Managing Midlife PCOS [Expert Interview] - PCOS Diva
Managing Midlife PCOS [Expert Interview]

PCOS Podcast 53 - Managing Midlife PCOSEvery woman experiences hormonal changes in midlife. For women with PCOS, the challenges are magnified because we are at a higher risk of adrenal issues and the cascade of symptoms that result. Dr. Karen Leggett is a women’s midlife health specialist and has joined the podcast to explain the benefits and challenges of being a woman with PCOS during perimenopause and menopause. Listen as she addresses some very common questions:

  • What is estrogen dominance and what are the resulting health risks?
  • Is natural hormone progesterone supplementation a good idea?
  • What are the concerns with the Pill and Provera?
  • What supplements should I consider?
  • Can my diet help reduce estrogen dominance and my risk of breast cancer?
  • Does alcohol affect my estrogen levels?

For a list of Dr. Leggett’ favorite Natural Estrogen and Progesterone products which she suggests in this podcast, click here.

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A full transcript follows.

dr-karen-leggett-wms-head-shot-2Dr. Karen Leggett is a board certified family and geriatric physician who has practiced functional medicine for over 15 years. She received her medical degree from the University of New England College of Osteopathic Medicine and completed both a family medicine residency and geriatric fellowship. Though she has always believed in integrative medicine, her commitment to holistic care came to its strongest test when 18 years ago, at the age of 39, she found herself struggling with profound fatigue, insomnia, anxiety, and a lack of passion for life.  Fortunately, being a physician, it didn’t take her long to find out that conventional medicine had nothing to offer her.  At that point, she devoted herself to studies through the American Academy of Anti-aging, focusing on full body hormone balance and setting into action everything she had learned.  Within a few short months, Dr. Leggett was back to her happy, passionate and energetic self.  Since then, Dr Leggett has been dedicated to helping midlife women balance their sex, adrenal, thyroid and gut hormones, and loving every minute of life.  She has been President of  Leggett Medical Group since 2004 and started the Women’s Midlife Specialist practice in 2012 when she developed a comprehensive year-long mentorship program for nurse practitioners to teach them how to care for midlife women’s hormonal imbalances in busy office practices.  Most recently, Dr. Leggett has opened her programs to women throughout the world through the internet, guiding women to balance their own hormones through her Master Hormone Madness programs.  She has also just celebrated becoming a best selling co-author with Brian Tracy in a book titled Success Manifesto, Get Energized, Focused and Downright Sexy Now, having reaching 4 best seller lists on Amazon to date.  

Full Transcript: 

Amy: Hello and welcome to another edition of the PCOS Diva Podcast. This is your host, Amy Medling. I’m a certified health coach and I’m the founder of PCOS Diva. Today, we’re going to be talking about, I was thinking it’s sort of the forgotten women with PCOS but it’s really I think more of the under-served women with PCOS. That’s really one few kind of finish your fertility journey and trying to conceive and you’re kind of reaching your midlife point and entering into perimenopause and even beyond menopause.

 

A lot of women, if you haven’t been diagnosed with PCOS by this point, I think the diagnosis gets a little bit trickier because for a lot of us, our cycles become much more regular as we enter our 40’s. Our testosterone levels decrease. I think it’s just a lot of doctors aren’t quite sure what to do with this patient population. I have brought in the midlife health expert and this is Dr. Leggett. She’s going to be sharing with us how women with PCOS should really empower themselves in order to advocate for themselves in the doctor’s office. Welcome, Dr. Leggett to our show.

 

Dr. Leggett: Well, thank you, Amy. I am so happy to be here and offer whatever I can. Wonderful. Thank you.

 

Amy: Well, I wanted to just give listeners a little bit of your background. Dr. Karen Leggett is a board certified family and geriatric physician who has practiced functional medicine for over 15 years. She’s dedicated to helping midlife women balance their sex, adrenal, thyroid and gut hormones and loving every minute of life. I love that part. She has been the president of the Leggett Medical Group since 2004 and started the women’s midlife specialist practice in 2012 where you developed a comprehensive yearlong mentorship program for nurse practitioners to teach them how to care for midlife women’s hormonal imbalances.

