Podcasts about dhea

Life is longer for “those who think young”; Watching too much TV may shrink your brain (literally!); Diet and supplements may help lupus; When a high-fiber diet before surgery may be inadvisable; Your mouth may be the gateway to your overall health and longevity.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Alicia: Hi there, thank you for your time. I would like to know what kind of cleanse you would suggest for someone who has arthritis, neuropathy and gut issues. Lots of inflammation and already gluten free. Has had a long standing relationship with pharmaceuticals due to multiple injuries and is now off prescriptions but dealing with a fragile nervous system and digestive system. Thank you.       S: Hi Dr. Cabral. Our 11 year old son still wets the bed from time to time. In fact lately, it's gotten worse. He is top of his class, a heavy reader, extremely inquisitive and very very active and talented in sports. BUT he is small for his age (15th percentile) and hyperactive at times. Any advice would be invaluable. Thanks.       Joy: Hi Dr. C, Thanks for all you do! Let's assume you have a post-menopausal family member who read the book Estrogen Matters and made the decision to go on HRT for benefits to brain, bones and symptom relief. She feels better but still has terribly disruptive sleep. She took the Stress, Mood and Metabolism Test and had values indicating high nighttime cortisol and elevated hormones except DHEA which was out of range low. She's done CBO protocol and has been on the sleep protocol for a month with limited relief. Would you suggest she get off HRT or continue HRT while incorporating something else to get to more optimal ranges or do you think it's mainly the nighttime cortisol that's causing the sleep problems? Seems like both issues may be impacting. No room here to share specific values.       Anonymous: I did tests from EquiLife and am working to reverse my PCOS symptoms. Long story short I still have high testosterone despite working at it for a few years and alleviating a lot of other symptoms. HTMA and OAT showed low vitamins and minerals even though I have been supplementing and eating well for years. So we looked at digestion and stool testing revealed an IGA of 4, low elastase, low propionate, NG for Bifidobacterium and Lactobacillus, few commensal bacteria, no dysbiotic flora or yeast. I worked through the mold protocol and am now on the heavy metal. As part of my protocol, I have been doing weekly enemas. I am on month three of doing them weekly and today I passed what I believe was a mucus plug hours afterwards. Is this something to be concerned about? Can I continue enemas?       Jana: 39 female. 3 years w/ your coach I've healed my gut, finished all your protocols & testing.I continue w/ your supplements & suggestions (sauna, walking).I'm struggling with chronic fatigue & inflammation, immunodeficiency, nasal MARCONs (past exposure) & scalp psoriasis.I've had infections most of my life (strep, pneumonia, bronchitis, sinus).Doctors suggested Pepcid + Allegra 4x daily (MCAS) + LDN (hEDS).I'm trying to avoid lifelong biologics + immune therapy.Does your histamine protocol replace/support the suggested Pepcid/Allegra combo for MCAS?What recommendation for rebuilding my immune system?15 of 22 pneumococcal titers are nonprotective despite 3 PPV23 vaccines. I take Histpro + Vit C & Inflamma Soothe + others. Increase dosage? Need guidance on supplementation & what else to try.        Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3830 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Episode 2834 - Vinnie Tortorich speaks with Dr. Anthony Jay about his new book "Sugar Beat", cholesterol, and reversing plaque in your arteries. https://vinnietortorich.com/2026/07/reversing-plaque-dr-anthony-jay-episode-2834 PLEASE SUPPORT OUR SPONSORS Pure Vitamin Club Pure Coffee Club NSNG® Foods VILLA CAPPELLI EAT HAPPY KITCHEN YOU CAN WATCH THIS EPISODE ON YOUTUBE - @FitnessConfidential Podcast Vinnie's workout videos are available to purchase! Choose from a 2-day, 4-day, or 6-day workout–or buy all three at a discount! TO PURCHASE VINNIE'S WORKOUT VIDEOS, CLICK THIS LINK: https://vinnietortorich.com/workout Reversing Plaque Dr. Jay has been on the show before, but he has a new book coming out called "Sugar Beat." https://amzn.to/4pAxntz (3:00) The book focuses on how sugar causes plaque in the arteries and how you can reverse plaque. Insulin resistance is the biggest driver of plaque. Using a CGM can help you monitor your blood glucose. (11:00) Let's talk about fats. (13:30) Animal fats are great, but watching the omega-6 to omega-3 ratio is important. Omega-6 fats tend to oxidize faster and can also build up in your body and take years to break down. (15:00) They discuss the summer of sports and how some athletes might be fueling. (22:00) Certain health tests can be manipulated. (36:00) They discuss cholesterol and its importance. (47:00) Rapatha has bad regular side effects, such as diabetes. There are very limited, specific reasons to go on a statin. (49:30) Can you reverse plaque buildup? (51:00) Diet, exercise, and fasting are your best bet; then consider supplementation. What is Dr. Jay's opinion on DHEA supplementation? (1:03:00) Dr. Jay offers health consultations using the DNA information you provide. https://www.ajconsultingcompany.com Check out the Aletha Hip HookTM that Vinnie uses to reduce pain and increase mobility: You can purchase your own through Vinnie's website here: https://vinnietortorich.com/hook Anna's products are now linked to PureVitamin Club's website. Look under the "Food and Snacks" section to purchase them there, too. https://purevitaminclub.com/collections/food-and-snacks Vinnie hopes to add other products as well, all of which will be health-related. The NSNG® VIP GROUP IS NOW CLOSED AGAIN AS OF SUNDAY, MARCH 15TH Anna's next cookbook, Eat Happy Cocktail Hour, is filled with cocktails, mocktails, and appetizers and is available for pre-order right now. If you pre-order, you'll get bonus goodies! You can pre-order from a wide variety of booksellers at https://eathappycocktailhour.com/ Please save your receipt from wherever you pre-order; you'll need it for your bonuses! Physical Release Date is October 2026 You can book a consultation with Vinnie to get guidance on your goals. https://vinnietortorich.com/phone-consultation-2/ More News Serena has added some of her clothing suggestions and beauty product suggestions to Vinnie's Amazon Recommended Products link. Self Care, Beauty, and Grooming Products that Actually Work! https://www.amazon.com/shop/vinnietortorich/list/3GPVU29UHHPMY?ref_=aipsflist Don't forget to check out Serena Scott Thomas on Days of Our Lives on Peacock. "Dirty Keto" is available on Amazon! You can purchase or rent it here.https://amzn.to/4d9agj1 Please make sure to watch, rate, and review it! Eat Happy Italian, Anna's second cookbook, is available! You can go to https://eathappyitalian.com You can order it from Vinnie's Book Club. https://amzn.to/3ucIXm Anna's recipes are in her cookbooks, on her website, and on Substack —they will spice up your day! https://annavocino.substack.com/ PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views it receives, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries

She was 63, hadn't been intimate with her husband in years, and was told by every doctor, "This is just aging." Dr. Anna Cabeca had one thing to say back: No, it isn't. Dr. Anna Cabeca, The Girlfriend Doctor—a triple board-certified OB/GYN specializing in menopause, hormones, and women's vitality—shares her fully updated vaginal health protocol. This isn't the "just use a lubricant" advice you've heard before. It's a whole-body approach built from more than 26 years of clinical practice, her own experience with early menopause, and the patients who refused to accept "normal" as the final answer. You'll learn: Why vaginal dryness, bladder leaks, and recurrent UTIs are common after menopause—but not something you have to live with. How declining DHEA, estrogen, and progesterone affect tissue health, blood flow, and the vaginal microbiome. A simple 5-step daily routine to support adrenal health, tissue comfort, intimacy, and long-term vitality. Why oxytocin—not just estrogen or testosterone—may be the missing piece for connection, mood, and desire. How Dr. Anna's Sexual CPR framework helps women rebuild communication, pleasure, confidence, and intimacy at any age. Whether you're in your 30s preparing for what's ahead or in your 60s ready to feel like yourself again, this episode will help you understand what's really happening in your body—and what you can do about it. Your body has not given up on you. And it's never too late to feel vibrant again. Timestamps ●  00:03 — The patient who said "I'd rather die than live this way" ●  04:49 — Following her for 20 years, and a better bone scan at 73 than 63 ●  07:07 — The psychiatrist who never connected her sleep to her bladder ●  09:24 — Why vaginal health is a whole body issue ● 11:45 — The old advice that wasn't enough, and her own early menopause story ● 14:13 — What declining hormones actually do to tissue, blood flow, and the urethra ● 16:30 — Why Julva was created, and the rise of inflammation and microbiome disruption ● 18:54 — Early symptoms and why earlier intervention makes restoration easier ●  20:57 — When symptoms get louder, and why comfort drives desire ●  23:13 — The 5-part vaginal health protocol, starting with Step 1: nourish the tissue ●  25:38 — DHEA and testosterone before surgery, and canceling surgeries that were no longer needed ●  32:21 — Step 2: restoring the vaginal microbiome ●  39:11 — The gut, mouth, and vaginal microbiome connection ●  41:35 — Step 3: comfort during intimacy, and why she resisted lubricants for years ●  43:51 — Step 4: supporting hormones from the inside out with Mighty Maca Plus ●  48:40 — Step 5: building a simple daily ritual ●  51:02 — Oxytocin, her own PTSD story, and the hormone we never talk about ●  53:22 — Oxy play: free, daily ways to build oxytocin ●  55:40 — Sexual CPR, and why intimacy isn't a reward, it's a path Memorable Quotes ●  "Common is not the same as normal. And you do not have to accept them." ●  "You are the CEO of your health." ●  "Your body is the cathedral of your spirit, and every cathedral needs constant renovation and repair." ●   "Oxytocin is the connection hormone we've overlooked. You cannot buy it, but you can build it." ●   "It takes more than hormones to support your hormones." Mentioned in This Episode Protecting Your Heart and Smile with Dr. Ellie Campbell: https://drannacabeca.com/blogs/podcast/protecting-your-heart-and-smile-with-dr-ellie-campbell-how-your-oral-health-affects-your-cardiac-health Julva: https://drannacabeca.com/products/julva  Velvé: https://drannacabeca.com/products/velve  Sexual CPR: https://drannacabeca.com/pages/offers-sexualcpr  Join Dr. Anna Live in Dallas Ready to go deeper? Join Dr. Anna Cabeca at The Vitality Experience, an immersive event designed to help you understand what really changes after 40—and what you can do about it. You'll discover: • How your hormones really change after 40 • Practical strategies for fat loss, muscle, and metabolic health in midlife • The pelvic health and intimacy conversations no one else is having with you • What you need to know about breast health, testing, and which screenings actually matter You'll leave knowing what's common, what you don't have to simply manage, and exactly where to focus your energy to feel stronger, healthier, and more vibrant. Learn more and reserve your spot: https://drannacabeca.com/pages/f-vitality-experience If you're looking for natural menopause relief, vaginal health solutions, pelvic floor support, hormone balance, or ways to improve intimacy after menopause, this episode is an essential listen.  Connect with Dr. Anna ●      Website: dranna.com ●      Instagram: @thegirlfrienddoctor ●      YouTube: @thegirlfrienddoctor ●      TikTok: @drannacabeca ●      Facebook: The Girlfriend Doctor If this episode helped you, share it with a woman who needs to hear it, subscribe to The Girlfriend Doctor Podcast, and leave a review so more women can discover these conversations.

She was 63, hadn't been intimate with her husband in years, and was told by every doctor, "This is just aging." Dr. Anna Cabeca had one thing to say back: No, it isn't. Dr. Anna Cabeca, The Girlfriend Doctor—a triple board-certified OB/GYN specializing in menopause, hormones, and women's vitality—shares her fully updated vaginal health protocol. This isn't the "just use a lubricant" advice you've heard before. It's a whole-body approach built from more than 26 years of clinical practice, her own experience with early menopause, and the patients who refused to accept "normal" as the final answer. You'll learn: Why vaginal dryness, bladder leaks, and recurrent UTIs are common after menopause—but not something you have to live with. How declining DHEA, estrogen, and progesterone affect tissue health, blood flow, and the vaginal microbiome. A simple 5-step daily routine to support adrenal health, tissue comfort, intimacy, and long-term vitality. Why oxytocin—not just estrogen or testosterone—may be the missing piece for connection, mood, and desire. How Dr. Anna's Sexual CPR framework helps women rebuild communication, pleasure, confidence, and intimacy at any age. Whether you're in your 30s preparing for what's ahead or in your 60s ready to feel like yourself again, this episode will help you understand what's really happening in your body—and what you can do about it. Your body has not given up on you. And it's never too late to feel vibrant again. Timestamps ●  00:03 — The patient who said "I'd rather die than live this way" ●  04:49 — Following her for 20 years, and a better bone scan at 73 than 63 ●  07:07 — The psychiatrist who never connected her sleep to her bladder ●  09:24 — Why vaginal health is a whole body issue ● 11:45 — The old advice that wasn't enough, and her own early menopause story ● 14:13 — What declining hormones actually do to tissue, blood flow, and the urethra ● 16:30 — Why Julva was created, and the rise of inflammation and microbiome disruption ● 18:54 — Early symptoms and why earlier intervention makes restoration easier ●  20:57 — When symptoms get louder, and why comfort drives desire ●  23:13 — The 5-part vaginal health protocol, starting with Step 1: nourish the tissue ●  25:38 — DHEA and testosterone before surgery, and canceling surgeries that were no longer needed ●  32:21 — Step 2: restoring the vaginal microbiome ●  39:11 — The gut, mouth, and vaginal microbiome connection ●  41:35 — Step 3: comfort during intimacy, and why she resisted lubricants for years ●  43:51 — Step 4: supporting hormones from the inside out with Mighty Maca Plus ●  48:40 — Step 5: building a simple daily ritual ●  51:02 — Oxytocin, her own PTSD story, and the hormone we never talk about ●  53:22 — Oxy play: free, daily ways to build oxytocin ●  55:40 — Sexual CPR, and why intimacy isn't a reward, it's a path Memorable Quotes ●  "Common is not the same as normal. And you do not have to accept them." ●  "You are the CEO of your health." ●  "Your body is the cathedral of your spirit, and every cathedral needs constant renovation and repair." ●   "Oxytocin is the connection hormone we've overlooked. You cannot buy it, but you can build it." ●   "It takes more than hormones to support your hormones." Mentioned in This Episode Protecting Your Heart and Smile with Dr. Ellie Campbell: https://drannacabeca.com/blogs/podcast/protecting-your-heart-and-smile-with-dr-ellie-campbell-how-your-oral-health-affects-your-cardiac-health Julva: https://drannacabeca.com/products/julva  Velvé: https://drannacabeca.com/products/velve  Sexual CPR: https://drannacabeca.com/pages/offers-sexualcpr  Join Dr. Anna Live in Dallas Ready to go deeper? Join Dr. Anna Cabeca at The Vitality Experience, an immersive event designed to help you understand what really changes after 40—and what you can do about it. You'll discover: • How your hormones really change after 40 • Practical strategies for fat loss, muscle, and metabolic health in midlife • The pelvic health and intimacy conversations no one else is having with you • What you need to know about breast health, testing, and which screenings actually matter You'll leave knowing what's common, what you don't have to simply manage, and exactly where to focus your energy to feel stronger, healthier, and more vibrant. Learn more and reserve your spot: https://drannacabeca.com/pages/f-vitality-experience If you're looking for natural menopause relief, vaginal health solutions, pelvic floor support, hormone balance, or ways to improve intimacy after menopause, this episode is an essential listen.  Connect with Dr. Anna ●      Website: dranna.com ●      Instagram: @thegirlfrienddoctor ●      YouTube: @thegirlfrienddoctor ●      TikTok: @drannacabeca ●      Facebook: The Girlfriend Doctor If this episode helped you, share it with a woman who needs to hear it, subscribe to The Girlfriend Doctor Podcast, and leave a review so more women can discover these conversations.

Struggling with unexplained weight loss, racing heartbeats, or anxiety that won't quit? Your thyroid could be the hidden culprit behind it all. This episode uncovers the truth about hyperthyroidism and Graves' disease, from early warning signs to natural healing strategies most doctors never mention.Host Jenn Trepeck sits down with functional medicine expert Dr. Eric Osansky on Salad with a Side of Fries to explore how diet, stress management, and gut health can help restore thyroid balance naturally.What You Will Learn in This Episode:✅ How to spot early symptoms of hyperthyroidism, from a racing heart to sudden weight loss✅ Why Graves' disease is often autoimmune, and how the triad of autoimmunity and 4 triggers fuel the condition✅ Natural options like bugleweed and motherwort that may support a balanced thyroid✅ How healing the gut and managing stress can influence long-term thyroid healthThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into real-life wellness and weight loss, including drinking, eating out, and skipping the grocery store.TIMESTAMPS:00:00 Meet Dr. Eric Osansky, author of Natural Treatment Solutions for Hyperthyroidism and Graves' Disease, Hashimoto's Triggers, and The Hyperthyroid Healing Diet04:59 Dr. Osansky shares how he first noticed symptoms of Graves' disease through an elevated heart rate09:50 A breakdown of key differences between hyperthyroidism and hypothyroidism symptoms13:55 Exploring the autoimmune triad and how genetics, triggers, and leaky gut interact17:28 Environmental toxins, mold, and chemicals that may trigger thyroid imbalances22:03 Conventional treatment options like antithyroid medication and radioactive iodine explained26:30 Natural first steps for safely managing hyperthyroid symptoms and discussion of goitrogens31:22 Why stress management and quality sleep are essential for thyroid healing36:42 The gut thyroid connection and how gut health impacts hormone conversion39:34 Final thoughts on iodine intake and finding the right balance for thyroid supportKEY TAKEAWAYS:

Today we will be covering the hormone DHEA. What it is and what it does, and how to use it correctly.DHEA is an anti-aging supplement. It does give an advantage. It is shown to play a role in improving libido, building muscle, and reducing risks of cardiovascular disease and cancer.To help us to share the health benefits of DHEA we have Hugh Woodward, He is the President of Health2Go, Inc the makers of Twist 25 DHEA cream.Hugh is a subject matter expert on DHEA dedicating the past 20+ years of his life to studying medical research about it, and starting a company to research, and develop the safest most effective DHEA supplement (cream) that can be made and distributed.DHEA is short for dehydroepiandrosterone, it is a naturally occurring prohormone we all make and have. DHEA is the most abundant naturally occurring prohormone in the human body.-A foundation or base building block for other smaller more specific hormones like testosterone and estrogens and about 50 other hormones that are smaller, more specific carbon chain molecules in the cascade of metabolism in the human body.-Hormones drive our energy, mood, muscle tone, fat, quality of sleep, mental sharpness, immune system, sex drive, and more.As a result of aging, and a gradual lowering of natural DHEA production after age 25, many of our natural body processes begin to slow down. As a result, most people start to have less energy and gain weight, have lower sex drive, and tend to start losing their mental sharpness and drive, have trouble sleeping and may start to get sick more often.Learn more at Twist25.com or call Health2Go with questions 1 (888)489-4782

On today's Good Day Health Show - ON DEMAND…Host Doug Stephan and Frankie Boyer (frankieboyer.com)cover a number of topics affecting our health. First up, what does it really take to live a longer, healthier life? This week on *Good Day Health*, Doug Stephan welcomes new co-host Frankie Boyer for an inspiring conversation about longevity, health span, and the everyday choices that shape how we age.Drawing from decades of experience in health and wellness, and her own personal health journey, Boyer explores the science and lifestyle habits behind the world's Blue Zones, where people routinely live long, vibrant lives. From the power of mindset and purpose to the foods we eat and the supplements we choose, she shares practical strategies to help listeners take charge of their health. The discussion covers the importance of becoming an empowered patient, why processed foods and inflammatory oils can undermine long-term wellness, and how healthy fats, DHEA, and fish oil may support healthy aging. If you're looking to add not just years to your life, but life to your years, this episode offers thoughtful insights and actionable takeaways to help you thrive.For more on Good Day Health…Website: GoodDayHealthShow.comSocial Media: @GoodDayNetworks

Send us Fan MailIn this conversation, Dr. Jaime Seeman joins host Dr. Jaclyn Smeaton to discuss muscle as an underappreciated cornerstone of women's metabolic and hormone health, particularly during perimenopause and menopause, and the importance of resistance training.This episode also highlights:Muscle as a metabolic organ, not just a cosmetic one, and the importance of muscle tissue qualityHow resistance training and cardio affect body composition differentlyThe importance of preserving fast-twitch muscle fibers for longevity later in lifeStrategies for protein and carbohydrate intakeHow the DUTCH Test can help identify where hormonal intervention can fill the gaps beyond lifestyle habits, particularly with estrogen, DHEA, and androgen levels post-menopauseShow NotesLearn more about Dr. Jaime Seeman and follow her on Instagram @doctorfitandfabulous!Become a DUTCH Provider to discover how the DUTCH Test can profoundly change the lives of your patients.

