The Hotflash inc podcast

Send us a textI started the Hotflash inc podcast two years ago on a wing and a prayer and a glass desk, and quickly learned that is the worst possible surface for audio. Along the way I have spoken to the top experts in the world, found out an incredible amount of things, and refined and iterated the podcast intensely, getting it to the point that I'm pretty sure it's – and me – are ready for our own slot at SiriusXM, or at least a bunch of other improvements. Take a listen as I break down some of the things that other people aren't talking about. Because asking questions about uncomfortable things? That's what I do. And don't forget to celebrate, because we have launched our first merch. The "you can be in my #perimenoposse" shirt. I think they are pretty darn swell. Join the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textDr June Chin knows about pain and how to treat it on the deepest levels: from her own experiences that started in her teens years and through to that of patients. She’s an integrative medical cannabis physician and has spent more than20  years working in holistic medicine. She is currently a professor at New York University and Syracuse University teaching Cannabis Health and Science, Vice Chair for the Cannabis Advisory Board for the New York State Office of Cannabis Management and Chair of the Health, Safety and Research Committee for New York State’s Office of Cannabis Management. She is the author of the book Cannabis and CBD for Health and Wellness and founded and operated seven bicoastal integrative cannabis medicine clinics in California, New York, and Connecticut.  Her training includes studying nutritional biochemistry at Cornell University, osteopathic medicine at Touro University, medical acupuncture at Harvard University, and research at Columbia University, Center for Complementary and Alternative Medicine in Women’s Health. Through her work as a clinician, professor, and author, she has created medical protocols for the industry and internationally accepted methods for cannabinoid formulations, research, education, and training programs. She is also the chief medical officer for NNABI. Highlights: The personal experience that drew her to holistic medicine, and cannabis in particularThe 101 on our endocannabanoid system The different forms of cannabis – and how CBD is different The interplay between CBD and hormone therapyThe intersection between perimenopause and the endocannabanoid system?How specifically can cannabis and CBD help Her work with the startup NNABI, which is providing a CBD solution for perimenopauseHer take on some of the other alternative, plant-based medicines and psychedelics being developed to treat peri/menopauseHer top advice for women in perimenopauseWhere to find Dr Chin:IG: @nnabi.life @drjunechinJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textDr Karyn Eilber is board certified in urology and female pelvic medicine and reconstructive surgery, as well as an associate professor teaching, training and working in administration at Cedars-Sinai Medical Center in Los Angeles. She’s a mom of three, co-founder of the clean, luxury intimacy company Glissant, founding medical partner at Doctorpedia and co-author on the awesomely title book A Woman’s Guide to Her Pelvic Floor: What the F#*@ is Going On Down There?”Over her years of practice, she’s also become open to alternative approaches to medicine and all the new – and old – things that can help. “No pun intended,” she says. “You gotta think outside the box.” Highlights: Why vibrators are important in perimenopauseHow to choose a vibratorWhy kegal exercises are not one sized fits allThe very important role of a pelvic floor physical therapist The intersection between our urinary tracts, pelvic floors and overall vaginal health Vaginal estrogen is safe! (Even if the packaging makes you think otherwise)Why systemic estrogen may not be enough for your vagina The latest tech: lasers, sound waves and O Shots Bioidentical hormones and testosterone pelletsOur rapidly advancing understanding of the vaginal microbiomeWhat’s going on with all the infections? (Hint: It’s about the lactobacillus)Boric acid for BV: the doctor’s Rx (and what you have to watch out for)Goop, vaginal (vulvar) steaming and jade eggsFalling bladder: what it is and how to treat itGlissant and the importance of using clean lube (and some CBD)What young women are doing differently at the gynecologist Is vaginal estrogen mandatory? Where to find Dr Eilber:Web: Glissantlove.comLinkedIn: @KarynEilberInstagram: @dreilberJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textThis week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital’s NHS Foundation Trust and an associate professor in Women’s Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media. He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.Highlights of our discussion: Hormone therapy (HT) 101WHI: good, bad and what we can learn from it 20 years onEstrogen in the pill vs estrogen in HT All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiolGetting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country