The Livy Method Podcast - "Just Lose Weight and You'll Get Pregnant" Was Never True

Episode Date: August 26, 2026

From your first period to well past menopause, it's the same set of ovaries calling the shots, and almost no one ever explained what they're actually doing.Gina sits down with Dr. Sony Sierra, one of Canada's leading fertility specialists, for the conversation you can't get in a ten-minute appointment. Why "just lose weight" was never the real answer. What twenty years of losing and regaining does to your hormones. Why the way you lose weight matters more than the number. And why the hardest part of menopause is that nobody warned you. They also talk the PCOS name change, GLP-1s and fertility, and what the research says about plastics.Where To Find Dr. Sony:Websites:EVOLVE Egg Freezing Clinic: https://evolveeggfreeze.com/TRIO Fertility: https://triofertility.com/Instagram: https://www.instagram.com/drsonysierraThis podcast aligns with Aug 26th of our Summer Club, members can find video in our Livy Method app or Summer Club Community Group: https://www.facebook.com/groups/livymethodspring2026 Hosted on Acast. See acast.com/privacy for more information.

I'm going to be honest with you, this podcast is unapologetically a hot mess because that is what midlife feels like sometimes. Why, though? And how do we make it better? Do we all just need facelifts and JLP ones? I mean, let's talk about it. No bullshit, no wellness wangery here because we're trying to make real change and change is hard. But we're in this together. Welcome to the Living Method podcast.

Before we get into our conversation today and no doubt it's going to be great, I want to remind you that we have the most amazing weight loss program and maintenance program on the market. And our next live session for the fall is on sale right now. But if you don't want to wait until the fall, you can sign up today by joining our membership. For more information, go to libymethad.com. What an incredible opportunity to chat with my guest today, Dr. Soni Sierra. She's one of Canada's leading reproductive endocrinologist and infertility specialist. She spent 20 years working in women's reproductive health and has been involved in helping shape the medical guidelines that even physicians use. Hi, welcome. Hi, Gina. Thank you. Thanks for having me. I was just sharing with Sony,

one of the great things about our program is the opportunity to actually sit down with incredible guest experts that people really don't have an opportunity to spend time with. I want to start with a fertility conversation because we've had so many women over the years join us. They were told lose weight, get healthier. Maybe they were dealing with PCOS, which I know has been newly renamed, and we'll get into that more second. But how is it more than just weight loss and how does weight loss fit into that conversation? So it's just to go lose way, get healthier, and that's going to help you. How is the conversation evolved over the years? So I think it's still part of the conversation. I think it's part of the general health and well-being that patients come to us with. And it definitely has an impact

on fertility. It's however, it doesn't override the basic biology of how we can reproduce and when we can reproduce. Age and egg quality trump any other sort of health factor, but along the way, weight can also impact egg quality and your ability to conceive. So I think it's a very important conversation to have when we first meet people who want to start a family or are in the process of starting a family and not having success if they are at extremes of body weight. But far more important than that is where you are

in terms of your reproductive biology. It's never as easy as go lose weight and you're going to get pregnant. It's much more complex, a lot more factors, but it is still important in terms of your general health and well-being for sure. Well, it seems like, you know, just when we're starting to get to know and understand our bodies, our bodies are changing. Is there a common theme between women who are, you know, maybe in their early 30s or 40s, they're trying to get pregnant? And then women who are older in their 50s or 60s when it comes to hormones. Is there any common theme there? There is. I think it's all dictated by sort of your ovaries. Your obaries are the masters of hormone in production, they're the organs that are going to control your, going to control your ability

to conceive, have a normal reproductive lifespan in terms of when you're going to have menopausal changes, and then the rate of ovarian decline when that hits will determine your symptoms of menopause and how long they last and how severe they are. So it's all up to those little ovaries that that you're born with and that are sitting there full of follicles from when you were actually in utero in your mother's stomach. It's all predetermined. What do you think the conversation is out there that we're not having about fertility issues? Could you go back 20 years? No one was really talking about this. Now that we have social media, you know, women are out there. They're sharing those experiences. They're getting little bits and bites and sound clips and sharing a bunch of

