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Chapter 1: What is the main topic discussed in this episode?
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Hey guys, it's us, the Jonas Brothers. I'm Joe. I'm Kevin. And I'm Nick. And guess what? We created our own podcast called Hey Jonas. We invented a podcast? Well, we didn't invent it. We just contributed to it. We're the first people to do podcasts. We get to ask other people questions because we're sick and tired of being asked questions.
Well, sick and tired is a strong way to put it, but you know. Tired and sick. Tired and sick.
Listen to Hey Jonas on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. Just listen. We don't care where you hear it.
Hey, everyone. This is Tati Mellencamp.
And Tamara Judge from Two Teas in a Pod. There's been one scandal that's consumed our lives these last couple of months. We're recapping the three-part Summer House reunion. And as always, we're being brutally honest. We're dissecting timelines, receipts, blind items, and previous episodes. Amanda and Wes, watch out. We're not going to be easy on you.
Listen to Two Teas in a Pod on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts. Everyone sees me as a football player, but before anything else, I'm human. Every single day, I'm still learning how to live with problems, mistakes, relationships, emotions, ever since I was born. This isn't a normal podcast. Everything here is spontaneous, real, and genuine.
Just honest conversations about what it means to be alive. I'm Javier Chicharito Hernandez, and listen to Learning to be Human on iHeartRadio, Apple Podcasts, or wherever you get your podcasts.
Hi, Amber. Hi, Lola. Welcome to An Unlikely Affair. Hello, everybody. Welcome to another episode of An Unlikely Affair. I am so excited. I'm stuttering. I'm so excited. I don't even know what I'm saying. Today, we are talking to Tamsyn Fadal, who I've been obsessed with. I've been following her on Instagram. She has a wonderful book out.
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Chapter 2: What is perimenopause and how does it differ from menopause?
Late thirties? I'm 37. I'll be 38 in July. So have you already started having that conversation with your doctor or no? I have, you know, it's crazy lately. I mean, I'm ADHD. I have severe anxiety. I've always had anxiety, depression, but I've noticed over since I turned and I told Dala this the other day, I said, as soon as I turned 36, I really started seeing things change.
Like my face, just elasticity was not the same. My anxiety, I'm not sleeping. I have suffered from severe night sweats for the last probably six years. Like Sometimes due to medication, sometimes due to stress. But lately, as of today, I wake up, full out panic attack. My heart is pounding so fast that like the next day, my heart feels sore. Like it had like a really strong workout.
And I'm thinking- Well, you have to go talk to somebody about that. You really do. Because heart palpitations- Okay, good. That's a big one. So I actually said to... I actually wrote Dr. Amen, who's my psychiatrist. I wrote him this morning. And it's so easy as women to put our health off when we're either driven by our career and or we have children.
It's like we always put ourselves on the back burner. And I'm really focusing on when something comes up with you, you really... need to take care of it. Like it's just as priority because if I'm not well, nobody else around me in my circle is going to be well. So I literally wrote him today. I said, hey, good morning. Sorry to bother you. I'm a mess. I can't sleep.
I'm having panic attacks when I'm getting my hair done. Like I'll be in the hair salon. And like, I know this is so bizarre, but if anyone out there has anxiety, I'm sure you can relate to this. Like little things of sitting in a hair salon, getting highlights put in, and all of a sudden they will come on and I'm like, what the heck is wrong with me?
I feel like someone has taken over my brain and I am not like in control. So now I'm like doubling down on my prayer and meditation and going for walks three times a day. I mean, it's like, it's like a full-time job making sure that you're... Yes, I know. But I'm so glad you reached out. And don't apologize for doing that too, by the way, because you deserve to have those answers that you need.
