120: Dr Salome Masghati knows how complicated perimenopause is

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Today Hotflash inc founder Ann Marie McQueen is speaking with a board-certified gynecologist whose surgical career was focused on fibroids and endometriosis before she discovered her love for functional medicine and holistic therapy and discovered what it could do for women struggling with menopause, hormones and wellness. Dr Masghati, who offers virtual consults worldwide in four languages, talks about treating patients from Lebanon to the Philippines, about the balance of estrogen and progesterone, the role of testosterone, the relevance of detoxification, ADHD in midlife, why some people want compounded hormones and why no matter what, we all need individualized treatments. The conversation also delves into the misconceptions about hormone therapies, such as pellets, and how to support women as they undergo psychological and physical changes. 

01:59 Dr Masghati’s journey to holistic medicine

03:35 Understanding hormonal imbalances (and estrogen dominance, even if you call it something else)

03:56 Global perspectives on women's health

06:02 Environmental factors affecting hormones

10:27 The importance of progesterone

17:58 Challenges in hormone treatment

20:02 The role of functional medicine

29:03 Liver health and hormone balance

34:11 Thyroid and insulin resistance

34:44 Liver detox and macronutrients

35:13 Hormones and sleep

36:12 Diet and exercise tips

38:28 ADHD and hormonal changes

41:19 Managing ADHD symptoms in perimenopause

47:29 Hormone therapy options

52:07 Risks and side effects of hormone therapy

57:55 Hormones and disease prevention

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