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In this episode, Justin breaks down the non-negotiable principles every nurse practitioner must follow to reach millionaire status. He explains why wealth isn't luck; it's built through persistence, smart risk-taking, and putting yourself in positions where opportunity can find you. Justin covers the essentials: being your own boss, building a scalable business, letting your money work for you, avoiding consumer traps, and creating multiple income streams. He also shares insights on leverage, delegation, and developing a mindset that attracts success. If you're serious about financial freedom and long-term independence, this episode is your roadmap to becoming a millionaire NP.
Welcome to today's episode with host Sadie and a medical panel of three Hoffman Process graduates who are also esteemed medical practitioners. Our host, Sadie, Carrie Levine, Dr. David Hanscom, and Dr. Kash Trivedi engage in this powerful conversation. They cover the connection between emotional health and physical health, the mind-body connection, finding the safety within needed to heal, and so much more. With her background as a licensed Nurse Practitioner, Sadie guides the panel with insightful questions. Our guests answer through their embodied learning from both the Process and their many years of medical practice. They share insights on what it means to practice medicine with awareness, compassion, and the knowledge that can help guide their patients to deeper healing. As the conversation goes deeper into the idea of healing needing a sense of safety, Sadie then asks the panel if we each can "take responsibility for our inner experience of safety?" Carrie responds, saying, "I think we have to. I don't know that anybody else can do that for us. ... I think it's on us." We hope you enjoy this conversation with Carrie, Davide, Kash, and Sadie. Please note: While this conversation is about medicine, healing, and health, please note that what is shared here is strictly for informational purposes only and should not be considered medical advice. Please always seek the guidance of your physician or any other qualified health professional with any questions you have regarding your health or medical condition. Listen on Apple Podcasts Listen on Spotify More about Carrie E. Levine: Carrie E. Levine, CNM, IFMCP, is the founder of the Whole Woman Health clinic. She is the author of Whole Woman Health: A Guide to Creating Wellness for Any Age and Stage. A certified nurse midwife and Institute for Functional Medicine Certified Practitioner, Carrie evaluates and treats the most common women's health concerns by integrating gynecology and functional medicine. For more than two decades, Carrie has worked to help women find wholeness, connecting physical symptoms and test results with lifestyle choices and daily practices. Previously, Carrie practiced gynecology and functional medicine at the renowned Women to Women clinic in Maine (2006–2014). Before that, she provided full-scope midwifery at Miles Memorial Hospital (now Maine Health Lincoln) in Damariscotta, Maine. Patients know Carrie for her deep listening, “connecting the dots” among seemingly unrelated symptoms and emotions, and breaking personal health goals into attainable steps so clients can thrive emotionally, spiritually, and physically. Carrie earned a BS from Syracuse University. She has an RN and MSN from Case Western Reserve University. Carrie earned a Nurse-Midwifery certificate from what is now the Frontier Nursing University. She is a member of ACNM (national and Maine chapters), the Maine Nurse Practitioners Association, and the Institute for Functional Medicine. Sign up for Carrie's free weekly newsletters featuring recipes, podcasts, articles, and more at https://carrielevine.com. Follow Carrie on Instagram, Facebook, LinkedIn, and YouTube. More about Dr. David Hanscom: David Hanscom, MD, practiced complex orthopedic spine surgery for 32 years. He quit his practice in Seattle, WA, to present his insights into solving chronic mental and physical pain. They evolved from his own 15-year battle. David escaped from the ordeal and discovered that mental pain was the biggest issue. Anxiety is the pain. His new book, Calm Your Body, Heal Your Mind: Transcend Pain, Anxiety, Anger, and Repetitive Unwanted Thoughts, is scheduled for release in June 2026. By understanding the neurophysiology driving unwanted thoughts and stimulating neuroplastic changes, they can be addressed and resolved. David's book, Back in Control: A Surgeon's Roadmap Out of Chronic Pain, systematically presents well-documented treatments for chronic pain.
Today we're joined by Nurse Practitioner Taylor Siemens! Taylor specializes in all things SKIN: lasers, needles, facials, chemical peels, you name it. We talk about her journey from building somebody else's vision to stepping out in faith and building something of her own. Taylor knows all about evaluating a field, buying it, and planting a fruitful vineyard! She also gives our listeners very practical advice for taking care of the skin God gave you. This is a fun one!If you're in the Dallas area and looking for someone to assist in your skincare needs, Taylor is your girl! Visit her website www.kairosaestheticmedicine.com and follow her on Instagram @taylorsiemens.np. Sisters with Swords is produced and edited by Holly Knight. Original music by the Minister of Funk and husband of the year, Bradley Knight, can be found here. You can find Holly's book Stubborn Obedience on Amazon! And don't forget to visit Janie's restaurant, The Biscuit Bar, if you're in the DFW Area. Please like, subscribe, and share this episode with your friends and follow us on Instagram! We are so grateful for you, sister, and are cheering you on as you wield your sword.@sisterswithswords@heyhollyknight@janiejoburkett
Palliative care isn't “giving up”—it's teaming up. Nurse practitioner Minerva Sabine explains how comfort, clarity, and support can begin from day one of a serious diagnosis—not just at the end. In this conversation, she demystifies palliative care, outlines who can benefit, and shares how early involvement can ease stress for both patients and families.You'll learn how palliative teams coordinate with doctors, manage symptoms, and guide meaningful conversations about goals and values. Minerva also shares powerful real-world stories that highlight the difference this approach makes in quality of life and peace of mind.Timestamps0:00 - Intro3:25 - What palliative care really is—and how it differs from hospice7:10 - When to involve palliative care and what families can expect10:45 - The interdisciplinary team: medicine, emotion, and spirit14:20 - Common misconceptions and real patient stories18:30 - How palliative care supports families and improves quality of lifeWhat's NextIf palliative care might help you or a loved one, start by asking your doctor for a referral. Visit The Conversation Project to explore free guides that help families talk about wishes and values before a crisis.Stay connected with Seniority Authority on Facebook and Instagram for more practical, positive conversations about growing older with purpose.
Mandi Leite, a Nurse Practitioner who specializes in psychiatric and mental health at Lead-Deadwood Hospital and Erin Adkins a Certified Social Worker at Lead-Deadwood Clinic join Mark Houston to talk about providing mental health and counseling services to the area. They discuss their individual approaches to treatment and how they collaborate together. Much like Lead and Deadwood themselves, medication and therapy can be thought of as interlinked. Listen in as Mandi and Erin describe how they encounter and treat the wide spectrum of mental health symptoms as part of the emerging whole-person model of care. Hosted on Acast. See acast.com/privacy for more information.
In this episode, Louise Esterhuizen discusses her journey as a nurse practitioner in South Africa, focusing on vascular access and infusion therapy. She shares her passion for improving patient outcomes through better practices and the challenges she faces in advocating for expanded nursing roles. The conversation highlights the importance of standardization, collaboration among health care professionals, and the need for structured education to enhance patient care. Louise emphasizes the significance of finding support within the nursing community and the impact of international best practices on local health care.
We're launching our new Provider Series on the Optimal Bio Podcast. In this first episode, CEO Tylar Brannon sits down with Candi Brown, Nurse Practitioner at Optimal Bio's Wilmington office, to explore the science and real-life results of Bioidentical Hormone Replacement Therapy (BHRT). Together, they discuss why testosterone is important for both men and women, how environmental factors impact hormone health, and how restoring balance can improve energy, sleep, brain health, and long-term wellness. If you have ever wondered what's behind symptoms like fatigue, brain fog, or mood changes, this episode is the perfect place to start. Learn how optimizing your hormones can help you think clearly, feel stronger, and feel like yourself again.
NBC News Chief Consumer Investigative Correspondent Vicky Nguyen discusses ways to find free food, have fall fun, and save money in the upcoming holidays. Also, TODAY Lifestyle and Commerce Contributor Jill Martin is back in Studio 1A to spotlight the face behind a skincare brand that was founded in 2020 and is now a multi-million-dollar company. Plus, Emmy-nominated actor John Slattery stops by to discuss his upcoming film 'Nuremberg' which is inspired by the WWII courtroom trial of high-ranking officers prosecuted for their crimes. And, the creator of 'Everybody Loves Raymond' Phil Rosenthal shares his new cookbook 'Phil's Favorites' inspired by friends, family, and chefs from around the world. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
The “Word on Medicine” spanned 2017 to 2025 and with the help of our friends - faculty, residents, Nurse Practitioners, PAs, countless other members of the health care team and most importantly, our patients – we created over 200 unique hour-long programs bringing the inspiration of academic medicine to the airways. At the end of many of the programs, Dr. Evans provided thought, reflection, and opinion on various aspects of medicine and life, sprinkled with personal experience. These short conclusions to Word on Medicine programs have been affectionately referred to as “In the Final Couple Minutes”. Dr. Evans has put together 15 of the most memorable recordings which you can listen to without interruption –– this will air as the final “Word on Medicine” Program on Saturday, Nov 1, 2025. A special thank you to Dr. Rana Higgins, Linda Klagstad, Dave Michaels, and the Selig's and Attanasio's who made The Word on Medicine possible with their generous support.
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, Josie is out of the studio, so she talks about sleep in a pre-recorded show. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
This week Clint talks to Kayla Kinnebrew. Kayla is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with a strong foundation in nursing and over a decade of clinical experience. She earned my Bachelor of Science in Nursing from Louisiana Tech University and later completed my Master of Science in Nursing at Northwestern State University, specializing as a PMHNP. Before entering advanced practice, Kayla spent 11 years as a registered nurse, with most of her career in the fast-paced environment of the emergency department. This experience gave her the opportunity to care for individuals from all walks of life, deepening her understanding of the diverse needs and challenges people face when it comes to mental health. Kayla provides compassionate and comprehensive psychiatric services to adults, including assessment, diagnosis, and medication management for a variety of mental health conditions. She believes in a collaborative approach to care—partnering with each client to create individualized treatment plans that incorporate both medication and supportive counseling. Kayla's passion lies in helping clients find balance and renewed hope through integrated, person-centered mental health care.
On this accredited episode of NP Pulse: The Voice of the Nurse Practitioner, hear from experts Kathryn Evans-Kreider and Debbie Hinnen, who will be discussing the latest evidence and practical strategies for using continuous glucose monitoring (CGM) to improve outcomes, prevent complications and empower patients. NPs will learn how to apply current guidelines and expand CGM access across diverse patient populations. A participation code will be provided at the end of the podcast — make sure to write this code down. Once you have listened to the podcast and have the participation code, return to this activity in the AANP CE Center. Click on the "Next Steps" button of the activity and: Enter the participation code that was provided. Complete the posttest. Complete the activity evaluation. This will award your continuing education (CE) credit and certificate of completion. CE will be available through Oct. 31, 2026. Podcast Resource: ClinicalBrief_TacklingTherapeuticInertia.pdf This activity is supported by an independent medical educational grant from Abbott Diabetes.
