Podcasts about TSH

Finding the right thyroid medication dose isn't a one-and-done process — it's a careful, personalized journey. In this episode, we unpack the science and strategy behind dose titration, the step-by-step method clinicians use to fine-tune thyroid hormone therapy for optimal symptom relief and long-term health. If you've ever wondered why your dose changes or why patience is part of the process, this conversation will give you clarity and confidence.We explore how factors like lab results, symptoms, absorption, weight changes, and life stages all influence dosing decisions — and why small adjustments can make a big difference in how you feel. You'll learn why rushing dose changes can backfire, how providers monitor progress, and what “optimal” really means beyond a normal TSH range.Whether you're newly diagnosed or still searching for your ideal dose, this episode empowers you to partner more effectively with your healthcare provider. 

What if your TSH is “normal,” but your thyroid is still part of the fertility story? In this episode of Cycle Wisdom, Dr. Monica Minjeur breaks down how thyroid antibodies—specifically thyroid peroxidase (TPO) and thyroglobulin antibodies—can impact ovulation, luteal phase health, and early pregnancy, even when standard thyroid screening looks reassuring.Through Isla's story of recurrent miscarriage and persistent thyroid symptoms despite a normal TSH, we explore why antibodies often appear years before overt thyroid disease, how they subtly disrupt hormone signaling, and why they matter so much in restorative reproductive care. You'll learn which labs are frequently missed, how inflammation and autoimmunity affect implantation, and what cycle-timed, nutrition-based, and medical strategies can help stabilize thyroid function long-term.If you've been told “your labs are normal” but your symptoms and cycles say otherwise, this episode will help you move from uncertainty to a clear, personalized plan. Learn more or book a free discovery call at radiantclinic.com.

"Measure, measure, measure." —Dr. Ron HunninghakeFatigue that lingers. Brain fog that will not clear. Sleep that never feels restorative. Many people are told their labs are within normal ranges, yet they still do not feel like themselves.This conversation is designed for anyone looking to better understand hormone health, thyroid health, and metabolic patterns that can shape daily energy.In this episode of the Real Health Podcast, Dr. Ron Hunninghake and Dr. Drew Rose explore how hormones and metabolism influence energy patterns, mood, sleep, and day-to-day vitality. They discuss why thyroid evaluation can involve more than a single TSH result and how markers such as free T3 and reverse T3 may add helpful context when reviewing metabolic patterns.Register for Lunch & Learn: How Hormones and Metabolism Shape Your Energy, Mood, and Wellness (attend in person or watch live on YouTube)  Learn more about Check Your Health (March 2–13)They also talk through adrenal function, stress physiology, insulin dynamics, and the ways nutrient status can intersect with hormone balance. Dr. Ron shares historical context around hormone therapy, including where past concerns originated, and explains how careful measurement and ongoing monitoring can support individualized decisions.Upcoming events at the Riordan ClinicLunch & Learn  Thursday, February 26, 2026  Lunch: 11:30 AM | Lecture: 12:00 PM  Register to attend in person or watch live on YouTubeCheck Your Health  March 2–13, 2026  Available at Wichita and Overland Park locations  Learn more about Check Your HealthEpisode links and resourcesExplore integrative services at Riordan ClinicBecome a new co-learnerListen to more Real Health Podcast episodesEpisode chapters  00:00 Welcome  00:56 Why hormones and metabolism matter  02:22 Looking beyond TSH  03:59 Free T3 and reverse T3 explained  07:14 Adrenal patterns and stress  08:43 Insulin and nutrient interplay  10:21 Sleep and hormone balance  11:28 Environmental influences on hormone levels  12:51 Questions about hormone therapy  15:28 Measurement and long-term perspective + closing reflectionsDisclaimer  The information contained on the Real Health Podcast and the resources mentioned are for educational purposes only. They are not intended as and shall not be understood or construed as medical or health advice. The information contained on this podcast is not a substitute for medical or health advice from a professional who is aware of the facts and circumstances of your individual situation. Information provided by hosts and guests on the Real Health Podcast or the use of any products or services mentioned does not create a practitioner-patient relationship between you and any persons affiliated with this podcast.Topics we explore in this episode include:  thyroid evaluation, free T3, reverse T3, adrenal physiology, stress physiology, insulin dynamics, hormone balance discussion, nutrient status, laboratory evaluation, metabolic patterns

Millions of people with hypothyroidism and Hashimoto's are told their labs look “normal” — yet they still feel exhausted, foggy, and far from well. In this episode, we uncover the hidden gap between thyroid numbers and real-life health, and why so many patients feel dismissed when their symptoms persist.We explore the science behind lingering symptoms, from autoimmune activity and hormone conversion challenges to overlooked issues like nutrient deficiencies, perimenopause, and metabolic health. You'll learn why a TSH in range doesn't always mean your cells are getting what they need — and why your experience is valid.Just as importantly, we dive into a powerful shift happening in thyroid care: a move toward patient-centered medicine that prioritizes HOW you feel, not just what your labs show. From longer visits to whole-person evaluations, new care models are helping patients finally feel heard, supported, and better.

Your energy, mood, and focus don't have to be a mystery. We sit down with Dr. Kevin Smith, a board-certified functional medicine practitioner, to unpack the thyroid's real role in midlife health and why so many women are told “your labs look fine” while symptoms persist. From brain fog and anxiety to constipation, weight shifts, and burnout, we map how thyroid hormones act as the body's metabolic gas pedal—and what goes wrong when the system breaks down.We explore hypothyroidism, hyperthyroidism, and why a large share of people with low thyroid function are actually dealing with Hashimoto's, an autoimmune process. Dr. Smith explains why a TSH-only approach misses crucial steps like T4-to-T3 conversion in the liver and gut, the transport of hormones via thyroid binding globulin, and the impact of inflammation on receptor sites. We dig into hidden triggers that keep you stuck: anemia and iron deficiencies, insulin resistance, cortisol imbalances, sex hormone shifts during perimenopause and menopause, chronic infections like Epstein–Barr, and exposure to endocrine disruptors—yes, even in everyday cosmetics.You'll hear how functional medicine builds a complete picture with broader lab panels, targeted nutrient support, and personalized plans that go beyond symptom chasing. We talk practical moves you can make now: balancing blood sugar, optimizing sleep and protein, choosing cleaner skincare and makeup, and testing smarter to uncover underconversion or transport issues. If you've ever felt dismissed by “normal” labs while your body says otherwise, this conversation offers clarity and a roadmap you can act on.If this episode helped you connect the dots, follow the show, share it with a friend who needs answers, and leave a quick review so more women can find their path to better thyroid health.Bio Dr. Kevin Smith is a board-certified chiropractor and functional medicine practitioner who has been in practice since 2001. He is also a public speaker and published author, with his second book on functional medicine set to release later this year.Dr. Smith specializes in identifying and treating complex or misdiagnosed chronic conditions without drugs or surgery. Many patients seek his care after feeling frustrated by limited results from traditional medical approaches.Rather than masking symptoms, Dr. Smith uses a functional medicine model to uncover and address the root causes of illness — helping patients restore health by identifying and eliminating underlying triggers.Social Media LinkedInTwitterFacebookWebsitehttps://www.chronicpa.com/Thank you for listening to the V.I.B.E. Living Podcast. If this episode resonated, please like, subscribe, and share it with a woman stepping into her next chapter. Stay connected with Lynnis and explore the V.I.B.E. Living world:

What if chronic inflammation isn't just a symptom, but the root cause of autoimmune disease, metabolic dysfunction, and even brain fog? Dr. Josh Redd joins me to unpack why up to 90% of hypothyroidism is autoimmune, why TSH testing often misses the bigger picture, and how modern lifestyle factors are priming the immune system for dysfunction. We also share practical steps to help calm inflammation and begin resetting your immune system in as little as 30 days. Thank you to our sponsors! Sunlighten Sauna: https://get.sunlighten.com/axepodcast Manukora Manuka Honey: https://manukora.com/axe Watch The Dr. Josh Axe Show every Monday & Thursday on YouTube: https://www.youtube.com/@drjoshaxe?sub_confirmation=1 

 Is it perimenopause or my thyroid? If you're a woman over 40 struggling with unexplained fatigue, stubborn weight gain (especially around your midsection), brain fog, mood swings, or sleep disturbances—you're not alone, and you're not crazy. In this episode, Dr. Anshul Gupta, the world's leading Hashimoto's expert, reveals the hidden connection between perimenopause and thyroid dysfunction that most doctors miss. Discover why declining estrogen during perimenopause directly impacts your thyroid function, disrupts T4 to T3 conversion, and can trigger or worsen Hashimoto's thyroiditis. You'll learn: Can perimenopause cause thyroid problems? (The science behind estrogen-thyroid interaction) Why standard TSH tests miss the full picture of hypothyroidism How the DUTCH test (Dried Urine Test for Comprehensive Hormones) reveals hidden hormone imbalances The role of estrogen dominance, cortisol, and reverse T3 in your symptoms Natural remedies for Hashimoto's flare-ups during hormonal transitions The best diet for perimenopause and thyroid health (Mediterranean diet, phytoestrogens, cruciferous vegetables) Evidence-based supplements: magnesium, selenium, vitamin D, omega-3 fatty acids, and adaptogenic herbs like Ashwagandha and Rhodiola How to balance hormones naturally during perimenopause through functional medicine, gut health optimization, liver detoxification, strength training, and stress management strategies that actually work.

Dr. Marbas outlines essential lab tests and special panels for vegans, including CBC, B12, vitamin D, omega-3s, iron, and inflammation markers. #VeganHealth #PreventiveLabs #NutritionTracking #WellnessCheck

Why does T3 feel life-changing for some people — and destabilizing for others? In this episode of Thyroid Answers, Dr. Eric Balcavage explains why the answer isn't about the medication itself, but about the physiologic state of the person receiving it. You'll learn why T3 can support recovery in some cases and create symptom volatility in others, and why labeling T3 as "good" or "bad" misses the real issue entirely. This episode introduces a clear, state-based framework: Resiliency — regeneration and adaptive capacity Chronic strain — long-term repair and compensation Overload — defensive, survival-focused physiology Dr. Balcavage explains how T3 interacts differently in each state, why adding T3 can suppress TSH and reduce T4 reserves, and why labs can look better even as physiology becomes less stable. Topics Covered T3 medication benefits and risks Physiologic state and thyroid response Why T3 works for some but not others TSH suppression and T4 reserve depletion Adaptive vs forced thyroid output Why thyroid research produces mixed results This episode is essential for anyone taking T3, considering T3, or trying to understand why thyroid medication responses vary so dramatically.

