Endo Battery

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What if the key to managing your endometriosis symptoms lies not in restrictive diets but in a compassionate, evidence-based approach to nutrition? Join us on Endo Battery as we welcome Sarah Rae, a registered dietitian with personal experience in endometriosis and adenomyosis, who navigated a challenging healthcare journey filled with painful periods, hormonal treatments, and a path to motherhood that led to a hysterectomy. Sarah's story highlights the importance of proper excision surgery and her passion for empowering others through personalized nutrition strategies, steering clear of the restrictive fads often found on social media.

Ever wondered about the difference between a nutritionist and a registered dietitian? We break down the rigorous training and accreditation required to become a registered dietitian, emphasizing the crucial role they play in providing evidence-based, personalized advice, especially for managing conditions like endometriosis. Sarah and I discuss the potential hazards of following unverified and restrictive diets, which can do more harm than good, and the importance of consulting with endo-informed professionals to maintain a balanced and healthy relationship with food.

From debunking myths about endometriosis nutrition to offering practical tips for balanced meals, this episode covers it all. We explore the misconceptions surrounding gluten and endometriosis, the importance of intuitive eating, and the role of genetics in managing symptoms. Tune in as we equip you with the knowledge and tools to improve your well-being, embrace your genetic makeup, and foster a positive relationship with food, all while navigating the complexities of endometriosis.

Links
sarahraerdn.com
intuitiveeating.org
icarebetter.com
Find Food Freedom Podcast
https://a.co/d/9TlWhSe
https://a.co/d/71lMskt

Articles
Barnard ND, Holtz DN, Schmidt N, Kolipaka S, Hata E, Sutton M, Znayenko-Miller T, Hazen ND, Cobb C, Kahleova H. Nutrition in the prevention and treatment of endometriosis: A review. Front Nutr. 2023 Feb 17;10:1089891. doi: 10.3389/fnut.2023.1089891. PMID: 36875844; PMCID: PMC9983692.

Influence of diet on the risk of developing endometriosis. Joanna Jurkiewicz-Przondziono, Magdalena Lemm, Anna Kwiatkowska-Pamuła, Ewa Ziółko, Mariusz K. Wójtowicz. DOI: 10.5603/GP.a2017.0017. Ginekol Pol 2017;88(2):96-102.

Marcinkowska, A.; Górnicka, M. The Role of Dietary Fats in the Development and Treatment of Endometriosis. Life 2023, 13, 654. https://doi.org/10.3390/ life13030654

Barnard, N.D., Holtz, D.N., Schmidt, N., Kolipaka, S., Hata, E., Sutton, M., Znayenko-Miller, T., Hazen, N.D., Cobb, C., & Kahleova, H. (2023). Diet associations in endometriosis: a critical narrative assessment with special reference to gluten. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1166929

Social Media (Intuitive Eating)

@endonutrition.pnw

@find.food.freedom

@diet.culture.rebel

@ameeistalking

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Explore all the facinating and insightful research that's helping us understand Endometriosis and all it's nuances. 
This episode we cover the following studies:

1.)The causal relationship of depression, anxiety, and neuroticism with endometriosis: A bidirectional 2-sample Mendelian randomization study. Medicine (Baltimore). 2024 Jul 12;103(28):e38823. 

2.) Mental illness and sleep disorders among women with gynecological problems. J Psychosom Obstet Gynaecol. 2024 Dec;45(1):2354330. 

3.)The impact of surgical treatment for deep endometriosis: metabolic profile, quality of life and psychological aspects. Rev Bras Ginecol Obstet. 2024 Jun 27;46:e-rbgo42.

4.)Association between COVID-19 vaccination and menstruation: a state of the science review. BMJ Sex Reprod Health. 2024 Jul 12;50(3):212-225. 

5.)Vesical Endometriosis in a male patient on treatment for papillary urothelial carcinoma. J West Afr Coll Surg. 2024 Jul-Sep;14(3):345-347.

