Podcasts about health initiative

In this conversation, Dr. Jamila Porter shares her journey as a community health advocate and her commitment to health equity. She discusses the importance of physical activity, the Maid for Health and Justice initiative, and the challenges posed by structural racism in public health. Dr. Porter emphasizes the need for long-term systems change, interdisciplinary approaches, and community engagement in public health efforts. She also reflects on her academic journey and current role at the De Beaumont Foundation, offering valuable advice for future public health professionals.Join our free communityFull episode shownotesChapters:@0:00 Introduction to Dr. Jamila Porter, DrPH, MPH@7:58 The Importance of Physical Activity in Public Health@11:52 Commitment to Transforming Health Systems@14:54 MADE for Health Justice Initiative@18:57 Confronting Structural Racism in Public Health@22:54 Long-Term Systems Change in Public Health@26:01 Interdisciplinary Approaches to Public Health@29:01 Defining Public Health and Community Health@33:08 Educational Pathways and Career Reflections@43:24 Transitioning to Public Health and Research@48:16 The Importance of Pedestrian Safety and Complete Streets@54:51 Lessons from International Development Work@55:46 Role of Big Cities Health Coalition in Public Health@58:41 Current Role at De Beaumont Foundation@1:04:05 Leading at the Intersection of Strategy and Justice@1:08:17 Challenges and Rewards in Public Health Work@1:15:09 Advice for Aspiring Public Health ProfessionalsSupport the showThanks for tuning in. Let's all work together towards a culture of health, wellbeing, and equity for all. ⭐⭐ SUBSCRIBE & Leave a 5-STAR REVIEW! ⭐⭐ Follow & Support:- Join The Public Health Community- The Public Health Millennial on IG - The Public Health Millennial on LinkedIn - The Public Health Millennial Website- Omari Richins, MPH on LinkedIn- Support on The Public Health Store

Dr. Emeran Mayer welcomes Dr. Suzanne Gilberg-Lenz, physician, author, and women's health advocate, for an in-depth discussion on menopause, hormone therapy, and the integration of holistic practices into modern medicine.Dr. Gilberg shares her path into women's health, including the creation of the Menopause Bootcamp to address the lack of education and awareness around menopause. She explains why estrogen plays a vital role in women's health beyond reproduction and how the Women's Health Initiative reshaped, and sometimes restricted, perceptions of hormone therapy. The conversation also examines gender bias in medical research, the need for updated guidelines, and the emerging potential of psychedelics in women's health care.You'll also hear why community, education, and holistic practices matter so much for empowering women, and how simple lifestyle shifts can improve resilience, wellbeing, and long-term health.Key Topics Covered:• How menopause awareness and conversations are evolving• The significance of estrogen for women's overall health• The Women's Health Initiative and its impact on hormone therapy use• How gender bias continues to shape medical research and care• The therapeutic potential of psychedelics in women's health• Practical holistic practices women can integrate into daily lifeThis conversation highlights the future of women's health: by blending science, holistic care, and community education, we can better support women through every stage of life.We hope you enjoy!Chapters:00:26 Introduction to Dr. Suzanne Gilberg's Journey06:25 The Shift in Menopause Conversations10:37 Understanding Estrogen and Its Impact15:20 The Women's Health Initiative and Hormone Therapy20:25 Future Directions in Women's Health Research27:00 The Central Role of the Gut29:42 Gender Bias in Medicine34:26 Exploring Psychedelics in Women's Health46:10 Integrating Holistic Practices into Daily Life

“When we go down, that's the gift that the Tarahumara give us. That we are one people and we all just have to take care of each other.” The Korma Health Initiative mission is to provide compassionate, community-centered healthcare and outreach that respects and integrates the ancestral knowledge and traditions of Rarámuri healers with modern medicine. In this special episode of the Road Dog Podcast, Luis chats with a panel of 5 folks form the KORIMA HEALTH INITIATIVE - Shari Hymes, Anna Villalobos, Jen Henry, Chris Martinez, & George Wortley. Luis chats with the panel about how they got started down in the Copper Canyons, why the Tarahumara retreat into remote parts of the canyons, why they are offering health services, how you can support their efforts, stories about support and need, and how this work has changed them. Support Road Dog Podcast by: 1. Joining the Patreon Community: https://www.patreon.com/roaddogpodcast 2. Subscribe to the podcast on whatever platform you listen on. GO SLEEVES: https://gokinesiologysleeves.com HAMMER NUTRITION show code: Roaddoghn20 Listeners get a special 15% off at https://www.hammernutrition.com DRYMAX show code: Roaddog2020  Listeners get a special 15% off at https://www.drymaxsports.com/products/ LUNA Sandals “Whether I'm hitting the trails or just hanging out, LUNA Sandals are my favorite. They're designed by Barefoot Ted of Born to Run and made for every adventure—ultra running, hiking, or just kicking back. Its minimalist footwear that's good for your feet!” Check them out and get 15% off at lunasandals.com/allwedoisrun. Allwedoisrun.com KORIMA HEALTH INITIATIVE Contact Info: https://korimahealthinitiative.org IG: https://www.instagram.com/korimahealthinitiative/ Luis Escobar (Host) Contact: luis@roaddogpodcast.com Luis Instagram Kevin Lyons (Producer) Contact: kevin@roaddogpodcast.com yesandvideo.com Music: Slow Burn by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 http://creativecommons.org/licenses/by/3.0/ Original RDP Photo: Photography by Kaori Peters kaoriphoto.com Road Dog Podcast Adventure With Luis Escobar www.roaddogpodcast.com

Today, I am thrilled to reconnect with Dr. Kelly Caspersen, a urologist who empowers women to live their best love lives. She is a two-time author, with her latest being The Menopause Moment. In our conversation, we cover a wide range of topics, from navigating UTI purgatory and understanding the vaginal microbiome to how vaginal estrogen can dramatically reduce the risk of sepsis and death in the ICU. We unpack the evolving language of hormones- specifically progesterone, estrogen, and testosterone and we examine censorship and bias on social media, and the differences between prescribers and non-prescribers. We explore the effects of SSRIs on bone and brain health, changes in self-perception in middle age, and the effects of the baby boomer generation and the Women's Health Initiative, exposing the medical gaslighting behind the use it or lose it narrative. We also offer practical options for women who cannot take hormones, and Dr. Kelly shares her go-to supplements and those she avoids. This conversation is one of my recent favorites. Dr. Kelly's enthusiasm is contagious, and her straightforward approach makes complex topics clear, practical, and unforgettable. IN THIS EPISODE, YOU WILL LEARN: Why recurrent UTIs can feel like UTI purgatory How hormone terminology is evolving, and what that means for women in midlife The value of vaginal estrogen, and the potential it holds for saving women's lives How the approaches of prescribers and non-prescribers differ How SSRIs can raise the risk of bone fractures  The brain health and self-perception shifts that often occur in midlife  Why the use it or lose it belief is misleading, and how it veers into medical gaslighting How the baby boomer generation and the Women's Health Initiative still influence women's healthcare today Some alternative options for women who cannot take hormones Dr. Kelly shares her preferred supplements and those she avoids Bio:  Dr. Kelly Casperson, MD Urologist • Author • Podcaster • Women's Health Thought Leader Dr. Kelly Casperson is a board-certified urologist, best-selling author, and top-ranked international podcaster empowering women to take control of their health, hormones, and sexuality. Known for blending science with storytelling, she transforms complex medical topics into relatable and actionable insights that help women live fully and fearlessly—especially in midlife. With her signature candor and evidence-based clarity, Dr. Casperson dismantles long-held myths around sex, menopause, and desire. Her acclaimed podcast, You Are Not Broken, has become a go-to resource for hundreds of thousands of women seeking real answers about their bodies and brains. Her groundbreaking work integrates urology, neuroscience, and mindset coaching to drive lasting change in intimacy, confidence, and overall well-being. As a keynote speaker and educator, Dr. Casperson challenges outdated norms in medicine while offering bold, science-backed solutions. She's on a mission to build a world where women are educated, empowered, and no longer afraid of their own bodies. Whether she's on stage, in a clinic, or behind the mic, Dr. Casperson is leading a health revolution—one smart, honest conversation at a time. Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Kelly Casperson On her website On Instagram You Are Not Broken (Podcast) The Menopause Moment is available on Amazon and Barnes and Noble.

Want ad-free episodes, exclusives and access to community Q&As? Subscribe to Forever Strong Insider: https://foreverstrong.supercast.comIn this episode, I sit down with nutritional physiologist and friend Nick Barringer, PhD, to tackle a crucial, yet often misunderstood, topic: women's hormonal health. We expose the devastating impact of the Women's Health Initiative study and why millions of women are left untreated for menopause symptoms, leading to an increased risk of issues like osteoporosis and Alzheimer's.This is a no-nonsense guide for every woman, regardless of age, who wants to understand her hormones and advocate for her health. We cover everything from the importance of muscle and a low-inflammation lifestyle to the truth about Testosterone Replacement Therapy (TRT) for women.This episode is sponsored by:Puori - Use code DRLYON for 20% off - https://puori.com/DRLYON Cozy Earth - Use code DRLYON for up to 40% off - cozyearth.com/DRLYONBON CHARGE - Use code DRLYON to get 15% off your entire order - https://boncharge.com/DRLYON Needed - Use code DRLYON for 20% off your first order - https://thisisneeded.comChapter Markers0:00 - Intro: Why women need to consider hormone therapy1:24 - The shocking signs of low estrogen2:31 - How the Women's Health Initiative did more harm than good5:34 - The role of testing and delivery systems for estrogen6:30 - Why women are undertreated for menopause7:05 - The dangers of oral birth control8:49 - Debunking "natural" hormone balancing10:05 - The best delivery system for estrogen (patch vs. cream)13:00 - The controversial topic of testosterone for women14:48 - Debunking the myths of testosterone side effects15:58 - The best way to dose testosterone for women18:28 - Why hormone replacement alone won't change body composition19:19 - Starting hormone therapy for perimenopause20:53 - Vaginal estrogen for atrophy and UTIs22:25 - A word from our sponsor, Paleo Valley23:19 - Supplements for fat loss27:38 - Modern anti-obesity drugs31:18 - A word from our sponsor, AG132:48 - The best supplements for health and performance40:07 - Testosterone, blood pressure, and side effects41:51 - How women can take testosterone43:10 - The importance of getting your blood work43:40 - The risks of hormone replacement therapy45:40 - Conclusion: A call to action for women's healthFollow Dr Gabrielle LyonInstagram: @drgabriellelyonTik Tok: @drgabriellelyonFacebook: facebook.com/doctorgabriellelyonFollow Nick Barringer PhDhttps://www.instagram.com/nickbarringer.phd.rdnDisclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