Dr. Amie Hornaman to discuss one of the most underdiagnosed and misunderstood health issues affecting millions—especially women over 35. Dr. Amie shares her personal journey from being a misdiagnosed fitness competitor who gained 25 pounds despite extreme dieting and exercise, to becoming a leading thyroid hormone specialist.Discover why 95% of hypothyroidism is actually Hashimoto's disease, why standard TSH testing fails most patients, and why T4-only medications like Synthroid don't work for the vast majority. Learn about the "forgotten hormone" T2 and its potential as a game-changer for metabolism and weight loss, the critical role of iodine, and what comprehensive thyroid testing should actually include.Whether you're struggling with unexplained weight gain, crushing fatigue, hair loss, or have been told "everything is normal" despite feeling terrible, this episode provides the roadmap to proper thyroid diagnosis and treatment.Contact Dr. Amie Hornaman: DrAmie.comSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Pre-Order Stay Off My Kitchen Table at Amazon. Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Stay Off My Operating Table on Amazon Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart Health Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

Your TSH levels aren't as fixed as you might think—and those subtle shifts in your lab results could explain why you feel great one month and exhausted the next. In this episode, we unpack why thyroid-stimulating hormone (TSH) levels naturally fluctuate and what those changes really mean for your energy, metabolism, mood, and weight.You'll learn how timing, stress, medications, illness, and even sleep patterns can influence TSH levels, and why a single “abnormal” result doesn't always tell the full story. We also explore why tracking trends over time—and testing consistently—can be far more meaningful than focusing on one number alone.Do you ever worry about changing lab results or whether your thyroid treatment is truly optimized? 

Mailbag: Your GLP-1 Questions on Pregnancy, Dosing, and Why Diets Cause Fat GainWhat happens when you stop GLP-1 medications before getting pregnant? Why might your thyroid numbers change on Zepbound? And why do people gain more body fat after dieting — even when they're still eating well? Dr. Cooper tackles your toughest questions.This week on Fat Science, Dr. Emily Cooper, Mark Wright, and Andrea Taylor answer listener questions covering pregnancy planning on GLP-1s, unmasked thyroid problems, injection site reactions, mechanical eating after bariatric surgery, why diets cause fat regain at a cellular level, and discussing with your doctor whether you should (or shouldn't) increase your medication dose.Key TakeawaysGLP-1 medications aren't causing gestational diabetes — they may have been masking underlying metabolic dysfunction that becomes visible when the medication is stoppedThyroid problems can be "unmasked" by GLP-1 treatment because the medications signal to your brain that you're not starving, allowing the pituitary TSH to rise, sometime uncovering a pre-existing thyroid issueZepbound may improve iron absorption — if iron levels go too high, testing for hemochromatosis may be warrantedTo reduce injection site reactions: warm the medication to room temperature, clean and prep skin but don't over-rub with alcohol, inject at exactly 90 degrees, don't pinch the skin, and stay relaxedDiets cause fat regain at the cellular level — it's chemistry, not willpower — and the fat often accumulates in the visceral area around organsThere's no need to increase your GLP-1 dose if you're making good progress — an annual weight loss rate of 15% or higher is considered strongNotable Quote"You can't think that just because somebody's weight is high, it's because something they're doing is wrong. That is just not founded in science whatsoever." — Dr. Emily CooperLinks & ResourcesPodcast Home: fatsciencepodcast.comCooper Center for Metabolism: coopermetabolic.comResources from Dr. Cooper: coopermetabolic.com/resourcesJoin Our Community: patreon.com/cw/FatSciencePodcastSubmit Your Question: questions@fatsciencepodcast.com or dr.c@fatsciencepodcast.comFat Science is supported by the Diabesity Institute, a nonprofit dedicated to increasing access to effective, science-based metabolic care.Disclaimer: This podcast is for informational purposes only and is not intended as medical advice. Please consult with a qualified healthcare provider for personalized recommendations.

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    S: What's the deal with smoothies? Why are they recommended so much? Not just by Equilife but from a lot of other wellness practitioners. In general I find they don't satiate me for long and could end up causing me to overeat in the long run. But more than that, I developed a different issue. I found Equilife, as it seems many have, when experiencing gut issues (probably post infectious IBS) and looking for answers. My issues kept coming and going. Then I started to realize it was aggravated during detoxes. (This all evolved over a year and a half.) I finally discussed with AI. In a nutshell, AI suggested I eat warm foods only, cooked veggies. Eat foods in a particular order. This wasn't high risk so I tried this advice. It helped so much. So now I wonder, is it really best to recommend smoothies for everyone? Especially when the detox with shakes or smoothies are recommended as a starting point before other protocols? Seems like if smoothies were to be recommended, it might be better post gut healing? (I now remember a Chinese medicine practitioner telling me years ago that warm food is better for a sensitive gut. I had forgotten that temporarily.) Btw - it's all cold or raw food that can be too much for me right now. Not just shakes or smoothies but I also tested these things alone, outside of the detox. I just see smoothies recommended as nutrition for all kinds of reasons and to people with all kinds of gut issues and don't really hear anyone discuss when it is not good for some of us. Now I just need to figure out how long to heal before I can add back cold food and raw veggies at times. I miss my carrot sticks but glad my gut is happier. So why are smoothies such a thing in the wellness community?      Katie: Thank you for everything you have done and taught me. I had a Prenuvo scan done (thank you for the code) and found that I have a small pineal gland cyst, multiple kidney cysts, a syrinx in my spinal cord and a cyst on my cervix. I lived a very unhealthy first 33 years, but have been living clean the last 3. Big 5 showed bacterial overgrowth, mold, candida, heavy metals, mitochondrial dysfunction, high manganese, high bedtime cortisol, and low T3. Hormones and omegas were optimal. What is the root cause of cyst formation? Besides going through protocols and proteolytic enzymes is there anything else I should do? Of course, not looking for diagnosis or treatment plan.                                                            Liz: Hi Dr. Cabral, I am a 36 year old female with no history of health problems before the last 2 years. On June 26, 2024 I underwent an XILF lumbar fusion surgery to fuse my L4/L5 because of chronic back pain. I soon found that this was the biggest mistake of my life. I haven't been the same since. I have been experiencing unrelenting, chronic nausea and abdominal discomfort on a daily basis. I also experience brain fog and chronic fatigue. As such, my performance at work has significantly decreased, my mood has been at an all time low, some days I can't even get out of bed. I wish I never had the surgery, had I known my quality of life would have plummeted so drastically. I've gone to countless specialists (a gastroenterologist, endocrinologist, rheumatologist, an ENT, neurologist, OBGYN, Accupuncture, even tried Reiki, and every test result shows unremarkable/normal results. I recently went to pain management and they gave me an epidural after seeing significant scar tissue around the surgical site. I am not experiencing any relief. In fact, I think I feel worse. I am getting married in May and want to start a family but have not been able to get myself right since my surgery. I'm scared I'll never be able to find relief. I don't know where else to turn or what else to do. I just want to get back to normal again and enjoy my life. If there's anything you can think of that I can try, I'll do it. I'm at my wits end. Please help me.                                                                  Rebecka: Hi Dr. Cabral. I have recently been diagnosed with Anemia. I have not been told the specific type of Anemia. I feel terrible 24/7. My symptoms include fatigue, weakness, dizziness, chest pain and shortness of breath. I feel this is an off and on chronic problem as I have realized I've been having these symptoms for years. My RBC are low, my retic is low and low lymphocytes. Mcv and mch values were high on my CBC. Vitamin b12 and folate normal and my TSH was what I considered low normal. I also experienced a hot flash after lunch every day. I am very petite at 5ft 1 and 95-100lbs and I am 43 years old. What tests should I be doing to figure out the root cause of my anemia? I know hormones and stress can play a role as well. I live a very stressful lifestyle working full time with 2 young daughters. On top of all this, I had an ultrasound of my abdomen in December. It showed biliary sludge and a 2cm hemangioma on my liver. Are there and herbs to dissolve the sludge before it causes any more pain or complications? I would just like to feel "good" again and live a somewhat normal life. Please help me.        Renee: Hi Dr Cabral, Firstly thank you for your dedication to helping people globally find answers to their health challenges. I am an IHP lv 2 and would greatly appreciate any advice on a client with CIDP (MADSAM syndrome) — Chronic Inflammatory Demyelinating Polyradiculoneuropathy. A 62 yr old male, fit, dealing with symptoms for 2 yrs, legs are weak and seem to be getting weaker, continues to experience widespread fasciculations (nerve twitching), which are now also affects his hands. His neurologist has recommenced treatment with IVIG (Intravenous immunoglobulin) to address what body is doing to the nerves. I will be having him on the DESTRESS protocol and highly recommending the Big 5 to get to the root cause. Your thoughts on using IVIG along with removing toxicities and replacing deficiencies would be extremely appreciated as I am very keen to help him reverse this and get his life back. Thanking you in advance. Renae        Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3662 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Hi everyone, I'm Dr. Liza Leal, your host today for the Meridian Medical Dental Healthcare Podcast, powered by Meridian Health Institute — and I'm also known as your Everyday Health Hacker.Today we're talking about what's really happening to your collagen, muscle, and hormones when you're on GLP-1 medications — and more importantly, what you can do to stay looking healthy, strong, and vibrant while you lose weight. A lot of people using GLP medications experience rapid fat loss. While that's wonderful for metabolic health, many people start noticing changes in their skin. Their face can look more hollow or sallow, skin may feel thinner or less elastic, and they may notice sagging in areas like the jawline, neck, arms, or abdomen. So let's talk about how to prevent that.

