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

Today, I have the pleasure of connecting with Dr. Sue Varma.

Dr. Varma is a privately-practicing board-certified psychiatrist and a Clinical Assistant Professor of Psychiatry at New York University. She is a nationally acclaimed keynote speaker, medical contributor, media consultant, and advisor to leading television networks and programs.

In our discussion today, we examine the impact of shared life experiences like 9/11 and the pandemic, exploring the role of PTSD and the effects of practical optimism, self-care, and self-reliance. We discuss optimism, its inheritability, and the significance of milestones for women, including transitioning from high school to college, navigating midlife, and addressing feelings of loneliness. We also look into purpose and compassion, the complexities of processing emotions, the challenges of the perfectionism façade, the role of trauma, ACE scores, autoimmunity, and the benefits of mindfulness and meditation. 

Stay tuned for more!

IN THIS EPISODE YOU WILL LEARN:

Bio:

Dr. Sue Varma is a board-certified psychiatrist in private practice and a Clinical Assistant Professor of Psychiatry at New York University (NYU) Langone Health. She is a Distinguished Fellow of the American Psychiatric Association. Dr. Varma was the first medical director and attending psychiatrist at the World Trade Center Mental Health Program at NYU Langone Health, treating civilians and first responders in the aftermath of 9/11. Dr. Varma is a nationally acclaimed keynote speaker, medical contributor, media advisor, and consultant to major networks and shows. She regularly appears on the Today Show, Nightly News, CBS Mornings, and Good Morning America and is frequently interviewed by Time, Washington Post, NPR, and beyond. Dr. Varma is the recipient of numerous prestigious awards for her ground-breaking efforts in mental health education and advocacy, including a Sharecare Emmy. Her forthcoming book, “Practical Optimism,” is eagerly anticipated worldwide, with translations in several languages.

Connect with Cynthia Thurlow

Connect with Dr. Sue Varma

Dr. Varma's book, Practical Optimism: 

The Art, Science, and Practice of Exceptional Well-Being

Today, I am excited to share the first class in a series of lipid masterclasses with the amazing Dr. Thomas Dayspring!

Dr. Dayspring is certified in internal medicine and clinical epidemiology and is a fellow of the American College of Physicians and the National Lipid Association. He was previously the Educational Director of a nonprofit organization and has served as the Chief Academic Advisor for two major cardiovascular labs. 

Due to the in-depth nature of my discussions with Dr. Dayspring over several sessions, each lasting nearly six hours, it seemed logical to present these masterclasses in segmented chunks to make them easier to understand.

In our first class today, we dive into the fundamentals, exploring what lipids are and how lipids and fatty acids are classified. We cover the physiology and transportation of cholesterol and the role of apoptosis, apo-proteins, and apo-lipoproteins, unravel the differences between HDL, LDL, IDL, and VLDL, and explain how to calculate LDLs and triglycerides for assessing metabolic health. Dr. Dayspring also shares his preferences regarding lab values and the indicators that provide information to help him determine the early risk of cardiovascular disease.

We get into some detailed aspects of physical chemistry in this episode, so I highlight the main clinical points throughout our conversation to make it more understandable.

Be sure to join Dr. Dayspring and me for our next episode in the lipid masterclass series.

IN THIS EPISODE YOU WILL LEARN:

Bio:

Thomas Dayspring MD is a Fellow of both the American College of Physicians and the National Lipid Association and is certified in internal medicine and clinical lipidology. After practicing in New Jersey for 37 years, in 2012, he moved to Virginia. He served as an educational director for a nonprofit cardiovascular foundation and until mid-2019 as a Chief Academic Advisor for two major CV laboratories. Since then, he has served as a virtual cardiovascular / lipidology educator. Career-wise he has given over 4000 domestic (in all 50 states) and several international lectures, including over 600 CME programs on atherothrombosis, lipids/lipoproteins (and their treatment), vascular biology, biomarker testing, and women’s cardiovascular issues. He has authored several manuscripts and lipid textbook chapters and performed several podcasts. For several years he was an Associate Editor of the Journal of Clinical Lipidology. He was the recipient of the 2011 National Lipid Association’s Presidents Award for services to clinical lipidology and the 2023 Foundation of NLA Clinician/Educator Award. He has over 34K followers on his educational Twitter (X) feed (@Drlipid). He has Gold Heart Member status as a professional member of the American Heart Association and serves as a Social Media Ambassador for the European Atherosclerosis Society and the National Lipid Association.