misinformation. I know you're big on on helping women understand how to find that real information that they need. But what are your thoughts on that? So I think before it was just something that people took for granted, right? You're young, you're women, you're going to get married, you're going to have children. And that's just how it's going to happen. And over the past several decades, well, we're completely different from the generation before. I think people aren't even thinking about having children for the most part until past 30, if not even late 30s. And that's changed the entire landscape of fertility. It's changed the fertility rate globally, for sure. And it changes the conversation because prior to this sort of empowerment or the ability to delay your fertility

and work on other things, people didn't talk about what ovaries are, what ovarian function are, what hormones do or don't do, how your general health and well-being, how your weight can impact hormones. But now that we're sort of taking it more into our control in terms of deciding when to have children, all of those things are also important. Well, yeah, because this menopause conversation has really exploded over the last couple years. And it's also provided it's an opportunity to talk about hormones. Like in my program, we are specifically focused on trying lose weight in a healthy way that you're going to be able to maintain and sustain. And hormones year over year become a bigger part of that conversation.

So with this conversation on menopause, it's really highlighting how much we didn't know about our bodies early on. And you didn't understand that a lot of weight, like a lot of the weight fluctuations, weight issues, especially in some people like PMLS, it plays a huge impact on your reproductive health. You know, extremes of body weight, you might not even get your regular cycles. Extremes of weight are an independent risk factor for pregnancy loss. There's some really interesting basic science data that shows people who are overweight, they actually impact the health of their child if they're overweight before they conceive because of the quality of the

egg and potentially fat deposits within the egg. So there's a a lot of impact that weight has that we're having conversations now, whereas before it wasn't really talked about. What about the fluctuation in weight? If, you know, you take the average woman who's spent 20 years trying to lose weight, she's lost weight, she's gained weight, she's gained weight. What is that, does that have an impact on our hormone? Does that have a deeper impact than what we actually know, especially when it comes to our hormones? It could do. If those major fluctuations are affecting your cycles, it can have a major impact on your fertility and your ability to conceive. When we get into the lower ranges of weight, it can have a profound,

long-lasting impact on your ability to cycle in addition to other long-term health effects. Same with extremes of high weight, right? In irregular cycles, unhealthy endometrial linings, it could cause problems down the line with endometrial cancer and your general health and well-being. So it's probably better to learn earlier in your reproductive lifespan how to learn to keep your weight in a healthy range so that we don't have these fluctuations. And it makes fertility so much more easier and menopause, dealing with menopause as well. Interesting. What would you want a woman, like if you could talk to a woman in her 20s, what would you want her to know about her body?

So I think it's important to know how your fertility works, what your cycles mean, how your general health plays into your cycles. I'm always going to say it's so important to know about the limitations of your fertility. Yeah. So we're not in control of that. We say that we have a 90% chance of having the family of your dreams. you start and complete your family by age 35, but, you know, life is in charge of that, not necessarily under your control. And also family history plays into that. But things within

your control that will facilitate a healthy, reproductive lifespan are lifestyle habits, you know, avoiding obvious toxins and keeping a healthy weight, healthy lifestyle from a young age so that it doesn't become an issue when the time comes to conceive or have children. Well, one of our members actually asked about toxins because I just watched, you probably heard of it, that Netflix special that talks about plastics and then the men actually were testing low in sperm quality because of plastics. They got off plastics. And then next thing you know, everyone was able to conceive. So what are your thoughts? What are your thoughts on that? Is there anything like is there anything you avoid like do you do you use plastics or is there anything like as

