Dr. Jila Senemar is a board-certified OB-GYN in Miami who's integrating longevity medicine with menopause care. After nearly two decades in traditional practice, part of her work is catching women in their 30s and 40s before chronic disease develops.

We discuss why your standard annual labs are missing the markers that actually predict heart disease and diabetes, how to finally break free from the cardio-only mentality that's keeping you from building muscle, and why eating more protein feels impossible when you've been trained to restrict food your entire life. Dr. Senemar reveals the advanced testing she runs on every patient and explains why most women are being managed reactively instead of proactively.

We cover transitioning out of insurance medicine to actually spend time with patients, why strength training won't make you bulky, and when peptides and longevity treatments fit into your health plan. Plus, we talk about what it means to optimize your health span, not just your lifespan.

Highlights:

• The critical biomarkers your doctor isn't checking (ApoB, Lp(a), fasting insulin, inflammatory markers).
• Why perimenopause accelerates your risk for heart disease and metabolic problems.
• How to shift from endless cardio to building muscle that protects your bones and metabolism.
• The real reason getting enough protein feels so hard and why it matters.
• When peptides, NAD, and supplements belong in your health plan.
• Starting health optimization in your 30s instead of waiting for disease in your 50s.

This show has grown over nearly two years thanks to viewers and listeners like you. While menopause and sexual health have become more mainstream, too many women still aren't getting the help or education they need. I'm working to change that. If you found this episode helpful, please subscribe to the show and leave a review on Apple Podcasts.

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Because I think that, you know, yeah, let's talk a little bit about it. I think we'll talk about that. We'll talk about how you came, how we met, and then let's talk a little bit about longevity.

listen, that's a buzzword. Everyone's like, let's talk about longevity. I'm like, let's do it. Yeah. It's cool. It's part of what we do. So I love it. Let's do it.

Well, because I haven't had anyone really that's been talking about longevity. Absolutely. OK. Hey, y'all. It's me, Dr. Smeena Ramangai, a girl. As you heard in my intro, I have a good friend and exciting talk for you guys today with Dr. Geela Senemire. Woohoo! Did I say it Senemire? Yes. Thank you for coming on, Geela. Geela and I met. Actually, Geela and I are just bonding over our mom's death.

Bye, thanks for having me.

Yeah. Definitely. Listen, it's part of the community, right? And we're women. And, you know, with our background and how our parents and our moms really play a role in our lives, I think that's, you know, it's on a different level. It's huge. Yeah.

What is that to say? But grief can bring you together, ironically.

Yeah, mean yours died a year before mine I just celebrated my mom's one year But it's so interesting cuz like you just never know when the grief is gonna hit right I mean I was just telling her was like I'm a little late because I just feel disheveled because I was just dealing with the fact that like I was in grief last night for like hours and I couldn't get out of it

No.

Yeah. It's, you know, for me, the mornings, the early mornings are the worst when, you know, it's supposed to be my self care time where I'm taking care of myself. And that's almost on a daily basis where I have a complete meltdown, crying session, just, you know, getting in my own head basically of, you know, failures, things that happened, things that shifted and changed and

Yes, yes. What could have done differently? And like we're menopause women, right? So we're like, what would happen if our moms were on HRT? Or they would have gotten help earlier or, you know, women's health would have been different for them.

What the hell is-

Yeah, you know, I saw everything, done things differently. And, you know, I literally can map the whole decline of her health from the WHI forward. Okay. And just how she was this vibrant woman. And then to see her over the years, just down, down, down. And every time I would see her, it would be something else. And I couldn't, I wasn't putting the...

know, puzzle pieces together until it was too late. And so I don't know for you, but for me, it took me out. Again, hers was very sudden, unexpected, just like yours, you know, and she goes in for one thing and never comes out. That's, you know, the worst of the worst.

I mean, what's interesting is I think like, if I think about like when her health declined, it absolutely was probably, I mean, she obviously didn't talk about it because culturally we don't, but like, you know, I could think about the times where she, you we were going to college, she was empty nest, she had, you know, entering menopause where she had accelerated blood pressure, diabetes, all started at once. Then she had all these mood disruptions and like mental health issues. So it was like a shit storm of things happening.

