Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+ - Everyday Wellness™

Latest Episodes:

Ep. 441 Women & Heart Health: A Cardiology Masterclass, Part 1 | Women’s Heart Health Feb 19, 2025

Show notes

We have a mashup episode today, exploring heart health during menopause and the benefits of hormone replacement therapy.

In this episode, Dr. Felice Gersh dives into the role of estrogen in immune function, inflammation, and heart health. Dr. Deb Matthew highlights the importance of assessing cardiovascular risks and hormone balance in perimenopausal and menopausal women to optimize heart health and minimize reliance on statins.

Join us as Dr. Matthew and Dr. Gersh share their insights on heart health, hormones, and menopause.

Ep. 356: Menopause, Heart Health, and HRT with Dr. Felice Gersh

[00:01:53] Dr. Gersh guides listeners in understanding and appreciating the impact of estrogen on immune function, inflammation, and the healing processes within the body.

[49:33] Estradiol is vital for heart health, and its decline after menopause can lead to issues like stiffening of the heart, heart failure, and arrhythmias in women.

Ep. 325 Menopausal Toolkit: Heart, Brain and Hormonal Health with Dr. Deb Matthew

[00:01:30] Most women fear breast cancer more than heart disease, even though cardiovascular disease is the leading cause of death in women. Yet, clinicians fail to talk enough about the effectiveness of hormone replacement therapy in mitigating the risk of heart disease during perimenopause and menopause.

[00:04:04] While estrogen can benefit the cardiovascular health of women, the risks associated with oral estrogen and synthetic forms, including blood clots and artery plaque instability, have led to hesitancy in using hormone replacement therapy despite its potential long-term benefits when administered correctly.

[00:11:26] The balance of hormones like testosterone, DHEA, and cortisol plays a crucial role in cardiovascular health. Imbalances, such as flat cortisol patterns due to stress, potentially increase the risk of heart disease. Dr. Matthew uses tests like coronary artery scans and coronary intima-media thickness to assess cardiovascular risk in patients before considering hormone replacement therapy.

[00:20:22] Dr. Matthew emphasizes the importance of advanced lipid testing, addressing the nuances of cholesterol particle size and inflammation, balancing hormones, and optimizing thyroid and blood sugar levels to manage cardiovascular risk instead of immediately resorting to statins.

Bio: Dr. Deb Matthew

Dr. Deb Matthew MD, The Happy Hormones Doctor, is a best-selling author, international speaker, educator, wife, and mom of four boys. After suffering for years from fatigue and irritability due to hormone imbalances, her quest to resolve her personal health led her to change everything about her practice of medicine. She has been featured on national podcasts, radio, and broadcast shows, including NBC, ABC, CBS, and FOX. Her books, This Is NOT Normal! and Why Can't I Keep Up Anymore? address hormone health in women and men.

Bio: Dr. Felice Gersh

Dr. Felice Gersh is a multi-award-winning physician with dual board certification in OB-GYN and Integrative Medicine. She is also a recognized expert on PCOS.

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Connect with Dr. Felice Gersh

On her website: Integrative Medical Group of Irvine
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BONUS: Optimizing Adrenal Health: The Power of Lifestyle Changes with Dr. Izabella Wentz Feb 17, 2025

Show notes

I’m delighted to connect with Dr. Izabella Wentz today! She is a PharmD, an internationally acclaimed thyroid specialist, and a licensed pharmacist who has dedicated her career to addressing the root causes of autoimmune thyroid disease. She is also the author of three books. Her most recent book is The Adrenal Transformation Protocol.

Dr. Wentz joins me to dive into how to identify what is going on with our adrenal health and why adrenal issues tend to occur along with thyroid issues. We speak about her background and how it influenced her life’s work, the myth of adrenal fatigue, and HPA dysfunction. We also discuss the physiology of the adrenals, acute versus chronic stress, signs of a dysregulated HPA axis, lifestyle, the impact of trauma, and how Dr. Wentz’s protocol works.

