Brittany (00:01.079)
Okay, so we can do happy we can do like surprised.

Dr. Bimisa Augustin, DNP, FNP- (00:08.387)
Yeah.

Brittany (00:19.167)
we can do like mind blown, like my gosh, like that's crazy. we can do like we're thinking

Dr. Bimisa Augustin, DNP, FNP- (00:31.884)
Yeah.

Brittany (00:40.681)
And then we can do s I don't know. We can do what do you think? I'm going through all the toddler emotions that ND shares.

Dr. Bimisa Augustin, DNP, FNP- (00:50.094)
I'm giving one now like I don't know.

Brittany (00:56.713)
I don't know. Like I am surprised.

Okay, sweet. Thank you for the prompt. I'm like, because Chris is like this, this, this, this. I'm like, and I'm like, yeah, I'm like, let me okay, so we'll go ahead and just dive in and then thank God this isn't live because I remember those and those are nerve-wracking. Okay, so I'm just gonna read off this script and then we'll go from there. So let me just make this smaller. That way it's just my little cheat sheet for us.

Dr. Bimisa Augustin, DNP, FNP- (01:06.126)
Okay.

Yeah. No toxic.

Brittany (01:33.034)
Okay. So across 200 women who started with us at Thrive Lab this year, hot flashes came in at seven percent on the severe list.

That is absolutely wild. Hot flashes on the whole conversation today because the quiet list is what we're seeing is fatigue, weight gain, stress, brain fog, bloating, hair loss, body aches, and what women actually say when they describe these and what they blame them on. Joint pain, that was the second most reported symptom overall.

Why women take this one to an orthopedic doctor instead to a hormone clinic is something that we are gonna dive into. this pattern matters more than any single one symptom, and what a woman can do with this can be very practical. Is that good? Yeah, that's kind of what they want me to read off. and then we'll kind of dive into this.

So when it comes to all of these symptoms, Dr. B, and kind of diving in, let's scratch that. We need to introduce ourselves. Awesome. Welcome back to the podcast. I have the amazing Dr. Bemisa Agustin with me. Dr. B, introduce yourself. We're so excited to have you.

Dr. Bimisa Augustin, DNP, FNP- (03:06.786)
Hi, Brittany. It is good to be back on another podcast with you. I find these fun, very fun. Okay. My name is Bemisa Augustin. I'm a doctor of nursing practice. Been with Thrive now for about six years, enjoying every minute, you know, of hormone therapy, teaching patients, learning myself. I'm a functional medicine practitioner, based out of Texas, but hopefully we're gonna be all over the world soon. So, but thank you for having me again, Brittany. It's good to see you.

Brittany (03:36.158)
So excited to have you as well. I am wondering this whole word of hot flashes and the symptoms being 7% of our patients acknowledging that they're having these symptoms. Is this something that matches with what you actually see when you are speaking to these patients? Because I would say I'm not seeing it every single time, but these patients are in perimenopause and menopause. So, are you surprised?

Dr. Bimisa Augustin, DNP, FNP- (04:10.024)
I absolutely am. and the reason why I say that is because oftentimes I will ask I will have to lead a patient into saying, yeah, you know what? I am having those.

And it because it's their body eventually gets, I guess you can say, used to it, or they just deal with it. You know, it starts to happen and they're not paying attention. You know, so then when you start to kind of give them the information of, they just randomly happen, or this is what happens, it's not like the quote unquote typical hot flash. then they realize, okay, this really is happening. So yeah, I'm totally surprised by what that number.

Brittany (04:24.693)
Right.

Brittany (04:46.409)
And I and to your point, I don't even think women are up to date on really knowing some of these terms, right? Like a hot flash. They don't really know what that means or like especially when you're talking to these patients and you're explaining what a hot flash is and what time of the day it is and all of these other symptoms that are coming with this hot flash. It's like, my gosh, okay, yeah, I am having a flat hot flash. And so I would say what about like, why do you

think hot flashes maybe become the shorthand for all of this anyways. I mean why does it have to cost a woman that that's the only symptom that they may not be listing, but they're having all of these other symptoms too.

Dr. Bimisa Augustin, DNP, FNP- (05:30.632)
Because like I said, oftentimes the the hot flashes are kind of brushed under the rug because they're not as extensive.

I would say we were taught that okay, a hot flash is almost like you are combustible at that point. Like you are going to combust, right? But it's not just that. it can be it can look different for every woman. It can definitely look different for every woman. and so if they're not

if they're not like extreme, most women are just going to to say, well, you know, it's a low libido or vaginal dryness. That's that's it. You know, but no, hot flashes are a part of it. Only because they're you know, they're they're not they're not seeing that they're they're not deemed as extreme. So they don't they don't bring it up.

