Podcasts about l'h

Your app says you ovulated. Your OPK lit up. But did your body actually ovulate? In this episode I'm sharing why period apps and ovulation predictor kits can't confirm ovulation on their own, how relying on their predictions can cause you to miss your fertile window, and why I believe the final word on your fertility should come from the body God designed and the wisdom He gives you, not an algorithm.Episode highlights:Why period apps predict ovulation from past cycles instead of what your body is doing right nowThe outdated "day 14" assumption and why your follicular phase naturally varies cycle to cycleWhat an LH surge really tells you, and why it doesn't prove ovulation happenedHow tools like Inito can support fertility awareness without replacing itHow timing intercourse around an app's guess can mean missing your fertile windowBringing prayerful discernment back into how you understand your cycleResources & Links✨ Hormone Reset Boot Camp. October 5th and 6th. Free, but spots are limited. Sign up here: bekahyawn.com/bootcamp    ✨Initio Code for 15% off: SETFREE15 - Get it here: https://www.inito.com/ (I may earn a small commission at no cost to you)✨ Join Fertility Framework: Fertility Framework is currently closed for some exciting revisions — I'm making updates I can't wait for you to see! If you're ready for deeper support, personalized cycle guidance, and faith-filled encouragement, get on the wait list to be the first to know when the doors reopen this fall. This is a space where you AND your husband can learn the science of your cycle while keeping God at the center of your fertility journey and growing toward Him together. Read the testimonies and join the wait list here: bekahyawn.com/course ✨If you would like personal support on your journey but are not sure how to get started, book a free 10-minute consult with me here: bekahyawn.com/consult 

What if your fertility chart looks great, your LH surge is positive, your progesterone rises, and yet you still aren't actually releasing an egg? In this episode of The Hormone Genius Podcast, Teresa and Jamie welcome back Krista “CJ” Johnston to dive into one of the most frustrating and misunderstood causes of infertility: luteinized unruptured follicles (LUFs). CJ spent four years navigating infertility, endometriosis, recurrent LUFs, surgeries, and the emotional exhaustion that comes with feeling like you're doing everything “right” without getting answers. Her story eventually led to a deeper understanding of what was happening in her ovaries, and, ultimately, to her first pregnancy. Together, we explore: ✨ What exactly is a luteinized unruptured follicle (LUF)? ✨ Why a positive LH test or rising progesterone does not necessarily confirm that an egg was released ✨ Why a follicle study/ultrasound series can provide information that charting and laboratory testing cannot ✨ The possible relationship between LUFs, endometriosis, PCOS, inflammation, scar tissue, and ovarian function ✨ CJ's experience with recurrent LUFs before and after endometriosis surgery ✨ How pelvic inflammation and postoperative adhesions affected her ovaries ✨ The role of nutrition and iodine in CJ's personal fertility journey—and why more research is needed ✨ Emerging approaches to healing and inflammation, including the unique use of PRP during surgery ✨ The emotional toll of infertility—and knowing when to keep pushing and when it's okay to pause ✨ Why trusting your instincts and advocating for yourself matters Perhaps the most important takeaway? An ovulatory event is not necessarily the same thing as confirmed ovulation. Connect with CJ: Dignity Empowered — hormone coaching and writing focused on infertility, women's health, and spiritual motherhood. Email: info@dignityempowered.com We're so grateful to have We Heart Nutrition supporting The Hormone Genius Podcast! Ready to check them out? Visit weheartnutrition.com and use code GENIUS at checkout for 20% off your order. Medical Disclaimer: This podcast is for educational and informational purposes only and is not intended to diagnose, treat, or replace individualized medical care. Fertility concerns and treatment decisions should be discussed with a qualified healthcare professional who can evaluate your individual history and circumstances. Information discussed about supplements, iodine, PRP, LUFs, and other treatments should not be interpreted as medical advice or a recommendation for self-treatment.

What labs should women actually be asking for, and what do those numbers really tell you about your health? In this episode of Healthy As A Mother, Dr. Leah Gordon breaks down the key labs she believes women should understand, from blood sugar and fasting insulin to thyroid, iron, inflammation, reproductive hormones, vitamin D and more. She explains what these markers can reveal about metabolic health, fertility, energy, hormones, symptoms and overall health, and why looking at a single lab without the right context can sometimes miss the bigger picture.The conversation also dives into reproductive hormone testing, including estradiol, progesterone, FSH, LH, AMH, testosterone, SHBG and DHEA, with a major emphasis on understanding where you are in your menstrual cycle when certain labs are drawn. Leah and Morgan discuss why cycle tracking and understanding ovulation can give women important context about their own health, whether they are trying to conceive, trying to avoid pregnancy, navigating postpartum or breastfeeding, or approaching perimenopause.They also cover thyroid markers, ferritin and iron studies, hs-CRP and inflammation, cortisol, vitamin D, ANA, and the importance of considering a partner's semen analysis when trying to conceive. The episode ultimately comes back to one central idea: learning the basics of your own health can help you ask better questions, recognize when something deserves further investigation, and become more informed about what is happening in your body.00:00 Trailer + Introduction03:26 Understanding Women's Health Labs04:58 Why Testing Matters for Women's Health09:29 Blood Sugar, Insulin & Metabolic Health16:34 Thyroid Labs: TSH, T3, T4 & Antibodies23:18 Iron & Ferritin: What Women Should Know29:10 Inflammation & hs-CRP33:59 Why Preconception Lab Testing Matters38:57 Reproductive Hormones & Cycle Timing40:52 Estradiol: When to Test Estrogen42:17 Progesterone: When to Test It45:37 Cycle Tracking & Knowing When You Ovulate49:46 FSH & LH: What They Tell You54:42 AMH & Ovarian Reserve57:54 Testosterone, SHBG & DHEA61:14 Cortisol, Vitamin D & Stress62:38 ANA, Fertility & Partner Testing63:56 Understanding Your Labs & Advocating for Your HealthResources From This Episode:Dr. Leah's Free Fertility Lab Guide - https://drleahgordon.com/fertility-lab-guide-freebieDr. Leah's Free Fertility Masterclass - https://fertilitymasterclass.drleahgordon.com/Dr. Leah's Taking Back Fertility Program - https://takebackfertility.drleahgordon.com/Dr. Leah's Womanhood Wellness Membership - https://drleahgordon.com/joinHealthy As A Mother Podcast | YouTubeHealthy As A Mother Podcast | InstagramHealthy As A Mother Podcast | TikTokHealthy As A Mother Podcast | Merch StoreFind more from Dr. Leah:Dr. Leah Gordon | InstagramDr. Leah Gordon | WebsiteWomanhood Wellness | WebsiteFind more from Dr. Morgan:Dr. Morgan MacDermott | InstagramDr. Morgan MacDermott | WebsiteUse code HEALTHYMOTHER and save 10% at EarthleyUse code HEALTHYMOTHER and save 15% at RedmondFor 20% off your first order at Needed, use code HEALTHYMOTHERSave $260 at Lumebox, use code HEALTHYASAMOTHERUse code HAAM and save 10% at Fond

This week's Wellness Hour is a good old-fashioned catch-up, and it starts with big news: Jensen got engaged! She tells the full Cannon Beach proposal story (including the ring that spent the whole trip loose in his pocket). From there, the girls talk wedding planning and why venues book out so far ahead. Kira opens up about sending Ellie to kindergarten, the "crunchy mom" algorithm, and learning to feel grateful for the life she's built. Then Jensen shares her experience at a fertility clinic, where she felt dismissed after describing how she tracks her cycle. Lacey shares what's changed on their TTC journey, and Kira recaps Nashville and starts planning her bachelorette.   Key takeaways: Raising resilient kids: You don't need to remove every outside influence. You build a stable, happy home so kids can handle things as they come. Advocating in the doctor's office: Jensen shares her experience with a fertility clinic after tracking temperature, LH strips, and cycle patterns. A fertility journey update: Lacey shares what she and Zach changed over the past year and a half and what they're seeing.   Chapters: (00:00) Welcome + Jensen's engagement news (10:54) Enjoying the engagement bubble + wedding planning (15:51) Ellie starts kindergarten: school guilt & gratitude (23:56) Ring talk: gym, boats & insurance (25:35) Jensen's half marathon + Lacey's running story (29:36) Kira's muscle moment: lifting & the first chin-up (34:10) Lacey's Fertility update (35:48) Jensen's fertility clinic appointment + "You're not ovulating" (47:57) Lacey & Zach: acupuncture, supplements & progress (51:35) Kira's Nashville recap   Want to Work With Us? Join us in the Root Cause Reset Program: https://www.lifestyleucoaching.ca/wellness-effect-906145 and use code "Wellness Effect" for a FREE functional lab test when you join the program. Follow us on Instagram: The Podcast: https://www.instagram.com/thewellnesseffectpod/ Lacey Iskra - https://www.instagram.com/laceeiskk/ Jensen - https://www.instagram.com/wellnesswjensen/ Kira Iskra - https://www.instagram.com/wellbykira/ Lifestyle U have helped over 1,000+ women transform their mind and body and become the best version of themselves. Want to be next? Click Here to Apply! - https://www.lifestyleucoaching.ca/apply If you loved this episode and want to hear more, subscribe and leave a review! Share this episode with a friend who's ready to start their own wellness journey. Follow us on Instagram at https://www.instagram.com/thewellnesseffectpod/ to stay up-to-date with the latest episodes and tips.  

VOV1 - Nghị quyết 57 của Bộ Chính trị về đột phá phát triển khoa học, công nghệ, đổi mới sáng tạo và chuyển đổi số quốc gia đang được cụ thể hóa ở Sơn La bằng những cách làm rất thiết thực. Nghị quyết 57 của Bộ Chính trị về đột phá phát triển khoa học, công nghệ, đổi mới sáng tạo và chuyển đổi số quốc gia đang được cụ thể hóa ở Sơn La bằng những cách làm rất thiết thực. Từ người đứng đầu cấp ủy xã chủ động ứng dụng công nghệ, cán bộ cơ sở vừa làm vừa học, đến những nông dân đưa kỹ thuật mới vào từng gốc cây, từng sản phẩm và bán hàng trên không gian số. Nhưng để công nghệ thực sự trở thành động lực phát triển ở vùng cao, bài toán về nguồn nhân lực, hạ tầng và cơ chế hỗ trợ vẫn cần những lời giải phù hợp.Loạt 3 bài “Nghị quyết 57: đưa công nghệ về vùng cao Sơn La” của nhóm phóng viên Thanh Thủy - Lê Hạnh, Cơ quan thường trú khu vực Tây Bắc, kể về những con người đang đưa tinh thần Nghị quyết 57 từ chủ trương thành những thay đổi cụ thể trong công việc, sản xuất và cuộc sống.Bài 1: “Khi người đứng đầu nêu gương”

durée : 01:29:03 - par : Aurélie Moreau - Le New York Times à propos de Jorge Bolet, dans les années 1980 : « Il est de la trempe des géants et il est à n'en pas douter un des derniers pianistes vivants comparables aux grands du passé tels Hofmann, Rachmaninov et Lhévinne ». - équipe : Cécile Bonnet des Claustres, Benjamin Orgeret - invités : Aurélie Moreau Productrice Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Here is your Week 3 NFL Recap!! Another great week on the pod, Bocephus leans went 5-3, LH's picks made you a unit and a half...Thanks for tuning in and we will see you on Thursday for our full breakdown of Week 4!!!

Here is your Week 3 NFL Recap!! Another great week on the pod, Bocephus leans went 5-3, LH's picks made you a unit and a half...Thanks for tuning in and we will see you on Thursday for our full breakdown of Week 4!!!

Starting Fertility Treatment? What I Wish I Knew Before I Walked Into a Fertility Clinic. Entering your Two Week Wait Window?? THIS WEEK ONLY Grab my 14 Day Audio Devotional - Peace in the Wait for $27 instead of $49 - If you're in the middle of the two week wait right now, I created the Two Week Wait Audio Devotional to walk with you day-by-day—from ovulation to testing—with Scripture, prayer, worship, and steady truth; you can find it here: https://stan.store/coduinker/p/peace-in-the-wait   Try Inito — the fertility tool I've personally started using as Josh and I prepare to TTC baby #3 after navigating both infertility and now secondary infertility.

Send us Fan MailYour blood work says “normal,” but you're lying awake at 3 a.m., feeling off in your own skin, and wondering why your mood has a shadow you can't explain. That disconnect is one of the most confusing parts of perimenopause, especially when symptoms are subtle at first and then suddenly feel louder after you finally bring them up in a medical visit.We walk through what's really happening in the perimenopausal transition and why common hormone labs like FSH, LH, estrogen, and progesterone can miss the story when hormones fluctuate day to day. I also share a functional medicine lens that favors patterns over single data points, plus why patience is not the same thing as doing nothing. When sleep, hot flashes, cycle changes, joint pain, and mood shifts are in motion, your best clarity often comes from tracking across weeks and months instead of chasing one “perfect” test.Then we get practical: how to use a 90-day perimenopause tracker to journal symptoms, stress load, and lifestyle factors in a simple way that builds real insight. You'll hear how this kind of tracking can support decisions about prevention, insomnia support, and even whether it might be time to talk with a menopause specialist about hormone therapy or other options. If you're a partner listening, we also share why this can be a thoughtful gift that supports the women you love.Get a Free Copy of the 90-Day Perimenopause Tracker For a Limited Time:90-Day Perimenopause TrackerWelcome to the Art of Healing Podcast community. This podcast is devoted to helping you find what works on your journey to health and wellness. This podcast is devoted to providing information on many healing modalities. Learn more about:ReikiFunctional MedicineMeditationEnergy Healingand more!Learn more about Dr. Charlyce here. Never miss an episode of Art of Healing Podcast...the podcast devoted to helping you heal your mind, body and spirit.Sign up for my weekly newsletter, and never miss an episode along with other great content:Art of Healing PodcastStay in touch socially here:Healing Arts LinksLearn more about me and my offerings here:Healing Arts Health and Wellness

Zákon o zadávání veřejných zakázek je nastaven na mírovou dobu. Lhůty jsou dlouhé a stát má problémy nakoupit nejen vojenský materiál, ale třeba i batohy pro armádu, říká právník Pavel Martiník, zakladatel advokátní kanceláře Martiník. Řešením by podle něj byla specializace úředníků a soudců, kteří se zabývají přezkumem u veřejných zakázek, a pak také zákonná prioritizace obranných zakázek. V rozhovoru jsme si povídali nejen o legislativních překážkách, které brání rychlejšímu vyzbrojování české armády, ale probrali jsme třeba i sankce hrozící firmám, které bez dovolení vyvezou ze země zboží takzvaného dvojího užití.Tento díl podcastu Na vlně podnikání moderuje Petr Kain, šéfredaktor týdeníku Ekonom.

