Podcasts about health initiative

Ladies, if you have ever been told your labs look normal while your body says otherwise, this one is for you. Dr. Amy Loden is a physician who nearly died from preeclampsia and now builds her practice around what medicine misses in women. She breaks down why pregnancy complications are a warning sign, what perimenopause is really doing to you, and why heart disease deserves your attention more than you think. You will walk away knowing what to ask for and why it matters.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How pregnancy complications reveal health risks that were already there.Why perimenopause symptoms get dismissed as normal aging.The heart disease signs that look nothing like the classic ones.Why good quality sleep matters more than hours in bed.How to eat and move to protect your metabolic health.Episode References/Links:Vitality Medical and Wellness - https://www.vitalitymwc.orgDr. Amy's TEDx talk on pregnancy - https://beitpod.com/amytedxDr. Amy Tiffany on Instagram - https://www.instagram.com/dramytiffanyDr. Amy Loden on LinkedIn - https://www.linkedin.com/in/amy-lodenThe Postpartum Pivot by Dr. Amy Loden - https://vitalitymwc.org/read-the-bookSubmit your wins or questions - https://beitpod.com/questionsGuest Bio:Dr. Amy Loden Tiffany is a St. Louis-based physician entrepreneur, author, and TEDx speaker dedicated to women's metabolic, hormonal, and cardiovascular health. After surviving severe preeclampsia and experiencing burnout in traditional, high-volume medicine, she pivoted her career toward a personalized, root-cause approach to patient care. As the founder of Vitality, she guides women through major life transitions—from postpartum to perimenopause—to help them recognize subtle warning signs and prevent long-term illness. Through her clinical work and her book, The Postpartum Pivot, Dr. Loden empowers high-achieving women to listen to their bodies, optimize performance, and take control of their long-term health.  If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! 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Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was if you got the problem, the solution is in the pregnancy. So what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. Lesley Logan 0:29  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:11  Oh my God, Be It babe. Get ready. Get your notepad out. Get ready. If you're driving, listen. You're gonna re-listen. You're gonna share this episode with everybody. I am so freaking stoked about the guest that we have. I fell in love with her with every single answer, and we need women like this in the medical world. So Dr. Amy Loden is our guest today. We're going to talk everything from postpartum to perimenopause and heart health, because ladies, you can't be it till you see it if you get sick, cannot. And I know it's confusing. There's so much information out there in the world, and it's like, who do we trust? What do we do? And I'm just so grateful I found her, and you're gonna love it. So make sure you get ready to hit share on this episode for women in your life and the men who need to know about what women are going through. My mind is blown on the episode. Here's Dr. Amy Loden.Lesley Logan 1:54  All right, Be It babe, I'm excited. I'm super stoked. We're gonna talk about all things women, health-related, with an amazing professional person who actually studies this stuff, not what I've read, and then I'm asserting to you because I don't want to be that influencer. I think those people need to take a little step back and let the professionals do it. We have Dr. Amy Loden here on the show, who's going to tell us everything we need to know. But Dr. Amy, we tell everyone who you are and what you rock at, kind of how you got here.Amy Loden Tiffany, MD, MBA 2:20  Sure, thanks for inviting me. I'm happy to be here, Dr. Amy Loden. I am in St. Louis, Missouri. I help primarily women over 40, but certainly anyone who's like, "How are my hormones working for my life or not? How is my weight in the mirror matching the weight in my head or not?" And all the things that come with life transitions from postpartum to perimenopause, beyond, my goal is that women who've interacted with our team will have a better care experience because it's the care experience we want each of us to have had ourselves, and because each of us are not only professionals within the medical nursing communities, we're patients too, or daughters and sisters and mothers and neighbors and all the things. We know how much it sucks to be patient, right? And so we've tried to redesign what is the best thing for our ladies. Now, in full transparency, we do have a few dudes, but most of them have had their arms twisted by our rock-star ladies, and they are the ones that are coming because they're forced to. And eventually, they decide they like us, but we're pretty cool too. So that's who we serve, and that's what we do. And happy to go into any detail or rabbit hole you want to chase?Lesley Logan 3:21  Oh my God, Amy! I love that. When people ask about the people who listen to this podcast, we have mostly women and a few good men because there are some men out there, including my husband. They want to be interested. They want to. They want their partners, the women, their lives. They want to get what's going on. They don't want them to feel like an alien or like they're alone in this journey. So I think that's really, really cool. I also just want to highlight. I love that you brought up your patients too, because as someone who I feel very lucky to go through my perimenopause journey in today's time when people actually are talking about it, versus even 10 years ago, generations were not talking about this stuff, and I just feel it's really nice because then there's information I would never have known about HRT unless my girlfriend had told me about it. Oh, that could be going on, and then I could talk to someone. Can we go back though? Yeah, I feel like to be a doctor like yourself, who has empathy and understands, like you must have gone through a journey as well. You don't just want to do this Amy Loden Tiffany, MD, MBA 4:13  Because you wanted to do this. That's true. Lesley Logan 4:16  Maybe there are a few. There might be a few, but typically, like there there has there's a story there that got you to be like I want to care about this. So can you tell us a little bit more about that?Amy Loden Tiffany, MD, MBA 4:24  Absolutely, yeah. So definitely with the traditional college to medical school road, really didn't understand that there's a and I say this with all the love in my heart, but there is a bit of brainwashing to be a good doctor, right? And what is a good doctor was who you've been told it is. It's not necessarily an external criteria. It's who does academic medical center say, and that was very different. I learned through transferring all of my non-medical student fears into the actual application of those fears, and then being a patient and living those fears. That I realized there's a whole lot we're not talking about. There's a whole lot that we're not being told, both as doctors and as women, as patients, and it's hard to realize you don't know what you don't know if you've been told you're the expert and you know everything, right? And most doctors don't go around saying they know everything, but there's enough patients who feel like that's what's communicated, that that's the language I'm using.Lesley Logan 5:18  Yeah.Amy Loden Tiffany, MD, MBA 5:19  And that's really frustrating as a patient, so I didn't realize how frustrating though it was until I was a patient, and I'm a mom of five kids, my third and fourth are twins, and really I am so grateful to live in the United States in a time in history where complicated pregnancies does not mean that mom dies, because I developed severe preeclampsia with heart failure, and my twins came 31 weeks instead of at least 37, and I nearly died the night they were born. They nearly died the night they were born, and I just am grateful that God let me be in this situation that I had the help I needed. Historically, these are not good situations. We see this on TV and in movies frequently. And something like 70,000 women a year across the globe die of the same disease I had, preeclampsia. So it's not nothing, even in our day and age, in certain countries, and even in countries where you have advanced medical care and they do everything right. It can still happen. So, that for me was the pinnacle of this isn't working. What we're telling people to do isn't working because I had done all the things.Lesley Logan 6:30  Right, you were a doctor. You did all the things. I did all the things. You enjoyed all the appointments. You were probably doing, and this is your third and fourth. So you knew what it should feel like. You knew what you should be eating. You knew all the vitamins to take.Amy Loden Tiffany, MD, MBA 6:41  Correct, and it didn't work, right? It didn't work, and so I think that is the fundamental kind of if you place a pivot on why did I change how I think about healthcare as a doctor, it was because of my experience as a patient for myself. My husband had cancer twice, so being the advocate for him in those types of things, guiding my children and now my parents through healthcare, you start to carry a lot of stories, and you start to see, wow, they're not doing what I think is just the bare minimum. And if they're not doing that for me or for my family, I know they're not doing it for everybody else.Lesley Logan 7:11  Yeah.Amy Loden Tiffany, MD, MBA 7:12  And then at the same time, holding a ton of grace in my heart because that's—they're doing what they were taught.Lesley Logan 7:17  Right?Amy Loden Tiffany, MD, MBA 7:17  Right. And they can't do differently if they don't know differently. You can't be better if you don't know to be better.Lesley Logan 7:23  Yeah.Amy Loden Tiffany, MD, MBA 7:23  So that is a really tight tension. But I thought I would just keep plodding through and just be a better doctor in that context of me being a patient until a little—I guess it was two years later. My daughter at that time, my oldest, was seven, and I had about 3000 patients. I was working somewhere between 65 and 80 hours a week, and had four kids at that time. And my daughter came up to me one night, and I'm opening the computer. I'm doing work like I do every night, and she says, "You're gonna make my birthday gifts. Like, can I help?" Right, totally innocent seven-year-old looking forward to her birthday knows that her mom shops online, right? And so she's like, "I want to pick my birthday presents," and I kind of stared at her. I was like, "No, no, I'm going to work. We'll do that later," and go watch whatever show. It's probably Paw Patrol for all I know, right? That's in the background. Go watch it. It's gonna be bedtime soon. And she just stands there, and I haven't even looked at her at this point. My eyes are on my computer. I'm just telling her this as I'm going. I'm totally not in the moment, right?Lesley Logan 8:19  Of course, because like you have so many, you have 3000 patients and four kids.Amy Loden Tiffany, MD, MBA 8:23   I can't keep up. I can't keep up. Right? I'm barely getting enough sleep. I'm not exercising, and I'm just trying to survive. And she doesn't move. And so I remember not totally slow motion, but I remember turning to her and feeling like I was going to be like, "What?" Right? What do you need? And she's just got out of the shower, so her hair's wet. She's got her pink pajamas on, bright big blue eyes, and they're full of tears. And there are just silent tears tracking down her face, and I'm horrified. Oh my gosh, what's wrong? Right now, I'm in fix-it mode.Lesley Logan 8:55  Yeah.Amy Loden Tiffany, MD, MBA 8:55  And she still doesn't really budge, and she just says in a very sad voice, "Mommy. Why do you love your job more than me?"Lesley Logan 9:05  Oh.Amy Loden Tiffany, MD, MBA 9:07  Yes. So the twins tried to kill me. She did kill me, right? Like, that was a knife in my heart because nothing ever had I wanted to be better than a so-called good doctor than to be a good mom.Lesley Logan 9:17  Yeah.Amy Loden Tiffany, MD, MBA 9:18  And that was for me the moment that I realized I'm not doing either of these well, and I'm not showing up how I want to be personally or professionally. I'm certainly not taking care of my health. I'm not doing the things I'm telling my patients to do. Like, it was a moment where I really felt the failures. I felt all the feelings, and I told my husband that night, "This is not working anymore." And he actually thought I thought was talking about our marriage, and so he was like, "Oh my gosh, what's wrong with our marriage?" Right? No, but I need to, like, redo. We have to redo this. I either have to retire, or I have to do something different.Lesley Logan 9:51  Yeah.Amy Loden Tiffany, MD, MBA 9:51  And he was like, "You're not retiring. You will drive me crazy. Go find something different to do, and I will make sure our family is okay." And so I did. And this June will be five years of having Vitality here in St. Louis and serving women and trying to lean into all the pain and the things and the feelings they're dealing with from all the things and the feelings I dealt with having walked that path.Lesley Logan 10:13  Yeah. Oh, Dr. Amy, I love that you shared that whole story because I think there's so many women who are listening here and, like, they don't have, they may have one kid or they have no kids, but, like, I think we can all relate to, like, having just too much on the plate because.Amy Loden Tiffany, MD, MBA 10:27  Right.Lesley Logan 10:28  Hello, my high-achieving woman. I see you, everyone here listening. We call recovering perfectionists and overachievers. There's nothing wrong with being a high achiever, but what happens is we tend to just keep saying yes to things, and we're like, yeah, we can fit that one more thing in, that one more thing. All of a sudden, it just comes to, like, a volcano breaking point. Yes, and because we don't, we don't see the signs early that we are at the breaking point. We don't, you know, we, it's almost, it's actually proven to be not true. But everyone uses the frog in the boiling water, right? Like, we just kind of, like, you don't realize how hot it's getting until it's until your daughter is crying in front of you. Oh, exactly.Amy Loden Tiffany, MD, MBA 11:05  Yes, it was awful. I never want to relive that moment.Lesley Logan 11:08  Yeah, but also, like, thank goodness for her because that she felt brave enough to say that. Like, what a badass she is. I mean, she's just going to be, like, she's just going to be a girl who speaks her mind. She does.Amy Loden Tiffany, MD, MBA 11:18  She's 13 now, and she heard me tell that story once, and now she's like, "Well, you have to credit me for opening your business because I hadn't said what I did." I was like, "Won't you just tone it down a notch, please?"Lesley Logan 11:27  It's called balance, babe. It's called balance. Yes. Okay. So, can we, like, let's get to some of the health stuff that I think our listeners want to—I want to definitely get into perimenopause, but I do want to, because we started with a pregnancy, and I have had family members who, you know, have had preeclampsia in their, and it's scary. So, how are pregnancy complications connected to long-term heart risk? I don't think anyone's thought about that. I just thought, like, if it's because I don't have kids, like it's going to screw up your pelvic floor, and you might have to rebuild your abs and these other things. But I didn't know it can affect your heart long term.Amy Loden Tiffany, MD, MBA 12:01  I had no idea. I'm so glad you brought that up. So I actually did a TEDx talk on this very topic, where the idea is pregnancy is so much more than just the birth of a kid. That's how we think about pregnancy in our culture. That's even how we think of it medically, right? Like if you have preeclampsia, you have gestational diabetes, you have high blood pressure, whatever in pregnancy, the answer is end the pregnancy, deliver the kid if they're old enough, right? Like, get, move it along and it's gone. But that I strongly believe is not true. We can't test this in a lab, so you have to do a little bit of extrapolation here. But if we're going to call pregnancy a stress test, which is becoming an increasingly common term, is pregnancy a stress test of a woman's metabolism and her cardiovascular system? Then we have to ask, what are we stressing it for? And the way I'm looking at this is a little bit different than how I was trained, which again was, if you got the problem, the solution is in the pregnancy. So, what if we started looking at pregnancy from the perspective of this is an unveiling, an unveiling of what was already there, and that nothing's actually gone wrong. It's scary. It's horrifying. And yes, absolutely, people die. So how can I say nothing's gone wrong? What I mean is nothing has gone wrong in the context of the situation we put your body in. It's exactly responding the way it should for the context it's in. So if I have underlying insulin resistance, and then I put a pregnancy on top of that or perimenopause, and I'm starting to have more insulin resistance. Well, of course I'm going to develop gestational diabetes. If I'm having a lot more fluid retention and I'm putting up a low weight, of course my blood pressure is going to go up, right? If I've got underlying inflammation, of course preeclampsia is going to develop. So I think we need to stop and think about it as it's not done; it is unmasked.Lesley Logan 13:42  Got it. Amy Loden Tiffany, MD, MBA 13:42  And then once you know it's unmasked, you treat it.Lesley Logan 13:45  I see. I see. Because again, we think of pregnancy as just the baby, so you have the baby, but it's well, but there's a problem, an underlying problem that the pregnancy revealed is what you're saying. And so great if having the baby is the safest thing for both people, we do that. But also, you still have this underlying issue.Amy Loden Tiffany, MD, MBA 14:01  Yes, it's still there. Correct.Lesley Logan 14:03  Yes, and I don't think anyone does that. I think they're just, "Okay. Now you don't have gestational diabetes anymore." But I have had clients who had it, and then afterwards, so what do we got? Oh, I'm fine. Are you correct? I don't think so. I'm not a doctor, but they're not fine. Don't just be diabetes. Yeah, for a moment. Yes.Amy Loden Tiffany, MD, MBA 14:19  So I actually experienced this as a patient too. I went in after my first pregnancy with gestational diabetes. At the time, I was living in New York City. I walked everywhere. I was a normal weight. I ate pretty clean, and despite being in residency, I'd got decent sleep. I didn't have any other kids. It's my first kid, so I got decent sleep. Right, but I had the baby after having had gestational diabetes. I go see my OB, and she's, "Oh, just follow up with your primary doctor." I go see my primary doctor, and he's, "Your weight's normal, your labs are normal. We're done," and that is how I was trained too. So again, lots of love in my heart. They're not; they're just not told. But for more than 10 years, we've known that women who have these high-risk pregnancies are at high risk not just for diabetes, but heart disease, stroke, kidney failure, dementia. Listen, I can't treat dementia well in the clinic, right? So why wouldn't I want all hands on deck trying to prevent it?Lesley Logan 15:07  Yeah.Amy Loden Tiffany, MD, MBA 15:07  But that's not how our medical professionals are trained—nurses, advanced practice providers, any of them. And so we're asking people and expecting people to fill in a gap they don't know exists, and so all these reproductive-age women are falling into it. And then where it gets really interesting is some of the same things you have immediately postpartum in all your different types of hormone fluctuations are matched intermittently for 10 to 15 years before menopause when you're in the perimenopausal years.Lesley Logan 15:32  What?Amy Loden Tiffany, MD, MBA 15:33  Correct, but that's why these women are feeling, "I'm going to my doctor, I'm putting on weight, I'm doing all the things, it's not working," and they're being gaslit, partly because their doctors don't know what they don't know, and partly because we're not acknowledging this is the same physiologic status of hormones that are different than baseline. So we're not in a country, and we don't have the testing that would promote or facilitate checking what is your normal hormone level at 18, so that we know what 18 should look like, and then by 45, you know, we're not. So we're trying to patchwork together a whole bunch of tests, and different labs have different testing, and different people say different things about testing. It's very confusing.Lesley Logan 16:10  Yeah.Amy Loden Tiffany, MD, MBA 16:11  And you end up with women suffering. And at the end of the day, that's the problem I'm trying to solve: is how do we stop these women from suffering? Because they are called to live big lives, to be ambitious for a purpose, for a calling. They have a lot to do, and their health is one of their biggest assets. It should not be a liability.Lesley Logan 16:27  Yeah.Amy Loden Tiffany, MD, MBA 16:27  And that's what's happening, especially for women who are trying to not work just in the home but outside the home. Right? There's a lot they're carrying. Yeah. So that's, I don't remember. Sorry, I'm having a total perimenopause moment. I don't remember where we started with that question here. I'll stop there. Lesley Logan 16:42  Don't worry, babe. I got my focus meds on the ADHD today, so I'm tracking. So we're good. But we were talking about the postpartum, and then we got into those hormones that switch as, and they can repeat into perimenopause. And I think this is fascinating. I love that you brought up. It doesn't matter if you're in the home or out of the home. We have big lives. Correct. We can't have our health be a liability, and I think for a lot of us, it feels like, like my girlfriend's a weight-loss coach for women over 40 who feel like their body gave a middle finger. That's what her coaching is, and it's all about not going to yo-yo diet. That's not going to work. We have to figure out what is the underlying issues, and it can only go so far because you said we don't test our hormones at 18. We don't do that, so we don't know what is normal for us, and I remember I was having a lot of health issues, digestive issues in my 30s, and no doctor could help me. In fact, one doctor sending me to, I was in this weird part where they study HIV and Ebola in the hospital, and she's like, "Do you know why you're here?" I don't know why I'm here. I don't. This scares the hell out of me. This feels like a department I should not be in. I'm not in any pain. I feel like I'm taking someone's spot, and so because he could, he just couldn't figure out what's going on my stomach. So I found someone who did an actual test of everything. He's so range normal. We don't know what normal is for you. We just know what the average person of this population of people that who knows who they were that were tested. So what is normal for you might not be the average. And I was, "Oh well, that's the first time anyone said anything that makes sense. That's the first time." So you can be in range, but for your hormones, but it wasn't in range for you because maybe you were used to higher testosterone, you're used to higher things. And so I love that people like you exist. I'm sorry for the frustration of your own journey, but also without people like you, women like me wouldn't have someone going, "Hey, actually, maybe you should be on testosterone right now," even though the, this is what it is. Mine was actually zero, but people, you know, we can actually get you help because I feel so much better because someone finally was listening to me and thought, "Yes, we're not going to compare you to a random person. We got to compare you to how you're used to feeling."Amy Loden Tiffany, MD, MBA 18:42  Correct. And for most people, that can't happen in the traditional system.Lesley Logan 18:47  Yeah.Amy Loden Tiffany, MD, MBA 18:47  You can't do that in a 10-minute visit.Lesley Logan 18:49  Right.Amy Loden Tiffany, MD, MBA 18:50  You can't do it when your doctor has 3000 patients, 10-minute visits, and they really don't actually know who you are.Lesley Logan 18:55  Yeah.Amy Loden Tiffany, MD, MBA 18:56  You just can't. So we've got a little bit of unrealistic expectations as a society, and then you know any women's magazine or journal article you read says, "Talk to your doctor about this." So then you go in, I'm all prepared. I have my list. I've done it too, folks. Right? This is not a criticism, but they, they can't. They don't have the ability to process it, and the way they're paid is based on the questions they ask you for insurance. So every incentive is misaligned, and at the end of the day, women, people are being screwed.Lesley Logan 19:22  Yeah, yeah. No, it's so true. So I'm glad we talked about the postpartum. I want to get into now. We're in the perimenopause, and yep, this is hard because you mentioned the hormone shift of people after postpartum is its own crazy world. I keep checking on my sister-in-law every day. How are you feeling? Are you feeling okay? Right. You feel okay? She's, "I'm fine." Are you fine? Let me just, I just want you to know. It's okay if you feel different, right? I think I'm crazy, but I know that that people don't realize how they're feeling, and it's hard to get to the doctor until it's too late. So I'm just, I'm on her. But for people like me, we didn't have children, so we have never experienced a crazy shift. We just start to experience, "I don't feel like my, anymore," and all the symptoms are so different for every single person. I'm not having hot flashes, but I'm, I got to keep my hair still here. But my inflammation was insane. I was putting on weight and working out and eating the same. And I don't understand what's going on. You know, so can we talk a little bit about what, I don't know where you want to start with that. So you tell me where you want to start with my post, my perimenopausal people who are not necessarily attributing these changes to that.Amy Loden Tiffany, MD, MBA 20:27  So I think the biggest confusion I see in the exam room conversations is that there's just question of, am I in perimenopause or not? And it's more of a less of a yes-no and more of, are you on the spectrum, and where on the spectrum are you? And so if you think of it as a sliding scale, because some months those ovaries are working really great, and you feel all the feels, and you're 18 again, but a lot of months maybe you're more like 20 or 25, right? And then maybe out of the blue, I feel like I