Podcast appearances and mentions of cassie smith

One of the most overlooked aspects of health may be influencing how you think, learn, focus, perform, and even respond to stress every single day. In this episode, I sit down with neuro-optometrist Dr. Bryce Appelbaum to explore the difference between eyesight and vision, and why seeing 20/20 doesn't necessarily mean your visual system is functioning optimally. We discuss how the eyes and brain work together, the role vision plays in learning, reading, athletic performance, spatial awareness, and everyday confidence, and why many functional vision problems often go unrecognized. We also spend time talking about something that affects nearly all of us: screen time. Dr. Appelbaum explains what prolonged screen exposure is doing to our visual system, nervous system, sleep, stress response, and overall well-being.  Topics We Cover in This Episode:  How eyesight and vision are related, and why they're not the same thing The subtle signs that may point to an underlying functional vision problem Why screen fatigue may involve much more than tired eyes What vision has to do with focus, learning, reading, and information processing The connection between visual function, stress, and nervous system regulation Why some people struggle with motion sickness, bridges, tunnels, or spatial awareness How vision training differs from traditional eye care approaches Simple daily habits that may help support long-term visual health Whether you're a parent, athlete, professional, avid screen user, or simply interested in optimizing your health, this conversation offers a fascinating perspective on the connection between vision and whole-body wellness. Resources & Links

In this episode, I explain why PCOS is now better understood as Polyendocrine Metabolic Syndrome (PMOS). While the traditional name focuses on the ovaries, the reality is that this condition often extends far beyond reproductive health. I discuss why many women with PCOS don't actually have ovarian cysts, how the condition can affect everything from insulin and metabolism to cortisol, inflammation, gut health, and hormone balance, and why this updated framework may lead to more accurate diagnoses and more personalized care. I also walk through the different patterns I commonly see in clinical practice, including insulin-resistant, lean, inflammatory, adrenal, post-pill, postpartum, and mixed presentations. We explore why women are so often overlooked when they don't fit the typical PCOS profile, the lab markers that can provide a more complete picture of what's happening beneath the surface, and why understanding the root drivers of symptoms matters. Whether you're dealing with irregular cycles, fertility challenges, acne, weight changes, hair loss, fatigue, or simply feel like something isn't adding up, this episode offers a broader way to think about a condition that has long been oversimplified. Topics We Cover in This Episode:  Why many experts believe the term PMOS better reflects the reality of this condition The key reasons PCOS has historically been misunderstood and underdiagnosed How insulin resistance can influence hormone symptoms long before blood sugar becomes abnormal Why women who are thin can still experience significant metabolic dysfunction The different patterns that can contribute to PMOS symptoms and why they matter How stress, cortisol, inflammation, and gut health may influence hormone balance Which lab markers can help uncover what is driving symptoms beneath the surface Why individualized treatment strategies often produce better outcomes than a one-size-fits-all approach If you found this conversation helpful, be sure to subscribe so you don't miss future episodes on hormones, metabolism, and whole-body health. Resources & Links: Order Dr. Cassie's Book ‘Fix Your Gut, Fix Your Hormones': https://guthormonefix.com/ Use code LISTEN10 for 10 % off your order on shopmodernendocrine.com 

Why do so many people continue to struggle with thyroid symptoms, hormone imbalances, fatigue, weight gain, digestive issues, and poor health even when their lab work looks "normal"? In this episode of The Thyroid Answers Podcast, Dr. Eric Balcavage sits down with board-certified endocrinologist Dr. Cassie Smith to discuss her new book, Fix Your Gut, Fix Your Hormones, and the critical role gut physiology plays in hormone health. Dr. Smith shares her journey from traditional endocrinology to a more physiology-based approach after recognizing that many of her patients continued to get sicker despite receiving standard medical treatment. Together, they explore how gut health, chronic stress, inflammation, lifestyle factors, and cellular physiology influence hormone production, hormone metabolism, thyroid function, insulin regulation, estrogen balance, and overall health. The conversation highlights why optimizing lab values alone often fails to resolve symptoms and why addressing the underlying physiologic patterns affecting the body may be a more effective path toward lasting health improvements. In This Episode, You'll Learn: Why many patients continue to struggle despite "normal" lab results How gut health influences thyroid hormone conversion and utilization The connection between chronic stress, gut dysfunction, and hormone imbalance Why insulin resistance is often driven by more than just diet The role of the gut microbiome in estrogen metabolism and detoxification How inflammation can affect hormone signaling at the cellular level Why hormone replacement does not always resolve symptoms The importance of addressing lifestyle, sleep, stress, nutrition, and gut function alongside hormone optimization How chronic physiologic strain may contribute to ongoing thyroid and hormone symptoms Why understanding physiology may be more important than chasing lab numbers Key Topics Discussed Gut microbiome and hormone metabolism Thyroid physiology and T4 to T3 conversion Insulin resistance and metabolic dysfunction GLP-1 physiology Estrogen metabolism and the estrobolome Chronic stress and allostatic load Inflammation and cellular hormone signaling Leaky gut and immune activation Functional medicine and root-cause approaches Hormone replacement therapy considerations Lifestyle factors that influence hormone health About Dr. Cassie Smith Dr. Cassie Smith, MD is a dual board-certified endocrinologist, Founder of Modern Endocrine, and Chief Medical Officer of Renthyroid. She also serves on the medical faculty of Evexias Medical, a bioidentical hormone company. Dr. Smith is known for helping patients uncover why they still feel unwell despite "normal" lab results by using a holistic, root-cause approach to gut, metabolic, thyroid, and hormonal health. After completing her fellowship at the Harold Hamm Diabetes Center and being named a Top Doctor by 405 Magazine, Dr. Smith grew frustrated with the limitations of conventional care and built a model focused on treating the whole person—not just symptoms. She is the author of Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… and Why You Still Feel Bad Despite Normal Labs, and through her popular podcast, Hormones, Metabolism, and You, she translates complex endocrinology into practical, actionable guidance. Today, Dr. Smith and her team help thousands of patients each year get to the root cause of gut health issues, hormone imbalances, thyroid disease, and weight resistance. She is licensed to provide telehealth and in-clinic care across 47 states, based in Oklahoma. She is the author of Fix Your Gut, Fix Your Hormones and host of the Hormones, Metabolism, and You podcast. Resources & Links

In this episode, I sit down with Dr. Patrick Porter, founder of BrainTap and a longtime researcher in brain fitness and human performance, to explore why so many people today are struggling with brain fog, poor focus, low energy, and chronic stress. We discuss the relationship between the brain, gut, and nervous system, and how modern life may be affecting the way we think, feel, and function. Dr. Porter shares his perspective on brain fitness, why recovery is just as important as stress itself, and how simple daily habits can influence cognitive performance, mood, and resilience. We also talk about practical strategies listeners can start using right away, including breathing techniques, movement, sleep routines, and ways to support healthier energy patterns throughout the day.  Topics We Cover in This Episode:  What “brain fitness” actually means and how it differs from brain health Why so many people experience brain fog, memory lapses, and afternoon fatigue The connection between stress, the nervous system, and metabolic health How sleep quality influences hormones, recovery, and cognitive function Why the gut may play a larger role in brain function than many people realize Simple breathing techniques that can help regulate the nervous system throughout the day The reasoning behind delaying caffeine first thing in the morning How recovery practices may improve focus, energy, and resilience in a high-stress world If you're struggling with stress, poor sleep, afternoon energy crashes, or simply want to better understand how your brain influences the rest of your health, this episode offers plenty of food for thought. Resources & Links

“What if your bloating, fatigue, brain fog, anxiety, stubborn weight gain, and hormone symptoms are actually starting in your gut?” In this episode, Dr. Mariza sits down with Dr. Cassie Smith — dual board-certified endocrinologist, founder of Modern Endocrine, and author of Fix Your Gut, Fix Your Hormones — to unpack the powerful connection between gut health, hormone balance, stress, metabolism, inflammation, and reproductive health. Together, they dive into how chronic stress, poor gut health, blood sugar dysregulation, inflammation, and lifestyle overload silently impact everything from cortisol and insulin to estrogen, progesterone, thyroid function, and fertility. Dr. Cassie explains why so many women are told their labs are “normal” while still feeling exhausted, bloated, anxious, inflamed, and disconnected from their bodies — and why gut dysfunction is often the missing piece conventional medicine overlooks. They also explore the growing metabolic and hormonal crisis happening in younger women, the connection between PCOS, insulin resistance, gut dysfunction, and birth control, and why many women are struggling to restore healthy cycles and fertility later in life. This conversation is a powerful reminder that hormones do not work in isolation. Your gut, nervous system, metabolism, sleep, stress resilience, and hormones are all deeply interconnected. If you've been feeling like your body is trying to tell you something but nobody has connected the dots yet, this episode will help you understand where healing truly begins. DR. CASSIE SMITH Dr. Cassie Smith is a dual board-certified endocrinologist and the founder of Modern Endocrine. After becoming frustrated with the limitations of conventional medicine, she built a practice focused on uncovering the root causes behind hormone dysfunction, metabolic issues, fertility struggles, and gut-related symptoms. She is also the author of the book Fix Your Gut, Fix Your Hormones. IN THIS EPISODE Why chronic stress has such a powerful impact on gut health and hormones How gut dysfunction contributes to fatigue, brain fog, bloating, anxiety, and weight resistance The connection between estrogen decline, microbiome diversity, and inflammation Why insulin resistance and metabolic dysfunction are rising in younger women The hidden relationship between PCOS, gut health, cortisol, and fertility Why birth control is often used as a Band-Aid instead of addressing root causes The foundational lifestyle habits that support gut and hormone healing Why slowing down, resting, and reducing nervous system overload matters for recovery QUOTES “Your hormones are doing the best they can in the environment you give them.” “It doesn't matter how many supplements or hormones we throw at you if the foundations aren't in place.” “Your gut is where all healing begins.” “Your body cannot heal in survival mode.” RESOURCES MENTIONED Get your “Fix Your Gut, Fix Your Hormones” Book by Dr. Cassie Smith https://guthormonefix.com/ ⁠Order my newest book: The Perimenopause Revolution https://peri-revolution.com/ Modern Endocrine Website Modern Endocrine Instagram Modern Endocrine Facebook Modern Endocrine Tiktok Modern Endocrine Youtube Hormones, Metabolism and You PodcastThe Menopause Gut Book by Cynthia Thurlow RELATED EPISODES  741: Estrogen, Gut Health, Mitochondria, and Cardiovascular Health: What Changes In Perimenopause with Dr. Siobhan Mitchel 743: Why Your Heart Risk Changes in Menopause (And What You Can Do About It) with Dr. Jayne Morgan 738: The Hidden Link Between Inflammation, Hormones & Fertility with Dr. Natalie Crawford  740: Why You're Bloated, Gaining Weight & Feeling Off in Menopause (It Starts in Your Gut) with Cynthia Thurlow

For years, cholesterol numbers have been treated as one of the primary indicators of heart health, but are we focusing on the right markers? In this episode, I sit down with Dr. Terri DeNeui to discuss the bigger picture behind cardiovascular risk. We talk through the limitations of looking at LDL cholesterol in isolation, the importance of factors like inflammation, insulin resistance, ApoB, lipoprotein(a), calcium scores, and lifestyle habits, and why a more comprehensive assessment may be necessary before deciding on treatment options. We also discuss the role statins can play, who may benefit from them, and why individualized care matters when evaluating cardiovascular health.  We also explore the connection between hormones and metabolic health. Dr. DeNeui explains how changes in estrogen, progesterone, and testosterone can influence cholesterol, blood pressure, body composition, and overall wellbeing. Topics We Cover in This Episode:  Why cholesterol numbers rarely tell the whole story The cardiovascular markers many people have never heard of What calcium scores can and cannot tell you How insulin resistance often shows up long before diabetes The relationship between menopause, hormones, and changing cholesterol levels Why gut health keeps showing up in conversations about chronic disease The role estrogen plays in men's health and performance Questions worth asking when evaluating your long-term cardiovascular risk Whether you're trying to better understand your own lab work, navigate conversations about statins, or learn more about the connection between hormones and overall health, this episode offers a thoughtful discussion on some of today's most debated topics in preventive medicine. Join us as we explore the factors that may matter most when it comes to supporting long-term health and making informed decisions about your care. Resources & Links

What if the birth control pill you've been told is safe for decades is affecting far more than just pregnancy prevention? In this episode, I sit down with OB-GYN Dr. Johnny Peet for a powerful and nuanced conversation about oral birth control, hormone health, and the risks many women are never fully informed about, especially as they enter their 40s and 50s. We unpack the real differences between oral contraceptives and progesterone-only IUDs, why birth control pills can impact testosterone, mood, sleep, thyroid function, and gut health, and why the conversation around women's health needs to become far more individualized. We also dive into the difficult transition of perimenopause, why so many women feel dismissed or confused during this phase, and the important questions every woman should ask before staying on hormonal birth control long term. Topics We Cover in This Episode:  Why birth control can affect far more than just fertility The hormone shift many women experience in their 30s and 40s What happens when SHBG levels become too high Why perimenopause can feel harder than menopause itself The connection between birth control, gut health, and thyroid function The birth control options Dr. Peet says he would avoid after 40 Why some women feel worse even when their hormone labs “look normal” These conversations matter because women deserve better education, better support, and better options when it comes to their health.  Resources & Links Connect with Dr. Peet Website Instagram Facebook1 Facebook2 YouTube 

In this conversation, I sit down with Dr. James LaValle to unpack the deeper metabolic patterns driving symptoms like fatigue, thyroid dysfunction, weight gain, hormone imbalances, brain fog, inflammation, and low energy. We dive into why the body cannot be viewed as isolated systems and how stress hormones, insulin, gut health, thyroid function, sex hormones, and inflammation are all deeply connected. Dr. LaValle shares how his Metabolic Code framework helps identify where people should actually begin when they feel overwhelmed by symptoms and conflicting health advice. We also have a great discussion about gut health as one of the biggest hidden drivers behind hormone dysfunction and metabolic chaos. We talk about GLP-1 medications, the right and wrong way to use peptides, why muscle mass matters more than most people realize, and how people can create real change without chasing quick fixes. Topics We Cover in This Episode:  Why your thyroid symptoms may actually be connected to stress hormones and gut dysfunction The hidden metabolic patterns that can quietly drive weight gain, fatigue, and hormone imbalance How inflammation and cortisol can interfere with nearly every hormone in the body What most people are getting completely wrong about GLP-1 medications and muscle loss Be sure to subscribe, leave a review, and follow along so you never miss an episode. And if you are ready to take a more personalized, root cause approach to your own health, check out the resources in the show notes and learn more. Resources & Links

In this episode, I sit down with Dr. Amie Hornaman, also known as the Thyroid Fixer, to unpack the real reasons so many people struggle with fatigue, weight gain, brain fog, and hormone imbalances without getting clear answers. We dive into her personal journey of being misdiagnosed multiple times, what finally led her to answers, and why so many patients today are still being overlooked in traditional medicine. Together, we discuss what is actually happening beneath the surface when it comes to thyroid function, including the critical difference between T4 and T3, the role of reverse T3, and why a one-size-fits-all approach to treatment often falls short. I also ask the questions so many of you are wondering like how to advocate for yourself with your doctor, what labs truly matter, and how to know if your current treatment is actually working.  Topics We Cover in This Episode:  Why “normal labs” might not mean optimal thyroid function The hidden reason some people never feel better on standard thyroid medication What your body may be doing instead of converting thyroid hormone properly The overlooked factors that could be sabotaging your energy and metabolism Why some people thrive on certain thyroid treatments while others don't How stress, gut health, and nutrients quietly influence your thyroid What most doctors were never taught about thyroid optimization The signs your body is trying to tell you something deeper is off Resources & Links Dr. Amie's Links Facebook: Amie Hornaman Nutrition and Functional Medicine YouTube: Dr. Amie Hornaman Instagram: @dramiehornaman Thyroid Optimization Guide: https://health.dramie.com/thyropause  7 Day Thyroid Healing Kickstarter: https://fixyourthyroid.com/7daykickstarter  Thyroid on Trial: https://health.dramie.com/thyroid-on-trial-optin 

This conversation completely changed the way I think about healing and I know it's going to shift things for you too. In this episode, I sit down with Dr. Vincent Pedre to unpack why so many people are stuck dealing with fatigue, hormone imbalances, inflammation, brain fog, and digestive issues and why the real answer almost always comes back to the gut. We dive into his personal health journey, how years of antibiotics and chronic illness led him to functional medicine, and the moment he realized that healing the gut is the foundation for healing the entire body. We go deep into the connections most people are missing, from how the gut impacts hormones, metabolism, and the immune system, to why healing today is far more complex than it used to be. I also ask the questions you're probably wondering like why quick fixes aren't working, what role stress and the nervous system play, and what actually needs to happen to create lasting change. We also talk about the “non sexy” foundations of healing like sleep, sunlight, nutrition, and daily habits, and why skipping those is often the very thing keeping you stuck. Topics We Cover in This Episode:  Why gut health might be the missing link behind symptoms you wouldn't expect The surprising reason healing feels harder now than it did years ago What most people get wrong about inflammation and hormone imbalance The hidden role your nervous system plays in your ability to heal Why doing everything “right” still doesn't always lead to results The connection between your gut, stress, and long term disease risk A different way to think about weight loss, metabolism, and GLP-1 medications The foundational habits that matter more than any supplement or protocol Start paying attention to what your body has been trying to tell you and take that next step toward real healing. Whether that means diving deeper into your gut health, getting personalized support, or simply committing to the basics you've been overlooking, this is your reminder that change is possible when you address the root. Resources & Links Where to Find Dr. Pedre Online: 

In this episode, Danielle sits down with Dr. Cassie Smith, author of Fix Your Gut, Fix Your Hormones, to break down the real connection between gut health, hormones, and why so many women still feel off despite "doing all the right things." They dive into the labs most conventional doctors are missing, why looking at symptoms and your full story matters just as much as your lab results, and how things like poor sleep, chronic stress, and over-scheduling are quietly wrecking your health. If you've been bouncing between gut protocols, hormone fixes, and still don't feel like yourself, this episode will help you connect the dots and understand what's actually missing. Learn more about working with me  Shop my masterclasses (learn more in 60-90 minutes than years of dr appointments) Follow me on IG Follow Empowered Mind + Body on IG  Get Dr. Cassie Smith's book here Follow Dr. Cassie on IG   

If you still think weightlifting is just about aesthetics, this conversation will completely change the way you see your body and your future. In this episode, I sit down with a highly experienced physician assistant and longtime strength training expert to unpack what women have been getting wrong about fitness for decades, especially in perimenopause and beyond. We dive into the real role of muscle when it comes to metabolism, hormones, and longevity, and tackle the questions so many women are quietly asking. Is cardio enough? Will lifting weights make me bulky? Is it too late to start? We break through the noise and get honest about what actually matters if you want to feel strong, energized, and in control of your health as you age. We also get incredibly practical, walking through what effective weight training actually looks like for real women with busy lives. From how often you really need to lift, to why more workouts are not always better, to the growing concerns around GLP-1 medications and muscle loss, this episode connects the dots between modern trends and long-term consequences. If you have ever felt overwhelmed, confused, or stuck in an endless cycle of doing more but seeing less progress, this conversation will give you clarity, direction, and a whole new perspective on what your body truly needs. Topics We Cover in This Episode:  Why muscle might be the missing piece in your long-term health plan The surprising truth about cardio and why it may be holding you back What most women misunderstand about “toning” and body composition How little you actually need to do to start seeing real results The hidden risks behind popular weight loss medications What your future mobility, independence, and strength really depend on The mindset shift that changes everything when it comes to consistency Why doing more workouts could actually be working against you If this episode got you thinking differently about your health and your future, share it with a friend, subscribe so you never miss an episode, and take the next step toward building a stronger, more resilient body. Your future self will thank you. Resources & Links

Your Gut Is Controlling Your Hormones — And No One Told You You've done everything right. You're on hormone therapy. Your labs look fine. So why do you still feel terrible? The answer may have nothing to do with your hormone levels — and everything to do with what's happening in your gut. Most practitioners are treating your hormones and your gut as two completely separate systems. But they're not. Your estrogen is being processed, packaged, and either properly excreted or reabsorbed into your bloodstream based entirely on the state of your gut microbiome. If the bacteria in your gut are out of balance, that estrogen doesn't leave your body the way it should. It gets recirculated — in a damaged, more carcinogenic form. And that's just the beginning of what a dysbiotic gut does to your hormones. Dr. Terri sits back down with board-certified endocrinologist Dr. Cassie Smith, whose new book on the gut-hormone connection is already an Amazon bestseller, to pull back the curtain on the twenty to thirty percent of women who do everything right and still don't get better. The problem isn't the hormone. The problem is the gut that can't process it. This episode is for every woman who has been told her labs are "normal" while she's living with brain fog, mood swings, breast tenderness, constipation, and a body that feels like it's working against her. What you'll discover: Why your gut contains 100x more DNA than the rest of your body — and what that means for your health The "Saran wrap" explanation of estrogen metabolism and what happens when bad gut bacteria poke holes in it Why giving someone more estrogen when their gut is inflamed just creates more side effects — not better results How constipation and breast cancer are more connected than any oncologist is telling you The medications your provider may be prescribing that are quietly destroying your gut microbiome — including antacids, statins, SSRIs, and oral contraceptives Why hormones can be "present in the blood" but completely unable to enter your cells — and what's locking the door The real drivers behind the rise in PCOS, endometriosis, and infertility in younger women What your morning routine, wearables, and news consumption may be doing to your cortisol — and downstream to your hormones Why an FSH under five may be the most important number in a woman's hormone picture — and how Dr. Terri uses it clinically The ten practical steps from Dr. Cassie's book to start cleaning up your gut today The bottom line: You are not Prozac-deficient. You are not Xanax-deficient. You are not Ambien-deficient. Fix the gut, and the hormones finally have somewhere to go. Buy Dr. Cassie's Book ---------------------------------------------------------------- The Dr. Terri Show is presented by Evexias Health Solutions. For more, visit: https://www.evexias.com ---------------------------------------------------------------- Connect with Dr. Terri DeNeui, DNP:

In this conversation, I sit down with Dr. Eric Balcavage to unpack what's really happening beneath the surface when your body feels stuck, overwhelmed, and unable to heal. We dive into the concept of the cell danger response and why so many people today are living in a chronic state of stress at a cellular level without even realizing it. We also explore the gap between traditional and functional medicine, and why both approaches matter more than we think when used in the right context. Throughout this episode, we challenge the idea that more is always better when it comes to your health. From overloading on supplements to over-optimizing every part of your routine, we talk about how these well-intentioned habits can actually keep you stuck. I walk through real-life examples and ask the hard questions that help you determine whether your body is in a place to heal or simply trying to survive. If you've ever felt frustrated, burnt out, or like nothing is working despite your efforts, this episode will give you a completely new lens to look through. Topics We Cover in This Episode:  Why doing “all the right things” can still keep you stuck The hidden signs your body may be overwhelmed at a cellular level How stress impacts your body in ways most people miss Why some people get worse before they ever get better The surprising reason your routine might be working against you How to tell if your body can actually receive the help you're giving it The real difference between healing and just managing symptoms A simple way to start identifying what your body actually needs If this episode resonates with you, take it as a sign to pause and reassess what your body has been trying to tell you. You don't need more complexity. You need clarity. Don't forget to make sure you're subscribed so you don't miss future episodes. Resources & Links Connect with Dr. Eric Balcavage

What if everything you've been told about your metabolism is missing the most important piece? In this episode, I sit down with Dr. Colleen Cutcliffe to uncover the powerful and often overlooked connection between your gut microbiome, your hormones, and your metabolism. We dive into why so many women start experiencing stubborn weight changes, cravings, energy crashes, and insulin resistance, especially in perimenopause and menopause, and how the root cause may go far deeper than calories or willpower. I also ask the big questions you've probably wondered about but never had answered clearly. Is your gut actually acting like an endocrine organ? Why are most probiotics not created equal? And what is this “Akkermansia” strain everyone is starting to talk about and why does it matter so much for metabolism, GLP-1 signaling, and even longevity? We break down the science in a way that actually makes sense and connect it back to what's happening in your body right now so you can finally see the full picture. Topics We Cover in This Episode:  Why your metabolism may feel completely different lately and what's really driving it The hidden role your gut plays in hormone signaling and insulin response What most probiotics are missing and why that matters more than you think The surprising reason some people struggle with cravings, fullness, and energy How your microbiome shifts during perimenopause and menopause The connection between gut health, inflammation, and long-term disease risk Why “you are what you eat” is only part of the story What might actually be influencing longevity at the microbial level Share this episode with a friend who's been struggling with the same symptoms, and make sure you're subscribed! Resources & Links Connect with Dr. Colleen Cutcliffe

You've been told everything is “normal”… but you know something isn't right. In this episode, I sit down with Dr. Efrat LaMandre to unpack one of the most frustrating and isolating experiences in healthcare today: medical gaslighting. We dive into what it actually is, why it happens more often than we think, and the deeper systemic patterns inside medicine that lead providers to dismiss symptoms when labs don't tell the full story. This is not about blaming doctors, it is about understanding the gap between patient experience and clinical training so we can start to bridge it. Together, we explore the hidden dynamics at play in the exam room, from the limitations of evidence-based medicine to the influence of pharmaceutical-driven research and the rigid frameworks many providers are trained within. We also get into the powerful mindset shifts that can completely change how you navigate your own health journey, including how to advocate for yourself without burning bridges and why “normal” results don't always mean optimal health. If you've ever felt dismissed, confused, or like you're falling through the cracks of the system, this conversation will open your eyes and give you a new lens to move forward with clarity and confidence. Topics We Cover in This Episode:  Why “normal labs” can still leave you feeling anything but normal The surprising truth behind what medical gaslighting actually is What's really happening in a provider's mind during your appointment The hidden limitations of evidence-based medicine no one talks about How patient expectations can unintentionally shape the outcome of a visit The difference between ruling things out and truly getting answers A powerful analogy that will completely reframe your healthcare experience The subtle ways you can advocate for yourself more effectively If you're ready to start approaching your body and your care with a deeper level of understanding and empowerment, make sure you subscribe so you don't miss what's coming next. Your symptoms are real, your experience matters, and this is just the beginning of learning how to navigate it all differently. Resources & Links Connect with Dr. Efrat LaMandre

This episode is as raw as it gets as I open up about my personal journey with endometriosis and everything it has taken from me and taught me along the way. I share what it really feels like to live with pain that gets dismissed, the long road to diagnosis, and the emotional and physical toll this condition can have on your body, your relationships, and your future. Through my own story, I break down what endometriosis actually is, why it is so often misunderstood, and the critical signs and symptoms so many women are told to ignore. We also dive into the real, often confusing world of treatment options, from surgery to medications and everything in between, and where both conventional and functional medicine can support you or fall short. I walk you through the questions I wish I would have asked sooner, what I learned the hard way about recurrence and fertility, and what my healing process has looked like after surgery. Whether you are currently struggling, searching for answers, or supporting someone who is, this episode is here to validate your experience and give you clarity, direction, and hope. Topics We Cover in This Episode:  The signs your body may be giving you that are easy to overlook but deeply important Why so many women are told everything is “normal” when it isn't The hidden reasons diagnosis can take years and what to do about it The truth about treatment options and what most providers don't fully explain What recurrence actually looks like and how to think about long term healing The connection between endometriosis, fertility, and miscarriage that isn't talked about enough The questions that can completely change your care and outcomes What I wish I had known before making major medical decisions You deserve answers, support, and a care plan that actually sees you. Tune in, take what speaks to you, and let this be the beginning of advocating for your health in a whole new way. Resources & Links >>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Nobody Told You About Ferritin — And It's Costing You Everything Your hormones are optimized. Your thyroid labs came back fine. You're doing everything right. So why do you still feel exhausted, foggy, and like nothing is actually working? The answer might be a single number your doctor has never mentioned. Dr. Terri is joined by Dr. Cassie Smith — endocrinologist, hormone optimization expert, and EVEXIAS training faculty — fresh off a regional hormone provider refresher in Destin, Florida. What started as a conversation about why fully optimized patients still feel terrible turned into one of the most practical, eye-opening episodes the show has ever produced. This one is for anyone who's been told their labs are fine but their body is telling a completely different story. What you'll discover: Why ferritin below 70 means your thyroid hormone literally cannot enter the cell — no matter how much medication you take The ferritin level that starts affecting your heart's ability to contract (and why your doctor calls it "normal") Why low ferritin is behind more hair loss than any supplement on the market can fix How H. Pylori quietly destroys your iron absorption, your gut, and your hormone metabolism all at once The methylation problem affecting 60% of people that turns your B vitamins into toxins instead of fuel Why testosterone does not cause breast cancer — and actually decreases your risk Why optimal vitamin D is 60 minimum — and why a billion people walking around deficient is a public health crisis nobody is talking about The bottom line: Hormones are not an end-all be-all. Until you fix ferritin, vitamin D, B12, and the gut — nothing else is going to work the way it should. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

*Episode Recorded live at Training. If your thyroid labs keep coming back "normal" but you're exhausted, gaining weight, losing hair, and feeling like you're falling apart... if your doctor keeps checking TSH and telling you everything's fine... if you've been on thyroid medication for years but still feel terrible... this episode is your wake-up call. Dr. Terri sits down with Dr. Cassie Smith, an endocrinologist and hormone specialist, for a game-changing conversation about why the standard approach to thyroid testing is failing millions of people. This isn't your typical thyroid talk - it's the truth about why TSH alone is a useless marker after you start treatment, why 40-60% of Americans are walking around with suboptimal thyroid function, and what your doctor should actually be checking. WHAT YOU'LL DISCOVER: → Why TSH is only a screening tool (and becomes irrelevant once you're on medication) → The shocking truth: nobody's checking your Free T3 - the hormone that actually matters → Why conversion of T4 to T3 breaks down (stress, gut dysbiosis, insulin resistance) → The deiodinase enzymes that 93% of people can't optimize due to metabolic dysfunction → Why higher Free T3 levels = lower cardiovascular mortality and better outcomes → The "normal range" scam: why lab ranges are based on sick Americans, not optimal health → How your gut controls ALL hormone metabolism (thyroid, estrogen, testosterone, cortisol) → Why fixing thyroid without fixing gut health is a Band-Aid approach This isn't about ONE blood test. It's about understanding the whole system. TIMESTAMPS: 0:00 - Intro: Thyroid Awareness Month 1:30 - Why TSH is basically irrelevant 3:00 - What your doctor should be checking (Free T3, Free T4, Reverse T3) 4:15 - The T4 to T3 conversion problem nobody talks about 6:00 - Why 93% of Americans have insulin resistance affecting their thyroid 8:30 - Dr. Cassie's approach: symptoms over lab ranges 10:45 - The 2012 guidelines that haven't been updated (and why that's a problem) 12:20 - When doctors take you off thyroid meds because "labs look good" 15:00 - Higher T3 = lower mortality and better quality of life 17:45 - The gut-thyroid-hormone connection explained 20:30 - Why your gut controls estrogen, testosterone, cortisol, and thyroid 23:15 - Dr. Cassie's book: The Gut-Hormone Connection (releasing April 6th) 26:40 - The microbiome crisis (even in "healthy" people) 29:10 - How gut health affects PCOS, menopause, and fertility ABOUT THE DR. TERRI SHOW: Dr. Terri brings you honest conversations about health, wellness, personal transformation, and the topics that matter most in today's world. From integrative medicine to nutrition to policy reform, we explore it all with expert guests who are making a real difference. New episodes weekly. Subscribe and turn on notifications so you never miss an episode. The Dr. Terri Show is presented by Evexias Health Solutions. For more, visit: https://www.evexias.com Connect more with Dr. Terri:

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

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Do you feel like your belly fat has a mind of its own no matter how clean you eat or how much you exercise? In this episode, I sit down with Dr. Cassie Smith, a former endocrinologist turned functional medicine expert, to uncover the surprising link between inflammation, insulin resistance, and stubborn abdominal fat especially for women navigating perimenopause, menopause, and midlife metabolism changes. We explore how chronic stress, poor sleep, gut inflammation, and cortisol work together to slow your metabolism, drive weight gain, and trigger that frustrating feeling of being "stuck." You'll learn why checking fasting insulin is one of the most overlooked keys to understanding your energy, belly fat, and hormone balance, and how gut health plays a hidden but massive role in fat storage and inflammation. What You'll Learn in This Episode • The real reason you're gaining weight around your midsection—and it's not just about calories or willpower. • Why high insulin levels can silently drive inflammation, fatigue, and hormone imbalance even when your glucose looks normal. • How gut inflammation and leaky gut can make your body more insulin-resistant and prone to belly fat. • Simple, free ways to lower inflammation, reset your metabolism, and finally lose weight where it won't budge. If you've been doing "everything right" but still battling belly fat, fatigue, and bloating, it's not your fault. The missing piece is understanding how your hormones, gut, and metabolism interact through insulin and inflammation. This conversation gives you the insight to finally work with your body—not against it—to restore balance, energy, and metabolic health. Where you can find out more about Dr. Cassie: https://www.modern-endocrine.com/ https://www.instagram.com/modernendocrine_/ Stop wasting time (and money) on products that don't work. My Trusted Brands Guide is the exact list I share with my private clients — the skincare, supplements, food, and wellness tools that have been tested and proven to deliver results. No fluff. No guesswork. Just the brands you can finally feel good about using. ✨ Plus, I scored exclusive discounts from some of these companies just for my community.

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Want to listen to this episode ad-free? Visit our Patreon! Welcome true believers to X-Men Horoscopes where each week our host Lodro Rinzler is in conversation with a special guest to discuss the X-Men issue that aligns with a significant month and year from their life and what that issue reveals about their future. With us this week is threepeat guest Cassandra Smith back to talk about the X-Men and trans rights as we explore the Uncanny X-Men Issue (13) that came out the month the World Health Organization ruled that being transgender is not a mental disorder. What does a ragtag team of misfit X-Men hiding in a bar and hunting their old enemies have to say about the future of trans rights? Geez. This one is tough. Also in this episode:  Rahne is in her sexy era Cyclops tea bags X-Men villains Putting underwear on over your clothes Havok is bored because all of his friends are dead Lodro is upset by Cyclops' sartorial choices Don't shave the hair off my Barbie! None of the X-Men in this era have hobbies Cyclops sleeps in a single bed What does this Dark Beast-laden issue mean for the future of marginalized communities in these dark times? Tune in to find out!     Cassie Smith is a truly creative person, having trained as an actress, most notably at the celebrated National Youth Theatre of London, who has also successfully dabbled in modeling and voiceover work before settling into her skills as a writer, with her first article published in 2021 detailing her perspective as a transgender girl in the modern world. She is an activist at heart, a champion for LGBTQ rights and the fight against racism, lending her voice as an educational public speaker, shedding light on the history and facts surrounding the culture war on trans people. As an avid comic book reader from an early age, Cassie is considered a “go-to” girl when it comes to comics. This lends perfectly to her super fun content coverage as a bubbly Tiktoker and across social media, diving into nerd culture, comic book characters, history and lore! You can find her on Instagram, TikTok and on her monthly publication at Substack.   More of Lodro Rinzler's work can be found here and here and you can follow the podcast on Instagram at xmenpanelsdaily where we post X-Men comic panels...daily. Have a question or comment for a future episode? Reach out at xmenhoroscopes.com   Want to listen to these episodes early/ad-free and get your own X-Men Horoscope read/an awesome t-shirt? Check out our brand-new patreon! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone interviews Dr. Cassie Smith, a board-certified endocrinologist. They discuss Dr. Smith's personal journey through various thyroid disorders and her frustrations with traditional endocrinology practices. The conversation delves into the importance of understanding thyroid health, the role of cortisol, and the significance of gut health in overall well-being. Dr. Smith emphasizes the need for a holistic approach to health, including the impact of gut bacteria on weight loss and hormone regulation. They also touch on the future of GLP-1 medications and the importance of testing for gut health issues, including parasites. Episode Highlights: How Dr. Smith's journey began with her own health struggles Why endocrinology often follows outdated guidelines Why TSH alone is not a reliable indicator of thyroid health Reasons Free T3 and Free T4 are crucial for understanding thyroid function How reverse T3 can indicate underlying health issues How cortisol levels significantly impact overall health Why DHEA can have both positive and negative effects Reasons why GLP-1 medications show promise for obesity treatment How gut health is interconnected with thyroid and hormonal health Why a holistic approach is essential for effective patient care About Dr. Cassie Smith Dr. Cassie Smith, MD, is a leading endocrinologist and the founder of Modern Endocrine. With dual board certifications in endocrinology, diabetes, metabolism, and internal medicine, Dr. Smith brings a wealth of expertise and experience to her practice. Her journey in medicine began at the University of Missouri Kansas City, where she completed both her undergraduate and medical degrees with distinction. During her residency, Dr. Smith's exceptional dedication and leadership were recognized when she was awarded Chief Resident of her class. Here, she worked on a dozen major clinical trials focused on advancing diabetes care, establishing herself as a trailblazer in the field. Dr. Smith's innovative research and forward-thinking approach have earned her widespread recognition, including being featured in the Top Doctor List of 2022 by 405 Magazine. Episode Resources: Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠ ⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠

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In this insightful episode, Dr. Jill and Dr. Cassie delve into the complexities of hormonal health, discussing the impact of modern lifestyles on hormone regulation and the importance of being proactive in managing one's health. They explore the nuances of thyroid function, the challenges of interpreting lab results, and the significance of advocating for oneself in the healthcare system.

In this powerful episode of Hormones, Metabolism & You!, board-certified endocrinologist Dr. Cassie Smith sits down with nutrition pioneer Shana Hussin, RDN, for an open-hearted conversation about why the health trends we follow can sometimes backfire—especially when stress and burnout are involved. What You'll Hear: How fasting backfired during a season of high stress and adrenal exhaustion. The role of hormones like leptin and cortisol in regulating appetite, sleep, and metabolic balance. Why one-size-fits-all health plans fail, especially around hormone and gut health. Shana's personal pivot—from rigid fasting to listening to her body and honoring circadian rhythms. The healing power of grounding, gut support, and restoring rhythm over restriction.

#282: We're joined by Dr. Cassie Smith, dual board-certified endocrinologist and founder of Modern Endocrine, who blends conventional endocrinology with a holistic, root-cause approach.  As someone who's overcome her own thyroid and autoimmune struggles, Dr. Smith shares how she helps women move past frustrating symptoms like fatigue, weight gain, inflammation, and hormone chaos—especially when traditional care falls short. From thyroid health to gut health to hormone replacement therapy, this episode is packed with practical insights for any Cyster ready to get to the why behind their PCOS symptoms! This episode is for you if: - Want to know what your thyroid might be trying to tell you - You've been told your labs are “normal,” but you're body tells you something is off - You feel stuck in a cycle of inflammation, fatigue, or hormone symptoms To dive deeper into the world of hormone health and discover more resources from Dr. Cassie Smith, visit her website and Instagram! Website: https://www.modern-endocrine.com/  Instagram: https://www.instagram.com/modernendocrine_/?hl=en Download The Cysterhood App, the largest community of PCOS women learning to lose weight & reverse symptoms with daily meals & workouts designed for PCOS! What's Your PCOS Type? - Take the quiz! PCOS Supplements + Tea (https://ovafit.org/) Tallene's Fav PCOS friendly products (https://www.amazon.com/shop/pcos.weightloss?ref=ac_inf_tb_vh) CONNECT WITH US: Website (https://pcosweightloss.org/) Instagram (https://www.instagram.com/pcos.weightloss/) Tik Tok (https://www.tiktok.com/@pcos.weight.loss) Pinterest (https://www.pinterest.com/pcosweightloss/) While Tallene is a Registered Dietitian and Sirak a Personal Trainer, this podcast provides general information about PCOS. It is not meant to serve as fitness, nutrition or medical advice related to your individual needs. If you have questions, please talk to a medical professional. For our full privacy policy, please click on the following link: (bit.ly/PCOSPrivacyPolicy) Links included in this description may be affiliate links. If you purchase a product or service with the links that we provide, we may receive a small commission. There is no additional charge to you! Thank you for supporting our channel so we can continue to provide you with free content each week!

Join Shana Hussin, RDN for an in-depth conversation with board-certified endocrinologist Dr. Cassie Smith of Modern Endocrine. We dive into: How gut health drives hormone balance, metabolic function, and cortisol regulation Practical strategies for reducing stress, improving circadian rhythm, and restoring foundations of health The lowdown on microdosing GLP‑1 medications—safe, effective, and who may benefit Testing guidance: what labs to run for insulin resistance, cortisol, gut markers, thyroid, and circadian balance Dr. Smith brings a unique blend of conventional endocrinology and functional medicine to help listeners understand testing, define root causes, and create sustainable solutions for metabolic and hormonal wellness.