Podcasts about HRT

Today, we have the first episode of a series of AMAs with McCall McPherson. McCall McPherson is the visionary behind Modern Thyroid Clinic, a thyroid-centered functional medicine practice in Austin, Texas. McCall is a physician assistant and thyroid expert. She is a recent TEDx speaker, a frequent guest on podcasts and summits, and the owner, host, and Chief Thyroid Hope Giver of the Thyroid Nations podcast.  Today, McCall joins me to dive into a range of listener questions, covering whether intermittent fasting damages the thyroid, the role of GLP-1s, constipation, split-dosing medication, adrenal health, ADHD, phentermine versus Glucophage versus GLP-1s, and how HRT affects thyroid medication. We also explore the impact of lipids on thyroid health and the role of nutrition, and we share our opinions on the Dutch test.  This invaluable AMA was made even more special by the flood of questions submitted by listeners. IN THIS EPISODE, YOU WILL LEARN: The benefits of adopting a nuanced approach to intermittent fasting  How Graves' disease and Hashimoto's differ in terms of fasting Why fasting is not advisable when taking GLP-1s Do thyroid medications cause constipation? Strategies for overcoming constipation and improving gut health McCall shares her rationale for splitting thyroid medication doses Will progesterone increase free T4 levels? The importance of rechecking thyroid labs after starting or adjusting HRT Foods to avoid and include in your diet for thyroid health Is the Dutch test worth using? Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with McCall McPherson Modern Thyroid Clinic  Modern Weight Loss On Instagram and TikTok Modern Thyroid and Wellness Podcast

This week on the WHOOP Podcast, WHOOP Global Head of Human Performance, Principal Scientist, Dr. Kristen Holmes sits down with women's health expert Dr. Mariza Snyder. Dr. Snyder and Dr. Holmes break down some common misconceptions in peri-menopause and menopause care, and share actionable tools and insights to regain control of your hormones. Dr. Snyder shares her personal journey navigating perimenopause, the warning signs to watch for, and how tracking data with WHOOP can empower women to better understand their bodies. This episode covers everything from cycle tracking and lifestyle habits that can reduce symptoms, to the role of exercise and nutrition, and the impact of alcohol and stress hormones like cortisol. Learn the practical routines for building a symptom-free lifestyle and the baseline knowledge every woman should have by age 30.(00:21) Dr. Snyder's Personal Relationship with Perimenopause and Menopause(03:17) The Warning Signs of Perimenopause(08:21) Role of Data in Understanding Your Body(11:51) Navigating The Healthcare System: Advocating for Perimenopause Treatment(17:31) Finding Solutions to Perimenopause Symptoms(19:15) Starting the Conversation Around Perimenopause Symptoms With Your Partner(22:33) Cycle Tracking: Seeing The Early Signs of Perimenopause(28:34) Easing Symptoms: Incremental Lifestyle Habits To Feel Your Best(36:17) Parenting the Next Generation: Healthy Habits and PCOS Management(42:47) Cortisol-Awakening Response: What Is It and How Can You Test For It?(49:56) Exercise's Role In Symptom Management(01:00:31) Baseline Knowledge For Every Woman To Know By 30(01:04:04) Daily Routines For A Symptom-Free Lifestyle(01:10:03) WHOOP Podcast Rapid Fire Q's(01:11:22) Hormones, Birth Control, & HRT(01:16:12) How Alcohol Is Altering Hormones During Perimenopause(01:27:06) Dr. Snyder's Perimenopause RevolutionFollow Dr. Mariza Snyder:InstagramLinkedInFacebookWebsite The Perimenopause Revolution & BooksSupport the showFollow WHOOP: www.whoop.com Trial WHOOP for Free Instagram TikTok YouTube X Facebook LinkedIn Follow Will Ahmed: Instagram X LinkedIn Follow Kristen Holmes: Instagram LinkedIn Follow Emily Capodilupo: LinkedIn

Send Vanessa a Text MessageOriginal air date: 7/2/24Update: Since this episode first aired, Dr. Elizabeth Bright has released her newest book, The Power of Your Thyroid and Adrenals: How They Shape Your Health Throughout Life and How to Heal. If you've enjoyed her insights, be sure to check out this latest work for an even deeper dive into her approach to women's health.In this BEST OF episode, I sit down with Osteopath and Naturopath, Dr. Elizabeth Bright, to discuss the crucial importance of addressing thyroid and adrenal function when experiencing hormonal imbalances—as well as a host of other health conditions.Dr. Bright explains the significance of a high-fat diet and iodine for thyroid support, and why the thyroid is truly the master regulator of the body. This conversation remains every bit as impactful and relevant today.We cover:Thyroid basics rarely explained by doctorsWhy the thyroid is the body's control centerHow hyperthyroidism can reflect hypo patternsWhen blood markers don't tell the full storyFeeling unwell despite “good” labsWhat stresses the thyroidCommon thyroid-related symptoms and conditionsWhy proper thyroid testing is often missedThe role of fat in thyroid and adrenal healthChallenges women face through menopause and perimenopauseEarly puberty in young girlsPost-pregnancy thyroid changesThe importance of iodine and safe supplementationListener questions on HRT, libido, seasonal thyroid shifts, and moreResources & Links:Dr. Bright's New Book – The Power of Your Thyroid and Adrenals: How They Shape Your Health Throughout Life and How to HealDr. Bright's WebsiteDr. Bright's InstagramConnect with the Podcast:Podcast on InstagramVanessa's Homebase (discount links, etc.)Vanessa on InstagramVanessa on ThreadsPodcast on YouTubePodcast on TikTokPodcast on XEmail: intentionallywellpodcast@gmail.comSupport the showPodcast Website: Intentionally Well with Vanessa LopezThis episode is for informational purposes only. Please consult a trusted health practitioner for individual concerns.

Menopause is finally in the spotlight — but most women still don't understand what's happening to their bodies in their late 30s, 40s, and beyond. Even worse, many doctors misdiagnose or dismiss symptoms like brain fog, night sweats, weight gain, and mood swings as “just stress.” About Dr. Alicia Robbins: Dr. Alicia Robbins is a board-certified Gynecologist and Lifestyle Medicine physician, founder of The Elm, and creator of The Robbins Method. She is recognized as a leading voice in perimenopause and midlife health, dedicated to providing compassionate, proactive care and rewriting the narrative on women's midlife. *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Function Health Visit https://www.functionhealth.com/louisanicola and use code NEURO100 or use gift code NEURO100 at sign-up to own your health. The first 1000 get a $100 credit toward their membership.  FIGSYou can get 15% off your first order at https://www.wearfigs.com with the code FIGSRX.  Honeylove Save 20% Off Honeylove by going to https://www.honeylove.com/neuro. Cowboy Colostrum Get 25% Off with code NEURO at https://www.cowboycolostrum.com. AquaTru Go to https://www.AquaTru.com now for 20% off (your purifier) using promo code NEURO. AquaTru even comes with a 30-day best-tasting water guarantee.  Brickhouse Nutrition Get 20% off when you enter NEURO at https://www.takelean.com. *** I'm Louisa Nicola — clinical neuroscientist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Follow Dr. Alicia Robbins The Elm: https://theelmgreenwich.com/ Instagram: @aliciarobbinsmd Topics discussed: 00:00:00 — Intro 00:01:32:10 — Menopause is “in the spotlight”; what's actually happening with women's hormones ~35+ 00:02:43:11 — Ovaries as the primary source of estrogen/progesterone/testosterone 00:11:32:08 — Estrogen's role in the brain 00:13:15:05 — With estrogen loss, chronic low-grade brain inflammation 00:15:12:17 — What replaced HRT: rise in sleep aids, antidepressants, and benzodiazepines. 00:32:55:20 — Women's testosterone: low “total T” numbers, variable symptoms/benefit; brain fog and fatigue are multifactorial. 00:33:38:00 — Practical regimen notes: layering hormones; balance affected by stress/cortisol 00:44:14 — Longevity hype vs reality: trendy biohacks vs basics like walking, resistance training, and consistent diet 00:44:34 — Cultural/societal neglect of women's midlife health; undervaluing cognitive preservation in women 00:45:10 — Lack of specialty in menopause medicine; OB/GYN training gaps; bias toward fertility/pregnancy funding 00:47:20 — Emerging shift: younger physicians and social media spreading awareness 00:48:15 — Longevity basics reaffirmed: lifestyle interventions are more impactful than costly interventions 00:49:00 — Empowering women to advocate for care 00:50:12 — Future outlook: preventative care, lifestyle foundations, and individualized hormone therapy for healthy aging 00:54:53: Increase in divorce rate because of hormones? 00:55:53: HRT and risk of breast cancer 00:58:11: What doctor should a woman in her late 30s/early 40s go see? Learn more about your ad choices. Visit megaphone.fm/adchoices

What's the truth behind GLP medications, thyroid testing, iodine, and hormone replacement therapy—and what should you really believe? In this episode, I'm giving you my honest opinion on some of the most controversial topics in the thyroid and hormone space. From the polarizing debates around GLP-1 medications to the truth about free T3 testing, iodine supplementation, and whether HRT increases cancer risk, I break down the science, share real patient experiences, and call out the misinformation that's keeping women stuck. You'll hear why blanket “good” or “bad” labels don't work, how to know if you're using the right tests at the right time, and why iodine may be the missing link in protecting your thyroid and overall health. If you've ever felt confused by the noise online or pressured by doctors, influencers, or even friends, this conversation will give you clarity, confidence, and a deeper understanding of how to make the best decisions for your body. Shop ALL of Dr. Amie's Fixxr® Supplements: ⁠⁠betterlifedoctor.com⁠⁠ LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free application call:⁠ ⁠https://dramiehornaman.com/pages/book-a-call⁠⁠ FREE DOWNLOADS… ⁠⁠What Are the Optimal Lab Ranges? What Steps Can I Take?⁠⁠ Don't know where to start...don't know which labs are useful? And what to do when you get your results? ⁠⁠“How To” Guide For Supplements⁠⁠ Here's your Fixxr® supplement timeline and guide. ⁠⁠Fix Your Thyroid and Adrenals To Fix Your Life⁠⁠ Check your symptoms of hypothyroidism and know OPTIMAL thyroid lab values. Learn why you are being told you're “NORMAL” by your doctor. ⁠⁠Can Supplements Help with Hypothyroidism?⁠⁠ Grab this thorough guide to help you select the most advantageous supplements that will best suit your health circumstances. RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click⁠ ⁠HERE⁠⁠, scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow⁠ ⁠HERE⁠⁠ and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group, Dr. Amie…The Thyroid Fixer®...Love Your Mirror, for a Community of HOPE and Support in your thyroid journey. ⁠⁠https://www.facebook.com/groups/dramie/⁠⁠ Like me on Facebook:⁠ ⁠Amie Hornaman Nutrition and Functional Medicine⁠⁠ Subscribe on Youtube:⁠ ⁠Dr. Amie Hornaman⁠⁠ Follow me on Instagram:⁠ ⁠@dramiehornaman

Coach and clinical nutritionist Christopher Barker (author of Mansplaining the Menopause) is here for a no-B.S. tour through female health, strength, and longevity. We tackle the most persistent menopause myths (including HRT fears), what habits *actually* affect body composition, RED-S and under-fuelling, sane protein targets on a plant-based diet, and performance vs aesthetics. We also chat GLP-1 drugs in the culture, cycle tracking, and using tools like the Oura ring without obsessing.