got run over by shock. Nothing's working for two or three months, and then we're back to 25, right? And so it's ups and downs. You're like, what is happening? It is a roller coaster, and it runs anywhere from 10 to 15 years before you actually go through menopause. So I think of it as reverse adolescence, and I think it's completely ironic that God lets us have teenage girls when moms are going through perimenopause because that is just double-adolescence whammy, right?Lesley Logan 21:19  And no wonder, no wonder marriages don't survive certain things. Right, you have a daughter going through puberty and a wife with a pair of menopause. Good luck to the husband. Correct, becauseAmy Loden Tiffany, MD, MBA 21:28  I want to have sex. I don't want to have sex. I have pimples all over my face. I don't want to go to the house. I do. My belly's bloated. It's not like my mood's up. All the things, and it's all in reverse. So it's a it's a period of a woman's life that I think needs to be acknowledged, and then within the healthcare system, there's more noise about it over the last five years. You're seeing more and more people talk about this, but there's not a lot of standardization, and so you're getting chiropractic, functional medicine, traditional medicine. You're getting all sorts of different recommendations. So my hope is that over the next decade, we start to see some standardization, and we start to say this is what is normal for this population. You still have to apply it to the person. You cannot take population data and apply it to individuals and say that you're going to have good luck, bye. We'll see you in a year. That doesn't work. What I do think is that women need to know what's normal for that time, and then they need to decide, do they want to do something about it beyond what their body is experiencing? And here's some really interesting data that I hope your listeners suddenly stop and listen. If they don't hear anything I've said yet, this will be really important for women who have hot flashes and night sweats. Either one, they're actually the same thing. We call them vasomotor symptoms. When you have those at a certain degree, so that they're happening most days of the week, more than 10 times a day would be an easy target to kind of pay attention to. You have that, and you choose not to take hormones. You actually have an increased risk for cardiovascular disease and stroke. That does not mean every woman in that category can or should take it. There may be reasons they can't, but the hormones we use today are different than what in the Women's Health Initiative that came out in the early 2000s. So you're getting a lot of confusion because women are reading about data from that, not realizing that it has changed, and that study is not going to be redone. It was a huge study. We're not going to see data like that, so we have to make really informed decisions. But cardiovascular disease, hear me, ladies. Cardiovascular disease, which includes stroke and heart failure, kills more women every year than all your cancers combined. Yeah, I get the women and they come in religiously for their mammograms or their Pap tests, right? But they don't know that the bigger risk is that they're going to die of heart disease, cardiovascular stroke, and we know that one in eight women, roughly, have breast cancer risk, and those women get it. One in two women are getting heart disease. So there's one inLesley Logan 23:50  Two.Amy Loden Tiffany, MD, MBA 23:51  One in two. So that means there's two of us on this call, right? We already know I'm going to get it because I had preeclampsia. So I'm the one. Lesley Logan 23:56  I was going to say. I hope it's not maybe. I hope it's not you. But, like, thank God you know that because I think it's one and two, especially if you don't know. Because if you know that you're at risk, you do. Then you can you do something. I am. I'm double the risk for breast cancer, so I have to do an MRI and a mammogram every six months, and I have some decisions I might have to make in my life. But because I know.Amy Loden Tiffany, MD, MBA 24:18  Right, I can take.Lesley Logan 24:20  I can take action. Yeah, correct.Amy Loden Tiffany, MD, MBA 24:22  And you know, using that same kind of history, if someone comes in my office and says that I don't want to take hormones because I was a breast cancer, I'm like, that's fine. But let's look at all the facts. Let's lay it out like your financial advisor does, and then you can make an informed decision. Because just acting out of fear or reacting is not wise either.Lesley Logan 24:38  I actually really appreciate you mentioning that because it's true. If I'm, I'm very lucky in that I still get to do the HRT that I'm on, even with my risk. But also they're checking me every six months, and I'm checking me. So if anything's going to happen, we're going to catch it so much more quicker. Whereas the hard stuff, there's only so much you can do with that. And so if you're, especially if you're not aware. Say there's all conversations, but I liked the way you laid it out with the wealth manager. I just met with mine. He laid out here's where we're being aggressive. Here's where we're doing this. Here's what's going on here. We're going to move this over here because we're going to risk-manage these risks. And I think that's that's a better way to look at it because we're not going to, every single one of us is unfortunately going to experience something because it's a body. We're not a machine. Amy Loden Tiffany, MD, MBA 25:21  It wears out.Lesley Logan 25:22  I did not know it was one in two, girl.Amy Loden Tiffany, MD, MBA 25:26  Yeah, and what's even more disturbing, you may have heard a lot of women have by now that women's heart disease presents differently than men.Lesley Logan 25:32  Yeah, can you tell us just in case my people haven't heard because I didn't know it was one in two? So let's go over the signs.Amy Loden Tiffany, MD, MBA 25:38  A lot of times people think of what's the so-called traditional? It's the jaw pain, the radiation of pain from your chest up to your jaw, to your back, down your left arm. Very classic symptoms. Classic because it was studied in men, and then we have these so-called atypical for women because they're not typical compared to men, but they're classic for women. And so, got a little bit of lingo here that it doesn't make total sense. But for women, sometimes it's they just feel a lot more anxious than they've been for unclear reasons. They have this sense that something bad is on the horizon. They can't really place why their sleep is different. Maybe they're having some shortness of breath they didn't used to have. Maybe they go up the stairs in their house, with a laundry basket, and they're huffing and puffing when six months ago they weren't. So it can be very subtle differences. It could be a new fatigue. Check labs are normal, but the fatigue's still there. That worries me when I hear women say this. Unfortunately, the number one sign that you have heart disease is sudden death.Lesley Logan 26:33  Oh.Amy Loden Tiffany, MD, MBA 26:34  So let that sink in for a second. So we can't always wait on what the signs are.Lesley Logan 26:39  Yeah, we can't fix that. Right. Correct. Okay, so that's hard because our signs are also. I feel like high-achieving women would so easily brush away that anxiety.Amy Loden Tiffany, MD, MBA 26:51  All the stuff. Correct. Because I have a lot of tabs open.Lesley Logan 26:54  Yeah, I got this going on, or I haven't been working out, so of course I'm out of breath going up the stairs. They would just so easily.Amy Loden Tiffany, MD, MBA 26:58  It's May, it's graduation season. It's wedding season, right? This is just aging, and that's not the story at all. The problem is 10-minute visit with your doctor who has 3000 patients. They don't know who you are. They're not going to notice that this is different for you.Lesley Logan 27:13  Yeah.Amy Loden Tiffany, MD, MBA 27:13  Decreased exercise tolerance is a big one. And so, if you could walk three miles every day in your neighborhood, now you're like, "Wow, I'm really struggling to get through one." I'm worried about that. I want to know what's going on and why.Lesley Logan 27:25  Yeah. So I guess since one getting a 10-minute visit is hard. I, where I live in, I live in Las Vegas. Last I heard, we are short general practitioners by 1400. I don't have one. I go to a women's clinic, and I'm really grateful. It's a, it's also a student-teacher thing. So I actually, they've caught things because the students are asking the questions because they'reAmy Loden Tiffany, MD, MBA 27:44  Yes, yes.Lesley Logan 27:46  I love them. I'm so grateful for them, but are there things that women can do to check their heart, or is it just being, is it just noticing the one mile versus a three mile? What can we, what are the signs we need to be checking on?Amy Loden Tiffany, MD, MBA 27:57  Certainly be aware of what your body is telling you. Again, if you have to remember nothing else, this is another one: is that your body is smart; it will talk to you, but you have to listen.Lesley Logan 28:05  Yeah.Amy Loden Tiffany, MD, MBA 28:06  So that's really essential. If something's different, say something. You're right. There's a big collapse, if you will, of how much support we have in healthcare, whether it's nurse practitioners or chiropractor or whatever. And the issue is not all of them are trained the same way. So when I worked in the OB/GYN clinic, it became apparent to both of us, on both sides of it, that OBs know stuff about women's health. I don't know, but I know stuff about metabolic and heart health that the OBs aren't taught, and most women use their OBs as their primary care, at least to a certain age.Lesley Logan 28:32  Right.Amy Loden Tiffany, MD, MBA 28:33  And again, you don't know what you don't know, so you don't realize what you're not looking for that you should be. And our system's not set up for good collaboration. So if I could tell women, here's a checklist of things I want to make sure you get, your doctor is going to give you some resistance, most likely because they don't realize that lipoprotein with a little a, it's like in parentheses at the end of it, not the big A. Lipoprotein little a. If you have that mutation, and 10 to 20% of our population does, you have a different rate of plaque development, at least risk for that than the average risk will miss. If you have high insulin levels, you have a higher risk that you're going to be on a pathway toward diabetes. Those are not things that are standard checks. So knowing that there's other tests you can ask for, and even if your insurance doesn't cover it, they're not expensive tests. Just get it once, right? Have an idea of what's going on in your body once gives you a ton of information. I offer a lot of our patients to wear different glucose monitors, even if they're not on diabetes. And all my physicians who are listening to this are probably like, "You do what?" But the reason is, if you can figure out that your glucose and insulin are high before you develop diabetes or pre-diabetes, if you figured out that insulin-resistant stage, that's a lot easier to fix, and our doctors aren't even taught about what is insulin resistance, what is the criteria for it, and how do we reverse it?Lesley Logan 29:47  Right, because there's some prevention we can do if we have information.Amy Loden Tiffany, MD, MBA 29:50  There's a ton, and it's things women can do in their homes or their businesses. It's not stuff I'm doing in the exam room.Lesley Logan 29:56  Yeah, and that's also, you know, you're listening to this podcast, you're kind of a go. Anyway, so you're gonna, you'll take the action. Our health insurance is very bizarre. I thought it was crap because, but it has a lot of preventative stuff that goes on with it. Hey, we want to put this thing in your house and check your heart and some other levels every, I don't know, two or three times a week. They keep calling them. I have two adults. We have two ADHD adults in this household. The box is here. One of us will open it when it becomes the pressure. I just have to hang tight. We'll get there. But I'm really impressed by that because we don't have access to a regular doctor. So what information can we gather so we could be watching it and monitoring it? So we can advocate for ourselves if something comes up. So having that prevention is really amazing. Okay, so we talked a little bit about the perimenopause and the different things. What are some simple shifts that women can make now to protect their future? I mean, obviously we have a wide range of women, so the now is different. But what are some things that they could be doing? Because I do think that they are getting information from the magazines and the Instagrams, and we should get it from the person who's experienced it and has seen it. You know, so you.Amy Loden Tiffany, MD, MBA 31:00  Some easy things, and I say easy relative because they're easy to do, which means they're easy not to do. So acknowledging that, right? It's real. Number one, understanding that just because you get eight hours of sleep, if they're not high-quality hours, you've got a metabolic risk from your sleep not being normal. That's important to understand because you spend a third of your life asleep, right?Lesley Logan 31:19  What's a metabolic risk? Just in case my people. So.Amy Loden Tiffany, MD, MBA 31:22  If you don't get good-quality sleep, your cortisol goes up. It's one of your stress hormones, and when cortisol goes up, glucose goes up. When glucose goes up, insulin goes up. Insulin's your fat-storing hormone. So even without your sex hormones being involved, or the ghrelin and leptin you're hearing about with weight and GLPs and all that, just those, you're not getting good sleep. It's going to be a problem. Insulin resistance is going to go up. Insulin resistance means your cells are not listening to the insulin your body is giving it, so your body works harder to get more insulin, and the cells work harder to ignore it, and it just keeps going in a vicious cycle. So if we consider that that's the root cause of a lot of these problems we've been talking about, we fix that. Number one is get good sleep, get good-quality sleep, and it's not, not just enough time in bed.Lesley Logan 32:02  Yeah, so.Amy Loden Tiffany, MD, MBA 32:03  That's important. Number two is most people don't realize that they're doing it backwards. They're, if they're, if they're even able to get exercise in their life right now, right? So we're going to make the assumption that you figured out some exercise regimen you like. We're, we're at that level, but they're doing it at the wrong time, and they're doing it in a way that they're sabotaging their end result. So rather than going to the gym and then going and eating dinner, or going to the gym first thing in the morning and skipping breakfast and all these things, you need to eat protein and fat, and then you need to move your thighs. I don't care if that's jumping jacks, going for a walk, running up the stairs, something where your thighs are moving regularly for 10 minutes. So make it whatever you like doing. This can be the mom at home who's doing all sorts of fun class activity with her kid, right? Like moving the baby around or the teenager can be equally fun to move around for what it's worth. And then it could be the CEO who's getting ready for a meeting and has 10 minutes after eating whatever lunch she had in the five-minute break she did, right? So looking at what makes sense in your life, but 10 minutes of physical activity, ideally after every meal, that's not realistic, but that's ideal. And then you start with the one meal a day you can do, and you do it most days of the week to start with, because most of us have to figure out how to make it a habit.Lesley Logan 33:15  Yeah.Amy Loden Tiffany, MD, MBA 33:15  But movement for 10 minutes after eating, it's, it's crucial. I cannot stress that enough.Lesley Logan 33:20  I didn't realize it was. It makes total sense moving your body after eating because I like to go for a walk after I have lunch. Otherwise, I'm tired. Correct. I can't go back to work now. Amy Loden Tiffany, MD, MBA 33:30  The reason you're tired though is because your glucose goes up and your insulin went up to match it. When you walk right after you eat, glucose still goes up, but it's less, and so you have less insulin spike. Insulin is the bright driver here, and so you've got to do the movement after. And if it helps to understand why, think back to what our ancestors did 1000 years ago. Right? We weren't checking hormones. We weren't checking insulin. We weren't talking about hacks. We were trying to survive most of the time. Yeah. But the things they did is they, if they, what, after they ate, they moved around. Right? Like they were building their shelters. They were taking care of the kids. They were moving in the community, helping build, create, relocate, whatever. They were always moving, and they did not get the whole three square meals a day. That's bogus. You don't need three meals a day, okay? And most of my ladies don't realize that they're eating their nutrients potentially in the wrong order for their body. That they're eating them in the wrong time for the cycle of the month they're in, they're not getting enough protein, not getting enough fat for their hormones and their brain, and it doesn't happen quickly, right? It's months, years, maybe even a couple decades before they're, I don't know what happened, but my body in the mirror is not the body in my head. This is not who I am. There's a disconnect, and they finally are at that place where they have to do something, where the body is forcing them to stop because they've pushed it as hot as you know.Lesley Logan 34:44  Oh my God, that's a whole episode. We're having you back. I'm just telling you right now because I want to have a whole episode on the whole. Because what I do know is if you eat certain things, if you work out too late, if you get your cortisol up, sleep that. I have been trying to figure out sleep for over a decade, and I, I get good-quality sleep most of the time. But I'm obsessed with it because I'm like, I don't want Alzheimer's. I do not want heart problems. It doesn't really matter what I'm doing at the gym if I'm not sleeping. None of that matters. Doesn't matter what you're, If you don't get good sleep, all the rest is gonna just fall apart anyways. So it's interesting. It makes sense about the food because I remember when I was having problems with my cycle and I had my one of my doctor friends, she said you should try seed cycling because I just, the worst cramps and, like, the worst everything was just the worst in the world, and so I tried seed cycling and my goodness, you know, I'm not a woo-woo girl, but the seed cycling makes, I got, I had no more zits, my boobs didn't hurt as bad, everything leveled out, and I didn't need any extra hormones for it. I was, whoa, so now there must be more. We need to know about it. So we'll have to have you back for that. I can talk to you forever. So we'll just, this is part one of many. I'm just going to take a brief break and then find out if people can find you, follow you, and work with you. All right, Dr. Amy Loden, where do you hang out? You mentioned St. Louis. Can people work with you if they're not in St. Louis? How does this work?Amy Loden Tiffany, MD, MBA 36:03  Yes, absolutely. Best way to get into contact with our office is just going to our website, www.vitalitymwc.org. They can sign up for a consultation, and we can go through what their options are. There is also lots of opportunity if you don't want to work with us directly, but you want to continue the conversation and hear what we're seeing. I do all the social media I can so that people can hear what's being said in their exam rooms and have it in their real lives too. So you can do that on follow me at Dr. Amy Tiffany, whether it's on Instagram or TikTok or Facebook. You find it where they're also on LinkedIn at Dr. Amy Loden. So lots of places depends on what their needs are. One special offer I do have for your audience: we talked about pregnancy and perimenopausal bit through this conversation, they can contact my office for a free physical copy of my book, The Postpartum Pivot. And before you stop listening, ladies, and you think, "Well, I'm not postpartum." If you've had a baby, you're postpartum even it's 20 years ago. Your body's different than it was before that baby, and so you can understand what does this look like for perimenopause and other types of areas that we go through as we grow less young, but grow more wise.Lesley Logan 37:03  Oh my God! Every one of my female females, that's where your Christmas present is. Sorry, just gonna get a doctor because they don't. It's, if their doctor doesn't tell them, they don't know, right? And then they are just going through it. And I feel so bad because every woman in my life is such a badass, and then they get their body doesn't keep up with what they're wanting to do in life, and then it just becomes not just like a liability, but like this hangup. So you are amazing. Okay, you've given us some great stuff already. I mean, we're gonna have to rewind, and I'll listen to this. I've got, you know, getting my notepad out, but our bold, executable, intrinsic, or targeted steps people can take to be it till they see it. What do you have for us?Amy Loden Tiffany, MD, MBA 37:37  I want each one. When you be it as you see it, I want you to be true to what your body's telling you, and recognize nothing's gone wrong. Listen when things are happening and they seem like it's a crisis. Nothing's gone wrong. Your body's talking to you. Listen, and when you listen, you become more wise. You become a better version of yourself.Lesley Logan 37:55  Okay, I really love that. We talked about that earlier, but it's true. Some of us think our body is against us, and it's doing something to us. But really, it's like, hello. The alarm bells. Amy Loden Tiffany, MD, MBA 38:05  It's doing exactly what it should do for the situation we've put it in. That doesn't mean we like it. You get diabetes. No one's like, oh yeah, my body did exactly what it's supposed to do. But if we understand that, then it becomes a neutral thought. It's not bad or wrong. It's I didn't listen, so now I'm going to stop, and the best place to reverse is as soon as you realize you're going in the direction. Right? It's not to keep going in the wrong direction. So nothing has gone wrong. We just need to listen. We need to turn around, create a better story.Lesley Logan 38:33  Love it. Love it. This is and then so enlightening. This is so fun. Thank you so much for being you and your and and the journey that you've been on is something we can all benefit from. So thank you for that, you guys. We all need to share this episode with all the women in our lives, and I would love for you to make sure that Dr. Amy knows your favorite takeaways. Send them to the Be It Pod as well. And since I'm going to have her back, not that I even like asked her beforehand, but I'm just going to tell her she's doing that. You can send your questions, and we'll make sure we get that. So, beitpod.com/questions. Until next time, my loves, Be It Till You See It. Lesley Logan 39:03  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 39:45  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 39:50  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 39:54  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 40:02  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 40:05  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Today, I am thrilled to reconnect with a previous guest, Dr. Mary Claire Haver.  Dr. Haver is a board-certified OBGYN, a certified menopause provider, and the founder of Mary Claire Wellness, a private medical practice focusing on women in midlife. Her best-selling book, the Galveston Diet, and her latest New York Times best-seller, The New Menopause, are fabulous resources for middle-aged women. In today's discussion, we dive into various aspects of perimenopause and the associated challenges. We discuss factors accelerating ovarian aging, the role of contraception, mental health shifts, and the often delayed diagnosis of premature ovarian insufficiency. We examine the differences between hormone replacement therapy and oral contraceptives, discussing the importance of advocacy for women's health and the benefits of vaginal estrogen. We explore the disparity in federal funding for women's health research, the impact of the Women's Health Initiative, body composition changes, the estrabolome, the 30 Plant Challenge, and the advantages of HRT. Dr. Haver also talks about her preferred supplements.  I'm sure you will find this conversation a valuable resource that you will likely revisit several times. IN THIS EPISODE YOU WILL LEARN: Why perimenopause is so fraught with chaos Some of the factors that hasten ovarian aging How perimenopause causes significant changes in neurotransmitters, leading to cognitive changes The differences between HRT and oral contraceptives How estrogen loss during menopause affects vaginal tissue The benefits of vaginal estrogen for symptoms of menopause  How women's health research funding prioritizes reproduction over menopause and perimenopause How HRT can help with fat loss and muscle mass in postmenopausal women The emergence of eating-disordered behaviors in menopausal women Some of the lesser-known symptoms of menopause and ways to overcome them How HRT could impact the longevity and cognitive health of women Bio: Dr Mary Claire Haver Dr. Mary Claire Haver is a board-certified OB-GYN who has devoted her adult life to women's health. When she began experiencing the changes of menopause and midlife weight gain, she created her online program, The Galveston Diet, which currently has over 80,000 students. The Galveston Diet is the first and only nutrition program in the world created by a female OB-GYN, designed for women in menopause. As part of her ongoing research, she became certified in Culinary Medicine in 2019, specializing in medical nutrition. In 2021, Dr. Haver opened Mary Claire Wellness; the clinic grew out of repeated requests from Galveston Diet students and Dr. Haver's social media followers for personal guidance.  Dr. Haver lives with her husband and two daughters in Galveston, Texas. She is the author of The Galveston Diet (Rodale; January 10th, 2023). Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Mary Claire Haver On the⁠ Mary Claire Wellness website⁠ ⁠Instagram⁠ ⁠TikTok⁠ ⁠Facebook⁠ ⁠YouTube⁠ Books Mentioned Dr. Haver's books, ⁠The Galveston Diet⁠ and ⁠The New Menopause ⁠ ⁠The Menopause Brain⁠ and the⁠ XX Brain⁠ by Lisa Mosconi Previous Episode Mentioned ⁠Ep. 308 Dr. Mary Claire Haver: Weight Gain in Middle Age, Perimenopause and Inflammation

