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Meet the Author | HotFlash News & Support
Female, Fat & Forty
excerpted from the "The Menopause Diet"
by Larrian Gillespie, MD
hosted by Sue Spataro, RN, BSN

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Dr. Gillespie interviews: "You're Not Crazy, It's Your Hormones" | "Menopause Diet" | "Goddess Diet" | "Gladiator Diet" | "You Don't Have to Live with Cystitis"
Menopause Diet: Introduction | Carbohydrate Sensitivity | Carbohydrate Differences | Mini-Meals
FREE Book Excerpt:
Female, Fat and Forty | FREE Recipes: White bean dip | Classic French Omelette | Bay Watch Turkey Burgers | Spicy Beef

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Thank you Dr. Gillespie for your comments and now I would like to thank you for the following excerpts from your books, The Menopause Diet and The Menopause Diet Mini Meal Cookbook

FREE excerpt
The Menopause Diet
Chapter One: Female, Fat and Forty

gillespie.jpg (3699 bytes)Dr.Gillespie
Those words gnawed at me when I was a first year UCLA med student.  Before me sat a woman in an oversize T shirt grasping her right side, sweating in pain while trying to suppress a belch.  "Be suspicious of gallstones in anyone who is female, fat and forty" laughed my instructor.  But for this woman, it was no laughing matter.

Menopause*, the time period that covers the ten years or more before the last menstrual period, is a critical span in a woman's life characterized by major biological and psychological changes which are important determinants of a woman's health in her later or post-menopausal years.  While our ovaries kick out the last eggs in their stockpile, enzymes in our bodies, which are dependent on estrogen, begin to falter.   Cholesterol levels start to climb, and the ratio of "good" versus "bad" lipids in our blood takes an abrupt nosedive, increasing our risk of heart disease and strokes.  As if this wasn't enough, calcium begins to sneak out of our bones, leaving them vulnerable to everyday stresses while gallbladders go on strike, refusing to empty completely, spewing gallstones in their wake.  This hormone teeter toter of life throws off our sensitivity to glucose or sugar in foods.  And with that comes the inevitable weight gain of middle age.

The good news is you are not alone.  Every woman over the age of 40 begins to develop changes in her body's ability to balance hormones against the control exerted by our nervous system.  In fact, our nerves and hormones are so closely tied together they are known as the neuroendocrine system.  Until recently, little importance was placed upon the interaction between our brain and hormones, but researchers are discovering that tissues thought to be inconsequential to our bodies may play critical roles in the fine tuning of our hormones, especially during menopause.

As a physician who dealt with men and women's reproductive and urinary systems, you would think I'd know how to take proper care of my own body. Unfortunately, doctors are the worst patients.  I never exercised, ate the recommended high carbohydrate diet espoused by the AMA, ADA, and fashionable fitness magazines and relied upon my great genes to get me through life. And all was well until I turned 40.

I don't want you to think it was something dramatic that happened. far from it.   Instead it was insidious, like grey hair.  Actually, I started turning grey, which I blamed on a harrowing episode with a patient that nearly died. Then I noticed my periods, which had always been irregular were now every 28 days.  At the same time, I began to develop an appetite.  At first I thought it was just the result of my renewed interest in gourmet cooking.  But when I could finish off an entire Lawry's Diamond Jim Brady cut of prime rib, complete with a giant baked potato and salad, I knew, something was different.

What I didn't know at the time was the role estrogen played in appetite control.   Recent research has implicated estradiol, the most potent and active form of estrogen, in the control of eating.  When estradiol levels drop, so does the release of cholecystokinin, a hormone produced by the pancreas which signals our gallbladders to empty.  This in turn makes us feel full or satiated, especially when we have any saturated fat in our diet.  During menopause, however, women begin to show a substantial delay in gallbladder emptying and just don't feel full as soon as they should.   As a result, portion size increases, and with that the number of calories consumed per feeding.

Changes in our ability to handle carbohydrates adds another wallop.  As blood sugar rises, so does our hunger quotient and any cholecystokinin released not only fails to signal we're full, but paradoxically increases our appetite.  So if you eat a high glycemic carbohydrate, such as popcorn with butter, you'll be even hungrier.  Was it any wonder I could eat like a lumberjack!  All this made me take a serious look at the changes menopause was having on my body, especially my stomach.

In order to appreciate how different things were becoming, it is important to learn how our digestive system works in the first place.

gonext.gif (388 bytes)Introduction


Are you interested in Larrian's latest book?

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"You're Not Crazy, It's Your Hormones"
Click here to buy!

Sales of this book through the link above
help to support this FREE website and support group.
Thanks for your support!

goback.gif (393 bytes)Exclusive Interview for this book


Spicy Beef
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Dr. Larrian Gillespie has developed a way for women to eat to stay fit, sharp and lose weight and keep it off! Dr. Gillespie has been the first to recognize that women have different nutritional needs - we use foods differently and need to eat differently than men. Her recipe Spicy Beef comes from her book The Goddess Diet.  This stir-fry dish can easily be made for dinner and enjoyed by the entire family - especially the men!

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