Kyle McAvoy (N.P.) and Candace Burch (M.A.) lead lively conversations that address the essential issues women face throughout life’s transitions. They bring decades of experience specializing in hormones and women’s healthcare to shed light on PMS, menopause, sex, aging and more. Their episodes cover topics you might be afraid or embarrassed to ask about, including dynamic “let’s-get-real” discussions with experts about the heart, head, and health topics that matter most to women!
Ep 42: The Happy Menopause with Jackie Lynch
Candace and Kyle are delighted to interview British nutritionist and author, Jackie Lynch, founder of the online Well-Well-Well nutrition clinic and host of the hugely popular diet & lifestyle podcast The Happy Menopause - which was shortlisted for the 2022 International Women’s Podcast Awards. She is also the author of The Happy Menopause: Smart Nutrition to Help You Flourish (Watkins, 2020) which was Highly Commended in the 2021 UK Health & Wellbeing Awards. You can visit Jackie on her website www.well-well-well.co.uk. Follow her on social media at @WellWellWellUK.
Here are some of the main areas we covered in our fast paced conversation with Jackie about the key elements of a happy menopause - from practicing optimal nutrition and stress management to taking bioidentical hormones (if you can get them) and creating a positive mindset around the menopause experience:
Cross cultural differences in Menopause symptoms.
In the UK most women have to rely on nutrition supplements and herbs for relief from menopause symptoms; what they find helpful.
the 3 key macronutrients; the importance of getting the basics right.
Key nutrients to help manage menopause symptoms, especially for women who can’t take hormones.
Most effective dietary changes for alleviating symptoms/preventing osteoporosis, heart disease.
Sourdough as a good alternative for those struggling with gluten sensitivity.
Menopause friendly nutrients and minerals: leafy greens - a one stop shop.
Crucial importance of blood sugar balance.
Specific diet/lifestyle/self-care practices that soothe and reduce stress levels.
Cultivating positivity during the change.
We all share our personal philosophy of a “happy menopause” and must-haves for getting there.
CONNECT W/CANDACE + KYLE
Ep 41: Feeling What we Do!! The WTF Wrap Up for 2023, Aspirations and ‘Nudges’ for the New Year
In this episode, Candace and Kyle take the time to pause, reflect and kickoff the New Year with a wrap up of the best of WTF 2023, our favorite episodes and yours, what we learned, accomplished, enjoyed, or indulged in, and how we tried to make our world - the world of women’s health - a better place.
Much is being talked about how to make and keep effective New Year’s resolutions, and we introduce a phrase that particularly resonates with us; How to imagine our better future selves and spinoff with a few new concepts we like better than To Do lists and resolutions.
In this episode, we reveal your favorite and most frequently shared WTF episodes of 2023 and some exciting analytics, including the astounding increase in our followers (up by 64%) and streamings (up by 91%) - and we celebrate going global with WTF listeners in 20 countries worldwide!
We are growing (!) and think we can say that you told your friends about us (!) and are really feeling what we do!
Episode References and Mentions:
Your Favorite WTF podcast 2023: From the Horse’s Mouth, Dr. David Zava, PhD sets the record straight on how hormone testing and bioidentical hormones can help women feel great again!
Your Most Shared WTF podcast 2023: The Art and Science of Natural Hormone Balance in Perimenopause and Menopause with Kenna Stephenson, M.D.
Kyle's Favorite Episode: Women and Cardiac Disease: Getting to the Roots with Andrea Nakayama, Functional Nutritionist
Candace’s Favorite Episode: Pro-Aging with Gabby Reece, Volleyball legend, Fitness guru and podcaster
Favorite Alternatives to the New Years Resolution:
The Nudge Word or Motto
The “I WON’T Do” list. How Women Rise, by Sally Helgeson and Marshall Goldsmith
Favorite Concept: Healthspan vs. Lifespan – Read this great discussion in TIME magazine
Favorite Read: Women Rowing North: Navigating Life’s Currents and Flourishing As We Age, by Mary Pipher
Favorite Sleep supplement:
Cortisol Manager by Integrative Therapeutics
Let us take a moment to honor Suzanne Somers, the glamorous, comedic actor turned hormone guru who, sadly, passed this year, and whose blockbuster book, The Sexy Years, blew open the dialogue around menopause and put bioidenticals on the map. Suzannne was one of the first to empower women to insist on safer treatment options during menopause! “One thing I love about aging—and I do love aging—I’ve got a wisdom that no young person can buy. You earn it.”