The average man today is walking around with meaningfully less testosterone than his grandfather had at the same age — and the fix the military is reaching for may be aimed at the wrong target.Dr. Mark Gordon returns to Men Talking Mindfulness for his third appearance to unpack the quiet war on male hormones. He's a pioneer of hormone-and-brain medicine, Medical Director of the Warrior Angel Foundation, and featured in the documentary Quiet Explosions. This episode centers on a live policy moment: a Pentagon directive associated with Defense Secretary Pete Hegseth that would screen service members over 30 for low testosterone and offer TRT, with the goal of a more capable, resilient force. Dr. Gordon shares the good news underneath the headline — the goal is right, and the biology is fixable — while making a clinical case that simply injecting testosterone is the wrong target, because it shuts down the body's own ability to produce it. Jon and Will dig into what actually drives low T, why everyday ibuprofen may be quietly part of the problem, and the root-cause path that restores a man's own hormone engine.IN THIS EPISODE, YOU WILL LEARN:1.  Why the average man today carries far lower testosterone than his grandfather did — and what's driving the decline2.  The Pentagon's proposed directive (tied to Secretary Hegseth) to screen service members over 30 for low T and offer TRT — and Dr. Gordon's clinical case for a smarter target3.  How everyday NSAIDs like ibuprofen (“vitamin M”) can quietly interrupt the brain's signal to make testosterone — and how to work around it4.  Why blast and TBI exposure can leave blood testosterone looking “normal” while brain hormone production is devastated — and why an injection can't reach that5.  The root-cause approach that restores your own production — pulsed clomiphene, calming inflammation and cortisol — instead of shutting your system downMore about Dr. Mark Gordon:1.  Educational site: https://www.tbihelpnow.org2.  Store (10% first-time discount, funds veteran treatment): https://www.millenniumhealthstore.com3.  Neurosteroid hormone paper — available on his website and Instagram4.  Documentary: Quiet Explosions: Healing the Brain — featuring Dr. Gordon and the Warrior Angel Foundation5.  Book: Peptides for Health — available via millenniumhealthstore.com (00:00) - Cold open (01:18) - Welcome to Men Talking Mindfulness (01:27) - The 60-second version: why testosterone is falling (02:11) - Meet Dr. Mark Gordon (03:26) - One-breath grounding practice (04:04) - Hormones 101: what the endocrine system does (06:14) - What disrupts your hormones (10:15) - 'Vitamin M': the military's ibuprofen habit (10:58) - How ibuprofen shuts down the testosterone signal (12:02) - Selenium and Brazil nuts: reversing the damage (16:13) - The Pentagon's TRT directive - and Mark's objection (17:10) - What ten years of veteran data shows (19:43) - What an 'optimal' testosterone level really is (21:39) - Fertility, Clomid and dosing mistakes (24:32) - Case file: Quiet Explosions (27:38) - Hormones and psychedelic-assisted therapy (30:53) - The brain's own pharmacy (36:10) - Breaking the NSAID wall (38:22) - Brain injury, LH and reading the labs (42:34) - Inflammation, pain and peroxynitrite (44:20) - What a listener can do without a military-grade panel (47:31) - Reversing MS: Tim's story (50:50) - First steps for a new patient - and what it costs (53:59) - Closing thoughts and where to find Dr. Gordon Check out our Awareness-to-action Self Mastery COURSE & COMMUNITY:12 modules on attention, presence & performance. Work at your own pace plus a community built for Inspiration and connection.1.  www.focusnowtraining.com/a2a-CourseJOIN US IN PERSON — Future Events and Retreats.1.  Live in-person event: Warrior Defined. We will be in Charlotte, NC, September 25, 2026 more info HERE: Or mentalkingmindfulness.comGET MORE FROM MTM:Text MTM to 33777 — free weekly newsletter1.  Subscribe: mentalkingmindfulness.com2.  FNT: focusnowtraining.comBRING FNT TO YOUR TEAM:1.  focusnowtraining.com/contactProduced by Robert Lopez | https://www.cratesaudio.com/

My labs came back "normal." So why do I feel like I'm falling apart and gaining weight?If you've heard that from your doctor, this one's for you. Andrea sits down with her friend (and her own doctor), Dr. Sarah Wilson, ND, founder and clinical director of Advanced Women's Health. They recorded this with no script, for both of their podcasts, and it shows. They laugh a lot, and they still get into the stuff most doctors skip.Sarah explains why she tests insulin and inflammation, not just FSH and LH, and why you can feel off for years before your labs show perimenopause. She uses a bank account analogy for insulin and fat storage that finally makes it click. Then they talk honestly about GLP-1 medications, what the big weight loss trials actually did, and why food, supplements, and medication don't have to be an either/or choice.Sarah also shares something personal. She used to weigh 100 pounds more than she does now, while eating well and working out, and it took years to find out why.WHAT YOU'LL LEARN- Why your labs can look normal when you feel anything but, and what "late reproductive" means- Which blood tests to ask about in perimenopause, including fasting insulin and inflammation markers- How insulin affects where your body stores fat, and why eating less often backfires- What the GLP-1 studies don't put in the headlines- 3 surprising things that can add to perimenopause weight gainCHAPTERS2:00 Why a Doctor Who Won't Budge Is a Red Flag2:31 Meet Dr. Sarah Wilson, ND5:36 "I Don't Know Where to Start" and How Your Feed Shapes What You Know8:06 Normal Labs but You Don't Feel Like Yourself? The Stage Before Perimenopause11:25 Blood Tests to Ask for in Perimenopause: Insulin and Inflammation15:08 How Insulin Drives Menopause Belly Fat (the Bank Account Analogy)19:46 Food First, and When You Need Extra Help24:20 GLP-1s in Menopause: What the Weight Loss Studies Don't Tell You27:47 Why Doing Everything at Once Backfires32:18 "When Did You Last Feel Like Yourself?" Weight, Confidence and Real Goals38:27 3 Surprising Causes of Perimenopause Weight Gain40:34 Menopause as Your "Done Caring" Era, and Why Laughing Helps50:56 How to Find a Doctor Who Actually ListensMENTIONED IN THIS EPISODEAdvanced Women's Health (Dr. Sarah Wilson's clinics in Ontario and BC): https://www.advancedwomenshealth.ca/Finally Lose It by Dr. Sarah Wilson, ND: https://amzn.to/4jpTM9eThe Advanced Women's Health Podcast: https://podcasts.apple.com/us/podcast/the-advanced-womens-health-podcast/id1772009349Dr. Sarah Wilson on Instagram: @drsarah_ndSarah's first visit to the show, Perimenopause Decoded: 7 Root Causes of Hot Flashes, Weight Gain & Brain Fog: https://youtu.be/u_otR4Oy-70Ep #195, GLP-1 and Muscle Loss with Natalie Bean: https://www.buzzsprout.com/1374700/episodes/19287911-ep-195-glp-1-and-muscle-loss-in-perimenopause-what-to-eat-to-protect-it-with-natalie-beanEp #203, Perimenopause Weight Gain and the 17 Reasons Why: https://www.buzzsprout.com/1374700/episodes/19670683-ep-203-perimenopause-weight-gain-and-the-17-reasons-whyThis episode is not medical advice. Talk to your own provider before starting or stopping any medication or supplement.Send us Fan Mail ======Morphus: Menopause Reimagined

VOV1 - Vietnam Airlines vừa công bố chiến dịch thường niên “Chạm thu Hà Nội 2026” với thông điệp “Một mùa thu. Năm giác quan. Vạn cảm xúc”. Chiến dịch kết nối hàng không với ẩm thực, âm nhạc, thể thao và các trải nghiệm đô thị, góp phần làm mới cách quảng bá Hà Nội vào mùa đẹp nhất trong năm. “Chạm thu Hà Nội” nằm trong thoả thuận hợp tác phát triển văn hoá – du lịch giai đoạn 2025-2030 giữa Vietnam Airliens và Thành phố Hà Nội. Ông Lê Hồng Hà, Tổng giám đốc Vietnam Airlines cho biết: “Mùa thu là một lợi thế rất riêng của du lịch Hà Nội. “Chạm thu Hà Nội” được xây dựng như một sản phẩm du lịch mùa thu, kết nối hàng không với văn hoá, dịch vụ và các hoạt động đô thị của Thành phố”. Đây là sự hợp tác phát giữa doanh nghiệp và TP Hà Nội trong việc cùng thực hiện có hiệu quả các Nghị quyết của Đảng về phát triển văn hoá, du lịch bằng những giải pháp thiết thực, (Nghị quyết số 80-NQ/TW của Bộ Chính trị về phát triển văn hoá Việt Nam và Nghị quyết số 26-NQ/TW về phát triển du lịch Việt Nam trở thành ngành kinh tế mũi nhọn trong kỷ nguyên mới), ông Phạm Tuấn Long, Giám đốc Sở Văn hóa, Thể thao và Du lịch TP Hà Nội, nhấn mạnh:“Mùa thu năm 2026 Vietnam Airlines cùng đồng hành, chúng ta cùng nhau, phát triển, thu hút du khách. Với chuỗi 5 sự kiện vào cuối tháng 9, đầu tháng 10 là những giải pháp thúc đẩy cho phát triển du lịch. Đặc biệt, đây là cách thực hiện các nghị quyết quan trọng của Đảng, tác động trực tiếp đến phát triển văn hoá, du lịch. Chúng ta cùng tập trung thực hiện nhanh, có hiệu quả nhất hai Nghị quyết này”.Ông Đặng Anh Tuấn, Phó TGĐ Vietnam Airliens cho biết, điểm mới của “Chạm thu Hà Nội 2026” là cách tiếp cận mùa thu qua năm giác quan:“Sức hút của một điểm đến không chỉ nằm hạ tầng và quy mô phát triển. Sức hút ấy còn đến từ những gì người ta cảm nhận, ghi nhớ qua mỗi chuyến đi. Đó là lý do Vietnam Airlines tiếp tục đồng hành cùng Hà Nội trong chiến dịch qua âm nhạc, thể thao, văn hoá và các hoạt động cộng đồng, cách chúng tôi tiếp cận mùa thu theo 5 giác quan, giàu cảm xúc, giúp du khách sống trọn trong không gian thu Hà Nội”.Đáng chú ý, ở “Chạm thu Hà Nội”, điểm nhấn là chương trình hoà nhạc Vietnam Airlines Classic-Hanoi Concert, diễn ra trong hai ngày 02 và 03/10/2026 tại Nhà hát Hồ Gươm. Sự kiện đưa âm nhạc giao hưởng kinh điển vào không gian văn hoá trung tâm Thủ đô, góp phần làm rõ hình ảnh Hà Nội như một điểm đến không chỉ có di sản, mà còn có đời sống nghệ thuật hiện đại. Sau âm nhạc là nhịp vận động của thành phố qua chuỗi hoạt động thể thao và trải nghiệm ngoài trời sôi động với điểm nhấn là Giải Bơi chải Thuyền rồng và Ván SUP Hà Nội mở rộng trên Hồ Tây. Khép lại chuỗi sự kiện với “Chạm sắc Thu” với giải chạy cộng đồng Run for Love ngày 25/10/2026. Cùng chuỗi sự kiện, Vietnam Airlines tăng cường kết nối với các đại sứ quán, tổ chức quốc tế và doanh nghiệp lữ hành để mở rộng kênh quảng bá, đưa sản phẩm du lịch mùa thu Hà Nội đến gần hơn với các thị trường trong và ngoài nước. Hãng cũng triển khai ưu đãi giảm tới 10% giá vé trên toàn bộ đường bay nội địa đến Hà Nội từ ngày 18/9, đi kèm các gói dịch vụ dành riêng cho du khách tham gia chiến dịch./.Ông Đặng Anh Tuấn, Phó TGĐ Vietnam Airlines phát biểu khai mạc

On today's episode of The Wholesome Fertility Podcast, I am joined by holistic nutritionist Robyn Srigley to discuss menstrual health, prolonged bleeding, ovulation tracking, and the pressure many women feel to "optimize" every part of their fertility journey. Robyn explains why a positive LH test does not always confirm ovulation, how low progesterone and iron may contribute to prolonged bleeding, and why normal lab results do not always mean the body is functioning optimally. We also discuss the importance of listening to your body, simplifying your wellness routine, and focusing on nourishment rather than perfection. Key Takeaways: A normal period runs about three to seven days. Bleeding or spotting that drags on for weeks, or shows up throughout the cycle, is worth investigating rather than waiting out. Low progesterone is one of the most common patterns behind prolonged bleeding. When ovulation is weak or absent, estrogen runs unopposed and the lining sheds unpredictably. LH strips show that the brain is signaling for ovulation. They do not confirm it happened. Basal body temperature lets you see, in hindsight, whether you actually ovulated. Heavy bleeding and low iron feed each other. Standard iron salts often absorb poorly, while gentler forms like iron glycinate, paired with vitamin C, and whole food sources such as beef liver tend to be better tolerated and more effective. "Within range" on a lab is not the same as optimal. What you feel in your own body is real information, even when results come back normal. More is not always better. Slowing down, simplifying, and removing what your body does not need can matter more than adding another supplement to the pile. Nervous system regulation comes first. When the body feels safe and settled, digestion and absorption improve, which supports everything else you are working toward. Guest Bio: Robyn Srigley is a Cycle Guide, Fertility Nutritionist, and Women's Health Educator who helps women understand irregular cycles, prolonged bleeding, ovulation, and fertility through a grounded, holistic lens. Her work blends body literacy, nourishment, nervous system support, and herbal wisdom to help women hear what their cycles are communicating and feel more informed, empowered, and confident in their bodies. After her own PCOS, now PMOS, diagnosis sent her searching for real answers, she went on to conceive both of her sons naturally and has spent more than a decade guiding other women to better understand their bodies. She shares daily on TikTok. Connect with Robyn: TikTok: https://www.tiktok.com/@robynsrigley Instagram: https://www.instagram.com/robynsrigley Beacons (all links): https://beacons.ai/robynsrigley Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are: https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertilityFacebook: The Wholesome Lotus  

Menopause timing is not purely genetic — and this episode explains how to delay menopause by supporting the systems that actually set the clock. Nurse Doza covers the three estrogens you make across a lifetime (E1, E2, E3), why estradiol supports your heart, cholesterol, and insulin, how PCOS and inflamed fat cells drive estrone production, and which labs to order and when in your cycle to run them. You will also hear why the liver belongs in every hormone conversation. FEATURED PRODUCT Liver Boost (Detox) by MSW Nutrition — $111 Your liver is where estrogen gets processed, conjugated, and cleared — which is why this episode keeps circling back to it. Liver Boost (formerly known as Liver Love) is a comprehensive formula designed to support phase I and phase II liver detoxification of environmental toxins, the same two-phase pathway your body uses to handle hormones. When that pathway is working against processed food, alcohol, and years of medication, everything downstream of it gets harder. Nurse Doza takes it daily alongside Mitochondriac (NAD+ Support) — $119 — a complete bioflavonoid complex with resveratrol, quercetin, and pterostilbene. That pairing is what he names at the close of this episode: support the liver, support the mitochondria.

