Oct. 21, 2024
Dr. Shweta Patel: Demystifying Hormones and Empowering Women's Health
Dr. Shweta Patel, a respected and innovative OB-GYN, joins us to unveil her upcoming book, "The Book of Hormones," promising a fresh perspective on the complex role of hormones in women's health. Her journey from wanting to write an all-encompassing guide to a focused exploration of hormones reveals untold stories and overlooked aspects of women's experiences. You'll gain invaluable insights into how hormones like cortisol shape everyday life, often dismissed by healthcare providers, empowering you to better understand your body.
Through engaging conversations, we explore the scope of pregnancy, childbirth, and the postpartum period, tackling societal misconceptions with humor and realism. Our chat touches on everything from the misinterpreted success rates of conception to the humorous yet chaotic experiences of early motherhood. As we discuss the importance of informed health decisions and the role of diet and lifestyle, you'll discover the surprising truths behind pregnancy myths and the essential need for self-awareness.
Dr. Patel also obligingly dives into the significance of folic acid, especially concerning the MTHFR mutation, and the choices surrounding supplementation. The episode features a sneak peek into a book filled with diverse topics spanning sex, nutrition, and exercise, sprinkled with entertaining personal stories. Join us for an enlightening and entertaining journey, ensuring you walk away with both knowledge and a smile.
Pre-order "The Book of Hormones" here: https://amzn.to/4e1ES5G
Connect with Dr. Patel at: https://gayawellness.org/
Join the Bump & Beyond Online Community for moms & moms-to-be!
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Medical Disclaimer:
This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman’s medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.
Chapters
00:00 - The Book of Hormones
09:36 - Full Scope of Pregnancy and Postpartum
23:54 - Pregnancy Hormones and Postpartum Changes
39:51 - Folic Acid and Women's Health
49:04 - Kindle App
Transcript
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Hello, today I have with me Dr Shweta Patel.
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Dr Patel is an OB-GYN and a women's health expert.
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She created GaiaWellnesscom, where women can meet with their women's health physician online.
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Dr Patel provides comprehensive women's health care online to women in Florida, north Carolina, virginia, indiana, tennessee, and is expanding to South Carolina, new York and Georgia, with plans to expand nationwide.
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She also offers the Gaia Wellness Forum on Facebook, which is open to anyone who has ever identified as a woman and who is interested in contributing to women's health concerns.
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Today we are going to be discussing her new book.
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Today we are going to be discussing her new book, the Book of Hormones, which is coming out November 1st 2024.
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It covers women's hormones from puberty to menopause and beyond.
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Dr Patel, welcome back and thank you for coming on to promote your new book.
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Oh my God, thank you so much for this opportunity.
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I was just so excited when you said hey, you want to come on back and I'll take every and any opportunity I can to spread the word about this book.
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I'm not good at that stuff.
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My strategy is extremely haphazard in marketing and you inviting me was just a godsend.
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Oh my God.
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Yes, that's a good idea.
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I should do those things.
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Okay, so tell me what was the inspiration of this book?
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This is a complex topic?
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Yes, it is.
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Honestly, I actually started with a book about everything about a woman and then I realized how undigestible that was all at once.
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Yes, In fact, I think I was talking to somebody who has written a book before.
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I just was like I'm coming up with this book.
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It's just going to be about everything a woman needs to know about herself, her health.
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And they looked at the outline and then they were like you realize, this is like 13 books, right?
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And I was like that's not a bad idea.
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Actually, I'll just take one each chapter and turn it into a book because they're that big.
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So that's how I settled on starting with the book of hormones, because if there's one thing I think that all of us are constantly you know it's a perpetual question in the back of our heads, Is it my hormones?
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Isn't the answer?
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99 is the answer is yes, and yet the answer that's received is usually no, it's not.
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It's just stress, or oh, it's the fact that you're not sleeping well, or it's the fact that you-.
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Isn't stress also hormonal?
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Oh my God, it's like we planned this conversation or something.
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You're an excellent person to have this.
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It's like you're on cue man.
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Whoa, I don't know.
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I think there's something called cortisol, it's that one.
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Whoa.
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Doesn't that mess up all the other hormones?
