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    Health & Fitness

    The Dr Louise Newson Podcast

    Dr Louise Newson is an award-winning physician, respected women’s hormone specialist, educator, and author committed to increasing awareness and knowledge of perimenopause, menopause, and lifelong hormone health. Each week, Louise dives into the newest research, treatments and hot topic issues, providing accessible, evidence-based information to empower your future health. Joined by fellow experts and special guests, with answers to your burning questions, Louise explores how hormones impact every aspect of our lives.

    Described as the “medic who kickstarted the menopause revolution”, Louise aims to empower a generation of women to have a greater understanding, choice and control over their treatment, bodies, minds and future health through their hormones. She is the creator of the award-winning free balance app, a Sunday Times bestselling author and the founder of the Newson Health clinic. With over three decades of clinical experience, Louise is a member of the Royal College of Physicians, a Fellow of the Royal College of GPs, a Visiting Fellow at Cambridge, a regular contributor to academic journals including the Lancet and the British Journal of General Practice, and has been awarded an honorary Doctorate of Health from Bradford University.

    DISCLAIMER: The information provided in this podcast is for informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. The views expressed by guests are their own and do not necessarily reflect the views of Dr Louise Newson or the Newson Health Group.

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    Copyright: © Dr Louise Newson

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    Latest Episodes:
    145 - Raising awareness of endometriosis and surgical menopause with Vicki Shattock Mar 29, 2022
    Show notes

    Vicki is 39 years and has struggled with heavy periods and related pain since she was 10 years old. She was eventually diagnosed with endometriosis at 22 but continued to suffer with severe pain, heavy bleeding and UTIs, despite treatments and multiple surgical interventions. As a last attempt to be pain free, Vicki chose to have a hysterectomy when she was 35. Even though her ovaries were not removed, she realised she was entering menopause after the operation when she began having night sweats, insomnia, anxiety and very dry hair and skin. The ‘cure’ Vicki was hoping for didn’t materialise – another battle just began instead, as it took 18 months to access the treatment she now needed for her menopause.

    Vicki shares some of the struggles younger women have when trying to get help for endometriosis and/or a surgical or early menopause, and reflects on the decision she made and the lack of information provided to her at the time. Dr Louise Newson advises women in this situation to speak with their doctor about the likelihood of surgery triggering menopause and to find out about the symptoms and benefits of HRT in advance, so you are prepared.

    Vicki’s tips if you have, or think you have, endometriosis:

    1. Do your own research and be your own advocate, push for answers
    2. Keep pushing your GP, make them listen to you, show them your pain diary and take someone with you who sees you when you have pain
    3. Learn as much as you can about endometriosis; treatments are not just surgical, there’s exercise, diet, physiotherapy, and others
    4. Understand that hysterectomy isn’t a cure for endometriosis but if it is the right decision for you, learn about the menopause and benefits of HRT in advance.

    You can read more about Vicki’s experience here and follow her on Instagram

    Vicki helped contribute to the booklet, ‘Endometriosis and You’

    For more about endometriosis, visit Endometriosis UK


    144 - ZOE’s co-founder, Jonathan Wolf, on the future of nutrition science Mar 22, 2022
    Show notes

    Jonathan Wolf is the CEO and co-founder of ZOE, a health technology company that focusses on personalised nutrition. ZOE runs the world’s largest nutrition science study with universities such as Harvard and King's College London, investigating the gut microbiome and how nutrition can improve overall health and wellbeing. During the COVID pandemic, their valuable technology was utilised to help scientists understand more about the virus. The COVID-19 symptom study app was designed at record speed and had a million users within 24 hours of launch.

    Dr Louise Newson speaks with Jonathan about the latest understanding of how the gut microbiome affects our health and weight, how much our genes our to blame (or thank) for our body shape, and about ZOE’s latest study into the menopause and metabolic responses, nutrition and the microbiome.

    For more information on ZOE’s research and products, visit https://joinzoe.com/

    The podcast mentioned and hosted by Jonathan is ‘ZOE Science and Nutrition’.


    143 - Fertility, pregnancy and perimenopause with Rhona and Tanya Mar 15, 2022
    Show notes

    In this episode, Dr Louise Newson is joined by two women, Rhona and Tanya, who share their experiences of fertility support, pregnancy, and having symptoms of low hormones after the birth of their children.

