Health By Heather Hirsch

Hormone stacking 101 // Ever wonder how I help get my patients on the right hormone therapy regimens? One of my guiding principles for women is to be sure they know what each hormone is doing individually. This is a generally good practice to ensure that your HRT is working for you and not against you!

The White House Research Initiative // Thanksgiving is here and it's time to give thanks for all that we have accomplished together over the year. In this episode, I share my thoughts on the launch of the white house initiative on women's health research. The Initiative will explore new public-private partnerships and engage private and philanthropic leaders to drive innovation and ensure the combined power of public, private, and philanthropic sectors advances research on women's health.

PCOS, Perimenopause, and 'Estrogen Dominance' walk into a bar // Wondering what all these three have in common? Listen to this episode to see how endocrine disruptions are all interconnected. And why I don't use the term "estrogen dominance" and instead see this as "low progesterone"

Women have been seriously harmed in the name of "Evidence-Based Medicine"

Reflections On World Menopause Month, and What I am Building.

When menopause is a surprise, with Dr. Corinne Menn // Dr. Menn has a story that you will not want to miss. After being diagnosed with breast cancer during her OB/GYN residency, she went on to become one of the fiercest menopause and HRT advocates I have met to date. In this episode, we discuss premature and sudden menopause, and how education about midlife and menopause must become more inclusive. Dr. Menn and I will be back for part 2 on this important discussion, so stay tuned!

Dr. Menn on IG: https://www.instagram.com/drmennobgyn/

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Jenn Trepeck on why you should eat breakfast, and have a side of fries! // Live is all about balance, right? In this episode Jenn T, a podcast host, health coach, and business consultant breaks down the fundamental aspects of dieting - what works long-term and what doesn't. She notes that her passion for nutrition and helping others with their health goals stems from “kicking her food issues” and her own weight management saga.” Listen in as together we break down so many of the 90's diet myths and much more!

Find Jenn on social media here: https://www.instagram.com/jenntrepeck/

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What's on the menu at the annual menopause meeting? // The Menopause Society's Annual meeting is the last week in September. Listen in as I "unbox" what is on the scientific agenda, and what I will be presenting.

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Why I check lab work in perimenopause and menopause //

Labwork can be transformational for many of my patients. Our current guidelines say not to do it - but could this be causing harm? In this episode, I explain the scenarios where lab work is essential, how I explain labs to my patients, and what this means for healthcare in general. Enjoy.

See me LIVE in Toronto on October 18th! Get your tickets here: https://www.eventbrite.ca/e/on-the-dl-live-tickets-713887896917?aff=oddtdtcreator

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Dr. Adrienne Youdim asks us, "What are we really hungry for?"

Find Dr. Youdim on Instagram here: https://www.instagram.com/dradrienneyoudim/

Dr. Youdim is a nationally recognized expert in weight loss and the author of the book "Hungry for more." In this incredible episode, we break down the meaning behind our hunger cues, how to create a sustainable and healthy relationship with food, and the truth behind all the new weight loss medications on the market!

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Am I out of the window for hormone therapy? // lets dive in and find out, plus - who wants to be my doctor?

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Should Menopause Be Considered "hormone deficiency?"

FYI- my paper was published in the Journal of General Internal Medicine, not NEJM.

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Andrea Donsky, TikTok's Menopause educator ... on what questions women are asking in midlife.

The supplements you need in menopause, with Elizabeth Ward RD // Information about supplements is everywhere, and it takes a full-time job to figure out what you should take, and what you should leave on the shelves. Listen in to learn what you need, and at what doses - and what you don't!

How long can I stay on HRT? // The latest and greatest evidence-based research here on how long you can take hormone replacement therapy is broken down and easily digested to help you make an informed decision!

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Disparities in midlife care, with Dr. Sameena Rahman // While midlife women's health care is already seemingly non-existent, there are still groups of women for whom care is even farther on the horizon. Listen in as Dr. Rahman and I break this down using studies and street smarts.

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The Menopause Expert Vs. The Menopause Guru ... Who Wins? // Frankly, I am getting tired of the growing list of menopause gurus, who are getting sneakier by the day. Trying to benefit from the vulnerability of menopause and making a profit from up charging medications, procedures, and more. How can you spot them, what are the dangers, and who can you trust? All in this episode.

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Dr. Lisiane Miotti Joins me for a discussion on the safety of FDA-approved hormone replacement therapy // Join us on our latest podcast episode as we delve into the topic of FDA-approved hormone replacement therapy (HRT) and its safety. Hormone replacement therapy has been widely used to address various health concerns, such as menopause symptoms, hormonal imbalances, and osteoporosis. In this episode, we'll explore the approval process that the U.S. Food and Drug Administration (FDA) employs to ensure the safety and efficacy of HRT. We'll also discuss the potential benefits and risks associated with FDA-approved HRT, providing insights from medical experts and studies conducted in recent years. Whether you're considering HRT or simply interested in understanding its safety profile, this episode will provide you with valuable information to make informed decisions about your health. Tune in to learn more about the science, regulations, and ongoing research surrounding FDA-approved hormone replacement therapy.

Find Dr. Miotti here on IG: https://www.instagram.com/dra.lisianemiotti/

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Unlock Your Menopause Type//

Menopause is not a one-size fits all solution. Unlocking Your Menopause Type features a helpful quiz to identify women's individual Menopause Type(s) such as:
–Premature
–Sudden
–Full-Throttle
–Mind-Altering
–Seemingly Never-ending
–Silent
Each type gets a full prescription for exercises, diet, and lifestyle strategies to regain mental focus and make menopause a regulation part of maturity rather than a rollercoaster ride of unexpected symptoms and discomfort.
The book also includes:
–The last word on whether to replace declining hormones (the answer is custom-built)
–What to do if you’re a combination of types
–How to get on top of (as it were) changes in your sex life
–Crowd-sourced tips and tricks from Dr. Hirsch’s friend group and patients

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Psychologist Samara Irumé discusses some actionable steps to improve your headspace // My good friend Samara and I talk about all things mental health for the last week of mental health month.