Send us a textAs a postpartum professional you've likely seen the confusing overlap between postpartum and perimenopause, especially with women having babies later in life. Our conventional medical system treats these two distinct phases as separate, leaving women feeling lost and often misdiagnosed. This episode tackles the key signs and solutions that empower providers like you to offer truly informed root-cause care. We're joined by Lauren Tetenbaum, a specialist in maternal mental health and perimenopause, to break down the science, the shame, and the solutions, because we believe every woman deserves comprehensive care.Check out the episode on the blog HERE: https://postpartumu.com/podcast/is-it-postpartum-or-perimenopause-lauren-tetenbaum-ep-233/Key time stamps: 00:00: An introduction to the confusing overlap between postpartum and perimenopause.02:57: Breaking down how similar symptoms appear in both phases.05:25: Why lifestyle is the foundation for treating both conditions.07:11: The ongoing stigma around medication and quick fixes.09:16: Myth-busting the safety of hormone replacement therapy (HRT).15:31: Why our hormonal dips are natural but not always normal.17:50: The normalization of symptoms like postpartum depression and anxiety.20:34: The overlap of perinatal mental health and perimenopause.23:39: How to advise women who are unsure what's happening to their bodies.24:45: Maranda's closing remarks on the importance of informed decisions.Connect with LaurenLauren Tetenbaum, LCSW, JD, PMH-C is a licensed clinical social worker, women's rights advocate, and writer dedicated to supporting and empowering women through life transitions. With experience as both a lawyer and a psychotherapist, Lauren specializes in counseling women navigating identity shifts related to motherhood, career, and reproductive health. Lauren frequently contributes thought leadership to media and professional organizations; she is the author of the 2025 book Millennial Menopause: Preparing for Perimenopause, Menopause, and Life's Next Period. Learn more about Lauren at thecounseLaur.com. Website | IG NEXT STEPS:

In this episode of the Hunt Test Hobo Podcast, Chris sits down with Justin Smith and Justin Jackson to introduce an exciting new game in the retriever world: Hunting Retriever Trials (HRT). Born out of a desire to give handlers and owners a new challenge beyond traditional hunt tests, HRT offers structured classes, fair competition, and even cash payouts.The conversation dives into the “why” behind this new format, how it's structured, what the payouts look like, and why it could be a game-changer for amateurs, pros, and breeders alike. If you've ever wondered what's next after your dog smokes the hunt test circuit—or you've dreamed of a retriever game with real returns—this is an episode you won't want to miss.

Sign up for our Hormone Replacement Therapy Risk-Free Membership!https://www.alluremedical.com/hrt-membershipNew innovations have been discovered for the vitality of women in menopause.In this episode, Dr. Charles Mok talks about his book “Testosterone: Strong Enough For A Man, Made For A Woman,” and highlights the essential role of testosterone and hormone replacement therapy (HRT) in promoting healthy aging.He explores the benefits of HRT, shares insights into treatments and supplements that have supported women's intimate health over the years, and the use of platelet-rich fibrin (PRF) and hyaluronic acid as safe, sustainable approaches for sexual wellness and libido.Tune in to Inside The Cure Podcast — Promising Treatments for Women's Intimate HealthSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Download Dr. Charles Mok's book, “Testosterone: Strong Enough for a Man, Made for a Woman” for free here. https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

  Listen to More Guest Lectures + Live Q&As with Nurse Doza This episode is part of our expert interview series inside the School of Doza. To access the full library of exclusive guest lectures and weekly AMAs with Nurse Doza, start your 7-day free trial at  community.schoolofdoza.com   EPISODE SUMMARY In this groundbreaking lecture, Dr. Kayla Osterhoff breaks down why the female body is still one of the least understood topics in modern medicine. From the massive gender gaps in clinical research to the misunderstood role of hormonal rhythms, this talk challenges nearly every conventional health assumption about women's physiology. You'll learn how the female biological rhythm affects everything from metabolism to cognition—and why the missing link in women's health isn't just about hormones, but about data, design, and decades of neglect.     5 KEY TAKEAWAYS   • The Research Gap Is Real—and Deep Women were banned from clinical research until 1993, and even today remain underrepresented, especially in areas like drug trials, cardiovascular studies, and brain health.   • Bikini Medicine Isn't Enough Most “women's health” research still focuses narrowly on reproductive organs, ignoring how sex hormones impact the brain, immune system, metabolism, and more.   • The Female Biological Rhythm Is NOT 24 Hours Unlike men, women operate on a ~28-day hormonal rhythm—shifting cognition, metabolism, stress response, and energy throughout four distinct phases.   • Health Advice That Ignores Hormones Can Be Harmful Popular trends like intermittent fasting or high-intensity training may work well for men but can backfire for women if not timed to their hormonal cycle.   • Personalized, Phase-Based Health Is the Future Tracking one's own biological rhythm and learning phase-specific strategies for supplements, sleep, nutrition, and stress is the most empowering step women can take now.       Want to Learn How to Support Women's Health Holistically? If this interview resonates, don't miss our upcoming Holistic Practitioner Course inside the School of Doza. You'll learn how to support hormones, gut health, weight loss, and energy using nutrition, labs, and supplements—taught by a Nurse Practitioner with over 10 years of clinical experience. Spots are limited. Get early access and special pricing:

In this Menopause Mondays follow-up, I am joined by Menopause Specialist/Nurse Practitioner Kelley DeFilippis as we sat down to review my own experience with hormone replacement therapy (HRT). I have been on HRT since May — the estradiol patch, micronized progesterone, and estrogen cream.  We discuss the ups and downs and the adjustments that reduced brain fog, night sweats and mood swings. Kelley and I open up about our early on symptoms before HRT and the side effects it may have caused us during those sleepless nights.   We touched on practical care tips, the potential role of low-dose testosterone, strength training, Cornerstone Wellness services, and why seeing a trained menopause provider and advocating for your health matters. Link below to contact Kelley DeFilippis at Cornerstone Wellness. https://www.cornerstonewell.com/ Tune in and if you missed our previous episodes they are all available on Spill with Me Jenny D YouTube Channel as well as all the major Audio Platforms. Make sure to Subscribe for the latest episodes. http://www.youtube.com/@Spillwithmejennyd If you would like to be a guest or sponsor on Spill with Me Jenny D. please contact Kelli Komondor at kelli@k2creativellc.com  Fill out the disclaimer on the website.... under Tell us Your Story to be a potential guest. https://www.spillwithmejennyd.com/tell-your-story Please note: The information shared on Spill with Me Jenny D. is for informational and educational purposes only.  It is not a substitute for professional medical advice. Jenny D. is bringing you options and insights on how to navigate menopause, but every individual is different. Always consult your doctor or qualified healthcare provider before  making any decisions about your health, treatments or lifestyle changes.

updates on my new job + HRT and more! I know the quality might not be the best but I wanted to update you and for you to have something to listen! and as usual... is not that serious :)

PED education is often either oversimplified or overhyped. In this episode, John Jewett and Luke Miller bring on Dr. Todd Lee (IFBB Pro, MD, and founder of Anabolic University) to cut through the noise. They cover: Why an HRT base is non-negotiable Testosterone, estrogen, and DHT — the real interplay Masteron vs. Primo vs. EQ vs. DHB Low-dose Tren and when it makes sense Smarter hair-loss protocols beyond finasteride The balance between chasing results and managing risk

The Menopause Moment and FDA panel with Dr. Kelly Casperson // My friend and colleague sits down with me to talk about the FDA panel, her new book, and of course testosterone! Grab her new book 'The Menopause Movement" and of course, testosterone. Pre-Order My New Book: The Perimenopause Survival Guide: https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠https://amzn.to/3SYALze⁠⁠⁠⁠⁠⁠Join The Collaborative Medical Practice: ⁠⁠⁠⁠⁠https://thecollaborative.kit.com/11e9825fb5⁠⁠⁠⁠⁠Enroll in my course on HRT management: ⁠⁠⁠⁠⁠https://heatherhirschmd.myflodesk.com/prescribehrt⁠⁠⁠⁠⁠Enroll in the Practice Accelerator Course: ⁠⁠⁠⁠⁠⁠https://the-menopause-course.teachable.com/p/acceleratorjuly2025⁠⁠

