Transcript of Leanne Morgan on Menopause, Success at 60, and Why She's Just Getting Started

Do you worry at all about being pigeonholed as the menopause comedian?

No. I feel like a queen. I feel like that made me stand out above... Nobody was talking about menopause on Netflix. I didn't know it. I just tell what's going on in my life. And I was talking about perimenopause, and I've had more people come up to me and go, Oh, my husband finally gets it when you said that. When men have said that to me, I feel very good about The views and opinions expressed on Unpaused are those of the talent and the guests alone and are provided for informational and entertainment purposes only.

No part of this podcast or any related materials are intended to be a substitute for professional medical advice, diagnosis, or treatment. Today on Unpaused, I have the absolute joy of welcoming my dear friend, the one and only Leanne Morgan. Many of you know her as a brilliant comedian whose career is exploding in her 50s. But to me, she's also an idol, a late-night texter, and one of the funiest, most genuine women I've ever known. Leanne and I first met last year in Las Vegas, where we were both honored by QVC as two of the most 50 influential women over 50. I had already been sharing her hilarious videos about menopause on my social media, but spending time with her in Vegas was when we bonded. And yes, she sure is funny, but the heart on this woman is huge. Our paths crossed again at a gathering of some of the most influential women in the world, where we ended up as housemates for the weekend. I'll never forget sitting there with Leanne laughing and looking at each other with this, How did we get here? Moment. It was humbling and surreal, and it reminds me of that even in rooms full of power and influence, what matters most is the connection and joy you share with another woman.

Since then, we've cheered each other on, even sharing the spotlight on Oprah's Menopause Revolution TV special. I've watched with joy as her success just keeps growing. With a hit Netflix special, I'm Every Woman, and another one on the way, a sitcom that just got picked up for a second season, and a hilarious book, What in the World, that captures all of her wit and wisdom. What can't this wife, mother, and grandmother do? To me, Leanne embodies the very best of this part of our lives, proof that your '50s and '60s and beyond can be a time when dreams take flight, careers blossom, and laughter keeps us going. I'm thrilled to welcome her to Unpaused today. I'm Dr. Mary Claire Haver, a board-certified obstetrician and gynecologist and menopause practitioner. I'm also an adjunct professor of obstetrics and gynecology at the University of Texas Medical Branch. Welcome to Unpaused, the podcast where we cut through the silence and talk about what it really takes for women to thrive in the second half of life. Hi, Leanne.

Hey, you little smart thing. Lord, you could not have sat by me in school because I would have not let you study.

I think in high school, we would have had fun.

We would have had too much fun, honey.

I was not focused on academics. I did okay, but I was more focused on cheerleading my little acting classes and boys.

Boys, honey. I've loved them since kindergarten. I did the same thing. I played ball, though, but yeah, I didn't pay attention in school. I'm so glad you did.

I had a big turnaround when I was in college, my mom and dad's business, which I'd always taken for granted. I had everything I wanted. All the bills were paid. We weren't struggling for anything. They owned a restaurant. There was a huge economic downturn in our hometown. It was a big oil and gas town in Louisiana, and the oil business went belly up. People going out on expense accounts stopped, and my mom and dad basically went bankrupt. All of a sudden, I had this wake-up call of, Well, what else are you going to do? I was enrolled in school, and I said, Let me just really apply myself and just focus and see what happens. And now I'm a doctor.

Oh, my darling. Well, I'm glad you did.

Well, I have a confession to make. I was in an MLM, too.

You were a what?

I was in an MLM, a multi-level marketing company. I'll set it up for you. Okay. So it was not jewelry. It was skincare and makeup. And it wasn't Avon. It was a different company. But I was working as an OB/GYN in. I had two little girls. My husband was traveling overseas all the time. I was working 100 plus hour weeks. I was out of my bed three nights a week on call, delivering babies, just busy, busy, busy. I was struggling to pay off my student loans and make ends meet. I thought, these hours are killing me. Is there a way I can go part-time? In roles, my friend, Tish, our kids met at the swimming pool, and I said, Oh, is that your little girl? Yes. Nice Nice to meet you. We just moved here. What do you do? What do you do? I'm a doctor. Okay. She says, I sell jewelry. I said, Oh, nice. We've become friendly. I ended up hosting a jewelry party for her. But what I realized about her was she set her schedule around her kids' lives. She never missed a birthday party. She never missed a school function.

She slept in her own bed every night. No one was calling her in the middle of the night. Some of those things I signed up for, but I thought, Wow, I don't want to sell jewelry, but this is a really nice way to life and make decent money. I was intrigued by her lifestyle and by this whole MLM concept, building teams and how she got her family. She said, The company is going to open a new skincare line. Do you want to try it? I thought, I'll go get the discount. I'll sign up on the ground floor and get a discount. I ended up becoming their number one salesperson within a year of starting.

While you were delivering people's babies.

Yes. Well, what I did was I leveraged social media, so no regrets. Would I do it again today? No. But I did love the product. I still use some of the products. They're concealer is my favorite. I learned how to build teams. I learned how to manage people. I learned a lot about social media. So I would just basically built my business on social media. So I wasn't having to drag the suitcase around. I mean, I had it and do all these parties. But when I read in your book, and I've heard you on other interviews talking about getting your start in stand-up, with these jewelry parties, I'm like, I actually understand why you did that. That makes sense to me. How you did it. The lessons I learned from that experience have gotten me helped to where I am today.

Oh, my darling, what is that consumer? Yeah, that's how I got started in comedy. I look back on it and I think I was in the foothills of the Appalachian Mountains, and I knew from the time I was little, I was going to be in show business, which is crazy. My parents wanted me to go to college, and I wanted to go, too, but I didn't know what. I thought, I don't know what I'm even doing here. I'm going to be a movie star. My high school boyfriend went to the University of Tennessee, and I followed him and nagged him to death until he broke up with me. But all the while, I kept thinking, I'm going to be in show business. Marry Chuck Morgan, get pregnant with my first baby Charlie. I want to stay home and nurse him. I had a degree in crisis intervention counseling. I I wanted to be a child family therapist if I didn't make it in Hollywood. My friend, Leanne Allison said, I'm selling this jewelry and you could meet people because I was alone and isolated up there. She said, You can have fun. You can make a few hundred dollars a night.

