Brigid Titgemeier, who has worked with thousands of menopausal women, says their symptoms are real but routinely dismissed. Doctors miss key biomarkers like high-sensitivity C-reactive protein and fasting insulin. Nutrition and lifestyle changes can reduce inflammation and insulin resistance, whether or not a woman takes hormone replacement therapy.
Women as they're experiencing perimenopause and menopause, and they're dealing with a whole host of different symptoms that can range from anxiety to mood swings to depression to increased risk of cognitive decline, hot flashes, vaginal dryness, increases in so many other symptoms and an increase in a lot of labs, like increases in cholesterol and increases in blood sugar as insulin sensitivity goes down. So there's a lot of changes that are happening. Women are very dismissed across the board. This is an experience that I have had in working with thousands of women over the last 10 years. My dietitians and I see this in many, many of our clients, that they aren't getting the answers. They aren't having a physician who regularly and proactively even tracks their labs and the changes to their labs within a six month or a one year timeframe. When I say is tracking labs, I mean comprehensively, like looking at super important markers like HSCRP and fasting insulin and a lot of markers that end up being missed. But then there's also not any discussion around the importance of nutrition and lifestyle interventions for mitigating these symptoms and effects. So we have women every single day that come into our ego system through our programs that are experiencing symptoms they aren't getting answers to. Their nutrition is very much impacting the underlying chronic inflammation or the insulin sensitivity or other things that are already exacerbated from the changes to their hormones. And this is whether they're on hormone replacement therapy or not. Hormone replacement therapy can be very important if you know you're a great candidate for it, if it's initiated early enough, close enough to menopause that you're not then increasing your risk of things like heart disease. And I am, absolutely. I think that the work that these physicians are doing is so, so important, and I 100% stand behind them. And then I also want to expand the conversation to say, how can we focus more on the role of nutrition in lifestyle as we're, we're going through this transition as well, because it really matters.
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