 

But most recently, you opened a program to women across the world through the internet, guiding women to balance their own hormones through the Master Hormone Madness program. You also recently coauthored a book with Brian Tracey, a book titled Success Manifesto, Get Energized, Focused and Downright Sexy Now. Thank you again for joining us. We’re going to be talking about challenges of midlife with hormonal changes. I kind of alluded a little bit to what might be going on with women, with PCOS as they enter midlife. But maybe you can kind of give us a little bit fuller picture.

 

Dr. Leggett: Sure, I would love to. Well, as we all know and I’m maybe just moving out of midlife, I just had my 57th birthday yesterday. But I too was having hormonal issues and that’s what lead me into getting so focused on women’s hormones. All women really have these challenges. Some of us have them worse than others. But basically, as our hormones change, we have more difficulty sleeping. We have mood fluctuations. Our weight changes, becomes more difficult to lose weight. We also gain weight. Our mind sometimes feel a little foggy. Our hormones have a lot or our hormones are very active in our brain. Our eyes get dryer. Our desire for sex goes down. Everything sort of starts to dry up.

 

But when we’re talking about PCOS, the challenges actually are magnified. The reasons that the challenges for women with PCOS are magnified is because they automatically have a higher risk of adrenal issues which are things that cause the adrenal glands to have to work a little harder and therefore fatigue can set in much more significantly. It also starts with these hormonal changes, the sex hormonal changes that stimulate the adrenal gland to make more cortisol, testosterone and DHEA and testosterone and DHEA make more estrogen. Midlife women with PCOS tend to have an increasing estrogen dominance compared to a woman who doesn’t have PCOS and increasing estrogen dominance even though their hormones are starting to decline, they still have a broader progesterone to estrogen balance than a woman without PCOS. This causes worsening fatigue and higher risk of adrenal fatigue.

 

Amy: I think we’re sort of plagued throughout our lives with the low estrogen issue and the estrogen … the low progesterone issue and that’s the estrogen dominance.

 

Dr. Leggett: Right, right, right.

 

Amy: I kind of want to ask you about the natural hormone progesterone supplementation. I get a lot of questions about that. I think there’s a lot of confusion especially since you can just go to your local drugstore and pick up a tube of progesterone cream and I think women are sort of self-prescribing without doing a lot of testing. I’d love to get your viewpoint on we’re entering midlife, do we need progesterone cream? How should we make that decision for ourselves?

 

Dr. Leggett: Well, I’m super excited that you asked that question because I have the perfect thing for you. I have two things for you in fact. I have a beautiful handout that I have to get to you, Amy, because it has my top 12 products, my favorite top 12 products that are over-the-counter. There’s a little picture of them, it describes how much. It’s very difficult to understand what’s in those products. I’ve had many, many women come into the office and say, “How much should I take of this?” They don’t understand the ingredients on there. What I did is I looked at basically almost every product that’s on the market that a woman can go and pick up on her own or buy on the internet. I evaluated each one.

 

Amy: Oh great.

 

Dr. Leggett: I’ve put each other a handout … yeah, I forgot to even tell you that, but this is such a wonderful handout because it’s got a picture of it, tells you exactly how much is in each dose, what the dose is, a quarter teaspoon or an eighth of the teaspoon and that would equal to a certain amount. Then if you correlate that handout with my book, you’ve got what you need to get started. I do believe in progesterone supplementation because the other challenge that we forget about when we’re talking about hormones because we tend to start with sex hormones because all women, whether they have PCOS or not, all women are eventually going to have some changes on their sex hormones.

 

But it’s not just about sex hormones. Our body is this amazing symphony and every endocrine gland, the glands that produce different hormones, interact with each other. Our adrenal glands and our thyroid gland is very important. The thyroid is so dependent on the balance of estrogen and progesterone. That will increase the risk of fatigue and exhaustion by not having that balanced estrogen and progesterone. With the right products and with the right doses, I am all for natural bio-identical progesterone supplement. I’m not happy with the Progestins. The Progestins are the synthetic compounds that are made such as that is in oral contraceptive pills and also Provera which is the hormone replacement therapy for menopause. Those are definitely not the way we want to go. Did that help?