Another win for Kimi (8th of his career) at the new Madrid GP, McLaren masterclass, bad day for LH and Russell accept his place as number 2 in Mercedes? Let's discuss. Enjoy!

Muchos hombres revisan únicamente la testosterona total y sacan conclusiones demasiado rápido. Pero para interpretar correctamente una analítica hormonal hay que mirar mucho más: testosterona libre, SHBG, LH, FSH, estradiol, prolactina, tiroides, cortisol, metabolismo y, sobre todo, los síntomas y el contexto de cada paciente.En este vídeo te explico cómo interpretar la testosterona de forma completa, qué puede significar una testosterona total “normal” con una libre baja, cómo saber si el problema está en la señal hormonal o en la respuesta testicular y qué factores pueden alterar tus resultados.También veremos por qué no todo síntoma hormonal significa que necesites TRT y qué deberías revisar antes de tomar cualquier decisión terapéutica.Una cifra aislada no diagnostica a una persona.Si tienes síntomas, dudas sobre tu analítica o quieres entender mejor tu salud hormonal, este vídeo te ayudará a saber qué valores realmente importan y cómo relacionarlos entre sí.Si quieres que mi equipo en Clínica Keval evalúe tu salud hormonal de forma completa, con una analítica detallada y un enfoque orientado a longevidad, metabolismo y prevención, puedes solicitar tu valoración con nosotros: https://link.keval.es/widget/form/qV3kor6KS8sLJJIvsQ0k?notrack=trueSuscríbete al canal para más contenido sobre testosterona, longevidad, metabolismo y salud hormonal.00:00 La testosterona no se interpreta aislada.01:57 Testosterona total y libre04:53 La SHBG08:09 El estrógeno11:01 La prolactina12:13 Las gonadotropinas14:19 Otras hormonas clave15:50 Conclusiones

Era actualitat dera Val d'Aran en aran

MASH is often called a silent disease, but its impact can be significant. Join Dr. Gerry Clancy and University of Iowa liver specialists Dr. Marta Tejedor Bravo and Dr. Alan Gunderson as they explore risk factors, screening, disease progression, and emerging therapies that are reshaping care for patients with metabolic liver disease. Liver Wellness | The University of Iowa Iowa Liver Wellness Symposium: Cirrhosis Care in Motion 2026 5k Race - Run for Your Liver, Run for Your life (and last year's video Run for Your Liver, Run for Your Life) Episode Transcript CE Credit Available Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Alan E. Gunderson, MD Clinical Associate Professor of Internal Medicine-Gastroenterology and Hepatology University of Iowa Carver College of Medicine Marta Tejedor Bravo, MD, MSc, PhD Clinical Associate Professor of Internal Medicine-Gastroenterology and Hepatology University of Iowa Carver College of Medicine Financial Disclosures:   Dr. Clancy, Dr. Tejedor Bravo, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Dr. Gunderson has disclosed the following relationships: CymaBay Therapeutics, Inc.; GigaGen, Inc.; LISCure Biosciences, Inc. - Sponsored Research Relevant financial relationships have been mitigated. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-058-H01 Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) References:  Rinella ME, Neuschwander-Tetri BA, Siddiqui MS, Abdelmalek MF, Caldwell S, Barb D, Kleiner DE, Loomba R. AASLD Practice Guidance on the clinical assessment and management of nonalcoholic fatty liver disease. Hepatology. 2023 May 1;77(5):1797-1835. doi: 10.1097/HEP.0000000000000323. Epub 2023 Mar 17. PMID: 36727674; PMCID: PMC10735173. European Association for the Study of the Liver (EASL); European Association for the Study of Diabetes (EASD); European Association for the Study of Obesity (EASO). EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). J Hepatol. 2024 Sep;81(3):492-542. doi: 10.1016/j.jhep.2024.04.031. Epub 2024 Jun 7. PMID: 38851997. Younossi ZM, Zelber-Sagi S, Lazarus JV, Wong VW, Yilmaz Y, Duseja A, Eguchi Y, Castera L, Pessoa MG, Oliveira CP, El-Kassas M, Tsochatzis E, Fan JG, Spearman CW, Tacke F, Castellanos Fernandez MI, Alkhouri N, Schattenberg JM, Romero-Gómez M, Noureddin M, Allen AM, Ong JP, Roberts SK, Shubrook JH, Burra P, Kohli R, Kautz A, Holleboom AG, Lam B, Isaacs S, Macedo P, Gastaldelli A, Henry L, Ivancovsky-Wajcman D, Nader F, de Avila L, Price JK, Mark HE, Villota-Rivas M, Barberá A, Kalligeros M, Gerber LH, Alqahtani SA. Global Consensus Recommendations for Metabolic Dysfunction-Associated Steatotic Liver Disease and Steatohepatitis. Gastroenterology. 2025 Oct;169(5):1017-1032.e2. doi: 10.1053/j.gastro.2025.02.044. Epub 2025 Apr 11. PMID: 40222485. Mladenić K, Lenartić M, Marinović S, Polić B, Wensveen FM. The "Domino effect" in MASLD: The inflammatory cascade of steatohepatitis. Eur J Immunol. 2024 Apr;54(4):e2149641. doi: 10.1002/eji.202149641. Epub 2024 Feb 5. PMID: 38314819. Harrison SA, Bedossa P, Guy CD, Schattenberg JM, Loomba R, Taub R, Labriola D, Moussa SE, Neff GW, Rinella ME, Anstee QM, Abdelmalek MF, Younossi Z, Baum SJ, Francque S, Charlton MR, Newsome PN, Lanthier N, Schiefke I, Mangia A, Pericàs JM, Patil R, Sanyal AJ, Noureddin M, Bansal MB, Alkhouri N, Castera L, Rudraraju M, Ratziu V; MAESTRO-NASH Investigators. A Phase 3, Randomized, Controlled Trial of Resmetirom in NASH with Liver Fibrosis. N Engl J Med. 2024 Feb 8;390(6):497-509. doi: 10.1056/NEJMoa2309000. PMID: 38324483. Sanyal AJ, Newsome PN, Kliers I, Østergaard LH, Long MT, Kjær MS, Cali AMG, Bugianesi E, Rinella ME, Roden M, Ratziu V; ESSENCE Study Group. Phase 3 Trial of Semaglutide in Metabolic Dysfunction-Associated Steatohepatitis. N Engl J Med. 2025 Jun 5;392(21):2089-2099. doi: 10.1056/NEJMoa2413258. Epub 2025 Apr 30. PMID: 40305708.  

Era actualitat dera Val d'Aran en aran

[깊이 있는 경제뉴스] 1) 공공기관 109곳 줄인다.. 발전사·에너지사 통합, LH는 분리 2) 美, 반도체 '표적관세' 예고.. 삼성·하닉에 투자 압박 3) 한전, 삼전닉스에 5년치 전기요금 선납 제안.. 배경은? 4) 주요국 환헤지 10년 만에 최저.. 달러 약세에 환손실 직면 - 매일경제신문 이희수 기자 - 연합인포맥스 정지서 기자 - 한국경제신문 조미현 기자

Could the high-achieving habit you're most proud of actually be quietly working against your fertility and making it harder to get or stay pregnant? If you're disciplined, driven, and used to pushing through fatigue, hunger, stress, and exhaustion to get things done, you may not realize that constantly overriding your body's signals can have consequences for your hormonal and reproductive health. In this episode you'll...-Understand why overriding hunger, fatigue, and the need for rest can keep your nervous system in a low-grade alert state.-Learn how chronic stress signaling can affect progesterone, the LH surge, digestion, thyroid function, and other aspects of your hormonal landscape.-Discover practical ways to respond to your body's signals while staying driven, productive, and ambitious.Press play to discover how listening and responding to your body's signals can help you work with your body—not against it—on your fertility journey.

Vevey est une ville au riche passé qui a vu défiler commerçants, artistes et voyageurs venus du monde entier, attirés par sa beauté et sa douceur de vivre. Pour accueillir ces visiteurs, auberges et hôtels voient progressivement le jour, parmi lesquels lʹHôtel des Trois Couronnes. Ouvert en 1842, ce palace historique est aujourdʹhui lʹun des plus anciens hôtels de Suisse. Pour découvrir ce lieu emblématique et lʹhistoire de la ville qui lʹa vu naître, Johanne Dussez sʹentretient avec Audrey Meyer, autrice du livre " LʹHôtel des Trois Couronnes " Editions Alphil.

Get 15% of on Saily E-SimsThis podcast episode is sponsored by Saily. Saily is an ESIM service app created by the security experts behind NordVPN. Instead of paying absurd daily rates to your home carrier or swapping SIM cards on arrival, Saily gives you flexible prepaid data plans in over 200 destinations worldwide. Download Saily from your app store and use our code FREQUENTMILER at checkout to get 15% off your first purchase. https://saily.com/frequentmilerIn this episode, we'll hear about the "best ever" Hyatt Place breakfast, we'll talk about where Greg should go after Berlin, and share lesser-known sweetspot awards like flights to Europe from 90 points and Scandinavian hotels from 500 points!Giant Mailbag(01:08) - Paul asks: "Is there another way to status match Flying Blue elite status or do we have to wait until it opens up again for US residents?"See our Shortcuts to Flying Blue elite status here(03:19) - Kevin writes in with some miles and points success storiesThis Week in Points(05:12) - Rove enhancements (out on Friday 8/28)(09:11) - Citi 25% transfer bonus to LHW through 9/19Personal Points(10:41) - LH multi-city via Aeroplan(13:25) - Hyatt Place AMS(16:51) - Greg's Berlin tripMain Event: Hidden Gem Awards(21:24) - Lodging(21:51) - Cottages.com for 15K Wyndham points/bedroom/night(23:14) - Preferred Hotels starting at 20K Choice/night(25:59) - Nordic / Scandinavian hotels w/ Finnair AviosLearn how to use Finnair Avios to book Scandinavian hotels here(30:15) - Flights: Star Alliance flights for 3.5K econ, 7K biz (under 600 miles)(32:27) - Air France business class to Europe with NO surcharges(36:06) - British Airways business or first class with low surcharges(43:06) - Royal Air Maroc: US to Morocco for 17.5K econ, 50.5K Biz w/ Finnair Avios(45:38) - Use Virgin Atlantic miles to fly around Europe and Northern Africa starting at 4K one-wayLearn more about Air France KLM across Europe here(50:02) - North America to Europe for 90 points via Lufthansa Miles & More(55:54) - Delta short-haul 5K Flying Blue milesSubscribe and FollowVisit https://frequentmiler.com/subscribe/ to get updated on in-depth points and miles content like this, and don't forget to like and follow us on social media.Music Credit – “Ocean Deep” by Annie YoderCheck out all of our other travel podcasts from around the worldThis podcast is part of the Voyascape Network, a collection of some of the world's best travel podcasts. Explore more at Voyascape.com. For advertising or sponsorship opportunities on this show and across the network, email advertising@voyascape.com or you can find more information at Voyascape.com/advertsing.

In this solo episode, Michelle takes you into one of the most underrated topics in fertility. Light. Specifically, how the way you interact with light during the day and at night is shaping your hormones, your ovulation, your egg quality, and your sleep more than almost anything else you are doing. You will learn how melatonin protects developing eggs, how the circadian rhythm anchors the menstrual cycle, and the four foundational light habits that rebuild fertility from the most ancient signal in the body. Key Takeaways: Melatonin is a powerful antioxidant in the follicles, not just a sleep hormone Circadian disruption shows up in altered LH pulsing, delayed ovulation, and shortened luteal phase Morning light exposure is one of the most impactful fertility habits a woman can build Evening light, screens, and artificial light at night suppress melatonin and disrupt cycles In Chinese medicine, light rhythm directly supports yin, the foundation of fertility Harmonize Moon Cycle: michelleoravitz.com/hackyourcycle  Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are:  https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertilityFacebook: The Wholesome Lotus  

durée : 00:52:40 - Grand bien vous fasse ! - par : Ali Rebeihi - Oublis à répétition, divagations, songes... Notre cerveau semble avoir de plus en plus de difficulté à rester concentré sur une simple tâche. On peut le déplorer, mais ne peut-on pas aussi trouver du positif dans l'acte de rêvasser ? - équipe : Étienne Bertin, Joseph Hascal, Anna Massardier, Noé Brabant - invités : Bruno Humbeeck Psychopédagogue, Héloïse Lhérété Directrice de la rédaction du magazine Sciences Humaines, Sébastien Bohler Docteur en neurosciences et rédacteur en chef de Cerveau & Psycho. Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Era actualitat dera Val d'Aran en aran

Como as novas vacinas de mRNA contra o câncer, a revisão de protocolos em endocrinologia pediátrica e a vigilância em cardio-oncologia impactam a tomada de decisão médica? Neste episódio do Afya News, analisamos os resultados positivos de fase 3 da vacina personalizada de mRNA associada ao pembrolizumabe no tratamento adjuvante do melanoma ressecado. Discutimos também a nova diretriz da Endocrine Society que recomenda uma abordagem mais individualizada na puberdade precoce central, priorizando o LH basal e evitando investigações desnecessárias. Por fim, apresentamos no Radar as evidências sobre o uso de medicamentos cardioprotetores contra a cardiotoxicidade dos tratamentos oncológicos. O Afya News apresenta notícias da medicina com informação confiável e atualizada no seu tempo. Criado pela Afya, o maior hub de educação e soluções para a prática médica do Brasil, nosso propósito é transformar a saúde junto com quem tem a medicina como vocação.Fontes do episódio aqui:⁠https://portal.afya.com.br/podcasts/afya-news/20-08-2026Conteúdo 100% validado por equipe médica.Médico Responsável: Dr. Guilherme Rodrigues — CRM-RJ 1049461.

