
Bonus HORMONE Q&A From Postpartum to Menopause: Mastering Hormonal Health
A Talk by Adair Flynt, CNM, FNP (Expansion Health)
About this Talk
In this talk we interview Nurse Practitioner and Midwife Adair Flynt and ask YOUR most common questions about hormone replacement therapy, menopause, perimenopause, thyroid disorders, and more! Join us for this lively discussion!
Instagram: @adairflynt_cnm_fnp
Contact: [email protected]
Estrogen Matters: https://a.co/d/aXSmxZZ
WHI Study: https://www.whi.org/
Key takeaways (consult your doctor before starting anything new):
-Avoid endocrine disruptors
-Postpartum, hormones and nutrients plummet which puts us at risk for developing inflammatory conditions
-During perimenopause, hormones increase and decrease at random
-Vitamin E can help with liver metabolism for hormones
-Strength training is extremely important - if you can't lift weights, wear a weighted vest
Timestamps:
01:00 What do your hormones do when you are pregnant and postpartum?
01:59 Hormones in pregnancy
03:08 After delivery, hormones plummet with many health effects
04:45 Why do dizziness and migraine pop up during perimenopause and menopause
06:32 Unpredictability of hormones disrupt receptors
07:32 BPPV in particular happens during this time
09:00 Hormonal fluctuations impact inner ear fluid
09:34 Progesterone is a grounding hormone
10:25 Is it a myth that migraine disappears in perimenopause or menopause?
11:12 Hormones impact inflammation which triggers migraine
12:00 Vasoconstriction and vasodilation
12:59 Will hormone replacement therapy help? What is HRT and who needs it?
14:21 Bioidentical hormone BHRT mimic actual hormones we make
15:40 Who should think about HRT?
16:49 Understand risks and benefits of the process
17:00 Trial and error, no one size fits all
18:31 Problems with studies using HRT
19:00 What makes someone not a candidate?
20:10 Vaginal estrogen use is safe
20:31 “Estrogen Matters” is recommended reading
20:53 For symptoms on HRT, how can it be made more tolerable?
21:83 Start low and increase slowly so receptors are not bombarded
22:20 With fatty liver signs, should take oral estrogen
22:54 Transdermal is another option
23:13 Let your provider know your symptoms when you go on HRT
23:43 Progesterone should not typically have side effects
24:14 Progesterone needed to protect the uterus from a thickening of lining. 5% will not tolerate
25:02 Ultrasound needed to monitor
26:14 Inflammation matters in individual reactions
27:00 Start with micro dosing
27:54 What are some lifestyle changes to support the body in perimenopause and menopause: sleep, hydration, exercise, 100-150 grams of protein, Vitamin D, Creatine, Collagen, Omega 3 fatty acids, Vitamin B, support liver health, avoid alcohol, gut health, recommend probiotic called Seed, anti-inflammatory diet, resistance training, 10% weighted vest, Vitamin E.
32:53 Requirement of strength training emphasized
33:57 Metabolism and heart health are positively affected
34:37 Avoid adrenal fatigue
34:59 Why do thyroid disorders crop up in the menopausal time?
35:44 Hashimoto’s and Graves point to need for addressing inflammation
37:08 Thyroid disorders often diagnosed in pregnancy
37:55 Gluten free as means of addressing migraine
38:50 What is the approach when you know you have a high toxic load?
40:25 Think about working with practitioner in detoxing of mold and heavy metals
41:57 Possible ultrasound of liver to determine if there is damage
43:22 Reconsider using birth control as a means of controlling menstrual migraine
45:48 What is an endocrine disruptor?
48:55 How do you find and work with Adair Flynt?