Brittany (06:18.005)
Right, right. And what's interesting too, and like you said, it becomes their new norm, is there's so much of like the environment and the food and all of these other things that have a big indicator of it. But whenever we're seeing these patients, like you mentioned, we're kind of dragging at them out of like, okay, what are these symptoms and kind of breaking it down to them because I mean we're gonna hear about the weight gain and the stress and the mood and the insomnia and all of these things going on, but I also feel like

Dr. Bimisa Augustin, DNP, FNP- (06:28.184)
Mm-hmm.

Brittany (06:47.929)
It's harder for women to kind of bring it up on their own as well, too, because they are running the family household. They have full-time jobs, they have children, they have all of these things they're worrying about and managing that really when it comes to our own care and our own outcomes, it's hard to kind of remember am I having a hot flash? I don't know. But what I can say is I'm achy and I'm gaining weight. And then when they meet with us, it's kind of like, let's break this down, go over your demographics, go over your

your history, go over all of these things and piece to this together. And a lot of women are like, that's what's happening is perimenopause and menopause. So it's interesting, you know, a lot of these symptoms that are happening, women aren't familiar or aware that it's related to their hormones.

Dr. Bimisa Augustin, DNP, FNP- (07:35.648)
Right, correct. They really do not realize it's related to their hormones.

Brittany (07:41.183)
I think it's sometimes helpful too, like we kinda wanna just say, it's the kids, it's not enough sleep. I mean, I'm getting older, I'm getting busier. I guess, you know, I this is what part of aging is, but it really doesn't have to be, right? Like it's just really looking at giving your body more of what's declining and getting these symptoms heavily addressed.

Dr. Bimisa Augustin, DNP, FNP- (08:02.87)
Right. and I always say it's ages is literally nothing but a number. because I've seen all I I would say a range, a large range of women s even starting in like their late twenties that are having some of these symptoms. I mean and and still at this point I just saw a female the other day in her sixties having the same symptoms. And so you would consider, you know, her being postmenopausal all those years as these aren't real hot flashes. Actually they are.

Brittany (08:31.838)
Right, right. You it's interesting too though like with a patient was to come to you and say they were like fifty and she was still cycling but not all the time and she was like my joints hurt like would you go straight to hormones or what would your approach be? Yeah.

Dr. Bimisa Augustin, DNP, FNP- (08:40.654)
Mm-hmm.

Dr. Bimisa Augustin, DNP, FNP- (08:49.986)
to ask her questions. I mean to ask her more questions and then I kinda say, have you, you know, really paid attention to when they're happening or or if you're eating or you know, those are just some examples. But yeah, I would I would dig a little deeper and then we talk, you know, hey, it's total possibility but also too, look at this. You know, when you eat this, you know they're happening. So it could be the food. Y anything.

Brittany (09:05.056)
Yeah.

Brittany (09:14.792)
And that's another thing too about hot flashes is we go into food, right? Like are you having insulin resistance? What are you eating before bed? Does it happen after you're having more heavier carbs or alcohol or and you can kind of see the difference between it it being a true hot flash or not based off of their lifestyle? Like exactly what you said. But it's interesting that maybe these patients who are in chronic pain or have these joint pains or these aches or they're

not recovering as quickly in the gym and they're like, I'm just getting older. Well, have you had your hormones looked at? I mean that's the one biggest indicator is if we can measure it, we can address it. And I know we love to practice on not having to have labs to help support our patients and get symptom relief, but I do feel like for women who are kind of blaming these other external causes on why these symptoms are happening, like have you talked to a provider and shared this? Because if you have

Dr. Bimisa Augustin, DNP, FNP- (09:51.65)
Right.

Dr. Bimisa Augustin, DNP, FNP- (09:57.185)
Exactly.

Brittany (10:14.552)
I would like to say that maybe the joint pain's related to another chemistry in the body and not just saying you're just getting older and that's just part of it, right?

Dr. Bimisa Augustin, DNP, FNP- (10:20.792)
Mm-hmm.

Dr. Bimisa Augustin, DNP, FNP- (10:25.356)
Yeah, yeah. And you know how we always say process of elimination and then it's like, the symptom stops. Well the process of inclusion as well. You know, that works also. So we we you know, add something and all of a sudden something happens. Okay, well, more than likely that's the cause.

Brittany (10:28.96)
Right. Mm-hmm. Mm-hmm.

Brittany (10:38.495)
Right.

Right, a hundred percent. And I think too, like the hard part to understand for women is they already feel so much shame with what they're experiencing and what they're feeling that they're now like even snapping at their kids or like they're like they they don't even recognize themselves. And so to admit that maybe this is a hormone cause, it takes a lot of self reflection to acknowledge that versus I mean because

Dr. Bimisa Augustin, DNP, FNP- (11:01.112)
Mm-hmm.

Brittany (11:11.84)
That there's sometimes some shame, right? Like as women, like even us on our treatment plans with hormones, I mean, we're we're patients ourselves, and like sometimes there's this shame of like something feels off, I don't feel like myself, and having to kind of talk to almost a stranger, a provider, and just kind of lay this all out. But I I think there shouldn't be any shame in a lot of these symptoms that are happening too, but just knowing that the hormones are function throughout the whole entire body from head to toe, right? Like estrogen is

Dr. Bimisa Augustin, DNP, FNP- (11:14.369)
Absolutely.