Are you wondering if hormone replacement therapy is actually safe? Could hormone changes be affecting your weight, thyroid, heart health, and energy long before menopause officially begins?This week, I'm joined by board-certified OBGYN and menopause specialist Dr. Cathleen Brown to answer some of the biggest questions women have about perimenopause, menopause, and hormone replacement therapy. Many women don't realize they begin experiencing perimenopause symptoms in their mid to late 30s, so we want to empower you with the right information about this phase of life before the symptoms hit you like a ton of bricks.In this episode, we unpack the confusion and misinformation surrounding HRT, explain why treatment isn't one-size-fits-all, and talk about how to know when it's time to seek support instead of waiting until your symptoms become overwhelming.We'll also explore why so many women experience weight gain, brain fog, fatigue, sleep issues, and thyroid changes during midlife, and why these symptoms are often connected to a drop in hormone production. Dr. Brown shares how she approaches hormone therapy, why symptom tracking often provides more useful information than just hormone lab tests, and what women should know about testosterone, DHEA, and the different forms of HRT available today.We discuss how menopause affects long-term health beyond hot flashes, including heart disease, bone health, and metabolic changes. We also talk about what to look for in a healthcare provider, how telemedicine is changing menopause care, and why every woman deserves individualized treatment and ongoing support throughout this transition. Whether you're already experiencing symptoms or simply want to prepare for what's ahead, this episode will help you better understand your options so you can go into menopause confident about how to take control of your hormone health.Disclaimer: This information is being provided to you for educational and informational purposes only. It is being provided to educate you about how to take care of your body and as a self-help tool for your own use so that you can reach your own health goals. It is not intended to treat or cure any specific illness and is not to replace the guidance provided by your own medical practitioner. If you are under the care of a healthcare professional or currently use prescription medications, you should discuss any dietary changes or potential dietary supplement use with your doctor, and should not discontinue any prescription medications without first consulting your doctor. This information is to be used at your own risk based on your own judgment. If you suspect you have a medical problem, we urge you to take appropriate action by seeking medical attention.In This Episode:[04:25] Why we start storing extra weight in midlife[09:00] The best way to determine the right HRT protocol for someone[11:50] What bodily cues to look out for and when to intervene with the symptoms[15:45] Perimenopause doesn't just start in your 40s or 50s[17:40] Common side effects when HRT isn't working as expected[21:45] Debunking testosterone myths and how to dose it for women[26:25] Why continuous monitoring matters for HRT[29:04] Pellets or no pellets? Which is a better form of testosterone?[32:30] The risks and benefits of using telehealth for HRT[35:00] How menopause, perimenopause, and thyroid function are connected[39:25] HRT has a positive correlation with lipid panels and heart health[42:15] Healthy estrogen levels helps prevent bone loss[43:40] Menopause doesn't have to be difficult or a negative experienceFind more from Dr. Cat Brown online:Website: https://bywinona.com/Instagram: @drcatobgynPodcast: The Menopause HourFacebook Community: https://www.facebook.com/bywinona/Connect with Sophie: Instagram: @shetalkshealthWebsite: shetalkshealth.comThyroid Breakthrough Call: https://thyroidhealthaudit.shetalkshealth.com/thyroid-health-auditApply to work with us: www.shetalkshealth.com/callThe Mineral Reset (HTMA): https://shethrives.shetalkshealth.com/htma-packageMineral Mocktail (get your energy back now!: https://shetalkshealth.com/mineral-mocktail-guide/Stop guessing with your thyroid & Get Answers Now: https://ace.shetalkshealth.com/home-front

Barbara and Jacie continue their CIRSx 2026 recap with the medical talks, emphasizing that the episode should not be considered medical advice and encouraging listeners to consult their own CIRS practitioners. They summarize Dr. Ritchie Shoemaker's talk on “triple positives” on GENIE (AKT, RELA, tubulin) as an early risk pattern for neurodegeneration including Parkinson's, highlighting the promise of early intervention. Dr. Lacey Venanzi focused on gut-driven inflammation in CIRS via LPS, dysbiosis, permeability tied to low MSH, and discussed preferred microbiome testing. Dr. Kellen Milani shared a stalking experience and the need for practitioner boundaries. Louise Carter reviewed GENIE/HLA patterns, suggesting CIRS subtypes and vascular dysregulation. Dr. Eric Dorninger covered step five of the Shoemaker Protocol: androgen correction, especially DHEA, plus additional testing options like DUTCH. Dr. Scott McMahon critiqued overly broad test interpretation. Dr. Oseni discussed pulmonary manifestations of CIRS and spirometry, noting TGF-beta1 and fibrosis. Dr. Peg DiTulio reviews MARCoNS treatment data, maintenance strategies to prevent recolonization, and when to consider ENT/dental issues. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 Intro and disclaimer 01:00 Dr. Shoemaker on Triple Positives 03:34 Dr. Lacey Venanzi: Gut Endotoxins and Actinos 10:03 Dr. Milani: her story of being stalked by a patient 15:58 Louise Carder's talk on GENIE subtypes 20:46 Dr. Eric Dorninger's hormone support talk 24:52 Dr. Scott McMahon on proper medical terms 32:18 Dr. Oseni on testing lung capacity 35:57 Dr. Peg DiTullio: lessons from treating MARCoNs 42:59 Wrap Up Next Episode For more information and support, join us at https://thecirsgroup.com HELPFUL LINKS: Dr. Lacey Venanzi's website: https://www.drlacey.org/ Our interview with Dr. Lacey: https://youtu.be/baldT8N7nl4?si=A4SrJ6tmY_zr1u53 Dr. Lacey's new podcast with Dr. Christian: https://www.coherencedx.com/ Dr. Kellyn Milani's website: https://remedynaturalhealth.com/ Louise Carder's website (for UK based patients): https://www.colabeu.com/ Dr. Eric Dorninger's website: https://drdorninger.com/ Our interview with Dr. Anjali Noble about hormones and menopause: https://youtu.be/OStNHRNffqw?si=PUfXfmfcAoVbvFR1 Our episode on urinary mycotoxin tests: https://youtu.be/qWIIBaMybFA?si=5yoXqYTGvDSC6YG6 Our interview with Dr. Peg re: tick borne illness: https://youtu.be/czSjykCdOR4?si=P-oePTLGCG-ujip6 Dr. Peg DiTulio's website: https://regenixhealing.com/ Our episode all about MARCoNs: https://youtu.be/wOSmKcZr06s?si=7s7wJKQQa7EidDel Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie's book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

