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Jewish women struggling with early menopause due to cancer treatment find new help
Beverly was 41, had two children and was contemplating a third when her first mammogram revealed a lump. Diagnosed with breast cancer, Beverly, who lives in Portland, Oregon, opted for chemotherapy, immunotherapy and a double mastectomy.
She knew the chemo would affect her fertility. What she didn’t know was that the type of cancer she had would necessitate hormone suppression drugs that would lead to severe menopausal symptoms.
For Beverly, now 46, that meant hot flashes, vaginal atrophy, zero libido, thick curly hair that turned straight, sparse and wispy, and what she describes as “old lady bones.”
“If I’m lucky enough to live to 95, am I just going to crumble into a pile of chalk?” she said.
Beverly, who asked that her last name be withheld for privacy reasons, is not alone in experiencing severe menopausal symptoms following breast cancer or ovarian cancer treatment or prophylactic surgery, which entails breast and/or ovary removal, sometimes along with removal of the uterine and fallopian tubes.
Risk-reducing surgery is often recommended for women who carry a BRCA1 or BRCA2 gene mutation, which significantly increases the risk of breast and ovarian cancer. These mutations are found in Ashkenazi Jews — in both women and men — at rates about 10 times higher than in the general population.
For women who test positive, surgery can reduce the risk of developing ovarian cancer by over 75%. There may also be reduced risk of breast cancer, though research findings are mixed.
While hormones gradually decline as older women approach menopause, younger women who undergo surgery-induced menopause may experience a sudden and dramatic hormonal crash.
“Natural menopause is gradual; surgical or medically induced menopause is intense,” said Elana Silber, CEO of Sharsheret, a Jewish nonprofit organization that provides support, counseling, patient navigation, financial assistance and education in the United States and Israel for those facing breast cancer and ovarian cancer.
“Doctors focus on immediate cancer treatment plans; Sharsheret helps support and educate women about what comes next,” Silber said. “We highlight these critical issues so that women know to raise them with their healthcare providers, and we make sure they don’t face those questions alone.”
As public discussions about menopause have become more common, Sharsheret has fielded a growing number of inquiries from young women seeking information on the subject and ways to connect with peers. Many are navigating an abrupt and frightening transition for which they never prepared, and they sometimes describe it as even more traumatic than their breast surgeries.
“Menopause brought on by breast cancer surgery or treatment doesn’t follow a normal, natural progression,” said Adina Fleischmann, Sharsheret’s chief services officer.
Sharsheret has responded by connecting women with social workers and genetic counselors to help them understand both the medical and emotional impact of treatment-induced menopause.
Through peer-to-peer connections, survivors are matched with others who have gone through the same surgeries and drug regimens. They get real-world perspectives that many women say they don’t receive from their physicians.
The organization also provides survivorship kits, medical webinars, and tailored educational materials on sexual health, bone strength, fertility preservation, and non-hormonal strategies for coping with hot flashes, sleep disruption, and vaginal dryness.
Beyond the physical symptoms, it’s not uncommon for women undergoing early menopause to experience depression, according to Dr. Gila Leiter, an Ob/Gyn affiliated with New York’s Mount Sinai Hospital and a member of Sharsheret’s medical advisory board.
“Knowing what symptoms to expect — and expect pretty suddenly — is very important,” Leiter said.
Liora Tannenbaum, Sharsheret’s Israel regional director, underwent risk reducing surgeries as a result of being a BRCA carrier. She said she was less fearful of the physical recovery from having her ovaries and uterus removed than when she did her double mastectomy, but she was terrified of the emotional and mental recovery.
“As much as I looked for people to talk to for support who had been through this, I found that so many women were suffering in silence,” Tannenbaum said. “The lowered tones and discomfort around the entire conversation caught me by surprise.”
One woman, M., 44, recalled symptoms “hitting like pile of rocks” after surgery five years ago to remove her ovaries, fallopian tubes and uterus. (She asked to use only an initial to preserve her privacy.)
Just 23 when she lost her mother to ovarian cancer, M. was 28 when she learned she carried the BRCA1 mutation. She spent several years considering her options before ultimately choosing to remove her ovaries and uterus.
“It took me a long time,” M. said. “The biggest concern is you want to have kids, and when you have these surgeries you can’t have kids.”
Most doctors, including M.’s, recommend such surgery by age 40. By 39, after two children, a third miscarriage, and ongoing exams, a suspicious finding — which proved to be nothing — made her doctor insist on risk-reducing surgery if she wanted to live to see her kids’ bar mitzvahs.
“I was already considering surgery, and that scare pushed me to do it,” M. said. “I’m glad I did.’”
