Podcasts about T3

On this episode of The Late Night Vision Show, we're reviewing the RIX  Titan T3 LRF thermal monocular. The T3 is a feature packed handheld  designed for hunters who want a lot of capability without a premium  price tag. Featuring a 384 resolution sensor, 2.6x base magnification, a  built-in LRF and uses an 18650 battery, the Titan T3 LRF checks a lot of  hunter's boxes. We discuss image quality, features, and why it's one of the most popular and affordable 384-resolution thermal monoculars with a LRF on the market.

En este episodio hablamos de los caps. 5 y 6 de la T3, "Nunca doblegado, nunca roto" y "Hombres sin rostro": las wácaras de Ortmund, el lío horny del tuerto y la bruja y la poco gloriosa muerte de Crispín…Puedes ver y escuchar este episodio en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ o lo puedes escuchar en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Desbloquea contenido solo para miembros en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ y ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube Memberships⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.¡Únete a la comunidad fandaloriana en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Discord⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠!--⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠El entusiasmo por las ñoñadas ha reunido a Mareo Flores, Andrés "Boludo" Durán y Dani Forlann en un podcast que, además de hablar sobre el universo de Star Wars, también se clava en otras series, películas, cómics, videojuegos y nerdeces. This is the way.

Struggling with unexplained weight loss, racing heartbeats, or anxiety that won't quit? Your thyroid could be the hidden culprit behind it all. This episode uncovers the truth about hyperthyroidism and Graves' disease, from early warning signs to natural healing strategies most doctors never mention.Host Jenn Trepeck sits down with functional medicine expert Dr. Eric Osansky on Salad with a Side of Fries to explore how diet, stress management, and gut health can help restore thyroid balance naturally.What You Will Learn in This Episode:✅ How to spot early symptoms of hyperthyroidism, from a racing heart to sudden weight loss✅ Why Graves' disease is often autoimmune, and how the triad of autoimmunity and 4 triggers fuel the condition✅ Natural options like bugleweed and motherwort that may support a balanced thyroid✅ How healing the gut and managing stress can influence long-term thyroid healthThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into real-life wellness and weight loss, including drinking, eating out, and skipping the grocery store.TIMESTAMPS:00:00 Meet Dr. Eric Osansky, author of Natural Treatment Solutions for Hyperthyroidism and Graves' Disease, Hashimoto's Triggers, and The Hyperthyroid Healing Diet04:59 Dr. Osansky shares how he first noticed symptoms of Graves' disease through an elevated heart rate09:50 A breakdown of key differences between hyperthyroidism and hypothyroidism symptoms13:55 Exploring the autoimmune triad and how genetics, triggers, and leaky gut interact17:28 Environmental toxins, mold, and chemicals that may trigger thyroid imbalances22:03 Conventional treatment options like antithyroid medication and radioactive iodine explained26:30 Natural first steps for safely managing hyperthyroid symptoms and discussion of goitrogens31:22 Why stress management and quality sleep are essential for thyroid healing36:42 The gut thyroid connection and how gut health impacts hormone conversion39:34 Final thoughts on iodine intake and finding the right balance for thyroid supportKEY TAKEAWAYS:

After the huge response to our discussion about Sony ending physical PlayStation games, Jason and Suzi head back into The Gadget Show archives to revisit some of the biggest moments in gaming history. From Atari and the Xbox 360 to the PlayStation 3, Battlefield 3 and the launch of the PS4 and Xbox One, we look back at the innovations that shaped modern gaming—and ask whether physical games are disappearing forever.Sign the PlayStation petition here: https://www.change.org/p/don-t-kill-the-disc-tell-sony-to-keep-physical-playstation-gamesEnter our new Gadget Show competition! £5,000 to spend at CEX is up for grabs via https://www.patreon.com/thegadgetshowTo get three issues of T3 magazine for just £1, head to https://www.t3.com/gadgetshowHuge thanks to CeX for supporting the Podcast. Want to bag yourself a tech bargain or trade in your old gear? Head over to www.webuy.comFull competition Terms and Conditions can be read here: https://www.patreon.com/posts/gadget-show-and-150646343#samsung #TheGadgetShowTo get in touch with the Gadget Show Podcast, email: contact@northone.tv Hosted on Acast. See acast.com/privacy for more information.

Dr. Balcavage's new book, Is This The Hill?, releases at the end of July. Get on the waitlist to receive updates, exclusive bonus content, and early announcements at drericbalcavage.com/hill. Just because a supplement is designed to support mitochondrial function doesn't mean it's supportive for your body right now. In this final episode of Dr. Eric's mitochondrial series, he explores one of the biggest misconceptions in functional medicine: assuming that low mitochondrial function automatically means you need more mitochondrial support. Many people are told they have "mitochondrial dysfunction" based on lab testing and immediately begin taking supplements like CoQ10, carnitine, B vitamins, NAD precursors, methylene blue, or additional thyroid hormone. While these interventions can absolutely be helpful in the right situation, they aren't always addressing the real problem. Dr. Eric explains why mitochondria often reduce energy production as an adaptive response—not because they're broken, but because the body is responding to stress, inflammation, immune activation, poor oxygen delivery, under-fueling, or other protective signals. You'll learn why temporarily feeling better on a supplement doesn't necessarily mean you've corrected the underlying issue, and why increasing energy production without first restoring your body's capacity can actually create more stress over time. Instead of asking, "What supplement do I need?" Dr. Eric encourages you to ask a much more important question: Why are my mitochondria behaving this way in the first place? In this episode, you'll learn: Why mitochondrial support isn't always supportive The difference between increasing energy production and restoring resilience Why low mitochondrial output doesn't automatically mean deficiency How mitochondrial testing can identify patterns without explaining the underlying cause Why supplements may help temporarily but fail to produce lasting recovery How thyroid hormone, B vitamins, CoQ10, carnitine, and other "energy" supplements can increase demand on the body Why your physiologic state determines whether an intervention will help or create additional stress The importance of restoring capacity before trying to optimize mitochondrial function How State-Based Medicine™ approaches mitochondrial dysfunction differently If you've been told you have mitochondrial dysfunction, poor T4-to-T3 conversion, or low energy despite trying countless supplements, this episode will give you a new framework for understanding what's really happening—and why creating the right conditions for recovery is often more important than forcing more energy production. Need help understanding your symptoms? If you've been struggling with fatigue, thyroid symptoms, or chronic health issues despite trying multiple treatment approaches, schedule a complimentary Discovery Call to learn whether Dr. Eric's State-Based Medicine™ approach may be right for you.

#992: Join Lauryn Bosstick as she sits down with McCall McPherson – pioneering physician associate, entrepreneur, and one of the leading experts in thyroid, hormone, and metabolic health. As the founder of Modern Thyroid Clinic, McCall combines cutting-edge medical expertise with her own personal health journey to challenge outdated approaches to thyroid care and help women finally get answers. In this episode, McCall reveals why millions of women are still suffering despite "normal" lab results, explains the thyroid tests your doctor probably isn't ordering, breaks down the truth about Hashimoto's, hypothyroidism, and Graves' disease, and shares why conventional treatment often falls short. She also dives into the role of T3 medication, GLP-1 microdosing, targeted supplementation, and simple lifestyle shifts that can help reduce inflammation, improve metabolism, and restore energy. If you've struggled with fatigue, brain fog, weight gain, hormone imbalances, or have been told your labs are "fine" when you know something feels off, this conversation will help you understand one of the most overlooked drivers of women's health and help you take control of your thyroid health.   For Detailed Show Notes visit TheBossticks.com   To connect with McCall McPherson click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   Head to our ShopMy page HERE and LTK page HERE to find all of the products mentioned in each episode.   To learn more about McCall McPherson visit https://www.modernthyroidclinic.com.    This episode is sponsored by The Skinny Confidential  Reduce puffiness and boost radiance with The Skinny Confidential Mint Roller, now available at http://shopskinnyconfidential.com.    This episode is sponsored by CORT Furniture Rental Rent today at http://cort.com/podcast.   This episode is sponsored by Veracity For up to 65% off your order, head to http://VeracityHealth.co and use code SKINNY.   This episode is sponsored by Truvia If you're looking for a better way to enjoy sweetness with zero calories per serving, you really need to try the new Truvia® Allulose Plus Stevia Sweetener & Monk Fruit Sweetener—available online and nationwide at Kroger, Target and your favorite local grocery retailer.   This episode is sponsored by LOAM Visit http://loamscience.com and use code SKINNY20 at checkout for an extra 20% of your first subscription order.   This episode is sponsored by Chilipad by Sleepme Visit http://sleep.me/skinny to get your Chilipad and save up to $255 off a new Chilipad2.0 with code skinny.   This episode is sponsored by Tiny Health Start improving your health with real data from Tiny Health. Tiny Health is offering my listeners their most aggressive offer yet - $50 off your first at-home test kit at http://tinyhealth.com/skinny.   This episode is sponsored by Troscriptions There's a completely new way to optimize your health. Give it a try at http://troscriptions.com/SKINNY or enter SKINNY at checkout for 10% off your first order.   Produced by Dear Media