Why Your Stroke May Not Be Causing Your Brain Fatigue For a long time after my brain surgery, I assumed my body worked like this: the stroke happened in my head, so whatever went wrong afterward would also happen in my head. Fatigue, brain fog, slow thinking all of it filed under “neurological,” all of it explained by the injury I already knew about. That assumption turned out to be wrong, and the way I found out was almost accidental. About eighteen months after my brain surgery, I had thyroid surgery to remove a nodule so large it had pushed my windpipe and esophagus six centimeters out of place. I had no idea it was there. No lump I could see, no difficulty swallowing or breathing that I’d noticed. It was found only because I had a chest X-ray to rule out an infection, and a doctor spotted something that had nothing to do with why I’d walked in. What followed was a slow, confusing recovery from that second surgery, and a wave of fatigue I automatically blamed on my brain, because that was the injury I already understood. It took time to realize the fatigue might be coming from somewhere else entirely: my thyroid. Hormones and Stroke Recovery: The Connection Nobody Talks About I brought this experience to Dr. Robert Hedaya, a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, to understand what actually happened, and to ask a bigger question: how many other stroke survivors are dealing with fatigue, brain fog, or mood changes that they’ve written off as “just the stroke,” when the real driver is a hormonal system that’s quietly stopped working properly? Hormones and stroke recovery turn out to be far more entangled than most of us are told. As Dr. Hedaya put it plainly: the brain is a hormonal organ. Thyroid hormone, cortisol, testosterone, estrogen every one of them acts directly on brain tissue, and every one of them can be knocked off balance by the stress of a major medical event. Why “Normal” Thyroid Bloodwork Can Still Mean Something’s Wrong One of the most important things Dr. Hedaya explained is that a “normal” TSH result doesn’t rule out a thyroid problem, especially after a stroke. TSH is a signal sent from the pituitary gland, and if a stroke has affected the brain’s signaling pathways, the pituitary itself may not respond the way it should. A survivor can have genuinely low thyroid hormone while their TSH sits comfortably inside the standard reference range, because the system responsible for raising that number in response to a deficiency isn’t functioning correctly. He also raised a striking data point: population studies suggest the average TSH in a healthy population is closer to 1.4, yet most labs still use an upper reference limit of 4.5, a range wide enough, statistically, to miss a real problem. His advice for survivors going into a GP appointment: ask specifically for TSH, free T4, free T3, and reverse T3, not just the standard single-marker test, and come prepared with symptoms written down if a doctor pushes back. A Nodule That Grew in Silence The brain is a hormonal organ. It’s an immune organ. It’s a neurological organ… there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. -Dr. Robert Hedaya My own nodule is a case study in exactly this kind of silent progression. Dr. Hedaya explained that because it grew inward rather than outward, it never created the visible lump most people associate with a thyroid problem, and because it didn’t press on my vocal cords or laryngeal nerve, I never developed the hoarseness that might have flagged it sooner. My body adapted gradually, and the fatigue that eventually surfaced was easy to misattribute to the injury I already knew I had. Cortisol, Stress, and the Difference Between Pain and Suffering Beyond the thyroid, Dr. Hedaya walked through the role of cortisol, the body’s primary stress hormone, and why survivors often struggle to answer a deceptively simple question: “Are you stressed?” His distinction between pain and suffering is worth sitting with: pain is often unavoidable, but suffering is shaped by the story we tell ourselves about a situation, and a stroke can compromise the very brain systems that regulate that stress response in the first place. Testosterone, Estrogen, and the Brain’s Need for Hormones to Rewire The conversation closed on sex hormones, testosterone and estrogen, relevant to both men and women, and their role in neuroplasticity. Dr. Hedaya drew a direct comparison to adolescence: the teenage brain rewires itself while hormone levels are surging, and the same principle applies after a stroke. A brain trying to rebuild pathways needs adequate hormonal support to do that work. Without it, recovery can stall in ways that have nothing to do with effort or physiotherapy. What You Can Do About It If any of this sounds familiar fatigue that doesn’t track cleanly with other recovery milestones, or symptoms a doctor has waved off as “just stress,” Dr. Hedaya’s PNIE (psycho-neuro-immuno-endocrinology) questionnaire is a useful starting point. PNIE Questionnaire download: https://drive.google.com/file/d/1S7kC5uMFgBfS-gWcUOIHp0kOjGnrzZK5/view?usp=sharing If thyroid function specifically is what you’re navigating, the earlier conversation with Dr. Elena Zinkov, “Stroke Fatigue and Thyroid,” goes deeper into that piece (https://recoveryafterstroke.com/stroke-fatigue-and-thyroid/). And for more from Dr. Hedaya, the first conversation on photobiomodulation and stroke recovery is a good companion listen (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). Getting your body back after a stroke is rarely just about the brain. My book, The Unexpected Way That A Stroke Became The Best Thing That Happened, goes further into the mindset shifts that came out of my own recovery (recoveryafterstroke.com/book). And if this podcast has helped you, you can support its continuation at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns (Interview) A baseball-sized thyroid nodule hid in plain sight after Bill’s stroke. Dr. Hedaya explains the hormone testing every survivor should ask for. Support The Recovery After Stroke Podcast Bill’s Book: The Unexpected Way That a Stroke Became Thethe Best Thing That Happened Highlights: 01:45 Hormones and Stroke Recovery 02:11 Understanding Thyroid Function and Its Impact 17:07 Navigating Thyroid Health with Healthcare Providers 27:09 The Role of Stress and Cortisol 39:09 Nutrition’s Impact on Brain Recovery Transcript: Hormones and Stroke Recovery Bill Gasiamis (00:00) And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. that was the first sign that there was something wrong with my thyroid Bill Gasiamis (00:19) Welcome back to Recovery After Stroke. I’m Bill Garciamas, and today I’m joined again by Dr. Robert Hedeya, clinical professor of psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, whose highland approach to brain health first brought him onto the show for our conversation on episode 404, where we discussed, amongst other things, photobiomodulation, a type of transcript. cranial laser therapy helping some stroke survivors recover lost function. He’s back today for a conversation I wanted to have for a while, the hormonal side of stroke recovery. We’re going to talk about thyroid function, cortisol, and stress physiology, and sex hormones like testosterone and estrogen, and why every one of these systems can directly affect how well and how fast your brain recovers. I’ll also share my own story of a thyroid nodule that grew undetected, which was discovered after my brain surgery completely by accident. if this conversation resonates with you, my book, The Unexpected Way That a Stroke Became Thethe Best Thing That Happened goes deeper into the mindset shifts that shaped my own recovery. You can find it at recoveryafterstroke.com/book. And if you’d like to help keep this podcast going, you can support it financially at patreon.com/recoveryafterstroke. Bill Gasiamis (01:46) Robert Hedaya, welcome back to the podcast. Dr Hedaya (01:49) Thank you for having me, Bill. Understanding Thyroid Function and Its Impact Bill Gasiamis (01:51) thank you for being here. The last conversation we had was very well received. And it’s always difficult in a one hour interview to ask all the questions that we could possibly ask about the brain and stroke recovery and all the things that people go through. And… I’ve got a lot of other questions that are related to the brain and the link between other parts of the body and the brain, because we have this sense. Well, I did at least when I was first diagnosed that whatever happens in my head is kind of isolated, that it just impacts my head. But there seemed to be some other impacts and cascading effects. that were occurring, uh, that I didn’t know were linked to the brain injury, Dr Hedaya (02:45) Yeah. Bill Gasiamis (02:46) maybe indirectly, but they were perhaps. But one thing specifically that happened to me about, uh, 18 months after my brain surgery was I had thyroid surgery to remove a nodule on my thyroid. And when I was going through the recovery after that, surgery, I noticed that I had fatigue and I thought it was neurological fatigue related to my brain surgery. But it took a long time to develop an understanding that perhaps that batch of fatigue was related to my thyroid. And then that got me thinking all sorts of things. know, if the thyroid also causes the same neurological fatigue that brain injury causes, what people might be missing this in their healing from a brain injury, they might have a compromised thyroid and not know about it. So the first question is, what is a thyroid? What does it do? And why does it cause neurological fatigue? Dr Hedaya (03:54) Okay. So thyroid gland sits in the neck, right? There’s two lobes, there’s one on the right, one on the left, a little kind of island in the middle called the isthmus, and and it controls many functions, metabolism overall, energy overall, just broadly speaking. now it affects the immune system. It’s affects the nervous system. It affects the gastrointestinal system, it affects the muscles, it affects the heart, right? It affects the skin, it affects the nails, it affects the hair. You know, and I could go on and on and on. Okay? Bill Gasiamis (04:34) Wow. Dr Hedaya (04:35) Now the interesting thing about this is that this be a little technical, but the thyroid puts out a hormone called T4 or thyroxine, and this is a little molecule with four iodines in it on it, and that Gives you about 20% of the activity of your thyroid hormones in your body. But then that T4 goes all over the body to different tissues, and each tissue can has its own system to change that T4 into T3 by removing an iodine. T3 has 80% of the thyroid activity. So that means each tissue in the body can control how much thyroid it. It’s using and needs, right? And and has available to it. Okay. So that means the brain, the heart, the liver, the lungs, every tissue has its own enzyme that allows it to kind of modulate how much thyroid, right? Now, so why does that cause neurological fatigue? Well, thyroid in the brain affects neurotransmitters like adrenaline in the brain, which is called nor norepinephrine, noradrenaline. in order for that to work. The T3 has to be in the right amount for the receptors for the noradrenaline to be structurally correct so they can transmit the signal. It’s necessary for production of energy in all the brain cells. It helps the immune system in the brain. It carries molecules from here to there in the brain. it affects serotonin transmission in the brain, so mood regulation, anxiety, obsessiveness, depression. You know, those are just some of the functions of the brain, but it affects every cell in the bane in the brain. So you’re gonna, if your thyroid is off, most likely you’re gonna have some kind of brain problems, particularly, you know, when your thyroid is off, the tissues in your body that are most compromised or most stressed, that’s probably where it’s gonna show up, right? And in the case of stroke, that’s where it’ll show up. Bill Gasiamis (06:44) So it’s possible then, is it possible to overlook it? Is it very obvious that your thyroid is out of, well, is dysregulated or is not working properly? Dr Hedaya (06:56) Well, in general it’s easy to detect. And if you want, I’ll tell you how. So Bill Gasiamis (07:04) Yeah. Tell me how. Dr Hedaya (07:07) so there’s some blood tests that are simple and then s some symptoms. so for most people this holds. When your thyroid is low, you know, you’re gonna be cold easily, you’re gonna have dry skin, brittle nails, hair will fall out. Muscles will be weak, thinking will be slow, movement will be slow, getting up from a chair will be more difficult, going upstairs will be more difficult, your heart rate will slow down, you’ll be constipated. Those are the most common symptoms. If your thyroid is overactive, then you could be have palpitations, oily skin, acne, oily hair. Diarrhea, you know, kind of the opposite. The thing that’s a little confusing with the thyroid is sometimes overactive thyroid can show up and look like it’s underactive symptomatically, or vice versa. So you really need the labs. And the labs are TSH, which is thyroid stimulating hormone, and that’s tells you what the brain is doing. And then free T4. That’s the amount of T4 that’s kind of floating around free, not bound to protein, so it can actually do its job. The way I think of it is like, you know, a lot of the thyroid home is sitting on a bus. It’s not free, it’s bound to protein. Can’t do its job. But the stuff the thyroid this that’s out of the bus or not on a protein, that can do its job. That’s the free T four. And then the free T three, right, which carries eighty percent of thyroid activity. And then the last one is a reverse T3 because sometimes if your tissues in your body are making too much thyroid or getting too much thyroid, they’ll actually, instead of taking the iodine off the T4 molecule on the right side, they’ll take it off on the left side, or vice versa. So they make a fake T3 that doesn’t work. And this way they short circuited okay, you got all this T3. Well, let’s make it into a fake, fake T3 so it can’t do anything. So reverse T3 is also very important. And then you want to measure body temperature. Usually it’ll be low. And then, you know, a physical exam. Those are the ways to do it. If you wanted to go even deeper, you could do some genetic testing. There are genes that will tell you whether you’re converting the T4 to T3 in the brain. Adequately, or maybe you’re more likely to be slow in that regard. So you can have normal numbers in your blood, but your brain might be hypothyroid, right? And there are actually a lot Bill Gasiamis (10:05) Uh-huh. Dr Hedaya (10:05) of studies showing that hypermetabolic, like high doses of free T3, actually reverse treatment-resistant depression because it’s it’s thought that there’s a local in-brain. hypo-low thyroidism. You can have low thyroidism in your heart, in your muscles, but not in the other tissues, you know, because I told you every tissue can control how much it’s making. So if you have a genetic vulnerability, then you you might more be in general be more likely vulnerable to depression or to ADD or to anxiety, things like that. Bill Gasiamis (10:42) Wow. Are you blowing me away? I didn’t expect to hear any of the things that you just said. X. Um, some of the things that you described, the, uh, some of the symptoms that you described, had those intermittently in and out all the time, other than a thyroid nodule, which is what I had, which was obvious on a scan. Dr Hedaya (11:05) Yeah. Bill Gasiamis (11:06) What other things caused the thyroid to not function? correctly. So is there lifestyle factors that interfere with the thyroid gland and therefore, you know, then have the cascading effect and take off, take all those other things or some of those other things offline. Dr Hedaya (11:28) So there a number of causes, right? So first of all, let’s take someone who has had a stroke or chronic illness, right? So you’re under stress and that affects your stress hormones, your adrenal glands, cortisol, etc. Well, if your adrenals kind of poop out, then maybe your body says, Well, I can’t handle all this thyroid, even though the amount is normal, it’s like too much. I can’t handle it, so it’ll make less thyroids. Now you develop a hypothyroidism. You could develop it just because all the chemicals in the environment, the ha the hormone interrupting chemicals, there are hundreds of those. you could develop it ’cause of nutritional deficiencies like tyrosine is necessary to make thyroid hormone, copper, you know, things like that. I can’t tell you offhand which which nutritional factors, but people can look that up, what nutritional factors are important. To make thyroid hormone. and then infections like, for example, Lyme disease causes Hashimoto’s thyroiditis, which is an autoimmune where your immune system’s actually attacking your thyroid. COVID vaccination, like the Pfizer and the Moderna vaccine, if you are genetically vulnerable, can also cause your immune system to attack your thyroid. So there are many, many causes, plus there are inherited genetic vulnerabilities and it It’s not always low thyroid, sometimes it’s high thyroid, hyperthyroidism, like Graves’ disease, right? You can have antibodies Bill Gasiamis (13:01) Mm-hmm. Dr Hedaya (13:02) that are actually stimulating thyroid activity as well. Bill Gasiamis (13:06) Wow. The environmental toxins. we talking about all day, every day household use kind of environmental toxins? I imagine the external of the house, they’re kind of out of our control, right? We’ll talk about like, you know, like pollution or things that are associated to things that are caused that we don’t necessarily control, but internally inside the house or what we expose ourselves to that we can control. what would some of those environmental toxins Dr Hedaya (13:38) Well Bill Gasiamis (13:39) be? Dr Hedaya (13:40) so for example, you know, in your produce, you know, there are pesticides, or in the man made materials in your car or the man made materials in your home. Let’s say you bought a new home and you have, you know, some kind of synthetic floors or furniture with synthetic materials or materials that are natural that are treated with chemicals for various reasons. Those things all can be not everyone is, but many of them are called homes. hormone interruptors because they actually can change the way your hormones function. You know? So we’re the truth is we’re bathed in these chemicals. They’re everywhere. And very hard to escape them. The best thing you can do is kind of try to detox them using a healthy diet, a lot of crucifer vegetables and lots of vegetables, above ground vegetables that are grown in healthy soil. Without pesticides, organic preferably, right? and then there are supplements you can take, such as metagenics makes something called UltraClear Plus, which helps support the liver, and its detox functions. You know, some people are more vulnerable than others, but you know, these thyroid nodules you like you have, they’re very, very common now. Very common. And that’s you know. In large measure, I think these hormone interrupters that are interfering with how the the thyroid follicles in the thyroid gland are operating. Bill Gasiamis (15:13) Is it possible to have thyroid nodules and not know about it? I, I Dr Hedaya (15:18) Yeah. Bill Gasiamis (15:19) say that because I had nodules that were the size of a baseball, apparently in my throat that were growing inwards, that didn’t make a lump outside of my throat, which Dr Hedaya (15:33) Yeah. Bill Gasiamis (15:34) I was not aware of. And the way they found it was they did a chest X-ray after brain surgery because I wasn’t recovering well. to check my chest to see if there’s an infection. And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. Dr Hedaya (15:52) Wow. Bill Gasiamis (15:53) I’m not sure what that is in inches. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. But that was the first sign that there was something wrong with my thyroid before that. there was no sign of it. I ask that because either I’m totally oblivious or it is possible to have thyroid nodules and not know it. Dr Hedaya (16:23) Well, most people don’t know it. Now yours is so massive, but I think it’s kind of what you said is how it grew. If it grew towards your vocal cords or your laryngeal nerve or something, you would have had some pretty bad hoarseness or something like that. But it grew I guess backwards so it didn’t interfere that much. And I guess your s your body adapted gradually over time. You know, yes, it’s very possible for sure. Very common. Bill Gasiamis (16:49) And how would somebody interact with a general practitioner, for example, now to go through the process of understanding, A, their thyroid health and whether or not they have any nodules. Navigating Thyroid Health with Healthcare Providers Dr Hedaya (17:02) I mean in other words, given what we’ve talked about, how should they approach their doctor basically? Bill Gasiamis (17:07) Yeah. Dr Hedaya (17:08) I guess I would say go to AI, get a list of the symptoms of low thyroid or high thyroid or all of them, check them off. So then when you go to the doctor you have a list, check your temperature, check your pulse, although the doctor will should check that. And then you could say, look, I have these symptoms, or maybe you don’t have any. But if you do, you have these symptoms, and clearly thyroid hormone levels can affect the brain. And I’d like a TSH, a free T4, a free T3, and a reverse T3. That’s it. And if they Bill Gasiamis (17:45) Okay, perfect. Dr Hedaya (17:46) say, no, no, we don’t need to do that, you know, a lot of times what they do, they’ll just do a TSH. Or they won’t do the reverse T3. They don’t, unfortunately, look at the thyroid gland in a dynamic way. They say, the TSH is fine. If your thyroid was low, your TSH would go high. We don’t need to do the rest. But that’s not true. That’s not true at all. Because especially if you had a stroke, your pituitary function may be compromised. Your TSH may be fine or low and your low thyroid. As matter of fact, in the last interview, the case that I talked about, who referred me to you, she actually had a low TSH, but she had a very low, I think it was a free T4. Or free T3 or both, whatever it was, but she had too little thyroid hormone, and her pituitary couldn’t respond because of the stroke. Bill Gasiamis (18:37) understood. So that’s a great list of Dr Hedaya (18:37) So so be you have to be dogmatic and you say to the doctor, look Even put into even put into AI and say, look, if the doctor comes back to me and argues against these tests, what should I say? You gotta be prepared because the doctor will steamroll you. You know, that they only allow this, they only allow that, I’ll only do the free T4. Well, that doesn’t tell you how much has been converted to T3, free T3, and it doesn’t tell you, even if the free T3 is normal, that doesn’t mean you’re not overproducing thyroid and and dis you know, and neutralizing it with the reverse T three. So, you know I mean I I mean I think it’s s so important that a thorough look is is really important. If you have the symptoms, you know. Bill Gasiamis (19:22) I agree with you. That list of to-dos, I’m gonna put that on the show notes. People can go and get that list if they don’t wanna go into AI themselves or they haven’t got the time or whatever. They can just download it from there. And then they’ll be able to take that and begin a conversation with their general practitioner. What’s interesting is that I’m in Australia, you’re in the United States. My general practitioner is pushed back when a… when a patient will turn up and say, I have these tests? They’ll say, well, no, you don’t have any condition that is obvious that you need these tests. So it’s not covered. So you don’t need to do it. So my next suggestion to them is no problem. Order the tests and I’ll pay for them. Now it’s not ideal, but if you’re not going to do them for me and I need to know, cause it’s my health, I’m going to pay for them. So just tell me how much it is and I’ll find a way and I’ll make it happen and I’ll pay for it. So that’s another option. Dr Hedaya (20:17) Yeah. But if you go in with your symptom list, right, and you say, Well, that’s not true, because these are the symptoms, you know, that I have, here they are, right here. You can take a look, you know. And then the last thing I’ll say, this gets even more tricky, is the reference range, I’m sure in Australia, but certainly in the United States, the reference range basically is of the TSH, the pituitary home. Is 0.5 to 4.5, meaning you anywhere in that range and your TSH is normal. That is a bad reference range. And I know it to be a fact because I I I guess I won’t waste your time with it, but I did a study on a hundred people and with a very sensitive thyroid test called a TRH stimulation test. and I was able I hired a statistician to calculate this. And say, well, I don’t want to keep doing this test on everybody. What TSH predicts an abnormal TRH stimulation test? And he came back and said to me, Well, once the TSH is over 1.4, it starts to increase your odds of having an abnormal TRH stimulation. So I said, okay, so 1.4 TSH is my cutoff, right? That’s in my mind. I said, okay, that’s that’s my cutoff, that’s when I get suspicious. Later, several years later, a paper came out, a large, large study, called the NHANES Study, Nurses Health, and I’m not sure what it stands for. Thousands of people followed over many, many years, over decades, and they found the mean TSH in the US population is 1.4. So, right where I what right where my study found. So that means statistically, it is not. impossible to have the upper limit of the reference range being at four point five because statistically the upper limit is never more than two standard deviations. So even if your standard deviation is 1.4, which it can’t be, you you’re not going to reach 4.5, right? Unless you have a it’s called a bimodal distribution curve. If you have that, then you’d say, well, it it could be. But we don’t have that with thyroid. So that reference range is wrong. The upper limit of the reference range should be 2.5. And about half the endocrinologists in the United States believe that. And half say, no, no, no, don’t change it. So that’s another sticky point because, you know, easily people get a result and they’ll go to the doc and say, no, the reference range is 4.5. You’re normal. Then you could say, well, look, I have these symptoms, and they could do a literature search. What’s the normal reference point? What in in the N A N HANES N-H-A-N-E-S study? It’ll show you 1.4. and you could take be prepared to go to the doctor and say, Well, here’s a study that suggests that the reference range may be incorrect. and I have symptoms by the way. We don’t treat the lab, we treat the person. So could we give a trial? Just a trial, there’s no harm done, you know, trial. Let’s see let’s start at a very low dose. Let’s see how I feel. Maybe I’ll get better. I’ll come back in a month. Bill Gasiamis (23:45) Yeah, I love that. It’s really good advice, especially coming from someone who is a doctor who think is thinking on the same way as me, for example, the patient. Because that’s like a match made in heaven. And that’s so rare to be able to get that. Often, my challenge to my general practitioner was well, the reference range isn’t that average of a sick population, because it’s usually a sick population that comes to see you to get bloods. It’s It’s not the most healthiest people that come to see you to get bloods. And that’s kind of how I try to like start the conversation of convincing a general practitioner to do a test that they’re reluctant to do. And when I say they’re reluctant, I’m not in there every day. I’m not in there every week. And I’m not putting stress on the system to an extent where I’ve been over using the system. I’m not at all. in there once, twice a year, maybe, you so if I’m in once, twice a year, well, then, I’m not mucking around. Like I’ve come there to investigate something that I’m suspecting is wrong with me. It’s my body. I’m feeling something. had a bit of a look online. This is what I suspect. Don’t try and convince me out of my thinking or my instinct more better. Why don’t we just, work together to get to the bottom of it. If it is something it is, if it’s not, it’s not, and that’s okay. Not a big deal. I’m better to know. then not no, I think, you know, it’s better to be safe than sorry in my mind. Dr Hedaya (25:16) Yeah. I would I would only think only correction I would make is the reference ranges generally are made on normal populations. Now now the thing is who’s normal anymore? Number one. Number two, that’s a statistical norm that doesn’t tell you anything about your genetics. your vulnerabilities, it’s not an individualized statistic. I mean it’s it not an individualized thing. What’s your normal range? And are you out of your normal range? Nobody can answer that, right? Unless you had previous data before you were ill. And you say, well look, I’ve been running at a 1.1 for five years or 10 years and now I’m at 3.2. That’s a big change. Well, you know you’re stressed. Well yeah maybe but here are my symptoms. Always come back to your symptoms. Bill Gasiamis (26:11) Got it, got it. Dr Hedaya (26:12) No. Bill Gasiamis (26:13) You use the word stress just now and my general practitioner says, I might go in and some bloods might be out of whack or some things might be not feeling great. And he’ll say, are you stressed? And I’m like, well, I’m not stressed. like, I’m not stressed in any way that I can say is worse than normal. For example, I’m Dr Hedaya (26:35) Mm-hmm. Bill Gasiamis (26:36) just, you know, I’m attending to my clients at work. picking up the kids from school, I’m, you know, making sure the bills are paid. Like I’m just doing the normal things that I always Dr Hedaya (26:48) Right. Bill Gasiamis (26:48) do, which tend to be stressful. And somehow when we talk about stress, cortisol seems to come into the conversation. Dr Hedaya (26:57) Mm-hmm. The Role of Stress and Cortisol Bill Gasiamis (26:58) And I don’t know how to respond to a general practitioner who says to me, am I stressed? Because I’m not experiencing something extreme or dramatic. in the months before I came to see him. So can we have a conversation a little bit about stress, cortisol, what is stress, what is cortisol, are they linked? Tell me about that, give me your thoughts. Dr Hedaya (27:21) Okay. Okay, so this is a multi-layer system. Okay, it starts with your perception and your of a situation and the story you tell about you the story you tell yourself about the the situation and your need for control of a situation and as opposed to saying I’m in the flow of the universe and All right, this is you know, this is the way it is, and I’ll adapt to it. Not so easy by the way, but it’s a much healthier way because most things will not stress you. Now, pain, let’s say you stepped on a nail, you’re gonna have stress, okay? Totally stressful, etc. But there’s a a difference between pain and suffering. Most of our problem is suffering. Suffering is a result of thinking patterns. perspectives of yourself and the world and the future and blah blah blah. I could talk about that for a long time. And that is probably one of the most important places to intervene and to train yourself, etc. Now, once this thing is registered as stress, it goes through back to the hypothalamus and the pituitary where all those hormones are controlled, the hypothalamus and pituitary in the brain, now you’ve God forbid, you’ve had a stroke. Those things may be affected, therefore, those systems may not be working well. In that case, you may not be able to handle stresses that you used to handle. You may not you may not have those shock absorbers. So, how do you measure this? I think the way you measure it again are symptoms, and typically it would be low cortisol and low DHA, d DHEA, and low pregnenolone. And the symptoms would be a lot of fatigue, right? Maybe poor wound healing, muscle aches, body pains, getting sick more easily, cognitive slowing, depression, anxiety, extreme exhaustion, salt cravings, in unstable temperatures, you know, I would say yeah You know, th loss of appetite in severe cases, you know, dizziness on standing. Okay. So those are the low adrenal output things. Now how d how do you measure and again, you think you have a problem, go to an AI thing, make that list, check it off, whatever applies, and you know, work yourself up symptomatically and then ask well, okay, what what are the best tests here? What are the best test. Now the way I test it is I get morning I got a morning like eight to nine a.m fasting ACTH and cortisol. It’s gotta be in the morning around between eight and nine a.m. fasting. I also at the same time get a D, like David, H E A and a D H E A sulfate, and then I also get a pregnenolone. And if I think there’s any kind of sex hormone problem that I want to check, then I will check a free testosterone, FSH, LH, and The testosterone measures the free testosterone is very unreliable. So if it comes out low, you want to do it two more times to double check that. But the other measures are pretty reliable. And then you’ll you’ll know the other thing you can do is you could do something called a Dutch test, which is a urine test that’ll look at your cortisol through the day, or an adrenal saliva test. It’s ASI, alleval adrenal saliva index, the Dutch test. or the ASI, both good tests. and those will tell you what’s going on through the day. Like if you’re not sleeping, it could be because your cortisol high at night, you know. Wake up horrible or in pain. Could be because your cortisol is really low in the morning. Really low. You can’t even get out of bed, you know, can’t get going, right? So these are all all things that you can do to measure and then you can replace these hormones and That’s one thing to do. The other thing to do is to work on how you manage stress. There are millions of ways of doing that, right? From meditation to heart math to Bill Gasiamis (32:05) Mm-hmm. Dr Hedaya (32:06) yoga to you know, there’s just a lot a lot a lot of ways to Bill Gasiamis (32:10) Yeah, let’s go back for a moment and talk about testosterone because when I hear testosterone, I’m hearing you say to a male that I need to have testosterone in my body and at certain levels, et cetera. And sometimes it can fall out of whack and you need to get it tested. I had mine tested recently. It’s all good. But women also need testosterone. Tell me about that. Dr Hedaya (32:35) Yeah, so I was I was thinking of both male and female when I said it, Bill Gasiamis (32:38) Yeah. Dr Hedaya (32:39) because it’s it’s you know, women who are postmenopausal can have it’s much more common to have a low free testosterone loss of libido, you know. testosterone the studies which I’ve reviewed a few times, you know, there’s a debate does it affect the mind, the brain, you know. It seems to have an effect on well being, on vitality muscles, sex drive obviously, libido erectile function, brain cognitive function, some mood effects, etc. So I I think it’s important now i it it has to be managed in women as well as men. You know, in in women testosterone is a step on the way to estrogen as it is in men, right? And in the metabolism, right? So it it should certainly be assessed in everybody. Bill Gasiamis (33:39) Yeah. And estrogen, mentioned estrogen. Now, one of them in my mind, it seems to be more associated again to women, estrogen, especially. And, and then men also have estrogen, need estrogen. Dr Hedaya (33:55) Men also have estrogen. I haven’t studied it so I couldn’t tell you, but I imagine it’s doing something. it probably turns men into better leaders after they’re fifty, is my guess. Let Bill Gasiamis (34:08) more emotionally intelligent. Dr Hedaya (34:10) more emotionally intelligent, less testosterone, you know. You know, I I I Bill Gasiamis (34:15) You know what? That’s a good theory. We’ll run with that for now. I might relate to that, know, who knows. Dr Hedaya (34:22) Yeah. I I think Bill Gasiamis (34:24) Awesome, awesome, so… Dr Hedaya (34:24) Yeah, so w for for women on estrogen, it depends, you know, who are you assessing? Are you that’s a whole complex subject, you know. Is it a young woman who’s menstruating? Does she have premature ovarian failure, endometriosis, ovarian cysts, insulin resistance, they all kind of travel together, methylation problems, they travel together. is it someone who’s perimenopausal where she’s starting to lose progesterone and getting a lot of PMS? That’s pretty easy. You can replace the progesterone. Is it postmenopausal a woman who’s just kinda lost the estrogen, lost the progesterone? You know, if there’s a family history of cognitive decline or dementia or something like that, there’s great evidence that transdermal estrogen and some oral progesterone bio bioidentic, not synthetic, is great and reduces the risk for lots of disorders later in life for women. You know. So there’s a whole you know, there’s a whole way of working all that up, depending on who who you’re looking at. But very important. Now so the let me Bill Gasiamis (35:31) Yeah, I love it. Yeah. Dr Hedaya (35:34) say this. The important thing here, and this is maybe the most important thing. Someone’s had a stroke, they’re obviously tremendously stressed. You have to look at all the hormones. You can’t the brain is a hormonal organ. It’s an immune organ. It’s a neurological organ. I used to teach psycho, neuro, immuno, and the chronology at Georgetown for a number of years. Okay? And the brain and hormones, you can’t separate it. So if the brain is under stress, the hormonal axes are under stress, and there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. Okay? So you must, as part of the work of anyone who’s had stroke. You must look at the endocrine, the hormonal axis. You know, you must look at it. Why? Because if you’re trying to recover from a stroke and you don’t have adequate hormones, it’s gonna be much, much harder. Much, much harder. Right? But Bill Gasiamis (36:37) Peace. Dr Hedaya (36:38) if you have if you have the the hormones at good levels, okay, now the the brain has that. If it has its nutrients, it has that, you know, okay, now it can do something, you know. What happens, think about it this way. What happens in adolescence? The brain is being rewired, the body’s growing, brain is rew being rewired. Where are the hormones? The hormones are skyrocketing. They’re necessary for the rewiring. You had a stroke, you’re trying to rewire brain, you gotta have adequate hormones. Bill Gasiamis (37:10) I love it. This is the thing that people miss. You know, we talk about the gap in stroke recovery. Acute phase gets handled Dr Hedaya (37:19) That’s Bill Gasiamis (37:19) 99 % of the time really well. People get patched up and they get sent home in some kind of alive state, whether they are fully functional Dr Hedaya (37:27) Yeah. Bill Gasiamis (37:28) or working towards it or whether they are less functional and working towards being more functional, like some kind of stage Dr Hedaya (37:35) Mm-hmm. Bill Gasiamis (37:36) of you’re alive and you’re good enough to go home. And then there’s no information after that. So how do we assess address? How, what do we know? What do we not know that we need to know? And this is kind of what this conversation is, right? It’s like, okay, here’s Dr Hedaya (37:53) Yeah. Bill Gasiamis (37:53) a whole bunch of things we’ve just discussed. There might have been things that you heard for the first time. Don’t let that, get in the way of your curiosity and investigate the thing that pricked your ears up, whether it was a symptom that Dr. Hedaya mentioned and just do a little bit more work in understanding what that is, take that to your general practitioner and begin the conversation of taking responsibility for your recovery. And in my mind, like there’s gotta be like a foundational thing that people can do to intervene that doesn’t cost most of the time anything extra. And that helps encourage and nourish the brain in overcoming these challenges, but then has the a cascade effect of having the same positive outcome on all the other organs and hormones. And that to me is nutrition. So like, if you’re, if you would suggest to somebody how they might start thinking about their nutrition as opposed to what they might have been doing before stroke, how do you begin that conversation? And what are the two or three fundamental things that they need to consider? about nutrition. Nutrition’s Impact on Brain Recovery Dr Hedaya (39:11) Okay, so If it doesn’t grow that way, don’t eat it. I never saw a bread tree. I didn’t see an ice cream tree or a Twinkie tree. Okay. So if it doesn’t grow that way, don’t eat it. Balance your plate. Balance your plate. And actually our coach, Caroline Hade, is putting out an ebook. I don’t know, should be out at a week or two or three weeks. It’s like, I don’t know, four or five dollars or something. and that will tell you exactly how to balance your plate. and then I would say very important to have three meals and maybe, depending on your how insulin resistant you are, maybe additionally two snacks. and per day, but keep your calories you don’t want to be overweight, okay, because if you’re overweight, you know, that’s a That’s its own risk factor for brain problems, right? but you can’t lose weight in a day, you’re stressed, you’re hungry, you’re tired, you eat the carbs, you know, everybody struggles with that. But that that is one of the biggest enemies of eating eating eating these processed carbs that we all love is one of the biggest enemies of your health. One of the biggest enemies of your health for sure. Bill Gasiamis (40:35) Okay, there are some great resources that people can again look into how to eat to heal the brain. And we didn’t have to have a deep conversation about that. But I love Dr Hedaya (40:45) Mm-hmm. Bill Gasiamis (40:45) what you said about balancing the plate. And if it didn’t grow that way, don’t eat it. It’s such a simple thing. If it comes in a packet on a shelf in a supermarket with all fancy pictures Dr Hedaya (40:59) Yeah. Bill Gasiamis (41:00) and stickers and a list of ingredients, like it’s probably not nutritional. of food. It’s probably something that’s going to make inflammation worse. It’s probably something that’s going to give you the type of energy that is not helpful. It’s probably going to have a whole bunch of other things. And that’s kind of my approach to healing and recovering my brain. It’s one of the first things I did was just look at my nutrition, immediately stop smoking and drinking. mean, I know it should go without saying, but sometimes you have to have a stroke for it to actually sink in and make sense. and don’t have any alcohol at all. I’m talking about forever if you can, but I didn’t have alcohol Dr Hedaya (41:46) Yeah. Bill Gasiamis (41:47) for at least the first four or five years. And now in the next five years or so, maybe I had one glass per year, just because I was, in an event where it was, everyone was drinking and it was almost necessary to have sip or half a sip or act as if I was drinking. So with that, I think we’ll wrap up this conversation today. There’s been a lot for people to digest, go back and listen to it a second time. And a third time that we have some resources in the show notes. And Dr. Hedaya, thank you for joining me again. And I look forward to our conversation that’s coming up in a few weeks time where we’re going to talk about toxin load and neuroplasticity. Dr Hedaya (42:29) Beautiful. Thanks so much for the opportunity, Bill. I hope I hope people get something out of this and they pursue what they need to pursue. Bill Gasiamis (42:36) Well, that’s a wrap on this conversation with Dr. Robert Hedeya. If there’s one thing to take from today’s interview, it is this. The brain is a hormonal organ and recovery isn’t just about the brain healing in isolation. Thyroid, cortisol, testosterone, estrogen, all of it is connected, and all of it is worth checking if your recovery has plateaued in ways that don’t quite make sense. Dr. Hadea’s free PNIE questionnaire is linked in the show notes. Download it, work through it, and take it with you to your next GP visit. If you want to go deeper on the thyroid piece specifically, go back and listen to the earlier episode with Dr. Elena Zinkov on stroke fatigue and thyroid. And if you missed it, the first conversation with Dr. Hedeya on photobiomodulation is a great companion to this one. if this episode has helped you, share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more survivors. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened, is available at recoveryafterstroke.com/book. And if you’d like to support the show financially, you can do so at Patreon by going to patreon.com/recoveryafterstroke. Until next time, take care of yourself and don’t assume it’s just a stroke. The post Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns appeared first on Recovery After Stroke.

