The Dr Louise Newson Podcast - 69 - How hormone treatments can prevent disease

Episode Date: May 26, 2026

Why do we wait for people to become ill before we help them get better?In this episode, Dr Louise Newson is joined by GP and preventative health specialist Dr Harpreet Sood for a conversation about why healthcare needs to move beyond firefighting disease and towards a more proactive, personalised approach.Together, they discuss the importance of hormones in long-term health, why so many women globally are still unable to access treatment and the need for better education for both doctors and patients. They also explore how empowering people with knowledge about sleep, nutrition, exercise and hormones can transform future health outcomes.We hope you love the podcast. If you enjoyed this episode, please make sure to follow us, leave a 5-star rating and share it with someone who might find it helpful.LET'S CONNECTSubscribe here 👉 https://www.youtube.com/@menopause_doctorWebsite 👉 https://www.drlouisenewson.co.uk/Instagram 👉   / @drlouisenewsonpodcastLinkedIn 👉     / https://www.linkedin.com/in/drlouisenewson/TikTok 👉   / https://www.tiktok.com/@drlouisenewsonSpotify 👉 https://open.spotify.com/show/7dCctfyI9bODGDaFnjfKhgLEARN MOREDownload my balance app 👉https://www.balance-menopause.com/balance-app/Get tickets for my new theatre tour, Breaking the Cycle 👉https://www.nlp-ltd.com/dr-louise-newson-breaking-the-cycle/Pre order my new book 👉https://bio.to/ThePowerofHormones

Today on my podcast, I've got Dr. Hartpreet Sude, who is a UK and US trained doctor, and he currently works in both London and Dubai. We talk about the global health problem of not being well for long enough, about how we can personalise medicine and how, of course, we can have hormones in our everyday consultations and helping people make the right choices for their future health. So Hartford, you're in the studio. I've dragged you in at short notice because you're over from Dubai

for a short period of time, but you're UK trained. I've known you on and off for a few years, but I feel like I'm getting to know you a bit more, and you're getting to know the work that I do a bit more, which is great. But we're both GPs, we're both really keen in keeping our patients as healthy as possible, but just

tell me a bit about your background. Absolutely. So we've actually known each other since 2015. We've got introduced by a woman called Gwen Reese. You don't remember. I do remember her. She was great. She was like, Louise's amazing, fantastic doctor. She wants to do more in women's health and set up a clinic. Please get in touch.

That was the email. So we did speak. But no, it's been great following your journey and really seeing where you've got to. And thank you for the invitation. Being here, delighted to be here. You know, it's always great to have this moment to talk with friends but also colleagues. So my background, as you know, GP in the UK trained both here and the US. background in public health, health systems, but increasingly been doing a lot more in preventative

health, proactive health, and thinking about how we flip the model from being essentially a reactive service that we're all used to here in the UK to do a more preventative, proactive service. And in particular, combining that with the role of technology and wearables, as we've seen advancements, as you know, great advancements in diagnostics, therapeutics, but also wearable technology. I mean, I wear aura. I wear a woup. You know, weird, all sorts. But are they 100% accurate? I don't know. Probably not. But at least it gives you enough of data to do something meaningful with it. And I think that's the main thing. So that's really where I'm spending a lot more time now. And you mentioned Dubai. So with my partners, we've just set up a clinic

out in Dubai, which is essentially doing that. So we're creating a new model of primary care, a lot more focused on concierge primary care, but really thinking about prevention. proactive diagnostics, but also how we bring elements of longevity stroke health span into the conversation. And so that personalised approach that I think all of us strive to do, but we find it very hard to do in the NHS. It's really hard, isn't it? Because we've been trained in probably a similar way. We've been trained to diagnose a disease, think about the treatment pathway. But it's almost waiting for the accident to happen, isn't it? And I'm sure you have as well. I've worked in some really busy jobs in really deprived area where you just feel like you're

firefighting the whole time. You're just personally trying to get through that shift, especially working in a hospital. But also for the patient, you're literally just going from one disaster to the other. And if you work in a hospital long enough, you'll see the people coming back and back and back. And it is that cycle of, you know, someone's this, maybe you've got an asthma attack, then they have a chest infection, then they maybe have a clot or then they have osteoporosis. You know, you just see or you see it in families, don't you? And as a general practitioner, I mean, I was at the same practice for 20 years.

