4.8 • 798 Ratings
🗓️ 23 September 2025
⏱️ 33 minutes
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Across the world, populations are living longer but often with a decade or more of poor health at the end of life. For women in particular, the gap between lifespan and healthspan is significant and the consequences reach far beyond the individual.
In this episode, Dr Louise Newson is joined by Dr Tash Mirando, a UK-trained GP now based in Singapore, to discuss what healthy ageing really looks like. They examine the science of ageing, whether it should be considered a disease and the critical role hormones play in preventing conditions such as osteoporosis, cardiovascular disease and cognitive decline.
Dr Mirando explains why lifestyle medicine must form the foundation and how modern hormone therapies can build on that base. This is a conversation about prevention, evidence-based care and practical strategies to improve quality of life for decades to come.
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LEARN MORE
Join me on my upcoming theatre events in London, Birmingham and Glasgow 👉 https://www.nlp-ltd.com/dr-louise-newson-qanda/
Take my online education course, Hormones Unlocked 👉 https://www.learningwithexperts.com/products/hormones-unlocked-dr-louise-newson
Sign up for my Confidence in Menopause Course 👉 https://www.drlouisenewson.co.uk/education---confidence-in-menopause
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| 0:00.0 | So for World Menopause Month in October, I'm going to be coming to three theatres, |
| 0:05.0 | the 5th of October in Glasgow with Kay Adams, the 12th of October in Birmingham with Liz Earle |
| 0:11.6 | and the 19th of October in Kingston near London with Emma Barnett. I'm going to be doing a Q&A, |
| 0:18.7 | so these women will be questioning me, asking me about my |
| 0:22.3 | background, my work, and also about hormones. And the second half will be audience asking questions. |
| 0:30.2 | So there'll be lots of opportunity to put your questions across. You can ask me anything, |
| 0:34.6 | of course. And I really look forward to meeting some of you there. |
| 0:39.7 | So today my podcast guest is Dr. Tash Miranda. |
| 0:43.5 | She's a UK-trained GP, but she now works in Singapore. |
| 0:47.9 | We talk a lot about preventing diseases. |
| 0:50.2 | We talk about the foundation, which is really lifestyle we talk about aging is it a disease or not |
| 0:59.1 | what we can do to be healthy as we age and talking about health span versus lifespan it's a really |
| 1:06.4 | great conversation with lots of really good practical tips as well. So I hope you enjoy it. |
| 1:15.7 | So, Tash, it's great. You're over here. Last time I saw you, in fact, was over here in London. |
| 1:22.5 | And before that, I was over in Singapore. Like, it's just amazing because you're an NHS GP, very, very, very part-time over in the UK, aren't you? But you're mainly work out Singapore. But you're really interested in me about keeping people healthy. I am. Thanks, Louise. Thanks. It's really nice to actually be here in person doing this because the first one we ran was virtual. And I'd never met you then. No, we hadn't. No. And now I feel like I'm really close to you. We've worked up for each other a lot. But lots of people think it's really weird when I talk about wanting to prevent disease rather than treat disease. And I know you're the same as me, but I'm very reflective. |
| 2:01.7 | And I think about when I trained as a doctor, |
| 2:04.7 | I learned and we learned a lot about diseases and how to treat them. |
| 2:09.5 | And obviously that's really important. |
| 2:12.3 | But the older I've got, the more I'm trying to prevent disease in people. |
| 2:17.4 | I say people rather than patients because |
| 2:19.2 | they won't be patients if we reduce diseases. And it's so important, isn't it? I couldn't agree |
| 2:25.2 | more. To be honest, we really need to start moving away from the sick care model. I really don't |
... |
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