Podcasts about gynecologists

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog contains dialogue of a sexual nature In my 29-year history of practicing gynecology and 23 years of practicing hormone replacement medicine, there have always been a few questions that only the bravest and most comfortable patients would ask me during a well-woman visit or consultation. During the next few weeks, I will dedicate my blog to those usually unanswered questions, but most probably those questions that women are too embarrassed to ask. The first question is asked in many forms, but the general idea of the question is:” What should I do if I think my vaginal area smells weird?”  “Smelling weird” is a common description that can imply many things, so I will outline what I ask my patients to gather enough information to provide them with a medically relevant answer. What does it smell like? Yeasty, like baked bread? Sweaty-like body odor? Sour- like a towel that has been we too long? Musky – like the musk type of perfumes? Urine? everyone knows what that smells like Old people in a nursing home? OR “Like something is dead in there?” “Like Fish?” These are the actual descriptions that I have received in response to my question, and they all identify different. In case some of you are worriers, I will start with the fact that vaginal odors 1-6 are likely due to a minor infection, either an overgrowth of yeast, or the fact that you don't air out that area at night which makes yeast and bacteria grow in the warm environment between your legs or under the covers. Vaginal odors 7 and 8 are more serious and require treatment. I will first discuss the most important conditions based on their odors. These can be quite dangerous if ignored. Let me start by addressing odors 7 and 8. Odor # 7. If your vagina smells foul, like “something is dead in there,” you should probably make an appointment with your GYN. It could result from something as simple as a tampon that was “lost” in the vagina, leading to bacteria growing from menstrual blood and semen.  This is a common cause of such vaginal odor. The GYN will need to use an instrument to grasp the tampon and remove it. She will then prescribe an antibiotic to treat the infection that has developed. While there's no harm in removing it, leaving it in place can lead to a serious pelvic infection. If your doctor doesn't find a tampon and this odor is confirmed by her, then she will do bacterial cultures and a pap to look for cervical cancer or endometrial cancer. It is important that you don't ignore this odor.  It won't get better on its own. Odor #8. If your vagina smells like fish it is likely an infection with a bacteria called hemophilous vaginalis, or from Trichomonas (“Trick”). Hemophilus can be caused by wiping back to front (the wrong way), which allows rectal bacteria to enter the vagina. Additionally, Hemophilus can be introduced into the vagina during intercourse. In these two cases, it is not considered a venereal infection– NOT an infection you acquired from your sexual partner. However, Hemophilus can be a venereal infection that you contract from a sexual partner if he acquired it from someone else and transmitted it to you! The treatment is essentially the same: a medication called Flagyl or metronidazole, taken three times a day for 7-10 days. If your partner has it too, he needs to take the medication at the same time so you don‘t keep passing it to each other. These infections require examination and testing to receive an antibiotic. The last possible cause of a fishy-smelling vagina is Trichomonas, a parasite that produces a significant amount of thin, greenish discharge along with a fishy odor. It is sexually transmitted, and both partners should be treated.  He should also have his other contacts treated. The group of infections in #8 is treatable and curable with medical help. Another quality of Hemophilus and Trichomonas is that if you have nitrazine pH paper and test the discharge with it, it will turn the paper dark blue.  Dark blue means go to the GYN! We'll start back up at 1-6 discussing the causes of “funny smelling discharge. ” These are the least likely to be serious infections. I need to provide some initial information before I discuss the various reasons for vaginal odor. First, there is always a slight odor that is uniquely yours. You shouldn't try to eliminate all signs of vaginal odor because it results from a combination of yeast, good bacteria, estrogen, testosterone, and progesterone, which help protect your vagina and vulva, the area surrounding the vagina.  Changes in hormones such as pregnancy, menopause, hormone replacement therapy, diet, antibiotics, and dehydration can alter the vaginal smell and discharge. The yeasty odor that resembles baked bread comes from normal yeast present in the vagina. Some women naturally have this odor. It becomes a concern only when it is accompanied by itching and a significant amount of white discharge. These yeast infections can occur after taking antibiotics that eliminate good bacteria.  They may also arise when blood sugar levels are elevated, as seen in diabetics or prediabetics. The pH paper will not change color.  Treatment involves yeast medication, which can be either vaginal or oral, along with oral probiotics and sometimes vaginal probiotics to help restore the good bacteria. If you are diabetic, you may experience yeast infections until your blood glucose levels are normalized.   Sweaty-like body odor.The vagina can develop body odor from sweat that fosters the same bacteria found under your armpits.  This matter is simple.  Change out of wet swimsuits, wash gently with the same soap you use for the rest of your body, and allow your vagina to dry by sleeping without underwear.   Sour like a towel that has been wet too long. The ability to detect sour odors is genetically determined. You may not notice it, but your significant other might, or you may smell his clothes that have this odor, while he doesn't.  Either way, it is caused by bacteria from sweaty, damp clothes thrown into a hamper, allowing fungus and bacteria to grow. For some reason, you then wear these clothes, and your vagina ends up harboring the same jungle of bacteria and fungus.  This one is easy: air out clothes before wearing them, avoid putting on garments that are not clean, and wash these clothes in warm water to eliminate the microbes. You may need a doctor's visit for diagnosis and treatment.   Musky -you know, like the musk type of perfumes. A musky smell is the natural scent of fertile women with testosterone, especially when they are sexually stimulated. This is not an infection; it is the normal sexual scent of attraction. This odor usually diminishes with menopause or when you are on the pill and your testosterone levels decrease.   Like urine. The smell of urine is usually caused by leaking urine, poor wiping, or wearing a pad that absorbs leaking urine. It can precede a yeast infection because urine wetness encourages the growth of yeast. Treating urine leakage is imperative for resolving this issue. Options include surgery, Emsella magnetic pelvic floor strengthener, or a pessary. All of these can be discussed with your doctor when you inform them that you experience this odor consistently.   Like Elderly individuals in a nursing home? Sadly, nursing homes do have a characteristic odor; it is a combination of urine and cleaning chemicals, but there is something more. Elderly people who lack hormones have lost protective bacteria and exhibit a dominant odor of deterioration. This is what the vagina smells like without hormones and the beneficial bacteria they support. This is a smell that many women ask me about after menopause when they don't take hormones. The only way to return the odor to normal is to reinstate hormones.   If you have other vaginal odors I have not addressed, then send your email questions to podcast@biobalancehealth.com.  I pray you will trust your gynecologist enough to ask any questions you need to understand your own body. I hope I have provided you with some material to reflect on and compare to help answer your questions.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog This Blog post is for mature women to read.  If you feel embarrassed by sex or offended that I am addressing these genuine female concerns, please skip this Blog. Among the many questions I have received, I am sharing a few with you in case you also have these questions but are hesitant to ask when you visit your gynecologist's office. At BioBalance Health, our doctors conduct consultations with new patients and follow-up visits that last an hour. During these consultations, patients are free to ask questions about their health including sexual questions.   The atmosphere in our office is open to all questions, and the doctors offer hour-long visits, fostering a supportive environment for discussing embarrassing sexual situations, asking awkward questions, and addressing concerns about sexuality and aging. I am going to offer some of the questions I have been asked and the answers that I give to my patients who ask. Question 1:” Am I normal to think about sex and fantasize about having sex all the time now that I have testosterone pellets?” Yes, that is normal and healthy to think about sex…humans are sexual beings and thinking about or planning to have sex with your partner is normal.  After Testosterone pellets are inserted for the first time, they have magnified sexuality for a few weeks.  After that the sex drive of a patient goes back to what was normal for them when they were at their prime. Testosterone is necessary for a person, women and men to have a sexual drive. Those women and men who have had a healthy sex life before their testosterone was lost can still have sex, on their usual schedule, but what we think of sex DRIVE, won't be there without T….just the habit of having sex will make them continue to have an active sex life.  Question 2: “Before pellets I didn't have any discharge in my underwear, and I thought that was a benefit of menopause but now I experience wetness/slight white discharge Am I OK?” When women are mature and have fertility, (women between 12 years old and menopause) have some discharge clear or white in their underwear.  It is from the vagina, and it is a way of the vagina cleansing itself. Without the hormones estradiol and testosterone, as in menopause and when a woman takes low dose birth control pills, the vagina dries up and doesn't “cleanse itself”. Vaginal lubrication stops, so does vaginal discharge, and painful intercourse is a real problem for women after they are not producing estradiol or replacing it with HRT. Experiencing normal vaginal discharge is a small price to pay to comfortable sex and a good sex drive. If the discharge changes, please watch or read my last Healthcast #685 or blog #685 to determine if you need to see a Gynecologist. Question 3: A question women ask me before they experience replacement of testosterone and estradiol. “Do I have Alzheimer's disease?  I'm only 50 and I can't remember things. I lose words and I am always late because I can't remember appointments.” One of the most important benefits of taking testosterone by pellet insertion is that my patients usually get their brain back!  It is rare that anyone who is having trouble with their memory before age 55 is really starting to have an early onset dementia. By taking Estradiol and Testosterone pellets my patients regain their normal brain function in the first 8-12 months.  Those women who are still struggling with memory after taking Estradiol and Testosterone Pellets should be evaluated by a psychiatrist or neurologist to test them to see if they are having the beginnings of a type of dementia. The sooner a person takes TE hormone pellet replacement, the longer they will have a clear and functional mind.  If a woman takes T and or E2 pellets, they can delay the genetic onset of dementia by 10 years. That means if genetically you were wired to lose your ability to think at age 70, then you should get a ten-year delay in the onset of your dementia. E + T pellets are the only treatment I know can preserve your ability to think 10 years longer than if you didn't take them within 10 years of losing your Estrogen and Testosterone (around age 45).  Question 4: “Now that I have pellets, I have great orgasms but I produce a lot of fluid when I come.  Is that normal?” Yes. Estrogen increases vaginal wetness, and lubrication for sex. Testosterone stimulates the sensitivity of the area around and inside the vagina. Testosterone pellets are the only form I have heard of that can cause vaginal ejaculation, or forceful production of fluid from the vagina.  Not everyone experiences this phenomenon, and some women love it as do their partners, and other women dislike it because it makes sex messier than usual. It is a testosterone dose dependent action, and lowering the T dose in pellets can decrease the response to sexual stimulation. Question 5: “My husband can't keep up with my sex drive.  I have the same drive as I had when I was younger, but he is not able to keep up with my libido.  What can I do?” My response has several options because every sexual partnership is different. You can use vibrators or sex toys to stimulate yourself. He can use the same toys to engage in sexual activity with you. You can lower your dose of T pellets to decrease your sex drive. You can invite your husband to visit us or another Pellet practice to have his level of T and Free T checked and replaced if it is low and he is a good candidate. Question 6: “My husband likes me to give him oral sex. I like it, but what do I do with the semen he produces? The eternal problem:  to swallow ejaculate or not.  You can only decide this for yourself and if you are uncomfortable with this, then have a washcloth or Kleenex handy to handle the fluid. Question 7:” I have had pellets for a year now, and I have never been so happy, and I feel young again, but my gynecologist examined me and said I had an enlarged clitoris, and she told me to stop pellets because of that!  I don't get it!  It doesn't bother me; why is she so upset? What should I do?” Your GYN is clearly not educated in hormone therapy using T pellets. She also seems to be uncomfortable with her own sexuality if she cannot see the benefit of having a clitoris that is slightly larger than normal, so it is easy for a partner to access.  She may be recalling something from residency, that we were taught: “An enlarged clitoris is a sign of an ovarian tumor, and these tumors secrete high levels of testosterone-like hormone. This is not the same as a slight enlargement of the clitoris that is normal with T replacement. She has not considered that you are receiving Testosterone to replace what you are no longer producing. When we no longer make testosterone at fertile levels, our clitoris shrinks so small that it can hardly be found. Testosterone reverses that change reviving the size and function of the clitoris. Honestly, the change is minimal, and the size of the clitoris varies based on a woman's genetics and testosterone levels before the age of 40.  The natural shrinkage of the clitoris after menopause corresponds with low levels of testosterone, along with the loss of clitoral sensitivity, which can lead to a decrease in orgasms!  We are sexual beings, and testosterone is essential for sexual function. The ignorance of your gynecologist is both sad and common.  In the last 20 years, there has been no training for OBGYNs in sexuality or hormone replacement during menopause.  There is complete ignorance regarding treating women with testosterone. As in the general population that has a subset of people who are sexually inhibited, the group of board certified gyns carry their own attitude into the treatment room. Clitoral orgasms are the most common type of orgasm in women. After menopause, they can disappear without testosterone stimulation.  That will stop sexual pleasure completely. Most of my patients don't complain about having a visible clitoris, and they say “I can see my clitoris again and my husband can find it now! It makes sex great again.” Question 8: “My internist asked me why I wanted to have sex now that I am old!  I'm 45! I am changing doctors, but what was she thinking?  Again, the training of normal sexuality in residency programs is minimal.  She might also be sexually unaware or inhibited, as she revealed when she told you that it is not normal to have sex as we age (over 40); clearly, she does not view it as an important part of her life, so it shouldn't be an important part of yours! Question 9: “Now that I am having sex again, I am shooting fluid out when I climax!  What is that and where does it come from?  By the way, my husband loves it!” This phenomenon is called “female ejaculation,” and it is a normal, yet uncommon, part of great orgasms.  Women can produce fluid through transudation via the vaginal wall (which is incorrectly dubbed “vaginal sweating”).  There are no sweat glands in the vagina; the fluid comes from the abdomen and is known as peritoneal fluid.  When a woman orgasms, her vagina contracts, and this fluid squirts out of the vagina with force. The second source of fluid is the Skene's glands, which are small glands located on either side of the urethra (the opening that leads to the bladder). They don't produce a large amount in most women, but it is possible for them to “squirt” fluid with force. Most men find this gratifying, as an unspoken sign that they did a great job.  Women may find it upsetting and ask me to decrease their testosterone levels to lessen the likelihood of “making a mess” when she has sex; however, this also decreases the orgasmic experience. I will keep collecting questions that my patients ask me in my office to offer a continued version of “Embarrassing Questions” in future blogs. I hope this helped you answer some of your unanswered questions!

