- 4 hours ago
The Daily Show 2026 04 01 Mary Claire Haver
Category
๐บ
TVTranscript
00:03From the most trusted journalists at Comedy Central,
00:07it's America's only source for news.
00:10This is The Daily Show with your host, Desi Lyons.
00:27Welcome to The Daily Show. I'm Desi Lydeck.
00:30We've got so much to talk about tonight.
00:32The White House ballroom gets cock-blocked.
00:35Louis Black tells us the stupidest way to lose money.
00:38And you won't believe this, but Donald Trump attended a court case
00:41where he's not on trial.
00:43Let's get into the headlines.
00:50Let's begin with the Supreme Court.
00:52The people have ruined more women's lives than eyebrow-plucking.
00:56Today, they took on a historic case to decide
00:59whether every child born in the United States
01:01is automatically an American citizen.
01:03Even kids with annoying names like Grayson or Portobello.
01:06And it's a very tricky question
01:09because on the one hand, it's been enshrined
01:12in the Constitution for 125 years.
01:14But on the other hand, Donald Trump doesn't like it.
01:18So, scales of justice.
01:21And Trump is taking this case very personally.
01:24I'm outside of the Supreme Court in Washington
01:26where President Trump has become the first sitting president
01:29to attend oral arguments at the Supreme Court.
01:33Well, that makes sense.
01:34Trump heard they'd be doing oral and was like, I'm in.
01:44Or maybe he was just hoping to influence the justices.
01:48He's doing this thing with John Roberts or this thing to Clarence Thomas.
01:54Unfortunately for Trump, he's not a great legal scholar,
01:57so he probably thought a Supreme Court argument was going to be like this.
02:00I want the truth! You can't handle the truth!
02:04When actually, it was more like this.
02:06Is the application of that general rule limited only to the situations
02:13that they had in mind when they adopted the general rule,
02:17or do we say they adopted a general rule they meant for that to apply
02:24to later applications that might come up?
02:29Okay, there is no way Donald Trump was still awake at that point.
02:35Isn't this the...
02:37No way.
02:40I mean, isn't this the guy who fell asleep at his own criminal trial?
02:45Now, if you're wondering why birthright citizenship
02:47is such a big problem for Trump,
02:49yesterday he explained that it's all about devious people
02:52exploiting it as a loophole.
02:53Chinese billionaires who are billionaires from other countries
02:57who all of a sudden have 75 children, or 59 children in one case,
03:01or 10 children, becoming American citizens.
03:06Okay, big difference between 75 and 10.
03:1010 is Mormon, 75 is a spider.
03:14Also, counterpoint, have you seen America's test scores?
03:18We need as many Chinese kids as we can get.
03:21Please.
03:23Bring them on.
03:26Gotta cheat off someone.
03:28But that's actually a fair point, okay?
03:30Foreign billionaires shouldn't be able to just buy their way into citizenship.
03:33Finally, we agree on something.
03:35For $5 million, this could be yours?
03:38A gold card.
03:39For $5 million, you buy a path to citizenship in this country.
03:47See, that's weird.
03:49So Trump says he opposes birthright citizenship
03:51because he doesn't want rich people to buy their way into America,
03:54but at the same time, he wants rich people to buy their way into America.
03:59It's almost as if he's bringing up billionaires
04:01for a completely disingenuous reason,
04:03and there's some other group of people
04:05that he wants to stop from becoming citizens.
04:08Gosh, what group am I thinking of?
04:20Sorry, that was just my reminder to turn my ringer off.
04:24Anyway, I guess we'll never know.
04:25But let's move on from birthright citizenship
04:28because the president has another court case to worry about.
04:31Tonight, a federal judge putting the brakes
04:33on construction of President Trump's $400 million ballroom,
04:37declaring the president of the United States
04:39is the steward of the White House
04:41for future generations of first families.
04:43He is not, however, the owner.
04:45It was a 35-page ruling,
04:47and it was quite extraordinary in its writing.
04:50It had 19 exclamation points.
04:5519 exclamation points.
04:57Who is the judge, me, writing a work email?
05:01The court demands an immediate halt in construction,
05:04but no worries if not, exclamation point,
05:06sideways smiley face.
05:08I'm sorry, Donald Trump.