you know a doctor in your in your um feel that you would just not do not touch not drink not eat not take i'm more of like everything in moderation okay but there are real toxins that we have to be aware of um and we got we became aware of them about 10 15 years ago things like bpa so the coating inside of the tins, in the receipts, they're extremely toxic to both egg and sperm health, but I feel like we're moving away from those now. Hycroplastics is a big issue now. It definitely impacts sperm, definitely. And then the other thing that we should pay attention to is phallates, things that we

don't think about that are in lotions and hair conditioners and shampoos and certain liquid soaps, Like things like that, just try to say healthy and organic and be aware to avoid when possible. But I think, you know, FDA in the U.S. and our government has reduced the availability of BPAs in certain plastics and tins and things like that. So we've made those changes as a population, but it's still important to be aware. And then obvious toxins like cigarette smoke is extremely harmful to egg quality. it sort of acts as a double whammy. So the damage that happens to eggs or the changes that happen to eggs with advanced age, cigarettes, so smoke definitely accelerates that and causes oxidative stress

and potentially early menopause in some people. If these have an effect on us, well, you mentioned early menopause, if these have an effect on us when it comes to fertility issues, what's the effect on us when we're going through menopause? I mean, it could potentially be similar. It could bring on like an earlier menopause. Right. That's where I would see it making the most profound impact. But beyond that, there are neuroendocrine modulators, some of these things, some of these toxins, that are in lotions and plastics and things like that. And by that token, they could potentially interfere

with your hormone action and regulation. So they could even have an impact beyond menopause. What do you think has changed the most in the last 10 years in terms of women's hormonal health? Well, I think good things. I think people have become more aware and taking charge of their hormonal health in terms of focusing on their wellness. You know, education that's available, such as your podcast, really emphasis. things that are actually in your control because in generations before, women would just accept

hormonal changes, whether it comes with infertility or difficult menopause, that's just something that they have to deal with. And ultimately, we aren't in charge of our ovaries. We're not in charge of that biologic programming, but you are in charge of every aspect of your health and well-being outside of that. And those are modifiable factors, things like, you know, lifestyle, diet, sleep, exercise, things like that that could regulate hormones and enable you to have better experience. Amazing. Yeah.

Can we just talk for a second about all the, I know you have your own Instagram account. Drew, if you want to pull that up, you can follow Dr. Soni on there and you go on and you have these conversations. what do you think about the accessibility of all this information? Do you think it's a good thing? Do you think it's not a good thing? What are your thoughts on it? We're living in an age where you can get information so quickly on anything, not just Instagram, like these cloud and chat.

I think we have to be careful because we have to personalize the information you're getting. So it's never one-size-fits-all. I'm sure in sort of your area of expertise, when it comes to weight and wellness and hormones and menopause, there's not a one-size-fits-all. The same thing with fertility. It's very easy to see something online and say, ah, that's the answer and that's 100% what I need. But it's really important to reveal it with someone who has expertise in that area, understands your specific health, understands what you've gone through and able to apply it in a meaningful way.

It's never a one-size-fits-all when it comes to. to medicine, especially fertility medicine. There's a lot that's involved. There's not just the biology of your ovaries. There's sort of your well-being, your metabolism, there's what you're going through emotionally, there's your life, there's a lot of moving pieces. So it's really hard to find one solution to fit everyone. And I think a lot of the information online is misleading in that way.

However, on the flip side, I think it is enabling things that aren't typically discussed to be discussed on a wide scale. So most recently, AOC, I can't remember if she's a senator. She's in the U.S. AOC. She did a series, a 15 series, live Instagram feed on her egg freezing journey. And she has millions of followers. and it was very real and very raw. And I think she helped, you know, so many people being so public about, number one, why she's doing egg freezing, being single, being a career woman.

And then what it involved, like the blood tests, the hormones, how she felt on the hormones, how the procedure was, and then afterwards how she felt coming off the hormones, and just, you know, being very real and putting it out there, that's useful information that people can learn from. So there's a wide variety. It just depends what you're looking, looking at, and how you're going to use that information. Do you have any great resources for women?

