You’ve been told everything is “normal”… but you know something isn’t right. In this episode, I sit down with Dr. Efrat LaMandre to unpack one of the most frustrating and isolating experiences in healthcare today: medical gaslighting. We dive into what it actually is, why it happens more often than we think, and the deeper systemic patterns inside medicine that lead providers to dismiss symptoms when labs don’t tell the full story. This is not about blaming doctors, it is about understanding the gap between patient experience and clinical training so we can start to bridge it.

Together, we explore the hidden dynamics at play in the exam room, from the limitations of evidence-based medicine to the influence of pharmaceutical-driven research and the rigid frameworks many providers are trained within. We also get into the powerful mindset shifts that can completely change how you navigate your own health journey, including how to advocate for yourself without burning bridges and why “normal” results don’t always mean optimal health. If you’ve ever felt dismissed, confused, or like you’re falling through the cracks of the system, this conversation will open your eyes and give you a new lens to move forward with clarity and confidence.

Topics We Cover in This Episode: 

Why “normal labs” can still leave you feeling anything but normal

The surprising truth behind what medical gaslighting actually is

What’s really happening in a provider’s mind during your appointment

The hidden limitations of evidence-based medicine no one talks about

How patient expectations can unintentionally shape the outcome of a visit

The difference between ruling things out and truly getting answers

A powerful analogy that will completely reframe your healthcare experience

The subtle ways you can advocate for yourself more effectively

If you’re ready to start approaching your body and your care with a deeper level of understanding and empowerment, make sure you subscribe so you don’t miss what’s coming next. Your symptoms are real, your experience matters, and this is just the beginning of learning how to navigate it all differently.

Resources & Links

Connect with Dr. Efrat LaMandre

📲 TikTok: @drefratlamandre  

📸 Instagram: drefratlamandre  

🌟 Facebook: drefratlamandre  

🕹️ YouTube: @DrEfratLaMandre  

💻 Website: drefratlamandre.com 

➡️ LinkedIn: efratlamandre  

📽️ Podcast Show: www.drefratlamandre.com/e-podcasts 

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This episode is as raw as it gets as I open up about my personal journey with endometriosis and everything it has taken from me and taught me along the way. I share what it really feels like to live with pain that gets dismissed, the long road to diagnosis, and the emotional and physical toll this condition can have on your body, your relationships, and your future. Through my own story, I break down what endometriosis actually is, why it is so often misunderstood, and the critical signs and symptoms so many women are told to ignore.

We also dive into the real, often confusing world of treatment options, from surgery to medications and everything in between, and where both conventional and functional medicine can support you or fall short. I walk you through the questions I wish I would have asked sooner, what I learned the hard way about recurrence and fertility, and what my healing process has looked like after surgery. Whether you are currently struggling, searching for answers, or supporting someone who is, this episode is here to validate your experience and give you clarity, direction, and hope.

Topics We Cover in This Episode: 

The signs your body may be giving you that are easy to overlook but deeply important

Why so many women are told everything is “normal” when it isn’t

The hidden reasons diagnosis can take years and what to do about it

The truth about treatment options and what most providers don’t fully explain

What recurrence actually looks like and how to think about long term healing

The connection between endometriosis, fertility, and miscarriage that isn’t talked about enough

The questions that can completely change your care and outcomes

What I wish I had known before making major medical decisions

You deserve answers, support, and a care plan that actually sees you. Tune in, take what speaks to you, and let this be the beginning of advocating for your health in a whole new way.

Resources & Links

>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ <<

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<<

What if doing everything “right” still leaves you feeling off because your health is not actually optimal?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Joe Miller, founder of 1st Optimal, to talk about what happens when you are doing all the “right” things but still do not feel like yourself. They unpack why normal labs do not always mean optimal health, why women are often dismissed when symptoms do not fit neatly into a standard workup, and how coaching can help turn information into actual progress. Joe also shares how his wife’s complex hormone journey pushed him deeper into functional medicine and why advanced testing, personalized support, and gut-focused care can be the difference between staying stuck and finally moving forward.

Episode Highlights

About Joe Miller

Joe Miller is the founder of 1st Optimal, a functional medicine and health optimization company focused on hormones, gut health, energy, and body composition. He has helped more than 10,000 women and men improve hormones, metabolism, digestion, and weight loss through advanced lab testing, MD-led HRT, and personalized coaching. His work is rooted in a practical, supportive approach that helps people uncover why they feel off and build a plan that actually works.

Connect with Joe Miller

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What if one of the most overlooked drivers of inflammation, fatigue, brain fog, and hormone imbalance is something most people rarely think about… their mouth?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Dr. Michelle Jorgensen, DDS, a biologic dentist and founder of Living Well with Dr. Michelle, to explore the powerful connection between oral health and whole-body wellness.

After experiencing severe mercury toxicity from years of drilling out silver fillings as a traditional dentist, Dr. Jorgensen was forced to rethink everything she had been taught about dentistry and health. That journey led her to study functional medicine, nutrition, and biologic dentistry to understand how dental issues can influence the entire body.