☎️ Book Your COACHING INQUIRY Call: https://calendly.com/d/386-k9q-4cg/coaching-inquiry-call-zoom☎️ Book Your COMPLEMENTARY CONSULTATION and CALORIE CALCULATION Call: https://calendly.com/d/2p8-mxx-dgf/free-consultation-call-zoom⁠⁠⁠⁠⁠⁠➤ When More Protein Makes You Fat In Menopause (Gluconeogenesis) | MMP Ep. 301: https://youtu.be/WqmzEHghfGQ➤ High Insulin + Blood Sugar is NOT a Carb Problem in Menopause | MMP Ep. 305: https://youtu.be/YIkJ27VtfdcThe carnivore diet can feel like a miracle - joints stop aching, the bloat disappears, the brain fog lifts. So why does the weight come roaring back, often on a diet with almost no sugar in it? In this episode, Stephanie breaks down the real mechanism behind why an all-meat diet works short-term and backfires long-term - especially for women in perimenopause and menopause.You'll learn when carnivore is actually the right tool (and it genuinely is, for a season), why it should never be a permanent way of eating, and the mechanism almost nobody explains: gluconeogenesis - how your body turns your steak, and even your own muscle, into the exact sugar you were trying to avoid. Stephanie connects the dots between adaptive insulin resistance, low thyroid T3, rising cortisol, a starved gut microbiome, and stalled estrogen clearance - and gives you the precise five-step order to walk it back without losing what carnivore gave you.If you've been all-in on carnivore for autoimmune symptoms and can't figure out why your fat loss stalled, your hair is thinning, and your morning blood sugar is climbing - this one's for you.In this episode:When a carnivore diet is the right short-term tool (autoimmune flares, gut resets, elimination diagnostics)Why it was never designed to be long-termHow your body starts turning protein into sugarHow “no-carb” diets can drive insulin resistance and make fat loss stallThe thyroid, cortisol, gut, and estrogen consequences specific to perimenopause and menopauseThe exact order to reintroduce food without flaring

podcast #trending #trendingvideo #viral #viralvideo #video #breakingnews #comedy #comedyshorts #usa #trendingshorts #jokes #knowledge #old #YouTube #reels #rumble #zodiac #zoo #opinion #commentary #culture #wildlife #world #humor #happy #hiphop #horror www.TheMasonAndFriendsShow.com https://thejuunit.bandcamp.com/releases https://www.youtube.com/@SuperStationWJDL-TV5 A Ridiculous Fever Dream of Pro Wrestling Presented by J Dub https://www.glass-flo.com Great Pipes for Sure terrible Mainstream, magic Eye, Book Signing Mike, camera Truck, Aux Jack, Long Island Ju, Hooters, AI Containment Issues, Age of Ultron, Internet Attacks, T3, GI Joe Was Real, Masters of the Universe, Mortal Kombat 2? terrible movie. Spider Noir, Doomsday, MF Doom Music. Spidermans, a Different World, BIll Cosby Tainted? Crazy Movies with Sydney, the music of this episode@ https://open.spotify.com/playlist/52yKkhEr5FucftQithSCKE?si=e9f12a03197c4d59 support the show@ www.patreon.com/MperfectEntertainment

James Yancys musik hade brutit mot ordningen med rytmer som fungerade som en form av omstörtande verksamhet. Lyssna på alla avsnitt i Sveriges Radios app. Dilla fick tiden att bit för bit gå sönder med honom. Han förstod att något var fel januari 2002. Ett år innan vårt möte, och två år efter det revolutionerande Slum Villagealbumet ”Fantastic Volume 2”.Donuts är den amerikanska motsvarigheten till munkar. Men varför döpa ett vackert avsked till något av det ohälsosammaste som går att äta? Förmodligen handlade det om formen. Cirkeln som symbolen för oändlighet, evighet och odödlighet. I den avslutande delen djupdyker vi bland annat i albumet ”Donuts”, som var ljudet av Dillas dödskamp. Vibrerande, trasig, psykedelisk, spontan och besjälad. Men långt från Jay Dees varma neosoul. Det här var en rå och funky Dilla som vuxit fram under pseudonymen Dill Withers efter att han landat i Los Angeles. Mer geniala ideer och utkast än färdiga låtar. Skisser för en framtid som aldrig kom.I avsnittet möter Mats Nileskär även Que. D, T3, Illa J, Peanut Butter Wolf, Jazzy Jeff, Questlove, James Poyser, Musiq Soulchild, Bilal, Marsha Ambrosius (Floetry), Frank n Dank, Phife, Robert ”Kool” Bell (Kool & The Gang), Funky Rob, Roy Hargrove, Amp Fiddler, Pete Rock, Havoc (Mobb Deep), SA-RA Creative Partners, Marshall Allen (Sun Ra Arkestra), Flying Lotus, Iman Omari och Kanye West.

Keto worked like magic in your 20s and 30s, but then perimenopause hit, and it stopped. Ben Azadi joins Andrea Donsky, author of Nourishing Menopause and 7x published menopause researcher, to explain why strict keto and fasting can backfire on shifting hormones, and how "flexing" instead of white-knuckling gets you back to results.Ben Azadi is back, and this time he's telling us why strict keto is the wrong move once you hit perimenopause.We talk through his revised book Keto Flex and why "flexing" in and out of ketosis, instead of staying in it forever, is the piece most women in this life stage are missing.What you'll learn:➡ Why doing keto and fasting too aggressively in perimenopause can backfire on your cortisol and adrenals➡ What cyclical ketosis (keto flex) actually looks like week to week➡ How ketosis may affect leptin, thyroid (T3), and testosterone, and why your labs can look "normal" while you still feel off➡ Why brain fog and memory issues might improve with a fat-adapted metabolism➡ Which fats to build meals around, and which seed oils to quietly dropBuy Keto Flex Revised: The Advanced Guide to Metabolic Flexibility, Fat Burning, and Hormone Health for Every Body at Every Stage https://amzn.to/44I6BWIChapters:0:00 Welcome Back: Ben Azadi Returns to Talk Keto Flex 3:08 What's New in the Keto Flex Revised Edition 6:00 The 4 Pillars of KetoFlex: Adapt, Fast, Phase, Flex 11:34 Why Strict Keto Backfires in Perimenopause 14:54 How Keto Flex Affects Leptin, Thyroid (T3), and Testosterone 21:00 Brain Fog, Memory, and Mitochondria After 40 24:40 Keto Flex vs. Fasting Mimicking Diet, Plus Protein and Whole Foods 31:20 The Truth About Seed Oils (and a Joint Pain Story)Send us Fan Mail ======Morphus: Menopause Reimagined

En este episodio damos unas pinceladas sobre el tercer capítulo de la T3 de "La Casa del Dragón", que lleva por nombre "Rhaenyra Triunfante" ("Rhaenyra Triumphant").

Send us Fan MailFatigue is one of the most common complaints women bring to their doctors — and one of the least thoroughly investigated. "You're doing too much" and "it's probably stress" are not diagnoses. And for the millions of women walking around exhausted despite sleeping enough, eating well, and exercising regularly, they are not answers either.In this episode of Cycle Wisdom, Dr. Monica Minjeur breaks down the real hormonal, nutritional, and lifestyle drivers of fatigue that are actually worth looking for — and explains why the standard three-test workup misses most of them. Through Peyton's story, a 31-year-old nurse who had seen three doctors and been told her labs were normal before finally getting real answers, you will see what a thorough evaluation can find that conventional medicine almost always overlooks.You will learn:Why normal labs do not mean nothing is wrong — and what a complete fatigue workup actually looks like for womenHow thyroid antibodies, low ferritin, short luteal phase, and adrenal dysfunction can each contribute to exhaustion independently — and how they frequently overlapWhat the functional reference ranges for key markers like ferritin and T3 actually are — and why the lab's normal range is often not good enoughIf you have been told everything looks fine but you still feel exhausted — this episode will help you know exactly what to ask for next. Learn more or schedule a free discovery call at radiantclinic.com.

20 million people have a thyroid condition and 60% don't even know it — because the labs your doctor runs are barely scratching the surface of what's actually going on. In today's episode of The Wellness Effect, Kira breaks down how the thyroid actually works — from the brain-driven HPT axis to the T4-to-T3 conversion process — and why "normal" TSH doesn't mean your thyroid is fine. The trio unpacks what really drives thyroid dysfunction (stress, gut health, liver congestion, blood sugar, minerals, toxins, and autoimmunity), plus which labs to actually ask for and what to do if your doctor won't run them. Key Takeaways TSH isn't a thyroid hormone — it's a signal from your brain, and a "normal" TSH can still hide real dysfunction in T3, reverse T3, or antibody levels. Most thyroid hormone conversion happens outside the thyroid — 60-70% in the liver, 20% in the gut — so liver and gut health are often the real root cause. Minerals (iodine, selenium, zinc, iron, magnesium) are required raw materials for thyroid hormone production and conversion, not optional extras. Chapters [00:00] - Intro: Why Thyroid Issues Are So Common [01:24] - What Your Thyroid Actually Does [04:50] - The HPT Axis: How Your Brain Controls Your Thyroid [07:50] - T4 vs T3: How Thyroid Hormone Is Made [13:57] - Reverse T3 Explained [19:19] - The Thyroid Labs You Should Ask For [24:46] - Hypothyroid vs Hyperthyroid Symptoms [30:21] - What's Really Driving Thyroid Dysfunction [35:46] - The Minerals Your Thyroid Needs [44:32] - Toxins, Autoimmunity & Hashimoto's [52:02] - What To Actually Do About It [57:18] - Why Working With a Practitioner Matters Resources & Mentions HTMA (Hair Tissue Mineral Analysis) testing GI Map testing Related episode: previous toxic/low-tox living episode hosted by Lacey (referenced re: environmental toxins) Want to Work With Us? Join us in the Root Cause Reset Program: https://www.lifestyleucoaching.ca/wellness-effect-906145 and use code "Wellness Effect" for a FREE functional lab test when you join the program. Follow us on Instagram: The Podcast: https://www.instagram.com/thewellnesseffectpod/ Lacey Iskra - https://www.instagram.com/laceeiskk/ Jensen - https://www.instagram.com/wellnesswjensen/ Kira Iskra - https://www.instagram.com/wellbykira/ Lifestyle U have helped over 1,000+ women transform their mind and body and become the best version of themselves. Want to be next? Click Here to Apply! - https://www.lifestyleucoaching.ca/apply If you loved this episode and want to hear more, subscribe and leave a review! Share this episode with a friend who's ready to start their own wellness journey. Follow us on Instagram at https://www.instagram.com/thewellnesseffectpod/ to stay up-to-date with the latest episodes and tips.  

Samsung has unveiled the Galaxy Z Fold 8, Galaxy Z Fold 8 Ultra and Galaxy Z Flip 8—and Jason is joined by T3 Tech Editor Mike Lowe, fresh from Samsung Unpacked, to find out whether foldables have finally come of age. Plus, Jason follows up on Sony's controversial decision to ditch physical PlayStation games, shares your comments, and explains why there's already a petition with over 300,000 signatures.Sign the PlayStation petition here: https://www.change.org/p/don-t-kill-the-disc-tell-sony-to-keep-physical-playstation-gamesEnter our new Gadget Show competition! £5,000 to spend at CEX is up for grabs via https://www.patreon.com/thegadgetshowTo get three issues of T3 magazine for just £1, head to https://www.t3.com/gadgetshowHuge thanks to CeX for supporting the Podcast. Want to bag yourself a tech bargain or trade in your old gear? Head over to www.webuy.comFull competition Terms and Conditions can be read here: https://www.patreon.com/posts/gadget-show-and-150646343#samsung #TheGadgetShowTo get in touch with the Gadget Show Podcast, email: contact@northone.tv Hosted on Acast. See acast.com/privacy for more information.

