kim_vopni (00:02.18)
hi drkabecka thank you so much for joining me today on this episode
anna_cabeca (00:07.116)
oh i'm excited to be here between two lips
kim_vopni (00:12.02)
i first heard you you interviewed dr marisel on your i believe it was your podcast or it was i think it was your podcast several years ago and it was the first introduction to both of you i don't remember how i found you and it was my first introduction to dr marisel who will also be interviewed on the podcast and and i fell in love with you both and i'm just i love what you've done with your business over the years and how you support
women through the transition from para menopause post menopause all all the things but i would love for you to please introduce yourself and tell us how you got into this and and where you are now
anna_cabeca (00:54.996)
oh my gosh it is well first of all it's an honor to be here with you i think that my my story is that my mess became my message so i am trained as a gyncollegist an obstutrition at emery university in atlanta and i was national hall service core and practised in south east georgia for a long time and an under served area during med school very dramatic event happened which really made me re focus on
kim_vopni (01:03.86)
hm
anna_cabeca (01:24.836)
ask more questions and that was my mom passing away um at age sixty seven with heart disease and complications of diabetes and recognizing that like she didn't make it through surgery she was on in the r at um you know one of the best philadelphia hospitals with one of the best surgeons and she started her body started crashing and went into multi system organ failure and
um and she didn't make it out of recovery and that made me question weight this surgery was supposed to save her life these medications that she's on and she was on something like nine to eleven medications at the time of her death and and it just may be question well what happened what was the situation here what caused the need for surgery and you know what about these medications no two wherever studied together
kim_vopni (02:02.6)
right
kim_vopni (02:07.42)
wow
anna_cabeca (02:24.916)
any person long term let alone a post menopausal female and m and so i really started researching and asking questions but honestly can at that time you know holding my mom's hand as she's she passed away is that commitment to figure out what happened to figure out what happened not let anyone else suffer like this and and to not find myself in the same situation
years later busy life later i was falling down that same slippery slope at thirty you know my late thirties i was over two her forty pounds working you know running my own solo b g office i was doing research i was running had opened a med spot and i was managing my family and i was the key brideoarner and it you know was it yeah and i found myself to be an early
kim_vopni (03:21.92)
a lot
anna_cabeca (03:24.916)
a pause you know approaching diabetes and you know struggling in all waves and that was like a wait you know this this can't be the answer the only option can't be drug me i know that didn't work for my mom what's the answer and that took me on a journey around the world looking for answers and from that from that curiosity and that questioning and that refusal to accept the fate of disease
progression i you know recovered my own fertility reversed early menopause naturally conceived and delivered a baby at age forty one and lost the way regained the hair that i had lost and you know know it's just been it's been it's been that journey and created products and supplements from healing foods that helped me and that was you know that's been the approach what about died in life style asking those questions
what about you know with sexual health and biodentical hormones really digging even deeper into regenerative medicine and reversing the diagnosis or the disease processes and when i realized it came down to three simple things it was no diseases are because of hormone balance inflammation and adrenal dis function and so if i addressed those three issues i could heal and help so many of my patients much
or then the way i was helping them
kim_vopni (04:57.44)
h how did you find so when you say you went on a journey around the world and looking for different maybe cultural practices or different sort of health management strategies how did you find those people and what were a few of them that that you found and learned from
anna_cabeca (05:16.976)
oh my gosh you know it was serandipitous the counters i had were sarandipitous this person knew that person you know that it was just it was nothing was planned and i would say it was you know the hand of god was in my life every step of the way and on this journey but there was you know from a native american showman who said that you know when she looked at my system my energy she said i've never seen someone with so much acidity and inflammation
or acidity and sugar and no cancer she said you have to reverse that you know and i was like that kind of planet a seed there and from the native american shaman to an andean healer to an indonesian medicine man they each said the same thing i mean three different cultures three different you know practices and patterns of way of living but they each said the same thing they said the breast hold the relationships of energy i mean