Dolly Parton's death has sparked a push to make September 25 a national holiday, National Dolly Parton Day, a nod to her song "9 to 5," and Chalene Johnson breaks down the philanthropy behind it, including Jeff Bezos's $100 million Courage and Civility Award and over 300 million books donated through her charity work. Then Chalene explains how she woke up "Under Attack" on TikTok over a conspiracy theory tied to the Lindsay Clancy murder trial, after Patrick Clancy's attorney threatened content creators with defamation lawsuits and a stranger's video twisted what Chalene actually said about the case. Plus, the strange doctor wars breaking out in women's healthcare over HRT and testosterone pellets, why the Women's Health Initiative got it wrong, and a new legging lawsuit involving Buffbunny. Topics discussed: Dolly Parton, National Dolly Parton Day, Jeff Bezos, Courage and Civility Award, Dixie Stampede, Lindsay Clancy, Patrick Clancy, TikTok, defamation, postpartum psychosis, epistemic closure, Midi, Women's Health Initiative, HRT, testosterone pellets, Buffbunny, Vitality, leggings lawsuit. Join Chalene on Patreon her private podcast to hear all the latest on the Penthouse Drama and upcoming episode Session with a Renowned Pet Psychic  

Casey Stumpf is a nurse practitioner and my sister. Years in emergency medicine and hospice, a stretch inside military medicine at Camp Pendleton, and now her own practice in Montana treating hormones full time — perimenopause, menopause, testosterone for men and women. She is one of roughly 4,100 providers in the country holding the MSCP certification. There are 75 million American women in some phase of menopause. The math does not work. She is back to answer listener questions and to explain why estrogen patches are disappearing. The FDA says there is no shortage. Pharmacists say otherwise. Best estimate on a fix is two to three years. She lays out what the 2002 Women's Health Initiative did to an entire generation of women, and why the black box warning finally came off. Testosterone for women, prescribed off-label because no FDA-approved formulation exists. GLP-1s and what they pull out of you besides fat. Hormone therapy after breast cancer. Vaginal estrogen, UTIs, and hip fractures. The suicide risk in perimenopause that standard screening misses. Contact Casey Here: https://theradiantwelltality.com/ Today's Sponsors:  Ethos:  Get your free quote at https://www.ethos.com/clearedhot Cash App:  Download Cash App Today:  https://cash.app/ Terms apply. Bitcoin services by Block, Inc. See the Bitcoin disclosures at cash.app/legal/podcast.

How Long Does It Take You to Wake Up? The Cortisol Cheater Question You hit snooze six times. You need two cups of coffee before you can hold a conversation. Or the opposite: your eyes open at a level ten, heart already going, anxiety already running. There is a name for what is happening, and there is a test for it. Dr. Terri sits down with Carrie Jones, ND, FABNE, MPH, MSCP, the naturopathic physician known as the Queen of Hormones, for a conversation about the hormone testing almost nobody is ordering. Not blood. Not saliva. Urine metabolites, which show you not just how much of a hormone you have, but where it goes after your body is finished with it. Because that turns out to be the part that matters. Estrogen can travel down three different pathways, and one of them is protective while another is genotoxic. Testosterone can convert into something far more potent, which is why some women get hair loss and jawline acne on a dose that works beautifully for someone else. Progesterone can knock one woman out in ten minutes and do almost nothing for the woman next to her on an identical dose. None of that shows up on a standard panel. They also spend real time on cortisol, which has become the most misunderstood hormone on the internet. Dr. Carrie makes the case that we are doing to cortisol exactly what we did to estrogen after the Women's Health Initiative: blaming the messenger, missing the message, and reaching for supplements to suppress something the body is doing on purpose. This one is for anyone who has been told their hormones are fine, or who has tried hormone therapy and quit because of side effects nobody could explain. What you'll discover: What urine metabolite testing actually measures, and why hormones have to go somewhere (02:03) The three estrogen pathways, and which one you want to push toward (04:45) The pathway that explains breast tenderness, spotting, and estrogen sensitivity (07:58) Why testosterone causes acne and hair loss in some women and not others (09:23) Alpha versus beta: why two women on the same progesterone dose have completely different nights (11:16) Whether the route you take progesterone changes the effect (14:20) What cortisol metabolites reveal about your thyroid that a TSH will not (19:39) Free T3, reverse T3, and reference ranges that are normal but not optimal (21:39) Poor, poor cortisol: what it is actually doing for you, and why we get it backward (26:29) The everyday medications quietly suppressing your cortisol results (30:11) Serum, saliva, or urine: which cortisol test answers which question (34:57) The cortisol awakening response, and the cheater question you can answer yourself (36:24) When a urine metabolite panel is worth the money, and when it is not (40:22) Cruciferous vegetables, DIM, and the caution nobody gives you before you start (42:39) Supplements that support the DHT pathway, and why sourcing decides whether they work (47:01) Alcohol as a bully: how the liver decides what gets detoxified first (52:55) You are not stuck with the hormone you were dealt. You are working with a pathway, and pathways are modifiable. The Dr. Terri Show is presented by EVEXIAS Health Solutions. For more, visit: https://www.evexias.com Connect with Dr. Terri:

Dr. Jenn Simmons interviews Dr. David Rosensweet about the history, misconceptions, and latest science of hormone replacement therapy, especially in relation to women's health and breast cancer risk. In this episode, Dr. Jenn Simmons and Dr. Rosensweet explore the science and safety of hormone replacement therapy, the importance of personalized treatment, and innovative breast cancer screening methods like QT. They discuss how understanding hormone levels, testing, and new technologies can transform women's health and cancer prevention.Key Topics in This EpisodeHistory of hormone therapy and misconceptionsImpact of the Women's Health Initiative studyThe safety and benefits of bioidentical hormonesRisks of hormone therapy and how to evaluate themThe importance of early intervention in hormonal declineAdvances in hormone therapy research and future prospects Hormone levels and testing accuracySafety and personalization in hormone therapyThe importance of estriol and receptor sitesNew breast cancer screening technologies like QTThe impact of environmental toxins and lifestyle on women's healthChapters00:00 Introduction and guest background01:56 History of hormone therapy and misconceptions04:07 Impact of the Women's Health Initiative study05:51 Reevaluation and retraction of initial findings06:56 Why false narratives persist in medicine09:59 The science behind hormone safety and breast cancer risk15:00 Studies on hormones and breast cancer recurrence20:12 Progress in hormone therapy acceptance and future outlook25:11 The importance of early hormone intervention29:51 Hormone therapy in aging and longevity34:58 Practical signs and when to seek help40:01 Reversibility of hormone deficiency effects44:53 Risks, evaluation, and safety protocols50:07 Hormone therapy protocols and cycle management55:06 Cell biology of menstrual and menopausal changes59:50 Closing thoughts and future directionsTo talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Menopause was kept quiet for decades. Alicia J. Rose is done whispering. In this fierce, funny and deeply cathartic conversation, Lisa sits down with the award-winning filmmaker, photographer and musician behind MENOPUNKS—a documentary, podcast and growing movement using punk-rock rebellion to challenge menopause misinformation and demand hormonal justice. Alicia shares her own path from medical dismissal to becoming “hormonally radicalized,” why music remains one of Gen X's most powerful languages, and what happens when midlife rage is channeled into creativity, community and action. Lisa and Alicia also unpack the cultural fallout from decades of fear surrounding hormone therapy, the stories Alicia is hearing from iconic musicians, and the electric energy of Menopunkapalooza. This episode is for anyone who has wondered whether the problem was their body—or a system that never gave them the information, care and choices they deserved. Content note: This conversation contains strong language and discussion of medical dismissal, cancer, dementia, reproductive rights and political systems. It shares lived experience and advocacy perspectives and is not personal medical advice. Speak with a qualified healthcare professional about your individual circumstances. What we talk about: Alicia's symptoms became impossible to dismiss in her early 50s, but getting informed, appropriate care was anything but straightforward. MENOPUNKS grew from a personal health reckoning into a documentary, podcast and movement focused on misinformation, access and hormonal justice. Gen X's relationship with music matters: for the last analog generation, art did not just entertain us—it helped us define ourselves. Alicia is gathering menopause stories from musicians and artists, revealing common experiences of dismissal, confusion and feeling as though something was seriously wrong. Lisa and Alicia explore the lasting cultural fear created by the early reporting on the Women's Health Initiative and why informed, individualized care matters. Menopunkapalooza put menopause advocacy onstage with music, comedy, clinicians, politicians, resources and joy. Rage can consume us, but it can also carry information. When combined with creativity and community, it can become fuel for change. Listeners can support MENOPUNKS by following and sharing the project, listening to the podcast, buying merch or donating toward documentary post-production. Chapters: 00:01 — Meet Alicia J. Rose and the MENOPUNKS movement 00:57 — When menopause became bigger than Alicia's own body 03:45 — The echo chamber of hormone fear and misinformation 08:22 — Why Gen X may be uniquely equipped to change the story 10:47 — Music, identity and the last analog generation 17:18 — What musicians are revealing about menopause 20:21 — Feminism, cultural backlash and the future women expected 23:30 — The Women's Health Initiative and the consequences of its reporting 30:43 — Menopunkapalooza: reclamation, healing and euphoria 37:12 — Why resistance also needs joy 38:46 — How Gen X wants to age differently 40:38 — Storytelling as an uncensored source of power 41:55 — How to support the MENOPUNKS film, podcast and movement 44:07 — Alanis Morissette, consider this your invitation 45:10 — Uncaging rage and turning it into action MENOPUNKS website: https://www.menopunks.com/ About Alicia and the MENOPUNKS team: https://www.menopunks.com/about-1 Alicia J. Rose: https://www.aliciajrose.com/bio Instagram: https://www.instagram.com/menopunks/ Email: menopunks@gmail.com Podcast, merch, documentary updates and donations are available through the MENOPUNKS website. The Estrogen Dilemma - Historical Article Connect with Lisa: Lisa Boate | Menopause Consultant, Coach and host of Transforming 45 Website: https://liberatedmenopause.ca/ Email: lisa@liberatedmenopause.ca Instagram: https://www.instagram.com/lboate/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Does estrogen really cause breast cancer? It's one of the biggest fears women have when considering HRT, and in this conversation, Dr. Lindsey Berkson takes Tara back to where much of that fear began. They unpack the history of the Women's Health Initiative, how the original messaging around hormones shaped medical practice, and what later analyses of the research have shown. Dr. Berkson explains why she believes estrogen has been misunderstood, including the difference between estrogen's effects on different receptors and why "estrogen-positive" breast cancer does not necessarily mean estrogen caused the cancer. They also discuss research involving women with ER-positive breast cancer who received estrogen and what those studies reported. Dr. Berkson then shares her own breast cancer story and why it ultimately led her to spend decades researching hormones. This is a fascinating conversation about how medical messaging evolves, why women need to understand the details behind the studies, and why Tara believes these are conversations women deserve to have. In Part 1:  The history of the Women's Health Initiative and why it was created What the early research was actually showing about estrogen and breast cancer The controversial press release that changed the conversation around HRT What 20 years of reanalysis of the Women's Health Initiative revealed Oral vs topical vs vaginal estrogen: why delivery method matters Tara's experience with vaginal progesterone and sleep/anxiety The controversy surrounding oral progesterone The debate around estriol What "estrogen-positive" breast cancer actually means The theory behind estrogen and progesterone fueling breast tumors   Dr. Lindsey Berkson Lindsey Berkson, MA, DC, CNS, DACBN was a Distinguished Hormone Scholar at the Center for Bioenvironmental Research (CBR: Tulane/Xavier Universities). She is a leading figure in integrative medicine, renowned for her expertise in hormones, nutrition, digestion, and environmental science. With a background as a clinician, professor, bestselling author, and radio show host, she brings a wealth of experience to her work. At the CBR, she collaborated with pioneers in estrogen and sex-steroid receptor research. Dr. Berkson is also a respected educator, teaching MDs and pharmacists in advanced certification courses. She has developed innovative nutraceuticals, holds patents in bioidentical hormone therapy, and has contributed to groundbreaking research on dialysis/pharmaceutical medications and nutrition. Dr. Berkson consults internationally, focusing on medical nutrition for breast cancer, inflammatory bowel disease, renal problems, and complex health issues. Dr. B's Links: Email - admin@drlindseyberkson.com Webpage - www.drlindseyberkson.com Memberships - www.drlindseyberkson.com/membership Agile Thinking Substack - https://drlindseyberkson.substack.com/ Biotics Products - https://drlindseyberkson.com/bioticsproducts/ Hormones: Vilified to Vindicated (Course) - https://drlindseyberkson.com/v2v/ Oxytocin Medicine - https://drlindseyberkson.com/oxytocinmedicine/ **Get $100 off Dr. Berkson's Everything Breast Cancer and/or Everything Hormones Courses by using the code: PC100TARA https://drlindseyberkson.com/everythingbreastcancer/ https://drlindseyberkson.com/everything-breast-cancer-nonprofessional/ https://drlindseyberkson.com/everythinghormones/ Estradiol vs. Bi-Est Debate, watch here: https://www.youtube.com/watch?v=u-p82VW1weA&t=2508s Watch Tara's Instagram Live with Dr. Berkson here: https://www.instagram.com/reel/DN6ieQRE0PI/   Fix Your Gut Masterclass Stop Blaming the Food! The Real Reason You've Still Got Bloating and Pooping Problems and How to Fix Your Gut for Good. In this free, live masterclass Tara will walk you through the real reason your gut symptoms keep coming back, no matter what you've tried, and what actually needs to happen to fix them properly, at the root, for good. [Save your spot HERE]  

