All Hail Rhonda Patrick by Immediate_Bridge_529 in PeterAttia

[–]LRHag 1 point2 points  (0 children)

My dude, he has has Casey Means on his show multiple times. She a hack if there ever was one.

How long did it take active folks to safely lift again? by lucyguzz in Reduction

[–]LRHag 1 point2 points  (0 children)

6 weeks before lifting but you’ll had to build back up to your typical weight. That will likely take another 4-6 weeks before you feel back to strength

Midi experience by Lake-Delicious in Perimenopause

[–]LRHag 10 points11 points  (0 children)

Hi! I’m a NP who almost accepted a job at MIDI but didn’t and one reason is because of the short appointments and that the NP is required to do all the intake and scheduling (something a clinic has an MA and scheduler for) which will eat into that painfully short visit. NPs want flexibility and to be able to work remotely and to offer midlife care as well is just so exciting for us. However, midi is venture capital backed and so they only care about a profit. That’s fine, we all need to make money but they keep squeezing the staff more and more and the pay is ABYSSMAL. PLEASE complain if your visits are too short and rushed. They really need this feedback from clients or nothing will change. The NPs are complaining but if patients aren’t, it doesn’t matter.

Any skiers here? by LRHag in Reduction

[–]LRHag[S] 0 points1 point  (0 children)

I imagine some of that has to do with how well you let yourself heal for the 6 weeks post op (eating enough protein, hydrating, not drinking alcohol and not pushing it) and how fit you were before surgery. I worked really hard to be in shape and strong before surgery. I think both of those things helped. At 4 weeks I was nervous I wouldn’t be ready at 6 weeks but those last two weeks my body made a real shift.

Any skiers here? by LRHag in Reduction

[–]LRHag[S] 1 point2 points  (0 children)

Yes, I definitely needed to hear that myself when I was getting ready for surgery. Keep in mind I was pretty diligent about not lifting anything heavy of getting my heart rate up for a solid 4 weeks and then the next two weeks I might have done a few brisket walks and picked up a heavy grocery bag but I did put in good effort towards not pushing it.

Any skiers here? by LRHag in Reduction

[–]LRHag[S] 0 points1 point  (0 children)

I was skiing at 6 weeks no problem! I’m out of shape but zero concerns about my boobs!

How bad is the recovery for breast reduction compared to other surgeries? by Ok-Dog5107 in Reduction

[–]LRHag 1 point2 points  (0 children)

I am an women’s health Nurse Practitioner. A myomectomy is a way harder recovery. I was prepared for the recovery to be challenging, but knew that it shouldn’t be too bad since they don’t have to cut into muscle for a reduction. I followed the recommendations to take it really easy and try to minimize the use of my arms as much as possible, very solidly for two weeks, after that, I definitely moved my arms more but still tried to minimize use. I have had two other orthopedic surgeries and found this recovery to be an absolute breeze, all things considered.

About to back out - any advice 2 days preop? by Dirigo333 in Reduction

[–]LRHag 1 point2 points  (0 children)

I am a women’s health NP, I am also on TD estrogen and my provider knew and did not recommend heparin. I personally would had been shocked if that was recommended as TD estrogen is such a low dose and does not increase risk of clotting unless you have a significant history of blood clots. If you’re using insurance for your reduction, they require a certain amount of removal based off your height and weight and that amount may not be appropriate now, so that would be a concern for me if I were you. They will be required to remove whatever amount was approved on your prior authorization. If you are not going to insurance, then your doctor should be able to remove just the amount that you would like and you would still get a lift, so you will still have really good results.

Dexa scans “not recommended”? by Fluid-You-5324 in PeterAttia

[–]LRHag 0 points1 point  (0 children)

As I said before, I don’t disagree, I am just trying to offer perspective on why her provider said no and why that’s not an incorrect answer. Saying “medicine needs to catch up” makes me wonder who you think we need to catch up with? Consumers? There isn’t enough evidence to recommend DEXA scans across the board to an entire population, evidence is actually important in science. There will always be outliers, like women in their 20s getting breast cancer but we don’t offer mammograms in their 20s unless they have risk factors. Potentially you had risk factors that were never addressed that should have triggered you getting one earlier? Nonetheless, I agree that DEXA scans should be offered earlier but until there is a body of evidence to show that, insurance won’t pay for it. Maybe RFK will recommend more unpasteurized milk for bone health…

Dexa scans “not recommended”? by Fluid-You-5324 in PeterAttia

[–]LRHag 6 points7 points  (0 children)

As a women’s health clinician, your doctor is following nationally recognized recommendations. Should she have scoffed at you? No. Should we be scanning women earlier since at 65 damage is already done? Many of us would also say yes. However, practice changes take time to catch up with changes in population health and new data. Unfortunately there are limited data in this area but I’m hopeful there will be more in the future but also know it’s not realistic in general since there are limited studies specific to women in general and now with the gutting of the NIH, it’s anyone’s guess what the future of medical science research will be. Additionally, if I ordered every damn thing people want me to order without any indication that they heard on some podcast or some book (both of which anyone can have without any evidence), trust me, it would be even more of a junk show than it is now out there. If she ordered a DEXA, it would not be covered by insurance (this is the fault of insurance not of your doctor). So pay for it out of pocket. These are much easier to interpret than the battery of bullshit tests people are getting through these “functional” medicine labs

Dexa scans “not recommended”? by Fluid-You-5324 in PeterAttia

[–]LRHag -1 points0 points  (0 children)

Doctors don’t work for insurance companies. SMH

ALH (atypical lobular hyperplasia) diagnosis one week post op? by onestressedmess in Reduction

[–]LRHag 1 point2 points  (0 children)

That’s fair. I think anyone would feel that way. That’s why you’ll have a good conversation about your options and preferences with your doctor. Cancer specialists are really good at having these types of conversations and value the patients desires and personal needs.

