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Rest and recreation are essential tools for resilience and good mental health as they help support the biological rhythms your body is already running. We'll dig into these rhythms more in this episode by breaking down three layers of the body's natural cycles: Ultradian rhythms (the short cycles within each day), circadian rhythms (24 hour cycle), and infradian rhythms (longer cycles like menstruation and seasonal changes). The practical thread through all three is the same: manage energy, not time. Notice your rhythm and do your best to honor what your body is telling you. Note: This is an encore episode, originally aired during Joy Lab's Roots of Resilience Series (Element: Resilience). It's replaying here to close the month of Re-Creation because it goes straight to the biological foundation of why rest and recreation aren't optional extras — they are literally built into your body. As Aimee puts it in her intro: these rhythms are not something to fight. They're something to come home to. About: The Joy Lab Podcast is an Ambie-nominated podcast that blends science and soul to help you cope better with stress, anxiety, and depression. It's hosted by integrative psychiatrist Dr. Henry Emmons and holistic mental health researcher Dr. Aimee Prasek. The podcast is best paired with the Joy Lab App. Bonus: spread some joy and keep this podcast ad-free by donating (Joy Lab is powered by the nonprofit Pathways North and your donations are tax-deductible). Listen & follow the Joy Lab Podcast on your favorite listening app: Spotify | Apple | YouTube Full transcript here Sources and Notes: Joy Lab Experiments: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life. Joy Lab episodes referenced: Joy Lab Podcast #13 (The Roots of Resilience) This episode is a broad overview of what we'll be talking about over the next 9 episodes. It's a really helpful summary! Roots of Resilience Series starts with episode #53: Roots of Resilience Chemistry of Calm (Dr. Emmons' book referenced in this series) The 20 Minute Break (book) Linnaeus' Flower Clock How does the brain deal with cumulative stress? A review with focus on developmental stress, HPA axis function and hippocampal structure in humans Cumulative Stress and Health Questions this episode was made for: Q: Why do I crash mid-afternoon and feel like I can't focus no matter how hard I try? A: That's your ultradian rhythm doing exactly what it's designed to do. This episode explains the 60-to-90-minute focus window, why pushing through leads to a steeper crash, and what a 15-to-20-minute break actually does to restore your brain's capacity. Q: Could my sleep or stress problems be connected to my hormones being out of rhythm? A: It's certainly possible. This episode walks through how cortisol fluctuates naturally across 24 hours, what happens when that pattern gets disrupted by chronic stress (including the classic 3 AM wake-up), and how protecting your sleep is the single most powerful thing you can do to help let your system rebalance itself. Key moments: [00:00] Aimee's intro to the encore: this episode closes the month of Re-Creation by grounding rest in biology — rhythms aren't optional, they're built in [01:00] Welcome — the Element of Resilience, Roots of Resilience Series, third root: aligning with nature [01:30] Henry: bio-rhythms might be the most important and most easily ignored root of resilience [02:00] Natural world runs on cycles — plants and animals fall in line naturally; humans have the choice to ignore or fight them [03:00] Inside the body: hormones, energy, focus, and mood are all directly shaped by these rhythms [03:30] Depression can be a problem with internal timing — getting out of sync with bio-rhythms; Chronobiology and body-clock research: a booming field; SAD as a familiar example of seasonal rhythm [04:30] Three rhythms to cover: ultradian (under 24 hours), circadian (24 hours), infradian (more than 24 hours) [05:00] Ultradian rhythms: most overlooked, most ignored in the typical workday; What we do instead: push through, reach for sugar or caffeine, experiment with nootropics — when the body is asking for a break [07:00] Henry: managing energy rather than time — noticing when you're fading and honoring it early before the crash [08:00] Dr. Anders Ericsson's violinist study: comparing professional soloists with good-but-not-great performers [10:00] The lesson: excellence came from tending to rhythms, not from fighting through them — more practice was possible because of better recovery [10:30] Transition to circadian rhythms — sleep is the big one here [11:30] Henry: sleep might be the best mood stabilizer available — the research is unambiguous; People with depression + sleep problems who improve their sleep double their chances of recovery [12:00] People without depression who develop sleep problems double their risk of becoming depressed [12:30] Cortisol fluctuates naturally over 24 hours — lowest during deep sleep, starts rising around 3–4 AM, peaks in morning, dips post-lunch, rises again mid-afternoon, declines through evening [13:30] The post-lunch cortisol dip: a natural signal for rest, a walk, or a nap [14:00] The HPA axis (hypothalamus, pituitary, adrenal): when this gets out of sync, depression can follow [14:30] Aimee: the 3–4 AM cortisol surge — when under stress, that's exactly when people wake up and can't get back to sleep [15:30] Mood problems can arise or worsen from fighting these natural cycles — enormous friction and energy wasted [16:00] Ways to tap into circadian rhythm: notice the animals and nature around you — dogs, chickens, birds, flowers [17:30] Light exposure: get bright light in the first 1–2 hours after waking; dim lights significantly in the evening [18:00] In winter: dawn simulator or bright light device in the morning; 15-minute session around 5 PM to help set sleep timing [20:00] Adrenal fatigue: when stress goes on long enough, adrenal glands become overtaxed — a state of profound depletion, controversial but real [20:30] Possible connection to long COVID — a pattern Henry has seen clinically [21:30] Infradian rhythms: cycles longer than 24 hours — less obvious but powerful when you become aware of them [22:00] Two key infradian rhythms for mental health: menstruation and seasonal affective disorder [22:30] Menstruation: predictable changes in mood, energy, and sleep — part of a sophisticated, elegant cycle [24:30] Seasonal depression: root cause is the change in circadian rhythm — shorter days disrupt bio-rhythms [25:00] Henry's short course on SAD: convince your body it's not the middle of winter — bright light early and late, fresh light foods, keep moving [26:00] Closing wisdom from Lao-Tzu: "Nature does not hurry. Yet everything is accomplished." If you enjoyed this episode, please rate and review us wherever you listen to your favorite podcasts! Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org. Find more mental health resources here.
There are many acceptable approaches to adrenalectomy. Hypercortisolism with adrenal origin is a challenging topic especially in a population where obesity is incredibly common. A thorough biochemical workup involving endocrinologists and endocrine surgeons is key to offering the best surgery. Large adrenal tumors with indeterminate imaging characteristics have historically been removed with an open surgical approach. However, with modern robotic technology, it is possible to remove these successfully using a minimally invasive approach with a high-volume surgeon. Today we will discuss some clinically challenging adrenal cases addressing the above issues, and include tips and tricks from an expert, high-volume robotic adrenal endocrine surgeon. Hosts:- Amanda Doubleday, DO, MBA, Assistant Professor, Waukesha Surgical Specialists, ProHealth Care. Affiliated with University of Wisconsin School of Medicine and Public Health, Department of Surgery.- Simon Holoubek, DO, MPH, Assistant Professor, University of Wisconsin School of Medicine and Public Health, Department of Surgery.- John R. Porterfield, Jr., MD, MSPH, FACS, President of Clarus Surgery, President of Apex PA Surgical Services and Founder & Chief Medical Officer of Informed SurgicalPlease visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
This mini-series on Behind the Knife will delve into the technical aspects of the Operative Standards for Cancer Surgery, developed through the American College of Surgeons Cancer Research Program. This third episode highlights the Hepato-Pancreato-Biliary cancer operative standard.Hosts:Eliza W. Beal, MD, FACS (X: @ElizaWBealMD) is a Hepato-Pancreato-Biliary surgeon at the Barbara Ann Karmanos Cancer Institute in Detroit. She is also an associate professor of Oncology and Surgery at Wayne State University School of Medicine.Morgan Jackson, MD is a general surgery resident at the Detroit Medical Center and Wayne State University in Detroit, MI.Daniel Nelson, MD, FACS, FSSO (X: @DWNelsonHPB) is a Hepato-Pancreato-Biliary surgeon at the University of Tennessee Health Science Center - Chattanooga.Hop Sanderson Tran Cao, MD, FACS (X: @HopSTranCao) is a Hepato-Pancreato-Biliary surgeon at MD Anderson Cancer Center. Guest:Alice Wei, MD is a Hepato-Pancreato-Biliary surgeon at Memorial Sloan Kettering and associate professor of surgery at Weill Cornell School of Medicine. Dr. Wei contributed to the development of the operative standards for HPB surgery. Learning Objectives: The goals of this podcast are to provide education about the standards, generate discussion, and offer technical pearls to both oncologic specialists and general surgeons, to all of whom these standards apply. In this podcast we discuss the operative standards for liver resection for hepatocellular carcinoma, which includes that the surgeon should: (1) perform a thorough inspection of the liver and abdomen, either laparoscopically or open, including performing liver ultrasound, and (2) should resect all lesions to macroscopically negative margins, preferably with an anatomic resection. Our guest Dr. Wei also provides technical tips, pearls for improving skills performing and interpreting liver ultrasound, and discusses the role of lymphadenectomy in patients with hepatocellular carcinoma. References: Operative Standards for Cancer Surgery, Volume 3: Sarcoma, Adrenal, Neuroendocrine, Peritoneal, Urothelial, Hepatobiliary https://www.facs.org/quality-programs/cancer-programs/cancer-surgery-standards-program/operative-standards-for-cancer-surgery/purchase/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-reviewOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-reviewEPA Playbook: https://behindtheknife.org/course/epa-playbookSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcardsABSITE Review: https://behindtheknife.org/course/absite-2026-exam-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
In this Supplement Ingredient Series episode, Nurse Doza breaks down bovine adrenal gland — a glandular supplement with over a century of use, rooted in the ancestral practice of eating organ meat for nutrients the body needs to function. He explains how cortisol dysregulation can show up as afternoon crashes, mood shifts, and restless nights, and why adrenal glandular is paired with adaptogens and B vitamins in a three-in-one formula built to support the stress response. FEATURED PARTNER Zen (Stress Relief) by MSW Nutrition is the bovine adrenal gland formula Nurse Doza reaches for himself — and the reason is the ingredient itself, which is genuinely hard to find on a shelf. One capsule delivers 125 mg of adrenal gland tissue sourced from Argentina, paired with four standardized adaptogens (Asian ginseng, rhodiola, eleuthero, and schisandra), plus vitamin C, vitamin B6 as P5P, and pantothenic acid. That's the three-in-one Nurse Doza describes in this episode: glandular, adaptogens, and B vitamins in one capsule, formulated to support the body's stress response and steadier daily energy.
