Welcome to Everyday Wellness Podcast. I'm your host, Nurse Practitioner Cynthia Thurlow.

This podcast is designed to educate, empower, and inspire you to achieve your health and wellness goals.

My goal and intent is to provide you with the best content and conversations from leaders in the

health and wellness industry each week and impact over a million lives.

A tune for the next AMA episode.

Today we are diving into a variety of topics as I've mentioned before there are so many great questions

obviously hard to pick and choose which ones we are going to focus on today, but we're going to start with questions that came up repeatedly. So clearly questions that many people are curious about. First one is from Lorena is Malasma hormonal. I am 49 years old with a partial

hysterectomy. My Malasma has gradually worsened since my 30s. I am on HRT cream that has estrogen, progestrone,

testosterone, and DHA. I've only been on HRT a few months. What can help to

improve the Malasma? Well, Malasma is a skin condition that is exacerbated by exposure to light. So obviously, UV light sun exposure absolutely can provoke this discoloration.

It is a skin condition that oftentimes

will worsen during pregnancy or exposure

to oral contraceptives.

Also, stress and genetics,

we know that women are more susceptible to Malasma than men are.

And interestingly enough,

when I was looking at the research it indicated that it can be seen with both high

estrogen and high progesterone so I think from my perspective that there's probably value in talking to a dermatologist to determine what would be the best course of action.

Obviously sunscreen is going to be really important. There are people that are certainly more prone to Melasma than others. It's not something I've ever suffered from, but I did have many, many girlfriends in our 20s and 30s that had this and found that oral contraceptives in particular seemed to really provoke this.

And obviously you mentioned that you're on HRT. I think getting your hormone levels tested can can also be beneficial but I would definitely follow up with

dermatology just to see what their recommendations would be. I know that the sunscreen piece is also really important for prevention.

Next question, we had several questions about glucose and first comes from Deborah.

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