APR Health Solutions Peptides: www.aprhealthsolutions.com - code nyleOptimize HRT Clinic: https://members.optimize-hp.com - code nyleMerch: https://www.aykons.com/nylePlease share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'nyle' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘nyle' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comRP Hypertrophy Training App: rpstrength.com/nyle (code nyle)00:00:00 Intro00:01:28 Detroit Life00:03:41 Context is King00:08:14 The Peptide Healing Journey00:14:13 Bodybuilding Stress & Sleep00:22:51 Retatrutide for Prep00:31:12 SLU-PP-332 & Endurance00:34:28 Mitochondrial Health & SS-3100:37:30 Clearing Zombie Cells00:41:19 Peptide Bio-Regulators00:47:47 Growth Hormone Truths00:52:36 Fixing Gut Health00:59:16 Mandatory Bloodwork Protocols01:06:06 Long Exposure Anabolics01:13:05 The Health Phase01:15:18 Estrogen & Aromatase Control01:18:57 Mini-Cuts & Insulin Sensitivity01:20:03 Training Volume vs Intensity01:28:28 Retatrutide Digestion Issues01:30:10 Sleep Apnea & High Hematocrit01:32:13 Pre-Workout Orals (Anavar)01:34:41 Fatherhood01:35:54 The StairMaster is Overrated01:39:09 Peri-Workout Insulin01:40:16 Why Supplements Fail01:42:17 Potassium Pulsing & Diuretics01:46:56 Clinical Medicine in Coaching01:47:51 DHEA & Skincare01:50:48 Complex Gut Health Case01:54:00 Adding Lantus to Prep01:57:40 5-Amino-1MQ Fat Loss02:00:00 Impact Over Hype

Your bloodwork can come back “normal” while cortisol, nutrient deficiencies, gut dysfunction and hidden immune triggers continue driving exhaustion, weight-loss resistance and hormonal decline. Dr. Stephen Cabral joins Dr. Josh Axe to explain why treating an isolated diagnosis may fail when the real problem is an interconnected biological pattern that standard testing never uncovered. Uncover what's really going on in your body with advanced biomarker testing for hormones, thyroid, and metabolism— plus a 1-hour consultation with a Senior Health Advisor! →  http://mybloodwork.com Thank you to our sponsors! Sunlighten Sauna: https://get.sunlighten.com/axepodcast Manukora Manuka Honey: https://manukora.com/axe Caraway Home: carawayhome.com/drjoshaxe (Use code DRJOSHAXE) for an exclusive discount Watch The Dr. Josh Axe Show every Monday & Thursday on YouTube: https://www.youtube.com/@drjoshaxe?sub_confirmation=1

This episode is not about scaring you. Fear does not produce good health decisions. It produces paralysis, or overreaction, and neither of those is what I am after for you.This episode is about something different. It is about helping you understand that what your body is doing right now, however subtle it feels, is communicating something about your future. And that the gap between where you are today and where you could be in ten years is significantly influenced by what you do in the window you are currently in.Today I am getting concrete. Three areas where waiting carries the highest cost. Three areas where earlier action produces outcomes that later action simply cannot replicate. Autoimmunity. Hormonal and metabolic dysfunction. Brain health.Inside this episode, we cover:Why autoimmune disease does not begin at the diagnosis, and what research shows about the window that precedes itThe three-hit model of autoimmune development, and why two of the three hits are modifiableHow the metabolic mess becomes the immune mess, and what that chain reaction actually looks likeWhy the word "just" has cost more women more years of their health than anything else: just hormones, just stress, just aging, just perimenopauseThe actual physiology of how adrenal strain, cortisol dysregulation, gut compromise, and sex hormone decline create one tightening knot over timeWhy brain reserve is the area I feel the most urgency about, and what is actually happening underneath before the symptoms appearThe glymphatic system, estrogen, insulin resistance, and BDNF: what these have to do with your cognitive futureThree patient stories: one autoimmune, one hormonal and metabolic, one brain health, all with the same throughlineGenetics loads the gun. Lifestyle pulls the trigger. That is true for all three of these areas. And none of them are outside your influence, especially in the window you are currently in.This is not just about feeling better now. The person you will be at 60, 70, 80, the function you will have, the clarity, the independence, the capacity to show up fully for your life. That future is being shaped by the inputs happening right now.Share this episode with one woman who has a family history that scares her. Family history is information. It is not a sentence. But only if you act in the window it opens.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Hair Tissue Mineral Analysis www.drkaceywallace.com/htma✨ The Anchored Journey (application)https://anchoredtowellness.com/anchored-journey✨ Get the book: You Are Not Fine www.youarenotfine.com✨ Dr. Kacey's Corner Newsletterwww.drkaceywallace.com/newslettersignupSupport the show

What if everything you thought you knew about menopause was either wrong, incomplete, or decades behind the science?Tammy Hadfield has been a women's health nurse practitioner for over 35 years — 25 of those as a hormone specialist. She was in the field in 2001 when the Women's Health Initiative scared an entire generation of women away from hormone therapy. Instead of backing down, she leaned in. She spent years being called one of the "crazy gals" giving hormones to women when most of the medical community said not to. The science eventually caught up. Her patients were better long before it did.This conversation covers everything you've been wondering about perimenopause and menopause — bioidentical versus synthetic hormones, why your cholesterol and your weight might have more to do with estrogen than your diet, what the hormone cascade actually looks like, and why the annual Pap smear is not the appointment to bring up your hot flashes, your mood changes, or your missing libido.But this episode also becomes something deeply personal. Tammy attended the BEST LIFE Retreat in Sun Valley in October 2025 — and what happened in the months after, including a planning meeting where she took a black Sharpie to her patient load and crossed out the number she'd been chasing, is one of the most honest things Laurie has heard in a recording studio.What we coverTammy's origin story: from postpartum nursing to military service in Alaska to hormone trailblazerWhat happened on the Today Show in 2001 — and how a single news segment derailed decades of women's healthWhy Tammy was considered "crazy" for giving hormones to women — and what the data eventually showedBioidentical versus synthetic hormones: what the difference actually means and why it matters for dosing and side effectsPremarin — the story behind the name, and why Tammy tells patients "I'm not a veterinarian and you're not a horse"Why all your hormones come from cholesterol — and what that means for women who are told their cholesterol is too highWhy your body holds onto fat when estrogen is low — and why estrogen is not making you fat; excessive estrogen isThe full hormone picture: estrogen, progesterone, testosterone, and DHEA — what each does and why all four matterWhy women who've had a hysterectomy are often wrongly told they don't need progesteroneThe difference between progestin (synthetic) and progesterone (bioidentical) — and why they are not the same thingADHD in menopause: why symptoms spike when estrogen and testosterone declineAlzheimer's, brain protection, and why 70% of new Alzheimer's cases are womenWhen hormone deficiencies actually start — and why Tammy says mid-30s, not menopauseWhy your annual Pap smear is the wrong appointment for this conversationTammy's biggest pet peeve: the male testosterone formulation being prescribed to women with instructions to use "a tenth of the packet"The four cornerstones that support hormones: nutrition, sleep, movement, and connectednessWhy Tammy closed her brick-and-mortar practice, stopped taking insurance, and launched Only HormonesHow to work with Tammy — including insurance, labs, FSA/HSA, and what the process looks likeThe BEST LIFE Retreat: what shifted for Tammy, the planning meeting with the blank calendar, and why she took a Sharpie to the patient number she thought she wantedRedefining success: from 30 patients a week to 12 — and why that's the better versionPermission to dream again — and why wanting what you want is not selfishWhat Tammy loves most about being a midlife womanWhat she'd tell her 20-year-old self: glimmers, breathing, and relaxingQuotable moments"I'm not a veterinarian, and you are not a horse — so we're not going to use this for your hormone replacement therapy.""All of your hormones come from cholesterol. Every single hormone.""Estrogen is not going to make you fat. Excessive estrogen will. But we need some estrogen so that our body can actually get rid of fat.""I just do hormones. I love hormones. That's all I wanna do.""Your appointment with me should be the easiest appointment you ever have.""I'm just your girlfriend on FaceTime.""We are taught as little girls not to be selfish — over and over again. And it's not selfish. It is figuring out what kind of life I want.""I took a freaking black Sharpie to that number of patients and said, 'Screw it. I'm gonna see 12.'""It's a redefinition of what I think success is. That's probably the bottom line.""I don't have to accept a smaller version of what I want my life to look like.""I would just tell myself: take a moment for yourself and breathe, girl. Just breathe."Resources + links mentionedThe Menopausal Brain by Lisa MosconiOnly Hormones — Tammy Hadfield's practiceApply for the BEST LIFE MastermindBook a 15-minute call with LaurieConnect with Tammy HadfieldWebsiteEmailInstagram

Hormone Optimization: Why Your Labs Are Normal but You Still Don't Feel Like YourselfNeed to Connect with us? Schedule a FREE HEALTH CONSULTATION at www.thrivecfh.com/functional medicine. Episode Highlights:Have you been told your lab work is "normal," but you still struggle with fatigue, weight gain, brain fog, poor sleep, low libido, or a general feeling that something isn't right?In this episode of Health Hacks, Dr. Jeni St. Onge and Tara Peterson explore what hormone optimization really means and why hormone-related symptoms often have deeper root causes than most people realize.Many people assume hormone health is simply about replacing a low hormone or taking medication, but true hormone optimization involves understanding how multiple systems work together. Hormones such as estrogen, progesterone, testosterone, thyroid hormones, cortisol, insulin, and DHEA all communicate with one another, and imbalances in one area can affect the entire body.Dr. Jeni and Tara discuss common signs of hormone imbalance in both women and men, including fatigue, weight gain, brain fog, anxiety, sleep disturbances, low libido, mood changes, reduced motivation, and difficulty building or maintaining muscle.They also explain why many patients continue to experience symptoms despite being told their lab results are normal. You'll learn how functional medicine evaluates hormone health differently by considering lifestyle factors, stress, sleep, metabolic health, nutrition, inflammation, and symptom patterns—not just lab values alone.In this episode, you'll discover:• What hormone optimization actually means• Common symptoms of hormone imbalance in women and men• Why normal lab work doesn't always tell the full story• The connection between hormones, thyroid function, stress, metabolism, and sleep• Why cortisol, insulin, and blood sugar regulation matter• Practical ways to support hormone health naturally• How strength training, sleep, nutrition, and stress management influence hormones• When it may be time to seek a more comprehensive evaluationIf you've been struggling with unexplained fatigue, stubborn weight gain, brain fog, menopause symptoms, low testosterone symptoms, poor sleep, or other ongoing health concerns, this episode will help you better understand what your body may be trying to tell you.Key Takeaway:Hormone symptoms are often messages from the body—not simply signs of aging. Understanding the root causes can help you improve energy, metabolism, sleep, mood, and overall quality of life.Learn more about our functional medicine approach and schedule a complimentary health consultation.Thrive Chiropractic & Functional HealthBranson, MissouriTopics: Hormone Optimization, Hormone Health, Fatigue, Weight Gain, Brain Fog, Thyroid Health, Menopause, Low Testosterone, Functional Medicine, Healthy Aging, Metabolic Health, Root Cause Medicine

Are you tired of being told your low libido, brain fog, or painful sex are "just a part of aging," or being handed an antidepressant every time you bring up your hormonal symptoms? In this episode, we sit down with Dr. Stephanie Zwonitzer, DNP, APRN, and founder of the Revive Institute of Sexual Health. Dr. Stephanie shares her transition from traditional urology to pioneering an integrated approach to women's hormone therapy and sexual wellness. She is on a mission to help women reject "normal" standards of care, overcome clinical dismissal, and reclaim optimal health, pleasure, and connection.   In this episode, you will learn: How the drop in progesterone, testosterone, and estrogen drives anxiety, low libido, and body changes. Why bioidentical hormones are safe, protective against dementia, and unfairly stigmatized by outdated studies. The physical drivers behind painful intimacy and how local estrogen, DHEA, and pelvic floor therapy can help. Why standard blood panels miss the mark and how to advocate for your health.   Connect with Dr. Stephanie: Website: www.ReviveISH.com Podcast: Between the Sheets with Dr. Z https://reviveish.com/between-the-sheets-podcast   For more on Dr. Erin: Join The Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Work with Dr. Erin here: https://p.bttr.to/3E88ps4 Buy Dr. Erin's Supplements here: https://drerinellis.com/shop Get the Period Productivity Planner here: https://www.amazon.com/dp/B0BBYBRT5Q?ref_=pe_3052080_397514860 Download the FREE Menstrual Cycle Nutrition Guide here: https://detox.drerinellis.com/ Watch The Free Video "7 Hormones Affecting Your Weight Loss Goals" here: https://weightloss.drerinellis.com/ Let's Be Friends: Follow Dr. Erin on Instagram: https://www.instagram.com/dr.erinellis/ Follow Dr. Erin on Facebook: https://www.facebook.com/drerinellisnmd Follow Dr. Erin on TikTok: https://www.tiktok.com/@dr.erinellis?lang=en Join the Free Hope Circle Community: https://hormonehealingproject.drerinellis.com/communities/groups/the-hope-circle/home?invite=69120d498b7e3f60397656b8 Bookmark Dr. Erin's Website: www.drerinellis.com Subscribe to Hope Natural Health on YouTube: https://www.youtube.com/channel/UChHYVmNEu5tKu91EATHhEiA Follow Hope Natural Health on FB: https://www.facebook.com/hopenaturalhealth Sign up for Newsletters here: https://booking.hopenaturalhealth.com/widget/form/VUubL7MNYELduwQL8ssI

How many doctors have you seen?When I ask women that question, I watch something happen on their face. Exhaustion. And then relief. Because someone is finally asking.Four. Six. Eight. Eleven. And still no one with a clear answer for the whole picture.That is not bad luck. That is not a failure on your part. That is how the system was designed to work. Today I am explaining why, and why understanding it is one of the most empowering things I can give you.I call it the silo problem. Every symptom gets its own specialist. Every specialist sees one edge of the loop. Nobody sees the loop itself. And somewhere in the middle of all those appointments, women start wondering if the problem is just them.It is not. You have not been looked at completely.Inside this episode, we cover:Why medical specialization was not a mistake, and exactly what was lost in the architecture that grew around itWhat the silo circuit actually looks like from start to finish, and why it produces more labels than answersWhy conventional lab reference ranges were built to identify disease, not support optimal functionThe metabolic mess: one interconnected system under sustained strain producing symptoms that land in five different specialtiesWhat integrated care actually means and why it requires a different question, not more opinionsJerry's story: seven years, five specialties, twenty rounds of "your labs look normal," and what changed when someone finally looked at the whole pictureWhat I saw inside conventional medicine for over 15 years that I could not fully explain until I asked different questionsIf you have a folder full of normal lab results and still feel terrible. If you have been told your symptoms belong to five different specialists and none of them had answers. If you have quietly started to wonder if this is just who you are now.You are not broken. You are not too complicated. You are in a system that was designed to look at parts, not wholes. That is a structural limitation of the framework. It is not a reflection of what is possible for you.Share this episode with one woman who has been bounced around and is running out of hope. This conversation might be exactly what she needs to hear.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Hair Tissue Mineral Analysis www.drkaceywallace.com/htma✨ The Anchored Journey (application) https://anchoredtowellness.com/anchored-journey✨ Get the book: You Are Not Fine www.youarenotfine.comSupport the show

Send us Fan MailEveryone has heard that stress impacts fertility. But stress does not just make you feel anxious — it activates a specific hormonal axis that can delay ovulation, shorten your luteal phase, and suppress fertility in measurable, identifiable ways. And most standard fertility workups almost never look for it.In this episode of Cycle Wisdom, Dr. Monica Minjeur goes beyond the vague advice to just relax and explains exactly what chronic stress does to the hormonal cascade — from the HPA axis through cortisol steal, DHEA depletion, and suppressed progesterone production. Through Lauren's story, a 32-year-old small business owner who felt she was managing stress well but could not conceive, you will see how identifying and treating adrenal dysfunction can change outcomes in just a few cycles.You will learn:How elevated cortisol directly delays or blocks ovulation — and why this can happen without any obvious cycle changesWhat “cortisol steal” means and how chronic stress diverts resources away from estrogen, progesterone, and testosterone productionWhat a complete adrenal evaluation looks like — and why a single cortisol level does not tell the full storyIf you have been told to just reduce your stress without any further evaluation or treatment — this episode will show you what a real clinical approach to this problem actually looks like. Learn more or schedule a free discovery call at radiantclinic.com.