So that really gave me a feel for what it's like to get to know the families. But you can see it's generational as well. And, you know, since I left the NHS, things have got even harder. It's so reactive. Whereas we know if we can invest, not money-wise, but invest with education, with the right tools for our patients, it can just transform their future content. 100%. And, you know, my ambition always has been, you know, currently seeing 40 patients a day, but actually really need to see 10, 12, next 14 patients day, but actually really have that

dedicated time with them where we're spending half an hour, 40 minutes with them and their families on educating them, but also coaching them, guiding them on various elements of it. But unfortunately, the system is against us from that process. perspective, but also from the perspective of using the latest biomarkers and diagnostics. When I went into private medicine, I made this unwritten rule to myself and I still do it, that I wouldn't do anything different clinically that I'd done in NHS. But the one thing that I do different is I have time, like you say. And actually, you know, that time is such a luxury. But actually to have that time means that we don't have this cycle of people coming back so much.

So actually, you know, if I spend three or four times the time that I would spend as a 10-minute appointment in general practice, but actually that's probably worth two hours of them coming back and forth, you know, multiple times for those 10 minutes. Yeah, no, 100%. And look, the nation, the NHS, the public are used to go into their GP just to see their doctor. But actually, I believe that the world is changing. You don't always need to see your doctor. And the doctor may not be the right person to see, right? And actually, I think we've seen progress in particular. the NHS where we now have physios, pharmacists, healthcare assistance, you know, social prescribers, health and well-being coaches. And there's a good multidisciplinary team that could initially see a patient before they see you, right? And it shouldn't be that the first

appointment that you see or the first contact you have was a doctor. The doctor potentially could be the last resort for those complex patients or those that need it. So it's a mind shift, I think firstly, cultural shift secondly, but also raising awareness amongst the public. to say, just because you're not seeing a GP, it doesn't mean we're fobbing you off. It's actually because we believe there's others that can help you more. And I think it's a really important model because I feel very strongly as a doctor that I'm the patient's advocate. Yes.

And you're not arrogant at all. Whereas, I don't want to talk out of time, but there are quite a few doctors that are arrogant. And they once been in control of their patients. And, you know, when I was at medical school in the 80s and 90s, it was very unidirectional. Because there was no internet. There was very little information available for patients. So they would be handed their prescription and really ask no questions. I'm the doctor.

I'm in control. And it's been wonderful to see how for many of us, that consultation model has really changed and put the patient in the centre. But the patient now has a unique advantage for having almost as much information available to them that we have. You know, you can go on to PubMed. You can read all the evidence. You can look at the guidelines.

Chat GBT, I mean, everything. Yeah. Whereas years ago, you couldn't have. that. And I think that's the same with wearables as well. As you know, there are quite a few articles often in the medical press saying this is terrible that people are monitoring their pulse or their blood pressure or their stress or their sleep. But I actually think, you know, more data is really important. It's what you do with it and how you interpret it. I love it, actually. A lot of people, like you said, against it. I love it because A, I learn a lot. B, I believe that those people

who have actually made an effort to do that are generally interest in their health. So I know that if we do engage with them in a different way, we learn together, we think about shared decision making, and like you rightly said, you know, continue to remain the advocate for your patient, then the outcomes will genuinely be better, right? And also that is amazing to push this innovation, which has always been the backbone of what I do, is that how do we bring the latest to our patients? And if the system doesn't allow you to do it, get the patients to it. If you can't work the system, get the patients to be their own advocates and we support them through that. Yeah, I think it's really important. And again, it's about ownership and choice.