 

Amy: It’s very helpful. I just want to clarify and reiterate. For women who … maybe you could, first of all I wanted you to explain some symptoms of estrogen dominance, but if you’re feeling like you’re having so many symptoms of estrogen dominance and low progesterone, then by reading your book and looking at this handout, you’re going to have a good sort of idea of where to start in terms of how to help yourself.

 

Dr. Leggett: Yes, absolutely. Big time.

 

Amy: Tell us what the symptoms are for estrogen dominance. What should we be looking out for?

 

Dr. Leggett: Yeah, well the number one thing that people start to feel, the very first thing that seems to be right across the board is fatigue and difficulty sleeping. There’s different ways that the sleep maybe affected. They may have that what I call brain chatter all night long, Yakkity Yak, Yakkity Yak, just talking to you all night. Also sometimes they may be able to fall asleep but they wake up early and then are unable to go back to sleep. But for others, they just feel like they’re sleeping lightly all night. It’s like this wake up and you just feel like, “Gosh, I never really got to sleep.” Sleeping is an issue. That leads to fatigue, absolutely to fatigue.

 

Estrogen dominance, even if you are sleeping, you feel you’re sleeping and I’m talking about people sleeping without a pill like Ambien or Trazodone or all the different medications. If you’re taking a medication for sleep, you are having difficulty sleeping. You’re in that category. In fact, one of the things that I don’t like about any of those medications is you do not reach your stage 4 level of sleep, the deepest level of sleep and that’s when we heal. Those medications are not the way to go. Progesterone is our natural calming sex hormone. It increases, yeah, and it increases GABA, gamma-Aminobutyric acid which is a neurotransmitter/hormone in the brain. GABA is our calming neurotransmitter.

 

In fact, what people love to hear is when I tell them that all, pretty much everybody knows the drugs Xanax, Alprazolam, Xanax. Pretty much everybody has heard about that drug. What it is is it’s a drug for anxiety. All Xanax does, this is the coolest thing, all Xanax does is increase GABA in the brain. That’s all it does. Progesterone, the same thing. It helps you sleep. It brings down your blood pressure. It’s a very calming sex hormone. When your progesterone is low and you have this estrogen dominance, the imbalance between the two, not only are you fatigued and cannot sleep, there are more significant …

 

When you’re a doctor and you’re thinking along these lines, you’re thinking about, “Oh, oh. I got to help this person because she’s at a higher risk of breast cancer,” because unopposed … and uterine cancer and ovarian cancer, an unopposed estrogen has higher estrogen metabolites and the more estrogen you have, the more you have to break down. If your body has a lot more estrogen, it’s not exactly the estrogen that’s the problem, the problem is how your body breaks that estrogen down. There are safe pathways and there are unsafe pathways. The safe pathway is, Amy, which I don’t know if you know, is what you’re helping people do by putting them on the proper diet, by helping them with the way your diet is that I know exactly what your nutritional program is because I read it all, and I’ve seen your recipes because you’re so sweet and sent them to me.

 

But I have to tell you, since you sent those to me in 2012, I’ve been devoted to you. But what you’re doing, Amy, is you’re helping women take that dominant estrogen and move it into the safe pathways where the metabolites become inactive instead of the what are called methylated estrogen and actually increase the risk and are dangerous, breast cancer and uterine cancer and ovarian cancer. Progesterone has that effect too. Progesterone is that balancer of estrogen to help move the estrogens into the safe pathway of breakdown.

 

Amy: Well, thank you for your sweet words about my nutrition program. But I think that there’s probably a lot of light bulb moments for a lot of women listening especially when you talked about anxiety and low progesterone and people who are on anti-anxiety meds. I guess my question would be could you take a GABA supplement, I’m thinking like True Calm is one that comes to mind that’s kind of had GABA in it or even just like a straight GABA supplement, would that help?