05:10It looks like your precious ballroom is over.
05:13There is no way around this.
05:15No loopholes here.
05:16The judge does allow that they can finish up projects
05:18so that they don't leave the site unsafe.
05:22Oh. Well, sure. Yeah, of course,
05:24you have to patch up the site to make it safe.
05:27I mean, what if Kristi Noem's husband tripped and fell
05:29and popped his enormous kitty?
05:31Yeah.
05:34That would be very dangerous.
05:39But aside from that tiny safety loophole,
05:41the judge was clear.
05:42You are not allowed to build the ballroom.
05:45It's over.
05:46Even you can't talk your way into saying
05:48that this is somehow a positive for you.
05:50This is positive for us.
05:52I'm allowed that, meaning we are allowed to continue building
05:58as necessary to, let's see, what is that?
06:05To cover the safety and security of the White House and its ground.
06:11So it says here very carefully the safety and security have to be protected
06:16in the White House grounds.
06:17Well, that's what we're doing because everything's bulletproof glass,
06:19et cetera, et cetera, including the ballroom.
06:27Son of a bitch.
06:28The judge said no ballroom and President Amelia Bedelia took that to mean
06:33the judge is begging us to build that ballroom.
06:36By the way, bulletproof, et cetera, et cetera.
06:39What was the et cetera?
06:40It's bulletproof and it's ballistic proof.
06:44The roof is drone proof.
06:46We have secure air handling systems.
06:48We have a hospital and very major medical facilities.
06:54We have bio defense.
06:57We have bomb shelters.
07:00Hey, this is intense for a ballroom.
07:04Might, might I suggest if the ballroom starts experiencing ballistic assault,
07:09maybe we just cancel the ball.
07:11No worries if not, exclamation point, hug emoji.
07:22The worst part of all this is that this ballroom isn't even his only DIY project.
07:28He's also starting a new one in Florida.
07:30We're getting our first look at what President Trump's presidential library could look like.
07:34The president posted the video on social media showing renderings of a skyscraper in Miami
07:39with, no surprise, Trump's name on it.
07:42Huh.
07:46Interesting library.
07:47Has Donald Trump ever seen a library before?
07:50Because this just looks like one of his hotels, but it's his library, right?
07:54Not a hotel.
07:55It's going to be most likely a hotel.
07:57It could be office, but it's most likely going to be a hotel.
08:01What a fitting monument to President Trump.
08:04A hotel parading as a presidential library where you can honor his legacy
08:08by cheating on your wife in the Ashley Madison suite.
08:11Guess what?
08:13All the suites are Ashley Madison.
08:22I know...
08:23I know Trump doesn't do anything in the traditional way, whether it's governing or standing, but...
08:31Trump...
08:33Don't you want that classic presidential library or museum?
08:37I don't believe in building libraries or museums.
08:43Reminder, this is him announcing that he is building a library and museum.
08:47And he's like, I don't trust museums.
08:50All the little guys come to life at night and make you learn history.
08:58Honestly, honestly, this sounds like one of the worst ideas Trump has ever had, which is not very easy.
09:04I mean, I can't think of a single good thing about this building.
09:07I wouldn't start until I'm out of office.
09:13Wait, you wouldn't start until you're out of office?
09:23Mr. President, we need this library that is mostly a hotel as soon as possible.
09:34You should leave office and start building it right now.
09:38We can't wait a second longer.
09:40In fact, you might...
09:44You might even need help.
09:46Bring JD with you.
09:47He can supervise.
09:49And yes, yes, we are losing your administration, but we are gaining so much more in Hotelbrary.
09:58No worries if not.
09:59Fingers crossed emoji.
10:09But the Trump Hotel is still just a twinkle in Trump's eye.
10:13For now, his main focus is on that ballroom, if he can overcome all the legal obstacles.
10:19But good news, help may be on the way.
10:22Has this ever happened to you?
10:24You smashed up the east wing of a historic building and started building a ballroom no one asked for because
10:29you really like having balls?
10:30And you need a ballroom to room your ball?
10:33Then you need ball and ball law.
10:35I dedicated my career to ballroom law.
10:38That was a mistake.
10:39But don't let my poor career choices stop you from getting justice.
10:43This is America.
