Podcasts about Hormone replacement therapy

Loving Later Lifer's, you are going to be so glad you listened today! Do you have questions about Hormone Replacement Therapy? Libido? Menopause? The answers are going to surprise you! Dr. Liz Lyster OBGYN debunks beliefs about hormone therapy, menopause, libido and more.  My guest, Dr. Liz Lyster, is a Board Certified OB/GYN doctor for over 30 years, Cornell grad with honors, attended medical school at University of California, Irvine, followed by her OB/GYN residency in Los Angeles. She also went on to get a Masters of Public Health degree from UCLA in Community Health Education. Dr. Liz is also a hormone consultant/midlife health expert. She has helped women and men increase energy, reignite their sex drive, clear up hormonal imbalance, and lose hundreds of pounds. She is the author of several books, including “Dr. Liz's Easy Guide to Menopause: 5 Simple Steps to Balancing Your Hormones and Feeling Like Yourself Again” and the International Bestseller “Go for GREAT: Dr. Liz's Guide to Thrive at Every Age.” Dr. Liz is currently in Private Practice in the San Francisco Bay Area.

12/2/22 Titan Lifestyle with Big Dru & John: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media - Titan Trifecta is the ULTIMATE Titan THERAPY COMBO! - This Saturday: Dona Crowley presents the 12th Annual Cars & Couture Collector's Gala at the East Lake Woodlands Country Club in Oldsmar. 2022 Titan Events Schedule: * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3VdAwzE Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #titanlifestye #titan #titantalk #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

11/29/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media - Titan Trifecta is the ULTIMATE Titan THERAPY COMBO! * Have you tried any of the 3 therapies in our Titan Trifecta? ECA Stack Plus - 16% 2 out of 3 - 17% Titan Complete - 18% None of them YET - 22% Hercules Potion - 27% 2022 Titan Events Schedule: * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3VdAwzE Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm blackfriday #titantalk #titan #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Recorded on 11/10/22 Cowen's Sustainable Food & Healthy Living Analyst Brian Holland speaks with Biote CEO Terry Weber about how hormone replacement therapy (HRT) in general has progressed over the past several years, key considerations for practitioners and consumers, and the future of the consumerization of wellness. For Disclosures, click here bit.ly/3cPHkNW

Welcome to the MenoCast! Are you a human being who is either female or knows other females? Then this episode is for you! Because menopause will affect you in some way or another whether or not you are someone who will experience it 1st hand. So listen up and learn all about the big M. I also talk a lot about pie in this episode... so if pie is your thing, so will this episode. Studies/resources:Mishra GD, Pandeya N, Dobson AJ, et al. Early menarche, nulliparity and the risk for premature and early natural menopause. Hum Reprod. 2017;32(3):679-686. doi:10.1093/humrep/dew350Urinary incontinence. Urinary Incontinence, Sexual Side Effects of Menopause | The North American Menopause Society, NAMS. (n.d.). Centers for Disease Control and Prevention. (2022, August 22). STD data and Statistics. Centers for Disease Control and Prevention. Freedman RR. Menopausal hot flashes: mechanisms, endocrinology, treatment. J Steroid Biochem Mol Biol. 2014;142:115-120. doi:10.1016/j.jsbmb.2013.08.010Bilodeau, K. (2021, April 9). Sleep, stress, or hormones? brain fog during perimenopause. Harvard Health. How do I know when I'm in Menopause? How Do I Know I'm in Menopause? | The North American Menopause Society, NAMS. (n.d.). Northrup, D. C. (1998). Womens Bodies Womens Wisdom: The Complete Guide to Womens Health & Wellbe. London.Gunter, J. (2019). The vagina bible: The Vulva and the vagina--separating the myth from the medicine. Random House Canada.Ashney, T. (2022). Hormone Replacement Therapy. Lecture, Portland, OR; National University of National Medicine.Windstar, K. (2021). Menopause. Lecture, Portland, OR; National University of Natural Medicine.

11/25/22 Titan Lifestyle: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3EKVZKu Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden#blackfriday #titantalk #titan #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

11/22/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Titan Black Wednesday is almost here!! - Do you feel confident your medical provider truly cares about you? I'm not sure - 23% Yes - 32% No - 45% 2022 Titan Events Schedule: * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3EKVZKu Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm blackfriday #titantalk #titan #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

In this show, we are going to dive into the intricacies of bioidentical hormones with one of my absolute favorite hormone doctors, Dr. Felice Gersh. Dr. Felice Gersh is a globally-recognized expert on women's hormones, gut microbiome, and circadian rhythm. She frequently collaborates with numerous research organizations and lectures internationally on women's health topics. As Medical Director of the Integrative Medical Group of Irvine, Dr. Gersh focuses on understanding women's innate physical and emotional make-up. Through her research and practical experience, she has come to understand that women have internal, natural rhythms that are absolutely essential to female health. These rhythms are controlled by hormones, particularly estrogen, and may be kept in balance through both conventional and holistic treatments. You can find her at integrativemgi.com) In this episode what is physiologic restoration of hormones when should a woman start using BHRT? why do our hormones fluctuate during the month and what are the health benefits of these rhythms what else does our cycle do besides makes us fertile? anti-cancer effects of hormones why you don't want the lowest possible dose of hormones how estrogen affects our immune system why we don't want to use estriol or BIEST in our HRT  why we need to take a break from using progesterone during the month rather than take it daily how long is it safe to use hormones is there an age that is too old to start BHRT what are the ideal hormone levels when you are on BHRT why pellets are not a good way to replace hormones why you have to be careful not to overdose your HRT what estrogen can do for weight loss why mitochondria dysfunction and inflammation can affect your HRT and more! Why You Absolutely Need Estrogen with Dr. Felice Gersh (karenmartel.com) If you are interested in our most comprehensive program Mastering Peri and Post Menopause, which now includes a prescribing practitioner, you can get all of the details here. Book your complimentary 20-minute discovery call. Karen Martel, Certified Hormone Specialist & Transformational Nutrition Coach and weight loss expert.  Visit https://karenmartel.com/  Karen's Facebook Karen's Instagram

11/18/22 Titan Lifestyle with Big Dru & John: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3UAiwza Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #titanlifestyle #titantalk #titan #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

11/15/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media What is the hardest part about losing weight for you? The motivation to get started - 12% Staying active / working out - 22% All of the above! - 27% Having proper eating habits - 39% 2022 Titan Events Schedule: * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3UAiwza Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm titantalk #titan #health #vitamins #hairhealth #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Listen to Dr. Tom Roselle, DC, and Dr. Julie Marchiol, DC discuss hormones and hormone replacement therapy including symptoms, HRT types, side effects, treatment options, potential risks, and more. The post Hormones & Hormone Replacement Therapy appeared first on AGELESS HEALTH® with Dr. Tom Roselle, DC.

