Heads up! If you experience moderate to severe hot flashes and night sweats, you may be at higher risk for lower bone density and in turn, a higher rate of hip fractures than women without these symptoms. These study findings were published online yesterday in the Journal of Clinical Endocrinology & Metabolism,
A bit of background…researchers prospectively examined data from over 23,000 women participating in the Women’s Health Initiative study who did not use hormones. The goal was to assess the association, if any between vasomotor symptoms, that is, hot flashes and/or night sweats, and bone mineral density. In turn, they collected self-reports of fractures (i.e. hip, spine, non-vertebral) on a semi-annual basis; these were subsequently confirmed by reviewing medical records.
The findings? Over an average of eight years, women who reported moderate to severe hot flashes or night sweats had almost twice the risk for developing a hip fracture over the time period of the study than women who did not, regardless of a younger age or higher body mass index, or other factors such as time since menopause, race/ethnicity or physical activity. And, while additional analyses did slightly reduce this risk, moderate to severe vasomotor symptoms remained a significant risk factor for hip fracture over the study course. Additionally, the findings demonstrate that women with more severe symptoms had lower bone mineral density measures over time in the hip joint and spine.
Although it’s unclear, the researchers note that lower estradiol levels may account for the association between more severe symptoms and lower bone mineral density (as, data have shown that women with higher estradiol levels during menopause tend to have lower rates of bone loss). Regardless, having more severe flashes and sweats should raise a few red flags for women and their practitioners and prompt greater attention to lifestyle strategies for preserving bone mineral density. This topic has been covered thoroughly on Flashfree, and strategiest include diet, weight-bearing exercise and adequate sun exposure.
When I was much younger – say, around 8-9 years old – I used to get in trouble with my school teachers, and other adults in positions of authority, regularly. Pretty much not a day would go by without my mother receiving some troublesome news about me.
I guess, looking back, I simply had an aversion to authority.
And while that continued until my early teens, when I learned what it meant to really show respect and understand conflict with authority was primarily in my mind, I also learned something at that young age that must have made an impression (even subconsciously) from my granddad.
Wisdom Has No Age Limits
I always loved my granddad. He was the safety net I’d cling to when everyone else seemed down on me. He was the one that would let me watch TV just that little bit later. He was the one who would let me read my comic under the bed with the flashlight, when everyone else would confiscate the flashlight.
In short, he was the one that would break the rules and let me be who I wanted to be. Except, not really.
Instead of letting me be an out of control tearaway, looking back he was actually guiding me to be a better person because of the trust I had in him. When he spoke, I’d agree and nod – even if I didn’t like it. And – usually – do as he said.
Whether or not my mother was in cahoots with him in this endeavour, I’ll never know. Perhaps, perhaps not. Either way, he made me stop and think of the things my mother was trying to teach me.
So, when I was having my brush with people in authority, my granddad pulled me aside, and said the following:
You might think grown-ups are bad, and stopping you from having fun. And, sometimes, they will. But it’s only because they love you. Now – you can choose which ones to listen to. And, I know not everyone is worth listening to. So here’s a trick – listen to the people who love you, every time. Your mum. Your sister. Me. Your grandma. Listen to your friends, but only the ones who don’t make you feel bad about yourself. And listen to your teachers who make you smile when you’ve done something. These people are all just trying to help you enjoy life. And that’s something not everyone will do.
Now, I know I’ve paraphrased some of his words. After all, this was almost 40 years ago (holy crap, I’m getting old!!). But the gist of the message is definitely there.
And it’s one I use today in pretty much everything I do, and you should too. Here’s why.
Living Life The Way It’s Meant to Be Lived
In a recent edition of TIME, there was a fantastic memorial article by David Von Drehle, about a gentleman named Charlie White. David and Charlie were neighbours, and David’s piece wrote about the lessons Charlie instilled from a life well lived. Charlie was 109 when he passed last month.
The article recounts passages of time from the turn of last century, and is a fascinating and warm look into a period of time most of us will never have known. Yet it’s also a reminder of how to live a life well lived.
Charlie’s “secret” to a happy life was the realization that you have to separate the things you can’t control from the things you can. This was a lesson he imparted to one of his daughters when she was having issues with someone that was frustrating her. Charlie’s advice?
You can’t change people like that. If I let people irritate me, I would have been dead long ago. Source.