In an effort to engage Neonatal Nurse Practitioner (NNP) students and provide the students with an innovative method of learning difficult concepts, the authors (Dr. Colleen Moss, Dr. Helen Nation, and Mr. Eric Hall) created an escape game. NNP students solved clues to support diagnoses and treatments through analyzing, solving, and unlocking a series of puzzles to "escape" the game within a specified time limit. Learn more about this innovative strategy by reading their article in Nurse Educator.
Scaffolding is the technique of providing support and gradually withdrawing support until an individual can perform a task independently. This approach is inspired by Vygotsky's theory of the Zone of Proximal Development. Dr. Ainslie, Dr. Hebert, and Dr. Luke discuss the use of the scaffolding model and how that method can be used for scaling complexity within Nurse Practitioner (NP) curricula. Learn more about this strategy in their article in Nurse Educator.
Menopause is often portrayed as a period of decline, but what if it could be reframed as an awakening? Join co-authors Dr. Patricia Singh, psychotherapist and psychedelic integration specialist, and Kelly McGinty, nurse practitioner specializing in hormonal and integrative wellness, for a groundbreaking exploration of menopause as a transformative threshold. This session will delve into how psychedelics, especially psilocybin, offer a radical new perspective, easing cognitive rigidity, reducing internal narratives of decline, and fostering emotional and spiritual growth. Attendees will gain fresh insights on navigating midlife with strength, clarity, and empowerment. About Mycelopause: Uncovering the Magic of Menopause with Psilocybin Co-authored by Dr. Trish Singh, PhD, LPCC and Kelly McGinty, CNP, MSN, Mycelopause is not your typical menopause guide. It's a rebellious, witty, and deeply insightful journey into the intersection of psychedelics, perimenopause, and personal transformation. Combining science, storytelling, and satirical humor, we explore how psilocybin and other holistic tools can help reframe menopause from a crisis to a rite of passage. Kelly McGinty is a nurse practitioner accredited by the American Academy of Nurse Practitioners, with a Master's in Nursing from Gonzaga University. After over a decade as an emergency department NP, Kelly sought holistic approaches to address pandemic-related burnout and mental health crises. Her transformative experiences with psychedelics led her to study psychedelic-assisted psychotherapy at the California Institute of Integral Studies. Kelly integrates Reiki, herbology, and Druidic traditions to help clients—particularly first responders, end-of-life patients, and those with treatment-resistant conditions—achieve holistic wellness in mind, body, and spirit. Dr. Patricia Singh, Ph.D., LPCC, is an independently licensed mental health counselor in New Mexico and California with over 25 years of experience in behavioral health. She holds a doctorate in Mind-Body Medicine with a specialization in Integrative Mental Health and is certified in Psychedelic-Assisted Therapy through the California Institute of Integral Studies. Dr. Singh integrates Ayurvedic principles, trauma-informed care, and psychedelic preparation and integration into her clinical work, where she focuses on post-traumatic stress, addiction, and family trauma. She is the founder of A New Awakening Counseling, a progressive rehabilitation facility serving individuals reentering society after incarceration. Her current research centers on holistic weight loss strategies for menopausal women. Dr. Singh splits her time between Albuquerque, New Mexico, and Oxnard, California. Psychedelic Salon: Cultivating Conscious Connections Join Seattle-based psychedelics educator and podcast host April Pride in a dynamic series co-produced with Town Hall Seattle. Psychedelic Salon explores the transformative potential of psychedelic medicines through engaging conversations, expert panels, and interactive community discussions. Rooted in scientific evidence, each event highlights unique themes—including grief, seniors, menopause, and more—emphasizing their role in mental health, spiritual growth, and personal optimization. Designed to be inclusive and insightful, this series invites attendees of all backgrounds to discover how psychedelics can foster profound connections, healing, and well-being. About April Pride April Pride is a Seattle-based creative entrepreneur and harm reduction advocate with over two decades of experience building brands at the intersection of lifestyle, cannabis, psychedelics, and women's health. Her work has been featured in The New York Times, Forbes, Vice, and The Guardian. April is the founder of SetSet, the world's first clinician-approved woman-focused platform for safe, accessible psychedelic integration. Presented by Town Hall Seattle and SetSet.
In this episode of the Atomic Anesthesia Podcast, we connected with Dr. David Warren, DNP, CRNA, NP to discuss the unique journey of transitioning from nurse practitioner to nurse anesthesiologist. Dr. Warren shares insights from his clinical practice, case mix, and favorite patient populations while reflecting on how his background as an NP shaped his approach to anesthesia. Listeners will learn how previous advanced practice experience can both prepare and challenge those entering CRNA training, the advantages it can bring to clinical practice, and the mindset needed to succeed in this career shift. Dr. Warren also talks about his own podcast and social media presence, explaining how he uses these platforms to educate and inspire other clinicians. The conversation concludes with valuable advice for NPs considering the leap to anesthesia, making this episode a motivating and practical listen for aspiring CRNAs.Want to learn more? Create a FREE account at www.atomicanesthesia.com⚛️ CONNECT:
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, Josie talks about breast cancer awareness with Barbara Herring, a Nurse Practitioner in the UMMC Department of Surgery. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
Hear From Her: The Women in Healthcare Leadership Podcast Series
This episode features two nurse practitioners, Laura Demuth and Jackie Gianelli, who are not just managing careers but actively carving out new, non-traditional roles that place women's whole-person health at the center of care. Both leaders reflect on the systemic barriers that have slowed progress in women's health—from underfunded research in areas like menopause and endometriosis to flawed reimbursement models—and reveal how their clinical skills, like critical thinking and cross-functional leadership, made the leap to executive roles possible. Ultimately, they offer a collective mantra to clinicians feeling "boxed in": follow your curiosity, know you have options, and don't take the first "no" as gospel. This podcast is not available for CME/CE/CPD credits. Please visit the Medscape homepage for accredited CME/CE/CPD activities.
This week, Tee welcomes Dr. Angela M Petersen (DNP), a board-certified Nurse Practitioner and the founder of Amplified Total Wellness, a platform dedicated to advancing integrative health and lifestyle medicine. With a strong clinical background and a holistic approach, Dr. Angela empowers individuals and organizations to achieve sustainable well-being. Her practice bridges the gap between traditional medicine and lifestyle-driven health, focusing on areas such as disease prevention, stress resilience, performance optimization, and personalized wellness strategies. Dr. Angela's practice bridges traditional medicine and lifestyle-driven health, emphasizing disease prevention, stress resilience, performance optimization, and personalized wellness strategies. In this chat, Tee and Angela discuss the importance of reducing inflammation, hormone replacement therapy, and detoxing from everyday toxins found in fragrances, plastics, and household products. She also touches on her nonprofit, The Wellness Glitch, aimed at making such treatments accessible to those who can't afford them. The episode concludes with a discussion on holistic living for busy professionals and future projects, including an upcoming book and ideas on natural burial. Connect With Dr. Angela: Website Instagram Follow Therese "Tee" Forton-Barnes and The Green Living Gurus: Austin Air Purifiers: For podcast listeners, take 15% off any Austin Air product; please email Tee@thegreenlivinggurus.com and mention that you want to buy a product and would like the discount. See all products here: Austin Air The Green Living Gurus' Website Instagram YouTube Facebook Healthy Living Group on Facebook Tip the podcaster! Support Tee and the endless information that she provides: Patreon Venmo: @Therese-Forton-Barnes last four digits of her cell are 8868 For further info, contact Tee: Email: Tee@thegreenlivinggurus.com Cell: 716-868-8868 DISCLAIMER: ALL INFORMATION PROVIDED HERE IS GENERAL GUIDANCE AND NOT MEANT TO BE USED FOR INDIVIDUAL TREATMENT. PLEASE CONTACT YOUR PROVIDER OR DOCTOR FOR MEDICAL ADVICE. Produced By: Social Chameleon
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, we talk about healthy eating. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE WorkFlow PDF Templates Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
OSF HealthCare has welcomed Kaitlyn McGough, APRN, to its primary care team in Kewanee. Starting October 13, 2025, McGough will offer preventive care, chronic disease management, and primary care for patients of all ages at the OSF Saint Luke Medical Center on West South Street. Board-certified as a family nurse practitioner, McGough is also pursuing credentials in lactation consulting. She emphasizes the importance of making patients feel accepted, understood, and safe, regardless of their background. With a love for rural communities, she aims to improve healthcare access in the region. Kaitlyn McGough is trained and certified to perform outpatient procedures, such as abscess drainage and skin biopsies. Appointments are available online or by phone at 309-852-7700. “Regardless of their age, gender, belief system or background, my hope is that my patients feel accepted and safe with me,” said Kaitlyn McGough. “The longer I work in medicine, the more I feel this is exactly where I should be,” she said. A local healthcare professional is making strides in advancing her qualifications. After earning both her Bachelor of Science and Doctor of Nursing Practice degrees from Southern Illinois University Edwardsville, she has become a board-certified family nurse practitioner through the American Academy of Nurse Practitioners. She is now preparing to sit for the licensing exam to become an International Board-Certified Lactation Consultant, a credential that will expand her expertise in supporting new mothers and infants. Outside the clinic, she enjoys quality time with her husband and three children, often exploring the outdoors together. Kaitlyn's commitment goes beyond medicine—she's dedicated to building relationships that empower and comfort those under her care, underscoring her belief that real healing begins when patients feel truly heard.
Setting professional boundaries can feel like walking a tightrope when you're caring for patients. You want to show compassion and build trust, but there's this invisible line that keeps things professional and safe. Every nurse practitioner faces moments where that line gets blurry. In this episode, I'll show you exactly what to say when patients overshare, how to handle being asked to work outside your scope, and ways to maintain your well-being while still being a team player. You'll discover that boundaries aren't barriers; they're actually what allow you to show up as your best self consistently. Get full show notes, transcript, and more information here: https://blog.npreviews.com/maintain-healthy-boundaries-patients-employers-preceptors Follow us on Instagram: instagram.com/smnpreviewsofficial
Cognitive health is the topic of the day on NP Pulse: The Voice of the Nurse Practitioner®, and joining the podcast is returning guest Shonda Phelon — an academic, nurse practitioner and expert in mental health. Phelon talks about opening the conversation around cognition decline early; the importance of encouraging active brains and bodies; and walks us through the latest updates in testing and cognitive assessment. This podcast is made possible by Eli Lilly & Co.