Dr. Deb Muth 0:05What if your immune system isn’t broken, it’s just confused? What if chronic Lyme, the autoimmune condition, the food sensitivities, the exhaustion that never lifts what if those aren’t separate problems but one problem? A misfiring immune system that nobody taught how to stand down. Today’s guest has spent over 15 years doing exactly that, retraining the immune system from the inside out with a therapy so precise, so safe, and so effective that it has changed the lives of thousands of people who’d been written off by conventional medicine. Stay with me. This one changes everything.Welcome back to Let’s Talk Wellness Now, the show where we pull back the curtain on chronic illness, challenge outdated medical thinking, and hand you the real tools to heal from the inside out. I’m Dr. Deb, integrative and functional medicine practitioner, medical detective, and your straight-talking guide through the world of root cause medicine. Today, we’re going to dive deep into the immune system, specifically something called low-dose immunotherapy or LDI, and also into some hormones, chronic fatigue, and what it actually looks like to treat the cause instead of suppressing the symptoms. If you or someone you love has been told there’s nothing more we can do, this episode was made for you. Grab your cup of coffee, Settle in and let’s get to work. Now, before we bring in today’s guest, a quick word from our sponsor, and then we are diving straight in. I promise. Did you know sweating can literally heal your cells? Infrared saunas don’t just relax you, they detox your body, balance hormones, and boost mitochondrial energy. I’m obsessed with my HealthTech Sauna, and right now you can save $500 with my code at healthtechhealth.com/dr-muth-req-25.I want to start you with a story because this is one I’ve heard hundreds of times in my own practice, and I’m guessing you’ve either lived it or know someone who has. She’s 42. She’s been sick for years. Fatigue that doesn’t lift with sleep, joint pain that migrates, brain fog so thick she can’t finish a sentence, and a gut that seems to react to everything she eats. She’s been to her GP, rheumatologist, gastroenterologist, maybe even an immunologist, and every single lab comes back within quote unquote normal limits. She’s handed a prescription for something to manage the symptoms and sent home. Maybe she’s been told it’s anxiety. Maybe she’s been told it’s aging, or maybe and this one always breaks my heart she’s told it’s all in her head. That woman is not imagining it. She is not anxious and she’s not aging poorly. Her immune system has lost its ability to tolerate things it’s supposed to tolerate, and no one has offered her the therapy that could actually fix that. And what we’re talking about today with my guest has been practicing integrative medicine for over 15 years. Ty Vincent holds a medical degree from the University of Washington. He completed his family medicine residency in Anchorage, Alaska, and since has built one of the most impressive clinical repertoires I’ve seen anywhere in this field: acupuncture, Chinese medicine, environmental medicine, bioidentical hormones, hyperbaric medicine, chelation, regenerative peptide therapy, psychedelic-assisted therapy, and nutritional medicine.He lives and practices on the Big Island of Hawaii. He is married has 9 children. Oh my gosh, 9! And he has personally navigated type 1 diabetes, which, as you’ll hear, is not separate from his mission. It actually is his mission. And most importantly, he is a world authority on low-dose immunotherapy, a therapy he pioneered in 2008 and since has trained over 200 providers globally and changed the course of chronic illness care as we know it. I have had the pleasure of learning from Dr. Ty Vincent. I have had pleasure of taking his low-dose immunotherapy course when he first started back in like 2008 or 2009. I remember doing it back then and learning more about it in 2011. And this is going to be a great conversation for us. So one quick ask that I have for you guys, if this sounds like something that you want to learn more about and you’ve listened to some of our shows, please share like, subscribe. It means a lot. It helps us grow our channel. It helps us continue to provide for you different topics, different speakers, and really give you what it is that you’re looking for.So without further ado, I’d like to introduce you to Dr. Ty Vincent. All right, so Dr. Ty Vincent, this is gonna be a great conversation. We were just chatting before we went live of my training with you guys way back in like 2015, and I’m excited to hear all the new things that you’ve got going on. But introduce yourself to the audience. Tell us a little bit about you, how you got involved in this, uh, where you’re at, all that good stuff. Tyvincent 5:29Okay. I, uh, it’s a long story, but some of the highlights, I guess I was born in Alaska in the early ’70s and grew up there kind of wandering around in the woods with my dogs with no one around all day long. It was amazing. You don’t get kids don’t get that experience anymore. So you kind of learn to be an independent thinker, I think, you know, because latchkey kid, parents weren’t home till 6 and you’re on your own from early. Dr. Deb Muth 5:49That was a great time, wasn’t it? Yeah. Tyvincent 5:51I mean, I have, I have 9 children now and none of them grew up like me. And despite my effort, I mean, I’d have to basically like helicopter them out in the woods and drop them off for a few hours for them to understand what independent kids today are so dependent and parents are so helicopter that, uh, it’s changed. Anyway, I, I grew up just really liking science and really loving science, a huge nerd. And, um, and, uh, when I went into college, when I wanted to be a marine biologist and I thought that that was my passion of the ocean wildlife and all that, and then halfway through college, personal Couple things made me change my mind. It was a girl, you know, the usual. And I decided to go to school in Anchorage instead of going I was, I was transferring to Hawaii and I was going to study marine biology. And then, uh, my girlfriend moved back to Alaska where we were from. And I decided to do that instead. And then they didn’t have a marine science program.So I decided I’ll just get a biology degree and go to medical school. I’m a smart guy. I can do that, but I had no awareness of medicine. I really didn’t have any, you know, the passion some people have to be a healer and to go help people wasn’t part of the calculus at all for me. I was kind of an Asperger’s kid, so that really wasn’t the way I thought, honestly. And then I went into medicine and I was really interested in the science, the biology, the biochemistry, all the stuff, the physiology. And before I started medical school, I was reading some Andrew Weil’s books and I was, I decided to get a book on nutritional biochemistry because I naively thought that’s what they were going to teach me, right? This is how you make people healthy. You figure out how it works and you give them the things that make their body work right. Yeah. And we all know that that’s. Not been true for over 100 years now since the Flexner Report. And, you know, the rich people steered the government towards pharmaceuticals. Dr. Deb Muth 7:26Yeah. Tyvincent 7:26But that was my interest. And when I went through the first 2 years of medical school, I just really devoured all of the basic science stuff. And that was what I thought was the most important. And I honestly mastered all that. I scored in the top 1% in the country on all the exams and everything. And it was the top, in the top of my class at the University of Washington. And then you start doing clinical medical training and you discover that they don’t use any of that knowledge anymore, really, unless it pertains directly to pharmaceuticals, and that pharmaceutical research is extremely narrow and reductionist, and they only want to try to prove one little effect, and it doesn’t translate to real health. So as I got into clinical work and started residency, you know, by the third year of residency, I was like, they didn’t really teach me how to help people with chronic illness. You know, I was, I went to family medicine residency, so I was delivering babies.I was assisting with surgeries. I was in the ER. I was doing colonoscopies. I actually did colonoscopies in practice after residency, which family Doctors almost never get to do, but I’m a small town in Alaska. So I managed my own ICU patients and did everything, literally circumcisions in the office. And you’re dealing with like hospice and end of life care, just both ends, right? Pregnancy to death. And so I’d realized that if I really wanted to do the job well, which was my goal, I needed to learn other things. And in my, in my third year of residency, I actually did the extra, like, like additional training in medical acupuncture that was put on by the Helms Medical Institute then with Joseph Helms.And that was great. And I had to learn Chinese medical theory and I learned, I did the extra module on Chinese herbal medicine. And it was wonderful because I had to open my mind to a completely different way to evaluate people and illness. And I thought, okay, well then there’s got to be more. And as I went, I just became this voracious consumer of broad medical knowledge, not conventional medicine. You notice how a lot of the conventional people call it traditional medicine? Dr. Deb Muth 9:07Yes. Tyvincent 9:07Which annoys the crap out of me because there’s nothing traditional about something that’s been around for 100 years. I mean, you need time, you need like an epoch to say something’s traditional. But they’re like, no, I’m like, and then we were considered alternative medicine minded and everything like, oh, well, Well, it’s an alternative to real medicine. The vernacular in our culture really dictates thinking, unfortunately. I went on to learn functional medicine. So like 2005, I did the acupuncture training. 2006, I found the IFM and I read their entire textbook in a few months. And I went to the trainings. I was like, okay, now I know what you guys have to teach me. And then I found a bioidentical hormone therapy training course that was like Jonathan Wright and Terry Hertog. Dr. Deb Muth 9:46Terry Hertog, yes. My favorite guys. Tyvincent 9:49They were great. Dr. Deb Muth 9:50Pioneers, right? Tyvincent 9:51Yeah, exactly. And, you know, I learned what their opinions were and all that. And then you don’t really learn how to use a tool or you don’t get really get facile with something until you are using it and you’re applying it to your patients. And I went beyond that. I learned all kinds of IV nutrition. I learned chelation therapy. I joined the Environmental Medicine Academy and I learned how to do various forms of immunotherapy, eventually leading to learning LDA, low dose allergy therapy, through them in 2008. And for those of you listeners who don’t know about low-dose allergy therapy, when you learn about it, basically it’s like homeopathic dilutions of antigens.But instead of single antigens, like if you go to that regular allergist, they’ll just prick test you, blood test you, whatever, and say, oh, you react to mold, you react to chicken, you react to your husband’s whatever. They don’t test for that. I sometimes do. And they’re very narrow-minded about it. And it’s like you just give the antigens that the person tested for and you’re always missing something. With LDA, you get these huge broad mixtures of antigens, like for foods, it’s just hundreds of foods compiled into one for environmental allergens. And the reason you can get away with it is that the dilution factor is so far out. There’s no physical interaction with the body and you can’t, there’s no risk of inducing allergy, right? Whereas conventional shots might be 1,000 to 1, 100 to 1 dilution. We’re out at like a billion to 1 or further in most of these. And it sounded like nonsense to me, right? Despite all of my training I’d already had and all these things and being open-minded, it still sounded ridiculous. Pointless, right?But at least I was willing to give it a try because I had patients in my clinic, my family medicine clinic in Alaska, that had horrific allergies. Just like kids with eczema from head to toe. They look like they’ve been set on fire. Half their hair wouldn’t grow out of their head. They’re just miserable. They won’t grow. They’re on steroids. And I just thought, if there’s if this has any chance of working for these kids, I’m going to give it a try. Plus, two of my kids at the time had eczema, like persistent eczema that was really annoying. And I kids with eczema is a near and dear thing to me now. I like, I get emotional treating these kids, but, but that’s because it’s miserable for the families. Right. So I took it hard and I started treating my kids and, and, uh, kids in my clinic with LDA and it worked like magic because magic is just science we haven’t figured out yet. Right. We just, you know, some, but it was undeniable that it was working incredibly well. And then I was like, well, what is going on here? How does this work? And you learn the whole history of it. It goes back to the 1950s. I’m like, but, but it’s still so limited. There’s so much more as you start to treat patients with every tool in your toolbox, you run into these walls occasionally where you’re like, okay, everything I’m doing now isn’t working. And this patient has some kind of chronic inflammation, which is a very general term.People go, I have inflammation. Yeah, yeah. What we all do every day, all the time. But they would have these chronic inflammatory disorders that really seem to be immune driven. And then I thought, well, in terms of understanding low-dose allergy therapy, if I can identify what the target antigen really is that’s underlying this patient’s condition, and I can restore tolerance to that, which is basically how LDA works, then you could resolve it. And so I set about experimenting with all kinds of autoimmune disorders. I mean, at the time, LDA and the predecessor therapy called EPD, they had a few bacterial antigens, and we knew that there were connections between like rheumatoid arthritis and the bacterium Proteus. So that was in one. Klebsiella was the target antigen for ankylosing spondylitis. I’m thinking, well then, what about all these other autoimmune disorders? So I started just treating people creatively and trying all kinds of different things. Luckily, I had a contact in Orange County who had a warehouse, like a biomedical sample warehouse, and he was willing to give me antigen mixtures almost anything you could imagine in the biomedical world.The first thing I had him put together was Candida. I found those of us in the medicine space realize that some people have this huge problem with Candida. The conventional medical world thinks, well, yeah, everybody’s got Candida. That’s not a thing unless it’s an infection, blah, blah, blah. But you see these patients that are super ill, persistently ill, and you give them antifungals because you think, okay, well, you have these red rashes and itching and constipation and fatigue and muscle pain, blah, blah, whatever. It sounds like a yeast problem. Some of them, interestingly, if you do stool analysis, they show no yeast on their stool, which is a clue to me with a different thinking process that the reason the yeast isn’t growing in their stool is their immune system must be attacking it and killing it off in the gut, right? Because who doesn’t carry Candida? So the, the tests that run those are the stool company the test the companies that run the stool test, they don’t flag that result as abnormal because, yay, good, you have no yeast. But it’s horribly abnormal, right? Like if you saw somebody with no, no ears, you’re like, that’s not right. And so I thought, well, maybe they’re immunologically hypersensitive Candida. And so I, I was able to purchase a mixture of Candida species. And it occurred to me that I should include Saccharomyces cerevisiae in there because baker’s yeast and brewer’s yeast, people become sensitive to that too.So I made this and some of the patients that I was seeing where I would put them on Diflucan and Nystatin and all their symptoms would just evaporate, right? But you try to stop the medications after a month or whatever, and within 48 to 72 hours, their symptoms are right back. And that was one of the things, another clue to me, like, well, then that’s not an infection. I mean, they’re not taking antibiotics. They’re not eating a ton of sugar. Why would this regrow? And one of my criticisms of our integrative medicine world is we have just as many fairy tales and dogmatic beliefs as the conventional medical world. They’re just more colorful. Dr. Deb Muth 14:59That is true. That is very true. Yeah. Tyvincent 15:01And people were saying, oh, well, it’s because Candida lurks and hides in these nooks and crannies and corners in your body. And I’m like, I’ve done colonoscopies for years. I don’t know what you’re talking about. Like, it’s sparkling clean in there after some Go Lightly or whatever you torture your patient with the day before a colonoscopy. I was like, well, that doesn’t make sense. And they’re like, well, it’s because Candida uses mercury as a weapon to fight off your immune system. I’m like, you’re anthropomorphizing this organism as if it had agency to make tools, right? It doesn’t make sense. So then I came up with this idea to desensitize people to Candida. And it was incredibly effective.These patients, when you find the right dilution, you know, and for those who don’t know, it’s just a couple of drops of water put under your tongue, taken out of a syringe from multiple different dilution steps of the mixture, whether they’re using, right? So these people would respond. Most things I’ve developed, people respond. Somewhere near a trillion to one mathematically. And it was incredible. And I was like, okay, this is something that I’m sure relates to other chronic illness problems. And I started experimenting with I had a couple of patients with inflammatory bowel disease, ulcerative colitis, both of them early on. That was 2009. And I was like, well, they didn’t respond to the yeast mixture. They didn’t respond to the food mixture. And I was like, well, they’re reacting to something.And presumably that something is living in their gut. Right? I now know people react to different bacteria. There’s a ton of different bacteria and other organisms in your stool. So I came up with the crazy idea after seeing Dr. Bill Ray at an environmental medicine meeting talk about what he called autologous vaccines. Dr. Deb Muth 16:29Right? Tyvincent 16:30And I want to be clear, the way a vaccine works is probably the total opposite of how LDA works. It’s not the same thing. You’re restoring tolerance with LDA, LDI, and you’re promoting a robust immune reaction to a target antigen with a vaccine. At least that’s the theory. And now I’m not. It’s true. But Dr. Ray was talking about that and I thought, well, that’s a cool idea. And I went up and I asked him like, how do you do this?How do you make these things? And he kind of gave me like a very brief, you know, brush off. He didn’t know me very well. He’s like, oh, you get these Millipore filters, these little things you put on a syringe and you can dilute something and pass it through into a vial and it’ll be a sterile solution and you can dilute it. I was like, oh, great. So I collected one of my ulcerative colitis patients’ stool who was having at the time like 12 bloody bowel movements per day, every day. He’d seen all the conventional gastroenterologists. He tried the different drugs. They weren’t working. He went to some really special integrative greater clinic in California that primarily dealt with gastrointestinal disorders, and he did everything they wanted him to do, and it also didn’t help.I did discover that he was sensitive to gluten, and when he went off gluten, his, his gut still didn’t improve. So I made this autologous stool, um, LDA I called it then, which now I change it to LDI because LDA is a proprietary term and it’s also very narrow in scope. And I gave him doses and looked like the second dilution maybe that I went through hit. Literally his, his diarrhea and bleeding stopped overnight. And by 3 days he was having completely normal stools and no pain, nothing. And that taught me a couple of things. One, this theory works, right? And two, you know, we talk about the concept of leaky gut in the alternative medicine world, like integrative medicine world, sorry, a lot.And I’m like, yeah, but that’s not a diagnosis. That’s a symptom. You know, you still figure out what’s causing inflammation. And people are like, I just have leaky gut. It’s chronic. And you know, what do you do? And what I found was if you just put the fire out, the house rebuilds itself. Health very quickly. You know, we know that the lining of the gut turns over extremely fast. That’s why it is one of the first things to go when you do chemotherapy. And these people were basically healed to normal within less than a week. Same thing with kids with eczema that had these horrible oozing, weeping skin patches. Dr. Deb Muth 18:25I would. Tyvincent 18:25Or psoriasis even. When I developed some things that would treat psoriasis later on, you, you give this person with just, you know, deforming sort of rashes the right antigen, within 3 to 5 days they have normal looking skin except for maybe residual depigmentation or scarring if but it just blew me away. Dr. Deb Muth 18:42That’s crazy. 3 Days. Tyvincent 18:44The key to solving these problems was to restore immunological tolerance for the thing that it had lost tolerance for. Dr. Deb Muth 18:50Right. Tyvincent 18:50And it just really made me think about everything we were taught about chronic illness and everything we’re taught about the immune system in a very different way. And so since 2009, I’ve developed I’ve continued to develop new mixtures for new things because I run into patients. I can treat so many more things now highly successfully than I could before, but there’s still always the failures. People would ask me over the years, you know, why did you pick up all these skill sets?Like I learned acupuncture and Chinese medicine. I learned bio I became a Reiki master even, because I’m like, well, energy is a thing too. And so I get into the energy medicine world and that also works. And especially if you add it to acupuncture, it’s a great combination. All this stuff. And I would still fail. And I, it occurred to me when people ask me the question, like, I’m driven by failure. I really don’t like it. And I said, uh, and I thought that was how everybody believed, you know what everybody thought, right? But then you when you study our conventional medical colleagues and a lot of our people in the integrative medicine world too, that are doing the same things, the same protocols.And I hate the word protocol because it’s a poor substitute for thinking, right? It’s so that you don’t have to think here, follow this list, but everybody’s so different. So I never developed a protocol for anything to this day. I don’t, that’s not what I do. I was like, despite all of this, their patients aren’t getting better either. And it’s like, well then, you know, just philosophically, which I was a big philosophy student in college too. I thought if, if what you’re doing doesn’t work, do something different, you know, make new mistakes, figure things out. And I just got really creative. And by now I have, my gosh, I have 100 different kinds of antigen mixtures. And to be very honest, half of them have never worked for anything because that’s how it works, right? You got to. Dr. Deb Muth 20:17You’re trying it. Geez. Yeah. Tyvincent 20:19You’ve got to be willing to be wrong if you ever want to be right. One of the things I’ve noticed about humans in general is they’re very unwilling to see when they’re wrong because it’s emotionally painful to let go of something that has maybe been a part of your self-identity or especially like when you get experts in a field and they’re famous for some theory or treatment or whatever they developed, even if evidence shows up later, which it inevitably does, to show that what they’re doing isn’t complete, maybe not wrong, but not complete, there’s huge resistance, right, to the change. Dr. Deb Muth 20:49No one will admit that there’s something that didn’t work initially when they thought it did. Tyvincent 20:54Right. And nobody wants to admit I’ve been doing something wrong or ineffective or less than it could be for 20 years. You know, that’s unsettling. But to me, I’m like, well, isn’t it worse to keep doing it wrong? Right? Dr. Deb Muth 21:06That’s the whole idea. Like, right? We’re supposed to be bettering ourselves. Medicine’s supposed to be adapting and changing, and we don’t. Like, there’s a lot of things that we still do the same way we did in the 1950s and ’60s. Cancer treatment is one of them, right? We don’t really do anything different than we did back then. And when you look at precision medicine, we have all these new tools, but people stay stuck in their way of doing things just because maybe it’s easier, they’re comfortable or whatever. It doesn’t always make it the best interest for the client. Tyvincent 21:36No. And that is the goal we all need to keep in mind. Dr. Deb Muth 21:38Yeah. Tyvincent 21:39What I thought was like the job is to fix the problem the person has. And if the tools you currently have don’t do that, you need to learn something else. Dr. Deb Muth 21:48Yeah. Tyvincent 21:48And eventually I got a little saturated with learning new things. Dr. Deb Muth 21:51I’ve been there. Tyvincent 21:54Turns out there’s a limit. You know, we use the term drinking from the fire hose for everybody who like comes, like conventionally trained doctors who first get into the integrative medicine world. You’re just like, what are you talking about? It’s all so foreign and new. And then you have to use it and realize, okay, there’s, there’s a lot of truth here. But I got to a point where it’s like, I just don’t have the time in my day to use every tool. Like I bought an Indigo machine. I don’t know if you’ve heard of it. So the old EAV technology from Germany long ago, electrodiagnostic things and Then they developed computer programs and software that could analyze 11,000 different frequencies. It’s all energy frequency based. And I bought one of these for like $25,000. I still have it in the case collecting dust because I just didn’t have time to learn how to use the tool. And I was like, all right, I got to just get really, really good at some things and then let my colleagues who are good at other things help people with the things I can’t treat and I’ll tell them where to go. You know, it’s a collective, it’s a team effort. Dr. Deb Muth 22:47Right. It’s got to be a team effort. I’m curious what you’re finding these days with the newfound for mass cell, right? MCAS, everybody’s problem child, and nobody has a good answer. And it’s, it’s an immune reaction, right? It’s not just that I’m allergic to everything situation. Back in the day, 20 years ago, you and I would have called these the chemically sensitive people, and now we at least understand what’s going on. It’s an immune reaction. But I’m curious what you’re finding with LDI and that population of people. Tyvincent 23:19It’s a really good question. I know, I know you’ve had other interviews where people have discussed it philosophically to start the conversation. I really have found over the years that a diagnosis is the least helpful thing you can give your patient. Dr. Deb Muth 23:31Agreed. Tyvincent 23:31But we love labels. We love names. And we, and the problem is when you give something a name that does not reflect what’s actually going on, it just leads everybody’s brain in the wrong direction. And so there’s nothing wrong with these people’s mast cells. And that’s why I’m like, I despise the term mast cell activation disorder, but It is okay that they may be the end of the line releasing histamine and whatever, but a lot of these people have tons of inflammatory symptoms that have nothing to do with histamine, right? There are lots of mechanisms in the immune system that can give you cell-mediated inflammation or humoral, like antibody-mediated inflammation, different things. And mast cells are kind of an IgE thing, but it’s way more complicated than that.And when you work with these people, because a lot of them have found me because they have a very difficult time finding answers and solutions. I’ve been at most of us in this field have been at the bottom of a funnel where the options decrease because you try more and more therapies and they don’t work and the desperation increases kind of inversely proportionally. And then they’re trying weirder and weirder things that like people think are bizarre, you know, like you can eventually sting yourself with 20 bees a day, do apitherapy or something. Dr. Deb Muth 24:36I remember that therapy. And you know, as a practitioner too, it becomes more and more frustrating because it’s like, I’m trying all these things and nothing is working. What am I missing? And you keep trying different things until they just give up on you or you give up on them or whatever ends up happening, you know. Tyvincent 24:52Right. But again, like philosophically, every failure should lead you a step closer to success. Dr. Deb Muth 24:58Yeah. Tyvincent 24:58If you can look at it and you can learn from it what is possible from it and go, okay, I got to do this different or change this, or perhaps my entire theory about this problem is just dead wrong. Yeah. So if what I think is happening isn’t what’s happening, what else could be happening? And then you, you know, you come up with a theory and then you have to devise a way to test test it. And so like a lot of people probably tossed around theories about things being immune related or whatever over the years because it becomes a little obvious at a certain point, but they didn’t have a tool to test the theory.So that was the, the unique position I found myself in from 2009 onward was I’ve got a way to test this if I can figure out what antigen to try. And so I got a lot of mast cell people with that diagnosis. And, you know, my assessment of the problem is that when they come into my office, because like you and like most of people that are kind made it a little further in the integrative medicine world. The patients that find you have already seen 20 of your colleagues at the Mayo Clinic and the Cleveland Clinic and Germany, like Mexico, whatever. They’ve had exosomes infused up their nose or whatever. Like, all right, so what has