Join us on our FREE hormone education session at http://midlifeconversations.com/magic   What if everything you've been told about hormone replacement therapy is only HALF the story?  In this raw, personal episode, Natalie shares her own hormone replacement journey - from feeling amazing on HRT to discovering 30 fibroids and a dangerously thick uterine lining. She dives deep into why the pendulum has swung from hormone FEAR to hormone PRESSURE, leaving women confused and sometimes shamed for their choices. You'll discover why the infamous Women's Health Initiative study created decades of hormone fear, how your DNA actually determines whether hormones help or harm you, and why your detox pathways matter more than your blood test results. Featuring insights from Dr. Tyna Moore, Dr. Anna Cabecca, and Dr. Betty Murray, and personal stories from Dr. Amie and Jen Delvaux, we examine the various approaches and decisions women face regarding HRT, including the complex truth: there's no one-size-fits-all approach to HRT. Whether you're currently on HRT, considering it, or opting out, this episode aims to open up a thoughtful conversation about finding what's right for you. Because the truth about HRT really isn't black and white.  Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Can we talk about how we've been fed complete BS about menopause and our hormones? I mean, seriously—the amount of fear-mongering and misinformation out there is making me want to throw things. But lucky for us, Dr. Kelly Casperson is here to set the record straight, and trust me, this conversation is about to blow your mind. If you've ever felt like you're going crazy during perimenopause or been told you're "too young" or "too old" for hormone therapy, this episode is your wake-up call.Dr. Kelly is a urologist turned women's health warrior who's dedicating her life to educating women about what's actually happening to our bodies during this transition. In today's episode, we're diving deep into the real facts about hormone replacement therapy, busting myths that have kept women suffering unnecessarily, and talking about why the medical establishment has failed us so spectacularly. This isn't just another menopause chat—this is your roadmap to reclaiming your power during midlife.What You'll Learn in This Episode:Why the 2002 Women's Health Initiative study created decades of hormone fear and how the media completely twisted the resultsThe truth about hormone pellets and why they might not be the silver bullet you think they areHow to advocate for yourself when doctors dismiss your symptoms as "natural"The real story behind "estrogen dominance" and why that lab test might be misleading youWhy testosterone isn't just for men and how it can transform your energy and moodThe connection between hormones and brain fog, and why your forgetfulness isn't early dementiaHow to find qualified menopause specialists and what questions to askThe surprising ways exercise and protein can impact your hormone healthReady to stop suffering in silence and start living your best midlife? Let's dive into this game-changing conversation that every woman over 40 needs to hear. Have you been struggling with symptoms that doctors keep dismissing as "just part of getting older"? WATCH ON YOUTUBE if that's your jam: https://youtu.be/9SlS4F-QtLcConnect with me on Instagram and let me know what resonated most with you from this episode. Resources MentionedDr. Kelly Casperson's book: "The Menopause Moment"Dr. Kelly's Instagram: instagram.com/kellycaspersonmd/Dr. Kelly's website: kellycaspersonmd.comInternational Society for the Study of Women's Sexual Health (ISHWISH)MIDI Health, Evernow, Alloy, GenEv, InterludeThe Casperson Clinic (Washington State) Quotes from Dr. Kelly Casperson"Women get, you're either too young for this or you're too old for this. Men never get told they're too young or too old for something." (08:29)"If there is a drug that you could take between the ages of 50 and 60, and several studies have shown it decreases your risk of death and helps you live maybe about two years longer, do you think everybody would be on that drug? Yeah, that drug's called estrogen." (30:47)"The best way to control a woman? Give her fear. Control her. How do we control her? Keep her afraid." (38:58)"Don't just brace yourself for hell, people. Get educated and advocate." (37:30)"Hair hates drastic changes. And that's why like if you have low hormones and you throw a pellet in, some people might experience some hair loss with it." (35:23) Key Timestamps00:03 - Introduction and the five orgasms story 01:54 - Dr. Kelly's background as a urologist 06:20 - The 2002 Women's Health Initiative study explained 08:04 - Myths about being "too young" or "too old" for hormones 10:11 - The truth about hormone pellets 14:24 - Lab testing and "estrogen dominance" myth 16:39 - Why we treat symptoms, not just numbers 20:27 - Brain fog and hormone connection 28:17 - Hot flashes and what causes them 32:01 - The benefits of taking estrogen 34:41 - Testosterone for women 37:05 - BRCA patients and hormone therapy Tips/TakeawaysStop using "natural" as an excuse not to treat symptoms - erectile dysfunction and cancer are natural too, but we treat those."Estrogen dominance" is just a snapshot of one day - don't hang onto that label as a fixed trait.Treat symptoms, not just lab numbers - if you're suffering, that's reason enough for treatment.Hair follicles hate sudden hormone changes - start low and go slow with any hormone therapy.Exercise is brain medicine - quadriceps strength is directly linked to dementia prevention.Protein needs increase with age - aim for about 1 gram per pound of body weight to build muscle. Be sure to rate, review, and follow this podcast on your player and also, connect with me IRL for more goodness and life-changing stuff.Schedule a FREE podcast clarity call with me - Your future audience is out there. Talk to them!Sign up for the free Reinvention Roadmap weekly emailAllisonHare.comFollow me on Instagram, LinkedIn, Facebook, and YouTube.DOWNLOAD the free podcast equipment guide- No guesswork, no google rabbit holes, start recording todayReb3l Dance Fitness - Try it at home! Free month with this link.Personal Brand - need help building yours? Schedule a call with me here and let's discuss.Feedback and Contact:: allison@allisonhare.com

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

When it comes to menopause care, the facts are better than the fears. In this Urology/OBGYN crossover episode of the BackTable Podcast, host Dr. Suzette Sutherland welcomes renowned urologist Dr. Rachel Rubin to explore various aspects of sexual health and hormone replacement therapy (HRT), particularly for menopausal women. ---SYNPOSISDr. Rachel Rubin shares her career journey, expertise in sexual health, and the critical role of hormone replacement therapy (HRT) in managing menopause. She addresses common challenges and misconceptions, particularly around estrogen use, by demystifying the Women's Health Initiative studies and emphasizing the proven safety and benefits of systemic and vaginal HRT. Dr. Rubin offers practical guidance on prescribing estrogen, progesterone, testosterone, and DHEA, while highlighting her advocacy to remove outdated FDA black box warnings on vaginal estrogen. Through personal anecdotes and professional insights, she empowers practitioners with evidence-based strategies and underscores the importance of education and research in advancing women's health.---TIMESTAMPS00:00 - Introduction03:41 - Challenges in Menopause Medicine07:21 - Misconceptions and Risks of HRT15:35 - Understanding Bioidentical Hormones18:48 - WHI Studies and Their Impact23:21 - Practical Guide to Prescribing HRT33:47 - Understanding Estrogen Levels and Risks36:04 - Debating Gels vs. Patches37:51 - Concerns with Compounded Products and Pellets38:50 - Patient Education and Meeting Them Where They Are42:12 - Progesterone Benefits and Sensitivities46:38 - Testosterone Therapy for Women51:36 - The Importance of Lab Tests55:39 - DHEA and Vaginal Health57:14 - Advocacy for Accurate Hormone Therapy Information01:00:05 - Conclusion and Final Thoughts---RESOURCESThe Peter Attia Drive episode with Dr. Rachel Rubin:https://peterattiamd.com/rachelrubin/ FDA Expert Panel on Menopause and Hormone Replacement Therapy for Women:https://www.youtube.com/live/_2ZRlOivC5M?si=-Xynb_BmWz2sWf4mDr. Rachel Rubin's Hormone Therapy for Early Adopters Course:https://rachelrubinmd.thinkific.com/courses/MHTCME

When it comes to menopause care, the facts are better than the fears. In this Urology/OBGYN crossover episode of the BackTable Podcast, host Dr. Suzette Sutherland welcomes renowned urologist Dr. Rachel Rubin to explore various aspects of sexual health and hormone replacement therapy (HRT), particularly for menopausal women. ---SYNPOSISDr. Rachel Rubin shares her career journey, expertise in sexual health, and the critical role of hormone replacement therapy (HRT) in managing menopause. She addresses common challenges and misconceptions, particularly around estrogen use, by demystifying the Women's Health Initiative studies and emphasizing the proven safety and benefits of systemic and vaginal HRT. Dr. Rubin offers practical guidance on prescribing estrogen, progesterone, testosterone, and DHEA, while highlighting her advocacy to remove outdated FDA black box warnings on vaginal estrogen. Through personal anecdotes and professional insights, she empowers practitioners with evidence-based strategies and underscores the importance of education and research in advancing women's health.---TIMESTAMPS00:00 - Introduction03:41 - Challenges in Menopause Medicine07:21 - Misconceptions and Risks of HRT15:35 - Understanding Bioidentical Hormones18:48 - WHI Studies and Their Impact23:21 - Practical Guide to Prescribing HRT33:47 - Understanding Estrogen Levels and Risks36:04 - Debating Gels vs. Patches37:51 - Concerns with Compounded Products and Pellets38:50 - Patient Education and Meeting Them Where They Are42:12 - Progesterone Benefits and Sensitivities46:38 - Testosterone Therapy for Women51:36 - The Importance of Lab Tests55:39 - DHEA and Vaginal Health57:14 - Advocacy for Accurate Hormone Therapy Information01:00:05 - Conclusion and Final Thoughts---RESOURCESThe Peter Attia Drive episode with Dr. Rachel Rubin:https://peterattiamd.com/rachelrubin/ FDA Expert Panel on Menopause and Hormone Replacement Therapy for Women:https://www.youtube.com/live/_2ZRlOivC5M?si=-Xynb_BmWz2sWf4mDr. Rachel Rubin's Hormone Therapy for Early Adopters Course:https://rachelrubinmd.thinkific.com/courses/MHTCME

We're thrilled to bring you this powerful and myth-busting conversation with Dr. Kelly Casperson, a board-certified urologist, author of You Are Not Broken, and host of the top-rated podcast of the same name. If you've ever felt confused, dismissed, or flat-out frustrated by the information (or lack thereof) around perimenopause and menopause, this episode is for you. Dr. Casperson breaks down the science with clarity and humor, helping us all better understand what's really going on with our hormones—and why we don't have to just "tough it out." We cover everything from early symptoms like brain fog and poor sleep to the misunderstood role of hormones like estrogen and testosterone. We also talk about how we as women can become better advocates for our health in a system that often leaves us behind.  Episode Highlights:  [4:38] - Debunking the myth that menopause only happens in your 50s—and how "average" doesn't mean "too young." [7:16] - Brain fog, sleep issues, and the importance of estrogen and testosterone for your mental clarity. [16:50] - The real story behind testosterone—what it does, why it's not “just for libido,” and how women actually produce more of it than estrogen. [21:33] - Pros, cons, and controversies of pellets vs. transdermal testosterone and how to advocate for safe, effective treatment. [29:00] - Why age-based hormone treatment guidelines are outdated and how to start thinking preventively about your health. [34:30] - Breast cancer survivors and hormones: navigating a complex and often misinformed landscape. [38:59] - Common myths around risk and how to challenge medical gatekeeping with knowledge and confidence. [42:44] - The fallout from the 2002 Women's Health Initiative study and how misinformation persists decades later. [44:08] - Where to actually find a menopause-savvy provider who knows the full menu of treatment options. Links & Resources:Dr. Kelly Casperson's Website: https://kellycaspersonmd.com/ Book: You Are Not Broken: https://kellycaspersonmd.com/you-are-not-broken-book/ Upcoming Book: Menopause Moment (September 2025): Pre-Order Now: preorder Kelly's new book about Perimenopause: https://kellycaspersonmd.com/the-menopause-moment-book/ Instagram: https://www.instagram.com/kellycaspersonmd Podcast: You Are Not Broken: https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329 Menopause Society Directory: https://menopause.org/  If today's discussion resonated with you or sparked curiosity, please rate, follow, and share "Insights from the Couch" with others. Your support helps us reach more people and continue providing valuable insights. Here's to finding our purposes and living a life full of meaning and joy. Stay tuned for more!Come hang out with us in The Chat, our free community for midlife women, where we keep theconversation going at insightsfromthecouch.org/the-chat. And don't forget todownload our free guide 7 Skills to Master Midlife so you can stop living small, start taking action, andlive the life you really want at insightsfromthecouch.org/midlife-roadmap.