The fact Charlie lived such a long and happy life has to have some part in this mindset. It’s the same mindset my granddad had, and is – essentially – the one I try to live to these days.
After all, let’s face it – how important are the words of others who actually have no real impact over who we are and what we stand for?
Those That Matter and Those That Meh
Back in April of this year, I wrote a post on why readers of this blog might want to unsubscribe. It was a post that shared the direction this blog was moving in, and a heads up that if readers wanted to subscribe to a purely marketing blog, this one wouldn’t be for them (and I recommended five other blogs to subscribe to instead).
I’d just become bored of only writing about marketing, social media, etc., and all that entails. We’re people, all of us – we’re not tied to talking about just business in life, so why should we be on our blogs (or other social footprints)?
After this post, I received a whole bunch of emails (as well as comments on the post itself) from others who felt the same, and were “glad” to see someone say it out loud, encouraging them do the same thing. And that’s the real beauty of blogging and content – even if you help just one person make a choice, that’s all that matters.
Arik Hanson, a PR and communications pro over in Minneapolis, shared his thoughts in a post entitled “Is the age of the independent PR blogger over?”. He looked at how many of the bloggers in his feed had either changed direction, or simply given up altogether to concentrate on, well, life and family and all that important stuff.
In the comments, social media guy Jason Falls left quite the entertaining diatribe (click image to expand).
When I got the update to the comment being left, it made me chuckle – because, really, who gives a crap?
It doesn’t matter what Jason thought (and I like Jason, he seems a decent guy), because it wasn’t for him (hence the dog picture reply). The original post was for the folks who said it helped them make up their minds to produce the content they really wanted to produce.
And that’s why we need to collectively take more of a “who gives a crap?” approach to comments, blog posts, social updates, etc. The people that moan and react usually aren’t the ones that either matter (from an audience point of view), or who have little relevance to you anyway.
If someone on Google+ calls you an idiot for having a point of view, who cares? The real idiocy comes from trying to stifle opinions with rudeness or ignorance. If that person has little effect on your bigger picture, let them stew in their own little miserable bubble.
Same goes for the content you produce. Own it, and be happy to own it.
Enough With the Egg Shells
There was a great post earlier this year from Marc Ensign, called “The Pussification of the Internet”. In it, Marc shares how the web has become this place where we’re too scared to have an opinion, because we’ll be jumped on by others, or called to task, etc.
Because of this, the web is in danger of becoming a sanitized version of what it should be – open, challenging, questioning and, most of all, bare bones honest. It’s a great – if not quite safe for work read – and well worth your time,. Because it’s true.
Last month, the Pew Research Internet Project released its latest report, and it made for some enlightening – and a little bit scary/sad – reading.
Entitled “Social Media and the Spiral of Silence”, it shared the answers of just over 1,800 adults and their thoughts on the impact of the Edward Snowden / NSA fallout in the US and beyond, and how that affected the way these adults conversed online.
There are many interesting takeaways from the report, but two in particular stood out.
- In both personal settings and online settings, people were more willing to share their views if they thought their audience agreed with them. For instance, at work, those who felt their coworkers agreed with their opinion were about three times more likely to say they would join a workplace conversation about the Snowden-NSA situation.
- Previous ‘spiral of silence’ findings as to people’s willingness to speak up in various settings also apply to social media users. Those who use Facebook were more willing to share their views if they thought their followers agreed with them. If a person felt that people in their Facebook network agreed with their opinion about the Snowden-NSA issue, they were about twice as likely to join a discussion on Facebook about this issue.
Now while these two points refer to unease on how the US government is monitoring the conversations of its citizens, it also highlights the growing issue of just going with the flow as opposed to taking a stand.
It’s a walking-on-egg-shells mentality that both limits our growth and inhibits our learning. If we were all meant to have the same point of view, we may as well quit now because there would be no need for us to be.
That’s not to say we ignore everyone else – far from it. But we do need to start standing up for ourselves and our opinions more, and not just be part of the herd.
Like my granddad said himself, think of who you want to listen to. Think of who you want to take advice from. Think of who actually matters, and whose opinion and feelings you wouldn’t want to hurt. And be respectful of those you disagree with.
For everything else – who gives a crap?