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Right, yes, it totally is such a little shit starter.
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In fact, in the book I refer to it affectionately as the hold my beer hormone.
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I love it, because it's literally that it's that friend you can't take anywhere, because initially you think it's got your back and it's like standing up for you, but then you realize no, it's just literally waiting for some shit to go down and then sticks around too long, doesn't know when to leave that kind of a thing you wake up in the morning they're on your cat, your couch, covered in vomit yeah, and they ate like your parfait.
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Yeah, and they found out that the milk was bad and they put it back in there rude.
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That's cortisol.
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Yeah, that's cortisol.
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Cortisol is yeah, and I think that again, of course, a lot of where these experiences come from.
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As a woman, I obviously have them myself, but, like, my bigger arena for this experience fund is my patients and hearing what they experience and then realizing that oftentimes they'll have come from a different provider and they'll recant their experience with that provider.
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And, of course, when somebody tells you like oh my God, I hated that provider, they didn't hear a single thing, I said Now I'm listening even harder, right, I want to be part of that list of people who they talk about later.
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So I'm like tell me everything, which, by the way, if you are ever a patient and wonder if why, I sometimes run over it.
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That's exactly why.
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So, going into the book, I wanted it to be almost like a validation for women that have experienced that sense of dismissal, and I say this with a great of salt.
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I don't think any of my physician colleagues ever went to med school with the agenda to grow up one day and become the press for time quick to dismiss, quick to presume physician.
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That wasn't the class that we signed up for, but at some point, and part of the reason why a small part of the reason why I started Gaia Wellness is that we become this version of ourselves as physicians that even we don't really enjoy anymore, which is we don't have time to listen.
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We don't have time to connect the dots that the patient themselves aren't connecting in their lives and to really give them a more personalized answer, rather than their knee-jerk reflex response which is oh no, it's probably not that, or no, this is probably what you need, or, sorry, we don't have time for that.
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That's all for today.
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Till next time.
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And I think every time that happens, a little small part of the physician's work joy just dies and goes to heaven somewhere.
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You know like it's like oh no, there goes my reason for being a physician.
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At least I'll get home an hour late this time and not two, yay.
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So there's so much that goes into hormones that I think both women are right about and also women aren't fully aware about.
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That I think this book will help with, because when a woman says I think it's my hormones, she's right and she's not right.
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And the reason why she's right is because it is like you said, wait, cortisol, that's sleep.
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And she's not right sometimes.
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Also because, most often, when a woman tells me that she's referring to her reproductive hormones, like her estrogen and her testosterone, and we've latched onto those players because those are the only ones that we really had any kind of familiarity with, and so whenever anything goes wrong or changes in our life, we think it's probably because of the fact that we're a woman and we don't necessarily have the resources or the know-how about all the others that are also contributing.
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It is your estrogen, it is your testosterone, but it's also the 70 others that are playing with estrogen and testosterone and that beautiful symphony of a dance is what creates that sense of well-being and a single one of them being out of cahoots with another and it's like a run in your stocking from hell.
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Right, you're still functioning, those stockings are still on and they're supposedly still doing their job, but you see that run and you see it expanding.
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That's their hormonal health Like it's delicate, it's extremely fundamental to your wellbeing.
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We literally would not be able to function without our hormones.
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They're not something that's on the side, like our nails.
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Yeah, we need our nails, we like them, it's nice to have them, but we'd still live without them, right?
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Not without our hormones.
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I think that having a book that sort of breaks it down as to these are all the things you've gotten right, these are all the things you didn't even know, that you didn't know, and this is how we can get you feeling better in a easy to read, digestible, finite book that takes a spin on something like reading like column in a newspaper or a sex magazine or something.
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It's not serious, it's not intense and one might even argue when that one person would be me that it's intended to be funny.
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Actually, this is just my way of testing the waters to see how funny people think I am, so that I can quit my job and then become a comedian.
00:08:30.384 --> 00:08:32.971
Yeah I love that for you not really.
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I'd be such a sad comedian because I'd be like, oh no, I don't get to see women and take care of their problems but you could just have people up on stage and do it in a funny way.
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Truth, let's start doing that.
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Let's start just having patient visits on stage.