This is the seventh in the series on Hormones, Happiness, and the Holy Spirit.If you've been feeling more anxious, irritable, or just not like yourself, it could be connected to perimenopause or menopause. In this episode, Jill talks with Dawn Valentino, a registered nurse and holistic health practitioner, about what's really going on in your body, how hormone changes impact your mood, and what you can do to find support—physically, emotionally, and spiritually.  Together they explore the root causes of common symptoms, the truth about hormone replacement therapy (HRT), and simple lifestyle shifts that make a difference.You'll walk away with practical tools, a hopeful mindset, and the reminder that this season of life can be a new beginning.Want to learn more or work with Dawn?Be sure to mention you heard her on The Happiest Lives Podcast to book your free 15-minute discovery call!You can find her on Instagram at https://www.instagram.com/dawningchristianhealth or email her at dawningchristianhealth@gmail.com.Clarity + Courage is my monthly coaching membership for Christian women who want to become the woman God says they already are—and finally think clearly, feel better, and move forward.Join HERE for less than $2 a day! Discover ways to work with me at www.thehappiestlives.com or www.myhappyvault.comQuestions? Email Jill directly at Jill@thehappiestlives.com

Sergey Levine, one of the world's top robotics researchers and co-founder of Physical Intelligence, thinks we're on the cusp of a “self-improvement flywheel” for general-purpose robots. His median estimate for when robots will be able to run households entirely autonomously? 2030.If Sergey's right, the world 5 years from now will be an insanely different place than it is today. This conversation focuses on understanding how we get there: we dive into foundation models for robotics, and how we scale both the data and the hardware necessary to enable a full-blown robotics explosion.Watch on YouTube; listen on Apple Podcasts or Spotify.Sponsors* Labelbox provides high-quality robotics training data across a wide range of platforms and tasks. From simple object handling to complex workflows, Labelbox can get you the data you need to scale your robotics research. Learn more at labelbox.com/dwarkesh* Hudson River Trading uses cutting-edge ML and terabytes of historical market data to predict future prices. I got to try my hand at this fascinating prediction problem with help from one of HRT's senior researchers. If you're curious about how it all works, go to hudson-trading.com/dwarkesh* Gemini 2.5 Flash Image (aka nano banana) isn't just for generating fun images — it's also a powerful tool for restoring old photos and digitizing documents. Test it yourself in the Gemini App or in Google's AI Studio: ai.studio/bananaTo sponsor a future episode, visit dwarkesh.com/advertise.Timestamps(00:00:00) – Timeline to widely deployed autonomous robots(00:17:25) – Why robotics will scale faster than self-driving cars(00:27:28) – How vision-language-action models work(00:45:37) – Changes needed for brainlike efficiency in robots(00:57:59) – Learning from simulation(01:09:18) – How much will robots speed up AI buildouts?(01:18:01) – If hardware's the bottleneck, does China win by default? Get full access to Dwarkesh Podcast at www.dwarkesh.com/subscribe

EP. 230: Grab my FREE 4 Part Video Series: GLP1s Uncovered: https://bit.ly/GLP1uncovered In this solo episode, I'm sharing insights on HRT, hormone replacement therapy in the online space, peptides, and how the wellness industry has shifted over the years. I cover everything from minimal effective dose to personalized medicine, bioidentical hormones, FDA guidance, peptide stacking, and the realities of HRT for menopause and hormone intolerance. I also share my perspective on women's health, dosing strategies, and what to do when HRT isn't working, plus how to spot influencer scams in the wellness world. Topics Discussed: → How do personalized medicine strategies improve metabolic health? → What are the benefits of bioidentical hormones for menopause? → How to spot wellness influencer scams online? Sponsored By: → Puori | Go to Puori.com/drtyna and use code DRTYNA to get 20% off → Qualia | Go to qualialife.com/DRTYNA for up to 50% off your purchase and use code DRTYNA for an additional 15% → Nutrisense | Head over to nutrisense.io/drtyna and use the code TYNA to save 33% on your Nutrisense Program. → BIOptimizers | For 15% off go to bioptimizers.com/drtyna and use promo code DRTYNA → LMNT | Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors with any purchase at drinklmnt.com/drtyna. Find your favorite LMNT flavor, or share with a friend. → Dr Tyna's Brain spark | Go to store.drtyna.com/products/brainspark and use code BRAINSPARK10 for 10%  On This Episode We Cover:  → 00:00:00 - Introduction  → 00:04:15 - Minimal effective dose → 00:07:53 - Personalized medicine → 00:11:47 - Finding the right doctor → 00:13:40 - Social media misinformation → 00:15:45 - Metabolic health → 00:18:21 - HRT influencers & telemedicine → 00:21:34 - Online chiropractors → 00:24:44 - Bioidentical hormones → 00:27:26 - FDA & peptide safety → 00:29:10 - Research peptides → 00:33:28 - Peptide stacking → 00:36:35 - HRT & menopause → 00:39:26 - Hormone intolerance → 00:43:10 - HRT dosing → 00:45:11 - Women's health concerns → 00:48:15 - When HRT doesn't work → 00:52:56 - Influencer scams Show Links:  → Find A Doc  → Metabolic Revamp Toolkit  Further Listening:  → EP. 221 | The GLP-1 Microdosing Lie: It's NOT a Weight Loss Strategy | Solo → EP. 225 | The Peptide Craze: What Influencers Don't Know & Aren't Telling You → EP. 204 | Fake Credentials & Medical Misinformation: What You Need to Know | Solo Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

Are you trying to figure out how to price your services? You're not alone. Most NPs get stuck here, paralyzed by what the competition is doing.In this episode, Justin talks with Laquisha Stahl, a nephrology NP who just launched her own functional medicine practice. She's navigating the same questions you are: Should you list prices on your website? How do you attract patients without a huge marketing budget? How do you balance a full-time job while building your own business?They cut through the noise and discuss real-world strategies for setting prices, acquiring your first patients, and building a practice on the side without burning out. Justin breaks down why you shouldn't get hung up on web traffic numbers and how to build a client base organically.If you're ready to launch a wellness, HRT, or functional medicine practice, this episode provides the practical, no-nonsense roadmap to get started.

Welcome to Life Coach BFF Show! Join Heather Pettey and her co-host, Dr. Carol Lynn, as they provide encouragement and practical advice for women in midlife who are ready to thrive.   In this episode, they discuss the benefits of hormone replacement therapy (HRT), address common questions about its necessity, and offer holistic alternatives for managing menopause symptoms.   Learn about the importance of diet, exercise, and mental wellness in maintaining a healthy lifestyle during midlife. Tune in for real conversations, laughter, and support. Grab your coffee, pop in your earbuds, and let's thrive together!   Follow for more encouragement and connect through private coaching via show notes. Join The Facebook Group: @ourmidlifemoxie   Connect with Host Heather Pettey: Email: hpetteyoffice@gmail.com Private Coaching with Heather:https://www.ourmidlifemoxie.com/heatherpetteycoaching Speaker Request Here Instagram @HeatherPettey_ Facebook: @HeatherPettey1 Linkedin: @HeatherPettey Book: "Keep It Simple, Sarah" (Amazon bestseller) Connect with Dr. Carol Lynn: Linkedin Website: https://www.drcarollynn.com Facebook Group: @ourmidlifemoxie Website: www.ourmidlifemoxie.com Don't forget to subscribe to the Life Coach BFF Show for more inspiring content and practical life advice!   *Quick Disclaimer- Heather Pettey is a certified coach and not a therapist. Always seek the support of a therapist for clinical mental health issues.   00:00 Welcome to Life Coach VFF Show 01:00 Catch Up with Heather and Dr. Carol Lynn 01:29 Childhood Memories and Parenting Differences 03:11 The Impact of Social Media on Parenting 04:25 Hot Topic: Hormone Replacement Therapy (HRT) 11:42 Holistic Alternatives to HRT 16:00 Dr. Lynn's Telehealth Services 17:25 Final Thoughts and Encouragement  

This is a re-release episode with the brilliant Jackie Lynch, Registered Nutritional Therapist and author of The Happy Menopause. I just love that title! Jackie's work is all about how nutrition can help us flourish in midlife and beyond. ✨ Book news! Jackie's latest book The Happy Menopause Guide to Energy: Nutrition to Rejuvenate Your Brain & Body is now out. While her original book The Happy Menopause: Smart Nutrition to Help You Flourish is a symptom-by-symptom guide you can dip in and out of, this new sister copy takes a different approach. It's essentially a journey through one of her clinical programmes in book form. So many of the women Jackie sees in her clinic struggle with physical and/or mental energy in midlife, so she decided to take a deep dive into the subject. In this new book, she guides readers through a step-by-step process to regain mental clarity, physical stamina, and overall vitality. It helps you pinpoint what's draining your energy and create a tailored action plan to rejuvenate brain and body. Available now in book, ebook, and audio form, in all the usual places. If you'd rather read a summary transcription of this podcast episode, you can do that here. We talk about: -Why Jackie believes menopause is a transformational time in a woman's life (in a good way) -Estrogen as the biddable, nurturing hormone -Why some women suffer badly in menopause and others don't -The massive importance of diet and lifestyle in midlife and beyond -How the manner in which we lived when younger can impact our menopause experience -The impact of stress and the myth of having it all -How I got my periods back after a diagnosis of early menopause -The importance of maintaining stable blood sugar levels -How the body produces stress hormones when blood sugar levels are not stable -How menopause may not be to blame for what's happening to us -How our thoughts and beliefs can impact our experience of menopause -The importance of eating more protein with every meal and snack -Getting magnesium, calcium and iron from leafy green vegetables -How phytoestrogens mimic the actions of estrogen in the body -The wonder food that is flaxseed -The physiological stress we can put on our bodies through diet and lifestyle -Understanding whether HRT is right for you and how to balance that with diet and lifestyle -Why HRT is not a quick solution and still needs a good diet for the best support -How I weaned myself off HRT at 51 -How just small nutritional changes can make a huge difference -Jackie's own midlife reinvention And more! If you enjoyed this episode, please subscribe, share it and leave us a 5* review on Apple Podcasts or wherever you're listening. Order Rachel's book, Magnificent Midlife: Transform Your Middle Years, Menopause And Beyond, recommended in The New York Times as one of seven top books about menopause at magnificentmidlife.com/book The paperback can also be purchased on Amazon or other online retailers: UK: https://www.amazon.co.uk/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ US & Canada: https://www.amazon.com/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ Australia: https://www.amazon.com.au/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ You can listen to all the other episodes and get the show notes at magnificentmidlife.com/podcast. Podcast recommended by the Sunday Times. Feedspot #9 in 40 Best Midlife Podcasts and #7 in 60 Best Women Over 50 Podcasts You'll find lots of strategies, support, and resources to help make your midlife magnificent at magnificentmidlife.com. Check out Rachel's online Revitalize Experience, a 6-week intensive small group mentoring experience or 1-1 Midlife Mentoring.