Connect with Cynthia Thurlow

Connect with Dr. Thomas Dayspring

Books written by Gary Taubes

I am delighted to reconnect with Dr. Steven Gundry today. He last joined me for episode 236. 

Dr. Gundry is one of the world's leading cardiothoracic surgeons and a nutrition pioneer. He hosts the highly acclaimed Dr. Gundry Podcast, on which I was honored to be a featured guest. He is the Founder and Director of the International Heart and Lung Institute Center for Restorative Medicine and the author of several New York Times bestselling books, including his most recent, Gut Check. 

In our conversation, we dive into gut diversity, exploring the interrelationship between specific parasitic organisms like toxoplasmosis and behavior. We share information on mitochondrial DNA and polyphenols and uncover the synergistic relationships they share with our gut microbiome. We also get into Resveratrol and Urolithin A and discuss pre-, pro-, and post-biotics, the impact of leaky gut, glyphosate, statin therapy, and Dr. Gundry's new Gut Check program. 

I am honored to facilitate this insightful dialogue with Dr. Steven Gundry and feel confident you will find it as engaging as I did while recording.

IN THIS EPISODE YOU WILL LEARN:

Bio: 

Steven R. Gundry, MD, is the founder and director of the International Heart and Lung Institute in Palm Springs, California, and the Center for Restorative Medicine in Palm Springs and Santa Barbara. After a distinguished surgical career as a professor and chairman of cardiothoracic surgery at Loma Linda University, Dr. Gundry changed his focus to curing modern diseases via dietary changes. He is the author of New York Times bestsellers The Plant Paradox, The Plant Paradox Cookbook, The Plant Paradox Quick & Easy, and The Longevity Paradox, along with national bestsellers The Plant Paradox Family Cookbook, The Energy Paradox, Dr. Gundry’s Diet Evolution, and Unlocking the Keto Code, and more than 300 articles published in peer-reviewed journals on using diet and supplements to eliminate heart disease, diabetes, autoimmune disease, and multiple other diseases. He is the host of the weekly Dr Gundry Podcast and founder of wellness brand, Gundry MD. Dr. Gundry lives with his wife, Penny, and their dogs in Palm Springs and Montecito, California

About GUT CHECK:

Unleash the Power of Your Microbiome to Reverse Disease and Transform Your Mental, Physical, and Emotional Health

By Steven R. Gundry, MD

In the latest addition to his New York Times bestselling Plant Paradox series, GUT CHECK: Unleash the Power of Your Microbiome to Reverse Disease and Transform Your Mental, Physical, and Emotional Health (Harper Wave, January 9, 2024; ISBN: 978-0062911773; $32.00; 352 pages), Dr. Steven Gundry offers a definitive guide to the gut biome and its control over its home – us! Revealing the unimaginably complex and intelligent ecosystem controlling our health, Gut Check teaches us how to heal our gut to prevent and reverse every type of disease.

Connect with Cynthia Thurlow

Connect with Dr. Steven Gundry

Ep. 236 Keto Code: Unlocking Mitochondrial Health with Dr. Steven Gundry

I am delighted to reconnect with Esther Blum today. She joined me once before for Episode 264, one of the most popular podcast episodes for 2023. 

Esther is the bestselling author of many books, including See You Later Ovulator. She is a registered dietitian with a thriving virtual practice specializing in helping women balance their hormones, shed stubborn body fat, and address the root causes of their health issues.

Today, Esther and I discuss the state of hormones in 2024. Our conversation covers lazy medicine advocacy, meno-washing, and meno-care, and we explore uncommon symptoms associated with perimenopause and menopause and methods for obtaining testing. Esther also shares her recommended supplements. 

You will love this engaging and insightful conversation with Esther Blum!

IN THIS EPISODE YOU WILL LEARN:

Connect with Cynthia Thurlow

Connect with Esther Blum

Esther’s Books

Esther’s book, See Ya Later, Ovulator!, by Esther Blum

Cavewomen Don’t Get Fat, by Esther Blum

Eat, Drink, and Be Happy, by Esther Blum

Previous Episode featuring Esther Blum

Ep. 264 Peri/Menopause are a Natural Function of Aging: See you later, Ovulator!

I am honored to engage in a conversation with Dr. Sean Pastuch today.

Dr. Pastuch spent more than ten years treating patients and training clients. He has worked with some of the most elite athletes in the world, guiding them toward success by seamlessly connecting fitness with healthcare. 

In today’s conversation, we discuss the sustainability of New Year's resolutions, explain why strength training is essential, and talk about chronic cardio and muscular independence, the pitfalls of overtraining, and the impact of body image marketing. We explore advocacy within the current healthcare system, emphasizing the need for confidence-building to become effective advocates for ourselves and our children. Dr. Pastuch also explains the simplicity of his morning routine, highlighting the importance of uncomplicated habits for maintaining a balanced and healthy lifestyle.

Stay tuned for simple-to-apply behavior changes, mindset shifts, and exercise protocols to help you live a life of freedom without compromise.

IN THIS EPISODE YOU WILL LEARN:

Bio:

Dr Sean spent over a decade treating patients and training clients. He has worked with the most elite athletes in the world, the people who need the .01% edge on their competition, like professional baseball players, CrossFit games champions, and Olympic medalists. He found his success by bridging the gap between fitness and healthcare, using his expertise in both the gym and the clinic to create a new way to help people consistently get out of pain without going to the doctor or missing out on their active lives. Since leaving practice in 2017, Dr. Sean has taken the methods he used to help over 10,000 people perform at their best, free of pain, and made his methods and mindset shifts available to the masses through the founding of his company, Active Life, where his team not only help people from around the world to get out of pain without going to the doctor or giving up their active life, but they mentor fitness and healthcare professionals to do the same for their clients and patients. 

Connect with Cynthia Thurlow

Connect with Dr. Sean Pastuch

I am delighted to reconnect with Dr. Jason Fung today. We last connected in October 2020 for Episode 121. 

Dr. Fung is a nephrologist and a prominent figure in the intermittent fasting and low-carb space. He has made significant contributions as a founding member of The Fasting Method with his evidence-based guidance on weight loss and blood glucose management through low-carb diets and intermittent fasting. He has written several books, including The Obesity Code, The Complete Guide to Fasting, The Diabetes Code, and The Cancer Code. 

In our discussion today, we look at the forecast for metabolic health in 2024, exploring how the growth of the diabetes population relates to the effects of the pandemic and addressing the conflict of interest with organizations like the ADA and registered dieticians. Dr. Fung shares some of his biggest frustrations, including the shallow and myopic thinking amongst those focusing on calories in and calories out, and we get into various facets of metabolic health, from the nuanced influences of gender, puberty, perimenopause, and menopause to hedonistic eating, sarcopenia, bio-individuality, and therapeutic fasting. Dr. Fung also shares his perspective on GLP-1s, shiftwork, supplements, and more.

Join us for valuable insights on various aspects of metabolic health and how they impact our well-being.

IN THIS EPISODE YOU WILL LEARN

Connect with Cynthia Thurlow

Connect with Dr. Jason Fung

Previous Episode Featuring Dr. Jason Fung

Ep. 121 – The Truth About Diabetes, Kidney Disease and Insulin Resistance with Dr. Jason Fung

Today, I have the pleasure of reconnecting with the incredible Dr. Jud Brewer, who was previously on the podcast in June 2020 in episode 99.

Dr. Brewer is an internationally recognized addiction psychiatrist and neuroscientist. He is also a professor at Brown University and a former TEDx speaker, with his talk in 2016 amassing over 19 million views. 

In our conversation, we discuss his latest book, The Hunger Habit, and explore many subjects, from the differences between homeostatic and hedonistic hunger to detachment from body awareness. We look at self-talk, self-judgment, and dopamine survival mechanisms, addressing issues like stress-eating and comfort-eating within the context of the food and reward system. Dr. Jud also shares his perspective on macro tracking, explaining why he does not endorse it, and he introduces his 21-Day Challenge, emphasizing the need to build awareness around our habits and be present. Lastly, we dive into how trauma impacts binge eating, touching on adverse childhood events and effective ways to reflect on our past experiences and how they affect our current behavior.

Dr. Jud's wealth of knowledge and insights offer a fresh perspective on the interplay between our habits, mental well-being, and relationship with food. Stay tuned!

IN THIS EPISODE YOU WILL LEARN:

Connect with Cynthia Thurlow

Connect with Dr. Jud Brewer

Episode 99: How To Change Bad Habits – with Dr. Jud Brewer

Today, I am privileged to connect with Sal Di Stefano. 

Sal is a sought-after fitness and health expert with a straightforward and uncomplicated manner of communication. He is also a co-host of the immensely popular Mind Pump Podcast.