11/11/22 Titan Talk with Big Dru & John: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3FQUYl1 Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #health #titantherapy #vitamins #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Ask Dr. Neal your question about health, nutrition, diet, fitness, and more here: http://OLDPodcast.com or call: 614-568-3643 Episode 1932: Q&A - Bioidentical Hormone Replacement Therapy Pros & Cons Indeed, the number one source of hires in the U.S., delivers 1.5x more hires than even internal referrals, according to TalentNest. Get started now at Indeed.com/HEALTH.  Visit Me Online at OLDPodcast.com Interested in advertising on the show? Visit https://www.advertisecast.com/OptimalHealthDailyDietNutritionFitness Learn more about your ad choices. Visit megaphone.fm/adchoices

Ask Dr. Neal your question about health, nutrition, diet, fitness, and more here: http://OLDPodcast.com or call: 614-568-3643 Episode 1932: Q&A - Bioidentical Hormone Replacement Therapy Pros & Cons Indeed, the number one source of hires in the U.S., delivers 1.5x more hires than even internal referrals, according to TalentNest. Get started now at Indeed.com/HEALTH.  Visit Me Online at OLDPodcast.com Interested in advertising on the show? Visit https://www.advertisecast.com/OptimalHealthDailyDietNutritionFitness Learn more about your ad choices. Visit megaphone.fm/adchoices

11/8/22 @titanmedical Titan Talk with @tsikourisj: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media * How do you grow and strengthen your hair, skin and nails? Prescribed medications from a doctor - 14% OTC supplements - 18% Titan therapies! - 18% A healthy diet - 22% Home remedies - 28% 2022 Titan Events Schedule: * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3FQUYl1 Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm growhair #haircapsules #health #titantherapy #vitamins #hairhealth #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

11/4/22 Titan Talk with Big Dru & John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: - This Sunday: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3ztyqmi Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Are you confused by hormone replacement therapy (HRT)? Is it dangerous, or is it beneficial? In this episode of Life Lessons, Gin and Sheri talk with Dr. Deb Matthew. Dr. Deb was inspired when she experienced a life changing transformation after years of suffering with exhaustion and irritability. Her hormone imbalances prevented her from being the wife and mother that she wanted to be. She is on a mission to spread the message that having balanced hormones can help women to once again love the way they feel. You can download a free copy of her book at isityourhormones.com. Join our VIP community and help support the podcast! Go to https://www.lifelessonscommunity.com/VIP and become a member today. We can't wait to connect with you there. Resources used for today's podcast can be found here: https://signaturewellness.org/team/dr-deborah-matthew This Is NOT Normal!: A Busy Woman's Guide to Symptoms of Hormone Imbalance: https://amzn.to/3S7BIC4 https://signaturewellness.org/bioidentical-hormone-aesthetic-article-blog https://signaturewellness.org/lm/menopause Today's podcast was made possible through our affiliation with the following company. When you shop with us, you help us bring you further Life Lessons. https://www.lifelessonscommunity.com/shop-with-us.html https://www.beautycounter.com/sheribullock Or you can make a monetary contribution directly at www.paypal.com/paypalme/lifelessonspodcast or in PayPal by searching our email address: connect@lifelessonscommunity.com. Do you have a good news story, a listener-led lesson, or a special quote to share? Email us at connect@lifelessonscommunity.com or use the following link to fill out an easy to use form: https://forms.gle/jzdrA8T7ZWgdXSwV9 and listen each week to see if we share your submission. Thank you for listening!

Today we're chatting about one of my favorite topics, perimenopause. This time of a woman's life can be so confusing and often times dreaded. I am here to change that, and so is my guest for today's episode. Jill Chmielewski is a registered nurse, certified health coach advocate for aging women, and a mom of four who is on a mission to change the way we approach menopause and aging. What we discuss: ✨What is going on with hormones during perimenopause? ✨How Jill helps women who have trouble sleeping during this time in their life ✨How to approach Hormone Replacement Therapy for Women ✨What hormone balance looks like for women with fibroids ✨And a lot more on how to navigate this time in your life! If you are struggling to understand your midlife body and hormones then this episode is for you! It is possible to feel healthy, strong, and vibrant during midlife and beyond, we just need a little guidance. Jill is a Registered Nurse, Certified Health Coach, advocate for aging women, and mom of four who is on a mission to change the way we approach menopause and aging. She helps midlife women break free from the mainstream way of thinking where disease and decline are accepted as an inevitable part of aging ~ and embrace the notion that it's absolutely possible to feel vibrant, happy, healthy, balanced, and strong through midlife and beyond. Jill believes that education is the key to helping women understand their bodies, manage their health, and advocate for themselves as they age. Jill created The Peri to Menopause Roadmap and The Beginner's Guide to Hormone Replacement Therapy to help women navigate the wild ride from perimenopause through menopause and beyond. In early 2022, she launched Pausing Together, an online community for women to connect, learn, and open up discussions on topics that affect "PAUSAL" women (available on Apple and Google). Jill has been called upon as a “pausal” guest expert on Women's Health Unplugged, The Period Party Podcast, The Forever Chic podcast, the Paloma Health Speaker Series, Corporate Wellness Partnership's “Uncomfortable Conversations” Series, and The Dr. Louise Newson Podcast. Credentials BSN- Bachelor of Science in Nursing (University of Wisconsin-Madison) MJ – Master of Jurisprudence in Health Law (Loyola University School of Law) Registered Nurse (RN) since 1993 School of Applied Functional Medicine, Level 1 & 2, Completed 2018 Functional Nutrition Alliance Health Coaching Program, Completed 2017 Institute for Integrative Nutrition, Certification, 2016 _____ Join the Holiday Mindfulness Challenge here. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/christine-garvin/support

11/1//22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media - What have you tried for losing weight, keeping lean muscle or getting more energy? Over the counter supplements - 11% Energy drinks - 11% Working out regularly - 19% What else is there? - 27% I don't use anything - 32% 2022 Titan Events Schedule: * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3ztyqmi Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Today I had the pleasure of speaking with Shawn Needham, a compounding pharmacist and owner of Moses Lake Pharmacy in Washington. He is very knowledgeable about hormones and we discussed HRT and testosterone for women in menopause.Shawn and his wife Janet, (also a pharmacist) own Moses Lake Professional Pharmacy, which is a specialized compounding pharmacy creating customized solutions to health problems that drug companies cannot solve.  The pharmacy educates and empowers patients to take charge of their own health and has done so for over 20 years.  To help do this the pharmacy does not bill any insurance so they can offer better pricing and service to the individual client. Shawn is currently a Clinical Assistant Professor for University of Washington School of Pharmacy, and teaches the Advanced Compounding Course. He has spoken on topics across the nation from hormone replacement, innovative pain therapies, and marketing a pharmacy. Shawn has a passion for helping patients achieve optimum health via hormone balancing and nutrition. He loves to spend time with family, snowboarding, hiking and mountain biking. Shawn is also an Amazon best selling author with Sickened How the Government Ruined Healthcare and How to Fix it. Shawn and Janet host an ever growing podcast, Health Solutions with Shawn and Janet Needham where Team Needham discusses everything healthcare. Shawn's social media:LinkedInFacebookTwitterYouTubehttps://www.instagram.com/health_solutions_shawn_needham/Now accepting clients, book a 1:1 call https://www.menopotmeltdown.com/booknowFree Facebook group: https://www.facebook.com/groups/kathykatalyst/?ref=shareFor all my social links: https://bit.ly/kathykatalyst

10/28/22 Titan Lifestyle with Big Dru & John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter 2022 Titan Events Schedule: * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3gz2PsO Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