IN THIS EPISODE YOU WILL LEARN:

Dr. Wentz explains what led her to write The Adrenal Protocol.
What happens in the body when we experience significant amounts of fatigue?
How the physical impact of acute stress differs from that of chronic stress.
Symptoms of adrenal dysfunction (other than chronic fatigue).
How does sleep apnea tie to Hashimoto’s and mitochondrial health?
Lifestyle factors that may contribute to adrenal fatigue.
Adaptogens and supplements that can assist in balancing cortisol levels.
How to know when to cut back on exercise.
Foods that support thyroid and adrenal health, and foods that could negatively impact thyroid and adrenal health.
What is molecular mimicry?
How does trauma impact adrenal health?
Dr. Wentz talks about her latest book, The Adrenal Transformation Protocol.
Something you can do right now to improve your adrenal health.

Bio:

Izabella Wentz, PharmD, FASCP, is an internationally acclaimed thyroid specialist and a licensed pharmacist who has dedicated her career to addressing the root causes of autoimmune thyroid disease after being diagnosed with Hashimoto’s thyroiditis in 2009. She is the author of three books on Hashimoto’s: Hashimoto’s Thyroiditis Lifestyle Interventions for Finding and Treating the Root Cause, Hashimoto’s Food Pharmacology, and Hashimoto’s Protocol, which became a #1 New York Times bestseller. Dr. Wentz currently lives in Texas with her husband, Michael, and their son, Dimitry.

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Get Dr. Wentz’s adrenal healing guide: The ABCs of Adrenal Support

Find Dr. Wentz’s new book, The Adrenal Transformation Protocol

Book Mentioned:

From Fatigued to Fantastic by Jacob Teitelbaum

Ep. 440 Why Less Than 3% of Women Use HRT: Myths, Labs & Lifestyle Jackie Piasta, RN, MSN, RNFA, WHNP-BC, NCMP | HRT & Hormone Replacement Therapy Feb 15, 2025

Show notes

I am excited today to connect with my friend and colleague, Jackie Piasta. Jackie is Vanderbilt-trained and has been board-certified as a women’s and gender health nurse practitioner. She has been practicing since 2010. She serves on medical advisory committees for several foundations and co-hosts the justASK Podcast.

In our conversation, we dive into the challenges and complexities surrounding menopausal hormone replacement therapy and FDA-approved formulations, looking at the minute percentage of women currently on menopausal hormone replacement therapy. We discuss supraphysiologic-dosing of hormones and lab work strategies regarding prescribing lifestyle, and Jackie clarifies how she differentiates hypoactive sexual disorder from low libido and dysfunctional uterine bleeding from early menopause. We explore IUDs, ablations, and other long-term bleeding therapy options, explaining how endometriosis can impact the onset of menopause. Jackie also shares her approach to managing patients who have had ablations or are using IUD therapies and not getting regular menstrual cycles, helping them to determine when they transition into menopause.

This conversation is full of valuable insights, and we look forward to having Jackie back for a further deep dive into this pivotal stage of women’s health.

IN THIS EPISODE YOU WILL LEARN:

Jackie compares the varying information and lack of a one-size-fits-all approach in HRT with that of other medical treatments.
Overwhelming options and fear surrounding HRT can make it challenging for clinicians to prescribe those treatments.
How compounded HRT formulations differ from commercially available formulations
The difference between a normal physiologic and a supraphysiologic dose
How low libido differs from hypoactive sexual desire disorder
Challenges of diagnosing menopause in women who have had ablations or hysterectomies or use long-acting reversible contraceptives
Importance of evaluating postmenopausal bleeding to rule out endometrial cancer
Transparency and open communication with patients about the benefits and risks of HRT
Other health interventions to be addressed alongside HRT
How endometrial biopsies confirm the presence of uterine disease rather than ruling it out

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Jackie on Instagram
The justASK Podcast

Ep. 439 AMA #11: Supplements & HRT for Balanced Hormones with Cynthia Thurlow, NP Hormone Replacement Therapy & HRT Feb 12, 2025

Show notes

Welcome to today's special AMA episode, where we dive into questions from listeners regarding supplementation to support hormonal health, hormone replacement therapy, and the specific circumstances surrounding perimenopause and menopause.