6.)Lack of care pathway and poor symptom recognition are hindering care, report warns. BMJ. 2024 Jul 11;386:q1548. 

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Can removing ovaries in young women with endometriosis do more harm than good? Join us asa we discuss the critical long-term implications of surgical decisions with Dr. Cindy Mosbrucker. We tackle the often-overlooked consequences of oophorectomy (removal of ovaries), such as accelerated aging, bone brittleness, and cognitive decline. Dr. Mosbrucker emphasizes the necessity of comprehensive patient discussions and appropriate hormone replacement therapy to mitigate these effects. We also examine the disparity in medical approaches between genders, questioning how differently men's health issues would be handled.

Discover the truth about hormone replacement therapy (HRT) that many women have been missing. Dr. Mosbrucker guides us through the flawed conclusions of the early 2000s Women's Health Initiative study, which led to a widespread cessation of HRT and subsequent health issues. We dissect how this study's design flaws misled women and explore more recent research showing the benefits of estrogen-only HRT, including a lower risk of breast cancer. Tune in to gain a deeper understanding of how medical research and study designs impact health decisions, and empower yourself with knowledge that’s crucial for navigating this complex landscape.

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Ever wondered how a childhood dream of becoming a veterinarian could evolve into a distinguished career in urogynecology? This week, we welcome Dr. Cindy Mosbrucker, a leading expert in minimally invasive excision of endometriosis. Her journey is nothing short of extraordinary—from hands-on experiences to impactful mentorships, and even a pivotal training encounter with the renowned Dr. David Redwine. Dr. Mosbrucker’s story is a testament to the power of perseverance and passion in transforming the landscape of women's health.

We also delve into the groundbreaking work of Dr. David Redwine, a pioneer in excision surgery for endometriosis. Despite facing fierce criticism, Dr. Redwine's innovative approach and dedication to patient outcomes have revolutionized our understanding of the condition. His humor and humanity shine through, making his contributions not just scientifically significant but also deeply personal and humane. This episode highlights the emotional and professional challenges specialists face and underscores the importance of better patient education and collaboration within the medical community.

Our discussion extends to the complexities of training and identifying skilled endometriosis surgeons. We explore the limitations of MIGS fellowships and the critical need for specialized education and experience in endometriosis care. Additionally, we touch on the slow but promising advancements in endometriosis research, focusing on genetics and immunotherapy. The episode is a comprehensive look at the multifaceted journey of improving patient care, from surgical expertise to addressing the psychological aspects of chronic pain. Join us for an insightful conversation that promises to inform, challenge, and inspire.

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Get ready to uncover the transformative power of functional medicine in addressing endometriosis and adenomyosis with our special guest, Dr. Bri Wyatt. Renowned for her expertise as a physical therapist and pelvic floor specialist, Dr. Wyatt shares her personal journey through chronic pain and how it steered her towards integrating functional medicine into her practice. Learn the importance of individualized care, the role of functional medicine in symptom management, and why a one-size-fits-all approach simply doesn't work for such complex conditions.

We delve deep into the essentials of patient history, covering everything from stress levels to environmental factors like mold exposure. Dr. Wyatt emphasizes the comprehensive approach needed to truly understand and treat endometriosis, illustrating how incremental lifestyle changes can lead to significant improvements. Discover the challenges and rewards of adopting functional medicine within the constraints of a PT license, and the critical need for patient cooperation in achieving better health outcomes.

Our discussion doesn't stop there. We also explore the nuanced world of diet and supplements, emphasizing that what works for one patient may not work for another. Dr. Wyatt shares invaluable insights on post-surgical and post-menopausal health, stressing the importance of nutrition, stress management, and protein intake. Hear firsthand how the synergy between functional medicine, Western medicine, and pelvic floor therapy can optimize patient outcomes, empowering people to take control of their health and navigate the challenging journey of endometriosis treatment.