In this powerful series finale, Dr. Brendan McCarthy, Chief Medical Officer of Protea Medical Center, shares a personal story about the humble beginnings of his practice—and then dives deep into a critical but often overlooked topic in medicine: self-silencing in women and how it profoundly impacts health. In this episode, you'll learn: How emotional suppression and chronic stress affect weight gain, fertility, autoimmunity, and thyroid function Why simply telling women to “eat less” or “relax” is not real medicine—and what actually works The role of intermittent fasting, hormonal support, and therapy in restoring health How to identify self-silencing behaviors and start healing from the inside out A discussion of GLP-1s, LDN, cold plunges, testosterone, thyroid labs, and more A call for modern medicine to return to true, whole-person care   Whether you're a patient, physician, or just curious about the future of compassionate medicine—this one's for you.   Citations: https://academic.oup.com/mend/article/15/11/1864/2747880 https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2012.00177/full   Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he's helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He's also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more. If you're ready to take your health seriously, this podcast is a great place to start.  

A few years ago, after a series of crisis after crisis after crisis, Allie Pepper thought she would have to give up high-altitude mountain climbing. This is how she got her groove back.Record-breaking mountaineer, Allie Pepper, is currently in the middle of a project to become the first and fastest woman to climb the world's 14 tallest mountains – those over 8000m – without the use of oxygen.But just a few years ago, Allie nearly gave up climbing all together after a trifecta of mid-life crises pulled the rug out from under her.Menopause, divorce, and a devastating death completely grounded Allie.But when she got her groove back, Allie headed straight to the mountain. Further informationAllie recently made a documentary called Limitless Above the Clouds, which was filmed across the Himalayas. It will be available to stream worldwide between 20 - 27 September at this link.This episode of Conversations was produced by Meggie Morris; executive producer is Nicola Harrison.It explores mid-life crisis, starting new, documentary, film, mountain climbing, Everest, Nepal, spiritual journey, India, Pakistan, travel, badass women, women in middle age, how to start again, separation, marriage, death of a father, self esteem, self worth, failing school, TAFE, alternative career pathways, Klára Kolouchová, Nanga Parbat, origin story, child of divorce, peri-menopause, hidden menopause symptoms, HRT, hormone therapy for menopause, chronic fatigue, depression, mental health, sweats.To binge even more great episodes of the Conversations podcast with Richard Fidler and Sarah Kanowski go the ABC listen app (Australia) or wherever you get your podcasts. There you'll find hundreds of the best thought-provoking interviews with authors, writers, artists, politicians, psychologists, musicians, and celebrities.

If you've been hearing all the buzz about GLP-1 medications like Ozempic, Wegovy, or Zepbound, and you're wondering if they could be the right fit for you at midlife, this is the episode to press play on. We brought on nurse practitioner and health optimization expert Amy Wrenn to demystify what GLP-1s actually are, how they work, who they're for, and what you really need to know about taking them during perimenopause and menopause. Amy is passionate, informed, and totally relatable—she cuts through the hype to bring clarity to a topic that's been wrapped in confusion and judgment.In this conversation, we get real about our own experiences, bust some myths, talk side effects (yep, we go there), and explore the broader context of hormone therapy, weight gain, metabolic dysfunction, and the importance of doing what works for your individual body and life. Whether you're curious, cautious, or already on a GLP-1, this is a must-listen packed with valuable insights.  Episode Highlights:[0:00] - Welcoming Amy Wrenn and kicking off our deep dive into GLP-1s [3:10] - What exactly are GLP-1s, and how do they work in your body? [5:00] - Understanding insulin resistance, perimenopause, and why midlife changes everything [6:57] - Real-life examples of "metabolic mayhem" that hits out of nowhere [8:03] - Challenging the lazy stereotype: GLP-1s are not a quick fix [10:08] - The far-reaching benefits: inflammation, PCOS, cognitive health, and more [12:10] - Social media hype vs. safe medical prescribing—know the difference [13:46] - Compounded medications vs. name-brand prescriptions: what to watch for [17:33] - Who qualifies for GLP-1s, and what do providers look for? [20:43] - It's not about skinny—it's about healthy: the real goal of treatment [22:34] - Common side effects: what to expect and how to manage them [25:25] - Nutrition matters: prioritizing protein, avoiding high-fat traps [26:38] - Surprising benefits: reduced alcohol cravings, better food boundaries [28:12] - Coming off GLP-1s: what it looks like, and when it's okay to stay on [31:48] - Does your body adapt over time? Amy explains habituation and dosing [33:32] - The power trio: GLP-1s, HRT, and resistance training [36:08] - Hormone therapy explained: symptom relief vs. long-term prevention [40:51] - Why we're not getting this info from our doctors—and how to change that [42:24] - Where to follow Amy and keep learning more  Links & ResourcesFollow Amy Wrenn, NP on Instagram: https://www.instagram.com/np_wrenn If today's discussion resonated with you or sparked curiosity, please rate, follow, and share "Insights from the Couch" with others. Your support helps us reach more people and continue providing valuable insights. Here's to finding our purposes and living a life full of meaning and joy. Stay tuned for more!Come hang out with us in The Chat, our free community for midlife women, where we keep theconversation going at insightsfromthecouch.org/the-chat. And don't forget todownload our free guide 7 Skills to Master Midlife so you can stop living small, start taking action, andlive the life you really want at insightsfromthecouch.org/midlife-roadmap.

Join us on our FREE hormone education session at http://midlifeconversations.com/magic   Could hormone replacement therapy actually cause cancer if your body can't detox properly? This conversation isn't about joining "Team HRT" or going completely “natural” - it's about understanding why your individual biology matters more than blanket recommendations. Triple board-certified gynecologist Dr. Anna Cabeca joins us to shatter the black-and-white thinking around hormone replacement therapy. With over 30 years of experience prescribing HRT, she's witnessed the trends come and go, but more importantly, she's developed an approach that honors what makes YOU unique. Join us as we discuss personalized treatment plans, debunk myths around HRT, and answer questions on testosterone, progesterone, and the importance of vagal tone and mental well-being during menopause. You'll discover why two women with identical menopausal symptoms might leave the doctor's office with completely different treatment plans, and why that's exactly how it should be. Dr. Anna reveals the critical factor most doctors ignore - your body's ability to detoxify hormones - and explains why this could be the difference between thriving on HRT or facing serious health consequences. You'll also learn the surprising truth about cancer risks, why your monthly cycle was doing more than you realized, and the specific hormone levels Dr. Anna recommends for optimal safety and symptom relief. This isn't another episode telling you what to do - it's about empowering you with the knowledge to make informed decisions about your own body. Whether you're considering hormone replacement, currently on HRT, or committed to natural approaches, this conversation will change how you think about menopause support forever.   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube    Learn More About Dr. Anna Cabeca:    Instagram ➜ https://www.instagram.com/thegirlfrienddoctor Website ➜  http://midlifeconversations.com/magic    Thank you to our show sponsors! QUALIA: Experience the science of feeling younger—go to http://qualialife.com/nataliejill for up to 50% off your purchase of Qualia Senolytic and use code NATALIEJILL for an additional 15%.  Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.

Summary In this episode, Ali Damron discusses the complexities of perimenopausal symptoms, emphasizing the significant role of the nervous system in amplifying these symptoms. She explores the differences in how women experience hormonal fluctuations and the importance of addressing both hormonal and nervous system health for effective treatment. The conversation also covers various treatment options, including HRT and antidepressants, and highlights the necessity of managing stress and integrating neuroplasticity strategies for lasting relief. Takeaways Perimenopausal symptoms vary greatly among women. The nervous system significantly influences symptom severity. Hormonal fluctuations are not the sole cause of symptoms. HRT can be beneficial for many women. Stress management is crucial for symptom relief. Integrating neuroplasticity can enhance treatment outcomes. Women often feel broken due to ineffective treatments. Teaching the brain to feel safe is essential. Both hormonal and nervous system support are necessary. A holistic approach is key to managing perimenopausal symptoms. Titles Navigating Perimenopause: Understanding Symptoms The Nervous System's Role in Women's Health Chapters 00:00 Understanding Perimenopausal Symptoms 02:48 The Role of the Nervous System 06:02 Hormonal Fluctuations and Their Impact 08:55 Conventional vs. Alternative Treatments 12:02 The Importance of Stress Management 15:07 Integrating Neuroplasticity in Treatment 17:58 Breaking the Symptom Cycle 21:09 Strategies for Nervous System Regulation 23:51 Final Thoughts on Healing and Support   Ali's Resources:  Calm the Chaos: Practical Tips and Tools for Stopping Anxiety in It's Tracks Course! Consults with Ali  BIOptimizers Magnesium Breakthrough 10% off using code ALIDAMRON10 www.alidamron.com/magnesium Master Your Perimenopause Course + Toolkit "Am I in Perimenopause?" Checklist.  What Hormone is Imbalanced? Quiz! Fullscript (Get 10% off all supplements) "How To Balance Your Hormones For Better Sleep, Mood, Periods and Energy" Free, On Demand Training Website  Ali's Instagram Ali's Facebook Group: Holistic Health with Ali Damron   

