Podcasts about health initiative

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

In this video, Dr. Doug Lucas discusses the relationship between hormone replacement therapy (HRT) and cancer risk, particularly focusing on estrogen and progesterone. He reviews recent literature, including a 2025 paper that raises concerns about micronized progesterone and progestins. Dr. Doug emphasizes the importance of distinguishing between these two forms of progesterone and presents various studies, including the Women's Health Initiative and the PEPI trial, to analyze their implications on cancer risk. He concludes that while there are risks associated with HRT, micronized progesterone does not appear to significantly increase breast cancer risk, advocating for a careful risk-benefit analysis in treatment decisions.*STUDIES*https://www.annalsofoncology.org/article/S0923-7534(24)04880-4/fulltexthttps://pubmed.ncbi.nlm.nih.gov/24781971/https://jamanetwork.com/journals/jama/article-abstract/395611https://academic.oup.com/jnci/article-abstract/95/1/30/2520191?redirectedFrom=fulltexthttps://www.tandfonline.com/doi/abs/10.1080/cmt.5.4.332.340

Send us a textIs hormone replacement therapy a risk or a protector for women's cardiovascular health? Debunking outdated myths, this episode explores the latest research on bioidentical hormone replacement therapy and its potential to support vibrant wellness, especially for women navigating menopause.Today, hosts Dr. Emmy Brown, ND, and co-host Melissa Gentile, INHC, welcome Deidre Arms, BC-APRN, a functional medicine nurse practitioner, to discuss bioidentical hormone replacement therapy (BHRT) and its impact on women's cardiovascular health. Deidre shares her personal health journey, including her experience with a spontaneous coronary artery dissection, which led her to explore the role of hormones in cardiovascular health.This conversation challenges the misconceptions stemming from the 2002 Women's Health Initiative study, highlighting its flaws and the subsequent misinterpretations that have led to the underutilization of BHRT. Deidre emphasizes the importance of individualized approaches to hormone therapy, considering factors like the type of hormone, route of administration, and the patient's overall health and lifestyle. She also covers the significance of lifestyle interventions, including diet, exercise, and stress management, in optimizing hormone therapy and promoting vibrant wellness.   Key Takeaways from Today's Episode:

In this episode, Dr. Vonda Wright sits down with writer, activist, and feminist Jennifer Weiss-Wolf, a leading voice in the fight for menstrual equity. Dubbed the “architect of the U.S. policy campaign to squash the tampon tax,” Jennifer is the author of Periods Gone Public and serves as VP at the Brennan Center for Justice. Her groundbreaking work has been featured in The New York Times, TIME, Cosmopolitan, MSNBC, and more. Together, they dive into how a local donation drive sparked Jennifer's national policy work, the cultural stigma surrounding menstruation, and the rise of the menstrual equity movement since 2015. They also unpack the critical need for accurate menopause education, public policy reform, and the long-lasting impact of the Women's Health Initiative's flawed messaging on hormone therapy. This conversation challenges outdated taboos and explores how both menstruation and menopause can serve as powerful starting points for advocating for women's health across every life stage.   ••• Connect with Jennifer Weiss-Wolf: Website: https://jenniferweisswolf.com/ Instagram: https://www.instagram.com/jenniferweisswolf/ ••• Make sure to follow Dr. Vonda Wright: Instagram: @drvondawright Youtube: https://www.youtube.com/@vondawright Tiktok: https://www.tiktok.com/@drvondawright LinkedIn: https://www.linkedin.com/in/vonda-wright-md-ms-2803374 Website: http://www.DrVondaWright.com ••• If you enjoyed this episode, Subscribe to “HOT For Your Health” for more inspiring episodes. Apple Podcast: https://podcasts.apple.com/us/podcast/hot-for-your-health/id1055206993 Spotify: https://open.spotify.com/show/1Q2Al27D79jCLAyzp4hKBv?si=b62b374994884eed We'd love to hear your thoughts on this episode! Share your comments or join the discussion on social media using #HotForYourHealthPodcast.

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

In this episode of The Aging Well Podcast, Dr. Armstrong and Corbin Bruton explore the growing trend of having children later in life, discussing the health benefits, cognitive advantages, financial stability, and the unexpected joys that come with being an older parent. The hosts share personal experiences and insights, emphasizing the importance of preparation and self-care for prospective parents and parents looking to… age well.Reference Article:“The surprising health benefits linked to having a baby at 35 and older”SELECT RESEARCH ARTICLES:“Maternal Age at Childbirth and Parity as Predictors of Longevity Among Women in the United States: The Women's Health Initiative”"The health and development of children born to older mothers in the United Kingdom: observational study using longitudinal cohort data""Associations between older maternal age, use of sanctions, and children's socio-emotional development through 7, 11, and 15 years" "Function in Midlife and Late Life""Telomere length is longer in women with late maternal age"

In this episode, Dr. Doug delves into the complex relationship between hormone replacement therapy (HRT) and dementia, particularly focusing on findings from the Women's Health Initiative and recent studies on tau and amyloid beta. Dr. Doug discusses the fears surrounding HRT, the implications of various studies, and the clinical observations regarding cognitive function in patients using HRT. He emphasizes the need for more comprehensive research to draw definitive conclusions about the risks and benefits of HRT in relation to dementia.*STUDIES:*https://pubmed.ncbi.nlm.nih.gov/12771112/https://pubmed.ncbi.nlm.nih.gov/30842086/https://pubmed.ncbi.nlm.nih.gov/37744387/https://pmc.ncbi.nlm.nih.gov/articles/PMC3525314/https://pubmed.ncbi.nlm.nih.gov/28202700/https://pubmed.ncbi.nlm.nih.gov/40043125/

Two-thirds of those diagnosed with Alzheimer's disease are women — but why? In this episode, we unpack the neurological, hormonal, and social drivers that uniquely affect women's brain health during the menopausal transition — from estrogen's protective role in the brain to the misunderstood history of hormone replacement therapy. We discuss: • Why women face a higher risk of Alzheimer's than men • How menopause accelerates brain aging (and how it starts earlier than is often expected) • The role of estrogen in brain metabolism and neuroprotection • The real story behind hormone replacement therapy (HRT) • The impact of genes like APOE4 on women's brain health • How lifestyle factors like stress, sleep, and cognitive activity can help reduce the impact of neurological changes onset by menopause ——— Get our free curation of women's brain health resources in our Brain Box: http://thebraindocs.com/brainbox ——— To help us tell this story, we welcome three world-renowned women's health experts to the podcast: DR. LISA MOSCONI: Director of the Women's Brain Initiative, author of ‘The Menopause Brain', and pioneering researcher in brain imaging and hormonal neuroscience. MARIA SHRIVER: Founder of the Women's Alzheimer's Movement, journalist, and relentless advocate for gender equity in brain health research. DR. LISA GENOVA: Neuroscientist and bestselling author of ‘Still Alice', which was adapted into a film starring Julianne Moore, who won the  2015 Best Actress Oscar for her role as Alice Howland. This is... Your Brain On Menopause. ‘Your Brain On' is hosted by neurologists, scientists and public health advocates Ayesha and Dean Sherzai. ‘Your Brain On... Menopause' • SEASON 5 • EPISODE 1 ——— Our free Women's Brain Health Brain Box includes: • Guides on how to speak with healthcare providers about menopause • Delicious brain-healthy Mother's Day brunch recipes • Meaningful gift ideas for the women you love • Inspiring interviews with world-leading women's health experts • And even a chance to check your cognitive health with an insightful, science-backed test Get the Brain Box for free! Here: http://thebraindocs.com/brainbox ——— References: Mosconi, L. (2017). Perimenopause and emergence of an Alzheimer's bioenergetic phenotype in brain and periphery. PloS One, 12(10), e0185926.  Belloy, M. E. & Alzheimer's Disease Neuroimaging Initiative. (2019). A quarter century of APOE and Alzheimer's disease: Progress to date and the path forward. Neuron, 101(5), 820-838.  Rahman, A. (2019). Sex and gender driven modifiers of Alzheimer's: The role for estrogenic control across age, race, medical, and lifestyle risks. Frontiers in Aging Neuroscience, 11, 315.  Rocca, W. A. (2012). Hysterectomy, oophorectomy, estrogen, and the risk of dementia. Neurodegenerative Diseases, 10(1-4), 175-178.  Scheyer, O. (2018). Female sex and Alzheimer's risk: The menopause connection. Journal of Prevention of Alzheimer's Disease, 5(4), 225-230.  Women's Health Initiative Memory Study Investigators. (2003). Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women: The Women's Health Initiative Memory Study—a randomized controlled trial. JAMA, 289(20), 2651–2662.  Women's Health Initiative Investigators. (2002). Risks and benefits of estrogen plus progestin in healthy postmenopausal women: Principal results from the Women's Health Initiative randomized controlled trial. JAMA, 288(3), 321-333.  Whitmer, R. A. (2005). Midlife cardiovascular risk factors and risk of dementia in late life. Neurology, 64(2), 277-281.  Livingston, G. (2024). Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. The Lancet, 404(10452), 572-628. Maki, P. M. (2016). Hormone therapy, dementia, and cognition: The Women's Health Initiative 10 years on. Climacteric, 19(3), 313-315. 

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

Today's West Coast Cookbook & Speakeasy Podcast for our especially special Daily Special, Smothered Benedict Wednesday is now available on the Spreaker Player!Starting off in the Bistro Cafe, as the Trump regime continues its assault on the Constitution, the defense of democracy will increasingly depend on Governors willing to fight back.Then, on the rest of the menu, the ACLU is suing the Trump government to get access to DOGE records; the white MAGA congresswoman who called Texas Representative Al Green “boy,” brazenly refuses to apologize; and, Trump ordered the National Institutes of Health to cancel the more than three decade long Women's Health Initiative whose findings have had a major influence on health care.After the break, we move to the Chef's Table where a panel of Brazil's Supreme Court justices unanimously accepted criminal charges against six more key allies of Bolsonaro over their coup plot to illegally keep him in office; and, European Union watchdogs fined Apple and Meta seven hundred million euros as they stepped up enforcement of the 27-nation bloc's digital competition rules.All that and more, on West Coast Cookbook & Speakeasy with Chef de Cuisine Justice Putnam.Bon Appétit!The Netroots Radio Live Player​Keep Your Resistance Radio Beaming 24/7/365!“It may be safely averred that good cookery is the best and truest economy, turning to full account every wholesome article of food, and converting into palatable meals what the ignorant either render uneatable or throw away in disdain.” - Eliza Acton ‘Modern Cookery for Private Families' (1845)Become a supporter of this podcast: https://www.spreaker.com/podcast/west-coast-cookbook-speakeasy--2802999/support.

Episode 49: Recorded March 6, 2025 ”If someone has a giant nose, you're not going to cut off their nose…” Dr. Guillermo Couto on why he chose to focus his career on Greyhounds and their unique physiology and health characteristics Show Notes Dr. Guillermo Couto's veterinary career started in the 1970s in Buenos Ares, Argentina. He started with a small practice across the street from his parents. Five years later, he became board certified in veterinary internal medicine and oncology at the University of California, Davis. In the 1980s, he started a thirty year career at The Ohio State University where he made a name for himself as the foremost expert and researcher in Greyhound hematology and oncology. That focus on Greyhounds started 30 years ago when Dr. Couto adopted his first Greyhound. He was intrigued by the unique physiology of the breed, and he sought answers to questions about Greyhound health that other veterinarians and researchers might have dismissed as abnormalities. In 2013, Dr. Couto retired from teaching and founded the Greyhound Health Initiative (GHI) to further explore the internal medicine and oncology landscape of the breed. Meanwhile, Mandy Albert started her veterinary career as a registered vet technician in 2004. Two years after Dr. Couto founded GHI, Mandy joined the organization to help establish its canine blood bank. Together, they have expanded the GHI well beyond its canine blood bank. The organization's current initiatives include Greyhound and sighthound research, education and outreach, advocacy for retired racing Greyhounds and collaboration with veterinary professionals. In this episode, host John Parker sits down with Dr. Couto and Mandy to explore the doctor's career, the origins of the Greyhound Health Initiative, and the contributions that both professionals have made and continue to make to the well-being of the Greyhound. It's an exciting hour of discussion about everything from Greyhound blood factors to osteosarcoma to the cutting edge of Greyhound orthopedic research. Links Greyhound Health Initiative (Website) Greyhound Health Initiative - Videos (Website) Couto Veterinary Consultants (Website)

Welcome to Menopause Mondays Part 2.  Thank you Kelley DeFilippis from Allegheny Medical for being my first guest on my new series last Monday March 31st. If you missed last week on Menopause Mondays I had Kelley on for Part 1 where she explains the 80 symptoms and what Menopause means.   Thank you Porters Compounding Pharmacy for sponsoring the two Part Series on Menopause Mondays with Kelley DeFilippis from Allegheny Medical. Menopause Specialist Kelley DeFilippis dives deep into the world of hormone replacement therapy and menopause. This episode sheds light on the misconceptions surrounding menopause, the historical journey of hormone replacement studies, and the impact of misinformation on women's health. Discover why hormone replacement therapy is crucial, what options are available today, and how it can potentially change lives. This conversation dispels old myths and offers a refreshing perspective on women's health during menopause. Kelley, a seasoned nurse practitioner, shares her expertise, backed by years of research and personal passion for the subject. The episode also addresses the infamous Women's Health Initiative study of 1993 and its impact on hormone replacement therapy usage. With supportive insights from the book "Estrogen Matters," learn how modern approaches differ, ensuring safer, more effective treatment options for women today. Tune in to get informed and empowered about your health choices. "This is not your MOTHERS MENOPAUSE!" Thank you Porters Compounding Pharmacy for sponsoring this two part series on Menopause Mondays with Kelley DeFilippis of Allegheny Medical.  For more information on Porters please see the link below or call 412-264-2230 https://portersrx.com/ Also here is Kelley DeFilippis contact information or call for a consultation. 412-494-4450 https://www.alleghenymedical.com/kelleydefilippis/ For information on how you can be a sponsor or guest contact Kelli Komondor at kelli@k2creativellc.com This episode is on all the major Audio Platforms as well as my Youtube page. Please follow and Subscribe. http://www.youtube.com/@Spillwithmejennyd Check out my website at https://www.spillwithme.com/   Please note: The information shared on Spill With Me Jenny D. is for informational and educational purposes only and is not a substitute for professional medical advice. I'm bringing you options and insights on how to navigate menopause, but every individual is different. Always consult your doctor or a qualified healthcare provider before making any decisions about your health, treatments, or lifestyle changes.  