Dr. Laura welcomes Dr. Esther Sternberg, M.D., a Professor, Research Director, Speaker, and Author of the books Well at Work, Healing Spaces, and The Balance Within, to the podcast to talk about wellness at work and how workplace environments impact employees. Dr. Sternberg shares her career journey from her start in medical family practice through to becoming the Research Director at the Andrew Weil Center of Integrative Medicine. She and Dr. Laura talk about what factors impact health and overall wellness at work and how these can be improved.Dr. Sternberg delves into the insights in her book Well at Work and explains the seven domains of integrative health as defined by the Andrew Weil Center for Integrative Medicine. Sleep, resilience, environment, movement, relationships, spirituality, and nutrition are the seven domains, and they include things like how quickly we bounce back from stress, how clean our air is, and access to nature. Dr. Laura and Dr. Sternberg examine how office design, environmental location, common spaces that encourage relationships, and even temperature all play a key role in our workplace health. The conversation sheds light on how work isn't simply a place to invest time into productivity, but can positively or negatively impact our overall lives, and how redefining workplaces is a vital part of future discussions. “... if you're feeling too stressed or too activated, you want to do something that will tone down that stress response so you can perform at peak... If you're too stressed, you freeze, you're unable to focus. You're unable to do the job, the task at hand. So what helps you to move that stress response from the extreme danger zone back to performing at peak is places where you can go offline a little bit, where you can effectively meditate even though you're not sitting there with crossed legs in a lotus position in a yoga studio, although having spaces where some people can do that is is also beneficial. But a space, for example, [like] the gardens. To just walk in the gardens, to just take your brain off the computer for a while and focus on the green, on the plants.” - Dr. Esther SternbergAbout Dr. Esther Sternberg, M.D.:Dr. Esther Sternberg is internationally recognized for her discoveries in the science of the mind-body interaction in illness and healing, and the role of place in wellbeing. She is a pioneer and major force in collaborative initiatives on mind-body-stress-wellness and environment interrelationships. A dynamic speaker, she engages her audience with passion for her subject and compassion as a physician. Through stories, she provides listeners with many take-home tips to help them cope with stress and thrive, and to create wellbeing spaces wherever they work or live. Dr. Sternberg's three popular, highly readable, informative, and scientifically based books are inspirations for lay persons and professionals alike, seeking answers to the complexities and 21st-century frontiers of stress, place, healing, and wellness. Her award-winning book, WELL at WORK: Creating Wellbeing in Any Workspace (Little, Brown Spark, 2023) was named a Top Ten Lifestyle Book for Fall 2023 by Publishers Weekly and received the OWL (Outstanding Works of Literature) Longlist Award. Her two previous science-for-the-lay public books, Healing Spaces: The Science of Place and Well-Being and The Balance Within: The Science Connecting Health and Emotions, are landmark in its field. Healing Spaces was recognized by the President of the American Institute of Architects as an inspiration for launching the AIA's Design and Health Initiative and has inspired the implementation of healing spaces in hospitals across the country and around the world. Currently, Research Director, Andrew Weil Center for Integrative Medicine and Founding Director of the University of Arizona Institute on Place, Wellbeing & Performance, she holds the Inaugural Andrew Weil Chair for Research in Integrative Medicine and is a Research Professor of Medicine with joint appointments as Professor in Psychology, Architecture, and Planning & Landscape Architecture, and in the College of Agriculture and Life Sciences, School of Nutritional Sciences and Wellness. As Senior Scientist and Section Chief, National Institutes of Health (1986-2012), she directed the NIH Integrative Neural Immune Program, Co-Chaired the NIH Intramural Program on Research on Women's Health, and chaired a subcommittee of the NIH Central Tenure Committee. Dr. Sternberg has advised the World Health Organization; the U.S. National Academies of Sciences, Engineering and Medicine; the International WELL Building Institute; the Royal Society, London; the Vatican, where she was presented to Pope Benedict XVI; and has briefed high-level U.S. Federal Government officials, including the Surgeon General, National Institutes of Health leadership, and the Department of Defence. Her two decades-long research with the U.S. General Services Administration, using wearable devices to track health and wellbeing in the built office environment, is informing healthy design standards and COVID re-entry across the federal government and the private sector.Among other honors, she moderated a panel with the Dalai Lama, was recognized by the National Library of Medicine as one of the women who “Changed the Face of Medicine,” served as a member and Chair of NLM's Board of Regents, and received an Honorary Doctorate in Medicine from Trinity College, Dublin, on its 300th Anniversary. She has authored over 240 scholarly articles, edited 10 technical books on the topic of brain-immune connections and design and health, and writes a monthly blog for Psychology Today, it has garnered tens of thousands of readers on subjects including stress and illness, gratitude and wellness, and place and wellbeing. She co-created and hosted the PBS Television Special, The Science of Healing with Dr. Esther Sternberg, and is frequently interviewed in the lay press and media, including NPR, BBC, CBC radio; PBS, ABC, CBS 60 Minutes, Overtime television, the Washington Post, LA Times, U.S. News and World Report, Reader's Digest, Prevention Magazine, The Oprah Magazine, and numerous podcasts, among others. She received her M.D. from McGill University, and trained in rheumatology at the Royal Victoria Hospital, Montreal, Canada.Resources:Website: EstherSternberg.comBook: “Well at Work: Creating Wellbeing in any Workspace” by Esther M. Sternberg, MDInstagram: @dresternbergLinkedInLearn more about Dr. Laura on her website: https://drlaura.liveFor more resources, look into Dr. Laura's organizations: Canada Career CounsellingSynthesis Psychology

I have to share something important with you today. In this solo episode, I'm breaking down the groundbreaking FDA meeting that finally addressed removing the black box warning on estradiol and estriol—a warning that was based on a fatally flawed study and has kept 85% of menopausal women from getting the treatment you desperately need. But here's what's really frustrating: even as the FDA moves toward sanity, we're seeing a civil war in women's healthcare. On one side, you have evidence-based physicians like me fighting for your rights to hormone therapy. On the other? Licensed practitioners certified by the Menopause Society who are STILL pushing the lie that estradiol only helps hot flashes and night sweats. I don't hold back in this episode as I walk you through the Women's Health Initiative—the study that scared an entire generation of women. I show you how researchers manipulated data, used "relative risk" to create fear (dementia risk "doubled" from 1% to 1.8%—seriously?), and completely ignored the fact that they studied unhealthy 63-year-old women on horse urine hormones, not the bioidentical estradiol and estriol. I also break down the game-changing study of 10 MILLION women that proved topical estradiol and bioidentical progesterone actually REDUCE your risk of dying from all causes—even in women over 65. Here's what you'll learn: Why the Women's Health Initiative was designed to fail (and how they manipulated the data) - The difference between "relative risk" and "absolute risk" (this will change how you read studies forever) - Why observational studies are just as valid as randomized controlled trials - How topical estradiol completely eliminates stroke and heart attack risk - Why every woman deserves access to bioidentical hormone therapy—not just the "lucky few" - The real science showing estradiol PROTECTS against breast cancer, heart disease, and dementia   If you're tired of being dismissed about your hormone health and ready to understand the real science behind estradiol therapy, this episode is for you.   It's not all in your head, and you deserve better than what you've been told.   Links: - Menrva Telemedicine: https://gethormonesnow.com/ - FREE Hormone Quiz: https://bit.ly/3wNJOec - Living Well Dallas: https://www.livingwelldallas.com/ - Hormone Reset: https://hormonereset.net/ - Betty Murray Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/ - Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: - Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

I have to share something important with you today. In this solo episode, I'm breaking down the groundbreaking FDA meeting that finally addressed removing the black box warning on estradiol and estriol—a warning that was based on a fatally flawed study and has kept 85% of menopausal women from getting the treatment you desperately need. But here's what's really frustrating: even as the FDA moves toward sanity, we're seeing a civil war in women's healthcare. On one side, you have evidence-based physicians like me fighting for your rights to hormone therapy. On the other? Licensed practitioners certified by the Menopause Society who are STILL pushing the lie that estradiol only helps hot flashes and night sweats. I don't hold back in this episode as I walk you through the Women's Health Initiative—the study that scared an entire generation of women. I show you how researchers manipulated data, used "relative risk" to create fear (dementia risk "doubled" from 1% to 1.8%—seriously?), and completely ignored the fact that they studied unhealthy 63-year-old women on horse urine hormones, not the bioidentical estradiol and estriol. I also break down the game-changing study of 10 MILLION women that proved topical estradiol and bioidentical progesterone actually REDUCE your risk of dying from all causes—even in women over 65. Here's what you'll learn: Why the Women's Health Initiative was designed to fail (and how they manipulated the data) - The difference between "relative risk" and "absolute risk" (this will change how you read studies forever) - Why observational studies are just as valid as randomized controlled trials - How topical estradiol completely eliminates stroke and heart attack risk - Why every woman deserves access to bioidentical hormone therapy—not just the "lucky few" - The real science showing estradiol PROTECTS against breast cancer, heart disease, and dementia   If you're tired of being dismissed about your hormone health and ready to understand the real science behind estradiol therapy, this episode is for you.   It's not all in your head, and you deserve better than what you've been told.   Links: - Menrva Telemedicine: https://gethormonesnow.com/ - FREE Hormone Quiz: https://bit.ly/3wNJOec - Living Well Dallas: https://www.livingwelldallas.com/ - Hormone Reset: https://hormonereset.net/ - Betty Murray Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/ - Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: - Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

 In this episode of Take Charge of Your Health, hosts Corinne Furnari and Carol Petersen welcome Dr. Jeffrey Dach, a former radiologist who shifted his focus to hormone health after seeing the limitations of conventional medicine. The conversation challenges widespread misinformation about hormones, particularly the long-standing fear of estrogen therapy and its supposed link to breast cancer.   Dr. Dach revisits the influential Women's Health Initiative study, explaining how its early conclusions painted estrogen in a negative light, only to be later corrected by follow-up analyses that showed different outcomes. Together with the hosts, he emphasizes that not all hormones are equal—bioidentical hormones, when prescribed correctly, can support not only cancer prevention but also long-term wellness and vitality.  The discussion highlights the importance of correct formulations such as Biest (a balanced mix of estradiol and estriol), while also addressing the role of supportive nutrients and compounds like iodine, selenium, and DIM (diindolylmethane) in maintaining hormonal balance and reducing cancer risk.  Listeners are also directed to Dr. Dach's book, Bioidentical Hormones 101, and his website for deeper resources on navigating hormone therapy safely and effectively. By combining medical research, clinical insights, and practical guidance, the episode reframes hormone therapy as a proactive strategy for health rather than a risk to be feared.