the breast hold the energy of relationships the liver holds the energy of anger the pancreous guilt the lungs grief and the kidneys fear and so that again was another seed being planted in me to kind of start thinking about and you know how do these energies get stagnant in these organs and why is there an affinity for one or the other so many questions but why you know from different
culture is around the world that was that was the message that i was receiving and the indonesian this really spectacular experience in indonesia bad nor bad in bally in daunesia met a medicine man and he's probably the same one and pray love but i hadn't i didn't you know that was before that time and yeah yeah and and so we went to him because our driver we had a driver in bolly and he said oh yeah you know
kim_vopni (07:05.44)
yeah go took
anna_cabeca (07:17.116)
guy is really good i was asking about natural healers and and so we went to him and it was a beautiful experience because i went and i was in fertile and early menopause and he said you know well what's wrong you know what's what's wrong with you i said my variants have failed i mean i've seen them on ultra sound their shriveled up almonds and infertile and he touches my head the top of my head came and it was really tender and everyone listening can tell
their head is it tender or not tender but anyway the top of my head it's not tender anymore but it was so tender and i was like oh my gosh what's going on and he said you worry too much that was his diagnosis for me said you worry too much and then again it was interesting he looked at and he said you know your overs are fine he said you worry too much what's that that's the stress quarters of physiologic pathway right and so i continued to make these connections by that
kim_vopni (07:57.96)
m
oh
anna_cabeca (08:17.096)
same encounter which is really cool my daughter my first born amanda was with she was nine at the time almost ten and he looks at her and she's just looking at him nd she's very like you know wary of people but she was looking at him and and he says what would you like to know and she's just really quiet and thought for a moment she was like i would like to speak to animals i would like to speak to horses like to speak to animals and he looked at her and her eyes are just just looking
he says look into their eyes and breathe you will speak to them and i was like oh that's just super cool and and so many he said so many other things but that that really stuck with me this profound connection and energy and the words he was saying when against my medical training these were against my medical training but it made me ask questions and you know shortly a few months later i was pregnant
kim_vopni (08:53.9)
wow
kim_vopni (09:09.92)
yeah
anna_cabeca (09:17.756)
my daughter i was told i would never be able to have so i was pregnant with ave marie and um and yeah changed changed the history of my my life and change the trajectory change the way i practiced i went back to my office on fire to help people with these additional medicinal herbs that i learned about like maka and tubric and perchal which i put all in my mihtmacaplus and other super foods and
kim_vopni (09:24.9)
wow
anna_cabeca (09:47.656)
you know some of the practices i learned um along the way it was just just powerful so kept me questioning and curious
kim_vopni (09:50.46)
hm
kim_vopni (09:55.02)
yeah yeah i lived in indonesia when i was in high school and we had the so there's there's a medicine man which you saw but then there's also they were called jam ladies and jam is the indonesian word for for medicine and a ladies would walk around the streets with these big baskets full of bottles with all sorts of i don't know what it was but i remember when we when you live there
next patriot it's it's generally accepted you have staff that live with you that cook and and clean and what have you in and they re always taking care of us so whenever anybody was sick they would go into the streets and they would find a jam lady and they would come in they would you know the lady would ask what what are the symptoms and then she would put together a concoction who knows what it was but we always were we were all marvelling because it would make us feel better really quick
and we didn't none of us were using what we had typically used when we were sick in north america and so we still don't even know necessarily what we're taking but it was but it worked and pray love is i really really love that movie partly because i lived there and i have an affinity for bully and for indonesia and but the practices and different cultures i find so fascinating and i love that it sparked your curiosity and also you know not everybody
would then agree to potentially go a different route than what their training was right and so you you said okay hold on there something over here and you kept that curiosity open and do you would you say you combine sort of what you learned in your medical training with the all their cultures or have you leaned more towards the other practices now
anna_cabeca (11:49.656)
absolutely absolutely i'm a surgeon by training as an i m would do surgery and i would say as i incorporated these aspects into my you know practice you know like hey you've got to really focus on these medicinal herbs you've got to focus on healing the adrenal glands let's get inflammation out let's measure and test your blood sugar over time let's measure and test your inflammatory markers let's tax your body and all of these things with fasting and now what i've put into what i call my ketogreen