 

Dr. Leggett: That’s a great question. GABA is in a lot of those calming medications or supplements, GABA is. But GABA doesn’t cross the blood brain barrier nearly as well as Theanine. L-Theanine is a natural amino acid that actually increases GABA in the brain. It crosses the blood brain barrier extremely well. You see that L-Theanine also connected with GABA and in many sleep aids that are supplements over-the-counter. There are other things like the herbal products that help turn off the brain chatter. But I like GABA but it’s not as good as crossing the brain barrier.

 

I think, honestly to tell you the truth, I think they put GABA, a lot of GABA in these products because people know about GABA but they don’t know about Theanine and they don’t go beyond the understanding of GABA that it actually doesn’t cross the blood brain barrier as well as Theanine does. I do like it but I like L-Theanine even better. You’ll find it, when you’re looking at these sleep supplements, you’ll find it. People use it during the day and actually the neat thing about L-Theanine is that it’s actually used for colic in babies over in China. They use much higher doses than we use here. The max dose that is recommended here if you’re looking at a nutritional perspective is 1,200 milligrams a day.

 

People who have anxiety, I’ve gotten people off of Ativan, Xanax, Valium with just simple Theanine. They will start at a higher dose like 400 milligrams morning, noon and evening. Then as their levels of GABA starts to improve, then we’ll drop it down to say 400 milligrams twice a day. Then we’ll back off a little bit more as they can using it only at night and as needed. But for someone who had that where you’re actually trying to get them off of these drugs called Benzodiazepines or you’re trying to get them off of those medications, you would actually use it three times a day because with any natural supplement, they have a very gentle, slow process of action, onset of action and process of action and it’s a deficiency that we have that we have to improve.

 

That’s the beauty of the drugs. If you have hypertension, you have high blood pressure, you have a cardiac issue or you have diabetes, things where you need an immediate solution, medications are wonderful. But when you have something that is a deficiency and you really need to resolve the problem, the core problem, the problem at the soul, you need a natural way to go about that. You need a natural supplement. You need to support your body with what it needs so it can build those and balance those neurotransmitters and therefore no longer need that acute medication that has many other side effects that these natural …

 

Amy: Absolutely.

 

Dr. Leggett: Oh, yeah, exactly. Does that help?

 

Amy: Yeah, yeah. I think that’s probably one of the reasons why I love tea so much because tea actually contains small amounts of L-Theanine.

 

Dr. Leggett: Yes, me too.

 

Amy: Speaking of, and I’ve talked in my Jumpstart program about kind of viewing your produce section as your pharmacy. I think when it comes to estrogen dominance, you’re right when you say that diet can play a huge part. I think a lot of us don’t eat enough fiber and fiber is really important.

 

Dr. Leggett: So important.

 

Amy: To kind of escort out that bad estrogen and sulfur based foods and vegetables. Really important.

 

Dr. Leggett: Absolutely, absolutely. Absolutely. Fiber, I believe that they’re saying 25 grams of fiber for a woman per day. I absolutely … that’s really at minimum.

 

Amy: It’s just low, yeah.

 

Dr. Leggett: They’re saying 30. That is absolutely at minimum. But most women don’t even get near to the 25 that is recommended. You’ve got to … you know what, when you think about it, Amy, and you think about all the foods that you need to eat and I’ve looked at this before because I know myself and I know how regimented I am with myself, it’s a commitment to make sure that you get that fiber and you really need some form of supplement to get that adequate fiber and you really do. Because how you can get all the food in every single day to have that adequate fiber?

 

Amy: Right. I was just going to say what I do is I put fiber … I have a fiber supplement that I put in my smoothie in the morning.

 

Dr. Leggett: Me too.

 

Amy: You don’t even realize it’s there.

 

Dr. Leggett: Exactly.

 

Amy: But it’s just a great way to kind of boosting, get some extra fiber.

 

Dr. Leggett: Exactly. The bowel movement, I know people don’t want to talk about bowel movements but the bowel movements are so important. You can learn so much from your bowel movements. When you’ve got them moving in a healthy direction and you’re actually proud of it, your whole body feels better, your whole body.

 

Amy: You mentioned supplements, I think we cannot really supplement our way out of a bad diet.

 

Dr. Leggett: No.