Welcome to Menopause Mondays Part 2.  Thank you Kelley DeFilippis from Allegheny Medical for being my first guest on my new series last Monday March 31st. If you missed last week on Menopause Mondays I had Kelley on for Part 1 where she explains the 80 symptoms and what Menopause means.   Thank you Porters Compounding Pharmacy for sponsoring the two Part Series on Menopause Mondays with Kelley DeFilippis from Allegheny Medical. Menopause Specialist Kelley DeFilippis dives deep into the world of hormone replacement therapy and menopause. This episode sheds light on the misconceptions surrounding menopause, the historical journey of hormone replacement studies, and the impact of misinformation on women's health. Discover why hormone replacement therapy is crucial, what options are available today, and how it can potentially change lives. This conversation dispels old myths and offers a refreshing perspective on women's health during menopause. Kelley, a seasoned nurse practitioner, shares her expertise, backed by years of research and personal passion for the subject. The episode also addresses the infamous Women's Health Initiative study of 1993 and its impact on hormone replacement therapy usage. With supportive insights from the book "Estrogen Matters," learn how modern approaches differ, ensuring safer, more effective treatment options for women today. Tune in to get informed and empowered about your health choices. "This is not your MOTHERS MENOPAUSE!" Thank you Porters Compounding Pharmacy for sponsoring this two part series on Menopause Mondays with Kelley DeFilippis of Allegheny Medical.  For more information on Porters please see the link below or call 412-264-2230 https://portersrx.com/ Also here is Kelley DeFilippis contact information or call for a consultation. 412-494-4450 https://www.alleghenymedical.com/kelleydefilippis/ For information on how you can be a sponsor or guest contact Kelli Komondor at kelli@k2creativellc.com This episode is on all the major Audio Platforms as well as my Youtube page. Please follow and Subscribe. http://www.youtube.com/@Spillwithmejennyd Check out my website at https://www.spillwithme.com/ Please note: The information shared on Spill With Me Jenny D. is for informational and educational purposes only and is not a substitute for professional medical advice. I'm bringing you options and insights on how to navigate menopause, but every individual is different. Always consult your doctor or a qualified healthcare provider before making any decisions about your health, treatments, or lifestyle changes.

Today, I am excited to connect with Dr. Daved Rosensweet, the founder of The Institute of BioIdentical Medicine and The Menopause Method, a leading expert in andropause and menopause treatment, and an internationally recognized lecturer and presenter with over 30 years of experience. Dr. Rosensweet has written three books, including his latest, Happy Healthy Hormones.  In our discussion today, we dive into factors that influence long-term health and cognitive function during menopause, exploring strategies to help you avoid becoming a nursing home patient. We look at the role of hormone replacement therapy, the neurocognitive shifts that occur in perimenopause and menopause, why pellet therapy may not be the best choice for most women, and the impact of the Women's Health Initiative. Dr. Rosensweet also shares valuable insights on the differences between compounded and synthetic HRT, the importance of testing, and the best routes of administration, and we examine what happens to hormone receptors more than a decade into menopause and how to support brain health by maintaining optimal estrogen levels.  This insightful conversation with Dr. Rosensweet is invaluable, so you may want to listen to it more than once. IN THIS EPISODE YOU WILL LEARN: Why hormones, exercise, and protein are crucial for maintaining muscle mass and overall health as women age Why testosterone is essential for muscle mass maintenance, mood, and cognitive function The role of estrogen in maintaining cognitive function and potentially reversing dementia in women Dr. Rosensweet shares his concerns about pellet therapy The benefits of using bioidentical hormones  Some alternative forms of HRT Why patients and clinicians must share decision-making   How long-term hormone deficiency affects women's health  Why it is essential to monitor hormone levels  The benefits of addressing progesterone deficiency early  Bio: Dr. Daved Rosensweet Daved Rosensweet, MD, is the Founder of The Institute of BioIdentical Medicine and The Menopause Method, as well as the author of three books on the subject, including his latest "Happy Healthy Hormones". With over 30 years of experience specializing in andropause and menopause treatment, Dr. Rosensweet is an internationally known lecturer and presenter. Early in his career, he trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico. Currently, Dr.Rosensweet spends the majority of his time as the Medical Director of The Institute of BioIdentical Medicine, where he trains medical practitioners to specialize in menopause and andropause medicine. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Daved Rosensweet The Institute of BioIdentical Medicine Connect with Dr. Rosensweet's training program at Brite or the Institute of BioIdentical Medicine   Download a free PDF copy of Dr. Rosensweet's book, Happy, Healthy Hormones 

In this episode, Andrea Donsky, nutritionist, published menopause researcher and menopause educator, and co-founder of WeAreMorphus.com, interviews Dr. Anna Cabeca, MD, known as “The Girlfriend Doctor,” DO, OBGYN, FACOG,  and triple-board-certified physician specializing in gynecology, integrative medicine, and anti-aging and regenerative medicine. She is known for her expertise in women's health, hormone balance, and sexual health.This must-listen episode addresses the controversies around menopause hormone therapy and what you need to know about the safety and effectiveness of various treatments.Topics Covered:The key differences between birth control pills and bioidentical hormones Understanding menopause hormone therapy (MHT) and how to personalize it for your unique needsPractical tips for starting hormone therapy and why patches or creams might work better than pillsThe truth about the Women's Health Initiative study and why its findings don't apply to all types of hormone therapySimple ways to support your body's natural hormone detoxification processesDr. Cabeca's holistic approach to hormone health - looking beyond quick fixes to find real solutionsWhy testing mattersThe surprising connection between cholesterol and brain health through hormone productionHow your thyroid, vitamin D levels, and gut health affect your hormonesTips for maintaining intimate health, including safe use of DHEA cream (Julva)A fresh perspective on PCOS and what it means for youWhich ingredients to avoid in hormone creams and whyLinks from the show:Dr. Anna Cabeca's Website: https://drannacabeca.com/Dr. Anna Cabeca's Books: https://amzn.to/4hVfdxrJulva Cream https://bit.ly/43u9rz9Send us a text ✅ Fill out our surveys Support our SPONSORS: Qualia https://bit.ly/42mtvmx CODE MORPHUS15 BEAM Minerals https://bit.ly/43MrfFL Code MORPHUS EnergyBits https://bit.ly/49f05YV Code MORPHUS Livon: https://bit.ly/3EjrcGG CODE MORPHUS Order 1 carton of Lypo-Spheric® Vitamin C at LivOnLabs.com & get 1 carton of B Complex Plus FREE ($56 value) just by adding both products to the cart Timeline: timeline.com/morphus CODE MORPHUS MyVitalC https://bit.ly/3EQ9bAf CODE MORPHUS15

“You are not broken”This was the statement Laura wanted to make sure to get across during our discussion for Episode 68.I had the pleasure of sitting down with Laura Brown, a board-certified women's health nurse practitioner, about women's health, menopause, and hormone therapy.Laura shared her journey to opening Sapphire Women's Healthcare and talked alot about the misconceptions surrounding estrogen and its importance in women's health.In our conversation Laura covered the stages of menopause, the role of testosterone, and how women can advocate for their health.The conversation hit some hugely important points.Talking about the different stages of menopause, the role of testosterone for women, and most importantly, Laura gave a lot of important tips on how women can advocate for themselves when talking with their doctors.Beauty and the beast episode 68 is live!Laura Brown is a board-certified women's health nurse practitioner.Sapphire Women's Healthcare focuses on perimenopause and menopause care.Estrogen has been demonized due to misinformation from the Women's Health Initiative.Menopause is a natural process that affects every woman who lives long enough.Women often experience a range of symptoms during perimenopause and menopause.Testosterone can be beneficial for women, especially regarding libido and mood.Advocating for women's health is crucial, as many providers lack training in this area.Self-care is essential and should focus on what truly recharges and restores individuals.Education on menopause and women's health is vital for both women and their partners.Women should feel empowered to seek the care they deserve.Resources mentioned in the episode​Find a menopause informed provider​​Sapphire womens healthcare website​​Follow Laura on Instagram​Chapters00:00 Introduction to Women's Health and Menopause01:01 Laura's Journey to Sapphire Women's Healthcare04:43 Understanding Estrogen and Its Misconceptions11:29 Stages of Menopause: Perimenopause to Postmenopause22:01 Symptoms and Treatment Options for Menopause30:50 The Role of Testosterone in Women's Health31:49 Understanding Hormonal Changes and Their Impact32:00 Off-Label Uses of Hormones33:51 The Role of Testosterone in Women's Health36:17 Navigating Menopause: Empowering Women with Knowledge38:34 Advocating for Women's Health in Clinical Settings44:31 Supporting Women: A Man's Perspective53:18 Investing in Health: Lifestyle Changes for Women

Native Health Initiative's Associate Director Jules McCabe discusses the organization's important Vaccine Equity efforts. Teeniors are young adults who help others learn technology.Tune in to learn more from founder Trish Lopez! Catch us live every Sunday at 7PM on KUNM!

Did you know menopause comes with 34 symptoms—yet most women are never told what to expect? Instead, they're left guessing, struggling, and wondering if it's all just in their heads. In this episode of The Language of Love Conversations, I sit down with Tamsen Fadal, Emmy Award-winning journalist and menopause advocate, to get real about what's happening to our bodies and why so many women feel unprepared. Her new book, How to Menopause: Take Charge of Your Health, Reclaim Your Life, and Feel Even Better Than Before, is changing the conversation—because menopause isn't the end. It's a new beginning. Tamsen shares her personal journey through menopause, from the initial confusion and misdiagnosis to becoming a leading voice in the menopause movement. She discusses the societal stigma surrounding menopause, the flawed research that silenced a generation of women, and how she's working to change the narrative. If you or someone you love is going through menopause,  or you've ever felt dismissed, confused, or alone in your menopause journey, this episode is for you. Tamsen's story is one of resilience, advocacy, and hope, and her message is clear: you can feel better than ever before. We dive into: The truth behind the Women's Health Initiative study that misled an entire generation about hormone therapy How to recognize perimenopausal symptoms—because it's not just hot flashes! The 34 symptoms of menopause and why so many women go undiagnosed What doctors should be asking you (and how to advocate for yourself if they don't) Hormone therapy: who it's for, who it's not for, and what the latest science says Non-hormonal strategies for managing menopause—nutrition, strength training, sleep, and stress management How menopause affects your sex life (and what you can do about it) The cultural stigma around aging and how we can redefine what it means to thrive after 40 If you're ready to take control of menopause, pre-order Tamsen Fadal's book, How to Menopause: Take Charge of Your Health, Reclaim Your Life, and Feel Even Better Than Before today. For deeper insights, watch The M Factor, her must-see documentary on menopause. Join the conversation—follow Tamsen on Linkedin, visit her website and connect with a community breaking the silence on menopause. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this video, Dr. Doug Lucas delves into the critical discussion surrounding Hormone Replacement Therapy (HRT) for women, particularly focusing on its implications for bone health during and after menopause. Dr. Doug emphasizes the importance of understanding the risks and benefits of HRT, especially in light of the Women's Health Initiative, which has shaped perceptions and treatment options for many years. He advocates for an individualized approach to HRT, considering each woman's unique health profile and the potential benefits of hormone therapy in preventing osteoporosis and other health issues.*STUDIES*https://pubmed.ncbi.nlm.nih.gov/38691368/https://pubmed.ncbi.nlm.nih.gov/39419045/

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The Truth About Hormones: How Misinformation Stole Women's Health & The Science That Can Restore It"

“Your normal is different than everybody else's.” There's so much misinformation out there about hormones. The misunderstanding of the Women's Health Initiative findings did massive damage to women's health. It basically ruined an entire generation of physicians who now buy into the false narrative on the dangers of hormone replacement. Today I'm doing a review episode all about my book, The Hormone Balance Bible. I wrote the book not for you to read from cover to cover but so that you can look at the relevant sections as you go through certain stages of your life. In The Hormone Balance Bible, I break down the 12 hormonal archetypes and what to do to start the healing journey for each one.  For this episode,  I'm talking about how you can start figuring out which archetype you are, the characteristics of each type, symptoms you might be noticing, the kinds of women I see in my practice for each archetype, and more. Enjoy the episode!   Highlights What I'm sharing today about the Hormone Balance Bible The concept and creation of the Hormone Balance Bible How I came up with the twelve hormonal archetypes Why it was important to me to include processes with which women could heal themselves Archetype #1: The Queen - Estrogen Dominance Archetype #2: The Unbalanced Heroine - Progesterone Deficiency Archetype #3: The Mother - High Estrogen, Low Progesterone Archetype #4: The Wise Woman - Menopause Archetype #5: The Workaholic - Excess Cortisol Archetype #6: The Saboteur - Low Cortisol Archetype #7: The Nun - Low Testosterone Archetype #8: The Warrior - High Testosterone Archetype #9: The Underdog - Hypothyroidism/Subclinical Hypothyroidism Archetype #10: The Overachiever - Hyperthyroidism Archetype #11: The Chairwoman - Estrogen Dominance + Excess Cortisol Archetype #12: The Philosopher The medical system's poor treatment of menopausal women   Episode Resources: Dr. Shawn Tassone's Practice | https://www.drshawntassone.com Dr. Shawn Tassone's Book | The Hormone Balance Bible Dr. Shawn Tassone's Integrative Hormonal Mapping System | Hormone Archetype Quiz   Thank you to our sponsor, Endurance Products Company! After over 25 years of practicing medicine, I'll be the first to tell you that not all supplements are created equal. But when I discovered Dihydroberberine SR, by Endurance Products Company, I was genuinely impressed.  It's highly bioavailable and outperforms standard berberine at significantly lower doses. You can explore their offerings at endur.com. Not only is the science solid, but I love that Endurance Products Company is a family-run American company that has cared about doing things right since 1978. I've started recommending Dihydroberberine to my patients who struggle with blood sugar management, and the results speak for themselves. So much so, that I personally take this supplement for helping to support healthy blood sugar levels, heart health, and tap into how my body uses fats for energy As a special offer for my audience, Endurance Products Company is providing a 10% discount on your order! Simply use the code DRT10 at checkout when you visit endur.com. 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.

