aging · fitness · health · menopause · pseudoscience · research · Science

The “Menopause Gold Rush”: a boom for telehealth, still largely a bust for the rest of us

NOTE: a number of the articles cited have paywalls, so I linked them to open archive.is sites. You can click and get there from here…

For decades (well, centuries, really), menopause was not considered a topic for discussion, much less an issue to be addressed medically for half the world’s population that goes through it. Menopause brings with it a lot of physical and emotional changes and health risks that have not been acknowledged, understood or treated. Women have had to suffer with little or no support. No news there.

Fast-forward (very fast–past the development, backlash, misinformation and correction periods for the use of hormone replacement therapy — HRT; read more about it here and here) to now: 2026.

Menopause and perimenopause are now the hot topics for social media influencers, podcasters, writers, and telehealth companies. You can look here for a list of the top 70 (Why 70? no idea) “menopause influencers of 2026”. Tressie McMillan Cottom, social scientist and NY Times critic wrote here last month “Ladies, we’re entering our Crone era. It’s about time.”

In that same publication, Melinda French Gates noted:

Our society’s approach to menopause and perimenopause reflects the deep flaws of a health system that has long treated women as an afterthought. Consider the staggering fact that, according to one survey, less than a third of American OB-GYN residency programs offer a menopause curriculum of any kind.

We need a menopause revolution in this country. Better training is an obvious place to start. By including menopause care in both foundational and continuing education for health care practitioners, we can equip more of them to support their patients. Medical schools and residencies need to embed menopause care in their curriculums, and accreditation bodies and licensing boards need to make it a required part of training — not just for OB-GYNs, but for anyone who treats women in midlife.

And Cottom readily concurs, pointing out the intersectional health disparities experienced by non-white women:

Unfortunately, those greater expectations [of increased research and clinical care] have not necessarily resulted in a consistent, effective women’s health care system. Most women experiencing menopausal symptoms still do not receive any medical treatment for them. As is often true, that bad news is even worse for Hispanic and Black women. Despite entering menopause earlier and having more health-related consequences (like fibroids), Black and Hispanic women are least likely to have medical support for menopausal symptoms.

So, isn’t it a good thing that the podcasters and the social influencers are spreading the word? Isn’t it a win for healthcare equity and access that telehealth companies are offering a variety of new treatments and approaches to managing the symptoms of perimenopause and menopause?

Well, it’s complicated.

No, with research and training and actual interest in women's health and well-being, it needn't be so complicated. By Jon T for Unsplash.
But with research and training and actual interest in women’s health and well-being, it needn’t be so complicated. By Jon T for Unsplash.

In a JAMA Women’s Health article from last month (newsflash: JAMA started a Women’s Health journal. In September 2025. Uh, better late than never?) Kate Schweitzer writes that the “explosion of products and providers following decades of neglect represents a long-overdue investment—a gold rush fueled by growing awareness and demand for better care.” But, she warns that it has”created a rocky menopause landscape akin to the lawlessness of the Wild West, in which bold claims often reach patients before clinical evidence does.”

I couldn’t agree more. We are being pummeled with ads for products that promise no more hot flashes, less fatigue and brain fog, easier and better sex, and (Content Warning here) even no weight gain (as if that’s the worst thing that can happen to a 40- or 50-something year-old woman).

Using another favorite Wild West theme, Stephanie Faubion, MD, MBA, medical director of the Menopause Society and director of the Mayo Clinic Center for Women’s Health, cautions us:

“The pipeline has expanded significantly, and that’s a good thing,” Faubion said. “But you have to consider when it’s not actually creating value for these women.…You’ve got a lot of people out there selling snake oil, too.”

I’m happy to report that snake oil was outlawed after the passage of the Pure Food and Drug Act of 1906 (thanks, Wikipedia, for the info!), but for reasons way above my pay grade, not in my area of expertise and utterly beyond my ken, current US telehealth companies are not regulated such that we can trust that the products they market are 1) tested; 2) effective, or 3) safe.

Hence the Wild Wild West talk.

If you’re interested in a deeper dive into current and emerging interventions for menopause, read the JAMA article; it’s got evidence-based information on what we do and do not know about them.

Here’s my bullet-list takeaway:

  • In addition to the much-tested HRT, there are compounded hormones, testosterone therapy, and loads of untested supplements on the market.
  • Influencers are out there extolling the virtues of every potion you can imagine, backed by slim to no evidence.
  • Telehealth is offering to fill the gaps created by lack of access to primary care, offering similar potions from non-medically-trained folks with little to no evidence basis.
  • Dr. Nanette Santoro, an investigator on many studies over decades with the Women’s Health Initiative, summed it up: “What this [boom in menopause treatment products] does is it tells people, ‘You can get ahead of this curve,’” she said. “But because we don’t have enough good evidence, it’s really saying that you are being part of an experiment.”