Chuck can take care of the baby at night. It worked perfect for me. I didn't even care about jewelry. We all look like Mr. T because they would say, wear as many chains as you can, wear it to the grocery store so somebody will see and ask you about it. They I went out of business during COVID, but it was a really sweet company. But I started having these jewelry parties every night, and I was supposed to be talking about jewelry, and I talked about breastfeeding and hemeroids and things that I love to talk about with little babies. I love being pregnant. I love all that. And women thought I was funny. And I started booking about a year in advance. And the company noticed and started getting me to speak at their big things. But I look back now that I work clubs and theaters and everything I've done. And I had my own little comedy club with my demographic in those living rooms, and I developed some of the first material I ever used in clubs. And it was God's plan because I was in the middle of nowhere. There were no comedy clubs.

There might have been one in Knoxville, which was about an hour away from me, but with little babies. Then I had Maggie. I kept doing it while I had Maggie. By the time I had Tia's, that third one, I was like, I can't schlep this jewelry around anymore. By then, Chuck had really gotten established, and I didn't have to have the money. I mean, it would have been nice, but I didn't have to have it. And by then, I was really calling myself a comedian and doing gags around Morristown, Tennessee. Then we moved. He sold his business and went to work for a big company. He still with. And we moved to San Antonio, and that's the first time I had a club. And then Austin was right down the road, about 45 minutes away, and I would drive back and forth. And Margie Cole, that ran that club, believed in me and moved me from opener to headliner for the first time in their history. That was one of the best clubs in the United States. So, yeah, it worked out wonderful.

When you were a little girl, like Baby Lee, how many siblings do you have? Where'd you grow up? Were you putting on little comedy shows for your family?

Yes. I was trying to tap. I didn't have tap shoes. I wanted so bad to take lessons, all that stuff. But we were in a town of 500 people that's in between Nashville and Clarksville, Tennessee, on the Kentucky, Tennessee border. My little mama owned a business. She and my dad ran a meat processing business together. She did all the accounting and all this stuff, so she was busy all the time. I didn't go anywhere and take lessons, so I would just tap and do my own thing. But yeah, I always was a ham. In my high school, my teachers saw it and they would say, Hey, Lynn, do you want to emcee this? Or, When you want to be in the choir? We know you can't sing, but just open your mouth and dazzle. I would be in the front trying to... I always did that. And then we had a speech and drama class where we did improv, and it felt like my whole world opened up when we did it. Like high school. Yeah. And even this little farming community where all the boys, this was so old-timey, Our people around there grew alfalfa corn and soy beans and dark fire tobacco.

They're known for dark fire tobacco for scole in Copenhagen. These boys would get out of school at 1: 30 to go work in the fields. That's how old time it was. But in my little class, I had very talented people. One ended up at Juilliard and became an actor and has done wonderful. That four of them had a country music band that got a record deal, and they ended up, they all went to college and didn't do that. But we had very talented people in that class, and I think I graduated 42 people.

Wow.

I had all that, and I was in one play in high school, but I didn't have any lines. I played the sex symbol. Little Abner, I was stupifying Jones. I wore a buttoned suit with pantyhose underneath them. I girated. I had a giration moment. In my mind, in my little country mind, I thought, this is my first step to Hollywood. This is it. This is it. Somebody's going to see me girate in this school gym.

I'm just going to find you're going to get discovered.

Yeah.

You're in San Antonio, driving up to the club in Austin, doing your thing. How did you transition from part-time to... Or have you ever You haven't transitioned to full-time yet? Are you full-time?

Oh, Lord. Now, I mean, that's all I do is work, but I'm so tickled for it. I feel so blessed. Then I had little bitty children. Brian Dorffman, who is now my concert promoter at Outback Concerts. It does all my tours. He owns clubs all over the United States. My baby child was 18 months old. Opened for Billy Gardell at Zanies in Nashville. He said, Lynn, I think you got something, but you cannot do this with three babies in these clubs. You can't do the club circuit because back then you would work Tuesday or Wednesday through Sunday. Chuck was an executive by then. He was moving up the corporate ladder and was gone all the time. I was the main caregiver for these children, and I wanted to be the main caregiver for these babies. But he said to me, You cannot do it. I remember it made me so mad, but he was right. I looked back on it and I couldn't have raised my own children and done this that way. God just put his hand on me. When they were I got on a tour with the Southern Fried Chicks, and that was two other female comedians coming off of the blue collar.

Do you remember when Larry the Cable guy, Jeff Foxworthy, they all blew up and we're on this huge tour. We were like a female version of that. We didn't get as big as that. It didn't make that money. But I was able to work on the weekends, and Chuck Morgan took care of these babies during the week. I always got to pick them up at school, drop them off. Then after that tour ended, there was always television deals coming from I would. I had four before this sitcom made it. Even if I wasn't working a lot, and I was your breast cancer fundraiser girl, people hired me to do that, ovarian cancer or the heart disease or whatever, because I'm a clean comedian, so I did a lot of private corporate things that didn't take me away from my children much.

Clean meaning you don't drop expo.

Yeah, I'm a clean comedian that I can work pretty much anywhere.

Okay.

Somebody gave me that advice a long time ago, even though I don't think in my heart I would have ever used the language. Somebody gave me advice a long time ago and said, If you can work clean, you can work anywhere, and you can make money while you're trying to make it in corporate or whatever. You can't clean up dirty. If I start out dirty, and I've seen people try to do it open for me and we go, We need clean people, and they go, Yeah, I can be clean. They usually can't. That was the best advice I ever gotten. But also I'm a mother. I didn't ever want to say anything in front of them that I didn't want them to say. Anyway, I started just doing what I could to stay on stage. And there were years that there was nothing. I mean, I would always have bookings one or two a month, but it's nothing like it is now. But it kept me on stage while I was raising these children. And then later, when I did that movie with Reese Witherspoon and Will Farrell, every day she looked at me and said, You got to raise your own children land.

And what a blessing it was. So even there were times when I was down and thought, Nobody cares. I would audition for Aspen Comedy Festival just for laughs in Montreal. All these things that are big in the comedy world, never get them. Comedy Central didn't want me. I wasn't edgy enough, all that stuff. But I look back on it and I feel like that was God's protection over me because I did get to raise them. I was with them. Then, Honey, I was moving that baby child in to makeup school. She's a professional makeup artist. She went to school in New York, in Manhattan.

Your daughter Tess.