Is hormone replacement therapy safe or risky? If you've been 10+ years post-menopause, the myths can feel overwhelming. Dr. Tabatha Barber, a functional gynecologist, joins me on today's episode to tackle one of the most common and misunderstood topics in women's health: hormone replacement therapy (HRT). We're separating fact from fiction, answering the big questions about HRT safety, whether it's too late to start after 10-15 years post-menopause, and what other options exist for women who prefer not to go the HRT route. Dr. Tabatha breaks down the benefits and risks of HRT, explaining the role estrogen plays in bone health, as well as how bioidentical hormones differ from synthetic hormones. She also shares tips on how to handle common symptoms like vaginal dryness. If you're wondering about your options for hormone balance and want to know what's best for your body, this episode is for you!   “Let me help you understand your body and give it what it needs. You can't heal a body you hate—you have to love it, and then it will change." ~ Dr. Tabatha Barber   In this episode:  - [03:32] - Functional vs conventional care - [09:52] - Impact of HRT on women's health - [14:20] - Is HRT safe? - [20:53] - Vaginal estrogen risks and benefits - [27:50] - How long is it safe to be on HRT? - [30:35] - Are there tests needed before HRT? - [36:24] - Alternatives to HRT - [39:43] - How gut health affects overall health - [40:52] - Midlife Reset Summit overview - [43:16] - How to work with Dr. Tabatha   Resources mentioned - Midlife Reset Summit - https://midliferesetsummit.com/signup?am_id=margie3712  - Dr. Tabatha's website - https://drtabatha.com/ - Free Osteoporosis Exercises to Strengthen Your Bones and Prevent Fractures - tinyurl.com/osteoporosisexercises   More about Margie - Website - https://margiebissinger.com/  - Facebook - https://www.facebook.com/p/Margie-Bissinger-MS-PT-CHC-100063542905332/  - Instagram - https://www.instagram.com/margiebissinger/?hl=en    DISCLAIMER – The information presented on this podcast should not be construed as medical advice. It is not intended to replace consultation with your physician or healthcare provider. The ideas shared on this podcast are the expressed opinions of the guests and do not always reflect those of Margie Bissinger and Happy Bones, Happy Life Podcast.   *In compliance with the FTC guidelines, please assume the following about links on this site: Some of the links going to products are affiliate links of which I receive a small commission from sales of certain items, but the price is the same for you (sometimes, I even get to share a unique discount with you). If I post an affiliate link to a product, it is something that I personally use, support, and would recommend. I personally vet each and every product. My first priority is providing valuable information and resources to help you create positive changes in your health and bring more happiness into your life. I will only ever link to products or resources (affiliate or otherwise) that fit within this purpose.

“Perimenopause can amplify and unmask complex chronic illnesses that were hiding in the background.” – Dr. Jessica DrummondWhen we skip the chronic illness conversation with our midlife clients and patients and go straight to hormone replacement therapy (HRT), we miss helping women feel fully well and stay well into their later years. While HRT can be an important tool, it's not the whole story.For the majority of women, the perimenopause transition overlaps with complex chronic illnesses like endometriosis, autoimmune disease, or long COVID, that can flare or appear for the first time in midlife. If we only address hormones, we miss the root causes of symptoms. These women need more than quick fixes and generic protocols. They need skilled providers who can integrate functional nutrition, nervous system regulation, personalized coaching, and chronic illness management into a holistic care plan.In this episode, we're doing things a little differently. I'm being interviewed by my friend, Marnie Glavin of Pelvic Health Support, to discuss why midlife is such an important time for us as women's health and wellness practitioners, the intersection between perimenopause and chronic illness, how we can help clients to develop their longevity plan, the tools and skills required to support this underserved population, and how we can empower women going through the transition.Enjoy the episode, and let's innovate and integrate together!---Learn more or watch the video version of this conversation at https://integrativewomenshealthinstitute.com/navigating-perimenopause-and-complex-chronic-illness-with-dr-jessica-drummond-interviewed-by-marnie-glavin/.Connect with me and access our entire platform at IntegrativeWomensHealthInstitute.com (https://integrativewomenshealthinstitute.com/). Find and follow us @integrativewomenshealth on YouTube (https://www.youtube.com/@integrativewomenshealth) and Instagram (https://www.instagram.com/integrativewomenshealth/).

Sign up for our Hormone Replacement Therapy Risk-Free Membership!https://www.alluremedical.com/hrt-membershipBe healthier and live longer with hormone replacement therapy.In this episode, Dr. Charles Mok discusses menopause and perimenopause, the role of hormone replacement therapy (HRT), and why laboratory or blood work is not always necessary.He explains the clinical definitions of menopause and perimenopause, when blood work may be appropriate, and the symptom-based management approach used in his practice. Dr. Mok also explores the patterns in HRT compared to other treatments for menopause, the use of antidepressants for symptom management, and the differences between American and European approaches to HRT.Tune in to Inside The Cure Podcast — The Menopause Myth: Why Testing Isn't the AnswerSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this episode, we dive into your listener questions and cover a wide range of topics around fitness, nutrition, and mindset. From cheat meals and metabolic myths to when you should start lifting heavy, we give you straightforward answers you can actually use. We also tackle the confusion around cutting phases, progressive overload at home, and how to stay motivated when life gets in the way. Whether you're just getting started or refining your training, this episode is packed with practical guidance to help you make consistent progress.We talk about:-Cheat meals and guilty pleasures-Kettlebells versus dumbbells-Meal timing, metabolism, and body fat distribution-How to approach weight loss, maintenance, and building muscle-Breaking free from analysis paralysis-When to start lifting heavy and how to train in different phases-The truth about working out fasted-Staying motivated and consistent-Handling setbacks like getting sickTime Stamps: 0:00 Introduction1:29 cheat meals & guilty pleasures10:44 kettlebell versus dumbbell15:17 weight loss versus maintenance versus building muscle28:45 body fat distribution32:58 meal timing and metabolism38:30 metabolic rate44:35 getting past analysis paralysis 51:32 fear of no excuses54:16 how to do a cut57:46 strength training in different phases61:54 when to start lifting heavy70:55 working out fasted77:10 finding motivation to exercise84:30 progressive overloading at home90:31 set point theory99:33 HRT and its uses112:07 how to handle getting sickCONNECT WITH KAIT:IG: https://www.instagram.com/kaitannmichelle/Email: https://go.maverickonlinecoaching.net/mailing-listFree FB Community: : https://www.facebook.com/share/g/18fyYCSZgn/?mibextid=K35XfPCONNECT WITH MAVERICK:IG: https://www.instagram.com/maverickonlinecoaching/SLAE: https://www.instagram.com/slaehormonesolutions/Website for SLAE Hormone Solution: https://slaehormonesolutions.com/Website for Maverick Online Coaching: https://maverickonlinecoaching.net/coachingAsk anonymous questions: https://ngl.link/maverickonlinecoaching1 Hosted on Acast. See acast.com/privacy for more information.

Today we have on a special guest, Abbe Kierstein! Now if you've ever thought, ‘I'm active, I eat well, and I'm still not seeing it, especially as I'm getting older' then this episode is going to be for you.  Abbe is a client of ours at Vital Spark, a perimenopausal entrepreneur hairstylist who spends about 10 hours a day on her feet, came in already lifting weights, eating clean, eating 1400-1500 calories per day, taking thyroid meds and HRT, and yet she felt STUCK in her body.  That was about 10 months ago, and today she is a different person. So I'm very excited to pick Abbe's brain on what does it take to see sustainable changes in your 50's all while navigating a demanding schedule. In this episode, we discuss the challenges Abbe faced before joining Vital Spark, how she adapted to habit changes we implemented, how she navigated eating out, and so much more! We even answer some of your questions you submitted on Instagram! Time Stamps: (1:52) Abbe's Story (3:00) Struggles Before Vital Spark (6:42) Navigating The Habit Changes (10:02) Increasing Calories (13:53) Shifting From Coffee to Tea (15:14) Changes In Abbe's Body (19:22) Navigating Eating Out (23:54) Noticing The First Shift (27:04) Hardest Part of The Process (30:12) What Should You Expect From A Coach? (33:59) Advice To Other Women Struggling (38:02) Where To Find Abbe---------------------Follow Abbe on IG: @Blowoutsbyabbeandmore---------------------Find Out More Information on Vital Spark Coaching---------------------Follow @vanessagfitness on Instagram for daily fitness tips & motivation. ---------------------Download Our FREE Metabolism-Boosting Workout Program---------------------Join the Women's Metabolism Secrets Facebook Community for 25+ videos teaching you how to start losing fat without hating your life!---------------------Click here to send me a message on Facebook and we'll see how I can help or what best free resources I can share!---------------------Interested in 1-on-1 Coaching with my team of Metabolism & Hormone Experts? Apply Here!---------------------Check out our Youtube Channel!---------------------Enjoyed the podcast? Let us know what you think and leave a 5⭐️ rating and review on iTunes!