Yeah, there's a lot of Instagram influencers that are very, you know, evidence-based and real out there. So there's a doctor in the U.S. There's Lucky C-Can, there's Laura Sheehan. There's a few Instagram influencers. I often tag or repost on my Instagram. And then there's, you know, our clinics put out a lot of information on our Instagrams that are relevant to our Canadian environment.

So trio fertility are evolved. And then we have the Canadian fertility society that also CFAS, Canadian fertility and Andrology society that puts out information as well on their websites and Instagram and links that are useful and legitimate for patients with people. Great. People are asking to repeat some of those. But what we're going to do is after this segment, we'll go into Sony's account. We'll grab those names and those tags and add them above for you.

We have a member asking about food. Is there any research about the effect of highly processed foods on our health, on our hormones, regardless of whether you are dealing with fertility issues or your. going through menopause or whatever stage you are in life. Is there any research or evidence on that? There is. You know, I talked about those neuroendocrine modulators. A lot of processed food that have chemicals or sort of valets or plastic packaging. They might be harmful. They might create some oxidative stress, not just in terms of ovarian health, but your general health. So they're to be avoided. a few years ago, they looked at what diets are best, what way of eating is best for your fertility,

your hormones, looking at, you know, trendy things like keto versus Mediterranean versus the Canada Food Guide versus calorie restriction, high protein. And actually, when they looked at all of those things, the Candace Food Guide is actually the best way to eat for your hormones. you don't want to be restrictive when you're trying to conceive. You don't want to take away an entire food group. You just want to learn how to eat healthfully within each food group, right? So a keto diet has been shown not to be the best diet when you're trying to conceive.

It puts your body under a lot of stress. But again, it's not that you should then fluctuate and go to the other extreme. and you need to learn how to eat properly within a healthy diet within all four food groups. I think that is so, I think that is so huge because what is good for your hormones is good for your body, which is good for your weight, which is good for being able to maintain and sustain your weight. If you can follow a diet that works with your body rather than fighting your body, we actually have Dr. Sean Wharton who comes on and has some conversations. and I know he had a bit of a hand in developing that Canada's food guide as well.

So that's really interesting. Yeah. Really. And so the way you go about weight loss is important. Definitely. And, you know, the other thing that we have seen in the fertility world is that, you know, when people were going, when keto diets were really popular and people were going on these massive keto diets and dropping 30 pounds in like three months and then trying to conceive,

they actually did worse in terms of fertility outcomes or IVF. cycles. So it's not the best way to do. Like those drastic weight loss losses that happen just before you can see is not particularly healthy for your eggs and sperm. Better to adapt a lifestyle where it just becomes a natural gradual loss or a maintenance before you try to conceive. Any research, I have some members asking about geography in terms of where women and live. Any research in our fertility issues compared to other places in the world? Like, what are we getting wrong here versus somewhere else? Or what are we getting right here versus somewhere else? Yeah. I'm not fully aware of all of the studies, but there are lots. The one that

comes to mind is a recent student did a paper a few years ago where they looked at ovarian function levels in different geographical areas in our city. And they did find that people who lived near the highways where there was a lot of exhaust had lower ovarian function. So it definitely makes an impact over time. So I feel like big city centers where there are pollutants where, you know, you could potentially be exposed to environmental toxins on a regular basis without even being aware of it potentially could do change to your body over time with respect to egg and sperm health. Well, again, if it's affecting your egg and sperm health, it's probably affecting your overall health. Correct.

Okay. Oh, my goodness. I want to get back. Anything else that we're doing that people do every day that's part of their lives that they really, like, you're like, oh, I wish people knew this about their hormone health. I think sleep is really important. Yeah. So important. Like sleep and shift work, we know that that wreaks havoc on our hormones. And so it's very important.

Like everybody's different. We used to say eight hours. I've changed that now realistically. I think six to seven hours is a really good goal for sleep. And you'll know, like a lot of people come and they'll ask about stress. you know, how much is stress impacting my fertility? And I think I'm not conceiving because I'm very stressed. And I'll ask the questions, you know, are you exercising, are you eating well, are you sleeping?