Right.

at once and I think the medical stuff was complicating the mental health stuff which was probably all dictated by her hormones, you know, for us all we can tell and so and then the decline was just you know like exponential at that point you know in terms of

No, it was.

It's it's it the way I I mean I I don't think I've fully coped with it and we're coming to almost her two-year anniversary and you know during the holidays and Christmas time and It's so I mean listen. It's it's you know, it's a whole different mentality for me, but I think What really makes it hard is just knowing what?

so much.

What ifs? The what ifs are really what gets to me.

Yeah, yeah, like what if we would have done something earlier that I

What if I would have done this? What if I would have done that? And I couldn't come back to work for months. It took me out because in my mind, if I couldn't take care of my own mother, right? What good am I to anyone else? How can I take care of other people and good contents when I couldn't help her? And she's the one, just like yours, who pushed us to be who we are, who was our support system.

Yeah.

Yes. Yes.

You know, we came from backgrounds where women aren't professionals. They don't do this. we're basically, we immigrated. So I had a chance. Right? We live very similar, you know, parallel lives, and where the background is... It's all the same culture. you know, women don't have opportunities back home. We work...

Exactly, exactly. Yeah. Yeah. Because we're both in the South Asian community, right? You're Persian and Pakistani, but it's all the same culture.

You know, we immigrated, so we had opportunities. Now here's the person who did this all for me, now come full circle and I messed up. I messed up badly, but what do we do? We take it and we spun it and this is what we're giving back, right? This is why, this is our big why. People always ask why this, why that? I don't know, it panned out. I met you at your beautiful office opening. I crashed it.

Yes. I know. Yeah.

Let's talk about our meat. Let's talk about our meat because it was last year that we've had.

It was a year ago!

But I have to say the grief that I experienced when you reached out to me and you were really, it was, that's why I say grief can really bring people together because you and I became closer because we had this mutual, like you're like, I get it, like this is what happened. But in terms of how we met, was during last year's, my open house at the menopause society at the same time the menopause was happening. So tell us about, let's talk about.

Right.

Yeah. my gosh. So, you know, I come to menopause society meeting unbeknownst to me who I was going to see or not see and you know, everything was, it was my first meeting. Yeah. And, I think one of my, my second time in Chicago. So I actually came with my business partner because you know, I'm like, Hey, let's just go to menopause side and see what happens. And, I happened to be scrolling social media and I saw.

This is

Yeah.

your page pop up and about the, you know, the office opening, you come by and I like, we're going to crash this. We don't know any, but we're just going to go and do it and see what happens. And I'll never forget. I walked in upstairs because, you know, and then there are stairs leading down where everybody was seated and you had the beautiful wall behind you, the Volvo wall. mean, that was a sight. And listen,

Yeah. Yeah.

Yeah.

It still lives in my office, by the way. Workouts can't go.

It is, it's a statement piece. Of course you need to have it. And so I'll never forget, my partner went down like with her stack of books, but you're supposed to make

That's what I remember. wrote like y'all just got all the books. You're supposed to get one. The Dwarf. Yeah.

all the books, and she was supposed take one book and she took them all because she really is that, know, like, wow, she was so blown away. And she went down and went front and center, I mean, right at you. And I was like, no, I want to see this from an above perspective. I want to see who's here. I want to see what's happening in the whole room. And I'll never forget, as soon as everything was over and the panel was done, I just made a beeline down to you. And I was like, I don't know, I introduced myself. I was just like, you know what?

Yeah. Yeah. Yeah.

Yeah.

This is what it is. We're going to become friends and we're going to talk. You all were very welcoming. It was you, was Jackie, it Shiva, like an amazing group of women. And that was the start of a lot of things for me, to be honest with you, you know, and this whole realm of, you know, just shifting and I was inspired. like, listen, she just opened this brand new practice. She's doing all of this and isn't easy. Is it scary?

Yes. Yes.

I see.

No.