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Mind Over Menopause, With Pahla Bowers Weight loss coach // In her new book, Pahla discusses all things mindset and body alignment with me in this episode. Many women start to overexercise and undereat during the menopause transition for fear of gaining more weight. Discover how you can unlock the power of behavioral therapy to make the right changes in midlife to keep you sane and loving your body!

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The Breast Cancer and HRT myth COMPLETLEY debunked // The association between breast cancer and HRT is just that .. an association! Listen in to learn why I don't feel that HRT increases the risk of breast cancer.

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Men-o-Pause; Can We Partner Together? // My last few interviews were with men who were all very interested in learning about menopause. Here are my thoughts.

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Recording my audiobook, starting my private medical practice, and my tips on thriving in life! // Want the updates? Ask and you shall receive!

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Kute Muir, UK author and menopause journalist, and I discuss the "state" of menopause // The UK has been paving the way for midlife women's health in the last several years. Today, Kate Muir and I talk about how medications are getting covered for women in the UK, the controversy around testosterone replacement, and what the US can learn from the movement in the UK.

Find Kate on Instagram: https://www.instagram.com/muirka/

Kate's Book: https://amzn.to/3MxDw8y

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Duavee, Oprah, and My New Telemedicine Private Practice, Oh My! // So much has happened in the last few weeks and I cannot wait to fill you in!

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"I can hear you, can you hear me?" Why I love telemedicine // One of the unexpected wins to come from 2020 was the emergence and acceptance of telemedicine. Listen to why I love telemedicine and what the future holds for medical care over the computer.

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Squatty potties and vulvar models, with Melissa Gallow DNP // Live from the ISSWSH conference, Missy and I talk all things pelvic floor, sexual health, and why you need a squatty potty in every bathroom to ease pelvic floor dysfunction and to live your best midlife!

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Dr. Rachel Rubin LIVE from the annual ISSWSH conference! // The woman who needs no further introduction. Listen as Dr. Rachel Rubin and I discuss the state of women's midlife and sexual health from the ballroom at the annual sexual health meeting held in St. Louis MO! 

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What's on the menu at the upcoming ISSWSH annual meeting? // Listen in as I tell you all about what I will be teaching and learning at ISSWSH (the international society for the study of women's sexual health).

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Heart palpitations in midlife ..Dr. Dara Lee Lewis explains it all! // It's really scary when you get your first heart palpitation. Worry creeps in, as many women are aware that the leading cause of death in women is heart disease. However, for many women heart palpitations are benign (normal), and caused by hormonal changes. Listen in as Dr. Lewis (a women's health cardiologist) explains it all.

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The menopause medication that made it to the super bowl // Fezolinetant is a new, novel nonhormonal medication undergoing FDA approval for the treatment of hot flashes. In this episode, I break down all that you need to know about this new medication! 

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Give your vagina estrogen girl! // In this episode, I go over the safety of vaginal estrogens and the pros and cons of the currently available FDA-approved options. 

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How women are misled to mismanage their health // It happens all too often, that lumpectomy you didnt need, the mammogram that caused more distress than relief, and on and on it goes. Listen in to see why women in particular are susceptible to this kind of situation, and how you can best manage this, with author Susan Salenger.

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Why no one seemingly gives a sh$t about midlife and menopause // Because why?

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Progesterone,  friend or foe? // Progesterone can leave some women feeling amazing and some women bloating, irritated and annoyed. Depending on what side of the fence you are on, I have some ideas for you. Listen in to learn the best routes, doses, and formulations for progesterone dosing - whether you love it or hate it.

Let's treat those bothersome perimenopause symptoms // Perimenopause got you in a funk? I got you. Tune in to discover the many ways that hormones can be used to treat your perimenopause related insomnia, anxiety, hot flashes, painful sex, brain fog, and more.

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Welcome to 2023, Perimenopause! // Today we are discussing the differences between menopause and perimenopause, and how to recognize the earliest signs and symptoms of perimenopause. 

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How to have a sexy holiday season // Holidays are filled with food, drinks, gifts, and sexy time right? What if you are not in the mood? When the pressures of the holidays mount, I have some suggestions on how to find your groove and do what feels right for you. 

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Sexuality and cultural differences with Dr. Sameena Rahman // Sexuality is deeply rooted in the culture and/or religion we grew up in. Shocker, we all don't have the same culture upbringing. Join Dr. Rahman and I discuss how this affects women differently, and what the gaps in care are for women in midlife. 

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The A-B-C's of transgender medicine with Dr. Juliana Kling // You may (or may not have) heard of gender-affirming care, and if you have learned anything about it, then you know it's complicated. And tricky to discuss. In this episode, Dr. Kling breaks this down in an easy-to-digest format that I learned from, and I hope that you do too!

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 A love letter to you // Thank you my AOW's. Happy Thanksgiving 2022

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Joanna Strober, Midi Health CEO, shares her passion for creating the best virtual platform for women's health // We all know that access to care in midlife is abysmal, which is why you listen to this podcast, right? I am so excited to be joining Midi health as the Chief of Clinical Quality, and today we hear from CEO and founder of Midi Health Joanna Strober. We talk about her midlife journey and how we hope to change the world for the better by increasing access to care for women across the country.

U..T..I OH MY! With Dr. Elizabeth Ferry Hall  // Dr. Ferry and I break it all down when it comes to bacteria and your urethra. Join us for a friendsgiving and fun for this hilarious episode on all things urinary tract related. =