And I think it's really important because so often we're medicalising people to make us feel better as doctors. And I reflect back to some of the patients that I treated in the past. And I know, I feel bad saying it, but I know that I gave people antidepressants who probably didn't really benefit or need them. I probably gave antibiotics. I gave other things because I just needed to give them something often when they'd come back and back. And I often wasn't thinking so much in the bigger picture. And you probably know what I'm going to say. Obviously didn't think about hormones either.

But for men and for women here. And I feel like we've got to be looking across the board. And also like 20 years ago, if I start to talk to someone about exercise or nutrition, they probably would have thought, well, you're a doctor. Why are you talking to me like this? where's my prescription. So you sort of feel that's almost your job is the prescribing, whereas I've really changed in my practice in that actually 99.9% of what I prescribe is hormones

and I don't see that so much as medicine because it's just a natural replacement of body identical hormones. But the rest of my time is really digging quite deep into nutrition, exercise, lifestyle, supplements if needed, which is quite different to how I was as a quick, fast, fast, Turn around GP. Yeah. I'm right behind you. So a few years behind you, but we're doing exactly that, right?

Which is, you know, look, globally, I think we still have a challenge that there are very many different cultures and prospectors on what it means to go and see a doctor and what you expect, right? I think the vast majority of the world still today expects a pill. They still expect a prescription of some sort. But I believe that is changing and it requires, it will require a lot more for it to change globally where we will see a pivot. But nonetheless, let's take where we are in Dubai at the moment.

You know, it's probably got hundreds of nationalities, lots of different people. With the members that we see today, we have a spectrum of people who are doing that, right? Some of them are coming and say, I know exactly what I want and I want to get it, versus some who are willing to go down the journey or what you're talking. But what we're building at Sky, similar to what you're talking about, is to say, look, fundamentally, it's about holistic assessment for a lot of this stuff, right? Hormones is an absolute key player in that because both men and women, you know, science is getting better, evidence is getting better, awareness is also getting better, right? But it doesn't mean it's for everyone, because, you know, for vast majority of people, yes, but there might be some people that we can optimize their sleep, their nutrition, their strength.

You know, we do VO2 max, metabolic. You know, the list goes on right. But if you do it in that context, undoubtedly, you'll have a better outcome for that individual if you top up with the hormones. And I think that's the important thing is to say hormones, yes, medication yes, but let's put it in the context of And that's really important because I think over the past, lots of people have misunderstood my work thinking all I do is give hormones. And like, yes, I take hormones myself, but actually if I didn't exercise and I didn't eat well, like the hormones are good, right?

But they're not that good. Exactly, yeah. And that sometimes is forgotten because for me it's basic bread and butter. Right. Well, same bread and butter. I don't eat bread, but, you know. But for a lot of people, the basics has gone, but not just patients, I think for doctors as well.

And, you know, your healthy, you look, after yourself, there's lots of our colleagues that don't, or they don't see it's a priority. And even my husband this morning was telling me how many chocolates there are, lots of chocolates on the wards, and he just looks at the back, looks at the labels and said to the nurses, do you really want all of this in your body? And he knows the nurses very well. So it's fine, and they know what he's like. But he said, I could you not, Louise, it's taking me about seven years for them to understand. There are different types of chocolate and there are different types of food. And you know what it's like in the hospital. It's impossible to get really

nutritious food if you're doing long shifts. Yeah, yeah, yeah. But their understanding, because they've had Paul in their ear for ages, but it can take a while. And I do feel we have a duty as healthcare professionals to educate, but give people choice, you know, and I think that's the other thing that's often misinterpreted is choice. You know, I actually, if you were my patients, I actually wouldn't care if you smoked or not. I wouldn't treat you any differently.

