How Lifestyle and Bio-Identical Hormone options can help balance your hormones with Dr Erika Schwartz [Episode #1005]
This Week’s Episode Special Guest: Dr. Erika Schwartz
About Dr. Erika Schwartz
In this engaging conversation, Kimberly Snyder interviews Dr. Caroline Leaf, a renowned neuroscientist and author, about her latest book, ‘Help in a Hurry.’ They explore the profound distinction between the mind and the brain, emphasizing the importance of understanding the non-conscious mind and its role in managing thoughts and emotions. Dr. Leaf shares practical tools for self-regulation, particularly in moments of stress and regret, and discusses the impact of our thoughts on our physical health. The conversation highlights the power of self-awareness and the ability to create positive energy in the world.
Guest Resources:
Website: https://drerika.com/
Podcast: Redefining Medicine podcast
Book: Don’t Let Your Doctor Kill You: How to Beat Physician Arrogance, Corporate Greed and a Broken System
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Episode Chapters
00:00 Introduction to Hormonal Health and Dr. Erica Schwartz
01:52 The Importance of Bioidentical Hormones
05:57 Misconceptions and Historical Context of Hormone Therapy
09:50 Empowering Women to Understand Their Bodies
13:53 Navigating Hormone Therapy: Timing and Longevity
17:40 Balancing Hormones for Fertility and Overall Health
19:30 Understanding Hormone Supplementation
21:46 The Role of Hormones in Aging
25:39 Proactive vs. Reactive Hormone Use
28:11 Hormones and Disease Prevention
30:30 Muscle Health and Aging
33:53 The Importance of Supplements and Lifestyle
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KIMBERLY’S BOOKS
- Chilla Gorilla & Lanky Lemur Journey to the Heart
- The Beauty Detox Solution
- Beauty Detox Foods
- Beauty Detox Power
- Radical Beauty
- Recipes For Your Perfectly Imperfect Life
- You Are More Than You Think You Are
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Transcript:
Solluna By Kimberly Snyder (00:02.595)
Hi everyone and welcome back for our Monday show. We have a very special guest here with us today. I’m so excited to chat with Dr. Erica Schwartz, who is a bestselling author. She’s the founder of Evolved Science, a world renowned medical practice based in New York City, built on the recognition that bioidentical hormones are the foundation for better health. She has eight books out. She’s been featured in the New York Times, the Wall Street Journal, Daily Mail, Vogue.
Town and Country, the New York Post, and regularly on many television shows. goes on and on. Dr. Erica, thank you so much for being here with us today and sharing some of your wisdom.
Dr Erika (00:44.782)
Kimberly, thank you for having me. It’s such a pleasure. kidding? I think you have accomplished just as much, if not more, than I have. So I think that’s pretty impressive. You’re impressive. And I’m really honored to be on your show.
Solluna By Kimberly Snyder (00:55.631)
your energy is so beautiful, Dr. Erica. I can feel your heart. I can feel your authentic, really wanting to support, especially women. I feel like, you now, Dr. Erica, there’s so much discussion around hormones. When I think about my mom’s generation and my grandmother, especially in different parts of the world, you my mom’s side is from the Philippines. I feel like we didn’t talk about hormones that much.
And now all of a sudden it’s sort of like everywhere. You’ve been talking about this for, wow, yeah.
Dr Erika (01:30.798)
30 years. So yes, it’s, you know what I say, I am thrilled to have lived long enough to see it happen.
Solluna By Kimberly Snyder (01:39.822)
Yes.
Dr Erika (01:39.886)
because 30 years ago when I started working with hormones, people thought I had lost my mind. And I was like, no, all this data is wrong. Everything that they’re coming up with is wrong. And it was really rough. now it turns out that I have patients who’ve been with me for more than 30 years, that I’ve been taking hormones more than 30 years. And it turns out that it was the right thing. And it’s just…
Solluna By Kimberly Snyder (01:56.877)
Wow.
Dr Erika (02:04.82)
unfair for these poor women who still suffering because the information is still missing.
