0:00

I'm so delighted to have you here to discuss all things,

0:02

Peri. We're going to discuss what is

0:04

perimenopause. We're going to discuss,

0:06

what are perimenopausal symptoms,

0:09

could I potentially be in perimenopause?

0:11

And then I've got a bit of sexy research for you

0:13

at the end. And I know that you think research can't be

0:15

sexy, but wait, I'm gonna

0:17

prove you wrong. My name's Dr. Kirsty

0:20

Holland. I'm the founder and principal

0:22

practitioner of the Holland Clinic in Melbourne, Australia,

0:25

and I'm absolutely delighted to

0:27

be helping woman over the age of 35

0:30

rescue themselves from this crazy rollercoaster

0:33

of peri menopause. Let's

0:35

get started. Little bit of a medical

0:37

disclaimer. Of course, I'm not your medical doctor.

0:39

This relationship really needs to be one-on-one.

0:42

It's really important for you to find a practitioner

0:44

that you trust and adore and

0:47

you need to know that your praccy knows what

0:49

you're talking about. You need to be seen, you need

0:51

to be heard. And and of course

0:53

you want them to have some credentials. I think it's

0:55

imperative for you to have a really good relationship

0:57

with people that are taking care

0:59

of things that mean most

1:01

to you. I mean, people's health impacts

1:03

every single aspect of their lives. The

1:06

women in my clinic tell me so much about the fact

1:08

that you know, their health impacts, their parenting.

1:11

Their relationships and of course their professional lives

1:13

too. So it's so important to have that intact,

1:15

and particularly in perimenopause, you know, that

1:17

mum agro really impacts

1:19

our kids from time to time. And I know

1:21

a lot of the women in my clinic come in talking to me

1:24

about the relationship agro, I dunno

1:26

about you, but many of the women share those stories

1:28

about you know, I asked

1:30

you to take out the bin, damnit, you

1:33

know? And yeah, we, we wanna

1:35

enjoy our children and we want our children to enjoy

1:37

us. We certainly don't want to be frazzled

1:40

and exhausted and feel like we've got nothing left in

1:42

the tank when it gets to the end of the day around them.

1:44

So, topics for today, frequently asked

1:46

questions. Just the very, very basics,

1:49

you know, what is perimenopause? What happens

1:51

in perimenopause? What are perimenopausal

1:54

symptom? You know, I know I see

1:56

so many women in my clinic who are blatantly

1:58

perimenopausal and, you know, we're

2:00

still confused. And it's so interesting, like

2:03

I was discussing with a a perimenopausal

2:05

journalist who has been a journalist

2:07

for 25 years, and

2:10

she was shocked by the fact that she

2:12

was in perimenopause when it finally came home

2:14

to roost for her. And believe it or not,

2:16

I've been treating perimenopausal women. For

2:19

23 years in my clinic in Melbourne, Australia.

2:21

And when I started to experience

2:24

exacerbated anxiety, at one point I

2:26

thought it was all of the stresses in my life. But

2:28

when I looked at, when I looked around you know,

2:30

life has been pretty tricky and and

2:32

pretty stressful. Being a, a single mum for the

2:34

last 13 years, and my

2:36

stressors hadn't necessarily changed, but I

2:38

started to experience this real physical.

2:41

So sometimes it's really nuanced, you

2:43

know, these, these menopausal symptoms. And

2:46

I was like, oh, hang on. This is the

2:48

progesterone deficiency anxiety. This

2:50

isn't just the, you know there are lots

2:52

of different kinds of anxiety. Let me not downplay this.