The Sexy Years:
"So many women I've talked to see menopause as an ending. But I've discovered this is your moment to reinvent yourself after years of focusing on the needs of everyone else. It's your opportunity to get clear about what matters to you and then to pursue that with all of your energy, time and talent." — Oprah Winfrey
"Gravity and wrinkles are fine with me. They're a small price to pay for the new wisdom inside my head and my heart.” – Drew Barrymore
"My belief is that it’s a privilege to get older. Not everybody gets to get older.” — Cameron Diaz
“The trick is to age honestly and gracefully and make it look great so that everyone looks forward to it.” – Emma Thompson
CONNECT W/CANDACE + KYLE
Ep 40: How Menopause Affects Women of Color with Dr. Monica Williams (founder and medical director of Deep Rooted Health)
In this episode, Kyle and Candace tackle one of the most challenging conundrums in healthcare for women in menopause: in particular, how the symptoms can be more severe in women of color (WOC) than they are for white women and last longer - a fact that goes largely unrecognized by doctors!
Landmark research into the racial discrepancies in menopause, the Study of Women’s Health Across the Nation (SWAN) (launched in 1994) followed a group of over 3,000 women in perimenopause and menopause for decades and found significant differences: that Black and Hispanic women reach menopause earlier than white, Chinese and Japanese women, and also experience certain menopausal symptoms for 10 or more years — almost twice as long.
Even more concerning, the Office of Minority Health (a division of the DHHS), reports that black women are at greater risk for cardiovascular disease, strokes, cancer, asthma, diabetes, and HIV/AIDS.
The disparities extend further into the realm of maternal health as WOC are far more likely to suffer from fibroids and 3-4 times as likely to be affected by pregnancy related deaths.
Furthermore, when WOC seek treatment for these symptoms, they often encounter physicians who are unaware of the differences and dismiss their concerns — a common experience for all menopausal women, but even more familiar among women of color.
Dr. Monica Williams-Rilley is NOT one of those doctors! As the founder and medical director of Deep Rooted Health, and a Cliovana expert practitioner, she is leading the charge towards more inclusive healthcare for WOC with hormonal issues. Dr Williams is a Board-Certified Family Physician specializing in Functional Medicine, sexual health, and wellness. She has dedicated the last 25 + years in practice to teaching her clients how to meet their goals of living healthier lives through strategic lifestyle planning.
Here are some of the key points of discussion we cover in this podcast episode:
-Major factors contributing to the racial disparities and increased risks in health care for women of color
-Health impacts of systemic racism and the multiple stressors unique to WOC
-Symptoms and imbalances most common in WOC during Perimenopause/Menopause
-Why Fibroids are more prevalent, “the norm” among black women
-How keeping things inside makes menopause worse… in the community of color, women are taught to keep this to themselves, the importance of speaking up and expressing ourselves ….
-Example of a routine visit, evaluation doing a health history back 10 years, all the way to the womb; the vital importance of listening
-Which treatments and lifestyle changes bring most benefit – diet, exercise, lifestyle changes (ending toxic relationships), acupuncture, meditation
-How we can create a more equitable health care system through healthy communication and becoming better listeners
-How to help providers who work with WOC to recognize the earlier/more persistent symptoms they are experiencing perimenopause and menopause.
CONNECT W/ DR WILLIAMS
Work with Monica: Deep Rooted Health
CONNECT W/CANDACE + KYLE
Ep 39: An update on bioidentical hormones (present & future) and a look into the world of compounding pharmacies, with Natalie Gustafson, PharmD
Kyle and Candace chat with Natalie Gustafson, PharmD, pharmacist/owner of Lloyd Central Compounding Pharmacy: https://lcrx.com whose expertise and insights on bioidentical hormone therapy (BHRT) we have relied upon for nearly 2 decades!
In today’s episode, we review the basics of how and why bioidenticals work, who benefits, how to relieve symptoms, if and when you can’t take hormones, along with other important awarenesses – from bone, breast and cardiovascular health – to the threat from Big-Pharma that could limit our access to BHRT compounding and what we can do to protect our access to bioidenticals.