10/25/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter Do you have any nagging injuries or problems with joints, muscles or tendons? Yes, I take non-Titan doctor prescribed medications. - 8% Yes, I take Titan therapies (BPC 157, CJC, etc). - 11% Yes, I take OTC medications for it. - 25% No, none at all. - 25% Yes, I have some issues but nothing major. - 31% 2022 Titan Events Schedule: 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3gz2PsO Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

10/21/22 Titan Lifestyle with Big Dru & Joh: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3SmbegF Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

On Episode 21 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the October 2022 issue of Stroke: “Oral Contraceptives, Hormone Replacement Therapy, and Stroke Risk” and “Effectiveness and Safety of Antithrombotic Medication in Patients With Atrial Fibrillation and Intracranial Hemorrhage.” She also interviews Dr. Shadi Yaghi about his article “Direct Oral Anticoagulants Versus Vitamin K Antagonists in Cerebral Venous Thrombosis.” Dr. Negar Asdaghi:         Let's start with some questions. 1) Do hormone replacement therapies or oral contraceptives increase the risk of stroke? And if yes, does the age of the individual or the duration of therapy modify this risk? 2) Should survivors of intracranial hemorrhage who have atrial fibrillation be treated with antithrombotic therapies for secondary prevention of stroke? 3) And finally, what is the anticoagulant of choice for treatment of cerebral venous sinus thrombosis? We have the answers and much more in today's podcast as we continue to bring you the latest in cerebrovascular disorders. You're listening to the Stroke Alert Podcast, and this is the best in Stroke. Stay with us. Welcome back to another amazing issue of the Stroke Alert Podcast. My name is Negar Asdaghi. I'm an Associate Professor of Neurology at the University of Miami Miller School of Medicine, and your host for the monthly Stroke Alert Podcast. The October issue of Stroke covers a number of timely topics. As part of our October Literature Synopsis, we have a nice paper by Dr. Farida Sohrabji and colleague, which summarizes three recently published animal studies to evaluate the association between small vessel ischemic injury and either development of Parkinsonism or the future risk of Parkinson's disease. These studies looked at how ischemia, specifically involving the lenticulostriate arteries, can modulate the nigrostriatal dopaminergic pathway and ultimately lead to Parkinsonism. As part of our Original Contributions, we have the results of a small randomized trial out of Korea, which was led by Dr. Yun-Hee Kim from Sungkyunkwan University School of Medicine in Seoul, where we learned that doing 20 sessions of transcranial direct current stimulation for about 30 minutes for each session at home can improve post-stroke cognition. This was found to be specifically effective in patients with post-stroke moderate cognitive decline. Now, transcranial current stimulation can be given using a handheld device at home, and if truly proven safe and efficacious in larger studies, can dramatically change the landscape of stroke recovery in cognitive rehabilitation. I encourage you to review these articles in addition to listening to our podcast today. Later in the podcast, I have the great pleasure of interviewing Dr. Shadi Yaghi from Brown University. Shadi will walk us through a systematic review and meta-analysis of published studies to compare the safety and efficacy of direct oral anticoagulants to that of vitamin K antagonists in patients with cerebral venous sinus thrombosis. Our devoted Stroke Alert Podcast listeners recall that we did cover this topic in our March podcast when we reviewed the results of ACTION-CVT, a multicenter international study that was led by none other than Shadi himself. I'm delighted to have him as a guest on my podcast today to talk more about the seminal study and all things cerebral venous sinus thrombosis. But first, with these two articles. Millions of women worldwide use exogenous hormones, most commonly in the form of oral contraceptives and hormone replacement therapies. Despite the many different formulations of these drugs that are now available on the market, the two therapies are similar in that both combined oral contraceptives and hormone replacement therapies, or HRTs, contain various dosage of estrogen and progestin. Now, the principal difference between them being that the hormone contents of oral contraceptives are at high enough dosage to prevent ovulation, whereas hormone replacement therapies are considered more physiological as their aim is to return post-menopausal hormone levels to what they were before menopause. Well, by now, you must wonder how is any of this even relevant to vascular neurology? Well, the answer lies in the close relationship between hormonal therapies and stroke. But before we get to that, we have to review a few things. First of all, it's long been known that the endogenous estrogen has strong and protective effects on the arteries. It promotes vasodilation and cell survival of the endothelial layer. It increases the endothelial mitochondrial efficiency and stimulates angiogenesis. In other words, endogenous estrogen is good for vascular health. And in fact, that's why we think that premenopausal women, in general, are at a lower risk of stroke as compared to their age and vascular risk factors–matched male counterparts. And to make things even better for estrogen, there's enough evidence to suggest that exogenous estrogen also does all of these good things for the endothelium. So, why are we even talking about an increased risk of stroke associated with use of hormonal therapies? The problem is, we have to remember that exogenous estrogen also does other things. It can increase the blood concentration of procoagulants, which, in turn, can increase the risk of thromboembolism, especially venous thrombosis. But there's still a lot of unknown on this topic. For instance, the majority of the prior research on the topic involves postmenopausal women using hormonal therapies. Some of that research has actually suggested that HRTs may be protective against vascular events, while others showed the opposite. Well, we know that a majority of oral contraceptive users are actually much younger and use these medications premenopausal. So, there seems to be a lot of gaps in our current knowledge on the simple question of whether or not oral contraceptives and hormonal replacement therapies do, in fact, increase the risk of stroke or not. In the current issue of the journal, a group of researchers led by Drs. Therese Johansson, Torgny Karlsson, and Åsa Johansson from the Department of Immunology, Genetics and Pathology at Uppsala University in Sweden set out to fill some of these gaps with their study titled, "Oral Contraceptives, Hormone Replacement Therapy, and Risk of Stroke," as part of a large UK Biobank population-based cohort. Just a bit about the UK Biobank. This was a large population-based cohort from 2006 to 2010 that included over 500,000 residents of the United Kingdom between the ages of 37 and 73. Participants at the time of enrollment would have extensive information collected from them through questionnaires, interviews, health records, physical measures, as well as some imaging and biological samples. Data on each participant was collected from the time of their birth all the way to the day of assessment, which is interesting, because the day of assessment would then count as the end of the follow-up for each participant. Now, for the current study, they included over 250,000 women of White race in whom information required for the study on whether or not they use hormonal therapies, duration of treatment, age at the time of exposure was available. And just a quick comment about their methodology. They analyzed their cohort once for oral contraceptive use and once for HRT use and compared each group to a reference group of either women who never used their set therapy or the number of years they contributed to the study prior to initiating that set treatment. So, for instance, if a person started using oral contraceptives at the age of 21, all of the years that she contributed to the study before that age would count as non-exposed user years and were included in the control cohort. So now, on to their findings. A total of 3007 stroke diagnosis of any type were identified prior to the initial visit to the assessment center, which, as we mentioned, was the end of the follow-up in the study. Of these, 578 were ischemic strokes, 177 intracerebral hemorrhage, and 478 were subarachnoid hemorrhages. But as expected for any large cohort, over half of total strokes were self-reported as stroke of any type and could not be classified into any of the above subtypes. Now, let's look at the effects of oral contraceptives on the outcome of stroke. Overall of the women included in the study, 81% were classified as oral contraceptive users, while 19% reported never having used oral contraceptives at any point during the study. On the association between oral contraceptive use and the risk of stroke, at first glance, things looked OK. The hazard rates of any stroke for any stroke subtypes were not different between women who had used oral contraceptives as compared to those in the reference group. That's great news. But when they looked deeper, they realized that the odds of development of any stroke was actually quite high during the first year after the initiation of oral contraceptives with hazard rate of 2.49 for any stroke, while there was no difference in hazard rates found during the remaining years of use and after discontinuation of oral contraceptive use. So, meaning that there was no lingering effects of oral contraceptives on increased risk of stroke after the first year or after discontinuing the medication. Now, on to HRTs. In total, 37% of women in the study had initiated HRTs at some point during the study, while 63% had never used this therapy. Here's the bad news. Overall, HRTs did increase the risk of stroke. An approximately 20% increase event rate of any stroke was noted among women who had initiated HRTs as compared to those who had not. When analyzing stroke subtypes, the use of HRTs was associated with increased risk of only the subarachnoid hemorrhage subtypes. We don't know why. Diving deeper, in considering timing of HRT initiation, very similar to what was observed for the oral contraceptives, during the first year after starting the HRTs, the treatment group was twice more likely to suffer from any type of stroke, and the hazard rate was also increased for all three stroke subtypes that were available in the study. But, unlike oral contraceptives, the hazard rate of any stroke remains significantly high even after the first year of use, not just for those who continued HRTs, but sadly, even for those who discontinued the therapy. Though the risk remained high, the hazard ratio declined over time as we went further away from the first year when treatment was initiated. So, bottom line, if women had initiated HRTs at some point in their life, the hazard risk of any stroke increased significantly in the first year. That hazard risk did decline over time, but it always remained significantly higher than non–HRT users. Now, what about timing of treatment in relation to the onset of menopause? Is the risk of stroke any different if women start on HRTs prior to or after their menopause? The answer is no. Initiation of HRTs was associated with an increased hazard rate of any stroke if it was started pre- or postmenopausal, but the risks were higher if the treatment was started prior to menopause. So, in summary, this large population-based cohort has truly given us some very important practical findings. We learned that both oral contraceptives and hormone replacement therapies do, in fact, increase the risk of stroke, an effect that was most notable in this study in the first year after initiation of both of these therapies, and in the case of oral contraceptives, was just actually limited to that one year alone. Why does this happen? I guess the easy answer is that these drugs, as we noted earlier, have an immediate prothrombotic effect, which gradually weakens over time. That's one plausible explanation, but for instance, why HRTs increase the risk of subarachnoid hemorrhage is something we can't explain based on the prothrombotic effects of HRTs. So, we have to come back to the vessels, the impact of hormone therapies and estrogen specifically on