I wouldn't judge you any differently. But I do feel my duty would be to tell you. It's not good if you smoke. Yes, of course. Don't get wrong, you don't smoke, but I'm just saying as an example. And it's the same with hormones. You know, I think it's really important that people know that there are health benefits of hormones. But I feel like our education in the past about hormones, especially focusing on menopause, has been very much flushes and sweats.

And you could have HRT, but actually try to avoid it almost. So opening up the conversation and thinking about our hormones, been biologically active, having big anti-inflammatory properties in our bodies, then it's almost symptoms are secondary. It would, you know, often people take them for their future house. But just because we haven't been taught like that, it's quite different to sort of change your mind and perception about hormones, isn't it? 100%.

To be honest with, I can't remember what I got taught in medical school because so much of it is out of date or not irrelevant to our practice today. But actually, even a lot of our training as a GP, family medicine consultant, I don't know. I think there are massive gaps in the education, especially with the things we're talking about, right? So we talk about medicine 3.0, we talk about prevention, we talk about hormones. We hardly spend time on things like sleep, nutrition, exercise, you know, VO2 max, all the things that we're talking about, for example. But it plays such a fundamental role in who we are today. Okay, granted, like I said, evidence hasn't improved considerably over the last five, ten years.

But nonetheless, I think it needs to start becoming a lot more mainstream. And, but going still back to your point earlier, you know, hormones, for me, has become a much lower threshold now, right? And that's partly, no, honestly speaking, that's partly due to raise, you know, awareness, people like you have done. You know, we spent a lot of time together and education through you and your work, I think has been fantastic because often people get very scared when it comes to things like HRT or testosterone because, A, we're not used to it. But I think for me, personally, it's been that kind of gender issue, which is a male thing. which I've had to come over myself, and I'm a lot more confident in that space now, but also that because there's been a lack of training, right? So, and I think people always share these horror stories of you might get cancer

or, you know, you might get X by Z to stay away from it. I mean, I saw a patient from India recently, and India is so far behind, right, because everyone there is saying absolutely no to HRT because it's going to lead to everyone getting breast cancer. And I think these misconceptions, misinformation, I think is Danish. because ultimately a lot of women are missing out on these important hormones. And I think that needs to change very quickly. It needs to be quick because women really are missing out. And I'm sure you know there was the FDA announcement in America.

And to hear Dr. McCarie, the FDA Commissioner for Health, talking about the millions of women, like tens of millions of women that have missed out on hormones. And often I'll talk to healthcare professionals about the risks of not having hormones to their patients. Because like you say, we've always thought about the risks or perceived risk usually because the risks aren't there for the body identical hormones. But the risks, you know, thinking about your patient from India, her cardiometabolic risks, so her risk of heart disease, diabetes, hypertension. Strength, I mean, you know, the risk goes on. Absolutely. It's so important. Whereas if you've not been taught about it and the patients don't understand,

then it's almost like the elephant in the room that no one talks about. If you've ever felt confused, dismissed or just left to figure out your hormone health on your own, that's exactly why I created my free balance app. It's designed to educate women about their hormones at every stage of life. You can track your symptoms and periods, if you have them, read evidence-based articles and connect with a community of women who are asking similar questions that you might be asking. I see every day how powerful knowledge is.

When you understand what's happening in your body, you can make informed choices about your health and your treatment. And you can advocate for yourself when you speak to healthcare professionals. If you want clear, trustworthy information without the noise or the misinformation, then download my balance app today. It's there to educate, support and help you take back control of your hormone health. And it's the same for men. I remember years ago, one of the things that we, had to do was measure testosterone levels in men who had diabetes. But then we found that they

were always low. So then they changed it to say don't measure it. But I remember once there was one of my patients who was a male patient and he had awful night sweats and was really tired. And I was doing all these tests. I couldn't work out what it was going on. And then his wife, I knew really well as coming in and saying they had no sexual relationship either. And he just wasn't himself and his mood was low and I was like what else I mean I'd done everything I didn't know what else to do so in the end I did his testosterone level and it was so low and I remember then saying to my husband oh should I give him testosterone I don't really know and it I probably about how a lot of doctors do now about HRT for women because it's all about having confidence and as a doctor you can have