In this episode of Postpartum Unpacked, Trish unpacks the inadequacies of traditional postpartum care. Drawing on her experience as a labor and delivery nurse and a mom of seven, Trish discusses the outdated six-week postpartum visit and highlights the American College of Obstetricians and Gynecologists' new guidelines advocating for multiple checkups within the first 12 weeks post-birth. She provides essential tips on advocating for better care, recognizing postpartum health issues, and stresses the importance of comprehensive, ongoing support for new mothers. Tune in to learn what you truly deserve for a healthier, happier postpartum journey.More from this episode:Grab the Postpartum Recovery RoadmapJoin the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!Helpful Timestamps:00:00 Welcome to Postpartum Unpacked00:53 The Reality of Postpartum Checkups02:20 Updated ACOG Guidelines for Postpartum Care03:53 Common Issues and Missed Diagnoses04:51 What Should Happen in Postpartum Checkups10:36 How to Advocate for Your Postpartum Care13:48 Resources and Support for New Moms14:46 Final Thoughts and EncouragementJoin the #1 Birth Course for Confident Birth!Over 15,000 women have used our classes to prepare for birth with the knowledge and tools provided by a Labor Nurse.

In this episode, Ali speaks with Dr. James A. Simon, a leading OB-GYN and "Menopause Whisperer," about his pioneering work in sexual medicine and menopause care. Dr. Simon discusses the challenges and importance of addressing sexual health in gynecology, the evolution of hormone therapy, and the cultural barriers that often prevent open conversations about menopause and women's sexuality.The episode highlights the need for more holistic, individualized care for women, the impact of hormones on health and wellbeing, and the progress still needed in medical education and societal attitudes. Listeners will come away with a deeper understanding of menopause, hormone therapy, and the value of compassionate, open dialogue about women's health and aging.Topics also include how aging has changed over generations, why people got scared of Hormone Replacement Therapy, the prevalence and benefits of testosterone in women, the politics of hysterectomies, how Viagra was happened upon, and how GLP-1s work. FOR MORE ALI MEZEY:ALI - WebsiteALI - LinkTreeFOR MORE JAMES:IntimMedicine Website: https://intimmedicine.com/YouTube: https://www.youtube.com/@intimmedicinespecialists5815/videosFacebook: https://www.facebook.com/IntimMedicineRestore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for LifeBook by Dr. James A. Simon.JAMES BIO:James A. Simon, MD, CCD, MSCP, IF, FACOGDr. James A. Simon is a board-certified Ob/Gyn, and reproductive endocrinologist. He is Clinical Professor of Obstetrics and Gynecology at The George Washington University School of Medicine in Washington, DC. Dr. Simon also holds certifications as an AASECT-Certified Sexuality Counsellor, an ISCD-Certified Clinical Bone Densitometrist, and a Menopause Society-Certified menopause specialist. He has an active private practice, IntimMedicine Specialists® in Washington, DC focused on complicated gynecology, sexual medicine for both men and women, and menopause. Dr. Simon has received numerous awards including: “Top Washington Physicians,” “America's Top Obstetricians and Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,” and “The Best Doctors in America.” He is the only physician to serve as President of both The Menopause Society and the International Society for the Study of Women's Sexual Health. Nicknamed “The Menopause Whisperer,” by Washingtonian Magazine, Dr. Simon is an established researcher and author--completing more than 450 research trials, and more than 800 published articles, abstracts, chapters, and the paperback book: Restore Yourself: A Woman's Guide to Reviving Her Sexual Desire and Passion for Life. Dr. Simon loves riding the best rollercoasters in the world, collecting fountain pens and wristwatches, and freshwater fishing. He is a five-time Master Angler of Canada.hiker, dog trainer, and lover of nature.OTHER RESOURCES, LINKS AND INSPIRATIONS: ASECT (American Association of Sexuality Educators, Counselors and Therapists)A professional organization for sexuality educators, counselors, and therapists.ISCD (International Society for Clinical Densitometry)Organization focused on bone density and skeletal health.Menopause SocietyFormerly known as the North American Menopause Society (NAMS), dedicated to promoting the health and quality of life of women through an understanding of menopause.International Society for the Study of Women's Sexual Health (ISSWSH)Multidisciplinary, academic, and scientific organization dedicated to women's sexual health.Washingtonian Magazine ArticleRegional magazine that dubbed Dr. Simon "The Menopause Whisperer."Sexual Health AllianceOrganization and conference for sexual health professionals.Women's Health Initiative Hormone StudiesLandmark studies on hormone therapy in women.Menopause MeetingsAnnual conferences for menopause specialists.PremarinEstrogen medication derived from pregnant mares' urine, historically used in hormone therapy.Viagra (Sildenafil)Medication for erectile dysfunction, originally developed for high blood pressure.GLP-1 Receptor AgonistsClass of injectable medications for diabetes and weight loss (e.g., Ozempic, Wegovy).Dr. Dympna RenshawSouth African psychiatrist and pioneer in sexual medicine, especially in the context of trauma and dysfunction.Halle Berry, Kate WinsletCelebrities mentioned for their advocacy and openness about menopause.Contraception Marches (late 1960s)Historical reference to activism for access to contraception.[From time to time, a word or phrase goes wonky. Please forgive my wandering wifi.]

In this special bonus episode, we explore a topic the show hasn't covered before: menopause. We delve into what would need to change with healthcare and the workforce to better support women through menopause, as well as the economic factors that could enable those policies.  Host Reena Ninan speaks with Dr. Jessica Shepherd, gynecologist and author of the new book Generation M, Dr. Claus Runge, Bayer's chief health equity officer, and Kathryn Schubert, President and CEO of the Society for Women's Health Research (SWHR). This live panel discussion was recorded at Foreign Policy's Her Power Summit, which took place on the sidelines of the UN General Assembly.   The Hidden Economics of Remarkable Women is a production of Foreign Policy, with support for this episode from Bayer. (Photo credit: Jonathan Heisler) Guests and organizations: Dr. Jessica Shepherd, Gynecologist and Author of Generation M Dr. Claus Runge, Bayer Chief Health Equity Officer Kathryn Schubert, President and CEO of the Society for Women's Health Research (SWHR) Suggested reading: Foreign Policy Analytics' Report: The Health and  Economic Impacts  of Menopause Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Kelley Fox and Rev. Terry Williams talk about Mifepristone, Tylenol, the politicization of healthcare, and how you can get reliable information direct from providers who are most familiar with the care they provide. Addressing Christian anti-intellectualism and the continued love affair between the anti-abortion lobby and misinformation, Kelley and Rev. Terry help listeners understand the importance of accessing reliable health information in order to exercise full reproductive freedom.  (BOTTOM LINE: Abortion medications like Mifepristone are safe and effective; no matter what the government has to say!) Links to discussed content: “Self-Managed Abortion in Good Faith” Training: www.faithchoiceohio.org/self-managed-abortion-in-good-faith-training Tylenol is safe to use during pregnancy: www.acog.org/news/news-releases/2025/09/acog-affirms-safety-benefits-acetaminophen-pregnancy FDA Approves New Generic Version of the Abortion Pill Mifepristone: www.msn.com/en-us/health/other/fda-approves-new-generic-version-of-abortion-pill/ar-AA1NLaaJ?ocid=BingNewsVerp Mifiprex (the brand name for Mifepristone): www.earlyoptionpill.com ICE raids on local communities tracked: www.immigrantdefenseproject.org/raids Current litigation surrounding anti-LGBTQ policies of the federal government: www.lgbtqbar.org/programs/trump-executive-order-tracker Christian anti-intellectualism and its connection to conspiracy thinking: www.newyorker.com/news/daily-comment/the-wasting-of-the-evangelical-mind The American College of Obstetricians and Gynecologists: www.acog.org Music by Korbin Jones

On July 21st 2025, the FDA convened a hearing on maternal use of antidepressants during pregnancy and the impact this use has on fetal development. Around 400,000 children in the United States are born each year whose mothers took antidepressants while pregnant, and so it's easy to see the societal importance of this topic. What are the risks to the fetus, the newborn, and the long-term development of that child? Adam Urato and Joanna Moncrieff were members of that FDA panel, and so too were several others well-known to MIA readers, including David Healy and Joseph Witt-Doerring. The purpose of the panel was to assess whether the FDA needed to put a warning on antidepressants related to their use in pregnancy, and most on the panel spoke of research that told of the need to do so. However, after the panel concluded, the American Psychiatric Association and other medical associations, most notably the American College of Obstetricians and Gynecologists, responded with what can only be described as howls of outrage, issuing press releases and telling the public that the panel was biased and that the real risk during pregnancy was untreated mental illness. These medical organizations asserted that the increased risk of adverse outcomes for children born to depressed mothers is due to the illness and not the drug, and that there was plenty of evidence that antidepressants were a helpful and even life-saving treatment for maternal depression. Here is where we are today. That FDA hearing put two narratives on public display, and most media reports embraced the narrative put forth by the medical organizations. What we will do today is review the evidence that exists on this topic and the response by the medical guilds to a public airing of that evidence. Dr. Adam Urato is Chief of Maternal and Fetal Medicine at the Metro West Medical Center in Framingham, Massachusetts, and he has been speaking and writing about the risk of medications used during pregnancy for years. Dr. Joanna Moncrieff is a UK psychiatrist and researcher who was a co-founder of the Critical Psychiatry Network and is well known for her research on the safety and efficacy of psychiatric drugs. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2025. Produced by James Moore https://www.jmaudio.org

ACOG, the American College of Obstetricians and Gynecologists, recently published EMS guidelines for treatment of hypertension in pregnancy/pre-eclampsia, eclampsia, and postpartum hemorrhage. Drs. Jenna White and Christopher Zahn join Dr Jarvis to discuss the science behind these recommendations as well as how to implement them into our practice. Citations:1. https://www.acog.org/programs/obstetric-emergencies-in-nonobstetric-settings2. Vuncannon, D. M.; Platner, M. H.; Boulet, S. L. Timely Treatment of Severe Hypertension and Risk of Severe Maternal Morbidity at an Urban Hospital. American Journal of Obstetrics & Gynecology MFM 2023, 5 (2), 100809. https://doi.org/10.1016/j.ajogmf.2022.100809.3. Gupta, M.; Greene, N.; Kilpatrick, S. J. Timely Treatment of Severe Maternal Hypertension and Reduction in Severe Maternal Morbidity. Pregnancy Hypertension 2018, 14, 55–58. https://doi.org/10.1016/j.preghy.2018.07.010.

California Passes Law Allowing State to Set Its Own Vaccine Guidance In a landmark move, California has passed a new law (AB 144, signed by Governor Gavin Newsom on September 17, 2025) that gives the state authority to establish its own vaccine schedules and related policies — rather than being bound by federal guidance from the Centers for Disease Control and Prevention (CDC).  Here's a breakdown of what the law does, why it was enacted, and how it fits into a broader trend among U.S. states. Key Provisions of the Law Some of the main changes under AB 144: It establishes a baseline for vaccine coverage based on the Advisory Committee on Immunization Practices (ACIP) recommendations as of January 1, 2025. It authorizes the California Department of Public Health (CDPH) to modify or supplement those baseline recommendations, using guidance from independent medical organizations (like the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, etc.). It requires that state-regulated insurance plans (including Medi-Cal) cover vaccines that the state health department endorses under its guidance — meaning no copays for many Californians under those plans for state-recommended vaccines. It gives CA authority to act more independently of federal advisory bodies when those are perceived by state leadership to be compromised or less trustworthy. Why This Law Was Enacted Several reasons motivated the push for this law: Concerns over federal changes: The law reflects growing concern in California (and some other states) that recent shifts at the federal level — including reconstitution of advisory panels, changes in vaccine eligibility criteria, and what state officials view as politicization of public health — have undermined trust in the CDC's recommendations... Click Here or Click the link below for more details! https://naturallyrecoveringautism.com/230

Alors, voici un rapide aperçu des déclarations, disons non scientifiques, de Donald Trump sur le paracétamol, l'autisme et les vaccins.So, here's a quick overview of Donald Trump's, let's say, non-scientific statements about paracetamol, autism, and vaccines.Tout ça vient de déclarations où Trump affirmait vouloir révéler les causes de l'autisme.This all comes from statements where Trump claimed he wanted to reveal the causes of autism.Un sujet aussi brassé par Robert F. Kennedy Junior qui lui parle carrément d'épidémie d'autisme.A subject also stirred up by Robert F. Kennedy Jr. who, for his part, outright speaks of an autism epidemic.Pendant ce temps, la science, elle explique la hausse des diagnostics par un meilleur dépistage, tout simplement.Meanwhile, science explains the rise in diagnoses simply by better screening.Voyons les points clés de cette affaire.Let's look at the key points of this matter.D'abord, Trump a fait un lien sans aucune preuve d'ailleurs entre prendre du paracétamol pendant la grossesse et l'autisme.First, Trump made a link, without any proof by the way, between taking paracetamol during pregnancy and autism.Il a carrément conseillé aux femmes enceintes de l'éviter autant que possible.He outright advised pregnant women to avoid it as much as possible.Alors que bon, c'est justement le médicament qu'on recommande pendant la grossesse.Whereas, well, it's precisely the medication that is recommended during pregnancy.Il a même poussé pour que la FDA, l'agence américaine du médicament, ajoute un avertissement sur les boîtes.He even pushed for the FDA, the American drug agency, to add a warning to the boxes.Ensuite, et bien, le monde médical a réagi, et assez vivement.Then, the medical world reacted, and quite strongly.Le Collège américain des obstétriciens et gynécologues a trouvé ça, je cite, irresponsable et dangereux.The American College of Obstetricians and Gynecologists found it, and I quote, irresponsible and dangerous.Même le fabricant du Tylenol a défendu son produit, en soulignant les dangers d'une fièvre qu'on ne traiterait pas chez une femme enceinte.Even the manufacturer of Tylenol defended its product, by highlighting the dangers of a fever that would not be treated in a pregnant woman.Et enfin, Trump a remis sur le tapis de vieilles théories du complot, celles qui lient vaccins et autisme.And finally, Trump brought up old conspiracy theories again, those that link vaccines and autism.Il a prétendu, là encore sans fondement, que certains groupes non vaccinés, ou même des pays comme Cuba, n'avaient pas d'autisme.He claimed, again without basis, that certain unvaccinated groups, or even countries like Cuba, did not have autism.Il a aussi critiqué le calendrier des vaccins, suggérant de retarder celui contre l'hépatite B, en se fiant, dit-il, à son "bon sens" plutôt qu'aux médecins.He also criticized the vaccination schedule, suggesting delaying the one for hepatitis B, by relying, he said, on his "common sense" rather than on doctors. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

On Monday, President Donald Trump warned pregnant women not to take Tylenol, claiming without evidence that it was a cause of autism. Veronica Gillispie-Bell, MD, board-certified obstetrician and gynecologist and vice chair of American College of Obstetricians and Gynecologists' Clinical Practice Guidelines Committee of Obstetrics, breaks down what the science says about painkiller use during pregnancy and listeners call in to share how they've been navigating new Trump administration guidelines for pregnant women.

