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The Daily Show 2026 04 01 Mary Claire Haver
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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.
18:45Ha, ha, ha, ha, HA ha.
18:51Ha, ha, ha, ha, ha.
18:54So close.
18:56So close.
18:57Louis Black everyone!
19:00wonderful!
19:02Mary-Claire Haver will be joining you on the show.
19:04So don't go away.
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 sciencey here.
20:44Go for it.
20:44Females are born with all of our egg supply.
20:47Right.
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.
21:22It's just this beautiful predictable cycle that looks like an EKG month after month after month.
21:27Then we reach a critical egg threshold level where 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 trying to force our ovaries to get the hormones out.
21:41And so what used to look like this beautiful pattern, now I take spaghetti,
21:45I throw it at the wall and 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, I 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 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 is that you have comments and stories
22:22from actual women who have gone through this.
22:24One woman wrote, this is like puberty with a vengeance.
22:30My question is, why does God hate women?
22:34You know, this is a normal, natural transition that 100% of us,
22:38if we're lucky to live that long, will go through.
22:41And the reason why I wrote the book is so many women are blindsided by the symptoms
22:45and they shouldn't be.
22:46Like, we don't go through puberty without someone in our family, in our lives,
22:50guiding us through, this is going to happen, you're going to grow taller,
22:52hair is going to grow in weird places,
22:53and you're going to 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, like, as reverse Blue Lagoon.
23:03I'm dating myself.
23:04Right.
23:04You know, we're all brook shields in the water and, like, no one is guiding us through it.
23:08Yeah.
23:08And so women are getting blindsided.
23:10We see, you know, mental health disorders increase 40% across the transition.
23:14We see women quitting their jobs.
23:16We see, you know, long-term relationships coming under strain.
23:19And it doesn't have to be this way.
23:21We have lots of tools to help guide you through this zone of chaos until you get out on the
23:26other side.
23:26So one of the things that I found so interesting, the way that you explain it,
23:31because I felt it on the other side as a patient but 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.
23:42So there is about a 17-year gap from when a study comes out that is going to change the
23:49way 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.
23:58This could be, you know, menopause information.
24:01It is 17 years.
24:02Now, something about the Internet, which has become the women's water cooler,
24:06it's how we share medical information now, is speeding that up.
24:09We are getting, lay people are getting access, clinicians are getting more access,
24:13because we can now go online and 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 and then try to wait for the guidelines
24:23to change
24:23and then, you know, to go to a medical conference and then they talk about it and then I start
24:27trying it,
24:28I'm going to have a patient, like, lose her entire perimenopause.
24:31Right.
24:31Right.
24:32And the ability to get her treated.
24:33Well, and you bring up the Internet, which I'm grateful that so many more women are talking about it.
24:38You're leading the charge.
24:39It's actually how we met on social media because I was a patient.
24:43Where 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, but I was experiencing symptoms that I thought were hormonal.
24:57And I had a doctor ready to just write a prescription for Lexapro and send me on my way.
25:02And I am all for antidepressants, anti-anxiety meds, if needed.
25:06But I was feeling like this was...
25:08Something else is going on.
25:09I didn't even have the hormonal conversation.
25:11Right.
25:12That's a problem.
25:13One help.
25:14Because in medical school, so 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, I'm in my OB-GYN residency program, which was amazing.
25:29And I learned so many important things.
25:31You know, we're surgeons.
25:32We're obstetricians.
25:33We're gynecologists.
25:33We do so much.
25:35We did not have a menopause clinic, a perimenopause clinic.
25:37All I learned about perimenopause was how to pronounce it.
25:41And so nothing about the zone of chaos.
25:44Like, it just wasn't.
25:45There was no treatment.
25:46There's never been a single large-scale study on the treatment of perimenopause.
25:51And so now it's kind of consensus opinion.
25:54Thank God for the menopause, my friends in the menopause world, all the menopause certification.
25:58There's now a menopause society.
25:59So we're getting there.
26:01But, you know, it's really unreasonable for you to think you can go to your great OB-GYN or your
26:05family medicine or internist
26:07If they haven't sought training outside of the residency program, most likely they're not going to be able to connect
26:12the dots between hormone changes and brain fog,
26:15hormone changes and sleep disruption, hormone changes and mental health changes, which is really the first signs of perimenopause in
26:22the brain.
26:23Right.
26:23Not your periods, not your hot flashes.
26:25Those are late perimenopause.
26:27That's the end.
26:27Really, the first things that our patients are seeing, and I see the nods going on in the audience, is
26:33I'm not sleeping.
26:34I'm struggling at my job.
26:36Yes.
26:36I'm having executive dysfunction, like ADHD-type symptoms.
26:39Yes.
26:39And I'm either anxious, ragey, or depressed.
26:43We're all three.
26:43Oh.
26:46Talk about potential solutions.
26:49So we've all heard about hormone replacement, well, some of us have heard about hormone replacement therapy.
26:53It was good.
26:54Then it was bad.
26:55Now it might be good again.
26:57Can you, there was a study that came out.
27:00It's a pendulum.
27:00So there was a landmark study.
27:02It was pretty exciting that finally we were going to study women outside of reproduction.
27:07It was really, I was very excited about the study.
27:10And it was to see if hormone therapy would actually decrease the rate of heart disease.
27:14We thought it would because of anecdotal evidence and observational studies, but we need randomized control studies to say this
27:22medicine actually does this.
27:23So it had, you know, tens of thousands of patients enrolled, but the average age of the patient was a
27:28lot older than the average age of menopause.
27:30It was 63 because they were trying to see is she going to have a heart attack or not, you
27:33know, from with HRT.
27:35Is it going to make it better or not make it better or make it worse, potentially?
27:38So when the first initial rolling out of the studies came, they thought they saw a potential increase.
27:46It wasn't statistically significant of breast cancer, but they led with a press conference where most of the people on
27:52the paper weren't allowed to attend.
27:54And it was this very dramatic estrogen 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 hearing about this and we were recommending hormone therapy to almost everyone, right, who
28:09was a good candidate.
28:10And all of a sudden it was like, stop, you might give her cancer.
28:13And it was so hard to get that genie back in the bottle.
28:16It's taken 23 years for us to really reanalyze the data and say, actually, this is really safe for the
28:22vast 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 for hot flashes.
28:32Oh, and this just, you just got the black box warning removed, right?
28:36Yes, so what came with that study was this crazy, scary black box warning that was, you open up your
28:42medication and there's a big box in black that 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 all excited to go home and get their symptoms relieved, even for vaginal
28:55estrogen.
28:55Can I say vaginal on national TV?
28:57I mean, he said, this is basic cable.
29:00You can say whatever the f**k you want.
29:02Okay.
29:05Okay.
29:06Vagina, vagina, vagina.
29:08Okay.
29:08I can say it.
29:09So, yeah, the vaginal estrogen.
29:11And so, but, so several, you know, this has been, we've asked the FDA for decades to remove this black
29:18box warning.
29:18It was not warranted for this medication.
29:20So, finally, in November, we were able to, the FDA was able to take the warning label down.
29:28Which has caused a shortage of estrogen patches.
29:31Is that right?
29:32Yes.
29:32Now we have a shortage of estrogen patches.
29:34So, anybody want to open an estradiol factory, I'll invest because it is really hard to find them right now.
29:41Oh, we got some hormonal women during an authoritarian regime.
29:45Look the f**k out.
29:49Women need their hormones.
29:53There's, Alzheimer's has affected both of our families.
29:56Yeah.
29:57Talk about the connection, the potential connection between Alzheimer's and perimenopause menopause.
30:03So, two-thirds of Alzheimer's patients are female.
30:07So, there's a huge, much higher risk for women versus men.
30:11Did you guys know that?
30:12Yeah.
30:13So, two-thirds.
30:14And 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, it's definitely something about being female, like losing your hormones.
30:28And then, of course, there's lots of lifestyle things as well.
30:32What we know about hormone therapy is we have to, no one's doing new studies on hormone therapy, sadly.
30:37So, we have to extrapolate from the older studies.
30:39It doesn't appear to be harmful.
30:41So, going on hormone therapy is not going to increase your risk of developing Alzheimer's.
30:45What we think is that you're going to have secondary benefit in lowering inflammation,
30:49living healthier, having stronger bones, potentially less heart disease.
30:53That will also help keep your brain healthier.
30:56But, you know, women are owed centuries of research here, Desi.
31:00So, I go to PubMed, which 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 when I used to do it.
31:13My 50th birthday present was stop delivering babies to myself because if they didn't come at 3 a.m., I'd
31:17still be doing it.
31:18So, yeah.
31:21And I type in the word menopause, and we have about 99,000, 12 to 1.
31:28So, that's brain power.
31:29That's NIH funding.
31:30That is academic institutions.
31:32You know, that is what we're focusing on in women's health.
31:34If I type in the word perimenopause, 9,000.
31:38Wow.
31:399,000.
31:39Wow.
31:40So, we have a lot of work to do here.
31:42Yeah.
31:42And, you know, this book is a guide to help you get tools, resources, know what questions to ask, so
31:49that you can go through this transition as healthy as possible.
31:52Yeah.
31:52And get these habits locked in, the lifestyle habits, so that you don't suffer.
31:57My patients, when they come to see me, we put out the fire of menopause, right?
32:00She's not functioning.
32:01She can't sleep.
32:02She's, you know, she's in crisis.
32:04We calm her down, okay?
32:06Then we start looking at the next 30 years, and we say, maybe not with this current administration, but, you
32:12know, we say, what, how did your mother age?
32:17How did your grandmother age?
32:18And I don't have a single patient who wants to be Brian Johnson, God bless him, and live to 120.
32:23Yes.
32:23You know, any of you ladies want to live to 120?
32:26No, right?
32:27And so...
32:27Not in this economy.
32:29Who can afford it?
32:31Right.
32:31Who can afford it?
32:32They don't want to be a burden on their children.
32:34They want the years they have to be full years without loss of independence.
32:38And what we're both dealing with in our family is having women in our family who are suffering from dementia,
32:44you know, due to Alzheimer's, that maybe had some choices.
32:48You know, we could have limited this or delayed it.
32:50You know, and I want that.
32:52I don't want this to be the inevitable for my children.
32:54Right.
32:55So, for my two daughters.
32:56So, we start making the plans in that visit after we get the hot flashes stopped and her sleeping and
33:01her feel like she's got to sleep.
33:02She's got her life back.
33:03How much fiber are you getting?
33:04What 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 that she needs so that she can live her best life for as long as
33:14possible.
33:15So, it feels like a lot of this kind of falls on the shoulders of women themselves to take it
33:21upon themselves, get educated, know their bodies, go in and have conversations with their doctors.
33:28What advice would you give them to best advocate for themselves?
33:32So, educate yourself as much as possible.
33:34Try to find someone who's menopause certified.
33:36You can go to menopause.org, order our website at thepawselife.com.
33:40We have a list of providers who have been recommended by thousands of our followers, and they give a little
33:45testimonial, and we organize them by city and state.
33:48And the Menopause Society has a list of certified providers on their website.
33:51That's all over the United States and 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, this is not your well-woman exam.
34:03Your well-woman exam is to get your breast exam, your pap smear, and all the basics.
34:07This is a separate visit for you to really have the time, not in stirrups, so that you can discuss
34:14your...
34:14Don't bring my stirrups.
34:16Got it.
34:18Got it.
34:19Yeah, so that you can get the most out of your visit and hopefully have someone educated enough to connect
34:25the dots and help you.
34:26Excellent advice.
34:28Do men experience perimenopause?
34:31Is that like buying a Corvette?
34:33Is that...
34:36So, women's hormones fall off a cliff.
34:38Oh, yeah.
34:39Yeah, so we go through chaos, and then it falls...
34:42And then men's have a slow, gentle decline.
34:45Don't.
34:45They're so gentle.
34:46They need to be gentle with them.
34:49That makes sense.
34:50What is your hope that women take away from this wonderful time?
34:54You know, this is an inevitable and very normal transition.
34:57It happens to 100% of us if we're lucky to live long enough, but you should never suffer through
35:01it.
35:02Ever.
35:02There should be zero suffering.
35:04And that you come out of it on the other end.
35:06I'm 57 years old.
35:07I'm fully menopausal, and I am living my best life.
35:10Yes!
35:11Woo!
35:12Woo!
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 Paramedicons comes out April 7th, and is available for pre-order.
35:26Dr. Mary Claire Haver!
35:28Woo!
35:29We're going to take a quick break.
35:30We'll be right back after this.
35:32Woo!
35:33Woo!
35:33Woo!
35:34Woo!
35:39Woo!
35:40Woo!
35:41Woo!
35:43Woo!
35:45Woo!
35:48There was a bit of drama in the street, outside number 10's front door during that press conference
35:54when Larry the cat, who's been around here for a long time, was filmed by my colleague Steve,
35:58the cameraman, catching a mouse and killing it and eating it.
36:02It's the first time I've ever seen Larry the cat do anything useful in Downing Street.
36:06He normally appears to pose for photographs, but now, finally, he's catching a mouse.
36:10Sorry.
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