Brittany (11:41.743)
helping to fuel the bones and to alleviate joint pain and so is testosterone. Like there's so many inner relations on what all of these hormones are doing. And I think the biggest thing is if we always focus on one symptom of a hot flash and it's like, well I don't know, I don't think I'm having those, I'm fine, that there's really other layers to this than just a one symptom fits all.

Dr. Bimisa Augustin, DNP, FNP- (12:07.936)
Well

That whole one size fits all, I would say is more from like a

conventional standpoint. I mean it's hormones were scary to work with for a long time, right? So it's just like okay, let's try it here and everyone, you know, should be on the same dose of of this, you know, the same medication. But then you have like five women here where it's like it's not doing a thing. And then another five it's like, I think it's a little too much. And then you know you have the ones that are just like, well, okay, it's doing something. Let's let's stick here. but it's not a one size fits all. our bodies are a thumbprint. They really are

Brittany (12:17.035)
Right.

Right.

Brittany (12:39.903)
Right.

Dr. Bimisa Augustin, DNP, FNP- (12:45.304)
I mean actually they're fingerprint period. Ever our bodies react different, you know, differently to doses and medications and I mean all the things. So I don't like to look at it as a one size fit. So whether I have labs or not, that's why that that whole digging deeper type thing, you know, actually does it really does work, especially prior to labs. Okay. I I I do say that they they're an added bonus, you know, and and once we add it in we can see, you know

Brittany (13:08.374)
Mm-hmm.

Dr. Bimisa Augustin, DNP, FNP- (13:15.405)
Hey, okay, I think we're on the right track, or maybe not so much, you know. so I hope they answered your question.

Brittany (13:18.942)
Mm-hmm.

No, it does. I think at at the end of the day, like we all are so different. We metabolize differently. And we're only talking hormones. Like we're not talking the adrenals, the thyroid, the vitamins, the liver function. Like there's so many layers to optimizing a patient. But I will say, like, we all respond so differently. And I think the biggest thing is when you get the ball rolling in perimenopause or menopause, we're wanting to start the foundation.

blocks so as we build and treat it just gets stronger and better and I think too like when it comes to goals and outcomes the biggest things like my libido is down the like down the toilet like something's wrong I used to not ever feel that way I think I'm just stressed I'm not sleeping well and it's like well let's look at like your sleep hygiene let's look at your cortisol let's look at you know your gut health because as those layers get better and improve a lot of these symptoms can stop

Dr. Bimisa Augustin, DNP, FNP- (13:57.112)
And strong. Yep.

Brittany (14:21.999)
But to your point as well, too, hormones is a piece of it, right? A lot of it is your lifestyle, your diet, your physicality, and really putting in the work because unfortunately it's not an Amazon delivery. I got it, it's good forever and ever. Amen. Women, we are so complex and it's beautiful. We carry babies, we have monthly cycles sometimes or not. We have all of these different transitions.

Dr. Bimisa Augustin, DNP, FNP- (14:26.466)
Just a piece.

Dr. Bimisa Augustin, DNP, FNP- (14:45.08)
Yep.

Brittany (14:51.819)
Throughout the month, that to say when you meet with Dr. B or myself or all of our other awesome providers, that when you meet with them, you get this prescription and it's the same forever and ever. Amen. It's not. transitions of your your age, transitions of your life, that can change the prescription, right? Or what are you kind of how do you share that with your patients? Because it can get discouraging when you see a like a patient and you get a prescription and then like in six or eight months, it's like, what happened? And it's like

Dr. Bimisa Augustin, DNP, FNP- (15:10.872)
Mm-hmm.

Dr. Bimisa Augustin, DNP, FNP- (15:19.374)
Right. Right.

Brittany (15:21.971)
Like how do you like it it gets discouraging, right? How do you work through that with the patient?

Dr. Bimisa Augustin, DNP, FNP- (15:26.794)
So n number one, break those the break the barrier of of it's all gonna it's all gonna be the same. Like we're just gonna start you here and that's it. Okay. we have to break that, you know for sure. So giving the realistic expectations that you might start here.

But and it might work, it might not, because your body is different and giving that education that we all metabolize different. Our genes are different. So it is expected that that medications may or may not work, you know, in the same way. Okay.

I set those expectations when I first talked to my patients. Okay. You are not the same. My body is not the same as yours, and vice versa. So do not expect for you to have the same reactions with these medications that I have. Okay. And you also see a lot of patients come in. Well, my friend is on this, and I saw this on TikTok or whatever. And it's just like, no, that's you know, that's just that's one person. You know, you can't you can't base your treatment or how you're going to react off of what.

Brittany (16:13.781)
Mm-hmm.

Brittany (16:20.637)
Yeah.

Brittany (16:26.589)
Right.

