FDA Finally Removes Black Box Warning on HRT – Is It Safe Now? - 250
The FDA has just removed the black box warning from hormone replacement therapies, a huge win for women’s health! In today’s episode, Dr. Sarah Daccarett, a leading hormone expert, and I break down why this is such a monumental shift and what it means for your hormone health.
This label, which has scared many women away from HRT for decades, suggested serious risks like heart disease, cancer, and dementia. Now, with updated research, the truth is coming to light, and women can make empowered, informed decisions about their hormone health without fear or confusion.
We explore the science behind this shift, how it will impact women in midlife, and why it’s so important to prioritize hormone health before menopause hits. If you’ve ever felt uncertain or overwhelmed by the world of HRT, this episode will help clear up the confusion and give you the confidence to make the best decision for your body.
Conclusion:
With the removal of the black box warning, we’re one step closer to empowering women to take control of their health, especially as they approach menopause. Remember, knowledge is power. Take the next step in your hormone replacement journey with science-backed confidence.
In This Episode:
00:00 Introduction
04:22 Why the FDA put the black box warning on HRT
06:59 Synthetic versus bioidentical hormones
08:55 Why HRT should be part of your holistic health plan
11:45 What the black box removal means for women
16:57 How Dr. Sarah’s Oestra hormone works
23:17 Why conventional doctors don’t recommend HRT
26:46 How to connect with Dr. Sarah
Mentioned in the Episode:
Dr. Sarah’s HRT Services and Oestra Hormone
Articles About the Black Box Removal:
FDA Strips Health Risk Warnings from Menopause Hormone Therapy
Updated Labeling for Menopausal Hormone Therapy
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Other Related Episodes:
Looking for more tips to optimize your health as you age? Listen to these episodes:
- 6 Things You Need to Know About Menopause in Your 30s
- I Went Through Menopause at 46 With Zero Symptoms
Transcript:
[00:00:00] Dr. Sarah Daccarett: We need to shift the way that we think about hormone replacement therapy and instead of thinking of it as just. Taking the lowest dose, minimal amount just to treat your hot flashes, which is what we do Now, that's not what hormones are for. They're really a biohacking tool, like they're really the first thing you should be thinking about.
[00:00:16] Dr. Sarah Daccarett: It's one of the most natural things you can do is just replace the hormones that you used to make, that protected you your whole life, protected you during pregnancy, helps you get pregnant, helps you recover, and then replacing those in the form that your body recognizes. Is the most natural thing you can do.
[00:00:32] Carrie Lupoli: So, just recently, the FDA announced that it's finally removing the black box warning, which is the most serious label a drug can carry, from women's hormone replacement therapies. This means science is finally catching up to what many hormone experts have been telling us for years, and what this means for us.
[00:00:51] Carrie Lupoli: Is that the story that we were told about hormones gets to be completely rewritten, and that's what we're doing today. And I am joined by [00:01:00] Dr. Sarah Daccarett. Not only is she a hormone expert and founder of Inner Balance, she's also known as a doctor who's changing women's healthcare and a really good friend of mine.
[00:01:10] Carrie Lupoli: So together we are unpacking what this new FDA update really means, what the latest research shows, and how you can finally make empowered. Educated, informed decisions about your own body without fear, without confusion, and without guessing. So if you are a woman in midlife navigating menopausal symptoms, you have questions or you're frustrated about your hormones, this conversation could be one of the most important ones you hear all year long.
[00:01:38] Carrie Lupoli: So grab your coffee, grab your tea. Heck, grab a glass of wine. I don't care. Just take a deep breath and lean in. It's time to separate fear from fact and reclaim your balance. From the inside out.
[00:01:53] Carrie Lupoli: Well, hey there, diet disruptors. We have big news in this podcast today, like big news, and I brought in the [00:02:00] big guns to talk about the big news. So I am super excited that we've got. Dr. Sarah Daccarett here who is not only like an unbelievable hormone expert. She's also like my sister from another mister. I love her.