the blood vessels, on the endothelial cells, the potential increase in blood pressure, especially early on in the course of treatment with these medications. And also, we have to think about the role these drugs may play in increasing inflammatory markers, providing a more suitable milieu for accelerated atherosclerosis, as to why these associations were noted in this study. And it's fair to say that we need more research on this topic in the future. One challenging scenario that we commonly face in our daily practice is deciding whether or not we should resume antithrombotics in patients with atrial fibrillation who have survived an intracranial hemorrhage. The majority of intracranial hemorrhage survivors with atrial fibrillation actually have a very high CHA2DS2-VASc score, which means that they are actually at a very high risk of future ischemic stroke and systemic embolic events unless they're treated with anticoagulants. On the other hand, the risk of spontaneous intracranial bleeding is substantially higher in a person who has previously suffered from one, let alone if we treat them with anticoagulants. And to make matters worse, we have little evidence from the literature to guide us. So, in the current issue of the journal, in the study titled "Effectiveness and Safety of Antithrombotic Medication in Patients With Atrial Fibrillation and Intracranial Hemorrhage," a group of researchers from the UK led by Dr. Deirdre Lane, Professor of Medicine at the University of Liverpool, performed a much needed systematic review and meta-analysis of the available evidence on this subject. I have to say that lately, it seems that we've been covering a few of these reviews in our podcasts, and we are just getting started. In fact, my next paper in today's episode is also a systematic review and meta-analysis. These papers are packed with details, a testament to the work needed to complete them, but I have to say that even summarizing these papers for a podcast has been a bit challenging. So, feel free to put me on pause, go get some coffee, and let's power through this one together. For their methods, they used the usual search engines looking for papers that included adults over the age of 18 with atrial fibrillation who had survived a non-traumatic spontaneous intracranial hemorrhage of any size, any type, and any location, be it lobar, brain stem, deep, cerebellar, subdural, epidural, or subarachnoid hemorrhage. And very importantly, they included even those with evidence of microbleeds on neuroimaging. The intervention of interest was either long-term oral anticoagulation or antiplatelet therapy versus no antithrombotic use for the following three outcomes of interest: number one, recurrent thromboembolic events; number two, recurrent intracranial hemorrhage; and number three, all-cause mortality. Just a quick note that for this analysis, they excluded studies that looked at either short-term anticoagulation or non-oral anticoagulation use for any reason that was given to the patient other than for secondary prevention of stroke. For example, if a patient suffered from a pulmonary embolism and was treated with IV heparin or, for a short period of time after that, with oral anticoagulation, those patients or those studies were excluded from this meta-analysis. So, with this criteria, they pulled over 4,000 citations and abstracts, and finally included 20 papers that were published between 2015 and 2021 for a total of over 50,000 participants for this meta-analysis, very nice sample size. Most of the papers included were observational cohorts, but in addition, we had two small randomized trials, and I want to take a moment and review these trials for our listeners. The first one was a small noninferiority pilot trial out of the UK, the SoSTART trial, that looked at any anticoagulant versus either antiplatelet therapy or no antithrombotics in this population, and the other trial was the Phase 2 trial, the APACHE-AF, that studied apixaban versus no anticoagulation after anticoagulant-associated intracerebral hemorrhage. A reminder that both of these trials were published in Lancet Neurology in 2021. And before we move on to the findings of the meta-analysis, it's worth noting that they had included a mix of patients, some were oral anticoagulant–naive, and some had developed their index intracranial hemorrhage while already on treatment with anticoagulants or antiplatelet therapies. OK, now on to their findings, as mentioned, we're going to review three outcomes of recurrent thromboembolism, recurrent intracranial hemorrhage, and all-cause death for the following three groups: group one, oral anticoagulant therapy versus no therapy; group two, oral anticoagulation therapy versus either antiplatelet treatment or no therapy; group three, comparing new oral anticoagulants versus warfarin. So, for the first outcome of recurrent thromboembolic events in group one, when comparing oral anticoagulant therapy to no therapy, the study showed a significant reduction in thromboembolic events in favor of oral anticoagulation compared to no therapy. That's great news. Next, analysis of the studies that compared oral anticoagulation versus either antiplatelets or no therapy didn't show the same difference in prevention of embolic events in favor of either groups. Actually, no difference was noted between the two groups. Number three, now, in terms of comparing NOACs to warfarin, three studies had the information on this comparison, and they reported a significant reduction in the risk of thromboembolic events with NOAC as compared to warfarin. So, great news for oral anticoagulation overall, and especially for NOACs. Now, on the next outcome. Our second outcome was a recurrent intracranial hemorrhage. Keeping in mind that they included some studies where the outcome was defined as any form of intracranial hemorrhage, meaning they included subdurals, epidurals, etc., and some studies only included the outcome of intracerebral hemorrhage. So, on to the first group, comparing oral anticoagulants to no therapy, the pooled estimate revealed no statistically significant difference between oral anticoagulant–treated patients to those who were not treated with any antithrombotics on the risk of recurrent intracranial hemorrhage. That's great news. Next, on our second group, for the same outcome of recurrent intracranial hemorrhage, comparing oral anticoagulants to either antiplatelet therapy or no treatment, they found that oral anticoagulation was associated with a higher risk of recurrent intracranial hemorrhage as compared to antiplatelets or no therapy. And finally, third group comparing new oral anticoagulants to warfarin for the same outcome, the risk of recurrent intracranial hemorrhage was significantly reduced in patients treated with NOACs as compared to warfarin. And now, we're finally on to our last outcome of the study, which is the outcome of all-cause mortality. So, again back to group one, comparing oral anticoagulants to no therapy, this meta-analysis showed a significant reduction in all-cause mortality rate associated with oral anticoagulation. That's, again, great news. Next group, for the same outcome of mortality, comparing oral anticoagulants to either antiplatelet therapy or no treatment, they found no significant difference in the mortality rates between the two groups. And finally, comparing NOACs to warfarin, the pooled estimate showed that NOACs were associated with a significantly reduced risk of all-cause mortality. Amazing news for NOACs. So, in summary, here's what we learned from this big study. Oral anticoagulation use after intracranial hemorrhage in patients with atrial fibrillation did significantly reduce the risk of thromboembolic events and all-cause mortality without significantly increasing the risk of recurrent intracranial hemorrhage. In general, new oral anticoagulants, or NOACs, are preferred to warfarin as they do prevent embolic events with a lower risk of recurrent intracranial hemorrhage. But, of course, we still have a lot more questions. For instance, would any of the outcomes mentioned above be different in patients with lobar intracerebral hemorrhage, a condition typically associated with amyloid angiopathy, which carries a high risk of development of intracerebral hemorrhage? Also, we have to keep in mind that the majority of the studies included in the meta-analysis were observational. So, there remains an urgent need for a larger randomized trial on this subject, and we have to stay tuned for more research. Cerebral venous sinus thrombosis, or CVST, is an uncommon form of stroke resulting in headaches, seizure, or focal neurological symptoms due to either intracranial hemorrhage or venous ischemic infarcts. The rarity of the disease has made it difficult to study as part of randomized trials, so current treatment guidelines for CVST are consensus-based with much of the recommendations extrapolated from data on treatment of patients with systemic deep vein thrombosis. In general, based on the current evidence, the field agrees that a patient with CVST should be anticoagulated. The decision that is difficult and sometimes inappropriately delayed in the setting of acute hemorrhage in the brain. And not surprisingly, there's significant equipoise around the choice of anticoagulant, duration of therapy, and the role of heroic therapies, especially in the acute setting. Currently, there are a number of ongoing trials to address some of these issues. The direct oral anticoagulants present an attractive alternative to vitamin K antagonists for treatment of patients with CVST. This is partly because of their convenience of use. But how do direct anticoagulants compare in safety and efficacy to the vitamin K antagonists in the setting of CVST is less known. In our March podcast, we reviewed the results of ACTION-CVT, which was a multicenter international study that compared the safety and efficacy profile of the direct oral anticoagulants to that of warfarin in routine practice. The study included over a thousand imaging-confirmed CVST patients from multiple centers in the US, Italy, Switzerland, and New Zealand. And if you missed it, no worries at all. We're here to review some of the results again, as in this issue of the journal, many of the ACTION-CVT investigators, led by Dr. Shadi Yaghi, present the results of a systematic review and meta-analysis comparing the safety and efficacy of DOACs, or direct oral anticoagulants, to that of vitamin K antagonists. I'm joined today by Dr. Yaghi himself to discuss ACTION-CVT and the current meta-analysis. Dr. Yaghi is a Director of Vascular Neurology at Lifespan and Co-Director of Comprehensive Stroke Center and a Director of Research at the Neurovascular Center at Rhode Island Hospital. Good afternoon, Shadi, and welcome to our podcast. Dr. Shadi Yaghi:               Good afternoon, Dr. Asdaghi. Thank you so much for having me. Dr. Negar Asdaghi:         Thank you. And please call me Negar. Congrats on the paper. Before we talk about the meta-analysis, can you please remind us of the results of ACTION-CVT and why the systematic review, in your opinion, was an important next step to that effort? Dr. Shadi Yaghi:               Thank you so much for having me and for bringing up ACTION-CVT. So ACTION-CVT is a real-world multicenter international study that used real-world observational data to compare the safety and efficacy of direct oral anticoagulants to vitamin K antagonists in patients with cerebral venous thrombosis. The reason why we did ACTION-CVT was, as you know, cerebral venous thrombosis is a rare disease, and it's hard to have large studies that would be powered enough to compare the safety and efficacy of direct oral anticoagulants to vitamin K antagonists. So, most of the studies that were done are small, retrospective. There's one randomized controlled trial, but most of them are underpowered to detect the difference between the two groups. So, we decided to do a large-scale international multicenter study using real-world data to compare the safety and efficacy of both. Dr. Negar Asdaghi:         OK, so we're glad you did. Let's start with the methodology of the current meta-analysis. Can you please give us an overview of the inclusion criteria for selection of the papers and the intervention and outcomes that you were interested in? Dr. Shadi Yaghi:               Of course. So, this is a systematic review and meta-analysis that included studies comparing direct oral anticoagulants to vitamin K antagonists in patients with cerebral venous thrombosis. The studies needed to have the two groups included, the direct oral anticoagulants