Dr. Bimisa Augustin, DNP, FNP- (16:30.756)
how they did. So I set that expectation from the beginning. Realistic.

Brittany (16:38.515)
And you know, when it comes to time frames, right? Like when when treatment started, like what what what's a time frame you give your patient?

Dr. Bimisa Augustin, DNP, FNP- (16:47.69)
I'll ask them basically, can you give me ninety days? But I also want to make sure that you are contacting me because you have all the access to care within that time frame so we can make adjustments during that time.

And it's it's almost like unheard of to actually hear back from providers like constantly through throughout, you know, a ninety day period, just you know, to say, Hey, we'll go ahead and start changing some things. You know, but I do make sure that I let my patients know you have access to care. So please contact me within those 90 days so we can make adjustments. Because I'm not just gonna have you taking a medication and your body is not responding very well to a or, you know, you don't even feel something, you know. or you know, for example, I'm not gonna say or for

For example, if I give you a progesterone capsule and you take it for the first like like week or two weeks and you're still not falling asleep or you're having like these anxiety attacks in the middle of the night, might be that your body's not responding to that dose. So let's change some things.

Brittany (17:47.092)
Right. Right. A hundred percent. Gosh, I love progesterone. It's like one of my favorites. wow, yeah. And and then to your point too, like I'll never forget a female patient of mine. wow, she's she has quite the testimony, but found herself in the emergency room having a panic attack and thinking she was having a heart attack.

Dr. Bimisa Augustin, DNP, FNP- (17:54.243)
Yeah.

Brittany (18:12.469)
And it's amazing because now that the FDA is kind of dropped you know, let down the gates of these hormones are bad and they're gonna hurt you and kill you and all these horrible things. Side note, that could be a whole other podcast. Wrong study, wrong people. i it's now okay. That the ER doctor told her, like, have you had your hormones looked at? This looks like this could be related to your estrogen. Well, she met with me, we got her going

Dr. Bimisa Augustin, DNP, FNP- (18:26.878)
Mm-hmm.

Dr. Bimisa Augustin, DNP, FNP- (18:40.052)
Mm-hmm.

Brittany (18:42.313)
On semestrogen, her life, she says, is completely changed, and now I take care of some of her great friends, and it's just goes to show like women are always trying to have each other's back and like spread the news to help each other's outcomes, but we are so complex that because patient A took a progesterone capsule and sees like feels like it changed her life, doesn't mean patient B is gonna take the same and have the exact same response because we are all made so.

Dr. Bimisa Augustin, DNP, FNP- (18:46.359)
yes.

Dr. Bimisa Augustin, DNP, FNP- (19:10.08)
Exactly. Made so different.

Brittany (19:12.253)
different which is a beautiful thing but I will say these hormones are not a one shoot fits all right like our compounding pharmacy makes anything we could ever imagine based off of the patient and the dose right like it's tailor-made yeah

Dr. Bimisa Augustin, DNP, FNP- (19:23.874)
Trip mark. Yeah. Yeah, yeah. It's Taylor made. It is Taylor made.

Brittany (19:30.503)
Tailor made. It makes such a difference. Is there a patient that comes to mind where they found themselves maybe with joint pain or like they didn't have a hot flash, they didn't know what was going on and like they've completely done a one eighty?

Dr. Bimisa Augustin, DNP, FNP- (19:45.131)
brain fog. Like you should have seen my schedule yesterday. Full of it. And it was like, Hey, has anybody ever told ya? And so and I would say probably about ninety percent of the women I actually saw yesterday, I I put them on testosterone. A small dose.

Brittany (20:00.147)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (20:01.684)
small dose. But as far as like the the one eighty, like the follow ups, one of my favorites. I know I don't play favorites, but I do. One of my favorites. When I say a one eighty in like less than a six month time frame, her and I've been seeing each other, I was like, Wow. I mean, even when it comes to like inflammation, face looked different. Her whole personality was it was I was like, is this the same woman that I saw like six months ago? I mean like literally. Yes. Yeah?

Brittany (20:20.212)
Right.

Brittany (20:29.904)
It's such a rewarding

disposition to be in where you can literally transform somebody's entire life. And I think it's their entire life because when they feel and do so well, and part of our mission statement is to give gifts at the highest level, they literally are. Like their family, their work, their colleagues, their their pets, their neighbors. And like it's just like this beautiful synergy that

Dr. Bimisa Augustin, DNP, FNP- (20:41.89)
Exactly.

Dr. Bimisa Augustin, DNP, FNP- (20:52.398)
Mm-hmm. Yep. Yep. Mm-hmm.

Yeah.

Brittany (21:03.914)
That's like out into the universe and out into everyone like getting a taste of it. That it's it's a way for people to know like there is hope outside of this. And because you don't have a typical hot flash, maybe you have the brain fog, or maybe you have the joint pain, that this doesn't mean that this isn't something you should look into when you feel so off. You know?