My baby Tess. She says now she's my caregiver. She's with me all the time. Said, I did not sign up for that. But anyway, I felt very desperate. I cried to Chuck Morgan a few months before that, and I said, Nothing's happening. I had done a special for a dry bar. I'd got millions of views. It was not selling tickets. It did not transfer to ticket sales. I was doing horrible gigs where I'd have to ride in an Uber with a boy high on marijuana and then stay in a country inn on the side of the interstate and thought, What am I doing? By then, I was like 51 or something, and I thought, I don't want to live like this. This is not going well. And I cried to him and said, I'm going to open up a hardware store because I can dazzle in a hardware store and I can get a cheese wheel. And he said, You've lost your mind, Lynn. And so I had always admired Jim Gavgan, Nate Borgates. Nate Borgates is a good friend of mine. He's about a year and a half ahead of me in this career we have.

And I saw they had social media people. And this was years when a lot of comedians didn't have it. I thought, What are they doing? I want to be like them. I want to be in those theaters. I hired these social media guys. They put out a couple of videos. One was about taking Chuck Morgan to go see Def Leopard, and how everybody had plantar fasciitis and looked sick. That went viral. I knew something was happening. I could see it being shared thousands of times. I thought, something is happening. I said it to my family. I said, I think something is happening. They all said, Shut up. The Uber's here. Everybody was stressed out. We got to move her into an apartment in New York. We were like the Beverly Hills billies up there. And yet I started selling out all over the United States. It's just like somebody turned a light on in a room, and it was crazy.

I mean, that's how I found you. What seems like overnight success, it really is 25 years of you putting in time and being able to raise your kids. Has anybody been really kind to you on this journey?

Oh, honey, I've had several. I look back, there were people out in LA that gave me television deals that believed in me. Nick at Night, TV land, Warner Brothers, ABC. I mean, there were several people that thought I had something, but it just wasn't in the cards for that to pan out at the time. Then Little Reese Witherspoon, I met her. She doesn't remember meeting me at a CMA after-party at Brooklyn Dawn, Roni's house. My friend Hugh Hauzer invited me to go. I was nobody. Nobody knew who I was. I tried to dress up and look like I was a country music star. I go to this party, Little Reese Witherspoon's there. I look into her eyes and I said, My mama had a stroke at Vanderbilt. I just said it because she had just been sick. I'd been going back and forth and taking care of my little mama. It was a bad stroke. And she went, What? And held on to me and looked into my eyes. What do you mean your mama's sick? And we held on each other. And then COVID hit right after that. And she started watching my stuff and sending it to her friends.

And that little thing gave me a part in a movie. I played her big sister, Gwyneth. She did that for me. I mean, so, yeah, Reese Witherspoon, but all these people. And now I've got this unbelievable manager I mean, she's my age, and I'm the first client. She's managed everybody big in the comedy industry, but I'm the first one that's her age. We can sit and talk about menopause. We can sit and talk about our hormones. We talk about Everything, having a comfortable shoe, and we're having a ride of our life with each other. But yeah, I've had a lot of people invest in me.

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Over the years.

Do you worry at all about being pigeonholed as the the menopause comedian?

No. I feel like a queen. I feel like that made me stand out above... Nobody was talking about menopause on Netflix. I didn't know it. I just tell what's going on in my life. I was talking about perimenopause, and I've had more people come up to me and go, Oh, my husband finally gets it when you said that. When men have said that to me, I feel very good about it. But I've always loved that. I told you, I had a nurse practitioner who saved my life. I was in a horrible perimenopause. Then we did a little podcast together. I've always been interested in women's health because I love being pregnant. When you're with your girlfriends, you're all talking about, Well, I had a C-section, and all that. I love talking about that. Then menopause was like another thing that you could bond with people over. We all just talk about it all the time.

Did you ever get pushed back? You can't talk about that. This is off limits. No. Did anyone say, This is going to flop. This is not going to be a good gig.

No, they've all told me to lean into it. Good Lord, the people that are running Netflix, they're in menopause. Their wives are in menopause. I went to a party with Amy Griffin, beautiful Amy Griffin, and come out with her book and went to this beautiful party in Beverly Hills. Everybody was showing each other their estrogen patch. I people's private parts.

I feel like it's an occupational hazard when I go to a party and, Can I just ask you one question real quick? You end up doctoring. I'm so glad that somebody else realizes because I feel like, well, it's just me. They're only going to talk about it because I'm here and they feel comfortable. But I'm so glad I'm not the only one.

No, everybody wants to know. That's why this podcast is going to blow up. Everybody wants to know and nobody knows, and everybody's trying to figure it out, and you're now the goat. You're like Mike Tyson of Menopause.

Well, I think we have this in common. My superpower is talking about things women weren't allowed to talk about or were scared to talk about and just being open and honest about it. I came at it from a medical standpoint, but you come at it from a real life because so much of what we go through is funny. You have to laugh at it, and I feel like you validate women's experiences by sharing your own.

Well, thank you, my darling. I just talked to little Kelly Ripa, and she said, Lynn, I felt seen. When I hear you, I feel seen. When you talk about all these things that everybody wants to talk about and they feel like they can or whatever, which she's very open. She talks about it, but she said, You make me feel seen. I thought that was so sweet. I'm just over here talking out of my head. But I mean it, though. But I do. I'm very interested in that. When we met at G9 and I saw you on that panel and everything you said, I started telling everybody, You need to be listening to her. You need to get this book. Because really, nobody knows what in the world to do, and you do.

I didn't learn about it in school. In medical school, where we get just your general MD training, Here you're a new doctor. Now go specialize. I had one hour lecture, and that's pretty standard across the US. My daughter's in med school right now, so she said they get a touch more, a little whisper of it here and there, so it's not as bad. But then I went into women's health, OB/GYN. I am in charge of breasts, pelvis, all the things. And we got about six hours in a four-year curriculum. And I thought I was fine. I graduated. I've got everything I need to know. I have my little toolkit. Off we go. And let me tell you, I walked into that office to sit down with real patients, very different than the patients we practice on in the hospital setting. I mean, surgery is different, but in the clinic. So I go in with these fancy Houston mamas. Pregnancy, I got. I can deliver a baby upside down, backwards, inside out, C-section, blindfolded, one-hand type, no big deal. But the minute those women came in and started talking about their sex lives, I was a deer in the headlines.