Many of us are searching for answers about hormone replacement therapy, or HRT, and want clarity in a confusing landscape. HRT is often used to help manage symptoms related to hormone imbalances, such as those from menopause or certain health conditions.Navigating personal health can be overwhelming, and every journey looks a little different. Sometimes, it's hard to know what questions to ask or what signs to watch for. Some common concerns include having labs checked, getting treatments that are tailored to individual needs, and discussing family history.Unfortunately, we don't have many resources that can help give us those answers. That's why we're so glad to chat on IG Live with Nicole Stroop, a Nurse Practitioner and Certified Functional Medicine Specialist.During this Live, we're going to discuss HRT red flags when working with a physician, the role of genetics in HRT, what to look for in labs, and more. Learn more about Nicole's services: https://linktr.ee/nicolestroopnpGet tested for BPA, phthalates, parabens, and other hormone-disrupting chemicals with Million Marker's Test Kit: https://www.millionmarker.com/
Since 2010, the Association of Cancer Care Centers (ACCC) has produced an annual Trending Now in Cancer Care report, highlighting the biggest challenges, solutions, and opportunities in oncology. In this episode, CANCER BUZZ speaks with Lindsey Causey, DNP, APRN, ANP-BC, AOCNP, nurse practitioner at Cone Health Cancer Center, about part 2 of the 2025 trend report. She shares takeaways from the in-person discussions at the ACCC Annual Meeting & Cancer Center Business Summit (AMCCBS) that informed this report, as well as how she uses the information from ACCC's trend reports at her own cancer center. Part 2 of the 2025 Trending Now in Cancer Care report focuses on payer-driven challenges and solutions, comprehensive cancer care services, research and clinical trials, and mobile screening to engage communities in cancer prevention and education. The full article can be found in Oncology Issues, the official journal of ACCC. Lindsey Causey, DNP, APRN, ANP-BC, AOCNP Nurse Practitioner Cone Health Cancer Center Greensboro, NC “Many patients come into my clinic and they say, I just feel like a piece of me goes to one office, a piece of me goes to another office. I don't want to be seen as pieces of a whole person. I want to be seen as the whole person and know what to do and feel like I have all my answers in one place. “ “[The trend report] really allows you to reflect on what the current state is first and then understand what might need to happen to be able to bring some of these things to fruition.” “Early palliative care is essential, not just because it helps with patients and improving their symptoms and wellbeing, it also increases their survival, but it can also help reduce provider burnout by partnering with palliative care.” Resources: 2025 Trending Now in Cancer Care: Part 1 2025 Trending Now in Cancer Care: Part 2 Archived Reports CANCERBUZZ episode: 2025 Trending Now in Cancer Care: Part 1
In this episode of The Healthy Mouth Movement Podcast, I sit down with nurse practitioner and functional medicine practitioner Andrea Rorabaugh—also known as Annie from Back to Our Roots—for a powerful conversation about getting back to the basics of true health. Andrea shares her personal journey from working in urgent care during the height of COVID to realizing that she wasn't truly healing patients—only temporarily making them feel better. That realization led her to functional medicine, where she helps families uncover the why behind chronic illness. We dive deep into the connection between genetics, nutrition, and oral health, discussing topics like MTHFR, folate vs. folic acid, heavy metal toxicity, gut health, and how the body's natural ability to heal starts with small foundational habits. Andrea and I talk about why our children are sicker than ever, what parents can do to support their kids' bodies naturally, and how oral health and functional medicine beautifully overlap when it comes to true prevention. Links & ResourcesAndrea's website: www.b2or.comInstagram: @b2or2024 If you enjoyed this episode, please take a moment to rate, follow, and share the podcast. Your support helps us spread the message that a healthy mouth means a healthy body. Until next time—breathe through your nose and share a smile. After all, they're contagious. Check out The Mind Mouth Body SHIFT Method -- https://shereewertz.com/academy Book a consultation today:I am always here to help answer any question and schedule a 15 minute call with me. If I can not help, I can get you to a provider that can.https://shereewertz.com/15-min
Do you say yes when you mean no? Feel anxious, over-responsible, or disconnected from your true self? In thisvepisode, host Chris Oh sits down with Beatriz Victoria Albina, Certified Somatic Life Coach, Nurse Practitioner, and author of End Emotional Outsourcing, to explore how so many of us—especially women—unknowingly give away our emotional power in the name of love, peace, and belonging.Béa coined the term “Emotional Outsourcing” to describe the pattern of abandoning ourselves to earn safety and approval. Béa helps us unpack:What emotional outsourcing really is—and how it hides behind codependency, people-pleasing, and perfectionismHow it shows up in friendships, family dynamics, romantic relationships, and the workplaceWhy nervous system regulation is the missing piece in breaking free from these cyclesHow to begin reconnecting to your body's cues, setting boundaries, and reclaiming your inherent self-worthBéa's science-backed framework blends mindset work with somatic healing to help us stop outsourcing our emotions—and finally come home to ourselves.If you've ever felt resentful, burned out, or like you're “too much” or “not enough,” this conversation will remind you that your worth was never meant to be earned—it was always youGet your copy of Beatriz Victoria Albina's book End Emotional Outsourcing and start reclaiming your self-worth today: https://beatrizalbina.com/book/Follow Beatriz on Instagram here: https://www.instagram.com/beatrizvictoriaalbinanpLearn more about P.S. Younger Self here.And, you can connect with host Chris Oh on Instagram here.
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, Josie talks about the newly released guidelines for treating hypertension. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Social Media Medical Myths:Detox/CleanseWaterNatural vs CleanFood for Thought: Water Sauté Hosted on Acast. See acast.com/privacy for more information.
This episode offers practical guidance for nurse practitioners on how to effectively communicate with patients and their families regarding end-of-life care in an acute hospital setting. It emphasizes the importance of thorough chart review, including lab results and imaging scans, to provide factual and empathetic information. Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
Mayuri Parmar Linkedin Education: Olivet Nazarene University-Nursing University of Illinois-Chicago- Doctor of Nurse Practice
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric talks with Andrew Azelton, a CoROM MSc student, discussing his journey through the EMS field and the challenges faced in pursuing advanced practice as a paramedic. He highlights the lack of master's programs in the U.S. that focus on clinical experience, contrasting it with the more developed systems in Europe. The discussion explores state regulations, the variability of care across different regions, and potential pathways for paramedics to advance their roles within the healthcare system.They explore the concept of an advanced practice paramedic, comparing EMS systems in the U.S. and Europe, discussing funding challenges, and the potential for creating new pathways for paramedics. It emphasises the need for advanced education and training, as well as the importance of funding in implementing changes in the EMS system. The discussion also touches on the future of paramedic education and offers advice for new medics entering austere medicine.TakeawaysAndrew Aselton is pursuing a master's program in EMS.The U.S. lacks master's programs focused on clinical experience for paramedics.The EMS system in the U.S. is fractured and varies by state.In Europe, paramedics have their own licenses and greater autonomy.State regulations have a significant impact on the practice of paramedics in the U.S.Advanced practice paramedics are emerging in some states, like Kentucky.There is a need for a structured pathway for advanced practice paramedics in the U.S.The conversation highlights the differences in EMS practices between the U.S. and Europe.Waving a magic wand could lead to significant changes in paramedic education.The discussion raises questions about the future of paramedics in advanced roles.An advanced practice paramedic should have field experience and a graduate degree.Hands-on learning and clinical attachments are crucial for paramedic education.The EMS system in the U.S. varies significantly by state and funding.Funding challenges hinder the implementation of advanced practice paramedics in the U.S.EMS is often not considered an essential service, which can impact funding and resources.Data shows that treatment release can save money and reduce hospital admissions.A national support system is needed for advanced practice paramedics.Creating a nurse practitioner pathway for paramedics could be beneficial.Funding disparities exist between tax-based and for-profit EMS systems.New medical professionals should seek appropriate training and be prepared for the challenges of working in austere environments.Chapters00:00 Introduction to Andrew Aselton and His Journey02:37 Challenges and Growth in the Master's Program05:10 The State of EMS Education in the U.S.07:47 Advanced Practice Paramedics: A Path Forward10:41 The Future of EMS and Advanced Practice Opportunities12:00 Designing the Advanced Practice Paramedic14:52 Comparing EMS Systems: U.S. vs Europe18:00 Funding Challenges in EMS21:50 The Role of Advanced Practice Providers24:08 Creating a New Pathway for Paramedics29:59 The Future of Paramedic Education32:59 Advice for New Medics in Austere Medicine
Click here to send me a quick message :) Wait, what? Astrology can give you insights into your reproductive, sexual or menstrual health? I know it might sound a bit wild, but astrology has actually been revered for not only divination but also for understanding tendencies towards physical, mental, emotional and spiritual weaknesses and strengths for hundreds (perhaps thousands?) of years!And our charts can actually give us useful information about everything from our fertility (including optimal timing), libido, menstrual pain, perimenopausal symptoms to anticipate and so much more. My guest this week, Nurse Practitioner and Jyotish practitioner Jessica Lusignan, breaks down the basics of this and gives an amazing foundation.Whether you're entirely new to Vedic astrology or seasoned in it, I hope this episode offers some helpful new ideas for you to explore.Resources:Today's shownotes: Get links to Jessica's classes, readings, consultationsGrab the free Womb Connection & Clearing guided practiceSign up for the priority waitlist for Natural Contraception the Herbal WayEpisode 83: What is astroherbalism?If you loved this episode, share it with a friend, or take a screenshot and share on social media and tag me @herbalwombwisdom. And if you love this podcast, leave a rating & write a review! It's really helpful to get the show to more amazing humans like you. ❤️DISCLAIMER: This podcast is for educational purposes only, I am not providing any medical advice, I am not a medical practitioner, I'm an herbalist and in the US, there is no path to licensure for herbalists, so my role is as an herbal educator. Please do your own research and consult your healthcare provider for any personal health concerns.Support the showSupport the show
In this episode, Nathan discusses primary care for endurance athletes with Dr. Laurel Short. Dr. Laurel Short is a Family Nurse Practitioner at Sunflower Medical. She earned her undergraduate degree in Nursing from Luther College and a master's degree in Nursing from the University of Kansas. She completed her Doctor of Nursing degree at the University of Missouri-Kansas City with an emphasis on self-management for chronic migraine. Prior to joining Sunflower Medical Group, Laurel worked in the area of physical medicine and rehabilitation for ten years. She is a board-certified Family Nurse Practitioner and has a Certificate of Added Qualification in Headache Medicine. Laurel is an active leader with the American Association of Nurse Practitioners and the Academy of Spinal Cord Injury Professionals. Outside of the office, you will find her training for triathlon events, traveling, and chasing after her two young children. Dr. Short's IG - https://www.instagram.com/laurelshort/ Dr. Short's Headache Resource- https://yourmigrainetoolkit.com/ The Runners Zone Want to work with runners and build a thriving business around it? The Runner's Zone is an upbeat, global community of clinicians, coaches, and trainers who love working with endurance athletes. For over 10 years, we've helped passionate professionals fast-track their skills, grow their confidence, and build beautiful, word-of-mouth businesses that runners rave about. Join us if you're ready to level up—and have fun doing it. Use code “rzpod” for 10% off the annual membership. To learn more click HERE.