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Uh-huh, it would be so comedic.
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We wouldn't even have to be trying, we'd just be like talking and people would realize how hilarious women can be when we realize the shit that we have to go through.
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Yeah, we're onto something.
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I think so too.
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Throw in a couple of stirrups and golden.
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Our first volunteer.
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Come on, volvatrons, we know you're out there, okay, so I know, did I see right that it's also on Audible?
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It will be on Audible, yes, okay, when does that come?
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out.
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Audible usually takes a little bit longer.
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They're very specific about their recording requirements and so it is thoroughly dependent.
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I can't do it myself.
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I can I'm going to not screw drive my eyeball in an attempt to do so so I have to have a professional do it, and the timing is right now dependent on when they will be done.
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That's part of the reason why it's a little bit of a moving target.
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It will be the last version that comes out, and the only version that can be on pre-sale or pre-order right now is the Kindle.
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The paperback will be out November 1st and the Audible version will be out, hopefully no later than this year.
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I love it.
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Yeah, that needs to happen.
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I'm an Audible, I do everything.
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Me too.
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I I literally audible everything and it's.
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It was actually cumbersome for me to edit my own book because that required reading it look at hey I know and I was like can.
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How do I do things with?
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your hand.
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Yeah, how do I do 12 things when I'm at?
00:10:20.003 --> 00:10:25.933
no, yeah, I totally feel you I figured out how you can have your phone read text to you.
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Yeah, siri will read stuff to you.
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Did you know?
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You didn't know, huh, you don't even need to download an app.
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It's a function built into your iPhone if you're an iPhone-er which I hope you are, because I don't know what to do with you if you're not.
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But it used to be a dating criteria until I started dating somebody who has an Android.
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And now I'm like oh man, I can't even say that anymore.
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Oh, I need the bubble.
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I need my bubble.
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OK, so theoretically I could download the Kindle and tell Siri to read it to me.
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Yes.
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OK, I'm going to do that.
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Yes, it's a function that was designed by Apple so that you can have safe driving.
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If somebody texts you, you can have the phone read it to you.
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I'm now using it as a way to have my chapters edited.
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The only thing is and I actually think this is adding to it than taking away is that it's Siri reading it in Siri's monotone, clear eyes, dry eyes, guy kind of voice, and so you can really tell when something's funny, because even when it's said to you in this completely lifeless voice, it still makes you crack up a little, and so then I know like when it's delivered with actual emphasis, it'll hopefully deliver more laughs.
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I love it.
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Okay, so my primary audience is the pregnant folks and the postpartum folks.
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Yes, you have an audience.
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Tell me what you want them to know.
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Here's where the book becomes full scope.
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Like you said in the intro, it's from puberty to menopause and beyond, but it includes pregnancy, it includes postpartum and it also includes that period of your life where you're not sure if you are going to have kids, or that period where you just think of course you are and you're not even worried or thinking about if it's going to be a possibility, and that period where you have started to try and maybe experiencing challenges, as well as those times where a few of us experience success with pregnancy but not with having a baby, and over and over again.
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And so I wanted to make sure that I included the full breadth of the experience of pregnancy, and that doesn't just happen with the positive pregnancy test or the nausea and the weight gain, which all too has to do with hormones, but also the part of hey.
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Did you know, when you were trying to have sex every day because you thought that was going to help you get pregnant, that those are great exercises you're engaging in, but it's only going to really matter when it's one out of three days of the month?
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And then the other part of it is hey.
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Did you know that you were on birth control for 30 days out of a month, so that you can stop one day out of a month from happening?
00:13:11.815 --> 00:13:34.414
Mm-hmm, right, life is so great holding back the floodgates, right.
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So it was flexing hard, and now that they're off, it should be like poof, god help you.
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You turn around and you should be pregnant just instantaneously.
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And so many women feel discouraged when it takes longer than a few months, or even a month sometimes, because of that culture that we've created, where it's, if you don't use some form of protection, you're going to get pregnant, and I think that creates a sense of then like almost like a feeling of failure because you didn't just instantaneously get pregnant, and a lot of women don't realize it.
