Dr. Mary Claire Haver: How to Navigate Menopause & Perimenopause for Maximum Health & Vitality

玛丽·克莱尔·哈弗博士:如何度过更年期和围绝经期以获得最大的健康和活力

Huberman Lab

2024-06-03

2 小时 18 分钟
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单集简介 ...

In this episode, my guest is Dr. Mary Claire Haver, M.D., a board-certified OB/GYN and an expert on women’s health and menopause. We discuss the biology and symptoms of perimenopause and menopause and their effects on body composition, cardiometabolic health, mental health, and longevity. She explains the lifestyle factors, including nutrition, resistance training, sleep, and supplements, that can better prepare women for and improve symptoms of both perimenopause and menopause. We also discuss hormone replacement therapy (HRT) and whether HRT impacts the incidence of breast cancer or can affect cardiovascular health. We also discuss contraception, cellulite, polycystic ovary syndrome (PCOS), and how to reduce the risk of osteoporosis. This episode is rich in actionable information related to what is known about menopause and perimenopause and the stages before, allowing women of all ages to best navigate these life stages. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman  AeroPress: https://aeropress.com/huberman  Eight Sleep: https://eightsleep.com/huberman  BetterHelp: https://betterhelp.com/huberman  InsideTracker: https://insidetracker.com/huberman  Timestamps 00:00:00 Dr. Mary Claire Haver 00:02:04 Sponsors: AeroPress, Eight Sleep & BetterHelp 00:06:26 Menopause, Age of Onset 00:09:50 Perimenopause, Hormones & “Zone of Chaos” 00:14:42 Perimenopause, Estrogen & Mental Health 00:20:04 Perimenopause Symptoms; Tool: Lifestyle Factors & Ovarian Health 00:25:26 Early Menopause, Premature Ovarian Failure; Estrogen Therapy 00:29:42 Sponsor: AG1 00:31:31 Contraception, Transdermal, IUDs; Menopause Onset, Freezing Eggs 00:38:18 Women’s Health: Misconceptions & Research 00:45:01 Tool: Diet, Preparing for Peri-/Menopause; Visceral Fat 00:48:31 Tools: Body Composition, Muscle & Menopause, Protein Intake 00:51:42 Menopause: Genetics, Symptoms; Tools: Waist-to-Hip Ratio; Gut Microbiome 00:58:22 Galveston vs. Mediterranean Diet, Fasting, Tool: Building Muscle 01:05:18 Sponsor: InsideTracker 01:06:29 Hot Flashes; Estrogen Hormone Replacement Therapy (HRT), Breast Cancer Risk & Cognition 01:15:36 Estrogen HRT, Cardiovascular Disease, Blood Clotting; “Meno-posse” 01:24:00 Estrogen & Testosterone: Starting HRT & Ranges 01:30:36 Other Hormones, Thyroid & DHEA; Local Treatment, Urinary Symptoms 01:37:57 OB/GYN Medical Education & Menopause 01:41:30 Supplements, Fiber, Tools: Osteoporosis “Prevention Pack” 01:46:53 Collagen, Cellulite, Bone Density 01:51:42 HRT, Vertigo, Tinnitus, Dry Eye; Conditions Precluding HRT  01:55:27 Polycystic Ovary Syndrome (PCOS) & Treatment; GLP-1, Addictive Behaviors 02:01:55 Post-menopause & HRT, Sustained HRT Usage 02:04:58 Mental Health, Perimenopause vs. Menopause; Sleep Disruptions, Alcohol 02:09:09 Male Support; Rekindle Libido 02:12:46 HRT Rash Side-Effect; Acupuncture; Visceral Fat 02:16:24 Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Sponsors, Social Media, Neural Network Newsletter Disclaimer
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单集文稿 ...

  • Welcome to the Huberman Lab podcast, where we discuss science and science based tools for everyday life.

  • I'm Andrew Huberman and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine.

  • My guest today is Doctor Mary Claire Haver.

  • Doctor Mary Claire Haver is a board certified Ob GYN and an expert in perimenopause, menopause, and all aspects of female specific health during today's episode, Doctor Haver explains exactly what perimenopause and menopause represent in terms of their underlying psychology and biology, and the specific actions that all women can and should take in order to navigate these stages in optimal health.

  • She also describes the things that all women should know and do long before perimenopause arrives in order to best navigate perimenopause and menopause.

  • Once they arrive, we discuss specific nutritional practices, supplementation practices, as well as conversations that you should have with your mother and with your physician, in particular your ob Gyn.

  • Not just as perimenopause and menopause approach, but at every developmental stage.

  • A fair amount of our discussion centers around hormone replacement therapy, not just for estrogen, but for testosterone in women as well, and the many misconceptions and controversies that exist around hormone replacement therapy for menopause.

  • Doctor Haver explains how the specific timing in which hormone therapy is initiated plays a key role in whether or not the hormone therapy is beneficial for women or not.

  • And of course, today's discussion gets into ways to offset some of the more common difficulties associated with menopause, including sleep issues, hot flashes, inflammation and more.

  • By the end of today's episode, you will have a clear picture from Doctor Marie Clair Haver about what perimenopause and menopause actually represent the best way to approach perimenopause and menopause, and the various considerations around hormone therapy and lifestyle choices that can allow any woman to approach the years of perimenopause and menopause and beyond with the utmost vitality and wellness.

  • Before we begin, I'd like to emphasize that this podcast is separate from my teaching and research roles at Stanford.

  • It is, however, part of my desire and effort to bring zero cost to consumer information about science and science related tools to the general public.

  • In keeping with that theme, I'd like to thank the sponsors of today's podcast.

  • Our first sponsor is Aeropress.

  • Aeropress is like a french press, but a french press that always brews the perfect cup of coffee, meaning no bitterness and excellent taste.

  • Aeropress achieves this because it uses a very short contact time between the hot water and the coffee.

  • And that short contact time also means that you can brew an excellent cup of coffee very quickly.

  • The whole thing only takes about three minutes.

  • I started using an aeropress over ten years ago.