In this episode, Therese Markow and Sophie Lucido Johnson discuss the evolution of family and the concept of "kin" in Sophie's book "Kin: The Future of Family." They explore the isolation and loneliness in modern society, emphasizing the importance of chosen family networks, or "pods," for emotional and physical well-being. She highlights the benefits of close, non-genetic relationships, citing research showing that strong social connections can prolong life more than health habits. Sophie also addresses the challenges of maintaining friendships post-children and the mutual support needed in kin relationships, drawing parallels to primate behavior and community responses to disasters.

Key Takeaways:

• Digital connective tools are wonderful, but they do not take the place of human connection of conversation, and relationships.

• You do not have to live with someone to create a family pod together. Living in proximity can help to share the burden and lighten the load. It is good for your mental and physical health to build relationships with those in close proximity to you.

• Relationships do not need to be transactional. However, by nature, there will be levels of give and take.

• Commitment is not just for romantic relationships.

• Planning is difficult. Be spontaneous with short time hangouts, running errands together, and a willingness to commit more deeply with your friends while being flexible.

• Cross-generational relationships have many benefits for all parties involved.

"There's nothing that the science has shown to prolong your life more than relationships with other people." — Sophie Lucido Johnson

Connect with Sophie Lucido Johnson:

Website: https://www.sophielucidojohnson.com/

Linktree: https://linktr.ee/sophielucidojohnson

Book: simonandschuster.com/books/Kin/Sophie-Lucido-Johnson/9781668060650

Instagram: instagram.com/sophielucidojohnson

Connect with Therese:

Website: www.criticallyspeaking.net

Bluesky: @CriticallySpeaking.bsky.social

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Tami Rowen discuss menopause, perimenopause, and hormone therapy. She explains that menopause is defined as one year without a period, while perimenopause can last up to 10 years with symptoms like mood changes and menstrual irregularities. Dr. Rowen discusses the changes in FSH levels and how to understand what the levels mean across time, and why they may not be as helpful as you think. She also explains how hormone therapy can alleviate symptoms and prevent osteoporosis, and that bioidentical hormones are preferred for their safety and efficacy. Finally, she cautions that social media can spread both accurate and misleading information about menopause and hormone therapy.

Key Takeaways:

• There is a debate over whether or not there is a cardiovascular benefit to starting hormone therapy early. While several studies suggest there may be a benefit, all the current guidelines recommend against using hormone therapy specifically for the prevention of heart disease.

• When somebody enters menopause or post-menopause, there is no significant change in their testosterone levels. However, testosterone will be lower than when someone was in their 20s.

• The majority of people giving information about menopause are not healthcare providers. Oftentimes, when they are discussing hormone therapy, some of the risks get missed, some of the benefits get overblown, and many are left believing hormone therapy will be a cure-all.

"Anytime someone makes a definitive statement, I would take it with a grain of salt and just know that there's oftentimes nuance to recommendations and guidance, and I would encourage all women to seek out a provider that is familiar with the data." — Dr. Tami Rowen

Connect with Dr. Tami Rowen:

Professional Bio: https://profiles.ucsf.edu/tami.rowen

Website: https://www.ucsfhealth.org/providers/tami-rowen

Instagram: https://www.instagram.com/drtamirowen/

Connect with Therese:

Website: www.criticallyspeaking.net

Threads: @critically_speaking

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Robert Klitzman discuss the implications of new anti-obesity drugs, initially designed for type 2 diabetes but now used for weight loss. These drugs are expensive and may not be fully covered by insurance. They discuss how the drugs work and explain why they may be more effective for some than others. Dr. Klitzman highlights the socio-economic disparity that contributes to some of the causes of obesity. He emphasizes the need for prevention and policy changes to address the root causes of obesity, including dietary habits and access to healthy food.

Key Takeaways:

• The US spends twice as much per person on health care as any other country in the world, yet our health indices are nowhere near the top. A lot of that is because of the price of drugs.

• Obesity medications are being touted as the end of the obesity pandemic, as a cure-all. However, while they do a lot of good, there are many limitations to the drugs.

• Obesity is often more prevalent in lower socio-economic classes. With the increased use of these obesity drugs, the disparity between the haves and have-nots will continue to grow, potentially leading to additional stigmas being placed on those struggling with obesity.

"I do have concerns that the attention on drugs, if we're going to spend a lot of money on drugs for obesity, my concern is we're not going to spend as much attention on how to prevent obesity in the first place." — Dr. Robert Klitzman

Connect with Dr. Robert Klitzman:

Professional Bio: https://www.publichealth.columbia.edu/profile/robert-klitzman-md

Website: https://sps.columbia.edu/person/robert-klitzman-md

LinkedIn: https://www.linkedin.com/in/robert-klitzman/

Connect with Therese:

Website: www.criticallyspeaking.net

Threads: @critically_speaking

Email: theresemarkow@criticallyspeaking.net

Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.