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I'm thrilled to have Dr. Felice Gersh join me for a two-part conversation focusing on menopause and HRT. She is a prolific voice in the integrative gynecology space, a true mentor, and someone I respect enormously. In the first part today, we dive into progesterone and its wide-ranging systemic effects. We unpack the differences between synthetic and bioidentical hormones, discuss the Women's Health Initiative, examine the role of progesterone in cardiovascular disease, and look at the importance of nitric oxide production. We explore ovarian senescence and how we accelerate our ovarian aging. Dr. Gersh explains how declining nitric oxide production relates to aging and shares ways to achieve optimal health during menopause. We also discuss how PCOS impacts fertility and longevity, how estradiol and progesterone modulate neurotransmitters, and how they impact brain health and cognition in perimenopause and menopause. This is truly a conversation you will not want to miss. Be sure to stay tuned for my second discussion with the insightful Dr. Felice Gersh. IN THIS EPISODE, YOU WILL LEARN: The value of progesterone beyond simply protecting the uterine lining What progesterone does that synthetic progestins cannot do How the risks and side effects of synthetic progestins unfairly tarnished the reputation of progesterone How progesterone supports nitric oxide signaling and vascular health The essential role progesterone plays in stabilizing the nervous system The role of progesterone in supporting mitochondrial function, musculoskeletal health, and connective tissue repair Symptoms that could appear or worsen when progesterone levels are low Dr. Gersh reframes ovarian aging as a core marker of aging in women Factors that could impair ovarian function and hormone production Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community: The Midlife Pause/Cynthia Thurlow Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause Supplement Line Connect with Dr. Felice Gersh On her website: Integrative Medical Group of Irvine Instagram All of Dr. Gersh's books are available on Amazon.
What if menopause is one of the most important longevity events in human biology, and we've been ignoring it?Dr. Matt Kaeberlein sits down with Dr. Jennifer Pearlman, founder of PearlMD and pioneer in female-centric longevity medicine, to unpack why women's health has been systemically underfunded, undertreated, and misunderstood and what a proactive approach actually looks like.From the flawed science behind the Women's Health Initiative to the nuts and bolts of hormone optimization, testosterone for women, and the emerging field of ovarian tissue cryopreservation, Dr. Pearlman brings 20+ years of clinical expertise and a framework she calls FemSpan: harnessing the unique biology of female longevity while mitigating the risks most medicine ignores.Timestamps:00:00 — Cold open00:47 — Welcome & Dr. Pearlman's origin story02:33 — Why the medical system fails women08:37 — How the women's health landscape has shifted over 20 years09:26 — The Women's Health Initiative: what went wrong13:07 — What drove the reemergence of menopause medicine14:38 — Big Pharma, funding, and the micronized progesterone question17:13 — "Medicine progresses one funeral at a time"18:01 — From functional medicine to precision medicine20:35 — Rebranding aging: from anti-aging to longevity23:50 — Navigating the gray zone between frontier and fringe27:46 — How to identify credible practitioners33:32 — What every woman should know about the menopause transition36:41 — Why take a proactive approach? Symptoms, disease risk, and aging38:19 — The two simultaneous biology processes of menopause41:46 — The role of FSH and hormone optimization43:28 — Estradiol as the body's regenerative signal47:24 — What to test and when50:38 — The metabolic theory of menopause55:08 — Visceral fat as an evolutionary adaptation57:26 — How to navigate hormone therapy01:00:24 — Bioidentical hormones: reclaiming the term01:06:45 — Why route of administration matters01:11:35 — Progesterone: the unsung hero of menopause management01:23:19 — Testosterone for women: what the science actually says01:34:25 — Introducing FemSpan: the female longevity framework01:37:55 — The biological aging advantages women carry01:46:46 — Can we close the healthspan gap?01:53:05 — Could reversing menopause extend female lifespan?02:00:29 — Regenerative medicine and the future of female longevity02:03:10 — Ovarian tissue cryopreservation explained02:10:39 — AI in women's precision medicine02:15:50 — Medicine at scale: opportunity and risk02:21:41 — Advanced cardiovascular diagnostics and the female gap02:24:22 — Closing thoughts: your aging trajectory is more in your control than you think
Neurologic care during pregnancy and menopause requires careful attention to the dynamic interplay between hormonal transitions, evolving evidence on diagnostic and treatment safety, and the lifelong risks associated with neurologic complications of pregnancy. In this episode, Katie Grouse, MD, FAAN, speaks with Sara C. LaHue, MD, author of the article "Neurologic Complications of Pregnancy and Menopause" in the Continuum® February 2026 Neurology of Systemic Disease issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California, San Francisco in San Francisco, California. Dr. LaHue is an assistant professor of neurology for the Weill Institute for Neurosciences in the Department of Neurology at the University of California, San Francisco School of Medicine in San Francisco, California Additional Resources Read the article: Neurologic Complications of Pregnancy and Menopause Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Full episode transcript available here Dr Grouse: Despite the high prevalence of neurologic conditions in women, critical gaps remain in training, research, and clinical guidelines on sex and gender specific considerations across the lifespan. Today, I have the opportunity to speak with an expert on neurologic complications of pregnancy and menopause and coauthor of the and women's neurology curriculum core competencies, Dr Sara LaHue about the latest issue of Continuum on neurology of systemic disease. Dr Jones: This is Dr Jones, editor in chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Sara LaHue about her article, Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of Systemic Disease. Welcome to the podcast and please tell us more about yourself. Dr LaHue: Well, thanks so much for having me. I'm really excited to talk about this topic. So, I'm Sara LaHue. I'm a neurologist at UCSF, assistant professor of neurology, and a neurohospitalist. So much of my role is taking care of people who are coming into the hospital with urgent and emergent neurologic conditions. And so that's very much a framing that I come to this chapter with. Dr Grouse: I just want to start by congratulating you on your article, which is such a phenomenal compendium of important neurologic issues related to pregnancy and menopause, which I think I really needed and a lot of us really need and was missing, I think, in all of the literature out there. This article will be such an important clinical resource. I know for me, and I'm sure for many of our listeners, this may be a difficult question to answer because of how comprehensive the article is. But what do you hope will be the main takeaway for those who read your article? Dr LaHue: So, I really hope that listeners walk away with understanding that pregnancy and menopause are not contraindications to providing excellent neurologic care. I think too often we default to withholding treatment, pseudo-assumed risk, rather than actual evidence of harm. And so, I think that the key message here is that protecting maternal health is protecting fetal health, and that under-treating neurologic conditions during pregnancy can harm both mother and baby. Dr Grouse: You did say specifically in your article that I thought it was so important that presumption of harm from medications during pregnancy, due to lack of evidence rather than evidence of harm, was something that we really had to be aware of, of that bias. And how do you recommend neurologists listening to this podcast approach situations where diagnostic or management strategies become less certain due to safety considerations in pregnancy? Dr LaHue: Yeah, that's such an important question. I really frame it as a risk-benefit calculation with a patient, and I'm very transparent about what we know and what we don't know. And I emphasize that untreated disease may also impact fetal health. I use resources like LactMed and pregnancy registries that can help provide some of the more latest data. And then when evidence is limited, I document our discussion thoroughly, and I'll often involve maternal-fetal medicine colleagues for their multidisciplinary input. So, the goal is really to have an informed, shared decision-making process rather than a reflexive avoidance of all treatments. Dr Grouse: I think that's really important to reiterate, and I think something that we're all I think working on as we try to manage these difficult situations and conditions. Now, I want to switch gears a little bit and ask. Your article was so comprehensive and so helpful, but what isn't in the article that you wanted to put in? Dr LaHue: There was a fair amount that I ended up having to take out. So, this is a question that's near and dear to my heart. So, I would have liked to include more on the neurodevelopmental outcomes for children who are exposed to various neurologic medications in utero. And I also wanted to discuss more about transgender and non-binary individuals who are experiencing pregnancy and menopause, as they're often underrepresented in research. They've faced unique challenges accessing care. Dr Grouse: Now, I was really struck by one statistic in your article, specifically that intimate partner violence is a leading cause of head injury during pregnancy, and that actually homicide is a leading cause of death during pregnancy in the postpartum period in the US, which was absolutely a surprising statistic to me. What does this mean for our listeners caring for pregnant patients with concussions and head injuries? What should we be doing differently? Dr LaHue: This is also something that really struck me when I first encountered it. I think that the statistics should really fundamentally change how we approach head injuries in pregnant patients. I think we need to screen everyone routinely and privately for violence in the home and in the relationships, and to document injuries very carefully. But we also need to be prepared if someone does screen positive. And so, it's important to be familiar with what's available in terms of resources within your community, where you work, and also to remember that that strangulation in particular is something that can cause dissection and stroke. And so, to maintain a high index of suspicion for any kind of vascular injury in these cases. So not just thinking about head injury itself, but also thinking about complications of strangulation as well. Dr Grouse: Really a great reminder of the role that we can play in our own careers and our own clinical settings when we see cases like this. So, I really appreciate that this point was made, and I hope this will change people's practice. Now switching gears to stroke in pregnancy. Could you walk us through your evaluation and management of a patient who comes in with acute stroke in the peripartum period? Dr LaHue: This is such an important topic, and I think the first thing I'd like to emphasize is that time is brain. Whether or not you're pregnant. It's important to get whatever imaging modality is going to be fastest. Get the CT or get the MRI as soon as you can. Don't delay for fetal concerns. The radiation risk is minimal compared to missing a treatable, disabling stroke. In terms of treatment, thrombolysis and mechanical thrombectomy should be considered just as in a non-pregnant person, when the benefits outweigh the risks. And so, I think the key is involving obstetrics early for shared decision making, and being very transparent with what treatment options are available for the individual, and to not let pregnancy alone stop you from offering standard stroke therapies. Dr Grouse: Definitely a helpful resource, and I think the resources that you put in specifically around the considerations and differentials in these various populations. Postpartum, while still pregnant during the period of period, I think is all just so helpful and a great review. So, I encourage our listeners to check that out. Now switching over to the topic of menopause. I have to say, I really appreciated your coverage of neurologic issues related to the perimenopause period. What do you think is the biggest debate or controversy in this area? Dr LaHue: I think this has to be our understanding of the use of menopausal hormone therapy. The pendulum, when using menopausal hormone therapy, has really swung dramatically. So, we went from routine use to predominantly avoidance. After the Women's Health Initiative was published in 2002, and now we're finding that we're starting to come more to a middle ground. I think there's still great debate when it comes around timing of initiation, formulation of the different therapies, a route of administration and also the dosing, as well as just including how to individualize therapy for individuals with neurologic conditions. Dr Grouse: Well, going into that a little further, I know I get a lot of questions about the use of hormone