[00:02:14] Carrie Lupoli: And when I heard that the FDA announced that they were initiating the removal of this black box warning on our hormone replacement therapies, HRT for menopause, Sarah was the first person I called and I'm like, we need to talk about this. This is big news. And she's like, yes, let's do it. So, hi.
[00:02:35] Dr. Sarah Daccarett: Hi. Thanks for having me.
[00:02:36] Dr. Sarah Daccarett: This is the
[00:02:36] Carrie Lupoli: chance. This is so exciting. This is so exciting. And you know how I actually heard about it first was I'm your social media. I'm like, look at her knowing on the news before everybody else does. Of course. And so then it was like news article after news article and it just, it was like inundating my social media.
[00:02:54] Carrie Lupoli: It's like the algorithm knows this would be important to me. So you have [00:03:00] to walk us through like. This is a really big deal. So given your background, which you should share a little bit of your background, right? Like just the hormone expert of all, like if anybody's talk, if anybody's a woman, I'm like, you need to talk to Sarah Daccarett, like hands down.
[00:03:16] Carrie Lupoli: And you're like the woman's doctor for all women that like, we don't get the type of doctors that we should and the expertise that we should. And you are that woman for all of us. So knowing what you know about hormones and share a little of your background, why is this such a big deal?
[00:03:32] Dr. Sarah Daccarett: Thank you. It was really nice here.
[00:03:33] Dr. Sarah Daccarett: That was a intro, but it is a big deal because it's been decades in the making and it never really should have been on the products begin with, and we've, um. The si, you know, basically the regulatory body, the FDA is catching up with the science. So in 2014, a panel Wheels really petitioned to like, Hey, remove this black fox warning.
[00:03:53] Dr. Sarah Daccarett: And it took that long, you know, and they removed the warnings off the testosterone earlier, I think, this year, last year. So that came first, [00:04:00] and it's such a big deal because it never really should have been there. Scaring women away when they went to the pharmacy and they pick up their prescription and they saw this, you know, really dangerous warning about heart disease and dementia and clotting and, um, cancer.
[00:04:13] Dr. Sarah Daccarett: Cancer. And of course, you're not gonna take something without kind of warning. The black box warning is the harshest, um, warning that the FDA puts on product. There's so
[00:04:22] Carrie Lupoli: many drugs I wish had more of a warning on it, but this is not one of them. Why were these warnings on there in the first place?
[00:04:33] Dr. Sarah Daccarett: They were hold over.
[00:04:34] Dr. Sarah Daccarett: They were from the studies, uh, that showed progestin, which is a chemical that binds to the progesterone receptor. It's not a hormone. It's a manmade chemical, a synthetic progestin, and these are still found in birth control today. This was actually what increased, but that doesn't have the black box label.
[00:04:52] Dr. Sarah Daccarett: That's where the black box label, it was there and it's staying there. Yeah. So it has to stay on the birth control. It has to stay on pro. Oh,
[00:04:59] Carrie Lupoli: there's a On [00:05:00] birth control.
[00:05:01] Dr. Sarah Daccarett: Yeah.
[00:05:02] Carrie Lupoli: Oh, I didn't know that. That's something. There's
[00:05:04] Dr. Sarah Daccarett: no, there's no, um, informed consent on birth control. We don't tell women that has these risks.
[00:05:09] Dr. Sarah Daccarett: We don't tell them that we're gonna take their hormones. Like there's no, nobody tells anybody that birth control has these risks. Right. But we talk about estrogen all day long that it's gonna kill you. Right. Okay. But it doesn't. And so we've always had it backwards. And now finally, like the word's finally getting out.
[00:05:25] Dr. Sarah Daccarett: Um, but the black box warning will stay on the birth control products where it. Would always belong. But even then, women shouldn't be concerned. Younger women who are doing the birth control, the risk is small, it's considered very rare according to the WHO. So you know, the warning is there, but the risk is still very small.