2:55

Ellen Vora, who wrote the book, the the Physiology

2:57

of Anxiety. I think that's what it's called. Don't quote

2:59

me. Absolutely brilliant book. She'll really talk about

3:01

all the kinds of anxiety, but I know for a fact that

3:04

one of my first perimenopausal symptoms was

3:06

this true progesterone deficiency

3:09

kind of physical anxiety. So

3:11

what are perimenopausal symptoms? And then not

3:13

so frequently asked questions, lemon

3:16

balm and its impact on libido. Okay,

3:19

what is perimenopause? Perimenopause

3:22

is the transitional phase leading

3:25

up to menopause. So

3:27

menopause is the point when a woman's menstrual period

3:30

stops permanently and

3:32

she's no longer able to become pregnant

3:34

naturally. So menopause

3:36

is actually only one day

3:39

you reach menopause when you have not had

3:41

a bleed or a cycle for a

3:43

full 12 months and one. So

3:46

you have had no period, no spotting,

3:49

no staining. For 12 months.

3:51

You have then reached menopause, and

3:54

then after that one day you

3:56

are post-menopausal, believe it or not.

3:58

So that happens quickly during

4:00

perimenopause. A woman's hormone levels

4:02

start to drop and fluctuate

4:05

causing changes in her menstrual cycle.

4:08

Progesterone is the hormone that tends

4:10

to decrease. Progesterone

4:12

is this beautiful immune

4:15

modulating mind, modulating

4:18

cool, calm, collected hormone.

4:20

So when she starts to drop first,

4:23

estrogen starts flailing. So estrogen

4:25

is uncontrollable when

4:27

progesterone is not controlling her.

4:30

Let's just say that. So this phase

4:32

typically occurs in women between their late

4:34

thirties and early fifties, and

4:36

may last for several years before menopause

4:39

begin. Now I'm here to tell you that unfortunately

4:42

for some, and I certainly am

4:44

one of those women that started to experience perimenopausal

4:46

symptoms pretty young, and maybe that's

4:48

why I'm so passionate about having a more graceful

4:51

experience. For some of us, it

4:53

can really, be in our lives for at least 15

4:55

years, and I'm here to tell you that even

4:57

at that point when you are menopausal,

5:00

unfortunately the research shows that those

5:02

crazy unwanted symptom can

5:05

actually last for an additional six years post

5:07

that day when you do reach menopause,

5:09

which is usually around 50 or 51 years

5:11

of age in Australia. This phase

5:14

typically occurs in women between their late thirties

5:16

and early fifties, and may last for several

5:18

years before menopause begins. On

5:21

average perimenopause lasts four to six

5:24

years, but it can be as short as

5:26

one year for some lucky ones, or

5:28

as long to as long as 10 to 15

5:30

unfortunately I'm more in the 10 to 15

5:32

category. And like I said, perhaps that's probably

5:35

why I'm so passionate about trying to make

5:37

this more of a graceful experience. To

5:39

date, I've probably experienced most

5:41

of the symptom. Woman can continue

5:44

to experience unwanted symptoms for six

5:46

years after they reach menopause, as I mentioned

5:48

before. I just want you to

5:50

know that everything that I'm saying is backed in evidence-based

5:53

science. I absolutely love the research.

5:57

I am not gonna bore you with it.

5:59

I won't read through the research articles,

6:01

but I've got them on hand. You're welcome

6:03

to my slides, so please let me know if you'd

6:05

like a copy. DM me book

6:07

a clarity call if you wanna talk through the research.

6:10

I am such a research tech nerd.

6:12

I would absolutely love to and I would love

6:14

to share these with you. Let me know if you want them. Okay.

6:16

What happens in perimenopause? So

6:19

perimenopause is the transitional

6:22

phase leading up to. During

6:24

which a woman's body undergoes various

6:27

hormonal and physiological changes.

6:30

Here are some of the key events that occur during

6:32

perimenopause. Hormonal fluctuations,

6:35

estrogen, progesterone levels begin

6:37

to fluctuate during perimenopause. Progesterone

6:40

generally starts to decrease first, and then

6:42

because progesterone is decreasing and

6:45

she usually has this beautiful modulating effect

6:47

on estrogen, estrogen does start to flail.