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No, actually the conception success rate is like anywhere from 20 to 30 percent a year for each couple which is like not a lot, really, you got to try.
00:14:15.307 --> 00:14:16.188
Nobody tells you that.
00:14:16.188 --> 00:14:17.692
Yeah, very intentional.
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Yeah, and it's as intentional as eyeliner.
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Yes, very small, delicate thing, yeah, can go wrong.
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It's not as easy as it looks and then, when it's done, you forget how hard it was.
00:14:30.967 --> 00:14:32.344
You're like okay.
00:14:33.259 --> 00:14:44.948
Yeah, pretty much so for anyone who is wanting to, whether it's starting from the basics of understanding the process that your body goes through to even be able to become pregnant.
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To anyone wanting to understand the process that your body goes through while being pregnant and maybe make some more informed decisions about things like what to eat, what not to eat, more informed decisions about things like what to eat, what not to eat what can you use for your skin when you are having acne during pregnancy, or is that thing going to actually affect your pregnancy as crazily harmfully as they make it sound like it will?
00:15:06.691 --> 00:15:11.629
Oh no, don't use hair color and it's okay, great.
00:15:11.649 --> 00:15:18.558
So now that I'm knocked up, it's okay to look completely with grays and acne and just rough because who cares?
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You're already pregnant.
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Let it all go.
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It's only just to get to that point in life, you know, check.
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And then, of course, the phase of postpartum that is so neglected because neglected by moms themselves, because they're instantly moms now and they're automatically not thinking about themselves anymore.
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Right.
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So it's okay.
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I get why you're not taking a shower, but I think, even as physicians and as women, that are the friends, the sisters, the moms of other women we really don't.
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Postpartum is not about the mom, it's about the baby right.
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And so that is another thing I draw attention to in the book, which is yo go take some time for yourself, woman, like you need help out the other moms that are doing this for the first time.
00:16:07.380 --> 00:16:30.650
Yes, there's that episode in Sex and the City where, like Miranda is just like she's struggling man you can see the greasiness in her hair from TV and she has not slept well and she has not had any kind of a social life and she's finally out with the girls doing their weekly brekkie thing and nobody gets her Like.
00:16:30.650 --> 00:16:33.793
Nobody even understands what she's going through, but just, of course, understandable.
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They're not going through it.
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But at the same time I think that we're already prone to becoming an island of our own emotions and our own struggles and we're so attached to looking like we've got it together that I think it takes people actively engaging with the mom in postpartum to have that mom maybe even ask for help.
00:17:04.791 --> 00:17:07.961
Don't wait for somebody to ask you that they need your help and this would be the most probably applicable time for that.
00:17:07.961 --> 00:17:12.893
And it doesn't have to be postpartum depression for it to still suck.
00:17:13.420 --> 00:17:16.588
Let's maybe not let it get to postpartum depression or postpartum blues.
00:17:16.588 --> 00:17:28.691
Usually, when I'm seeing patients at the hospital rounding on them before they go home, I'll talk to the partners and I'll be like, hey, this is your job, right, she's not going to notice.
00:17:28.691 --> 00:17:33.989
She may, but we're not going to bank on her noticing and having that insight that she's not herself.
00:17:34.570 --> 00:17:36.826
Or maybe she will, and she's just feeling shame about it.
00:17:36.905 --> 00:17:56.483
Or, yes, exactly this is going to be a village job, right To make sure that everything is going okay or as best as it can be, and that there isn't room for improvement or for helping her out in ways that she might not even necessarily realize it yet, and I think that the book will addressing that.
00:17:56.483 --> 00:18:32.929
There's not enough room to address it in the level and depth that I want it to, but it definitely still is a pretty well-rounded chapter on all things pregnancy related, but that's why I'm like, hey, maybe I should write a book on it, then you should Wait a second.
00:18:32.929 --> 00:18:41.122
Uh-oh, yes, I think one of the 13 books is the book of pregnancy and then postpartum and then infertility?
00:18:41.663 --> 00:18:43.346
Yes, yes, what else?
00:18:43.346 --> 00:18:46.852
And labor, yes, yeah, well, let's do that.
00:18:47.252 --> 00:18:50.782
Oh my God, Can you imagine You're going to be on my podcast so much?