In this episode, we dive into your listener questions and cover a wide range of topics around fitness, nutrition, and mindset. From cheat meals and metabolic myths to when you should start lifting heavy, we give you straightforward answers you can actually use. We also tackle the confusion around cutting phases, progressive overload at home, and how to stay motivated when life gets in the way. Whether you're just getting started or refining your training, this episode is packed with practical guidance to help you make consistent progress.We talk about:-Cheat meals and guilty pleasures-Kettlebells versus dumbbells-Meal timing, metabolism, and body fat distribution-How to approach weight loss, maintenance, and building muscle-Breaking free from analysis paralysis-When to start lifting heavy and how to train in different phases-The truth about working out fasted-Staying motivated and consistent-Handling setbacks like getting sickTime Stamps: 0:00 Introduction1:29 cheat meals & guilty pleasures10:44 kettlebell versus dumbbell15:17 weight loss versus maintenance versus building muscle28:45 body fat distribution32:58 meal timing and metabolism38:30 metabolic rate44:35 getting past analysis paralysis 51:32 fear of no excuses54:16 how to do a cut57:46 strength training in different phases61:54 when to start lifting heavy70:55 working out fasted77:10 finding motivation to exercise84:30 progressive overloading at home90:31 set point theory99:33 HRT and its uses112:07 how to handle getting sickCONNECT WITH KAIT:IG: https://www.instagram.com/kaitannmichelle/Email: https://go.maverickonlinecoaching.net/mailing-listFree FB Community: : https://www.facebook.com/share/g/18fyYCSZgn/?mibextid=K35XfPCONNECT WITH MAVERICK:IG: https://www.instagram.com/maverickonlinecoaching/SLAE: https://www.instagram.com/slaehormonesolutions/Website for SLAE Hormone Solution: https://slaehormonesolutions.com/Website for Maverick Online Coaching: https://maverickonlinecoaching.net/coachingAsk anonymous questions: https://ngl.link/maverickonlinecoaching1

In Episode 142 of Diary of a Kidney Warrior Podcast, host Dee Moore sits down with Dr. Vikram Talaulikar—menopause specialist and Associate Professor in Women's Health—to demystify menopause for people living with chronic kidney disease (CKD).   If you've ever wondered whether changing periods, brain fog, poor sleep, hot flushes, joint aches or low mood are “just stress,” menopause, or CKD—this conversation is for you. We explore the menopause transition (perimenopause → menopause → postmenopause), how symptoms can overlap with CKD, and what practical steps you can take right now.   You'll hear about: •Perimenopause vs. menopause—what's normal, what to track, and why one blood test often doesn't tell the full story. •Lifestyle strategies that genuinely help (sleep hygiene, movement, nutrition, supplements to discuss with your team). •Non-hormonal options (including CBT and certain medications) and when they may be considered. •HRT in CKD—safer formulations, delivery routes, and the “lowest effective dose” principle to discuss with your clinicians. •Bone and heart health during and after the transition—and what to raise at your next appointment. •Why timely support matters and how to build a joined-up plan with your GP, kidney team, or menopause specialist.   This episode is compassionate, practical, and designed to help you advocate for yourself. We're also preparing a listener-led Q&A with Dr. Talaulikar—send us your questions! Submission details are in the show notes.   Perfect for: Women with CKD (or their supporters) navigating menopause, perimenopause, postmenopause; anyone curious about evidence-based options—including HRT—in the context of kidney health.     Follow & Subscribe: If this helped you, follow the show, leave a review, and share with a fellow Kidney Warrior. Your support helps more people find life-changing information.     Follow Diary of a Kidney Warrior:  

Episode 334 of the You Are Not Broken podcast, Dr. Kelly Casperson discusses her upcoming book tour for 'The Menopause Moment' and dives into the relationship between menopause, hormones, and skin health. She emphasizes the importance of understanding how hormonal changes during menopause affect skin quality and overall health, advocating for the use of hormone replacement therapy (HRT) to mitigate these effects. The conversation highlights the need for better education on the benefits of hormones and challenges misconceptions surrounding their use. Takeaways The Menopause Moment book is available for pre-order. Estradiol and Estriol can be beneficial for skin health. Skin changes during menopause are significant and often distressing. Hormones play a crucial role in skin quality and health. There is a lack of awareness about the effects of low hormones on skin. HRT can improve skin elasticity and hydration. Many women are not informed about hormone therapy options. The decline in estrogen leads to decreased collagen and moisture in the skin. Preventative health measures should be supported, including hormone therapy. Skin Paper by Viscomi et al Want more honest, empowering conversations like this one?⁠⁠⁠⁠Preorder my Next Book⁠⁠⁠⁠ share this episode, and leave a review to help others find this important work. Let's stop leaving women out of the conversation—especially when it comes to sex, health, and healing. Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com To learn more about GennaMD by Solv Wellness, visit gennaMD.com for 20% off your first order. For an additional $5 off, use coupon code DRKELLY5. Providers can request patient education materials or samples at gennaMDHCP.com.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Welcome back for the conclusion of my interview with Marine, FBI Special Agent, and HRT Operator Rob D’Amico. Rob D’Amico has over thirty-six years of federal government service—ten years in the United States Marine Corps and nearly twenty-seven with the Federal Bureau of Investigation. He is the founder and principal consultant for Sierra One Consulting.  Rob began a life of service when he enlisted as a US Marine during college at The Ohio State University in Columbus, Ohio, and, after obtaining his bachelor's degree, was commissioned as an officer and served his first overseas tour in the first Gulf War. His work on reconnaissance missions with the Marine Corps paved the way for Rob’s long and successful career with the FBI. After four years based out of the Bureau’s Miami, Florida field office, apprehending the most violent felons of South Florida as a member of a multi-agency violent crime fugitive task force, Rob transitioned into deep undercover work against the most notorious U.S. and Italian-based organized crime families. Rob was among the few selected to the FBI’s elite Hostage Rescue Team, in which he served as a sniper and was first deployed to Iraq and Afghanistan. Rob’s career with and beyond the HRT team placed him at each pivotal step in the resolution of kidnapping and hostile detention matters. He has worked on every facet of operations—negotiating hostage releases and exchanges, operating under the highest pressure against pirates, negotiators, warlords, leaders of terrorist networks, as well as with ambassadors, generals, foreign ministers, and non-government organizations.  From being deep undercover, going after the mob, to dealing with Somali pirates, Rob has had a career that movies are literally made of. Today’s episode, we go deep into a hostage rescue operation on the high seas, dealing with Somali pirates!   In today’s episode, we discuss: ·      The difference between HRT and SWAT in the FBI?  ·      What attributes should HRT operators have? ·      What does HRT training look like? ·      The hijacking of the American SV Quest by Somali pirates and Rob's mission as an FBI HRT operator embedded with Navy SEALs regarding this mission. ·      Four United States citizens on board and 19 pirates. ·      The ultimate conclusion to the kidnapping? ·      Jurisdiction issues and maintaining and processing a floating crime scene that was in danger of sinking. ·      Going onto Somali soil to investigate and make arrests? ·      The strain on his family during this and other operations like this. How did Rob deal with it? What is his advice to someone about to do something similar to this work? ·      Retirement, how difficult was it to walk away from all of this? How did he cope/adjust? All of this and more on today’s episode of the Cops and Writers podcast. Visit Rob at his website! Check out the new Cops and Writers YouTube channel! Check out my newest book, The Good Collar (Michael Quinn Vigilante Justice Series Book 1)!!!!! Enjoy the Cops and Writers book series. Please visit the Cops and Writers website.  

Today's episode is a follow-up to Laura's recent conversation on hormone replacement therapy. She will be answering some of the common questions that came in afterward. [3:30] Should my husband take testosterone?[25:35] How do I go off HRT?[29:46] Will you take HRT?___________Submit your questions to be answered on the show to wildwellfed@gmail.com_______Interested in becoming a client and working with me? Order labs on demand at the Wild + Well-Fed Clinic:Order Testing Now!_________Laura's Info:Instagram: @wildlyonswellnessWebsite: www.wildlyonswellness.comCourse + Products:Wild + Well-Fed Course -  Listeners get $50 off with code PODCAST Wild + Well-Fed Shop - Coffee, Matcha, Magnesium and Sea SaltRewild Your Gut Course 

Hi friend — welcome back to The Habit Within! I'm Camille Kinzler, and today we're continuing our five-part series on reclaiming women's health from the inside out.Last week we talked about why you need to be at the center of your own wellness story — not a plan, not a lab, not an expert. And this week, we're taking it deeper with something I feel so passionate about: bio-uniqueness.Because here's the truth — if you're following a one-size-fits-all plan, even if you're “doing it right,” you may still end up exhausted, overwhelmed, or wondering why it's working for your friend but not for you.In this episode, I explore:Why “everyone should” protocols (cut carbs, take this supplement, do HRT, cycle-sync, etc.) don't actually work for everyoneThe story of how the same prescription could help one patient thrive while making another completely miserableWhy even functional and holistic medicine often still falls into the “one-size” trapHow genomics and personalized data can provide a map to your body's unique needs — and why insight only matters if you actually align with itA guided reflection to help you notice where you've been overriding your body with somebody else's protocolsThis episode is an invitation to stop blaming yourself when a plan doesn't work. You're not broken. You're not behind. You're simply bio-unique — and that's your power.Big Takeaways:One-size-fits-all wellness is a myth.Bio-uniqueness means your health choices should honor your DNA, history, and intuition.Even the best science only works when you're still at the center of your story.I'd love to hear from you: What's one area where you've been trying to fit into someone else's plan? Tag me, share your reflections, or leave a review — I love hearing your stories.If you're tired of feeling exhausted, irritable, moody, and just not like yourself, schedule a free 30-minute consultation so I can help you feel like YOU again Fill out this brief form (2 min) to schedule a free 30-minute call. Love the show? Leave a 5-star review, and let me know what hit home for you. Find me on Instagram @camille_kinzler and leave me a DM!

Producer Tammy Munson flips the script and interviews Dr. Lindsey about hormones—what they are, why midlife can feel like a “storm,” and how lifestyle, testing, and targeted strategies (starting with cortisol and insulin) create real hormone harmony. They dig into common myths (it's not all about HRT), what to test, how to think functionally (antecedents/triggers/mediators), and introduce Lindsey's upcoming Hormone Harmony course plus a free starter ebook.Key TakeawaysHormones = the body's messaging system. When they're imbalanced, every “section of the orchestra” is out of tune—mood, sleep, energy, metabolism, cycles.Perimenopause isn't the start of the storm. For many, cortisol and insulin dysregulation had been present long before; midlife amplifies the issue.Start with foundations. Sleep, nutrition, movement, stress regulation, relationships, environment, microbiome, and trauma history all play a role in maintaining hormone balance.Fix cortisol & insulin first. You won't stabilize thyroid, estrogen, progesterone, or testosterone long-term without addressing these two.Test, don't guess. Get a basic panel (thyroid, cortisol, insulin, sex hormones) before jumping into meds/supplements.Myths to ditch. Hormone issues aren't only a menopause problem, and HRT isn't the only solution—lifestyle and root-cause work matter.Balanced hormones = better life. More stable mood, energy, sleep, cognition, and metabolic ease.Resources. Lindsey's Hormone Harmony course dives into oxytocin, cortisol, insulin, thyroid, estrogen, testosterone + practical protocols. A free ebook offers a starter roadmap (link in show notes).Listen in to learn more: 00:57 – 02:12 | What hormones do: sleep, metabolism, mood, reproduction, stress response.02:12 – 05:38 | Why midlife feels like a storm: cultural narratives, U.S. lifestyle factors, and pre-existing cortisol/insulin issues.05:38 – 07:22 | Healthcare gaps: dismissal, antidepressants, “you're just crazy” narratives; measure first.07:22 – 09:56 | Lifestyle levers & functional lens: sleep, diet, stress, exercise, relationships, environment, microbiome, genetics; antecedents/triggers/mediators; “turn off the faucet.”09:56 – 12:42 | Myths & priorities: hormone issues across the lifespan; HRT isn't the only tool; start with cortisol and insulin.Links Sign up for the E-book – https://www.wellnessmadesimple.us/dose-of-clarity/Connect with Tammy.  Website - Wildfire Creative Company IG: @WildfireCreativeCoBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-lindsey-elmore-show--5952903/support.