6:50

These hormone fluctuations contribute to

6:52

the various symptoms experienced

6:54

during this time, changes

6:57

in the menstrual cycle. Women often notice

6:59

that their menstrual cycles are either shorter

7:01

or longer or more painful. Sometimes

7:04

there's more clotting in the menstrual cycle. As

7:06

the hormone levels change, a woman's menstrual

7:08

cycle may become irregular. So

7:11

many perimenopausal women coming to my clinic

7:13

going, God, I thought I was pregnant. You

7:15

know, my 28 day cycle was, out

7:18

at 37 days and I was experiencing

7:20

all these crazy signs and symptoms.

7:22

My breasts hurt. I had a headache.

7:24

It was kind of like a migraine. God,

7:26

that's all I needed. At the tender age of 47

7:29

to be pregnant and be mindful that during

7:31

premenopause you absolutely can fall

7:33

pregnant. So please be careful. It's not over yet

7:37

Periods may become heavier or lighter,

7:39

and the duration between periods may,

7:41

may become shorter or longer. Going

7:43

from a 28 day cycle, you might now have

7:45

a 24 day cycle, which shows

7:47

that there's this deficiency in progesterone creating

7:49

a shorter luteal phase. Or suddenly

7:51

you can start to have this 37 day cycle.

7:54

So we have anovulatory cycles in

7:56

perimenopause, so sometimes we don't ovulate and

7:59

sometimes, believe it or not, we can match it magically,

8:02

ovulate twice in one month. That's why we quite

8:04

often have identical twins

8:06

in women in their forties. Ask lots of gynecologist

8:09

women in their forties can quite often fall pregnant

8:12

twice in the same month. Yeah, I

8:14

mean, it doesn't happen all the time, but it happens.

8:16

It's a thing. Alright, so some women may

8:18

also experience skip periods

8:21

ovulation changes, as I mentioned before, ovulation

8:23

may become irregular, even cease

8:26

altogether during peri. This

8:28

leads to decreased fertility, although it's still

8:30

possible for women to become pregnant until she reaches

8:32

menopause, as I was talking about before.

8:35

And then the physical symptoms or these brain

8:38

symptoms. Many women experience

8:40

physical symptoms during perimenopause, including

8:42

hot flashes, night sweats,

8:44

vaginal dryness, and changes in sexual function.

8:47

These symptoms can vary in intensity and

8:49

frequency. Boy, do I have something

8:51

for you if you've lost that little

8:53

bit of sexy. Emotional

8:56

symptoms too. How about how about the

8:58

mum rage? You know, how

9:01

about the, just losing it at the kids and

9:03

going, oh my God, I don't even

9:05

know who I am anymore. My kids don't

9:07

like me. My husband's worried. I'm

9:10

worried. You know, it's really important

9:12

for us to enjoy ourselves and enjoy

9:14

our homes. You know, this beautiful human.

9:17

This is where you live. You want it to be a

9:19

really gorgeous experience. So we don't wanna have

9:21

all of these crazy symptoms, you know, the

9:23

mood swings, the irritability, the anxiety,

9:25

the depression, their common emotional

9:28

symptoms during fair menopause. These

9:30

may be due to hormonal changes as well as

9:32

the physical symptoms and life stresses

9:34

associated with the stage of life. Don't

9:36

we know it, man? Oh man. We've, we've

9:38

generally got aging parents. You know,

9:40

lots of us have, have teenage children.

9:43

We have established or new

9:45

relationships. Careers,

9:47

dogs, you name it, we've got the responsibility

9:50

going on. We're in the prime of our lives.

9:52

We certainly don't need premenopausal signs

9:54

and symptoms to get in our way. And that's kind

9:57

of my why. Women are so important. They're the

9:59

nucleus. And you know, of course men

10:01

are important too, but you know, a lot

10:03

of the time the women are the caregivers in the

10:05

householders and, and the mothers, you know,

10:07

the mother that earth energy. It's so important.