10:45You have the right to demolish anything you want and build a ballroom in its place.
10:49Who's to say the Statue of Liberty shouldn't be the ballroom of liberty?
10:52Mount Rushmore?
10:53More like Mount Ballroom.
10:55Goodbye, Baltimore.
10:57Hello, Ballroom Tamar.
10:58You need us and we need this case.
11:01Please, I have so much debt.
11:03Ballroom law school is like ten times the cost of regular law school.
11:07Because every classroom is a ballroom.
11:10Why?
11:12Call 1-800-BALL-ROOM today.
11:14If you're a debt collector, I'm not here right now.
11:19When we come back, New is Black, Best on America Collapsing.
11:40Welcome back to The Daily Show.
11:42When a news story falls through the cracks, Lewis Black catches it for a segment we call Back in Black.
11:56Since the dawn of time, humans have wondered what the future holds.
12:02Will I get rich?
12:04Will I live long?
12:06Will they ever bring back MILF Manor?
12:10These questions have stumped our greatest profits.
12:13But now, thanks to the internet, we don't have to worry about the future.
12:18We can just bet on it.
12:20Now to an industry skyrocketing in popularity, prediction markets.
12:24The online platforms like Kalshi and Polymarket are where people bet money on the outcome of future events.
12:31You can bet on sports.
12:32You can bet on world events.
12:33You can bet on, like, what song will be on the charts next week.
12:37Wow!
12:38Can I bet on how many times I'm gonna swear during this segment?
12:46I bet it's over ten because this shit is f***ing crazy, bitch.
12:54And that's three.
12:56That's three right there.
12:58Trust me.
12:58Bet the over.
13:01Of course, I remember a simpler time when gambling meant going to the racetrack
13:06and blowing your kid's college fund on a tip from a guy who seemed Italian.
13:13Back then, there were only three things you could bet on.
13:16Sports, dice, and unprotected sex.
13:20You could lose the last one two ways.
13:24An STD or child support.
13:27I can't count how many times I woke up in someone's bed like, uh,
13:33come on, chlamydia!
13:38But thanks to prediction markets, you can now bet on basically anything.
13:44And I mean anything.
13:46You can bet on, or, Kelsey says, invest in,
13:49nearly 3,500 markets on the company's platform.
13:53Things like Oscars, who's gonna be the next Federal Reserve chair.
13:56How many tweets will Elon Musk send in a week?
13:59Who the next James Bond will be?
14:00Who will be a bridesmaid at Taylor Swift's wedding?
14:03Oh, Christ!
14:04That's the stupidest bet I've ever heard!
14:07Any real Swiftie knows Taylor's gonna have a small private service without bridesmaids.
14:14Next time, try listening to the lyrics of her 2010 hit,
14:19Speak Now, you f***ing idiots!
14:24And that's four!
14:27Now, all of this frivolous gambling might have you hoping that the world is ending.
14:33And I have good news.
14:34You can bet on that, too!
14:37According to Polymarket, the odds of Jesus returning this year is 4%.
14:42Jesus Christ!
14:45A 4% chance!
14:48That means, and this is true, Jesus returning has four times better odds than the Jets winning the Super Bowl!
15:02And if that's not bad enough, people put Jesus returning at 4%, and Jeffrey Epstein coming back alive at 5%.
15:14That's right!
15:15It's neck and neck between one of history's greatest monsters and Jeffrey Epstein!
15:22I guess if I knew it, we all knew it!
15:26We're not idiots!
15:28We write for stuff!
15:29We put it out there!
15:30We hope for the best!
15:32I knew this shit was gonna hit us!
15:36God damn it!
15:38Son of a bitch!
15:39And that doesn't count toward my number!
15:45I guess if Jesus is...
15:47The joke, to be honest, is about Jeffrey Epstein!
15:53God damn it!
15:55Son of a bitch!
15:57I hate to have to explain this stuff, but I don't want to go to jail!
16:05Okay, sorry, that was a little extreme.
16:10I guess if Jesus is coming back, I'm gonna need the cash to bribe my way into heaven!
16:18Hey, St. Peter, I know you don't have room for a blasphemous Jew, but what about my friend Ben Franklin?
16:26Now, if you're worried about people losing all their money gambling, don't worry.