Earlier this week, President Trump and his Administration made claims about the correlation between autism and Tylenol or acetaminophen use during pregnancy, warning pregnant women not to use the drug. A mounting backlash has followed with medical and autism experts alike disagreeing with Trump's claims. The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics continue to recommend acetaminophen in pregnancy and childhood when used at the lowest dose for the shortest duration. Mayo Clinic trained Rheumatologist Dr. Alfred Miller takes aim with the claims and believes the Trump Admin. is ignoring scientific studies regarding autism. Dr. Miller joined us to discuss.

Earlier this week, President Trump and his Administration made claims about the correlation between autism and Tylenol or acetaminophen use during pregnancy, warning pregnant women not to use the drug. A mounting backlash has followed with medical and autism experts alike disagreeing with Trump's claims. The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics continue to recommend acetaminophen in pregnancy and childhood when used at the lowest dose for the shortest duration. 

In this eye-opening episode, I explain why conventional period advice is outdated, dismissive, and flat-out wrong for high-achieving women like YOU. You'll learn: ✔️ The 3 lies most women are told about their period ✔️ Why birth control is NOT a fix for hormone chaos ✔️ What your period is actually trying to tell you ✔️ How to start a hormone rhythm reset Whether you're struggling with cramps, mood swings, or mid-cycle crashes — this episode will shift how you see your cycle forever. Vitality Health Rx: Daily Greens powder & Optimal Probiotic – https://shopvrx.com/collections/all-products Use code: FEELGREAT15 for 15% off your first order.  

The Trump administration has advised doctors to prescribe Tylenol to pregnant women only in cases where high fever could pose a risk to the baby. The President has suggested a potential   link between use of the active ingredient in Tylenol, acetaminophen, and autism in children, even though no study has yet found a causal connection. This has brought up a lot of confusion and questions about using Tylenol when pregnant and the greater risk that having a fever could have on an unborn baby. Dr. Carrie Gordon, Obstetrician, Gynecologist with Ogden Clinic, joins the show to discuss the risks a fever can pose on an unborn baby and what expecting mothers need to know about the use of acetaminophen.

This morning in New York, U.S. President Donald Trump chastised world leaders and the United Nations for their handling of a variety of global issues, ranging from global security and immigration to climate change. On today's show: CTV National News correspondent Colton Praill has the latest from the U.N. General Assembly. Vassy's interview with Foreign Affairs Minister Anita Anand following Canada's recognition of Palestinian statehood. The Society of Obstetricians and Gynecologists of Canada says Tylenol is safe for use during pregnancy, and does not cause autism. Tech analyst Carmi Levy examines this week's top Tech stories. The Daily Debrief Panel - featuring Laryssa Waler, Sabrina Grover, and Nojoud Al Mallees. Vassy speaks with Vina Nadjibulla, the Vice-President of Research and Strategy at the Asia Pacific Foundation, about Mark Carney's meeting with the Premier of China.

Home cervical screening tests are being trialed in the NHS in England where they have had a positive reception from clients and clinicians. But how do they work, and could they be introduced in Ireland? All to discuss with Professor Nóirín Russell, CervicalCheck Clinical Director and Consultant Obstetrician and Gynecologist.

Home cervical screening tests are being trialed in the NHS in England where they have had a positive reception from clients and clinicians. But how do they work, and could they be introduced in Ireland? All to discuss with Professor Nóirín Russell, CervicalCheck Clinical Director and Consultant Obstetrician and Gynecologist.

Menopause is finally in the spotlight — but most women still don't understand what's happening to their bodies in their late 30s, 40s, and beyond. Even worse, many doctors misdiagnose or dismiss symptoms like brain fog, night sweats, weight gain, and mood swings as “just stress.” About Dr. Alicia Robbins: Dr. Alicia Robbins is a board-certified Gynecologist and Lifestyle Medicine physician, founder of The Elm, and creator of The Robbins Method. She is recognized as a leading voice in perimenopause and midlife health, dedicated to providing compassionate, proactive care and rewriting the narrative on women's midlife. *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Function Health Visit https://www.functionhealth.com/louisanicola and use code NEURO100 or use gift code NEURO100 at sign-up to own your health. The first 1000 get a $100 credit toward their membership.  FIGSYou can get 15% off your first order at https://www.wearfigs.com with the code FIGSRX.  Honeylove Save 20% Off Honeylove by going to https://www.honeylove.com/neuro. Cowboy Colostrum Get 25% Off with code NEURO at https://www.cowboycolostrum.com. AquaTru Go to https://www.AquaTru.com now for 20% off (your purifier) using promo code NEURO. AquaTru even comes with a 30-day best-tasting water guarantee.  Brickhouse Nutrition Get 20% off when you enter NEURO at https://www.takelean.com. *** I'm Louisa Nicola — clinical neuroscientist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Follow Dr. Alicia Robbins The Elm: https://theelmgreenwich.com/ Instagram: @aliciarobbinsmd Topics discussed: 00:00:00 — Intro 00:01:32:10 — Menopause is “in the spotlight”; what's actually happening with women's hormones ~35+ 00:02:43:11 — Ovaries as the primary source of estrogen/progesterone/testosterone 00:11:32:08 — Estrogen's role in the brain 00:13:15:05 — With estrogen loss, chronic low-grade brain inflammation 00:15:12:17 — What replaced HRT: rise in sleep aids, antidepressants, and benzodiazepines. 00:32:55:20 — Women's testosterone: low “total T” numbers, variable symptoms/benefit; brain fog and fatigue are multifactorial. 00:33:38:00 — Practical regimen notes: layering hormones; balance affected by stress/cortisol 00:44:14 — Longevity hype vs reality: trendy biohacks vs basics like walking, resistance training, and consistent diet 00:44:34 — Cultural/societal neglect of women's midlife health; undervaluing cognitive preservation in women 00:45:10 — Lack of specialty in menopause medicine; OB/GYN training gaps; bias toward fertility/pregnancy funding 00:47:20 — Emerging shift: younger physicians and social media spreading awareness 00:48:15 — Longevity basics reaffirmed: lifestyle interventions are more impactful than costly interventions 00:49:00 — Empowering women to advocate for care 00:50:12 — Future outlook: preventative care, lifestyle foundations, and individualized hormone therapy for healthy aging 00:54:53: Increase in divorce rate because of hormones? 00:55:53: HRT and risk of breast cancer 00:58:11: What doctor should a woman in her late 30s/early 40s go see? Learn more about your ad choices. Visit megaphone.fm/adchoices

David Waldman catches us up on the multiple disasters since Friday. Greg Dworkin catches us up on the multiple disasters since Thursday. Boooo! Trump was booooooooed at the US Open. If they don't want to hear boos, they shouldn't invite Trump. Or Winsome Earle-Sears. Tiny hands, deep throat, Donald K. Trump was an FBI Snitch according to Mike Johnson, the last guy anyone would trust to keep a secret. The Miami Herald and New York Times seek to unseal records on Jeffrey Epstein's estate, while we all know that Jeffrey Epstein and everyone on the Epstein list has been brought to you by capitalism.  Zohran Mamdanimentum continues as Americans are beginning to see capitalism about as badly as they do Trump. LG Energy specialists squeezed into 90+ day rotations to set up a Hyundai battery plant in Georgia were caught in violation of that “+” part, were belly-chained and hauled out of the country. The plant they were setting up won't be hiring Americans any time soon, thanks to Karen-Republican Mar-a-Lago wannabe Tori Branum. Don't expect to hear more from Branum but do expect a lot more plants to be shut down. The Department of War begins its Midway Blitz, which is not a war, it is simply a police action. Why do so many Republicans think Trump is more liberal than he is? If people die in Florida because of lack of vaccines, it will be a surprise to Florida Surgeon General Ladapo. RFK Jr. will have seen it all coming, as he always does a year or so later. The American College of Obstetricians and Gynecologists will save lives in the future by ignoring the CDC today. Ironically, the owner of one of the most punchable faces in politics, Scott Bessent, keeps wanting to punch others in their faces. This time it was the quite punchable Bill Pulte and for the same reason as Scott picked ever punchable Elon Musk. Scott heard both were bad mouthing him to Donald. Scott almost took Bill out, back there on the cement slab they have over the White House septic tank. E. Jean Carroll won her judgement against Trump again.