10:10

Sleep disturbance. So we're meant to do all of

10:12

this on like zero. Difficulty falling

10:14

asleep, which is usually a circadian

10:17

rhythm disruption, which quite often comes

10:19

along with you know, high levels of cortisol

10:21

and and a decreased initiation of melatonin.

10:24

Insomnia and sleep disturbances common during

10:26

perimenopause, often due to hot flashes.

10:28

So the hot flashes can wake us at night. As well

10:30

as that that cortisol being too high

10:33

as well as emotional symptoms like anxiety.

10:35

One of my patients describes. When

10:37

she gets into bed at night and lies next to her husband,

10:40

she has this real sense of panic and anxiety

10:43

and has no real reason to be experiencing

10:45

anxiety or panic. So really does identify

10:47

it as that progesterone deficiency anxiety.

10:50

Glad to report that she's actually doing, you know,

10:52

really well at the moment. Bone

10:54

loss. The decrease in estrogen levels

10:57

during perimenopause can lead to a loss of bone

10:59

density, increasing the risk of o, increasing

11:01

the risk of osteoporosis. So this

11:03

is not something that we wanna be doing. We certainly

11:06

wanna be keeping an eye on our trace mineral levels.

11:08

We wanna be making sure that we've taking vitamin D

11:10

in K2 to get that calcium into the bone

11:13

so that the calcium doesn't deposit anywhere

11:15

else. Creating oxalate deposits

11:17

either in the kidney or in the lung or in the vagina

11:20

no, no thank you. no oxalate

11:22

deposits in the eyes of the vagina. Changes

11:24

in cardiovascular health. Estrogen helps

11:26

protect the. So estrogen

11:29

helps to protect against heart disease. So the decrease

11:31

in the estrogen levels during perimenopause may

11:33

increase the risk of cardiovascular issues.

11:36

Yeah, so many people go, oh, you know, I've got hot flushes

11:38

they're really annoying. But unfortunately

11:40

that vaso symptom is actually, it's

11:43

a cardiovascular disease risk. So it's really

11:45

important for us to do what we can to

11:47

get that under control and also make sure that we're doing

11:49

heart protective things. So

11:52

it's important to note that every woman's experience

11:54

of perimenopause is really unique and

11:56

the symptoms and their intensity can vary significantly.

12:00

If you're concerned about your symptoms or need advice

12:02

on managing them, consult your healthcare provider.

12:05

Really important. Supporting

12:08

research again because I'm a tech research data nerd.

12:11

Here are all the studies. Like I said, please

12:13

DM me book a clarity call. We'd love to

12:15

chat to you about the research too, and happy to share

12:17

these slides. I am here just

12:19

creating awareness. The research also

12:21

shows that there's a huge capacity in

12:23

society to allow for women to. So

12:26

to generally suffer during our menstrual

12:28

years as well. Quite often when, when young

12:30

women are talking about the fact that they need to take time

12:33

off work because they have, you know, significant

12:35

pain and debilitating

12:38

periods, endometriosis or

12:40

polycystic ovarian syndrome, society

12:42

sort of, you know, nods, nods along.

12:44

So we have this capacity to allow women to suffer

12:46

and we certainly don't need to. It doesn't need to be

12:48

this way, and we certainly don't need to suffer in premenopause

12:51

either. Bone loss, cardiovascular. Now,

12:55

what are the official perimenopausal

12:57

symptoms? There are like a trillion

12:59

of them. Professor Pryor talks about a much

13:01

shorter list. I think she's got about nine sy

13:03

symptoms on her list, but that, that's

13:05

technically you know, extremely

13:07

clinically trial based. And she talks

13:09

about if you have any three of those

13:12

who are most likely in perimenopause. Because

13:14

remember, this is not a disease state. This is just

13:16

a transitional. And

13:19

it should be treated as such. Perimenopause is certainly

13:21

not a disease but the symptoms can be extremely

13:23

varied. So perimenopausal

13:26

symptoms vary from woman to woman as well.