But the sudden loss of hormones – not just estrogen, but also progesterone and testosterone – left her with vaginal dryness, loss of muscle mass, dry skin, diminished libido and a return of asthma. M., now a nurse who volunteers for Sharsheret’s peer network, noted that she wasn’t told during her medical appointments what to expect.
“The message was: ‘Don’t worry about it. We’ll give you a low-dose hormonal patch and everything will be fine,’” she recalled.
Menopausal symptoms aren’t severe for all women, and sometime they’re only temporary.
Farrah Zweig was 31 when she was diagnosed with hormone-positive, HER2-negative breast cancer. She had a lumpectomy, radiation and chemotherapy. She also took Lupron, a hormone suppression drug, which put her in menopause.
“My medical team did not discuss menopause with me,” said Zweig, now 42. “My only source of information was from people who had gone through it due to age, not as a result of a medical treatment like mine.”
She experienced the hot flashes and difficulty sleeping, which she expected, and also had a tough time losing weight she’d gained during chemo.
Leiter said physicians often don’t inform patients about treatments that might help their symptoms — even those that don’t involve hormones. She noted that antidepressants can reduce hot flashes and mitigate some of the irritability or emotional fluctuations. Meditation, cognitive behavioral therapy for insomnia, and laser treatments for vaginal dryness also can be effective.
“Knowing what you may feel and how you’re going to handle it, what medications are available, what support systems you’re going to have and maybe lining up your therapist or acupuncturist in advance makes all the difference,” Leiter said.
To speak with a social worker or someone at Sharsheret, visit www.sharsheret.org or call 866.474.2774.
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The post Jewish women struggling with early menopause due to cancer treatment find new help appeared first on Jewish Telegraphic Agency.
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The mayor missed the Israel Day Parade. Many who went didn’t miss him.
(JTA) — The energy was palpable Sunday as thousands packed a dozen blocks of Fifth Avenue waving Israeli flags for New York’s annual Israel Day Parade. Organizers said the turnout was the largest in the event’s six-decade history.
The procession featured its usual mix of Jewish nonprofits, schools and synagogues marching to blaring Israeli music alongside parade floats sponsored by groups including Nefesh B’Nefesh, the UJA Federation of New York and the Maccabiah Games.
But this year’s parade, which was themed “Proud Americans, Proud Zionists,” unfolded amid growing political polarization over Israel and without New York City Mayor Zohran Mamdani, who became the first mayor in decades to skip the event.
For all the criticism Mamdani has received over his campaign pledge not to attend the event, many of those who did turn out told the Jewish Telegraphic Agency they were glad he wasn’t there.
“He doesn’t like us,” said Andrea Roman, who attended the parade wearing an Israeli flag cape and thought it was “good” that Mamdani hadn’t come. “Why should you be some place where you don’t like? He does not promote peace. This promotes peace, but of course he’s not going to be here.”
Jeremy Bell, 39, also said wasn’t bothered by the mayor’s absence – and that there were many more who felt as he did.
“I don’t think that he was really wanted here,” Bell said, adding, “I don’t want to be here with someone who doesn’t believe in our right to exist and obviously associates with people that don’t have our best interests in mind.”
Despite Mamdani’s absence, the event, known as the largest pro-Israel parade in the world, featured a lengthy roster of political officials and lawmakers. New York Gov. Kathy Hochul, New York Attorney General Letitia James, U.S. Senate Minority Leader Chuck Schumer and U.S. Rep. Jerry Nadler were among those in attendance, as were former New York City Mayors Eric Adams and Mike Bloomberg.
NYPD Commissioner Jessica Tisch, who on Thursday said that security preparations for the parade would be “the most extensive” that the NYPD had ever put together, also joined the festivities as an honorary grand marshal.
While many paradegoers said that they never considered staying home because of security concerns, several said they appreciated the presence of thousands of police officers and extensive barricades that blocked the streets surrounding the event.
“We are grateful that tens of thousands of participants and spectators were able to gather safely and proudly in the heart of New York City,” Mitchell Silber, the CEO of the Community Security Initiative, said in a statement. “Today’s success reflects the extraordinary planning, coordination, and professionalism of the NYPD and our law enforcement partners.”
That number was boosted in some cases by participants who said the mayor’s decision to skip the event factored into their own decision to come.
Karene Hermon, 22, said that while previously she would have been more “neutral” about attending, hearing that Mamdani had chosen not to come drove her to “be with my people.”
“I think it sends the wrong message,” Hermon said of the mayor’s refusal to participate. “I think we’re trying to come together, not separate people, regardless of … how you feel about a cause.”