¿Te inyectaste ácido hialurónico o usas capas de corrector y aun así tu mirada luce hundida, oscura y cansada? La razón es clara: la ojera profunda no es una falta de cosmético, es la huella de la fatiga adrenal, la falta de microcirculación y un sistema nervioso en constante alerta.En este video realizamos un fortalecimiento somático profundo con el Método Yuen bajo el protocolo de Relleno de ojeras energético. El hundimiento y el tono oscuro alrededor de los ojos son la respuesta de tu cuerpo ante el agotamiento de las glándulas suprarrenales, el insomnio de un sistema nervioso que no se apaga y el estancamiento de sangre desoxigenada en el surco lagrimal. Con esta reprogramación cuántica, estimulamos la producción nativa de ácido hialurónico y colágeno periorbitario para devolver el volumen natural sin inyecciones ni bolsas de agua. Al mismo tiempo, equilibramos el ritmo circadiano, restauramos la función adrenal y activamos el drenaje linfático facial para eliminar la mirada de cansancio, devolver la luz al contorno ocular y recuperar la frescura desde la neutralidad absoluta.• Restaurar Volumen y Tejido en Surco Lagrimal: Estimulamos colágeno y ácido hialurónico nativos para eliminar ojos hundidos y surcos oscuros.• Reparar la Fatiga Adrenal: Nivelamos cortisol y adrenalina en las suprarrenales para eliminar la marca física del agotamiento y el insomnio.• Drenaje y Oxigenación Microvascular: Disolvemos el estancamiento de sangre desoxigenada y linfa para aclarar la pigmentación morada o parda.• Regeneración del Ritmo Circadiano: Fortalecemos el sueño profundo para asegurar una recuperación y descanso continuo en la piel periocular.Escucha este fortalecimiento en reproducciones continuas o loop mientras descansas, caminas o trabajas para fijar el comando en tu línea media. Si estás lista para reprogramar tu hardware biológico y devolver la juventud a tu mirada, inscríbete gratis en mi taller en rociosantibanez.com (encuéntralo en el cintillo superior). Dale me gusta al video, suscríbete para continuar reprogramando tu biología y comenta "Devuelvo la luz a mi mirada" para fijar esta orden hoy.Nota importante: Este contenido forma parte de un enfoque somático alternativo de reingeniería humana y biofísica cuántica. Su objetivo es el fortalecimiento energético y biológico del cuerpo; no constituye un diagnóstico clínico, no es un tratamiento estético o médico y no sustituye la consulta o supervisión de profesionales de la salud.¿Lista para el cambio? Haz clic y comienza tu viaje hacia una vida sin límites.
A rash baffled 25 years of dermatologists. It disappeared in a week once Dr. Steven Zodkoy traced it to a childhood memory. Here's what that case, and the concept of a "biofilm," has to do with your migraines and your bladder. Dr. Chris Motley sits down with Dr. Steven Zodkoy, a chiropractor and applied kinesiologist who became the first in his field to pass the American College of Nutrition exam, a credential previously reserved for MDs and PhDs. Thirty-five years into practice, Dr. Zodkoy specializes in the patient conventional medicine gave up on: the migraine sufferer, the "recurring UTI" patient who never actually had a UTI, the chronic fatigue case with a normal bloodwork panel. His framework rests on one idea most doctors do not test for: the biofilm, a sticky protective layer that bacteria, viruses, mold, and parasites lay down to hide from the immune system and from treatment. Once one pathogen builds a biofilm, Zodkoy argues, it invites others in, which is why a "cured" infection so often resurfaces as something else entirely, chronic sinusitis becoming Lyme-like fatigue, a bladder infection becoming a lifetime of unexplained pelvic tightness, a resistant childhood strain becoming an adult autoimmune diagnosis. Key Takeaways Biofilms are why a "cleared" infection keeps coming back as something else. A biofilm is the mucous-like shield a bacterium, virus, parasite, or mold colony builds to hide from the immune system and from antibiotics. Once it's there, he says, it invites other pathogens to shelter in it too, which can explain why chronic sinusitis, Lyme-linked fatigue, and mold exposure so often show up in the same patient. Interstitial cystitis is frequently a tight-bladder problem being treated as a recurrent UTI. Dr. Zodkoy's read: stress and anxiety tighten the bladder, it never fully empties, and what's left behind gets infected, so the antibiotic treats a symptom while the muscle stays tight and the infections keep returning. His protocol adjusts the pelvic floor and pubic symphysis, then layers in biofilm-breaking supplements and emotional work. A 25-year rash resolved after one round of Neuro-Emotional Technique tied to an age-seven memory. Every physical test on this patient, mold, yeast, parasites, heavy metals, came back clean. Emotional testing didn't. His migraine protocol runs liver support first, nervous system second, emotional work third, in that order, on purpose. Dr. Zodkoy's 1992 theory ties migraines to a slow-functioning liver overloaded by chemical exposure, hormones, or diet. He walks us through his 8-week liver protocol, 16 weeks including autonomic nervous system support, and a 96% success rate once emotional work is added. You cannot do deep detox or trauma work on a nervous system that has nothing left. There's no point moving to detox, biofilm-clearing, or emotional release until a patient's self-rated energy crosses roughly 50 to 60 out of 100. [00:00:00] Cold open: migraines, interstitial cystitis, chronic fatigue, and the biofilm nobody explains [00:02:02] Origin story: "doctor, lawyer, doctor" and practicing three months before 25 [00:04:04] Why he became a nutritionist first: the autonomic nervous system as the missing piece [00:06:08] Finding a hidden emotion: the six-minute visit versus a real history [00:09:37] The HPA axis toolkit: DHEA, GABA, adaptogens, and a gut bacterium built for stress [00:11:27] NET, emotion code, and generational trauma: "it doesn't have to be real, it has to be believed" [00:14:36] The 25-year rash: a muscle test, a forgotten age seven, and a mother's confession [00:19:04] Migraines: the 1992 liver theory, the 80/20 split, and a claimed 96% success rate [00:23:43] Interstitial cystitis is not a UTI: the tight bladder nobody is treating [00:27:06] Killing the biofilm: natokinase, antimicrobials, and cranial electrotherapy stimulation [00:31:29] The sympathetic-parasympathetic seesaw, and why healing collapses without it [00:34:59] The "oomph" scale: testing cortisol at home and in the office [00:36:27] The protocol in order: glandulars, adaptogens, and parasympathetic support, dosed on purpose [00:43:30] Chronic fatigue, sinus biofilms, and the "house party" that becomes Lyme, EBV, and mold [00:47:19] Parasites in America, and the TG/HDL ratio he says predicts heart risk [01:00:02] Closing: where to find Dr. Zodkoy, and a teed-up follow-up on the healthcare system Resources Mentioned Tools & Products Biofilm Clear: Zodkoy's stated favorite combination product for breaking down biofilms, made up of natokinase, serrapeptase, lumbrokinase, and bromelain. He describes dosing at 2000 IU for patients under 50 and up to 4000 IU for patients over 50 with abnormal bloodwork. CP2305 (referenced in audio as "PC2305"): a Lactobacillus gasseri probiotic strain studied for stress and HPA-axis effects. True Laser: a home low-level laser device Zodkoy places over the vagus nerve. Cranial electrotherapy stimulation (CES) units: clip-on-the-ear devices Zodkoy uses for anxiety, sleep, depression, and (with pads placed over the bladder) interstitial cystitis relief. Adrenal glandular products (brand examples given: Adrenal Complex from Designs for Health, Adrenal from Orthomolecular, Cortex from Thorne Research), used at a fraction of label dose, one pill in the morning only, per Zodkoy's protocol. Adaptogens referenced: ashwagandha, holy basil, rhodiola, cordyceps. • Nervous-system support referenced: DHEA, L-theanine, GABA, phosphatidylserine, adrenoglandulars. Antimicrobials referenced for biofilm-associated infections: berberine, olive leaf, oregano. Nutrients referenced for liver-support migraine protocol: B vitamins, glutathione, NAC. Concepts referenced: HPA axis (hypothalamus-pituitary-adrenal): the stress-response pathway Zodkoy targets before any other intervention. Applied kinesiology: manual muscle testing Zodkoy uses to distinguish emotional, physical, biochemical, parasitic, fungal, or toxic causes of a symptom. NET (Neuro-Emotional Technique), Emotion Code, Body Code: hands-on techniques used to locate and release stored emotional triggers. Sympathetic and parasympathetic nervous system balance: the "seesaw" framework underlying his treatment sequencing. • Triglyceride-to-HDL ratio: Zodkoy's preferred cardiovascular risk marker over total cholestero Want more of The Ancient Health Podcast? Subscribe to the YouTube channel. ------ Follow Doctor Motley! Instagram TikTok Facebook Website Follow Dr. Steven Zodkoy https://www.instagram.com/drstevenzodkoy/ ------ *You can get cell support in gummy form: Mitopure now starts at $79, when you go to timeline.com/DRMOTLEY. *Join Doctor Motley's newsletter for TCM insights and regular podcast updates https://www.doctormotley.com/ *Do you have a ton more in-depth questions for Doctor Motley? Check out his course on emotions and the body in his membership. You'll find other courses full of his expertise and clinical wisdom, plus bring all your questions to his weekly lives! To try risk-free for 15 days click here https://www.doctormotley.com/15
Adrenal glands produce hormones for energy, the immune system, mood, and muscle strength. Cortisol is one of the most important adrenal hormones!! And don't miss the following topics that Terry will also discuss on this show: Young Adults are Aging Faster Nutrient of the Day: Zinc A Closer Look at: Sciatica Inflammation in the Brain Puts the Brakes on Memory Quick Tips for Heartburn Relief Even the Bare Minimum of Choices Can Extend Your Life