Some of the key talking points from our wide-ranging discussion :
The numerous benefits of BHRT and how without them disease risks increase dramatically after menopause
The results of the Women’s Health Initiative Study (WHI, 2002) that led to a 60-70% drop in prescribing of synthetic hormones and skyrocketing demand for BHRT
Non-hormonal, natural options for symptom relief in women with a history of breast cancer
Smart use of Calcium, Vitamin K2, & Magnesium to protect bone health/prevent osteoporosis
Why cardiovascular disease is actually a greater threat to women than breast cancer; what we can do to reduce the risks
How pushback from Big-Pharma since the WHI aims to limit the types of hormones compounding pharmacies can produce. We encourage you to contact your local representative/Senator to voice your concern, share your personal story and protect your access to bioidenticals: https://p3rx.org/
Information for patients about hormone compounding restriction concerns: https://compounding.com/
To help offset costs of BHRT not covered by insurance, get a GOODRX card https://www.goodrx.com &/or a Health Savings Account (HSA) to help cover costs.
CONNECT W/CANDACE + KYLE
Ep 38: Women and Cardiac Disease: Getting to the Roots with Andrea Nakayama, Functional Nutritionist
In today’s episode, Kyle and Candace tackle the all-important subject of heart disease, the number one killer of women. While many campaigns exist to bring awareness to breast cancer screening and testing, the truth is that heart disease poses a much greater threat to us.
In the U.S., 1 out of 31 American women die from breast cancer while heart disease causes 1 out of every 3 deaths, which amounts to over 300,00 dying annually of this often silent disease. In the UK, heart disease kills twice as many women as compared to breast cancer.
While we might think that we don’t need to worry about heart disease until we’re older women, it might surprise you to know that an estimated 1 in 16 younger women over 20 years old have coronary heart disease, making it something women of all ages should be aware of.
Our guest today is Andrea Nakayama, a functional nutritionist, renowned teacher and thought leader in this emerging field who has trained thousands of others to work with people seeking sustainable ways to prevent chronic medical conditions, like heart disease, through optimal nutrition.
We learned so much in our discussion with Andrea, it's hard to know where to begin - but a good place to start would be her functional nutritional model for health and longevity, in her words:
“Think of your body as a tree: the roots are made of genes, digestion, and inflammation. The ‘soil’ is influenced by nutrition and lifestyle. Diseases represent the branches of the tree.” Andrea’s work focuses on impacting the soil and the roots. She dislikes diet theories and encourages us to examine insulin resistance and blood sugar issues first.
She also shares with us her FOOD FIRST guidelines for getting the nutrients we need in the foods we eat daily:
Eat the rainbow of fruits and vegetables that contain vital phytonutrients
Every meal/snack should include protein, fat, & fiber
Know your ‘Yes/No/Maybes’. Which foods make you feel good OR bad?
Here’s a sampling of some of the other key points we cover in this hugely important, and we trust, eye-opening interview:
High cholesterol and blood pressure are not the only markers women need to be concerned about.
There is too much emphasis on lowering cholesterol levels (overuse of statins) which in turn lowers our hormone levels.
Cholesterol: going beyond the numbers to look at the constellation, the trends: e.g. triglycerides and LDL’s should be examined together. (Aim for triglycerides around 70/under 100).
Insulin resistance is the root cause of cardiovascular disease, metabolic syndrome, Diabetes Type 2.
Excessive sugar intake is one of the greatest risk factors for cardiac disease and metabolic disorders.
The good, bad and ugly fats relationship to heart disease.
Most of us can get what we need through a mindful diet, but a great deal of our food is grown in suboptimal soil, so we do sometimes need to supplement. Andrea’s signature supplements include:
MORE ABOUT ANDREA:
Work w/ someone whom Andrea has trained: https://www.fxnutrition.com
+Andrea is sharing the wisdom in a book she is currently writing, due out in late 2024…stay tuned!
CONNECT W/CANDACE + KYLE
Ep 37: The Art and Science of Natural Hormone Balance in Perimenopause and Menopause with Dr Kenna Stephenson, M.D.
Candace & Kyle have another fascinating conversation with Dr. Kenna Stephenson, M.D., a pioneering Family Medicine physician who has dedicated her life’s work to helping women in menopause balance their hormones using the Bioidentical Restoration Model of Care to improve symptoms & quality of life as they age.