Episode 2687 - Vinnie Tortorich welcomes Dr. Laura Buchanan to discuss fears behind the Women's Health Initiative and the many benefits of hormone therapy. https://vinnietortorich.com/2025/08/benefits-hormone-therapy-episode-2687 PLEASE SUPPORT OUR SPONSORS YOU CAN WATCH THIS EPISODE ON YOUTUBE - The Benefits of Hormone Therapy Lifestyle changes can significantly reduce the number of medications a person needs to take. (2:30) The number of drugs that are being prescribed keeps increasing; however, how much and for how long can the body take multiple medications without further debilitating the body? (7:00) Vinnie has questions about hormones. (14:00) The Women's Health Initiative announcement was based on incorrect information and a flawed study. The downside is that fear still surrounds it many decades later, so women have been denied treatment options. Dr. Buchanan explains how the study was done and the flaws within it. Hormone Therapy can be so impactful for a woman's life. (28:30) There are many options available today for estrogen, progesterone, and, if necessary, testosterone. Treatment can increase quality of life. Both transdermal and vaginal estrogen can be highly effective for all kinds of symptoms. (34:00) Vinnie asks about DHEA. (41:00) DHEA is more complicated because it's the precursor to the other hormones. Bioidentical hormones are regulated appropriately by the FDA. Testosterone does not appear to increase prostate cancer risk. However, if you are on treatment for metastatic prostate cancer, it should not be taken. (54:00) Systemic estrogen (as in patches) is approved for bone loss prevention. (57:00) It also helps decrease cardiovascular risk, anxiety and depression, dementia, diabetes, and many other health issues. The closer you start it to menopause, the more helpful it is. You can find Dr. Laura Buchanan on X at @laurabuchananmd  She is also available through the website:   If you are interested in the NSNG® VIP group, Vinnie plans to open it again soon! You can get on the wait list - More News 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 . Make sure you watch, rate, and review it! Eat Happy Italian, Anna's next cookbook is available!  You can go to  You can order it from .  Anna's recipes are in her cookbooks, website, and Substack–they will spice up your day!  Don't forget you can invest in Anna's Eat Happy Kitchen through StartEngine.  Details are at Eat Happy Kitchen.    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:  Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views, 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:  REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere:  FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: 

I have to share something important with you today. In this solo episode, I'm breaking down the groundbreaking FDA meeting that finally addressed removing the black box warning on estradiol and estriol—a warning that was based on a fatally flawed study and has kept 85% of menopausal women from getting the treatment you desperately need. But here's what's really frustrating: even as the FDA moves toward sanity, we're seeing a civil war in women's healthcare. On one side, you have evidence-based physicians like me fighting for your rights to hormone therapy. On the other? Licensed practitioners certified by the Menopause Society who are STILL pushing the lie that estradiol only helps hot flashes and night sweats. I don't hold back in this episode as I walk you through the Women's Health Initiative—the study that scared an entire generation of women. I show you how researchers manipulated data, used "relative risk" to create fear (dementia risk "doubled" from 1% to 1.8%—seriously?), and completely ignored the fact that they studied unhealthy 63-year-old women on horse urine hormones.  I also break down the game-changing study of 10 MILLION women that proved topical estradiol and bioidentical progesterone actually REDUCE your risk of dying from all causes—even in women over 65.   Here's what you'll learn: Why the Women's Health Initiative was designed to fail (and how they manipulated the data) - The difference between "relative risk" and "absolute risk" (this will change how you read studies forever) - Why observational studies are just as valid as randomized controlled trials - How topical estradiol completely eliminates stroke and heart attack risk - Why every woman deserves access to bioidentical hormone therapy—not just the "lucky few" - The real science showing estradiol PROTECTS against breast cancer, heart disease, and dementia    If you're tired of being dismissed about your hormone health and ready to understand the real science behind estradiol therapy, this episode is for you.  It's not all in your head, and you deserve better than what you've been told.   Links: - Menrva Telemedicine: https://gethormonesnow.com/  - FREE Hormone Quiz: https://bit.ly/3wNJOec - Living Well Dallas: https://www.livingwelldallas.com/ - Hormone Reset: https://hormonereset.net/ - Betty Murray Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/ - Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: - Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

Listen up ladies. Talking boobs, vagina's and health advocacy.My beloved client sent me down a rabbit hole, and it's worthy for ALL WOMEN TO HEAR. Let's get some facts straight about how women are treated by today's medical system. I've spent 22 years in the wellness industry and spen a great amount of time studying functional medicine and have worked closely with women—especially post–breast cancer clients—to restore their health and well-being. While the points below draw on observations from a recent interview I watched, they highlight critical issues in hormone therapy, cancer care, and the loss of sacred body knowledge.Uncensored Truths What the Medical System Isn't Telling WomenAs a salon and spa owner and a passionate advocate for women's health, I've seen firsthand how the medical system often fails women, especially when it comes to hormones and cancer treatment. It's time to get some facts straight.Bioidentical Hormones vs. Synthetics: The Key DifferenceI can tell you that bioidentical hormones—specifically estrogen—saved my life and my sleep. A common misconception is that synthetic hormones are the same, but they are absolutely not. Bioidentical hormones are designed with the exact same molecular structure as those naturally produced by your body. Synthetic hormones, on the other hand, are chemically altered. To put it simply, your body's cell receptors can "read" bioidentical hormones clearly, but they struggle to recognize and process the fuzzy "writing" of synthetics.This distinction is crucial, particularly when we look at the well-known 2002 Women's Health Initiative study. This study linked traditional hormone therapy to health risks, but later research clarified that those risks were tied specifically to the synthetic progestin used, not the estrogen itself.The Shocking Facts of Women's Healthcare + DismissalThe medical industry's approach to women's health is often misguided, leading to unnecessary suffering. Here are some examples shared on a recent interview: * Vaginal Estrogen for Cancer Survivors: It's outrageous that some cancer centers still deny women access to vaginal estrogen, even when major medical societies have stated it's safe for everyone, including breast cancer survivors. This small step could prevent immense pain, urinary tract infections, and bladder issues.* A Focus on Appearance, Not Function: We spend a "s**t ton" of time and money on treatments like cold capping to save hair during chemotherapy, but we don't prioritize treating debilitating symptoms like vaginal atrophy and sexual dysfunction. Why aren't simple, effective solutions like vaginal estrogen a standard "pre-medication"?* The Divorce Rate After Cancer: An oncology nurse once told me about the high number of divorces after breast cancer treatment. This is not just a coincidence; it's a consequence of the physical and emotional toll—the shift from lover to caretaker, the pain from castration medications, and the loss of intimacy.* Profit Over Patients: The harsh reality is that breast cancer treatment is incredibly profitable. When women develop new medical problems from their treatment, they often become long-term customers, needing multiple pharmaceuticals to manage their side effects. This creates a system that prioritizes profit over a patient's long-term well-being and quality of life.IT IS SPIRITUAL. Reclaiming Our Bodies and Sacred KnowledgeAt one point in history, the female body was viewed as sacred. Rites like menstruation, childbirth, and healing were honored rituals. This was replaced by a sterile, clinical system. Midwives were criminalized, women with natural knowledge were branded as witches, and institutions took over.* Birth moved to hospitals, becoming controlled and monitored.* Menstruation became something to hide.* Menopause was pathologized instead of celebrated as a new phase of life.The message became clear: "Your body is not yours to understand. We'll tell you what it means." It's time to reclaim our bodies, trust our intuition, and demand a healthcare system that honors and heals, rather than profits from our suffering.IN SHORT: The Profit-Driven Treatment Model * Women are convinced they've been "cured" even when they've only had DCIS (which isn't technically cancer)* Treatment creates a cascade of medical problems requiring 5-10 additional pharmaceuticals* The industry profits from creating long-term medical customers* High-risk women are now being preemptively put on aromatase inhibitorsMost revealing was this insight: "Breast cancer happens in states of estrogen deficiency, not excess. Those receptors upregulate as a survival mechanism... looking for their missing lifeline."From Sacred Knowledge to Medical ControlThe interview concluded with a powerful historical perspective on how medical institutions systematically replaced women's body wisdom:What Was Sacred:* Menstruation honored in ceremony* Birth attended by midwives and family* The body seen as teacher, not threat* Community-supported transitionsWhat Was Taken:* Midwives criminalized* Earth-based healers branded as witches* Birth moved to hospitals - controlled, monitored, medicated* Menopause pathologized instead of honored* Women's body knowledge replaced with institutional controlThe Bottom LineThese interview insights reveal a healthcare system that often prioritizes profit over women's wellbeing, denies established safe treatments, and has systematically dismantled women's autonomy over their own bodies.Women deserve better than being told their suffering is necessary, their hormones are dangerous, and their body wisdom is irrelevant. It's time to question who benefits from keeping women in the dark about their own health - and demand change.Would love to know your thoughts. Drop them below. It's serious ladies. Sending you all my love - be your own advocate, be curious and love yourself ruthlessly. No one else will - the level that you can. xo Blue skies, KassandraResource reference Get full access to The Light Between at thelightbetween.substack.com/subscribe

Earlier this year the Olin Business School at Washington University announced a major initiative focused on the Business of Health. Now the school has been given a landmark $10 million dual-purpose gift from longtime university benefactors Jerry and Judy Kent to create an endowed deanship and to propel that Business of Health initiative. On the line, Mike Mazzeo, Dean and the Knight Family Professor at WashU's Olin Business School.

I have to share something important with you today. In this solo episode, I'm breaking down the groundbreaking FDA meeting that finally addressed removing the black box warning on estradiol and estriol—a warning that was based on a fatally flawed study and has kept 85% of menopausal women from getting the treatment you desperately need. But here's what's really frustrating: even as the FDA moves toward sanity, we're seeing a civil war in women's healthcare. On one side, you have evidence-based physicians like me fighting for your rights to hormone therapy. On the other? Licensed practitioners certified by the Menopause Society who are STILL pushing the lie that estradiol only helps hot flashes and night sweats. I don't hold back in this episode as I walk you through the Women's Health Initiative—the study that scared an entire generation of women. I show you how researchers manipulated data, used "relative risk" to create fear (dementia risk "doubled" from 1% to 1.8%—seriously?), and completely ignored the fact that they studied unhealthy 63-year-old women on horse urine hormones.  I also break down the game-changing study of 10 MILLION women that proved topical estradiol and bioidentical progesterone actually REDUCE your risk of dying from all causes—even in women over 65.   Here's what you'll learn: Why the Women's Health Initiative was designed to fail (and how they manipulated the data) - The difference between "relative risk" and "absolute risk" (this will change how you read studies forever) - Why observational studies are just as valid as randomized controlled trials - How topical estradiol completely eliminates stroke and heart attack risk - Why every woman deserves access to bioidentical hormone therapy—not just the "lucky few" - The real science showing estradiol PROTECTS against breast cancer, heart disease, and dementia    If you're tired of being dismissed about your hormone health and ready to understand the real science behind estradiol therapy, this episode is for you.  It's not all in your head, and you deserve better than what you've been told.   Links: - Menrva Telemedicine: https://gethormonesnow.com/  - FREE Hormone Quiz: https://bit.ly/3wNJOec - Living Well Dallas: https://www.livingwelldallas.com/ - Hormone Reset: https://hormonereset.net/ - Betty Murray Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/ - Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: - Website: https://www.bettymurray.com/ - Facebook: https://www.facebook.com/BettyAMurrayCN/ - Instagram: https://www.instagram.com/drbettymurray/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