confidence with knowledge but it's very different when you've got a patient and you're giving that prescription so I wasn't sure what to do so I thought well I know it's going to take him quite a few weeks for the appointment to come through with an endocrinologist. So in the meantime, I can't watch him suffer because its quality of life is so awful. And I'd found a diagnosis, and the guidelines were very clear. It was low enough. So anyway, I gave him some testosterone. And then I got a letter of complaint back from the endocrinologist that went to the senior partner,

and I got haul in front of them and said, how dare you? He's got to risk of stroke because he'd had a mini stroke, a TIA many years before. And I said, well, my understanding is this is natural. testosterone. I gave it as a gel through the skin. It's the same structure as the own testosterone. There's no risk of clot. Very different if I'd given him a synthetic testosterone, of course. And they wouldn't have it. And it was so awful. And I was about to leave that surgery for my clinic. And the last time I saw him and his wife, they said, well, we've still got some left. We're using it. But we've been to the endocrinologist. And they've said, you can have a very low dose. But the problem is

he's so tired he's not able to drive. But they said, well, maybe you could just not drive on a motorway and drive on the A roads. And it was like, it's just like so ridiculous. But I didn't have the confidence to go back to that endocrinologist with the evidence because, you know, male testosterone still isn't my specialty. My gut feeling was that it was absolutely safe. And I was following the British Science of Sexual Medicine guidance. But I didn't have enough clinical experience. I didn't have enough scientific knowledge.

I was only, you know, a GP in a practice where I wasn't getting supported. And the consultant endocrinologist was telling me that I was really wrong. And I remember feeling, gosh, this is really awful. But that must happen a lot for GPs and other clinicians who aren't experienced with women's hormones as well. Yeah, absolutely. And I've probably experienced something similar also for women rather than prescribing testosterone.

But look, I think it's how you approach it, right? And what I've done, and you could probably vouch this, because I've built a network around myself of people who I trust, but also who I know working in the space who I can just pick up the phone soon and say, look, what do you think? And it's amazing to do that. And I think with WhatsApp today, it's so much easier, right, emails, texts. And I think, you know, look, ultimately there'll always be naysails.

There's always be people who are protecting their corner. But frankly, as we said at the start, I'm there to be an advocate for my patients, my members who are part of our clinic, where we wanted the best for them, right? And I will go to Lentz to figure out whether it's, you know, so UK, we've got people in the US, we've got people in the local region. And I think if we come together more together as a network and raise the awareness, raise the voices around it, I think more and more people start listening. And I think actually, as doctors, there are a lot of doctors that put each other down. We know that, but there are a lot that really supports each other. And I'm on this menopausee

group, which is a group of menopause specialists, hormone specialists across the world, a lot in the US and some from other countries, including Australia. And I'm often an observer from it, but I will, you know, join in as well. But often people say, I've seen this patient, what do you think? And no one's judging them at all. And often we'll add in references or papers and give support. And it's, you know, people are so grateful for that. And that's something that we couldn't have done 20 years ago.

And I think, like, it's fine for patients. If you say to them, look, I don't really know, but I'm going to find out for you. Or I haven't had much experience, but I would like to help you. And I'll talk to you. Patients love that. And what I hear a lot from women is that they see their doctor says, no absolute you can't have hormones or you're too old, you're too young, or whatever. And they're giving them inaccurate advice. And it's obviously because they're not educated in that area.

But the patients would like it a lot more if they just said, sorry, I don't know the answer today. And that's fine as a doctor. I mean, we're not robots. No, absolutely. And actually, through my experience, you get more people that trust you on the back of them. Because you've actually gone out and not try to fib your way through or, you know, try and question. You've actually said, look, I don't know, but I'm going to go find out. And I've seen that more and more patients are actually very happy with that kind of approach.