Dr. Bimisa Augustin, DNP, FNP- (21:09.302)
Mm.

Dr. Bimisa Augustin, DNP, FNP- (21:25.098)
Exactly. Exactly. Exactly. Mm-hmm.

Brittany (21:29.486)
And I met with a patient the other day whose spouse was like, Hey, I found this for you, like advocating for his wife, and was like, Chat GPT said that Thrive is the best, which is like I've had so many of that. I'm like, I love that AI is totally like like leveraging us as well, too. I don't know if they saw of our all of our reviews. I don't know what it is, but AI is all team Thrive, which is so awesome. But they went, yeah, they literally AI team.

Dr. Bimisa Augustin, DNP, FNP- (21:38.37)
That is awesome.

Dr. Bimisa Augustin, DNP, FNP- (21:44.424)
Yeah. Yeah.

Yeah

Dr. Bimisa Augustin, DNP, FNP- (21:55.67)
Yeah yeah it's team draft.

Brittany (21:59.303)
Team Thrive. I love that. That's a we need t-shirts. That's really good. AI Team Thrive. But then they made an appointment, but I'm loving that there's like now the spouses, like, hey, I found this, you know, Thrive Lab for you. It's online. I know you're busy. Like make an appointment and then like getting them set up for a consult with our providers to get this addressed of I don't have a hot flash, but I feel like I'm snapping someone's head off all the time.

Dr. Bimisa Augustin, DNP, FNP- (22:02.762)
Absolutely.

Dr. Bimisa Augustin, DNP, FNP- (22:12.525)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (22:17.707)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (22:27.81)
feel different. Exactly. Exactly. Yep. You are so right. You are so right. I remember when we came up with the whole thri it I always say it's accidentally on purpose, right? The whole Thrive Together like platform and

Brittany (22:29.387)
You know? Yeah, it's so exciting.

Brittany (22:41.234)
Yes.

Dr. Bimisa Augustin, DNP, FNP- (22:43.246)
This was before we were like, AI, okay, let's see if we can do this. And we were just beginning. So I remember we were doing home visits and I had twins that I was actually well, no, it wasn't twins. I was working with the sister before and the twin walked in because the other twin did not like needles. I mean, I was like, this woman's gonna pass out on me, right? So the next thing I know, her sister comes in and you know, her and I are talking. I she was already stuck, you know, she didn't even realize I had already drawn her blood. But we were talking and the sister was like, I wanna do it. And so she

Brittany (22:47.079)
Right.

Brittany (22:57.522)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (23:13.07)
was telling me about her you know issues and symptoms and things like that and I called Jordan on the phone and I was like they want to thrive together that was the funniest thing ever. my gosh, this is like impromptu so then you know we were just like we were we are very serious about this you know everyone coming together to do this together because you don't want to have one person that's really close to you in your life you know doing you know wonderful changing and thriving pun intended and then the other you know seeing this and they're just like you know I you know I'm not happy

Brittany (23:21.07)
I love that.

Brittany (23:38.364)
Right.

Dr. Bimisa Augustin, DNP, FNP- (23:43.02)
I'm not, you know, so that whole that's how Thrive Together like you know came about and so now we are really really serious about that. We want you to thrive along with, you know, your friends and family that are changing their lives.

Brittany (23:57.031)
It makes it makes everything under the same roof flow really well because you have a teammate in it. And I've seen a lot of patients, which is a blessing, refer their spouses or their friends. And it's like this is and I always feel like the appointment goes a lot more smoother in the sense of they don't feel shame, they don't feel embarrassed and they don't feel like something's wrong with them because they kind of have this buddy that they've talked to.

Dr. Bimisa Augustin, DNP, FNP- (24:00.034)
Yeah.

You have a teammate.

Dr. Bimisa Augustin, DNP, FNP- (24:09.182)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (24:17.409)
Yep.

Dr. Bimisa Augustin, DNP, FNP- (24:24.031)
Yeah.

Brittany (24:26.984)
About already, and it feels like that much more of a safe place for them where they can be acknowledged, especially as women. our our aging processes with our systems and our hormones are ever and will forever change until the menopausal 12 months after no no bleeding, which we find out we're in menopause a year later, technically, like as that transition happens, it's just nice to have someone in your corner be like, Hey, like I walked this path, it's good, it's clear, I think.

Dr. Bimisa Augustin, DNP, FNP- (24:31.342)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (24:49.453)
Yeah.

Brittany (24:56.854)
feel great, like I want you to come with me. And I think that's the most beautiful loving approach that you can do for someone because they don't feel so shameful and they feel like there's actually hope and not an SSRI thrown at Which I'm not against at all. But I do believe like you can place a nice band aid while you get more answers and and feedback.

Dr. Bimisa Augustin, DNP, FNP- (24:59.69)
Exactly.

Dr. Bimisa Augustin, DNP, FNP- (25:07.0)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (25:10.955)
Exactly.