and ketogreen life style that i write about in my books it's like incorporating these these practices with my patients and i went from doing two to three surgeries per week per week minor and major to only needing to do two to three surgereies per year for my patients so i was able to reverse the end organ damage reverse the symptoms whether it be dis functional utan bleeding whether it being continence issues whether it be pelvic pain or menstralirregulator
kim_vopni (12:37.3)
wow
anna_cabeca (12:49.996)
and by healing the constitution my body knows what to do given the right time space and and support so so for the most part i didn't say i eliminated the need to do surgery but i m reduced it over ninety per cent and that was powerful that was powerful and so incorporating the both i mean in fact today i had a client who she's had umparimental puzzle continuous bleeding
kim_vopni (13:08.58)
wow
anna_cabeca (13:19.396)
for you know three months every day post part em and so thinking about okay what what do we need to do there's the combination between support your body with biodentical hormones support your drenalsas decrease inflammation but we've got to do the ultresond we've got to do the inter metrabiopso you may need a d n c and if we can't get control of this we need to do in oblation i mean you have to think in these steps but we can never just treat like we train treat with birth control pills or that doesn't work then do in a bay
tion or historectimy and just get rid of you know the uterand problem itself sometimes we still need to do that but but not always not but mostly we get to the underlying reason the uterus is acting up because it is a victim so we get to the underlying reason and those symptoms go away
kim_vopni (13:57.48)
yeah yeah
kim_vopni (14:08.02)
hm another kind of personal side here and when i was in perry menopause not at that time knowing i'd never heard the term pry menopause at that point so this is you know eleven ish years ago when it was kind of starting and i had all these strange symptoms one of which being ridiculously heavy bleeding huge blood clots and i knew something was off with my hormones but just relying on my medical provider everything appeared normal and thankfully i had the curiosity to sort of
looking at other things and through the process of trying to understand i read your book i read i read tons of books and also it was a process of me reducing inflammation so that is such a an important part i think for the people that i work with with pelvic h pelvic floor challenges and in continents and pro lapses it's not just about your pelvic floor exercises it's kind of a whole body approach and reducing inflammation is a huge key so
how for me it was it was diet it was lifestyle and were moving caffeine and removing alcohol those were the biggest especially alcohol which i was never a big drinker but as soon as i took alcohol completely out it was a game changer so what do you how do you counsel people to reduce levels of inflammation in their bodies
anna_cabeca (15:27.256)
yeah you got to cut out the sugar you have to check urn ph and get your urnphalcoline that because you know acidity and inflammation go hand in hand together so you're in p your blood p h we know that's not going to change much it will change a level but it's not going to change much until extreme and dire circumstances that's how again how intelligent our body is but at our cellar level at our membrain level at our urn ph is an indicator it's like taking
your temperature in a way temperature will say you kay you're you have a fever your p you'll say okay you're your acetic that's a high alert system we know your body's in a cautabolic state or inflamed state and can be breaking down and versus when it's an aucoline environment i would say think of acidity like a city new york city industrial smog all that good stuff and alcalinity like the amazon jungle i mean a beautiful beach mountains big you know gardens
forest and lush very a lot of less ness and that's a different energy and that's the energy we should be in most of the time you need both but that's the energy we should be in most of the time that's reparative restorative rebuilding regenerative and that's the state that i worked to help my clients get into and i see them improved tremendously actually just received an email the other day i had spoken at a event i mean someone i don't even know i had spoken at event and her husband heard me
he had her read my book the hormone fix and follow my program the magic menopause program and she said without doing anything the problem she'd been struggling with and most concerned with over the years was insomnia i mean that with no sleeping pills nothing she her insomnia completely resolved completely resolved so that's the power of getting your body physiologically improved so
kim_vopni (17:24.099)
and and sleep being also something that can contribute to the harmonium balance and all that sort of stuff so yes
anna_cabeca (17:30.916)
and and sleep is interrupted when you're in high acidity high stress you know a dreenal dis function inflammation
kim_vopni (17:37.92)
so would you start with diet or where would you start with this
anna_cabeca (17:42.296)