This post originally appeared on dannybrown.me.Read More
While the GLAM squad works to convince you that the only sensible option to treat vaginal atrophy is Novo Nordisk’s Vagifem (a topical estrogen agent), I would like to share that a highly effective non-hormonal option exists. The rub? It’s only available in Europe and Canada. The thing is, I have tried it and while I may be an n of 1 in scientific circles, I want to share that it’s pretty darn amazing.
Before I do the reveal, I would like to get a bit personal and share my story. After years of experiencing no issues with vaginal dryness or pain during intercourse, the tables turned this past Summer. And so, I did the most sensible thing that I could do (short of reading Flashfree!); I made an appointment with my gynecologist. And after a thorough examination and a few tests for infections, she recommended that I try Estrace, another topical estrogen in the same category as Vagifem.
If you are a long time reader of Flashfree, you are well aware of how I personally feel about hormones. However, what I’ve not shared on this blog is that I have always had an extreme sensitivity to hormones, a sensitivity that I discovered in my early 20s when I started using the pill. That, coupled with the fact that my mother had breast cancer at an extremely early age made me wary of any type of hormone. And years later, when I started this blog and read all the data I could get my hands on, I was convinced that hormones were not a good route, regardless of their efficacy in addressing menopausal symptoms. Yet, regrettably I chanced it…again.
I want to emphasize that my experience is only mine and is not necessarily reflective of others’. However, within a month of using Estrace, I gained 6 pounds, was bloated, developed severe acne, had daily headaches, and experienced significant and irrational irritability. But damn, my vaginal tissues were once again moist.
Not. Good. Enough.
And so, I started researching my options. And stumbled across Gynatrof.
Gynatrof gel is a natural topical agent comprised of microscopic beads (known as liposomes) are formulated to act as both a lubricant and a moisturizer. This technology helps to insure that the vaginal tissues remain moist between applications, and additionally, boosts hydration and elasticity. The gel contains several ingredients:
- Hyaluronic acid, a type of molecule found abundantly throughout the body’s connective tissue, the skin and the nervous tissues. Hyaluronic acid has the ability to store large quantities of water, thereby forming a natural, moisturizing liquid film when applied topically. More specifically, it helps to protect the vaginal skin from irritation and redness, itching and burning; enhances natural lubrication and may even help to aid healing of irritated vaginal tissue.
- Hops plant extract, which has weak estrogenic effects and may help promote lubrication and elasticity. Hops have also been shown to possess antibacterial properties and are sometimes used for leg ulcers.
- Vitamin E, which the manufacturer says reduces inflammation and prevents aging of the vaginal area. If anything, vitamin E is believed to be an antioxidant that may help prevent or treat disease. It has also been used for centuries to treat the skin and has been shown to penetrate both the outer and next layer of the skin (epidermis, dermis, respectively).
Available in Europe since 2006, Gynatrof has proven safe and there have been no reports of estrogen-related sensitivity. It is also non-toxic should it be accidentally ingested.
My personal experience? I have been using Gynatrof for a month now. And I have had stellar results – no side effects, no sensitivity and no issues during intercourse.
As someone who regularly colors outside the lines, it’s no surprise that I was able to obtain Gynatrof. But more importantly, when I contacted a local compounding pharmacy to see if they could obtain it for me, they called back after several hours to inform me that they could not.
This is an OTC product in both Europe and in Canada. It has been on the market for eight years now. And yet, we do not have access to it in this country. Moreover, it works, at least for me. And it is a safe option for women who either cannot tolerate hormones or choose not to use them.
Anyone interested in starting a petition? I cannot endorse this product enough.
[Disclosure: I neither contacted the manufacturer or its representatives nor did either contact me to review Gynatrof. It worked so well for me that I wanted to share it with my readers]
With the abundance of bow savvy heroines making a mark on the silver screen, it wasn’t any surprise for me to see my daughter don a hood and fill a quiver for Halloween. What was a surprise, however, was how almost every neighbor narrowed their errant guesses to the confines of gender.
“Who are you … Katniss?”
“Tauriel from the Hobbit or Susan from the The Chronicles Of Narnia?”
“No and no,” she said. “I’m Robin Hood.”
She said it with enough conviction to corral the conversation. She was Robin Hood and the only person who questioned her about being a girl was a 5-year-old boy. Once she reassured him that a girl could be Robin Hood, he turned his attention to her bow and arrows. Next year, he said in wide-eyed wonder, he would be Robin Hood.
