52 Comments

I never knew there were so many issues with menopause. How did women get through this before the medical industry started treating it?

I never thought about it much, but I suppose I should now that I am in my 40s. Is it also possible to get through it without taking anything (provided that the symptoms are not unmanageable of course), or will my health be ruined then?

Expand full comment

I echo your interest in getting through it without taking anything. If I have learned anything in my 47 years, it’s that pharmaceutical interventions only cause new problems without ever addressing root causes. And, that if God designed something a certain way, we need to honor that design. There is no pharmaceutical fountain of youth, so attempting to artificially maintain the hormone profile of a young woman in her prime seems foolish and dangerous to me intuitively. The changes in our physiology over a lifetime are there for a reason— we ought to support these changes wisely with real, whole foods, exercise, sunshine, fresh air, and edifying spiritual/social connections. As far as supplements go, I’m willing to grant that there are dietary and herbal supplements that are more fit for improving health and relieving debilitating symptoms than any drug.

Expand full comment

I couldn't have said it better myself, regarding God's design, and that's exactly that I seek to get through it without tampering with things, that could be left alone. Thanks.

Expand full comment

Well said. But I would add bioidentical hormones to that list

Expand full comment

Hi Carol,

How can I reach out to you for coaching. I’m 59 and bleeding on and off. I had an ultrasound of my uterus in 2023 and fibroids, cysts and/or polyps. Had surgery to remove and biopsy, path report was fine but still having bleeding. I am on bio-identical hormones. Tomorrow I go in for new pellets. Do you think you could help me? Would be grateful for your insight.

Expand full comment

It is absolutely possible to go through this without taking anything pharmaceutical. The peri time is the worst, but actual menopause is calm in comparison. If you do have symptoms, I would first make sure your Vitamin D level is good. Having a proper VIt D level seems to fix so many other things. Then of course pay attention to what you eat (proper diet can really vary from person to person, so I won't recommend anything specific, but mostly carnivore/low-carb works for me.) And lifting weights is very important to keep that muscle mass. (You don't have to become a body builder - try a workout that hits all the major muscles twice a week and go from there.) I've felt better in this stage of my life than I have since being a kid. I think society teaches women to be afraid of menopause, but as others have stated, our bodies are meant to do this at this time. If you take good care of yourself, it's not something to fear at all. (Standard disclaimer: obviously everyone is different and some may have complex medical issues that don't make this time easy at all. I'm not dismissing anyone. Just saying that it is totally possible not to have to take hormones etc if you are feeling good!)

Expand full comment

Thank you. This is good to know :)

Expand full comment

This is an important comment about vitamin D. If it is not adequate, the other hormones don't work as well. It should be foundational

Expand full comment

I question whenever a normal physical change is suddenly identified as an issue needing treatment, and give Big Pharma the side eye. I had a handful of hot flashes, but otherwise no issues. I had clotting issues prior to menopause, so taking HRT wasn't an option, but it turned out that was fine. My only caveat is that I minimize carbs (including grains, which are highly inflammatory), avoid processed foods (especially seed oils), go for a walk daily, and prioritize getting a good night's sleep.

Expand full comment

I have noticed that if I stray from my normal way of eating (for example, too many carbs/processed foods/inflammatory foods on a vacation), then I will get a few small hot flashes. It's just a reminder to get back on track with healthy eating. Also, I realized that my Mom never had any menopause issues and never took any replacement hormones. She is in her 80s now and her health did not at all fall apart just because of menopause or because she didn't take hormones. As you said, Pharma takes any chance to medicalize/monetize a normal situation. Some people do have very uncomfortable symptoms, but their doctors should check Vit D and lifestyle issues first before writing prescriptions.

Expand full comment

Unfortunately, doctors aren't taught critical thinking skills, which is just as well since many governments now penalize those who question the narrative. Plus they graduate with huge student loans to pay off, so advising their patients that lifestyle choices usually make more of a difference than anything from Big Pharma goes against their financial interests.

I have quit going for standard screening procedures, like mammograms, because they're at best useless and at worst create problems. I manage type 2 diabetes solely through lifestyle changes, which coincidentally is how I have avoided knee replacement surgery as well as problems going through menopause. These days, instead of consulting a doctor, I think about whether this was an issue for my grandparents and, if so, how did they handle it.

Expand full comment

You have to take charge of yourself and research for your solutions. Bravo, for doing it.

Expand full comment

Thanks!

Expand full comment

Insulin and glucose are the most ancient of hormones and have a huge impact on peri and menopause. I have heard that the incidence of insulin resistance is 10 in 11 people. This in turn, impacts all other hormone systems.

Expand full comment

I should clarify. I had clotting issues prior to menopause, so taking HRT wasn't an option, but it turned out that was fine. When I say it was fine, I mean that I didn't need to take any sort of medication - the only symptoms I really noticed were the occasional hot flashes and that my hair thinned out a bit (but very noticeable really, except to me). I should also add that it's the same with my friends, none of who have had to take medication to deal with the change; not coincidentally, they also avoid inflammatory foods (sugars, seed oils, grains), exercise, and prioritize sleep.

