How Lifestyle Changes and Self-Acceptance Can Empower Women During Menopause

When I recently had the privilege of interviewing Dr. Mindy Pelz on The Amberly Lago Show, we discussed topics that hit close to home for so many women: menopause, hormone health, lifestyle changes, and the empowering metaphor of “butterflying yourself.” I want to share and expand on our conversation because not only was it packed with expert insight, it was also deeply hopeful, reminding us that midlife transition isn’t an end, but a powerful new beginning.

The Untold Story of Menopause: Beyond Brokenness

Culturally, menopause has often been painted as a period of decline, a sad farewell to youth or vitality. Too many women, including myself at times, have been made to feel “broken” as our bodies change. But as Dr. Mindy pointed out, menopause is not the end; it’s actually a profound process of rebuilding. We discussed how society often overlooks the fact that women spend 42.5% of their lives without a reproductive system in full swing, and yet, this phase is brimming with possibility.

Menopause is a neurochemical rewiring, not a breakdown. Dr. Mindy’s mission is to equip women with the knowledge and tools required to thrive in this transition, rather than just survive it. Understanding this reframes the journey: instead of mourning loss, we celebrate growth.

Your Metabolic System: The Key to Smooth Transition

A central theme in our conversation was the importance of the metabolic system, especially as estrogen drops and insulin resistance becomes more prominent after 40. Dr. Mindy urged every woman over 40 to pay close attention to their hemoglobin A1C, a crucial marker of metabolic health. Targeting this number, aiming for the anti-aging benchmark (around 5), can make symptoms like irritability, brain fog, and insomnia more manageable.

So, what does that mean for daily choices? It’s not just about counting macros or cutting every carb; instead, Dr. Mindy recommends a simplified “primal menopausal diet”: 90% real, nutrient-rich foods, including diverse proteins, fiber from leafy greens and vegetables, and healthy fats like olive and avocado oils. Avoiding processed foods and bad oils helps cellular membranes function properly, which is key for hormone delivery within the body.

For those still counting every calorie or macro, this approach may feel liberating, it’s less about perfection and more about nourishing your body with what it truly needs.

HRT: A Personal, Not Prescriptive, Choice

The discussion around hormone replacement therapy (HRT) is nuanced, and Dr. Mindy was refreshingly candid: HRT isn’t one-size-fits-all. For some women, it’s life-changing; for others, symptoms may be managed with lifestyle shifts alone. She emphasized starting with foundational lifestyle changes, nutrition, movement, and stress management, to see if symptoms stabilize, using HRT judiciously and in careful partnership with knowledgeable healthcare providers.

A key takeaway? There’s no shame in seeking or forgoing HRT. Whatever you choose should be personalized and responsive to your needs, not dictated by trends or prescriptive advice.

Prioritizing Sleep: Resetting Your Internal Timekeeper

Difficulty sleeping plagues many women during menopause, primarily due to loss of estrogen’s role in regulating the “timekeeper” in the brain, the suprachiasmatic nucleus. Dr. Mindy shared practical wisdom: good sleep starts in the day. Expose your eyes to morning sunlight, move your body, and intentionally wind down with sunset light. This trains your brain to recognize day-night cycles even without estrogen’s guidance.

Magnesium supplementation and, for some, creatine, can also support deeper rest and brain health, but lifestyle remains the anchor.

“Butterfly Yourself”: Transformation, Authenticity, and Letting Go

My favorite part of our conversation, and Dr. Mindy’s book is the metaphor of the butterfly. Just as a caterpillar dissolves unnecessary parts in the chrysalis to emerge transformed, menopause is our chance to shed outdated beliefs, roles, and people-pleasing tendencies. We become more ourselves, authentic, joyful, resilient.

So, if you’re navigating this transition, know you’re not broken, but rebuilding. Prioritize your metabolic health, rethink your relationship with food and hormones, reclaim restful sleep, and most of all: butterfly yourself. Welcome this transformation as the emergence of your truest, most powerful self.

You can find Dr. Mindy Pelz’s insightful resources, including her book and podcast, for further guidance. Subscribe to The Amberly Lago Show for more real, inspiring conversations that help you like an unstoppable life!