First-time paradegoer Luis Margules travelled to the march from Pennsylvania. He said that he had come because it felt like “a moment to be with Israel.”
“This is my first parade, but I think this year it’s one of the most important ones,” Margules said. “I think the world doesn’t understand the situation with Iran and the Palestinians, and everything is blamed on Israel.”
Ofir Akunis, the consul general of Israel in New York, said in a statement that the parade “delivered a resounding answer to all those who hate Israel.”
“This year’s parade was an unprecedented demonstration of strength by New York’s Jewish community and the people of Israel,” Akunis said. “It sends a clear and unequivocal message: We are here to stay, and we are not going anywhere.”
But not all of the spectators Sunday were there in support.
While there was no large-scale protest visible during the parade, roughly 25 people demonstrated along the route to oppose the inclusion of a record delegation of roughly 10 Israeli Knesset members, including far-right Finance Minister Bezalel Smotrich and two members of National Security Minister Itamar Ben-Gvir’s ultra-nationalist Otzma Yehudit party.
As the delegation passed the demonstration, which was organized by the progressive groups Israelis for Peace and Friends of Standing Together New York, protesters shouted “shame” and “war criminals,” according to Tamar Glezerman, an organizer for Israelis for Peace.
“We were there to protest against the Israeli Knesset delegation, the largest of its size of all of the parades, that sent members of the coalition and the so-called opposition to do hasbara and march victoriously up a New York avenue,” Glezerman told JTA in a phone interview Sunday, using the Hebrew word for public relations.
While the focus of the demonstration centered on opposing the Knesset delegation, Glezerman added that “a parade that very much champions unexamined, unchecked and non-critical support of Israel is perhaps important for people here. It is not good for Israelis. It sure as hell isn’t good for Palestinians.”
Margules, in contrast, said that seeing the Israeli Knesset members pass by had made him feel “proud.”
“It’s good to know that even in these dark times we can still be together without violence, and we can disagree on many things, but we have to agree on something,” Margules said. “We are here because Israel exists.”
This article originally appeared on JTA.org.
The post The mayor missed the Israel Day Parade. Many who went didn’t miss him. appeared first on The Forward.
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NY Democratic stalwarts show support for Israel even as Mamdani skips parade
(JTA) — Hundreds of Jewish leaders and New York politicians gathered early Sunday morning ahead of the annual Israel Day Parade to voice their support for the Jewish state, even as anti-Israel rhetoric has proliferated in elections across the United States.
“I stand before you as a proud Jew and a proud Zionist, and those of us who feel that way can never waver,” Rep. Dan Goldman, who is trailing primary challenger Brad Lander in the polls, said to a chorus of cheers. “It should not be momentous to say that, but unfortunately, in many ways, today it is.”
The annual pre-parade breakfast included a demonstration by New York Gov. Kathy Hochul of state power that will better defend Jewish institutions from anti-Israel protests that critics say have at times veered into antisemitism.
Sitting on stage at a desk flanked by a host of New York elected officials and Jewish nonprofit leaders, Hochul signed a statewide law establishing a 50-foot security “buffer zone” around houses of worship. The legislation is more expansive than a city-level law insulating houses of worship from protests that was passed without New York City Mayor Zohran Mamdani’s signature and was watered down after he expressed concerns about the bill.
Mamdani declined to participate in Sunday’s parade.
“We will not just march today in an act of defiance against those who say we have no right, we’ll also sign legislation that says no, we have the power, we have leaders in government who can make changes happen,” Hochul said.
Hochul, who is running for reelection, was not the only non-Jewish politician to join the pre-parade event hosted by the Met Council, a Jewish-run antipoverty nonprofit. Democratic New York Attorney General Letitia James and Republican Rep. Mike Lawler, both of whom are also running for reelection, spoke at the event.
James vowed that “antisemitism will not be tolerated in the state of New York as long as I am the attorney general.” She added, “It is not just the responsibility of the Jewish community to respond, it requires all of us to respond. To stand shoulder to shoulder, arm in arm with the Jewish community.”
Lawler took aim at antisemitism on the political left and right during his remarks, calling out Tucker Carlson, Marjorie Taylor Greene, Candace Owens and Hasan Piker by name.
“It is imperative, as elected officials, and there are a lot of elected officials in the room today, not just to be here, not just to say that we support a strong U.S.-Israel relationship, not just to speak out against antisemitism, but to root it out, to root it out by exposing the people in our own parties,” Lawler said.
Eric Goldstein, the outgoing CEO of the UJA-Federation of New York, thanked the public officials who showed up for joining in the Israel parade. He stressed, “We need to be open and public at this apolitical gathering to show our love for the one and only Jewish homeland.”
