cover of episode How to track your menopause symptoms | Dr. Sarah Berry and Tamsen Fadal

How to track your menopause symptoms | Dr. Sarah Berry and Tamsen Fadal

2024/12/5
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ZOE Science & Nutrition

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Sarah Berry
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Tamsen Fadal
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专注于电动车和能源领域的播客主持人和内容创作者。
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Tamsen Fadal:分享了她49岁时在直播电视节目中突然出现更年期症状的经历,以及此后一年多来症状持续严重影响她的生活和职业生涯的经历。她强调了更年期症状的多样性和严重性,以及女性在应对更年期症状时普遍缺乏准备和支持。她还谈到了更年期女性面临的羞耻感和社会压力,以及更年期对女性职业生涯的负面影响。她提倡公开讨论更年期问题,并分享了她通过改变生活方式和寻求专业帮助来改善症状的经验,包括改善睡眠、调整饮食和进行激素替代疗法。 Sarah Berry:作为一名营养学教授和科学家,她介绍了更年期症状的科学解释,包括雌激素水平下降和波动对身体各个系统的影响。她分享了基于ZOE研究的数据,指出更年期症状远不止潮热和盗汗,还包括睡眠障碍、记忆力减退、易怒、焦虑、抑郁、性欲减退、体重增加和新陈代谢减慢等多种症状。她强调了更年期对女性健康和患病风险的影响,并指出肠道微生物组与更年期症状之间存在关联。她介绍了ZOE团队开发的MenoScale计算器,以及ZOE会员计划如何通过个性化营养建议帮助女性改善更年期症状。 Jonathan Wolfe:作为主持人,他引导讨论,并总结了更年期症状的复杂性和多样性,以及女性在应对更年期挑战时所面临的困境。他强调了更年期症状对女性身心健康和职业生涯的影响,并呼吁更多关注和支持。他总结了嘉宾分享的应对更年期症状的策略,包括改善睡眠、调整饮食、进行激素替代疗法以及寻求专业帮助。

Deep Dive

Key Insights

Why are women often unprepared for menopause symptoms?

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.

What happened to Tamsen Fadal during a live TV broadcast?

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.

How many symptoms of menopause have been identified?

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.

What is the Menoscale Calculator, and how does it help women?

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.

How does estrogen affect fat distribution during menopause?

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.

What role does the gut microbiome play in menopause symptoms?

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.

How can diet help alleviate menopause symptoms?

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.

What are the most common symptoms of menopause, aside from hot flashes?

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.

Why do menopause symptoms reduce over time?

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.

How does menopause impact women's health beyond symptoms?

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.

Chapters
The podcast starts by introducing the vast range of menopause symptoms, far exceeding the commonly known hot flashes and night sweats. It highlights the guest's experience of discovering her menopause symptoms on live TV and introduces the experts who will discuss the science behind menopause and its impact on health and work life.
  • Over 50 menopause symptoms exist, many beyond hot flashes and night sweats.
  • Menopause symptoms significantly impact women's lives and careers.
  • The Menoscale calculator helps track and understand symptoms.

Shownotes Transcript

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

The Food For Life Cookbook)

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)

Have feedback or a topic you'd like us to cover? Let us know here).

Episode transcripts are available here).