[00:05:44] Dr. Sarah Daccarett: So yeah, now the, the language will be more balanced and it's not just local vaginal cream. So at first to the FDA, it sounded like they were just going to do it or. Low dose vaginal creams, which are designed to only treat vaginal dryness. [00:06:00] Okay. So it's like such a microdose that it's only meant to treat that local area like genital urinary symptoms or vaginal dryness.
[00:06:08] Dr. Sarah Daccarett: But they actually removed it for all products that are systemic. So that includes oral and transdermal and patches, and the product like OTA that we sell, which is the stomach. Which is really great. 'cause then now they're recognizing that it's, you know, not dangerous and that it actually is protective.
[00:06:23] Dr. Sarah Daccarett: And we have more research coming out that shows that it reduces your chances of breast cancer, heart disease by 60%. It started earlier,
[00:06:32] Carrie Lupoli: which, so we, we need to go back to HRT 1 0 1 in a, in a lot of ways because I, I was on the vaginal very, very, very low dose for a a while, and that's when I met you and you were like.
[00:06:45] Carrie Lupoli: You've got to be doing estrogen and progesterone. You've got to be doing Oestra, which is what, uh, you offer at Inner Balance. And when you started educating me and then educating my clients, we realized, okay, so there's a [00:07:00] couple of different types of hormone replacement. The therapies, right? There's the synthetic and then there's the bioidentical.
[00:07:08] Carrie Lupoli: And that's, that's what's so hard for people to really understand because I'll have women, literally yesterday I was on a call with a woman who was just thinking about working with us and she's like, listen, my doctor wants to put me on HRT and I do not wanna be on medication. And it's so interesting because I get that, right?
[00:07:26] Carrie Lupoli: Like I don't want my clients on medication. But this is a very different kind of quote unquote, medication that. I mean, everybody needs to talk to their doctor about it, but when I talked to you about it, it was like almost a no brainer as to why we are not
[00:07:43] Dr. Sarah Daccarett: on it. Am I right? Yeah, you're right. I agree. And it's, it's, I get that it's not a medication.
[00:07:48] Dr. Sarah Daccarett: It's the best kind though. It's regulated and it's natural. It's one of the most natural things you can do is just replace the hormones that you used to make, that protected you your whole life, protected you during [00:08:00] pregnancy, helped you get pregnant, and helped you recover, and, and then replacing those in the form that your body recognizes is the most natural thing you can do.
[00:08:09] Dr. Sarah Daccarett: On the plus side, it's regulated, so they're prescription treatments. You know exactly what you're getting when you order a supplement online. I mean, you don't know what's in that, the FDA, I mean, there's nobody checks to make sure what's in it. It's actually in it, and then the dosing's in it. Um, and so, um, and, and arguably your body doesn't make herbs like turmeric or blackwash, right?
[00:08:28] Dr. Sarah Daccarett: Your body does make a hormones, so you get it from a doctor, you get it regulated, you get it, um, from a pharmacy and you know within it. And so it's like the best of both worlds. You get this really natural product. It's regulated, so women need to kind of look at it that way rather than being on a medication because it's not a medication, it's not like a lipid lowering drug from a pharmaceutical company.
[00:08:49] Dr. Sarah Daccarett: This I could understand, not wanting to be on your life or an
[00:08:52] Carrie Lupoli: antidepressant. Right, and, and that's where the big, this is where it's such a, a misconception and this [00:09:00] is why you do what you do at Inner Balance, to educate women to really understand that this is a different category and, and actually I don't know that there's a lot that are as natural.
[00:09:12] Carrie Lupoli: As a bioidentical hormone would be like Oestra for example, as well as regulated, like you just said, the supplement world is the wild, wild west. I know. I own a supplement, like in order to get our supplement, ZY seven, approved as NSF, which is like one of the highest certifications that you can get. It was so crazy expensive and so much work to do and most people don't do it because you don't have to.