VOV1 - Tối 19/8, tại Công viên phường Cầu Giấy, Hà Nội, Sở Văn hóa, Thể thao và Du lịch Hà Nội phối hợp với Nhà hát Ca Múa Nhạc Thăng Long tổ chức chương trình nghệ thuật “Từ mùa thu độc lập”, chào mừng kỷ niệm 81 năm Cách mạng Tháng Tám thành công và Quốc khánh 2/9.             81 năm đã đi qua, nhưng mùa thu năm 1945 vẫn là dấu mốc đặc biệt trong lịch sử dân tộc Việt Nam. Từ ngày 19/8 giành chính quyền đến ngày 2/9 khai sinh nước Việt Nam Dân chủ Cộng hòa, khát vọng độc lập, tự do đã trở thành sức mạnh quy tụ cả dân tộc.     Tinh thần ấy được tái hiện ngay từ những tiết mục đầu tiên của chương trình. Giai điệu “Mười chín tháng Tám” của nhạc sĩ Đỗ Xuân Oanh vang lên cùng hình ảnh những đoàn người xuống đường, cờ đỏ tung bay, tái hiện không khí sục sôi của những ngày Cách mạng Tháng Tám. Bằng sự kết hợp giữa âm nhạc, múa, hình ảnh trình chiếu, ánh sáng và công nghệ sân khấu, những trang sử không chỉ được kể lại mà còn được truyền tải bằng cảm xúc đến khán giả hôm nay.     Với những người từng đi qua chiến tranh, những giai điệu ấy càng gợi lại nhiều ký ức sâu sắc. Cựu chiến binh Lê Hồng Trung, hiện sinh sống tại phường Cầu Giấy chia sẻ: “Tôi có cảm xúc rất rạo rực khi được lắng nghe những giai điệu hào hùng trong buổi biểu diễn hôm nay. Bản thân tôi là cựu chiến binh phục vụ chiến đấu và chương trình này đã gợi lên những ngày tháng hào hùng của ngày độc lập 2/9 và ngày toàn quốc kháng chiến.”   Với nhiều ca khúc, giai điệu hào hùng, chương trình nghệ thuật "Từ mùa thu độc lập" mang đến cho khán giả những màn trình diễn ấn tượng.

Zeitgeist #34 s Matoušem Horčičkou o šesti měsících války z pohledu Teheránu, proměně vládnoucích špiček režimu, skrytém ajatolláhovi a pomstě americkému prezidentovi.Spojené státy a Írán v červnu uzavřely memorandum s lhůtou šedesáti dní, během nichž měly dojednat trvalé příměří. Ale brzy se ukázalo, že jde spíše o symbolický krok, který k mírové dohodě spíše nepovede. Lhůta v pondělí 17. srpna vypršela a válka podle všeho pokračuje.Donald Trump v reakci uvedl, že íránský režim nedosáhne dohody jakou by si přál a dodal, že nesmí získat jadernou zbraň. Také zopakoval, že své tvrzení, že průliv má být americký. V rozhovoru pro Fox News následně uvedl, že by se Teherán měl vzdát a také pohrozil bombardováním Ománu, který s Íránem jedná o obnově komerční dopravy v Hormuzském zálivu. Vysoký íránský představitel po vypršení termínu z memoranda sdělil agentuře Reuters, že Írán bude eskalovat napětí v Hormuzském průlivu i mimo něj a přejde do útoku, pokud Spojené státy během několika týdnů nesplní body z červnového memoranda. Íránská státní média také informovala, že Hormuzský průliv zůstane uzavřený, dokud USA podmínky nesplní. Mělo čtrnáctibodové memorandum vůbec šanci na úspěšné dosažení míru? Kam po bezmála šesti měsících dospěla válka z pohledu režimu v Teheránu? Jak se za tu dobu proměnily vedení a cíle íránského režimu i represe uvnitř Íránu? Usilují o život amerického prezidenta, který kvůli potenciální hrozbě odletěl ze summitu NATO jiným letadlem? A jak důležitá je pro Írán vazba na Čínu? Nejen o tom mluví expert na Írán Matouš Horčička z Asociace pro mezinárodní otázky (AMO) v novém díle podcastu Zeitgeist se Štěpánem Sedláčkem.Doporučujeme vaší pozornosti také: ⁠Vzdorovitý, unavený, zoufalý, ale také plný naděje. Co odhalila cesta válečným Íránem ⁠(reportáž NYT)⁠Tajná operace Izraele: Jak chtěl Mosad naverbovat bývalého íránského prezidenta Ahmadínežáda

[깊이 있는 경제뉴스] 1) LH, 무순위 청약 물량 사들인다.. '기회 박탈' vs '과열 해소' 2) GPU 선물 시장 출범.. 수요 급증·가격 변동 위험 대비한다 - 머니투데이신문 김근희 기자 - 한국경제신문 조미현 기자 [친절한 경제] 외환시장이 닫혀있을 때는 어떤 환율을 적용하나요? - 청취자 박진규 씨

Postpartum Fertility, FIAT - Let It Be & the Return of Your CycleGot baby fever while you're still breastfeeding? You're not alone — and today I'm walking you through what's actually happening hormonally in your body during this postpartum, nursing season, plus how to say "fiat" (let it be) to God's timing for your next pregnancy.We start with Ecclesiastes 3:1 and Mary's own "fiat" to Gabriel, then get into the nerdy fertility science. What is prolactin and how can it suppress ovulation? What does weaning actually do to your hormone timeline? And what about other root-cause issues — such as the thyroid, gut, adrenals, inflammation — and can they keep your cycle from bouncing back?Episode Highlights:Why prolactin can suppress your ovulatory hormones (FSH, estrogen, LH, progesterone) while breastfeedingWhat actually happens hormonally when you wean — and why it can take 2 to 6 cycles to fully resetThe Mary "FIAT" framework for surrendering your fertility timeline to God's planRoot-cause yellow flags to watch for postpartum: sleep, gut health, inflammation, mood, and stress hormonesWhy charting your biomarkers matters even before your cycle has returnedA personal, slightly hilarious story about how Bekah's second son was conceived — and what she'd do differently nowResources & Links:✨I'm sharing a free thyroid labs resource that can help you uncover a major root issue many women never get fully tested for, click here: bekahyawn.com/thyroidlabs ✨ Join Fertility Framework: If you're ready for deeper support, personalized cycle guidance, and faith-filled encouragement, come join me inside Fertility Framework! This is a space where you AND your husband can learn about the science of your cycle while keeping God in the center of your fertility journey and growing towards Him together. Read the testimonies & enroll here: bekahyawn.com/course   ✨If you would like personal support on your journey but are not sure how to get started, book a free 10-minute consult with me here: bekahyawn.com/consult 

Joined by Nurse Nicole to discuss testosterone, its functions, and what a crash is. We dive into TRT injections and pellets, and problems that can arise from these treatments. We also discuss ways to assist recovery at home.   Follow Nurse Nicole on  IG @hold_thelineclnc X @Hennac03 https://www.americaoutloud.news/category/podcasts/nurses-out-loud/ The Nurses Report podcast    #testosterone #testosteronecrash #libido #musclemass #focus #moodregulation #cognitiveperformance #fatmetabolism #TRT #pellets #LH #hormones #PSA 

Summary: The episode covers recent motorsport events, highlighting key race results and standings, including NASCAR, IndyCar, and Formula 1 updates. Joey Logano wins the 1st NASCAR Cup points race at North Wilkesboro since 1996, ending a 40-race winless streak. Chandler Smith achieves the largest victory margin in Truck Series history at a short track. Alex Palou secures victory in IndyCar at Nashville on Monday after a strategic call and mirroring Spain's victory over Argentina in the World Cup the day before. The F1 Belgian Grand Prix sees Kimi Antonelli triumph at a previously challenging track, with Leclerc and Verstappen rounding out the podium. LH has a brutal day.  GSP Roundup covers WRC, Indy NXT, Formula E, NHRA, and F2/F3 Preview and picks for NASCAR at Indy and the F1 Hungarian Grand Prix before Josh's Sim Segment and Show Close

VOV1 - Tính đến hôm nay (7/8), tỉnh Lâm Đồng đã lấy mẫu sinh phẩm và số hóa được 3.040 trong tổng số 4.776 mộ liệt sĩ chưa xác định được danh tính. Dự kiến, toàn bộ nhiệm vụ sẽ hoàn thành vào cuối tháng 8 này, sớm hơn 2 tháng so với kế hoạch đề ra.Đến nay, lực lượng chức năng tỉnh Lâm Đồng đã hoàn thành việc lấy mẫu sinh phẩm, số hóa thông tin mộ liệt sĩ chưa xác định được danh tính tại 10 nghĩa trang liệt sĩ trên địa bàn tỉnh, gồm: Đức Linh, Cư Jút, Tuy Đức, Đắk R'lấp, Krông Nô, Đắk Mil, Đắk Nông, Bảo Lộc, Di Linh và Đà Lạt.Công tác lấy mẫu, số hóa thông tin mộ liệt sĩ đang tiếp tục được thực hiện khẩn trương và khoa học tại Nghĩa trang Liệt sĩ Bình Thuận, nơi có số lượng phần mộ cần lấy mẫu, số hoá thông tin lớn nhất toàn tỉnh, với 3.431 phần mộ.Với tiến độ thực hiện như hiện nay dự kiến việc lấy mẫu, số hóa thông tin mộ liệt sĩ của Lâm Đồng sẽ hoàn thành vào cuối tháng 8, sớm hơn 2 tháng so với kế hoạch đề ra.Cùng với nhiệm vụ lấy mẫu, số hóa thông tin mộ liệt sĩ tại 11 Nghĩa trang Liệt sĩ trong tỉnh, thời gian qua từ 22 nguồn tin tiếp nhận được, Bộ Chỉ huy Quân sự tỉnh Lâm Đồng đã tổ chức 4 đợt tìm kiếm quy tập được 12 hài cốt liệt sĩ.Thiếu tá Lê Hữu Lập, Chủ nhiệm Chính trị Ban Phòng thủ khu vực 2 Đông Gia Nghĩa được Bộ Chỉ huy Quân sự tỉnh Lâm Đồng giao nhiệm vụ Tổ trưởng Tổ số hoá 3, cho biết, công tác số hoá thông tin mộ liệt sĩ được thực hiện hết sức cẩn trọng với tinh thần trách nhiệm cao nhất:“Đối với quá trình số hoá thì tiến hành lần lượt. Các thành viên trong tổ kết hợp cùng với Văn hoá xã, Ban Chỉ huy quân sự xã, phường đến từng mộ để xác định từng vị trí thực hiện 8 bước Ban chỉ đạo 515 tỉnh đã hướng dẫn. Ngoài 8 bước đó chúng tôi cũng tiến hành so sánh, đối chiếu từng khu mộ, ngôi mộ”./.Khoa Điềm/VOV - Tây NguyênThực hiện các bước số hoá thông tin mộ liệt sĩ.

TRT: La verdad sobre la terapia de reemplazo de testosterona | Serie completa La testosterona es, probablemente, una de las hormonas más incomprendidas y rodeadas de mitos. En esta serie especial de tres episodios, analizamos desde una perspectiva científica qué es realmente la Terapia de Reemplazo de Testosterona (TRT), quiénes pueden beneficiarse de ella y por qué no debe confundirse con el uso de esteroides para mejorar el rendimiento deportivo. Hablamos sobre cómo el cuerpo produce testosterona de forma natural, qué significan los valores medidos en nanogramos por decilitro (ng/dL), cómo un médico diagnostica el hipogonadismo y qué estudios de laboratorio son fundamentales antes de iniciar un tratamiento, incluyendo testosterona total y libre, SHBG, LH, FSH, estradiol, hemoglobina, hematocrito y PSA. También explicamos los diferentes ésteres de testosterona, como el cipionato, el enantato, el propionato y el undecanoato, sus vidas medias, sus ventajas y desventajas, así como las distintas vías de administración: inyecciones intramusculares, subcutáneas, geles, parches e implantes. Finalmente, desmontamos algunos de los mitos más comunes sobre la TRT. ¿Es lo mismo que usar esteroides? ¿Produce infertilidad? ¿Encoge los testículos? ¿Es necesario utilizar hCG o anastrozol? ¿Aumenta el riesgo de cáncer de próstata? ¿Hay que donar sangre obligatoriamente? Respondemos estas y muchas otras preguntas basándonos en la evidencia científica disponible y en las recomendaciones actuales de la medicina. Si eres un hombre mayor de 30 o 40 años, entrenas con regularidad, has escuchado hablar de la TRT o simplemente quieres entender cómo funciona la testosterona en el organismo, esta serie te dará las herramientas necesarias para tomar decisiones informadas y comprender que la salud hormonal va mucho más allá de una simple cifra en un análisis de sangre. Porque cuando se trata de tu salud, la información correcta siempre será tu mejor herramienta. #eliarevalopodcast #vospodes #mycoacheli #gorillazbarbell #MetCon #indianapolis #jcfit #USArmy

In this School of Doza episode, we break  down the loop between stubborn belly fat and low testosterone: fat tissue raises aromatase activity, converts testosterone into estradiol, and releases inflammatory signals that can suppress the brain-to-testes axis. He then walks through five everyday factors pushing testosterone the wrong direction—alcohol, fast food, sugar, sitting, and poor sleep—and what to change first when energy, motivation, and workouts have all quietly flattened out. FEATURED PARTNER Zen by MSW Nutrition is the adrenal and adaptogen formula Nurse Doza reaches for when stress is the thing driving the loop. Every one of the five factors in this episode—alcohol, processed food, blood sugar swings, sedentary days, broken sleep—lands on the same stress-response system that sits upstream of hormone signaling. Zen pairs bovine adrenal concentrate with Asian ginseng, eleuthero, schisandra, and rhodiola, plus 150 mg of pantothenic acid, P-5-P (activated B6), and vitamin C, to support the body's adaptogenic response and normal adrenal function—without caffeine.