00:18:51.403 --> 00:18:52.265
Oh my God, I can't wait.
00:18:52.265 --> 00:18:56.691
We're going to be new Women being like excuse me, but I don't think my baby's variability is okay.
00:18:56.691 --> 00:18:58.794
What?
00:18:59.275 --> 00:19:01.746
I know, oh, we shouldn't tell them about that.
00:19:01.746 --> 00:19:02.809
Why not?
00:19:02.809 --> 00:19:06.799
Because then they possibly will be informed Whoa, oh my goodness.
00:19:06.859 --> 00:19:09.489
Empowerment is only good when we can control it.
00:19:09.880 --> 00:19:13.903
But knowledge is a powerful tool that we don't like to give to everybody.
00:19:13.903 --> 00:19:15.244
Right, all right.
00:19:15.244 --> 00:19:18.067
People may not be picking up on all our sarcasm here.
00:19:18.227 --> 00:19:22.431
I know, I know, by the way, that was sarcasm, probably the past 30 seconds.
00:19:22.770 --> 00:19:23.471
Okay, cool, thanks.
00:19:23.471 --> 00:19:25.373
Yeah, I have so many things I want to ask you.
00:19:25.373 --> 00:19:32.281
Let's just throw something out there that every woman hates the nausea, the morning sickness, hormones, right?
00:19:32.321 --> 00:19:32.642
So then, why are?
00:19:32.642 --> 00:19:40.075
We treating it non-hormonally Because the hormones that trigger the nausea are very important to be had.
00:19:40.075 --> 00:19:53.413
It's like saying it's important to be able to get to work, which is why you're driving your car, but the side effect of driving your car is that you're not walking as much as you could have been.
00:19:53.413 --> 00:20:00.028
But unfortunately we still need to get to work in a reasonable amount of time, so we can't just X-nay.
00:20:00.028 --> 00:20:02.712
The car Does that kind of yeah.
00:20:03.133 --> 00:20:11.462
So then when treating it, my question would be is it better to treat it in like a nutritional supplement way or is it better to treat it in the druggy way?
00:20:13.165 --> 00:20:16.009
That sounds like a leading question, I'm going to bite.
00:20:16.009 --> 00:20:18.012
That sounds like a leading question, I'm going to bite.
00:20:18.012 --> 00:20:18.954
I'm going to bite on nausea.
00:20:18.954 --> 00:20:34.397
The first and foremost way to treat nausea in pregnancy is nutritionally hands down, and I feel like sometimes we forget that medications evolved from nutrition.
00:20:34.397 --> 00:20:41.724
Right, all of the stuff that we get in medications from is edible, and that's how somebody figured out that they should or should not eat it.
00:20:45.012 --> 00:20:46.135
And hopefully live to say.
00:20:46.135 --> 00:20:49.469
I just ate this don't try it.
00:20:49.509 --> 00:20:50.330
My nausea is better.
00:20:50.330 --> 00:20:57.186
I'm at the shits now, though the fundamental treatment for nausea in pregnancy is vitamin B6.
00:20:57.186 --> 00:21:23.269
If there are some women maybe that are like experiencing a smooth ride through nausea in pregnancy and some that are experiencing it horribly, I wish we had a way of now going back in time and seeing what their diets were like, and if one woman had a more predominant diet with high volumes of vitamin B6, or not so much high, but the other woman who was having it really wretchedly, whether they were just like excluding B6 unknowingly in their diet.
00:21:23.269 --> 00:21:36.593
And I think that maybe that could shed light on how often we do limit our own success by our natural habits and how we just eat and how we don't eat, and et cetera.
00:21:36.593 --> 00:22:00.844
But since we're a culture of fast, quicker yesterday more, and patience is not our virtue, it's so much easier to just take pills for vitamin B6 and then say, hey, but at least they're vitamins, right, so that's still better than taking something like pharmaceutical, which vitamins are also technically, we just don't like.
00:22:00.844 --> 00:22:15.233
It's like coming up with a name for it to make it sound better, but rather than realizing like, oh, we could possibly just be eating more food that is nutrient dense with B vitamins from the get go, and maybe that might improve the nausea effect.