    Rhona asked the fertility specialists whether the hormone treatments she was taking to become pregnant would affect the onset of her menopause and she was told that it wouldn’t. 18 months after giving birth while still breastfeeding, Rhona experienced severe symptoms due to low hormones and spent 2 years suffering and seeking help before a friend suggested it could be her perimenopause. After seeing a menopause specialist and finding real improvements with HRT, Rhona wants other women to be aware that problems after childbirth might not simply be ‘baby blues’ but could be the start of perimenopause.

    Tanya also had a child with the help of fertility treatments in her 40s, and during screening tests it revealed that indications of perimenopause had begun. The IVF was successful, but after the birth of her baby and a relocation, Tanya’s mood plummeted and she experienced a range of symptoms caused by low hormones. Her GP offered antidepressants, but Tanya didn’t think it was postnatal depression and knew her hormones were involved. Tanya is now pregnant again and is apprehensive about what will happen due to low hormones after her next birth.

    Louise explains what is – and isn’t – known about hormones during pregnancy and in the postnatal period, and why this can affect women so much in the months and years after birth. She describes the benefits of topping up those hormones with HRT and the multiple improvements it could bring to women at this challenging time.

    Rhona and Tanya’s advice for women thinking about pregnancy and perimenopause:

    1. do you own research and seek medical help if you have perimenopausal symptoms
    2. don’t be scared to try IVF, but know the possible effects of low hormones after birth, especially if you’re in your 40s
    3. be aware of what your own body is telling you before you start fertility treatments, are there signs you could be in perimenopause?
    4. If you choose to do extended breastfeeding, know that your hormones will be low and this may cause symptoms

    For more information on breastfeeding and HRT, postnatal depression and another personal account relating to post-pregnancy hormones:

    https://www.balance-menopause.com/menopause-library/breastfeeding-hrt/

    https://balance-menopause.com/uploads/2022/02/What-is-reproductive-depressionfinal-with-links.pdf

    https://www.balance-menopause.com/menopause-library/my-story-of-hormonal-depression-when-my-hormones-change-i-change/


    142 - Losing my wife: was her perimenopause a contributing factor? With Peter Smith Mar 08, 2022
    Show notes

    Content warning: suicide

    Peter Smith joins Dr Louise Newson this week in a difficult and emotional episode. Peter lost his wife, Victoria, to suicide a year ago after she experienced a sudden change in her mental health in her late 40s. In their quest to understand how things could have got to such a crisis point for Victoria, Peter and his family have learnt more about the menopause and mental health, and they’ve raised the question of whether Victoria’s perimenopause could have been responsible for, or at least contributed to, her sudden mental illness when she had never previously experienced any such difficulties.

    Peter describes the series of events that led up to Victoria’s death and how healthcare professionals dismissed the possibility of hormones playing a part in the worsening of her mental health, both at the time and during a recent inquest. Louise explains the work she is now jointly involved in, with Peter’s help, to raise awareness of the link between mood and menopause both in Pete’s local NHS Trust and nationwide.

    Peter’s advice for partners if your loved one is struggling:

    1. Go with your partner to see a GP, and if needed, find someone that specialises in the menopause.
    2. Talk about it with each other. Listen and try and understand what they’re going through, and support them as best you can.
    3. Encourage them to talk openly with friends about it too.

    141 - Helping organisations change their culture around menopause with Sarah Davies, Talking Menopause Mar 01, 2022
    Show notes

    Sarah Davies is an experienced business coach and trainer who previously spent over 15 years in senior international corporate roles and as a head-hunter for senior executives. Sarah supported her sister, Dr Louise Newson, as business manager, six years ago when Newson Health menopause clinic was launched. Seeing how devastating the consequences of the menopause affect personal and professional lives, Sarah set up Talking Menopause to educate and support men and women across all levels on the impact of menopause at work.

    In this episode, Louise and Sarah look back on starting their respective journeys into menopause care and support services, and discuss the real-life impact of the perimenopause and menopause in the workplace. Sarah shares some of the outcomes of her workshops and webinars and describes how Talking Menopause stimulates cultural change within organisations.

    Sarah’s advice to workplaces:

    1. Everyone should be aware of the peri/menopause and respond to it as a normal process for their employees and their partners.
    2. Consider the practical side; where is the safe space for women to escape to? What are the practical solutions for women suffering at work?