Is your doctor listening to you?Because you deserve to be heard.In this episode, we sit down with OB/GYN, menopause specialist, and longevity physician Dr. Jila Senemar to discuss how menopause care is changing. The good news? It's NO LONGER something you need to just get through. Wait out. Hot flashes?Weight gain?Poor sleep?Brain fog?Low libido?We have answers. No more merely accepting your fate! In this episode, we talk about:The currency of longevity.GLP-1s and HRTHow to check your body composition.What biomarkers to demand. The surprising leading causes of death among women.How to get your insurance to cover your tests.When to get a DEXA bone density scan and a CAC scan. If you've ever wondered whether you're "too young" for perimenopause, or you've felt dismissed by your healthcare provider, this conversation could completely change how you think about your current and future health. Listen and learn how to build the healthiest decades of your life. Because YOU are in charge!Connect with Dr. Jila Senemarhttps://www.instagram.com/drjilasenemar/Website: https://www.jilamd.com/Her Time, Her Health Podcast(00:00:50) Welcome Dr. Jila Senemar to the podcast(00:04:30) The Women's Health Initiative and why women were told "no hormones"(00:10:33) GLP-1s for weight loss in women in midlife(00:14:33) Body composition vs weight, and the importance of muscle for longevity (00:17:56) GLP-1s, HRT and muscle mass (00:22:42) PMOS and treatment of hormone imbalances with GLP-1s (00:26:07) Visceral fat loss, mortality in women and GLP-1s(00:29:00) Microdosing GLP-1 medications explained(00:34:00) Blood work every woman should ask for(00:39:45) What longevity really means and what to optimize today(00:47:25) Can you naturally boost your own GLP-1s?(00:52:57) When should women start preparing for perimenopause and menopause?(01:00:24) Where to find Dr. Jila SenemarWant to leave the TTSL Podcast a voicemail? We love your questions and adore hearing from you. https://www.speakpipe.com/TheThickThighsSaveLivesPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The CVG Nation app, for ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠iPhone⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The CVG Nation app, for Android⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Our ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Fitness FB Group⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Thick Thighs Save Lives Workout Programs⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Constantly Varied Gear's ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Workout Leggings⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Disclaimer: The information shared in this podcast is for educational and informational purposes only and is not intended as medical advice. The views expressed are those of the hosts and guests and should not be used as a substitute for professional medical diagnosis, treatment, or advice. Always consult your physician or qualified healthcare provider before making changes to your diet, exercise routine, medications, supplements, or healthcare plan.Guest opinions are their own and do not necessarily reflect the views of the hosts or producers. 

Should every woman take estrogen? Or should no one? According to Dr. Brendan McCarthy, both extremes miss the point. The best hormone therapy is personalized, evidence-based, and designed around the individual—not headlines or trends. In this episode, Dr. McCarthy explains why today's growing "estrogen for everyone" movement can be just as concerning as the outdated fear created by the Women's Health Initiative study. Hormone replacement therapy isn't about following the crowd—it's about understanding your body, your risks, and your long-term health goals. In this video, you'll learn: Why hormone therapy should never be one-size-fits-all The difference between individualized care and "pill mill" medicine What the Women's Health Initiative actually studied—and how it was misinterpreted Why estrogen helps with some conditions more than others The questions every woman should ask before starting hormone replacement therapy How experienced clinicians monitor hormones to keep treatment safe over time At Protea Medical Center, we believe hormone therapy should be built around you—your symptoms, your lab work, your health history, and your goals. If you're considering hormone replacement therapy, make sure you're working with a provider who takes the time to explain your options, monitor your progress, and adjust treatment as your body changes.  

Heart disease and stroke remain two of the biggest health challenges facing people in Ireland, but early detection can make a significant difference.   Next Tuesday (11th August), the Croí Mobile Health Hub will be in Ennis offering free blood pressure, pulse and cholesterol checks as part of a new community health initiative supported by the Michael Guinee Charitable Foundation. To tell us more about the service and why knowing your numbers is so important, Alan Morrissey was joined by the Chief Executive Officer of Croí, Mark O'Donnell. Image (c) Croí

For decades, women have been told that hormone replacement therapy causes breast cancer, but where did that message come from, and is it the full story? In this episode, Mary Alice Haney is joined by former SheMD executive producer and award-winning storyteller, Ami Armstrong, to unpack the Women's Health Initiative, the landmark study that changed the course of menopause care for an entire generation. Together, they explore how one of the largest women's health studies ever conducted became one of the most misunderstood, and why many experts are working to correct the narrative today.Mary Alice and Ami break down the difference between relative and absolute risk, discuss how media headlines fueled decades of fear around hormone therapy, and explain what today's research says about menopause treatment. They also examine why women have historically been left out of medical research, the importance of personalized healthcare, and how understanding your own risks can empower you to make informed decisions alongside your doctor.Subscribe to SHE MD Podcast for expert tips on PCOS, endometriosis, fertility, hormonal balance, mental health, and more. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.SponsorsK'chava: Treat yourself to a childhood favorite. Go to kachava.com and use code SheMD for 15% off your first order. Midi Health: Book your first virtual visit today at joinmidi.com. Babel: Right now, Babbel is offering listeners up to 60% off. Go to babbel.com/shemd. Rules and restrictions may apply. Osea: Get 10% off your first order sitewide with code SheMD at oseamalibu.com. Cash App: Parents and legal guardians can open a managed account for kids aged six through 12. Visit cash.app/legal/podcast for full disclosures. Opill: Opill is birth control in your control. Check out Opill to see if it is right for you. You can find Opill at most major retailers in store and online at opill.com. What You'll LearnWhy the Women's Health Initiative became one of the most influential and controversial studies in women's health.The difference between relative risk and absolute risk, and why that distinction matters.How media coverage dramatically changed public perception of hormone replacement therapy.Why today's menopause hormone therapy differs from what was studied in the original trial.How women were historically excluded from clinical research and how that affected medical care.What current evidence says about the timing of hormone therapy and menopause treatment.Why understanding your personal health risks leads to better conversations with your doctor.Key Timestamps00:00 Welcome Ami Armstrong02:57 Ami's own HRT journey & why she made this series05:04 The idea behind "It's Not a Purse" (Magritte inspiration)07:43 "Feminine Forever" and the history of estrogen marketing09:02 Why Ami dug into the Women's Health Initiative11:48 Getting women into clinical trials: the 1990s shift18:43 Placebo, estrogen-only & estrogen+progestin arms20:15 What hormones were actually used in the WHI22:04 The timing hypothesis explained23:14 Inside the July 2002 press conference decision24:53 Breaking down the breast cancer numbers (absolute vs. relative risk)27:06 Why the trial was stopped early & the estrogen-only results32:07 HRT use plummets & what hot flashes really mean35:42 The researchers who fought back42:32 Individualized risk & questioning the headlinesKey TakeawaysThe Women's Health Initiative began as an ambitious effort to better understand disease prevention in postmenopausal women but became defined by a controversial 2002 announcement that dramatically changed hormone therapy use.Headlines focused on relative risk increases without explaining the much smaller absolute risk, creating lasting public fear around HRT.The hormone formulations used in the original study are different from many of today's commonly prescribed bioidentical therapies.Experts now recognize that the timing of hormone therapy initiation plays an important role in determining benefits and risks.Women have historically been underrepresented in clinical research, leading to gaps in medical knowledge that continue to impact healthcare today.Every woman's health decisions should be individualized, based on current evidence, personal risk factors, and informed conversations with qualified healthcare providers, not fear-driven headlines.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

This episode, hosts Heather and Matthew welcome Dr. Susan Wilson, founder of Charleston HealthSpan Institute, to discuss her more than 30 years of experience helping patients navigate hormone deficiencies and menopause-related symptoms. Dr. Wilson shares her perspective on the long-term impact of the Women's Health Initiative study, how the understanding of hormone replacement therapy has changed over time, and why more women are seeking treatment today. We also dive into common misconceptions about hormone therapy and its  potential benefits for healthy aging. Tune in now for an informed discussion on hormone health!

Half of the people who show up with a heart attack have completely normal cholesterol. That statistic is exactly why I brought back Dr. Philip Ovadia, a board certified cardiac surgeon who spent years operating on hearts while morbidly obese and pre-diabetic himself. In 2016, before Ozempic or any of the GLP-1 medications existed, he lost 100 pounds and reversed his own prediabetes, and it changed what he believed about the disease he had spent his whole career treating. We get into why insulin resistance carries six times the heart disease risk that elevated LDL cholesterol does, based on the Women's Health Initiative data, and why nearly 90 percent of adults are walking around metabolically unhealthy without knowing it. Dr. Ovadia walks through fasting insulin, a simple and inexpensive blood test that can flag this risk years before a cholesterol panel ever would, and explains why imaging that actually looks at your arteries tells you more than blood work alone ever can. We also talk honestly about statins, what the real numbers behind their benefit show once the marketing is stripped away, and why he now tells patients that meat, not cholesterol, belongs back on the table. It is a conversation that reframes what actually predicts a heart attack and gives you real questions to bring into your next cardiology appointment. Normal cholesterol does not mean a healthy heart. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Get Dr. E's FREE 5 Red Flag Phrases guide here: https://freechapter.lpages.co/5-phrases-that-are-red-flags/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:15 - From obese surgeon to carnivore & "meat is medicine" 8:18 - Insulin Resistance vs. Cholesterol & the $15 Test 19:36 - Why Doctors Miss It: Fasting Insulin, CRP & GLP-1s 23:45 - Gut Health, Fiber, Fermented Foods & ApoE4 31:25 - Fixing the Cardiology Visit & What to Ask Your Doctor Guest Links: FB: https://www.facebook.com/ovadiahearthealth IG: https://www.instagram.com/ifixhearts/ YT: https://www.youtube.com/ ⁨@IFixHearts⁩ Dr. Philip Ovadia New Book: https://stayoffmykitchentable.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Brain fog, weight gain, mood changes, disrupted sleep, and a fading sense of feeling like yourself can all become part of the perimenopause experience. But why do these changes happen—and why are so many women still struggling to find informed care? In Episode 347 of Money Matters, Christopher Hensley, RICP, CES, speaks with Dr. Susan Hardwick-Smith, a nationally recognized OB-GYN, certified menopause practitioner, author, and founder of Complete Midlife Wellness Center. Dr. Hardwick-Smith explains the hormonal transition from the fertile years through perimenopause and menopause, including how changing estradiol, progesterone, and testosterone levels may affect the brain, sleep, metabolism, muscle, mood, and sexual wellness. She also discusses the continuing debate around menopausal hormone therapy, why specialized menopause training matters, and how women can begin planning for a longer health span. In this conversation What perimenopause is and why symptoms vary Brain fog, mood, memory, and sleep changes Metabolism, insulin resistance, and midlife muscle loss Sexual wellness and the role hormones may play Questions surrounding the 2002 Women's Health Initiative reporting How to find a qualified menopause practitioner Practical steps women can begin taking in their 40s and 50s Chapters 00:00 Compliance disclosures and show introduction 00:38 Cold open: hormones and brain function 01:04 Welcome and episode introduction 02:46 The three hormonal phases of a woman's life 04:35 How perimenopause may affect the brain 06:14 Why symptoms vary from woman to woman 08:19 Hormone therapy and the 2002 WHI debate 13:03 Metabolism, muscle loss, and midlife weight changes 15:57 Sexual wellness, desire, and testosterone 19:13 Who may benefit from treatment and finding informed care 21:29 Advocating for yourself in the medical system 23:17 Why Complete Midlife Wellness Center was created 24:46 Create Her and planning for a longer health span 27:11 Three practical steps for women in midlife Resources mentioned Complete Midlife Wellness Center The Menopause Society practitioner directory Create Her: Aging Into the Healthiest Version of Yourself by Dr. Susan Hardwick-Smith — book details and preorder information (publishes February 2, 2027) Subscribe to Money Matters for practical conversations about the financial, physical, and personal decisions that shape a well-planned life. This episode is for educational purposes and is not personal medical advice. Treatment decisions should be made with a qualified healthcare professional. Medical interpretations and treatment perspectives expressed in the conversation belong to the guest.

Karen Bigman's path to becoming a menopause sex educator is one of the most unexpectedly compelling origin stories we've heard on this podcast. She started in technology. She raised children. She worked in restaurants. And then, in her early 50s, newly separated after a 25-year marriage and struggling to orgasm with a new partner, she found her way to a sexual medicine practice run by Dr. Bat Sheva Marcus, where a nurse practitioner handed her a little blue bullet vibrator, suggested she try it in the next room, and Karen came back five minutes later saying "you just changed my life". That moment is the seed of everything Karen has built since. Her platform, Taboo to Truth, is dedicated to dismantling the two most pervasive myths she encounters in her work: that sex is something people stop having at a certain age, and that it's a topic too taboo to discuss openly. Her course, Men Meet Menopause, is built on the radical premise that male partners, often the most confused and the most shut out from the conversation, deserve their own education, their own language, and their own practical tools for showing up during one of the most significant transitions their partner will experience. In this episode, Karen joins Jenni and Daniel for a conversation that covers a remarkable amount of ground with warmth, humor, and genuine clinical depth. They dig into why menopause remains under-discussed even in 2026, the lingering shadow of the Women's Health Initiative, the male reluctance to name what they're observing, the shame women carry about bodies that are changing in ways they didn't expect. Daniel introduces the compassion sandwich, leading with care rather than observation, as the reframe that changes how every difficult conversation lands. Karen talks about the five pillars underlying sexual disconnection in midlife couples, and what it looks like when one of them wobbles. Jenni brings in the Cheesecake of Pleasure- her clinical framework for expanding a couple's repertoire beyond intercourse as the only available flavor, and the conversation around grief, creativity, and what it means to look forward to something bigger than what you're losing becomes one of the richest exchanges of the season. Karen's concept of sex snacks sits beautifully alongside it. Both frameworks point to the same clinical truth: when intercourse is temporarily or permanently off the table, the answer is not resignation. It's creativity. It's building a palette of pleasure that belongs to this season rather than mourning the one that's passed. Karen closes with the line that may be the most important thing in the episode: don't give up. Don't accept the myth that this is done. Don't believe that sex is only for young people or for other people or for the version of your relationship that existed before all of this. The research shows that women over 60 can have the best sex of their lives if they want. The invitation: for women navigating menopause and for the partners who love them, is to join the journey together and find out what's on the other side.See omnystudio.com/listener for privacy information.