Solluna By Kimberly Snyder (02:11.661)
Yes. Well, let me ask you, Dr. Erica, let’s talk about some of this information because I know you’re a proponent of lifestyle as well and healthy food and exercise and all these aspects, which I want to talk about. But since, you know, the bioidentical hormones, is this something that we should pursue only when we start to feel adverse symptoms? Is it possible for many women to not feel those symptoms, to sort of glide through perimenopause and menopause?
Dr Erika (02:21.07)
Thank you.
Solluna By Kimberly Snyder (02:39.339)
Or is it something that’s more your opinion proactive?
Dr Erika (02:44.6)
Kimberly, that’s such a great question. So this is the thing. I think that everybody should be on hormones. I think that when you go on hormones, depends on your own individual needs. I think that because there’s such confusing and mixed messaging coming around, but there’s more and more realistic stuff coming through. I think it depends on, you know, there are a lot of women who don’t even know that there are such things as symptoms around menopause.
Solluna By Kimberly Snyder (02:50.244)
Mmm.
Dr Erika (03:13.262)
They don’t even know that that exists. So if you start having symptoms, by all means you should be on hormones. You should see a doctor or a provider, nurse practitioner, SPAs, they know how to provide services because they know how to take the bloods.
Solluna By Kimberly Snyder (03:13.646)
Right.
Dr Erika (03:32.438)
evaluate you, you want to find somebody who cares about you, individual, the person, and who actually knows what they’re talking about. Because recently, there’s like a total on, you know, onslaught of
Solluna By Kimberly Snyder (03:36.845)
Yes.
Dr Erika (03:49.464)
hormone experts. And the truth is they’re not because they haven’t known about it long enough to know what do. You know, I teach at the American College of Anti-Aging Medicine, A4M, and we train a lot of doctors and a lot of providers. But the thing is, there’s still many, many more who need help. And in the conventional medical system, the medical education is completely zero on it.
Solluna By Kimberly Snyder (03:54.945)
Wait!
Solluna By Kimberly Snyder (04:11.097)
Right?
Solluna By Kimberly Snyder (04:19.001)
Wait.
Dr Erika (04:19.408)
no education, the North American Menopause Society, the menopause practitioners, they really are very, far behind. And I’ll give you an example that when this whole thing started in 2002 with that study that really put us behind the eight ball, was the, they sent out, and this is the American College of Obstetrics and Gynecology in North America Menopause Society, where all women turned to, and I’m a conventional doctor,
trained doctor and what they did is they sent out this like a pamphlet telling women that what you should tell your patients since you couldn’t give them hormones anymore was that they should wear layers they should stay in dark rooms
Solluna By Kimberly Snyder (04:50.093)
Yes.
Dr Erika (05:12.078)
It was so offensive to me because I was working with hormones already. I couldn’t believe it. But you have to think that this is where they’re coming from. And that was only in 2003. So you’re talking about 23 years, 22 years ago. So there’s a long way to go to get the information out to everybody and get the right information out.
Solluna By Kimberly Snyder (05:34.848)
That study you’re referring to, doctor, was linking hormones to cancer, correct?
Dr Erika (05:41.482)
It was a study that did not use bioidentical hormones. They used a synthetic form of hormones that came from Franklin Horse’s urine. And that study said that came out stopped early because supposedly there was an increased incidence of breast cancer.
in the study and strokes and, you know, strokes and blood clots. The truth is that the study was wrong. The women that were studied in the study were women that were older. They were more than 10 years after menopause. They were, a lot of them had pre-existing conditions, meaning like there were smokers, they had all kinds of other medical problems. So,
Solluna By Kimberly Snyder (06:19.567)
Huh.
Dr Erika (06:30.05)
the study was just wrong. The fact that it was wrong, it just was wrong. And then what happened is that the principal investigators did take back the information, but unfortunately the media never covered that. So doctors never knew about it. The women never knew about it. And it took until in the past four or five years, 10 years maybe that
Solluna By Kimberly Snyder (06:31.695)
It was spewed. Yeah.
Solluna By Kimberly Snyder (06:45.827)
Hmm.