Mamdani’s refusal to participate, in contrast, has drawn condemnation from many Jewish leaders. Goldstein issued a scathing condemnation on Friday, writing in an open letter that the mayor’s absence is “simply the latest in a pattern of demonizing anti-Israel rhetoric and actions that continue to place the Jewish community of New York at greater risk.”
“Mr. Mayor, you cannot close your eyes to the deadly impact of this incendiary rhetoric that is playing out in Jewish communities across the world, from Bondi Beach to Boulder to Washington, D.C.,” Goldstein wrote.
Later Sunday morning, the organizer of the parade said that what really counted was those who did choose to come.
“Let’s give it up for all of our allies and supporters who are here, because that’s what matters, those who actually do show up,” Mark Treyger, the CEO of the Jewish Community Relations Council of New York, which organizes the parade, told the crowd as Jewish leaders and politicians gathered on a podium overlooking the parade route on Fifth Avenue.
“We march because of our unwavering, unflinching connection to the Jewish State of Israel,” he declared.
Senate Minority Leader Chuck Schumer also gave remarks from the podium before politicians including Hochul, James and New York City Council Speaker Julie Menin began marching down Fifth Ave to speakers blaring Israeli music.
“The Jewish people have yearned for a state of Israel, whilst experiencing the constant anxiety of knowing the place where they live could violently expel them at any moment, as happened again and again,” Schumer said. “We cannot, we must not go back to that era. I believe in the State of Israel. I support the State of Israel.”
This article originally appeared on JTA.org.
The post NY Democratic stalwarts show support for Israel even as Mamdani skips parade appeared first on The Forward.
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For the first time, a kosher restaurant has won a Michelin star
(JTA) — As golden confetti rained down around him Thursday, Israeli chef Raz Shabtai broke down in tears and was embraced by his cheering staff.
Moments earlier, a livestreamed Michelin ceremony had announced that his Miami restaurant, Mutra, had become the first kosher restaurant ever awarded a Michelin star, long regarded as the highest honor in the restaurant industry.
“It’s a moment of joy, it’s a moment of pride, it’s a moment of relief, it’s a moment of confirmation,” Shabtai told the Jewish Telegraphic Agency Friday. “It’s not just about Mustra getting that star, but it’s about the entire Jewish community getting that, and I felt a lot of responsibility.”
Shabtai, who has worked in kitchens across New York and Israel, opened Mutra in February 2025, naming the kosher eatery after his Jerusalem-born grandmother whose cooking he said heavily inspires its menu.
“I really like to call the restaurant Jerusalem cuisine versus Mediterranean and Middle Eastern or Israeli or stuff like that, because the flavors that I’m trying to bring to the table, it’s flavors that came from memories and visiting in the market with my grandma,” Shabtai said. “I have to be very loyal to what my grandma fed me.”
A description of Mutra on the Michelin website praised the restaurant’s “show-stopping plate of beets in a pool of ajo blanco and topped with beetroot sorbet” and “signature lamb kebab with smoked aubergine cream and tomato oil.”
“Israeli Chef Raz Shabtai has brought his take on Middle Eastern cuisine to Miami,” the Michelin inspectors wrote. “Named for his grandmother, this is a place where snagging a seat at the chef’s counter is a must.”
The award places Mutra among the world’s most celebrated restaurants and marks a breakthrough for kosher cuisine, which operates under strict dietary rules. For Shabtai, who has kept kosher for more than a decade, the award proved that culinary excellence can thrive under those constraints.
“Kosher is a beautiful spiritual way of me to bond with God, and the limitation that he gave me, but yet to do amazing good food that everybody can eat,” Shabtai said.
The recognition arrived after months of suspense. Shabtai said that Michelin inspectors visited the restaurant several times before sending an email in February requesting information and photos about the establishment, a sign he said alerted them that they were under consideration.
For Noa Figari, Mutra’s director of operations who joined the team after first working as Shabtai’s real estate agent to find the Miami location, the announcement Thursday was a “release.”
“All the hard work that we put has been, you know, validated,” Figari said. “We carry a responsibility not only just for Raz’s cuisine, but for the whole entire Jewish community and kosher world we made history.”
Looking ahead, Shabtai said he hoped the achievement would inspire other kosher chefs.
“Be proud of where you’re coming from, get connected to those roots that you have,” Shabtai said. “Sometimes it’s not going to be a smooth sail. It’s okay, learn how to fix it, but believe in yourself. Don’t ever compromise, and don’t let other people compromise you.”
This article originally appeared on JTA.org.
The post For the first time, a kosher restaurant has won a Michelin star appeared first on The Forward.