[00:09:38] Carrie Lupoli: But when you are talking about HRT and you're talking about. This, this hormone that we're just replacing, what we know naturally is, is going away. It's a no-brainer because it's a protectant.
[00:09:51] Dr. Sarah Daccarett: It's a protectant. And so the quote that the FDA said is that estrogen is one of the most effective longevity interventions for [00:10:00] women.
[00:10:00] Dr. Sarah Daccarett: I mean, this is a very powerful statement because it shows that like we know, I mean it, it's like, I think they even compared it to. Antibiotics as the most thing, lifesaving thing that women can do. I mean, antibiotics and hormone. I mean, that's really like saved your life. So, um, like the way we, we need to shift the way that we think about hormone replacement therapy and instead of thinking of it as just taking the lowest dose, minimal amount, just to treat your hot flashes, which is what we do now, and wait until you're as old as possible to do it and only do it for like a year just to get you through menopause.
[00:10:31] Dr. Sarah Daccarett: That's not what hormones are for. They're really a tool, a biohacking tool. Like they're really the first thing you should be thinking about. You don't need to be doing peptides and the, you know, I would say peptides and. Um, and the biohacking stuff is great. You can do saunas and cold plunges and all the other stuff, but to get the biggest thing for your buck and foundationally hormones are the foundation.
[00:10:53] Dr. Sarah Daccarett: And once you lay that, that's 80 90% of your biohacking or your longevity plan. And this is what should be done first, that [00:11:00] everybody's doing at the office, that they're doing all the biohacking peptides first. And then they, you know, um, and with weight loss, what you do, what you do, it's like, you can't, they don't, hormones don't make you lose weight, but you need them to lose weight like they need to be in place, you know?
[00:11:13] Dr. Sarah Daccarett: And so it's like this is even foundational to even weight loss. I know
[00:11:18] Carrie Lupoli: I always say weight gain or stubborn weight loss is a symptom of health. Hormones and so we can work on our health, right, and be doing all these things to become healthy, but it doesn't matter what you do, we cannot replace the estrogen that we're automatically losing because we're getting older.
[00:11:37] Carrie Lupoli: And if we're doing all the anti-aging types of creams and things. This should be the first one. This isn't a last resort, and this is why the black box label being removed is so important because you have known this, you have taught me this. You have taught thousands and thousands of women. This, but it doesn't matter as much.
[00:11:58] Carrie Lupoli: It, it's almost like we felt like we had to [00:12:00] be rogue or like almost good. It was like a conspiracy theory that we were trying to like convince people of, and now that this comes off, it's like, okay, we don't have to fight so hard now, but it just, it is a little frustrating that we have to, we have had to fight for as long as we've had a fight to be able to get this, but this is huge.
[00:12:20] Dr. Sarah Daccarett: I should have never been on there like it. You're right. It never should have for no good reason. Was it there what? Like to put fear into like million, literally tens of millions of women for decades, for a long time. Generation of women. And we're, you know, they still do like this. I think it'll take a few months and even then for women, but at least it won't be on their prescription.
[00:12:38] Dr. Sarah Daccarett: They were getting their prescription and then they were getting afraid because they saw it, this black box warning. Um, and this just is fear mongering and that, and now that's stopping. Um, so this, this is really good.
[00:12:49] Carrie Lupoli: And, and you and I have talked about like my girls, right? My girls are 19 and 20 years old and we've already talked about this for them.
[00:12:58] Carrie Lupoli: And we know [00:13:00] that hormone therapy can actually start well before menopause, and it carries so many benefits including like. I mean, we know our bone health is at risk as we get older. We know metabolic disease, Alzheimer's, like everything to do with our health is impacted by our decreasing estrogen, our hormones.