therapy as it relates to stroke risk and particularly in higher risk patients such as patients who've had prior strokes, dissections, a history of migraine with aura. And I find it hard to get the answers in the literature that's out there. How are you counseling these patients? Dr LaHue: So, I think this is where discussions around the route of administration and dosing become especially important. And this is where there's emerging literature that I think is helping to guide some of these discussions. So, for higher risk patients, I discuss how low dose transdermal formulations which can bypass hepatic metabolism and reduce clotting risk. These are medications that can appear safer in those higher risk individuals. I think the key is really individualizing the risk-benefit discussion with the patient. For a woman with severe vasomotor symptoms that are affecting sleep and cognition, who had a remote stroke. I think this is a person for whom low dose transdermal patch might be a reasonable option. All of these factors end up being considerations for that shared decision-making. Dr Grouse: Now your article covers another topic that I often get questions about, and that's specifically regarding safety of vaginal delivery for patients with neurologic conditions that are sensitive to increased intracranial pressure. Could you summarize your advice for these types of questions when they come up? Dr LaHue: So broadly speaking, most neurologic conditions don't require C-section delivery. And this is a procedure that, just globally speaking, as has been increasing dramatically. And so, I think that's the key message that really, most neurologic conditions don't require a C-section as a main indication. And really, the indication should be based on obstetric considerations. For most conditions, like controlled idiopathic intracranial hypertension, a vaginal delivery is fine. But for patients with mass effect or obstruction at the foramen magnum, a C-section with general anesthesia, it's probably going to be safer. The transient increase in intracerebral pressure that can come with pushing. It hasn't really been shown to harm patients who have stable, treated neurologic conditions. Dr Grouse: I really appreciated the advice that you given in the article, which was that if generally you feel like this would be a patient who would be safe to get a lumbar puncture, you have a little less concern about vaginal delivery versus those that you feel would not be safe to get a lumbar puncture, that you'd be more leaning towards a C-section. Dr LaHue: Yeah, that's exactly right. Dr Grouse: Now, why do you think we have so many gaps in our understanding of how pregnancy and menopause affect neurologic conditions? Dr LaHue: So, I think it really comes down to a perfect storm of factors. So, in 1977, the USFDA came down with the recommendation, stating that it was best to exclude all women of reproductive potential from both phase one and phase two studies. And this recommendation wasn't reversed until 1993. And there are also concerns around liability and also the fact that pregnancy is a temporary state is something that may falsely minimize the potential for delays. The potential for harms that come with delays in treatment. And I think that the fact of menopause is also historically been dismissed, despite this is something that is affecting half of the population. I think we need systemic change. We need to mandate inclusion in research. We need funding for dedicated studies. We also need to recognize women's health as a core competency and not just a special interest. Dr Grouse: That all sounds like a great roadmap for improving our knowledge. And I really hope we get there. But hearing you talk about it really does give me hope that we can improve how we are understanding and treating these conditions. Now, your article included a really helpful overview of headaches in pregnancy, and that's certainly something I think many of our listeners are very familiar with. We do have a lot of questions around that, and I think there's a lot of areas where we don't really always know what the best thing to do is. I think that your article really gave a lot of great information and a really great framework to think about. It would be wonderful to hear you walk through your approach to evaluation of a patient who was pregnant with a new onset headache. Dr LaHue: You'll see in this chapter that I introduce a mnemonic that's spelled out pericardium as a framework for thinking about headache and pregnancy. And here are the you specifically points to an unusual headache, referring to a new or atypical presentation of headache for the patient. I think this is an important place to start, because one of the initial considerations should be this is a new headache, or is this an old headache? If this is a patient who already has a preexisting diagnosis of migraine or some other primary headache disorder, then it's certainly possible that the headache that they're experiencing during pregnancy is also a continuation of their primary headache disorder. But certainly, our role is to make sure that we're not missing a scary complication, a secondary headache that could be dangerous to the patient. And so, then this is where I also think about, well, where are they in the course of their pregnancy. Is this person currently pregnant or are we in the postpartum period? When someone is after 20 weeks gestation, one of the first things to consider is going to be preeclampsia. And so, it's important in those individuals to check blood pressure, check urine to rule out preeclampsia, as this is always going to be top of mind after 20 weeks. I think it's also important to emphasize that preeclampsia is not just a condition that can occur when someone is pregnant. This is also something that can occur postpartum. One needs to be vigilant for looking out for this complication during both time periods. And then I think for new headaches, I really want to focus on what the timing is and any other red flags. For example, if it's a thunderclap headache and onset, then I might be worried about something like RCBS or cerebral venous sinus thrombosis. If the headache itself is orthostatic and patient may have had an epidural, then I might think about a post-dural puncture headache, which is a, unfortunately very common complication and reason for headache in the postpartum period. I think the key is that most dangerous headaches often will occur late in the third trimester or early postpartum. And I think it's also important to remember that if you need imaging to make the diagnosis, and you should get it. The risks of missing something serious far outweigh concerns that one might have around imaging. And when possible, it's certainly preferred to get an MRI if that's available. Dr Grouse: I really did appreciate articles, overview of the various imaging modalities out there and the overview of risk versus benefits and times where they may or may not be needed. So, yet another very useful piece of information that I think that our listeners will appreciate in your article. Now, I'm curious how did you get interested in this area of neurology? Dr LaHue: So, it really was my interest in both reproductive health and neurology that led me to go to medical school in the first place. I knew early on at the beginning of medical school that I was interested in neurology, but I also was very drawn to obstetrics, and I recognized in medical school and then further on as, as a resident, just how vast the knowledge gaps were. When I was counseling my own patients and I found this to be just a very frequent source of frustration as both a clinician and a researcher, I very much feel an obligation to try to help fill these gaps. And I've also just been very encouraged by an outstanding community of other neurologists that I've been able to meet in this space. It's been a just a wonderful collaborative network that we've been able to grow, both within United States and even more globally, when it comes to other neurologists who are interested in this topic. And I'm just very excited to see the direction that this field is going in. Dr Grouse: Well, we can't wait to learn more as this field develops and more is understood about the right way to approach these types of diagnostics and treatments. So, thank you for all your work in this space. And it's been absolutely fascinating reading your article and talking with you today. Dr LaHue: Well, thank you so much for having me, and I'm just so thrilled that these important topics are going to be part of this issue of Continuum. Dr Grouse: Again, today, I've been interviewing Dr Sara LaHue about her article and Neurologic Complications of Pregnancy and Menopause, which appears in the February 2026 Continuum issue on Neurology of systemic disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the Journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe AA and members. You can get to me for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Has the conversation around hormone replacement therapy finally shifted in the right direction? In this episode, Dr. Steve Hotze discusses major news from the FDA regarding the removal of black box warning labels on female hormone therapy. For decades, the 2001–2002 Women's Health Initiative created widespread fear about hormone replacement after evaluating synthetic hormones such as horse-derived estrogen and counterfeit progesterone. Dr. Hotze explains how those findings were based on non-bioidentical hormones and how the recent reevaluation acknowledges that hormone therapy can be safe and effective in relieving menopausal symptoms like hot flashes, night sweats, mood changes, bone loss, and cognitive decline. Dr. Hotze also emphasizes the difference between synthetic hormones and natural bioidentical hormones, which are chemically identical to those the body produces. Drawing from decades of clinical experience treating thousands of women and men, he explains how properly balanced bioidentical hormone replacement can support cardiovascular health, brain function, muscle tone, energy, and overall vitality. Rather than accepting fatigue, mood changes, and decline as inevitable, this episode encourages listeners to restore balance naturally and regain energy, vitality, and enthusiasm for life. Watch now and subscribe to our podcasts at www.HotzePodcast.com. To receive a FREE copy of Dr. Hotze's best-selling book, “Hormones, Health, and Happiness,” call 281-698-8698 and mention this podcast. Includes free shipping!
"Hormones—what is the deal with them?"In this special solo episode, Dr. Rachel Pope pulls back the curtain on the world of hormone therapy (HT). While we know that hormones are vital for cardiovascular health, bone density, and quality of life, there is still so much the medical community is uncovering about the "perfect" dose and duration for the average woman.Dr. Pope gets personal in this episode, sharing her own recent experience with perimenopausal symptoms—from heart palpitations to her first-ever migraine—and how tracking her cycle led her to a life-changing realization about estrogen fluctuations.In this episode, we break down: The "Extreme" Ends of Menopause: Why early menopause (POI) and late menopause both carry significant health risks and what they teach us about the power of estrogen. Hormone Breakdown: What do Estradiol, Progesterone, and Testosterone actually do for your sleep, mood, anxiety, and libido? Systemic vs. Topical: Why a patch might help your hot flashes, but you might still need a cream or ring for vaginal and bladder health. The Perimenopause "Storm": How the week before your period reveals the first signs of hormonal decline (and why you might not need a million different medications to fix it). The Safety Debate: A candid look at the Women's Health Initiative data, breast cancer risks, and why Dr. Pope isn't "batting an eye" at low-dose transdermal estrogen for healthy women. The DEXA Scan Dilemma: Why waiting until age 65 for a bone density scan might be too late, and why Dr. Pope advocates for earlier screening.Key Takeaways: You are an individual: There is no "one size fits all" for how long you should stay on hormones. It requires a yearly conversation with your doctor to weigh your unique risks vs. benefits. Prevention is key: Hormone therapy isn't just about stopping hot flashes; it's about protecting your heart, brain, and bones for the long haul. It's not the "Fountain of Youth": While hormones are underutilized, they aren't a cure-all. Balanced medical care still means addressing mental health and lifestyle alongside HRT.Are you curious if your symptoms are "just aging" or actually perimenopause? Subscribe and listen to Our Womanity as we dive deeper into these topics with world-class experts throughout this series!
Estrogen patches are becoming harder to find at pharmacies across the country. Why now?In this episode of Sky Women's Health Podcast, Dr. Carolyn Moyers discusses the recent surge in menopause hormone therapy prescriptions and why increased demand has led to shortages of some estradiol patches.For years, fear following early reports from the Women's Health Initiative led many women to avoid hormone therapy. As newer research has clarified the risks and benefits, more women are seeking evidence-based treatment for menopause symptoms.Dr. Moyers explains why the estrogen patch became so popular, what the shortage means, and what options women have if their prescription becomes difficult to fill.Menopause care isn't one-size-fits-all — and the right treatment should always be personalized.