In this episode, Dr. Sandra Pagenta, DNP APRN interviews Dr. Anne Meneghetti, an MD and physician executive at Epocrates, discussing her journey in medicine and the impact of the Epocrates app on clinical practice. They explore the app's features, its role in reducing medical errors, and how it supports nurse practitioners in making informed decisions at the point of care. The conversation also touches on the importance of patient education, the shift towards individualized care, and the future of technology in healthcare.Anne Meneghetti, MD: https://www.linkedin.com/in/anne-meneghetti-395504195/Check out Epocrates: https://www.epocrates.com/ CODE: SUCCESSTDC Group Live Webinar Link: https://registration.socio.events/e/apcriskCheck out our eBooks designed specifically for NP students navigating the clinical setting! https://bit.ly/SuccessNPebookFollow us on instagram: @thesuccesnpGo to our website www.successnps.com
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, Josie talks about the newly released guidelines for treating hypertension. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
This episode provides an in-depth guide for nurse practitioners on how to independently manage a cardiac arrest code, particularly in settings where physician support may be limited or absent. Join me regularly as I dive deep into Nurse Practitioner workflow, entrepreneurship, wealth-building strategies, day trading insights, and invaluable resources specifically tailored for Nurse Practitioners and healthcare professionals ready to take charge of their financial future.✨ FREE PDFs Included: https://drive.google.com/drive/folders/1kSL6jTzabuFSleSIZNcJo6F4BG_qtd3n?usp=sharingPractical strategies for maximizing NP income
In this conversation, Nurse Erica interviews Amy Siple, a Nurse Practitioner who faces severe consequences from the Kansas Board of Nursing after an unintentional lapse in her nursing license. Amy shares her journey, detailing the challenges she faced, the emotional toll of the investigation, and the broader implications for nurses everywhere. The discussion highlights the punitive culture within nursing boards, the need for oversight, and the importance of advocacy and support among nurses. There is need for reform and legislative action in how nursing boards operate and discipline nurses. Nurses need to be aware of the consequences of unprofessional conduct. Communication with the Board of Nursing should be approached with caution. Awareness and education about the board's processes are crucial for nurses. Amy's story serves as a call to action for the nursing community to unite and stand against injustices within the profession. Thank you to Nurses Uncorked Enema Award Sponsor, Happy Bum Co. Please visit https://happybumco.com/ and use promo code NURSESUNCORKED for 15% off your first bundle. Interested in Sponsoring the Show? Email with the subject NURSES UNCORKED SPONSOR to: nursesuncorked@gmail.com Support the Show: Help keep Nurses Uncorked going and become an official Patron! Gain early access to episodes, exclusive bonus content, giveaways, Zoom parties, shout-outs, and much more. Become a Wine Cork, Wine Bottle, Decanter, Grand Preserve, or even a Vineyard Member: https://patron.podbean.com/nursesuncorkedpodcast Amy Siple: amysiple.com Chapters: 00:00 Introduction to Amy Siple's Case 04:18 Amy's Nursing Background and Career 06:52 The License Renewal Incident 09:15 It Can Happen to Anyone 10:55 Initial Response from the Kansas Board of Nursing 12:34 Consequences of Consent Agreements & Unprofessional Conduct Label 17:48 The Escalation of the Situation 26:45 The Role of the House Select Committee on Government Oversight 30:50 Testifying and the Impact of the Case 34:20 Other Nurses' Stories and Systemic Issues 42:35 Understanding Unprofessional Conduct 46:55 The Need for Reform in Nursing Boards 50:14 Personal Costs of Fighting the System 54:14 The Ongoing Battle Against Nursing Board Retaliation 55:20 Administrative Judge Ruling Setback 59:50 Proposed Reforms for Nursing Boards 1:03:29 Safe Harbor 1:04:17 Advocacy and Support Among Nurses 1:07:16 Enema of the Week Award 1:09:27 The Impact of Nursing Board Actions on Mental Health 1:12:30 Multi-State Licenses Can Be More Harmful Than Helpful 1:13:28 Take Away Nurse Erica's PO BOX Address: 6720 N. Hualapai Way Suite #145-260 Las Vegas, NV 89149 House Select Committee on Governmental Affairs Hearings: KS House Select Committee Hearing 7/29/25/YouTube KS House Select Committee Hearing 9/8/25/YouTube Help the podcast grow by giving episodes a like, download, follow and a 5 ⭐️ star rating! Please follow Nurses Uncorked at: tiktok.com/nurses-uncorked https://youtube.com/@NursesUncorkedL You can listen to the podcast at: podcasts.apple/nursesuncorked spotify.com/nursesuncorked podbean.com/nursesuncorked https://nursesuncorked.com DISCLAIMER: This Podcast and all related content published or distributed by or on behalf of Nurse Erica or Nurses Uncorked Podcast is for informational, educational and entertainment purposes only and may include information that is general in nature and that is not specific to you. Any information or opinions expressed or contained herein are not intended to serve as legal advice, or replace medical advice, nor to diagnose, prescribe or treat any disease, condition, illness or injury, and you should consult the health care professional of your choice regarding all matters concerning your health, including before beginning any exercise, weight loss, or health care program. If you have, or suspect you may have, a health-care emergency, please contact a qualified health care professional for treatment. The views and opinions expressed on Nurses Uncorked do not reflect the views of our employers, professional organizations or affiliates. Any information or opinions provided by guest experts or hosts featured within website or on Nurses Uncorked Podcast are their own; not those of Nurse Erica or Nurses Uncorked LLC. Accordingly, Nurse Erica and Nurses Uncorked cannot be responsible for any results or consequences or actions you may take based on such information or opinions. All content is the sole property of Nurses Uncorked, LLC. All copyrights are reserved and the exclusive property of Nurses Uncorked, LLC.
No matter how well you prepare, every NP exam includes a few questions that make you stop and think, “What in the world is this?” These are the infamous "zebra questions," the ones designed to test how you handle uncertainty rather than how much obscure content you've memorized. The goal isn't to know every rare diagnosis, but to stay calm, think critically, and move forward with confidence. In this episode, Kaitlyn and I break down how to approach these unexpected, seemingly impossible exam questions using logic and reasoning rather than panic. We walk through real examples, including cases like blue skin discoloration after well water exposure and cave explorers with fungal infections, showing how to use context clues, process of elimination, and strategic thinking to find your best answer, even when the condition is brand new to you. Get full show notes, transcript, and more information here: https://blog.npreviews.com/np-board-exam-strategies-absolutes-opposites-kaitlyn-d Follow us on Instagram: instagram.com/smnpreviewsofficial
We're bringing back another great episode for our special Menopause Matters Season — this time with the fabulous Tania Dalton. Tania is a healthy aging coach and fitness trainer, known for her inspiring approach to redefining what's possible as we age. She's passionate about showing that menopause isn't an ending, but the beginning of a whole new chapter. Since we first recorded this episode, Tania has continued her mission, working as an online health coach helping women over 50 regain their energy so they can thrive in their careers and their lives. She's also launched an exciting new venture — the Midlife Women's Clinic, an online service for Australian women navigating perimenopause. The clinic provides education and connects women with GPs, Nurse Practitioners, Naturopaths, Psychologists, Nutritionists, and other experts who specialise in perimenopause. Tania brings such inspiration and practical wisdom to this conversation, sharing how lifestyle choices can transform how we age and how midlife can be the most empowering time of all. Here's what we cover: -Why Tania became so interested in how lifestyle impacts aging -Why she's determined to show women menopause isn't the end so much as a whole new beginning -Simple and effective ways to transform life -Staying active despite osteoarthritis -Training for an ironman challenge (she since completed this!) -Being willing to try things while accepting you may not be able to complete them -Why Tania feels menopause has been the best thing to happen to her -The importance of prioritizing sleep -How Tania manages stress -The importance of getting outside a lot, especially first thing in the morning -How living more simply can help with health -How Tania has accepted her aging self -Optimal nutrition in midlife and beyond -Increasing variety in your diet to assist your microbiome -The importance of strength training and getting clear on what we need to do -Incorporating HIIT sessions where possible -Incidental exercise – staying mobile throughout the day -The impact of stress on increasing belly fat in midlife -How to simply incorporate meditation -Not letting perfectionism stop her from going for things -What Tania most wants women to know And more! If you enjoyed this episode, please subscribe, share it and leave us a 5* review on Apple Podcasts or wherever you're listening. Order Rachel's book, Magnificent Midlife: Transform Your Middle Years, Menopause And Beyond, recommended in The New York Times as one of seven top books about menopause at magnificentmidlife.com/book The paperback can also be purchased on Amazon or other online retailers: UK: https://www.amazon.co.uk/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ US & Canada: https://www.amazon.com/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ Australia: https://www.amazon.com.au/Magnificent-Midlife-Transform-Middle-Menopause/dp/173981150X/ You can listen to all the other episodes and get the show notes at magnificentmidlife.com/podcast. Podcast recommended by the Sunday Times. Feedspot #9 in 40 Best Midlife Podcasts and #7 in 60 Best Women Over 50 Podcasts You'll find lots of strategies, support, and resources to help make your midlife magnificent at magnificentmidlife.com. Check out Rachel's online Revitalize Experience, a 6-week intensive small group mentoring experience or 1-1 Midlife Mentoring.
In this episode of the HPNA Palliative Perspective Podcast, we welcome Doug Wubben, a health care professional with a diverse background in nursing and coaching. Doug brings extensive experience as an Oncology Case Manager and Goals of Care Educator, roles that have shaped his deep understanding of person-centered communication and interprofessional collaboration. Currently, he works as a Life & Leadership Coach, supporting clinicians as they navigate the personal and professional challenges of caregiving roles. In this episode, Doug shares insights from both his clinical practice and coaching work, offering a unique perspective on how we can address empathic distress, acknowledge and learn from a culture of mistakes, and build meaningful process improvements. He reminds us of the value in slowing down, making space to feel, and cultivating the most important compassion of them all—for ourselves. Doug Wubben, RN, BSN, PCC Doug Wubben, RN, BSN, PCC is a Life and Leadership Coach and High Reliability Specialist at the VA Hospital in Madison, WI. His career has been anything but linear—spanning roles as a caregiver, organic farmer, local food advocate, nurse, and now coach—giving him a rare lens on how humans grow through change and optimize life transitions. With 14 years in nursing and a deep commitment to end-of-life care, Doug has led countless goals-of-care conversations and trained hundreds of clinicians to approach them with clarity and compassion. Today, he's helping health care professionals turn their care inward—teaching them how tending to their own well-being unlocks deeper, more sustainable care for others. Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.
Cynthia Kelley is an experienced Nurse Practitioner with a background in Emergency Medicine and a valued colleague currently specializing in Urgent Care in Yakima Valley, Washington. In this episode we discuss a plethora of topics while seeing patients in clinic. Thank you for listening to A Courage Experiment.