13:28

But here is a comprehensive list of common symptoms

13:30

experienced during this transitional phase.

13:33

So irregular periods, as we mentioned

13:35

before, changes in the menstrual cycle

13:37

including heavier or lighter bleeding,

13:40

shorter or longer cycles or missed periods,

13:42

entirely hot flushes,

13:44

sudden feelings of. It

13:47

kind of feels like you have this internal

13:49

heater and somebody just kind of

13:51

turned up the volume. Initially,

13:54

it's quite a kooky feeling. You

13:56

sort of think like, oh God, is it me? Or

13:58

is it just like really hot in here? Oh

14:01

yeah. The other night I had a really interesting

14:04

hot flash. I was like, oh, whoa, whoa.

14:07

And it kind of overtook me. Yeah, it was really,

14:09

really interest. Sudden feelings and warmth,

14:12

usually in the face, neck and chest, often

14:14

accompanied by sweating and redness. I

14:17

haven't had the sweating and redness yet, but

14:19

you know, I'm ready for it. I'm ready for it.

14:22

Night sweats, hot flushes that occur during

14:24

the sleep, causing excessive sweating and disrupting

14:27

sleep. Believe it or not, lots of women

14:29

in our clinic talk about their, hot flushes

14:31

when they're on the most appropriate individualized

14:33

precis. Evidence-based

14:36

safe supplementation that you

14:38

can really tone down the volume on those,

14:40

on those night sweats and hot flushes,

14:43

sleep disturbances, difficulty falling

14:45

asleep, difficulty staying asleep, or waking

14:47

up too early. Mood

14:49

changes the irritability, anxiety,

14:51

depression may become more common.

14:54

Vaginal dryness. A decrease

14:57

in estrogen levels can cause dryness, itching,

14:59

or discomfort during inter. Lots

15:01

of per menopausal women suddenly start

15:03

to experience like a thrush type

15:05

sensation or start to have a lot

15:08

of UTIs. The vaginal microbiome

15:10

is really important. We really

15:13

need to keep an eye on the vaginal microbiome

15:15

and make sure that we are doing the right things to

15:17

ensure that it's as healthy as it possibly can

15:19

be. We want those mucus membranes

15:22

to be moisturized from the inside out,

15:24

and we want those beneficial bacteria to be on

15:26

our side and not working against. A

15:29

decreased libido, changes in hormonal levels

15:31

can lead to reduced interest in sex drive

15:34

as well as a reduced interest

15:36

in the householder responsibilities.

15:38

So, you know, some that we find ourselves going,

15:40

oh, really can't be bothered cleaning

15:42

the house really can't be bothered. Vacuuming.

15:45

I don't necessarily think that these are such

15:47

a bad idea. I quite

15:49

like those ones just saying.

15:52

So the urinary issues increased frequency

15:54

and urgency or incon. And

15:57

breast tenderness. Breast may feel sore

15:59

or tender or more so than usual

16:02

weight gain. We often see changes

16:04

in metabolism and hormonal fluctuations,

16:06

and particularly that weight gain around

16:08

the middle, you know, just where you zip

16:11

those genes up, you know Joint and muscle

16:13

pain very, very common in premenopause

16:15

frozen shoulder and suddenly a sore

16:18

hip. And suddenly my knees are doing something

16:20

really strange, you know, aches

16:22

and stiffnesses in the joints and the muscles, and.

16:25

I'm here to tell you that I'm somebody that's had so

16:27

many accidents in her life, unfortunately.

16:30

And I wouldn't necessarily say I'm clumsy

16:32

but you know, car accident at the age

16:34

of you know, 18 months of age in traction

16:36

for six months. I dislocated my back and cracked

16:39

my cocky skiing when I was about 21.

16:41

I had a knee injury a couple of years ago

16:43

broke my left arm I have a screw in nine

16:45

plates, so I'm here to tell you that the joint

16:48

and muscle pain really resonates with me.