 

Amy: But certainly supplements can further the cause, further the healing process. I was wondering if you could share some of your favorite supplements to help alleviate estrogen dominance?

 

Dr. Leggett: Oh, absolutely. Yeah, estrogen dominance. Since we’ve already been talking about the anxiety part, I’d love to offer one of my favorite products that’s on the market for the same thing. It’s called AdrenoMend, ADRENOMEND. I love that product. That product kind of just flies of the shelf at our office. What it has, what it does is it helps calm the cortisol. Cortisol, it’s really, really good for PCOS because you calm that cortisol, you are going to bring the insulin levels down. When you bring the fasting insulin levels down, you’re going to bring your testosterone down, your DHEA down and your estrogen is going to be better balanced.

 

AdrenoMend has probably the best ingredient that’s in there is the Withania somnifera which the one that everybody uses and I don’t really know why, you might even know better than me, but the registered brand of Sensoril. Sensoril is extremely healthy for the adrenal glands. It just really has that amazing calming effect. Then they have a proprietary blend of different, of all the wonderful things that are important for the adrenal glands, these …

 

Amy: Do you mind if I interrupt one second? For those of you, you may have heard the term Ashwagandha.

 

Dr. Leggett: Yes.

 

Amy: It’s the same thing, the Sensoril Ashwagandha.

 

Dr. Leggett: Yes. Wonderful, yes. Ashwagandha is so important. Then also, Ashwagandha, Rhodiola Rosea, the Coleus Forskohlii, Schisandra, the Bacopa, these are kind of this blend of stuff that AdrenoMend has. AdrenoMend comes from Douglas Labs and you can get that off the internet, but it’s wonderful. You could take either two to four capsules a day. But the other supplements since we’re talking about estrogen dominance. We want to think about those foods that have it naturally too, like what you were saying, the sulfur foods. There’s the Indole-3-Carbinol, the Dimethyl Methane, the CDG which is our calcium, gosh and I’d forgotten the end of that CDG. It helps convert your estrogens into the safe pathways of the hydroxy estrogens instead of the methoxy estrogens, CDG.

 

Anybody who takes, anybody who is on bio-identical hormones that are estrogen, that have estrogen in them or anyone who has estrogen dominant should definitely take CDG, I3C, DIM. Then of course there’s those B vitamins that are so important because B vitamins, B6, B12, B9, the folic acid and vitamin C, those also are very important for the enzymes that convert the estrogen, the estrogen metabolites into the pathways that go into the inactive metabolites instead of the pathway of the methylated estrogens. Those are very important too. The fiber, you got to hit fiber because of all the toxins.

 

Amy: The fiber.

 

Dr. Leggett: Yeah, because these toxins, we’re getting rid of the toxins in our body that we get every day in our food and what we breathe in, through our skin. There’s those four ways that you get toxins. We’re subjected to them, we them throughout skin, we breathe them in, we eat them and we inject them but hopefully we don’t maybe like a flu shot, those kinds of things. But those are the four ways that we bring toxins into our body. We’re doing that on a daily basis. Just driving in your car and you roll down your window, if you’re not in a very clean environment. That fiber as the toxins are metabolized through our liver, they are directed into our bowel system after they go through the liver and in our bowel, that fiber helps find those toxins and out they can go.

 

Amy: I’m so glad that you brought toxins up and I’ve released a new program called the Sparkle Cleanse. This fall, I’ve talked a lot about endocrine disrupting toxins and how they can really wreak havoc on your PCOS but it’s really that estrogen dominance issue because toxins like DPA and phalates and parabens, they can act like xenoestrogens.

 

Dr. Leggett: Exactly.

 

Amy: Our body doesn’t really know what to do with them.

 

Dr. Leggett: Exactly.

 

Amy: That all adds to that estrogen dominant situation.

 

Dr. Leggett: Absolutely. Those, Amy, those are the ones you have to be worried about. Those are the ones the body doesn’t know what to do with. They don’t have a clue. You can now test BPA and dried urine and you can actually get … or actually it’s a whole, you can get estrogen and progesterone metabolite dried urine testing and that’s on the handout also or on wherever you want to call it. It’s a pretty little one sheet thing that has different tests that you can do at home. One of them is estrogen metabolites, progesterone metabolites that you can do very simply by urinating on a little test strip and it dries, send it off to the lab and BPA is one of the things that they can test as well as the estrogen metabolites.