Next year, she said, she would like to be a princess like she was two years ago too. The only bow she sported back then was a yellow one to tie her hair back. But the year before that she was a pirate. And the year before that, she was a wood fairy in the vein of Tinkerbell. There are no limits to her imagination, especially those related to gender.
It’s part of a trait I hope she retains all her adult life too — the art of being gender ambidextrous, whereby every decision she makes is made based on passion and aptitude over the societal shakedowns over being feminine and a feminist. Life is complicated enough without trying to conform to a stereotype or work even harder to avoid one.
It seems to me that there is something inherently wrong when our daughters think that they have to ask permission whether or not they can dress up like Han Solo for Halloween. And while the girl who asked was very fortunate to have Tom Burns (who dressed up as Princess Leia) as a dad, it still haunts me that any 7-year-old girl would be so cognizant of gender-flipping costumes.
Kids aren’t really part of the good role model/bad role model debate unless they are indoctrinated by the people who invented it. Sure, some stories might carry moral messages but none of the princesses really auditioned for the role model moniker (and neither did their princely counterparts, who suffer all sorts of severe character flaws).
My daughter feels equally comfortable in a sundress or her fast-pitch softball uniform, which is usually covered in dirt five minutes before the warmups are over. She has an appreciation for art and music as much as for engineering and science. She is just as likely to play with Hot Wheels as Barbies, but is no more inclined to wish for wheels instead of feet than she is for that impossible waistline. She enjoys dodgeball as much as Girl Scouts and, on any given day, can show off a pirouette or hold a plank position.
It’s a freedom that I hope she preserves all her life, not as someone who is gender ambiguous but rather gender ambidextrous. Women should never feel forced to give up a stitch of gender identity to achieve equality. On the contrary, it will be my daughter’s ability to embrace her gender without being made a slave to it that will eventually empower her generation to move beyond the idiocy exhibited at companies like Zillow or Uber.
Robin Hood, after all, didn’t ask the poor to fix the inequality of his era. He wanted the rich to change their behavior.Read More
Insomnia! Yes, folks, it’s that time of the year when I raise the sleep issue. In fact, if I could, I would see your zzz’s and raise you a few. You see, I’ve not been sleeping much as of late and I’m desperately seeking a sheep or two to carry me deeply through the night.
What happens to us as we age that interrupts the sleep cycle? In addition to stress and other environmental factors (which I’ve covered quite frequently on Flashfree), a progressive decline in estrogen and loss of ovarian function can strongly affect sleep. However, experts say that despite the pervasiveness of sleep issues among peri- and post-menopausal women, insomnia is not always adequately discussed or diagnosed by health practitioners. Hence, it behooves women to lead the communication charge when sleep disorders arise or start to affect daily life.
If you would prefer to avoid the hormone route (which, at the very least, may address the issue of menopausal symptoms and sleep disruption), massage might be a good starting point. While some practitioners questions its therapeutic value from a scientific standpoint, massage is known to positively activate blood flow in the lymphatic system (whose primary role is to rid the body of toxins, waste and other unwanted materials), as well as in the connective tissue and muscles. Studies have also shown that massage helps trigger neurochemical reactions in the body, including relaxation, decreased heart rate and breathing and restoration of balance. With regard to menopause specifically, there are some data that suggest that therapeutic massage decreases self-reported insomnia and improve deep sleep cycles. In a similar study, this time with a comparison group, researchers likewise found declines in insomnia and related improvement in life quality. Not surprisingly, in both of these studies, women also reported experiencing improvements in mood.
So, can you massage your way to sleep? While cause and effect remain unproven, the benefits of massage well outweigh the lack of benefits. I don’t know a single person who have not felt better after a massage. Me? I may need to book some me time for a deep rub.
I’ve been keeping an eye on my blood pressure these days. With a family history of hypertension, it just makes sense. And so far, my results are good. A while ago, I stopped at a local pharmacy and used their automated machine and saw a couple of readings heading into the high range. But more accurate readings have put it further down in the normal range, so that’s good.
But when I looked at my profile for hypertension risk factors, I was struck that there wasn’t a great deal I could do. The major risk factors for hypertension, according to the Mayo Clinic, are:
- Age. (Hypertension is more common in men around 45 or so, and becomes more common in women around 65)
- Race. (High blood pressure is particularly common among blacks)
- Family history.
- Being overweight or obese.
- Not being physically active.
- Using tobacco.
- Too much salt (sodium) in your diet.
- Too little potassium in your diet.