Millions of people are told their thyroid labs are "normal" even though they continue to struggle with fatigue, brain fog, weight gain, depression, and hormone imbalances. In this episode, Dr. Jen sits down with Dr. Daryl Turner to discuss why conventional thyroid testing often misses subclinical thyroid dysfunction and how his patented Thyroflex System measures thyroid function at the cellular level. They explore Hashimoto's disease, Graves' disease, reverse T3, DNA and RNA interventions, iodine, adrenal health, and why symptoms—not just lab values—should guide treatment. This conversation challenges conventional thyroid care while offering a fascinating look at emerging approaches to personalized endocrine medicine.Dr. Daryl Turner is a hormone and thyroid specialist, medical researcher, and founder of Nitek Medical. With more than two decades of research and clinical innovation, he developed the patented Thyroflex System to assess thyroid function beyond conventional blood testing. His work focuses on cellular endocrinology, autoimmune thyroid disease, hormone optimization, and personalized approaches to treating Hashimoto's disease, Graves' disease, and complex thyroid dysfunction. Dr. Turner lectures internationally on advanced thyroid care and has appeared on numerous national television programs, including The Dr. Phil Show, The Doctors, Today, and the Discovery Channel. Website: https://www.nitekmedical.com Facebook: https://www.facebook.com/NitekMedical  YouTube: https://www.youtube.com/user/NiTekMedicalInc PODCAST: Thank you for listening please subscribe and share! Shop supplements: https://healthybydrjen.shop/CHECK OUT a list of my Favorite products here: https://www.healthybydrjen.com/drjenfavoritesFOLLOW ME:Instagram: https://www.instagram.com/integrativedrmom/Facebook:  https://www.facebook.com/integrativedrmomYouTube: https://www.youtube.com/@integrativedrmomFTC: Some links included in this description might be affiliate links. If you purchase a product through one of them, I will receive a commission (at no additional cost to you).  I truly appreciate your support of my channel. Thank you for watching! Video is not sponsored.DISCLAIMER: This podcast does not contain any medical or health related diagnosis or treatment advice. Content provided on this podcast is for informational purposes only.  For any medical or health related advice, please consult with a physician or other healthcare professionals. Further, information about specific products or treatments within this podcast are not to diagnose, treat, cure or prevent disease.

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

Your Nervous System Is the Vital Sign Nobody Is Checking Blood pressure. Heart rate. Respiratory rate. These are the numbers medicine has built its entire screening system around. But what if the thing driving all of those numbers, the autonomic nervous system, is never actually assessed? Dr. Terri sits down with returning guest Jim LaValle — internationally recognized clinical pharmacist, board-certified clinical nutritionist, and founder of the Metabolic Code platform — for a conversation that connects dots most clinicians never connect. The nervous system as a root driver of cardiovascular disease, thyroid dysfunction, gut permeability, autoimmune disease, blood sugar dysregulation, and sleep failure. If you're doing all the right things and still not getting results, this episode may be the missing piece. They cover heart rate variability, what your wearable data is actually telling you, why 60% of people who die of a heart attack have no arterial disease present, and the specific supplements, adaptogens, theanine, holy basil, phospholipids, aged garlic extract, that can begin to calm a chronically activated sympathetic nervous system while you work on the root cause. This is a masterclass in practical nervous system medicine. Bring a pen. What you'll discover: Why heart rate variability is as important as blood pressure — and what it tells you about your cardiovascular risk [20:21] The shocking stat: 60% of people who die of a heart attack have no arterial disease present. What is actually killing them [22:22] How chronic sympathetic dominance suppresses T3, causes gut permeability, triggers autoimmune thyroiditis, and disrupts sleep — all from the same root cause [44:45] How to use your wearable data practically: what to look at in the morning, how to read your sleep data, and why your sleep score may be lying to you [50:32] Box breathing vs. meditation: why they are two different tools that work best together — and how to know when you've actually arrived in that meditative state [35:12] Why 5am boot camp may be the worst thing you can do for your nervous system — and what to do instead [59:15] The supplement protocol for calming sympathetic dominance: theanine, loric acid, holy basil, kava, phospholipids, magnesium threonate, and Kyolic aged garlic extract [1:12:24] How blood sugar directly drives sympathetic tone — and why people with diabetes almost always end up with heart disease [1:01:58] Why childhood stress and prenatal maternal stress can hardwire sympathetic dominance into the nervous system before a child is even born [1:06:13] You cannot optimize what you have not calmed. The Dr. Terri Show is presented by EVEXIAS Health Solutions.Learn more and find a provider near you at evexias.com Connect with Dr. Terri:

Your thyroid does not make one hormone. It makes five. Your last panel probably only tested one. That gap is exactly why I brought Dr. Amie Hornaman onto the show. In this episode of theMedical Disruptor, she shares her own thyroid story, including the 25 pounds that showed up in a matter of weeks and the seven different doctors she saw before anyone gave her an answer. From there we get into why testing TSH and T4 alone misses so much, what a full thyroid panel should actually include, and why she believes most people need more than T4 only medication like Synthroid to feel like themselves again. We break down reverse T3 and what it means when it is elevated, then go into T2, a thyroid hormone that is not T3 or T4, has decades of research behind it, and may play a real role in metabolism and fat burning. We close with what to actually ask for at your next appointment so a normal result is not the end of the conversation. As always, this is a free conversation with a vetted, board certified clinician, no products and no upsells, just information you can take straight into your next appointment. This is how we address medical gaslighting directly, by giving you the language and the data to advocate for your own thyroid health. You are not fine. You are just not sick enough yet. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 3:22 - Amie's 25-Pound Mystery & 7 Doctors 7:27 - Why TSH & T4 Alone Aren't Enough 19:55 - T2: The Forgotten Thyroid Hormone 28:08 - How to Stop Getting Dismissed 33:21 - "You're Just a DC, Not an MD" Guest Links: FB: https://www.facebook.com/groups/dramie IG: https://www.instagram.com/dramiehornaman/ YT: https://www.youtube.com/dramiehornaman Website: dramiehornaman.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Mark Saxton, CEO of Baird Medical, highlights their microwave ablation technology, which is being used to address a significant treatment gap for benign thyroid nodules. This minimally invasive approach is an alternative to radiofrequency ablation, accommodates patients with pacemakers or other cardiac devices, and provides faster recovery. Unlike surgery, microwave ablation preserves thyroid function, eliminating the need for ongoing hormone replacement therapy Mark explains, "It's very interesting that we're focused on thyroid tumors because they're an extremely prevalent issue. Most of those tumors are benign, and for many of those patients, active surveillance, or what we call watchful waiting, is appropriate. But a portion of those may need more than that. Their nodules are growing, they're becoming symptomatic either cosmetically or they're compressing on their throat, and that becomes extremely bothersome for them."   "A minimally invasive option, like a microwave, may be more appropriate for those patients than a surgery would be. The bottom line is there's still a huge gap between diagnosis and treatment, and that's an exciting problem for us to want to solve." "So surgery is extremely safe and very appropriate in many patients, but there is a scar, it's a surgery, you're under general anesthetic. The other thing that surgery does is if we do a thyroidectomy, we may be destroying the thyroid's ability, obviously, then to provide the hormones, T3 and T4, that regulate some of our metabolism. So with the microwave, we just destroy the nodule. We don't impact thyroid function in that way, so patients don't need that hormone replacement. So that's another great reason to move forward with something more minimally invasive." #BairdMedical #MicrowaveAblation #ThyroidMWA #MWA #ThyroidCare #ThyroidNodules #MinimallyInvasive #InterventionalEndocrinology #Endocrinology #PatientCare #MedicalDevices BairdMed.com Download the transcript here

Mark Saxton, CEO of Baird Medical, highlights their microwave ablation technology, which is being used to address a significant treatment gap for benign thyroid nodules. This minimally invasive approach is an alternative to radiofrequency ablation, accommodates patients with pacemakers or other cardiac devices, and provides faster recovery. Unlike surgery, microwave ablation preserves thyroid function, eliminating the need for ongoing hormone replacement therapy Mark explains, "It's very interesting that we're focused on thyroid tumors because they're an extremely prevalent issue. Most of those tumors are benign, and for many of those patients, active surveillance, or what we call watchful waiting, is appropriate. But a portion of those may need more than that. Their nodules are growing, they're becoming symptomatic either cosmetically or they're compressing on their throat, and that becomes extremely bothersome for them."   "A minimally invasive option, like a microwave, may be more appropriate for those patients than a surgery would be. The bottom line is there's still a huge gap between diagnosis and treatment, and that's an exciting problem for us to want to solve." "So surgery is extremely safe and very appropriate in many patients, but there is a scar, it's a surgery, you're under general anesthetic. The other thing that surgery does is if we do a thyroidectomy, we may be destroying the thyroid's ability, obviously, then to provide the hormones, T3 and T4, that regulate some of our metabolism. So with the microwave, we just destroy the nodule. We don't impact thyroid function in that way, so patients don't need that hormone replacement. So that's another great reason to move forward with something more minimally invasive." #BairdMedical #MicrowaveAblation #ThyroidMWA #MWA #ThyroidCare #ThyroidNodules #MinimallyInvasive #InterventionalEndocrinology #Endocrinology #PatientCare #MedicalDevices BairdMed.com Listen to the podcast here