And if the answer is no and because of stress, that's where we have to take a break and address what's going on. But everyone's going to be stressed out when you want something so badly and it takes a while to get it, that's a different level of stress. but if you're not sleeping, not taking care of yourself, then we definitely need to address it. I know it's very complex, but I'm wondering if fertility issues come down to hormonal issues. If you are someone struggling with fertility issues when you are younger, are they also going to struggle when they go through menopause? More than the average woman, for example.

It depends. It depends what the issues were. So the most common reason we see people in our clinic is just advanced age, right? Like they get to be in their later 30s and they need some help conceiving. But the other ones who have true endocrine issues like something we call hypothalamic amenorrhea, so they're extreme low body weight, don't get their cycles or extremely stressed and don't get their cycles. They may have a harder time in menopause because they've lacked estrogen. much longer than other people. So they might have secondary impacts on menopause, like bone health, et cetera.

And then there's the PMOS or polyendocrine metabolic ovarian syndrome where their hormone issues can lead to problems in menopause, not just in terms of the symptoms that they're going to have, but also in terms of their metabolic health, cardiovascular well-being, et cetera. Well, that was on my list of things to ask you because I recently changed the name from PCOS to PMOS. Thoughts about that? Was it time? What do people need to know about that? Definitely.

It was time. Definitely, definitely. So PCOS is an incredible misnomer, right? So it said polycystic ovarian syndrome. Yeah. Number one, it was never about cis. So the day that you're born, you have all of your eggs sitting in these tiny microscopic pools of fluid called follicles. And when you start having your cycles at Menarche, those follicles start to be responsive,

and every month a handful of them will start to grow, of which one will release an egg. In people who have polycystic ovaries, or what we used to call polycystic ovaries, their ovaries were enlarged, and they had far more of these follicles sitting there tightly packed. So it changed the structure of the ovaries, and it changed the function of the ovary. But it wasn't, sys that weren't supposed to be there. It was just a different structure of the follicles that are meant to be there. And the impact of PCOS isn't, again, about the cysts because people would present and they'd say, I have pelvic pain. I think it's my PCOS. But it's not the PCOS because it's not cis. It doesn't cause pain. Where PCOS made an impact was exactly in that polyendocrine metabolic way.

So people who have ovaries like that, the cells and the ovaries function differently. They react differently. There's a certain degree of insulin resistance. There's an uptake in the production of androgens. And that causes a lot of other symptoms, like a lot of different symptoms. So they have anything from dermatologic issues, acne, hair loss, oily skin, hair in places. they don't want it to be. They have issues with insulin resistance and eventual high risk of diabetes.

They have extreme difficulties with weight. They have tendency to put on a lot of weight and it's stubborn weight and it's hard to take off. And then they have irregular cycles. So it's multiple factors and that's why this PMS is an important name. And the other reason it's important is that it lets people understand, that it is a metabolic issue. So it doesn't just go away after you stop having your cycles or it doesn't just go away after you stop having your children.

It's a metabolic issue that puts you at higher risk for diabetes, heart disease, hypertension, all of those bad things we don't want after menopause. What's the conversation? So we're just starting to have these conversations now, which I think is so great. but what do you think the conversation is going to be in 20 years for women experiencing fertility issues and then women who are past that and then there are 50, 60, 70s, what do you, what do you think

is going to be the conversation 20 years from now? People are still going to want to have babies. So we're going to have a lot of the same conversations. But I think our science is going to get much better at predicting who needs what, right? And how to fix and how to counsel. The other thing that's going to be different, and I'm expecting it. to be different in the next five or ten years is that when I started my practice 20 years ago, egg freezing was experimental, and then it slowly became available, and people were dabbling in it.