Join me and Dr. Sabrina Sahni on the Beyond podcast for a candid conversation about all things menopause and perimenopause. We are diving deep into this often-confusing transition, exploring everything from the different stages and common symptoms (it's more than just hot flashes!) to the societal taboos that keep us from talking openly. We are unpacking the science behind menopause, debunking some common myths (including a closer look at that Women's Health Initiative study), and sharing practical tips for managing symptoms through lifestyle changes and hormone therapy. Dr. Sahni emphasizes the importance of tracking your own experience and working closely with your healthcare provider. If you're looking for real talk and helpful advice on navigating this phase of life, this episode is a must-listen ladies! Follow Dr. Sahni on Instagram at sabrinaksahnimd ! Join Dr. Flora every Wednesday with tips to feel unstuck from your rut. Follow @the.beyondpodcast and @drflorasinha on Instagram to stay up to date!

Tara sits down with one of her mentors, Dr. Daved Rosensweet, to have an important conversation about hormone replacement therapy (HRT) and why so many women are left in the dark when it comes to their options. Dr. Rosensweet has been at the forefront of bioidentical hormone therapy for years, and in this episode, he shares his deep expertise on how to approach HRT safely and effectively. They break down the fears and misconceptions that have prevented countless women from getting the support they need and discuss why personalized hormone therapy should be the standard—not the exception. Whether you're currently using HRT, considering it, or just want a better understanding of your options, this episode is a must-listen.   Key Talking Points Why hormones matter—they're not just about reproductive health, but essential for brain function, bone strength, and overall vitality. The shocking truth about declining hormone levels—they start dropping in your 20s and never stop. How misinformation about hormone therapy has kept women suffering needlessly. The Women's Health Initiative study—how it wrongly created fear around hormones and what the real science says. Bioidentical vs. synthetic hormones—why the form of hormones you use makes a massive difference. When to start hormone therapy—(hint: the earlier, the better). The importance of individualized dosing—why one-size-fits-all approaches don't work. How to find a knowledgeable provider who truly understands hormone therapy.   Dr. Rosensweet:  Daved Rosensweet, MD is the Founder of The Institute of BioIdentical Medicine and The Menopause Method, as well as the author of three books on the subject including his latest "Happy Healthy Hormones".  Early in his career, Dr. Rosensweet trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico. With over 30 years of experience specializing in Andropause and Menopause treatment, he is a nationally known lecturer and presenter at The American Academy of Anti-Aging Medicine (A4M), The American College for Advancement in Medicine (ACAM), The Age Management Medicine Group (AMMG), and more. In 2019, he was called to Washington to speak in front of The National Academies of Science Engineering and Medicine (NASEM) on "The Safety and Efficacy of Bioidentical Hormones." Through The Menopause Method and The Institute of BioIdentical Medicine, Dr. Rosensweet is training medical professionals to master cBHRT using the most advanced and modern tools. His protocol has been used to treat more than 12,000 women. CUSTOMIZE TREATMENT PROGRAMS: The Menopause Method DOWNLOAD DR ROSENSWEET'S BOOK FOR FREE:  Happy Healthy Hormones     Mentioned in this episode: HRT Made Simple™ - Learn how to confidently speak to your doctor about the benefits of hormone replacement therapy so you can set yourself up for symptom-free, unmedicated years to come without feeling confused, dismissed, or leaving the medical office minus your HRT script. Hair Loss Solutions Made Simple™ – This course will teach you the best natural, highly effective, and safe solutions for your hair loss so you can stop it, reverse it, and regrow healthy hair without turning to medications. The Hormone Balance Solution™ – My signature 6-month comprehensive hormonal health program for women in midlife who want to get solid answers to their hormonal health issues once and for all so they can kick the weight gain, moodiness, gut problems, skin issues, period problems, fatigue, overwhelm, insomnia, hair/eyebrow loss, and other symptoms in order to get back to the woman they once were. [FREE] The Ultimate Midlife Perimenopause Handbook - Grab my free guide and RECLAIM your confidence, your mood, your waistline and energy without turning to medications or restrictive diets (or spending a fortune on testing you don't need!). BOOK A 30-MINUTE SESSION WITH TARA HERE   You might also like these episodes:   EPISODE 55: All about HRT including rhythmic dosing, Estradiol vs. Bi-Est & more with Dr. Felice Gersh PART 1 EPISODE 79: Do you need HRT if you don't have symptoms? What if you don't have hot flashes & you're still cycling regularly?  

PROGRAM CONCEPT: AARP Liaison for Caregiving InitiativesProgram OverviewThe AARP Liaison for Caregiving Initiatives program “Care Connectors” aims to build a robust network of volunteers who serve as essential connectors between AARP's National Office, State Offices, and their local community. These volunteers will play a key role in supporting family caregivers through resource dissemination, program coordination, and ensuring that national caregiving priorities are adapted to effectively meet the needs of their community.Monica shares with Roost News Podcast Team member Nancy McCammon Hansen, information on the role of the AARP Liaison for Caregiving Initiatives Program, as well as information on the importance of caregiving and the role of caregivers.

Dr. Salisha Allard-Blaisdell knows what it's like to eat dirt...to not have clean water...to get kicked out of school because you weren't taught nor had the items to take a bath. She saw a way out of poverty, through education. Once she began to read, she became unstoppable. Amy and Dr. Salisha discussed their shared love for Grenada, their academic achievements, and the challenges they faced in their personal lives. The conversation also focused on the importance of education in empowering individuals and the need to break the stigma surrounding menstrual health.Dr, Salisha shared a partnership between Shara Foundation and Days for Girls International for a 2025 pilot program cycle of empowerment menstrual Health Initiative in Grenada. Through education, products, and support, this program will help almost 300 girls and young women in their menstrual health journey. Join Dr. Salisha and Shara Foundation on the world stage as she continues toward expanding her work outside of Grenada in the future. Follow Shara Foundation on Facebook, LinkedIn, and Instagram.Thank you for tuning in to Women Making Moves, please be sure to follow and rate the show on your favorite podcast platform, and follow on Bluesky. Visit Amy at Unlock the Magic, and follow on LinkedIn and Bluesky.Women Making Moves is for personal use only and general information purposes, the show host cannot guarantee the accuracy of any statements from guests or the sufficiency of the information. This show and host is not liable for any personal actions taken.

Dr. Staci Gruber is the Director of the Cognitive and Clinical Neuroimaging Core at McLean Hospital's Brain Imaging Center and an Associate Professor of Psychiatry at Harvard Medical School. Dr. Gruber launched Marijuana Investigations for Neuroscientific Discovery (MIND) in 2014, the first ever program of its kind designed to clarify the long-term impact of medical cannabis use. MIND supports numerous projects that aim to address the impact of medical cannabis on a number of important variables including cognition, brain structure and function, clinical state, quality of life, pain, sleep, and other health-related measures. As director of MIND, Dr. Gruber has generated major contributions to the field as the first to assess medical cannabis patients longitudinally, first to acquire neuroimaging data in medical cannabis patients, and as Principal Investigator of the first clinical trial of a full-spectrum, high-cannabidiol (CBD) product, which she specifically formulated to treat anxiety. Additional, novel clinical trials have been approved and are pending or currently underway. At CannMed 25 Staci will share findings from those clinical trials as an oral presenter. https://cannmedevents.com/staci-gruber-phd/ Topics Discussed: Key findings from the MIND Program's longitudinal studies on medical cannabis use (improved cognitive performance and reductions in pain, anxiety, and sleep disturbances) Ongoing clinical trials the MIND Program is conducting on anxiety, bipolar disorder, and Alzheimer's The Women's Health Initiative at MIND (WHIM) investigating cannabis for gynecologic pain, menopause, and endometriosis Concerns about mislabeled cannabis products and unregulated hemp-derived products and more! Thanks to This Episode's Sponsor: Healer Healer is a trusted, physician-developed medicinal cannabis brand founded to address the challenges of helping people and health providers get the best results with safe, reliably dosable products and education on how to best use them. Healer Hemp products are available nationwide and include a step-by-step usage guide and response tracker. Healer's distinctive product formulations and education are based on the latest research and work of leading cannabis clinician, Dr. Dustin Sulak, D.O. Visit Healer.com or HealerCbd.com Additional Resources https://www.drstacigruber.com Social Media: @DrStaciGruber on X and Instagram Register for CannMed 25 Meet the CannMed 25 Speakers Review the Podcast CannMed Archive

Welcome to Quick Hits: Blasts from The Past. Join Karen as she explores her podcast archives, offering you short, impactful excerpts from standout episodes. In just 15 minutes, you'll experience the essence of past conversations, packed with valuable insights and memorable moments from our guests. If you want to dive deeper, you'll find links to the full episodes in the show notes below. In the early 1900's estrogen hormone replacement was the most prescribed medication in America! It remained in first or second place for the rest of the century. Until 2002 when the media got a hold of the results of the Women's Health Initiative study. Doctors around the world were warned not prescribe it and women were told that it was dangerous and shouldn't be on it. But since that time there has been a reanalysis of the study with a much different outcome then was first perceived. Yet we as women and our doctors have heard very little if anything about the benefits and safety of hormone replacement. In this episode: what the WHI study found in their trials the reanalysis of the study and what it really showed HRT versus BHRT a deep dive into the multiply studies done on HRT and BHRT (bioidentical hormone replacement therapy) can BHRT help with weight loss? does hormone replacement cause breast cancer? and much more! This is an episode NO woman should miss hearing!   SPECIAL COUPON CODE FOR LISTENERS: Get 15% off your order of Hormone Solutions Bioidentical Creams with coupon Listener15! Store wide discount! ProgestCalm ProgestSleep Estro Vitality Estro Rejuvenaiton Clean high-quality hormone creams with no added junk! Bioptimzers Get 10% off Sleep Breakthrough By BiOptimzers products at https://bioptimizers.com/hormone with coupon code HORMONE .   Are you in peri or post menopause and looking to optimize your hormones and health? At Hormone Solutions, we offer telemedicine services and can prescribe in every U.S. state, as well as in British Columbia, Alberta, and Ontario in Canada.   Visit karenmartel.com to explore our comprehensive programs: Bioidentical Hormone Replacement Therapy Individualized Weight Loss Programs  Peptide Therapy for weight loss    Interested in our NEW Peptide Weight Loss Program? Join today and get all the details here.   Join our Women's Peri and Post Menopause Group Coaching Program, OnTrack, TODAY!   To our nursing audience members, our podcasts qualify for nursing CE @ RNegade.pro Provide # CEP17654.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Erika Schwartz, MD is the founder of Evolved Science, a world renowned medical practice based in New York City, built on the recognition that bio-identical hormones are the foundation for better health. Dr. Erika is a pioneer in the use of bio-identical hormones for preventing illness and recognizing their direct link to overall wellness and their interconnection with diet, sleep and stress management. Her focus on treating patients as a whole person began more than 30 years ago with her understanding that bio-identical hormone replacement is the safest, most effective path to increased health span and to achieve the highest quality of life. (https://www.eshealth.com/about-dr-erika) Hormone balance and replacement therapy is of the utmost importance to a lot of my listeners, and I've got no doubt that you'll learn a ton from this episode. What we discussed:Dr. Erika's background and her shift from waiting for patients to get sick to focusing on prevention and wellness (1:49)Her experience with hormone replacement therapy (5:32)The Women's Health Initiative study, which was funded by big pharma (12:56)Flaws in the study, including the use of synthetic hormones and the inclusion of women with significant health issues (16:08)The problem conventional practitioners have with bioidentical hormone replacement (21:27)Regulatory control over hormonal health (24:57)Benefits of bioidentical hormone replacement therapy (29:10)A case for allowing nature to take its course in regard to aging and hormones (32:53)Continuing HRT in the years after menopause (36:32)Challenges in the conventional medical system (43:29)The role of bioidentical hormones and lifestyle factors (43:47)The impact of hormonal imbalances and lifestyle choices (44:12)Birth control and its long-term effects (46:12)The future of hormone therapy and peptides (51:31)The importance of taking responsibility for your health and making informed decisions (1:04:59)Where to learn more:Evolved ScienceInstagramIf you loved this episode and our podcast, please take some time to rate and review us on Apple Podcasts, or drop us a comment below! 

The reach of the James Cancer Hospital extends far beyond Central Ohio. As part of Ohio State's Global One Health Initiative (GOHi), Robert Baiocchi, MD, PhD, is leading the research, vaccination and treatment efforts in Ethiopia for patients with lymphoma. “Lymphoma, a cancer of the white blood cells, is far more common in Sub-Saharan Africa, and afflicts people at a younger age” said Baiocchi, a James medical oncologist who specializes in treating patients with blood cancers. The prevalence of malaria and the Epstein-Barr virus (EBV) has led to the increased number of lymphoma diagnoses. “Starting in 2015 we opened a lab in Addis Ababa [the capital of Ethiopia] to study these viruses and how they cause cancers,” Baiocchi said, adding the initial research was to determine why the lymphoma rate was so high. “We're zeroing in on a couple of interesting findings; children who get malaria and EBV, that seems to be the perfect storm [for lymphoma].” Differences in the genetic makeup of people in Sub-Sharan Africa could be another factor in the increased lymphoma rates. Baiocchi and his team, and their partners in Ethiopia, are working on vaccines for malaria and EBV. “Studies tell us the virus here [in the United States] is different from the viruses in Ethipia and the vaccines we use here won't work there,” he said. “It's important to understand the genetic makeup of EBV in order to develop a vaccine that will be effective in that region.” The standard of care at the James for lymphoma patients includes a combination of chemotherapy drugs – and has proven to be very effective. “The resources for this aren't available in Ethiopia,” Baiocchi said, adding the James is developing a less-expensive, targeted therapy that shows promise. There are also plans to create a facility in Addis Ababa where lymphoma patients will be treated with cell therapy.