Pharmaceutical company produced HT vs compounding pharmacy versionsthe big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendationsthe pill, HRT and breast cancer riskwhy problems with the pill don’t get flagged and HRT does Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)What’s what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)how long you really need to take HRT to see if it’s workingwhy HT works for some people and not othersDr Talaulikar’s favourite non-hormonal treatmentsWhere to find Dr Talaulikar:X: @VikramSinai Web: Menopause Clinic LondonMenopause Research and Education FundJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a text“Just put it out there. No one expects you to be perfect.”When Colleen Rosenblum talks about starting the Hot Flashes & Cool Topics podcast with her partner Bridgett Biagi Garratt in 2019, you kind of want to stand up and cheer. These Nashville-based friends – Colleen is an attorney turned pilates instructor, Brigit is a former elementary school teacher –  are two of the most clear-headed voices in the North American midlife sp, all the things that happen in midlife and how we get through them. They also just had their first IRL Hot Flashes & Cool Topics with Prime Women event this month, where they talked about menopause, midlife and a lot more. Highlights: Navigating politics  in the menopause space Doctors private public Doing scary new things in midlife How backward it was (and still is) that midlife have the purchasing power but are left out of media coverageShining a light on the positives of midlife Growing through the grief and loss in your empty nest Starting over and deciding what you want to do with the rest of your lifeWhat they’ve learned interviewing doctorsThe most controversial topic they’ve come across – testosterone pellets – and Bridget’s own experience with themWhy we don’t want to change doctors – even when ours knows nothing about perimenopause How being scared of menopause can make it harder Colleen and Bridget look back on their own perimenopause experiencesWhy they left their careers behind and how they feel about it now What it felt like when they launched their podcast – and why women need to stop underestimating the experience they have in life NB: For an alternative view about  testosterone, check out episode 58 with Nashville, Tennessee-based nurse practitioner Brooke Faught and for testosterone pellets, listen to episode 79 with Phoenix, Arizona-based integrative physician Dr Angela DeRosa. For more on HFCT:Hot Flashes & Cool TopicsFacebookInstagramTwitterPinterestLinkedInYouTubeJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textThe first encore guest on the Hotlflash inc podcast is the women's health ND Lara Briden, who is a calm, cool, collected and highly knowledgeable voice in the women’s health space. She is the author of two books, period repair manual and hormone repair manual, is  a sought after speaker and guest, has her own podcast and helps 171 thousand people on Instagram sort fact from fiction. She’s also a student of the endocrinologist, Dr Jerilynn Prior, who she mentions several times in the podcast, and a passionate advocate for shifting some of the focus during this transition onto progesterone from estrogen, which gets all the attention. We discuss why perimenopause might seem like chaos, but it really isn't, and why. And a portion of the podcast is dedicated to the evolutionary aspect, which Lara is passionate about because she's also an evolutionary biologist!Highlights: Why ‘the four phases of menopause’ is unhelpfulRecap on our menstrual cycle The real four phases – of perimenopauseWhat menopause really means (and why it’s going to be okay there)How the “chaos” is temporary – and what’s causing itWhy there are really just 9 symptoms of perimenopause The one symptom of menopause that does lingerWhy do much of perimenopause is about other things, but is also about perimenopauseWhy everyone gets the history of menopause wrong – and why understanding it (and seeing it reflected in the animal kingdom) tells us so much about what it really isThe one thing that makes it all worseWhere to find Lara: Larabriden.comThe Lara Briden PodcastIG: @larabridenX: @larabridenJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textFUD = Fear, uncertainty and doubtThis is a special solo episode on the eve of Menoapuse Awareness Month to talk about the current situation that exists where people are trying to scare women into taking hormone therapy, whether they need it or not. I talk about why that doesn’t make any sense, doesn’t align with any of the current advice from the bodies who guide doctors on how to handle all this, where it’s coming from and how you can try and make sense of what’s going on and make an informed decision about what is right for you – hormone therapy or no hormone therapy – by using simple common sense. Join the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textWe hear this message all the time: compounding pharmacies and the bioidentical hormones they produce are dangerous and