Dr. Bimisa Augustin, DNP, FNP- (25:17.28)
Exactly. Exactly. I mean because you y figure out which chemical it is, you know. You know, and then work from there. Yeah, yeah. So hey, it's it it might not be the serotonin and all that. It might just be, you know, the the estrogen or or you know. So but I see that a lot.

Brittany (25:25.47)
Which chemical it is.

Brittany (25:37.854)
Like you like yeah, and like we say, right, there's receptors for your hormones throughout your whole entire body that bind to your brain and your thyroid, your feet, like your there are receptors everywhere in your body for hormones and when they're not binding, these are things that can happen. And it's so important to at least get it evaluated and looked at. You know?

Dr. Bimisa Augustin, DNP, FNP- (25:44.076)
Whole body, brain and

Dr. Bimisa Augustin, DNP, FNP- (25:52.534)
Everywhere.

Dr. Bimisa Augustin, DNP, FNP- (25:59.106)
Exactly.

True. True.

Brittany (26:05.233)
I'm wondering, across so they say across the US women aren't really getting the support they need. Okay, take that out. Let me read this better. On our own data, say across the women who've stated who started care with us this year

Yeah.

Yeah, 'cause I'm trying to I'm trying to figure that out.

Dr. Bimisa Augustin, DNP, FNP- (26:29.868)
Yeah. Yeah. Yeah.

Brittany (26:34.641)
Okay, good.

Dr. Bimisa Augustin, DNP, FNP- (26:35.81)
Like we are.

Brittany (26:38.129)
Okay, good. I might try not to go too in the weeds. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (26:39.182)
I don't know if you can cut this real quick. Can I go sign this real quick for this this okay, I'm sorry.

Brittany (26:45.714)
No.

Brittany (27:11.855)
Okay, yeah. Okay, I will. Yeah. I'm trying to like like my god. Okay, thank you. I'm just like yeah. It 'cause this is like this is like episode one and so I don't wanna go too in left field where it's like could be a second segment, so I'm trying to keep it very surface-y. So I'm gonna say, so what are some symptoms women are coming in with that should avow should get them like should warrant an appointment if it's not a hot flash.

Brittany (27:46.489)
Okay. Okay.

Brittany (27:58.758)
Okay. You said that really well. I wanna like copy the exact thing, but I I think I'll like try to wew word it nicely. You did s no, you did so good. You did so good. okay good. Yeah, we'll definitely do that. Okay good, yeah, I'm trying to like how are the other podcasts doing? Did they do well too?

Brittany (28:48.219)
I that's so cool though, I love that.

Brittany (28:59.559)
Yeah.

Brittany (29:06.777)
Okay. Is it helping conversions?

Brittany (29:15.739)
Okay.

Dr. Bimisa Augustin, DNP, FNP- (29:22.83)
Yeah, okay.

Brittany (29:27.047)
That's so awesome. Okay, cool. Cool, cool, cool. Are you still going to I guess we'll just yeah, we can wait. I don't know.

Brittany (29:38.827)
Okay, that's so good to hear. I'm glad it went well.

Brittany (29:47.161)
Yeah, are you gonna go?

Dr. Bimisa Augustin, DNP, FNP- (29:59.321)
Yeah.

Brittany (30:02.375)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (30:05.902)
Miami? Miami? I hear Miami. Are we going?

Brittany (30:07.802)
my gosh, and when is the Miami event?

I know.

Dr. Bimisa Augustin, DNP, FNP- (30:22.028)
Yes.

Brittany (30:35.539)
That's so exciting.

Dr. Bimisa Augustin, DNP, FNP- (30:54.03)
Yes sh

Brittany (30:55.111)
That's so cool.

Dr. Bimisa Augustin, DNP, FNP- (31:10.505)
my gosh. Should I start packing now? Again.

Brittany (31:11.74)
yeah, but yeah, but seriously, start packing now.

Dr. Bimisa Augustin, DNP, FNP- (31:16.618)
Start packing now. Okay.

Brittany (31:21.053)
That's so awesome.

Dr. Bimisa Augustin, DNP, FNP- (31:21.302)
My Indian March.

Dr. Bimisa Augustin, DNP, FNP- (31:30.03)
give the dates. I am so there. Cause you know, AJ, well you'll get to meet AJ. He's my husband. He's from Miami. So we're always in Miami. Like at the Dolphins game. So give me something else to do besides seeing the dolphins, okay? I need like Me too.

Brittany (31:37.617)
Yeah. Yeah.

Brittany (31:47.641)
Yeah, no.

Brittany (31:55.947)
yeah.

Dr. Bimisa Augustin, DNP, FNP- (31:56.484)
all in. Love it, love it, love it. Okay. Alright, let's do this.

Brittany (32:00.274)
Yeah, I'm here for it. okay, we're gonna wrap it up and I'm going to say okay, ready, set, go. You know, with so many different symptoms that women can have, is there any that you see that they may be experiencing that they wouldn't know is actually their hormones and warrants an evaluation?