Expand full comment

I wish I could edit my comments! The hair thinning was NOT very noticeable, except to me.

Expand full comment

Very good on the clotting issue. Much of the danger of that comes from Premarin and the synthetic estrogens. Progesterone should be protective. You can also evaluate all your clotting pathway to see what the individual's issue is

Expand full comment

Yes, keep your adrenals strong and avoice insulin resistance. About 20% of women still have no issues.

Expand full comment

well, there are herbs that protect our adrenals. Pine pollen can be gathered for testosterone, it stopped my hot flashes. Only a small amount is needed. store bought does nothing so. I am glad Ray Peat's work was touched on here.

Expand full comment

I often recommend pine pollen. Bee pollen does the same.

Expand full comment

In my experience bee pollen is very different than pine pollen, i find, it has among other things testosterone, since it is from the male cones of the doug fir or white pine. bee pollen will not stop your hot flashes cold, for example. Also, i am afraid bee pollen has gone through a noticeable change over the decades i have used it. It is now testing somewhat of glyphosate. To me it seems less potent, but maybe i have changed. : ) which is even in the rainwater now (glyphosate) . I do not think young people should use pine pollen. there are far better herbs for them, that will not alter their hormones in a bad way. but will support balance in them. traditionally it (pine pollen) for elders, often mixed with honey for a sort of tea. Other pollens , like cattail, are fine for everyone and can be made into breads or other things as the are so abundant. they are still nutrient dense , but with different nutrients.

Expand full comment

How can I find this pollen and how much to take? maybe It is the one thing I havent tried....

Expand full comment

In the spring the pine trees gift it to the world for about 2 weeks. The native americans used it for their elders. It needs to be carefully filtered and dried. Just a pinch in tea did it for me. It is over 200 nutrients, plus testosterone from the male pine cones. Pine trees are very generous. You will see all the animals trying to eat it. last year i did not get any because i was too chicken to go out in the rain. i though i was over menopause by now. i shoulda toughed it out tho. next year i will just bring the cones Inside to dry of if it rains, and shake them off indoors. It is a bright yellow and nearly luminous, and you need a very fine mesh to filter in a windless place. there are whole books on it though.

Expand full comment

Surprised to see no mention of histamine sensitivity in this discussion. A lot of women demonstrate symptoms of histamine sensitivity with increasing age — symptoms that are nearly always misdiagnosed as anxiety, panic attacks, heart-related issues, etc. In my experience, many medical professionals aren’t even aware of it, or even flatly deny it, and will run a patient through a whole gamut of “specialists” trying to figure out what’s happening, only for all the tests to return as “normal” and then just write a prescription for anxiety meds (which won’t work). Look up histamine intolerance and MCAS in menopause.

Expand full comment

This happened to me. It was awful.

Expand full comment

This is a good point. Dr. Haver doesn't cover it. In the mast cells, when estrogen dominates, histamine is released. Balancing with progesterone turns it off. Once histamine is released progesterone is not so helpful Vitamin C, quercetin, DAO enzymes and even methylation helps

Expand full comment

Boom!! "We know that 90% of genetic expression relies upon the environment (epigenetics). It’s time to stop believing that we are fatally tied to our DNA and nothing can be done. Our mothers never had the chemicalization of our air, water and food we have now. "

Expand full comment

I am 54 and have just now entered peri menopause. I started having hot flashes and waking up at night . I started taking triple iodine complex supplement and both of those symptoms are gone . I read if your thyroid is low then your hormones may off balanced and iodine helps thyroid . For now , taking iodine seems to be working .

Expand full comment

and you need thyroid to help make the sex and adrenal hormones and iodine helps make thyroid

Expand full comment

Going into menopause was like falling off a cliff for me. One day a normal happy person the next I felt bat shit crazy. My husbands laughingly says I lost my unicorn status with menopause. I had menopause late at 55. I am very thankful for HRT. My mom said it was no big deal for her but went on to develop severe osteoporosis n dementia. Do what works for you because everyone’s journey is different.

Expand full comment

If your mom is still alive, replenishing hormones can still help her

Expand full comment

Thank you Carol my mother has since died but she was on it for her last few years.

Expand full comment

There’s also a lot of symptoms that have not even been addressed in the mainstream medical world… Like sleep apnea and the impact of the thyroid on menopause.

I’ve been managing relatively symptom-free with bio identical progesterone. I also take quite a few supplements because my body needs them at this age, specifically omega-3, CoQ10, multivitamin, Pregnalanone, high dose, vitamin C, selenium, collagen, de ribose to name a few.

However, for many years, I felt cold, bridle nails, hair, falling out, sleep disturbances, and then eventually the muscle pains and aches. Never had the night sweats, never had the hot flashes.