unregulated. But, are they? In an encore episode of Hotflash inc, to find out we turned to two people who are inside the industry, which accounts for about 1 to 2 per cent of drugs sold, and getsa very different story. Meet Scott Brunner, CEO of the Alliance for Pharmacy Compounding, which represents compounding pharmacists and technicians as well as prescribers, educators, researchers and suppliers in the United States, and Jennifer Burch, a doctor of pharmacy and owner of the independent pharmacy her father started in Durham, North Carolina. Although this episode focuses on the compounding pharmacies industry in the US, there are takeaways that can be applied all over the world. Highlights: • The drug industry began with compounding pharmacies – so why are they still here? (4.45)• The rigorous regulatory framework in place to oversee them (5.50)• How compounding pharmacies help patients traditional pharmaceuticals cannot – including in menopause (7.32)• Examples in peri/menopause where compounded medications help where pharmaceuticals cannot (10.13)• How practioners work collaboratively with compounding pharmacists (12.30) • The one way pharmacists can tell if a medication is working for a patient (13.10)• How compounded menopause hormone therapy works and is overseen by pharmacists, practitioners and patient consulation for peri/menopause symptoms – and how it’s different from how the majority of HRT prescriptions handled (13.30)• The rare cases where compounding has gone wrong (17.30)• The difference between synthetic and bioidentical hormones (and how even doctors confuse them) (19.01)• Why you probably want to skip medroxyprogesterone and go for bioidentical progesterone instead (21.00)• The imminent threat facing the compounding industry (26.00)• Why the compounding isn’t even suited to the large-scale clinical trials it’s demonized for not having – and how it’s actually tested (27.23)• The issue of pellets (and why the Alliance wants a more rigorous reporting system for adverse events for all drugs) (37.30)• The case that may have scarred the FDA about compounding pharmacies (42.20)• Are compounded medications really more expensive?(43.30)Find out more:Web: Compounding.comTwitter: A4PC @a4pcrx Jennifer Burch @drjenn93Join the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textPaula Rastrick is a British psychotherapist who was prescribed too-high levels of hormone therapy at a private clinic in the UK, which ended up causing more physical and emotional problems than she originally sought treatment for. She is also complex trauma survivor and classed as a Highly Sensitive Person and her mission is to raise awareness of both and how they impact menopause transition.Her episode runs in the same week that the British Menopause Society released a warning about reports of high doses of menopause hormone therapy being given in the UK, and the syndrome known as tachyphlaxis. This is what happens when people taking drugs find the drugs to be less effective over time, and in the case of hormone therapy, can mean women with high estradiol levels may believe they need more estrogen, and also that women with higher levels of estrogen can experience adverse mood-related symptoms. Paula has create the brain body method of working with women on post-traumatic growth, resilience and healing.. She works with clients one-on-one and has just begun offering affordable monthly workshops that educate women about their body’s stress and trauma responses and gives them tools to handle and process it which you can access through her website. Highlights of our conversation: Her story of being overprescribed HRTThe vastly understood role of childhood trauma and highly sensitive people in perimenopause Why all mood issues are not simply another perimenopause  “symptom” What happens when too much estrogen hits a highly sensitive brainRemembering HRT is a pharmaceutical drug, not our body’s actual hormones Low and slow as a guiding principle ADHD, neurodiversity and moreWhy menopause needs to connect the dots with other researchWhy menopause is a bio-psycho-social transitioDifferential diagnosis and the danger of counting everything as a perimenopause symptomIs there such a thing as menopause mood disorder? Narrowing the conversation is not helping womenWhy trauma isn’t about the event - it’s about how you process the event Libido loss – and the pain and stress of knowing that our relationships need work – in perimenopause HRT as a baseline to tackle everything else rather than a magic pill What do you do when you listen and think ‘this sounds like me’The book she recommends you start with if you think this might be youWhere to find Paula: IG+TikTok: @mrspaularastrickWeb:Thebrainbodymethod.comJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information

Send us a textHotflash inc is the #1 podcast in Women's Health on Goodpods and in the top 1.5 percent globally according to Listen Notes. A quick update this week on where I am at right now, and how I feel about it, and what I think it means.Join the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information