TSH questions on your NP boards aren't meant to trick you, but they do test whether you understand the pattern behind thyroid labs. In this minisode, I review the normal TSH range, explain the inverse relationship between TSH and free T3 and T4, and walk through how to identify hypo versus hyperthyroidism so you can confidently interpret thyroid questions on exam day.      Follow us on Instagram: instagram.com/smnpreviewsofficial

In diesem Video spreche ich über Aussagen, die viele Frauen beim Frauenarzt hören und warum sie hormonell oft nicht die ganze Wahrheit abbilden.Du erfährst:warum „alles normal“ oft nicht stimmtwarum TSH allein nicht ausreichtwarum die Pille keine Lösung für hormonelle Ursachen ist wie funktionelle Medizin Hormone wirklich betrachtetFür Frauen mit:Müdigkeit, PMS, Zyklusproblemen, Gewichtszunahme, Brain Fog, Hormonchaos✨Unverbindliche Sprechstunde

This interview explains “thyroid aging,” a process driven by inflammation, toxins, infections, and stress. Dr. Kent Holtorf shares how this disrupts the thyroid axis, lowers T3, and causes hypothyroidism to be missed on standard tests. He highlights bioregulator peptides that improve thyroid function, lower antibodies, and discusses a new TSH activity assay that may detect central hypothyroidism more accurately.About Dr. Kent Holtorf -Kent Holtorf, M.D., is a leading innovator in modern medicine and Medical Director of the Holtorf Medical Group. A pioneer in peptide and bioregulator therapy, he previously oversaw 23 affiliate centers and 12 franchises, advancing new approaches for complex and chronic conditions.He founded the National Academy of Hypothyroidism (NAHypothyroidism.org) and Integrative Peptides, and has published influential papers challenging outdated thyroid care. His expertise spans chronic fatigue syndrome, fibromyalgia, long-COVID, tick-borne disease, mitochondrial dysfunction, immune modulation, senolytics, and longevity. His work is informed by his own recovery from heart failure and chronic Lyme disease.With nearly 100 CME-approved presentations, Dr. Holtorf is an internationally recognized lecturer and educator. He authored Mold Illness: The Peptide Protocol for the Rapid Treatment of CIRS and has been featured in major outlets including CNBC, CNN, The Today Show, Forbes, and The Wall Street Journal, where he has helped shape emerging perspectives in endocrinology and complex chronic disease.Website -https://holtorfmed.com/

Dr. Aaron Zelikovich discusses recent survey findings highlighting the wide variability in how clinicians evaluate and diagnose small fiber neuropathy. Fill out the Neurology® Clinical Practice Current survey.  Show citation:  Thawani S, Chan M, Ostendorf T, et al. How Well do We Evaluate Small Fiber Neuropathy?: A Survey of American Academy of Neurology Members. J Clin Neuromuscul Dis. 2025;26(4):184-195. Published 2025 Jun 2. doi:10.1097/CND.0000000000000502  Show transcript:  Dr. Aaron Zelikovich: Welcome to today's Neurology Minute. My name is Aaron Zelikovich, a neuromuscular specialist at Lenox Hill Hospital in New York City. Today, we will discuss a recent article, How Well Do We Evaluate Small Fiber Neuropathy? A survey of The American Academy of Neurology members, which evaluates small fiber neuropathy in clinical practice. The current landscape of evaluating and testing for small fiber neuropathy remains highly variable in regards to serum testing, skin biopsy, and nerve conduction studies. In this survey study, 800 members of The American Academy of Neurology were randomly selected and emailed a survey. 400 neuromuscular physicians and 400 non-neuromuscular physicians were selected. The overall response rate was 30% with half of the completed surveys coming from neuromuscular physicians. The most common overall initial blood work for this patient population was a CBC, vitamin B12, basic metabolic profile, TSH, and hemoglobin A1C. Other high yield blood tests included ESR, SPEP, immunofixation, and ANA. 70% of responders would also order a nerve conduction study as part of the initial workup. Second line evaluation had less consensus and included skin biopsies for intraepidermal nerve fiber density, hepatitis panel, HIV, and paraneoplastic testing. Responders noted that if the patient had acute onset of symptoms, had symptoms that were asymmetric, or being under 30 years old, they would order a more extensive workup. The authors discussed the importance of both clinical exam, history, and diagnostic workup in patients with symptoms compatible with small fiber neuropathy. They highlight that there is no current objective gold standard for a diagnosis of small fiber neuropathy. The current diagnostic recommendation by the AAN for distal symmetric polyneuropathy includes serum blood sampling for glucose, vitamin B12, SPEP, and immunofixation. Clinical practice in the diagnosis of small fiber neuropathy remains highly variable based on the provider and clinical context of the patient. Neurology Practice Current is currently accepting surveys on clinical practice patterns for patients with small fiber neuropathy. Please check out the link in today's Neurology Minute to complete the survey. Thank you and have a wonderful day. 

Midlife health is about far more than a single lab value. In this episode, we talked about how hormones, muscle mass, cholesterol, and inflammation influence long term heart and metabolic health. If you've ever felt overwhelmed or confused by what to focus on, we're bringing the clarity and direction to make it easier on you!Timestamps:[1:50] Welcome[11:52] I saw a post that said muscles in our legs help us have longevity and our calf muscles are like the second heart in the body. I'm assuming there's some truth, but does that just mean to continue to strike train and to walk?[24:56] How do you know if you're in peri-menopause? I feel like everything is a symptom.[37:24] What are the pros and cons of muscle splits vs. whole body workouts?[45:25] What dietary guidance do you have for lowering high total cholesterol? Episode Links:Kicking Back Cognitive Aging: Leg Power Predicts Cognitive Aging after 10 Years in Older Female TwinsSeeking Health DAO enzymeSeeking Health Histamine ProbioticThyroid Markers to check: TSH, Free T4, Free T3, Thyroid peroxidase antibodies (TPO), Thyroglobulin antibodies (TGAb)Additional cholesterol markers to check: ApoB, LDL-P, hs-CRP, fasting insulinSponsors:Go to boncharge.com/WELLFED and use coupon code WELLFED to save 15% off any order.Go to getkion.com/wellfed to get 20% off your order. Go to http://mdlogichealth.com/wfcolostrum , and use coupon code WFC15 for 15% off. You can also use code WELLFED for 10% off site wide on all MD Logic Products. Go to wellminerals.us/vitaminc and use code WELLFED to get 10% off your order.

Got thyroid questions? I might just have the answers for you in this episode.In the second part of "Your Thyroid Questions Answered", we'll dive into topics like reducing thyroid nodules, understanding your TSH numbers, and managing autoimmune thyroid conditions like Hashimoto's. From managing inflammation to figuring out if you can ever get off thyroid meds, I'll give you real, actionable answers. I'll also share the important role of lifestyle changes and supplements in managing thyroid health. If you've been struggling to make sense of your thyroid health or just want to understand your body better, this episode is for you.Tune in to get the insights you need and take charge of your thyroid health.Episode Timeline: 00:04 – Introduction to Thyroid FAQs02:15 – Reducing Thyroid Nodules06:00 – Supplements for Thyroid Eye Disease10:30 – Regrowing a Shrinking Thyroid12:45 – Radio Frequency Ablation for Nodules15:00 – Effects of L-Carnitine on Thyroid19:00 – Vaccines and Thyroid Health22:30 – Hot Nodules and Flare-ups24:00 – Managing Stress for Thyroid Health27:00 – Hypothyroidism with Elevated T430:30 – Hyperthyroidism & Autoimmune Connections32:00 – Managing Hyperthyroidism & Pregnancy37:30 – Iron Deficiency and Thyroid Health40:00 – Importance of Gut Health41:00 – Thyroid Medication and Resistance45:00 – Conclusion and Next StepsIf you want to subscribe to my free Healing Graves' Naturally newsletter visithttps://savemythyroid.com/GravesNewsletter Free resources for your thyroid healthGet your FREE Thyroid and Immune Health Restoration Action Points Checklist at SaveMyThyroidChecklist.comHigh-Quality Nutritional Supplements For Hyperthyroidism and Hashimoto' s Have you checked out my new ThyroSave supplement line? These high-quality supplements can benefit those with hyperthyroidism and Hashimoto's, and you can receive special offers, along with 10% off your first order, by signing up for emails and text messages when you visit ThyroSave.com. Do You Want Help Saving Your Thyroid?Get free access to hundreds of articles and blog posts: https://www.naturalendocrinesolutions.com/articles/all-other-articles Watch Dr. Eric's YouTube channel: https://www.youtube.com/c/NaturalThyroidDoctor/videos Join Dr. Eric's Graves' disease and Hashimoto's group: https://www.facebook.com/groups/saveyourthyroid Take the Thyroid Saving Score Quiz: https://quiz.savemythyroidquiz.com/sf/237dc308 Read all of Dr. Eric's published books: http://savemythyroid.com/thyroidbooks Work with Dr. Eric: https://savemythyroid.com/work-with-dr-eric/