00:22:15.594 --> 00:22:27.886
The other thing is the amount of vitamin B6 that you need to alleviate nausea, because nausea in pregnancy doesn't happen from a vitamin B6 deficiency, and that's an important distinction to make.
00:22:27.886 --> 00:22:28.842
So it's not.
00:22:28.842 --> 00:22:42.993
Eating foods that are high in vitamin B6 will act immediately to alleviate the nausea, but when you're experiencing intense nausea in pregnancy, vitamin B6 in high amounts does improve that symptom.
00:22:42.993 --> 00:23:06.013
However, sometimes even that's not enough, and so typically what we're supposed to do as physicians is try out the B6 first and then, if that's not effective, then work our way up to anti-medics and anti-nausea medications, because ultimately, we want the woman to stay hydrated and nourished and also emotionally not able to get out of bed.
00:23:07.161 --> 00:23:19.354
Yeah, it's an emotional toll, and I think that's another thing that gets overlooked is like it's not just about the fact that it sucks to not be able to eat or keep anything down, but because we need nutrition and energy or whatever.
00:23:19.354 --> 00:23:26.703
But it also sucks because you feel miserable at a time where you're supposed to be so happy and excited and joyous.
00:23:26.703 --> 00:23:28.207
Supposedly, that's what I'm told.
00:23:28.207 --> 00:23:28.828
I don't really know.
00:23:29.329 --> 00:23:33.201
That's what they told me too, and I don't really know if I had that experience.
00:23:33.682 --> 00:23:37.924
Apparently, you have a parasite in you that's supposed to be cute and you're supposed to be happy and joyous.
00:23:37.944 --> 00:23:41.446
They're adorable now, but I was really not loving it when they were inside.
00:23:41.866 --> 00:23:46.910
By the way, audience just know that I have no actual human children so I can get away with stuff like this.
00:23:46.910 --> 00:23:48.751
Actually, I think everyone can.
00:23:48.751 --> 00:23:54.394
There you go, my children I just dated Dash and Mimi for six weeks each.
00:23:54.394 --> 00:23:56.056
And it was smooth sailing.
00:23:56.056 --> 00:24:02.547
It is so much easier to have puppy babies there's no nausea, you don't gain weight and they look really cute.
00:24:02.567 --> 00:24:05.032
You actually lose weight because they have more energy than you and you have to walk them.
00:24:05.579 --> 00:24:08.006
Yes, yeah, it's pretty awesome.
00:24:08.006 --> 00:24:16.311
I will have as many puppy litters as I can, as my body allows, yeah, so there is light at the end of the tunnel for most people.
00:24:16.660 --> 00:24:18.307
Yeah, there wasn't for me, but that's all right.
00:24:18.500 --> 00:24:21.170
Okay, I'm sorry, but you're so pretty now.
00:24:23.665 --> 00:24:28.609
Yeah, I puked every morning the entire pregnancy and I wish I had that problem sometime.
00:24:28.799 --> 00:24:31.682
No, it wasn't like even like food, Not the fun kind.
00:24:31.682 --> 00:24:35.442
You're just yakking up air and you're still like oh, there's something inside me.
00:24:35.482 --> 00:24:36.724
It was all just bile.
00:24:37.425 --> 00:24:38.106
Oh, lovely.
00:24:38.969 --> 00:24:39.388
Cute.
00:24:39.670 --> 00:24:41.472
I loved it so much.
00:24:41.472 --> 00:24:42.253
It was great.
00:24:42.680 --> 00:24:45.788
Yeah, but I just, I love my children.
00:24:47.842 --> 00:24:51.891
Yes, how often do you find yourself saying that out loud, aggressively, very aggressively.
00:24:51.891 --> 00:24:54.760
I love my children, I love my children.
00:24:55.201 --> 00:24:58.684
Okay, so after pregnancy, what is all that craziness?
00:24:58.684 --> 00:24:59.665
There's so much.
00:24:59.665 --> 00:25:02.107
I got one word for you Hormones.
00:25:02.107 --> 00:25:03.189
There's so much going on.
00:25:03.189 --> 00:25:06.471
Okay, you're lactating, whether or not you intend to, you're lactating.
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