In this special sponsored episode from Takeda, Angelina Collins, a Nurse Practitioner at a large tertiary inflammatory bowel disease (IBD) center in California, shares insights from her nearly two-decade journey in IBD care. She explores the challenges of diagnosing Crohn's disease and ulcerative colitis, from varied symptom presentation to limitations in early recognition. Emphasizing the potential consequences of delayed diagnosis—including disease progression and increased risk of complications—Angelina advocates for early identification of red flags and a multidisciplinary team approach to treatment and care. She highlights the critical role of advanced practice providers and the importance of expanding IBD knowledge across health care teams. Listeners will come away with insights on how to recognize red flags, apply best practices for timely referrals, and leverage collaborative care models in IBD management. READ THE ARTICLE → https://kevinmd.com/takeda Are you a health care clinician looking to increase your IBD knowledge? Visit IBDIQ.com, part of The IBD Project, to continue to evolve your IBD knowledge for yourself and your patients. Developed by Takeda in collaboration with IBD specialists and created for health care providers, IBDIQ is an on-demand educational platform, available at no cost, that offers timely, relevant information tailored to today's IBD care landscape: https://www.ibdiq.com/ Please note, no continuing medical education credits are offered through IBDIQ. VISIT SPONSOR → https://www.ibdiq.com/ SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast
RevitalyzeMD - RMD Podcast: All things Aesthetics & Wellness
Southern Remedy Healthy and Fit is hosted by Josie Bidwell, Professor of Preventive Medicine and Nurse Practitioner at UMMC. If you have a question for Josie, you can email fit@mpbonline.org. It this episode, Josie answers questions about influenza. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
In this heartfelt and inspiring episode, Diane speaks with the multi-talented Valerie Probstfeld for a powerful conversation about the joys, challenges, and deep love that shape the journey of motherhood.Valerie is a Nurse Practitioner, Author, Flutist, Keynote Speaker, and Founder of To Mom Is To Love. With a master's degree from Yale University and a career that spans pediatric neurology and primary care, she brings a wealth of knowledge and empathy to the conversation. As a dedicated mental health and wellness advocate, Valerie shares insights from her personal and professional experiences, offering encouragement and wisdom for mothers in all stages of life. Whether you're a mom yourself or simply appreciate the beauty and strength of motherhood, this episode will uplift and inspire you. Connect with Valerie Probstfeld:• Website: https://www.tomomistolove.com• Book: To Mom Is To Love – Order Your Copy Now: https://www.amazon.com/dp/B0F6X36Y8X
Mark 2:27 NIV "Then he said to them, “The Sabbath was made for man, not man for the Sabbath." *DISCLAIMER* This episode contains adult themes and is not intended for little ears. *Transcription Below* Emily MacLeod-Wolfe is a Nurse Practitioner wellness professional with a passion for helping individuals achieve their health goals in a holistic and practical way. With 5 years of invaluable experience in the field, Emily has developed a deep understanding of the importance of a balanced lifestyle for a vibrant life. Emily firmly believes in treating the whole person, not just the symptoms, and takes a comprehensive approach to healthcare. She learned these from her own personal experience of dealing with Hashitmotos thyroiditis and eczema and found the root causes to treat them naturally. She is passionate to help others with the personal knowledge and health freedom she has received. By combining her medical expertise with a focus on nutrition, exercise, and mindfulness, she empowers her clients to take control of their health and make sustainable lifestyle changes. With a warm and empathetic demeanor, Emily creates a safe and supportive environment where clients feel heard and understood. She works closely with each individual to develop personalized wellness plans that are tailored to their unique needs and circumstances. Whether you're looking to improve your physical fitness, manage stress, or simply lead a healthier life, Emily is dedicated to guiding, encouraging & supporting you on your wellness journey. Emily's Website Questions and Topics We Cover: Will you give us an intro lesson for hormones 101? Is it normal to have really painful and heavy menstrual cycles or is that an indicator that something is not right? What are the best practices you recommend for women to support healthy hormones and healthy adrenals in their body all month long? Thank you to our sponsor: Leman Property Management Episode Mentioned Today: 256 Gut Health, Allergies, Inflammation and Proactive Solutions with Emily Macleod-Wolfe Other Related Episodes on The Savvy Sauce Podcast: 81. Sacred Rest with Doctor, Wife, Mother, and Author, Dr. Saundra Dalton-Smith 167. Pursuing Health in Four Key Areas with Debra Fileta 205. Power of Movement with Alisa Keeton (Revelation Wellness) Hormones and Simple Changes to Feel SO Much Better with Functional Medicine Expert, Dr. Jill Carnahan Practicing Sabbath with Shireen Eldridge Special Patreon Re-release: Out of the Box Stress Relievers to Apply Today with Dr. Saundra Dalton-Smith 215 Enriching Women's Sexual Function, Part One with Dr. Kris Christiansen 216 Enriching Women's Sexual Function, Part Two with Dr. Kris Christiansen 217 Tween/Teen Females: How to Navigate Changes during Puberty with Dr. Jennifer Degler Connect with us through The Savvy Sauce Website Gospel Scripture: (all NIV) Romans 3:23 “for all have sinned and fall short of the glory of God,” Romans 3:24 “and are justified freely by his grace through the redemption that came by Christ Jesus.” Romans 3:25 (a) “God presented him as a sacrifice of atonement, through faith in his blood.” Hebrews 9:22 (b) “without the shedding of blood there is no forgiveness.” Romans 5:8 “But God demonstrates his own love for us in this: While we were still sinners, Christ died for us.” Romans 5:11 “Not only is this so, but we also rejoice in God through our Lord Jesus Christ, through whom we have now received reconciliation.” John 3:16 “For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.” Romans 10:9 “That if you confess with your mouth, “Jesus is Lord,” and believe in your heart that God raised him from the dead, you will be saved.” Luke 15:10 says “In the same way, I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” Romans 8:1 “Therefore, there is now no condemnation for those who are in Christ Jesus” Ephesians 1:13–14 “And you also were included in Christ when you heard the word of truth, the gospel of your salvation. Having believed, you were marked in him with a seal, the promised Holy Spirit, who is a deposit guaranteeing our inheritance until the redemption of those who are God's possession- to the praise of his glory.” Ephesians 1:15–23 “For this reason, ever since I heard about your faith in the Lord Jesus and your love for all the saints, I have not stopped giving thanks for you, remembering you in my prayers. I keep asking that the God of our Lord Jesus Christ, the glorious Father, may give you the spirit of wisdom and revelation, so that you may know him better. I pray also that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you, the riches of his glorious inheritance in the saints, and his incomparably great power for us who believe. That power is like the working of his mighty strength, which he exerted in Christ when he raised him from the dead and seated him at his right hand in the heavenly realms, far above all rule and authority, power and dominion, and every title that can be given, not only in the present age but also in the one to come. And God placed all things under his feet and appointed him to be head over everything for the church, which is his body, the fullness of him who fills everything in every way.” Ephesians 2:8–10 “For it is by grace you have been saved, through faith – and this not from yourselves, it is the gift of God – not by works, so that no one can boast. For we are God‘s workmanship, created in Christ Jesus to do good works, which God prepared in advance for us to do.“ Ephesians 2:13 “But now in Christ Jesus you who once were far away have been brought near through the blood of Christ.“ Philippians 1:6 “being confident of this, that he who began a good work in you will carry it on to completion until the day of Christ Jesus.” *Transcription* Music: (0:00 – 0:12) Laura Dugger: (0:12 - 1:29) Welcome to The Savvy Sauce, where we have practical chats for intentional living. I'm your host, Laura Dugger, and I'm so glad you're here. Today's message is not intended for little ears. We'll be discussing some adult themes, and I want you to be aware before you listen to this message. Leman Property Management Company has the apartment you will be able to call home, with over 1,700 apartment units available in central Illinois. Visit them today at lemanproperties.com, or connect with them on Facebook. Emily McLeod-Wolfe is my returning guest for today. Last time we talked about everything related to gut health, and I'll make sure to link that episode in the show notes for today's episode. I would highly recommend that you begin there, because there's a lot of overlap with solutions, as then we transition today into our topic about female hormones, the menstruation cycle, and how to make everything better, and even end up grateful to God for our female cycle. Here's our chat. Welcome back to The Savvy Sauce, Emily. Emily Macleod-Wolfe: (1:30 - 1:34) Thank you so much for having me again, Laura. I'm so excited about this section. Laura Dugger: (1:35 - 1:40) Yes, can you just give us a brief reminder of the work that you get to do before we dive in? Emily Macleod-Wolfe: (1:41 - 2:08) Yes. I am a holistic nurse practitioner. I was trained traditionally in traditional medicine at Vanderbilt, and then I went on to do ... Well, from my own personal health journey, I knew I wanted to do more holistic medicine, so I went on and did functional medicine, natural medicine training, so, now I have a practice called Pure Integrative Health, which is to blend the best of both worlds, and to basically to root cause medicine. Laura Dugger: (2:08 - 2:19) Well, and we covered all things gut health last time, but I've been so excited to interview you about hormones, so as best as you can, could you just give us Hormones 101? Emily Macleod-Wolfe: (2:21 - 3:02) Yeah, yeah. And first of all, if you didn't hear the last episode, I would recommend go back to listen to the previous one, because the gut health is the precursor that builds to the hormones, and I don't recommend even trying to address the hormones unless you've got some of the gut healing going, because they are so interconnected, even in the way in which we don't want to be recycling hormones, so constipation is causing an excess hormone recycling that should not be happening. So, again, healthy gut health is going to help the hormones, but yes. So, for women, or for men, or what hormones would you like me to describe? Laura Dugger: (3:02 - 3:11) I think we're just going to focus on women's hormones today, because I want to get more into our cycle as well. Emily Macleod-Wolfe: (3:11 - 10:59) Oh, great question. Yeah. Okay. So, for women, we have the sex hormones, estrogen, progesterone, testosterone, not nearly as high levels of testosterone as men, they can be highly driven off of it. If the testosterone is too high in women, then we look at things like PCOS, polycystic ovarian syndrome, excess androgen, so it could be like abnormal hair growth, extra oily skin, acne, those are some signs of like maybe high testosterone, but also could be from high cortisol, which is the stress hormone that's made in the adrenal glands that sits on top of the kidneys and produces stress hormone. Now we'll explain how the adrenals and the stress hormone cortisol affect some of the sex hormones, but those ones, and then there's one called DHEA, and that is the precursor hormone to testosterone. So, we've got estrogen, progesterone, testosterone, DHEA, pregnenolone is like the master hormone in which all the hormones can be made out of, and the cholesterol actually funnels into pregnenolone. So, our cholesterol is necessary, we do need good cholesterol to help all the hormones, so, yes, that's why good healthy fats and things like that are really helpful, like olive oil and avocado and baking, broiling and grilling things and all of that, the cholesterol, pregnenolone master hormone, we got DHEA, which is the precursor to testosterone. And then testosterone can be the hormone that converts into estrogen, so, they're all connected, they're all very connected, so excess estrogen could be from too high testosterone. Anyhow, they're all over the place sometimes for women, and they do fluctuate just even within 28 days, so I'll kind of explain that, and then we can kind of go from there. So, we talked about cortisol, there's a lot of other hormones, but I was just telling you about the sex hormones, so that's necessary to understand a cycle of a woman. So, when we start cycling, and then we have a couple different phases, we have the follicular phase, which is the first, day one is the day you start bleeding, and then day 14 is typically the day that we ovulate. So, day one, we have, estrogen starts to increase, we've kind of bottomed out, usually on our cycle, most women feel a little bit lower energy, I mean, we're bleeding and menstruating, and so some women lose a lot of iron, and ferritin levels can go down a lot during that, so we want to eat very iron-rich, lots of leafy