Dr. Jessica Shepard
speaker
166 appearances
2 recordings
2 series
first heard Nov 2025
last heard 11 Jun
Dr. Jessica Shepard’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 2 in all, peaking in Jun 2026 with 1.
Appearances
So all that time is when you're going to start to feel these symptoms either start, become more frequent, more intense or more severe.
So testing is a little tricky because again, the estrogen and progesterone are still there if you have a cycle.
So we know in menopause you do not have a cycle anymore, which states that the ovaries are not eliciting enough estrogen release to give you a cycle.
So while you're still having a cycle, whether it's infrequent, if it's a regular or regular in the perimenopausal phase, we know that estrogen and progesterone are giving off enough to give you a cycle, just not enough where the rest of your target organs, your brain, your muscle, how your fat is distributed, are now actually responding to that flux.
So the goal is in testing is not necessarily to tell you, am I perimenopausal?
It's a good starting ground for a conversation because what at the end of the day is the most important, the experience of what you're doing.
So I can come on the back end and saying, I still think you're worthy of hormone therapy.
If that's what you choose, this is where we're going to start.
Now the Dutch test I think is good for looking at metabolites or variations of your estradiol and your progesterone and what they're actually doing, right?
It's a good,
follow through to see exactly where the peaks are, where it's maybe going down a little bit, that is more extensive.
But if someone's just basically trying to see where am I, I always say, yes, your estrogen and progesterone, your FSH is good to look at, but also things like cortisol, thyroid, also your vitamin D, because now you're gonna start to see deficiencies in other parts of your body because you're going through this transition.
In medicine, what we typically do, like I said, we are good at disease, I am really trying to capture women before they hit menopause to give them the best building blocks so that at 60, 70 and 80, they are optimized instead of waiting for it to be a catastrophic fall off the cliff.
That's really what we're trying to do when we think of longevity, looking at hormone therapy,
in mid-age is really that opportunity, that chapter to say, my next chapter is coming.
40% of our lives are spent in the postmenopausal phase.
What do I want this chapter to look like?
Let's start mixing up the recipe a little bit.
That's what we told women.
We are classically trained as men and women, as humans, to ignore what your body is telling you until it tells you something where it's catastrophic.
Showing 81–100 of 166 · page 5 of 9
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