We had never covered libido, loss of libido. And so I'd run out in the hall, and my two bosses were two older gentlemen, and I'd say, Oh, I have Ms. Smith. She doesn't want to have sex, and she's really worried, and her husband's threatening to leave her. It hurts or whatever. And he's like, Tell her to have some wine. That was it. And so I start, but this is before I start looking for resources, and I find Venus and Mars in the bedroom. I read it. I'm like, okay. So I start copying sheets, you can write notes out of it, and I would Xerox them. That's how old I am. We Xerox. And make little pamphlets for my patients because I didn't know what to do. No one had taught me anything about that. And then as the patients are aging, menopause is coming. And again, after that damn women's health initiative, and we were all terrified of hormone therapy, myself included, I'm a really good doctor. We have really let down a whole generation, our generation of women. It really took me going through it to realize we got to do better. We got to do better.

Honey, I've been out here telling it, but nobody listens to a comedian because my nurse practitioner said to me- No, you're giving women permission to go and talk, to share their stories, to laugh about it.

As those videos are getting shared by the millions, even though you're telling jokes and it's funny, you're giving women permission to say, Hey, wait a minute. This is funny, but it's okay. We can talk about it and we can go talk to our doctors about it. Did your mama ever talk about this?

She was on estrogen for a while.

Mine, too.

They took her off of it because they were worried about that breast cancer study. I remember my little precious mama, O'Ceele, who's 81, who is the light, if you want to talk to and be with somebody fun, it's her. But she came home from working in that meat house house and would be in that cold weather and did manual labor and did the counting and all that. She's brilliant. She would come home. Me and my sister be sitting up with a towel on her head, deep condition in it. Maybe Dustin because she didn't like a dirty house. My mama, I would be just sitting there, didn't help do a thing. I remember mama taking out the garbage and saying, This smells like SHIT. There was never language in our house. We all got scared to death and ran in our own rooms and slam the door. My daddy got that garbage and took it out. She was in menopause. She had never said anything God love her. I remember her being moody. I remember her crying. She had lost her daddy around that time, but they took her off of that estrogen. Now she's had a stroke, and I know that HRT helps with cardiovascular risk as well as bone health, dementia.

And cardiovascular, yeah. We wonder, had our mothers had different options counseling. Did your mother ever lift weights? Did she think about her bone health? Did she think about all the cardiovascular risk reduction things she could have done outside of hormone therapy? They just weren't... Little old ladies just got old.

Now, my mama was lifting big baskets of meat, and they told her when she had her stroke, the physical therapist, they said, Because you did manual labor, that will help you. And she almost recovered, was walking on a walker, almost running after she had her stroke. Then there was another complication. They had to operate her on it again, and that affected her balance and her eyesight, so now she can't walk. But she was recovering, and they said it was from a life of manual labor, lifting squatting, doing. She always had a garden. She worked like a mule. Then she loved yoga and Zumba, honey, up at the Civic Center. She would dance, and everybody loved her and wanted to be with her. She'd be dancing with all these young girls and love to exercise. I've told everybody in the United States of America, They have ruined that study. When I went on hormone therapy, everybody called me and said, You're going to get cancer, and you can't take this. I go, But no, that study was wrong. But Nobody listens to me. I don't have credibility.

So your nurse practitioner was an early adopter.

She was. I was in my mid-forties. I had done CrossFit and gotten real competitive and was doing jerking cleans and crazy mess. I think my cortisol levels went up. It was in the middle of the economic downturn. So things affected Chuck's job because he's in the housing market or housing company. We had a tragic death in our family. I had one of my very best friends that's in the book, Dump Me, and I had never had that heartbreak before. I hear that women in perimenopause and menopause will go through breakups, and it's so painful. It's like being middle school girls and somebody's got to be a butt hole. I was going through all that, and I used to walk every day with her. I was going to fitness classes at my gym. I love fitness, and I just quit going. I was so tired. I know there must have been stress. I would fall asleep in the pickup line at school around three o'clock. Somebody would have to honk a horn, scared of the living day like that, I need to move. I would be awake all night, and I just couldn't put one foot in front of the other, and I really started thinking, do I have cancer?

Is something bad, wrong with me? And I was so fatigued. I had heart palpitations. I kept saying to my precious doctor who I loved, and he was good for a sign, as I mentioned, but I said, I don't feel right. And he had a poster that had thyroid symptoms of hypothyroid or Hashimotos or whatever, and it was hair loss, constipated, all this. And I go, I'm constipated. I've lost my hair. I don't feel good. And he goes, I've done your panel. You're fine. I think it ended up being an antiquated panel. He goes, You're depressed. I'm going to put you on an antidepressant. He did. It did not change anything. Then I had a child go off to college. I mean, all these life things happening in the same time. Then we all head braces. I had braces in my 40s with my kids in middle school and high school. I could barely even keep awake. I told them, I don't feel good. The girl that worked front desk, she said, There is a nurse practitioner that is saving people's lives. I mean, 40-something-year-old mamas are in there getting their kids' braces. Turns out the doctor that she worked under was my next door neighbor.

His wife, who I love, my neighbor, I said, I would love to get into her. And she goes, Well, let me see what I can do because she had 4,000 patients. Nobody wanted to see the doctors. Everybody wanted to see her, and she could not take any patients. My neighbor got me in, and she said, I'm going to do some stuff out of the box. It's probably going to come out of your own pocket, and I'll probably get fined for it. But she said, Let's do it. And she did a gluten-intolerant test. She checked my adrenaline fatigue. I was in adrenaline fatigue. My thyroid had bottomed out. She said, You're in perimenopause. Your estrogen is up and down. She started getting me on everything. Took her a while to get me situated, but I felt like a different person. I say she saved me.

I hear that all the time from patients that their stresses don't go away. You still have the sick mamas on the marital whatever and carpool and drop off and work. But you got it again. You get your life back. My patients don't come in asking, Rock a bikini at 45. They're like, I built this life, and I had it managed. We had normal stresses, kids. I had it all covered. I could do it, and now I can't do it. When we address all those issues and get them taken care of, suddenly they can manage their life again.

Yeah, because you're up all night. You can't sleep. You're broken out in a sweat. I was having heart palpitations when we did the Oprah thing, and she said she had to wear a heart monitor. I wear a heart monitor. One time I thought, I've got a heart problem. Something is bad, wrong with me. They put me on a heart monitor, and I was okay. It was just heart palpitations from, I guess, menopause.