and vitamin K antagonists, and they need to include at least one of the outcomes in our study to compare this outcome between the two groups. In addition, we included articles published in English, and we also included papers that had five patients or more in each group. Dr. Negar Asdaghi:         Perfect. So just recap for our listeners, in order to have been included in the meta-analysis, the paper had to have a reasonable number of patients, and you put that reasonable at the number five, and also they had to have at least one of the outcomes of interest reported in their papers. And those outcomes were either recurrent venous thromboembolism or recanalization rates. Right? Dr. Shadi Yaghi:               Correct. Yes. Dr. Negar Asdaghi:         Perfect. So with that, how many papers did you have to go through to come up with the current number of papers included? Dr. Shadi Yaghi:               That's a great question. We had a little over 10,000 papers, and then we went through a screening process. We used this tool that was developed by Brown University. It's called Abstrackr, and what you do is, we did the search and using several databases like PubMed, Cochrane, and then we included all these studies. We uploaded them in Abstrackr, and Abstrackr was utilized to be able to review all these abstracts and select studies that may or will probably qualify and then go through the studies and details that would qualify. So, we had about 10,000 studies with the initial search, and we had two reviewers go through each abstract, and from these 10,665, we excluded 10,411, and that left us with 254 studies. And then we went through these 254 studies in details. And then finally, we had 19 studies included that met our inclusion/exclusion criteria. And these 19 studies included three randomized control trials and 16 observational studies. Dr. Negar Asdaghi:         Incredible effort. So, three randomized trials in this meta-analysis and 16 observational studies. I think we're very ready to hear the primary outcomes. Dr. Shadi Yaghi:               Yeah, so, the primary outcomes were recurrent venous thrombosis, and that included recurrent venous thromboembolism like peripheral DVTs or PEs, for example, and including recurrent cerebral venous thrombosis. And we know that most of the events are recurrent VTEs, not CVTs, like probably about two-thirds to three-quarters were VTEs, and a third to a quarter were CVT. And then the other efficacy outcome is venous recanalization on follow-up imaging. And we found that direct oral anticoagulants and warfarin were not significantly different in the primary efficacy outcomes. Dr. Negar Asdaghi:         Thank you. I just want to repeat this for our listeners. So, you mentioned some important information here. First one was the fact that about three-quarters of recurrent events were actually systemic thromboembolic events rather than cerebral thromboembolism. So, an important outcome to keep in mind for our practicing physicians. And the fact that DOACs did the same as compared to vitamin K antagonist. So, I think you can already guess my next question, and that is, was there any compromise on the safety profile when using DOACs as compared to vitamin K antagonists in this meta-analysis? Dr. Shadi Yaghi:               Thank you. That's a great question. In ACTION-CVT, we found that there was a lower risk of major hemorrhage with direct oral anticoagulants compared to vitamin K antagonists. In this systematic review and meta-analysis, we didn't find a significant difference, but there were fewer events in patients treated with direct oral anticoagulants versus vitamin K antagonists. This did not reach statistical significance, but if you look at the raw data, it's kind of along the same lines as ACTION-CVT, so the risk of major hemorrhage was about 3.5% with warfarin, and that was about 2% with direct oral anticoagulants. Dr. Negar Asdaghi:         So, again, very important finding, and I want to repeat this for our listeners. So, important finding number one was that there was a superiority in favor of DOACs that you found in terms of a reduced risk of intracerebral hemorrhage in ACTION-CVT. You didn't find this superiority in the meta-analysis, but there was sort of a hint to perhaps lower risk of intracerebral hemorrhage in patients that were treated with DOACs. Did I get that right? Dr. Shadi Yaghi:               Yes, that is correct, and in addition, also major hemorrhage in general, and that included also ICH. Dr. Negar Asdaghi:         Oh, OK, so not just intracranial, but systemic hemorrhages as well. All right. Very good. So, I think my next question would be, why do you think that DOACs have a lower chance of causing hemorrhage? Dr. Shadi Yaghi:               Yeah, that's a really good question. This is not unexpected with DOACs as opposed to vitamin K antagonists. We saw these same trends in patients with atrial fibrillation. We saw improved bleeding profiles with direct oral anticoagulants as compared to vitamin K antagonists. And the risks were along the same lines that we found in patients with cerebral venous thrombosis in ACTION-CVT. Also in the VTE trials as well, there was also reduced bleeding complications with direct oral anticoagulants as compared to vitamin K antagonists. So, it was kind of reassuring to see the same results in patients with cerebral venous thrombosis. Dr. Negar Asdaghi:         Perfect, so kind of expected based on what we know from treatment of systemic conditions with DOACs. The next question I have for you is that in routine practice, treatment of cerebral venous sinus thrombosis almost always starts parenterally with either unfractionated heparin or low molecular weight heparin and then we switch to an oral agent. In the observational studies, did you find any differences in terms of timing of this switch or characteristics of the patients in whom vitamin K antagonists were chosen over direct oral anticoagulants? Dr. Shadi Yaghi:               Thank you very much. Most of the studies did not report these details. I think the one study, off the top of my head, that does report the differences in characteristics between the two groups is RESPECT-CVT. That's the randomized controlled trial comparing dabigatran to vitamin K antagonists. In this study, there was a treatment with parenteral anticoagulation for several days, I think seven to 14 days, prior to transitioning to oral anticoagulation. And this is generally my practice. I typically would treat patients with at least seven days or so parenteral anticoagulation, and once they're clinically stable, then I would transition them to oral anticoagulation, either vitamin K antagonists or direct oral anticoagulant. Dr. Negar Asdaghi:         And I think my next question is along the lines of this question as well. We have several direct oral anticoagulants now available on the market. What was the most common DOACs used for treatment of CVST in these studies, and did you note a preference for the use of any particular agent over others? Dr. Shadi Yaghi:               Thank you so much for the question. Anti-Xa inhibitors were much more common than dabigatran, and the anti-Xa inhibitors most commonly used were apixaban and rivaroxaban. It's in line with what we saw in ACTION-CVT as well, although most of the randomized controlled trials or the largest randomized controlled trial, RESPECT-CVT, used dabigatran, but overall people have been using anti-Xa inhibitors, more particularly apixaban, which was also in line with what we saw in ACTION-CVT. Dr. Negar Asdaghi:         But I think it's fair to say that we don't really have data on superiority of one over others. Is that fair? Dr. Shadi Yaghi:               Yes, that is correct. Dr. Negar Asdaghi:         OK, and so now, where are we at in terms of the future of studies on this topic? We have one ongoing randomized trial now? Dr. Shadi Yaghi:               Yes, we have one randomized controlled trial ongoing, and this is the SECRET trial, and it's looking at rivaroxaban versus vitamin K antagonists in patients with cerebral venous thrombosis. There's another study, it's a prospective observational study that's called the DOAC-CVT study. It's an international study also looking at real-world data prospectively to see if there's a difference in outcomes between the two groups. Dr. Negar Asdaghi:         So, we look forward to the results of those studies. Shadi, a follow-up question I have on this topic is, how long should a duration of therapy be in idiopathic cases of cerebral venous sinus thrombosis? Dr. Shadi Yaghi:               Thank you so much for this question. So, it's unknown at this point for how long should we treat. The key things from the treatment are first achieving venous recanalization, and second is preventing another venous thromboembolic event from happening. So, regarding the venous recanalization, studies have shown that there's not a lot of recanalization beyond four months of treatment. So, a lot of the recanalization really happens early, and continuing anticoagulation beyond the six-months interval, for example, in order to achieve further venous recanalization probably has limited utility. And the second important reason why we treat patients with anticoagulation is also to reduce the risk of a recurrent venous thromboembolic event or cerebral venous thrombosis. And for that, if it's a provoked CVT, then I think usually it's three to six months. If it's unprovoked, up to maybe six to 12 months or even longer, depending on the profile. And if there's a persistent provoking factor, such as cancer, antiphospholipid antibody syndrome, then the treatment is lifelong or until this condition subsides. There's a lot of controversy about the duration of treatment. The European guidelines were very helpful in identifying the duration of treatment. Hopefully, also, we have some guidelines or at least a scientific statement by the AHA that also doles details out and provides some guidance to practitioners. Dr. Negar Asdaghi:         Shadi, what should be our top two takeaways from the current meta-analysis and also ACTION-CVT? Dr. Shadi Yaghi:               So, really, the top two from ACTION-CVT and the meta-analysis are, first is direct oral anticoagulants have a comparable efficacy to vitamin K antagonists in terms of recurrent venous thrombosis and achieving venous recanalization on follow-up imaging. And then the second point is direct oral anticoagulants are probably safer than vitamin K antagonists. We have to keep in mind that this data is based mostly on observational studies. And, as we mentioned earlier, we need more randomized controlled trials to support these findings. Dr. Negar Asdaghi:         Dr. Shadi Yaghi, it was a pleasure interviewing you on the podcast. Thank you very much for joining us, and we look forward to having you back on the podcast and reviewing this topic again in the future. Dr. Shadi Yaghi:               Thank you so much. I appreciate you having me. Dr. Negar Asdaghi:         Thank you. And this concludes our podcast for the October 2022 issue of Stroke Please be sure to check out this month's table of contents for the full list of publications, including an important update from the European Stroke Organisation by Prof. Martin Dichgans. I also want to draw your attention to this month's InterSECT paper, which is our International Stroke Early Career and Training section, to discuss the key topic of burnout and mental health amongst physicians, especially amongst neurologists and stroke neurologists. It's alarming to read in this article that neurology is one of the specialties with the highest reported rates of burnout syndrome, and stroke neurologists are at particularly higher risk than other neurological subspecialties. The article tackles some tough subjects, such as the barriers for physicians to seek help and important strategies to mitigate burnout and how to improve mental health in general. I think it's also timely to know that October is the Mental Health Awareness Month, and the theme for October 2022 is "Back to Basics." The basics of recognizing the burden of stress, anxiety, the burden of isolation and depression, not only on those who we take care of, but also on those who give care to us. So, whether you're a stroke physician, a stroke caregiver, or whether you've been touched by this disease in some way or shape, please know that you are part of the stroke community and a part of our Stroke podcast family. Thank you for listening to us, and, as always, stay alert with Stroke Alert. This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, visit AHAjournals.org.  