Yeah. Right. Well, actually, I was celebrating 10 years doing it under an insurance model because I knew I was going to convert into a concierge. So was like, let me celebrate 10 years because now I'm having an open house next week where I'm like reintroducing my practice. But small, much smaller scale. But it's funny because like that's what it was like. It was like my big hurrah. Like I did it under insurance and I'm done.

Right.

the practice. Okay.

Yeah. I'm done. Goodbye. Peace out. Yeah, I get it. Listen, but it was inspiring just to see so many of you women, ladies, professionals, doing different angles, different aspects of everything where I was like, okay, I know I want to do something and I know I can do it. Now I'm going to do it. So that was the,

Yeah.

Yeah, I mean, that's the shift that we all sometimes were like, you find purpose in midlife sometimes, right? Yeah. Yeah. That's awesome. I love that. Yeah. And she's like one thing after another, she just started like, and then what you had an impact or showing great.

100%. So that's where my story and yours began. You know, that's how we became friends. And then I would just reach out.

Yes, I had that back in November of last year. And then we did the April event, the Empower event that you were a speaker for. then, and now we'll see, we'll see what next year brings because there's a lot in the works right now. So in the planning stages. So hopefully I can get you back down here next year.

Yeah.

good.

Yeah, yeah. What about in your launch, you've launched the practice or starting in junior? I can't remember.

So I have done a soft launch of the practice. I did it back in May, right before the summer began. And unbeknownst to me, it took off a little bit faster than I anticipated because my goal was to kind of segue out of my old practice of insurance model, obstetrics and everything, and just kind of do this on the side. And then in January, go full blown. And it...

Yeah.

really, like I said, it went faster than I thought. So I'm basically in between two practices full time right now, back and forth. I was literally up till 3 a.m. doing a delivery this morning. And then basically went home, changed and came here and I've been seeing patients, you know, and I think it's amazing. I I have what, two more months left of obstetrics and, you know, surgical and everything. then

That's what I thought. I thought you were doing both at the same time.

Yeah.

You wish you could celebrate that day, you're gonna feel so good. I mean it's bittersweet, but it's mostly sweet. Yeah.

It's going to be bittersweet, but I, it would be, I think it'd be harder to do the transition if I did not have this new purpose, this new way of taking care of women. think that would be harder. This for me is exciting because I'm ready to literally just give it 110 % the way I've done everything else.

Sure. Yeah.

Yes.

Yeah.

I just want to be here focused and like just talking to women all day long, just kind of, you know, guiding them the way we do. So it's great. It's great. Yeah.

Yeah, yeah, absolutely. Absolutely. I love that. I love that whole thing.

Tell me a little bit about, let's talk about, because one aspect of your practice that you're integrating, which we all kind of do, but I think yours was really, you're really defining this concept of longevity, which obviously gets a lot of bad press or has, you know, it's like a grifting work these days, but there is an idea of like improving your health span, right? And so tell us what you think that entails and how you incorporate that into your practice and everything like that.

Mm-hmm.

You know, it's interesting because we've always looked at women's health overall, right? We've always said it, you know, we are women's primary care providers as well as our obstetrician and their gynecologist. And what women in their twenties and thirties, forties are pretty healthy. Like there's really not a lot wrong with them. know, cycles, they don't have cardiac disease, they don't have diabetes, they don't have any of those things. So we have been trained to look at those labs and those markers.

Yes.

But what I've learned over the years is like, there's more to it. It's not just a hemoglobin A1C. There's other things you can be checking that before the A1C goes out of control. there's even, you know, we are taught to be reactive. You get a disease, now we know how to treat it. Why not prevent it from happening altogether? And now tie that in to menopause and perimenopause and the hormone shifts. You have a double whammy, you know.

Yes.

it's going to inevitably happen if you don't do anything about it. So what I decided to is marry the two together, right? Like you said, longevity, functional medicine, whatever you want to give it, the terminology, it's a little bit off putting because for many years it's been that woo woo stuff, you know, and you do this test and you do a saliva test and this and that, but there's a lot more to it than that. And I...

Yes.

Yeah.