16:32A lot of these assholes are cheating.
16:35Massive bets on Trump's war with Iran raising questions of insider trading on the prediction market platform Polymarket.
16:41Hundreds of accounts placed wagers correctly predicting a U.S. strike on Iran before that strike was publicly known.
16:48Among them, an account trading under the username MagaMyMan made nearly a million dollars since the war started.
16:56Great job, MagaMyMan!
16:59I don't know who you are, but I'll keep an eye out for a Rolls Royce with a don't tread
17:05on me flag.
17:06But for all I know, you could be Don Jr., who is an advisor to both Calci and Polymarket.
17:16What the f*** could he possibly advise them on?
17:21Where to drop his large bag of cash?
17:24Don't worry, Calci.
17:26He'll be awake for the next 48 hours.
17:28So the timing is flexible.
17:31But hey, you don't have to be a member of Trump's family to make money on his decisions.
17:37Any Bartlett can do it.
17:39Will Trump say low IQ this week?
17:46Let me tell you, before you even ask, she's a very low IQ person.
17:52Yes!
17:53Wow.
17:55Wow.
17:57That asshole won $100,000 predicting what the president is going to say next.
18:04Trump only says like three f***ing things.
18:07He's like a big mouth billy bass that hates Mexicans.
18:12It's not rocket science, f***ing suckers.
18:17Now, I've sworn ten times in this segment.
18:21Which means, if I say one more swear word,
18:24everyone who listened to me earlier is going to make a killing.
18:28But, I'll let you in on a little secret.
18:31I bet everything on me swearing less than that and took all your money.
18:36Ha, ha, ha, ha, ha, ha, ha.
18:41Oh, better luck next time, assholes.
18:45Oh, ****!
18:55So close.
18:56So close.
18:57Lewis Black, everyone!
19:00For me come back, Dr. Mary Claire Pager will be joining me on the show.
19:14Welcome back to The Daily Show.
19:16My guest tonight is a board-certified OB-GYN,
19:20founder of The Pause Life,
19:21and author of the forthcoming book,
19:23The New Perimenopause.
19:25Please welcome Dr. Mary Claire Haver.
19:48Oh, we are so happy to have you here.
19:52So happy to be here.
19:53This is, thank you for writing this book.
19:55I think this is going to be such an incredible guide
19:57for so many women who are going to be so grateful for you.
20:00An evidence-based guide to surviving the zone of chaos.
20:05Exactly.
20:06The zone of chaos is also what I call my bikini line.
20:09As you should.
20:10When I'm a little overdue for a wax.
20:12So many people have heard about the stage of menopause,
20:15but not a lot of people have heard about the perimenopause stage.
20:19Right.
20:20Walk us through what perimenopause is.
20:23She asks like she doesn't know.
20:25Since you asked.
20:28So medically we define perimenopause as simply the transition
20:31from normal regular menstrual cycles to full menopause.
20:35But it's a whole lot more than that.
20:38And perimenopause begins actually in the brain.
20:41So females, we're going to get a little science-y here.
20:44Go for it.
20:44Females are born with all of our egg supply.
20:47So at birth we have one to two million eggs.
20:49By the time we're 30, we're down to about 10% of that original egg supply.
20:53And by the time we're 40, we're down to 3%.
20:56And full menopause is you're out of eggs.
20:59That's it.
21:00So the reason why we ovulate is because we have signals coming from the brain
21:04when estrogen levels naturally get low that tell the ovary,
21:07okay, let's ovulate this month.
21:09And so for a healthy woman at like 28, pretend.
21:12You know on day 12...
21:13Thanks for guessing my age.
21:15Don't Google it.
21:17So you're going to do this on day 4, this on day 12.
21:20You're going to ovulate on day 14, on and on and on.
21:22And it's just this beautiful predictable cycle
21:24that looks like an EKG month after month after month.
21:27Then we reach a critical egg threshold level
21:29where the signals from the brain stop working as well
21:32because there's not enough eggs to respond.
21:34So the brain starts going crazy,
21:37trying to force our ovaries to get the hormones out.
21:41And so what used to look like this beautiful pattern,
21:44now I take spaghetti, I throw it at the wall,
21:45and this is the next seven years of your life.