In today's very special launch episode, airing on World Menopause Day, I'm delighted to welcome to the show Dr Shashi Prasad. Dr Shashi Prasad is an experienced GP, British Medical Society accredited Advanced Menopause Specialist, a member of the British and International Menopause Societies, and a certified Lifestyle Medicine Physician. She is passionate about providing evidence-based menopause care and combines Hormone Replacement Therapy with Lifestyle Modifications to help transform the lives of her clients, balance their hormones and make them feel like their best selves. Now, you might be wondering why this topic is related to happiness habits - it's a topic that's very close to my heart because during the height of the Covid pandemic I started experiencing perimenopause symptoms myself. Not knowing why I was feeling the way I did, I started to spiral downward - I'm sure that if I'd known more about perimenopause and menopause at the time I would have put two and two together more quickly than I did. Thankfully there is more awareness about this natural but often challenging season of our lives now, and because I'm still a huge believer in us sharing our own stories to help others, I've written a brand new chapter about my experiences for the second edition of my book The Happiness Habits Transformation which I'm excited to share is coming out next year. Dr Shashi contributed to this chapter and I'm delighted to welcome her to the show today for what I'm hoping will be a sort of Menopause 101, answering some of the questions that I had when I started this journey in the hope that it helps you with yours. Please be aware that in this episode we discuss a lot of perimenopause symptoms including the impact on body functions and sexual libido so if you're of a nervous disposition, you've been warned! Now, while you're listening today, think about how you can take what you learn and put it into practice. Take action in any way that's meaningful for you. As always you'll find the links and details of today's show and all the other shows in this series at my new website michellereeveswrites.com/podcast  

