Women are often unprepared because previous generations, including their parents, did not openly discuss menopause. This lack of communication leaves women unaware of what to expect, leading to confusion and fear when symptoms arise.
Tamsen Fadal experienced a sudden, intense hot flash during a live TV broadcast, causing her to break out in sweat, feel her heart racing, and fear she wouldn't make it through the next segment. She had to leave the studio and cool down on the bathroom floor.
There are over 50 identified symptoms of menopause, ranging from common ones like hot flashes and night sweats to less commonly discussed symptoms like brain fog, anxiety, and weight gain.
The Menoscale Calculator is a free tool developed by Dr. Sarah Berry that allows women to track their menopause symptoms and their impact on quality of life. It provides a score and helps women monitor changes in their symptoms over time, making it easier to identify what treatments or lifestyle changes are effective.
Estrogen directs fat to the hips in premenopausal women, but during menopause, as estrogen levels decline, fat is redistributed to the stomach. This change is due to the reduction in estrogen, which no longer guides fat to the hips.
The gut microbiome changes during menopause, with an increase in certain 'bad' bacteria associated with inflammation. These changes are linked to a higher number of menopause symptoms, particularly psychological ones like anxiety and brain fog.
A personalized nutrition program, such as the one offered by ZOE, can reduce menopause symptoms by up to 35%. Specifically, a diet rich in plant-based foods, fiber, and healthy fats can help manage symptoms, especially psychological ones like brain fog and anxiety.
The most common symptoms of menopause, aside from hot flashes, include sleep disturbances, memory loss, irritability, anxiety, depression, low libido, weight gain, and slowed metabolism. These symptoms affect over 80% of women in perimenopause.
Menopause symptoms reduce over time because the body adapts to the hormonal changes. During perimenopause, hormones like estrogen fluctuate wildly, causing intense symptoms. As the body stabilizes post-menopause, symptoms become less severe.
Menopause increases the risk of various health issues, including cardiovascular disease, type 2 diabetes, and obesity-related illnesses. This is due to changes in blood pressure, cholesterol, inflammation, and insulin sensitivity, which all worsen after menopause.
Most women will recognize one or two symptoms of menopause - the infamous hot flashes or weight gain. But there’s also brittle nails, tingling in your hands and changes to your taste buds. In fact, there are more than 50 symptoms of menopause.
Today’s guest, Tamsen Fadal, found out she was in menopause while on live TV. Tamsen is an Emmy award winning journalist and executive producer of the documentary “The M Factor: Shredding the Silence on Menopause”. She’s got a new book titled “How to Menopause”.
Tamsen is joined by Dr. Sarah Berry. Sarah runs the world’s largest study on nutrition and menopause here at ZOE. She developed a free tool called the MenoScale calculator that helps you track your symptoms so you can find relief. Sarah is a world leader in large-scale human nutritional studies, associate professor in nutrition at King’s College London and Chief Scientist at ZOE.
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Timecodes
00:00 34 symptoms of menopause
01:50 Quick fire questions
03:48 A scary moment on live TV
07:25 Feeling shame in menopause
08:20 What’s happening to your hormones?
12:40 12 months without a period
14:01 How long do symptoms last?
15:31 New science on symptoms
24:40 How estrogen changes fat distribution
29:10 Gut microbiome and menopause
36:00 Menopause symptoms in the workplace
48:18 Easy menopause food hacks
51:50 Brand new symptom tracker
📚Books by our ZOE Scientists
Every Body Should Know This by Dr Federica Amati)
Food For Life by Prof. Tim Spector)
Free resources from ZOE
Live Healthier: Top 10 Tips From ZOE Science & Nutrition)
Gut Guide - For a Healthier Microbiome in Weeks)
Mentioned in today's episode
ZOE Studies on Menopause: abstracts)
Menopause: Introducing a new way to understand your experience)
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Episode transcripts are available here).