#1 Menopause Doctor Masterclass Pt 4: GLP1s, Losing Belly Fat + Live Longer & Stronger Now! Dr. Mary Claire Haver

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The Jamie Kern Lima Show 34 min 3 speakers 8 chapters transcribed
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What is the main topic discussed in this episode?

Jamie Kern Lima 0:00
This has been one of the most shared series in the history of The Jamie Kern Lima Show and brand new today, back by popular demand. She's often called the top menopause doctor in the world. Dr. Mary Claire Haver is here in this part four menopause masterclass episode, where today we're talking all things GLP-1s. Those are the weight loss and weight management drugs that are taking the world by storm. Are they right for you? What are the risks versus rewards? All the things your doctor might have forgotten to mention. We are going there today. And whether you're listening for yourself or because someone you love shared this episode with you, I want to welcome you to the Jamie Kernley Michelle podcast family.
Jamie Kern Lima 0:45
Ozempic, Wegovy, Majaro, Zepbound.

What are GLP-1s and how do they relate to menopause?

Dr. Mary Claire Haver 0:50
GLP-1s are a class of medications that are peptides found naturally in the body. They've been around for over 20 years.

Does Ozempic help with menopause-related weight gain?

Dr. Mary Claire Haver 0:58
We have all of that safety data. They're blocking the things that drive us to eat. It's also blocking things that drive us to drink or drive us to gamble, kind of these compulsive behaviors. Wonderful studies coming out on the mental health benefits of GLP-1s. It slows the food emptying from the stomach. It's really for my patients been miraculous. Muscle mass has a dramatic loss through perimenopause. Body fat has sees a tremendous uptick and increase in the percentage of body fat across the menopause transition. We're losing muscle and gaining fat just from being menopausal people.
Jamie Kern Lima 1:33
Right now, 1.2 billion women are in perimenopause or menopause. And whether or not you're experiencing this personally in your life right now, I guarantee you someone in your life is. Can you get GLP-1s covered by insurance if you're not obese? It's getting harder.

What are the risks versus rewards of using GLP-1s?

Dr. Mary Claire Haver 1:51
The cost of these medications is outrageous. It's like $1,000 a month.

How can testosterone support women during menopause?

Dr. Mary Claire Haver 1:54
It's ridiculous. More coupons are coming.

What role does progesterone play in menopause management?

Dr. Mary Claire Haver 1:57
But just to demonize a patient and tell her it's her willpower?

Why is focusing on strength more important than being skinny?

Jamie Kern Lima 2:01
Yeah.
Dr. Mary Claire Haver 2:01
is one of the biggest tragedies in the history of medicine.
Jamie Kern Lima 2:04
Which now with the obesity genes, all these other things, they're proving it's not willpower.
Dr. Mary Claire Haver 2:08
No, it's not willpower. And I was taught in that generation of it's her fault. Yeah.
Jamie Kern Lima 2:14
She's just lazy until... I believed that my whole life.

How can women advocate for their health during menopause?

Jamie Kern Lima 2:18
Like, oh, I'm gaining weight. It's definitely my fault. You know, I've been tested for the obesity genes now and I actually have two of them. And I'm like, oh, you know, and then your brain works differently. Right. There's so much science. The entire biological drive.
Unknown 2:29
Yeah.
Dr. Mary Claire Haver 2:29
is working against you. GLP-1s are far superior to metformin.
Jamie Kern Lima 2:34
Do you prescribe both to your patients or you predominantly do GLP-1s? If somebody's doctor says no. No. If somebody's, like if they go to their doctor and say, I'm really, really interested. You're not working hard enough. In GLP-1s and they go, oh, you should just work out and eat better.
Dr. Mary Claire Haver 2:48
And then you turn around and tell them, I'm doing that. And they say, no, you can't be, therefore you wouldn't be obese. Then you need to find a new doctor.
Jamie Kern Lima 2:56
What are some of the resources that exist online? Because there's now through telehealth, you can get prescriptions in other ways.
Dr. Mary Claire Haver 3:04
Because it's not just take this medication, woo, go be thin and off you go. It is really rewiring your brain. A lot of people worry about like ozempic face or ozempic. Is that simply just you've lost weight? Massive weight loss. You've lost weight fast. Right. And when you lose weight fast, the elasticity of the skin struggles to keep up. And so we see more of the hanging skin.
Jamie Kern Lima 3:24
So GLP-1s don't change your face or your body. It's more the result of your skin from weight loss. Okay. I think there's a misconception out there. They're like, wait, I don't want to get that. With GLP-1s, the risk of losing muscle, because if we're not eating enough, we might not be eating enough protein. We might not be lifting weights. And you talk about how critical it is to focus on strong over skinny.
Dr. Mary Claire Haver 3:47
Okay. They're bawling, crying in my office when I'm like, you're amazing. Oh my God, look at all this muscle.
Jamie Kern Lima 3:53
I can think about the times in my life where I've been the thinnest.

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