We have included the relevant research links with actionable information to take to your providers. We will also happily share the provider PDF we compiled featuring experts across the United States who specialize in perimenopausal and menopausal hormone replacement therapy and links to MIDI Health, a telemedicine company I find beneficially conservative in that they can provide access to appropriate FDA-approved options to help women use their insurance to gain access to estrogen patches, oral micronized progesterone, and compounded options inexpensively.

I know you will find all the information about hormone replacement therapy, perimenopause, menopause, and targeted supplementation invaluable, and please keep on sending us your questions.

IN THIS EPISODE YOU WILL LEARN:

What are the benefits of DHEA for pre-menopausal women?
Why the keto lifestyle and cardio exercise may not be giving Mary her desired results
Amanda asks about incorporating estradiol into her hormone replacement regimen
The difference between micronized and compounded progesterone
Can Jody start HRT at 72?
The symptoms of estrogen dominance
What are the optimal estrogen and progesterone levels for brain, bone, and heart health?
The importance of cardiovascular risk assessment for women on HRT
The complex interrelationship that exists between hormones and neurotransmitters
Is HRT safe for women with a family history of cancer?
Why strength training, quality sleep, and stress management are all essential for menopausal women

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BONUS: Longevity, Fitness & Metabolic Flexibility with Brad Kearns Feb 10, 2025

Show notes

I am delighted to connect with Brad Kearns today! Brad is a New York Times bestselling author, Guinness World Record setting professional Speedgolfer, #1 ranked USA high jumper, and a former US national champion and triathlete. He hosts the B.rad podcast covering healthy living, peak performance, and personal growth.

Brad has always had high standards and a competitive edge that he never wants to let go of, especially as he ages. In this episode, we define fitness and dive into the cultural programming within the western medicine mindset. We talk about avoiding overtraining or training when we are stressed or sick, stress hormones, and the importance of having an ancestral health perspective on your physical activity. We also spoke about nutritional dogma, nutritional philosophies, critical thinking, and more.

I hope you enjoy listening to today’s conversation with Brad Kearns as much as I did recording it! Stay tuned to learn how to pursue peak performance with passion throughout your life!

IN THIS EPISODE YOU WILL LEARN:

The importance of preserving functional lean muscle mass throughout life for longevity.
How to improve your level of fitness in a healthy and stress-free manner as you age.
Fitness does not have to be an ordeal that involves struggling and suffering.
The benefits of sprinkling opportunities to be more active into your daily routine rather than going to extremes and pushing yourself too hard.
What happens to your metabolic and hormonal processes when you over-exert yourself physically?
Brad shares a formula to work out your heart rate limit for aerobic activities.
How to change your mentality and become more peppy and active throughout the day.
How to do more appropriate high-intensity workouts.
What happens to your body when you go too hard for too long?
Overcoming patterns of over-exercising, over-fasting, and avoiding certain macros.
Brad discusses his nutritional evolution over the last ten to fifteen years, shares his personal alternative to fasting, and talks about his Carnivore Scores Chart.
How to maintain optimum metabolic health and avoid losing muscle mass as you get older.

Bio:

Brad Kearns is a New York Times bestselling author, Guinness World Record setting professional Speedgolfer, #1 ranked USA age 55-59 high jumper and former US national champion, and #3 world-ranked professional triathlete. He hosts the B.rad podcast covering healthy living, peak performance, and personal growth with his carefree style and lively sense of humor.

Brad has written over twenty books on diet, health, peak performance, and ancestral living, and is a popular speaker, retreat host, and host of numerous online multimedia educational courses at BradKearns.com. In 2017, The Keto Reset Diet (co-authored with Mark Sisson) became New York Times bestseller, and #1 ranked overall bestselling book on amazon.com for two days.