Perimenopause, yeah. There's estrogen receptors on the... There's a little node in our heart muscle that controls our heart rate. Just like the Hot Flash Center goes catawampus, the same thing can happen about... It's really shocking because it's like 45% of women will have palpitations in perimenopause and menopause, and it's usually almost always managed. It doesn't mean you don't need to go see cardiology and get the appropriate work up because it's not always menopause. But we're not training the clinicians to say, this might be menopause. Let's get you worked up. But Let's try some hormones and see if it gets better.

And I think I look back on it now, and when I quit exercise, that was the worst thing I could have done. We had that blow up, and I didn't have anybody to walk with. I should have walked on my own. But if I tell young girls all the time, Keep exercising. All that wine and all that rigmarole, I started craving wine. I'd never been a drinker, never been in my house. I just started thinking, Oh, red wine at night. Then I'd be up all night from that. It would disrupt my sleep and I would eat white flour. That just makes it all worse, sugar and all that. I wish that I would have known better and I would have taken better care of myself. I try to tell these young girls that.

That's almost universal with my patients. All right, you're literally everywhere right now. You're all over my social media. I turn on the TV. There you are at the Emmys looking absolutely fabulous. Thank you, my darling. I was sitting on the couch with my popcorn and my husband, and I was like, Oh, my God. I didn't know you were presenting. And then I was like, Leanne, Leanne, Leanne. And you looked so beautiful and you were so funny. Did you get to smell Pedro Pascal?

I did not get to smell little Pedro. I didn't really even get to meet him. I don't know where they whisk that little thing out somewhere. And I went to all these parties I didn't get to see him. I bet he was there, Lauren Michiels, Sarah Night Live. He said, My wife is your biggest fan. It took me to meet her and she was precious. I've been raised on Sarah Night Live, and that is my thing. I've heard from more Sarah Night Live people.

Are you manifesting this right now?

I am. I want to host.

Like Leanne Morgan on Saturday Night Live. Just saying, Hey, Lauren.

I would love to host. I work with Will Farrell. Fred Armisen reached out to me. I was on John Mulaney's show, Amy Poller's podcast. Then I heard from Molly Shannon the other day. When These SNL people reach out to me. That means the world to me. They all say, Leanne, you write like us. All the writers send your stuff around. I'm like, What? But I have loved it all of my life. It never dawned on me to get in the car at 18 and drive to Chicago for Second City or Groundly's in LA. From the country, I didn't know. But that thrills me. Then we went to a Warner Brothers party, and I met all of Abbott Elementary, that little Quinta Brunson, that little doll that's as big as this cup. I could have held her like a baby. Brilliant. It's got one of the top shows on. I met Brett Goldstein in Ted Lasso. Oh, my God. Beautiful. And Darlyn, he's another stand-up. I met Drew Tarver, who was on the other two. But every party, there were people that I saw that I was like, Oh, my Lord, look, Chuck Morgan. He was with me.

I lost 5 pounds that weekend because he'd say, Do you want a slider? I was like, No, I don't want a slider. I'm trying to meet people, and I don't want to smell bad. He ate, and I just would be awake and think, Oh, I haven't eaten because I'm at these Hollywood parties, but everybody's tiny.

Here's what I see. I looked at Katherine Lanasse's win from the Pit, that women of a certain age now are winning things, being recognized or playing real tangible people. I can remember Goldi Han said a line, and I think it was the First Wives Club. There's three ages for women in Hollywood. Babe, district Attorney, and driving Ms. Daisy. I'll never forget that line for as long as I live, and I'm like, Where are we?

There are only three ages for women in Hollywood: babe, district attorney, and driving Ms. Daisy.

What do you think about that right now? Do you feel like we're developing a new age for Hollywood?

Oh, yeah. Jean Smart one. Jean Smart for Hex. Katherine O'Hara is doing more. Well, she's always been fabulous. Yeah. I mean, I think- Kathy Bates. Kathy Bates. That doll. Yeah. I mean, I just... But I didn't come up in Hollywood, and I know they must feel that ageism, but I don't see it. But I think everybody's thriving at that age and up.

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I love it. I love seeing it. So your next Netflix special, Unspeakable Things.

Unspeakable Things.

What are we going to be speaking about?

Honey, it's more stories about all these kids and Chuck Morgan and the unspeakable parts is I do unspeakable things with Chuck Morgan, and he still has a lot of testosterone. And I remember my nurse practitioner saying, I'm going to give you some I said, Thank you. She goes, The more Tennessee plays, she said, I'll just tell you, it's going to up here. You got to keep up with that. I was like...

I started testosterone for muscle mass. In our house, nobody was complaining. It happened when it happened. Everybody's happy. I wasn't feeling pressure of having to perform more. Then because I'm thinner and I was worried about my mom fell and broke her hip and bone density and I'm skinny, I don't have a lot of muscle. Maybe I'll add in this testosterone off label to see if it'll help me in all this weight lifting I'm trying to do eating all this protein. Besides the new couple of chin hairs, which are manageable.

It makes you want to do it.

I wouldn't say hanging from a chandelier, but I would say he's very much happy.

Oh, that's nice because that's how men show up. That's the way God made them. There's nothing wrong with that.

He's definitely happier. There's just more of an uptick in my end of the area, actually maybe even suggesting on my part, which hadn't happened in a long time.

Don't you know that makes him feel good?

Outside of vacation.

Outside of vacation in a hotel room, because in that special I talk about, Chuck Morgan loves a hotel room and gets a glazed look over his eyes, and I feel like I'm doing this. Okay, I saw you post the kind that you use, and I asked somebody, Can you give me what Dr. Marie Claire's got? Because I take a little day. It's just a little like in a syringe thing. It's compounded. It's just like this much. I don't know what- I did compounding for our patients for a long time because that was the thing I had the best access to.

Because we don't, and we can debate that on another podcast, but we don't have an FDA-approved version for women, though. We have tons of studies showing it's safe and effective, and I'm fighting that battle with the FDA right now. We borrow the men's. You I have to compound it or go get androgel or T-STEM or get an injectable.

Androgel. Is that what you were showing in a video?

Where can you get it? From a pharmacy. We found a reliable supplier, and it's very, very inexpensive. That bottle, because it's made for men, will last a woman like 4-5 months. You have to microdose it, basically. Is it prescription? It is a prescription. Yeah, you have to have a prescription for it. But it works great. It's easy to use. The bottle lasts forever. It's very affordable. We've really switched to that away from compounding because compounding can be variable. My patients travel far distances to come and see me, and so I don't know these compounding people where they're trying to get their meds, and shipping can be a little squirrely with creams and stuff. So this seemed to be a good solution that worked for it. A lot of my menopausey friends, the other docs that I hang out with, they do a lot of T-stem gel, too, which is prescription in the little packets.