    And to women at work:

    1. Don’t suffer in silence, talk to a friendly colleague, download the balance app and go and see your healthcare professional if you’re not getting the right level of support. There’s a lot of help out there.

    You can learn more about Sarah’s work at www.talkingmenopause.co.uk


    140 - Addressing the emotional challenges of perimenopause and menopause with Simona Stokes Feb 22, 2022
    Show notes

    Simona Stokes is an experienced counselling psychologist who uses CBT (Cognitive Behavioural Therapy) and EMDR (Eye Movement Desensitisation and Reprocessing) to help people with stress, depression and anxiety. After 20 years working in the NHS and voluntary sector, she then founded her own clinic in Birmingham, and has developed an interest and specialist knowledge in helping women with the emotional and psychological challenges of the peri/menopause. Simona’s personal experience of hormonal changes hit her hard and this led her to develop and successfully implement the psychological tools she had at her disposal to support her own journey and made her realise many women need help to understand the impact their hormones have on their moods, thoughts and emotions.

    In discussion with Dr Louise Newson, Simona explains the power of estrogen as our primary fuel and the problems that can arise when estrogen falls. She explains the difference in perimenopausal depression compared to general depression, what CBT is and how it can help women at this time of life that can often be a pinch-point on our emotions. Simona advises how to look after yourself and your emotions and elaborates on why so many women feel a sense of loss of one’s role, of identity, and loss of purpose at this time.

    Simona’s advice for women experiencing emotional challenges:

    1. Menopause is unavoidable but suffering is optional. CBT helps us to change the narrative we create about the difficulties we’re facing, and allows us to let go of the struggle against the changes we’re feeling. An attitude of compassion, kindness and curiosity to yourself will help you understand your difficult emotion in a more helpful way than being harsh, self- critical, and just wanting a feeling to go away.
    2. It’s really important to make peace with all your emotions. We’ve been conditioned to think that difficult emotions are undesirable and we must strive to feel happy and grateful. Increase your openness to difficult emotions and this will help you be more resilient and emotionally ‘fit’ to cope with your peri/menopause.
    3. ‘Emotion follows motion’, so engage in physical activity, even if you don’t feel like it, as physical activity is a powerful tool to change how you feel. Use your body to calm down your mind either through breathing and relaxation techniques or getting out there and being active.

    Simona’s clinic and website details can be found here.

    The ‘Meno D’ rating scale to detect depression that Simona refers to can be found here.

    If you would like to access psychological therapies via the NHS explore your options here.

    You can find Simona on her social media pages a:

    Instagram - https://www.instagram.com/menopausecbtclinic/

    Facebook - https://www.facebook.com/ThrivingBeyond40


    139 - ‘How my life experience has influenced me as a doctor’ with Dr Naomi Jiagbogu Feb 15, 2022
    Show notes

    Dr Louise Newson met Dr Naomi Jiagbogu over a decade ago at Birmingham Medical School when Louise was mentoring students who were studying medicine as a post-graduate degree. Naomi subsequently qualified, began her GP training and moved to Manchester with husband, Aria, who was training to be a paediatrician. Louise and Naomi discuss their memories of the post-graduate course and reflect on how the students were older, from more varied backgrounds and had broader life experiences than you would typically find on an under-graduate course and how these factors enhanced the student’s skills and learning, especially when relating to patients.

    After beginning her GP training, Naomi’s husband Aria sadly developed a brain tumour and after surgery, treatments and a yearlong remarkable recovery, the cancer returned and Aria died in 2020. During his illness, Aria wrote two children’s books for their young son about sickness, loss and family, and he also wrote a memoir for adults titled, ‘Broken Brain: Brutally Honest, Brutally Me’. Together, Naomi and Louise discuss the importance of looking beyond the disease and connecting with the person not just the patient, and consider how personal suffering can transform the way you communicate as a clinician.

    For more details about Aria’s story and books please visit his website https://www.ariatheauthor.com/

    The books can be purchased from https://theendlessbookcase.com/authors/aria-nikjooy/

    Or Amazon https://www.amazon.co.uk/Broken-Brain-Brutally-Honest-Me

    The royalties from Arias children's books are going to Brain Tumour Research, Royal Medical Foundation, Society for the Assistance of Medical Families and Royal Medical Benevolent Fund.