 

You can find out how much estrogen metabolites you have that are going down the sage pathway and how much you have going down the unsafe. The same thing with progesterone. That is also kind of like the lost hormone in terms of metabolites. We now know that there is a safe pathway of progesterone metabolism and a not so safe pathway for progesterone metabolism. One is associated with progesterone receptor positive breast cancer or and one is associated with the safe pathway. You can test all of these in a dried urine test now.

 

Amy: Wow, that sounds like a really fantastic test. There’s been a lot of studies that show that women with PCOs actually have elevated levels of BPA versus the control, not the control, but the non PCOS women in the study.

 

Dr. Leggett: Interesting.

 

Amy: Yeah, it’s really something that we have to be vigilant about. We really need to become much more aware of what we’re using for waters and even cash register receipts has BPA on them.

 

Dr. Leggett: Yes, which is bizarre but true.

 

Amy: Oh, I know. I know. But that education piece is so important. We have to keep on top of things so that we can advocate for ourselves. Then I think it’s also really important to do like periodic kind of cleanses where we add more fiber into our diet. We add some liver phase one, phase two liver supporting nutrients and kind get rid of…

 

Dr. Leggett: Absolutely.

 

Amy: The sugar, the caffeine in our diet, the alcohol.

 

Dr. Leggett: Absolutely, absolutely. What month do you like to do yours, Amy? Do you do it twice a year or once a year?

 

Amy: I actually do it three times a year.

 

Dr. Leggett: Awesome.

 

Amy: I do spring, fall and then after the holidays.

 

Dr. Leggett: That is so cool.

 

Amy: I do feel like the alcohol, I probably have one too many glasses of wine socially. I think for lot … actually, a study, I don’t know if you saw the study that just came out. It was presented at the ASRM about Resveratrol being helpful for women with PCOS. But I think it’s … I don’t want women to kind of take it as this free pass to drink as much wine, red wine as they want because now that is good for the health. Maybe you can kind of tell us what alcohol does to our estrogen levels?

 

Dr. Leggett: Well, absolutely. I would be excited to tell you that. Yes, you are so right about the Resveratrol and the red wine. If you’re going to drink alcohol, and I don’t do this all the time myself, but red wine is going to be your best choice if you want to look at the health aspects as the big picture. But women, I’m doing a series, anyone can see these on my Facebook site, but I’m doing a series right now because it’s October, on breast cancer awareness. There’s  eight videos. I think I just finished video five, that’s coming out tomorrow which happens to be on elevated blood sugar and risk of breast cancer.

 

What is known about alcohol and breast cancer because of the elevated estrogen levels is that one drink per night and that’s a five ounce glass of wine or one beer or one and a half ounces of alcohol, one glass per night has sort of an average, it keeps someone in an average area of the risk of breast cancer in lifelong. As we get older, our risk of breast cancer goes up no matter who are. But if you go over that one glass per day, you actually increase your risk by almost 20%. You have a 20 … right, for women going beyond, it’s all in moderation, everything is in moderation. If you don’t drink alcohol at all, you lose the benefits of some of the cardiovascular benefits that we get from … and that may also be because it helps, it increases estrogen so we’d lose those cardiovascular benefits but we actually decrease our risk of breast cancer.

 

The guidelines now is that it’s an individual decision. It’s an individual’s decision, don’t go over one glass per day because then it’s going to increase your risk of breast cancer. But if you don’t want to drink any at all because you just don’t like it or you don’t like the other reasons for it, then you’re fine. You’re decreasing your risk of breast cancer. You may not be giving yourself the additional advantages of decreased memory loss as you age and improved cardiovascular, but the red wine is going to be your best because Resveratrol is a major anti-inflammatory. Everything is related to inflammation in the body.

 

Amy: Right.