You're listening to Burnt Toast! Today, my guest is Mara Gordon, MD.Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly.Dr. Mara is back today with Part 2 of our conversation about weight, health, perimenopause and menopause! As we discussed last time, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest.This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these:Episode 209 TranscriptVirginiaSo today we're going to move away from the weight stuff a little bit, into some of the other the wide constellation of things that can happen in menopause and perimenopause. Before we get into some nitty gritty stuff, I want to do Laurie's question about hormone replacement therapy, since that is still one of those topics that people are like, Is it good? Is it bad? I don't know.So Laurie asked: Is there a reason why a doctor would not want to prescribe hormone replacement therapy? My doctor seems more willing to treat individual symptoms instead of using HRT. Is that maybe because I'm still getting my period?MaraI love this question. Now my professor hat can nerd out about interpretation of scientific research! So first, I'll just briefly say, Laurie, no big deal that you said HRT. But just so everyone's aware, the preferred term is menopausal hormone therapy, MHT, or just hormone therapy, and it's not a huge deal. But I think the North American Menopause Society now uses “menopausal hormone therapy.” The thinking is, hormones don't necessarily need to be replaced. It comes back to that idea of, menopause is a natural part of life, and so the idea that they would need to be replaced is not totally accurate. VirginiaWe're not trying to get you out of menopause, right? The goal isn't to push you back into some pre-menopausal hormonal state. MaraBut again, not a big deal. You'll see HRT still used, and a lot of doctors still use that term. So I graduated from medical school in 2015 and I remember one of the first times that a patient asked me about using menopausal hormone therapy, I was terrified. And I was still in training, so luckily, I had a mentor who guided me through it. But I had absorbed this very clear message from medical school, which is that menopausal hormone therapy will cause heart disease, cause pulmonary emboli, which are blood clots in the lungs, and cause breast cancer.And I was like, “Ahhh! I'm gonna cause harm to my patients. This is scary.” I had also learned that hot flashes–they weren't life threatening. So a patient could just use a fan and she'd be fine, right? She didn't need medicine for it.VirginiaCool.MaraI think the dismissal of symptoms here is just straight up misogyny. That message of, oh, you should just live with this You're tough, you're a woman, you can do it. This is just the next stage of it. Is just misogyny, right?But the fear of using menopausal hormone therapy has a specific historical context. There was a major study called the Women's Health Initiative, and it was a randomized control trial, which is the gold standard in medical research. People were given estrogen and progestin to treat menopausal symptoms or they were given a placebo, and they didn't know which pill they took. But WHI was actually halted early because they found an increased risk of breast cancer. This was on the front page of The New York Times. It was a really, really big deal. That was 2002 or 2003. So even 15 years later, when I was starting out as a doctor, I was still absorbing its message. And I think a lot of doctors who are still in practice have just deeply absorbed this message.But there's a lot to consider here. The first issue is in the way that information about the Women's Health Initiative was communicated. Nerd out with me for a second here: There is a big difference between absolute risk and relative risk. And this is a really subtle issue that's often communicated poorly in the media.So I looked it up in the initial paper that came out of the Women's Health Initiative. There was a relative risk of 26 percent of invasive breast cancer, right? So that meant that the people who got the estrogen and progestin, as opposed to a placebo, had a relative increased risk of 26 percent compared to the placebo arm.VirginiaWhich sounds scary,MaraSounds terrifying, right? But the absolute risk is the risk in comparison to one another. And they found that if you're a patient taking the estrogen/progestin, your absolute risk was 8 people out of 10,000 women a year would get invasive breast cancer. So it's very, very small.And this is an issue I see in medical journalism all the time. We talk about relative risk, like your risk compared to another group, but the absolute risk remains extremely low.And just to round it out: I looked all this up about cardiovascular events too. Things like a heart attack, a stroke. So the absolute risk was 19. So there were 19 cases of a cardiovascular event out of 10,000 women in a year. People just freaked out about this because of the way that it was covered in the media. VirginiaI was fresh out of college, doing women's health journalism at the time. So I fully own having been part of that problem. We definitely reported on the relative risk, not the absolute risk. And I don't understand why. I look back and I'm like, what were we all doing? We ended up taking this medication away from millions of women who could really benefit from it.MaraI found a paper that showed between 2002 and 2009 prescriptions for menopausal hormone therapy declined by more than 60 percent. VirginiaI'm not surprised. MaraAnd then even up until the time I started my training, right in 2015, we're just seeing a huge decline in hormone therapy prescriptions.One other thing that's also super important to acknowledge about the Women's Health Initiative is that they enrolled women over 60, which is not really representative of women who want or need hormone therapy. So the average age of menopause is 51 and the vast majority of women who are experiencing symptoms that would respond well to hormone therapy are much younger. We're talking here mostly about hot flashes. Which we call vasomotor symptoms of menopause, but it's basically hot flashes. Women dealing with this are much younger, right? So they're approaching menopause, late 40s, and right after the menopausal transition, early 50s, and then they don't necessarily need it anymore, after their symptoms have improved.VirginiaAnd it will also be true that with women in their 60s, you're going to see more incidence of cancer and heart disease in that age group than in women in their 40s anyway, right? MaraRightVirginiaSo even the 19 cases, the eight cases—they were looking at a higher risk population in general. MaraYeah. And so there have been all these subsequent analyses, which is why now we're seeing menopausal hormone therapy sort of on the upswing. There's a lot of increased interest in it. The American College of Obstetricians and Gynecologists recommends it, the North American Menopause Society, the British Menopause Society; here's a full run-down. It's not that everybody needs it, and we'll get to that in a second, but it is a totally safe and appropriate treatment for—specifically and most importantly—for vasomotor symptoms of menopause. Like hot flashes. There's been all these further analyses of the Women's Health Initiative data and and then from other studies, too. And basically, it shows that when the hormone therapy is initiated before age 60, or within 10 years of menopause, there's a reduced risk of heart disease and reduced mortality.VirginiaWow! MaraSo the timing matters. Isn't that so interesting? The timing matters.Also, the route of administration matters. So what that means in English is that an estrogen patch seems to have a lower risk of blood clots. So one of those fears of the, you know, initial Women's Health Initiative data was that you might have an increased risk of blood clots. But it's something about the way that the estrogen is metabolized. It's not metabolized through the liver when it's absorbed through the skin, and something about that process seems to decrease the risk of blood clots.So that's why your doctor, if you're interested in menopausal hormone therapy, might recommend an estrogen patch rather than a pill.VirginiaGot it. MaraThere's a lot of ambiguity in all of this data, because, you know, we're talking about just huge numbers of people, and it's hard to sort of isolate variables when you're studying just like massive cohorts of people and trying to understand what you know, what factors affect your risk for which diseases. It's not clear that taking hormones prevents heart disease. And that's one of the big claims I see with menopause influencers, that every single person needs this.The data don't support it at this point in time, and the major menopause organizations do not recommend it as a universal preventative treatment for everybody. But it seems like there might be some sort of association that may become clearer as research continues. That said, now it seems like the pendulum is swinging in the opposite direction. I learned, “be afraid of menopausal hormone treatment.” And now all these menopause influencers are saying everyone should be on hormone therapy.I don't know the answer. And so the way that I try to parse through all of this noise is, you know, go to trusted sources, right? So I stick to society guidelines, like the North American menopause society, the British menopause society, they're run by world experts in menopause.VirginiaOkay, so we don't need to be terrified of hormone therapy, and you can be on it if you're still getting your period right? Just to finish Laurie's question.MaraIf you're still getting a period regularly, you're more in perimenopause than past the menopausal transition. And we will often use contraception to help and that you can have a lot of the same benefits from using contraception in that stage. It's also useful just because unintended pregnancy still can be totally a thing in your 40s. But yes, you can absolutely use traditional regimens of menopausal hormone therapy while you're still getting a period too. Just know it won't prevent pregnancy. VirginiaSince we talked a little bit about hot flashes, I'm gonna jump to Judy's question so we can kind of round that piece out: One of the things I am really struggling with is the way I have lost all ability to regulate temperature. I am boiling hot almost all the time, and the slightest thing makes me break out into a full sweat, which makes me not want to move at all.My doctor has not been super helpful in navigating this. What can I do to mitigate this issue? If anything, it is so very hard for me not to blame the size of my body for this, since the correlation seems so clear, smaller body less sweating, larger body sweating all the dang time.MaraJudy, I empathize first of all. Just one caveat I can't really give medical advice to Judy. There are a lot of things that could be going on, and it's really important that you see a doctor and get a full history and physical exam. But I will say that this is one of the things that menopausal hormone therapy is extremely helpful for, is hot flashes.VirginiaThat was my first thought! MaraThere are a lot of influencers who really overstate the benefits of hormone therapy, right? Hormone therapy is not really going to cause significant weight loss or prevent weight gain. It's not totally clear that it helps with mood symptoms or even sleep is a little more ambiguous. But the one thing it really works for is hot flashes. So that would be my thought: Start there. VirginiaAnd on the feeling like you want to blame your body for it: I don't know if Judy identifies as fat, but as someone who identifies as fat, I often feel like I'm sweatier now than when I was thinner. I run warmer. All my skinny friends will be bundled up in coats, and I still won't be wearing one in October. I do notice that. And I think that this is a situation where that is, even if those two things correlate— you're larger and you're sweatier—is that worth putting yourself through the hell of weight loss? You may decide yes, it is, if hormone therapy doesn't work for you.But that's one of those times where I bring it back to “What would actually make my daily life miserable?” I can drink water, I can be in AC, I'm gonna find a link to this nighttime cooling bed thing that my friend Claire Zulkey really loves. MaraI've heard of those!VirginiaI think there are options to mitigate your suffering with this. Medicine is definitely an option. Before you go to “okay, my body size has to be the thing that changes.”MaraI totally agree. I just deal with this all the time where people tell me in my clinic that they want to lose weight. And when I sort of gently ask, what are you hoping to achieve? What are your goals? They're often things that can be achieved through other means. Like, people say my clothes don't fit, right? And most of my patients are low-income, right? I'm not trying to be flippant about the idea that everyone can just go and purchase a new, you know, multi $1,000 wardrobe at the drop of a hat. But it is possible to get new clothes in affordable ways. Don't torture yourself with clothes that don't fit because you feel like weight gain is a moral failing. And I think that there are things that we can do to help keep us at a comfortable temperature, right wear clothes that feel, you know, that feel good. Air conditioning is an amazing modern invention. And, you know, cool beverages, ice cream. VirginiaPopsicle O'Clock is very important in my summer right now, very important. MaraWait, what's a popsicle clock?VirginiaOh, Popsicle O'Clock. It's just the time of day where you eat popsicles. It could be 9am it could be 4pm just whenever I feel like we need to add popsicles to a situation.MaraI think we all need more popsicles in our life, that is absolutely for sure.So I think what I'm hearing from Judy's question is once again, shame about body size, and also this myopic zooming in on weight loss as the only possible solution. Which I blame doctors for in many ways! Some people do benefit from weight loss, right? I'm not opposed to the idea that anybody would ever want to lose weight. I don't think that that's a betrayal of fat solidarity, necessarily. But that there are other things you can do just to make your life feel better in the meantime, or even if you choose to never pursue weight loss. There are things you can do to feel better, and we shouldn't deprive ourselves of those things.VirginiaAnd you don't know that it is the weight gain. It could be age and hormones, and those coincided with the weight gain for you personally. But there are lots of thin women getting hot flashes all the time too.Okay, this next question is from Michaela: I am super curious about the connection between perimenopause, menopause and mental health symptoms, specifically, an uptick in anxiety and depression. Is this a thing?We also got many questions about whether perimenopause and menopause exacerbate ADHD symptoms. MaraSo this is a question I get a lot from my patients, and I've seen a lot of discourse about online. And the short answer is: There is probably a connection between the hormonal changes of perimenopause and the menopausal transition and mental health. Do we understand it? No. So I mean, with ADHD specifically, I will say: This is really not my area of expertise. It's a very complex mental health condition, and our medical understanding of it is really rapidly evolving. I have many patients who have a diagnosis of ADHD but I'm typically not the one who diagnoses them. That being said: Estrogen affects neurotransmitters. Neurotransmitters are implicated in ADHD. Declining estrogen does seem to affect dopamine, in particular, which is implicated in ADHD. And anecdotally, I've had many of my patients say that they feel like their ability to focus and sustain attention decreases. And they experience brain fog as they enter perimenopause and menopause. So it's there's probably something going on, and a lot of researchers are really actively studying it, but we don't know yet.VirginiaDo we know if this is something that hormone therapy can help with?MaraSo I think the answer is, I don't know.VirginiaWhat about anxiety and depression?MaraI don't think the data are there, right? Hormone therapy is usually not considered a first line treatment for the mental health conditions that are often associated with the menopausal transition. But we have great medicines for those conditions. We have good treatments for ADHD, we have good treatments for anxiety and depression. And sometimes during the menopausal transition, patients might need an increase of those treatments. And that could mean going back into therapy, if you've been out of therapy, increasing your medications or restarting a med that you may have stopped years ago. Those are all totally valid approaches during this phase.And I guess what I'd say, is that it's okay to trust your body. And if you notice changes in your mental health associated with perimenopause or menopause itself, ask about it. Don't be afraid to advocate for yourself. And while hormone therapy doesn't look like it is an effective treatment specifically for those symptoms, there are other treatments, and you should feel empowered to ask about them.VirginiaThe next question goes back to some of the diet and exercise stuff we've touched on. This person writes: Since recently reaching menopause, my cholesterol has become high. I understand there is a proven link between menopause and increased cholesterol, and that weight is part of the picture. I'm trying to lower my cholesterol with focus on nutrition and exercise. But it is f*****g with my head because it feels like a very restrictive diet. I'd love any thoughts on the menopause cholesterol connection and keeping cholesterol low with nutrition and exercise without falling into the abyss of obsessing about how many almonds I've eaten.MaraOh, that is such a good question!VirginiaThe almond of it all. MaraAlmonds are really good in some scenarios, but also just like, kind of a sad snack. I always think about President Obama eating those, like, eight almonds, or whatever.VirginiaIt turns out that was a joke and he wasn't doing that. But just the fact that everybody assumed he would says a lot! MaraThat is hilarious, and I didn't know! And it just shows how with information online, the initial story sticks. Like to this day, 10 years later, I still thought that Barack Obama ate eight almonds as his indulgent midnight snack every single night. I hope the man is eating some ice cream and living his best life. Okay, so there is absolutely a link between menopause and elevated risk of cardiovascular disease. But even within the term cholesterol, there are different types. I wouldn't really say to a patient, “Your cholesterol is high.” One thing you might hear is “your LDL cholesterol is high,” which is known popularly as, the “bad” cholesterol. Which, again, moral language alert. But LDL cholesterol is a proxy for risk of cardiovascular disease. I will say it's not a great one; it's kind of a blunt instrument. We measure and we treat it, because we don't have other great ways of predicting cardiovascular risk. But it is not the full portrait, although it's certainly a risk factor for developing cardiovascular disease. And the transition of menopause seems to impact LDL, cholesterol, other biomarkers of cardiovascular disease, and increases your risk for cardiovascular disease.And what's interesting–I think we talked about this a little bit already, is that this happens, this this risk happens independent of normal aging.So, for example, women who go through menopause early start developing this increased risk earlier than women who go through menopause slightly later. And overall, we see that women develop cardiovascular disease, at rates lower than men, and at later in life than men. And there's a hypothesis that this has to do with menopause, right? That there's a protective effect of estrogen, but then when your estrogen starts to decline in menopause, it puts women at an increased risk compared to where they were pre-menopause.There's also some data to suggest that the severity of menopause symptoms—particularly vasomotor symptoms like hot flashes or sleep disturbances—may indicate risk for developing cardiovascular disease. So this is not to scare everyone, but it's good to have knowledge. If you're having really severe hot flashes, it may indicate that you are at slightly higher risk for developing cardiovascular disease than somebody who is not. The intention of having this knowledge is not to make you feel shame, and not to berate you for your belly fat or whatever. It's to have knowledge so that you can help mitigate risk factors in ways that feel aligned with your values and ways that feel aligned with the way that you want to pursue health in your life.And so I would approach this reader's or this listener's question with smy same approach to all of my patients questions. “I have hypertension, does that mean I need to lose weight?” “I have diabetes, does that mean I need to lose weight?” The answer is that we have many treatments that can help you address these concerns independent of weight loss. But this is not to say that you cannot pursue weight loss too, right? And if using a GLP-1 agonist to reduce your visceral adiposity is aligned with your values, and you can tolerate the side effects, and you feel good about it, and it's covered by your insurance….that's totally a reasonable approach. But it's not the only one. So I think what I'm hearing from this patient is the menopause flavor of what I do every single day in my work as a size inclusive doctor. Which is: How can we disentangle weight stigma and body shame from these questions of how to lead a healthy life? And the idea of giving you more information, I hope, is not to shame you or make you feel guilt for the relationship between body size and risk of cardiovascular disease, but instead, to give you information that might help you take proactive care of your body, right?And proactive care might mean committing to an exercise routine. Proactive care might mean taking a statin. A statin is a very common cholesterol medicine like Lipitor. It might mean getting your blood pressure under control and taking an antihypertensive.VirginiaI also want to say on cholesterol, specifically, I did a piece that I'll link to digging into the connection between nutrition and cholesterol. And the data is not as strong as I think a lot of doctors are telling folks.And I think the benefit of making dietary changes—the amount it could lower cholesterol—was not huge. It was like three points or six points or something in one of the studies we looked at. So if it's making you crazy to count almonds, it's possible that medication might be a more health promoting strategy for you. Because it will be less stressful and it will have a bigger benefit on your cholesterol than just trying to control it through diet and exercise.MaraYeah, I totally agree. I think there's a really strong genetic component that we haven't fully understood and medication is a totally reasonable approach and very safe approach. Honestly, statins are pretty benign medications. They're pretty inexpensive, pretty minimal side effects, which is not to say– nobody's paying me from the statin companies, I swear to God!–but yeah, like they're, they're pretty benign as medications go. And I think it's a totally reasonable way to approach this issue.VirginiaI just think it's one of those times where this is shame coming in, where it's like, “You should be able to fix this with how you eat and exercise, and so you don't get the medication unless you fail at that!” This is a framing that I've encountered from doctors. But what if we gave the medication, what if we also consider diet and exercise, but don't make that a pass/fail situation in order to earn the medication? MaraYeah, that's really interesting.And even the language you're using Virginia is what we use in the medical record, and I've tried to stop it. But the way we're taught to describe patients, is “patient failed XYZ treatment,” right? And I feel like we're both at once, overly invested in pharmaceutical treatments, right and underinvested. They're a very useful tool. And we moralize it, both pro and con? Sometimes, like, we moralize in favor of it. So if your BMI is 26 or above, you need to be on a GLP one agonist, which is just false, right?But on the other hand, I think we often underutilize medications because there's this sense that you're getting at —that you have to exhaust all of your like willpower options first, and it's somehow failing to use a med. And that is really false too. They're really useful tools. Science is really useful, and we shouldn't feel ashamed to use it.VirginiaAll right. And our last question, I like because it just will give us a chance to kind of sum up some key points: As a post menopausal woman, I feel like I'm swimming in information, and I'm overwhelmed by it all. What are Dr Gordon's top three pieces of advice out of all of the WHO meaning, if women at this time only did these three things, it would make the biggest difference, and then they just had it. You know, is, does it need to be different for perimenopause versus post menopause? Or maybe not.So what are your top three? Top three tips for surviving this life stage?MaraOh, my God, if only I knew! I'm flattered that you're asking, and I will do my best to answer, but I don't think there's a right answer at all.So I've thought about a couple things. I will say that, you know, longevity and wellness and health span is extremely complicated, but it's also kind of simple, right?So sometimes the advice that we've just heard over and over again is actually really, really good, right? So, sleep. Are we sleeping enough?Staying engaged with social relationships, that seems to be extremely important for longevity. And it's kind of amazing, actually. When they do these long-term studies on people who are thriving into old age, like they have really strong relationships. And that is so important.Moving our bodies and it does not need to be punishing. Workouts can be gardening. I know Virginia, I love receiving your gardening content online. Gardening is an amazing form of exercise, and can be very life affirming, and does not need to feel like punishment. Just getting up, moving our bodies, sleeping enough, maintaining relationships, cultivating a sense of purpose and meaning in our lives. It's actually been really studied right, that people who have a sense of meaning and have a sense of purpose in their lives tend to live longer and live longer, healthier lives.So all of this is to say that like it's complicated, but sometimes it's not. And there are a million people on the Internet who want to sell you a miracle drug, a miracle supplement, a miracle weighted vest, whatever. But sometimes simple, Simple is good. Easier said than done, right?VirginiaYeah, but start simple. That's wonderful.MaraCan I ask? Virginia, what would your advice be? VirginiaI love the three areas you hit on: Sleep, social relations and exercise or moving your body. None of those are about weight loss or dieting. I think that's really helpful for us to keep in mind that the things that might protect our health the most can also be very joyful as well. The idea that doing things that makes you happy and reduce your stress can be health-promoting is great. And I think that's something especially in midlife. We are all incredibly busy. We're holding a lot of things together. A lot of us are caregivers, maybe sandwich generation caregivers. So prioritizing your own joy in that feels really wonderful.ButterVirginiaAll right, so speaking of joy, let's do some Butter! Dr. Mara, what do you have forus?MaraI have a Philadelphia-specific one, but hopefully it can be extrapolated to our listeners in different locations. So I have recently been really craving soft serve ice cream. And so I googled best soft serve in Philadelphia, and I found this Vietnamese coffee shop called Càphê Roasters, which is in North Philly. In a neighborhood called Kensington. And it has condensed milk soft serve ice cream. So good.And so I recently, I had to give a lecture at a medical school in the north part of the city early in the morning. It was like, 8am and I was like, “Oh, I'm never up in this neighborhood. I gotta get over there.” And I went after I gave my lecture, and I bought myself ice cream at 10:30 in the morning. And I ate it in my car, and it was so good. Condensed milk. So good. But soft serve in general, is my Butter. But for those of you in Philly, go to Càphê Roasters in Kensington and get the condensed milk. It is chef's kiss, delicious.VirginiaAmazing. I'm gonna double your Butter and say ice cream in general is my Butter right now. We have a spare fridge freezer that I have just been loading up with all of the popsicles to get us through summer. But also: Ice cream dates. Something that comes up a lot for me as a co-parent is figuring out how to have one on one time with my kids. Since we have joint custody, they move as a package. So I get kid-free time, which is wonderful, but when they're with me, it's just me. So one thing I've been figuring out is pockets of time when I can take one kid out for ice cream. It's usually when a sibling is at another activity, and so we have an hour to kill, and often we would just like, wait for the activity, or go home and come back, and then you're just driving.And now I'm like, No, that will be our ice cream break!MaraI love that.VirginiaSo one kid's at the library doing her book trivia team stuff, and the other kid and I are getting ice cream while we wait for her. And it's great one on one time with kids. Obviously, the ice cream is delicious. The other thing I've realized, especially if you have younger kids who are still building restaurant skills, ice cream is a great practice run at being a person in a restaurant, which is really hard for kids understandably. It is one food thing that they're excited to go do. And you do have to sit and practice eating it somewhat neatly. There's a high mess potential. My pro-move for that is, always have wipes in your car, bring a pack of wipes in. MaraI love that, and it's so intentional about sort of creating traditions with kids. That feels really special. But I will say I had my ice cream solo, and that was also really good solo ice cream too.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