There is a narrative circulating loudly in certain corners of social media and conventional medicine that what I do is not evidence-based. That functional medicine is supplement selling. That the testing is not validated. That providers like me are operating outside the bounds of legitimate medicine.I want to address that directly. Not because I am interested in a fight. But because the women listening to this deserve to feel certain about the care they are choosing. They deserve not to be destabilized by a confident-sounding voice that has not done the research.This episode is for you. And I am coming with receipts.Inside this episode, we cover:What evidence-based medicine actually means by definition, and why most people using it as a weapon are working with an incomplete version of itWhy the randomized controlled trial is the right tool for certain questions and the wrong tool for others, and what that distinction actually means for root cause medicineWhere the peer-reviewed research supporting functional medicine actually lives: the New England Journal of Medicine, Nature, The Lancet, Frontiers in EndocrinologyThe documented blind spots in conventional medical training: four hours or less of nutritional education across an entire medical school curriculumWhy the Women's Health Initiative may be the single greatest tragedy in women's healthcare, and what has changed in the decades sinceThe supplement accusation: what is true, what is misleading, and what the foundation of functional medicine is actually built onWhy the tests I use are not invented by functional medicine, and what the science actually says about cortisol curves, fasting insulin, comprehensive stool analysis, and full thyroid panelsThe story of a patient who came to me skeptical, and what the data said six months laterWhy the patient getting better is evidence, and why dismissing reproducible clinical outcomes as anecdote is a rhetorical position, not a scientific oneConventional medicine saves lives. Functional medicine restores them. Both of these things are true. And the women who need the second one deserve to pursue it without apology.You are not required to defend your healthcare choices to people who have not examined the research, have not sat with the patients, and have not followed the outcomes. The evidence exists. The research is in the journals. And the medicine that is actually restoring function in women who spent years being managed without being healed deserves to be chosen with confidence.Share this episode with one woman who has been made to second-guess the care that is actually working for her. She deserves the language to stand in it.Your next steps are below:✨ Free Guide: 9 Hidden Signs Your Metabolism Is Stuck in Survival Mode www.drkaceywallace.com/hiddenmetabolicmess✨ Adrenal Optimization Test (see your cortisol rhythm + DHEA clearly) www.drkaceywallace.com/innercalm✨ Hair Tissue Mineral Analysis www.drkaceywallace.com/htma✨ The Anchored Journey (application) www.drkaceywallace.com✨ Get the book: You Are Not Fine www.youarenotfine.com✨ Get our weekly newsletter: Dr. Kacey's Cornerwww.drkaceywallace.com/newslettersignupSupport the show

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

Welcome to "Thriving in Midlife" - The Women's Guide to Wellness, Longevity & Hormones After 40. This is your trusted space to cut through the noise, ditch the overwhelm, and finally feel extraordinary in your body, mind, and life. Are you ready to stop pushing through life and start living with intention, energy, and ease? Then let's get started. I'm your host, Kellie Lupsha, a high-performance health coach, and I am delighted to be your guide to vitality.In this eye-opening solo episode, we are diving into one of the most important menopause and midlife health conversations every woman over 40 needs to hear: why menopause dramatically changes your heart health and brain health, and what you can do about it.Most women know about hot flashes and night sweats, but very few realize these symptoms may be your body's early warning system for much bigger changes happening beneath the surface. Today, we are unpacking the latest research on estrogen, cardiovascular disease, cognitive health, perimenopause, menopause, and hormone replacement therapy (HRT), so you can make informed decisions during one of the most important health windows of your life.If you have entered perimenopause or menopause, or you are approaching it, this episode will help you understand why protecting your heart also means protecting your brain, and why timing matters more than ever.Key Highlights:➡️ Why heart disease remains the #1 killer of women, claiming more lives than all cancers combined.➡️ How your risk of cardiovascular disease increases 2 to 6 times after menopause.➡️ The critical role estrogen plays in protecting your heart, blood vessels, and brain.➡️ Why hot flashes and night sweats may be early warning signs instead of "just menopause symptoms."➡️ The surprising connection between menopause symptoms, blood pressure, cholesterol, and vascular health.➡️ The truth about the Women's Health Initiative study and why it created decades of confusion around hormone replacement therapy.➡️ Why the first 10 years after menopause may be the most important window for considering HRT.➡️ How healthy blood flow supports memory, focus, mood, and long-term brain health.➡️ The relationship between cardiovascular disease, dementia, and Alzheimer's disease.➡️ Why becoming the CEO of your health starts with understanding your hormones and advocating for yourself.Key Takeaways:"Your symptoms are not the problem. They're your body's smoke alarm asking you to pay attention." - Kellie Lupsha"What's good for your heart is also good for your brain." - Kellie Lupsha"Protecting your cardiovascular health today may be one of the most important things you do to protect your future cognitive health." - Kellie Lupsha"The timing of hormone replacement therapy matters. Starting within the right window can completely change the outcome." - Kellie Lupsha"You have to become the CEO of your own health because no one cares about your future as much as you do." - Kellie LupshaYour Midlife Health ChallengeThis week, take one proactive step toward protecting your future.✨ Schedule your hormone testing.✨ Review your cardiovascular risk factors with your healthcare provider.✨ Learn whether you are in the optimal window to discuss hormone replacement therapy.✨ Remember that symptoms are information, not something to ignore.Small decisions today can create healthier decades ahead.1️⃣ Take The Activated Woman Quiz: Why Do I Still Feel Off No Matter What I Try?Finally discover what's really going on. Take this personalized quiz to uncover the system driving your symptoms and the strategic shift your body needs to respond again.2️⃣ JOIN US IN THE WOMEN'S LONGEVITY & WELLNESS HUB! Offering a 14-day trial for only $11A Functional Wellness and Coaching Membership designed just for women over 50. The Hub is a monthly membership and supportive community where we combine science-backed protocols, natural healing tools, and expert coaching to help you finally get real answers and real results.

Bone health is one of those midlife topics that many women don't think about until a DEXA scan shows osteopenia or osteoporosis — and suddenly they're handed a prescription, told to take calcium, and left wondering, "Wait… is that it?" In this episode of Living Life Naturally, Lynne is joined by functional medicine nutritionist Cindy Dupuie for an eye-opening conversation about bone density, menopause, estrogen, DEXA scans, osteoporosis medications, and why women need to become stronger advocates for their own health. Cindy brings more than 20 years of experience in functional medicine, nutrition, digestion, thyroid health, lab work, and menopausal support. Together, Lynne and Cindy discuss why waiting until age 65 for a first DEXA scan may not be ideal for many women, especially because significant bone loss often occurs in the first decade after menopause. They also explore important risk factors for early bone loss, including family history, low body fat during key bone-building years, eating disorders, intense athletic activity, long-term steroid use, low vitamin D, and other pieces that are often overlooked. In This Episode: Lynne and Cindy talk about why bone density matters so much for long-term independence, mobility, and quality of life. They also discuss why Cindy recommends women consider getting a baseline DEXA scan earlier than the standard recommendation, especially if they have risk factors. You'll also hear about two important bone-turnover markers — CTX and P1NP — and how they may help provide a clearer picture of whether bone loss is being driven more by breakdown or lack of formation. Cindy shares why resistance training, muscle maintenance, and certain types of movement can be so important for bone strength. Lynne and Cindy also discuss estrogen's role in bone protection, why the Women's Health Initiative study created lasting confusion around hormone therapy, and why individualized conversations with a knowledgeable provider matter. This episode also includes an honest conversation about osteoporosis medications, including bisphosphonates, how they work, why they're commonly prescribed, and why women may want to ask informed questions about risks, benefits, duration of use, and monitoring before making decisions. Most importantly, this conversation is a reminder that you deserve more than rushed answers. You deserve to understand your options, ask better questions, and participate fully in decisions about your bone health, hormones, and future mobility.  

In our first summer series episode, we review a topic that keeps coming back. Hormone therapy for menopause. It was a thing, then it stopped being a thing, now it's a thing again.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Editor:    Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References:  Geographic variability of menopausal symptoms   1) Nappi RE et al. Global cross-sectional survey of women with vasomotor symptoms associated with menopause: prevalence and quality of life burden. Menopause. 2021 May 24;28(8):875-882. doi: 10.1097/GME.0000000000001793.    2) Nappi RE, et al.  Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas. 2023 Jan;167:66-74. doi: 10.1016/j.maturitas.2022.09.006.    What's the normal duration of symptoms   3) Avis NE, et al. Study of Women's Health Across the Nation. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015 Apr;175(4):531-9. doi: 10.1001/jamainternmed.2014.8063.  The Women's Health Initiative (WHI) studies   Rossouw JE et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA. 2002 Jul 17;288(3):321-33. doi: 10.1001/jama.288.3.321.    Anderson GL et al. Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women's Health Initiative randomized controlled trial. JAMA. 2004 Apr 14;291(14):1701-12. doi: 10.1001/jama.291.14.1701.   Decline in HRT after WHI studies   Sprague BL, Trentham-Dietz A, Cronin KA. A sustained decline in postmenopausal hormone use: results from the National Health and Nutrition Examination Survey, 1999-2010. Obstet Gynecol. 2012 Sep;120(3):595-603. doi: 10.1097/AOG.0b013e318265df42.   Danish Osteoporosis Prevention Study Schierbeck LL metal. Effect of hormone replacement therapy on cardiovascular events in recently postmenopausal women: randomised trial. BMJ. 2012 Oct 9;345:e6409. doi: 10.1136/bmj.e6409.   Kronos Early Estrogen Prevention Study (KEEPS) Harman SM, et al. Arterial imaging outcomes and cardiovascular risk factors in recently menopausal women: a randomized trial. Ann Intern Med. 2014 Aug 19;161(4):249-60. doi: 10.7326/M14-0353.   Kronos Early Estrogen Prevention Study (KEEPS) Hodis HN et al. Vascular Effects of Early versus Late Postmenopausal Treatment with Estradiol. N Engl J Med. 2016 Mar 31;374(13):1221-31. doi: 10.1056/NEJMoa1505241.    Stopping hormonal therapy   Berman RS et al. Risk factors associated with women's compliance with estrogen replacement therapy. J Womens Health. 1997 Apr;6(2):219-26. doi: 10.1089/jwh.1997.6.219.   Grady D, Sawaya GF. Discontinuation of postmenopausal hormone therapy. Am J Med. 2005 Dec 19;118 Suppl 12B:163-5. doi: 10.1016/j.amjmed.2005.09.051.   Tapering vs. abrupt stop or hormonal therapy   Haimov-Kochman R et al. Gradual discontinuation of hormone therapy does not prevent the reappearance of climacteric symptoms: a randomized prospective study. Menopause. 2006 May-Jun;13(3):370-6. doi: 10.1097/01.gme.0000186663.36211.c0. PMID: 16735933.

Your Hormones Are Killing You: Oxytocin, FSH, and the Anti-Aging Protocol Most Doctors Ignore Your hormones are running your love life, your intuition, your longevity, and your brain, and most doctors are getting it completely wrong. Host Dave Asprey sits down with triple board-certified OBGYN Dr. Anna Cabeca to break down the clinical science of oxytocin, female pleasure, hormonal optimization, and why fixing your hormones can make your 70s the best decade of your marriage. Dr. Anna Cabeca is a triple board-certified OBGYN and fellow of gynecology and obstetrics, integrative medicine, and anti-aging and regenerative medicine, with additional board certifications in functional medicine, sexual health, and bioidentical hormone replacement therapy. She is the bestselling author of The Hormone Fix, Keto-Green 16, and MenuPause, and has spent decades researching the clinical intersection of oxytocin, cortisol, estrogen, and progesterone on women's hormonal health, metabolism, and longevity. Her work on keto-green nutrition, vaginal and bladder microbiome health, and bioidentical hormone replacement has made her one of the most credentialed and clinically experienced voices in women's functional medicine practicing today. Dave and Dr. Anna break down the real pharmacology of oxytocin, including its role in muscle regeneration, cortisol suppression, mitochondrial signaling, and vagal tone optimization. They expose the toxic ingredients hiding in mainstream lubricants and vaginal hormone creams, including aspartame, parabens, and petroleum derivatives, and explain why the vaginal microbiome is a frontline organ for women's metabolism and anti-aging. They get into the neuroscience of orgasm, pineal gland activation, endogenous DMT release, and the neurochemical cascade behind peak altered states. Dr. Anna also breaks down the Women's Health Initiative disaster, the FDA's recent reversal on bioidentical hormone replacement, and why FSH is a critical and widely overlooked longevity biomarker. High post-menopausal FSH drives neuroinflammation, accelerates bone loss, and degrades brain optimization outcomes, and most physicians are not testing for it. This is essential listening for anyone serious about biohacking, longevity, anti-aging, functional medicine, human performance, brain optimization, and taking full ownership of their biology. You'll Learn: Why oxytocin functions as a regenerative hormone that rebuilds muscle, suppresses cortisol, and supports mitochondria signaling What toxic chemicals are hiding in standard lubricants and vaginal hormone creams and what to use instead How orgasm activates the pineal gland and triggers endogenous DMT release and altered neurological states Why female intuition may be directly linked to mitochondrial density concentrated in the ovaries How elevated FSH drives neuroinflammation, bone loss, and accelerated brain aging in post-menopausal women Why the FDA reversed 30 years of flawed guidance on bioidentical hormone replacement therapy How four days of sensory deprivation supercharges melatonin, oxytocin, and endogenous DMT production Why oxytocin combined with ketamine is being used clinically to break trauma patterns and rewire neural pathways How polyphenols, CoQ10, carnitine, and vagal tone training protect cardiovascular health and support longevity Why polypharma accelerates decline and what functional medicine does differently Thank you to our sponsors! - KILLSwitch | If you're ready for the best sleep of your life, order now at https://www.switchsupplements.com/and use code DAVE for 20% off - Gatlan | Book your free consultation at www.gatlan.com/DAVE - Redmond Real - Leaf Toothpaste | Go to https://redmond.com/asprey and use code ASPREY for 15% off your first order. - Neuronic | Go to www.neuronic.online Code DAVE for $100 off Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Dr. Anna Cabeca, The Girlfriend Doctor, oxytocin, bioidentical hormone replacement, FSH, follicle-stimulating hormone, vaginal microbiome, Velve lubricant, Julva, Mighty Maca, cortisol suppression, pineal gland, DMT, neuroinflammation, broken heart syndrome, NT-proBNP, vagal tone, dark retreat, orgasmic meditation, Women's Health Initiative, perimenopause, postmenopause, yoni massage, oxytocin nasal spray, cabergoline, prolactin, Pitocin, CoQ10, carnitine, Arterosil, polypharma, keto-green, The Hormone Fix Resources: • Get An Exclusive Offer On Dr. Anna's Products At: dranna.com/tribe • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 01:37 – What Is Oxytocin? 07:38 – Clean Lube Launch 09:11 – Toxic Lube Ingredients 17:08 – Oxytocin Prescribing 18:58 – FDA Reverses HRT Warning 26:50 – Dark Retreat & DMT 32:15 – Orgasmic Meditation 42:06 – Female Intuition 46:21 – Broken Heart Syndrome 51:15 – FSH & Hormone Monitoring See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

I am honored to connect with Dr. Stacy Sims today. She is a forward-thinking international exercise physiologist and nutrition scientist on a mission to revolutionize exercise and nutrition performance- particularly for women. In our conversation, we discussed the exclusion of women from research in the modern science era and how gender differences begin in utero. We look into the importance of tracking our menstrual cycles, the differences between follicular and luteal phases, and problematic ovulatory cycles, exploring the current research on oral contraceptives, the impact of the Women's Health Initiative, and the kind of training that is essential for women in perimenopause and menopause. We also cover the physiologic changes that occur in perimenopause and menopause, and Dr. Sims shares her thoughts on weight loss resistance, SECO, undereating, the importance of protein, and essential supplements for middle-aged women. I know you will love this invaluable conversation with Dr. Stacy Sims. IN THIS EPISODE YOU WILL LEARN: Why are women still excluded from many studies? How the physiological differences between men and women begin in utero and continue through adulthood How stress during pregnancy affects the developing fetus How the muscle morphology of women differs from that of men  Why girls need to learn new ways to move and build strength during puberty How tracking menstrual cycle phases helps women optimize their training The potential long-term effects of using oral contraceptives Why a diverse diet is essential for supporting gut health Common misconceptions surrounding hormone therapy Why Dr. Sims recommends creatine for women in perimenopause and menopause Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Stacy Sims  On her⁠ website⁠ Instagram⁠ ⁠Facebook⁠ ⁠TikTok

Menopause doesn't have to be miserable. Yes, we're going to age, and yes, our hormones are going to change, but we do not have to feel old, exhausted, foggy, and brushed off. In this solo episode of the Medical Disruptor, I walk you through how to actually balance your hormones through perimenopause and menopause, in the order your body actually works. Most women get handed estrogen and sent home, and I'm going to show you why that approach so often misses the real driver, and what you need to address first. I start by clearing up the difference between menopause and perimenopause so you know which stage you're really in, and then I explain why your sex hormones aren't the right place to begin. From there I walk through it in the order that actually matters: first insulin and blood sugar, which almost everyone skips, then cortisol and your stress system, which can quietly hog the raw ingredients your sex hormones need, and then your thyroid, where I explain why a single TSH number is not enough testing. Only after those foundations do I get into sex hormones and hormone therapy, including the real difference between HRT and BHRT, what you're actually being offered, and why the type, dose, and route of delivery matter so much. I also unpack the truth behind the Women's Health Initiative studies, the myth that menopause is simply estrogen deficiency, what estrogen dominance really means, and why testosterone matters for women too. You're not stuck, and you don't have to push your way through this. I'm Dr. E, the NP with the PhD, and I help humans go from medically gaslit to medically empowered. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case: https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 1:25 - Defining Menopause, Perimenopause & Hormones 3:06 - Why Insulin Comes First 5:38 - Cortisol & Your Stress System 7:21 - Getting Your Thyroid Tested Right 9:15 - Sex Hormones, HRT & Finding Balance Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Confessions of a Male Gynecologist, Dr. Shawn Tassone takes on one of the most confusing and controversial areas in women's health: hormone therapy. From menopause myths and fear-based medicine to wellness industry scams and influencer-driven misinformation, Dr. Tassone breaks down what women need to know before blindly following advice online — or accepting outdated medical opinions that don't match their symptoms. For decades, women have been told to fear estrogen, ignore symptoms, accept "normal labs," or believe that menopause is simply something they have to suffer through. But the truth is more nuanced. Hormone therapy can be life-changing when it is personalized, monitored, and based on the individual — not just a protocol, a trend, or a sales pitch. Dr. Tassone discusses the lasting impact of the Women's Health Initiative study, the rise of bioidentical hormone marketing, the misuse of testosterone in women, and why both conventional medicine and functional medicine can fall short when they stop treating the person in front of them. This episode is a call for critical thinking in women's health — because women deserve education, not fear. Options, not shame. And care that goes deeper than "your labs are normal." In This Episode, Dr. Tassone Covers: The biggest myths about hormone therapy and menopause care Why estrogen has been unfairly blamed and misunderstood What the Women's Health Initiative got wrong — and why it still impacts care today The difference between evidence-based hormone therapy and marketing-driven hormone trends Why "bioidentical" does not automatically mean better or safer How wellness scams target women who feel ignored by conventional medicine The problem with influencer-led menopause and hormone advice Why testosterone therapy for women needs nuance, context, and proper monitoring How telehealth hormone clinics can oversimplify care Why treating labs alone is not the same as treating the patient How women can identify credible hormone health information online Hormone therapy is not one-size-fits-all. The goal is not to chase perfect lab numbers, follow a trending protocol, or fear estrogen because of outdated headlines. The goal is to treat the individual woman — her symptoms, history, risks, goals, and quality of life. Episode Resources: Work with Dr. Tassone | Tassone Advanced Gynecology Dr. Tassone's Book | The Hormone Balance Bible Dr. Tassone's Integrative Hormonal Archetype Quiz | Learn Your Hormonal Archetype Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.