But in the last five years, there's a huge uptake, huge uptake. A lot of big companies, a lot of big pharma, big investment, financial companies are actually offering egg freezing as part of their benefit package. So a lot more women are freezing their eggs, and it's going to be interesting how it plays out because now they're in control of when they want to have their children, and we might be seeing people having children much later in life, and there might be an overlap between bringing up children, all of the things involved with that, and dealing with perimenopause and menopause. So that's going to be a very interesting. place and people are going to have different supports needed, different issues, and it'll be

interesting conversation. Now, I think people will still most likely use their eggs in their early 40s, probably at the latest, but I'm sure we see it now. There are still people coming for fertility treatment later in their 40s, and that's going to be a double whammy in terms of dealing with babies and menopause. It's so interesting because we're living older and older and older. Sure. And we know that trend is going to continue. And so with women freezing their eggs, you're saying like there's, I mean, not that there aren't new moms now that are also going through menopause, but we're going to see more.

That's really interesting. Yeah. That's be interesting. The conversations will be different. Yeah. I love that. Well, we'll have to revisit. You'll have to come back.

You'll have to come back in five to 10 years. Let us know how that's going and have that conversation. A couple more questions before we go. What do you think is like the most important thing a woman can do to be as healthy as possible in her like 20s 30s and then again, you know, past 50? What do you think of them? Are they the same? Are they different? I think they're the same. I think one of the things it's really important to do is know your biology, understand your biology, understand what your oafries are. doing and the hormones involved and how they will make you feel. I think it's important to get that information when you're younger, be aware of any cycle

irregularities or any of these hormonal symptoms that people have and get the information that you need so that you're well equipped if and when you want to have children, how it would affect. And by the same token, as we get older, be aware of what your body is doing, how your ovaries are working or not working, be aware of when your cycles are changing, keeping track of how you're feeling, and also be aware that nobody needs to suffer, right? There are definitely ways to help. There was, when I was training before I was a fertility doctor, we did obstetrics and gynecology training, and just at the very end of that, everybody was on Perman. Every single woman in their

menopausal year was on hormone replacement therapy. Yes. And then there was this big study that came out that showed it was harmful. It's a completely biased and not well-designed study, but it showed it was harmful and it was on a large scale. So everybody pulled back in terms of hormones and using them. And so there was a lot of women suffering for a very long time. Yes.

People were just not even addressing that issue because they didn't know how to help. If we couldn't just give someone hormones, didn't know how to help. but that's the nice thing about the last, I don't know, five years. It's now become, you know, very much a hot topic. There's a lot of options. There's a lot of information. So it's a good thing. But that was a big change that I've seen over the last 20 years.

Yeah. Well, in talking about menopausal women, especially since we're going to be having menopausal women having babies in that space, what can menopausal women do to be as healthy as possible and advocate this conversation. It's just, it's a lot and it's adding a layer of stress and it's affecting our sleep physically. Are you big into supplements? Are you like? It's not my, it's not my area of expertise, I will admit.

But I, and even with patients when they ask about supplements, I think supplements and lifestyle factors that are modifiable that increase your well-being are of benefit. You know, I'm curious myself about this whole peptide trend. It's something that I think we need a lot more data on. But there are, you know, a lot of them are based on antioxidant properties like NAD, et cetera. Those things, again, when research comes out, I think there may be something there that will help people with respect to their well-being. But outside of supplements, I think it's really important to get habits early, better lifestyle habits.

And it's something that, you know, we are living longer and we are living longer because of health-related changes, but we don't want to live longer and feel terrible. Yeah. And you want to get those habits in terms of being active, having healthy balanced diet so that you're never constantly living under a restrictive, you know, like, I can't eat this, I can't eat that. You want to be able to enjoy your life, but learn how to be healthy for yourself. And it's the same thing with fertility patients, you know, they'll come and they'll be like,

well, I stopped eating gluten and I no longer drink coffee and I'm not touching alcohol. And I've been doing this for two years and I'm still not getting pregnant. just like you don't need to be so restrictive unless of course there's a diagnosis. You just need to learn how to be healthy and live in moderation and have a full life outside of the clinic. Well, I mean, that's what that's what, you know, our members are doing here. It's not just what you eat and when it's managing stress and trying to get better sleep and, you know, working through your issues and associations tied in the food, your relationship with food, with yourself, with people in your life.