There's just no question at all. But I understand what you're saying. You know, that anxiety came up for me and I had... never had anxiety before. I didn't even, I didn't even understand really what it was. And so, and mine was about driving, which I just realized, and I realized I had stopped driving for a long time, which I used to drive everywhere. And I realized, oh my gosh, I'm like,
But anxious and avoiding it. And I grew up in Texas and Florida, you know, you couldn't get anywhere if you didn't drive somewhere. It wasn't like there was a subway. It wasn't, you know, what I would have in New York. And so I understand it's a real thing. It's a real thing. And those hormonal shifts happen.
can happen really quietly and they can go up and down and then they're quiet and then they go up and down. And so I do think that that's so incredibly important. You know, I was going through my divorce when I now realize I was also going through perimenopause. So I thought that a lot of my anxiety was due to that, which I don't discount that.
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Chapter 3: What symptoms should women look for as they approach perimenopause?
I wasn't sleeping every night. It wasn't the reason that I had rage. And so I really, that's why it's been so important for me to have these conversations with younger women because I sure wish that my mom had been around to do that for me. Yeah.
So when you go to the doctor and you're saying, okay, you go to the OBGYN, I personally think people that go to family doctors and get all this stuff, I'm like, no, you need to go to a specialist who really understands and is educated. When they say, okay, let's do a blood test, I always question if the blood tests are... How specific and detailed do you need to get? Because...
don't they do blood tests like when they check your estrogen? It's in a range from like an age range of women to find like the happy medium. So is there specific blood tests or questions or things that you should say to your doctor in order to get a perfectly tailored plan that fits for you and what you're experiencing? Yeah, it's really good.
So there's no definitive test that can tell whether or not you're in perimenopause. It's a clinical diagnosis. And so that means that it's something that a clinician or a menopause specialist or somebody that really understands this can make by evaluating your symptoms and your health history.
i am like you like i really i really want somebody who has studied this and paid attention to this and there's the menopause society that has certified doctors that have gone through a certification process to really understand all of this and so i think that what's important is to know that so it's something that a clinician can make by evaluating your symptoms and your health history
And so that's why one of the big things is really keeping track of what's going on with those symptoms. Because if you're not keeping track of those, you walk into a doctor and one day you might be feeling completely fine. And then the next day you're feeling like garbage again. So keeping track of those symptoms.
Some doctors will order blood tests to check levels of estrogen, progesterone, or FSH, which is a follicle-stimulating hormone. There's the issue. They measure hormone levels on that particular day. And hormones are fluctuating, sometimes greatly from one day to the next. So at this point, according to Menopause Society, there's no simple test for perimenopause.
And the good news in that is that if you do have those different symptoms, because people are like, oh my gosh, I just want a yes or no. But if you do have an understanding of those symptoms, and you're in that age range and you don't have reasons that you're not able to take hormone therapy, a majority of women are able to take hormone therapy, that in perimenopause, you can start that.
You don't have to wait till you're in menopause to start hormone therapy. So a lot of women are starting it earlier than ever before. So my girlfriend, who's a doctor, she gave me some estrogen to put on underneath my arm, just like, I think it's 0.25.
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Chapter 4: How can education about perimenopause improve relationships?
I started taking it. And within like three days, I had acne all over my body. Are you allergic to the cream? Maybe. It was just like the inside arm. And I'm thinking, oh my God. And I'm like, I can't. I don't want acne. You know, I don't want acne all over my body. And I'm like, I'm not even sure. So I ended up stopping it. But I'm definitely interested in starting those things because it will.
It will help sleep. It will help regulate. And like, why not get in front of something before it like...
surprises you and you're like oh oh no now you're like trying to get a doctor's appointment it's three months out before you can actually get in to see a doctor and you're like so and maybe a patch too is a possibility you know like that might have been a compounding cream a compounded cream and so I you know we're having a a difficult time locating a lot of these patches a lot of women are saying they're experiencing problems with that but I would definitely say this I would definitely say that if you can get your hands on a patch maybe that's a good way to go about doing it
Why are people having a hard time getting their hands on a patch? You know, back in 2002, we had about 40% of women that were on hormone therapy, not necessarily the patches, but that dropped off after a test or after a study that really scared a lot of people. And now only about 4% of the country, up to 5% is on hormone therapy.