21:48Oh, God, that sounds terrible.
21:52With this administration.
21:54Oh, God, help us.
22:02I'm like, I'm sorry, I used...
22:04I just talked to women, so hey, guys.
22:06Yes, there's a lot of men in the audience.
22:08This is so exciting.
22:09Don't worry, they put the men...
22:11Men in perimenopause so that you would listen, too.
22:15So you are included in this conversation.
22:18One of my favorite things in this book
22:20is that you have comments and stories
22:22from actual women who have gone through this.
22:25One woman wrote,
22:26this is like puberty with a vengeance.
22:29My question is, why does God hate women?
22:34You know, this is a normal, natural transition
22:36that 100% of us, if we're lucky to live that long,
22:40will go through.
22:41And the reason why I wrote the book
22:42is so many women are blindsided by the symptoms,
22:45and they shouldn't be.
22:46Like, we don't go through puberty
22:47without someone in our family, in our lives,
22:50guiding us through, this is gonna happen,
22:51you're gonna grow taller, hair's gonna grow in weird places,
22:54and you're gonna just start bleeding everywhere once a month.
22:56Right.
22:56You know, like, you get a heads up about that, right?
22:59Yeah.
22:59And so now we're going through perimenopause,
23:01like, as reverse Blue Lagoon.
23:03I'm dating myself.
23:04Right.
23:04You know, we're all Brooke Shields in the water,
23:06and, like, no one is guiding us through it.
23:08Yeah.
23:09And so women are getting blindsided.
23:10We see, you know, mental health disorders
23:12increase 40% across the transition.
23:15We see women quitting their jobs.
23:16We see, you know, long-term relationships
23:18coming under strain.
23:19And it doesn't have to be this way.
23:21We have lots of tools to help guide you
23:23through this zone of chaos
23:25until you get out on the other side.
23:26So one of the things that I found so interesting,
23:29the way that you explain it,
23:31because I felt it on the other side as a patient
23:33but never understood why,
23:35is this, the evidence-to-practice gap.
23:38Yes.
23:39In the medical world.
23:40Yes.
23:40Explain what that is.
23:41So there is about a 17-year-old,
23:44a 17-year gap from when a study comes out
23:47that is going to change the way we practice medicine
23:50before it is actually assimilated into clinical practice.
23:5417 years.
23:5517 years.
23:56So this could be medication for a heart attack.
23:59This could be, you know, menopause information.
24:01It is 17 years.
24:02Now, something about the internet,
24:04which has become the women's water cooler,
24:06it's how we share medical information now,
24:08is speeding that up.
24:09We are getting, lay people are getting access.
24:12Clinicians are getting more access
24:13because we can now go online
24:14and search the studies ourselves.
24:16So I think that is speeding up.
24:18But if I wait 17 years for this study that I read
24:21and then try to wait for the guidelines to change
24:23and then, you know, to go to a medical conference
24:25and then they talk about it and then I start trying it,
24:28I'm going to have a patient, like,
24:29lose her entire perimenopause.
24:31Right, right.
24:31And the ability to get her treated.
24:33Well, and you bring up the internet,
24:35which I'm grateful that so many more women
24:37are talking about it.
24:38You're leading the charge.
24:39It's actually how we met on social media
24:42because I was a patient.
24:43Well, I find all my new friends.
24:44Yes.
24:44Is in my DMs.
24:45Same.
24:46Just slide into those DMs.
24:48Doctors all over the place.
24:50But that was happening to me.
24:52And I love my doctors,
24:53but I was experiencing symptoms
24:54that I thought were hormonal.
24:56And I had a doctor ready to just write a prescription
25:00for Lexapro and send me on my way.
25:02And I am all for antidepressants, anti-anxiety meds,
25:06if needed, but I was feeling like this was,
25:08I didn't even get to have the hormonal conversation.
25:10Right.
25:12That's a problem.
25:13One help because in medical school,
25:15so I'm going to date myself.
25:17I was in medical school from 94 to 98.
25:19We had one one-hour lecture on menopause,
25:22nothing on perimenopause.
25:23Okay.
25:24Then I graduate.
25:25And from 98 to 2002,
25:27I'm in my OBGYN residency program,
25:29which was amazing.
25:29And I learned so many important things.