Brad's main message is to encourage the pursuit of peak performance with passion throughout life. He promotes the importance of performing a daily morning exercise routine for a natural energy boost, improved strength, mobility, and flexibility, and better focus and discipline in all areas of life.

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Connect with Brad Kearns

On the B.rad podcast
On his website

Resources:

Jay Feldman’s The Energy Balance Podcast

Mark Sisson’s Primal Essential Movements on YouTube

Books mentioned:

Metabolical: The Lure and the Lies of Processed Food, Nutrition, and Modern Medicine by Robert. H. Lustig

The Keto Reset Diet: Reboot Your Metabolism in 21 Days and Burn Fat Forever by Mark Sisson

Ep. 438 The Rise of GLP-1s: Key to Weight Loss and Metabolic Health with Alexandra Sowa, MD | Metabolic Health & Menopause Feb 08, 2025

Show notes

I am delighted to have Dr. Alexandra Sowa joining me for our second conversation today. Dr. Sowa is a pioneer in obesity medicine, known for combining scientific expertise with compassionate patient advocacy. She is also the author of the new Ozempic Revolution book.

In our discussion, Dr. Sowa shares her insights on GLP-1 medications and their role in metabolic health and weight management, and we tackle some of the biggest misconceptions about these drugs, exploring the differences between Metformin and GLP-1s and examining the damaging effects of ultra-processed foods have on our brains. We discuss the impact of the body positivity movement, yo-yo dieting, and microdosing, and Dr. Sowa offers her perspective on metabolic adaptation. We dive into the science behind how GLP-1s work in the body and some specific concerns about their side effects, and we also provide practical guidance on insurance coverage and answer a broad range of listener questions.

I know you will love this invaluable discussion with Dr. Alexandra Sowa.

IN THIS EPISODE YOU WILL LEARN:

Dr. Sowa shares her experience with GLP-1 medications
Why you must understand your metabolic health before starting with GLP-1s
Some of the broader benefits of GLP-1 medications
Dr. Sowa explains what food noise is and clarifies how GLP-1 medications can help reduce it
Why healthy-at-any-size and GLP-1 medications are not mutually exclusive
Why is Dr. Sowa opposed to microdosing?
The importance of using GLP-1s for health benefits rather than thinness
How yo-yo dieting impacts metabolic health
The mechanism of action and side effects of GLP-1s
Some tips for navigating insurance coverage and accessing GLP-1s
The importance of protein and the benefits of low-carbohydrate diets for individuals with insulin resistance

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Connect with Dr. Alexandra Sowa

On her website
On all social media: @alexandrasowamd
Purchase a copy of Dr. Sowa’s book, The Ozempic Revolution: A Doctor's Proven Plan for Success to Help You Reverse Obesity, End Yo-Yo Dieting, and Protect Yourself from Disease

Ep. 437 Exploring the Link Between Money, Happiness, and Fulfillment with Sahil Bloom | Mental Health & Mindset Feb 05, 2025

Show notes

Today, I am thrilled to have my friend and colleague, Sahil Bloom, joining me. Sahil is an inspirational writer and content creator who captivates millions with his insights and bi-weekly newsletter. He is also a successful entrepreneur and the author of The Five Types of Wealth.

In our conversation today, we explore the scientific research on the relationship between money and happiness, diving into time as our most valuable asset, how busyness can hinder progress, and why comfort does not lead to growth. We also discuss the impact of technology on our daily lives, the importance of stillness and solitude, the paradox of choice, the effects of loneliness, the power of curiosity, and much more.

This discussion with Sahil Bloom is invaluable, and I highly recommend reading his thought-provoking book, The Five Types of Wealth.