In this special 100th episode of the Stronger Bones Lifestyle podcast, I'm diving into the hidden causes of bone loss that most people (even doctors) never talk about. You may think bone health is all about calcium and aging, but the truth is, over 100 different factors contribute to bone loss—and many are within your control.I'm here to challenge the outdated, one-size-fits-all approach to osteoporosis and osteopenia and help you understand why the conventional system is failing you. From hormonal imbalances to chronic inflammation, from gut health to stress, we're uncovering the real reasons behind bone loss and, more importantly, what you can do to turn things around. This episode is packed with actionable steps to empower you to take control of your bones, your body, and your future. If you've ever felt confused or frustrated by the way bone health is managed, you don't want to miss this conversation!Key TakeawaysThe Truth About DEXA Scans – This 40-year-old technology is flawed and may not be giving you the full picture of your bone health.REMS Technology – A new ultrasound-based alternative that provides a more accurate assessment of bone quality and fracture risk.Hormone Replacement Therapy Misconceptions – The Women's Health Initiative study misled millions about the risks of hormone therapy, and it's time to set the record straight.The Role of Bioidentical Hormone Therapy – Supporting bone health naturally through personalized hormone balancing strategies.Gut Health and Bone Loss – How functional medicine testing can reveal bacterial imbalances that contribute to inflammation and weak bones.Links & ResourcesStronger Bones Lifestyle CommunityJoin a supportive space to strengthen your bones naturally with live sessions and masterclasses. Start your 30-day free trial now at https://debirobinson.com/stronger-bones-lifestyle-community.Healthy Gut Healthy Bones ProgramDiscover a self-paced course to build stronger bones and better gut health. Enroll now at https://debirobinson.com/healthy-gut-healthy-bones-program.Yoga Therapy for Osteoporosis DIYAccess yoga practices tailored for better bone health. Join today at https://debirobinson.com/yoga-therapy-for-osteoporosis.Free Download: Common Root Causes of OsteoporosisGet a free guide on osteoporosis causes and actionable solutions. Download now at https://debirobinson.com/root-causes-guide.Weekly Donation-Based Yoga for Osteoporosis ClassJoin live yoga sessions for bone strength and flexibility every Thursday. Sign up at https://debirobinson.com/weekly-yoga-class.Masterclass: Stronger Bones Stronger YouWatch an on-demand masterclass for natural bone health strategies. Start here: https://debirobinson.com/bone-health-masterclass.Healthy Gut Healthy Bones QuizAssess your bone health and discover personalized solutions. Take the quiz now at https://debirobinson.com/healthy-gut-bones-quiz.Discovery CallBook a one-on-one session to explore personalized bone health strategies. Schedule now at https://debirobinson.com/discovery-call.Healthy Gut Healthy Bones Mini-CourseLearn the basics of gut and bone health in this concise course. Enroll at https://debirobinson.com/mini-course.Newsletter SubscriptionStay updated with exclusive bone health insights and tips. Subscribe at https://debirobinson.com/newsletter.

  As the world record's it's highest ever average global temperatures, and the US, once again, quits the UN climate change pact, Al Gore is surprisingly upbeat on humanity's ability to tackle global warming. He spoke to Radio Davos at the Annual Meeting, where he presented a new system that tracks greenhouse gas emissions around the world, Climate TRACE.   Links: Global Risks Report 2025: https://www.weforum.org/publications/global-risks-report-2025/ Climate TRACE: www.climatetrace.org/explore Climate and Health Initiative: https://initiatives.weforum.org/climate-and-health/home Centre for Nature and Climate: https://centres.weforum.org/centre-nature-and-climate/home   Related podcasts: Can climate action survive geopolitical upheaval?: https://www.weforum.org/podcasts/radio-davos/episodes/gfc-geopolitics-climate-global-south/ Breathe! The cities working together on air pollution and climate change: https://www.weforum.org/podcasts/radio-davos/episodes/breathe-cities-air-pollution-jaime-pumarejo/ What are the 'positive tipping points' that could help us accelerate out of climate disaster?: https://www.weforum.org/podcasts/radio-davos/episodes/climate-change-positive-tipping-points-tim-lenton/ Al Gore on leadership skills, climate action and the 'tipping point' ahead: https://www.weforum.org/podcasts/meet-the-leader/episodes/al-gore-on-leadership-skills-climate-action-and-the-tipping-point-ahead/ Check out all our podcasts on wef.ch/podcasts:  YouTube: - https://www.youtube.com/@wef/podcasts Radio Davos - subscribe: https://pod.link/1504682164 Meet the Leader - subscribe: https://pod.link/1534915560 Agenda Dialogues - subscribe: https://pod.link/1574956552 Join the World Economic Forum Podcast Club: https://www.facebook.com/groups/wefpodcastclub  

Does HRT cause cancer? It's often the first question patients ask when considering hormone replacement therapy. In this episode, we break down the science behind HRT and cancer risk, examining the famous Women's Health Initiative study that sparked widespread fear - and revealing crucial information that wasn't widely reported.Key topics covered: • The real cancer risk numbers in context • Why the timing of starting HRT matters significantly • How age impacts study results and risk factors • The surprising cardiovascular benefits for younger women • What clinicians should tell their patients about HRT risksWhether you're a healthcare professional advising patients or someone considering HRT yourself, this episode provides evidence-based clarity on this important topic.Follow Dr Tim on Instagram here: https://www.instagram.com/drtimpearce/ Follow Dr Tim on Youtube here: https://www.youtube.com/@drtimpearce

Confession #116: "The logic behind prescribing hormones is absurd." In this episode, Dr. Shawn Tassone discusses the complexities and controversies surrounding hormone replacement therapy (HRT). He delves into the historical context of HRT, the impact of the Women's Health Initiative study, and the ongoing myths about HRT and breast cancer. Dr. Tassone emphasizes the importance of understanding the benefits of HRT for women's health, including its role in preventing osteoporosis and cardiovascular diseases. He also critiques the current business practices in hormone therapy and calls for a more informed and compassionate approach to women's health. Episode Highlights: Why hormones are often misunderstood and controversial How The Women's Health Initiative study significantly impacted HRT usage The truth about how estrogen may have protective effects against certain cancers How HRT can help prevent osteoporosis and improve quality of life How/why the medical community has historically underrepresented women's health issues Why Dr. T thinks there's a need for more education on the benefits of HRT How the narrative around HRT has been shaped by fear and misinformation Why women deserve better representation and care in healthcare Resources 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 2002, the Women's Health Initiative study on Hormone Replacement Therapy (HRT) sent shockwaves through the medical world, halting a major study due to a reported 26% increase in breast cancer risk. The statistic sounded terrifying, but what it really meant was just eight additional cases per 10,000 women per year. Unfortunately, the lack of clear communication and context sparked widespread fear, leading millions of women to avoid HRT without fully understanding its risks and benefits. Listen and learn: Why the Women's Health Initiative study on HRT was flawed and misunderstood The difference between relative risk and absolute risk—and why it matters How HRT protocols from 20+ years ago compare to today's options The importance of advocating for yourself with your doctor How modern research and individualized care can reshape menopause treatment Practical insights to help you make informed decisions about your health and longevity LINKS Dr Schwartz' s Site ABOUT OUR GUEST Dr. Erika Schwartz is a physician, author, and advocate for integrative and patient-centered healthcare. Specializing in hormone health, preventive medicine, and women's wellness, she has spent decades challenging traditional medical paradigms and empowering patients to take an active role in their health journey. With multiple books, national media appearances, and a holistic approach to medicine, Dr. Schwartz bridges the gap between conventional and alternative healthcare strategies. Like the Show? Leave us a review Check out our YouTube channel

Comprehensive Insights into Bioidentical Hormone Replacement Therapy with Dr. Erica Schwartz, author of “The New Hormone Solution.” In this episode of the Intelligent Medicine Podcast, Dr. Ronald Hoffman speaks with Dr. Erica Schwartz, an expert in bioidentical hormone replacement therapy. They discuss the evolution and controversies surrounding hormone therapies, including the impact of the Women's Health Initiative study. Dr. Schwartz shares her insights on the importance of a tailored approach to hormone replacement, the benefits of different forms of estrogen and progesterone, and the role of testosterone, DHEA, and lifestyle choices in comprehensive care for menopause and andropause. Additionally, they explore the topics of women's sexuality, the pros and cons of osteoporosis drugs, and the necessity of incorporating a holistic lifestyle approach for overall health and longevity.

There are very few givens when it comes to menopause - and mostly unanswered questions. Should you treat menopause with hormones? Do hormones cause breast cancer? Do hormones cause heart disease? What about non-hormonal alternatives? Shouldn't you just stop complaining? In this episode, we'll offer a few answers about how we got here - decades after the abrupt end of the Women's Health Initiative, the first study of its kind to look at the effects of hormone therapy on women's health. We'll hear from Dr. Marcia Stefanick who worked on the original WHI study and meet Dr. Joann Pinkerton and Dr. Wen Shen, who have devoted their careers to improving women's lives at midlife.

Today, I am honored to connect with Dr. Corinne Menn, a board-certified OB-GYN and Menopause Society-certified practitioner. Dr. Menn is a 23-year breast cancer and premature menopause survivor and a BRCA carrier who draws on her personal experiences to assist other women in navigating their health challenges. In our discussion, we explore the ways the Women's Health Initiative has impacted Baby Boomers and how fear-based decision-making, particularly around breast cancer risks, has shaped women's health. We discuss the timing hypothesis for hormone replacement therapy, breast cancer risks, and misleading stats and look into empowerment and the differences and biases that shape the experiences of women in perimenopause and beyond. We examine why osteoporosis is a silent disease and how hormone replacement therapy can reduce fracture risk by 30–50%, and tackle the effects of poor metabolic health, the challenges of receiving a diabetes diagnosis, and how statin therapy can influence the course of menopause and beyond. Dr. Menn also shares her personal story of resilience and empowerment.  This conversation with Dr. Corinne Menn is invaluable for all women- especially those with a history of breast cancer. IN THIS EPISODE YOU WILL LEARN: How the Women's Health Initiative has caused fear-based decision-making among menopausal women Why SSRI medications are inadequate in managing menopausal symptoms How the fear of litigation has impacted clinical decision-making in modern medicine The cardio-protective benefits of HRT   How HRT can help avoid the risk of breast cancer  Why starting HRT early is essential for cardiovascular health How racial differences impact women in menopause How early bone density screening can help prevent rapid bone loss during menopause The metabolic changes that occur during menopause How the lack of menopause education led Dr. Menn to experience premature menopause due to her breast cancer treatments Bio: Corinne Menn, DO, FACOG, MSCP Dr. Corinne Menn is a board-certified OBGYN and Menopause Society Certified Practitioner. Dr.Menn is also a 23-year survivor of breast cancer and premature menopause, a BRCA carrier,and uses her experience to help women navigate their health challenges. She has dedicated her medical practice to menopause management, the unique healthcare needs of female cancer survivors, and those at high risk for breast cancer. Now practicing exclusively through telehealth, Dr. Menn provides women's health consultations and patient education. She is also a medical advisor and a prescribing doctor on Alloy, a menopause telehealth platform. Dr. Menn is an active member of the Menopause Society and a fellow of The American College of Obstetrics & Gynecology. She is a dedicated advocate and volunteer for the Young Survival Coalition, serving on their Council of Advisors, leading the Provider-Survivor support group, and serving on the Breast Cancer Alliance Research Grant Committee. She is a frequent speaker and podcast guest and has an active social media platform where she shares her mission of educating fellow clinicians and women on menopause and women's health. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Corinne Menn On her website  Instagram The Middle List Menopause and Cancer