not been explored yet? And you got to realize, okay, these, these people are there’s something going on. It’s very inflammatory. It’s probably immune related, but where is it coming from? Again, you mentioned root cause. You’ve got to trace the steps backward and try to figure out where is the point of intervention that will actually work and that’s feasible. And so what I found in these people, most of them have a pretty common early story of having had one or a few immune reactions that first began the process. And they might’ve been fairly benign and not that big of a deal.And then they go through some kind of immunological stress, whether it’s, well, some kind of stress, whether it’s a direct immune stress, like a vaccination or an infection or something like that. Like with COVID I’ve had an equal number of people who developed chronic immunological disorders after having the virus infection or having the vaccine. And the things that develop are virtually identical. So people are like, I should be gotten the vaccine. I’m like, it really doesn’t make any difference. Dr. Deb Muth 26:53Right. And I’ve seen the same thing with the HPV vaccine too. Like a lot of young people, they get that and all of a sudden their whole system is torn off after that. It’s very common. Tyvincent 27:03Except in that example, just getting HPV doesn’t do it. It’s the vaccine that does it. Dr. Deb Muth 27:07Vaccine that does it. Yes, exactly. Tyvincent 27:10Because everybody’s got HPV, you know, some other, and that is not in and of itself enough of an inflammatory trigger to lead to these chronic illness, right? You can lead to cancer, sure. Which is focal and it’s not a hypersensitivity problem. It’s a failure of immune defense problem. It’s a little different. So I would get these people and I’m like, okay, what happened first? What’s the beginning of the story? Because if you talk to them about how they’re feeling today, and a lot of your listeners, this will resonate with them. If I ask you how you’re doing today, the real cause of your problem is buried under a snowstorm of constant inflammation and your life experience is utter hell. And you have no clue what’s really triggering anything anymore. It’s like at a certain point, the immune system has developed PTSD, right? It’s just, it’s hypervigilant. Anything you give these people to take, even like vitamin C or whatever, then they go, ah, it made me worse.Ah, it made me worse. Because their immune system is now seeing anything foreign as an invader, as an enemy. So if you ask people just about how they’re doing today, you get absolutely nowhere. With these people. The one theory I had though was, well, maybe they’re reacting to histamine itself. Okay. I think is a beautiful theory. Makes total sense. Didn’t work at all. Spoiler alert. It’s not that it doesn’t work. It’s easy to get a sample of histamine, you know, and I also, I also got histidine, the amino acid from which it’s derived. I’ll say I’ll just put them together. So at least I want to say 12 years ago, I made like a histamine histidine LDI and everyone who had kind of the mast cell picture portfolio of illnesses, I would try it on. It has to this day, it’s never worked for anybody that I’ve tried it on. And I haven’t had another LDI practitioner tell me that it did. But again, that failure made me think about it in a different way. And so the success I’ve had with that population is not monolithic. It’s not one part. From an LDI perspective, figuring out what it is that they began to react to first, like, did you still have, do you have food problems originally?Oh yeah, I was kind of sensitive to gluten, but I just ate it anyway because I would just get some diarrhea and some, okay, it it was, it was livable, right? But they just keep exposing themselves to this trigger. And eventually something snaps in their immune system. Like they live in a moldy dorm room for 6 months and that all of that immune activation will kick off whole new immune response problems. And the world of mold is another area where I think people don’t, do not really understand what’s going on. And a lot of our treatment approaches don’t work for a large portion of these people. And it has to be kind of thought of in a broader sense. They could go through a divorce. They could have a car accident. They could have a surgery. A woman could have a baby, which is one of the biggest immunological triggers, unfortunately, is having a baby or early pregnancy miscarriage even is enough to do. Emotionally stressful. It’s physically stressful. It’s immunologically stressful.And then it swings your estrogen back up and you get this hypersensitive profile. But so all of these, what I call catalytic events were common in these people. And it’s not just one, it’s any one of them. And what I found was if I could identify what their initial triggers were categorically, right? Environmental things, chemical things, food. And if I could desensitize them to those, everything would settle down. And, and that was, that’s been the key to working with those people. But they want to tell you how horrible their life is today. Dr. Deb Muth 30:17Yeah. Tyvincent 30:17And you got to listen to that because you need the connection. You need to understand what they’re dealing with. You need to understand what their baseline is so that you can compare going forward. But the answers, the solutions aren’t in that story. And the solutions are in the history. And like, what’s the first thing you remember? And all this, like, okay, well, let’s go with foods. Let’s go with chemicals, whatever. And if somebody has distinctly worst triggers, right? Because right now they react kind of to everything. Any foods that you absolutely don’t eat because they give you the absolute worst reaction pattern, right? Oh yeah, I can’t eat these things. They’re the worst. Okay, well, maybe we’ll start with those and you can use those foods as your test exposures to determine if the dose works each time. So that’s one of the things I’ve developed stylistically over the years is the use of a test exposure if we’re using an allergen extract so that you can confirm or deny whether the therapy worked, right? Because people will tell you, oh, I feel better.Turns out that’s not worth much. You really need like, I mean, And belief is a huge part of that. Placebo effect is a huge part of that. You want to find something relatively objective, you know, so will you still vomit when you have chicken? You know, cause that’s like, that’s pretty obvious. And then go with that, you know, or do you still get a rash when you put on a bandaid? I love it when people get rashes from contact cause they can show me pictures and it’s not subjective, turns out. But even those reactions can go away 100% with placebo doses. It’s fascinating how people respond to placebos. So anyway, I try to find like the root beginning allergens. And then a lot of these people also accumulate other target antigens as they go through their process of being ill. Their immune system is so upset and it’s, it’s also just blurry vision, right? It attacks anything. Angry dog on a chain. If you get close enough, it’ll bite you. It doesn’t care who you are. And that’s how their immune systems get.So finding the antigens that are root cause is key. But a lot of these people have developed over time total adrenal burnout. Out, right? Because they’re in state of chronic inflammation, everything. So I also found that I had to lean on my skill in bioidentical hormone therapy, which over all the years I’ve been in integrative medicine, the two major skill areas that gave me the best results in general were hormonal management and immunological modulation. I got so many of the prior failures I was able to solve with those two things. And so if I would support these people’s adrenal, like hormones, you know, DHEA, cortisol, to optimal levels, a lot of them, their symptoms would cut by half, number one. And you would have a little more clarity as to what their actual triggers were.So in a lot of these cases, I learned to start with that before I even decided what antigens to pick. You can kind of get the snowstorm to calm down. You can start to find the snowmen in the blizzard that you couldn’t see before with all the chaos. I was like, okay, now that you’re feeling better most of the time, you can tell that these chemicals bother you, that mold exposure bothers you, that whatever, and then you can target things But the other third kind of leg of the tripod that I found are the keys to success with our most complex patients is to address like the hormonal issue, the immunological issue, but the subconscious fear response, the subconscious stress response in them. Dr. Deb Muth 33:14Trauma. Tyvincent 33:15And I saw that you’ve also people, yeah, trauma and people have medical trauma, not just trauma from their illness itself, but trauma from seeing 12 doctors that treated them like they were a head case and ignored what’s going on. Dr. Deb Muth 33:25Of the medical community, right? Tyvincent 33:27Oh God, you know, like people— yeah, the more doctors you see, the more your trust in doctors goes down. Dr. Deb Muth 33:34Yes, exactly. Tyvincent 33:35They see one of us and some of them just automatically are like, whatever, here’s another failure coming my way, kind of thing, you know, realistic. Partly because it becomes too risky to have hope, right? Like after a while you’ve had hope, hope, and it’s been dashed, and you just can only handle that so many times. It’s like you fall in love and then they dump W. And after a while you’re like, I’m celibate. I don’t care anymore. Um, so you get these people and what we have found, my wife and I started doing psychedelic-assisted therapy with patients a few years back. In fact, this little cottage on my property we built specifically for that purpose. People can come and stay here for a couple of days.There’s a bedroom on the other side of this wall. And we do therapy with them. We have a very good process of getting their hormones tested before they come, trying to correct any deficiencies or imbalances, especially cortisol and DHEA. We try to make sure that if they have immune problems that seem manageable, we maybe try to control those first. But in a lot of these people, we have to get their subconscious fire alarm to go off first because anything new that enters into their sphere of existence is seen as this, you know, scary thing. Dr. Deb Muth 34:36Yeah. Tyvincent 34:36And so what we found is getting their subconscious to settle down, getting them to integrate past whatever trauma they’ve had so that it’s no longer causing harm today from an experience 20 years ago, right? Because that’s not fair. A lot of these people, all of their immune stuff stops and I don’t even have to do LDI. And that’s fascinating. And some of them, we put them on hormone replacement, everything calms down enough. It’s like one of these things sometimes works. And in other people, they need all three. And the trick in those people is to figure out what thread you have to pull on first. You know, it’s like, well, okay. And we spend a lot of time, my wife and I both work with patients together. She’s amazing. She’s not a trained clinical clinician. You know, she had a business degree, but she’s like, she tells people I attended the school of Dr. Ty Vincent for 10 years. Dr. Deb Muth 35:20Yes. Tyvincent 35:21Heard him say all this a million times. And when we first started seeing patients from home together, she read all of my patient notes and just great. So she. Dr. Deb Muth 35:28Yeah, that’s how you learn. Tyvincent 35:30Yeah. And people like, well, I didn’t go she’s like, I didn’t go to medical school. I’m like, that’s an asset, trust me. Dr. Deb Muth (35:34-35:40)Exactly. Oh my God, you haven’t been brainwashed. Exactly. Tyvincent 35:40And you know, it’s not even so much washing as it is like throwing mud all over the walls. All of these false beliefs you’re given, and, you know, not just the beliefs, but the disbeliefs, both of those hold people back. And I was like, it’s your disbeliefs that are the bigger problem because you don’t even realize they’re there. Like when I learned about LDA, I’m like, that’s nonsense. No, it’s not. Dr. Deb Muth 36:02I’m curious, when you treat some of these complex people with LDI, are you using multiple modalities at one time, or are you being really cautious with them and using one at a time? Time, because some of them won’t let you do more than one thing at a time with them. Tyvincent 36:16And so by modalities, you mean like, are we also doing hormone therapy? Are they also doing like IV, like other things? Or you mean multiple antigens within? Dr. Deb Muth 36:24Multiple antigens, yeah. Tyvincent 36:25Um, it really depends. And early on, so I everything I know about LDI, I learned through experience, paying attention, putting connecting dots over you. And it’s been been a very long process, right? Early on, like a kid in a candy store, you see a patient and you find out, oh, they’re allergic to some foods, they’re allergic to some chemicals, they’re allergic to cats and birch tree pollen, and they also have psoriasis or whatever. And you’re like, ooh, I’m going to give you all 4 of these antigen mixtures because you have all 4 of these issues. And by 6 months in, if you’re paying attention, you are completely confused and lost. Dr. Deb Muth 37:03Yeah. Tyvincent 37:04I did that for a number of years and I thought, well, this will be the fastest way to figure things out. It turns out it’s not, unfortunately. Um, what I’ve found is more successful is if I can figure out either what the most important underlying immune reaction is for them that might be cascading into other problems, or you figure out what’s the easiest one to solve first. So if somebody has like the whole mast cell picture and they got all this stuff going on, but they say the biggest thing is I have horrible chemical reactions. I’m a tr I’m trapped in my home. I created an oasis of safety here, but I can’t go anywhere. Anyone who comes to my house has to go into the entryway and take all their clothes off and put on a jumpsuit, right? There are those people. I work with them. Dr. Deb Muth 37:40Oh yeah, I have those clients. Tyvincent 37:42They’re like, oh my God. Well, if we can fix that first, your world will open up a ton. Your fear will come down. Your immune response will come down. And so sometimes it’s a matter of which one seems the most important or which one seems easiest. Like, okay, the test exposures that they have are the most obvious and distinct. For foods and not chemicals or whatever. And the reactions people have to these different antigens can overlap tremendously or even look exactly the same, which is why you kind of need to use one at a time. Because if you’re trying to ride a bike and a motorcycle at the same time, it doesn’t go so well. Dr. Deb Muth 38:16Yeah. Tyvincent 38:16Like, let’s find where you do with where you respond to this one, and then we will have less stuff to deal with. We might have a little bit more clarity as to what you’re reacting to in other categories. And then you kind of go through them sequentially. But if I have somebody who’s not like just in a real state of immunological distress like that, and they go, yeah, I’m allergic to cats and I have a cat because I’ll never get rid of my cat. I don’t understand those people, but, but there are a lot of them. They love their cats. Dr. Deb Muth 38:43A lot of them. Yes. Tyvincent 38:44I’m like, okay, or dog, you know, I’ve had people that are horribly allergic to dogs and the dog still sleeps in bed with them every night. Dr. Deb Muth 38:50Okay. Tyvincent 38:51Um, they’ve got that, that’s very clear, very distinct. And it’s, and it’s like a rash or a runny nose. And then they also have have celiac disease, let’s say. Like, well, we can treat both of those at the same time because the symptoms are totally different. You have test exposures in both categories and you’re not so sick that you’re in a constant state of like trauma response where you can’t even pay attention to anything. Right. And so it’s kind of case by case. And my style is very, very individualized. Like I said, there’s never a protocol. It’s like, I got to talk to people for about I usually talk to people for about an hour. Yeah. More than isn’t really helpful. You know, like, in an hour of time, you’re, you’re kind of saturated with how much you can invest your bandwidth into this particular issue. Now, like, okay, I know where we’re going to start. I don’t know where we’re going to end up, but I know where we’re going to start. And so we encapsulate that and then go, let’s do this. And then everything you do teaches you more about what else you need to do.And it’s a process. I my ego used to be more tied to guessing correctly at the beginning about what was going to work work and to fixing things quickly. And over time I realized like your ego really has no place in the exam room. Like that is a very, very challenging thing for practitioners to try to figure out is how to get your ego out of this because it biases you intellectually, emotionally, and it’s a problem. And our medical colleagues probably have bigger egos than the average human in the population. Let’s be honest. Um, there’s something that comes with the years of study and the investment and the status you have, and it’s a challenge. But if you be like, I just need to be clear about what’s happening, what’s not happening, and you figure things out. And so I was able to have a much better success rate approaching things that way.And every time you put out one little fire for people, one kind of immune response, it, you, you get a better picture about what else is going on. And then eventually all their problems have stopped and you’re okay, cool. I guess we’re done. But it’s, it’s hard. And you do learn that there are still major gaps in your knowledge. And, and you asked earlier about new developments in LDI. And whatnot. And I could literally talk all day about the things that I’ve developed over the years, but I still keep making new antigens. So just last year in the area of food allergy, so like your Mast Cell people, a lot of them have food allergies that are a big part of the underlying problem, and this will be relevant to them. But what I found is a lot of the people who seem to clearly react to food, and I put food in quotes because most of what Americans eat isn’t food, right? It’s it’s at least it’s not just food, or it used to be food and now it’s not. It’s like Frankenfood, and it’s got chemicals in it. It has molecules that don’t exist in nature, so you can react to them.So I found some of these people that would say, oh, I react to processed food items horribly, but if I eat the whole foods, organic whole foods at home, I don’t react. And, um, some of those people will resolve those problems with the chemical LD mixture. So they’re reacting to chem with that. A lot of them will tell you, oh, I also react to perfume. Or gasoline or whatever. Dr. Deb Muth 41:46Yeah. Tyvincent 41:46Okay. And so you can use that and some of those cases will resolve, but a lot of them don’t. And I had increasing failures. Like I’ve been doing this long enough to see and observe that early on I had much better success with these antigen mixtures than over time. People are the pattern and the causes and the manifestations of illness today are evolving right before our eyes because of what we’ve done to our environment and our food and ourselves. So what I came to to sort of theorize about was that maybe some of these people are reacting to processed cooking oils, like seed oils, plant oils that are put into processed foods, right? Because they would tell me a couple of key cases gave me that insight. They would say, well, I still react to all these processed foods.I can’t eat at restaurants, and I’m still reacting horribly to sesame seeds, or I’m still reacting horribly to flax, or I’m still reacting horribly to, like, one of these other things we make processed seed oils from. Well, maybe they’re reacting to the oils. And when we made the food mixture, you use whole food samples, right? So you use like a, a ses like sesame seeds, or I use tahini paste because it’s easier to mix in water. But maybe the antigen, the target antigen, is something inside that that is not properly like, what’s the word I’m looking for properly given to the immune system, or, or like exposed, shown to the immune system, right, in the way that their immune system is reacting to it. Maybe it’s a molecule in there that when you use a whole food antigen is not adequately represented. It’s like, so an oil would do that.And I had actually already years ago realized that some people react to essential oils, like flower extracts or tea tree oil or lavender or whatever. Right. And so I made an essential oils mixture from plant oils from the doTERRA and the Young Living products. I had a couple of patients that were like distributors for these things. And I said, just take an empty vial and put one drop of every single product you have in it and just mail it to me. And they both did that. So I have this huge compendium of essential oils, and I would get people that would still react to oranges and lemons and citrus fruits despite the food mixture. And then the essential oils mixture would totally stop that reaction. So I’d already kind of proven that this was the case with some of those more aromatic oils, right? Now I was like, well, people are reacting to the processed cooking oils because when you take oils out of the plant, if you ever do this at home, they’re opaque and gooey and viscous. And then somehow it’s this really pretty homogeneous, clear liquid that doesn’t separate at all. It has no nothing you see in there.And then you got to wonder, how the hell did they do that? What did they do to make that? And there are all these chemical processes and heat and everything. I’m like, well, it just makes new molecules that your immune system has never seen before. So in May of 2025, I bought 18 different kinds of plant oils, and some of them are really pure, like carrot seed oil, cottonseed oil. But there’s peanut oil and avocado oil and olive oil and, you know, all the seeds and things we use in there. And I even have a video on our Facebook page and probably Instagram of me making this mixture in my kitchen.I was like, people are kind of interested how this works. And I just made it right there on camera because it’s really simple. I started using it in some of my failure cases that had really seemed like they had food allergy responses, but the food mixture didn’t work. And the first one was actually one of our employees who does our social media management. She had a 3-year-old son, I think, probably 2 years old when we started working with him, with really bad body-wide eczema, right? And he never really responded to the food mixture, essential oils, skin bacteria, skin fungi, yeast. I tried all the things that usually work. I’m like, it’s something. And so he made the oil mixture. He was they were the first one. I just sent the doses like, hey, let’s check it out. And I think he got for I started 6C for most things, which is a truly and then it’s like 5.5C, 5C. We got to 3.5C, I think, is where he is, which is a dilution of of 10 million to 1, I believe. And 95% of his eczema just completely went away. Dr. Deb Muth 45:38Wow. Tyvincent 45:39The only thing left was a couple of those patches on his feet. And one of the things I learned about people with eczema is they will have localized, like geographically local consistent reactions to different things. This is crazy, right? Dr. Deb Muth 45:53Yeah. Tyvincent 45:53Your immune system has kind of a, you know, like an overall regulatory system, but it also has regionalized systems, just like the government federal government, state government, county government, city government. It’s, it’s divided like that. So the people will eventually learn, oh, if I eat gluten, I get these itchy bumps on the side of my hand, and if I eat carrots, I get a rash on top of my head, you know. And it’s very, very clear once you identify it. So there’s still something that kid’s reacting to that I haven’t quite solved on his feet. But, um, yeah, that worked amazingly, and it actually made me cry when I got the pictures She’s like, oh, finally, after probably a year and a half of flailing, you know, we got it right. And so now I’ve been using the cooking oils mixture more and more and more. Just yesterday I got an email. I have a teenager, he’s 8, he’s maybe 18, 17, 18, with just really horrible cystic acne, painful, erupting. And the before pictures are just hard to look. I mean, he’s got horrible involvement of both sides of the face, the chest, all over his back, and you can just see the scarring and the redness and the inflammation.And we went through the food mixture with him and whatnot, and it really didn’t touch it. So yesterday I got the report. He got up to the cooking oil mixture at 2.5C, which is 10,000, 100,000 to 1, and, and his cystic acne stopped. Like, he’s getting zero new lesions. All the redness, pain, inflammation is gone, but he still has all this just scarring from it because that’s permanent, right? You have to get that repurposed. And all he has left is little tiny whitehead pimples, like maybe one new one per day here and there. You can see them now in the midst of all this. So acne is diversified. There are different kinds of acne and people can have more than one type and they can react to hormones. They can react like I’ve had guys with bad acne respond to desensitization with testosterone, for example, or women desensitizing them to estrogen or progesterone and the acne will go away sometimes. Some people respond to yeast, some people respond to skin bacteria, skin fungi. And so this is another thing. And my wife actually is one of the more complicated immunological cases I’ve ever had to work with. Working together for 10 years, um, you know, like the first time I saw her, she had Lyme disease and the Lyme LDI just totally stopped those symptoms like magic, which is great.That’s one of my favorite things to treat. Um, because the beliefs we have about Lyme disease, I have found completely untrue because using a different tool. I’m like, oh, it’s an immune problem, not an infection. So anyway, so that, that worked for her. Some of her food reactions went away, but she still continued to get like deep painful cysts if she would have nuts or dairy. And so the cooking oil mixture now, after 10 years of being together, totally stopped those reactions. Peanuts, nuts, dairy. And the dairy one is interesting to me because it’s not a plant oil, right? It’s an animal oil and it’s not represented. And we have dairy products in our other mixture. But I think what’s happening is when cows are fed grain, sometimes what an animal is eating carries through some essence or nature of that substance into the milk. Um, and the thing I’ve seen this the most clearly with is corn. Corn allergy is a very unique situation. The way people deal with it, the way it manifests, the way you have to treat it is different from every other energy. And I don’t have an hour to talk about that specifically, but I observed primarily with corn that anywhere along the food chain, you’ll still react to that food if the animal at the beginning was ever fed corn. Multiple I’ll have babies that get an eczema reaction or a GI reaction if mom eats corn-fed beef. But if mom eats grass-fed beef and then nurses the baby, they’re fine. Dr. Deb Muth 49:33Yeah, I’ve seen that too. Tyvincent 49:34It’s bizarre. Dr. Deb Muth 49:35Yeah. Tied. This has been really so amazing. Um, tell us how people can find you if, if this is resonating with them and they’re like, I need him to figure out the puzzle for me. How do they find you? Tyvincent 49:49So the best thing to do is to go to our website. Our, our business name is Global Immunotherapy, and the website is just http://www.globalimmunotherapy.com. We have, we have a much better website than we did years ago. People schedule directly through the website. Right? There’s all kinds of information. I’ve been making YouTube videos and informational videos for people for more than a decade now because nobody has any idea what I’m talking about. The more they understand it beforehand, one, they get to decide if they just think I’m crazy, right? And they don’t want to waste their time. And there are plenty of those people, but a lot end up talking to me 3 years later because after they’ve tried everybody else and there’s nothing left to try, right? Yeah, yeah, like being at the bottom of the desperation funnel. Yeah, people like, well, I heard about you 5 years ago and didn’t make sense. I’m like, yeah, cool. But then I had 3 or 4 other people over the years tell me I should talk to you. So here I am. That’s, that’s right. And people can watch all these educational instructional videos about how LDI works, what it can be used for. So the more you learn and understand what you’re getting into ahead of time, the less time we have to spend during our hour trying to explain to you the therapy., which to take up half the time and better results you’re going to get because you’re educated and it’s a partnership.Like all of us in the world of integrative medicine, one of the big differences between us and conventional medicine is we understand that it’s a partnership. You have to listen to the patient, you have to educate the patient, you have to engage them in their own health. You can’t just say, here, take this pill and come back in 3 months and I’ll check your labs again to see that you still have the same illness. It’s just and people have a lot of our population has been led to believe that just swallowing a pill is going to fix your problems. But That doesn’t work. And we have to develop a relationship and an understanding and shared knowledge and beliefs. And so people now, they have this opportunity to watch all the videos. And I really want people to do that before they ever schedule, because one, you’ll, you’ll feel like it’s the right therapy for you. And that helps a lot. Having optimism going in is super helpful. And then two, you already know a lot. So you’ll know more about what questions I might ask you and how to answer them. You’ll know more about about how the therapy works, and I won’t have to explain it to you, and we’ll get a better use of our time. And then people can schedule right through the website with either myself or my wife Jeanette. And anybody who Jeanette talks to, she reviews every case with me, and we work together with stuff. And, but in terms of like using LDI, she’s probably the second or third best practitioner in the world. I