"No one should suffer. I think a lot of cancer survivors get told, be thankful you're alive. We've got all these wonderful treatments. We will keep you alive and just deal with the side effects of treatments, and that just isn't true." - Dr. Mindy Goldman When I sat across from Dr. Mindy Goldman at dinner the night before Tamsen Fadal's World's Hottest Menopause Party, I knew I had to get her on the podcast. As someone who's spent decades watching women suffer in silence after breast cancer treatment—told just to be grateful they're alive while managing devastating menopausal symptoms—I was thrilled to meet someone breaking down these barriers, finally. Dr. Goldman has created something revolutionary: the only program in the country that bridges breast cancer care with menopause management, training over 300 providers to support survivors through virtual telehealth. We dive deep into the biggest myth plaguing women today—that ALL breast cancer survivors must avoid hormones forever—and she explains why that's simply not true for everyone. From the real truth about bioidentical hormones versus synthetic ones, to natural alternatives that actually work, to when testosterone might be safe, this conversation will arm you with the knowledge to have informed discussions with your healthcare team. Most importantly, you'll discover that suffering through treatment side effects isn't your only option.   What you'll learn: Why "breast cancer is not breast cancer" and how different types affect hormone therapy decisions The real truth about bioidentical hormones versus the synthetic ones used in the Women's Health Initiative study Natural alternatives for managing hot flashes, sleep issues, and other menopause symptoms during cancer treatment How specific exercise protocols (including interval training) can actually help prevent cancer recurrence When vaginal estrogen might be safe even for hormone-positive breast cancer survivors Lifestyle factors that matter more than genetics for cancer prevention Why women with genetic mutations or family history can often still use hormone therapy How MIDI Health is revolutionizing care for cancer survivors in all 50 states Love the Podcast? Here's what to do: Make My Day & Share Your Thoughts! Subscribe to the podcast & leave me a review Text a screenshot to 813-565-2627 Expect a personal reply because your voice is so important to me. Join 55,000+ followers who make this podcast thrive. Want to listen to the show completely ad-free?  Go to subscribetojj.com Enjoy the VIP experience for just $4.99/month or $49.99/year (save 17%!) Click “TRY FREE” and start your ad-free journey today! Full show notes (including all links mentioned): https://jjvirgin.com/drmindy Learn more about your ad choices. Visit megaphone.fm/adchoices

In this myth-busting episode of Menopause Mastery, Dr. Betty Murray tackles the three biggest lies about menopause that are sabotaging your health and happiness. If you've been told that weight gain is "inevitable," that you just have to "tough out" your symptoms, or that hormone therapy is "dangerous," this episode will set the record straight once and for all. Dr. Betty reveals the shocking truth: that 5-10% metabolism decrease everyone talks about? It's NOT a life sentence. Those debilitating symptoms like brain fog, fatigue, and mood swings? They're NOT something you have to live with. And hormone replacement therapy? It's actually one of the most PROTECTIVE things you can do for your long-term health. From the real science behind why you're gaining belly fat (hint: it's not just calories in, calories out) to the landmark 2023 studies showing why women over 40 need up to 50 grams of protein at breakfast, Dr. Betty breaks down exactly what your changing body needs to thrive—not just survive. Plus, she tackles the outdated Women's Health Initiative study that has terrorized women for over 20 years and shares the latest research showing hormone therapy actually REDUCES your risk of heart attack, stroke, dementia, and osteoporosis when started during the menopause transition.   The 3 Myths Debunked:  -Weight gain during perimenopause is inevitable -Menopausal symptoms are "normal" and you just have to live with them -Hormone replacement therapy is dangerous and should be avoided    What You'll Learn:  -Why you need 30-50 grams of protein at your first meal (backed by 2023 research)  -The fiber trick that reduces belly fat in midlife women -How box breathing (used by Navy SEALs) can lower cortisol and improve digestion -Why 50% of women are undertreated when doctors only use symptoms to dose hormones -The real truth about bioidentical hormone therapy and long-term health protection   If you're ready to stop believing the lies and start advocating for yourself, this episode gives you the science and strategies to feel amazing—not just "okay"—during your menopause journey.   Links:  Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

In this myth-busting episode of Menopause Mastery, Dr. Betty Murray tackles the three biggest lies about menopause that are sabotaging your health and happiness. If you've been told that weight gain is "inevitable," that you just have to "tough out" your symptoms, or that hormone therapy is "dangerous," this episode will set the record straight once and for all. Dr. Betty reveals the shocking truth: that 5-10% metabolism decrease everyone talks about? It's NOT a life sentence. Those debilitating symptoms like brain fog, fatigue, and mood swings? They're NOT something you have to live with. And hormone replacement therapy? It's actually one of the most PROTECTIVE things you can do for your long-term health. From the real science behind why you're gaining belly fat (hint: it's not just calories in, calories out) to the landmark 2023 studies showing why women over 40 need up to 50 grams of protein at breakfast, Dr. Betty breaks down exactly what your changing body needs to thrive—not just survive. Plus, she tackles the outdated Women's Health Initiative study that has terrorized women for over 20 years and shares the latest research showing hormone therapy actually REDUCES your risk of heart attack, stroke, dementia, and osteoporosis when started during the menopause transition.   The 3 Myths Debunked:  -Weight gain during perimenopause is inevitable -Menopausal symptoms are "normal" and you just have to live with them -Hormone replacement therapy is dangerous and should be avoided    What You'll Learn:  -Why you need 30-50 grams of protein at your first meal (backed by 2023 research)  -The fiber trick that reduces belly fat in midlife women -How box breathing (used by Navy SEALs) can lower cortisol and improve digestion -Why 50% of women are undertreated when doctors only use symptoms to dose hormones -The real truth about bioidentical hormone therapy and long-term health protection   If you're ready to stop believing the lies and start advocating for yourself, this episode gives you the science and strategies to feel amazing—not just "okay"—during your menopause journey.   Links:  Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

A “manel” reviewing trials and studies that explore the benefits and harms of hormone replacement therapy.The Women's Health Initiative* Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial* The Women's Health Initiative Randomized Trials and Clinical Practice: A Review* The Women's Health Initiative Hormone Therapy Trials: Update and Overview of Health Outcomes During the Intervention and Post-Stopping PhasesMeta-analysese* A systematic review and meta-regression analysis to examine the ‘timing hypothesis' of hormone replacement therapy on mortality, coronary heart disease, and stroke* Mortality Associated with Hormone Replacement Therapy inYounger and Older WomenHistory: Observational HRT Data* Postmenopausal estrogen and progestin use and the risk of cardiovascular disease* Hormone therapy to prevent disease and prolong life in postmenopausal women This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sensible-med.com/subscribe

In this myth-busting episode of Menopause Mastery, Dr. Betty Murray tackles the three biggest lies about menopause that are sabotaging your health and happiness. If you've been told that weight gain is "inevitable," that you just have to "tough out" your symptoms, or that hormone therapy is "dangerous," this episode will set the record straight once and for all. Dr. Betty reveals the shocking truth: that 5-10% metabolism decrease everyone talks about? It's NOT a life sentence. Those debilitating symptoms like brain fog, fatigue, and mood swings? They're NOT something you have to live with. And hormone replacement therapy? It's actually one of the most PROTECTIVE things you can do for your long-term health. From the real science behind why you're gaining belly fat (hint: it's not just calories in, calories out) to the landmark 2023 studies showing why women over 40 need up to 50 grams of protein at breakfast, Dr. Betty breaks down exactly what your changing body needs to thrive—not just survive. Plus, she tackles the outdated Women's Health Initiative study that has terrorized women for over 20 years and shares the latest research showing hormone therapy actually REDUCES your risk of heart attack, stroke, dementia, and osteoporosis when started during the menopause transition.   The 3 Myths Debunked:  -Weight gain during perimenopause is inevitable -Menopausal symptoms are "normal" and you just have to live with them -Hormone replacement therapy is dangerous and should be avoided   What You'll Learn: -Why you need 30-50 grams of protein at your first meal (backed by 2023 research) -The fiber trick that reduces belly fat in midlife women -How box breathing (used by Navy SEALs) can lower cortisol and improve digestion -Why 50% of women are undertreated when doctors only use symptoms to dose hormones -The real truth about bioidentical hormone therapy and long-term health protection If you're ready to stop believing the lies and start advocating for yourself, this episode gives you the science and strategies to feel amazing—not just "okay"—during your menopause journey.   Links:  Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/drbettymurray/ Produced by Evolved Podcasting: https://www.evolvedpodcasting.com/   Connect with Dr. Betty Murray:  Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

In this episode, I get fired up (again!) about the massive gaps, systemic bias, and flat-out inaccuracies in the way women's health is studied, treated, and talked about. From clinical research excluding women to medical myths that still persist today, we break down exactly why so many women feel unheard—and what you can do about it. I'm talking about everything from the historical exclusion of women in medicine to why “bikini medicine” is not an actual category, how stress impacts us differently, and why your sleep, energy, and metabolism might feel totally out of whack. In this episode:  Why most health advice was never actually tested on women The true origin of gender bias in modern medicine (hint: Flexner Report) Why common recommendations like daily aspirin may not help women The real reason “alternative” medicine is dismissed in the U.S. How heart attacks, pain, and disease symptoms show up differently in women Why women are still underrepresented in studies—even today Shocking truths about maternal mortality and autoimmune disease research How women process stress, emotions, and fatigue differently The biological reasons women need more sleep than men Why eating and exercising with your cycle isn't “woo”—it's science What you can start doing today to support your body better Resources & Mentions Books Referenced: Doing Harm by Maya Dusenbery Invisible Women by Caroline Criado Perez Studies Cited: Baltimore Longitudinal Study of Aging (excluded women for 20 years) Physicians Health Study on aspirin (conducted on 22,000+ men) Women's Health Initiative (launched 35 years after men's hormone research) Ready to stop feeling dismissed and start feeling empowered? Join the waitlist to work with me and learn how to support your body with what it actually needs. Registration is opening this week so don't wait!! 