Most of us got the puberty talk—but almost no one got the menopause talk. It's time to change that. And Dr. Lauren Streicher is here this week to do just that!   Together we explore:   Why menopause is a whole-body experience, not just “hot flashes and periods stopping.” What perimenopause actually is, when it starts, and why the definition of menopause itself is outdated. How mood changes, anxiety, and sleep issues are often hormone-driven—and why SSRIs aren't always the right first step. Why shame and secrecy around menopause and sexuality have left so many women in the dark. How to talk to our daughters (and sons!) about the full reproductive life cycle from puberty through menopause, without stigma or shame. The difference between misinformation online and evidence-based solutions—and red flags to watch for when seeking care. What questions to ask your doctor to know if they're truly menopause-informed. Why preparing before symptoms begin can empower women to feel confident, validated, and supported in midlife and beyond.   Menopause is so much more than the stereotypes we've been taught and this episode will leave you with clarity, tools, and a sense of empowerment to navigate this transition with confidence.     LEARN MORE ABOUT MY GUEST:

The Smart 7 is an award winning daily podcast, in association with METRO that gives you everything you need to know in 7 minutes, at 7am, 7 days a week...With over 18 million downloads and consistently charting, including as No. 1 News Podcast on Spotify, we're a trusted source for people every day and the Sunday 7 won a Gold Award as “Best Conversation Starter” in the International Signal Podcast Awards If you're enjoying it, please follow, share, or even post a review, it all helps...Today's episode includes the following guests:Guests Al Gore - Former US Vice President and Climate Change activistDesmond Alugnoa - CEO of the GAYO recycling project in GhanaNinna Granucci - Co- Founder of Ferment'UpTasha and Natalie - Earthshot Youth Leaders Will Guyatt - The Smart 7's Tech Guru Amy Rylance - Assistant Director of Health Improvement at Prostate Cancer UK Dermot Murnaghan - Former Sky News Anchor Luke Ablitt - Potato farmer in Peterborough David Barton - Beef farmer in the Cotswold'sElspeth McDonald - CEO of the Scottish Fisherman's Federation Professor Bassel Watter - Consultant Obstetrician and Gynecologist, and Associate Professor of Reproductive Medicine at Anglia Ruskin University Doctor Ippokratis Sarris - Director at King's Fertility, Kings College London Paul Leader - Ecologist and Ornithologist Contact us over @TheSmart7pod or visit www.thesmart7.com or find out more at www.metro.co.uk Presented by Ciara Revins, written by Liam Thompson, researched by Lucie Lewis and produced by Daft Doris. Hosted on Acast. See acast.com/privacy for more information.

In his weekly clinical update, Dr. Griffin with Vincent Racaniello are dismayed about the recent attack on public health the firing of the director of the CDC as well as resignation of 3 others members of the agency's leadership, the continued Legionnaire's outbreak in Harlem, suspension of Ixchiq the Chikungunya virus attenuated infectious vaccine, the first US case of New World screwworm before Dr. Griffin deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, association Guillian-Barré syndrome with RSV vaccination, guidelines for using RSV vaccines, whether or not the NB.1.8.1 should be included in the fall 2025 vaccines, the American College Obstetricians and Gynecologists recommendations for the COVID, RSV and influenza vaccines, FDA approval letters for Pfizer, moderna and Novagax COVID vaccines including label changes for use in those between 5 through 64 years, where to find PEMGARDA, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode White House Says New C.D.C. Director Is Fired, but She Refuses to Leave (NY Times) CDC director refuses to leave after White House order (BBC) Legionnaires' Disease: In Harlem(NYC Health) New York City Health Department Provides Update on Community Cluster of Legionnaires' Disease in Central Harlem(NYC Health: Promoting and protecting the City's health) FDA Update on the Safety of Ixchiq (Chikungunya Vaccine, Live) (FDA) Vimkunya (Bavarian Nordiac) U.S. and Panama for the control of the Screwworm pest (COPEG) Rare human case of flesh-eating parasite New World screwworm identified in US(CNN) USDA Announces Sweeping Plans to Protect the United States from New World Screwworm (USDA) HHS details New World screwworm response after human case(CIDRAP) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Tracking Measles Cases in the U.S. (Johns Hopkins) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Measles (CDC Measles (Rubeola)) Measles vaccine recommendations from NYP (jpg) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts(ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Weekly surveillance report: clift notes (CDC FluView) Relative effectiveness of high-dose versus standard-dose influenza vaccine against hospitalizations and mortality according to frailty score (JID) FDA-CDC-DOD: 2025-2046 influenza vaccine composition (FDA) RSV: Waste water scan for 11 pathogens (WastewaterSCan) US respiratory virus activity (CDC Respiratory Illnesses) ENFLONSIA: novel drug approvals 2025 (FDA) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Evaluation of Guillain-Barré Syndrome (GBS) following Respiratory Syncytial Virus (RSV) Vaccination Among Adults 65 Years and Older (FDA) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Evidence to Recommendations Framework (EtR): RSV Vaccination in Adults Aged 50–59 years (CDC: National Center for Immunization and Respiratory Diseases) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Antigenic and Virological Characteristics of SARS-CoV-2 Variant BA.3.2, XFG, and NB.1.8.1 (bioRxiV) Veering from CDC, ACOG recommends maternal vaccination against COVID-19 (CIDRAP) ACOG Releases Updated Maternal Immunization Guidance for COVID-19, Influenza, and RSV (American College of Obstericians and Gynecologists) COVID-19 Vaccination Considerations for Obstetric–Gynecologic Care (American College of Obstericians and Gynecologists) Pfizer and BioNTech's COMIRNATY® Receives U.S. FDA Approval for Adults 65 and Older and Individuals Ages 5 through 64 at Increased Risk for Severe COVID-19 (Pfizer)  COMIRNATY approval letter (FDA) Moderna Receives U.S. FDA Approval for Updated COVID-19 Vaccines Targeting LP.8.1 Variant of SARS-CoV-2 (FEEDS) SPIKEVAX approval letter (FDA) Novavax's Nuvaxovid 2025-2026 Formula COVID-19 Vaccine Approved in the U.S (Novavax) NUVAXOVID approval letter (FDA) Where to get pemgarda (Pemgarda) EUA for the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Paxlovid (Pfizer) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Steroids,dexamethasone at the right time (OFID) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia : Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1248 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.

Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y

As women enter perimenopause and menopause, hormonal shifts—declining estrogen, progesterone, and testosterone—can ripple through nearly every system in the body, impacting bone density, cardiovascular health, metabolism, brain function, and sexual wellbeing. Misinterpretation of past research left millions fearful of hormone therapy, yet newer evidence shows that bioidentical hormones, started within a specific “window of opportunity,” can protect the heart, brain, bones, and quality of life. Supporting this transition in a woman's life also means addressing nutrition, gut health, stress, sleep, and strength training—powerful tools that work alongside hormones to restore vitality. With the right knowledge and care, this phase of life can be transformational, leading to renewal, resilience, and long-term health protection. In this episode, I explore, along with Dr. Mary Claire Haver and Dr. Cindy Geyer, how we can shift our thinking of peri-menopause and menopause to one of renewed health and vitality. Mary Claire Haver, MD, FACOG, CMP, is a board-certified Obstetrician and Gynecologist, Certified Culinary Medicine Specialist, and Menopause Society Certified Menopause Practitioner. A graduate of Louisiana State University Medical Center with residency at the University of Texas Medical Branch, she is the founder of Mary Claire Wellness, a clinic dedicated to comprehensive menopause care. In 2023, she launched ThePauseLife.com, a global resource for menopausal women, and became a #1 New York Times bestselling author with The New Menopause. Her first book, The Galveston Diet (2023), reflects her passion for evidence-based lifestyle strategies to support women's health. With over 4 million social media followers, Dr. Haver is a leading voice in “demystifying menopause,” empowering women to self-advocate and thrive through every stage of midlife. Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN to save 15%. Full-length episodes can be found here: Your Guide to Menopause: What to Expect and How to Thrive Menopause Relief: Hormone Tips Every Woman Needs To Know Is Hormone Replacement Therapy in Menopause Helpful or Harmful

Laura and Xhafer discuss housekeeping preferences and pitch a new medical sci-fi show. Xhafer does the math, again. Laura continues to accuse everyone of being a Cylon. This episode covers Battlestar Galactica Season 2, Episode 17: The Captain's Hand.Discord: https://discord.gg/MUHKDDk6TNMerch: https://www.etsy.com/shop/WhatHappenedHerePods

The daily challenges and emotional toll of living with dense breast tissue and a heightened risk of breast cancer: Host Lisa Malia sat down with guest Caitlin Moyer to discuss a subject often overlooked.   Through Caitlin's candid narrative, listeners gain a window into the multi-layered journey many women face—from confusing mammogram results and insurance battles to the importance of building networks of support and advocating for oneself in a complicated medical system.   Stories like Caitlin's aren't just personal; they're powerful tools for education and community. A significant turning point in Caitlin's journey was realizing the crucial role of self-advocacy—especially when faced with conflicting or careless advice. She trusted her instincts, questioned the guidance, and ultimately chose to find a new gynecologist who aligned better with her needs.   Timestamps:    00:00 Caitlin Moyer's Breast Health Journey   05:29 Gynecologist's Troublesome Mammogram Recommendaition   09:00 "Advocacy and Proactive Healthcare"   10:22 Mammogram Controversy with OB GYN   15:04 Considering Preventive Mastectomy   16:38 Dense Tissue & Mastectomy Decision   21:29 Advocating for Necessary Healthcare Access   25:18 "Share Your Story Openly"   27:58 Genetic Risk and Double Mastectomy   30:10 Gratitude for conversation   Learn more about The Clear Pathways Program, Walk, Summit, App and Initiative powered by For The Love Of Cups and join our task force or advisory board: https://www.breastdensitysummit.org/   Caitlin Moyer is a passionate writer and storyteller who runs her own communications and marketing consulting agency, specializing in creative strategy, public relations, and social media. Before launching her business, Caitlin spent 18 seasons with the Milwaukee Brewers, where she founded the team's New Media department and led social media strategy, helping the Brewers become a leader in fan engagement. Her diverse client roster spans sports and beyond, including PGA Tour events, the Green Bay Packers, Indiana Pacers, U.S. Speedskating, and the Wisconsin State Golf Association.   Caitlin also serves as an adjunct professor at Marquette University, where she teaches an emerging media class. Deeply committed to golf and fitness, Caitlin is a registered yoga teacher and a NASM-certified personal trainer with a specialization in golf fitness. Most mornings, before working with her business clients, she can be found in the gym or studio leading group classes or one-on-one sessions. In her free time, she enjoys playing golf, running, and practicing yoga.   Website: https://www.CaitlinMoyer.com Instagram: / caitlinmoyer       #densebreast #breastmri #breastdensity #nonprofitleadership

Join WhatsApp group: https://chat.whatsapp.com/JiRjj3HaK2RDAvJdrZhoL7 -------------------------------------------------------------Host : MgciniCohosts: Nombeko & MafortyVideo & Lighting : StevovoContent Producer: Mgcini Sound: Bryce Post production: MgciniVenue : Cotton Lounge ------------------------------------------------------------------------------------------------------Join our membership to support the channel :https://www.youtube.com/channel/UCrJFvubYBiqw7cPQ63wgbOw/join

Trump has been in office for 200 days. In those 200 days, important institutions core to democracy have been dismantled. The rule of law has been challenged in countless ways—increasingly violent ICE raids and disappearances, dismantling of important agencies, canceling of funding for public broadcasts, significant rollbacks of Diversity, Equity and Inclusion (DEI)  initiatives, draconian cuts to healthcare and social services, executive orders singling out queer and trans people, and much more.But we've also seen a coordinated effort to resist him, with millions across the country taking to the streets again and again to protest on behalf of the rights of their neighbors, their families, and themselves. Attorneys and advocates are also stepping up, demanding courts to defend our rights. Two hundred days in, what have we learned—and what's  the playbook for the next four years?Helping us to sort out these questions and set the record straight is our very special guest, Skye Perryman: Skye L. Perryman is President and CEO of Democracy Forward, a nonpartisan, national legal organization that promotes democracy and progress through litigation, regulatory engagement, policy education, and research. She previously served as Chief Legal Officer and General Counsel of the American College of Obstetricians and Gynecologists. Check out this episode's landing page at MsMagazine.com for a full transcript, links to articles referenced in this episode, further reading and ways to take action.Support the show

Recently, the American College of Obstetricians and Gynecologists rejected federal funding in response to the current US administration's polices. We talk about what this means.See omnystudio.com/listener for privacy information.

The American College of Obstetricians and Gynecologists released new clinical guidance on April 17, 2025 that recommends, as they see it, reimagining prenatal care in the U.S. Instead of the traditional 12–14 in‑person visits, ACOG now advocates for individualized prenatal care schedules—especially for average‑ and low‑risk patients—tailored based on medical, social, and structural determinants of health as well as patient preferences The guidance encourages early needs assessments (ideally before 10 weeks), shared decision‑making, coordination of social support resources, telemedicine, and group care modalities to reduce barriers and drive equity  Drawing on the PATH framework developed with the University of Michigan, ACOG presents sample visit schedules and monitoring strategies reflecting evidence that fewer visits—with flexible modalities—can maintain quality while improving access and patient experience As clinicans who have been offering unparalleled care for decades, find out what Dr. Abdelhak and his team at Maternal Resources think of groundbreaking this new update.    YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .

intimate Hygiene म्हणजे नक्की काय? अंतर्भागाची काळजी घेताना आपण कोणत्या चुका करतो?लैंगिक संबंधानंतर दोघांनी कोणती स्वच्छता पाळायला हवी? वयाच्या विविध टप्प्यावर स्त्रियांनी कोणती काळजी घ्यावी?मासिक पाळी दरम्यान कोणती काळजी घेणं गरजेचं आहे? स्त्री पुरुष दोघांसाठी intimate Hygiene का आवश्यक आहे? अंडरगारमेंट्स कसे निवडावे? कपड्यांची निवड intimate hygiene वर कसा परिणाम करते? मार्केटमध्ये मिळणाऱ्या intimate washes आणि deodorants खरंच सुरक्षित आहेत का? या विषयावर आपण डॉ. पल्लवी अहिरे शेळके (MD, DNB, DDV (Gold), Founder SkinEthics Clinic) आणि डॉ.गोरख मंद्रुपकर (Gynecologist & Fertility Expert) यांच्यासोबत खुसपुस केली आहे पूर्ण एपिसोड नक्की बघा.What exactly is intimate hygiene? How can poor intimate hygiene impact our health? What common mistakes do we make in maintaining intimate care? What hygiene practices should both partners follow after sexual intercourse? How should women care for their intimate health at different stages of life? What precautions are essential during menstruation? Why is intimate hygiene important for both men and women? How should undergarments be chosen, and how does the type of clothing we wear affect intimate hygiene? Are the intimate washes and deodorants available in the market truly safe to use? In this insightful episode of Khuspus, we engage in an open and informative conversation with Dr. Pallavi Ahire Shelke (MD, DNB, DDV – Gold Medalist, Founder of SkinEthics Clinic) and Dr. Gorakh Mandrupkar (Gynecologist & Fertility Expert). Together, we explore the often-ignored but essential aspects of intimate hygiene that are crucial for maintaining overall health and well-being. Don't miss the full episode—this is a conversation that truly mattersआणि मित्रांनो आपलं Merch घेण्यासाठी लगेच click करा! Amuktamuk.swiftindi.comDisclaimer: व्हिडिओमध्ये किंवा आमच्या कोणत्याही चॅनेलवर पॅनलिस्ट/अतिथी/होस्टद्वारे सांगण्यात आलेली कोणतीही माहिती केवळ general information साठी आहे. पॉडकास्ट दरम्यान किंवा त्यासंबंधात व्यक्त केलेली कोणतीही मते निर्माते/कंपनी/चॅनल किंवा त्यांच्या कोणत्याही कर्मचाऱ्यांची मते/अभिव्यक्ती/विचार दर्शवत नाहीत.अतिथींनी केलेली विधाने सद्भावनेने आणि चांगल्या हेतूने केलेली आहेत ती विश्वास ठेवण्याजोगी आहेत किंवा ती सत्य आणि वस्तुस्थितीनुसार सत्य मानण्याचे कारण आहे. चॅनलने सादर केलेला सध्याचा व्हिडिओ केवळ माहिती आणि मनोरंजनाच्या उद्देशाने आहे आणि चॅनल त्याची अचूकता आणि वैधता यासाठी कोणतीही जबाबदारी घेत नाही.अतिथींनी किंवा पॉडकास्ट दरम्यान व्यक्त केलेली कोणतीही माहिती किंवा विचार व्यक्ती/कास्ट/समुदाय/वंश/धर्म यांच्या भावना दुखावण्याचा किंवा कोणत्याही संस्था/राजकीय पक्ष/राजकारणी/नेत्याचा, जिवंत किंवा मृत यांचा अपमान करण्याचा हेतू नाही.. Guests: Dr. Gorakh Mandrupkar (Gynecologist & Fertility Expert),Dr. Pallavi Ahire Shelke (MD, DNB, DDV – Gold Medalist, Founder of SkinEthics Clinic) Host: Omkar Jadhav.Creative Producer: Shardul Kadam.Editor:.Rameshwar Garkal.Edit Assistant: Rohit Landge.Content Manager: Sohan Mane.Social Media Manager: Sonali Gokhale.Legal Advisor: Savani Vaze.Business Development Executive: Sai Kher.Intern: Mrunal Arve.About The Host Omkar Jadhav.Co-founder – Amuk Tamuk Podcast NetworkPodcast Host | Writer | Director | Actor | YouTube & Podcast ConsultantWith 8+ years in digital content, former Content & Programming Head at BhaDiPa & Vishay Khol.Directed 100+ sketches, 3 web series & non-fiction shows including Aai & Me, Jhoom, 9 to 5, Oddvata.Creative Producer – BErojgaar | Asst. Director – The Kerala StoryHost of Khuspus – a podcast on taboo and uncomfortable topics.Visiting Faculty – Ranade Institute, Pune University.Connect with us: Twitter: https://twitter.com/amuk_tamukInstagram: https://www.instagram.com/amuktamuk/Facebook: https://www.facebook.com/amuktamukpodcastsSpotify: Khuspus #AmukTamuk #marathipodcasts

intimate Hygiene म्हणजे नक्की काय? अंतर्भागाची काळजी घेताना आपण कोणत्या चुका करतो?लैंगिक संबंधानंतर दोघांनी कोणती स्वच्छता पाळायला हवी? वयाच्या विविध टप्प्यावर स्त्रियांनी कोणती काळजी घ्यावी?मासिक पाळी दरम्यान कोणती काळजी घेणं गरजेचं आहे? स्त्री पुरुष दोघांसाठी intimate Hygiene का आवश्यक आहे? अंडरगारमेंट्स कसे निवडावे? कपड्यांची निवड intimate hygiene वर कसा परिणाम करते? मार्केटमध्ये मिळणाऱ्या intimate washes आणि deodorants खरंच सुरक्षित आहेत का? या विषयावर आपण डॉ. पल्लवी अहिरे शेळके (MD, DNB, DDV (Gold), Founder SkinEthics Clinic) आणि डॉ.गोरख मंद्रुपकर (Gynecologist & Fertility Expert) यांच्यासोबत खुसपुस केली आहे पूर्ण एपिसोड नक्की बघा.What exactly is intimate hygiene? How can poor intimate hygiene impact our health? What common mistakes do we make in maintaining intimate care? What hygiene practices should both partners follow after sexual intercourse? How should women care for their intimate health at different stages of life? What precautions are essential during menstruation? Why is intimate hygiene important for both men and women? How should undergarments be chosen, and how does the type of clothing we wear affect intimate hygiene? Are the intimate washes and deodorants available in the market truly safe to use? In this insightful episode of Khuspus, we engage in an open and informative conversation with Dr. Pallavi Ahire Shelke (MD, DNB, DDV – Gold Medalist, Founder of SkinEthics Clinic) and Dr. Gorakh Mandrupkar (Gynecologist & Fertility Expert). Together, we explore the often-ignored but essential aspects of intimate hygiene that are crucial for maintaining overall health and well-being. Don't miss the full episode—this is a conversation that truly mattersआणि मित्रांनो आपलं Merch घेण्यासाठी लगेच click करा! Amuktamuk.swiftindi.comDisclaimer: व्हिडिओमध्ये किंवा आमच्या कोणत्याही चॅनेलवर पॅनलिस्ट/अतिथी/होस्टद्वारे सांगण्यात आलेली कोणतीही माहिती केवळ general information साठी आहे. पॉडकास्ट दरम्यान किंवा त्यासंबंधात व्यक्त केलेली कोणतीही मते निर्माते/कंपनी/चॅनल किंवा त्यांच्या कोणत्याही कर्मचाऱ्यांची मते/अभिव्यक्ती/विचार दर्शवत नाहीत.अतिथींनी केलेली विधाने सद्भावनेने आणि चांगल्या हेतूने केलेली आहेत ती विश्वास ठेवण्याजोगी आहेत किंवा ती सत्य आणि वस्तुस्थितीनुसार सत्य मानण्याचे कारण आहे. चॅनलने सादर केलेला सध्याचा व्हिडिओ केवळ माहिती आणि मनोरंजनाच्या उद्देशाने आहे आणि चॅनल त्याची अचूकता आणि वैधता यासाठी कोणतीही जबाबदारी घेत नाही.अतिथींनी किंवा पॉडकास्ट दरम्यान व्यक्त केलेली कोणतीही माहिती किंवा विचार व्यक्ती/कास्ट/समुदाय/वंश/धर्म यांच्या भावना दुखावण्याचा किंवा कोणत्याही संस्था/राजकीय पक्ष/राजकारणी/नेत्याचा, जिवंत किंवा मृत यांचा अपमान करण्याचा हेतू नाही.. Guests: Dr. Gorakh Mandrupkar (Gynecologist & Fertility Expert),Dr. Pallavi Ahire Shelke (MD, DNB, DDV – Gold Medalist, Founder of SkinEthics Clinic) Host: Omkar Jadhav.Creative Producer: Shardul Kadam.Editor:.Rameshwar Garkal.Edit Assistant: Rohit Landge.Content Manager: Sohan Mane.Social Media Manager: Sonali Gokhale.Legal Advisor: Savani Vaze.Business Development Executive: Sai Kher.Intern: Mrunal Arve.About The Host Omkar Jadhav.Co-founder – Amuk Tamuk Podcast NetworkPodcast Host | Writer | Director | Actor | YouTube & Podcast ConsultantWith 8+ years in digital content, former Content & Programming Head at BhaDiPa & Vishay Khol.Directed 100+ sketches, 3 web series & non-fiction shows including Aai & Me, Jhoom, 9 to 5, Oddvata.Creative Producer – BErojgaar | Asst. Director – The Kerala StoryHost of Khuspus – a podcast on taboo and uncomfortable topics.Visiting Faculty – Ranade Institute, Pune University.Connect with us: Twitter: https://twitter.com/amuk_tamukInstagram: https://www.instagram.com/amuktamuk/Facebook: https://www.facebook.com/amuktamukpodcastsSpotify: Khuspus #AmukTamuk #marathipodcasts

A show segment got Amy really injured and she's still trying to heal. She shares updates on her boyfriend, her podcast relaunch, and perimenopause. Morgan has a realization about having a male gynecologist and shares the thing she's really nervous about right now. See omnystudio.com/listener for privacy information.

The "Moment of The Day" featured Boomer witnessing horse insemination as a child and gynecologist Dr. Dan accidentally eating a donkey penis.