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Amberly Lago [00:00:01]: Hey there. Amberly Lago [00:00:02]: Thank you for tuning in to the Amberly Lago show. Oh, my goodness. I have a real legend on the show today, and I have been so excited, but honestly, like, my palms are sweating. I’m a little bit nervous because she, I, this is somebody I really admire. I love her work, y’. Amberly Lago [00:00:22]: All. Amberly Lago [00:00:22]: I have Dr. Mindy Pelz with us today. She is a New York Times best selling author. I mean, she’s got millions of books sold worldwide. She’s a voice in women’s health, hormones, and aging. And she’s on a mission to teach you how to be powerful and just how powerful your body is. And I love that she shares that. You know what, especially when you’re at an age like me going through the menopause stuff, that you’re not broken, that you are being rebuilt. Amberly Lago [00:00:55]: You’re. And so we’re going to talk all about that. But I want you to know she’s got a top ranked podcast. I need you to go subscribe to the Resetter podcast. You won’t regret it. And she’s really helping you unlock your energy and get brain clarity. So if you’ve got brain fog, like I tend to have sometimes, and you’re ready to really find that purpose and power in your life. I’m so glad you’re here. Amberly Lago [00:01:21]: Get out your notepads and pens and you are definitely going to want to take notes. Dr. Mindy, thank you so much for being here. Dr. Mindy Pelz [00:01:28]: Oh, thank you, Amberly. I’m super excited to have this conversation, so thank you for inviting me. Amberly Lago [00:01:33]: Oh, well, I am so excited. Well, I’m excited about all your books, but you have a brand new book out and I’m so excited to dig into it because it’s called Age Like a Girl. I mean, you talk a lot about fasting and ketones and you’ve helped millions of women and I’m sure men too, on how to be in a better relationship with their, you know, partners just by understanding the how. How to age like a girl, fast like a girl, and all the things. But what led you to write the book? Your newest book? What was your. What. What kind of was like, I’m going to write this book. Dr. Mindy Pelz [00:02:12]: You know what? It really started with one statistic. And the statistic that I found about 10 years ago was that the most common time for a woman to commit suicide was between 45 and. And 55. I literally saw that statistic and I was like, wait, that can’t be right. This is fake news. So I’m like, why would a 48 year old kill herself. And she’s a, she might be a mother, grandmother, a community member, she has a career. Like why is she killing herself? And so I started to dig deeper into that and then I found another statistic. Dr. Mindy Pelz [00:02:51]: And the next statistic was that 70% of divorces are, are initiated by women over the age of 40. When divorce happens, 70% of them are initiated by women. So it started to lead me to wonder what was going on with women in the transition from our reproductive years to our non reproductive years. That led me to another statistic which said that a woman, if she’s lucky, will spend 42.5% of her life without a reproductive system. And the majority, I mean we’re the only species on the planet that lives that long without a system inside our body working. Like, think about that. There’s like, men don’t have a system. It’s not like that just shuts down. Dr. Mindy Pelz [00:03:39]: But this whole reproductive system literally goes into retirement. So I spent, you know, the close to the last decade really trying to understand what’s the purpose of menopause. Why were we, why do we continue to go on in life without this reproductive system being active? And that is what I brought forward in age like a girl. And it is good news. There is a reason for why we live so long. And the motivator for me really is these statistics. Like I felt like if women could understand this neurochemical process, they’d stop killing themselves. And if, if men, if they’re in a heterosexual relationship, if men understood what women were going through, maybe we could save a few divorces. Dr. Mindy Pelz [00:04:30]: And so that’s where the roots of this book started. Amberly Lago [00:04:33]: Well, I was saying before we started recording how just, I mean, I can’t wait to read the book. I’ve already pre ordered it and I’m so excited. Thank you for you and your amazing team who sent me a book that I will have on Wednesday so I’ll get to read it before. I’m so excited. But just in reading what the book is about, I said this gives me hope because. Amberly Lago [00:04:59]: It is like it’s, it’s a wild ride going through the change of menopause and, and even the things that people say to you. So I just had a doctor appointment. I went and did a full like blood, I just wanted to do a panel blood work, see kind of where I was, make sure things were okay. And my doctor was sitting there asking me questions and he goes, oh, you still have your, you still have your menstrual cycle. How old are You. And I was like, I still have it, but it made me feel so old and so. And then just little things that. That change that. Amberly Lago [00:05:38]: You know, my husband is still, you know, he’s got good levels of testosterone and he hasn’t. His system has not shut down. And I’m like, yep, but things are changing over here. And so I think that society sometimes, or, you know, what we hear culturally, it makes us feel like we are broken or something’s wrong with us. Or for me, I almost feel like, oh, I feel the changes. And you kind of reframe things, that it’s a new way of looking at it. So how is it menopause? If somebody is struggling right now with it, how can they start to make that shift? To look at it as something exciting to look forward to instead of, well, my glory days are over. Dr. Mindy Pelz [00:06:25]: Yep. It’s so well said. So one of the things that when I started researching this book, we weren’t talking about menopause. It’s fascinating because we’re talking about it all the time now. But we weren’t talking about menopause when I started 10 years ago on this research journey. And now we’re talking about it all over the place. I always say we’ve gone from a cultural hush to a cultural chaos. So I love that we. Dr. Mindy Pelz [00:06:53]: That you’re even having that conversation with your husband like that those kind of things weren’t, you know, women went through this experience and their libido went down and their moods changed and their irritability went up and their rage. We should probably talk about the rage that women have as they go through this experience. And yet nobody was helping them with that process. We’ve now landed in a conversation, and this could be part of what you’re experiencing with your doctor where everybody’s aware of it. And the solution is hormone replacement therapy. And I’m not here to say do it or don’t do it, but I’m really here to say that this process is a rewiring. The changes that are neurochemically happening are rewiring your brain for the better. So if you’re in the middle of it and you’ve got brain fog and you’ve got irritability and you’ve