For decades, midlife has been framed as a time of decline for women — medically, culturally, and personally. Halle Berry is on a mission to change that. On this episode of The Dr. Hyman Show, she shares how her own menopause journey exposed how little real support exists for the 60 million women navigating this transition. That experience ultimately led her to create ReSpin, the community she couldn't find when she needed it. Watch the full conversation on YouTube or listen wherever you get your podcasts. We discuss: • Why menopause is often missed — and how to take back control of your energy, mood, and metabolism • What changes in your brain, bones, and muscle and how to protect them in midlife • How comprehensive testing gives you a personalized roadmap for this phase of life • Why fatigue, low libido, and brain fog aren't “just aging” — and what improves when you address the root cause Your second act can be your strongest. It's a chance to reclaim your strength, your energy, and your future on your own terms. This conversation was recorded live at the Eudēmonia Summit. View Show Notes From This Episode Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detoxJoin the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by Seed, BIOptimizers, PerfectAmino, BON CHARGE, Made In Cookware and Maui Nui. Go to seed.com/hyman and use code 20HYMAN to get 20% off your first month. Head to bioptimizers.com/hyman and use promo code HYMAN at checkout to save 15%. Go to bodyhealth.com and use code HYMAN20 to get 20% off your first order. Upgrade your routine. Head to boncharge.com/hyman and use code HYMAN for 15% off. Head to madeincookware.com and use the code DRHYMAN for 10% off your order. Learn more about the health benefits of venison and how to get yours, head over to mauinuivenison.com/hyman. (0:00) Halle Berry's health journey and the overlooked issue of menopause (1:21) Introduction to the Eudaimonia Summit (3:27) Women's health problems: Causes and personal stories (7:12) Misdiagnosis, confusion, and the mission to educate (10:01) Women's Health Initiative study and FDA updates (12:48) Hormone therapy and perimenopause symptoms (17:22) Lifestyle's role in hormonal health and disease prevention (22:12) Alcohol, nicotine, and long-term health risks like Alzheimer's (25:26) Early hormone replacement therapy and personalized care (28:15) Sexual health discussions and Halle Berry's ReSpin initiative (32:22) Cultural change, low-tox living, and structural health in menopause (37:01) Menopause symptoms variability and addressing health disparities (39:52) The need for medical education reform and JoyLux's contribution (41:12) Psychedelics in mental health treatment (43:43) Closing remarks and listener engagement (44:00) Disclaimer about podcast content
I'm joined by Dr. Heather Hirsch to debunk the persistent myths surrounding hormone replacement therapy and explain why the 2002 Women's Health Initiative data was so widely misinterpreted. We discuss how optimized estrogen, progesterone, and testosterone levels can protect your heart, bones, and brain health, helping you move past "normalized suffering" and into a proactive state of longevity. Whether you are in perimenopause or well past the ten-year window, you'll learn how to navigate personalized dosing and clinical data to reclaim your vitality and extend your health span.Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSReListen to “Women's Health by Heather Hirsch, MD” on all your favorite platforms!Apple Podcasts: https://bit.ly/4l86MlwSpotify: https://bit.ly/4cpmiHuGet Dr. Heather Hirsch's book, “The Perimenopause Survival Guide” here:https://bit.ly/4r2yXUd
Want deeper support? Join Circle at holplus.co/circle and use code PODCAST for a one-month trial.Hormone therapy is often framed in extremes. It is either dangerous and cancer-causing, or it is the miracle solution to aging. For decades, women have been told to fear estrogen, avoid progesterone, and accept midlife decline as inevitable. But what if the story around hormones was shaped more by panic and oversimplified data than by the full clinical picture?In this episode of hol+, Dr. Taz sits down with preventive medicine pioneer Dr. Erika Schwartz to revisit the Women's Health Initiative and the ripple effects that followed. Together, they explore how one study reshaped hormone replacement therapy guidelines, why the concept of “class effect” blurred important distinctions between different types of hormones, and how relative risk statistics can be misunderstood in ways that drive fear-based decisions.They also discuss bioidentical hormone therapy, the difference between compounded and FDA-approved options, and how delivery methods like creams, patches, and pellets may affect long-term outcomes. The conversation expands beyond menopause into birth control, progesterone deficiency, teen hormone health, and the broader question of how women can advocate for themselves in a system that often prioritizes protocols over personalization.Rather than promoting blind trust or blanket rejection, this episode focuses on clarity. It invites listeners to understand risk more accurately, ask better questions, and approach hormone care with nuance instead of fear. This conversation is for anyone navigating perimenopause, menopause, hormone therapy decisions, or simply wanting to better understand how women's health became so complicated.About Dr. Erika Schwartz Dr. Erika Schwartz is a board-certified internist and a leading voice in preventive and integrative medicine. After spending 15 years practicing conventional medicine and running a trauma center, she shifted her focus toward prevention, longevity, and personalized hormone therapy.For more than three decades, Dr. Schwartz has advocated for bioidentical hormones and individualized care, teaching physicians, speaking internationally, and helping patients navigate midlife health with a whole-body approach. She founded one of the first compounding hormone pharmacies in New York and has worked extensively in physician education through organizations focused on longevity and preventive medicine.She is the author of multiple bestselling books, including the newly revised edition of Don't Let Your Doctor Kill You, which empowers patients to understand medical risk, advocate for themselves, and make informed decisions without fear.Order the BookDon't Let Your Doctor Kill YouStay Connected:Connect further to Hol+ at https://holplus.co/- Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.Follow Dr. Erika SchwartzInstagram: https://www.instagram.com/drerikaschwartz YouTube: https://www.youtube.com/@DrErika Website: https://drerika.com/Follow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Subscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsGet your copy of The Hormone Shift: Balance Your Body and Thrive Through Midlife and MenopauseHost & Production TeamHost: Dr. Taz; Produced by ClipGrowth.com (Producer: Pat Gostek)
Today, I am honored to connect with a friend and fellow nurse practitioner, Marcelle Pick! Marcelle is passionate about transforming how women experience healthcare through an integrative approach. She has successfully treated thousands of women through her unique approach to wellness. Marcelle is currently a faculty member of The Institute of Functional Medicine and has served as a Medical Advisor to Healthy Living Magazine. She has written countless articles and multiple books, including Is It Me or My Hormones? I always think of Marcelle as a pioneer in the women's health/nurse practitioner space. In this episode, we dive into her background and the impact of the Women's Health Initiative. We discuss the limitations of the traditional allopathic model regarding hormones, common misconceptions about adrenal health, perimenopause, and menopause, adverse childhood events and adrenal health, how lifestyle affects our sex hormones, fibroids, endometriosis, PMS, PMDD, and contraception for perimenopause. We speak about endocrine disruptors, mold, and micro toxins. We also get into ways to think about hormone replacement therapy and ways to address intimacy and low libido. I love connecting with other nurses and nurse practitioners! I hope you will love today's conversation with Marcelle as much as I did! IN THIS EPISODE YOU WILL LEARN: Marcelle was part of the first all-women practice in the country. How the Women's Health Initiative has impacted health care for women. The limitations of the traditional allopathic model are particularly in terms of perimenopause, menopause, and hormones. The less-common labs Marcelle likes to look at for her patients Marcelle shares her approach to unraveling the symptoms of perimenopause. Some unique ways in which Marcelle deals with problems like fibroids and endometriosis. How childhood trauma could lead to adrenal and autoimmune issues, weight-loss resistance, and various other health problems. Many of the things Marcelle recommended for treating PMS and PMDD back in the day (1985) have now become the standard of care. Contraceptive options for women in perimenopause. The impact of stress on adrenal function during perimenopause and menopause. Marcelle dives into liver health and detoxification, chemicals and other factors that could impact our health, and changes we can make to avoid problems and feel better. What Marcelle does to help women with low libido. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community (The Midlife Pause/Cynthia Thurlow) Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause supplement line Connect with Marcelle Pick On her website Facebook Instagram All of Marcelle's books are available on Amazon
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Women are still being told that fatigue, anxiety, heavy bleeding, mood swings, and brain fog are “just part of aging.” But what if they're symptoms of perimenopause and no one is connecting the dots? Stacy sits down with hormone therapy pioneer Dr. Marcia Harris to separate myth from science around aging, hormone replacement therapy (HRT), and midlife mental health. With more than 40 years of experience, Dr. Harris explains how the Women's Health Initiative study reshaped menopause care for decades, why many physicians stopped being properly trained in hormone therapy, and how that gap continues to leave women dismissed and misdiagnosed. They unpack the difference between perimenopause and menopause, why anxiety and exhaustion are often hormonal, not personal, and how estrogen, progesterone, and testosterone impact heart health, bone density, muscle mass, brain function, and overall vitality. Find Dr. Harris: drmarciaharris.com facebook.com/DrMarciaaharris Find Stacy: realeverything.com instagram.com/realstacytoth missionmakersart.com missionalchemists.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Our hormones are essential to our mental and physical health, yet we often don't understand (or we minimize) the key role hormones play in fostering our wellbeing. And to make matters worse, many--or dare I say most – medical practitioners are not given adequate training when it comes to understanding the role hormones play in the health of our bones, heart, muscles, and brain. And when our bodily systems are not functioning well – whether we're experiencing issues such as a lack of focus, sleep disruption, weight gain, or low libido – our mental health can be deeply affected. Today, I'm joined by a top medical expert, Carrie Levine, who will help us discover key components of HRT (hormone replacement therapy) and so much more. Topics discussed include mental heath, depression, psychotherapy, support, physical health, hormones, HRT, hormone replacement therapy, estrogen, progesterone, progestin, DHEA, HPA Axis, cortisol, stress, stress management, exercise, resistance training, weight training, carbohydrates, protein, testosterone, Women's Health Initiative, menopause, perimenopause, post-menopause, relationships, A1C, blood glucose, sex, and libido. Please note that this episode contains sensitive material; listener discretion is advised. Note: If you or someone you know needs immediate support, please call your emergency services. In the US, 24/7 help is available by calling "911," "988" (Suicide and Crisis Hotline), or SAMSA (Substance Abuse and Mental Health Services Administration) at 1-800-662-HELP (4357). As applicable, additional resources may be provided in the show notes. Non-Emergency Online Mental Health Information:https://www.nami.org/support-education/nami-helpline/https://odphp.health.gov/myhealthfinder/healthy-living/mental-health-and-relationships IMPORTANT DISCLAIMER: No expert is offering medical or psychological direction or advice; the content is purely informational in nature. Please consult your physician or healthcare provider before undertaking any new regimen or procedure.https://www.nami.org/support-education/nami-helpline/Connect with Dr. Carla Manly:Website: https://www.drcarlamanly.comInstagram: https://www.instagram.com/drcarlamanly/Twitter: https://www.twitter.com/drcarlamanly/Facebook: https://www.facebook.com/drcarlamanlyLinkedIn: https://www.linkedin.com/in/carla-marie-manly-8682362b/YouTube: https://www.youtube.com/@dr_carlamanly_imperfect_loveTikTok: https://www.tiktok.com/@dr_carla_manlyBooks by Dr. Carla Manly:Joy From Fear: Create the Life of Your Dreams by Making Fear Your Friend Date Smart: Transform Your Relationships and Love FearlesslyAging Joyfully: A Woman's Guide to Optimal Health, Relationships, and Fulfillment for Her 50s and BeyondThe Joy of Imperfect Love: The Art of Creating Healthy, Securely Attached RelationshipsImperfect Love Relationship & Oracle Card Deck by Dr. Carla Manly:EtsyAmazonConnect with Carrie:Website: https://carrielevine.com/Instagram: https://www.instagram.com/carrielevine.cnm/Facebook: https://www.facebook.com/CarrieLevine.cnm/LinkedIn: https://www.linkedin.com/in/carrie-levine-cnm/Love the show? Subscribe, rate, review, and share! https://drcarlamanly.com/
Send us a text and chime in!Yavapai County Community Health Services (YCCHS) is one of 12 health departments nationwide selected to receive funding, education and technical assistance from the Alzheimer's Association. The support will help strengthen local efforts to promote brain health and address dementia-related challenges. The grant and additional resources are provided through the Healthy Brain Initiative (HBI) Road Map Strategist Program. Led in partnership with the National Association of County and City Health Officials (NACCHO), the program equips local health departments with tools and resources to establish a part-time Road Map Strategist, a public health professional who serves as a systems-change leader advancing population... For the written story, read here >> https://www.signalsaz.com/articles/brain-health-initiative-expands-to-yavapai/Check out the CAST11.com Website at: https://CAST11.com Follow the CAST11 Podcast Network on Facebook at: https://Facebook.com/CAST11AZFollow Cast11 Instagram at: https://www.instagram.com/cast11_podcast_network
Menopausal hormone therapy and long term mortality: nationwide, register based cohort study - LinkRisks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial - Link---Nova Android & iOS app MGFamiliar - Link---Subscreva o Podcast MGFamiliar para não perder qualquer um dos nossos episódios. Além disso, considere deixar-nos uma revisão ou um comentário no Apple Podcasts ou no Spotify.---MusicHappy · MBB - Link—Este podcast destina-se a médicos e os conteúdos nele partilhados não devem ser usados para decisões individuais sem aconselhamento médico. Para tal, fale com o seu médico.