If your thyroid labs keep coming back "normal" but you're exhausted, can't lose weight, losing hair, and freezing all the time... if your doctor only checks TSH and tells you everything's fine... if you're terrified to start thyroid medication because "you'll be on it forever"... this episode is your wake-up call. Dr. Terri breaks down the thyroid testing crisis that's leaving 50% of her patients with lingering symptoms despite "normal" labs. This isn't your typical thyroid talk - it's the truth about why TSH-only testing is failing millions of people, why Free T3 is the hormone that actually matters, and what's really going on when your body can't convert T4 to T3. After almost two decades in practice, Dr. Terri finally cracked the code on why so many patients - especially women over 45-50 - optimize their hormones but still feel terrible. The answer? Their thyroid labs showed "normal" but their Free T3 levels were in the gutter. WHAT YOU'LL DISCOVER: → Why TSH is only a screening tool (and tells you nothing about what's happening in your cells) → The test 99% of doctors don't run: Free T3 - the ACTIVE thyroid hormone → Why you can have perfect TSH and T4 but still be fully symptomatic for low thyroid → The T4 to T3 conversion problem: why your body isn't making active thyroid hormone → What destroys your deiodinase enzymes (stress, restrictive dieting, gut issues, medications) → The "normal range" scam: why optimal levels are completely different from lab ranges → Why a 10-month-old baby has Free T3 over 10 (but your doctor says 2.5 is "normal") → The medication myth debunked: "If I start thyroid meds, I'll be on them forever" (NOT TRUE) → How thyroid medication actually works (it's a feedback loop, not permanent suppression) → Phase 2 liver detox: the missing piece in thyroid optimization → Why fixing stress, diet, and gut health can improve thyroid function naturally THE 3 TESTS YOU ACTUALLY NEED: 1. TSH - Screening tool only (tells you if thyroid gland is working) 2. Free T4*- The pro-hormone (80% of what thyroid secretes) 3. Free T3 - The ACTIVE hormone (what actually works in your cells) Without all three, you're missing the picture. --- ⏱️ TIMESTAMPS: 0:00 - Intro: Thyroid Awareness Month 1:45 - The lingering symptoms I couldn't explain in 50% of patients 3:30 - What I learned at a functional medicine conference that changed everything 5:20 - How medical school taught thyroid testing (and why it's incomplete) 7:15 - Understanding TSH: what it actually measures 9:40 - The T4 and T3 relationship (and why T3 is the active hormone) 11:30 - Why TSH doesn't detect low T3 problems 13:20 - Symptoms of suboptimal thyroid (cold hands, dry skin, hair loss, fatigue, depression) 15:45 - Why women struggle more with thyroid issues 17:30 - The deiodinase enzyme problem (T4 to T3 conversion) 19:10 - What destroys your conversion: stress, dieting, gut issues, medications 21:50 - Phase 2 liver detox and thyroid optimization 24:00 - Managing stress and diet to improve thyroid function 26:15 - The medication myth: "You'll be on it forever" - DEBUNKED 28:20 - How thyroid medication feedback loops actually work 30:00 - Why this is the #1 thing that gets missed in thyroid care ---

Thyroid issues can feel confusing — especially when you're told your TSH is “off,” you have antibodies, or you're prescribed medication without fully understanding what's going on. The Lanby's Dr. Stephanie Wallman, Medical Director, breaks down what thyroid dysfunction actually means, how to interpret your labs, and how to support your thyroid with a root-cause, whole-body approach.On this “One Take on One Take” episode:Tip 1: Understand what your TSH, Free T3, Free T4, and thyroid antibodies really mean — and why TSH alone doesn't tell the full story.Tip 2: Learn how gluten, iodine imbalance, stress, and toxin exposure can trigger or worsen thyroid dysfunction and autoimmune thyroid conditions.Tip 3: Know when lifestyle, nutrition, and stress optimization are enough — and when thyroid medication like Synthroid may be appropriate as part of comprehensive care.Subscribe to Get Well Better by The Lanby: Apple Podcasts: https://podcasts.apple.com/us/podcast/get-well-better Spotify: https://open.spotify.com/show/get-well-better YouTube: @TheLanby Or search “Get Well Better by The Lanby” on your favorite podcast platform!VISIT THE LANBY: Explore membership and learn more about The Lanby's functional medicine approach:https://www.thelanby.comFOLLOW THE LANBY ON SOCIAL: Instagram: https://www.instagram.com/thelanby Tiktok: https://www.tiktok.com/@thelanby LinkedIn: https://www.linkedin.com/company/thelanbySTAY IN THE KNOW: Subscribe to The Lanby newsletter for health tips, podcast drops, and expert insights: https://www.thelanby.com/newsletter

Why are thyroid disorders becoming so common? Why do so many people feel exhausted, foggy, and inflamed even when their labs are labeled "normal"? And is Hashimoto's truly a lifelong condition, or are we missing what actually drives it? In our latest podcast episode, I sit down with Dr. Anshul Gupta, a board-certified physician and functional medicine expert, to unpack what is really happening behind thyroid dysfunction and autoimmune thyroid disease. We break down hypothyroidism versus hyperthyroidism, why Hashimoto's is the most common cause, and which thyroid tests actually matter, including TSH, free T3, free T4, and thyroid antibodies. From there, the conversation widens. We explore the roles of gut health, mitochondrial dysfunction, toxins, stress, and viral triggers like Epstein-Barr and COVID, and why treating the thyroid alone often falls short. Dr. Gupta shares insights from his clinical experience and transition into functional medicine, offering a more complete framework for understanding and supporting thyroid health.   Key takeaways: Comprehensive Thyroid Testing: Beyond TSH, a complete thyroid panel including free T3, free T4, and specific antibodies is crucial for an accurate thyroid health assessment. Role of Mitochondria: The health of mitochondria is vital for thyroid function, affecting energy metabolism critical for managing thyroid disorders. Impact of Stress: Chronic stress is a significant factor contributing to thyroid dysfunction, emphasizing the need for daily stress management techniques. Functional Medicine Approach: Dr. Gupta's use of functional medicine emphasizes treating the root causes of thyroid problems, especially targeting lifestyle and dietary changes. Environmental and Dietary Toxins: A deeper understanding of how exposure to toxins and dietary inadequacies affect thyroid health and overall metabolic function.   More About Dr. Anshul Gupta:   Dr. Anshul Gupta is a best-selling author, speaker, researcher, and the world expert in Hashimoto's disease. He educates people worldwide on reversing Hashimoto's disease. He is a Board-Certified Family Medicine Physician, with advanced certification in Functional Medicine, Peptide therapy, and also Fellowship trained in Integrative Medicine. He has worked at the prestigious Cleveland Clinic Department of Functional Medicine alongside Dr. Mark Hyman. He has helped thousands of patients to reverse their health issues by using the concepts of functional medicine. His dedication towards his patients was recognized when he was awarded Readers Choice, Best Doctor in Northern Neck Area. He is now on a mission to help 1 billion people reverse their health conditions. To achieve this mission he has written a bestseller book called Reversing Hashimoto's. He has also started a virtual functional medicine practice, a blog, and a youtube channel so he can reach people from all over the world. His blog and youtube videos have already reached more than 50 million people worldwide.    Website Instagram Facebook YouTube Buy His Best Seller Book Connect with me! Website Instagram Facebook YouTube

You're exhausted. Your hair is thinning. You can't lose weight no matter what you do. You're cold all the time, your brain feels foggy, and you just don't feel like yourself anymore. So you go to the doctor, convinced something is wrong with your thyroid—and they run a TSH test and tell you everything is "normal." But you're not fine. You know something is off. Here's the truth: your body might be screaming "hypothyroid" while your labs say "normal." And that's not because you're imagining things—it's because standard thyroid testing was designed to catch advanced disease. In this episode, we'll discuss what conventional thyroid testing misses. You'll discover why TSH alone is not an accurate indicator of thyroid health, how your body might be failing to convert T4 into usable T3, what reverse T3 reveals about chronic stress, and why your gut health and oral microbiome might be sabotaging your thyroid function. You'll learn: The 6 thyroid tests you should actually be requesting (beyond TSH) How stress, gut dysfunction, and nutrient deficiencies block thyroid hormone from working—even when levels look "normal" Why the gut-thyroid connection is one of the most overlooked factors in thyroid health The emerging role of short-chain fatty acids and the oral microbiome in thyroid function What "optimal" ranges really mean (versus standard reference ranges) If you've been told your thyroid is fine but you still feel terrible, this episode will validate your experience and give you a clear roadmap for what to test next.

*Episode Recorded live at Training. If your thyroid labs keep coming back "normal" but you're exhausted, gaining weight, losing hair, and feeling like you're falling apart... if your doctor keeps checking TSH and telling you everything's fine... if you've been on thyroid medication for years but still feel terrible... this episode is your wake-up call. Dr. Terri sits down with Dr. Cassie Smith, an endocrinologist and hormone specialist, for a game-changing conversation about why the standard approach to thyroid testing is failing millions of people. This isn't your typical thyroid talk - it's the truth about why TSH alone is a useless marker after you start treatment, why 40-60% of Americans are walking around with suboptimal thyroid function, and what your doctor should actually be checking. WHAT YOU'LL DISCOVER: → Why TSH is only a screening tool (and becomes irrelevant once you're on medication) → The shocking truth: nobody's checking your Free T3 - the hormone that actually matters → Why conversion of T4 to T3 breaks down (stress, gut dysbiosis, insulin resistance) → The deiodinase enzymes that 93% of people can't optimize due to metabolic dysfunction → Why higher Free T3 levels = lower cardiovascular mortality and better outcomes → The "normal range" scam: why lab ranges are based on sick Americans, not optimal health → How your gut controls ALL hormone metabolism (thyroid, estrogen, testosterone, cortisol) → Why fixing thyroid without fixing gut health is a Band-Aid approach This isn't about ONE blood test. It's about understanding the whole system. TIMESTAMPS: 0:00 - Intro: Thyroid Awareness Month 1:30 - Why TSH is basically irrelevant 3:00 - What your doctor should be checking (Free T3, Free T4, Reverse T3) 4:15 - The T4 to T3 conversion problem nobody talks about 6:00 - Why 93% of Americans have insulin resistance affecting their thyroid 8:30 - Dr. Cassie's approach: symptoms over lab ranges 10:45 - The 2012 guidelines that haven't been updated (and why that's a problem) 12:20 - When doctors take you off thyroid meds because "labs look good" 15:00 - Higher T3 = lower mortality and better quality of life 17:45 - The gut-thyroid-hormone connection explained 20:30 - Why your gut controls estrogen, testosterone, cortisol, and thyroid 23:15 - Dr. Cassie's book: The Gut-Hormone Connection (releasing April 6th) 26:40 - The microbiome crisis (even in "healthy" people) 29:10 - How gut health affects PCOS, menopause, and fertility ABOUT THE DR. TERRI SHOW: Dr. Terri brings you honest conversations about health, wellness, personal transformation, and the topics that matter most in today's world. From integrative medicine to nutrition to policy reform, we explore it all with expert guests who are making a real difference. New episodes weekly. Subscribe and turn on notifications so you never miss an episode. The Dr. Terri Show is presented by Evexias Health Solutions. For more, visit: https://www.evexias.com Connect more with Dr. Terri:

Have you ever been told your labs are "normal"… but your body feels anything but? Low energy, stubborn weight gain, brain fog, and that frustrating sense that something is just off—yet you keep hearing, "Everything looks fine." In this episode, I'm pulling back the curtain on a huge missing piece for many midlife women: thyroid health. I'm sharing why "normal" thyroid labs don't always tell the full story—and how an under-supported thyroid can quietly drive hormone imbalance, stalled efforts to lose weight, fatigue, and feeling disconnected from your body. I also walk you through the labs that actually matter, why TSH alone isn't enough (especially in midlife), and how stress, undereating, menopause, and even gut health can affect your thyroid's ability to do its job. You'll hear parts of my own journey, why symptoms are real data, and how to advocate for yourself without feeling dismissed or dramatic. This isn't about trying harder. It's about getting curious, informed, and supported.