And it builds a much stronger trust, is my view. Yeah, absolutely. We have a clinical team's chat going all the time. And, you know, we've got dozens of doctors and we've just recruited some new ones. And, you know, they feel really well supported. And I think that's really nice for the patients to know. And, you know, I don't know everything. Sometimes I'll be thinking.

And I think I've done what's right. But I'll always maybe say to someone else, look, I've seen this patient. I've done X, Y, Z. What do you think? And it's really nice and validating. And I think to have that professional curiosity is really important as a doctor. Like we've all seen arrogant consultants who don't want to learn from others. And I think we can always learn from others.

Yeah, yeah. Learn from others, but also do it yourself, right? So like I said, I've done CGM, I've done my V-O-2 Max, I've done my Dexer, I've done my sleep, you know, scores, etc. How they're good? Yeah, I mean, look, the VO2 Max can certainly get better. Dexar, body composition is good. I've already dropped four percentage points since the last two months.

I believe I can get down even further. Very good. But the thing is when you walk yourself through that journey, it makes it a more realistic because you've felt the pain or you've gone through the motion of it, then you can talk more confidently, right? I'm not at that stage where I need hormones but when I do, then I will certainly take them. Well, totally, and I think that's probably why I'm even more gobbly

because if I wasn't taking hormones, I wouldn't be working. There's no shadow doubt my brain had just not worked and in fact one of my husband's colleagues just been off for two weeks with flu, like really, you know, bad flu and he's not been ill. He's not had time off at all. And Paul said to me, oh, he's come back and he's just said it's the first day his brains felt clear. And I said, that's just like being men of Paul.

that brain fog is so horrid and it's so hard when you need your brain, you know, it's, and you don't know until it happens, of course. But it's also, you know, again, it's our choice. And that's where I think, you know, a work of empowering our patients and following them on a journey and involving others, you know, who are allied healthcare professionals is crucially important. But also, you know, on that, like again in Dubai, but we also see this in London, but most places now that a lot of women are in many more senior positions in executive roles.

And I think it's good to see more corporates taking this seriously, given the opportunities for women to have the treatment, but also the space they need. But it's incredible because, you know, maybe 10 years ago, as, you know, short as that looking back, this wasn't there, right? So you can imagine all these women who were in high-powered jobs were really struggling to get the attention and the space. and I think people like yourself and the others who have been really pushing for this as I think it made a big difference. But I still think we've got a lot more to do. It's a lot more to go. I mean, I remember about 10 years ago when Dame Sally Davis was the CMO, the chief medical

officer and going to a meeting at the Department of Health and saying then, you know, 40% of NHS employees are men and of pals of women. We know around 10% give up their jobs. We did a survey and found that 37% of women were going to their jobs but not in. enjoying it, they would reduce their hours if they could afford to because of their menoples or symptoms. And we know the main symptoms are that affect people at work, are anxiety, fatigue and memory problems. So, you know, even looking at our NHS that employs so many people, there should be clinics everywhere for people. There should be

easier access to hormones. Yeah. And I think you raise a really important point, right? Because you know, today we've got really well-defined pathways when it comes to frailty care or pediatrics or, you know, diabetes or, you know, the list goes on. But when it comes to menopause, it's terrible. It's fragmented. It's inconsistent. It's often looks at menopause equals hormones. But I think like we've discussed, you know, it's about the holistic approach of how we're thinking about sleep, mood, nutrition, metabolic strength, all of that, right? And I think these clinics will help, but I think there needs to be a much more structured pathway program. Absolutely. And it's multi-organts.