got anxiety, it’s because your life, your lifestyle, is at a mismatch with the neurochemical moment you are in, and that there are easy lifestyle things you can do to help your brain and body move through this transition. Dr. Mindy Pelz [00:08:05]: So that is what we should be leading women to. This is where we get empowerment. But to your point, medical doctors, many doctors have not been trained in menopause. The cultural conversation right now is hormone replacement. Great, if you’re doing it. I’m not here to tell you to do it or not do it. That’s a personal decision between you and your doctor. But what I am here to say is that if you go into your menopausal years and you haven’t changed the way you eat, you haven’t changed the way you move, you haven’t changed, tried to prioritize sleep and there we can talk about sleep and some of the things you need to do differently now to sleep. Dr. Mindy Pelz [00:08:47]: If you’re not looking at behaviors that you have, like people pleasing and fixing every problem, everybody’s problem, and trying to drop that, this process is worse. It’s so much more difficult for you. Whereas if at 40, somebody came up to you and like poked you on the back and said, hey, you’re about to go through the biggest neurochemical shift of your life and this is going to require a lifestyle shift, then women would be better prepared for it, marriages would be better prepared for it. Women would stop killing themselves. And that’s really what I wanted to bring forward in the book is where is lifestyle in this menopausal transition conversation? Amberly Lago [00:09:30]: Yeah, well, that’s such a great point. And you know, I just. A couple of days ago, I did two, two, two keynotes back to back in one day, which I normally don’t do. Two different events at two different locations. It’s a lot. And my husband says to me, you know, when are you going to stop this? You know, you’re older now and you, you can’t keep up with this. But in my mind, I want to do it all. I want to ask, you know, and I want to keep going and I want to do these things. Amberly Lago [00:10:02]: What are some things that would you would suggest for, for even. I mean, I’m selfishly asking for me. Dr. Mindy Pelz [00:10:08]: Like of course that’s, that’s that you get to do that. That’s amazing. Amberly Lago [00:10:14]: Like as far as food. So when I was diagnosed with complex regional pain syndrome, I did. I was always a pretty healthy eater. But when I was diagnosed with this nerve disease, I noticed things like I needed to cut out sugar. I got sober. Amberly Lago [00:10:32]: Because I could notice how it made me feel. I would flare up immediately. What are some things that you would encourage someone to change up with their eating when they are going through this change? Dr. Mindy Pelz [00:10:46]: Yeah, it’s such a good question. The first thing I want every woman over 40 to know is there is one number in your blood work that you want to watch closely and that number is hemoglobin A1C. Pre diabetic. The North American Menopause Society says that you are, and this is because we’re talking menopause says that you’re pre diabetic if you have a 5.7 or higher. So 5.7 to 6, 5.7 to 6.0 is pre diabetic. Now I’ll come back to these numbers and what they mean in a moment. 6.0 or higher is diabetic. And they consider 5.7 and lower as normal. Dr. Mindy Pelz [00:11:33]: When you go and look at the anti aging studies, you go look at longevity, you go hang out in the longevity community, everybody will tell you hemoglobin A1C should be around 5. So the first thing we need to do is we need to start to give you a target because that will help you understand your, if your metabolic system is going to throw off your menopausal journey. And the higher that hemoglobin A1C, the more bumpy the irritability, the more depression, the more anxiety, the more insomnia, the more belly fat, the more hot flashes. So just target that number. Hemoglobin A1C. Okay, now that leads us to. Okay, how do I target that number? So the second thing Every woman over 40 needs to know is that when estrogen goes down, you become insulin resistant. So those of you that were super fit in your late 30s, you ate well, you worked out well. Dr. Mindy Pelz [00:12:34]: If you’re not aware of the diet changes, I’m just about to, I’m about to tell you, you are naturally moving towards insulin resistance as you move into your perimenopausal years. Right. Wow. I even gave a keynote the other day to a bunch of natural paths. And I was trying to explain to them that when we look at the symptoms, the early symptoms of insulin resistance, they are literally the same exact symptoms as perimenopause. Amberly Lago [00:13:07]: Wow. Really? Dr. Mindy Pelz [00:13:08]: Yeah. The brain fog, the weight, the, the weight gain, the hunger, the that you can’t, the hangry that we get, the trouble focusing, all of that is also an indicator of insulin resistance. Amberly Lago [00:13:23]: Wow. Dr. Mindy Pelz [00:13:24]: So if, if, if we could get every woman focused on, on her metabolic system as she enters into this journey, she will be in a much better place. So that leaves us with, okay, how do I get my metabolic system in order to. Well, I can tell you because I’ve written a lot of books and helped a lot of people that in the early years when we looked at the ketogenic diet and we looked at even fasting. People were really into counting macros. And in both my books, eat like a girl and fast like a girl, I got macros everywhere. Like, you should eat this much protein and this much carbohydrate. We also have, you’ve probably had people on here who’ve talked about protein and how important protein is. And now you’ve got a whole world of women that trying to get one gram of protein for every pound of body weight. Dr. Mindy Pelz [00:14:16]: And it’s like become a big job just to get enough protein in. So what I wanted to do in this book is let’s just make it simple. We need to get the metabolic system in order in order to ride this journey, this hormonal journey. We know our target. So what do we need to eat? Well, the first thing is that we need to take certain foods out of our diet and that is all the ultra processed foods. So that’s your refined flours, your refined sugars, your bad oils. Now if people are clicking off this podcast now that they’ve heard this, like, sit with me for a moment. Amberly Lago [00:14:51]: No, I think they’re used to me. Dr. Mindy Pelz [00:14:52]: Saying, oh, are they? Okay, good, because I’m like, I don’t want to lose anybody yet. I’m taking you through a thought process here. So 80, 20, let’s go 80, 20, maybe even 90, 10, 10% of the time you can lean into those foods, but 90%, 80% of the time when you’re, we need to eat real food, not food that was made in a factory. So in age, like a girl, I have a very simple diet that I call the primal menopausal diet. And here’s what it is. You are going to eat meat. If you eat meat, if you’re not plant based, and I’ll talk to my plant based people here in a second. But all kinds of grass fed meats and different kinds of meats. Dr. Mindy Pelz [00:15:40]: And let me tell you why. Meats have a different amino acid profile. So one of the things I do when I go to a restaurant, when I pick up a menu, I don’t just look at it and go, what am I in the mood for? I actually pick up a menu and I ask myself, what haven’t I eaten recently? We don’t make, we don’t make duck at home. So if duck’s on, if duck is on the menu, I’m going to order duck because I don’t make it at home. Well, duck has a different amino acid profile than grass fed beef. Chicken has a different amino acid profile than fish. So we need to diversify our meat sources because that will give us more amino acids and amino acids make hormones. So think of it like your, you’re like baking bread. Dr. Mindy Pelz [00:16:34]: If you’re missing an ingredient, the bread doesn’t turn out. If you’re not giving yourself enough protein and enough different protein, then you don’t have enough ingredients to make your age appropriate hormones, which is going to cause you to have worse menopause symptoms than the typical person. So we’ve got meat is number one. If you don’t do meat, then legumes. Legumes are great, but just change them up. Lentils have the most amino acids in them, but then you might want to go black beans and pinto beans and all kinds of different beans. Then we need to do lots of vegetables and fruit, but we’re not talking bananas and mangoes and pineapple, we’re talking berries and apples, lower glycemic fruit. And then we need to do lots of leafy green vegetables. Dr. Mindy Pelz [00:17:30]: You have a set of bacteria in your gut that break estrogen down and you got to, you need to feed it fiber. Because if you can feed it fiber, then these bacteria flourish and they break estrogen down. It’s called metabolize and they make it so that estrogen can get into your cells and do what it’s meant to do. So hopefully we’re getting the picture. Amberly Lago [00:17:52]: Oh, yeah. And I love how you explain everything so people like me can understand it very clearly. You explain it so well. Dr. Mindy Pelz [00:18:02]: Thank you. Yeah. Because, you know, it’s like if I just say, hey, this is, I’ve been, I’ve been having, not, not, no pun intended, but I’ve been having a little bit of a beef with the protein conversation. And the reason I’m a little agitated with it is I’m really exhausted with authors, health influencers, people getting up and shoulding women. You should do this, you should do that. By the time you hit 45, 48, you’re exhausted. You’re going through this massive neurochemical rewiring. And the last thing you want to do is start counting your carbohydrates and your protein. Dr. Mindy Pelz [00:18:36]: If that excites you, go for it. But in my community, people are like, please, I got to stop counting. Amberly Lago [00:18:42]: Oh, yeah, I’m right there. I used to be in the fitness industry for 26 years and I was like, I used to count everything and have six meals a day and meal prep all my food. And now, now I, I do try to, I, I really Listen to my body. I mean, I don’t listen when it says I want brownies. I try to ignore that. Dr. Mindy Pelz [00:19:02]: Right. Amberly Lago [00:19:03]: But. But I like to, I love to just keep it simple, you know? Amberly Lago [00:19:07]: Yeah. Dr. Mindy Pelz [00:19:07]: But I am gonna be eating more protein now. Dr. Mindy Pelz [00:19:10]: Yeah. Dr. Mindy Pelz [00:19:10]: So conversation. Dr. Mindy Pelz [00:19:11]: So what? Yeah. So when I make a meal, I start with the protein and then I build the meal around the protein. Dr. Mindy Pelz [00:19:18]: That’s a good way. Dr. Mindy Pelz [00:19:18]: I don’t eat, I don’t eat a meal with. And when I go to a restaurant, I look, what protein am I eating? But I’m not here counting macros every single day. So let’s just make it simple and let’s put protein first and then we gotta put fiber second. So when we look at carbs, we’ve gotten in. We. Well, I think we’re maybe coming out of this, but we were in a little bit of a place for a while as a culture where everybody was scared of a carb. Did you go through that experience? Oh, yeah. Amberly Lago [00:19:48]: No carbs. No carbs. Yeah. Dr. Mindy Pelz [00:19:51]: So when I look at carbs, I see the man made carbs and I see the nature made carbs. So man made carbs are your chips and your pastas and your cookies and your desserts and all of that. Those are the carbs you want to get off of. But nature made you lots of great carbs, fruits and vegetables, and they all have fiber in them and you need that fiber. So the second thing you’re going to put in is what is going to be your nature’s carb on your plate. And then the third thing that I really think we need to talk about, and I haven’t mentioned it yet, is fats. So there are good fats and bad fats. And this is really important when it comes to hormones. Dr. Mindy Pelz [00:20:34]: The outside of every cell is a bilipid membrane. That means that what allows nutrients and hormones to get into the cell and, and toxins to get out of the cell is made up of fat. Lipid means fat. And it has two layers of fat. If you’re eating canola oil, you’re eating vegetable oil, soybean, corn, cottonseed oil. What you’re doing is you’re making that outer part of your cells rigid. And I don’t care how much hormone replacement therapy you lather on yourself, you, you’re, you’re not going to be able to get those hormones into the cells. We need to get you eating the right fats. Dr. Mindy Pelz [00:21:20]: And these are your olive oil. I mean, olive oil has been the hero forever. Avocado oil, sesame oil, MCT Oil. Like we have to start to nourish ourselves with healthy oils. And now hormones can get into that cell and can do what is meant it’s meant to do. Amberly Lago [00:21:39]: Oh, I’m so glad that you brought that up because I went through a whole phase when I first started in the fitness industry too, that it was no fat, everything right fat free. And then they were just adding more sugar and processed stuff to it, but leaving the fat out. It was terrible. And so this makes sense to me and it really does. But I want to go back to something that we, that you said about hormone replacement. So anybody that’s on hormone replacement, even if they’re eating this process, this horrible oils for you and their cells are rigid, those hormones can’t even activate anything anyway. But do you. Amberly Lago [00:22:24]: Do you think hormone replacement is good or not? I’m not on hormone replacement and I don’t know. I’ve. I don’t know if it’s good or bad. And so, I mean, I trust you to say, yeah, I think it’s great or not. Dr. Mindy Pelz [00:22:40]: Well, I think it’s, it’s great for some and not for others. So it’s not like taking an Advil or a painkiller of some kind. This hormone replacement is a personal choice. It’s a little bit like, do you remember when we started prescribing everybody antidepressants and some people felt like immediately they got their mood lifted and other people became suicidal. So when you are playing with the neurochemical system, there’s no one size fits all. So if I was prescribing hormone replacement or I was prescribing a lifestyle for people after 40, I would say get your lifestyle in order first. And let’s start with this metabolic number. Let’s get your metabolic system in order to. Dr. Mindy Pelz [00:23:26]: And then see where your symptoms are at and if all good. Yeah, right. Because like I’ve sat with so many women that are like, I didn’t need it and I’m totally fine and, and my brain is working great and I like, have I. I know so many women who have said that. And then I have other women who are like, if I don’t. If I was going to kill myself and then I took hormone replacement therapy and everything got better. So I just want to say I think it’s a personal choice and I think it’s a really important discussion to have with your doctor. Now, having said that, I’m on hormone replacement therapy at 56, I’m on the lowest dose I possibly can be on and A large reason for that is because my life is pretty stressful and I’ve got a lot. Dr. Mindy Pelz [00:24:14]: I’m running around doing a lot of things. And so I know that my body, I’m doing everything to give my body what I. What it needs, but I travel a lot. And so in that sometimes my lifestyle isn’t as perfect as I as I want it to be. So I’m back filling in with hormone replacement. But when I go through periods of time where things get a little bit better, I can focus more on the quality of my food, I’m sleeping better, my stress levels are down, I’m moving every day, I’m getting out and seeing sunlight. I find I don’t need to use as much hormone replacement therapy. So I think they need to go hand in hand with lifestyle. Dr. Mindy Pelz [00:24:57]: And I think it’s a very, very personal choice. I’ll tell you something I’m doing on my podcast. I’m bringing all different kinds of opinions on. And I brought a testosterone replacement expert on. She was adamant that everybody take testosterone. And, and if they take testosterone, then they will be motivated to go work out. Okay, I could kind of see that. But what about if you got yourself insulin sensitive? What if you worked on your stress levels? We’ve seen testosterone come back on blood work in my clinic, in my online world, just from those two things alone. Dr. Mindy Pelz [00:25:38]: So this is not a magic pill. This is something that needs to come in mixed with lifestyle. Amberly Lago [00:25:45]: Oh, well, I love that you bring so many different topics and people that have their adamant opinion about this is absolutely necessary. I mean, I was on a panel and Flex Lewis was on the same. He’s a big time bodybuilder and he was, you know, for a certain thing. And there was one lady on there that was like, just adamant about never take testosterone supplement. And I was like, whoa, whoa, what’s going on? So I like learning and hearing different people’s opinions. But, Dr. Mindy, you’re amazing in the way that you look at things. And I’ve seen so many different doctors. Amberly Lago [00:26:31]: And just for you to sit here and say, you know, everybody’s different and it’s looking at the person and their lifestyle. I wish we could have all doctors that could be like you, because that is so amazing to look at the person and their lifestyle. Because. Amberly Lago [00:26:52]: I was put on testosterone. So I had my numbers done. I went to this functional doctor. He said, you’ve got zero levels of testosterone, of estrogen, like your thyroid’s not working. Went on and on. He goes, I’m going to Give you testosterone replacement. It was a cream I put on my arm. My hair started falling out. Amberly Lago [00:27:12]: Growing black hair on my arm. I was so anxious, I would just be, like, in bed at night. My heart would just be going. And I went to another doctor, and he said, well, I can tell you exactly why. Your hair. He goes, is your hair falling out? I said, yeah. He goes, are you really feeling anxious? And I said, yeah. He goes, well, your testosterone is through the roof. Amberly Lago [00:27:33]: You do not need to be taken. And so he goes, go to the gym, workout as hard as you can. Stop taking that, and it’ll gradually. It’ll level out. Dr. Mindy Pelz [00:27:43]: Yeah. So such a good point. Thank you for sharing that story. Because when I decided to go on hormone replacement, what my OB and I did. Because we’re a team, and that’s how it should be. You want somebody who’s working with you, not making you feel horrible about it. So what we did is we do. In the beginning, we did blood work every 90 days. Dr. Mindy Pelz [00:28:06]: So she would put me on some hormone replacement, and then 90 days later, we would test my blood again, and we would see if things needed to be adjusted. And we did that for a year until we settled in on the right numbers. For me, that’s how it should be done. But not everybody has the doctor that will do that. Not everybody has the money. If they don’t have insurance that will do that. Not everybody has the time to do it. But. Dr. Mindy Pelz [00:28:30]: But ideally, that’s how you start to get this very personalized for you. And I think that what’s happening in the culture right now is we’re just saying, oh, you’re suffering. Oh, you didn’t get the message about hrt. And where this becomes dangerous is not in the. Oh, it could cause breast cancer, which is a concern. And people are worried about that. And there’s all kinds of conflicting science there. But what do women do when an authority figure gives a woman advice and that advice doesn’t work? Nine out of 10 times, the woman doesn’t think it’s the doctor’s fault. Dr. Mindy Pelz [00:29:10]: She thinks it’s her fault. We turn on ourselves. So we are actually setting women up for failure. If we’re like, all you gotta do is take HRT and your problems will go away. Because if her problems don’t go away, she now thinks it’s her fault. And that’s what’s driving me the most crazy about this. There is an art to hormone replacement therapy, and it needs to be paired with the proper lifestyle. And then you’re gonna see that you can. Dr. Mindy Pelz [00:29:43]: And I’m not joking. You can breeze through this menopausal experience. Amberly Lago [00:29:48]: Oh, thank you for sharing that and about how you got the blood work done, because. So I just moved back to Texas. Well, now it’s been three years, but it took a while to find a new doctor. And I went to her and I said, I’d like to do blood work because I want to test my hormones and see kind of where I am on. Am I perimenopausal pre menopause? Like, I don’t know. I have no idea. And she goes, oh, no, no, no. We don’t do blood work. Amberly Lago [00:30:16]: We don’t believe in that. And I’m like, what? But I never went back to her. Amberly Lago [00:30:22]: I was like, yes, yes, exactly. Amberly Lago [00:30:25]: Your blood work doesn’t lie. Like, the numbers don’t lie. You know, like, how do you not do blood work? And I thought that was baffling to me. So thank you for sharing that, because I was just like, well, that doesn’t seem right. And so. Dr. Mindy Pelz [00:30:41]: Yeah. And I. I don’t know about you, but I’ve heard a lot of women go, oh, it took me about two years to get my hormone replacement therapy. Right. I have heard that so many times. And when we’re looking at the conversation around menopause right now, that’s what’s consuming and taking up all the oxygen. Right. And so I just want to make sure that if you’re not doing hormone replacement therapy because you’re nervous about it, you do have other options. Dr. Mindy Pelz [00:31:10]: Let’s clean up your lifestyle and let’s see if you actually need it. I brought on a natural path who helps. Or she’s a cancer naturopath, so she works with people who have cancer. And I brought her onto my podcast. Her name is Dr. Naysha Winters, and I asked her to give us the pros and the cons of hormone replacement therapy. And I also asked her, like, is it necessary? And that podcast is the most listened to podcast on my channel so far, which tells me that women are like, I don’t know, I’m a little nervous. Or women are like, eh, it’s not working. Dr. Mindy Pelz [00:31:54]: So I just want to make sure we don’t lose this incredible moment by thinking HRT is the only answer. There is so much out there and so much more to this conversation than just find the right doctor and get yourself some hrt. Amberly Lago [00:32:10]: Yeah. Thank you for sharing that. And I again, y’ all have to go and subscribe to the Resetter podcast and. And binge it. It’s so informative. I want to go back to the lifestyle a little bit. I man, you are so brilliant. I, I could thank you for sharing all this. Amberly Lago [00:32:31]: I am soaking, I’m taking notes, thank you. Amberly Lago [00:32:36]: So the lifestyle part, I know I’ve got four friends that are my age, I’m 54 friends that are my age and they’re now starting to have insomnia. Luckily I sleep really good. But can you talk a little bit about how lifestyle, how sleep is important, imperative really for anyone, but especially when you are, you know, going through menopause. Can you talk about how to get better sleep and how much sleep sleep do we really need? Dr. Mindy Pelz [00:33:09]: Yeah. So thank you for asking this question. The sleep chapter in Age Like a Girl is absolutely my favorite. And there’s two things that I want people to know. For starters, estrogen helped you sleep. So estrogen actually stimulated something called the timekeeper is what I. It’s called the super cosmetic nucleus. It’s a part of the brain that keeps track of time so it decides where you are within the 24 hour cycle. Dr. Mindy Pelz [00:33:43]: Estrogen coordinated that, so when you had plenty of estrogen, you, your body knew where it was within the day night cycle. So when it saw at night it was like, oh, estrogen has told me that I need to tell the pineal gland to make more melatonin. So estrogen coordinated that whole thing which is why when she goes away we are ended up with. I don’t know about you, well, you said you sleep well, but one of the things I first started to notice is that I was waking up at 2 or 3 in the morning every single night. And they call that sleep fragmentation where you can’t get a full night’s sleep. And that can be absolutely because of a loss of, of estrogen. The second thing, and the second part of sleep problems is falling asleep. A lot of people have trouble getting to sleep. Dr. Mindy Pelz [00:34:36]: So if that’s you, then the second thing you need to know is that a good night’s sleep actually starts in the day. So without estrogen as the timekeeper, what, what you need to do is find another way to tell the timekeeper where you are in the day night cycle. This is not hard. This is so easy. So when you get up in the morning, you want to see the sunrise. So try to get up as the sun is coming up, sit, you know, if you can, if you, if it’s not too cold, sit on your back porch, let your eyes without your glasses, sunglasses, see that red light, you have receptor sites in your eyes that will Register that light and, and we’ll tell the timekeeper we’re waking up. Go ahead and turn melatonin off. Then a couple hours after you get off, you get up, you want to go move. Dr. Mindy Pelz [00:35:33]: So we were meant to move more in the morning than we were in the afternoon. So your body actually makes cortisol one to two hours after you get up. If you don’t use cortisol, you will store cortisol and usually you’ll store it around your belly. So after you see the sun rise, maybe then you have your cup of coffee and then go for a walk, go work out. You’re again telling the timekeeper, the day has started and we’re going to start, we’re going to start to move so the timekeeper knows where it is. Okay, Middle of the day, just get out 20 minutes, go for another walk or sit outside without your sunglasses on and let your eyes see, see full spectrum light. These are your more your blue lights, your green lights. Again, you’re just telling the timekeeper middle of the day and then at the end of the day go and see sunset. Dr. Mindy Pelz [00:36:27]: And, and then that red light tells the timekeeper, hey, it’s the end of the day now, so go ahead and make melatonin. You’ve using light, using movement, that you got to find another way to get the timekeeper on, on board because without estrogen, the timekeeper is completely lost. Amberly Lago [00:36:50]: Oh, that is so good. That, that is awesome. And you know, I’m grateful I have a puppy. Well, she’s going to be a year old next month and it is one of the best gifts that she has been to me is that I get out in the morning when the sun’s coming up and I, I go for walks and I get outside in the middle of the day and then I also get outside at night. And I have noticed how much that has helped. Dr. Mindy Pelz [00:37:21]: Yep. Amberly Lago [00:37:21]: Just getting outside with her. So I love that that’s so important. And I, it’s. That’s like when, when you’re in Vegas. Dr. Mindy Pelz [00:37:31]: Oh, yeah. Amberly Lago [00:37:31]: There’s no window. Amberly Lago [00:37:33]: Do you have. Amberly Lago [00:37:33]: I’ll be at a conference and I’m like, what time is it? 3am or 3pm they purpose. Dr. Mindy Pelz [00:37:39]: They want to mess. Mess your timekeeper up. Yeah, that, that is a great analogy. Amberly Lago [00:37:45]: Yeah. Like, it’s like, I feel like I’m in Vegas. No, I need to get outside and see some sunlight. So when I’m at conferences speaking, I will always get outside in the morning and try to get outside in the middle of the day as well. Just to get some sun, some sunlight. Are there. Or that is so good. Are there any supplements that you recommend. Amberly Lago [00:38:09]: For people for sleeping, or do you suggest them trying to, like, get their timekeeper in check first and then try some natural supplements? Dr. Mindy Pelz [00:38:20]: Yeah, I would definitely say get your timekeeper in check first. And I have a whole list in the book of all the things that will help the timekeeper out. And having said that, the most important supplement for sleep is magnesium, and you need magnesium to make progesterone. Progesterone is what helps you sleep. Progesterone makes a neurotransmitter called gaba. Dr. Mindy Pelz [00:38:43]: And magnesium will relax you. And you want a full spectrum magnesium. Like, there’s a lot of different types of magnesium. I do a magnesium complex because you want one that’s a full spectrum. But magnesium for sleep seems to definitely be key for almost every woman that I. That I have met. There’s also some interesting research out right now about creatine and that we lose. We lose creatine. Dr. Mindy Pelz [00:39:11]: You’re probably familiar from the fitness industry. Yeah. So we lose creatine as we lose estrogen. And creatine is not just important for muscle strength, but it’s important for cognition and it’s important for sleep. So I, for me right now, I’ve been taking, as I’m doing all these podcast interviews, I’ve been taking extra creatine at night to make sure that my brain has the right nutrients to be able to heal itself at night. Amberly Lago [00:39:38]: Oh, that’s so good. I wrote that down. I’m going to go order some after right after this. Dr. Mindy Pelz [00:39:43]: Excellent. Amberly Lago [00:39:44]: Yeah. That is awesome. And gosh, I told you I have all these questions. I don’t think I’ve gotten to most of them. And we’re going to be running out of time. But you know what I wanted to ask. Ask you is I love your butterfly ring. Dr. Mindy Pelz [00:40:00]: Thank you. You noticed it. Isn’t that cool? Amberly Lago [00:40:04]: That is, yeah. Amberly Lago [00:40:05]: Thank you. Amberly Lago [00:40:06]: And you use the phrase butterfly yourself. Is that why you wear the ring? Dr. Mindy Pelz [00:40:13]: Yep. Yep. Good, Good catch. Do you know that I have a butterfly necklace and I have a butterfly ring, and I’ve been wearing them on all my podcasts and nobody’s asked me yet. I’m like, somebody’s gonna figure out. It’s like my little subtle clue. So thank you for asking me. So, yeah, I put throughout this book, I use the term called butterfly yourself, and. Dr. Mindy Pelz [00:40:39]: It’S an example, a metaphor of what we need to be doing as we go through this journey. And let me explain what happens when A caterpillar turns into a butterfly because you may have thought you knew, but I’m going to tell you the real story and the nuance of that, that will blow your mind. A caterpillar is born with something called imaginal cells. And these cells are the genetic. Have the genetic DNA that will turn itself into a butterfly one day. So the caterpillar has these. A genetic code for the butterfly that it is going to be. It is born with that. Dr. Mindy Pelz [00:41:19]: The caterpillar goes around its day and it just consumes and gets bloated and eats all the time. And there hits a moment where the caterpillar is exhausted. Consuming this is. Think through the metaphor here. And mixed with a drop in hormones. I am not joking. The caterpillar has a drop in hormones and is tired of consuming the grass in its caterpillar. Life. Dr. Mindy Pelz [00:41:47]: Life. And that signals it to make a chrysalis. And so it crawls up into a tree and it starts to create a chrysalis around itself. Once inside the chrysalis, it starts to dissolve the parts of itself that it no longer needs to become a butterfly. And what’s really interesting, and this ties into some of the work you’re doing in your book and your message, is that as it is transforming inside the chrysalis, it actually resists its own transformation. It has to do this. It has to resist becoming the butterfly in order to completely dissolve all the parts that are not necessary to become the butterfly. It’s like an autoimmune reaction, basically. Dr. Mindy Pelz [00:42:40]: It, like, resists its own transition. It’s like. And it starts to dissolve pieces that it can’t use. When it becomes a butterfly, then there’s a goo inside the chrysalis. And in that goo is the imaginal cells. And the imaginal cells start to form the butterfly that then pops out of the chrysalis and becomes the butterfly. Okay, what’s the significance to a menopausal woman? What I see so often with women, and my practice for over 30 years was all mostly women, my online community, mostly women, is that when we’re younger, when we’re in our little girl years, we are the most authentic versions of ourselves. And somewhere along the life journey, we get the messaging and I write about this in the book, that in order to be accepted, in order to be worthy, that we need to play by a set of rules that society has put out for us, that we need to please everybody around us, we need to look a certain way, we need to act a certain way, and we lose our own Inner authentic voice. Dr. Mindy Pelz [00:43:55]: And we don’t even know we’re doing everything for everybody else. Like, why do we dress the way we dress? Why do we look the way we look? Why do we act the way we act? If you actually start to boil that down, you start to see that it was because maybe your father told you something, or maybe a boyfriend told you something, or maybe you knew if you were a size 2 and that you loved the number on the scale that you would be lovable. We have outsourced our authenticity as women. And what I love about the butterfly metaphor is when we go into menopause, as this neurochemical shift shift happens, it’s like us crawling into the chrysalis. We get the opportunity to dissolve what no longer fits. So if you are a professional people pleaser or like me, I was a codependent to the core. I made sure everybody was happy around me and then I was happy. And as I went through this journey, I had to dissolve that behavior. Dr. Mindy Pelz [00:44:59]: And as I dissolve that behavior, you know what happened? I became happier, I slept better. The irritability went away, the rage went away as I started to lean into who am I truly meant to be? And that’s why you’ll find the butterfly all over this story. Because menopause is your journey back to your original, authentic self. It’s an opportunity for you to live life on your terms. And that’s what’s neurochemically shifting in you and the butterfly. I say in the book, butterfly yourself. It’s your time to butterfly yourself. Amberly Lago [00:45:37]: I love that. You know, I just sent one of my clients a beautiful butterfly pin in the mail today because she’s really transformed her life and. And now I’m going to have to send you one too. Dr. Mindy Pelz [00:45:55]: Oh, please. Thank you. It’s funny. It started, the visual, visual representation started. I was at a local nursery buying some plants and they had a hat with a butterfly on it. And I put it on and I jokingly turned to my husband and I was like, I feel like if I wear this hat, you’ll know what version of me you’re talking to. So every time I put this hat on, you’re not talking to the Mindy that you married or that you met at 21. I’m not her anymore. Dr. Mindy Pelz [00:46:25]: You’re talking to the 56 year old woman who has finally butterflied herself. And so then that became the visual representation. Amberly Lago [00:46:33]: Oh my gosh. Okay, I have to, I have to steal that and do that with my husband because he will say, you know, you are Just not like you used to be. I mean, you know, you. And I’m like, no, you’ve changed. The old Amberly never would have said that. And I’m like, yep, yeah, you’re right. Dr. Mindy Pelz [00:46:53]: Yeah. Amberly Lago [00:46:54]: I need to get me a butterfly hat. That’s for sure. Yeah, Yeah. Dr. Mindy Pelz [00:46:57]: I mean, it’s really. It’s like. It’s a joke now. I’m like, when he asks me a question, I’m like, did you not see my hat? Do you remember? You remember what version I am right now? So it’s a beautiful. It’s a fun way, as opposed to really what’s going on? You know, there’s a whole in the book. I have a whole appendix to men. I just wrote a whole chapter straight to men because, you know, I understand it’s hard when you’ve been living with this someone and then she changes dramatically, you know? And so a large reason why I wanted to put this book out is to change the conversation. And it’s so much better to say, I butterflied myself. Dr. Mindy Pelz [00:47:35]: Then I’ve changed, and you don’t understand me. It just makes it more playful. Right. Amberly Lago [00:47:40]: And I’m so glad that you wrote a chapter for men, too, because I think sometimes it’s easier. Amberly Lago [00:47:48]: For our husband to hear it from a doctor or someone else than it is from us. Like, I just remember, you know, when I was pregnant and my husband coming home from work and he said, oh, one of the guys at work said that this happens when you’re pregnant. I’m like, one of the guys. I was like, I’ve been telling you that that happens, and that’s what’s going on. You know what I mean? So, yeah, he is an audible person. He will listen to a book. Is your book going to be available on Audible at the same time in December, or is it coming out a little after? Dr. Mindy Pelz [00:48:24]: Yeah, actually, thank you for asking me about my audible, because we did something different with this audible. I, of course, read the book. And usually when you read a book, you sort of have to read it line by line, and if you miss a word, they make you go back and repeat it. My publisher is amazing and said, you just read it. If you need to riff at any point, you want to go off script or off book, you go off book. Amberly Lago [00:48:48]: See, I love that I want to do that with my last book. And they were like, no, you need to read it exactly like it is. Dr. Mindy Pelz [00:48:56]: Yeah. Dr. Mindy Pelz [00:48:57]: And I actually had to audition to Eve audition to read my book. Amberly Lago [00:49:02]: What? Dr. Mindy Pelz [00:49:02]: And, yeah, and I was like, well, yeah, I’M like, do you want to listen to my first audible book? Amberly Lago [00:49:08]: That’s crazy book. I’d rather have the author than anybody else read, you know, do a book. Dr. Mindy Pelz [00:49:15]: So you got to like, give these extra. Dr. Mindy Pelz [00:49:18]: Yeah. So then the. Then the other thing they asked me to do is they asked me to at the end of each part that we have what we call Dr. Mindy’s moments, where I give you a behind the scenes of how I found the information, how I’ve applied it in my clinic, a little bit of like, you know, when I like, there’s some really interesting conversations I’ve had with neuroscientists and psychologists and anthropologists, and I kind of give you the behind the scenes. And that was really fun. So when you get the audio. Audio book. Audiobook. Dr. Mindy Pelz [00:49:49]: There’s little Dr. Mindy moments in there. So it’s a very different audiobook. So. Yes. Have your husband listen to it. Dr. Mindy Pelz [00:49:55]: Yeah, well, I’m gonna list. Listen to it. I can’t wait. Amberly Lago [00:49:57]: Can you. Amberly Lago [00:49:58]: Can I pre order that as well? Dr. Mindy Pelz [00:50:00]: I think so, yeah. I think so. Yeah. Amberly Lago [00:50:02]: Okay. Oh, my goodness. I can’t wait. I love that. I have a friend of mine, John Acoff, and I love his audio version book because he does the same thing. He gives little extras and it just makes it so fun. And I can’t wait to. I can’t wait for that. Dr. Mindy Pelz [00:50:19]: I mean, you have so much in your book about everything that you need to know, about really transforming your whole system, your whole belief, mind, body, everything, and becoming that butterfly, having that butterfly, butterfly yourself moment. And you talk about resilience and so much more. I mean, I could literally have you on for like three hours and I just have loved every minute. But I want, I want y’ all to go out and get her book. You definitely want to subscribe to her YouTube. But tell us the best place for people to pre order your book. Should they go to your website or Amazon or where would that be? Dr. Mindy Pelz [00:51:05]: Yeah, so, you know, you can go to age like a girlbook.com and depending on when you’re listening to this there we. We did some fun bonuses to celebrate the launch of this book. Book. So they may or may not still be there, but go, go check it out. I’m. It’ll be everywhere that books are sold. I do always recommend that if you have an independent bookstore near you, those are mom and pops stores that families depend on the. Those, those stores succeeding. Dr. Mindy Pelz [00:51:34]: So if you can go to an independent bookstore and order it, great. You can even go to bookshop.org. and it’ll. It’ll send you to an independent bookstore where it’ll be delivered to your house, but otherwise you can find it. It’ll be everywhere. It’s everywhere. Amberly Lago [00:51:50]: Oh, yeah. That’s awesome. And I love that you’re supporting those local bookstores. Amberly Lago [00:51:55]: Yeah. Thank you. Dr. Mindy Pelz [00:51:56]: I. I love doing that too. In fact, every. I love going into bookstores. Amberly Lago [00:52:01]: Yeah. Dr. Mindy Pelz [00:52:02]: My favorite things. Oh, me too. Yeah. Amberly Lago [00:52:04]: And they’re like a dying breed. Dr. Mindy Pelz [00:52:06]: I know. Amberly Lago [00:52:07]: Yeah. Dr. Mindy Pelz [00:52:08]: We just actually got a brand new Barnes and Noble. Amberly Lago [00:52:12]: Oh, wow. Amberly Lago [00:52:12]: And it’s gorgeous. But I love the tiny bookstores too, and there’s not many around, and so thank you for saying that. So please, you know what? Go listen to this and take a screenshot. If you’re listening on Apple Spotify or if you’re watching this on YouTube, take a screenshot and tag us. I love when I see that you tag me and tag Dr. Mindy and. Because it. And tell us. Amberly Lago [00:52:39]: And tell us your favorite part about the interview. But Dr. Mindy, thank you from the bottom of my heart for sharing. I just love all that you share. This has been one of the most fun and informative interviews I’ve ever done on the show, and I just appreciate your time and I’m so, so excited about your new book. So y’ all go follow her right now. And look, if you’re walking out, driving, whatever, all those links are going to be in the show notes for you, so you can find her there. So, Dr. Amberly Lago [00:53:14]: Mindy, thank you, thank you. Dr. Mindy Pelz [00:53:15]: Thank you, thank you, Amberly. I really enjoyed the conversation as well. Amberly Lago [00:53:19]: Thank you. And y’, all, thank you so much for tuning in. It’s because of you that you’ve made this show a top 1% podcast. So I appreciate you tuning in each week and we will see you next week.

 

To Connect With Dr. Mindy:

Website: https://www.drmindypelz.com/

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Age Like A Girl: https://www.discover.hayhouse.com/agelikeagirl/?%5b%E2%80%A6%5dgn=booklaunch_pelz_alag_202512_preorder&utm_content=9994&utm_medium=pelz_social&utm_source=partner

AMBERLY LAGO