Amy Alkon: The Real Science of Menopause

0:00 – Intro: Amy Alkon on her book Going Menopostal
1:21 – Freezing sperm, Venice, and Palm Springs
3:37 – A hot flash and the start of the book
4:50 – Sander Greenland and reading medical research
5:21 – Fighting Kaiser for progesterone
6:55 – Most medical care isn't evidence-based
8:44 – Gynecologists untrained in menopause care
12:42 – Fast metabolizers and estrogen dosing
13:57 – The Women's Health Initiative study myth
16:01 – Why Amy wrote the book in plain language
16:57 – Why hot flashes are harmful
18:14 – Being your own advocate
19:34 – Lipoprotein(a), carnivore diet, and estrogen
21:12 – Low-carb eating and slow-speed weight training
23:31 – Amy's carnivore diet and a corneal transplant
25:57 – Steroid overdosing and side effects
28:59 – Metabolic health and a misdiagnosis
32:01 – Lou's family heart history and lab numbers
36:11 – LDL particle size and HDL particle tests
39:51 – Heart disease, estrogen, and the critical window
40:54 – Protein panic and women lifting weights
42:17 – Basal temperature testing in perimenopause
43:46 – Progesterone, sleep, and insomnia
46:04 – Talking to doctors and defensive medicine
48:41 – Can menopause ever be reversed?
51:52 – Randolph Nesse and symptoms-as-disorders errors
53:08 – The one evidence-based doctor Amy knows
55:04 – Denied the right estrogen dose
57:44 – Compounded drugs, generics, and the FDA
1:00:02 – Wrap-up and Amy's Substack