IN THIS EPISODE YOU WILL LEARN:

How money, beyond a certain income level, does not increase happiness
Why it’s hard to break the psychological patterns that link money with happiness
Why time is our most valuable asset
How busyness and technology can negatively impact our personal growth and relationships
The importance of being present and working through difficulties in relationships
How loneliness affects people’s physical health
How relationships tend to evolve and change over time
Why Sahil views curiosity as the fountain of youth
The dynamic nature of purpose
Sahil shares a strategy to foster curiosity

Bio: Sahil Bloom

Sahil Bloom is an inspirational writer and content creator, captivating millions of people every week through his insights and biweekly newsletter, The Curiosity Chronicle. Bloom is a successful entrepreneur, owner of SRB Holdings, and the managing partner of SRB Ventures, an early-stage investment fund. Bloom graduated from Stanford University with an MA in public policy and a BA in economics and sociology. He was a four-year member of the Stanford baseball team.

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Connect with Sahil Bloom

On his website
On all major platforms: @sahilbloom
Find out more about The 5 Types of Wealth
Buy a copy of The 5 Types of Wealth: A Transformative Guide to Design Your Dream Life by Sahil Bloom

BONUS: Decoding DNA: Genes, Mood, and Health Impact with Kashif Khan Feb 03, 2025

Show notes

Today, I have the privilege of engaging with Kashif Khan.

Kashif is the author of The DNA Way. He is also a two-time TEDx speaker, a celebrity longevity coach, and Founder of The DNA Company, an innovative company at the forefront of personalized medicine that has leveraged unique insights into the human genome.

In our conversation today, we dive into the impact of our current healthcare system and share daily practices to help men and women enhance their longevity. We discuss the genome, considerations for bio-individuality and genetics, and how mood and behavior impact our overall well-being. Kashif also addresses some issues women face in midlife, including sleep problems, weight loss resistance, and bone health.

I am sure anyone seeking a deeper understanding of these matters will find our discussion significant and most valuable.

IN THIS EPISODE YOU WILL LEARN:

How the focus of our current healthcare system is on symptom management, not prevention
The fundamental principles of the 2018 Harvard study on five practices that every male and female can do to live longer
Kashif explains how his company created a tool to make genetic testing more accessible and personalized
Why personalization in healthcare is so important
How dopamine pathways affect the perception of pleasure and reward
The symptoms of serotonin dysregulation
Sleep disruptions and circadian rhythm in perimenopause and menopause
How circadian rhythm disruptions can lead to sleep problems
How our emotional intelligence impacts our ability to connect and empathize with others
How broken detox pathways can lead to inflammation and disease
How hormone dominance affects menopause, weight loss, and overall health

Bio:

Kashif Khan is the author of The DNA Way, a two-time TedX Speaker, Celebrity longevity coach, and Founder of The DNA Company, where personalized medicine is being pioneered through unique insights into the human genome.

Growing up in Vancouver, Canada in an immigrant household, Kashif developed an industrious entrepreneurial spirit from a young age. Before his tenure at the DNA Company, Kashif advised several high-growth start-ups in a variety of industries.

As Kashif dove into the field of functional genomics as the Founder of The DNA Company, it was revealed that his neural wiring was genetically designed to be entrepreneurial. However, his genes also revealed a particular sensitivity to pollutants.

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Go to Kashif’s special landing page
The DNA Company

Ep. 436 Fear-Based Choices: WHI’s Legacy & Breast Cancer Myths with Dr. Corinne Menn | Menopause & Breast Cancer Feb 01, 2025

Show notes

Today, I am honored to connect with Dr. Corinne Menn, a board-certified OB-GYN and Menopause Society-certified practitioner. Dr. Menn is a 23-year breast cancer and premature menopause survivor and a BRCA carrier who draws on her personal experiences to assist other women in navigating their health challenges.

In our discussion, we explore the ways the Women’s Health Initiative has impacted Baby Boomers and how fear-based decision-making, particularly around breast cancer risks, has shaped women’s health. We discuss the timing hypothesis for hormone replacement therapy, breast cancer risks, and misleading stats and look into empowerment and the differences and biases that shape the experiences of women in perimenopause and beyond. We examine why osteoporosis is a silent disease and how hormone replacement therapy can reduce fracture risk by 30–50%, and tackle the effects of poor metabolic health, the challenges of receiving a diabetes diagnosis, and how statin therapy can influence the course of menopause and beyond. Dr. Menn also shares her personal story of resilience and empowerment.

