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

Aging is the leading risk factor for cognitive decline, and projected statistics show that the number of people diagnosed with Alzheimer’s will reach 8.5 million by 2030 and 11.2 million by 2040. 

Today, I am thrilled to connect with Dr. Heather Sandison, a naturopathic doctor and the founder and medical director of Solcere Health, a San Diego-based brain optimization clinic, and Marama, the first residential memory care facility that aims to return its residents to independent living. Dr. Sandison is also the New York Times bestselling author of Reversing Alzheimer's. 

In our conversation today, Dr. Sandison and I explored the most common signs of early cognitive decline, looking at ways to differentiate dementia from formal Alzheimer's disease. We dive into the causes of dementia and Alzheimer's, examining six key imbalances that can affect ApoE status and tackle the limitations of current approaches to Alzheimer's research. We also share information on current drug modalities and touch on the importance of brain-nurturing environments and helpful activities for maintaining cognitive status as we age. 

I look forward to having Dr. Sandison back for a second conversation, where we will dive deeper into practical ways to support and improve brain health.

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Today, I am delighted to connect with a personal friend and colleague, Todd Durkin. Todd is the CEO and Co-founder of Impact-X Performance, a fitness and coaching franchise featuring faith, fitness, recovery, and life coaching, and he motivates and inspires people daily through his inspirational keynote speeches, books, podcasts, and franchise. 

Todd and I went to middle school together, so our conversation today is personal in addition to being inspirational. We explore the role of faith and family, looking at the benefits of sports, the importance of vision boards, the value of motivation, and transforming passion into purpose. Todd also discusses his philosophy, which centers on mindset, habits, and routine, shares his evening and morning routines, offers his take on big, hairy, audacious goals, and explains why challenges and adversity are crucial for growth. 

Todd is one of the most inspiring, thoughtful, and intentional voices on social media today, and I have no doubt you will find this conversation as valuable as I did.

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This podcast is the first episode in a series featuring companies I am eager to explore and share with my community.

Today, I am thrilled to welcome Dr. Andrew Salzman, a Harvard-trained medical doctor, pioneering scientist, and esteemed inventor. Dr. Salzman is the Chief Medical Officer at Wonderfeel, where he applies over three decades of medical innovation. His research into DNA repair with NAD-activated enzymes led the way for a groundbreaking treatment for BRCA-related breast and ovarian cancers, which he licensed to Genentech. Dr. Salzman was among the first researchers to publish papers on the gut microbiome and leaky gut syndrome in the 1980s, and he has published over 170 peer-reviewed papers and holds more than 50 patents.

In our conversation today, we dive into what NAD is, its significance, why it matters, and how it impacts fertility, menopause, and sexual health. Dr. Salzman walks us through the symptoms of NAD deficiency and explains how an enzyme called CD38 can emerge when NAD levels are low, triggering inflammation and oxidative stress. We explore the difference between pharmaceutical agents and nutraceuticals, examining why oral NMN is preferable and how sleep and alcohol can influence NAD levels. We cover the risk factors for breast, ovarian, and uterine cancers, looking at what we can do to reduce them, and we also talk about Wonderfeel and how their supplements and botanicals enhance wellness for women. 

This is an invaluable discussion with Dr. Salzman, so you will likely want to listen to it more than once.

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• On the Wonderfeel website

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I am delighted to have the amazing Dr. Shannon Ritchey joining me today. She is a doctor of physical therapy, a fitness trainer, and the founder of Evlo Fitness.

In this insightful conversation, we explore the complex landscape of social media and its influence on our perceptions of health and fitness, unpacking myths, stigmas, and societal conditioning. We dive into body recomposition, looking at the compare and despair trap of social media, the effects of fitness challenges, and the science behind muscle soreness and eccentric exercises. Dr. Ritchey explains how to measure body composition requirements accurately, how muscle supports metabolic health, and the results of different types of muscle fiber stimulation, and she also shares her thoughts on Zone 2 cardio, Pilates, high-intensity interval training (HIIT), nutrition, and more. 

This discussion with Dr. Ritchey offers a wealth of information, and I look forward to welcoming her back for another conversation later this year.

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Bio: Shannon Ritchey

Dr. Shannon Ritchey is a former physical therapist, a fitness trainer with over 15 years of experience, and the founder of Evlo Fitness. She educates on the science of exercise, specifically teaching women how to build muscle with less wear and tear on their bodies. Residing in Austin, Texas, but originally from Kansas, Shannon is a wife and mom to a daughter (and pregnant with a second!).

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We have a mashup episode today, with several experts diving into the critical role of the microbiomes in our bodies.