In this episode, Brent speaks with Dr. Anne Cappola, a leading endocrinologist at the University of Pennsylvania, about thyroid health. Using both clinical insight and Brent's personal experience as a parent, they break down what the thyroid does, how hypo- and hyperthyroidism show up in real life, how these conditions are diagnosed, and what treatment actually looks like. The discussion covers common symptoms, when testing matters, why TSH is the key marker, and how thyroid health fits into aging, longevity, and everyday wellbeing. Hope you enjoy.

Thank you for joining us for our 2nd Cabral HouseCall of the weekend!   I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Spencer: Hello Dr. Cabral, I've followed you for some time, and have now read both of your books. It seems overall, you tend to recommend less animal foods in the diet. Not that you have anything against them per se, but its likely based on some of the research I'm sure youve looked at on longetvity as well as environmental and moral reasons. Intsead of consuming a lot of animals, you eat a lot of plants, and supplement your way to nutrients. This seems odd to me, although I understand the reasoining. I venture to say, there are so many things in animal foods we dont even know of yet, just like at one time we didnt know about b vitamins, or prebiotics in breast milk etc. It just seems like a modern of way making this work, avoiding the animal food and band aiding it with supplements. I get that the soil is deplted etc, but still. Can you clarify here. I know that wasn't Youve helped another person and your struggle wasnt for nothing.                                                Ashley: Hi Dr. Cabral - Great meeting you at RHS this year and thanks for all of your incredible work! My question is: do you have a lab/test you recommend for mold and mycotoxin testing outside of EquiLife? I am an IHP L2 based in Seattle, WA and  cannot obtain EquiLife tests in WA state still. In the past 18 months I have completed the CBO protocol twice to rid myself of SIBO, E. Coli and H. Pylori (including heal + seal post CBO) and have leveraged your protocols to rebalance my hormones after a partial thyroidectomy, however I still have persistent inflammation, puffiness in my face, post nasal drip and my H Pylori recently returned for the third time. I've also had new onset of hives that turn into pustules that antihistamines do not address. We had severe water damage in our home in 2022 (in our bedroom and attached bathroom) and I am wondering if mold or environmental issues are my true root cause given the work I've already done. I travel extensively overseas for work (2-3 weeks at a time) and symptoms are always better when I am away from my home. I am planning to have our house tested for mold but want to test my body too if you believe it is warranted. Any advice is appreciated as a next step - THANK YOU!                                                                                                                          Marissa: Hi Dr. Cabral!! I did your 14 day detox and loved it! Question, is Kachava protein brand clean?                                 Anonymous: Hi Dr. C  I did the SMMT in June,  cbo protocol, addressed low am cortisol and adrenal issues , did the mold prot.,  I do have lyme ebv, both no symptoms in a while.  Off HRT, numbers were very high,  doing estrogen sup and prog. supp.  dhea low ad u an supplementing with that.   T 4 optimal but T3 2.9 and not addressed on consult. Tsh 2.6 I've been doing the foundational protocol for a year now.  my chiro keeps saying to check my thyroid, he feels it.   I started daily thyroid support and i am one month in.   Im noticing so much skin sagging in the last year (using One Skin) and also my vision keeps getting worse quickly.  I also do the vision support   i went from looking like i was in my 40's when i was 50s  to looking sagging and old in my early 60s.  i feel so much better than i did but what's happening?  .  I use collagen, I eat sufficient protein, i train , all the boxes checked.  The only thing i did not do was HMProtocol   Mercury and Aluminum elevated  .057 and 1.04 but I wanted to take the mercury filling out before doing protocol.   i have another Stress mood metab.test also that im waiting on doing . Should i do it sooner. Everything else was not of that concern.  Any ideas or supplement suggestions?? my sleep has been much better as well.  it's very depressing when you feel you are addressing what you can address.  Thank you for all your guidance and support.      Darren: Good day Dr. Cabral. Hope all is well with you and family. Given your experience with TCM, what are your thoughts on the use of Polyrhachis Ant powder, He Shou Wu/Fo-Ti, Pine Pollen, Sichisandra extract and Pycnogenol (pine bark extract)? Of course it'd be too lengthy to go in detail on the weekend show but maybe consider a Friday review? Thanks.         Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3635 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

There is no such thing as “good” cancer.In this solo episode, Victoria dives into a part of thyroid cancer that rarely gets talked about - what happens after treatment ends.While thyroid cancer often has a good prognosis, many patients are left navigating fatigue, hormone changes, TSH suppression, scan anxiety, and long-term health concerns with little guidance or support. Being told you're “cancer-free” doesn't always mean you feel okay, and this episode is for anyone who's felt dismissed in that space.We talk about:• Why thyroid cancer doesn't end when treatment does• What life can look like after surgery and radioactive iodine• Why fatigue is so common - even when labs look “fine”• TSH suppression: why it's used, and the long-term risks to bones, heart, and nervous system• What exercise and lifestyle choices actually support recovery (and what can backfire)• The emotional weight of survivorship that no one prepares you for• How loved ones can better support someone after thyroid cancerThis episode isn't just about cancer, it's about survivorship, long-term care, and learning how to live in a body that's been changed.Whether you've had thyroid cancer, love someone who has, or have ever been told you should be “fine” when you don't feel fine... this conversation is for you.For more information on Thyroid cancer and thyroid cancer awareness, Vic's instagram is here.For more information & to join the Confident Clinician check it out here! Be sure to DM us on Instagram once you become a member for your special gift! Don't forget to follow us on Instagram @girlsgonewellnesspodcast for updates and more wellness tips. You can also subscribe to our Youtube Channel @Girlsgonewellnesspodcast to watch our episodes! Please subscribe to our podcast and leave a review—we truly appreciate your support. Let's embark on this journey to wellness together!DISCLAIMER: Nothing mentioned in this episode is medical advice and should not be taken as so. If you have any health concerns, please discuss these with your doctor or a licensed healthcare professional.

For decades, the conversation around starting a family has been dominated by a single, ticking sound: the biological clock. We're told that age is the ultimate arbiter of reproductive success. But according to Harvard-awarded fertility specialist Gabriela Rosa, age is only one piece of a much larger puzzle. If you've been told that your "labs are normal" but you still aren't pregnant, or if you're facing the daunting prospect of IVF, it's time to look deeper. Based on Gabriela Rosa's pioneering F.E.R.T.I.L.E. Method, here's why health matters more than age, and what's truly missing from the standard fertility conversation. Health Beats Age with Fertility Gabriela emphasizes that the environment in which an egg or sperm matures is the true driver of quality. She often tells her patients to "act pregnant now to get pregnant later." The "standard" lab reference ranges are often misleading. For example, a TSH (thyroid) level of 4.0 might be considered "normal" by a general lab, but research suggests that for fertility, anything above 2.3 can increase the risk of miscarriage. "In fertility, there is no such thing as a neutral exposure. Everything you eat, breathe, and put on your skin has either a positive or a negative effect." By optimizing metabolic health… addressing "minor factors" like insulin resistance or subclinical thyroid issues… you can often overcome the statistical hurdles of maternal age. The Gap in Standard Treatments The modern medical system is often fragmented. When a couple struggles to conceive, the standard path is a quick referral to an IVF clinic. While IVF is a miraculous tool, it's often used as a "bypass" rather than a solution to the underlying health issues. Gabriela points out that "unexplained infertility" is often just "uninvestigated infertility." Standard treatments frequently miss the power of preconception… taking 3-4 months to "clean the soil" before planting the seed. They also overlook deep-dive diagnostics, testing for silent infections or DNA fragmentation that standard tests ignore. And they fail to account for the cumulative effect: one minor health issue might delay you by two years; three minor issues could theoretically delay conception by 40 years. Fertility Is a Team Sport Perhaps the biggest gap in standard care is the focus on the woman. Statistically, fertility challenges are 40% female factor, 40% male factor, and 20% combined or embryonic. Yet men are often told "you're fine" after a basic semen analysis. Gabriela insists that "fertility is a team sport." A man's health contributes 50% of the DNA and significantly impacts the sustainability of the pregnancy. Don't Settle for "Normal" If you're struggling, Gabriela Rosa's message is one of empowerment. Infertility is not a dead end; it's a "call to arms" to understand your body better. If a clinician tells you "everything is normal, just keep trying" despite months of failure, it's time to seek a second opinion. You have more influence over your biology than you've been led to believe. In this podcast you'll learn: Why health matters more than age when it comes to fertility What's missing in standard fertility treatments and how to fill the gaps Why treating both partners is essential for conception success   EPISODE RESOURCES: Website Gabriela Rosa Facebook Instagram X TikTok Fertility Breakthrough Instagram Facebook TalkSex Podcast Apple Instagram X  

TSH: The Most Misunderstood Thyroid Lab — 25 Questions, Answered If you've been told your TSH is "normal" but you still feel exhausted, foggy, inflamed, or hypothyroid — this episode is for you. In this deep-dive Q&A episode, Dr. Eric Balcavage answers 25 of the most common and misunderstood questions about TSH, the lab marker most often used — and misused — in thyroid care. You'll learn: What TSH actually measures (and what it doesn't) Why TSH can go up in some stress states and down in others How inflammation, stress, sleep, dieting, and medication timing distort TSH Why "normal" TSH doesn't guarantee healthy thyroid function How to tell true hypothyroidism from adaptive physiology Why chasing TSH often keeps people stuck How thyroid medications affect TSH differently (T4 vs T3) Why tissue hypothyroidism can exist even when labs look "fine" This episode is designed for: Patients frustrated by "normal labs" Clinicians who want better thyroid interpretation Anyone trying to understand thyroid physiology beyond numbers