On s'est fait peur longtemps avec les hormones.Cancer. Prise de poids. Crises cardiaques.Mais si le problème n'était pas les hormones…et plutôt la façon dont on les utilise ?Dans cet épisode, je t'amène avec moi dans un sujet que j'ai moi-même commencé à explorer plus en profondeur récemment. On parle vrai, on nuance, on démystifie.Je t'explique :• ce qu'est réellement une hormone (et pourquoi ce n'est pas “juste un médicament”)• pourquoi tout part du cholestérol• la différence concrète entre hormones bio-identiques et hormones synthétiques• ce que l'étude Women's Health Initiative a vraiment montré (et ce que les médias ont amplifié)• pourquoi une crème n'agit pas comme une pilule• ce que la pilule contraceptive fait réellement à ton axe hypothalamo-hypophysaire• stérilet hormonal vs cuivre• et surtout… la notion de terrainParce qu'un déséquilibre hormonal, ce n'est pas toujours un manque d'hormones.C'est parfois un problème de métabolisation, de foie engorgé, d'inflammation, de stress chronique.Avant d'ajouter une hormone, il faut regarder le sommeil, la glycémie, l'intestin, le système nerveux.Les hormones ne sont ni le diable… ni une baguette magique.Elles sont puissantes. Intelligentes. Et méritent d'être comprises avec nuance
What if your weight loss resistance in your 40s isn't about willpower, but a powerful hormone shift that changes your metabolism, insulin sensitivity, and fat storage? In this episode of the Metabolic Freedom Podcast, Ben Azadi welcomes back hormone expert Karen Martel to unpack why weight loss resistance is often a biological signal, not a motivation problem. Karen explains how hormone disruption from environmental xenoestrogens can create estrogen dominant symptoms in younger women, even when bloodwork appears normal. The conversation then shifts into perimenopause and menopause, where the real metabolic shift begins. As estradiol declines, women often experience increased belly fat, worsening cholesterol, rising blood sugar, poor sleep, mood changes, and accelerated aging of skin and muscle. Karen breaks down the critical difference between estrogen and estradiol, why metabolic health often declines after ovarian function changes, and why many traditional weight loss strategies stop working during this phase. You'll also learn how environmental toxins impact hormone receptors, why hormone metabolite testing like the DUTCH test can provide deeper insight, and how bioidentical hormone replacement therapy may support long-term metabolic and overall health when used appropriately. If you or someone you love is entering their 40s and struggling despite healthy habits, this episode highlights a major missing piece. Key Topics Covered Why weight loss resistance is often hormonal rather than a willpower issue How hormone patterns differ between fertile years, perimenopause, and menopause What xenoestrogens are and how they mimic estrogen in the body Common sources of hormone disruptors: plastics, fragrances, pesticides, cleaning products, and receipts Why bloodwork may look normal while symptoms of estrogen dominance still exist Daily detox strategies to support hormone balance, including minerals and sauna use How hormone dynamics shift in the 40s as estradiol begins to decline The difference between estrogen and estradiol and their impact on metabolism Why fasting harder and eating less can backfire during perimenopause How estradiol loss affects insulin sensitivity, visceral fat, cholesterol, mood, libido, and collagen The Women's Health Initiative misconception and the role of synthetic progestins How urine hormone metabolite testing (DUTCH) helps personalize hormone support Why individualized care is essential when considering hormone replacement therapy Karen's personal experience with rapid menopause symptoms and recovery The role of gratitude and mindset in long-term health and resilience Resources & Links Mentioned Karen MartelWebsite: https://karenmartel.comPodcast: The Hormone Solution Podcast YouTube: https://www.youtube.com/@karenmartelhormones/videos Special OfferCoupon code: FREEDOMDiscount: 15% off at https://karenmartel.com Follow Ben Azadi
FDA Removes Black Box Warning on Estrogen: HRT Game-Changer for Women's Health After 23 years, the FDA removed the black box warning on estrogen products—a landmark decision transforming hormone replacement therapy (HRT) for women. In this episode of the Mortar and Pestle podcast, hosts Mike De Lisio and Sebastian Dennison discuss this breakthrough with Sara Hover, Senior Director of Clinical Services at PCCA. What You'll Learn: Why the 2002 Women's Health Initiative study was flawed and created decades of HRT concerns The timing hypothesis: why age matters when starting hormone replacement therapy Synthetic vs. bioidentical hormones and their clinical differences Oral estrogen delivery systems and safety implications Shared decision-making between patients, prescribers, and pharmacists Why compounded HRT solutions matter for patients who don't fit commercial products Hormone testing modalities and why multiple testing methods are essential Vaginal estrogen's role in preventing UTIs and hip fractures How pharmacists can educate providers and patients on HRT safety Topics Covered: Black box warning removal, hormone replacement therapy, bioidentical hormones, menopause management, compounding pharmacy, women's health, estrogen, patient monitoring, HRT dosing strategies Perfect for: Compounding pharmacists, healthcare providers, and anyone seeking evidence-based information on hormone replacement therapy. Links: Why VersaBase Cream Is Your Best Choice for Women's HRT The Vaginal Microbiome, Menopause & HRT A Personalized Approach to HRT for Perimenopausal Women Backed by Science: Anhydrous VersaBase® HRT Optimizing the Patient Experience with the Right HRT Base: Insights from the Webinar
In this episode, we normalize the conversations around all things PCOS from symptoms, to diagnoses, and advocating for others with Megan Stewart. About Megan: Megan Stewart is the Founder and Executive Director of the PCOS Awareness Association (PCOSAA), a 501(c)(3) nonprofit dedicated to educating, supporting, and empowering those affected by Polycystic Ovarian Syndrome (PCOS). Since 2012, she has led PCOSAA to become a global leader in PCOS advocacy and patient empowerment. Under her guidance, PCOSAA has launched transformative initiatives including PCOS CON, Shades of Teal Membership, Men of Teal, and the forthcoming Search for a PCOS Specialist platform. The organization also partners with Lujan Labs of Cornell University and proudly contributes to Dr. Jill Biden's Women's Health Initiative, advancing national efforts for equitable women's health research and awareness. A woman living with PCOS herself, Megan channels her experience into action — driving PCOSAA's mission to educate, empower, and elevate every voice impacted by PCOS through compassion, innovation, and advocacy.
Hormones aren’t “just part of getting older.” They shape your mood, your marriage, your metabolism, your muscle, your memory — even your sense of self. In this episode of Water Break, Gabriel and Annie sit down with triple board-certified OB/GYN Dr. Tabitha Barber for a no-nonsense masterclass on women’s hormones. Why are so many women exhausted, anxious, foggy, and gaining weight? What’s really happening in perimenopause? Is testosterone just for men? And did the Women’s Health Initiative mislead an entire generation about hormone replacement? If you’ve ever felt like a shell of yourself, this conversation will help you understand why — and what you can actually do about it. Follow Dr. Tabatha: https://drtabatha.com/ https://www.instagram.com/gutsydrtabatha Check out Annie's website! https://annierench.com/ https://www.instagram.com/anniemrench/ Gabe Rench https://x.com/GMRench Follow Waterbreak at: https://www.instagram.com/waterbreaktv/ https://www.facebook.com/WaterbreakTV/ https://www.waterbreak.tv/ If you have any questions or thoughts that you’d like to share, reach out at RenchMedia@gmail.com
Perimenopause has become one of the loudest and most confusing conversations in women's health. Between fear-based messaging, outdated research, and oversimplified advice, many women are left unsure who to trust or what's actually true. In this episode, I'm joined by Anne-Marie McQueen, health journalist and founder of Hotflash Inc., to unpack the narratives, myths, and truths around perimenopause and hormone therapy - and why nuance matters more than ever. We explore how women's health messaging has evolved, the lasting impact of the Women's Health Initiative, and why estrogen is once again being discussed/pushed - including what the removal of the black box warning really means (and what it doesn't). We also discuss: Some of the most damaging narratives still circulating in women's health Why these big name Drs are only focusing on estrogen Why the conversation around progesterone remains overlooked or one might say "suppressed" Anne-Marie's personal perspective on hormone therapy Why hormones alone are not a complete solution Common perimenopause symptoms like hot flashes and night sweats, and the often missed mental health side of things How important lifestyle and nutrition are, and how they can really help The biggest challenges women in midlife face today Emotional changes in perimenopause and learning how to feel, process, and trust your emotions And so much more. This conversation is REAL, thoughtful, honest, and deeply validating - especially for women who feel caught between “just take hormones” and “you don't need hormones at all.” So if you're navigating perimenopause, questioning the narratives you're hearing, or looking for a more balanced, evidence-informed conversation about hormone therapy, this episode is for you. Ann Marie McQueen is a Canadian writer who has lived in Abu Dhabi since 2008. She moved to the capital to serve on the launch team for The National, later becoming features editor. She is now the editorial director and podcast host for the only health and wellness platform for men and women in the Middle East, Livehealthy, and has her own platform serving women in their 40s and 50s, www.hotflashinc.com. Social media; / hotflashinc YouTube; @hotflashinc8983 TikTok; https://www.tiktok.com/@hotflashinc
Cannabis policy in the United States has been, in many ways, a giant experiment. The drug was recently reclassified by the Trump administration from a Schedule I to a Schedule III drug, but remains federally illegal. On the state level, cannabis's availability to patients and consumers has been determined by voters, not by scientists and regulators. Each state has a different approach to cannabis regulation and product safety, and as a result, a patient using medical cannabis in Florida might be exposed to different risks than a consumer in California, for example.On this episode, host Kelsey Schoenberg is joined by toxicologist Maxwell C. K. Leung, assistant professor at Arizona State University and the director of the ASU Cannabis Analytics, Safety and Health Initiative, and Symone T. Griffith, an ASU Presidential Scholar and doctoral candidate at Arizona State University. Leung and Griffith, who wrote about cannabis regulation and product safety for the Fall 2025 Issues, explain how the federal-state legal divide has shaped cannabis safety, research, and policy. They also share what it's like to be a researcher working in this space. RESOURCESRead Leung, Griffith, and Marisa Kreider's essay, “A Coordinated Approach to Cannabis Policy and Product Safety,” in the Fall Issues.Check out Leung and Griffith's paper on cannabis use and Parkinson's patients, as well as their lab's analysis of state-level regulations for cannabis contaminants.Read a paper from the Cannabis Regulators Association outlining a research agenda for how science can shape cannabis policy.Listen to another episode on cannabis: “Minimizing Cannabis's Harms to Public Health,” with Sara Frueh and guest Yasmin Hurd.