On this episode of Our Better Half, we enjoy an in-depth conversation with Dr. Sarah Girardi, a trailblazing urologist and female sexual health specialist with over 25 years of experience. Together, we unpack the often-neglected world of older adults' sexual health. Dr. Girardi connects the physical and urological realities of aging to the broader relational and emotional aspects of intimacy, drawing on her extensive clinical background to bust long-standing myths and advocate for the well-being of her patients. A primary focus of the discussion revolves around the biological realities of aging and the critical importance of proper anatomical education. Dr. Girardi emphasizes that recurrent urinary tract infections (UTIs) in women—regardless of whether they are 20, 60, or 90 years old—are frequently tied to sexual activity, making sexual health history a vital component of standard urological care. Furthermore, she addresses the widespread misconception that painful sex or a compromised sex life is just an inevitable part of growing older that women must accept. Through her practice, Dr. Girardi uses direct, empathetic tools—like using a mirror during exams—to help women understand their own changing bodies and reclaim their sexual vitality. She notes that while physical intimacy changes over time, a lack of compliance from one's anatomy doesn't mean intimacy has to end; rather, partners can discover new ways to pleasure each other beyond standard penetration. The episode also highlights major medical milestones and clarifies the science behind female sexual health treatments. Dr. Girardi discusses the historic November 10, 2025, FDA announcement that officially removed the decades-old black box warning on topical vaginal estrogen, a decision rooted in safety data reviewed during an intensive hearing in September of that year. She explains that topical vaginal estrogen is not absorbed systemically, but instead safely restores a low pH and healthy lactobacillus to the vaginal ecosystem, serving as a powerful defense against life-threatening conditions like urosepsis in older women. Shifting the conversation to non-hormonal desire medications like flibanserin, Dr. Girardi clarifies the public discourse surrounding the "Female Viagra" misnomer. She notes that while Viagra works on a purely physical level by maintaining blood flow to an erection, female arousal and desire operate through complex neural pathways in the brain. Ultimately, Dr. Girardi urges both patients and practitioners to reject a compromised quality of life, navigate past historical fears like the 2002 Women's Health Initiative study, and embrace the healthcare solutions women rightfully deserve. If you want to catch up on other shows, just visit our website and please subscribe! We love our listeners and welcome your feedback, so if you love Our Better Half, please give us a 5-star rating and follow us on Facebook and Instagram. It really helps support our show! As always, thanks for listening!  

Dr. Lisa Larkin, doctor of internal medicine and 35-year women's health specialist, joins Jon and Will to explain what men need to know about menopause and perimenopause. She covers why women age completely differently than men (fits and starts vs. gradual decline), the biological reasons behind declining libido, sleep disruption, mood changes, and body changes in women's 40s and 50s, and why communication is the single most important thing couples can do during this transition. She also breaks down breast cancer risk assessment (25% of women are high risk and don't know it), the history of hormone therapy from the 2002 Women's Health Initiative scare to where the science stands now, why she opposes high-dose testosterone pellets for women, and why lifestyle beats supplements every time. Dr. Larkin is a breast cancer survivor herself and past president of the Menopause Society.Full episode: https://podfollow.com/mentalkingmindfulness/episode/03387a9002dca750859496876727425e576ad645/viewFull video: https://www.youtube.com/watch?v=Q-gSueDpfWYFree A2A course access: use code FREE at https://men-talking-mindfulness-a2a.circle.so/checkout/free-accessFree Awareness assessment and Focus app: https://mentalkingmindfulness.com/linkinbio or text MTM to 33777 GET MORE FROM MTM:Text MTM to 33777 — free weekly newsletterSubscribe & Episodes: mentalkingmindfulness.comFREE APP: https://focusnowtrainingapp.com/FREE Assessment: https://focusnowtraining.com/assessment-pageA2A COURSE:12 modules on attention, presence & performance. Self-paced. Built for people who hate the word mindfulness.focusnowtraining.com/a2aBRING FNT TO YOUR TEAM:Custom training for your organization. In-person or online.focusnowtraining.com/contactCo-produced by Robert Lopez | cratesaudio.com

Are hormones really just about hot flashes and libido?In this eye-opening episode of the Wise Divine Women Podcast, Dana Irvine sits down with functional medicine practitioner, yoga instructor, and menopause educator Cindy Dupuie to discuss one of the most important—and misunderstood—topics in women's health: hormone replacement therapy, bone health, brain health, and aging well.Cindy shares her personal journey into early menopause at age 43 and how her experience led her to become passionate about helping women navigate perimenopause, menopause, and beyond. Together, Dana and Cindy explore the evolving science around hormone replacement therapy (HRT), the lasting impact of the Women's Health Initiative study, and why so many women are still struggling to access informed care today. In this conversation, you'll learn:✨ Why estrogen affects every organ system in the body✨ The connection between hormones, metabolism, inflammation, and gut health✨ How hormone health influences bone density, cardiovascular health, and cognitive function✨ Why osteoporosis prevention must start before symptoms appear✨ The importance of strength training, protein, and lifestyle habits during menopause✨ Common misconceptions about hormone replacement therapy✨ How to become a stronger advocate for your own health care✨ Why women need to understand their lab work and ask better questions✨ The role of functional and integrative practitioners in supporting healthy aging✨ How community and education empower women through menopause and beyondDana and Cindy also discuss the importance of personalized care, looking beyond symptoms, and creating a strong foundation through nutrition, movement, stress management, sleep, and hormone balance.Instagram @cindy_dupuie https://www.instagram.com/cindy_dupuie/Website alivingbalance.net https://alivingbalance.netYouTube channel https://www.youtube.com/@alivingbalanceFacebook: https://www.facebook.com/cdupuie/Course: Grace In Transition for Women Of A Certain Age https://alivingbalance.net/course/Download Lab Checklist for The Pause Years https://mailchi.mp/ec838eef0e74/lab-checklistTimestamps:00:00 - Introduction to women's health, menopause, and hormonal balance02:00 - Cindy's journey from dietetics to functional medicine for women's wellness05:00 - How estrogen impacts cell function and overall health08:00 - The gap in conventional hormone management practices11:00 - The Dutch Test and hormone monitoring innovations14:00 - The critical connection between gut health and hormones17:00 - Why HRT is like the “icing on the cake” in a foundation of health20:00 - Navigating conversations with healthcare providers about hormone therapy23:00 - The importance of baseline blood tests for preventative health26:00 - The impact of hormones on bone density and osteoporosis risk30:00 - Common barriers in accessing hormone care in the U.S. and Canada33:00 - Strategies for women over 60 to maintain vitality and independence37:00 - The role of lifestyle factors (stress, sleep, exercise) in hormonal and bone health41:00 - Key lab markers to assess bone health and inflammation44:00 - The importance of multifaceted approaches: diet, sleep, stress, and hormones48:00 - Community programs and online courses for women of a certain age“Take a breath and stay curious” — Embrace continuous learning and compassionate advocacy for your health.

Hi, it's Heather and I'm so glad you're here! Welcome to the newly renamed Health, Harmony and Heather podcast! This space is dedicated to exploring social phenomena, the human condition, and how we can better connect with ourselves, each other, and the planet. In this episode, I'm thrilled to welcome back my personal clinician and friend, Lauren Rosenberg. Lauren is a highly experienced physician associate, internal medicine expert, and the founder of Vent Health, a practice dedicated to shifting the medical focus from disease treatment to true preventative care and health optimization. Today, we are stripping away the stigma and diving deep into the raw science, truth, and real solutions for perimenopause, menopause, and post-menopause. The days of women suffering in silence are over. The "One Day" Truth: Why menopause is actually just one single day in your life, and what it means for your timeline. The Hormone Rollercoaster: A breakdown of how estrogen, progesterone, and testosterone behave during your cycle—and what happens when they plummet. Symptoms Beyond Hot Flashes: From brain fog, joint pain, and "frozen shoulder" to anxiety, weight gain, and urinary changes. The WHI Study Debunked: The real story behind the 2002 Women's Health Initiative study that scared a generation away from life-saving hormone replacement therapy (HRT). The Power of Peptides: How cutting-edge tools like GLP-1s, Tirzepatide, Retatrutide, and cellular repair peptides can be paired with HRT for total vitality. At-Home Longevity Habits: The non-negotiable lifestyle habits—including grip strength, Zone 2 training, lifting weights, protein intake, and specific magnesium variations—to help you thrive. Connect with Lauren Rosenberg: Learn more at myventhealth.com or follow her on Instagram @MyVentHealth. Virtual Menopause Care: Check out Midi Health (joinmidi.com) for accessible, insurance-based virtual menopause care. Trusted Supplement Brands: Designs for Health, Pure Encapsulations, Thorne, and Metagenics. AirDoctor.  Head to www.AirDoctorPro.com  and use promo code HEATHER to get $250 off select AirDoctor air purifiers, including the 3500, 4000, and 5500 models. Plus, you'll receive a free 3 year warranty, an $84 value, and AirDoctor's 30-day money back guarantee. This is an exclusive podcast only offer, available now! Don't forget to LIKE this video, SUBSCRIBE to the channel, and hit the notification bell so you never miss an episode. Let's live the last third of our lives with vitality, strength, and harmony! #Menopause #Perimenopause #HormoneReplacementTherapy #HealthyAging #Peptides #Longevity #WomensHealth #HealthHarmonyAndHeather Learn more about your ad choices. Visit megaphone.fm/adchoices

This powerful clip is from episode 356.In this Microsode, I sit down with Dr. Lorna Brudie—former GYN oncologist and Medical Director at Excel Medical to talk about the Women's Health Initiative, the decades of confusion around hormone replacement therapy, and what happens when women are dismissed instead of investigated. But underneath all of it is something deeper: the danger of disconnecting from your body long enough that exhaustion, brain fog, anxiety, poor sleep, and burnout become “normal.”This episode is a reminder that prevention requires responsibility. No one is coming to advocate for your health harder than you.Missed the Full Episode? Check it out here:LISTEN TO EP 356 ON APPLE PODCASTLISTEN TO EP 356 ON THE SPOTIFY PODCASTWATCH EP 356 ON YOUTUBE⭐️YOUR SUPPORT MATTERS: Please: Subscribe + leave 5⭐️Star rating +review HEREEnjoy! xRxFIND ME ON:️INSTAGRAMSUBSTACKYOUTUBETWITTERTHREADSFIND DR. LORNA ON:IGWEBFREE RESOURCES:

In this episode, we're diving into the complex and often misunderstood topic of menopause and perimenopause. Despite affecting every woman who lives into late life, menopause has long been underfunded, understudied, and minimized both culturally and medically. Today, we'll explore why clinical care for women in the menopause transition has lagged behind, examining the deep historical roots of gender bias in research, the fragmentation of women's healthcare, and the profound impact of the Women's Health Initiative (WHI) study, which triggered decades of fear and misinformation about hormone therapy. Enroll now in: Under-Recognized, Under-Treated, and Misrepresented Realities of the Perimenopause and Menopause Transition, with Leslie Fuller, ND and Jillian Moehle, ND at https://pages.kharrazianinstitute.com/fuller-moehle-perimenopause00:00 Historical oversight in menopause care06:00 Women's Health Initiative study flaws08:29 Impact of WHI study miscalculation10:28 Misinterpretation of breast cancer risks13:44 Correcting hormone therapy myths17:23 Podcast resources and educational coursesSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

For far too long, many women have been told their symptoms were normal, exaggerated, or simply something they had to live with—treated as isolated problems instead of part of a much larger hormonal transition happening inside the body. On this episode of The Dr. Hyman Show, I'm joined by Dr. Sharon Malone, host of The Second Opinion podcast and Chief Medical Advisor at Alloy Women's Health. We discuss how menopause and hormone therapy became so misunderstood, the real story behind the Women's Health Initiative study, and why a more individualized, prevention-focused approach to women's health is long overdue. Watch the full conversation on YouTube, or listen wherever you get your podcasts. We explore: Why so many women enter perimenopause completely unprepared—and how symptoms can begin years before menopause officially starts What the Women's Health Initiative actually found, and how one medical narrative reshaped women's healthcare for decades How menopause affects far more than reproduction, including the brain, heart, sleep, metabolism, and bone health What you should know about hormone therapy today, including timing, individualized treatment, and understanding risk in context The daily habits that still matter most for healthy aging, whether or not you choose hormone therapy Midlife health should never be reduced to “just deal with it.” The more women understand what's happening inside their bodies, the earlier they can take steps to protect their long-term health and quality of life. View Show Notes From This Episode Sign up for Dr. Hyman's Brainshaping Academy to learn how to nourish the biological systems that support your mental, emotional, and cognitive health - ⁠Click Here⁠ Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by Paleovalley, Pique, Perfect Amino, Rho, Sunlighten and BIOptimizers. Head to paleovalley.com/hyman to save 15% off your first order today. Secure 20% off your order plus a free starter kit at piquelife.com/hyman. Go to bodyhealth.com and use code HYMAN20 to get 20% off your first order. Head over to rhonutrition.com and use code HYMAN to get 20% off their entire product line. Visit sunlighten.com and use code HYMAN to save up to $1600 today! Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%. (0:00) Introduction, survey on hormone use, and Dr. Sharon Malone's expertise   (4:04) Importance of women's health research and historical neglect   (5:35) Lack of education and preparation for menopause   (6:28) Societal and historical biases in women's health   (9:05) Observational studies vs. randomized controlled trials   (13:30) Life cycles, hormonal changes, and stages in women   (19:26) Detailed stages of hormonal changes and perimenopause   (23:00) Misdiagnosis and definition of menopause   (25:02) The term "postmenopausal" and its significance   (26:34) Impact of menopause on organ systems and major symptoms   (31:19) Lifestyle factors and hormone therapy options   (39:25) Black box warning, Women's Health Initiative, and therapy timing   (45:00) Women's Health Initiative findings and breast cancer risk   (47:57) Reinterpreting breast cancer risk and black box warning   (53:21) Personalized hormone therapy and clinical diagnosis   (59:55) Importance of estrogen and bioidentical vs. synthetic hormones   (1:03:35) Addressing sexual health and testosterone use for women   (1:08:05) FDA-approved peptides for women's arousal disorder   (1:09:57) Long-term benefits of hormone therapy   (1:12:43) Early menopause, hormone therapy, and health impacts   (1:15:07) Estrogen's role in brain health and dementia prevention   (1:16:22) Alzheimer's risk in women and hormonal 

If Part 1 was about the field of sexual medicine, Part 2 is about the marriage at the center of it. Dr. Jenni Skyler and Daniel Lebowitz return to their conversation with Dr. Irwin and Sue Goldstein, and this time, the questions get more personal. How do you stay married for fifty years? What does great sex actually look like across the decades? And what happens when a woman who has spent her career in sexual medicine starts experiencing low desire herself? Sue Goldstein opens up about her own journey through peri-menopause and the slow erosion of her libido- what she calls "duty sex", and the medications that brought not just her sex drive back, but a playfulness in her marriage she hadn't realized had gone missing. She walks listeners through her menopause toolbox of five treatments, explains why she's "76 and feels like she's in her 50s", and dismantles the lingering fears from the Women's Health Initiative that have kept generations of women in what she calls hormone prison. Dr. Irwin shares his own daily protocols for sexual health, why he believes most older men are leaving capacity on the table, and the surprising data from their own clinic- that more than half the Vyleesi prescriptions they write are off-label for men. They explore why dopamine is dopamine, regardless of gender. The reality of persistent genital arousal disorder. And a remarkable story of a teenage horseback rider whose chronic arousal turned out to be a herniated disc. This episode is full of practical wisdom, clinical innovation, and one of the most real conversations about long-term love you'll hear all year. The Goldsteins' secret to fifty years of marriage? Best friends, good sex, and the willingness to keep trying new things — including a chocolate sauce on the day before you change the sheets. Irwin Goldstein, MD, IF (he/him/his). Director, San Diego Sexual Medicine 5555 Reservoir Drive, Suite 300, San Diego, CA 92120, Director, Sexual Medicine, UC San Diego Health East Campus, San Diego, CA. Clinical Professor of Urology, University of California at San Diego. Voluntary Clinical Professor of Obstetrics, Gynecology and Reproductive Services Past President, International Society for the Study of Women’s Sexual Health. Past President, Sexual Medicine Society of North America. Editor Emeritus, Sexual Medicine Reviews, The Journal of Sexual Medicine, International Journal of Impotence Research. Phone: 619 265-8865 - Mobile: 619 987-7432. Email: dr.irwingoldstein@gmail.com. http://www.sandiegosexualmedicine.com. Like us on Facebook: https://www.facebook.com/SDSexMed. X: http://twitter.com/SDSexualMedSee omnystudio.com/listener for privacy information.