In this episode, Dr. Colleen Cutcliffe explains why fiber is essential for gut health and the challenges of cultivating anaerobic probiotics outside the body. Dr. Elisa Song discusses the impact of antibiotics on children’s gut and mental health. Dr. William Li highlights how plant-based foods nourish gut bacteria, metabolism, and mental well-being. Dr. Nathan Bryan dives into the role of the oral microbiome in nitric oxide production, and Dr. Vincent Pedre explains how glyphosate contributes to leaky gut and health issues and examines how alcohol and environmental toxins impact weight management. 

Join us for today’s in-depth exploration of how our microbiomes impact digestion, health, and overall well-being.

Ep. 346 Gut Health: Unveiling the Science of the Microbiome with Dr. Colleen Cutcliffe

[00:02:18]- [00:25:22] Dr. Cutcliffe highlights the importance of dietary fiber for supporting gut microbes, metabolism, and overall health and explains the challenges of growing anaerobic probiotics like Akkermansia outside the body. 

Ep. 360 Raising Resilient Kids: Insights from Holistic Pediatrician Dr. Elisa Song

[00:12:17] - [00:24:28] Dr. Song highlights the often overlooked effects of antibiotics on gut and mental health, emphasizing the importance of educating preteens, teens, and young adults about how their daily choices impact their microbiome, brain function, and long-term health. 

[31:30]- [00:43:01] Why it is essential to understand how antibiotics and birth control impact the gut microbiomes of children and the importance of nurturing their resilience and restoring balance in their microbiomes over time.

Ep. 354 Metabolism Myths Debunked: Weight Gain Insights with Dr. William Li

[00:01:46] - [00:24:29] Dr. William William Li clarifies how bioactive compounds in plant-based foods feed gut bacteria, benefiting metabolism and mental well-being. He also highlights the importance of a healthy diet for gut health and explains how colonoscopy prep temporarily alters the gut microbiome.

Ep. 379 Understanding Nitric Oxide and Its Impact on Our Health with Dr. Nathan Bryan

[00:13:46]- [00:21:51] Dr. Nathan Bryan explores the crucial role of the oral microbiome in nitric oxide production and how mouthwash or fluoride products can disrupt that process, leading to higher blood pressure and reduced cardiovascular protection.

[00:35:04]- [00:37:17] How, even though antibiotics and antiseptic mouthwash can disrupt the oral microbiome, the microbial communities can recover when given proper care and nutrition.

Ep. 296 Secrets of Gut Microbiome and Glyphosate with Vincent Pedre

[1:56-27:39] Dr. Vincent Pedre highlights how glyphosate disrupts the gut microbiome due to its mineral-binding and antimicrobial properties, leading to imbalances, leaky gut, and numerous health issues.

[48:00- 1:02:15] The role alcohol, gut bacteria, and environmental exposure play in weight management and gut health, and how certain bacteria may lead to increased caloric extraction from food.

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Today, I am honored to connect with Kevin Ellis, the Bone Coach.

Kevin Ellis, better known as Bone Coach™, is a certified Integrative Nutrition health coach, podcaster, Youtuber, bone health advocate, and the founder of BoneCoach.com. After an osteoporosis diagnosis in his early 30s, he realized just how challenging it can be for the average person to make sense of what needs to be done to improve and how to move forward confidently with a stronger bone plan.

So many women struggle with osteopenia and osteoporosis throughout their lifetimes. In this episode, Kevin and I dive into his background and interest in osteoporosis and celiac disease. We discuss bone health, osteopenia, osteoporosis, and the various contributors to bone health. We get into conventional treatments for osteoporosis, explain why they are problematic, and discuss proactive ways to address osteoporosis. We also speak about the role of the gut microbiome in bone health, a study on how blood pressure accelerates bone aging, and the impact of insulin resistance. 

I hope you will enjoy listening to today’s discussion as much as I did recording it!

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Today, I am excited to connect with Dr. Daved Rosensweet, the founder of The Institute of BioIdentical Medicine and The Menopause Method, a leading expert in andropause and menopause treatment, and an internationally recognized lecturer and presenter with over 30 years of experience. Dr. Rosensweet has written three books, including his latest, Happy Healthy Hormones. 

In our discussion today, we dive into factors that influence long-term health and cognitive function during menopause, exploring strategies to help you avoid becoming a nursing home patient. We look at the role of hormone replacement therapy, the neurocognitive shifts that occur in perimenopause and menopause, why pellet therapy may not be the best choice for most women, and the impact of the Women’s Health Initiative. Dr. Rosensweet also shares valuable insights on the differences between compounded and synthetic HRT, the importance of testing, and the best routes of administration, and we examine what happens to hormone receptors more than a decade into menopause and how to support brain health by maintaining optimal estrogen levels. 