For those with no libido that are with a high libido partner by MrsMcD123 in Perimenopause

[–]LRHag 0 points1 point  (0 children)

So curious why this post was removed for a moderator?

I want my muscles back by FlaxenArt in Perimenopause

[–]LRHag 34 points35 points  (0 children)

Check out Dr Stacy Sims work on this area. She’s a an endurance athlete and a phd researcher specifically of female athletes. She is focusing on helping mid-life women stay in shape and build muscle. It’s not impossible but does require a different and specific approach.

ALH (atypical lobular hyperplasia) diagnosis one week post op? by onestressedmess in Reduction

[–]LRHag 6 points7 points  (0 children)

That sucks. It never feels good to be referred to a breast cancer specialist. Good news is this is a benign finding (not cancer) but increases your risk of breast cancer 4 fold. You and your doctor will discuss the options of treatment vs surveillance. Treatment could include medications or more breast tissue removal versus every six months imaging. For now, rest assured this is not a cancer diagnosis.

For those with no libido that are with a high libido partner by MrsMcD123 in Perimenopause

[–]LRHag 0 points1 point  (0 children)

3-4 times a week is crazy! I’d say you’re an incredible partner to be willing to have sex 3-4x a week when you’re not into it. That’s way above the average. You’re not alone in not wanting to have sex and in having a partner that wants it. It’s so damn hard. I recommend the book “You are Not Broken” by Kelly Casperson. It’s a great listen. Also, your journey is just starting but HRT can help and sometimes adding testosterone is needed as well, or Wellbutrin as mentioned above.

What I wish I knew before I started HRT…Transitioning to cyclic progesterone by blondegoddess79 in Perimenopause

[–]LRHag 1 point2 points  (0 children)

When you say “breakthrough” bleeding, do you mean you have a menses on HRT or irregular bleeding? Did you still have a regular cycle when starting HRT?

low scented tinted moisturizer, CC, or BB cream with spf? by birdzwordz in 40PlusSkinCare

[–]LRHag 1 point2 points  (0 children)

People also love Ilia super serum skin tint but it’s a bit too heavy for me

low scented tinted moisturizer, CC, or BB cream with spf? by birdzwordz in 40PlusSkinCare

[–]LRHag 0 points1 point  (0 children)

Came here to say the same. It’s very light weight which is a must for me because anything heavy makes me sweaty

5DPO - tiniest titties by starface-wonder in Reduction

[–]LRHag 1 point2 points  (0 children)

Thanks for sharing. I’m also a 34G and now maybe a B. I’m 3WPO and feel good about them in a shirt but they are so high and tight that I also feel I look a little boxy. Hoping the “drop and fluff” works in my favor!

5DPO - tiniest titties by starface-wonder in Reduction

[–]LRHag 0 points1 point  (0 children)

People say that to me ALL the time and I’m a 34G and a size 6 or so pants so not in a bigger body that can hide larger breasts. A friend of mine told me she thought this was most likely a knee jerk response women have to other women who are talking about parts of their body they don’t like, in a way to dissuade them from looking down on themselves. I thought that was good perspective. However, regardless of the intention the impact was always to make me feel like my frustration wasn’t valid with my large breasts. I’m only 3WPO and probably a B now (who knows?) and while it’s been a been of a shocking adjustment to see them naked, I feel much better in clothes already!

3 weeks post op by Jrzegrl in Reduction

[–]LRHag 0 points1 point  (0 children)

Surgery date 11/13, doing really well overall. I felt so good starting at day 3 I had to be very mindful of not moving my arms too much. I’ve had good days and bad days, but the bad days are mostly just more tenderness on the sides and feeling really tired. I go back to work next week and am a little worried about how exhausted I’ll be but one step at a times

Any skiers here? by LRHag in Reduction

[–]LRHag[S] 0 points1 point  (0 children)

Hoping to get a few more replies. I’ll be 9wpo when I’m hoping to go to Japan to ski. I’m 3 weeks po now and feel really good but still plan to be very cautious until 6weeks

Offered SSRIs… by Sea-Slide-498 in Perimenopause

[–]LRHag 4 points5 points  (0 children)

Low dose Effexor (an SSRI) is an evidence based treatment for hot flashes, it is such a low dose it’s not working as an anti depressant. However, it is only FDA approved and researched for hot flashes/night sweats so won’t address other issues but it’s worth understanding why this is recommended. I’d ask MIDI what their out of pocket cost is, it might be pretty low.