If you've ever taken thyroid medication exactly as prescribed… and still struggled with fatigue, weight gain, brain fog, hair loss, anxiety, or feeling "off," you've probably wondered: "Are thyroid meds a scam?" In this episode, Priscilla breaks down this emotionally loaded question with science, clarity, and a dose of tough love. Instead of blaming the medication—or blaming yourself—she exposes the real issue: the conventional thyroid model promises results it was never designed to deliver. You'll learn why so many women feel no different (or worse) on medication, the six biggest "missed pieces" keeping your metabolism stuck, and how to finally create a metabolic environment where your thyroid meds can actually work. This episode is a must-listen if you've ever been told: "Your labs are normal." "Your symptoms aren't related to your thyroid." "There's nothing else you can do." "Just take this pill and come back in six months." Spoiler: your frustration is valid, and you're not crazy. In This Episode, We Cover:

Send us a textEver feel wired but somehow exhausted, like your brain won't shut off even when your body begs for rest? We dive into the hidden physiological price of being everyone's go-to, especially for women in their 40s and 50s, and why chronic busyness silently derails sleep, mood, and metabolism. Drawing on real-world patient patterns, we connect the dots between nonstop demands and hormonal shifts that don't show up as “willpower problems” but as progesterone dips, low DHEA, cortisol swings, and sluggish thyroid conversion.We break down how the lizard brain flags late-night emails as danger, setting off survival mode that flattens your spark. You'll learn the lived signs of low progesterone—irritability, restless nights, pre-period sensitivity—and how adrenal depletion pulls resources away from calm and toward stress chemistry. We also unpack the cortisol and DHEA partnership, what happens when DHEA declines faster than age alone would predict, and the overlooked link between stress and poor T4-to-T3 thyroid conversion that produces brain fog, cold intolerance, brittle nails, hair shedding, constipation, and weight creep despite “doing everything right.”Most importantly, we map out a sustainable path back. Cycle intensity instead of grinding daily: swap some HIIT for walks, yoga, Pilates, mobility, or breath work to give adrenals a true break. Build protein-first mornings with healthy fats to stabilize blood sugar and support cortisol rhythms. Create real sleep boundaries by setting Do Not Disturb two hours before bed while allowing emergency contacts. Consider gentle adaptogens like ashwagandha, rhodiola, and holy basil, and move from guessing to clarity with targeted labs: DHEA-S, TSH with free T3 and free T4, and appropriately timed progesterone testing. You'll walk away with a practical, compassionate toolkit to protect energy, restore mood, and feel grounded again without abandoning the people and work you love.Start the free Harmonize Your Energy Workshop and destress during this 90-minute workshop:Harmonize Your EnergyIf this helped, follow the show, share it with a friend who needs permission to slow down, and leave a quick review so others can find it. Your next step: set your phone's nighttime mode tonight and tell us how your wind-down changes your sleep.Welcome to the Art of Healing Podcast community. This podcast is devoted to helping you find what works on your journey to health and wellness. This podcast is devoted to providing information on many healing modalities. Learn more about:ReikiFunctional MedicineMeditationEnergy Healingand more!Learn more about Dr. Charlyce here. Never miss an episode of Art of Healing Podcast...the podcast devoted to helping you heal your mind, body and spirit.Sign up for my weekly newsletter, and never miss an episode along with other great content:Art of Healing PodcastStay in touch socially here:Healing Arts LinksLearn more about me and my offerings here:Healing Arts Health and Wellness

In this Part 2 of our 2-part podcast series on thyroid emergencies Anton, Dr. George Willis and Dr. Alyssa Louis answer questions such as: When a patient presents with “sepsis without a source,” what bedside features should trigger you to prioritize thyrotoxicosis? How can PoCUS help you decide whether tachycardia is dangerous — or lifesaving — before starting β-blockade? Why can TSH and free T4 be falsely reassuring in a crashing patient, and what labs actually matter early? In which patients does propranolol increase the risk of cardiovascular collapse — and why is esmolol the safer first line medication? Why does the order β-blocker → thionamide → steroid → iodine matter, and what happens if you get it wrong? When is not giving a β-blocker the safest decision in thyroid storm, even in a profoundly tachycardic patient? In an agitated, hyperthermic patient with thyrotoxicosis, why might intubation be more dangerous than helpful in the first hour? How does amiodarone-induced thyrotoxicosis fundamentally change your management — and why can iodine make it worse? and many more...

As 2025 wraps up, it is normal to ask, "What's next for my fertility?" Maybe your cycles felt unpredictable, lab results felt confusing, or you have been living in constant action mode with supplements, protocols, and timelines. In this episode, we slow it down and get intentional. Instead of piling on more, we look at what your body has been signaling and how to enter 2026 with a clear, steady plan using a functional fertility lens. You'll learn: Why pausing at year-end can support ovarian signaling and reduce the stress loop that keeps you stuck How to review 2025 without spiraling, including what helped, what added pressure, and what your symptoms have been communicating Which labs to consider rechecking in 2026 and why they matter for fertility strategy, including TSH, vitamin D, ferritin, hsCRP, AMH, and FSH. The foundation for egg quality support through mitochondria basics, including sleep, protein, minerals, and CoQ10. How to build a realistic nervous system plan that fits a Type A life, so your next step is aligned, not rushed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH (ng/mL), high FSH, DOR, or POI and want to enter 2026 with a plan that supports your body without adding more overwhelm You have been pushing through and want to make decisions based on insight, not urgency You want a functional fertility approach that connects testing, nutrition, lifestyle, and emotional balance in a practical way Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – Reflecting on fertility as 2025 ends and why slowing down matters 01:05 – Why constant doing and hypervigilance disrupt ovarian signaling 02:10 – Nervous system dysregulation in low AMH, high FSH, DOR, and POI 03:15 – Why rushing into IVF at year-end can backfire 04:40 – Secondary infertility and when fertility issues appear unexpectedly 05:20 – Reviewing what actually helped your energy, sleep, digestion, and mood 06:15 – Supplements vs personalized testing and why guessing adds stress 07:30 – Gut health, thyroid, inflammation, and missed underlying imbalances 08:45 – Retesting labs and focusing on mitochondria and egg quality 10:05 – Choosing your next fertility step intentionally, not from fear --- Resources  

CardioNerds (Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Natalie Marrero) discuss anti-arrhythmic drugs in the management of atrial fibrillation and atrial flutter with electrophysiologist Dr. Andrew Epstein. We discuss two major classes of anti-arrhythmic drugs, class IC and class III, as well as digoxin. Dr. Epstein explains their mechanisms of action, indications and specific patient populations in which they would be particularly helpful, efficacy, adverse side effects, contraindications, and key drug-drug interactions. We also elaborate on defining clinical trials and their clinical implications. Given the large burden of atrial fibrillation and atrial flutter in our patient population and the high prevalence of anti-arrhythmic drug use, this episode is sure to be applicable to many practicing physicians and trainees. Audio editing by CardioNerds academy intern, Grace Qiu.  Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Anti-arrhythmic drugs should not be thought of as an alternative to ablation but, instead, should be considered an adjunct to catheter ablation.   Class IC anti-arrhythmic drugs, flecainide and propafenone, are highly efficacious for acute cardioversion and a great option for patients with infrequent episodes of AF who do not have a history of ischemic heart disease.    Class III anti-arrhythmic drugs like ibutilide, sotalol, and dofetilide, are highly effective for acute conversion; however, they require hospitalization for close monitoring during initiation and dose titration given the risk of prolonged QT.   Amiodarone should not be used as a first line agent given its toxicities, prolonged half-life, large volume of distribution, and drug-drug interactions.   Dr. Epstein notes that, “All drugs are poisons with a few beneficial side effects,” when highlighting the many adverse side effects of anti-arrhythmic drugs, particularly amiodarone, and the importance of balancing their benefit in rhythm control with their side effect profile.   Notes Notes: Notes drafted by Dr. Natalie Marrero. What are the Class IC anti-arrhythmic drugs and what indications exist for their use?   Class IC anti-arrhythmic drugs are anti-arrhythmic drugs that work by blocking sodium channels and, thereby, prolonging depolarizing.   Class IC anti-arrhythmic drugs include flecainide and propafenone.   Class IC anti-arrhythmic drugs are good agents to use in patients that have infrequent episodes of AF and do not want daily dosing as these agents can be used by patients when they feel palpitations and desire acute conversion back to sinus rhythm (“pill in the pocket” approach).    What are the adverse consequences and/or contraindications to using a class IC agent?  Class IC anti-arrhythmic agents are contraindicated in patients with a history of ischemic heart disease based on increased mortality associated with their use in these patients in the CAST trial.   Given the results of the CAST trial, providers should screen annually for ischemia via a functional stress test in patients on these drugs at risk for coronary disease.   These drugs can increase 1:1 conduction of atrial flutter and, therefore, require concomitant use of a beta blocker.   These agents are generally well-tolerated without any organ toxicities; however, they can precipitate heart failure in patients with cardiomyopathies, cause sinus node depression, and unmask genetic arrythmias such as a Brugada pattern.   What are the class III agents and what are indications for their use?   Class III agents are drugs that block the potassium channel, prolonging the QT, and include Ibutilide, Sotalol, and Dofetilide.    Class III agents can be considered in patients with or without a history of ischemic heart disease that desire effective acute chemical cardioversion and are willing to go to the hospital for close monitoring during dose initiation and titration.   Other specific circumstances in which one can use these agents, specifically Ibutilide, are in patients with recurrent atrial fibrillation and Wolf Parkinson White (due to slowed conduction via the accessory pathway).  What are the adverse consequences and/or contraindications to using a class III agent?  Ibutilide, Sotalol, and Dofetilide prolong the QT and increase the risk of torsade de pointes, which is why they require ECG monitoring in-patient during drug initiation and dose titration.    These agents are generally well-tolerated.   Sotalol should be avoided or used cautiously in patients with left ventricular dysfunction, while dofetilide can be used and has dose-response beneficial effects in patients with left ventricular dysfunction.   Both sotalol and dofetilide are renally cleared with specific creatinine clearance cutoffs (CrCl < 20 for dofetilide and CrCl

If you've been told your bloodwork is “normal” but you still feel exhausted, foggy, inflamed, anxious, or stuck in your weight… this episode will be a game changer.In Episode 374 of The Period Whisperer Podcast, we break down the exact blood chemistry markers women in perimenopause should request, why they matter, and what they reveal that most doctors completely overlook.You'll learn:✨ The truth about thyroid testing — and why TSH alone is NOT enough ✨ How to interpret a full iron panel in the context of fatigue + hair loss ✨ Why liver markers like ALT, AST, and GGT matter for estrogen detox ✨ The role of fasting insulin, glucose, and A1c in midlife weight gain ✨ How inflammation markers like hs-CRP influence perimenopause symptoms ✨ What free testosterone + SHBG reveal about libido and energy ✨ The key nutrient markers (D, B12, zinc, magnesium, selenium, iodine) every woman should track ✨ How to confidently advocate for these tests with your primary care providerIf you want a clear roadmap for understanding your body in perimenopause — not just being dismissed with “everything looks fine” — this episode is your toolkit.