I what I have learned and what I've witnessed that works well from other practitioners all over the country that I've been meeting with, you marry the two. There's a convergence of the functional integrative side, so Eastern medicine plus our conventional medicine, Western medicine. There's a convergence of the two. And this is the magic of it right now is where we're at is

We can take this and really expand upon women's health. So I'm seeing women, my aim is at the 30 plus year olds now. I'm catching them early and they're like, what's my roadmap? What do I need to optimize? That way the diabetes, the pre-diabetes doesn't set in. That way the hormonal shifts aren't as drastic and life altering as

Yeah.

Yeah.

I've seen or noticed it be for other people. So that's where I think, you know, I'm able to bring the two together. And in the new practice, my lab work panels are completely different because I am diving into the cardiac biomarkers, the inflammatory biomarkers, again, things that I've had to self-educate because again, you know, we're not taught that as a kind of college.

Yes.

Yeah, yeah. And the reality is, I always say like, people say, well, you weren't taught how to manage sexual panelists. But the reality is lot of the newest research has been in the last 14, 15 years, right? We graduated from med school over 20 years ago. So.

Mm-hmm.

Exactly. A lot of what we do, even the menopause stuff, right? We've self-taught. It's self-education because we barely got any training on that.

Yeah, right. And the reality, and you should be always teaching yourself because medicine's always evolving. So if you're with a doctor or a clinician that's like stuck in 2001, that's half of our problem, right? That's half of the problem.

It's a movie.

Exactly. That's the biggest issue we're facing even right now with what we do is pushback from our colleagues who are outdated and unfortunately don't want to catch up, don't want to recertify, re-educate, you know? And so what I have...

And some of them probably don't have the capability either, right? They're stuck in these practices. They don't have the extra time. They don't have the...

Yeah.

you know, time or the, and I think what it is, some people are just getting to the end of their careers and they're just happy to be done with it and just move on and do something completely different. And, you know, that may have been me had things been different, but I think things happen for a reason, you know, it never looks the way it should when it does. And then I just kind of roll with it. you people are like, you said this is moving so fast and this and that I'm rolling with the punches. Like things are

Yeah. Yeah. Yeah. Yeah. That's fine.

coming to me, Samina, now easily the way they've never ever happened. So for me, there's a purpose that I'm here. There's a purpose that things are happening as they are. And I'm lucky enough to be able to just kind of go with it because my practice has been so stable for so many years that, you know, and I have a supportive partner who you've met him and he's just like, okay, what do you want to do next? You know, I'm like, I want to do a podcast. I want to do this. And he's like, all right, let's do it.

Yes.

Yeah. Yeah. That's like mine. Mine's like, okay, yeah, that's just it.

Okay, no, I think the men of husbands need to really get together because they all pretty much say the same thing. I was talking to Rebecca's husband and he was just like, yeah. Yeah. Yeah. yeah, Jay. I mean, they were hilarious. They're like, okay, yeah, we know you ladies, know, we know what you do. We know how strongly you feel and how passionate you are. And we're here to support that. And I think that is what gives us this.

Yeah.

He's so awesome. I met with him when he was in Chicago. Rebecca's husband and Kate's husband. They're both awesome. Yeah.

Yeah. Yeah.

extra passion to continue doing what we're doing. So with the longevity thing, you know, I'm running with it because my patients are, I'm becoming their gynecologist, their primary care and their hormone optimization person. And then the right, now what about peptides and what about that? And I'm like, we'll get to it, but it's gotta be done, you know, in a safe manner and incrementally, and we go from there, but

Yes.

It's an answer.

Women's health should be the top of everyone's list right now because what do they think they're going to die of? They think they're going to get breast cancer. They don't understand. It's heart disease. We got to get to that first. And when does that start? At 50, we know our heart is the healthiest it's ever going to be.

It's hard to say.

I mean, it's an accelerated risk we say, right? Perimetabolism, the years leading to your final period is an accelerated metabolic and cardiovascular risk. So, yeah.

risk. But why is no one doing anything about it? And, you know, why is every primary just putting women, oh, you're LDL, let's put you on a statin, let's do this. What's going on? So I saw so many deficits in what was happening to my patients outside of my office that I was like, you know what, I'm going to fix it. I'm going to make it my way.