yeah so say you were to come to my medical practice the first thing i have you do is fill out my quiz and it's on my home page on my website at doctor anna dot com so i say take this quiz i mean that's my hormone symptom quiz and it gives you a number and based on that number that's just a starting point i want your number to go down to zero so i want you to be a symptomatic but say you came in and your your number was a twenty and i was like okay kem so that we have room for we have room for improvement here and
i would listen to what look at your symptoms talk to you go through whatever triggers that could be that have been aggravating your your physiology for instance and i would run some labs run some lab tests and i would put you on what's in my first book the hormone fix the kite green de tox let's do this kit green detox and you know let's follow this plan for twenty one days and i'll have your labs back come on in and i'll see you and at that
a first visit i may put you on omega three official and my mitimacaplas i would say if there's only two things you could walk out of my office with i know that i can help you with these two things and typically you come back fell out the questioner again it's you know eighty per cent better already without me having to prescribe anything and you're coming in doran i feel better than i have in months so you know there's de tox support i may add on there's biodentical hormone support i may add on at that
it or we'll just you know continue the dietarian lifestyle changes where do we need to optimize your sleep where do we need to optimize your movement where do we need to optimize your attitude do you have an attitude of gratitude are you positive are you focusing on what's wrong or the aging the negative the fear of aging or any any of the fear of maybe if your mom had traumatic menopause or post menopause or ausehimers or heart disease or diabetes and heart disease like my mom
kim_vopni (19:22.0)
mhm
anna_cabeca (19:41.756)
you know are you fearing those things so let's just get really present and focus on what we know what we know to be true and how we can make improvements and it's always the mental the nutritional the detoxification the digestion the hormonal support and add in sexual function sexual health is necessary for longevity and our you know our strength our bodies you know muscle strength alignment so whether we need additional us
pathic manipulation carpractic manipulation accupuncture we can add those things in and a good physical activity routine that you enjoy and have fun with so that's how you know looking at all that of course sleep is one of those biggest part then i put it up here at mental because without a good night sleep you're not you know you're not stable you're on edge you're not feeling good yeah so i would put those seven areas into focus and you have in
kim_vopni (20:33.26)
yeah yeah
kim_vopni (20:40.88)
yep
anna_cabeca (20:41.676)
sessment from me in each one of those areas and plan and kind of that's how my book the hormone fixes there's different chapters that you know let's think of okay what's the one next right step from this chapter you can do and i would look at that and prioritize and then when it came to needing by identical hormones i would do that but i like to say i don't do hormone replacement i do hormone replenishment because i always want you to support your body's own natural production and detoxification of your hormones otherwise i'm just
kim_vopni (21:09.46)
m
anna_cabeca (21:11.896)
suppressing you and that's no better than putting you on a birth control pill
kim_vopni (21:15.48)
i love that so before like i want to get down sort of the sexual well ness path obviously celtic health that type before we do you mentioned quito green as a from an eating perspective and quito the word quito there's some people that are full believers and there's other people who re just like quito is terrible and but even myself i seem to be bringing in a lot of stories here for my own but even my own so i'm now about nine months post maybe even ten months post menopause now
and approaching like over the last year i've noticed that without changing anything i was starting to feel a lot more bloated the belly weight gain all that kind of stuff and had always sort of i knew about and obviously in new your stuff with quite green but i just was somehow resistant to it a little bit thinking there's not going to be enough fiber i'm not going to poop and poop was my top priority and so it was always a bit but i said okay i started educating myself more about
anna_cabeca (22:11.656)
m
kim_vopni (22:15.42)
o and all the different ways to do it and and used your book and the philosophies and and my version is you basically are adding more of the you're getting more fiber than what the classic quito would be and it did make a significant difference for me and i had never been able to get you know remove grains before i had always been my bowels wouldn't cooperate and it finally it finally did so what is quito green and why during
transition of hormonal change why do we need it or why is it beneficial
anna_cabeca (22:49.956)
yeah it's so important to understand that physiology shifts as we go through perymenopa thirty five to fifty five our progestoron levels declining and progestrnis the necessary hormone for d a estrogen to stosterand we need that so we have this progestran decline and progestrone is a nero protective hormone so it it is good for the brain it's calming to the nervous system and helps us get a good night sleep it's a dominant hormonanpregnancy gives us that lush hair it's very