BLUEPRINT WAITLIST - https://www.sarahkleinerwellness.com/the-bio-individual-blueprint-waitlistCARBS - USE CODE SUMMER50 - https://www.sarahkleinerwellness.com/offers/B8z53ZXr?coupon_code=SUMMER50Do Carbs Cause Diabetes? The Truth About Weight Loss, Hormones, and Reintroducing Carbs (Perimenopause-Friendly)Sarah Kleiner answers common questions about carbohydrates, arguing that blaming carbs alone for diabetes and weight gain is shortsighted and ignores lifestyle and environmental factors like circadian rhythm, light exposure, sleep, and grounding. She shares her experience with long-term carb restriction leading to low T3, hormone issues, worsened metabolic health, and weight gain, and explains how adding back healthy carbs has helped many clients—especially perimenopausal and menopausal women—sleep better and lose weight. She distinguishes whole-food carbs from processed versions (e.g., potato vs. chips), discusses carb timing and insulin sensitivity, explains individualized carb needs, and addresses glycation, AGEs, oxidative stress, and deuterium through a “terrain/mitochondria” lens. TESTIMONIALS - https://www.sarahkleinerwellness.com/testimonialsBLUEPRINT TESTIMONIALS - https://docs.google.com/document/d/18KAOOuw33Yg0pJomVG5LySaZFdioReNRaaLNP3mSNGE/edit?tab=t.0#heading=h.5kttr5hvafmwTIMESTAMPS:00:00 Carb Questions Intro00:29 Sarah Story Low Carb02:44 Disclaimer And Coaching04:37 Do Carbs Cause Diabetes 05:20 Astronaut Lifestyle Factors 08:17 Good Carbs Vs Junk 10:59 Weight Loss And Thyroid15:32 Carbs Timing Circadian18:07 How Many Carbs Needed19:43 Menopause Carb Strategy23:40 Reintroducing Carbs Safely25:50 Glycation And AGEs30:29 Why Cutting Carbs Works32:02 Randall Cycle Deuterium34:43 Wrap Up And ResourcesSTUDIES:https://pubmed.ncbi.nlm.nih.gov/12361776/https://pubmed.ncbi.nlm.nih.gov/38378043/https://link.springer.com/article/10.1007/BF03350482https://pubmed.ncbi.nlm.nih.gov/24694994/https://pubmed.ncbi.nlm.nih.gov/20585000/https://pubmed.ncbi.nlm.nih.gov/1249190/This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!

Berömmelse och sjukdom. Det var som om J Dilla såg möjligheterna och begränsningarna för sig själv och afroamerikansk musik överlag den där natten januari 2003. Lyssna på alla avsnitt i Sveriges Radios app. Att lyssna på hiphopens Albert Einstein var som att blicka upp mot stjärnorna och förundras.På albumet ”Welcome 2 Detroit” förvandlades Jay Dee till J Dilla. Gled bort från en bruten och egensinnig jazzsoulfusion mot en hårdare, samplingsfri och teknologisk stil. I numret ”Big booty express” la Dilla ut länken mellan Detroit och Dusseldorf. I samarbetet med syskonsjälen Madlib (”Champion sound”)målade han en själfull, alternativ framtid genom vacker desorientering som fascinerade musikälskare. Dilla var på väg att förverkliga sina drömmar när allt fick en brutal vändning.I avsnittet möter du även Madlib, T3, Baatin, Elhzi, Wajeed, Biz Markie, Derrick May, Frank n Dank, Phat Kat, Guilty Simpson, Dweli, Newcleus och Common.

T3 + Vitamin A = LDL + Pregnenolone = All Sex Steroid Hormones The Critical Biochemical Pathway Most People Never Learn About In this episode of the Improvement Warrior Podcast (Substack, Apple), Jason Yun breaks down a critical biochemical pathway: how T3 (the active form of thyroid hormone) works with Vitamin A to help utilize LDL cholesterol, which then supports the production of pregnenolone — the precursor to all sex steroid hormones (testosterone, estrogen, progesterone, etc.). Jason explains the interconnected roles of these molecules in energy production, hormone balance, fertility, mood, and overall vitality. He connects this pathway to his core teachings on circadian biology, mitochondrial health, and the importance of proper light exposure. The discussion highlights why disruptions in this chain are common in modern life and offers practical insights into supporting it naturally through lifestyle, nutrition, and environment. Whether you're dealing with low energy, hormonal imbalances, or simply want to understand how your body produces and regulates sex steroids at the deepest level, this episode delivers clear, actionable knowledge rooted in real biology rather than conventional approaches.Timestamp Log 0:00 – Intro & welcome to Episode 891:10 – Overview of the key pathway: T3 + Vitamin A3:45 – Role of LDL Cholesterol in the process6:20 – Pregnenolone as the mother hormone9:00 – How this leads to all sex steroid hormones11:30 – Practical implications for energy, hormones & vitality13:45 – Ties to circadian biology, light exposure, and mitochondria15:30 – Key takeaways and action steps16:40 – Closing thoughts & outroResources MentionedImprovement Warrior Newsletter PatreonSubstackOne Tap ZapMagnesium Breakthrough

Excire Foto 2027 is HERE! The latest version of Excire's award-winning image-management software uses AI to help you find any photo, stay on top of culling, and easily organize your entire image catalog. To get your Excire lifetime license or to download a 14-day free trial, visit https://www.excire.com/en/excire-foto/ PetaPixel viewers can receive an additional 15% off their purchase with the special discount code PETAPIXEL.Now saving when you shop for your favorite gear at B&H Photo is even easier with the B&H Payboo Credit Card which lets you Save the Tax — you pay the tax, and B&H pays you back instantly! (Save the Tax on eligible purchases shipped to eligible states.) OR you can pay over time with our 6 & 12 month financing (on minimum purchases of $199 for 6 months, and $599 for 12 months). Terms apply, learn more at http://bhphoto.com/payboo. Credit card offers are subject to credit approval.Payboo Credit Card Accounts are issued by Comenity Capital BankThis week on the PetaPixel Podcast, the team is joined by Chelsea Mercado Northrup⁩ to discuss the RX10 V (and why no one seems to agree with our less-than-sparkling review) and Tamron's new design shift, as well as take part in the highly-requested Lens Draft! PetaPixel's Jeremy Gray also joins in for this extra-long episode!Check out PetaPixel Merch: store.petapixel.com/ We use Riverside to record The PetaPixel Podcast in our online recording studio.We hope you enjoy the podcast and we look forward to hearing what you think. If you like what you hear, please support us by subscribing, liking, commenting, and reviewing! Every week, the trio go over comments on YouTube and here on PetaPixel, but if you'd like to send a message for them to hear, you can do so through SpeakPipe.In This Episode:00:00 - Intro with Chelsea Northrup Mercado!14:39 - What do we think of Tamron's new design? 22:38 - GoPro's founder lends the company $20M to try and stay alive25:27 - Beni is a cute little camera robot that follows you around29:50 - If you squint, you can see what makes this 30th anniversary GR IV special33:53 - Fujifilms 19-35mm T3.5 is a very wide medium format cine lens36:55 - Xtra might be in trouble: https://petapixel.com/2026/07/10/fcc-fines-multiple-companies-it-says-are-bringing-dji-tech-into-the-u-s/39:17 - No one agrees with our RX10 V take52:51 - The Lens Draft w/ Chelsea Mercado and Jeremy Gray1:46:45 - Feel good story of the week1:49:09 - Join Chelsea on her new channel

En este episodio hablamos del cap. 4 de la T3, "Tumbleton": un Hightower berrinchudo, Lady Kilo de Ayuda vive en una cueva, Ramira vuelve a nerfearse y a echarse encima a toda la corte y, una vez más, no pasa nada en el castillo embrujado.Puedes ver y escuchar este episodio en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ o lo puedes escuchar en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Desbloquea contenido solo para miembros en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ y ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube Memberships⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.¡Únete a la comunidad fandaloriana en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Discord⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠!--⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠El entusiasmo por las ñoñadas ha reunido a Mareo Flores, Andrés "Boludo" Durán y Dani Forlann en un podcast que, además de hablar sobre el universo de Star Wars, también se clava en otras series, películas, cómics, videojuegos y nerdeces. This is the way.

Terminator: Resistance (2019) synopsis: “Terminator: Resistance is a 2019 first-person shooter game developed by Teyon and published by Reef Entertainment. The game is based on the Terminator franchise, set during the original future war depicted in the films The Terminator (1984) and Terminator 2: Judgment Day (1991).”Available on: PC, PlayStation, and XBox.On this bonus episode, Corey reviews Terminator: Resistance! If you grew up loving the future scenes in Terminator 1 & 2 then this video game is for you! Everything from the weapons to the costume designs are straight from those segments. The only thing the developers use from T3+ are the various Terminator designs, like the T-600 from Salvation. Like with the RoboCop game Corey reviewed two years ago (from the same developers), if you're a fan of the Terminator franchise then this is a must-play game!Leave a comment on Spotify or Instagram and let us know if you've played Terminator: Resistance and what you thought of it!— SUPPORT PODCASTING AFTER DARK —PATREON - Two extra shows a month including Wrap-Up After Dark and The Carpenter Factor, plus other exclusive content!MERCH STORE - We have a fully dedicated merch store at TeePublic with multiple designs and products!INSTAGRAM / FACEBOOK / LETTERBOXD - Follow us on social media for updates and announcements!This podcast is part of the BFOP Network

El día de hoy en nuestro segmento semanal del cuerpo habla lo que la boca calla ahora de T3, vamos a hablar de varias recomendaciones para los somáticos digestivos y también su contexto inconsciente.Déjanos tus comentarios y siguenos: Patreon con audios subliminales para Reprogramación R3PR0 5D HACK3O M3NTAL.Acceso a todos nuestros eventos en nuestro Link en Biohttps://linktr.ee/QUANTUM_GDLÚnete a nuestra comunidad desde cualquiera de nuestros eventos del año para obtener beneficios extraCOMUNIDAD MANADA QUANTICA DE CENTRO QUANTUM Informes en Whatsapphttps://wa.me/523310202149Te invitamos a visitar nuestros canales, activar la campanita, dar like y repost para seguir ayudando a más personasNuestros canalesINSTAGRAM https://www.instagram.com/QUANTUM_GDLTIKTOKhttps://www.tiktok.com/@quantum_gdlYOUTUBE https://www.youtube.com/@CentroQuantum/podcastsFACEBOOK https://www.facebook.com/QuantumGDL https://t.me/centroquantum....#Quantum #applepodcasts #spotifypodcast #centroquantum #despertardeconsciencia #quantum #constelacionesfamiliares #fisicacuantica #cuantica #tupuedescrearturealidad #googlepodcasts #CentroQuantum #podcast #epigenetic #conciencia #spotify #taniaramón ##inteligenciaemocional #amor #magia #matrix #JacoboGrinberg #bioreprogramación

Jay Dee, senare J Dilla, var en etablerad beatskapare i slutet av 90-talet. Lyssna på alla avsnitt i Sveriges Radios app. Han hade serverat höjdpunkter med bland andra Pharcyde, Busta Rhymes och egna gruppen Slum Village. Men som en del av mentorn Q-Tips producentlag Ummah kamouflerades hans insatser för publiken.Det var en form av vattentortyr när Dilla gång på gång såg att informationen på skivorna inte gav honom något erkännande. Orättvisorna som en gång drabbat hans far ekade i huvudet. Men inget kunde ta ifrån Dilla det stora inflytande han hade på musiken.Hur mönstren i rytmer som låg fel, före och efter i en unik ficka, satte standarden för en ny typ av hiphoplåt. Sättet som soul- och funkhistorien transporterades via maskinen tillbaka till människan blev också ett fundament för den så kallade neosoulrörelsen och inspirationskälla för D'Angelo när han mejslade fram ”Voodoo”. Avsnittet innehåller även möten med bland andra T3, Erykah Badu, Tony Allen, Bernard Purdie, De La Soul, D'Angelo, Amp Fiddler, Robert Glasper, Frank Bush, Black Milk, Baaten, Wajeed och Que. D.Det återstår två delar i J Dilla-serien: ”Delirium” samt ”Norwegian wood”.