greens, vegetables, good healthy fats to support. I kind of describe each week of our cycle, almost like a season, it's like winter is the first seven days of the bleeding, and then we've got spring, but then we start to feel really good, and everything is good, and then we've got summer, and we're doing great, and then we've got fall, and so we can kind of eat accordingly to, almost seasonally for the hormones, too. So, we've got the first seven days, lower energy, because estrogen and progesterone are pretty bottomed out, but they start to gradually increase. Now estrogen really starts to increase, and then right around day 14, it comes down, and then progesterone takes over, and so right there is the ovulation, and that's where the ovaries will release an egg, and has the opportunity to be fertilized or not in the middle of the month, and it all very much interconnects with our moods and how we're feeling, and people have heard of PMS, premenstrual syndrome, you felt the hormonal changes and all of that, but there's definitely ways that we can kind of mitigate the extreme highs and lows, like some people deal with depression-like feelings and really big mood swings, we can work on leveling those things more so that they're not so drastic through certain things I'll describe, but anyhow, we've got follicular phase, estrogen, we've got the luteal phase, we've got ovulation, then we've got the luteal phase is where progesterone is really increasing and decreasing, and that's days 14 to 28 of the cycle. So, we've got first phase and second phase. And two, we can break it down even more to four weeks. We've got like the first week, lower energy, but that's like, you can even connect it to emotions and how, like, maximizing efficiency for work based off of your cycle. Because even, you're not supposed to make a really big life decision during the menstruating week, because that's just low energy and all that. But it's a good time to dream, brainstorm, hopefully you're taking time to rest, take care of your body, have some salt baths, rich in magnesium, eating those good foods, giving nutrients, if your body needs, you get your iron levels checked and your ferritin levels. Your practitioner might give you an iron supplement that you're kind of taking in conjunction, depending on that. And so, we're resting and resetting and having time to journal, dream, and brainstorm things for the, you know, hopefully the next and then the next week, the estrogen is coming up a lot, and starting to feel back to normal self, usually really good and feeling that surge, the mood starts to get better, it's a great time to start to do like some good heavy weightlifting and exercise can even be based around cycle two. For menstruation, you're probably going to want to do a little bit more lower impact and walking and stretching, Pilates, things like that. And then a bar and all that and then weightlifting that second week is great. And then also, that's around ovulation is that's where we feel more loving and affectionate and different things and the way that God designed our body literally to want to be with a man around that time. And that's procreation time. And then right around the after ovulation, that third week, and fourth week can start to get challenging because that's where well, sometimes that third week is a good, sweet spot. But the fourth week, the week before the period. Yeah, like that day is 19 to 21. And then like after that, that's where some mood swings can start to happen. And the estrogens come down a lot progesterone depending on where the bodies at. Most women are deficient in progesterone overall. So, if it's already decreasing, it was a peak in the third week, and then it's decreasing, going towards menstruating again, then it's a recipe for not sleeping great mood swings, irritability, bloating, breast tenderness, that can be estrogen imbalances, excess estrogen, low progesterone like symptoms. And then yeah, that was a lot. Laura Dugger: (10:59 - 11:20) That's so helpful. I want right before we move on, because I want to hear how to mitigate some of those symptoms. But first, you mentioned eating seasonally, even each week. So, is that what you're saying that we eat more of those winter foods, that day one to seven? And could you give an example for each phase? Emily Macleod-Wolfe: (11:21 - 14:19) One example, Sweet potato, you know, like the foods that you would find more in the winter. So, you're kind of doing like sweet potatoes. And like I said, the fatty food, like a healthy fat Mediterranean, definitely right around the cycle. Body craves, if you find yourself craving chocolate, it's probably because your body's deficient in magnesium. Most of us are. So, some women will use it as an excuse to have chocolate, guilty as charged. But actually, it's magnesium deficiency, but chocolate has magnesium in it. So, if you get a rich, like dark chocolate, if you're not sensitive to chocolate, and you can do one that's a really dark and, and doesn't have a ton of sugar, then that could be a good source. But just foods rich in magnesium, dark leafy greens, avocados, nuts, and really checking levels and magnesium, Epsom salt baths, things like that, that's going to be great. You're going to want to do that also kind of the week before the period to in the fall like food. So, you know, like the, the squashes, and you kind of like the baked vegetables and, and protein and, and then like in the spring, like the week after, then maybe you're doing more like, you know, berries and, and, you know, things that you would have in this in the springtime and summer, different types of meat that you would like lean chicken and turkey. Then harvest like food for that week before the period to give you good. There's something called seed cycling. So, the pumpkin seeds and well, sesame and sunflower are for days 14 to 28 of the cycle. So, the second half that gives the body the micronutrients needed to help support progesterone and then pumpkin and wow, I'm really blanking probably because I need to eat lunch. But we can come back well it's going to come back to me the pumpkin and the is it chia? No, flax. Flax. Okay, flax seed. Pumpkin and flax for days one, the day we start bleeding to ovulation day 14, and then sesame and sunflower days 14 to 28. So, like adding those into smoothies, handful of nuts, nut butter, sunflower seed butter, you know, those kinds of things. Those that can also kind of support the cycle naturally and give the body the nutrients that are needed to support the body like that. Laura Dugger: (14:19 - 14:37) Okay. I have heard about seed cycling before. It kind of ties into the other question I had. I wondered if it's normal to have really painful and heavy menstrual cycles? Or is that an indicator that something's not right and maybe we need to bring in something like seed cycling? Emily Macleod-Wolfe: (14:39 - 18:15) Yes, painful, heavy menstruation. That's not normal. I personally have dealt with them. So, I understand they're awful and they can leave some women, you know, nauseous, throwing up, vomiting, breast tenderness. Now, that signs of excess estrogen that likely needs to be detoxed. And I would recommend going to a holistic practitioner and asking them to do a saliva hormone testing panel. Actually, we have no, I don't have it with me right now. But it's basically these vials of saliva that you spit right when you wake up, lunchtime, dinnertime, bedtime, and it'll check sex hormones between days 19 to 21 of the cycle. We're checking peak progesterone time so we can look at the most accurate depiction if you're cycling. It's still possible to do it if you're postmenopausal and want to do the test, we could do it at any time. But it's a saliva hormone test is the most accurate way to measure hormones and see exactly what's going on. We can check blood work, but it's just like a little shot in the dark. But the saliva is the more accurate picture of what's going on. So, I would recommend if you're having really heavy menstrual cycle, yes, you can try the seed cycling to start. That's harmless to try. But there might be more things going on that really need to be seen by a practitioner to help either support what hormone is low or detox another hormone that is excess. Now, we are overall in our society getting a lot of excess estrogen. And that can be through plastics, we get a lot like trying to switch even just a bottle as I'm drinking through. We don't want to try and drink as much plastic out of plastic, we want to do like glass water bottles. And like stainless steel water bottles better. Unless you're in a crazy rush and you forgot to bring one is better drink some water than no water. We've got to stay hydrated to have healthy bowel movements to have energy to our cells, all of that good water filter that filters out fluoride, chlorine, those things will affect the thyroid very much so. Thyroid hormones affect sex hormones and etc. So, we want to get a good filter for the water so that we don't have to deal with the after effects of thyroid imbalances or if you're already dealing with thyroid imbalances. I understand because I've dealt with that myself. And so, we want to remove as many stressors because the thyroid needs iodine just to function. And if we're getting fluoride and chlorine, those particular elements compete for iodine in the body. So, we got to get those out as best as we can get rid of excess estrogen. Through plastics, chemicals and detergents, like all of the chemicals that are exposed in detergents and cleaning products. As much as we can clean those up as well, it's going to be very, very helpful for thyroid, very helpful for sex hormones. Laura Dugger: (18:16 - 18:26) Oh, that's interesting. So, those I don't even think of that are like store brand names for detergents that those could be endocrine disruptors, you're saying? Emily Macleod-Wolfe: (18:26 - 18:45) That's great. Yes. So, endocrine disruptors are things that are going to cause imbalances to the thyroid, the sex hormones, or any of their other hormones in the body. Yes. So, we definitely want to try and stay away from those things. Laura Dugger: (18:46 - 21:10) Let's take a quick break to hear a message from our sponsor. With over 1,700 apartment units available throughout Pekin, Peoria, Peoria Heights, Morton, Washington, and Canton, and with every price range covered, you will have plenty of options when you rent through Leman Property Management Company. They have townhomes, duplexes, studios, and garden-style options located in many areas throughout Pekin. 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They're also hiring in their maintenance department, so we invite you to find out why so many people have chosen to make a career with them. Check them out on Facebook today or email their friendly staff at leasing at lemanprops.com. You can also stop by their website at lemanproperties.com. That's L-E-M-A-N properties dot com. Check them out and find your place to call home today. Okay, so I'm even thinking, so females my age or friends or older or younger women listening, even we have four daughters and so as they grow and mature, all of this is helpful. I'm assuming to start at a young age with getting rid of some of those toxins or not microwaving food on plastic plates, but then also you said detox. Is that through hydration or did you mean something else with detoxification? Emily Macleod-Wolfe: (21:11 - 22:47) I can't get into this unless I saw somebody as a patient because I can't give across the board recommendation for this, but I will say because there are certain supplements and things that might be needed. Say there's excess estrogen in the body, there might be supplements that that person needs to help bring down those excess estrogen levels aside from food. But one thing that I do know that you can eat that helps overall is the more that you love and detoxify the liver. It's what has to process all the hormones. One thing is broccoli sprouts, not broccoli, broccoli sprouts. So, you know, micro green sprouts, those ones, the broccoli sprouts are incredible at helping getting rid of the bad kinds of estrogen, detox those out of the body. So, that's really good. Cruciferous vegetables, cooking your cruciferous vegetables though, because if you eat them raw, it can affect the thyroid negatively. So, it's best to, it could cause goiters and so we don't want that. It can be goitrogenic essentially. So, we don't want that, but you could bake. I mean, you could cook cruciferous vegetables, broccoli, brussels sprouts, kale, etc., those cruciferous vegetables, spinach, all that. And those are great also for that. So, that can help. The best one is the broccoli sprouts. Yes. And then getting saliva hormone testing done and seeing exactly where your body is at. Laura Dugger: (22:48 - 22:53) Okay. Cause I'm wondering then could that even be a mineral deficiency when you're talking about supplements? Emily Macleod-Wolfe: (22:55 - 27:11) Yeah, there definitely can be mineral deficiencies. It just, like I said, I've seen a lot of different variations, right? Excess estrogen, low progesterone, low menopausal, low everything. Once the hormones bottom out, then they're kind of low across the board and the body might need bioidentical hormones to have extra support. It's cardioprotective, protective against cancers, protective for the bones, different things like that. Bioidentical is different than synthetic. Synthetic hormones is like birth control, but synthetic hormones can, go see the last episode when we talk about leaky gut intestinal permeability, but the birth control can actually cause intestinal permeability too. So, that's a problem. Leaky gut can be from birth control, the synthetic birth control, and then the body's not even able to ovulate. It's not able