Early in her career Dr. Kenna recognized that within the medical profession, there was a notable lack of a scientific approach to menopause medicine, & a tendency among traditional doctors to delegitimate hormonal issues in aging women. Dr. Kenna was all too aware that few, if any, studies in the scientific literature researched the health risks among women in menopause (or perimenopause the years leading up to it), or looked into safer solutions to the ubiquitous use of synthetic hormones shown to have adverse effects over time (increased heart disease, stroke, blood clots, breast cancers).
As a physician dedicated to the art & science of women’s medicine, Kenna knew that there were better alternatives than HRT, as evidenced by the symptom relief & positive health benefits of the patients she had been treating for years with plant-based bioidentical hormones.
As her concerns amplified, Kenna set out to provide hard core evidence that bioidentical hormones are a viable alternative to HRT, one already used in Europe for decades & available to providers & patients in the US. Thus, was conceived the landmark CHOIICE study where researchers led by Dr. Stephenson, looked into the effects of compounded bioidentical hormone therapies in peri & postmenopausal women.
In this follow-up discussion, Dr. Stephenson continues to guide us in the art & science of natural hormone balance, & how the use of plant-based, bioidentical hormones have led to astounding improvements in symptoms & health outcomes in women, on multiple fronts, from cardiovascular & inflammatory to immune, mood & quality of life bio-markers with NO adverse effects.
For Women seeking answers & alternatives to synthetic Hormone Replacement Therapy:
The CHOIICE study; The effects of compounded bioidentical transdermal hormone therapy on hemostatic, inflammatory, immune factors; cardiovascular biomarkers; quality-of-life measures; & health outcomes in perimenopausal & postmenopausal women
The WISE study following women 65-100 years as they age, charting key aging & longevity health factors.
Transdermal progesterone: effects on menopausal symptoms and on thrombotic, anticoagulant, and inflammatory factors in postmenopausal women.
Stephenson K, Neuenschwander PF, Kurdowska AK, Pinson B, Price C. Int J Pharm Compd. 2008 Jul-Aug;12(4):295-304. PMID: 23969765
The bioidentical hormone debate: are bioidentical hormones (estradiol, estriol, and progesterone) safer or more efficacious than commonly used synthetic versions in hormone replacement therapy?
Holtorf K. Postgrad Med. 2009 Jan;121(1):73-85. doi: 10.3810/pgm.2009.01.1949. PMID: 19179815 Review.
Read Dr Kenna’s groundbreaking books:
Awakening Athena, Resilience, Restoration & Rejuvenation for Women: https://www.amazon.com/Awakening-Athena-Resilience-Restoration-Rejuvenation/dp/0975868101
The Holy Gospel of Women’s Health: https://www.amazon.com/Gospel-Womens-Health-Awakening-Athena/dp/B0C4G4J637/ref=sr_1_1?keywords=the+gospel+of+women%27s+health%2C+kenna+stephenson&qid=1687138101&s=books&sr=1-1
Follow Dr. Kenna on YouTube: https://www.youtube.com/@DoctorKenna
CONNECT W/CANDACE + KYLE
Women Talking Frankly
This Podcast has so much valuable information, I am so glad I came across Candace through her and her daughters’ Instagram and website Your Hormone Balance. I have just begun menopause and have learned so much on staying in balance using bio-identical hormones, maintaining a healthy immune system and so much more. I am always learning when I listen. Ep 34 where they interviewed Gabby Reece is a favorite of mine. Gabby has so much knowledge on maintaining health and it’s interesting to hear some of her habits and unique strategies for reaching her goals that apply to many of us. Grateful for this Podcast!
This podcast has been exactly what I’ve been needing. After reading sooooooo many books articles and listening to podcasts I finally found you two that are talking about how I’m feeling! Early onset menopause here at age 39 .... and no Dr has been able to explain to me why I feel the way I do! Headed over to your website to see what my next stop will be on my road to better health and contentment ❤️ thank you so much -I look forward to each episode!
Thank you so much for this, I really appreciate you three. This episode so spoke to me when I needed it! I was feeling very frustrated, stressed and depressed and this message was exactly what so needed. I think the intermittent fasting is what might be what I needed and was starting to play with the Mediterranean diet so that made feel I was on the right path. You actually made me cry, it so spoke to me. Thank you, thank you, thank you!