Bone Health Beyond Calcium: Vitamin D, K, Protein, Medications, and Metabolic Risks: Registered dietitian nutritionist Leyla Muedin discusses factors affecting bone health, osteopenia/osteoporosis, and limitations of bone mineral density as a measure of bone strength. She emphasizes optimizing vitamin D via 25-hydroxy D testing (aiming roughly 55–85 and avoiding over 100), ensuring vitamin K for proper calcium placement, and addressing malabsorption from GI conditions, food intolerances, or inflammation. She notes long-term proton pump inhibitor use can impair calcium and magnesium absorption and increase osteoporosis risk. Diet considerations include avoiding overly grain-heavy, acid-forming patterns and ensuring high biological value protein; she also mentions heavy metals affecting bones. Additional assessment includes magnesium and DHEA sulfate, plus resistance and balance training (ideally three times weekly). She highlights research linking hyperinsulinemia/type 2 diabetes/cardiovascular disease to fragility fractures despite normal or higher bone density, proposing carbohydrate restriction, fasting, and ketosis to improve bone remodeling via osteocalcin and mitochondrial function.

You've been doing everything right. Eating clean, working out, staying consistent. And still — nothing moves. The scale won't budge, your workouts feel harder than ever, and you're starting to wonder if your body is just broken.It's not. And in this episode, we're going into exactly what is happening beneath the surface — the physical root causes of weight loss resistance — and why they all trace back to one word: safety.IN THIS EPISODE, YOU'LL LEARN:Why every physical root cause of weight loss resistance — hormones, muscle loss, digestion, blood sugar — traces back to your body's perception of safetyWhat happens to DHEA and cortisol when your body shifts into conservation mode, and why that makes fat loss nearly impossibleThe connection between not ovulating and estrogen dominance — and why that drives weight gain, mood swings, and terrible periodsWhy your body burns muscle before it burns body fat (and what that means for the women working out consistently but still losing muscle)The gut-weight loss connection most people completely miss — and why your gut lining and your muscle are more connected than you thinkWhat's actually happening in your body when you skip breakfast or under-eat — and how it's causing blood sugar spikes even without eating sugarWhy "I'm not that stressed" might not be true — and what your nervous system is actually picking up on every single dayOne concrete thing you can start doing tomorrow to get real data on what your body is missingTIMESTAMPS:00:00 — Introduction: weight loss resistance isn't the problem, it's a symptom01:11 — The one word that connects every root cause: safety03:27 — What our ancestors' relationship with food tells us about why your body holds on03:55 — Hormones: DHEA, cortisol, and what happens when your body conserves energy07:53 — The ovulation-progesterone-estrogen connection and how it drives weight gain10:07 — Muscle and digestion: why they're connected and why your body goes after both13:06 — Leaky gut explained: what it actually is and why it shows up in weight loss resistance14:06 — Blood sugar and insulin: how under-eating creates fat storage without eating sugar16:10 — The nervous system: what it actually sees that you don't18:25 — The real stressors hiding in a "completely normal Tuesday"19:47 — What you can do right now: tracking food as data, not restriction23:38 — The takeaway: your body is not broken, it's responding24:00 — The Midsummer Reset: a four-week anti-inflammatory challenge starting July 13RESOURCES:

Are you eating healthy, exercising, hitting your protein goals and still gaining weight after 40?The answer may not be your diet. In this episode, Dr. Andrea Colon explains why hormones, gut health, sleep, and stress all work together to influence metabolism, energy, inflammation, and weight loss.Learn why looking beyond estrogen is essential for lasting results and discover practical strategies to optimize your hormones naturally during perimenopause and menopause.If you've been frustrated because you're doing "everything right" but still don't feel like yourself, this episode is for you.You'll learn:Why women gain weight during perimenopause and menopauseWhy HRT alone isn't always enoughThe role of pregnenolone and DHEA in women's healthHow gut health affects metabolism and fat lossWhy constipation may be slowing your weight lossHow poor sleep impacts hormones and energyWhy strength training is essential for bone healthThe importance of Vitamin D during midlifeHow stress influences hormones and metabolismWebsite: https://www.drandreacolon.com/Instagram: https://www.instagram.com/drandreanmd/This content is strictly the opinion of Dr. Andrea Colon and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician.All viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Andrea Colon nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content.All viewers of this content, especially those taking prescription or over-the-counterShop Functional Moms Podcast Supplement Store (25% OFF)https://us.fullscript.com/welcome/functional-momsFollow Functional Moms Podcast on Apple Podcasts and Spotify.Subscribe on YouTube: https://www.youtube.com/@functionalmomspodcast/#Menopause #Perimenopause #HormoneHealth #WeightLossAfter40 #HormoneBalance #GutHealth #HRT #Metabolism #WomensHealth #HealthyAging #MidlifeWellness #Inflammation #VitaminD #FunctionalMedicine #Functionalmomspodcast 

In this episode of MENO with Jacqueline Buckingham, we sit down with Board-Certified Urologist and Sexual Medicine Specialist Dr. Rachel Rubin to discuss why hormone therapy is a fundamental element of women's healthcare. Dr. Rubin challenges the historical stigma surrounding hormones, explaining that past concerns were often based on flawed data from synthetic products that are no longer standard practice. She advocates for an individualized approach to hormone therapy where patients are empowered with information to make the best decisions for their specific goals, whether they are seeking relief from hot flashes, prevention of osteoporosis, or improvement in libido and sexual function. The conversation delves into the specific benefits of various hormone treatments: ➡️ Vaginal Hormone Therapy: Dr. Rubin describes low-dose local vaginal hormones (estrogen or DHEA) as highly effective, evidence-based treatments for symptoms like dryness, pain, and urinary urgency. She notes these treatments are safe for most women and can reduce urinary tract infections (UTIs) by more than half. ➡️ The "Female Viagra": Dr. Rubin refers to vaginal hormones as the equivalent of "female Viagra" because they improve blood flow to sexual organs, enhancing arousal and making orgasms better. ➡️ Systemic Hormone Therapy: The discussion covers whole-body hormone therapy—including estrogen, progesterone, and testosterone—which can be administered via patches, rings, or creams to address a broader range of menopausal symptoms. ➡️ Mental Health Connection: Dr. Rubin highlights the "amazing benefit" of hormone therapy in managing anxiety and depression that often emerges during perimenopause. ➡️ Bioidentical Hormones: She clarifies that there are FDA-approved bioidentical hormones available that are both safe and often covered by insurance. ➡️ Jacqueline and Dr. Rubin also discuss pelvic floor rehab, the neurological connection between the spine and sexual organs, and how patients can find knowledgeable specialists to build their own "medical pit crew". RESOURCES The Menopause Society: menopause.org ISSWSH (International Society for the Study of Women's Sexual Health): isswsh.org American Physical Therapy Association (for Pelvic Floor Therapy): apta.org ABOUT MENO MENO is the definitive platform for menopause and perimenopause care — connecting women to trusted experts, solutions, and support https://joinmeno.com/ https://www.instagram.com/join.meno https://www.tiktok.com/@join.meno Follow our Founder/CEO on Instagram @jacquelinebuckingham Disclaimer: MENO is for general information and entertainment purposes only and does not constitute the practice of medicine in any way. MENO does not constitute professional health care services or medical advice. No doctor/patient relationship is formed as a result of this podcast. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of MENO is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard getting medical advice for any such medical condition they may have and should seek the assistance of their healthcare professionals for any conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

There is a phrase I use in my clinical work that I want to build this entire episode around.It is easier to correct strain than to recover from collapse.That sentence is the whole argument for why timing matters in healthcare. Not to scare you. Not to create urgency for its own sake. But because the window you are in right now has more leverage than any window that comes after it. And nobody is telling you that clearly enough.Today I am unpacking what is actually happening in your body during the years most women spend waiting. I am talking about reserve: your physiologic cushion between where your body is right now and what it will take to handle a significant stressor and fully recover from it.Inside this episode, we cover:Why your body adapting to feeling worse is not the same as getting betterThe five reserve systems that tell the real story of your health: brain, adrenal, hormonal, metabolic, and nervous systemWhy these systems do not deplete in isolation and what happens when one pulls the others downWhat is actually happening in your body while you are told to wait and seeTwo clinical pictures: the woman who comes in early versus the woman who comes in after years of compensation, and what that difference actually costsWhy sequence matters as much as what you do, and why doing all the right things in the wrong order stalls resultsMandy's story: palpitations, insomnia, dismissed as anxious, and what changed when we finally asked the right questionsIf you have gotten used to feeling this way and started to wonder if this is just how you are now. If you have been told your labs are normal while your body is clearly telling a different story. If you have tried the things and still are not getting there. This episode is for you.Your body is not broken. It is out of sequence. That is a fundamentally different problem with a fundamentally different solution.Share this episode with one woman who has been told to wait. She deserves to know the window she is in right now matters.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Resiliency Reboot Program www.drkaceywallace.com/resiliencyreboot✨ Get the book: You Are Not Fine www.youarenotfine.comSupport the show

You've made it to part three, and this is the one that ties everything together. If parts one and two left you with a clearer picture of your stress system and your sleep, this episode takes you somewhere deeper: into your thyroid, your brain chemistry, and a layer of midlife that almost nobody talks about on a podcast about hormones. I'm breaking down why your thyroid and your adrenal system are locked in a relationship that most doctors never explain, and why a normal TSH does not mean your thyroid is actually working. Then we go into your neurotransmitters. Serotonin, dopamine, GABA, the gut connection. If you've ever wondered why you suddenly feel less resilient, less motivated, or like you don't know who you are anymore, this is the missing piece. And if you've been prescribed an antidepressant during perimenopause or menopause, I want you to hear this part especially. But this episode also goes somewhere I don't always go. We talk about the identity and spiritual layer of this transition. The old patterns, the buried feelings, the relationships and jobs that suddenly feel impossible to keep tolerating. I share something personal about what came up for me last year, and why I believe what feels like falling apart in midlife might actually be something else entirely. And because I know all of this can feel like a lot, I close the series with exactly where I'd start if I were you. What to test, what to ask for, and what I actually do every night for my own sleep. In This Episode, We Cover: Why a normal TSH result does not mean your thyroid is functioning properly The two way relationship between chronic stress, cortisol, and thyroid hormone conversion Why so many women are prescribed antidepressants in perimenopause and menopause when the real driver may be hormonal How estradiol affects serotonin (your sense of okay-ness) and dopamine (your motivation and drive) The role of progesterone and GABA in anxiety, racing thoughts, and the 2 to 4 AM wake up How chronic cortisol elevation disrupts neurotransmitter balance across the board Why 90 percent of your serotonin is made in your gut, not your brain The spiritual and identity layer of perimenopause and menopause, and why old patterns resurface now A personal story about a repeating pattern Karen had to finally face What Karen recommends first: the four point cortisol and DHEA test, and why it matters more than a single blood draw Karen's actual nightly routine for sleep, including HRT and magnesium Who This Episode Is For This one is for you if you have been told your labs are normal but you do not feel normal. It's for the woman who has been on an antidepressant for years and has quietly wondered if her hormones were ever part of the conversation. It's for anyone who feels more anxious, less motivated, or less like themselves than they used to, and cannot figure out why. And it's for the woman who feels like midlife is cracking something open in her, whether that shows up as a relationship that no longer fits, a job that drains her, or a feeling she cannot quite name yet.     Sponsors Timeline is offering up to 39% off your first order of Mitopure. Gummies. Go to timeline.com/HORMONE use coupon HORMONE Get 15% off Masszymes By BiOptimzers at bioptimizers.com/hormone with coupon code HORMONE.     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Nobody warned women that their vaginal health could affect everything from their immune system to their marriage. Dr. Anna Cabeca, triple board certified OBGYN and bestselling author known as The Girlfriend Doctor, sits down with Chalene Johnson to talk about the menopausal symptoms women are quietly suffering through and the simple, affordable solutions most doctors aren't mentioning. What's actually happening to the body after 40, why desire disappears before women even understand why, and the three letter term every woman needs to bring to her next doctor's appointment. Dr. Anna also breaks down what women who've had hysterectomies aren't being told about progesterone, the over the counter DHEA cream that runs about a dollar a day, and why a call to your local compounding pharmacist might be the most underrated first step nobody is talking about. Join Chalene on her private podcast

Perimenopause is not a slow fade. It is a hormonal storm that lasts about a decade. Estrogen swings, progesterone slips first, testosterone quietly declines, and growth hormone falls alongside all of it. That is why the workout that worked at 25 stops working at 45. It is why women come to me saying "I am doing everything right and the scale will not budge." Your biology is changing, and your approach has to change with it. In this episode I'm giving you my top recommendations for every pillar so you walk away with a real protocol, not a pile of overwhelm. We cover the exact biomarker labs to ask for, the truth about Hormone Replacement Therapy (HRT) now that the black box warning is finally off, the protein and blood sugar shifts your body actually needs in this decade, the strength training and lifestyle biohacks that move the needle, the top supplements that matter, and the foundational and advanced peptide and bioregulator stacks I recommend most often. If you'd like to work with me, you can book a free call here. Timestamps: 02:14 - Housekeeping: one-on-one consults are now open 06:09 - What we are covering today (full roadmap) 08:03 - What perimenopause actually is, average ages, the genetic component 13:18 - Progesterone, the first hormone to fall 17:11 - Estrogen, the master regulator that swings 21:05 - Testosterone, the quiet decline that drives libido and motivation 22:33 - DHEA, cortisol, thyroid, insulin, and FSH 31:36 - The exact labs to ask for (and where to get them) 39:38 - HRT, the 2002 study, bioidenticals, and why timing matters 43:38 - Pillar 1: Nutrition (protein, blood sugar, fiber, alcohol) 53:48 - Pillar 2: Lifestyle and biohacks (strength training, sunlight, nervous system, sauna) 01:05:30 - Pillar 3: Supplements (top 5 + herbs) 01:13:03 - Pillar 4: Peptides foundational stack (BPC-157, Epitalon, Selank) 01:23:47 - Advanced peptide layer (CJC-1295 + Ipamorelin, MOTS-c, PT-141, DSIP, Kisspeptin) 01:35:44 - Fringe biohacks (Dutch test, genetic testing, red light, PEMF, CGMs)   Resources: My trusted Peptide Source Guide. Work with me one-on-one. The Her Stack Planner (digital or prints at home). Join The LongHer Life  ongevity community Products mentioned: BiOptimizers Magnesium Breakthrough code BIOHACKINGBRITTANY HigherDOSE (red light face mask, hair hat, full body panel, PEMF mat) code BRITTANY15 Kineon red light laser, code BIOHACKINGBRITTANY Fatty15 C15 essential fatty acid, code: BIOHACKINGBRITTANY Naked Nutrition creatine monohydrate, DM for discount Labs I recommend: Function Health (US) Hundred Health (US, ~100 biomarkers). SiPhox Health (US + Canada at-home blood), code BRITTANY20 NIA Health and Felix Health (Canada). Dutch Test (dried urine, ships worldwide). Let's connect: Instagram, TikTok, Facebook Shop my favorite health products Listen on Spotify, Apple Podcasts, YouTube Music This is for educational purposes only. This is not medical advise.

Functional medicine should not be where you end up after years of being dismissed, medicated, and told to wait. In this first episode of the Not Your Last Resort series, Dr. Kacey Wallace — board-certified osteopathic physician and functional medicine practitioner — unpacks why so many women wait too long to seek root-cause support, what is at stake when they do, and what this 10-episode series is going to give you. This is not anti-conventional medicine. It is a direct conversation about the gap between when the body starts struggling and when the standard medical system is designed to respond — and what happens to reserve in the meantime.LISTEN & WATCHSpotify Stream on Spotify open.spotify.com/show/08IicTrnmZ3eyIt39vdYTfApple Podcasts Stream on Apple Podcasts podcasts.apple.com/us/podcast/anchored-to-wellness/id1740555752  BuzzSprout  Full episode on BuzzSproutdrkaceywallace.buzzsprout.com  MENTIONED IN THIS EPISODE• Reserve — the concept of physiological buffer: brain reserve, adrenal reserve, hormonal reserve, metabolic reserve, nervous system reserve• The gap between 'normal labs' and optimal function• Why conventional medicine was designed to respond to disease — not catch early erosion• What the 'wait and see' model missesTAKE THE NEXT STEPAdrenal Optimization Test (AOT)Map your cortisol rhythm across the day + your DHEA level. One of the clearest windows into your actual reserve and resilience. Available now — no clinic appointment needed. drkaceywallace.com/innercalmHair Tissue Mineral Analysis (HTMA)A non-invasive test that shows your long-term mineral status — including the minerals your stress response, thyroid, and nervous system depend on most. drkaceywallace.com/htmaThe Resiliency RebootA 12-week foundational group program that addresses the core physiological inputs — blood sugar regulation, sleep, nervous system rhythm, gut foundations, anti-inflammatory nutrition, and hormone support. The clearest starting point for the foundational work.Get on the wait list at drkaceywallace.comThe Anchored JourneyOne-on-one functional medicine — comprehensive testing, individualized protocol, and the full depth of root-cause clinical work. For the woman who is ready for the complete evaluation.  Complete the application below and we will be in contact with you.https://docs.google.com/forms/d/e/1FAIpQLSePZYAdpIMYaghuE-1sL9uDu4alypz1LUpNT2aEnxuAfTpIfA/viewform FREE RESOURCES & EMAIL LIST• Newsletter — get clinical insights, series updates, and practical tools in your inbox: drkaceywallace.com/newslettersignup• Resources page — tools, guides, and educational content: drkaceywallace.com/dkw-resources• Get Healthy Store — practitioner-grade supplements and testing: drkaceywallace.gethealthy.storeCONNECT WITH DR. KACEY• Instagram: @DrKaceyWallace• Facebook: @DrKaceyWallace• YouTube: @drkaceywallace• Website: drkaceywallace.com• Podcast: Anchored to Wellness on Spotify, Apple Podcasts, and BuzzSproutDISCLAIMERThis podcast is for educational purposes only and does not constitute medical advice. For personalized medical guidance, please consult a qualified healthcare provider.Support the show

If you are exhausted all day, wired at night, and waking up between 2:00 and 4:00 AM with your heart pounding and your brain suddenly wide awake, this episode is for you. Because midlife sleep issues are rarely just about needing more progesterone or taking a melatonin gummy. They are usually a sign that a whole system is asking to be recalibrated. In this episode, I go deeper into the sleep side of the midlife stress puzzle and break down what may actually be happening beneath the surface. In this episode: Why so many women in midlife feel exhausted all day but wide awake at night Why progesterone can help sleep, but is not always the whole answer How oral progesterone works through allopregnanolone and the GABA system Why stress affects progesterone through disrupted ovulation, not "progesterone steal" How estradiol affects serotonin, dopamine, acetylcholine, and your circadian rhythm Why estrogen decline can destabilize sleep, mood, body temperature, and stress resilience How melatonin really works and why it is more than just a sleep supplement Why blood sugar drops can trigger cortisol and adrenaline spikes in the middle of the night What adrenaline wakeups feel like and why they are so common in midlife How to start becoming your own detective with sleep, stress, hormones, and testing Who this episode is for This episode is for women in perimenopause and menopause who are waking up between 2:00 and 4:00 AM, struggling to stay asleep, feeling anxious for no clear reason, or finding that the old sleep advice is no longer working. It is especially for women who want a deeper understanding of what is happening hormonally and neurologically, instead of being told to just take more progesterone and hope for the best.   Use coupon code SLEEP to get 20% off our Progest Sleep oil. Get 15% off DHEA 10 mg capsules here. Use coupon code DHEA15! Order your own Adrenal Stress Kit or DUTCH kit here.     Sponsors Get 30% off BATCH Gummies. Go to hellobatch.com/HORMONE and use code HORMONE at checkout. Get 15% off BiOptimzers Masszymes and all other products at bioptimizers.com/hormone with coupon code HORMONE. Try Mito Q Hormone and metabolic control www.mitoq.com/karenmartel Code: MARTEL10     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

If you've ever had urinary symptoms that antibiotics didn't fix — and your cultures kept coming back negative — this episode is for you.A new 2026 study in the Journal of Sexual Medicine followed 253 women with recurrent UTIs and persistent urogenital symptoms despite negative urine cultures. What researchers found reframes everything: 85% of these women had hormonally mediated vestibulodynia, 75% had pelvic floor hypertonicity, and only 15% had a classic urologic cause for their symptoms.This isn't a bladder problem. It's a hormone problem — and the vulvar vestibule, urethra, and bladder are one integrated, estrogen- and androgen-responsive system. Whether it presents as genitourinary syndrome of menopause (GSM) in a postmenopausal woman or hormonally mediated vestibulodynia in a younger one, the tissue-level pathophysiology is the same.In this episode, Dr. Carolyn Moyers breaks down:• Why persistent urinary symptoms after negative cultures have a hormonal explanation• The shared embryologic origin of the vestibule, urethra, and bladder trigone — and why it matters• How androgen deficiency drives vestibular inflammation, pelvic floor guarding, and bladder dysfunction in a self-perpetuating cycle• Why this affects premenopausal women too — 98.9% of premenopausal patients in the study had below-range free testosterone• What the Rubin et al. 2025 data adds: vaginal prasterone (DHEA) was associated with meaningfully lower UTI rates in women with vulvovaginal atrophy — treating the hormone environment changed the urological outcome• What integrated treatment looks like — vaginal estrogen for GSM, compounded estradiol/testosterone gel for vestibulodynia, pelvic floor PT for hypertonic muscles• The honest limits of this research: selection bias, non-uniform hormonal evaluation, absence of long-term outcome data — and what prospective studies still need to answerThis episode builds directly on Episode 149 — When Sex Hurts with Dr. Jill Krapf. If you haven't listened to that one, it is linked below and is essential companion listening.https://podcasts.apple.com/us/podcast/sky-womens-health/id1541657642?i=1000630939731

If you are waking up between 2:00 and 4:00 AM, lying there wide awake with your heart beating a little too fast and your mind solving every problem in your life, this episode is for you. Because this is not just about bad sleep. It is about what happens when the hormonal, adrenal, and nervous system shifts of midlife collide with the stress load most women are already carrying. And for a lot of women, this is the moment they stop feeling like themselves. In this episode, I do a deep dive into what is actually happening beneath the surface when women in perimenopause and menopause start feeling wired, tired, fragile, overwhelmed, anxious, and unable to recover the way they used to. We talk about the HPA axis, cortisol rhythm, DHEA, blood sugar, stress intolerance, adrenal strain, and why the advice women are getting online is often way too surface level to actually help. I also share what this has looked like in my own body, why midlife can feel like the season where your body stops tolerating the way you have been living, and why that is not a personal failure. It is physiology. This episode lays the foundation for understanding the deeper systems driving midlife sleep disruption and stress dysregulation, so you can stop blaming yourself and start getting clearer on what your body may actually need. In this episode, we cover: Why 2:00 to 4:00 AM wakeups are so common in perimenopause and menopause The difference between being tired and being hormonally and neurologically dysregulated What the HPA axis is and why it matters for stress and sleep How estrogen and progesterone affect stress resilience and recovery Why cortisol is not the enemy, but timing matters How cortisol dysregulation can affect sleep, anxiety, belly fat, and energy Why DHEA is one of the most overlooked hormones in midlife The connection between blood sugar drops and middle-of-the-night wakeups Why the old coping strategies stop working in midlife Why testing cortisol rhythm and DHEA can be so helpful Who this episode is for This episode is for women in perimenopause and menopause who are struggling with broken sleep, 3 AM wakeups, stress intolerance, fatigue, anxiety, feeling wired at night, crashing in the morning, or just feeling like they cannot handle life the way they used to. It is especially for women who want to understand the deeper physiology behind what is happening instead of being told to just relax, meditate, or take one supplement and hope for the best.     Sponsors Try Vitali Exosomes Skin Care vitaliskincare.com use coupon KM20 to get 20% off your order! Get 30% off BATCH Gummies. Go to hellobatch.com/HORMONE and use code HORMONE at checkout. Timeline is offering up to 39% off your first order of Mitopure. Gummies. Go to timeline.com/HORMONE use coupon HORMONE     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

DHEA is one of the most misunderstood hormones in the coaching and health space, and most of the social media conversation around it either oversells the supplement or misses the underlying physiology entirely. Inside today's episode, I break down DHEA and DHEA sulfate, the difference between the two. *NOTE: in this episode I refer to PMOS as PCOS - to learn more about PMOS, check out episode S 905Topics discussed: - DHEA vs DHEA Sulfate- The DHEA-to-Cortisol Ratio- Menstrual Cycle Testing Considerations- Age-Related Decline Patterns- Causes of Low DHEA Sulfate- Hyperandrogenic PCOS and Male PCOS Presentation- Oral Contraceptives and Testosterone Restoration- Immune Effects and Autoimmune Applications- Postmenopausal Supplementation- Cognition, Stress, and Where Supplements Fall Short---------- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Live Program for Coaches: The Functional Nutrition and Metabolism Specialization ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.metabolismschool.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---------- [Free] Metabolism School 101: The Video Series⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.metabolismschool.com/metabolism-101⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------Subscribe to My Youtube Channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://youtube.com/@sammillerscience?si=s1jcR6Im4GDHbw_1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Grab a Copy of My New Book - Metabolism Made Simple⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---------- Stay Connected: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: @sammillerscience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Youtube: SamMillerScience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: The Nutrition Coaching Collaborative Community⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠TikTok: @sammillerscience⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠----------“This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast and the show notes or the reliance on the information provided is to be done at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment and is for educational purposes only. Always consult your physician before beginning any exercise program and users should not disregard, or delay in obtaining, medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. By accessing this Podcast, the listener acknowledges that the entire contents and design of this Podcast, are the property of Oracle Athletic Science LLC, or used by Oracle Athletic Science LLC with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of Oracle Athletic Science LLC, which may be requested by contacting the Oracle Athletic Science LLC by email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠operations⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@sammillerscience.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. By accessing this Podcast, the listener acknowledges that Oracle Athletic Science LLC makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this Podcast."