Dr. Bimisa Augustin, DNP, FNP- (32:26.742)
Okay, so for one that you already did, you brought this up, joint pain. Okay, that is an indication that hormones can be imbalanced. Another one that a lot of women don't even realize, right, is craping skin. Okay, dry elbows, right? Dry knees, dry feet, dry face, right? and wrinkling. Okay, that's especially around the neck area, that's

That can be an indication of hormone imbalance.

Brittany (33:02.257)
Well, if any of this fits our listeners and our viewers, I want you to know you are not alone. And I would really encourage you to go to thrivelab.com, speak to one of our amazing providers, and get some answers and a good soundboard for support. Thanks for tuning in.

Dr. Bimisa Augustin, DNP, FNP- (33:22.072)
Thank you.

Brittany (33:25.189)
unless we should do something different. I don't know. Amanda, what do you think? Okay.

Dr. Bimisa Augustin, DNP, FNP- (33:28.542)
And

Brittany (33:41.893)
Okay, cool.

Yeah, yeah, she invented it.

Dr. Bimisa Augustin, DNP, FNP- (33:46.023)
That was so funny. my gosh. Amanda in the beginning, I mean, we just used to come up with random shit and we were just like and I literally yelled at on the phone. They wanna thrive together and they're laughing at me and it was crazy. It was crazy. But we so much. Now it's a thing. Now it's a thing. Yeah. Yeah, totally impromptu. Like

Brittany (33:52.712)
Yeah.

Brittany (33:59.621)
And now it's thri now it's a thing. Like we literally have thrived together.

Brittany (34:08.186)
Yeah. Yeah. We literally have a thrive together because of her.

Totally impromptu.

Brittany (34:23.32)
my gosh, we're all over AI. Like people literally, ChatGPT loves us. Like I've had at least five people be like, yeah, so I went to chat and I'm like, God. Yeah, and Thrive popped up. Like chat loves us.

Dr. Bimisa Augustin, DNP, FNP- (34:28.92)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (34:33.421)
Yeah.

And we found that in Mazada when all of us were there that time. And I I put it in on my chat and I was like, shit, we're number one. Like on Chat GPT. that was like the most exciting. I mean, because we have Touche in there and Josh. And I mean, it's like a large part of the team. And it's like, you guys, this is what we did. You know, these yeah, man. my gosh. Like bittersweet.

Brittany (34:39.359)
yes Yeah.

Brittany (34:48.86)
Mm-hmm.

Brittany (34:55.665)
Yeah.

Brittany (34:59.898)
Yeah, it's super exciting.

I th yeah, I think

Dr. Bimisa Augustin, DNP, FNP- (35:06.338)
Yeah. Yeah. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (35:14.988)
Yeah. It it's

Brittany (35:15.866)
I like the AI AI Lets Us Thrive or something. I think that was so cute. You're good at these punts, sis.

Dr. Bimisa Augustin, DNP, FNP- (35:20.458)
Mm-hmm. Mm-hmm.

Yeah. Sometimes it just it breaks my heart because I'm like, I got like so much logistics stuff to do, you know, if if my pa I I don't feel like sometimes at this point like my patients are getting all of me anymore. But then I'm like, I realize that, you know, I I'm one of the directors and there's a lot of other things where I was like, I love the patient care. You know, I'm just you can ask Jen, I've totally been emotional about this for the past few weeks. I was like, We can't do these bad reviews, but we can't, you know, I I can't let, you know, this go, but I still love want to love all my

Brittany (35:42.523)
I know.

Dr. Bimisa Augustin, DNP, FNP- (35:52.179)
patience it I love to have spoiled patients as you guys can tell. Yeah.

Brittany (35:53.198)
I know.

I know. Well they're happier that way.

Brittany (36:35.824)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (36:36.02)
Yeah. Yeah.

Brittany (36:39.676)
Yeah.

I love that. I love that. Yeah, I I actually spoke to one of our ambassadors today who kind of pivoted to a different platform for peptides. she has a million followers. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (36:57.326)
Mm-hmm.

Brittany (37:02.096)
Yeah, she just kinda mentioned like she's like, you know, maybe the dashboard will improve, but it just didn't seem like like there was and so I c I'll kinda wait till for them to get like s I mean, I signed off on some B P C for her today. but she was mentioning like I still use all for hormones, but like it's just it didn't I don't know if the conversions were like adding up right or something or s I don't know. I like, I'll escalate this to our marketing team. I'll I won't use names but I'll and I I mean whatever. And then I she mentioned that

She's using a peptide company where she's like, I think the biggest barrier for my patients is they have to see a provider to get the peptide where you can go to she didn't tell me what company, but where we're working on this model where you fill out a form, they pick the the peptide they want, they're invested, there's no provider barrier, and then they can see their provider later. I did. She's like, yeah, that's awesome. Like hopefully, like eventually when it gets there, you know, we'll s

Brittany (38:13.709)
Brittany (38:18.904)
every week.