16:50

With that fluctuating estrogen levels. So

16:52

particularly when my estrogen is lower in

16:55

my cycle, it's really important

16:57

for me to lubricate from the inside out as

16:59

much as I possibly can. So I

17:01

take like, you know, lots and lots

17:03

of proresolving mediators, I

17:05

take lots of fish oil and I really

17:08

hammer the magnesium. One of my favorite

17:10

supplements in the whole world is something called Synergesic

17:13

it's a really, really, really high dose turmeric

17:16

with a couple of safe, effective botanical

17:19

painkillers, absolutely fantastic stuff.

17:21

Headaches. went through a phase where I had these two,

17:23

I had these just random headaches and I'm not somebody

17:25

that has headaches either, so you may have experienced

17:28

them as well. An increase in that headache or migraine.

17:30

And quite often we have that you know, wo, women will

17:32

notice that they'll have that, that migraine

17:35

or that headache cyclically. So it'll be like, ah,

17:37

every time just before my period. Or

17:39

if it's an iron deficiency headache, it's quite often

17:42

a, a depleted headache after your period.

17:44

But there are a lot of progesterone deficiency

17:46

migraines and headaches in my clinic that I see quite regularly.

17:49

But these are also pretty easy to treat Fatigue,

17:51

the generalized. There has never been a time

17:53

in your life where you have been more inflamed

17:55

with less energy. So

17:58

yeah, that's per menopause. But there

18:00

is a way to increase your energy levels

18:02

and decrease that inflammation. So

18:04

feeling more tired or lacking that energy.

18:07

Memory and concentration problems. You

18:09

know, women talk about brain fog or, you know, walking

18:11

into the room and going, what am I doing in here?

18:14

Or Have you ever put your keys in the

18:16

fridge? And the cocoa pops,

18:18

you know, in the freezer, it's that kind of

18:20

thing. Or like, where the hell

18:23

did I park the car? Oh

18:25

my God, I've totally forgotten. Like I just

18:27

cannot remember, or just

18:29

very confidently interjecting

18:32

the completely in incorrect

18:34

word, straight into the sentence,

18:37

with full confidence, or forgetting

18:40

the word completely and not being able to access

18:42

it at all.. So difficulty

18:44

focusing, remembering or thinking clearly,

18:47

that can certainly be a sign of perimenopause.

18:50

Have you noticed the spatial awareness? I

18:52

know that that's not written on here, but so many

18:54

women report this like just. Walls

18:56

are suddenly jumping out at you. You know, like just

18:58

bumping into walls all over the place or, or

19:01

finding yourself just bumping into the corner of the table,

19:03

or just not getting just not

19:06

just not getting it right. You know, like

19:08

when you're driving and you have to know where the car

19:10

begins and ends, you know? Have you sort of lost that

19:12

sense of where you begin and end and

19:14

suddenly you're just bumping into everything

19:16

or dropping things? I

19:19

remember saying to my partner, I was like, oh,

19:22

before I get my period, I just like drop

19:24

things and then I was like, ah,

19:26

I don't think it's just before I get my period. I think

19:29

I'm just starting to generally

19:31

drop things. Changes

19:33

in skin and hair. So

19:35

our skin tends to dry out. Sadly, everything

19:38

is drying out right? So dry eyes,

19:40

ears, nose, vagina. We need

19:42

to moisturize everything from the inside

19:44

out. You can't get enough MCT oil.

19:46

You can't get enough avocado oil enough

19:48

olive oil, all the good oils. Butter.

19:51

Go for it. Acne. Yeah.

19:53

Suddenly women are coming into my clinic going, oh my

19:55

God. Like I had acne when I was,

19:57

you know, prepubescent. What's going on?

20:00

I feel prepubescent now. Well,

20:02

actually I'm here to tell you that perimenopause is

20:04

the second puberty. It's literally,

20:07

I think it's actually worse. I think perimenopause

20:09

is worse than puberty. Hair

20:12

thinning too. But there's a lot you can do about that.