When your cycles are regular, your ultrasound looks normal, or you have been pregnant before, how do you know when it is time to look deeper? Fertility testing does not always give you the whole picture. An LH surge is not the same as the day you ovulate, a normal ultrasound cannot rule out every uterine issue, and previous pregnancies do not protect you from secondary infertility or recurrent loss. In this Fertility Q&A, Dr. Natalie Crawford answers your questions about ovulation tracking, recurrent chemical pregnancies, PMOS (formerly PCOS), low sperm motility, failed embryo transfers, Hashimoto's, unexplained infertility, IUI, and when to pursue a more complete fertility evaluation. TIMESTAMPS: 00:00 Fertility Q&A 00:20 When Do You Actually Ovulate After an LH Surge? 02:00 What Should Be Tested After Recurrent Chemical Pregnancies? 03:58 Should You Fast or Exercise Fasted With PMOS (PCOS)? 06:15 What Does Low Sperm Motility Mean for Fertility? 08:43 When Should You Schedule a Saline Sonogram or HSG? 09:35 What Should You Do After Multiple Failed Embryo Transfers? 11:49 Can Creatine Make Endometriosis Worse? 12:50 How Should You Prepare for Pregnancy With Hashimoto's? 14:48 When Does Recurrent Loss Require a Fertility Evaluation? 17:42 When Should Both Partners Get Karyotype Testing? 18:41 Is IUI Worth Trying for Unexplained Infertility? 21:41 Who Is the Best Candidate for IUI? 22:32 How Long Can Fertility Be Affected After IUD Removal? 23:50 How to Submit Your Fertility Questions AS A WOMAN WITH DR. NATALIE CRAWFORD: YouTube: https://youtube.com/playlist?list=PLveZDgg3_HZ9m7Wy3C6Vvyrj_NtEOwj_l  Apple Podcasts: https://podcasts.apple.com/us/podcast/as-a-woman/id1449553339  Spotify: https://open.spotify.com/show/12IYOLH9liu60gk5D0bRPk  HOST RESOURCES: Order The Fertility Formula: https://www.nataliecrawfordmd.com/book  Newsletter: https://www.nataliecrawfordmd.com/newsletter  Instagram: https://www.instagram.com/nataliecrawfordmd  YouTube: https://www.youtube.com/@NatalieCrawfordMD  Become a patient: https://www.forafertility.com  Earn FREE CE/CME: https://learnatpinnacle.com/education  This episode is brought to you by The Pinnacle Podcast Network. ABOUT DR. NATALIE CRAWFORD: Natalie Crawford, MD, is a double board-certified OB/GYN and reproductive endocrinologist, co-founder of Fora Fertility, and author of The Fertility Formula. She helps women understand their hormones, fertility, and reproductive health so they can make informed decisions about their bodies. Disclaimer: Natalie Crawford, MD, is a doctor, but she is not your doctor. This content is for general education and is not a substitute for individualized medical care. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this Q&A, I'm answering two of your fertility questions: How long after a positive LH test should your temperature rise, and what does spotting from ovulation until your period actually mean? We're also diving into why LH strips can be misleading, what a gradual BBT rise may be telling you, and the root causes you need to address for strong ovulation and overall fertility.Ways to work with Corinne: Join the Mind Your Hormones Method, HERE! (Use code PODCAST for 10% off!!)Get access to Corinne's FREE Trying to Conceive Masterclass here!Mentioned in this episode: Q&A submission form  Join the email list here! (to hear about the Fertile Ground Fiesta August promotions)Podcast episode on Weak Ovulation & Confirming Ovulation with Basal Body TemperatureTempdrop wearable BBT tracker (use code AFCORINNE) Know Your Fertile Window program Join the Mind Your Hormones Community to connect more with me & other members of this community!Come hang out with me on Instagram: @corinneangealicaOr on TikTok: @corinneangelicaEmail Fam: Click here to get weekly emails from meMind Your Hormones Instagram: @mindyourhormones.podcast Disclaimer: always consult your doctor before taking any supplementation. This podcast is intended for educational purposes only, not to diagnose or treat any conditions. 

Is it just your age, or is inflammation really affecting your fertility? In this episode, I'm breaking down the real relationship between hormones, inflammation, and egg quality — why age isn't the whole story, how chronic inflammation impacts your fertility, what your cycle is really trying to tell you, and how to balance lifestyle changes with treatment like IVF for the best possible outcome.  Joining me is one of my favorite fellow fertility doctors, Dr. Natalie Crawford  @NatalieCrawfordMD   a board-certified reproductive endocrinologist, co-founder of Fora Fertility in Austin, Texas, host of the As a Woman Podcast, and author of The Fertility Formula. ✅️In this episode, we cover: - Why simplifying fertility decline to "just age" does a disservice to patients - How chronic inflammation affects egg quality, mitochondrial function, and chromosome alignment - Why your menstrual cycle is a vital sign and how most tracking apps get ovulation wrong - The best tools and methods for accurately tracking ovulation (BBT, LH tracking, cervical mucus, wearables) - Why baseline cycle knowledge matters, especially after stopping contraception - How to balance lifestyle changes with moving efficiently toward treatment like IVF - Why IVF success starts with preparation, not just the procedure itself

Are you exploring intrauterine insemination (IUI) to grow your family? In this episode of Fertility Docs Uncensored, hosts Dr. Carrie Bedient from The Fertility Center of Las Vegas and Dr. Susan Hudson from the Texas Fertility Center discuss key patient questions about intrauterine insemination cycles and the newer intratubal insemination cycles. In this comprehensive episode, we break down exactly how an IUI cycle works, who benefits the most, and the strict medical guidelines required for success. We dive deep into the absolute necessity of accurate cycle timing, explaining how a luteinizing hormone (LH) surge or a hCG trigger shot dictates the precise 24-to-36-hour insemination window. You will also learn the critical differences between preconception screening and IVF testing—specifically, what genetic testing can and cannot do during an IUI cycle. Finally, we look at the raw numbers. We discuss mandatory medical requirements, minimal post-wash sperm counts, and realistic IUI success rates by age to help you manage expectations on your fertility journey.

If you have been on the fertility journey long enough to feel like your body is somehow disorderly, this episode reframes that picture from the ground up. Michelle starts with one of the most quietly stunning experiments in modern biology: isolated heart cells in a petri dish, with no nervous system attached, will spontaneously synchronize their rhythms when placed near each other. From there she walks through cardiac coherence and resonance frequency breathing, the surprisingly tight coupling between heart rate variability and the menstrual cycle (including HRV ultradian rhythms that anticipate the LH surge), and the Chinese medicine view of harmony as a relational property between organ systems. The takeaway shifts the orientation of fertility work entirely. Coherence is not something to generate. It is something to stop interrupting. The episode closes with four practical shifts that work with the body's native pull toward order rather than against it. KEY TAKEAWAYS Isolated heart cells, separated from the heart and placed in a petri dish, continue to beat on their own and will spontaneously synchronize their rhythms when placed near each other. Coherence is not something the body has to be taught. Breathing at approximately six breaths per minute (around 0.1 Hz) places the breathing and heart rhythms into a measurable, coupled state called cardiac coherence, supported by peer-reviewed research analyzing 1.8 million biofeedback sessions. Heart rate variability and the menstrual cycle are not parallel systems. Grant et al. (2020) showed that HRV ultradian rhythms anticipate the onset of the LH surge, meaning the autonomic nervous system and the reproductive system are coupled oscillators. In Chinese medicine, health is the smooth flow and harmonious interaction of qi between organ systems. The heart, which houses the shen, sets the tone for the entire system, including the womb through the Bao Mai channel. Most fertility plans are organized around adding things, but coherence is allowed through subtraction. The work is to remove what interrupts the body's native rhythm: light at night, constant device input, suppressed emotion, sleep deprivation, eating in a sympathetic state. Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. Free chapter of The Way of Fertility (book) https://www.michelleoravitz.com/thewayoffertility Top 10 Fertility Boosting Tips Ebook https://www.michelleoravitz.com/mytop10fertilityboostingtips Ready to discover what your body needs most on your fertility journey? Take the personalized quiz inside The Wholesome Fertility Journey and get tailored resources to meet you exactly where you are:  https://www.michelleoravitz.com/the-wholesome-fertility-journey For more about my work and offerings, visit: www.michelleoravitz.com Curious about ancient wisdom for fertility? Grab my book The Way of Fertility: https://www.michelleoravitz.com/thewayoffertility Join the Wholesome Fertility Facebook Group for free resources & community support: https://www.facebook.com/groups/2149554308396504/ Connect with me on social: Instagram: @thewholesomelotusfertilityFacebook: The Wholesome Lotus  

Why Your Stroke May Not Be Causing Your Brain Fatigue For a long time after my brain surgery, I assumed my body worked like this: the stroke happened in my head, so whatever went wrong afterward would also happen in my head. Fatigue, brain fog, slow thinking all of it filed under “neurological,” all of it explained by the injury I already knew about. That assumption turned out to be wrong, and the way I found out was almost accidental. About eighteen months after my brain surgery, I had thyroid surgery to remove a nodule so large it had pushed my windpipe and esophagus six centimeters out of place. I had no idea it was there. No lump I could see, no difficulty swallowing or breathing that I’d noticed. It was found only because I had a chest X-ray to rule out an infection, and a doctor spotted something that had nothing to do with why I’d walked in. What followed was a slow, confusing recovery from that second surgery, and a wave of fatigue I automatically blamed on my brain, because that was the injury I already understood. It took time to realize the fatigue might be coming from somewhere else entirely: my thyroid. Hormones and Stroke Recovery: The Connection Nobody Talks About I brought this experience to Dr. Robert Hedaya, a Clinical Professor of Psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, to understand what actually happened, and to ask a bigger question: how many other stroke survivors are dealing with fatigue, brain fog, or mood changes that they’ve written off as “just the stroke,” when the real driver is a hormonal system that’s quietly stopped working properly? Hormones and stroke recovery turn out to be far more entangled than most of us are told. As Dr. Hedaya put it plainly: the brain is a hormonal organ. Thyroid hormone, cortisol, testosterone, estrogen every one of them acts directly on brain tissue, and every one of them can be knocked off balance by the stress of a major medical event. Why “Normal” Thyroid Bloodwork Can Still Mean Something’s Wrong One of the most important things Dr. Hedaya explained is that a “normal” TSH result doesn’t rule out a thyroid problem, especially after a stroke. TSH is a signal sent from the pituitary gland, and if a stroke has affected the brain’s signaling pathways, the pituitary itself may not respond the way it should. A survivor can have genuinely low thyroid hormone while their TSH sits comfortably inside the standard reference range, because the system responsible for raising that number in response to a deficiency isn’t functioning correctly. He also raised a striking data point: population studies suggest the average TSH in a healthy population is closer to 1.4, yet most labs still use an upper reference limit of 4.5, a range wide enough, statistically, to miss a real problem. His advice for survivors going into a GP appointment: ask specifically for TSH, free T4, free T3, and reverse T3, not just the standard single-marker test, and come prepared with symptoms written down if a doctor pushes back. A Nodule That Grew in Silence The brain is a hormonal organ. It’s an immune organ. It’s a neurological organ… there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. -Dr. Robert Hedaya My own nodule is a case study in exactly this kind of silent progression. Dr. Hedaya explained that because it grew inward rather than outward, it never created the visible lump most people associate with a thyroid problem, and because it didn’t press on my vocal cords or laryngeal nerve, I never developed the hoarseness that might have flagged it sooner. My body adapted gradually, and the fatigue that eventually surfaced was easy to misattribute to the injury I already knew I had. Cortisol, Stress, and the Difference Between Pain and Suffering Beyond the thyroid, Dr. Hedaya walked through the role of cortisol, the body’s primary stress hormone, and why survivors often struggle to answer a deceptively simple question: “Are you stressed?” His distinction between pain and suffering is worth sitting with: pain is often unavoidable, but suffering is shaped by the story we tell ourselves about a situation, and a stroke can compromise the very brain systems that regulate that stress response in the first place. Testosterone, Estrogen, and the Brain’s Need for Hormones to Rewire The conversation closed on sex hormones, testosterone and estrogen, relevant to both men and women, and their role in neuroplasticity. Dr. Hedaya drew a direct comparison to adolescence: the teenage brain rewires itself while hormone levels are surging, and the same principle applies after a stroke. A brain trying to rebuild pathways needs adequate hormonal support to do that work. Without it, recovery can stall in ways that have nothing to do with effort or physiotherapy. What You Can Do About It If any of this sounds familiar fatigue that doesn’t track cleanly with other recovery milestones, or symptoms a doctor has waved off as “just stress,” Dr. Hedaya’s PNIE (psycho-neuro-immuno-endocrinology) questionnaire is a useful starting point. PNIE Questionnaire download: https://drive.google.com/file/d/1S7kC5uMFgBfS-gWcUOIHp0kOjGnrzZK5/view?usp=sharing If thyroid function specifically is what you’re navigating, the earlier conversation with Dr. Elena Zinkov, “Stroke Fatigue and Thyroid,” goes deeper into that piece (https://recoveryafterstroke.com/stroke-fatigue-and-thyroid/). And for more from Dr. Hedaya, the first conversation on photobiomodulation and stroke recovery is a good companion listen (https://recoveryafterstroke.com/photobiomodulation-stroke-recovery/). Getting your body back after a stroke is rarely just about the brain. My book, The Unexpected Way That A Stroke Became The Best Thing That Happened, goes further into the mindset shifts that came out of my own recovery (recoveryafterstroke.com/book). And if this podcast has helped you, you can support its continuation at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns (Interview) A baseball-sized thyroid nodule hid in plain sight after Bill’s stroke. Dr. Hedaya explains the hormone testing every survivor should ask for. Support The Recovery After Stroke Podcast Bill’s Book: The Unexpected Way That a Stroke Became Thethe Best Thing That Happened Highlights: 01:45 Hormones and Stroke Recovery 02:11 Understanding Thyroid Function and Its Impact 17:07 Navigating Thyroid Health with Healthcare Providers 27:09 The Role of Stress and Cortisol 39:09 Nutrition’s Impact on Brain Recovery Transcript: Hormones and Stroke Recovery Bill Gasiamis (00:00) And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. that was the first sign that there was something wrong with my thyroid Bill Gasiamis (00:19) Welcome back to Recovery After Stroke. I’m Bill Garciamas, and today I’m joined again by Dr. Robert Hedeya, clinical professor of psychiatry at Georgetown University Medical Center and a pioneer of functional medicine psychiatry, whose highland approach to brain health first brought him onto the show for our conversation on episode 404, where we discussed, amongst other things, photobiomodulation, a type of transcript. cranial laser therapy helping some stroke survivors recover lost function. He’s back today for a conversation I wanted to have for a while, the hormonal side of stroke recovery. We’re going to talk about thyroid function, cortisol, and stress physiology, and sex hormones like testosterone and estrogen, and why every one of these systems can directly affect how well and how fast your brain recovers. I’ll also share my own story of a thyroid nodule that grew undetected, which was discovered after my brain surgery completely by accident. if this conversation resonates with you, my book, The Unexpected Way That a Stroke Became Thethe Best Thing That Happened goes deeper into the mindset shifts that shaped my own recovery. You can find it at recoveryafterstroke.com/book. And if you’d like to help keep this podcast going, you can support it financially at patreon.com/recoveryafterstroke. Bill Gasiamis (01:46) Robert Hedaya, welcome back to the podcast. Dr Hedaya (01:49) Thank you for having me, Bill. Understanding Thyroid Function and Its Impact Bill Gasiamis (01:51) thank you for being here. The last conversation we had was very well received. And it’s always difficult in a one hour interview to ask all the questions that we could possibly ask about the brain and stroke recovery and all the things that people go through. And… I’ve got a lot of other questions that are related to the brain and the link between other parts of the body and the brain, because we have this sense. Well, I did at least when I was first diagnosed that whatever happens in my head is kind of isolated, that it just impacts my head. But there seemed to be some other impacts and cascading effects. that were occurring, uh, that I didn’t know were linked to the brain injury, Dr Hedaya (02:45) Yeah. Bill Gasiamis (02:46) maybe indirectly, but they were perhaps. But one thing specifically that happened to me about, uh, 18 months after my brain surgery was I had thyroid surgery to remove a nodule on my thyroid. And when I was going through the recovery after that, surgery, I noticed that I had fatigue and I thought it was neurological fatigue related to my brain surgery. But it took a long time to develop an understanding that perhaps that batch of fatigue was related to my thyroid. And then that got me thinking all sorts of things. know, if the thyroid also causes the same neurological fatigue that brain injury causes, what people might be missing this in their healing from a brain injury, they might have a compromised thyroid and not know about it. So the first question is, what is a thyroid? What does it do? And why does it cause neurological fatigue? Dr Hedaya (03:54) Okay. So thyroid gland sits in the neck, right? There’s two lobes, there’s one on the right, one on the left, a little kind of island in the middle called the isthmus, and and it controls many functions, metabolism overall, energy overall, just broadly speaking. now it affects the immune system. It’s affects the nervous system. It affects the gastrointestinal system, it affects the muscles, it affects the heart, right? It affects the skin, it affects the nails, it affects the hair. You know, and I could go on and on and on. Okay? Bill Gasiamis (04:34) Wow. Dr Hedaya (04:35) Now the interesting thing about this is that this be a little technical, but the thyroid puts out a hormone called T4 or thyroxine, and this is a little molecule with four iodines in it on it, and that Gives you about 20% of the activity of your thyroid hormones in your body. But then that T4 goes all over the body to different tissues, and each tissue can has its own system to change that T4 into T3 by removing an iodine. T3 has 80% of the thyroid activity. So that means each tissue in the body can control how much thyroid it. It’s using and needs, right? And and has available to it. Okay. So that means the brain, the heart, the liver, the lungs, every tissue has its own enzyme that allows it to kind of modulate how much thyroid, right? Now, so why does that cause neurological fatigue? Well, thyroid in the brain affects neurotransmitters like adrenaline in the brain, which is called nor norepinephrine, noradrenaline. in order for that to work. The T3 has to be in the right amount for the receptors for the noradrenaline to be structurally correct so they can transmit the signal. It’s necessary for production of energy in all the brain cells. It helps the immune system in the brain. It carries molecules from here to there in the brain. it affects serotonin transmission in the brain, so mood regulation, anxiety, obsessiveness, depression. You know, those are just some of the functions of the brain, but it affects every cell in the bane in the brain. So you’re gonna, if your thyroid is off, most likely you’re gonna have some kind of brain problems, particularly, you know, when your thyroid is off, the tissues in your body that are most compromised or most stressed, that’s probably where it’s gonna show up, right? And in the case of stroke, that’s where it’ll show up. Bill Gasiamis (06:44) So it’s possible then, is it possible to overlook it? Is it very obvious that your thyroid is out of, well, is dysregulated or is not working properly? Dr Hedaya (06:56) Well, in general it’s easy to detect. And if you want, I’ll tell you how. So Bill Gasiamis (07:04) Yeah. Tell me how. Dr Hedaya (07:07) so there’s some blood tests that are simple and then s some symptoms. so for most people this holds. When your thyroid is low, you know, you’re gonna be cold easily, you’re gonna have dry skin, brittle nails, hair will fall out. Muscles will be weak, thinking will be slow, movement will be slow, getting up from a chair will be more difficult, going upstairs will be more difficult, your heart rate will slow down, you’ll be constipated. Those are the most common symptoms. If your thyroid is overactive, then you could be have palpitations, oily skin, acne, oily hair. Diarrhea, you know, kind of the opposite. The thing that’s a little confusing with the thyroid is sometimes overactive thyroid can show up and look like it’s underactive symptomatically, or vice versa. So you really need the labs. And the labs are TSH, which is thyroid stimulating hormone, and that’s tells you what the brain is doing. And then free T4. That’s the amount of T4 that’s kind of floating around free, not bound to protein, so it can actually do its job. The way I think of it is like, you know, a lot of the thyroid home is sitting on a bus. It’s not free, it’s bound to protein. Can’t do its job. But the stuff the thyroid this that’s out of the bus or not on a protein, that can do its job. That’s the free T four. And then the free T three, right, which carries eighty percent of thyroid activity. And then the last one is a reverse T3 because sometimes if your tissues in your body are making too much thyroid or getting too much thyroid, they’ll actually, instead of taking the iodine off the T4 molecule on the right side, they’ll take it off on the left side, or vice versa. So they make a fake T3 that doesn’t work. And this way they short circuited okay, you got all this T3. Well, let’s make it into a fake, fake T3 so it can’t do anything. So reverse T3 is also very important. And then you want to measure body temperature. Usually it’ll be low. And then, you know, a physical exam. Those are the ways to do it. If you wanted to go even deeper, you could do some genetic testing. There are genes that will tell you whether you’re converting the T4 to T3 in the brain. Adequately, or maybe you’re more likely to be slow in that regard. So you can have normal numbers in your blood, but your brain might be hypothyroid, right? And there are actually a lot Bill Gasiamis (10:05) Uh-huh. Dr Hedaya (10:05) of studies showing that hypermetabolic, like high doses of free T3, actually reverse treatment-resistant depression because it’s it’s thought that there’s a local in-brain. hypo-low thyroidism. You can have low thyroidism in your heart, in your muscles, but not in the other tissues, you know, because I told you every tissue can control how much it’s making. So if you have a genetic vulnerability, then you you might more be in general be more likely vulnerable to depression or to ADD or to anxiety, things like that. Bill Gasiamis (10:42) Wow. Are you blowing me away? I didn’t expect to hear any of the things that you just said. X. Um, some of the things that you described, the, uh, some of the symptoms that you described, had those intermittently in and out all the time, other than a thyroid nodule, which is what I had, which was obvious on a scan. Dr Hedaya (11:05) Yeah. Bill Gasiamis (11:06) What other things caused the thyroid to not function? correctly. So is there lifestyle factors that interfere with the thyroid gland and therefore, you know, then have the cascading effect and take off, take all those other things or some of those other things offline. Dr Hedaya (11:28) So there a number of causes, right? So first of all, let’s take someone who has had a stroke or chronic illness, right? So you’re under stress and that affects your stress hormones, your adrenal glands, cortisol, etc. Well, if your adrenals kind of poop out, then maybe your body says, Well, I can’t handle all this thyroid, even though the amount is normal, it’s like too much. I can’t handle it, so it’ll make less thyroids. Now you develop a hypothyroidism. You could develop it just because all the chemicals in the environment, the ha the hormone interrupting chemicals, there are hundreds of those. you could develop it ’cause of nutritional deficiencies like tyrosine is necessary to make thyroid hormone, copper, you know, things like that. I can’t tell you offhand which which nutritional factors, but people can look that up, what nutritional factors are important. To make thyroid hormone. and then infections like, for example, Lyme disease causes Hashimoto’s thyroiditis, which is an autoimmune where your immune system’s actually attacking your thyroid. COVID vaccination, like the Pfizer and the Moderna vaccine, if you are genetically vulnerable, can also cause your immune system to attack your thyroid. So there are many, many causes, plus there are inherited genetic vulnerabilities and it It’s not always low thyroid, sometimes it’s high thyroid, hyperthyroidism, like Graves’ disease, right? You can have antibodies Bill Gasiamis (13:01) Mm-hmm. Dr Hedaya (13:02) that are actually stimulating thyroid activity as well. Bill Gasiamis (13:06) Wow. The environmental toxins. we talking about all day, every day household use kind of environmental toxins? I imagine the external of the house, they’re kind of out of our control, right? We’ll talk about like, you know, like pollution or things that are associated to things that are caused that we don’t necessarily control, but internally inside the house or what we expose ourselves to that we can control. what would some of those environmental toxins Dr Hedaya (13:38) Well Bill Gasiamis (13:39) be? Dr Hedaya (13:40) so for example, you know, in your produce, you know, there are pesticides, or in the man made materials in your car or the man made materials in your home. Let’s say you bought a new home and you have, you know, some kind of synthetic floors or furniture with synthetic materials or materials that are natural that are treated with chemicals for various reasons. Those things all can be not everyone is, but many of them are called homes. hormone interruptors because they actually can change the way your hormones function. You know? So we’re the truth is we’re bathed in these chemicals. They’re everywhere. And very hard to escape them. The best thing you can do is kind of try to detox them using a healthy diet, a lot of crucifer vegetables and lots of vegetables, above ground vegetables that are grown in healthy soil. Without pesticides, organic preferably, right? and then there are supplements you can take, such as metagenics makes something called UltraClear Plus, which helps support the liver, and its detox functions. You know, some people are more vulnerable than others, but you know, these thyroid nodules you like you have, they’re very, very common now. Very common. And that’s you know. In large measure, I think these hormone interrupters that are interfering with how the the thyroid follicles in the thyroid gland are operating. Bill Gasiamis (15:13) Is it possible to have thyroid nodules and not know about it? I, I Dr Hedaya (15:18) Yeah. Bill Gasiamis (15:19) say that because I had nodules that were the size of a baseball, apparently in my throat that were growing inwards, that didn’t make a lump outside of my throat, which Dr Hedaya (15:33) Yeah. Bill Gasiamis (15:34) I was not aware of. And the way they found it was they did a chest X-ray after brain surgery because I wasn’t recovering well. to check my chest to see if there’s an infection. And they noticed a massive lump in my throat and my esophagus and my windpipe were pushed six centimeters. Dr Hedaya (15:52) Wow. Bill Gasiamis (15:53) I’m not sure what that is in inches. And they said to me, well, can you swallow? Can you breathe? Can you do it? And I was like, yeah, I’m all fine. There’s nothing wrong with my throat. But that was the first sign that there was something wrong with my thyroid before that. there was no sign of it. I ask that because either I’m totally oblivious or it is possible to have thyroid nodules and not know it. Dr Hedaya (16:23) Well, most people don’t know it. Now yours is so massive, but I think it’s kind of what you said is how it grew. If it grew towards your vocal cords or your laryngeal nerve or something, you would have had some pretty bad hoarseness or something like that. But it grew I guess backwards so it didn’t interfere that much. And I guess your s your body adapted gradually over time. You know, yes, it’s very possible for sure. Very common. Bill Gasiamis (16:49) And how would somebody interact with a general practitioner, for example, now to go through the process of understanding, A, their thyroid health and whether or not they have any nodules. Navigating Thyroid Health with Healthcare Providers Dr Hedaya (17:02) I mean in other words, given what we’ve talked about, how should they approach their doctor basically? Bill Gasiamis (17:07) Yeah. Dr Hedaya (17:08) I guess I would say go to AI, get a list of the symptoms of low thyroid or high thyroid or all of them, check them off. So then when you go to the doctor you have a list, check your temperature, check your pulse, although the doctor will should check that. And then you could say, look, I have these symptoms, or maybe you don’t have any. But if you do, you have these symptoms, and clearly thyroid hormone levels can affect the brain. And I’d like a TSH, a free T4, a free T3, and a reverse T3. That’s it. And if they Bill Gasiamis (17:45) Okay, perfect. Dr Hedaya (17:46) say, no, no, we don’t need to do that, you know, a lot of times what they do, they’ll just do a TSH. Or they won’t do the reverse T3. They don’t, unfortunately, look at the thyroid gland in a dynamic way. They say, the TSH is fine. If your thyroid was low, your TSH would go high. We don’t need to do the rest. But that’s not true. That’s not true at all. Because especially if you had a stroke, your pituitary function may be compromised. Your TSH may be fine or low and your low thyroid. As matter of fact, in the last interview, the case that I talked about, who referred me to you, she actually had a low TSH, but she had a very low, I think it was a free T4. Or free T3 or both, whatever it was, but she had too little thyroid hormone, and her pituitary couldn’t respond because of the stroke. Bill Gasiamis (18:37) understood. So that’s a great list of Dr Hedaya (18:37) So so be you have to be dogmatic and you say to the doctor, look Even put into even put into AI and say, look, if the doctor comes back to me and argues against these tests, what should I say? You gotta be prepared because the doctor will steamroll you. You know, that they only allow this, they only allow that, I’ll only do the free T4. Well, that doesn’t tell you how much has been converted to T3, free T3, and it doesn’t tell you, even if the free T3 is normal, that doesn’t mean you’re not overproducing thyroid and and dis you know, and neutralizing it with the reverse T three. So, you know I mean I I mean I think it’s s so important that a thorough look is is really important. If you have the symptoms, you know. Bill Gasiamis (19:22) I agree with you. That list of to-dos, I’m gonna put that on the show notes. People can go and get that list if they don’t wanna go into AI themselves or they haven’t got the time or whatever. They can just download it from there. And then they’ll be able to take that and begin a conversation with their general practitioner. What’s interesting is that I’m in Australia, you’re in the United States. My general practitioner is pushed back when a… when a patient will turn up and say, I have these tests? They’ll say, well, no, you don’t have any condition that is obvious that you need these tests. So it’s not covered. So you don’t need to do it. So my next suggestion to them is no problem. Order the tests and I’ll pay for them. Now it’s not ideal, but if you’re not going to do them for me and I need to know, cause it’s my health, I’m going to pay for them. So just tell me how much it is and I’ll find a way and I’ll make it happen and I’ll pay for it. So that’s another option. Dr Hedaya (20:17) Yeah. But if you go in with your symptom list, right, and you say, Well, that’s not true, because these are the symptoms, you know, that I have, here they are, right here. You can take a look, you know. And then the last thing I’ll say, this gets even more tricky, is the reference range, I’m sure in Australia, but certainly in the United States, the reference range basically is of the TSH, the pituitary home. Is 0.5 to 4.5, meaning you anywhere in that range and your TSH is normal. That is a bad reference range. And I know it to be a fact because I I I guess I won’t waste your time with it, but I did a study on a hundred people and with a very sensitive thyroid test called a TRH stimulation test. and I was able I hired a statistician to calculate this. And say, well, I don’t want to keep doing this test on everybody. What TSH predicts an abnormal TRH stimulation test? And he came back and said to me, Well, once the TSH is over 1.4, it starts to increase your odds of having an abnormal TRH stimulation. So I said, okay, so 1.4 TSH is my cutoff, right? That’s in my mind. I said, okay, that’s that’s my cutoff, that’s when I get suspicious. Later, several years later, a paper came out, a large, large study, called the NHANES Study, Nurses Health, and I’m not sure what it stands for. Thousands of people followed over many, many years, over decades, and they found the mean TSH in the US population is 1.4. So, right where I what right where my study found. So that means statistically, it is not. impossible to have the upper limit of the reference range being at four point five because statistically the upper limit is never more than two standard deviations. So even if your standard deviation is 1.4, which it can’t be, you you’re not going to reach 4.5, right? Unless you have a it’s called a bimodal distribution curve. If you have that, then you’d say, well, it it could be. But we don’t have that with thyroid. So that reference range is wrong. The upper limit of the reference range should be 2.5. And about half the endocrinologists in the United States believe that. And half say, no, no, no, don’t change it. So that’s another sticky point because, you know, easily people get a result and they’ll go to the doc and say, no, the reference range is 4.5. You’re normal. Then you could say, well, look, I have these symptoms, and they could do a literature search. What’s the normal reference point? What in in the N A N HANES N-H-A-N-E-S study? It’ll show you 1.4. and you could take be prepared to go to the doctor and say, Well, here’s a study that suggests that the reference range may be incorrect. and I have symptoms by the way. We don’t treat the lab, we treat the person. So could we give a trial? Just a trial, there’s no harm done, you know, trial. Let’s see let’s start at a very low dose. Let’s see how I feel. Maybe I’ll get better. I’ll come back in a month. Bill Gasiamis (23:45) Yeah, I love that. It’s really good advice, especially coming from someone who is a doctor who think is thinking on the same way as me, for example, the patient. Because that’s like a match made in heaven. And that’s so rare to be able to get that. Often, my challenge to my general practitioner was well, the reference range isn’t that average of a sick population, because it’s usually a sick population that comes to see you to get bloods. It’s It’s not the most healthiest people that come to see you to get bloods. And that’s kind of how I try to like start the conversation of convincing a general practitioner to do a test that they’re reluctant to do. And when I say they’re reluctant, I’m not in there every day. I’m not in there every week. And I’m not putting stress on the system to an extent where I’ve been over using the system. I’m not at all. in there once, twice a year, maybe, you so if I’m in once, twice a year, well, then, I’m not mucking around. Like I’ve come there to investigate something that I’m suspecting is wrong with me. It’s my body. I’m feeling something. had a bit of a look online. This is what I suspect. Don’t try and convince me out of my thinking or my instinct more better. Why don’t we just, work together to get to the bottom of it. If it is something it is, if it’s not, it’s not, and that’s okay. Not a big deal. I’m better to know. then not no, I think, you know, it’s better to be safe than sorry in my mind. Dr Hedaya (25:16) Yeah. I would I would only think only correction I would make is the reference ranges generally are made on normal populations. Now now the thing is who’s normal anymore? Number one. Number two, that’s a statistical norm that doesn’t tell you anything about your genetics. your vulnerabilities, it’s not an individualized statistic. I mean it’s it not an individualized thing. What’s your normal range? And are you out of your normal range? Nobody can answer that, right? Unless you had previous data before you were ill. And you say, well look, I’ve been running at a 1.1 for five years or 10 years and now I’m at 3.2. That’s a big change. Well, you know you’re stressed. Well yeah maybe but here are my symptoms. Always come back to your symptoms. Bill Gasiamis (26:11) Got it, got it. Dr Hedaya (26:12) No. Bill Gasiamis (26:13) You use the word stress just now and my general practitioner says, I might go in and some bloods might be out of whack or some things might be not feeling great. And he’ll say, are you stressed? And I’m like, well, I’m not stressed. like, I’m not stressed in any way that I can say is worse than normal. For example, I’m Dr Hedaya (26:35) Mm-hmm. Bill Gasiamis (26:36) just, you know, I’m attending to my clients at work. picking up the kids from school, I’m, you know, making sure the bills are paid. Like I’m just doing the normal things that I always Dr Hedaya (26:48) Right. Bill Gasiamis (26:48) do, which tend to be stressful. And somehow when we talk about stress, cortisol seems to come into the conversation. Dr Hedaya (26:57) Mm-hmm. The Role of Stress and Cortisol Bill Gasiamis (26:58) And I don’t know how to respond to a general practitioner who says to me, am I stressed? Because I’m not experiencing something extreme or dramatic. in the months before I came to see him. So can we have a conversation a little bit about stress, cortisol, what is stress, what is cortisol, are they linked? Tell me about that, give me your thoughts. Dr Hedaya (27:21) Okay. Okay, so this is a multi-layer system. Okay, it starts with your perception and your of a situation and the story you tell about you the story you tell yourself about the the situation and your need for control of a situation and as opposed to saying I’m in the flow of the universe and All right, this is you know, this is the way it is, and I’ll adapt to it. Not so easy by the way, but it’s a much healthier way because most things will not stress you. Now, pain, let’s say you stepped on a nail, you’re gonna have stress, okay? Totally stressful, etc. But there’s a a difference between pain and suffering. Most of our problem is suffering. Suffering is a result of thinking patterns. perspectives of yourself and the world and the future and blah blah blah. I could talk about that for a long time. And that is probably one of the most important places to intervene and to train yourself, etc. Now, once this thing is registered as stress, it goes through back to the hypothalamus and the pituitary where all those hormones are controlled, the hypothalamus and pituitary in the brain, now you’ve God forbid, you’ve had a stroke. Those things may be affected, therefore, those systems may not be working well. In that case, you may not be able to handle stresses that you used to handle. You may not you may not have those shock absorbers. So, how do you measure this? I think the way you measure it again are symptoms, and typically it would be low cortisol and low DHA, d DHEA, and low pregnenolone. And the symptoms would be a lot of fatigue, right? Maybe poor wound healing, muscle aches, body pains, getting sick more easily, cognitive slowing, depression, anxiety, extreme exhaustion, salt cravings, in unstable temperatures, you know, I would say yeah You know, th loss of appetite in severe cases, you know, dizziness on standing. Okay. So those are the low adrenal output things. Now how d how do you measure and again, you think you have a problem, go to an AI thing, make that list, check it off, whatever applies, and you know, work yourself up symptomatically and then ask well, okay, what what are the best tests here? What are the best test. Now the way I test it is I get morning I got a morning like eight to nine a.m fasting ACTH and cortisol. It’s gotta be in the morning around between eight and nine a.m. fasting. I also at the same time get a D, like David, H E A and a D H E A sulfate, and then I also get a pregnenolone. And if I think there’s any kind of sex hormone problem that I want to check, then I will check a free testosterone, FSH, LH, and The testosterone measures the free testosterone is very unreliable. So if it comes out low, you want to do it two more times to double check that. But the other measures are pretty reliable. And then you’ll you’ll know the other thing you can do is you could do something called a Dutch test, which is a urine test that’ll look at your cortisol through the day, or an adrenal saliva test. It’s ASI, alleval adrenal saliva index, the Dutch test. or the ASI, both good tests. and those will tell you what’s going on through the day. Like if you’re not sleeping, it could be because your cortisol high at night, you know. Wake up horrible or in pain. Could be because your cortisol is really low in the morning. Really low. You can’t even get out of bed, you know, can’t get going, right? So these are all all things that you can do to measure and then you can replace these hormones and That’s one thing to do. The other thing to do is to work on how you manage stress. There are millions of ways of doing that, right? From meditation to heart math to Bill Gasiamis (32:05) Mm-hmm. Dr Hedaya (32:06) yoga to you know, there’s just a lot a lot a lot of ways to Bill Gasiamis (32:10) Yeah, let’s go back for a moment and talk about testosterone because when I hear testosterone, I’m hearing you say to a male that I need to have testosterone in my body and at certain levels, et cetera. And sometimes it can fall out of whack and you need to get it tested. I had mine tested recently. It’s all good. But women also need testosterone. Tell me about that. Dr Hedaya (32:35) Yeah, so I was I was thinking of both male and female when I said it, Bill Gasiamis (32:38) Yeah. Dr Hedaya (32:39) because it’s it’s you know, women who are postmenopausal can have it’s much more common to have a low free testosterone loss of libido, you know. testosterone the studies which I’ve reviewed a few times, you know, there’s a debate does it affect the mind, the brain, you know. It seems to have an effect on well being, on vitality muscles, sex drive obviously, libido erectile function, brain cognitive function, some mood effects, etc. So I I think it’s important now i it it has to be managed in women as well as men. You know, in in women testosterone is a step on the way to estrogen as it is in men, right? And in the metabolism, right? So it it should certainly be assessed in everybody. Bill Gasiamis (33:39) Yeah. And estrogen, mentioned estrogen. Now, one of them in my mind, it seems to be more associated again to women, estrogen, especially. And, and then men also have estrogen, need estrogen. Dr Hedaya (33:55) Men also have estrogen. I haven’t studied it so I couldn’t tell you, but I imagine it’s doing something. it probably turns men into better leaders after they’re fifty, is my guess. Let Bill Gasiamis (34:08) more emotionally intelligent. Dr Hedaya (34:10) more emotionally intelligent, less testosterone, you know. You know, I I I Bill Gasiamis (34:15) You know what? That’s a good theory. We’ll run with that for now. I might relate to that, know, who knows. Dr Hedaya (34:22) Yeah. I I think Bill Gasiamis (34:24) Awesome, awesome, so… Dr Hedaya (34:24) Yeah, so w for for women on estrogen, it depends, you know, who are you assessing? Are you that’s a whole complex subject, you know. Is it a young woman who’s menstruating? Does she have premature ovarian failure, endometriosis, ovarian cysts, insulin resistance, they all kind of travel together, methylation problems, they travel together. is it someone who’s perimenopausal where she’s starting to lose progesterone and getting a lot of PMS? That’s pretty easy. You can replace the progesterone. Is it postmenopausal a woman who’s just kinda lost the estrogen, lost the progesterone? You know, if there’s a family history of cognitive decline or dementia or something like that, there’s great evidence that transdermal estrogen and some oral progesterone bio bioidentic, not synthetic, is great and reduces the risk for lots of disorders later in life for women. You know. So there’s a whole you know, there’s a whole way of working all that up, depending on who who you’re looking at. But very important. Now so the let me Bill Gasiamis (35:31) Yeah, I love it. Yeah. Dr Hedaya (35:34) say this. The important thing here, and this is maybe the most important thing. Someone’s had a stroke, they’re obviously tremendously stressed. You have to look at all the hormones. You can’t the brain is a hormonal organ. It’s an immune organ. It’s a neurological organ. I used to teach psycho, neuro, immuno, and the chronology at Georgetown for a number of years. Okay? And the brain and hormones, you can’t separate it. So if the brain is under stress, the hormonal axes are under stress, and there’s not one hormonal axis when it’s abnormal that cannot cause neurological or psychiatric problems. Okay? So you must, as part of the work of anyone who’s had stroke. You must look at the endocrine, the hormonal axis. You know, you must look at it. Why? Because if you’re trying to recover from a stroke and you don’t have adequate hormones, it’s gonna be much, much harder. Much, much harder. Right? But Bill Gasiamis (36:37) Peace. Dr Hedaya (36:38) if you have if you have the the hormones at good levels, okay, now the the brain has that. If it has its nutrients, it has that, you know, okay, now it can do something, you know. What happens, think about it this way. What happens in adolescence? The brain is being rewired, the body’s growing, brain is rew being rewired. Where are the hormones? The hormones are skyrocketing. They’re necessary for the rewiring. You had a stroke, you’re trying to rewire brain, you gotta have adequate hormones. Bill Gasiamis (37:10) I love it. This is the thing that people miss. You know, we talk about the gap in stroke recovery. Acute phase gets handled Dr Hedaya (37:19) That’s Bill Gasiamis (37:19) 99 % of the time really well. People get patched up and they get sent home in some kind of alive state, whether they are fully functional Dr Hedaya (37:27) Yeah. Bill Gasiamis (37:28) or working towards it or whether they are less functional and working towards being more functional, like some kind of stage Dr Hedaya (37:35) Mm-hmm. Bill Gasiamis (37:36) of you’re alive and you’re good enough to go home. And then there’s no information after that. So how do we assess address? How, what do we know? What do we not know that we need to know? And this is kind of what this conversation is, right? It’s like, okay, here’s Dr Hedaya (37:53) Yeah. Bill Gasiamis (37:53) a whole bunch of things we’ve just discussed. There might have been things that you heard for the first time. Don’t let that, get in the way of your curiosity and investigate the thing that pricked your ears up, whether it was a symptom that Dr. Hedaya mentioned and just do a little bit more work in understanding what that is, take that to your general practitioner and begin the conversation of taking responsibility for your recovery. And in my mind, like there’s gotta be like a foundational thing that people can do to intervene that doesn’t cost most of the time anything extra. And that helps encourage and nourish the brain in overcoming these challenges, but then has the a cascade effect of having the same positive outcome on all the other organs and hormones. And that to me is nutrition. So like, if you’re, if you would suggest to somebody how they might start thinking about their nutrition as opposed to what they might have been doing before stroke, how do you begin that conversation? And what are the two or three fundamental things that they need to consider? about nutrition. Nutrition’s Impact on Brain Recovery Dr Hedaya (39:11) Okay, so If it doesn’t grow that way, don’t eat it. I never saw a bread tree. I didn’t see an ice cream tree or a Twinkie tree. Okay. So if it doesn’t grow that way, don’t eat it. Balance your plate. Balance your plate. And actually our coach, Caroline Hade, is putting out an ebook. I don’t know, should be out at a week or two or three weeks. It’s like, I don’t know, four or five dollars or something. and that will tell you exactly how to balance your plate. and then I would say very important to have three meals and maybe, depending on your how insulin resistant you are, maybe additionally two snacks. and per day, but keep your calories you don’t want to be overweight, okay, because if you’re overweight, you know, that’s a That’s its own risk factor for brain problems, right? but you can’t lose weight in a day, you’re stressed, you’re hungry, you’re tired, you eat the carbs, you know, everybody struggles with that. But that that is one of the biggest enemies of eating eating eating these processed carbs that we all love is one of the biggest enemies of your health. One of the biggest enemies of your health for sure. Bill Gasiamis (40:35) Okay, there are some great resources that people can again look into how to eat to heal the brain. And we didn’t have to have a deep conversation about that. But I love Dr Hedaya (40:45) Mm-hmm. Bill Gasiamis (40:45) what you said about balancing the plate. And if it didn’t grow that way, don’t eat it. It’s such a simple thing. If it comes in a packet on a shelf in a supermarket with all fancy pictures Dr Hedaya (40:59) Yeah. Bill Gasiamis (41:00) and stickers and a list of ingredients, like it’s probably not nutritional. of food. It’s probably something that’s going to make inflammation worse. It’s probably something that’s going to give you the type of energy that is not helpful. It’s probably going to have a whole bunch of other things. And that’s kind of my approach to healing and recovering my brain. It’s one of the first things I did was just look at my nutrition, immediately stop smoking and drinking. mean, I know it should go without saying, but sometimes you have to have a stroke for it to actually sink in and make sense. and don’t have any alcohol at all. I’m talking about forever if you can, but I didn’t have alcohol Dr Hedaya (41:46) Yeah. Bill Gasiamis (41:47) for at least the first four or five years. And now in the next five years or so, maybe I had one glass per year, just because I was, in an event where it was, everyone was drinking and it was almost necessary to have sip or half a sip or act as if I was drinking. So with that, I think we’ll wrap up this conversation today. There’s been a lot for people to digest, go back and listen to it a second time. And a third time that we have some resources in the show notes. And Dr. Hedaya, thank you for joining me again. And I look forward to our conversation that’s coming up in a few weeks time where we’re going to talk about toxin load and neuroplasticity. Dr Hedaya (42:29) Beautiful. Thanks so much for the opportunity, Bill. I hope I hope people get something out of this and they pursue what they need to pursue. Bill Gasiamis (42:36) Well, that’s a wrap on this conversation with Dr. Robert Hedeya. If there’s one thing to take from today’s interview, it is this. The brain is a hormonal organ and recovery isn’t just about the brain healing in isolation. Thyroid, cortisol, testosterone, estrogen, all of it is connected, and all of it is worth checking if your recovery has plateaued in ways that don’t quite make sense. Dr. Hadea’s free PNIE questionnaire is linked in the show notes. Download it, work through it, and take it with you to your next GP visit. If you want to go deeper on the thyroid piece specifically, go back and listen to the earlier episode with Dr. Elena Zinkov on stroke fatigue and thyroid. And if you missed it, the first conversation with Dr. Hedeya on photobiomodulation is a great companion to this one. if this episode has helped you, share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more survivors. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened, is available at recoveryafterstroke.com/book. And if you’d like to support the show financially, you can do so at Patreon by going to patreon.com/recoveryafterstroke. Until next time, take care of yourself and don’t assume it’s just a stroke. The post Hormones, Fatigue, and the Brain: Dr. Robert Hedaya Returns appeared first on Recovery After Stroke.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Becca: Hi Dr. Cabral! My husband is challenged by a "cobalt conundrum". Several years back he was overexposed to wet cement, spending hours mixing it with his hands. (Big mistake) Shortly after he developed a severe body rash along with painful cramps and diarrhea. After many tests, they found an allergy to cobalt via a skin test, and we assume it relates to the cement mixing incident. Severely limiting cobalt both topically and in diet has helped, but he still struggles with GI issues. Functional medicine tests showed leaky gut. He attempted treatment but even one basic supplement (dairy free igg) caused severe stomach issues. Meanwhile he's missing vital nutrients from avoiding b12 (cobalt) etc. How can he address leaky gut and allergies when he's so sensitive to treatments? Signed, Your Fan       Ally: Hi Dr. Cabral, I am a new Level 2 graduate and I have a new client who is 20-years old with a history of anorexia. she is 5-years post treatment. She complains of bloating, constipation, and just having trouble eating. She is of normal weight, and is looking for relief. I was thinking of doing the Big 3 labs and the CBO protocol.. Any recommendations would be very appreciated. I do not want to recommend the wrong plan of care for her. Warmest regards, Ally :)      Tommy: Hey Dr. C, I'm an IHP, 36. Had a birth defect, 3 operations by the age of 8 including tonsillectomy. Sleep issues began at 9, insomnia by 12, eczema, fainting, 14 years of steroid creams and thousands of antibiotics. I've got high heavy metals and Citrabacter freundi. I can't tolerate any protocols even at a lower dose, they make my existing problems worse. On days where I train intensely I struggle to shut off. I feel like my body is always stuck in a low level of stress. I've cut down my training a lot but I'm not sure what else I can do. I'm tolerating zinc Carnosine which helps but I still always have red skin on my face. Still struggle to tolerate stress. If only I could do a heavy metal protocol.       Sarah: Hi! Hope you are well and love tuning in daily to learn from you! I have been trying to heal leaky gut and chronic hives for over a decade now. Because I am very reactive I stop and start a lot. However, I recently gave in and started a low dose prednisone and over a couple weeks lost 10lbs of inflammation, hives gone, that I couldn't break with any diet (restriction), exercise etc. I would like to do some testing and do the CBO protocol as this started after antibiotics. My question is, will this skew the results of cortisol/A1C and will it be okay to continue on to keep symptoms calm while getting to the root and going through some protocols? Thanks! (BTW) I have tried all the natural stabilizers and didn't help calm symptoms. (Quercetin, Vit C, Mag, etc)       Sienna: Hi Dr. Cabral, this is a follow up to my question on 3782 re testing for perimenopause please. Thank you for your guidance and if I could run EL labs I would. I have NO access to Saliva Testing in my country (and EL don't ship here). So I know about SMM & Fertility Labs but can't run them so I am *specifically* asking IF estrogen & progesterone tested by an endocrinologist (BLOOD) have ANY value as a way to look at levels? LH, FSH & AMH are great as I can get these from bloods, can you please provide the healthy ranges vs. perimenopause? Would really appreciate it as this is the only option I have to look deeper & PCP here don't have a functional approach so really value your guidance on anything you can share to help me support my body. Thank-you, Sienna     Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3817 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