Hormone therapy after breast cancer is one of the most nuanced and emotionally charged conversations in women's health.For decades, many women have been told the answer is simply: no.No discussion.No nuance.No consideration of quality of life, sexual health, bone health, brain health, or the individual woman sitting in the exam room.But what does the research actually say?In this episode of Pleasure in the Pause, I welcome back Dr. Susan Hardwick-Smith, board-certified gynecologist and certified menopause practitioner, for a grounded, evidence-informed conversation about hormone therapy after breast cancer.This is not a conversation about ignoring risk.It is a conversation about understanding risk clearly, asking better questions, and making informed decisions in partnership with your physician.About our guest: Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and certified menopause practitioner specializing in women's midlife wellness, hormone optimization and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness." Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well a multiple time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best rated" gynecologists several consecutive years. Dr. Susan is also an ICF certified life and leadership coach, multiple time marathoner and Ironman triathlete, and mother of 3 teenagers. Highlights from our discussion include:What the Women's Health Initiative actually found — and why the headlines created so much confusionWhy breast cancer type matters when discussing hormonesWhat the research shows about hormone therapy and breast cancer recurrenceWhy some women on aromatase inhibitors may still be able to discuss options like progesterone, testosterone, and vaginal estrogen with their doctorHow to prepare for a more informed conversation with your physicianWhy collaborative decision-making matters in women's healthcareThe importance of considering quality of life, sexual health, bones, heart, and brain health — not just risk My hope is that this episode helps you feel more informed, more empowered, and more confident asking questions about your own body and care. If you're seeking to reclaim your pleasure and vitality, join Gabriella at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.Resources:Dr. Susan Hardwick Smith: https://drsusan.com/ Instagram: https://www.instagram.com/drsusanofficial/ Bluming review article in Cancer journal (2022): https://pubmed.ncbi.nlm.nih.gov/35594465/ Menopause Society consensus paper (January 2026): https://www.imsociety.org/statements/position-papers-and-consensus-statements/ Hormone Replacement Therapy After Breast Cancer: It Is Time Avrum Z. Bluming, MD LINK - https://bit.ly/4st0uji Menopausal Hormone Therapy for Breast Cancer Patients: What Is the Current Evidence? LINK - https://bit.ly/41leKytAmerican Urological Association Guidelines on GSM 2025 https://www.auanet.org/guidelines-and-quality/guidelines/genitourinary-syndrome-of-menopauseCONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Full episodes on YouTube.The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

Episode 2805 - Vinnie Tortorich and Anna Vocino discuss a cholesterol conundrum regarding CAC scores, numbers, and how to naturally balance those numbers. https://vinnietortorich.com/2026/05/a-cholesterol-conundrum-episode-2805 PLEASE SUPPORT OUR SPONSORS Pure Vitamin Club Pure Coffee Club NSNG® Foods VILLA CAPPELLI EAT HAPPY KITCHEN YOU CAN WATCH THIS EPISODE ON YOUTUBE - @FitnessConfidential Podcast Vinnie's workout videos are available to purchase! Choose from a 2-day, 4-day, or 6-day workout–or buy all three at a discount! TO PURCHASE VINNIE'S WORKOUT VIDEOS, CLICK THIS LINK: https://vinnietortorich.com/workout A Cholesterol Conundrum Vinnie recently posted on social media about the Women's Health Initiative. (3:00) The problem with Google is that you can "Google yourself right," so you can always find confirmation bias. There is a growing awareness of what constitutes a "clean" product. (17:00) For example, Anna's spices do not have fillers, preservatives, or anti-caking agents. Vinnie shares a story about a recent consultation. (28:00) CAC scans (calcium score test) are a great guide to see if heart disease will be an issue for you. Repatha was recommended even though the patient's numbers were great, and his calcium score was zero. Consider exploring natural supplements and lifestyle changes to manage cholesterol. The Cholesterol Code movie by Dave Feldman provides good information on cholesterol levels and the benefits of a low-carb diet. Anna goes over some bloodwork numbers and wants to discuss with her doctor. (50:00) Remember that the number ranges given in the results are representative of the general population. (52:00) It is often recommended to take CoQ10 alongside a statin. Statins deplete CoQ10, which can lead to muscle damage. Anna's products are now linked to PureVitamin Club's website. Look under the "Food and Snacks" section so that you can purchase them there, too. (58:30) https://purevitaminclub.com/collections/food-and-snacks The NSNG® VIP GROUP IS NOW CLOSED AGAIN AS OF SUNDAY, MARCH 15TH Anna's next cookbook, Eat Happy Cocktail Hour, is filled with cocktails, mocktails, and appetizers and is available for pre-order right now. If you pre-order, you'll get bonus goodies! You can preorder from a wide variety of booksellers at https://eathappycocktailhour.com/ Save your receipt from wherever you preorder, you'll need it for your bonuses! Physical Release Date is October 2026 A New Sponsor Jaspr Air Scrubbers has a discount code, VINNIE, that gets you $200 off for a limited time. Jaspr offers a lifetime warranty. Go to Jaspr.co for more information or to purchase. (1:05:00) You can book a consultation with Vinnie to get guidance on your goals. https://vinnietortorich.com/phone-consultation-2/ More News Serena has added some of her clothing suggestions and beauty product suggestions to Vinnie's Amazon Recommended Products link. Self Care, Beauty, and Grooming Products that Actually Work! https://www.amazon.com/shop/vinnietortorich/list/3GPVU29UHHPMY?ref_=aipsflist Don't forget to check out Serena Scott Thomas on Days of Our Lives on the Peacock channel. "Dirty Keto" is available on Amazon! You can purchase or rent it here.https://amzn.to/4d9agj1 Please make sure to watch, rate, and review it! Eat Happy Italian, Anna's second cookbook, is available! You can go to https://eathappyitalian.com You can order it from Vinnie's Book Club. https://amzn.to/3ucIXm Anna's recipes are in her cookbooks, on her website, and on Substack —they will spice up your day! https://annavocino.substack.com/ PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views it receives, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries

Is progesterone the same as a progestin? It sounds like it should be. It is absolutely not. And that distinction matters more than most women — and many providers — realize.This is the conversation Dr. Carolyn Moyers has multiple times a day in clinic — especially with women in perimenopause who are trying to understand their options, figure out why a previous hormone regimen made them feel worse, or advocate for a prescription that actually fits their biology. It is also one of the most consequential mix-ups in all of menopause medicine, and it is long overdue for a dedicated episode.Bioidentical progesterone and synthetic progestins are not interchangeable. They have different molecular structures, different receptor profiles, and meaningfully different effects on your breast tissue, your cardiovascular system, your sleep, and your brain. The WHI study — the one that scared a generation of women off hormone therapy — tested a synthetic progestin, not bioidentical progesterone. And the breast cancer finding it reported was not even statistically significant. That context has been almost entirely missing from the public conversation. Until now.In this episode:• What bioidentical progesterone actually is — and how it differs from synthetic progestins at the molecular level• The WHI study: what it actually tested, and why its results have been misapplied for 20+ years• Breast cancer risk: the ESTHER study and what the evidence actually shows• Cardiovascular differences between progesterone and MPA (Provera)• Why progesterone is a neuroactive steroid — and what that means for your sleep, anxiety, and mood• Uterine protection: what it is, why it matters, and whether bioidentical progesterone is sufficient• What to do if you don't have a uterus — and whether you still need progesterone• Perimenopause: why the progestogen conversation is completely different when you still have cycles, variable ovarian function, and potentially need contraception• The levonorgestrel IUD, norethindrone acetate 5mg vs. the minipill, and Slynd (drospirenone 4mg) — what each one does and who it's for• Exactly how to advocate for yourself at your next appointmentResources mentioned:• ESTHER Study (Fournier et al.) — progesterone vs. MPA and breast cancer risk• Women's Health Initiative (2002)• Prometrium prescribing information• Labia Logic (@labialogic) — vulvovaginal specialists | Memorial Day vulvar health post: instagram.com/p/DYqK9uvj2M8• Sky Women's Health Podcast — Episode 158: Progesterone Intolerance | podcasts.apple.com/gb/podcast/episode-158-progesterone-intolerance/id1541657642?i=1000640152675Work with Dr. Moyers: skywomenshealth.com | In-person: Fort Worth, TX | Virtual: Texas & West Virginia

Today, I'm thrilled to connect with Dr. Jordan Emont. He is a board-certified OB-GYN with specialty training in menopause medicine, integrative hormonal care, and sexual health, and is one of fewer than 5,000 physicians worldwide who hold the Menopause Society-certified practitioner designation. In this conversation, we unpack the fear narrative surrounding HRT and clarify the distinctions between estrogen, progesterone, and cancer risk. We explore the impact of the Women's Health Initiative and discuss why rigid dogmatism has no place in women's health, the risks associated with early menopause and premature ovarian insufficiency, individual risk stratification, and contraindications to HRT. We also examine the connection between gut health and colorectal cancer, metabolic health as a modifiable cancer risk, and the emotional side of middle age and hormone replacement therapy. Stay tuned for one of the most important and thought-provoking conversations we've ever had on the podcast. IN THIS EPISODE, YOU WILL LEARN: How fears about hormone therapy are often based on outdated or misinterpreted data The difference between physiologic hormones and synthetic hormone formulations How the Women's Health Initiative's messaging that HRT causes breast cancer comes from an oversimplification of data How the fear-driven WHI headlines continue to impact women's and clinicians' thoughts about hormone replacement therapy  How women's concerns about menopause, sexual health, and menstrual symptoms are often dismissed The health risks associated with early menopause and premature ovarian insufficiency How declining estrogen levels affect multiple body systems, including gut-related and immune-related pathways Why is insulin resistance a major concern?  True contraindications for avoiding HRT Bio: Dr. Jordan Emont Dr. Jordan Emont is a board-certified OB/GYN and Menopause Certified Practitioner who specializes in menopause care for women who've been dismissed, undertreated, or told their symptoms are just part of aging. He's here to change that conversation. He trained at Yale, Brown, and Columbia, and is now an adjunct clinical faculty member at Stanford. He works at a community health center in the Bay Area, providing care to underserved populations, and runs his own private telehealth practice focused on complex menopause care. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website. Submit your questions to support@cynthiathurlow.com  Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow.  Purchase Cynthia's book, The Menopause Gut. Cynthia's Intermittent Fasting Transformation Book. The Midlife Pause Supplement Line Connect with Dr. Jordan Emont On his website Instagram and Substack

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Dr. Betsy Greenleaf, the first board-certified female urogynecologist in the world, to dismantle the lie that estrogen causes breast cancer, expose the hormone training gap hiding inside every OB/GYN office in the country, and explain why the online HRT explosion isn't liberation; it's the setup for the next Women's Health Initiative.At 41, Dr. Greenleaf was surgically menopausal, prescribed antidepressants for symptoms her doctors blamed on hormones, and living with a lupus diagnosis she'd carried since age 18. When she stopped treating the symptoms and started treating her gut microbiome, the mood swings resolved, the immune dysfunction cleared, and the lupus markers that had defined her health for decades simply disappeared. The conventional medical system had no framework for what happened to her so she went looking for one.If you've ever been handed a hormone prescription with no questions asked, or been told your labs look "normal" while you feel anything but, this episode will give language to what you've already suspected.In this episode, you'll learn:Why your gynecologist, urologist, and endocrinologist almost certainly received zero formal training in sex hormonesWhy only 23% of residents finishing training today feel prepared to treat midlife womenHow chronic stress hijacks your sex hormones and converts them straight to cortisolWhy when tens of millions of women stopped HRT after the Women's Health Initiative, breast cancer rates went up, not downWhy estrogen is not cancerous and why progestins are a different story entirelyHow 90% of your serotonin and 80% of your immune system live in your gutWhy putting a 20-something on testosterone is masking the real problemThe five lactobacillus strains that actually rebalance the vaginal microbiome and why most probiotics don't contain themWhy no probiotic will work until the tissue itself is healthy and the full menu of options that can fix itHow the brain-gut-vagina connection drives libido, and why testosterone is rarely the answer for low sex driveEpisode Timeline00:00 Introduction to Urogynecology and Dr. Betsy Greenleaf03:48 Awakening to Functional Medicine06:34 The Importance of Gut Health08:14 Training Gaps in Hormonal Health11:09 The Dangers of Hormone Mismanagement14:00 Stress and Hormonal Balance16:46 The Role of Lifestyle in Hormonal Health19:21 The Fear of Hormones and Cancer21:55 Understanding Estrogen and Cancer Risks24:01 The Holistic Approach to Health28:38 Integrative Medicine and Continuous Learning31:30 The Role of Tools in Health Management34:19 The Shift from Conventional to Holistic Medicine37:15 Understanding Microbiomes: Gut and Vaginal Health40:05 The Interconnection of Health Systems43:58 Intimacy and Libido: The Psychological and Physical Connection50:38 Navigating Midlife Symptoms and Hormonal Health53:33 Innovations in Health Tracking and Patient EmpowermentWhere to find Dr. Betsy Greenleaf:Website: pauseinstitute.comInstagram: instagram.com/drbetsygreenleafTo talk to a member of Dr. Jenn's team and learn more about working privately with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Send us Fan MailThe hardest part of health care isn't always treatment, it's figuring out who should treat you in the first place. Speaking of Women's Health Podcast host Holly L. Thacker, MD sits down with Laura Lipold, MD, Director of Primary Care Women's Health at Cleveland Clinic, to map out how primary care, OB-GYN care and consultative women's health specialists can work together across every life stage.They talk candidly about why so many patients feel stuck right now, from limited access to primary care to the long shadow of menopause misinformation after the Women's Health Initiative. You'll hear practical guidance on what primary care can often handle (Pap tests, HPV and cervical cancer screening, mammogram orders, chronic disease management, obesity and metabolic health, behavioral health support) and when it's time to bring in a specialist for complex menopause and hormone therapy decisions, severe osteoporosis, cancer survivorship, blood clots, transplants, or major cardiovascular history.Support the show

In this episode, I'm back with Dr. Sameena Rahman for Part 2 — and we go places most medical appointments never do. We open with PCOS, GLP-1s, peptides, and ketamine, then shift into what may be the most important hormone conversation I've had on this show: is hormone therapy actually safe for women over 60?Dr. Rahman breaks down why the original Women's Health Initiative study was mismarketed, not flawed — and how that bad marketing set back women's health by two decades. She explains how to think about the risk-benefit calculation for starting hormones later in life, and what screenings actually matter before making that call.We then get into the reality of concierge medicine — why so many doctors are leaving insurance-based practices, and what women who can't afford private care can actually do. And we close on a myth that genuinely alarmed me: the idea that women over 65 no longer need pelvic exams. Dr. Rahman sets the record straight — and explains why genitourinary syndrome menopauIn This Episode: 00:00 - Welcome Back & Recap of Part 101:20 - PCOS Explained: What It Is and Who It Affects02:50 - GLP-1s, Peptides & Ketamine: What the Evidence Actually Says05:10 - Hormone Therapy After 60: Is It Safe?07:30 - The WHI Study: Bad Marketing, Not Bad Science09:20 - Heart Health, Bone Health & Who Should Consider Starting Late11:45 - Why Doctors Are Moving to Concierge Medicine14:00 - The Insurance System Is Rigged Against Women16:05 - What to Do If You Can't Afford a Specialist17:45 - The Pelvic Exam Myth Putting Women at Risk19:15 - Genitourinary Syndrome, Vaginal Estrogen & UTI Prevention20:50 - Final Thoughts & Where to Find Dr. RahmanWant a deeper look? Watch the full episode on YouTube for a more visual experience of today's discussion. This episode is best enjoyed on video—don't miss out!Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastAbout the Guest:Dr. Sameena Rahman is a board-certified OB/GYN and certified Menopause Practitioner with over a decade of expertise in midlife care, sexual medicine, and concierge gynecology. After training and practicing at leading institutions including USC, the University of Chicago, and Northwestern, she founded The GSM Collective in downtown Chicago to deliver a more personalized, patient-first model of women's healthcare.Nationally recognized for her leadership in sexual and menopausal health, Dr. Rahman serves on the Board of Directors and as Scientific Committee Chair for the International Society for the Study of Women's Sexual Health (ISSWSH), where she is also a Fellow (IF). She is a Menopause Certified Practitioner and active member of The Menopause Society's Education Committee, frequently speaking at national and international conferences on culturally informed care and sexual health.Connect with Dr. Sameena Rahman:Website: https://www.thegsmcollective.com/Instagram: https://www.instagram.com/gynogirl/Karen Bigman, a Sexual Health Alliance Certified Sex Educator, Life, and Menopause Coach, tackles the often-taboo subject of sexuality with a straightforward and candid approach. We explore the intricacies of sex during perimenopause, post-menopause, and andropause, offering insights and support for all those experiencing these transformative phases.This podcast is not intended to give medical advice. Karen Bigman is not a medical professional. For any medical questions or issues, please visit your licensed medical provider.Looking for some fresh perspective on sex in midlife? You can find me here:Email: karen@taboototruth.comWebsite: https://www.taboototruth.com/Instagram: https://www.instagram.com/taboototruthYouTube: https://www.youtube.com/@taboototruthpodcastSubstack: https://karenbigman.substack.comLINKS, EXCLUSIVE VIP DISCOUNTS, COURSES & FREEBIES