Can you really "have it all"? Dr. Sharon Malone OB-GYN, New York Times bestselling author of Grown Woman Talk, and Chief Medical Advisor at Alloy Health joins me for an honest conversation about what it really takes to balance medicine, motherhood, and everything in between. Dr. Malone and I talk about the things we don't usually say out loud. How do you balance being a great doctor, a present parent, and a supportive partner when society tells you to excel at all three simultaneously? Dr. Malone practiced medicine before and after the Women's Health Initiative, so she has a unique perspective on how hormone therapy went from being standard care to being feared and how that fear disproportionately affected women of color. We discuss why only 1% of Black women who are eligible for hormone therapy are actually on it, despite suffering the longest and most severe menopausal symptoms.We also talk about her work with Alloy Health, her new podcast The Second Opinion, and why she believes menopause is inevitable but suffering is not. Plus, we get into the uncomfortable truth about medical racism, implicit bias, and why your gut feeling matters more than your doctor's ego.HighlightsGive yourself grace in midlife perimenopause decreases your coping threshold for everything you're already juggling.Women of color carry the weight of representing their entire group, not just themselves, which adds invisible pressure.Diversity in healthcare leadership literally changes what research gets funded and what treatments get offered.Only 1% of Black women eligible for hormone therapy are actually on it, despite having more severe and longer-lasting symptoms.The "adipose tissue theory" that Black women don't need hormones because they make more estrogen on their own is completely false.Racialized medicine affects everything from endometriosis diagnosis (only thin white women?) to pain management assumptions.If your doctor gets mad that you asked for a second opinion, you need a different doctor.Guidelines are guardrails, not laws medicine requires both confidence and humility.Dr. Malone's book Grown Woman Talk is everything you need to know about navigating midlife with confidence and information. And remember: trust your gut. If something feels off, keep advocating until someone listens.I have an incredible lineup of guests coming up, so make sure you subscribe and leave a review so you never miss episodes like this one!Links:Get in touch with Dr. Malone:WebsiteBookInstagramPodcastGet in Touch with Me: WebsiteInstagramYoutubeSubstackMentioned in this episode:GSM CollectiveThe GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a beautiful, private setting Personalized care for women's health, hormones, and pelvic floor issues Multiple membership options...
In this episode of The Roxanne Show, I sit down with Dr. Lorna Brudie—former GYN oncologist and Medical Director at Excel Medical—for a vital conversation about women's health, hormones, and why our healthcare system has it backwards..After nearly three decades treating cancer, Dr. Brudie explains why she shifted from reactive medicine to proactive care—and how hormone optimization plays a critical role in disease prevention, longevity, and quality of life. We unpack the lasting impact of the 2002 Women's Health Initiative, the misconceptions it created around hormone therapy, and what women were never fully told.This conversation is about understanding your body, asking better questions, and recognizing that women's healthcare doesn't have to begin at crisis—it can start with awareness, education, and prevention.EPISODE HIGHLIGHTS:Why hormones affect everything from metabolism to cancer riskThe difference between reactive and proactive medicineWhat the 2002 hormone study got wrongHow bioidentical hormones support long-term healthWhy informed women make healthier, more empowered choices⭐️YOUR SUPPORT MATTERS: Please: Subscribe + leave 5⭐️Star rating +review HEREEnjoy! xRxFIND ME ON:️INSTAGRAMSUBSTACKYOUTUBEXTHREADSFIND DR LORNA ON:IGWEB
In this episode of Keeping Abreast, Dr. Jenn Simmons is joined by Dr. Erica Schwartz, a pioneer in hormone and integrative medicine, for a blunt conversation about menopause, hormone replacement therapy, and why women are still being denied care that protects their long-term health.Together, they get real about why modern medicine still runs on a “wait until you're sick” model, why hospitals can be the most dangerous place to heal, and how the system trains both doctors and patients to outsource responsibility. They break down the lasting damage of the Women's Health Initiative, the fear-based messaging around estrogen, progesterone, and testosterone, and the real-world consequences of medical gatekeeping from pharmacies to hospitals. This is a conversation about truth, autonomy, and what it actually looks like to practice medicine from the whole-body, whole-life perspective.In this episode you'll learn:Why conventional medicine is built for acute care, not long-term healthHow the Women's Health Initiative changed hormone care for generations of womenWhy “just deal with it” menopause advice is harmful (and wildly outdated)What estrogen, progesterone, and testosterone actually do in the female bodyWhy testosterone for women is still restricted and why that mattersHow medical errors and hospital systems put patients at riskWhy taking responsibility for your health isn't optional anymoreEpisode Timeline:00:00 The Crisis in Conventional Medicine03:54 Dr. Schwartz's Journey to Holistic Health09:59 The Shift from Acute Care to Preventative Health17:47 The Importance of Hormonal Health25:29 The Impact of Alcohol on Health28:10 Nutrition and Cancer: A Misunderstood Connection30:55 The Role of Hormones in Health36:06 Understanding the Importance of Hormones40:24 The Truth About Cancer and Hormones44:38 Empowering Patients in Their Health Journey47:45 The Need for Compassionate Care in Medicine51:03 Introduction to Breast Health AwarenessDr. Erica SchwartzVisit her Website: www.eshealth.com/Follow her on Instagram: www.instagram.com/eshealth/To talk to a member of Dr. Jenn's team and learn more about working privately with RHMD, visit: https://jennsimmons.simplero.com/page/377266?kuid=327aca17-5135-44cf-9210-c0b77a56e26d&kref=vOKy0sAiorrKTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideTo purchase the auria breast cancer screening test go here https://auria.care/ and use the code DRJENN20 for 20% Off.Connect with Dr. Jenn:Website: https://www.jennsimmonsmd.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons
Certain hormone therapies for menopause have had black box warnings on them since 2003, following concerns arising from the Women's Health Initiative study, which seemed to show increased risks for breast cancer and dementia. Now the FDA has removed these … What might the FDA's removal of a black box warning on hormone therapy for menopause mean to you? Elizabeth Tracey reports Read More »
The FDA told him no in 1992. They said giving estrogen to breast cancer survivors would put women at "unacceptable risk." He did the study anyway.Dr. Avrum Bluming is a medical oncologist, emeritus clinical professor of medicine at USC, former senior investigator for the National Cancer Institute, and co-author of Estrogen Matters. He's been fighting estrogen fear for over 30 years long before it was safe or popular to do so.His origin story starts with his wife. At 45, she developed breast cancer. The chemotherapy he gave her threw her into premature menopause. She couldn't sleep. She had hot flashes, night sweats, painful urination, palpitations. She couldn't remember what she'd read two pages back. And he an oncologist who had induced menopause in countless breast cancer patients—had been sympathetic but didn't know how to help them until he saw what was happening with his wife.So he started a study in 1992 to give estrogen to breast cancer survivors. The FDA denied him twice. He did it anyway. By 1997, he presented his data to 8,500 oncologists from around the world. The National Cancer Institute said it was "irresponsible" to study this. The audience challenged them. Dr. Bluming's data showed no increased risk of recurrence.We talk about the Women's Health Initiative, how the media misinterpreted the data, why the estrogen alone actually decreased breast cancer by 23% and breast cancer death by 40%, and why the box warning that just came off in November 2025 never should have been there in the first place. There are now 26 studies in the English literature on giving estrogen to breast cancer survivors. Only one showed increased risk. Four showed decreased risk. Twenty-five showed no difference.Highlights:The FDA denial story: "Don't shoot me, I'm just the messenger".Why tamoxifen works better in premenopausal women (even though it raises estrogen 4-5x).The DCIS patient whose oncologist changed their tune after the box warning came off.The FDA committee member who asked "most of your patients are going to die anyway, aren't they?"showing how little some understood about breast cancer survival.When he asked if the FDA actually read his research before denying it: "Don't shoot me, I'm just the messenger"—a quote that reveals everything.What actually causes breast cancer (spoiler: nobody knows).If you've been denied estrogen or hormone therapy, share this episode with your provider. Share Estrogen Matters with its 555 references. Share the data. At this point, there's overwhelming evidence showing HRT is safe and beneficial for most women. But some clinicians are still using outdated information from 2002. You deserve care based on current science, not decades-old fear.Get in Touch with Dr. Bluming:WebsiteInstagramStudyGet in Touch with Me: WebsiteInstagramYoutubeSubstackMentioned in this episode:GSM CollectiveThe GSM Collective - Chicago Boutique concierge gynecology practice Led by Dr. Sameena Rahman, specialist in sexual medicine & menopause Unrushed appointments in a...