All I’m saying is, watch your back out there, okay, pardners?

With researchers and clinicians sidelined by lack of results, the gunslinging influencers and telehealth marketers are out there. Watch your backs.
With researchers and clinicians sidelined by lack of evidence, the influencer and telehealth gunslingers are everywhere. Watch your backs.
fitness · gender policing · pseudoscience · sexism · trans

Women can’t compete in “Men’s” Sports? Really!?!

The whole “women in men’s sports” and trans women in sports has gotten completely out of hand

A post on social media commenting negatively on a news article about a woman cyclist in Belgium who was stopped in a race because she was catching up to the men who had a 10 minute head start.

Next up, we have Trans women banned from women-only chess. Why do we even have women-only chess? Even if you accepted that women of similar size and training couldn’t compete with men in a physical activity, what is it about chess that is so physically demanding that women need their own category?

But wait, there’s more! Not to be outdone, The World Darts Federation has Banned women from women-only darts. Again, what is the inherent advantage men have over women that means they need their own special category? And why can’t trans women play with the women? What physical advantage do they have in darts?

After reading and thinking about these issues for quite a while, I remain convinced that most of the hysteria (and I have chosen that word deliberately) is because men are afraid they will be beaten by the women. And there is a long history of coming up with ridiculous reasons to keep women out. For example:

A recent episode of “We Regret to Inform You” on CBC radio was about Bobbi Briggs and Kathrine Switzer, the two women who fought to run the Boston Marathon. In addition to being a really good episode, I finally learned where the advice about not running so your uterus won’t fall out came from. It was Switzer’s doctor. For the record, Switzer ran anyway, it didn’t fall out, and she ran the Boston marathon at 70 (her ninth time).

‘As soon as they begin to be your equals, they will have become your superiors,’ warned Roman senator Cato in the 3rd century BCE, as women protested a law limiting their access to certain goods.

Well. The idea that improving women’s status in society is somehow a first step on the road to total female domination clearly has had quite the shelf life, hasn’t it?

Book Reviews · fitness · food · pseudoscience

Some food books Catherine’s going to read this summer– and they’re free

This week I was at one of my favorite conferences– the joint conference of the Association for the Study of Food and Society and the Agriculture, Food and Human Values Society. Yes, that’s a mouthful. And it’s also a banquet of information from folks in lots of different disciplines, all united by a concern for how we can engage with our food systems in ways that support the people who grow, harvest, distribute, sell, buy and eat food. Oh, and how we can support our earth at the same time. So, not much– just that… 🙂

I learned so much about many different areas of agriculture, cooking, pedagogy and activism this week, it would take another week just to write it all down. And I will (well, at least some of it).

But for now, I have a treat for all of you.

At one of the sessions, we all got to hear about four new books that

…focus on the connections between food, health, and techno-science…  With science and technology playing highly prominent albeit contested roles in defining good food, healthy bodies and the future of planetary health, it is time to push the field in new directions… Collectively, [these books] show that notions of food, nutrition, hunger, and appetite are not apolitical but cultural technologies through which governments, institutions, and the public create knowledge, shape how we shall live, and bring worlds into being. (from the conference program)

And the treat is: All of these books are open-access, which means they’re all free! Well, except for one of them. But it’s great too, and all are worth checking out.

Yeah, I know. Thanks Alexander Krivitsky for Unsplash.
Yeah, I know. Thanks Alexander Krivitsky for Unsplash.

Here are the books, with the download links included and a little blurb from their press pages. Take a look and see if any of them catch your eye. I’m planning on reading all of them this summer, so will report on each in more detail.

Real Food, Real Facts: Processed Food and the Politics of Knowledge, by Charlotte Biltekoff.

In recent decades, many members of the public have come to see processed food as a problem that needs to be solved by eating “real” food and reforming the food system. But for many food industry professionals, the problem is not processed food or the food system itself, but misperceptions and irrational fears caused by the public’s lack of scientific understanding. In her highly original book, Charlotte Biltekoff explores the role that science and scientific authority play in food industry responses to consumer concerns about what we eat and how it is made. As Biltekoff documents, industry efforts to correct public misperceptions through science-based education have consistently misunderstood the public’s concerns, which she argues are an expression of politics. This has entrenched “food scientism” in public discourse and seeded a form of antipolitics, with broad consequences. Real Food, Real Facts offers lessons that extend well beyond food choice and will appeal to readers interested in how everyday people come to accept or reject scientific authority in matters of personal health and well-being.