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Ever wondered how endometriosis impacts not just personal lives but also the workplace and broader economy? Join us on Endobattery Fast Charged as we unpack the hidden toll this condition takes on productivity, both at home and on the job. Discover shocking studies that reveal how endometriosis-related absenteeism and presenteeism lead to lost productivity and heightened stress.

Links
The Effect of Endometriosis Symptoms on Absenteeism and Presenteeism in the Workplace and at Home. J Manag Care Spec Pharm. 2017 Jul;23(7):745-754.

 Endometriosis and the workplace: Lessons from Australia's response to COVID-19. Aust N Z J Obstet Gynaecol. 2022 Feb;62(1):164-167. 

Disability from endometriosis in the United States Army. J Reprod Med. 1988 Jan;33(1):49-52.

Longitudinal Assessment of the Impact of Endometriosis on Patients' Salary Growth and Risk of Leaving the Workforce. Adv Ther. 2020 May;37(5):2144-2158.

Endometriosis Is Undervalued: A Call to Action. Front Glob Womens Health. 2022 May 10;3:902371

Endometriosis and Disability: Analysis of Federal Court Appeals of Social Security Disability Insurance and Supplemental Security Income Claims by Individuals Suffering From Endometriosis. Womens Health Issues. 2024 May-Jun;34(3):221-231.

Health needs of women with disabilities across the lifespan

Physicians' Perceptions Of People With Disability And Their Health Care

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What if you could transform an overwhelming challenge into a mission that changes lives? Our guest, Chanda Hinton, knows firsthand. After surviving a life-altering spinal cord injury at just nine years old, Chanda has turned her personal journey into a powerful movement for holistic healthcare solutions. Join us as we explore her inspiring path from patient to executive director of the Chanda Center for Health, where she champions comprehensive care for individuals with physical disabilities, including pivotal therapies like acupuncture, massage, and chiropractic services.

In this episode, we unravel the legislative triumphs that have paved the way for integrative therapies to become accessible and affordable. Discover the relentless advocacy behind the 2009 Colorado House Bill 1047, a groundbreaking bill that expanded Medicaid to cover essential services for spinal cord injury patients. Chanda sheds light on the ongoing struggle to achieve legislative recognition for conditions like endometriosis and the systemic changes needed to align healthcare with modern medical advancements. Learn about the cost-effective and life-enhancing benefits of these integrative therapies and the barriers that still exist in accessing them.

Finally, we tackle the pervasive healthcare barriers faced by individuals with disabilities, from inaccessible medical facilities to biased healthcare providers. Hear Chanda's insights on overcoming these obstacles through the Chanda Center's initiatives, including the establishment of an adaptive gym aimed at promoting health without financial strain. This episode is packed with powerful discussions on strategic planning, community support, and the relentless advocacy essential for driving systemic change. Don't miss the invaluable lessons Chanda has learned while building a nonprofit dedicated to transforming disability healthcare.

https://chandacenter.org/

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This episode of Endo Battery Fast Charged is a continuation into  research and its correlation between the LGBTQ+ Community and endometriosis.

Here are the articles that are highlighted in this episode:

Jones CE. Queering gendered disabilities. J Lesbian Stud. 2021;25(3):195-211. https://pubmed.ncbi.nlm.nih.gov/32567533/

Dysmenorrhea and Endometriosis in Transgender Adolescents. J Pediatr Adolesc Gynecol. 2020 Oct;33(5):524-528. https://pubmed.ncbi.nlm.nih.gov/32535219/

Hematospermia in a Transgender Woman with Evidence for Endometrial Tissue in the Prostate. AACE Clin Case Rep. 2024 Jan 24;10(3):80-83. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127599/

Endometriosis in transgender men: recognizing the missing pieces. Front Med (Lausanne). 2023 Aug 31;10:1266131. https://pubmed.ncbi.nlm.nih.gov/37720510/

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Join me and gain insight into what the research says when it comes to the the LGBTQ+ community and endometriosis.