If you have low AMH, high FSH, diminished ovarian reserve , or premature ovarian insufficiency and keep hearing that your TSH is "normal," you may be missing a key piece of your fertility story. Even small shifts in thyroid function can influence egg quality, ovarian reserve, embryo development, implantation, and early pregnancy. In this episode, we look at how thyroid health connects to your labs, symptoms, and IVF outcomes so you can understand what is being overlooked. You'll learn: Why a normal TSH does not always mean your thyroid is optimal for fertility The thyroid markers most clinics miss and why they matter How thyroid patterns influence egg development, ovarian aging, and implantation The connection between thyroid antibodies, low AMH, and IVF failure Practical steps to support thyroid function and improve your chances of conception Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH, DOR, POI, or high FSH and want clarity on how thyroid health plays a role You have irregular cycles, unexplained infertility, or repeated loss and wonder if your thyroid is involved You have thyroid symptoms, thyroid antibodies, or a diagnosis like Hashimoto's and want to understand how this affects ovarian function Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Why thyroid health matters for low AMH, DOR, and POI 01:02 Normal TSH vs optimal TSH for fertility 02:14 Full thyroid panel and what your REI may be missing 03:00 How low thyroid slows follicle development 03:45 Oxidative stress, inflammation, and egg quality 04:30 Thyroid dysfunction and accelerated ovarian aging 05:10 Hyperthyroidism, cycle disruption, and implantation 06:02 Thyroid antibodies and IVF outcomes 07:12 What high TPO antibodies mean for your transfer 08:00 Functional steps to support thyroid and egg quality ---

In the ED, we regularly care for sick patients presenting acutely with abnormal vital signs, altered mental status, and end organ dysfunction. Oftentimes, the culprit ends up being sepsis, or overdose, or organ failure. But it is important that we consider rarer endocrine presentations like decompensated hypothyroidism. In this Part 1 of this two-part podcast with Dr George Willis and Dr Alyssa Louis, we answer questions like: Why is the term myxedema coma a misnomer and should be abandoned? How can we differentiate between sepsis or environmental hypothermia or toxidrome from decompensated hypothyroidism at the bedside? When is it appropriate to order a TSH, a T4 and T3? What are the most important life-threatening triggers that need to be addressed in patients with decompensated hypothyroidism? Why is it important to test for cortisol levels and consider stress-dose steroids in all patients with decompensated hypothyroidism? Why is endotracheal intubation particularly dangerous in decompensated hypothyroidsm? What is the best way to manage hypothermia? Why is the order of medications for treatment of decompensated hypothyroidism so important? and many more... Please consider a donation to EM Cases to ensure continuing Free Open Access Medical Education: https://emergencymedicinecases.com/donation/

“I really appreciate it when the truth is spoken very plainly,” says Tsh Oxenreider. Homilies that cut to the chase—and call us to conversion now. Host Ricardo da Silva, S.J., speaks with writer and podcaster Tsh Oxenreider about what active waiting means during Advent; sitting with discomfort, resisting the rush to Christmas. They explore the traditional meanings of the liturgical weeks—joy in week three, love in week four—what penance looks like in this season, and the O Antiphons. Tsh speaks directly about what she needs from preaching: homilies that tell the truth plainly and call us, here and now, to confess our sins and get right with God. Support Preach—subscribe at⁠⁠ ⁠americamagazine.org Learn more about your ad choices. Visit megaphone.fm/adchoices

If you've been told your thyroid is “fine” because one lab looks normal, this episode is going to mess with your certainty in the best way. In this Medical Disruptors conversation, I sit down with Dr. Alan Christiansen (Dr. C), a board-certified naturopathic endocrinologist and bestselling thyroid author. Dr. C reveals how subtle autoimmune activity often hides beneath “normal” labs, and why addressing iodine overload—not deficiency—might be the real solution for many. We don't just talk thyroid here—we talk agency. And once you understand the levers behind thyroid function, you'll never look at your labs the same way again. Let's disrupt how thyroid health is done. Check us out on social media: drefratlamandre.com/instagramdrefratlamandre.com/facebookdrefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters [00:00:00] Iodine and thyroid link [00:07:30] Subclinical hypothyroidism explained [00:15:10] Autoimmunity before TSH changes [00:23:45] Thyroid nodules and nutrients [00:31:00] How to reclaim thyroid health Guest Links: FB: @dralanchristianson IG: @dralanchristianson YT: @drchristianson Website: www.drchristianson.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Hypothyroidism in seniors is common — but frequently underdiagnosed, undertreated, or misunderstood. Aging bodies metabolize medications differently, symptoms can mimic other conditions, and “normal ranges” aren't always normal for older adults. In this episode, we dive into how thyroid care evolves in life's later chapters, and you'll learn:Why hypothyroidism rates increase with age — and which symptoms aren't “just getting older.”The difference between normal aging and thyroid-driven cognitive decline, depression, or fatigue.Why seniors may need different testing, dosing, and follow-up — especially with heart conditions or bone health in the picture.How untreated hypothyroidism impacts memory, falls, cholesterol, and independence.Medication tips for seniors, including absorption issues, polypharmacy, and brands vs generics.How to advocate — respectfully and effectively — for care beyond a TSH test.Whether you're managing your thyroid after 60, caring for a parent, or wondering if symptoms are being overlooked — this episode helps you navigate thyroid health with confidence.

Being told you have Primary Ovarian Insufficiency (POI) or premature menopause can feel like the door has closed on your fertility. But these terms don't mean the same thing and understanding the distinction is essential, especially if you're still hoping to conceive. In this episode, we break down what's actually happening hormonally in each condition, why they're often confused, and how a functional fertility approach can help you understand what may still be possible. You'll learn: The key differences between POI, premature menopause, and early menopause What your labs are really telling you about ovarian function Signs that your ovaries may still be active even if your cycle has stopped Which functional tests give deeper insight into thyroid, immune, gut, and adrenal factors that influence ovarian health How inflammation, autoimmune activity, stress physiology, and nutrient imbalances can drive ovarian shutdown Supportive nutritional, lifestyle, and mind-body strategies that may improve hormone communication and egg health When to combine functional and conventional care to optimize your chances of conception This episode is especially for you if: You've been told you have POI, premature menopause, or early menopause and want clarity about whether your ovaries have truly stopped functioning You're under 45 with irregular or missing cycles, hot flashes, or elevated FSH, and want to understand your next steps from a functional-fertility lens You've felt dismissed or told "it's over," yet you want to explore supportive strategies that may help your hormones and ovaries regain activity, naturally or alongside medical care Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Understanding POI and early menopause and why the distinction changes your fertility options when cycles are irregular or absent. 01:45 What POI before age 40 means and how irregular periods and fluctuating FSH can still indicate remaining ovarian activity. 03:00 Real examples of women with AMH at 0.04 ng/mL and 0.08 ng/mL who conceived by addressing inflammation, gut health, thyroid, and stress patterns. 04:00 How disrupted communication between the brain and ovaries drives POI and the role of autoimmunity, nutrient status, and the nervous system. 05:00 What premature menopause looks like on labs and why confirming ovarian shutdown matters when planning next steps. 06:10 How some women in their forties regain cycles and conceive naturally and what this reveals about hormonal resilience. 08:00 Factors that accelerate ovarian aging, including elevated hsCRP, gut infections, thyroid imbalance, environmental toxins, and nutrient gaps. 09:50 Why the gut and vaginal microbiome influence egg quality and implantation and how hidden infections affect fertility outcomes. 10:50 How functional thyroid ranges guide fertility decisions and why a TSH below 2 mIU/L supports better ovarian signaling and hormone balance. 14:40 Nutrition, mitochondrial support, mineral balance, and mind body work that help improve egg health and ovulation signaling. --- Resources

What Your Blood Really Says: Using Blood Tests for Preventive Health. Blood tests can reveal far more about your health than most people realize, often long before symptoms appear. In this episode, I explain how blood work can be used as a powerful preventive tool, not just to diagnose disease. We talk about what common blood tests can tell you about your metabolism, thyroid, hormones, nutrient status, and cardiovascular risk, and why “normal” lab ranges don't always mean optimal health. You'll learn why some nutrients need to be tested in whole blood or red blood cells rather than serum, which markers are often overlooked, and how to choose the right tests without overtesting. This episode is for anyone who wants to move beyond guesswork and use blood tests to gain clarity, track progress, and make more informed health decisions.Takeaways:Blood tests can reveal new health information.Early detection through blood tests aids in prevention.Doctors often check for severe health issues, not optimal health.Optimal ranges in blood tests are crucial for overall health.TSH is just one parameter for assessing thyroid health.Vitamin D levels should ideally be between 60 and 80.Magnesium should be tested in red blood cells for accuracy.Cortisol levels significantly affect energy levels throughout the day.Supplement dosages vary from person to person.Retesting is essential to confirm the effectiveness of health protocols.(blood tests, health insights, optimal ranges, nutritional deficiencies, hormonal health, cortisol, supplements, retesting)Would you like to book a health consultation for yourself or a loved one? Send me a message through the contact form on my website: www.herbalhelp.net⁠⁠⁠⁠⁠⁠⁠ . Alternatively, click on my calendar to book a free 20-minute call and find out more. I am a professional, clinical Herbalist registered with the American Herbalists Guild, and I would love to provide you with personalized help.A Health Consultation or Skincare Consultation with an Herbalist also makes a wonderful gift for the holidays or birthdays for your loved ones! Sign up for the ⁠⁠⁠⁠⁠⁠⁠Herbal Inspiration Membership on Ko-Fi⁠⁠⁠⁠⁠⁠⁠ and get access to over 20 of my herbal videos, classes, and herbal case studies! A lot of great material to help you learn and deepen your understanding of medicinal herbs and empower you to use herbs safely and effectively! Topics of pre-recorded classes are Adaptogens, Herbs for the Nervous System, Medicinal Mushrooms, Immune Support, Hormonal Balance, Herbs for the Brain, Ayurveda, Herbal Oils, and more!Your monthly or one-time contribution through the Ko-Fi membership ⁠⁠⁠⁠https://ko-fi.com/tamaraherbalist⁠⁠⁠⁠ supports the creation of this podcast and my YouTube Channel! Thank you!Check out the new videos on my YouTube Channel! ⁠⁠⁠⁠⁠⁠⁠⁠Herbal Help by Tamara⁠⁠⁠⁠⁠⁠⁠Follow me on Instagram: ⁠⁠⁠⁠⁠herbal.help⁠⁠⁠⁠⁠This show is meant for educational purposes only. This is not health advice.Please send me a message through the ⁠⁠⁠⁠⁠contact form on my website⁠⁠⁠⁠⁠. 