Dr Erika (06:58.344)
Women are now talking about menopause, peri-menopause, they’re talking about hormones, and the information is very clear. And you know, the surgeon general and the FDA right now, they’re taking off the black box warning off of estrogens because there was no connection between taking estrogen and breast cancer and taking estrogen and getting ovarian cancer or whatever. It was just crazy.
Solluna By Kimberly Snyder (07:00.45)
Yes.
Solluna By Kimberly Snyder (07:22.829)
Great.
Dr Erika (07:26.816)
The truth behind it is that it was all about money and it was about Big Pharma having paid for the study that was supposedly the government sponsored study, but it wasn’t. It was Big Pharma paid for it. And Big Pharma paid for the hormones that they were using in the study. And then they thought that it was going to be the eternal, you know, the fountain of use, but it turns out that it wasn’t.
Solluna By Kimberly Snyder (07:36.047)
Mmm.
Dr Erika (07:54.198)
It wasn’t even right because it was the wrong population. So anyway, make our long story short, they got scared because the last thing they wanted was for the public to know that it was the government had taken money from big pharma to conduct a study that wasn’t right.
Solluna By Kimberly Snyder (08:14.937)
So Big Pharma didn’t want women to know about bioidentical hormones so they could potentially sell other medications or aids for women to deal with the symptoms. Is that sort of the gist?
Dr Erika (08:26.784)
Right. So, yeah, that’s the gist because essentially, and this is the funny thing, know, women get antidepressants when they’re perimenopause. I mean, women take more antidepressants than anything else. And you think about it, are we missing antidepressants in our system? Well, I don’t think so. I bet you don’t think so. We don’t have antidepressants there. There are a lot of ways to get rid of the depression and
Solluna By Kimberly Snyder (08:54.671)
Great.
Dr Erika (08:55.342)
lifestyle being the number one that you talk about so eloquently and so correctly and Diet exercise stress management everything you talk about and talking about for 30 years So I agree with you a hundred percent and then hormones you missing hormones when the hormones start going out of whack
Solluna By Kimberly Snyder (09:06.018)
Yes.
Dr Erika (09:17.878)
That’s what you need to do is balance the hormones, not give women antidepressants and basically take them out of the workforce, take them out of society, make them basically unnecessary. It’s terrible.
Solluna By Kimberly Snyder (09:23.18)
Right.
Solluna By Kimberly Snyder (09:33.325)
Let’s get a little specific, Dr. Erica, when you say hormones, you mentioned estrogen. Are we also talking about progesterone, testosterone?
Dr Erika (09:42.306)
Thyroid, adrenal, yes. We’re talking.
Solluna By Kimberly Snyder (09:44.495)
So there’s a whole mix that you would have to meet with a doctor such as yourself to see what’s right for your body.
Dr Erika (09:50.124)
Well, I think it would be best to do that. People become their own doctors. you know, sometimes that’s not so bad, because I think that in the conventional world, we’re not helping our patients. You know, I have this book coming out, re-released actually, September 2nd, it’s called Don’t Let Your Doctor Kill You. And it’s the truth.
Solluna By Kimberly Snyder (09:57.465)
right
Solluna By Kimberly Snyder (10:07.524)
Hmm.
Solluna By Kimberly Snyder (10:15.915)
What a great title.
Dr Erika (10:17.886)
Thanks. But you know, it’s coming back out and we’ve expanded. The first time it came out was like 10 years ago. And then we added COVID and AI and a lot of pieces to it and more stories. And the thing is that in the conventional world,
you really don’t get the help you need. And women, and I think that one of the most important messages is you live in your own body. I don’t live in your body. The doctor doesn’t live in your body. So listen to your body, learn to listen. And once you listen to your body, then you can actually follow advice or not. It’s your decision. And in the conventional world, unfortunately,
Solluna By Kimberly Snyder (10:36.239)
Mmm.
Dr Erika (11:02.892)
That decision is based on fear because it’s about intimidating the woman, scaring her into, my God, I might have cancer that I’m missing so I can have a million tests. But at the end of the day, nobody stops to see what’s going on inside. How could I improve my life because I live in here? So that’s kind of the goal. My goal is to eliminate fear.
