The Ultimate Human with Gary Brecka
227. Menopause: Symptoms, Hormones, Tests & Solutions with Sage Workinger-Brecka & Gary Brecka
16 Dec 2025
Chapter 1: What is the main topic discussed in this episode?
When you're in your 30s, you're not thinking about menopause. I kept thinking I'm not old enough to be in it.
Chapter 2: What are the early signs of menopause Sage experienced?
Turns out you can be in perimenopause in your 30s.
The issue with menopause is that lots of things can crash at the same time. One of the things we noticed was rapid shift in mood, exhaustion in the morning, brain fog. Vito left the building and you were just not the same person.
And I think it was just like a feeling of being overwhelmed constantly. And I kept thinking it was because of something else. And I think the main thing that forced us to really look at it was my frozen shoulder. My arm was stuck right here for almost nine months.
And just so you know, we were doing all the things. Red light therapy, sauna, cold plunging.
Chapter 3: How does hormone replacement therapy benefit menopausal women?
We have a hyperbaric chamber. She eats extremely clean.
When I went to doctors, so we tried acupuncture, cupping, physical therapy. I mean, we tried so much stuff.
When we did this Dutch test, getting that test was a game changer. When it came back, it explained everything.
And I remember like crying with you when we got all these results back because you saw it finally.
Chapter 4: What do the Dutch and wellness tests reveal about hormone levels?
It wasn't just me saying, I don't feel good. You were, holy cow, I can see it in the science.
What were like big signs that you would say, okay, if you start to experience this, women, this is when it's time to get your hormones checked.
I think one of the main things was...
Chapter 5: How are catecholamines linked to anxiety during menopause?
Oh boy, welcome back to the Ultimate Human Podcast. Today is a really special one, guys. I'm not sitting down with a PhD, an MD, a researcher. I am sitting down with my life partner to talk about menopause. I'm already scared. But we have been asked to do this podcast for years. I think that menopause is one of the most underserved areas for women.
We just went through it, my wife and I. We are still in it, but yes.
We are still in it. We are sitting down, my wife and I, my life partner, my confidant, my best friend, We're sitting down to be very, very vulnerable about our menopause journey, including the testing. What did we do about it? What was it like going into menopause? What has it been like since we've solved the menopause issues? What hormones did Sage take?
And I think every woman and every man should watch this podcast because if you're not there yet, you're going to be there soon. Welcome to the podcast, Sage Brekka.
Thank you, man. I appreciate it. It's quite the intro.
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Chapter 6: What myths exist around hormone therapy and breast cancer?
It's great to have you. My audience loves you.
Thank you.
Love me more, but they love you too. But guys, we decided that we would be super vulnerable on this podcast because there are lots of couples going through this. Women have a really difficult time getting answers. There's so many questions about menopause. How do I test for it?
Chapter 7: What changes did Sage experience after starting hormone therapy?
What should I be taking? Why do I feel this way? Why did libido leave the building? Why is my... skin elasticity also leaving the building. Why is my mood and emotional state off?
Chapter 8: What recommendations did Sage receive for her health journey?
Why do I feel fits of anger for no reason at all? And it's all related to your hormones. We tie it all to the specific hormones and the best of all, we give you the solution. So I'm really excited to run this podcast. Thank you. Now that we're kind of on the other side of it, babe.
We really are. I mean it's been 60 days maybe. I mean it's a pretty small amount since I started hormone therapy.
But there was quite some time before the hormone therapy where we were in the thick of it.
We were really in the thick of it.
I did a lot of apologizing. Here's my advice for menopause. If you're a man and your wife is in menopause, as soon as you wake up in the morning... Just say you're sorry. Say you're sorry. Just for waking up. Just for waking up.
Because you probably did it wrong.
You probably did it wrong. Maybe you sniffled. Maybe you moved the bed too much when you got out of bed. Maybe your feet hit the floor so hard that it was rude and inconsiderate. And we're just rude and inconsiderate. We're like bears. Yes. And so when we wake up, we get out of bed and it seems like a normal thing.
Or you're just like giant children that are just loud and messy.
Yeah. Definitely don't burp.
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