Because let's face it, and I know Dr. Dr. Laura that had the radio show, still has it, I guess. Dr. Laura? I remember her saying, What do men need? A cassero. You know what? I mean, not that men are simple. It's just…

Uncomplicated.

It's very uncomplicated. If I make a Duncan Heinz yellow cake mix with a bald frost, as my mama calls it, chocolate, put that in the oven. That's cooking. I pour a little bleach in a toilet so Chuck thinks I've cleaned. Then he comes home. You know what? He's almost in tears. It does not take a lot for a man. It really doesn't. But it's terrible when you're going through menopause and it does hurt. And then you think, my body, my stomach doesn't look like a stomach. What has happened to me? And then you're sweating. I've tried to tell Chuck Morgan, I feel this. Put his hand on my chest. I just feel I need to plan it.

I tell patients that the male libido, and libido is like a Freudian term. I don't love the term libido, but your desire. Everybody understands what that is. Men's tends to be very simple. Just a little off on switch. Usually on. Okay, easy. A female's is the flight deck of a 747. There are more buttons and bells and whistles and clicks and over here and you turn on this one and this one goes over there. It's a lot more complicated. And so Us throwing testosterone at someone doesn't help everyone. We probably have a good 30 to 40% response rate for desire. Relationships are part of it. Body image is part of it. So much is changing on how we feel about ourselves and how we're socialized to be performers and givers. Sometimes you're just tired.

Yeah, you're tired. I buy little gowns now, and they're not that cute. They've got a cool technology in them, and I look a Me-Mal. And then there's all kinds of things. Also, it is, I think, relationship in the morning, women need to be told, You look beautiful today. What can I do for you? I do. Yeah. Can I unload the dishwasher? It's like warming up a car, and I believe that. I had all those classes in child and family studies, so I get all that. And it does. You have to really communicate and all of that. So I do think so much of it is relationship. Then women do feel like your body has changed and it's changing again.

But I have patients who are still having incredible sex lives. It's possible. It's possible. Testosterone, let me just throw this out there, and they don't pay me to say this. There are two FDA-approved products for women that work at the level of the brain because libido is a mood. It's up here, right? Yeah. Men's is more just there. Addi, which we were talking about last night. Yes, Addy. And Vileasi, there's an injectable that you can give yourself 30 to 45 minutes before the onset that will help release some hormones that will make you more receptive. But most of my patients, and myself included, when I really think about it, my husband would be like, Is it working? Is it working? It's been 30 minutes. Do you feel anything yet? Yeah. So Addie is a pill you take every day.

And let me say this about precious men, because I've got two grandsons, a son and a husband, and I love men. Men don't even care if your stomach. Men don't even care. We get that in our head. They don't care. God love them. Just had a baby, and Chuck Morgan would be flaring his nostrils at me. He does not care what I look like. He loves me for who I am. He has never said a word about my body. It's in my head.

In my head. That's the way we're socialized. So big marquee birthday. Congratulations.

Thank you, my darling. It's good be alive at 60. Landed hard.

I'm 57. I'm right behind you. So 30-year-old Leanne, thinking about 60-year-old Leanne, what did you think you'd be doing at 60?

At 30. I would have thought Probably I would be a grandmama, and I would think I would have a career, but I didn't know it was going to be this wonderful. That 30-year-old didn't know all this. It's pretty special. It's bigger and sweeter and more wonderful than anything I ever dreamed of. And I tell you why. I thought I was going to be 40. I thought I was going to be younger and thinner when this happened. Okay, whatever. But now that I'm at my age and when this happened to me in my 50s, and I'm in a lane by myself. Everybody in Hollywood says this to me in the comedy industry, too. I'm in a lane by myself, and I'm speaking to, and I found them, they found me. And every time I walk out in the Big Panty tour, the first tour, and I scared to death because I never did a big tour like that in theaters. Every time I walked out, they would stand up before I ever said a word and blow kisses at me, and they had presents for me. I don't want to be sappy, but it was so precious how they loved on me and wanted to see me do well.

Everybody wants to see me win. It's girls my age that are like, Oh, if she can do that, I can do this. She's in her 50s. I can start a business. I can go back and be a yoga teacher. I can go back to school or whatever. In my first tour, I partnered with Vanity Fair because they had a real comfortable big panty, and they gave five women seed money to start their own thing during the big panty tour. They had people fly, and they picked five women and gave them seed money to start businesses or go back to school or whatever they were going to do, and it was precious.

For the women listening right now who are in their 50s, they come to my office and they are a lot of times devastated by life. Menopause is like, you're taking a hit from untreated menopause. I can get them that back. But then they're at this life transition, divorce sometimes, kids leaving the house, parents getting sick and old. What would you Say to a woman who's like, There's nothing left for me. I can't do that. Where am I going to go? What am I going to do?

I would say whatever their desire had been, I've always heard this, what your desire was as a child. What did you dream of being? I think we all have these dreams in life, and the world stamps it out. But I had that dream. But I've heard more people say, I wanted to be a so-and-so, and everybody said, Oh, no, you can't do that. But what is it that you desired in your heart? You've wanted to do? Because you can do it now. Because think about it, we're smarter than we've ever been, we're wiser than we've ever been. This is the time to do it. I mean, it's just never too late. I know that sounds sappy, but it's not. It's not. It's never too late. You see all these people doing wonderful. I tell you what I love on Instagram, and it got my algorithm for a while, I need to get it back. It'll be like an 80-year-old woman that's gone back to nursing school and finish her degree. I mean, it's just doable.

Or to me, what I love seeing is the elderly women, '70s, '80s, going to the gym, and they walk in with a walker, and then they're walking out on their own two feet. And I'm like- Yes.

Joan, little Joan.

Little Joan.

Little Joan taking a big log and flipping it into Loom. She's living her best life.

Train with Joan on Instagram.

Train with Joan. If you need inspiration, look at little Joan in a bikini.

Got her biceps going.

I know. It isn't, though, really. I mean, there are people They go back to school. They start a business. But if you can get help and people behind you and people want to see people do well, they want to help people, this is the time to do it. People say to me all the time, I look at your schedule in and how in the world are you doing it? Because everybody's so tired. I go, I bet I'd be tired if I didn't have this adrenaline going because this is so exciting for me. But I really try to prioritize my sleep now. I have all these sleep hacks I do.