Solluna By Kimberly Snyder (11:19.748)
Wait.
Solluna By Kimberly Snyder (11:29.944)
Yes.
Dr Erika (11:30.08)
and to empower women to learn as much as possible about themselves. And yes, you’re right. You do need a prescription for estrogen. You might not necessarily need a prescription for progesterone. You do need a prescription for testosterone, for thyroid, adrenal. You may not need a prescription because they’re supplements. But the thing is you want to work with someone who cares about you.
Solluna By Kimberly Snyder (11:52.587)
Yeah, it’s just even hearing you say all these things, Dr. Erica, it just, I don’t know, for me, and I haven’t gone into this yet, it just feels like someone being their own doctor when hormones are so specific, that feels scary, like you’re just kind of prescribing to yourself. So let me ask you some specific, yes.
Dr Erika (12:01.801)
Yeah.
Dr Erika (12:11.192)
Well, can’t. You can’t prescribe for yourself. But if you understand how your body’s functioning, you’ll start living inside your body, right? That’s what you teach, is live inside your body. Be present, understand. Don’t react to the outside, react to the inside.
Solluna By Kimberly Snyder (12:24.749)
Yes, be present.
Dr Erika (12:32.593)
then you can get right help because then you can, you’ll go to a doctor, let’s say, or some kind of provider and they say stuff that doesn’t make sense. You’re not going to be intimidated. You’re not going to be afraid. You’re not going to make a mistake of like, okay, I’m going to follow it. You’re going to say, well, that doesn’t make sense. Let me run. Go somewhere else.
Solluna By Kimberly Snyder (12:55.631)
So Dr. Schwartz, I’m gonna ask you a three-part question. And if you forget one of them, don’t worry, we’ll go back. as you’re… Oh, sorry, sorry. I’m so sorry. Dr. Erica.
Dr Erika (13:01.736)
This is not much work, it’s my god.
I’m just kidding. I just have people to call me like the shorts as much as I don’t like it.
Solluna By Kimberly Snyder (13:10.959)
Might sound so formal, right? We’re sisters here. Yes, yes. So three parts. Number one, which is a fear women have once you start taking the hormones, do you have to be on them for the rest of your life? So we’ll talk about timing a little bit, because I read something recently, you have to start before 60. Number two, the symptoms.
Dr Erika (13:14.154)
Yes, we are. We’re all one. We’re all one. That’s it.
Dr Erika (13:21.463)
Yes.
Solluna By Kimberly Snyder (13:37.453)
that we keep referring to, if we could elaborate a little bit more about when we know something’s off. And number three, I’d love to know not just about alleviating symptoms, but potential further benefits, whether that’s protecting our bone health. Like you talked about mental health, physical health. So if we could go into those three more specific things, Erica, I’d love to hear. First one, do we have to be on hormones forever?
Dr Erika (13:53.774)
Great job.
Dr Erika (14:00.302)
Okay.
Solluna By Kimberly Snyder (14:06.593)
timing wise, like some people may experience symptoms in perimenopause. Some people, I think my mother went through menopause in her mid-50s.
Dr Erika (14:16.862)
Yeah, that’s because you’re half Filipino. The Filipinos go into menopause later in general. But let’s answer. So first of all,
Solluna By Kimberly Snyder (14:20.184)
Yeah.
Solluna By Kimberly Snyder (14:25.752)
Okay.
Dr Erika (14:29.684)
Yeah, you should stay on hormones forever because you want to stay young and healthy, right? It’s not about chronologic age. It’s about physiologic age. I’m 75. I don’t think my body looks or feels or I feel the same I felt when I was 40 only maybe 35 only I work a lot harder at it. You know what I mean? What I do
Solluna By Kimberly Snyder (14:32.345)
Got it.
Solluna By Kimberly Snyder (14:42.702)
Wow.
Solluna By Kimberly Snyder (14:54.721)
Adrienne, it’s amazing. I mean, you look like you’re in your 40s.