Yeah. Yeah.

Yes.

So that's why it's unique what I'm doing down here. It's different. I, you know, I literally, my husband was like, so you're just going to do consultations, right? I'm like, yeah, I'm just going to do consults. And then it turned into, I want to do exams. Well, I want to do this. I want to do body composition. I want to do X, Y, and Z. And he's like, my gosh, this is different than when we started. I'm like, I know, but women want that value added. They want it in one place. Have a provider that they can trust and that listens to them.

Yeah. Yeah. Yeah.

Yeah. Yeah.

and then manage the whole thing for them.

Absolutely, absolutely. So tell us about some of the labs that you do do them when you're evaluating some patients.

So we typically do the whole cholesterol panel as always, but I do add the ApoB biomarkers versus the lipoprotein low A just to look for other genetic predispositions. I do the whole inflammatory markers, the HSCRP and then the omega panel. Just again,

It's nice to have these baselines because most women have never been checked for that. do the effesting insulin glucose ratio on top of the complete metabolic panel and the hemoglobin A1C. We do a full thyroid panel, including antibodies, as well as running the whole iron panel. Because as you know, a lot of these disorders can have the same kind of symptoms and they can cross react. So we have to make sure we rule everything out.

Great.

Absolutely. so tell us what that looks like when someone has, you know, sort of a higher risk. Do you work with other like cardiologists? you?

Mm-hmm. Yeah, so the little the collaborative everyone's like what's the Miami menopause collect collaborative, know It's basically what I've done in the community here. These are providers I've worked with for years So I know them I trust them and we're all on the same page, especially the past few years I've met with them a few times and I'm like, how do you feel about hormones? And what do you think about this? And they're like, yes, we're all about it. And so basically we you know

No. No.

refer patients back and forth to each other. And so part of my collaborative is cardiology, internal medicine doctors. So if there are things above me, okay, I meant, we're not gonna be, I'm not gonna take care of every little detail, but I am gonna try and manage as best as possible. And if I need to refer out, then I have a collaborative I refer to in my community, would include endocrinology, cardiology.

We also have like, you know, the dermatology side of things and the internal medicine for now. And then I will add as we go, but definitely all of those are part of what we do here.

And so you're starting, you said a little bit earlier, the 30s, which is exactly, I always say we give puberty talks, we should be doing period talks. And so that's exactly what I do as well in my office, if I see. And sometimes, most of the time, would say people are like, oh, OK, I didn't know that. But sometimes they're like, wait, I'm only 30 something. Why are you this? But it's like, you want to be prepared for what might happen.

Mm-hmm.

It's been proactive, I think. Miami is a booming ecosphere of health and wellness right now. There's wellness centers popping up and buildings and different things all over the place. And I'm all for it because I think the more the better and people are going to get what they need, whichever avenue they go. And with all of that,

Yeah.

Mm-hmm.

left in me.

Yeah.

the more of the younger patients are coming in and saying, Hey, I know what's going on. I know this and that, and I want to be ready for it. So where do I start? So where do let's do blood work. Am I okay? We do bone scan. We do compositions. We do everything. And then, okay, let's start with the supplement for the comp at the body comp. have the in body. Yeah. Yeah.

Which one do you have in the office? Or are getting?

Yeah, okay good. And are you doing any of the VO2 max or is that a performance center?

That would be down the road. think I do want to I'm I'm all about that. I do have a friend up in Boca who does have a whole center. So I will refer Yeah, yeah, I'm actually supposed to go out there and get my own done. So we'll see how that goes. She keeps what I mean to go and I'm like, yeah, I'm coming. And then like, wait, I gotta work out some more. I gotta be ready for this. I gotta wait for the test.

that's what I do. I just refer to one center. They have a performance. Yeah, I know.

Yeah, I gotta be ready for the, train for the VFD. I've done a of those Coupers, know, I do those like sometimes just to see like how far I can go, but it's so funny. Do you, what do you think about, you know, we're all doing more muscle training and resistance training. Can we talk a little bit about muscle and longevity?