On Hunger: Violence and Craving in America, from Starvation to Ozempic, by Dana Simmons

In this book, Dana Simmons explores the enduring production of hunger in US history. Hunger, in the modern United States, became a technology—a weapon, a scientific method, and a policy instrument. During the nineteenth century, state agents and private citizens colluded in large-scale campaigns of ethnic cleansing using hunger and food deprivation. In the twentieth century, officials enacted policies and rules that made incarcerated people, welfare recipients, and beneficiaries of foreign food aid hungry by design, in order to modify their behavior. With the advent of ultraprocessed foods, food manufacturers designed products to stimulate cravings and consumption at the expense of public health. Taking us inside the labs of researchers devoted to understanding hunger as a biological and social phenomenon, On Hunger examines the continuing struggle to produce, suppress, or control hunger in America.

Mal-nutrition: Maternal Health Science and the Reproduction of Harm, by Emily Yates-Doerr

Mal-Nutrition documents how maternal health interventions in Guatemala are complicit in reproducing poverty. Policy makers speak about how a critical window of biological growth around the time of pregnancy—called the “first 1,000 days of life”—determines health and wealth across the life course. They argue that fetal development is the key to global development. In this thought-provoking and timely book, Emily Yates-Doerr shows that the control of mothering is a paradigmatic technique of American violence that serves to control the reproduction of privilege and power. She illustrates the efforts of Guatemalan scientists, midwives, and mothers to counter the harms of such mal-nutrition. Their powerful stories offer a window into a form of nutrition science and policy that encourages collective nourishment and fosters reproductive cycles in which women, children, and their entire communities can flourish.

The Problem with Solutions: Why Silicon Valley Can’t Hack the Future of Food, by Julie Guthman

This one’s not free, but it’s worth considering, and those of you who are academics might think about ordering a desk copy. Here’s what it’s about.

Why has Silicon Valley become the model for addressing today’s myriad social and ecological crises? With this book, Julie Guthman digs into the impoverished solutions for food and agriculture currently emerging from Silicon Valley, urging us to stop trying to fix our broken food system through finite capitalistic solutions and technological moonshots that do next to nothing to actualize a more just and sustainable system.

The Problem with Solutions combines an analysis of the rise of tech company solution culture with findings from actual research on the sector’s ill-informed attempts to address the problems of food and agriculture. As this seductive approach continues to infiltrate universities and academia, Guthman challenges us to reject apolitical and self-gratifying techno-solutions and develop the capacity and willingness to respond to the root causes of these crises. Solutions, she argues, are a product of our current condition, not an answer to it.

So, a few little somethings to add to your summer reading list. Let me know if any of these appeal to you, if you read it, and what you think.

fitness · pseudoscience

Will drinking lettuce water help me sleep better? An FAQ

Q: What? Where did this alleged link between lettuce water and insomnia come from?

A: Honestly, I was googling various treatments for insomnia, got distracted, and before I knew it, I landed here. Skeptical but curious, I pressed on.

Q: What, exactly, is lettuce water?

A: No one really knows (or cares), but it seems to involve pouring very hot water over lettuce (unclear which varieties are the preferred ones), and then (waiting a suitable time for cooling) drinking the water. Wilted lettuce consumption is optional.

Here’s a video with some unsupported claims about sedative and pain-relieving properties of lettuce water:

Video with entirely unsupported and implausible claims about lettuce water and insomnia.

Q: Okay, but I want original sources, please.

A: Fine. Here’s Shapla Hoque on TikTok with her how-to post about making and drinking lettuce water to cure insomnia.

No caption needed– Shapla tells all, shows all, and then gets sleepy, on camera.

Q: I’m intrigued, but need a bit more convincing. Have there been any studies done on lettuce water and insomnia?

A: Why yes, there have. ON MICE. The little rodents were already sedated with pentobarbital (a well-established send-you-to-sleep-right-now drug), then were given a variety of extracts from romaine lettuce. They managed to stay asleep. The scientists declared victory, saying “Romaine lettuce is an interesting and valuable source of sleep potentiating material and contains antioxidant phenolics that protect from the oxidant stress caused by sleep disturbance.”

Q: Hmmm. I’m not really a science person, but does that study show anything about the somnolent effects of lettuce water on mammals?

A. No. And, I might add, the amount of lettuce you’d have to consume to get enough lactucin and lactucopricin (the compounds under investigation) would end up taking all night, thus defeating the purpose.

Q: So why did you bring this up in the first place, getting my hopes up and then dashing them, leaving me wide awake with just my salad bowl for company?

A: Fighting health-related misinformation is important, no matter what, no matter when, no matter how. 2021 has been a banner year for health misinformation, so whatever we can do (even if it’s just to keep you all from storming the salad bar, then rushing home to don your jammies and hope for a miracle) we’re going to keep doing.

Q: One more question, while you’re here. Should I get one of the COVID vaccines if I haven’t already?

A. Yes. Check with your health care provider, but basically, yeah.