Join The Circle (use code PODCAST): ➡️ https://holplus.co/circle/Are you tired throughout the day but unable to switch off at night? Are you experiencing anxiety, brain fog, disrupted sleep, blood sugar swings, or stubborn belly fat?In this episode of Hol+, Dr. Taz examines what she calls the modern cortisol crisis and explains how chronic stress can affect the body far beyond your emotional health.You'll learn how cortisol is supposed to rise and fall throughout the day, what can happen when that rhythm becomes disrupted, and why screens, artificial light, processed foods, caffeine, overscheduling, isolation, and poor sleep may keep the body in a prolonged stress response.Dr. Taz also walks through four commonly described stages of cortisol dysregulation, from elevated daytime cortisol to feeling wired at night and eventually completely depleted. She explains how cortisol may interact with blood sugar, weight, inflammation, reproductive hormones, thyroid function, mood, and cognitive health.The episode concludes with practical ways to support a healthier stress response through consistent sleep, morning light, balanced meals, nutrient support, time in nature, intentional recovery, and stronger family connection.In this episode: How cortisol functions as part of the stress response• Why high cortisol may contribute to palpitations, blood sugar instability, and belly fat• What it means to feel tired during the day but wired at night• Four commonly described stages of cortisol dysregulation• How chronic stress can affect hormones, mood, and inflammation• How cortisol patterns may be evaluated• Why sleep and light exposure are foundational• How nutrition and meal timing may support recovery• Why stress regulation should involve the entire familyThe symptoms discussed in this episode can have many possible causes. “Adrenal fatigue” is not recognized as a formal diagnosis by major conventional medical organizations. Speak with a qualified healthcare professional before changing your treatment, diet, supplements, or hormones.Learn more about cortisol testing and stress-related symptoms:https://holplus.co/services/cortisol-stress/Learn more about hol+ and schedule an appointment:https://holplus.co/Listen to more episodes of the hol+ podcast:https://holplus.co/podcast/Stay Connected:Dr. Taz: https://www.instagram.com/drtazmd/Hol+: https://www.instagram.com/liveholplus/Hol+ Show: https://www.instagram.com/holplushow/Subscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@HolPlusShow/podcastsGet your copy of ➡️ The Hormone ShiftChapters00:00 Why We're Living Through a Cortisol Crisis 00:58 Signs of Chronic Stress in Adults and Children 03:10 What Cortisol Does in the Body 04:42 High Cortisol, Blood Sugar, and Belly Fat 06:26 How Cortisol Affects the Brain, Mood, and Inflammation 09:30 Why Modern Life Keeps Cortisol Elevated 12:58 How Technology and Poor Sleep Affect Children 13:43 How Food, Sugar, Alcohol, and Caffeine Affect Cortisol 15:17 Nature, Isolation, and Family Stress 17:47 Why Conventional Medicine May Miss Cortisol Dysfunction 18:41 The Four Stages of Cortisol Dysregulation 21:33 How to Reset Your Sleep and Cortisol Rhythm 23:19 What to Eat When Your Cortisol Is Disrupted 24:29 Nutrient Deficiencies and Hormone Imbalances 25:52 Building Recovery Time Into a Stressful Life 27:29 How to Test Your Cortisol Levels 28:55 Creating a Holistic Cortisol Recovery Plan 30:09 How to Lower Cortisol Across the Entire FamilyProduced by https://ClipGrowth.com (Producer: Pat Gostek)
In this episode of the Kinked Wire podcast, Parveer Kaur and Lei Yu, MD, discuss how Dr. Yu has seen an increase in the number of adrenal vein sampling procedures she does in Omaha. She also dives into why her methodical approach works for her, and her patients. Support the show
Send us Fan MailYou've probably already self-diagnosed. Thyroid on Monday. Perimenopause by Wednesday. Adrenal fatigue on Friday, right after the Reel that described your exact 2 a.m. wake-up. And you're still stuck.In this episode, Kacey walks through the four hormone patterns she sees over and over in the high-functioning women she works with — the thyroid-adrenal tangle, cycle and luteal chaos, perimenopause knocking early, and the post-pill / insulin-PCOS pattern — plus the most honest answer of all: most women are running a stack of all four.She names why the internet can't tell you which one is actually running your life, why isolated fixes haven't worked, and what actually looking at the picture in labs makes possible. Plus: exactly what a lab package with her looks like, and how to figure out where you land right now.Ready to figure out your pattern? Head to Instagram @simplyhealthywellness and comment or DM the word HQUIZ — the four-pattern quiz will come straight to your DMs. Then reply with your letter (or "it's a mix") and tell Kacey what you got.Ready to stop guessing entirely? DM the word FMLABS and Kacey will help you figure out which lab combo makes sense for your specific situation.This week's Kick Rocks: the birth-control-as-hammer and SSRI-as-first-line crowds.New episodes weekly. Follow the show.Follow on Instagram @simplyhealthywellnesshttps://simplyhealthyintegrativewellness.com/
You've been told your skin is aging because of what's happening on the outside, but I think the real fire is inflammation coming from the inside. I'm not saying the sun is the enemy; I'm saying the processed seed oils on your plate are feeding the problem far more than the sun ever could. Get the inside right, support your barrier instead of assaulting it, and your skin will do what it was built to do. CLICK HERE TO BECOME GARYS VIP!: https://bit.ly/4ai0Xwg Connect with Dr. Shawana Vali Website: https://bit.ly/467cGNl YouTube: https://bit.ly/3NuM9TU Instagram: https://bit.ly/4a6SMV5 Facebook: https://bit.ly/4jN5ICM Connect with Dr. Barbara Sturm Website:https://bit.ly/3J07mmR YouTube: https://bit.ly/47aDiwA Instagram: https://bit.ly/42VwEsV Facebook: https://bit.ly/48J6Eom Connect with Danica Patrick: Website: https://bit.ly/3GgvaBv YouTube: https://bit.ly/4ko12lH Instagram: https://bit.ly/44d7Bmk Facebook: https://bit.ly/4lFJG4R Thank you to our partners A-GAME: “ULTIMATE15” FOR 15% OFF: http://bit.ly/4kek1ij AION: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD AIRES: "ULTIMATE20 " FOR 20% OFF: https://bit.ly/4a3Duze BAJA GOLD: "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa BODYHEALTH: “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV COLD LIFE: THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp CYMBIOTIKA: "ULTIMATE10" FOR 10% OFF: https://bit.ly/4tjyluP GENETIC METHYLATION TEST (UK ONLY): https://bit.ly/48QJJrk GENETIC TEST (USA ONLY): https://bit.ly/3Yg1Uk9 GOPUFF: GET YOUR FAVORITE SNACK!: https://bit.ly/4obIFDC H2TABS: “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg HEALF: 10% OFF YOUR ORDER: https://bit.ly/41HJg6S PEPTUAL: “TUH10” FOR 10% OFF: https://bit.ly/4mKxgcn SNOOZE: LET'S GET TO SLEEP!: https://bit.ly/4pt1T6V WHOOP: JOIN & GET 1 FREE MONTH!: https://bit.ly/3VQ0nzW Watch the “Ultimate Human Podcast” every Tuesday & Thursday at 9AM EST: YouTube: https://bit.ly/3RPQYX8 Podcasts: https://bit.ly/3RQftU0 Connect with Gary Brecka Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8foX: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H LinkedIn: https://bit.ly/4hH7Ri2 Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps 00:00 - Intro of Show 02:44 - The inside-out consultation 03:42 - The real offenders of skin aging 07:34 - Stress, oxidative stress, and collagen 10:07 - Adrenal fatigue and peptide recovery 10:36 - Fasting, autophagy, and skin glow 12:50 - Wash with water: the minimal routine 14:42 - Inflammation as the root cause 15:31 - PRP, BPC-157, and how healing works 18:46 - Retinol: borrowing from your future 19:43 - Anti-inflammatory foods for skin 21:49 - How seed oils are processed 23:46 - Hydration, telomerase, grapes vs raisins 28:11 - The four-product routine 28:45 - Danica Patrick on breast implant illness 34:19 - Oil returned within hours 36:03 - Your skin is communicating with you Disclaimer: This podcast is for informational purposes only and does not provide medical advice. It is not intended for diagnosing or treating any health condition. Always consult a licensed healthcare professional before making health or wellness decisions. Gary Brecka is the owner of Ultimate Human, LLC which operates The Ultimate Human podcast and promotes certain third-party products used by Gary Brecka in his personal health and wellness protocols and daily life and for which Ultimate Human LLC and / or Gary Brecka directly or indirectly holds an economic interest or receives compensation. Accordingly, statements made by Gary Brecka and others (including on The Ultimate Human podcast) may be considered promotional in nature. Learn more about your ad choices. Visit megaphone.fm/adchoices
Fibromyalgia and adrenal fatigue go hand in hand — and most people are never told why. In this episode, Nurse Doza breaks down five things you need to understand: why fibromyalgia is a nervous system stuck in fight-or-flight, how your adrenals burn out first, why DHEA-S is the one lab that reveals severity, and how to restore rest-and-digest mode with targeted adrenal and neurotransmitter support. Featured Product: Zen Years stuck in fight-or-flight leave your adrenal glands running on empty — and that burnout is the fatigue, poor recovery, and wired-but-tired feeling at the center of fibromyalgia. Zen is an adaptogen formula built for exactly that. It pairs bovine adrenal glandular tissue with a comprehensive blend of botanical adaptogens, B vitamins, and vitamin C to support your stress response, steadier energy, and a calmer nervous system. Take one capsule twice daily to start supporting the system from the inside.