25:31You know, we're surgeons, we're obstetricians,
25:33we're gynecologists.
25:33We do so much.
25:35We did not have a menopause clinic,
25:37a perimenopause clinic.
25:38All I learned about perimenopause
25:39was how to pronounce it.
25:41And so nothing about the zone of chaos,
25:44like that, it just wasn't,
25:45we didn't, there was no treatment.
25:46There's never been a single large-scale study
25:49on the treatment of perimenopause.
25:51And so now it's kind of consensus opinion.
25:54Thank God for the menopause,
25:55my friends in the menopause world,
25:57all the menopause certification.
25:58There's now a menopause society.
26:00So we're getting there,
26:01but you know, it's really unreasonable
26:03for you to think you can go to your great OBGYN
26:05or your family medicine or internist
26:07if they haven't sought training
26:08outside of the residency program,
26:10most likely they're not going to be able
26:12to connect the dots between hormone changes
26:14and brain fog,
26:15hormone changes and sleep disruption,
26:17hormone changes and mental health changes,
26:19which is really the first signs of perimenopause
26:22in the brain.
26:23Right.
26:23Not your periods, not your hot flashes.
26:25Those are late perimenopause.
26:27That's the end.
26:28Really the first things that our patients are seeing,
26:30and I see the nods going on in the audience,
26:32is I'm not sleeping,
26:34I'm struggling at my job,
26:36I'm having executive dysfunction,
26:38like ADHD-type symptoms,
26:39and I'm either anxious, ragey,
26:41or depressed.
26:42We're all three.
26:43Oh.
26:46Talk about potential solutions.
26:49So we've all heard about hormone replacement,
26:50well, some of us have heard about
26:51hormone replacement therapy,
26:53it was good, then it was bad,
26:55now it might be good again.
26:57Can you, there was a study that came out.
27:00So there was a landmark study,
27:02it was pretty exciting that finally
27:04we were going to study women
27:05outside of reproduction.
27:07It was really,
27:08I was very excited about the study,
27:10and it was to see if hormone therapy
27:12would actually decrease the rate of heart disease.
27:14Right.
27:15We thought it would because of anecdotal evidence
27:18and observational studies,
27:20but we need randomized control studies to say
27:21this medicine actually does this.
27:23So it had, you know,
27:25tens of thousands of patients enrolled,
27:26but the average age of the patient
27:28was a lot older than average age of menopause.
27:30It was 63 because they were trying to see,
27:32is she going to have a heart attack or not?
27:33Right.
27:33You know, from, with HRT,
27:35is it going to make it better
27:35or not make it better
27:37or make it worse potentially?
27:39So when the first initial rolling out
27:42of the studies came,
27:43they thought they saw a potential increase,
27:46it wasn't statistically significant,
27:47of breast cancer,
27:48but they led with a press conference
27:50where most of the people on the paper
27:52weren't allowed to attend,
27:53and it was this very dramatic,
27:56estrogen causes breast cancer,
27:57and, like, that was the shot heard around the world.
27:59It was the number one medical news story of 2002.
28:01I remember sitting in my residency
28:03hearing about this,
28:05and we were recommending hormone therapy
28:07to almost everyone, right,
28:09who was a good candidate,
28:10and all of a sudden it was like,
28:11stop, you might give her cancer,
28:13and it was so hard to get that genie
28:15back in the bottle.
28:16It's taken 23 years
28:17for us to really reanalyze the data
28:20and say, actually, this is really safe
28:21for the vast majority of patients.
28:23We can start in perimenopause.
28:25We can decrease her risk of heart attacks.
28:27We'll definitely protect her bones,
28:29and it is the gold standard treatment
28:30for hot flashes.
28:32Oh, and this just,
28:33you just got the black box warning removed.
28:36Yes, so what came with that study
28:37was this crazy, scary black box warning
28:40that was, you open up your medication,
28:42and there's a big box in black
28:44that says this medicine basically can kill you, okay,
28:47and that's not what the study said,
28:50and so patients would get their prescription
28:52all excited to go home
28:53and get their symptoms relieved,
28:54even for vaginal estrogen.
28:55Can I say vaginal on national TV?
28:57I mean, he said,
28:58this is basic cable.
29:00You can say whatever the f*** you want.
29:03Okay.
29:05Okay.
29:06Vagina, vagina, vagina.
29:08Okay, I can say it.
29:09So yeah, the vaginal estrogen,
29:11so several, you know,
29:14this has been,
29:15we've asked the FDA for decades
29:17to remove this black box warning.
29:18It was not warranted for this medication.
29:20So finally, in November,
29:22we were able to,
29:23the FDA was able to take the warning label down.
29:28Which has caused a shortage of estrogen patches.
29:31Is that right?
29:32Yes.
29:32So now we have a shortage of estrogen patches.
29:34So anybody want to open an estradiol factory,
29:37I'll invest.
29:38Because it is really hard to find them right now.
29:41Oh, we got some hormonal women
29:43during an authoritarian regime.
29:45Look the f*** out.
29:49Women need their hormones.
29:51There's,
29:53Alzheimer's has affected both of our families.
29:56Yeah.
29:57Talk about the connection,
29:59the potential connection
30:00between Alzheimer's and perimenopause menopause.
30:03So two thirds of Alzheimer's patients are female.
30:07So there's a huge,
30:09much higher risk for women versus men.
30:11Did you guys know that?
30:12Yeah.
30:13So two thirds.
30:15And most of it is not genetic, right?
30:1798% of Alzheimer's is a non-genetic component.
30:20You don't have that ApoE4 gene.
30:22And so when we look at the risks,
30:24it's definitely something about being female,
30:26like losing your hormones.
30:28And then of course,
30:29there's lots of lifestyle things as well.
30:32What we know about hormone therapy
30:33is we have to,
30:34no one's doing new studies on hormone therapy, sadly.
30:37So we have to extrapolate from the older studies.
30:38It doesn't appear to be harmful.
30:41So going on hormone therapy
30:42is not going to increase your risk
30:44of developing Alzheimer's.
30:45What we think is that
30:46you're going to have secondary benefit
30:48in lowering inflammation,
30:50living healthier,
30:50having stronger bones,
30:52potentially less heart disease.
30:53That will also help keep your brain healthier.
30:56But, you know,
30:57women are owed centuries of research here, Desi.
31:00So I go to PubMed,
31:02which is where I look up research articles, right?
31:04And I type in the word pregnancy.
31:051.2 million articles today, okay?
31:08Important.
31:09We need healthy pregnancies.
31:10I love being an obstetrician
31:12when I used to do it.
31:13My 50th birthday present
31:14was stop delivering babies to myself
31:16because if they didn't come at 3 a.m.,
31:17I'd still be doing it.
31:19Congratulations.
31:20So, yeah.
31:21And I type in the word menopause
31:24and we have about 99,000.
31:2712 to 1.
31:28So that's brain power.
31:29That's NIH funding.
31:30That is academic institutions.
31:32You know,
31:32that is what we're focusing on in women's health.
31:34If I type in the word perimenopause,
31:369,000.
31:38Wow.
31:399,000.
31:39Wow.
31:40So we have a lot of work to do here.
31:42Yeah.
31:42And, you know,
31:43this book is a guide
31:45to help you get tools, resources,
31:47know what questions to ask
31:48so that you can go through this transition
31:51as healthy as possible.
31:52Yeah.
31:52And get these habits locked in,
31:54the lifestyle habits,
31:55so that you don't suffer.
31:56My patients,
31:57when they come to see me,
31:59we put out the fire of menopause, right?
32:00She's not functioning.
32:01She can't sleep.
32:02She's, you know,
32:03she's in crisis.
32:04We calm her down.
32:05Okay.
32:06Then we start looking
32:07at the next 30 years.
32:09And we say,
32:10maybe not with this current administration,
32:12but, you know,
32:13you know,
32:14we say,
32:14what,
32:16how do your,
32:16how did your mother age?
32:17How did your grandmother age?
32:18And I don't have a single patient
32:20who wants to be Brian Johnson,
32:21God bless him,
32:21and live to 120.
32:23Yes.
32:23You know,
32:24any of you ladies
32:24want to live to 120?
32:26No, right?
32:26And so,
32:27Not in this economy.
32:29Who can afford it?
32:30Right.
32:31Who can afford it?
32:32They don't want to be a burden
32:33on their children.
32:34They want the years they have
32:36to be full years
32:37without loss of independence.
32:38And what we're both dealing with
32:39in our family
32:40is having women in our family
32:42who are suffering from dementia,
32:45you know,
32:45due to Alzheimer's
32:46that maybe had some choices,
32:48you know,
32:48we could have limited this
32:49or delayed it,
32:51you know,
32:51and I want that,
32:52I don't want this to be
32:53the inevitable for my children.
32:54Right.
32:54So for my two daughters.
32:56So we start making the plans
32:58in that visit
32:59after we get the hot flashes stopped
33:00and her sleeping
33:01and her feel like
33:02she's got her life back.
33:03How much fiber are you getting?
33:05What kind of exercise are you doing?
33:06How's your stress?
33:07Are you in therapy?
33:08You know?
33:09And so all the tools
33:10that she needs
33:11so that she can live her best life
33:13for as long as possible.
33:15So it feels like
33:17a lot of this
33:18kind of falls on
33:19the shoulders of women themselves
33:20to take it upon themselves,
33:22get educated,
33:23know their bodies,
33:25go in and have conversations
33:27with their doctors.
33:28What advice would you give them
33:29to best advocate for themselves?
33:32So educate yourself
33:33as much as possible.
33:34Try to find someone
33:35who's menopause certified.
33:36You can go to menopause.org,
33:38order our website
33:39at thepawselife.com.
33:40We have a list of providers
33:41who have been recommended
33:42by thousands of our followers
33:44and they give a little testimonial
33:46and we organize them
33:46by city and state.
33:47And the Menopause Society
33:48has a list of certified providers
33:50on their website.
33:51That's all over the United States
33:52and in Canada.
33:53So there are resources available.
33:56But just plan.
33:58It's not a well-woman visit.
33:59That's the other thing.
34:00So if you're going to use insurance,
34:02this is not your well-woman exam.
34:03Your well-woman exam
34:04is to get your breast exam,
34:06your pap smear,
34:06and all the basics.
34:07This is a separate visit
34:09for you to really have the time,
34:11not in stirrups,
34:12so that you can discuss your...
34:15Don't bring my stirrups.
34:16Got it.
34:19Yeah, so that you can
34:20get the most out of your visit
34:22and hopefully have someone
34:23educated enough
34:24to connect the dots
34:26and help you.
34:26Excellent advice.
34:28Do men experience perimenopause?
34:31Is that like buying a Corvette?
34:33Is that...
34:35So women's hormones
34:37fall off a cliff.
34:38Oh, yeah.
34:39So we go through chaos
34:40and then it falls...
34:42And then men's have
34:42a slow, gentle decline.
34:45Oh, don't.
34:45They're so gentle.
34:46They need to be gentle with them.
34:49That makes sense.
34:50What is your hope
34:52that women take away
34:53from this wonderful time?
34:54You know, this is an inevitable
34:55and very normal transition.
34:57It happens to 100% of us
34:58if we're lucky
34:59to live long enough.
35:00But you should never
35:01suffer through it.
35:02Ever.
35:02There should be zero suffering.
35:04And that you come out of it
35:05on the other end.
35:06I'm 57 years old.
35:07I'm fully menopausal.
35:08And I am living my best life.
35:10Yes.
35:15I want that for everyone.
35:17Here's to living our best lives.
35:19Cheers.
35:19Yes, cheers.
35:20Living our best lives.
35:21The new paramedopause
35:23comes out April 7th
35:24and is available for pre-order.
35:26Dr. Mary Claire Haber!
35:29We're going to take a quick break.
35:30We're over right now.
35:48There's a bit of drama in the street,
35:51outside number 10's front door
35:53during that press conference
35:54when Larry the cat,
35:55been around here for a long time,
35:56was filmed by my colleague Steve,
35:58the cameraman,
35:59catching a mouse
36:00and killing it
36:01and eating it.
36:02It's the first time
36:03I've ever seen Larry the cat
36:04do anything useful
36:05in Downing Street.
36:06He normally appears
36:07to pose for photographs,
36:08but now, finally,
36:09he's catching a mouse.
36:11Sorry.
36:12I'm sorry.
36:14I'm sorry.
Comments