10/18/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media How would you rate your immune system health? Poor - 19% Good - 39% Bad - 19% Amazing - 23% 2022 Titan Events Schedule: * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3SmbegF Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm immunesystem #immunehealth #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

This podcast is for both men and women. Catherine Buck breaks down what we need to focus on to be optimal with regard to hormones and replacement therapy. We discuss testosterone, estrogen blockers, estrogen levels, estrogen dominance, progesterone, DHEA, insulin and clen. Catherine Buck:: https://truerejuvenationhormonetherapy.comPodcast IG: https://www.instagram.com/babebarbellsansbanter/

10/11/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media Where do you inject your Hercules Potion? Pecs / chest area - 19% Quads / glutes - 20% Shoulders / back - 9% Biceps / triceps - 10% All of the above - 11% I haven't tried Hercules Potion yet - 31% 2022 Titan Events Schedule: 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3ek1NAg Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm weightloss #losefat #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

10/14/22 Titan Lifestyle with Big Dru & John: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3ek1NAg Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #hercules #herculespotion #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

In this video, Andrea Donsky, co-founder of Morphus for menopause, interviews  @Dr. Lara Briden - The Period Revolutionary ,  a Naturopathic doctor, women's health activist, and bestselling author. In this video, Andrea and Lara discuss the different types of hormone therapy, the pros and cons, and how hormone therapy has changed since the 90s for women in perimenopause and menopause. 00:00 Introduction to Lara Briden3:15 What surprised Lara when she began in her twenties4:56 One piece of advice for anyone who is not in perimenopause or menopause yet7:05 The 90's and Premarin16:47 Oral dosage recommendation for progesterone20:15 Oral versus topical progesterone23:40 Andrea's experience with topical progesterone26:05 Who should take BHRT- bioidentical hormone replacement therapy24:50 Hormone therapy and longevity35:56 Our normal menstrual cycle before menopause and in menopause43:25 Hormonal IUD43:59 Heavy bleeding, what women can do47:17 Endometrial Ablation47:51 Why is bioidentical/body-identical hormone replacement therapy often dismissed  by the mainstream medical community52:26 Lara's thoughts on testosterone53:40 Lara's book and how to follow her. To follow Lara Briden, visit https://www.larabriden.com/Visit wearemorphus.com to learn more about the signs and symptoms you may be experiencing, and read our latest articles on perimenopause and menopause.Are you in perimenopause or menopause? Join our Wearemorphus PRIVATE group here: https://bit.ly/2MsxBBf ====== 

Good hormone health is critical for your quality of life. It brings longevity, energy, and happiness. Unfortunately, many people are suffering from very real hormone imbalances and their doctors simply tell them “nothing is wrong” or “Everything tests normal.”.According to 2022 data, generally incurable and ongoing chronic diseases are affecting approximately 133 million Americans, representing more than 40% of the country's total population. If that isn't worrisome enough, nearly 50 million Americans are additionally suffering from one more more mental illnesses.While the reasons for these health crises are many, one potential catalyst that escapes conventional medicine's purview is unbalanced hormone levels that go undetected by routine testing.About Ricky:As a health and wellness advocate, Ricky Brandon employs natural hormone replacement therapy to help his clients address a myriad of life-altering symptoms ranging from general anxiety and depression to chronic pain and fatigue. After he spent years of trial and error trying to solve his own family's health challenges that conventional medicine wasn't solving, Ricky and his wife, Candy, a molecular biologist, opened Hormone Balance Centers, a leading provider of bioidentical hormone replacement therapy.Resources Mentioned:How to Achieve Healthy Aging (Neal Rouzier)Connect with RickyHormone Balance CentersThe podcast's hashtag is #nourishyourflourish. You can also find our practice on the following social media outlets:Facebook: The Eudaimonia CenterInstagram: theeudaimoniacenterTwitter: eu_daimonismFor more reproductive medicine and women's health information and other valuable resources, make sure to visit our website.