In this conversation, Dr. Kelly Casperson explores her journey into female sexual health, highlighting the taboo surrounding women's sexual health education and the lack of training for medical professionals. She discusses key topics like hormone balancing, menopause, and the impact of the Women's Health Initiative on hormone replacement therapy. Dr. Casperson emphasizes the benefits of estrogen replacement therapy and encourages women to be proactive about their health as they age. She advocates for better education, awareness, and research to combat misconceptions and improve women's health outcomes. Key Takeaways: - Urology encompasses pelvic health, including female sexual health. - Many medical professionals lack training in sexual health education. - Sexual health is often considered taboo, leading to misinformation. - Hormone balancing is often a marketing term rather than a medical reality. - Menopause is a natural process, but its implications are often misunderstood. - The Women's Health Initiative has had a lasting negative impact on hormone therapy perceptions. - Only a small percentage of women are currently on hormone replacement therapy. - Estrogen has significant health benefits beyond sexual health. - Women should be proactive about their health as they age. - Education and open discussions about sexual health are crucial for women's well-being. Vaginal estrogen can significantly improve quality of life for women. - Breast cancer survivors may benefit from hormone therapy. - Education is crucial for women to make informed health decisions. - Testosterone plays a vital role in women's health and well-being. - Many doctors lack knowledge about the safety of hormone therapy. - Women often have more testosterone than estrogen in their bodies. - Quality of life should be prioritized in hormone therapy discussions. - The stigma around hormone therapy needs to be addressed. - Research on hormone therapy is extensive but often overlooked. - Women should advocate for their health and seek information. Dr. Kelly Casperson is a board-certified urologic surgeon who believes in the transformative power of science and the mind to reshape our understanding of sexuality and hormones. After many years of practice, a pivotal encounter with a patient ignited her deep curiosity about female sexual wellness, leading her to learn everything she could to help others. Compelled to do more, she realized that helping patients one-on-one in her clinic wasn't enough to address the widespread gap in sexual and hormonal education. Recognizing that women aren't broken in the bedroom but simply misinformed, she launched the You Are Not Broken podcast. The show quickly gained popularity, consistently ranking in the top 10 in Apple Podcasts' “Medicine” category in the U.S., and has been nominated for an AASECT award three years in a row. In addition to the podcast, Dr. Casperson has developed online courses, a book, and a membership that empowers women by teaching them the fundamentals of their anatomy, physiology, and sexual function. Her approach helps women dismantle limiting beliefs and live their best love lives. Combining her medical expertise with certifications from The Life Coach School and the North American Menopause Society, Dr. Casperson uses a holistic, evidence-based approach to help women achieve sexual wellness and confidence. Known for her engaging and humorous storytelling, Dr. Casperson is a sought-after speaker who makes people feel at ease discussing often uncomfortable topics. Like a trusted big sister who's also a doctor, she shares practical advice that's changing lives both in and out of the bedroom. Dr. Casperson's book, You Are Not Broken: Stop Should-ing All Over Your Sex Life, is available on Amazon and Audible. In 2025, she will be opening the Casperson Clinic for hormones and sex medicine, expanding her reach even further in women's health. Find Dr. Casperson here: Instagram - https://www.instagram.com/kellycaspersonmd/?hl=en Podcast - https://podcasts.apple.com/in/podcast/you-are-not-broken/id1495710329 Website - www.kellycaspersonmd.com  Facebook - facebook.com/groups/youarenotbroken Youtube - https://www.youtube.com/@kellycaspersonmd Bestselling book — You Are Not Broken: Stop "Should-ing" All Over Your Sex Life Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Send us a textIn this episode of the Hotflash inc podcast, host Ann Marie McQueen is joined by naturopathic doctor and women's health expert, Lara Briden. With decades of clinical experience, she is the author of three books: Period Repair Manual, Hormone Repair Manual, and her newest release, Metabolism Repair for Women. Lara's work focuses on empowering women with evidence-based knowledge to navigate their hormonal health, including through perimenopause and menopause. Together, they unravel the intricate world of estrogen, its role in women's lives and how it connects to the challenges and opportunities of midlife health. From estrogen metabolism to hormone therapy myths and best practices, Lara provides actionable insights and science-backed advice to empower women on their health journeys.Key topics: Why estrogen is both celebrated and misunderstood.The evolution of hormone therapy and what's changed since the Women's Health Initiative.How progesterone fits into the midlife health equation.The relationship between estrogen metabolism, gut health, and lifestyle factors like diet and alcohol.Lara's perspective on a renewed need to find  balance in modern hormone therapiesExplainer: Dr Ray Peat, who passed away in 2022,  was an American biologist and researcher, and he believed metabolism was a foundation of health – helping to spawn the pro-metabolic movement. He was a progesterone researcher who believed estrogen is an inflammatory stress hormone that causes more health problems than it helps. The term we spoke about where you feel you need more and more of something that is actually making you feel worse is tachyphylaxis, and it's something that the British Menopause Society issued a warning about in 2023.When Lara mentions a “four-fold” increase in dementia risks, she is referring to studies associated with heavy, long-term use. Other studies have found lower risks. If you are concerned about whether the medication you are taking is anti-cholinergic, and by how much, check out the Anticholinergic Burden Calculator. Thank You To Our Sponsors For Making This Episode Possible:Timeline: Use code HOTFLASH33 for 33% off your order of Mitopure at Timeline Nutrition.The Hotflash inc Podcast has been selected by our panelist as one of the Top 60 Menopause Podcasts on the web.Guest linksWebsite: larabriden.comInstagram: @larabridenX: @LaraBridenJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc See hotflashinc.com/privacy-policy for privacy information

Today, we have an extra-special episode recorded live at an Eudemonia event in West Palm Beach in November 2024. I had the privilege of sitting down with Dr. Kwadwo Kyeremanteng, an ICU-attending physician in Ontario, Canada. Dr. Kyeremanteng is particularly attuned to middle-aged women and is interested in preventative care and metabolic health. Across social media channels, he is known affectionately as Dr. K. In our discussion, we spoke at length about fear-based decision-making and medicine, looking at the impact of allopathic care models and lifestyle-related diseases, the impact of hospitalizations and big-gun antibiotic therapy, and the trauma of being hospitalized in the ICU. We also dove into the role of the microbiome, exploring lifestyle, the challenges of changing the medical system, and the concept of knowing better and doing better as a clinician. We closed the conversation by discussing the Women's Health Initiative and the subsequent prescribing changes in the wake of that study, the role of advocacy, and end-of-life decisions.  You will not want to miss this invaluable conversation with the delightfully charming and insightful Dr K. IN THIS EPISODE YOU WILL LEARN: How fear-based decisions in the ICU can lead to over-testing and misdiagnoses Why it's essential to be clear and focused when making important decisions in high-stress situations Common lifestyle-related issues that drive many individuals to the ICU How metabolic health links to mental illness Smoking and lung health and other conditions like emphysema and chronic obstructive pulmonary disease Potential long-term effects of antibiotic overuse Why a healthy microbiome is essential for preventing chronic diseases Challenges of changing existing medical practices The long-term impact of the Women's Health Initiative on women's health How HRT can improve women's quality of life Importance of having end-of-life conversations with loved ones Bio:  Dr. Kwadwo Kyeremanteng is an ICU physician, productivity expert, and health and wellness advocate. He is the author of "Unapologetic Leadership," which promotes decisive and authentic leadership principles. Dr. Kyeremanteng also hosts the popular podcast "Solving Healthcare," where he discusses innovative solutions to improve healthcare delivery and outcomes. His work is driven by a commitment to equitable access to care and reducing healthcare costs while enhancing quality. Dr. Kyeremanteng is an active social media presence and leverages AI in his work to further his mission of relieving suffering and promoting health. Connect with Cynthia Thurlow   Follow on Twitter Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Kwadwo Kyeremanteng On all social media: @kwadcast The Solving Healthcare podcast Gyata Nutrition Dr. Kyeremanteng's book - Unapologetic Leadership: Finding The Moral Courage To Do The Right Thing Unapologetic Leadership: Finding The Moral Courage To Do The Right Thing, authored by Dr. Kwadwo Kyeremanteng, is available on Amazon Disclaimer: This episode was recorded at Eudemonia. The creators retain full rights to use the footage and audio across their platforms, including podcast distribution, YouTube, and social media. With permission, portions of this recording may also appear in Eudemonia's non-commercial catalog behind an email wall, with a link back acknowledging the recording location.