youthful hormone and it is it declines as we get older and what we know from studies is that during this time period there's not just the g n issues that we focus on as gyncologist but it was the worsting p m s the depression mood swings irritability anxiety in somnia those heart palpitation and there's this yeah exactly these are these neurologic these neuroendicran symptom
kim_vopni (23:43.1)
check check check check that was all me
anna_cabeca (23:49.856)
you can't separate the two you can't separate the mind from the body so we try really hard in parma but you know we're not doing it so you can't separate the two and so what's happening here and this is through my own story i realized the impact but i had to figure the impact of of what i had found to work for me and that's what i call my kitogreen life stock is switching from using glue codes to key tones now that's the part of the kite is getting into kitosa because so many people are
kim_vopni (23:54.9)
yeah
anna_cabeca (24:19.836)
no but they never checked see if they're in itosis but that's the magic that's the magic so what happens is as our brain and this is why it's so important as our our brain uses glucose for fuel sucks it up right but in parimetapause the use what we know is that the use of glucose for fuel in the brain is astrogen dependent i think it's more projestern dependent again it's really dependent estrogenproductions dependent on healthy projector anyway the research says that glucaneogenesis in the brain
is extrogen dependent and anywhere else muscles anywhere so you start to lose muscle you you're not getting the right fuel to them but the use of key tones to the brain is not hormone dependent so you switch to use key tones for brain and the anxiety goes away the nervousness goes away the mood swings goes away the brain fog lifts the memory gets better and your clear and this is what i recognize my my memory was back and
i also experienced the piece that surpasses all understanding like despite external craziness that my life during that time as a single mom soul wager nor my husband with a traumatic brain injury thinking he's going to die mean all those things going on nothing in my external environment changed what my internal milly did that's why i you know happiness is an internal environment not an external environment and so but this is the physiology of the brain using key tones for fuel gives you that energy however
with that a second key component to this is the green component or the alkaline component because kitosis is going to make you more acidic now men have ten times as much testostrone which is an anabolic steroid that will keep your muscles that will keep your bones you know that's a building block form but women don't have that much and especially in parimentapas a mentapause and add in a little bit of life stress boom testosrn's gone so here now you're in
state of catabolism you're going to break down muscle you're gonna age faster get more wrinkles you're gonna grey faster i mean that's the acidity side and so you switched by adding greens the nutrition and so i started i was like i was in it i was doing better but i still was i i was feeling gray and i checked my urn ph and it was as acidic as the ph paper would read and then we can test their pa you can get p h paper from any
anna_cabeca (26:50.456)
a pharmacy and for a few cents just measure your p can get mine and measure key tones and p h and m and so the it was as specific as a your p h paper rebwhich i think was five at the time but so it was like ping acid right and you're like that was a hot moment for me of course my body is in breakdown mode now and i need to give it more alcolinizer so the minerals than the vegetables than the mineral salt so
all of the bone brow as very alkaline bone broth is very alcolinizing and so you know added these you know cruciferous vegetables to help with hormodetoxification as well and all are very low carbohydrate so not going to bump out of qitosis but i'm going to add those alcolinizers and so my urn p started to improve but then i noticed the mornings i did my gratitude journal ing or i did my walk on the beach my urn ph was more aloline all day with no other
ietary shift and that was another a moment so there i was going back to the physiology research i'm like what's going on with with this and the renal physiology just cortisal increases hydrogen and secretion across the renal toolbules in other words is going to make your i's goin make your p acid so stress will make you p acid so the opposite improving the hormone oxitoasin which i say is the most alclenizing cormon in your body you know so have some fun increase your oxytoast
kim_vopni (28:08.86)
hm
anna_cabeca (28:19.776)
and um and that will also improve your physiology and you feel this combination when you get both in qetosis and with an alkaline our n p at the same time it is like energized enlightenment it is it is a really really powerful feeling and um and that's that was part of the discovery process and implementing these aspects the green aspects to quito and i brought this you know in my online commun
kim_vopni (28:35.8)
hm
kim_vopni (28:43.64)
yeah
anna_cabeca (28:49.876)