I think.

Yeah, I love it. So with the longevity side of things, it's all about really optimizing the basics, right? Their nutrition, their food intake. I don't want them to be afraid because women are afraid of eating. We've been trained to do cardio, to be skinny and to not eat. That's here. And I need to like work that back out and like, okay, you're going to It's so hard.

I know. It's hard for people. I mean even for myself I'm like, okay no, muscle,

muscle muscle. You know, I it's funny, I, you know, I all my life, I've just had this body type where it's more muscular than thin. And I've always wanted to be thin. I'm like, why can't I be skinny? Like I can never wear skinny jeans. It just never looked right. But I just I have muscular legs. I just, you know, that's just me, my genetics. And so I was a runner. And then from that, I went into cross fitting all through my 30s. And I again, I was doing it for the wrong reason. I thought I was going to

Yeah.

Yeah, me too.

lean out with cross fitting. No, I was just building more muscle. Okay. I didn't know it then, but you know, so then come to my mid forties, I was like, okay, now I really, you know, the muscle was still there. was like, I need to lean this out. And I didn't know how until I figured finally after years of trial and error, I found the one thing that works for me. And so it maintained the muscle, but leaned me out.

Yeah, both. Which is good, and it was good for them. Yeah.

Yeah.

completely shifted my whole body composition and look. But for most women, we've been trained to do cardio, cardio, cardio. And now it's like, now you got to build muscle, muscle, muscle. And they don't know how to do it. They get scared. They think they're going to turn into like, you know, a muscle maniac, builder kind of that look. it's, you know, and they even, even Stacey Sims is Stephanie Estima. They say, you need to be in the gym going crazy in order for that to happen.

Yeah.

And we're just finishing a podcast.

I love it. Hi, how are you? This movie is so awesome. I freaking love this. I do love it. You should. This would be really cool.

Maybe we should divide it into two. You know what happened? I was late. I was late with G-line. I started like 20 minutes too late. And so now we're a little bit over. Come on in. We're talking about muscle and longevity. I was like, wait, is there a person?

You guys carry on. I'll come back.

So she's running behind. The next one, think we should do all of us. Yeah. my God, I love it. I have my, well, Noor's here. Hi, Noor. Wonderful. Nice to see you.

Hi, Sheila, how are you? All right, should I hop out and come back?

Okay, okay. I'll text you when we're done. Give us a minute. Because I'm late. I'm late to the party. Yeah, yeah. She's early. She's early. Yeah, because you today's Halloween so I have to go to the kids school. So that's why I had to move up.

Okay.

Okay, sound good.

You're so funny. Only Tamina. I love it. I freaking love it. No, are you doing one with her after me? you're like

Trick or treating. Okay. Got it. No. So in terms of the training, right? So now we have to get them out of that cardio mentality, add in the weight, add in the protein component, and you will build, you're not gonna become Arnold Schwarzenegger, you're not gonna be too big. That just doesn't happen. You need to be living in a gym doing that in order for that. And most women aren't going to do that.

Thank you.

But what I recommend is, and no one has time for it, absolutely. But what I do recommend is a denied combination, right? So do a little bit of cardio, do the walking, do some strength training two, three days a week with a dedicated coach who knows what to do with midlife women. Don't just go about it. You've never lifted weights. Do not go to the gym and start now. need, know, guided, guided so you don't hurt yourself. And then...

Yes.

Thank you.

Some guys.

Add in the walks with the weighted vest and the strength and mobility. So you do two, three days of each. That's your six, seven days of movement daily. Do you need to be pumping iron every single day? Not at all. Not by any stretch of the imagination. And that's what women get scared off of. It's like, I need to go do this. And so when I sit down with them, I literally write it all out for them. This is the prescription I'd like you to start with.

Thanks. Yeah.

depending on where they are. Some are like, I'm already at the gym, I'm doing this. I'm like, well then do a little bit more flexibility, stretching, things like that. So we balance it out. So I think that's where the, because remember, muscle is what's going to help you burn calories, burn the fat and avoid the insulin resistance component that comes into play from inflammation in midlife. You got it.