 

Dr. Leggett: Right, if we can decrease our inflammation, yes, that’s where we get in trouble with PCOS with that elevated insulin level. That elevated insulin level just sets on an inflammatory cascade and so that’s … then that inflammatory cascade causes this increase of cortisol and then this increase of cortisol causes increase more of insulin and so it’s just like this hamster wheel that you cannot get off. But I am also … I look at women on an individual basis. I think that if we drink one glass of … have one alcoholic drink per day, we’re in a safe zone, safe zone being we’re at average risk. Then there are other things that you can do for yourself that decrease your risk, of course.

 

This might be super interesting to your listeners and that is that only 1.8% of all breast cancers are genetically related, genetic that you’re actually born with, 1.8%. That’s 98.2% are environmentally related. Now, some of those environmentally related ones are going to be down the road problems that occur with your genes. But they’re still environmentally related. Of that 98.2%, 50%, Amy, 50% is from your diet. 50% of breast cancers are related to the diet. The abnormalities and the toxins that we get and all those, the poor diet things, maybe not enough fiber … keep listening, the vegetables, the broccoli, cauliflower, the Brussels sprouts, all those things that decrease our estrogen levels therefore decreasing the bad … increasing our estrogen levels and increasing our xenoestrogens, all of those things go down the pathway of increasing the bad pathway of estrogen metabolites.

 

If you look at your diet, eat a clean diet and boy I’m really jealous that you do three cleanses a year, I only get to one but I feel so great afterwards, that’s how you’re really, really going to decrease your risk. It’s not as much about alcohol. It’s a small percentage really when you look at the big picture. It’s really that diet more than it is anything else and the xenoestrogens. That’s a big part of diet.

 

Amy: I think the great thing about the diet is it really puts you in control because I gives you that sense of control back.

 

Dr. Leggett: Totally, absolutely.

 

Amy: I really wanted to talk more about cortisol and adrenal fatigue but I would love for you to come back and join us and talk.

 

Dr. Leggett: I would be delighted to.

 

Amy: Great. I mean, that’s such an important issue for women like myself.

 

Dr. Leggett: Everybody.

 

Amy: I’m going to be 45 in a month and three kids and a husband and business and boy, it does get tough.

 

Dr. Leggett: It’s a challenge.

 

Amy: It is. It is.

 

Dr. Leggett: I would love to. That’s so important, so important.

 

Amy: Tell us how we can learn more about the work that you do and where can we find you online?

 

Dr. Leggett: I think probably the best way is just to go to my Facebook page. You can find that either by going to Facebook.com, Ask Dr. Leggett. That’s DRLEGGETT. Or you can look up Women’s Midlife Specialist in Facebook and it will come up to my Facebook site too. Then you can download the things that I’d talked about. You can see the videos on the breast cancer awareness and get a lot of good information there.

 

Amy: You also had a free guide for us as well.

 

Dr. Leggett: I do, I do. The testing kits, my six top testing kits is on there. I also have my healthy pantry for making sure that you got to have this healthy pantry already at home. When you’re tired, you get home from work, the last thing you feel like doing is cooking. You then just eat the wrong things and then it sabotages all the work you’ve been doing. I’ve got a guide to help people put the right things in their pantry to start with and cute little hints on what to eat while you’re preparing a meal or thinking about what to eat to keep you on track. There’s that.

 

There’s also, I’ll make sure that … because I’m trying to think, I don’t think that my guide on my top 12 products is on there but I will get that on there, my guides to the top 12 products that you can use, purchase over-the-counter. I did a lot of work looking into those products because I did it for myself too. I’m on these same things. What I’m sharing with you, I do 100% for myself. I think that that’s driven the whole women’s midlife specialist.

 

Amy: I totally can relate with that. I’m doing that as well with PCOS Diva. Well, thank you so much for coming on and sharing your knowledge with us and for all of these great resources. I cannot wait to check out those handouts and lab tests. We will definitely have you back on in the new year where we will talk about adrenal fatigue and what we can do about it.

 

Dr. Leggett: That sounds fine. Great.

 

Amy: Well, thank you everyone for listening. I look forward to being with you again soon. Bye-bye.

 

Dr. Leggett: Sounds great. Bye-bye.

 

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