What happens when men's health gets reduced to one testosterone number? In this episode of hol+, Dr. Taz sits down with Dr. Brandon Smith, MD, a conventionally trained physician practicing at hol+, for a practical and eye-opening conversation about men's health, low testosterone, sleep apnea, TRT, GLP-1s, muscle, stress, hormones, and why so many men are waiting too long to get proactive about their health.Together, they explore why men's health needs a reframe, especially in a medical culture where many men are taught to only go to the doctor when something is clearly broken. Dr. Smith shares what he sees in the exam room, from younger men asking about testosterone before starting a family, to men in their 40s, 50s, and 60s realizing they have spent years pushing through fatigue, stress, brain fog, weight changes, low libido, poor sleep, or changes in performance without knowing where to start.Dr. Taz and Dr. Smith also unpack why low testosterone is not always a simple testosterone problem. Dr. Smith explains the difference between total testosterone and free testosterone, why one lab number is only a snapshot, why testosterone can fluctuate throughout the day, and why morning testing matters. They also discuss why symptoms, context, body composition, sleep, stress, inflammation, chronic illness, and lifestyle all need to be part of the conversation before jumping straight to testosterone therapy.This conversation takes a closer look at one of the most overlooked drivers of low testosterone: sleep apnea. Dr. Smith explains why disrupted sleep can create a stress signal in the body, why men may not realize they are waking up throughout the night, and why the body may lower reproductive hormones when it does not feel safe, rested, or recovered. They also discuss how fasting, chronic stress, high cortisol, poor recovery, and underlying medical conditions can affect hormone levels.If you're listening to this and thinking, “I know something is off in my body, but I don't know where to start,” join the Circle here:

(00:00:00) 223: Menopause Explained so Even a Husband can Understand (00:00:12) Welcome to the Itchy and Bitchy Podcast (00:00:43) Doc Itchy Medical Pets Supplements (00:01:03) Explaining Menopause in Simple Terms (00:03:39) The Pituitary-Hormone Axis: A Toilet Analogy (00:07:12) Menopause as a Hormone "Dumpster Fire" (00:08:22) Break Announcement (00:08:35) Four Hormone-Chaos Events in Life (00:13:22) Break Announcement (00:14:04) Sleep Disorders and Aging (00:24:10) Break Announcement Here's the deal.Think of your hormonal system like a toilet. Your ovaries are the water tank. When they're full of estrogen, the pituitary gland, your body's master control panel,  sees a full tank and relaxes. Everything flushes smoothly.We break down this hypothalamic-pituitary-ovarian axis in plain English, no medical degree required. You'll finally understand why your body is doing what it's doing, and what you can actually do about it.Because you deserve to understand your own plumbing.Itchy & Bitchy is the podcast for anyone who has ever felt dismissed, misdiagnosed, or gaslit by a broken medical system.  From gut health and hormone health to autoimmune disease and chronic pain, we investigate what science actually says. We examine functional medicine, holistic health, and alternative medicine with the same skeptical If it's pseudoscience, we'll call it. If it's medical gaslighting, patient advocacy failure, or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers, and wellness skeptics WE OFFER  No filters. No BS. Just the truth your doctor didn't have time to tell you.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system.  From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too.  For chronic illness warriors, self-advocacy seekers: WE OFFER  No BS 

Send us Fan MailMost people think of the menstrual cycle as bleeding, cramps, cycle day one, or an app prediction. But the period is really the final report — not the main event.In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols explains the menstrual cycle from the ovary's point of view. Learn how the brain, ovary, and uterus communicate each month, why one follicle becomes dominant, why IVF does not “use up” future eggs, and why so many common menstrual-cycle myths fall apart once you understand the science.We cover myths like whether ovaries take turns, whether one ovary means ovulating every other month, whether bleeding always means ovulation, whether cycle apps really know when you ovulate, and whether everyone needs to wait three months after a miscarriage before trying again.The menstrual cycle is not a calendar, an app prediction, or a right-left ovary schedule. It is a hormone conversation between the brain, ovary, and uterus.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com.Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com.Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

In episode 631, Lisa explores luteinized unruptured follicle syndrome (LUFS) — a lesser-known ovulatory dysfunction in which the dominant follicle fails to rupture and release the egg despite a normal-appearing LH surge and progesterone rise. Because LUFS can mimic a textbook ovulatory cycle on a fertility awareness chart, it represents one of the more challenging silent contributors to unexplained infertility that practitioners may encounter in clinical practice. This episode offers fertility awareness practitioners essential clinical context for supporting clients with apparently ovulatory charts who continue to face unexplained fertility challenges. Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here! Would you prefer to listen to the audiobook version of Real Food for Fertility instead?

Get personalized root-cause care with Empower Functional Health.Learn more at empowerfunctionalhealth.com_____PCOS has a new name: PMOS, or Polyendocrine Metabolic Ovarian Syndrome. The shift matters because PCOS was never really just about “cysts” on the ovaries. It has always been a broader endocrine and metabolic condition that can affect periods, ovulation, androgen hormones, insulin signaling, skin, mood, and long-term cardiometabolic risk.In this short solo episode, I break down why the name is changing, what PMOS means, how diagnosis works, and why symptoms like irregular periods may be less random than they seem. I also touch on the deeper question: could some cases of PMOS be an early warning sign of broader inflammatory or biotoxin-driven dysfunction, including CIRS?PCOS has a new name; symptoms and diagnosisPCOS and CarnivoreCauses of PCOS (PMOS)Insulin resistanceLoss of period, androgen hormones, LH, SHBGEndocrine disruptorsPMOS and low moodPMOS is CIRS?_____EPISODE REFERENCESPCOS in Lancet Complete Wellness PanelTest CIRS: (start here)What is CIRSCAC Founder interview on Pre Pre Diabetes Personalized Health Plan (symptoms)_____WEEKLY NEWSLETTER