Dr. Bimisa Augustin, DNP, FNP- (38:21.53)
wow. Yeah.

Brittany (38:22.498)
She made it seem like she doesn't ever talk to us anymore. Like it was very, it was very like, yeah, you know, but I I I did not girl, I treated her years ago. I didn't know. I thought she was like worked for marketing or something. I and then Josh is like, Brittany treats da da da. And then I was like, wait, do a podcast with and I'm like, wait, what? A million followers? I'm like, my god, I had no idea. Because she's she's totally a normal person.

Dr. Bimisa Augustin, DNP, FNP- (38:50.722)
Yeah.

Brittany (38:54.064)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (38:54.467)
Yes.

Dr. Bimisa Augustin, DNP, FNP- (39:08.462)
Mm.

Dr. Bimisa Augustin, DNP, FNP- (39:12.248)
Mm.

Brittany (39:14.862)
I didn't know that. I thought she just like lost a bunch of weight and became push. I I I I but I never talked to her about it. I totally treat her like regul like I I don't know her story, but she's super I mean, she's always been super cool, honestly.

Dr. Bimisa Augustin, DNP, FNP- (39:15.608)
That is crazy.

Dr. Bimisa Augustin, DNP, FNP- (39:24.568)
Yeah.

Brittany (39:32.768)
she does?

Brittany (39:45.037)
Okay.

Brittany (39:51.0)
Okay. Yeah, I could see that. I could see that. No, I could definitely see that.

Dr. Bimisa Augustin, DNP, FNP- (40:07.502)
Huh.

Yeah. Yeah.

Brittany (40:11.15)
Look into it because she's getting peptides from another company and made it seem like she wasn't getting peptides from us or produ or s she said something along the lines where like she was having to pay for stuff and she just didn't want to keep paying for things. Well I don't know I don't know what it is, but I was just like, yeah, for sure, like playing along. I didn't know what she was saying, but I'm like, it's not my business to know anyways.

Brittany (40:51.002)
I know.

Dr. Bimisa Augustin, DNP, FNP- (40:59.608)
True.

Brittany (41:01.202)
Yeah.

Brittany (41:09.528)
Yeah, no. And I see her like once every eight months. Like that girl I never see her. And so when I check in with her, I'm like, okay, like let's you know what I mean. But she's always been super like okay and like listen I mean it seems like she I don't know, but yeah, she's she's a good one to have. I thought, shit, we can't let her go. Like 'cause it seems like she everyone b everyone listens to what she says, it seems like.

Dr. Bimisa Augustin, DNP, FNP- (41:29.868)
Yeah.

Brittany (41:43.824)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (41:44.728)
Yeah.

Brittany (41:47.758)
She does. Yeah. When I no, I agree. And when I did a podcast with her, I'm like, I don't even want to know what feedback she's getting. 'Cause like, you know, with any with anything, like you're gonna you're gonna get people saying stuff and I didn't hear anything but I can only imagine. Like, you know what I mean? Because what I say, someone else I just but I didn't hear anything but I'm just like it it made me nervous because I'm like it's just

Dr. Bimisa Augustin, DNP, FNP- (41:55.587)
Yeah. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (42:08.546)
Yeah. Yeah.

Brittany (42:18.841)
Her own hydration brand? Of course she is. She's so cute.

Dr. Bimisa Augustin, DNP, FNP- (42:25.112)
Okay.

Brittany (42:30.499)
She's I wonder what's in there. How do you do that? Like that's so wild. Good for her. And her husband's absolutely incredible. Have you met him? he's super cute, super chill. Like, my gosh. They're adorable. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (42:49.57)
Wow, I didn't know she had four or five.

Brittany (42:49.913)
Like I would Yes, I saw one today pop up. I was like, hi like that girl just knocks it out every time. I'm like, how do you do all this? I have one and I'm like, Ugh but

Dr. Bimisa Augustin, DNP, FNP- (42:58.806)
Yeah. We're all losing our minds. Mine are grown. I'm trying to my god, yeah, they're exhausting.

Brittany (43:05.777)
Well yeah, 'cause they're into all the things right now with band and all the things. But yeah, it's wild. But okay, good. Well I'm glad you talked to her 'cause it seemed like it was like she was falling off and no one didn't know what was going on or something. I don't know. So

Brittany (43:38.673)
okay. I didn't know she talked to Josh closely. Interesting.

Dr. Bimisa Augustin, DNP, FNP- (43:54.082)
Yeah.

Brittany (43:54.179)
Yeah.

Yeah. jeez. Okay, well good to know. But yeah, well good. Yeah, same. Good. Yeah, no, it's fun. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (43:58.86)
Yeah. Yeah.

Dr. Bimisa Augustin, DNP, FNP- (44:11.459)
Yeah.

Dr. Bimisa Augustin, DNP, FNP- (44:15.256)
No.

Brittany (44:15.294)
No, thanks for keeping us together and organized. Thank you. Okay. Talk later. Thanks. Bye.

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