In our discussion, we explore why the scale is an ineffective measure of success in our culture, particularly for women. We dive into the effects of body image and dysfunctional relationships with our bodies, contrasting self-hate patterns with self-love patterns. We look at ways to train differently in middle age with the challenges of perimenopause and menopause and consider the impact of physiological changes during pregnancy and the postpartum period. We also cover signs of overtraining and intuitive nutrition and address many listeners' questions about reverse dieting, hormetic strategies, and authenticity. 

I am sure you will love this conversation, and I look forward to having Sal back on the show in 2024.

IN THIS EPISODE YOU WILL LEARN:

Connect with Cynthia Thurlow

Connect with Sal Di Stefano

I am honored to connect with Dr. Sandi Scheinbaum today. 

Dr. Scheinbaum is the Founder of the Functional Medicine Coaching Academy, an initiative focused on helping practitioners and businesses hire health coaches who focus on chronic disease and reducing healthcare costs. She is an educator and clinical psychologist with a career spanning over 40 years, lecturing prolifically on the psychology of wellbeing, mind-body medicine, and the psychology of eating, and writing several books on health coaching, panic attacks, and anxiety.

In our conversation today, we dive into nutrition confusion, scientific evolution, biased myths and beliefs, contradictory messages, and how cognitive dissonance affects people’s eating patterns and attitudes toward food. Dr. Scheinbaum shares how she transitioned from being a vegan to becoming an omnivore, and we explore the role of Erikson's stages of development and family dynamics in shaping theories and behaviors around food. We look into the psychology of eating, social messaging, and the consequences of appetite judgments, food shame, and orthorexia. Dr. Scheinbaum also explains how to find local practitioners who can assist you in navigating your relationship with food, mind-body medicine, and cognitive-behavioral therapies.

Stay tuned for today's insightful discussion, where Dr. Sandi Scheinbaum unravels the psychology that shapes our eating patterns, attitudes, and approaches to food. 

IN THIS EPISODE YOU WILL LEARN:

 Bio:

Dr. Sandra Scheinbaum trains people to become Functional Medicine health coaches and helps practitioners and businesses hire them because she believes that health coaches are the key to combating chronic disease and reducing healthcare costs. As the Founder and CEO of the Functional Medicine Coaching Academy, a collaboration with The Institute for Functional Medicine, Sandi is a leader in the field of health coaching education. As an educator and clinical psychologist for over 40 years, she has lectured extensively on the psychology of well-being, mind-body medicine, and the psychology of eating. She wrote several books on health coaching, panic attacks, and anxiety. Sandi founded FMCA at age 65 because, rather than retiring, she is on a mission to grow the health coaching profession so that millions of people can get the support they need to lead healthier lives.

Connect with Cynthia Thurlow

Connect with Sandra Scheinbaum

Books Mentioned:

Salt, Sugar, Fat by Michael Moss

The Dorito Effect by Mark Schatzker

I am thrilled to have Dr. Ken Berry joining me on the podcast for the third time today. He was with me before on episodes 111 and 139.

Dr. Berry is a physician, best-selling author, and passionate health advocate with a no-nonsense approach to health and wellness. He has been practicing at the Berry Clinics since 2003 and is an active community member. He has written two books, Lies My Doctor Told Me and the recently published Kicking Ass After Fifty, in addition to various other resources, including Common Sense Labs Today. He also has a YouTube channel, serving over 2 million subscribers- one of my favorite go-to resources for my patients. 

In our conversation today, we dive into the latest Lancet research on the impact of a diabetes diagnosis on life expectancy, along with insights from the American Diabetes Association regarding the costs of diabetes care. We discuss the need for proper diagnostic modalities to identify insulin resistance earlier and the labs Dr. Berry uses in his practice for identifying those at risk. We explore the recently recognized American Heart Association syndrome, CKM (Cardiovascular Kidney Metabolic Syndrome), and the role of GLP agonists, continuous glucose monitors, and glucometers. Dr. Berry also shares his views on plant-based diets, proper diets, and more. 

IN THIS EPISODE YOU WILL LEARN:

Connect with Cynthia Thurlow

Connect with Dr. Ken Berry

Dr. Berry’s books

Lies My Doctor Told Me 

Kicking Ass After 50   

Common Sense Labs 

Dr. Berry’s Private Community

Phdhealth.community

Medical News article Mentioned

Here’s What to Know About Cardiovascular-Kidney-Metabolic Syndrome, Newly Defined by the AHA  

Previous Episodes Featuring Dr. Ken Berry

Ep. 111 – Is The Keto Diet The Proper Human Diet? – with Dr. Ken Berry

Ep. 139 – Hyperinsulinemia: What You Should Know About This National Health Crisis with Dr. Ken Berry