[00:13:23] Carrie Lupoli: This is what's crazy to me, Sarah, though, when people talk about menopause as a diagnosis, like it's like, um, like a disease. When we treat it like that, then the medication feels like, like
[00:13:36] Dr. Sarah Daccarett: a medication, treating a disease. And then I only need to treat it for a short period of time and it'll go away. Right.
[00:13:41] Dr. Sarah Daccarett: But we didn't treat at it as like aging and you know, and when you're absolutely right, like it's not like we don't tell men that when, you know, we wait until they stop making sperm and then it's called andropause and then retreat that. Don't treat it like we, we we're just like, like, Hey, you have low testosterone, you're having your symptoms.
[00:13:59] Dr. Sarah Daccarett: We wanna increase your [00:14:00] quality of life. We'll give you testosterone. We need to like, fast forward a decade, we are a decade behind even just the way we think about hormones for women. Um, so this was really great, but like we can even speed it up from here and really give women. Um, this, um, knowledge and power that, hey, you can start early and prevent disease.
[00:14:18] Dr. Sarah Daccarett: And most of the diseases of aging are from inflammation, let's say cancer. Yeah. Um, yes. So if most of the diseases of aging are from cancer are from, excuse me, inflammation. Yep. Hormones directly regulate the immune system. So the best thing you can do is. Boost your immune system, keep it really healthy.
[00:14:37] Dr. Sarah Daccarett: I mean, it is the core of longevity. Yes. Do it in your thirties. And
[00:14:41] Carrie Lupoli: this is why you and I are so obsessed with what each other does because you take on the hormone piece that honestly, while blood sugar regulation will wreak havoc on our hormones, it it. As we get older, we are just, we just know we are [00:15:00] decreasing the amount of estrogen and progesterone that we are going to produce.
[00:15:04] Carrie Lupoli: It's just a fact. And whether I balance my blood sugar or not, that's not going to change. And so the two have to be done in tandem together,
[00:15:15] Dr. Sarah Daccarett: right? Absolutely. Like, well, and I mean, so for example, one great example that kind of is GLP one. This does not actually work without estrogen present. So even if like you are making it still, like you're able to make it if you don't have the estradiol.
[00:15:31] Dr. Sarah Daccarett: To, to basically modulate it, regulate it, it, and it won't work. So, and then let's say you get older and you try to inject it or swallow it or take it like synthetically, a GLP one, it still won't work unless you have the estrogen presence. So a lot of people are trying to do things with the, um, blood glucose control or insulin lowering or anything that it won't work unless the hormones are present.
[00:15:55] Dr. Sarah Daccarett: And so, and then if you're on HRT hormone replacement therapy, so let's say you do get on a good [00:16:00] systemic treatment. And you're still kind of along a little bit of a roller coaster and you can't get stable. It's because your blood sugar's not stable. So they are definitely connected and if you wanna have that stability, you always have to be doing them both.
[00:16:13] Dr. Sarah Daccarett: So you don't think you get out of the out of it. If you get on hormone therapy and think, okay, now I don't have to worry about my blood sugar. I could potentially eat what I want and I should be, it doesn't, it actually will wreck your hormones even if you're dicking the hormones. So it's not just, um, hormones that you're making, if, I hope I'm making sense because there's women who fast.
[00:16:31] Dr. Sarah Daccarett: Like they'll notice their menopausal symptoms will come back even if they're on HRT
[00:16:35] Carrie Lupoli: or,
[00:16:36] Dr. Sarah Daccarett: yes.
[00:16:37] Carrie Lupoli: I mean, this is the thing too, like I'll have women that say to me, well, I'd really like to get my nutrition and all of that. You teach on, uh, you know, in track so that maybe I won't have to go on HRT and I'm like, oh no, we want you on HRT too.
[00:16:52] Carrie Lupoli: Like it's all part of the equation. Uh, and so I think that's what's so important. Now, this is what's so interesting. I told you this. I went to [00:17:00] my doctor this year and I told him I was on Oestra, which is the hormones that you actually created. And it was so funny because I have loved it, you and. Talk all the time about it.