This insightful conversation with Dr. Rosensweet is invaluable, so you may want to listen to it more than once.

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Bio: Dr. Daved Rosensweet

Daved Rosensweet, MD, is the Founder of The Institute of BioIdentical Medicine and The Menopause Method, as well as the author of three books on the subject, including his latest "Happy Healthy Hormones". With over 30 years of experience specializing in andropause and menopause treatment, Dr. Rosensweet is an internationally known lecturer and presenter. Early in his career, he trained the first nurse practitioners in the United States and was in charge of health promotion for the State of New Mexico. Currently, Dr.Rosensweet spends the majority of his time as the Medical Director of The Institute of BioIdentical Medicine, where he trains medical practitioners to specialize in menopause and andropause medicine.

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I was thrilled to connect with Dr. Daryl Gioffre today. He is a certified nutritionist, gut health expert, and the author of two bestselling books. 

In our discussion, we explore myths around immunity, looking at the importance of gut health and immune function, specific areas of physiology in the gut, the impact of plant-based compounds and diets, and gut-brain access. Dr. Daryl explains why we are only as good as what we digest, absorb, and assimilate, and shares the specific stool tests he uses in his practice. We also dive into supplementation, what the symptoms surrounding bloating can help us identify, why fiber is most important, and how trauma and stress can affect the immune system. 

I know you will love this fascinating conversation with Dr. Daryl. It was such a joy to interview him!

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I am honored to have Dr. Stephanie Estima back on the show today! (She was with me before in 2020, on Episode 123.)

Dr. Estima is an exceptionally well-read and well-versed individual! She is an expert on female metabolism and body composition, the author of a fantastic resource called the Betty Body, and the host of an incredible podcast called The Better Podcast. 

Dr. Estima is one of my favorite voices in the health and wellness space! She and I dive into an Ask Me Anything format today. We speak at length about the ideal percentage of body fat for perimenopause and menopause, thyroid health, the impact of diastasis, and weight training based on that core imbalance. We discuss the Gardasil vaccine, optimal nutrients, Hashimoto’s, period cramps, and general PMS symptoms- particularly with inter-uterine devices. We also get into sleep basics, supplement support, the role of parasympathetic days and hormesis, and talk about load management and optimization. 

I know you will love today’s conversation with Dr. Stephanie Estima!

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On her podcast, Better! With Dr. Stephanie, where she explores the human potential, hormones, metabolism, and a life well-lived.

Get a copy of Dr. Stephanie Estima’s #1 bestselling book, The Betty Body: A Geeky Goddess' Guide to Intuitive Eating, Balanced Hormones, and Transformative Sex

Previous Episode Mentioned:

Episode 123 – Menstruation, Muscle, Maternity, & Metabolism: What Every Woman Should Know with Dr. Stephanie Estima

Today, I have the privilege of speaking with Dr. Drew Ramsey, a board-certified psychiatrist, author, and a leading voice in nutritional psychiatry and integrative mental health. 

With over 50 million Americans facing mental health challenges, Dr. Ramsey and I discuss the effects of loneliness, connection, and the quality of attachment. We explore the importance of boundaries and self-awareness, as well as the stigma surrounding mental health issues, and we dive into public awareness of mental health, factors that negatively affect brain health, and the crucial role of sleep in overall well-being. Our conversation also includes insights on how to find high-quality mental health care from qualified professionals, and we look at protective factors for our brains, like neuroplasticity, inflammation reduction, and maintaining a diverse microbiome. 

I hope you find this insightful discussion with Dr. Ramsey as valuable, engaging, and enlightening as I did while recording it.

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Bio: Dr. Drew Ramsey

Drew Ramsey, MD, is a board-certified psychiatrist, author, and leading voice in Nutritional Psychiatry and integrative mental health. He is a Fellow of the American Psychiatric Association and the founder of the Brain Food Clinic and Spruce Mental Health. For twenty years, he served as an assistant clinical professor of psychiatry at Columbia University, where he taught and supervised psychotherapy and nutritional psychiatry.

Dr. Ramsey has authored five books, including Healing the Modern Brain, and three e-courses. He is a dynamic speaker, podcast host, and educator who has delivered three TEDx talks, and his work has been featured by The New York Times, The Wall Street Journal, the Today Show, NPR, and other notable outlets. He lives in Jackson, WY, with his wife and family.

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