to release. There's just like the, the way that God designed it is we're actually, if you allow it to look at it as like a cleansing and a purging every month, that spiritually the Lord, if we allow the Lord, we don't have to dread it. It's so common in society to dread a period. Or, oh my gosh, again, here we go. But how beautiful it's a celebration of the ability to give life. It's an opportunity to take some time to rest. It's a beautiful time to take some time to sit back and reflect, especially that week before the period. Also try and not make big decisions the week before because the progesterone's bottomed out causing mood swings and then making decisions is going to be a lot more stressful and can lighten load and work a little bit that week before, a few days prior to your period. That would be very helpful. Stress levels really impact the cycle and also just trying to prepare the body for going through perimenopause and then menopause. Wherever you're at in your health journey, life journey, it's, it's just so good to educate younger women to be really taking care of their adrenals, which is this, you know, the organ that produces stress hormone because high cortisol, which is the stress hormone produced by the adrenal glands, zaps progesterone and most women, that's probably why I see a lot of progesterone dipping so quickly. You need progesterone to have a healthy pregnancy. So, we're seeing a lot more miscarriages and infertility problems could be from low progesterone. And, um, and then that will eventually bottom out with menopause because the ovaries are not producing it anymore. And the only place that we have progesterone left in reserves is in the adrenal glands. And so, if the stress has been going on for so long, then even the reserves of the backups of the backups are gone, the progesterone, which is why I see a lot of women going through a more extreme version of menopause than with the night sweats and the hot flashes and all those things that maybe didn't even have to happen. Because, uh, if we take care of it on, on the earlier end of managing stress levels, going to bed at good times, getting full amount of sleep, women need eight to 10 hours of sleep. We will, I will just go ahead and say that because our hormones are very independent, dependent on our adrenal function. Men, they don't really have to rely on their adrenals as much as their other, other sex hormones and locations. Um, so they don't have to deal with it as much as the women. So, we're constantly tied to a function of our adrenals really affects our sex hormones like crazy. And we're not getting the right amount of sleep. Then we're going to have high stress levels, high cortisol, and then the high cortisol is where it is at the sex hormones. So, we need those reserves to be replenished and the, and the cortisol levels drop and melatonin kicks in and we're going to sleep so much better and sleep so much deeper. Laura Dugger: (27:12 - 27:36) Wow. This is fascinating. And I love how you're even celebrating the cycle and how God created it because I'm forgetting one of them, but I heard that menstrual blood was tested, and they saw that it was detoxifying plastics and pesticides. And there was one other thing that the body was using to eliminate. And so that's a reminder just to be grateful for that too. Emily Macleod-Wolfe: (27:36 - 29:08) And, uh, the birth control pill, it's a temporary fix. There are alternative forms of birth control that do not have the synthetic hormones that are good, good options, you know, and the synthetic hormones though, I've firsthand seen it with patients negatively impact the thyroid. And a lot of them have had to end up on thyroid medication just simply due to years and years of birth control and it impacting the thyroid and the cellular health as well as the lining of the gut and a lot of other side effects that I'm not a weight gain, different things. And then the body not even being able to menstruate and fully excrete things. And, um, or even, you know, the, the cycle is an indicator, I think for women very much of like your monthly health, like how, how am I doing? Like if I'm having a really bad period, um, likely it was something that I had done this past month. Okay. Did I eat right? Was I sleeping? Was I incredibly stressed? Usually, you can trace it back to that. Now there's obviously other cases where, you know, PCOS and ruptured ovaries and different things like that, or ruptured cysts on the ovaries, sorry. Um, then that can contribute to longer term diseases, but on a, it's almost like a litmus test to see how, how our bodies are doing. Laura Dugger: (29:09 - 29:27) I like that perspective. And Emily, you're so great at giving proactive tips and I love easy wins. So, what are some of the best practices that you recommend for women to support healthy hormones and healthy adrenals in our bodies all month long? Emily Macleod-Wolfe: (29:30 - 33:32) One is glucose management. So, protein, I cannot emphasize it enough protein sources, um, you know, good, healthy, as much as you can, grass fed organic meat. So, you're not getting the synthetic hormones from them because who knows what they're being fed and what they're being pumped with, but those sources, um, protein, other sources of protein, um, that's going to give you up to 15 hours of energy. So, that is incredible. As far as eating for energy, I will say, if you can do that, that's, um, it's incredible. It's a game changer, eating for energy, protein, vegetables give us up to five to six hours of energy. And then carbs, carbs give us, um, like if we had a piece of fruit, it only lasts in the system for 15 minutes. Or, um, potato chips, something like that, 15 minutes, that's not very long. And then the body says, ”I'm hungry again.” Then we ended up overeating because we just had the carbs and we're not full. And so, that's why pairing the meals around the protein and then the fiber and then a healthy fat. Or like the protein, the fiber and a complex carb (sweet potato, brown rice, quinoa). Things like that is going to stabilize the blood sugar. So, there will not be cortisol stress levels spiked when we don't eat for too long, then it can cause the body to go into, um, stress overload. And there's four different stages of adrenal fatigue, cortisol, and that can affect the body very much. So, spikes and crashes in glucose spike and crash the cortisol and then spikes and cortisol will steal your progesterone and then cause imbalances because progesterone keeps the estrogen in check. So, then you got estrogen and progesterone imbalances. Then there's DHEA, which is the other hormone that's made in the adrenals. So, sometimes DHEA, DHEA is incredible for building muscle, keeping muscle concentration, memory. It's, wonderful at libido, all sorts of those things. Now, DHEA just decreases as we age. It's the precursor to testosterone as well, but it's also made in the adrenal glands. And so, the more we can regulate cortisol and adrenal, sometimes high levels of stress, we've got to go back and think. Okay, um, we might not even feel stress, but if there's been physical abuse, emotional abuse, or sexual trauma, those are serious things that the body will hold on to. And unless you have gone to process, I recommend getting a Christian counselor and process those things because the body can literally still be holding onto it 20, 30, even 40 years, if it's not been let go and given to Jesus. And, um, so that is also a huge, we can't dismiss that or just try and fix the physical. If there's been some stressors and the body has just been in survival mode and has to just keep going, then maybe it only knows how to live off of high cortisol stress reserves to just keep going. It doesn't, but if you have a hard time falling asleep, a hard time unwinding, feel like you're always on the go, those are like adrenal stages one and two high cortisol, but then that eventually will start to plummet. And then it's, um, you know, more difficult time getting out of bed and jumping straight out crash in the afternoon with energy crash after dinner crash before bed, um, or like wired and tired, like wired the brain's wired. The body feels tired, but can't go to sleep. Then further stages waking up between 2:00 and 4:00 in the morning could be blood sugar, adrenal issues as well. Laura Dugger: (33:32 - 33:41) Oh, could you speak a little bit more into that? Could be, the blood sugar related to the adrenal issues if you're waking up at that 2:00 to 4:00 AM time? Emily Macleod-Wolfe: (33:42 - 34:47) Yes, it can be, the body signaling that the blood sugars drop too low. And then the cortisol has to, it can signal to the cortisol and the adrenals to spike to just keep the body going, survive. And then all of a sudden cortisol is spiking at night, which it should not, it should be done. And melatonin should be happening at night and then cortisol in the daytime. So, if there's a cortisol spike because of a glucose crash, then, um, then we need to support it with, a spoonful of almond butter before bed, a handful of nuts, something, some protein before bed is going to, help someone, you know, in the middle of the night, stabilize the blood sugar. It can be a blood sugar issue with, cause blood sugar and cortisol are interconnected, but also should just check your cortisol levels, get a saliva test. It's that saliva four point, um, test checks for sex hormones and cortisol, or we can. Laura Dugger: (34:47 - 35:06) So. Okay. One more thing with that. So, then the blood sugar dropping that low, is that somebody who's maybe completing their closing, their eating window too early in the day, or they're not getting enough sugar throughout the day. Is that what you're saying with, why would it drop to that level and require cortisol? Emily Macleod-Wolfe: (35:08 - 36:51) Great question. It would be, it could be the person's not eating enough throughout the day and the body just doesn't have the right. So, if the person was fasting quite frequently and doing that a lot now, everybody, everyone's body is different. If you have adrenal imbalances, I do not recommend doing fasting because the body is already under stress and then fasting can put extra stress on the body. So then you're like, well, but then they said that if I fast and I should lose weight, and if you're fasting and you're gaining belly fat and you're gaining weight, it's a telltale sign cortisol because high cortisol level, puffy face, um, belly fat, stubborn, you can eat right exercise, try and do everything and it will not leave. That's usually survival mode. Body's trying to self-protect. Um, and so, yeah, so we don't want to be fasting very much if there's cortisol imbalances. Now, if there's not, and if you have your cortisol check, then there's great benefits to doing intermittent fasting and things. And even biblically spiritually, there's incredible benefits to fasting. The Lord knows there's the cells literally repair themselves, regenerate and can eat up cancer cells. If we put our bodies into that ketosis state for good bit, but that is not something I would recommend doing high intensity exercise, or that's going to put a lot of cortisol stress on the body, high impact, um, or skipping a lot of meals. So, that could be why the blood sugar is like dropping in the middle of the night. Laura Dugger: (36:52 - 37:37) I just wanted to let you know, there are now multiple ways to give when you visit TheSavvySauce.com. We now have a donation button on our website and you can find it under the donate page, which is under the tab entitled support. Our mailing address is also provided. If you would prefer to save us the processing fee and send a check that is tax deductible. Either way, you'll be supporting the work of Savvy Sauce Charities and helping us continue to reach the nations with the good news of Jesus Christ. Make sure you visit TheSavvySauce.com today. Thanks for your support. Is there anything else that we haven't gotten to discuss yet that you want to make sure we don't miss out on? Emily Macleod-Wolfe: (37:38 - 39:15) So what, when do you know if you're in perimenopause versus menopause? And like I said, if you're a woman in your twenties and you're like, that does not apply to me. Actually, it does because it's just, you don't want to get to menopause and have no reserves. Progesterone left because you depleted it from high levels of cortisol over the years. So, lifestyle changes, the protein, smaller, more frequent meals, the consistent bedtime, trying to go to bed before midnight, like 10:00 PM is like a sweet spot. 10:00 PM to 2:00 AM is when the liver detoxes, when cholesterol gets flushed, all these different things. Melatonin window for the body to like fall asleep and stay asleep is between 10 PM and like, there's sometimes it's even earlier. It just depends on the person. And I actually use a little app called Rise. It does a good job kind of helping you track where you're melatonin and when you're awake window, when to cut off eating and when to kind of wear blue light blocking glasses to prevent your body to blue light helps. We set this in the last one, but blue light actually tells your body to stay awake. So, you don't want to be on your screens too late at night, or your body's going to be sending the signals to stay awake when you're trying to wind down. So, using softer lighting, doing candle lit, doing, you know, just mimicking outside when the sun goes down, we should be going down, going down to bed and sleep when the sun wakes up. That's when we should be getting up as well. Laura Dugger: (39:15 - 39:38) So, and getting that morning sunlight that we talked about. So important. And I forgot one quick follow-up question. When you talked about cortisol, too high of cortisol contributing to belly fat, that stubborn or puffy face, what