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

Are you feeling confused about fasting, weight loss peptides, and nutrition, especially since most of the research seems to be on sedentary people who look nothing like you? If you're an active woman trying to figure out whether these trends and studies actually apply to you, this episode is for you. I'm joined by nurse practitioner Cynthia Thurlow, and together we unpack what the science really says and what it means for women like us. We cover: What metabolic health really means Whether fasting is the magic bullet, or a minefield, for active women The one experiment you absolutely should try for yourself What it means to “microdose” weight loss peptides Cynthia Thurlow is a nurse practitioner, with over 25 years of experience in the world of health and wellness. She's done a couple of great TedX talks that hit the jackpot with over 15 million views for her second one (Intermittent Fasting: Transformational Technique). Cynthia is a globally recognized expert in perimenopause/menopause and intermittent fasting, and she has also been featured on ABC, FOX5, and The Megyn Kelly Show. Like me, she is on a mission to help empower women to live their most optimal lives in perimenopause and beyond. themidlifepause.com – supplements (Discount code ZORA) cynthiathurlow.com/hrt (HRT provider guide)   Contact Cynthia Thurlow Twitter: https://twitter.com/CynthiaThurlow  Instagram: https://www.instagram.com/cynthia_thurlow___/  Facebook: https://www.facebook.com/groups/1004505663061383  LinkedIn: https://www.linkedin.com/in/cynthia-thurlow-50395a9/  TikTok: https://www.tiktok.com/@cynthia_thurlow_  Youtube: https://www.youtube.com/cynthiathurlow  Website: https://cynthiathurlow.com/   Give thanks to our sponsors: Try Vitali skincare. 20% off with code ZORA here https://vitaliskincare.com Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure Urolithin A by Timeline. 20% discount with code ZORA at https://timeline.com/zora Save 10% on MitoQ with code ZORA at mitoq.com Try Suji to improve muscle 10% off with code ZORA at TrySuji.com https://trysuji.com Try OneSkin skincare with code ZORA for 15% off  Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before October 1, 2025 to win a Flexbeam Red Light Therapy Device. Or save 10% with code ZORA at recharge.health     Join the Hack My Age community on: YouTube: https://youtube.com/@hackmyage Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠  Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠   

Send us a textThe silence around menopause and sexuality in midlife is finally breaking. Sex therapist Brooke Bralove returns to the podcast for a candid, informative conversation about what women really experience during perimenopause and menopause—and why suffering should never be the default option.Brooke reveals that even as medical understanding evolves, many healthcare providers remain woefully undereducated about treating menopausal symptoms. Most OBGYNs receive just hours of training on menopause management throughout their entire medical education. This knowledge gap leaves countless women struggling with hot flashes, painful sex, mood swings, joint pain, and fatigue without proper support or treatment.The conversation dives deep into how hormone replacement therapy (HRT) has been misunderstood and unfairly maligned. Contrary to outdated beliefs, many forms of HRT are safe and effective for managing symptoms that significantly impact quality of life. Brooke encourages listeners to seek out menopause-educated providers who understand current research rather than accepting outdated "it's just part of aging" dismissals.Beyond the physical aspects, we explore how menopause affects relationships and sexual satisfaction. Many couples who've been together for decades have never had honest conversations about their sexual needs. Brooke offers practical strategies for breaking through shame and initiating these difficult discussions, including "walk and talk" conversations and sexual activity lists that help partners express preferences without direct confrontation.For women experiencing painful intercourse—a common menopausal symptom—the message is clear: stop. Expanding our definition of sex beyond penetration becomes increasingly important as bodies change. As Brooke puts it, "Women in their 40s and 50s are very empowered and want more pleasure. They know they can have it."Want to learn more about navigating menopause and enhancing intimacy in midlife? Visit About Brooke Bralove | Bethesda, MD or follow @brookebralove_psychotherapy on social media for resources that can help you reclaim pleasure and well-being during this transformative life stage. This podcast is meant to be a resource for the general public, as well as fellow therapists/psychologists. It is NOT meant to replace the meaningful work of individual or family therapy. Please seek professional help in your area if you are struggling. #breakthestigma #makewordsmatter #thingsyoulearnintherapy #thingsyoulearnintherapypodcastIf you or someone you know is struggling with mental health concerns, please contact 988 or seek a treatment provider in your area.If you are a therapist or psychologist and want to be a guest on the show, please complete this form to apply: https://forms.gle/ooy8QirpgL2JSLhP6Feel free to share your thoughts at www.makewordsmatterforgood.com or email me at Beth@makewordsmatterforgood.comSupport the showSupport the showwww.bethtrammell.com

It's been a year since I start HRT and I thought I would offer some of my various neuroses to you. I talk about my anxiety in dealing with promoting oneself as an 'identity-brand,' and how this provided unique colour in the more general experience of changing how I am perceived in the eyes of others. Cursed with the mark of the media, I try to reconcile my discomfort in the act of mass promotion with my desire to create a document of my experiences and for others to maybe take solace in being familiar with these experiences. ~~~Please email complaints, suggestions, or requests to hausofdecline@gmail.com  Thank you for listening.Explicit Content Warning. You WERE warned.  That's what the little E signifies.    ★ Support this podcast on Patreon ★

EP. 229:  Grab The Perimenopause Revolution here: drmariza.com/book. → I'm hanging out with my girl Dr. Mariza Snyder in this episode, and let me tell you, she's an absolute powerhouse. With 17 years of experience supporting midlife women, plus her work as an author and speaker, she's all about empowering women to take control of perimenopause and beyond. We dig into her upcoming book, The Perimenopause Revolution, which is packed with tools to help women navigate hormonal changes with confidence. We cover everything from brain health to metabolic wellness, HRT dosing, and even the value of time alone.  Topics Discussed: → What are the first signs of perimenopause? → How can women prepare for perimenopause? → What lifestyle changes help with hormone balance? → How does insulin resistance affect midlife women? → When should you start HRT or see a doctor for perimenopause? Sponsored By: → Sundays | As a Listener of The Dr Tyna Show, you can Get 40% off your first order of Sundays. Go to sundaysfordogs.com/DRTYNA and use code DRTYNA at checkout. → Liver Love | Go to https://store.drtyna.com/products/liverlove Use code LIVER20 for 20% off → Manukora | Head to manukora.com/DRTYNA to save up to 31% & $25 worth of free gifts in the Starter Kit, which comes with an MGO 850+ Manuka Honey jar. → Timeline | Head to timeline.com/DRTYNA and get 20% off with code DRTYNA  → BIOptimizers | For 15% off go to bioptimizers.com/drtyna and use promo code DRTYNA → LMNT | Get a free 8-count Sample Pack of LMNT's most popular drink mix flavors with any purchase at drinklmnt.com/drtyna. Find your favorite LMNT flavor, or share with a friend. On This Episode We Cover:  → 00:00:00 - Introduction → 00:02:32 - Babies and perimenopause → 00:04:40 - Preparing for perimenopause → 00:07:44 - Brain injury, pregnancy, & perimenopause → 00:14:06 - Flat affect & dysregulation → 00:15:44 - Mid 30s health advice → 00:21:48 - First signs of perimenopause → 00:24:08 - Hormone changes & symptoms → 00:27:27 - Insomnia & stress intolerance → 00:29:52 - Metabolic health → 00:32:29 - Insulin resistance → 00:35:20 - Birth control & SSRIs → 00:39:51 - HRT dosing → 00:45:16 - Endocrinology → 00:49:11 - Migraines & chronic pain → 00:51:37 - Cortisol & oxytocin → 00:54:08 - Lifestyle changes → 00:58:10 - The DUTCH test → 00:59:30 - Regenerative medicine & pain → 01:03:36 - Value of time alone → 01:05:31 - Finding the right doctor → 01:11:50 - Where to find Dr. Mariza Show Links:  → Find A Doc Further Listening:  → EP. 114: Perimenopause: A Guide to Navigating Hormonal Shifts with Dr. Mariza Snyder → EP. 225 | The Truth About SSRIs that Your Doctor Isn't Telling You | Solo → EP. 228 | What Every Woman Should Know About Hormones & Vaginal Health | Dr. Anna Cabeca → Hormones Playlist Check Out Dr. Mariza:  → drmariza.com/book → Instagram

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

Why do so many women struggle with autoimmune issues, fertility challenges, cardiovascular disease, and weight gain—despite following medical advice? In this episode, Dr. Brendan McCarthy, NMD, explores the overlooked connection between self-silencing—the habit of suppressing your voice, needs, and emotions—and women's health. Drawing on years of patient care and research, he explains how chronic stress from silencing yourself impacts the body at a biochemical level, and what you can do about it. You'll learn: ✔️ How self-silencing triggers stress pathways that worsen inflammation and disease ✔️ Why heart rate variability is a powerful tool for tracking stress ✔️ Simple, science-backed therapies—from cold plunging to nutrition to breathing techniques ✔️ How physicians can address both the cause and the symptoms of stress-related illness ✔️ What treatments may help stabilize autoimmunity, cardiovascular risk, and fertility issues This episode wraps up Dr. McCarthy's series on self-silencing and offers practical strategies to support healing while doing the deeper inner work.   Dr. Brendan McCarthy is the founder and Chief Medical Officer of Protea Medical Center in Arizona. With over two decades of experience, he's helped thousands of patients navigate hormonal imbalances using bioidentical HRT, nutrition, and root-cause medicine. He's also taught and mentored other physicians on integrative approaches to hormone therapy, weight loss, fertility, and more. If you're ready to take your health seriously, this podcast is a great place to start.  