In this episode of the Gutsy Health Podcast, Juanique Grover is joined by Dr. Brian Rodgers and hormone consultant Tauscha Johansen to unpack what most people misunderstand about hormone health—particularly when it comes to bioidentical hormone replacement therapy (BHRT). They dive into the symptoms women often ignore or get gaslit over, explain how BHRT works, and discuss why quality of life—not just lab results—should guide your decisions.They also explore how sex hormones don't function in isolation. If your thyroid, adrenals, or mitochondria are struggling, your hormones will be too. The episode is both practical and empowering, especially for women who are tired of being told "everything looks normal" when they clearly don't feel it.TakeawaysSex hormones (estrogen, progesterone, testosterone) influence almost every system in the bodyBioidentical hormones mimic your body's natural hormone structure, making them easier to metabolizeThe thyroid, adrenals, liver, and mitochondria all need to function well before hormone therapy will workSymptoms like low libido, brain fog, fatigue, and mood swings are often early signs of imbalanceDelivery methods matter—pellets, creams, patches, and injections all behave differently in the bodyThe Women's Health Initiative study caused widespread fear, but the science has shiftedFunctional testing provides a better view than conventional labs aloneYou're responsible for 90% of your healing—therapy supports the remaining 10%BHRT isn't about vanity; it's about reclaiming your ability to feel human againDon't wait until you're falling apart—early support makes a differenceChapters00:00 Introduction to Hormone Health03:44 Common Signs of Hormone Imbalance07:20 What Are Bioidentical Hormones?10:32 Delivery Methods: Pellets vs Creams vs Patches13:49 Why the Thyroid Must Be Addressed First17:11 Revisiting the WHI Study and Misconceptions21:58 Who Is (and Isn't) a Good Candidate for BHRT26:35 Functional Testing vs Standard Hormone Panels30:42 The 90/10 Rule of Healing34:50 Hormone Optimization and Quality of Life40:12 Closing Thoughts: Advocate for Your Own HealthReady to Take Control of Your Healing?Enrollment for the Gutsy Health Academy is now open!If you want to learn how to heal your body from the inside out—starting with the foundations—this program is for you.

Ebro, Laura, and Rosenberg host HOT 97's flagship program "Ebro In The Morning!" on today's episode 8/1/25 - Trump’s Health Announcements, Linda McMahon’s skeleton’s in her closet, Lawrence Taylor in trouble, Another Shannon Sharpe lawsuit, floods in the tri-state, Presidential Fitness Test, Justin Timberlake Health Issues, Freedom Friday, and much more! All that and more on Ebro In The Morning! To be a part of the Gurus email theguru@ebrointhemorning.com To be a part of Freedom Friday email info@ebrointhemorning.comSee omnystudio.com/listener for privacy information.

Are hot flashes just an inconvenience—or a warning sign of deeper dysfunction? In this episode of ReInvent Healthcare, Dr. Ritamarie Loscalzo sits down with triple board-certified hormone expert Dr. Lorraine Maita to challenge outdated myths around hormone replacement therapy (HRT) and menopause care.From debilitating mood swings and memory lapses to hidden bone loss and cardiovascular risks, Dr. Maita reveals why conventional medicine is failing midlife women—and what functional practitioners must do differently. If you've ever wondered if you should recommend HRT, how to test properly, or how to prepare the body for hormones, this conversation is a must-listen.What You'll Discover Inside:The Hot Flash Red Flag:Why menopausal symptoms are more than a nuisance—and what they're really signaling about your health.The Hormone Testing Trifecta:What Dr. Maita uses to map hormone metabolism—and why timing is everything.What To Do First:The critical step most practitioners skip before adding hormones—and how other conditions can make or break outcomes.Estrogen's Bad Reputation—Debunked:The real story behind the Women's Health Initiative study and bioidentical estrogen's safety..Beyond the Bandaid:Why functional practitioners must stop swapping pills for supplements—and start building personalized, root-cause strategies.When HRT Goes Wrong:Why pellets can backfire, when progesterone alone is enough, and how even “natural” hormones can go toxic if pathways are blocked.Resources & LinksGrab Our Free Guide to Unlock the Power of Optimal EnergyJoin the Next-Level Health Practitioner Facebook Group for free tools and trainingVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practiceExplore More Episodes on hormone balancing on ReInvent Healthcare and Functional Endocrinology hereDr. Lorraine Maita's Resources & LinksVisit The Feel Good Again Institute for courses and coachingExplore her medical practice at Vibrance for LifeHRT4U Course and Ultimate Hormone Reset: Course Links HereFollow Dr. Maita on:FacebookInstagramLinkedInYouTubeDr. Lorraine Maita's...

In this episode of The Common Sense MD, Dr. Tom Rogers dives deep into the misunderstood and often controversial world of women's hormone replacement therapy (HRT). Drawing from nearly two decades of his clinical experience at Performance Medicine, Dr. Rogers unpacks the latest research, recent FDA movements, and the shifting narrative around bioidentical hormones for women—especially during and after menopause.Inspired by a recent talk featuring Dr. Marty Makary (link below), the new head of the FDA and a forward-thinking advocate for patient-first healthcare, Dr. Rogers sets the record straight on outdated myths that have kept millions of women from receiving hormone therapy. He addresses the legacy of the Women's Health Initiative study, clarifies the truth behind black box warnings, and highlights the substantial benefits of HRT, including reduced risks of heart attack, dementia, osteoporosis, and more.Whether you're a patient, provider, or simply someone interested in women's health, this episode offers clarity, hope, and a much-needed push toward redemption for women's hormone therapy. Tune in for practical insight, trusted expertise, and the call to rethink menopause care for a healthier, more vibrant life.Listen now and share with anyone who needs to hear the truth about hormone replacement therapy.Full video mentioned in episode (credit: MSNBC): https://www.youtube.com/watch?v=oEGRRf_idJgWhat did you think of this episode of the podcast? Let us know by leaving a review!Connect with Performance Medicine!Check out our new online vitamin store:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://performancemedicine.net/shop/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Sign up for our weekly newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://performancemedicine.net/doctors-note-sign-up/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PMedicine⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@PerformancemedicineTN⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Performance Medicine

Send me a text! I'd LOVE to hear your feedback on this episode!My guest is Dr. Bruce Dorr, MD, OBGYN & Senior Medical Advisor for Biote.  We talk menopause & also discuss the article from the NY Times released on February 1, 2023 Women Have Been Misled About Menopause.The conversation around menopause is changing dramatically, but are women getting accurate information about what's actually happening in their bodies? Dr. Bruce Dorr, a board-certified OBGYN specializing in hormone optimization, joins Sandy to challenge widespread misconceptions and reveal what many women aren't being told about their changing hormones.This eye-opening discussion ventures far beyond hot flashes to explore how hormone imbalances affect virtually every bodily system. Dr. Dorr explains the shocking finding that joint pain—not hot flashes—tops the list of menopausal symptoms, and why so many women mistakenly attribute their discomfort to "just getting older." You'll discover the critical connection between hormone levels and brain health, including recent research linking hot flash severity to brain lesions similar to those found in Alzheimer's disease.The conversation tackles the infamous Women's Health Initiative study that scared millions away from hormone therapy, with Dr. Dorr clarifying why bioidentical hormones differ fundamentally from synthetic options. He offers a compelling analogy: "Not all estrogen is the same—it's like comparing ethanol to methanol. Both are alcohol, but one helps you feel good while the other can kill you." This distinction proves crucial for women weighing their treatment options.Most powerfully, Dr. Dorr addresses why standard medical care often fails menopausal women, with 60% of OBGYNs prescribing antidepressants rather than addressing hormonal root causes. He explains how pellet therapy works as an alternative delivery system and shares stories of patients whose lives were transformed once their hormones were properly balanced. If you're navigating perimenopause or menopause—or simply want to understand what lies ahead—this conversation provides essential information for making informed decisions about your health and vitality.Support the showPlease rate & review my podcast with a few kind words on Apple or Spotify. Subscribe wherever you listen, share this episode with a friend, and follow me below. This truly gives back & helps me keep bringing amazing guests & topics every week.Instagram: https://www.instagram.com/sandyknutrition/Facebook Page: https://www.facebook.com/sandyknutritionTikTok: https://www.tiktok.com/@sandyknutritionYouTube: https://www.youtube.com/channel/UCIh48ov-SgbSUXsVeLL2qAgRumble: https://rumble.com/c/c-5461001Linkedin: https://www.linkedin.com/in/sandyknutrition/Substack: https://sandykruse.substack.com/Podcast Website: https://sandykruse.ca

Why are women constantly misdiagnosed and dismissed when they bring up perimenopausal symptoms to their doctors? The answer might shock you—and it's costing women their quality of life and long-term health.In this episode of Broads, I talk with Dr. Amy Killen about the massive education gap in women's hormone health, why the medical establishment got scared of HRT in 2002, and what the latest research actually shows about hormone replacement therapy. We dive deep into the difference between bioidentical and synthetic hormones, the supplements that actually matter for aging women, and why every woman deserves a conversation about hormone optimization.Dr. Amy Killen is a board-certified emergency physician who transitioned into hormone optimization and regenerative medicine after experiencing her own health challenges. She's the founder of HopBox supplements, co-founder of Reputable Health, and is dedicated to educating women about hormone health that most doctors never learned in medical school.We Also Discuss:05:27 – What are the biggest misconceptions when it comes to women's health? 07:03 – Why women are constantly misdiagnosed or dismissed by doctors 08:37 – The 2002 Women's Health Initiative study that changed everything 12:09 – Are doctors getting perimenopause/menopause education now? 14:36 – Why "that's just part of getting older" is a harmful narrative 15:41 – How to find doctors with hormone knowledge 17:27 – What is HRT and hormone replacement therapy? 18:18 – Why women might want to consider hormone replacement 19:42 – How hormones are preventative for chronic diseases 21:08 – How to know if symptoms are perimenopause vs other issues 23:06 – What tests to ask for and where to get them 24:44 – Addressing fears about HRT and breast cancer 28:06 – When is the right time to start HRT? 29:14 – Do you have to take hormones forever? 40:31 – Finding your perfect hormone "cocktail" 45:00 – Supplements: what women actually need as they age 54:58 – Why women should take creatine 57:40 – How to figure out if a supplement is actually workingThank You to Our Sponsors:Broads: Broads 1:1 – Ready to ditch the bullshit and start feeling good in your body? Choose your level and let's do this together. Apply for BroadsCOACH or BroadsCHAMPION today at broads.appLegion: Use code Tara20 for 20% off your first order and double loyalty cash back any order after that when you shop at LegionAthletics.comMomentous: Head to livemomentous.com and use code TARA for up to 35% off your first order. Because foundational health isn't optional – it's everything.Find more from Tara: Website: https://www.taralaferrara.com/Instagram: @taralaferrara @broads.podcast @broads.appYoutube: Tara LaFerraraTiktok: @taralaferraraFind more from Dr. Amy Killen: Website: https://hopbox.life/Instagram: @dr.amybkillen

Send me a text! I'd LOVE to hear your feedback on this episode!Ways to connect with Dr. Rosensweet & grab a free PDF of his book:https://www.menopausemethod.com/happyhealthyhormones/. 

Wusstet ihr, dass es ein goldenes Zeitfenster für die Hormonersatztherapie (HRT) gibt? Viele Frauen zwischen 30 und 45 denken noch nicht an die Wechseljahre – aber genau das kann ein entscheidender Fehler sein! ⚠️ In dieser Folge sprechen wir über:✅ Wann der ideale Zeitpunkt für Hormonersatztherapie ist✅ Warum frühes Handeln entscheidend für eure langfristige Gesundheit ist✅ Welche Risiken bestehen, wenn man das Zeitfenster verpasst✅ Wie ihr die ersten Anzeichen der Wechseljahre erkennt⚠️ Jetzt erfahren, warum der richtige Zeitpunkt für die Hormonersatztherapie so wichtig ist.Studie:NCBI - WWW Error Blocked DiagnosticThe Women's Health Initiative randomized trials of menopausal hormone therapy and breast cancer: findings in contextAnzeige:Wechseljahre Online-Kurs

Menopause isn't a medical condition requiring endurance—it's a physiological transition that responds to intervention. While the diagnostic criteria demand 12 consecutive months of amenorrhea, waiting a full year to address debilitating symptoms defies clinical logic. When patients present with vasomotor symptoms, mood dysregulation, and menstrual irregularities, laboratory evaluation can provide diagnostic clarity before the arbitrary 12-month mark. The key is recognizing that symptom management doesn't require a completed diagnostic checklist. This episode dissects the diagnostic approach to menopause, examines the cultural mythology that keeps women suffering unnecessarily, and provides evidence-based perspectives on hormone replacement therapy. We'll explore the actual risk-benefit profile of HRT, the cardiovascular and skeletal implications of hormone deficiency, and why decades of misinterpreted data have created widespread HRT phobia. Because apparently, we needed a Women's Health Initiative study to convince everyone that horse urine hormones aren't ideal for human women. Episode Highlights: Clinical definitions and diagnostic nuances of perimenopause versus menopause Laboratory markers and symptom patterns that inform menopause diagnosis The overlooked significance of testosterone assessment in menopausal women How societal expectations perpetuate the "suffer in silence" mentality Deconstructing the HRT fear-mongering that followed flawed research interpretations Evidence-based rebuttal to the estradiol-breast cancer causation myth Comprehensive approach to symptom assessment and therapeutic options Risk-benefit analysis of bioidentical estradiol and progesterone therapy Comparative evaluation of progesterone and estrogen delivery methods Clinical consequences of testosterone deficiency in women Pre-treatment evaluation and contraindications for HRT initiation Role of genetic testing in personalizing hormone replacement protocols Distinguishing natural menopause from surgical menopause management strategies Episode Resources: Dr. Shawn Tassone's Practice | https://www.drshawntassone.com Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormone Archetype Quiz Thank you to our sponsor, Purality Health! The question isn't which supplements to take—it's whether your body can absorb them. Most traditional supplements fall victim to stomach acid before delivering benefits. Purality Health's micelle liposomal technology creates a double-layer protective system that shields nutrients from stomach acid destruction while facilitating direct bloodstream absorption—making supplements up to 800% more effective. For perimenopausal and menopausal patients, I recommend their Vitamin D3 with K2 for bone density and mood regulation, and their exceptional magnesium formula for sleep and muscle tension. As a physician, I value their commitment to quality: cGMP-compliant facilities, purity testing, and organic, non-GMO ingredients without unnecessary fillers. Visit puralityhealth.com/drshawn and use code DRSHAWN for exclusive savings. 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.

Are you being told hormones are dangerous while suffering through menopause symptoms? In this episode of the Habits and Hustle podcast, I sit down with hormone pioneer Dr. Erika Schwartz, who reveals why the 2002 Women's Health Initiative study destroyed women's health for decades. We explore how 7 million women were wrongly taken off hormones overnight, why your gynecologist still fears HRT, and the difference between bioidentical and synthetic hormones. Dr. Schwartz explains why pellets are dangerous, shares her daily supplement stack, and reveals how to find the right hormone doctor when the medical system has failed you. Dr. Erika Schwartz is a board-certified internist and hormone expert with over 30 years of experience. She's the author of "Don't Let Your Doctor Kill You" and became the leading hormone authority after her book "The Hormone Solution" hit #2 on Amazon the same year the flawed hormone study was published. What We Discuss: (06:50) Debunking Myths About Hormone Replacement (14:25) Navigating the Broken Medical System (19:20) Optimizing Health Through Hormone Replacement (35:56) Foundation of Hormones and Supplements (47:59) The Dark Truth About Medical Insurance (52:48) Exploring Supplements for Health (01:06:24) Empowering Women in Healthcare …and more! Thank you to our sponsors: Momentous: Shop this link and use code Jen for 20% off Therasage: Head over to therasage.com and use code Be Bold for 15% off  TruNiagen: Head over to truniagen.com and use code HUSTLE20 to get $20 off any purchase over $100. Magic Mind: Head over to www.magicmind.com/jen and use code Jen at checkout. Bio.me: Link to daily prebiotic fiber here, code Jennifer20 for 20% off.  David: Buy 4, get the 5th free at davidprotein.com/habitsandhustle.   Find more from Jen:  Website: https://www.jennifercohen.com/ Instagram: @therealjencohen   Books: https://www.jennifercohen.com/books Speaking: https://www.jennifercohen.com/speaking-engagement Find more from Dr. Erika Schwartz: Website: https://drerika.com/ Books: https://drerika.com/publications/  Instagram: https://www.instagram.com/drerikaschwartz/ 

Did you know that starting hormone replacement therapy has an ideal window, and starting it at the wrong time can actually impact your brain, bones, and heart? In this week's episode of Menopause Mastery, I'll break down the science behind the critical window theory of hormone replacement therapy. Discover the truth about the Women's Health Initiative study that scared women away from hormones overnight, and learn why that poorly constructed study led to decades of misinformation. I explain how the average 63-year-old participants with existing cardiovascular disease don't represent the typical woman considering hormone therapy. Learn about the biological signals your body gives you - from sleep interruption and brain fog to the "Sahara desert" effect and joint pain - that indicate it's time to consider bioidentical hormone replacement. I reveal why progesterone decline starts in your late twenties, how testosterone affects memory and motivation, and why topical estrogen is the gold standard. Whether you're experiencing perimenopause symptoms in your 40s or wondering if it's "too late" to start hormones in your 60s, this episode provides the science-backed guidance you need to make informed decisions about your hormone health.   Links: Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/ Produced by Evolved Podcasting: www.evolvedpodcasting.com   Connect with Dr. Betty Murray: Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

Come the end of the month, Nebraska's Women's Health Initiative Advisory Council will also come to an end. The council was terminated in the recent legislative session.

Tricia and Doro welcome Karen Martel, CEO of Hormone Solutions, to discuss the complexities of women's health, particularly focusing on hormone replacement therapy and menopause. Karen discusses the historical context of HRT and the Women's Health Initiative study, helping women understand how more research has come about on these topics. She empathizes with women and the complex feelings surrounding menopause, and provides helpful information on the importance of estrogen and progesterone, the impact of nutrition and lifestyle, and the role of different types of estrogen–as well as testosterone–in maintaining health. Through sharing her personal journey and research, Karen underscores the importance of education and awareness for women navigating these challenges. This is the second of a two-part episode. Listeners can receive 15% of Hormone Solutions' products with code: HEALTH GIG  

Did you know that starting hormone replacement therapy has an ideal window, and starting it at the wrong time can actually impact your brain, bones, and heart?   In this week's episode of Menopause Mastery, I'll break down the science behind the critical window theory of hormone replacement therapy.   Discover the truth about the Women's Health Initiative study that scared women away from hormones overnight, and learn why that poorly constructed study led to decades of misinformation. I explain how the average 63-year-old participants with existing cardiovascular disease don't represent the typical woman considering hormone therapy.   Learn about the biological signals your body gives you - from sleep interruption and brain fog to the "Sahara desert" effect and joint pain - that indicate it's time to consider bioidentical hormone replacement. I reveal why progesterone decline starts in your late twenties, how testosterone affects memory and motivation, and why topical estrogen is the gold standard.   Whether you're experiencing perimenopause symptoms in your 40s or wondering if it's "too late" to start hormones in your 60s, this episode provides the science-backed guidance you need to make informed decisions about your hormone health.   Links:   Menrva Telemedicine: https://gethormonesnow.com/ FREE Hormone Quiz: https://bit.ly/3wNJOec Living Well Dallas: https://www.livingwelldallas.com/ Hormone Reset: https://hormonereset.net/ Betty Murray Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/ Produced by Evolved Podcasting: www.evolvedpodcasting.com   Connect with Dr. Betty Murray:   Website: https://www.bettymurray.com/ Facebook: https://www.facebook.com/BettyAMurrayCN/ Instagram: https://www.instagram.com/bettymurray_phd/   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.

I was happy to connect with Dr. Louann Brizendine today! She is the founder of the Women's Mood and Hormone Clinic at UCSF. She completed her degree in Neurobiology at the University of California, Berkeley, graduated from Yale School of Medicine, and completed her internship and residency at Harvard Medical School. She also served on the faculty of Harvard University and the University of California, San Francisco. Dr. Brizendine founded the Women's Mood and Hormone Clinic at UCSF. Her New York Times bestseller, The Female Brain, and its follow-up, The Male Brain, continue to be read worldwide.  Today, we dive deeply into her new book, The Upgrade: How the Female Brain Gets Stronger and Better in Midlife and Beyond, which was released in April 2022. IN THIS EPISODE YOU WILL LEARN: The transition and the upgrade stage of life explained Celebrating the transitional time of life and not fearing it How hormones help guide behavior Transition Stages 1,2,3 and what they mean Then onward to the 3 stages of "The Upgrade" Estrogen fluctuations that affect sleep Be aware of caffeine in your food and drinks and how it may affect your sleep. If you are having a problem staying asleep, you may want to cut back on alcohol or drink it earlier in the day. The Women's Health Initiative - (almost 20 years ago) disastrous misinterpretations and negative implications it caused by instilling fear in women to not use Estrogen - including osteoporosis, brain fog, anxiety, and sleep disruptions Hormone Replacement Therapy - now viewed as a positive and much-needed step in women's health Women between the ages of 40-50 should get a bone density scan as one of the determining factors of whether or not to begin hormone replacement therapy. Dr. Brizendine suggests that women should not be fearful of using therapies today to help balance hormones. Cynthia discusses the loss of cognition later in life as another correlative symptom of not receiving needed hormones. Dr. Brizendine advocates doing your own research regarding HRT and not depending only on information from major pharmaceutical companies. Cynthia and Dr. Brizendine discuss the importance of keeping an open mind when it comes to synthetic hormones because of the good they can do. If you are not well and do not feel like you can go on, please, immediately, seek out a doctor who can prescribe medications or hormones to help your particular and unique situation. Be your best and do not suffer in silence any longer. Cynthia says the transitional time of life should and can be a very good time in your life. Consider reading Dr. Brizendine's book(s) to learn more and to keep it as a valuable resource.  Connect with Cynthia Thurlow Follow on X, ⁠Instagram⁠ & ⁠LinkedIn⁠ Check out Cynthia's ⁠website⁠  Connect with Dr. Brizendine ⁠Website⁠ ⁠Facebook⁠ ⁠Instagram⁠ ⁠LinkedIn⁠ ⁠TikTok⁠ Dr. Louann Brizendine's Books ⁠The Upgrade⁠ (newest book) ⁠The Female Brain⁠ ⁠The Male Brain⁠ Resource Mentioned ⁠NAMS - North American Menopause Website

Tricia and Doro welcome Karen Martel, CEO of Hormone Solutions, to discuss the complexities of women's health, particularly focusing on hormone replacement therapy and menopause. Karen discusses the historical context of HRT and the Women's Health Initiative study, helping women understand how more research has come about on these topics. She empathizes with women and the complex feelings surrounding menopause, and provides helpful information on the importance of estrogen and progesterone, the impact of nutrition and lifestyle, and the role of different types of estrogen–as well as testosterone–in maintaining health. Through sharing her personal journey and research, Karen underscores the importance of education and awareness for women navigating these challenges. This is the first of a two-part episode. Listeners can receive 15% of Hormone Solutions' products with code: HEALTH GIG