Dr Erika (14:58.674)
I love you. you know what? They have that new app that my one of my grandchildren had and about what your age is, right? And you put it up and it said 48. It’s funny that you said that. That was the sweet. No, but I have to tell you. So yeah, if you stay on hormones, your chances of staying healthy and staying well.
Solluna By Kimberly Snyder (15:06.349)
yeah, yeah.
Solluna By Kimberly Snyder (15:10.18)
Wow.
Dr Erika (15:20.982)
are much higher. So why would I ever stop hormones? I started at 46 and I can promise you, I will die with my taking hormones because look at how I feel, look at what happens. But it’s not just the hormones. We’ll talk about that. So anyway, so the other part of it is you don’t have to stay on hormones or anything forever. You could do whatever you want.
Solluna By Kimberly Snyder (15:36.856)
Yes.
Solluna By Kimberly Snyder (15:52.152)
Yeah.
Dr Erika (15:55.146)
And I mean, most of my patients are now 30. You start having symptoms of hormone imbalances as a teenager. When you get acne, when you first take the period, you get PMS, those are hormone imbalances. And they’re all very easily treated with very low dose progesterone, very low dose. And it’s really easy. So if you have somebody like my first book, The Hormone Solution, that…
Solluna By Kimberly Snyder (16:03.801)
Right.
Dr Erika (16:20.662)
That’s what I wrote in it and that came out in 1999. think about, no, maybe 2002. So it’s so obvious that it’s a continuum, right? I mean, why don’t we address the fact that it’s a continuum and it’s okay. Yeah, go for it.
Solluna By Kimberly Snyder (16:36.889)
But Dr. Schwarz, now you’re talking about that young, what about worries with fertility if you start taking progesterone or messing with hormones, let’s say before you have your kids?
Dr Erika (16:51.128)
Kimberly, you’re not messing with them, I promise you, because what I’m gonna teach you is how to support your system. You know, when you’re messing with them is when you’re taking birth control pills. And when you take birth control pills, it suppresses everything and you’re creating a menopausal hormone levels, which is not okay, right? So when you’re taking progesterone, by the way, that’ll help with fertility. As a matter of fact, if you do IVF or something like that,
Solluna By Kimberly Snyder (17:02.539)
Yes, which… Yeah.
Solluna By Kimberly Snyder (17:10.797)
Yes.
Dr Erika (17:20.172)
they will give you additional progesterone. And most women who get pregnant that are under like really good medical care will take supplemental progesterone for up to 20 weeks of the pregnancy. So progesterone will never harm any future pregnancies. that’s…
Solluna By Kimberly Snyder (17:34.424)
Really?
Solluna By Kimberly Snyder (17:38.979)
Well, my doctors who were very, I just say conventional, never prescribed for my pregnancies. I never took any of that.
Dr Erika (17:45.39)
I think we should move you away from that. Yeah, I’m sure, but you know what? Maybe we should move away from that, because that didn’t work out well. It worked out well for you, but it doesn’t work out. I have patients right now, I have three patients who are in their 30s and they’re all three pregnant. And we have them all three couldn’t get pregnant, they were gonna do IVF. They wound up not doing IVF because we balanced their hormones.
Solluna By Kimberly Snyder (17:55.63)
Yeah.
Solluna By Kimberly Snyder (18:13.411)
Wow.
Dr Erika (18:13.632)
And one of the things they got was progesterone. The other one was thyroid. The other one was DHE. But there are a lot of things you could do to help women get pregnant by balancing their hormones.
Solluna By Kimberly Snyder (18:18.142)
yes.
Solluna By Kimberly Snyder (18:25.807)
That’s amazing, doctor, and that gives people a lot of hope. Is there any downside to taking progesterone, let’s say that young, you start in your 30s for the next 60 years?
Dr Erika (18:28.846)
the end
Dr Erika (18:34.094)
No, no, no, you know what, but you take it when you need it. You take it like when you’re in need. Yeah, or you take it just like for PMS, you take it for four or five days before your period. That’s the only time you need it. So it’s not gonna stay in your system. It leaves your system. It goes away, goodbye, it doesn’t exist. So it just supports, it makes your system better.
