Dr Newson speaks with Professor Robert Langer in this episode. Robert Langer is Professor Emeritus in Family and Preventive Medicine at the University of California in San Diego. He was also an investigator of the Women's Health Initiative (WHI) Study. Together, they discuss how the WHI Study from 2002 turned the world upside down for women and how they have both been trying to right it ever since.
Professor Langer describes in detail what was understood about the benefits of hormone replacement therapy before the WHI study, how the notorious study came about and why it was finished prematurely and so badly misreported in the media. His unique account of how the events unfolded helps listeners to understand the bigger picture of why healthcare professionals and women remain unaware of the benefits of HRT and are often overly cautious of the perceived risks to this day.
Professor Langer's 3 top tips are:
1. All of the evidence shows that for women who are within 10 years of their menopause, or under the age of 60, if she has reason to take HRT, there is absolutely no need to be concerned about HRT. For these women the benefits strongly outweigh the risks.
2. There's no reason to stop taking HRT at any age, if you've been taking it from the time of your perimenopause or within 10 years of your menopause.
3. With a knowledgeable practitioner, there's no reason that a woman who is past her menopause or over 60, can't start taking HRT, as long as the clinician is aware of how to start slowly and get hormone levels to the right point.
154 - How pharmacists can improve menopause care in your GP practice and community with Rupa Lyall
153 - Learning how to prescribe HRT as a GP trainee with Dr Thulasi Naveenan
152 - Irritable bowel, bloating and digestive health with The Gut Experts
151 - Unpicking UTIs and the role of hormones with Dr Rajvinder Khasriya
150 - The effects of trauma, gender bias and the peri/menopause with Dr Jan Smith
149 - What I have learnt since falling in love with menopause care with Dr Abbie Laing
148 - Plant-based living with Happy Pear’s Dave and Steve Flynn
147 - Changing minds about food and diets with Dr Robert Lustig
146 - Helping others feel less alone with POI with Ava Vanderstarren
145 - Raising awareness of endometriosis and surgical menopause with Vicki Shattock
144 - ZOE’s co-founder, Jonathan Wolf, on the future of nutrition science
143 - Fertility, pregnancy and perimenopause with Rhona and Tanya
142 - Losing my wife: was her perimenopause a contributing factor? With Peter Smith
141 - Helping organisations change their culture around menopause with Sarah Davies, Talking Menopause
140 - Addressing the emotional challenges of perimenopause and menopause with Simona Stokes
139 - ‘How my life experience has influenced me as a doctor’ with Dr Naomi Jiagbogu
138 - Explaining what the evidence shows to offer choice to women after breast cancer, with Avrum Bluming
137 - The challenges and importance of eating healthily with Dr Rupy Aujla
136 - ‘The lack of menopause research is a shocking medical injustice’, with Kate Muir
135 - Tackling the Everest of menopause ignorance with Mariella Frostrup
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