El día de hoy para cerrar semana bendita de arranque de T3, vamos a darte un podcast que esperemos te dehe en reflexión y en reconciliación con Dios, La Fuente de Luz. Gracias por estar en este arranque de T3..Déjanos tus comentarios y siguenos: Patreon con audios subliminales para Reprogramación R3PR0 5D HACK3O M3NTAL.Acceso a todos nuestros eventos en nuestro Link en Biohttps://linktr.ee/QUANTUM_GDLÚnete a nuestra comunidad desde cualquiera de nuestros eventos del año para obtener beneficios extraCOMUNIDAD MANADA QUANTICA DE CENTRO QUANTUM Informes en Whatsapphttps://wa.me/523310202149Te invitamos a visitar nuestros canales, activar la campanita, dar like y repost para seguir ayudando a más personasNuestros canalesINSTAGRAM https://www.instagram.com/QUANTUM_GDLTIKTOKhttps://www.tiktok.com/@quantum_gdlYOUTUBE https://www.youtube.com/@CentroQuantum/podcastsFACEBOOK https://www.facebook.com/QuantumGDL https://t.me/centroquantum....#Quantum #applepodcasts #spotifypodcast #centroquantum #despertardeconsciencia #quantum #constelacionesfamiliares #fisicacuantica #cuantica #tupuedescrearturealidad #googlepodcasts #CentroQuantum #podcast #epigenetic #conciencia #spotify #taniaramón ##inteligenciaemocional #amor #magia #matrix #JacoboGrinberg #bioreprogramación

En este episodio hablamos del cap. 3 de la T3, "Rhaenyra triunfante": la burocracia no acaricia, y sentarse en el Trono de Hierro no es solo dar órdenes y tomar vino, sino atender los pequeños detalles cotidianos que pueden volver loco a cualquiera.Puedes ver y escuchar este episodio en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ o lo puedes escuchar en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Desbloquea contenido solo para miembros en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ y ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube Memberships⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.¡Únete a la comunidad fandaloriana en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Discord⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠!--⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠El entusiasmo por las ñoñadas ha reunido a Mareo Flores, Andrés "Boludo" Durán y Dani Forlann en un podcast que, además de hablar sobre el universo de Star Wars, también se clava en otras series, películas, cómics, videojuegos y nerdeces. This is the way.

What Your TSH Number Isn't Telling You ft. Dr. Brittany Henderson Your TSH can look "perfectly normal" and you can still feel exhausted, foggy, cold, and stuck at a weight that won't budge. In this episode of the Medical Disruptor, I sit down with thyroid specialist Dr. Brittany Henderson to find out why. Dr. Henderson is fellowship-trained at Duke, ran thyroid programs at two major academic centers, and now runs her own thyroid-only practice, the Charleston Thyroid Center. She told me flat out that TSH alone is not enough, and that most doctors don't even know how to read a full thyroid panel. In this conversation we get into why TSH is actually a pituitary hormone, not a thyroid hormone, and why the "normal" TSH reference range was built on flawed population data that included undiagnosed Hashimoto's patients. I ask her what free T4, free T3, and reverse T3 actually reveal that TSH can't, and she walks me through why muscle mass is the missing piece in thyroid hormone conversion, since it's muscle tissue that activates T4 into usable T3. She also explains why up to 95% of people with severe Hashimoto's or a thyroidectomy may need combination T4/T3 therapy instead of T4 alone, and we break down the real differences between levothyroxine, desiccated thyroid extract, and combination treatment. We talk about patients who've been on the wrong thyroid medication for decades and what happens when it's finally corrected, plus the flip side: patients who never needed thyroid medication in the first place and how to tell the difference. Along the way we cover how birth control, inflammation, steroids, and menopause quietly throw off your thyroid labs without anyone telling you. If you've ever been told your thyroid is fine while your body is telling you otherwise, this episode gives you the exact labs to ask for and the language to ask for them. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:10 - From Duke-Trained Endocrinologist to Questioning the Standard of Care 12:38 - Why TSH Alone Is Not Enough 23:16 - Combination Therapy and the Muscle Mass Connection 25:17 - Desiccated Thyroid Extract: History and Misconceptions 35:19 - Pushback, Broken Guidelines, and Where to Find Dr. Henderson Guest Links: FB: https://www.facebook.com/DrHendersonMD/ IG: https://www.instagram.com/mythyroiddoctor/ Website:charlestonthyroidcenter.com | mythyroiddoctor.com | thethyroidfoundation.org Learn more about your ad choices. Visit megaphone.fm/adchoices

Dilla, eller Jay Dee, läste inte regelboken. Allt och mycket mer fanns redan i hans huvud. Rytmerna som haltade och krängde, och som förändrade hiphop och R&B. Lyssna på alla avsnitt i Sveriges Radios app. Tillsammans med vännerna i Slum Village byggde han bit för bit sin egen värld i det plågade Detroit.Berömmelsen kom först till Jay Dee och hans beats. Medan T3 och Baatins skurar av säreget fristilflyt ovan rytmer med egen vilja till en början inte uppmärksammades i samma utsträckning.Jay Dees framgångar som producent (Pharcyde, Tribe, Busta etc.) innebar snart spänningar inom Slum Village samtidigt som det inflytelserika mästerverket låg framför gruppen.I del två hör du även intervjuer med bland andra T3, Baatin, Wajeed, James Brown, Illa J, Frank n Dank, Que D, Pete Rock, Busta Rhymes, Jimmy Jam och Q-Tip.

En este episodio hablamos del cap. 2 de la T3, "Desembarco de la Reina": Licha no da una, Ramira no da paso sin huarache (sin Daemon), el Tuerto calcula mal y le pican la chuleta, el Patas y el Rey Tostado manejan la comedia y la desnutrida hace enojar a la Sra. Panista del Valle de Arryn.Puedes ver y escuchar este episodio en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠,⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ o lo puedes escuchar en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Desbloquea contenido solo para miembros en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ y ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube Memberships⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.¡Únete a la comunidad fandaloriana en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Discord⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠!--⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠El entusiasmo por las ñoñadas ha reunido a Mareo Flores, Andrés "Boludo" Durán y Dani Forlann en un podcast que, además de hablar sobre el universo de Star Wars, también se clava en otras series, películas, cómics, videojuegos y nerdeces. This is the way.

Christie chats with James Crawford, who is playing Lawrence in T3's production of Dirty Rotten Scoundrels.

In this empowering episode, Dr. Fiona Lovely welcomes nurse practitioner Shelby Sheppard, a trusted hormone and sexual health expert who has been caring for Dr. Lovely's own patients for years. Shelby's journey from labor and delivery RN to founding Pause Health reflects her deep commitment to offering women the time, space, and personalized care they deserve—something that simply cannot happen in the standard medical seven-minute appointment. The conversation opens with the remarkable story of how Shelby helped a patient navigate postpartum depression using supplemental progesterone, challenging conventional medical dogma. They then dive into the blind spots of thyroid care, explaining why TSH alone is an unreliable marker and why T4-only medications often leave women feeling unwell. Shelby shares her philosophy of offering patients a menu of options rather than a one-size-fits-all approach. They explore the newly renamed PMOS (Polyendocrine Metabolic Ovarian Syndrome) from PCOS, the underutilized role of testosterone in women's health, and the profound impact of GLP-1 medications on metabolic health and mental well-being.  The episode also addresses sexual health, pleasure anatomy, and why women deserve to feel plugged back in—not just for sex, but for life. Together, they talk about: Why progesterone can be a game-changer for postpartum mood support as well as perimenopausal sleep disturbances, anxiety and others. The limitations of TSH testing for thyroid and why free T3 and reverse T3 matter. How GLP-1s combined with hormone therapy offer superior metabolic results. Testosterone's role in motivation, confidence, and overall vitality. Practical tips for navigating libido changes and communicating with partners. Tune in to learn why women's health is not a one-size-fits-all prescription—and how to become your own best advocate. Connect with Shelby: Website: www.pausehealth.ca Instagram: https://www.instagram.com/pause_health   Thank you to our sponsors for this episode:

In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains why temporary improvement does not always mean true recovery. He explores how thyroid medications, supplements, diets, exercise programs, and other health strategies can create meaningful short-term improvements while failing to address the underlying physiologic state that caused symptoms in the first place. Dr. Balcavage introduces the concepts of resilient physiology, chronic strain, and overload physiology, explaining why the same treatment can help one person, stop working for another, and make someone else feel worse almost immediately. He discusses why thyroid medication and supplements should be viewed as tools rather than complete treatment strategies, and why understanding the body's current physiologic state is essential for long-term healing. If you've ever experienced thyroid medication, supplements, or health protocols working temporarily before losing their effectiveness, this episode will help you understand why that happens and why rebuilding physiologic capacity may be more important than continually searching for the next supplement or higher medication dose. In This Episode, You'll Learn: Why thyroid medications, supplements, diets, and health protocols often help initially but lose effectiveness over time The difference between resilient physiology, chronic strain, and overload physiology Why the same treatment can produce completely different results depending on your body's current physiologic state How chronic stress and limited physiologic reserve can cause the body to down-regulate metabolism and thyroid function as an adaptive response Why increasing thyroid medication or adding more supplements doesn't always resolve persistent symptoms How T4 and T3 medications affect thyroid physiology differently and why more thyroid hormone isn't always the answer Why supplements should support a recovery strategy rather than become the strategy itself The role of physiologic load, recovery capacity, inflammation, sleep, nutrition, exercise, and stress in long-term thyroid health Why reducing physiologic load and rebuilding capacity is often more important than continually adding new treatments Resources Mentioned:

In this episode, I dig into one of the most frustrating things I see women struggle with: being told their thyroid is "fine" based on a single number, while they're still dealing with fatigue, weight gain, hair thinning, brain fog, and feeling cold all the time. Here's what I want you to take away: TSH isn't a full thyroid test. It's just a signal from your brain to your thyroid—not a measurement of what your body is actually producing or whether your cells can use it. The "normal" range is so wide you could drive a Mack truck through it. Normal doesn't mean optimal. The numbers I actually look at: Free T3 – the active hormone your cells actually use. It's the one that matters most and almost never gets tested. You can have plenty of T4 (the storage form) and still feel awful if you're not converting it. Reverse T3 – I think of this as the brake pedal that stress slams on. It's a mirror-image molecule (like your left hand vs. your right) that parks in your receptors and blocks the active hormone from getting in. Chronic stress, low iron, illness, crash dieting, and inflammation all push your body to make more of it. TPO and TG antibodies – these can rise 7 to 10 years before your TSH ever moves. Catching Hashimoto's early gives you a window to address the root drivers. It's never just one thing. Your thyroid gets ambushed—inflammation, stress, nutrient deficiencies, gut issues—all stacked and compounded over time. This is especially true in perimenopause, when rising cortisol, falling ferritin from heavy periods, and lower stomach acid all converge. That's why so many women hit a thyroid crash in their 40s. A real story from my own life: I went in for a checkup and asked to have my antibodies retested (I have a history of Hashimoto's). My doctor physically couldn't add the lab to my file because the system only allows it once—even though my previous result was out of range. This isn't about one bad doctor; the system isn't built to support you. I now have to order my own labs through an outside lab. What your body needs to convert T4 to T3: selenium, zinc, iron, and a calm nervous system. These nutrients are commonly depleted in women, especially with a history of oral birth control. And food is the most bioavailable source—so variety matters. Eating the same meal-prepped chicken and broccoli every week can leave you deficient. A word on supplements: more isn't better. I recently had to remove several supplements from a client's routine because they were overloading her with B vitamins and depleting her minerals. Expensive and fancy doesn't mean right for your body. My bottom line: You have to be the driver of your own health. Look back through your old labs right now and check whether your antibodies and Free T3 have ever been tested. If you've been struggling for six months or more, take action. Your body has an incredible ability to heal when we test properly, look at the whole picture, and give it the right things at the right time. If you need help figuring out your next steps, the link to schedule a strategy call with my team is in the show notes. You're not too far gone—you're closer now than you were before you knew this!

Low AMH, failed IVF, or told donor eggs, and still no real explanation for why? This episode looks at the system a standard fertility workup rarely checks: the nervous system, and how chronic stress affects egg quality, progesterone, thyroid function, and ovulation. If you are a high-achieving, Type A woman who has been told your stress is handled and your thyroid is fine, this is the seven things behind low AMH, diminished ovarian reserve, and recurrent pregnancy loss that rarely get investigated, including the cortisol pattern, the full thyroid panel, blood sugar, prolactin, and the stress nerves that run directly through the ovary. This episode covers: low AMH and high FSH, the cortisol curve, a single blood draw misses, thyroid antibodies and reverse T3 behind a "normal" TSH, how stress pulls raw material away from progesterone, blood sugar, and the 3 am wake-up, elevated prolactin, and the nervous system inside the ovary affecting egg quality. This episode is for you if you have low AMH, diminished ovarian reserve, a failed or cancelled IVF cycle, or recurrent miscarriage, and you have been told donor eggs are your only option, and no one has explained why this is happening. CHAPTERS 00:00 Why the woman who handles everything is the one who needs this 03:00 The seven things, and why this is physiology, not mindset 03:40 One: survival first, and reproduction turned down 05:00 Two: why a single cortisol draw misses the pattern 06:00 Three: thyroid antibodies and reverse T3 behind a normal TSH 06:50 Four: how stress competes with progesterone 07:50 Five: the 3am wake-up is blood sugar, not anxiety 09:00 Six: the prolactin that got flagged, then dropped 09:30 Seven: the nervous system inside the ovary 11:00 What you can actually change 12:30 The Functional Fertility Second Opinion NEXT STEPS What Your Clinic Missed guide: the lab markers behind each of the seven, in writing. Email hello@fabfertile.ca, subject MISSED. Functional Fertility Second Opinion: a call where I review your full picture, your labs, your blood sugar, and your partner's results, and help you make an informed next decision. Email hello@fabfertile.ca, subject FERTILE, or book a call with your partner here. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Get Pregnant Naturally: A Functional Fertility Second Opinion. If this show has helped you make sense of your numbers, please leave a review. It helps other women find the show and be their own advocate.

Hi friends! I have a brand new podcast episode live, and today we are talking all about thyroid health, hormones, and why so many women are being told they're "fine" when they are absolutely not. I'm sitting down with Ashley Cruz Arata, certified Integrative Health Practitioner and hormone specialist. For years she was dismissed by doctors who her me everything was fine because "all the labs were normal." Meanwhile, she was dealing with 35 lbs of weight gain, relentless joint pain, brain fog and crippling fatigue. She eventually healed herself and now helps high-achieving women 35+ get the real answers their doctors have been missing. I think you are going to love her. Check out what we chat about: Why conventional thyroid testing only looks at two markers and why that is a massive problem for millions of women The labs you should actually be asking for, including free T3, reverse T3, TPO antibodies, cortisol, and sex hormones Why intermittent fasting and more cardio can make thyroid dysfunction significantly worse The truth about thyroid medication and why taking it does not mean you are done Two free, easy at-home habits that support your thyroid and cortisol rhythm every single day The protein-before-coffee habit that can completely change how your day feels How stress is silently wrecking your hormones and Ashley's Sunday night ritual to manage it without adding more to your plate And so much more!! It was so great getting to chat with Ashley and I hope you love this episode! If you have ever been dismissed by a doctor or told your labs are normal while still feeling terrible, this one is for you! Ashley also has a free guide for you: Normal Isn't Optimal: The Essential Hormone Lab Guide That Shows You What "Normal" Labs Are Missing. Grab it here: https://ashleycruzarata.myflodesk.com/normalisntoptimal You can also find Ashley at: Instagram: https://www.instagram.com/ashleycruzarata/ Website: https://ashleycruzarata.com/ About Ashley: Ashley Cruz Arata is a certified Integrative Health Practitioner helping high-achieving women 35+ lose weight and restore energy by addressing hormone and thyroid imbalances. After years of being told her labs were "normal" while dealing with fatigue, 40 lbs of weight gain, and brain fog — and a partial thyroidectomy that made things worse before they got better — she turned to functional medicine and never looked back. Ashley works with women who are done being dismissed and ready for real answers about their hormones. Partners: Shop Oliveda here. Try out luxury handbags and jewelry from Vivrelle and use my code GINAHARNEY for your first month free! Check out We Feed Raw! Maisey goes crazy for this! I use it as a topper for her kibble or mix it into her pup loaf. You can try the raw version, the raw dehydrated kibble, and they'll help you customize a plan for your pup. Use FITNESSISTA40 for 40% off your Meal Plan Starter Box here! Check out my new favorite red light device here, and use the code FITNESSISTA for a huge discount.  I've been using Nutrisense on and off for a couple of years now. I love being able to see how my blood sugar responds to my diet and habits, and run experiments. You can try out Nutrisense here and use GINA30 for 30% off. If any of my fellow health professional friends are looking for another way to help their clients, I highly recommend IHP. You can also use this information to heal yourself and then go one to heal others, which I think is a beautiful mission. You can absolutely join if you don't currently work in the health or fitness industry; many IHPs don't begin on this path. They're friends who are passionate to learn more about health and wellness, and want to share this information with those they love. You can do this as a passion, or start an entirely new career. You can use my referral link here and the code FITNESSISTA for up to $250 off the Integrative Health Practitioner program. I highly recommend it!

Many people are told their elevated cholesterol and LDL levels are simply the result of diet, lack of exercise, or genetics. But what if rising cholesterol is actually a clue that thyroid physiology is slowing down? In this episode of the Thyroid Answers Podcast, Dr. Eric Balcavage explains the important relationship between thyroid signaling, T4 to T3 conversion, cellular metabolism, liver function, bile production, and cholesterol regulation. He discusses why cholesterol is essential for health, how the body produces and uses it, and why elevated cholesterol may be a sign that the body is struggling to convert food energy into cellular energy efficiently. Dr. Balcavage breaks down several mechanisms by which reduced thyroid signaling may contribute to elevated cholesterol and LDL levels, including decreased T4 to T3 conversion, impaired cholesterol transport, reduced LDL receptor activity, diminished bile production, and impaired bile flow. He also explains why simply lowering cholesterol with medication may not address the underlying physiologic stressors driving these changes. If you've been told your cholesterol is high despite eating well, exercising regularly, and doing all the "right" things, this episode explores why it may be time to look deeper at thyroid physiology, cellular metabolism, inflammation, liver function, and the body's adaptive stress response. In This Episode, You'll Learn: Why cholesterol is essential for hormone production, cell membranes, vitamin D production, brain health, and bile formation How reduced T4 to T3 conversion can contribute to elevated cholesterol and LDL levels The critical role T3 plays in liver function, cholesterol transport, and bile production Why cholesterol may rise even when diet and exercise habits are healthy How impaired bile flow and gallbladder function can affect cholesterol clearance Why elevated cholesterol may be a sign of reduced thyroid signaling rather than simply a dietary problem The lab markers Dr. Balcavage uses to assess thyroid physiology, inflammation, metabolism, and cholesterol regulation Why addressing cellular stress and adaptive physiology is often more important than simply lowering cholesterol numbers Resources Mentioned:

Have you ever been told your labs are "normal"—but you still feel exhausted, gain weight despite doing everything right, struggle with brain fog, poor sleep, low motivation, or simply don't feel like yourself? In this eye-opening episode of The Girlfriend Doctor Show, Dr. Anna Cabeca sits down with endocrinologist and women's health expert Dr. Shamita Trivedi to uncover why "normal" lab results don't always mean optimal health. With nearly 20 years of experience in endocrinology and hormone health, Dr. Trivedi shares how she blends evidence-based medicine with a personalized, integrative approach to help women navigate thyroid dysfunction, perimenopause, menopause, insulin resistance, metabolic health, and hormone optimization. Together, Dr. Anna and Dr. Trivedi discuss the growing epidemic of weight gain, fatigue, and metabolic dysfunction in midlife women—and why traditional medicine often misses the bigger picture. In this episode, you'll discover: • Why "normal" thyroid labs may still leave you feeling exhausted • The difference between normal ranges and optimal hormone levels • How perimenopause creates a state of neuroendocrine vulnerability • The truth about GLP-1 medications and when they're appropriate • Why hormone replacement should never be one-size-fits-all • The hidden connection between thyroid health, metabolism, and weight gain • How gut health, inflammation, and lifestyle impact every hormone system • What women with premature ovarian insufficiency need to know If you've ever felt dismissed, unheard, or told everything is fine when you know something isn't right, this conversation will empower you to advocate for your health and understand your body on a deeper level. Listen now and discover why optimal health starts beyond "normal."   Key Timestamps 00:00 – Why endocrinology plays a critical role in women's health and hormone optimization. 03:20 – Premature ovarian insufficiency: why early menopause can be devastating and what can be done. 09:15 – Birth control pills versus physiologic hormone replacement in young women. 16:00 – Perimenopause as a period of neuroendocrine and immunologic vulnerability. 22:45 – Why hormone therapy should always be individualized. 28:30 – Weight gain, cardiometabolic changes, and why women "catch up" to men in heart disease risk after menopause. 32:50 – The role of GLP-1 medications: benefits, risks, and common misconceptions. 40:40 – Gut health, inflammation, endocrine disruptors, and the root causes of metabolic dysfunction. 52:10 – Microdosing vs. standard dosing approaches for GLP-1 medications. 58:20 – Can you safely come off GLP-1 medications without regaining weight? 1:08:45 – The thyroid conversation: why so many women are told their labs are normal when they don't feel normal. 1:16:30 – T3, T4, thyroid antibodies, and finding the optimal thyroid range. 1:24:00 – A real patient case study: how hormone and thyroid optimization gave a woman her life back.   Memorable Quotes "I don't look at isolated symptoms. I look for the thread that's tying everything together." — Dr. Shamita Trivedi "This is not your body failing you. This is a normal transition that everybody goes through." — Dr. Shamita Trivedi "Menopause is normal and mandatory. Suffering is optional." — Dr. Anna Cabeca "Your body will tell us what it needs. Our job is to listen." — Dr. Shamita Trivedi "Normal lab values are not always optimal values." — Dr. Shamita Trivedi "We have to treat the woman in front of us—not the lab report." — Dr. Anna Cabeca   Connect With Dr. Shamita Trivedi Website: https://drshamitatrivedi.com Casad Health & Wellness: https://casadhealth.com Instagram: https://www.instagram.com/drtrivedi_hormonedoc   Connect With Dr. Anna Website: https://dranna.com Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca Facebook: https://www.facebook.com/thegirlfrienddoctor

If you've ever been told your thyroid labs are "normal" but you still feel exhausted, cold, constipated, anxious, inflamed, or unable to lose weight, this episode is for you. In this episode of The Thyroid Answers Podcast, Dr. Eric Balcavage explores one of the most misunderstood concepts in thyroid care: the difference between a thyroid lab value being normal and being appropriate for your physiology. He explains why thyroid lab markers such as TSH, Free T4, Free T3, Reverse T3, and thyroid antibodies are often interpreted too simplistically and why normal lab values do not always mean healthy thyroid function. Dr. Balcavage breaks down how stress physiology, inflammation, immune activity, gut dysfunction, sleep disruption, nutrient deficiencies, and overall physiologic state can influence thyroid hormone production and T4-to-T3 conversion. He also explains why many thyroid patterns may actually represent adaptive responses rather than broken physiology. You'll learn how to interpret thyroid labs within the context of symptoms, health history, inflammatory markers, and overall physiologic state, and why focusing solely on optimizing lab values often fails to restore true health and well-being. Whether you're struggling with persistent hypothyroid symptoms despite normal labs or you're trying to better understand your thyroid physiology, this episode provides a deeper framework for understanding what your thyroid labs may really be telling you. In This Episode, You'll Learn: Why normal labs don't always equal healthy thyroid function How to determine if your thyroid labs are actually appropriate for your physiology The role stress, inflammation, and lifestyle factors play in thyroid hormone regulation Why low T3 and poor conversion may be adaptive responses Why thyroid medication doesn't always resolve symptoms What to focus on beyond lab values to support better thyroid health Resources Mentioned:

Could your “normal” labs be missing the real reason you feel exhausted, foggy, or stuck? I'm joined by Dr. Amie Hornaman, known as The Thyroid Fixer, to talk about why so many women over 40 are told their labs are normal while still feeling tired, foggy, inflamed, and unable to lose weight. We dig into thyropause, Hashimoto's, reverse T3, thyroid medication, and the exact labs women should ask for if they want real answers. My hope is that this episode helps you stop blaming yourself and start testing, advocating, and getting the support your body actually needs. What you'll learn: (06:28) Why Dr. Amie Hornaman believes “thyropause” deserves more attention for women over 40. (07:56) Why standard thyroid testing often misses what is actually happening inside the body. (11:20) How Hashimoto's, hormonal shifts, stress, toxins, and autoimmune triggers may contribute to thyroid issues. (13:15) Why TSH alone may not tell the full story of your thyroid health. (14:43) How reverse T3 can push the body into a survival-mode state that slows metabolism. (17:22) Which thyroid labs Dr. Hornaman recommends asking your doctor to run. (24:30) How thyroid symptoms and perimenopause symptoms can overlap and influence one another. (43:35) How GLP-1s, inflammation, and thyroid optimization may intersect when used appropriately. Love the podcast? Here's what to do: Subscribe to the podcast. Leave a review. Text a screenshot to me at 813-565-2627 and wait for a personal reply because your voice is so important to me. Full show notes (including all links mentioned): https://jjvirgin.com/thyroidfix If your routine or eating habits have changed recently head to BodyBio.com/JJVIRGIN to start supporting your gut. Mitopure supports the cellular energy that allows your muscles to actually respond and adapt. Mitopure gummies make it simple. Visit https://timeline.com/jjvirgin for 20% off your order. Learn more about your ad choices. Visit megaphone.fm/adchoices

If you have ever come back from Europe and thought, why do I feel BETTER over there, this episode is for you. Natalie and her husband Brooks just got back from one of the most incredible trips of their lives. Germany, Switzerland, Lake Como, Piedmont, Lake Lucerne, Basel and Heidelberg. And it was not just beautiful. It rearranged some things in their bodies that they want to break down for you. In this conversation we go through every stop on the route, why pasta in Italy feels different than bread in the US, why dairy in Europe digests so much better, the hormone shift Natalie had to make during the trip, the digestive enzymes that came with us to every single meal, and a quick mention of the EMF and quantum testing we did in a lab in Germany (saving the deep dive for a future episode). Grab a coffee. Take this one with us.   WE GO DEEP ON: •  Day one and two at the Vitale Hotel in Stuttgart (plus a quick mention of the EMF testing we did in the lab) •  The Porsche Museum •  Konstanz, Germany (the San Francisco vibe, the perfume hotel, the bratwurst) •  The Vignette Pass drive into Switzerland •  Grand Hotel Victoria and the 3-hour Lake Como boat tour •  Villa Madonna in Piedmont — lady bugs, crop rotation, and the WHY behind Italian wheat •  Seelisberg on Lake Lucerne, the prettiest place we have ever been •  Basel and the best hamburger of our lives •  Heidelberg gelato •  Why dairy in Europe digests so differently than US dairy •  MassZymes at every meal   EPISODE LINKS:  •  Leela Quantum Tech ➜  https://leelaq.com/?ref=nataliejill save with code NATALIEJILL •  Quantum Upgrade ➜ https://quantumupgrade.io/start use code NATALIEJILL for a free 15 day trial •  MassZymes ➜ https://bioptimizers.com/nataliejill use code NATALIEJILL for 15% off  •  The Patch Method ➜ https://www.thepatchmethod.com/pages/thepatchmethod-natalie-jill use code NATALIEJILL for 20% off your first order TIMESTAMPS: •  00:00 — Why we feel better in Europe (open) •  04:00 — Stuttgart + Vitale Hotel + naked day (+ quick EMF testing side note) •  12:00 — Porsche Museum and Konstanz •  22:00 — Drive into Switzerland + supplement routine + the hormone story •  30:00 — Lake Como and the boat tour •  40:00 — Piedmont, Villa Madonna, and why Italian wheat is different •  50:00 — Seelisberg, fluffy cows, and the T3 mistake •  58:00 — Basel hamburger + Heidelberg gelato •  63:00 — The dairy breakdown + closing reflections   Catch the full episode on YOUTUBE HERE: https://bit.ly/MidlifeConversationsYouTube   Thank you to our show sponsors:  MITOQ: Take control of healthy aging and longevity. Get 10% off using code NATALIEJILL at checkout on https://www.mitoq.com/  BIOPTIMIZERS: Get the digestive enzymes I take with every meal here https://www.bioptimizers.com/nataliejill  Free Gifts for being a listener of Midlife Conversations! Mastering the Midlife Midsection Guide: https://theflatbellyguide.com/ Age Optimizing and Supplement Guide: https://ageoptimizer.com   Connect with me on social media! Instagram: www.Instagram.com/Nataliejllfit Facebook: www.Facebook.com/Nataliejillfit   For advertising inquiries: https://www.category3.ca/  Disclaimer: Information provided in the Midlife Conversations podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before making any changes to your current regimen.  Information provided in this podcast and the use of any products or services related to this podcast does not create a client-patient relationship between you and the host of Midlife Conversations or you and any doctor or provider interviewed and featured on this show. Information and statements may have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease. Advertising Disclosure: Some episodes of Midlife Conversations may be sponsored by products or services discussed during the show. The host may receive compensation for such advertisements or if you purchase products through affiliate links. Opinions expressed about products or services are those of the host and/or guests and do not necessarily reflect the views of any sponsor. Sponsorship does not imply endorsement of any product or service by healthcare professionals featured on this podcast.  