Send us a textAre you feeling exhausted, irritable, foggy-brained, or experiencing night sweats that leave you drenched? These symptoms aren't just "part of getting older" – they're signs of hormonal changes that can be effectively treated. In this eye-opening conversation, Dr. Val Schulte joins midwives Missi and Cara to demystify perimenopause and menopause with straightforward, evidence-based information that healthcare providers often miss."I can't describe how excited I am about today," says Missi at the start, acknowledging that many midwives received minimal education about menopause, especially after the Women's Health Initiative study created widespread fear around hormone therapy. Dr. Schulte, who transitioned from traditional OBGYN practice to focusing on hormone therapy and lifestyle medicine, shares how her own perimenopausal symptoms sparked her passion for helping women navigate this transition.The conversation dives deep into practical aspects of hormone testing and treatment options. Dr. Schulte explains how bioidentical progesterone can improve sleep and mood, why testosterone (often overlooked in women) dramatically affects energy and libido, and how proper estrogen therapy protects heart, brain, and bone health. She details the advantages of different delivery methods – from daily creams to pellet therapy that slowly releases hormones over months – and dispels myths about hormone risks.What makes this episode especially valuable is the real-talk about symptoms many women experience but rarely discuss: brain fog that interferes with work, anxiety that appears out of nowhere, joint pain, changes in body odor, even ridges in fingernails. Dr. Schulte connects these seemingly unrelated issues to hormonal fluctuations and offers solutions beyond the standard "here's an antidepressant" approach many providers default to.Whether you're approaching perimenopause, in the thick of menopause, or supporting someone who is, this conversation provides clarity and hope. As Missy realizes toward the end, "I do not have to feel this way for another five years." Listen now to discover how you can reclaim your energy, mood, focus, and quality of life through evidence-based hormone therapy and lifestyle approaches.#EngagEDMidwife #MidwiferyMatters #HormoneTherapy #MenopauseCare #PerimenopauseSupport #WomensHealth #MidlifeHealth #HotFlashesAndHope #ToolsInOurToolbox@menopause_society @acog_org @drjennsimmons @drrachelrubin @dlberkson @auria.care 

Today, I am delighted to connect with Dr. Sanjay Bhojraj, a board-certified interventional cardiologist turned functional medicine pioneer. After 15 years in conventional medicine, Dr. B realized that true healing goes beyond prescriptions alone and founded Well12, a transformational health program that helps millions rethink what it means to be healthy.  In today's conversation, the first in a series of discussions with Dr. B, we dive into the progression of heart disease in perimenopause and menopause, discussing the impact of the Women's Health Initiative, the physiology of the heart and blood vessels, endothelial dysfunction, high blood pressure, oxidative stress, and inflammation. We also explore the limitations of the standard lipid panel, advanced cardiovascular testing, statins as primary prevention, microvascular dysfunction in women, heart rate variability, wearables, and the autonomic nervous system.  You won't want to miss this invaluable discussion with Dr. Sanjay Bhojraj, and I look forward to having him back for a follow-up episode later this summer. IN THIS EPISODE, YOU WILL LEARN: The need for doctors to recognize the risk of heart disease in women, especially during menopause How nitric oxide maintains cardiovascular health and regulates blood pressure Why atherosclerosis is an inflammatory process and not just plaque buildup Addressing inflammation and oxidative stress  Benefits of HRT for improving women's cardiovascular health  Advanced lipid testing reveals more about heart disease risk than standard cholesterol panels  What cardiologists are looking for when they do stress tests The challenges of treating microvascular dysfunction in women with medical interventions How heart rate variability can improve cardiovascular health How lifestyle changes and mindset interventions can lessen cardiovascular risk Bio: Dr. Sanjay Bhojraj Dr. Sanjay Bhojraj is a board-certified Interventional Cardiologist turned Functional Medicine pioneer. After 15 years in conventional practice, he realized that true healing is not found in prescriptions alone—it's in the power of food, sleep, movement, and breath. He's the founder of Well12, a transformational health program, and a leading voice online where his viral content is helping millions rethink what it means to be healthy. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Sanjay Bhojraj The Laguna Institute for Functional Medicine Well12 Health Optimization Program On Facebook and Instagram 

In this episode I'm going to help you answer the question: should I be starting hormone replacement therapy during peri or post menopause? Over the past 23 years, there has been a lot of fear about hormone replacement therapy (HRT). The Women's Health Initiative originally reported a concern about breast cancer risk, and that led many women to avoid hormone replacement. A newly updated report from the same researchers has completely changed the perspective on hormone replacement. The researchers are now stating that HRT is not increasing breast cancer risk the way they once feared. Instead, HRT can actually decrease disease risk, including by decreasing heart disease, dementia, diabetes, and osteoporosis. That is such essential information, and such a shift in what we've been hearing, that I wanted to cover this topic in detail. Choosing hormone replacement therapy is a very individualized decision. It's important to understand and think through your medical history and your health risk factors. It's also important to work with a practitioner who understands the latest research. It is essential to individualize your doses and how hormones are delivered to your body (oral, cream, patch, etc). I'm going to cover how to find a practitioner who can guide you every step of the way. I'm here to help you! LINKS FROM THE EPISODE:   Take Dr. Doni's Stress Type Quiz: https://doctordoni.com/quiz/stress-quiz/   Menopause Program with Dr. Doni: https://dv296.infusionsoft.com/app/orderForms/Menopause    Sign up For Dr. Doni's Masterclasses: https://doctordoni.com/masterclasses/    Schedule A Chat With Dr. Doni: https://intakeq.com/new/hhsnib/vuaovx    Read the full episode notes and find more information: https://doctordoni.com/blog/podcasts/ MORE RESOURCES FROM DR. DONI:   Quick links to social media, free guides and programs, and more: https://doctordoni.com/links     Disclosure: Some of the links in this post are product links and affiliate links and if you go through them to make a purchase I will earn a commission at no cost to you. Keep in mind that I link these companies and their products because of their quality and not because of the commission I receive from your purchases. The decision is yours, and whether or not you decide to buy something is completely up to you.

On this episode, TDZ steps off the course and into the heart of the Copper Canyons with the Korima Health Initiative. Founded with a mission to bring essential healthcare and education to the Indigenous Rarámuri people of northern Mexico, Korima is powered in part by a unique crew of volunteers—many of whom are also adventure racers. Just as they navigate wild terrain and unpredictable conditions in their athletic pursuits, these racers bring their endurance, teamwork, and grit to the challenges of remote medical work. The connection is clear: in both arenas, success demands resilience, teamwork, and a deep commitment to service. We talk with those who've swapped trekking poles for stethoscopes and headlamps for tongue depressors. Tune in as The Dark Zone explores how the spirit of adventure racing fuels a mission of healing and hope.Thank you for listening. If you like what you hear, please like, click, and subscribe on your streaming platform of choice. This helps spread the word about Adventure Racing and TDZ's role in elevating the sport. Remember - You Keep Racing, and We'll Keep Talking! Show notes:https://korimahealthinitiative.org/

Doro and Tricia welcome Dr. Mariza Snyder, an expert on perimenopause and menopause. Dr. Snyder gives an overview of women's wellness research, highlighting the misconceptions surrounding the Women's Health Initiative and the need for a more holistic approach to women's health, particularly regarding hormone replacement therapy. Dr. Snyder talks about the roles of estrogen and progesterone, the significance of metabolic health, the impact of hormonal changes during menopause, muscle health, and the impact of stress and trauma on overall well-being. She outlines the significance of nutrition, lifestyle choices, and health-technology in managing these changes and promoting hormonal health, guiding listeners towards a healthier path as they enter the stages of perimenopause and menopause.

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Rachel Rubin is a board-certified urologist and one of the nation's foremost experts in sexual health. In this episode, she shares her deep expertise on the often-overlooked topic of women's sexual health, exploring why this area remains so neglected in traditional medicine and highlighting the critical differences in how men and women experience hormonal decline with age. Rachel explains the physiology of the menstrual cycle, the complex hormonal shifts of perimenopause, and the wide-reaching health risks associated with menopause, including osteoporosis, cardiovascular disease, dementia, and recurrent urinary tract infections. She also breaks down the controversy surrounding hormone replacement therapy (HRT), particularly the damaging legacy of the Women's Health Initiative study, and provides guidance on the safe and personalized use of estrogen, progesterone, and testosterone in women. With particular emphasis on local vaginal hormone therapy—a safe, effective, and underused treatment—Rachel offers insights that have the potential to transform quality of life for countless women. We discuss: Rachel's training in urology and passion for sexual medicine and women's health [3:00]; Hormonal changes during ovulation, perimenopause, and menopause: why they occur and how they impact women's health and quality of life [5:30]; Why women have such varied responses to the sharp drop in progesterone during the luteal phase and after menopause, and the differing responses to progesterone supplementation [14:45]; The physical and cognitive health risks for postmenopausal women who are not on hormone therapy [17:45]; The history of hormone replacement therapy (HRT), and how misinterpretation of the Women's Health Initiative study led to abandonment of HRT [20:15]; The medical system's failure to train doctors in hormone therapy after the WHI study and its lasting impact on menopause care [29:30]; The underappreciated role of testosterone in women's sexual health, and the systemic and regulatory barriers preventing its broader use in female healthcare [35:00]; The bias against HRT—how institutional resistance is preventing meaningful progress in women's health [46:30]; How the medical system's neglect of menopause care has opened the door for unregulated and potentially harmful hormone clinics to take advantage of underserved women [53:30]; The HRT playbook for women part 1: progesterone [57:15]; The HRT playbook for women part 2: estradiol [1:05:00]; Oral formulated estrogen for systemic administration: risks and benefits [1:13:15]; Topical and vaginal estrogen delivery options: benefits and limitations, and how to personalize treatment for each patient [1:17:15]; How to navigate hormone lab testing without getting misled [1:24:15]; The wide-ranging symptoms of menopause—joint pain, brain fog, mood issues, and more [1:31:45]; The evolution of medical terminology and the underrecognized importance of local estrogen therapy for urinary and vaginal health in menopausal women [1:37:45]; The benefits of vaginal estrogen (or DHEA) for preventing UTIs, improving sexual health, and more [1:41:00]; The use of DHEA and testosterone in treating hormone-sensitive genital tissues, and an explanation of what often causes women pain [1:50:15]; Is it too late to start HRT after menopause? [1:56:15]; Should women stop hormone therapy after 10 years? [1:58:15]; How to manage hormone therapy in women with BRCA mutations, DCIS (ductal carcinoma in situ), or a history of breast cancer [2:00:00]; How women can identify good menopause care providers and avoid harmful hormone therapy practices, and why menopause medicine is critical for both women and men [2:06:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Homebuyers are gaining more sway in Seattle's housing market, Fred Hutchinson Cancer Center's Women's Health Initiative faces cuts, and lines to get a REALID in Washington are long. It’s our daily roundup of top stories from the KUOW newsroom, with host Paige Browning. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.