[00:17:13] Carrie Lupoli: It's, it's an incredible product that I, I don't even, you're the smartest person I know. You're not only a doctor, you're also an engineer and it's just so crazy. So I wanna talk a little bit about my doctor's reaction, but what makes Oestra so like freaking awesome?
[00:17:30] Dr. Sarah Daccarett: What makes it so, yeah. Is that one, it's.
[00:17:35] Dr. Sarah Daccarett: It's vaginal delivery is what makes a Western so special and so that you can get it systemically into the bloodstream. And I think most people, and most doctors think that vaginal is only local, and it's because those products that we have on the market are designed to only be local. They're such a tiny dose, and the studies confirm that they don't get into the bloodstream, and it's because they're designed to do that.
[00:17:57] Dr. Sarah Daccarett: Oh, it's just designed to go right into the bloodstream. [00:18:00] And when you do that one, you avoid the liver. And anytime we can avoid the liver, we're gonna get less side effects. And the second thing is you, if you have a uterus, you can take it. If you don't have uterus, let's say you do have one, the uterus has the ability to metabolize it and make.
[00:18:14] Dr. Sarah Daccarett: Metabolites that are beneficial to women. They regulate the period, regulate bleeding. They even go to the central nervous system and help with depression. The uterus isn't just for pregnancy. It does stuff, which I know is kind of like weird, but we don't really think of it as an organ that's actively participating every day in our life.
[00:18:30] Dr. Sarah Daccarett: It's just, we think it's actually as we get older, especially as the older, but even as we're aging and we're not in that emergency window, so allowing the uterus. To make the metabolites is kind of probably what nature intended. If you think about it, the ovaries made the hormones and then the uterus probably metabolized them.
[00:18:46] Dr. Sarah Daccarett: And, and that's where there's the progesterone is supposed to be. So this is the, the beautiful part about doing it this way is one, you, you wanna mimic what nature probably did when we were younger. And then you want to give it an [00:19:00] away. You can get less side effects and give it whole body results. And vagina in that case is like our superpower.
[00:19:06] Dr. Sarah Daccarett: We, you know, men have to inject testosterone, but we don't have to do the injections all the time. If we have a vagina, we can take care. We can take advantage of this delivery route, which we've known for a long time, decades, actually since sixties. But this is a very effective way to get something into the body.
[00:19:22] Dr. Sarah Daccarett: Um, and millions of women prove it every day with birth control. Actually, those rings. Yeah, we know that they, they're systemic, so we've known Yeah, known for a long time. Um, yeah. But this is why it's beneficial and it also has progesterone and estrogen in it, in the right ratio. And women need to know that they're, not only is the way you take the hormone important, but you want them in the right amounts so that the ratio is in the right amount.
[00:19:47] Dr. Sarah Daccarett: If you have too much testosterone, you could get bloated, have acne, hair loss, gain weight. If you have too much estrogen, you might feel a little bit crazy. But if you, your progesterone needs to be the most abundant hormone, and when [00:20:00] you do this and then put estrogen and testosterone in about the right amount, the same amount, then you're going to feel best.
[00:20:08] Carrie Lupoli: So talk about Oestra, because that's, that's what I've been doing and that's what inner balance does or uses, but there's not testosterone in it. Right. So when you say, when you have testosterone, do you, do you suggest women take testosterone separately?
[00:20:26] Dr. Sarah Daccarett: The problem with taking testosterone separately is that you can get a lot of side effects, right?
[00:20:30] Dr. Sarah Daccarett: So, yes, testosterone is really important for women, just like estrogen is really important for men. Estrogen is heart protected for them. It helps 'em lose weight. It protects their skin. So we need it too for other reasons. Testosterone, we need it for libido and, um, mental clarity and like they all work together.