and my magic menopause group in two thousand and fourteen and it's just it's just grown it's just grown
kim_vopni (28:56.24)
yeah that's amazing and so when we when we kind of bring it over now to pelvic health all the things that we have talked about are all things that are beneficial and helpful from a pelvic health perspective so people dealing with per laps are in continent or chronic constipation even pelvic pain is getting getting the diet in check reducing inflammation and acidity in the body reducing stress the cortisal levels all that and and then on the hoe
anna_cabeca (29:18.196)
yeah
kim_vopni (29:26.1)
mon piece if you can talk a little bit about what is happening to our vagianas to the tissues within our pelvis around the blade or the arethera as we are approaching and moving beyond menopause
anna_cabeca (29:38.976)
yeah actually for those who are watching i can share a slide okay
kim_vopni (29:43.0)
sure yeah yeah for anybody who is not watching you can go and watch it it will be posted on my youtube channel
anna_cabeca (29:50.596)
so i like picture says a thousand words let's say whoops
kim_vopni (29:54.2)
hm
anna_cabeca (29:58.876)
um can you see this picture okay so yeah so this is an image of the the vaginal changes that occur over time as we age so on the left side is the thick vaginal walls which are very elastic and have a lot of rugations or folds in and just think of a balloon that gets stretched out and stretched back you know into it holds its shape
kim_vopni (30:01.26)
i can yes
anna_cabeca (30:29.216)
and so that elasticity is there in the blood flow is really good the vaginal are in the bulvar area is very vascular and that enables the you know the hormone responsiveness to and the changes the physical changes that occur mechanical changes that occur during childbirth right we can deliver a baby through this magian it's unbelievable how that happens and so because you have this elasticity and the stretch this give and and then as we
kim_vopni (30:50.38)
hm
anna_cabeca (30:58.696)
age we lose that blood supply we lose the the connective tissue the lining the vague lining becomes thinner dryer and the rugations decrease so it's more you know flat end and it can tear easier it doesn't lubricate as well and we lose the strength of this pelvic floor hammock
sickly as well during that time so more you can more susceptible to prolapse yurnarying continence issues from weakening of the pelvic floor and the urethra and the pelvic floor muscles and so this these changes start resulting you know in our mutilate the mutilate thirties early forties we can start to notice a few of these changes but definitely menopause am beyond so post menopause lie just like where
to have laugh lines and smile lines right we're going to lose we're gonna have lines down there and that is weakening of college in you know and a thinning of our tissue and a loss of elasticity so that predominantly results from the sexsteroids projestaround d a estrogenantist astra so when these hormones are declining we lose muscle elsewhere in our body as well but it affects this
very sensitive area in agin and the vulva the clitoris is also affected by these changes that the anus with anal fissures and hemeroids more likely as we get older than when we're younger and our tissues healthy and can repair itself better so this is an area that i studied again because i had the early menopause symptoms at thirty nine i struggle with this but plus help patients through their life span and this is where patients would come in with your
leakage or anterior prolapse or posterior prolapse and i would do surgery on them right i would plan to do surgery but as with any you know surgery you want good tissue to operate on and you want them to heal so they don't have complication no mess erosions or need a second surgery because they're always harder than the first surgery so they started working with more and more biodentical hormones pre operatively for my patients so vaginal and topical d g for instance
anna_cabeca (33:28.916)
and adding in test ostend i might add progestrum which is important for the fashion and as they would come in as i got better and better at it as they would come in for their preopmaybe like doran i'm no longer having an continent symptoms i don't have any more issues i had the best orgasm in three decades you know i'm like okay well i guess i don't have to operate right and that's good news that's good news so um so that was like add back or mons to this area plus i added with my
kim_vopni (33:46.16)
yeah
hm
anna_cabeca (33:58.636)
product java stem cells and i was committed to create something over the counter less expensive than any prescription and would work even better and be cleaner without chemical intecrandisruptors et cetera and safe so jolvais the d would plant stem cells from the opine rose oil coconut oil and shade better so it's a good combination and again no preservatives or synthetics thank you
kim_vopni (34:25.58)
yeah it's an amazing product i love it and so can could somebody use galva as well as vaginal istrogen or other hormones
anna_cabeca (34:33.355)
astro jane
yeah absolutely and this is what like if you think back to that picture taginlestrogen works only on the mucosal layer so it only works on that first layer doesn't work on the deeper tissues and m and so that's important to know but d works on all three layers so it's improving your own natural secretions you're preaching improving your own natural rogation because it's so vascular responds so well to this combination of ingredients and i have a patient
who is whose inner sixties and she wrote that her doctor told her she had the vagiant of someone twenty years younger and another client i had who's sixty five her name's sharon and she's been using java since it came out and her doctor says she is the vagint of a twenty five year old i mean like i mean that's because that's how we can reverse you know we can improve that tissue when it's given the nutrients like having a garden and having good soil versus dry soil what are you going to grow
kim_vopni (35:23.06)
hm
kim_vopni (35:34.5)
right right so when you use java it's indicated to use it you say from clitoris to anis but it doesn't go inside so can you explain why it wouldn't go inside why would there not be it because it's not indicated is it because of regulation or because there's no benefit
anna_cabeca (35:52.516)
it is like i wanted to create ingredients that were safe for oral sex right say i good enough to eat say further vagina than you could put it on a play toy and insert it can use it during sex all of that stuff it's safe i cannot say it becomes an f d a claim when becomes an f d a drug claim when i say insert this into the vagina so and again i would say if you you know it doesn't give you pleasure don't put it in your vagina so if if you can use it just
kim_vopni (35:58.1)
hm
anna_cabeca (36:22.296)
fically you know and plus people focus on the vagianofagile estegambut what's that doing for your clitter what's that doing for your inis i mean those are areas that will you know have tissue damage as we get older so atrophy adhesion spisurs i mean that's just the starting point let alone the quality of life issues loss of sensation pain with sex all of that ripping and tearing so so that was you know that's why you know creating the co
kim_vopni (36:28.06)
right
kim_vopni (36:43.68)
yep
anna_cabeca (36:52.316)
nation of the ingredients helps it absorb really well into the tissue and then because it's so vascular you get that good that good aspect now there are some clients that certainly have used it bagenal again putting it on a dido using it during sex it's perfectly fine for the guy guys could use ten times the amount we can so again very safe and m yeah it works really well many guys using it for anal fissures and hemroids and things
kim_vopni (37:01.86)
hm
anna_cabeca (37:22.396)
that as well
kim_vopni (37:22.62)
interesting okay cool so what what exactly is d a and you know it's it's as i understand it it helps with the conversion of in our own bodies helps with the conversion of estrogen and test ousterone is that accurate
anna_cabeca (37:37.376)
well so the studies actually that i've been i've been watching for many years over almost two decades now at least fifteen years came out of montreal by dr la brie ferdinand la brie out of montreal and he was has been studying d effects in the vagina as a better alternative to estrogen and all the path of physiology say the d is a pro forme it's not s no
technic means still like a hormone but they really a pro hormone at the intrinsic level at the cellular level we see a conversion to astrogen and testostrone so you see that improvement that physiologic benefit that regenerative benefit at the tissue level but you don't see it systemically in the blood so they studied and they have the most studies from the university in montreal and quebec in quebec and they looked at pa
kim_vopni (38:26.22)
right
anna_cabeca (38:37.196)
it's with breast cancer and um and looked at safety studies and patients with breast cancer and they found it to be safe and effective and so with the right monitoring et cetera again we want to create we can't just do one thing we have to create bodies that are in hospital inhospitable to cancer and we do that i say the ketergreen way we do that by balancing hormones decreasing inflammation and addressing a dreenal disfunction and so we have to keep that in mind we always want to improve that it's never
kim_vopni (38:52.78)
right
anna_cabeca (39:07.236)
to pill a potion of program so it's many spokes on the wheel so to speak there's many many ways to do many ways to do this has to be done together to support the body but that's how d a so proformon at the intrinsic level converts to estrogenajust host d a trogentestastern are made downstream from d a through a couple in sim reactions and yeah and safe and so we also know from most all of
kim_vopni (39:12.88)
hm
kim_vopni (39:17.26)
hm
anna_cabeca (39:37.496)
estrogenvaginal studies in clients with breast cancer that it is has a decrease in morbidity and mortality so the contra i would say that area of caution would be in clients who are currently on tomoxopen but in regard o this if you have a cancer diagnosis any health conditions make sure you talk with your doctor want to create again healthy physilphysiology and each each person has their own genetic predisposition but with that
gain improving the tissue improving your bodies healing capacities that's powerful
kim_vopni (40:14.34)
as we're sort of before we wrap up i want to ask about college and hyloronic acid because i know those are two other things that decline so we're losing muscle mass we're losing collogen we're losing hyloronc acid or hormones are declining so do you feel and i know there's no direct release that i haven't i haven't found any research direct that shows extrogen sorry that shows collegen supplementation has a benefit on the pelvic floor i've looked at it as the different types of college but is that something that whether it's for pelvic health or
there aspects of our health that you think we would benefit from supplementing with
anna_cabeca (40:49.496)
yeah yeah i do i think that you know a part of your diet like again bone broth is rich in college and right and plant stem selves from the alpine rose plant have been shown to increase college so but i always say the vagina extension of the gut you've got to heal the gut you've got to heal the intestinal lining it comes with cleaning up our diet inter minute fasting during some prolonged fast or bone broth fast or you know shake that you know i was to
shakes you can puff up the sugar on some shakes o you want to keep that clean but rest and you heal the intestinal lining that's going to heal the vagina adding back probiotics that's important to and adding back hormones that helps restore the vaginal pate as we get older becomes more alkaline hence more fishy odors the you know the um noticing your body's yeah body odor changing and out is more susceptibility to outs et cetera and er
kim_vopni (41:41.72)
t i s n
anna_cabeca (41:49.356)
s symptoms so you want to improve the vaginal p h and we do that we definitely see it with using jovan biodentical for bones but also the other thing too that think of the cell membranes always think of the cell membrane that fat acid by layer of the cell membrane you need there's a ma three fatty acids and so when we're doing kit i really focus on incorporating dietary fatty acids as much as possible and then supplement when when we need to but healing the digestive track helps heal the vag
exercising the pelvic floor improves the blood flow improves the nerve supply and is essential to health the aging and maintaining a healthy pelvic floor and then adding back some nutrients
kim_vopni (42:35.0)
and what about hyloronic acid so there's a lot of vaginal moist risers is that would they need it as well as jlva or would java do the same thing or where does that fit in
anna_cabeca (42:36.856)
oh yeah
anna_cabeca (42:46.076)
i think they really were complimentary i don't know too many people using both i know that many you know the companies that i like hiloronic acid for faith i like it for body farming there's so many good good things with hiloronic acid it s very safe and so typically it really has been proponent for the clients with gin or breast cancers that's where it really got started as a nonhormonal
kim_vopni (42:48.78)
hm
anna_cabeca (43:16.256)
option i think that having compared the two side by side higleronic acid and work differently so using d j and plant stem cells that combination works differently than higlernic acid so hilronicis is more on the upper layers we want to get down so again with public floor exercises you're going to reach those lower layers with we want to improve the connective tissue you want to improve the pelvic floor strength
combining you know combining it with m with public floor exercises makes it not much better i m i'm gonna have to explore this kim and i have some hiloronic acid to or the public floor that someone sent me so i'll try i'll try the combination and see but i think that's that's worth looking at
kim_vopni (44:09.54)
i use both i wouldn't say i use both on the same night so i use i do i kind of do everything i do use vaginal estrogen i use julva on the outside probably three times a week and and hiloronic acid probably twice a week on the outside typically as well but what would be good is to just do one use one of those consistently for say a couple of weeks and then the other and see if there's any difference but
anna_cabeca (44:37.136)
let's see or if the combination works better than the individual i mean it's hard to say it's hard to say i mean doing like i feel like okay i have to stop using my juba to get to base line i'm like i'm not willing i'm not willing m not really but i'll add it on and see if there's even more if there's a you know any any other change but obviously the way you know we're in the longevity space in part of an organization called diving fifty with fifty longevity leaders around that
kim_vopni (44:42.3)
the two together
kim_vopni (44:48.5)
yeah i don't want to do that
anna_cabeca (45:07.316)
we're old and and they're all like the biologic age the cronologic age and all this stuff and i'm like you know i'm like i was an fifty six and the giant of a twenty five year old house at for aging
kim_vopni (45:15.02)
hm
kim_vopni (45:23.54)
that's a good introduction i like that
anna_cabeca (45:24.776)
it is so funny just throw some people off guard every once in a while i do that
kim_vopni (45:28.54)
yeah yeah that's amazing thank you so much for sharing your wisdom your for your home hormone book was a life saver for me and one of my first learnings along way kind of perry menapas journey and i've just loved following you along the way and everything that you've done and an offer to women especially your alva cream nd i wish one day it will be available in canada but until then we have to have people that we know
anna_cabeca (45:55.736)
i know i know it's crazy so yeah i hope so too
kim_vopni (45:56.04)
yeah
kim_vopni (46:00.22)
yeah already thank you so much
anna_cabeca (46:02.516)
thank you