Together, Dr. Cassie and Dr. Michelle unpack some of the biggest questions patients have about dental health, including mercury fillings, root canals, fluoride, bad breath, and the surprising ways dental infections may contribute to systemic disease.

If you have ever wondered whether hidden dental issues could be affecting your energy, hormones, or metabolism, this episode may help you connect some important dots.

Key Takeaways

• Your mouth is part of your overall health system, and dental issues can influence inflammation, metabolism, and immune function.

• Traditional silver fillings contain about 50% mercury, which can release small amounts of mercury vapor over time.

• If mercury fillings are removed, it is important that dentists follow safe removal protocols to avoid increased exposure during the process.

• Root canals remove the nerve and blood supply from a tooth, leaving dead tissue behind that may harbor bacteria and create ongoing immune stress.

• Some biologic dentists recommend removing infected root canal teeth and replacing them with ceramic implants rather than leaving the tooth in place.

• Ceramic (zirconia) dental implants are often preferred in biologic dentistry because they are inert and do not conduct electricity like titanium.

• Fluoride strengthens enamel but may interfere with thyroid function because it competes with iodine in the body.

• Many cavities are not caused by poor brushing but by mineral deficiencies and poor nutrient absorption, often linked to gut health.

• Low stomach acid or chronic use of acid-blocking medications may reduce mineral absorption and increase the risk of tooth decay.

• Hydroxyapatite toothpaste can help remineralize teeth by replacing lost minerals without fluoride.

• Gum disease and oral microbiome imbalances are common causes of bad breath.

• Simple practices like tongue scraping, oil pulling, and supporting mineral intake can improve oral and overall health.

Resources & Links

🌐 Dr. Michelle Jorgensen, DDS Website: https://livingwellwithdrmichelle.com
📸 Instagram: https://www.instagram.com/livingwellwithdrmichelle/

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<<

What if the reason you still feel tired after optimizing hormones is not your hormones at all?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Dr. Terri DeNeui in Destin, Florida during an advanced hormone provider refresher to talk about the most common issue clinicians see after “optimizing hormones”: patients still feel tired, foggy, inflamed, or stuck. They break down why “normal” labs are not the same as optimal, why Free T3 matters, and how deficiencies in vitamin D, B12, and ferritin can block thyroid hormone function and keep symptoms alive. You will also hear how gut inflammation, H. pylori, and chronic acid blockers can sabotage hormone metabolism, why many “side effects” blamed on hormones are actually root-cause problems, and how to spot misinformation about estrogen and testosterone, especially for women.

About Dr. Terri DeNeui

Dr. Terri DeNeui, DNP, APRN, ACNP-BC, is a board-certified nurse practitioner, nationally recognized speaker, author, and the founder of EvexiPEL® and Evexia Medical. She holds advanced training in hormone replacement, preventive wellness, and functional medicine, and is known for her root-cause approach to optimizing hormones and whole-body health. Through her clinical work and provider education, Dr. DeNeui has helped transform the lives of thousands of patients and trained clinicians across the country. She is also the author of Hormone Havoc, a practical guide that clears up myths and misconceptions about hormones in women and men.

Key Topics Covered

Resources & Links

🌐 Dr. Terri DeNeui LinkedIn: https://www.linkedin.com/in/terri-deneui/
📚 Book: Hormone Havoc: Dispelling the Myths and Misconceptions about Hormones in Women and Men – https://a.co/d/02qh7exW

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>>Join our FREE monthly Gut Health Webinar, so you can begin your Healing Journey.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://modernendocrinewellness.com/join-gut-health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<<

In this special 100th episode of Hormones, Metabolism, and You, Dr. Cassie Smith celebrates the milestone with a best-of compilation featuring some of the most downloaded and impactful conversations from the show. Each segment reflects a powerful truth listeners continue to come back to: when you feel off, there is usually a biological reason, and real answers start with understanding the root cause.

You will hear highlights from key conversations, including:

Tamar Samuels: Debunking common nutrition myths and social media trends, including restrictive “one-food” weight loss approaches and the confusion around anti-diet culture. This segment emphasizes personalized nutrition, metabolic health, and the importance of sustainable habits that support both body composition and long-term health. 

Terri DeNeui: A powerful discussion on hormone therapy in your 30s, 40s, and 50s, including the truth about estrogen and cancer risk. This segment breaks down the long-term misunderstanding from the Women’s Health Initiative and explains why timing, personalization, and proper hormone support are critical for brain, heart, bone, and overall longevity.

Dr. Bruce Hoffman: A deep dive into chronic fatigue, mitochondrial dysfunction, and the concept of the cell danger response. You will learn why energy production is central to healing and how factors like toxic load, circadian rhythm, sunlight exposure, hydration, and lifestyle habits directly influence mitochondrial health and recovery.

Dr. Cassie Smith (Solo): A practical breakdown of thyroid optimization, including ideal functional ranges for TSH, Free T4, Free T3, Reverse T3, and thyroid antibodies. This segment explains why symptoms matter more than standard lab ranges and how inflammation, gut health, stress, and cellular function affect thyroid hormone activity.