10/7/22 Titan Lifestyle with Big Dru & John: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3UUlwqG Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #weightloss #losefat #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

10/4/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media What do you do for weight loss? * Healthy eating - 17% * OTC weight loss supplements - 20% * Working out / cardio - 21% * Titan weight loss & fat burner therapies - 23% * All of the above - 18% 2022 Titan Events Schedule: * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3C6tiX4 Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm weightloss #losefat #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

9/30/22 Titan Lifestyle with Big Dru & John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: * 10/1: NPC Puerto Rico * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3C6tiX4 Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm weightloss #losefat #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Integrative dietician and menopause expert Esther Blum, MS, RD, CDN, CNS joins us today to talk about her approach to treating women during menopause. Blum shares how to reduce perimenopause and menopause symptoms naturally. She discusses treatment options, lifestyle recommendations, and ways to advocate for yourself through the process. Blum's new book, See Ya Later, Ovulator synthesizes her expertise and recommendations into a concise and approachable format. If you struggle with menopause weight gain, hot flashes, night sweats, or mood swings, you'll find solutions in this book.Highlights From This EpisodeBreaking up with coffee and its effects on your cycle.Antidepressants and birth control: Not the answer for menopause.Gut changes in peri-menopause and menopause. The gut-brain connection: an overview.Reducing baseline stress and exercising your parasympathetic nervous system. Stress and its effect on your health. Esther Blum's meditation and how to replicate it.Final takeaways.Subscribe & ReviewSubscribing and leaving a rating and review are important factors in helping the Reshape Your Health Podcast and the YouTube Channel reach more people. If you haven't already subscribed, please do that today.We would also be grateful if you left a rating and review, too. In your listening app, scroll to the “Ratings and Reviews” section, then click “Write a Review” and let us know what you enjoy about our show. We appreciate you taking the time to show your support. Thank you!Resources From This Episode>> Join Zivli>> Book a Free Zivli Discovery Call>> Freebie: Weight Loss Mindset Audio Training>> Freebie: The Ultimate Food Guide>> Esther Blum's Website>> See Ya Later, Ovulator

In this episode Dr. Campbell and Dr. Hohn chat with Dr. Jaime Seeman. She is a board-certified obstetrician, gynecologist, and author of the book Hard to Kill. We dive into the topic of metabolic health as one of the key drivers in optimal health, especially for women. We also talk about transitioning from perimenopause to menopause, what labs are most important, what your diet should look like and much more.  TOPICS: From perimenopause to menopause (01:02)  Estrogen's role in metabolic health (04:55) Utilizing hormone replacement therapy (08:15) Optimal diet during menopausal years(14:12) Key markers in metabolic health (23:22) Jaime's book, Hard to Kill (26:16) More from Dr. Jaime Seeman (37:12) MORE FROM THE HEALTH BABES:   Did you know? You have a chance to win 1 of 2 prizes, with a giveaway in every episode! Leave a review to win, and don't forget to subscribe for future episodes!   Follow Dr. Jaime Seeman on Instagram @doctorfitandfabulous Subscribe to the The Fit and Fabulous Podcast Visit her website at www.DoctorFitandFabulous.com Purchase her book Hard to Kill   Find more from Dr. Becky Campbell and Dr. Krystal Hohn at DrBeckyCampbell.com Consult with us one on one HERE   Follow Dr. Becky and Dr. Krystal on Instagram @drbeckycampbell and @drkrystalhohn, follow the Health Babes Podcast @healthbabespodcast Find us on Facebook, on Pinterest, and on YouTube   Get resources on how best to support your thyroid HERE Wondering if you have histamine intolerance? Take THIS QUIZ and receive a free histamine guide Get answers to your health questions HERE

10/27/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media Have you ever used a medical clinic for medical weight loss? * No, does medical weight loss work? - 56% * Yes, but I didn't have good results. - 19% * Yes, I have and I use Titan therapies! - 25% 2022 Titan Events Schedule: * 10/1: NPC Puerto Rico * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3C6tiX4 Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm weightloss #losefat #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

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9/23/22 Titan Lifestyle with Big Dru & John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media 2022 Titan Events Schedule: * 10/1: NPC Puerto Rico * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3LqqBTh Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm bigdru #druborden #titanlifestyle #pt141 #cupidscandy #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!

Boy, are we living in wild and crazy times!Boy, are we living in wild and crazy times! When it comes to women's healthcare, our heads are spinning. We're getting whiplash from the changes to just about every aspect of women's healthcare from insurance reimbursements to prescriptions.But joining us is someone who can help clear this all up for us, touching on the past and looking towards the future of women's health care in the United States. Elizabeth Watkins became Provost and Executive Vice Chancellor at UC Riverside in May 2021. Her research focuses on the interrelations of medicine, science, commerce, and culture in the U.S. in the twentieth—twenty-first centuries, and she has published on the topics of the history of prescription drugs; birth control; estrogen and female aging; testosterone and male aging; and stress and disease.Her work has been funded by the National Science Foundation, the National Library of Medicine, the National Endowment for the Humanities, and the National Academy of Education. She is the author of On the Pill:  A Social History of Oral Contraceptives and The Estrogen Elixir:  A History of Hormone Replacement Therapy in America.She sits down with Dr. Pam to discuss her career in this field of study, the devaluing of older women in America, and our cultural devotion to youth culture.

9/20/22 Titan Talk with John Tsikouris: - Our social media: https://linktr.ee/TitanMedicalCenter - Live Q&A on @Titanmedical social media Did you know that we have libido enhancers for BOTH males and females? * Yes, I do and use Titan libido therapies! - 24% * No I did not know! - 32% * No, but do they actually work? - 44% 2022 Titan Events Schedule: * 10/1: NPC Puerto Rico * 10/22: Hurricane Pro https://www.timgardnerproductions.com/hurricane-pro/ * 11/6: Festivals of Speed at the Ritz-Carlton in Orlando http://www.festivalsofspeed.com/js_events/orlando/ * 12/3: Cars & Couture https://www.luxefashiongroup.com/cars-couture * 12/15-12/18: Olympia in Las Vegas https://mrolympia.com/ Our current weekly newsletter: https://conta.cc/3LqqBTh Text: titanmedical to: 22828 to get on our emailing list! Titan podcasts: https://titanmedicallifestylepodcast.fireside.fm pt141 #cupidscandy #health #titantherapy #vitamins #titancomplete #titantalk #titan #injectablevitamins #johntsikouris #titanmedical #titanmedicalcenter #livestream #titan #health  #medicalcenter #peptide #fitness #weightloss #aminos #vitamins #medicalscience #bodybuilding #podcast #liveqanda #obs #livestream Click here for our link to the New patient Paperwork to get started with Titan & our full list of social media! https://linktr.ee/TitanMedicalCenter And of course you can call/text anytime for more info: 727-389-3220 or http://titanmedicalcenter.com/ We service NATIONWIDE! Text:titanmedical to:22828 to get on our emailing list About Titan Medical Center: We offer Hormone Replacement Therapy, Medical Weight Loss, Injectable Vitamin & Amino Therapies, Relationship, Bedroom Enhancing Therapies, On-Site or Nationwide Blood Work Testing, Peptide Therapies, In-House IV Therapy, & Primary Care. We are based in Tampa, Florida but YES we service NATIONWIDE! We can help you enhance your life and performance while operating at optimal health levels. We have medical doctors and start with blood work testing to get you on the right track! Some of our therapies are available without blood work testing. Call Titan Medical Center to learn how you can have a healthier, stronger life. We offer telemedicine (via FaceTime or Skype) from the comfort of your own home where you will see a licensed medical provider. Our Titan therapies are doctor prescribed & shipped directly to your doorstep from a licensed US pharmacy!