Nesse episódio, convidei a Dra. Mariana Alves para esmiuçar os detalhes da hiperplasia adrenal congênita, que é um diagnóstico diferencial muito importante para nós, ginecologistas, no dia a dia do consultório. O bom médico é aquele que pensa em mais diagnósticos diferenciais.Episódio apoiado pela equipe MedCof GO. Com o cupom ESPECULANDO, vocês conseguem R$ 300 de desconto nos cursos para R+ de GO, Mastologia e para o TEGO: https://tego.grupomedcof.com.br
Today we have another Pulm PEEPs Pearls episode about a core critical care topic. Furf and Monty will be giving a high level overview of the use of steroids in sepsis including a review of the relevant literature and recent guidelines, and pragmatic bedside points. Contributors This episode was prepared with research by Pulm PEEPs Associate Editor George Doumat. Dustin Latimer, another Pulm PEEPs Associate Editor, assisted with audio and video editing. Key Learning Points Why Steroids in Sepsis? Steroids do not treat the infection — antimicrobials are always first and remain the cornerstone. The goal is addressing critical illness–related corticosteroid insufficiency (CIRCI), where cortisol production cannot keep up with the overwhelming inflammatory demand of septic shock. Hydrocortisone helps in two main ways: Blunts the dysregulated inflammatory response — tempers the excessive vasodilation and febrile response that drive harm beyond the infection itself. Restores vascular sensitivity to catecholamines — sepsis downregulates adrenergic receptors; steroids turn that responsiveness back on. Clinical takeaway: The first thing you notice is vasopressor weaning (or a bend in the escalation curve) — not a rapid improvement in fever or white count. Caveat: These trials predate modern sepsis phenotyping. None distinguish hyperinflammatory vs. hypoinflammatory responders — they treat all comers. The Evidence: Four Landmark Trials Every IM resident and critical care fellow will eventually journal-club these four. The most consistent signal across all of them is faster shock reversal and reduced vasopressor use; the mortality question remains unsettled. Trial (Year)NRegimenKey FindingAnnane (2002)~300Hydrocortisone + fludrocortisoneMortality benefit in ACTH non-responders; criticized methodology and messy cortisol-response testing; not cleanly replicated.CORTICUS (2008)~500Hydrocortisone aloneFaster shock reversal but no mortality benefit, regardless of cortisol responsiveness. Raised (later allayed) superinfection concern. Cornerstone for abandoning routine cort-stim testing.ADRENAL (2018)~3,800Hydrocortisone aloneFaster vasopressor weaning; no 90-day mortality benefit.APROCCHSS (2018)~1,200Hydrocortisone + fludrocortisoneMortality benefit at 90 days. Bottom line: Faster shock reversal is consistent. Mortality benefit appears in 2 of 4 trials (both used fludrocortisone) but not the others. A 2026 meta-analysis showed benefit for hydrocortisone + fludrocortisone vs. placebo, but not for hydrocortisone + fludrocortisone vs. hydrocortisone alone — suggesting hydrocortisone drives the main effect. Who Gets Steroids, and When? 2021 Surviving Sepsis: Consider steroids for norepinephrine or epinephrine ≥ 0.25 mcg/kg/min for ≥ 4 hours despite adequate resuscitation — a reasonable bedside trigger. Early 2026 update: Moved away from a specific numeric trigger — consider steroids when a septic patient is not responding well to vasopressors or has escalating requirements. Make a clinical decision. (Quality of evidence: low to moderate.) Go faster than the threshold when: Known/suspected adrenal insufficiency or home steroids, or florid pressor-requiring shock on arrival. A practical escalation sequence: escalating norepinephrine → add vasopressin (per VASST) → then add steroids if requirements keep climbing. Do NOT wait for an ACTH stimulation test. It does not reliably predict who responds and only delays treatment. Sepsis is an elevated-cortisol state but can dissociate ACTH and cortisol, and cortisol-binding globulin is depleted — the test is too messy to guide care. What to Give: The Regimen Standard dose: Hydrocortisone 200 mg/day, typically 50 mg IV Q6H. (Original trials often used continuous infusions, rarely used in the U.S.) Some start with a 100 mg bolus to gain control. Higher dose: If chronically on steroids / adrenally insufficient, consider ~300 mg/day (e.g., 100 mg Q8H). Fludrocortisone: Unsettled. The two mortality-benefit trials added it (50 mcg PO/NG/OG daily), but hydrocortisone already has mineralocorticoid activity and meta-analyses don't show added benefit over hydrocortisone alone. Most clinicians omit it — adding it is reasonable and safe, just be honest about the uncertainty. Duration & Tapering Typical course: ~7 days is most common. Trial practices varied (ADRENAL ~7 days; VANISH used a taper after 6 days; some continue until pressors are off). No taper needed. You do not need to taper for adrenal insufficiency after a short course — just stop. If pressors dramatically rebound, you can restart, but most patients have gained the benefit they'll get by day 7. Pitfalls & Safety Hyperglycemia: Expected and must be managed (monitor closely; insulin drip if needed). No signal for major DKA / severe complications in the trials. Superinfection / fungal infection: The most-quoted concern, but the overall literature does not show a convincing, statistically significant increase. Be disciplined about stopping on schedule. Muscle weakness: Steroids can worsen critical illness myopathy; a short 7-day course likely has limited effect, but be aware. Other: GI bleeding (follow general PPI prophylaxis guidance) and sodium disturbances (watch for hyper-/hyponatremia). Two things we know: (1) steroids shorten duration of vasopressor support, and (2) they are relatively safe in sepsis. Whether they improve mortality — and in whom — remains open. The Five Pulm PEEPs Pearls Mechanism: Steroids restore catecholamine vascular sensitivity and blunt dysregulated inflammation. The clinical target is vasopressor weaning, not infection treatment. Evidence: Faster shock reversal is the most consistent finding. Mortality benefit is seen in 2 of 4 trials but not the others — still controversial. Some patients likely benefit; we don't yet know who. Trigger: A practical 2021 threshold is levo/epi ≥ 0.25 mcg/kg/min for ≥ 4 hours. Newer guidance drops the strict number — make a clinical decision based on poor pressor response or escalation. Dose: Hydrocortisone 200 mg/day (e.g., 50 mg Q6H). Adding fludrocortisone mirrors two trials, but meta-analyses find no benefit over hydrocortisone alone. Safety: Steroids appear safe in sepsis. Monitor and treat hyperglycemia; no marked increase in superinfection. References and Further Reading Annane, Djillali et al. “Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock.” JAMA vol. 288,7 (2002): 862-71. doi:10.1001/jama.288.7.862 Sprung, Charles L et al. “Hydrocortisone therapy for patients with septic shock.” The New England journal of medicine vol. 358,2 (2008): 111-24. doi:10.1056/NEJMoa071366 Venkatesh, Balasubramanian et al. “Adjunctive Glucocorticoid Therapy in Patients with Septic Shock.” The New England journal of medicine vol. 378,9 (2018): 797-808. doi:10.1056/NEJMoa1705835 Annane, Djillali et al. “Hydrocortisone plus Fludrocortisone for Adults with Septic Shock.” The New England journal of medicine vol. 378,9 (2018): 809-818. doi:10.1056/NEJMoa1705716 Sun, Alin et al. “Correction: Hydrocortisone combined with fludrocortisone for treatment of adults with septic shock: an updated meta-analysis and systematic review.” Frontiers in medicine vol. 13 1811616. 2 Mar. 2026, doi:10.3389/fmed.2026.1811616 Prescott, Hallie C et al. “Executive Summary: Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026.” Critical care medicine vol. 54,4 (2026): 715-724. doi:10.1097/CCM.0000000000007089
In this live broadcast we take you on a full journey through faith, mental health, and real-life struggle. I share updates on my upcoming book on Christian perfectionism and share an update on the Church Lady and the Church Gentleman's journey together. You'll laugh but also find some heart warming moments! I move into a […]
Chronic stress and unhealthy relationships alter your minerals, slow your metabolism, and block your ability to detox. In this episode, I'm chatting with Susan Cachay about the surprising ways emotional trauma shows up on a hair tissue mineral analysis and why so many people stay stuck in burnout and poor detoxification despite doing "all the right things." Susan explains how patterns like calcium shell, sympathetic dominance, and poor eliminator patterns develop as survival adaptations. We talk about why low sodium and potassium reflect adrenal burnout, and how mineral deficiencies make it easier for toxic metals to accumulate in the body. We also unpack the connection between emotional safety, nervous system regulation, and mineral balance, along with why minerals are one of the most overlooked foundations of longevity and healing. If your detox isn't working or your minerals have stayed stubbornly low, this conversation is for you! "Our emotions will affect our capacity to detoxify, no matter what we're doing." ~ Susan Cachay In This Episode: - The biochemical impact of emotional trauma on HTMA and detox - Poor eliminator metal patterns and misconceptions - Calcium shell and bioavailable calcium - Adrenal burnout and mineral imbalance - Toxic metals replacing minerals in the body - How different minerals affect emotional resilience - Healing emotional trauma stored in the body - Interpreting mineral patterns on HTMA results Products & Resources Mentioned: HTMA Success Practitioner Training Program: Learn more at https://htmasuccess.com/ Bon Charge Red Light Face Mask: Get 15% off sitewide at https://boncharge.com with code WENDY, Tru Energy Skincare Bio Adaptive Hydration Oil: Try the oil and save up to $197 at trytruenergy.com/wendy5 Organifi Collagen: Save 20% with code MYERSDETOX at https://organifi.com/myersdetox Fresh-Pressed Olive Oil: Try a full-size $39 bottle for just $1 to cover shipping at https://getfreshwendy.com Heavy Metals Quiz: Check your toxicity score and receive a free video series on how to detox your body at https://heavymetalsquiz.com About Susan Cachay: Susan Cachay, founder of the HTMA Success Practitioner Training Program, is a certified nutritionist with a Bachelor's degree in Education and a Master's in Psychology Counseling. She is one of the most trusted and experienced voices in Hair Tissue Mineral Analysis (HTMA) and Mineral-Nutritional Balancing. With over 25 years in practice, 15+ years mentoring wellness professionals, and a personal health journey that fuels her passion, Susan brings the science, the lived experience, and the heart to help clients reclaim their health and to guide practitioners in creating meaningful, sustainable careers. You can learn more about Susan's work at https://htmasuccess.com/ Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
If you have clients doing everything right eating clean, cutting gluten and dairy, exercising consistently and they're still bloated, exhausted, and stuck, this episode is for you. I'm sitting down with gut health expert Hannah Aylward to talk about what's actually going on when food isn't the problem, what "leaky gut" really means, and what signs fitness coaches should watch for before referring clients out for deeper support.What You'll Discover:- Why food sensitivity tests are often misleading and what to look at instead- The truth about leaky gut — what the science actually says and how to identify root causes- How to differentiate fat, protein, and fiber reactivity in clients- The real story behind "adrenal fatigue" and HPA axis dysregulation- What signs tell a coach that a client needs deeper gut health support- Hannah's 80-85% compliance rule and why perfection sabotages results- How long gut healing actually takes at the root cause levelTimestamps:00:00 — Intro01:20 — Who is Hannah Aylward and what is HAN?04:15 — Why practitioners and coaches end up as clients07:30 — Hannah's personal gut health story13:45 — Why food isn't usually the root cause of reactions20:00 — How to read fat, protein, and fiber reactivity patterns25:30 — The dairy, lactose, and casein question30:10 — Is leaky gut real? Breaking down intestinal permeability37:20 — Adrenal fatigue vs. HPA axis dysregulation43:00 — Signs coaches should watch for in clients48:15 — The "I'm fine" coma — normalizing feeling bad54:00 — Navigating perfectionism with clients59:30 — How long does gut healing actually take?63:00 — Where to find HannahResources Mentioned:Hannah Aylward Nutrition: https://hannahaylward.com- Hannah on Instagram: https://www.instagram.com/hannahaylwardhhc/- The Nutrient Dense Podcast: https://podcasts.apple.com/us/podcast/the-nutrient-dense-podcast/id1788408977Resources & Links MentionedWant more client leads on Instagram™? Grab lifetime access to 90- Days Done for You that Converts: https://ptprofitformula.com/content
Dr. Lando DC Discusses Adrenals & Hydration on this Alfa Vedic podcast. Tune in for a deep dive into adrenal health as a 1 time preview for the Bioterrain Series exclusively available to AV Exec members. This educational presentation was followed by a private, live Q&A with Dr. Barre Lando DC—available only to Executive Co-Op members. This abreviated replay without the Q&A is offered as a one-time preview for those with interest in attending future live-stream episodes of the Bioterrain Series. Inside Episode 1: Adrenals & Hydration, you'll begin to understand how modern stressors silently shape your internal terrain—from chronic adrenal activation to the hidden ways dehydration impacts cellular function. You'll also be introduced to simple, powerful ways to assess your own bioterrain turning your body into a source of insight, not confusion. Join Our Private Community And Join In The Discussion: https://community.alfavedic.com Alfa Vedic is an off-grid agriculture & health co-op focused on developing products, media & educational platforms for the betterment of our world. By using advanced scientific methods, cutting-edge technologies and tools derived from the knowledge of the world's greatest minds, the AV community aims to be a model for the future we all want to see. Our comprehensive line of health products and nutrition is available on our website. Most products are hand mixed and formulated right on our off grid farm including our Immortality Teas which we grow on site. Find them all at https://alfavedic.com Follow Alfa Vedic: https://linktr.ee/alfavedic
Join me in today's episode as I sit down and speak with Isabella Wentz as we dive deep into the world of thyroid health, specifically Hashimoto's, and the often-overlooked role of adrenal health. We talk about practical, evidence-based ways to support your body's natural healing processes—things like nourishing your gut, balancing hormones, and making lifestyle changes that truly work. If you're tired of quick fixes and want to understand how to address these complex issues from a root-cause perspective, this episode is for you. Dr. Wentz is an internationally acclaimed thyroid specialist and licensed pharmacist, who has dedicated her career to addressing the root cause of thyroid dysfunction after being diagnosed with Hashimoto's thyroiditis in 2009. Suggested Resources:Dr. Isabella Wentz | Website | Instagram | PodcastAdrenal Transformation Protocol: A 4-Week Plan to Release Stress Symptoms and Go from Surviving to ThrivingAre Your Adrenals Sabotaging Your HealthAdrenal & Stress TestingA Gluten-Free Diet for HashimotosIntestinal permeability – a new target for disease prevention and therapySend me a text!This episode is proudly sponsored by: SizzlefishLet's talk about fueling your body with the best nature has to offer. If you're looking for premium, sustainable seafood delivered straight to your door, you need to check out Sizzlefish! Head to sizzlefish.com and use my code “wellnstrong” at checkout for an exclusive discount on your first order. Trust me, you're going to taste the difference with Sizzlefish!Join the WellnStrong mailing list for exclusive content here!Want more of The How To Be WellnStrong Podcast? Subscribe to the YouTube channel.Follow Jacqueline:Instagram PinterestTikTokYoutubeTo access notes from the show & full transcripts, head over to WellnStrong's Podcast Page
Is “adrenal fatigue” really about your adrenals… or is something deeper driving the crash? In this episode, I sit down with Morley Robbins to unpack the real root of low energy, burnout, stubborn body fat, and hormone dysfunction - and why minerals like copper and iron may be the missing piece. We go beyond surface-level advice and explore how metabolism, inflammation, thyroid health, and even your immune system are all connected through mineral balance. If you've been struggling with fatigue, weight loss resistance, or confusing lab results… this conversation will challenge what you think you know. ⏱️ What we cover: • Why “adrenal fatigue” may actually be a metabolic + mineral issue • The connection between copper, iron, and inflammation • How excess iron can drive oxidative stress and fatigue • Why copper is essential for ATP (energy) production • The “body fat switch” and what's really blocking fat loss • Thyroid function and its relationship to mineral status • Hair mineral testing patterns (high magnesium, low sodium) and what they may suggest • Why hepcidin could be a more useful marker for iron regulation • The overlooked role of the spleen in immune function + pathogen control • Parasite cleanses - when they help and when they don't • Organic vs conventional foods and mineral density • Case study: genetics, zinc/copper balance, and thyroid dysfunction This is a deep dive ... but if you're ready to understand your body on a whole new level, you're going to love it. Morley Robbins, MBA, CHC, aka “Magnesium Man”, is one of the foremost experts on magnesium's role in the body, as well as the delicate dance between Iron and Copper. He is a voice to listen to closely when considering Iron and always ready to answer questions from his followers. If you found Morley's information interesting and would like to learn more, you can start here: If you're interested in Morley's new book [Cu]Re Your Fatigue: Second Edition, you can learn more here: https://therootcauseprotocol.com/cure... Download the FREE RCP Starter Guide here: https://therootcauseprotocol.com/star... Check out the RCP Premium Community, which includes two live Q&A Zoom meetings each month alongside an incredible library of resources to meet you where you are at. You can learn more here: https://therootcauseprotocol.com/join... Consider taking a deeper dive with the Root Cause Protocol Institute. You can learn more: https://therootcauseprotocol.com/rcp-... Website address is https://therootcauseprotocol.com/ @TheRootCauseProtocol Morleys BOOK on Amzon - https://a.co/d/8CWwcMs
FIVE Ways to Improve Adrenal Function by Melina Roberts
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Your guide to better planning, access, and sampling. In this episode of the BackTable Podcast, we revisit every IR's favorite procedure with Dr. Zoe Miller, Assistant Professor of Clinical Interventional Radiology and Associate Program Director at the University of Miami. Together with host Dr. Ally Baheti, Dr. Miller walks through a methodical approach to adrenal vein sampling to help you overcome common procedural challenges and reliably point your patients towards the proper therapies. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:26 - Preprocedural Workup Basics06:21 - Planning CT Utility and Protocol08:46 - Access Strategy10:36 - Procedure Day Preparation12:12 - Catheters and Side Holes15:44 - Adrenal Vein Selection Techniques18:50 - Troubleshooting Right Adrenal Vein Selection24:34 - Sample Acquisition Coordination27:38 - Aspiration Flow Optimization29:34 - Preventing Reintervention and Vessel Damage34:06 - Post-Procedure Follow-Up35:46 - AVS in Cushing Syndrome39:38 - Mentorship and Sourcing Knowledge39:25 - Closing Remarks --- More about this episode The physicians outline the key aspects of the pre-procedural workup, from setting expectations with patients to the utility of CT in operative planning. Dr. Miller provides a detailed exploration of strategies and tools for achieving safe access of the adrenal veins, particularly on the right side, and obtaining adequate samples. She emphasizes the importance of collaboration, both within the IR team and with other specialists, to ensure maximal procedural yield and to ultimately provide patients with valuable guidance in their treatment. The episode concludes with a discussion of the challenges presented by co-secreting tumors in hormone level assessment as well as the value of seeking out data and the experiences of mentors in developing your own best practices as an IR. --- BackTable Vascular & Interventional (VI) is the go-to podcast for interventional radiologists, vascular surgeons, and interventional cardiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app
In this conversation, I'm joined by Michelle McCoy, a board-certified holistic health coach who's lived through her own experience of burnout and what she calls high-functioning fatigue. We talk about what's really happening beneath the surface, the three types of fatigue most women miss, and the patterns like pushing through and people-pleasing that quietly keep you stuck. We also get into simple, realistic ways to start supporting your energy again, without doing more or forcing your way through it. This is a good place to start turning things around. Tune in now!Episode Timeline: 00:00 – What fatigue really feels like 00:36 – Meet Michelle McCoy 03:01 – Her burnout story 07:14 – Adrenal fatigue explained 08:23 – Why women keep pushing 09:18 – What is high-functioning fatigue 13:19 – Signs most women miss 14:43 – Early warning symptoms 16:35 – Three ways body communicates 20:50 – Tracking your body signals 27:34 – Three types of fatigue 29:16 – Mindsets keeping women stuck 32:00 – What health freedom means 34:25 – First step to healing 38:00 – Shifting negative thoughts 41:21 – Simple nutrition foundations 43:19 – Rest and recovery basics 44:32 – Final thoughts and hope 46:07 – How to connect with MichelleConnect with Michelle McCoy:FREE GIFTWebsite Facebook Instagram YouTube
To have Dr. Morse answer a question, visit: https://drmorses.tv/ask/ All of Dr. Morse's and his son's websites under one roof: https://handcrafted.health/ Facebook Page: https://www.facebook.com/handcrafted.health 00:00:00 - Intro - Tumor Shrinkage - Testimonials 00:07:32 - Heart Palpitations - Muscle Fatigue - Cramps - Nights Sweats - Panic Attack 00:26:44 - Breast Tumor - Update with Eye Pictures 00:37:34 - Gastritis - Indigestion - Brain Surgery - Tachycardia 01:05:44 - Adrenal and Parathyroid Crash 01:31:00 - Lymph Nodes - Bacterium- Lymph Flow - Omega 3 vs. 6 00:07:32 - Heart Palpitations - Muscle Fatigue - Cramps - Nights Sweats - Panic Attack I went to a HRT Doctor, was told me it was due to my low testosterone. 00:26:44 - Breast Tumor - Update with Eye Pictures I started to have some kind of cyst on the left breast, it's grown to 7-9 cm in diameter. 00:37:34 - Gastritis - Indigestion - Brain Surgery - Tachycardia A tumor was found in my brain, I underwent surgery in 2013. 01:05:44 - Adrenal and Parathyroid Crash I wake up with terrifying adrenaline rushes, heart palpitations, and severe anxiety. 01:31:00 - Lymph Nodes - Bacterium- Lymph Flow - Omega 3 vs. 6 Do you have any thoughts on these two theoretical observations?
Dr. Kimberly Albarran is a physician and thoughtful voice in modern medicine, known for her patient-centered approach and commitment to improving health outcomes beyond the exam room. With a background that blends clinical expertise and a deep understanding of lifestyle-driven health, she brings a nuanced perspective to topics like prevention, metabolic health, and sustainable behavior change. Dr. Albarran is passionate about empowering patients with practical tools and clear, evidence-based insights to take control of their well-being—making her a compelling and relatable voice in today's evolving healthcare landscape. In this episode, Drs. Brian and Kimberly talk about… (00:00) Intro (04:17) The bio-psycho-social aspect of chronic pain (07:05) Cortisol and hormonal imbalance (10:00) Breath work, stress, and metabolic health (19:44) Meditation and re-centering (24:57) Adrenal fatigue and perimenopause (34:14) Exercise, gut health, and brain health (36:26) Over-medication (43:00) Adverse childhood events and lifespan (48:09) Massage and stress (51:17) Fear triggers (53:50) Trauma-release breath work and counseling (01:01:27) Calming the nervous system (01:03:18) Outro For more information, please see the links below. Thank you for listening! Links: Resources Mentioned in this Episode: Menopause Gut (book by Cynthia Thurlow): https://www.amazon.com/Menopause-Gut-Balance-Microbiome-Reclaim/dp/0593855191 Jen Beyst on the Life's Best Medicine Podcast: https://lifesbestmedicine.com/podcast/episode-278-beyond-resolutions-jen-beyst/ Dr. Kimberly Albarran: Website: https://hope-health-healing.org IG: https://www.instagram.com/albarrankimberly/ Dr. Brian Lenzkes: Arizona Metabolic Health: https://arizonametabolichealth.com/ Low Carb MD Podcast: https://www.lowcarbmd.com/ HLTH Code: HLTH Code Promo Code: METHEALTH • • HLTH Code Website: https://gethlth.com
Most thyroid issues aren't really about your thyroid at all — they start with stress, adrenal dysfunction, and hormonal imbalance. In this episode, we break down how chronic stress affects cortisol and DHEA, slows thyroid function, drives inflammation, insulin resistance, PCOS, poor sleep, and fatigue. Learn practical, science-backed holistic strategies from herbal adaptogens, nutrients, homeopathy, and nervous system practices to restore balance and reclaim energy. If you've been told your labs are normal but still don't feel like yourself, this episode is for you.Join the 60 Day gut reset and transform your health! $200OFF with code 'SECRETOFFER! https://checkout.teachable.com/secure/1716725/checkout/order_zvbzkrft?coupon_code=SECRETOFFERInstagram: www.instagram.com/wholistichomeopath
In this episode of the Living Well podcast, hosts Liv Hill and Lyndi Mullinax, FNP continue their deep dive into PCOS, focusing on adrenal PCOS. They discuss the symptoms, causes, and diagnosis of this often-misunderstood condition, emphasizing the importance of lab work and understanding hormonal imbalances. The conversation also covers effective repair strategies, including dietary changes, stress management techniques, and the role of cortisol in overall health. Listeners are encouraged to advocate for their health and seek appropriate testing and treatment options.
¿Es posible que tus digestiones estén "apagando" tus hormonas?En el episodio de hoy analizamos un caso clínico fascinante y complejo que nos enseña que el cuerpo no funciona en compartimentos estancos.Nuestra protagonista es una mujer de 30 años, técnica de laboratorio, con un diagnóstico de SOP (Síndrome de Ovario Poliquístico) sin resistencia a la insulina, que tras dejar los anticonceptivos se enfrenta a una amenorrea de un año y medio.En este episodio desgranamos:El impacto del entorno: Cómo el cambio de vida de Cuba a España y una pérdida de peso significativa influyeron en su eje hormonal.La conexión Intestino-Útero: El diagnóstico de SIBO y candidiasis de repetición como piezas clave de su inflamación sistémica.SOP Adrenal: ¿Por qué cuando no hay resistencia a la insulina el manejo del estrés y el cortisol es la prioridad número uno?La barrera emocional: El impacto del bullying en la infancia, la ruptura de pareja y cómo el cuerpo "bloquea" la regla cuando no se siente seguro.Hoja de ruta: Desde la dieta baja en FODMAPs y el tratamiento con Spiraxin, hasta la suplementación con Inositol y el trabajo con psicología y yoga restaurativo.El Clímax del caso: Tras meses de trabajo integral, el 28 de noviembre llega el gran hito: una menstruación natural, sana y sin dolor.Si sufres de desajustes hormonales, hinchazón abdominal o sientes que tu ciclo está "dormido", este caso real te dará las claves para entender qué puede estar pasando en tu organismo.Conviértete en un supporter de este podcast: https://www.spreaker.com/podcast/comiendo-con-maria-nutricion--2497272/support.
"If you don't measure, you're guessing." —Dr. Ron HunninghakeThis episode is a recording from our February 26, 2026, Lunch & Learn at Riordan Clinic in Wichita.Energy that rises and crashes. Mood changes that feel difficult to explain. Sleep that looks fine on paper but never feels fully restorative. Many people are told their labs are normal, yet they still feel off.This Lunch & Learn is designed for individuals who want a clearer understanding of how hormones and metabolism influence daily vitality.In this session, Dr. Ron Hunninghake and Dr. Drew Rose explore how thyroid patterns, adrenal signaling, insulin dynamics, and nutrient status intersect with energy, mood, and long-term wellness. They discuss why a single lab marker may not always tell the full story and how a more comprehensive review can offer additional context when evaluating metabolic patterns.They also review stress physiology, environmental influences, and the importance of tracking trends over time rather than relying on one isolated result. The emphasis throughout the discussion is on thoughtful measurement, collaborative learning, and individualized decision-making.Learn more about Check Your Health | March 2–13, 2026Available at Wichita and Overland Park locationsEpisode Links and ResourcesExplore integrative services at Riordan ClinicBecome a new co-learnerWatch more Real Health Podcast episodesEpisode Chapters00:00 Welcome and event overview01:18 Why hormones and metabolism matter03:42 Looking beyond a single thyroid marker06:15 Adrenal patterns and stress response08:37 Insulin dynamics and energy regulation10:54 Nutrient status and metabolic support13:22 Environmental and lifestyle considerations15:40 Measurement, monitoring, and next stepsDisclaimerThe information contained in this Lunch & Learn recording and the resources mentioned are for educational purposes only. They are not intended as and shall not be understood or construed as medical or health advice. The information shared is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. Information provided by presenters or the use of any products or services mentioned does not create a practitioner-patient relationship.Topics we explore in this Lunch & Learn include:hormone health education, thyroid evaluation discussion, adrenal physiology, stress response, insulin dynamics, blood sugar regulation, metabolic health, nutrient testing, laboratory measurement, sleep and energy patterns, integrative health education, Riordan Clinic, Check Your Health
"Measure, measure, measure." —Dr. Ron HunninghakeFatigue that lingers. Brain fog that will not clear. Sleep that never feels restorative. Many people are told their labs are within normal ranges, yet they still do not feel like themselves.This conversation is designed for anyone looking to better understand hormone health, thyroid health, and metabolic patterns that can shape daily energy.In this episode of the Real Health Podcast, Dr. Ron Hunninghake and Dr. Drew Rose explore how hormones and metabolism influence energy patterns, mood, sleep, and day-to-day vitality. They discuss why thyroid evaluation can involve more than a single TSH result and how markers such as free T3 and reverse T3 may add helpful context when reviewing metabolic patterns.Register for Lunch & Learn: How Hormones and Metabolism Shape Your Energy, Mood, and Wellness (attend in person or watch live on YouTube) Learn more about Check Your Health (March 2–13)They also talk through adrenal function, stress physiology, insulin dynamics, and the ways nutrient status can intersect with hormone balance. Dr. Ron shares historical context around hormone therapy, including where past concerns originated, and explains how careful measurement and ongoing monitoring can support individualized decisions.Upcoming events at the Riordan ClinicLunch & Learn Thursday, February 26, 2026 Lunch: 11:30 AM | Lecture: 12:00 PM Register to attend in person or watch live on YouTubeCheck Your Health March 2–13, 2026 Available at Wichita and Overland Park locations Learn more about Check Your HealthEpisode links and resourcesExplore integrative services at Riordan ClinicBecome a new co-learnerListen to more Real Health Podcast episodesEpisode chapters 00:00 Welcome 00:56 Why hormones and metabolism matter 02:22 Looking beyond TSH 03:59 Free T3 and reverse T3 explained 07:14 Adrenal patterns and stress 08:43 Insulin and nutrient interplay 10:21 Sleep and hormone balance 11:28 Environmental influences on hormone levels 12:51 Questions about hormone therapy 15:28 Measurement and long-term perspective + closing reflectionsDisclaimer The information contained on the Real Health Podcast and the resources mentioned are for educational purposes only. They are not intended as and shall not be understood or construed as medical or health advice. The information contained on this podcast is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. Information provided by hosts and guests on the Real Health Podcast or the use of any products or services mentioned does not create a practitioner-patient relationship between you and any persons affiliated with this podcast.Topics we explore in this episode include: thyroid evaluation, free T3, reverse T3, adrenal physiology, stress physiology, insulin dynamics, hormone balance discussion, nutrient status, laboratory evaluation, metabolic patterns
Tune in for our conversation with Dr. Stephen Cabral where he breaks down why even health-conscious biohackers can struggle with chronic symptoms, pointing to hidden imbalances that standard approaches often miss. He emphasizes starting with gut and immune health and explains why comprehensive lab testing, especially Hair Tissue Mineral Analysis (HTMA), offers insights that blood work alone can't capture. The conversation explores how stress, electrolyte imbalances, and heavy metal exposure quietly drain resilience, making proper detoxification and mineral balance essential. Dr. Cabral also shares practical guidance on magnesium, zinc, copper, iron, and adrenal support, tailoring advice for high performers under constant pressure. We also dive into our personal HTMA results so you can get a front row seat on what a typical HTMA consultation looks like. Throughout the episode, he underscores that optimal health isn't just about supplements and protocols, but also mindset—building “stress calluses” and taking a truly holistic, systems-based approach.Dr. Stephen Cabral is a Board-Certified Doctor of Naturopathy and founder of EquiLife, the global integrative health organization providing at-home lab testing, personalized wellness protocols, and concierge health coaching to over 300,000 clients over the past 25 years.He also founded the Integrative Health Practitioner Institute (IHPI), which has certified over 5,000 practitioners globally, and hosts The Cabral Concept podcast with 3,500+ episodes and 100 million+ downloads.After overcoming a life-threatening illness at 17, Dr. Cabral went on to get his doctoral degree and completed over 2,200 internship hours all over the world including India, Sri Lanka, China, Europe, and the U.S.SHOW NOTES:0:42 Welcome to the podcast!3:13 About Dr. Stephen Cabral4:12 Welcome him to the show!4:48 Why do healthy people get sick?7:48 Addressing gut & immune system first10:36 Starting with HTMA Testing12:21 Electrolytes in hair vs blood work15:12 Validity of HTMA16:05 Overview of our results interpretation18:09 Lauren's HTMA results22:38 Supporting the HPA axis with electrolytes24:33 Magnesium recommendations25:29 Iron, Copper & Zinc31:51 Advice for high performers & high achievers33:44 *CALOCURB*34:56 Lauren's heavy metals41:17 Renee's HTMA results44:32 Creating stress “calluses”50:21 Renee's heavy metals52:50 Finding a Biological Dentist54:47 Where else metals are stored56:42 Adrenal support ingredients57:25 Zinc & Copper balancing1:03:45 Minerals & Metals Test1:05:32 His final piece of advice1:06:50 Thanks for tuning in!RESOURCES:Calocurb - discount code: RENEE10Website: www.drstephencabral.comIG: @stephencabralYouTube50% off the Minerals & Metals TestBook: PersonomicsCoaching: sign up for the Personomics waitlist at:Personomics.ioThe Julian Center for Comprehensive DentistryTo find a Biological Dentist: iaomt.orgSupport this podcast at — https://redcircle.com/biohacker-babes-podcast/donationsAdvertising Inquiries: https://redcircle.com/brands
What if the future of women's longevity wasn't about fighting aging—but teaching the body how to adapt, regenerate, and thrive? In this deeply insightful episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with renowned longevity and regenerative medicine expert Dr. Kathleen O'Neil to unpack the cutting-edge science—and timeless fundamentals—behind women's biohacking, immune resilience, and healthy aging. Dr. O'Neil shares her extraordinary journey from pathology and the morgue to elite performance medicine, explaining how understanding why people die transformed how she helps patients live longer, stronger lives. Together, they explore immune modulation, peptides, GLP-1s, light and dark therapy, bone regeneration, adrenal health, energy medicine, and why balance—not extremes—is the true secret to longevity. From menopause and bone loss to hyperbaric oxygen therapy, peptides like oxytocin and thymosin, and the power of adaptability, this episode is a masterclass in personalized, ethical, regenerative medicine for women at every stage of life. If you're curious about biohacking beyond the hype—and want grounded, science-backed strategies that actually work—this conversation is for you. Key Timestamps 00:01:00 – Welcome & introduction to longevity and regenerative medicine 04:05 – Dr. O'Neill's time in the morgue and what it taught her about immunity, aging, and silent disease 08:15 – The immune system explained: friend vs. foe, gut training, adaptability, and immune modulation 12:18 – Light, dark, melatonin, oxytocin & why darkness is essential for regeneration 13:19 – Feasting, fasting, and the paradoxes that build resilience and adaptability 16:04 – GLP-1s, peptides, and why dosage variability matters for long-term results 21:14 – Energy medicine, biochargers, frequency, vibration & photobiomodulation 24:10 – Adrenal burnout, cortisol dysregulation, and immune collapse 28:17 – Bone loss, ovarian aging clocks, and why prevention must start earlier 30:04 – Bone health, muscle, oxytocin & rebuilding resilience after menopause 36:17 – Regenerative medicine, stem cells, and ethical innovation in longevity care 40:41 – Inside a cutting-edge regenerative medicine clinic 41:02 – Hyperbaric oxygen therapy, lymphatic drainage & advanced recovery tools 45:18 – Personalized medicine, foundations first, adaptability & final takeaways Memorable Quotes "Longevity is really gerotherapeutics—preventing aging by teaching the body how to regenerate." – Dr. Kathleen O'Neil "You can't hack your life without doing the fundamentals." – Dr. Kathleen O'Neil "Balance—light and dark, stress and recovery—is what creates adaptability." – Dr. Kathleen O'Neil "The immune system is a living medication inside us." – Dr. Kathleen O'Neil "Everything I do today is serving the version of myself I'll be in the future." – Dr. Anna Cabeca Connect With Guest Dr. Kathleen O'Neil, MD Website: treatwellness.boston Instagram: @treatwellness_ About Dr. O'Neil: Dr. Kathleen O'Neil earned her M.D. from Boston University School of Medicine (Magna Cum Laude) and trained at Massachusetts General Hospital and Brigham and Women's Hospital. She is a global expert in regenerative and longevity medicine, peptide therapy, GLP-1s, and exosomes, working with elite athletes and professional teams. She is a founding board member of the International Peptide Society and the American Academy of Stem Cell Physicians and previously served as Medical Director of Tom Brady's TB12 Wellness Center. Connect With Dr. Anna Cabeca
Join Our Online Education Community "The School of Doza" Here: https://community.schoolofdoza.com/ In this podcast episode, Nurse Doza discusses the common complaint of fatigue and offers insights into its possible causes. He emphasizes the importance of addressing fatigue, as it should not be a daily occurrence. He also recommends getting blood tests, particularly one for DHEAS, to assess adrenal function and the body's response to stress. He mentions that chronic stress, lack of sleep, and unhealthy lifestyle habits can contribute to fatigue. Nurse Doza encourages listeners to prioritize self-care, including good sleep and stress management, to improve their energy levels and overall health. TIMESTAMPS: 00:00 START 05:50 Adrenal issues can cause fatigue. 11:46 Inflammation and fatigue are connected. 16:34 Address underlying causes of fatigue. 22:08 Check homocysteine levels for fatigue. 27:43 Sugar and inflammation decrease ATP. 32:15 Adrenal support supplement is recommended. Looking for a boost in energy and mood? Discover Zen, MSW's premium adrenal support supplement. Packed with natural ingredients, it aids in balancing your hormones and combating fatigue. Elevate your health and regain that lost zest for life. Click here
Full article: Prevalence of Malignancy Among Incidental Indeterminate Adrenal Nodules on Contrast-Enhanced CT in Patients Without Known Cancer: A Multiinstitutional Study Can scenarios be defined when imaging follow-up may not be needed for adrenal nodules? Antonino Andrea Blandino, MD, discusses this AJR article by Corwin et al. exploring malignancy prevalence in incidental indeterminate adrenal nodules.
Takeaways:Cortisol is essential for various bodily functions, especially during stress.Adrenal glands have a circadian rhythm that affects cortisol production.Cushing's syndrome can result from excess cortisol and has specific symptoms.Diagnosis of adrenal disorders requires careful testing and consideration of symptoms.Mild autonomous cortisol secretion can complicate diabetes management.The Catalyst trial explored the effects of cortisol antagonism on diabetes.Future research may focus on selective glucocorticoid receptor modulators.Woolly mammoth studies provide insights into historical testosterone levels.Understanding adrenal health is crucial for effective patient care.Endocrinologists must navigate the complexities of hormone testing and treatment. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Discover the five science-backed reasons you're always tired and what to do about it. From adrenal dysfunction and chronic inflammation to nutritional deficiencies, sunlight exposure, and hormone decline—learn how to identify your fatigue triggers and restore your energy naturally with actionable lab work, lifestyle changes, and targeted supplementation. FEATURED PRODUCT Zen, featuring bovine adrenal gland extracts, is designed to support adrenal function and help regulate cortisol levels—the key hormone controlling your stress response, sleep quality, and daily energy. If you're always tired despite getting enough sleep, Zen provides the targeted adrenal support your body needs to restore balanced cortisol production and reclaim the calm, sustained energy you've been missing. Get zen here: https://mswnutrition.com/products/zen 5 KEY TAKEAWAYS Adrenal dysfunction is the primary cause of chronic fatigue - When stress overactivates your adrenal glands for years, cortisol production becomes imbalanced, disrupting sleep and draining energy even after a full night's rest. Chronic inflammation creates debilitating tiredness - Conditions like insulin resistance, autoimmune disorders, liver issues, and chronic pain keep your body in a constant state of metabolic stress that depletes energy reserves. Nutritional deficiencies directly impact energy production - Deficiencies in B vitamins (especially B6, B9, and B12), choline, and vitamin D impair neurotransmitter production and cellular energy, with genetic factors like MTHFR compounding the problem. Morning sunlight is non-negotiable for energy regulation - Just 10-15 minutes of morning sun exposure produces 10,000 IU of vitamin D, increases serotonin and cortisol naturally, and sets your circadian rhythm for better sleep and daytime energy. Hormone decline accelerates fatigue after age 40 - Low testosterone in men and declining estrogen in women contribute significantly to persistent tiredness, but addressing adrenal health should always come before hormone replacement. JOIN THE SCHOOL Recovering from adrenal fatigue requires more than just breathing exercises and supplements—your diet plays a crucial role in cortisol regulation and energy stability. That's why we're launching a 6-week "No Grains. No Sugar." class starting Thursday, January 15th. Eliminating grains and sugar helps stabilize blood sugar, reduce inflammation, and take stress off your adrenal glands—giving them the space they need to recover. Beyond the structured classes, the School of Doza community connects you with others working through their own health transformations. Share what's working (and what's not), get accountability for your 90-day adrenal reset, and have your questions answered during our Wednesday "Ask Me Anything" sessions that function like group consults. Whether you need help interpreting your DHEAS results, troubleshooting your HRV tracking, or figuring out why you're still crashing at 2 PM, the community and weekly sessions give you direct access to guidance and support. Start with a FREE TRIAL and join us for the "No Grains. No Sugar." class to accelerate your adrenal recovery.
Midlife has a way of getting your attention, especially when your body starts changing in ways no one really prepared you for, and menopause is often right at the center of it. In this conversation, we talk honestly about what's really happening during this season and what women can do to feel more like themselves again. You'll hear how small, intentional shifts can lead to more energy, clarity, and resilience over time. This episode is about moving from just getting through midlife to actually feeling good in it. I sat down with Dr. Sangeeta Pati, MD, FACOG, ABOIM, a Board-Certified OB/GYN and Integrative Medicine Physician with over 30 years of experience, and the Founder of MD Prescriptives and the SaJune Institute. We break down her simple but powerful five-point model covering hormones, nutrition, detoxification, mind-heart balance, and the physical body. She also shares how lessons from the Blue Zones apply to women's health, especially during menopause. Everything we discuss is practical, doable, and rooted in real science. Dr. Sangeeta opens up about how her global work in maternal health and her own healing journey completely changed how she approaches women's care. We talk about stress, the nervous system, burnout, and why so many women feel overwhelmed in midlife. This episode connects the dots between everyday habits and the body's natural ability to heal. If you're craving a grounded, reassuring conversation about menopause, longevity, and whole-body wellness, you'll feel right at home here. Key Timestamps: [00:00:00] Introduction. [00:04:17] Modern health care needs a radical shift. [00:06:52] Expanding the medical toolbox. [00:10:04] Oxytocin increasing behaviors. [00:12:27] What living in a blue zone teaches you. [00:15:17] Supporting the adrenals using the 3-step process. [00:28:06] Empowering the body to heal. [00:32:12] Gut health protocol. [00:37:12] Hormone optimization for longevity. [00:44:13] Joyful purpose, healing, and health. [00:45:47] Healing with the gifts of earth. Memorable Quotes: "I consider modern life to be man's greatest disease." [00:12:56] – Dr. Sangeeta Pati "It is the way that we take the journey that determines the destination. It's not the destination that determines the result. It is literally how we take the journey." [00:45:05] – Dr. Sangeeta Pati Connect with Dr. Sangeeta Pati: Website: https://mdprescriptives.com/ Instagram: https://www.instagram.com/takemypowerback_initiative & https://www.instagram.com/md_prescriptives Facebook: https://www.facebook.com/profile.php?id=61555361832889 & https://www.facebook.com/mdprescriptives LinkedIn: https://www.linkedin.com/in/sangeeta-pati-md-facog-aboim-84283787/ Connect with Dr. Anna Cabeca: Website: https://drannacabeca.com/pages/show Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Produced by Evolved Podcasting: www.evolvedpodcasting.com
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Mariza Snyder discuss the transformative journey of women navigating perimenopause and menopause. Dr. Mariza shares her personal experiences with chronic migraines and how they led her to become a functional medicine practitioner focused on women's health. The conversation emphasizes the importance of understanding hormonal changes, the impact of chronic stress, and the necessity of movement and nutrition in reclaiming health. Dr. Mariza encourages women to envision their future selves and take ownership of their health journeys, while also addressing the societal pressures that contribute to stress and unhealthy habits. Takeaways Dr. Mariza's journey from chiropractic to functional medicine was driven by her own health struggles. Chronic migraines often affect women in perimenopause due to hormonal changes. Empowering women through health can create a multiplier effect in communities. Movement is essential for recovery and overall well-being. Functional health practitioners focus on root causes rather than just symptoms. Women often feel pressured to be busy, which can lead to chronic stress. Adrenal fatigue is not a recognized medical diagnosis, but stress impacts health significantly. Nutrition plays a crucial role in managing health, especially regarding processed sugars. Insulin resistance is a growing concern for women in midlife. Reading and self-education can empower individuals to take control of their health. Dr. Snyder IG The Perimenopause Revolution To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode of the You Are Not Broken podcast, Kelly Casperson and Dr. Mariza Snyder discuss the transformative journey of women navigating perimenopause and menopause. Dr. Mariza shares her personal experiences with chronic migraines and how they led her to become a functional medicine practitioner focused on women's health. The conversation emphasizes the importance of understanding hormonal changes, the impact of chronic stress, and the necessity of movement and nutrition in reclaiming health. Dr. Mariza encourages women to envision their future selves and take ownership of their health journeys, while also addressing the societal pressures that contribute to stress and unhealthy habits. Takeaways Dr. Mariza's journey from chiropractic to functional medicine was driven by her own health struggles. Chronic migraines often affect women in perimenopause due to hormonal changes. Empowering women through health can create a multiplier effect in communities. Movement is essential for recovery and overall well-being. Functional health practitioners focus on root causes rather than just symptoms. Women often feel pressured to be busy, which can lead to chronic stress. Adrenal fatigue is not a recognized medical diagnosis, but stress impacts health significantly. Nutrition plays a crucial role in managing health, especially regarding processed sugars. Insulin resistance is a growing concern for women in midlife. Reading and self-education can empower individuals to take control of their health. Dr. Snyder IG The Perimenopause Revolution To my fellow clinicians: listen to the You Are Not Broken podcast on Pinnacle's network to earn FREE CME credit Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: My Website Interested in my sexual health and hormone clinic? Waitlist is open Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.https://www.joinmidi.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, I break down why you can feel exhausted all day but suddenly wired the moment you try to sleep. We talk about how cortisol, melatonin, blood sugar, and perimenopause all play a role, and what you can actually do to get real rest. What we cover: 1. Cortisol and melatonin basics Your circadian rhythm depends on high cortisol in the morning and low cortisol at night. If cortisol spikes in the evening, you will feel "tired but wired." Taking melatonin will not help if melatonin is normal and cortisol is the real problem. 2. How DUTCH testing reveals the root cause A DUTCH hormone test shows: Your full cortisol pattern throughout the day Melatonin output Blood sugar, nutrient, and inflammation markers Estrogen and progesterone levels that may affect sleep This is why DUTCH is so helpful for women who have tried every sleep aid with no results. One client had perfect melatonin but high nighttime cortisol. Once we targeted that, her sleep finally improved. 3. Simple tools to try tonight Protein before bed: At least 20 grams to stabilize blood sugar and quiet cortisol. Nighttime routine: Lower lights, cooler bedroom, weighted blanket, deep breathing, red light, warm bath. Journaling: Empty your brain before bed so you are not carrying mental clutter into sleep. 4. Perimenopause and sleep changes Falling progesterone can make it harder to relax or stay asleep. Supporting progesterone naturally and adding magnesium or B vitamins at night can help. 5. Herbal and nutritional support Adrenal tincture to support cortisol regulation Sleep tincture to calm the nervous system Magnesium in the evening to relax muscles and reduce tension Consistency matters. Sleep often improves gradually over three or more weeks. Why a DUTCH test is your next step If you are done guessing, DUTCH testing shows exactly: Whether cortisol, melatonin, blood sugar, or inflammation is keeping you awake What your hormones are doing at night Which specific areas to target This saves time, money, and frustration so you can finally sleep again. You can order a DUTCH test here and get a personalized review and plan: https://drbethwestie.com/dutch-hormone-testing/ Better sleep starts with understanding what your hormones are doing behind the scenes.
Dr. Izabella Wentz is a renowned pharmacist focused on thyroid health. In this episode, she reveals a shocking pattern: about 90% of people with Hashimoto's have alterations in how much cortisol they release throughout the day. They struggle with brain fog, chronic fatigue, and sleep issues—tired all day, wired at night—even when they're on thyroid medications. She's discovered something fascinating about "adrenal fatigue" that challenges both the old naturopathic model and the skeptics. Your adrenals aren't damaged or lazy…they're perfectly capable of producing hormones. "Adrenal fatigue" is an intelligent adaptive response where your body down-regulates cortisol production to protect itself from chronic stress, essentially saying, "This is unrealistic, we can't pump out high amounts of cortisol all the time." After being forced to find solutions during years of severe sleep deprivation with her son, Dr. Wentz developed a 4-week protocol that has now helped thousands of people. By week two, people report their anxiety dropping from an 8 to a 2. By week four, their libido returns and they feel transformed, all without hormones, complicated testing, or bags full of supplements.
Behind the Knife ABSITE 2026 – Up-to-date and high yield learning to help you DOMINATE the exam. Don't forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet Be sure to check out our free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library. Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2026 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn't be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.html If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. Check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Behind the Knife in Español - repaso para el examen de certificación en cirugía general: https://app.behindtheknife.org/premium/repaso-para-el-examen-de-certificaci-n-en-cirug-a-general
If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story. In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF. Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function. You'll learn • What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA This episode is especially for you if: • You are 40 or older and have been told your AMH is low or your FSH is high • You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do • You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 What low ovarian reserve really means after 40 Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers. 01:00 AMH, FSH and AFC explained for women over 40 How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper. 02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy. 04:00 Mitochondria and egg energy after 40 How mitochondrial function influences egg maturation and which nutrients support better ovarian energy. 05:00 Thyroid health and why TSH must be optimal to conceive The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve. 07:00 Mineral balance and heavy metals that affect ovarian reserve How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability. 08:30 Adrenal stress and cortisol patterns that lower ovarian signaling How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing. 10:00 Gut health, estrogen metabolism and inflammation How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance. 11:00 Vaginal microbiome and hidden infections linked to failed implantation Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation. 13:00 Case study: Natural pregnancy at 43 with DOR A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally. --- Resources
What does a goiter and syphilis have in common with the first descriptions of giant cell arteritis? Join us as we dive into the history of the most common type of vasculitis! Intro 0:13 GCA at ACR 2025 00:30 How Brown has approached framing this episode 1:01 A primer leading us to GCA 3:15 Let's get to the story 4:02 The man who couldn't wear a hat 4:57 Dr. Bayard Horton's 7:40 A tangent on cluster headaches 8:27 Let's get back to GCA 13:16 The first temporal artery biopsy 14:28 Vision loss and other puzzle pieces of GCA 16:27 What about jaw claudication? 21:15 Could GCA be transmissible? Injecting ground temporal arteries into healthy volunteers 24:13 Oxygen? Histamines? Adrenal cortical extract? Looking for GCA treatments 26:55 Steroids and GCA 28:40 A quote from the 1959 Mayo Clinic Board of Governors 32:24 Extracranial involvement in GCA 33:24 When did we recognize aorta involvement? Syphilis enters the picture 35:08 A recap of the history of GCA 41:25 Thanks for listening 42:19 We'd love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum. References: Boes CJ, Cephalalgia. 2007;doi:10.1111/j.1468-2982.2007.01238.x Cummer CL, et al. JAMA. 1912;doi:10.1001/jama.1912.04270080101004 Horton BT, Proc Cent SOC Clin Res. 1946 Sproul EE, et al. Am J Pathol. 1937;PMID: 19970328 Disclosures: Brown reports no relevant financial disclosures.
Adrenal fatigue. Burnout. Stress overload. If you've ever wondered why you feel "tired but wired," can't sleep, or just can't get your energy back, Dr. Kristy Harvell is going to dig into what's really happening with your adrenals, and what you can actually do about it. * What adrenal fatigue is (and why so many women struggle with it) * Stress types: lifestyle, emotional, environmental, and even pathogens * How your adrenals affect everything from hormones to mitochondria to mood * Tools like muscle testing, HRV tracking, the Oura ring, and EMF reduction * Practical steps to calm your fight-or-flight response and heal Hosted by Leanne Vogel. Coaching and other supports available at: https://shop.healthfulpursuit.com/ Podcast Sponsors, links and offers available at: https://www.healthfulpursuit.com/podcast/ Bioactive Peptides: https://www.healthfulpursuit.com/make