Tell me about some of them because I'm still struggling.

I have got to have it at 66 to 67 degrees. I would even go colder. When I was in LA and it was just me and my baby and Chuck Morgan went in there worried about the- The Air City bill. Yeah, and him covered up in a fleece because he's cold and I'm not. I got to sleep like you could hang meat. And I think that that makes you sleep better. I have a sleep mask. Now, I bought this little contraption that's a red light. I turn that on, it's like 26 minutes, and I have on that sleep mask. I don't know if that does anything, but I think it does. And I have a sound machine, and I get all that out and hope that nobody comes in on me. I don't eat late. I used to eat after I get off stage, but I have found out, eat before, you don't want to burp in the microphone. So get something where you won't have reflux or burp in the microphone. But then don't eat a big gob. In all these towns, it's so sweet. We try to do well and we'll go, Can we get a chicken breast with no oil and a baked potato with nothing else on it?

Maybe some A1 and a vegetable like a broccoli. And these precious people in this town want us to have their best food. So then here's this fried chicken breast over a corn sauce with a broccoli and cheese casserole. Everybody will see us get their best food from their town, so then we end up eating that. I found that I thought you're in the Big Panty Tour. You can go back and look at those pictures. I was inflamed. I don't even know what you call my breast. I don't know what that was. They looked like feed sacs. I wear this aura ring, and this aura ring will say- They'll tell you.

You can't Right. Yeah.

During the series when little Tim Daly was playing my boyfriend, he wore an aura ring, and he goes, Do you think they're telling us the truth about the sleep? He said, When I get up and it says '98', you scored a '98, ' he goes, I don't feel like I really did. But anyway, The aura, it's weird because it'll say, did you have a late meal?

Did you drink alcohol? Yeah.

See, on the Big Panty tour, I was freaked out of getting in front of those big crowds, and they would have a little wine for me, and I wouldn't drink a lot. I have stopped that. I don't care about alcohol. I'll drink it a little bit every once in a while, a margarita, have a little bit of red wine, because I think that messes me up.

Terrible. There's great studies coming out now looking at sleep disruption and alcohol's effects, especially after menopause. The girls aren't sleeping, by the way. Nobody in perimenopause and menopause is sleeping like they used to. We're learning more. Of course, hot flashes have a lot to do with it. But when I tell my patients, a certain percentage of you and me included, if I choose to drink more than a one glass, I am choosing not to sleep. That is my choice that night.

Just stay up all night, start netting something.

Start that novel.

Also, I take magnesium so that I poop and sleep.

That's two for one.

Two for one. I hate for these boys to hear this. Then I take a magnesium three and eight. I think that helps relax my body. I do try to take something over the counter, like a gab of elfinanine, like a mixture.

Yeah, I'm an elthianine fan.

Valarian root. Yeah, Valarian. I'm always looking for... I'm the girl on Instagram that gets influenced with supplements. I'm watching Little old women finish their degree in buying supplements and shows that don't over stimulate toddlers. That comes through mine too, because I got two toddlers, two babies. But yeah, I try to really prioritize my sleep so that I can do this to her. And that's what people ask me all the time. I don't know how you're doing at land. And I'm so thankful that I have the strength to do this. My thyroid medicine, I keep that where it's supposed to be. That's energy. I take my B12 methylated because I have that MTHF R gene, and I make sure I get my vitamin D.

Yeah. Who's doing your blood work? Is your nurse practitioner still managing?

She retired, and we all resented her. She had to go live her life and made us mad. God forbid. Yeah. But I have now an endocrineologist that helped take care of my girls because they both had thyroid cancer, and I have nodules, bad nodules. So she watches that. She does a lot of that. I've had wonderful people, like my regular provider, those NPs and PAs there that would just make sure my vitamin D levels were where they were supposed to be and all that. But the nurse practitioner found out the MTHFR thing, and I would think, I'm so tired compared to my friends. She said, You're not absorbing your bees, Lynn. Like you're supposed to. So that has really and truly helped me. And if I forget, like I get off and it's in another suitcase or something and I've forgotten it, then I think, Why am I so tired?

You forgot your- It's that my B12. So your girls, what's the best advice you've given them? They probably would say something different, but what do you feel as the mother has been the best gift you've given your girls?

I try to tell them now. Well, I've sent and kissed them in the mouth, and we're close. We're very close. We've had a good time, honey. I've been fun. I'll just say it. I didn't push in school. If Chuck Morgan had been in home and pushed them, they'd be in Harvard with a nervous tick. But we went to the zoo a lot. I'll just tell you, Dollywood. Dollywood's near here. We had them all.

I saw the billboard.

It's a wonderful park.

We're in Knoxville right now.

Yeah. If there was a parent-teacher conference, I'd go to their parent-teacher conference, and I go, We're going to Dollywood afterwards. We have a very close relationship. But now as they're grown women, I tell them, I want you to be happy. This world goes by, this time goes by so fast. As it says in the Bible, it's like, do on the leave, it's gone. I just look back now and here I am, 60, and I've had a wonderful life. But I try to tell them, take care of your body. Eat good foods. Get this foundation going for when you have your babies, when you go through your... Always take care of yourself. I wish I'd take better care of myself. I've had times when I have and then times when I haven't, and I feel stressed out, and I'm on tour, and I could take those bands. Little Tony Horton said, Just take a band, lean, do some squats, dance, dance to a few songs. I know you want to get in that band because it's so easy. You get off a flight, you're lugging all that, you go to a hotel room, you need to go to that hotel gym.

It's depressing. But I go, Well, I just need a comedy nap, lay in the band, stare at the wall. I need to stay active. I tell them, Don't do as I did. Do as I say. Take care of your body. I want them. They want babies. I want to help them with their babies. I want to be up in the bed and teach them how to breastfeed. And then I want them, when they go through their 40s, get that foundation. Eat those strawberries. Darn it. Not goldfish with that Diet Coke and a big SUV driving mad at people you don't know you're mad at.

Don't be eating your kids a handful and then you eat a handful.

Handful. Honey, I love a goldfish, but I'm trying not to do it.

That extra chatter.