Solluna By Kimberly Snyder (18:39.859)
you cycle it.
Solluna By Kimberly Snyder (18:46.703)
Solluna By Kimberly Snyder (18:54.927)
Wow.
Dr Erika (18:59.106)
You know what I mean? So that’s one thing. The other thing is, remember, when you think birth control pills, you’re putting women into menopause. So all this stuff.
Solluna By Kimberly Snyder (19:07.297)
Yeah, I never did it, doctor. It always felt, for me, not the right choice.
Dr Erika (19:12.396)
Right. No, I agree with you. Me too. I agree. But women will take it because what other options do you have? I mean, I tell everybody to put an IUD and, without hormones. But the thing is, it’s really hard. And think about it. We, you need something. You don’t want to get pregnant anytime, really. So think about that.
Solluna By Kimberly Snyder (19:35.819)
There’s always good old, you know, we call pull and pray.
Dr Erika (19:39.19)
Yeah, pull and pray. The rhythm method, yes. There’s a lot of praying going on there.
Solluna By Kimberly Snyder (19:47.543)
Not so exacting, yeah.
Dr Erika (19:49.836)
No, right. all right, so we’re still on number one. Okay, so number one was, can you take it forever? You should take it forever. If you don’t wanna take it, you could stop any time, and that’s what you were saying, right? You could stop any time. Nothing will happen because…
Solluna By Kimberly Snyder (19:53.358)
Yeah.
Solluna By Kimberly Snyder (20:00.109)
Wow.
Dr Erika (20:12.64)
It goes out of your system within a few days. So within a few days, you go back to what your baseline is. So if you have symptoms, they’ll come back. If you don’t have symptoms, they won’t come back. The thing is that I have a lot of patients that I’ve encouraged over the years when they said, I don’t think I need it anymore. I don’t think this, you know, cause once you feel good, everybody thinks, I don’t need anything. So I will say stop taking them. And then within a month, a week,
three weeks, three months, they’ll be back and they’ll say, okay, well, you know, what do you think? Now, to go to number three.
Solluna By Kimberly Snyder (20:50.533)
wait, hold on, before we move on from number one, Dr. Erica, this is so interesting. Can I ask you one more detailed question? So sometimes you hear this, and I know it’s different sorts of compounds and hormones, know, with melatonin, for instance, what you take, you don’t make. So there’s, know, people are taking so much melatonin and then they get off it and then it sort of messes up their sleep. And I know it’s different for men. My husband was on testosterone.
Dr Erika (20:56.128)
You can ask me as many as you want.
Dr Erika (21:07.982)
Thank you.
Solluna By Kimberly Snyder (21:18.103)
and then he tried to get off it, he got off it so we could get pregnant and then his levels went down because he was on it so long. So he had to get back on it. So what about this idea that, yeah, when your body gets used to not making something when you’re taking it.
Dr Erika (21:34.786)
But I’m not suggesting that we’re overriding the system. So melatonin, I’m not a big fan of, especially as you get older. Whereas the problem with melatonin is that we’ve been giving the dosing that you could get, that you buy from whatever stor
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Breaking Free from the Cage of Ambition and the Relentless Pursuit of More with Keren Eldad [Episode #990]
How to Improve Your Pelvic Floor for Better Health with Alicia-Jeffrey Thomas [Episode #989]
Discovering Joy and Overcoming Perfectionism in your Life with Dr. Tiffany Moon [Episode 988]
Elevate Your Relationships through Radical Listening with Robert Biswas-Diener and Christian Van Nieuwerburgh [Episode #986]
Radiating the Feminine Woman You Were Born to be with Monica Yates [Episode #985]
What to Do When You Get Dumped: A guide to Unbreaking your Heart with Suzy Hopkins & Hallie Bateman [Epsiode #984]
Intuitive Ayurveda to Reset your Health with Nidhi Pandya [Episode #983]
Master Your Mindset with Michael Pilarczyk [Episode #981]
April Four Cornerstones Power Hour Tips Show [Episode 982]