    If you have listened to Naomi’s story and would like read more and donate to Brain Tumour Research, please go to

    https://www.braintumourresearch.org/stories/in-our-hearts/in-our-hearts-stories/aria-nikjooy
    You can follow Aria on Instagram at @ariatheauthor64


    138 - Explaining what the evidence shows to offer choice to women after breast cancer, with Avrum Bluming Feb 08, 2022
    Show notes

    Medical oncologist, Dr Avrum Bluming makes a welcome return to the podcast this week to re-visit the hot topic of menopause hormone therapy after breast cancer. Avrum has spent decades studying the research on the benefits and risks of HRT in women with a history of breast cancer and is passionate about giving women clear, evidence-based information that dispels myths and combats the misinformation that has unnecessarily frightened women and clinicians for over 20 years.

    In discussion with Dr Louise Newson, Avrum clearly explains what his recent review of the literature reveals about the safety of HRT and the benefits it brings for your future health. The experts highlight the gender disparities that are commonplace in how women with cancer are treated with regard to their hormones compared to men, and they also discuss the importance of patient-centred medicine and giving women choice.

    Avrum’s 3 tips for women interested in exploring their menopause treatment options after breast cancer:

    1. Speak to your oncologist. Tell them about your menopause symptoms, ask to discuss the possibility of starting HRT and have a conversation about the benefits and risk for you individually.
    2. When it is available, take Avrum’s article that will be published in the ‘Cancer’ journal in May/June 2022, and show it to your oncologist and GP. Don’t accept a dismissal of your views – engage them in discussion.
    3. ‘Oestrogen Matters’ (2018, published by Little Brown) is a book co-authored by Avrum that is for women and clinicians, including a chapter on HRT after breast cancer, and it is heavily referenced to show all the evidence behind the information given.

    Links to Avrum Bluming’s upcoming journal article will be published on the balance-menopause.com website when it is released.


    137 - The challenges and importance of eating healthily with Dr Rupy Aujla Feb 01, 2022
    Show notes

    Dr Rupy Aujla was in his mid-20s and beginning his career as a doctor when heart problems caused him to re-evaluate what he thought he knew about health, nutrition and medicine. Having previously rejected his parents’ influences of traditional Indian medicine, Dr Rupy began delving deeper into some of those concepts and the science of nutrition that he wasn’t taught at medical school.

    In this episode, he talks to Dr Louise Newson about the principles of healthy eating, how a busy lifestyle and your environment often make it challenging to find and choose healthy, affordable foods, and the experts share their concerns around childhood obesity, anxiety around food, and the particular metabolic changes faced by those going through peri/menopause due to a lack of estrogen.

    Dr Rupy’s 3 tips for improving your nutrition:

    1. Start with making a small change to your diet by adding just one more fruit, vegetable, nut or seed, at every meal if possible.
    2. Have a back-up healthy meal that’s easy to prepare, or stored in the freezer, for those times when you are tired and lacking motivation.
    3. Try to reflect what foods you really like but find a healthier version of it. For example, if you love pasta, add 3 different vegetables to any pasta recipe.

    For details about Dr Rupy’s app, his books and recipe ideas, visit thedoctorskitchen.com


    136 - ‘The lack of menopause research is a shocking medical injustice’, with Kate Muir Jan 25, 2022
    Show notes

    Kate Muir returns to the podcast to discuss her ground-breaking new book on the menopause, which she describes as the most difficult and complex subject she has investigated to date. Dr Louise Newson speaks to Kate about the shoddy science and lies that women have been told over the years and what Kate has learnt about past and current research from speaking to over 100 experts, and the real life impact on women from the conversations she has every week.

    In this episode, discussion also turns to the ‘Davina effect’, referring to the impact of Kate’s Channel 4 documentary that was aired in May 2021, presented by Davina McCall, and has been a game-changer in raising the social and medical profile of menopause within primary care and in helping to inform and empower women to seek help.

    Kate’s 3 wishes over the next 3 years:

    1. A symptom list to be given out at your local GP practice
    2. Good quality research into body identical estrogen and micronised progesterone
    3. Research happening in the UK into Alzheimer’s and the role of estrogen and testosterone in women’s brains

    Kate’s new book is titled ‘Everything you need to know about the menopause (but were too afraid to ask)’ and is published by Gallery UK. A second documentary about the menopause with Davina McCall will be released in May 2022.


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