This conversation with Dr. Corinne Menn is invaluable for all women- especially those with a history of breast cancer.

IN THIS EPISODE YOU WILL LEARN:

How the Women’s Health Initiative has caused fear-based decision-making among menopausal women
Why SSRI medications are inadequate in managing menopausal symptoms
How the fear of litigation has impacted clinical decision-making in modern medicine
The cardio-protective benefits of HRT
How HRT can help avoid the risk of breast cancer
Why starting HRT early is essential for cardiovascular health
How racial differences impact women in menopause
How early bone density screening can help prevent rapid bone loss during menopause
The metabolic changes that occur during menopause
How the lack of menopause education led Dr. Menn to experience premature menopause due to her breast cancer treatments

Bio: Corinne Menn, DO, FACOG, MSCP

Dr. Corinne Menn is a board-certified OBGYN and Menopause Society Certified Practitioner. Dr.Menn is also a 23-year survivor of breast cancer and premature menopause, a BRCA carrier,and uses her experience to help women navigate their health challenges. She has dedicated her medical practice to menopause management, the unique healthcare needs of female cancer survivors, and those at high risk for breast cancer. Now practicing exclusively through telehealth, Dr. Menn provides women’s health consultations and patient education. She is also a medical advisor and a prescribing doctor on Alloy, a menopause telehealth platform. Dr. Menn is an active member of the Menopause Society and a fellow of The American College of Obstetrics & Gynecology. She is a dedicated advocate and volunteer for the Young Survival Coalition, serving on their Council of Advisors, leading the Provider-Survivor support group, and serving on the Breast Cancer Alliance Research Grant Committee. She is a frequent speaker and podcast guest and has an active social media platform where she shares her mission of educating fellow clinicians and women on menopause and women’s health.

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Connect with Dr. Corinne Menn

Ep. 435 Gut-Brain Health, Psychedelics & Plants: A Medicine Revolution with Chris Kilham | Women’s Health Jan 29, 2025

Show notes

I am delighted to interview Chris Kilham today. Chris is a medicine hunter and educator with a wealth of knowledge to share as an expert in his field. He has been involved in natural health since 1971 and has written several books.

In today's discussion, we explore the differences between traditional plant-based medicines and pharmaceutical agents, looking at patents, industry trends, gut health, mental acuity, and inflammation. We touch on medical tourism and infobesity and discuss the limitations of plant-based therapies. Chris also shares his favorite plants for brain and neurocognitive health, his experiences with other experts and shamans, some fascinating details about psychedelic agents, and his work with the global plant exploration program at Groupe Berkem.

This fascinating discussion on plant-based medicines is full of intriguing insights, and I look forward to having Chris back on the podcast.

IN THIS EPISODE YOU WILL LEARN:

How plant medicines, which have been around for millennia, differ from pharmaceutical agents
The high cost of bringing new drugs to market
How patents impact pharmaceutical companies
How emerging trends in the plant medicine industry are focusing on gut health, mental acuity, and inflammation
The benefits and challenges of medicinal tourism
The rise of misinformation and the importance of having credible sources of information
Chris explains what infobesity is
Chris shares his intense and positive Bufo Toad psychedelic experience and a story of a 103-year-old woman he met while traveling around, investigating shamans.
How to navigate the purchase of good quality plant medicine products
The challenges of regulation and the need for consumer awareness

Bio: Chris Kilham

Chris Kilham is a medicine hunter, author, educator, and TV personality who has researched medicinal plants in over 45 countries and lectures worldwide about holistic wellness and botanical medicines.

Currently, he is engaged with Groupe Berkem of Bordeaux, France, a high-quality botanical extraction and science innovation company. Chris works on sustainable supply chains, botanical field exploration, and new product development.

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Connect with Chris Kilham

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