This episode started with a question I get constantly. Why is my routine not working anymore? The products are good. The consistency is there. But the skin is not responding the way it used to. More dullness. More puffiness. More fine lines despite the retinol. Here is what most of the skincare conversation is missing: your skin is not a surface problem. It is an output. A real-time signal of what is happening inside your hormonal system. And your bloodwork is the decoder. In this episode, I walk through four specific lab markers that directly control what your menopause skin does: estrogen, free T3, cortisol, and ferritin. Each one maps to a skin symptom you are probably already seeing in the mirror. Dryness and collagen loss. Estrogen. Stubborn dullness that no exfoliant fixes. Free T3. Fine lines that retinol cannot hold. Cortisol. Dark circles that no eye cream touches. Ferritin. These are not random. They are specific. And once you know what to look for, you stop blaming your products and start asking better questions. Your hormones are the primer. Your products are the paint. Paint on an unprimed surface looks beautiful for a day and then lifts. That is exactly what is happening for a lot of women in menopause, and it has nothing to do with the products they chose. This episode is the overview. The in-depth version, with the specific markers to request, what optimal ranges look like for skin health, and how to build a recalibration protocol around your results, lives inside the Skin Scholar Society on Substack. The Skin Scholar Society is where I publish the research, the protocols, and the education that goes deeper than a single episode can hold. If you are ready to stop guessing and start working with your biology, that is the place to be.   Lindsey Holder is a Menopause Skin Specialist and Master Esthetician with 16+ years of clinical experience. She helps women in menopause recalibrate their skincare to restore firmness, clarity, and glow without Botox or fillers. Find her at lindseyholder.com and on Instagram @lindseyrholder.    Meta Description (150 characters): Your skincare is not failing. Your bloodwork might be. Menopause skin specialist Lindsey Holder breaks down what your labs are telling your skin. Slug: /bloodwork-menopause-skin-podcast Focus Keyword: menopause skin and bloodwork Tags: menopause skin, bloodwork, hormones and skin, menopause esthetician, Skin Scholar Society Resources  Join the Skin Scholar Society: HERE   Download my Free 7 Day Skincare Guide: HERE Listen to exclusive podcast content + download my FREE esthetician-led skincare app Apple iOS: HERE Google Play: HERE Favorite Skincare Products HERE

Why do so many people continue to struggle with thyroid symptoms, hormone imbalances, fatigue, weight gain, digestive issues, and poor health even when their lab work looks "normal"? In this episode of The Thyroid Answers Podcast, Dr. Eric Balcavage sits down with board-certified endocrinologist Dr. Cassie Smith to discuss her new book, Fix Your Gut, Fix Your Hormones, and the critical role gut physiology plays in hormone health. Dr. Smith shares her journey from traditional endocrinology to a more physiology-based approach after recognizing that many of her patients continued to get sicker despite receiving standard medical treatment. Together, they explore how gut health, chronic stress, inflammation, lifestyle factors, and cellular physiology influence hormone production, hormone metabolism, thyroid function, insulin regulation, estrogen balance, and overall health. The conversation highlights why optimizing lab values alone often fails to resolve symptoms and why addressing the underlying physiologic patterns affecting the body may be a more effective path toward lasting health improvements. In This Episode, You'll Learn: Why many patients continue to struggle despite "normal" lab results How gut health influences thyroid hormone conversion and utilization The connection between chronic stress, gut dysfunction, and hormone imbalance Why insulin resistance is often driven by more than just diet The role of the gut microbiome in estrogen metabolism and detoxification How inflammation can affect hormone signaling at the cellular level Why hormone replacement does not always resolve symptoms The importance of addressing lifestyle, sleep, stress, nutrition, and gut function alongside hormone optimization How chronic physiologic strain may contribute to ongoing thyroid and hormone symptoms Why understanding physiology may be more important than chasing lab numbers Key Topics Discussed Gut microbiome and hormone metabolism Thyroid physiology and T4 to T3 conversion Insulin resistance and metabolic dysfunction GLP-1 physiology Estrogen metabolism and the estrobolome Chronic stress and allostatic load Inflammation and cellular hormone signaling Leaky gut and immune activation Functional medicine and root-cause approaches Hormone replacement therapy considerations Lifestyle factors that influence hormone health About Dr. Cassie Smith Dr. Cassie Smith, MD is a dual board-certified endocrinologist, Founder of Modern Endocrine, and Chief Medical Officer of Renthyroid. She also serves on the medical faculty of Evexias Medical, a bioidentical hormone company. Dr. Smith is known for helping patients uncover why they still feel unwell despite "normal" lab results by using a holistic, root-cause approach to gut, metabolic, thyroid, and hormonal health. After completing her fellowship at the Harold Hamm Diabetes Center and being named a Top Doctor by 405 Magazine, Dr. Smith grew frustrated with the limitations of conventional care and built a model focused on treating the whole person—not just symptoms. She is the author of Fix Your Gut, Fix Your Hormones: The Critical Connection Your Doctor Is Missing… and Why You Still Feel Bad Despite Normal Labs, and through her popular podcast, Hormones, Metabolism, and You, she translates complex endocrinology into practical, actionable guidance. Today, Dr. Smith and her team help thousands of patients each year get to the root cause of gut health issues, hormone imbalances, thyroid disease, and weight resistance. She is licensed to provide telehealth and in-clinic care across 47 states, based in Oklahoma. She is the author of Fix Your Gut, Fix Your Hormones and host of the Hormones, Metabolism, and You podcast. Resources & Links

Many people with hypothyroidism or Hashimoto's are surprised when they begin experiencing symptoms like bloating, constipation, food sensitivities, gallstones, fat intolerance, reflux, or elevated cholesterol. These issues are often treated as separate conditions, but they may all be connected through one important physiological relationship: the connection between thyroid function, bile flow, gallbladder health, and digestion. In this episode, Dr. Eric Balcavage explains why thyroid physiology influences far more than metabolism. Thyroid hormone signaling affects stomach acid production, digestive enzymes, gut motility, bile production, gallbladder contraction, cholesterol metabolism, microbiome balance, nutrient absorption, and even the integrity of the gut barrier. When thyroid physiology is altered, digestive function often changes along with it. Dr. Balcavage explores the critical role bile plays in digestion and overall health, including how bile acids function as powerful signaling molecules that influence metabolism, inflammation, blood sugar regulation, thyroid hormone activation, microbiome health, and immune function. He also explains why reduced T4-to-T3 conversion can impair bile production, gallbladder emptying, and bile delivery into the small intestine, creating a cascade of digestive and metabolic symptoms. You'll learn why digestive symptoms, gallbladder problems, dysbiosis, leaky gut, and elevated cholesterol are often downstream effects of chronic stress physiology and reduced thyroid signaling rather than isolated problems. Dr. Balcavage also discusses common bile-support strategies including ox bile, TUDCA, phosphatidylcholine, taurine, glycine, choline, magnesium, and bitters, explaining when they may be helpful and why they often serve as temporary management tools rather than long-term solutions. Most importantly, this episode highlights why addressing the underlying causes of reduced thyroid signaling and chronic physiologic strain is essential for lasting recovery. In This Episode, You'll Learn: Why people with thyroid problems commonly develop gut, bile, and gallbladder issues The important role bile plays beyond fat digestion How bile acids influence metabolism, inflammation, microbiome balance, and thyroid hormone activation Why reduced T4-to-T3 conversion can impair bile production and bile flow The connection between hypothyroidism, elevated cholesterol, and gallbladder dysfunction How altered bile flow contributes to bloating, constipation, food sensitivities, dysbiosis, and leaky gut Why digestive symptoms are often adaptive responses to physiologic stress The relationship between chronic stress, reduced thyroid signaling, and digestive dysfunction When bile-support supplements like ox bile, TUDCA, taurine, glycine, choline, and phosphatidylcholine may be beneficial Why symptom management alone often fails to create long-term improvement The key factors that may be driving reduced thyroid signaling and digestive dysfunction beneath the surface Resources Mentioned:

You have been told your chronic fatigue, joint pain, and brain fog are just "stress" or IBS. But what if a Harvard medical discovery proved that a single biological switch in your stomach is actually the root cause of every symptom you are experiencing? Your gut lining is only one cell thick, and right now, it might be tearing apart. Uncover the exact biological mechanism behind "Leaky Gut" (intestinal permeability) and why it is the true driver behind autoimmune diseases, thyroid failures, and even neurological conditions like autism and anxiety. We explore the 2000 Harvard discovery of Zonulin—the protein switch that opens your gut junctions—and the exact environmental triggers forcing it open.  I break down the terrifying truth about how chronic stress alters your gut bacteria in just two hours, and how daily exposure to Glyphosate (Roundup) is starving your beneficial microbes. Finally, I reveal my exact 6-step clinical protocol to permanently seal your gut lining, including the specific amino acids (L-Glutamine), minerals (Zinc Carnosine), and soil-based probiotics required for total cellular repair.   Uncover what's really going on in your body with advanced biomarker testing for hormones, thyroid, and metabolism— plus a 1-hour consultation with a Senior Health Advisor! →  http://mybloodwork.com Thank you to our sponsors! Sunlighten Sauna: https://get.sunlighten.com/axepodcast Manukora Manuka Honey: https://manukora.com/axe Caraway Home: carawayhome.com/drjoshaxe (Use code DRJOSHAXE) for an exclusive discount Watch The Dr. Josh Axe Show every Monday & Thursday on YouTube: https://www.youtube.com/@drjoshaxe?sub_confirmation=1 Pre-order my NEW BOOK, Heal Your Cells → https://bit.ly/3QJBcQ5

Discover 7 key signs of a slow thyroid and learn how to distinguish between Hashimoto's and general hypothyroidism. Plus, discover natural ways to support thyroid health and address common thyroid problems naturally.