Dr Noor Al-Humaidhi joins Lisa Fischer for a powerful, myth-busting conversation on menopause, perimenopause, and hormone replacement therapy. They unpack the long-term impact of the Women's Health Initiative, explain bioidentical vs synthetic hormones, and discuss estrogen, progesterone, sleep, weight gain, insulin resistance, bone health, brain health, libido, joint pain, frozen shoulder, hair loss, and cardiovascular risk. This episode empowers women of all ages to understand their hormones, advocate for better care, and make informed decisions about HRT—at any stage of life. WEBSITE: https://www.lifestylesbynoor.com/ INSTAGRAM: https://www.instagram.com/lifestylesbynoornh/ FACEBOOK: https://www.facebook.com/profile.php?id=61553575793232 YOUTUBE: https://www.youtube.com/@askdrnoor EPISODE SPONSOR: https://www.ralstonfamilyfarms.com/ EPISODE SPONSOR: https://www.akelscarpetone.com/ LISA'S LINKS: Lisa Fischer Said Academy: https://lisafischersaid.com/academy/ Website: lisafischersaid.com For more information on group intermittent fasting coaching with Lisa, email fasting@lisafischersaid.com For more information on one-on-one or group health coaching with Lisa, email healthcoaching@lisafischersaid.com Podcast produced by clantoncreative.com
In today's episode of Health Youniversity, we're crossing the bridge from fertility into the next phase of womanhood—preparing for perimenopause while you still have time to make a difference.Join Dr. Susan as she sits down with Lauren Tetenbaum, author of "Millennial Menopause: Preparing for Perimenopause, Menopause, and Life's Next Period." Lauren is a lawyer, turned licensed clinical social worker and perinatal mental health certified therapist who realized—after years of education and clinical experience—that she knew nothing about menopause. When she attended a networking event where every older woman said "I wish I had been warned," Lauren walked out with a mission: to tell her generation to be proactive.This conversation is revolutionary because Lauren represents a generation saying "not on my watch." Millennials are uniquely positioned—straddling fertility, pregnancy, and the perimenopause transition, often having children in their late 30s and early 40s when perimenopause symptoms begin. Many don't know it, and when they raise the issue with their doctors, are told that if they are having regular menstrual cycles, they aren't in perimenopause.In this essential episode, you'll discover why perimenopause symptoms often start in your late 30s and are frequently mood-related, why you don't need to meet criteria for major depression to get help, the truth about the 2002 Women's Health Initiative study that left an entire generation without hormone therapy support, why aging is nothing to fear and help is available, and how society's ageism and sexism have made menopause a term people fear.Lauren shares her personal adjustments—strength training at 40 for bone and cognitive health, sleep hygiene practices that actually work, and why a quick workout beats another cup of coffee when you're exhausted. This episode is for women in their late 30s and 40s experiencing unexplained mood changes, anyone told they're "too young" for perimenopause or it's "just postpartum," women wanting to prepare for a healthy natural transition, their, partners and loved ones who want to understand and support, and healthcare providers who need updated education on menopause care.Website: http://thecounseLaur.com
Hormone replacement therapy (HRT) has become one of the most misunderstood, and controversial, topics in women's health. In this episode, Dr. Shawn Tassone takes a deep dive into how we got here and why so much of what women have been told about hormones simply doesn't hold up. Dr. Tassone unpacks the complicated history of HRT, including the lasting fallout from the Women's Health Initiative study and how its misinterpretation shaped decades of fear-based medical decision-making. He addresses persistent myths linking estrogen to breast cancer, challenges outdated assumptions, and explains why hormones were never the villain they were made out to be. This conversation goes beyond the science. Dr. Tassone also critiques the modern hormone industry, calling out profit-driven practices, poor education, and the ongoing failure of the medical system to prioritize women's long-term health. At its core, this episode is a call for clarity, context, and compassion — because women deserve better than fear, confusion, and half-truths when it comes to their bodies. Episode Highlights: Why hormones remain one of the most misunderstood topics in medicine How the Women's Health Initiative study dramatically altered HRT prescribing and why it still matters The truth about estrogen and its potential protective role against certain cancers How HRT supports bone health, cardiovascular health, and overall quality of life The historical underrepresentation of women in medical research and healthcare decision-making Why fear — not evidence — has driven much of the anti-HRT narrative How misinformation continues to influence both patients and providers Why women deserve informed and individualized hormone care Episode Resources: Dr. Tassone's Free Women's Health Journal Club | Dr. T's Evidence Edit Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer: This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
Hormone Replacement Therapy is back in the spotlight, and many women are asking the same questions: Is it safe? Is it right for me? And why does it still feel so confusing? In this solo episode, Dr. Mindy Pelz breaks down what really happened after the Women's Health Initiative study, why the black box warning was added and later removed, and what newer research has clarified about HRT, timing, hormone type, and delivery method. She explains why lifestyle and metabolic health are the missing pieces in this conversation and why HRT should never be viewed as a standalone solution. This episode is not about telling you yes or no. It's about helping you understand the science so you can make an empowered, informed decision with your doctor. To view full show notes, resources mentioned, transcripts, and more, visit
The #1 menopause doctor is in the house! Today I tackle all of your menopause and hormone replacement therapy questions with the leading expert on the topic, Dr. Mary Claire Haver. We talk myths, facts, studies, and so much more. Save this one—you'll want to listen to it again!Timestamps:[2:00] Intro[3:54] welcome[5:09] What is the actual definition of menopause?[7:40] how do I know I'm in perimenopause and is there a test for this?[15:41] Can you have night sweats and not hot flashes during the day to be in perimenopause?[17:16] How do you decipher thyroid, adrenal fatigue, and perimenopause sytems from each other?[17:43] How does alcohol effect symptoms of perimenopause?[23:44] What is the Women's Health Initiative, when did it come out, and what pitfalls were part of it?[34:00] What is the ideal time for someone to go on Hormone Replacement Therapy (HRT)?[35:39] What levels of estrogen and progesterone determine if you need HRT?[36:10] What other benefits are there to HRT?[37:27] How do you know the right dose for you and where do you start?[40:58] Who is not a good candidate for HRT?[41:56] Synthetic or bioidentical?[45:44] Do you have to incorporate progesterone as well when doing HRT?[46:34] What are some non-HRT solutions for menopause symptoms?[48:48] If already through menopause, is HRT still beneficial and protective?[49:50] How do you find a doctor who will prescribe HRT?Episode Links:Get Vitamin C here Dr. Mary Claire Haver's website: The Pause LifeThe New MenopauseFollow Dr. Mary Claire on InstagramThe New Menopause: Navigating Your Path Through Hormonal Change with Purpose, Power, and FactsSponsors:Go to wellminerals.us/vitaminc and use code WELLFED to get 10% off your order.Go to http://mdlogichealth.com/wfcolostrum, and use coupon code WFC15 for 15% off. You can also use code WELLFED for 10% off site wide on all MD Logic Products. Go to boncharge.com/WELLFED and use coupon code WELLFED to save 15% off any order.
On the Dec 30 edition: Georgia is slated to receive more than $200 million next year to bolster rural health; newly elected Public Service Commission member Alicia Johnson made history yesterday with her swearing-in ceremony; and a recent study from the University of Georgia is shedding light on the use of CBD among college students.
In this episode, Dr. Bill Campbell returns to the show to discuss a major pivot in his research from building muscle and optimizing fat loss to understanding menopause and its effects on women's body composition. After watching his wife struggle through a severe perimenopause transition that resisted every traditional fat loss strategy, Campbell uncovered a massive blind spot in the scientific literature: almost no research exists on fit, resistance trained women going through menopause. His public comments sparked hundreds of messages from women describing the same struggles including unexplained weight gain, muscle loss, energy crashes, and sleep disruption highlighting how poorly understood this phase of life truly is. Dr. Campbell breaks down what the best research does show. Menopause accelerates fat gain, shifts fat distribution toward the midsection, and produces measurable declines in muscle and bone mineral density. Many women experience weight loss resistance where standard diet and training approaches no longer produce results. He also digs into the nuance of hormone replacement therapy how progesterone and estrogen can dramatically improve sleep, anxiety, and energy, why estrogen appears anabolic for middle aged women, and why HRT's effect on body fat varies widely. Campbell clarifies the long standing confusion created by the 2002 Women's Health Initiative study, how its flawed interpretation suppressed HRT use for two decades, and why today's evidence supports earlier intervention under an evidence based physician. The conversation closes with clear, practical guidance for women entering perimenopause. Maintain a consistent fitness lifestyle, lift weights to protect muscle and bone, prioritize sleep, get annual bloodwork and DEXA scans, and consider HRT early if medically appropriate. Campbell emphasizes that lifestyle habits do not replace hormone therapy and hormone therapy does not replace lifestyle. Together they help women navigate the most dramatic physiological transition since puberty. Whether you're a coach, practitioner, or someone approaching this stage of life, this episode provides a much needed framework for understanding, preparing for, and managing menopause with strength and agency. Links: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram
In this episode of The Positive Pause®, Claire Gill sits down with Dr. Soma Mandal, a leading board-certified Internist and midlife women's health expert, to talk about her personal path into women's health, the evolution of menopause care, her podcast “Soma Says”, and her major new role developing a comprehensive Women's Health Center. The conversation highlights advocacy, education, prevention, and the importance of empowering women to put themselves first.Dr. Mandal never planned to specialize in women's health, but her patients naturally gravitated toward her—first younger women facing infertility, then midlife women navigating menopause and aging. Her own health challenges reinforced her passion for this work. Training during the Women's Health Initiative fallout shaped her early medical approach. With hormone therapy suddenly deemed dangerous, an entire generation of clinicians avoided it. Today's improved understanding requires re-educating both clinicians and patientsBeginning in January 2026, she will be joining Hackensack Meridian Health as the Medical Director of Women's Health at Jersey Shore University Medical Center, where she'll be building a comprehensive, multidisciplinary women's health center. The goal is integrated care coordinated across cardiology, endocrinology, gynecology, behavioral health, and primary careKey Points CoveredWhy Advocacy Matters — Even for Doctors - Through her own infertility and medical challenges, Dr. Mandal learned how essential self-advocacy is. She encourages women to speak up, ask questions, and push for what they need—even when clinicians are dismissive or overburdened.The Origin of Her Podcast, Soma Says is a return to her lifelong passion for educating and uplifting women. Guests discuss menopause, Alzheimer's, incontinence, prevention, emotional well-being, and more—reaching listeners worldwide.The Challenge of Navigating a Fragmented Healthcare System - Women often get lost between specialists, especially when dealing with complex diagnoses. A coordinated center reduces confusion, prevents delays in treatment, and eases the burden on women who already juggle caregiving and work responsibilities.The #1 Thing Women Don't Know: Heart Disease Is Their Greatest Risk - Many women still don't realize that heart disease—not breast cancer—is the leading cause of death for women. Dr. Mandal stresses early screening, understanding family history, and taking preventive measures long before symptoms appear.The Power of Education & Community Advocacy - Podcasts, social media, and patient advocacy groups help fill major gaps in clinical education. Giving women accurate information—especially about menopause, heart health, and bone health—empowers them to take control of their wellbeing.Her #1 Action Step for Women: Put yourself first - Whether it's scheduling a physical, taking a walk, asking a partner to cover a chore, or carving out 15 minutes to breathe—women must prioritize their own health. Most women aren't even on their own to-do lists.This episode highlights the gaps in women's health—and the passionate experts committed to closing them. Dr. Soma Mandal offers women a roadmap: learn, advocate, ask questions, and prioritize your own wellbeing.Connect with Dr. Mandal Website: https://www.somamandalmd.com/ Facebook: https://www.facebook.com/Soma-Mandal-MD-437643206820996/Instagram: https://www.instagram.com/drsomamandalmdLinkedIn: https://www.linkedin.com/in/somamandal/ YouTube Channel:
After 20 years of prescribing hormone replacement therapy to tens of thousands of patients, both in her clinic and through her telemedicine company Menrva, I have identified the critical gaps in how HRT is being prescribed, monitored, and optimized across the United States. This isn't about "should you" do hormones. This is about how to do them right. In this episode,I break down the 10 non-negotiables you need to know if you're considering HRT, currently on HRT, or feeling like your current protocol isn't working. From the biochemistry of bioidentical vs. synthetic hormones to why your gut health determines how well your estrogen gets metabolized, this is the master class your doctor should have given you, but didn't. We're talking about natural bioidentical hormones, the truth behind the Women's Health Initiative (spoiler: it was about Premarin and synthetic progestins, NOT bioidentical estrogen), and how to use precision medicine to guide YOUR hormone replacement therapy, not a one-size-fits-all protocol that leaves 50% of women undertreated and 25% overtreated. Discover The 10 Non-negotiables: #1 - Bioidentical Is NOT a Buzzword #2 - Your Symptoms Are Metabolic Signals #3 - The WHI Study Was About Premarin & Provera #4 - Your Gut & Estrogen Are in Constant Conversation #5 - Testosterone Is a Woman's Friend After 40 #6 - HRT Is NOT One-Size-Fits-All #7 - Timing Matters #8 - Delivery Method Makes or Breaks Results #9 - BHRT Works Best When You Address the Big Five #10 - The Goal Isn't to Feel Younger, It's to Feel More Like YOU Midlife isn't the beginning of the end, it's a time of radical transition and ownership. Hormone replacement therapy is one of the biggest levers you have. Use it wisely.
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If you have concerns or you're confused about whether hormone therapy is right for you, then this interview is for you.Your host, Andrea Donsky, nutritionist, menopause educator, published menopause researcher, and co-founder of wearemorphus.com, interviews Dr. Tara Scott, an OB/GYN-turned integrative and functional medicine specialist focused on evidence-based hormone therapy and menopause care. They debunk common myths, explain the real risks and benefits of different hormone options, and stress the importance of individualized care. The episode offers reassurance and practical guidance.Topics:The 2002 Women's Health Initiative study caused confusion about hormone therapy, but newer research shows it is safer and more beneficial, especially when started early in menopause.Modern hormone therapy with bioidentical hormones like estrogen patches and progesterone pills can alleviate menopausal symptoms such as hot flashes, sleep problems, and brain fog, and may also benefit bone and heart health.Not all hormone therapies are equal: pills carry higher risks like blood clots, while patches and topical methods are safer and align more naturally with your body.Birth control pills and IUDs are not true hormone replacements; they contain different progestins that don't mimic natural hormones and may cause side effects.Most women can safely use hormone therapy, even after some cancers. Few health conditions exclude hormone use, so consult a healthcare provider for a personalized review.Vaginal estrogen treats local symptoms like dryness, while DHEA is a safe option for some women, including breast cancer survivors, to alleviate menopausal symptoms.Get full, personalized information about your options and don't accept a simple “no” from your provider about hormone therapy.If you're in perimenopause or menopause and struggling with symptoms, there ARE updated and safer hormone therapy options available—don't be afraid to ask!Links:Dr. Tara Scott's website: https://drtarascott.com/Send us a text As seen in USA Today: https://bit.ly/43nrMwO ✅ Fill out our surveys: https://bit.ly/4jcVuLh
After 20 years of prescribing hormone replacement therapy to tens of thousands of patients, both in her clinic and through her telemedicine company Menrva, I have identified the critical gaps in how HRT is being prescribed, monitored, and optimized across the United States. This isn't about "should you" do hormones. This is about how to do them right. In this episode,I break down the 10 non-negotiables you need to know if you're considering HRT, currently on HRT, or feeling like your current protocol isn't working. From the biochemistry of bioidentical vs. synthetic hormones to why your gut health determines how well your estrogen gets metabolized, this is the master class your doctor should have given you, but didn't. We're talking about natural bioidentical hormones, the truth behind the Women's Health Initiative (spoiler: it was about Premarin and synthetic progestins, NOT bioidentical estrogen), and how to use precision medicine to guide YOUR hormone replacement therapy, not a one-size-fits-all protocol that leaves 50% of women undertreated and 25% overtreated. Discover The 10 Non-negotiables: #1 - Bioidentical Is NOT a Buzzword #2 - Your Symptoms Are Metabolic Signals #3 - The WHI Study Was About Premarin & Provera #4 - Your Gut & Estrogen Are in Constant Conversation #5 - Testosterone Is a Woman's Friend After 40 #6 - HRT Is NOT One-Size-Fits-All #7 - Timing Matters #8 - Delivery Method Makes or Breaks Results #9 - BHRT Works Best When You Address the Big Five #10 - The Goal Isn't to Feel Younger, It's to Feel More Like YOU Midlife isn't the beginning of the end, it's a time of radical transition and ownership. Hormone replacement therapy is one of the biggest levers you have. Use it wisely.
Hormones start shifting way earlier than anyone tells us, and for most women over 35 that sneaky change can make you feel like you are aging in fast-forward. This episode breaks down the hormone symptoms most doctors overlook and explains what is actually happening with estrogen, progesterone, and testosterone when you suddenly have brain fog, mood swings, stubborn weight gain, low libido, or sleep that goes off a cliff. Chalene also clears up the outdated fears around hormone therapy and shares the updated science every woman needs, plus simple natural hormone support options if HRT is not your thing. And if you have ever felt dismissed or confused by conflicting advice, you will hear exactly how to find a clinician who actually understands women's hormone health so you can age powerfully instead of feeling unlike yourself. Watch this episode on YouTube this Sunday!!
Show Notes:In this episode of 'Own Your Pleasure', Whitni Miller and her guest, Dr. Michelle Gordon, discuss the complexities of menopause, hormonal changes, and the healthcare system's treatment of women's health issues. Dr. Gordon emphasizes the importance of finding a doctor who listens, the impact of the Women's Health Initiative on hormone therapy, and the cultural dismissal of women's health concerns. Dr. Gordon advocates for a holistic approach to treatment, recognizing obesity as a disease and the need for hormone optimization to improve quality of life. The discussion also touches on the importance of self-advocacy and the challenges women face in the medical system. Dr. Michelle Gordon is Board Certified in Obesity Medicine, Lifestyle Medicine, and General Surgery and is a Telehealth Innovator. After building and running a multi-million dollar surgical practice, she shifted her focus from surgery to weight management, hormone health, and longevity through high-impact telehealth for lesbian midlife women. She brings advanced, personalized care straight to you —without gatekeeping, delay, or the one-size-fits-all approach of traditional systems. Her background in surgery gives her a sharp clinical lens in obesity and lifestyle medicine. She's seen how strategic, non-surgical interventions can reverse complex metabolic disease. Her experience drives the results she delivers today, through evidence-based care that respects your time, autonomy, and goals. She uses telehealth to deliver high-quality, personalized care. This isn't a quick prescription model. She takes the time to understand each patient's goals, history, and challenges to create treatment plans that are safe, effective, and built for long-term success. Her mission is simple. She gives you clear, evidence-based guidance and real support throughout your health journey. You deserve more than a rushed visit or generic advice. She takes the time to understand what's actually going on so you can make lasting, meaningful changes together. You are never just a number. She works closely with you so you feel seen, heard, and respected from start to finish. With a foundation in clinical experience and systems thinking, she focuses on what works. She uses tools that make personalized medicine more accessible without compromising quality. This isn't about hype or trends. It's about real care, delivered with intention, one patient at a time. Follow Dr. Michelle Gordon at: TikTok: @drmichellegordon IG: @doctormichellegordon FB: @michelleEgordon Learn More From Whitni: https://www.bde-moves.com Follow Whitni at: IG - @bde.moves FB - groups/bdemoves YouTube - Podcast Channel = @BDE-Moves Old Channel = @BdeTalks TikTok - @bdemoves
Send us a textIn this episode I sit down with Dr. Melissa Miskell, a gynecologist with 30 years of experience who has helped thousands of women feel like themselves again using bioidentical hormone therapy. If you're over 40 and dealing with brain fog, mood swings, belly fat, hot flashes, low sleep, or low libido and keep being told “that's just aging” ,this one is for you.Dr. Miskell explains, in simple language, what really happens in perimenopause and menopause, why so many women are misdiagnosed with depression or anxiety, and how hormones like estrogen, progesterone and testosterone actually protect your heart, bones and brain. We also talk about the famous Women's Health Initiative study, what it got wrong, and why the FDA has now removed the black box warning from estrogen.You'll hear:The key differences between “normal aging” and hormone imbalanceWhy so many women are given 3 medications (antidepressant, anxiety, sleep) when what they really need is hormone testingWhat bioidentical hormones are and how they're different from older synthetic optionsWhich labs women over 40 should ask for (and why symptoms matter more than one number on a lab sheet)When HRT makes sense, when it doesn't, and how fast many women start to feel betterIf you've ever felt dismissed, unheard, or confused about your symptoms, this episode will give you hope and better questions to ask your doctor.Check out Dr Miskell websites https://feelbetterfromdayone.com/ and her clinic https://hormonesbydesign.comIf you want help with strength training, habits, and building a balanced lifestyle alongside your hormone journey, check out my coaching options https://www.personaltrainerturo.com/Thank you for listening!
In this episode, Dr. Shawn Tassone delves into the complexities of hormonal health, focusing on estrogen and its various forms. He discusses the importance of understanding hormone types, testing methods, and the differences between synthetic and bioidentical hormones. Dr. Tassone also addresses common myths surrounding estrogen, particularly those stemming from the Women's Health Initiative, and emphasizes the need for accurate information in hormone therapy. He concludes by asking listeners to share knowledge and seek help in their hormonal health journey. Episode Highlights: Hormones are chemical messengers that affect various body functions The three types of Estrogen: estradiol, estrone, and estriol. The most potent and beneficial form of estrogen. Why salivary hormone testing is unreliable and not recommended. Why blood testing is the most accurate method for hormone levels. Bioidentical hormones are synthesized but are not synthetic in the traditional sense. The black box warning on estrogen being lifted. How The Women's Health Initiative study has been debunked and misinterpreted. Why there is a growing demand for accurate information on hormone therapy. How the stigma surrounding estrogen is changing as more women seek help. Episode Resources: Dr. Tassone's Free Women's Health Journal Club | Dr. T's Evidence Edit Dr. Shawn Tassone's Practice | Tassone Advanced Gynecology Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormonal Archetype Quiz Medical Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.