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

What, you may ask, is TSC. When I first met our guest, Kari Luther Rosbeck, I had the same question. TSC stands for tuberous sclerosis complex. As soon as Kari defined the term for me it struck a nerve close to home for me. My great nephew actually has tuberous sclerosis complex and was first diagnosed with this rare disease when he was but a child. My conversation with Kari was far reaching and quite educational for me as I suspect it will be for you.   TSC affects some fifty-thousands persons in this country and about 1 million around the world. The TSC alliance, founded in 1974, has worked to promote support, research and the dissemination of information about this rare disease.   Kari has been the CEO for many years. She began with the organization in 2001. While her main interest growing up was in being an actress as she says, “living in New York City means that you work while developing an acting career”. In Kari's case, she found another interest which was fundraising and being involved in the nonprofit world.   My conversation with Kari is quite enjoyable and, as I said, quite educational. I am sure you will find much invaluable information in this episode. At the end of our time together Kari will tell us all how we can become involved and help the TCS Alliance. I hope you will find ways to support this effort as what the organization does goes far beyond what you might think.       About the Guest:   Kari Luther Rosbeck, President and CEO, TSC Alliance Kari has made it her life mission to use her 35 years of nonprofit and volunteer management experience to help create a future where everyone with TSC has what they need to live their fullest lives.  She has served as President and CEO since November 2007 and previously held progressive leadership positions with the organization since 2001. Kari is responsible for the overall management and administration of the organization including strategic planning, implementation of organizational strategies and evaluation of results to ensure the TSC Alliance meets its mission. During her tenure, the TSC Alliance established a comprehensive research platform fostering collaboration with industry and academia to move treatments for TSC forward in a more expedited way. Because of her leadership, the organization has taken an active role in educating the TSC community about clinical trials to diminish the time for recruitment, including pivotal trials that have led to three FDA-approved drugs specifically for TSC. In 2019, the organization launched a Research Business Plan with the goal to change the course of TSC for those living with it today and for generations to come paired with an aggressive fundraising campaign leading to more than $16 million raised. Since joining the TSC Alliance, the organization has grown from a $2.1 million annual operating budget to $10 million in 2022 and is heralded with top ratings by watchdog organizations. Kari graduated with a BA degree in Theatre from the State University of New York at Albany and upon graduation founded a theatre company with fellow graduates in New York, NY.  After the loss of her first child, Noell, to sudden infant death, she dedicated her career to helping other families. Kari is the proud mother of Trent, Bradey, Wynter and Rhys and grateful to her husband Chris for his unending support. When not working, she enjoys traveling, playing golf and being an avid Minnesota Vikings fan. Read Kari's Profile in Success.   Ways to connect with Kari:   Facebook: https://www.facebook.com/tscalliance; @krosbeck Instagram: https://www.instagram.com/tscalliance; @karirosbeck LinkedIn: https://www.linkedin.com/company/697362/admin/; @kari-luther-rosbeck-ba24805/ X: https://twitter.com/tscalliance; @KariRosbeck Threads: https://www.threads.net/@tscalliance Website: www.tscalliance.org     About the Host:   Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset .   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.       Transcription Notes:   Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. . Well, welcome once again to another episode of unstoppable mindset where inclusion, diversity and the unexpected meet, and I bet we get to do a bunch of all of that today. Our guest is Kari Luther rosbeck, and Kari and I met through Sheldon Lewis from accessibe. Sheldon is great at finding folks for us to get to chat with. And when I started learning about Kari, one of the things that I kept reading was a term TSC, and I didn't know what TSC was. So when Kari and I first met, I asked her about TSC, and she said it stands for tubular sclerosis complex, which immediately struck a nerve with me, because I have a great nephew who has tubular sclerosis. And as it turns out, his parents have actually and had actually attended an event where Kari was and then just this past March or April or whenever, and you can correct me, Kari, but they went to another event, and my other niece and nephew, Tracy and Charlie, attended, as I just told, Kari, I'm very jealous they didn't let me come along, but that's okay. I stayed home and slept. But anyway, Kari, I want to welcome you to unstoppable mindset. It's really great that you're here, and I want to thank you for taking the time to be with us. It   Kari Luther Rosbeck ** 02:42 is such an honor. Michael and I love talking with your family, and it was so wonderful to have them with us at comedy for a cure this year. Well, it   Michael Hingson ** 02:53 it was really fun to hear about the event from them, and I'm glad that that they all enjoyed it. And of course, Nick is is a person who deserves all the attention and help all of us can give. He's had tubular sclerosis, been diagnosed with it for quite a while, and is actually, I think, beating some odds, because some people said, Oh, he's not going to last very long, and he's continuing to do well. And just don't ever get him into a conversation about sports and the Dodgers, because he's a Dodger fan, okay,   03:24 as he should be. By the conversation.   Michael Hingson ** 03:28 Well, he is a Dodger fan as he should be. I just want to point that out, yes, yes, for those of us here. Well, Nick, Nick probably   Kari Luther Rosbeck ** 03:36 was, well, when Nick was diagnosed, we had a very different prognosis for TSC back then.   Michael Hingson ** 03:45 Well, yeah, I know, and it's like everything with medicine, we're making a lot of advances. We're learning a lot, and of course, we're paying a lot of attention to these different kinds of issues. I mean, even blindness, we're paying a lot of attention to blindness, and we're slowly getting people it's a very slow process, but we're slowly getting people to recognize blindness isn't the problem. It's our attitudes about blindness that are the problems. And I think that's true with most things, and I think that if people really thought about Nick and and felt, well, he can't do much because of they would recognize he can do a whole lot more than they think he can, 100% which is really important. Well, let's start a little bit about you. And why don't you tell us about the early Kari growing up and all that and how we got where we are, well, thank   Kari Luther Rosbeck ** 04:43 you for the opportunity to do that. My middle name is Lacher. That's also my maiden name. My dad and mom were in education, primarily. My dad also dabbled in some politics. We moved around. Quite a bit when I was a child, I think before seventh grade, or before I was 18, we knew 13 times so that really, you know, you become adaptable because you have to be and inclusive, because you have to be because you're in all of these new environments. From the time I was six years old, I wanted to be an actress. I wrote my own plays, I organized a neighborhood, I think, when I was seven, and we performed a play I wrote. And that's what my degree is in, in theater. And Michael, as you probably know, when I was 27 I had my first child, Noel, who unfortunately passed away from sudden infant death, and it completely changed the rest of my life. From that point forward, I really wanted to do something that impacted families, so they never had to experience the type of grief that I went through at a very somewhat young age. And then from from that point, I took all of the skills that I'd been using in the work life, not theater, because I lived in New York, and you have to work to live, so you could do theater before my then husband and I moved to Minneapolis, but I had always done fundraising. I had always done administration, so I just kind of naturally took in all of those skills, community and grassroots building. I went to work for the American Refugee Committee in Minneapolis, and then from there, worked at international service agencies, which is a workplace giving umbrella organization representing all of the premier international organizations. And my job there, as a regional director was to go into workplaces and give two or three minute presentations and convince people to give to international causes. My favorite was I was pregnant. I had a pregnancy kit, what they would give people in developing the developing world, where you would have a razor blade, a string, a plastic sheet, and that's how they delivered babies. And that was a really effective presentation, as you can imagine. I got to the TSC Alliance because my boss at international service agencies became the CEO of the TSC Alliance in early 2000s and he brought me over to start our volunteer outreach program, build our grassroots movement, and from there, I definitely got involved in fundraising. The admin side was interim CEO, and then CEO,   Michael Hingson ** 07:55 well, gee, so so many questions. Why did you guys move so many times?   Kari Luther Rosbeck ** 08:01 Well, my dad got his PhD and became dean of students at Arkadelphia State University, or Henderson State University in Arkadelphia, rather. And he did great, but he loved politics, and he had the opportunity to become the executive director of the Republican Party of Arkansas when it wasn't cool to be a Republican in Arkansas, and that really was his passion. And from there, he became a he led a congressional campaign for a candidate in Littleton, Colorado, and when that candidate didn't win, he realized that he really needed to have a more stable life for his family. So we moved to Knoxville, Illinois, and he became a vice president at a community college, and from that point forward, that was his his career. We moved to upstate New York. I'm leaving out a few moves just to make it simple. We moved to upstate New York my freshman year in college, where he became a President of Community College there, and then ultimately, he ended back in his hometown, in Mattoon, Charleston, Illinois, where he led the local community college until he retired, and the Student Union at Lakeland College is actually named after my   Michael Hingson ** 09:30 father. Wow. So is he still with us today? He is not.   Kari Luther Rosbeck ** 09:34 He passed away from idiopathic pulmonary fibrosis in 2017   Michael Hingson ** 09:38 Well, that's no fun. How about your mom? She is, she   Kari Luther Rosbeck ** 09:43 still lives in that soon. Yep, she is the matriarch of our family. That's for sure.   Michael Hingson ** 09:50 A lot of moves. Needless to say, I wonder what your father would say about politics today, it started to be different in 2016 and. 2017 but I wonder what he would think about politics in general. Today, I   Kari Luther Rosbeck ** 10:04 am not sure. I have wondered that question a lot. The one thing my dad was always great at, though, was the ability to see balanced viewpoints, and it's something I always loved and respected about my father, and   Michael Hingson ** 10:19 I think that's important. I think people really need to do more of that. And we just, we're not, we're not seeing that, which is really scary. We're not seeing it on so many levels, not just politics. But, you know, we don't get into politics much on unstoppable mindset, because, as I love to tell people, if we do that, I'm an equal opportunity abuser anyway, and and I, and I'm with Mark Twain. Congress is that grand old benevolent asylum for the helpless. So you know?   Kari Luther Rosbeck ** 10:48 Well, I will say this. My dad taught me how to be an advocate from a very young age. Yeah, what it means to not be afraid to use your voice. That's the best thing we can get out of politics, that using your voice for the greater good is one of the most important things that you can do. The   Michael Hingson ** 11:10 thing that I think people are forgetting today is they love to use their voice, but they don't love to use their ears. Yes, which is another thing, but I I hear what you're saying. I joined the National Federation of the Blind, which is the largest blindest consumer organization in the country, and I joined in 1972 when I was a senior in college, and learn from experts about being an advocate. And I think it's really important that we have advocacy. And the value of really good advocates is that they are able to look at all sides of an issue and really make intelligent decisions and also recognize when it's time to maybe change as things evolve in terms of views. And we just don't see any of that today. People say I'm an advocate. Yeah, well, without thinking about it, and without really looking at the options, and without looking at stands, it's just amazing how people, as I said, use their voices, but not their ears today. I agree. Yeah, it's, it's, it's a tough world, and it's, it's a challenge. I read an article about a year ago in the New York Times all about how we're losing the art of real conversation, which is why this podcast is so much fun, because we do get to converse.   Kari Luther Rosbeck ** 12:36 That's right, I I'm so excited to be with you today.   Michael Hingson ** 12:40 Well, so you got into nonprofit, in a sense, pretty early, and you've certainly been involved at reasonable levels for now, 23 years after September 11, I worked at Guide Dogs for the Blind for six and a half years, as well as being a public speaker. But loved working in the nonprofit sector, although I had a lot of fun with some of the nonprofit people, because what I would constantly advocate, if you will, is that development in the nonprofit world is really just no different than sales. Instead of selling and making a profit, in a sense, you're selling to secure donations, but it's still sales. And people would say, Oh no, it's totally different, because nonprofit is just totally different than what you do if you're working with a company and selling for a company. And I'm going, I'm not sure it's that different.   Kari Luther Rosbeck ** 13:40 Well, what I think is that you're selling hope and right? It's all about relationships. But unlike widgets, we have a lot of different programs that have created such progress, hope and support for the tuberous sclerosis complex community. And I really enjoy talking about what those programs help make possible for people like your great nephew, Nick well   Michael Hingson ** 14:12 and and it's important to do that. I The only thing I would say on selling widgets, as opposed to hope, is if you talk to Steve Jobs or Bill Gates, they would say that widgets very well could also be a mechanism to to move toward hope and dreams. And so again, I think it's just, it's it's all using the same techniques, but different things. I tell people now that as a keynote speaker, I think it's a whole lot more fun to sell life and hope and dreams than it is to sell computer hardware.   Kari Luther Rosbeck ** 14:54 But you're right about computer hardware, and for instance, wearables that are. Really making a difference in some of the breakthroughs that we see today. So under percent correct.   Michael Hingson ** 15:05 Well, tell us a little bit about the whole tubular sclerosis complex Alliance, the TSC Alliance, and you got started in it. And what was it like, if you will, back in the day, and it's not a great term, I'm telling you, I I'd love to to have fun with that, but what it used to be like, and what it is now, and what's happening, sure.   Kari Luther Rosbeck ** 15:27 So when I started June 18, 2001 nearly 23 years ago, the organization had about seven employees. Today, we have 23 we in those days, we knew what the genes were in TSC, and soon after I came to work, we discovered how the TSC genes impact the underlying genetic pathway. That was awesome, because that led to some key clinical trials and ultimately an approved drug. What I say about the early days is we were we did a beautiful job of holding people's hands, offering them support, but there were no medications that really directly impacted TSC that were FDA approved,   Michael Hingson ** 16:21 maybe it would help if we actually define what TSC is. Yes, of   Kari Luther Rosbeck ** 16:25 course, let's start with that. Tuberous sclerosis complex is a rare genetic disorder that causes tumors to grow throughout the body, the brain, heart, kidney, liver, lungs. It is the leading genetic cause of epilepsy and one of the leading causes of autism. Epilepsy impacts about 85% of people with TSC autism, about 50% one in 6000 life first will have TSC. TSC impacts about 50,000 Americans and a million people worldwide, and it's variable. No two people are exactly the same, not even identical twins. So people can have mild cognitive impact. They might have moderate or severe. People can have mild cognitive impact, but at some point in their life, perhaps needing a lung transplant. TSC is progressive. So for women of childbearing age, lymph angiolio, myomatosis, or Lam can impact the lungs. We can see kidney growth of tumors in the kidneys that can impact quality of life. So it's variable, and some of our adults live independently. Others require more complex care. It's usually diagnosed in childhood and in infancy, either in utero, where you can see two or more heart tumors in a regular ultrasound. Sometimes you're diagnosed after birth, when a baby begins having seizures. Some people aren't diagnosed till they're teenagers with the appearance of angiofibromas or skin tumors on their face. And occasionally, people are diagnosed when they're adults. They have kids of their own, their children are diagnosed with TSC, and then they are subsequently diagnosed with TSC. So it runs the gamut.   Michael Hingson ** 18:31 So it is something that very much is or can be genetic. It is genetic.   Kari Luther Rosbeck ** 18:38 Yes, it's caused by mutations in one of two genes, TSC one or TSC two, on the ninth or 16th chromosome that controls cell growth and proliferation, which is why you see the appearance of non malignant tumors. And that is what impacts all the organ systems. Yeah,   Michael Hingson ** 19:00 and it is not a fun thing, needless to say, to be around or to have, and it's not something that we have control over. Nick, I know does live with his parents. I don't know whether Nick will ever be able to live independently. He does have seizures and sometimes, and it's not predictable, although he's doing a little bit better job of controlling them with medication, but he'll probably always live with someone. But what a wonderful person to have around. Yes,   Kari Luther Rosbeck ** 19:35 he is definitely enjoyable. And that's, I mean, that's the thing about TSC. We have we have independent adults. We have kids, we have semi dependent adults. We have dependent adults. The one thing about our community and our organization is this is a home for everybody.   Michael Hingson ** 19:58 So when did the. See Alliance actually first begin   Kari Luther Rosbeck ** 20:01 1974 so it started with four moms around a kitchen table in Southern California, and two of those four moms are still in touch with the TSC Alliance. I talked to two of our Founding Moms quite frequently. They are very inspirational. They had this tremendous foresight to think about what the community needed or what they would need in the future. So our organization, the TSC Alliance, we actually have a new vision statement as of this year. So our vision statement is the TSC Alliance wants to create a future where everyone affected by TSC can live their fullest lives, and our mission statement is to improve quality of life for everyone affected by tuberous sclerosis complex by catalyzing new treatments, driving research toward a cure and expanding access to lifelong support. What so some of the ways that that we do this, as you know, is to fund and drive research, to empower and support our community, to raise awareness of TSC, because we want to provide the tools and resources and support for those living with TSC, both individuals and caregivers. We want to make sure that as an organization, we are pushing research forward by a research platform that we've helped create through the years, and we want to make sure that people are diagnosed early and receive appropriate care. So it's really important to us to raise awareness in the general public, but also among the professional community.   Michael Hingson ** 21:52 So this is the 50th anniversary of the TSC Alliance. Yes, it is. And I would dare say, based on what you're talking about, there's a lot to celebrate.   Kari Luther Rosbeck ** 22:04 We have so much to celebrate. Michael, there's been so many accomplishments over the years, from the creation of our professional advisory board early on that provided guidance to the organization to today, we have three FDA approved drugs specifically to treat TSC as an organization in 2006 we started the very first natural history database anywhere in the world that still exists today, with over 2700 participants, and that allows us to really understand how TSC progresses through a lifetime, and then we, as an organization, in partnership with a group of our TSC clinics, helped with the first preventative clinical trial for epilepsy in the United States, and that was really to look at Babies with TSC to treat them before the first seizure, to see if we can prevent or delay epilepsy.   Michael Hingson ** 23:07 So So tell me a little bit about the the three different drugs that are available. What? What do they do? Without getting too technical, how do they work, and so on, because, obviously, the tumors are there. And so what do the drugs do to address all of that   Kari Luther Rosbeck ** 23:24 great question, the first approved drug for TSC everolimus is an mTOR inhibitor, mammalian target of rapamycin. So if you remember I talked about the two TSC genes working as a complex to control the genetic underlying genetic pathway. Well, that underlying genetic pathway is mTOR, and there happened to be a class of drugs that was developed to help with organ transplant and anti rejection. Ever roll. This is a synthetic of rapamycin that was found on rap a rap the islands, rap immune island. So what that particular drug has been approved for, and how it works in TSC is to shrink certain types of brain tumors to shrink tumors in the kidneys, and it's also used as adaptive therapy for seizures associated with TSD. So what we know is it is extremely effective, but if you go off the medication, the tumors will grow back. So it's not a cure, but it's moving in the right direction, right second drug that was approved is the first FDA cannabinoid drug, Epidiolex, and that treats seizures associated with TSC. The third approved drug is a topical rapamy. So it treats those skin tumors on the face. I   Michael Hingson ** 25:04 don't know. It's really interesting. Medical science comes up with all these terms that are tongue twisters. How do they do that? You're 100% correct. Oh, it's a fun world. What's on the horizon, what kinds of things are coming that will kind of either enhance what they do or other sorts of medications? Yeah,   Kari Luther Rosbeck ** 25:28 thanks for asking that. So I think for us, in 2019 we put together a really aggressive research, research business plan, and our goal with this was to ultimately the vision change the course of TSC, and so we have a research platform that really helps accelerate drug development. So we fund research grants or young investigators to keep them interested in the field and to generate new ideas. We have a pre clinical consortium where we work with a contract research organization. We've licensed different mouse models that can try drugs for both epilepsy and tumor growth and behaviors, and so that is really built a pipeline of new potential therapies for TSC we also have this clinical research consortium that we work with. We have 74 TSC clinics across the country, of which 17 are centers of excellence, and we're working with our TSC clinics and centers of excellence to when drugs come out of the pre clinical or when companies come to us and they want to institute clinical trials, we will work with them to be in touch with our clinics, to educate our community about what clinical trials are out there, so they know what questions to ask or how to appropriately weigh risk benefit, so that's a really important part of our platform. We also, I mentioned earlier, a natural history database to help us understand how TSC progresses through a lifetime, but also a bio sample repository, so we'll understand why TSC is so different person to person. So with all of those tools working together, what we want to do is ultimately determine how to predict an individual's risk for the many manifestations of TSC so if we knew who was at risk, say, for epilepsy, and we could intervene to delay or prevent epilepsy. Could we do the same with kidney tumors? So that's what I mean about predicting and prevention. We would like to develop biomarkers to help accelerate outcome measures and clinical trials. We would love to have an intervention early on. Remember, I said that we helped start the first preventative clinical trial for epilepsy. You need an intervention to get on the newborn screening panel. If we could be on the newborn screening panel and identify babies early, that is the greatest way to change the course of the disease. Of course, we obviously want to test more compounds in our pre clinical consortium to make sure that we are building that pipeline for new and better drugs in the future, and we definitely want to develop patient reported outcomes. So how does this disease impact quality of life for individuals and families living with it, so that we'll know in the future, if there are different potential treatments, does it impact or improve their quality of life? And the FDA looks at patient reported outcomes quite seriously, so we want to build that for future clinical trials and clinical studies. Finally, one of the biggest unmet needs in TSC is what we call TSC associated neuropsychiatric disorders, or taint This is an umbrella term for brain dysfunction that includes everything from sleep problems to depression, anxiety, aggressive behavior, executive functioning, how people learn. So it is definitely an umbrella term, and almost everybody is impacted by tanned in some way that are living with TSC. So we want to better understand who might be at risk for which parts of tan so that we can intervene and improve quality of life.   