[00:20:46] Dr. Sarah Daccarett: It's an ecosystem. The estrogen, progesterone, testosterone work together. But the problem is when you try to put testosterone on your skin, it converts right to DHT, which makes your hair shed. Most women do get hair shedding when they try a bad way. When you [00:21:00] inject testosterone, it converts right to estrogen.
[00:21:03] Dr. Sarah Daccarett: That can make you feel pretty off if you don't have it balanced correctly. And then pellets can get really high. And the problem with like a pellet is that women will feel great initially, so they just keep pushing that level up higher and higher. And a year later you have acne, hair shedding, weight gain, and you're spiraling because your testosterone's too high.
[00:21:22] Dr. Sarah Daccarett: And so when we, we can't treat women like men. We need to treat women in their own way. And you see providers doing the same thing that they do for men, for women, or just give her testosterone take. And they, I see women who get labs from their providers and they don't even get an estrogen or progesterone level or an FSH.
[00:21:40] Dr. Sarah Daccarett: All they get is a testosterone. She's not one, she's not a tiny man. Like, we're not tiny men. So the, the issue is like, how do you raise your testosterone by letting your body regulate it? My testosterone, my optimal level might be higher or lower than yours, or, you know, our friends might just be different.
[00:21:59] Dr. Sarah Daccarett: And so [00:22:00] allowing the body to dictate and say what the right amount is, then you're gonna have less side effects. Like you'll keep your hair and you won't get acne and your skin. So how do you do that? So your progesterone actually converts to testosterone. Your body can convert it. That's
[00:22:14] Carrie Lupoli: insane.
[00:22:16] Dr. Sarah Daccarett: It's insane because it's so simple.
[00:22:18] Dr. Sarah Daccarett: I think he, I told
[00:22:19] Carrie Lupoli: my doctor that and he was like, that's not true.
[00:22:22] Dr. Sarah Daccarett: It's so simple. The doctor almost not believe it, that it could be so simple.
[00:22:26] Carrie Lupoli: He literally was like, that's not true. And that's why a ostra is so powerful because you're getting your estrogen and progesterone and then your body makes. The right amount of testosterone as a result.
[00:22:37] Dr. Sarah Daccarett: Yeah. And if it doesn't, if you're like, Hey, I'm, you know, want it to be just a little bit, I wanna feel what it's like to have more testosterone, then you can take some herbs or something very subtle to raise it and then see how you feel. Maybe you're not gonna like it as much as you think you do, or maybe you love it, but at least you're in control instead of like, you know,
[00:22:56] Carrie Lupoli: huge.
[00:22:57] Carrie Lupoli: Huge. And that's what, that's what I've learned through you. That's [00:23:00] what women learn through inner balance. And it's so important because now it's like you literally have this like weight off of your shoulders with this black box being taken off where you like, there's a. There's still gonna be education and helping people to understand, but this like fear mongering gets to be gone now.
[00:23:17] Carrie Lupoli: But when I went to my doctor and I was like, so I've decided to switch over to O Westra. I've been on it for about six months. It was so interesting, Sarah, I told you this, that he was like, I said, do you know it? And he's like, oh yeah. And we were like, no, he doesn't like, he doesn't just know it because this isn't like.
[00:23:37] Carrie Lupoli: What every doctor can prescribe. He, he can't right now. And he wanted me on his own. So he was trying to convince me not to stay on that, and that he would give me a patch and something else. And, and I was like, why would he do that? And your answer was, money.
[00:23:56] Dr. Sarah Daccarett: Well, Dr. Snow, what they know. I mean, I [00:24:00] think we expectations need to be aligned too.
[00:24:02] Dr. Sarah Daccarett: Like women can't expect their doctors to know everything. If you go to an OB-GYN, they deliver babies. They're surgeons. I'm not saying I know, but I expected I did. I expected to know about my hormones, but they don't. But I think women just also need to be like, Hey, doctors don't know everything, and when they don't feel like they know everything and they feel defensive, at least like they're people too, and they feel like they should know, then they start backing up.