Send us a textWelcome to another inspiring episode of the Stories to Create Podcast, where we share journeys of resilience, purpose, and real-world impact. I'm your host, Cornell Bunting, and today I have the privilege of sitting down with Dr. Eeka Marshall—a renowned Obstetrician and Gynecologist who has devoted her career to advancing women's health and empowering communities.In this episode, Dr. Marshall opens up about her path to medicine, the obstacles she's overcome, and her unwavering commitment to supporting the health and well-being of women, especially those in underserved areas. Her story is a powerful example of perseverance and service, and it beautifully reflects the mission of EHAS Inc.—my nonprofit organization dedicated to uplifting youth and transforming lives through storytelling.Together, we'll explore the roots of Dr. Marshall's passion for healthcare and the moments that inspired her to pursue obstetrics and gynecology. We'll talk about the challenges she faced on her journey to becoming a doctor, and how her resilience can motivate young listeners—especially those from underprivileged backgrounds.We'll also dive into crucial topics around health education and awareness:What should young women and men understand about reproductive health?What myths and misconceptions exist around women's health, and how can we address them?How can parents and educators better support teens as they learn about their bodies and make important health choices?Dr. Marshall will also help us shine a light on healthcare disparities in underserved communities, offering insight into what can be done to close those gaps. We'll discuss the role nonprofits and community leaders, like those of us at EHAS Inc., can play in collaborating with medical professionals to bring about meaningful change.Mental and emotional health are also on the table, as Dr. Marshall shares how she supports mothers and young women holistically in her practice.Finally, for our young listeners who dream of careers in medicine, Dr. Marshall will share practical advice and encouragement, along with her hopes for the future of women's health in the coming decade.If you're inspired by this conversation and want to support our work uplifting underprivileged youth in Southwest Florida, please visit www.ehasinc.org.Let's dive in and discover how every story has the power to uplift and transform! Support the showThank you for tuning in with EHAS CLUB - Stories to Create Podcast

Dr. Stoehr, a specialist in pelvic and sexual pain, shares her journey in medicine, the stigmas surrounding pelvic pain, and the importance of comprehensive care and proper diagnosis. This episode also explores non-surgical treatments, the critical role of psychological elements in pain management, and practical advice for lifestyle-affirming practices in non-monogamous relationships. Discover actionable tips for advocating for your health, navigating difficult conversations, and ensuring a fulfilling sexual health journey.01:35 Dr. Stoehr's Journey into Pelvic and Sexual Pain03:10 Misconceptions, Stigmas, and Psychological Impact in Pelvic and Sexual Pain07:51 When to See a Specialist for Pelvic Pain12:11 Non-Surgical Treatments for Pelvic Pain17:37 Advocating for Non-Narcotic Pain Management19:09 Addressing Shame and Cultural Barriers in Sexual Health23:37 Navigating Non-Monogamy and Affirming Care 25:48 Finding Lifestyle-Affirming Healthcare Providers27:03 Discussing Sexual Health and Safety35:20 Communication and Relationship Dynamics39:48 Managing Pelvic Pain and Sexual DysfunctionDr. Stoehr is a Gynecologist specializing in pelvic and sexual pain and sexual dysfunction. She has additional interests in narcotic free surgery and the intersection of medicine and alternative sexual lifestyles. She is passionate about making sure that people in the LS are able to obtain the highest levels of healthcare without fear of prejudice or bias.Connect with Dr. Stoehrhttps://www.youtube.com/channel/UCYzoek71uQA7YgnG3a2BA1w- YOU Tube Channelwww.swingingsafe.com- Swinging website full of education and helpful videos.Connect with Paige BondInstagram: @paigebondcoachingFacebook: @paigebondcoachingTikTok: @paigebondcoachingWebsite: https://paigebond.comPaige Bond is an open relationship coach who specializes in helping individuals, couples, and intentionally non-monogamous relationships with feeling insecure in their relationships. She is also the founder of ⁠Sweet Love Counseling⁠ providing therapy in CO, FL, SC, and VT. Paige loves educating people about relationships through being the host of ⁠the Stubborn Love podcast, ⁠hosting workshops, and speaking at conferences.Free Jealousy Workbook: ⁠⁠⁠http://www.paigebond.com/calm-the-chaos-jealousy-workbook-download⁠⁠⁠Free People Pleasing Workbook: ⁠⁠⁠https://www.paigebond.com/people-pleasing-workbook⁠⁠⁠Attachment Dynamics Workshop:⁠https://www.paigebond.com/attachment-dynamics-workshop-sign-up⁠Disclaimer: This podcast and communication through our email are not meant to serve as professional advice or therapy. If you are in need of mental health support, you are encouraged to connect with a licensed mental health professional to receive the support needed.Mental Health Resources: National Suicide Prevention Lifeline: 1-800-273-8255SAMHSA's National Helpline: 1-800-662-HELP (4357)Crisis Text Line: Text HOME to 741741 for free, 24/7 crisis counseling.Intro music by Coma-Media on ⁠⁠pixabay.com⁠

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Organizations like the CDC and the American College of Obstetricians and Gynecologists play a significant role in shaping the recommendations your doctor or midwife gives you during pregnancy. When the CDC updates its guidance, it influences clinical care, insurance coverage, and how providers counsel patients. In this episode, we explore the recent decision to no longer recommend the COVID-19 vaccine for children and pregnant women. Learn what this means for your prenatal care and how you can navigate this update with your provider.     Thank you to our sponsor   Zahler goes above and beyond to use high-quality bioavailable ingredients like the active form of folate, bioavailable iron, and omega 3s. The Zahler Prenatal +DHA is my #1 recommendation for a high-quality prenatal vitamin. In May 2025, you can save 40% off the Zahler Prenatal +DHA on Amazon with the code PREPOD40. Plus, if you email your order number to vanessa@pregnancypodcast.com you will get a free copy of the Your Birth Plan book. You can always see the details and the current promo code for the Zahler prenatal vitamin by clicking here.     Read the full article and resources that accompany this episode.     Join Pregnancy Podcast Premium to access the entire back catalog, listen to all episodes ad-free, get a copy of the Your Birth Plan Book, and more.     Check out the 40 Weeks podcast to learn how your baby grows each week and what is happening in your body. Plus, get a heads up on what to expect at your prenatal appointments and a tip for dads and partners.     For more evidence-based information, visit the Pregnancy Podcast website.

Dr Andrea Salcedo  Andrea Salcedo, DO, MPH, FACOG is a board certified obstetrician and gynecologist, wife, and mother of three young boys. She practices full scope obstetrics and gynecology at Loma Linda University Health, an academic medical center in Southern California. Her clinical practice is diverse, ranging from low risk women's health care to complex gynecologic and obstetric problems. A large part of her practice involves root-cause investigation into the development of gynecologic disease. Particularly, she focuses on metabolic health, as it relates to the development of uterine fibroids, endometrial polyps, and endometriosis. She has a special interest in using non-surgical strategies to treat endometriosis. Dr. Salcedo is a clinical researcher and published author in peer-reviewed academic journals. She has spoke at several conferences, including at the prestigious, Symposia for Metabolic Health, in San Diego and Boca, she is a clinical instructor for the Nutrition Network, and has been a featured on several podcasts. She also serves as an expert for the Osteopathic Medical Board of California. She is an active member of the Society for Metabolic Health Practitioners. She also has a YouTube Channel that promotes metabolic strategies to treating gynecologic problems, called Conscious Gynecologist. She also has an active telehealth practice where she consults on a metabolic approach to treating gynecologic diseases. She is fluent in English and Spanish. Dr. Salcedo has a passion for cooking, lifestyle design, and work-life balance. She is an avid reader, and often reads outside of her field to make connections to what she does every day, treating patients. Link to Show Notes on Website https://fabulouslyketo.com/podcast/236. Dr Andrea’s Top Tips Sleep well. Make sure that you have quiet time to reflect on your goals. Don't eat too many carbs. Dr Andrea’s Books https://www.mdpi.com/2072-6643/15/17/3760 https://insulinresistance.org/index.php/jir/article/view/67 https://www.reliasmedia.com/articles/endometriosis-and-the-gut-microbiome-nutritional-prospects-in-the-treatment-of-a-chronic-disease Resources Mentioned Fast Like a Girl: A Woman's Guide to Using the Healing Power of Fasting to Burn Fat, Boost Energy, and Balance Hormones – Dr Mindy Pelz Eat Like a Girl: 100+ Delicious Recipes to Balance Hormones, Boost Energy, and Burn Fat – Dr Mindy Pelz Moon Time: The Art of Harmony with Nature and Lunar Cycles – Johanna Paungger and Thomas Poppe Connect with Dr Andrea Salcedo on social media Facebook Page: https://www.facebook.com/ConsciousGynecologist Instagram: https://www.instagram.com/consciousgynecologist LinkedIn: https://www.linkedin.com/in/andreasalcedodo/ YouTube:https://www.youtube.com/@consciousgynecologist https://www.youtube.com/@FabulouslyKeto Website Details: https://www.consciousgynecology.com The Fabulously Keto Diet & Lifestyle Journal: A 12-week journal to support new habits – Jackie Fletcher If you have enjoyed listening to this episode – Leave us a review By leaving us a review on your favourite podcast platform, you help us to be found by others. Support Jackie Help Jackie make more episodes by supporting her. If you wish to support her we have various options from one off donations to becoming a Super Fabulously Keto Podcast Supporter with coaching and support. Check out this page for lots of different ways to support the podcast. https://fabulouslyketo.com/support Or You can find us on Patreon: https://www.patreon. com/FabulouslyKeto Connect with us on social media https://www.facebook.com/FabulouslyKeto https://www.instagram.com/FabulouslyKeto1 https://twitter.com/FabulouslyKeto https://www.youtube.com/@FabulouslyKeto Facebook Group: https://www.facebook.com/groups/FabulouslyKeto Music by Bob Collum Recommend a guest We would love to know if you have a favourite guest you would like us to interview. Let us know who you would like to hear of if you have a particular topic you would like us to cover. https://fabulouslyketo.com/recommend-a-guest We sometimes get a small commission on some of the links, this goes towards the costs of producing the podcast.

The BFFs are together in NYC to discuss the biggest headlines from the past week. Brianna teaches Josh about pap smears and he is absolutely appalled. They talk Met Gala looks, James Charles, and more. 00:00 Intro 1:46 Dreams 3:50 Lavender Marriages 11:08 Met Gala Recap 17:05 Josh learns about the Gyno 27:14 James Charles & Kayla 31:24 New York City 36:43 Jordon Hudson Update 39:42 Timothee & Kylie 42:46 FOX News Reporter Fainting on air 44:22 Wendy Williams 47:50 Golden Globes Best Podcast 49:48 Hot Takes 56:33 BFFs Corner ----- Support Our Sponsors: Download the Gametime app today and use code BFF for $20 off your first purchase Use code BFF on https://rhoback.com for a generous 20% off your first order through the end of this week Now sold nationwide for a limited time only! Don't sleep on this epic new flavor! https://drinkghost.com Go to https://vuori.com/bffs and discover the versatility of Vuori Clothing. Exclusions apply. Visit the website for full terms and conditions. ----- Subscribe to the podcast now: https://barstool.link/3m4Q0Fq Check out the BFFs Social Media Instagram: https://www.instagram.com/bffspod/ Twitter: https://twitter.com/BFFsPod TikTok: https://www.tiktok.com/@bffspod Follow Josh Instagram: https://www.instagram.com/joshrichards/ Tiktok: https://www.tiktok.com/@joshrichards?lang=en Twitter: https://twitter.com/JoshRichards Follow Brianna Instagram: https://www.instagram.com/briannalapaglia/?hl=en TikTiok: https://www.tiktok.com/@briannachickenfry?lang=en Twitter: https://twitter.com/bchickenfry?lang=en Check out Barstool Sports for more: http://www.barstoolsports.comYou can find every episode of this show on Apple Podcasts, Spotify or YouTube. Prime Members can listen ad-free on Amazon Music. For more, visit barstool.link/bffspod

Welcome to the Sustainable Clinical Medicine Podcast! In this compelling episode, Dr. Sarah Smith sits down with Dr. La Toya Luces-Sampson—known as Dr. Toya—to discuss her transformative journey through medicine, from her beginnings in Trinidad and Tobago to her training as an OB/GYN in the US, and ultimately her bold decision to step away from clinical practice. Dr. Toya candidly opens up about her experiences with burnout in residency and corporate medicine, the toll it took on her personal well-being, and the moments that sparked real change in her career and life. She shares how a leap into entrepreneurship during the COVID-19 pandemic rekindled her confidence and purpose beyond clinical work, eventually inspiring her to become a coach for physician moms navigating medicine and motherhood. Dr. Toya reveals practical tools she used for efficiency, like templates and support systems, and emphasizes the importance of advocacy, boundaries, and accepting support—whether at work or at home. Tune in for an honest, inspiring conversation about resilience, redefining success in medicine, and the power of community and self-compassion in building a sustainable clinical career. Here are 3 key takeaways from this episode: Support Matters at Work and Home: Whether advocating for yourself in a tough clinical environment or building a support system at home, allowing yourself to be supported is crucial. As Dr. La Toya shared, “We have worked so hard to get where we are. Allow yourself to be supported.” Efficiency and Boundaries Fight Burnout: La Toya emphasized the power of systems, templates, and boundaries, both in patient care and personal life. Tackling the inbox right away, leveraging dictation and templates, and having clear work/home boundaries helped her stay efficient—and sane. Burnout Isn't the End—It's a Call to Innovate:Experiencing burnout multiple times gave Dr. La Toya new perspectives and fueled her pivot into entrepreneurship and coaching. She now empowers physician moms to carve their own pathways—inside or outside medicine: “They can stay in medicine if that's what they want. They can leave medicine if that's what they want. They can find their balance.” Dr. La Toya Luces-Sampson Bio: Dr. La Toya Luces-Sampson aka Dr. Toya, is a wife, mother, board-certified Obstetrician and Gynecologist, perinatal mental health specialist, and Coach. She helps Physician Moms thrive in medicine and motherhood without complete self-sacrifice. With over a decade of experience in women's health, Dr. Toya empowers physician moms through private and group coaching and her podcast, ✨Stethoscopes and Strollers✨ a space where physician moms can feel a little more seen and a lot less alone. -------------- Would you like to view a transcript of this episode? Click here Learn more about our guest: Website: https://drtoyacoaching.com Podcast: https://www.drtoyacoaching.com/podcast Facebook: https://www.facebook.com/latoya.luces.5/ Instagram: https://www.instagram.com/drtoyacoaching LinkedIn: linkedin.com/in/latoyalucessampson YouTube: https://www.youtube.com/channel/UCFusqULGoxtWl0IOyJPBZ-w **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