Michael Hingson ** 29:55 Something that comes to mind we hear people talking. Think a fair amount today about gene therapy and how all of that might work to cure various diseases and so on. Is there room for that in Tse, since especially it's caused by two specific genes?   Kari Luther Rosbeck ** 30:14 Great question. We actually are working with some gene therapy companies in our pre clinical consortium looking to see if we can intervene that way.   Michael Hingson ** 30:26 It's a few years off, yeah, I can imagine, but it would be an interest if, if it truly can be done, since you're clearly able to tell that there are specific genes that are that are causing this. It's an interesting concept, given the state of science today, to think about whether that could lead to, even if it's not immediate, but later, cures for TSC and other such things, and   Kari Luther Rosbeck ** 30:57 we might start with organ specific gene therapy. For instance, if we had gene therapy early on in the brain, again, thinking about preventing seizures from ever developing, if we were able to implement gene therapy in the kidneys so or lungs so women never develop lamb, that would be a huge breakthrough. Yeah. So thinking about how that might work and how that could impact our community is tremendous,   Michael Hingson ** 31:28 I would think so. And I would think if they are able to do some work in that regard, it would be very revolutionary. And obviously, the more we learn about gene therapy overall, the more it will help with what medical science can do for TSC as well. That's right. So what does the Alliance do for families and individuals? What kinds of specific things do you all do?   Kari Luther Rosbeck ** 31:57 Yeah, we have   32:00 developed 14   Kari Luther Rosbeck ** 32:01 community regions across the country where we work with our volunteers. So they'll in their regions, host community educational meetings, walks, where they bring the community together, which is hugely important offer peer to peer support. So that is on a regional level. On our team, we have support navigators, so people that are available to take calls, emails, texts to really help when people either receive a new diagnosis, will spend a lot of time making sure they get to the right clinics, resources, support systems, or when a new manifestation arises, or if people are having some access to medication or access to care issues, we have a TSC navigator so that is a proactive online tool that people can log into and that will really take them through the journey in a way they want to gain information. So it's really written in in small bites, so that if people want more information, they can dive deeper. That's hugely important for individuals impacted. We have regular webinars, regional conferences, and every four years we hold a World Conference. Well, we will bring in experts from all over the world to cover the many manifestations of TSC so people are informed to make the best decisions for them and their families. They'll also talk about new clinical trials or new research on the horizon, or they're talk about social service tools that are really important for living or guardianship or financial planning, so those things that aren't just medical, but really impact people's lives.   Michael Hingson ** 33:57 So today, what, what do you think? Or how would you describe, sort of the social attitude toward TSC and people with TSC, or is it, is it more manifested in Well, this guy has seizures and so on, so TSC doesn't directly tend to be the thing that society views.   Kari Luther Rosbeck ** 34:22 That's a great question. And because TSC is so variable, I'm going to say to you, it's different person to person. One of the things we did a few years ago was create these little business cards that described what TSC was. So if somebody's out at a restaurant, they might hand it to their waiter or waitress to say, We want you to know that our for instance, our child has TSC and so you understand what you might see as you wait on us. For example, I still think that for those that are more severely in. Acted. I talked about tanned and some folks with more severe behaviors. You know, our society, it's attitude, right? You talked about that in your presentation of diversity to inclusion, we need to be much more understanding when a family is trying to handle a seizure or or behaviors and not pass judgment on that family, let the family handle that situation. So I would just say it's individual to individual, but one of the most amazing experiences, as is at our world conferences, where everybody can just be. And everybody understands that TSC is variable. And you might have a child over here with a seizure dog. You might have an adult group in one corner talking and dancing, but everybody comes together, yeah,   Michael Hingson ** 35:58 yeah. And that's really important to do, and that's you raise a really good point. Obviously, dogs are learning to be better at seizure detection. And I was going to ask about that, because I assume that that certainly can play into helping people who have seizures, who have TSC.   Kari Luther Rosbeck ** 36:18 That is absolutely correct earlier. You asked about what it was like early on, we didn't have a lot of seizure dogs at our early conferences. That's something that really has been happening after, say, 2010 we've definitely seen a lot more seizure dogs be trained and really be helpful to families.   Michael Hingson ** 36:39 Yeah, well, and we have come so far in terms of training dogs to be able to detect seizures and detect so many things. One of my favorite stories, and it's not a seizure detection as such, but one of my favorite stories, is about a Portuguese water dog who was a show dog, but he or she, rather, was also trained to do cancer detection. And the owner, who was very competitive in doing show dog type things, as well as had started a company or a facility to deal with cancer detection, took his dog to the show, to a dog show. And every time the dog got near this one judge, it just laid down. It would not perform, it would not work. And so needless to say, this national champion didn't do very well at that show. And the guy couldn't figure out why. And he got home, and he suddenly realized, oh my gosh, I had taught the dog to lay down whenever it detected cancer, because you don't want to do something dramatic, right? And so he called the woman who was the judge, and he said, Do you have cancer? And she says, No, I don't have anything like that. Then he said, Well, you might go check that out, because and he told her, this was like a Monday when he called her, and Friday she called him back, and she said, I took your advice. And it turns out I have early stage breast cancer. We caught it in time, and it's all because of your dog.   Kari Luther Rosbeck ** 38:04 Oh my gosh, Michael, what an amazing story   Michael Hingson ** 38:10 it is. You know, we we really underestimate our dogs. I know that the first diabetic dog was a dog who who kind of learned it on his own. His person had occasional insulin reactions, and the dog became agitated. And finally, the guy realized, oh my gosh, this dog knows what I'm going to have an insulin reaction. And that led to dogs for diabetics, which is another, of course, sort of same thing that the dogs really can learn to do so many things today.   Kari Luther Rosbeck ** 38:44 Yes, yes, they can.   Michael Hingson ** 38:48 So there's always room for dogs. So we talked, I think, in sort of terms, about your the the whole research platform that you all have developed tell us more about the research platform and what it is and where it's going.   Kari Luther Rosbeck ** 39:06 Well, I definitely talked about all of the tools within our research platform. I think we're certainly taking a deeper dive into all of the tools that that we've developed, when we think about, for instance, our bio sample repository, one of the things we're doing right now is whole genome sequencing. Why? Because we're hoping with whole genome sequencing, we'll understand if there are modifier genes. Are there other things at work that makes some people more severe than other others, and then ultimately, what we'd love to learn is what medications might work best on each individual or personalized medicine, so often in TSC with seizure medications, people end up on a cocktail. We would rather avoid that, right? Wouldn't it be nice to get the medication right the first time? That's really what we are hoping for with our clinical research consortium. Right now, we're doing a couple of quality improvement studies, so one of them is around suit up or sudden, unexpected death from epilepsy, and really understanding the conversations that happen between a physician and a patient or a caregiver, and why aren't those conversations happening in TSC or when are they happening? Because we want to create change so that parents know the risks, or individuals understand the risks, and can they change their behavior to mitigate some of those risks? The other thing that we are doing is we started a reproductive perinatal Health Initiative. This came out of our 2002 world conference because we heard from a bunch of adults that this was a gap for TSC. So TSC is variable. We have some independent adults that may want to start a family someday, but we have no no consensus guide guidance, to guide them in making those decisions. So we put together a group of experts in maternal fetal health, pulmonary nephrology, imaging genetics, to come together to first talk about what are risk stratifications, both for women that are may experiences complications in pregnancy. What are those? What's a risk stratification for each individual? Also, how do we handle perinatal health? How do we care for fetuses of women with TSC, or fetuses where they have been diagnosed with TSC, and what are those recommendations and steps? So that's a real focus for us at our organization, really filling the gaps where those exist. So that's a couple of the things that that I would mention.   Michael Hingson ** 42:16 An interesting question that comes to mind, do you see prejudices or misconceptions that cause difficulties within medical science. And I ask that because I know from a blindness standpoint, so often, when a person goes into an ophthalmologist because they're having eye problems, they go in and the doctor will say, eventually after diagnosis, well, you have retinitis pigmentosa, you're going to go blind. There's nothing I can do, and literally, just walk out of the room without ever dealing with the fact that this person can still be a very normal person. Do you see any of that kind of stuff in the world of TSC so   Kari Luther Rosbeck ** 42:56 early on, less today, but we still hear about it when people are handed the diagnosis of TSC, they it could be very cold. Physicians would say, your child will never walk, they'll never talk, they'll never live a normal life. That's horrible, like you're taking away that hope. And that may not be the case for each individual with TSC, I think some of our families, when their infants begin to have a devastating type of seizure called infantile spasms that can look just like a head nod, sometimes they are misconstrued for indigestion or startle reflex, and They try to get care for their baby, they're told that they're just being paranoid and crazy. It's nothing, but the it's up to the parents right to continue to advocate, because they know something is not right and that that is the right course of action. And then for adults, I think sometimes our adults living with TSC really struggle with adequate care. We've done a really good job of pediatric care specifically for TSC, but as a country, we could do a lot more for those with developmental disabilities, including TSC and providing adequate transition from adult care, these are the places that I see prejudice or roadblocks put up for our families.   Michael Hingson ** 44:33 How do you teach or what do you do to teach parents and adults, especially about being stronger advocates.   Kari Luther Rosbeck ** 44:43 Well, first of all, we tell them to trust their instincts and trust their voice and to not give up if you're hitting a roadblock. One place call us. Maybe there are other other clinical care that we can provide for you. Yeah. If you're having an issue at work, it's really important that you get the right support to advocate for yourself, but to never, ever give up, ever give up.   Michael Hingson ** 45:11 Yeah, that's really, of course, the important part, because ultimately, and I think it's true for most all of us, we know ourselves better than anyone else. And as parents, we know our children better than anyone else, and certainly should never give up and work very hard to be strong advocates to support what their needs are and support them to grow and advance.   Kari Luther Rosbeck ** 45:36 That's exactly correct,   Michael Hingson ** 45:41 and it needs to happen a whole lot more, because all too often, I can imagine hearing people say, well, it's nothing, it's just your it's your imagination. Well, no, it's not, you know, but we see way too much of that kind of thing happening in the world. So it's great that that you're able to do so much. What about in the in the professional world, or in just dealing with people and their lives? What? What kind of things are you able to do to, let's say, help support somebody who wants to go out and get a job?   Kari Luther Rosbeck ** 46:21 Sure? We point them to local resources that might be an expert in that. We also have navigation guides that might help them, that are a supplemental resource to our TSC navigator. We have adult topic calls and adult open forums so that they might also get guidance and advice from their peers that have walked that journey. So those are some of the resources that we will help people who want to get a job   Michael Hingson ** 46:55 do Centers for Independent Living help.   Kari Luther Rosbeck ** 47:00 Are you familiar with those? No, I'm not familiar. Sorry, I'm not familiar. So the   Michael Hingson ** 47:04 CIL system is a system of independent living centers. It really started, I don't know, but I think in Berkeley, it's centers that teach and advocate for the whole concept of being able to live independently, and deals a lot with physical disabilities, and I'm not sure how much the developmental disability world interacts in the CIL it may be a lot more of a physical thing than anything else.   Kari Luther Rosbeck ** 47:32 Well, always great to have new resources that we can share with our community. It's worth   Michael Hingson ** 47:38 exploring Absolutely, because it could very well lead to something that would be helpful, not sure, but it's always worth exploring. The arc is   Kari Luther Rosbeck ** 47:47 another organization I was gonna ask about that frequently. Yes, we've, we've had a partnership with the arc in the past. Many of our community regions obviously work with local arc chapters. It is a partnership that we truly value, and they have a ton of resources that are available for individuals, seeking jobs, seeking Independent Living, seeking so or housing for families. So we don't need to replicate what somebody is already doing. Well, we will partner with that organization,   Michael Hingson ** 48:25 and that makes sense. There's no sense in replicating. It's all about collaborating, which makes a lot more sense to do. Anyway,   Kari Luther Rosbeck ** 48:33 exactly we agree.   Michael Hingson ** 48:36 Well, so what are so, what are your your sort of long term goals from here? Oh,   Kari Luther Rosbeck ** 48:45 long term goals from here? Well, we want to continue to improve quality of life for everyone. We want to make sure that there is adequate transition between childhood and adult in terms of medical care, independent living, or housing or schooling, or whatever that transition may employ, we really want to make sure that we continue the pipeline of new treatments. We want to drive towards a cure. We want to support and empower every family living with TSC. One of the things that we've really been able to do because of advocacy, is to grow the TSC research program at the Department of Defense. So this is a congressionally directed medical research program. There's been an appropriation for TSC since fiscal year, 2002 and cumulatively, 221 million has been appropriated for TSC research. We want to continue to grow that. But on a state level, we've also had some success in growing state funding for. TST clinics in particular states, and for TSC research at those institutes. So over 5.7 5 million have been advocated, have been appropriated from the states of Maryland and Missouri and Michigan and Alabama. So very excited about continuing to grow that that program, as I mentioned, I think getting on the newborn screening panel would be a game changer for TSC, complete game changer. And we want to continue to grow our advocates and grow those that are available as leaders in their communities to offer support to others.   Michael Hingson ** 50:39 So the funding comes through the Department of Defense. Why is that?   Kari Luther Rosbeck ** 50:44 It is a program that is high risk, high reward. You have to have some military relevance. So so for TSC, obviously, our connection to epilepsy and our mass models that are used for developing epilepsy medications, those mass models can also be used to look at traumatic brain injury. So that's a connection. It's high risk, high reward. So understanding the underlying biology of TSC and finding that genetic pathway that I mentioned was one of the hallmark achievements early on of this program. So it's, it's, it is so amazing. The early gene therapy work for TSC started at the TSC research program at the Department of Defense.   Michael Hingson ** 51:33 And I gather you're probably getting a lot of really good support from DOD. So   Kari Luther Rosbeck ** 51:38 it doesn't come to the TSC Alliance, we advocate to make that funding available to researchers around the country. So we think of that as part of our mission for driving research. But we don't see a dime of that. Those dollars, they all go through Fort Detrick and through the Department of the Army, right? The other cool thing, though, Michael is we nominate consumer reviewers, so people that help advocate for these funds also sometimes get a seat at the table to say what research would be meaningful for their lives as a consumer. And that is a really cool, unique thing that happens.   Michael Hingson ** 52:21 Yeah, well, and I was asking about support, I was thinking more of their they're perfectly willing and pleased to be a part of this, and are really open to helping and really contributing to the research, because I would think it would help all the way around 100%   Kari Luther Rosbeck ** 52:40 and the one thing is the TSC Alliance, the DOD and NIH. We all work together so that we're not duplicative. But we have, there was a research strategic plan that was developed out of a workshop at NIH that we all follow as kind of our guiding principle. We all do different things, and we all complement each other. So out of that NIH plan, for instance, a bio sample repository and preclinical consortium was recommended, and recommended that the TSC alliance is the patient advocacy group, be the one that started that and continues to make sure that those resources continue. That's just an example. Obviously, DOD does high risk, high reward. And NIH, you know, the prevent trial that I mentioned, the first preventative trial for epilepsy in United States, was funded by the National Institute of Neurological Disorders and Stroke. We helped educate the community so that people would want to participate.   Michael Hingson ** 53:46 Well, it's, I think, important and relevant to ask, how can people get involved? What can the rest of us all do?   Kari Luther Rosbeck ** 53:54 Oh my gosh, I'm so glad you asked. Well, please go to TSC alliance.org, learn more about the organization. Become a volunteer. Help us. Help us with our walks, help us with our conferences. You can certainly get involved. If you're an individual with TSC and you want to get connected through social media, you can go to Facebook, Instagram, LinkedIn, YouTube, even Tiktok at the SC Alliance, we have very active discussion groups Michael that offer peer to peer support. 24/7 especially on Facebook, it is a private group, and those group of individuals and families have been so supportive for anyone walking this journey, you can call us at 1-800-225-6872, if you need support, you can ask for a support navigator. If you're interested in helping us with fundraising or making a donation, you can ask for our development department. If you want to volunteer, ask for. Community programs, we want all takers, and we're always also happy to talk with any organization, any nonprofit, that's wanting to pull together their programs, seek advice or work as a partner,   Michael Hingson ** 55:15 and what's the phone number? Again? 1-800-225-6872,   Michael Hingson ** 55:24 and the website is TSC   Kari Luther Rosbeck ** 55:26 alliance.org,   Michael Hingson ** 55:29 cool. Well, I've asked lots of questions. Have I left anything out? Any other things that you think we ought to cover? I   Kari Luther Rosbeck ** 55:37 think you did a great job. I would just say if anybody wants to join us at our 50th Anniversary Gala, we'd love to have you. TSD alliance.org, backslash 50 Gala. We will be celebrating october 25 at ciprianis in New York City, and we'd love to have you with us. Ooh, that sounds like it'd be fun. I know you gotta get your family to bring you this time. Well, yeah,   Michael Hingson ** 56:07 if they're going to come, they should, should take me. I'm trying to think, I don't know whether I'll be anywhere near there at the time, but my schedule changes all the time, so it's sort of like everything else you never know. But I will keep that in mind, because it would be fun to come and get to meet you in person. I would love that. Well, I want to thank you for being here with us. This has been, needless to say, very educational and very enjoyable. And of course, as you know, I have the personal stake of a great nephew, but just being able to talk about it, to hear the progress that's being made as, I think, really crucial and really important to be able to let people be aware of and I hope that people who do hear this will get involved, will at least learn more about it. Have you written any books or anything? I have   Kari Luther Rosbeck ** 56:57 not written any books. Oh, we got to get you to work. That's right, you're an inspiration.   Michael Hingson ** 57:04 Well, something to work on. You should? You should write a book about it all. That'd be a new project. It's not that you don't have enough to do, though. That's   Kari Luther Rosbeck ** 57:13 right. Michael, I'm too busy taking care of our community right now, but when I retire, that might be something I think about. Well, there   Michael Hingson ** 57:21 you go. Well, I want to thank you again for being here. This has been, I will say, enjoyable, but it's been most educational. I've learned a lot, and I appreciate your time, and I hope that, as I said, everyone else has as well. So I want to thank you for being here, and anytime in the future you want to come back and talk some more about what's going on and tell us about other new, revolutionary changes and so on. You are always welcome.   Kari Luther Rosbeck ** 57:46 Thank you. Michael, I'd love to come back. Well, thank   Michael Hingson ** 57:50 you again, and let's do it anytime you'd like, Okay, you got it.   **Michael Hingson ** 58:01 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