Exactly. You know, hormones get everywhere. So what we're basically saying is we should probably take it off gynaecologists and as GPs we're better suited. Is that a gynaecologist thing? No, it's not. Right? It's more a generalist thing now. If I had type 1 diabetes, which my pancreas is not working well, I wouldn't go and see a pancreatic surgeon. And it's the same if my ovaries weren't working well, why would I go and see a gynaecologist? It doesn't make sense. So our GP, we have a women's health GP now. She's doing women, a menopause clinic, women's health clinic in general practice, general practice setting. And it's amazing, actually. Clinics always fall. And it's that

relationship, right? And obviously, when you need specialist input, we know where to get it. But on day-to-day basis, it doesn't require specialist input unless it's a complex patient. It's got to be routine, far more routine. It's sort of, rather than opting in for hormones, it should be opting out because the majority of women should be considering them for their future health. Where are you seeing the most progress being made in this, like globally? Which country? Yeah, or region or...

Well, lots of people say UK is the best, but I think it's... I mean, it is best in that it's about 14% of menopause or women are prescribed hormones. One four. One four. Is that good or bad? It was still rubbish. Right. But globally, it's only about 5% of menoples or women.

Wow. 5%. Yeah. Whereas before the W.8 Shai study, you know, the terrible study, it was about 30%, in the UK and 40% in the US. Wow, so it's dropped considerably. So it's dropped, too, it went down and it's come up, but it's plateaued the last year at 14%.

Areas of deprivation, it's a lot lower. So, you know, but the guidelines are clear. The majority of women, first-line treatment, is hormones. Majority is not 14%. So this inequality of this poor access to safe, effective medicine, has got to change. I mean, the other thing I think is a lot of people look at it from a lens, of what age are you.

And I think that needs to change because actually much women or men are, you know, everyone's different. Yeah. And also it's not just menopause, obviously with perimenopause, but also PMS and PMDD. So, you know, my 23-year-old has PMDD. She uses natural hormones. And they've transformed her life. And I see a lot of younger people in their, in their 20s who maybe just have hormones

for a few days when they're, you know, their progesterins dropping before their periods. And it's transforming them. Amazing. So I think the biggest difference is women are empowered with knowledge and then they can choose. I think that's, you know, when women get together, like, some quite powerful things happen, as I'm sure you realize. Exactly. So it's great. So it's, there's lots to do.

And I know we're going to do a lot more with education, a lot more global work. Absolutely. We're going to just join forces and just do a lot more. So it's exciting. There is exciting stuff happening, I'm sure. So what three things do you think we can do, like at speed that's going to make the biggest. difference to health generally? So look, I think firstly, we need to grapple the whole concept of personalisation and the use

of wearable tech, but also understanding the individual in front of you, right? Guidelines are guidelines, but you need to understand the individual and provide that holistic assessment. So I would like to see more people focusing on that and thinking about that in a different way. I think secondly, the space we've just talked about hormones, I think need to start becoming more mainstream. I'm shocked to hear such low numbers of people around the world. women so around the world who are prescribed hormones.

And I think we all have a duty to raise the awareness and do more. And I'd like to see that number go from 5 to 25%. And I think that will be amazing. Again, not just purely hormones, but how we bring that holistic approach to the individual and do to do all the other things. And I think the third thing is that we all need to educate ourselves and educate the public. Because again, cultural shifts, shifts in thinking amongst professional around the world will only change when we bring use cases.

use cases, case studies, we educate one another, but also bring the latest science. I think we can actually move quite quickly on that because there is already tons of stuff out there that we can leverage on. But it's about taking that advocacy approach to the individuals, which I think we can do more of everyone. So those are my two or three things, if that's helpful. That is pretty good, yeah. So let's see what the next few months and years bring.

I think it's an exciting time because, you know, partnering with each other, partnering with our patients, with communities, we've just got to have a group effect to really work at speed, to improve future health, which is what we want really. And I think globally, there's multiple cultures and we need to shift those cultures. In particular, like I said, Middle East, India, Asia generally, I think they're a lot more risk-averse to this and I think that could change considerably if we put forces together. Excellent. Thank you so much for coming. Thank you so much for having me here.

Thank you. Thank you. Thanks so much for listening. It would be amazing if you could follow me or subscribe because it will really make a difference to grow numbers enable this to reach even more people. Thanks so much.