Lara Briden (@LaraBriden) header
Lara Briden (@LaraBriden) profile picture

Women's health clinician, former evolutionary biologist & author of Period Repair Manual, Hormone Repair Manual, and Metabolism Repair for Women ♀️

Christchurch, New Zealand
Joined December 2012
Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)Photo by Lara Briden (@LaraBriden)
Of course, diet and exercise matter for metabolic health, but they’re not the whole story. That's because metabolic dysfunction (aka insulin resistance) is a whole-body hormonal condition shaped by many systems working together (or not).
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Lara Briden retweeted
Frida Kahlo ( left) age 17, wearing a suit in a family portrait, 1924 #WomensArt
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Is health data empowering? Or simply anxiety-promoting.
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Naturopathic doctor, women's health expert and author @LaraBriden joins this year's Hotflash inc Summit to give her Perimenopause Without The Panic presentation – it was the first time I'd seen one of her presentations – selfishly I wanted to see it so I asked her to give it. The summit is a rare chance to catch it. She said something that runs so opposite to what everyone else seems to be saying about us: perimenopause is a recalibration, not a medical condition. She walks through why not every symptom in your 40s is about estrogen, why early perimenopause often brings higher estrogen peaks rather than lower, and why living through decades of stable low estrogen is something women evolved to do. We need this kind of nuance. The story is getting out of control. Her session is free to watch, Sept 28–Oct 2, as part of the Hotflash inc Summit → summit.hotflashinc.com/
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Wearing a callcentre headset, no less.
5'6 balding Phil Collins strolling around in an office shirt singing and drumming one of the greatest songs ever is the definition of AURA.
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Lara Briden retweeted
I absolutely love this sentence - “It's not winter that defeats you. It is your insistence on summer.” Hint (this goes well beyond seasons):
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This is me at age 4. And this is me (in spirit) in my postmenopausal years: curious but spiky. Engaged, but increasingly unimpressed by BS. My perimenopause book has a section on menopause as a “return to girlhood,” and that is starting to feel truer than ever. – at Wabasca 166, Alberta
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Of course, endometriosis is strongly affected by estrogen, even normal levels of estrogen. But it’s not caused by hormonal abnormalities such as high estrogen or low progesterone.
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Instead, endometriosis is fibrotic, immune, and possibly bacterial.  And, big picture, there are rumblings of a fast-approaching paradigm shift around how we diagnose, understand, and treat this enigmatic condition.
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A major UK clinical trial has just completed recruitment, with hundreds of women agreeing to undergo keyhole surgery for pelvic pain.
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It's been assumed that removing superficial endometriosis lesions would relieve pain. But, until now, there had never been a large placebo-controlled trial to test that. They volunteered so that future patients can have better answers than: “This is just what we’ve always done.”
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And stay tuned for my new book about periods. I’m really (really!) hoping these trial results become available in time to be included.
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They are far less helpful if they become an ongoing story or identity and do not lead to ways to feel better. In that case, it might be time to look beyond the label. Here are some discussions of the modern labelling problem:
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My peer-reviewed article: Beyond the label: A patient-centred approach to PCOS candjournal.ca/index.php/can…
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Many modern diagnoses are essentially descriptions of symptoms or clinical features. That means they can be surprisingly open to interpretation.
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Possible examples include ADHD, PMDD, PCOS, perimenopause, and even, in some cases, endometriosis. Such labels can, of course, be helpful if they guide you towards a reality-based understanding of what is happening and treatments that actually work.
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Descriptive diagnoses can also be temporary. You could quite feasibly reach a point when a particular label no longer applies because you no longer have the symptoms (or meet the criteria) that led to it.
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