Dr. Erika Schwartz is a pioneer in the use of bio-identical hormones for preventing illness and their direct link to overall wellness, as well as their interconnection with diet, sleep, and stress management. She joins the show to discuss the world of hormones: what's lifestyle-driven, what's hormone-based, and how to know the difference. She breaks down the powerful role of estrogen (including topical use) to the balancing effects of progesterone, the impact of testosterone, thyroid, and adrenal health, in addition to each of these players' effects on energy, mood, metabolism, and longevity. We also cover PCOS, when it may be time to start HRT, and the best timing for blood work to get accurate results. Whether you're curious about optimizing hormones for the first time or deep in research, this conversation brings clarity to a confusing space—merging science with real-life application.This episode is brought to you by YNAB, Ned, Puori, Just Thrive, LMNT, Hungry Root, and Fatty 15:YNAB: Listeners of Well can claim an exclusive three-month free trial with no credit card required at www.YNAB.com/wellNed: Get 20% off your first order by visiting www.foriawellness.com/BLONDE or use code BLONDE at checkoutPuori: Get 20% off when you visit by exclusive URL www.puori.com/BLONDE and use my promo code BLONDE at checkoutJust Thrive: Visit www.justthrivehealth.com/discount/well and save 20% on your first 90 day bottle of Just Thrive probiotic with promo code WELLLMNT: Right now LMNT is offering a free sample pack with any purchase. This deal is only available by visiting my link www.drinklmnt.com/WELLHungry Root: Visit www.hungryroot.com/blonde and use code blonde for 40% off your first box PLUS a free item in every box for life. Fatty 15: You can get an additional 15% off their 90-day subscription Starter Kit by going to www.fatty15.com/WELL and using code WELL at checkout.Please note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Subscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsHormones aren't just about menopause, they're a vital sign for your health at every age. In this episode, Dr. Taz shares her personal story of a hormone crash at 28 and reveals how gut health, nutrient quality, toxin exposure, and stress shape hormone balance from childhood through your 50s and beyond.You'll learn why teens are facing hormonal imbalances like PCOS, endometriosis, and anxiety at record rates, why birth control and IVF can be “band-aid” fixes, and how to create a lifelong plan for hormonal stability.From the cortisol-androgen loop to fertility challenges, perimenopause transitions, and the risks of synthetic hormone treatments, this episode is your complete guide to a holistic approach to hormone health.Dr. Taz shares:• Why hormone imbalances are hitting teens harder than ever before• How your gut microbiome shapes your hormone health for life• The dangerous loop between cortisol, insulin, and androgens• Why “band-aid” fixes like birth control, IVF, and HRT can backfire• How to test your hormones at any age (without spending a fortune)• The critical steps to take in your 20s, 30s, and 40s to protect your future health• Why hormone shifts affect men just as much as womenWhether you're a parent concerned about your teen, in your 20s and feeling burned out, struggling to conceive in your 30s, or navigating the hormonal shifts of midlife, this episode will give you the holistic roadmap you need to thrive.Thank you to our sponsor:Timeline is offering my listeners 20% off your first order of Mitopure. Just go to timeline.com/DRTAZConnect further to Hol+ at https://holplus.co/- Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.Get your copy of The Hormone Shift: Balance Your Body and Thrive Through Midlife and MenopauseStay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Host & Production TeamHost: Dr. Taz; Produced by Rainbow Creative (Executive Producer: Matthew Jones; Lead Producer: Lauren Feighan; Editors: Jeremiah Schultz and Patrick Edwards)Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+Chapters00:00 My Hormone Crash Story & Why Hormones Matter at Any Age03:35 How Childhood Gut Health Shapes Hormones for Life07:25 The Teenage Hormone Crisis11:27 Birth Control Risks & The Band-Aid Problem13:48 The Cortisol-Androgen Loop of Your 20s17:56 Fertility Struggles and Hormone Shifts in Your 30s21:11 The Perimenopause Transition — Why Early Prep Matters24:58 The Menopause Conversation We're Not Having27:49 Testing, Toxins, and the Holistic Hormone Plan

The FASTEST Way to Get Lean if Money Wasn't an Issue It's EXTREMELY expensive to be unhealthy. (1:02) The 7 FASTEST Ways to Get Lean if Money Wasn't an Issue #1 - Hire a trainer 3 days a week. (3:10) #2 - Hire an online coach for diet. (8:10) #3 - Get a meal prepping service. (12:18) #4 - Optimize your hormones with HRT. (14:24) #5 - Use a GLP-1 and other peptides. (17:18) #6 - Get an Eight Sleep system. (19:19) #7 - Supplements for nutrients. (20:45) Related Links/Products Mentioned Get your free Sample Pack with any “drink mix” purchase! Find your favorite LMNT flavor or share it with a friend. Try LMNT risk-free. If you don't like it, give it away to a salty friend and we'll give you your money back, no questions asked! Visit DrinkLMNT.com/MindPump August Special: MAPS 15 50% off! ** Code MUSCLE50 at checkout ** Unexpected Clues Emerge About Why Diets Fail Mind Pump # 2385: Five Reasons Why You Should Hire a Trainer Visit Transcend for this month's exclusive Mind Pump offer! ** Telehealth Provider • Physician Directed GET YOUR PERSONALIZED TREATMENT PLAN!  Hormone Replacement Therapy, Cognitive Function, Sleep & Fatigue, Athletic Performance and MORE! ** Visit Eight Sleep for an exclusive offer for Mind Pump Listeners! ** Use the code MINDPUMP to get $350 off your very own Pod 5 Ultra. The best part is that you still get 30 days to try it at home and return it if you don't like it – – Shipping to many countries worldwide. ** MP Holistic Health Mind Pump Podcast – YouTube Mind Pump Free Resources  

Episode Highlights With EmilyWhy perimenopause isn't a problem but a clue and what the data actually saysSymptom treating vs dialing in and extending positive physiologyWhy she doesn't even like to use the word perimenopauseEstrogen is lowest on day 1 of the cycleWhat hormones fluctuate and when in a monthly cycle How monthly hormone fluctuations affect every aspect of health for womenSome things we don't understand about our cycleCancer protective parts of the cycle and why most breast cancer occurs after menopauseOne study on breast cancer and the timing of surgery found affecting the lower chance of recurrence The real role of progesterone and why this is so important to understand Why women see metabolic and circadian changes in perimenopause and menopauseNew tools for tracking cycle and hormones at homeHer take on HRT and how to navigate it in a rhythmic and cyclic wayResources MentionedEmily Sadri - Website  Follow Emily on Facebook and Aurelia Women's Health on FacebookFollow Emily on Instagram and Aurelia Women's Health on InstagramInito Hormone TrackerMira Max Fertility Monitor

Guest: Alex Smereczniak— Serial entrepreneur, former CEO of 2ULaundry & Laundry Lab (over $100M valuation, 118 franchises sold), founder of Franzy (30,000+ monthly users, $3M+ raised to help people buy “cash-flowing” businesses). Early Hustles & First Big Win: Started with classic entrepreneurial pursuits: trading cards, washing cars as a kid, and then running a laundry delivery business (“Wake Wash”) in college, which he bought for $30,000 and sold for nearly $300,000 after systematizing and scaling it. Learned about discounted cash flow, buy/sell agreements, and the real value of recurring cash flow and business structure early on. Scaling, Strategy, and Differentiation: Moved from a student business to working for a Big Four consulting firm (Ernst & Young), but quickly realized he needed to build businesses—not just advise them. Launched 2ULaundry in 2016: delivered laundry/dry cleaning to homes and businesses, quickly scaling through tech and operations, later vertically integrating by building brick-and-mortar laundromats with Electrolux, and ultimately franchising the model for rapid growth. Grew Laundry Lab to 118 franchise awards and 30 locations open as of 2025. Laundromats as a Business Model: Low failure rate due to essential, “recession proof” services—people always need clean clothes—combined with cash-flow and passive income advantages. The “Power Play”: Buy from retiring owners, retool equipment over time, tap into durable local demand. Challenges, Automation & Venture Backing: Success meant more than cash-flow: his companies required operational discipline, vertical integration, and large capital outlays (laundromat builds exceed $1M). Venture capital was attracted by the “Uber for Laundry” home-delivery angle, but Alex's model matured into a blend of tech, local infrastructure, and scalable franchising. Why Franchising Needs Disruption — Enter Franzy: Traditional franchise placement is “Wild West,” with brokers sometimes pocketing up to 60% of franchise fees, influencing which opportunities new entrepreneurs see. Franzy's mission: Take a “Zillow for Franchising” approach—leverage AI for franchise matching (across 4000+ brands), standardized fees, and transparency to empower more everyday people to buy real businesses. Focuses on each buyer's risk profile, lifestyle, and goals; not just “make the most money,” but “fit the best business to the person.” Franchise Trends & Business Models to Watch: Still bullish on laundromats for certain profiles (cash-flow, de-risked, lifestyle), but now sees huge growth in health & wellness, home services, and viral consumer brands (e.g. PopUp Bagels, HRT clinics, anything innovating with AI or “cult” followings). Anticipates continued “displacement” of white-collar jobs by AI; business ownership, franchising, and “betting on yourself” are the safest long-term play for income and autonomy. Connect with Alex & Learn More: https://franzy.com/ https://www.instagram.com/alexfromfranzy/