- Too little vitamin D in your diet.
- Drinking too much alcohol.
I do pretty well on most of these. But of the ones I can control, the one about sodium sticks out. As a man and a lover of food that I KNOW is bad for me, I know that I can be the author of my own hypertensive misfortune. Burgers, fries, onion rings, chicken wings — it would be foolish to pretend they don’t have a lot of sodium in there. But there are a ton of foods out there that you wouldn’t expect to have high sodium levels.
We often have pizzas on naan bread for a quick and easy weekday meal. On top, prosciutto, pears, brie, and basil. I knew the prosciutto would be high in sodium — after all, it’s a cured meat. But the naan bread itself has a surprising amount of sodium. Between those two ingredients, one naan pizza is likely delivering more than half my daily allowance of sodium.
Chicken breasts can be injected with brine during processing, increasing their sodium content drastically. A slice of process cheese might have 20% of your daily allowance of sodium!
If you have french fries, you expect them to be salty. But if you add a tablespoon or two of ketchup, you’re looking at 400 mg of sodium just in that!
And none of this counts restaurant or takeout food, which can be extremely high in sodium. You can see just how easy it would be to end up with more than your roughly 2,500 mg of sodium per day:
- 350 mg: a bowl of Raisin Bran.
- 870 mg: a bagel and cream cheese
- 1220 mg breakfast
- 1600 mg: 100 grams of deli ham on white bread with mustard.
- 1600 mg lunch
- 393 mg: baked chicken breast
- 418 mg: baked potato
- 460 mg: cup of canned peas
- 1271 mg supper
- 744 mg: 1/2 cup of salsa
- 420 mg: 24 tortilla chips
- 1164 mg snack
That’s a whopping 5255 mg of sodium, more than twice the recommended amount in a day, without a single shake of your salt shaker, without eating out, and with lots of things that seem healthy at first glance. (Sodium figures from the Fat Secret website)
You can’t change your age, your race, or your family history of hypertension. But if you start to track things like sodium, you do see where you can help prevent hypertension, or if you have it, improve it without resorting to drugs. And that’s a good thing.
(Pretzel photo is a CC-licenced image from Flickr user Jenn Durfey)Read More
It’s the day after the American Thanksgiving when many of us have indulged beyond the pale, entered food coma land and may even be contemplating another piece of pie for breakfast. Hey, I am all for it! I typically bring the most decadent dish that I can think of; this year it was grits dressing which I refer to as ‘cholesterol’s nightmare!’ Seriously, is there anything better than grits, cheddar cheese, eggs, cream and butter? Throw in a few chives for the nutrition aspect of the dish and voila! HEAVEN!
However, I don’t eat like this daily and I while I do indulge, I try to be mindful of what I’m putting into my mouth. And so, why not take the day after Thanksgiving to get a jump start on your New Year’s resolution?
I wrote this back in May when Staness’ book first came onto my radar but I do believe that it’s worthy of a second go, particularly since it is ‘that time of the year’ when indulgence rules the day. And so, once again, I must thank Staness for her diligent, thorough research and for her words of wisdom.
Consider this: when it comes to science and research, women have long gotten the short of end of the stick. Not only have women been historically excluded from medical research trials, but despite National Institutes of Health regulations mandating the inclusion of women and minorities in studies in order to obtain funding, research on women’s health has continued to lag behind their male counterparts’. Only recently has this issue reared its head again as findings from March, 2014 The Women’s Health Summit demonstrate important disparities in the scientific process that highlight one of the most important issues facing women today:
“When we fail to routinely consider the impact of sex and gender in research, we are leaving women’s health to chance. The evidence on sex differences in major causes of disease and disability in women is mounting, as are the gaps in research.”
Not only are women routinely excluded from research on cardiovascular disease (despite its ranking as the number one killer of women, only 1/3 of clinical trials enroll women and only 1/3 report on sex-specific outcomes), but, women suffer twice as often from depression and yet, fewer than half of laboratory studies utilize female animals to evaluate metabolic differences. And these examples are the tip of the iceberg!
So, it’s no surprise that these gender differences also affect nutrition.
As my friend and menopause colleague Staness Jonekos points out in her new book, Eat Like A Woman (and never diet again):
- It takes women’s stomachs an hour longer than men’s to empty after eating.
- For the most part, women have lower energy expenditure than their male counterparts due mostly to differences in body composition; notably, estrogen plays a major role in energy expenditure, appetite and body weight. An imbalance in hormones that are secreted by one gland can affect hormone levels in other glands.
- The thyroid, which Staness refers to as the ‘Metabolism Mama,’ is important for metabolism, energy, grown and development and the nervous system. When it’s out of whack, it can wreak havoc on weight, appetite and even mimic the symptoms of menopause. Moreover, research has demonstrated a direct interaction between estrogen and direct expression of thyroid sensitive genes; what this means is that if you are using hormones to manage your menopausal symptoms, you’ll want to have your thyroid checked.
- Cortisol, which I’ve written about frequently on Flashfree, is another important player. Produced by the adrenal glands,its primary role in the body is to regulate energy (by producing blood sugar or metabolizing carbohydrates, protein and fats) and mobilize it to areas where is it most needed. Research has shown, however, that women have higher cortisol levels than men, and that certain women –especially those with greater amounts of abdominal fat — may be reacting to a large disruption in the release of cortisol that causes a greater than normal difference between morning and evening levels of the hormone. This disruption is believed to be related, at least in part, to exposure to prolonged physical and mental stress. The psychological component is huge, because it tends to trigger the desire to consumption of food that is high in fat and/or sugar, which also tends to promote abdominal weight gain.
- Staness also writes about the role of neurotransmitters, chemicals released by nerve cells that carry messages between the brain and organs. They can affect mood, appetite, sleep, heart rate, appetite and weight, among other functions. Poor dietary habits (low intake of dietary protein, poor carbohydrate choices or minimal omega-3s, for example) coupled with hormonal imbalances and excessive alcohol or caffeine can lead to neurtransmitter imbalances. The bottom line? Hormonal changes may affect the actions of neurotransmitters, which in turn, affect mood and lifestyle choices. Staness further explains that lifestyle habits can affect hormones, thereby affecting neurotransmitters. Think of an endless loop: chronic stress triggers cortisol, causes weight gain, cravings, affecting serotonin levels and thyroid functioning, which then influence metabolism, cholesterol, etc. WOW!
- Women’s digestion is also distinct from a man’s, in that we taste food differently. Staness explains that women are ‘supertasters,’ with varying sensitivities to bitter flavors depending on hormone levels. Women also have a higher risk for irritable bowel syndrome, acid reflux, acid related ulcers and other conditions due to the size of the esophagus, small intestine, colon and rectum.
Staness writes that “there are many confusing messages about what to eat or not eat surrounding us,” and she poses a critical question: “how can one message or one plan apply to everyone? We are all different and yet our basic needs as women are the same.” Toward that end, she offers up a dietary plan that supports women’s health through each life stage and addresses various dietary controversies, ranging from soy to animal protein to salt to caffeine. And, she reintroduces the food pyramid that she says, is one of the biggest factors contributing to the success of her previous book, The Menopause Makeover. Notably, for all you paleo people out there, the ratios that Staness recommends are similar to the average portions consumed by our Stone Age relatives. The key?
- 25% of your calories should come from healthy fats
- 35% of your calories should come from low-fat, lean protein
- 40% of your calories should come from low- to medium-glycemic carbohydrates
Staness’ program is served up in three steps that includes approaches to meals, healthy emotions and exercise. However, she doesn’t stop there; she’s reached out to her favorite celebs and chef for recipes that should please any palate. And if you are seeking even more information, Staness offers additional tools and resources on her website .
What do you get when you combine sound science and nutrition? A plan that makes eating make sense…for women. Isn’t it time to change the paradigm? This seems like an awfully great place to start.
Staness Jonekos is an award-winning television writer, producer, and director, as well as an author and writer on women’s health issues. Her first book, The Menopause Makeover, was a pioneering work in the field of menopause, a highly visual and inspiring survival guide that challenged the conventional, old-style approach to managing menopause. She is a tireless advocate for women’s health, wellness and empowerment. She has appeared on The Today Show, contributes to The Huffington Post, and has been featured in a variety of publications ranging from The Houston Chronicle to More.com. Her co-author, Marjorie Jenkins, MD, FACP is a Professor in the Department of Internal Medicine, Division of Gender-Specific Women’s Health Director and Chief Scientific Officer, Laura W. Bush Institute for Women’s Health Associate Dean for Women in Health and Science. Her motto? “You have to know the difference to make a difference.”