That extra chatter. I just tell them, Do what makes you happy, because everybody gets in some bad job that they're not happy in before you turn around and you're 60. Live life to the fullest every day. I tell them, I want you all to be happy, and I want you all to find your passion, because I believe in that. Chuck Morgan is a lot more practical than me, and he's the one that's had the health insurance, so I've relied on Chuck Morgan. I've been the dreamer, but I do believe in dreaming and dreaming big and keeping that dream alive and never letting those dreams die. I really do, because I think that pushes you and keeps you going. I don't even know if people shouldn't retire. I know they won't to, but you know what I'm saying?

I'm with you. I mean, maybe you're corporate 9: 00 to 5: 00, but there's a new coming out called JoySpan. It's a woman who's a gerontologist, which is fancy for she takes care of old people. She's phenomenal. I'm going to interview her, too. She says, The number one predictor of health span, which is women live longer than men. I see all the bro science guys out there talking about, I'm going to live to 120. I don't have a single female patient who wants to be 120. Not if everybody around her is dead. She's like, I just don't want to be in a nursing home. I just don't want to have dementia. I just don't want to have this 10 years of somebody me having to take care of me. And what this doctor says is that relationships using your brain, stimulating your mind, besides the healthy habits, if you make it to 80 and cancer doesn't get you or something else, if you want that last decade to be helpful, relationships, relationships, relationships, and using your brain. So even though you don't nine to five it, you have to be doing something with your talent.

Yes. Okay. And I was just at Mississippi College asked me to come and do a Q&A, and I did pictures with all these people that had bought tables. It's a fundraiser for athletic and academic scholarships there. And a little woman, they were helping her in. She was walking, but they said, This is our grandmother, 92, works at Chick-fil-A three days a week for three hours and makes the cookies. Chick-fil-a has the cookies and the dessert. I guess they may be pre-made. I don't know Chick-fil-A, but she's doing that job, and she goes, Girl, I love it. Her daughter said, She's like a destination. People go to see her at this Chick-fil-A and make over her, and everybody loves her. She's so popular. I said, I hope I'm doing that. I'm always wanted to work in food. I used to when I was in college. I could see myself making the desserts three days a week and getting to be with people. I think that's important to stay connected. My little mama wanted to work and kept working after they shut down their business, and then she got sick. But she's at the Senior Citizens playing cards and beating the fire out of everybody in Canasta.

Using her brain. I love it.

And playing Bingo and doing all that.

I like that you use your brain, and it's a way to socialize with your friends. All my friends are doing a Zumba class in Galveston. Yes, I love Zumba. I have a little gym we built at our house. Over 30 years, here's Christmas, we get a new weight bench or whatever. But I miss being with my girlfriends, and we used to play games and do stuff when the kids grow up and whatever. I'm like, I may have to go to that damn exercise class just to go hang out with my girl. You would have a ball. You would have a ball. Dance around with some weights in in my hand.

I love that, and I love jazzercise. But when I go here in Knoxville, because I'm a big deal here, then people have to see me in my yoga pants. I just feel weird about people going, Look at Lyns Fannie and those. She's eating a lot of goldfish.

Tell me about what's coming up. What do you have? What do we need to let her by no.

I was just on Family Feud, celebrity with Blaine Wilson. Did you win? We won. Chuck Morgan goes, I knew we were going to win.

Who did you bring from the family? Oh, my It's all like a trailer for it.

It was my children, all three of my kids, because you have five. I wish I could do it again because I was so nervous that I was like, freaked out over Brittany Spears questions. Now I think, Oh, I would have had a ball. But I did have a good time, and Steve Harvey was precious. He is my idol. When I first got started with outback concerts, they go, What do you want to do, Leanne? I go, I said, I want to be the female Steve Harvey. He's done stand-up movies, television. I mean, he's done everything, and I just think he's so funny. I'm finishing out my tour, just getting started tour. Then I will be shooting back in production for season 2 of Leanne on Netflix, and I'm so thankful they gave me a season 2. Praise God.

Season 1 was fantastic.

Thank you. Yet for 28 days- When you were having the hot flash after the date? They sprayed me with something weird. But yeah, those scenes, I really have never been an actress. I mean, I've only done one movie, but I thought, okay, that feels real to me. I think I can pull that out of my bud because I've had many hot flash. I haven't had to make out with somebody during one. Then I thought, if Chuck Morgan, God forbid, left me, because let me tell everybody, I'm still with Chuck Morgan. Some people think that I've really been left, and no, Chuck Morgan is on my butt. No, no. Yeah, I'm still married. Okay, but in this series, Tim Daly is my agent. Andrew is my boyfriend. When I had to go away for the weekend and I had to go to a hotel room with agent Andrew, that came easy to me because I thought, if I had to go now on a date. Start dating, period. Start dating and then go somewhere and share a bathroom with somebody and wear a bathing suit and a hamburger in the pool. It would kill me. So that was easy for that episode.

But yeah, so I'll start filming that, and then I'll go on tour again, this 200-city tour, and I hope I get to do movies. I hope I get to do a movie again. I had a ball. There's maybe some opportunity with that for parts, so I hope I get to do that. But touring and television series.

Awesome. Well, it was wonderful having you on today. I love you. My little Mary Claire.

I tell everybody, I know Mary Claire. I've got her phone number, but I try not to worry you because you're doing all this. People are going to kill you.

I still sit on the couch and watch Netflix. So you can always text me when I'm doing that because I'm usually watching you.

You angel from heaven. Thank you, you doll. You give, give, give, you angel. This is going to be wonderful. You're going to help so many people, you doll.

As a reminder to our audience, you can find Leanne at Leanne Morgan Comedy on Instagram, and go read her book, What in the World. You can also stream the first season of Leanne right now on Netflix and catch her hilarious new Netflix special, Unspeakable Things, streaming November fourth. I'd love to hear from you about this topic and anything else that's on your mind. You can find me on Instagram at Dr. Marie Claire and get honest and accurate information on health, fitness, and navigating midlife at the Paws unpaused. Com. If you're loving this podcast, be sure to click follow on your favorite podcast app so you never miss an episode. While you're there, leave us a review and be sure to share the show with the women you love. We would be so grateful. You can also find full episodes on YouTube at Dr. Marie Claire. Unpaused is presented by Odyssey in conjunction with pod people. I'm your host, Dr. Mary Claire Haver. The views and opinions expressed on Unpaused are those of the talent and the guests alone and are provided for informational and entertainment purposes only. No part of this podcast or any related materials are intended to be a substitute for professional medical advice, diagnosis, or treatment.