Dr. Tyna Moore: An insightful conversation on GLP-1 microdosing and peptide therapy beyond weight loss. This segment explores how low-dose GLP-1s can support brain health, inflammation, metabolic function, and longevity, while also highlighting the importance of gut health, hormone balance, and foundational lifestyle habits before using advanced therapies.

Together, these listener-favorite moments reinforce the core message of the show: you are not broken, your symptoms are not random, and lasting change happens when you address the biology behind the symptoms.

Key Takeaways

This special 100th episode highlights a core theme across listener favorites: when symptoms don’t match normal labs, the issue is often deeper biology, not willpower. Sustainable health requires personalized nutrition, strong lifestyle foundations, and attention to real markers, not trends or extremes. Hormone therapy fears are often based on outdated information, thyroid care goes beyond TSH alone, and tools like GLP-1s work best as supportive therapies, not shortcuts. The consistent message throughout is safety-first, root-cause care with the right intervention at the right time.

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What if peptides and GLP-1s are not the problem, but the internet hype is making it impossible to know what is actually safe, effective, and worth your money?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Greg Jones, NMD to cut through the confusion around peptides, GLP-1s, microdosing, stacking, and the next wave of weight loss medications. Dr. Jones explains why lifestyle is the foundation (there is no magic shot), outlines red flags for online prescribing and questionable sourcing, and compares newer multi-agonists like retatrutide with semaglutide and tirzepatide. You will also learn how to manage common issues like nausea, reflux, constipation, fatigue, and plateaus, and why safety-first, individualized care with proper monitoring matters most.

Key Takeaways

Healing and body composition start with the foundation: nutrition, hydration, sleep, and resistance training

Peptides fall into different categories: some affect feedback loops and require more monitoring, others are used more directly by the body

GLP-1 dosing should be individualized; aggressive titration increases side effects and long-term risks

Retatrutide is a triple agonist (GLP-1, GIP, glucagon) and may increase energy expenditure, but appetite and food noise can vary by person

Side effects often improve when diet, alcohol intake, and hydration are addressed

Weight loss should be gradual to help preserve lean mass and reduce skin laxity issues

Exit strategies should be personalized: taper dose, extend dosing intervals, and keep the habits in place

When the shots go away, the habits need to stay

Episode Highlights

Connect with Greg Jones, NMD
🌐 Website: https://enovativewellness.com/dr-greg-jones/
💼 LinkedIn: https://www.linkedin.com/in/drgregjones/

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What if perimenopause is not your body breaking down, but your body revealing exactly what it needs to function better?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Bria Gadd, known as The Period Whisperer, to reframe perimenopause as a powerful turning point rather than a decline. They discuss why symptoms like fatigue, sleep disruption, anxiety, stubborn weight gain, cravings, and loss of motivation often reflect an energy deficit and accumulated “health debt,” not a lack of discipline. You will learn how years of stress, overtraining, underfueling, and pushing through exhaustion can create survival mode physiology, why traditional diet and fitness strategies often stop working in midlife, and how small shifts in recovery, nourishment, gut health, and thyroid support can help restore your baseline so your body can feel safe enough to regulate again.

Key Takeaways

Episode Highlights

Connect with Bria Gadd

🌐 Website: https://www.briatheperiodwhisperer.com/
🔗 LinkedIn: https://www.linkedin.com/in/bria-gadd/
📸 Instagram: https://www.instagram.com/bria_period_whisperer/
🎧 Podcast: The Period Whisperer

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What if chronic illness protocols stall not because you are doing something wrong, but because your body does not feel safe enough to heal?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with Dr. Jabin Moore to unpack why so many chronic illness protocols stall even when you are doing “everything right.” They explain how the brain prioritizes survival over repair when the body does not feel safe, and how stress, trauma, mold, Lyme, infections, and gut dysfunction can run the same threat pathways in the body. You will hear the unforgettable “$100 energy bill” metaphor, learn why detox can backfire when the nervous system is dysregulated, and get practical ways to create real safety in your environment and your biology so healing can finally stick.

Key Takeaways

Episode Highlights

Connect with Dr. Jabin Moore

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What if brain fog, bloating, exhaustion, and hormonal chaos are not separate problems, but signals of one shared root issue? In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith is joined by returning guest Dr. Shivani Gupta, Ayurvedic practitioner, turmeric researcher, and author of The Inflammation Code.

Together, they explore how chronic inflammation quietly disrupts gut health, hormone metabolism, sleep, mood, and energy, especially during perimenopause and menopause. Dr. Gupta explains how ancient Ayurvedic principles align with modern functional medicine, offering practical, non-diet strategies to support digestion, estrogen metabolism, circadian rhythms, and nervous system balance.

This conversation focuses on working with the body rather than against it, using daily rhythms, simple rituals, and gut-forward practices to support long-term resilience at every stage of life.

Key Topics Covered

Key Takeaways

Resources & Links

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