00:02:00.739 to connect the dots across complex, multi -system 00:02:00.739 --> 00:02:03.159 conditions that don't fit neatly into conventional 00:02:03.159 --> 00:02:05.920 frameworks. Before we get going today, we need 00:02:05.920 --> 00:02:08.919 your help. Subscribing is what allows us to bring 00:02:08.919 --> 00:02:11.259 you the people you want to hear from and the 00:02:11.259 --> 00:02:13.740 conversations women in their 40s actually need. 00:02:13.860 --> 00:02:16.800 So if this show helps you feel seen, understood, 00:02:16.919 --> 00:02:19.759 or less alone, That support really matters to 00:02:19.759 --> 00:02:22.740 us. Hi, Olivia. Thank you for joining us today. 00:02:23.099 --> 00:02:25.479 Hi, thank you so much. You know, it is my first 00:02:25.479 --> 00:02:28.699 podcast this year. Oh, thank you for kicking 00:02:28.699 --> 00:02:30.560 off the year with us. We're really honored to 00:02:30.560 --> 00:02:32.699 have you. Thank you. Oh, we are really excited 00:02:32.699 --> 00:02:35.639 for this conversation because there are a lot 00:02:35.639 --> 00:02:38.379 of women out there who don't quite feel right, 00:02:38.460 --> 00:02:40.580 but don't know what's going on. They've had this 00:02:40.580 --> 00:02:43.539 out there. In here as well. Yeah, I mean, I think 00:02:43.539 --> 00:02:45.919 you're 100 % right there. But, you know, they've 00:02:45.919 --> 00:02:49.659 had the test done. They know something's not 00:02:49.659 --> 00:02:51.800 the way it should be. The tests all look normal. 00:02:52.120 --> 00:02:56.219 What is going on with these women? Well, first 00:02:56.219 --> 00:02:59.240 of all, we all know that women are under -researched 00:02:59.240 --> 00:03:02.340 anyway. So we don't fit very neatly into all 00:03:02.340 --> 00:03:04.740 the algorithms that doctors have because a lot 00:03:04.740 --> 00:03:07.419 of those algorithms are actually built off men. 00:03:07.939 --> 00:03:11.840 And actually, specifically, white American men. 00:03:12.219 --> 00:03:14.860 There's no doubt that there are plenty of people 00:03:14.860 --> 00:03:18.280 and women who fall out of those algorithms. And 00:03:18.280 --> 00:03:20.180 so it's a little bit harder to pick up. I mean, 00:03:20.199 --> 00:03:22.319 what's the statistic? It's something like six, 00:03:22.419 --> 00:03:25.580 seven, eight years to get diagnosed with endometriosis. 00:03:25.680 --> 00:03:28.340 Yes. Right. And it's not the only thing that 00:03:28.340 --> 00:03:31.180 gets missed. So the reason why a lot of people, 00:03:31.280 --> 00:03:34.400 they don't feel quite right, but nobody can sort 00:03:34.400 --> 00:03:37.419 of tell them what's wrong is because too many 00:03:37.419 --> 00:03:40.699 doctors, not everyone, But too many practitioners 00:03:40.699 --> 00:03:44.400 are going off those algorithms. We've stopped 00:03:44.400 --> 00:03:47.319 listening to the patient in front of us, treating 00:03:47.319 --> 00:03:50.419 them as a whole person, listening to their story. 00:03:50.460 --> 00:03:53.039 It's the system that we're in. We don't have 00:03:53.039 --> 00:03:56.919 time to listen to our patients. Six minutes is 00:03:56.919 --> 00:04:00.060 enough time to say hello, write a script, say 00:04:00.060 --> 00:04:04.240 goodbye. So in part, it's the system. In part, 00:04:04.319 --> 00:04:08.349 it's the algorithm. And in part, I think. we've 00:04:08.349 --> 00:04:13.030 actually also lost interoceptive capacity. Interoception 00:04:13.030 --> 00:04:15.990 is that ability to know what's what in your body. 00:04:16.209 --> 00:04:18.750 How many of us women have very good intuition 00:04:18.750 --> 00:04:21.769 and it gets beaten out of us in our lifetime, 00:04:21.949 --> 00:04:24.930 right? We're meant to be the nice girls. We're 00:04:24.930 --> 00:04:26.790 meant to accommodate other people. We're meant 00:04:26.790 --> 00:04:29.370 to be the people to regulate others. We're meant 00:04:29.370 --> 00:04:32.930 to serve. Whatever the role is that we have assigned 00:04:32.930 --> 00:04:37.529 ourselves or being assigned by society. It tramples 00:04:37.529 --> 00:04:41.550 on our interoceptive capacity. So many of us 00:04:41.550 --> 00:04:44.649 don't know who we are anymore because we are 00:04:44.649 --> 00:04:48.810 playing roles. That's why when it comes to perimenopause 00:04:48.810 --> 00:04:51.889 and your hormones say, you know what? Fuck this 00:04:51.889 --> 00:04:55.750 shit. Oh yeah. Right? And your kids are now off 00:04:55.750 --> 00:04:58.370 to school. You know, you have to discover who 00:04:58.370 --> 00:05:00.069 you are again. And all of a sudden you're like, 00:05:00.129 --> 00:05:03.550 wow, this, I don't, I don't know. And this is 00:05:03.550 --> 00:05:05.509 the thing, you know, you just said that women 00:05:05.509 --> 00:05:07.470 are not, listening to their body or they can't 00:05:07.470 --> 00:05:09.470 hear their body and if they can't hear their 00:05:09.470 --> 00:05:11.370 body how are they meant to articulate it to somebody 00:05:11.370 --> 00:05:13.689 else who might be able to help them that's exactly 00:05:13.689 --> 00:05:16.329 it and i think there's also an element of women 00:05:16.329 --> 00:05:19.790 being told their pain is not real and that drives 00:05:19.790 --> 00:05:22.550 me back to your endometriosis yeah situation 00:05:22.550 --> 00:05:25.029 we just recently had a guest on the show talking 00:05:25.029 --> 00:05:27.810 about her own delayed diagnosis of endometriosis 00:05:28.540 --> 00:05:31.019 Because she was already a chronic pain sufferer. 00:05:31.360 --> 00:05:33.879 So a lot of doctors, they hear chronic pain, 00:05:33.939 --> 00:05:35.139 they immediately turn off because they're like, 00:05:35.199 --> 00:05:37.339 oh, woman's talking about pain. It's undiagnosable, 00:05:37.540 --> 00:05:41.319 you know, sporadically symptomatic, whatever 00:05:41.319 --> 00:05:44.920 it might be. She has stage four invasive endometriosis, 00:05:45.019 --> 00:05:47.079 but she didn't have the words for that specific 00:05:47.079 --> 00:05:49.240 kind of pain. And so it was dismissed. Yeah. 00:05:49.360 --> 00:05:51.720 You know how many stories there are like that 00:05:51.720 --> 00:05:55.160 out there? And thank God for social media, which 00:05:55.160 --> 00:05:58.560 I mean, you know, for all its flaws. it is at 00:05:58.560 --> 00:06:00.680 least bringing these sorts of issues to light. 00:06:00.939 --> 00:06:05.040 You know, stories of women's pain being dismissed 00:06:05.040 --> 00:06:09.959 because there is still in the older generations, 00:06:10.259 --> 00:06:13.199 you know, the idea that women can be hysterical. 00:06:13.560 --> 00:06:16.019 The one thing that I have come to understand 00:06:16.019 --> 00:06:18.240 in my practice, and it was a journey to get to 00:06:18.240 --> 00:06:20.420 where I am, you know, and I'm still on this very, 00:06:20.480 --> 00:06:23.819 very long journey, I'm sure, is that you really 00:06:23.819 --> 00:06:28.420 have to hear the patient. I almost made, this 00:06:28.420 --> 00:06:31.560 mistake not too long ago, where I had a 41 -year 00:06:31.560 --> 00:06:34.180 -old male, and he'd been with me for a couple 00:06:34.180 --> 00:06:36.720 of months or so. He knew something wasn't quite 00:06:36.720 --> 00:06:40.019 right. Seven years, all his tests were normal, 00:06:40.139 --> 00:06:43.939 right? And when I'm talking to him and listening 00:06:43.939 --> 00:06:46.740 to him, to be honest with you, he kind of came 00:06:46.740 --> 00:06:49.319 across as a little bit health anxious, okay? 00:06:49.639 --> 00:06:53.250 And I was... Just about to label him as such 00:06:53.250 --> 00:06:56.290 in my head and then sort of try to do the reassurance 00:06:56.290 --> 00:06:59.410 thing rather than the be curious thing. Big mistake 00:06:59.410 --> 00:07:03.550 for a doctor. I said, you know, I believe you. 00:07:03.589 --> 00:07:06.529 If you say something is wrong, I believe you. 00:07:06.889 --> 00:07:11.529 And that changed my frame of mind so that I started 00:07:11.529 --> 00:07:13.930 to look at things a little bit differently and 00:07:13.930 --> 00:07:16.389 started to investigate things a little bit differently. 00:07:16.490 --> 00:07:20.970 Early onset neurodegeneration. Wow. At 41. Wow. 00:07:21.610 --> 00:07:26.730 I almost missed it as well. Wow. So he'd seen, 00:07:26.730 --> 00:07:30.009 I think, two or three previous doctors. No one 00:07:30.009 --> 00:07:32.430 had picked it up. He's 41. He's a high -functioning 00:07:32.430 --> 00:07:38.250 C -sweeter, you know. And I was brought in just 00:07:38.250 --> 00:07:42.149 as kind of like a consultant, second opinion. 00:07:42.370 --> 00:07:45.170 Yeah. And I almost missed that too. Wow. How 00:07:45.170 --> 00:07:48.089 did you pick it up? It was from observation. 00:07:50.040 --> 00:07:51.579 One of the subtle things that I noticed with 00:07:51.579 --> 00:07:57.379 him is that about 6 to 10, 12 hours after a heavy 00:07:57.379 --> 00:08:00.540 gym session, his sense of humor would change 00:08:00.540 --> 00:08:05.160 very subtly. And his ability to multitask changed 00:08:05.160 --> 00:08:08.639 very subtly. So subtle, you couldn't pick it 00:08:08.639 --> 00:08:11.220 up. All the psychometric testing that we did, 00:08:11.339 --> 00:08:13.120 you know, you didn't pick it up, right? Word 00:08:13.120 --> 00:08:15.779 recall, fine. He's a C -suite executive. And 00:08:15.779 --> 00:08:19.250 because it's so early. You know, he was still 00:08:19.250 --> 00:08:23.110 compensating really well until he didn't. And 00:08:23.110 --> 00:08:25.189 then he was able to compensate until he didn't. 00:08:25.189 --> 00:08:27.829 And you just had to pick it. So it was looking 00:08:27.829 --> 00:08:32.009 for those very, very subtle signs. I wound up 00:08:32.009 --> 00:08:36.029 doing a neuroquant test. So a neuroquant test 00:08:36.029 --> 00:08:38.629 is a scan of the brain, which shows you all the 00:08:38.629 --> 00:08:41.629 different volumes of different parts of the brain 00:08:41.629 --> 00:08:43.950 matched against age match controls, basically. 00:08:44.350 --> 00:08:46.389 How big that part of the brain is compared to 00:08:46.389 --> 00:08:49.460 other people your age. and global atrophy to 00:08:49.460 --> 00:08:52.100 the brain. A friend of mine happens to be the 00:08:52.100 --> 00:08:54.299 chief scientific officer for Alzheimer's Research 00:08:54.299 --> 00:08:57.519 Australia. So I was able to get a test, which 00:08:57.519 --> 00:09:00.879 is actually available in the US. It's a blood 00:09:00.879 --> 00:09:05.679 test, 97 % sensitivity for Alzheimer's, or rather 00:09:05.679 --> 00:09:11.039 a amyloid process in the brain that has started. 00:09:11.200 --> 00:09:15.580 And his was high. Does the high intensity gym 00:09:15.580 --> 00:09:47.159 session relate to... Your muscles are the organ 00:09:47.159 --> 00:09:50.519 of fight flight. So it is going to prioritize 00:09:50.519 --> 00:09:53.419 the remodeling. It's going to prioritize the 00:09:53.419 --> 00:09:57.179 maintenance of expanded tissue mass. And when 00:09:57.179 --> 00:09:59.759 it's prioritizing that, something has to give. 00:09:59.820 --> 00:10:02.919 And so at that point in time, when the energetic 00:10:02.919 --> 00:10:06.360 demands are the most during remodeling and maintenance, 00:10:06.720 --> 00:10:11.100 there is a window of neurocognitive vulnerability. 00:10:12.509 --> 00:10:15.070 Does that actually mean that A equals B? No, 00:10:15.149 --> 00:10:17.690 there's a lot more things in between, but that's 00:10:17.690 --> 00:10:20.289 basically what happened. But that was the signal 00:10:20.289 --> 00:10:22.330 that you were able to pick up on. Yeah. How interesting. 00:10:22.730 --> 00:10:28.549 What about women? I'll tell the story again. 00:10:28.570 --> 00:10:35.110 Make it a woman. Oh, actually. Oh, yeah. As I 00:10:35.110 --> 00:10:37.590 saw this pattern, I started to ask more questions, 00:10:37.610 --> 00:10:40.389 not just of him, but people that I was seeing 00:10:40.389 --> 00:10:44.509 outside. who were gym goers. And I happened to 00:10:44.509 --> 00:10:48.409 meet a female bodybuilder in Bali. And so I kind 00:10:48.409 --> 00:10:50.850 of said to her, you know, when you guys are bulking 00:10:50.850 --> 00:10:54.570 up and preparing for competition, do you get 00:10:54.570 --> 00:10:59.490 brain fog or neurocognitive issues? And she goes, 00:10:59.570 --> 00:11:02.389 oh yeah, that's common. Anybody who's shredding 00:11:02.389 --> 00:11:04.700 gets brain fog. I was going to say, I feel like 00:11:04.700 --> 00:11:07.220 it would be the shredding situation rather than 00:11:07.220 --> 00:11:09.940 the bulking situation. I feel like the bulking 00:11:09.940 --> 00:11:11.740 is probably when you feel kind of your best. 00:11:12.220 --> 00:11:14.220 Exactly. And the literature does show that. So 00:11:14.220 --> 00:11:17.740 it's not a whilst you're bulking or whilst you're 00:11:17.740 --> 00:11:19.840 resistance training or anything like that, that 00:11:19.840 --> 00:11:23.580 you get this neurocognitive fatigue. It's a delayed 00:11:23.580 --> 00:11:26.799 window. Right. So it's a few hours later. That 00:11:26.799 --> 00:11:30.299 my hypothesis is on. And it's only for in context 00:11:30.299 --> 00:11:33.340 of people who have constrained bioenergetics 00:11:33.340 --> 00:11:36.419 and susceptible individuals. It's not universal. 00:11:36.799 --> 00:11:40.419 And this female bodybuilder was telling me that, 00:11:40.440 --> 00:11:43.659 you know, cognitive fatigue or brain fog is actually 00:11:43.659 --> 00:11:47.139 very common. It's almost universal when you're 00:11:47.139 --> 00:11:49.259 shredding. Now, of course, in bodybuilders, it's 00:11:49.259 --> 00:11:50.820 all confounded by the fact that many of them 00:11:50.820 --> 00:11:54.090 are using... steroids and stuff like that. So 00:11:54.090 --> 00:11:56.830 too difficult to sort of sift through to try 00:11:56.830 --> 00:11:59.990 and find a signal. But her experiences really 00:11:59.990 --> 00:12:03.549 helped sort of move me along in this path. And 00:12:03.549 --> 00:12:06.450 I've been working on this problem for about six 00:12:06.450 --> 00:12:09.330 months and I just finished the paper to then 00:12:09.330 --> 00:12:11.970 send to potential co -authors to then have that, 00:12:11.990 --> 00:12:14.830 to then send it in for peer review. So I'm very 00:12:14.830 --> 00:12:17.009 far away from publishing. That's so exciting. 00:12:17.129 --> 00:12:19.009 We have a little behind the scenes of what's 00:12:19.009 --> 00:12:21.299 upcoming. Obviously, people come to you when 00:12:21.299 --> 00:12:24.779 they need answers because the first pause of 00:12:24.779 --> 00:12:28.779 call hasn't given them the answers, the justification 00:12:28.779 --> 00:12:31.799 compared to what's actually going on and how 00:12:31.799 --> 00:12:34.059 they're feeling. Is there a common theme that 00:12:34.059 --> 00:12:35.960 you're seeing, especially women in their 40s? 00:12:36.080 --> 00:12:42.220 Yeah. So a lot of it would be symptoms that are 00:12:42.220 --> 00:12:45.759 not proportionate to what's happening in their 00:12:45.759 --> 00:12:50.940 life. So kind of like a PMS thing. or PMDD, so 00:12:50.940 --> 00:12:54.639 a premenstrual dysphoric disorder, perimenopause, 00:12:54.720 --> 00:12:56.659 you know, and all these things are frightening 00:12:56.659 --> 00:12:59.159 because it's not how you would normally react 00:12:59.159 --> 00:13:03.100 to X, Y, Z. So that's one of the first things. 00:13:04.440 --> 00:13:07.379 Neurocognitive strain, fatigue, brain fog, that's 00:13:07.379 --> 00:13:11.860 another thing for sure. But a lot of it in the 00:13:11.860 --> 00:13:15.580 40s is usually sort of dismissed as perimenopause, 00:13:15.700 --> 00:13:19.940 which to be fair. A lot of it is, but that's 00:13:19.940 --> 00:13:25.600 a very complex condition to be in. And the psychoneuroimmune 00:13:25.600 --> 00:13:30.960 endocrine system interactions are huge. It's 00:13:30.960 --> 00:13:33.200 not just a label you stick on someone and you 00:13:33.200 --> 00:13:35.220 get them out the door with a little bit of estrogen. 00:13:35.620 --> 00:13:40.639 We're talking a proper life transition, a beautiful 00:13:40.639 --> 00:13:43.980 concert. of all the different pathways interacting 00:13:43.980 --> 00:13:46.659 with each other and a whole person in front of 00:13:46.659 --> 00:13:49.080 you that's about to walk into the next phase. 00:13:49.600 --> 00:13:52.919 And so to dismiss them out of hand for bits and, 00:13:52.960 --> 00:13:54.720 oh, it's just anxiety. I'll just get some, get 00:13:54.720 --> 00:13:57.659 more sleep, whatever. It's very damaging. You 00:13:57.659 --> 00:14:03.320 know, for women, especially who many of us haven't 00:14:03.320 --> 00:14:05.559 been taken as seriously as we should have been 00:14:05.559 --> 00:14:08.679 when we were growing up, when we were at university, 00:14:09.000 --> 00:14:12.649 when we were in male dominant. dominated industries 00:14:12.649 --> 00:14:17.610 and this is yet another opportunity for the medical 00:14:17.610 --> 00:14:21.750 fraternity for health practitioners to step up 00:14:21.750 --> 00:14:24.830 and to validate someone's experience i think 00:14:24.830 --> 00:14:27.169 that's the thing a lot of women just don't have 00:14:27.169 --> 00:14:29.769 the capacity whether it's the physiological capacity 00:14:29.769 --> 00:14:33.629 or the psychological capacity everything just 00:14:33.629 --> 00:14:36.570 feels so much more limited in what they can do 00:14:37.519 --> 00:14:40.259 I've heard you speak about communication, like 00:14:40.259 --> 00:14:42.840 your body is trying to tell you something. Can 00:14:42.840 --> 00:14:46.799 you go into that for us? I truly believe that 00:14:46.799 --> 00:14:50.100 generally speaking, your body is trying to protect 00:14:50.100 --> 00:14:52.740 you. It's literally survival, right? It is going 00:14:52.740 --> 00:14:56.480 to implement physiological and behavioral patterns, 00:14:56.620 --> 00:14:59.460 which are going to hopefully help you survive 00:14:59.460 --> 00:15:01.539 in whatever environment you find yourself in. 00:15:02.440 --> 00:15:09.600 So when we see people with an itch we know from 00:15:09.600 --> 00:15:11.700 an evolutionary perspective that that itch is 00:15:11.700 --> 00:15:16.039 actually meant to help you scratch off a pathogen 00:15:16.039 --> 00:15:19.179 or something trying to get in asthma with the 00:15:19.179 --> 00:15:21.519 constriction of the bronchioles is to prevent 00:15:21.519 --> 00:15:24.960 a possible issue going deeper into the lungs 00:15:24.960 --> 00:15:28.500 which is a lot harder to get rid of so i see 00:15:28.500 --> 00:15:32.000 symptoms as your body trying to protect you in 00:15:32.000 --> 00:15:34.240 some way, shape or form. And it's responding 00:15:34.240 --> 00:15:37.279 to a threat, which does not have to be overt 00:15:37.279 --> 00:15:40.200 or objective for that matter, which is why one 00:15:40.200 --> 00:15:44.740 person's threat is another person's eh. And so 00:15:44.740 --> 00:15:47.860 a lot of it is about perception, not necessarily 00:15:47.860 --> 00:15:51.559 prefrontal cortex perception. You know, it can 00:15:51.559 --> 00:15:54.320 sometimes be a subconscious perception. Some 00:15:54.320 --> 00:15:56.080 of these things are running, these scripts are 00:15:56.080 --> 00:15:57.720 running in the background that we have no idea 00:15:57.720 --> 00:16:01.600 about. Then you can sort of go into the epigenetic 00:16:01.600 --> 00:16:04.960 stuff, intergenerational, transgenerational traumas. 00:16:04.960 --> 00:16:06.840 I mean, there is a lot of research and evidence 00:16:06.840 --> 00:16:08.879 for stuff like that. Actually, I was talking 00:16:08.879 --> 00:16:13.480 about the cherry blossom mouse study to someone 00:16:13.480 --> 00:16:16.860 recently. And basically what they did was they 00:16:16.860 --> 00:16:19.700 had a generation of mice and they exposed them 00:16:19.700 --> 00:16:22.019 to the smell of cherry blossoms and then they 00:16:22.019 --> 00:16:25.500 electrified the floor, causing them pain. Wow. 00:16:25.620 --> 00:16:29.289 So then, of course. They associate the smell 00:16:29.289 --> 00:16:31.509 of cherry blossom with pain. So when the smell 00:16:31.509 --> 00:16:36.309 comes down, they're then hiding. They had pups 00:16:36.309 --> 00:16:39.669 who were also afraid of the smell of cherry blossom. 00:16:39.909 --> 00:16:41.590 But had never been electrified. But had never 00:16:41.590 --> 00:16:44.509 been electrified. And had not had any contact 00:16:44.509 --> 00:16:48.370 with the parents. Wow. So it wasn't like... So 00:16:48.370 --> 00:16:50.909 they were just separated from birth. Right. And 00:16:50.909 --> 00:16:54.090 so did the grand pups. Wow. That is incredible. 00:16:54.110 --> 00:16:57.000 And then... So meaning they tracked it for two 00:16:57.000 --> 00:16:58.960 generations. Right. Well, and then the third, 00:16:59.000 --> 00:17:01.340 the great grandpups were fine. So, you know, 00:17:01.340 --> 00:17:03.980 there is something to be said about intergenerational 00:17:03.980 --> 00:17:06.930 and transgenerational issues, trauma. And that's 00:17:06.930 --> 00:17:09.710 just a smell, girl. Imagine some of the things 00:17:09.710 --> 00:17:12.170 that your patients and folks that we see as well 00:17:12.170 --> 00:17:14.730 are telling us. And this is encoded because it's 00:17:14.730 --> 00:17:16.950 going to help you with survival. Exactly what 00:17:16.950 --> 00:17:18.710 we were saying about some of these symptoms that 00:17:18.710 --> 00:17:21.130 women are experiencing. It's their body trying 00:17:21.130 --> 00:17:23.869 to make sense of this world that we find ourselves 00:17:23.869 --> 00:17:28.210 in, where we have ancient genes and an ancient 00:17:28.210 --> 00:17:31.670 brain trying to survive in a modern world. And 00:17:31.670 --> 00:17:36.410 a lot of our responses were. adaptive at some 00:17:36.410 --> 00:17:41.130 point but are now maladaptive and then we pathologize 00:17:41.130 --> 00:17:44.670 them instead of going let's be curious what's 00:17:44.670 --> 00:17:48.029 happening here how do we calm your system how 00:17:48.029 --> 00:17:52.630 do we let your body your heart your mind know 00:17:52.630 --> 00:17:56.430 that you are indeed safe how do we develop coping 00:17:56.430 --> 00:17:59.930 mechanisms how do we increase resilience how 00:17:59.930 --> 00:18:03.329 do we increase bandwidth like these are the questions 00:18:03.329 --> 00:18:07.849 that we should be doing asking instead of pathologizing 00:18:07.849 --> 00:18:11.190 everything and then the quick fix is a drug to 00:18:11.190 --> 00:18:14.230 numb there you go because that's not treating 00:18:14.230 --> 00:18:18.109 the actual issue no and it can increase bandwidth 00:18:18.109 --> 00:18:20.250 which is very important for some of us right 00:18:20.250 --> 00:18:23.809 yeah a an anxiolytic you know something to help 00:18:23.809 --> 00:18:25.750 with anxiety something to help with sleep can 00:18:25.750 --> 00:18:29.640 really help just put you in a position where 00:18:29.640 --> 00:18:32.960 you can begin the work of building your resilience. 00:18:33.519 --> 00:18:36.380 And sometimes that's a week and sometimes that's 00:18:36.380 --> 00:18:39.480 a year and sometimes that's forever. There's 00:18:39.480 --> 00:18:44.539 no shame with that. But when we doctors are in 00:18:44.539 --> 00:18:47.539 a position of authority where we tell someone 00:18:47.539 --> 00:18:50.259 that they're broken and that their only salvation 00:18:50.259 --> 00:18:53.160 is in this script, that's what I have issue with. 00:18:54.190 --> 00:18:56.089 And I think that is where the medical profession 00:18:56.089 --> 00:18:58.910 has unfortunately evolved to to quite some degree. 00:18:59.009 --> 00:19:01.490 And I think I see that even more here in Singapore. 00:19:01.569 --> 00:19:03.470 I don't say blind trust, but that's what comes 00:19:03.470 --> 00:19:08.170 to mind of physicians and medications. I do feel 00:19:08.170 --> 00:19:11.549 like there's less of a critical eye on anything 00:19:11.549 --> 00:19:14.289 the physician says here and any drug that's prescribed. 00:19:14.609 --> 00:19:16.609 Anytime you go to the doctors here, you know, 00:19:16.609 --> 00:19:18.809 you'll come back with a bag full of medicines. 00:19:19.049 --> 00:19:23.329 It's like, OK, which one do I really need? Exactly. 00:19:23.529 --> 00:19:25.910 So I suppose, I guess it's cultural in Asia maybe. 00:19:25.950 --> 00:19:28.849 But you know, in Australia, the TGA, which is 00:19:28.849 --> 00:19:33.609 like the equivalent of the FDA, they are funded 00:19:33.609 --> 00:19:38.109 by industry at the highest percentage in the 00:19:38.109 --> 00:19:45.410 entire world. 96, 94 % of the TGA is funded by 00:19:45.410 --> 00:19:48.579 industry. I'm not saying that that in and of 00:19:48.579 --> 00:19:51.559 itself is bad, but you can understand why our 00:19:51.559 --> 00:19:55.559 algorithms are very heavily skewed towards pharmaceuticals. 00:19:56.579 --> 00:19:58.819 Are pharmaceuticals inherently bad? No, of course 00:19:58.819 --> 00:20:02.259 not. This is a very nuanced topic, but I think 00:20:02.259 --> 00:20:05.200 that it's important for us to know who the players 00:20:05.200 --> 00:20:07.019 are, to know how much influence those players 00:20:07.019 --> 00:20:09.220 have, so that we can make informed decisions 00:20:09.220 --> 00:20:15.930 about how we practice the art of medicine. Because 00:20:15.930 --> 00:20:20.509 medicine does require us to interact with a person 00:20:20.509 --> 00:20:25.670 and all their fabulous genetic, social, psychological, 00:20:25.910 --> 00:20:31.289 emotional components too. And sometimes patients 00:20:31.289 --> 00:20:36.910 don't want to be numbed. Sometimes patients don't 00:20:36.910 --> 00:20:41.329 want a quick fix. A lot of people I feel now, 00:20:41.549 --> 00:20:45.220 more and more, They are willing to do the hard 00:20:45.220 --> 00:20:48.599 work. And we have more tools for people to do 00:20:48.599 --> 00:20:51.799 the hard work, right? And I think that the medical 00:20:51.799 --> 00:20:55.519 fraternity has to catch up a little bit. Can 00:20:55.519 --> 00:20:57.740 we talk about how no one prepares you for how 00:20:57.740 --> 00:21:00.400 your skin changes in your 40s? Honestly, one 00:21:00.400 --> 00:21:03.740 day it's fine. The next it's dull, dry and showing 00:21:03.740 --> 00:21:06.319 every single emotion you've ever felt. That's 00:21:06.319 --> 00:21:08.599 why I've actually been loving Love Indus. Their 00:21:08.599 --> 00:21:11.160 skincare actually feels like it's doing something. 00:21:11.380 --> 00:21:13.259 It's not just sitting on your face and looking 00:21:13.259 --> 00:21:16.099 sticky. It blends South Asian ingredients like 00:21:16.099 --> 00:21:18.460 ashwagandha and vegan ghee with proper New York 00:21:18.460 --> 00:21:21.380 dermatology tech. It's luxurious, but also very 00:21:21.380 --> 00:21:24.160 results driven. Their line limiter is especially 00:21:24.160 --> 00:21:26.720 good if you're starting, like me, to notice lip 00:21:26.720 --> 00:21:29.460 or laugh lines. People compare it to Botox, which 00:21:29.460 --> 00:21:31.680 I would happily take after all those needles 00:21:31.680 --> 00:21:33.940 in my face. And our listeners get the highest 00:21:33.940 --> 00:21:38.579 discount they offer, 21 % off with code TFF at 00:21:38.579 --> 00:21:42.400 LovingDisc .com. Plus, they ship free to Singapore, 00:21:42.619 --> 00:21:44.759 which seems like a very rare little treat. And 00:21:44.759 --> 00:21:46.920 yes, we earn commission when you use our code. 00:21:47.000 --> 00:21:49.720 So don't forget to support the show by using 00:21:49.720 --> 00:21:53.960 code TFF. You mentioned modern life seems to 00:21:53.960 --> 00:21:58.819 be at the sort of crux of a lot, a lot of people's 00:21:58.819 --> 00:22:01.890 problems, you know, like food. the processed 00:22:01.890 --> 00:22:06.710 food, the lack of movement, the ingestion of 00:22:06.710 --> 00:22:11.109 risky substances, maybe not being able to manage 00:22:11.109 --> 00:22:15.369 their stress properly, that lifestyle is something 00:22:15.369 --> 00:22:18.950 that can actually help in a way that maybe medicine 00:22:18.950 --> 00:22:22.690 can not deal with, but medicine can assist with. 00:22:23.359 --> 00:22:25.160 But there needs to be other changes involved 00:22:25.160 --> 00:22:27.140 as well? Yeah, absolutely. I mean, lifestyle 00:22:27.140 --> 00:22:30.619 medicine has exploded. So central because a pill 00:22:30.619 --> 00:22:35.700 is something that you do in a split second, which 00:22:35.700 --> 00:22:38.839 obviously has some effects physiologically over 00:22:38.839 --> 00:22:43.740 a longer term. But lifestyle is intrinsic and 00:22:43.740 --> 00:22:46.960 it's something you do every day for the rest 00:22:46.960 --> 00:22:48.839 of your life. And the best part about lifestyle 00:22:48.839 --> 00:22:52.009 is that it's your choice. We're bringing agency 00:22:52.009 --> 00:22:54.450 back into the room. The other thing about lifestyle 00:22:54.450 --> 00:22:57.150 as well is that because there are so many lifestyle 00:22:57.150 --> 00:23:01.289 factors, tools to choose from, you pick your 00:23:01.289 --> 00:23:04.130 own adventure. You're able to experiment and 00:23:04.130 --> 00:23:07.750 see what works for you. Whereas when we do a 00:23:07.750 --> 00:23:11.230 drug or a supplement for that matter, it's got 00:23:11.230 --> 00:23:15.589 a very defined scope and it's kind of a one -size 00:23:15.589 --> 00:23:20.029 -fits -all situation. But lifestyle is just, 00:23:20.029 --> 00:23:21.809 there's just something a little bit more fluid 00:23:21.809 --> 00:23:26.269 about it. And there are so many lifestyle pieces 00:23:26.269 --> 00:23:29.390 to choose from. And you get to decide how you 00:23:29.390 --> 00:23:33.809 want to layer those behaviors when you introduce 00:23:33.809 --> 00:23:36.869 them, when you pull back on them. The best part 00:23:36.869 --> 00:23:39.470 about lifestyle factors is that most of them 00:23:39.470 --> 00:23:44.750 are free. Lifestyle is a huge, huge part of health. 00:23:44.960 --> 00:23:47.900 No question about it. If we boil down the top 00:23:47.900 --> 00:23:50.480 five causes of death and the relationship of 00:23:50.480 --> 00:23:52.099 lifestyle to that, I mean, it's clear, right? 00:23:52.359 --> 00:23:55.799 However, talk to me about your perspective on 00:23:55.799 --> 00:23:59.960 the role of lifestyle and the role of a specific 00:23:59.960 --> 00:24:02.960 drug. So GLP -1 receptor agonist in that group. 00:24:04.400 --> 00:24:07.680 You mentioned how sometimes the use of drugs 00:24:07.680 --> 00:24:10.720 is a tool. So we're prescribing clinic for these 00:24:10.720 --> 00:24:12.000 types of drugs, which is why I'm asking this 00:24:12.000 --> 00:24:16.119 question, right? It's interesting because patients 00:24:16.119 --> 00:24:19.660 come in, half of them are like, I want to get 00:24:19.660 --> 00:24:21.319 on this drug. I want to get on it quick so I 00:24:21.319 --> 00:24:23.819 can lose weight quick. Then on the flip side 00:24:23.819 --> 00:24:26.740 of that, we have patients presenting with obesity 00:24:26.740 --> 00:24:30.500 and diabetes that don't want to get on the drug 00:24:30.500 --> 00:24:34.009 because they want to do it. the right way, the 00:24:34.009 --> 00:24:37.549 lifestyle way without the assistance of pharmaceuticals. 00:24:37.549 --> 00:24:39.109 Because it's cheating. Because it's cheating. 00:24:39.210 --> 00:24:41.990 And because I should be able to do it myself. 00:24:42.589 --> 00:24:45.730 Can you talk about how you would have a conversation 00:24:45.730 --> 00:24:48.970 with that patient? Well, first of all, anything 00:24:48.970 --> 00:24:52.549 where you constrain a person morally, right? 00:24:52.589 --> 00:24:56.109 Because they put a moral judgment on the GLP 00:24:56.109 --> 00:24:59.750 -1s, right or wrong. And anytime you have moral 00:24:59.750 --> 00:25:01.809 constraints, philosophical constraints like that, 00:25:02.370 --> 00:25:06.089 that's stress on your system, right? That's where 00:25:06.089 --> 00:25:08.869 judgment comes into play. Then you've got guilt, 00:25:08.890 --> 00:25:10.910 then you've got regret, and you've got all these 00:25:10.910 --> 00:25:13.509 other low vibration emotions that will follow 00:25:13.509 --> 00:25:16.170 constraints like that. So the first thing I need 00:25:16.170 --> 00:25:18.849 to do, talk to the patient, is actually talk 00:25:18.849 --> 00:25:22.349 about why they have these philosophies around 00:25:22.349 --> 00:25:29.700 the right or wrong of whatever it may be. doing 00:25:29.700 --> 00:25:32.059 it the right way, that's already scary. But if 00:25:32.059 --> 00:25:35.039 they want to do the work, that's different from 00:25:35.039 --> 00:25:37.140 thinking that that is the right way. I think 00:25:37.140 --> 00:25:39.559 that patients who kind of, you know, no, doc, 00:25:39.740 --> 00:25:42.319 I don't know. I'm kind of happy to sort of lose 00:25:42.319 --> 00:25:44.720 weight slowly and go to the gym. And, you know, 00:25:44.720 --> 00:25:46.980 I don't want to take that. That's very different 00:25:46.980 --> 00:25:48.900 from, no, no, no, no, no. That's bad. This is 00:25:48.900 --> 00:25:55.960 good. I personally think that GLP -1s are like... 00:25:56.200 --> 00:26:02.140 every other drug and supplement where used for 00:26:02.140 --> 00:26:05.460 the right patient at the right dose the right 00:26:05.460 --> 00:26:09.880 frequency at the right time can be very appropriate 00:26:09.880 --> 00:26:14.319 the problem when you have such a effective let's 00:26:14.319 --> 00:26:19.240 just say tool is that there is infinite scope 00:26:19.240 --> 00:26:24.900 for overshooting absolutely And we do patients 00:26:24.900 --> 00:26:30.380 no services when we assist their wanting to not 00:26:30.380 --> 00:26:34.880 do the work. Weight is not just metabolic. It's 00:26:34.880 --> 00:26:38.019 psychological. It's emotional. Absolutely. We 00:26:38.019 --> 00:26:40.980 have only so much time before we become old. 00:26:41.660 --> 00:26:44.140 And this is another thing that we have to address. 00:26:45.160 --> 00:26:49.240 The fact that we feel that unless we are slim 00:26:49.240 --> 00:26:53.779 and young and beautiful, especially women, then 00:26:53.779 --> 00:26:57.160 we think that we are of no value. And this is 00:26:57.160 --> 00:27:00.720 a message that gets repeated at all levels, overt, 00:27:00.960 --> 00:27:06.759 subconscious, and weight is intricately linked 00:27:06.759 --> 00:27:12.099 to that message. So Peter Diamandis is in town 00:27:12.099 --> 00:27:14.920 at the moment. He's the co -founder of the X 00:27:14.920 --> 00:27:18.200 Prize. He was talking about three things that 00:27:18.200 --> 00:27:21.000 would be, you know, oh, you want to be young 00:27:21.000 --> 00:27:26.789 and bright and thin. I hate that word thin. Yeah. 00:27:27.470 --> 00:27:31.730 I also hate thin. Well, and skinny. Yeah. I hate 00:27:31.730 --> 00:27:34.789 the most that one. But thin is like what my mom 00:27:34.789 --> 00:27:37.730 would say. And no offense, mom, but meaning like 00:27:37.730 --> 00:27:40.410 neither of those terms are favorable to me. It's 00:27:40.410 --> 00:27:43.609 kind of like how we discuss men sometimes when 00:27:43.609 --> 00:27:46.559 we talk about height. When we say, oh, blah, 00:27:46.579 --> 00:27:48.799 blah, blah, and he was tall and he was this, 00:27:48.859 --> 00:27:51.779 implying that short is not attractive. There 00:27:51.779 --> 00:27:55.059 you go. Now, of course, weight is an important 00:27:55.059 --> 00:28:00.440 topic. Of course, it's about metabolism. It's 00:28:00.440 --> 00:28:03.000 about mobility. It's about strength. It's about 00:28:03.000 --> 00:28:07.380 a lot of things. But the discussion around weight, 00:28:07.440 --> 00:28:10.180 I think. has to be nuanced. We can't be talking 00:28:10.180 --> 00:28:13.299 about thin being an end goal. That's how we get 00:28:13.299 --> 00:28:17.000 eating disorders. Yes. And you know, when you 00:28:17.000 --> 00:28:19.900 say weight, what I always talk about with my 00:28:19.900 --> 00:28:23.859 clients is this idea of lightness. It's like, 00:28:23.900 --> 00:28:27.059 it's not about how light. You are on the scale. 00:28:27.240 --> 00:28:29.700 We can do that with osteoporosis. Sure. You want 00:28:29.700 --> 00:28:31.119 me to take something from you? I'll take your 00:28:31.119 --> 00:28:33.380 bones. But if you need something heavy, I'll 00:28:33.380 --> 00:28:36.240 take your bones out. But we always say we want 00:28:36.240 --> 00:28:37.940 you, for our patients at Live Clinic, we want 00:28:37.940 --> 00:28:41.599 you to be the heaviest version of a healthy weight. 00:28:42.240 --> 00:28:45.839 So the heaviest possible. healthy weight person 00:28:45.839 --> 00:28:47.640 you can be that's actually what we want from 00:28:47.640 --> 00:28:49.839 you because then you know that speaks to your 00:28:49.839 --> 00:28:52.359 most dense bones your most dense muscles you 00:28:52.359 --> 00:28:54.980 know and again healthy weight is a huge range 00:28:54.980 --> 00:28:56.440 right it's a huge range so it's not it's not 00:28:56.440 --> 00:28:59.500 pinpointing you to you know ideal weight which 00:28:59.500 --> 00:29:01.779 again is another term I actually hate ideal weight 00:29:01.779 --> 00:29:04.000 goal weight can't stand it yeah you know but 00:29:04.000 --> 00:29:07.140 if there's a range of weights at which your cycle 00:29:07.140 --> 00:29:09.319 is regular you're able to do the athletic activities 00:29:09.319 --> 00:29:12.500 you want move without pain that that weight within 00:29:12.500 --> 00:29:15.349 that range And then the heaviest version of that 00:29:15.349 --> 00:29:17.130 range, that's actually where you're thriving. 00:29:17.289 --> 00:29:19.950 You know, that's interception as well, right? 00:29:20.029 --> 00:29:22.329 Because people looking at a scale to tell them 00:29:22.329 --> 00:29:24.930 where they should be, that's a problem. You know 00:29:24.930 --> 00:29:27.390 when you're bloated and your hormones are playing 00:29:27.390 --> 00:29:30.069 up a little bit lethargic and whatever. Those 00:29:30.069 --> 00:29:34.029 are the signs that you know when something doesn't 00:29:34.029 --> 00:29:38.049 sit quite right. But looking at an external thing 00:29:38.049 --> 00:29:41.700 to tell you how you should feel. Slippery slope. 00:29:41.900 --> 00:29:45.000 That brings me to wearables. So what's your opinion 00:29:45.000 --> 00:29:47.519 then on wearables? Like people looking at their... 00:29:47.519 --> 00:29:51.299 We won't be offended. I'm doing it. So my resting 00:29:51.299 --> 00:29:53.480 heart rate right now for the last seven, eight 00:29:53.480 --> 00:29:55.420 months, I feel like it's been off. It's been 00:29:55.420 --> 00:29:58.519 months. It is high and I'm like freaking out. 00:29:58.640 --> 00:30:01.279 But the other day my battery died. It wouldn't 00:30:01.279 --> 00:30:03.299 charge. And I was like, you know what? I'm just 00:30:03.299 --> 00:30:05.599 going to ignore it. And I went to sleep and I 00:30:05.599 --> 00:30:08.380 woke up and I was like, I feel good. I don't 00:30:08.380 --> 00:30:09.640 know what my resting heart rate was like, but 00:30:09.640 --> 00:30:13.220 today it's still high. But what's your opinion 00:30:13.220 --> 00:30:15.980 on that? People looking at a wearable to decide 00:30:15.980 --> 00:30:20.680 how they feel. Okay. Again, goes back to interoception. 00:30:20.740 --> 00:30:24.319 And in part, I totally get the test don't guess. 00:30:24.599 --> 00:30:28.079 Yeah. And you can't change what you can't measure. 00:30:28.640 --> 00:30:33.220 Those are absolutes. And it's a bad idea to deal 00:30:33.220 --> 00:30:36.690 solely in absolutes. That was an absolute. Never 00:30:36.690 --> 00:30:43.630 do that ever. But there is obviously some logic 00:30:43.630 --> 00:30:50.369 and some wisdom to those tropes. But when a patient 00:30:50.369 --> 00:30:55.630 sacrifices their mental well -being to the scales, 00:30:55.769 --> 00:30:59.170 to their wearables, that's when that's a problem. 00:30:59.630 --> 00:31:06.190 When we completely ignore. how someone feels 00:31:06.190 --> 00:31:10.970 in deference to, but your tests are normal. That's 00:31:10.970 --> 00:31:13.450 the other side of the coin. I don't have a problem 00:31:13.450 --> 00:31:15.210 with wearables when they're used appropriately 00:31:15.210 --> 00:31:17.029 at the right time for the right patient, at the 00:31:17.029 --> 00:31:19.410 right dose, at the right frequency. But I would 00:31:19.410 --> 00:31:21.170 never tell my patient what to do for themselves. 00:31:22.349 --> 00:31:26.430 But I don't wear wearables. I did an Oura ring 00:31:26.430 --> 00:31:29.710 for a few months. And it's a really interesting 00:31:29.710 --> 00:31:34.299 concept where they're taking data to be able 00:31:34.299 --> 00:31:36.160 to tell you where your valence and intensity 00:31:36.160 --> 00:31:40.619 is with regards to arousal. In other words, it's, 00:31:40.619 --> 00:31:46.480 are you in a highly aroused state whereby it's 00:31:46.480 --> 00:31:50.779 probably going to be a speed hump to making good 00:31:50.779 --> 00:31:54.599 decisions? Therefore, if you were the president 00:31:54.599 --> 00:31:56.559 of the United States and you were hovering your 00:31:56.559 --> 00:31:59.890 hand over the rip, big red button to start nuclear 00:31:59.890 --> 00:32:02.109 war why don't you wait till your valence and 00:32:02.109 --> 00:32:05.029 arousal is a little bit lower it might open up 00:32:05.029 --> 00:32:08.170 some bandwidth to make better choices and what 00:32:08.170 --> 00:32:10.849 what um metrics is that running for how is it 00:32:10.849 --> 00:32:14.710 so it's it's hrv and yeah the algorithm has been 00:32:14.710 --> 00:32:17.250 sorted out by neuroscientists neurophysiologists 00:32:17.250 --> 00:32:20.599 i'm not privy to that The company is called InTruth 00:32:20.599 --> 00:32:22.880 Technologies and they've just launched actually. 00:32:22.920 --> 00:32:25.420 I'm really excited. And it's through Garmin? 00:32:26.180 --> 00:32:28.839 You can use, right now we're using Garmin, but 00:32:28.839 --> 00:32:31.059 I think you're going to be able to use a number 00:32:31.059 --> 00:32:33.440 of wearables. So InTruth is the technology? Yes. 00:32:33.440 --> 00:32:37.039 And the algorithm. You know, things like that 00:32:37.039 --> 00:32:40.450 where it doesn't tell you. Good, bad, yes, no. 00:32:40.589 --> 00:32:42.730 It just gives you information with which you 00:32:42.730 --> 00:32:46.369 can make decisions and you can experiment. Okay, 00:32:46.430 --> 00:32:48.329 when I'm in a highly aroused state like this, 00:32:48.529 --> 00:32:52.170 I actually feel clearer. It is helping me strategize. 00:32:52.450 --> 00:32:55.170 Okay, that's you. That's great. That's my husband. 00:32:55.210 --> 00:32:57.630 That's an emergency medicine doctor right there. 00:32:58.190 --> 00:33:01.329 It's like the most insane of situations. He is 00:33:01.329 --> 00:33:04.230 crystal clear. And then it's like your day -to 00:33:04.230 --> 00:33:06.430 -day stress. Took the kids to school yesterday, 00:33:06.589 --> 00:33:08.589 forgot one of my son's socks. I was like, bro, 00:33:08.650 --> 00:33:12.289 socks. There's an S at the end for a reason. 00:33:12.410 --> 00:33:16.029 Yeah. Interesting. But yeah, so it's like, you 00:33:16.029 --> 00:33:17.589 know, I think there are people that operate at 00:33:17.589 --> 00:33:19.789 that highest level in that highest state, but 00:33:19.789 --> 00:33:22.490 potentially that would never be everyone. Yeah. 00:33:22.589 --> 00:33:24.150 That's why we're not all emergency medicine doctors. 00:33:24.410 --> 00:33:27.349 And now you have this information which you can 00:33:27.349 --> 00:33:32.029 learn what that means for you. whereas I feel 00:33:32.029 --> 00:33:34.309 a lot of wearables where they have these reference 00:33:34.309 --> 00:33:37.950 ranges you know oh your heart rate variability 00:33:37.950 --> 00:33:41.390 is too high it can be very stressful for some 00:33:41.390 --> 00:33:43.390 patients not everybody some people are like eh 00:33:43.390 --> 00:33:46.230 and other patients I have this story actually 00:33:46.230 --> 00:33:49.049 a concierge patient this is a few years ago he 00:33:49.049 --> 00:33:53.789 woke up and he had to go film he was making a 00:33:53.789 --> 00:33:59.450 movie he woke up and his my readiness score is 00:33:59.450 --> 00:34:04.470 really low. Oh dear. And I'm thinking, oh my 00:34:04.470 --> 00:34:08.269 God, okay. And we spent like 45 minutes, an hour 00:34:08.269 --> 00:34:10.309 discussing what did you do differently today 00:34:10.309 --> 00:34:12.210 than yesterday? How was your sleep? What did 00:34:12.210 --> 00:34:13.710 you eat for dinner? How did that affect you? 00:34:13.730 --> 00:34:14.989 Blah, blah, blah, blah, blah. It was an aura 00:34:14.989 --> 00:34:18.289 ring. And then eventually, because we basically 00:34:18.289 --> 00:34:20.389 came up with nothing, I said, hey, hey, hey, 00:34:20.389 --> 00:34:27.860 how do you feel? I feel fine. Well, then go hit 00:34:27.860 --> 00:34:31.199 it. Go film that movie. I think they're all tools 00:34:31.199 --> 00:34:34.940 and tools are only as good as, you know, first 00:34:34.940 --> 00:34:36.920 of all, how you use it. But secondly, if they 00:34:36.920 --> 00:34:40.639 stay servants to you being the master, the minute 00:34:40.639 --> 00:34:43.380 it starts to run your life, that's a problem. 00:34:43.679 --> 00:34:46.760 And I think now's the perfect time to bring in 00:34:46.760 --> 00:34:49.260 our sponsored segment, which is Fuel Your 40s. 00:34:49.260 --> 00:34:51.000 And it's sponsored by The Meat Club, where they 00:34:51.000 --> 00:34:55.130 bring you sustainably sourced. produce and protein 00:34:55.130 --> 00:34:57.809 from Australia and New Zealand. And they have 00:34:57.809 --> 00:35:00.230 a question for you, Olivia, and that is from 00:35:00.230 --> 00:35:03.269 your perspective, what do you see when women 00:35:03.269 --> 00:35:05.210 are under fueling, especially when it comes to 00:35:05.210 --> 00:35:08.269 protein? How does that affect women? I think 00:35:08.269 --> 00:35:11.469 it can be said across the board that most people 00:35:11.469 --> 00:35:14.050 are not taking in enough protein, full stop, 00:35:14.110 --> 00:35:17.110 end of story. When it comes to women, we tend 00:35:17.110 --> 00:35:20.769 to not only be the people running the households, 00:35:20.969 --> 00:35:24.070 we also have important jobs where we're needed 00:35:24.070 --> 00:35:27.050 there. And we also tend to have the majority 00:35:27.050 --> 00:35:33.769 of the emotional and housekeeping labor. So before 00:35:33.769 --> 00:35:36.530 when I was talking about that finite substrate 00:35:36.530 --> 00:35:39.269 pool, that finite pool of resources that the 00:35:39.269 --> 00:35:42.969 mitochondria need, that includes protein. When 00:35:42.969 --> 00:35:45.469 we don't consume enough protein, we put ourselves 00:35:45.469 --> 00:35:49.179 at risk. For our mitochondria not being able 00:35:49.179 --> 00:35:52.440 to produce enough energy for us to meet all the 00:35:52.440 --> 00:35:55.340 demands that are placed on us, specifically as 00:35:55.340 --> 00:35:59.000 women in this day and age, quite a few more demands 00:35:59.000 --> 00:36:03.000 on us that are unseen, not taken into account. 00:36:03.920 --> 00:36:08.300 And so when you put yourself on the back foot 00:36:08.300 --> 00:36:10.659 like that with not enough protein, not enough 00:36:10.659 --> 00:36:14.099 substrates to feed your mitochondria, you actually 00:36:14.099 --> 00:36:17.519 do open up these windows of vulnerability. It 00:36:17.519 --> 00:36:19.519 doesn't have to be neurocognitive, doesn't have 00:36:19.519 --> 00:36:21.920 to be your muscle remodeling or maintenance. 00:36:22.780 --> 00:36:25.420 It can be emotional. It can be psychological. 00:36:26.420 --> 00:36:30.420 And because we're the ones sort of regulating 00:36:30.420 --> 00:36:32.860 the household sometimes, who's regulating us. 00:36:33.000 --> 00:36:36.880 That's so true. So many of you have got amazing 00:36:36.880 --> 00:36:39.519 partners and you're very lucky because there 00:36:39.519 --> 00:36:42.480 are many women who don't. Anyway, I'm glad that 00:36:42.480 --> 00:36:46.650 you guys, Talking about meat. This is a foundational 00:36:46.650 --> 00:36:49.789 sponsorship for us because we really believe 00:36:49.789 --> 00:36:54.230 in animal -based and quality proteins. And obviously 00:36:54.230 --> 00:36:57.230 sustainable sourcing is huge. Yeah, absolutely. 00:36:57.230 --> 00:36:59.570 For us, it's a non -negotiable. I believe in 00:36:59.570 --> 00:37:03.349 energetics. And so I do believe that if an animal 00:37:03.349 --> 00:37:09.769 is not kept in a well state before it's brought 00:37:09.769 --> 00:37:14.079 to the table to fuel our bodies. that we carry 00:37:14.079 --> 00:37:17.019 some of that energy forward, which is why when 00:37:17.019 --> 00:37:21.260 I do eat meat, it really, is this grass fed, 00:37:21.300 --> 00:37:23.639 grass finished? You know, is it pasture raised? 00:37:23.760 --> 00:37:26.559 Does it have a name? Do you have a photo? Did 00:37:26.559 --> 00:37:32.219 it smell cherry blossom at any point in its life? 00:37:32.699 --> 00:37:35.460 But you've hit the nail on the head. It's quality 00:37:35.460 --> 00:37:39.260 protein. Now, can some... Can women fuel themselves 00:37:39.260 --> 00:37:41.940 with plant protein? Of course they can. For example, 00:37:41.940 --> 00:37:44.820 I know my genetics. I have a BCMO1 SNP, which 00:37:44.820 --> 00:37:47.639 means that I do not convert beta carotene. So 00:37:47.639 --> 00:37:50.800 it's the pre -vitamin A in plants. I don't convert 00:37:50.800 --> 00:37:54.920 that well at all to a usable vitamin A that a 00:37:54.920 --> 00:37:58.860 human can use. That's so interesting. Does that 00:37:58.860 --> 00:38:02.380 mean that you have poor eyesight? It means that 00:38:02.380 --> 00:38:04.639 I have to be very conscious of where I get my 00:38:04.639 --> 00:38:07.579 vitamin A from. Or yes, my eyesight is left vulnerable 00:38:07.579 --> 00:38:10.219 and then can lead to poor eyesight. Maybe that's 00:38:10.219 --> 00:38:13.420 what I have. Why am I so blind, Dr. Olivia? That 00:38:13.420 --> 00:38:15.440 wasn't part of your circle. I mean, they don't 00:38:15.440 --> 00:38:17.380 give you the snips, do they? No, they don't. 00:38:17.380 --> 00:38:19.320 But does it say on there? I can't remember if 00:38:19.320 --> 00:38:21.579 it tells you what your eyesight is like epigenetically. 00:38:21.960 --> 00:38:25.119 We've both done circle DNA, which is kind of 00:38:25.119 --> 00:38:27.139 like Singapore's 23andMe. One of the things I 00:38:27.139 --> 00:38:30.510 did was I took my circle DNA. And I put it into 00:38:30.510 --> 00:38:33.849 chat GPT and I was like, tell me, you know, like. 00:38:33.909 --> 00:38:37.150 The real deal. Yeah, like evolutionarily. Who 00:38:37.150 --> 00:38:39.750 am I? Who am I? You know, like what role would 00:38:39.750 --> 00:38:43.389 I have had? What role would I have had if I was, 00:38:43.389 --> 00:38:46.269 you know, living in a tribe? Just because I 100 00:38:46.269 --> 00:38:48.809 % agree with you that, you know, as humans, our 00:38:48.809 --> 00:38:52.460 genetics haven't changed. But our world has, 00:38:52.539 --> 00:38:56.179 and there is this massive mismatch between, you 00:38:56.179 --> 00:38:58.420 know, who we're meant to be and who we are today. 00:38:58.619 --> 00:39:01.119 That comes with the mental load. That comes with, 00:39:01.139 --> 00:39:04.559 you know, everything that's going on. And like 00:39:04.559 --> 00:39:08.380 you mentioned earlier, that social media seems 00:39:08.380 --> 00:39:10.880 to be the forefront of what's happening in our 00:39:10.880 --> 00:39:12.659 lives today. You know, everyone jumps on and 00:39:12.659 --> 00:39:14.860 like sees what's going on on social media. And 00:39:14.860 --> 00:39:19.650 it is affecting us. in a big, big way. It's that 00:39:19.650 --> 00:39:23.050 unseen stress that we're not really taking on 00:39:23.050 --> 00:39:26.110 board. I had a client the other day and she was 00:39:26.110 --> 00:39:28.869 lamenting her Russian genes. So there's two types 00:39:28.869 --> 00:39:32.349 of Russian women. There's right off the catwalk, 00:39:32.510 --> 00:39:34.889 born skinny, gorgeous, tall, just outrageous. 00:39:35.170 --> 00:39:37.670 And if you've been to Russia, you will see these 00:39:37.670 --> 00:39:39.469 women lining the streets, no joke. And she said, 00:39:39.469 --> 00:39:41.889 then there's me. And my aunties and my grandma, 00:39:41.949 --> 00:39:44.929 grandma, and we're the working class. And, you 00:39:44.929 --> 00:39:47.389 know, and we just, you know, we're short, we're 00:39:47.389 --> 00:39:50.010 stocky. We're, we're, you know, we make it to 00:39:50.010 --> 00:39:52.690 105 years old. You know, the little Russian grandma 00:39:52.690 --> 00:39:55.210 that you imagine in your, in your caricature. 00:39:55.349 --> 00:39:57.949 And she's like, I just wish I was the other one. 00:39:58.530 --> 00:40:00.849 And I was like, I'm going to, I'm going to counterpoint 00:40:00.849 --> 00:40:03.670 that and say, if we view these through a lens 00:40:03.670 --> 00:40:08.469 of metabolic health, she's. muscle dense. And 00:40:08.469 --> 00:40:10.369 this is something you just kind of tangentially 00:40:10.369 --> 00:40:13.650 referred to about having too high in HRV. When 00:40:13.650 --> 00:40:16.510 she went through my InBody, all of her muscularity 00:40:16.510 --> 00:40:19.050 was over. The category that InBody gives you 00:40:19.050 --> 00:40:21.030 is over, right? And she was like, see, see. And 00:40:21.030 --> 00:40:23.769 I was like, no, over -muscled doesn't really 00:40:23.769 --> 00:40:26.869 exist. Optimally muscled is what I always say. 00:40:26.909 --> 00:40:28.730 If you want to see an O word on the page, it's 00:40:28.730 --> 00:40:32.599 optimal. Like you want to be over -muscled. The 00:40:32.599 --> 00:40:35.360 point being, social media and cultural conditioning 00:40:35.360 --> 00:40:38.480 are obviously why she sees her own body type 00:40:38.480 --> 00:40:41.679 as less than or as less desirable, right? Because 00:40:41.679 --> 00:40:45.579 right now, it's less congruent with what she's 00:40:45.579 --> 00:40:47.940 seeing on social media is the idea. Do you see 00:40:47.940 --> 00:40:50.780 that in patients even our age? Definitely for 00:40:50.780 --> 00:40:54.539 women our age, for sure. I think that the younger 00:40:54.539 --> 00:40:59.139 generation coming through seem to be less married 00:40:59.139 --> 00:41:04.210 to... archetypes. Partly, I think it's because 00:41:04.210 --> 00:41:07.969 they're rejecting what we're trying to shove 00:41:07.969 --> 00:41:11.309 down their throats. But then again, I don't see 00:41:11.309 --> 00:41:13.650 pediatric patients and I don't have kids. So 00:41:13.650 --> 00:41:16.730 this is what my corner of the Instagram is telling 00:41:16.730 --> 00:41:19.570 me. I just can speak about women in our 40s. 00:41:19.590 --> 00:41:24.530 Part of our burden is that we are at that, unfortunately, 00:41:24.670 --> 00:41:30.170 coming out of the block. where the Women's Health 00:41:30.170 --> 00:41:34.929 Initiative really trampled on doctors prescribing 00:41:34.929 --> 00:41:39.550 hormones for fear of cancer. And I tell this 00:41:39.550 --> 00:41:42.969 to all my female patients with whom I'm speaking 00:41:42.969 --> 00:41:46.230 about hormone replacement therapy. My mother 00:41:46.230 --> 00:41:50.210 had a full hysterectomy with a miscarriage after 00:41:50.210 --> 00:41:53.449 me. So she was quite, I think she was in her 00:41:53.449 --> 00:41:57.320 early 30s. And so from her early thirties, she 00:41:57.320 --> 00:42:02.059 was put on HRT. And she was that rare person 00:42:02.059 --> 00:42:07.380 who did get a breast cancer more than likely 00:42:07.380 --> 00:42:13.059 from the HRT. And I still recommend HRT. HRT 00:42:13.059 --> 00:42:18.159 now is not the HRT then. We understand far more 00:42:18.159 --> 00:42:22.130 about... more biologically identical hormones. 00:42:22.409 --> 00:42:25.650 This is not from pregnant mares anymore. We are 00:42:25.650 --> 00:42:28.909 talking about not just estrogen, but also progesterone 00:42:28.909 --> 00:42:32.250 and a touch of testosterone. We are monitoring 00:42:32.250 --> 00:42:35.590 our women far closer. We're also talking to them 00:42:35.590 --> 00:42:38.250 about their psycho -emotional, psychosocial health, 00:42:38.550 --> 00:42:43.449 stress reduction, stress resilience. HRT today 00:42:43.449 --> 00:42:47.630 is not the HRT of 20, 30 years ago. So any woman 00:42:47.630 --> 00:42:53.280 who is entering or in past perimenopause and 00:42:53.280 --> 00:42:56.219 they are not on HRT they need to have a very 00:42:56.219 --> 00:43:00.099 good clear discussion with a doctor who is not 00:43:00.099 --> 00:43:03.000 just empathetic and sympathetic but someone who 00:43:03.000 --> 00:43:09.880 is truly informed it is not acceptable to not 00:43:09.880 --> 00:43:11.539 have that conversation and that's what we're 00:43:11.539 --> 00:43:13.719 trying to determine here making sure that people 00:43:13.719 --> 00:43:15.980 understand that all we're saying is that it is 00:43:15.980 --> 00:43:19.989 appropriate very appropriate to have the conversation 00:43:19.989 --> 00:43:24.590 because estrogen is neuroprotective. Estrogen 00:43:24.590 --> 00:43:27.510 is actually also a mast cell stabilizer. When 00:43:27.510 --> 00:43:29.809 you don't have estrogen, for those people who 00:43:29.809 --> 00:43:32.230 have a propensity for your mast cells to degranulate 00:43:32.230 --> 00:43:34.269 so that you have these allergy -like symptoms, 00:43:34.570 --> 00:43:38.429 the hay fevers and the hives and the gut issues, 00:43:38.590 --> 00:43:43.469 that could be because of that loss of estrogen 00:43:43.469 --> 00:43:46.050 and your mast cells are a little bit more twitchy. 00:43:46.320 --> 00:43:49.079 Yes. We see that all the time in clinic, by the 00:43:49.079 --> 00:43:51.360 way. The unexplained hives and rashes. Okay. 00:43:51.480 --> 00:43:53.860 I used to have that. And so literally the patient 00:43:53.860 --> 00:43:55.679 will be sitting in front of us and she'll be 00:43:55.679 --> 00:43:57.699 in for, let's say, hot flashes or whatever, whatever. 00:43:57.840 --> 00:43:59.760 And at the very end of the conversation, she 00:43:59.760 --> 00:44:01.920 goes, oh, and do you have anything for like high, 00:44:02.039 --> 00:44:04.219 like thinking this, we've ended the conversation 00:44:04.219 --> 00:44:06.639 about hormones. Let me talk about skin. And it 00:44:06.639 --> 00:44:08.659 was like the same conversation. We're already 00:44:08.659 --> 00:44:10.960 in it. Same conversation. Let's continue this 00:44:10.960 --> 00:44:13.039 conversation. Tell us more. Or they'll bring 00:44:13.039 --> 00:44:14.960 up the frozen shoulder. Yes. They're like, okay, 00:44:15.059 --> 00:44:16.579 so yeah, so I need, you know, my sleep needs 00:44:16.579 --> 00:44:18.539 to improve, blah, blah. Oh yeah, doc, because 00:44:18.539 --> 00:44:20.119 my husband's also a sports med, right? So they're 00:44:20.119 --> 00:44:21.400 like, oh doc, you know, do you know about anything 00:44:21.400 --> 00:44:23.800 about this weird shoulder thing? Also hormones. 00:44:24.059 --> 00:44:26.360 Also hormones. And I think your point about the 00:44:26.360 --> 00:44:29.139 lack of knowledge around women's health in terms 00:44:29.139 --> 00:44:31.420 of what's public, why is it that the Women's 00:44:31.420 --> 00:44:34.340 Health Initiative study, it just won't die. I 00:44:34.340 --> 00:44:37.139 mean, the ramifications of, you know, or the 00:44:37.139 --> 00:44:39.860 mantra, you know, HRT causes breast cancer, right? 00:44:39.920 --> 00:44:42.400 That's in everyone's, somehow in everyone's mind. 00:44:42.519 --> 00:44:45.840 And yet the knowledge of these 70 plus documented 00:44:45.840 --> 00:44:48.380 symptoms of perimenopause that would warrant 00:44:48.380 --> 00:44:50.420 a conversation about menopause hormone therapy. 00:44:51.210 --> 00:44:53.090 Goes by the wayside. Including our eyesight, 00:44:53.170 --> 00:44:56.289 by the way. Yeah. And hearing. Whatever do you 00:44:56.289 --> 00:44:58.849 mean? I could never be in perimenopause at my 00:44:58.849 --> 00:45:01.789 age. Well, we heard it from a doctor as well. 00:45:01.789 --> 00:45:03.690 You're hearing. I was like, what the hell? A 00:45:03.690 --> 00:45:06.570 revelation. Now when my kids are talking to me, 00:45:06.570 --> 00:45:08.309 I'm like, I can't hear you. You need to look 00:45:08.309 --> 00:45:12.409 at me. You need to say it clearly. Articulate. 00:45:12.469 --> 00:45:16.889 Yes. I was actually 36. I had newborn twins and 00:45:16.889 --> 00:45:19.739 I started getting hot flushes. If it wasn't for 00:45:19.739 --> 00:45:21.980 the hot flashes, I wouldn't have connected that 00:45:21.980 --> 00:45:25.059 my anxiety, my wrist pain, which I thought it 00:45:25.059 --> 00:45:27.199 was because I was holding two bottles. There 00:45:27.199 --> 00:45:30.260 was a lot of stuff going on that I just thought, 00:45:30.360 --> 00:45:32.599 oh, this is happening because of the babies, 00:45:32.719 --> 00:45:36.119 my sleep. Obviously that was the babies, but 00:45:36.119 --> 00:45:38.699 it was also the perimenopause. Oh, you started 00:45:38.699 --> 00:45:40.800 perimenopause? Yeah, straight after the twins 00:45:40.800 --> 00:45:44.039 were born. I was 36 years old and... You know, 00:45:44.079 --> 00:45:47.139 I was sitting there, I was watching TV and I 00:45:47.139 --> 00:45:49.019 had a hot flush and I jokingly said to my husband, 00:45:49.119 --> 00:45:50.880 I think I'm in menopause. Because at the time, 00:45:50.920 --> 00:45:52.760 perimenopause wasn't a term that people used. 00:45:52.840 --> 00:45:55.460 So I booked a doctor's appointment. I went in 00:45:55.460 --> 00:45:57.039 to see them. They did some blood work and they 00:45:57.039 --> 00:45:58.920 basically told me I had premature ovarian failure. 00:45:59.099 --> 00:46:01.619 I remember crying, having this big conversation 00:46:01.619 --> 00:46:05.199 with the doctor and being like, you know, will 00:46:05.199 --> 00:46:08.019 I get cancer? She sat me down and we spoke about 00:46:08.019 --> 00:46:10.460 the bioidentical and I made that decision. I 00:46:10.460 --> 00:46:12.739 said, OK, let's do it. And I'm so glad I did. 00:46:12.860 --> 00:46:15.139 And then I've got friends now who, you know, 00:46:15.139 --> 00:46:17.559 are mid 40s and they're like, oh, I feel like 00:46:17.559 --> 00:46:19.599 this. Have you been to the doctors? Have you 00:46:19.599 --> 00:46:21.840 spoken about HRT? And they're like, no, I will. 00:46:21.920 --> 00:46:23.500 I will. And I'm like, why are you putting it 00:46:23.500 --> 00:46:26.199 off? I have this conversation. A lot of patients 00:46:26.199 --> 00:46:29.039 don't realize that there is a window within which 00:46:29.039 --> 00:46:32.639 you need to start the HRT or it doesn't confer 00:46:32.639 --> 00:46:35.659 as much benefit as it could if you wait too long. 00:46:36.519 --> 00:46:40.179 Especially for any woman out there who has got 00:46:40.179 --> 00:46:48.960 2E. which means ADHD, autism, OCD, giftedness, 00:46:48.960 --> 00:46:52.420 something. So it's two of these exceptional diagnoses. 00:46:52.619 --> 00:46:55.380 So especially twice exceptional women, women 00:46:55.380 --> 00:46:59.760 in particular. So when we have giftedness and 00:46:59.760 --> 00:47:04.880 ADHD, when we fall off the wagon in perimenopause 00:47:04.880 --> 00:47:09.409 because we lose the neuroprotectiveness. the 00:47:09.409 --> 00:47:14.610 neuroprotection of estrogen, we fall off spectacularly. 00:47:14.630 --> 00:47:21.750 Wow. And our mortality rate compared to non -2E 00:47:21.750 --> 00:47:27.190 counterparts is 15 years if we do not get on 00:47:27.190 --> 00:47:31.929 top of the hormone and then the subsequent neuroimmune 00:47:31.929 --> 00:47:37.590 dysregulation. So is that when women... go through 00:47:37.590 --> 00:47:40.769 burnout is that part of what's going on there 00:47:40.769 --> 00:47:43.889 yeah because you hear that a lot you hear that 00:47:43.889 --> 00:47:46.610 you know you know women are like is it adhd is 00:47:46.610 --> 00:47:49.829 it burnout but actually it could be because of 00:47:49.829 --> 00:47:53.750 the adhd the lack of estrogen is leading to this 00:47:53.750 --> 00:47:57.489 because adhd along with lots of other things 00:47:57.489 --> 00:47:59.909 right that the stress at work and balance you 00:47:59.909 --> 00:48:03.440 know balancing a family with twins and Three 00:48:03.440 --> 00:48:05.659 boys I've got, by the way. So it's just my household 00:48:05.659 --> 00:48:13.099 is nuts. But all these are drawing from a reserve 00:48:13.099 --> 00:48:16.079 and that reserve is finite. And of course we 00:48:16.079 --> 00:48:17.880 replenish, but if we don't get enough protein, 00:48:18.019 --> 00:48:20.960 if we don't get out in the sun enough, if we 00:48:20.960 --> 00:48:23.840 don't ground, if we don't have any of these practices 00:48:23.840 --> 00:48:26.599 that are going to feed us and not, I don't mean 00:48:26.599 --> 00:48:30.309 just calories here, right? Then your... pushing 00:48:30.309 --> 00:48:33.989 through your resources quicker than the next 00:48:33.989 --> 00:48:37.309 person. And that's why for us, where we go into 00:48:37.309 --> 00:48:41.590 perimenopause, we start to see symptoms that 00:48:41.590 --> 00:48:46.050 can be a lot more drastic than some of our counterparts. 00:48:46.530 --> 00:48:49.949 Wow. Olivia, this has just been an incredibly 00:48:49.949 --> 00:48:53.690 insightful conversation. I wish we could continue 00:48:53.690 --> 00:48:56.469 for another hour because it's just been so amazing 00:48:56.469 --> 00:48:58.650 being able to speak to you and hearing your insights. 00:48:59.369 --> 00:49:01.969 But we do have to finish up today. But before 00:49:01.969 --> 00:49:03.730 we do, we have one last question we'd like to 00:49:03.730 --> 00:49:06.289 ask you. And that is, what's your 40s formula? 00:49:06.510 --> 00:49:09.949 What can women do in their 40s to really help 00:49:09.949 --> 00:49:13.809 them thrive in this decade? So I recently, despite 00:49:13.809 --> 00:49:16.190 my profession and my age, but I recently discovered 00:49:16.190 --> 00:49:18.650 resistance training and, you know, really get, 00:49:18.690 --> 00:49:20.969 yes, really getting into it. And I'm loving it. 00:49:21.329 --> 00:49:23.650 And I still, that's still not my answer, even 00:49:23.650 --> 00:49:25.949 though that's so important. My answer, and it's 00:49:25.949 --> 00:49:29.429 driven by my own personal experiences. It's self 00:49:29.429 --> 00:49:35.889 -compassion. Because we've had to hold so much 00:49:35.889 --> 00:49:40.750 and some of us haven't had anyone hold us. And 00:49:40.750 --> 00:49:46.269 the self -compassion bit is about providing that 00:49:46.269 --> 00:49:51.429 space for ourselves to just be. And whatever 00:49:51.429 --> 00:49:55.349 you come as is okay. Doesn't matter if you're 00:49:55.349 --> 00:50:00.889 fat or thin or... you know, divorced or any of 00:50:00.889 --> 00:50:03.429 these other labels that get slapped on you, which 00:50:03.429 --> 00:50:06.369 tells you that you're not enough. The only person 00:50:06.369 --> 00:50:09.710 we have to really live with a whole life is us. 00:50:09.829 --> 00:50:12.389 And the self -compassion piece is really important. 00:50:12.510 --> 00:50:14.510 If we could campaign for a seventh pillar of 00:50:14.510 --> 00:50:16.250 lifestyle medicine. And I'm serious. I'm like 00:50:16.250 --> 00:50:18.170 actually serious. I think it would be self -compassion. 00:50:18.210 --> 00:50:21.769 Because, you know, when you give so much of yourself, 00:50:21.929 --> 00:50:24.309 which women do, you give so much of yourself 00:50:24.309 --> 00:50:28.849 your entire life. At some point, you hope that 00:50:28.849 --> 00:50:33.369 your neuroimmune system doesn't learn to not 00:50:33.369 --> 00:50:36.230 look within. The autoimmunities, possibly some 00:50:36.230 --> 00:50:39.969 cancers. Anyway, self -compassion. I'd love to 00:50:39.969 --> 00:50:41.929 say that that was the formula for the 40s. It's 00:50:41.929 --> 00:50:44.030 the formula for everyone at all ages. But yeah, 00:50:44.070 --> 00:50:46.789 I think women in their 40s particularly, they 00:50:46.789 --> 00:50:49.889 really need to start loving themselves as much 00:50:49.889 --> 00:50:51.829 as they've loved everybody else. That's right. 00:50:51.989 --> 00:50:54.210 And I love that. Yeah. Sooner the better, right? 00:50:54.309 --> 00:50:57.610 Yeah. Thank you so much. It's been amazing. Thank 00:50:57.610 --> 00:50:58.369 you. Thank you.