[00:24:25] Dr. Sarah Daccarett: They're going to offer what they do know, which could be a patent, a pill in his case, or it could be a palliative in another doctor's case, they just tend to fall back on what they know and that's what they're gonna offer you. And it can be because they also want you as a patient, and doctors make. Money.
[00:24:39] Dr. Sarah Daccarett: It has to have made money too. I mean, of other people. And that's their livelihood. So if they can bring you back and get labs every three months, they're going to, and if they can, you know this, it's a, it's a way that, um, and, and it's nothing. It's okay. That's how they have to generate income, but they don't need to do that.
[00:24:54] Dr. Sarah Daccarett: And they don't want to feel defensive when they don't know about hormones. They can just say, I don't know, go to a [00:25:00] specialist. They can turn you away. That's okay too. Yeah.
[00:25:02] Carrie Lupoli: Yeah, yeah, yeah. And but I do think it's just, it's like we do have to be so much more of a informed consumer to be able to ask the right questions.
[00:25:11] Carrie Lupoli: I mean, I know a lot and he, I was intimidated when I was like, he's like, that's not true. Like, you don't make your own testosterone. And I'm like, yeah. But,
[00:25:22] Dr. Sarah Daccarett: but Sarah told me it was well, and then he goes through it later and he was like, I guess that's true. You know, you just literally, you just Google it.
[00:25:29] Dr. Sarah Daccarett: The conversion pathway is there, the enzymes are there. We have the capacity to make it. Yeah. Um, yeah, and men do it too. Like you give them progesterone, they make testosterone. So, and you can verify it with labs. So if you, even if. You can see that our clients are all fall in a normal range. Yeah. Is it elevated?
[00:25:46] Dr. Sarah Daccarett: No, it's never gets elevated on, which is the beautiful thing too. It's going to be within that 10 to 30 normal range on Oestra.
[00:25:53] Carrie Lupoli: Yeah, it, it's just absolutely incredible. So big news, and Sarah, thank you so much for just [00:26:00] jumping on, like, come on, let's talk about this. This is so, it is so important because I think, uh, so many women don't know and, uh, I trust you and therefore they can trust you.
[00:26:13] Carrie Lupoli: And actually get really excited about this. And I know that this is something I'm, I'll be working on with my girls well before they're on menopause. And I just don't even feel like I have to like even worry about the conversation or justify it, uh, because this has been released and at least it just takes off that.
[00:26:32] Carrie Lupoli: Kind of a little bit of doubt that probably people have, even if they've heard from you or heard from me about this. I think that this is just such an important next step in women's health. So everybody needs to stay tuned for more information. But where can people find you and follow you because you do so much education, so everybody needs to follow you to learn more.
[00:26:54] Dr. Sarah Daccarett: They can go to Inner Balance md and then, um, this is our Instagram and we. Do try to, a lot of [00:27:00] information on there, so even if you're learning, just learning about it, go there or the website has a lot information ww ask questions.
[00:27:11] Dr. Sarah Daccarett: Do you have questions? You can just find out more there too.
[00:27:13] Carrie Lupoli: And you do like webinars every week with Inner balance and just constantly educating women. So I, I think if there's anything you take from this, it's really about education matters and you are really truly the boss of your own body. And just because you know your doctor is telling you one thing doesn't necessarily mean you shouldn't keep digging and just having this.
[00:27:37] Carrie Lupoli: Black box label taken off is a really good indication that. You know, there's an evolution to what we have been told.
[00:27:48] Dr. Sarah Daccarett: The FDA is no longer asleep at the wheel. You know, that they're, they're really just kind of catching us to that science and acknowledging it. And even the acknowledgement is huge for women to be acknowledging that.
[00:27:58] Carrie Lupoli: It really is. It's so [00:28:00] exciting. It's so exciting. Sarah, thank you so much for coming on. I appreciate you.
[00:28:04] Dr. Sarah Daccarett: Thank you for having me.