would the solution be? Is it just manage your stress better or what's the takeaway there? Emily Macleod-Wolfe: (39:38 - 42:39) The takeaway is yes, there's things you can do glucose wise, blood sugar and food that we've talked about. Lifestyle wise, of course. I mean, a ton of it is we're American society that trophies busyness. And like the Bible literally talks about the importance of rest and the Sabbath and like even humans, we were made on day six, but the first day we were actually doing things, Adam and Eve was day seven, was the day of rest. My dad's a pastor and he actually just gave a sermon on rest and the Sabbath just last week at Harvest Sound. But it was just all about that we were created out of rest. Like we're there to start doing things out of that place of rest. And we just don't take that time. I mean, it's like, okay, we got to go, go, go, got to take care of the kids, got to go do this, go do this. How are you doing? Oh, I'm so busy. How about you? Like, it's almost like a trophy thing to say that, but really like, how about prioritizing that time? And it's so easy, especially as women and mothers to just say, oh, but I just want to take care of everybody else. But like, if you were to have a date with your friend, you wouldn't go overbook it with something else. You would prioritize that. Are you going to go do something for your child? You're going to prioritize that. So, I need you to also take time to prioritize your me time, prioritize the time. It's not selfish. It's necessary because you're going to be a better wife. You're going to be a better mom. You're going to be a better friend. If you take care of the needs, whether that's taking an Epsom salt bath once a week, and that's spending time mourning sunlight or writing a list of gratitude, doing things, write a list of things that bring you joy and just pick two or three of those a day. Like build that in - life's too short. Literally cortisol will kill you. Also, we didn't talk about that, but it's taking minutes off your life. So, life's too short to have cortisol, unnecessary cortisol spikes. So, as much as we can, it's prioritizing that learning the healthy boundaries saying no when needed to, and, not saying yes to everything. So, that is, it's a lot of those lifestyle things. And then, fine tuning it with a health practitioner is great because everybody's spikes and crashes are in different places. Some people have high cortisol. Some people further on into the adrenal fatigue have low cortisol because the body doesn't have any more cortisol to give. And that's a whole other list of symptoms of exhaustion and fatigue. And they might need actually glandular support and different, totally different supplements than someone that's got high cortisol, but they can present similarly as far as stubborn weight, puffiness, energy spikes and crashes and different things like that. Laura Dugger: (42:40 - 43:04) So how incredible to get to follow up with a health professional then, and you are certainly one that we would recommend. And so even if we're out of state, but we could make a first appointment with you and figure out some way to do telehealth, can you just give us your website or share what you have to offer so that we can maybe make a follow-up appointment after this conversation? Emily Macleod-Wolfe: (43:05 - 43:38) So it's pureintegrativehealth.com. And I could click on the tab, become a patient, just fill that form out. And then we can talk about a plan if you're in Tennessee, great. We can just right away, we know you're in person. If you are out of state, I have to see you in person for the first initial eval and then we can come up with some hybrid plan of telemedicine in between visits and legally just need to be able to see you still once a year or something in person, but we could do the rest in telemedicine options. Laura Dugger: (43:39 - 43:58) So yeah, it's a wonderful option. We will link to that in the show notes for today's episode. And Emily, you're already familiar that we're called The Savvy Sauce because savvy is synonymous with practical knowledge or insight. And so as my final question for you today, what is your Savvy Sauce? Emily Macleod-Wolfe: (43:59 - 46:04) Well, in regards to this topic today with hormones, I would say my Savvy Sauce is actually, it would be around getting that bedtime routine down packed in order to have an eight to 10 hours of like actual sleep because the mind does a brain sweep and gets rid of toxins in the brain between seven and a half hours and nine hours. It's happened somewhere in that window. And so if we're skipping out on sleep, we're missing out. If you're getting even six hours, you're missing out on the neural brain sweep that actually gets rid of the toxins that prevent Alzheimer's, dementia, a lot of other problems. The metabolism at nighttime, the body literally burns fat at night. We have to get sleeping. And so, and if you're having problems sleeping, you're like, I want to sleep, but I haven't, then I would recommend start looking into different forms of magnesium. I can't get into it fully today because there's seven different kinds of magnesium, but there are some that will actually help with sleep. And so talk with your practitioner about the best forms that could help you increase your sleep as well, because most of us can be deficient in that and creating that really, really healthy rhythm. Just knowing your why behind why you're sleeping is also really helpful because it's like, you can hear a lot of people say, you need to get more sleep. I should go to bed, do this, but why? It's actually getting a neural sweep, liver is detoxing, cholesterol is cleansing. God does an incredible thing with our dreams. We're literally flushing and processing all the things from the day. And so, talk about stress and adrenals. We got to help heal through our sleep. Laura Dugger: (46:05 - 46:26) Wow. Thank you for leaving us with that word. There's so much more we could cover. And ever since our first interaction, you have just been overflowing with kindness and graciousness and generosity with your time and sharing your knowledge. You're so kind, but I have just loved spending this time with you. Thank you so much, Emily, for being my repeat guest. Emily Macleod-Wolfe: (46:27 - 46:32) Oh, my goodness. Thank you so much, Laura, for having me again. This has been wonderful. I really appreciate it. Laura Dugger: (46:33 – 50:15) One more thing before you go. Have you heard the term gospel before? It simply means good news. And I want to share the best news with you. But it starts with the bad news. Every single one of us were born sinners, but Christ desires to rescue us from our sin, which is something we cannot do for ourselves. This means there is absolutely no chance we can make it to heaven on our own. So, for you and for me, it means we deserve death, and we can never pay back the sacrifice we owe to be saved. We need a savior. But God loved us so much, he made a way for his only son to willingly die in our place as the perfect substitute. This gives us hope of life forever in right relationship with him. That is good news. Jesus lived the perfect life we could never live and died in our place for our sin. This was God's plan to make a way to reconcile with us so that God can look at us and see Jesus. We can be covered and justified through the work Jesus finished if we choose to receive what He has done for us. Romans 10:9 says, “That if you confess with your mouth Jesus is Lord and believe in your heart that God raised him from the dead, you will be saved.” So, would you pray with me now? Heavenly Father, thank you for sending Jesus to take our place. I pray someone today right now is touched and chooses to turn their life over to you. Will you clearly guide them and help them take their next step in faith to declare you as Lord of their life? We trust you to work and change lives now for eternity. In Jesus' name we pray. Amen. If you prayed that prayer, you are declaring him for me, so me for him. You get the opportunity to live your life for him. And at this podcast, we're called The Savvy Sauce for a reason. We want to give you practical tools to implement the knowledge you have learned. So, you ready to get started? First, tell someone. Say it out loud. Get a Bible. The first day I made this decision, my parents took me to Barnes & Noble and let me choose my own Bible. I selected the Quest NIV Bible, and I love it. You can start by reading the book of John. Also, get connected locally, which just means tell someone who's a part of a church in your community that you made a decision to follow Christ. I'm assuming they will be thrilled to talk with you about further steps, such as going to church and getting connected to other believers to encourage you. We want to celebrate with you too, so feel free to leave a comment for us here if you did make a decision to follow Christ. We also have show notes including where you can read scripture that describes this process. And finally, be encouraged. Luke 15:10 says, “In the same way I tell you, there is rejoicing in the presence of the angels of God over one sinner who repents.” The heavens are praising with you for your decision today. And if you've already received this good news, I pray you have someone to share it with. You are loved and I look forward to meeting you here next time.
Happy birthday to us! RealTalk MS is 8 years old today! It's hard for me to believe that the podcast I launched in 2017, with the goal of one day reaching 300 listeners, today reaches thousands of people living with MS, their care partners, MS researchers, and clinicians in more than 100 countries. So, let me start this week's show notes with a profound thank you to each of you for being an important part of the RealTalk MS listener community. Your ongoing engagement is a constant reminder that our podcast is a two-way conversation. And I'm looking forward to continuing the conversation until we can talk about MS in the past tense. MS can affect memory, attention, and processing speed. But proactive strategies can help preserve your cognitive function and quality of life. Erin Wilkinson, a nurse practitioner in the Multiple Sclerosis Department of the Cleveland Clinic Lou Ruvo Center for Brain Health, is joining me to help us better understand the relationship between MS and brain health and to share strategies for preserving and even improving brain health. You'll also meet Jan Bonville, a consultant, speaker, writer, and advocate for inclusive travel and patient empowerment. Jan has lived with MS for twenty years, and our conversation focused on resilience, empowerment, and self-advocacy. As you will hear, these are things that Jan lives every day. We have a lot to talk about! Are you ready for RealTalk MS??! This Week: Happy birthday to us and greetings from ECTRIMS! :22 MS advocate Jan Bonville discusses resilience, empowerment, and self-advocacy 4:40 Nurse Practitioner Erin Wilkinson shares strategies for optimizing your brain health 23:03 Share this episode 41:01 Next week's episode 41:21 SHARE THIS EPISODE OF REALTALK MS Just copy this link & paste it into your text or email: https://realtalkms.com/421 ADD YOUR VOICE TO THE CONVERSATION I've always thought about the RealTalk MS podcast as a conversation. And this is your opportunity to join the conversation by sharing your feedback, questions, and suggestions for topics that we can discuss in future podcast episodes. Please shoot me an email or call the RealTalk MS Listener Hotline and share your thoughts! Email: jon@realtalkms.com Phone: (310) 526-2283 And don't forget to join us in the RealTalk MS Facebook group! LINKS If your podcast app doesn't allow you to click on these links, you'll find them in the show notes in the RealTalk MS app or at www.RealTalkMS.com PARTICIPATE: Take the Shaping Tomorrow Together Survey https://s.alchemer.com/s3/Perspectives-on-MS REGISTER: Attend the virtual Shaping Tomorrow Together meeting with the FDA https://nmss.quorum.us/event/25463 SIGN UP: Become an MS Activist https://nationalmssociety.org/advocacy LISTEN: RealTalk MS Episode 416: The Updated McDonald Diagnostic Criteria for MS with Dr. Andrew Solomonhttps://realtalkms.com/416 VIDEO: Dr. Robert Fox explains the results of the Phase 3 clinical trial for Tolebrutinib and Non-relapsing secondary progressive MS https://youtube.com/watch?v=tJQ93qdlXrU JOIN: The RealTalk MS Facebook Group https://facebook.com/groups/realtalkms DOWNLOAD: The RealTalk MS App for iOS Devices https://itunes.apple.com/us/app/realtalk-ms/id1436917200 DOWNLOAD: The RealTalk MS App for Android Deviceshttps://play.google.com/store/apps/details?id=tv.wizzard.android.realtalk REVIEW: Give RealTalk MS a rating and review http://www.realtalkms.com/review Follow RealTalk MS on Twitter, @RealTalkMS_jon, and subscribe to our newsletter at our website, RealTalkMS.com. RealTalk MS Episode 421 Guests: Jan Bonville and NP Erin Wilkinson Privacy Policy
Test-taking strategies can make the difference between passing and failing your nurse practitioner board exam. When you're staring at a question where multiple answers seem plausible, knowing how to spot certain patterns in the answer choices can boost your chances from 25% to 50% or even 75% accuracy. In this episode, Kaitlyn and I continue our mini-series on test-taking strategies, focusing on how to use absolute and opposite answer choices to your advantage. Learn not just what the right answer is, but why it's right, and how to apply these strategies across a variety of question types on the exam. Get full show notes, transcript, and more information here: https://blog.npreviews.com/np-board-exam-strategies-absolutes-opposites-kaitlyn-d Follow us on Instagram: instagram.com/smnpreviewsofficial
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