The number has been ticking up, but the demand is increasing so much at this point, again, for patches that they really have to relook at what's going on. So I spoke before the FDA.
last week with a small group of women to say like we need to get manufacturing where we can make you know get more patches out there so i'm hopeful that's going to happen at some point but right now at this point we still have a lot of a lot more demand than what we have uh product going on out there and that's going to keep rising but i would ask about that especially if you're breaking out with acne yeah i mean that's a common side effect of of estrogen right
Well, it can be. It's not necessarily that you're talking about a compound. So there can be all sorts of different side effects just depending on things. But I would pay attention to that because usually when estrogen level drop is when testosterone remains high and then you can have those acne breakouts. Right, right.
Okay.
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Chapter 5: What role do men play in understanding perimenopause?
If I didn't want to do, if I'm not ready for that phase quite yet, are there supplements that you love? Oh, that's a good question. So, you know, I'm not a doctor, but I will tell you what I do. So tell me everything. Magnesium is my big one for sleeping. So I don't know if you have problems sleeping, but sleep, glycinate. So if you have problems sleeping, that is what I would 100% recommend.
We talk about bone health and we talk about building muscles. So creatine is another one that I would add in. Mm-hmm.
what type of creatine i have ancient brave is what i'm using right now for my creatine that's the type that's the type i'm using like to just add to things like i'll literally put it in my coffee in the morning i will literally stick it in a protein shake it's very simplistic um and then i also make sure like yes i do protein i try to do as much as possible because i think there's three things that i'm focused on right now my age which are being able to sleep that's my number number number one
If I don't do that, I'm not going to the gym. I'm not going for walks. I'm not paying attention, not meal prepping. I'm not doing any of the things. I'm not lifting weights. I can't sleep and I'm lousy at work.
The second thing that I'm focused on outside of my sleep is making sure that I'm protecting my bones because as you start to age, we know osteoporosis and osteopenia are two things I'm very nervous about. So I have gotten a DEXA scan so I can take a look at my body and see where I am and make sure that I'm not I don't have osteoporosis since I got those good results about six months ago. Oh, yay.
So to protect my bones, I'm always making sure that I'm lifting and I have protein. And then I guess the third thing that I would recommend is vitamin D, K2. And vitamin D, K2, because we just don't quite frankly get enough of it. And I think it's really an important one if I had to go down the list. Like if I kept going, would I add protein?
calcium i guess so but i know myself well enough to know that i'm not going to take a thousand different things number one hits millions of records sold awards sold out tours you think the jonas brothers are satisfied nope it's podcast time we get to ask other people questions because we're sick and tired of being asked questions hey jonas is available now and their first guest is a big one paul rudd
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Chapter 6: How can women prepare for the transition into menopause?
You know, Steve Carell is a great singer. Can you tell you not to audition for The Office or something? I told him. Whoa. We were filming Anchorman. Clearly, I was the idiot. Thank God he didn't listen to me, right?
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Joy is essential, and it's also elusive. You can't order it, you can't borrow it, or simply hope it into life. But now, there's a new and exciting way to start your journey toward a more joyful existence. Joy 101. It's a new podcast hosted by me, Hoda Kotb.
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Joy is an empty nester. Joy after a loss. This new podcast will speak to you. Listen to Joy 101 with Hoda Kotb starting June 10th on the iHeartRadio app, Apple Podcasts, or wherever you get your podcasts.
In 2023, a story gripped the UK, evoking horror and disbelief.
The nurse who should have been in charge of caring for tiny babies is now the most prolific child killer in modern British history.
Everyone thought they knew how it ended. A verdict, a villain, a nurse named Lucy Letby.
Lucy Letby has been found guilty.
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