This is the 11th episode in my Pharmacist Podcasters Series. My guests and I talk about podcasting to inspire you to start your own podcast, be a podcast guest, or use your voice in general. If you're interested in podcasting, pod-guesting or public speaking, you need to listen to this episode. My guest today is Dr. Danielle Plummer, host of the MaternalRx Podcast on the Pharmacy Podcast Network.    Pharmacists can play a crucial role in maternal health. Advocacy and education are critical in improving maternal care. Listen and learn from Dr. Plummer on the MaternalRx Podcast!    Click to read the FULL show notes: https://www.thepharmacistsvoice.com/podcast (select episode 329)   Bio - Danielle Plummer, PharmD (May 2025) Danielle Plummer, PharmD, is a third-generation pharmacist and host of the MaternalRx podcast on the Pharmacy Podcast Network. She earned her PharmD from Creighton University in 2016 and has since had a broad pharmacy career spanning retail, hospital, consulting, and medical affairs.   Combining clinical expertise with lived experience, Danielle specializes in supporting pregnant patients, particularly those suffering from Hyperemesis Gravidarum (HG). After studying treatments for other diseases of malnutrition in pharmacy school, she became certified in pharmacogenetics and as an antepartum doula. This, along with a community of pharmacy entrepreneurs, inspired her to launch HG Pharmacist©, a blog to share information about HG, which later grew into Obstet-Rx©, a consulting company offering personalized medication management and patient advocacy to women worldwide.   Her subject matter expertise has led to board member appointments, speaking engagements, and media contributions for international magazines. In her work as an MSL, she has supported diagnostics for preeclampsia (sFlt-1/PlGF) and procalcitonin, as well as therapies for iron deficiency anemia and small cell lung cancer.   Through her podcast, Danielle shows how pharmacists play a key role in improving maternal outcomes. (End bio)    Backstory Danielle and I met at Medipreneurs several years ago and have kept in touch. I enjoyed getting to know her better during this interview. She has transformed her career since we first met, and I'm proud of her for starting a podcast.    The Pharmacy Podcast Network is an important part of Danielle's story. They produce and distribute the MaternalRx Podcast on their network. If you'd like to start a podcast on the Pharmacy Podcast Network, please reach out to Todd Eury via email: publisher@pharmacypodcast.com.   Share this episode! If you know someone who might like the MaternalRx Podcast, please share this episode with them. If you would like to be a guest on the MaternalRx Podcast or nominate a guest for the MaternalRx Podcast, please contact Dr. Danielle Plummer through LinkedIn or her other social media channels. She is also open to pod-guesting on other podcasts and speaking at events. Reach out to Dr. Plummer directly through LinkedIn or her other social media channels.   Subscribe to or follow The Pharmacist's Voice ® Podcast on your favorite podcast player and YouTube to get each new episode right when it comes out.   Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Thank you for listening today. Happy Mother's Day if you're a Mom or a Mom-to-Be!   If you need help starting your podcast, I can help. Get my FREE eBook or audiobook version on kimnewlove.com/podcasting or Amazon https://amzn.to/4iAKNBs. I also teach a self-paced, online course and work with clients by-the-hour. Listen to my episodes about podcasting in my back catalog on thepharmacistsvoice.com/podcast.    Links from this episode  Danielle's Blog: https://pregnancyvomiting.com/  Danielle's consulting website: https://hgpharmacist.com/ Facebook Group: Extreme Pregnancy Vomiting Education https://www.facebook.com/groups/hgsolutions MaternalRx Podcast https://maternityrx.podbean.com/  Pharmacy Podcast Network https://pharmacypodcast.com/shows/  Todd Eury's email publisher@PharmacyPodcast.com  Danielle Plummer, PharmD on LinkedIn: https://www.linkedin.com/in/daniellerplummer Connect with Danielle on Instagram @obstet_rx https://www.instagram.com/obstet_rx/  Connect on Facebook https://www.facebook.com/HGClinicalSolutions  Subscribe to Danielle's YouTube Channel https://www.youtube.com/@hgpharmacist  Follow Danielle on Twitter (X) https://x.com/Obstet_Rx  Follow Danielle on Pinterest https://www.pinterest.com/hgpharmacist/    Resources Mentioned HER Foundation https://hyperemesis.org  Preeclampsia Foundation https://www.preeclampsia.org/  Pregnancy Sickness Support (UK) https://pregnancysicknesssupport.org.uk/  PharmGKB (Pharmacogenomics Knowledge Base) https://www.pharmgkb.org/  CPIC (Clinical Pharmacogenetics Implementation Consortium) https://cpicpgx.org/  ACOG (American College of Obstetricians and Gynecologists) https://www.acog.org/  UpToDate (Resource, Retail Pharmacists) https://www.wolterskluwer.com/en/solutions/uptodate/industries/retail-pharmacy  Lexicomp is now Lexidrug  Micromedex https://www.micromedexsolutions.com/home/dispatch  Medscape https://www.medscape.com/  A Dose of Support Podcast on Spotify (April 2021 with Vanessa Kasper DNP, Host) featuring guest Dr. Danielle Plummer, PharmD https://open.spotify.com/episode/5qSIGIQ7lw6yO9rKNwi8Jg?si=9e97101b886f4f26     Kim's websites and social media links: ✅ Guest Application Form (The Pharmacist's Voice Podcast) https://bit.ly/41iGogX  ✅ Monthly email newsletter sign-up link https://bit.ly/3AHJIaF  ✅ LinkedIn Newsletter https://bit.ly/40VmV5B ✅ Business website https://www.thepharmacistsvoice.com ✅ The Pharmacist's Voice ® Podcast https://www.thepharmacistsvoice.com/podcast ✅ Pronounce Drug Names Like a Pro © Online Course https://www.kimnewlove.com  ✅ FREE Podcasting eBook/audiobook combo https://www.kimnewlove.com/podcasting  ✅ Podcasting Online Course https://www.kimnewlove.com/podcasting  ✅ Private Podcasting Coaching or Consulting https://www.kimnewlove.com/private-coaching  ✅ LinkedIn https://www.linkedin.com/in/kimnewlove ✅ Facebook https://www.facebook.com/kim.newlove.96 ✅ Twitter https://twitter.com/KimNewloveVO ✅ Instagram https://www.instagram.com/kimnewlovevo/ ✅ YouTube https://www.youtube.com/channel/UCA3UyhNBi9CCqIMP8t1wRZQ ✅ ACX (Audiobook Narrator Profile) https://www.acx.com/narrator?p=A10FSORRTANJ4Z ✅ Start a podcast with the same coach who helped me get started (Dave Jackson from The School of Podcasting)! **Affiliate Link - NEW 9-8-23**      Thank you for listening to episode 329 of The Pharmacist's Voice ® Podcast.  If you know someone who would like this episode, please share it with them!   Pharmacist Podcasters Series Part 1 with Ola Latala, PharmD (The Pharmacist's Voice Podcast Episode 248) Part 2 with Deeb Eid, PharmD (The Pharmacist's Voice Podcast Episode 253) Part 3 with Justin Cole, PharmD (The Pharmacist's Voice Podcast Episode 257) Part 4 with Christina Fontana, PharmD The Pharmacist's Voice Podcast Episode 262 Part 5 with Tony Dao, PharmD The Pharmacist's Voice Podcast Episode 266 Part 6 with Dr. H (Hussam Hamoush, PharmD) The Pharmacist's Voice Podcast Episode 275 Part 7 with Julie Doan, PharmD The Pharmacist's Voice Podcast Episode 297 Part 8 with Tim Ulbrich, PharmD The Pharmacist's Voice Podcast Episode 306  Part 9 with Zain Syed, PharmD The Pharmacist's Voice Podcast Episode 310 Part 10 with Rachel Gainsbrugh, PharmD The Pharmacist's Voice Podcast Episode 323  Part 11 with Danielle Plummer, PharmD (TODAY!) 

What role do prenatal vitamins play in fertility and pregnancy? When should you start taking them to support a healthy pregnancy? And how do you choose the best prenatal vitamin with the right nutrients? In this episode of Brave & Curious, Dr. Shahine explores the essential role of prenatal vitamins in supporting both fertility and pregnancy. She explains the importance of these supplements, when to start taking them, the difference between folic acid and folate, and what key nutrients to look for. She also discusses recommended daily intakes and how different vitamins—like folic acid, iron, calcium, and DHA—contribute to the health of both mother and baby. Listeners will learn how to evaluate the quality of prenatal supplements and ensure they meet expert guidelines, including recommendations from the American College of Obstetricians and Gynecologists. Whether you're trying to conceive or already pregnant, this episode is full of the knowledge to make informed choices about prenatal nutrition. In this episode you'll hear: [1:09] Why prenatal vitamins are essential [2:43] When should you start taking a prenatal vitamin? [3:32] Key nutrients in prenatal vitamins Folic acid vs folate Iron Calcium Vitamin D Others [15:21] Choosing the right prenatal vitamin brand [15:55] Making an informed choice    Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books  

Show notes and links: https://www.chrisbeatcancer.com/dr-nitu-bajekal-on-healing-pcos-and-balancing-hormones-with-a-plant-based-diet

When it comes to hormone optimization, there's a lot of conflicting information out there, making it hard to know who to trust. That's why I sat down with Dr. Shawn Tassone, a board-certified OBGYN and hormone expert who works directly with patients. We dive into perimenopause, menopause, and the biggest misconceptions about hormone replacement therapy. We also discuss why so many women feel dismissed by doctors and how to advocate for better care.  If you're unsure about HRT, we cover natural alternatives like adaptogens and herbal supplements that can support hormone balance. Dr. Tassone also shares insights on how diet, lifestyle, and stress impact hormones, plus practical steps to optimize your health.Topics Discussed: Misconceptions about hormone replacement therapy  Why women are often dismissed when discussing hormones  Natural alternatives like adaptogens and herbals  The role of diet, lifestyle, and stress in hormone health  How to advocate for yourself in the healthcare system  Signs and symptoms of hormone imbalances  Practical steps to optimize hormones at any ageSponsored By: Viva RaysGo to⁠ vivarays.com⁠ & use code: YOGI to save 15%Black Lotus ShilajitVisit:⁠ www.blacklotusshilajit.com⁠ and Use Code: SARAHK for 15% the entire site!Timestamps: 00:00:00 - Introduction 00:04:06 - Dr. Tassone's Background & Journey into Integrative Medicine00:10:28 - Treating perimenopause 00:14:30 - Birth control 00:15:42 - Reading labs and symptoms 00:21:20 - DUTCH testing 00:23:10 - Hormone Replacement Therapy (HRT)00:27:29 - HRT dosing and side effects 00:31:31 - Medical gaslighting 00:33:50 - Quantum medicine 00:38:52 - Hormone imbalances in women 00:41:47 - Chronic stress and hormones 00:45:09 - Supplementing with maca root 00:49:16 - Black cohosh and estrogen 00:50:32 - Overdosing supplements and hormones 00:52:26 - Estrogen and weight gain 00:55:19 - 01:00:41 - Estradiol face creams Check Out Shawn: WebsiteBookInstagramYoutubeThis video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) - https://www.sarahkleinerwellness.com/coursesSign up for my newsletter to get special offers in the future! -https://www.sarahkleinerwellness.com/contactFree Guide to Building your perfect quantum day (start here) -https://www.sarahkleinerwellness.com/opt-in-9d5f6918-77a8-40d7-bedf-93ca2ec8387fMy free product guide with all product recommendations and discount codes:https://www.sarahkleinerwellness.com/resource_redirect/downloads/file-uploads/sites/2147573344/themes/2150788813/downloads/84c82fa-f201-42eb-5466-0524b41f6b18_2024_SKW_Affiliate_Guide_1_.pdfMy Circadian App - AppleMy Circadian App - AndroidMy Circadian App - Youtube

Dr. Donna Harrison of the American Association of Pro-Life Obstetricians and Gynecologists Questions and Answers on Late-Term Abortion The American Association of Pro-Life Obstetricians and Gynecologists The post Late-Term Abortion – Dr. Donna Harrison, 2/4/25 (0352) first appeared on Issues, Etc..

In hour 1, Chris gets to the news of the day, like a Gynecologist in France who got suspended for not accepting a Transgender patient who lacked gynecological things. For more coverage on the issues that matter to you, download the WMAL app, visit WMAL.com or tune in love on WMAL-FM 105.9 from 9:00am-12:00pm Monday-Friday To join the conversation, check us out on X @WMAL and @ChrisPlanteShow Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Christopher Estes joins the podcast today to discuss his distinct approach to functional medicine and the intersection of Eastern and Western medicine. As the Co-Founder of Miami Beach Comprehensive Wellness Center, Dr. Estes is a board-certified Obstetrician and Gynecologist who works hard to uncover the root causes of various medical conditions – no matter how complex they may seem.  Miami Beach Comprehensive Wellness Center offers an array of therapies for both women and men. This includes functional medicine evaluations, intravenous and ozone therapies, platelet-rich plasma therapies, peptide therapies, energetic medicine, and Acutonics sound healing.  From managing environmentally acquired illnesses to offering comprehensive detoxification programs, Dr. Estes is on a mission to help people of all ages optimize their health using an integrated approach to wellness… Jump in now to learn about: What complex chronic medical illnesses are, and how they can be holistically treated. Common reasons why people seek stem cell therapy. How your diet impacts your overall health.  What ozone therapy is used for, and how it's administered.  You can find more information on Dr. Estes and his work with Miami Beach Comprehensive Wellness Center by clicking here! Upgrade Your Wallet Game with Ekster!  Get the sleek, smart wallet you deserve—and save while you're at it! Use coupon code FINDINGGENIUS at checkout or shop now with this exclusive link: ekster.com?sca_ref=4822922.DtoeXHFUmQ5  Smarter, slimmer, better. Don't miss out! Episode also available on Apple Podcasts: apple.co/30PvU9C