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But tonight I want to get right into the questions. Don't be afraid to write yours down. Make sure you get them to Alicia who's going to wave her hand. Again, you can pass them through to other people's tables to get it to her. So thank you guys for being here and thank you those two readers. And let's get started with some questions. Amazing as everyone eating and drinking enough cause the more you drink, the better I sound okay. Um, the first question I want to ask both of you is, is, is the burning question around we associate moods with cycles and the moods can happen when you're a 25 and a half year period. That moods can happen when you're 65 and in your individual practices. Um, when people come to you and say, I am such a bitch and I want to not be that person. And I feel like I want to also be who I am and I don't want to change myself. What are the ways that you approach that situation in your practice?

Um, okay. Hi everyone. So in my practice, it's, it's a really individualized approach. Like all medicine should be very individualized. Just like the stories, everyone has their own unique stories. So, and looking at a woman who's experiencing symptoms of pms, it's really important to look at, there's hormones, so sex hormones, so estrogen, progesterone, testosterone, DHEA, there, um, hormones for their brain. So Saratonin and Gabba. And it's also important to look at lifestyle factors like diet and exercise stress and how people manage their own stress and all of that really interact together in front of a backdrop of how our culture really perceives the menstrual cycle.

So the intake process you have, you sit down, you asked this probably a laundry list of questions, and then you'd have like a checklist. And is there a profile you, you have once you say, oh these seven things are prevalent in her life, then what do you do? Do you actually prescribed something or was it more of a,

okay, again, everything is very individualized, but you know, it's looking at short term relief and longterm relief. And of course for short term we want to get rid of symptoms. And Longterm we want to address the cause. And the cause again is really understanding each of those variables, the lifestyle variables, the hormones and neuro transmitters, the nutrient deficiencies. So for someone, for a patient, I always talk about diet and exercise and lifestyle factors no matter what and everyone comes in and a different level. Some people eat Mcdonald's three meals a day and some people are, you know, doing okay. But essentially talking about diet and a whole foods diet, getting rid of processed foods and limiting sugar exercise. And then I look at the vitamins and minerals that could be deficient in an individual. So I'm looking at calcium, magnesium, vitamin D, b six and then of course there's herbs that just help with the menstrual cycle. So again, it's very individualized, but, um, those herbs and those vitamins can have an immediate effect. Um, diet and exercise alone can sometimes be helpful. And then exploring and reframing what pms is too. Okay,

woman. Thank you. So the takeaway here I think, um, is that you don't have to sit and be miserable there. There are ways to look at yourself critically and make an assessment. And then from that assessment you do things and you measure what, how you've done it and how it changes your life. So no longer sit in the closet and you know, eat your shoes. You can actually start doing some stuff and, and doctors are sitting there saying, okay, I'm going to help you do an intake where you could do it with your friends over coffee. Um, doctor [inaudible], what's your approach? Well, um, I wish we had more male audience because what I bought to say next is for male women, we shoot be moody

and once a month when that happpens - back off! No. Why we, um, tend to get moody is because our body once a month, which is a gift, it's wonderful that we have this gift. I don't see it as a negative. It's a positive that we do have a cycle in preparation for our population, which is a foot, uh, fertile to be fertile in 14 days. So woman immediately become defensive to their body. So when they do become defensive, to be fertile, to have a very important project to do, and that's what body things in 14 days, don't touch me. Don't come near me. Okay. So now somebody who was around, um, let's say married husband, fiances, boyfriends, well get used to it. Okay. So, um, well we get better as we age, but we do need time. Women do need time, but once a month, that's all. But we do need to, uh, we, we will get moody and get defensive. That's our nature scores.

I liked that a lot. I was telling somebody just before the show that we've come into a, uh, industrialized nation where we sit and cubbyholes and have to act the same way every single day for eight hours. And I think that in times before we could sit in a tent and hold each other and you know, do the red tent thing. And I think that it's a really big, huge leap that we've taken a lot of. It's very unnatural. So not that we need to go back there, but I understand that we should have some leeway to be who we are. So thank you. Thank you for both perspectives. Um, the car, this is why I mentioned in the introduction of the correlation between, um, having periods when you're younger and how you'll be when you're older too, during perimenopause and menopause. A lot of women who are just, they have their perfect period and they have no cramps and they're fabulous. Do they have an easy menopause? Have you seen a correlation and those that have like cramps and they just, they just locked themselves in their car for three days. Do they have a big foreshadowing of a horrible menopause cycle? Have you seen a correlation?

I've seen a correlation between bad pms in a bad menopause, Hu h? MMM. Hundred percent of the time. But here's what, here's what I have to say. And while certainly we do not have to be happy all the time and we can be grumpy before our periods, sometimes I really is reflection that something's on not imbalanced, that we can do something about it. And if that's not corrected during the premenstrual years, then it's certainly not going to go away in the menopausal years. So the p the premenstrual years is a time to take a look and evaluate your body, any imbalances, and start to make those corrections so that you can hopefully thrive through menopause.

Um, I don't see, uh, the core innovation, but I'd like to sometimes believe so, but I don't, uh, uh, eastern medicine does not practice that and see it that way. This give an example here. They say somebody's born, uh, some, uh, we're, uh, born with a very healthy body and easy menstrual cycle. And yet another person is a woman is born. Um, unhealthy and very difficult, painful cycle. Now her knowing that she has a very painful cycle, she will adjust herself and take care of her body with proper food, proper diet, exercise, take care of themselves and they, she will, uh, gradually, um, have it easier menopause then someone who is born healthy body and started abusing their body with the drugs, prescription medications, not exercising. Overweigh yes. And I do believe that they will have a difficult menstrual cycle. So, um, correlation. I am not so sure that it's related.

So what I'm seeing in common for both of you though, there's, there's a holistic look at your life and your body and a cycle of who you are and your behavior as well as who you are innately as a, as an organism that was born so that you have, you're born with certain strengths and then over time you either abuse your body or your don't. And that has an effect correct on your ride through. If you take care of your body through and know your, your, uh, listen to your body and menstrual cycle, you get moody or painful. If you are too painful, then don't do anything. Just rest. Your body's telling you to rest. When I entered that, you weren't looking that. Yep. Yep. We can move on. Great. Okay.

I liked it. Are we having fun so far? I'm learning. Are you learning? I'm learning. Are you getting smart? I'm getting smart. How do I know what the differences in terms of perimenopause and menopause, what are the markers that tell me I'm, oh, I'm in perimenopause. Oh, I'm in menopause. Oh, I have beyond both. Good question. So menopause is actually one day. It's the year anniversary since your last menstrual period, and that's how you know you're in menopause. Last one day. The next day, year. Post-Match Bajas we'd say that one more time. Menopause by definition is the one year since your last menstrual period. That's when you're in menopause. One year passes and you don't have a period. And then that next time that you have a, Oh, you don't want to have to hear it again. You're not going to have in that you're in menopause. You should celebrate. And I have my patients cause what perimenopause is can really start even in your thirties but you know there's really not a blood marker per se. I mean we can look at what's called Fsh with starts to fluctuate and hormone levels, but they fluctuate. They can be perfect one day and often other day. So essentially your cycles start to change. So I say anything is pretty much normal during period. Then Perry menopause, they usually come shorter. So if you had 28 day cycles, they're now 25 26 maybe every two weeks and then you could skip for six months and then get it every two weeks for a couple of months and skip another six months. So all of that's normal. That's Perry menopause. And usually there's symptoms associated. You start not to feel as good and as vital, but not always. So it's usually just really the change in your menstrual cycle.

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