In this week's episode of the podcast, Dr Louise Newson talks to Paula, a 76-year-old woman who reached out to share her experience of being on HRT for over 30 years. Paula explains how she was prescribed HRT after a hysterectomy when she was 44, following a complicated gynaecological history, which included an ectopic pregnancy, ovarian cysts, fibroids and endometriosis. She had been taking HRT for a decade when the 2002 Women's Health Initiative study was released. Paula explains how she researched the study, then weighed up her personal risk and benefits in discussion with her doctor and made the decision to carry on taking HRT. Paula was happy to stay on HRT and credits it with helping her to feel better in her 70s than she did in her 30s. Click here to find out more about Newson Health

Send us a textIn this conversation, Dr. Tara Scott, known as the Hormone Guru, shares her extensive knowledge on hormonal health, particularly focusing on hormone therapy for women during perimenopause and menopause. She discusses her journey from traditional OB-GYN to integrative medicine, the importance of understanding the risks and benefits of hormone therapy, and the critical timing for starting treatment. Dr. Scott emphasizes the need for individualized approaches to hormone therapy, the significance of estrogen metabolism, and the importance of consulting knowledgeable providers for women's health issues. FOLLOW HER ON INSTAGRAMLEARN MORE AT HER WEBSITETakeawaysDr. Tara Scott has over 25 years of experience in hormonal health.The Women's Health Initiative significantly impacted perceptions of hormone therapy.Estrogen has a protective effect against heart disease in women.Bioidentical hormones are preferred over synthetic options for therapy.Timing of hormone therapy is crucial for maximizing benefits.Women should be proactive in assessing their hormonal health.Individualized approaches to hormone therapy are essential.Estrogen metabolism varies among individuals, affecting treatment outcomes.Women with a history of breast cancer may still consider hormone therapy with caution.Consulting knowledgeable providers is vital for informed decisions about hormone therapy. Prime Health Associates

In this conversation, Dr. Felice Gersh and Dr. Doug Lucas delve into the evolving field of hormone therapy and its impact on women's health. Dr. Gersh, drawing on her extensive experience in OB-GYN and integrative medicine, highlights the transformation of her practice over the years. She discusses the importance of personalized medicine and the profound shifts in hormone therapy usage since the Women's Health Initiative. Dr. Gersh advocates for a holistic approach that combines lifestyle modifications with hormone therapy to promote healthy aging and overall well-being. Dr. Lucas complements the discussion by addressing the complexities of hormone replacement therapy, with a particular focus on estradiol and progesterone. He critiques common practices in the field, emphasizing the need for proper dosing and therapies that align with the body's natural hormonal rhythms. The conversation also explores the crucial role of biomarkers in evaluating hormone health and the benefits of adopting a more natural, cycle-based approach to therapy. Together, they advocate for a more informed, individualized approach to hormone optimization, aiming to achieve the best possible health outcomes for women.

Today our guest is Dr. JoAnn Manson, an endocrinologist, epidemiologist, and Principal Investigator of several research studies, including the landmark Women's Health Initiative. She is a highly cited researcher and was one of the physicians featured in the National Library of Medicine's exhibition, History of American Women Physicians. Her primary research interests include clinical prevention trials of nutritional and lifestyle factors related to heart disease, diabetes, and cancer and the role of endogenous and exogenous estrogens as determinants of chronic disease. Show notes: [00:02:53] Dawn kicks off the interview by asking JoAnn what it was that drew her to endocrinology. [00:04:33] Ken asks how the things JoAnn witnessed in her early medical practice influenced her interest in disease prevention. [00:05:51] Dawn asks JoAnn to discuss how her mother, who suffered from ovarian cancer, influenced JoAnn's focus on women's health. [00:06:40] Dawn asks JoAnn what prompted her interest in clinical research. [00:08:06] Noting the difference between public health and laboratory medical research, Dawn asks JoAnn what the most valuable thing is that she learned from her master's and Ph.D. work in public health at Harvard. [00:09:10] Ken mentions that while JoAnn and many others are interested in the prevention of disease, our healthcare system does not seem focused on prevention. Ken goes on to asks if this was part of what led JoAnn to work on the Nurses' Health Study. [00:10:17] Ken asks JoAnn to give an overview of the Nurses' Health Study for listeners who may not be familiar. [00:11:41] Dawn explains that the Nurses' Health Study found that women taking hormone therapy had a lower risk of heart disease and a reduction in all-cause mortality. Dawn asks JoAnn to talk about this finding. [00:15:00] Ken asks JoAnn what the impact of the Nurses' Study has been on public health and women's health in general. [00:16:29] Dawn asks JoAnn about her experience being a principal investigator in the Women's Health Initiative starting in 1993. [00:18:17] Ken asks JoAnn to give context regarding how the Women's Health Initiative (WHI) was designed, how the women were recruited, and what the specific questions were that the study aimed to answer. [00:21:34] Dawn mentions that the three interventions that were evaluated in the WHI were hormone therapy; calcium and vitamin D supplementation; and a low-fat diet. Dawn starts by asking JoAnn about the hormone therapy interventions, and how it was decided which hormone therapies to test. [00:24:25] Dawn asks JoAnn to give some context to the finding from the WHI that women taking the combination of conjugated estrogen and medroxyprogesterone acetate had higher risks of breast cancer and stroke. [00:27:01] Ken asks if the worse outcomes from hormone therapy for older women was due to their advanced age, or the hormone therapy itself. [00:30:25] Ken asks JoAnn to talk about the risk factors for breast cancer that were uncovered by the WHI. [00:35:38] Dawn explains that because of the WHI's findings, it is more common to use transdermal estradiol, as opposed to the oral form evaluated in the original trial. Dawn asks JoAnn to explain how the different ways these hormone formulations are processed in the body affects the risk benefit ratio. [00:39:04] Dawn asks if these transdermal estradiol treatments might have benefits regarding cognitive decline. [00:43:26] Ken asks JoAnn for her thoughts on the overuse and potential misuse of the term ‘bioidentical hormones.' Ken goes on to note that the term has seemingly become more related to marketing and further distanced from clinical science. [00:46:48] Dawn asks JoAnn to talk about the role that perimenopausal birth control decisions can play in the management of hot flashes for women in their 40s and 50s. [00:49:14] Ken shifts the conversation to discuss the second pillar of the WHI,

In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy. Takeaways Millions of women feel they have been overlooked in hormone therapy discussions. The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence. The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes. The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy. Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis. Many women experience symptoms beyond hot flashes that can persist for years after menopause. The risks associated with hormone therapy are often overstated and misunderstood. Women over 60 should not be denied hormone therapy based solely on age or years since menopause. Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices. Women need to advocate for their health and seek out hormone therapy options that are safe and effective. Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Kelly Casperson is a world-renowned urologist and host of the 'You Are Not Broken' podcast. In this episode, we dive deep into distinguishing between good and bad sex, faking orgasms, and finding (or refinding) your body confidence. Dr. Casperson sheds light on genital urinary shifts in perimenopause, urinary incontinence, and the impact of hormonal changes. This essential discussion aims to remove shame and promote pleasure for all women and the men who love them. Don't miss this chance to enhance your knowledge of female sexual health and body autonomy.Episode Overview:0:00 Intro/Teaser3:20 Unlocking the Secrets of Great Sex11:10 Redefining Pleasure17:28 Overcoming the Orgasm Gap27:35 Understanding Female Anatomy and Pleasure35:23 Navigating Female Anatomy and Hormones43:30 Hormones and Menopause50:02 Vaginal Care and Health Education55:30 Understanding Bladder Leakage and HSDD1:01:23 Challenging Uninformed Medication Use in Women1:08:57 Dispelling Myths About Hormone Therapy1:18:51 Optimal Testosterone Levels in Women1:27:47 Smart Information on Healthcare AdviceResources mentioned in this episode:You are Not Broken podcast - https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329Dr. Kelly's book - https://kellycaspersonmd.com/you-are-not-broken-book/Women's Health Initiative - https://www.nhlbi.nih.gov/science/womens-health-initiative-whiVulvovaginal Atrophy - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800285/The use of antidepressants is linked to bone loss: A systematic review and metanalysis - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568413/Differences in Orgasm Frequency Among Gay, Lesbian, Bisexual, and Heterosexual Men and Women in a U.S. National Sample - https://pubmed.ncbi.nlm.nih.gov/28213723/Dr. Kelly's website - https://kellycaspersonmd.comBio:Dr. Kelly Casperson is a renowned urologist dedicated to empowering women to lead fulfilling lives, especially around topics like sex, hormones, midlife, and communication. She hosts the popular podcast *You Are Not Broken*, which has garnered over 2 million downloads, and actively engages her 143k Instagram followers. In July 2023, her TEDx talk, "Why We Need Adult Sex Ed," gained over 230k views. Her forthcoming book, *You Are Not Broken: Stop ‘Should-ing' All Over Your Sex Life*, will be published in September 2024 by Sheldon Press, and has received praise from leading experts. Kelly has been featured in *BuzzFeed*, *Oprah Daily*, *Goop*, and *Scary Mommy*.We are grateful to our sponsors:BON CHARGEI am doubling down on this year for my best skin ever. The Bon Charge Red Light Face Mask helps with glowing, younger, firmer-looking skin with minimal effort or time AND without really changing your usual day or night routine. Head over to https://boncharge.com/better and use the discount code BETTER at checkout to get 15% off your entire cart.TIMELINEFeeling tired and having no energy does not have to be your fate. Mitopure is a supplement and skin health line that helps improve energy at the level of the mitochondria so that you can continue to engage in the activities you love. Go to https://timelinenutrition.com/better and use code BETTER to get 10% off your order.BEAM MINERALSIt is almost impossible to get all of your minerals from food alone, as much as we would like it to be so. And because of that, many of us are experiencing chronic health issues like fatigue, muscle cramping, hair loss, anxiety, and imbalances with our adrenals, our hormones, and our blood sugar. If you want to try Beam Minerals, head over to https://beamminerals.com/better for 20% off of the entire store.NOW OPEN! EVEN BETTER! PREMIUM MEMBERSHIP: When you join Dr. Stephanie Estima's EVEN BETTER! Premium Membership, you'll join a community of women focused on actionable health goals, performance, and a well-lived life. You'll get early and ad-free access to the weekly Better! podcasts; action guides; "Ask Me Anything," solo, and bonus episodes; insights from the guest discussions coupled with recommendations you can use to build habits and routines; bonus content; and exclusive discounts. Subscribe at  https://estima.supercast.com/.

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