In this solo episode of Keeping Abreast, Dr. Jenn Simmons takes on one of the most accepted messages in women's health and dismantles it with decades of evidence. Routine yearly mammography screening does not hold up when you actually read the trials. Dr. Jenn walks through the WISDOM trial, the Cochrane Review, the Canadian Breast Cancer Screening Study, and the brand new 2026 American College of Physicians guidelines to make the case that one-size-fits-all screening is not just outdated, it is causing real harm.She also takes on the estrogen myth that has left millions of women suffering through hot flashes, bone loss, brain fog, and lost quality of life for decades. A 1.8 million woman study and the Women's Health Initiative say estrogen is not the villain. The real culprit may be something millions of women are still being prescribed today.If you have ever been told to just get your mammogram every year without a single conversation about the risks or what the data actually shows, this is the episode you have been waiting for.What You'll LearnWhat the 2026 American College of Physicians guidelines say about annual mammography and why radiology groups do not want you to hear itWhat the WISDOM trial found when women received fewer mammograms  and why the results challenge everything we have been toldWhat the Cochrane Review and Canadian Breast Cancer Screening Study concluded after studying hundreds of thousands of women over decadesWhy up to 50 percent of screen-detected cancers may have never grown, spread, or threatened a woman's life and what that means for how we treat themWhy estrogen alone has never been shown to cause breast cancer and what the data actually implicates insteadThe difference between synthetic progestins and bioidentical progesterone and why that distinction could change every conversation about hormones and breast cancerWhat BRCA mutation carriers need to know about hormone replacement therapy after risk-reducing surgeryWhat smarter, safer, individualized breast cancer screening actually looks likeEpisode Timeline00:00 Introduction01:08 This Is an Informed Consent Episode04:00 The WISDOM Trial and the End of One-Size-Fits-All Screening08:30 Fewer Mammograms, No More Advanced Cancers11:41 Why Adding MRI Led to More Biopsies and Zero Benefit15:00 The Only Endpoint That Actually Matters17:30 What the Cochrane Review Actually Found19:30 The Number Every Woman Deserves to Hear23:00 The Canadian Breast Cancer Screening Study27:00 What Overdiagnosis Really Means31:00 The 2026 American College of Physicians Guidelines36:03 The Estrogen Myth41:00 The Women's Health Initiative Unpacked49:00 Birth Control, Progestins, and Breast Cancer Risk53:00 Progestins Are Not Progesterone57:00 BRCA Mutation Carriers and HRT: What the 2026 JAMA Data Shows01:03:00 The Future of Breast Cancer ScreeningStudies Mentioned in This EpisodeThe WISDOM Trial — JAMAThe Cochrane Mammography Review — CochraneThe Canadian National Breast Screening Study: 25 Year Follow-up — BMJ 2014ACP Breast Cancer Screening Guidance Statement — Annals of Internal Medicine 2026Cracks in the Estrogen Carcinogenesis of Breast Cancer — Journal of Clinical Oncology 2026Hormonal Contraception and Breast Cancer Risk — NEJM 2017Menopausal Hormone Therapy and Breast Cancer: Women's Health Initiative — JAMA Oncology 2020HRT After Oophorectomy and Breast Cancer Risk in BRCA Carriers — JAMA Network Open 2026To talk to a member of Dr. Jenn's team and learn more about working privately with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons

Menopause hormone therapy and your brain: what the evidence says vs. what the algorithm is selling you. Two-thirds of Alzheimer's patients are women. That statistic has fueled a social media narrative that hormone therapy can prevent dementia, but the current evidence doesn't support that claim. In this episode, Drs. Ayesha and Dean Sherzai sit down with OBGYN Dr. Jen Gunter and neuroscientist Dr. Sarah McKay to separate the science from the soundbites. Your Brain On... Menopause Hormone Therapy [Season 7, Episode 1] Get our FREE NEURO Plan Brain Health Playbook: https://thebraindocs.com/playbook In this episode: Why menopause hormone therapy is the gold standard for hot flashes and night sweats but not a proven tool for dementia prevention The Women's Health Initiative: what it actually found, how the press conference distorted the findings, and what we've learned since Why "bioidentical hormones" is a marketing term, not a medical one, and what that means for the products being sold to you How the hypothalamus drives vasomotor symptoms and why sleep disruption may explain much of the cognitive fog women experience at midlife The high placebo response rate with hormone therapy and why dose escalation can mask a missed diagnosis Why the simplistic narrative of "women get more Alzheimer's, so it must be menopause, so give hormones" falls apart under scrutiny How over-testing, unregulated lab panels, and wearable hormone data can create more anxiety than answers The case for perimenopause as a life stage, not a disease, and why medicalizing normal midlife stress upholds harmful structures What the aging brain actually gains: vocabulary, emotional processing, wisdom, complex problem-solving, and the capacity to hold nuance 7 evidence-based actions you can take this week for your brain health, no prescription required Why the FDA's removal of the black box warning on hormone therapy was released without context and what happened next on social media The new neurokinin receptor antagonists and why they could change how we study the relationship between hot flashes and brain health 00:00 Intro 01:09 Why the menopause hormone therapy conversation matters 07:10 Dr. Jen Gunter: the dangerous dichotomy around MHT 10:20 The Women's Health Initiative, revisited 16:25 Who is menopause hormone therapy actually for? 18:20 The placebo response nobody talks about 22:33 When does perimenopause actually start? 26:00 Does MHT actually prevent dementia? 29:11 "Bioidentical" is not a medical term 36:27 The problem with unregulated hormone testing 41:08 How to advocate for yourself at the doctor 44:36 New drugs that could change menopause research 47:17 The pTau217 study and what it means for women on MHT 52:20 Dr. Sarah McKay: what happens in your brain during menopause 59:34 The oversimplified estrogen-Alzheimer's story 1:04:13 When social media primes your symptoms 1:11:18 What the aging brain actually gains 1:21:35 Grandmothers rule the world! 1:25:43 What MHT is actually good for 1:26:28 7 things to do for your brain Dr. Jen Gunter is an OBGYN, pain medicine physician, New York Times columnist, and bestselling author of The Menopause Manifesto, The Vagina Bible, and Blood. She writes The Vajenda on Substack and is one of the most prominent voices challenging misinformation in women's health. Dr. Sarah McKay is a neuroscientist, science communicator, and author of The Women's Brain Book. She is the founder of The Neuroscience Academy and Think Brain training programs. References: North American Menopause Society 2022 Hormone Therapy Guidelines: menopause.org Australasian Menopause Society: menopause.org.au The Vajenda (Substack): jenssubstack.com Get our FREE NEURO Plan Brain Health Playbook: https://thebraindocs.com/playbook Hosted by Drs. Ayesha & Dean Sherzai. Subscribe to The Synapse (free weekly newsletter): thebraindocs.com/newsletter Follow @TheBrainDocs on Instagram

For decades, women and their doctors have been wary of Hormone Replacement Therapy (HRT), especially after menopause, largely due to fear-mongering surrounding breast cancer risk. But what if I told you that much of this fear is based on flawed data, misinterpretations, and sensationalized media reports? In this episode, I dive deep into the truth, myths, and misconceptions around HRT and breast cancer. I'll unpack the infamous Women's Health Initiative study, exposing its significant design flaws and the detrimental impact of its media interpretation. Grab your seat for the Advanced Practice Nutrition Intensive!⁠Topics discussed: - The real story behind the HRT breast cancer scare- Relative vs. absolute risk- Synthetic vs. bioidentical hormones- New science- Beyond symptoms- Navigating your HRT journey

What if the years where you feel less rested, less resilient, less yourself aren't burnout or bad parenting — but a hormonal transition no one prepared you for? This episode tackles a question every woman asks herself: am I losing my edge, or is something actually happening to me? I'm joined by Dr. Mary Claire Haver — the OB-GYN whose work has reshaped how an entire generation of women, doctors, and families talk about midlife, and the first person who made me feel sane in my own body when symptoms started showing up in my early 40s. We talk about why perimenopause is landing earlier than most women expect, why it gets misread as postpartum lag, work stress, or just "getting older," and why so many plugged-in women hear from their doctors that everything looks fine when nothing feels fine. What you'll learn: Why perimenopause is a brain event before it's an ovary event — and the symptoms (brain fog, mood swings, sleep disruption, weight changes, even a frozen shoulder) that can show up years before your periods get irregular, and almost never get connected back to hormones, even by your own doctor The real story of the Women's Health Initiative: what scared a generation of clinicians away from hormone therapy, what the evidence actually says now, and how to think about menopause hormone therapy, vaginal estrogen, and testosterone for women without the fear and without the scams (looking at you, vaginal lasers and pellet pushers) The non-negotiables to start in your 30s and 40s if you can — sleep, protein, lifting heavy, vitamin D, and finding a menopause-certified clinician — plus the five buckets of female sexual function Knowing what's happening inside your own body isn't extra. It's how you stop feeling crazy, find a clinician who actually believes you, and protect the version of yourself who gets to enjoy the decades still ahead. Great Wolf Lodge: Bring your pack together at a Lodge near you. Learn more at GreatWolf.com Merit Beauty: It's time for your makeup and skincare to meet the reality of your daily routine with Merit Beauty.com The RealReal: The most trusted name in authenticated luxury resale. Get 25$ off your first purchase when you go to The RealReal.com/humans

In this episode, Lisa welcomes back Dr. Jerilynn Prior, endocrinologist, UBC Professor Emerita, and founder of the Centre for Menstrual Cycle and Ovulation Research (CeMCOR), for a thought-provoking conversation that challenges mainstream narratives about perimenopause and hormone therapy. Dr. Prior shares her research-backed perspective on why perimenopause is often characterized by erratically high estrogen rather than low estrogen, and how this physiological reality reshapes the conversation around symptoms like night sweats, sleep disturbances, heavy flow, and sore breasts. She discusses her randomized controlled trial demonstrating that progesterone is effective for night sweats and sleep in perimenopausal women, and explains why approximately 30% of perimenopausal women experience symptoms severe enough to warrant treatment. Lisa and Dr. Prior also explore findings from the Women's Health Initiative, the difference between treating symptomatic women and prescribing hormones preventively, and why the cultural framing of menopause as a deficiency disease misrepresents what is, for most women, a normal life transition. Tune in as Dr. Prior shares decades of research on the menstrual cycle, ovulation, and the often-overlooked role of progesterone in women's health across the lifespan. Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book, Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here!

Episode 369: Dr. Kelly Casperson, interviewed by Sara Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sara Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 369: Dr. Kelly Casperson, interviewed by Sarah Reardon What happens when a urologic surgeon who has spent years treating women's bladder and sexual health sits down to answer every question she wishes her patients had asked sooner? You get this episode. In a role reversal from her usual hosting chair, Dr. Kelly Casperson is interviewed by Sarah Reardon for a wide-ranging, myth-busting conversation on perimenopause, hormone therapy, and what it actually means to advocate for yourself in a medical system that has historically under-served women. No gatekeeping. No fear-mongering. Just the science, the nuance, and the permission to want more. Perimenopause is not just hot flashes. The hormonal shifts of perimenopause and menopause affect your bladder, your sleep, your joints, your skin, your mood, and your sex life — often years before your period stops. Kelly breaks down what's actually happening biologically and why so many women are told their symptoms are "just aging." Local estrogen and systemic HRT are not the same thing — and you may need both. Vaginal estrogen treats the tissue. Systemic hormone therapy treats the whole person. Kelly explains the difference, who benefits from each, and how to have an informed conversation with your provider about what's right for you. DHEA and testosterone belong in the conversation. These hormones are not just for men. Kelly covers the evidence for testosterone and DHEA in women's health — including delivery methods, indications, and why so many women are never offered them. Finding a knowledgeable provider is hard. Here's how to do it. Not every clinician is trained in hormone therapy. Kelly talks about how to identify providers who are, and how to self-educate enough to advocate effectively in any appointment. Gut health, exercise, and alcohol all matter — but not instead of hormones. Lifestyle strategies can amplify hormone therapy; they're not a replacement for it. Kelly cuts through the supplement noise and explains what the evidence actually supports. Gender bias is real, and naming it is the first step. From the Women's Health Initiative fallout to the way women's pain is routinely minimized, Kelly addresses the systemic forces that have shaped (and limited) what women are offered — and how to push back. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my ⁠⁠⁠⁠⁠⁠Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To learn more about Via vaginal moisturizer from Solv Wellness, visit ⁠⁠via4her.com⁠⁠ and get 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Clinicians can request patient materials or samples at ⁠⁠hcp.solvwellness.com⁠⁠. Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Karen is joined by future Itchy and Bitchy hosts Stephen Miller, an acute care nurse practitioner specializing in cardiovascular disease, and Dr. Keith Hnilica, a veterinary dermatologist, for a wide-ranging conversation about estradiol and hormone replacement therapy. They discuss the recent removal of the FDA black box warning from most menopausal hormone therapy products and the long shadow of the Women's Health Initiative study.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

This episode unfolds as a candid Q and A, exploring some of the most common and often confusing questions women have about menopause, menopause hormone therapy MHT, and what it really means to age well as a woman. By the time women seek help, many feel unlike themselves. Common symptoms include hot flashes, night sweats, sleep disturbances, anxiety, irritability, and a noticeable decline in mood. Libido often drops. Weight gain can feel sudden and unexplained. Hair may thin. Skin becomes dry, and eyes can feel gritty. Vaginal dryness can lead to discomfort and even pain with intercourse. When women seek care, they are often met with what has historically been considered standard treatment, synthetic hormones, frequently in the form of birth control pills or hormonal IUDs. In some cases, therapies used in older studies such as the Women's Health Initiative are still being prescribed, despite those studies being widely reanalyzed and often misunderstood. This is where understanding the difference between bioidentical and synthetic hormones becomes critical. Bioidentical hormones, such as estradiol and progesterone, are chemically identical to the hormones produced by the human body. Synthetic hormones are structurally different. Over time, research has increasingly suggested that these synthetic compounds may carry more risk, while bioidentical hormones appear to be significantly safer. MHT has been shown to support cardiovascular health, reduce the risk of osteoporosis, and protect cognitive function. There is growing evidence that it may even reduce overall mortality when used appropriately. This reframes the entire conversation. Instead of asking how do I get through menopause, the question becomes how do I support my health for the next 30 to 40 years. A helpful framework is to think in five year increments. Every five years, a woman can reassess. Am I still benefiting from this. Do I want to continue protecting my bones, heart, and brain. For many women, the answer is yes. Others may choose to stop later in life as priorities shift or new health concerns arise. The key is ongoing, informed decision making. Another increasingly common scenario involves women who are well into postmenopause, sometimes 10, 15, or even 20 years beyond their last period, who are just now learning about hormone therapy and wondering if it is too late. We know that starting hormone therapy within 10 years of menopause offers the most significant cardiovascular benefit. Starting later may still help with symptoms, but the protective effects are less clear. There may also be a slightly increased risk of cardiovascular events, particularly when using oral estrogen. When it comes to safety, bioidentical hormones, especially when delivered through the skin via a patch, gel, or cream, carry a very low risk of blood clots. Oral estrogen has a slightly higher risk, which is why transdermal options are often preferred, particularly for women with additional risk factors. That said, no medical treatment is entirely without risk. What matters most is understanding the data, weighing the risks and benefits, and making an informed decision that aligns with personal health goals. Menopause is not simply an end point. It is a transition into a new phase of life. With the right information, support, and care, it can be a time of strength, clarity, and renewed health rather than decline. We Heart Nutrition 20% off with code: GENIUS Wonder Cow Colostrum Supports gut health, immune function 30% off your subscription with code: HORMONEGENIUS www.wondercow.com/hormonegenius

For decades, midlife has been framed as a time of decline for women — medically, culturally, and personally. Halle Berry is on a mission to change that. On this episode of The Dr. Hyman Show, she shares how her own menopause journey exposed how little real support exists for the 60 million women navigating this transition. That experience ultimately led her to create ReSpin, the community she couldn't find when she needed it. Watch the full conversation on YouTube or listen wherever you get your podcasts. We discuss: • Why menopause is often missed — and how to take back control of your energy, mood, and metabolism • What changes in your brain, bones, and muscle and how to protect them in midlife • How comprehensive testing gives you a personalized roadmap for this phase of life • Why fatigue, low libido, and brain fog aren't “just aging” — and what improves when you address the root cause Your second act can be your strongest. It's a chance to reclaim your strength, your energy, and your future on your own terms. This conversation was recorded live at the Eudēmonia Summit. View Show Notes From This Episode Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detoxJoin the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by Seed, BIOptimizers, PerfectAmino, BON CHARGE, Made In Cookware and Maui Nui. Go to seed.com/hyman and use code 20HYMAN to get 20% off your first month. Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%. Go to bodyhealth.com and use code HYMAN20 to get 20% off your first order. Upgrade your routine. Head to boncharge.com/hyman and use code HYMAN for 15% off. Head to madeincookware.com and use the code DRHYMAN for 10% off your order. Learn more about the health benefits of venison and how to get yours, head over to mauinuivenison.com/hyman. (0:00) Halle Berry's health journey and the overlooked issue of menopause (1:21) Introduction to the Eudaimonia Summit (3:27) Women's health problems: Causes and personal stories (7:12) Misdiagnosis, confusion, and the mission to educate (10:01) Women's Health Initiative study and FDA updates (12:48) Hormone therapy and perimenopause symptoms (17:22) Lifestyle's role in hormonal health and disease prevention (22:12) Alcohol, nicotine, and long-term health risks like Alzheimer's (25:26) Early hormone replacement therapy and personalized care (28:15) Sexual health discussions and Halle Berry's ReSpin initiative (32:22) Cultural change, low-tox living, and structural health in menopause (37:01) Menopause symptoms variability and addressing health disparities (39:52) The need for medical education reform and JoyLux's contribution (41:12) Psychedelics in mental health treatment (43:43) Closing remarks and listener engagement (44:00) Disclaimer about podcast content