And I discovered two major things that were missing: iodine and salt

Menopausal women need lots of water, but if there isn’t any salt on board, the water won’t go into the cells. So when I increased my salt intake, around 2000 mg of sodium a day, the muscle aches, mental fog, tiredness disappeared.

However, I still had deep muscle pains, which was different from the aches, and then my sleep did not feel very restful. I was diagnosed sleep apnea, about 70% of menopausal women have it, and around 40% of those sleep apnea have an under active thyroid. Which means it can’t be caught by the test.

So then I started taking iodine, I’ve worked my way up to 25 mg per day and I feel , totally different. The deep muscle pains are gone, hair is no longer falling out, I no longer feel cold, and I feel like I am more rested.

So contrary to what many people think as menopause as the estrogen/progesterone issue… I really think that menopause is a thyroid issue.

as we still make progesterone and estrogen… Just not the same volume. It’s the adrenal glands that take over the production. Which means we definitely need more water, less stress, and salt actually helps because it facilitates the work the adrenal glands do.

Expand full comment

Spot on. When you lose the adrenal support your thyroid falters. Nice tips here.

Expand full comment

But isn't high doses idione toxic for you?

Expand full comment

There’s been a lot of research that the current recommendations from the FDA of 150 µg is not sufficient. It’s only enough to prevent a goiter, not to support optimal thyroid function. Check out Dr. Brownstein’s work on iodine.

Also, the food supplies contaminated with bromide, which hogs the iodine receptors and kicks it off. Plus fluoride and chlorine also blocks thyroid receptors. So between the dangerous halides of fluoride, chloride, bromide occupying the iodine receptors, the overall low amount of iodine in the diet, it’s a recipe for disaster.

Expand full comment

Thanks! I will look into Dr. Brownstein. But you wrote about 25 mg. Is that the same as the 150 µg? I have been thinking about upping the game regarding iodine, but I haven't been able to work out how to do it safely.

Expand full comment

Dr. Brownstein will use doses in 25 mg to 50 mg doses. I spoke with him a couple days again and he said if he could only have one tool to use in his practice, it would be iodine.

Expand full comment

Thank you for this :)

Expand full comment

Yep, I take 25 mg!

Expand full comment

Sorry I got interrupted. So when you start on higher doses, it’s best to start with 2% iodine drops, where one drop equals 2.5 mg. And so you take 2.5 mg a day for a couple of weeks, and then you slowly titrate upwards. 25 mg of iodine is the same as 25,000 µg. Dr. Brownstein says most his patients are on between 25 mg to 50 mg a day… 25 mg seems to be doing fine for me. I’m no longer cold, my hair isn’t falling out, no longer have muscle cramps. But definitely get one of his books because it’s normal to have a detox reaction when the fluoride and especially the bromide is kicked off of the receptor site… You’ll need to drink, a quarter to half a teaspoon of salt mixed with water, possibly a couple of times a day, because the chloride in the salt captures the bromide that’s floating around and gets it out of your system

If you find your detox reaction, you can just go ahead and titrate back down. I think with the 2.5 mg starting point, then slowly working up to five, then 10… Over a couple of months you more than likely would not have any detox reaction. Not a doctor, only play on television, not to be considered medical advice.

Expand full comment

So did you get a whole assessment before you started taking it, or did you just start, assuming you were deficient? I am inclined to start and just see how it goes. Because my problem is that I have no clue where to go. I am in Europe and I haven't been able to find a doctor like Dr. Brwonstein. (Thanks for point him out to me)

Expand full comment

I just recommend starting iodine. If someone contemplates using thyroid, automatically they should also be adding iodine and the other support minerals are helpful too. There is a lot of discussion on the iodine dosing. I lean toward Dr. Brownstein's research.

Expand full comment

I didn’t. I follow Dr Brownsteins recommendation, titrated slowly. Only once a year I get thyroid checked for hyperthyroidism As most under active and hypothyroidism is missed in medical tests.

Expand full comment

If you are feeling like there is a detox reaction, add salt and selenium

Expand full comment

Exactly this. And need 200mcg selenium each day as it’s needed to convert iodine to thyroxine

Expand full comment

Sure. About 20% of women have no problem because their adrenal gland production of hormones carries them. Unfortuntely we live under such stressful times, this is getting to be a bigger problem than it ever had before.

Expand full comment

My period stopped 10 months ago and I have horrible hot flushes and sweats. I have tried a million different herbal supplements, nothing works. So I am considering to try bioidentical progesterone. I see it does not affect endometrium but my question is, it does not have any breast cancer risk, right, any of you can confirm I am interpreting right?

Expand full comment

Of course, progesterone affects the endometrium. If you start progesterone for the first time and you have a build up, you will start bleeding when you have enough progesterone activity. This is great. And then just continue on progesterone and this prevents future excessive buildup

Expand full comment

You need estrogen progesterone n testosterone. Find a doc who is trained in HRT. There are a lot of podcasts on the subject. No need to be miserable

Expand full comment

and more -here is my priority of hormones

insulin glucose

adrenal hormones

thyroid

sex hormones

Expand full comment