Most people blame posture for their neck and shoulder pain, but research shows the real root cause is often hormones, not mechanics. In this episode, Ben explains how cortisol, thyroid hormones, sex hormones, insulin, and even growth hormone can lock your muscles into chronic tension and why most doctors miss these connections. You'll learn how stress hormones alter pain pathways, increase inflammation, and create tight traps, stiff necks, and burning shoulders. Ben breaks down a simple daily Cortisol Calm Protocol using breathwork, post-meal walking, a no-stimulation hour, and gratitude to quickly shift your body out of fight-or-flight. He then exposes the deep link between an underactive thyroid and muscle aches, frozen shoulder, fatigue, and chronic stiffness — plus which full thyroid panel to request from your doctor (not just TSH). Next, he explains why women 40–60 experience sharp increases in joint pain during perimenopause and menopause due to changes in estrogen that affect lubrication, cartilage, strength, and inflammation. You'll also hear why people with insulin resistance or diabetes are five times more likely to develop frozen shoulder. High insulin creates stiff connective tissue and slows healing. Ben gives practical metabolic strategies: lower carbs, test fasting insulin, walk after meals, strength train, and use intermittent fasting. The episode closes with the overlooked role of deep sleep and growth hormone in tissue repair. Poor sleep dramatically reduces recovery, while fasting and strength training boost growth hormone naturally. FREE GUIDE: How To Lose 1 Pound Of Fat Per Day HERE -https://bit.ly/48AYCfC 

If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story. In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF. Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function. You'll learn • What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA This episode is especially for you if: • You are 40 or older and have been told your AMH is low or your FSH is high • You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do • You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide:  Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 What low ovarian reserve really means after 40 Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers. 01:00 AMH, FSH and AFC explained for women over 40 How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper. 02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy. 04:00 Mitochondria and egg energy after 40 How mitochondrial function influences egg maturation and which nutrients support better ovarian energy. 05:00 Thyroid health and why TSH must be optimal to conceive The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve. 07:00 Mineral balance and heavy metals that affect ovarian reserve How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability. 08:30 Adrenal stress and cortisol patterns that lower ovarian signaling How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing. 10:00 Gut health, estrogen metabolism and inflammation How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance. 11:00 Vaginal microbiome and hidden infections linked to failed implantation Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation. 13:00 Case study: Natural pregnancy at 43 with DOR A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally. --- Resources

Every winter, TSH rises—but that doesn't mean thyroid failure. Dr Eric Balcavage explains how photoperiod, melatonin, and circannual rhythms alter TRH → TSH → T3 and why seasonal adaptation is often misdiagnosed as hypothyroidism. In this episode, you'll learn: ✅ How shorter days and colder temperatures reset the hypothalamic–pituitary–thyroid axis ✅ Why macro-TSH raises lab TSH without true hypothyroidism ✅ How both conventional and functional models misread winter physiology ✅ Five ways to align with your seasonal thyroid rhythm (light, rest, minerals, movement, patience)

Fatigue in midlife isn't just about needing more sleep — it's often a sign that something deeper is out of balance. In this episode, Tara shares her clinical approach to fatigue, including how hormones, minerals, iron status, thyroid function, inflammation, gut health, and stress all impact your energy. She explains why basic labs don't always tell the full story and what to look for when fatigue doesn't improve with rest or supplements alone. You'll walk away with a clearer understanding of why you feel tired and what steps actually move the needle — plus how personalized testing and guidance can help you get your energy back for good.   Here's what you'll discover in this episode: 1. Why "just getting older" isn't a reason to accept low energy Tara Thorne shares her refreshing perspective on why we shouldn't expect our bodies to bounce back like they did in our twenties, and how you can actually regain your spark at any age. 2. The importance of digging into your blood work Learn what labs to ask for (and why most doctors miss critical markers)—including a full-thyroid panel, specific immune markers, iron panels, and even markers for viral and bacterial infections. 3. How mineral imbalances could be sabotaging your energy Tara Thorne walks through the magic of HTMA tests and why simply popping magnesium or iron might not help (and could even make things worse!). 4. The gut-fatigue connection Surprise! You might not have GI symptoms and still have serious gut-driven exhaustion. Tara Thorne unpacks how gut health, inflammation, and "leaky gut" can zap your vitality. 5. The critical (but often overlooked) role of hormones and stress From optimizing your hormones with bioidentical HRT to managing stress and dialing in quality sleep, you'll get actionable advice to support your energy on every level.   Other episodes of interest: EPS 114: Thyroid health in midlife: post-illness autoimmunity/hypothyroidism, why TSH will rise with iodine & this is OK, progesterone & thyroid health & more! EPS 129: Hypothyroidism goes undiagnosed all the time in midlife. This episode: everything you need to know to ensure this doesn't happen to you. EPS 123: Caution should be taken when supplementing vitamin D, iron & selenium. Do not DIY these supplements! EPS 130: Do not take oral / IV iron until you've listened to this. EPS 5: Copper Toxicity: How it may be driving your PMS, estrogen issues, OCD, anxiety & more. EPS 121: All-things-cortisol in perimenopause. Are levels usually high or low? Should we test cortisol? If so, how? Everything you need to know!   Mentioned in this episode: HERBATONIN – Click HERE to visit the shop. Save 10% when you use Tara's code: Tara10 HRT Made Simple™ - Learn how to confidently speak to your doctor about the benefits of hormone replacement therapy so you can set yourself up for symptom-free, unmedicated years to come without feeling confused, dismissed, or leaving the medical office minus your HRT script. Hair Loss Solutions Made Simple™ – This course will teach you the best natural, highly effective, and safe solutions for your hair loss so you can stop it, reverse it, and regrow healthy hair without turning to medications. The Perimenopause Solution™ – My signature 6-month comprehensive hormonal health program for women in midlife who want to get solid answers to their hormonal health issues once and for all so they can kick the weight gain, moodiness, gut problems, skin issues, period problems, fatigue, overwhelm, insomnia, hair/eyebrow loss, and other symptoms in order to get back to the woman they once were. [FREE] The Ultimate Midlife Perimenopause Handbook - Grab my free guide and RECLAIM your confidence, your mood, your waistline and energy without turning to medications or restrictive diets (or spending a fortune on testing you don't need!).   [BOOK A 30-MINUTE SESSION WITH TARA HERE]

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Antonio Bianco is a world-renowned physician-scientist and expert in thyroid physiology and metabolism. In this episode, Antonio explores the complex biology of thyroid hormone production, conversion, and regulation—highlighting how deiodinase enzymes modulate hormone activity at the tissue level and why that matters for interpreting lab results. He discusses the shortcomings of relying solely on TSH as a marker of thyroid function, the ongoing debate around combination therapy with T3 and T4 versus standard T4 treatment, and how genetics, tissue sensitivity, and individual variability influence thyroid hormone metabolism. The conversation also examines how hypothyroidism affects energy, mood, cognition, and longevity; why some patients remain symptomatic despite "normal" labs; and how future research could reshape treatment paradigms. We discuss: How the thyroid produces, stores, and activates hormones like T4 and T3 to finely regulate thyroid activity [2:45]; How fasting alters thyroid hormones to conserve energy [12:45]; Action of the deiodinases: how D1, D2, and D3 enzymes control the activation and inactivation of thyroid hormones [19:15]; The normal function of thyroid hormone and the roles of the hypothalamus, pituitary gland, and deiodinases in maintaining hormonal balance [23:30]; Why understanding thyroid physiology is essential for proper diagnosis and treatment of hypothyroidism [33:45]; Testing for thyroid hormones: understanding free vs. total levels, the limitations of current T3 assays, best practices, and more [36:00]; Genetic and sex-based variability in thyroid hormone regulation and their limited clinical significance [43:45]; Hyperthyroidism: causes, symptoms, diagnosis, and treatment options [46:00]; Hypothyroidism: diagnosis and autoimmune causes of hypothyroidism [56:30]; More on hypothyroidism: diagnostic biomarkers, antibody patterns, and non-autoimmune presentations [1:05:00]; Thyroid hormone replacement therapy [1:15:15]; More on thyroid replacement strategies: exploring the evidence gaps, mortality signals, effects on lipids, and more [1:28:00]; Hypothyroidism basics: causes, antibody implications (including pregnancy), and how to make the diagnosis before choosing therapy [1:35:15]; Thyroid medication: compounded controlled-release T3, brand name versus generic, and what Antonio prescribes to newly diagnosed hypothyroid patients [1:42:45]; Redefining treatment success: why normalizing TSH isn't always enough for patients with hypothyroidism [1:54:45]; Case studies: analysis of two unusual cases of thyroid disease [1:57:00]; Dangers of supplementing with high levels of iodine, and female-specific risk of thyroid disease [2:05:45]; Case study of a patient who presents with elevated TSH but no symptoms [2:09:30]; How future research could reshape treatment, and Antonio's new book called "Rethinking Hypothyroidism" [2:13:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube