Ep 311 - The Truth About Hormone Replacement Therapy
Jan 22, 2025
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In this episode, Lauren Colenso-Semple, a women's health expert specializing in hormone therapy, shares invaluable insights about menopause and hormone replacement therapy. She tackles common myths around hormone treatments and discusses recent findings on risks, including breast cancer. The conversation also delves into the evolving perceptions of hormonal contraceptives and emphasizes the importance of individualized care. Colenso-Semple's expertise shines as she clarifies the misconceptions surrounding 'andropause' and male hormone therapies.
The podcast emphasizes the significant impact of menopause on women's health, highlighting varied symptoms and the importance of awareness for better support among families.
Recent studies challenge traditional views on stretching by demonstrating its potential efficacy for muscle growth, particularly through innovative calf stretching protocols.
The discussion advocates for personalized hormone replacement therapy options for both men and women, emphasizing informed healthcare decision-making to address individual hormonal health needs.
Deep dives
Preparing for Competition
The discussion begins with Dr. Lauren Colenzo Semple sharing her experience as she transitions into her first proper pro season after achieving her pro card. She emphasizes the importance of strategically managing body composition during the preparatory phase, advocating for a slight cut before the actual contest prep to minimize metabolic adaptation. This approach allows her to enter a manageable calorie surplus or at least maintain her body weight, reducing risks associated with low energy availability and diet fatigue. Ultimately, this method aims to enhance the overall competition experience, ensuring she's able to achieve peak conditioning without unnecessary extremes leading up to the event.
The Science of Calf Hypertrophy
Dr. Eric Helms presents new findings on the effects of static stretching on muscle hypertrophy, specifically focusing on the calves. He shared findings suggesting that long-duration extreme stretching could yield comparable hypertrophy results to traditional resistance training in some cases. For instance, a study demonstrated that wearing a device that stretches the calf significantly for just 15 minutes a few times a week could produce similar results as regular calf weight training. This significant insight points towards the effectiveness of stretching as a legitimate method for enhancing muscle growth, particularly for those struggling with calf development.
Understanding Menopause and Hormone Therapy
Dr. Lauren Colenzo Semple dives into the topic of menopause, explaining the variability of experiences women may have during this transition. She clarifies the difference between menopause and perimenopause, highlighting that symptoms can vary widely, from minimal disruption to severe issues extending into later life. Common symptoms like hot flashes, anxiety, and low libido not only cause discomfort but can also significantly impact mental health, with many women unaware of the connection between their symptoms and menopause. As she emphasizes, the importance of recognizing this condition extends beyond just women experiencing it personally, as it affects partners, friends, and families as well.
The Impact of Media on Perception of Hormone Therapy
The podcast discusses how historical media coverage, particularly surrounding the Women's Health Initiative study, has shaped public perception about hormone replacement therapy. Originally portrayed as dangerous due to elevated cancer risks, this fear has led to many women shying away from effective treatment options. However, Lauren notes that much of the fears of the past have been mitigated, as modern research indicates that hormone therapy, under proper guidance, can significantly alleviate menopausal symptoms. This emphasizes the need for better science communication and the importance of ongoing education for both the public and healthcare providers.
Trends in Testosterone Therapy
The conversation also touches on the rising trend of testosterone replacement therapy (TRT) among men, paralleling the discussions about hormonal treatments in women. As men age, they may experience declines in testosterone, which can lead to various physical and mental health concerns, prompting some to consider TRT. However, the discussion highlights the necessity of approaching this treatment with caution, as not all men will experience significant declines in testosterone or need therapy. The podcast advocates for personalized medical assessments to weigh the benefits against potential risks, reinforcing that the journey of addressing hormonal health requires nuanced understanding and careful consideration.
In Episode 311 of Iron Culture, hosts Dr. Eric Trexler, Dr. Eric Helms, and Dr. Lauren Colenso-Semple deliver a comprehensive exploration of hormones, health, and performance optimization. The episode opens with a deep dive into recent research on stretching protocols and muscle adaptations, examining groundbreaking case studies that challenge conventional wisdom about flexibility training and muscle growth.
The centerpiece of this episode focuses on demystifying menopause, with the hosts providing an evidence-based breakdown of symptoms, treatment options, and common misconceptions about hormone therapy. They tackle the complex landscape of medical misinformation head-on, offering listeners practical guidance for seeking specialized care and making informed health decisions. The discussion extends to critical examinations of hormonal contraceptives and their relationship with breast cancer risk, providing nuanced insights into inflammation mechanisms and risk assessment. The episode concludes with an illuminating segment on male hormone replacement therapy and "andropause," building on their previous coverage of testosterone optimization.
The MASS crew records Iron Culture LIVE on YouTube, Monday nights at 7pm eastern time. Be sure to join us for a future episode and say hello in the live chat!
Time Stamps:
0:00 Introduction and Eric's upcoming contest prep plan
3:34 Calf stretching case study breakdown
22:33 Why you need to listen to the following section
28:12 Menopause information and symptoms
40:49 Menopause and hormone therapy misinformation
50:54 The BS asymmetry principle, seeking specialist attention, and science communication
1:01:50 Breast cancer risk and inflammation with hormonal contraceptives
1:12:58 "Man-opause" and hormone replacement therapy for men
1:24:48 Wrapping up
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