Transgender and gender diverse people with endometriosis: A perspective on affirming gynaecological care. Womens Health (Lond). 2024 Jan-Dec;20:17455057241251974.  https://pubmed.ncbi.nlm.nih.gov/38742674/

Prevalence of pelvic pain in transgender individuals on testosterone. J Sex Med. 2023 Nov 30;20(12):1459-1465. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10079239/

Breakthrough Bleeding in Transgender and Gender Diverse Adolescents and Young Adults on Long-Term Testosterone. J Pediatr Adolesc Gynecol. 2021 Oct;34(5):706-716. https://pubmed.ncbi.nlm.nih.gov/33910088/

Endometriosis in transmasculine individuals. Reprod Fertil. 2022 Apr 20;3(2):C7-C10. https://pubmed.ncbi.nlm.nih.gov/35706580/

 Sexual orientation and gynecologic medical care: A cross-sectional study with Brazilian women. Int J Gynaecol Obstet. 2022 May;157(2):458-465. https://pubmed.ncbi.nlm.nih.gov/34418094/

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What if the pain you've been living with for years was dismissed as normal? Join us as we sit down with Dr. Ginger Garner, a celebrated physical therapist and lifestyle medicine expert, who courageously shares her long-overdue diagnosis of endometriosis at age 50. Dr. Garner opens up about the impact of cultural conditioning, medical gaslighting, and limited access to care on her journey, and how integrative medicine became a beacon of hope, leading to the births of her three miracle children. Her evolution from orthopedics to pelvic health emphasizes the need to normalize discussions around pain and resilience.

Ever wondered how your pelvic floor impacts your voice? This episode provides an eye-opening exploration into the connection between vocalists' pelvic health and their voice. Dr. Garner reveals how early voice training techniques like pelvic tilts can shape posture and breath control, and how pain from conditions such as endometriosis can alter a singer's tone and inflection. We hear an engrossing account of a singer contending with the physical changes of pregnancy, highlighting how these shifts influence vocal performance and why this understanding is crucial for all singers.

The narrative takes a poignant turn as we delve into the story of a young mother navigating postpartum challenges without proper guidance. Despite her background in exercise physiology, she faced significant issues with urgency, frequency, and leakage post-childbirth, shedding light on the gaps in postpartum care within the U.S. healthcare system. Dr. Garner passionately discusses the importance of an integrative and trauma-informed approach to women’s health, advocating for better community support and medical care. This episode is a rallying call for empathy, education, and systemic change in how we address chronic pain and trauma in women's health.


More about Ginger:


Dr. Ginger Garner is a doctor of physical therapy (PT, MPT, DPT), board certified in Lifestyle Medicine (DipACLM) and retired athletic trainer (ATC-ret) with post-doctoral training in functional and integrative medicine, dry needling, and rehabilitative ultrasound imaging. Ginger has spent 26 years teaching integrative and lifestyle medicine internationally, speaking at over 30 conferences worldwide. She is the author of multiple book chapters and 2 medical textbooks, Medical Therapeutic Yoga and Integrative and Lifestyle Medicine in Physical Therapy, from which she developed certifications for PT's and OT's in therapeutic yoga and lifestyle medicine. 


Based in Greensboro, NC, Dr. Garner runs Garner Pelvic Health and Living Well Institute, is the host of the Living Well Podcast, and is raising 3 sons. She is active in community service and holds leadership roles for American Physical Therapy Association (APTA) Academy of Pelvic Health, APTA North Carolina, and American College of Lifestyle Medicine. Additionally, she is a mentor and thought leader in areas like voice to pelvic floor connection, rehab ultrasound imaging, and trauma-informed practice. Visit Dr. Garner at her clinical practice, www.garnerpelvichealth.com, Institute, www.integrativelifestylemed.com, and on Instagram and YouTube @drgingergarner.com

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