Before we go today, you know, as you probably are having this menopause conversation more and more, is there anything upcoming or exciting in the menopause space that you're like, oh, this is cool or this is interesting? Just I'm curious about the peptides. Yeah, yeah, I'm very curious. I mean, they have biologic plausibility, but I think we don't know enough of them in terms of scientific design and trials to say how they're going to work and when they're going to work.

Yeah. So that's exciting. The other thing that's, you know, up and coming, it's already happened, actually. It's just the availability of information and access for women to get what they need, what sits right with them, because not everybody's going to go on HRT. Some people are going to explore supplement. Some people are going to just go with lifestyle and things like the living method. And I think the availability of options is excellent. It's new and it's amazing to see that we have all these options, whereas 10 years we didn't.

Nor do we have the conversations. Well, speaking of GLP ones in terms of peptides, is there any information or our research done on taking a GLP1 to lose weight while you are also dealing with fertility issues and trying to conceive? Yeah, there's some research being done. So we don't know what the impact is on pregnancy. So we advise people to stop before they actually get pregnant. Interesting. But, you know, when we have people who have high body mass index and they're trying to conceive and their cycles are irregular and they have PMOS, it can be an option for weight loss prior to conception. And you know it's working if cycles are regulated.

And then we know it's a benefit. There's a lot of people out there saying, you know, Osebic and Mongera are great fertility drugs because they go on them and then they get pregnant. Right. They go on them, they lose weight, they get regular cycles and then they can get pregnant. So it's not that the peptide is a fertility drug. It's just that the peptide in certain people alters the metabolism in a way that allows your hormones to do what they need to do and help you can see.

It's nuanced. The whole conversation is nuanced. It's amazing how many people are on them in all age groups. Yeah. And it's amazing, you know, some of the other benefits that are coming out of the GLP ones, not just the weight loss. So I think we all just need to stay tuned and see what the science tells us. But like I said, there's some interesting biologic.

possibility to it all and I'm curious. Yeah, and they continue to focus on the basics, right? Like eating healthy and moving your body and, you know, getting out, being social, great relationships. What kind of impact? I know I'm keep adding questions, but that's okay. What kind of impact does our social life have on our, does it have any impact on our reproductive or hormonal health at any age?

I think it has a huge impact. I think it really does. I think it's all part of, you know, being healthy. and happy. Like fertility medicine, even menopause medicine, in some ways, it's not prescriptive. It's not like you feel badly, you feel a certain way I'm going to give you this prescription and you're going to get this outcome. It is, as you said, more nuanced. And part of feeling healthy and well balanced is having those meaningful, engaging social relationships, having that meaningful engaging lifestyle. Or you're not just sitting, focusing on how you're, you're

you're feeling. But no, I think it is very, very important. I'm glad I asked that question, because, I mean, this is part of what we're doing. We have an incredible community and we're going to start getting out there and connecting our community, but also this is part of expanding the conversation, right? When we're trying to make change, it's so much more than eating less and exercising more. In fact, it's not that at all. So I just want to say thank you so much for your time. It is much appreciated for you to share your extensive expertise with us. I know there are women who are benefiting from this conversation in all stages of life. So thank you for joining me.

If you want to follow Dr. Soni-Sierra, you can follow her on Instagram at Dr. Soni-S-E-R-A. We'll add our contact information in the group on the post and also on our podcast if you are listening. Thank you to everyone joining us live and all your questions and your comments. And thank you, Dr. Sonia. I appreciate you joining us today.

Thank you, Gina. Go see. Thanks, everyone. Thank you.