20:14

You can make sure that you're not detoxifying your

20:16

androgens or your male hormones

20:19

down the female pattern boldness

20:21

pathway. And you can also make sure that your iron's

20:23

okay, thyroid issues, iron

20:26

and androgen detoxification, really

20:28

talk into that hair thinning. Keep in mind

20:30

that not all women will experience every symptom.

20:32

Lucky ducks, and the intensity and

20:34

the duration of symptoms can vary greatly.

20:37

It's essential to consult a healthcare professional

20:39

if you're concerned about any premenopausal

20:41

symptoms you're experiencing. And

20:45

then I have a little treat for you.

20:47

This is honestly

20:49

a godsend. Lemon balm

20:52

and it is so gentle. I

20:54

mean, honestly, a beautiful, beautiful

20:56

herb like lemon balm Lemon balm

20:58

and libido. Lemon balm is, a little bit sexy.

21:01

I absolutely love this study. It

21:04

looked into how Lemon balm, also known as

21:06

Melissa Officialis L,

21:08

can help with sexual dysfunction in women.

21:11

It's pretty awesome. They had

21:13

89 women with reduced sexual desire.

21:16

Either one gram of lemon balm extract

21:18

or placebo daily. And guess

21:20

what? The results were super promising.

21:23

Those who took the lemon balm experienced

21:25

significant improvements in arousal,

21:28

lubrication, orgasm

21:30

and sexual satisfaction and even

21:32

pain reduction compared to the placebo

21:34

group. So, you know, often perimenopausal

21:37

vaginas are drier and the mucosal

21:39

membrane is thinner, so sex

21:42

can actually become quite painful. There's so much you

21:44

can do about that too. But yeah,

21:46

so this really helped that as well. So, come

21:48

on. I mean, my goodness, we don't wanna lose the sexy

21:51

just because we are transitioning and

21:53

we're in the prime of our lives. The

21:55

cherry on top, the participants were keen to

21:58

continue treatment. So generally in a clinical

22:00

trial, when participants are keen to

22:02

continue treatment, you know that it's working, cuz

22:04

why would you be doing it if it wasn't working

22:07

for you? So if you're a perimenopausal

22:09

woman looking for a little boost in the bedroom, lemon

22:11

balm might be worth a try. Just

22:13

remember, it's always best to chat with your healthcare

22:15

professional before starting new supplements.

22:18

And this is just for informational and educational

22:21

purposes. But please have a look

22:23

at this research. It's absolutely compelling.

22:27

My name is Dr. Kirsty Holland. I'm the

22:29

founder and practitioner of the Holland Clinic

22:31

in Melbourne, Australia. And it's been my absolute

22:34

privilege to bring you

22:36

this informational peri chat Thank you

22:38

so much, and I'll see you next time. Bring

22:41

your lover, bring your sister, bring your cat,

22:43

bring your. I'm trying to raise

22:45

awareness for perimenopausal women because

22:47

this is not just in our heads and

22:49

quite frankly, women are really sick and tired

22:52

of the head tilt and the you know that's

22:54

about right for your age love. It

22:56

doesn't need to be this way. We certainly can

22:58

thrive and have an incredible experience

23:01

transitioning from our fertile years

23:03

into our menopausal. And I'm

23:05

here for it. I'm here to help you do it.

23:07

I'm here to teach you how to access

23:09

alternative fuel sources. I'm

23:11

here to bring you research. I'm having such a great

23:14

time talking to so

23:16

many perimenopausal women worldwide

23:18

about what they're experiencing and what

23:20

they need to know. And I'm

23:22

just so delighted that you took the time out with me

23:24

tonight. Thank you so much for being here. Absolute

23:27

pleasure to be in your company. Take it easy

23:29

and have a gorgeous evening. And let me know what you need

23:32

to know more of you can find me on Instagram

23:34

and Facebook and reach

23:36

out on my Facebook page or my

23:38

website. Super easy to find. Take

23:41

it easy.