Yes, yes, yeah.

Yeah, exactly. And it's going to help keep our skeleton, you know, stable and strong.

strong so you don't lose muscle so you don't end up with sarcopenia and that will also strengthen the bone so you don't end up with osteopenia and osteoporosis.

Yep, exactly. anyone that, a lot of women are on the GLPs these days, so have to remember this has to be part of the equation, is muscle. And taking in the protein. The protein's hard though, I have to say, like it's really hard for me, like, is it 30 grams?

Correct. Yeah, complete.

Yeah. again, you know, again, that's part of it. It's like you have to really guide women on how to eat because we're good to starve. We're great at starvation and limiting ourselves and fasting and this and that. listen, intermittent fasting may be an option for some people and it works well for them even in midlife. Amazing. You continue with that. But for most, it doesn't really work on the body. It actually puts more stress on the body, which then

Yeah.

leads to a whole cascade of events. So, you know, it's all about macros and how to, you know, luckily there's so many apps now that they can download and really, you know, dial it in and then they bring it back and I'm like, okay, let's review what happened here. And we kind of, you know, fix and go ahead and move forward with that. Yeah.

Right? Great.

Yeah.

Yeah. Okay, so one more thing I wanted to ask you about is some of the, you know, the supplements that people take, the peptides, the NAD, like tell me about where you see that in your practice or how you utilize them.

So interestingly enough, I know with all the spare time I have, I'm doing all those certifications at night right now. for, yeah, so there's a, I'm doing the longevity certification. I'm doing the peptide certifications through the SSRP and everything. So there is a role for it, absolutely, because I've seen what it can do in terms of repair, inflammation, and know, just women just feeling better in conjunction with their supplementation, with their hormones and everything else.

I don't think it's something to jump to right off the bat, which is what a lot of us want. We want that easy magic bullet kind of thing that's getting done. But the way I explain it to patients, it's really the cherry on top of everything. Once we get everything else layered up and optimized, then that's where that comes into play. I will be the one providing the protocol. I will be the one administering it when the time comes after we check everything and make sure there

and what are we missing? Because you may not be missing anything and you may be and then we, you know, I replace a chord.

Awesome. Well, I mean, this has been so great and I want to, talk to you forever about everything and we'll have to have you on again when we want to talk a little bit more, but because I like to keep my, my podcast for about 30 minutes anyway. that's how much we can invest. Right. That's yeah.

I know.

I do because I think that's a that's a good time Yeah, that's it. It's perfect. Like I think the ones are like over an hour. I I'm like, oh wow, I can't I can't keep you know, a lot it's a lot and I've had a few guests where it was an hour But then we we chopped it. It was two to thirty minute sessions, which you know, I can tell the audience enjoys that much better Yeah, yeah, but thank you for having me as always

Yeah, listen.

chopped it exactly. Yes, it's great. Yeah, absolutely. Well, thank you so much. I mean, this has been fun. will have in the show notes where everyone can find you and call you and everything. And then I do this thing like it's my hot take. I call it the Vagilante verdict because my husband jokes that the people listening to my podcast are Vagilantes.

Okay.

Okay.

huh. They are ragelantes for sure. Yes, I like that.

So what's your hot take? What's your vaginal antivertig? What would you say?

My vaginante is go out there and make yourself feel better. You're not done. There's so much more that needs to be done in terms of women taking care of themselves in midlife. And a lot of people, as you know, they want to give up. They're like, I'm done. This is over. I don't know. That is the wrong narrative. That is the wrong way to talk to yourself. You need to really advocate for yourself and go out there. And you know what?

Best Next Version of you is ready to come out.

ready to come out. I love it. love it. That's a perfect way to end. All right. Thanks everyone for listening today. Gyno Girl presents sex, drugs, and hormones. Remember, I'm Dr. Samina Arman, Gyno Girl. I'm here to educate so you could advocate for yourself. Please join me on my next episode and like and subscribe to my channel. Thanks so much. Yay.

Yay! You're so good.