In this episode of The Commune Podcast, we revisit and combine two powerful conversations on women's hormonal health — featuring Dr. Amy Killen and Tamsen Fadal. Together, they unpack one of the biggest medical misunderstandings of the modern era: how misinformation about menopause and hormone therapy has left millions of women suffering in silence. Amy and Tamsen explore what really happened after the flawed 2002 Women's Health Initiative study, how fear and stigma shaped an entire generation's view of hormones, and what today's research reveals about safe, effective treatments. From understanding perimenopause to exploring bioidentical hormone therapy, vaginal estradiol, and lifestyle changes that support longevity, this mashup is a vital roadmap for women at every stage of life. This podcast is supported by: Bon Charge Get 15% off when you order at boncharge.com and use promo code COMMUNE Igniton Visit igniton.com and use code Commune75 for $75 off your order of two bottles or more. LMNT Get a free sample pack with any purchase at DrinkLMNT.com/COMMUNE Mimio Get 25% off with code COMMUNE25 at Mimiohealth.com Stemregen Get 20% off your first order at stemregen.co/commune with the code COMMUNEPOD
In this episode, Dr. Rogers sits down with nurse practitioner Ashton Williams to dive deep into menopause misconceptions and the evolving landscape of hormone health for women. Ashton shares eye-opening insights from a recent hormone conference in Arizona, debunks persistent myths about estrogen, progesterone, and testosterone, and discusses why so many women still feel anxious or hesitant about hormone therapy.Together, Dr. Tom Rogers and Ashton Williams explore the vital role of bioidentical hormones, the impact of the flawed Women's Health Initiative study, and why personalized, functional medicine is redefining the way practitioners care for women in midlife and beyond. If you or someone you love has ever questioned the safety or necessity of hormone therapy, this episode is a must-listen.Tune in for empowering information, real patient stories, and actionable tips to help you or your patients thrive during menopause. And remember: this is not official medical advice, so always consult your own provider for personal recommendations.Ready to challenge what you thought you knew about menopause? Hit play and join us for a refreshingly honest conversation!What 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
Today, I'm thrilled to welcome Dr. Amy Killen, a visionary in hormone optimization and regenerative medicine who is transforming the conversation around women's health and longevity. In this episode, Dr. Killen shares her personal journey—from witnessing her mother's struggle after a hip fracture, to becoming a steadfast advocate for correcting the myths and misinformation that still surround estrogen, progesterone, and testosterone optimization. Episode Timestamps: Ferritin, iron, and hormonal health basics ... 00:00:43 Dr. Amy Killen's evolving hormone focus ... 00:04:02 Women's Health Initiative and estrogen myths ... 00:06:31 Importance of hormone optimization vs. stem cells ... 00:10:25 Testosterone for women: symptoms, labs, delivery options ... 00:12:05 Side effects and nuances of testosterone therapy ... 00:14:01 SHBG, free testosterone, and lab variability ... 00:16:38 Libido, PT-141, and the biopsychosocial lens ... 00:21:46 Iron and ferritin: sweet spot and skin implications ... 00:29:16 Hot vs. HRT: definitions and individualization ... 00:34:23 Debunking estrogen and breast cancer myths ... 00:41:30 Aging expectations and finding the right doctor ... 00:43:18 Advice for women by decade—20s, 30s, 40s, etc. ... 00:47:20 Our Amazing Sponsors: Tro Zzz by Troscriptions - This isn't just melatonin—it's a powerhouse! Oblipair gives you honokiol and agarin to enhance GABA binding, while adenosine and cordycepin boost sleep drive and deep sleep. CBD, CBN, and 5‑HTP round it out. Head to troscriptions.com, use NAT10, and get 10% off your first order. NMN+G Rx by Wizard Sciences - A scientifically formulated blend of NMN, ginsenosides from Panax ginseng, and apigenin. Together, they enhance mitochondrial function, boost NAD+ levels, and support cellular repair. Go to wizardsciences.com and look for NMN+G. Use code NAT15 at checkout to get 15% off your purchase. Probiotic Breakthrough by Bioptimizers: uses a stress-tested Lactobacillus plantarum strain that showed over 30× greater survival in bile and intestinal fluid vs. generic strains. Save 15% at bioptimizers.com/bionat and use code BIONAT for 15% off any order. Nat's Links: YouTube Channel Join My Membership Community Sign up for My Newsletter Instagram Facebook Group
I am honored to connect with Esther Blum today! She is the bestselling author of "Cavewomen Don't Get Fat," "Eat, Drink, and Be Gorgeous," and most recently, "See Ya Later, Ovulator!". Esther currently maintains a busy virtual practice where she helps women balance hormones, lose stubborn body fat, and treat the root cause of health struggles. Today we speak about medical gaslighting, how weight gain does not have to be a part of aging, andropause and menopause, and the Women's Health Initiative. We dive into physical changes and significant symptoms during perimenopause and menopause, the role of the pelvic floor, deciphering what the dreaded “menopot” is, what does not work, and advocacy in terms of testing and hormones. We also address constipation, weight loss resistance, and how our tolerance for alcohol changes as we age, especially when using bioidenticals or hormone replacement therapy. IN THIS EPISODE YOU WILL LEARN: How women can redefine their experience and continue having an active sex life after menopause. How to surrender, lean in, and take the pressure off yourself while going through perimenopause and menopause. Why is there so much misinformation and medical gaslighting in our society? Why Esther wrote See Ya Later, Ovulator! Some common symptoms of perimenopause. Risks women may face after a hysterectomy. Changes that happen in the vaginal canal and pelvic floor during menopause. The significant and profound impact of the decline of sex hormones. How to avoid weight gain in menopause. What can menopausal women do to prevent fatty liver and digestive problems? Lab tests women should be asking their health providers for. Why should perimenopausal women avoid alcohol? Some simple ways to address constipation. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Connect with Esther Blum On her website On Facebook, Instagram, LinkedIn Get your free copy of Esther's Happy Hormone Cocktail Esther's Books Esther's book, See Ya Later, Ovulator!, by Esther Blum Cavewomen Don't Get Fat, by Esther Blum Eat, Drink, and Be Happy, by Esther Blum
I'm honored to reconnect with Dr. Felice Gersh today! She is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. We connected once before in Episode 221, where we spoke about PCOS and metabolic health. Today, Dr. Gersh joins me to dive into perimenopause and menopause. We discuss various issues surrounding the Women's Health Initiative and talk about estrogen as a family of hormones, estrogen-mimicking chemicals, synthetic hormones, and oral contraceptives. We get into the importance of thyroid function, the pro-inflammatory state of a loss of estrogen in perimenopause and menopause, and the importance of nutrition and exercise for metabolism. We also speak about the lesser-known changes that occur in menopause, including changes in body odor, constipation, sarcopenia, osteoporosis, and vocal changes. I intend to invite Dr. Gersh back again to discuss women and mitochondrial health, and then once again to talk about her latest book, Menopause: The Fifty Things You Need to Know. Stay tuned to find out what menopause really is, and what it does to a woman's metabolic system. IN THIS EPISODE YOU WILL LEARN: The Women's Health Initiative study and its devastating effects Differences between synthetic and bioidentical hormones How chronic diseases of aging can be delayed when hormones are incorporated along with other lifestyle refinements What do hormones do? Why every immune cell in the body has receptors for vital hormones Menopause is not defined by a specific moment in time. Changes that occur physiologically during the perimenopause years How hormones can change the perimenopause paradigm Why perimenopause translates into many sleep issues Phytoestrogens: nature's gift to women Connect with Cynthia Thurlow Follow onX Instagram LinkedIn Check out Cynthia's website Connect with Dr. Felice Gersh On her website: Integrative Medical Group of Irvine Instagram All of Dr. Gersh's books are available on Amazon Episode 221 on PCOS with Dr. Felice Gersh
Today, I am thrilled to reconnect with a previous guest, Dr. Mary Claire Haver. Dr. Haver is a board-certified OBGYN, a certified menopause provider, and the founder of Mary Claire Wellness, a private medical practice focusing on women in midlife. Her best-selling book, the Galveston Diet, and her latest New York Times best-seller, The New Menopause, are fabulous resources for middle-aged women. In our discussion today, we dive into various aspects of perimenopause, looking at the associated challenges. We discuss factors accelerating ovarian aging, the role of contraception, mental health shifts, and the often delayed diagnosis of premature ovarian insufficiency. We examine the differences between hormone replacement therapy and oral contraceptives, discussing the importance of advocacy for women's health and the benefits of vaginal estrogen. We explore the disparity in federal funding for women's health research, the impact of the Women's Health Initiative, body composition changes, the estrabolome, the 30 Plant Challenge, and the advantages of HRT. Dr. Haver also talks about her preferred supplements. I'm sure you will find this conversation a valuable resource that you will likely revisit several times. IN THIS EPISODE YOU WILL LEARN: Why perimenopause is so fraught with chaos Some of the factors that hasten ovarian aging How perimenopause causes significant changes in neurotransmitters, leading to cognitive changes The differences between HRT and oral contraceptives How estrogen loss during menopause affects vaginal tissue The benefits of vaginal estrogen for symptoms of menopause How women's health research funding prioritizes reproduction over menopause and perimenopause How HRT can help with fat loss and muscle mass in postmenopausal women The emergence of eating-disordered behaviors in menopausal women Some of the lesser-known symptoms of menopause and ways to overcome them How HRT could impact the longevity and cognitive health of women Bio: Dr Mary Claire Haver Dr. Mary Claire Haver is a board-certified OB-GYN who has devoted her adult life to women's health. When she began to experience the changes of menopause and mid-life weight gain, she created her online program, The Galveston Diet, which currently has over 80,000 students. The Galveston Diet is the first and only nutrition program in the world created by a female OB-GYN, designed for women in menopause. As part of her ongoing research, she became certified in Culinary Medicine in 2019, specializing in medical nutrition. In 2021, Dr. Haver opened Mary Claire Wellness; the clinic was born out of repeated requests from the Galveston Diet students and Dr. Haver's social media followers for personal guidance. Dr. Haver lives with her husband and two daughters in Galveston, Texas. She is the author of The Galveston Diet (Rodale; January 10th, 2023). Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Mary Claire Haver On the Mary Claire Wellness website Instagram TikTok Facebook YouTube Books Mentioned Dr. Haver's books, The Galveston Diet and The New Menopause The Menopause Brain and the XX Brain by Lisa Mosconi Previous Episode Mentioned Ep. 308 Dr. Mary Claire Haver: Weight Gain in Middle Age, Perimenopause and Inflammation
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.