Are your hormones running your life, and not in a good way? If you are struggling with fatigue, mood swings, weight gain, or sleepless nights, this episode is the missing piece you have been looking for. Understanding hormone balance is not just about estrogen and progesterone. It starts much earlier in the hormonal chain, and getting to the root cause changes everything.In this episode of Salad with a Side of Fries, host Jenn Trepeck sits down with Dr. Andrea Colon, a naturopathic doctor and founder of Reclaim Integrative in Newport Beach, California, who specializes in women's hormone health and metabolic medicine. Together, they walk through the steps for lifestyle, nutrition, supplementation, and bioidentical hormone replacement therapy to restore balance, energy, and vitality. From understanding why cortisol imbalance is the upstream driver of so many symptoms women dismiss as inevitable aging, to exploring how to balance hormones naturally for women before ever adding HRT, this conversation is both practical and empowering.What You Will Learn in This Episode:✅ Why cortisol imbalance is the overlooked driver behind perimenopause symptoms, disrupted sleep, and stubborn menopause weight gain, and how chronic stress depletes your hormone production over time✅ How to use foundational nutrition strategies, including adequate protein intake, quality carbohydrates, and consistent meals, to begin restoring hormone balance before reaching for supplements or medications✅ Which key micronutrients, including vitamin D, iron, and B vitamins, are commonly depleted in women and how those deficiencies directly suppress healthy hormone function✅ How practitioners assess when lifestyle and herbs are enough versus when bioidentical hormone replacement therapy is the appropriate next step, including the role of pregnenolone, DHEA, and testosterone in womenThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store.TIMESTAMPS: 00:00 Dr. Andrea Colon shares why restrictive diets backfire and how skipping meals worsens cortisol imbalance and hormone balance in women03:54 Dr. Colon shares her personal journey to naturopathic medicine after battling cystic acne 06:48 How stress and hormones connect and why women in their early 40s are entering perimenopause earlier due to cortisol09:16 Nutrition foundations for hormone balance, including protein, complex carbs, and avoiding coffee on an empty stomach 12:04 The truth about exercise and cortisol, why over-training causes menopause, weight gain and disrupts hormone function 14:39 Why sleep is the most underrated tool for hormone health and why catching up on sleep is a myth 18:53 Supplement strategies including vitamin D, iron, B vitamins, ashwagandha, and rhodiola for adrenal support 23:29 When to consider bioidentical hormone replacement therapy, including pellets, patches, creams, and pregnenolone29:05 Using a GLP-1 properly and when it is neededKEY TAKEAWAYS:

In this CIRS Group Podcast episode, Jacie and Barbara cover phase four of the Shoemaker Protocol, focused on restoring normal metabolic function after biotoxin elimination. They explain that this phase may include supporting detox pathways for “normal” toxins and heavy metals (e.g., daily bowel movements, B vitamins, methylation support, sauna or hot baths, lymphatic techniques, and using binders like charcoal or clay for inorganic toxins), addressing androgen/sex hormone imbalance linked to low MSH (including signs of low testosterone or estrogen dominance, supplementing DHEA), and correcting fluid/electrolyte balance via ADH regulation (symptoms like thirst, frequent urination, nocturia, and static shocks). They discuss electrolyte options, a DIY recipe, and provider-monitored desmopressin if needed, and note this phase can also involve investigating other lingering issues or co-infections before moving to phase five. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 Welcome to Phase Four 01:00 The purpose of repairing damage done by CIRS 03:14 Detox Pathways basics 05:33 Binders for heavy metals 07:05 Androgen & hormone balance 09:40 Fluid and Electrolyte Issues: ADH/Osmolality 12:21 Electrolyte options 14:12 Desmopressin reset explained 15:41 Tidying up and co-infections 17:22 Next Phase and wrap up For more information and support, join us at https://thecirsgroup.com LINKS MENTIONED IN THE EPISODE: Electrolyte caps Barbara uses: https://redmond.life/products/re-lyte-hydration-support-plus-caps LMNT Recipe (check FAQ): https://drinklmnt.com/pages/ingredients Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie's book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

Your doctor probably didn't have answers to these questions. And that's not a slight. It's just the truth.This week I went straight to my Facebook community and asked for their real questions. What came back wasn't a list of random health curiosities. It was a snapshot of exactly what women are carrying right now. Thyroid confusion. Autoimmune diagnoses with zero real explanations. Environmental exposures nobody's investigating. Hereditary labels being used to shut the conversation down. Postsurgical symptoms written off as aging. And one woman doing the work one change at a time, just wanting to know if she's on the right track.She is. And so are you.I answered every single one of these questions. Because these are the root cause questions. The why questions. The ones worth asking.Inside this episode, we cover:Why your thyroid dose keeps going up every six months, and what it's actually signalingHow mold and environmental toxins drive chronic illness in ways the standard of care doesn't test forWhat I truly believe causes lupus, rheumatoid arthritis, and autoimmunity, and what actually helps people function betterWhy "hereditary" gets used as a conversation ender too quickly, and what to ask insteadHow to implement changes from the book without overwhelming your systemWhat surgical menopause does to your hormones, and why what you're experiencing is not just agingThe liver scarring question: what's actually possible, and what deserves honestyIf you've been handed a diagnosis with no explanation. If you've been told something is genetic, incurable, or inevitable. If you've been quietly asking "is there something more?" This episode is your answer.Yes. There is something more.Share this episode with one woman who's been told to just accept it. She deserves better than that.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Resiliency Reboot Program www.drkaceywallace.com/resiliencyreboot✨ Get the book: You Are Not Fine www.youarenotfine.comSupport the show

The Precursor hormone DHEA. What it is and what it does, and how to use it correctly.DHEA is an anti-aging supplement. It does give an advantage. It is shown to play a role in improving libido, building muscle, and reducing risks of cardiovascular disease and cancer.To help us to share the health benefits of DHEA we have Hugh Woodward, He is the President of Health2Go, Inc the makers of Twist 25 DHEA cream.Hugh is a subject matter expert on DHEA dedicating the past 20+ years of his life to studying medical research about it, and starting a company to research, and develop the safest most effective DHEA supplement (cream) that can be made and distributed.DHEA is short for dehydroepiandrosterone, it is a naturally occurring prohormone we all make and have. DHEA is the most abundant naturally occurring prohormone in the human body.-A foundation or base building block for other smaller more specific hormones like testosterone and estrogens and about 50 other hormones that are smaller, more specific carbon chain molecules in the cascade of metabolism in the human body.-Hormones drive our energy, mood, muscle tone, fat, quality of sleep, mental sharpness, immune system, sex drive, and more.As a result of aging, and a gradual lowering of natural DHEA production after age 25, many of our natural body processes begin to slow down. As a result, most people start to have less energy and gain weight, have lower sex drive, and tend to start losing their mental sharpness and drive, have trouble sleeping and may start to get sick more often.Learn more at Twist25.com or call Health2Go with questions 1(888)489-4782

Dr. Jacob Teitelbaum, an Integrative Medicine physician, researcher, and best-selling author specializing in chronic fatigue syndrome, details “adrenal fatigue,” contrasting Endocrine Society guidelines focused on overt adrenal failure with his view that the adrenals can be functionally exhausted and may be missed by standard testing and “normal ranges.” They discuss adrenal roles in stress response, blood sugar regulation, blood pressure, immunity, and symptoms suggesting low adrenal function (irritability when hungry, sugar cravings, fatigue, recurrent infections, lightheadedness/brain fog, mood shifts). Contributors include high sugar intake, chronic stress, dehydration, and salt restriction, with modern media fear/divisiveness cited as a major stressor; hypothalamic dysfunction and circadian rhythm disruption may cause “tired but wired” insomnia. They cover options such as licorice (not DGL), dietary and lifestyle changes, Adrenaplex, adaptogens (ashwagandha standards, HRG80 red ginseng study), phosphatidylserine for high nighttime cortisol, cautious low-dose hydrocortisone thresholds, and DHEA/pregnenolone considerations, plus resources at endfatigue.com.

If you've ever been told your labs are normal while your body feels like it's falling apart. This episode is for you.Because autoimmune disease rarely starts at the diagnosis. It starts years earlier. In the gray zone. Where you're symptomatic enough to suffer but not sick enough to qualify. Where the system keeps telling you to wait and see while your body keeps getting louder.Today I'm talking about what I call autoimmunity before the autoimmunity. That phase where immune dysregulation is already running the show, but no one has given it a name yet. I'm walking you through why the referral cycle fails women in this phase, what pre-autoimmune patterns actually look like in real life, and why inflammation is never the root cause. It's the dashboard light.I'm also sharing the story of a patient I call Mandy. She did everything right. She went to every appointment. She waited through every referral. And every time, she left with some version of "you're fine." She wasn't fine. And once we stopped waiting for a diagnosis to give her permission to heal, everything changed.Inside this episode, we cover:Why the diagnosis lag is not prevention. It's delayed action.What the gray zone actually looks like in your body.Why the referral cycle is designed to rule out disease, not restore function.The internal stressors driving immune activation that no one is talking about.The three buckets: Reset, Repair, Rebuild, and why sequence matters.Why chasing inflammation keeps you stuck in the supplement cycle.If you've been bounced between specialists with no answers. If your imaging came back normal but your body didn't feel that way. If you've started wondering whether you're just being dramatic. You're not. Your physiology is loud, and it's been trying to tell you something.Share this episode with one woman who's been told she's fine when she knows she's not. This is the conversation she's been waiting for.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Resiliency Reboot Program www.drkaceywallace.com/resiliencyreboot✨ Get the book: You Are Not Fine  www.youarenotfine.comSupport the show

It is time for some real talk, ladies. In this episode, Dr. Jen tackles a massive, frustrating trend in the hormone world: the widespread overdosing of women on Testosterone Replacement Therapy (TRT). While bioidentical hormones are a beautiful, transformative tool, the functional and conventional medicine spaces are treating women like "small men," pushing testosterone levels far beyond what a female physiology can handle. Dr. Jen dives deep into why more isn't better, how too much testosterone fries your hormone receptors, and the beautiful reality that your feminine vitality and libido are actually driven by estrogen and progesterone—not high doses of testosterone. Themes Overdosed TRT causes a temporary, addictive surge of energy before completely frying receptor sites, leaving women crashed, depressed, and chasing that initial feeling. For most women, a healthy total testosterone level sits safely between 5 and 35 ng/dL. Anything consistently pushed above 50 ng/dL is typically a red flag. Contrary to popular belief, a woman's libido and juicy vitality are fundamentally driven by estrogen, not testosterone. True hormone optimization always starts with the mother hormone, progesterone, followed by estrogen, then the precursor DHEA. Testosterone should only ever be the final, carefully adjusted piece of the puzzle. If your hormone protocol makes you feel overstimulated, moody, or "wrong," stop blaming your body. Trust your inner compass and look for bio-individualized care.   Connect with Jen: 

Broadcast from KSQD, Santa Cruz on 5-14-2026: An emailer from Switzerland follows up on the case of neurological symptoms, warning about the fox tapeworm Echinococcus multilocularis from unwashed garden vegetables and tick-borne encephalitis requiring the FSME vaccine available in Europe. Dr. Dawn adds that cysticercosis from undercooked pork leaves calcified brain lesions detectable on CT scans. Dr. Dawn covers the Andes hantavirus outbreak that sickened at least eleven people on a cruise ship, with the virus spreading person-to-person unlike other hantaviruses. She explains that Andes virus grows to unusually high levels in blood and resists antimicrobial compounds in human saliva, with super-spreaders driving transmission chains. British paratroopers had to parachute medical supplies to an infected passenger on remote Tristan da Cunha island. Dr. Dawn reviews brain health supplements with UCLA longevity expert Gary Small. Both recommend curcumin (500-1,000mg) for anti-inflammatory effects and CoQ10 for statin users. She endorses multivitamins and high-quality fish oil but considers creatine, phosphatidylserine, and nicotinamide riboside insufficiently proven for cognitive enhancement. A caller asks about supplements and testosterone for a 77-year-old. Dr. Dawn recommends topical testosterone (patches, creams, gels) over injections to avoid testicular shrinkage and elevated sex hormone-binding globulin. She emphasizes protein intake matching one's age in grams, branched-chain amino acids during exercise, and warns against fasted training after age 65. An emailer shares news that PCOS is being renamed to polyendocrine metabolic ovarian syndrome (PMOS) because many patients lack ovarian cysts, and genetic males can also have the condition. Dr. Dawn explains it's fundamentally an endocrine and metabolic disorder involving insulin resistance, elevated testosterone, and DHEA dysregulation. A study found that infrasound—low-frequency sound below human hearing range—elevated cortisol and worsened mood in subjects who didn't know and couldn't detect it was playing. Old buildings generate infrasound through aging boilers, ventilation ducts, and metal pipes, potentially explaining why, beyond autosuggestion, that old "haunted" houses feel spooky.

Dr. Tami Rowen, renowned expert in sexual medicine and menopause, joins Dr. Rena Malik to discuss the neuroscience of female sexual desire, FDA-approved treatments, the impact of birth control on hormones, the difference between perimenopause and menopause, the role of testosterone and progesterone, and how to separate evidence from marketing in hormone therapy. They also address common myths, the importance of physical health, optimizing sexual wellness, and the critical role of relationships in long-term health and happiness. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00:00 Introduction00:02:22 Understanding Low Desire00:06:21 Diagnosing Sexual Desire Issues00:15:10 Arousal vs. Desire00:22:58 Treatment Options for Low Desire00:28:39 Testosterone Myths and Evidence00:38:44 Hormone Advice and Misinformation00:47:15 Hysterectomy and Sexual Function00:51:08 Birth Control and Perimenopause01:00:07 Bone Health and Hormones01:15:58 Progesterone's Role in the Body01:28:21 At-Home Cervical Screening01:32:42 Vitamin D, DHEA, and Supplements01:39:23 Rethinking Women's Sexual Health Become a Fora Advisor today at http://Foratravel.com/drmalik Stay connected with Dr. Tami Rowen on social media for daily insights and updates. Don't miss out—follow her now and check out these links! INSTAGRAM - https://www.instagram.com/drtamirowen/ Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

Functional Diagnostic Nutrition: Using Saliva Testing, Food Sensitivity Labs, and Lifestyle to Find Root Causes: Reed Davis, Board Certified Holistic Health Practitioner (HHP) and Certified Nutritional Therapist (CNT), is founder of Functional Diagnostic Nutrition (FDN). He discusses using functional testing alongside conventional care to uncover “dysfunction” when standard labs appear normal. Davis describes assessing adrenal and metabolic stress via saliva testing for circadian cortisol patterns, cortisol-DHEA balance, sex hormones, secretory IgA, and melatonin, emphasizing clinical correlation and individualized “studies of one.” He outlines an approach targeting multiple “healing opportunities” (H-I-D-D-E-N: hormones, immune, digestion, detoxification, energy, nervous system) and applying D-R-E-S-S (diet, rest, exercise, stress reduction, supplementation) rather than relying on supplements alone. A case example links chronic hives, medication-related weight gain, and food triggers identified through additional testing, including the Mediator Release Test. The discussion also covers stress-driven gut dysbiosis, digestion decline, and EFT tapping for stress-related symptoms, and notes FDN practitioners can be found via FDNtraining.com/medicine.

Are you eating clean, managing your stress, doing everything right and still gaining weight, snapping at everyone you love, and lying awake at 3 a.m. wondering what happened to you? You are not imagining this. And you are not broken.In this episode, Dr. Shivani Gupta sits down with the beloved Dr. Anna Cabeca, OB-GYN, hormone specialist, and creator of Mighty Maca Plus and the Magic Menopause program, to break down what she calls "the devil's pitchfork": the three-pronged crisis of hormone imbalance, adrenal dysregulation, and chronic inflammation that silently dismantles women's health from their late 30s onward. Dr. Anna brings cutting-edge research on DHEA, progesterone, uric acid, and the keto-green alkalinizing approach, backed by her own extraordinary personal journey.Her message to every woman listening: your diagnosis is not your destiny. If you are struggling with unexplained weight gain, perimenopause rage, brain fog, bladder issues, or the feeling that your body has turned against you, this episode will change how you understand yourself.WHAT YOU'LL LEARNWhy DHEA starts declining before estrogen and what this means for your bones, brain, bladder, vaginal health, and moodThe truth about "estrogen dominance" , why it is actually progesterone insufficiency, and why dropping progesterone is linked to anxiety, insomnia, and even psychiatric misdiagnosisHow the keto-green alkalinizing approach helped Dr. Anna lose 18 of 20 perimenopause pounds in just 6 weeksWhy uric acid is a hidden driver of weight gain and metabolic slowdown and how to check yours for pennies a dayHow intermittent fasting for as little as 13 hours significantly reduces breast cancer recurrence risk, backed by a 2016 JAMA studyThe "oxyplay" framework, why increasing oxytocin through connection, laughter, and play is the most powerful hormone-balancing tool available to youMighty Maca Plus and JOLVA topical DHEA, what they do, who needs them, and how Dr. Anna formulated them from her global travelsThe Inflammation Code (book) https://www.amazon.com/dp/140199699X?tag=usalinktagdefault-20&th=1&psc=1&geniuslink=trueFusionary Formulas Supplements (use code CODE15 for 15% off your first order)7-Day Inflammation Detox ChallengeWork with Dr. Shivani — Free Discovery CallDr. Anna Cabeca's WebsiteFree Gift for Listeners — Mighty Maca & JOLVA samples + 10-Day Breeze Through Menopause Program:Use code DR. SHIVANI at checkout for a discount CONNECT WITH DR. SHIVANIInstagram: @dr.shivaniguptaWebsite: https://shivanigupta.com/

"What we don't know CAN really hurt us, " says Florence Comite, M.D.  Comite is a Yale University School of Medicine and National Institutes of Medicine trained physician-scientist, endocrinologist, and the leading voice in the field of precision medicine and healthy longevity. She was founder of the first global women only health center at Yale three decades ago and is founder of the Comite Center for Precision Medicine & Healthy Longevity in 2005, in New York, with satellite offices in Palo Alto and Miami Beach. Her new book, Invincible: Defy Your Genetic Destiny to Live Better, Longer, was published by Little, Brown Spark in April 2026.  Catch this week's episode of mindbodygreen podcast, created in sponsorship with Toyota. For vehicles designed for all that life has to offer, check out the 2026 RAV4, Sienna, Highlander, and Grand Highlander. Hop in, turn on the episode, and enjoy every mile.  00:00 - Aging starts in your thirties 01:55 - The decline of testosterone 07:29 - How genetics dictate aging 10:08 - Increasing testosterone  12:30 - Hormone therapy 17:59 - A DHEA story 20:37 - Metabolic markers 26:11 - Using a continuous glucose monitor 33:13 - Heart medication & testing 36:06 - Personalized medicine & prevention 39:56 - The Alzheimer's spectrum 42:38 - Genetic variables & testing 49:00 - The trouble with AI in medicine For more about Comite, visit her website: https://florencecomite.com/  Buy her book here: https://a.co/d/0cnOvaH8  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens when three menopause podcasters sit down together with zero intention of staying surface level? You get a smart, honest, hilarious, and deeply validating conversation about some of the biggest midlife topics women are trying to figure out right now. In this roundtable episode, we get into bone health, hormone testing, HRT mistakes, libido, trauma, desire, and the much bigger cultural story around what menopause is actually meant to be. We talk openly about why so many midlife women feel disconnected from sex, why female arousal is so misunderstood, and how much emotional baggage, conditioning, and nervous system overload shape the whole experience. And finally, we end on a much bigger and more hopeful note: maybe menopause is not a decline at all. Maybe it is a threshold into wisdom, authority, healing, and a version of womanhood our culture has forgotten how to honor. In this episode, we cover: Why more women in their 40s and 50s are discovering osteopenia and low bone density earlier than expected The difference between DEXA scans and REMS scans, and why bone quality matters, not just bone density Estradiol, bone protection, and why some women may need more than a tiny dose of HRT The debate around testing hormones in perimenopause and why symptoms alone do not always tell the full story Why thyroid, cortisol, DHEA, progesterone, and estrogen symptoms can overlap in confusing ways What can go wrong when women are given HRT without the right assessment or follow-up Why libido is far more complex than just low testosterone or low desire How guilt, fear, shame, trauma, and nervous system overload affect female arousal Why so many women feel "broken" around sex when they are actually having a very normal response The spiritual and cultural meaning of menopause as a transition into wisdom, power, and authority Who this episode is for This episode is for women in perimenopause and menopause who want a more honest conversation about what is really happening in midlife. It is especially for women who are worried about bone loss, confused about hormone testing, frustrated by bad HRT experiences, struggling with libido, or craving a more empowering way to think about menopause than the usual narrative of decline.

Episode 369: Dr. Kelly Casperson, interviewed by Sara Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sara Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. 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.

Episode 369: Dr. Kelly Casperson, interviewed by Sarah Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sarah Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. 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 To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. 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

Dr. Natalie Crawford, board-certified OB-GYN and REI, answers your fertility questions. What is your current interpretation of the scientific evidence on DHEA supplementation for women with low ovarian reserve and advanced maternal age who are preparing for IVF? Can you use retinol skincare products while trying to conceive, or should they be avoided during TTC? For someone in their early 30s who has been trying to conceive for over two years with no positive pregnancy tests and has completed multiple IUIs without success, what would you recommend as next steps or further evaluation? What does it mean if someone notices type 4 cervical mucus occurring twice in a cycle, including again right before their period? For a male partner taking finasteride for several years, is there evidence that it affects sperm quality or fertility outcomes, and should it be stopped when trying to conceive? In lean PCOS, what additional steps can be taken before trying to conceive to help regulate ovulation and hormone balance, especially when cycles are irregular and progesterone is being used to induce a bleed? How do varicoceles impact fertility outcomes even when a standard semen analysis appears normal, and what should patients understand about “normal” lab results versus actual sperm quality? Is there anything that can be done to prevent varicoceles, and what causes them to develop in the first place? When a semen analysis is reported as normal, how should patients and clinicians interpret that result, and what deeper factors might still need to be considered? Order Dr. Crawford's debut book, The Fertility Formula, out now! https://www.nataliecrawfordmd.com/book Want your questions answered on the next episode? ⁠Ask them here! https://www.nataliecrawfordmd.com/qa-submissions Learn more about your ad choices. Visit megaphone.fm/adchoices